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STUDY OF CLINICAL PROFILE AND RISK FACTORS OF INFECTED CORNEAL ULCERS AT RURAL TERTIARY CARE HOSPITAL 研究农村三级医院感染性角膜溃疡的临床概况和风险因素
Pub Date : 2024-02-29 DOI: 10.21474/ijar01/18262
Saurabh Kapase, Shubhangi Nigwekar
Introduction: A corneal ulcer is a discontinuation in normal epithelial surface of cornea associated with necrosis of the surrounding corneal tissue. It is a major worldwide cause of preventable corneal blindness that is mostly under-reported but can be responsible every year for 1.5–2.0 million new cases of monocular blindness. Detailed studies of severe sight-threatening infectious keratitis are therefore important as they provide valuable information on the detection of etiology, predisposing factors, and visual outcomes to form the development of management strategies and protocols. Aims and Objectives: To study the clinical profile and known risk factors of infected corneal ulcers at rural tertiary care hospital. Materials and Methods: An Observational, Descriptive Cross-Sectional Hospital-based study was conducted after Institutional Ethical Committee (IEC) at the Department of Ophthalmology, DVPRMC, Loni. A total of 70 patients with infected corneal ulcers were screened and evaluated from June 2022 to May 2023 for a duration of 1 year. We studied the infected corneal ulcer patients above 18 years old attending to our hospital OPD. Results: 57% of patients were male and 43% were female. 66% of patients gave a history of trauma. The most common clinically diagnosed ulcer was fungal, representing 53% of all ulcers, followed by bacterial (27%) and viral (13%). There were also 2 cases each of acanthamoeba (3%) and pythium (3%) ulcers. 62.8% of cases were above 50 years old. In our study 73% of suspected fungal corneal ulcers were KOH smear-positive and 70% of suspected bacterial corneal ulcers were gram-positive. All cases were advised medical management. Out of those 43% were also advised therapeutic penetrating keratoplasty. Conclusion: Corneal ulcers are commonly seen in adult male farmers and laborers with ocular trauma in rural areas and fungal ulcer is the most common type of ulcer. Late presentation with corneal perforation requires therapeutic penetrating keratoplasty.
导言:角膜溃疡是角膜正常上皮表面的中断,伴有周围角膜组织的坏死。角膜溃疡是导致可预防性角膜失明的一个主要原因,在世界范围内,角膜溃疡大多未得到充分报道,但每年可导致 150 万至 200 万例新的单眼失明病例。因此,对严重危及视力的感染性角膜炎进行详细研究非常重要,因为这些研究可提供有关病因检测、诱发因素和视觉结果的宝贵信息,从而制定管理策略和方案。目的和目标:研究农村三级医院感染性角膜溃疡的临床概况和已知风险因素。材料与方法:在洛尼 DVPRMC 眼科的机构伦理委员会 (IEC) 批准后,进行了一项观察性、描述性横断面医院研究。从 2022 年 6 月到 2023 年 5 月,共筛查和评估了 70 名感染性角膜溃疡患者,为期 1 年。我们对在本院手术室就诊的 18 岁以上感染性角膜溃疡患者进行了研究。结果57%的患者为男性,43%为女性。66%的患者有外伤史。最常见的临床诊断溃疡是真菌性溃疡,占所有溃疡的 53%,其次是细菌性溃疡(27%)和病毒性溃疡(13%)。另外,棘阿米巴溃疡(3%)和脓菌溃疡(3%)各占 2 例。62.8%的病例年龄在 50 岁以上。在我们的研究中,73%的疑似真菌性角膜溃疡呈 KOH 涂片阳性,70%的疑似细菌性角膜溃疡呈革兰氏阳性。所有病例都被建议接受药物治疗。其中 43% 的病例还被建议进行治疗性穿透角膜移植术。结论角膜溃疡常见于农村地区遭受眼外伤的成年男性农民和工人,真菌性溃疡是最常见的溃疡类型。晚期出现角膜穿孔时需要进行穿透性角膜移植手术。
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引用次数: 0
ANTIOXIDANTS IN PREVENTION OF ORAL CANCER 抗氧化剂预防口腔癌
Pub Date : 2024-02-29 DOI: 10.21474/ijar01/18306
Manoj Kumar, Sanjeet Singh, Paramjit Singh, Kanika Sharma
Antioxidants in prevention of oral cancer provides a comprehensive introduction to the application and potential benefits of antioxidants in dental care. The article reviews the current literature on oxidative stress and its implications in oral diseases, highlighting how antioxidants combat these effects. It discusses various antioxidants, including natural and synthetic types, and their specific roles in preventing and treating periodontal disease, caries, and post-surgical complications. The summary underscores the importance of antioxidants in enhancing standard dental therapies and promoting oral health. While advocating for their inclusion in dental practices, the article also calls for more research to establish standardized protocols and dosages.
