Cutaneous Flaps in Head and Neck Reconstruction
It is said, "fear in surgery is fear of anatomy." Unfortunately, there is a chasm between the anatomy learned in the traditional way and what we see during surgery. The aim of this work is to offer the means to resolve this in a comprehensive way by bridging relative anatomy straight to the surgical use of cutaneous flaps in head and neck reconstruction, which is not normally found in a single text. Cutaneous local and regional flaps still remain a basic tool in the armamentarium of surgeons coming from different specialties that work in the head and neck area. These flaps are used even for very large defects, despite the ever-growing utilization of free flaps due to the fact that they are time-consuming, not cost-effective, do not require special microsurgical training, and represent the first choice of surgeons. This book is organized in chapters according to the anatomic areas, which represent the various donor sites from which flaps are derived and used in head and neck defects. These donor sites are present separately in each chapter of the book and include: scalp, temple, posterior neck, forehead, nose, cheek, lips, chin, auricle, anterior neck, and deltopectoral region.
Adolescent asthma
Asthma is the most common chronic disease affecting adolescents, a period of transition from childhood to adulthood characterized by profound physical, emotional, intellectual and psychosocial changes. During adolescence, asthma is often poorly controlled, with a substantial impact on quality of life and schooling, and a high economic cost.
The impact of COVID-19 on the sex life of pregnant women
Introduction: Mental health is a state of well-being that enables a person to recognize their abilities and cope with the usual problems and stresses of daily life [1].Materials and methods: This is a literature review taking 69 articles published between 1987 and 2022 from pub med, google scolar, google.Results and discussion: During pregnancy, there is a progressive decline in sexual activity, interest and satisfaction. This is linked to changes in sex life, body image, neurological and hormonal systems, as well as psychological and emotional disturbances [12,13]. Women with active and satisfying sexual function have greater emotional satisfaction and better mental health [39]. Sexuality is not limited to intercourse (penetration, coitus), but also to simple gestures such as caressing. Conclusion: it can be said that pregnant women and mothers in the post-partum period, at high risk of mental disorders and sexual dysfunction, are more sensitive to the possible psychological effects of the pandemic.
Dialysis Quality
The aim of this book was to assess the adequacy of haemodialysis in chronic patients undergoing treatment at a private clinic in the midwest of Santa Catarina. This is a cross-sectional, qualitative study. The study comprised 29 patients undergoing haemodialysis through an arteriovenous fistula. Blood samples were collected and sent to the laboratory for urea testing. It was observed that most of the samples showed recirculation rates, either intermediate or high, while the changes observed in the Urea Reduction Rate (URR) and the Kt/V equation were less significant. Gender and age did not significantly affect the increase in the levels of the changes found in the recirculation parameter. It was concluded that, in general, the treatment is being efficient and adequate and that the dialysis adequacy parameters once again proved to be important tools, since they were able to detect the efficiency and/or inefficiency of the dialysis procedure.
Cognitive disorders in adult temporal epilepsy
The aim of our work is to evaluate the presence, importance and type of Cognitive Impairment (CI) in patients with temporal epilepsy (TE) and to study their possible correlations with epidemiological-clinical-radiological data.Methods: We conducted a cross-sectional study over a 6-month period (May-November 2022), including patients followed up for ET. Our patients underwent neuropsychological evaluation, EEG and brain MRI. Results: We enrolled 32 patients with a mean age of 35 years. We found marked CT in the areas of VTI, attention and especially episodic memory (EM). We related the severity of these CTs to socio-epidemiological factors, to the severity of the epilepsy and to the use of Clonazepan. The presence of a temporal lesion of the hippocampal sclerosis type was the most common cause of ME declines. The laterality of the epileptogenic zone characterized the nature of the affected ME. Conclusion: At the conclusion of our work, we emphasize the importance of identifying CTs in order to improve subsequent management and minimize its impact on an often young population.
Dilated cardiomyopathies in children
CMD is the most common cardiomyopathy in children. Epidemiological data show that it is more common in infants, males and blacks. Looking for parental consanguinity or an affected family member is an important part of the anamnesis. Clinically, it generally presents as acute heart failure. Cardiac ultrasound confirms the diagnosis, showing a dilated heart that contracts poorly. Cardiac MRI is a powerful tool for orienting etiological research and predicting prognosis. CMD in children is classified into primary and secondary CMD. Primary CMDs are hereditary or metabolic in origin, whereas secondary CMDs may be the consequence of a left-sided obstruction, a long-standing left-right shunt, a rhythm or conduction disorder, a birth defect of the coronary arteries, or viral or autoimmune myocarditis. Management is based primarily on treatment of cardiac decompensation. In the case of primary CMD, and in the absence of recovery, heart transplantation is the only hope of life.
