This Won't Hurt
'A hugely informative and quietly furious call to arms.' IRISH TIMES 'A ground-breaking new book.' EVENING STANDARD 'A must read.' DAILY EXPRESS 'She is balanced in her evidence analysis, forensic in her research.' TELEGRAPH 'A vital subject that needs to be discussed -KATY HESSEL, AUTHOR OF THE STORY OF ART WITHOUT MEN 'A valuable sociological perspective on women's bodies and health and an even more valuable (and optimistic) view of a better future for all.' GINA RIPPON The idea that medicine is gender-neutral is a myth. This isn't inflammatory rhetoric; it's simply true. From the way pain is felt, to how heart attacks are diagnosed, to the very role society plays in the health of the body, the medical landscape in place today is one that was designed for, and by, men. This book is about all the ways medicine is not gender-neutral, from research to treatment to diagnosis. Throughout history, flawed mindsets have paved the way for sub-par treatment, and the prevailing attitudes that still exist today have had terrible repercussions for women and their bodies. Blending fascinating examples with historical and cultural context, and reflecting on her own personal experience with healthcare, Dr Marieke Bigg explores how women's bodies have been ignored, misunderstood and misdiagnosed, whilst keeping an eye to a better future. This is a sharp and honest must-read, and an empowering tool for anyone committed to making this world safer to navigate for all.
CMV infections in kidney transplant patients
Cytomegalovirus (CMV), a member of the herpes viridae family, is recognized as one of the most significant viral pathogens following organ transplantation. Although generally benign in immunocompetent individuals, this virus represents a serious threat to immunocompromised patients, particularly kidney transplant recipients. The main aim of this study is to determine the frequency of CMV infection in correlation with epidemiological characteristics, while assessing its impact on renal graft rejection.Renal transplantation, although a major advance in the treatment of end-stage renal failure, exposes patients to an increased risk of viral infections, particularly CMV. Because of the need for immunosuppression to prevent graft rejection, kidney transplant patients become more vulnerable to opportunistic infections such as CMV. Reactivation or primary infection with CMV can have serious consequences, ranging from subclinical viremic disease to severe forms such as CMV pneumonia or colitis.
A Manager's View of Public Health Services
The Covid-19 pandemic caused a major crisis, paralyzing activities in various fields worldwide. The aim of this study was to understand the Kinshasa population's refusal to be vaccinated against the Covid-19 pandemic, and to propose a managerial strategy capable of gaining acceptance of the vaccine with the aim of eradicating this viral pandemic. The overall declared objective was to contribute to the fight against COVID 19, with the aim of bringing the pandemic to an end. In an attempt to understand general vaccine refusal behaviour, the main research question revolved around the explanatory factors behind the population's refusal of the Covid-19 vaccine in the provincial city of Kinshasa. Based on this question, the hypotheses put forward included the following: the absence of strategic and operational management is not conducive to the implementation of prevention-related activities; the population's resistance to vaccination is directly linked to the occurrence of MAPI; the sidelining of community leaders at various levels has accentuated the population's refusal of vaccines; social networks have had a major impact.
Functional Independence of the Post-Stroke Patient
Stroke is, for all intents and purposes, the manifestation of a cerebral vascular disease, and its consequences are varied and depend on the extent and location of the nerve tissue damage (Cambier et al, 2005). The aim of the rehabilitation process is to minimize the impact of the stroke on both the victim and their carer. Given this framework, the research aimed to identify levels of functional independence in post-stroke patients and their correlation with sociodemographic and clinical variables, comparing functional independence on admission with discharge.
E-cigarette use among medical students
Smoking is one of the world's leading causes of preventable disease and premature death. Tobacco control and prevention are priorities in the fight against this scourge. The electronic cigarette is seen by the general population as an aid to smoking cessation. However, this remains a controversial issue.s conducted a cross-sectional descriptive study of medical students in Tunisia.The aim of this study was to investigate the practices and experiences of e-cigarette users among medical students.Our population comprised 31 subjects with a mean age of 28簣4 years and a sex ratio of 2.87. Smoking tobacco was present in 74.2%. Consumption of other psychoactive substances was noted in 16.1% of cases (5 participants). Fifteen participants (48.3%) had experimented with electronic cigarettes before the age of 25. Fifteen participants (48.3%) were not smokers of normal tobacco when they started vaping. Fifteen people were not smokers of normal tobacco when they first experimented with electronic cigarettes, four of whom actually switched to smoked tobacco.
