bluuebunny/crossref_metadata_2025 huggingface dataset:
Pseudoaneurysm bleed in chronic pancreatitis: beware of multiple feeding vessels-a case report
Authors: Mundra Mukund , Anand L. , Balakumaran S.
Published: February 2022

Gastroduodenal artery (GDA) pseudoaneurysm is a rare but potentially fatal complication in chronic pancreatitis. Managing GI bleed in chronic pseudocyst due to ruptured pseudoaneurysm having multiple feeding vessels and that too in a background of portal hypertension is a challenging task. A 43 year old male patient with chronic calcific pancreatitis presented to our department with 10 days history of malena and drop in hemoglobin. He under micro coil embolization of GDA 12 days before in another hospital for ruptured GDA pseudoaneurysm with upper GI bleed. Upper GI endoscopy revealed grade II-III esophageal varices with portal hypertensive gastropathy with blood in 2nd part of duodenum. CECT scan revealed features of chronic calcific pancreatitis with pseudocyst and GDA pseudoaneurysm with intracystic bleed. Patient again underwent coil embolization in our hospital. However, the patient again developed GI bleed. Patient was taken for emergency laparotomy and found to have bleed from splenic artery as well as GDA pseudoaneurysm into the pseudocyst. Transcystic pseudoaneurysm ligation with ligation of intracystic bleeding vessels and lateral pancreaticojejunostomy was done. Postoperatively patient recovered well. Rupture of pseudoaneurysm in chronic pancreatitis is associated with almost 100% mortality if untreated. Though radiological intervention should be the primary modality of treatment, low threshold for surgery should be kept, considering multiple feeding vessels to the pseudocyst pseudoaneurysm, which may be missed in angiography
Intraductal papillary mucinous neoplasm in a 26 year old lady: a diagnostic therapeutic challenge!
Authors: Jadhav Sarojini , Ali Faiyaz , Kadam Shubhangi , Chopra Ashok Kumar , Iyer Vishakha Sheshadri
Published: February 2022

Intraductal papillary mucinous neoplasm of the pancreas is a mucin producing cystic mass which originates from the pancreatic duct first defined by Ohashi et al in 1982. World Health Organization (WHO) classified mucin-producing cystic neoplasms of pancreas into 2 groups: mucinous cystic neoplasm and IPMNs. IPMN is a difficult diagnosis. Many patients may be asymptomatic for as long as 1 year and few show vague symptoms. Due to advances in radiology the incidental detection of IMPNs have increased. A 26 years old lady presented with vague pain in abdomen since 1 month with an incidental USG (A+P) finding of a cystic avascular lesion between the head and body of pancreas. CECT (A+P) and MRCP confirmed the diagnosis of branched duct IPMN with worrisome (cyst size >3 cm). Suggestive of branched duct IPMN with worrisome (cyst size >3 cm) considering the age of the patient, size of the cyst and worrisome features patient was posted for excision cyst. The tumour was well circumscribed arising from branched duct with communication with the main duct. Tumour was resected well. Histopathology revealed a benign cystic neoplasm of pancreas s/o IPMN with no e/o malignancy. In younger age group it is better to resect the tumour than timely surveillance as longer life expectancy in them provides an adequate time span for a low grade, branched duct tumour with worrisome features to undergo malignant transformation.
A rare case of isolated sigmoid colon injury in blunt trauma abdomen: a case report
Authors: Kopperundevi V. , Vimla G. , Vyshnavi Y. Sai , Kannan R.
Published: February 2022

Isolated colonic injury due to blunt abdominal trauma is very rare. Modalities of detecting colonic injuries are also very inconclusive in the background of a blunt trauma abdomen. Here we present a case of blunt trauma abdomen in a 45 year old male who sustained steering wheel injury in a road traffic accident 5 days ago and presented with symptoms and signs of peritonitis. Ultrasonography showed free fluid in the pelvis that was confirmed by contrast enhanced CT of the abdomen which revealed additional intraperitoneal air pockets with hemoperitoneum. Patient was taken up for emergency laparotomy and findings included fecal peritonitis, sigmoid colon perforation with impending transection. Peritoneal lavage with Hatmann’s procedure was done. Due to lack of a definitive diagnostic method, it is very challenging to detect such injuries and this will lead to delay in treatment and subsequently results in high morbidity and mortality.
Prevalence and reasons for practicing self-medication among basic health staff: case of Monywa District, Myanmar: a cross-sectional study
Authors: Lin Khin S. , Hlaing Thein , Maung Ei T. , Lat Tun W.
Published: February 2022

Background: Self-medication is often associated with an incorrect diagnosis, wrong medication, delayed effective medical care, disease masking, prolonged-course therapy, and harmful effects following medication. This study aimed to demonstrate self-medication prevalence and detect the reasons for practicing self-medication among BHS.Methods: Researchers conducted this cross-sectional study within four township health departments of Monywa District. A total of 405 BHS was culled from each subpopulation of BHS through proportional sampling. SPSS version-25 was applied for data analysis.Results: This study demonstrated that the self-medication prevalence among BHS was 57.8%, of which self-medication of antibiotics was 61.5%. The most common reasons for self-medication were cold, cough, fever, ache and pain in the head, throat, teeth, muscles, and bones, gastrointestinal symptoms, and high blood pressure. Commonly practiced self-medication drug was pain relievers (86.8%) and the most preferred antibiotic self-prescribed was amoxicillin (26.5%). Other drug types used for self-medication were cold and cough medicines, gastro-intestinal medicines, vitamins and minerals, and anti-hypertensive, contraceptive, hypoglycemic, and herbal medicines. Mostly, self-medication practices were based on own experiences (83.3%), easy access and availability of medicines (82.5%), academic knowledge of the diseases (41%), and treatment options (47.4%), considering the symptoms as minor (29.5%).Conclusions: A high prevalence of self-medication occurred among BHS. This study points out that BHS needs to be more comprehensive about safety, regulations, and rational use of medicines. This study suggests that the Myanmar technical working groups should enforce the National medicines policy.
Emotional intelligence among medical students: a cross sectional study from central Kerala, India
Authors: Susan George Preetha , M. Anuradha , Rose Brilly M. , John Alexander
Published: February 2022

