bluuebunny/crossref_metadata_2025 huggingface dataset:
Căn nguyên và mức độ kháng kháng sinh của các chủng vi sinh vật thường gặp tại bệnh viện bỏng quốc gia lê hữu trác (01/2021 - 03/2022)
Authors: Trần Quang Hưng , Trương Thị Thu Hiền , Nguyễn Thị Hương
Published: June 2023

Mục tiêu: Xác định căn nguyên và mức độ kháng kháng sinh của các chủng vi sinh vật thường gặp tại Bệnh viện Bỏng Quốc gia Lê Hữu Trác từ tháng 01/2021 đến tháng 03/2022.Đối tượng và phương pháp: Các chủng vi sinh vật gây bệnh phân lập được trên 1150 mẫu bệnh phẩm từ các bệnh nhân điều trị tại Bệnh viện. Nghiên cứu mô tả cắt ngang và thực nghiệm labo tại Bệnh viện Bỏng Quốc gia.Kết quả: Tỷ lệ cấy khuẩn (+) là 508/1150 (44,2%), có sự khác nhau về tỷ lệ (+) giữa các loại bệnh phẩm. Căn nguyên gây nhiễm khuẩn là: Aci. baumannii (27,8%), P. aeruginosa (24,8%), S. aureus (21,3%) và Candida spp. (6,9%).Tỷ lệ các chủng vi sinh vật được phân lập tại Khoa Hồi sức cấp cứu: Aci. baumannii (35,7%), P. aeruginosa (24,6%), S. aureus (15,2%), Candida spp. (9,1%); Khoa Điều trị Bỏng Người lớn và Khoa Điều trị Bỏng Trẻ em: S. aureus chiếm tỷ lệ cao nhất, tiếp theo là P. aeruginosa và Aci. baumannii; Trung tâm Liền vết thương: Chiếm tỷ lệ cao nhất P. aeruginosa và S. aureus (17,7%), tiếp theo là Aci. baumannii (15,9%).Các chủng vi khuẩn Aci. baumannii và P. aeruginosa đã kháng với hầu hết các loại kháng sinh, chỉ còn nhạy cảm với colistin (100%). Chủng S. aureus còn nhạy cảm với các kháng sinh Tigercycline, Vancomycin, Linezolid (86,9 - 95,7%). Kết luận: Căn nguyên vi sinh vật phân lập tại Bệnh viện Bỏng quốc gia từ tháng 01/2021 đến tháng 03/2022 gồm Aci. baumannii (27,8%), P. aeruginosa (24,8%), S. aureus (21,3%) và Candida spp. (6,9%). Các chủng vi khuẩn Aci. baumannii và P. aeruginosa đã kháng với hầu hết các loại kháng sinh.
Nghiên cứu đặc điểm biến đổi khí máu và kết quả điều trị bệnh nhân bỏng hô hấp
Authors: Trần Đình Hùng , Hoàng Văn Vụ
Published: June 2023

Mục tiêu: xác định sự biến đổi của khí máu động mạch và kết quả điều trị của bệnh nhân bỏng hô hấp điều trị tại khoa Hồi sức cấp cứu, Bệnh viện Bỏng Quốc gia Lê Hữu Trác.Đối tượng và phương pháp nghiên cứu: Nghiên cứu tiến cứu trên 60 bệnh nhân bỏng nặng điều trị tại khoa Hồi sức cấp cứu, Bệnh viện Bỏng Quốc gia Lê Hữu Trác từ tháng 05/2021 đến tháng 05/2022. Bệnh nhân được chia làm 2 nhóm tương đồng về tuổi và diện tích bỏng. Nhóm nghiên cứu gồm 30 bệnh nhân được chẩn đoán xác định bỏng hô hấp, nhóm chứng gồm 30 bệnh nhân bỏng nặng không có bỏng hô hấp. Các chỉ tiêu theo dõi đánh giá bao gồm: Khí máu động mạch tại thời điểm nhập viện (cả 2 nhóm) và các ngày tiếp theo (đối với nhóm nghiên cứu), các biến chứng và kết quả điều trị.Kết quả nghiên cứu: Tình trạng nhiễm toan chuyển hóa lúc nhập viện ở bệnh nhân bỏng hô hấp nặng hơn bệnh nhân bỏng nặng không có bỏng hô hấp với biểu hiện BE -9,3 ± 12,2mmol/l so với -1,7 ± 5,7mmol/l (p < 0,05) và lactat máu 4,52 ± 2,52mmol/l so với 2,6 ± 1,65mmol/l (p < 0,05). Trong tuần đầu sau bỏng, các bệnh nhân bỏng hô hấp đáp ứng thở máy tốt với tỷ lệ PaO2/FiO2 thường xuyên trên 250mmHg, nồng độ lactat máu giảm dần về giá trị bình thường. Tỷ lệ tử vong của bệnh nhân bỏng hô hấp cao hơn nhiều so với nhóm bệnh nhân không bỏng hô hấp (60% ở nhóm bệnh nhân bỏng hô hấp so với 3,33% ở nhóm bệnh nhân không bỏng hô hấp với p < 0,001).Kết luận: Bệnh nhân bỏng hô hấp nhiễm toan chuyển hóa nặng thời điểm nhập viện, đáp ứng thở máy tốt trong tuần đầu sau bỏng và tỷ lệ tử vong cao.
Confiance et activité économique : analyse d’impact sur l’économie canadienne
Authors: Moran Kevin , Stevanovic Dalibor , Touré Adam Kader
Published: June 2023

