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Articles 255961 - 255990 of 5149878
Full-Text Articles in Entire DC Network
Bringing Self-Determination Theory To The Forefront: Examining How Human Resource Practices Motivate Employees Of All Ages To Succeed, Rick A. Laguerre, Janet L. Barnes-Farrell
Bringing Self-Determination Theory To The Forefront: Examining How Human Resource Practices Motivate Employees Of All Ages To Succeed, Rick A. Laguerre, Janet L. Barnes-Farrell
Management Faculty Research and Publications
Self-determination theory (SDT) is widely used in human resource (HR) practice studies to explain how HR practices impact work outcomes. However, there is little empirical evidence establishing the complete SDT mediational process in the HR domain, which entails basic psychological needs and motivation acting as mediators of relations between HR practices and work outcomes. The present study addresses this issue with a mixed methods approach. Using an item classification task with subject matter experts (N = 48), HR practices were classified as autonomy-, competence-, and relatedness-supportive. Based on this scheme, we tested an SDT-based conceptual model in a three-wave …
Weatherford: Undergraduate Catalog 2025-2026, Southwestern Oklahoma State University
Weatherford: Undergraduate Catalog 2025-2026, Southwestern Oklahoma State University
Undergraduate Catalogs
No abstract provided.
Balancing Risk And Reward: Health Insurance And The Financial Stability Of Female Entrepreneurs With Children, Leeanne Lowe Aguilar
Balancing Risk And Reward: Health Insurance And The Financial Stability Of Female Entrepreneurs With Children, Leeanne Lowe Aguilar
Electronic Theses and Dissertations
This study examines the specific influence of health insurance on female entrepreneurs with children, a demographic that has been underexplored in existing research on health insurance and entrepreneurship. The aim is to evaluate whether access to health insurance significantly affects these entrepreneurs' business decisions, financial stability, and overall well-being.
Grounded in job-lock theory and evidence of the gender gap, the research hypothesizes that health insurance enhances entrepreneurial performance, particularly benefiting women with children. It anticipates that female entrepreneurs will encounter more significant challenges than their male counterparts and that those with children may face additional performance barriers, especially when lacking …
Conversion Of Orange Waste To Chemically Modified Activated Carbon Adsorbent Materials For Aqueous Phase Phosphate Removal, Sierra Mugan
Conversion Of Orange Waste To Chemically Modified Activated Carbon Adsorbent Materials For Aqueous Phase Phosphate Removal, Sierra Mugan
Electronic Theses and Dissertations
Phosphorus pollution in surface waters drives harmful algal blooms, creating ecological, public health, and economic risks. This study examined citrus processing waste as a sustainable, low-cost precursor for producing chemically modified adsorbents for phosphorus removal. Orange waste was pyrolyzed, resulting in a carbon-rich material with low ash content, as confirmed by thermogravimetric analysis. The material was modified using lanthanum chloride, iron (III) chloride, and calcium chloride at varying mass ratios and screened under standard conditions (1 mg P/L, 1 g/L dosage, 24-hour contact time). Lanthanum- and iron-modified samples demonstrated the best removal efficiencies and underwent further evaluation. The lanthanum-modified sample …
A Unified, Data-Informed Model For Shoreline Evolution Due To Longshore And Cross-Shore Processes, Mark Davidson, Emily Hunt, Nieves Valiente
A Unified, Data-Informed Model For Shoreline Evolution Due To Longshore And Cross-Shore Processes, Mark Davidson, Emily Hunt, Nieves Valiente
School of Biological and Marine Sciences
Due partially to a changing global climate, there is an increasing need to develop a modelling approach capable of providing warnings of coastal evolution, including erosion at storm, interannual and decadal timescales and in complex coastal settings. This research presents a reduced complexity model with a common approach to predicting shoreline change due to cross-shore and longshore processes. The model architecture is designed to be flexible and data-informed, incorporating an Extended Kalman (eKF) for the assimilation of field measurements of shoreline change. Depending on the values of the optimised model free parameters resulting from the eKF assimilation, the longshore and …
