bluuebunny/crossref_metadata_2025 huggingface dataset:
Our Experience on Unusual Manifestations of Hansen’s Disease - A Case Series
Authors: Harikrishna Ganaraja Valakunja , Jayashankar C. A. , Arora Sukriti , Mala Kavya , Shalini A. S.
Published: September 2023

Hansen’s disease is caused by an acid–fast bacillus – Mycobacterium leprae. Diagnosis of Hansen’s disease is mainly clinical. Hence, it is crucial to be aware of its diverse manifestations. We hereby report three such cases of Hansen’s disease with uncommon presentation. Case 1: A 26-year-old male presented with progressive numbness and multiple skin lesions over both upper and lower limbs in the past 3 years. Case 2: A 26-year-old male presented with tingling sensation of both upper limbs and lower limbs along with multiple skin lesions all over the body in the past 10 months. Case 3: A 39-year-old male presented with multiple joint pain, electric shock-like sensation of both upper limbs, and weakness of both hands along with skin rashes all over the body in the past 1 month. Skin examination of all these patients revealed multiple hypoanesthetic erythematous patches in the involved areas. Nerve conduction study was suggestive of asymmetric sensory motor axonal polyneuropathy. Skin biopsy from the lesions of the first patient revealed epithelioid granulomas suggesting borderline tuberculoid leprosy. Ziehl–Neelsen stain was positive for both fragmented and intact bacilli in the second and third cases, suggesting lepromatous leprosy. All of them were treated successfully with antileprosy drugs. It is essential to consider leprosy as a differential diagnosis in all patients presenting with symptoms of peripheral neuropathy, so that an early diagnosis and treatment is possible.
Patterns of tobacco use among patients visiting primary health centers in India: An exploratory study
Authors: Bhatia Gayatri , Joshi Krupal , Vakani Jayeshkumar
Published: September 2023

Background:

Tobacco is a public health concern at global and national levels. The state of Gujarat has 28.6% prevalence of tobacco use, 22% in males and 8% in females. Rajkot, the fourth largest and fastest growing city in Gujarat, is not free from the burden of tobacco use.

Aim:

The aim of this study was to assess the patterns of tobacco use and utilization of tobacco cessation services in the city of Rajkot.

Methodology:

This was a cross-sectional observational study conducted on adult tobacco users attending rural and urban primary healthcare centers (PHCs) in Rajkot. At least 16 participants were recruited from all 75 PHCs (a total of 1152) using probability sampling. Study instruments comprised semi-structured proforma, Fagerstrom Test for Nicotine Dependence, and readiness to change questionnaire. Responses were analyzed using SPSS version 26.0.

Results:

A total of 1161 participants were included. Smokeless tobacco (n = 967, 83.3%) was preferred over smoking. Mava was the most common smokeless tobacco preparation consumed. The median age of onset was 28 years (interquartile range [IQR]: 22–37), and the median duration of use was 5 years (IQR: 4–10). Males had a significantly greater duration of abstinence (U = 1218.6, P = 0.002), greater readiness to quit (χ
2 [df] = 35.66 [8], P = 0.001), and anticipated success (χ
2 [df] = 28.71 [8], P = 0.004) in abstaining. While utilization of tobacco cessation services was poor overall, counseling (32.5%) and nicotine replacement therapy (19%) were the most commonly used.

Conclusion:

There is a need for in-depth research on tobacco use among smaller communities, upscaling harm reduction services for tobacco use. Prevention and IEC initiatives need to be revamped considering the special needs of female tobacco users.
Mapping the Social Virtue of Youth as a Catalyst in the Dynamics of Eye Donation
Authors: Thakur Rakesh , Kumari Sumita
Published: September 2023

Background:

The dynamics of eye donation and corneal transplantation is a beacon of hope in the life of a corneal blind person for sight restoration. Social virtues like altruism and helping others are reflected in the promotion of organ donation and in the metaphorical reference ‘gift of life’. Youth is not merely a future potential donor, but also a transmitter of eye donation.

Aim:

The aim of the study was to outline various facets of eye donation among students using KAP model, to explore the role of youth on eye donation and to measure the relationship between the willingness for eye donation and different components of students.

Materials and Methods:

A questionnaire administrated to 1179 students of Panjab University and its five affiliated colleges in Chandigarh, India.

Results:

Only 3.5% of respondents were found to have a good level of knowledge regarding the subject. Nearly 21.8% of respondents expressed a positive attitude towards eye donation. There were only 2.6% of respondents who showed a high level of practice. Over 92.6% of respondents indicated that youth could play a positive role in the promotion of eye donation. The socio-demographic variables of the respondents, such as age, gender, and education level had a linear relationship with the level of knowledge, attitude, and practice (P ≤ 0.01).

