bluuebunny/crossref_metadata_2025 huggingface dataset:
Tipos de Neuropatía en Pacientes Post COVID-19 Demostrada Mediante Neuro Conducciones
Authors: Mendoza Ramírez Rosa Delia , Ramos Marina Rugerio , Ruíz Flores Lydia , Fernández Vázquez María Urbelina , Cabrera Jiménez Miriam
Published: November 2024

Introducción: Se han reportado en pacientes con COVID-19, neuropatía periférica que es una afección del sistema nervioso periférico, los mecanismos que afectan al nervio asociados al virus SARS-CoV-2 son la pérdida de fibras musculares tipo II y la exposición de corticoesteroides. El diagnóstico se realiza por neuroconducciones. Material y métodos: Se realizó un estudio observacional, transversal, prospectivo, homodémico, unicéntrico en el servicio de Medicina de Rehabilitación en el HGZ 20 en Puebla, Puebla. Se incluyeron hombres y mujeres de 20 a 60 años con secuelas neuropáticas post COVID-19.  Se analizó la información recolectada mediante estadística descriptiva utilizando medidas de tendencia central y dispersión acorde a las variables, analizadas mediante el programa SPSS 25.Resultados: El estudio incluyó una muestra de 169 pacientes, evaluados mediante electromiografía, predominando el sexo masculino 58.6%, 44.4% refirió debilidad como principal síntoma, 59.2% obtuvo un resultado anormal, obteniendo una afectación de predominio bilateral 43.2% demostrando así una polineuropatía 35.5%, con mayor daño en peroneo 9.5% y mediano 5.9%. Conclusión: Existen diferentes tipos de neuropatía en pacientes post COVID-19 de carácter mixto y predominio desmielinizante, siendo la electromiografía útil para la identificación del daño en nervio periférico para mejorar una orientación terapéutica.
Estrategias para Reducir la Contaminación Ambiental por Residuos Sólidos en la Represa del Rio Bobo con Estudiantes de Grado 5° de la Institución Educativa Municipal la Victoria
Authors: Salazar Muñoz Adriana Lorena , Salazar Muñoz Adriana Lorena , Acosta Claudia Elizabeth , Revelo Cuaspud Herman Alberto
Published: November 2024

Las estrategias ambientales dirigidas a los estudiantes deben promover cambios en su comportamiento y, además, mejorar su calidad de vida. En este contexto, la investigación tuvo como objetivo principal implementar estrategias pedagógicas para disminuir la contaminación por residuos sólidos en la represa del río Bobo, enfocándose en estudiantes de grado quinto de la Institución Educativa Municipal La Victoria, sede Santa María, ubicada en el corregimiento de Catambuco. La investigación adoptó un enfoque cualitativo y, asimismo, se centró en desarrollar capacidades de pensamiento crítico y reflexivo. Este proceso incluyó varias fases, como el diagnóstico, diseño y evaluación de las estrategias pedagógicas. La investigación se realizó con un grupo de trece estudiantes de quinto grado, a quienes se les aplicó una encuesta como herramienta de recolección de información. El cuestionario, que fue revisado por expertos antes de su uso, contenía siete preguntas abiertas y semiestructuradas para explorar las percepciones, experiencias y opiniones de los estudiantes. A partir de los resultados del diagnóstico se llevaron a cabo, por un lado, actividades lúdicas y, por otro lado, se utilizaron herramientas tecnológicas para aumentar la conciencia ambiental y promover actitudes a favor del ambiente. Entre estas actividades se incluyen juegos educativos como Recicla y aprende con la plataforma interactiva "EcoKids", "Eco Defensores del Futuro" y "EcoRutas: Serpientes y escaleras verdes", que buscaban fomentar la reflexión sobre soluciones sostenibles. Se concluyó que, la aplicación de la guía pedagógica "Gotas de cambio: juntos por la reducción de residuos sólidos en la represa del río Bobo" reveló un valioso avance en la conciencia ambiental y en la actitud de los estudiantes respecto a la disminución de la contaminación, las actividades prácticas, que incluyeron talleres y juegos educativos, no solo facilitaron el aprendizaje sobre la gestión de residuos, sino que también promovieron el desarrollo de habilidades críticas y colaborativas entre los educandos.
Prescripción de los Derechos de los Trabajadores: Un Análisis Comparativo
Authors: Almeida Vásquez Oliver Irvi
Published: November 2024

En el Art. 1, de la Constitución de la Republica del Ecuador el legislador hace referencia que: “El Ecuador es un Estado constitucional de derechos y justicia, social, democrático, soberano, independiente, unitario, intercultural, plurinacional y laico. Se organiza en forma de república y se gobierna de manera descentralizada”. El Legislador nos da a entender que el Estado será garante de los derechos y que dará mayor impulso en la relación sociedad y Estado. Los Derechos del Buen Vivir y Libertad, en los derechos de Buen Vivir se encuentran los derechos a la educación, vivienda, salud, trabajo y seguridad Social. El Código del Trabajo en su Art. 635, nos comenta el Parlamentario, que las acciones provenientes de actos o contratos de trabajo, prescriben en 3 años, contados desde la terminación de la relación laboral, constituyéndose una violación a los derechos Constitucionales y Legales por aquello consideramos que este plazo se debe extender a 5 años. Resaltando la problemática existente en el ámbito laboral, se busca a través de la investigación científica, resolver este problema en que el trabajador no podrá iniciar una demanda laboral después de 3 años que consagra nuestro Código del Trabajo, porque se ha extinguido sus derechos, es decir que el trabajador no podrá presentar una demanda laboral, otorgando a la clase trabajadora un trato discriminatorio y vulnerando los derechos consagrados en nuestra Carta Magna Art. 11 numeral 6, que manifiesta: Que todos los principios y derechos son inalienables, irrenunciables, indivisibles, interdependientes y de igual jerarquía.
The Effect of Listening to Murotal Al-Quran on Anxiety of Pregnant Women with Preeclampsi
Authors: Ulaa Maratun , Marlin Riska , Yuniza Yuniza , Azmi Khusnu Tisa , Puryanti Feby
Published: November 2024

