scholarly journals Emetophobia: A case of nausea leading to dehydration in an adolescent female

2020 ◽  
Vol 8 ◽  
pp. 2050313X2095133
Author(s):  
Anju Kannappan ◽  
Amy B Middleman
Keyword(s):  
Treatment Plan ◽  
Healthcare Providers ◽  
High Water ◽  
Specific Phobia ◽  
High Water Content ◽  
Viral Gastroenteritis ◽  
Root Cause ◽  
Diagnostic And Statistical Manual

Emetophobia is defined as the specific fear of vomiting and avoidance behaviors related to vomiting situations; the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, specifies this condition as a Specific Phobia: Other type: Vomiting (SPOV). Our case report describes an adolescent presenting with medical complications, specifically notable dehydration, due to new onset Specific Phobia: Other type: Vomiting after experiencing a bout of viral gastroenteritis. In this patient’s case, her severe anxiety served as the root cause for a significant decrease in her quality of life for a year and was not identified by healthcare providers until after an extensive medical workup had taken place. Treatment involved alleviating her dehydration with slow introduction of foods with high water content into her diet and addressing her anxiety with hydroxyzine as a short-term intervention and a selective serotonin reuptake inhibitor for long-term management. This treatment plan allowed for our patient’s symptoms to resolve over the course of a few months and she was able to return to her usual activities of daily living. With discussing emetophobia, this case highlights a topic that is not largely discussed in the literature surrounding adolescent health.

Thermosensitive Hydrogel Incorporating Microspheres for Injectable Implant Delivery of Naltrexone

2013 ◽  
Vol 647 ◽  
pp. 71-79 ◽  
Author(s):  
Guo Qiang Jiang ◽  
Yu Jie Wang ◽  
Fu Xin Ding
Keyword(s):  
Sol Gel ◽  
High Water ◽  
The Body ◽  
High Water Content ◽  
Burst Release ◽  
Thermosensitive Hydrogel ◽  
Sol Gel Transition ◽  
Gel Transition

Long-term drug delivery based on the injectable thermosensitive hydrogel is of great advantage to the administration of naltrexone, but the constant release is hard to reach due to the sol-gel transition and the high water content of the hydrogel. The aim of the present study is to develop an injectable implant delivery system by the incorporation of microspheres into thermosensitive hydrogel for the long-term constant release of naltrexone. Naltrexone was loaded in PLGA microsphere dispersed in the methylcellulose based thermosensitive sol, which formed the hydrogel containing the naltrexone-loaded microspheres at the body temperature. The presence of microsphere in the hydrogel delayed the sol-gel transition slightly but enhanced the mechanical strength of the hydrogel significantly. The microspheres degradation in water diffusion dominated phase was decelerated when they were embed in the hydrogel. The in vitro naltrexone release from the microsphere/hydrogel system showed an over 60 days constant release with no significant burst release, and the drug release rate was in proportion to the microsphere concentration in the hydrogel.

Care of adults with long-term conditions

2020 ◽  
pp. 597-676
Keyword(s):  
Varicose Veins ◽  
Healthcare Providers ◽  
Motor Neurone ◽  
Chronic Obstructive ◽  
Long Term Conditions ◽  
Obstructive Pulmonary Disease ◽  
Lower Back ◽  
Respiratory Conditions

Multiple comorbidities necessitate care from a number of healthcare providers. Continuity of care is important for both patient satisfaction and quality of life. This chapter outlines primary care for adults with a variety of conditions, including osteoarthritis, rheumatoid arthritis, lower back pain, asthma and acute asthma, and stable and chronic obstructive pulmonary disease. It covers drugs commonly used in the treatment of respiratory conditions, including long-term oxygen and nebulizers. It then goes on to cover coronary heart disease, angina, hypertension, cardiac rehabilitation, heart failure, abnormal cardiac rhythms and atrial fibrillation, patients on anticoagulant therapies, and drugs used in cardiovascular diseases. The chapter also includes information on anaemia, varicose veins, diabetes, multiple sclerosis, motor neurone disease, and Parkinson’s disease.