Benefits of Nutritional Interventions in South Kivu
In general, the aim of humanitarian nutritional assistance is to save or change lives by providing assistance to victims of humanitarian crises without discrimination.In this book, the author's aim is to assess the benefits of humanitarian nutritional intervention for the vulnerable population of South Kivu in DR Congo. His work involved 630 randomly selected mother-child pairs who had benefited from the nutritional intervention in 63 health areas in the territories of Kalehe, Kabare, Walungu and Uvira.Among these mother-couples, 37% of mothers of MAS-C children (severe acute malnutrition with complications) appreciated the medical treatment more and 85% of mothers of children aged 23-59 months participated more in the cooking demonstration activities (child feeding).In conclusion, the author's work revealed that the capacity building received by mothers was not linked to the sustainability of nutrition activities (p>0.05). On the other hand, there was a statistical link between the nutritional practices of mothers and the medical care received by children (p
Predisposing factors for open fracture infection and score
The aim of this book is not only to describe the aspects that contribute to the appearance of trauma, but also its consequences, where and how it affects society, and, best of all, it addresses the use of a tool that is innovative and of great value to this topic. It is therefore very important for health professionals, as well as for professionals working in public health, social, economic and cultural policies, and for any individual as a source of information on a problem that, although directly related to health, has repercussions in a number of other areas. After carrying out this work and in view of everything I have experienced in my profession, I feel very happy and honoured to have done this work, because I have learned a lot and I know the value of this work for anyone who wants to enjoy the knowledge contained herein. I'm sure it will be a source of great value to put into practice in various areas. Although it is very important for the health area, it can also be a valuable guide for related areas such as social, economic, cultural and political. Enjoy!
Multi-detector CT and traditional coronary angiography
Cardiovascular diseases are the leading cause of death in Brazil and worldwide, and most of these are caused by coronary artery disease (CAD). CAD is an important manifestation of atherosclerosis, which mainly affects the tunica intima of medium and large calibre arteries, thus affecting one, two or three of the epicardial coronary arteries and their branches. The standard for diagnosing CAD is traditional coronary angiography, where cardiac catheterisation is performed, a procedure that can leave sequelae, induce discomfort in the patient and the need for further monitoring and care. With the advent of multi-detector computed tomography (MDCT) devices, cardiac assessment has gained momentum and MDCT coronary angiography is gaining ground and is likely to become the best test for assessing CAD.
Nursing Management
The book "Nursing Management: Theoretical and Technical Fundamentals of Nursing Services Administration" offers a comprehensive and up-to-date guide for nursing professionals who occupy or aspire to administrative and leadership roles. Throughout its fifteen chapters, it addresses crucial topics such as the fundamentals of nursing management, nursing leader competencies, strategic planning, human resource management, and promoting staff health and wellness. It also focuses on the implementation of continuous improvement methodologies such as Lean and Six Sigma, change management, effective communication, and ethics in nursing services management. The book is complemented with case studies and best practice examples, providing practical and evidence-based tools to improve the quality of care and the work environment in healthcare institutions.
Experience of the urology department of HMIMV Rabat
Fracture of the penis is a uro-andrological emergency, occurring in most cases on an erect penis.This variation results in reduced resistance within the albuginea to sudden overpressure events, leading to rupture. The most frequently reported aetiology is the coite faux pas, among many others.Diagnosis is clinical, and relies on a range of arguments gathered throughand physical examination (cracking, detumescence, hematoma, pain at the end, giving an aubergine-like appearance).hematuria, urethral involvement should be sought. Ultrasound is the first line of investigation, given its availability in emergency departments, followed by MRI and cavernography, depending on the author. Management should be as early as possible to avoid postoperative complications. It relies on surgery, with either a coronal incision that risks skin necrosis, or an elective incision that risks missing certain lesions.
Cloud Computing in Medical Imaging
Today's healthcare organizations must focus on a lot more than just the health of their clients. The infrastructure it takes to support clinical-care delivery continues to expand, with information technology being one of the most significant contributors to that growth. As companies have become more dependent on technology for their clinical, administrative, and financial functions, their IT departments and expenditures have had to scale quickly to keep up. However, as technology demands have increased, so have the options for reliable infrastructure for IT applications and data storage. The one that has taken center stage over the past few years is cloud computing. Healthcare researchers are moving their efforts to the cloud because they need adequate resources to process, store, exchange, and use large quantities of medical data.Cloud Computing in Medical Imaging covers the state-of-the-art techniques for cloud computing in medical imaging, healthcare technologies, and services. The book focuses on Machine-learning algorithms for health data security Fog computing in IoT-based health care Medical imaging and healthcare applications using fog IoT networks Diagnostic imaging and associated services Image steganography for medical informatics This book aims to help advance scientific research within the broad field of cloud computing in medical imaging, healthcare technologies, and services. It focuses on major trends and challenges in this area and presents work aimed to identify new techniques and their use in biomedical analysis.
