Common Part Research Articles

A Neutrosophic Model for Measuring Evolution, Involution, and Indeterminacy in Species: Integrating Common and Uncommon Traits in Environmental Adaptation

In 2017, Professor F. Smarandache introduced the Neutrosophic Theory of Evolution, Involution, and Indeterminacy (or Neutrality) (NToEIaI). He concluded that every theory of evolution is characterized by a certain degree of truth, indeterminacy, and untruth, as in neutrosophic logic. In this perspective, he raised several open questions on evolution, neutrality, and involution that required further research effort. Very recently, in 2024, Smarandache conducted research, from a soft sciences/philosophical viewpoint, on identifying and studying common parts in uncommon things and uncommon parts in common things emphasizing the complexity and interconnectedness of concepts within the context of neutrosophy. In this article, we propose a neutrosophic model that incorporates the ideas of finding common parts in uncommon things and uncommon parts in common things within the realms of NToEIaI. We attempt to provide a proper answer on how to measure the degree of evolution, involution, and indeterminacy (neutrality) of a species in a given environment and specific timespan. By employing our approach, we can explain how a species adapts, regresses, or remains neutral within a specific environment and timespan. This method acknowledges not only the clear changes in traits but also the uncertainty and ambiguity that may arise during the process of evolution or involution.

Genital infections in high-risk human papillomavirus positive Paraguayan women aged 30–64 with and without cervical lesions

Objective To determine the prevalence of genital infections (GIs), including sexual transmitted STIs: Neisseria gonorrhoeae, Chlamydia trachomatis, Mycoplasma genitalium, Trichomonas vaginalis, and opportunistic pathogens that generally do not cause STIs, non-classic STI: Ureaplasma urealyticum, Ureaplasma parvum and Mycoplasma hominis, in women with high-risk oncogenic human papillomavirus (hr-HPV) infection and their association with cervical lesions. Methods A cross-sectional study was carried out including 231 hr-HPV positive women. Of these, 46 has histologically confirmed cervical intraepithelial neoplasia 3 (CIN3) or more (including CIN3 and cervical cancer lesions-CIN3+). GIs were detected by multiplex real time PCR. Odds ratios (OR) were estimated to explore possible associations between GIs and the presence or absence of CIN3+ lesions. Additionally, we examined associations between sociodemographic, sexual, and clinical characteristics and the presence of GIs. Results In total, there were 174/231 cases of GIs corresponding to an overall prevalence of 75.3% (95%CI: 69.4–80.4), being non-classic STIs the most common (72.3%) compared to STIs (12.6%). The most prevalent non-classic STI and STI were U. parvum (49.8%) and C. trachomatis (7.4%), respectively. The odds of presenting GIs were 3 times higher in women under 46 years compared to older counterparts (OR: 3.32, 95%CI: 1.74–6.16), and in women with a normal Pap smear with inflammation compared to those without inflammation (OR: 3.31, 95%CI: 1.15–9.77). GIs were equally present in women with and without CIN3+ lesions. Conclusion We observed an association of GIs with inflammation in the Pap smear, but no association with CIN3+, as some of them are very common and likely part of the normal vaginal flora, suggesting that such infections do not appear to be cofactors in cervical carcinogenesis, although larger prospective studies are needed.

Effectiveness of high-intensity laser therapy on pain in tendinopathy

Introduction: High-intensity laser therapies (HILT) have gained significant attention in therapeutic pain treat-ment. The aim of this systematic review was to determine the effectiveness of HILT therapies in the management of different types of tendinopathy-related pain, and the long-term benefits associated with treatment process.Methodology: A systematic literature review of prospective randomized controlled trials from electronic data-bases: Google Scholar, Pub Med, Embase, Science Direct, and ProQuest, using relevant key words, was per-formed. Randomized trials that included HILT, patients with tendinopathy, pain management, and at least one single clinically pertinent attribute were selected. Standard PRISMA protocols were followed when completing the assessment.Results: The physical, demographic, and theoretical insights from various studies suggest that HILT is a highly promising approach for managing pain in patients with tendinopathy. The most common body parts for treating tendinopathy using this method were the shoulder, elbow, ankle, and knee. Various attributes and parameters, such as Hand function evaluated by Quick Disabilities of Arm, Shoulder and Hand Questionnaire (QDASH) and Hand-grip Strength; pain assessed by the visual analogue score (VAS) during rest or activity, 36-item short-form health survey (SF-36) for physical and mental health, and the shoulder pain and Disability Index (SPADI) for shoulder and elbow assessment, were frequently significant across studies.Conclusion: HILT could be recommended as a treatment of choice for reducing pain and improving function in patients with tendinopathy, with potential benefits when combined with other physical therapy treatments. Further studies are needed to clarify optimal treatment protocols and long- term outcomes.

