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Diabetic Foot Care in Patients with Mental Illness 精神疾病患者的糖尿病足护理
Pub Date : 1900-01-01 DOI: 10.31038/asmhs.2021515
Shinu Kuriakose
Foot disorder pathologies, caused by diabetes mellitus, result in diminishing the quality of life for patients and straining the economic fabric of both governmental institutions and private organizations. Patients afflicted with diabetes suffer from disabilities, which can in many cases lead to foot amputation and other various complications. Often, patients also suffer from chronic pain caused by diabetic foot neuropathy, which may make them unable to continue with their employment and have a negative effect on their daily lives. Patients with mental health disorders are adversely affected by diabetic foot pathologies due to their lack of timely follow-up and limited access to medical providers. The goal of this Practicum experience was to develop and deliver a PowerPoint presentation to provide clinical guidance and education to primary care clinicians who evaluate diabetic patients (many with mental health issues) who otherwise might not have an opportunity to be evaluated by a podiatrist in a timely manner. This author created the PowerPoint presentation based on the review of literature and the input from the committee members. The PowerPoint presentation on diabetic foot care was limited to the primary care clinical staff at the Queens County Medical Center in Queens, New York. The purpose of the practicum is for these clinicians to learn how to perform a comprehensive evaluation of the lower extremities in patients with diabetes, including awareness of risk factors prone to increasing risk of foot ulceration, screening for neurological foot deficits, analyzing treatment options for patients with diabetic foot maladies, and exploring prevention strategies to prevent diabetic foot complications.
由糖尿病引起的足部疾病导致患者的生活质量下降,并使政府机构和私人组织的经济结构紧张。糖尿病患者患有残疾,在许多情况下会导致足部截肢和其他各种并发症。通常,患者还会遭受糖尿病足神经病变引起的慢性疼痛,这可能使他们无法继续工作,并对他们的日常生活产生负面影响。由于缺乏及时的随访和获得医疗服务的机会有限,患有精神健康障碍的患者受到糖尿病足病理的不利影响。这次实习经历的目标是开发并提供一个ppt演示,为评估糖尿病患者(许多有精神健康问题)的初级保健临床医生提供临床指导和教育,否则这些临床医生可能没有机会及时接受足病医生的评估。作者根据文献回顾和委员会成员的意见制作了ppt。关于糖尿病足部护理的ppt演示仅限于纽约皇后区皇后县医疗中心的初级保健临床工作人员。实习的目的是让这些临床医生学习如何对糖尿病患者的下肢进行全面的评估,包括了解可能增加足部溃疡风险的危险因素,筛查神经性足部缺陷,分析糖尿病足病患者的治疗方案,探索预防糖尿病足并发症的预防策略。
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引用次数: 0
Mind Genomics to Teach Critical Thinking and Prepare Job Candidates for Interviews 思维基因组学教授批判性思维,为求职者面试做准备
Pub Date : 1900-01-01 DOI: 10.31038/asmhs.2019352
A. Gere, Roger Shelley, S. Starke, Robert Sherman, V. Jaiswal, H. Moskowitz
We present a new approach to help students prepare for interviews. The approach applies a user-friendly app (BimiLeap) developed from the science of Mind Genomics. The app teaches students how to think critically and creatively, in a structured way, with feedback from panel respondents unknown to the student. From the viewpoint of the student as job applicant, the Mind Genomics approach can teach the applicant, a prospective employee to think better, and while learning to do so, help the applicant create an individual portfolio of studies that can be presented to the interviewer. The portfolio demonstrates the applicant’s ability to do independent research relevant to the company doing the hiring. From the viewpoint of the hiring company, the Mind Genomics approach provides a test of intellectual proficiency, either as a homework assignment before the interview or as a test given to the respondent with the topic chosen by the interviewing company.
我们提出了一种新的方法来帮助学生准备面试。该方法采用了一种用户友好的应用程序(BimiLeap),该应用程序是由心智基因组学开发的。这款应用程序以结构化的方式教会学生如何批判性和创造性地思考,并从学生不认识的小组受访者那里获得反馈。从学生作为求职者的角度来看,Mind Genomics的方法可以教会申请人,一个未来的雇员更好地思考,在学习的同时,帮助申请人创建一个可以呈现给面试官的个人研究作品集。作品集展示了申请人对招聘公司进行独立研究的能力。从招聘公司的角度来看,Mind Genomics的方法提供了一种智力水平测试,可以作为面试前的家庭作业,也可以作为面试公司选定主题的测试。
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引用次数: 0
What is the Reason for Memory Deterioration during Aging? 衰老过程中记忆力衰退的原因是什么?
