Osteo-muscular hydatidosis
Hydatid cyst is a ubiquitous disease caused by the development in humans of the larval form of the parasite Echinococcus granulosus, which can affect all anatomical sites in the body. The main objective of this study is to define the epidemiological characteristics of osteo-muscular hydatidosis in the Batna-ALGERIA region. To this end, a retrospective study of a series of 5 cases of osteo-muscular hydatid cysts was carried out in the orthopedics department of the Batna-ALGERIA university hospital, over a period of 10 years. During this period, we observed that 80% of cases originated from Batna and only 20% from Khenchela. The age group most affected was between 24 and 51, with males predominating. Muscle was the organ most affected in all our patients, while bone involvement was secondary to muscle involvement.
Management of acute tumor-induced hydrocephalus
Introduction: Hydrocephalus is defined as an abnormal accumulation of CSF in the ventricular cavities of the brain. It is a frequent pathology in neurosurgical settings.Objective: The aim of this study was to determine the different therapeutic modalities for acute hydrocephalus of tumoral origin, and the role of nurses in its management.Material and method: This is a retrospective study based on 32 cases having been treated for acute hydrocephalus of tumoral origin at the Tunis Military Hospital, over a ten-year period (2009-2019). Results: The mean age was 14 years, with a male predominance of 59%. HTIC dominated the clinical picture. The most common tumor site was subtentorial. Treatment was based on tumor excision.Conclusions: Acute hydrocephalus of tumoral origin affects all age groups, particularly children. Nurses play a vital role in its therapeutic management, as well as psychologically and in supporting the families and parents of sufferers.
Хроническая боль как проявление
На сегодняшний день хронический болевой скелетно - мышечный синдром рассматривается как следствие дизрегуляторной патологии центральной нервной системы, как маркер нарушения взаимодействия функциональных систем, регулирующих входящий интегративный сигнал со стороны периферических отделов. Длительное воздействие болевого раздражения приводит к нарушению системного взаимодействия сенсорных полей головного мозга, контролирующих болевой порог, формируя матрицу боли с прогрессированием нарушения функционирования различных органов и тканей по системе обратной связи и продуцируя и усугубляя психологическое расстройства с формированием 

Medical thesis
This is a retrospective, descriptive study that was carried out at the Andr矇 FESTOC CHU-ME center in Bamako, running from January 01, 2018 to December 31, 2022. It focused on the records of operated and non-operated patients managed within the framework of thoracic and vascular surgery. We collected 1720 patients, 581 of whom were managed for thoracic pathologies, 1139 patients for vascular pathologies. We operated on 792 patients, i.e. 46.04% of the total. Non-operated patients either opted for medical treatment or other non-invasive therapies. The overall mean age of patients was 51.34 years, with a standard deviation of 19.51 and extremes of 2 months and 123 years. Only 76 patients (4.45%) were under 15 years of age. The sex ratio was approximately 0.9. Housewives were the most represented, at 41.51%. In-hospital mortality was 5.93%. Thoracic and vascular surgery has developed rapidly over the last two decades in Mali, and is now routinely performed with reliable and reproducible results.
Neonatal Respiratory Distress
Respiratory distress immediately after birth is common and is usually caused by abnormal respiratory function during the adaptation from foetal to neonatal life. It is manifested by nasal flaring, intercostal or subcostal retractions, audible grunting, and cyanosis. Neonatal respiratory distress may be transient; respiratory distress is a common cause of morbidity and mortality. However, persistent distress requires a rational diagnostic and therapeutic approach to optimise outcomes and minimise morbidity. This study was conducted to study the prevalence, risk factors, causes, and immediate clinical outcomes for respiratory distress in neonates in tertiary care centres.
Prevalence of malaria parasitaemia amongst asymptomatic pregnant women
Malaria, a human parasitic disease generally characterized by frequent bouts of high fever, headache and body pains affects people of all ages. It is a life-threatening disease caused by the presence of a parasite of the genus Plasmodium (commonly Plasmodium falciparum, Plasmodium vivax, Plasmodium malariae, or Plasmodium ovale) within red blood cells. The disease is transmitted by female Anopheles mosquito and is most common in Tropical and subtropical Countries of the world.
