bluuebunny/crossref_metadata_2025 huggingface dataset:
Predicting the immediate outcome in patients with acute on chronic liver disease by comparison of chronic liver failure-organ failure assessment, acute-on-chronic liver failure scores and meld scores
Authors: Andrea Janice Fonseca  , Rajendra Mane
Published: January 2023

Background: Acute on chronic liver disease is determined by the acute deterioration of liver function over a short period of time. It leads to an increase in morbidity and mortality, hence scores like model for end-stage liver disease (MELD) and chronic liver failure-sequential organ failure (CLIF-C ACLF) are identified to determine prognosis. A comparison would help us in determining which score is better for predicting immediate outcomes.
Methods: In this single centre study, patients of both genders, >18 years of age, >48 hours hospital stay with organ failure either ≤1, defined as, an increase in serum creatinine by 50% or more (1.5-fold from baseline), hepatic encephalopathy (HE) graded III/IV according to West haven criteria, liver failure, bilirubin ≥5 mg/dl, international normalized ratio (INR) ≥1.5 were enrolled after which relevant lab investigations and imaging was done and MELD and CLIF-C ACLF scores were applied, they were compared and analyzed.
Results: Among 50 patients, 62% had grade 2, 36% had grade 3 and only 1 had grade 4 HE. Mean MELD score and CLIF- C ACLF scores were significantly high in patients who expired (both p<0.05), and the mean PaO2/FIO2 ratio was considerably low in patients with mortality (p=0.00). Sensitivity and specificity for CLIF-C ACLF score is much higher (90.9% and 100% respectively, with cut off value of 59), compared to the MELD score (77.3% and 60.7% respectively, with cut-off value of 25.50)
Conclusions: CLIF-C ACLF score is a better predictor of mortality and for survival in ACLF than the MELD score in changing the outcome of the patient.
Functional outcome of the distal femur fractures using plate osteosynthesis
Authors: Shingati Muhammed Hashim  , Sahuji Sachin
Published: January 2023

Background: Distal femoral fractures are a catastrophic event with bimodal distributions. Despite the advances in techniques and the improvements in surgical implants, treatment of distal femoral fractures still remains a challenge in many situations. The purpose of this study is to evaluate the rate of union, functional outcome and complications of these fractures treated by open reduction and internal fixation via plate osteosynthesis. Objectives were-1. Whether fractures reduction and fixation with plate will give acceptable results in the distal femur fractures treated in our setup. 2. To study the clinical outcome associated with this treatment modality and 3. What are the potential associated complications
Methods: This is a prospective, randomized observational study of 17 patients, with distal femur fractures (Muller classification type 33 A, C) who were treated with DFLCP at department of orthopaedics, Raja Rajeswari medical college hospital, Bangalore from January 2021 to July 2022. The study sample was 17 patients and all these patients were included with predefined inclusion and exclusion criteria in this study. Minimum of 2 months and a maximum of 12 months follow up was done. The functional and radiographic results were recorded according to Neer’s criteria.
Results: In this study, most of the patients in this study were patients in the age group 61-75 years. The 53% of the cases were Muller type A and 47% were type C. The shortest follow up period was 2 months and longest period was 12 months, average union time was 18 weeks. Most common complications are knee stiffness, infection and shortening. In this study, there were two cases with excellent results, nine cases with good results, four cases with fair results and no cases went for failure.
Conclusions: We conclude that using locking plates is a safe and reliable method although careful preoperative planning and case selection and taking up cases for surgery as soon as possible are important factors which determine the final outcome.
Histomorphological study of vesiculobullous lesions of skin: a study of 66 cases at tertiary care center
Authors: Patel Krutika , Vasudha Bhagat  , Jahanvi Vyas  , Prashant Patel
Published: January 2023

Background: Wide variety of pathological processes can lead to development of vesiculobullous eruptions over the body. They may occur in many dermatoses which include various inflammatory, infective, autoimmune, drug induced as well as genetic conditions. Each entity of vesiculobullous lesion has similar or confusing clinical features but different histopathological morphology outcome. However, these disorders are still associated with substantial morbidity, considerable mortality and impaired quality of life. Histopathological examination is helpful in definitive diagnosis of vesiculobullous disorder which is very essential for specific treatment and an appropriate desirable outcome. Aim was to study and classify various vesiculobullous lesions of the skin.
Methods: It was a hospital based prospective and retrospective study conducted for a period from January 2016 to July 2019 in the department of pathology at Government medical college, Surat, Gujarat. Total of 66 patients, aged 3-70 years with vesiculobullous lesions of both sexes attending the department of dermatology were selected and analysed clinically. The specimens were routinely processed and hematoxylin and eosin stained slides were studied.
Results: In the present study, majority of patients presented between 41-50 years of age (32%) with male to female ratio of 1.08:1. Pemphigus vulgaris constituted the most common vesiculobullous disorder (30.30%) followed by pemphigus foliaceous (24.24%) followed by bullous pemphigoid (15.05%). Bullae were located intra epidermally in (36%+24.78%) and sub epidermally in 24% of the patients.
Conclusions: Thorough histopathological workup and clinical correlation is essential to confirm diagnosis of vesiculobullous lesions of skin.
Pattern of renal and urinary tract disorders in children
Authors: Mehraj Uid din Khan  , Yaseer Ahmad Mir  , Touseef Ul Ayoub  , Muzafar Jan
Published: January 2023