抗氧化剂在口腔癌预防中的应用》全面介绍了抗氧化剂在牙科护理中的应用和潜在益处。文章回顾了目前有关氧化应激及其对口腔疾病影响的文献,重点介绍了抗氧化剂如何对抗这些影响。文章讨论了各种抗氧化剂,包括天然的和合成的抗氧化剂,以及它们在预防和治疗牙周病、龋齿和手术后并发症方面的具体作用。摘要强调了抗氧化剂在加强标准牙科疗法和促进口腔健康方面的重要性。在提倡将抗氧化剂纳入牙科实践的同时,文章还呼吁开展更多研究,以制定标准化的方案和剂量。
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引用次数: 0
IN VIVO EVALUATION OF ANTIDIARRHEAL ACTIVITY AND FORMULATION OF A FLOUR BASED ON EXTRACTS FROM THE LEAVES OF COMBRETUM GRANDIFLORUM G. DON (COMBRETACEAE) 腹泻活性的体内评估及基于大花金合欢叶提取物(金合欢科)的面粉配方
Pub Date : 2024-02-29 DOI: 10.21474/ijar01/18307
Deguenon Memonsso Pauline Pierrette, Ombouma Joanna Grace, Houngbeme Gouton Alban, Ahoyo Carlos Cedric, Gbaguidi Ahokanou Fernand, Houinato Marcel Romuald Benjamin
Althoughmany conventional antidiarrheal agents are available, the inherenttoxicityof thesedrugsprovides an avenue to explore for safe and effective alternative medications. The objective of thisstudyis to evaluate in vivo the antidiarrhealactivity of extractsfrom the leaves of Combretumgrandiflorum and to formulate an antidiarrhealflour.The antidiarrhealactivity of Combretumgrandiflorumextractswascarried out usingmodels of castor oil-induceddiarrhea, castor oil-induced anti-enteropolling and intestinal transit. The formulation of the antidiarrhealflourwas made following the classic CCC calculationmethod. The results show a significantreduction (p˂0.01) in the frequency of wetstools and water content of diarrhea, intestinal motility, intestinal fluid accumulation and a delay in the onset of diarrhea by compared to controls, wereobserved in micetreatedwith the aqueousextract of Combretumgrandiflorum. Furthermore, the test batchestreatedwith the hydroethanolicextract and the referencemolecule (loperamide), no emission of diarrhealstools, no mass of freshdiarrhealstools, wasobserved. However, thiseffect of loperamideisstatisticallyidentical to that of the hydroethanolicextract. The formulation of antidiarrhealflourwith the hydroethanolicextract of Combretumgrandiflorumwillprovide an antidiarrhealfoodwith good nutritional value and acceptable rheologicalproperties. Additionalresearchisthereforenecessary to findflours to resolvediarrheaproblems.
