bluuebunny/crossref_metadata_2025 huggingface dataset:
Double Aortic Arch Presenting with Neonatal Respiratory Distress But not Due to Airway Obstruction: Anatomic and Embryologic Explanation
Authors: Duraiswamy Vinoth , Ramasamy Rajeshkumar , Sivakumar Kothandam
Published: September 2023

Double aortic arch resulting from embryonic persistence of bilateral fourth branchial arches often leads to neonatal stridor due to tracheal compression. Two neonates presented with dyspnea without evidence of tracheal compression. An aneurysmal ductal aneurysm from the left-sided arch in the first neonate led to symptoms. Spontaneous duct closure and regression of ductal aneurysm led to relief of symptoms. Second neonate had severe neonatal pulmonary hypertension due to aortic origin of left pulmonary artery (LPA) that was disconnected from main PA. Surgical reanastomosis of the LPA and division of the smaller right arch corrected the anatomy. These two associations show that airway obstruction alone is not the cause of respiratory symptoms in neonates with double aortic arch.
Speckle-Tracking Echocardiography to Assess Global and Regional Left Ventricular Function in Acute Myocardial Infarction
Authors: Aniyathodiyil Gopi , Bohra Sunil S. , Mottengar Anup , Govind Satish C.
Published: September 2023

Speckle tracking is a useful tool in assessing global & regional myocardial function in patients with acute myocardial infarction undergoing primary PCI. Global Longitudinal Strain (GLS) is a robust parameter to assess regional and global LV function. Global longitudinal strain helps in predicting short term outcomes in these patients and has shown to be better than ejection fraction, and as good as wall motion scoring, wall motion scoring index and myocardial performance index. A Lower global longitudinal strain parallels the rise in troponin T and CPKMB in acute myocardial infarction. Global longitudinal strain may have the potential to be an echocardiographic parameter which is useful in identifying multivessel disease. Assessment of regional myocardial function by speckle tracking echocardiography, particularly GLS, can be useful in ACS patients undergoing PCI in predicting short term recovery of the affected segments. Speckle tracking echocardiography can be used independent of the conventional markers to assess regional and global LV function.
Role of Stress Echocardiography in Mitral Valve Disease
Authors: Bansal Manish , Grewal Hardeep Kaur , Kasliwal Ravi R.
Published: September 2023

Echocardiography is pivotal in the evaluation and management of valvular heart disease. Conventionally, echocardiographic assessment of any valve disease is performed at rest. However, as valvular heart disease is a dynamic entity, evaluation only at rest is not sufficient to assess the true hemodynamic severity of the valve lesion. For this reason, stress echocardiography (SE) serves as a useful diagnostic modality. By permitting evaluation under hemodynamic stress, it provides incremental diagnostic and prognostic information which has significant therapeutic implications. Further, exercise SE also permits correlation of the symptoms with the severity of the underlying valve disease. This information is crucial as the development of symptoms is a Class I indication for intervention in valve disorders. These benefits coupled with the easy availability and safety of SE should lead to its more routine application in the management of the patients with valvular heart disease. The present review describes the technical aspects and the clinical utility of SE in the evaluation and management of mitral valve disease.
Estimation of Z-Scores of Cardiac Structures in Healthy Indian Pediatric Population
Authors: Trivedi Bhadra , Chokhandre Manish , Dhobe Poornima , Garekar Swati
Published: September 2023

Introduction:

Nomograms of pediatric cardiac structures are an effective tool to differentiate between normal and abnormal changes in dimensions of the heart. There is impending need for nomograms of Z-Scores of echocardiographic data derived from Indian children.

Objective:

The main objective of this study is to gather echocardiographic data from the healthy Indian pediatric population visiting the pediatric cardiology outpatient clinic and to derive the Z-Scores for various cardiac structures.

Materials and Methods:

All the echocardiographic studies from an eligible normal Indian population at a single centre were assessed. All the studies were performed on a single vendor echocardiography machine using weight appropriate neonatal, pediatric, and adult probes.

Statistical Analysis:

Body surface area (BSA) was used as an independent variable in a nonlinear regression analysis for the predicted mean value of each of the 19 echocardiographically measured structures.

Results:

The total number of children evaluated during the study period was 596, with age ranging from newborn to 16 years. The total parameters collected in the study were 8102. The correlation with Haycock's BSA and an individual parameter was found to be the most sensitive predictor of normal progression with age. Relationship of individual parameters with BSA was represented in the form of graphs.

Conclusion:

This study of normal Indian pediatric population is the largest Indian study to date. The regression formulae along with the graphs can be used to acquire the Z score of 19 individual echocardiographic parameters.
An Unusual Case of Right Atrial Mass
Authors: Krishnegowda Chetana , Ramalingam Rangaraj , Subramanyam K. , Palakshachar Anand , Cholenahally Manjunath Nanjappa , Moorthy Nagraj
Published: September 2023

Imaging modalities are invaluable noninvasive tools in identifying and diagnosing intracardiac masses. However, it is not always easy to differentiate one from the other. Here, we report an unusual case of right atrial mass in a 54-year-old man presenting with atypical chest pain, in whom despite the multimodal approach, the histopathology study was the one that gave us the definitive diagnosis.
Transverse Left Ventricular Band
Authors: Dubey Manoj Kumar , Mani Avinash , Dubey Punam , Ojha Vineeta
Published: September 2023