Factors Influencing Quality of Midwifery Performance
The study aimed to determine the factors that influence the quality of midwifery performance from the perspective of midwives in governmental hospitals in the Gaza Strip. Subjects and methods: A cross-sectional study was conducted using a representative census sampling of 212 midwives and nurses working in the maternity departments of governmental hospitals in the Gaza Strip. A questionnaire was developed, achieving a response rate of 91.9%. The questionnaire was validated by experts, and reliability was confirmed using Cronbach's alpha coefficient. Data were analyzed using SPSS. Results: The study revealed that the highest factors positively influencing midwifery performance included high salary levels, interest in performance improvement, motivators, and the application of quality standards. Conversely, the lowest factors positively influencing performance included marriage, the perception that the midwife's job is the same as a nurse's, work pressure, and the absence of a job description. Additionally, there was a significant difference in the quality of midwifery performance between different job titles in governmental hospitals.
Outline of Surgical Spinal Anatomy & Approach
For evaluation of degenerative disk disease, T1- and T2-weighted images performed in the axial and sagittal planes are used, although fast spin echo, T2-weighted images have replaced conventional T2-weighted images because acquisition times are shorter. Short tau inversion recovery (STIR) or fat-suppressed T2-weighted images are also used to delineate bone marrow or soft tissue edema . Aside from conventional MRI pulse sequences that focus on morphologic features, techniques that provide physiologic or functional information include dynamic imaging, diffusion imaging, spectroscopy, and MR neurography. Diffusion-weighted MRI of the spinal cord can be used in some instances for diagnosis of acute spinal cord infarct, when imaging findings of acute ischemia are not straightforward. The finding of restricted diffusion within the cord is more sensitive for acute ischemia than the conventional T2-weighted sequence and can appear earlier than findings on other sequences. The remainder of the cervical spine is characterized by more conventional spinal motion segments .
An Introductory Manual To Basic Anaesthesiology Practice
Anesthesia is essential for the practice of surgery. Since its beginning in 1842 it has evolved in to a recognized specialty providing continuous improvement in patient care.Before the discovery of inhalational agents pain was considered or believed to be an inevitable outcome of surgery. Today, major surgery without adequate anesthesia would be unthinkable, and probably constitute grounds for malpractice litigation. Recent development dating back only 160 years. Anesthetists receive lives of patients in her/ his hands, It is a duty to administer the safest anesthetic possible, to protect the patient and to give full attention for the anesthetized patient.To carry out the responsibility, every anesthetist needs a foundation of medical science and understand the principles of anesthesia. A sound knowledge of physiology and pharmacology is essential, together with an understanding of impacts brought about by illness or injury.
Emergency Care in Prehospital Setting
As a general truth, the human body is completely dependent on a continuous supply of oxygen, among other essential ingredients. Without a continuous oxygen supply, our body cells begin to die within 6-10 minutes. Unfortunately, there are a number of accidents (Like Trauma, Car accident, Falling Accident, poisoning, Burn etc) and a variety of medical conditions which can interrupt this essential process of life. Majority of deaths occurring at the scene could be saved with appropriate first aid. The good news is, this first aid knowledge and skill can be thought to any person regardless of their educational status, age, occupation etc. To facilitate ease of understanding, this book is organized into 10 chapters and the vital steps to be taken by a first aider in the prehospital environment are clearly explained under each topic. Therefore I, strongly, believe that this book will contribute to community knowledge, behavior, and skill base. In addition, it can also be used as reference material for first aid volunteers, college students, training institutes, and any layman who is interested in First aid.
Immunosorption Techniques
No detailed description available for "Immunosorption Techniques".
Mutations and Cancer Risk Related to Mycotoxins
Mycotoxins are chemicals made by molds in nature. Molds can contaminate both natural and man-made materials, especially when the environment is warm and moist, causing the molds to grow and produce mycotoxins. There are more than 500 known mycotoxins, and the count is continually growing. Mycotoxins are poisonous substances that occur naturally and are produced by certain types of molds. These molds which have the ability to produce mycotoxins can be found on various food items like grains, dried fruits, nuts, and spices. The growth of these molds can happen pre or post-harvest, or during storage, in the food itself, especially in warm, damp, and humid conditions. Most mycotoxins are resistant to food processing techniques as they are chemically stable. There are numerous mycotoxins that have been identified, but the most commonly seen ones, which are worrisome for human health and livestock, include aflatoxins, ochratoxin A, patulin, fumonisins, zearalenone, and nivalenol/deoxynivalenol.
