bluuebunny/crossref_metadata_2025 huggingface dataset:
Disposiciones, mandas y prácticas testamentarias otorgadas por asalariados y racioneros músicos de la Colegiata-Catedral de Valladolid (1562-1818)
Authors: Palacios Sanz José Ignacio
Published: December 2022

Este trabajo estudia las escrituras notariales y expedientes, con sus correspondientes cláusulas tácticas, que realizaban en los momentos postreros de la vida los músicos de la Colegiata-Catedral de Valladolid durante el Antiguo Régimen, y que pueden resumirse en cuatro aspectos: salvíficos, sociales, judiciales y familiares. Para cumplir con las obligaciones cristianas antes de la muerte, debían prepararse adecuadamente para asegurar el tránsito a la otra vida y dejar dispuesto el enterramiento y otros asuntos relativos a la memoria del difunto, pagos a las instituciones benéfico-sociales de la ciudad y, en su caso, los legados musicales. Todas las escrituras testamentarias recogidas poseen estrategias comunes, pero patrimonios y destinatarios diferentes. Dada la importancia de esta documentación, destacan los testamentos de una serie de maestros de capilla que fallecieron al servicio de la Colegiata-Catedral de Valladolid, desde Antonio de Millán Ribera en 1562 hasta Fernando Haykuens en 1818, aparte de otros registros vinculados a cantantes y ministriles de esta institución que aportan noticias hasta ahora desconocidas.
Géographie d’une célébrité : la franklin mania dans les provinces françaises (1776-1790)
Authors: Tnaïnchi Leïla
Published: December 2022

Lors de la guerre d’Indépendance américaine, la réussite de la mission diplomatique de Benjamin Franklin ne se joue pas uniquement dans les cabinets privés du château de Versailles. L’Américain tout comme le secrétaire français des affaires étrangères, Charles Gravier de Vergennes, savent qu’il est nécessaire de convaincre l’opinion publique du bien-fondé d’une alliance entre la France et les États-Unis contre la Grande-Bretagne. L’importante campagne de propagande qui en résulte crée un phénomène de célébrité sans précédent, appelé aujourd’hui la franklin mania. S’appuyant sur la presse provinciale et la très riche correspondance française de Franklin, cet article vise à offrir une meilleure appréhension de ce phénomène, de ses mécanismes et de ses conséquences sur l’opinion dans les provinces françaises. Cette étude analyse ainsi les moyens de diffusion de l’information internationale en province et les différentes images et représentations de Franklin, qui en résultent et qui conquièrent rapidement l’ensemble de l’espace public français. Il met également en exergue l’émergence des nouveaux Républicains des Lettres, qui voient en l’inventeur du paratonnerre un maître et un modèle et qui l’associent spontanément aux controverses scientifiques du moment.
La question des « territoires de l’Ouest » après l’indépendance des Etats-Unis : les enjeux de la diplomatie
Authors: Peirano Pierre-François
Published: December 2022

A l’issue de la Révolution américaine, la question de l’avenir des « Territoires de l’Ouest » se révéla cruciale pour les Etats-Unis, nouvellement indépendants. Ils attiraient les convoitises de plusieurs Etats de la fédération et, afin d’éviter des luttes intestines, la diplomatie fut privilégiée. Les Territoires de l’Ouest furent ainsi acquis par l’Etat fédéral et organisés par des ordonnances du Congrès, seul corps constitué capable d’instaurer une forme de cohésion dans ce domaine, à laquelle les « Pères Fondateurs » demeuraient très attachés. Cet article analyse cet aspect de l’expansion du territoire américain, déjà marquée par la recherche de compromis et le souci de préserver l’harmonie au sein de l’Union.
Eclectic Endeavours of 18th-century Popular Philosophy
Authors: Frenzel Friederike
Published: December 2022

L’université de Göttingen était le produit d’une union personnelle entre la Grande-Bretagne et l’Électeur de Braunschweig-Lüneburg, établissant de ce fait un lien institutionnel et un réseau germano-britannique. Sa bibliothèque et sa revue, Göttingische Anzeigen, tira grand profit de ces échanges. Le contexte était favorable à la croissance d’un marché de la publication et des critiques d’ouvrages ainsi qu’au développement d’une langue allemande littéraire. S’attachant à décrire les influences écossaises sur la Philosophie populaire à Göttingen, cet article étudie trois recensions que le Professeur de philosophie Johann Georg Heinrich Feder publia au sujet des œuvres de James Beattie, d’Adam Ferguson et de Thomas Reid. Il met l’accent sur la relation entre le journalisme de la première modernité et la philosophie éclectique en établissant des ponts entre le travail de traduction et l’intégration, voire la transformation, des concepts, ainsi que les débats académiques et les entreprises de vulgarisation.
Quelle réflexivité les étudiants ingénieurs ont-ils à propos de leurs pratiques d’apprentissage? Analyse d’écrits réflexifs et propositions pour le renforcement des capacités réflexives
Authors: Gouttenoire Lucie , Loizon Anaïs
Published: December 2022