Left ventricular band has been considered a vestigial entity for quite a long time. Their incidence is quite common in our day to day practise but their real function is yet to be understood. We performed a case series of 5 patients with left ventricular band and studied the characteristics of the band along with their hemodynamic effects. The study showed that the characteristics of the band depend on the degree of left ventricular outflow obstruction and varies among people of different age groups. The ventricular band also play a role in sequestration of blood in the left ventricle and they are also involved in maintaining the geometry of the left ventricle in diseased conditions.
Giant Left Ventricular Cardiac Tumor in a Neonate
Authors: Chitra Narasimhan , Vijayalakshmi I. B. , Manjunath C. N.
Published: September 2023

Primary cardiac tumors in the fetuses and neonates are uncommon. The most common are rhabdomyomas. Echocardiography is the primary diagnostic tool for the detection of a cardiac tumor. We report a rare case of neonatal giant intracardiac left ventricular teratoma.
Echocardiographic Correlate of Subendocardial Myocardial Infarction
Authors: Mittal Sita Ram
Published: September 2023

Nontransmural (subendocardial) myocardial infarcts produce classical discomfort. Electrocardiograms usually show localized T wave inversions. Routine echocardiography usually does not show supportive regional wall motion abnormalities. Detailed echocardiography, however, reveals endocardial sear in the affected region. This echocardiographic finding supports the clinical diagnosis of myocardial infarction. We are reporting such eleven cases.
Basics of Tissue Doppler Revisited
Authors: Mittal Sita Ram
Published: September 2023

Tissue Doppler imaging (TDI) records velocities of myocardial tissue. Routinely longitudinal velocities of medial and lateral mitral annulus and lateral tricuspid annulus are evaluated in apical four chamber view. Commonly recorded waves include isovolumic contraction wave, systolic wave, isovolumic relaxation wave, early diastolic wave, and late diastolic wave. TDI is useful in detection of subclinical systolic dysfunction and early diastolic dysfunction. It is useful in differentiating athlete's heart from hypertrophic cardiomyopathy and pericardial constriction from restrictive cardiomyopathy.
Speckle Tracking as an Adjunctive Echocardiographic Technique for Differentiating Cardiac Amyloidosis from Hypertrophic Cardiomyopathy: A Case Study
Authors: Nandakumar Sandya , Chandrasekharan Rajiv , Vijayakumar Maniyal , Thachathodiyl Rajesh
Published: September 2023

Cardiac Amyloidosis (CA) often requires multiple diagnostic modalities with echocardiogram being the most important non-invasive method. Echocardiographic findings of left ventricular hypertrophy (LVH), impaired relaxation and dilated atrias can be seen in others forms of LVH like hypertrophic cardiomyopathy (HCM). Speckle tracking echocardiography (STE), is a relatively new advancement in echocardiography which makes it possible to assess the deformation of the left ventricle and can be utilized for differentiating CA from other forms of LVH. We demonstrate the incremental value provided by STE in distinguishing CA from HCM.
Indian Academy of Echocardiography Guidelines and Manual for Performance of Stress Echocardiography in Coronary Artery Disease
Authors: Burkule Nitin , Bansal Manish
Published: September 2023

Stress echocardiography is one of the most useful non-invasive diagnostic modalities for detection and evaluation of coronary artery disease (CAD). It is also very useful for assessment of cardiac response to hemodynamic stress in a variety of other cardiac and non-cardiac disorders. Given its cost-effectiveness, stress echocardiography is particularly suited for Indian scenario where the incidence of CAD is rising at an alarming rate and the astronomical expenditure required for its management is borne largely by the patients themselves. However, despite its unequivocal diagnostic value, stress echocardiography remains underutilized, particularly in India, due to the lack of adequate exposure and training in this modality. Unfortunately, while there is extensive literature available to document diagnostic accuracy of stress echocardiography, there are very few texts that actually describe how to perform stress echocardiography in real life. This Indian Academy of Echocardiography guideline document aims to fill this very void. This is a comprehensive 'how to do' document prepared with the objective of providing detailed description of the steps involved in performance and interpretation of stress echocardiography so that there is increased adoption of this important and clinically useful diagnostic modality in daily clinical practice. However, while stress echocardiography has several clinical applications, the present document is restricted to its main application, which is evaluation of CAD.
Demystifying Three-Dimensional Echocardiography: Keeping it Simple for the Sonographer
Authors: Kruse Eric John , Lang Roberto M.
Published: September 2023

Three-dimensional echocardiography (3DE) is a new echocardiographic tool that enables echocardiographers visualization of cardiac structures from any anatomical view. Furthermore, the recent development of new transducer technology and software allows the easy acquisition and analysis of datasets for sonographers. A few common applications of 3DE consist of the left and right ventricle for chamber quantification, mitral valve stenosis and regurgitation assessment, and the guidance of catheter placement during interventional procedures. Despite current literature illustrating the importance of 3DE, it fails to demonstrate how to acquire 3D datasets from the sonographer's perspective. Understanding 3DE data acquisition technique and applications are paramount to implement it as standard of care. Acquisition of 3DE should be accomplished in three steps (1) optimization, (2) acquisition, and (3) cropping of 3D images.
Machine Learning Algorithm for a Link Adaptation strategy in a Vehicular Ad hoc Network
Authors: Feukeu Etienne , Mbuyu Sumbwanyambe
Published: September 2023