Depuis le début de l’année 2022, autant les indices de confiance des consommateurs que ceux de la confiance des entreprises ont enregistré des baisses marquées et rapides, au Canada comme aux États-Unis. Dans l’ensemble, les agents économiques, qu’ils soient canadiens ou américains, semblent pessimistes à propos de la conjoncture économique à venir. Les auteurs examinent ici l’aspect causal de la corrélation entre confiance et activité économique. À partir d'estimations économétriques fondées sur la méthode des modèles vectoriels autorégressifs (VARs), ils évaluent les impacts des chocs à la confiance des consommateurs et des entreprises sur plusieurs agrégats mesurant l’activité économique canadienne. Leurs résultats suggèrent qu’une hausse (baisse) soudaine dans la confiance est susceptible de provoquer une accélération (un ralentissement) économique au Canada. Les impacts des chocs de confiance spécifiquement canadiens sont quantitativement plus importants, d’où l’importance d’une analyse mettant l’accent sur les mesures canadiennes de confiance.
The views of Ibn Abidah Al-Sabti (d.706 AH) and choices in grammar and morphology
Authors: Mobaraki Mahdi
Published: June 2023

The research focuses on one of the prominent figures of grammar in Andalusia during the seventh and early eighth centuries, who hails from the lesser-known Al-Andalus. Despite not receiving much attention or gaining widespread fame during his time, he was nevertheless one of the remarkable linguists and grammarians of that era. His name was Abu Bakr Muhammad bin Abdullah bin Abeedah, who was a student of Ibn Abi al-Rabi' and counted among his most intelligent disciples. He made significant contributions to the field of grammar and had numerous students, especially among the grammarians of Ceuta. He played a role in enriching the Andalusian grammatical tradition and was considered one of the brilliant minds in grammar and language after Ibn Abi al-Rabee. He provided explanations for Sibawayh's book, Jumal Al-Zajjaji, and other works, but unfortunately, many of these compilations have been lost to the passage of time. We can only rely on what has been transmitted through grammar books written by his students and subsequent scholars. In the introduction of the research, I discussed the personality of Abu Bakr bin Abeedah Al-Sabti, providing details about his name, lineage, predecessors, students, personal qualities, scholarly status, and his passing. The research then delves into two sections, examining his grammatical and morphological perspectives, his choices and directions. Finally, the research concludes by summarizing the most significant findings.
Adecuación de una pizarra digital interactiva para la mejora del rendimiento académico de la función lineal y cuadrática en estudiantes del 3er grado. Ciclo Avanzado del CEBA Nª1103. Elvira García y García. Pueblo Libre Lima. Periodo 2020
Authors: Marzano Sosa Roberto Fabián
Published: June 2023

Es una investigación aplicada de naturaleza transversal que pertenece a la línea de investigación “tecnología y soportes educativos” en la Universidad Nacional de Educación “Enrique Guzmán y Valle”. La investigación prueba que una personalización del trabajo remoto con intervenciones educativas, empleando una Pizarra digital Interactiva tipo “visualizador” ò “cámara de documentos” mejora los aprendizajes de los estudiantes de tercer grado en matemática, para el contenido remoto “Función lineal y cuadrática” de la competencia de su diseño curricular denominado: “Resuelve problemas de regularidad equivalencia y cambio” de las guías pedagógicas de “Aprendo en Casa” del Ministerio de Educación. La muestra son 30 estudiantes del turno nocturno, Ciclo Avanzado del CEBA Nª1103. Elvira García y García. Pueblo Libre Lima. Periodo 2020. La muestra es “no probabilística”, dos secciones de tercer grado ciclo avanzado formadas en grupo experimental y otra como grupo control por facilidad del investigador. Antes de aplicar la PDI las medias en las calificaciones con las guías de “Aprendo en casa” eran en promedio parecidas en las puntuaciones en promedio de los dos grupos control y experimental. Después de aplicar la PDI (Visualizador) al grupo experimental muestra cambios en las calificaciones para una media de 13.27 puntos, para un intervalo de frecuencia para la media de [11.87,14.67] y una media de 14.87 puntos después del uso de la PDI [13.88,15.86]. Se encuentra efectos significativos estadísticamente entre “el antes y el después” al hacer uso del Visualizador (P.D.I), con buenos resultados para el grupo experimental, en la mejora de su rendimiento académico (“t” student = -7,109. p- valor = 0,00 < 0,05). Se encuentra relaciones directas entre el rendimiento académico y su “reflexión de fortalezas y debilidades de lo aprendido” (“r” Pearson = 0,583 y un p-valor de =0,023< 0,05), asimismo una relación directa con la competencia “Resuelve problemas de regularidad equivalencia y cambios” y su actividad laboral del estudiante (“r” Pearson = 0,570 y un p-valor de =0,027< 0,05). Conclusión: Se concluye que la “personalización sincrónica” de la enseñanza asincrónica de la instrucción remota de “Aprendo en casa” es factor determinante de la mejora de aprendizajes “on line”. No sólo basta sólo con usar la PDI sino acompañar el trabajo que realizan los estudiantes, conduce al logro de las competencias.
Inner-Biblical Allusion and the Direction of Dependence: Toward a Comprehensive List of Criteria
Authors: Smith Cooper
Published: June 2023

A prevailing need in biblical studies is a comprehensive set of valid arguments for determining the direction of dependence once a literary relationship between two texts in the Hebrew Bible is reasonably established. This study takes a step toward addressing this lacuna by inductively cataloguing, illustrating, and evaluating eight criteria used to substantiate a proposed direction of borrowing in cases of inner-biblical allusion in Isaianic scholarship. These criteria provide a working list of plausible arguments that can be used when claiming the direction of influence in other cases of inner-biblical allusion throughout the Hebrew Bible. Such a list encourages both methodological clarity due to the increased precision of defined categories and scholarly creativity by suggesting multiple viable means to argue for the direction of dependence.
Krótka biografia olimpijczyka Leszka Bebły
Authors: Tworek Bartłomiej
Published: June 2023

