bluuebunny/crossref_metadata_2025 huggingface dataset:
Reconsidering knowledge production and inclusion/exclusion in dance communities
Authors: Kunej Rebeka , R. David Ann
Published: August 2024

This volume contains the final selection of papers presented at the 32nd Symposium of the ICTM Study Group on Ethnochoreology, the leading conference series in the field of ethnochoreology, dance anthropology and related disciplines, held in Brežice, Slovenia, from 25 July to 5 August 2022. The papers presented at the Symposium and included in the Proceedings address two key themes: reconsidering knowledge production in dance research; and inclusion/exclusion in dance communities. Additionally, a separate section is dedicated to posters presented at the Symposium, while an appendix offers insights into the event's embodied experience, even though the event was experienced by some only online.
This volume comprises 49 contributions from 53 authors and is issued by the International Council for Traditions of Music and Dance (ICTMD) and the Institute of Ethnomusicology Research Centre of the Slovenian Academy of Sciences and Arts (ZRC SAZU).
The Researches on Knowledge Distance and Its Relative Extensions
Authors: Wang Baoli
Published: August 2024

All knowledge in the universe constructs a metric space, and the properties of knowledge distance are studied. Moreover, the knowledge distance was used to measure the rough entropy of knowledge. The concept of relative knowledge distance is based on the principle of relative cognition to embody the difficulty of transforming cognition between two knowledge under reference knowledge. It proved that the relative knowledge distance is monotonous with the refinement of reference knowledge granularity. In the experiment, the structural characteristics of relative knowledge distance in hierarchical clustering are visually analyzed. The feature selection algorithm based on relative knowledge distance is designed to simulate the process of human conditional cognition, which clarified that due to different cognitive perspectives and cognitive paths, relative knowledge distance has shown different cognitive characteristics such as enhancement, maintenance, and weakening in problem-solving.
DAIRI-R: Introduzione al mondo del biobanking e alle sue tematiche. Presentazione della rete di biobanche piemontesi
Authors: Rete Biobanche Regione Piemonte Gruppo di Lavoro
Published: August 2024

Questo Quaderno, frutto dell’impegno del Gruppo di Lavoro “Rete Biobanche Regione Piemonte”, fornisce un’importante introduzione al mondo del biobanking e alle tematiche annesse, e include la presentazione di ogni singola biobanca facente parte della rete regionale, facendo così conoscere l’importante valore che rappresentano.
Smartphone-based 12-lead electrocardiogram monitoring in an elderly patient with multimorbidity: A case report of comprehensive cardiac assessment using the Spandan device
Authors: Singh Yogendra , Pandey C. B. , Chandola Nitin , Agarwal Deeksha
Published: August 2024

The advent of mobile health (mHealth) technologies, particularly smartphone-based 12-lead electrocardiogram (ECG) devices, has revolutionized cardiac care. This case report highlights the utility of the Spandan ECG device in managing an 84-year-old female patient with a complex medical history of hypertension (HTN), left ventricular hypertrophy, hypothyroidism, osteoarthritis, dyslipidemia, and obstructive sleep apnea. The patient, diagnosed with systemic HTN in 1992 and hypothyroidism in 2002, experienced a decline in mobility due to knee pain and was later diagnosed with bilateral osteoarthritis. Over the years, she developed additional comorbidities including hyperuricemia and dyslipidemia. On several occasions, fluctuating blood pressure and cardiac symptoms led to multiple hospital visits. Comprehensive diagnostic evaluations revealed significant cardiac conditions including right bundle branch block, sinus bradycardia, atrial fibrillation, and diastolic dysfunction. The use of the Spandan 12-lead ECG device facilitated the early detection of these abnormalities, enabling timely interventions. This case underscores the value of smartphone-based ECG devices in providing continuous cardiac monitoring and early diagnosis, particularly for elderly patients with multiple comorbidities. The Spandan device’s portability and ease of use allowed for effective point-of-care diagnostics, leading to proactive management and improved patient outcomes. The ability to perform ECGs at home and during medical consultations ensured that the critical changes in the patient’s cardiac status were promptly identified and addressed. The integration of the Spandan smartphone-based 12-lead ECG device into the patient’s care regimen proved instrumental in managing her complex cardiac conditions. This case highlights the potential of mHealth ECG technologies to enhance point-of-care diagnostics and promote patient-centered care, particularly for elderly individuals with multiple comorbidities. The widespread adoption of such technologies could significantly improve cardiovascular health outcomes and quality of life for patients with similar profiles.
Predominance of Cephalic Presentation at Birth: An Oxygen Delivery-Based Concept
Authors: Wong Hsui Yang , Chan Yoo Kuen
Published: August 2024

Background:

Fetuses closer to term present predominantly as cephalic, and by the time of delivery 96-97% of them are born headfirst. To date, no coherent hypothesis has been put forth to explain the phenomenon.

Observation:

As pregnancy advances, there is a progressive increase in cephalic presentation; by 25 weeks, 60% are cephalic, at 35 weeks 90% cephalic and at term only less than 3-4% remain breech.

Hypothesis:

Oxygen delivery to the fetus comes from the environment through the parturient and it must traverse a very long passage to get to the fetal tissues making oxygen delivery a very precarious process. The fetus develops several compensatory mechanisms to enhance the delivery of oxygen—higher hemoglobin level, hemoglobin with greater affinity for oxygen, the double Bohr phenomenon to improve the diffusion of oxygen from the parturient and lastly redesign of the fetal circulation to increase flow to the brain whilst in the state of near chronic hypoxia whilst in utero. The better flow of blood to the head and therefore more oxygen to the brain makes this organ the densest causing it to progressively present cephalic as pregnancy advances.

Implications:

The hypothesis aligns well with not only the observed progressive cephalic phenomenon but also the long-term subtle cognitive deficits and neurological sequelae observed in several studies of those born breech.

