bluuebunny/crossref_metadata_2025 huggingface dataset:
Quality Art and Design Education among Physically Challenged Ordinary Level Learners at a Special Education Secondary School in Zimbabwe
Authors: Sibanda Zibulo , Sibanda Lwazi
Published: December 2022

The twenty-first century Art and Design education for learners with disabilities has to swivel from just being a psychomotor remedy to assessable and skills oriented subject in special schools. This change is in sync with many educationists who view quality Art and Design education as a platform for helping learners to fully develop, including those with disabilities. Through quality Art and Design education, learners with disabilities are not only uplifted educationally but also socially, psychologically, intellectually and physically. Hence, this study assessed the provision of quality Art and Design education among physically challenged Ordinary Level learners in a Bulawayo Central District school in Zimbabwe. Interpretivist paradigm, qualitative approach and case study design were adopted. Thematically analysed data were collected through semi-structured interviews, focus group discussions and document analysis. Purposively chosen sample comprised sixteen physically challenged Ordinary Level Art and Design learners, two Art and Design teachers, two school administrators, one subject inspector, one physio-occupational therapist and three School Development Committee members. Findings reveal that active learning methodologies, low teacher-learner ratio, assessment practices and adaptable environment enhanced quality Art and Design education to physically challenged learners at the school understudy. However, inadequacy of assistive devices, human and instructional resources, and lack of support from other stakeholders compromised the quality of Art and Design education among physically challenged Ordinary Level learners at the school. The study concluded that though the selected school encountered some constraints in providing quality Art and Design education to physically challenged learners there were noticeable good practices adopted.
Three new species of the antipatharian-inhabiting barnacle, of the genus Conopea (Arthropoda, Thecostraca, Balanomorpha), from the East China Sea and South China Sea, and a way of life for the genus
Authors: Li Jie
Published: December 2022

One new species of Conopea (Say 1822) are described from the East China Sea: Conopea hongqi. This new species was collected from the sea area 1956, the East China Sea, China. trawled in 350-450m. Attached to antipatharians that lives on a muddy, sandy seafloor with a few reefs. It has a shape that is significantly different from other species of the genus Conopea, a pair of lateral plates and corresponding basis protrude to both sides, forming a pair of sharp corners, Of the 20 species of Conopea, only one in the Gulf of Guinea in Africa has a similar structure and is far less developed than that of Conopea hongqi. Conopea hongqi has a way of life that has never been seen before in the genus Conopea, with some Conopea hongqi living in the protein axis of antipatharians rather than attached to it.
Collaboration Among Providers to Treat COVID-19 Patients at Home Opens Beds for Those with More Serious Illness
Authors: Kidd Lisa
Published: December 2022

In March 2020, COVID-19 cases were beginning to emerge in North Florida and concern over hospital bed capacity started to rise. Baptist Health System in Jacksonville, Florida quickly formed a multidisciplinary team to explore how we could increase hospital bed capacity. Utilizing the resources within our affiliated home healthcare agency, an Enhanced Home Support Model (EHSM) with a COVID-19 protocol was developed. The protocol was implemented by home health nurses and included COVID-19 testing, blood tests, and the ability to start oxygen at home on admission. Patients were provided self-monitoring equipment and information about self-isolating and infection control within the home. After the initial visit, the home health nurse and the primary care physician shared collaborative oversight through virtual visits. This article discusses how we initially approached identification of severity and the methods we used to implement the protocol. The results section offers information about the number of patients utilizing this protocol between April and December 2020; patient and physician satisfaction; and considers strengths and weaknesses of the program. In conclusion, the EHSM protocol allowed patients to receive high quality emergent care at home and increased access to hospital emergency departments and inpatient hospital beds for more seriously ill patients.
Ritmos métricos accidentales o locuciones idiomáticas en inscripciones galas consideradas como carmina ( CIL , XIII, 1983, 1972, 2073, 2216, 1849)
Authors: Fernández Martínez Concepción
Published: December 2022

L’article analyse les possibles formes métriques d’une série d’inscriptions latines considérées comme métriques, afin de décider de leur inclusion ou de leur exclusion du corpus des  Carmina Latina epigraphica des Gaules. En outre, l’article propose une édition critique et un commentaire philologique de ces inscriptions.
Tite-Live et César Auguste
Authors: Mészáros Alexis
Published: December 2022

Généralement considéré comme un auteur d’époque augustéenne, Tite-Live avait cependant composé les deux premières décades pendant la période triumvirale. L’article envisage en premier lieu les théories traditionnelles concernant les dates de vie et les occupations extra-historiographiques de Tite-Live, afin de démontrer la fragilité des arguments avancés et permet de situer la date de naissance de Tite-Live entre 65 et 55 av. J.-C. sans pouvoir être plus précis. Les liens de Tite-Live avec les cercles littéraires et politiques de son temps sont ensuite analysés afin de démontrer un relatif isolement de l’historien padouan et une absence de liens directs avec César Auguste et Claude. Enfin, une nouvelle datation de la composition de la première décade est proposée à partir de l’introduction par Tite-Live du concept de princeps senatus dans les Ab Vrbe condita libri , œuvre que l’on peut considérer comme d’époque triumvirale et non augustéenne.
An innovative fuzzy parameterized MADM approach to site selection for dam construction based on sv-complex neutrosophic hypersoft set
Authors: Rahman Atiqe Ur , Saeed Muhammad , Mohammed Mazin Abed , Al-Waisy Alaa S , Kadry Seifedine , Kim Jungeun
Published: December 2022