Preeclampsia is a special condition of pregnancy characterized by hypertension and proteinuria after 20 weeks of gestation in women who had normal blood pressure before pregnancy. Pregnancy with preeclampsia can cause anxiety due to fear and worry felt by pregnant women towards themselves and their babies. This study aims to analyze the effect of listening to murottal Al-Quran on the anxiety of pregnant women with preeclampsia. The research method used was pre-experiment with one group pre-post design to determine the effect of listening to Murottal Al-Quran on the anxiety of pregnant women with preeclampsia. The population in this study were pregnant women in the third trimester who experienced mild and severe preeclampsia at the Muhammadiyah Hospital in Palembang. The sample in this study was pregnant women in the third trimester who experienced mild preeclampsia at the Muhammadiyah Hospital in Palembang as many as 11 people. The instruments used in this study were questionnaires to measure anxiety Stai-Y1 and Stai-Y2, observation sheets and murottal Al-Quran. Results of the study. Conclusion: listening to murottal Al-Quran can reduce the anxiety of pregnant women with mild and severe preeclampsia.
Determination of Purchase Decisions through Purchase Interest: Analysis of Somethinc Skincare Product Prices
Authors: Aprelyani Siska
Published: November 2024

This article discusses the influence of price through Purchase Decisions on Purchase Intention. This research is a quantitative research where the objects used are Generation Z in Bekasi City. The number of samples used in this study was 200 respondents. The design used is hypothesis testing using the structural equitation model (SEM) method - SmartPLS 4.0. Based on the conceptual framework created, it can be concluded that the hypothesis is that price influences purchase interest and purchase decisions.
Élet elleni bűncselekmény nyomozása és a média
Authors: Szemes Bettina
Published: November 2024

The author overviews challenges and potentials in police media relations.
A tényfeltáró fegyelmi vizsgálatok lefolytatásának gyakorlati tapasztalatai
Authors: Kardos Sándor
Published: November 2024

Focusing on the unregulated area of fact-finding, the author provides an overview of the operation of the Disciplinary (Internal Investigations) Department of the Hungarian National Police.
Evaluation of virulence genes in Proteus strains isolated from diabetic foot infections and urinary tract infections
Authors: Phiri Ruth M , Ertuğrul Mustafa Bülent , Bozdoğan Bülent , Hoşbul Tuğrul
Published: November 2024

Introduction: Proteus species are frequently isolated from urinary tract infections (UTIs) and diabetic foot infections (DFIs). We aimed to evaluate the presence of virulence genes in P. mirabilis and P. vulgaris strains isolated from DFI and UTI.
Methodology: A total of 78 Proteus isolates (57 P. mirabilis and 21 P. vulgaris) collected from patients were studied. The isolates were identified using matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF) mass spectrometer. The presence of virulence-associated genes (hlyA, mrpA, atfA, pmfA, hmpA, ptaA, ureA, ureC, zapA, ireA, rsbA, flaA, and ucaA) was evaluated by polymerase chain reaction (PCR).
Results: 46 isolates were obtained from wound cultures, and 32 were obtained from the midstream urine cultures. All virulence genes, except hlyA, were detected in the study. ureA was the most detected gene in both UTI (100%) and DFI isolates (84.8%). The distributions of ureC, flaA, hpmA, ireA, rsbA, pmfA, zapA, ucaA, ptaA, atfA, and mrpA genes in DFI and UTI isolates were as follows: 82.6% and 96.9%, 71.7% and 93.8%, 69.6% and 93.8%, 69.6% and 96.9%, 69.6% and 96.9, 67.4% and 81.3%, 65.2% and 43.8%, 54.3 and 71.9%, 34.8% and 96.9%, 26.1 and 93.8%, and 23.9% and 46.9%, respectively.
Conclusions: We demonstrated that P. mirabilis and P. vulgaris express a variety of virulence genes related to pathogenicity. All virulence genes were found to be more frequent in UTI isolates except zapA. There is limited data on the virulence factors of Proteus species in DFIs. Further studies are needed to investigate virulence genes in wound isolates.
Prevalence and antibiotic resistance of Staphylococcus aureus in wound infections: a hospital study in Hawassa, Ethiopia
Authors: Sahle Biruktawit , Merid Yared
Published: November 2024

Introduction: Wound infections are common nosocomial infections associated with increased morbidity and mortality. Staphylococcus aureus, particularly methicillin-resistant S. aureus (MRSA), is a major cause of hospital-acquired wound infections. This study aimed to determine the burden and antimicrobial susceptibility pattern of S. aureus and MRSA, among patients with wound infections at Hawassa University Comprehensive Specialized Hospital (HUCSH), Hawassa, Ethiopia.
Methodology: A hospital-based cross-sectional study was conducted on 246 admitted patients with wound infections at HUCSH from April to August 2021. Wound swabs were aseptically collected and cultured for bacterial isolation and drug susceptibility testing. Data were analyzed using SPSS version 20, and descriptive statistics were computed.
Results: Among the 246 clinical specimens analyzed, S. aureus was isolated from 57 (23.2%), of which 5 (8.8%) were identified as MRSA. All S. aureus strains were sensitive to linezolid. The highest resistance was observed for penicillin (52 strains, 91.2%), and 24.6% of S. aureus strains were found to be multidrug resistant. All MRSA strains were isolated from patients with no history of past wound infection, and all of them were sensitive to vancomycin.
Conclusions: This study identified S. aureus (23.2%) and MRSA (8.8%) along with their antimicrobial resistance among patients with wound infections at HUCSH. A substantial proportion (24.6%) of S. aureus exhibited multidrug resistance. However, all MRSA isolates were sensitive to vancomycin. Continuous drug resistance monitoring (drug surveillance) is crucial to manage and prevent resistance spread in the hospital.
Accuracy and reliability of direct disc diffusion antibiotic susceptibility test from flagged-positive of blood culture
Authors: Sianipar Osman , Firdaus Rizka N , Puspitawati Ira
Published: November 2024