Lung sequestration in children
Pulmonary sequestration is a rare bronchopulmonary malformation.Aim: To clarify the clinico-biological aspects and management of pulmonary sequestration. Material and methods: We conducted a retrospective descriptive study of 16 observations of pulmonary sequestration managed in the pediatric surgery department of the Fattouma Bourguiba Hospital, Monastir.Results: Our series included 7 boys and 9 girls. The mean age was 30 months. Antenatal diagnosis was made in 8 cases. The clinical picture was dominated by respiratory symptoms in 13 cases. In the remaining three cases, the diagnosis was made incidentally during surgery. Imaging suggested the diagnosis in 7 patients. All children underwent surgery. Thoracoscopy was performed in 8 children, and conversion was performed in 3 patients. Removal was by sequestrectomy in the case of extra-lobar sequestration; lobectomy in the case of intra-lobar sequestration and in hybrid forms. All patients had a favourable outcome.Conclusion: Pulmonary sequestration can take on different aspects, sometimes leading to confusion.
Modern Tai Chi
Simple and effective! Modern Tai Chi opens up a new path to better physical health, relaxation and mental balance. In this guide, I will explain my modernised and updated form of classical Tai Chi. It consists of particularly effective and simple exercises. Modern Tai Chi is easy to learn and allows you to quickly and effectively recharge your energy, release tension, improve your mobility and reduce stress. Whether at home, in the office or in the park: the exercises of my Modern Tai Chi can be easily integrated into your everyday life. You don't need any previous knowledge, special equipment or other aids. A little space and a quarter of an hour is all you need to experience the positive effects on your body and mind. Only 15 minutes to your healthy life!
Liposuction
Liposuction, like any surgical procedure, has inherent risks. Proper patient selection, careful medical records, imaging, consent, information, anesthesiologist, preoperative evaluation and standardized surgical technique, strict evaluation, replacement fluid, including lidocaine, infiltration, trans. and postoperative control factors, are helping to reduce complications related to liposuction. Liposuction performed for aesthetic procedures aims to remove fat in healthy patients and reduce the accumulation of localized fat, known as lipodystrophy, leading to an improvement in body contour. Over the last three decades, liposuction has been perfected, but like any other surgical procedure, it is not without its complications. The aim of this study is to carry out a literature review using Pubmed, identifying complications after liposuction and their prevention.
Starved for Light
A wide-ranging history of rickets tracks the disease's emergence, evolution, and eventual treatment--and exposes the backstory behind contemporary worries about vitamin D deficiency. Rickets, a childhood disorder that causes soft and misshapen bones, transformed from an ancient but infrequent threat to a common scourge during the Industrial Revolution. Factories, mills, and urban growth transformed the landscape. Malnutrition and insufficient exposure to sunlight led to severe cases of rickets across Europe and the United States, affecting children in a variety of settings: dim British cities and American slave labor camps, moneyed households and impoverished ones. By the late 1800s, it was one of the most common pediatric diseases, seemingly an intractable consequence of modern life. Starved for Light offers the first comprehensive history of this disorder. Tracing the efforts to understand, prevent, and treat rickets--first with the traditional remedy of cod liver oil, then with the application of a breakthrough corrective, industrially produced vitamin D supplements--Christian Warren places the disease at the center of a riveting medical history, one alert to the ways society shapes our views on illness. Warren shows how physicians and public health advocates in the United States turned their attention to rickets among urban immigrants, both African Americans and southern Europeans; some concluded that the disease was linked to race, while others blamed poverty, sunless buildings and cities, or cultural preferences in diet and clothing. Spotlighting rickets' role in a series of medical developments, Warren leads readers through the encroachment on midwifery by male obstetricians, the development of pediatric orthopedic devices and surgeries, early twentieth-century research into vitamin D, appalling clinical experiments on young children testing its potential, and the eventual commercialization of all manner of vitamin D supplements. As vitamin D consumption rose in the mid-twentieth century, rickets--previously a major concern for doctors, parents, and public health institutions--faded in its severity and frequency, and as a topic of discussion. But despite the availability of drugstore supplements and fortified milk, small numbers of cases still appear today, and concerns and controversies about vitamin D deficiency in general continue to grow. Sweeping and engaging, Starved for Light illuminates the social conditions underpinning our cures and our choices, helping us to see history's echoes in contemporary prescriptions.
Clinical and therapeutic guide to sickle cell disease
This guide aims to improve the knowledge of healthcare staff, sickle cell patients and their parents about preventive and curative measures for sickle cell disease, with a view to improving the quality of life of sickle cell patients and their survival. It covers the theoretical, preventive and curative aspects of sickle cell disease and the main associated pathologies. We would like sickle cell anaemia to be part of integrated care, so that all providers are able to manage a sickle cell patient, but that all parents are also able to prevent and manage minor crises.