Background: The term ‘emotional intelligence’ describes the ability ‘to monitor one's own and others’ feelings and emotions, to discriminate between them and to use the information to guide one's thinking and actions. The significance of emotional intelligence in the successful practice of medicine has long been recognized. The present study intends to assess the level of emotional intelligence among medical students, in Central Kerala and to determine the factors that influence emotional intelligence of medical students.Methods: A quantitative, cross sectional, questionnaire-based study conducted among 251 medical students belonging to two medical colleges in Central Kerala, India using the Schutte self report emotional intelligence test (SSEIT), which is a standardized semi-structured questionnaire. Data was coded and entered in Microsoft excel worksheet. Descriptive statistics like percentage was used. Inferential statistics were applied as needed using licensed version of SPSS 20, and was expressed statistically significant at p-value less than 0.05.Results: Among the total 251 study participants, mean age of the participants were 21.5± 1.14. Majority were females (67.7%). The mean score of EI among the study participants were 121.43±19.06. Out of the total study participants 63.3% had average EI score. The present study showed a statistically significant association between age category of the study participants and EI scores.Conclusions: The mean EI scores of the study participants were in an agreeable range with 63.3% having average EI scores.
COVID-19 vaccination in India: private sector inclusion mandatory?
Authors: Rattan Saurabh , Katoch Vikram , Gupta Gurdarshan , Sharma Gopal Ashish , Sharma Priya
Published: February 2022

Background: Health services delivery system varies from country to country based on the available resources and the funding in that country. Both public and private system of health delivery work with the primary focus of providing the good health services. India has a multi-payer health care model that is paid for by a combination of public and private. Himachal Pradesh (HP) also has both public and private health institution infrastructure with penetration of public infrastructure more in the rural areas. To describe the utilization pattern of COVID-19 vaccine beneficiaries in district Kangra of HP among public and private healthcare delivery points.Method: Study was done in district Kangra with all the beneficiaries included in the COVID vaccination registered in Cowin portal.Results: Amongst the total vaccination done in dist. Kangra, 99.35% of the total doses were given in the govt setting and only 0.65% were contributed by the private setupConclusions: Since decades most of the developing world has been struggling for healthcare access and with complex delivery systems. It becomes pertinent to note that Indian COVID-19 vaccination reached heights of success through technology driven approach reaching each and every corner of the country and crossing milestones to achieve set targets. It was not unreasonable to expect that the public sector may not be able to provide effective, sustained and uninterrupted healthcare including COVID vaccination services, which could be the reason that private health sector was also involved for the later. Dist. Kangra has worked to prove the efficacy of the public sector providing most of its vaccination through government CVCs.
Factors influencing the utilization of antenatal and postnatal care services by women of reproductive age group: a cross-sectional study in rural community of Maharashtra
Authors: Bhansali Pratiksha Santosh , Avachat Shubhada Sunil , Deshmukh Gaurav Vijayrao
Published: February 2022

Background: Antenatal care (ANC) and postnatal care (PNC) care services intended to secure and improve maternal health are utilized only to a limited extent. Therefore, this study was conducted to assess various barriers and association of various sociodemographic factors like age, education, economic status and religion with the utilization of services. This revealed the reasons which avert the ladies from utilising the services adequately.Methods: 150 women residents of Uruli Kanchan, a village in Pune district of Maharashtra, having at least 1 child below the age of five years were selected by simple random sampling technique. The data was collected by house-to-house survey and interview technique.Results: In the present study, better utilization of ANC services was observed (99.234%) as compared to PNC services (65.33%). Education, good socioeconomic conditions and religion were the factors which greatly influenced the utilization of PNC services. Lack of desire and awareness of PNC visits (in 55% women) was an important factor for underutilization of PNC services. Lack of trust towards government services (by 34.02%) women was observed.70% of women showed satisfaction towards the maternal and child health care (MCH) services provided by the government.Conclusions: Women showed high level of utilization of ANC services as compared to PNC services which still need a lot of attention and awareness. Women show lack of trust in the government facility.
A comparative study on the fasting and postprandial lipid abnormalities in type 2 diabetes mellitus in tertiary care teaching hospital of southern Rajasthan, India
Authors: Nadeem Sharique , Singh Lakhan , Shukla Uma Shankar , Jain Mayank , Kumar Vinod
Published: February 2022