The Pediatric Residency Curriculum
Objectives: to involve pediatric teachers and residents in an experiment to evaluate their theoretical and practical training in the current curriculum, in order to improve certain aspects of this reform of the third cycle of medical studies in pediatrics.Study population and methods: We conducted a cross-sectional, descriptive survey of pediatric residents and teaching staff at university hospitals. We included pediatric residents who had completed their medical studies at the 4 Tunisian faculties of medicine, and pediatric hospitalists at the 4 faculties of medicine.Results: During the study period, we received 50 responses from residents and 40 responses from teachers, representing a participation rate of 29.76% and 50% respectively. A predominance of women was noted. Thirty-two teachers (80%) used audiovisual means in their training. Nearly 90% of residents said they had benefited from lectures. Conclusion: Overall, residents and teachers tend to agree with current learning and assessment methods.
The intestine, our second brain
This book is a guide to colon hydrotherapy, an ancient but unfortunately still little-known treatment. Colon hydrotherapy is a body-cleansing therapy which, without any discomfort or pain for the patient, enables a complete cleansing of the entire colon. Hidden, untreated internal problems manifest themselves as stiffening of the tissues, including the intestine. With hydrocolon, we can dissolve this hardening, so that the psychosomatic problem reappears because the organic manifestation is missing. What happens next is up to the patient.We therapists only make the connection between what the patient is complaining about, i.e. his real internal discomfort stemming from his suffering state of mind, his emotionality contained within and what all this generates in his physical, mental and psychological discomfort. The key to stress, anxiety and tension lies in the belly. In fact, there's a veritable second brain here, with important functions that reflect on the whole organism, regulating emotions, memories, pleasure and well-being.
Compulsory Notification of Violence in Primary Health Care
This work was motivated by my experience as a resident social worker in the Integrated Multiprofessional Health Residency Programme (RIMS) at the Hospital de Cl穩nicas de Porto Alegre (HCPA) in the field of Primary Health Care. This experience influenced the research proposed in this paper, which aims to bring to light the issue of violence against vulnerable groups, which is often invisibilised and/or 'hidden' when not reported. In the case of children, adolescents, women and the elderly, legislation makes it compulsory to fill in the compulsory notification form for violence: The notification of violence has been made compulsory by various legal acts and regulations such as the Statute of the Child and Adolescent (ECA), established by Law no. 8. 069/1990; Law No. 10.778/2003, which establishes compulsory notification of violence against women; and Law No. 10.741/2003, which establishes the Statute for the Elderly (BRASIL, 2011).In the health sector, violence cannot be omitted or naturalised; on the contrary, care and protection must go hand in hand in this sector too.
Prevalence of celiac disease in cirrhosis
Hepatic impairment in CD represents a broad spectrum, ranging from moderate to severe hepatic dysfunction. It presents in two clinical forms: cryptogenic hepatopathy and dysimmune hepatopathy. Epidemiological studies have shown that the prevalence of CD in the cirrhotic population is higher than in the general population. It has also been shown that CD may be at the origin of chronic cryptogenic liver disease, which may improve after initiation of GFR even at the stage of cirrhosis.
Urinary tract infection in the elderly
Urinary tract infection in the elderly is a major public health problem, due to its high frequency and potentially serious consequences. It presents distinct clinical and therapeutic features, requiring a personalized approach. Atypical symptoms and frequent comorbidities complicate diagnosis and treatment. Appropriate management can reduce complications and improve quality of life in elderly patients.
Artificial intelligence at the service of hematology
Artificial intelligence offers new perspectives for improving the care of patients with blood diseases. This book introduces you to the fundamentals of artificial intelligence and presents its concrete applications in hematology. From the analysis of medical images to assisted diagnosis, the prediction of clinical outcomes and the personalization of treatments, discover how artificial intelligence is revolutionizing the field of hematology. The book also discusses the limits and challenges of this emerging technology."
Ticagrelor Versus Clopidogrel in Prevention of No Reflow
Adequacy of coronary flow can be judged upon using several methods like TIMI Grade and myocardial blush grade. No-reflow phenomenon, defined as incomplete reperfusion at the microvascular level despite adequate patency of the occluded artery, remains an important limitation of primary percutaneous intervention in STEMI patients nowadays. We aim in this study to investigate the relationship between the antiplatelet loading dose whether to be Ticagrelor or Clopidogrel and post intervention coronary flow, bleeding risk in these patients.Aim of the Work: To compare between the effects of preoperative loading dose of Ticagrelor and clopidogrel in Diabetic STEMI patients undergoing primary percutaneous coronary intervention regarding prevention of no reflow, Instent thrombosis and short term bleeding risk. Myocardial reperfusion was judged upon using TIMI Grade and myocardial blush grade.