Examining the Anatomy of the Heart and Diseases
The heart is an important part of the circulatory system. The heart is located in the chest cavity, between the left and right lungs. When the heart contracts, its size will be the size of a person's fist. Chest bones, ribs and cartilages are located near the front and upper surfaces ofthe heart. After the heart, esophagus and chest cavity are located. The lower part of the heart is close to the diaphragm muscle and in its upper part is the superior vena cava, aorta and pulmonary artery. There are grooves on the surface of e heart. Coronary grooves (Coronary Sulcus) which is the part of a separation and limit of the ventricle and the atrium. Anterior posterior longitudinal sulci, which is the separation plane of the left ventricle and the right ventricle. The heart is a hollow organ that is divided into four parts or cavities. The upper two cavities are atria, which are divided into left and right atrium by the atrium wall. Also, two lower cavities, which are called ventricles, are divided into left and right ventricles by the ventricular wall.
Congenital Small Intestinal Obstruction in Newborns
According to WHO data, of all congenital malformations, a quarter of all congenital malformations are GI diseases, in terms of frequency of occurrence they are on the third place, and complications of early postoperative period of these pathologies vary in a wide range from 9 to 77%, which reduces the functional efficiency of surgical interventions, and in 13% of patients forced to resort to repeated interventions to reconstruct the GI tract. Currently, to prevent severe complications of congenital malformations, the choice of treatment methods taking into account pathogenetic mechanisms and improvement of surgical tactics is one of the most important problems of medicine.
Novel Trend in Therapeutic Technology via Hand Therapy
Rehabilitation body engineering, hand therapy science using the soft tissue area and its components is an alternative and novel science for treatment large number of diseases that are in common with other known methods of treatment, in addition to, its utility in treatment of some diseases that cannot be treated by these known methods, where it based on pressure on the soft area in a certain way to improve the functions of body organs. Also, artificial intelligence can be applied to many modules of hand rehabilitation robots, which can not only expand the functions of hand rehabilitation robots, improve the accuracy, effectiveness, and wisdom of the devices, but also reduce the pressure on medical resources and improve the comfort and fun of patients during rehabilitation. In addition, artificial intelligence can also be applied to the human-robot collaboration of hand rehabilitation robots, mainly in the assisted training mode.
Echoes of Care
More than one billion people live with hearing loss, making deafness one of the most common disabilities in the world. Despite the size of deaf communities and their rich cultural histories, in the Western world deafness is perceived primarily as a medical problem requiring a fix. In nineteenth-century Britain the shift from viewing deafness as auditory difference to framing it as a condition in need of medical intervention came at the insistence of an emerging group of professionals: aurists. Echoes of Care describes how British ear specialists sought to reshape deafness as a curable affliction that they were uniquely able to treat. Navigating a medical landscape fraught with professional rivalries and public distrust about the likelihood of a cure, aurists extended their authority towards key sites of intervention - the census, school medical testing, public health, deaf schools - to argue for the necessity of specialist care. Beneath the surface of these claims lay deeper questions about access to healthcare, cultural perceptions of disability, and the rise of eugenics. Jaipreet Virdi explores the complex legacy of the medicalization of deafness and its profound implications for deaf history, culture, and lived experience.
Medical and Health Professions Education
This book is an effort to highlight the reflections and action plan related to different academic and research activities as a part of the Masters in Medical and Health Professions Education offered by the Universitas Gadjah Mada, Yogyakarta, Indonesia. The reflection and action plan has been written regarding Critical Appraisals, Academic Writings, and Thesis-related work over the period of two years.
Sport and anticoagulants
Physical activity is recommended for its cardiovascular benefits. Even older subjects and heart patients are more likely to be allowed to take part in physical activity. Certain problems may arise when these subjects present or develop pathologies requiring anticoagulant treatment.In this review of the literature, we attempt to provide an update on the management of oral anticoagulant therapy in patients taking part in sporting activities, particularly in view of atrial fibrillation and deep-vein thrombosis, two highly prevalent conditions, especially with increasing age.Official recommendations in this area can appear restrictive for patients, in most cases forbidding sports at risk of trauma and bleeding.Direct oral anticoagulants may now represent an opportunity to modify the approach to sporting activity in patients with an indication for anticoagulation, while at the same time minimizing their risk of bleeding.