虽然有许多传统的止泻药,但这些药物的固有毒性为探索安全有效的替代药物提供了一条途径。本研究的目的是评估大花金合欢叶提取物的体内止泻活性,并配制一种止泻药粉。按照经典的 CCC 计算方法配制了止泻药水。结果表明,与对照组相比,用Combretumgrandiflorum水提取物处理的蝙蝠在湿凳频率、腹泻含水量、肠蠕动、肠液积聚和腹泻开始时间延迟方面都有明显的降低(pË'0.01)。此外,用水乙醇提取物和参比分子(洛哌丁胺)处理的试验蝙蝠没有出现腹泻症状,也没有出现大量新鲜腹泻症状。然而,洛哌丁胺的效果与水乙醇提取物的效果在统计学上是相同的。用大叶黄杨的水乙醇提取物配制止泻药水,将提供一种营养价值高、流变特性可接受的止泻食品。因此,有必要进行更多的研究,以找到解决腹泻问题的面粉。
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引用次数: 0
ENVIRONMENTAL ASSESSMENT OF NARMADA RIVER WATER QUALITY AT SANDIA TO HOSHANGABAD & PHOTO DEGRADATION BY NANO-CATALYST ZNO 纳尔马达河 Sandia 至 Hoshangabad 水质环境评估及纳米催化剂 ZNO 的光降解作用
Pub Date : 2024-02-29 DOI: 10.21474/ijar01/18283
Nisha Tiwari, Arun Kumar Sikarwar, O.N Choubey
In Madhya Pradesh, water is dependent on Narmada River for agriculture, fisheries and other water related works, due to which we can say that the area of ​​current research is Narmada River, in which the physical and chemical observation of the water effect of Narmada River is to be done so that the water of the river can be controlled. The quality of water and the pollution in it are known. Various physico-chemical parameters, including temperature, pH, turbidity, total hardness, alkalinity, DO, BOD, COD, chloride, fluoride, phosphate, nitrate, iron, copper, coliform, were analyzed in the samples, which were taken from five distinct locations. Every parameter is determined using the standardized APHA and BIS and WHO approach. The cause of pollution in Narmada River is sewage which is dumped in Narmada River in large quantities which affects the water quality. The indices from all the places show that the river water is getting polluted rapidly which will result in the river becoming polluted. water will not be potable.The photo catalytic degradation process is an advanced process which is giving a new dimension to water purification (90% to 95%) and protecting the environment as eco-friendly process.
在中央邦,农业、渔业和其他与水有关的工作都依赖于纳尔马达河,因此我们可以说目前的研究领域是纳尔马达河,对纳尔马达河的水效应进行物理和化学观测,以便控制河水。水质和水污染是众所周知的。对取自五个不同地点的样本进行了各种理化参数分析,包括温度、pH 值、浊度、总硬度、碱度、溶解氧、生化需氧量、化学需氧量、氯化物、氟化物、磷酸盐、硝酸盐、铁、铜、大肠菌群。每个参数都是采用标准化的 APHA、BIS 和 WHO 方法测定的。纳尔马达河污染的原因是污水大量倾倒在纳尔马达河中,影响了水质。光催化降解工艺是一种先进的工艺,为水净化(90% 至 95%)和保护环境提供了新的维度,是一种生态友好型工艺。
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引用次数: 0
A DESCRIPTIVE STUDY TO ASSESS THE HEALTH SEEKING AWARENESS AND UTILIZATION OF ADOLESCENCE REPRODUCTIVE HEALTH SERVICES AMONG SCHOOL ADOLESCENTS IN RURAL COMMUNITY 一项描述性研究,评估农村社区在校青少年的保健意识和对青春期生殖健康服务的利用情况
Pub Date : 2024-02-29 DOI: 10.21474/ijar01/18292
P. Oraon, Deepika Sharma, Kiranbala a, Dharni Rajput, Harpreet Kaur, Janvi a, Sukhvir Kaur
Introduction: Reproductive health may be a vital area of concern in adolescent health. However traditional Indian society regards talks on such topics as taboos and discourages open discussions on reproductive health. Objective: This study assess the health seeking awareness and utilization of reproductive health services and determines the association between health seeking awareness and utilization of adolescence reproductive health service with selected demographic variables. Method: The descriptive study with non-experimental research design was used the analysis and interpretation was done using SPSS version 18 and excel 2010. Result: More than half (54.65%) adolescence boys and girls knew correctly about male and female reproductive system and more than half (46.94%) adolescence knew incorrectly about STD, contraception, pregnancy and abortion. However only (5%) of adolescence had ever used reproductive health services and majority of 74.2% adolescence had never used these services. Reproductive health knowledge was significantly associated with fathers qualification, fathers occupation and source of information. Reproductive health services utilization was significantly associated with age, class, source of information. Conclusion: This study clearly depicted that more than half adolescents were not utilizing the services. Lack of adolescent reproductive friendly clinics, fear/embarrassment and concealed service were reasons for not utilizing the service.Fear of social value and being embarrassed, misconception of adolescents about pregnancy, unsafe sex, shortage of supply, harmful traditional practices and lack of school based adolescent reproductive health services.
