Recentralization within decentralization: County hospital autonomy under devolution in Kenya. by Edwine W Barasa, Anthony M Manyara, Sassy Molyneux, Benjamin Tsofa

“…Specifically, we examine changes in hospital autonomy as a result of devolution, and how these have affected hospital functioning.<h4>Methods</h4>We used a qualitative case study approach to examine the level of autonomy that hospitals had over key management functions and how this had affected hospital functioning in three county hospitals in coastal Kenya. …”
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Sensory deficits in ipsilesional upper-extremity in chronic stroke patients by Núbia Maria Freire Vieira Lima, Karina Cândido Menegatti, Érica Yu, Natália Yumi Sacomoto, Thais Botossi Scalha, Illia Nadinne Dantas Florentino Lima, Saionara Maria Aires da Camara, Marcelo Cardoso de Souza, Roberta de Oliveira Cacho, Enio Walker de Azevedo Cacho, Donizeti Cesar Honorato

“…Objective To investigate somatosensory deficits in the ipsilesional wrist and hand in chronic stroke patients and correlate these deficits with contralesional sensorimotor dysfunctions, functional testing, laterality and handedness.Methods Fifty subjects (twenty-two healthy volunteers and twenty-eight stroke patients) underwent evaluation with Semmes-Weinstein monofilaments, the sensory and motor Fugl-Meyer Assessment, the Nottingham Sensory Assessment in both wrists and hands and functional tests.Results Twenty-five patients had sensory changes in the wrist and hand contralateral to the stroke, and eighteen patients (64%) had sensory deficits in the ipsilesional wrist and hand. …”
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ANGIOTENSIN II RECEPTOR ANTAGONISTS AND ACE INHIBITORS: OPTIMIZATION OF CHOICE FOR TREATMENT OF CARDIOVASCULAR DISEASES by E. M. Khurs, A. V. Poddubnaya

“…Valsartan had priority in prevention of early cardiac remodeling (reduction in left ventricular (LV) hypertrophy and myocardial stress, improvement of functional heart parameters) at early CVC stage (HT, metabolic syndrome). …”
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Evaluation of Relationship between Schemas and Panic Disorder through a Case Treated with Schema Therapy by Esra Yancar Demir, Gonca Soyg&uuml;t

“…She was introduced to the clinic with severe panic attack symptoms which had been effecting her functionality. We started schematherapy for the patient as she had no improvement on her panic disorder symptoms with medical treatment due to her maladaptive schemas and schema modes thet she had used frequently. …”
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Effect of Educational Program on Outcomes of Patients Undergoing Permanent Pacemakers’ Implantation by Hala H. S. Khalil, Manal S. S. Soliman, Hoda A. H. Ahmed, Enaam A. F. Hamza

“…Results: 91.4% of the studied patients had unsatisfactory total knowledge at the baseline, improved to 85.7% had a satisfactory knowledge immediately post educational intervention, and relatively maintained to 68.6% of them had a satisfactory level of total knowledge after four weeks of program implementation. 97.1% of the studied patients had unsatisfactory total practice at the baseline, improved to 65.7% had a satisfactory practice immediately post educational intervention, and improved to 77.1% of them had a satisfactory level of total practice after four weeks of program implementation. 71.4%, 85.7% of the studied patients were not confident at all with their ability to control symptoms and maintain their usual functions respectively before education. 91.4% of them reported a total low self-efficacy score before the educational intervention. …”
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Impact of Dehydration Processing on Scallop (<i>Patinopecten yessoensis</i>) Adductor Muscle: Structural and Oxidative Insights by Huaqiong Li, Yulong Zhao, Jian Shi, Manat Chaijan, Xichang Wang, Mingyu Yin

“…This study investigated the impact of four drying techniques—hot air drying (HAD), vacuum hot air drying (VFAD), microwave drying (MWD), and vacuum freeze-drying (VFD)—on the structural, physicochemical, and functional properties of scallop adductor muscles, a critical marine resource in the food industry. …”
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Minimally invasive plate osteosynthesis with PHILOS plate for proximal humerus fractures by Uğur Gönç, Mesut Atabek, Kürşat Teker, Altuğ Tanrıöver

“…Varus progression, fracture type, and age had no significant effect on functional outcome. …”
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Stress, Anxiety and Depression in First-year Medical Undergraduates and Coping Strategies Employed during COVID-19-induced Online Learning: A Cross-sectional Study from North India by Rashmi Malhotra, Manisha Naithani, Anita Verma, Yogesh Bahurupi, Kanchan Bisht, Brijendra Singh, Tanmay Joshi