Meridian Theory, Vital Substances, Zang Fu and Five Elements
This course completion work was carried out with the help of teachers from the Acupuncture Study Center of Paran獺 (CESAC) in Curitiba. It deals with the main theories underpinning the diagnosis and treatment of Traditional Chinese Medicine, including the Theory of Meridians, Vital Substances, Zang Fu and Five Elements. At the end there is a study carried out with a group of patients with chronic low back pain exemplifying the application of Acupuncture in Primary Health Care.
Got Blood to Give
Our blood has stories to tell, and we are told stories about blood. Globally, blood is a story that is built -- whose blood counts, whose blood spills and whose blood is of use. The history of blood donation practices in Canada speaks to the larger blood story of anti-Black racism, evident since the country's founding. Through storytelling, theorizing and discourse analysis, Got Blood to Give examines how anti-Black homophobic nation-building policies became enshrined in blood donation systems. OmiSoore H. Dryden, a Black queer femme academic and the foremost scholar on Canadian blood donation practices, examines contaminated blood crises in the 1980s and 1990s, Canadian Red Cross Society, and Canadian Blood Services. She contextualizes contemporary homonationalisms, medical anti-Black racism, homophobia and transphobia in blood-related practices, connecting blood stories with health disparities affecting Black and Black queer populations. From a BlaQueer disasporic theoretical lens, this book uses narrative as method to show how healthcare systems continue to propagate anti-Blackness.
Balance & Quality of Gait Analysis in Older Diabetes Community Adults
Erobic and resistance training exercise regimes for diabetic patients can improve gait stability through increased muscle strength and range of joint motion, as well as generally improving their blood sugar control, blood pressure and serum lipid levels Walking with a wobbly motion or even losing your balance can result from diabetic peripheral neuropathy. Wearing orthopedic shoes often helps with this. Loss of coordination is a common sign of diabetic peripheral neuropathy. Often, muscle weakness affects the ankle, which can affect your gait.
Predictors of community acquired pneumonia
This book is a thesis that aimed at investigating the factors associated with community-acquired pneumonia in children
M矇duri protocol and COVID19 pneumonia
SARS-CoV-2 causes ARDS, a cytokine storm and excessive inflammation... High-dose corticosteroid therapy may be indicated in patients who develop pulmonary fibrosis. The aim of the study was to identify factors leading to failure of high-dose corticosteroid therapy according to the Meduri protocol. This prospective cohort study was conducted in the intensive care unit of the Taher Sfar Hospital in Mahdia. All patients hospitalized with SARS-CoV-2 pneumonia received methylprednisolone 2 mg/kg/d in tapering doses over one month. Out of 178 patients, treatment success was 33.7%, with a mortality rate of 61%. In multivariate analysis, SAPS II score (OR=0.938, CI95% [0.895-0.982], p=0.007) and NIV use (OR=0.416, CI95% [0.187-0.925], p=0.031) were independently associated with failure. The SAPS II threshold was 23.5, with a sensitivity of 75%, a specificity of 61%, a positive predictive value of 54.55%, a negative predictive value of 79.46% and an area under the curve of 0.724. In conclusion, SAPS II score and use of NIV as failure factors.
Severe asthma exacerbations in children
Early management by the family remains a recognized preventive measure for exacerbations, thanks to pediatric diagnosis and support, with specific physiological and developmental features for each age group. Various studies show that predicting the occurrence of an exacerbation is difficult. They underline the importance of ensuring that asthma control is achieved after an exacerbation, implying that the child should be systematically reviewed one month after an exacerbation. A randomized multicenter study would make a considerable contribution to the study of triggering factors and factors predictive of the severity of an attack in children.
Transformation of the Health System
Technological innovations and artificial intelligence have become an integral part of our lives. In this exciting guide, you can find out just how much it has also reached us in the healthcare sector, in which areas it is particularly helpful and how rapidly it is developing.The rapid development of artificial intelligence (AI) has revolutionized many areas of life in recent years. Especially in the healthcare sector, the immense potential of this technology to fundamentally change the way we diagnose, treat, and prevent diseases is shown. The integration of AI into medical processes promises not only an increase in efficiency and accuracy, but also a personalization of patient care that previously seemed unthinkable.This book examines the role of artificial intelligence in healthcare from different perspectives. It highlights current developments, forward-looking projects and the ethical and legal issues associated with the use of AI.The aim is to provide a comprehensive overview of the opportunities and challenges that arise from the use of AI in medicine.