Background: The worldwide prevalence of diabetes mellitus has risen dramatically. Based on current trends, the International Diabetes Federation projects that 438 million individuals will have diabetes by the year 2030.Type 2 diabetes is characterized by insulin resistance which is associated with hypertension, dyslipidemia, micro and macro vascular disease.Methods: This study was institutional based Case Control comparative study carried out on 200 type 2 diabetes patients and on 200 healthy controls   at tertiary care teaching hospital in Jhalawar, Rajasthan.  Non-probability purposive sampling technique was used followed by interview of 400 participants.Results: In final analysis, Diabetes subjects were middle aged (mean age 43.2±7.48 years) with a mean BMI of 26.9±5.46 kg/m2, matched with controls. Among diabetes patients 152 has positive family history for diabetes. The fasting and postprandial lipid profile were increased in the type 2 DM subjects as compared to controls and among the type 2 DM patients, the postprandial lipid parameters were increased as compared to the fasting level.Conclusions: Both fasting and post prandial lipid abnormalities seen in type 2 diabetes but the post- prandial lipid profile was altered when compare to fasting lipid levels. Lifestyle modifications along with diet and proper lipid lowering drugs are helpful in diabetic individuals with lipid abnormalities.
A comparative analysis of NFHS-4 and 5 household profile indicators in districts of Haryana, India
Authors: Ohlan Sunny , Singh Sandeep , Singhal Parul , Goyal Rakhi , Goyal Antim
Published: February 2022

National family health survey is a large scale, multi-round survey conducted in a representative sample of households throughout India. Till date there are five rounds of the NFHS surveys were conducted starting from NFHS-1 in 1992-93 followed by NFHS-2 in 1998-99 after that NFHS-3 in 2005-06, then NFHS-4 in 2015-16 and lastly and recently conducted NFHS-5 from 2019 to 2021. NFHS - 5 has been captured during 2019-20 and has been conducted in around 6.1 lakh households. The international institute for population sciences Mumbai, served as the nodal organization providing coordination and technical guidance for the NFHS. In order to monitor the ongoing health and family welfare programs in between two census, NFHS is being undertaken. Household’s profile indicators of NFHS-4 and 5 in this article comprised of improved sanitation facility, improved drinking water source, using iodized salt, coverage under a health insurance, a household with electricity and using clean fuel for cooking. The comparison will help in understanding where the policy and program makers need to be more focused as per administrative division of the state and area of household profile, in collaboration with National health programs and policies.
Infodemic: a blessing or curse?
Authors: Sivakumar Abinav , Boratne Abhijit V.
Published: February 2022

Due to the speed and scale of the transmission of the disease, coronavirus disease 2019 (COVID-19) was declared pandemic by the WHO on 11 March 2020 mainly. We’re not just fighting an epidemic; we’re fighting an infodemic, said WHO director-general Tedros Adhanom Ghebreyesus at the Munich security conference. WHO stated infodemic as an overabundance of information some accurate and some not that makes it hard for people to find trustworthy sources and reliable guidance when they need it. It can lead to confusion and ultimately mistrust in governments and public health response. The systematic use of risk- and evidence-based analysis and approaches to manage the infodemic and reduce its impact on health behaviours during health emergencies, was said to be as infodemic managenent.
mHealth intervention and health-related quality of life for haemodialysis patients in selected counties of Kenya
Authors: Josphat Martin Muchangi , Kariuki John , Kimathi George
Published: February 2022

Increasingly, chronic kidney disease (CKD) is becoming a public health challenge ranking 12th most common cause of death in the world. Prolonged CKD leads to end stage renal disease ultimately requiring dialysis. Undoubtedly, end stage renal disease significantly reduces health related quality of life (QoL). Many haemodialysis patients in Africa lack focused educational and follow up support in their treatment journey due to weak health systems. Evidence shows potential benefits of mHealth in improving overall medical outcomes among haemodialysis patients. Despite foreseeable benefits of mHealth, scanty information is available on its effectiveness in improving knowledge, treatment adherence, lifestyle change and overall health related QoL in Kenya. The general objective of this study will be to establish the effect of mHealth intervention on health-related QoL for haemodialysis patients. The specific objectives will be to study the effect of mHealth on: knowledge of self-management, adherence to haemodialysis treatment, stress management, life style change for haemodialysis patients and the combined effect of mHealth on health-related QoL. The study design will be quasi experimental with intervention and control sites. Data will be described using proportions, means, medians and other measures of central tendency. Effect will be quantified by use of student t tests, odds ratios, and difference in differences statistics. Its envisaged that the findings of this study will redound to development of large scale mHealth based medical education platform for haemodialysis patients with potential for scale as a critical public health intervention.
Electrophysiological estimation of subclinical neuropathy and its types in diabetes mellitus patients
Authors: Ferdin Zeno. J Louis , Sankar.M.K Uthaya , Susvirkar Ashish , Arikrishnan Telangana , I.S.S Sumanbabu
Published: February 2022

Diabetes mellitus is the leading cause for peripheral neuropathy in India. It is a devastating complication which leads to amputation of limbs affecting the physical and social quality of life. Subclinical peripheral neuropathy is one which doesn’t have any symptoms or signs, but positive electrophysiological findings.

: 1): To estimate the prevalence of subclinical peripheral neuropathy and its types among the diabetes mellitus patients. 2): To determine the various risk factors influencing them.

51 patients with diabetes mellitus without symptoms and signs of peripheral neuropathy were selected based on inclusion criteria and after assessing the screening scores. Necessary blood investigations was done and nerve conduction test was carried out in both upper and lower limbs for motor and sensory study.