Introduction: Antibiotic susceptibility tests (AST) done on blood cultures are critical for the treatment of patients suspected to be suffering from bloodstream infection. The objective of this study was to evaluate the accuracy and reliability of disc diffusion AST conducted directly (direct AST) from flagged-positive blood cultures, especially for Gram-positive cocci bacteria.
Methodology: This study compared direct AST with conventional AST (broth micro-dilution). The antibiotics studied were piperacillin/tazobactam, gentamicin, ceftazidime, erythromycin, and penicillin. Accuracy was determined by calculating very major, major, and minor errors. The reliability was determined by categorical agreement and weighted Kappa index.
Results: Gram-positive cocci bacteria were grown in pairs of blood culture bottles and tested with the two methods of AST. No very major errors were detected among the five types of antibiotics. Major errors of 2.56% and minor errors of 4.93% were found when testing gentamicin. The major and minor errors when testing erythromycin were 2.85% and 1.23%, respectively. Perfect agreements (categorical agreement: 100%; weighted Kappa index: 1) of the two AST methods were observed with piperacillin/tazobactam, ceftazidime, and penicillin. Almost perfect agreement was found with gentamicin and erythromycin. Categorical agreement results when testing antibiotics gentamicin and erythromycin were 93.83% and 97.53%, respectively. In addition, the weighted-Kappa index when testing these two antibiotics were 0.92 and 0.96, respectively.
Conclusions: The accuracy and reliability of the direct AST was within acceptable limits.
What is the current state of patient and family education on infection control? A descriptive study during COVID-19
Authors: Hammoud Sahar , Amer Faten , Khatatbeh Haitham , Kocsis Béla
Published: November 2024

Introduction: With the rise of multidrug-resistant healthcare-associated infections (HAIs) and the recent emergence of coronavirus disease 2019 (COVID-19), patient and family member engagement in infection control (IC) has gained increased attention. This study aimed to assess the level of education provided to patients and family members on IC measures in Hungary.
Methodology: A cross-sectional study was conducted among 412 patients and family members from seven hospitals in Hungary during the COVID-19 pandemic. A previously developed questionnaire, based on the Centers for Disease Control and Prevention guidelines for isolation precautions, specifically the section on patient and family education, was used to assess education on several IC measures.
Results: Of the 412 participants, 89.6% were patients, 59.2% were female, and 18.7% were experiencing their first hospital admission. The highest percentages of education were on respiratory hygiene (89.8%), HAIs (82.5%), and hand hygiene (82%). Regression analysis showed that counties were significant predictors of education on nearly all IC measures.
Conclusions: This study reveals a high percentage of education on IC measures among patients and family members education in Hungary, in comparison to the existing literature. To sustain this high level of education, it is recommended that Hungarian health authorities incorporate IC patient and family education into the government regulations governing IC practices in hospitals. Additionally, hospitals should foster a more participatory environment for patients and family members in IC.
The role of minimally invasive surgery in the diagnosis and treatment of ovarian carcinoma
Authors: Semova Teodora , Tomov Slavcho , Totev Tihomir , Dimitrov Dimitar , Gorcheva Zornitsa , Racheva Valeria
Published: November 2024

Standard treatment for ovarian cancer includes optimal cytoreduction, followed by chemotherapy in most cases. This study aimed to evaluate the role of minimally invasive approaches in diagnosing and treating ovarian carcinoma. We conducted a retrospective analysis of patients diagnosed with ovarian carcinoma who underwent surgery at the Department of Obstetrics and Gynecology at St. Marina University Hospital–Pleven from January 2020 to April 2023. The study included 213 patients; the average age was 58.90 years. Out of all patients in the study, 64 initially received only diagnostic intervention. Of these patients, 53 (24.9%) underwent minimally invasive diagnostic intervention, while 11 (5.2%) had diagnostic intervention through conventional laparotomy. Among the patients who had surgery, the most common procedure (53.1%) was total abdominal hysterectomy with bilateral salpingo-oophorectomy, followed by diagnostic laparoscopy with subsequent laparotomy (14.6%). Thirty-one (14.6%) of the patients had interval surgery. Twenty-seven (87.1%) patients underwent minimally invasive diagnostic intervention. Moreover, 21 (67.7%) patients who had interval surgery also underwent surgery using a minimally invasive approach. The obtained results show that minimally invasive approaches are widely used in the diagnosis and treatment of ovarian carcinoma. The increasing adoption of interval surgery will expand another application of minimally invasive surgery - robot-assisted interval surgery after neoadjuvant chemotherapy.
Les plateformes juridiques en ligne et l’accès au droit
Authors: Lanzi Thomas , Ayouni Mehdi
Published: November 2024