Conclusion:

Cephalic presentation at birth is driven by better blood flow to the brain as another compensatory mechanism to cope with hypoxia.
A Comparative Study of Intrathecal 0.5% Hyperbaric Bupivacaine and Intrathecal 0.75% Hyperbaric Ropivacaine in Elective Lower Segment Cesarean Section
Authors: Shirpurkar Rajat M. , Kokate Minal V. , Deshpande Nandini A. , Tambakhe Mayuri G. , Borkar Vijaya P.
Published: August 2024

Aim:

To evaluate and compare the efficacy and safety of intrathecal 0.5% hyperbaric bupivacaine and intrathecal 0.75% hyperbaric ropivacaine in patients posted for elective lower segment cesarean section (LSCS) under spinal anesthesia.

Objective:

The objective of this study was to compare intrathecal 0.5% hyperbaric bupivacaine and intrathecal 0.75% hyperbaric ropivacaine in patients posted for elective LSCS under spinal anesthesia with respect to the onset and duration of sensory block, onset and duration of motor block, hemodynamic parameters, and adverse effects.

Material and Methods:

Patients with ASA physical status II of age ranging from 18 to 35 years were included in the study. Patients were randomized into two groups using a sealed envelope technique. A) Group B (n = 30); 10 mg 0.5% (2 mL) bupivacaine + Inj. buprenorphine (60 µg). B) Group R (n = 30); 15 mg 0.75% (2 mL) ropivacaine + Inj. buprenorphine (60 µg). Hemodynamic parameters, onset and duration of sensory, and motor blockade, level achieved, and side effects were compared between the two groups. Qualitative data were analyzed by Chi-square test and quantitative data were analyzed by independent sample t-test.

Results:

None of the patients in either group dropped out of the study. At the beginning of the study, patients’ demographic characteristics, hemodynamic parameters, time of onset of sensory and motor blockade, postoperative pain relief, and side effect profile were comparable between the two groups. However, 0.75% hyperbaric ropivacaine can serve as an efficacious alternative to the conventional 0.5% hyperbaric bupivacaine for patients undergoing elective cesarean section, as it produces a similar quality of block with faster attainment of desired sensory levels and early recovery from the motor blockade, thereby allowing early ambulation.

Conclusion:

Considering its comparable duration of sensory blockade, stable hemodynamics, and postoperative analgesia, along with a shorter duration of motor blockade, the use of 0.75% hyperbaric ropivacaine can be considered a safe and effective alternative to bupivacaine in elective LSCS.
Case Description: “Are You Sure the Platelet Count is Only 2???” Cesarean Section in the Setting of Severe Thrombocytopenia
Authors: Craven Jack M. , Abdulhakim Abdi , Graham Jamie , Cambell Cedric H.
Published: August 2024

Gestational thrombocytopenia, preeclampsia, and immune thrombocytopenia are commonly recognized etiologies of low platelet counts representing the vast majority of encountered gestational cases (86-100%). However, there are many other rare causes. The following case details a patient with three prior pregnancies, each remarkable for profound unexplained thrombocytopenia, which promptly normalized following delivery. It further details her fourth pregnancy, similar thrombocytopenia, an investigation into the causes, balancing platelet transfusion against the risk of alloimmunization, in-hospital treatment, and her eventual anesthetic, resuscitation, and delivery.
Efficacy of Intravenous Low-Dose Ketamine for Prevention of Post-Spinal Anesthesia Shivering in Cesarean Section: A Double-Blind, Randomized Controlled Study
Authors: Meena Khemraj , Meena Yogesh K. , Verma Reena , Jain Shweta , Azad Aman , Meena Yamini
Published: August 2024

Background:

Post-spinal anesthesia shivering in cesarean section is a common complication owing to sympatholysis, resulting in vasodilation and heat redistribution from the core to peripheral parts of the body. The physiological consequences of shivering include an increase in cardiac and systemic energy expenditure, oxygen consumption, and carbon dioxide production. Ketamine, a N-methyl D-aspartate (NMDA) receptor antagonist, has been reported to have anti-shivering effects. The aim of this study is to determine the effectiveness of prophylactic low-dose intravenous (IV) ketamine (0.25 mg/kg) in preventing shivering after spinal anesthesia as compared to placebo in elective cesarean sections.

Methods:

A randomized, double-blind study was conducted on 80 patients aged 18 to 40 years and American Society of Anesthesiologists grade II undergoing elective cesarean section under spinal anesthesia. Groups K and group S received IV ketamine 0.25 mg/kg diluted to 5 ml in normal saline and 5 ml normal saline IV, respectively, 10 minutes after spinal anesthesia. The incidence and duration of shivering, tympanic membrane temperature, sedation score, hemodynamic parameters, and side effects were recorded.

Results:

The incidence of shivering in group K was 12.5% compared to 32.5% in group S (P = 0.030). The mean duration of shivering was only 0.75 ± 2.02 min in group K as compared to 2.38 ± 3.57 min in group S (P = 0.014). Mean arterial pressure and heart rate were stable in group K without any significant sedative effect.

Conclusion:

The use of prophylactic low-dose ketamine (0.25 mg/kg) significantly reduces the incidence and duration of spinal anesthesia-induced shivering compared to placebo.
Comparison of Carbetocin and Oxytocin Efficacy in Preventing Postpartum Hemorrhage after C-Section
Authors: Rao Yarramsetti V. , Sravanthi Thumpati Sai , Kummarapurugu Srividya , Prasanna Battula Lakshmi , Kuppili Satwik
Published: August 2024

Introduction:

Postpartum hemorrhage (PPH) is defined as a blood loss of more than 0.5 liters within 24 hours of birth, and a blood loss of more than 1 liter is considered a significant PPH. In low- and middle-income countries, PPH is a major factor causing maternal morbidity and mortality, whereas in high-income countries, the mortality is comparatively lower, but still PPH poses a major risk for postpregnancy complications. Uterine atony is the most frequent cause of the PPH, and it accounts for up to 80% of PPH cases.