Sport jest jedną z form uczestnictwa w kulturze fizycznej. Maratończyk, Leszek Bebło, jest przykładem uczestnictwa w kulturze fizycznej poprzez sport. Lekkoatleta zapisał się na kartach historii polskiej lekkiej atletyki między innymi przez dwukrotny udział w igrzyskach olimpijskich, uczestnictwo w Mistrzostwach Świata w Lekkoatletyce w Stuttgarcie oraz jako zwycięzca wielu zagranicznych prestiżowych biegów; między innymi jako jedyny Polak wygrał rozgrywany od 1896 roku maraton Paryski.
Review: Józef Węglarz, [Physical Education in Stories. Between Theory and Practice], Oficyna Wydawnicza “Impuls”, Kraków 2021
Authors: Madejski Eligiusz
Published: June 2023

The reviewed book is included in the reading list showing the problems of school physical education and looking for their effective solution. The preparation of such a study consists, as Maciej Demel (1973, p. 7) wrote, ‘in critically attacking the present, overcoming outdated and harmful traditions, undermining authorities, (...) constant anxiety and searching, simultaneous penetration of the current state, its origins and prospects.’ The author has prepared the book in a slightly different formula. He presented his anxiety about the future of physical education in stories, which gives the work originality. Józef Węglarz can be counted among the few authors who subjectively, with a bit of sarcasm and humor, reveal the weaknesses of physical education. At the same time, using many years of experience, the author suggests how to solve a given problem…
A Study of Psychiatric Comorbidity and Fear of Corona Virus in Patients with Obsessive Compulsive Disorder during Covid-19 Pandemic
Authors: Gupta Bandana , Bansal Teena , Singh Shweta , Nischal Anil
Published: June 2023

Background and objective: The WHO declared the Chinese outbreak of COVID-19 to be health risk of National and International Concern from 30th January 2020. This has significant implications on mental health , especially for patients of OCD in various ways. This study was aimed to study Psychiatric comorbidity and Fear of Corona virus in patients with obsessive-compulsive disorder (OCD) during COVID-19 pandemic and compare socio-demographic & clinical variables between patients of OCD with or without psychiatric comorbidity during COVID-19 pandemic.Methods: In person interview including 96 old and new symptomatic patients of OCD diagnosed as per ICD 10-DCR, who had onset of illness prior to COVID-19 (march 2020), between the age of 18-60 years was conducted. The disease severity was recorded on D-YBOCS, HAM-A and HAM-D. The two groups of OCD, with comorbidity and without comorbidity were compared. Fear of COVID-19 Scale was used to analyse fear of corona virus.Results: Depression was the most common psychiatric comorbidity. The fear of coronavirus in 59.4% OCD patients was observed to be mild in severity and the mean FCV-19S score to be 14.42 ± 4.19. Positive correlation was found between FCV-19S score and the YBOCS obsession subtotal score, YBOCS compulsion subtotal score, YBOCS total score, HAM-D score and HAM-A score. FCV-19S score also had a statistically significant positive correlation with D-YBOCS severity score for contamination and cleaning, severity score for hoarding and collecting, severity score for symmetry and severity score for aggression. Among the OCD patients with comorbidity, a statistically significant higher YBOCS score, D-YBOCS severity score for Contamination and Cleaning and FCV-19S score were observed when compared to OCD patients without comorbidity.Conclusions: Fear of corona virus was seen in majority of the OCD patients and was associated with increased severity of disease. The OCD patients with comorbidity had significantly higher Y-BOCS score mainly for Contamination and Cleaning.
Perceived Social Support and Attitude towards Modernization among Performing Arts Students
Authors: Pramod R Gupta  , Ranjan Lokesh Kumar , Nilesh Maruti Gujar
Published: June 2023

Abstract
Background: The effect of modernization can be different aspects of a person`s life. Modernization has been seen through education, communication and social support of individuals in the community. Young adults especially college students approach modernization from experiences during the academic period.
Aim: To study the perceived social support and attitude towards modernization among performing arts students.
Materials and Methods: A cross-sectional study was conducted among college students of Indira Kala Sangit Vishwavidyalaya, Khairagarh, Chhattisgarh, India. A total of 540 students were selected for the study through the enumeration method. Students were assessed through the semi-structured socio-demographic datasheet, the modernization scale, and multidimensional scale of perceived social support.
Results: Perceived social support found a significant positive correlation with attitude towards modernization. In regression analysis, overall perceived social support (family, friend and other support) strongly contributes to the variance on attitude towards modernization among performing arts students. Family support, other support, overall perceived social support and attitude towards modernization were more in female as compared to male with performing arts students.
Conclusions: Perceived social support strongly contributes and positive significant correlation to the variance on attitude towards modernization.
Neuropsychiatric Aspects of Congenital and Genetic Disorders
Authors: Kar Sujita K. , Ahmad Jamshed , Kumar TV Ram
Published: June 2023

Neuropsychiatry is an area of medicine that deals with behavioural issues caused by brain dysfunction. It is found at the intersection of neurology and psychiatry. Individuals with congenital and genetic diseases are more likely to experience neuropsychiatric symptoms (particularly mental retardation), which can lead to considerable disability and a lower quality of life. Developmental delay, intellectual disability, autism spectrum disorders (ASDs), and cognitive dysfunction are the most common symptoms of neuropsychiatric illnesses. Many intellectual developmental abnormalities are caused by complex genetic components (such as attention deficit hyperactivity disorder), pregnancy or birth complications, or environmental variables, among other things. Patients with congenital and genetic diseases with neuropsychiatric indications benefit from a multidisciplinary approach to management. Interdepartmental liaisoning may be advantageous in the absence of a multidisciplinary team.
Nonencephalopathic Psychiatric Manifestations (NEPM) and Response to Niacin in Pellagra: A Scoping Review
Authors: Sutar Roshan , Basera Devendra S. , Pakhre Ashish , Chaudhary Pooja , Lahiri Anuja
Published: June 2023