Alors que la réflexivité est considérée depuis plusieurs décennies comme une compétence incontournable pour les métiers de l’humain, le secteur de l’ingénierie commence à s’en emparer, en l’envisageant comme un levier intéressant de professionnalisation. Mais l’absence d’une culture partagée autour de la réflexivité, de même que l’appétence des étudiants pour les sciences exactes et les difficultés qu’éprouvent certains à considérer leur propre action comme un objet de réflexion, posent question pour la conception de dispositifs pédagogiques visant le renforcement des capacités réflexives. Nous proposons ici, en guise d’état des lieux, d’appréhender les aptitudes à la réflexivité d’étudiants ingénieurs agronomes en début de cursus en analysant des écrits réflexifs rédigés à propos de leurs pratiques et processus d’apprentissage dans le cadre d’un enseignement d’analyse économique et financière. Les niveaux de réflexivité obtenus apparaissent comme étant très divers, à l’image de ce qui peut être décrit dans la littérature consacrée aux métiers de l’humain. Si certains étudiants produisent des écrits réflexifs riches, d’autres peinent à s’engager dans des activités de projection et encore plus dans de véritables démarches d’enquête leur permettant de réinterroger des conceptions personnelles. Nous mettons en évidence plusieurs leviers pour renforcer la réflexivité : l’expression en utilisant une position de parole incarnée, le renforcement de la curiosité vis-à-vis de soi et vis-à-vis d’autrui, la confrontation à des difficultés ou à une situation inédite. Ce travail peut finalement être lu comme une tentative théorique et pratique pour donner corps au concept de réflexivité et prise à la réflexion pédagogique.
La collaboration dans le travail en groupe en contexte d’examen collaboratif à l’université
Authors: Leduc Diane , Cambron-Goulet Mathilde , Aubin André-Sébastien , Raynault Audrey
Published: December 2022

Le développement d’habiletés de collaboration est devenu un aspect important de l'enseignement universitaire et une exigence non négligeable pour l’employabilité. Il n’est pas rare que des enseignants utilisent la collaboration en classe, grâce à des travaux d’équipe, pour moduler leur enseignement et susciter la participation. Pourtant, le travail en équipe génère son lot de difficultés dont celle, courante, de se diviser les tâches à faire sans réelle vue d’ensemble et, conséquemment, sans vraiment collaborer. Ce constat est à la source de notre question de recherche : comment la collaboration se manifeste-t-elle dans le travail en groupe pendant un examen à l’université?Pour y répondre, nous avons mobilisé des travaux portant sur le travail en équipe et la collaboration qui fournissent plusieurs cadres conceptuels. Le modèle de Landry (2010) nous a interpelé parce qu’il synthétise l’ensemble des processus à l’œuvre dans tout groupe restreint. Son postulat est qu'il existe trois zones dynamiques - le travail, l'affection et le pouvoir - et que l'évolution du groupe se joue dans leurs interdépendances et dans leurs interactions.Dans notre étude, nous avons placé en équipe de quatre ou cinq des étudiants d’un cours en fondements de l’éducation devant réaliser un examen collaboratif visant à évaluer les acquis pour faire émerger les dimensions de la collaboration et de la zone du travail. Nos résultats indiquent que les groupes ont peu clarifié la visée commune, que la structuration de leur travail était adéquate, que leurs prises de décisions se sont faites de façon collaborative et qu’ils ont appliqué implicitement plusieurs normes concernant le respect, les attitudes à adopter et les interactions. L'étude fait aussi ressortir l'importance de mieux préparer et de former autant les enseignants que les étudiants à la collaboration.
Micro-pouvoirs en action au doctorat : la perception des étudiants
Authors: Vallières Annick , Levesque Nataly , Bernard Julie
Published: December 2022

Partant de la littérature sur l’environnement doctoral, cette recherche pointe les micro-pouvoirs issus du système académique et leurs conséquences sur les doctorants. Sous la lentille foucaldienne, l’objectif de l’étude est d’apporter une meilleure compréhension de la perception des doctorants de leur expérience au troisième cycle et ainsi proposer des pratiques d’encadrement et de soutien reflétant leurs réels besoins. 11 entretiens semi-dirigés ont été menés et l’analyse inductive a permis l’émergence de thèmes centraux, notamment la supervision doctorale, les exigences du programme de doctorat et la normalisation des sacrifices. L’originalité de cette étude réside dans l’angle théorique privilégiant les récits de doctorants sur leur propre vécu doctoral et les recommandations proposées pour favoriser une expérience académique plus humaine. Les principaux résultats de cette recherche mènent à un compromis entre les sacrifices imposés en échange de l’approbation sociale des différents acteurs de l’institution universitaire. De plus, des avenues de recherches futures sont proposées afin d’élargir le socle du savoir sur la problématique étudiée et les implications pédagogiques en découlant.
Approche socio-historique de la filière Miage et effets de l’alternance sur l’enseignement des SHS
Authors: Carcassonne Marie , Servel Laurence
Published: December 2022