Background: Pediatricians encounter a wide spectrum of renal and urinary tract ailments in children most of which cause considerable morbidity and mortality in children. Such disorders are seen in children of all age groups starting right from infancy up till adolescence. The aim of our study was to study the prevalence, spectrum and clinical profile of such disorders in children.
Methods: This was a hospital based prospective observational study conducted over a period of 12 months from September 2017 to September 2018 at G. B. Pant hospital and Sher-i-Kashmir Institute of Medical Sciences Srinagar. Children presenting with renal and urinary tract disorders between the age group of 1 month and 12 years were prospectively observed and recorded.
Results: Total number of patients between age group 1month to 12 years admitted with renal and urinary tract disorders were 197. Majority of patients i.e. 56 (28.4%) were less than one year old. Mean±SD age of patients was 3.9±3.41 years. Fever was the most common complaint present in 78 patients (39.6%).  Urinary tract infection was the most common diagnosis in our study comprising of 71 (36%) patients followed by nephrotic syndrome in 39 (19.8%). Other diagnosis were congenital anomalies of kidney and urinary tract- CAKUT (13.2%), acute glomerulonephritis-AGN (10.2%), Acute kidney injury- AKI (9.1%), chronic kidney disease- CKD in 9 (4.6%) and tubular disorders (4.1%).
Conclusions: Because of their significant prevalence and impact on the quality of life, renal and urinary tract disorders require prompt diagnosis and management because early detection and treatment improves the morbidity and mortality.
Evaluation of efficacy of pregabalin as premedication for post-operative analgesia in open appendicectomy
Authors: Bijapur Mubina Begum , Kudligi Nazeer Ahmed , Moizuddin Syed , Rasool Mohammed , K. Shabeer Ali
Published: January 2023

Background: Pregabalin is gamma amino butyric acid (GABA) structural analogue, effectively used in management of different neuropathic pain, incisional and inflammatory injuries. Current study aimed to evaluate the efficacy of pregabalin 75 mg with a placebo as premedication for post-operative analgesia in patients posted for open Appendicectomy under regional anesthesia.
Methods: A randomized controlled trial was conducted on 90 patients undergoing open Appendicectomy under regional anesthesia. The patients were divided in two groups of 45 each: group C (placebo); group P (75 mg pregabalin), drug was administered orally 60 minutes before surgery. The Ramsay sedation scale (RSS) was used for assessment of sedation and the visual analog scale (VAS) was used to determine pain at rest and cough, along with assessment of time required for rescue analgesics on the first post-operative day.
Results: The RSS scores were significantly higher in groups P as compared to the controls (p<0.001). Postoperative VAS scores for pain both at rest and on cough were significantly reduced in group P (p<0.001). Rescue analgesic consumption decreased significantly in group P (p<0.001). The time at which first dose of rescue analgesia administered was 4.50±3.04 hours in group C, 10.90±5.37 hours in group P (p<0.001).
Conclusions: Pregabalin as premedication prolong the postoperative analgesia in addition to decreased consumption of analgesics.
Metabolic syndrome: a crucial risk factor for dermatophytosis
Authors: Shah Shuhaab Ahmad , Mir Rayees Ahmad , Quraishi Kamran Ahmad , Dar Uzair Khursheed
Published: January 2023

Background: Dermatophytes contribute to 20-25% of superficial mycotic infections. Loss of metabolic control secondary to any pathophysiological dysfunction could result in cutaneous diseases including dermatophytoses. Aim of current study was to determine the age and gender variation between metabolic syndromes and different dermatophytosis and to find the association between the two.
Methods: The study included a total of 370 patients of confirmed superficial fungal infections visiting a tertiary care hospital (Government Medical College, Srinagar) from August 2021 to January 2022. Demographic profile was recorded, dermatological examination done and screening for metabolic syndrome done followed by analysis of results.
Results: Highest prevalence was found in male patients in the age group 26-35 years which were 80 (21.6%) and female patients were 47 (12.7%). Metabolic syndrome was diagnosed in 155 (41.9%).
Conclusions: Patients with metabolic syndrome are at a higher risk to develop recurrent and recalcitrant fungal infections.
Association of ABO blood group and Rh factor in cleft lip and palate patients
Authors: Juhi Yadav  , Pradeep Raghav  , Raj Kumar Mishra  , Divya Narain Upadhyay  , Veerendra Prasad  , Chandra Prakash Chaturvedi  , Kritanjali Singh
Published: January 2023