Convolutional Neural Networks for Medical Image Processing Applications
The rise in living standards increases the expectation of people in almost every field. At the forefront is health. Over the past few centuries, there have been major developments in healthcare. Medical device technology and developments in artificial intelligence (AI) are among the most important ones. The improving technology and our ability to harness the technology effectively by means such as AI have led to unprecedented advances, resulting in early diagnosis of diseases. AI algorithms enable the fast and early evaluation of images from medical devices to maximize the benefits. While developments in the field of AI were quickly adapted to the field of health, in some cases this contributed to the formation of innovative artificial intelligence algorithms. Today, the most effective artificial intelligence method is accepted as deep learning. Convolutional neural network (CNN) architectures are deep learning algorithms used for image processing. This book contains applications of CNN methods. The content is quite extensive, including the application of different CNN methods to various medical image processing problems. Readers will be able to analyze the effects of CNN methods presented in the book in medical applications.
Chronic Adult Hydrocephalus
Chronic adult hydrocephalus (CAH) is a rare cerebral pathology that mainly affects the elderly. The neurosurgical indication is the standard GOLD. However, few data concerning prognostic factors for successful surgical management are present in the literature. The aim of our study was to determine the prognostic elements of neurosurgical management of patients with chronic adult hydrocephalus. This was a retrospective descriptive study of 40 patients operated on for CAH in the neurosurgery department of the Tunis Military Hospital. Clinical and radiological data were collected over a 16-year period from 2004 to 2020. The primary endpoint was the occurrence of at least one episode of recurrence, in order to determine the risk factors for recurrence in patients operated for chronic adult hydrocephalus.CAH is a relatively rare pathology and can be responsible for significant morbidity affecting patients' quality of life. Ventriculoperitoneal shunting is the GOLD standard.
Prescribing Hypnotics to Elderly Patients in General Medicine
The management of insomnia in the elderly must take account of the physiological changes associated with age, the greater frequency of co-morbidities and the use of multiple medications.The aim of this study was to evaluate the management of insomnia in elderly patients by general practitioners and compare it with international recommendations.This was a cross-sectional, descriptive study of 32 general practitioners in the Sfax region (Tunisia), using an online questionnaire.The most commonly used hypnotics were: benzodiazepines (BZD) 59.37% and antihistamines 59.37%. In 18.75% of cases, the duration of treatment was not in line with international recommendations. Long half-life BZDs were used in 37.48% of cases, with a dosage identical to that for adults in 34.4% of cases.The prescription of hypnotics for ADS patients is a logical step in care, following a precise diagnosis, taking into account co-morbidities and precautions for use. More training on this subject is needed for prescribing doctors.
Carbapenem-resistant Enterobacteriaceae urinary tract infections
The aim of our work is to describe the particularities of carbapenem-resistant Enterobacteriaceae (CRE) urinary tract infections as well as the selection factors of these resistant strains. This is a retrospective descriptive study including all patients hospitalized within the wards of CHU Taher Sfar Mahdia (2015- 2018) who had presented with ERC urinary tract infection. Twenty-three patients were collected. Their mean age was 57.3 years, with a sex ratio M/F=0.77. The infection was healthcare-associated in 56.5% of cases. The main risk factors for acquiring CRF were: previous antibiotic therapy (beta-lactams), previous hospitalization, an invasive procedure within the previous six months respectively, and a history of UTI within the previous year. The most frequently isolated germ was Klebsiella pneumoniae (69.5%). A combination of antibiotics was indicated in 19 cases (82.6%). Prescription of tigecycline was significantly associated with an unfavorable outcome (p=0.032). Intervention strategies need to be integrated, targeting decision-makers, prescribers and patients alike.
Exogenous lipid pneumonias
Exogenous lipid pneumonia is a rare nosological entity. It is an adult pathology whose frequency increases with age. The aim of this study is to examine the clinical and radiological presentation of lipid pneumonia, and to define the diagnostic and therapeutic strategies. Exposure to the causative agent is usually chronic. However, cases secondary to a single accidental exposure have been reported. The course of the disease is usually stable or slowly worsening, leading to impaired ventilatory function. Diagnosis of PLE is often delayed and difficult, due to a presentation that can be misleading in the absence of prior exposure. Treatment remains uncodified. However, avoidance of exposure at an early stage is an effective means of treatment, enabling lesions to regress or remain stable.
