bluuebunny/crossref_metadata_2025 huggingface dataset:
Focus: l'aiuto psicologico con i genitori di bambini e adolescenti
Authors: Cavalli Giulia , Zerbi Ottavia
Published: March 2024

Alla luce dell'epistemologia attuale, non ha senso proporre un setting standard d"intervento terapeutico per le problematiche di un bambino. Il bambino che soffre appartiene a una famiglia, che soffre anch"essa; ogni bambino e ogni membro della famiglia hanno le proprie specificità personali e contestuali, i propri punti di forza e fragilità. Perchè allora la risposta del terapeuta alla sofferenza di un bambino dovrebbe seguire sempre lo stesso modello di lavoro? Come in tutte le situazioni in cui dei genitori chiedono aiuto per i propri figli, la scelta di poter lavorare col bambino e coi genitori o solo con i genitori dipende da molte variabili. Facendo riferimento alla teoria dei sistemi complessi e al concetto di "symmathesy" introdotto da Nora Bateson, che sottolinea l'apprendimento reciproco all'interno di un sistema, e attraverso l'esposizione di un caso clinico, le Autrici illustrano le ragioni della scelta di lavorare solo con i genitori, senza coinvolgere il figlio, in particolare sul riemergere delle competenze genitoriali, che risultano "nascoste" e intrappolate nella sofferenza provata di fronte al malessere del figlio.
La famiglia: circolarità delle funzioni
Authors: Noseda Francesco , Strada Riccardo , Alfieri Linda
Published: March 2024

n questo contributo si vuole inquadrare la circolarità delle funzioni familiari nel rapporto genitori/figli. Partiamo dalla prospettiva di un individuo mai isolato ma inevitabilmente in relazione con l'altro e pertanto costituito attraverso una serie di relazioni. Definiamo la famiglia quale luogo di organizzazione e sviluppo del soggetto. Questa idea di famiglia ci permette di poter svolgere la terapia considerando le dimensioni sia individuale sia gruppale e la circolarità dei rapporti tra le stesse. La famiglia ha alcune peculiarità nel suo essere gruppo come la presenza di generazioni e il fatto di essere luogo primario di sviluppo dell'individuo. La terapia familiare serve a vedere quanto utilizziamo l'altro per mantenere la nostra rigidità; la rigidità è messa al servizio del mantenimento del legame come mostrato nella vignetta clinica presentata.
Th1rteen r3asons why
Authors: Andreeello Sara , Azzali Sara , Bartoli Monica , Durante Francesca
Published: March 2024

Durante: "Prima di tutto vi è piaciuta la serie?"Bartoli: "Ho sentito di doverla studiare un po" e, nonostante questo, fino alla fine non riuscivo a caoire se erano più gli elementi che mmi piacevano o quelli che non mi convincevano del tutto." [â€¦]
â€˜Come out": la comunità locale come primo livello del sistema di care e la sua relazione con i sistemi professionali di salute mentale in adolescenza
Authors: Vanni Fabio
Published: March 2024

l'idea mentale che ispira il progetto Come out è che la cura psicologica riguardi la comunità nella quale vivono le persone e che essa si articoli in diversi gradi e tipi di funzioni e dunque di competenze, ma che essa non possa esere delegata in toto ai tecnici della mente. [â€¦]
C"è una coscienza incarnata al maschile e al femminile?
Authors: Salatiello Giorgia
Published: March 2024

l'argomentazione dell'A. parte dalla premessa che l'autocoscienza è una forma, seppur particolare e specifica, di conoscenza. Ne deriva che, poichè la conoscenza passa attraverso le categorie della percezione e la percezione è legata al corpo, è possibile ipotizzare, per deduzione, che anche la sessuazione giocherà un "suo" ruolo nella dimensione dell'autocoscienza, in quanto coscienza incarnata e in quanto legata ai contesti socio-culturali, rispetto ai quali si declina l'imprescindibile legame tra natura e cultura.
La psicologia dell'arte secondo W.R.D. Fairbairn.
Authors: Frati Fulvio , Gamberini Carlotta
Published: March 2024

Nei suoi due articoli Prolegomena to a Psychology of Art e The Ultimate basis of Aesthetic Experience, entrambi pubblicati nel 1938, lo psicoanalista scozzese W.R.D. Fairbairn espone quella che, a nostro avviso, può essere cronologicamente considerata come la prima teoria psicoanalitica dell'arte orientata, a differenza di quanto sino ad allora avvenuto negli scritti sul medesimo argomento di Sigmund Freud o di altri Autori di quei tempi, non più da una visione "pulsionale" della Psicoanalisi, bensì secondo ciò che ora, ed almeno da alcuni decenni a questa parte, viene invece definita come "Psicoanalisi della Relazione". Il presente articolo cerca pertanto di mettere in luce sia gli elementi fondamentali di tale innovatrice visione sia, in particolare, alcuni degli aspetti di essa che potrebbero, oggi, ulteriormente essere analizzati per una vera e propria Psicologia dell'Arte basata sulla prospettiva della "Psicoanalisi della Relazione", con alcune considerazioni finali sull'attualità di questo approccio nella pratica clinica contemporanea.
Sully
Authors: Vanni Fabio
Published: March 2024

l'ultimo film di Eastwood si presta a una riflessione a mio avviso interessante per "esperti di soggetti" come noi. [â€¦]
Editoriale
Authors: Author(s) The
Published: March 2024

This third article 2018 of RP has an important focus for mental health professionals. In fact [...]
A quarant"anni dalla Legge 180
Authors: Vincenti Enrico , Irtelli Floriana
Published: March 2024