Background: One of the most common congenital malformations, with widespread racial and regional variation is an orofacial cleft. The occurrence is attributed to an array of environmental and genetic factors. Blood grouping and Rh factor are genetically determined. Any possible association of clefts with them helps in planning interventional services.
Methods: A case control observational study was conducted on 111 samples who were cases presenting with oral clefts in Super speciality hospitals and other 111 samples who came to hospital for their treatment other than for cleft lip or cleft palate, were controls in the study. Cases were evaluated for various phenotypes of clefts. Blood samples of each case and control was collected to elaborate on blood group genotype and Rh typing. SPSS 22.0 version was employed for statistical analysis.
Results: The most common blood group noted in cases as well in controls respectively was type ‘B’ in 31.5% and 43.2%, while blood group ‘AB’ was noted the lowest in both cases (14.5%) and controls (7.3%).Rh positive was noted 94.6% in both cases and control population. Clefts were observed more in male population than female counterparts.Cases of cleft lip and palate (CLP) was noted the highest, in 61 (55%) of cases, followed by defects in lip, palate and lastly in soft palate.
Conclusions: Though not associated to the biological characteristics of cleft lip and palate in the current study, the functional importance of ABO blood group distribution may be the subject of future research. Identification of any associative traits for clefts assesses individuals with risk so as to help eliminate the chance of occurrence and early identification for better prognosis.
Assessment of the quality of life in parents of children suffering from epilepsy
Authors: Purva C. Shah  , Vaishali R. Chanpura  , Maliha I. Ansari  , Priyansh P. Shah
Published: January 2023

Background: In case of paediatric epilepsy, parents are responsible for providing medicines, round the clock care to the child, while also sustaining their own needs and expectations from life. Socioeconomic status, interaction with healthcare workers, and the level of monetary and emotional support from external agencies play an important role in modelling the quality of life of these parents. The authors’ objective was to assess the quality of life of parents of children suffering from epilepsy and evaluate the influence of demographic and clinical variables.
Methods: We conducted a cross-sectional analytical study at the out-patient department of our hospital. We recruited parents of epileptic children and those of children not suffering from any chronic illness and elicited demographic data, clinical history of illness, and QOL using the Quality of Life in the Child’s Chronic Disease Questionnaire of parents in both groups followed by analysis of the data by applying appropriate statistical tests. We used Student t- test to find the significance of data on continuous scale and Chi-square test for discrete variables. One-way ANOVA test was performed to find the influence of various variables on QOL of parents.
Results: Male child, female caregiver, Hindu religion, illiterate parent, low monthly family income, residence in rural areas, GTCS type of seizure, frequent seizures during the day, and multiple medications negatively affected the QOL of parents.
Conclusions: To provide holistic care to epileptic children, we need to integrate and provide social, occupational, emotional, and financial help to their parents in an acceptable, affordable, and sustainable way.
Unusual sites of delayed metachronous metastases from renal cell carcinoma: a case series of five cases and review of literature
Authors: Singh Anshuman , Chawla Arun , Wali Manjunath Irappa , Shah Abhijit , Gali Kasi Viswanath
Published: January 2023

Renal cell carcinoma (RCC) is the most common malignant tumour of the kidney, representing 3% of all adult malignancies. Among men it is the sixth most common cancer while among women it is the ninth most common cancer. The mainstay of treatment for localized RCC is surgical resection with curative intent. The aggressive and often insidious nature of RCC is reflected by high recurrence rates of upto 20-40% after nephrectomy. Most commonly encountered sites of recurrent metastases include the lung, followed by bone, liver, brain, and local recurrence. Atypical sites of delayed metastases of RCC, although rare, have been reported in literature. We present our series of five cases where delayed metastasis has occurred at atypical sites including right sartorius muscle, right atrium and ventricle, urinary bladder, shaft of tibia and distal phalanx of hand upto six years later from the time of initial curative treatment of primary. The metastatic lesions in sartorius muscle, right atrium and ventricle, urinary bladder and distal phalanx were primarily managed by metastatectomy while that in the tibial shaft was managed by palliative targeted therapy with tyrosine kinase inhibitors. The key takeaway from this case series is that any primary neoplastic lesion in a patient with history of RCC should be evaluated with histopathology before definitive intervention is undertaken keeping in mind the notorious tendency of RCC to cause delayed metachronous metastases at unusual sites. In presence of solitary metastatic lesions at resectable locations, curative treatment can be offered by metastatectomy.
3D printing for surgical planning in bone grafts for cleft-palate: a case report
Authors: Rendón-Medina Marco Aurelio , Arias-Salazar Leidy , Covarrubias-Noriega Alejandro , Araiza-Gómez Edgardo , Mendoza-Velez Maria De Los Angeles , Hernandez-Ordoñez Rubén , Vázquez-Morales Hecly Lya , Pacheco-López Ricardo C.
Published: January 2023

3D printing has been used for teaching purposes. Creating models for simulating surgeries. Gong et al presented a workflow for digital planning for surgery and Rendon et al previously presented a low-cost method with acceptable precision.  This paper aims to present a case where 3D printing surgical planning was applied for bone graft shape and dimensions. A 16-year-old female patient with a history of bilateral cleft lip and palate has received 6 surgical interventions to treat her congenital pathology. She begins orthodontic management at the age of 6 years and is referred to the plastic surgery service 10 years later, presenting oral and nasal fistula on the nasal floor with mainly liquid leakage. A bone graft was taken and applied from the patient's left iliac crest. the iliac crest is taken and the bone graft is molded Assisted with 3D printed model which is fixed in the premaxilla with a 14-hole linear plate. We proposed a new application for low-cost 3D printed models. Patient specific models have applications in cleft palate bone grafting. We present a case and more studies are required to measure variables as time, graft integration, and patient satisfaction.
Plastic bronchitis and a novel management approach with streptokinase inhalation therapy: a case study
Authors: Hlutkina Nataliya , Sadadiwala Mehul Hitesh , Mevawala Hardik Bakulkumar
Published: January 2023