Knowledge, Attitudes and Prevention Practices of Populations
This is a prospective cross-sectional study of the knowledge, attitudes and preventive practices of populations in the Baco-Djicoroni health area. The cross-sectional study, involving 660 adults including 357 women and 303 men aged 18 and over, was carried out from June 2021 to November 2021. Its aim was to assess the knowledge, attitudes and practices of people in the Baco-Djicoroni health area regarding malaria prevention. The study covered residents of Sokoura, H癡r癡makono, Dougoukoro, Plateau, Golf and ACI. A questionnaire was administered to 110 people per sector for at least 6 months. Families were selected at random, and all were interviewed individually and separately to avoid influencing each other. As for the focus group interview guide, with the participants' permission, the interviews were recorded on a Dictaphone. Low-income living standards were most frequently mentioned in four areas, namely: Plateau; Sokoura; Dougoukoro; H癡r癡makono and middle income was most frequently mentioned in two sectors.
Sports Physiotherapeutic Treatment of Hamstring Tightness
This books intends to provide for the treatment of Hamstring Tightness. A Quasi Experimental study design consisting of reviews of charts of HAMSTRING TIGHTNESS patients. Thirty patients were included, (50%) were males, (50%) were males; the average age was 18-24 years. All the patients are presented with HAMSTRING TIGHTNESS underwent GOINIOMETER AND SIT AND REACH test. Pre- and post-Treatment of Group A patients received (Bowen technique) and Group B patients received (Muscle energy technique) scores on the improve range of motion strength of muscle and physical functional of the goniometer and sit and reach test were analyzed. The author conclude & present samples supports Bowen technique had a positive and significant effect on the improve range of motion strength of muscle and physical functional of the goniometer and sit and reach test before and after therapy.
Food beliefs in pediatric oncology
The average age of the children was 4 years. The average follow-up period was 19 months. 74% of the children required regular and prolonged hospitalization. The average age of the mothers was 33. The average level of education of the mothers was 10 years. 60% of the mothers thought that nutritional management had a very important role to play, and 27% thought that nutrition could have a curative role. Almost all mothers were aware of the benefits of eating vegetables, fruit and fish. 49% of mothers said they had changed their eating habits. Factors significantly influencing knowledge on this subject were the family's socio-economic level and the mother's level of education.
Ischemic stroke in the acute phase
The occurrence of early neurological deterioration (END) in ischemic stroke is a frequent complication whose importance lies not only in its impact on the acute phase, but also in its definite effect on patients' functional and vital prognosis. The aim of this work is to identify the factors predictive of DNP following a DALY and to study the mechanisms of this complication through a retrospective descriptive and analytical study of patients hospitalized in the Neurology Department of the Fattouma Bourguiba University Hospital in Monastir for a DALY over a 5-year period, running from January 2018 to December 2022, including patients meeting the definition of DNP "increment of two points or more, on the NIHSS score during the first 7 days following the DALY". Univariate analysis and binary logistic regression were performed to identify independent factors and mechanisms associated with DNP.
Job satisfaction level
Improving health service Coverage and realizing the right to the enjoyment of the highest attainable standard of health is Dependent on their availability, accessibility, acceptability, and quality of health care ProfessionalsObjective: the aim of this study is to identify the level of job satisfaction and associated factors among health workers at Adama hospital medical college in Adama city, Adama special zone, Oromia region, Ethiopia, 2024Methods: An Institutional based cross-sectional study was conducted on AHMC health workers using a structured questionnaire and random sampling. Data was analyzed using frequency, percentage, bivariate, and multivariate methods to identify factors affecting job satisfaction among health workers, with a 95% CI and P-value of 0.05 as the cut-off point.Result: The study involved 403 health workers, with 209 males and 194 females. Results showed that 74 (18.4%) participants were satisfied and 329(81.6%) were dissatisfied with socio-demographic variables, 200(49.6%) were satisfied and 200(50.4%) were dissatisfied with working environment variables and 133(33.0%) were satisfied and 270(67.0%) were dissatisfied with organizational variable.
Drug intoxication in children
Drug intoxication in children is a major national and international public health problem. In this study, we investigated the epidemiological, clinical and evolutionary characteristics of drug intoxications in children in the pediatrics department of the Habib Bougatfa Hospital in Bizerte over a 3-year period. We collected 57 cases of drug intoxication, with an overall incidence of 1.5%. The average age of hospitalized children was 4 years, and the majority of intoxications were accidental (80%). The drugs most frequently involved were neuroleptics, beta2 mimetics and paracetamol. The majority of children were asymptomatic on admission, and the outcome was favorable in 87.5% of cases. However, death was noted in 28% of cases. Our results underline the importance of prevention and vigilance to avoid these drug intoxications. We propose awareness campaigns for parents and the creation of a poison control center to facilitate toxicological research.
