Subjective Knowledge and The Antecedent-Mediator Relationship of TPB In Female Adolescence: Healthy Eating Intentions Prediction

Purpose: This study aims to examine the predictors of intentions towards healthy eating (HE) behavior by applying the theory of planned behavior. It also aims to verify the way subjective knowledge about healthy eating moderates the attitude-intentions, subjective norms-intentions, and perceived behavioral control-intentions relationships. Methodology: The study employs a survey research design in which data is collected via self-administered structured questionnaires. The sample size was 404 female adolescences of 15-19 years. SPSS version 21, SMART PLS version 3, and AMOS version 20 were used to analyze the reliability, validity, measurement, and structural models. Findings: Family environment, as well as Parental norms and conformity towards those, are stronger to shape positive intentions towards, HE than other societal members’ norms. Perceived behavioral control of HE is not a significant antecedent of HE intentions which might be due to the contingency effect of subjective knowledge. Subjective knowledge about HE moderating the attitude-intentions, subjective norms-intentions, and perceived behavioral control-intentions relationships as proposed. Conclusion: This is the novelty of the present work in that it has presented the moderating role of subjective knowledge about HE on the aforementioned relationships of TPB and cultivated significant results out of it. TPB is extended and delivered that overall model contributed 65% of the variance in determining HE intentions by attitude, subjective norms, and behavioral control

Echocardiography And Multimodal Imaging Advancements In Cardiac Imaging

One of the technological sectors that has advanced and evolved the fastest in recent decades is echocardiography. As a non-invasive technique at a reasonable price, it also lends itself in the future to increasingly integrated use at the patient's bedside in any clinical approach situation, from emergencies to interventional environments, operating rooms, clinical routine, outpatient clinics, diagnostics, and monitoring of therapies. The equipment's downsizing will enable a deeper and more comprehensive integration with the clinical physical examination (clinical echocardiography), not only by cardiologists but also by the wide range of clinical specialties in medicine and surgery. This poses significant organizational and training issues to effectively incorporate multimodal imaging and ultrasound diagnostic techniques into the diagnostic and treatment paths of the various subspecialties. Additional developments in portable and miniaturized technologies are also required to achieve reliability at least on par with the highest level of equipment. This collaborative approach to multimodality imaging in cardiology may benefit from artificial intelligence

The Prevalence of Hypomagnesemia in Critically Ill Patients Admitted in Medically Intensive Care Unit

Background Magnesium is the fourth most abundant cation in the human body. Hypomagnesemia can result from decreased intake, redistribution of magnesium from the extracellular to the intracellular space, or increased renal or gastrointestinal loss. Hypomagnesemia can cause severe outcomes in ill patients. So, we conducted this study to determine the frequency of hypomagnesemia in critically ill medical patients. Methods This is a Descriptive cross-sectional study involving 120 patients admitted in the medical intensive care unit (MICU) of the Holy Family Hospital, Rawalpindi, Pakistan. The study was conducted from July 2020 to September 2021. About 1 ml sample of blood was taken from each patient included and sent to the hospital laboratory for evaluation of serum magnesium levels. All the collected data was entered and analyzed on SPSS v. 23. A p-value of ≤ 0.05 was taken significant. Results In our study, the mean age of the patients was 42.76±12.77 years, and the male-to-female ratio of the patients was 1:1. The mean value of the APACHE II score of the patients was 29.68±2.571. Hypomagnesemia was found in 28 (23.33%) patients. Conclusion According to our study, the frequency of hypomagnesemia in critically ill medical patients was 23.33% (28 patients)

