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CHALLENGES ENCOUNTERED BY THE POLICE OFFICERS IN CRIME PREVENTION IN TABUK CITY, KALINGA 卡林加塔布克市警官在预防犯罪方面遇到的挑战
Pub Date : 2024-05-08 DOI: 10.36713/epra16729
Benjamin D. Gom-gom-o
This study generally determined the challenges encountered by police officers in crime prevention in Tabuk City, Kalinga. The study specifically aimed to determine the specific challenges faced by police officers in effectively preventing crime regarding personal, family, and community relations and resources. Additionally, it sought to investigate the coping mechanisms of police officers to manage the challenges associated with their role in crime prevention. The study used a qualitative-narrative research design, and an interview guide was used to collect the data. The researcher used purposive sampling to select seven participants based on the specific characteristics or criteria relevant to the research questions. Through the use of inductive thematic analysis to analyze the qualitative data, the result revealed that police officers had encountered challenges during the implementation of crime prevention. It includes the impact of duty and personal relationships, threats and attacks, and cultural sensitivity and diversity regarding personal obstacles. Lack of time, high risk and stress, role modeling, and guidance regarding family challenges. Maximum tolerance, community engagement, concealment of criminals, and wrong perception regarding community challenges. Resource challenges require more funds and adequate equipment and vehicles. However, through proactive coping mechanisms, police officers attempted to overcome these obstacles. It concluded that the difficulties encountered by police officers in effectively preventing crime were complex and multifaceted, and they required a holistic approach that prioritized officers' well-being and could better fulfill their mission of promoting public safety. KEYWORDS: Problem encountered, coping mechanism, personal and family challenges, community and resources challenges, police officers
本研究大致确定了卡林加省塔布克市警官在预防犯罪方面遇到的挑战。研究的具体目标是确定警察在有效预防犯罪时所面临的个人、家庭和社区关系及资源方面的具体挑战。此外,该研究还试图调查警官应对与其在预防犯罪中的角色相关的挑战的机制。本研究采用定性叙事研究设计,并使用访谈指南收集数据。研究人员根据与研究问题相关的具体特征或标准,采用目的取样法选出了七名参与者。通过使用归纳式主题分析法对定性数据进行分析,结果显示警察在实施犯罪预防的过程中遇到了挑战。其中包括职责和人际关系的影响、威胁和攻击、文化敏感性和多样性对个人障碍的影响。缺乏时间、高风险和压力、榜样和指导是家庭方面的挑战。最大容忍度、社区参与、隐藏罪犯以及对社区挑战的错误认识。资源方面的挑战需要更多的资金、充足的设备和车辆。然而,通过积极的应对机制,警察试图克服这些障碍。研究得出结论,警察在有效预防犯罪方面遇到的困难是复杂的、多方面的,需要采取综合方法,优先考虑警察的福祉,更好地履行促进公共安全的使命。关键词:遇到的问题、应对机制、个人和家庭挑战、社区和资源挑战、警官
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引用次数: 0
A COMPARATIVE STUDY ON FINANCIAL REPORTING OF SELECT NIFTY FIFTY COMPANIES USING GRAY’S COMPARABILITY INDEX 利用灰色可比性指数对部分五十家公司的财务报告进行比较研究
Pub Date : 2024-05-07 DOI: 10.36713/epra16709
Dr. Bheemanagouda, Sam Stanley
The Institute of Chartered Accountants of India (ICAI) plays a crucial role in promoting globally recognized accounting standards in the Indian context. In this endeavor, ICAI has introduced the Indian Accounting Standards (Ind AS) to align with the International Financial Reporting Standards (IFRS). We aim to assess the impact of implementing the new accounting standards compared to the pre-existing standards. To achieve this, we employed Grays comparability index model on the key items of the consolidated financial statements of selected NIFTY FIFTY companies and examined the outcomes. The analysis reveals significant alterations in the figures of current and non-current liabilities, as well as total income and total expenses. These changes are attributed to various recognition and disclosure criteria introduced by the new accounting standard.KEY WORDS: Ind AS, IGAAP, NIFTY FIFTY, Grays Comparability Index