Psychiatric manifestations of pellagra could be subtle but important to recognize in clinical practice. These may vary from non-syndromic symptoms of anxiety, depression, and psychosis to pellagrous encephalopathy. The course and outcome of pellagra’s non-encephalopathic psychiatric manifestations (NEPM) are variable and have not received much attention. Therefore, a review in this regard is deemed necessary to understand the evolution of psychiatric symptoms and possible neurochemical changes produced in pellagra. A focused scoping review of the literature using Preferred Reporting Items for Systematic reviews and Meta-Analyses- extension for Scoping Reviews (PRISMA-ScR) guidelines was carried out to chart the results of studies to find out the characteristic nature of NEPM, role of niacin, and underlying etiopathogenesis. The review included 12 studies comprising 271 participants. Depressive and insomnia symptoms were the most frequent manifestations of NEPM followed by anxiety, thought disorder, psychomotor agitation, hallucinations, confusion, and disorientation. Alcohol use remains the most common cause of NEPM in pellagra, followed by nutritional deficiency. The alteration in the kynurenine pathway is a probable mechanism implicated in the NEPM of pellagra and future research should explore the role of niacin replacement in such patients. The findings of the review incite further discussion and research on biomarkers for patients with pellagra and subtype of patients with depression who share a common immune-inflammatory pathway.
Brain Exchange: Bidirectional Flux of Medical Personnel to Ensure Equitable Distribution of Resources between Developed and Developing Countries
Authors: Shanker Ganesh , Dixit Sankalp , Tripathi Adarsh , Senger Anurag , Saha Gautam , Singh Om Prakash , Yadav Tarun
Published: June 2023

This article is intended to address the plummeting numbers of trained medical personnel in developing countries due to exodus to developed lands often termed as ‘brain drain’ and to put forth ideas and suggestions that turn this brain drain into ‘brain exchange’ thereby benefiting both the donor and the recipient countries. A few suggestions presented here may help in creating an equilibrium of such efflux and influx of such medical personnel, thus completing the so-called ‘brain circulation.
Post-graduate Psychiatry Teaching and Training in India
Authors: Kar Sujita Kumar
Published: June 2023

In India, the history of psychiatry is approximately 80 years of post-graduate education. The first psychiatrist who received an MD degree from an Indian medical institution was Late Prof. L.P. Verma, who received his degree in 1941 from Patna Medical College, Bihar.1 In India, a post-graduate course in psychiatry is taught in two forms (MD in Psychiatry and DNB in Psychiatry). MBBS is the minimum educational requirement to be eligible for pursuing MD or DNB Psychiatry course. The duration of the post-graduate course in psychiatry is three years in India. A recent study revealed that the post-graduate degree courses in psychiatry are unequally distributed in the country, which might be responsible for the not-so-equitable distribution and generation of mental health manpower in the country.2 In India, general hospital psychiatry units (psychiatry units attached to medical colleges) play an instrumental role in training post-graduate students of psychiatry. Other than this, mental hospitals also provide teaching and training facilities for post-graduate psychiatry trainees.
A Case Report of Conversion Catatonia
Authors: Singh Shailja , Anjum Nayab , Khan Zeba , Reyazuddin M.
Published: June 2023

Catatonia is characterized by marked psychomotor disturbance and was first described by Karl Ludwig Kaulbaum in 1874.1 Later, it was evaluated as a subtype of schizophrenia. After the 1960s, it was revealed that other conditions can also cause catatonia.2 Gelenberg (1976) said there could be more than 40 cases that could cause catatonia and many new ones have emerged since then.3 Previous data suggest that catatonia is more common in mood disorders than in schizophrenia. The other causes of catatonia can be due to medical causes like endocrine disorders, infections, electrolyte imbalance, epilepsy, and traumatic brain injury. An excessive dosage of drugs or substances like cocaine, ecstasy, disulfiram, and levetiracetam can also result in catatonia.4,5
Intravenous Ketamine-induced Affective Switch in a Patient of Major Depressive Disorder with Suicidal Ideation: A Case Report
Authors: Varshney Akanksha , Kumar Shravan , Gupta Ved Prakash , Mateen Rehan , Azmi Suhail Ahmad
Published: June 2023

In treatment-resistant unipolar and bipolar depression, there is increasing evidence to support the fast, although the short-lived antidepressant effect of ketamine, a non-competitive glutamate N-methyl-D-aspartate receptor antagonist. Ketamine has been shown to cause transient mood elevation or euphoria, dissociative symptoms and psychotomimetic effects when administered in unipolar or bipolar depression. Still, it has not been shown to cause an affective switch resulting in persistent hypomania/mania or a manic-like state. We report the case of a 47-year-old man who developed a switch to mania while receiving a sub-anaesthetic dosage of ketamine intravenously for his third episode of recurrent, non-psychotic severe major depression with suicidal ideation. This case indicates that a polarity switch should be acknowledged as a possible side effect when using ketamine for depression.
District Mental Health Program: Inception, Evolution and Challenges
Authors: Singh Vipul
Published: June 2023

In 1982, National Mental Health Program (NMHP) was launched in India. In order to suffice its aim and objectives and effective coverage of mental health care, a district level program was suggested and for which NIMHANS did a pilot project in between 1985-90 and finally District Mental Health Program (DMHP) was started in Bellary district of Karnataka. Since then, the DMHP has been running in entire nation for fulfilling its aim and objectives and delivering mental health care services. In the span of almost three decades, the Program has been monitored and assessed periodically in terms of its effectiveness by keeping the vision of fulfillment of its goals. In this article we are reviewin  theachievements of DMHP and how far we have reached to achieve the goals.
Profile of Patients attending the Neuropsychiatric Specialty Clinic of a Tertiary Care Teaching Hospital in North India: A Retrospective Chart Review
Authors: Kar Sujita K , Prakash Aathira J , Dalal Pronob K
Published: June 2023

Background:  Over past several decades various sub-specialities are developed in the field of mental health. Neuropsychiatry is a subspeciality of psychiatry that focuses on the mental health issues of patients that lie in the interface of neurology and psychiatry. Very few institutes in India, provide neuropsychiatric speciality care through the speciality clinics.