Nel presente contributo si vuol tracciare una panoramica sul cambiamento di prospettiva alla base dei servizi per la salute mentale occorso nei decenni dopo la riforma psichiatrica; si articola dunque una sintesi di come il cambiamento di paradigma sia frutto di un cambiamento epistemologico più ampio. Al fine di contestualizzare questo processo, viene messo a tema come si sia declinata la "deistituzionalizzazione" sia Italia, sia in diversi paesi europei, descrivendo il passaggio da un "modello ospedaliero" ad un "modello assistenziale". Ãˆ stato poi analizzato l'approccio teorico alla base di questo cambiamento ed è stato approfondito come tale modificazione abbia promosso un nuovo approccio multidisciplinareappro (Caldas de Almeida, Mateus, & Tomè, 2015). Ricapitolando, per sviscerare questo tema sono stati esaminati: una panoramica storica sugli eventi relativi alla Legge 180, un excursus riguardante il cambio di prospettiva teorica alla radice di questo passaggio storico ed infine alcuni esempi di nuove prassi contemporanee.
Pensiero monodico, pensiero binario e terzità nella società ipermoderna
Authors: Barbieri Gian Luca
Published: March 2024

Prendendo spunto dai testi di un cantautore e dall'opera di un romanziere, l'autore analizza le forme più frequenti del pensiero nella società ipermoderna: il pensiero binario, basato su una logica schizo-paranoide, e quello monodico. Il primo costringe il soggetto a scegliere tra due opzioni alternative, apparentemente opposte ma che di fatto si legittimano reciprocamente, escludendo qualsiasi opzione terza. Il secondo è il riflesso psichico del Â«discorso del capitalistaÂ» di Lacan e chiude il soggetto in una spirale di godimento che non trova via d"uscita e che si oppone al desiderio. Sono due modalità di pensiero che appiattiscono la mente, boicottano la mentalizzazione, cristallizzano il campo intrapsichico e interpersonale e, a livello politico, svuotano la democrazia del suo senso autentico.
Letture incrociate. Adolescenti nelle relazioni. Generazioni che co-costruiscono la società-mondo
Authors: De Caro Antonio
Published: March 2024

Negli stessi giorni in cui studiavo il saggio di F. Vanni, riprendevo un poeta greco, Menandro, che fa della filantropia il centro dei suoi interessi, [...]
Letture incrociate. Adolescenti nelle relazioni. Generazioni che co-costruiscono la società-mondo
Authors: Deriu Marco
Published: March 2024

Il libro di Fabio Vanni prende avvio dagli effetti che una serie di fenomeni e processi nacro-sociali di lunog periodo - desacralizzazione e deverticalizzazione in primis - hanno avuto [...]
Genitori come gli altri e tra gli altri Essere genitori omosessuali in Italia
Authors: Messena Mattia
Published: March 2024

N/D
Apprendimento, la complessità nella relazione terapeutica. Le difficoltà di apprendimento in una prospettiva evolutiva
Authors: Provantini Katia , Cuccolo Dario
Published: March 2024

l'articolo vuole proporre una lettura delle difficoltà di apprendimento come sintomatiche di uno sviluppo psicologico e affettivo ostacolato da variabili intrapsichiche e contestuali interconnesse e disfunzionali. Più specificamente, difficoltà e disturbi dell'apprendimento rappresenterebbero condizioni di difficile accesso alla possibilità di rendere efficiente il Sè nella sua funzione di distribuire e regolare risorse motivazionali e cognitive funzionali alla realizzazione degli obiettivi che il soggetto si pone. Quando certi obiettivi, come quelli scolastici per es., si sovrappongono a quelli evolutivi (di sviluppo di una identità sociale e personale matura) e questi ultimi sono per varie ragioni vissuti in modo contraddittorio e ambivalente, se non addirittura come una minaccia, la soluzione che il soggetto trova può essere costituita proprio dalle difficoltà di apprendimento. Rendere difficile l'apprendimento scolastico può rappresentare per il soggetto, nella nostra prospettiva, un modo per prendere tempo e a volte per sospenderlo, come nel caso di quelle inibizioni che possono sfociare nelle fobie scolari.
Editoriale
Authors: Papini Silvia Paola
Published: March 2024

N/D
Psicopatologia del ciclo di vita
Authors: Fontana Masimo
Published: March 2024

Come ricordano Sarteschi e Maggini, la psicopatologia, per come intesa da Karl Jaspers, si trova in rapporto alla psichiatria come la patologia generale alla clinica medica: una disciplina che studia i fenomeni patologici in quanto tali, cercando di coglierne le leggi e i principi generali sottesi, a prescindere dal modo specifico con cui si manifestano in una determinata persona. [...]
Difficoltà e possibilità nell'incontro con l'Altro
Authors: Stirone Valentina
Published: March 2024

Non è semplice rendere il lavoro che quotidianamente si porta avanti con i pazienti migranti al Servizio di Etnopsichiatria dell'A.S.S.T. Grande Ospedale Metropolitano Niguarda, non è semplice portare un contributo che possa permettere di affondare le mani in questa umanità sofferente, eppure così emotivamente ricca, che incontriamo ogni giorno. [â€¦]
Diagnosi in transizione: l'influenza della personalità del terapeuta
Authors: Muzi Laura , Lingiardi Vittorio
Published: March 2024

