ABSTRACT
OBJECTIVE: To determine the rate of different amputation levels in diabetic foot patients and the incidence of repetitive foot surgeries and evaluate the factors causing a delay in hospital stay and amputation of patients. METHODOLOGY: This prospective cohort study was conducted in Dr. Ruth K.M. Pfau, Civil Hospital Karachi, Pakistan. The study selected 375 participants from the clinic's daily patient inflow from October 2021 to March 2022 using a non-probability consecutive sampling technique. Those who had a delay in hospital stay and amputation were further followed up from May-October 2022. The chi-square test and Kruskal Wallis test (p-value <0.05) were used to correlate the effect of the level of lower limb amputation and the cause of delay in amputation using SPSS version 24.0. RESULT(S): Total 246(65.60%) were males and 129(34.40%) were females. Toe amputation was the most commonly seen amputation in 173(46.1%) participants. About 168(44.8%) patients had some in-hospital delay stay during their treatment. Preoperative hurdles (Uncontrolled RBS, Osteomyelitis, etc.) were the most common factor causing an in-hospital delay in 92(24.5%) patients. The level of amputation performed was found to be statistically significant with factors causing a delay in hospital stay through chi-square (p=0.003*) and Kruskal Wallis test H (2) statistic= 13.3, df = 3, H (2), P=0.004*). CONCLUSION(S): Diabetic foot is a frequent cause of amputation globally, majorly in developing countries like Pakistan. On-time provision of treatment to these patients can decline the global amputation rate due to diabetic foot ulcers.Copyright © 2023 Syeda Anjala Tahir.
ABSTRACT
According to Robert E. Schofield, looking back to the golden age of Scientific Societies we discover that, from the middle of XVII to the XIX century, rather than academic institutions they were considered as the proper alma mater by scientists [1]. Over time, the general reform of the university has gradually reversed this state of things, with few exceptions. This paper proposes some brief reflections on being a Scientific Society (of Geometry and Graphics) nowadays (in its 30th year), including a glance at the present COVID-19 pandemic impact. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.
ABSTRACT
According to Robert E. Schofield, looking back to the golden age of Scientific Societies we discover that, from the middle of XVII to the XIX century, rather than academic institutions they were considered as the proper alma mater by scientists [1]. Over time, the general reform of the university has gradually reversed this state of things, with few exceptions. This paper proposes some brief reflections on being a Scientific Society (of Geometry and Graphics) nowadays (in its 30th year), including a glance at the present COVID-19 pandemic impact. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.
ABSTRACT
With the world in topsy-turvy strained under the tides of a pandemic that shows no sign of ebbing, there has been a massive surge in consumption- no pun intended- of supernatural fiction and fantasy literature. Either as a means of escape from reality, or as a deep-dive into an allegorized society in crisis (or a world directly and terrifyingly reflective of the 2020s), fantasy with a dystopian, apocalyptic setting has always found a large readership. Concomitantly, there has been a re-popularization of the occult in real life as well: and this paper shall investigate Nora Roberts' Year One keeping that in mind in the context of the author's creation of the supernaturally-aided and supernaturally-quelled pandemic in her novel. Alarmingly predictive of the Covid-19 horror, Roberts' narrative follows the life of the survivors of a disastrous, self-mutative airborne virus that levels more than half of the world population in weeks. I shall investigate socio-literary implications of how most of the unaffected are revealed to possess magical abilities which are shown to be genetically and generationally coded, thus causing a divide between them and the non-magical victims, culminating into a eugenicist drive of culling which turns into an actual "witch"-hunt. Taking into account the cultural connotations of choosing Scotland as Roberts' preferred setting for the genesis of the plague coupled with her use of Scottish legends about dark forces, the paper will further delve into possible evocation of Celtic pagan mythologies, occult medical lore, and the inspiration drawn from the accusation and persecution of marginalized "white witch"/ "witch doctor"/ "wise women" healers during Black Death and witch trials in early modern Scotland.
ABSTRACT
During the “NISO update” session at the NISO Plus 2021 conference, which took place online due to the COVID-19 pandemic, members of the KBART (Knowledge Base and Related Tools) Standing Committee presented their plans and work toward KBART Phase III, a revision of the KBART Recommended Practice. In an interactive breakout session, they sought input from attendees on how KBART is being used and what new content types it should support. Presenters from the KBART Standing Committee were Noah Levin (Independent Professional), Stephanie Doellinger (OCLC, Inc.), Robert Heaton (Utah State University), and Andrée Rathemacher (University of Rhode Island). Assisting them in preparing the presentation were Jason Friedman (Canadian Research Knowledge Network), Sheri Meares (EBSCO Information Services), Benjamin Johnson (ProQuest), Elif Eryilmaz-Sigwarth (Springer Nature), and Nettie Lagace (NISO). © 2021 - The authors. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC 4.0).