Dams are water reservoirs that provide adequate freshwater to residential, industrial, and mining sites. They are widely used to generate electricity, control flooding, and irrigate agricultural lands. Due to recent urbanization trends, industrialization, and climatic changes, the construction of dams is in dire need, which is planning intensive, quite expensive, and time-consuming. Moreover, finding an appropriate site to construct dams is also considered a challenging task for decision-makers. The dam site selection problem (DSSP) has already been considered a multi-criteria decision-making (MCDM) problem under uncertain (fuzzy set) environments by several researchers. However, they ignored some essential evaluating features (e.g., (a) fuzzy parameterized grades, which assess the vague nature of parameters and sub-parameters, (b) the hypersoft setting, which provides multi-argument-based domains for the approximation of alternatives, (c) the complex setting which tackles the periodicity of data, and (d) the single-valued neutrosophic setting which facilitates the decision makers to provide their opinions in three-dimensional aspects) that can be used in DSSP to make it more reliable and trustworthy. Thus this study aims to employ a robust fuzzy parameterized algebraic approach which starts with the characterization of a novel structure "fuzzy parameterized single valued complex neutrosophic hypersoft set ($ \tilde{\lambda} $-set)" that is competent to deal with the above-mentioned features jointly. After that, it integrates the concept of fuzzy parameterization, decision-makers opinions in terms of single-valued complex neutrosophic numbers, and the classical matrix theory to compute the score values for evaluating alternatives. Based on the stages of the proposed approach, an algorithm is proposed, which is further explained by an illustrative example in which DSSP is considered a multiple attributes decision-making (MADM) scenario. The computed score values are then used to evaluate some suitable sites (regions) for dam construction. The computational results of the proposed algorithm are found to be precise and consistent through their comparison with some already developed approaches.
Uniqueness of entire solutions to quasilinear equations of $ p $-Laplace type
Authors: Phuc Nguyen Cong , Verbitsky Igor E.
Published: December 2022

We prove the uniqueness property for a class of entire solutions to the equation

   \begin{document}$ \begin{equation*} \left\{ \begin{array}{ll} -{\rm div}\, \mathcal{A}(x,\nabla u) = \sigma, \quad u\geq 0 \quad {\text{in }} \mathbb{R}^n, \\ {\liminf\limits_{|x|\rightarrow \infty}}\, u = 0, \end{array} \right. \end{equation*} $\end{document}

where $ \sigma $ is a nonnegative locally finite measure in $ \mathbb{R}^n $, absolutely continuous with respect to the $ p $-capacity, and $ {\rm div}\, \mathcal{A}(x, \nabla u) $ is the $ \mathcal{A} $-Laplace operator, under standard growth and monotonicity assumptions of order $ p $ ($ 1 < p < \infty $) on $ \mathcal{A}(x, \xi) $ ($ x, \xi \in \mathbb{R}^n $); the model case $ \mathcal{A}(x, \xi) = \xi | \xi |^{p-2} $ corresponds to the $ p $-Laplace operator $ \Delta_p $ on $ \mathbb{R}^n $. Our main results establish uniqueness of solutions to a similar problem,

   \begin{document}$ \begin{equation*} \left\{ \begin{array}{ll} -{\rm div}\, \mathcal{A}(x,\nabla u) = \sigma u^q +\mu, \quad u\geq 0 \quad {\text{in }} \mathbb{R}^n, \\ {\liminf\limits_{|x|\rightarrow \infty}}\, u = 0, \end{array} \right. \end{equation*} $\end{document}

in the sub-natural growth case $ 0 < q < p-1 $, where $ \mu, \sigma $ are nonnegative locally finite measures in $ \mathbb{R}^n $, absolutely continuous with respect to the $ p $-capacity, and $ \mathcal{A}(x, \xi) $ satisfies an additional homogeneity condition, which holds in particular for the $ p $-Laplace operator.
Controversy on the ferroelectricity in metal–formate frameworks
Authors: Peksa Paulina , Sieradzki Adam
Published: December 2022

The metal–organic frameworks (MOFs) crystallizing in a perovskite-like architecture became extremely interesting for scientists due to a variety of applications including memory devices, energy conversion and drug delivery. These compounds are constructed from a metal–oxygen or metal–nitrogen octahedral coordinated by organic ligands. They exhibit various interesting properties due to their hybrid organic–inorganic nature. However, ferroelectric MOFs still remain scarce and the topic of ferroelectricity raises a lot of controversies. In this article, we will discuss the actual state of knowledge of these specific compounds with a focus on ferroelectric properties. We will try to create an order out of the current confusion that followed attributing ferroelectric properties to metal–formate frameworks without a direct proof.
Gramsci en Pasolini : l’art d’aimer de l’autre côté du prisme cinématographique
Authors: Crézégut Anthony
Published: December 2022

Pier Paolo Pasolini et Antonio Gramsci, le poète frioulan, le romancier des subalternes, le cinéaste du sacré contre la religion, le polémiste politique du néo-capitalisme et le dirigeant communiste, fondateur du PCI que le régime fasciste condamna à la mort lente dans une prison, l’un des théoriciens marxistes majeurs du xxe siècle. Ils forment comme une symbiose dans l’imaginaire, avec cette figure iconique de l’auteur des Lettere luterane (Lettres luthériennes) communiant au cimetière protestant de Rome devant la tombe de Gramsci au début des années 1970. Pasolini l’a dit plus d’une fois, la lecture des Lettere dal carcere (Lettres de Prison) en 1947-1948 fut pour lui une révélation. Gramsci devint un modèle christique de notre temps, se confondant avec son propre frère partisan antinazi, Guido. Modèle aussi de l’intellectuel comme « cheville médiatrice des classes », l’« intellectuel organique ». Pourtant l’étude du rapport réel de Pasolini à Gramsci se révèle double, relevant d’une « inquiétante étrangeté », ambivalent : « Je sens quel fut ton tort (...) et en même temps combien tu eus raison ». À la fois une inspiration symbolique profonde, mais aussi un éloignement progressif dans le corso pasolinien qui n’exclut pas les récurrences, résurgences, retour éternel et protéiforme de Gramsci et les ruptures dans le discours pasolinien. Gramsci reste dans la matrice de ce rapport cet « humble frère » le séparant de « nos pères » que Pasolini renie, frère qu’il loue de façon amoureuse non sans identification fusionnelle dans Le ceneri di Gramsci (les Cendres de Gramsci).
Andreï Biély et Alexandre Blok
Authors: Courville Stanislas de
Published: December 2022