Nel presente articolo, gli Autori prendono in esame il ruolo della soggettività del terapeuta e, in particolare, della sua personalità nel processo diagnostico e terapeutico psicoanalitico. Dopo una breve introduzione sul rapporto tra la diagnosi e la soggettività del clinico, approfondendo in particolar modo il contributo offerto sul tema dalla seconda edizione del Manuale Diagnostico Psicodinamico, gli Autori propongono una rassegna dei risultati delle ricerche empiriche sull'influenza delle variabili individuali e soggettive del terapeuta in psicoanalisi e nelle psicoterapie psicodinamiche, sottolineandone le implicazioni per la pratica clinica e la formazione. Infine, viene offerta una panoramica teorico-clinica sulla personalità del terapeuta in psicoanalisi insieme ai pochi contributi empirici presenti sul tema, per concludere con i risultati preliminari di un progetto di ricerca in corso che si è proposto di indagare questa variabile attraverso la Shedler-Westen Assessment Procedure (SWAP-200), una metodologia di valutazione della personalità empiricamente solida e clinicamente rilevante.
Gender, filosofie, teologie. La complessità contro ogni ideologia
Authors: De Caro Antonio , Mistrali Maurizio
Published: March 2024

Damiano Migliorini, Mimesis Editore, Milano, Italy
l'assunzione del paziente da parte dell'analista: vicissitudini all'interno di un processo.
Authors: Montingelli Chiara
Published: March 2024

Non disponibile
Trent"anni di Ricerca Psicoanalitica
Authors: Autori Gli
Published: March 2024

Trent'anni sono tanti...
Declarative Knowledge, Confidence, and Perceptions on Suicide Prevention After Standardized Patient Observation
Authors: Harvey Brooke K. , Drescher Matthew J. , Winkelmann Zachary K. , Eberman Lindsey E.
Published: March 2024

Context

Standardized patient (SP) encounters are effective strategies to increase learners' declarative knowledge, confidence, and perceptions of clinical scenarios; however, there are barriers to implementing SPs for suicidal ideation (SI) scenarios, and limited data about the value of an alternative educational method, such as observing SP encounters of SI scenarios, which might result in improved learner knowledge, confidence, and perceptions regarding suicide prevention.

Objective

Compare athletic training students' knowledge, confidence, and perceptions regarding suicide prevention after observation of SP encounters in addition to an online suicide prevention module.

Design

Quasi-experimental.

Setting

Asynchronous online suicide prevention module.

Patients or Other Participants

Seventy-six athletic training students enrolled in a Commission on Accreditation of Athletic Training–accredited professional athletic training master's program.

Intervention(s)

An online suicide prevention module with videos of SP encounters displaying varying degrees of SI.

Main Outcome Measure(s)

Participants completed pretest and posttest assessments for knowledge, confidence, and perceptions regarding suicide prevention. Mean scores for all categories were compared across time and groups using a repeated-measures analysis of variance.

Results

An online suicide prevention module is effective for significantly (P < .001) increasing learners' knowledge of and confidence in managing SI scenarios. The experimental group significantly improved their knowledge (P = .025) compared with the control group, who did not observe SP encounter videos. Additionally, both groups significantly (P < .001) aligned their level of agreement with statements regarding suicide prevention to best care for someone experiencing SI. The experimental group significantly (P = .039) increased their agreement that suicide is preventable compared with the control group.

Conclusions

These findings highlight the value of observed SP encounters for suicide prevention knowledge, confidence, and perceptions about suicide prevention. In the absence of a high-fidelity, live SP encounter, observation of an SP encounter may be a cost-effective way to prepare students for SI scenarios in clinical practice.
Estonians and Russians in Contemporary Estonia: Is the Soviet Past still dominating the Present?
Authors: Kirch Aksel , Tuisk Tarmo , Reinkort Hanna­‐Hulda
Published: March 2024

The current article focuses on a study about Estonians and Russians living in Estonia. As a method we used Identity Structure Analysis (ISA) to investigate their patterns of identification with 'Estonians', 'Russians in Estonia', 'Russians in Russia', and 'Estonian Government'. The themes embraced constructions of the past, including the context of the Soviet Union's role in WWII. Findings suggest that alarming events on the streets of Tallinn (April 2007) appear to be related to the role of the Soviet Union in WWII inter alia, where its construction as 'occupier' of Eastern Europe (as opposed to 'liberator') forms a 'core evaluative dimension of identity' for the Estonians, together with the Bronze Soldier having no symbolic salience or relation to the Estonian identity. Findings, such as Estonian Russians expressing much stronger idealistic identification with 'Estonians' than with the “own parents" group, also demonstrate ISA etic concepts that incorporate emic values and beliefs in contemporary Estonia. All Estonian people have experienced life in the EU for six years and this has deepened both Estonians’ and Russians’ emotional credit towards the EU. The most notable factor in this process has been rapid economic growth, although personal well-being has mostly been experienced by younger generations.
Host Acculturation Orientation: Some Preliminary Impressions of the French Students on Ethnic Minority Groups in Montpellier, S. France
Authors: Verma Jyoti
Published: March 2024

The objective was to study the host acculturation orientation of a sample of 100 French students of a S. France University. For this purpose a nine-items Host Acculturation Scale was used. Observations gave the impression that the students considered it significantly ‘more important’ that the immigrants maintained their heritage culture in their homes rather than doing so in general or at the workplace. Furthermore, it was considered only ‘partially important’ that the immigrants adopted the French norms, values and customs in general and at the workplace, and ‘not important at all’ that they did so in their homes. Ethnic groups were perceived as threatening to the extent of ‘quite a bit’ and, comparatively speaking, they were more acceptable than liked. The correlational observations suggested that those who liked the immigrant groups were also open to accepting them in their country and did not mind that these groups maintained their heritage culture. A modest degree of negative relationship was observed between the overall acceptance for maintaining the heritage culture by the immigrant groups and the perception that these groups were a threat to the mainstream French population. Regarding prediction of the host acculturation orientation, it appeared that liking the immigrants seemed to significantly facilitate the French hosts’ acceptance for maintenance of the heritage culture at the workplace. Moreover, those who perceived the immigrants as a threat to the French people were also likely to expect that the immigrant groups adopted the French ways and customs.
Formulation and Performance of Polyherbal Antidandruff Hair Gel: A Multifaceted Solution
Authors: Mallamma T , Kumar B Prakash , Suchindar Athishay , Pragathi Y , Meghana C , Hemalatha K J
Published: March 2024

