scholarly journals Reporte de un caso clínico: Reimplante de mano

2021 ◽  
Vol 13 (1) ◽  
pp. 125-130
Author(s):  
Claudia Lucía Maldonado Carrasco ◽  
Manuel Edmundo Espinoza Espinoza ◽  
Rómulo Augusto Idrovo Carrasco ◽  
Luis Alberto Tinoco Cazorla
Keyword(s):  
Upper Limb ◽  
Case Reports ◽  
Soft Tissue Injuries ◽  
Well Being ◽  
Vital Role ◽  
Dash Score ◽  
Related Factors ◽  
Recovery Capacity ◽  
Partial Amputation ◽  
Injury Patient

BACKGROUND: The upper limb plays a vital role in our daily function; injuries to this vital structure can result in devastating consequences to functional, psychological and social well-being; especially traumatic amputations of the upper limb are challenging to manage and deciding which patients would benefit from limb salvage versus amputation is critical. CASE REPORTS: A 52-year-old male patient, who suffered a traumatic partial amputation in the distal third of his right forearm with an industrial machine, presenting an ulnar and radius fracture, with severe soft tissue injuries, who underwent a replantation surgery after 12 hours of ischemia. EVOLUTION: Patient presented good postsurgical outcome. 24 hours after surgery he presented normal Allen’s test results, adequate temperature, pink coloration, hypoesthesia and 2/5 muscle strength in the injured limb. He was discharged 7 days after surgery with follow-up and rehabilitation prescription. The percutaneous needles were removed 13 weeks after, with proper bone healing of the fracture. 5 months after surgery, he presented a DASH Score of 60.83. CONCLUSION: The replantation field has become very sophisticated in recent years; the decision to perform replantation of the amputated limb must be individualized to each patient, based on several established factors such as the characteristics of the injury, patient related factors, and the functional recovery capacity.

Social Capital and Sustainable Health Care: An Analysis of Community Based Palliative Care Model of Kerala

2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Abdul Azeez. E.P
Keyword(s):  
Social Capital ◽  
Palliative Care ◽  
Social Services ◽  
Social Inclusion ◽  
Well Being ◽  
Vital Role ◽  
Voluntary Organizations ◽  
Community Based ◽  
The Social ◽  
Palliative Care Units

Social Capital is the most crucial asset which significantly influence the efficacy and resilience of any community. Social capital is a dependent variable that depends upon the competence and coherence of the individuals in the community and mode of social relationships, trust and networks they maintain. It is one of the most sustainable social resources that originate from human relations and results on the mutual support of people. Utilization of Social capital has a wide applicability in the process of social inclusion, especially in dealing with the vulnerable and disadvantaged sections in the community itself. Voluntary organizations are very keen to utilize the social capital for community/social services and community development in a sustainable manner. Community based de-institutionalized Palliative Care is one of the foremost among such organizations that made social capital in a strategic way for social inclusion and community well being. This paper analyses the extent to which different elements of social capital helps in initiating the sustainable community based palliative care movement by assessing the unique intervention strategies carried out by the palliative care. This paper explores conceptual questions of how social capital and voluntary community based services are correlated. A case study method was adopted for the study in which ten palliative care units were analyzed. The results show that a number of social capital elements are playing a vital role in the sustainability of community palliative care movement in Kerala.

scholarly journals Uncovering Prospective Role and Applications of Existing and New Nutraceuticals from Bacterial, Fungal, Algal and Cyanobacterial, and Plant Sources

2021 ◽  
Vol 13 (7) ◽  
pp. 3671
Author(s):  
Jameel R. Al-Obaidi ◽  
Khalid H. Alobaidi ◽  
Bilal Salim Al-Taie ◽  
David Hong-Sheng Wee ◽  
Hasnain Hussain ◽  
...  
Keyword(s):  
Human Health ◽  
Well Being ◽  
Vital Role ◽  
Biologically Active ◽  
Future Perspective ◽  
The Public ◽  
Biological Sources ◽  
Pharmaceutical Properties ◽  
Plant Sources ◽  
Health And Well Being