Lorsque Maxime Gorki relate sa rencontre avec le Cinématographe en 1896, il met en garde contre cet appareil qu’il craint de voir s’allier au mouvement symboliste auquel il s’oppose. Dix ans plus tard, la jeune invention se trouve emportée dans les débats des symbolistes et est brandie par l’un d’eux, Andreï Biély, comme réponse à la recherche d’un « théâtre démocratique de l’avenir » jusqu’ici opérée sur les planches, notamment avec la Baraque de foire (Balagantchik), pièce d’Alexandre Blok montée avec fracas par le jeune Vsevolod Meyerhold. Ce travail revient sur cette période et son contexte théorique et artistique, montrant et expliquant les raisons pour lesquelles Andreï Biély, lorsqu’il lui consacra un article en 1907, qualifia énigmatiquement le cinématographe de « baraque de foire au sens le plus noble et le plus élevé du terme »
Efficient Detection of Humans in Flames Using HOG as a Feature Criterion in Machine Learning
Authors: Kumar Upendra
Published: December 2022

Detection of humans in flames is a challenging task. The task in this work is classified into two stages. The first is detection of fire, and the second is detection of human. The proposed method involves fire detection based on colour format YCbCr for image preprocessing. It further uses a histogram of oriented gradient (HOG) and support vector machine (SVM) to detect a human in the fire. It evaluates several motion-based feature sets for human detection in the form of videos. In this work, both modules were integrated to make them work together. For the detection of fire, four different rules involving colour thresholding were used and background differencing was used for moving object detection. The main objective of this work is to spot the humans in the flames who are trapped in it so they can be rescued quickly. This can help the firefighters in rapid planning and serious zone detection. The proposed model has 81% efficiency, which has outperformed the existing models for detection of humans in flames.
From B2B Survivor to SAP's Swallow
Authors: Wang John , Zhou Steve Bin , Li Yang , El Bouhissi Houda
Published: December 2022

Ariba Inc. and Commerce One Inc. (C1), two bellwethers with e-entrepreneurship in the e-commerce field, provided business-to-business (B2B) spend management and supply chain services. After having been wiped out by the devaluation of the stock market that followed the dot-com era, C1 is extinct today. Having faced the same market condition and serious competition, innovative Ariba had a different path and was acquired by SAP in 2012. Nowadays, SAP Ariba (formerly known as Ariba) is the largest digital B2B network on the planet. Why did Ariba survive whereas C1 collapsed? The authors explore the external (hidden costs, high-priced software, hurtful investigation, harmful publicity) and internal (adaptations to environment, acquire to advance, add consulting services, aim customer support) factors that would draw lessons for other companies to learn.
A Proposal for Research on the Application of AI/ML in ITPM
Authors: Mishra Anoop , Tripathi Abhishek , Khazanchi Deepak
Published: December 2022

According to the market research firm Tractica, the global artificial intelligence software market is forecast to grow to 126 billion by 2025. Additionally, the Gartner group predicts that during the same time as much as 80% of the routine work ,  which represents the bulk of human hours spent in today's project management (PM) activities, can be eliminated because of collaboration between humans and smart machines. Today's PM practices rely heavily on human input. However, that is not the optimum use of the human project manager's intuitive, innovative, and creative abilities. Many aspects of a project manager's work could be managed by machines that utilize AI/ML approaches to address nonroutine and predictive tasks. This paper describes IT project management (ITPM) processes and associated tasks and identifies the AI/ML approaches that can support them.
Do Institutional Group Holding Anomalies Drive Broad Market Trends?
Authors: Liu Jia , Li Wenqiang , Li Qingru
Published: December 2022

This paper focuses on the behaviour of institutional investors in the Chinese stock market and quantifies their “group holding” behaviour. Using the Shannon entropy in network systems, the authors measure institutional investors' stock holdings strategy and internal private information transmission. A time-varying parametric vector autoregressive model between institutional behaviour and secondary stock market trends in China is constructed. The time-varying nature of the variables, response functions, and linkage mechanisms are explored and studied. The results of the data suggest that institutional investors' stock holdings and private information transmission have different mechanisms of influence on stock market trends. In terms of direction, they may diverge; in terms of size, institutional investors' “real money” is more impactful than “gossip”; in addition, they are asymmetrical in their stage of development and heterogeneous in different market conditions.
PENSANDO SOBRE O ACOLHIMENTO DE IMIGRANTES REFUGIADOS: DESCULTURAÇÃO, ESTIGMA E SOLIDARIEDADE
Authors: De Campos Borges Carolina
Published: December 2022