Successful Repair of Esophageal Atresia with Tracheoesophageal Fistula and Interrupted Inferior Vena Cava: A Rare Case Report

【Abstract】Esophageal atresia (EA) with tracheoesophageal fistula (TEF) is a congenital anomaly that can present complex surgical challenges, especially when accompanied by rare vascular conditions like an interrupted inferior vena cava (IVC). The division of the azygos vein is a common part of TEF repair, but in the presence of an interrupted IVC, this can lead to life-threatening complications. We report the case of a newborn diagnosed with EA, TEF, and interrupted IVC, successfully treated through thoracotomy. This case underscores the importance of prenatal and postnatal imaging to diagnose vascular anomalies prior to TEF repair, ensuring the preservation of the azygos vein to prevent fatal outcomes. Raising awareness of this rare association is crucial to optimizing surgical planning and outcomes.

Reasons for admission and rehabilitation rates of various wildlife species in Finland.

Wildlife rehabilitation is a common part of animal-protection work. In Finland wildlife care is usually based on volunteer work and no licensing or training is required. Wildlife casualties are also treated professionally in some contexts such as zoos. The species of wildlife casualties may influence treatment decisions. Our anonymous online survey examined wildlife caregiving practices in Finland (n = 78), focusing on the care provided to various animal species and the outcomes of rehabilitation efforts. The survey was sent to both veterinarians and volunteers caring for wildlife, and it was part of a larger survey. Questions were mainly closed, and opinion-related questions were applied on a Likert scale (1-7; where 1 meant strongly disagree and 7 meant strongly agree). Most respondents primarily cared for mammals and birds. Reptiles, amphibians, and fish received less attention. Injuries and overwinter survival, especially in the case of hedgehogs, were the primary reasons for wildlife admissions. The training background of the rehabilitators varied and was related to the animal species being treated. Those caring mainly for hedgehogs (Erinaceus europaeus) were the least likely to have animal-related training or long-term experience in wildlife care. We show a notably high rehabilitation rate of approximately 80% of commonly treated species, significantly surpassing figures from other countries, which raises concerns that animals are admitted or released on too light grounds, leading to animal welfare problems. It is also noteworthy that only one-fifth of respondents said they kept records of animal admissions. Less than 40% of respondents emphasized the need for further education on any specific issue, which may indicate overestimation of personal skills. In conclusion, our study raises concerns regarding the ethics and potential harm associated with wildlife rehabilitation.

A 3D-Printable smartphone accessory for plant leaf chlorophyll measurement

Plant health and nutrition are universally inferred from leaf chlorophyll content. This research developed a 3D-printed accessory which attaches to the ambient light sensor in a smartphone to estimate leaf chlorophyll content in five tropical plant species. It unveils 3D printing files and assembling details to freely built the accessory anywhere. It is made from a 3D-printed body, a lighting circuit and common spare parts to measure a 663 nm LED band transmission through intact plant leaves. This chlorophyll absorbing light band allows to measure its concentration. The device was tested by comparing its readings to the universal spectrophotometric test or by leaf parallel measurements with a standard SPAD 502™ meter, and it performed as well as these universal standard methods. Due to well-studied relationships between chlorophyll concentration and nutritional status of plants, and the ubiquitous presence of other sensors in smartphones today, the independent improvement and adoption of this smartphone-connected system would ease the spread of precision farming and digital agronomy practices throughout the different scales of agriculture.

New cancer medicines in Europe 2010–2020: comparison of medicines with or without extensions of indications

IntroductionDuring the last decade, extensions of therapeutic indications have been one of the most common methods to extend the lifecycle of a medical product in the post-authorisation phase and to...

Alopecia as an uncommon side effect of single postoperative instillation of gemcitabine in patients with non-muscle-invasive urothelial carcinoma of the bladder.