印度特许会计师协会(ICAI)在印度推广全球公认的会计准则方面发挥着至关重要的作用。为此,印度特许会计师协会推出了《印度会计准则》(Ind AS),以与《国际财务报告准则》(IFRS)保持一致。我们旨在评估实施新会计准则与原有准则相比所产生的影响。为此,我们在选定的 NIFTY FIFTY 公司合并财务报表的关键项目上采用了 Grays 可比性指数模型,并对结果进行了检验。分析表明,流动负债和非流动负债以及总收入和总支出的数字发生了重大变化。这些变化归因于新会计准则引入的各种确认和披露标准。
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引用次数: 0
ENVIRONMENTAL IMPACTS OF COVID-19 HOSPITALS AND ARCHITECTURAL REMEDIES COVID-19 医院的环境影响和建筑补救措施
Pub Date : 2024-05-07 DOI: 10.36713/epra16665
Ar. Aftab Alam, Prof. Syed Khursheed Ahmed, Ar. Arafat Aziz
Pandemics, with their potential for widespread devastation and global impact, have historically been a critical concern for public health and society. the historical impact of pandemics on the environment underscores the interconnectedness of human lives and health, societal systems, and the environment, highlighting the need for holistic approaches to public health and environmental management. The COVID-19 pandemic has brought about significant changes in healthcare facilities worldwide, particularly in hospitals designated for COVID-19 patients to counter and serve the impact on humans which universally led to the rapid establishment of specialized hospitals to manage the surge in patients. However, such hospitals not only posed significant challenges to healthcare systems worldwide but also highlighted the need for sustainable practices in designing and operating healthcare facilities along with their significant environmental impacts. In response to these challenges, architects, designers, and healthcare professionals have explored innovative architectural and other remedies to mitigate the environmental impacts of COVID-19 hospitals. This paper explores these potential environmental impacts and proposes architectural planning strategies that include sustainable practices and green design principles through which, by implementing, COVID-19 hospitals or similar hospitals can minimize their environmental footprint and contribute not only to a more sustainable healthcare system but also create healthier and more sustainable environments for patients, healthcare workers, and the community at large.KEYWORDS: Hospital Environmental Impact, Hospital Environment Relation, COVID-19 Hospital Impact on Environment, COVID-19 Hospital Impact, Environmental Impact of Pandemics, Pandemic Hospital Impact on Environment
大流行病可能造成广泛的破坏和全球影响,历来是公共卫生和社会关注的一个重要问题。大流行病对环境的历史影响突出表明了人类生命与健康、社会系统和环境之间的相互联系,强调了采用整体方法进行公共卫生和环境管理的必要性。COVID-19 大流行给世界各地的医疗保健设施带来了重大变化,特别是在指定接收 COVID-19 患者的医院,以应对和服务对人类的影响,这普遍导致了专科医院的迅速建立,以管理激增的患者。然而,这些医院不仅给世界各地的医疗保健系统带来了巨大挑战,也凸显了在设计和运营医疗保健设施时采取可持续做法的必要性,以及对环境的重大影响。为了应对这些挑战,建筑师、设计师和医疗保健专业人员探索了创新建筑和其他补救措施,以减轻 COVID-19 医院对环境的影响。本文探讨了这些潜在的环境影响,并提出了包含可持续实践和绿色设计原则的建筑规划策略,通过实施这些策略,COVID-19 医院或类似医院可以最大限度地减少对环境的影响,不仅有助于建立更可持续的医疗保健系统,还能为患者、医护人员和整个社区创造更健康、更可持续的环境。 关键词:医院环境影响;医院环境关系;COVID-19 医院对环境的影响;COVID-19 医院的影响;大流行病对环境的影响;大流行病医院对环境的影响
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引用次数: 0
DANCE SKILLS EXECUTION HESITATION OF TERTIARY EDUCATION PHYSICAL EDUCATION (PE) INSTRUCTORS OF DAVAO DEL NORTE: A PHENOMENOLOGICAL STUDY 北达沃省高等教育体育(PE)教师的舞蹈技能执行犹豫:一项现象学研究
Pub Date : 2024-05-06 DOI: 10.36713/epra16693
Dolly D. Enguito
This research study employed a qualitative research design, specifically phenomenological approach, with the aim of uncovering and understanding the lived experiences of tertiary education PE instructors concerning dance skills execution hesitation. The study involved 14 PE instructors who were selected through purposive sampling technique in accordance with the inclusion criteria, and the data were analyzed using coding and thematic analysis. The findings of the study revealed the experiences of the participants, including difficulty in dance demonstrations, experiencing doubt and uncertainty, strengthening the foundation of dance, mastering dance techniques, poor foundation in dance education, and confidence and positivity in dancing. Conversely, the participants employed the following coping mechanisms to