Pub Date : 1900-01-01 DOI: 10.31038/asmhs.2021517
N. Aleksidze
in the brain of old rats. Most researchers engaged in the study of reasons for the memory impairment attribute such changes in the functional activity of the brain to gene mutations and perhaps it is probable that the decrease in the activity of NADP-H-dependent disulfide reductase must be exactly the result of gene mutations at the level of nerve cells [7]. Based on the above-mentioned, we started searching for the biologically active substances which activated the activity of disulfide reductase enzyme. The impact of the injection of biologically Abstract The fractional content of water soluble proteins in young and old rats’ brain has been studied. It has been established that the water soluble proteins in the brain of old rats are characterized by the excess of high molecular proteins, as compared to the proteins of young ones. We have supposed that the formation of high molecular proteins as a result of the aggregation of disulfide bonds of low molecular proteins should have been due to the determination of number of sulfhydryl groups. As a result of quantitative determination of sulfhydryl groups, the amount of disulfide bonds in the soluble proteins of the brain in old rats appeared to be 50-60% more, as compared to young rats. It turned out that the activity of NADP-H-dependent disulfide reductase enzyme was about 30-50% less. The impact of biologically active substances, which activate disulfide reductase on the activity of disulfide reductase and the elaboration of conditional avoidance reflex, was specially studied. It has been established that disulfide reductase activity in the various areas of old rats brain on average increases by 50-60-% and relatively the development of conditional avoidance reflexes and the memory is improved by 70%.
在年老老鼠的大脑里。大多数从事记忆障碍原因研究的研究者将这种大脑功能活动的变化归因于基因突变,可能nadp - h依赖性二硫还原酶活性的下降一定正是神经细胞[7]水平上基因突变的结果。在此基础上,我们开始寻找激活二硫还原酶活性的生物活性物质。摘要本文研究了幼龄大鼠和老年大鼠脑内水溶性蛋白的含量。已经证实,老年大鼠脑内的水溶性蛋白与年轻大鼠脑内的水溶性蛋白相比,具有高分子蛋白过剩的特点。我们假定,由于低分子蛋白质的二硫键聚集而形成的高分子蛋白质应该是由于巯基数目的测定。通过对巯基的定量测定,老年大鼠大脑可溶性蛋白中二硫键的数量似乎比年轻大鼠多出50-60%。结果表明,nadp - h依赖性二硫还原酶的活性降低了约30-50%。特别研究了激活二硫还原酶的生物活性物质对二硫还原酶活性和条件回避反射的影响。研究表明,老龄大鼠大脑各区域的二硫还原酶活性平均提高50- 60%,条件回避反射的发展和记忆能力提高70%。
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引用次数: 0
Intellectual Capital in the Post COVID-19 后COVID-19时代的智力资本
Pub Date : 1900-01-01 DOI: 10.31038/asmhs.2021512
C. Lirios
Social Work studies about entrepreneurship warn a process of deliberate, planned and systematic rational choice which promote intellectual capital formation are predominant determinants. Specify a model for the study of trust dimensions: experiences, knowledge, capabilities, emotions, and abilities. Not experimental, documentary and retrospective study with a nonrandom selection of sources indexed repositories, considering the keywords and the publication period 2015-2020. A model with eight hypotheses three paths dependency relationships between nine variables put forward in the state of knowledge was specified.
关于企业家精神的社会工作研究表明,一个经过深思熟虑的、有计划的、系统的理性选择过程是促进智力资本形成的主要决定因素。为信任维度的研究指定一个模型:经验、知识、能力、情感和能力。非实验、文献和回顾性研究,非随机选择来源索引库,考虑关键词和出版期2015-2020。在知识状态下,提出了一个具有8个假设、3条路径、9个变量之间依赖关系的模型。
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引用次数: 1
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Ageing Science & Mental Health Studies
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