22(43%) out of the 51 diabetic patients had subclinical peripheral neuropathy. Lower limb(29.5%) predmominates than upper limb, sensory(23.5%) more common than motor neuropathy. Axonal neuropathy was the predominant (29%). Statistical significance was observed between the duration of diabetes mellitus, high triglyceride levels, high blood sugar profile and high HbA1C values with the presence of subclinical peripheral neuropathy.

Nerve conduction study is the best for diagnosing subclinical neuropathy in diabetes mellitus patients. By early diagnosis and control of diabetes we can prevent dreadful complications.
Evaluation of drug-resistant focal epilepsy in the western Indian adult population
Authors: Patel Mayank A , Shah Shalin D , Joshi Pranav B , Shah Sudhir V , Shah Priyank B
Published: February 2022

Despite the best possible pharmacotherapy, 30% of persons with epilepsy will remain drug resistant. Drug resistant Epilepsy (DRE) has many different presentations and causes; hence evaluation may help to understand and manage appropriately.

To study a cohort of adult patients with refractory focal epilepsy, focusing on clinical semiology, risk factors, imaging and video EEG findings.

This is a prospective observational study done in adult neurology department of tertiary care hospital, from 2013 to 2016. The primary inclusion criteria were patients with drug refractory focal seizure (as per ILAE definition 2010), with age more than 12 years. Detailed clinical data, long term EEG monitoring, MRI and minimum follow up of 6 months were collected.

Of 120 patients of DRE, 72% were in the age group of 12-30 yrs. Febrile seizure (26%) and head injury (17%) were the most significant antecedent history. Focal seizures with dyscognitive features were present in 87%. 16 patients had abnormal neurological examination. The most common radiological finding was mesial temporal sclerosis and gliosis. After complete evaluations, 30% of the patients were found to have pseudo-resistance. The evaluation led to modification of treatment in more than three-fourth of the patients.

Early age of onset, history of febrile seizures, past history of head injury, focal dyscognitive type of seizures and structural lesion on imaging are common factors in patients with DRE. Pseudo- resistance due to wrong diagnosis and inadequate AEDs were responsible for one third of cases.
DWI and NCCT - Ischemic patterns in global anoxic brain injury
Authors: Hafeez Moiz , Khan Nazir
Published: February 2022

This case report highlights differences between diffusion weighted imaging (DWI) and computed tomography (CT) with respect to the extent of ischemic changes detectable in brain parenchyma during global anoxic brain injury. Brain CT in a 65 year old patient post cardiac arrest showed striking diffuse loss of Gray-White matter differentiation consistent with global anoxic brain injury while magnetic resonance imaging (MRI) performed 3 days later showed diffusion restriction and hyperintensity only in select areas. DWI hyperintensity was seen in diverse structures including the hippocampi, globus pallidus, forniceal columns, medial occipital lobes as well as the left amygdala. Although generally presumed to be the most sensitive modality for detecting parenchymal ischemia, this case demonstrates that CT may sometimes better capture the extent of parenchymal damage during anoxic brain injury.
How to protect the children from the third wave of COVID
Authors: Deep Sharma Akash , Hossain Samar , Garg Suneela , Anand Aanchal
Published: February 2022

R value of Omicron strain has been recorded at 10 globally and in India the R value has been found to be at 2.69. The R value greater than 1 means that the numbers of cases are growing rapidly and clearly this variant is more contagious than the previous one. More over this wave is affecting children across the country.

The data for this review were obtained from studies pertaining to clinical features, epidemiological and immunization trends in children obtained from various journals.

As per the recent evidence the Omicron variant is more transmissible, but has less serious health consequences for children than for adults, it is important to avoid infection among children.
Psycho-social determinants of cell phone related distracted driving among bike riders in an urban community of Mysore city, Karnataka
Authors: Khot Aishwarya , Murthy M R Narayana , Kulkarni Praveen
Published: February 2022

Distracted driving is considered to be an important risk factor for road traffic accidents. This study is to find the association between psycho-social determinants and distracted driving.

To determine the relationship between psycho-social factors with distracted driving among bike riders residing in an urban community Mysore.

A cross-sectional study was conducted among 400 patients. People aged 18 years and above who are having any kind of cell phone and drive/ ride two-wheelers regularly since at least last six months willing to participate in the study were included. Probability proportionate to size technique will be used to identify number of subject to be included in each of 6 segments of urban field practice area. Purposive sampling was used. Data analysis was done in SPSS and Excel.

Overall it shows that among 321 respondents, 166 (51.7%) have psycho-social determinants while driving and 155 (48.3%) are not having any psycho-social determinants. To conclude it can be observed that out of 247 individuals having distracted driving. 132 (53%) are having psycho-social problem and there is no statistically significance association between distracted driving and psycho-social problem.

Among 321 respondents, 166 (51.7%) have psycho-social determinants while driving and 155 (48.3%) are not having any psycho-social determinants. To conclude it can be observed that out of 247 individuals having distracted driving. 132 (53%) are having psycho-social problem and there is no statistically significance association between distracted driving and psycho-social problem.
Understanding deferral rate and reason among voluntary blood donors at a tertiary care center
Authors: Rathod Kalpana B. , Gaikwad Manish J , Chaudhari Anita , Nakate Leena A.
Published: February 2022

Healthy Donor selection is necessary for procurement of safe blood in addition to the screenings of blood bags for infectious diseases. Deferrals lead to loss of precious blood/components available for transfusion in emergency situation. To avoid such problems, we should be aware about its reasons and frequency.