Essentials of pathophysiology
Essentials of Pathophysiology provides a lucid and extensive exploration of the fundamental mechanisms underlying human disease. This carefully structured text is meticulously designed to meet the needs of students in medical and nursing programs, along with healthcare professionals and clinicians, by integrating essential theoretical knowledge with practical clinical applications. The book delves into key topics such as cellular injury, inflammation, and systemic disorders, offering a robust framework for understanding complex pathophysiological processes. Enhanced with detailed case studies and comprehensive visual aids, it facilitates effective learning and recalling. Whether your goal is to deepen your comprehension of pathophysiology or to refine your clinical decision-making capabilities, this text stands as an invaluable resource for both academic pursuits and clinical practice.
Group Dynamics
Explain the stages of group development, the important roles that members play in a workgroup, what makes a workgroup successful, and the differences between groups and teams. List the prerequisites for a group activity, explain how to solve problems and make decisions in groups, and identify a few possible issues with group work and how to avoid them. Apply group dynamics principles in educational settings. The game "Fish Bowl" is used to discuss group dynamics; participants assume the roles of an activity group (fish) and an observer group (bowl), and the principles of group activity and participant roles are elicited based on the group activity. Because it enables students to develop into successful communicators, leaders, professionals, lifelong learners, and clinicians, group work is crucial to the medical education process. It is essential that medical students learn these things in a better method these days since if they study them independently, they will remember the subject for the rest of their lives. While they can help, teachers should not take on the majority of the work in group assignments.
Diagnostic and Therapeutic Approaches in Bronchiectasis
Bronchiectasis is a chronic lung disease involving inflammation and permanent dilation of medium-sized bronchi (>2mm), impairing secretion drainage and leading to bacterial colonization of the airways due to structural alterations in the bronchial wall.Accurate identification and management of bronchiectasis patients are increasingly crucial due to rising prevalence and economic burden. The heterogeneity of bronchiectasis, from clinical to radiological manifestations, poses unique challenges, with etiology playing a key role in therapeutic management. A comprehensive diagnosis integrating clinical and paraclinical elements is essential for effective disease management.Detecting bronchiectasis involves clinical recognition leading to necessary tests to confirm and identify associated illnesses or underlying conditions.While bronchiectasis remains incurable, specific measures can lead to its control, ensuring a high quality of life with normal social activities.
Leprosy
The book covers leprosy cases in one of Brazil's states. In the period observed, 13,648 cases of leprosy were recorded, with a predominance in the 40-69 age group. The prevalence exceeds 16 cases / 10,000 inhabitants. The univariate analysis for children under fifteen showed positive spatial autocorrelation, and the clusters showed areas with a high number of records. The illiteracy rate was positive, as was the Gini coefficient. The income variable and demographic density resulted in spatial independence. It can therefore be concluded that the state of Mato Grosso accounts for a significant proportion of leprosy cases in Brazil.
Modelling the effects of genetic alterations
Genetic alterations that predispose an individual to a particular cancer have been identified in studies carried out on a genome-wide scale. Cancer is the result of genetic alterations that give it adaptive advantages, such as the ability to metastasise. In this context, the successive mutations resulting from tumour growth provide an increase in the adaptive advantage of the cell that undergoes these mutations and result in the expansion of cancer. However, our understanding of aspects relating to the dynamics of replication, survival and evolution of the tumour cell population has not yet reached the level of the advances made in molecular genetics. In this final project, we used a mathematical model based on the stochastic branching process capable of relating tumour growth to the addition of driver mutations, which are responsible for this tumour growth, and to passenger mutations, which do not influence growth.
Simulation-based learning at the Faculty of Medicine in Sousse
Healthcare simulation has become a crucial teaching technique in various medical disciplines. This approach, using virtual reality or standardized patients to reproduce clinical scenarios, has proved essential in preparing medical students for high-risk situations, ensuring the safe and effective management of critical patients. The aims of this study were to assess students' theoretical knowledge before and after simulation-based training (SBT) of the "Advanced Cardiopulmonary Resuscitation (CPR)" module, to evaluate their technical and non-technical skills, and to describe their satisfaction. A pre-experimental study conducted at the Faculty of Medicine aimed to objectively assess the impact of FBS on the theoretical knowledge, technical skills and non-technical skills of graduating medical students during their advanced CPR training. A strong statistically significant correlation was found between the sum of the post-test scores, the ANTS score, the cardiac massage score and the final score of the "ECOS" simulated practical examination.
Acupuncture and Probiotics for Constipation
Of all the complementary therapeutic systems, acupuncture enjoys the greatest credibility. Its healing effect has been widely recognised and accepted worldwide by the international medical community. Probiotics are live microorganisms that, when administered in adequate quantities, confer health benefits on the host. Constipation is a gastrointestinal disorder with a high prevalence worldwide. It affects everyone from newborns to the elderly. The aetiology is multifactorial and causes physical and psychological suffering.