L’apprentissage par alternance n’a cessé de se développer en France, y compris à l’université dans des filières très sélectives. A partir d’une situation de comparaison où le même enseignement intitulé « Organisation et Communication » a été dispensé à des étudiants en formation initiale et à des étudiants en apprentissage, nous analysons pourquoi cet enseignement a été reçu différemment. L’ensemble de ces étudiants étaient inscrits en première année de Master Miage (Méthodes Informatiques Appliquées à la Gestion des Entreprises) dans un établissement universitaire parisien. Nous explorons en premier lieu le cadre dans lequel cet enseignement prend place. Nous montrons combien la formation Miage en apprentissage s’inscrit dans un contexte spécifique valorisant fortement la professionnalisation des étudiants. En second lieu, nous présentons les particularités socio-démographiques de cette population Miage en apprentissage par rapport à celles de la formation initiale. Une analyse statistique fait apparaître que les apprentis sont sur-sélectionnés et représentent une population plus dotée scolairement. Enfin, tenant compte de ces éléments de contexte et des spécificités de cette population, nous soulignons le fait que celle-ci est confrontée à des conflits de temporalités amenant les enseignants à modifier leurs pratiques pédagogiques et à occuper une place de tuteur. Ceci les conduit à adapter le temps de présentation des savoirs théoriques et pose la question de la plus ou moins forte appropriation de ces savoirs.
Knowledge Management and the Knowledge Economy in Higher Education
Authors: Jones-Esan Lawrence
Published: December 2022

The role of knowledge management (KM) as a strategic intervention in higher education (HE) in developing countries has not been widely studied. HE plays a central role in national economies by generating knowledge and disseminating it to stakeholders. This chapter describes the role and impact of KM in the decision-making and formulation of strategies of leading universities. It confirms that KM and knowledge economy (KE) add value and competitiveness to institutions. KM practices are needed in the field of academic research. In addition to a university's functions, they support regeneration and participate in international relations and strengthen social cohesion. HEIs are crucial in inspiring economic and social policies. Universities, in general, have conducted critical studies of the current links between KC, KE, and HE, including empirical analyses of its functions. Educational programmes have succeeded in adhering to the continuous innovation and autonomy of HEIs.
Innovative Disruption and Knowledge Management in Higher Education Institutions
Authors: Jones-Esan Lawrence
Published: December 2022

The New Economy is defined by properties that include globalisation, intangibility, and networks. Higher education institutions (HEI) must thus seek to address these new realities, particularly regarding changing ideas pursuant to the greater dynamism and intricacy this creates with respect to the prerequisites of schooling as traditionally implemented by various organisations. One of the current ways of thinking in helping organisations to foster essential capacity with respect to managing vulnerability in this era is KM which, through the managed procurement, creation, sharing, and utilisation of information, allows organisations to create, restore, and leverage a range of insight-based assets, permitting them to be more proactive and versatile in response to outside changes and to achieve more challenging goals. This chapter gives readers and educators specific support in understanding the idea of problematic, disruptive advancement and what such development means for training and instructional designs.
Comparing Conventional Methods With Fuzzy Logic for Quantifying Road Congestion
Authors: Sarkar Amrita , Sarkar Satyaki
Published: December 2022

Congestion, in India, is generally defined using volume-capacity (V/C) ratio. The passenger car unit (PCU) measures the volume, and capacity here is subjective. In such circumstances, volume and capacity cannot be directly measured. Hence, the determination of the actual capacity of any road remains debatable. As a result, the measure of the degree of congestion becomes subjective. This paper discusses conventional techniques for quantifying congestion and describes congestion using fuzzy tools and techniques. This paper uses two input variables that give direct and precise measures such as speed and inter vehicular distance (IVD) in the fuzzy model and volume and capacity as two input parameters for conventional methods. The congestions were calculated using conventional and fuzzy techniques on the roads of Central Kolkata and compared those quantified congestions on each road to find out the more reliable techniques among themselves.
Formulating Strategies for Alternative Growth Nodes by Analyzing Future Activity Centers for a Better City
Authors: Sarkar Satyaki , Naskar Poulami
Published: December 2022

Activity centers, CBD decentralization, and growth poles are interlinked and play an essential role in future urbanization. CBD decentralization formulates strategies for alternative growth nodes by analyzing activity centers that promote a better city. Improper planning approaches result in bottlenecks in city infrastructure that inhibits economic growth and promotes congestion. There needs to be a concerted approach to perceive the pulse of the situation in such areas and integrate future growth through planning activity centers/zones, growth poles, and CBD decentralization for the city. This process is primarily streamlined and reinforced by understanding the present state of health of the area, current contribution and role of activity zones, analysis of the future growth, aspirations of the stakeholders, their willingness to accept future proposals, and the future demand of proposed areas in terms of services and network. This research understands the same for the city of Siliguri, the gateway of northeast India.
Remote Teaching and Learning
Authors: Rebelo Trindade Anicia , Marques Célio , Gonçalves Sónia P. , Costa Etelberto
Published: December 2022

Since the COVID-19 pandemic situation affected the entire world, several studies were conducted to analyse, evaluate, and inform the education community of the best practices to adopt regarding a remote teaching and learning context, bridging the necessity to understand how online learning, mostly remote teaching and learning, can effectively accomplish and fulfill the professional and academic goals of curricula. Which are the practices implemented? And how did teachers who were used to face-to-face teaching deal with it? This book chapter aims to understand the experience of teachers in Portugal of different grades of education (n=466), during the COVID-19 Pandemic, in the year of 2021, prompting to identify the educational approaches, techniques, and strategies that teachers adopted to teach their students and maintain or increase their level of motivation to learn in a remote teaching environment. Additionally, the chapter proposes and sets recommendations based on the data collected, and on literature reviewed about this theme.
Student Experience on Distance Learning in Mathematics in Times of Pandemic
Authors: Izquierdo-Álvarez Vanessa , Herrero-Pascual Raúl
Published: December 2022