Aim:

The aim of this study is to examine the prophylactic effects of oxytocin and carbetocin in preventing atonic PPH in individuals receiving recurrent elective CS under spinal anesthesia.

Materials and Methods:

A computerized, randomized, cross-sectional prospective comparative study was conducted on 100 pregnant women at Konaseema Institute of Medical Sciences and Research Foundation for the time period of an year, from October 2020 to October 2021.

Inclusion Criteria:

This study includes patients with singleton pregnancy, gestational age >38 weeks, spinal anesthesia and repeated C.S with cephalic, breech, or any malpresentations.

Exclusion Criteria:

Patients with placenta previa and placental abruption, uterine myomata, congenital uterine anomalies, gestational age before 38 weeks, women having emergency cesarean section for fetal or maternal distress, and patients with hepatic or pre-existing bleeding disorder were excluded from the study. The patients included based on the above criteria were split into two equal groups. Group I received carbetocin as a single dose of 100 microgram slow intravenous, and Group II received oxytocin as 5 IU intravenous drip followed by 20 IU of oxytocin infusion on 500 ml saline or lactated ringer with a rate of 150 ml per hour.

Results:

When compared to the oxytocin group, the blood loss was considerably reduced in the carbetocin group. The levels of Hb and hematocrit [HCT] were evaluated pre- and postoperative in both the groups. The levels of preoperative Hb and HCT showed nonsignificant difference between the two groups, while the levels of postoperative Hb and HCT were significantly higher in carbetocin group than oxytocin group concluding that carbetocin showed the better results in controlling the blood loss and maintaining the levels of Hb and HCT volume and the carbetocin group showed less need for administration of uterotonic agents (20%) in comparison with (32%) in oxytocin group but with no statistically significant difference. Only 8 (16%) patients showed PPH in carbetocin treatment, whereas 14 (28%) showed PPH in patients on oxytocin treatment.
Anesthetic Management of a Patient with Occipito-Cervical Fusion for Elective Cesarean Section
Authors: Mallawaarachchi Roshana P. , Pinto Vasanthi , De Silva Lal
Published: August 2024

A 25-year-old primi, with a history of occipto-cervical fusion (OCF) performed at the age of 13 years, presented for an elective cesarean section. A combined spinal–epidural anesthetic (CSE) was administered, with a successful maternal and fetal outcome. The spinal component of the CSE was unsuccessful at providing surgical anesthesia.
Internal Jugular Vein Collapsibility Index versus Inferior Vena Cava Collapsibility Index Guided Preloading for Prevention of Spinal Anesthesia Induced Hypotension During LSCS: An Interventional Study
Authors: Shah Pratibha Jain , Agrawal Pratiksha , Peri Madhumita Ravi
Published: August 2024

Background and Aims:

Goal directed fluid therapy (GDFT) in parturients helps to prevent spinal anesthesia induced hypotension (SAIH) and volume overload. This interventional study compared the inferior vena cava collapsibility index (IVCCI) and the internal jugular vein collapsibility index (IJVCI) guided preloading for prevention of SAIH during lower segment ceserean section (LSCS) in terms of the incidence of SAIH as the primary outcome and the total amount of fluid, mean dose of the vasopressor, the number of boluses of vasopressor required, and the incidence of intra-operative complications as secondary outcomes.

Methodology:

A total of 144 full-term parturients aged 20–40 years with American society of anaesthesiologists (ASA) grade II, height (140–165 cms), weight (40–70 kgs), those who were fluid responders, and those who had a window period of 1 hour before surgery under spinal anesthesia (SA) undergoing LSCS were allocated into two groups (n = 72): group IJV and group IVC. Ultrasonography (USG) guided Internal jugular vein (IJV) and Inferior vena cava (IVC) collapsibility index (CI) was recorded an hour before spinal anesthesia (SA) as per the groups assigned and preloaded accordingly. After SA, the incidence of SAIH, the requirement of vasopressor, and fluid were recorded, and side effects were managed.

Results:

In group IVC, the incidence of SAIH (36.84%), mean dose (3.51 ± 5.02 µg), and mean boluses (0.44 ± 0.63) of norepinephrine required to manage hypotension were significantly lower than in group IJV, and the mean goal directed fluid administered before LSCS (504.46 ± 181.48 ml) and overall mean total fluid (1104.39 ± 160.99 ml) administered were significantly higher than in group IJV. Except for shivering, the incidence of all other complications was significantly lower in group IVC (p < 0.05).

Conclusion:

Both IVCCI and IJVCI guided preloading are effective in combating SAIH during LSCS, but IVCCI is comparatively better than IJVCI for CI guided preloading.
Anesthesiology Approach to Pregnant Women Affected by Brugada Syndrome: A Single-Center Case Series and Literature Review
Authors: Gualtieri Valeria , Obert Chiara , Barbati Federico , Donvito Valentina , Quaglia Simona
Published: August 2024

This study aimed to review the peri-operative management of pregnant women affected by Brugada syndrome (BrS) undergoing spontaneous deliveries or C-sections. Few studies in literature have explored this issue in pregnant women, and the safety of anesthetic agents in BrS is under debate. We collected data from 11 pregnant patients, with confirmed or suspected BrS, who gave birth at Sant’Anna Hospital in the City of Health and Science of Turin between 2013 and 2022. In all the patients, we did not report any arrhythmic complications either during spontaneous deliveries or during cesarean section (C-section).
Comparative Efficacy of Intermittent Bolus Doses of Phenylephrine and Norepinephrine in Preventing Maternal Bradycardia during Cesarean Section under Spinal Anesthesia: A Randomized Controlled Trial
Authors: Sood Devika , Singh Prabhjeet , Pruthi Gegal , Kaur Gurpreeti , Goyal Namrata , Taneja Ashima , Grewal Anju
Published: August 2024

Background and Aims:

Maternal hypotension is a common concern during cesarean sections (CS) with spinal anesthesia and can have adverse consequences for both the mother and fetus. This study aimed to investigate the prophylactic effectiveness of intermittent boluses of phenylephrine and norepinephrine in preventing maternal bradycardia during maintenance of systolic blood pressure (SBP) within 90–100% of baseline.