get through the challenges they have faced: utilization of online teaching materials, seeking help from others, nurturing dance proficiency through multiple strategies, mastering the fundamentals before instruction, and continuous learning of dance skills. Additionally, the following insights were drawn from their experiences: provision of professional development about dance skills, nurturing positive mindset and attitude, cultivate confidence and self-esteem, having constant practice for proficiency, and learning through research. The findings of the study suggest that a holistic approach to supporting PE instructors in overcoming dance skills execution hesitation should include continual training, psychological support, and pedagogical innovation to ensure effective delivery of dance education in tertiary education. KEYWORDS: Physical education, PE instructors, dance skills, execution, hesitation, tertiary education, Davao del Norte
本研究采用定性研究设计,特别是现象学方法,旨在揭示和理解高等教育体育教师关于舞蹈技能执行犹豫的生活经验。研究根据纳入标准,通过目的性抽样技术选取了 14 名体育教师,并采用编码和主题分析法对数据进行了分析。研究结果揭示了参与者的经验,包括舞蹈示范困难、经历怀疑和不确定性、加强舞蹈基础、掌握舞蹈技巧、舞蹈教育基础薄弱、舞蹈的自信和积极性。反之,学员们采用了以下应对机制来克服所面临的挑战:利用网上教材、寻求他人帮助、通过多种策略培养舞蹈水平、在教学前掌握基本功、不断学习舞蹈技巧。此外,她们的经验还包括:提供有关舞蹈技能的专业发展、培养积极的心态和态度、培养自信和自尊、不断练习以提高熟练程度,以及通过研究进行学习。研究结果表明,支持体育教师克服舞蹈技能执行犹豫的整体方法应包括持续培训、心理支持和教学创新,以确保在高等教育中有效开展舞蹈教育。关键词:体育、体育教师、舞蹈技能、执行、犹豫、高等教育、北达沃省
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引用次数: 0
OVERVIEW OF PRESSURE ULCERS: PATHOPHYSIOLOGY, EPIDEMIOLOGY, RISK FACTORS, PRESENTATION AND TREATMENT 压疮概述:病理生理学、流行病学、风险因素、表现和治疗
Pub Date : 2024-05-06 DOI: 10.36713/epra16715
Bryam Esteban Coello García, Regiane Vita Maximiniano, Jessica Vanessa Sibri Lazo, Marcos Patricio Saguay Cabrera, Karla Lucia Jaramillo Carrasco, Francisco Javier Maldonado Rodríguez, Daniel Esteban Maldonado Barzallo, Gladys Fabiola Zamora Zamora, Cecibel Carolina Mogrovejo Zúñiga, Estefanny Dayana Villafuerte Ruiz
Introduction: Skin alterations or lesions called pressure ulcers (PUs) encompass localized areas of ischemia with subsequent tissue necrosis, which are generated by prolonged compression, shear or friction of soft tissues between bony prominences and the external surface.Objective: to detail current information related to pressure ulcers pathophysiology, epidemiology, risk factors, presentation and treatment.Methodology: a total of 24 articles were analyzed in this review, including review and original articles, as well as clinical cases, of which 17 bibliographies were used because the other articles were not relevant to this study. The sources of information were PubMed, Google Scholar and Cochrane; the terms used to search for information in Spanish, Portuguese and English were: pressure ulcers, skin lesions, decubitus ulcers.Results: The creation of pressure ulcers is multifactorial. The prevalence of pressure ulcers reported globally according to WHO is around 5 to 12%. Despite increased attention to prevention over the last 20 years, the prevalence of pressure ulcers has remained virtually unchanged, yet the related values of care continue to increase. Two-thirds of ulcers occur in people over 70 years of age.Conclusions: due to the high prevalence worldwide, especially in patients over 70 years of age, the recognition, presentation and pathophysiology of pressure ulcers should be clearly understood, with the aim of preventing their occurrence. Prevention consists of maintaining and improving tissue tolerance and adequate offloading. Both internal and external factors have to be evaluated because they play a major role in pressure ulcer formation. Special attention should be paid to epidemiological risk groups. Proper hydration, together with adequate nutrition are essential in the treatment of this condition, in addition to close monitoring and corresponding wound management.Key words: ulcers, pressure, lesions, skin, decubitus.