274 Background: Single-dose administration of intravesical gemcitabine is a common part of clinical practice following transurethral resection (TURBT) of non-muscle invasive bladder cancer (NMIBC). Although the side effect profile for gemcitabine is well characterized in systemic and local therapy, rare side effects continue to be identified with ongoing use. Here we identify several cases of treatment-related alopecia with adjuvant single dose intravesical administration for NMIBC after TURBT. Methods: Using our single-institutional IRB-approved Cysview registry database, we identified patients who underwent TURBT for NMIBC and received a single dose of intravesical gemcitabine post-TURBT between January 2020 and June 2023 at Keck Hospital of USC. Patients with a history of low grade NMIBC or those undergoing their first TURBT received 2g of gemcitabine dissolved in 100 cc of saline 1h after tumor resection. We reviewed patient-reported adverse events and included patients who reported alopecia following gemcitabine instillation. Patients were questioned on the degree and length of hair loss and information was collected from patient charts. Results: Overall, 9 patients (2 male, 7 female) reported hair loss following single dose intravesical gemcitabine after the TURBT. One patient had an autoimmune disease. The hair loss started within a few days of gemcitabine instillation and resolved spontaneously. The table shows the clinicopathologic characteristics of this cohort in detail. Three patients experienced severe hair loss. The resection extent during TURBT was classified as small (<2 cm), medium (2-5 cm), or large (>5 cm). Three patients had a large resection, 2 patients a medium one and 3 patients a small resection. None of the patients had previous intravesical gemcitabine; however, 2 patients had a history of intravesical BCG and 1 had intravesical mitomycin before. Conclusions: This study demonstrates that hair loss is a rare but possible adverse effect of intravesical gemcitabine after TURBT. Prior to surgery, patients should be counseled regarding this potential side-effect. Additional research and multicenter studies are required to describe the occurrence and cause of this adverse event. Demographic, clinical, and pathologic characteristics of patients. Patient ID Age Sex History of other IVT Pathology of TURBT Number of prior TURBT Resection extent Severity of hair loss Prior UBC 1 73 M None LGTa 1 large moderate LGTa 2 88 M MMC LGTa multiple large severe LGTa 3 76 F BCG CIS multiple small moderate HGT1 in upper tract,HGTa & LGTa in bladder 4 56 F BCG HGTa multiple large severe LG+HGTa 5 66 F None HGTa none small moderate None 6 84 F None LGTa none small severe None 7 62 F None LGTa 1 medium moderate LGTa 8 68 F None HGTa multiple medium mild LGTa 9 64 F None LGTa none medium severe None LG= Low Grade, HG = High Grade.

Recién nacida con litemia en rango tóxico. ¿Debemos retirar la lactancia materna?

Lithium is a common part of the treatment for bipolar disorder. It is excreted through breast milk, and traditionally, mothers undergoing this treatment were advised to discontinue breastfeeding due to the potential serious adverse effects of this medication on the infant. More recently, it has been demonstrated that plasma lithium levels in exposed children are generally low and well tolerated, so, in selected cases, breastfeeding can be maintained, and close clinical and analytical monitoring of the child can be conducted, including measurement of thyroid and renal function, and serial lithium levels. We present a clinical case of a full-term newborn, born to a mother with bipolar disorder receiving lithium treatment, exclusively breastfed on demand, who in the second week of life showed toxic levels of lithium in plasma with no symptoms. Careful investigation of the case revealed that the elevated lithium levels were falsely elevated due to incorrect collection of the blood sample in a container containing lithium-heparin as an anticoagulant. The circumstances of the case will be reviewed as well as current recommendations on lithium intake by mothers and breastfeeding of their children.

Aerobic anoxygenic phototrophic bacteria correlate with picophytoplankton across the Atlantic Ocean but show unique vertical bioenergetics

AbstractAerobic anoxygenic phototrophic (AAP) bacteria are a common part of microbial communities in the sunlit ocean. They contain bacteriochlorophyll a (BChl a)‐based photosystems that harvest solar energy for their metabolism. Across different oceanic regions, AAP bacteria seem to be more abundant in eutrophic areas, associated with high chlorophyll concentrations. While most previous studies focused on surface samplings, there is limited information regarding their vertical distribution in euphotic zones of the major ocean basins. Here, we hypothesized that AAP bacteria will follow a similar structure to the chlorophyll depth profile across areas with different degrees of stratification. To test this hypothesis, we enumerated AAP cells and determined bulk water BChl a concentrations along the photic zone of a latitudinal transect in the South and Central Atlantic Ocean. Overall, the distribution of AAP bacteria was highly correlated to that of chlorophyll a and to the abundance of picophytoplankton across both vertical and horizontal gradients. Furthermore, estimated light energy captured across the water column showed that, while AAP bacteria share a common latitudinal pattern of light absorption with picophytoplankton, they display a unique vertical arrangement with highest photoheterotrophic activity in the top 50 m of the surface ocean.