Conclusion:

Findings showed a hypothetical relationship between knowledge, attitude and practice in context of eye donation. There was a poor level of knowledge, neutral attitude and low level of practice among students regarding eye donation.
Management of Pipkin Type 3 Fracture-Dislocation in Young Adults: A Dilemma
Authors: Harna Bushu , Saini Rishabh , Saini M. C.
Published: September 2023

Pipkin type 3 fracture-dislocation constitutes a rare subgroup of fractures involving the femoral neck and head fracture. The management is difficult and controversial, including osteosynthesis using Herbert or cancellous screws and hip replacement surgery. In this case report, a 26-year-old male suffered a road traffic accident leading to a hip fracture. Radiographs and computed tomography scan of the hip depicted three large fragments of the femur head, dislocated posteriorly along with the neck of femur fracture. Considering the needs of the patient, fracture morphology, and unpredictable results of the osteosynthesis, the patient was treated primarily with uncemented total hip replacement. The complexity of the fracture leads to more chances of malreduction and avascular necrosis of the femur head. The patient had an uneventful intra and postoperative period. At the 3-year follow-up, the patient was walking unaided, pain-free, and performing all the activities of daily living satisfactorily.
Does Acromioclavicular Joint Tenderness Affect the Outcome of Rotator Cuff Repair? A Prospective Cohort Study
Authors: Amit Priyadarshi , Malik Shahbaz S. , Massoud Samir Nabil
Published: September 2023

Purpose:

The purpose of this study was to assess the functional outcome of rotator cuff repair (RCR) without distal clavicle excision (DCE) in patients with degenerative rotator cuff tear and acromio-clavicular joint (ACJ) tenderness.

Methods:

A cohort of 70 patients undergoing arthroscopic RCR without DCE were prospectively evaluated. Parameters such as the presence of ACJ arthritis on imaging and long head of biceps tendon (LHBT) pathology (intra-operative) were recorded. The ACJ tenderness and clinical outcome scores including Oxford shoulder score and quick-disability of arm, and shoulder and hand score were evaluated preoperatively and at 1-year postoperatively.

Results:

Four patients were lost to follow up. Of remaining 66 patients, ACJ tenderness was found in 50% of the total study population. ACJ tenderness showed significant positive correlation with biceps tendinopathy (R = 0.37, P = 0.002). Postoperatively, there was significant improvement in clinical outcome scores which were comparable in patients with or without ACJ tenderness. Among patients with tender ACJ, the tenderness resolved completely in 78.7% of patients.

Conclusions:

ACJ tenderness did not adversely affect the outcome following RCR. Furthermore, the patients with ACJ tenderness have higher incidence of LHBT tendinopathy.
Incidental Findings in Sports Imaging
Authors: Ghany Jehan , Lam Kimberly , Jain Abhishek , Dunn Andrew , Mistry Alpesh
Published: September 2023

This narrative review presents a series of cases of less common incidental findings discovered on magnetic resonance imaging of elite athletes, who have presented for investigation of either muscle or joint sports-related injuries or for presigning imaging. The presented incidental findings include anatomical variants of osseous structures and muscles; incidental bone lesions; examples of systemic disease, and nonorthopedic findings found within the imaging field of view. This review will emphasize to the reader about the importance of interrogating the imaging in its entirety and avoiding the common pitfall of “satisfaction of search” within diagnostic radiology.
Early Changes in the Bone Mineral Density on Dual-energy X-ray Absorptiometry Scan of Patients Undergoing Primary Cemented Total Knee Arthroplasty: A Prospective Cohort Study
Authors: Athwal Aamna , Mahindra Pankaj , Garg Rajnish , Tiwari Punit , Kaur Harmeet , Jaura Sandeep Singh
Published: September 2023

Background:

The known risk factors of osteoarthritis (OA) knee are aging and obesity while the risk factors of osteoporosis are aging and low body weight, so the relationship between all three is complex. Currently, the dual-energy X-ray absorptiometry (DXA) test is the gold standard in osteoporosis diagnostics. Many epidemiologic studies have revealed increased bone mineral density (BMD) in individuals with OA knee. The impact of total knee arthroplasty (TKA) on BMD levels is not fully understood. Concern has been raised regarding the increased risk of femoral and spine fractures early after TKA. Hence, we conducted this study to measure the BMD changes in the hip and spine in patients receiving TKA.

Materials and Methods:

It was a prospective interventional cohort study conducted from December 2018 to December 2020. The study included 43 patients admitted for elective TKA after applying the relevant inclusion and exclusion criteria. Patients were analyzed with DXA scans both preoperatively and 6 months postoperatively.

Results:

When we studied all the patients as one single sample, the initial observation was that at the 6-month follow-up, the patients showed a statistically significant improvement in the femur BMD score while the change in spine BMD was statistically insignificant. However, when subsets of the study sample, i.e. preoperatively normal, osteopenic, and osteoporotic patients, underwent further analysis, we found that out of 18 patients having normal BMD preoperatively, one patient developed osteopenia and another developed osteoporosis upon postoperative follow-up DXA scan. Similarly, one out of the eight patients, having osteoporosis preoperatively, improved a grade to osteopenia upon postoperative follow-up DXA scan. However, these changes were not statistically significant.

Conclusions:

we conclude that there is no statistically significant change in both the femur and the spine BMD at least 6-month follow-up postprimary TKA.
Imaging in Sports Medicine
Authors: Bonab Hossein Abdolmohammadpour , Treytyak Dmitry , Nischal Neha , Iyengar Karthikeyan P. , Botchu Rajesh
Published: September 2023