Being born in the 21st century
Obstetric care in Brazil is a widely discussed problem, due to the absurd rates of caesarean sections and the lack of respect for ethical and legal standards and the recommendations of international and national organisations regarding care in the pregnancy-puerperal cycle. This book highlights the fact that there is no scientific explanation for the abusive increase in caesarean sections and that the socio-demographic profile of women from higher social classes influences the number of caesarean sections. Therefore, actions and interventions are needed to minimise the number of caesarean sections without obstetric indication, suggesting a greater involvement of obstetric nurses in labour management, allowing the active participation of women, complying with national and international guidelines and focusing on the humanisation of obstetric care.
Medicinal Plants and Diabetes Mellitus
This book presents current knowledge on the use of herbal medicines in the treatment of skin alterations in diabetes, whose chronic complications are responsible for the high morbidity and mortality of the disease. Xerosis, an abnormal dryness of the skin that is very common in diabetic patients but not restricted to them, if left untreated can lead to the formation of fissures (small cracks in the calloused skin of the feet, caused by the linear loss of the epidermis/dermis), which are a gateway to infections. As healing in diabetic patients is a complicated process due to high glycaemia, preventing the formation of fissures is of great importance and can be achieved by treating xerosis by moisturising dry skin. This prevents the complications of 'diabetic foot', which can lead to lower limb amputations. The scientific studies reported here identify and prove the efficacy of the use of natural products in aiding the repair and healing process of these lesions, through their antiviral, antimicrobial, anti-inflammatory, healing and cell regenerating activities, which are important in the treatment of xerosis and skin cracks.
Comparative Study of USG and CT in Diagnosis of Acute Pancreatitis
Acute Pancreatitis (AP) is the inflammation of the Pancreas usually accompanied by abdominal pain and elevated levels of serum pancreatic enzymes with high rate of morbidity and mortality. USG provides initial radiological diagnosis of Acute pancreatitis with the extent of involvement and to evaluate other abdominal organs. CT scan provides a cross-sectional anatomy of the organ and involvement of adjacent structures. With the use of contrast study there is more information regarding the need for acute pancreatitis.The purpose of this study to understand the role of CT and USG indiagnosis of pancreatitis and to highlight and evaluate the cases in which USG failed to diagnose, which were helped through by CT.
The Role of Parents In Tennis Player's Success. A Guide To Nurturing Champions
Doctoral Thesis / Dissertation from the year 2024 in the subject Health - Sports science, Amity University (Amity school of Physical education and sports science), course: Ph.D. (Physical education), language: English, abstract: Role of Parents in Tennis Player Success: A Guide to Nurturing Championsshaping the careers of young tennis players. It explores how parental support, guidance, and organization can significantly contribute to a player's success. From creating a conducive training environment to managing schedules and tournaments, parents can be instrumental in fostering a love for the sport and setting the stage for future achievements. The book also addresses the importance of creating a supportive atmosphere that allows young athletes to embrace both victories and setbacks, building resilience and character along the way.
Chest Wall Tumors
Discover a comprehensive exploration of chest wall tumors in our detailed book cateredto healthcare professionals, caregivers and patients covering the essentials of thediverse spectrum of chest wall tumor types.This book is a vital resource offering a deep dive into chest wall tumors, explaining howthey are diagnosed, treated, and managed. It's a reliable companion that educates andsupports readers through the complexities of these tumors.Written by medical professionals, this book is designed to support individuals affectedby chest wall tumors, equipping them with vital knowledge to navigate their uniquemedical journey with confidence and understanding. It is a reliable and compassionateguide for anyone seeking a deeper understanding of chest wall tumors.
Professional training for nurses through realistic simulation
The professional training of nurses through realistic simulation is a book that reports on the realisation of an educational activity through realistic simulation in an undergraduate nursing course. Active methodologies should increasingly be included in the training not only of nurses, but of all health professionals, as they allow real situations to be problematised in the academic environment. The book provides support for anyone wishing to learn about new teaching methods and take ownership of active methodologies.
Tear gas
Tear gas is a chemical weapon increasingly used by police to disperse demonstrators during riot control operations. It has specific properties that rapidly cause short-term temporary incapacitation. This weapon is falsely characterized by its low toxicity and the reversibility of its effects, since it can cause damage to exposed subjects, leading to complaints before the courts. These complaints give rise to serious problems for medical experts in proving exposure, establishing the causal link and assessing the medico-legal consequences. Recognition of the causal link between exposure to tear gas and the sequelae found is based on verification of the imputability criteria. Verification of these criteria is sometimes difficult, due to the victim's previous condition, the quality of the initial medical certificate, the simulation of victims and the determination of sequelae in elderly subjects.