Na última década, o Brasil tem vivido o desafio de acolher e integrar pessoas que migraram por razões forçadas, vindas principalmente do Haiti, da Venezuela e da Síria. Este artigo discute, a partir de um enfoque teórico, o acolhimento de imigrantes refugiados. Discorre-se, primeiramente, sobre a condição de vulnerabilidade psíquica constituída na migração, decorrente da quebra no quadro de referências culturais interiorizado pelo indivíduo deslocado, e ressalta-se a relevância de atividades de acolhimento para a promoção de saúde mental nesta população. Em seguida, reflete-se sobre alguns efeitos indesejáveis que podem ser produzidos na prática de acolhimento devido à dimensão intercultural da relação entre agentes e sujeitos das ações. São eles a desculturação e a estigmatização, fenômenos que ameaçam a integridade e a saúde mental dos imigrantes, devendo, portanto, ser evitados em um contexto de acolhimento.  A construção de laços de solidariedade e reciprocidade apresentam-se como efeitos desejáveis do contato estabelecido entre imigrantes e voluntários na prática de acolhimento. Este artigo foi inspirado na experiência de realização de aulas de português para haitianos na cidade de Dourados, estado de Mato Grosso do Sul.
ASSIM SE BENZEM CRIANÇAS : GEOGRAFIAS DOS CUIDADOS E TERRITÓRIOS DE INFÂNCIAS
Authors: Rodrigues Vieira de Paula Sara , Moreira Lopes Jader Janer
Published: December 2022

Neste texto, nossa atenção está voltada para entender como as relações de cuidado entre pais, filhos e filhas se materializam nos espaços. A intenção é compreender como as relações de cuidar se espacializam e como uma geografia dos cuidados engendrada pelos pais constitui uma geografia das parentalidades. Trazemos para o debate as pesquisas de Aitken (2019a, 2019b) sobre as famílias eslovenas que foram apagadas pela história, pelos instrumentos oficiais de cidadania e pela Lei de Estrangeiros e como isso afetou as relações de cuidado dos pais com seus filhos e suas filhas. Dando continuidade ao texto, apresentamos um tema que tem sido recorrente em nossas investigações, agora em território brasileiro: as práticas das benzedeiras e benzedores. Os trabalhos de Pereira e Gomes (2018) e Lopes (1998) nos ajudam a compreender melhor esses sujeitos que exercem os rituais de cura – que podem ser considerados práticas de cuidado – em que o benzedor vai forjando ao seu redor uma teia de proteção. Relacionando a figura do pai com a do benzedor, analisamos o personagem Zeca Chapéu Grande, do romance Torto arado, de Itamar Vieira Junior (2020), como uma representação possível desse sujeito que cuida de seus próprios filhos e filhas, ao mesmo tempo em que exerce uma paternidade que se expande para além de sua casa, abarcando todos aqueles que o procuram em busca de cuidado e proteção. Assim, ao longo do texto, a intenção foi evidenciar as relações entre pais e filhos e filhas que se dão nos espaços de suas vidas e como os pais vão criando uma geografia de cuidado em seu entorno.
UMA LEITURA METAPSICOLÓGICA SOBRE A COMPULSÃO À REPETIÇÃO E SUAS POTENCIALIDADES TERAPÊUTICAS
Authors: Polizeli Caroline , HONDA HELIO
Published: December 2022

Fenômenos associados à compulsão à repetição apresentam-se na clínica psicanalítica como reveladores de uma dor da qual o paciente nada sabe dizer, mas que se impõe como um destino implacável. Partilhando da opinião de alguns psicanalistas sobre as potencialidades terapêuticas inscritas na compulsão à repetição e cientes das dificuldades que envolvem a sua justificação teórica, este artigo busca aclarar a trama conceitual da metapsicologia que pode vir a embasar tal compreensão. Desse modo, partindo de uma pesquisa conceitual, objetivamos explicitar os fenômenos metapsicológicos que estão inscritos na repetição, propiciando uma releitura de aspectos importantes da obra freudiana. Assim, o artigo desenvolve a ideia de que as energias disruptivas presentes na compulsão à repetição, ao serem submetidas ao trabalho de ligação realizado pelo ‘Eu’, um processo secundário por excelência, articulado às noções de fusão e desfusão pulsionais, presentes em textos da etapa madura das reflexões de Freud, permite lançar alguma luz sobre processos obscuros subjacentes aos fenômenos em tela.
Comparison of Effectiveness of CE Technique and Jaw Thrust Technique for Mask Ventilation on Apneic Anesthetized Adults
Authors: Madhav Akshara , Parate Leena Harshad , Govindswamy Suresh
Published: December 2022

Background:

The two most common techniques for mask ventilation are CE and jaw thrust (JT) technique. However, few studies have validated their efficiency in terms of tidal volume (TV).

Aims:

This study aimed to compare the effectiveness of the CE technique and JT technique during pressure-controlled ventilation (PCV) by the mean of returned TV on apneic anesthetized adults.

Design:

This was a prospective, randomized cross over study.

Settings:

This study was conducted in a tertiary care hospital.

Methods:

Ethical Committee approval from our institution was taken (ss-1/EC 049/2017) and was registered in Clinical Trials Registry of India (CTRI/2018/04/012958). Sixty-five American Society of Anesthesiologists Physical Status classes I and II adult patients were enrolled in the study. After induction and muscle relaxation, mask ventilation was performed with CE and JT technique on PCV mode (Pinsp 15 cm H2O, respiratory rate 15) for 1 min each. The mean of returned TV of last 12 breaths, gastric insufflation, audible mask leak, and operator comfort in each technique were compared.