The Effect Of Exercise Training On Blood Lipids: A Systematic Review And Meta-Analysis, Neil A. Smart, David Downes, Tom Van Der Touw, Swastika Hada, Gudrun Dieberg, Melissa J. Pearson, Mitchell Wolden, Nicola King, Stephen P.J. Goodman
The Effect Of Exercise Training On Blood Lipids: A Systematic Review And Meta-Analysis, Neil A. Smart, David Downes, Tom Van Der Touw, Swastika Hada, Gudrun Dieberg, Melissa J. Pearson, Mitchell Wolden, Nicola King, Stephen P.J. Goodman
School of Biomedical Sciences
Background: Dyslipidemia is a primary risk factor for cardiovascular disease (CVD). Exercise training (EXTr) improves some lipid markers but not others; the literature is dated and analyses may be underpowered. Objectives: To clarify which lipid markers are altered with ExTr and establish if information size had yet reached futility. Methods: We conducted a systematic review/meta-analysis, with meta-regression, to establish expected effect size in lipid profile with aerobic (AT), resistance (RT) and combined (CT = AT + RT) ExTr. We conducted trial sequence analysis (TSA) to control for type I and II error and establish if information size had reached futility. …
From Recognition To Action: Surf-Driven Governance In The Manly And Freshwater World Surfing Reserve, Kizzy Beaumont, Joao Castro
From Recognition To Action: Surf-Driven Governance In The Manly And Freshwater World Surfing Reserve, Kizzy Beaumont, Joao Castro
School of Art, Design and Architecture
Executive summary This report presents findings from a focus group with members of the Manly and Freshwater World Surfing Reserve (WSR) Local Stewardship Council. Participants reflected on changes over the past decade and imagined future pathways for the WSR. Discussions revealed a strong sense of community pride and renewed momentum following the WSR’s relaunch, which has reconnected previously fragmented grassroots efforts.Key challenges identified included surf crowding, political inertia, water pollution, and a lack of formal governance mechanisms. While engagement with the local Council has improved, participants stressed the need for more consistent follow-through, youth inclusion, and funding security. Concerns were …
Balancing Nature And Tradition: Ocean Governance In The Noosa World Surfing Reserve, Kizzy Beaumont, Kirra Molnar, Michael Court
Balancing Nature And Tradition: Ocean Governance In The Noosa World Surfing Reserve, Kizzy Beaumont, Kirra Molnar, Michael Court
School of Art, Design and Architecture
Executive summary This report captures insights from focus groups and interviews held in Noosa in September 2024 as part of ongoing research into Transformative Ocean Governance. Participants shared reflections on the successes and struggles of the Noosa World Surfing Reserve (WSR) and outlined visions for its future.The WSR was praised for its cultural importance, environmental values, and grassroots leadership, but concerns were raised about crowding, tourism pressure, outdated policies, and fragmented governance. Participants highlighted gaps in environmental and surf-amenity data, funding shortages, and limited capacity to engage diverse community voices. Governance overlaps between the WSR, Council, and Biosphere Reserve have …
Community, Culture, And Capacity: Transformative Governance In The Gold Coast World Surfing Reserve, Kizzy Beaumont, Andrew Mckinnon, Scott Gillies
Community, Culture, And Capacity: Transformative Governance In The Gold Coast World Surfing Reserve, Kizzy Beaumont, Andrew Mckinnon, Scott Gillies
School of Art, Design and Architecture
Executive summary This report presents findings from interviews and a focus group held in September 2024 with stakeholders involved in the Gold Coast World Surfing Reserve (WSR). Participants shared perspectives on the evolution of the WSR, its governance structures, and its role in balancing surf culture, community needs, and environmental sustainability on one of Australia’s most urbanised coastlines.Participants praised the WSR Stewardship Committee, Council leadership, and strong data partnerships with universities. However, concerns were raised about increasing surf congestion, tourism pressure, development impacts, and the lack of formal legal protections for surf zones. The region’s surf culture was described as …
A Self-Sustaining Autonomous System For Long-Term Arctic Monitoring, Wenqiang Xu