Background:

Wet-looking hairstyles that last for hours can be achieved using anti-dandruff hair gel. Natural components are included in the unique recipe of the gel to aid in dandruff treatment. Anti-dandruff hair gel is a preparation with antibacterial and antifungal activity that reduces dandruff and improves hair health.

Materials and Methods:

Five different formulations contain effective ingredients, such as Linum usitatissimum, Ocimum tenuiflorum, Lawsonia inermis, Tinospora cordifolia, and Centella asiatica, which exert their effects by showing antibacterial and antifungal activity.

Results:

The prepared hair gel was evaluated using parameters such as color, odor, homogeneity, texture, pH, viscosity, spreadability, washability, extrudability, stability, zone of inhibition, and in vitro skin irritation tests. By considering all the parameters, we conclude that our formulations exhibit better anti-dandruff activity. The overall experiment showed that the F2 formulation had more antibacterial activity and the F3 formulation had antifungal activity.

Conclusion:

The prepared anti-dandruff hair gel effectively combats the problem. Therefore, this hair gel may be preferable to other standard hair-setting or styling gels.
Estimation of Entrance Surface Radiation Dose to Thyroid and Gonads during Computed Tomography Thorax Examination
Authors: Jaseemudheen M. M. , Uppoor Raguraj , D Souza Jeshma Trinita
Published: March 2024

Introduction:

The organ’s sensitivity to radiation exposure varies depending on the cells in that organ. The thyroid and gonads have an increased radiation risk since the cells in those organs divide faster. This study aimed to estimate the radiation dose and to compare gender-related variations in entrance dose to the thyroid and gonads during computed tomography (CT) thorax examination.

Materials and Methods:

We used data from 43 patients prescribed thorax CT examinations. Thermoluminescent dosimeter (TLD) discs detect the scattered radiation dose to the thyroid and gonads. Four discs were used for each patient, two at the thyroid level and two at the gonad region. The exposed and a control TLD disc with the appropriate identifications are sent to Avanttec Laboratories, India, for readings.

Results:

The median thyroid dose for males and females was 7.55 mSv and 9.42 mSv, respectively. The median gonad dose was 0.11 mSv and 0.25 mSv for males and females, respectively. Gonad dose has a statistically significant difference between males and females (P < 0.001). Karl Pearson’s correlation coefficient was used to check the relationship between body mass index (BMI) and dose length product (DLP), and it showed a correlation coefficient value of 0.611 in males and 0.715 in females, a strong positive correlation between BMI and DLP, irrespective of gender.

Conclusion:

The scattered entrance radiation dose to the thyroids and gonads was minimal during CT thorax when compared with the literature. However, we recommend providing better care using an optimized protocol with only the required area coverage to protect the thyroid and gonad.
Evaluating Local Susceptibility Profile of Bacterial Isolates to Various Antibiotics Using Syndromic Antibiogram: A Cross-sectional Study
Authors: Dhivya K. , Aswini S. , Hanusha V. , Sethumeena S. , Supriya A.
Published: March 2024

Background:

A traditional antibiogram is a summary of the overall susceptibility profile of a bacterial isolate to a variety of antibiotics however it lacks the inclusion of the site of infection and hospital location. Hence, this study focuses on the importance of incorporating a syndromic antibiogram (SA) which provides an increased likelihood of appropriate empiric antibiotic therapy for a specific infectious syndrome and stratifying the susceptibilities based on patient location in providing effective antibiotic therapy.

Objectives:

The objective is to assess the local susceptibility profile of bacterial isolates to different antibiotics using SA in a tertiary care hospital.

Methodology:

A cross-sectional study was carried out in a tertiary care hospital over 6 months. A total of 400 samples were collected, out of which 350 samples were included based on inclusion criteria. The SA for urinary tract infection (UTI), respiratory tract infection (RTI), and bloodstream infection (BSI) was prepared. The collected data were analyzed using Microsoft Excel 2019 and SPSS version 24. The Chi-square test was used to find out the association between the isolates, patient location, and the syndromes. Continuous data were presented as mean ± standard deviation. Categorical data were presented as frequency and percentage.

Results:

Three hundred and fifty positive culture reports were included in our analysis, and the majority of isolates were Gram-negative bacilli rather than Gram-positive Cocci. Escherichia coli, streptococci, and Salmonella typhi were the most predominant organisms found in UTI, RTI, and BSI. E. coli showed a high level of susceptibility to fosfomycin (99%) and amikacin (99%). Streptococci showed a high susceptibility to linezolid (97%) and penicillin (94%) and S. typhi showed resistance to ciprofloxacin (0%).