Muscular, soft tissue, and bony injuries are common among athletes. Different imaging modalities can be used to assess these patients depending on the type of injury and the expert opinion. Multiple imaging modalities are used to diagnose, investigate, and decide an appropriate medical or surgical treatment. Among the modalities that are used, magnetic resonance imaging and ultrasound (US) are commonly used to illustrate soft tissue injuries. Radiographs are cheap and are commonly used. The British Athletic Muscle Injury Classification is a grading system used for muscle injuries and can be used to predict the time it takes for a player to return fully. Tendons and ligaments are graded from 1 to 3, and the Fredericson grading system is used to classify bony injuries. Many of the common sports injuries are graded using these grading systems. Good communication and collaboration among sports physicians, surgeons, and radiologists are essential to adequate injury management in athletes. Appropriate choice of imaging modalities, classification systems, and a knowledge of common sports injuries can facilitate this.
Comparative Reliability of 3-Tesla Magnetic Resonance Imaging to Arthroscopy Findings in Femoroacetabular Impingement
Authors: Tang Chun Hong , Rowbotham Emma , Pass Bill , Holton Colin , Robinson Philip
Published: September 2023

Purpose:

We have found that 3-tesla magnetic resonance imaging (3TMRI) is as clinically effective as magnetic resonance (MR) arthrogram when it comes to investigating patients with femoroacetabular impingement (FAI). It is also a noninvasive procedure that can be done more efficiently, with equivalent radiological and surgical outcomes. We would recommend 3TMRI as the primary investigation for patients presenting with FAI-type symptoms.

Methods:

This was a retrospective review of a single surgeon series of 59 operative cases, over 3 years. The inclusion criteria were arthroscopically confirmed diagnosis of FAI and preoperative imaging with 3TMRI scans. The surgical reports were analyzed and compared to the radiological reports, that were produced independently by two consultant musculoskeletal radiologists. The key findings included were the presence of labral tear, femoral CAM deformity, and acetabular and femoral cartilage damage.

Results:

We found that 3T MRI is sensitive in detecting the presence of labral tears and CAM deformities. (96% and 83% respectively). It was however, less sensitive in detecting femoral and acetabular cartilage damage. (50% and 69% respectively). The specificity of excluding cartilage wear on both the femoral and acetabular side was also high, (83% and 86%) but low for labral tears and CAM deformities (9% and 69%). The positive predictive value of 3TMRI was high in labral tears, CAM deformities, and acetabular wear (82%, 74%, and 97%) but low in predicting femoral cartilage damage (25%). The negative predictive value was high in detecting CAM lesions and femoral wear (80% and 94%) but low for labral tears and acetabular wear (33% and 27%).

Conclusion:

3T MRI is particularly good at detecting the presence of labral tears, and CAM deformities. It is less sensitive at detecting cartilage damage, but more accurate in diagnosing the location of cartilage wear when present. This is a level 3 study, being a retrospective case–control study. The clinical relevance of this study is to determine if the less invasive 3TMRI study can be used to substitute for MR arthrography in the diagnosis of FAI in patients.
Which Hemostatic Agent Works Best in Reducing Blood Loss in Total Knee Arthroplasty? - A Retrospective Study in University Clinical Hospital Mostar
Authors: Grle Maki , Franjic Damir , Karlovic Robert , Mandic Mladen , Prlic Jerko
Published: September 2023

Context:

Total knee arthroplasty (TKA) is one of the most performed orthopedic surgeries worldwide. It is accompanied by high blood loss during and after the surgery.

Aims:

The study aims to determine if hydrogen peroxide (H2O2) is superior to tranexamic acid (TXA) in reducing blood loss during TKA.

Subjects and Methods:

This research’s total number of participants was 101. Participants were divided into three groups based on the hemostatic agent they received: TXA, H2O2, and control. Postoperative blood loss was measured by taking a blood sample on the operation day, the 1st day, 7th day postoperatively, and on discharge from the hospital. The participants were compared according to blood loss during the timeline, amount of blood transfusions, loss in drains, and patella resurfacing.

Statistical Analysis Used:

Frequencies of nominal variables were analyzed using the Chi-square test. All continuous data were expressed as mean ± standard deviation. Distribution was normal so the significance of continuous variables was analyzed using one-way analysis of variance test.

Results:

Patients’ general characteristics, hospital stay, and preoperative hemoglobin (Hb) were similar among the groups. The TXA group had significantly lower Hb loss on the 1st (P = 0.019) and 7th (P = 0.035) postoperative day. The TXA group had the lower number of indicated transfusions (P = 0.001). Drainage blood loss was lowest in the TXA group (P < 0.014). Differences in the volume of lost blood, resurfaced patella, and blood group among the groups were not statistically significant.

Conclusions:

TXA proved to be more efficient than H2O2 in reducing blood loss, the need for transfusions, and drain blood loss in TKA.
Aspergillus Hip Arthritis in COVID-19 Era: Two Case Reports
Authors: Mukartihal Ravikumar , Das Rajdeep , Krishna Bharath S. , Patil Sharan S
Published: September 2023

Corticosteroids have been a mainstay in the treatment protocols and guidelines of COVID-19. However, its use in high dosage or for extended duration renders patients immunocompromised after COVID-19 recovery, and thus, susceptible to secondary opportunistic infections. We report the two cases of septic hip arthritis due to Aspergillus species in corticosteroid immunosuppressed post-COVID-19 patients. One patient recovered successfully from the arthritis and subsequently underwent total hip arthroplasty with good outcome. The second patient presented late to us in a critical condition and had two comorbid conditions along with, due to which, in spite of all measures, could not be revived and succumbed to death. We highlight the issue of the rare cause of fungal hip arthritis in immunosuppressed post-COVID-19 patients and stress the necessity to remain vigilant and identify the causative organisms correctly, especially fungal pathogens in such susceptible populations in the present COVID-19 era.
Hill–Sachs Lesions Revisited
Authors: Itha Rajesh , Vaish Abhishek , Vaishya Raju
Published: September 2023

Background:

The anterior shoulder instability is often associated with a bony defect in the humeral head which is known as a Hill–Sachs lesion that is caused by compression fracture. It causes significant disability, particularly in younger patients, due to recurrent shoulder instability. The severity of the instability, the extent of the defect, and the concomitant pathology of the capsule, labrum, and glenoid influence the treatment.