A Self-Sustaining Autonomous System For Long-Term Arctic Monitoring, Wenqiang Xu
Electronic Theses and Dissertations
The accelerated melting of Arctic sea ice poses critical challenges to global climate stability, marine ecosystems, and navigation safety. To address the need for continuous, high-resolution monitoring of the Arctic environment, this dissertation explores the development and feasibility of a Self-sustaining Autonomous System (SAS) for long-term Arctic observation. The proposed system is designed to overcome the limitations of traditional fixed or drifting buoys, as well as the range and endurance constraints of drones and Autonomous Underwater Vehicle (AUV)s, by utilizing a Small Waterplane Area Twin Hull (SWATH) Unmanned Surface Vehicle (USV) as a core observation platform. The wind-powered SWATH harnesses …
Naming Abilities In Aging Monolinguals And Bilinguals: Longitudinal Analyses Of The Multilingual Naming Test, Kyara Y. Velez
Naming Abilities In Aging Monolinguals And Bilinguals: Longitudinal Analyses Of The Multilingual Naming Test, Kyara Y. Velez
Electronic Theses and Dissertations
Individuals who can speak more than one language may score lower than monolinguals on verbal naming tasks. The Multilingual Naming Task (MINT) is a 32-item assessment that is used at the Alzheimer’s Disease Research Center in the USA. This study looks at the impact of monolingualism and bilingualism on language abilities over three years in three clinical groups (cognitively normal, mild cognitive impairment, and dementia), using the MINT as a measure. The results show that bilingual individuals perform worse on the MINT than monolinguals at each time point, after controlling for demographic factors; however, there is no difference between language …
Ethnozoological Insights For Wildlife Conservation: Exploring Past & Present Uses Of Wild Animals Among Kenya’S Ethnic Groups, Anita Zahra Field
Ethnozoological Insights For Wildlife Conservation: Exploring Past & Present Uses Of Wild Animals Among Kenya’S Ethnic Groups, Anita Zahra Field
Electronic Theses and Dissertations
Kenya’s conservation efforts lack adequate involvement of local communities, who play a vital role as people who use the natural resources. These communities also have limited access to, and benefits from, these resources, highlighting the need for greater inclusivity. Therefore, I used ethnographic interviews to elicit relational values that can potentially increase understanding between all stakeholders. My objective was to explore the historical and contemporary uses of wild animals among diverse ethnic groups, examining any changes over time and identifying the catalysts driving these shifts. I interviewed 30 individuals from 10 ethnic groups in Laikipia, Samburu, Marsabit, and Kwale counties, …
Graduate Catalog 2025-2026, Southwestern Oklahoma State University
Graduate Catalog 2025-2026, Southwestern Oklahoma State University
Graduate Catalogs
No abstract provided.
Protocol For Development And Validation Of An Early Intervention Device And Its Influence Using Structured Early Physiotherapy (Preemiestep) Intervention On Neuromotor Development In Preterm Infants, Indira D. B. Naidu Boddapati, Sivakumar Gopalakrishnan, Sonia Khurana, Jayashree Purkayastha, Bhaskar Bhatt, Bhamini Krishna Rao
Protocol For Development And Validation Of An Early Intervention Device And Its Influence Using Structured Early Physiotherapy (Preemiestep) Intervention On Neuromotor Development In Preterm Infants, Indira D. B. Naidu Boddapati, Sivakumar Gopalakrishnan, Sonia Khurana, Jayashree Purkayastha, Bhaskar Bhatt, Bhamini Krishna Rao
Rehabilitation Sciences Faculty Publications
Early physiotherapy interventions for Moderate to Late Preterm (MLP) infants often lack continuity of care from hospital to home settings. This research aims to develop an Early Intervention (EI) device for home program and determine its influence using STructured Early Physiotherapy (Preemie STEP) intervention in MLP infants. For phase I, qualitative interviews will be conducted with healthcare professionals and parents, to understand user needs on developed prototype. Based on identified needs, an EI device will be developed using a human-centered design approach and iterative design process. In phase II, usability and validity of EI device will be …
