Venous leg ulcer
Venous ulcers are a common chronic pathology. It is the most common ulcer of the lower limbs. It requires multidisciplinary management and is a major socio-economic burden. Accurate diagnosis of venous insufficiency and its risk factors is a means of controlling the disease.Our work is a retrospective descriptive study carried out in the dermatology department at the Tunis Military Hospital, spread over a period of 11 years (January 2008 to December 2019).Our study included 24 patients meeting the inclusion criteria (patients hospitalized for leg ulcers of venous origin). We detailed the epidemiological data of the patients, the clinical data of the ulcers and the peri-ulcer skin, the complementary examinations, the complications and the therapeutic management.We have also discussed in detail the therapeutic means of ulcers and venous insufficiency.
Passing the FRCPath Part 1 Examination
This book will help registrars develop their learning for the FRCP part 1 exam which all haematology trainees are required to pass during training. The exam is a two-paper exam with multiple choice questions as well as essays. There are over 100+ guidelines for registrars to learn and this book has all of them in one place described in a succinct manner.There are also multiple gaps and other areas of learning which the guidelines do not cover. Each page of this book accurately summarises a topic in the style of how you would approach an essay. The tips within the book on good ways to approach the exam from the author's own personal experience.
Lipoid Nephrosis in the World of Allergy
This study aims to clarify the role of allergy in pure idiopathic nephrotic syndrome in children. Childhood idiopathic nephrotic syndrome (CIS), or nephrosis (N), is the most common chronic glomerular nephropathy in young children. Its etiopathogeny is still poorly understood; although there are many arguments in favor of immunological mediation, the precise mechanisms are not fully clarified.The duration of disease progression is unpredictable. Renal prognosis depends on response to corticosteroid therapy.After reviewing the bibliography, a practical, descriptive and analytical study was carried out to assess the frequency of allergic diseases in children with corticosensitive NIS, and to determine the prevalence of frequent relapses in these patients.
Disorders of the Regulatory Role of Nitrogen Oxide (No)
Cerebral pathology occupies a significant place among the causes of morbidity, mortality, long-term disability of modern man, a decrease in his intellectual potential, up to dementia, personality degradation and death, usually premature.Despite the great achievements of recent years in the study of the pathogenesis of the development of methods for treating acute cerebrovascular accidents (ACVA), strokes remain a serious human pathology. The urgency of the problem of stroke is associated not only with the severity of the course, high mortality and disability of patients, but also with the increase in the incidence and rejuvenation of strokes. A new direction in the development of pharmaceuticals, apparently, should be considered the creation of a special class of effective drugs that directly regulate the synthesis of endothelial NO and thereby directly improve endothelial function. Endothelial dysfunction, as the earliest phase of vascular damage, is associated primarily with a deficiency of NO synthesis, on which structural changes in the vascular wall depend - such studies are also rare.
A novel tetracycline antibiotic in the treatment of cellulitis
Omadacycline, an antibiotic of the aminomethyl cycline class from the tetracycline family, was very recently discovered and is being used to treat ABSSSI.Omadacycline has demonstrated its effectiveness in the OASIS 1 and OASIS 2 trials with few side effects. In-depth information about the efficacy and safety of omadacycline in treating cellulitis is provided in this review, along with a summary of the highlights of the entire pharmacological profile.
Surgical instrumentation and nursing educational assessment
There is a lack of knowledge of the presence of the state of stress during an educational assessment of skills and knowledge in the field of surgical instrumentation and nursing. By conducting a prospective, observational research with qualitative and quantitative analysis, it was indirectly demonstrated the presence of the state of stress during an evaluation of knowledge and skills of the actual clinical practice, without prior analysis of the psychological traits of the students involved. It is a preliminary study that, nevertheless, puts into discussion the real interference of the stress state during a practical evaluation of competences.
Placentophagia in Humans
As an introduction to the topic of study, the most relevant concepts necessary to guide the reader to a better understanding during the development of this research are described. During gestation, the woman undergoes several changes, however, the most important change for the vitality of the fetus is the placenta, which is considered as a new highly vascularized maternal-fetal organ that allows the transfer of nutrients, oxygen, growth regulation and a system to get rid of the wastes of its own metabolism, All this is thanks to the placenta, which is defined as an organ with a rounded shape, which has an umbilical cord composed of three blood vessels that help transport oxygen, deliver blood rich in nutrients to the embryo and eliminates waste from the fetus, this favored by the union of the embryo with the placenta.
