scholarly journals Change of the Pattern of the Demographic Characteristics of the Patients with Endocarditis: Clinical Case of Infectious Endocarditis in Man with Injectible Drug Dependence, Complicated with Pneumonia and Peripheral Necroses of Feet, Arms, Nose (Own Clinical Observations and Experience of Education in State and English Language)

2021 ◽  
pp. 74-79
Author(s):  
Наталія Snigir ◽  
Vitalii Rudichenko ◽  
Vladyslav Kryvets ◽  
Liubov Podrez

Infectious endocarditis is multisystem disease, which is the result of the infection (usually bacterial) of endocardial heart surface. Despite of the latest medical achievements in diagnostics and treatment, infectious endocarditis is still a disease with high mortality rate and severe complications. During last decades in developed countries there are obvious changes of demographic characteristics of the patients with infectious endocarditis, namely increasing of aged patients with degenerative valvular diseases, of patients with anamnesis of invasive manipulations and procedures. Beside with well known risk factors (artificial valves and implanted heart devices), there are increasing roles of injectible drug-dependence, human immunodeficiency virus and wide contact with health protection system as predisposing factors for infectious endocarditis. The article contains literature data of the main populational risk groups of infectious endocarditis. Clinical case of severe (fatal) infectious endocarditis in patient with injectible drug dependence is submitted. Special features of the case are peripheral dry necroses of feet, arms, nose, which are very close to the description of symmetrical peripheral gangrene. This rare disorder was first described by Hutchinson in 1891 in 37-year old man, who had gangrene of fingers, hands and ears after shock. Symmetrical peripheral gangrene can be induced by different infection and non-inflection causes. The majority of these cases are connected to the treatment of cardiogenic shock with disseminated intravascular coagulation. Submitted description of the case of symmetrical peripheral gangrene in patient with infectious endocarditis will be useful for different medical care specialists as a reminder of the necessity of constant monitoring of the skin color of the distal parts of the limbs in severe sick patients.

2015 ◽  
Vol 13 (3) ◽  
pp. 381-387 ◽  
Author(s):  
Marina Gabriella Pereira de Andrada Magalhães ◽  
Breno Quintella Farah ◽  
Mauro Virgilio Gomes de Barros ◽  
Raphael Mendes Ritti-Dias

Objective To identify prevalence of previous blood pressure measurement and analyze some associated factors in adolescents.Methods This cross-sectional study included 6,077 adolescents aged 14 to 19 years. Demographic characteristics included (sex, age, period of study, region of residence, work, skin color, and economic) status, history of blood pressure measurement within last 12 months, local of blood pressure measurement, and reading obtained. To assess associations between previous blood pressure measurement with demographic characteristics and high blood pressure we used descriptive statistics and logistic regression analysis.Results Out of the adolescents, 56.8% reported no blood pressure measurement within the last 12 months. The health centers and the physician’s office were most mentioned places for blood pressure measurement (28.3% and 36.9%, respectively). Boys (odds ratio of 1.64 95%CI: 1.46-1.84) aged 14 to 16 years (odds ratio of 1.12; 95%CI: 1.01-1.25), whose economic status was unfavorable (odds ratio of 1.48; 95%CI: 1.32-1.67) were significantly associated with no blood pressure measurement. Working was a protective factor for was not blood pressure measurement (odds ratio of 0.84; 95%CI: 0.73-0.97).Conclusion Most of adolescents did not have their blood pressure measured within the last 12 months. Boys aged 14 to 16 years and those with unfavorable economic status had higher chance of not having their blood pressure measured.


2018 ◽  
Vol 96 (1) ◽  
pp. 37-59 ◽  
Author(s):  
Marton Demeter

In this research, we analyzed all 79 Web of Science (WoS) indexed journals in communication and media studies to disclose main publication patterns. We found that English-language countries dominate the field in a greater extent than in other disciplines, and developing countries are in a weaker position than English-language developed countries not just in natural sciences but also in soft sciences. We found significant correlations between the nominal GDP, the per capita publication, and per capita GDP of a given country and its publication scores.