Purpose and Methods:

The purpose of this review paper is to provide up-to-date details of the clinical evaluation, current diagnostic tools, and treatment modalities. We shall also discuss the lacunae in the treatment guidelines, and suggest the treatment algorithm. We reviewed several articles in the literature (PubMed, Scopus, and Google Scholar) on this topic, especially the mechanism of injury, diagnosis, and treatment methods to produce a review article.

Conclusion:

There are multiple methods for diagnosing the Hill–Sachs lesion, but there is no commonly accepted technique for quantifying it. A thorough evaluation is mandatory to verify the associated pathology that can modify the treatment protocols. An algorithm has been proposed for the management of Hill–Sachs defects.
Effect of Arrhythmias on Tissue Doppler Velocities
Authors: Mittal Sita Ram
Published: September 2023

Sa wave of tissue Doppler imaging correlates with ventricular systole (QRS-T of electrocardiogram). Ea wave correlates with ventricular filling in early diastole. Aa wave correlates with ventricular filling during atrial contraction and correlates with P wave of electrocardiogram. Therefore, a careful analysis of the relation between Ea and Aa waves gives a correct impression about the underlying cardiac arrhythmia. In sinus bradycardia, all waves are normal, but the distance between Ea and Aa wave is increased. In sinus tachycardia, Aa wave comes closer to Ea wave and may even fuse with Ea wave due to shortened diastole. Prematurely occurring Aa wave suggests atrial premature beat. The absence of Aa wave suggests atrial fibrillation. More than one Aa wave per cardiac cycle suggests atrial flutter. Premature Sa wave suggests ventricular premature beat. Increased distance between Aa wave and Sa wave suggests first-degree atrioventricular (AV) block. Progressive decrease of the distance between Ea and Aa waves till one Aa wave fuses with preceding Ea wave followed by a pause suggests Wenckebach phenomenon. In 2:1 AV block, one Aa wave is fused with Ea wave and the next Aa wave is followed by Sa and Ea waves. Sa and Ea waves occur regularly at a slow rate and Aa wave occurs regularly at a fast rate; thus, total dissociation between Ea and Aa waves suggests complete AV block. Usually, the person performing echocardiography is not aware of electrocardiography (ECG) findings. Clinicians may not be aware of the ECG findings when they are interpreting the tissue Doppler images. Further, arrhythmia recorded during tissue Doppler imaging need not necessarily be present in the 10 s ECG recorded routinely. Knowledge of the effect of arrhythmia on tissue Doppler findings helps in correct interpretation of the tissue Doppler findings.
Carcinoid Heart Disease: A Case Discussion with Reappraisal
Authors: Tandon Rohit , Singh Ravinder Pal
Published: September 2023

Carcinoid tumors are malignant neuroendocrine tumors arising from Kulchitsky cell. The most common site of primary carcinoid tumors is gastrointestinal tract (64%) followed by respiratory tract (28%). Carcinoid tumors metastasize to the liver in approximately 5%–10% of cases. Up to 20% of patients with carcinoid syndrome present with carcinoid heart disease at diagnosis, which leads to features of right heart failure. In this case, we highlight the importance of echocardiography in patients presenting with a triad of jaundice, pulsatile hepatomegaly, and raised jugular venous pressure.
Cor Triatriatum Dexter
Authors: Dubey Manoj Kumar , Mani Avinash , Ojha Vineeta , Dubey Punam
Published: September 2023

Cor Triatriatum, otherwise known as triatrial heart, is a rare congenital heart defect. This report describes a case of a 45 yrs old female who was sent to us for evaluation of exertional shortness of breath and swelling of feet. She was found to be in incipient heart failure. Transthoracic echocardiography revealed a membrane separating the right atrium into 2 chambers and dilated Right heart and pulmonary artery with features of pulmonary hypertension. The 2 portions of Right atrium had adequate communication between them, hence her paucity of complications and survival. But perhaps the onset of pulmonary hypertension had aggravated her symptoms forcing her to seek medical attention. Early diagnosis and prompt referral are mandatory to prevent mortality from the defect that is amenable to simple corrective surgery.
Telemedicine and Tele-echocardiography in India
Authors: Raju Krishnam P. , Prasad S. G.
Published: September 2023

India is a vast nation with almost 75% of their population living in rural and remote regions. The obvious challenge is in the health-care delivery mechanism because of the disparity in the availability of services and specialists across the region. Therefore, the technology that facilitates the delivery of this essential health care to these remote areas is the need of the hour today. Telemedicine which essentially encompasses exchange of clinical information through a communication media has provided a platform for the delivery of quality health care. Advances in Information and Communication Technology in the area of video-to-video communication have led to the growth of extending the reach of specialist services for diagnostic investigations to areas wherein specialists are unavailable. For a country of over one billion, the number of cardiologists available for even screening patients is abysmally low. Echocardiography is often used to diagnose and exclude important cardiac diagnoses in adults and children. The use of telemedicine in echocardiography is one way to alleviate this problem, wherein a diagnosis can be made through the transmitted images and an appropriate management plan suggested based on the findings before there is patient movement. With the right diagnosis, some of them do not need medical intervention in terms of a procedure or surgery, and they can just be managed by medicines. The convergence of science and technology in our dynamic digital era has resulted in the development of innovative digital health devices that allow easy and accurate characterization in health and disease. Internet of Things (IoT)-assisted medical devices have found immense potential in addressing some of the long-standing issues related to diagnostic tests such as electrocardiogram and echocardiography. These technological advancements and the miniaturization of diagnostic instruments have led to decreasing health-care costs and improving outcomes.
Submitral Aneurysm: A Rare Cause of Complete Heart Block
Authors: Nawale Jaywant M. , Chavan Rajendra V. , Shah Meghav M. , Chaurasia Ajay S. , Nalawade Digvijay
Published: September 2023