To find the incidence of donors who were deferred from donating blood and to determine the causes for same.

The study was conducted in the blood bank of tertiary health care center, from January 2015 to December 2017 to find the incidence of deferral and reason behind it. Criteria for deferral was decided as per guidelines given by national health authority.

A total of 10,000 donors were screened of which 99% were voluntary donors (VD). The total 598 donors were deferred among 10000 registered during study period. The total donor deferral rate was 6%. The percentage of deferral amongst males was 5.7% and females 7.4%. A majority (65%) of the deferred donors were between 18 to 30 years. The major causes of deferral were anemia and hypertension.

Analysis of the deferrals showed that the proportion of temporary deferral was more common than the permanent deferral.

Conducting pre-donation camp awareness session can reduce the deferral rate. Temporarily deferred individuals must be informed and followed up to encourage donation in future.
Extradigital glomus tumour of the forearm- A rare site for an unusual tumour
Authors: Shanmugasamy K , Mahendran Sneha , Sowmya S
Published: February 2022

Soft tissue tumors are known to occur by varied presentations with atypical features, especially with regard to vascular tumors. The glomus tumour is an unusual benign neoplasm arising from smooth muscles of the perivascular glomus bodies. While it is known to occur in the extremities, this tumour has a predilection for the sub-ungal region of fingers. Vascular tumors as such, especially glomus tumors presenting in extra digital sites are extremely rare. In literature only five cases are available on extra digital sites and few cases have been reported to involve the gastrointestinal tract, airways, shoulders, wrist, knees and elbows. This report discusses the clinical and histopathological features of an glomus tumour of the forearm with atypical presentation.

Glomus tumours should be considered as a differential in any nodule occurring in the extradigital locations. Extradigital tumours need not present as a painful purplish nodule and can be asymptomatic. Surgeons and pathologists have to be aware about the varied presentation of these tumours so that misdiagnosis can be avoided and patient can undergo quicker diagnosis and treatment.
Ductal papilloma with atypical ductal hyperplasia – Understanding the importance of immunohistochemistry- A case report
Authors: Rani R Nisarga , Rao Anuradha C K , Biswas Siddhartha , K Madan
Published: February 2022

Solitary intraductal papilloma of the breast is a common benign mammary proliferative disease and is the most common neoplasm associated with nipple discharge in women. Women with solitary papillomas have 1.5-2.0 times increased risk of developing invasive carcinoma. The papillary lesions of the breast include a broad spectrum of disorders from benign papilloma, atypical papilloma to papillary carcinoma. Benign papilloma on core needle biopsy has been found to have concurrent malignancy in about 3–5% of cases at excision. Solid papillomas commonly pose a diagnostic dilemma due to similarities with other ominous papillary lesions. The presence of ADH within a papilloma and/or in the surrounding breast is associated with an increased risk of recurrence or invasive carcinoma. The present study undertakes to fully describe the morphological changes occurring within the epithelial component of central papillomas and to search for factors of prognostic significance concerning recurrence, progression and differentiation of atypical ductal hyperplasia.
Modern federal political parties of Canada in the context of the COVID-19 pandemic and the 2021 parliamentary elections
Authors: Demchuk Arthur
Published: February 2022

The article analyzes the balance of power between the leading national political parties in Canada after the early general elections of 2021 in the context of the ongoing COVID-19 pandemic, the main issues of the election campaign, the key tasks and challenges facing the parliamentary parties of Canada in the coming years, and also touches upon the problem of reforming the Canadian majoritarian electoral system, leading to a serious disparity between the number of votes received by parties at the national level and the number of seats in the House of Commons obtained as a result of the elections.
Left-Wing Democrats in US contemporary political system
Authors: Travkina Natalya
Published: February 2022

The current state of the progressive movement in the political life of the United States is analyzed. It is noted that the movement took shape politically in the early 1990s with the formation of a small faction of progressives in the House of Representatives of the US Congress. From the very beginning, the faction promoted left-wing socialist ideas, believing that the processes of globalization would only increase social differentiation in American society in terms of income distribution and accumulated wealth. The financial and economic crisis of 2007-2009 contributed to the transformation of the progressive movement into an important political force in modern America. The ideological and political polarization of American society in the 2010s contributed to the growth of not only right-wing, but also left-wing populism. As a result, in the 2016 and 2020 presidential elections Progressives played an important political role, contributing to the victory in 2020 of the Democratic candidate J. Biden. In the 116th and 117th Congresses the Progressive faction amounted to almost 100 representatives, or about 40% of the total number of Democrats in the House of Representatives. The conquest of the White House and the establishment of control of the Democratic Party over both houses of the US Congress allowed the Progressive Democrats Caucus for the first time to develop its own program of social and economic transformation in American society in the amount of about $2.5 trln to be spent within 10 years. The program is based on the principles of large-scale redistribution of financial resources from large corporations and the wealthiest segments of American society in favor of the poor and the American middle class. In addition to socio-economic reforms, the program includes the allocation of hundreds of billions of dollars to combat climate change and the gradual transition of the American economy to the "green technologies". The bill passed the US House of Representatives in November 2021, but its further fate is uncertain, since in the Senate its main opponent in the ranks of the Democratic Party was West Virginia Senator J. Manchin. It is entirely possible that in 2022 the Democrats will still be able to get parts of the Build Back Better legislation passed through Congress. In conclusion, the life path and political career of a native of India, P. Jayapal, who has been the chairman of the Progressive Democrats Caucus in the US Congress for the past three years, are covered. It is noted that, unlike past historical epochs when the main “social elevator” for immigrants of the first wave was the business sector, at present, the struggle for the rights of racial, ethnic and gender minorities plays such role.
Análise dos impactos da “Lei Seca” e suas alterações em indicadores de acidentes de trânsito no Rio Grande do Norte
Authors: Fontes Uanderson Carlos , Medeiros Jássio Pereira de
Published: February 2022