Association between nutritional factors and hemorrhoids
Introduction: Hemorrhoidal disease is a common pathology worldwide. Some empirical evidence suggests that dietary habits play a role in the onset of hemorrhoids. The objectives of our work were to identify the dietary habits associated with hemorrhoidal disease. This was a case-control study comparing a group of 30 patients with hemorrhoids with a control group of 30. For each group, we conducted a dietary survey. Results: Most patients had chronic constipation; weight and body mass index were significantly higher in the diseased group (p = 0.001); water consumption was lower in the diseased group. There was a significant difference in the consumption of spicy foods (p = 0.004). Fiber intake (g/day) was higher in the control group, with no significant difference (p = 0.406). conclusion: Hemorrhoidal disease is influenced by constipation and certain dietary habits.
Surgical treatment of isolated capitellum fractures
Capitellum fractures are rare. Surgical treatment has evolved towards internal fixation with cannulated or buried screws, allowing anatomic reduction and early mobilization.We conducted a retrospective single-center study over a 6-year period, on the surgical treatment of capitellum fractures.Our series includes 22 patients with a mean age of 42.77 years. The sex ratio is 0.57. The right elbow was the most affected (60% of cases). According to the Brayn and Morrey classification, type I was the most common (45%)Osteosynthesis with 3.5 cortical screws was performed in 76% of cases. The rest of the fractures were fixed by direct screwing with scarf screws.Comparison of osteosynthesis techniques did not show any significant difference in terms of pain and mobility, although Scarf screws presented slightly more frequent complications.The means of osteosynthesis do not influence the functional, clinical and anatomical results
Occupational Therapy in the prevention of Postpartum Depression
This paper presents research carried out at the Women's Health Integrated Coordination Centre in the municipality of Carmo, Rio de Janeiro. This programme is offered to puerperal women and shows why cases of post-natal depression have low reliability or are not always correctly treated. The paper also shows the results of a survey of women who have already experienced post-natal depression, their feelings, fears, anxieties and what they think about a programme of occupational therapeutic care from prenatal onwards. The structured results were obtained by applying a semi-structured instrument adapted from the Edinburgh Depression Scale (EPDS) to women who had already been diagnosed with post-natal depression, in a universe of 120 women treated at the Women's Health Integrated Coordination Centre. Occupational therapy has important resources for pregnant women who want to prevent post-natal depression, as well as for puerperal women who are already depressed.
Physiotherapeutic Treatment Non-Traumatic Shoulder Pain
This Book indented to provide physiotherapy treatment non-traumatic shoulder pain.The investigator compared the impact of TrP-DN and IMES on kinesiophobia, the quantity of MTrPs, and shoulder ROM. At month 6, there was no statistically significant difference between the effects of TrP-DN and IMES when comparing between-group results in kinesiophobia. For MTrPs, IMES utilizing IEP was preferable to TrP-DN in terms of lowering the number of active and latent-MTrPs at weeks 3 and 6 respectively. However, at weeks 1, 2, and 3 in favor of the IMES group, clinically meaningful and significant differences were seen for the shoulder's range of motion (ROM) in both abduction and external rotation. These between-group mean differences also met the MCID value of 7簞 for ROM in abduction and 3簞 for ROM in external rotation. However, the results of our investigation for additional shoulder ranges of motion, including flexion, extension, and internal rotation, demonstrate little between-group variations across all periods.
Sleep disorders in healthcare workers
Certain working conditions, such as shift work, disrupt sleep quality. Healthcare workers are the most exposed to these disorders, as they work atypical hours and against the biological clock. We studied the sleep quality characteristics of 60 healthcare workers divided into two groups: GI: night workers (57%) and GII: day workers (43%). The average sleep duration for GI workers was 6h/d, and for GII workers 7.5h/d. The mean time to sleep was 26.3 minutes for GI versus 36.8 minutes for GII. Sleep was non-restorative in 60% of participants. Sleep disorders reported by night workers were insomnia (47%), hypersomnia (12%), or restless sleep (12%), while those of day workers were restless sleep (15%) and insomnia (8%). Daytime sleepiness was found in 38% of GII versus 77% of GI. Excessive fatigue was reported in 35% of all workers. The prevalence of sleep apnea syndrome was 25%, and night shift workers were 29% more at risk.
Impact of Social Media Exposure on Student's Anxiety and Depression
This book provides information about research-based protocols for the treatment of Anxiety & Depression disorders. This study documents that daily social media exposure for > 2 hours may increase the risk of anxiety and depression among students. In addition, susceptibility to increased risk of depression and anxiety is more likely to occur among students. However, being a student may suggest being protected from the risk of anxiety and depression. This study also showed that different levels of anxiety and depression are expected among students. Lastly, our results provide information that can be useful for support groups for seafarers. Considering the amount of time spent by most students on social media, this can also serve as a potential avenue to disseminate health information and promote mental well-being.