Statistical Analysis:

Statistical software namely IBM SPSS 22.0 and R environment version 3.2.2 (IBM Corp. SPSS Statistics for Windows, Version 22.0. Armonk, NY, USA) were used for data analysis. Microsoft Excel was used to generate graphs and tables. Data were expressed as mean ± standard deviation for continuous variables and number (%) for categorical variables. Student's t-test (two tailed, independent) was used to find the significance of the study parameters on a continuous scale. Chi-square/Fisher's exact test was used to find the significance of the study parameters on a categorical scale between two or more groups.

Results:

There was a significant increase in mean TV generated by JT technique over CE technique (591.46 ± 140.27 mL vs. 544.59 ± 159.08 mL; P < 0.001). Gastric insufflation (12.9% vs. 14.5%) and mask leak (11.3% vs. 38.7%) were more in CE technique. Operator comfort (79% vs. 19.4%) was more in JT technique.

Conclusion:

A two-handed JT technique is more effective than a one-handed CE technique for mask ventilation in apneic anesthetized adults.
Comparing Efficacy of Intravenous Dexmedetomidine and Lidocaine on Perioperative Analgesic Consumption in Patients Undergoing Laparoscopic Surgery
Authors: Singh Vishwadeep , Pahade Akhilesh , Mowar Ashita
Published: December 2022

Background:

Perioperative pain management is a major challenge for anaesthesiologists. IV lidocaine and dexmedetomidine have been utilised for peri-operative pain management.

Aims and Objectives:

To analyse the effects of intraoperative intravenous lignocaine/dexmedetomidine on pain relief, opioid consumption, peri-operative hemodynamic and side-effect profiles/unique interactions in patients undergoing laparoscopic surgeries.

Materials and Methods:

Prospective, interventional, single-centric, double-blind, randomised, active-controlled, Helsinki protocol-compliant clinical study was conducted on 90 ASA I/II class patients aged 18-60 yrs. This Patients were block-randomised to Group-L (2% Lignocaine), Group-D (dexmedetomidine) and Group C (Control/Placebo/0.9% normal saline). Hemodynamic were noted at pre-defined time frames intra-/post-operatively. Post-operative VAS score and Richmond Agitation Sedation Score monitoring was done.

Results:

Demographic parameters of were comparable. Mean intra-operative fentanyl consumption amongst the three groups were 20.5 ± 20.05 mcg, 26.5 ± 17.57 mcg and 46.83 + 21.31 mcg (Group-L, Group-D, Group-C; P value Group-L vs Group-D:0.22, Group L/D vs Group C: <0.0001). Group-D exhibited the lower heart rates and MAP (P < 0.05). Extubation- First rescue analgesic phase was comparable for the Group-C and Group-L (59.17 ± 46.224 min vs 61.64 ± 53.819 min) and significantly greater in Group-D (136.07 + 55.350 min; P < 0.0001).

Conclusion:

Both Dexmedetomidine and lignocaine can be useful intra-operative pain relief adjuncts. Dexmedetomidine delayed First rescue analgesic and total analgesic consumption more than lignocaine. Dexmedetomidine patients exhibited bradycardia intraoperatively more than the other groups. we recommend, Dexmedetomidine in the intra-operative phase and lignocaine in the post-operative phase can be an alternative in patients who are poor candidates for post-operative opioids/sedation/contraindicated regional anaesthesia regimes.
Effects of the COVID-19 Pandemic on the Mental Health of Anesthesiologists
Authors: Singh Neha , Mitra Jayanta Kumar , Sriramka Bhavna , Mohapatra Devi Prasad , Mishra Shree , Panigrahi Sahadeb
Published: December 2022

Introduction:

In the COVID-19 pandemic, frontline health-care workers (HCWs) including anesthesiologists have been fatigued due to long working hours in critical care units or operation theaters and necessity to remain available on call at odd hours. In addition, the exposure to numerous diseased and morbid patients throughout the prolonged pandemic period has predisposed them to psychological distress.

Materials and Methods:

This is a cross-sectional study to evaluate the depression and anxiety among the HCWs during COVID. The demographic and general information of 237 HCWs across India, through an online survey was collected and analyzed.

Results:

The male: female ratio of the studied population was 53:47. In addition, 50% of the participants were aged <35 years, and 80% of participants were married and living with family and parents. The consultants working in combined (COVID and non-COVID) areas exhibited maximum participation in the survey, with 80% of them involved in aerosol-generating procedures. Of the total, 73.1% of participants exhibited depression, 45.8% of participants exhibited anxiety, 36.2% of participants exhibited stress, and 25.3% of participants exhibited disturbed sleep patterns.

Conclusions:

Most HCWs on COVID-19 duty exhibited emotional disorders such as anxiety, depression, stress, and insomnia. Addressing risk factors identified in the present study with targeted interventions and psychosocial support will allow health-care workers to cope better.
A Comparative Study between Local Dexmedetomidine and Intravenous Dexmedetomidine during Awake Fiberoptic Nasotracheal Intubation
Authors: Sancheti Abhay G. , Swami Sarita S. , Konnur Shweta Laxmikant , Amin Nooh
Published: December 2022

Background:

Awake fiberoptic intubation (AFOI) is the gold standard for managing a difficult airway. To make the patient comfortable and cooperative during the procedure, many drugs such as benzodiazepines, opioids, or dexmedetomidine are used. Most of these intravenously given drugs may cause respiratory depression and hypoxia.

Aim:

We compared the efficacy of dexmedetomidine through nebulization and transtracheal route with intravenous routes with the primary aim of comparing patient tolerance score (PTS) and secondary objectives of comparing sedation score, cough score, and total duration required for awake fiberoptic nasotracheal intubation.

Settings and Design:

This study was a prospective randomized double-blind study.