Physical Therapy Assessment
"Assessment in Physical Therapy: Strategies and Tools for Evaluation" is an essential resource for physical therapists and students, focusing on the importance of accurate assessment in physical therapy treatment. The book highlights assessment as an ongoing, multifaceted process that is fundamental to designing effective treatment plans. It presents key strategies, such as subjective assessment (interviews and questionnaires for patient history and goals) and objective assessment (observation, palpation, pain assessment, and movement testing, among others). In addition, it offers an exhaustive review of the most commonly used tools in physical therapy, explaining their use, advantages and limitations. These include joint analytical assessment, muscle analytical assessment with scales to evaluate muscle strength, and functional assessment in physical therapy with gait analysis to evaluate normal and pathological gait. Providing a sound theoretical framework to improve quality of care and patient outcomes.
Ridge Enhancement in Implant Therapy
Ridge augmentation, is a common procedure in implant dentistry aimed at rebuilding bone in the alveolar ridge, which supports dental implants. After tooth loss or extraction, the surrounding bone may resorb, making it challenging to place implants securely. Techniques such as bone grafting, membrane placement, growth factors, guided bone regeneration, and ridge splitting are used to augment the ridge's height, width, and contour. These procedures promote new bone growth, providing a stable foundation for successful implant placement.
Narrating the Heritage of Psychiatry
This volume highlights the importance of diverse voices and perspectives in understanding the history and heritage of psychiatry. Exploring the complex interrelations between psychiatry, heritage and power, Narrating the Heritage of Psychiatry complicates the pervasive biomedical narrative of progress in which the history of psychiatry is usually framed. By examining multiple perspectives, including those of users/survivors of mental health services, the collection sheds light on neglected narratives and aims to broaden our understanding of psychiatric history and current practices. In doing so, it also considers the role of art, activism, and community narratives in reimagining and recontextualizing psychiatric heritage. This volume brings into conversation perspectives from practitioners, patients/users and scholars from the humanities and social sciences.
What the Body Knows
A leading scientist's guide to the way our immune system protects us--but only most of the time What is our immune system, and how does it work? A vast array of cells, proteins and chemicals spring into action whenever our bodies are damaged, but immunity is not something you can see, touch or feel. It can fight off malicious bacteria and viruses, locate cancerous growths, and even re-wire our brains - but sometimes our own tissues can get caught in its crossfire, with catastrophic consequences. Humans may be the most disease-ridden animals on the planet. Professor John Trowsdale shows how the immune system protects us, and how our bodies invest huge resources to keep it running. Immunity influences how we age, and controls how we learn to fight off recurring diseases, and how our bodies respond to chronic conditions such as heart disease and dementia. But, in the case of allergies and autoimmune conditions, it can also easily get things wrong. What the Body Knows is a hugely readable account of a fascinating phenomenon--one which, for good or for ill, impacts every aspect of our lives.
Cancer morbidity and organization of oncological care
Population-based cancer registries collect information on all new cases of MN occurring in a defined population in a geographic area. Data are collected systematically from several sources, including hospitals, death certificates, and laboratory services, for a population-based cancer registry. Data from population-based cancer registries are the basis for estimating the prevalence of MNs and their trends over time. These data are critical for planning and evaluating cancer control programs in a defined population. This is their main purpose and determines their importance in cancer service organization and epidemiological and scientific research. The creation of a population-based cancer registry will not only help in organizing better and more targeted anti-cancer activities, but will also improve the quality and timeliness of the specialized treatment provided, to present their scientific research for publication in prestigious international journals, to participate in high-level international conferences and congresses, which will raise the prestige of the country in the world scientific arena.
Structured observation summary
The structured observation summary (SOS) is an active learning method based on a case whose diagnosis is known to the learners. It is a method used for supervised teaching during clinical placements at the Faculty of Medicine in Tunis.The aim of this study was to evaluate the value of OSR in teaching clinical reasoning in cardiology to first-year students in the second cycle of medical studies.We conducted a total of 9 supervised teaching sessions during which 31 students were involved and 91 OSR forms were completed.The students' satisfaction with this project suggests that its scope should be extended.However, certain changes could be made to some of the headings on the OSR form.