The educational changes brought about by the global pandemic caused by the SARS-CoV-2 virus have generated new scenarios for students around the world. The vast majority of teachers in both non-university and university education have adapted their traditional classes to continue the teaching and learning process. This text presents the learning experience of students of compulsory secondary education in Spain in the subject of mathematics. The research carried out analyzes the students' perceptions in different dimensions such as their experience with the educational materials and the tasks or the technology used to achieve the learning objectives. The collection of information was carried out during the third quarter of the 2019/2020 academic year. The most outstanding results indicate that students mostly perceived the distance learning experience as positive.
Socio-Ecological Sustainability Within the Scope of Industry 5.0
Authors: Ince Fatma
Published: December 2022

Industry 5.0 recognizes the power of industry to be a flexible provider of welfare to achieve societal goals beyond employment and growth, by ensuring that production conforms to the limits of nature and places the well-being of employees in all processes. Adding a personal touch to automation increases competitiveness and helps attract the best talent. New digital solutions such as cloud systems, big data, and the internet of things require new management approaches that include sustainability in terms of efficient use of resources. These new approaches, which need different disciplines such as social and natural sciences to work together, are essential for the optimum balance between environmental, economic, and social components. Socio-Ecological sustainability encompasses the systems which provide new theory and evidence to transform sustainable development to meet the challenges of the Anthropocene better. Research on this subject at the interface of science and society is essential considering the sustainable environment, humanity, and new technology together.
The Negative Impacts of Mining Interpreted From the Problems of Abandoned Mines in South Africa
Authors: Mhlongo Sphiwe Emmanuel
Published: December 2022

Abandoned mines are in all mining regions of South Africa. The country has more than 6000 documented abandoned mines that present different types and magnitudes of environmental and public safety or health hazards. This chapter discusses the negative impact of mining based on the issues of abandoned mines in South Africa. Based on the South African context, it also discusses the reasons for closing mines prematurely and subsequently getting abandoned, the main problems of these mines, and the progress currently made in closing and rehabilitating them. The last part of the chapter maps the undesirable impacts of abandoned mines on different Sustainable Development Goals (SDGs). In conclusion, the chapter emphasizes the need for better management of abandoned mines and their rehabilitation in South Africa to ensure that their problems are stamped out more effectively. This will greatly assist in ensuring that some of the SDGs are realized through the rehabilitation of abandoned mines in South Africa.
Comparison of Hockey Helmet Lining Technologies in Mitigating Concussion Risk During Simulated Horizontal Head Collisions
Authors: McGillivray Kyle , Przysucha Eryk , Sanzo Paolo , Liu Meilan , Zerpa Carlos
Published: December 2022

The risk of concussions in ice hockey is high despite use of vinyl-nitrile (VN) and expanded polypropylene (EPP) materials in helmet liners. Linings made of thermoplastic polyurethane (TPU) seem to offer better mitigation of impact accelerations. The first purpose of this study was to compare the use of TPU linings to VN and EPP liners on measures of energy absorption capabilities during static loading. The second was to examine the effectiveness of TPU liners in reducing acceleration and risk of head injury when compared to VN and EPP liners during simulated dynamic head impact collisions. The static test indicated that TPU absorbed 38.6% of the loading energy compared to 15.8% for VN and 41.8% for EPP linings. The dynamic testing revealed that the TPU liners outperformed VN and EPP liners at the side, rear boss, and rear locations. Use of multi-material helmet liner made of TPU and EPP is suggested.
The Multimodal Sentiment Analysis of Online Product Marketing Information Using Text Mining and Big Data
Authors: Fang Zhuo , Qian Yufeng , Su Chang , Miao Yurong , Li Yanmin
Published: December 2022

Currently, the internet is increasingly popular. More people are used to sharing their feelings about various things on the internet. Online product marketing information is also growing. How to mine the required information from the massive information with the support of big data technology has become a big problem. Thereby, based on the text mining of online product marketing information, this work discusses the text preprocessing methods and the temporal convolution network (TCN) based on a convolutional neural network (CNN). Moreover, on this basis, multimodal attention mechanism (AM) and cross-modal transformer structure are added to build a TCN based on AM (AM-TCN) model to analyze the multimodal emotion of online product marketing information. The results show that the accuracy of the AM-TCN model is 2.88% higher than that of the TCN model alone, and F1 is 3.47% higher. Moreover, the accuracy rate of the AM-TCN is 1.22% higher than that of the next highest recurrent multistage fusion network, and the F1 value is 0.95% higher.
A case of squamous cell carcinoma arising in a giant porokeratosis previously diagnosed as psoriasis
Authors: Aitkens Lorry , Byrne Joel , Jennings-Dover Charay , Potter Kathryn Anne
Published: December 2022