Aims & objectives: The aim of this study is to evaluate the profile of patients attending the neuropsychiatric speciality clinic of a tertiary care teaching hospital in north India

Material & Method: This is a retrospective chart review of all registered patients attending the neuropsychiatric specialty clinic of a tertiary care teaching hospital of north India. Clinical details of all the registered patients from the time of inception (January 2016) till December, 2020, were extracted and analysed after getting approval from the Institutional Ethics Committee.

Result: A total of 202 patients were recruited in the study, of which 53% were males and 47% were females with age ranging from 10 years to 76 years. In the year 2020, there was more than 50% drop in the new registrations due to COVID-19 pandemic (lockdown & closure of specialty clinic). Approximately, half of the patients had neurological co-morbidities, whereas nearly 1/4th patients had no medical comorbidities. Average number of medications received at the time of initial consultation was 3.15 ± 2.09. Nearly, half of the patients had common mental disorders, whereas 1/5th patients had severe mental disorder. History of seizure disorder, head injury and meningitis/encephalitis were present in 17%, 10% and 5% respectively. Faith healing was as common as 42% among the patients attending neuropsychiatry clinic. Tobacco use disorder is the most common comorbid substance use disorder followed by alcohol and cannabis.

Conclusion:  Neuropsychiatric conditions are seen in all ages, both genders. Neurological co-morbidities are the common co-morbidities and patients often receive polypharmacy. Common mental disorders are the most common presentation. History of seizure disorder, tobacco use disorder are common among neuropsychiatric patients.
Atypical Presentation of Anxiety in a patient with Intellectual Disability: A case report and brief review of literature
Authors: Singh Shivangini , Dr. Adarsh Tripathi
Published: June 2023

OBJECTIVE: The diagnosis of psychiatric illness in patients with Intellectual Disability remains clinically challenging in several clinical situations owing to the patient’s limited intellectual functioning and adaptive behavior. Hence, this may lead to different and atypical manifestation of psychiatric symptoms and signs in these patients.

METHOD: We present a case of a 17-year-old boy with moderate intellectual disability who presented to us with chief complaints of dysphagia for 2 months. Personal history indicative of delayed milestones and difficulty in learning simple tasks. Premorbid temperament revealed anxious traits in the child. On MSE affect was distressed, speech was decreased in volume, psychomotor activity was increased and thinking revealed pre-occupation with symptom. Intelligence revealed poor general fund of knowledge and poor arithmetic ability. Insight was absent (Grade I).

RESULTS AND DISCUSSION: On the basis of history and MSE a provisional diagnosis of anxiety disorder, unspecified (F41.9) was kept. The patient was started on treatment Tab Mirtazapine 7.5mg ½ BD. The patient showed significant improvement following initiation of treatment. Patients with intellectual disability have difficulty in expressing their psychological symptoms in words at times and present with atypical symptoms of the underlying disorder. This delays their diagnosis and appropriate management. Due to lack of reporting of psychological symptoms patient often continues seeking treatment from general practitioners which leads to loss of time as well as money.

CONCLUSION: Physicians and psychiatrists themselves need to be more watchful when evaluating a patient with intellectual disability due to the atypical presentation of symptoms.
Check It Out! A Proposed Public Library-Based Meal Program to Combat Literacy Struggles in Children
Authors: Pistone Renee
Published: June 2023

Purpose: To highlight the relationship between hunger in children and struggles with reading and to propose a library-based social program that is directly incorporated within the local libraries’ already established summer reading program to address it. All local libraries throughout the country have an established summer reading program to provide learning stimulus for students when school closed for summer recess. Design/methodology/approach: The method is to analyze the problem using the lens of an economic theory and he research method is the literature review. The theoretical approach or underpinning is that Arthur Laffer’s, trickle-down economic theory has failed our children who go to bed hungry. Findings: School-aged children who are food insecure suffer academically and the problem is worse during the summer months because there is no access to school meals. The local public library is in a unique position to provide social services in the form of a library-based meal program that is incorporated with the summer reading program. Research limitations/implications: Due to the nature of the study, since there were no participants, the findings are only generalizable to a sample of libraries. Future studies could explore topics related to the actual implementation of a library-based meal program that is tracked over a period of three years.
Aplicación de métodos hidrogeoquímicos y geotermométricos al estudio del potencial geotérmico del sur de Tenerife
Authors: Gamisel Muzás África , Olaiz Campos Antonio José , Arnáiz Giménez-Coral Álvaro , García Craviotto Axel
Published: June 2023

El presente trabajo trata de poner en contexto el área sur de la isla de Tenerife, un terreno con alto potencial geotérmico. Se realiza un análisis hidrogequímico de las aguas subterráneas del entorno, utilizando para ellos métodos de análisis geoquímico como los diagramas de Piper, Giggenbach, y Log (K² /Ca) vs. Log (K² /Mg). Se define un carácter bicarbonatado-sodico para las aguas y se observa un avance diferencial en la trayectoria de madurez de estas. Por último, se aplica el geotermómetro de la sílice, en concreto el del polimorfo de la calcedonia, para estimar las temperaturas a las que podría encontrarse el acuífero en profundidad. Finalmente, se indican aquellos factores que podrían inducir a error y se recomiendan aquellos estudios que podrían solventarlo.
Calibración temporal del Ordovícico Superior en el Sinclinal de Cañaveral, Monfragüe (Zona Centroibérica)
Authors: Garrido Susaño Martín , Barba Regidor Pedro
Published: June 2023