O objetivo deste estudo foi analisar os impactos da Lei nº 11.705/2008, e suas alterações, em indicadores de acidentes de trânsito no estado do Rio Grande do Norte (RN). Trata-se de pesquisa predominantemente descritiva, do tipo documental, com coleta de dados realizada no sítio eletrônico da Polícia Rodoviária Federal (PRF), para o período de 2007 a 2018. Foram empregados gráficos de linha para analisar a tendência dos dados ao longo da série temporal, bem como gráficos de setores e de barras para situações e ajustes mais convenientes aos propósitos deste trabalho. Os resultados mostraram que nem a Lei nº 11.705 (Lei Seca) nem suas alterações, ao longo do período analisado, foram suficientes para diminuir o número de vítimas de acidentes por embriaguez ao volante. Enquanto para os anos de vigência da Lei Seca ocorreu redução no número de Acidentes de Transporte Terrestre (ATT) envolvendo vítimas do álcool, os números de autuações foram sempre altos. Acredita-se que um trânsito mais seguro seria composto por uma relação indissociável de quatro elementos: leis, fiscalização, educação e punição.
Turismo educacional com foco no intercâmbio acadêmico dos docentes da Faculdade de Turismo da Universidade Federal do Pará
Authors: Silva Lia Rodrigues da , Freitas Bernadete Do Socorro Gomes , Mendes Fabrício Lemos de Siqueira , Campos Raul Ivan Raiol , Pinto Paulo Moreira
Published: February 2022

O presente trabalho tem como objetivo analisar os intercâmbios acadêmicos dos docentes da Faculdade de Turismo da Universidade Federal do Pará e como os intercâmbios contribuíram para as suas formações acadêmicas. O turismo educacional com foco no Intercâmbio Acadêmico (IA) difere dos demais segmentos de turismo por acontecer fora do tempo de lazer. Isso faz com que esse tipo de atividade se torne turística porque há um deslocamento do lugar comum de ensino em busca do novo, envolvendo o processo de ensino-aprendizagem durante o percurso. Trata-se de uma pesquisa quali-quantitativa, cuja coleta de dados foi realizada entre os meses de novembro e dezembro de 2017. O instrumento da coleta de dados foi um questionário previamente preparado com perguntas abertas e fechadas. Os resultados apontam o que o IA traz para a formação dos docentes e a sua contribuição direta na formação desse público. Observa-se que, com essa estratégia de busca por conhecimento, é possível estabelecer uma rede a qual possibilita identificar as dificuldades, motivações e expectativas que o intercâmbio promove tanto para os docentes quanto para os discentes da Graduação em Turismo na Amazônia. 
Tecnologias vestíveis para monitoramento de pacientes com COVID-19 em cuidados domiciliares: revisão sistemática
Authors: Teixeira Leonardo Giannine , Bertemes-Filho Pedro
Published: February 2022

Os sensores vestíveis são uma tecnologia emergente para monitorar sinais vitais, tendo a vantagem de reduzir o desconforto e interferir amigavelmente nas atividades diárias de qualquer paciente. O foco deste artigo é revisar as tecnologias vestíveis publicadas usadas para monitorar sinais biomédicos em pacientes infectados por coronavírus. Seis tipos diferentes de mecanismos de busca foram utilizados. Os artigos foram selecionados e validados por meio dos critérios da ferramenta AMSTAR 2, a fim de verificar a qualidade desta revisão. Foram selecionados 21 artigos, publicados no período temporal de 2016 a 2021, e tabulados de acordo com o tipo de tecnologia, abordagem de processamento e sinais monitorados. Os artigos selecionados são amplamente discutidos com base na aplicabilidade, eficácia e desafios da tecnologia para o acompanhamento domiciliar. Este artigo chama a atenção para a necessidade de mais investimentos em biossensores vestíveis para monitoramento domiciliar, principalmente devido ao atual cenário pandêmico. Pode-se concluir que os sensores do tipo homecare necessitam de mais investigações em termos de sua eficiência em relação às abordagens padrão ouro de monitoramento domiciliar de pacientes com COVID-19.
Impacto da primeira onda da COVID-19 sobre o consumo alimentar em quatro mesorregiões do Maranhão
Authors: Rêgo Márcia da Conceição , Barros Lennon Da Silva , Vieira Patrícia Brenda Lopes , Pinho Lívia Xerez
Published: February 2022