Subvalvular left ventricular (LV) aneurysms are rare and are of two types – subaortic and submitral. More commonly, they are submitral in position. Submitral aneurysms (SMAs) are most commonly located below posterior mitral leaflet (PML), whereas subaortic aneurysms are present below intermediate portion of the left aortic sinus. SMA was first described by Corvisart in 1812, and since then, only about 100–120 cases have been described worldwide. Aneurysmal dilatation in submitral position behind PML that communicates with left ventricle helps in making the diagnosis. Color Doppler echocardiography reveals the severity of mitral regurgitation. Transesophageal echocardiography and contrast-enhanced computed tomography (CT) are helpful in diagnosis in cases of acute rupture of SMA, and contrast-enhanced CT helps in evaluation of coronaries. Surgical resection is the definitive treatment for these aneurysms. Our special case presented with complaints of giddiness and presyncope and was diagnosed as complete heart block on electrocardiogram and was then diagnosed as having a large SMA on two-dimensional echocardiogram with LV dysfunction. Usually, SMAs present with dyspnea, pansystolic murmurs due to mitral regurgitation, fever secondary to infective endocarditis, or as thromboembolism. However, this patient presented symptoms of complete heart block. To conclude, SMA should be considered in differential diagnosis of mitral regurgitation with LV dysfunction and heart failure in young patients. Although complete heart block is uncommon in these patients, it should be kept in mind.
Clinicopathological Investigations Among Recurrent Camelpox Outbreaks in Omanis’ Arabian Camels (Camelus dromedarius)
Authors: Alkharusi Amal , Al Khaldi Nadia , Al-Sharji Nada , Altoubi Khalsa , Alsubhi Taha , Al-Garadi Maged A. , Al-Gabri Naif , Ali Haytham
Published: September 2023

Camelpox remains a widespread viral disease in camelids, with socioeconomic relevance. The present study explored the hematological, biochemical, and histopathological alterations in dromedary-racing camels from the North of Oman infected with camelpox virus diagnosed by real-time PCR. Blood and skin samples were collected from camels with clinical signs and skin lesions (n=4) and from healthy camels (n=3) from 10 different camel herds. The results indicated that the infected camels showed clinical signs, including pyrexia, lacrimation, nasal mucus discharge, affixed and swollen eyelids, emaciation, and pimples on the skin of the head, legs, and abdomen. Hemoglobin, hematocrit, and platelets were significantly greater, with a significant reduction in leukocyte and lymphocyte counts in infected camels than in healthy camels. Infected camels had higher CK and creatinine levels and hepatic-related metabolites, including AST, ALP, AST, GGT, and LDH, than the apparently healthy camels. Histopathological examination of skin scab samples revealed ballooning degeneration of epidermal cells in the presence of typical large eosinophilic intracytoplasmic inclusion bodies and suppurative dermatitis following secondary bacterial infection in all examined infected camels. Camelpox viral DNA was detected using real-time PCR in the blood and skin samples of all infected camels. These findings in dromedary-racing camels associated with a molecular diagnosis of camelpox are described for the first time in the Sultanate of Oman. Therefore, further studies are warranted.
Association of Vulnerability Screening on Hospital Admission with Discharge to Rehabilitation-Oriented Care after Acute Hospital Stay
Authors: de Groot Aafke J. , Wattel Elizabeth M. , van Balen Romke , Hertogh Cees M.P.M. , van der Wouden Johannes C.
Published: September 2023

Background: We assessed the vulnerability of patients aged ≥70 years during hospital admission based on the Short Dutch Safety Management Screening (DSMS). Screening of four geriatric domains aims to prevent adverse outcomes and may support targeted discharge planning for post-acute care. We explored whether the DSMS criteria for acutely admitted patients were associated with rehabilitation-oriented care needs.Methods: This retrospective cohort study included community-dwelling patients aged ≥70 years acutely admitted to a tertiary hospital. We recorded patient demographics, morbidity, functional status, malnutrition, fall risk, and delirium and used descriptive analysis to calculate the risks by comparing the discharge destination groups. Results: Among 491 hospital discharges, 349 patients (71.1%) returned home, 60 (12.2%) were referred for geriatric rehabilitation, and 82 (16.7%) to other inpatient post-acute care. Non-home referrals increased with age from 21% (70–80 years) to 61% (>90 years). A surgical diagnosis (odds ratio [OR]=4.92; 95% confidence interval [CI], 2.03–11.95), functional decline represented by Katz-activities of daily living positive screening (OR=3.79; 95% CI, 1.76–8.14), and positive fall risk (OR=2.87; 95% CI, 1.31–6.30) were associated with non-home discharge. The Charlson Comorbidity Index did not differ significantly between the groups.Conclusion: Admission diagnosis and vulnerability screening outcomes were associated with discharge to rehabilitation-oriented care in patients >70 years of age. The usual care data from DSMS vulnerability screening can raise awareness of discharge complexity and provide opportunities to support timely and personalized transitional care.
Diagnóstico y prevención de la Enfermedad Renal Crónica
Authors: Andreu-Periz Dolores , Hidalgo-Blanco Miguel Ángel , Moreno-Arroyo Mª Carmen
Published: September 2023