导言:皮肤改变或病变被称为压疮(PUs),包括局部缺血区域和随后的组织坏死,是由骨突和外表面之间的软组织受到长时间挤压、剪切或摩擦引起的。目的:详细介绍与压疮病理生理学、流行病学、风险因素、表现和治疗相关的最新信息。方法:本综述共分析了 24 篇文章,包括综述文章、原创文章以及临床病例,其中 17 篇参考文献被采用,因为其他文章与本研究无关。信息来源于PubMed、Google Scholar和Cochrane;西班牙文、葡萄牙文和英文的信息搜索关键词为:压疮、皮肤损伤、褥疮:结果:压疮的产生是多因素的。根据世界卫生组织的报告,全球压疮发病率约为 5%至 12%。尽管在过去 20 年里人们越来越重视预防工作,但压疮的发病率几乎没有变化,而相关的护理价值却在不断增加。三分之二的溃疡发生在 70 岁以上的老人身上。结论:由于压疮在全世界的发病率很高,尤其是在 70 岁以上的老人身上,因此应该清楚地了解压疮的识别、表现和病理生理学,以预防压疮的发生。预防措施包括保持和改善组织耐受性以及适当的卸载。必须对内部和外部因素进行评估,因为它们在压疮的形成中起着重要作用。应特别关注流行病学上的高危人群。除了密切监测和相应的伤口管理外,适当的水分补充和充足的营养也是治疗这种疾病的关键。
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引用次数: 0
THE LIVED EXPERIENCES OF GRADE HEAD TEACHERS AS EMPOWERED EDUCATIONAL LEADERS: AN INQUIRY 年级组长作为有权力的教育领导者的生活经验:一项调查
Pub Date : 2024-05-04 DOI: 10.36713/epra16678
April Rose B. Robles, Maria Lalaine P. Chieng
This qualitative-phenomenological study aimed to explore and understand the lived experiences of grade head teachers as educational leaders. This also elaborates on how these experiences empower them, as well as how do they cope with the challenges they encounter in the delivery of their duties as educational leaders. There were fourteen (14) participants who took part in this study selected through purposive sampling technique. Of these 14 participants, seven (7) grade head teachers underwent in-depth interview and the remaining seven (7) were grade head teachers underwent focused group discussion. The data gathered were analyzed through thematic analysis. The study was conducted in three (3) selected public secondary schools in Sto. Tomas East district, Division of Davao del Norte. Results revealed six (6) major themes on their experiences: creating best practices as an educational leader, difficulty with the additional workload, managing different roles, maintaining a supportive and conducive environment, providing technical support, and collaborating with stakeholders. To respond to the challenges encountered, participants revealed five (5) coping mechanisms: delegating tasks to colleagues, maintaining collaboration within the team, strategizing on achieving the goals, keeping an open and honest communication and engaging on professional development. Lastly, they have cited five (5) insights that can contribute to better implementation of distance learning modality. These includes: opportunity for personal growth, necessity to adjust to situations and people, provide relevant support to the school, help implement quality and effective education and prioritize self-care. These insights, extracted from participants reflections on their experiences and challenges, provide a holistic perspective on the multifaceted roles of grade head teachers and their key takeaways.KEYWORDS: Educational leaders, grade head teachers, quality of education, qualitative-phenomenological study, thematic analysis, Sto.Tomas East District, Division of Davao del Norte