Cet article examine l’impact des plateformes en ligne dans le marché des services juridiques, en se concentrant sur deux rôles clés : celui d’intermédiaire et celui de fournisseur de services. Dans le premier rôle, la plateforme permet aux justiciables d’accéder à un annuaire en ligne et à une procédure d’aide à la recherche d’avocat. Nous étudions trois régimes de fonctionnement de la plateforme en matière de retours d’expérience des utilisateurs sur les avocats. Nous déterminons que la modération des commentaires des justiciables est préférable pour maximiser l’accès aux services juridiques mais que le régime choisi par la plateforme est parfois celui qui minimise cet accès. Dans le deuxième rôle, la plateforme offre des solutions standardisées adaptées à certains problèmes juridiques. Nous montrons que, si le prix du service proposé par les avocats est élevé, la plateforme peut augmenter l’accès aux services juridiques et le surplus total des justiciables. En outre, la présence de la plateforme peut avoir un effet positif indirect sur l’accès au droit car elle conduit à la baisse des tarifs des avocats. En revanche, l’intégration des services de la plateforme et des avocats augmente le profit de la plateforme mais réduit l’accès aux services juridiques.
Chronique en droit ou la fabrication du droit
Authors: Behloul Salim
Published: November 2024

Misères et grandeurs de 1789. Septembre 2023, premier cours de droit : les fameux droits de l’homme, livrés à une promotion de moniteurs- éducateurs, pour que s’ouvre une brèche entre passé et présent, pour une (re)lecture, parfois si newtonienne, d’un héritage si pesant. Comment interroger et penser les textes de la ddhc à la lumière de ce qui se joue sur les terrains mouvants et complexes du travail social et des publics ? Dans cet article s’entrechoquent idéologies du xviii e siècle, analyses du droit (appliqué/applicable ?) et ripostes étudiantes, entre ironie et principes de réalité. En définitive, il s’agit de faire la part belle à la saveur douce-amère de cette déclaration qui agite les sangs encore aujourd’hui…
L’essentiel, c’est que ça marche… au pas
Authors: Sacchelli Muriel
Published: November 2024

Dans une société contemporaine qui convoque de plus en plus l’obéissance de ses membres, tenter de repérer les ressorts de l’obéissance à des ordres inhumains constitue un enjeu crucial. Ce texte en explore les entours avant de conclure qu’il est possible de choisir à quoi l’on obéit : obéir au réel de la clinique constitue dans le champ du travail social ou soignant une position éthique contrant la déshumanisation.
L’éducateur peut s’occuper de ce qui ne le regarde pas… ou comment s’affranchir du conformisme en pratiquant la responsabilité
Authors: Joly Daniel
Published: November 2024

Entre obéissance au travail et questionnement éthique, il y a l’exigence d’un engagement loyal et critique qui m’oblige à discuter, contester, voire dénier la loi. L’éducateur se mêle de ce qui ne le regarde pas dans une perspective d’approche dynamique et matricielle de l’institution. En cela il dérange un ordre ancien établi et participe d’une aventure, celle d’une obéissance au dernier ressort de la liberté de pensée, la résistance, voire l’insoumission.
L’autodétermination : modéliser, ou faire sécession ?
Authors: Lego Gaëlle
Published: November 2024

Lors d’une formation dans un établissement du médico-social nous est présentée une nouvelle lecture de l’autodétermination plus en phase avec les signifiants-maîtres de notre époque capitaliste. Dans celle-ci, l’Autre est considéré comme une entrave à l’autonomie du sujet qui, pour se ressaisir, se doit d’être recyclé selon des critères de « pratiques inclusives ». Cette lecture n’inclut plus la référence à la métaphore spécifique à tout discours, et vient donc témoigner d’une même structure de discours que ce qu’elle dénonce . Donner une consistance à l’existence d’un « Autre méchant » nous rappelle les travaux de Jacques Lacan sur la structure de la paranoïa. En tout cas, ces néo-interprétations viennent témoigner d’une modification du régime de jouissance dans nos démocraties.
Considérations sur le « déni actuel »
Authors: Parada Carlos
Published: November 2024

Le déni est un terme souvent utilisé par les professionnels de la santé et de l’enfance pour désigner une réaction où le patient ou le parent semblent refuser de reconnaître une difficulté qui paraît pourtant évidente. Ces situations sont bien souvent source d’embarras, d’impasses et parfois de conflits. Mais de quoi parle-t-on quand on évoque le déni ? Que contient au juste ce « mot- valise » ? Pourquoi et comment quelqu’un arrive-t-il à faire comme si un problème, la maladie ou le danger n’existaient pas ? Comment réagissons-nous au déni ?Ce texte propose des outils pour une meilleure compréhension de l’architecture du déni et une analyse des enjeux qu’il met en place. La valeur de défense du déni, le clivage inconscient du patient – qui réagit comme quelqu’un qui sait et qui ne sait pas – et la circulation de l’angoisse entre patient et professionnel sont des éléments ici considérés pour un meilleur accompagnement de ces situations.
« Eux, c’est nous », une expérience de travail en cada
Authors: Sabourin Pascaline
Published: November 2024

La rencontre entre travailleurs sociaux et demandeurs d’asile se passe dans un entre-deux. Dans cet interstice se révèlent les souffrances liées au parcours d’exil traumatique. Certaines de ces manifestations peuvent nous sembler étranges, inconnues. Notre représentation du monde est perturbée et nous cherchons à y trouver du sens. Ce texte questionne notre pratique en travail social face à ce sentiment d’étrangeté en s’appuyant sur la clinique transculturelle.
Obéir
Authors: Buret Corinne
Published: November 2024

