Subclinical hypothyroidism, marked by elevated thyroidstimulating hormone (TSH) levels with normal free thyroxine (T4) levels, often presents subtly with symptoms such as fatigue, weight gain, and mood changes. This case study examines a 44-year-old woman diagnosed with subclinical hypothyroidism and evaluates two treatment approaches: aggressive levothyroxine therapy versus selenium supplementation. Guided by the American Thyroid Association (ATA) and European Thyroid Association (ETA) guidelin...

Applied Biology 

This study examines the central tenet of traditional Chinese medical nursing (TCM) that emphasizes harmony and unity with nature. It explores how TCM’s historical focus on care and nursing over disease treatment is intertwined with the philosophy of balancing qi and blood, and yin and yang. The paper discusses the significance of adhering to natural laws and adapting to environmental changes, both seasonally and daily, as a means to maintain health and prevent diseases. It also addresses the int...

Nursing  Rehabilitation Medicine  Kinesiology 

Background and Aim: Colorectal anastomosis is a necessary surgical procedure in many medical cases. Anastomosis Leakage (AL) is a serious complication that can lead to severe infections and even the need for additional surgeries. Preventing leakage requires precise techniques and innovative methods to enhance tissue healing and improve surgical outcomes. Using Platelet-Rich Plasma (PRP) is a modern approach aimed at reducing leakage following low anterior resection for rectal ca...

Surgery & Surgical Specialties 

The digital economy has become the primary driving force for the innovative development of the cultural and tourism industry and plays a significant role in promoting the integrated development of culture and tourism. This article analyzes the influence mechanism of the digital economy in empowering the integrated development of culture and tourism, and elaborates on strategies for the digital economy to empower the high-quality development of urban cultural and tourism integration from multiple...

Sociology  Economics 

The comparative analysis of conservation management of Simien Mountains National Park (SMNP) and Qianjiangyuan National Park (QNP) in China provides deductions that can be successfully implemented as conservation strategies and replicated in other protected areas. QNP benefits from a tiered administrative framework with strong provincial leadership and stakeholder collaboration yielding versatile conservation strategies. Effective land-use regulations and zoning have kept more than 81.7% of the ...

Geology 

Introduction: Breast Cancer (BC) remains a significant health concern worldwide, and accurate prediction of its recurrence after surgery is vital for patient management and treatment decisions. This study aimed to develop a predictive model for assessing the risk of breast cancer recurrence (BCR) after surgery in the Tanzanian population. Methods: This study retrospectively analyzed data collected from BC patients at multiple centers in Tanzania. The outcom

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Gynecology & Obstetrics 

Emotional regulation is a key component of strong families. The ability to discern when and how to express emotions can assist individual family members in building and maintaining positive relationships. Family architecture and childhood attachments will be reflected in the flexibility and resilience of the adolescent, but especially of self-consciousness. Relationships initiated during childhood affect how adolescents see the availability of parents and form relationships with others. The succ...

Psychiatry & Psychology 

Introduction: Hypertension is a chronic non-communicable disease that poses significant global health challenges due to its high prevalence and the resulting cardiovascular, stroke, and chronic renal complications. It is the third leading preventable risk factor for premature death and disability worldwide. Poor knowledge about hypertension can lead to a poor attitude toward the disease, which may directly affect patients’ self-care practices. There is a direct relationship betw...

Nursing 

Introduction: Pharmacies serve not only as medication dispensing points but also as key sites for patient education. Despite this, there is growing concern regarding patients’ comprehension of the information provided during medication dispensing. Thus, this study aimed to assess patients’ comprehension of medicine information provided by pharmaceutical personnel at the compounding unit pharmacy of a tertiary hospital in northwestern Tanzania. Methods: This cros...

Public Health 

Introduction: The inferior alveolar nerve (IAN) and the mental foramen are important anatomical structures in the mandible. The IAN traverses the mandibular canal from the mandibular foramen to the mental foramen. Its intramandibular trajectory may present variations, manifesting itself as simple, bifid or trifid. Identification of these variations makes it possible to plan surgery safely and appropriately. Aim: The aim of this study was to assess the prevalence...

Dentistry