Rajesh Varma
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A mixed-methods study protocol on the psychosocial health of stroke survivors and their informal carers (CARESS): experiences, needs and quality of life
No full textIntroduction: Surviving a stroke and caring for a survivor, impacts individuals’ psychological health and quality of life, which may impose substantial costs on healthcare and social systems. This study aims to understand and explore the psychological health, experiences, needs and quality of life of Portuguese stroke survivors and their informal carers.Methods and analysis: This is a mixed-methods, observational study. The methodological strategy relies on 1) scoping review; 2) questionnaires to stroke survivors hospitalized between September 2018 and August 2019 in one of the 12 Stroke Units of the Northern Region Health Administration of Portugal and their informal carers, 18-24 months after the event (1775 survivors and 443 carers); and 3) semi-structured interviews to a subsample of stroke survivors (n = 49) and informal carers (n = 37); and 4) think tanks with stakeholders involved in the stroke rehabilitation process, namely stroke survivors, informal carers, researchers, and health and social professionals (n = 45). Descriptive and inferential statistics will be used to analyze the quantitative data, and content and interpretational analysis will be implemented to assess qualitative data.Ethics and dissemination: The study protocol was approved by the Ethics Committees of all the hospitals involved. The expected dissemination actions are effective tools in designing strategies that aim to promote knowledge on a needs-driven, socioethical sensitive basis, which will contribute to the implementation of a model of coproduction of health in the context of post-stroke care.</p
The predictors of occupationally related injury in employees of Pasteur Institute of Iran
No full textBackground: Needlestick Injuries (NSI) are a critical occupational risk for healthcare workers. Therefore, the present study investigated the incidence and risk factors of NSI among employees of the Pasteur Institute of Iran, one of the largest and oldest biological research institutes in the country, who are at high risk of occupational exposure to biological agents.Methods: This cross-sectional study included all personnel (565 individuals) of the Pasteur Institute of Iran. Participants answered some questions related to demographic and occupational characteristics as well as occupational exposure to blood and biological products, and occupational protection. Findings: A total of 448 questionnaires were completed. The mean age (SD) and work experience of the participants were 35.62 (9.20) and 9.72 (1.30) years, respectively. A total of 150 individuals had a history of NSI. The mean (SD) ages of participants with and without a history of NSV were 37.40 ± 9.03 and 34.41 ± 8.80 years, respectively (p < 0.001). The occurrence of NSI was related to work experience of more than five years and drinking, eating, or smoking while working. In addition, changing gloves while using the telephone was significantly related to reporting the occurrence of NSI to the department manager.Conclusion: Our findings indicated the relatively high frequency of NSI among the respondents. Despite the importance of personnel training, we did not find the occurrence of NSI or reporting it to be related to attending training courses. Hence, designing efficient preventive and protective measures requires the assessment of the attitudes of the mentioned institute’s personnel toward NSI and its prevention and management. </p
A rare and challenging case of ROHHAD (Rapid-onset Obesity with Hypoventilation, Hypothalamic Dysfunction, Autonomic Dysregulation) syndrome
No full textRapid-onset Obesity with Hypoventilation, Hypothalamic Dysfunction and Autonomic Dysregulation is a rare and complex pediatric syndrome with unknown etiology. The disease hallmark is sudden and severe obesity in early childhood, with a later onset of central hypoventilation, responsible for high mortality.We present the case of a 2.5-year-old boy with sudden weight gain starting after 12 months of age (18 kg in a year) and hypoventilation in the setting of acute nasopharyngitis, requiring Non-Invasive Ventilation (NIV) initiation. Additionally, he presented symptoms and signs of autonomic disturbance, neurodevelopmental delay and behavior disorders. High prolactin, leptin and insulin were also present. Despite periodic adjustment of settings and adherence to NIV and great efforts to control food intake, he remained morbidly obese and died during an infectious intercurrence at 6 years of age.This case illustrates the challenging diagnosis and treatment/management of this rare syndrome, which can have a variable and not always complete presentation and has no specific diagnostic test available. Identifying hypoventilation and NIV treatment is essential to decrease morbimortality. However, most patients do not live past ten years old.</p
About the connection of the electron binding energy of a single carbon anion with binding energies of an electron attached to carbon molecules
No full textWe demonstrate that the model of zero-range potentials can be successfully employed for the description of attached electrons in atomic and molecular anions, for example, negatively charged carbon clusters. To illustrate the capability of the model we calculate the energies of the attached electron for the family of carbon cluster anions consisting of two-, three- (equilateral triangle) and four (tetrahedron) carbon atoms equidistant from each other as well as for a C3 molecule having a chain structure. The considered approach can be easily extended to carbon clusters containing an arbitrary number of atoms arranged in an arbitrary configuration.</p