The consequences of micro-discretions and boundaries in the social prescribing link worker role in England: a realist evaluation.

Social prescribing addresses non-medical factors affecting health and well-being. Link workers are key to its delivery by connecting people to relevant support, often in the voluntary, community and social enterprise sector. Funding from the National Health Service means that link workers are becoming a common part of primary care in England. To explore and understand the implementation of link workers in primary care in England. A realist evaluation addressed the question - When implementing link workers in primary care to sustain outcomes - what works, for whom, why and in what circumstances? Link workers and staff associated with seven primary care sites across England. Researchers spent 3 weeks with each link worker, going to meetings with them, watching them interact with patients, with healthcare staff and with voluntary, community and social enterprise organisations. In addition, interviews were conducted with 61 patients and 93 professionals (voluntary, community and social enterprise representatives and healthcare staff, including link workers). Follow-up interviews were conducted with 41 patients and with link workers 9-12 months later. Data were coded and developed into statements to identify how context around the link worker triggers mechanisms that lead to intended and unintended outcomes. We found that link workers exercise micro-discretions in their role - actions and advice-giving based on personal judgement of a situation, which may not always reflect explicit guidance or protocols. Our analysis highlighted that micro-discretions engender positive connections (with patients, healthcare staff, the voluntary, community and social enterprise sector) and promote buy-in to the link worker role in primary care. Micro-discretions supported delivery of person-centred care and enhanced job satisfaction. Data also highlighted that lack of boundaries could place link workers at risk of overstepping their remit. Our research focused on link workers attached to primary care; findings may not be applicable to those working in other settings. Data were collected around seven link worker cases, who were selected purposively for variation in terms of geographical spread and how/by whom link workers were employed. However, these link workers were predominately white females. Enabling link workers to exercise micro-discretions allows for responsiveness to individual patient needs but can result in uncertainty and to link workers feeling overstretched. Poor link worker retention may, in part, be associated with a lack of clarity around their role. Research to explore how this shapes intention to leave their job is being conducted by authors of this paper. This article presents independent research funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme as award number NIHR130247.

Unveiling the Mechanisms of Apoptosis Induction by Deep‐Sea‐Derived Polyketide‐Terpenoid Hybrids from Penicillium allii‐sativi: A Focus on Mitochondrial and mTOR Pathways

Comprehensive SummaryA chemical investigation of the deep‐sea‐derived fungus Penicillium allii‐sativi MCCC 3A00580 resulted in the discovery of four new meroterpenoids (1—4) and one related known co‐metabolite (5). These meroterpenoids showcase unique carbon skeletons featuring a common drimane sesquiterpene part with highly diverse polyketide units. Particularly, compound 1 incorporates a salicylic acid moiety while 2 possesses a rare peroxide bridge in the polyketide part. The structures of new compounds were assigned by extensive spectroscopic analysis, quantum calculations, and biogenetic considerations. Notably, 3 significantly blocked the mTOR signaling pathway, resulting in the arrest of cell cycle at G0‐G1 phase and triggering mitochondrial apoptosis in Hela cells. While the previously reported co‐metabolite macrophorin A (MPA) effectively triggered cell death in MDA‐MB‐231 cancer cells by activating apoptosis pathways involving death receptors, mitochondria, mTOR, and TNF.