El Sinclinal de Cañaveral en el Parque Nacional de Monfragüe contiene una serie completa del Ordovícico, donde el Ordovícico Superior presenta una de las secciones más completas y mejor expuesta de la Zona Centroibérica (ZCI). El estudio estratigráfico de detalle de la serie ha permitido diferenciar dos grandes formaciones; la Formación Puente del Cardenal y la Formación Villarreal de San Carlos, además de reconocer los medios sedimentarios, superficies significativas y cortejos sedimentarios. Por medio de la estratigrafía secuencial se han calibrado dichas superficies al relacionarlas con variaciones glacioeustáticas deducidas de las curvas isotópicas de Bergström et al. (2009).
Nuevas unidades litoestratigráficas del Ordovícico Superior en el Sinclinal de Cañaveral (Monfragüe, Zona Centroibérica)
Authors: Garrido Susaño Martín , Barba Regidor Pedro
Published: June 2023

El estudio estratigráfico del Ordovícico Superior en el flanco sur del Sinclinal de Cañaveral (Parque Nacional de Monfragüe) ha permitido definir dos nuevas formaciones: Puente del Cardenal y Villarreal de San Carlos. El límite estas nuevas formaciones se encuentra en una pequeña unidad, muy bioturbada y rica en óxidos de hierro, que se ha interpretado como una serie condensada depositada en momentos de nivel de mar más alto. La primera está dividida por una superficie transgresiva, que da lugar a dos miembros definidos como Miembro Inferior y Miembro Superior. La Formación Villarreal de San Carlos se divide en dos miembros, denominados Miembro Organizado y Miembro Desorganizado separados por una cicatriz tipo scar. Este último está constituido por depósitos de transporte en masa generados por la regresión de la Glaciación Hirnantiense.
Evolución del nivel del agua en una corta inundada de la Faja Pirítica Ibérica: Implicaciones ambientales
Authors: Moreno Gonzalez Raul , Olías Álvarez Manuel , Rodrigo García Ainara , Ruiz Cánovas Carlos
Published: June 2023

En mayo de 2017 se produjo un vertido de aproximadamente 270.000 m3 de aguas ácidas desde la corta de La Zarza, al romperse el sellado de una antigua galería minera. Para impedir que el agua siguiera saliendo de la corta, se inyectaron sustancias impermeabili- zantes en la galería. En este trabajo se analiza la evolución del nivel del agua en la corta y la eficacia del nuevo sellado de la galería. El nivel del agua en la corta se ha mantenido aproximadamente cons- tante en los últimos años, debido a que las precipitaciones en este periodo han sido escasas, pero los resultados del balance muestran que el nivel continuará ascendiendo cuando finalice este periodo seco. Por otro lado, los análisis hidroquímicos realizados en la boca de la galería, donde existe una pequeña surgencia de aguas ácidas, muestra que el sellado realizado en 2017 está siendo efectivo y que el agua que sale por este punto no procede de la corta inundada.
Estructuras sedimentarias conglomeráticas columnares en la Formación Montsant (Serra de La Llena), Vilanova de Prades, Tarragona, España
Authors: Colombo Ferran , Gavilán Francesc , Albalat Vázquez David
Published: June 2023

Algunos cuerpos conglomeráticos de la Fm. Montsant presentan en su base unas estructuras cilíndricas y ortogonales a los planos de estratificación. Después de la sedimentación de un litosoma conglomerático, se habría producido la acumulación de un tramo predominantemente lutítico en el que produciría una bioturbación vertical, localmente muy intensa. Esa bioturbación que tiene una distribución aparentemente no jerarquizada sugiere que pudo haberse originado por el crecimiento de una vegetación herbácea. De forma dispersa, aparecen unas estructuras columnares resaltadas por su relleno conglomerático. Estas podrían corresponder a los moldes de los troncos de unos antiguos árboles, que habrían desaparecido por una inundación súbita causada por aguas muy cargadas con sedimentos fangosos. El carácter predominantemente lutítico (illítico) de esos materiales pudo favorecer la generación de algunos moldes de troncos de árboles. Posteriormente a la desaparición de los materiales leñosos, esos moldes cilíndricos pudieron quedar huecos, facilitando así su relleno por las gravas de clastos redondeados transportadas por flujos acuosos. Éstos serían responsables de la generación de los litosomas conglomeráticos correspondientes a la progradación de los grandes abanicos aluviales que se desarrollaron en esa zona durante el Oligoceno. El objetivo de este trabajo es el de intentar dilucidar la génesis de esas estructuras conglomeráticas columnares y su significado sedimentario.
Caracterización hidrogeológica preliminar del sector de Rodalquilar, Parque Natural Cabo de Gata – Níjar, Almería
Authors: Buera Cuerva Javier , Mudarra Martínez Matías , Barberá Fornell Juan Antonio , Andreo Navarro Bartolomé
Published: June 2023

El Parque Natural de Cabo de Gata – Níjar es una de las regiones con menores precipitaciones de la Península Ibérica, si bien son comunes los eventos torrenciales. El sustrato geológico lo forman rocas volcánicas de diversa tipología, sobre las que se disponen carbonatos terciarios y depósitos cuaternarios más recientes. En este trabajo se presentan los primeros resultados de las investigaciones hidrogeológicas que se están efectuando en el sector de Rodalquilar. Se plantea la hipótesis de que exista continuidad hidrogeológica entre las rocas volcánicas y los sedimentos detríticos cuaternarios que afloran al este, hacia el mar, lo cual podría condicionar la similitud de facies hidroquímicas constatada, aunque existen diferencias en las composiciones químicas. Ante las precipitaciones torrenciales, en los materiales acuíferos detríticos se registran ascensos piezométricos más rápidos y de mayor magnitud que en las rocas volcánicas.
Un lóbulo deltaico de grano grueso en los conglomerados oligocenos de la Formación Montsant: Estudio preliminar (Pobla de Cèrvoles, Lleida, España)
Authors: Colombo Ferran , Gavilan Francesc , Gómez Expósito Manuel
Published: June 2023

