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2021 ◽  
Vol 1 (3) ◽  
pp. 119-222
Author(s):  
Sri Wahyuningsih ◽  
Nurul Hayati ◽  
Hesti Adi Safitri

Sectio Caesarea surgery causes pain and results in changes in tissue continuity due to surgery, earlymobilization can support the patient's wound healing process because moving the limbs will preventthe stiffness of muscles and joints, reducing pain and can accelerate blood circulation to parts thathave injuries that wound healing processes become faster. This study was to explore nursing care inpostoperative Sectio Caesarea with problems with physical mobility barriers through lavenderaromatherapy in the Teratai Room RSUD dr. Hayato Lumajang. Qualitative descriptively throughcase studies. The population in this study was postoperative mothers with Sectio Caesarea in theLotus Room at RSUD Dr. Haryoto, Lumajang Regency, with a total of 10 patients in June 2020. Theuse of aromatherapy dripped onto an oxygen mask for 3 minutes, after 3 hours of analgesicadministration. Both the inhalation method with an oxygen mask and directly inhaled prove thatlavender essential oil aromatherapy can reduce the pain scale of post-section Caesarea. Thisresearch is expected with this case study report to increase knowledge and insight in applying topatients and patients families about postoperative Sectio Caesarea in the implementation of earlymobilization, as well as innovations in giving lavender aromatherapy, can also be done to post SectioCaesarea patients. And it can be used as a new experience and information to reduce pain witharomatherapy.


Author(s):  
Divya Kumari ◽  
Subrahmanya Bhat

Background/Purpose: Artificial intelligence algorithms are like humans, performing a task repeatedly, each time changing it slightly to maximize the result. A neural network is made up of several deep layers that allow for learning. Financial services, ICT, life science, oil and gas, retail, automotive, industrial healthcare, and chemicals and manufacturing sectors are among the industries that employ these algorithms. The electric motor is a new concept, and the automobile industry is now undergoing intensive research to determine whether it is practicable and financially viable. There are already some first movers, such as Tesla, who have successfully established their model and are moving forward. Tesla is forcing the auto industry to adapt quickly. Tesla introduced Autopilot driver capability for its Model S vehicle. Tesla Autopilot is a suite of sophisticated driver-assist technologies that include traffic adjustment, congested roads navigation system, autopilot car-parks, computer-controlled road rules, semi-autonomous route planning on major roadways, and the ability to summon the vehicle out of a designated car-park. This article provides a comprehensive analysis of Tesla Company and Innovations of Autopilot Vehicles. Objective: This case study report addresses the growth of Tesla Company in the field of Autonomous Vehicles. Design/Methodology/Approach: The knowledge for this case study of Tesla was gathered from various academic articles, online articles, and the SWOT framework. Findings/Result: Based on the research, this paper discusses the technological histories, Autopilot driving features, safety concerns, financial plans, market challenges, different models, and how Tesla Inc. is accelerating the world's movement in multiple initiatives such as the contribution of the global economic system, study in the Artificial Intelligence and Machine Learning area. Originality/Value: This paper study provides a brief overview of Tesla Inc. given the various data collected, and information about Tesla Autopilot vehicles using Artificial Intelligence based Innovations in Entrepreneurial Oriented Cars. Paper type: A Research Case study paper - focuses on Application of Artificial Intelligence in Tesla Autopilot Vehicles and growth & Journey of the Tesla Inc. Company.


2021 ◽  
Vol 11 (2) ◽  
pp. 142-157
Author(s):  
Dianna Kenny ◽  
Timothy Keogh ◽  
Cynthia Gregory-Roberts ◽  
John Kearney ◽  
Judith Pickering

Two case reports of couples with unresolved grief who received a short-term psychoanalytically oriented intervention for couples are presented. The sixteenweek intervention is based on the unresolved grief triad (UGT) which links empirically based predictors of prolonged or complicated grief, including a history of unmourned losses and couple dynamics that prevent mourning, to couple manifestations of unresolved loss. In the first and second phases of therapy, experienced analytic couple therapists identified these factors and linked them into a unique UGT for the couple which is made explicit and worked with in the middle phase of treatment in relation to the day-to-day experiences that they bring to the sessions. In the final (third) phase of the intervention the loss of the therapy and therapist constitutes links that have been identified and processed with the couple during the intervention. The two case studies presented shared important similarities that offer insights into how couples become mired in unresolved grief. Their successful treatment using a short-term psychoanalytically based couple therapy suggests that the underpinning model on which it is based may be cost-effective in treating unresolved grief in couples.