2004 ◽  
Vol 8 (6) ◽  
pp. 415-423 ◽  
Author(s):  
Anatoli Freiman ◽  
Garrett Bird ◽  
Andrei I. Metelitsa ◽  
Benjamin Barankin ◽  
Gilles J. Lauzon

Background: Cigarette smoking is the single biggest preventable cause of death and disability in developed countries and is a significant public health concern. While known to be strongly associated with a number of cardiovascular and pulmonary diseases and cancers, smoking also leads to a variety of cutaneous manifestations. Objective: This article reviews the effects of cigarette smoking on the skin and its appendages. Methods: A literature review was based on a MEDLINE search (1966–2004) for English-language articles using the MeSH terms cutaneous, dermatology, tobacco, skin, and smoking. An additional search was subsequently undertaken for articles related to smoking and associated mucocutanous diseases, with the focus on pathogenesis and epidemiologic data. Articles presenting the highest level of evidence and latest reports were preferentially selected. Results: Smoking is strongly associated with numerous dermatologic conditions including poor wound healing, wrinkling and premature skin aging, squamous cell carcinoma, psoriasis, hidradenitis suppurativa, hair loss, oral cancers, and other oral conditions. In addition, it has an impact on the skin lesions observed in diabetes, lupus, and AIDS. The evidence linking smoking and melanoma, eczema, and acne is inconclusive. Anecdotal data exist on the possible protective effects of smoking in oral/genital aphthosis of Behçet's disease, herpes labialis, pyoderma gangrenosum, acral melanoma, and Kaposi's sarcoma in AIDS patients. Conclusions: An appreciation of the adverse cutaneous consequences of smoking is important. Dermatologists can play an integral role in promoting smoking cessation by providing expert opinion and educating the public on the deleterious effects of smoking on the skin.


Classics ◽  
2020 ◽  
Author(s):  
John Pearce

Evidence for death and burial in the Roman age extends across all materials surviving from Antiquity, literary texts, the remnants of memorials to the dead, inscriptions, images, and burials themselves, both the remains of the dead and the objects used in the rituals for burying them. This diversity of source material and the relevance of funerary evidence to so many aspects of ancient life continue to fragment scholarship. The allocation of epitaphs, architecture, images, artifacts, and the remains of the dead to separate disciplines has compounded their decontextualization from funerary ensembles. The subject area has also been divided by different approaches depending on the region and period concerned: the dominant interests in late Roman burials, for example, have been the investigation of Christian conversion or migration into the Roman world. However, some unifying trends can be observed. In recent decades attention has shifted to exploring the mass of burial evidence for what it reveals of Roman society, its social structures, demographic characteristics, and so on. This has been given extra impetus by the results of archaeological fieldwork, creating a sample of well-excavated burials and human skeletal remains which now rivals the numbers of inscribed memorials. The optimism of reading off social structures or demographic characteristics from funerary evidence has been replaced with an emphasis on exploring how groups and individuals negotiated their relationships to their communities through rituals and monuments. This essay presents Roman behavior in relation to death, bereavement, and commemoration, mainly using material evidence in its broadest sense. It is necessarily selective, giving examples of key syntheses and datasets and of developing approaches. In some cases (especially monuments) it gives some greater weighting to English language publications, especially where they provide gateways to non-Anglophone scholarship. After opening sections on general works on death and burial and on the Roman funeral and mourning, the essay discusses in turn monuments, funerary rituals as reconstructed from archaeological evidence, and late Roman burial practice, including its relationship to conversion to Christianity. It concludes with case studies where different forms of evidence, architectural, artistic, artifactual, osteological, etc. combine to produce a richer view of monuments and processes, in specific cultural and social contexts across the empire. Study of human remains from a demographic or paleopathological perspective is outside the scope of this essay, though some bibliographic pointers are given in the first section (Overviews of Death and Burial). Recent work on osteological and biomolecular characteristics of the skeleton is however noted where its integration with the evidence for rituals has significantly enriched the study of identities in death.