En ces temps de novlangue où tout veut dire le contraire de tout, retournons auprès de nos pairs fondateurs, gardons comme repère l’étymologie des mots. Et en ces temps troublés, agissons en fonction de nos valeurs pour le bien commun. Obéir ne doit pas être une sourde soumission mais une riche réflexion.
Banksia Ashbyi-engineered facile green synthesis of magnetite nanoparticles: Characterization, and determination of micro-strain, stress, and physical parameters by X-ray-based Williamson-Hall analysis
Authors: Jai Poinern Gérrard Eddy , Fahad Halim A F M , Fawcett Derek , Chapman Peter , Sharma Rupam
Published: November 2024

Magnetite nanoparticles (MNPs) were synthesized by a straightforward one-step biogenic process using a leaf extract taken from the Australian indigenous plant Banksia ashbyi (BA). Several advanced characterization techniques, such as X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FT-IR), energy-dispersive spectroscopy (EDS), thermogravimetric analysis (TGA), and Raman spectroscopy were used to investigate the physical and chemical properties of synthesized MNPs. In addition, the size and morphology of the synthesized particles were examined using both focused ion beam scanning electron microscopy (FIBSEM) and transmission electron microscopy (TEM) methods. FT-IR analysis revealed the presence of a Fe–O band located at 551 cm-1, which confirmed the formation of BA-MNPs. Both FIBSEM and TEM image analysis confirmed the nanoparticles were spherical in shape and had a mean diameter of 18 nm with a particle distribution that ranged between 13 and 23 nm. The strong iron (Fe) and oxygen (O) peaks seen in the EDS analysis also confirmed the formation of the MNPs. TGA analysis revealed the leaf extract not only acted as the reducing agent but also served as a capping agent. The XRD analysis revealed that the synthesized MNPs exhibited a high degree of crystallinity and did not contain any impurities. Furthermore, X-ray peak profile analysis using Williamson-Hall methods found the average crystallite size was 9.13 nm, with the crystal lattice experiencing a compressive stress of 546.5 MPa and an average micro-strain of 2.54 × 10-3. In addition, other material properties such as density (5.260 kg/m3), average Young's modulus of elasticity (217 GPa), modulus of rigidity (90 GPa), and Poisson's ratio (0.235) were also estimated from the XRD data.
Quand la génétique décuple le travail gratuit des femmes. Du test à l’engagement associatif contre le cancer
Authors: Mathieu Marie , Froger-Lefebvre Juliette
Published: November 2024

À partir de l’étude d’une association engagée dans la lutte contre les cancers « génétiques » et « féminins », cet article rend compte de la manière dont un réseau de femmes se saisit de la question génétique. Son activité contribue à un renforcement du travail gratuit de soins et de santé de cette classe de sexe déjà responsable socialement de l’intégration des normes sanitaires au sein de la sphère familiale. En effet, les propos des ambassadrices interviewées donnent à voir un nouveau travail de prévention, à la fois informationnel et émotionnel, lié à la génétique, qu’elles réalisent auprès de leurs proches et du grand public. De ce fait, leur engagement associatif gomme la frontière entre les sphères dites publique et privée. Du fait du caractère héréditaire de la mutation et de la socialisation à la génétique que les ambassadrices réalisent auprès de leurs enfants – principalement leur·s fille·s –, ce « double » travail gratuit et genré se transmet d’une génération à l’autre.
Des « petits privilèges » pour compenser de grandes inégalités : les effets de l’absence de familles auprès d’enfants béninois et togolais opérés du cœur en Suisse
Authors: Vaucher Carla
Published: November 2024

Cet article porte sur un dispositif de transferts médicaux dépendant d’une ONG d’aide à l’enfance, destiné à des enfants béninois et togolais souffrant de cardiopathies congénitales et voyageant vers la Suisse en vue d’interventions chirurgicales. Il se penche en particulier sur l’une des conditions de prise en charge du dispositif qui prévoit que les enfants voyagent seuls, sans aucun membre de leurs familles. L’auteure décrit les effets émotionnels et pratiques générés par l’absence des parents sur différents groupes d’acteur·rice·s durant les hospitalisations et soins ambulatoires des enfants : les enfants eux-mêmes, les soignant·e·s, les bénévoles, et la chercheuse. Elle souligne en particulier la tension entre « petits privilèges » et inégalités qui marquent le parcours de ces enfants pendant leur hospitalisation. Cette configuration particulière est l’occasion de mettre en évidence l’importance de la place et du travail des parents au sein des services pédiatriques contemporains au travers de ce qui se révèle lorsqu’ils sont absents. Elle permet également de donner à voir les effets non souhaités de certains dispositifs d’aide internationale.
Des pirogues pour nos malades : penser les dispositifs d’évacuation sanitaire dans les îles au Sénégal
Authors: Dione Ibrahima Demba , Goudiaby Jean Alain , Hane Fatoumata
Published: November 2024

L’accès à certains soins médicaux dans les espaces insulaires au Sénégal nécessite souvent une évacuation difficile tant au plan émotionnel que physique. Les contraintes d’accessibilité géographique obligent les populations à des stratégies d’adaptation par l’utilisation de la pirogue. En nous interrogeant sur les dispositifs publics de gestion des urgences, nous montrons que la disponibilité de moyens de transport adaptés ainsi que les degrés d’urgence perçus et les types de pathologies sont autant d’éléments à prendre en compte. Nous questionnons ainsi les décalages qui peuvent exister entre les normes prescrites et les contextes d’actions à l’aune des disparités territoriales d’offre de soins, en analysant le transport de patients en pirogue comme un dispositif qui met en lumière les inégalités sociales et sanitaires. Ces décalages sont perceptibles à travers les modalités d’intervention ainsi que les pratiques culturelles et de soins.
Evaluation of health-related quality of life in respiratory disease patients in a tertiary care teaching hospital
Authors: Dsouza Princy Domnic , Chitralu Sai Phalguna Prakash , Koujalagi Vinod Ashok , Patil Chandrashekhar Mallikarjun , Nyamagoud Sanatkumar Bharamu , Swamy Agadi Hiremath Viswanatha
Published: November 2024

