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Approach to the Diagnosis and Treatment of Dissociative Identity Disorder
No full textWhile there has always been a fascination in our society with dissociative disorders, there is still much about them that we do not know. The purpose of the research presented here is to help solidify a reader’s understanding of the current diagnostic requirements of dissociative identity disorder (DID) and to discuss different treatment focuses that may help a provider approach a patient with this condition. In order to properly provide competent care to a patient affected with DID, it is of utmost importance to be knowledgeable on the topic for which we are treating them. While there is still not a formal set of treatment guidelines, this research presents what has shown to be effective and is currently recommended
Targeted Temperature Management After Cardiac Arrest
No full textTargeted temperatures management (TTM) has been used to improve neurological and mortality outcomes in patients with cardiac arrest who remain comatose after achieving return of spontaneous circulation. Current guidelines recommend TTM at 32-36oC for at least 24 hours. Various complications are possible during TTM; therefore, close monitoring and prompt intervention are necessary. Many uncertainties about TTM still exit, including optimal target temperature, start time, and duration of therapy. Further studies are warranted to help with better understanding and clinical implementation of TTM
The Effectiveness of Meniscal Allograft Transplantation Post-Meniscectomy in the Management of Pain and Function
Get PDFIt is not uncommon for patients post-meniscectomy to complain of knee pain or decrease in function. There are several management options to explore with your patient, including meniscal allograft transplantation (MAT). This article reviews the effectiveness of MAT in managing pain and function in different patient populations and highlights criteria in selecting patients for MAT with high probability of positive outcomes
Approach to Management of Femoral Neck Fractures
No full textFemoral neck fractures are among the most common injuries in adults over 65 years. These fractures can be caused by high-impact trauma, such as motor vehicle accidents, or low-impact trauma, such as falls. A thorough history, physical examination, and imaging are key factors for developing assessment plans. The Garden, Pauwels, and AO classifications can help determine the severity and location of the fracture, as well as whether surgical intervention is necessary. While conservative methods may be used for some fractures, internal fixation with cannulated or sliding hip screws and arthroplasty are common surgical methods for severe fractures. Delayed management could lead to nonunion or avascular necrosis, and ultimately result in a decreased quality of life and higher mortality rate. This article provides an overview of the diagnosis and treatment of femoral neck fractures, to facilitate appropriate decision-making and ultimately improve patient outcomes
The Impact of Plastics on Children\u27s Health and the Difficulties of Management
No full textPhthalates and Bisphenol A are known Endocrine-Disrupting Chemicals and have demonstrated significant impacts on fertility and the reproductive system. Recent studies suggest exposure to these chemicals to pregnant mothers may adversely impact the health of their children. Exposure to children during significant stages of development may also be associated with increased susceptibility to illnesses such as obesity, diabetes, attention deficit hyperactivity disorder, and others. It is important to encourage public awareness so further studies concerning these possible associations can be conducted. The consequences of these chemicals should be taken seriously by medical professionals and governments to help protect our current and future generations
Epilepsy management with non-pharmacological methods
No full textAnti-seizure medication is the first-line treatment option for patients with epilepsy. Over 30% of patients do not experience a reduction in seizures with anti-seizure medication alone. It is important to have second-line options for these patients because uncontrolled epilepsy can have a severe, negative impact on one’s life. Various surgical interventions can be utilized in focal epilepsy, including surgical resection, ablation therapy and neuromodulation techniques. Generalized epilepsy has surgical and non-surgical options. This article serves to address methods used to decrease or eliminate seizures in patients with drug-resistant epilepsy
A Data Analysis on Mass Shootings in Amercia
No full textMass shootings in America have been a recurring issue for years. In this project, we examine mass shootings that have occurred in the United States from 1966 to 2022. Through exploratory data analyses, we explore patterns and trends in shooting events, as well as various patterns in shooters, such as their mental health status, relationship status, social media usage, evidence of trauma in adulthood, and ongoing stressors during the time of the shooting. We also utilize natural language processing (NLP) tools to analyze text information in the dataset, such as the shooters\u27 school performance, community involvement, and past signs of crisis
Perioperative prevention, identification, and management of euglycemic DKA in patients taking SGLT-2 inhibitors
No full textDiagnosis of euglycemic diabetic ketoacidosis (euDKA) associated with the use of sodium-glucose cotransporter-2 inhibitors (SGLT2i) poses a challenge for clinicians. The hyperglycemia that is a hallmark in the diagnosis of traditional DKA is not present in euDKA and this can lead to delayed diagnosis and worsen patient outcomes. It is necessary for healthcare providers to demonstrate an awareness of risk factors, signs, and symptoms associated with euDKA can expedite diagnosis. This article aims to highlight the prevention of SGLT2i-associated euDKA and to identify clinical findings to improve clinician diagnosis and subsequent management of euDKA in the surgical setting
Decolonizing Kyiv’s politics of memory: current and potential implications of Russia’s 2022 invasion of Ukraine on Ukrainian monuments and toponyms.