Smoking behavior of university staff
Smoking by professionals in the university environment is a cause for concern, given its impact on student smoking behavior. Understanding the determinants of smoking among university professionals is a prerequisite for measures to combat this phenomenon.Active smoking was reported by 50% of male participants. Severe to very severe symptoms of depression, anxiety and stress were found in 6.4%, 22.5% and 9.7% of our participants respectively. Workload was perceived as severe to very severe in 33.9% of our participants. Nicotine dependence, as assessed by the Fagerstr繹m test, was high to very high in half the smokers.
Smoking cessation after myocardial infarction
Myocardial infarction is a major diagnostic and therapeutic emergency. It is a disease on the increase, and smoking is singled out as one of the main causative factors. The aim of this study was therefore to compare acute coronary syndrome in smokers and non-smokers from a clinical and therapeutic point of view, to describe the characteristics of their smoking habits and the results of a weaning strategy.Previous attempts to quit smoking and late age of onset were found to be predictive of effective cessation.
An innovative design of bipolar prosthesis (THE BHU HIP DEVICE)
This book authored by Prof.Rai represents his most perfect and masterpiece contribution where one can get in-depth and very systematic knowledge related to development and use of Bi-Centric Hip Device. The lucid figures, diagramsand perfectly explained clinical procedures have made the book indispensable for medical students, teachers and surgeons working in the area of arthoplasty.
Marpe
Marpe (Miniscrew Assisted Rapid Palatal Expansion) is a cutting-edge orthodontic technique revolutionizing the way we approach palatal expansion. Unlike traditional methods, Marpe harnesses the power of miniscrews strategically placed in the palate to facilitate rapid and controlled expansion. This innovative approach allows for quicker treatment times and minimizes discomfort for patients.By utilizing miniscrews, Marpe offers precise control over the expansion process, enabling orthodontists to achieve optimal results with greater efficiency. This technique is particularly beneficial for patients with narrow palates or crowded teeth, providing them with a more harmonious and balanced smile.Moreover, Marpe's minimally invasive nature reduces the need for surgical intervention, making it a preferred choice for many individuals seeking orthodontic treatment. With its ability to deliver predictable outcomes and enhance overall oral health, Marpe represents a significant advancement in the field of orthodontics, paving the way for a brighter and more confident future for patients worldwide.
Multiple primary cancers
Multiple malignant primary tumours are rare in cancer patients; their frequency, as demonstrated by autopsies, has been between 3% and 3.6%. It is rare to find more than three distinct primary cancers in an individual. This is a retrospective descriptive study covering 2 years, 2022 and 2023, with a collection of 4 illustrative cases. The average age of the patients was 58. All patients had a good outcome. The synchronous tumour associations collected were: (breast and cervix, ovary and lung, endometrium and ovary, vulva and colon). Synchronous association of primary cancers requires a strict diagnostic approach in order to distinguish metastatic forms from primary forms for better patient management.
Recommending Quality Indicators in Establishments
The aim of this study is to contribute to the improvement of the performance of care in health establishments in the DRC with the main objective of issuing recommendations for the implementation of quality indicators which is optimal in health establishments in DRC. Our motivation comes from the absence of accredited (or ISO 9001 certified) health establishments as well as the lack of a culture of continuous improvement in the quality and safety of care in hospitals in the DRC. Problem statement: In hospitals, monitoring quality indicators is essential for performance in the safety and efficiency of care as well as patient satisfaction. Our hospitals in the DRC are not accredited, and we note the absence of a culture of continuous quality improvement, as well as the weak application of the integrated quality approach in health establishments. Quality indicators exist in the DRC and are now recommended but would require organizational changes to put them in place which could pose obstacles.
Musculoarticular complications of hemophilia
Hemophilia is a rare congenital coagulopathy responsible for bleeding which, when localized and repeated, can lead to progressive joint destruction.These complications are the cause of morbidity and disability in these patients. In addition to the administration of clotting factor concentrates, either prophylactically or on demand, which has radically transformed the prognosis of hemophilia, the management of musculoarticular complications requires close collaboration between the hematologist and/or pediatrician, and physical medicine specialists to effectively prevent hemarthrosis, manage acute episodes, assess patients' joint condition and prevent hemophilic arthropathy. Early rehabilitation aims to prevent musculoskeletal retractions, accelerate blood resorption by expelling blood through muscular contractions, increase joint stability, improve peri-articular muscle strength and reduce bleeding frequency.