An intervention to reduce body fat in school children
This book provides an approach to the research work carried out with school children by performing an intervention with muscle strength training to reduce body fat in a school population, specifically in an elementary school in the State of Hidalgo, Mexico. The World Health Organization defines obesity as an abnormal or excessive accumulation of fat that constitutes a health risk. The increase of overweight and obesity in childhood is a public health problem in industrialized and developing countries. The National Health and Nutrition Survey 2018-2019, found that overweight and obesity continue to be a highly prevalent problem in the Mexican population in all regions of the country and in urban and rural areas. To measure changes in dietary practices, instruments that measure knowledge, consumption, culinary skills, habits and food expenditures in private or public sector schools are required. As can be seen, overweight and obesity is a chronic disease that mainly affects children at different stages of growth.
Gamification over Physical Therapy for Cerebral Palsy Patients
This book investigates the feasibility and effectiveness of using the Nintendo Wii balance board as a therapeutic tool for children with cerebral palsy (CP), comparing it to conventional physical therapy methods. The study's objectives include evaluating the impact of Wii-therapy on the physical abilities, gross motor performance, and daily functioning of CP patients. Through a comprehensive review of existing literature and data analysis, the research reveals that Wii-therapy significantly enhances physical activities and gross motor skills in children with CP. However, age is a limiting factor in the effectiveness of Wii-therapy. The findings suggest that the Nintendo Wii balance board is a viable and effective alternative to traditional physical therapy for children with cerebral palsy.
Assessment of nursing knowledge about hepatitis C
With the number of cases of chronic hepatitis C on the rise, these infections have become a cause for concern. Objectives: Evaluate and enrich nurses' knowledge about HCV and help improve the management of patients with chronic hepatitis C. Materials and methods: Descriptive study directed at nurses working at Gab癡s hospital. The survey took place in February and March 2023.results: 80 nurses were included, with a sex ratio of 0.56. Half of the population (52%) had no previous training in hepatitis C. The majority of nurses mentioned that the causative agent was a virus. Regarding preventive practices, the majority of nurses respected hand washing (86%), wearing gloves (82%) and masks (66%), and not recapping needles (86%). However, there was a lack of knowledge of treatment (62%), which confirms that nurses are unfamiliar with certain details that require awareness-raising and training to improve management.
Overweight and food consumption
This book is justified by the increase in the number of overweight children in Brazil and, above all, by the risks associated with this condition, such as greater vulnerability to developing diabetes mellitus, dyslipidemia and hypertension. In this sense, the data investigated seeks to understand the nutritional status of children, as well as its association with food consumption. These data are important not only for those responsible, but also for health professionals, as they can facilitate the implementation of interventions that minimize the prevalence of excess weight in children, protecting their health.
Manufacturing Bottleneck
Cell therapy holds immense promise for curing diseases, but a major roadblock stands in the way - manufacturing. Producing these life-saving treatments is complex and expensive, raising concerns about affordability and accessibility. This article dives into the manufacturing bottlenecks hindering cell therapy's widespread adoption. We'll explore challenges like: Scalability: Scaling up production to meet patient demand remains a significant hurdle. High Costs: The complex process translates to high treatment costs, potentially limiting access for many patients. We'll also discuss innovative solutions being explored to overcome these challenges. This may involve streamlining manufacturing processes or developing cost-effective technologies. By addressing these roadblocks, we can ensure that cell therapy's revolutionary potential becomes a reality for everyone, not just the privileged few. Join us as we explore ways to make cell therapy a more affordable and accessible option for the future of healthcare.
Clinical Research Hand Book
The Clinical Research Handbook provides a comprehensive guide to conducting clinical research, covering key aspects such as study design, ethical considerations, data collection and analysis, regulatory requirements, and participant recruitment. It serves as a valuable resource for researchers, clinicians, and industry professionals involved in clinical trials and medical studies, offering practical insights and best practices to ensure the integrity and success of research endeavors. Through clear explanations, the handbook equips readers with the knowledge and tools necessary to navigate the complex landscape of clinical research and contribute to advancements in healthcare.
Unlocking the Potential Within
Deep within the retina, a hidden champion for vision awaits. M羹ller glia, long considered mere supporting cells, are now emerging as a potential key to unlocking treatments for retinal diseases. These star-shaped cells play a vital role beyond just structure. They act as the retina's workhorses, maintaining its delicate balance, removing waste, and nourishing vital photoreceptor cells. When this balance is disrupted, diseases like macular degeneration can rob us of sight. However, research suggests that by understanding and manipulating M羹ller glia's regenerative potential, we might be able to restore vision or even prevent retinal degeneration altogether. Unlocking the potential within these glial cells could be the key to a future where vision loss is no longer a threat.