La Enfermedad Renal Crónica (ERC) es un problema de salud pública que se asocia a una importante morbimortalidad cardiovascular y a costes elevados. Pese a que numerosos estudios afi rman que aproximadamente el 11% de la población adulta sufre algún grado de ERC1, se suele considerar una patologia rara y compleja. Afortunadamente solo una pequeña proporción de enfermos evoluciona hacia la insuficiencia renal terminal que necesite de tratamiento sustitutivo. Para evitar esta progresión es necesaria una actuación precoz sobre sus principales causas: hipertensión arterial y diabetes mellitus, pues en pacientes seguidos en atención primaria con estas enfermedades, la prevalencia de insuficiencia renal puede alcanzar cifras del 35-40%. Un número importante de pacientes con ERC están sin diagnosticar y se estima que alrededor del 20% de la población con más de 60 años tiene una ERC avanzada, es decir insufi ciencia renal.
Nieformalna komunikacja między konsumentami za pośrednictwem internetu (eWOM)
Authors: Budzanowska-Drzewiecka Małgorzata
Published: September 2023

Monografia wpisuje się w nurt dynamicznie rozwijających się na świecie badań nad wielowymiarową komunikacją marketingową online. Identyfikuje stosunkowo mało zbadany problem skuteczności i siły perswazji argumentów emocjonalnych zawartych w komunikatach zamieszczanych w sieci. Zagadnienie to stanowi interesujący, oryginalny, otwarty pod względem naukowym i zarazem dynamiczny problem badawczy. Książka z powodzeniem łączy wątek teoretyczny i empiryczny. Opiera się na obszernych studiach literaturowych i własnych, oryginalnych oraz starannie zaplanowanych i zrealizowanych badaniach eksperymentalnych. Wykazuje bardzo rozległą wiedzę Autorki, a także jej głębokie i wieloletnie zainteresowanie tytułowym problemem. Z recenzji prof. dra hab. Jana W. Wiktora Niniejszy tom jest dziełem przyjemnym i łatwym w odbiorze przez Czytelnika, mimo wysokiego stopnia formalizacji wywodu. To nowatorskie opracowanie dotyczące słabo zbadanego, nie tylko w kontekście polskim, zjawiska komunikacji nieformalnej konsumentów w środowisku internetowym z uwzględnieniem emocjonalnych atrybutów recenzji konsumenckich o produktach. Podjęte zagadnienie jest niezwykle aktualne. W dobie wirtualizacji życia społecznego, konsumpcji i działań przedsiębiorstw stanowi jeden z kluczowych problemów poznawczych o znaczeniu praktycznym dla działalności marketingowej z jednej strony oraz dla edukacji konsumentów z drugiej. Z recenzji dra hab. Radosława Mącika, prof. UMCS
Gathering Empirical Information and Analysis of Strategies and Techniques of Persuasive Communication
Authors: Ivanova Antoniya
Published: September 2023

The paper examines persuasive techniques and strategies in social situations, focusing on persuasion as the result of both cognitive and emotional processes. Means of persuasion are a major focus of research in the present work. Psychological processes and behavior as part of persuasion are of research interest in the field of persuasive communication. For this reason, the article focuses on the types of behavioral strategies and attitudes, considering the means of persuasion in rational and emotional appeal. The characteristics of the message are a major tool for achieving the goal of gaining consent or agreement in interpersonal relationships. The subject of the first part of the study is the six principles of influence by Robert Cialdini, 2006, highlighting their main applications in communication. An attempt was made to highlight linguistic active techniques, and based on Lamb's (2019) theory, 21 characteristics of persuasive techniques were examined. The main focus of this article is the examination of effective methods of persuasion between two active parties - a communicator and a target group.
Experiences of Family Caregivers of People with Dementia during the COVID-19 Pandemic: A Qualitative Study
Authors: AKYOL Merve Aliye , KÜÇÜKGÜÇLÜ Özlem , AKPINAR SÖYLEMEZ Burcu , GÖNEN ŞENTÜRK Seher , GÜL Baran
Published: September 2023

Background: Given the rapid spread of the COVID-19 virus and an uncertain length of restrictions worldwide, it is extremely important to determine the experiences and needs of the caregivers of people with dementia (PwD).

Objectives: This study aimed to understand the experiences of family caregivers of PwD during the COVID-19 pandemic.

Methods: This study was a descriptive qualitative study using in-depth interviews. The study sample consisted of 29 caregivers of PwD from January to February 2021 in western of Turkey. The content analysis technique was used to analyze the data.

Results: A range of themes were derived from the data. The experiences of caregivers of PwD were grouped into two main salient themes: difficulties and funding solutions. The experiences of caregivers during the pandemic process varied. Also, most caregivers had multiple and serious problems.