The natural food composition of long-tailed macaque (Macaca fascicularis Raffles, 1821) inhabiting the Muara Angke Wildlife Reserve in North Jakarta

Long-tailed macaque (Macaca fascicularis) is one species of wild animals inhabits Muara Angke Wildlife Reserve (SMMA), a wetland reserve predominantly grown by mangrove swamp forest. As there is high encounter of M. fascicularis with human and high incident of human-given food, it is important to understand the composition of natural food of M. fascicularis. The method used was quantitative with data collection techniques using scan sampling technique with 5-minute intervals. Natural food source for M. fascicularis in SMMA is provided by 17 species of plants. The main natural food sources providing both leaves and fruits are Ficus benjamina (54.62%) and Sonneratia caseolaris (28.9%). The most common plant parts eaten by M. fascicularis are leaves (61%) and fruit (21%), resembles to those of leaf monkeys (langurs). However, is a high possibility that nutrient needed to supplement high leaf consumption in SMMA monkeys is provided by non-natural human-given food.

Imaging Features of Female Genital Tuberculosis and its Mimics

AbstractTuberculosis involving the female genital tract causes significant morbidity in women in the reproductive age group, where it is often associated with infertility. The fallopian tube is the most common part to be affected by the disease. Since female genital tuberculosis is a paucibacillary disease, organisms are often not detected. Therefore, multimodality imaging features play an important role in the diagnosis. A gamut of radiological investigations including hysterosalpingogram, ultrasound, and cross-sectional modalities like computed tomography and magnetic resonance imaging are available in the evaluation of disease. The key imaging differentials vary depending upon the part of the genital tract affected. This review will discuss the imaging appearances of tuberculosis of the female genital tract on various imaging modalities and their differential diagnosis.

Sinocutaneous Fistula: A Long-term Complication After Surgical Feminization of the Forehead.

Facial feminization surgery is part of the process of treating patients with gender dysphoria. Forehead contouring, a common part of facial feminization surgery, modifies masculine facial features of the upper third, especially decreasing the thickness of their frontal sinuses and the orbital bossing. Forehead contouring is considered a safe procedure with minor complications and high patient satisfaction. However, rare cases of sinocutaneous fistula have been reported as long-term complications. The diagnosis and therapeutic management of this complication are challenging. Therefore, the authors report a case of frontal sinocutaneous fistula occurring 2 years and 10 months after forehead contouring with its clinical presentation and treatment modalities. Surgeons practicing forehead contouring and patients undergoing this procedure should be aware of the risk of sinocutaneous fistula, a rare but severe complication that requires multidisciplinary medico-surgical care.

Pose-Aware Attention Network for Flexible Motion Retargeting by Body Part.

Motion retargeting is a fundamental problem in computer graphics and computer vision. Existing approaches usually have many strict requirements, such as the source-target skeletons needing to have the same number of joints or share the same topology. To tackle this problem, we note that skeletons with different structure may have some common body parts despite the differences in joint numbers. Following this observation, we propose a novel, flexible motion retargeting framework. The key idea of our method is to regard the body part as the basic retargeting unit rather than directly retargeting the whole body motion. To enhance the spatial modeling capability of the motion encoder, we introduce a pose-aware attention network (PAN) in the motion encoding phase. The PAN is pose-aware since it can dynamically predict the joint weights within each body part based on the input pose, and then construct a shared latent space for each body part by feature pooling. Extensive experiments show that our approach can generate better motion retargeting results both qualitatively and quantitatively than state-of-the-art methods. Moreover, we also show that our framework can generate reasonable results even for a more challenging retargeting scenario, like retargeting between bipedal and quadrupedal skeletons because of the body part retargeting strategy and PAN.

Assessment in community settings: Is there any role for individual competency-based assessment?

Oral forms of assessment remain a common part of competency-based assessment systems, yet their feasibility is being challenged. The focus on individual competence is problematic given the need to prepare health professionals for teamwork. The present study aimed to investigate how the assessment of collective competence compares to individual assessment, and to explore whether there is a need for individual assessment at all in community or population-based practice. A behavioural-based interview assessment was developed and trialled and correlated to performance as a team on placement. Correlation between student performance on individual behavioural-based interview and teamwork artefacts was assessed using Spearman rho. Differences between performance on individual oral assessment and team performance on artefacts at the cohort level was determined using the Mann-Whitney U-test. Bland-Altman analysis was completed to analyse agreement between performance on the individual oral assessment and team performance at the student level. Students were final year nutrition and dietetics students from 2020, 2021 and 2022 years (total sample = 216) from one Australian university. There was a difference in performance between assessment types in each year and as a total cohort (p < 0.001) with students performing better in teamwork. There was no correlation between individual oral interview and team performance across all years. The results of the Bland-Altman analysis showed little agreement between the two assessment tasks. Assessment of teamwork performance as part of a program of assessment is essential. More valid and reliable tools are needed to assess collective competence.