Los conglomerados de la Fm Montsant han sido estudiados ampliamente desde el punto de vista estratigráfico, estructural y sedimentológico con resultados variables. Hemos estudiado un cuerpo conglomerático que no había sido descrito con detalle anteriormente. El objetivo de este trabajo es el de indicar la génesis y significado deposicional de ese litosoma conglomerático que muestra una estratificación cruzada (foresets) que se extiende continuadamente desde la base al techo del litosoma y es continua por decenas de metros. Esto se habría generado mediante el desarrollo de un lóbulo deltaico de grano grueso en un contexto de progradación episódica de grandes abanicos aluviales. Entre los cuerpos de gravas transportados hidráulicamente y con cauces importantes, pudieron existir pequeñas depresiones donde quedaron retenidas temporalmente las aguas de desbordamiento y favorecieron la acumulación de fangos. En ese contexto se desarrollaría algún lóbulo deltaico de pequeña extensión. Los niveles conglomeráticos subhorizontales y de orden menor situados en la parte más alta del litosoma (topsets), indican el nivel máximo del lago temporal. Este corresponde actualmente al techo de las lutitas. La progradación de este lóbulo deltaico y de los grandes abanicos aluviales se desarrolló durante el Oligoceno.
Exploración geofísica para la caracterización hidrogeológica del entorno del Aljibe de la Lluvia, en el conjunto monumental de la Alhambra y el Generalife (Granada, Sur de España)
Authors: Pérez-Vizcaíno Pablo , García Pulido Luis José , González-Ramón Antonio , Marín-Lechado Carlos , Martos-Rosillo Sergio , Ruiz Constan Ana
Published: June 2023

En la parte más elevada del cerro donde se ubica el conjunto monumental de la Alhambra y el Generalife, en la Dehesa del Generalife (Granada, España) se sitúa un extenso complejo hidráulico, de época nazarí, que pudiera haber sido alimentado por el agua subterránea captada desde el Aljibe de la Lluvia. En este trabajo se presentan los resultados de una campaña de prospección geofísica con la que se ha pretendido determinar si se dan las condiciones hidrogeológicas que expliquen la presencia de un manantial colgado dentro de la Formación Alhambra. Los resultados conseguidos explican por qué surge el agua en las inmediaciones del aljibe y contribuyen a reforzar la teoría que apunta a que este manantial pudo condicionar el establecimiento del complejo hidráulico de la Alberca Rota, que fue el nodo que posibilitó el suministro de agua a las almunias realesnazaríes de los Alixares (Qaṣr al-Dishār) y Dār al-‘Arūsa (Casa de la Novia), construidas en el último tercio del siglo XIV.
Caracterización hidrológica y vulnerabilidad de la laguna del Acebuche (El Abalario, Huelva)
Authors: Rodríguez Rodríguez Miguel , Montes-Vegas María José , Maldonado-Jiménez Julio
Published: June 2023

En este trabajo se ha realizado una caracterización hidro-morfológica de la laguna del Acebuche (El Abalario, Huelva). Los resultados del estudio muestran una laguna de hidroperíodo semipermanente desde 1984 hasta 2002 y de hidroperíodo estacional desde 2002 hasta la actualidad, deducido a partir del análisis de imágenes Landsat. La información analizada indica que la hidrología de la laguna ha sido manejada desde antes de 1984, mediante aportes de agua subterránea del acuífero a la laguna. Sin estos aportes, el hidroperíodo de esta laguna sería esporádico y el régimen hídrico sería el de una laguna de recarga. El actual modelo de gestión artificial se considera aceptable, siempre que los niveles en el acuífero no desciendan de manera insostenible en el área de la laguna, en cuyo caso, se debería replantear su gestión. Por último, no se prevé que un nuevo sondeo de abastecimiento, situado a varios kilómetros de la laguna, afecte de manera grave a este sistema, que ya de por sí tiene un funcionamiento artificial y su régimen hídrico está alterado desde hace 40 años. Se plantea como necesario el seguimiento de los niveles piezométricos en el entorno y en la propia cubeta lagunar mediante la construcción de un piezómetro.
Tectonic evolution of the Triassic diapirs in the southern front of the Rif belt, Northern Morocco
Authors: Mazouar Maria , El Ouardi Hmidou , Amine Afaf , Habibi Mohamed , Boualoul Mustapha , El Ouali Abdelhadi
Published: June 2023

Located at the front of the external Pre-Rif, northern Morocco, at the edge between the Rif cordillera and the Saiss neogen basin, Triassic diapirs constitute one of the main features of this area, occurring within the Meso-Cenozoic allochthonous formations. In order to understand their geological setting and evolution during the Meso-Cenozoic times, we carry out a geological study based on structural analysis and fracturing field investigations. The obtained results are completed by previous geophysical and seismic works. The rising salt bodies (halite, anhydrite and gypsum) in those diapirs was controlled by the two NW-SE and NE-SW system faults from the Mesozoic to the Quaternary. The contacts between the Triassic material and the Miocene sedimentary marls are discussed. Some mapped tectonic contacts, considered as thrusting faults are in fact stratigraphic limits, which are characterized by polygenic conglomerates. These arguments allow us to review the whole history of these salt walls and to discuss their current geometry.
Una nueva sección fosilífera de la Formación Sueve (Ordovícico Medio) al suroeste del Túnel Ordovícico del Fabar (Ribadesella, Asturias, NO de España)
Authors: Bernárdez Enrique , Gutiérrez-Marco Juan Carlos , Rábano Isabel
Published: June 2023