Author(s):  
HUSARIDA HUSARIDA ◽  
ROLANDO DOLLETE

This study investigated the perceived level of effectiveness on the use of English in teaching mathematics and science in one bilingual school in Jambi, Sumatra, Indonesia. Students from grades 5 and 6 and six teachers participated in the study by providing data on their experiences in learning and teaching Mathematics and Science using English medium for instruction. A questionnaire was used in this study consisting of  the socio-demographic characteristics of the students and teacher, school factors, perceived level of effectiveness on the use of English in teaching mathematics and science. Statistical procedures of descriptive statistics and Pearson correlation using SPSS 20 were used to analyze data. The major findings of the study were (1) most participants perceived that English medium instruction helped them in improving their English reading and writing skills; (2) most participants agreed with the helpfulness of English as a Medium Instruction; (3) there was no significant relationship between teachers’ socio-demographic characteristics and the perceived level of effectiveness on the use of English in teaching Mathematics and Science; (4) there was a significant relationship between students’ socio-demographic characteristics and the perceived level of effectiveness on the use of English in teaching mathematics and science; (5) there was a significant relationship between school factors such as facilities and equipment with the perceived level of effectiveness on the use of English in teaching mathematics and sciences perceived by students; (6) there was a negative significant relationship between school factors and the perceived level of effectiveness on the use of English in teaching mathematics and science perceived by teachers. Recommendations are also discussed.


Author(s):  
Shireen Salome Papabathini ◽  
Nathan Obore ◽  
Joseph Kawuki ◽  
Upama Ghimire ◽  
Wang Lina

Background: YKL-40 also named as chitinase-3-like protein 1 (CHI3L1) is a novel inflammatory biomarker found to be elevated in inflammatory and chronic diseases. This meta-analysis was done to estimate the pooled SMD of serum YKL-40 and evaluate its use as a diagnostic biomarker for Diabetes Mellitus (DM) and Coronary artery disease (CAD). Methods: Through searching the following electronic databases: Google scholar, PubMed, Scopus among others, related articles were extracted in English language. Stata (Version 12.0) was used for statistical analysis. Newcastle–Ottawa Scale was used for quality assessment. Standard mean difference (SMD) and its corresponding 95% confidence interval (95% CI) were calculated. Heterogeneity was assessed by I2 statistic. Results: Fourteen CAD studies with 1400 patients, 1685 controls and Thirteen DM studies with 1103 patients, 982 controls were selected for statistical analysis. The results showed that serum YKL-40 level in both CAD and DM patients was significantly higher than that in control subjects (SMD = 1.76 (95% CI 0.96-2.57) and (SMD=1.89 (95% CI 0.79-3.00) respectively. In both studies, stratified analysis showed that, studies which did not control for smoking had higher SMD compared to those controlled. Besides, CAD patients from developed countries had higher serum YKL-40 levels compared to those from developing countries. Conclusion: This meta-analysis suggests that an elevated serum YKL-40 level may be used as a promising diagnostic tool for early identification of CAD and DM. However patients’ age, history of smoking, and comorbidities should be put into consideration.


2021 ◽  
Vol 16 (2) ◽  
pp. 580-593
Author(s):  
Mohamed Hamid ◽  
Nagwa Ibrahim A. Mohamed

Disabled students are capable of learning and growing equally to normal students, therefore the educational infrastructure of many developed countries is inclined towards an inclusive educational system. However, such students, unfortunately, are not treated well in developing countries where teachers’ attitudes are a key hindrance to an inclusive education system. This study assesses future faculty attitudes towards inclusive education in Qatari independent schools. A mixed population from Arabic studies, Islamic studies, English language, social studies, mathematics, and science sections of both primary and secondary programmes are selected from the College of Education at Qatar University. The Questionnaire of Attitudes towards Inclusion (QAI) is designed for populations of all genders and sections. Data are analysed statistically initially using the t-test and, later with descriptive statistics in SPSS software. The research findings suggests that future faculty show a positive attitude concerning with inclusive education. However, this attitude toward teaching special children varies which depends on the severity of disability and the nature. Further, teachers prefer to teach mild special children for instance those with learning disabilities. Additionally, the findings reveal no substantial differences in future faculty attitudes to special children in inclusive education with respect to gender or specialization. The study emphasizes the importance of academic and psychological preparation of teachers in Qatari independent schools to understand the nature of disability and motivate them to enhance their acceptance of children with disabilities.   Keywords: Disabled students, inclusive education, Qatari independent schools, special education, teaching attitude