Acupuncture in Neurological Disorders: An Evidence-Based Overview

2020 ◽  
pp. 449-494
Author(s):  
Alexandra Dimitrova
Keyword(s):  
Neurological Disorders ◽  
Large Scale ◽  
Healthcare Providers ◽  
Evidence Based ◽  
Tunnel Syndrome ◽  
Meta Analyses ◽  
New Evidence ◽  
Common Misconceptions

Over the past 20 years acupuncture has been rapidly gaining in popularity both in clinical practice and in research. New evidence for the benefits of acupuncture in various disorders is emerging seemingly every week, and recent large-scale systematic reviews and meta-analyses have suggested that acupuncture’s benefits in pain conditions can be maintained long term. At present the strongest evidence for acupuncture in the treatment of neurological disorders is in the fields of migraine, tension headaches, diabetic neuropathy, carpal tunnel syndrome, and Bell’s palsy. Recent trials suggest that acupuncture may be used as an adjunct in stroke rehabilitation and in improving the quality of life in patients with Parkinson’s disease and dementia. Despite recent mechanistic research advances, much remains unknown about acupuncture’s mechanism of action and there are common misconceptions about the origins of modern-day acupuncture. As acupuncture is being rapidly integrated into mainstream medical practice and increasingly being sought by patients, healthcare providers and neurologists in particular need to be educated about its applications and benefits for various neurological disorders. Our hope is that this chapter will serve toward this educational goal.

Structure, Deposition and Quality of Oyster Shell (Ostrea virginica Gmelin)

1944 ◽  
Vol 6c (3) ◽  
pp. 209-216 ◽  
Author(s):  
J. C. Medcof
Keyword(s):  
Specific Gravity ◽  
Late Summer ◽  
Oyster Shell ◽  
High Water ◽  
High Water Content ◽  
Functional Importance ◽  
Protein Matrix ◽  
Before And After ◽  
Porous Mass

Low quality shells are easily broken, have a high water content and low specific gravity, and contain little pearly and much chalky material. Pearly shell is secreted throughout the season before and after the chalk which it incloses. Chalky areas occur in all shells, have functional importance, are commonest in oysters that are poorest in late summer and are regular in their order of appearance and position on the shell. They are composed of large vertical calcite crystals in a porous mass of smaller crystals with a protein matrix.

Empirical settlement predictions in overconsolidated Champlain Sea clays

2001 ◽  
Vol 38 (4) ◽  
pp. 720-731 ◽  
Author(s):  
Luc Morissette ◽  
Michel W St-Louis ◽  
Gordon C McRostie
Keyword(s):  
Water Content ◽  
Correction Factor ◽  
Empirical Model ◽  
High Water ◽  
High Water Content ◽  
Overconsolidation Ratio ◽  
Compressibility Index ◽  
Marine Clays

Using settlement observations published for several embankments on marine clays of the Champlain Sea, an empirical model is proposed to estimate long-term settlements. The effect of the overconsolidation ratio is taken into consideration within the model. Footing- and raft-type foundation cases are considered to give guidelines when using the model for these foundation types. A specific embankment resting on a foundation of high water content clay with a high compressibility index demonstrates that a correction factor should be applied under these conditions.Key words: settlement, embankment, Champlain Sea clay, consolidation, empirical model.

scholarly journals PEMANFAATAN LAHAN BEKAS TEMPAT PEMBUANGAN AKHIR DENGAN STABILISASI TANAH SECARA KIMIAWI

2021 ◽  
Vol 4 (1) ◽  
pp. 183
Author(s):  
Satya Bodhinanda ◽  
Aniek Prihatiningsih
Keyword(s):  
Sodium Hydroxide ◽  
Inorganic Material ◽  
Soil Stabilization ◽  
High Water ◽  
Shallow Foundation ◽  
High Water Content ◽  
Structure Model ◽  
Foundation Base ◽  
Load Location