Patient-Reported Outcomes, Postoperative Pain And Pain Relief After Day Case Surgery (Poppy): Methodology For A Prospective, Multicentre Observational Study*, William M. Hare, Martha Belete, Adam B. Brayne, Harriet Daykin, Matthew Everson, Anna Ratcliffe, Katie Samuel, Lexy Sorrell, Mark Rockett
Patient-Reported Outcomes, Postoperative Pain And Pain Relief After Day Case Surgery (Poppy): Methodology For A Prospective, Multicentre Observational Study*, William M. Hare, Martha Belete, Adam B. Brayne, Harriet Daykin, Matthew Everson, Anna Ratcliffe, Katie Samuel, Lexy Sorrell, Mark Rockett
Peninsula Medical School
Background: In the UK, approximately 70% of surgical procedures are undertaken as day-cases. Little information exists about recovery from day-case surgery, yet international data highlights patients are at risk of developing significant longer-term health problems including chronic post-surgical pain and persistent postoperative opioid use. The Patient-reported Outcomes, Postoperative Pain and pain relief after daY case surgery (POPPY) study was a national prospective multicentre observational study, measuring short- and longer-term patient-reported outcomes, postoperative pain and pain relief after day-case surgery. Methods: This was a collaborative project led by resident anaesthetists under the Research and Audit Federation of Trainees umbrella. Adult day-case …
The Wind In The Willows Effect: Does Age Affect Human Versus Animal Faux Pas Recognition?, Gray Atherton, Lucy Robinson, Lucie Guy-Smith, Liam Cross
The Wind In The Willows Effect: Does Age Affect Human Versus Animal Faux Pas Recognition?, Gray Atherton, Lucy Robinson, Lucie Guy-Smith, Liam Cross
School of Psychology
Children’s literature is rife with anthropomorphic or non-human characters that may be used as a scaffold to teach children about theory of mind (ToM) or the ways in which people think or feel about the social world. In this study, 107 typically developing U.K. school children in Years 1, 3, and 5 (5–10 years of age) completed a human and anthropomorphic ToM test that tested their understanding of faux pas. Specifically, children from these three age groups were given a human version of 20 faux pas stories and an identical animal version of the same stories 1 week apart (with …
Mapping Cognition Across Lab And Daily Life Using Experience-Sampling, Louis Chitiz, Bronte Mckeown, Bridget Mulholland, Raven Star Wallace, Ian Goodall-Halliwell, Nerissa Siu Ping Ho, Delali Konu, Giulia Poerio, Jeffrey D. Wammes, Michael Milham, Arno Klein, Beth Jefferies, Robert Leech, Jonathan Smallwood
Mapping Cognition Across Lab And Daily Life Using Experience-Sampling, Louis Chitiz, Bronte Mckeown, Bridget Mulholland, Raven Star Wallace, Ian Goodall-Halliwell, Nerissa Siu Ping Ho, Delali Konu, Giulia Poerio, Jeffrey D. Wammes, Michael Milham, Arno Klein, Beth Jefferies, Robert Leech, Jonathan Smallwood
School of Psychology
The goal of psychological research is to understand behaviour in daily life. Although lab studies provide the control necessary to identify cognitive mechanisms behind behaviour, how these controlled situations generalise to activities in daily life remains unclear. Experience-sampling provides useful descriptions of cognition in the lab and real world and the current study examined how thought patterns generated by multidimensional experience-sampling (mDES) generalise across both contexts. We combined data from five published studies to generate a common ‘thought-space’ using data from the lab and daily life. This space represented data from both lab and daily life in an unbiased manner …
What Can Conjuring Tell Us About Cognition? The Future Of The Science Of Magic, Geoff G. Cole, Gustav Kuhn
What Can Conjuring Tell Us About Cognition? The Future Of The Science Of Magic, Geoff G. Cole, Gustav Kuhn
School of Psychology
During the past 20 years a number of articles have appeared within a field that has become known as the “science of magic.” This subdiscipline of psychology posits that the ancient art of conjuring can be used to develop psychological theories and knowledge, and more than 150 peer-reviewed articles have now been published. In the current article, we critically evaluate what can be considered as the three central tenets of the discipline: that the methods used in magic can be incorporated within experimental research, that magicians have particular insight into human cognition and behavior, and that the deconstruction of magic …