Brain Tumor Detection Systems
Authors present a systematic review of brain diseases using deep learning techniques. A comparative analysis of recent knowledge that correlates with the detection of brain disorders using deep learning techniques is considered. The diverse strategies which can be a part of Medical Image Processing and are prominently utilized in coming across brain tumors from MRI Images. Brain tumors can be detected manually by experts using the CT scan images. Pre-processing is required to improve the inputted CT scan image. The preprocessing consists of three steps: 1) Grayscale conversion. 2) Resizing the image. 3) Median filtering.
Problem-based learning in pathophysiology teaching
The emergence of new learning methods represents one of the innovations of the twentieth century, enabling the development of knowledge and science in various disciplines.Indeed, psychologists and pedagogues have never ceased to question the techniques and methods to be applied to develop human skills in the acquisition of new knowledge. This question has been of interest to all societies, over the course of time, in all parts of the world, and at all levels of education (primary, secondary, higher).The university's mission is twofold: the development of knowledge and the higher education of citizens1.Pedagogy has seen the development of several models, from the transmissive to the SOCIO-CONSTRUCTIVE, making the learner interact not only with the teacher but also with the student body.
The doctor's role in palliative care in Primary Health Care
Brazilian Public Health has been organizing itself in the face of the growing importance of cancer in the current context, both in terms of its impact on the morbidity and mortality profile and the preparation of professionals to deal with it. At the same time, the use of palliative care, when there is no longer the possibility of a cure, has gained prominence in the literature. The aim of this study was to find out about the role of general practitioners in the Family Health Strategy in providing palliative care to terminally ill cancer patients.
Aging and SensorioMotor System
Highlighting the importance of the topic on sensorimotor systems in an elderly population, the objective of this update is to gather relevant information regarding the sensorimotor system. Furthermore, showing the relationship between the vestibular, visual, and somatosensory systems to allow the elderly to achieve balance and reduce the risk of falls.After presenting and discussing a specific protocol related to elderly people, it is possible to conclude that the sensorimotor exercise program in sedentary institutionalized elderly people improved balance, positively impacting the confidence while performing daily activities. Therefore, our findings suggest that sensorimotor exercises should be included in clinical practice. The protocol shown is easy to apply, low cost for preparing the whole circuit and this study prioritizes a complete program (considering time, frequency, relaxing time and a sequence of exercises. Besides, their respective steps). This will benefit both the applying professional and the elderly person in seeking results.
Golden Harvest Seabuckthorn
The ancient miraculous plant known as sea buckthorn (Hippophae rhamnoides L.) is highly sought-after due to its remarkable biological activity, richness in nutritional active substances, and tenacity. The sea buckthorn belongs to the family Elaeagnaceae and is a deciduous shrub or tree in the genus Hippophae. It is a pioneer species of tree for bettering soil, protecting soil and water, and controlling wind and sand. Numerous nutritive active ingredients, including vitamins, carotenoids, polyphenols, fatty acids, and phytosterols, are found in sea buckthorn. Sea buckthorn also contains a host of other health benefits, including anti-inflammatory, antiviral, anti-hyperlipidemic, anti-cancer, anti-obesity, neuroprotective, and hepatoprotective properties. In addition to its many medical and therapeutic uses, sea buckthorn is a plant with great economic potential. Sea buckthorn's potential in the human food sector has drawn attention.
Harnessing the Immune System
"Harnessing the Immune System: A Guide to Immunotherapy in Modern Medicine" provides a comprehensive overview of the groundbreaking field of immunotherapy. It begins by introducing immunotherapy and the immune system's role in disease defense, then explores the immune landscape of diseases like cancer. The book delves into specific immunotherapy approaches, such as checkpoint inhibitors, CAR-T cell therapy, and monoclonal antibodies, detailing their mechanisms, clinical applications, and challenges. It also discusses the potential of combination immunotherapy regimens to enhance treatment efficacy. Additionally, the book addresses the critical aspect of managing side effects and offers insights into emerging immunotherapy technologies and future directions. Through personal stories from patients and perspectives from healthcare providers and researchers, the book highlights the transformative impact of immunotherapy on modern medicine. Overall, it serves as an invaluable resource for understanding the current state and potential of immunotherapy in advancing patient care.