Landfill soil (TPA) has great potential of utilization in construction purpose. Landfill soil has similar characteristic with clay soil that has high water content also contain organic and inorganic material caused by garbage heap. One of the problem in utilizing landfill soil was the low quality of the soil that cause big settlement for the structure. Settlement was an important aspect in performing a construction. Soil stabilization for the landfill soil needed to decrease amount of settlement. Structure model using one, two, three, four floor of load and calculate the settlement occur on the heaviest load location of the foundation. Foundation base was circle and using shallow foundation reconsidering shallow foundation effective for four floor load. Chemical stabilization using 2 methods: Sodium Hydroxide 6% and Limestone 3-4,5%. Based on the calculation, found that Sodium Hydroxide is more effective in decreasing settlement occurred and able to decrease the settlement until 32,42% for the  floor load. However, those methods can’t fulfil the 15 cm settlement limit. Tanah bekas tempat pembuangan akhir (TPA) memiliki potensi besar untuk dimanfaatkan dalam bidang konstruksi. Tanah bekas TPA umumnya memiliki karakteristik serupa dengan tanah lempung berkadar air serta memiliki material organik dan anorganik dari timbunan sampah. Salah satu masalah dalam memanfaatkan tanah bekas TPA adalah rendahnya kualitas tanah yang mengakibatkan penurunan besar pada struktur. Perbaikan pada tanah bekas TPA diperlukan untuk mengurangi besarnya penurunan yang terjadi. Penurunan merupakan aspek penting dalam suatu perancangan konstruksi, maka dari itu batasan pada penurunan ditetapkan untuk menghindari penurunan yang berlebihan yang dapat merusak struktur. Permodelan menggunakan beban struktur 1,2,3, dan 4 lantai dan dihitung penurunan yang terjadi pada fondasi dengan beban struktur terbesar. Penampang fondasi berbentuk lingkaran mempertimbangkan beban percobaan hingga 4 lantai cocok untuk fondasi dangkal. Stabilisasi tanah secara kimiawi menggunakan 2 metode yaitu Sodium Hidroksida 6% dan batu kapur 3-4,5%. Berdasarkan hasil perhitungan, didapati stabilisasi menggunakan Sodium Hidroksida lebih efektif dalam mengurangi penurunan tanah yang terjadi dan mampu mengurangi besarnya penurunan hingga 32,42% pada beban struktur 4 lantai. Namun, stabilisasi tanah menggunakan kedua metode belum dapat mencapai batas aman penurunan sebesar 15 cm.

scholarly journals Beau’s Lines Resulting from Taxane Chemotherapy

2018 ◽  
Vol 36 (4) ◽  
Author(s):  
Kumpol Aiempanakit
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Medical Students ◽  
Treatment Plan ◽  
Healthcare Providers ◽  
Nail Plate ◽  
Oncologic Patients ◽  
Transverse Grooves ◽  
Taxane Chemotherapy

Nail abnormalities are frequently found in oncologic patients who have undergone chemotherapy. Although thesechanges do not require treatment, they could influence the treatment plan and the patient’s quality of life. Some naildisorders lead to severe complications. Herein, the author reports on a patient with advanced breast cancer who received multiple kinds and cycles of chemotherapy. She developed multiple, parallel, transverse grooves, compatible with Beau’s lines, on the nail plate of all her fingernails and toenails. This report aims to further the knowledge of medical students, physicians, and healthcare providers regarding the nails of patients who receive chemotherapy.

scholarly journals ANGKA KAPANG DAN KHAMIR PADA LADA PUTIH ASAL BANGKA

2019 ◽  
Vol 5 (2) ◽  
pp. 101
Author(s):  
Oktavio Rosani ◽  
Devy Susanty ◽  
Ary Triyanto
Keyword(s):  
Moisture Content ◽  
Water Content ◽  
High Water ◽  
Quality Standard ◽  
High Water Content ◽  
White Pepper ◽  
Public Consumption ◽  
Mold And Yeast ◽  
The Relationship