Educational sequence
The educational sequence focuses on the management of low back pain in a professionally active adult, a theme shared between physical medicine and occupational medicine. The collaboration between these two specialties improves care and prevents progression towards chronicity. The objectives include the identification of risk factors, confirmation of the diagnosis and its etiology as well as the planning of therapeutic management. It also involves assessing the medical fitness of patients and educating them on spinal hygiene. Each objective is accompanied by a learning sequence with teaching resources and evaluation methods, designed in a multidisciplinary approach to make the learner an actor in their learning, while simulating a realistic professional context.
Spontaneous coronary artery dissection
Over the past decade, there has been a radical change in the clinical appreciation of spontaneous coronary artery dissection (SCAD), a non-atherosclerotic, non-traumatic cause of coronary syndrome and cardiac death.Recent evidence suggests that SCAD is not so rare, and that its recognition has a major therapeutic impact.The aims of this book were to describe the demographic, clinical, angiographic and therapeutic characteristics of patients with CAD, and to assess the immediate and long-term prognosis of these patients.
Diagnosis and treatment of acute lymphoblastic leukemia
Significant progress has been made in the treatment of ALL in children. In adults, however, results are still unsatisfactory. Our results are less encouraging. Aim: To evaluate the results of the GRAALL and GRAAPH protocols in the treatment of adult ALL and to propose a therapeutic algorithm adapted to the prognostic factors validated in our patients. Methods: Our study was retrospective. It included adults treated for ALL diagnosed at the Haematology Department of the H矇di Chaker University Hospital in Sfax. We studied the diagnostic characteristics, therapeutic results, evolution and prognostic factors of our population. Results and Discussion: We enrolled 49 patients, with a sex ratio of 0.88. The median age was 42 years. Hyperleukocytosis >30 G/l was observed in 28% of cases. LAL-B was found in 65% of cases, LAL-T in 33% and biphenotypic in 2%. Karyotyping was conclusive in 70% of cases, 54% of which had cytogenetic abnormalities. The overall CR rate was 93% for non-phi+ ALL and 90% for phi+ ALL, with failure rates of 5% and 10% respectively.
Initial breast cancer extension assessment using medical imaging
The study involved 502 patients, 494 of whom were women (98.41%) and 8 men (1.59%), with an average age of 48.53 years. A family history of breast cancer was found in 4.38% of patients. The infiltrating carcinoma was non-specific (90.84%) and grade II SBRm in 69.32% of patients. Tumor involvement predominated in the left breast (48.21%). Stage T3/T4 predominated, accounting for 85.06% of cases. 99% of patients had benefited from diagnostic imaging consisting of mammography and/or breast ultrasound, with only the 5 cases of necrotic ulcerated tumours not having undergone diagnostic work-up. In our study, 93.62% of cancers diagnosed were classified as BIRADS 4 or 5 on imaging. Tumors initially classified as BIRADS 3 (5.38%) turned out to be breast cancers. In the initial extension work-up, 77.29% of patients underwent a thoraco-abdomino-pelvic CT scan, 55.18% underwent abdominal ultrasound and 51% underwent chest radiography. Only 16 patients (3.19%) underwent scintigraphy.
Structural Glycobiology
Structural Glycobiology covers the experimental, theoretical, and alternative technologies used in the study of the structural basis for the diverse biological roles of carbohydrates. The book overviews the application of specialized technologies to the study of carbohydrates in biology, reviews relevant and current research in the field, and is illustrated throughout by specific examples of how research investigations have yielded key structural and associated biological data on carbohydrates and glycolipids. In particular, the book focuses on: X-ray crystallography and small-angle scattering, NMR, and cryo-electron microscopy techniques Theoretical (modeling-based) approaches, such as molecular mechanics, molecular dynamics, free energy calculations, and carbohydrate docking Alternative techniques for yielding structural information on carbohydrates from complex biological samples Carbohydrates in medicine, specifically in areas that have been directly impacted by our understanding of the structural role of carbohydrates in immune recognition: cancer, organ transplantation, and infection
Blood Covenant
The Blood Covenant is the most solemn, binding agreement possible between two parties. Perhaps one of the least understood, and yet most important and relevant factors in the covenant relationships that God has chosen to employ in His dealings with man, is the blood covenant. This covenant of life and death spans the entire sacrificial system of the Old Testament, and is the basis for the act of Communion in the Church today. "The author seems to prove beyond a doubt that the blood covenant is one of the most ancient and universal institutions. This idea is founded on the representation familiar to Old Testament scholars, that the blood stands for life." In this volume, which has been sold out and unavailable for generations, you will find truths that will bless every pastor, every teacher, every serious Christian desiring a deeper knowledge of God and His covenants with man.
