bluuebunny/crossref_metadata_2025 huggingface dataset:
Effectiveness of domiciliary rehabilitation, telerehabilitation, and home exercise program on pain, function, and quality of life in patients with total knee arthroplasty
Authors: Kulkarni Shrihari L. , Kulkarni Sweta , Patil Arvind D. , Painginkar Shefali A.
Published: December 2022

BACKGROUND:

Knee osteoarthritis (OA) is the major source of disability worldwide. OA of knee is a joint disease that affects the elderly. It is characterized by progressive articular cartilage damage which further causes pain and loss of function. Total knee replacement (TKR) is the standard treatment for severe OA knee. Telerehabilitation is one of the new treatment ways and is speedily growing as an alternative for therapies.

OBJECTIVES:

The objective of this study was to compare the effects of domiciliary rehabilitation, telerehabilitation, and home exercise program on pain, function, and quality of life (QOL) in patients with TKR.

MATERIALS AND METHODS:

A total of 108 individuals were enrolled as per eligibility criteria during the study period and then were randomly divided into three groups by computer-generated, randomized sequence numbers. The parameters were obtained preoperatively, postoperatively, and at the end of 1 month using the Visual Analog Scale (VAS), Knee Injury and Osteoarthritis Outcome Score, Quality of Well-being, methadone maintenance treatment (MMT), and knee range of motion (ROM) test. P < 0.05 was considered statistically significant.

RESULTS:

All the three groups showed a reduction in VAS scores and improved function in patients with TKR. QOL and MMT did not prove to be significant in any of the three groups. When ROM was considered, only Groups A and C showed statistical significance whereas Groups A and B showed clinical significance according to the mean difference values.

CONCLUSION:

All the three modes of rehabilitation among OA patients, i.e., domiciliary rehabilitation, telerehabilitation, and home-based exercise program, have shown similar effects on study variables including pain intensity, knee function, and QOL in patients with TKR. Therefore, we recommend to include telerehabilitation as one of the treatment approaches for patients with TKR whenever needed.
A rare case report of bilateral ruptured tubal ectopic pregnancy
Authors: Malapure Preeti Shankar , Yaliwal Rajasri G , Jaju Purushottam B , Bankapur Gauri
Published: December 2022

Implantation of the fertilized ovum outside the uterine cavity is called ectopic gestation. The common presenting symptoms are per vaginal bleeding till 12 weeks, pain in the lower abdomen, and absence of menses. ß-HCG level is increased (>1000IU/L) and transvaginal ultrasonography shows an empty uterus. These findings essentially confirm the diagnosis. In this, we have a 23-year-old, G2P1L1 with a history of 3 months of amenorrhea, presenting to the labor ward with a history of per vaginal bleeding and lower abdominal pain. The diagnosis was 10 weeks right-sided ruptured ectopic pregnancy and intraoperatively found to be ruptured ectopic pregnancy in both fallopian tubes which we managed successfully by performing emergency laparotomy with bilateral partial salpingectomy.
The Art and Science of Writing Narrative Reviews
Authors: Basheer Aneesh
Published: December 2022

In this age of evidence-based medicine, systematic reviews are considered the highest level of evidence. However, traditional narrative reviews continue to have an important role in medicine. While narrative reviews have inherent shortcomings in terms of nonstandardized literature search, potential bias in the appraisal of retrieved articles, and interpretation of findings, they serve as sources of quick up-to-date reference for specific areas of interest of readers. Well-conducted reviews could inform readers about gaps in existing literature and areas that need new primary research. Crafting a narrative review requires a blend of good scientific approach and the skillful art of presentation. This article aims to provide an overview of the need for narrative reviews and strategies to equip potential review authors complete an effective narrative review.
Prevalence of diabetic retinopathy in rural Pakistan: A population based cross-sectional study
Authors: Jokhio Abdul Hakeem , Talpur Khalid Iqbal , Shujaat Shehnilla , Talpur Bibi Rafeen , Memon Shahzad
Published: December 2022

Purpose:

To estimate the prevalence of diabetic retinopathy (DR), an emerging cause of sight threat and blindness from a large rural population in Pakistan.

Methods:

This was a population-based cross-sectional study. We selected a rural district of Matiari Sindh Province in Pakistan, where we selected all the health facilities and their attached Lady Health Workers (LHWs)/Lady Health Supervisors (LHSs). These female health workers were trained to identify high-risk diabetic individuals in their catchment areas using pre-defined criteria and to refer them to the nearest health facilities for screening and testing random blood sugar (BSR). Adults of 18 years or above, male or female, were included in the study for DM and DR screening. Ophthalmic examination was conducted by the optometrists on those who had BSR level >180 mg/dl for the evidence of DR. Identified DR patients were referred to a linked tertiary-level ophthalmology institute for their free DR treatment.