Thyroid nodules
Introduction: The EU-Tirads 2017 ultrasound classification of thyroid nodules has been adopted to predict the degree of malignancy of thyroid nodules and thus minimize unnecessary thyroid surgery. Our aim was to study the validity of the EU-Tirads 2017 ultrasound classification by performing a radiohistological confrontation.Methods: We conducted a retrospective study over the period from 2017 to 2020, involving 300 patients operated on for nodular thyroid pathology and who underwent thyroid ultrasonography using the EUTIRADS 2017 classification, patients were managed at the Oto-Rhino-Laryngology Department of Mohamed Taher Ma璽mouri Hospital Nabeul, Tunisia .Results: we found malignancy prediction percentages of 0%, 22.1%, 41.4% and 36.4% for nodules classified EUTIRADS 2,3,4 and 5 respectively. A statistically significant association of prediction of malignancy was noted for EUTIRADS 5 score. Two criteria of score 5, namely high hypoechogenicity and irregular contours, were significantly associated with malignancy, with sensitivities of 85.2% and 62% respectively.
Biomass and health
Biomass smoke is the smoke produced by burning organic material, such as wood, charcoal, crop residues and animal wastes, and is a major source of air pollution, especially in rural areas where biomass is commonly used for cooking and heating. Studies have shown that the smoke generated by biomass burning has a diverse composition of gases and particulate matter including carbon monoxide, nitrogen oxides, volatile organic compounds and particulate matter, these same pollutants have the potential to cause a variety of adverse health effects including respiratory disorders, cardiovascular disease and the development of cancer.
Exposure to Pesticides and Long-Term Health Effects
The use of pesticides has had a serious impact from the environmental point of view and especially on public health, with reports of contamination of various media (air, water and soil), and cases of acute poisoning and death, but with few real reports of the chronic health effects of long-term exposure to these substances. This study shows the effects on the health of workers who were exposed to pesticides in the long term and who were treated at the Toxicology Outpatient Clinic at Unicamp's Hospital de Cl穩nicas in 2006 and 2007. This is a descriptive cross-sectional observational study that reports and analyses the effects on the health of 370 workers occupationally exposed to pesticides over the long term in the region studied.
The Development of a Comprehensive Protocol Designed for Type II Diabetes Prevention for Indigenous People in Alberta, Canada
Doctoral Thesis / Dissertation from the year 2024 in the subject Medicine - General, grade: 100.00, language: English, abstract: This research analyzed Indigenous health and lifestyle surveys and health data from the Canadian government on Indigenous people in Alberta, Canada. The information from the surveys and health data demonstrate concerns about the rising health implications and risk factors that lead to type II diabetes within Alberta's Indigenous population. This information will create a basis for developing a six-session educational protocol encompassing a detailed diabetes prevention plan that will lead to health improvement for Indigenous people with type II diabetes. The research method was a literature review design that used existing survey data. It began with a description and analysis of existing conditions, behaviors, and characteristics derived from the survey data regarding type II diabetes within the Indigenous population in Alberta, Canada. The surveys and statistics provided insight into the widespread prevalence of type II diabetes among the Indigenous population in Alberta and what to do about it. Based on Indigenous Survey Data results and data from Statistics Canada on Indigenous health status in Alberta, a six-session protocol was developed. The survey data described medical, cultural, and lifestyle care results for Indigenous people in Alberta and how the results have led to the type II diabetes numbers within the population. This study used the results of the surveys to build and formulate the six-session protocol and analyze the risk factors and high occurrence of type II diabetes among the Indigenous people in Alberta. Physicians who stated that the patients followed protocol regarding weight loss, exercised, regularly monitored blood sugar levels, and minimized risk factors showed a significant reduction in symptoms, which can lead to type II diabetes. Quality of life also improved in those who maintained a healthy lifestyle. De
Medical Terminology & Anatomy for Coding
**Selected for 2025 Doody's Core Titles(R) in Dictionaries/Terminology** Master the terminology you need to succeed in ICD-10 and CPT coding! Using small learning segments or "chunks," Medical Terminology & Anatomy for Coding, 5th Edition makes it easy to learn anatomy, physiology, and medical terminology. Concepts and terms are introduced and then immediately followed by exercises that reinforce and assess your understanding of the material. In addition, the book discusses word parts and the rules for building medical terms, building knowledge that may be applied to coding for all body systems and procedures. Written by respected educator Betsy Shiland, this book includes an Evolve website with medical animations, labeling activities, quizzes and exams, flashcards, and more.NEW! Updated content provides the latest on ICD-10 terminology and categorizationNEW! Summary list of CPT-4 