Subjects and Methods:

Seventy-six patients, scheduled for elective surgery requiring AFOI between 18 and 75 years, were included in the study. They were randomly divided into two groups of 38 each. Group I patients received intravenous dexmedetomidine 1 μg.kg−1 and Group L patients received local dexmedetomidine through nebulization 0.5 μg.kg−1 and transtracheal injection 0.5 μg.kg−1.

Statistical Analysis Used:

Statistical Package for the Social Sciences version 22 was used.

Results:

Patients who received dexmedetomidine through nebulization and transtracheal route have significantly better PTSs and less cough scores as compared to patients who received dexmedetomidine by intravenous route (P < 0.05). Hemodynamic parameters and sedation scores between the two groups were statistically insignificant (P > 0.05). The time required for the procedure was significantly less in Group L compared to Group I (P < 0.05).

Conclusion:

Dexmedetomidine by nebulization and transtracheal route provides optimal conditions for AFOI with good patient tolerance and less cough score as compared to the intravenous route.
Comparative Evaluation of C-MAC Videolaryngoscope with Macintosh Direct Laryngoscope in Patients with Normal Airway Predictors
Authors: Kumari Meena , Aastha  , Kumari Anju , Bathla Sapna , Sabharwal Nikki , Das Akshaya Kumar
Published: December 2022

Background:

Video laryngoscopes (VL) assist in securing the airway faster and more accurately in difficult airways. However, data regarding its usefulness in patients with normal airways are sparse.

Aim:

We designed this study to compare the ease and success of endotracheal intubation between C-MAC and Macintosh direct laryngoscope (DL) in adult patients with no anticipated airway difficulty.

Settings and Design:

The design involves prospective randomized case − control study.

Subjects and Methods:

One hundred and twenty adult patients with predicted normal airway were randomized into two groups and were intubated using VL (C-MAC VL) and DL (Macintosh DL), respectively. The Cormack-Lehane (CL) grade, time taken for intubation, attempts taken (number), and need for laryngeal maneuvers or stylets were recorded and analyzed for statistical significance.

Results:

Thirty-eight patients in the DL group and 48 patients in the VL group had CL I view, 20 patients in the DL group and 16 patients in the VL group had CL II, and two patients in the DL group had CL III view. None of the patients in Group VL had CL III view. In seven out of 60 cases in the DL group, difficulty was experienced during insertion of the laryngoscope blade as compared to two cases out of 60 in the VL group. The mean time taken for intubation was lesser in Group DL (28.48 s) as compared to 39.3 s in Group VL. Nine patients in Group DL and 16 patients in Group VL required external laryngeal manipulation. Stylets were used, in seven patients in group DL and in 11 patients in group VL.

Conclusions:

In patients with a predicted normal airway, C-MAC provides a better glottic view compared to Macintosh DL. Time taken for intubation using the C-MAC video laryngoscope was more. However, success rates on the first attempt at endotracheal intubation and the number of intubation attempts with either laryngoscope were similar.
To Compare the Effectiveness of Granisetron Versus Ondansetron to Control Nausea and Vomiting During Lower Segment Cesarean Section Under Subarachnoid Block
Authors: Mehta Milan Vijaykant , Chudasama Palak Anilkumar , Baria Tushar
Published: December 2022

Background:

Nausea and vomiting (NV) seen during and after lower segment cesarean section (LSCS) are due to increased intragastric pressure, hypotension, stretching the peritoneum (exteriorization of the uterus), excessive surgical manipulation and visceral stimulation, using opioids, using uterotonic agents, and the patient's mental status. Ondansetron and granisetron intravenous (i.v.) are useful for avoiding bradycardia and hypotension.

Objectives:

The objective of this study is to study the effectiveness of granisetron versus ondansetron to control NV during LSCS under subarachnoid block.

Materials and Methods:

Eighty patients undergoing elective cesarean section under spinal anesthesia by intrathecal bupivacaine were randomly divided into two groups (40 pregnant females of the American Society of Anesthesiologists physical status Classes I and II in each Group). Group 1 received granisetron 40 mg.kg−1 i.v. stat after clamping the cord and Group 2 given i.v. ondansetron 8 mg stat after clamping the cord. NV were observed at the “early postoperative period (0–3 h)” and “late postoperative period (4–24 h).”

Statistical Analysis Used:

Student's t-test and Chi-square test were used to find out the statistical significance, P < 0.05 was considered statistically significant.

Results:

The mean age was 29.3 years with 4.15 standard deviation (SD) and 28.3 years with 4.41 SD in Groups 1 and 2, respectively. The mean duration of surgery was 53.1 min with 6.67 min SD and 57.7 min with 10.26 SD in Groups 1 and 2, respectively. In the “early postoperative period,” NV observed in 7.5% and 10.0% participants in Groups 1 and 2, respectively (P > 0.05), and in “late postoperative period,” NV observed in 0.0% and 22.5% participants in Groups 1 and 2, respectively (P < 0.05).

Conclusion:

Granisetron reduces the severity of spinal-induced hypotension, need for rescue vasopressor, and incidence of nausea.
Clinicoetiological study on vaginal discharge among sexually active women attending a tertiary center in North Kerala, India
Authors: John Nimmi , Rahima S. , Raji Thazhathe Kandi , Santhosh Parvathy , Kidangazhiathmana Ajithkumar , Sukumarakurup Sreekanth
Published: December 2022

Background:

Vaginal discharge is a common complaint among women attending the sexually transmissible infections (STIs) clinic and is a cause for concern and mental distress. It can be attributed to physiological or pathological causes. This study aims to understand the prevalence of various etiologies of vaginal discharge, which would help frame health policies based on local needs.