Vehicular Ad Hoc Networks (VANETs) were created more than eighteen years ago with the aim of reducing accidents on public roads and saving lives. Achieving this goal depends on VANET mobiles exchanging Road State Information (RSI) with their surroundings and acting on the received RSI. Therefore, it is essential to ensure that transmitted messages are accurately received. This requires controlling the quality of the sharing medium or link while considering Channel State Information (CSI), which provides information on channel quality and Signal to Noise Ratio (SNR). The process of adjusting the payload based on the CSI is known as Link Adaptation (LA). While several LA works have been published in VANETs, few have considered the effect of relative node mobility. This work presents a link adaptation strategy for VANETs that uses a Neural Network (NN) and the Levenberg-Marquardt Algorithm (LMA). While accounting for Doppler Shift effect induced by the relative velocity, the simulation results demonstrate that the NN approach outperforms its peers by 77%, 115% and 853% in terms of the transmitted errors, model efficiency and throughput respectively, compared to Cte, ARF, and AMC algorithms.
Case Report: Outbreak of Nosocomial Myiasis by Cochliomyia macellaria (Diptera, Calliphoridae) in a Hospital in Colima, Mexico
Authors: Espinoza-Gómez Francisco , Rojas-Larios Fabian , Cruz-Sanchez Saulo , Rodriguez-Hernandez Alejandrina , Delgado-Enciso Iván
Published: September 2023

Myiasis in humans is a disease caused by larvae of various fly families. It mainly occurs in communities with poor sanitation and low socioeconomic status. Meanwhile intrahospital or nosocomial myiasis represents a rare phenomenon but is of relevance to public health. Here, we report an outbreak of myiasis caused by Cochliomyia macellaria in five patients hospitalized for several diseases at the Service of Internal Medicine of the Hospital Regional Universitario de Colima, Mexico during June and July 2021. Three patients were males and two were females, aged 37 to 83 years. All were affected by myiasis caused by larvae of the fly C. macellaria. Three patients underwent invasive mechanical ventilation; one had cutaneous basal cell cancer and one had advanced diabetic foot. This event occurred after 4 days of hospitalization and in the same hospital pavilion. Two patients died, and the others were discharged after treatment with antibiotics and ivermectin. We believe that this nosocomial cluster represents a more frequent phenomenon than reported in tropical countries, where authorities should pay attention to its timely detection, especially in vulnerable populations.
Scorpion Sting Envenomation, a Neglected Tropical Disease: A Nationwide Survey Exploring Perspectives and Attitudes of Resident Doctors from India
Authors: Kumar Akhilesh , Goyal Shilpi , Garg Mahendra K. , Gopalakrishnan Maya
Published: September 2023

Scorpion sting envenomation (SSE) is a commonly encountered and a significant problem in the tropics, affecting rural and marginalized communities. However, it is not formally listed as a neglected tropical disease (NTD) by the WHO. We designed this cross-sectional study to explore medical graduates’ and resident doctors’ perspectives on SSE as an NTD and to assess their experiences, knowledge, and confidence in managing these patients. An online questionnaire was developed, validated, and administered to interns and resident doctors across India. Adjusted odds ratios were calculated for factors predicting high self-reported confidence scores for managing scorpion stings using multivariable logistic regression. The final questionnaire contained 26 items including participant background, perspectives about SSE being an NTD, experiences, knowledge, and skills needed to manage, and prevent stings effectively. Of 454 participants, 69% opined that SSE was an NTD, and > 60% felt that SSE was inadequately addressed within undergraduate training. Predictors of high self-reported confidence scores in management competencies were residency in a clinical branch that commonly encountered SSE (internal/emergency medicine or pediatrics, P < 0.0001), having ever managed an SSE patient alone or as a part of a team (P < 0.0001), and attending a class or teaching session on SSE during undergraduate training (P = 0.048). Our results suggest that residents across India believe that there is an urgent need to declare SSE an NTD to increase its visibility, further paving the way for innovative multilevel cross-cutting solutions for mitigation. Designing authentic learning experiences can help produce competent and empathetic physicians in managing and preventing SSE.
Clinical, Gender, Socioeconomic Characteristics and Outcomes of Individuals Receiving Hepatitis B Treatment in Ethiopia: 18-Month Follow-Up
Authors: Tappata Manaswita , Farah Marina , Anugwom Chimaobi , Bisrat Eden , Seid Amir S. , Debes Jose D.
Published: September 2023

There is a lack of real-world data on hepatitis B (HBV) treatment in Africa. We conducted a single-center 18-month prospective cohort study in Ethiopia to understand clinical, laboratory, and demographic variables associated with HBV treatment. One hundred fifty HBV-positive patients were included: 51 on treatment, 99 with no treatment. Median age was similar between groups. Those on treatment were more likely to be male (86%), report higher coffee intake (90% versus 70%, P < 0.05), lower khat intake (0% versus 9%, P = 0.08), lower alcohol consumption (0% versus 5%, P = 0.1), and had attained higher levels of education (56% versus 42%, P = 0.19). Individuals on treatment had higher median aspartate aminotransferase (AST), alanine aminotransferase (ALT), HBV DNA, and median Aminotransferase-to-Platelet Ratio Index and Fibrosis-4 scores. At 6 and 12 months, those on treatment showed a decrease in median AST, ALT, and fibrosis scores and had less hepatocellular carcinoma development at 6 months (2% versus 4%). Our study highlights potential demographic disparities in HBV treatment as well as benefits in a real-life setting in Africa.
Identifying Predictors of Safe Food Handling Practices among Canadian Households with Children Under Eighteen Years
Authors:   University of Guelph, Obande David
Published: September 2023