Plastic bronchitis (PB) is a rare condition of obstructive bronchial casts. The most common demographic that is affected by PB is children but adults with acute onset have also been reported. At present, there are no established guidelines for the management of PB which has led to the proposition of a variety of treatment regimens. Inhaled streptokinase (SK) can be one such treatment modality for this rare condition. An adult female patient presented to the Grodno university clinic with complaints of dyspnea, shortness of breath, and expectoration of firm, long, and branching bronchial casts. We used inhaled SK to treat this patient based on the cast composition on microscopic evaluation. Written consent was taken from the patient mentioned in the study. The study was approved by the hospital and institutional ethics committee. SK, a potent fibrinolytic agent, can be useful in lysing fibrin-rich bronchial casts. With Inhaled SK therapy, there was a gradual improvement in the overall condition of the patient. In the subsequent clinical follow-up, the patient was asymptomatic and without recurrent casts.  The course of treatment and positive recovery of the patient signifies the fact that inhaled SK can be a suitable therapeutic approach in PB. Therefore, based on our novel therapeutic approach, SK inhalation may be a possible treatment for bronchial casts in PB.
A case report of Kounis syndrome: acute myocardial injury caused by multiple bee stings
Authors: S. Megha , Agarwal Gaurav
Published: January 2023

Kounis syndrome, also known as “allergic angina syndrome” or “allergic myocardial infarction”, refers to acute coronary syndrome secondary to hypersensitivity reaction as a result of exposure to various allergens. Signs and symptoms may include chest pain, with or without raised troponins and cardiac enzymes, vomiting, syncope, hypotension or acute renal failure. A 60-year-old male, farmer by occupation, was bitten by multiple bees over head, neck region and bilateral upper limbs in the afternoon on 04/03/2022. On presentation, vitals were stable. After 2 hours, patient developed severe chest pain, palpitations, and dizziness. ECG showed inferior wall ST elevation MI. Subsequently CPK, CK-MB, troponin I were done, which were found to be elevated. Echocardiography was done, which showed regional wall motion abnormality in the inferior wall. Patient was treated with anticoagulants and antiplatelets. CT coronary angiography showed healthy coronaries. In literature, we had few cases of myocardial infarction following bee sting. In acute myocardial infarction after bee stings, it has been suggested that vasoconstriction secondary to mediators released after the sting, aggravated by exogenous adrenaline and platelet aggregation contributes to myocardial ischemia. Cardiac complications can accompany bee sting. Intensive supportive treatment in intensive or coronary care facilities with administration of drugs to treat complications early in the course of the illness will improve the outcome.
An unusual case of cavitary lung lesion in catheter related blood stream infection
Authors: Koley Himadri , Saini Sandeep , Cheluvaiah Chandrashekar , Dhoot Dipesh K. , Sindhu Devada
Published: January 2023

Cavitary lung lesions are commonly caused by Staphylococcus aureus, Klebsiella pneumoniae. Pseudomonas rarely causes such lesion. Here we report a case of cavitary pneumonia due to pseudomonas aeruginosa in the setting of catheter related blood stream infection in a 25-year-old male with crescentic IgA nephropathy who was on immunosuppressive medication.
A combination effect of manual assisted cough techniques and respiratory proprioceptive neuromuscular facilitation on ventilatory decompression craniotomy patients: a case report
Authors: Akshay Kumar Namathota Chandra , Kamble Karuna
Published: January 2023

After traumatic brain injury (TBI), brain starts swelling due to the formation of hematomas in the intracranial cavity and owing to forming rigid nature of the skull. Decompression craniotomy is a surgical procedure in which skull is removed and underlying dura is opened-for escalating the brain edema. Patients with TBI will be on prolonging bed rest depending on severity of injury and level of consciousness i.e., low GCS score and neuromuscular weakness. Prolong bed rest can contribute to cardio-pulmonary dysfunction and there by receiving ventilatory support via endotracheal tube or tracheostomy. Experience of ineffective cough reduced airway in the lung field due to impaired respiratory muscle weakness or paralysis which contributes various pathophysiological effects in TBI. A case report study of 51 years old patient diagnosed with TBI with left sided subdural haemorrhage with right extradural haemorrhage who operated for decompression craniotomy and with ventilatory support. Outcomes were taken on day one and fourteenth day i.e., vitals, GCS score, RLA stage, chest expansion, lung compliance and ICP, there is significant improvements in outcomes is seen after intervention. In the present case study, combination of manual assisted cough techniques (MACT) and respiratory PNF have shown improvement in efficacy of cough, thoracic cage mobility and weaning off from ventilator, hence by implementing these combination techniques, will reduce ICU stay and improve quality of life.
A case report demonstrating intestinal tuberculosis in an infra-umbilical incisional hernia
Authors: Tarique M. , Aziz Iqbal
Published: January 2023