这项定性-现象学研究旨在探索和了解年级主任作为教育领导者的生活经历。这也阐述了这些经验如何增强他们的能力,以及他们如何应对在履行教育领导职责时遇到的挑战。本研究通过有目的的抽样技术选出了十四(14)名参与者。在这 14 名参与者中,有七(7)名年级组长接受了深度访谈,其余七(7)名年级组长接受了重点小组讨论。收集到的数据通过专题分析法进行了分析。研究在北达沃省东圣托马斯区的三所公立中学进行。研究结果显示,他们的经验涉及六(6)大主题:作为教育领导者创造最佳实践、难以承受额外的工作量、管理不同的角色、维持有利的支持性环境、提供技术支持以及与利益相关者合作。为了应对所遇到的挑战,与会者透露了五(5)种应对机制:将任务委托给同事、保持团队内部的协作、制定实现目标的战略、保持开放和诚实的沟通以及参与专业发展。最后,他们还提出了五(5)个有助于更好地实施远程学习模式的见解。其中包括:个人成长的机会、适应环境和人的必要性、为学校提供相关支持、帮助实施优质和有效的教育以及优先考虑自我保健。这些见解摘自参与者对其经验和挑战的反思,为年级主任的多方面角色及其主要收获提供了一个全面的视角。 关键词:教育领导者、年级主任、教育质量、定性现象学研究、专题分析、北达沃省圣托马斯东区
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引用次数: 0
A TRACER STUDY ON THE SECONDARY EDUCATION MAJOR IN FILIPINO GRADUATES FROM ACADEMIC YEAR 2022 TO 2023: EMPLOYMENT IN FOCUS 2022 至 2023 学年菲律宾毕业生中等教育专业跟踪研究:就业焦点
Pub Date : 2024-05-03 DOI: 10.36713/epra16588
Marefe L. Silongan, Conie B. Cerna, Jennevive S. Manlawe, Deveyvon L. Espinosa, Kristy Jane R. Muegna, Jonelson C. Escandallo, Regine L. Generalao, Rowel A. Peñora
This tracer study was conducted to assess the employment rates and employability of graduates who completed the Bachelor of Secondary Education-Filipino program from the years 2022 to 2023 at a local college in Kapalong, Davao del Norte. Additionally, it aimed to identify the graduates attitudes towards work, evaluate the quality of education provided by the institution, and analyze the development of graduates skills and abilities. The study employed a descriptive research method, gathering data from 47 respondents through an online survey using Google Forms. Survey showed that the employment rate of secondary education- major in Filipino graduates was 72.3% of which 38.3% is working as teachers. Further, as to those whose work is non-teaching, 10.6% is working in call center agencies, 6.4% is working as office-based clerk, 4.3% are government employee, 2.1% as kitchen manager, 6.4% as sales associate, 2.1% as events manager, and another 2.1% as storekeeper. Then, 8.5% are regular employees, 6.4% are self-employed, 31.9% are full-time employees, 4.3% are on job order, 19.1% are working on contractual basis, and 2.1% is working on part-time but seeking full-time employment. Meanwhile, surveyed showed that there are only 10.6% who pursued further graduate studies. The level of attitude to work, quality education provisions of the institution as well as skills and abilities development obtained a very high descriptive rating which means that the secondary education- major in Filipino graduates always manifested the said behaviors. Results showed that secondary education- major in Filipino faces unemployment. Thus, it is advisable for the school to appoint a graduate employability coordinator. This individual would be tasked with tracking and overseeing graduates employment statuses, as well as organizing online forums to disseminate information regarding various job vacancies and opportunities available for application.