Nutraceuticals are a category of products more often associated with food but having pharmaceuticals property and characteristics. However, there is still no internationally accepted concept of these food-pharmaceutical properties, and their interpretation can differ from country to country. Nutraceuticals are used as part of dietary supplements in most countries. They can be phytochemicals which are biologically active and have health benefits. These can be supplied as a supplement and/or as a functional food to the customer. For human health and longevity, these materials are likely to play a vital role. Consumption of these items is typical without a therapeutic prescription and/or supervision by the vast majority of the public. The development of nutraceuticals can be achieved through many bioresources and organisms. This review article will discuss the current research on nutraceuticals from different biological sources and their potential use as an agent for improving human health and well-being, as well as the gaps and future perspective of research related to nutraceutical development.

scholarly journals Towards an enhanced indication of provisioning ecosystem services in agro-ecosystems

2021 ◽  
Vol 193 (S1) ◽  
Author(s):  
Claudia Bethwell ◽  
Benjamin Burkhard ◽  
Katrin Daedlow ◽  
Claudia Sattler ◽  
Moritz Reckling ◽  
...  
Keyword(s):  
Ecosystem Services ◽  
Case Studies ◽  
Strong Dependence ◽  
Well Being ◽  
Vital Role ◽  
Conceptual Base ◽  
Provisioning Ecosystem Services ◽  
Pros And Cons ◽  
Anthropogenic Contributions

AbstractProvisioning ecosystem services play a vital role in sustaining human well-being. Agro-ecosystems contribute a significant share of these services, besides food and fodder and also fuel and fibre as well as regulating and cultural ecosystem services. Until now, the indication of provisioning ecosystem services of agro-ecosystems has been based almost only on yield numbers of agricultural products. Such an indication is problematic due to several reasons which include a disregard of the role of significant anthropogenic contributions to ecosystem service co-generation, external environmental effects and strong dependence on site conditions. We argue for an enhanced indication of provisioning ecosystem services that considers multiple aspects of their delivery. The conceptual base for such an indication has been made by prior publications which have been reviewed. Relevant points were taken up in this article and condensed into a conceptual model in order to develop a more holistic and expanded set of indictors, which was then exemplarily applied and tested in three case studies in Germany. The case studies represent different natural conditions, and the indicator set application showed that ecosystem services (ES) flow—in terms of output alone—does not characterise agro-ecosystems sufficiently. The proposed aspects of provisioning ecosystem services can give a fuller picture, for example, by input-output relationships, as it is possible by just using single indicators. Uncertainties as well as pros and cons of such an approach are elaborated. Finally, recommendations for an enhanced indication of provisioning ecosystem services in agro-ecosystems that can help to integrate agricultural principles with ideas of sustainability and site-specific land use are derived.

scholarly journals Education and social support: do migrants benefit as much as natives?

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Jana Brandt ◽  
Kyra Selina Hagge
Keyword(s):  
Social Support ◽  
Personal Development ◽  
Human Life ◽  
Well Being ◽  
Vital Role ◽  
Cross Sectional ◽  
Support Providers ◽  
Appraisal Support ◽  
Migration Experiences ◽  
To Receive

Abstract Education and having access to social support play a vital role in the human life. Integrated and better-educated people demonstrate an increased personal health and well-being. Social isolation, on the contrary, can affect not only the personal development, but also pertains to society. These topics are especially relevant in the current migration debate. Our paper examines the link between schooling and the individuals’ probability to receive different types of social support, in particular emotional, instrumental, informational, and appraisal support. Using logit and ordinal logit regressions on cross-sectional micro-data provided by the SOEP, we distinguish between two subgroups, the native population and people who migrated to Germany. Our findings confirm that higher levels of education increase the probability to access social support as well as the number of support providers in the network. Migrants are disadvantaged when it comes to the access of social support. However, our results suggest no significant negative returns to education for people with migration experiences.