引言生殖健康可能是青少年健康的一个重要关注领域。然而,印度传统社会认为谈论此类话题是禁忌,不鼓励公开讨论生殖健康问题。研究目的本研究评估了青少年寻求生殖健康服务的意识和利用率,并确定了寻求生殖健康服务的意识和利用率与选定人口变量之间的关联。研究方法使用 SPSS 18 版和 excel 2010 进行分析和解释。研究结果超过一半(54.65%)的男女青少年正确了解男性和女性生殖系统,超过一半(46.94%)的青少年错误了解性传播疾病、避孕、怀孕和流产。然而,只有(5%)的青少年使用过生殖健康服务,74.2%的青少年从未使用过这些服务。生殖健康知识与父亲的资历、父亲的职业和信息来源有很大关系。生殖健康服务的利用率与年龄、阶层和信息来源有明显关系。结论这项研究清楚地表明,半数以上的青少年没有利用生殖健康服务。害怕社会价值和尴尬、青少年对怀孕的误解、不安全性行为、供应短缺、有害的传统习俗以及缺乏以学校为基础的青少年生殖健康服务。
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引用次数: 0
ANKYLOSIS OF THE TEMPOROMANDIBULAR JOINT 颞下颌关节强直
Pub Date : 2024-02-29 DOI: 10.21474/ijar01/18329
A. Monteiro, P.B. Mavoungou, M. Nde-Ngala, Y. Ouardi, M. Khallouki
Introduction: Difficult intubation is a very dreaded situation in anesthesia and is frequently encountered in maxillofacial surgery15.7%(1)particularlyinpatientswithankylosisofthejoint temporomandibular (TMJ) the scarcity of equipment used in the event of difficult intubation (ID) such as that a nasofibroscopy represents a challenge and requires the use of other techniques (2). The interest of our study is to show the importance of capnography and ultrasound guidance during an ID blind nasotracheal. Comment: It concerns the management of the respiratory tract of a patient aged 41 years and 78 kg followed for epilepsy since childhood, substegretol 200mgx2/jet with congenital TMJ ankylosis. On the basis of preoperative clinical and radiological results, we have found the criteria for ID in particular the impossibility of opening the mouth and with the resources available, an intubation nasotracheal surgery under general anesthesia with spontaneous breathing was considered and a written informed consent for an emergency tracheotomy if required has been obtained from the patient. The procedure successively consisted of pre-oxygenation of the facial mask, xylocaine 0.05% a been sprayed into the right nostril, 0.05% xylocaine gargle, blockage of the laryngeal nerves superior by transcutaneous injections of lidocaine 1% and intra-tracheally, then we performed sedation with propofol 50mg. Blind nasotracheal intubation was successful in one uneventful attempt per No. 6.5 mm reinforced probe, the verification was made by visualizing the intra-tracheal probe at through ultrasound and confirmation by capnography. The anesthesia was completed by the administration of fentanyl 250 gamma, propofol 100 mg and rocuronium 40mg. Maintenance of anesthesia was performed by a mixture of isoflurane (1.5%) and oxygen and air (50%:50%). The patient was extubated after the surgical procedure and the operation was a success. Conclusion: The anesthesia of patients with TMJ ankylosis represents a situation where the difficulties tracheal intubation should be considered in principle, and where an anticipatory strategy should be developed. Due to the absence of anasofibroscopy, the anesthetic treatment must be carried out by a team experienced and trained in blind ID.