and HCPCS codes at the beginning of each chapter introduces the appearance of different coding systems with chapter-appropriate examplesNEW! Context Matters! boxes help you avoid potentially embarrassing and costly coding errors by pointing out word parts, terms, and abbreviations that are spelled the same but have completely different meaningsNEW! CDI Alert! boxes offer a preview of how the Clinical Documentation Improvement process is related to specific medical terminology in a given body systemNEW! Expanded information on subcellular structures explains how gene editing may be used to treat congenital diseasesUNIQUE! Combination of A&P coverage with the latest medical terminology provides everything you need to know to code in ICD-10-CM, ICD-10-PCS, and CPTMore than 400 illustrations bring medical terminology to life with anatomic, pathologic, and procedural imagesPathology terms are organized by ICD-10 disease and disorder categories, allowing you to learn terms in the same order they are presented in the coding manualBody Part Key provides a complete list of body parts and how they should be coded in ICD-10Sample electronic medical records present terminology as you will encounter it on the jobSummary tables show procedural suffixes and their corresponding ICD-10 root operationsPractical appendices cover topics such as pharmacology, oncology, and infectious disease, providing the basic information coders need to be able to understand these ICD-10 subjects and to code them correctlyEvolve website provides practice and review with medical animations, labeling activities, quizzes and exams, flashcards, and the Body Spectrum electronic coloring book
In the Name of Progress
In the Name of Progress: The Dark Side of Medical Research is a comprehensive exploration of the dark side of medical progress, examining a series of unethical medical experiments conducted over the past century.This book delves into notorious cases like the Tuskegee Syphilis Study, the Guatemala Syphilis Experiment, and the Holmesburg Prison experiments, among others, to shed light on the ethical violations and exploitation that occurred under the guise of scientific advancement. Each chapter methodically uncovers the disturbing details of these studies, analyzing the impact on the victims and the long-term effects on public trust and medical ethics.By providing a critical examination of the ethical breaches in historical medical research, this book emphasizes the importance of informed consent, the protection of vulnerable populations, and the need for stringent ethical standards in medical studies. It aims to educate and provoke thoughtful discussion on the balance between scientific discovery and ethical conduct, highlighting the necessity of safeguarding human rights in medical research and the importance of maintaining ethical integrity in the pursuit of scientific knowledge.
Get What's Yours for Medicare - Revised and Updated
An updated and expanded edition of the top-selling consumer guide to Medicare. It explains how to choose the best plans, especially during Medicare's annual enrollment period, how to use Medicare's extensive health benefits, and changes to Medicare that are expanding what it will cover and moving care from hospitals into the home. Medicare is the primary insurance plan for 70 million retired and disabled Americans. Understanding how Medicare works is essential to their health and well-being. However, Medicare has become more complicated--and more confusing. Get What's Yours for Medicare is the authoritative consumer Medicare guide. It includes detailed chapters on when to enroll in Medicare, how to evaluate the often-bewildering choice of Medicare insurance plans, and, most importantly, how to use Medicare to find high-quality, affordable health care. The book also explains important upcoming changes to Medicare so consumers will know what to expect. Medicare in 2024 is far different from the program described in the first edition of Get What's Yours. The first part of this book discusses Medicare policies that affect the medical care you need now. The second part examines how Medicare is changing. These changes are part of the shift toward what is called managed care, which includes private Medicare Advantage plans. The newly updated Get What's Yours for Medicare explains managed care in detail to clarify any questions about these programs. Get What's Yours for Medicare is the definitive guide to help you get the most out of your healthcare and ultimately alleviate the stress surrounding the complicated world of Medicare.
Risk factors for low birth weight
Because of its impact on infant morbidity and mortality, as well as its implications for adult health, low birth weight is a major public health problem in the DRC. This study aims to determine the risk factors for low birth weight in Kamina. It is a case-control study nested within a cross-sectional study that included live and non-living births registered at HGR/Kamina from December 2022 to July 2023. Results: Risk factors for low birth weight were unwanted pregnancy (ORa=32.736; IC95%= [3.361-318.829]; pa=0.003), hospitalization during pregnancy (ORa=179.877; IC95%= [10.354-10.354]; pa=0.00) and passive smoking by the mother during pregnancy (ORa=35.869; IC95%= [2.807-458.398]; pa=0.006).This study has therefore shown that, in addition to physiological factors that cannot be modified, certain important factors remain accessible. Well-targeted and coordinated IEC actions on the various modifiable risk factors mentioned above are essential.