Certain results of Aleph-Function based on natural transform of fractional order
No full textIn this research article, a new type of fractional integral transform namely the N-transform of fractional order is proposed, and derived a number of useful results of a more generalized function (Aleph-function) of fractional calculus by making use of the N-transform of fractional order. Further, the relation between it and other fractional transforms is given and some special cases have also been discussed.</p
Confirm that the imaginary number i is a closed field
No full textIn the History of mathematics of mankind, some strange symbols appeared when dealing with some mathematical problems, which were defined as imaginary numbers by mankind. The imaginary number has been idle for a long time since it was discovered. Later, mathematicians such as Gauss moved the imaginary number to the mathematical plane (Complex plane).Humans have also learned the difference between imaginary and real numbers, and have obtained the difference between the two types of numbers on the square root.My contribution is to discover the inconsistency between real and imaginary numbers.I have discovered a new method of calculating imaginary number logic that is deeply hidden.2020 Mathematics Subject Classification: 03G27, 03F07, 03D45, 11U09, 08A05, 08A40. </p
The speed of the body at the moment of transition to a massless state is a new world constant
No full textBased on the kinetic theory of gases, the minimum temperature and critical velocity of a body necessary for its transition to a massless state are estimated. The value of this speed ω = 235696.8871 km⁄s is a new world constant, since it is the same for a body, regardless of its size, mass, density, and chemical composition. For the first time, the masses of X, and Y - bosons, as well as the zeroing temperatures of the mass of elementary particles have been calculated.</p
A distinctive ageing: Age and people with intellectual disabilities
No full textPeople with intellectual disabilities have seen their life expectancy increase in recent years to match that of the general population. The aging of each person will depend on the events experienced throughout their lives, their illnesses, and the psychosocial aspects of their environment. In spite of this, in the case of people with intellectual disabilities, there is evidence of a peculiar way of aging, with significant changes with respect to the general population that affect the age of onset of the first symptoms of aging, and physical, emotional, and health status changes. This article performs a systematic review of the literature to demonstrate the peculiarities of aging in people with intellectual disabilities, concluding on the need to know these changes to adequately guide professional care and thus improve their quality of life.</p
The complex sexuality of “Italian” Hikikomori and the need for better nosographic framing of psychopathological evidence
No full textObjective: The definition of “hikikomori” evokes dysfunctional personality pictures already known in the literature and medical practice. The aim is to refute the hypothesis of the need to identify this clinical condition in a new descriptive framework. Materials and methods: Pubmed checklist, clinical interview, and psychometric tests. Results: In the entirety of the selected population, it emerges that the primary disorder is schizoid personality disorder; this is followed by depressive disorder, narcissistic covert disorder, bipolar disorder with depressive prevalence, obsessive disorder, avoidant disorder, and somatic disorder as secondary dysfunctional personality traits. Childhood and/or family trauma, capable of impacting the sexual and affective sphere, is present in almost the entire population. Conclusion: The syndrome should be framed as a specific phenomenon and not as a new psychopathological disorder, as the symptomatological descriptions are similar to the already known schizoid personality disorder; the symptomatological differences among patients should be framed according to a logic of correctives determined by the presence of one or more secondary psychopathological traits that draw a more complex personality picture than the simple nosographic diagnosis of the DSM-V. </p
Determination of optimum planting time of different Sesame (Sesamum indicium L.) varieties for Chewaka district, Western Oromia, Ethiopia
No full textSowing date is the major problem in the production and productivity of sesame in western Oromia Ethiopia. The experiment was conducted to identify optimum sowing dates for sesame varieties to produce better seed yields. A field experiment consisting of the combination of three sesame varieties and three sowing times employed Randomized Complete Block in factorial arrangements with three replications. Analysis of variance indicated that plant height; branches number per plant and number of capsules per plant were significantly increased with sowing sesame at the onset of rainfall. All sesame varieties sown on the onset of rainfall gave the maximum seed yield in both years whereas three varieties had low yield at 10 days after the first and 20 days after the first. Among the three varieties, the Walin variety produced a maximum seed yield of 670 and 747 kg ha-1 on a farm in the first and second year respectively. The maximum yield (670 and 971 kg ha-1) was obtained from Walin and Obsa sesame varieties in the first and second years of the farm respectively. Therefore, the result indicated that sowing sesame varieties at the onset of rainfall is recommended for Chewaka areas and similar agroecology. </p