Conclusion:

This study clearly depicted the variations in isolated microorganism’s susceptibility rate and their resistance pattern in specific units of the hospital. Incorporation of SA provides better guidance for the clinician in selecting the most appropriate empiric therapy for individual patients.
Integrating Network Pharmacology and Molecular Docking Techniques to Uncover the Repurposing Mechanism of Budipine for Hypertensive Disease Treatment
Authors: Chaudhary Shubham , Kapoor Garima , Choudhary Vijul Kumar , Bhutani Rubina , Nagarajan K. , Grover Parul , Mishra Shardendu Kumar
Published: March 2024

Context:

Hypertension, a prevalent cardiovascular condition characterized by elevated systemic arterial pressure, presents a significant global health challenge. Despite various therapeutic interventions, comprehending the intricate molecular mechanisms behind hypertension and devising effective treatments remains an ongoing objective.

Aim:

This study employs network pharmacology and molecular docking to investigate the potential repurposing of budipine, a dopamine facilitator used in parkinsonism treatment, for addressing hypertension.

Materials and Methods:

The in-silico tools like network analysis, molecular docking, pivotal nodes, pathways, and binding affinity, molecular interaction linked to hypertensive disease proteins, unveiling potential therapeutic targets and modes of action. In this study, five potential targets (OPRK1, ‘OPRD1, ‘OPRM1, ‘HSD11B2, and PIK3R1) and PDB (6b73) were involved in the management of hypertensive disease.

Results:

Molecular docking was utilized to affirm the efficacy of budipine; binding affinity and interactions between budipine and the OPRK1 target (PDB ID: 6b73) were noteworthy, registering a robust binding energy of −7.8 Kcal/mol. In comparison, the standard ligands, enalapril and diltiazem, exhibited binding energies of −7.7 Kcal/mol and −6.3 Kcal/mol, respectively. These findings underscore the potent binding capabilities of budipine with the OPRK1 target, suggesting its potential efficacy in addressing hypertensive diseases through modulation of the OPRK1 pathway.

Conclusion:

To sum up, this study highlights the usefulness of network pharmacology and molecular docking for investigating how drugs, like budipine, work to treat high blood pressure. The comprehensive method used in this study provides a better grasp of hypertension and lays the groundwork for developing a precise and efficient treatment.
Histopathology of Papulosquamous Skin Lesions: A Prospective Cohort Study of 305 Cases
Authors: Chandanwale Shirish Sahebrao , Raj Akshi , Singh Madhuri , Bharadwaj Saloni , Kambale Tushar , Ingale Yamini , Ambekar Mayur
Published: March 2024

Introduction:

Papulosquamous lesions are a heterogeneous group of disorders and they form the largest group of skin diseases. They are characterized clinically by scaly papules and plaques and are usually erythematous. These lesions show considerable overlap in clinical and histopathological features.

Materials and Methods:

The present prospective cohort study was carried out at an urban teaching medical hospital. Histopathological features of 305 skin biopsies of clinically diagnosed as papulosquamous lesions were studied in detail for 3 years from February 2020 to February 2023. Histological features were correlated with clinical features and a final diagnosis was made. Standard statistical tests were applied to analyze data. Microsoft Excel was used to express tables and data were expressed in percentile and numerical.

Results:

Statistical analysis was done. The most common clinical lesions were papules (49.50%) followed by plaques (43.27%) and both papules and plaque (34.42%). Maximum cases were of lichen planus (n = 120) followed by psoriasis (n = 98). The least common lesion was lichen nitidus (n = 2). Out of 305 cases, 52.13% were female (n = 159) and 47.86% were male (n = 146). Out of 146 male patients, 35.61% of lesions were psoriasis (n = 52) followed by 33.56% lichen planus (n = 49). Out of 159 female patients, 44.65% were lichen planus (n = 71) as compared to 28.93% psoriasis (n = 46).

Conclusion:

Papulosquamous lesions show considerable overlap in clinical and histopathological features. Specific histopathological diagnosis is important to distinguish these lesions because in these disorders, prognosis, and treatment vary significantly. There is a need for lucid clinical information and description of these lesions to correlate with histological features which enables definitive histopathology diagnosis.
Gutta-percha dissolving ability of Citrus limetta, essential oils and a customized emulsion: An in vitro study
Authors: Susila Anand V. , Loshini Rajendran , Sai Shamini , Veronica Aruna Kumari
Published: March 2024

Aim:

This study aims to evaluate the GP dissolving property of ethanolic extract of sweet lime peel (Citrus limetta), peppermint oil, cedarwood oil, and an emulsion (equal volumes of ethanolic extract of sweet lime peel, peppermint, and cedarwood oils) compared to xylene and chloroform (CHCl3).

Methods:

Equal weight of GP were divided into 7 groups and immersed for 5 min and 10 min in the test and control groups. Distilled water was used as a negative control. Absolute weight loss (WL) was calculated.

Results:

Data were analyzed using Kruskal–Wallis test followed by Dunn’s pairwise comparison with a significance value of P ≤ 0.05. The median WL of GP in the solvents shows a significant difference at 5 min (P = 0.001) and 10 min (P = 0.000). After 5 min, the order of WL was highest in sweet lime peel extract, CHCl3, and emulsion followed by xylene and peppermint oil. After 10 min, the highest WL was seen in emulsion, CHCl3 followed by sweet lime peel and peppermint oil. Cedarwood oil had no GP solvent effect at both time intervals.