In India, respiratory tract infections (RTI) are a significant public health concern, particularly among children and the elderly. The quality of life (QoL) of patients is greatly impacted by RTI. Enhancing patient care and treatment approaches requires an understanding of the variables that influence health-related QoL (HRQoL). Our study's goal was to assess patients' HRQoL using the St. George Respiratory Questionnaires (SGRQ) in those with respiratory diseases. A cross-sectional observational study was carried out in the inpatient department of Vivekananda Hospital, Hubli, over 6 months from August 1, 2023, to January 31, 2024. After fulfilling the inclusion requirements, 200 people were included in the study. In 200 patients, while assessing the QoL, we found a significant correlation between age, diagnosis, some biomarkers, smoking, days of hospitalization, the severity of disease, residency, antibiotics, income, and education with HRQoL using SGRQ questionnaires. Our study highlights that HRQoL is impaired in patients with RTI. Age positively correlated with symptoms, activity, and impact, especially in ages 55-69 years and 70-84 years. No correlation was found between gender, comorbidities, and alcohol consumption. Higher C-reactive protein and erythrocyte sedimentation rate levels were associated with greater impact and activity limitations. Our research concluded that several factors might impact a patient's HRQoL with respiratory disease. Determining these factors in advance can help identify individuals who are more likely to have poorer HRQoL and make interventions that could improve patient outcomes.
Locked and Compression Plating for Fractures of the Diaphyseal Humerus in the Elderly Patients: A Retrospective Study of 31 Patients
Authors: Hsueh Hsing-Chier , Wu Chin-Hsien , Ma Ching-Hou , Jou I-Ming , Tu Yuan-Kun
Published: November 2024

Background:

Humeral shaft fractures are relatively common geriatric fractures. Theoretically, locked constructs have superior fixation strength.

Objectives:

This study aims to assess the clinical and radiographic differences between locking compression plating (LCP) and conventional dynamic compression plating (DCP) for fractures of the diaphyseal humerus in elderly patients.

Materials and Methods:

Between April 2015 and October 2020, 31 consecutive older patients (aged above 60 years) with displaced humeral shaft fractures underwent plate osteosynthesis in our institute. They were placed into one of the two treatment groups, depending on whether LCP or DCP was used. The Constant and Disabilities of the Arm, Shoulder, and Hand (DASH) scores were recorded for clinical assessment. Moreover, fracture union and radiographic complications were recorded for radiographic assessment. No significant differences were observed between the groups in terms of demographic data and duration of follow-up.

Results:

No significant differences between the groups were observed with regard to operative time (P = 0.374), blood loss (P = 0.949), hospital stay (P = 0.754), union time (P = 0.768), and revision surgery (P = 0.631). However, patient outcomes of the LCP group were superior to those of the DCP group in terms of DASH score (P = 0.002), Constant scores (P = 0.008), and radiographic complications (P = 0.02). Nonunion was reported in two patients, both of whom were in the DCP group. One periprosthetic fracture occurred at the proximal plate tip in the LCP construct group.

Conclusions:

In this study, LCP exhibited clinical and radiographic superiority over DCP in treating elderly fractures of the diaphyseal humerus. However, attention should be paid to the working length of plates when using locked constructs in the osteoporotic humeral shaft.
Staged Minimally Invasive Osteosynthesis with Nonanatomical T-shaped Locked Plates for Intra-articular Tibial Plafond Fractures
Authors: Hsu Siang , Ma Ching-Hou , Tu Yuan-Kun , Jou I-Ming , Wu Chin-Hsien
Published: November 2024

Background:

Numerous studies have assessed the outcomes of extra-articular tibial plafond fractures following staged minimally invasive osteosynthesis with various locked plates (LCPs). Recently, the Taiwan National Health Insurance has been contemplating the inclusion of nonanatomical LCPs into a benefit package. For tibial plafond fracture patients, nonanatomical T-shaped LCPs may serve as an alternative choice for those unable to afford anatomical anterolateral LCP.

Objectives:

This retrospective study was designed to assess the outcomes of intra-articular tibial plafond fractures following staged minimally invasive osteosynthesis with nonanatomical T-shaped LCPs.

Materials and Methods:

From April 2010 to October 2016, 18 consecutive patients with intra-articular fractures of the tibial plafond underwent treatment through staged minimally invasive nonanatomical T-shaped LCP osteosynthesis. The median patient age of the cohort, comprising nine women and nine men, at the time of surgery was 49 (22–71) years. The first-stage treatment consisted of radical debridement, followed by external skeletal fixation, and the second-stage treatment consisted of minimally invasive osteosynthesis with nonanatomical T-shaped LCPs. In addition, we identified factors predictive of poor results, delayed union, or nonunion of the fractures. Factors such as age, sex, open fracture, fracture severity, concomitant injuries, presence of comorbidities, and arthrosis were analyzed.

Results:

At 6 months of follow-up, 3 (17%) patients had delayed/nonunion according to the radiographic definition of nonunion. At the final follow-up, 17 (94%) of the 18 patients achieved union, whereas 1 (6%) did not. Patients with open fractures and concomitant injuries tend to exhibit poor clinical and radiographic outcomes.