Numbers of Mold and Yeast on White Pepper from BangkaWhite pepper is one of Indonesia's spices that are needed for both public consumption and exports. Post-harvest processing of white pepper by farmers is often done with unclean. Each source of white pepper has different water content and will affect the quality of white pepper. In this study, seven samples (S1, S2, S3, S4, S5, S6, S7) were from Bangka. All samples tested had higher water content than SNI quality standard (13%), but still below the quality standard 2 (18%). Sample S2 has the highest water content compared to other samples. Sample S1 and S2 have high Numbers of Mold and Yeast (AKK) and do not suitable with quality standart of BPOM. Of all samples, S2  had the highest AKK (5,51 x 104 colony / g) and sample S5 had the smallest AKK (8,8 x 102 colony / g). This shows the relationship between water content in white pepper with AKK. White pepper that has a high water content has a high AKK, whereas white pepper that has low moisture content has low AKK.Keywords: white pepper, Numbers of Mold and Yeast, moisture contentABSTRAKLada putih adalah salah satu rempah Indonesia  yang  banyak dibutuhkan baik untuk konsumsi masyarakat ataupun ekspor. Proses pengolahan pasca panen lada putih oleh petani sering dilakukan dengan tidak bersih. Setiap sumber lada putih memiliki kadar air yang berbeda dan akan mempengaruhi kualitas lada putih. Pada penelitian ini,tujuh sampel (S1, S2, S3, S4, S5, S6, S7)  berasal dari Bangka. Semua sampel yang di uji memiliki kadar air yang lebih tinggi dari standar mutu 1 SNI (13%), namun masih berada di bawah standar mutu 2 (18 %). Sampel S2 memiliki kadar air yang paling tinggi dibandingkan dengan sampel lainnya. Sampel S1 dan S2 memiliki  (Angka Kapang Khamir) AKK yang tinggi dan tidak memenuhi syarat mutu. BPOM. Dari semua sampel, sampel S2 memiliki AKK paling tinggi (5,51 x 104 koloni/g) dan sampel S5 memiliki AKK paling kecil (8,8 x 102 koloni/g). Hal ini menunjukan hubungan antara kadar air pada lada putih dengan AKK. Lada putih yang memiliki kadar air tinggi memiliki AKK yang juga tinggi, sedangkan lada putih yang memiliki kadar air rendah memiki AKK yang  rendah.Kata Kunci: Lada putih, Angka kapang khamir, Kadar Air

Information Security Threats in Patient-Centred Healthcare

2016 ◽  
pp. 298-318 ◽  
Author(s):  
Shada Alsalamah ◽  
Hessah Alsalamah ◽  
Alex W. Gray ◽  
Jeremy Hilton
Keyword(s):  
Information Security ◽  
Security Policy ◽  
Treatment Plan ◽  
Healthcare Providers ◽  
Relevant Information ◽  
Security Threats ◽  
Security Design ◽  
Legacy Information Systems ◽  
Flow Of Information

Healthcare is taking an evolutionary approach towards the adoption of Patient-Centred (PC) delivery approach, which requires the flow of information between different healthcare providers to support a patient's treatment plan, so the Care Team (CT) can seamlessly and securely access relevant information held in the different discrete Legacy Information Systems (LIS). Each of these LIS deploys an organisational-driven information security policy that meets its local information sharing context needs. Nevertheless, incorporating these LIS in collaborative PC care brings multiple inconsistent policies together, which raises a number of information security threats that can block the CT access to critical information across a patient's treatment journey. Using an empirical study, this chapter identifies information security threats that can cause the issue, and defines a common collaboration-driven information security design. Finally, it identifies requirements in LIS to address the inconsistent policies in modern PC collaborative environments that would help improve the quality of care.

Taking the lead

2016 ◽  
Vol 30 (1) ◽  
pp. 16-19 ◽  
Author(s):  
Mary Schulz
Keyword(s):  
Quality Of Care ◽  
Healthcare Providers ◽  
Self Care ◽  
Health Problems ◽  
Level Of Care ◽  
Staff Turnover ◽  
Healthcare Leaders

Healthcare providers working with people living with dementia often experience a profound sense of grief when the person they support dies or moves to an alternative level of care. Unattended staff grief can impact healthcare leaders by reducing quality of care, increasing staff turnover and absenteeism, lowering morale, and creating a greater risk of long-term staff health problems. Organizational and self-care strategies can mitigate these challenges.

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