Material and Methods:

Two hundred American Society of Anesthesiologists physical status -II parturients scheduled for CS with subarachnoid block (SAB) were randomly assigned to Group A (phenylephrine, 50 µg) or Group B (norepinephrine, 4 µg). The primary goal was to assess the incidence of maternal bradycardia (≤50 bpm) whilst SBP maintenance at 90-100% of baseline. The secondary objectives encompassed total boluses administered, episodes of hypertension (≥120% of baseline), Intraoperative nausea and vomiting (IONV), and neonatal APGAR scores. The time from intrathecal injection to fetal delivery (induction–delivery interval) was also evaluated.

Results:

Both norepinephrine and phenylephrine groups effectively prevented spinal-induced hypotension, with similar outcomes However, Group A (phenylephrine) experienced a significantly higher incidence of bradycardia (18%) compared to Group B (norepinephrine) with only 5% (P=0.016). Episodes of hypertension, IONV, and neonatal APGAR scores were comparable between the two groups.

Conclusion:

Intermittent boluses of norepinephrine and phenylephrine demonstrated equivalent efficacy in preventing spinal-induced hypotension during CS. However, norepinephrine exhibited an advantage over phenylephrine by significantly reducing the incidence of bradycardia. These findings support the consideration of norepinephrine as an effective alternative vasopressor for maintaining maternal hemodynamics during CS under SAB.
Changing Epidemiology of Hand, Foot, and Mouth Disease Causative Agents and Contributing Factors
Authors: Kalam Nida , Balasubramaniam Vinod
Published: August 2024

Hand, foot, and mouth disease (HFMD) is a common viral infection primarily affecting children. It causes vesicles on the skin and inside the mouth. Although most cases get better on their own, severe cases can lead to complications such as brain stem encephalitis, meningoencephalitis, acute flaccid paralysis, and pulmonary edema. Hand, foot, and mouth disease is caused by various enteroviruses, with enterovirus A71 (EV-A71) and coxsackievirus A16 being the most common. However, recent studies have shown a shift in the molecular epidemiology of HFMD-causing pathogens, with coxsackievirus A6 and coxsackievirus A10 causing more infections. In addition, extensive recombination events have been identified among enterovirus strains, which may have a role in faster evolution and extinction of dominant enterovirus serotypes. Other strains of enterovirus can also cause severe complications, and there has been an increase in mortality associated with brain stem encephalitis in children under 3 years of age and teenagers. Currently, there are no effective antiviral therapies available to treat enterovirus infections. Vaccines against EV-A71 have been approved and are now used in mainland China. Studying the changing epidemiology of HFMD pathogens and the evolution patterns of its causative agents is crucial in developing effective prevention and control strategies. Increased interest in the molecular epidemiology of HFMD causative agents has led to a better understanding of the critical drivers of HFMD outbreaks, which can inform efforts to prevent and control the disease.
Multiplex Real-Time Polymerase Chain Reaction Assay To Detect Acanthamoeba spp., Vermamoeba vermiformis, Naegleria fowleri, and Balamuthia mandrillaris in Different Water Sources
Authors: Córdoba-Lanús Elizabeth , Reyes-Batlle María , Domínguez-de-Barros Angélica , Pérez-Pérez Patricia , Rodríguez-Expósito Rubén L. , García-Ramos Alma , Sifaoui Inés , García-Pérez Omar , Aneiros-Giraldez Germán , Piñero José E. , Lorenzo-Morales Jacob
Published: August 2024

Free-living amoebae (FLA) are widely distributed in the environment. Among these, Acanthamoeba spp., Naegleria fowleri, Balamuthia mandrillaris, and Vermamoeba vermiformis have been reported as human pathogens with health effects ranging from lethal encephalitis to different epithelial disorders. Despite this, FLA still present many diagnostic challenges. The aim of this study was to develop a rapid and efficient multiplex real-time quantitative polymerase chain reaction (qPCR) to simultaneously detect Acanthamoeba spp., N. fowleri, B. mandrillaris, and V. vermiformis in different water sources. For the validation of the qPCR assay, 38 samples (19 tap water and 19 stagnant water sources) were analyzed. The qPCR assay accurately identified the four types of FLA with no cross-reactivity. Considering water samples with results subsequently confirmed by conventional PCR, the multiplex qPCR assay detected 18/38 (47.4%) positive samples (Acanthamoeba spp. in 44.7% and V. vermiformis in 31.6%) and growth in nonnutritive agar (NNA) cultures identified 7/38 (18.4%) positive samples. Of the tap water samples analyzed, 26.3% of samples positive for FLA were detected by growth in NNA culture whereas 31.6% were identified by qPCR. In addition, FLA were detected in 2/19 stagnant water samples (10.5%) by growth in NNA culture and in 12/19 stagnant water samples (63.2%) by qPCR. Neither N. fowleri nor B. mandrillaris was detected in the water samples analyzed. In conclusion, the qPCR developed showed its potential as a rapid tool for detection of Acanthamoeba spp., N. fowleri, B. mandrillaris, and V. vermiformis. Moreover, FLA species were detected in half of the water sources evaluated, suggesting the importance of the surveillance of these potential infectious agents.
Exploring the Post-COVID-19 Work Integrated Learning (WIL) Placement Experiences of Hospitality Students
Authors: Nomnga Vikelwa Judith
Published: August 2024