Poor food handling practices at home are a common cause of foodborne illness. Children are more susceptible to foodborne illness than adults. Because children’s food safety depends on the safe food handling practices of parents and caregivers, this study aims to identify determinants of safe food handling practices among Canadian families with children under 18 years. Data for Canadian households with children (n = 294) were extracted from a larger telephone survey conducted across all Canadian provinces and territories between 2014 and 2015. Four food safety practice outcomes and six demographic variables were examined using multivariable logistics regression. Most survey participants were females (56%) who had less than a bachelor’s degree (67%) and were caring for one child (55%). Approximately 90% of caregivers reported proper hand hygiene, and 79% refrigerated leftovers within 2 h of cooking. Only 33% of caregivers reported preventing cross-contamination, and fewer reported using food thermometers for poultry cuts (13%) and hamburgers (11%). Those in the higher income and education categories were less likely to follow safe food handling practices such as hand hygiene and safe refrigeration of leftovers. This research highlights the need for food safety interventions that target Canadian families with children within certain demographic groups.
Editorial (Vol 15, Trimestre 1, 2012)
Authors: Gómez Gutiérrez Ana Yolanda
Published: September 2023

Existe cierta dificultad en caminar por zonas pantanosas. Cuando además sus orillas están llenas de cocodrilos se complica el asunto Esta situación tiene ciertas similitudes con el desarrollo de la profesión Enfermera y de las profesiones sanitarias en este ámbito social incierto y en la tormenta emocional y social que se abate sobre nuestra sociedad. La Enfermería Nefrológica no puede permanecer ajena a ello y sin embargo resulta necesario encontrar un espacio sereno que permita la reflexión y el desarrollo de la excelencia de los cuidados que ha costado tiempo, ilusión, conocimiento y esperanza conseguir. Cuando aumenta la presión asistencial, los recortes de personal, disminuyen los presupuestos para formación y se ignoran los avances científicos, la inercia puede llevarnos a mirar hacia otro lado. Y buscar algún culpable. O mejor, alguien que venga y lo arregle. Hay otras opciones. Se me ocurre mirarme al espejo. Y preguntarme, como el estratega, que puedo hacer yo. Qué puedo hacer para no instalarme en la queja, en la resignación, en la desesperanza. Y como Enfermera, reivindico nuestro derecho a ilusionarnos, a atrevernos, a persistir, a ser osadas y prudentes, a venir a trabajar con pasión y con ganas, hoy y todas las mañanas, solo porque así lo decidimos.
Editorial (Vol 15, Trimestre 4, 2012)
Authors: Rollán de la Sota Mª Jesús
Published: September 2023

Si cada año esperamos con ilusión nuestra cita anual, la de este Congreso era aún más especial. Pese a la adversidad consideramos que nuestra Sociedad Científica ha salido victoriosa del reto que supuso nuestra XXXVII reunión: 146 trabajos presentados y el completo Programa nos hacían presentir seria un congreso tan provechoso como siempre. A pesar de los contratiempos, no debíamos dejar pasar la oportunidad de reunirnos y elegimos con esmero y especial cariño, el lema del Congreso: Cuidado, Calidad y Compromiso, porque estos términos definen perfectamente lo que la Enfermería Nefrológica ofrece a la Sociedad y sirven también para describir la magnífica labor llevada a cabo por del Comité organizador. Enhorabuena. Y porque cada uno de los trabajos de investigación que ha sido presentado da muestra de ese cuidado calidad y compromiso y nos han enriquecido a todos en estas jornadas, dando testimonio de dedicación, creatividad, mucha ilusión; y cada vez más técnica, tanto en la metodología de investigación como en su exposición temática posterior.
Editorial (Vol 16, Trimestre 2, 2013)
Authors: Rollán de la Sota Mª Jesús
Published: September 2023

Hace muy pocos días, en un rincón maravilloso de nuestra geografía reflexionaba con unos buenos amigos sobre el futuro de la Enfermería Nefrológica. Y barajábamos varias opciones, todas ellas a mi juicio razonables. Pero en este momento, es la esperanza la que guía mis palabras más que la lógica, como os daréis cuenta a continuación. La visión de lo que nuestra profesión será en los próximos años debería incluir en este futuro esperanzador. Conocer bien los orígenes de la Enfermería Nefrológica para permitirnos avanzar con paso firme, porque quien olvida sus orígenes a menudo deberá ver como otros se los recuerdan. Desde aquí nuestro agradecimiento a todos aquellos que nos han precedido en el cuidado de los enfermos renales, y han permitido avanzar a nuestra profesión a través de épocas difíciles. Reconocer que el eje central de la Enfermería Nefrológica no son los monitores, la farmacología o la técnica como entes aislados, sino entendidos al servicio de un fin esencial: El cuidado integral de las personas afectas de enfermedad renal y de sus familias. Sin olvidar la profilaxis de la enfermedad y la detección precoz de la misma, evitando la aparición de patologías coadyuvantes que deterioran aún más la vida y las expectativas de nuestros pacientes.
Eventos infecciosos en pacientes en hemodiálisis
Authors: Andreu-Periz Dolores , Hidalgo-Blanco Miguel Ángel , Moreno-Arroyo Mª Carmen
Published: September 2023