The Opioid Labyrinth
"The Opioid Labyrinth: A Search for Solutions Beyond the Statistics" delves into the complexities of the opioid crisis, moving beyond the overwhelming numbers. The book acknowledges the vast human cost of opioid addiction while offering a glimmer of hope. Imagine this book as a roadmap out of a maze. It explores the root causes of addiction, the challenges individuals face, and the limitations of purely statistical approaches. "The Opioid Labyrinth" then delves into innovative solutions and ongoing research. You'll discover promising strategies for harm reduction, access to treatment, and efforts to create a future free from opioid dependence. This book is a call to action, urging readers to engage with the issue and work towards a more compassionate and evidence-based approach to the crisis.
Emotional Support for High-Risk Pregnancy Stress
Women hospitalized with high risk pregnancy are exposed to many stressors such as separation from their families, unsuitable and noisy environment, hospital routine, lack of privacy and lack of knowledge about their diagnosis and their fetuses. Stress has negative effect on maternal, fetal and neonatal outcomes such as abortion, preterm birth and low birth weight babies. The current study revealed statistical significant difference in stress level before and after intervention due to emotional support (X2 41.627, P .000*). The study also revealed that, there is no statistical significant difference between stress level and neonatal birth weight, neonatal complications, time and mode of delivery (X2 18.280, P .107*). Conclusion & Recommendation: women hospitalized with high risk pregnancy need not only medical treatment but also to give attention to their psychological wellbeing. Health care providers should provide an emotional support to reduce maternal stress and subsequently enhance pregnancy outcomes.
Fundamentals and Frontiers of Medical Education and Decision-Making
Fundamentals and Frontiers of Medical Education and Decision-Making brings together international experts to consider the theoretical, practical, and sociocultural foundations of health professions education. In this volume, the authors review the foundational theories that have informed the early transition to competency-based education. Moving beyond these monolithic models, the authors draw from learning and psychological sciences to provide a means to operationalize competencies. The chapters cover fundamental topics including the transition from novices to experts, the development of psychomotor skills in surgery, the role of emotion and metacognition in decision-making, and how practitioners and laypeople represent and communicate health information. Each section provides chapters that integrate and advance our understanding of health professions education and decision- making. Grounded in psychological science, this book highlights the fundamental issues faced by healthcare professionals, and the frontiers of learning and decision-making. It is important reading for a wide audience of healthcare professionals, healthcare administrators, as well as researchers in judgment and decision-making.
Study of rabies knowledge and prevention measures
Rabies is a viral zoonosis. Once clinical symptoms appear, death is imminent. Hence the need for a reassessment of the knowledge of nurses and the victim population concerning what to do, which can influence a well-defined care pathway.Our survey included 80 nurses. The sex ratio was 0.6. 80% of staff had not taken part in any training concerning the national rabies control program. In addition, (32%) of nurses did not have a rabies protocol poster in their hospital. The majority of staff (66%) were unaware of the importance of patient education. Our study included 75 animal bite victims. 73% of the victim population believed that rabies is a fatal disease. The possibility of catching rabies through contact with an object licked by a rabid animal was noted (61%).Nurses play a vital role in the management of rabies. The victim population is also the second most important partner in the fight against rabies. Fighting rabies requires collective and individual awareness, and effective multi-sectoral collaboration.
Dibasic Protein Intolerance
Dibasic protein intolerance is a rare inherited disorder caused by a defect in membrane transport of dibasic amino acids. It is caused by a mutation in the SLC7A7 gene. It is a multisystemic metabolic disease. Its management is made difficult by the complexity of its pathophysiology. The median age of onset was 9 months. The median age at diagnosis was 21 months. Growth retardation (n=7) and hepatosplenomegaly (n=6) were almost constant signs of the disease, followed by protein aversion (n=5), pallor (n=5) and neurological signs (n=4). Ammonia was elevated in 6 patients. Amino acid chromatography supported the diagnosis in two patients. Molecular biology revealed the del TTCT 1471 mutation in 5 patients. A low-protein diet and citrulline supplementation were prescribed in all patients. Complications of the disease were frequent: growth retardation was noted in all patients.
Tissue Engineering for Neonatal Congenital Heart Disease
"Tissue Engineering for Neonatal Congenital Heart Disease: A New Frontier in Pediatric Cardiac Care" explores a revolutionary approach to treating heart defects in newborns. The book delves into the field of tissue engineering, where scientists aim to create functional heart tissues to repair or replace malformed structures. This technique offers a promising alternative to traditional surgeries using synthetic materials, which have limitations for growing babies. The book explores the current state of research, discussing the development of engineered heart valves, patches, and even entire vascular grafts. It highlights the potential benefits of tissue engineering, such as improved long-term outcomes and reduced need for repeat surgeries.