The coronavirus disease 2019 (COVID-19) outbreak disrupted many industries including the hospitality industry. Work-integrated learning (WIL) placement within the hospitality sector was also affected by changes that occurred during the pandemic. The pandemic resulted in the closure of hospitality establishments, enforcement of health and safety protocols, retrenchments and a transformed hospitality work environment. All these changes affected the experiences of students under WIL placement. Accordingly, this study sought to explore the post-COVID-19 WIL placement experiences of hospitality students. The study collected data using the qualitative research methodology. The study population consisted of university students who were enrolled on a hospitality and tourism management course. A purposively selected sample of 20 participants was interviewed using semi-structured providing data on WIL placement experiences in the post-pandemic period. The data were analysed and presented using thematic analysis. The main findings of the investigation revealed that there is a significant change in employment readiness, skills gap as well as career prospects uncertainty. Furthermore, students are facing challenges in handling the transition, dealing with negative career prospects and coping with digital competence requirements. Based on these findings, the study recommends the restructuring of the curriculum to accommodate changes in the hospitality industry, stakeholder consultations regarding WIL placement activities and training to accommodate all changes that affect the efficient delivery of WIL placement within the hospitality industry.
UPAMAN PRAMANA W.S.R. TO TUNNASEVANI SANDHI
Authors: R. Ide Prakash , Babu P.V.Mahesh
Published: August 2024

Background: -Fundamental aspects of Ayurved concern with Sandhi sharir. It gives information about the basic
structure of the human body, which is essential in diagnosis and treatment. Acharya Charak describes sandhi as
“Ashthi sanyoga sthanam”, i.e meeting place between two or more bones (Asthi) is called sandhi1
. Acharya
Sushruta had categorised sandhi sharira into two main types: Chala (movable) & Achala sandhi (immovable or
fixed)2
. Sutures present between the skull bones are immovable joints. Upamana pramana (analogy) is one of the
types of pramana widely utilised to explain Sharir concepts. Upamana pramana enlightens the features of unmanifested things with a familiar or manifested thing based on similarities. These analogies mentioned in ancient
texts are found to be very helpful in understanding the basic concepts of Rachana Sharir, like Paribhasha,
Garbha sharir, Sandhi sharir, Marma sharir etc. The anatomical concept of ‘Tunnasevani Sandhi’ is one example
of using analogy. So, a sincere effort has been made to evaluate and analyse the anatomical concept of Tunnasevani sandhi with the help of Upaman Praman. Materials & Methods: The study for Upamana pramana related to Tunnasevani sandhi is done with the help of both Ayurvedic and Modern texts. From Brihatrayis and
Laghutrayis and other classical books. Results: It is concluded that Tunnasevani sandhi is located in the skull, &
the predominant anatomical structures present in the cranial vault are three sutures- sagittal, parietal & lambdoid
suture.
A HOPE IN THE MANAGEMENT OF CERVICAL MYELOPATHY THROUGH PANCHAKARMA
Authors: Pranesh P , S Desai Ananta
Published: August 2024

Cervical myelopathy involves spinal cord compression at the cervical level of the spinal column, resulting
in spasticity, hyperreflexia, pathologic reflexes, digit/hand clumsiness, and gait disturbance1
. The
spontaneous course of myelopathy is characterised either by long periods of stable disability followed by
episodes of deterioration or a linear progressive course. The presentation of cervical myelopathy varies by
the severity of the spinal cord compression as well as its location. Without treatment, patients may progress
toward significant paralysis and loss of function. Any space-occupying lesion within the cervical spine with
the potential to compress the spinal cord can cause cervical myelopathy. Cervical myelopathy is
predominantly due to pressure on the anterior spinal cord with ischemia as a result of deformation of the cord
by anterior herniated discs, spondylitis bone spurs, an ossified posterior longitudinal ligament or spinal
stenosis. In Ayurveda, it can be correlated with kaphavruta vyana vata as both signs and symptoms are similar.
Objectives--By consideringg cervical myelopathy as Kaphavritta vyana vata, the present study has attempted to
evaluate the efficiency of Ayurvedic formulation in the conservative management of cervical myelopathy.
Method-A case of cervical myelopathy, Initially the patient was treated with Dashamoola kaya seka followed by
Shastika Shalipinda sweda, followed by Madhutailika basti2 and Anuvasana basti with Murchita tila taila as per
Kala Basti schedule, followed by Shamana aushadhi. Result-Patient was observed for symptomatic improvement
based on the questionnaire over graded signs & symptoms, also observed for clinical examination before & after
treatment. Conclusion: The study has shown that conservative management of cervical myelopathy can be
managed effectively through the Ayurvedic principle and improve quality of life.
GUÍA DE CONSULTA SOBRE LA GESTIÓN DE LOS FONDOS ESTRUCTURALES Y DEL FONDO DE COHESIÓN EN EL PERÍODO 2007-2013
Authors: MORILLO SÁNCHEZ FRANCISCO J. , BRAOJOS LARA ALFONSO
Published: August 2024

Esta publicación se plantea como una herramienta que aboga por el impulso de la satisfacción de los ciudadanos con respecto a la administración y que acerca a los participantes en el desarrollo de los proyectos europeos a la normativa aplicable, seguimiento, evaluación, etc., para que se sientan motivados en cuanto al trabajo realizado.
REFORMAS ESTATUTARIAS Y PROYECCIÓN EXTERIOR DE LAS COMUNIDADES AUTÓNOMAS
Authors: TEROL BECERRA MANUEL JOSÉ
Published: August 2024

Se expone en esta obra el resultado de indagar sobre qué posibilidades tienen las comunidades autónomas de actuar tanto en el terreno de las relaciones exteriores presididas por el Decreto Internacional, como de la Unión Europea regida por su propio ordenamiento.
Influência familiar na anorexia nervosa uma revisão da literatura
Authors: Zampiroli Izadora Zucolotto , Vieira Fernanda Henriques Miranda , Castilho Érica Lopes , Nava Jusciellyson da Silva
Published: August 2024