Los pacientes sometidos a hemodiálisis periódica presentan una inmunidad deprimida con mayor susceptibilidad a contraer infecciones. Esta vulnerabilidad se incrementa por la necesidad de acceder a su torrente circulatorio y los intervalos de circulación extracorpórea, lo que puede facilitar la infección por microorganismo. Las infecciones, solo precedidas por los eventos cardiovasculares, representan en los pacientes en hemodiálisis la segunda causa de muerte, con una mortalidad atribuible del 14%, siendo las infecciones de los accesos vasculares la primera causa de bacteriemia1-3. Es imprescindible una vigilancia epidemiológica de los eventos infecciosos y de las resistencias antibióticas de estos pacientes para implementar planes de mejora que incluyan actividades de prevención y control. Los Centers for Disease and Controlde los Estados Unidos, desde 1999 llevan a cabo un sistema de vigilancia epidemiológica en hemodiálisis conocido como Dialysis Surveillance Network. Más recientemente, se ha creado el National Healthcare Safety Network con similares objetivos. En Europa existen sistemas multicéntricos que han publicado guías, indicadores y recomendaciones destinadas a minimizar el impacto de las infecciones en el paciente renal. El tipo de acceso vascular influye directamente en el riesgo de presentar episodios infecciosos y representa el factor de riesgo más importante en el desarrollo para bacteriemias e infecciones; es de menor riesgo en las fístulas arteriovenosas, seguidas de las prótesis endovasculares, los catéteres tunelizados y los catéteres no tunelizados2. Aunque ciertos factores de riesgo, como las transfusiones o los trasplantes, pueden ser responsables de la infección por virus en los pacientes con enfermedad renal crónica, diversas evidencias indican que puede producirse una transmisión entre pacientes por contacto físico con las superficies externas del equipo de diálisis, de forma directa o a través de las manos del personal que lo manipula2. Entre todos los gérmenes destacan los virus transmitidos por la sangre humana, en particular, los virus de la hepatitis B y de la hepatitis C1. Respecto al tratamiento para combatir a los gérmenes se hace evidente la necesidad de ajustar las dosis y evitar las resistencias a los mismos. En infecciones agudas como las respiratorias, un tratamiento empírico con vancomicina sin cultivo previo suele ser de elección por su efectividad y tolerancia, aunque el uso de otros fármacos es motivo de constante investigación.
Editorial (Vol 18, Trimestre 3, 2015)
Authors: Rollán de la Sota Mª Jesús
Published: September 2023

Queridos amigos: Como Presidenta de la Sociedad Española de Enfermería Nefrológica es un placer invitaros al Congreso Nacional que este año tendrá lugar en Valencia durante los días 6,7 y 8 de octubre. Cada año, el Congreso de la SEDEN da testimonio del compromiso profesional y personal de todos nosotros y permite demostrar la unidad de la profesión, el deseo de mejorar las técnicas y ampliar los conocimientos. Este año, además será el sexto y último en el que tengo el honor de presidir la Sociedad junto con mis compañeras de Junta y deseo manifestar que ha sido una experiencia extraordinaria. Pero... es tiempo de nuestro relevo. Todos los proyectos tienen un tiempo de vigencia y ha llegado el momento que un nuevo equipo se incorpore a la SEDEN; es saludable para nuestra Sociedad y ayuda a su progreso. Para que las Sociedades y las profesiones prosperen es necesario entusiasmo, dedicación e ilusión y es una satisfacción saber que contamos con un nuevo equipo, libre, responsable, capaz de tomar decisiones y de asumir consecuencias, que afronte proyectos los cuales enriquezcan a la Sociedad. No estarán solos desde luego, siempre ha habido y habrá, un importante grupo de colaboradores que sentimos la SEDEN como algo nuestro y que no solo han cooperado en las empresas que se han ido desarrollando a lo largo de estos años, sino que su aportación ha sido mas importante, ha conformado un grupo de opinión fundamental, con mucho peso especifico.
Editorial (Vol 18, Trimestre 4, 2015)
Authors: Rollán de la Sota Mª Jesús , Machí Portalés Mª Milagro , Brázalez Tejerina Mónica , Crehuet Rodríguez Isabel
Published: September 2023

Queridos amigos: Cuando hace unos años depositasteis en nosotros vuestra confianza para que asumiéramos la dirección de la SEDEN, ya os expresamos nuestros sentimientos de reconocimiento y respeto hacia todos los que nos precedieron en esta institución, a los fundadores, juntas directivas, vocales, y a todos y cada uno de vosotros, los SOCIOS por las innumerables muestras de cariño y apoyo que recibimos desde que comenzó este proyecto. Una vez pasado nuestro último Congreso comenzamos a recordar a todas aquellas personas que hemos conocido durante estos seis años, gente maravillosa que con su participación y confianza han sido "la esencia esencial" que nos ha permitido llegar tan lejos. No hemos estado solos, hemos tenido a nuestro lado a excelentes profesionales, en primera línea a todos nuestros vocales, ha resultado muy fácil trabajar junto a ellos y nos sentimos muy orgullosas de su entrega y compromiso. El equipo de la revista ENFERMERÍA NEFROLÓGICA, nuestro grupo de profesores, ponentes, moderadores, evaluadores y por supuesto nuestro personal administrativo, Ana María, Julia y Raúl; que son los auténticos guardianes de la SEDEN y de cada uno de sus socios: siempre están ahí, conocen íntimamente la estructura y son el alma de nuestra Sociedad. Sin ellos nada de todo esto hubiera sido posible. Como veis un gran equipo y además grandes personas, nunca hubiéramos podido dirigir esta Sociedad sin su colaboración.
Declaración de Sant Joan d’Alacant en defensa del Acceso Abierto a las publicaciones científicas del grupo de editores de revistas españolas sobre ciencias de la salud (GERECS)
Authors: Editorial Comité
Published: September 2023