Childhood Depression, its Implications and Interference in Teaching
The intention to research this topic is intrinsically related to the concern about the serious social problems that Angola is experiencing, among others, such as education, which is marked by many difficulties, especially with regard to the teaching-learning process influenced by various factors, including Childhood Depression. Rather, the product of professional concerns that have arisen, especially over the years as a teacher, dissatisfaction with the unattainable ideals in my pedagogical practice, with future teachers and with teachers, has led to the need to critically reflect on technical knowledge and that acquired through teaching experience, in order to better understand the actions carried out on a daily basis. This was even more pronounced given the complexity of my reflections on issues relating to Childhood Depression, ethics, the social role of teachers and the family, among others. In Angola, particularly in the province of Cabinda, Childhood Depression is still little or not discussed by health professionals, as its symptoms are often ignored due to a lack of knowledge.
Pediocin
Lactic acid bacteria (LAB) are economically important because of their fermentative aptitude and they also confer healthand nutritional benefits. Pediococcus acidilactici NCDC 252 (NCDC 252) is potential probiotic with novel genome thatexhibited all in-vitro probiotic attributes, colonization in intestine and survival in conditions that mimick gastric, intestinaland vaginal fluid. Genome was screened for its ability to produce antimicrobial peptide (AMP). AMP from NCDC 252 wasisolated and purified against indicator strain (Escherichia coli). AMP production was optimized in MRS broth at 32 簞C, pH6 and upto 36 h of incubation under both aerobic and anaerobic conditions. AMP was purified 2.2 fold with yield of 7.2%and specific activity of 64.5 U mg/mL using ammonium sulphate precipitation (upto 70%) and gel filtration chromatography.Molecular weight of purified AMP was calculated to be 2.5 KDa. Tricine SDS-PAGE and LC/MS studies confirmed it to bea low molecular weight peptide. AMP was stable over pH range of 3 to 9 and temperature range of 40 簞C to 100 簞C. Enzymatictreatment inactivated the AMP whereas, detergent treatment enhanced its activity.
I have scoliosis
Increasingly, evidence is being found for the effectiveness of using physical therapy/rehabilitation in the comprehensive treatment of scoliosis. The use of corsets, once controversial, is now seen as having a scientific basis and evidence. At the same time, evidence for the effectiveness of surgical treatment of scoliosis is lacking, and recent studies on long-term outcomes raise even more questions. Therefore, the future lies in conservative, non-surgical treatments for scoliosis. The good news is that recent advances in corset therapy and rehabilitation, aimed at helping the patient depending on the type of curvature, now offer improved options for stopping the progression of curvature and even the ability to reduce curvatures between 20 and 50 degrees. Specific therapy is aimed at maximising results in the course of daily life. After a short training without in-depth theoretical training, patients can learn awareness to maintain a corrected body posture and help themselves by learning to avoid activities that increase curvature.
4Ts to a Better You
When it comes to the causes of sickness or disease, the amount of conflicting information is overwhelming. But the truth isn't complicated. Improving your health can be simple.In 4Ts to a Better You, Dr. Reade Hubert demonstrates how cardiovascular issues, cancers, diabetes, depression, and stress-related health concerns can be traced back to one or more of four root causes: thoughts, toxins, trauma, and genetic traits-the "four Ts." Eliminate the chaos of navigating the often confusing world of illness. Discover how understanding the four Ts is your key to proper diagnosis, self-care, and treatment. Full of practical and easy-to-implement solutions, 4Ts to a Better You will help you usher in positive changes in your life to create a happier and healthier home.
Power Through Repose
Power Through Repose, a classical book, has been considered important throughout the human history, and so that this work is never forgotten we at Alpha Editions have made efforts in its preservation by republishing this book in a modern format for present and future generations. This whole book has been reformatted, retyped and designed. These books are not made of scanned copies of their original work and hence the text is clear and readable.