Abdominal tuberculosis is common but it is rare to diagnose it through the contents of hernia. Clinical presentations of abdominal tuberculosis are diverse depending on the organ involved in the abdominal cavity. Thirty-five-year-old female was admitted in the surgical ward of Ajmal khan Tibbiya college hospital, Aligarh Muslim university Aligarh with the complaints of a swelling in the infra-umbilical region in a previous vertical LSCS incision. Hernia repair surgery revealed the features of intestinal tuberculosis which was confirmed by histopathology. Anti-tuberculosis treatment was started and she was in a stable condition upon discharge. This case report is the first documented case of intestinal tuberculosis in an infra-umbilical incisional hernia. The case report highlights the relevance of advance investigations in simple looking hernial cases. There is very limited data within literature related to the histopathological diagnosis of hernial sacs in an endemic area of tuberculosis, but it will be beneficial for surgeons working in endemic areas of tuberculosis.
¿Cómo acelerar la innovación verde en América Latina y el Caribe y por dónde empezar?
Authors: Grazzi Matteo , Radaelli Vanderléia , Henriquez Pauline , Pufal Nathalia , López Sandra
Published: January 2023

El concepto de innovación verde, que incluye la creación y comercialización de nuevas tecnologías que son más benignas para el medio ambiente, así como la difusión y adopción de tecnologías más ecológicas, es todavía incipiente en América Latina y el Caribe. De hecho, a pesar de su gran potencial en fomentar un nuevo modelo donde crecimiento económico y generación de empleo sean compatibles con la sostenibilidad del sistema natural, a través de la transición hacia una economía de cero emisiones netas, circular (EC) y resiliente al cambio climático, varios factores, tanto internos como externos a las empresas, han limitado su difusión en el tejido empresarial de la región. Este documento presenta el concepto de innovación verde, su potencial y relación con el cambio climático, algunos datos sobre la difusión de la innovación verde en América Latina y el Caribe, así como algunos lineamientos para el diseño de instrumentos de política para impulsar la innovación verde en la región.
Benefits of poetry: An argument for making poetry a required course for EFL literature majors
Authors: Mermelstein Aaron David
Published: January 2023

Poetry can be a significant aspect of a person’s literacy experiences (Tomlinson & Lynch-Brown, 2002). It is an excellent genre for learning, but what are the best methods and should poetry be required for English as a foreign language (EFL) literature majors? The main purpose of this study is to determine how effective poetry can be in increasing EFL literature majors’ English reading, writing, listening, and speaking skills, and examine if the learners can reach a higher level of higher order thinking. This study examines communicative language teaching (CLT) and how a CLT poetry course can impact EFL literature majors’ language and higher order thinking skills. This article introduces the benefits of such pedagogies and advocates for making poetry classes a requirement for all EFL literature majors. The results of the study indicate that the EFL participants improved all four English language skills, reached a higher level of critical thinking, and also improved their vocabulary knowledge. Therefore, the theory of making a poetry class a requirement for EFL literature majors is sound as long as the class is based on CLT approaches and methods. It is also recommended that more EFL teachers carry out CLT poetry teaching in their courses to benefit their EFL learners’ language and critical thinking skills.
An evidence-based approach to secondary school science: Online citizen science and the science capabilities
Authors: Bunnting Cathy , Moeed Azra , Anderson Dayle , Miller Richie
Published: January 2023

As part of a multiyear research project investigating the affordances of online citizen science (OCS) projects for enhancing school students’ learning in relation to science and digital technology, teacher–researchers have designed and implemented classroom interventions incorporating one or more OCS projects. The project is situated in New Zealand, and each intervention has embedded an OCS project within a wider unit of learning focusing on one or more “science capabilities” (Ministry of Education, n.d.). This article presents one of the case studies generated in the wider project. It is of a Year 9 class that engaged with the OCS project Planet Four as part of a wider inquiry unit emphasising the science capability Use evidence: “Can humans live on Mars?” The findings demonstrate that a deliberate focus on using evidence throughout the unit gave students multiple opportunities to practise and develop this science capability within the engaging context of space travel.
Festa étnica como bem cultural: A Kerbfest de São Paulo das Missões - RS
Authors: Limana Caroline Heckler , Farinha Alessandra Buriol
Published: January 2023

Nosso objeto de pesquisa é a Kerbfest, festa alemã que ocorre anualmente, no último final de semana de janeiro, em São Paulo das Missões, município do noroeste do Rio Grande do Sul, Brasil. A festa ocorre desde 1994, promovendo a participação de munícipes, visitantes e turistas, os quais se deslocam até o município para vivenciar a cultura e tradições da etnia alemã. O objetivo deste artigo é descrever a Kerbfest, destacando sua história, significados e impactos sob o olhar de alguns integrantes da comunidade, bem como sua importância para o turismo. Foi elaborada uma pesquisa sobre a história da festa, referencial teórico sobre festas étnicas como bens culturais e coleta de dados através de questionário disponibilizado a autóctones, organizadores e participantes da festa, além de coleta de antigas fotografias e descrição de atrações da Kerbfest. Foi possível observar que a Kerbfest proporciona trocas de experiências, alegria e a celebração vinculadas à cultura alemã, fortalecendo a identidade social local. O evento oferece aos visitantes e turistas experiências diversas ligadas à cultura alemã, como música, gastronomia, jogos, apresentações artísticas e outros. O artigo demonstra a importância das festas étnicas como patrimônios imateriais, colaborando para sua preservação.
The effects of pathophysiological changes in Type-2 diabetic patients on thyroid dysfunction and nodular goiter development in Turkey
Authors: ERGENÇ Zeynep , KARACA OCAK Özlem , AKSOY Erkan , ERGENÇ Hasan
Published: January 2023

Objective: The prevalence of thyroid dysfunction is higher in patients with diabetes, and its diagnosis could cause better diabetes management. The purpose of the present study is to examine the impact of pathophysiological changes in patients with Type-2 diabetes on the frequency of thyroid dysfunction, thyroid autoimmunity, thyroid nodule, and thyroid cancer in Turkey.