Introdução: Este artigo apresenta uma revisão da literatura sobre a influência familiar no desenvolvimento e na manutenção da anorexia nervosa, um transtorno alimentar grave que afeta principalmente crianças e adolescentes, caracterizado pela restrição severa de ingestão alimentar, medo intenso de ganhar peso e distorção da imagem corporal. Materiais, sujeitos e métodos: Foram analisados artigos científicos publicados entre 1978 e 2015, abordando estudos que exploram a dinâmica familiar, estilos parentais, comunicação e atitudes familiares em relação ao corpo e à alimentação. Resultados e Discussões: Os resultados indicam que determinados padrões familiares, como altos níveis de crítica e controle, superproteção, falta de afeto e um ambiente familiar focado na aparência física, podem contribuir para o desenvolvimento e manutenção da anorexia nervosa. Além disso, a revisão destaca a importância de intervenções familiares no tratamento dessa condição. Considerações Finais: Conclui-se que a compreensão da influência familiar é crucial para a elaboração de estratégias eficazes de prevenção e tratamento, enfatizando a necessidade de intervenções que incluam a família no processo terapêutico.
Avaliação da dimensão corporal em pacientes com transtornos alimentares: uma revisão da literatura
Authors: Soares Camila Pavei , Hoffer Jamille , Nogueira Isabela Cristina Ruzza , Vilanova Mariana Lorena Silva
Published: August 2024

Introdução: O público em geral, principalmente as mulheres, pode ser alvo constante de críticas voltadas ao corpo, resultando frequentemente em alterações patológicas nos comportamentos alimentares. Com a imposição de padrões corporais promovidos pela mídia, há uma crescente preocupação com a própria aparência. Segundo o DSM-V, os transtornos alimentares (TA) são descritos como um distúrbio persistente do comportamento alimentar ou relacionado à alimentação, que resulta em prejuízo significativo para a saúde física e/ou psicossocial. Sintomas como apatia, desinteresse pelas atividades cotidianas, fadiga e baixa autoestima podem se acentuar na presença desses distúrbios. Este estudo tem como objetivo avaliar a dimensão corporal em pacientes com transtornos alimentares. Materiais, sujeitos e métodos: Foram utilizados artigos científicos e de revisão publicados pela SciELO entre 2004 e 2011, a Magis Revista Internacional de Investigação em Educação em 2009, e a Revista de Debates em Psiquiatria entre julho e setembro de 2019. Resultados e discussão: Foi observado um desvio na percepção dos limites corporais e a presença de transtornos alimentares. Considerações finais: Esses achados ressaltam a conexão entre a percepção corporal, distorção visual e a presença de transtornos alimentares, destacando a importância de cuidar da saúde física, mental e social para evitar desfechos negativos na vida do indivíduo.
Adesão ao tratamento medicamentoso em pacientes do Espectro Esquizofrênico: uma revisão da literatura
Authors: Silva Pamela Lorrane Ribeiro da , Silva Paloma Álister Vilela da , Silva Isadora Faria , Leal Carolina Rotatori , Alves Virginia Soares
Published: August 2024

Introdução: A esquizofrenia é considerada uma doença mental grave que predomina no sexo masculino e geralmente se manifesta no final da adolescência e início da vida adulta. Devido à gravidade do quadro, o diagnóstico precoce e a instituição de um tratamento adequado influenciam no prognóstico. O presente artigo tem como objetivo avaliar a adesão ao tratamento medicamentoso em pacientes com esquizofrenia. Método: Foi realizada uma revisão de literatura para avaliar a adesão dos pacientes com esquizofrenia ao tratamento medicamentoso. Para isso, foram buscados artigos científicos nas bases Lilacs, PubMed/Medline e SciELO, utilizando os descritores “esquizofrenia”, “tratamento medicamentoso” e “aderência ao tratamento”. Foram considerados artigos publicados nos últimos quinze anos. Resultados: As buscas revelaram que, devido à necessidade de uma abordagem multidisciplinar e ao uso de medicamentos antipsicóticos, a adesão ao tratamento medicamentoso é influenciada por diversos fatores, incluindo a efetividade da rede de apoio, o sistema de saúde integrado, os efeitos colaterais das medicações, o diagnóstico tardio, o uso de substâncias psicoativas e a situação de vulnerabilidade dos pacientes. Conclusão: A adesão ao tratamento medicamentoso é crucial para que esses pacientes tenham melhor qualidade de vida e independência. No entanto, é necessário realizar mais estudos para elencar medidas práticas que reduzam os fatores que influenciam na não adesão ao tratamento e nas consequências dessa não adesão para os pacientes com essa doença.
Risco de desenvolver Doença de Parkinson no Transtorno Bipolar: uma revisão sistemática
Authors: Resende Maria Eduarda Santos , Fernandes Leonardo Alves , Bastos Marcela Teixeira Braga , Semensato João Pedro Ravagnani
Published: August 2024