本跟踪研究旨在评估北达沃省卡帕龙市一所地方学院 2022 至 2023 年期间完成菲律宾中等教育学士学位课程的毕业生的就业率和就业能力。此外,研究还旨在确定毕业生对工作的态度,评估学校提供的教育质量,分析毕业生技能和能力的发展情况。研究采用了描述性研究方法,通过使用谷歌表格进行在线调查,收集了 47 名受访者的数据。调查显示,菲律宾中等教育专业毕业生的就业率为 72.3%,其中 38.3%从事教师工作。此外,非师范类毕业生中,10.6%在呼叫中心机构工作,6.4%担任办公室文员,4.3%为政府雇员,2.1%担任厨房经理,6.4%担任销售助理,2.1%担任活动经理,另有2.1%担任店员。此外,8.5% 为正式雇员,6.4% 为自营职业者,31.9% 为全职雇员,4.3% 为工作订单,19.1% 为合同工,2.1% 为兼职但寻求全职工作。同时,调查显示只有 10.6%的人继续攻读研究生课程。工作态度、学校提供的优质教育以及技能和能力发展水平获得了很高的描述性评分,这 意味着菲律宾中等教育专业毕业生总是表现出上述行为。结果显示,菲律宾中等教育专业面临失业问题。因此,学校最好任命一名毕业生就业能力协调员。此人将负责跟踪和监督毕业生的就业状况,并组织在线论坛,传播有关各种职位空缺和申请机会的信息。
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引用次数: 1
LIVED EXPERIENCES OF RECEIVING TEACHERS IN HANDLING BEHAVIORAL ISSUES OF STUDENTS WITH SPECIAL NEEDS 接收教师处理有特殊需要学生行为问题的生活经验
Pub Date : 2024-05-03 DOI: 10.36713/epra16635
Zahra Jane E. Rafailes, Elaiah C. Marikit
This qualitative phenomenological study provides a comprehensive exploration of the challenges, strategies; coping mechanisms, and insights experienced by receiving teachers in addressing behavioral issues among students with special needs in inclusive education settings. Through in-depth focus group discussions with five receiving teachers from Island Garden City of Samal, Davao Del Norte, the study exposes the real struggle and complexities of managing diverse behavioral concerns. The thematic analysis uncovers the intricate web of both academic obstacles and behavioral manifestations, prompting the development and implementation of tailored strategies, including individualized behavior plans and collaborative problem-solving approaches. Moreover, the study highlights the vital role of coping mechanisms, such as seeking support from colleagues and prioritizing self-care practices amidst the demanding educational landscape. The insights gleaned from teachers lived experiences underscore the transformative potential of empathy, adaptability, and inclusive teaching methodologies. Ultimately, the research advocates for targeted professional development initiatives and collaborative support networks to empower receiving teachers to effectively navigate the unique challenges presented by students with special needs, especially students with behavioral issues. By promoting inclusive and supportive learning environments, this study contributes significantly to the enhancement of special education practices and resources.KEYWORDS: Special Education, Behavioral Issues, Receiving teachers, research, teaching, Inclusive Education, and special education practices.
这项定性现象学研究全面探讨了在全纳教育环境中,接收教师在处理有特殊需要学生的行为问题时所遇到的挑战、策略、应对机制和见解。通过与来自北达沃萨马尔岛花园城的五位接收教师进行深入的焦点小组讨论,本研究揭示了在处理各种行为问题时的实际困难和复杂性。专题分析揭示了学业障碍和行为表现之间错综复杂的关系,促使制定和实施有针对性的策略,包括个性化行为计划和合作解决问题的方法。此外,本研究还强调了应对机制的重要作用,如在严苛的教育环境中寻求同事的支持和优先考虑自我保健措施。从教师生活经历中获得的启示强调了同理心、适应能力和全纳教学方法的变革潜力。最终,研究提倡有针对性的专业发展计划和协作支持网络,以增强接收教师的能力,有效地应对有特殊需要的学生,尤其是有行为问题的学生所带来的独特挑战。通过促进全纳和支持性的学习环境,本研究对特殊教育实践和资源的提升做出了重大贡献。关键词:特殊教育、行为问题、接收教师、研究、教学、全纳教育和特殊教育实践。
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引用次数: 0
CLINICAL CASE, RESECTION OF BONE METASTASIS IN THE OLECRANON, AFTER EXCISION OF RENAL CARCINOMA OF PRIMARY ORIGIN 临床病例:原发性肾癌切除术后的骨转移瘤切除手术
Pub Date : 2024-05-03 DOI: 10.36713/epra16676
Bryam Esteban Coello García, Galo Fernando Tulcanaza Ochoa, Sebastián Cardoso Gives, María José Sacoto Carrión, Leonardo Esteban Martínez Calderón, Gabriela Johanna Campoverde Mogrovejo, Diana Lorena Pedrosa Astudillo, Holger Xavier Rojas Espinoza, Maricarmen Vélez Chimbo, Carolina De Los Angeles Nuñez Galarza