Conclusions:

We found a high rate of satisfaction and union and few complications with staged minimally invasive osteosynthesis with nonanatomical T-shaped LCPs for the treatment of patients with intra-articular tibial plafond fractures. We postulate that this technique is an effective and safe alternative for the treatment of tibial plafond fractures.
Effects of Vitamin D Supplementation on Serum 25-Hydroxy Cholecalciferol in Inflammatory Bowel Diseases: A Meta-Analysis of Randomized Clinical Trials
Authors: Ramezani Reza , Ghorbaninejad Parivash , Eslahi Masoumeh , Sheikhi Leila , Abbasi Fatemeh , Hasanzadeh Mohaddeseh , Mohammadpour Saba , Milajerdi Alireza
Published: November 2024

Background:

Earlier studies about the influence of vitamin D (Vit D) supplementation on patients with inflammatory bowel disease (IBD) reported inconsistent results. Current comprehensive systematic review and meta-analysis was conducted to assess the effect of Vit D supplementation on clinical and subclinical factors in patients with IBD.

Methods:

PubMed, Scopus, and Web of Science databases were searched for relevant randomized controlled trials (RCTs) on the effect of Vit D supplementation in IBD patients, published up to March 2023. Data were analyzed by the random-effect model. Heterogeneity was assessed by Cochran’s Q test and I-square (I
2) statistic. The mean differences (MDs) were calculated as the summary effect size.

Results:

We included nine related articles, and our findings indicated that vitamin D administration increased serum vitamin D levels compared to placebo (weighted mean difference (WMD): 12.08; 95% confidence interval (95% CI): 9.06, 15.09; I
2 = 97.01%; P < 0.001) in IBD patients. However, it had no significant influence on disease activity (standardized mean difference (SMD): 0.27; 95% CI: -0.42, 0.95; I2 = 91.7%; P < 0.001) or serum levels of C-reactive protein (CRP) (WMD: -1.42; 95% CI: -3.90, 1.06; I2 = 41.9%; P = 0.262).

Conclusions:

Current meta-analysis showed a significant effect of Vit D supplementation on increasing serum cholecalciferol. However, no significant effects of Vit D supplementation on the disease activity and serum levels of CRP were seen. Further studies are needed to expand current knowledge in this issue and found a significant increment in serum 25-hydroxy cholecalciferol concentrations following Vit D supplementation in IBD patients.
Dynamics of Dairy Product Consumption, Confounding Factors, and Their Influence on the Risk of Type 2 Diabetes
Authors: Gautam Sanjeev K. , Kumar Bimlesh , Pandey Prashant Kumbhar Narendra K.
Published: November 2024

It has long been debated whether or not dairy consumption increases the risk of type 2 diabetes (T2D). This link has been assessed by a large number of case-control studies, prospective cohort studies, systematic reviews, and meta-analyses. The majority of their studies demonstrated an inverse relationship between the risk of T2D and dairy consumption. It is yet unclear how dairy products specifically contribute to metabolic diseases like type 2 diabetes. However, a surprising number of studies have indicated either no association or a positive correlation between the development of type 2 diabetes and certain dairy products. The objective of this narrative review is to collate research findings from diverse geographical contexts, exploring the impact of dairy product consumption on the incidence and risk of Type 2 diabetes (T2D). This review includes studies that addressed this research issue and were released between the years 2000 and 2023. This will help the public draw logical inferences and validate the body of recent research. To shed light on this matter, the writers conduct a comprehensive search of electronic scientific databases such as PubMed, Scopus, and Web of Science. Thus, this review emphasizes the connection between the usage of different dairy products and the risk of T2D. After controlling for confounding variables, this review indicates that the relationship between the incidence of type 2 diabetes and consumption of dairy products is context-dependent. In conclusion, not all dairy products help to prevent type 2 diabetes. There is no association between most other dairy products and T2D, while in some cases benefits of yogurt and other low-fat dairy products have been reported.
Evaluation of the effectiveness of medroxyprogesterone on blood gases and short-term hospital outcomes in patients with chronic obstructive pulmonary disease treating with noninvasive ventilation: A randomized clinical trial
Authors: Sadeghi Somayeh , Ghiasi Farzin , Emamiardestani Mohammad , Nickpour Mina , Gholami Roham , Khaksar Mohammad Saeid , Mansouri Masoud
Published: November 2024

Background:

In the present study, we aimed to evaluate the effects of medroxyprogesterone on hospital short clinical outcomes and ABG parameters in patients with chronic obstructive pulmonary disease (COPD) exacerbation under treatments with noninvasive ventilation (NIV) treated with progesterone 15 mg in comparison with placebo.

Materials and Methods:

This is a double-blinded clinical trial that was performed in 2020–2021 in Isfahan, Iran, on 60 patients with COPD exacerbation that require NIV. All patients received short-acting beta-agonists, short-acting anticholinergics, systemic corticosteroids, and NIV. Patients in the intervention group received tablets of progesterone 15 mg, every 6 h for 5 days and the control group received a placebo; patients in both groups received routine clinical cares. We collected data regarding the days requiring NIV, hospitalization duration, intubation, intensive care unit (ICU) admission, and death. Furthermore, blood pH, PCO2, O2 saturation, dyspnea score, and NIV hours usage per day were evaluated at the time of admission, 3 and 5 days during admission.