Introdução: O Transtorno Bipolar (TB) é uma doença psiquiátrica caracterizada por episódios recorrentes de mania/hipomania e depressão (Novaretti et al., 2016). A Doença de Parkinson (DP) manifesta-se por sintomas motores e não motores, podendo ser precedida por transtornos de humor por mais de uma década, com perda progressiva de neurônios dopaminérgicos (Faustino et al., 2020). Estudos recentes têm demonstrado uma possível ligação entre esses dois transtornos, porém ainda sem evidências fisiopatológicas suficientes. Este artigo tem como objetivo avaliar as evidências disponíveis sobre o risco de desenvolvimento de DP em pacientes com TB. Materiais e métodos: Foi realizada uma busca científica nas bases de dados PubMed, Scopus e Web of Science para identificar estudos que investigaram a associação entre TB e o risco de DP. Os critérios de inclusão foram estudos de coorte, caso-controle e série de casos publicados até dezembro de 2023. Avaliou-se a qualidade dos estudos utilizando a ferramenta Newcastle-Ottawa Scale (NOS). Resultados e discussão: Foram incluídos sete estudos que atenderam aos critérios de inclusão, compreendendo um total de aproximadamente 750 mil participantes. A maioria dos estudos revisados indicou um aumento significativo no risco de DP em indivíduos com TB. A análise mostrou uma associação consistente e significativa entre TB e o aumento do risco de desenvolvimento de DP, com razões de risco variando de 1.5 a 2.3. A fisiopatologia da associação entre TB e DP ainda não é amplamente conhecida, mas pode envolver genética, neuroinflamação crônica e efeitos adversos de medicamentos psicotrópicos usados no tratamento do TB. Conclusão: Esta revisão sugere que o Transtorno Bipolar está associado a um aumento no risco de desenvolvimento de Doença de Parkinson, principalmente devido à sua relação dopaminérgica. Estudos futuros são necessários para identificar os mecanismos biológicos dessa associação e desenvolver estratégias eficazes.
Frequência e características da psicose na doença de Parkinson: uma revisão sistemática
Authors: Rizzutti Amanda Mesquita , Peixoto Marcus Vinicius da Costa , Gomes João Marcos Palmeira Ferrato , Gonçalves Horrana Carolina Bahmad , Diniz Tawanny Fernandes
Published: August 2024

A doença de Parkinson é uma condição neurodegenerativa complexa que afeta milhares de pessoas no mundo, seus sintomas incluem tremor de repouso, rigidez muscular, bradicinesia e instabilidade postural. Além de sintomas motores, a DP é frequentemente acompanhada por uma ampla gama de sintomas não motores, sendo uma delas a psicose. O presente trabalho teve como objetivo caracterizar e delinear a frequência da psicose na Doença de Parkinson, a fim de desenvolver estratégias de tratamento eficazes que melhorem a qualidade de vida dos pacientes. Para a elaboração deste artigo de revisão foram consultados artigos científicos e artigos de revisão publicados e referenciados na Medline/Pubmed, SciELO e Cochrane publicados de 1999 até 2023. A psicose na DP afeta entre 20% a 60% dos pacientes ao longo da doença e é caracterizada por alucinações auditivas, táteis e delírios paranoides. Esse diagnóstico está associado a um pior prognóstico, incluindo o maior risco de hospitalizações, além de estar correlacionada com a deterioração da qualidade de vida dos pacientes e seus cuidadores. A psicose é uma complicação comum e debilitante da DP, reconhecer os sintomas precocemente e implementar estratégias adequadas são essenciais para melhorar os resultados clínicos e a qualidade de vida dos pacientes. Futuros estudos devem focar em abordagens preventivas e terapêuticas mais eficazes, além de uso de psicóticos atípicos e intervenções farmacológicas.
Prevalência e fatores de risco de sintomas psicóticos em pacientes dependentes de cocaína: uma revisão sistemática
Authors: Sousa Rafaela Rabello Macedo de
Published: August 2024

Este estudo teve como objetivo revisar a prevalência e os fatores de risco associados aos sintomas psicóticos em pacientes dependentes de cocaína. A cocaína, extraída do arbusto Erytroxylon coca, possui um histórico de uso recreativo e médico, mas atualmente é reconhecida por suas graves consequências à saúde, incluindo a indução de sintomas psicóticos. A revisão sistemática incluiu artigos publicados entre 2000 e 2023, analisando a relação entre o uso de cocaína e a manifestação de sintomas psicóticos. Os resultados destacam uma alta prevalência de sintomas psicóticos em usuários de cocaína, com fatores de risco como histórico familiar de transtornos mentais, uso concomitante de outras substâncias e padrão de uso intenso.
Comorbidades psiquiátricas em pacientes com Transtorno Bipolar do Tipo I: uma revisão da literatura
Authors: Doreto Ana Clara Falbo , Porfírio Antony Rocha , Canêdo Júlia Arraes , Barreto Samira Paredes Sampaio , Ferreira Ana Luísa de Andrade Seguti
Published: August 2024

Introdução: O transtorno bipolar do tipo I muitas vezes está associado a outras comorbidades, sejam elas clínicas ou psiquiátricas. No entanto, há subdiagnóstico frequente e, consequentemente, dados escassos acerca do assunto. Objetivos: O objetivo do presente estudo é avaliar a prevalência de comorbidades clínicas e outros transtornos psiquiátricos, incluindo abuso de substâncias, em pacientes diagnosticados com transtorno bipolar tipo I. Métodos: Os artigos revisados foram extraídos e referenciados de revistas internacionais entre 2005 e 2021 sob o filtro de comorbidades psiquiátricas em pacientes com transtorno bipolar tipo I, dada a escassez de dados nacionais disponíveis sobre o assunto. Resultados: Entre os dados analisados, as principais comorbidades citadas foram: transtorno de ansiedade generalizada, dependência de substâncias, transtornos de personalidade, hipertensão arterial sistêmica, dislipidemia e hipotireoidismo. Tentativas de suicídio também foram constatadas, mas sem associação significativa entre as variáveis investigadas. Conclusão: Pacientes diagnosticados com transtorno bipolar tipo I apresentam maior prevalência de outras comorbidades, que podem ser psiquiátricas ou clínicas. Portanto, é importante discutir a inclusão de exames complementares e/ou de rastreio de comorbidades clínicas, além da investigação de possíveis outras comorbidades psiquiátricas em pacientes com transtorno bipolar.
Oclusão de artéria central da retina: uma revisão de literatura
Authors: Carvalho Andressa Bueno , Pedrosa Déborah Villarins , Araújo Gabriel Alberto da Silva , Amorim Breno Terra Gontijo , Vilela Tamires Ribeiro de Paula
Published: August 2024