Growing Up Undiagnosed
What can experiences of social and sensory invalidation teach us about what in means to be autistic in a world created for the neuromajority?Living as an undiagnosed autistic person in the loudest sensory city in the world, NYC, author Becca Lory Hector details her lived experience of social and sensory invalidation. Whether she refused to put on shoes, wore sunglasses inside, or asked direct questions, her very way of being was called into question, leading her to feel insignificant and unimportant. In a world created by and for the neuromajority, Becca's needs took a back seat as others felt her reality couldn't possibly be true.Growing Up Undiagnosed is a collection of stories filled with lessons on the importance of validating the lived experiences of all. This book is ideal reading for students of Disability Studies, Autism Studies, DEIB Studies, Social Work, Education Studies, Medical students and practitioners, as well as psychiatrists, teachers, and social support workers in practice and training.
A Breath of Hope
- A Breath of Hope: This creates a positive and optimistic tone. - Early Detection of Lung Disease: This is clear and informative, but lacks intrigue. **Alternative Titles (150 words each): - Taking Control of Your Breath: How Early Detection Can Empower You to Fight Lung Disease (This title focuses on empowerment and positions early detection as a tool to fight the disease. It also uses the verb "breath" in a different way.) - Beyond a Shadow of a Doubt: Unveiling Lung Disease Before It Steals Your Breath Away (This title uses a strong metaphor ("shadow of a doubt") to represent the hidden nature of the disease and emphasizes the importance of early detection before symptoms worsen.)
Clavicle Fractures. Clinical Picture, Diagnosis, Treatment
Bachelor Thesis from the year 2024 in the subject Medicine - Surgery, Accident Medicine, course: MBBS, language: English, abstract: The aim of the thesis is to investigate theoretical data (classification, epidemiology, symptoms, treatment, complications) in order to improve the knowledge and management of clavicle fracture and to analyze the clinical data of the patients with CFs treated in the Department of traumatology nr.1, Institute of Emergency Medicine, during the years 2019-2023. Clavicle fractures usually affect people under the age of 25, with children and young adults suffering from them the most frequently. The clavicle is a common area for injury due to its superficial placement, its thin midshaft, and the pressures transmitted across it. A hard fall with the arm at the side, which frequently happens during contact sports, is the most frequent mechanism of injury. The history and physical examination can frequently make a diagnosis, but suitable radiography should be done to confirm the diagnosis and provide treatment options. The majority of midshaft clavicle fractures can be managed nonoperatively. Children frequently have significant calluses, so parents may need assurance. Surgery is an option for fractures with a high risk of nonunion (e.g., displaced or comminuted fractures, fractures with more than 15 to 20 mm clavicle shortening). The relationship of the distal fracture to the coracoclavicular ligaments determines the likelihood of displacement.
From Personal Experience to Research Imperative
Heatwaves take a significant toll on human health. Beyond the immediate discomfort, they can cause heatstroke, heat exhaustion, and exacerbate pre-existing conditions like heart disease and respiratory problems. The elderly, young children, and those with chronic illnesses are particularly vulnerable. (Statistics): Research shows a clear correlation between heatwaves and increased mortality rates. A [insert relevant study here] found that a single heatwave can lead to a [insert statistic] rise in deaths, primarily among vulnerable populations. (Social Impact): The consequences extend beyond health. Heatwaves disrupt daily life, impacting productivity, straining infrastructure (increased demand for electricity for cooling), and exacerbating social inequalities. Those with limited access to air conditioning or proper housing are disproportionately affected. (Economic Impact): The economic implications are also severe. Heatwaves damage crops, disrupt supply chains, and negatively impact tourism. A [insert relevant report here] by the [insert relevant organization here] estimates the global cost of heatwaves in the billions of dollars.
Paving the Way for Better Care
Congenital heart disease (CHD) refers to structural abnormalities of the heart and major vessels present at birth. It is the most common birth defect worldwide, affecting roughly 1 in 100 newborns [1]. CHD encompasses a spectrum of malformations, ranging from mild septal defects to complex abnormalities requiring multiple surgeries. These defects can significantly impact a child's health and well-being, often necessitating lifelong medical management. Despite advancements in diagnosis and treatment, CHD remains a leading cause of infant mortality, particularly in low- and middle-income countries (LMICs) like South Africa. The World Health Organization (WHO) estimates that CHD contributes to nearly one million childhood deaths annually, with a disproportionate burden borne by LMICs [2].
Bronchopulmonary malformations in children
Bronchopulmonary malformations are rare, and their pathophysiologyremains controversial. Diagnosis is based on clinical, radiological and anatomopathological comparisons, and treatment, mainly surgical, is the subject of ongoing debate. Despite advances in antenatal ultrasound, the majority of MBPs remain diagnosed at the symptomatic stage, making management delayed and more complicated.The aim of this review was to determine the epidemiological, clinical, radiological, therapeutic and evolutionary profile of MBP.