Porokeratosis (PK) is a disorder of keratinization with a clinical presentation of an atrophic center surrounded by a hyperkeratotic border. Lesions of porokeratosis carry a risk of malignant transformation with giant porokeratosis (GPK) being a high-risk variant. We report a case in which a single, large, erythematous, scaly plaque in an immunocompromised patient showed initial histopathological features consistent with psoriasis and subsequent histological features consistent with GPK. This plaque underwent malignant transformation to SCC on three occasions. This case highlights that specimens taken from central portions of porokeratosis may resemble a variety of dermatoses histologically, including psoriasis, resulting in misdiagnosis as seen in our patient. When a patient presents with a diagnosis previously made that isn’t responding to therapy as expected, repeat biopsy is appropriate.
Can different degrees of resistance training improve mood states in patients with fibromyalgia? A randomized controlled trial
Authors: Torres Vilarino G. , Reis Coimbra D. , Guimarães Bevilacqua G. , Diotaiuti P. , Falese L. , Andrade A.
Published: December 2022

The purpose of this study was to look at the effects of low and high intensity resistance training (RT) on the mood states of fibromyalgia patients (FM). A total of 69 women participated in the study, with 31 healthy women serving as control group (HC), and 28 women diagnosed with FM being randomly assigned to one of two RT groups: low intensity or high intensity. Ten women diagnosed with FM formed a group of preferred intensity (PI). FM patients were subjected to 8 weeks of supervised RT with low, high, or PI doses. The exercise protocol was the same for both groups, with large muscle group exercises. Each intervention group performed a specific number of repetitions and rest periods based on the intensity. Training sessions took place twice a week. The HC received no type of intervention. The Brunel mood scale was used to assess mood states. When the mood profiles of patients with FM and healthy women were compared, patients with FM showed a worse mood profile. Low and high intensity RT for eight weeks did not improve the mood profile of FM patients. Anger showed a significant difference between LIRT and HIRT groups in the follow-up period (p=0.01); similarly significant differences between HIRT and HC were seen at baseline and at the 4 week evaluation in vigor (p=0.01 and p=0.001) and fatigue (p=0.01 and p=0.03). FM patients have a worse mood profile than healthy women, and eight weeks of low and high intensity RT did not result in significant improvements.
Magnetic resonance imaging as a structural refinement to the American College of Rheumathology clinical classification criteria for knee osteoarthritis
Authors: Minetti G.A. , Parodi M. , Banderali S. , Silvestri E. , Garlaschi G. , Cimmino M.A.
Published: December 2022

Objective: To evaluate if fulfilment of the definition of osteoarthritis (OA) based on the American College of Rheumatology (ACR) clinical criteria corresponds to pathological knee findings evaluated by magnetic resonance imaging (MRI). To evaluate if any such criteria is associated with a specific MRI pattern. Methods: Forty-six consecutive patients aged 50 years or more referred by their general practitioners (GPs) to a radiology department because of non-traumatic knee pain underwent MRI using a dedicated low field (0.2 T) machine. Results: MRI results were compared against the ACR criteria for knee OA. Patients with knee pain fulfilling the ACR criteria showed more severe synovial fluid effusion (OR 6.2, 95% CI 2.02 to 19.1), cartilage lesions in the medial area (OR 2.4, 95% CI 1.2 to 5) and higher mean number of osteophytes (OR 2.3, 95% CI 1.1 to 4.5). The association between single criteria and MRI features was more difficult to establish. Nonetheless, crepitus at joint movement was associated with synovial fluid effusion (p=0.02); bone enlargement was more frequent in patients with lesions of the posterior cruciate ligament (p=0.0001); no palpable warmth was associated with cartilage lesions (p=0.02), and morning stiffness shorter than 30 minutes was associated with the surface of bone edema (p=0.02). Conclusions: The ACR clinical criteria identify patients showing the most important features of OA. The association between individual clinical ACR criteria and OA pathology depicted by MRI may be difficult to explain on the basis of anatomical changes and needs further evaluation.
Pathogenesis and Treatment of Diabetic Peripheral Neuropathy
Authors: Kang Seon Mee
Published: December 2022

Diabetic neuropathy is the most common chronic complication of both type 1 and type 2 diabetes mellitus. Diabetic peripheral neuropathy (DPN), especially, distal symmetric polyneuropathy is the most common form of diabetic neuropathy. Pathogenesis of the DPN is associated with glycemic dysregulation, which results in activation of polyol, aldose reductase, hexosamine, and protein kinase C pathway and leads to downstream inflammation, generation of reactive oxygen species, and decreased blood flow to peripheral nerves. Furthermore, metabolic syndrome components such as obesity, insulin resistance, and dyslipidemia result in mitochondrial dysfunction and endoplasmic reticulum stress, eventually contributing to axonal failure and apoptosis of nerve cells. Despite its high prevalence, DPN is still underdiagnosed. Among DPN symptoms, neuropathic pain is challenging to manage, resulting in increased risk of associated problems such as sleep disturbance, reduced quality of life, and socioeconomic consequences. Therefore, early diagnosis and active multidisciplinary treatment of DPN is needed.
Clinical Educational Counseling of Adult Diabetes Patients
Authors: Lee Jea Yeon
Published: December 2022