Nature Contact And Health Risk Behaviours: Results From An 18 Country Study, Leanne Martin, Mathew P. White, Sabine Pahl, Jon May
Nature Contact And Health Risk Behaviours: Results From An 18 Country Study, Leanne Martin, Mathew P. White, Sabine Pahl, Jon May
School of Psychology
Emerging evidence suggests that residential greenspace is associated with a lower prevalence of health risk behaviours, but it remains unclear whether these effects are generalizable across countries or different types of nature contact. Using representative cross-sectional samples from 18 countries/regions, we examined the associations between two types of nature contact (greenspace, nature visits), current smoking and everyday drinking. After controlling for a range of covariates, greenspace was inversely associated with current smoking and everyday drinking. Visiting natural spaces at least once a week was linked to a lower prevalence of current smoking, but unrelated to everyday drinking. Increasing residential greenspace …
Tolerance Of Ambiguity And Psychological Wellbeing In Newly Qualified Doctors: An Analysis Over Multiple Time Points, Tom Gale
Peninsula Medical School
Introduction: There is evidence of an association between tolerance of ambiguity and psychological wellbeing in doctors, but this relationship is not well understood. We explored this relationship, and the individual or workplace factors moderating it, in a population of newly qualified doctors. Methods: We examined the experiences of newly qualified doctors in the UK as they started a novel interim role (Time 1) and later moved into foundation year 1 roles (Times 2 and 3) during the COVID-19 pandemic. Doctors completed the Tolerance of Ambiguity of Medical Students and Doctors scale (TAMSAD Range: 0–100), the Perceived Stress Scale (PSS: 0–40), …
Patterns Of Intra-Cluster Correlation Coefficients In School-Based Cluster Randomised Controlled Trials Of Interventions For Improving Social-Emotional Functioning Outcomes In Pupils: A Secondary Data Analysis Of Five Uk-Based Studies, Kitty Parker, Michael Nunns, Zhi Min Xiao, Tamsin Ford, Paul Stallard, Willem Kuyken, Nick Axford, Obioha C. Ukoumunne
Patterns Of Intra-Cluster Correlation Coefficients In School-Based Cluster Randomised Controlled Trials Of Interventions For Improving Social-Emotional Functioning Outcomes In Pupils: A Secondary Data Analysis Of Five Uk-Based Studies, Kitty Parker, Michael Nunns, Zhi Min Xiao, Tamsin Ford, Paul Stallard, Willem Kuyken, Nick Axford, Obioha C. Ukoumunne
Peninsula Medical School
Background: The cluster randomised trial (CRT) design is increasingly used to evaluate the impact of school-based interventions for improving social-emotional functioning outcomes in pupils. Good knowledge is required on plausible values of the intra-cluster correlation coefficient (ICC) of the outcome to calculate the required sample size in such studies. Using data from five school-based CRTs in the UK, we estimate, and describe patterns in, ICCs for social-emotional functioning outcomes. Methods: Mixed effects linear regression models were fitted to estimate the ICC and variance components. Estimates for baseline data were obtained by fitting “null” models that had no predictor variables; estimates …
Epidemiology Of Thrombotic Thrombocytopenia Syndrome 2011 To 2022: English Sentinel Network Cohort Studies, José M. Ordóñez-Mena, Debasish Kar, Xuejuan Fan, Filipa Ferreira, Sneha N. Anand, Deborah Layton, David Clifton, Mark Joy, Anshul Thakur, Anu Alessi, Andrew Lee, Lisa Mather, Simon De Lusignan
Epidemiology Of Thrombotic Thrombocytopenia Syndrome 2011 To 2022: English Sentinel Network Cohort Studies, José M. Ordóñez-Mena, Debasish Kar, Xuejuan Fan, Filipa Ferreira, Sneha N. Anand, Deborah Layton, David Clifton, Mark Joy, Anshul Thakur, Anu Alessi, Andrew Lee, Lisa Mather, Simon De Lusignan
Peninsula Medical School
Background and Objective: Thrombotic thrombocytopenia syndrome (TTS) is a rare condition following vaccination with adenovirus-vectored coronavirus disease 2019 (COVID-19) vaccines. This retrospective analysis of England primary care data aimed to estimate TTS event rates before, during, and after the COVID-19 pandemic, and following AZD1222 (ChAdOx1-nCoV-19) vaccination. Methods: Primary care data on TTS events were collected using the Oxford-Royal College of General Practitioners Research and Surveillance Centre sentinel network. TTS events were defined as thromboembolism with coincident (± 7 days) thrombocytopenia events using Systematized Nomenclature of Medicine clinical terms (the current Brighton Collaboration definition could not be used in the study …