Get PDFHistory is the basis of our identity, but it sometimes represents a trap. As well explained by Keith Lowe, monuments are representative of our values, and every society deludes itself that its values will be everlasting. However, in a world changing at an unprecedented pace while we move on, urban furnishment such as monuments or streets’ names remain frozen in time. Statues and toponyms that were erected and chosen a long time ago may no longer be representative of the values we now treasure. While Russia’s aggression is still raging, a lot has been written on the potential implications of the war in Ukraine in several fields such as global economy, energy and food security. Still, at a time in which the relationship between memory and politics is coming to the fore in the field of IR, an in-depth study of the consequences of the war on Ukraine’s politics of memory appears to be virtually essential. To close this gap, this paper aims at providing an overview of how the war has influenced Ukraine’s politics of memory, especially by focusing on urban spaces such as monuments and topography. Drawing from the theoretical background on collective memory, first, the concepts of “memory” and “place” will be investigated by specifically looking at memory sites and building on Langenbacher and Yossi’s idea of “infrastructure of memory”. Second, we analyze the changing environment triggered by Russia’s aggression and actions such as the removal of Catherine the Great’s monument in Odesa or the renaming of the former Victory Square in Kyiv. Russia’s war on Ukraine has in fact accelerated a process of decolonization of memory which had begun with the post-Communist transition. Ukraine is now determined to revive its national identity which has long been subjugated. Third, we draw conclusions by reflecting on which turn Ukraine’s memory politics may take by analyzing hints provided by high-profile officials such as Zelensky or Klitschko. For instance, a reinterpretation of periods such as the Cossack Hetmanate, Kievan Rus’ and Ukraine People’s Republic or episodes linked to the Ukrainian Insurgent Army may be implemented with the emergence of new monuments or street names
The Journal of International Relations, Peace and Development Studies 8th Edition Introduction
Get PDFOur 8th annual edition of The Journal of International Relations, Peace Studies & Development, presents the following papers for their unique and valuable contribution to the broader discussion. Olivier Sempiga’s The impact of geopolitical risks on price variation and political trust in France: analyzing the Ukraine-Russia conflict, provides a geopolitical analysis demonstrating the far-reaching consequences of the conflict far from the Ukraine-Russian border. Camilla Gironi’s Decolonizing Kyiv’s politics of memory: current and potential implications of Russia’s 2022 invasion of Ukraine on Ukrainian monuments and toponyms, presents an insightful examination of the conflict’s influenced Ukraine’s politics of memory, in the process to revive its national identity. Renée Stoute’s Bring On the Heat, discusses the opportunities, due to the conflict, for the European Union to accelerate its adoption of sustainable energy alternatives given its rejection of Russian oil and gas. Katherine Wallentine’s Never Enough: EU Military Spending Challenges in the Face of Open Conflict, which analyzes the EU’s military spending in light of the Ukraine-Russia conflict