A pandemia de COVID-19 afetou a vida da população mundial de várias formas, incluindo a alimentação. Buscando entender como o ambiente social influencia a alimentação das populações, este trabalho objetivou avaliar o padrão de consumo alimentar antes e durante a primeira onda da pandemia em quatro mesorregiões maranhenses. Um questionário on-line foi aplicado a 232 participantes, contendo perguntas sobre faixa etária, sexo, renda, composição familiar, escolaridade, frequência de consumo de alimentos naturais, industrializados, comprados prontos e como a compra era realizada. Observou-se aumento na frequência de consumo “3-7 vezes/semana” para verduras e legumes (0,5%); aumento (1,7%) do consumo de feijão (frequência todo dia); e aumento de 4,3% no preparo de refeições em casa. Houve redução na frequência 3-7 vezes/semana para consumo de frutas (1,3%); biscoitos recheados e doces (5,2%); macarrão instantâneo, salgadinhos de pacote ou biscoito salgado (2,2%); bebidas adoçadas e industrializadas (3,9%); carne de hambúrguer e/ou embutidos (2,0%). O meio de compra de refeições predominante durante a pandemia foi por website ou redes sociais (44,7%). Conclui-se que houve variações no comportamento alimentar dos participantes, quais sejam: aumento da frequência de consumo de verduras e legumes, aumento do preparo de refeições em casa e redução do consumo de alimentos industrializados.
3rd Resuscitation and Research Conference
Authors: University Sultan Qaboos
Published: February 2022

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Association of Dermatoglyphic Patterns with DMFT Score, Salivary pH and Plaque Index Score: An In-Vivo Study
Authors: Saxena Pramiti , Bhatnagar Mohit , Bansal Ria , Yadav Payal , Chaudhary Chinkita , Manisha  , Mehendiratta Monica
Published: February 2022

Background: Dental caries, although of infectious origin along with its multiple predisposing factors, may have a genetic predisposition. This study was executed to evaluate the association of dermatoglyphics as a genetic predictor of the susceptibility of participants to acquire dental caries considering environmental factors such as salivary pH, Decayed, Missing and Filled Permanent (DMFT) Score and Plaque Index Score. Methods: 531 student volunteers of a dental college were included in the study. Thumbprint patterns of the thumbs of their respective dominant hands were analyzed. DMFT Index, Plaque Index Score and Salivary pH for each subject was recorded. Statistical analysis was executed using nonparametric chi-square tests, correlation coefficients and measures of central tendencies. Results: The predominant thumbprint pattern seen was loop type followed by whorl and arch type with 52%, 31% and 17% of occurrence and a salivary pH of 7, 5 and 6 respectively. The Chi-Square tests concluded that whorl type of thumbprints show association with increased DMFT score. Mean and median plaque index score was considerably higher in the individuals with a whorl type of thumbprint. Conclusion: There was distinct association between pattern of thumbprints and prevalence of dental caries. Whorl type thumbprint could prove itself as a genetic predictor towards increased caries incidence.
Volumetric Analysis of Teeth using Cone Beam Computed Tomography for Age Estimation among the Indian Residents: A Pilot Study
Authors: Pawar Rasika , Palaskar Sangeeta , Patil Swati , Kathuriya Pargatsingh , Pawar Saurabhachandra B. , Gore Rucha
Published: February 2022

Background: In forensic odontology, dental age estimation is important. Deposition of secondary dentin is a more significant method in dental age predicton. This secondary dentin decreases the size of the pulp cavity. Thus, pulp size is reduced with advancing age. Therefore, the tooth to pulp size area ratio goes on increasing as age increases. Aim: To assess the ratio of “pulp/tooth volume” in single and multi- rooted teeth by Cone Beam Computed Tomography (CBCT) and correlate with the age. Objective: 1. To analyse ratio of pulp/ tooth volume in single and multi-rooted teeth, 2. To evaluate accuracy of the Yang’s formula available for age estimation, 3. To generate the formula for multi rooted teeth and correlate with the age. Methodology: 150 extracted teeth of which 50 permanent maxillary canines, 50 maxillary first premolars and 50 permanent maxillary first molars were collected and subjected to CBCT scanning for volumetric analysis. ‘Pulp Volume (PV)’, ‘Tooth Volume (TV)’ and ‘Pulp/Tooth Volume Ratio (PTVR)’ were calculated. Result: Linear regression analyses established that the chronological age and PTVR correlated with each other. Pearson correlation coefficient showed TV, PV and PTVR were inversely proportional to age. Conclusion: This study revealed that permanent maxillary canine has the best correlation with age followed by First molar and First premolar.
Innovative Approach by Modifying the Fitting Surface of Prosthesis Used for Individual Identification Post Heat Treatment- SEM Analysis
Authors: Tripathi Supratim , Tripathi Payal
Published: February 2022

Aims: To visualize the surface irregularities and changes after heat treatment on the prosthesis. This was done by Scanning Electron Microscopy. Material and Methods: Eight prosthesis were prepared with modification on the fitting surfaces. The occlusal surface of the tooth to receive the prosthesis was modified and engraved with the initials in the form of identification features. These were heat treated under furnace at temperatures of 500°C, 1000°C and 1500°C after which the scanning was done under Electron Microscope. Results: After heat treatment it was observed that the inner surface of the prosthesis was merely distorted and the details were intact. Analysis of the surface irregularities shows that there are slit surface changes on the occlusal surface at 1000°C and the fitting surface details are well protected. Conclusion: It was identified that after heat treatment at temperatures 1000°C and above some changes started occurring on the fitting surface and the identification features. At these temperatures the whole human body is charred and even the bones start to get destroyed. SEM images give the detailed pictures of the same and that if this method is incorporated in day today dentistry it will be a boom in the forensic identification.
Covid 19 – A Forensic Odontologist Perspective
Authors: Prabhakar Manoj , Murali Preethi , Sivapathasundharam B.
Published: February 2022