Conclusion: This study highlights the challenges and needs for family caregivers of PwD during the COVID-19 pandemic. It is important to better tackle the rapid challenges of families living with dementia by using feasible and effective care strategies.
El principio dialógico-dialéctico en la Educación Matemática Decolonial Planetaria Compleja
Authors: Rodríguez Milagros Elena
Published: September 2023

Se analiza el principio dialógico-dialéctico en la Educación Matemática Decolonial Planetaria Compleja; hacemos énfasis en las bonanzas de la ecosofía y diatopia en dicho estudio, con el transmétodo con la hermenéutica comprensiva, ecosófica y diatópica en los momentos analíticos, empíricos y propositivos. Pesquisa en las líneas de investigación: Paulo Freire: el andariego de la utopía en las transmetodologías; decolonialidad planetaria - complejidad en re-ligaje; Educación Matemática Decolonial Planetaria Compleja y transepistemologías de los conocimientos-saberes y transmetodologías transcomplejas. En el momento propositivo mostramos que la dialéctica permite que conozcamos cada parte de un problema de Matemáticas, pero el principio dialógico nos ubica en la comunicación de esas partes con el todo, sus causas y efectos al imbricarse. Por eso entonces transitamos la tríada: orden-desorden-organización que no es solamente antagónica, sino complementaria y es en esa dialéctica de complementariedad y de antagonismo donde se encuentra la complejidad.
Estrategia didáctica para el uso del software GeoGebra en el aprendizaje del movimiento y la fuerza en los estudiantes de Bachillerato General Unificado
Authors: Cevallos-Molina Eddy Ronaldo , Mestre-Gómez Ulises
Published: September 2023

El currículo ecuatoriano promueve el uso de simulaciones para la enseñanza de Física. En esta investigación se diseña una estrategia didáctica para el uso de GeoGebra en el aprendizaje de los conceptos de movimiento y fuerza para los estudiantes de Bachillerato General Unificado. En este estudio cualitativo-exploratorio se aplicó un test y una encuesta a una muestra de estudiantes de este nivel, así como una entrevista al docente de Física para diagnosticar la disponibilidad de recursos y las dificultades en el aprendizaje de Física. Se encontró que los estudiantes perciben a la asignatura como difícil de aprender, poseen deficiencias en sus habilidades matemáticas, frecuentemente no dominan los contenidos previos y no comprenden la relación entre las variables implicadas en los fenómenos físicos. Posteriormente se desarrolló una estrategia didáctica que incluye simulaciones para que los estudiantes comprendan significativamente los fenómenos relacionados con estos contenidos.
IMPORTANCE OF DOSE IN NASYA AND BASTI KARMA: A REVIEW
Authors: Sapna Singh , Arvind Gupta , Shrimant Chavan G.
Published: September 2023

In Ayurveda, the term "Matra or dose" refers to a measure of quantity, size, length, number, degree, etc.—has
been given enormous importance. The greatest doctors are believed to be those who place a high value on maintaining the matra, or dose, of the medication over the course of the treatment. The use of the correct dosage at the
appropriate time is one of the general criteria for treating vitiated doshas. The efficiency of Panchakarma therapy
depends on both the proper application of various elimination techniques and the development of diverse formulations. Sharangdhara was the first to specify the dose for each panchakarma procedure. The Matra mentioned in
Ayurveda has been related to the Posology of modern pharmaceuticals. Posology term is derived from the Greek
words poses ("how much") and logos ("science")—is the branch of medicine that deals with dosages. Basti is the
best treatment for vata's shamana when it becomes severe, hence regarded as an Ardha or Sampoorna Chikitsa.
Nasya is Shodhana Karma especially for Urddhva-jatrugata Vikara (disease which affect the body above clavicle). Each Panchakarma treatment has its own specific dosing system. The emphasis of the current review article
is on the Nasya and Basti karma dosage.
EFFECTIVENESS OF JALOUKAVACHARANA IN EXTERNAL AURICULAR LACERATIONS – A CASE STUDY
Authors: Patil Bhagyashri , B J Gopikrishna , K R Sahanasheela , Gupta C B Adivishwanatha
Published: September 2023

Appearance of edema after suturing is a common symptom noticed in patients, this may be due to poor hygiene
conditions, infection of the wound or any underlying pathology. It becomes important for a doctor to prevent and
treat these symptoms whenever they appear in order to prevent any further infection and to promote healthy healing
of the wound. When the injury occurs on the external ear it requires extreme care as it involves aesthetic aspects
and exact reconstruction is necessary in such conditions. The following case study explains the results achieved
from Jaloukavcharna in case of external auricular oedema developed post suturing.
EFFECT OF JATYADI VARTI IN THE MANAGEMENT OF NADI VRANA W.S.R TO PILONIDAL SINUS – A CASE REPORT
Authors: - Neeraj , Reddy K. Vasudeva , Kiran T. Udaya , Menon Arya S.
Published: September 2023

Introduction (Background): Pilonidal sinus is a globally prevalent disease commonly occurring in midline gluteal cleft in young hirsute men belonging to the age group of 20 to 40 years. It is usually seen in obese people.
Even though there are advanced surgical procedures that may be performed, these cause longer hospitalization,
financial burden and are associated with higher recurrence and complications. Conventional Sarasota is an ideal
alternative that is safe, effective and patient friendly. Main Clinical Findings: A 34-year-old female present with
pain, pus discharge, induration, tenderness at the midline natal cleft area for 1 month. Diagnosis: Nadi Vrana (Pilonidal sinus). Intervention: Jatyadi Varti application after proper washed with Triphala Kwatha. Outcome and
Conclusion: Marked improvement in sign and symptoms was observed along with complete healing of the track
and healthy granulation tissue within a span of 2 weeks.
Habitar el espacio: la inclusión-exclusión de las mujeres universitarias bajo la lógica patriarcal
Authors: Martínez Ochoa Hugo , Chaparro Medina Paola Margarita
Published: September 2023