El concepto de Acceso Abierto (Open Access, OA) no sólo tiene que ver con la accesibilidad al documento científico, sino también con los permisos de reutilización más o menos restrictivos en función de los derechos reservados para su distribución. A partir de esta idea, surgieron numerosas iniciativas, con o sin ánimo de lucro, con el fin de facilitar el acceso universal a través de internet a las publicaciones científicas.
Diagnósticos de enfermería en pacientes portadores de catéteres venosos centrales transitorios para el tratamiento de hemodiálisis
Authors: Sierra Díaz Rubén , Mendías Benítez Cristina
Published: September 2023

Actualmente, sigue siendo frecuente la utilización de catéteres venosos centrales no tunelizados (CVNT) como acceso vascular para la hemodiálisis1. En general se suelen indicar a pacientes que necesitan iniciar el tratamiento con carácter de urgencias2 y en ocasiones sin haber acudido a una consulta de Enfermedad Renal Crónica avanzada, por lo que desconocen las consecuencias que implica ser portador de un catéter. Los cuidados enfermeros a estos pacientes deben contemplar una visión holística de la persona al amparo de un modelo conceptual y es útil la utilización de la taxonomía NANDA/NIC/NOC que permite ordenar y clasificar los Diagnósticos de Enfermería (DdE) y estandarizar los registros de enfermería que además de guiar en el Proceso Enfermero hacia los resultados e intervenciones, ayudan al desarrollo de la disciplina y de la profesión enfermera3.
Aspectos anatomopatológicos do quimiodectoma maligno em um cão
Authors: Lima Joana Cristina Smaha de Jesus , Montagnini Karim Cristhine Pase , Goulart Juliana das Chagas , Berón Marina Maurente , Viott Aline de Marco
Published: September 2023

O objetivo do presente caso é relatar os aspectos anatomopatológicos de um quimiodectoma em um canino diagnosticado pelo Laboratório de Patologia Veterinária (LPV) da Universidade Federal do Paraná (UFPR), Setor Palotina. Os quimiodectomas são tumores localizados na base do coração oriundos de corpos aórticos, quimiorreceptores respiratórios situados próximos ou no interior do arco aórtico, e/ou receptores situados nas artérias carótidas. Foi enviado para o exame necroscópico no LPV da UFPR, Setor Palotina, um canino, macho, boxer, com 12 anos de idade, apresentando histórico de morte súbita e sem nenhuma manifestação clínica anteriormente. Macroscopicamente, observou-se, no átrio direito, uma massa firme, de superfície irregular, enegrecida com áreas multifocais a coalescente esbranquiçadas, envolvendo a artéria pulmonar e a aorta. Ao corte, era macia, enegrecida com múltiplas áreas esbranquiçadas. Não havia invasão intraluminal, porém estava estenosando as artérias pulmonar e aórtica. Microscopicamente, observou-se proliferação de células neoplásicas neuroendócrinas bem demarcadas, altamente celular, de crescimento expansivo e encapsulada, não invadindo a parede do átrio, aorta e artéria pulmonar. Assim, conclui-se o diagnóstico de quimiodectoma maligno devido à presença de êmbolos neoplásicos. Acredita-se que as raças braquicefálicas apresentam maior predisposição a desenvolver esse tipo de neoplasia. Desta forma, os quimiodectomas, os quais podem apresentar-se como assintomáticos, são raros na sua forma maligna e o diagnóstico muitas vezes apenas é confirmado por meio de necropsia, seguido de análise histopatológica.
Phone Use, Offline Neglect, and Reachability: A Qualitative Study in Denmark, Lithuania, and Spain
Authors: Schilhab Theresa , Esbensen Gertrud , Levratto Valeria , Suminas Andrius
Published: September 2023

The use of smart technology (ST) has dramatically increased in recent years, with smartphones and tablets affording use in all locations and for innumerable purposes. Consequently, we relate differently to our surroundings – a condition we refer to as 'offline neglect'. This paper reports the results of a qualitative, small-scale project investigating how informants from three European capital cities, Vilnius, Lithuania, Madrid, Spain, and Copenhagen, Denmark, perceive the changes associated with ST-induced offline neglect in the daily navigation of their physical and social environments. Our informants were generally quite verbose about the unwanted side effects of excessive phone use, especially on social relations. Nevertheless, most informants reported experiencing trouble with limiting their ST use although they did point to avoidance strategies. Based on our data, we introduce and discuss the concept of 'reachability' as crucial to understanding the effects of ST use on the social environment.
Humanistic Sociology of Migrations – 100 Years Later
Authors: Misheva Mihaela
Published: September 2023

This research examines migration processes and refugee issues from the perspective of interpretive sociology. It aims to modernize Florian Znaniecki's classic paradigm in light of current migration events. Specifically, the focus is on the sociological monograph titled "The Polish Peasant in Europe and America," both empirically and theoretically. The main thesis asserts the need for a comprehensive theoretical and methodological framework for the study of migration and its associated problems. Given the extensive scope of these phenomena and their direct impact on various social spheres, the research argues for incorporating the "humanistic coefficient" proposed by Florian Znaniecki into the theoretical framework. In this context, the "humanistic coefficient" is applied to refugee problems and contemporary research materials using the biographic method. The research was presented at the Annual Scientific Conference of the Bulgarian Sociological Association in 2022.
Diálogo sobre os conhecimentos aritméticos contidos na manipulação das duas réguas para cálculo de William Oughtred
Authors: Lima Amanda Cardoso Benicio de , Soares Kawoana da Costa , Pereira Ana Carolina Costa
Published: September 2023