A oclusão da artéria central da retina (OACR) é uma emergência oftalmológica que pode resultar em perda visual súbita e severa. Esta revisão sistemática da literatura visa compilar e analisar os dados mais recentes sobre a patogênese, diagnóstico, tratamento e prognóstico da OACR. A pesquisa incluiu artigos publicados entre 2010 e 2023, disponíveis em bases de dados como PubMed, SciELO e LILACS. Foram selecionados estudos clínicos, revisões e ensaios clínicos randomizados. Os resultados apontam para a importância do diagnóstico precoce e intervenção imediata para minimizar o dano isquêmico. As terapias emergentes, incluindo técnicas de revascularização e o uso de agentes trombolíticos, mostram-se promissoras, mas ainda requerem validação adicional.
Ectasia corneana após ceratectomia fotorrefrativa: relato de caso de microscopia confocal e revisão da literatura
Authors: Reis Sara Oliveira , Ramalho Bárbara Lopes , Zambrin Gabriel Camargo Villas Boas , Ribeiro Ieda Maria Silva , Bocchi Giovanna Siqueira
Published: August 2024

A ectasia corneana é uma complicação rara, porém grave, da ceratectomia fotorrefrativa (PRK). Este artigo apresenta um relato de caso de ectasia corneana diagnosticada por microscopia confocal em um paciente submetido a PRK, seguido de uma revisão sistemática da literatura brasileira sobre o tema. O objetivo é discutir as características clínicas, os achados microscópicos, os fatores de risco e as abordagens terapêuticas para esta condição. A revisão inclui estudos publicados entre 2000 e 2023, utilizando bases de dados como PubMed, SciELO e LILACS.
Pneumonia pneumocócica bacterêmica em crianças: uma revisão da literatura
Authors: Ribeiro Gustavo Campos de Farias Kifer Moreira , Cervo Ana Carolina da Ponte , Amorim Gabriela Tomazini Rodrigues Pereira , Cangussú Leticia Lima , Peixoto Felipe Domingos Fonseca
Published: August 2024

A pneumonia pneumocócica bacterêmica é uma pneumonia grave invasiva que apresenta um risco maior para crianças e pessoas idosas. Ocasionada pela bactéria Streptococus pneumoniae, também conhecida por pneumococo, essa infecção pode se iniciar nos pulmões, se espalhar pela corrente sanguínea, resultando em uma infecção generalizada. O contágio se dá através de pequenas partículas de saliva ou muco. Para compor este artigo de revisão, foram examinados artigos científicos e de revisão publicados e listados na Medline/PubMED e SciELO. Indicativos apontam correlações entre a infecção pelo pneumococo, sendo o motivo mais frequente de condições sérias de saúde em crianças, tendo um elevado índice de mortalidade em menores de 5 anos. Para tratar a infecção é necessário o auxílio de medicamentos, e em casos mais preocupantes, pode ser necessária a internação hospitalar dessa criança. Uma medida de prevenção importante é a vacina, o imunizante compõe o calendário de vacinação infantil, mas pode ser recomendado também em outras faixas etárias, em idosos, e em casos de pacientes com doenças crônicas com ameaça de infecção pela bactéria Streptococus pneumoniae. Em suma, o tratamento com antibióticos é indicado para combater a infecção bacteriana, em situações mais críticas conforme a infecção evolui, pode ser necessária a hospitalização para receber cuidados intensivos, monitoramento e suporte respiratório, se necessário.
Avaliação nutricional no paciente cirrótico: uma revisão da literatura
Authors: Albernaz Fernanda França , Gonçalves Larissa Terra , Picolotto Steffany Martins , Pereira Luana Torres de Mello , Isaac Ana Clara Cordon
Published: August 2024

Introdução: A cirrose surge devido a um processo crônico e progressivo de inflamações. Uma das complicações da cirrose é a desnutrição proteico-calórica, a qual é um achado frequente em pacientes com hepatopatia avançada. Objetivos: Analisar o impacto da desnutrição no paciente cirrótico. Métodos: Trata-se de uma revisão bibliográfica sistemática, de natureza quantitativa, que utilizou as plataformas PubMed (Medline), Scientific Electronic Library Online (SciELO) e Cochrane Library como bases de dados para a seleção dos artigos, na língua inglesa. A escolha dos artigos foi realizada por meio da leitura do título, resumo e, por fim, da leitura do artigo na íntegra, sendo realizada uma análise criteriosa fundamentada nos critérios de inclusão e exclusão. Conclusão: A desnutrição em pacientes cirróticos com doença em estágio final é comum, e o grau de debilitação nutricional pode desempenhar papel importante na patogênese de complicações e causar impacto negativo no prognóstico.
Diabetes Melittus do Tipo 2 na infância e adolescência: revisão da literatura
Authors: Martinelle Mercielle Ferreira Silva , Pereira Alessandra Lopes , Melo Heloisa Helena de , Oliveira Ana Caroline Izarias de
Published: August 2024

O Diabetes Mellitus tipo 2 (DM2) na infância e adolescência é uma condição emergente que representa um desafio significativo para a saúde pública. Este artigo apresenta uma revisão sistemática da literatura sobre a prevalência, fatores de risco, diagnóstico, tratamento e complicações associadas ao DM2 em jovens brasileiros. Utilizamos bases de dados como SciELO, LILACS e PubMed, abrangendo publicações dos últimos dez anos. Os resultados indicam um aumento na incidência de DM2 nessa faixa etária, correlacionado principalmente com a obesidade e o sedentarismo. Conclui-se que intervenções precoces e políticas públicas efetivas são essenciais para controlar essa epidemia emergente.