Methods: The study was conducted on a total of 3.276 patients with Type-2 diabetes who underwent thyroid tests and thyroid ultrasonography (US). The demographic characteristics, biochemical and hormonal values, thyroid US reports, and histopathology reports were collected from the patient's electronic records.

Results: Thyroid autoimmunity positive TPOab 15.9% (n = 524) and/or positive TGab 9.9% (n = 327), the rate of positivity of both antibodies (TPOab + TGab) in the same patient, and total thyroid autoimmunity was found to be 32.57% (n=1067) in Type-2 diabetic patients. Thyroid dysfunction was detected in 18.3% (n = 602) of these patients. The distribution of thyroid dysfunction was 9.09% (n = 298) subclinical hypothyroidism, 4.1% (n = 135) clinical hypothyroidism, 3.1% (n = 102) subclinical hyperthyroidism, 2.0% (n = 67) clinical hyperthyroidism. Also, 67.9% (n = 2225) thyroid nodules, and 5% (n = 164) thyroid cancer were detected.

Conclusion: Thyroid dysfunction was found to have increased in patients with Type-2 diabetes at significant levels.
A bibliometric study of Rubrics in self – assessment
Authors: Thị Huyền Nguyễn , Hoan Kieu Van , Thuy Phạm Thu
Published: January 2023

Self-assessment in learning is an important skill that needs to be formed for students in the current teaching process. In order for students' self-assessment to take place regularly, it is necessary to have supportive assessment tools, in which rubric is considered an effective support tool in the self-assessment process. This article provides a bibliographic assessment of rubric's use in the learner's self-assessment process. Data were obtained from Scopus, where 69 databases related to the research issue from 2006 to 2021 were used.
Role Of Health Education Through Media in Prevention Of Covid-19 Pandemic (Saida And Tyr Provinces)
Authors: El Haj Mousa Alaa , Awwad Khodor
Published: January 2023

The main objective of this study is to examine the role of health education through the media prevention of (COVID-19) in the two designated cities (Saida and Tyr). The study's foundational data comes from a survey administered to residents of Saida and Tyr and was gathered using a quantitative methodology that combines cross-sectional and descriptive designs. 460 online surveys were submitted by residents of the two cities. The study hypotheses were further examined with the use of an Anova Test, an Independent T-test, and a Pearson correlation analysis. The results demonstrated a beneficial association between health education via the media and the avoidance of (COVID-19). The study reached also a set of conclusions, among which are: It is found out that the majority of the sample individuals prefer to use social media as main source of for prevention of COVID-19. It appears too that the majority of the sample individuals spend more than 2 hours in using media channels for to follow health information’s and health programs.  The respondents have also an agreement with most of the information required about their behavioral skills during the pandemic, and have an agreement with most of the information required about the trust of information’s provided by media channels that help them to change the behavioral and cognitive prevention. This is the first study that examines the role of health education through media in prevention during COVID-19 pandemic across the two selected cities (saida and Tyr).
Para além da privacidade... a intencionalidade: um olhar sobre as discussões de Abib acerca da subjetividade no comportamentalismo radical
Authors: Pompermaier Henrique Mesquisa
Published: January 2023

Neste trabalho, busco apresentar e discutir argumentos e problematizações de três textos em que o Prof. J. A. D. Abib explora potencialidades e limites de uma compreensão da subjetividade em uma perspectiva comportamentalista radical. Com especial enfoque na transcrição de uma comunicação proferida na XVIII Reunião Anual da Sociedade de Psicologia de Ribeirão Preto, destaco as premissas apresentadas por Abib que poderiam fun­damentar uma proposta comportamentalista radical para o problema do conhecimento da subjetividade; bem como exploro e amplifico as discussões sobre como o compromisso com as noções de acesso e privacidade corrompem essa possibilidade. Diante desse quadro, apre­sento a provocação do autor sobre a potencialidade de revisão crítica da proposta compor­tamentalista radical com base no encontro com a noção de intencionalidade da consciência, a partir da tradição fenomenológico-existencial. Por fim, transcrevo a proposta de itinerário de pesquisa indicado por Abib para a exploração dessa possibilidade para avançar os limites da proposta comportamentalista radical na consideração da subjetividade.
Análise do significado dos termos psicológicos ou análise comportamentalista dos termos psicológicos?
Authors: Zilio Diego
Published: January 2023

Neste ensaio apresentarei a teoria contextualista do significado tal como desenvol­vida por Abib em seu texto “O contextualismo do Comportamento Verbal: A teoria skinneriana do significado e sua crítica ao conceito de referência”. Argumentarei que a teoria contextualista do significado esta na base de dois programas de pesquisa distintos, mas que costumeiramen­te são confundidos na análise do comportamento, a saber, o programa de análise do signi­ficado dos termos psicológicos, que demanda localizar as condições de controle de uso dos termos psicológicos, e o programa de análise comportamentalista dos termos psicológicos, que implica realizar interpretações das categorias psicológicas alinhadas aos fundamentos filosóficos do comportamentalismo radical. Ainda que Abib tenha enfatizado o primeiro pro­jeto em seu texto de 1994, o autor acabou por se dedicar exclusivamente ao segundo em suas obras. Mas Abib não está sozinho: embora reconheçam a importância do primeiro programa de pesquisa, analistas do comportamento em geral se dedicam somente ao segundo.
Martín-Baró, Abib e Holland às voltas com uma cidadania legítima para as Américas
Authors: Carrara Kester
Published: January 2023