Esse artigo apresenta o processo multiplicativo envolvendo as duas réguas para cálculo de William Oughtred (1574-1660), publicada em 1639 na The Declaration of The Two Rulers for Calculations, uma adição ao tratado The Circles of Proportion and the Horizontall Instrvment. Para isso, utilizamos uma abordagem metodológica da pesquisa documental, buscando em fontes primárias e secundárias. Dessa forma, podemos perceber que a operação de multiplicação realizada pelo aparato pode desenvolver no docente em formação inicial e continuada conceitos relacionados à proporcionalidade, ordem e classe do sistema decimal e propriedade dos logaritmos, trazendo um significado prático a uma matemática escolar já sedimentada historicamente.
CONCEPTUAL STUDY OF RASAYAN CHURNA IN MANAGEMENT OF STRESS W.R.T. RASAVAHA STROTAS
Authors: Kale Girish , Mhatre Ashish
Published: September 2023

Background: Stress is a fairly universal element of the modern human experience, and while some stress is appropriate, even productive, we now know that too much stress can be quite harmful, and can compromise our
health physically, mentally, and emotionally. The body should be well protected by taking appropriate care of diet
and sleep. In Charak Samhita we had studied that inappropriate sleep can affect manovaha stotas and diet can
cuase aruchi, ashradha, angamarda which are signs of Rasvaha strotas dushti. Rasayan churna contents of Amalaki, Guduchi & Gokshur and these having properties of rasayana. Objective: The objective of study was to study
of rasayan churna in management of stress w.r.t to rasavaha strotas. Material& Methods: Ayurvedic literatures
are used in the study various online journals used. Conclusion: The disease in which chronic and oxidative stress
are implicated in the aetiopathogenesis, there is a logical place for rasayana in their management.
HARMONY IN HEALING: EXPLORING THE SYNERGY OF AYURVEDA AND WESTERN MEDICINE IN MANAGING DIABETES
Authors: Rani Pooja , Kumar Mishra Pramod , Sharma Brahmanand , Meena Julee
Published: September 2023

Diabetes mellitus is a prevalent and chronic medical condition affecting millions worldwide. The management of
diabetes necessitates a comprehensive and multifaceted approach to control blood sugar levels, prevent complications, and enhance overall well-being. In recent years, there has been growing interest in the integration of traditional healing systems, such as Ayurveda, with modern Western medicine to address the complexities of diabetes.
This article explores the potential synergy between Ayurveda and Western medicine in the management of diabetes. It delves into the fundamental principles of Ayurveda, which emphasize personalized treatment, holistic approaches, and lifestyle modifications. Additionally, the article discusses the evidence supporting the efficacy of
Ayurvedic practices and medicinal herbs in diabetes management, while acknowledging the vital role of Western
medicine in the treatment of diabetes through pharmaceutical interventions and advanced technologies. The integration of Ayurveda and Western medicine may offer a promising avenue for enhanced patient outcomes, improved quality of life, and a more holistic approach to tackling the challenges posed by diabetes. By understanding the strengths and limitations of each system, healthcare practitioners and patients alike can collaboratively
navigate the diverse therapeutic options available, leading to more effective and personalized diabetes care.
UNLOCKING THE ANCIENT WISDOM: AYURVEDIC SECRETS FOR MANAGING
SANDHI VATA (OSTEOARTHRITIS)
Authors: Meena Julee , Kumar Mishra Pramod , Sharma Indu , Rani Pooja
Published: September 2023

Discover the fascinating world of Ayurveda as we delve into its age-old wisdom for managing (Sandhivata),
commonly known as osteoarthritis. This ancient Indian system of medicine offers holistic approaches to address
the root cause of joint degeneration and promote overall well-being. Through a careful balance of Vata Dosha,
detoxification therapies, herbal remedies, yoga, and lifestyle modifications, Ayurveda provides a comprehensive
and natural way to alleviate joint pain, reduce inflammation, and enhance joint health. Join us on a journey to unlock the hidden secrets of Ayurveda and uncover its potential in managing Sandhivata, offering a ray of hope to
those seeking effective and sustainable solutions for this debilitating condition.
ETIOPATHOGENESIS OF STROTAS INVOLVED AND AYURVEDIC APPROACH IN
THE MANAGEMENT OF POLYCYSTIC OVARIAN SYNDROME (PCOS): A CONCEPTUAL STUDY.
Authors: Mohan Singh Harsha , Sathe Aishwarya , R.Singh Pooja
Published: September 2023

Polycystic Ovarian Syndrome (PCOS) is one of the most common metabolic and reproductive disorders found
among 6-10% women population being in their reproductive age. The incidence of PCOS increases day by day
due to the adverse effect of lifestyle of current scenario. The modern lifestyle imparting physical and mental stress
causes pathological events like PCOS. The disorder involves Vata and Kapha Doshas along with Rasavahastrotas, Raktavahastrotas, Manavahastrotas and Artavahastrotas which eventually manifests features such as Anarthava, Vadhyathwa, Pushpagni, Abeeja Rituchakara along with Meda, Mansa and Rakta Dhatus. Modern management of PCOS is mainly targeted to correct biochemical abnormalities. Therefore, Ayurvedic formulations and
methods from various Ayurvedic texts can be a better option for the definitive cure of PCOS. Hence an approach
has been made to evaluate and understand the involvement of various Strotas and methods to approach the management of PCOS through Ayurveda.
ALOPECIA AND ITS AYURVEDIC MANAGEMENT: A CASE REPORT
Authors: Gayatri G Anita
Published: September 2023