Mesotherapy Vs. Acupuncture in the treatment of cervicarthrosis
Introduction: Chronic neck pain is a frequent reason for consultation. Its management is multidisciplinary, combining drug therapy and rehabilitation. In order to alleviate patients' pain more rapidly, or even more effectively, practitioners use complementary therapies such as acupuncture and mesotherapy. The aim of this study was to evaluate the efficacy of these two methods, and to compare them.Methods: Prospective, multicenter study, conducted in 2015, on two statistically comparable groups each composed of 25 patients consulting for chronic neck pain.Results: Significantly faster improvement in pain in the mesotherapy group, but equivalent at the end of treatment.Conclusion: There is a beneficial effect of these two therapies in the short term. Studies with larger numbers of patients, and versus placebo, should be set up to confirm these results. In the meantime, this leaves it up to the practitioner to choose the method he feels is best suited (especially in terms of contraindications) for his patient, the one he is more familiar with and/or has better access to.
Role of nurses in the initiation and surveillance of Lithium treatment
Introduction: Lithium is a treatment used for bipolar affective disorder and depression. It is by far the best treatment for this particular disorder; however, it remains a medication that is, compared with most psychotropic medications, more difficult to handle, this is largely due to its narrow therapeutic index and its long-term side effects. Nurses in psychiatry must be aware of the side effects and dangers this treatment can cause in both long and short terms.Material(s) and method(s): To answer our research question, we conducted a study which aims on the assessment of nurses and their knowledge when it comes to lithium's manipulation in treating patients with bipolar disorder, to eventually create a protocol for the use of lithium by nurses in treating patients with this disorder.Results: Nurses in psychiatry had a poor knowledge about Lithium use and side effects.Consclusions: Training sessions are recommended.
Hearing Screening in Neonates with Hyperbilirubinemia
Humanity perceives the world around us thanks to the sensory systems of the body. In particular, hearing significantly facilitates communication and promotes social interaction. Hearing is key to learning spoken language and is important for children's cognitive development. Hearing impairment is an obstacle to both education and social integration. The prevalence of bilateral pathology of the auditory analyzer is significant, especially in newborns in the neonatal intensive care unit with risk factors for hearing impairment. The prevalence of significant bilateral hearing loss in this group is 1-3%, which is 10 times higher than in a healthy newborn child.
Upright Position during First Stage of Labour
Maternal positioning during labor affects many aspects of the anatomy and physiology adaptations needed to influence all aspects of labor including powers, passage, passenger and psyche. upright and mobile positions, use gravity to aid descent of the fetal head into the pelvis, as the head is applied directly and evenly on the cervix, uterine contractions are intensified in strength, regularity and frequency, as effective contractions are vital to aid cervical dilatation and fetal descent, they have an important role in helping to reduce dystocia (slow progress in labor).
Evolution of biological tolerance parameters for HIV patients
Infection with the Human Immunodeficiency Virus (HIV) represents the largest contemporary human pandemic of infection, consistently lethal in the absence of treatment.HIV infection persists despite efforts to combat it, causing high morbidity and disastrous consequences for families. In addition to prevention, it is important to provide more effective drugs.In 1987, zidovudine was introduced as a monotherapy. This was followed by triple therapy between 1995 and 1996, with a combination of protease inhibitors (PIs) and non-nucleoside reverse transcriptase inhibitors (NNRTIs). In 2001, generic drugs were introduced. A decade later, the first preventive treatment, known as PrEP (pre-exposure prophylaxis), appeared in 2012. In recent years, WHO-recommended treatments for adults and adolescents have consisted of two types of nucleoside reverse transcriptase inhibitors (NRTIs), accompanied by an NNRTI or PI.
Public Health Policies on American Tegumentary Leishmaniasis
I dedicate this book to my dear parents, Cassiano and In礙z, for always loving me so much and being the facilitators for all my achievements and victories. They have always shown me light and love along the way. My father, always a faithful companion and encourager, and especially my mother, for making me believe and not letting me give up, as well as being my angel, my advocate, always interceding directly to make my dreams come true. To my brothers, who have always been my loves. To my husband Iorram and, finally, to my beloved children Jo瓊o Pedro and Lav穩nia, who, for the simple reason that they exist, allow me to know about infinite and true love.
Diagnosis and determination of copper in goats and sheep
Goat and sheep farming has always been considered a subsistence activity in the Northeast region of Brazil. However, the production of these ruminants has expanded and the Northeast has 90% of the country's goat herd and 56.7% of the sheep herd, but with very low zootechnical indices, as they are limited by nutritional and sanitary deficiencies. Among the main causes of the herd's low productivity is inadequate quantity and quality nutrition, especially during the dry season, when there is a drop in forage production, associated with mineral deficiencies in the soil and vegetation. Reports of mineral deficiencies have been recorded in several states in the Northeast region, such as copper, cobalt, zinc, manganese and iron in the states of Maranh瓊o, Piau穩, Cear獺, Sergipe and Bahia. Copper deficiency can occur due to a lower supply of this microelement in the diet or the occurrence of antagonizing elements that reduce its availability, such as sulphur, iron and molybdenum. Copper supplementation is necessary in areas proven to be deficient in this element in order to avoid the occurrence of enzootic ataxia in kids and lambs.