Escritos de J. G. Holland e I. Martín-Baró são examinados por J. A. D Abib sob a perspectiva de suas implicações para ações da Psicologia e, mais especificamente, de uma Análise do Comportamento comprometida eticamente, seja a partir das singularidades de cada abordagem teórica em particular, seja a partir do entorno social examinado pelos dois autores. Resultam dessa investigação reflexiva certas afinidades auspiciosas, guardados os cuidados da linguagem e exemplos próprios das formulações de Holland e Martín-Baró, as quais, cuidadosamente desveladas por Abib, oferecem material relevante a propiciar avanços plausíveis da Análise Comportamental da Cultura e adjacências.
A LÓGICA E OS INSTRUMENTOS DA FINANCEIRIZAÇÃO DA HABITAÇÃO EM AÇÃO
Authors: Melazzo Everaldo Santos
Published: January 2023

O texto apresenta uma síntese da palestra de abertura proferida pelo autor no 1° Seminário Nacional sobre os “Desafios dos territórios do habitar e do morar nas cidades brasileiras – da financeirização do território ao direito à moradia”. Após uma breve contextualização do debate da financeirização em geral, e do imobiliário em particular, apresenta e propõem algumas linhas investigativas para a correta apreensão dos processos de endividamento e fragilização da relação de propriedade habitacional e também sobre as engrenagens da disseminação da securitização imobiliária habitacional. O argumento central refere-se a uma nova conjuntura produzida no Brasil para fragilizar o direito ao acesso e permanência de amplas parcelas da população à moradia e, por consequência à cidade. O texto finaliza pontuando alguns desafios para a necessária continuidade das análises e, fundamentalmente, para embasar a construção de novas políticas públicas habitacionais.
O AJUSTE NEOLIBERAL E OS EFEITOS DA FINANCEIRIZAÇÃO NA PRODUÇÃO HABITACIONAL EM BELÉM
Authors: Leão Monique Bentes Machado Sardo , Lima José Júlio Ferreira
Published: January 2023

Este trabalho sugere em linhas gerais que as especificidades do processo de urbanização da Amazônia e de sua questão fundiária particularizam o ajuste neoliberal, trazendo um caráter diferente do que ocorre em outras regiões do país no que se refere à política habitacional. Articula-se a ocorrência de modificações imobiliárias recentes (anos 2010) na área de expansão de Belém a partir do exame dos diversos momentos de implementação de políticas habitacionais localmente. Com o panorama oferecido pelo trabalho, conclui-se que as transformações analisadas na provisão de habitação representam uma forma de ajuste ao capitalismo e do papel da Amazônia na divisão internacional do trabalho, o que leva ao entendimento de que o caráter econômico da produção da habitação presente desde as primeiras políticas habitacionais semeou um cenário propício para o que seria a financeirização da moradia em meio à implementação do Programa Minha Casa Minha Vida e seus sucessores.
FINANCEIRIZAÇÃO E HABITAÇÃO
Authors: Abreu Marlon Altavini de
Published: January 2023

A securitização de ativos imobiliários tem figurado como uma variável relevante para a compreensão das imbricações contemporâneas entre o ambiente construído urbano e o processo de financeirização da habitação. Todavia, embora uma crescente literatura tenha fornecido importantes considerações associadas à constituição destes mercados de ativos, esses debates trazem, de maneira geral, uma perspectiva construída a partir dos países de capitalismo central. Este trabalho fornece uma contribuição inicial para preencher alguns dos pontos cegos sobre este tema a partir do exemplo brasileiro, explorando a securitização de ativos imobiliários, com ênfase no período entre 2007-2019. Os resultados deste trabalho buscam apresentar duas contribuições analíticas para a literatura da financeirização: 1) fornece um foco específico sobre o fato de que este processo apresenta as principais características de sua regulamentação e difusão no interior do setor imobiliário; 2) argumenta que o avanço efetivamente existente do processo no Brasil não pode ser dissociado do Estado e de suas instituições financeiras, diferentemente das narrativas e imaginários da securitização alicerçada nas finanças corporativas.
Factores clave en los procesos de adopción de tecnología
Authors: Hoyos Muñoz Joiner Alexander , Henao Tamayo Leidy Johanna
Published: January 2023