Objectives:

(1) To estimate the prevalence of discharge per vaginum among sexually active women attending the STI clinic at a tertiary care center during a 1-year period, (2) To identify the organisms causing vaginal discharge, (3) To have a clinicoetiological correlation of the cases, and (4) To identify the subspecies of Candida causing vaginal candidiasis.

Materials and Methods:

A total of 126 patients with vaginal discharge attending the STI clinic at a tertiary care center were included in the study. A detailed clinical history, physical examination of the external genitalia, and vaginal examination were done on each patient. Five swabs were taken from the posterior fornix and lateral vaginal wall for evaluation of the organisms.

Results:

The mean age of the study population was 31.51 ± 7.9 years. Vulvovaginal candidiasis (VVC) was found to be the most common cause of vaginal discharge, followed by bacterial vaginosis, mucopurulent cervicitis, herpes genitalis, and trichomoniasis. The most common species of Candida was found to be Candida albicans.

Conclusion:

Even though VVC still remains the major cause, other viral infections like herpes significantly contribute. Vaginal discharge is an important indicator of women's reproductive health and its detailed evaluation helps identify the prevalence of various STIs in the community.
Coexistence of human immunodeficiency virus infection and autoimmune hepatitis
Authors: Manrai Manish , Vashisht Rohit , Arivalagan Balakrishnan , Baveja Puneet , Kashif Ahmed Waheed , Menon Anil
Published: December 2022

A wide spectrum of hepatobiliary manifestations occur in Human Immunodeficiency Virus (HIV)-infected patients. Among the common causes are the infectious hepatitis, drug-related hepatitis, opportunistic infections, non-alcoholic steatohepatitis, HIV cholangiopathy and neoplasm. Auto-immune hepatitis (AIH) is rarely reported in this setting. We present two different presentations of auto immune hepatitis in HIV positive patients. One developed jaundice and ascites as a consequence of liver decompensation and other exhibited cholestatic pattern. Their serology and liver biopsy confirmed autoimmune hepatitis as underlying aetiology. We would like to share the clinical improvement with simultaneous immunosuppressive therapy and combination Anti Retroviral Therapy (cART). There are no documented cases on this issue from the Indian subcontinent that we are aware of.
In Vitro Study of the Effect of Conservative Endodontic Cavities on Fracture Strength in Mandibular Molars using CBCT Analysis
Authors: Vishwaja Uppalapati , Surakanti Jayaprada R. , Vemisetty Harikumar , Guntakandla Vikram R. , Bingi Sai Krishna , Vantari Swathi Reddy
Published: December 2022

Background:

Endodontically treated teeth with conservative cavity preparation show better fracture resistance than traditional designs.

Objective:

To compare the fracture strength of endodontically treated teeth using traditional endodontic cavity (TEC), conservative endodontic cavity (CEC), truss access cavity (DDC), and ninja endodontic cavity (NEC) access designs.

Methods:

In an in-vitro study, 50 freshly extracted human intact mandibular molars with two separate roots were selected. The anatomic crown height, buccolingual, and mesiodistal dimensions were measured and randomized to control (intact teeth), TEC, CEC, DDC, and NEC groups (n = 10). Using cone-beam computed tomography, TEC, CEC, DDC, and NEC access cavity outlines were planned. Following endodontic treatment, the fracture strength of teeth was assessed using a universal testing machine and fracture type with a stereomicroscope.

Results:

The mean volume percentage of the coronal hard tissue removal was significantly lower in the NEC group than in the TEC, and CEC groups (P < 0.05), while the difference was comparable between the NEC and DDC groups (P > 0.05). The fracture strength of teeth prepared with the TEC design was significantly lower than teeth prepared by CEC, DDC, NEC, and control groups (P < 0.05).

Conclusion:

Teeth with traditional access preparation showed lower fracture strength than the conservative approaches.
Comparison of Antifungal Activity of Probiotics, Coconut Oil and Clotrimazole on Candida Albicans – An In vitro Study
Authors: Divyadharsini V. , UmaMaheswari T. N. , Rajeshkumar S.
Published: December 2022

Background:

Oral candidiasis is the most prevalent opportunistic infection of oral cavity. Candida albicans causes oral lesions in the vast majority of cases. Antifungal regimens such as azoles and polyenes are commonly used to control candida infections. Virgin coconut oil has been proven to have antifungal, antimicrobial, and antioxidant properties. Probiotic bacteria have been used to modify microflora ecosystems and also have antifungal activity.

Aim:

To evaluate the antifungal activity of probiotics, coconut oil, and clotrimazole against oral Candida albicans species.

Materials and Methods:

Coconut oil and probiotics were tested against clotrimazole, a positive control. Candida albicans were isolated and incubated in Rose Bengal Agar at 30° C for 48 h. The growth inhibitory effect of the test materials was evaluated using the direct contact method by adding 25, 50, and 100 μL of the test material as well as control to candida in a sterile tube and incubated at 37° C aerobically for 24 h.

Results:

The mean zone of inhibition for clotrimazole was 36 mm, whereas for coconut oil it was 13.6 mm, and for probiotics, it was 11.6 mm. Clotrimazole had the highest inhibitory effect at 100 μL concentration. The difference between the groups was statistically significant (P-value 0.002).