Amnestische Psychosyndrome Im Mittleren Und Hheren Lebensalter; Psychopathologische Untersuchungen an Alkoholikern, Senilen, Hirntraumatikern Und Anderen Mit Diffusen Hirnschadigungen; 83
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Nutritional Approach to Diabetes Mellitus in Pregnancy
The definition of gestational diabetes diagnosed during pregnancy in women without a diagnosis of diabetes before pregnancy, with hyperglycemia detected during pregnancy and with blood glucose levels that meet the WHO standards for diabetes in the absence of pregnancy. The aim was to review scientific articles on the relationship between diet and glycemic control in pregnant women with diabetes mellitus. The results of the articles showed that women with GDM need to be monitored by a multi-professional team. It is important for pregnant women to undergo nutritional therapy even in the postpartum period in order to maintain their blood glucose levels.
Red Pill in the Universal Matrix
Red Pill in the Universal Matrix: How Owls, Synchronicities, UFOs, and Matrix Glitches Turned a Skeptic into a Simulation BelieverFor most of his life, the author believed only in the cold, hard facts of science, dismissing anything supernatural as mere fantasy. But everything changed when strange synchronicities, inexplicable UFO sightings, and the eerie presence of owls began to disrupt his reality.In this deeply personal journey, follow the transformation of a once-staunch atheist into a believer in the Simulation Theory - the idea that Earth is not what it seems. As the author decodes hidden messages from the universe, you'll experience UFO's, supernatural events, and mystical signs that all point to one startling conclusion: we may all be living in a virtual reality.With warmth, humor, and gripping authenticity, Red Pill in the Universal Matrix invites you to question the very nature of your existence. Are these experiences random, or is something greater at play? Get ready to open your mind and discover what happens when the boundaries of science and spirituality blur.
In the Shadow of the Nobel Prize
In the Shadow of the Nobel Prize presents researchers that have been instrumental in the modern development of medicine, focusing on the fields of clinical hematology, cancer research and transplantation. G繹sta Gahrton tells stories of meetings with researchers that he thinks have been worthy of the Nobel Prize, but who have not received it, without revealing anything that has been discussed in the Nobel committee, of which he was a member for 10 years, thus obeying the 50-year secrecy rule.He also describes encounters with researchers that themselves think they are worthy of the prize and of those that complain about not having received it. His judgment is personal and relates to a development of which he was a participant. His point is that the most important researchers in the world are more important for mankind than those who receive most attention in the media, like soccer players and pop singers. This should in his opinion be changed -- the great discoveries and the discoverers should receive more media visibility.This book contrasts with most books about the Nobel Prizes that tell stories about those who have got the prize. The book is at the same time an autobiography, i.e. the narrative is about those scientists that the author has met, known, and valuated personally as part of his own scientific journey.
Diabetes and Obesity
Diabetes and obesity have emerged as the foremost global public health issues over the past two decades, with a rising epidemic of type 2 diabetes mellitus (T2DM) attributable to rising obesity rates. With in-depth evidence-based studies, this volume explains the interrelated subjects of pathogenesis, therapy, and prevention of these disorders, offering doctors a thorough reference to novel new management techniques. It also highlights the latest advancements in this domain. This comprehensive text, which is intended for public health specialists, endocrinologists, and diabetologists, offers critical information regarding the preventative characteristics of these operations. In addition, the book effectively confronts public health policies associated with these illnesses and pinpoints the most significant epidemiological trends, particularly in Southeast Asia. This all-inclusive resource underscores the critical role of a multidisciplinary team and offers innovative perspectives on diabetes care.
Analysis of Health Initiatives and Hospital Performance in Burundi
This article explores the impact of health initiatives on public and private hospital performance in Burundi, focusing on four institutions: Van Norman Clinic (CVN) and Kamenge Popular Hospital (HPK) in the private sector, and Prince Regent Charles Hospital (HPRC) and Kamenge University Hospital (CHUK) in the public sector.The primary goal is to compare the performance of these hospitals by evaluating the health initiatives they have implemented and their effects on care quality, service efficiency, and patient satisfaction.In contrast, public institutions like CHUK face challenges due to budgetary and administrative issues, resulting in lower patient satisfaction 15% lower than private facilities. Only 50% of patients in public hospitals deem care adequate compared to 80% in private.The study concludes that while health initiatives significantly impact performance, outcomes vary between sectors. Reforms in public management and enhanced collaboration could improve the healthcare system overall.