El desarrollo tecnológico acompaña el progreso de las civilizaciones humanas y tiene una estrecha relación con sus características sociales y culturales. En la actualidad, el auge de la tecnología y especialmente de las Tecnologías de la Información y la Comunicación determinan en gran medida la forma en la que nos relacionamos y cómo abordamos aspectos tales como la política, la economía, la educación, entre otros. En el contexto organizacional, la tecnología es un indicador del grado de madurez y de competividad de las empresas y las dota de capacidades para responder a las demandas del mercado y ser sostenibles en el tiempo. Sin embargo, es notorio en las organizaciones que los individuos exhiben resistencia a la introducción y uso de las tecnologías, lo que conlleva a que los resultados esperados no se materialicen. En este contexto surge el presente trabajo con el objetivo de recopilar los constructos que en se han identificado en las teorías y modelos de aceptación, como aspectos relevantes que determinan el uso de la tecnología por parte de las personas. El enfoque metodológico es exploratorio, con un diseño cualitativo y el uso de información secundaria. La metodología se lleva a cabo a través de tres etapas: la planeación de la vigilancia tecnológica en la que se define los factores claves de vigilancia, la construcción de la ecuación de búsqueda y las fuentes de información; en segundo lugar, el desarrollo de la vigilancia tecnológica en el que se realizan las búsquedas en las bases de datos y en tercer lugar la consolidación y validación de los resultados. El trabajo permite concluir que la actitud hacia la tecnología la utilidad percibida y la facilidad de uso percibida son los constructos que fundamentan la mayoría de los modelos y teorías sobre adopción de tecnología.
Ustadz Abdul Somad's Da'wah message on Youtube Meanings and Media Perspective
Authors: Hadi Hafniati Abdul
Published: January 2023

Ustadz Abdul Somad is one of the preachers who uses social media (youtube) in delivering his da'wah. Da'i as a sign. Da'wah message as a marker. Ustadz Abdul Somad as a marker. Ustadz Abdul Somad appeared in a koko shirt and a cap. He lectured with easy-to-reach and humorous language and rhetoric. Ustadz Abdul Somad delivered his da'wah using words, signs and symbols on YouTube. He uses sentence structures with a distinctive style. Language style based on structure with a Malay accent. The material presented contains a deep meaning that can be reached by denotation and connotation. The theory used is meaning and media, namely the theory of meaning which explains in detail and detail an object with semiotic analysis, structuralism, as well as denotation and connotation. Semiotics is the study of signs in human social life, influenced by the system (or law) that applies in it. Structuralism is a semiotic explanation of the insistence that signs are fully understood only by reference to differences from other signs in a particular system or code of representation. Denotation is the actual meaning, or a phenomenon that appears with the five senses, or it can also be called a basic description. Connotations are cultural meanings that arise or can also be called meanings that arise due to cultural construction so that there is a shift, but remains attached to the symbol or sign.
Bebeklik ve Çocukluk Çağında Görülen Besin Alerjilerinin Tamamlayıcı Beslenme Boyutu
Authors: ALTINTAŞ Gamze , YARDIMCI Hülya
Published: January 2023

Besin alerjileri görülme sıklığı ülkemizde ve dünyada günden güne artış göstermektedir. Besin alerjisi reaksiyonlarından en fazla sorumlu olan alerjenler inek sütü, yumurta, yer fıstığı, kabuklu deniz ürünleri, buğday ve soyadır. Genetik, hijyen ortamı, var olan atopi durumu, mikrobiyal çevre ve bazı beslenme kaynaklı faktörler besin alerjisi riskinde artış ile ilişkilidir. Geçmişte kabul gören, annenin diyetinden alerjen besinleri çıkarmanın ve bebeği alerjen besinlerle geç tanıştırmanın besin alerjisi riskini azaltmada etkili olmadığı kanıtlanmıştır. Günümüzde; gebe ve emziren annenin beslenmesi (Akdeniz diyeti, n-3 yağ asitleri, D vitamini vb.), bebeğin alerjen besinlerle erken tanıştırılması, hipoalerjik mamalar, prebiyotik ve probiyotik kullanımı besin alerjilerini önlemek için tartışılan konular arasındadır. Bebekleri alerjen besinlerle dört-altı aylarda tanıştırmanın alerji riskini azaltabileceği ile ilgili bazı veriler mevcuttur. Ancak bu stratejilerin etkinliğinin, güvenilirliğinin ve farklı popülasyonlara uygunluğunun kanıtlanması için ülkemizde ve dünyada iyi tasarlanmış çalışmalara ihtiyaç duyulmaktadır.
Narrativas de vida de empreendedores e cultura da inspiração
Authors: Nogueira Deivison Brito
Published: January 2023

O artigo tem como objeto de estudo os discursos das novas lideranças da Igreja Pentecostal Deus é Amor, sobretudo os discursos de Davi Miranda Neto. O objetivo é verificar uma possível mudança no tom doutrinário da igreja no que tange aos usos e costumes e se essa mudança diz respeito apenas ao âmbito eclesial, ou se tem ressonância na vida cotidiana. Como referencial teórico mobilizamos os conceitos de linguagem e persuasão em Adilson Citelli, os estudos em comunicação e linguagem de Maria Aparecida Baccega, as características do discurso religioso em Eni Orlandi e o conceito de habitus em Pierre Bourdieu. Como recurso metodológico utilizamos a Análise de Discurso de matriz francesa nos estudos de Dominique Maingueneau. Os resultados mostram que os discursos religiosos, embora envoltos num certo ar de modernidade, mascaram traços conservadores típicos dos discursos religiosos eclesiais. Nesse sentido, o artigo propõe uma reflexão crítica dos discursos na busca por uma visão emancipadora, integradora e que esteja aberta ao diálogo com diferentes perspectivas religiosas presentes no mundo social.