scholarly journals The Value of Recreational Ecosystem Services in India

2020 ◽  
Vol 3 (1) ◽  
pp. 80
Author(s):  
Muniyandi Balasubramanian
Keyword(s):  
Ecosystem Services ◽  
National Park ◽  
Economic Value ◽  
Consumer Surplus ◽  
Well Being ◽  
Vital Role ◽  
Human Beings ◽  
Forest Ecosystem Services ◽  
The Individual ◽  
Mental Well Being

Forest ecosystem services have played a vital role in human well-being. Particularly, recreational ecosystem services are creating physical and mental well-being for human beings. Therefore, the main objective of the paper is to estimate the economic value of recreational ecosystem services provides by recreational sites such as Nandi Hills and Nagarhole National Park based on the individual travel cost method in Karnataka, India. This study has used a random sampling method for 300 tourist visitors to recreational sites. The present study has also estimated the consumer surplus of the visitors. The results of the study have found that (i) economic value of two creational sites has been estimated at US $323.05 million, (ii) the consumer surplus has been estimated for Nandi Hills at US $7.45 and Nagarhole National Park at US $3.16. The main implication of the study is to design the entry fees for the recreational site and sustainable utilization of recreational ecosystem services for the present and future generations.

scholarly journals Identification and inclusion of gender factors in retrospective cohort studies: the GOING-FWD framework

2021 ◽  
Vol 6 (4) ◽  
pp. e005413
Author(s):  
Valeria Raparelli ◽  
Colleen M. Norris ◽  
Uri Bender ◽  
Maria Trinidad Herrero ◽  
Alexandra Kautzky-Willer ◽  
...  
Keyword(s):  
Outcome Measurement ◽  
Meta Analysis ◽  
Synthetic Data ◽  
Well Being ◽  
Pooled Analysis ◽  
Research Network ◽  
Local Analysis ◽  
Related Factors ◽  
Measurement Framework ◽  
Definition Of

Gender refers to the socially constructed roles, behaviours, expressions and identities of girls, women, boys, men and gender diverse people. Gender-related factors are seldom assessed as determinants of health outcomes, despite their powerful contribution. The Gender Outcomes INternational Group: to Further Well-being Development (GOING-FWD) project developed a standard five-step methodology applicable to retrospectively identify gender-related factors and assess their relationship to outcomes across selected cohorts of non-communicable chronic diseases from Austria, Canada, Spain, Sweden. Step 1 (identification of gender-related variables): Based on the gender framework of the Women Health Research Network (ie, identity, role, relations and institutionalised gender), and available literature for a certain disease, an optimal ‘wish-list’ of gender-related variables was created and discussed by experts. Step 2 (definition of outcomes): Data dictionaries were screened for clinical and patient-relevant outcomes, using the International Consortium for Health Outcome Measurement framework. Step 3 (building of feasible final list): a cross-validation between variables per database and the ‘wish-list’ was performed. Step 4 (retrospective data harmonisation): The harmonisation potential of variables was evaluated. Step 5 (definition of data structure and analysis): The following analytic strategies were identified: (1) local analysis of data not transferable followed by a meta-analysis combining study-level estimates; (2) centrally performed federated analysis of data, with the individual-level participant data remaining on local servers; (3) synthesising the data locally and performing a pooled analysis on the synthetic data and (4) central analysis of pooled transferable data. The application of the GOING-FWD multistep approach can help guide investigators to analyse gender and its impact on outcomes in previously collected data.

scholarly journals Sleep Deficiency and Deprivation Leading to Cardiovascular Disease

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Michelle Kohansieh ◽  
Amgad N. Makaryus
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Well Being ◽  
Underlying Mechanism ◽  
Vital Role ◽  
Quality Of Sleep ◽  
Cvd Risk Factors ◽  
Cvd Risk ◽  
Sleep Deficiency

Sleep plays a vital role in an individual’s mental, emotional, and physiological well-being. Not only does sleep deficiency lead to neurological and psychological disorders, but also the literature has explored the adverse effects of sleep deficiency on the cardiovascular system. Decreased quantity and quality of sleep have been linked to cardiovascular disease (CVD) risk factors, such as hypertension, obesity, diabetes, and dyslipidemia. We explore the literature correlating primary sleep deficiency and deprivation as a cause for cardiovascular disease and cite endothelial dysfunction as a common underlying mechanism.