导言:困难插管是麻醉中非常可怕的情况,在颌面外科中经常遇到,占 15.7%(1),尤其是颞下颌关节(TMJ)强直的患者,因为困难插管(ID)时使用的设备稀缺,如鼻纤支镜就是一个挑战,需要使用其他技术(2)。我们的研究旨在说明在鼻气管插管盲插过程中使用毛细血管造影和超声引导的重要性。评论:本研究涉及一名自幼因癫痫、亚甲格雷妥 200mgx2/jet 并伴有先天性颞下颌关节强直的 41 岁 78 公斤患者的呼吸道管理。根据术前的临床和放射学检查结果,我们找到了 ID 的标准,尤其是无法张口的情况,并根据现有的资源,考虑在全身麻醉下进行鼻气管插管手术,同时进行自主呼吸,并获得了患者的书面知情同意,在必要时进行紧急气管切开术。手术过程先后包括面罩预充氧、向右鼻孔喷入 0.05% 的木洛卡因、0.05% 的木洛卡因漱口、通过经皮注射 1%的利多卡因和气管内注射利多卡因阻断喉上神经,然后使用异丙酚 50 毫克进行镇静。通过超声波观察气管内探头的位置,并通过气管造影确认,盲法鼻气管插管一次顺利成功。使用芬太尼 250 γ、异丙酚 100 毫克和罗库溴铵 40 毫克完成麻醉。异氟醚(1.5%)与氧气和空气(50%:50%)的混合物维持了麻醉状态。手术结束后,患者拔除了气管,手术非常成功。结论对颞下颌关节强直患者进行麻醉时,原则上应考虑气管插管困难的情况,并应制定预见性策略。由于没有鼻纤维镜,麻醉治疗必须由在盲人内窥镜方面经验丰富并受过培训的团队进行。
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引用次数: 0
CULTIVATING SUCCESS: THE TRANSFORMATIVE POWER OF INSPIRATIONAL LEADERSHIP FOR ENTREPRENEURS 培养成功:企业家灵感领导力的变革力量
Pub Date : 2024-02-29 DOI: 10.21474/ijar01/18265
Shwetha T.A, Nitu Ghosh
Innovative leaders establish psychologically stable settings, facilitate associations, and increased organizations. Businesses nowadays must innovate if they are to thrive and endure in a cutthroat economy. Organizational performance is driven by inspirational leaders.Entrepreneurship research is a fairly new field of research (Cornelius et al., 2006). The foundation and development of start-ups are inevitably connected with leadership. This is unexpected considering how important inspirational leadership is to a start-success. ups Inspiring leadership stimulates innovative and creative thinking and significantly enhances team and individual performance. By appealing to our inner motivation and values and inspiring individuals to follow their passions and ambitious goals, it effectively unlocks hidden potential. This study focuses on shedding light on the inspirational leadership characteristics exhibited by entrepreneurs in India. The primary objective is to conduct a qualitative analysis of the personality profiles of these entrepreneurs, aiming to identify key traits and qualities that contribute to their success. The research specifically emphasizes the importance of emotional intelligence and inspirational leadership abilities in entrepreneurial ventures. By adopting a case-based approach, the study utilizes primary data collected through interviews and focused group discussions. This methodology allows for a comprehensive exploration of the individual experiences and characteristics of entrepreneurs, providing valuable insights into their leadership styles. The qualitative analysis conducted in this study aims to unveil the winning characteristics that entrepreneurs possess, with a particular emphasis on emotional intelligence and inspirational leadership. The findings of the study are expected to offer a deeper understanding of the qualities that make entrepreneurs successful in todays dynamic society. The cases examined in the research highlight how inspirational leadership serves as a guiding force, enabling committed and motivated employees and teams to achieve significant organizational performance. This study contributes to the existing body of knowledge by providing a nuanced exploration of the personality profiles of entrepreneurs, emphasizing the role of emotional intelligence and inspirational leadership in their achievements.