Diabetes patients are steadily increasing. As such, the importance of diabetes education is being emphasized as the number of diabetic patients continues to increase. Diabetes education is being conducted by experts in most hospitals. Medical social workers are part of the diabetes education team and are conducting educational counseling to help patients manage diabetes. The purpose of this article is to examine educational counseling for adult diabetic patients from the viewpoint of medical social workers.
A Case of Fulminant Type 1 Diabetes Mellitus after Recovery from COVID-19 Infection
Authors: Suh Dong Woo , Lee Cha Gon , Lee Hong Kyu , Kim Jin Taek
Published: December 2022

testing revealed that the patient was positive for HLA-DRB1*04, HLA-DRB1*12, HLA-DQB1*03, andHLA-DQB1*04. To the best of our knowledge, this is the first case of fulminant T1DM reported to occurimmediately after COVID-19 infection.
Anatomic Pattern and Variations of the Ilioinguinal Nerve as It Travels Throughout the Anterior Abdominal Wall
Authors: Alshammari Ahmed Onayzan , Alrashid Fauwaz Fahad , Fathuldeen Anas Abdulqader , Khalifah Eyad Mohammed , Elamin Abdalla Ahmed , Elhaj Abubaker El. , Idris Saadeldin Ahmed
Published: December 2022

Introduction:

Ilioinguinal nerve (IIN) is repeatedly damaged during surgeries as well as through the application of local anaesthesia to the lower abdominal wall. This study aimed to identify the variations of the IIN during its course in the anterior abdominal wall.

Materials and Methods:

A cross-sectional study on formalin-preserved cadavers was carried out after approval by the ethical committee, Alzaeim Alazhari University (January 2018–May 2020). Cadavers satisfied the inclusion criteria were dissected bilaterally to expose and map the IINs from their lateral emergence on the anterior abdominal wall to their termination in the midline in reference to the internal and external inguinal rings as well as the fixed bony landmarks. The collected data were compared on both sides using SPSS version 21.0.

Results:

Fifty-four IINs were identified (77 cadavers). Double nerve was observed in 8.44%. IINs derived from L1, L1-3 and L3 in 98.1%, 1.3% and 0.6%, respectively. On the right side, in 3 corpses, the nerves aberrantly ascend from L3 or L1-3, whereas this deviant was not seen on the left side. The mean distance from the umbilicus was 9.2 cm ± 1.1 cm (equal on both sides). The mean distance from the deep ring was 1.5 cm ± 0.4 cm, it was closed on the right compared to the left (P = 0.87). It emerges 0.9 cm–6 cm from the anterior superior iliac spine, this was closed on the right than the left (P = 0.9). It was not attached to the external oblique muscle on the right side, whereas it did in 3.2% on the left (P = 0.03). The mean distance from the superficial ring was 1.9 cm ± 0.8 cm, almost the same on both sides. The mean distance from the inguinal ligament was 2.4 cm ± 0.5 cm, it was closed on the right than on the left (P = 0.98). Its mean thickness was 1.97 mm ± 0.44 mm and 1.88 mm ± 0.43 mm on the right and left sides, respectively.

Conclusion:

IIN demarcates variants not generally quoted in anatomical manuals.
Challenges for Primary Caregivers during the COVID-19 Pandemic in Accessing Health Care of Children with Chronic Diseases under Periodic Follow-up at a Tertiary Care Hospital in South India
Authors: Rajamanickam Ramya , Jayanandan Rajesh , Jayaraman Aparna , Sivathanu Shobhana
Published: December 2022

Introduction:

Challenges faced by the primary caregivers during the COVID-19 pandemic help to identify their needs and health seeking behavior during pandemic. Objectives: (1) To describe the factors associated with periodic follow-up at the hospital which posed as difficulties to their primary caregivers during the COVID-19 pandemic. (2) To identify the measures adopted by these primary caregivers to overcome those difficulties.

Materials and Methods:

This hospital-based cross-sectional observational study was conducted from May to August 2021 among 57 primary caregivers of children with chronic diseases registered before March 1, 2020, who were under periodic follow-up in our pediatrics department. Data were collected by direct or telephonic interview using a predesigned semi-structured questionnaire and analyzed using descriptive and inferential statistics like mean, standard deviation, proportions and paired "t"-test using Epi info and IBM SPSS trial version 28.0.

Results:

Frequency of hospital visits of 14 (24.6%) subjects were reduced during the COVID pandemic compared to the prepandemic period. During the COVID pandemic, 42 (73.7%) subjects had faced transportation difficulties, 23 (40.3%) had faced financial difficulties, 22 (38.6%) had skipped their scheduled follow-up visits and around 31.6% of them have feared of contracting COVID. None had availed telemedicine consultation for their children either before or during the pandemic.

Conclusions:

Difficulties faced in transportation, fear of contracting COVID, financial difficulties, and lack of awareness of teleconsultation services were identified as their major obstacles.
Guided Imagery Intervention for the Treatment of Tension-type Headache Associated with State-Trait Anxiety
Authors: Kehksha
Published: December 2022

Introduction:

Guided imagery (GI) is a mind–body intervention, in which individuals generate mental images of pleasant objects or events in their minds. These mental images produce positivity and alter the perception of headaches and other pain disorders. A review of literature suggests that GI is an effective psychological treatment for tension-type headache (TTH) and state-trait anxiety. Hence, the present study aimed to assess the efficacy of GI on TTH associated with state-trait anxiety and to compare its efficacy with treatment as usual (TAU).

Materials and Methods:

Forty treatment-naïve patients diagnosed with TTH were selected from the psychiatry outpatient department through purposive sampling method. The Henry Ford Hospital Headache Disability Inventory and the State-Trait Anxiety Inventory for Adults were administered on all the patients for baseline data. Experimental group (n = 20) were given eight sessions of GI along with TAU for 2 months, whereas waitlist group (n = 20) were given only TAU.