Presence and Dispersion of Organic and Inorganic Contaminants in Groundwater

This paper offers an extensive examination of studies published in the recent past and highlights the documented issues surrounding groundwater pollution, its sources, and distribution worldwide. The depletion of groundwater resources and the deteriorating overall quality present a significant cause for concern, particularly as a large human population relies on groundwater as a drinking water source. The review focuses on various factors contributing to groundwater pollution, including anthropogenic activities, hydro climatological influences, and natural processes. Special attention is given to organic contaminants such as pesticides, herbicides, and emerging pollutants, which have been found to have a substantial impact on groundwater quality. Additionally, the review covers pollution caused by inorganic pollutants like arsenic and other heavy metals, with a particular emphasis on regions experiencing a higher incidence of these contaminants in groundwater. Furthermore, the paper includes a compilation of studies that highlight the increased occurrence of waterborne illnesses resulting from fecal and microbial contamination, often caused by inadequate sanitary practices. To provide a comprehensive understanding of the global groundwater pollution problem, the review also encompasses an examination of contaminants like fluoride and nitrate

Focal dystonia and ataxic hemiparesis as the initial presentation of a thalamic tuberculoma: a diagnostic challenge in an immunocompetent pediatric patient

Background: Central nervous system (CNS) tuberculomas are rare and account for approximately 1% of all tuberculosis (TB) cases. These intracranial lesions are more commonly observed in immunocompromised individuals, often as part of disseminated miliary TB or after latent infection reactivation. This case report presents the occurrence of a thalamic tuberculoma in an immunocompetent girl. Case Description: An 11-year-old girl presented with a 3-month history of progressive right-sided ataxic hemiparesis, hand dystonia/thalamic hand, and headache. There was only a mildly elevated erythrocyte sedimentation rate (25 mm/h.), and her remaining biochemistry and vitals were unremarkable. Magnetic resonance imaging (MRI) brain revealed an ill-defined intra-axial heterogeneous lobulated lesion with crenated margins involving the thalamus and the posterior limb of the internal capsule with significant vasogenic edema. Given the clinical picture, the working diagnosis was a high-grade brain tumor. Due to the absence of a viable operative corridor for a meaningful resection and the diagnostic uncertainty, a stereotactic biopsy was performed, and histopathological analysis confirmed the presence of granulomas consistent with TB. A human immunodeficiency virus test (negative) and interferon-gamma release assay (positive) were then obtained. The patient was commenced on a regimen of anti-TB drugs with a tapering steroid dose. At 8 months, her most recent MRI showed a significant reduction in the size of her tuberculoma, and there is a complete resolution of her hand dystonia and hemiparesis to allow for independence in her activities of daily living. Conclusion: This report emphasizes the importance of considering causes other than degenerative, vascular, or neoplasms in patients with hemiparesis with dystonia. CNS tuberculomas can present as such without prior history or specific clinical symptoms of TB, making them a diagnostic challenge. In cases with such uncertainty regarding the nature of an intracranial lesion and the role of resection, a stereotactic biopsy is invaluable

Health behaviors and care seeking practices for childhood diarrhea and pneumonia in a rural district of Pakistan: A qualitative study.

Diarrhea and pneumonia are the leading causes of morbidity and mortality in children under five, and Pakistan is amongst the countries with the highest burden and low rates of related treatment coverage. We conducted a qualitative study as part of the formative phase to inform the design of the Community Mobilization and Community Incentivization (CoMIC) cluster randomized control trial (NCT03594279) in a rural district of Pakistan. We conducted in-dept interviews and focused group discussions with key stakeholders using a semi-structured study guide. Data underwent rigorous thematic analysis and major themes identified included socio-cultural dynamics, community mobilization and incentives, behavioral patterns and care seeking practices for childhood diarrhea and pneumonia, infant and young child feeding practices (IYCF), immunization, water sanitation and hygiene (WASH) and access to healthcare. This study highlights shortcomings in knowledge, health practices and health systems. There was to a certain extent awareness of the importance of hygiene, immunization, nutrition, and care-seeking, but the practices were poor due to various reasons. Poverty and lifestyle were considered prime factors for poor health behaviors, while health system inefficiencies added to these as rural facilities lack equipment and supplies, resources, and funding. The community identified that intensive inclusive community engagement and demand creation strategies tied to conditioned short term tangible incentives could help foster behavior change