Conclusion:

Sweet lime peel extract, emulsion, and peppermint oil showed a significant GP dissolving effect at 5 and 10 min and were comparable to CHCl3. Cedarwood oil showed no GP dissolving effect.
Knowledge, attitudes, and practices of dentists regarding mucormycosis as a possible orofacial manifestation of COVID-19 in postpandemic times: A cross-sectional study
Authors: Tiwari Shilpi , Chourasia Hemant Ramesh , Bhatia Amrita Pandita , Chandran Ajay , Tafzal Kurshid , Sekhar Madukkuri Raja , Jandrajupalli Suresh Babu , Chandolu Swarnalatha , Nayyar Abhishek Singh
Published: March 2024

Introduction:

Mucormycosis, also known as black fungus, is a rare but serious fungal infection usually seen in immunocompromised hosts. There are cluster of cases being reported and diagnosed as mucormycosis in treated COVID-19 patients in the postpandemic times. The aim of the present study was to assess awareness among dentists regarding mucormycosis and other possible oral manifestations of COVID-19 in the postpandemic times and the associated complications.

Materials and Methods:

In the present cross-sectional study, a well-structured questionnaire composed of a total of 17 closed-ended questions was used to cover questions to assess awareness among dentists regarding the possible oral manifestations of post-COVID-19. Furthermore, statistical analysis was done using the Statistical Package for the Social Sciences (SPSS) version 21.0 (IBM, Chicago, IL, USA), while the Chi-square test and Pearson’s correlation coefficient were used to analyze the data statistically.

Results:

The Chi-square test was used to analyze the association of the knowledge, attitude, and practice scores regarding COVID-19 and the academic qualification of the participants revealed that despite having sufficient information (knowledge and attitude scores), no significant difference (P= 0.7288) was observed in the practices of the participants irrespective of their academic qualification. On analyzing the data further, though, a significant positive correlation was observed between all the components of the knowledge, attitude, and practice scores of the participants (P= 0.0001) using Pearson’s correlation coefficient.

Conclusion:

From the findings of the present study, it could be concluded that dentists were well aware of the possible oral manifestations of COVID-19, including mucormycosis, though the possibility of increasing awareness among dentists regarding the multidisciplinary approach required for the management of deep fungal infections such as mucormycosis cannot completely be ruled out.

The following core competencies are addressed in this article:Practice-based learning and improvement, Patient care and procedural skills, Systems-based practice, Medical knowledge.
Strangulated femoral Littre hernia in a 72-year-old female: A case report
Authors: Mait Melanie B , Hasan Samira M
Published: March 2024

Littre’s hernia is an uncommon hernia, in which a Meckel’s diverticula protrudes through a potential opening in the abdominal wall. Littre’s hernia is seen in less than 1% of patients with a Meckel’s diverticulum, and the most common sites of the hernia include inguinal, umbilical, and femoral. In this report, we present a case of a femoral Littre hernia in a 72-year-old female repaired with femoral herniorrhaphy and laparoscopic-assisted small bowel resection.
Management of strangulated inguinal hernias in a district hospital: About 73 cases
Authors: Maman Boukari Haboubacar , Bachir Abdoulaye Maman , Ousseini Adakal , Mohamed Rouga Mohamed , Mahaman Maikassoua , Adamou Harissou , Didier Lassey James , Rachid Sani
Published: March 2024

BACKGROUND:

Hernial strangulation is a surgical emergency characterized by tight, permanent constriction of the contents of the hernial sac. It is also called an irresistible hernia with impairment of perfusion. This work aims to evaluate the results of the management of strangulated hernias in a district hospital.

METHOD:

This was a cross-sectional study with prospective descriptive and analytical collection carried out in the General Surgery Department of Tessaoua District Hospital (Maradi, Niger), covering patients operated on for strangulated inguinal hernias managed from January 2020 to February 2022.

RESULTS:

We collected 73 cases of strangulated hernias representing 2.76% of admitted surgical emergencies and 1.92% of surgical procedures. The mean age was 49.30 years with extremes ranging from 20 to 80 years and a standard deviation of ±17.21. The sex ratio was 8.13. The admission time was less than 6 h in 45.21% of cases, between 6 and 9 h in 38.36% and more than 9 h in 15.07%. On exploration, the contents were of normal appearance in 61.64%; 17 cases whose contents were already necrotic, that is 23.29%, and 11 cases of sphacelic appearance, that is 15.07%. Anastomotic resection was performed in 21.92% of cases, followed by Desarda in 26.03% and Mac Vay in 12.33%. The average hospital stay was 7 days.

CONCLUSION:

Strangulated hernia is a frequent pathology in developing countries. Patients with a simple hernia must go for consultation, hence the importance of raising awareness for early management.
Evaluating patient outcomes and quality of life following laparoscopic extended totally extraperitoneal repair for ventral hernia: A prospective study
Authors: Manoj Krishna Cuddapah , Vamsi Krishna Pothula Rajendra , Dwarakanath Reddy Vembuluru , Patel Dhaval , Natesh Bonny
Published: March 2024

BACKGROUND:

Various laparoscopic techniques have been developed for the repair of ventral and incisional hernias. There is a never-ending debate regarding the best procedure for hernia repair. Moreover, very few studies have studied the Quality of Life (QOL) in these patients. This study is aimed at analyzing the various perioperative outcomes following the laparoscopic extended totally extraperitoneal (eTEP) approach for ventral hernias and QOL.

MATERIALS AND METHODS:

This prospective study was conducted in the Department of Surgical Gastroenterology at a tertiary care hospital in India. The study analyzed patient demographics, hernia characteristics, perioperative outcomes, postoperative complications, and QOL measured by the Carolinas Comfort Scale.

RESULTS:

The study enrolled 34 patients and analyzed hernia characteristics and perioperative outcomes. QOL scores, measured by the Carolinas Comfort Scale, were assessed at 1-month and 6-month intervals post-surgery. At 1 month, scores for mesh sensation, pain, movement limitation, and the total score were 8.85, 4.26, 0.06, and 13.18, respectively. At 6 months, these scores improved significantly to 0.76, 0.18, 0, and 0.94.