Carbonyl Chemistry for Advanced Electrochemical Energy Storage Systems.

On the basis of the sustainable concept, organic compounds and carbon materials both mainly composed of light C element have been regarded as powerful candidates for advanced electrochemical energy storage (EES) systems, due to theie merits of low cost, eco-friendliness, renewability, and structural versatility. It is investigated that the carbonyl functionality as the most common constituent part serves a crucial role, which manifests respective different mechanisms in the various aspects of EES systems. Notably, a systematical review about the concept and progress for carbonyl chemistry is beneficial for ensuring in-depth comprehending of carbonyl functionality. Hence, a comprehensive review about carbonyl chemistry has been summarized based on state-of-the-art developments. Moreover, the working principles and fundamental properties of the carbonyl unit have been discussed, which has been generalized in three aspects, including redox activity, the interaction effect, and compensation characteristic. Meanwhile, the pivotal characterization technologies have also been illustrated for purposefully studying the related structure, redox mechanism, and electrochemical performance to profitably understand the carbonyl chemistry. Finally, the current challenges and promising directions are concluded, aiming to afford significant guidance for the optimal utilization of carbonyl moiety and propel practicality in EES systems.

Major stoma complications in pediatric patients in a tertiary hospital in a low-middle-income country: a retrospective cohort study.

Intestinal stomas are one of the most common parts of pediatric surgical care,and complications arising from it have significant impact on overall patient outcomes. However, data on major complications in low-middle-income countries remain limited. This pilot retrospective cohort study aimed to investigate the prevalence, types, and management of major stoma complications in pediatric patients at a tertiary government hospital in the Philippines. Medical records of pediatric patients with major stoma complications classified as Clavien-Dindo III-V from June 2018 to June 2023 were reviewed. Patient-related factors (age, sex, diagnosis) and surgery-related factors (stoma type and location, surgeon expertise) were analyzed. Descriptive statistics characterized demographic profiles, while Chi-square and t tests analyzed categorical and continuous variables, respectively. Multivariable logistic regression evaluated independent associations with major stoma complications. Out of 1041 pediatric patients with stomas, 102 cases had major complications, representing a prevalence rate of 9.8%. Mortality directly attributed to stoma complications accounted for 1.3% of the total cases, or 14 deaths in 5years. Neonates comprised a significant portion, primarily diagnosed with congenital conditions like anorectal malformation and Hirschsprung's disease. Ileostomies exhibited a higher incidence of major complications compared to other stoma types. Stomal prolapse and adhesive bowel obstruction are the most common reported stoma complications requiring surgical intervention while stoma revision is the most frequent corrective procedure. The median time from stoma creation to presentation of major complication was 14months, with nearly half of the complications occurring within the first year. Only the presence of ileostomy had significant association with the development of major complications among the risk factors analyzed. This study provides useful insights into stoma complications in pediatric patients in a low-middle income country. Despite the lack of significant associations between the patient-related and surgeon-related factors, and major stoma complications, further investigation into other contributing factors is warranted. Improvements in data collection methods and prospective studies with larger sample sizes are recommended to enhance understanding and optimize care of major stoma complications. Addressing the challenges identified in this study could lead to a comprehensive and tailored approach to pediatric stoma care and their complications.

НАПИСАНИЕ СЦЕНАРИЯ КАК ИНСТРУМЕНТ БИБЛИОТЕРАПИИ

In addition to individual or shared therapeutic reading, creative writing is a common part of bibliotherapy, which deals with the use of literary arts for preventive and therapeutic purposes. Often this involves the professional writing of stories, essays, poems and other literary works, therapeutic diaries and therapeutic letters with a therapeutic-educational purpose, with the aim of processing experiences and memories after the fact. The paper discusses life script writing as an important part of the therapeutic instrumentation used in therapeutic-educational oriented bibliotherapy. It is about the conscious creative shaping of one's own life story in the immediate future here and now. The paper is loosely connected to the paper Literary Art in Therapeutic Education, which was published in the last issue of Medicine &amp; Art (3/2023); therefore, some terms that have been used before are not reexplained in this paper. It is intended for experts who are interested in bibliotherapy and imagination as tools for mobilizing a person's internal healing powers to support their health and well-being.