“…Elevated depressive symptomatology scores were found in 46% of students, of which 14% had scores falling in severe category. More than 62% had elevated anxiety scores, of which 26% had severe range of scores, and 37% students had elevated stress scores, of which more than 10% had severe range of scores. …”
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Pregnancy in Patients with Thalassemia: A Single-Center Study by Selime Aydoğdu, Begüm Şirin Koç, Şifa Şahin, Simge Erdem, Serap Karaman, Zeynep Karakaş

“…The patients on a regular transfusion program had an increased frequency of transfusions throughout pregnancy; four patients with thalassemia intermedia, who had never undergone a transfusion before, were observed to have been included in a regular transfusion program starting with the 2nd trimester of pregnancy. …”
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Bortezomib-based Chemotherapy and Bone-marrow Followed by Renal Transplantation in Multiple Myeloma: A Literature Review by Jasmine Sethi, Shabna Sulaiman, Raja Ramachandran, Gaurav Prakash, Deepesh Kanwar, Ritambhra Nada, Manish Rathi, Harbir Singh Kohli

“…At the last follow-up, 3 patients (16.6%) had graft losses. A total of 15 patients (83.3%) were alive at the end of the follow-up period, 13 of whom had functioning renal allografts. …”
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JUVENILE CHRONIC ARTHRITIS WITH EYE LESION by S O Salugina, N N Kuzmina, A L Speransky, I A Guseva, S. M. Ivanova

“…In 68,1% pts the diagnosis of uveitis was made within 5 yrs after onset of arthritis. 93% of pts had mono-oligoarticular onset, but 50% had poliarticular course. 23,5% of pts had functional disability 3-4 classes. …”
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Health benefits package selection in oncology: a clinical audit of palliative chemotherapy for breast cancer in an Indian health insurance scheme by Sebastian Bauhoff, Manju Sengar, C. S. Pramesh, Anamika Dhiman, Abha Mehndiratta

“…Abstract Background The effective operation of health insurance requires functioning administrative processes, including appropriate filing for reimbursements. …”
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Effect of vacuum microwave drying and steaming treatment on quality of Poria cocos by Pan Xu, Fan Jia, Yao Xu, Tao Zheng, Hui Zheng, Xinwen Dai, Yong Yang

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Surgical treatment of abdominal aortic aneurysm in combination with obliterating atherosclerosis of the lower extremities by O. V. Gubka, V. A. Gubka

“…Herewith, 8 patients had occlusion of the iliac arteries on both sides and 15 patients had occlusion of the iliac arteries on one side. 87 patients had iliac artery stenosis of varying severity. 53 patients from the same group had occlusion of the superficial femoral artery with the deep femoral artery stenosis. …”
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LIFE QUALITY ASSESSMENT IN PHTHISIOPEDIATRICS by D. N. Adzhablaeva

“…The impact of a chronic disease on the life quality of children and adolescents had some relevance to gender: boys' sufferings were mostly physical while girls had rather emotional problems Adolescents at the age of 15-17 years old reported much low life quality compared to the children of 13-14 years old Groups of children detected by self-referral for medical care had lower life quality rates compared to the average ones in all examined children Such aspects as school and physical functioning were compromised the most in children and adolescents detected through diaskintest and digital fluorography While the children detected by self-referral reported their emotional and psycho-social well-being to be the worst one, and the latter had the abrupt reduction of those parameters in adolescents with disseminated and destructive forms of tuberculosis The wider and more invasive testing methods were, the more severe reduction of life quality was observed Thus the priority is to be given to diagnostics with diaskintest versus diagnostics by self referral…”
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Dinamika hubungan kekuasaan pusat dan daerah by Sunarso Sunarso

“…After the downfall of Soeharto,governors, regents and mayors, who had felt the unfair distribution of resources, started to claim a greater share of their resources. …”
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Presence and Characterisation of Anaemia in Diabetic Foot Ulceration by J. A. Wright, M. J. Oddy, T. Richards

“…Iron deficiency was classified according to definitions of AID (absolute iron deficiency) and FID (functional iron deficiency). Results. 27 patients had DFU; 14 (51.9%) were anaemic; two (7.41%) had severe anaemia (Hb < 10 g/dL). …”
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Cognitive disorders in the patients with traumatic intracranial hematomas after the operation by L. R. Kurilina

“…The restoration of cognitive functions depended on severity of cognitive disorders in acute stage.…”
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Contribution of neurogenic mechanisms to the pathogenesis of chronic joint pain by E. S. Filatova, A. M. Lila

“…Patients in this group were in pain according to VAS, worse functional state and quality of life, as well as a higher level of anxiety, the differences were statistically significant. 12.7% of AS patients had nociplastic pain. …”
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Comparison of mucosal microbiota populations across the gastrointestinal tract of healthy dogs by Ching-Yen Lin, Tzu-Wen L. Cross, Kelly S. Swanson

“…The ileum had the highest while the stomach had the lowest relative abundance of Firmicutes (q < 0.05). …”
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