Exploring the Intricacies of SARS-CoV-2 in Animal Hosts and its Implications for Public Health
Authors: Sina Salajegheh Tazerji, Maryam Shafiei, Phelipe Magalh瓊es Duarte, Sahar Hassanzadeh, Seyedeh Zeinab Peighambarzadeh, Farrokhreza Kabir, Parsa Zhian, Hadis Ahmadi, Parisa Asgharpour and Mojtaba SaneiAll authors have made significant and equivalent contributions to this work. Each author has also reviewed and approved the final version of the manuscript.""Exploring the Intricacies of SARS-CoV-2 in Animal Hosts and its Implications for Public Health"" delves into the intricate relationship between the SARS-CoV-2 virus and animal hosts, offering a thorough examination of its taxonomy, replication mechanisms, etiology, and epidemiology. This academic work explores the evolutionary history of the virus, its pathogenesis in various animal species, and the factors influencing its transmission dynamics. By shedding light on the zoonotic potential of COVID-19 and the role of animals in the spread of the virus, this book underscores the importance of a One Health approach in understanding and managing emerging infectious diseases. Through a comprehensive analysis of current research and case studies, this book aims to provide a valuable resource for researchers, public health professionals, and policymakers seeking to enhance our knowledge of the complex interplay between humans and animals in the context of the COVID-19 pandemic.
The Gut Microbiota Revolution
The way to a man's heart is through stomach, and in order to win that heart, what goes in there should be of great benefit and of little or no harm. Hence the study of human gut microbiota is fascinating and it is a new and trending area of research. Our knowledge of the human gut microbiota made it imperative to know and understand the human physiological functions that directly wields impact on our health. What is pleasing to note is the fact that our gut microbiota helps: to eventually digest the undigested food substances that passed through the stomach; produce some vitamins like the B and K vitamins; serve as a barrier effect on our immune system, augmenting body's defense mechanism while maintaining the wholeness of the intestinal mucosa and ensure proper digestive functioning.
Retinal disorders of vascular origin
Retinal disorders of vascular origin are highly polymorphic, and in many cases they are life-threatening. They may be secondary to lesions of the vessel wall, i.e. damage to the vessel container, as in diabetic retinopathy or systemic diseases. They may be secondary to affections of the content, as in the case of hemoglobinopathies or blood viscosity anomalies.Vascularization of the retina depends on two vascular networks: the retinal circulation and the choroidal circulation. These two networks have their own specific characteristics, which are essential for retinal function. They mainly ensure the supply of oxygen and the substrates required for multiple retinal metabolic reactions. Thanks to technological advances in modern investigations, we now have a better understanding of the pathophysiological mechanisms involved in a wide range of disorders, enabling us to improve therapeutic management.
Book of Spirit Volume 2
To Contact N.A.S.P. (Native American Spiritual Products聶):134 Vintage Park Blvd., Suite "A" Office #133Houston, Texas 77070Search www.youtube.com William Two Feather Web TV See www.2feather.com for updates, videos and more teachings. AVAILABLE NOW Six flute music CD's available at www.2feather.comE-book at Amazon.com WORKS IN PROGRESS22 new books to be published soon. REMEMBER: 5 books are already available in several languages. Divination Cards are also available soon. See Amazon.com A Spiritual Chess Board game is in the works called "Shamans & The Great Mystery" JOIN IN ON Submit Your Good Deeds{*SMGD} to www.2feather.comSubmit your stories of good deeds done by you or received by you. Prizes will go to some submissions. To submit: add your contact information, along with a written or emailed release for possible inclusion in future publications. JOIN OUR EMAIL LIST" Keep Me Updated" {KMU}Join our email list for up-coming events. PLEASE DONATE TO N.A.S.P. Native American Spiritual Products All donations are greatly appreciated and go directly to support more Native American Projects. To donate, visit www.2feather.comand click on "Donations." "Dhan Zhou" William Two Feather
Book of Spirit Volume 2
To Contact N.A.S.P. (Native American Spiritual Products聶):134 Vintage Park Blvd., Suite "A" Office #133Houston, Texas 77070Search www.youtube.com William Two Feather Web TV See www.2feather.com for updates, videos and more teachings. AVAILABLE NOW Six flute music CD's available at www.2feather.comE-book at Amazon.com WORKS IN PROGRESS22 new books to be published soon. REMEMBER: 5 books are already available in several languages. Divination Cards are also available soon. See Amazon.com A Spiritual Chess Board game is in the works called "Shamans & The Great Mystery" JOIN IN ON Submit Your Good Deeds{*SMGD} to www.2feather.comSubmit your stories of good deeds done by you or received by you. Prizes will go to some submissions. To submit: add your contact information, along with a written or emailed release for possible inclusion in future publications. JOIN OUR EMAIL LIST "Keep Me Updated" {KMU}Join our email list for up-coming events. PLEASE DONATE TO N.A.S.P. Native American Spiritual Products. All donations are greatly appreciated and go directly to support more Native American Projects. To donate, visit www.2feather.comand click on "Donations." "Dhan Zhou" William Two Feather
Wound Closure and Care in Oral and Maxillofacial Surgery
Wound healing is a complex and dynamic process with the wound environment changing with the changing health status of the individual. Although healing culminates uneventfully in most instances, a variety of intrinsic and extrinsic factors can hamper or facilitate the process. Understanding wound healing at multiple levels provides the surgeon with a framework for basing clinical decisions aimed at optimizing the healing response. Adherence to surgical principles facilitates wound healing with re-establishment of tissue continuity, minimization of scar size, and restoration of function. Selection of appropriate suture materials and dressings play a key role in enhancing wound closure and avoiding further contaminations and complications.