From Hospital Discharge To Long-Term Care: Unmet Rehabilitation Needs In Cauda Equina Syndrome Patients From A National Uk Cohort, Uces Collaborators, British Neurosurgical Trainee Research Collaborative, Holly Roy, Krithika Anil, Jack Read, Marcus J. Drake, Ingrid Hoeritzauer, Julie Woodfield
From Hospital Discharge To Long-Term Care: Unmet Rehabilitation Needs In Cauda Equina Syndrome Patients From A National Uk Cohort, Uces Collaborators, British Neurosurgical Trainee Research Collaborative, Holly Roy, Krithika Anil, Jack Read, Marcus J. Drake, Ingrid Hoeritzauer, Julie Woodfield
Peninsula Medical School
Objectives: Although long term disability may be a consequence of cauda equina syndrome (CES), the evidence base for the effect of rehabilitation or different rehabilitation strategies is lacking. Our aim was to understand long term neurological deficits (understood as rehabilitation needs) and current rehabilitation provision for patients with CES. Methods: We retrospectively analysed data from a large UK wide cohort of CES patients presenting between 1st June 2018 and 31st May 2019. Rehabilitation referrals and attendance were described, and symptoms at discharge and one year were identified as potential targets for rehabilitation. Results: Physiotherapy was the most common inpatient rehabilitation …
Functional Outcome Of Radial Head Replacement And Lateral Ulnar Collateral Ligament (Lucl) Repair In Terrible Triad Injuries Of The Elbow: Can Associated Type I Coronoid Fractures Be Neglected?, Ansarul Haq Lone, Azad Ahmad Shah, Nadeem Ali, Imtiyaz Hussain Dar
Functional Outcome Of Radial Head Replacement And Lateral Ulnar Collateral Ligament (Lucl) Repair In Terrible Triad Injuries Of The Elbow: Can Associated Type I Coronoid Fractures Be Neglected?, Ansarul Haq Lone, Azad Ahmad Shah, Nadeem Ali, Imtiyaz Hussain Dar
Digital Journal of Clinical Medicine
Introduction: Type III coronoid fractures associated with terrible triad injuries of the elbow joint should always be stabilized. However, management of type I and type II fractures is debatable. In this study, we evaluate the functional outcome of neglecting type I coronoid fractures associated with terrible triad injury.
Methods: This prospective study was conducted on 20 patients with a type I coronoid fracture in terrible triad fracture dislocations of the elbow. All the patients were managed by radial head replacement and repair of the lateral collateral ligament without any fixation of the coronoid fracture. All the patients were evaluated clinically …
Adult Attention Deficit Hyperactivity Disorder: A Case Report, Anju Abraham, Kishor M, Bhawna Sharma
Adult Attention Deficit Hyperactivity Disorder: A Case Report, Anju Abraham, Kishor M, Bhawna Sharma
Digital Journal of Clinical Medicine
Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder that manifests in both childhood and adulthood. It is characterized by core symptoms such as inattention, hyperactivity and impulsiveness and impairment persisting into adulthood. Adult ADHD often coexists with other disorders including mood disorders, anxiety disorders, and substance use disorders, which complicate its diagnosis. Adults with ADHD may struggle with difficulties in focusing, organization, planning and impulsivity making it hard to sit still during exams or complete tasks efficiently. Restlessness, verbal outbursts and intrusiveness can strain relationships. These challenges impact academics, interpersonal relationships and daily functioning. Thus, there is a need …
Havana Syndrome: A Scientific Review Of An Unresolved Medical Mystery, Aishik Dutta
Havana Syndrome: A Scientific Review Of An Unresolved Medical Mystery, Aishik Dutta
Digital Journal of Clinical Medicine
Background
Since 2016, U.S. and Canadian officials have reported Anomalous Health Incidents (AHIs), or "Havana Syndrome," characterised by a strange sensory experience followed by chronic neurological, cognitive, and vestibular issues. The cause is intensely debated, with primary hypotheses pointing to either psychosocial factors or a directed-energy weapon, creating a significant medical and geopolitical puzzle.
Methods
This review critically assesses the current evidence by analysing peer-reviewed clinical studies and major institutional reports.