Superior Cave Syndrome and Primary Bronchopulmonary Cancer
Bronchopulmonary cancer (PBC) is the leading cause of superior cell carcinoma (SCC). This study aims to establish a clinical, radiological and evolutionary profile of SCS associated with PBC, to examine therapeutic management modalities, and to evaluate survival while identifying and analyzing prognostic factors.This is a retrospective study of patients followed for SCS secondary to primary bronchopulmonary cancer. In 41.7% of cases, SCS was the first presenting sign of the neoplasia, while 16.6% presented with SCS metachronously. The histological type most frequently associated with SCS was small-cell lung carcinoma (40.7%).Contrast-enhanced thoracic computed tomography (CT) is the key examination for the diagnosis of SCS. The most common CT finding was tumor invasion of the superior vena cava (62.2%). Short-term prognosis depends on the consequences of cerebral and laryngeal edema and associated complications, while long-term prognosis is mainly influenced by the underlying etiology.
The effect of chamomile flower on the trigeminal nerve diseases
The book discusses one of the diseases of the fifth nerve (Fothergill's disease) and the therapeutic effect of chamomile flower extract on it. It is known that this flower is one of the plants used in ancient Mesopotamian medicine, specifically by ancient Babylonian healers. The author of the book reached this conclusion by analyzing the flower and targeting its active elements to extract an extract that has a positive effect on the disease.
Enhancement of Surgical Outcomes in the Management of Foot
Scarring and contractures of the foot and ankle joints after deep partial and full-thickness burns impair foot motion and lower extremity function, often requiring surgical reconstruction. Long-term outcomes show that close observation of burn patients is crucial to detect developing scars that may benefit from early intervention or to monitor the slow growth of the injured extremity, which may cause secondary changes in bones and joints. Our experience suggests that surgical intervention should be considered before severe scars develop to prevent secondary changes. In severe contracture cases, early surgical intervention is recommended. The success of treating burn-induced foot and ankle deformities depends on the localization of scar contractures, depth of injury, availability of uninjured skin for reconstruction, and the presence of osseous injury or changes due to chronic scar contracture. This monograph provides insights into optimizing surgical outcomes for burn-induced foot deformities and is aimed at medical students, surgical specialists, clinical residents, and practicing surgeons.
Birthing Process
This book offers a detailed exploration of the factors that influence women's decisions when choosing the place of childbirth, whether at home or in a hospital. It examines the historical evolution of childbirth practices, highlighting how social changes and medicalization have shaped modern approaches to birth. The text critically examines the impact of medical interventions on childbirth, questioning whether these practices always serve the best interests of women or if they sometimes undermine their autonomy. The crucial role of healthcare professionals, especially obstetric nurses, is emphasized, as they act not only as caregivers but also as advocates for women's rights to make informed decisions about their childbirth experience. By providing comprehensive support, they help women navigate their options and empower them to choose what is best for them. The book suggests a shift from a one-size-fits-all medical model to a more personalized and empathetic approach, ensuring that every woman feels supported and respected throughout her childbirth journey.
Lymphoma of the Lymph Node Marginal Zone
52-year-old patient with a history of chronic viral hepatitis B, presenting with a painful left laterocervical mass. Clinical examination revealed multiple painful left laterocervical adenopathies. Blood tests showed an increase in lacticodehydrogenase (391.3 IU/L) and beta-2-microglobulin (2.92mg/l). Cervico-thoraco-abdomino-pelvic CT showed four (04) latero-cervical adenomegalia. Histology of lymph node excision specimens revealed diffuse tumour proliferation. Tumor cells were small, with sparse eosinophilic cytoplasm and irregular, hyperchromatic nuclei, often clarified and nucleolated. Nuclear atypia was marked and mitotic figures rare. Immunohistochemistry showed positive staining of tumour cells for anti-CD20; anti-Bcl2 and Ki67. The diagnosis of localized lymph node marginal zone lymphoma with a large tumor mass was made.
Menopause treatment in type 2 diabetes
In recent years, scientific interest has been growing in the study of reproductive disorders in patients with diabetes mellitus, which is associated with advances in the treatment of the disease, which significantly increase the life expectancy of patients with diabetes mellitus. to delay the development of serious complications of the disease as much as possible. This protein hormone regulates the synthesis of glycogen in the liver, the use of glucose by insulin-dependent tissues (adipose tissue, muscles), the passage of amino acids through the cytoplasmic membrane and protein synthesis, the attachment of fatty acids to triglycerides and fats. The monograph explains the differential approach to the treatment of menopausal syndrome in patients with type 2 diabetes mellitus.