Strangling Angel
Winner of the 2019 NUI Publication Prize in Irish History. This book is the first comprehensive history of the anti-diphtheria campaign and the factors which facilitated or hindered the rollout of the national childhood immunization programme in Ireland. It is easy to forget the context in which Irish society opted to embrace mass childhood immunization. Dwyer shows us how we got where we are. He restores Diphtheria's reputation as one of the most prolific child-killers of nineteenth and early twentieth-century Ireland and explores the factors which allowed the disease to take a heavy toll on child health and life-expectancy. Public health officials in the fledgling Irish Free State set the eradication of diphtheria among their first national goals, and eschewing the reticence of their British counterparts, adopted anti-diphtheria immunization as their weapon of choice. An unofficial alliance between Irish medical officers and the British pharmaceutical company Burroughs Wellcome placed Ireland on the European frontline of the bacteriological revolution, however, Wellcome sponsored vaccine trials in Ireland side-lined the human rights of Ireland's most vulnerable citizens: institutional children in state care. An immunization accident in County Waterford, and the death of a young girl, raised serious questions regarding the safety of the immunization process itself, resulting in a landmark High Court case and the Irish Medical Union's twelve-year long withdrawal of immunization services. As childhood immunization is increasingly considered a lifestyle choice, rather than a lifesaving intervention, this book brings historical context to bear on current debate.
Ortho Perio Relationship
The relationship between orthodontics (braces) and periodontics (gum health) is crucial in achieving optimal dental outcomes. Orthodontic treatment can impact the health of the gums, and vice versa. Proper alignment of teeth through orthodontics can improve gum health by facilitating better oral hygiene and reducing areas where bacteria can accumulate. Conversely, gum disease or poor periodontal health can affect the success and stability of orthodontic treatment. Collaboration between orthodontists and periodontists ensures comprehensive care and better long-term results for patients.
A Review on Methods of Detecting and Classifying the Cerebral Aneurysm
This review delves into the fusion of machine learning, medical image processing, and computational modeling for detecting and classifying cerebral aneurysms. It begins with an overview of machine learning principles in medical diagnostics, specifically focusing on cerebral aneurysms. Essential techniques in medical image processing are then explored, emphasizing their role in refining diagnostic accuracy.The importance of early detection is emphasized, highlighting its critical impact on reducing risks associated with cerebral aneurysms. The complexities of image segmentation are discussed, covering various methods like region-based and boundary-based approaches. Feature extraction techniques are elucidated for their crucial role in refining diagnostic precision, accompanied by real-world case studies showcasing their efficacy in clinical settings. The review concludes with an exploration of Computer-Aided Diagnosis (CAD) systems and mathematical modeling, showcasing their integration and synergies with clinical expertise. This final section underscores the potential of computational models to revolutionize cerebral aneurysm detection and classification practices.
Amraz-E-Niswan
This is book concerns with Unani prospective of the different gynecological disorders, definitions, etiology, clinical symptoms, investigations and management on the basis of Unani system of medicine and allopathy medicine.This book also provides a guide to the final year Unani stream students to understand the different Unani terminology, how to make constructive diagnosis, how to manage and evaluate the different gynecological problems.