Results:

Hospital short clinical outcomes were not differently distributed between the two groups (P > 0.05). Comparing two groups during hospitalization in terms of short clinical outcomes including duration hospitalization, using NIV per day, ICU admission rate, and need to intubation showed that they are comparable (P > 0.05). PH in both groups improved during follow-up (P < 0.001) and patients in intervention groups showed higher improvement (P = 0.006). Mean PCO2 decreased significantly in the intervention group (P < 0.001) but not in the control group (P = 0.198) and totally intervention showed significant improvement in PCO2 compared with the control group (P = 0.047). Although mean O2 saturation was increased in both groups during follow-up period (P < 0.001, for both groups), two groups showed comparable (P = 0.910). Mean NIV using (hours/day) was decreased significantly in the intervention group (P = 0.023); however, it was not significantly higher than that was seen in the control group (P = 0.706). The mean dyspnea score was decreased in both groups (P < 0.001), although a greater decrease was seen in the intervention group (P < 0.001).

Conclusion:

Administration of medroxyprogesterone in patients with COPD exacerbation that required NIV was associated with significant improvements in blood pH, PCO2, dyspnea, and daily duration of NIV using after 3 and 5 days following hospitalization.
Epidemiological features of cutaneous leishmaniosis in North Khorasan Province in Iran: A cross-sectional study
Authors: Lakzaei Mohadeseh , Jafari Fatemeh , Pasokh Zahra , Mohammadi Abnavi Mohammad , Keshvari Saeed , Karami Hamed
Published: November 2024

Objective:

To investigate the trend and epidemiological status of cutaneous leishmaniasis in the North of Khorasan province, Iran from 2014 to 2022.

Methods:

This a cross-sectional study collected and analyzed the information of 849 patients with cutaneous leishmaniasis (CL) through the health center portal from 2014 to 2022. The relationship between sex, number of lesions, and lesion shape was investigated.

Results:

Totally 849 participants were included and their mean age was 23.0 ± 20.2 years. The most common parasite species found was Leishmania major (n=714, 84.1%). The number of CL in Esfarayen County increased from 2014 (n=83) to 2022 (n=147) and was more prevalent in men than in women. Furthermore, there was no significant difference in the number and shape of lesions between men and women.

Conclusions:

As leishmania major is the predominant type in Esfarayen County of Iran and the number of cases is increasing, it is important to control the reservoir and disease vector in this area. Therefore, a more comprehensive surveillance is suggested.
Determinants of reproductive tract infection among fertile women in rural and urban areas of Eastern Gujarat: A community-based study
Authors: Dhakate Bhavna Vasant , Chauhan Grishma , Rana Bhargav , Gohil Khantil , Pankaj Neelabh , Pandit Niraj
Published: November 2024

Objective:

This study aimed to determine the prevalence of reproductive tract infections (RTIs) among fertile women in rural and urban areas.

Methods:

A systematic random sampling was conducted in women aged 15-49 years from rural and urban areas in Eastern Gujarat, India. They were surveyed using a structured pretested questionnaire. Descriptive statistics and Chi-square tests were performed using IBM SPSS statistics 23 and Open Epi software for analysis.

Results:

Of 192 women of reproductive age included in this survey, 96 each were from rural and urban area. The prevalence of RTIs was 64.6% and 66.7% for women from rural and urban areas, respectively. Rural women had a high level of awareness about RTIs compared to urban women, while approximately half of the women lacked knowledge about transmission. After exposure, burning micturition was predominant among rural women (54.2%), while vaginal discharge was the most common systom (57.3%) in urban women. Urban women demonstrated a higher tendency to seek healthcare (98.4%) compared to rural women (75.8%). Age, education, occupation, family type, marital status, menstrual hygiene practices, years of marriage and parity were significantly associated with RTIs in urban areas. Non-barrier contraceptive methods were associated with a higher prevalence of RTIs in both rural (25.9%) and urban (31.7%) areas.

Conclusions:

The results indicate that urban and rural areas may be affected differently by various factors, with stronger associations observed in urban areas. Further contextual understanding analysis and in-depth research are required to gain more comprehensive insights.
Neurocutaneous melanocytosis with tardive onset neurological manifestation
Authors: Shah Malhar , Agarwal Pooja , Chaudhary Raju , Khan Sharookh
Published: November 2024

Neurocutaneous melanocytosis is a rare syndrome consisting of multiple/giant congenital melanocytic nevi (CMN) and leptomeningeal pigment cell tumors. An error in morphogenesis in the neural ectoderm is thought to be its primary etiology. We report a case of a 47-year-old male patient with multiple CMN associated with adult-onset (rare presentation) seizures, hydrocephalus, and a meningeal mass consistent with leptomeningeal melanoma on radiology and histopathology.
Supercaloric functions for the porous medium equation in the fast diffusion case
Authors: Moring Kristian , Scheven Christoph
Published: November 2024

We study a generalized class of supersolutions, so-called supercaloric functions, to the porous medium equation in the fast diffusion case. Supercaloric functions are defined as lower semicontinuous functions obeying a parabolic comparison principle. We prove that bounded supercaloric functions are weak supersolutions. In the supercritical range, we show that unbounded supercaloric functions can be divided into two mutually exclusive classes dictated by the Barenblatt solution and the infinite point-source solution, and give several characterizations for these classes. Furthermore, we study the pointwise behavior of supercaloric functions and obtain connections between supercaloric functions and weak supersolutions.
Subepiglottic cyst with aspiration pneumonia in a Japanese black calf
Authors: Kanno Chihiro , Yamano Yuri , Ito Kao , Maeda Yosuke , Sato Shogo , Ando Ryo , Kawaguchi Hiroaki , Takahashi Fumiaki
Published: November 2024

A four-month-old Japanese Black calf with stridor was diagnosed with a subepiglottic cyst and aspiration pneumonia. Despite treatment, the calf died 17 days after hospital admission. The present case suggests a link between the presence of the subepiglottic cyst and the development of aspiration pneumonia.