CONCLUSION:

eTEP is associated with less postoperative pain, short hospitalization periods, and low recurrence rates. Furthermore, it offers cost-effectiveness by employing a standard prolene mesh without requiring fixation. eTEP improves the QOL in patients undergoing repair for ventral hernias.
Tracheostomy timing and outcomes in patients with coronavirus disease 2019-associated acute respiratory distress syndrome: A retrospective observational study
Authors: Sasane Sachin Pralhad , Telang Madhavi Mahesh , Alrais Zeyad Faroor , Shaikh Wasim Shabbir , Alrais Ghaya Zeyad , Khatib Khalid Ismail
Published: March 2024

Background:

Patients with coronavirus disease 2019 (COVID-19) pneumonitis may progress to acute respiratory distress syndrome (ARDS) requiring endotracheal intubation and prolonged mechanical ventilation (MV). There are limited data on the optimum time of tracheostomy in COVID-19 patients progressing to ARDS.

Methods:

This was a retrospective observational study of all patients diagnosed with COVID-19 who progressed to ARDS requiring MV and undergone tracheostomy. We aimed to conduct a study to observe the impact of tracheostomy on the mortality of these patients and the impact of timing of tracheostomy on outcomes in these patients.

Results:

Of the total 162 patients, 128 (79%) were male and 34 (21%) were female. Early group (≤14 days) comprised 37 patients, while 125 patients were included in late group (>14 days). A total of 91 (56%) patients died at the end of this period. Among the patients who died, 21were included in the early group, while the late group comprised the remaining 70 patients. On comparing the patients who died, the duration of stay in the intensive care unit (ICU) was significantly different in the two groups (median [Q1–Q3]: 12 [11–13] vs. 23 [19–28] days, P < 0.001). The number of days to death also differed significantly between the two groups (median [Q1–Q3]: 28 [21–38] vs. 24 [14–30] days, P = 0.009).

Conclusion:

Early tracheostomy is associated with significantly shorter length of ICU stay in COVID-19 patients that have progressed to ARDS. However, the timing of tracheostomy had no influence on the overall mortality rate in these patients.
Acute presentation of Wunderlich syndrome in a pregnant woman treated with supra-selective cannulation of renal segmental arteries and nephrectomy: A case report
Authors: Sanabria-Rodríguez Oscar Orlando , Grillo-Ardila Carlos Fernando , Mojica-Méndez Daniela , Bottia-Córdoba Santiago
Published: March 2024

Wunderlich syndrome is characterized by the presence of abdominal pain, hematuria, and hypovolemic shock. We report a rare case of a 25-year-old pregnant woman, who came to the emergency department due to the sudden onset of low back pain and diaphoresis. The patient, during medical evaluation, experienced an altered state of consciousness. Diagnosed with hypovolemic shock, she was admitted to the operating room, where examination of the abdominal cavity revealed a left retroperitoneal hematoma. Damage control surgery was performed, but given the postoperative clinical deterioration, computerized tomography angiography of the abdomen was performed, showing a mass-like lesion arising from the upper pole of the left kidney, consistent with Wunderlich syndrome. Left nephrectomy was the definitive treatment for the 10-cm renal angiomyolipoma. Since Wunderlich syndrome is a potentially lethal entity, CT is usually the preferred diagnostic approach, and supra-selective vascular embolization is the first-line treatment.
Metformin toxicity in the intensive care unit: A case series and review of the literature
Authors: Peake Katherine Nicole , Tessier Steven , Longo Santo , Stahlnecker Deborah M. , Idahosa Osamudiamen , Zanders Thomas , Ido Firas
Published: March 2024

Metformin toxicity is a life-threatening condition with high morbidity and mortality. Toxicity predominantly occurs in the setting of acute renal dysfunction, as the drug is solely eliminated by the kidneys. While this risk is widely known to clinicians, diagnosing metformin toxicity is challenging because commercially available serum metformin levels require days to weeks to result. Therefore, the intensivist must rely on medical history, clinical presentation, and routine laboratory findings to make the preliminary diagnosis. Treatment of metformin toxicity includes supportive fluid hydration, vasopressors, and emergent hemodialysis (HD). We report three critically ill patients who had near-fatal severe metformin-induced lactic acidosis. Their metformin levels were markedly higher than the toxicity threshold reported by the Federal Drug Agency. These patients made a prompt and complete recovery after the initiation of HD. We also review the pathophysiology, clinical presentation, diagnosis, and treatment of metformin toxicity.
Prevalence and Related Factors of Postpartum Depression among Jordanian Mothers with a History of COVID-19 during Pregnancy or After Childbirth in a Developing Country
Authors: Hamadneh Shereen , Hamadneh Jehan , Abdalrahim Asem , ALBashtawy Mohammed , Suliman Mohammad , Alolayaan Main , Alkhawaldeh Abdullah
Published: March 2024

Background:

The magnitude of postpartum depression in Jordan during the COVID-19 pandemic is under-documented, and little is known about its potential social, demographic, and clinical correlates. This study aimed to explore the prevalence and related factors of postpartum depression among Jordanian mothers with a history of COVID-19 during pregnancy or after childbirth.

Materials and Methods:

This cross-sectional descriptive study was carried out in March-June 2021 among a convenient sample of 109 women with a history of COVID-19 during pregnancy or after childbirth, who were at a leading hospital equipped to care for COVID-19 cases in North Jordan. An online survey using the Edinburgh Postnatal Depression Scale (EPDS) was used to collect information from mothers with a history of COVID-19-positive tests.