Behavioral engagement with mHealth for improved well-being among chronically ill patients: the role of human-related and app-related factors (Preprint)

2021 ◽  
Author(s):  
Freek Van Baelen ◽  
Melissa De Regge ◽  
Bart Larivière ◽  
Katrien Verleye ◽  
Sam Schelfout ◽  
...  
Keyword(s):  
Chronic Condition ◽  
Chronically Ill ◽  
Well Being ◽  
Behavioral Engagement ◽  
Related Factors ◽  
Design Factor ◽  
Mobile Health Applications ◽  
Chronically Ill Patients ◽  
The Relationship ◽  
Mhealth Apps

BACKGROUND Last decade has shown a considerable increase in the amount of mobile health applications (mHealth apps) in everyday life. These mHealth apps have the potential to significantly improve well-being for chronically ill patients. However, behavioral engagement with mHealth apps remains low. OBJECTIVE The aim of this study is to provide insight into the behavioral engagement of adults with chronic conditions with mHealth apps by investigating (1) how it is affected by human-related factors (here, physician motivation) and app-related factors (here, app integration) and (2) how it affects their well-being. Supplementary, this study considers the moderating effect of preference for traditional visits to the physician (habit) and experience in app use (app experience) by the patients. METHODS A scenario based experiment among patients with a chronic condition (n= 521) was carried out. A Bayesian SEM model with mediation and moderation analysis was conducted in MPlus. RESULTS Both physician motivation for mHealth app use and mHealth app integration have a positive effect on the behavioral engagement of chronically ill patients towards mHealth apps. Higher behavioral engagement positively influences the hedonic and eudaimonic well-being of chronically ill patients. App experience positively moderates the relationship between app integration and behavioral engagement. A patients’ habit with receiving traditional care does not moderate the relationship between physician motivation and behavioral engagement. CONCLUSIONS The human and design factor play a key role in behavioral engagement and well-being among patients with a chronic condition. During and after the development of a mHealth app, app integration and physician motivation should be a point of attention.

Job demand and control among clinical nurses in a provincial hospital and related factors: Results from a cross-sectional study in 2020.

2021 ◽  
Vol 05 (02) ◽  
pp. 20-30
Author(s):  
Thi Thu Thuy Tran ◽  
◽  
Thi Huong Nguyen ◽  
Van Bang Nguyen ◽  
Thi Thanh Xuan Le
Keyword(s):  
Well Being ◽  
Job Control ◽  
Work Environments ◽  
Related Factors ◽  
Cross Sectional ◽  
Clinical Nurses ◽  
Provincial Hospital ◽  
Job Demand ◽  
Study Participants ◽  
Night Shifts

Objective: This study aimed to examine the psychological work environments and associated factors among clinical nurses in a provincial tertiary hospital in the North of Vietnam in 2020. Methods: A cross-sectional survey was conducted among all nurses of 22 clinical wards who directly provided care to patients. 261/318 eligible nurses returned the self-reported survey questionnaires that consisted of the Vietnamese version of the Job Content Questionnaire 22 items and originally developed questions on personal characteristics and work conditions. Descriptive analysis, t-test, ANOVA, and multivariate linear regressions were applied to describe the current job demand, job control, and related factors at the significant level p less than 0.05. Results: The response rate of the current study was 82.1%. Nurses reported moderate job demand (29.39±3.64) and job control (66.86±5.79). Increased job control was significantly associated with more frequency of receiving support from superiors (p<0.001), a self-perceived opportunity of promotion (p = 0.011), and more night shifts per week (p=0.004). Less support from co-workers and more night shifts were associated with a higher job demand score among study participants (p = 0.041 and 0.002, respectively). Conclusions: Several nurses in the provincial hospital work in unfavorable work environments with high job demand and low job control, which could adversely affect nurses’ well-being. It is essential to promote social support at work to improve the psychological working conditions and performance of study participants. Keywords: Job demand, Job control, JCQ, clinical nurses, provincial hospital, Vietnam

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