El presente tiene por objetivo describir las experiencias de vivir el espacio de las mujeres universitarias bajo una lógica patriarcal mediante la inclusión-exclusión que entre sus consecuencias se encuentra experimentar el acoso sexual tanto en el espacio público como privado. Ello a partir de una visión de sociología urbana, estudios de género y el posestructuralismo. La metodología utilizada fue cualitativa mediante la herramienta de entrevista a profundidad, con trabajo de campo de enero 2021 a noviembre 2022. La principal conclusión del presente es que el patriarcado construye, reproduce y configura los espacios de vivencia de sí mismo y de otros cuerpos, ello, desde la implementación de violencias, entre ellas el acoso sexual y genera toda una lógica de vivir los espacios a partir de la manifestación de violencias sistemáticas y sistémicas.
Sistema de comunicación por intercambio de imágenes. Una guía metodológica para desarrollar la comunicación verbal en niños con autismo
Authors: Carvajal García María Haydé , Moreira Sánchez Jennifer Lisbeth , Delgado Cobeña Elan Ignacio , Moreira Sánchez Yessenia Katerine
Published: September 2023

En el contexto educativo y social es frecuente encontrarse con niños con algún tipo de trastorno autista, que presentan diversas alteraciones y afectan a sus habilidades comunicativas. El presente trabajo investigativo tuvo como finalidad diseñar una guía metodológica basada en el Sistema de Comunicación por Intercambio de Imágenes (PECS) para desarrollar la comunicación verbal en el entorno educativo de un niño con trastorno del espectro autista. La investigación se abordó desde un enfoque cualitativo bajo un diseño metodológico de estudio de caso único, apoyado en técnicas como la observación participante y entrevistas semiestructuradas, que permitieron diagnosticar las limitaciones que presenta el caso que se estudió. Los resultados del diagnóstico evidenciaron las principales limitaciones que tiene el niño, como la escasa comunicación verbal y la no interacción dentro del entorno educativo, que son características comunes de su condición de desarrollo. Además, los signos de exclusión educativa que generaron pocas mejoras en sus competencias comunicativas. Se propuso como contribución al problema, el diseño de una guía metodológica fundamentada en el sistema PECS, cuyos resultados diagnósticos pronosticaron que es un buen potenciador para la comunicación verbal del niño, para su interacción y su relación con las personas de su entorno educativo y social.
Incidencia de la recaudación tributaria en la inversión pública nacional período 2000 – 2021
Authors: Macías Sares Bernard César , Sotomayor-Pereira Jorge Guido , Sánchez Quezada Tatiana Ximena
Published: September 2023

La inversión pública se reconoce como fuente para el desarrollo productivo nacional, sin embargo, para lograr el apalancamiento suficiente que permita al gobierno cumplir con las exigencias de la ciudadanía, se recurren a herramientas de corte fiscal, en este caso tributos, los cuales se verán retribuidos en beneficio de la misma comunidad. Es por ello que el presente estudio se enmarca en los parámetros de investigación descriptiva-documental con el objetivo de analizar la recaudación tributaria y la inversión pública en el Ecuador en el período 2000-2021, de forma que se pueda demostrar la existencia o no de relación y los efectos causados a nivel país. Los resultados obtenidos permiten apreciar una correlación positiva entre las variables expuestas.
Українська тюркологія у ХХ – на початку ХХІ ст.: розвиток і основні здобутки
Authors: Сорокін С.В. , Пророченко Н.О.
Published: September 2023

Дослідження містить аналіз процесу становлення, професійного зростання та основних здобутків тюркологічних досліджень в Україні. Визначено, що поштовхом для розвитку української тюркології стало здобуття незалежності України у 1918 р. та утворення спеціальних наукових установ (Української Академії наук, Всеукраїнської наукової асоціації сходознавства, Тюркологічної комісії), які забезпечили розвиток тюркологічних розвідок. Особлива увага до тюркологічного напряму українських науковців-сходознавців визначалася тривалими історичними зв’язками українського населення з тюркськими народами України і становленням міждержавних відносин з Турецькою Республікою та необхідністю їх подальшого розвитку. Зазначено, що у часи панування радянської влади в Україні тюркологія занепадає через масові репресії проти українських тюркологів, руйнування наукових осередків у 1930-і рр. і відсутність спеціалізованих наукових установ і шкіл у подальшому, що було пов’язано з централізацією такого роду досліджень у Москві. Сприятливі умови для відродження тюркології як самостійного наукового напряму відбувається після відновлення незалежності України, що свідчить про актуальність і практичну значущість для нашої держави таких досліджень. Розвиток і наукові результати української тюркології є вагомим внеском у розбудову гуманітарних зв’язків між українським і тюркськими народами та державами. У статті представлено характеристику основних напрямів наукової діяльності українських тюркологів, узагальнення їхнього наукового спадку та аналіз тюркологічних розвідок. Звертається увага, що сучасною парадигмою розвитку тюркологічних досліджень в Україні стає розширення сфери дослідження українсько-турецьких відносин, поглиблення вивчення степових культур, що існували на території України та їхнього впливу на українську культуру і менталітет.