Results
The findings are deeply contradictory. A 2020 NASEM report identified directed, pulsed radiofrequency energy as the most plausible mechanism for a core set of symptoms. Conversely, comprehensive 2024 …
Whipple’S Procedure Under Combined Segmental Spinal And Epidural Anesthesia With Enhanced Recovery: A Case Report, Abhirami Ravindran, Imran Ahmed Khan, Naresh Wamanrao Paliwal
Whipple’S Procedure Under Combined Segmental Spinal And Epidural Anesthesia With Enhanced Recovery: A Case Report, Abhirami Ravindran, Imran Ahmed Khan, Naresh Wamanrao Paliwal
Digital Journal of Clinical Medicine
The Whipple’s procedure (pancreaticoduodenectomy), is a complex surgery performed for various indications, usually under general anesthesia (GA). However, GA carries a significant perioperative risk, especially in patients with comorbidities. Combined segmental spinal and epidural anesthesia (CSSE) with low doses of local anesthetics and adjuvants may be a feasible alternative owing to hemodynamic stability, potentially reducing complications and promoting enhanced recovery.
We present a 43-year-old male with periampullary adenoma with high-grade dysplasia who underwent a Whipple’s procedure under CSSE due to high-risk features (e.g., severe jaundice, low blood pressure, and anemia) and chronic smoking and alcoholism. Thoracic epidural (T7–T8) and spinal …
Self-Inflicted, Non-Sexual, Non-Masturbatory Penile Fracture Case Report - An Atypical Presentation, Sajan Sehgal, Vijayakumar R, Sachin Dharwadkar, Amruthraj G. Gowda
Self-Inflicted, Non-Sexual, Non-Masturbatory Penile Fracture Case Report - An Atypical Presentation, Sajan Sehgal, Vijayakumar R, Sachin Dharwadkar, Amruthraj G. Gowda
Digital Journal of Clinical Medicine
Background: Traumatic injuries to the genitalia are uncommon due to the mobility of the penis and scrotum. Penile fracture is a relatively rare condition arising from disruption of tunica albuginea with rupture of the corpus cavernosum. In order to ensure that such an injury is not missed, it is necessary to have a high index of suspicion to diagnose this condition.
Result: Patient underwent an emergency repair of penile fracture.
Conclusion: We hereby, report a rare case of accidental, non-masturbatory, self-inflicted penile fracture which was diagnosed promptly based on clinical assessment, confirmed radiologically and managed surgically, resulting …
Case Series On Consultation-Liaison Psychiatry In Pain Abdomen With School Refusal Among Children, Jatin Kumar, Aditya Takiar, Kishor M, Sudhamshu K.C, Anil Kumar M.G., Prashanth S.N
Case Series On Consultation-Liaison Psychiatry In Pain Abdomen With School Refusal Among Children, Jatin Kumar, Aditya Takiar, Kishor M, Sudhamshu K.C, Anil Kumar M.G., Prashanth S.N
Digital Journal of Clinical Medicine
Chronic abdominal pain is one of the most common causes of school refusal in children often leading to multiple hospital visits and expenses. This study was done to assess the psychiatric morbidity underlying functional gastrointestinal complaints in children presenting to paediatric surgery unit. We conducted a prospective case series (N=11; ages 8–13) of children referred from Paediatric Surgery between June and December 2025. All these children presented with idiopathic abdominal pain and a significant period of absence from school. These children were evaluated for any organic causes through the use of various investigations including imaging studies and were referred to …
Evaluating The Efficacy Of Vertical Integration In Training Undergraduate Medical Students Under Competency Based Medical Education Curriculum, Pratham Mehta, Yashika Sharma, Kishor M, Arun M
Evaluating The Efficacy Of Vertical Integration In Training Undergraduate Medical Students Under Competency Based Medical Education Curriculum, Pratham Mehta, Yashika Sharma, Kishor M, Arun M
Digital Journal of Clinical Medicine
Background: The National Medical Council in the Indian Medical Graduate guidelines to enhance learning, recommends Vertical and Horizontal Integration. Vertical integration may be defined as a curricular strategy that aligns para-clinical and clinical teaching across time with a view to enhancing relevance and application of knowledge. The present study is an attempt to test whether vertical integration of Forensic Medicine and Psychiatry is associated with greater short-term learning gains and improved student perceptions compared with conventional didactic lectures.
Methods: With Institutional and Ethics Committee clearance, a two-phase quasi-experimental study was performed across two consecutive academic cohorts (Phase 1, …