创新型领导者能够建立心理稳定的环境,促进联合,增强组织。当今的企业要想在残酷的经济环境中茁壮成长,就必须不断创新。创业研究是一个相当新的研究领域(Cornelius et al.)创业研究是一个相当新的研究领域(Cornelius et al.鼓舞人心的领导力能激发创新和创造性思维,显著提高团队和个人绩效。通过唤起我们的内在动力和价值观,激励个人追随自己的激情和远大目标,它能有效释放隐藏的潜能。本研究的重点是揭示印度企业家表现出的激励型领导特征。研究的主要目的是对这些企业家的个性特征进行定性分析,旨在找出有助于他们成功的关键特征和品质。研究特别强调了情商和灵感领导能力在创业企业中的重要性。本研究采用基于案例的方法,通过访谈和重点小组讨论收集原始数据。这种方法可以全面探讨创业者的个人经历和特点,为了解他们的领导风格提供有价值的见解。本研究中进行的定性分析旨在揭示企业家所具备的制胜特征,特别强调情商和灵感型领导力。研究结果有望加深人们对企业家在当今充满活力的社会中取得成功的素质的理解。研究中考察的案例突出了灵感型领导力如何发挥指导作用,使尽职尽责、积极进取的员工和团队取得显著的组织绩效。本研究对企业家的个性特征进行了细致入微的探讨,强调了情商和激励型领导力在企业家取得成功中的作用,从而为现有知识体系做出了贡献。
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引用次数: 0
CBCT ANALYSIS OF PULP CHAMBER THICKNESS AND MORPHOLOGY IN PRIMARY MOLARS: AN OBSERVATIONAL STUDY 对初级磨牙牙髓腔厚度和形态的 cbct 分析:观察研究
Pub Date : 2024-02-29 DOI: 10.21474/ijar01/18303
Rohan Shrivastava, Sonal Gupta, Asmita Das, Antra Saket, Priyambana Pandey
Objective: To evaluate the thickness of pulp chamber and morphologic characteristics in order to plan the treatment ofdeciduous molars using cone beam computed tomography. Material and Methods: Cross-Sectional study is done with CBCT images of primary teeth of children. Evaluation of Pulp chamber thickness and morphology of each maxillary right primary second molar was done through CBCT. Data were analyzed and sent for statistical analysis. Results: Total 50 teeth i.e., right maxillary primary second molars of children age group 4-10 years were analyzed. Male shows the horizontal and vertical Mean (SD) values 4.5 (0.76) and 1.7(0.58) respectively greater than females. Mesial and Distal pulp horns were also greater in height for males with Mean (SD) 3.1(0.51) and 2.5(0.52) respectively. Conclusion:General variations might be involved however, when preparing a course of treatment for a childit is important to take note of gender differences in the mesiobuccal pulp horn. Even small restorations have a significant effect on pulp size. Probably it becomes exposed when the cavity is being prepared.