Results:

A Significant positive association was obtained between emotional and functional disability of headache and state-trait anxiety at baseline. Postassessment findings demonstrated a significant reduction in severity and frequency of TTH, emotional and functional disability, and state-trait anxiety in the experimental group receiving GI as compared to the waitlist group.

Conclusion:

Patients living with TTH more commonly suffer from state-trait anxiety. Those patients who were given GI along with TAU for 2 months improved on severity and frequency of TTH, emotional and functional disability of TTH, and state-trait anxiety more effectively than those patients receiving only TAU. Consequently, it can be said that GI is an effective treatment for TTH and state-trait anxiety as compared to TAU.
Mandibular Overdenture Retained by Telescopic Crowns and Ball Attachments on Semierupted Premolars
Authors: Knebel Elisa C. , Maccari Paulo C. A. , Shinkai Rosemary S. A.
Published: December 2022

This clinical report describes the oral rehabilitation with a mandibular overdenture retained by telescopic crowns and ball attachments on semierupted permanent teeth with a 5-year follow-up. A female patient used an old complete denture in the maxilla and was willing to extract her remaining mandibular teeth to have new dentures. The treatment included preservation of semierupted premolars because of the high surgical risk for mandibular fracture and paresthesia, a new maxillary complete denture, and a mandibular overdenture supported by combined telescopic crowns and ball attachments. The prosthetic rehabilitation restored function and esthetics with high patient satisfaction after 5 years in function.
Rehabilitation of Maxillary Bilateral Regional Odontodysplasia in a 7-Year-Old Child Using Modified Essix Retainer
Authors: Banu M. Divya , Priya V. Krishna , Gaddam Shilpa , Challa Santosh Kumar
Published: December 2022

Regional odontodysplasia (RO), also called ghost teeth, is a rare nonhereditary developmental dental anomaly affecting the epidermal and mesenchymal tissues associated with the development of tooth which can affect both primary and permanent dentition. It can affect the child's overall quality of life and sometimes may lead to skeletal malocclusion. Management of such patients requires a multidisciplinary approach. Essix retainers are being widely used as retention appliances. Various modifications of this appliance are also being attempted. Thus, this article aims to focus on the use of Essix retainer as an interim prosthesis by modifying it with the incorporation of pontics to manage partial edentulousness and mild orthodontic corrections in a 7-year-old child diagnosed with bilateral RO.
Comparative Evaluation of Platelet-Rich Fibrin versus Connective Tissue Grafting in Treatment of Gingival Recession Using Pouch and Tunnel Technique
Authors: Chandra Vatsala , Bains Vivek Kumar , Jhingran Rajesh , Srivastava Ruchi , Madan Rohit
Published: December 2022

Aims:

The aim of the study was to compare the clinical efficacy of platelet-rich fibrin (PRF) and connective tissue grafting in the treatment of gingival recession (GR) using pouch and tunnel (P and T) technique.

Materials and Methods:

A total of 40 Class I or Class II GR defects in 17 patients were randomized treated with P and T with PRF (Group I, n = 20) and P and T with CTG (Group II, n = 20). The parameters measured were plaque index (PI), gingival index (GI), probing pocket depth (PPD), clinical attachment level (CAL), horizontal gingival recession (HGR), vertical gingival recession (VGR), width of attached gingiva (WAG), width of keratinised gingiva (WKG), gingival thickness-mid buccal (GTMB), and gingival thickness interdental papilla (GTIP). Postsurgical discomfort level (PSDL), hypersensitivity score (HS), and patient esthetic score (PES) were recorded using visual analog scale (VAS). The PI, GI, PPD, CAL, HGR, VGR, WAG, WKG, GTMB, and GTIP were assessed at pretreatment (baseline) and 1-, 3-, and 6-month posttreatment. The PSDL, HS, and PES were assessed at baseline, day 10, 1, 3, and 6-month posttreatment.

Results:

P and T with PRF and CTG resulted in root coverage of 73.75% ± 7.80% and 70.83% ±8.26%, respectively. Patient response and acceptance for the surgical treatment modality showed less discomfort and better esthetics in Group I as compared to Group II.

Conclusions:

PRF treated sites were comparable to the gold standard CTG with better patient acceptance and a lesser invasive approach in terms of graft procurement.
Clinical Evaluation of Efficacy of Triamcinolone Acetonide with Tacrolimus in the Management of Oral Lichen Planus
Authors: Walia Cheshta , Rallan Neelakshi Singh , Premkumar Anu , Roy Sudip
Published: December 2022

Introduction:

Lichen planus (LP) is a relatively common chronic, mucocutaneous disease of autoimmune origin, involves oral mucosa, skin, scalp, nails, and genital mucosa. The prevalence of oral LP (OLP) varies worldwide, commonly seen in middle-aged and elderly people. It usually presents as symmetrical and bilateral or multiple lesions with burning sensation (BS) sometimes accompanied by pain. Corticosteroids and calcineurin inhibitors have shown promising results in the treatment of OLP, but its chronic course and unpredictable exacerbations/remission continues to result in a high degree of morbidity. The study aimed to evaluate the efficacy of intralesional triamcinolone acetonide (injection TA) combined with topical application of TA orabase and Tacrolimus (TAC) ointment for symptomatic cases of OLP.