Place of call centers in the management of health crises
On December 31, 2019, WHO was notified of the first cases of the new coronavirus (COVID-19). Since this notification, COVID-19 has continued to spread around the world. Following the example of other countries, Guinea drew up a preparedness and response plan for COVID-19. This plan called on all the public health emergency management mechanisms set up by the Agence Nationale de S矇curit矇 Sanitaire (ANSS), in particular the Centres des Op矇rations d'Urgence de Sant矇 Publique (COU-SP).It is in this context that ANSS has set up a call center integrated into the agency's COU-SP. This call center, through the number "115", is designed to manage public health alerts, but also to provide information and guidance to the general public on COVID-19 and other diseases with epidemiological potential that Guinea has notified since its establishment. This book has been written to share Guinea's experience with the rest of the world of the place and role of a call center in the management of public health emergencies.
Acquired Heart Diseases
In recent decades, affluent population have become increasingly sedentary, in which most of adults spending 70% or more of their waking hours sitting. From an evolutionary perspective, humans were designed to move- to locomote and engage in all manner of manual labor throughout the day. Comparing with our parents or grandparents, we are spending more amount of time in environments that limits our physical activity and require prolong sitting -at home, at work and in cars and in communities. Work sites, schools, homes and public spaces have been re-engineered in ways that minimizes human movement, which has dual effect on human behavior: People move less and sit more. Parallel with this change, evidence has emerged identifying habitual sedentary prolonged sitting as a novel risk factor for cardiometabolic disease .Time in sedentary behavior is associated with increased cardiovascular diseases and all cause of mortality.
Integrating Sensor, Actuators and IoT for Smart Healthcare
The COVID-19 epidemic has changed healthcare, pushing digital technology adoption to satisfy patient needs. This abstract examines how sensors, actuators, and the IoT may alter smart healthcare post-COVID-19. After the pandemic, remote patient monitoring, telemedicine, and efficient healthcare resource management are more important than ever. This abstract shows how IoT helps create a linked healthcare ecosystem for real-time data collecting, analysis, and decision-making. Sensors and actuators seamlessly integrated into this IoT framework provide healthcare practitioners with a complete picture of patient health, allowing early intervention and individualized treatment strategies. This chapter examines this integrated system's wearable sensors, remote monitoring devices, and smart healthcare infrastructure. These components allow continuous health monitoring, medication adherence tracking, and early symptom identification, improving patient outcomes and lowering healthcare facility workload. This abstract also analyzes ethical and privacy issues related to smart healthcare technology adoption.
Community meningitis in adults
Community-acquired bacterial meningitis is a real public health problem. It remains a formidable cause of morbidity and mortality, particularly in developing countries, despite advances in diagnostic and therapeutic management. Our aim was to study the epidemiological, clinical and evolutionary aspects of purulent meningitis in adults. Our study was descriptive, retrospective and monocentric over a period of 10 years. We collected 51 cases of community-acquired purulent meningitis. The mean age of the patients was 41 years. Nearly half the patients (49%, 25 patients) were between 25 and 49 years of age, with a predominance of males. At least one pathological history was noted in 69% of patients. Fever was the main symptom in 98% of patients. Cerebrospinal fluid culture was positive in 32% of cases, and the germ most frequently isolated was S.pneumoniae. The mortality rate was 8%.
Endurance training and strength training
Amyotrophic lateral sclerosis is a neurological disease characterized by a progressive course with a fatal outcome, usually due to respiratory failure. The breakdown of the 1st and 2nd motor neurons leads to symptoms such as fatigue, muscle atrophy or paralysis in the human organism. Activities of daily living are restricted as the disease progresses and consequently the quality of life also decreases. As there are currently only a few effective drug therapies that have only a moderate influence on the increasing deterioration of the disease, it is important to be able to intervene with evidence-based physiotherapy using endurance and strength training. However, the effectiveness of non-pharmacological measures has only been sparsely investigated to date. In view of the current study situation, it can be assumed that individually tailored training is a good way for patients to maintain their physical functions at the activity and participation level and thus has a positive impact on their quality of life.