Introduction: Bone is a common site of metastasis, after cancer has spread to the bone, it can rarely be cured, however it can often be treated to stop its proliferation. Bone metastasis is much more common than primary bone cancers, particularly in adults.Objective: to describe the present clinical case objectively and to make an analysis of the subject.Methodology: an objective description of the clinical case and a review with analysis of a total of 17 articles, including review and original articles, as well as clinical cases, of which 12 bibliographies were used because the other articles were not relevant for this study. The sources of information were PubMed, Google Scholar and Cochrane; the terms used to search for information in Spanish, Portuguese and English were: bone metastasis, bone tumor, oncologic surgery, renal carcinoma.Results: renal cell carcinoma represents about 2-3% of malignant neoplasms in adult individuals. Most of the cases occur between 50-70 years of age. One third of the tumors metastasize (synchronous metastases) and another third manifest themselves in the future (metachronous metastases), even up to 20 years after nephrectomy. In order of manifestation, the most common findings in renal cell carcinoma are: hematuria (59%), pain (41%), fever (7%), anemia (21%) and weight loss (33%). In order of involvement, renal cell carcinoma metastasizes to the lung (60%), bone (20%), liver (8%), adrenal glands and brain (5%), and other organs can also be affected.Conclusions: Bone is a common site of metastasis, being called metastasis the capacity of a tumor cell to move from the primary tumor and adhere to tissues of a distant organ by hematogenous, lymphatic or contiguous route. After the cancer has spread to the bones, it can rarely be cured, although it can often be treated to stop its proliferation. Bone metastases are now much more common than primary bone cancers, particularly in adults. The clinical management of metastatic bone disease in renal cell carcinoma deserves more attention than it has been given so far. A multidisciplinary approach is required for the management of affected individuals with bone metastases, and each patients case must be individualized, since not all affected individuals can undergo the same surgical procedure or treatment.Key words: metastasis, cancer, bone, tumor, renal carcinoma.
简介骨是癌症转移的常见部位,癌症扩散到骨骼后,很少能治愈,但通常可以通过治疗阻止其扩散。骨转移比原发性骨癌要常见得多,尤其是在成人中。目的:客观描述本临床病例,并对该课题进行分析。方法:对临床病例进行客观描述,并对总共 17 篇文章(包括综述和原创文章以及临床病例)进行回顾分析,其中 12 篇参考文献被采用,因为其他文章与本研究无关。信息来源于PubMed、Google Scholar和Cochrane;搜索西班牙文、葡萄牙文和英文信息时使用的术语为:骨转移、骨肿瘤、肿瘤外科、肾癌。结果:肾细胞癌约占成人恶性肿瘤的2-3%。大多数病例发生在 50-70 岁之间。三分之一的肿瘤会发生转移(同步转移),另外三分之一的肿瘤会在未来出现转移(远期转移),甚至会在肾切除术后 20 年出现转移。肾细胞癌最常见的表现依次为:血尿(59%)、疼痛(41%)、发热(7%)、贫血(21%)和体重减轻(33%)。肾细胞癌的转移部位依次为肺(60%)、骨(20%)、肝(8%)、肾上腺和脑(5%),其他器官也可能受累:骨是常见的转移部位,所谓转移是指肿瘤细胞从原发肿瘤通过血行、淋巴或毗连途径转移到远处器官组织的能力。癌症扩散到骨骼后,虽然可以通过治疗阻止其扩散,但很少能治愈。目前,骨转移比原发性骨癌更为常见,尤其是在成年人中。肾细胞癌转移性骨病的临床治疗值得给予更多关注。在治疗骨转移患者时,需要采用多学科方法,而且每个患者的情况必须个体化,因为并非所有患者都能接受相同的手术或治疗。
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引用次数: 0
A REVIEW ON ROLE OF TRIDOSHA IN HEALTH AND DISEASES 三阴交在健康和疾病中的作用综述
Pub Date : 2024-05-03 DOI: 10.36713/epra16659