Materials and Methods:

The prospective study included 52 symptomatic OLP patients to receive (0.5 ml) intralesional injection of TA once a week for the first 4 weeks followed by one injection in the 6th week along with TA mucosal paste (0.1%.) and TAC ointment (0.03%) in tapering dose till 8th week. The subjective symptoms including BS and pain were assessed on a 10 cm visual analog scale (VAS) and objective signs like size and site of the lesion were scored according to criterion scale modified by Thongprasom et al. Differences were compared after 8 weeks treatment course and follow-up observations were performed at 20th week to record any recurrent lesion.

Results:

41 patients (78.8%) had complete remission of disease and 11 (21%) had shown partial improvement. The VAS scores for BS and pain improved significantly. Improvement was also noted with decrease in the average size of active lesions and the number of sites with treatment. The relapse was seen in 17 patients (41%) in the 20th week.

Conclusion:

TA combined with TAC is a valuable therapeutic option for the treatment of symptomatic OLP. Our findings suggest that patients have shown statistically significant improvement.
Toxoplasma encephalitis – A presenting feature of HIV disease
Authors: Ram Ala , Saini Pankaj Kumar , Garg Aakash , Singh Shakti , Kumar Kavin , Maheshwari Sanjiv
Published: December 2022

Central nervous system (CNS) toxoplasmosis is one of the leading causes of secondary CNS infection and seizures in human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) patients along with cryptococcosis and tuberculosis. Encephalitis can be a primary presentation in undiagnosed HIV patients. We are reporting a rare case of HIV/AIDS that presented to us with encephalitis and was later diagnosed as toxoplasma encephalitis. A 32-year-old male truck driver presented with altered behaviour for about 1 month and vomiting for 4 days. On clinical examination, papilloedema was present. Further investigations revealed serologically proven HIV with CD4 T lymphocyte count of 56 cells/microL. Brain imaging showed multiple ring-enhancing lesions in the bilateral cerebral hemispheres and right cerebellar hemisphere. Serum toxoplasma antibodies were found to be positive and a diagnosis of CNS toxoplasmosis encephalitis was made. Treatment with trimethoprim–sulphamethoxazole and highly active antiretroviral therapy was initiated following which there was a significant improvement in the patient's clinical condition. The patient is on regular follow-up now.
Revisiting conventional microbiology techniques in the era of molecular testing
Authors: Vidyarthi Ashima Jain , Das Arghya , Gupta Ankit
Published: December 2022

The diagnosis of infectious diseases has always been a matter of concern for clinicians worldwide. Although the conventional techniques like microscopy and culture have served the purpose since ages, they have been found to be inadequate now with the advent of modern technology including automated identification systems and molecular testing. The newer technology including Matrix-Assisted Laser Desorption Ionization – Time of Flight and molecular tests such as multiplex polymerase chain reactions and Next Generation Sequencing, has undoubtedly paved the way for diagnosis and discovery of various novel pathogens. This has subsequently given rise to a mindset that the conventional techniques are redundant and hence, should be abandoned. The authors, through the current review, would like to present a perspective in favour of the conventional techniques which still are one of the simplest, most inexpensive methods for diagnosing infectious diseases and provide us with the precious antimicrobial susceptibility data to guide our antimicrobial stewardship programmes. Further, considering the limited availability of the state-of-the-art molecular testing facilities across the country, it is recommended that rather than using them exclusively or separately, conventional methods and the molecular tests be used in conjunction wherever available and feasible.
Safety and ease of awake fiberoptic intubation with use of oxygen insufflation versus suction to clear secretions during procedure
Authors: Rajan Sunil , Tosh Pulak , Babu Sruthi C. , Kumar Lakshmi
Published: December 2022

Background and Aims:

During awake fiberoptic intubation (AFOI), clearing secretions is usually done by suctioning. The study objectives were to assess the safety of AFOI with the use of oxygen insufflation versus suction to clear secretions from the field of vision during the procedure as assessed by incidence of desaturation <95%, ease of intubation, and time taken to secure the airway.

Material and methods:

This prospective randomized study was conducted in 40 adult patients with difficult airways requiring AFOI. All patients received dexmedetomidine 0.5mcg/kg intravenously, and the airway was topicalized. In Group-S suction and in Group-O oxygen was connected to the suction port of the bronchoscope to clear the secretions by activating the suction knob during bronchoscopy. Ease of intubation was scored as easy, moderate, and hard.

Results:

Incidence of desaturation to <95% and the need for oxygen supplementation were significantly high in Group S compared to Group O (60% vs. 10%). Incidence of easy intubation (80% vs. 75%) and time taken to intubate (50.1 ± 16.6 vs. 53.8 ± 21.0 s) were comparable. The number of times (median) suctioning was done in Group S was significantly high compared to the number of oxygen insufflations required in Group O [3 (1–6) vs. 2 (0–5), P 0.033]. Desaturation to <95% was significantly low in Group O compared to Group S during bronchoscopy (10% vs. 60%, P 0.002).

Conclusion:

The use of oxygen insufflation to clear secretions from the field of vision during AFOI is a safer alternative to suctioning as this technique reduces the chance of desaturation during the procedure without affecting ease of intubation, number of attempts, time taken for it, or patient comfort.