Conclusion:

The antifungal activity of clotrimazole was found to be higher than that of coconut oil and probiotics against C. albicans. Future studies should concentrate on other herbal alternatives which will be as effective as clotrimazole for the management of oral candidiasis.
Comparative Study of Mouth Exercise Program and with Combination of Ultrasound Therapy in Temporomandibular Disorder
Authors: Daruri Shravani , Sailaja Sambhana , Lavanya Reddy , Ravali Tirumala C , Dhanabalan Swathi , Bojanapu Swetha , Komanduri Sowmya
Published: December 2022

Introduction:

Temporomandibular disorders (TMDs) are multifactorial, with several clinical presentations. The treatment is extensive and diverse, involving several therapies.

Objectives:

To evaluate and compare the combination of ultrasound therapy and mouth exercise with a mouth exercise program alone on pain and pain-free maximum mouth opening (inter-incisal distance) in TMD patients.

Materials and Methods:

A total of 30 patients who were clinically diagnosed with TMDs were equally divided into two groups. VAS score and pain-free mouth opening were recorded before and during the treatment for four weeks in all the patients.

Results:

Statistical analysis revealed a mean difference of 0.33 ± 0.09, 0.47 ± 0.01 in the VAS score in ultrasound with physiotherapy and physiotherapy alone. The pre- and post-treatment change in mean mouth opening (MMO) was 2.60 ± 0.21, 0.30 ± 0.87 in ultrasound with physiotherapy group and 0.27 ± 0.23, 0.20 ± 0.03 in the physiotherapy group alone, respectively. These differences in VAS score and mouth opening were statistically significant (P < 0.05).

Conclusion:

Both treatment modalities were effective in giving symptomatic relief, but ultrasound therapy with mouth exercises outstands showed better results in reducing pain and improving joint function.
Antibiotic Susceptibility of the Bacteria Causing Odontogenic Infections
Authors: Kumar Neeraj , Khare Vikram V. , Jamdade Anshuman , Aggarwal Amrita , Rathore Niharika S. , Yadav Satyapal
Published: December 2022

Introduction:

Odontogenic infection is polymicrobial, consisting of various facultative and strict anaerobes. The dominant isolates are strictly anaerobic gram-negative rods and gram-positive cocci.

Aims and Objectives:

To identify the most common microorganisms responsible for causing infection and different species in oral infections. To evaluate the common types of dental infections and its site. To identify the sensitivity and resistance of antibiotics.

Materials and Method:

This study was conducted on 62 subjects, of which 11 showed no pathogens. After collection of the sample, it was sent to the microbiology laboratory for aerobic and anaerobic culture, gram staining, and antibiotic susceptibility test.

Results:

Staphylococcus (40.3%, n = 25) was the most commonly found microorganism. Maxillary anterior (32.25%, n = 20), maxillary posteriors (32.25%, n = 20), and mandibular posteriors teeth (27.4%, n = 17) showed almost similar occurrences. Maximum resistance was shown to co-trimoxazole (70.5%), amoxicillin (62.7%), erythromycin (54.9%), and azithromycin (37.25%). Linezolid (78.4%), amoxiclav and gentamicin (39.2%), vancomycin, imipenem, doxycycline showed (56.9%), and cefuroxime showed 37.25% sensitivity.

Conclusions:

Appropriate and correct use of antibiotics is essential to ensure that effective and safe treatment is available. The result of the present study should not be considered an absolute one; however, they can serve to increase awareness about the pathogens responsible for different infections and the sensitivity and resistance toward different antibiotics.
Comparison of Efficacy of Topical Application of Bleomycin with Adjuvant Antioxidants vs. Topical Curcumin Oral Gel with Adjuvant Antioxidants in the Treatment of Oral Leukoplakia
Authors: Fathima A. I. , Manoharan G. V. Murali G.
Published: December 2022

Introduction:

Oral leukoplakia (OL) is an oral premalignant disorder (OPMD) defined as a white plaque of questionable risk, and the diagnosis is by exclusion.

Aim:

We aimed to compare the effectiveness of topical bleomycin with that of topical curcumin in patients with oral leukoplakia (OL).

Materials and Methods:

Bleomycin was assigned for group A and curcumin for group B patients. Both the drugs were applied topically with adjuvant oral antioxidants for both groups.

Results:

Group A (n = 10) patients showed partial to complete resolution of the leukoplakic lesions with a P value of 0.01, whereas in group B (n = 10) patients, resolution of the clinical lesion was not substantial, but a reduction of the erythroid component was observed along with histopathological improvement of dysplasia with a P value of 0.01.

Conclusion:

Comparatively, bleomycin was more efficient in producing clinical and histopathologic resolution of OL than curcumin.
Effectiveness of a Mouth-Exercising Device in Adjunct to Topical Steroid and Antioxidants in OSMF—A Clinical Study
Authors: Shahbaz Syed , Shahana Sadia , Katti Girish , Ara Syeda Arshiya , Tanveer Kahekashan
Published: December 2022

Objective:

To evaluate the effectiveness of a mouth-exercising device (MED) on mucosal burning sensation and interincisal distance in adjunct to topical steroids and antioxidants in oral submucous fibrosis (OSMF) patients.

Material and Methods:

The study consisted of a total sample size of 60 subjects diagnosed with OSMF with no other systemic diseases. Group I includes 30 patients on topical application of triamcinolone 0.1% and oral antioxidant capsule along with receiving MED. Group II includes 30 patients on topical application of triamcinolone 0.1% and oral antioxidant capsule without receiving MED. Evaluation for mucosal burning sensation (BS) and interincisal distance (IID) was determined by VAS & digital Vernier caliper.

Results:

Group I patients using MED showed a statistically significant reduction in burning sensation and increasing interincisal distance compared to group II after six months.

Conclusion:

The MED helps enhance the rate of reduction of mucosal burning sensation and it is effective in increasing interincisal distance compared to the non-mouth-exercising device in OSMF.