Dr. Basavanthrao patil, Dr. Shashikala. K
Healthy and unhealthy state of a human being depends on normal and abnormal functional state of Tridosha, considering the physiological importance of Dosha in maintenance of homeostasis of the body. Tridosha have been called as root (Dosha Dhatu Mala Moolam hi Shariram) of the body. All the functions of the body could be explained in terms of Dosha, Dhatu, and Mala. Panchamahabhuta are chief controllers of universe. By Loka purusha saamyavaada existence of entities in universe and living body is similar. Hence controllers in human body must also be Panchabhoutika. Since Dosha are functional representatives of Panchamahabhuta, they are controllers of body functions. They are structurally Panchabhoutika in nature. Synthesis of Dosha is brought about in two stages. Those synthesized in unicellular zygote and impress every cell after differentiation are Prakruta Dosha, which are decisive factors for body characteristics. Those synthesized from food material which control routine body metabolism are called Vaikrata Dosha, which are decisive factors for homeostasis. Both stages are observed in intra uterine as well as extra uterine life. Both these kinds of Dosha work in synergism to carry out all bodily functions. Vatadosha is divided into five types and These types are according to function, chief location etc. Similarly, Pitta as well as Kaphadosha are also divided into five types. Within limits Doshas are maintaining living body, as they maintain homeostasis. Doshas are only and direct responsible factors for genesis of diseases. Even though there are exogenous and endogenous etiological factors in pathogenesis, Ayurveda suggests that any cause leads to vitiation of Dosha in the first place and then next events start for generation of diseases. Doshas control other two entities namely Dhatu and Mala.Aim & Objectives: Observing the role of Doshas in health and disease conditions Materials and Methods: All the classical texts of Ayurveda with available commentaries, published research papers, PUB med, Google scholar, research Gate, subject related data on Internet and other sources were reviewed for the present study Results and Conclusion: The Doshas having the primary role in maintaining health and any disturbance in Doshas will causes diseaseKEY WORDS: Doshas, Ahara, vihara, Vikruti, vyadhi
人的健康和不健康状态取决于 "三系 "功能的正常和异常状态,因为 "三系 "在维持身体平衡方面具有重要的生理作用。三系被称为人体之根(Dosha Dhatu Mala Moolam hi Shariram)。人体的所有功能都可以用 Dosha、Dhatu 和 Mala 来解释。Panchamahabhuta 是宇宙的主要控制者。根据 "Loka purusha saamyavaada",宇宙中存在的实体与生命体相似。因此,人体的控制者也必须是 "潘查马哈布塔"。由于 Dosha 是 Panchamahabhuta 的功能代表,它们是身体功能的控制者。从结构上来说,它们本质上是 Panchabhoutika。Dosha 的合成分为两个阶段。在单细胞胚胎中合成的 Dosha 和分化后给每个细胞留下深刻印象的 Dosha 是 Prakruta Dosha,它们是身体特征的决定性因素。从食物中合成的、控制身体常规新陈代谢的物质称为 Vaikrata Dosha,是维持体内平衡的决定性因素。这两个阶段在子宫内和子宫外都能观察到。这两种 Dosha 相互协作,共同完成身体的所有功能。Vatadosha分为五种类型,这些类型是根据功能、主要位置等划分的。同样,Pitta 和 Kaphadosha 也分为五种。在一定范围内,"多沙 "维持着人体的平衡。多沙是导致疾病的唯一直接因素。尽管在致病过程中存在外源性和内源性病因,但阿育吠陀认为,任何病因都会首先导致 "多沙"(Dosha)失衡,然后才会引发疾病。Doshas控制其他两个实体,即Dhatu和Mala:材料与方法:本研究查阅了阿育吠陀的所有经典文献以及现有注释、已发表的研究论文、PUB med、谷歌学术、研究门、互联网上与主题相关的数据和其他来源:关键词:Doshas、Ahara、vihara、Vikruti、vyadhi
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EPRA International Journal of Multidisciplinary Research (IJMR)
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