1970 ◽  
Vol 42 (3) ◽  
pp. 169-179
Author(s):  
CB Eke ◽  
AC Ubesie ◽  
BC Ibe

Background: Obesity once considered a high income country’s malady is now on the rise in most developing countries particularly in urban settings. Most of these emerging economies have been reported to have different shades of under – nutrition coexisting side by side with over-nutrition. It is pertinent therefore that we determine the factors driving the increase in obesity rates in developing countries as they generally lack the infrastructure to adequately handle the associated complications.Objectives: This communication is aimed at reviewing the burden and risk factors for obesity in children in developing countries, double burden of malnutrition, challenges including medical as well as economic costs and sustainable preventive programmes of obesity in our environment with the hope of sensitizing both the health community and policy makers of this emerging epidemic.Methods: We searched relevant literature on the subject published only in English language or translated into English language manually and electronically. The Index Medicus, AJOL, Medline, PUBMED, and HINARI were specifically searched for the period between 1980 and 2014 and reviewed. The following key words were applied in the search: Obesity in childhood, its burden and associated risk factors, complications of obesity in childhood, double burden of malnutrition in developing countries, assessment of obesity, childhood challenges of obesity including its direct and indirect costs in developing countries as well as practical preventive models in developing economies.Results: Several relevant studies were identified. The health as well as economic costs of obesity is diverse. Obesity is the major risk factor for a variety of non – communicable diseases including cardiovascular diseases, type 2 diabetes and malignancies in later life. Also obese children have higher risk of orthopaedic problems and psychological disturbances like low -self esteem and bullying. This can also lead to poor social adjustments among our teeming youths who are the bedrock of our future economy. Most of these diseases cause premature deaths in addition to long term morbidities. Many of these obesity associated complications impose substantial burden on the health care system in developing countries with weak health systems, and if allowed unmitigated the implications are that the cost of its care may overwhelm not only the health budget but also affect the provisions of basic social amenities.Conclusions: Preventive programmes have been shown to reduce the burden of obesity in developed countries. Dearth of data on burden of obesity and its associated complications in children and adolescents still a challenge in most developing economies. Efforts should be made to prevent childhood obesity using multi- pronged approach at population level through targeted education, sustainable interventions related to healthy nutritional practices as well as physical activity promotion.Key words: Challenges; Obesity; Children; Developing Economies


2006 ◽  
pp. 465-478
Author(s):  
Gábor Pirisi ◽  
András Trócsányi

Hungary belonging more and more to the pestigious group of developed countries can be characterized more and more by the demographic characteristics of those. Aging population, decreasing live birth, decreasing figure of the population are commonly used terms characterizing the demographic profile of our country. This simplified picture can be modulated and coloured with the help of spatial data. In spite of the comparatively small size, and relatively homogenous structure of Hungary several differences can be found. The network of small towns could be an obvious and representative sample for the spatial investigations as the elements of that almost totally cover the area of Hungary, it is numerous enough, but still easy to handle. Within a Hungarian geographical context settlements having a maximum of 30,000 inhabitants and possessing city rank can be defined as small towns. Because of their size and functions they are sensitive enough to illustrate the national demographic tendencies, but they are numerous enough to split into different gropus according to their remarkably diverse character. Traditional historic small towns widely differ from the ones located in the rapidly urbanizing agglomerations, even though the socialist new towns having similar origin reflect significant demographic variants.


2021 ◽  
Vol 6 (4) ◽  
pp. 135-140
Author(s):  
Dr. Giri Prasad Vidudhala ◽  
Mr. VDI Rajiv Raj

This paper explores not only the care of the indigenous in nativity of teaching of English Language and also advising the methods for language learners and language teachers, the methods where all learners do have some access for cognitive knowledge of intellectual development in language. The learners according to GT method to use their cognitive faculty to memorize grammatical rules, vocabulary lists, translation and reading comprehension and many more. This paper doesn’t explain all the rules but principal characteristics of GT method, it suggests GT method importance. It unravels the focus learning through cognitive system which is a real thinking as native speakers do. The word indigenous here meant the nativity of EL, the teaching of educated native speakers of ELT which second language teachers cannot faithfully do the same but there are absolute qualities can be gained from native speakers learning. There are hundreds and thousands of software technologies that teach English Language. Information and communication technologies (ICT) refer to technologies that provide easy access to information through telecommunications. This includes the internet, wireless networks, cell phones, and other communication mediums. Learning EL through ICT is a half-backed knowledge.  All developed countries they setup and use digital learning. Here thanks to technology but if the curriculum is not designed with the standard approaches and the methods of ELT, surely a wrong learning enter! Even it leads to kill the language standards due to unnecessary globalized jargon. Globalization is one of the many terms virtually quotidian in present times discourse.


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