Chronic septic granulomatosis in children
Chronic septic granulomatosis is a rare genetic immune deficiency resulting from dysfunction of the nicotinamide adenine dinucleotide phosphate oxidase (NADPH oxidase) complex in phagocytic cells.Clinical manifestations fall into two broad categories: infectious and inflammatory. Infections are the most common manifestations of the disease at any age, while inflammatory conditions are usually confined to adults.This is a serious disease. Management is mainly based on hygienic-dietary measures and chemo-prophylaxis to prevent fungal and bacterial infections.Life expectancy has improved markedly, but the prognosis may be jeopardized by infectious and inflammatory complications.
Seated balance training
Every year, 250,000 to 500,000 people worldwide suffer paraplegia. This leads to sensory and motor deficits below the lesion of the spinal cord, whereby the severity of these deficits depends on the duration, extent and localisation of the lesion. The reduced sensory and motor function leads to reduced sitting balance, making it more difficult for the affected person to keep their centre of gravity above the support surface when sitting. However, the majority of everyday life for a person with spinal cord injury is spent sitting down. A deficit in sitting balance restricts the person's wheelchair mobility and daily life. This shows the importance of being able to maintain sitting balance at rest and in motion, making sitting balance training a large and important part of rehabilitation. Different types of sitting balance training are compared here and their effects are illustrated.
Pap smear
Many women who go to primary health care centers for cervical cancer screening are looking to diagnose vaginal infections that cause discharge and itching. In addition to the laboratory diagnosis of neoplasms, the Pap smear methodology allows for the assessment of inflammatory changes and the vaginal microbiota, making it a useful tool for diagnosing vaginitis.
Health Vulnerabilities and Hospital Social Work
The health cooperation agreements signed between Portugal and the PALOP countries after the independence of the Portuguese colonies in Africa (1974 and 1975) are still in force today and make it possible to maintain ties when the country of origin lacks the technical capacity and/or human resources to guarantee the necessary health care for its citizens. This research aims to understand the vulnerability factors of patients and families under these protocols and how the Social Service responds to the specificities of their experiences in the hospital area. It is an ethnographic study, developed as part of the master's degree in Social Work at the FPCE of the University of Coimbra, based on two analytical axes: vulnerabilities in health and social intervention processes. The analysis of the data collected shows individual, social and programmatic/institutional vulnerabilities, the indicators of which tend to intensify with gaps and non-compliance with agreements. Social work respects the specificities of each culture, with an impact not only at a micro (patient) and meso (family/institution) level, but also at a macro level (public policies).
Determination of the CT scan parameters
The work focuses on determining suitable CT scan parameters for fitting 3D-printed implants using an animal specimen, specifically for the scapula. By investigating different CT scan protocols with different reconstruction parameters, the aim is to find settings that provide sufficient resolution and dose for implant planning. In this regard, the practical part involves performing CT scans of the animal specimen with different parameters, which are then used to create 3D models and finally to produce 3D-printed implants. It is also pointed out that this approach takes into account in vitro factors but does not fully incorporate potential in vivo factors. The results emphasize the importance of reconstructions with the thinnest slice thickness from all scans for effective implant planning.
Hip fracture causes complications in women over 65 years of age
To God above all things for allowing me to reach one more goal in my life project. To my family who has been my greatest pillar. To the State University of Guayaquil for having endorsed my professional training. To Dr. Hugo Behr, general manager of the Hospital Cl穩nica San Francisco for allowing me to carry out my study at this distinguished hospital. I chose this topic because I know that it will provide much deeper information about the basal quality of life of patients in terms of dependence for basic and instrumental activities of daily living.
Values and Ethics
Ethics involves examining values and identifying what is good, right, and justified - and why. Diverse values and ethical issues run through healthcare improvement, but they are not always recognised or given the attention they need. While much effort goes into understanding whether intervention X effectively leads to change Y, questions such as 'is X ethically acceptable?', 'does Y count as an improvement?', 'should Y be prioritised?', and 'if so, why?' are sometimes neglected. This Element demonstrates the ethical considerations and rich array of values that inevitably underpin both the goals of healthcare improvement (what aspects of quality or what kinds of good are pursued) and how improvement work is undertaken. It outlines an agenda for improvement ethics with the aim of helping those involved in healthcare improvement to reflect on and discuss ethical aspects of their work more explicitly and rigorously. This title is also available as Open Access on Cambridge Core.