目的评估牙髓腔的厚度和形态特征,以便利用锥形束计算机断层扫描制定治疗乳磨牙的计划。材料和方法:使用锥形束计算机断层扫描图像对儿童的乳牙进行横断面研究。通过 CBCT 对每颗上颌右主次臼齿的牙髓腔厚度和形态进行评估。数据经分析后送去进行统计分析。结果共分析了 50 颗牙齿,即 4-10 岁儿童的右上颌初级第二磨牙。男性的水平和垂直平均值(SD)分别为 4.5(0.76)和 1.7(0.58),高于女性。男性牙髓角内侧和远侧的高度也更高,平均值(标准差)分别为 3.1(0.51)和 2.5(0.52)。结论:这可能涉及到一般的差异,但是在为儿童准备疗程时,注意颊中髓角的性别差异是很重要的。即使是很小的修复体也会对牙髓的大小产生很大的影响。可能是在准备龋洞时暴露了牙髓。
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引用次数: 0
ELEMENTS OF QUALITY PRESENT IN THE CURRICULAR DESIGN OF THE TECHNICAL PROGRAMS OF THE SCHOOL OF ADMINISTRATION OF THE NATIONAL UNIVERSITY OF COSTA RICA 哥斯达黎加国立大学行政管理学院技术课程设计中的质量要素
Pub Date : 2024-02-29 DOI: 10.21474/ijar01/18294
Steve Ali Monge Poltronieri
Todays education requires an important adaptation to the social and economic changes that surround it. Therefore, actions must be developed in conjunction with the different social actors to allow the design of educational programs with a more focused vision on local territories and that address the needs of specific populations, encouraging discussion and construction of the knowledge, as well as the possibility of increasing opportunities. The current research examines the quality components that are present in the curricular design of professional technical education and training programs in the School of Administration. A phenomenological technique with a qualitative approach was used to determine the presence of elements of educational quality, components of the curricular design used and the connection of the technical programs with current standards. It has been concluded that these technical programs incorporate quality elements in their curricular design.
当今的教育必须适应社会和经济的变化。因此,必须与不同的社会行动者共同制定行动方案,使教育方案的设计更加关注当地的实际情况,满足特定人群的需求,鼓励对知识的讨论和建构,以及增加机会的可能性。本研究探讨了行政学院专业技术教育和培训课程设计中的质量要素。研究采用了定性方法的现象学技术,以确定教育质量要素的存在、所使用的课程设计要素以及技术课程与现行标准的联系。得出的结论是,这些技术课程在课程设计中融入了质量要素。
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引用次数: 0
DISSEMINATED TUBERCULOSIS PRESENTING AS AN ACUTE ABDOMEN 以急腹症为表现的播散性结核病
Pub Date : 2024-02-29 DOI: 10.21474/ijar01/18284
Akash Pawar, Vaibhav Yadav, Rahul Dubepuria, MD Yunus, Amit Priyadarshi
Mycobacterium tuberculosis is a widespread infection in developing countries like India. Tuberculosis is primarily a chronic condition but can present with acute and unusual manifestations. Disseminated tuberculosis is defined as having two or more non-contiguous sites resulting from lymphohematogenous dissemination of mycobacterium tuberculosis ex.: Miliary TB. Before COVID-19, tuberculosis was the worlds leading cause of death due to a single infectious agent. Especially in India because India accounts for one-quarter of the global burden and prevalence, the incidence rate of Latent TB Infection (LTBI) and active tuberculosis is 33% & 36% respectively in India which is quite high, therefore it is important to consider tuberculosis as an etiological agent if symptom indicates and subsequent work up consideration. Here we are reporting a rare presentation of disseminated tuberculosis in an emergency department at a tertiary care center with sub-acute intestinal obstruction to emphasize the importance of clinical examination and history to evaluate for the cause, for the management of patients even in acute settings like emergency.
结核分枝杆菌是印度等发展中国家普遍存在的一种传染病。结核病主要是一种慢性病,但也可能出现急性和异常表现。播散性结核病的定义是结核分枝杆菌淋巴血行播散引起的两个或两个以上非毗连部位的结核病,例如:纤溶性结核病。在 COVID-19 之前,结核病是世界上单一传染源导致死亡的主要原因。尤其是在印度,因为印度的结核病负担和发病率占全球的四分之一,印度的潜伏肺结核感染(LTBI)和活动性肺结核发病率分别为 33% 和 36%,相当高,因此,如果有症状提示,必须将结核病视为病原体,并考虑后续治疗。在此,我们报告了在一家三级医疗中心急诊科出现的罕见的播散性肺结核,并伴有亚急性肠梗阻,以强调临床检查和病史对病因评估的重要性,即使在急诊等急性环境下也要对患者进行管理。
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引用次数: 0
期刊
International Journal of Advanced Research
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