Se presenta una nueva sección bioestratigrafica de la parte basal de la Formación Sueve. La nueva sección se suma a las nueve secciones descritas en estudios previos, relativos al sector septentrional del manto de Laviana. Los horizontes fosilíferos muestreados se integran en la Biozona del graptolito Didymograptus murchisoni, indicativo de una edad Oretaniense tardío o Darriwiliense tardío no terminal según las respectivas escalas regional y global. Entre los resultados paleontológicos destaca el hallazgo de algunos fósiles raros o desconocidos en la Fm. Sueve. El graptolito Pseudoclimacograptus cf. scharenbergi (Lapworth) se cita por vez primera en el SO de Europa a través de un ejemplar conservado tridimensionalmente; el rostroconcha Ribeiria apusoides Schubert y Waagen se identifica por segunda vez en el Ordovícico de España (tras un primer registro centroibérico en Almadén); y el trilobites Crozonaspis morenensis Hammann confirma su presencia en el Oretaniense superior de la Fm. Sueve con un material más abundante y mejor conservado. Finalmente, el descubrimiento de un trilobites rafiofórido en el afloramiento estudiado abre la posibilidad de encontrar nuevos ejemplares de estos rarísimos trilobites a escala del Ordovícico ibérico.
Desacoplamiento de la deformación en la base de la lámina cabalgante del Dominio de Alborán (Béticas Occidentales)
Authors: Balanyá Juan Carlos , Expósito-Ramos Inmaculada , Jiménez-Bonilla Alejandro , Díaz-Azpiroz Manuel , Sánchez-Gómez Mario , Crespo-Blanc Ana
Published: June 2023

En las Béticas Occidentales la lámina cabalgante cristalina del Dominio de Alborán (LDA) se dispone sobre las Unidades Frontales (UF) y el cinturón de pliegues y cabalgamientos (CPC). Analizados los estilos tectónicos y direcciones de transporte de la LDA, y sus diferencias con las unidades cabalgadas, los resultados indican que la deformación interna de la LDA sincrónica con su emplazamiento es moderada y se traduce en pliegues de acomodación de dirección N-S a N20ºE desarrollados sobre la rampa frontal de bloque superior. Pliegues rectos de gran radio deforman la parte trasera de la lámina y probablemente tienen la misma edad (Mioceno inferior-medio). Por otra parte, las direcciones de transporte tectónico de la LDA (N270º-280ºE) son paralelas a las del CPC en el frente W y, sin embargo, las Unidades Frontales y las del CPC presentan direcciones de transporte entre N310º-320ºE en el frente N. Estas variaciones y el cambio drástico de estilos tectónicos entre la LAD y las UF/CPC evidencian un alto grado de desacoplamiento de la deformación entre los dos conjuntos.
Gravimetric and magnetic characterization of structural controls on Sn-W ore deposits. A case study in the san finx deposit (A Coruña)
Authors: Santamaría Barragán Alberto , Ayarza Arribas Puy , Alcalde Juan , Saura Eduard , Martí Linares David , Palomares Imma , Elez Javier
Published: June 2023

Critical raw materials are essential for the development of our society. However, most shallow ores have already been exploited and only deep targets remain unexplored. This work aims to apply indirect geophysical techniques to the San Finx Sn-W deposit (A Coruña) in order to get further constrains of its deep structure and geometry. Accordingly, a magnetic and a gravity survey have been carried out in the area (SE of Noia, A Coruña), at the southern part of the Malpica-Tui Complex. The resulting absolute magnetic anomaly and the relative gravity anomaly have been studied analytically and through 2-2.75D forward modeling. Results indicate that, the sampling interval (~1 km) is too high to characterize the anomalies related to the Sn-W mineralization. Contrarily, they show the potential field imprint of the regional Variscan tectonics. To better assess the relationship between the regional Variscan tectonics and the mineralization, a higher resolution survey should be acquired to detect this deposit.
Capacidad amortiguadora de la contaminación minera en los sedimentos holocenos del estuario del Guadiana (SW España)
Authors: Moreno-Moreno Angel , Delgado Rodríguez Joaquín , Barba-Brioso Cinta , Nieto-Liñán José Miguel
Published: June 2023

El estuario del río Guadiana se encuadra en el Sur de la Península Ibérica, concretamente en la frontera entre España y Portugal; el río atraviesa en su último tramo la Faja Pirítica Ibérica, donde se localizan importantes yacimientos mineros que han sido explotados en los últimos 5000 años. Ante el peligro que los drenajes ácidos, producidos por este tipo de actividades, suponen para el medio ambiente, se ha realizado un estudio mediante la extracción de testigos, a los que se les han aplicado diferentes métodos (estudio de su química, datación por C14, y estudio mineralógico) que han permitido obtener resultados que dejan al descubierto un sistema capaz de amortiguar de una forma natural muy eficiente los aportes que han llegado de la parte alta de la cuenca durante los últimos 13000 años, protegiendo así un ecosistema con un alto valor ecológico.
Mechanism of Resistance to British Imperialism in the Literature of Kazi Nazrul Islam
Authors: Mondal Md Sohel
Published: June 2023

Literature has always been an effective medium of presentation. Whenever the groaning sound of people with the increasing tyranny of colonial rule raised high, literature played a pivotal role to draw it in a pragmatically artistic touch. The Bidrohi Kabi Kazi Nazrul Islam, National Poet of Bangladesh, made a unique place in the journey of Bengali literature resistance of the early twentieth century. He inextricably applied diverse literary genres and thematic mechanisms of resistance in his literature which undoubtedly bore the motive-inciting words of love and fire against any form of injustice whether of British Empire or societal customs and continued the thread of awakening in the Bengal Renaissance. The Rebel Poet was the figurehead of the allied Hindu-Muslim struggle of undivided India against the imperialistic British rule. However, miserably the discourse on Nazrul Resistance Literature is limited only in Bengali corridors with mere poetic contributions. With this viewpoint, the research delves into exploring the dimensional works of the poet and tries to establish him as a versatile writer of prose and poetry. In addition, the work makes a sincere effort to elucidate various thematic decorations of his literary outcomes and their universal acceptability. Ultimately, Nazrul Studies are yet to be expounded further ahead to bring out more research works on this Bengali poet of love and resistance overlooking the cross-country borders.