Alopecia areata is a common autoimmune disorder that often results in unpredictable hair loss. The most common
form of Alopecia treatment is the use of corticosteroids, powerful anti-inflammatory drugs that can suppress the
immune system. Long term use of oral steroids is fraught with undesirable side effects. In Ayurveda, Alopecia
can be correlated with Indralupta. The present case is about a 7-year-old girl who was diagnosed with Alopecia
areata, was treated on lines of Kshudra kushtha roga chikitsa (skin diseases) and Aama janya vyaadhi chikitsa
(Auto immune diseases) successfully.
A SINGLE CASE STUDY ON VICHARCHIKA WSR TO ATOPIC ECZEMA
Authors: Rashmi Temani , keshwa Komal
Published: September 2023

Skin diseases are a big problem now a days. Jangam Pradesh like Rajasthan has so many patients with skin disease. In ayurveda, Vicharchika comes under kshudra kustha i.e., included in 18 types of kustha. As we know two
types of kustharoga occur, Mahakustha and Kshudrakustha. These two types again divide into seven and eleven
types respectively. In modern science, vicharchika is called eczema. Eczema is a form of dermatitis where inflammation of the dermis occurs. It is also known as atopic dermatitis which is characterized by itchy inflammation of the skin. Modern science has no effective treatment for it, they are using steroids in the treatment of eczema which has many side effects. That leads to recurrence is common. Ayurveda treats it with shodhan and saman
therapy that effects Tridosh -shaamakata.
MANAGEMENT OF AMOEBIC LIVER ABSCESS IN AYURVEDA: A CASE REPORT
Authors: Kumar Sumit , Kumari Ragini , Kumar Dharmendra , Chandra Pathak Prabhas
Published: September 2023

Liver abscesses are purulent collections in the liver parenchyma that result from bacterial, fungal, or parasitic infection. Antibiotics, percutaneous drainage and surgery are the only therapeutic solution for this condition. A 38-
year young gentleman diagnosed with multiple Amoebic liver abscesses visited at Government Ayurvedic college
and Hospital. He came with complaints of Jaundice, fever, pain in the abdomen and USG of abdomen showed
multiple Liver Abscesses. In this case of liver abscess, after getting informed consent the patient was given an
Ayurvedic treatment for 30 days without any Allopathic medicine or any invasive technique. Patient was given
Panchtiktghrita guggul, Arogyavardhini vati, Agnitundi vati, Vidang churna etc. There was a significant reduction
noted in the symptoms of Abscess. At the end of treatment, USG examination revealed there was no focal defect
or lesion in the liver and haematological parameters were found within the reference range. There were no clinically significant adverse reactions noted in the duration of treatment. The results of this study indicate the clinical
efficacy of Ayurvedic treatment in the management of liver abscess and patient gave highly satisfactory response
after his treatment. The treatment outcomes in the present case indicate that classical Ayurvedic measures may be
helpful to the patients of a liver abscess.
AYURVEDIC MANAGEMENT OF TENSION TYPE HEADACHE (VATAJ SHIRAHSHOOLA): A CASE STUDY
Authors: Gori Dimple , J. Tiwari Virendranath
Published: September 2023

Purpose: Tension Type Headache is the common type of headache, it may last for few days to few weeks, generally seen in patients with stress and psychological conditions. Patient came in OPD with complaints of pain &
feeling of tight band around head, pain in eyes, pain in back of head & neck, pain rises in evening, as sign &
symptoms and cause of Tension Type Headache resembles with Vataj Shirahshoola. In the era of stress & tension
recurrency is commonly seen. The present case highlights the ayurvedic management in reducing the episodes of
headache & recurrency with Panchakarma procedure and dietary and lifestyle adoption.
Method: The present case study deals with 32-year-old female patient having complaints of pain & feeling of tight
band around head, pain in eyes, pain in back of head & neck, pain rises in evening, symptoms increase with stress.
She was clinically diagnosed with Vataj Shirahshoola (Tension Type Headache). Patient was treated with Nasya
Karma along with Shamana Chikitsa and advised for dietary and lifestyle adoption.
Result: Panchakarma along with Shamana & Ahar-Vihar adoption showed significant results in the patient.
Conclusion: Tension Type Headache can be managed with Ayurvedic Chikitsa (Panchakarma + Shamana). With
Nidan Parivarjana & Ahar-Viharaj adoption we can reduce the recurrency of episodes
THREE CASES OF FEMALE INFERTILITY WITH DIFFERENT CAUSES - IS UTTAR BASTI REALLY EFFECTIVE?
Authors: Pandey Piyusha
Published: September 2023

Introduction- Number of cases of female infertility are increasing day by day in gynae OPD and to treat infertility
with 100% efficacy without any side effects has become very challenging for every gynaecologist. Many causes
are responsible for female infertility in which 25-35% cases are related with tubal factor and 30-40% cases are
related with ovulatory dysfunction and so on …
Aim/Objective- To evaluate the efficacy of Uttar Basti and Pratimarsh Nasya in female infertility.
To assess the conceiving rate during trial and follow up. Methodology- Conceptual Study and Clinical Study. Result- We present 3 cases of female infertility (one related to tubal factor second related to tubal factor and ovulatory dysfunction and third one related to tubal factor including uterine fibroid with anovulation) with treatment outcomes. Discussion- And the discussion arises here, Is Uttar Basti as effective as we think and how does it work.
Procedure explained in Ayurveda like Uttar Basti and Pratimarsh Nasya are found to be highly efficient in curing
local and systemic factor responsible for female infertility as per research done. These therapies collaboratively
have capability to change the scenario and can be proved as boom in the field of Ayurveda in curing female infertility. With these prospectives in mind, we designed a combined treatment plan to cure female infertility.