2021 ◽  
Vol 12 (3) ◽  
pp. 718-722
Author(s):  
Abhijit Dinkarrao Shekhar ◽  
Mayur Shiralkar

Spondylosis is one of the commonest forms of joint disorder. Mostly it comes under concept of Vatavyadhi which mainly occurs due to vitiated vat dosha which is due to dhatukshaya (1) Basically this disease involves asthi and majja dhatu. This disease limits our daily activities such as walking, running, gait up, dressing, cycling, bathing etc.which makes patient disabled or handicapped. It is a kashtasadhya vatavyadhi due to intensive pain and restricted movements of joints. Here we discuss a case report of asthimajjgat vatavyaddhi which is best treated by ayurvedic concepts which was described by acharyas in vatvyadhi chikitsa adhyaya.


2021 ◽  
Vol 5 (4) ◽  
pp. 01-04
Author(s):  
Jonathan RT Lakey ◽  
Zach Villaverde ◽  
Tori Tucker ◽  
Michael Alexander ◽  
Scott A. Hepford

Diabetes affects millions of people worldwide and is a leading cause of amputation, blindness, neuropathy, and chronic kidney disease. Chronic kidney disease results in the prolonged impairment of kidney function. Common medications and lifestyle modifications do not eliminate the long-term complications of diabetes, because they lack the ability to restore the periodic cycle of insulin that exists in healthy physiology. Our study used a precise administration of exogenous insulin, mimicking the physiologic profile of insulin secretion, which is more effective at stabilizing cellular blood glucose uptake and reducing diabetic complications than current drug and lifestyle modifications alone. In this case study report, we evaluated three diabetic or pre-diabetic patients who showed improvements in kidney function after beginning this treatment modality. We monitored their chronic kidney disease symptoms before and after the physiological insulin resensitization (PIR) process. We showed that the patients improved in kidney function after several months based on their laboratory metrics and CKD stage classification.


Author(s):  
Sherri Cofield Kroll ◽  
Carole Frances Bennett ◽  
Tarah Winter Klinefelter

OBJECTIVE: While dysfunction of serotonin and dopamine neurotransmitters has been studied in depth, in regard to the etiology of mental illness, the neurotransmitter glutamate and its dysfunction is now being explored as contributing to neurodegenerative psychiatric diseases, schizophrenia, autism, depression, and Alzheimer’s disease. This article explains its synthesis, neurotransmission, and metabolism within the brain and subsequent dysfunction that is responsible for neurocognitive loss associated with several psychiatric disorders. METHOD: The case study will report on the screening for pseudobulbar affective (PBA) disorder in a 29-year-old male with bipolar disorder, autism spectrum disorder, and intellectual developmental disability who was experiencing extreme, uncontrolled emotional outbursts requiring continuous family isolation (pre-COVID-19) for safety. With the positive screen for PBA, the patient was subsequently treated with a glutamatergic drug, dextromethorphan/quinidine. RESULTS: The patient’s unexpected response to this treatment including the acquisition of language, increased cognition, and improved executive functioning is presented. At 2 years post the initiation of treatment, his PBA screening score is reduced, uncontrolled outbursts and aggression have subsided, and the family can spend time outside of their home. CONCLUSIONS: Neurodegeneration and its impact is being researched and treated with medications affecting glutamate. The addition of a glutamatergic medication to this young man’s medication regimen has improved both his and his family’s quality of life. The psychiatric diagnoses, medications, and treatments associated with glutamate are explained in depth. The importance of nurses’ understanding of glutamate, its synthesis, transmission, and dysfunction causing excitotoxicity and brain cell death and its impact on patients’ behavior and safety is explained.


2021 ◽  
pp. 875647932110189
Author(s):  
Nadia M. Chupka ◽  
Thomas D. Atwell ◽  
Ian R. McPhail ◽  
Talisha M. Hunt

Hepatic artery pseudoaneurysms (HAPs) are rare, life-threatening complications that arise in response to liver trauma or underlying inflammatory processes. The risk of rupture necessitates prompt diagnosis and treatment. Sonography is an important imaging modality used to evaluate and characterize suspected HAPs. In the case described below, sonography played an important role in the diagnosis and successful treatment of a patient with a large, high-risk HAP.


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