Investigations related to forensic odontology involves handling of antemortem as well as postmortem dental records. In case of any identification process, forensic odontologists may end up in exposing these dental related records. Exposure to any biological remains, and its related surfaces or objects at the scene, during this pandemic situation, puts any forensic professional at risk towards COVID-19. A detailed description on the risk involved during dental identification and autopsy procedures, and the knowledge about the precautionary measures which have to be exercised, makes the forensic team to carry forth the work cautiously without any perplexity or doubt.
ЗАСТОСУВАННЯ АНАЛІТИЧНИХ ПРОЦЕДУР ПРИ АУДИТІ МСФЗ ЗВІТНОСТІ
Authors: Карпачова О. В.
Published: February 2022

Метою статті є дослідження практичного застосування аналітичних процедур при аудиті МСФЗ звітності підприємств. Досліджено актуальність застосування аналітичних процедур при аудиті фінансової звітності за вимогами МСФЗ. Сформовано основні джерела отримання інформації для проведення аналітичних процедур. Проаналізовано методи здійснення аналітичних процедур. Установлено, що застосування аналітичних процедур доцільно наприкінці аудиту. Виконуються як загальний огляд фінансової звітності наприкінці аудиту, щоб оцінити, чи відповідають вони аудиторському розумінню підприємства. Тобто аналітичні процедури на завершальному етапі потрібні аудиторові для остаточного оцінювання суттєвих викривлень і допомагають йому здійснити узагальнювальний «об’єктивний погляд» на фінансову звітність. Важливим фактором для виконання аналітичних процедур наприкінці аудиту є те, що під час аудиту аудитор надає рекомендації управлінському персоналові щодо виправлення помилок і викривлень у фінансовій звітності. Тому якщо управлінський персонал виправляє ці помилки, то фінансова звітність буде вже іншою, тобто матиме правильну фінансову інформацію. Доведено, що аналітичні процедури наприкінці аудиту допомагають оцінити заяву управлінського персоналу щодо здатності здійснювати діяльність свого підприємства на безперервній основі. Застосування аналітичних процедур при плануванні допомагає аудитові зрозуміти внутрішнє і зовнішнє середовищепідприємства, оцінити попередні ризики, визначити показники фінансової звітності для аудиторського підходу, спланувати бюджет і кількість потрібних ресурсів для здійснення аудиту. Застосування аналітичних процедур при виконанні аудиту допомагає аудиторові зібрати обґрунтовану доказову базу. Вони можуть застосовуватись як додатково до тестів деталей, так і як окремі аналітичні процедури по суті. Метою здійснення аналітичних процедур наприкінці аудиту є узагальнення висновків, сформованих у ході проведення аудиту фінансової звітності за МСФЗ.
Anatomia nowoczesnej refleksyjności
Authors: Jacyno Małgorzata
Published: February 2022

Celem artykułu jest rozważenie aktualności, wspólnej dla socjologii i antropologii, kwestii klasyfikacji. Rozpad klasyfikacji, reklasyfikacje i nieklasyfikowalność jednostek mają być charakterystyczne dla nowoczesności. Dystans wobec klasyfikacji to jeden z przejawów refleksyjności, która stała się rozruchem dla szeroko rozumianej mobilności jednostek. Coraz częściej „refleksyjność” jest problematyzowana i kwestionuje się rozumienie jej jako „wyzwolenie działania ze struktury”. Po pierwsze, zwraca się uwagę na nierówne rozdzielenie zasobów refleksyjności. Po drugie, wskazuje się na to, że refleksyjność i wytwarzanie klasyfikacji prywatnych podlegają regulacji w taki sposób, aby wytworzyć mobilność o właściwościach adaptacyjnych. „Nieklasyfikowalność” jednostek można widzieć wtedy jako zbiorowe wyobrażenie charakterystyczne dla nowoczesności. Pamiętniki nerwowo chorego Daniela P. Schrebera analizowane są jako przypadek ujawniający, jakie formy refleksyjności pełnią funkcje adaptacyjne.
​Localization of Orexin and its Receptor in Corpus Luteum and in vitro Effect of Orexin on Progesterone Production from Luteal Cells in Buffalo
Authors: Sardar V.M. , Gupta Mahesh , Korde J.P. , Bahiram K.B. , Kawitkar S.B. , Raghuwanshi D.S. , Bambode K.P.
Published: February 2022

Background: Orexin is a hypothalamic neuropeptide involved in regulating various biological functions, including reproduction. The study aimed to investigate the immunolocalization of orexin and its receptors in the corpus luteum in buffalo (Bubalus bubalis) ovary and the effect of orexin on progesterone production. Methods: The study was carried out on buffalo ovaries, each with a different developmental stage of corpus luteum (CL) (n=10 for each stage). The CLs were separated out from ovaries for immunolocalization of orexin and its receptors in CL. In the in vitro study, luteal cells were cultured and treated with recombinant orexin at 0.1, 1 and 10 ng/mL doses for 48 h and P4 concentration in the spent media was determined by ELISA. Result: Results of the present study revealed that orexin and its receptors are localized in the cytoplasm of large and small luteal cells of CL. The immunoreactivity varied with a stage-specific difference in CL. The present study also revealed that orexin inhibits P4 production in cultured luteal cells. The findings indicate orexin affects luteal dynamics and reproductive functions in buffalo (Bubalus bubalis).