Results:

Among the total number of women who participated in the study (n = 109), 73 women had postpartum depression. The prevalence of postpartum depression in the present study was 67%. In addition, the study found a positive statistically significant correlation between EPDS scores and being a smoker, delivery method, experiencing severe COVID-19 symptoms, and being hospitalized.

Conclusions:

During the COVID-19 pandemic, women had a high level of postpartum depression. It would be necessary to follow further the confirmed cases of COVID-19, and mothers should be screened for depressive symptoms during pregnancy and followed up for antenatal and postnatal care.
The Effect of a Training Program Based on the Theory of Planned Behavior on the Self-Care of Patients with Cerebrovascular Accident: A Randomized Controlled Trial
Authors: Salajegheh Zahra , Bagherian Behnaz , Rabori Roghayeh Mehdipour , Sabzevari Sakineh
Published: March 2024

Background:

Cerebrovascular accident dramatically impacts patients’ lives. However, this chronic disease could be managed by boosting self-care and following healthy behaviors. Accordingly, this trial sought to specify the impact of a training program established on the theory of planned behavior on the self-care of clients with this condition.

Materials and Methods:

This trial was performed on 80 clients, who were selected using a random numbers table and divided into two equal groups to receive either usual care alone or usual care plus a training program based on the theory of planned behavior (five in-hospital individual sessions for 5 weeks and weekly phone follow-ups for 2 months after discharge). Self-care and the dimensions of the theory of planned behavior were investigated at baseline and 2 months after the last in-hospital session using the standardized Shah version of the modified Barthel index and a researcher-made questionnaire, respectively.

Results:

The mean score of self-care was significantly higher in the experimental arm at the posttest (Mann–Whitney = 506.00, p = 0.005). Also, the increase in mean change of self-care from baseline to posttest was significantly more in the experimental arm (t78= −6.6, p < 0.001). Such findings were also found for all dimensions of the theory of planned behavior.

Conclusions:

Based on results, nurses and health policymakers can incorporate training based on the theory of planned behavior into routine care programs for patients with cerebrovascular accident to boost their self-care. The implemented intervention also could be reproduced in other contexts. Hence, further trials are requested to specify the sustainability of the findings.
Oral Health and Oral Health-Related Quality of Life among Elderly People in Iran
Authors: Jamalinasab Aliasghar , Tahani Bahareh , Maracy Mohammad Reza , Keshvari Mahrokh
Published: March 2024

Background:

The study aimed to investigate oral health status and its relationship with oral health-related quality of life in the elderly in Isfahan, Iran, in 2022.

Materials and Methods:

This cross-sectional study was conducted in Isfahan, with 460 elderly participants. During interviews with the participants, their demographic information, their medical and dental history, oral health-related behaviors, self-perceived oral health, and clinical examinations were collected, and the Geriatric Oral Health Assessment Index (GOHAI) was completed. The final conclusions were made using the Generalized Linear Model (GLM) test.

Results:

The mean (sd) scores were 45.05 (8.62) for GOHAI, 5.44 (2.96) for self-perceived oral health, and 18.11 (5.76) for DMFT (Decayed, Missing and Filled teeth). Moreover, the number of remaining teeth on average was 11.78 (11.89), 39.56% of the participants did not brush their teeth, 40% of the elderly had complete dentures, and 27.17% had dental insurance. After adjusting and modifying the variables, the GLM test revealed that strong predictors for higher GOHAI scores were the higher levels of education (p < .001), the higher frequency of remaining teeth (p = 0.002), more pleasant self-perceived oral health (p < .001), and dental insurance (p = 0.04).

Conclusions:

According to the findings, the elderly’s oral health-related quality of life in Isfahan was low, which was caused by the following factors: edentulism, few numbers of remaining teeth, high DMFT score, elderly’ non-adjustment with dentures and their low quality, inappropriate oral health-related behaviors, lack of complementary insurance for dentistry, and non-using dental services, and low levels of education.
Iranian Women’s Experiences of Breastfeeding Support during the COVID-19 Pandemic: A Qualitative Study
Authors: Pourghane Parand , Shirazi Morvarid Ghasab
Published: March 2024

Background:

The impact of the coronavirus disease 2019 (COVID-19) pandemic on health systems worldwide has been associated with less attention to maternal support in breastfeeding. The objective of this study was to explore the experiences of breastfeeding mothers, during the COVID-19 pandemic, and the impact of the pandemic on breastfeeding initiation and maintenance.

Materials and Methods:

A qualitative, descriptive study was conducted by means of in-depth semi-structured interviews. The study participants included 28 mothers who had children aged 0 to 12 months, lived in Guilan Province, Iran, and had breastfed their children at least once after March 2021. Conventional content analysis was performed simultaneously with data collection.

Results:

Data analysis led to the extraction of three main categories and nine subcategories: in the shadow of peace (receiving correct information from reliable sources, observing health and quarantine principles, and enjoying the awareness of not having COVID-19 [both the mother and the infant]), under the stress (information poverty, invalid and stressful information, and stressful association of underlying diseases), and in the delusion of exposure (refusal to breastfeed, and non-compliance with recommendations).

Conclusions:

Mothers’ breastfeeding experiences during the COVID-19 pandemic indicate factors such as receiving or not receiving breastfeeding support, quarantine and the resulting stress, and exposure to conflicting information. Mothers felt that their experience with breastfeeding during the pandemic encouraged them to continue breastfeeding, but it is important to support breastfeeding mothers. Monitoring and supporting vulnerable groups such as breastfeeding mothers, for mental health problems during the COVID-19 pandemic, should be considered during the planning phase.