Results:

Of the identified and referred 24,463 participants, 23,999 were tested for BSR and 2,331 (9.74%) were found to be high-risk patients (BSR >180 mg/dl) and had ophthalmic examination conducted. Of these, 563 had clinically established DR, a prevalence of 24.2% (95% CI, 22–26%). Significantly more DR patients (228, 40.5%) were found in the age group >60 years, with more among female (327, 58.1%) with DR.

Conclusion:

DR is highly prevalent in the Pakistani rural population. The establishment of an integrated approach within the health care system could decrease the burden of DR in Pakistan.
Objectively measuring anterior segment alterations in the eyes of mucopolysaccharidoses: Its utility in early diagnosis of glaucoma
Authors: Achanta Divya Sree Ramya , Mohamed Ashik , Chaurasia Sunita , Senthil Sirisha , Mandal Anil Kumar , Takkar Brijesh , Mishra Dilip Kumar , Edward Deepak Paul , Ramappa Muralidhar
Published: December 2022

Purpose:

Our study aimed to evaluate the utility of the anterior segment morphometry for objectively assessing anterior segment architectural changes of corneal clouding in the mucopolysaccharidoses (MPS) cohort and to investigate whether these measurements correlate with the slit-lamp findings on the cornea and early diagnosis of glaucoma.

Methods:

This retrospective study involved 70 eyes of 35 children with cloudy cornea due to MPS variants. Anterior segment architectural alterations were measured using anterior segment imaging and biometry in MPS children and compared with controls.

Results:

Mean age of the cohort at the time of assessment was 7.9 ± 4.5 years. Males constituted two-thirds of the cohort. Variants of MPS with cloudy cornea were as follows: Type I (62%), Type IV (11%), and Type VI (22%). Morphometric measurements were available in 22 eyes of 11 MPS children and an age-matched healthy control group. There were significant differences between MPS cohort and controls in refraction in Diopters (5.03 ± 0.39 and 0.01 ± 0.04; P < 0.0001), axial length (AXL) in mm (21.39 ± 0.28 and 23.04 ± 0.28; P = 0.0002), average keratometry in Diopters (40.67 ± 0.44 and 42.83 ± 0.44; P < 0.0001), anterior chamber depth (ACD) in mm (2.92 ± 0.07 and 3.65 ± 0.07; P < 0.0001), and intraocular pressure (IOP) in mmHg (25.2 ± 2.0 and 14.1 ± 2.3; P = 0.0003). Secondary glaucoma was observed in 28% of the MPS cohort.

Conclusion:

The anterior segment morphometry in the cloudy cornea due to MPS provides an objective measurement of anterior segment architectural changes, thus diagnosing early-onset secondary glaucoma. These findings highlight that cloudy cornea due to MPS variants merits close monitoring throughout life.
Safety and efficacy of Aurolab aqueous drainage implant in refractory glaucoma: A prospective study
Authors: Jayasri P , Kaliaperumal Subashini , Behera Geeta , Stephen Mary
Published: December 2022

Purpose:

This study was conducted to assess the intraocular pressure (IOP) control and postoperative complications following a non-valved glaucoma drainage device (GDD) surgery in refractory glaucoma.

Methods:

This was a prospective interventional study conducted on patients with glaucoma refractory to maximal medications or failed surgical treatment who underwent Aurolab aqueous drainage implant (AADI; Aurolabs, India) surgery. Primary outcome measures were IOP control, postoperative complications, and reduction in the number of antiglaucoma medications (AGM).

Results:

Thirty-four eyes were analyzed and the mean follow-up was 16.06 ± 5.63 months. The preoperative median (Q1, Q3) IOP was 31 mmHg (28, 36.5) which decreased to 12 mmHg (12, 14) at 6 months postoperatively. The median (Q1, Q3) number of AGMs decreased from 3 (3, 4) to 0 (0, 1). Significant complications like implant extrusion and tube exposure were noted in two eyes. The total success and failure rates at 6 months were 91.1% and 8.8%, respectively.

Conclusion:

AADI is effective in achieving target IOP and significantly reduces the use of AGMs with good safety in the short term. Long-term follow-up studies are needed to assess long-term IOP control and cost-effectiveness.
Vision related quality-of-life among patients with traumatic or non-traumatic ocular disease and its association with the Rights of Persons with Disabilities Act: Unveiling-the-hidden
Authors: Vichare Nitin , Pushkar Kumar , Agrawal Mohini , Jindal Imroz
Published: December 2022

Purpose:

To assess vision-related quality of life (VrQoL) in cases with visual loss after ocular trauma (OT) or non-traumatic ocular disease (NTOD) using the National Eye Institute’s 25-Item Visual Function Questionnaire 25 (VFQ-25) and its association with visual disability % (VD%) based on the Rights of Persons with Disabilities (RPwD) Act, 2016.

Methods:

This was a prospective observational study conducted among cases with ocular morbidity in either or both eyes with a visual acuity of ≤6/24. VFQ-25 questionnaire was administered to measure QoL scores. Statistical analysis was done using the Statistical Package for the Social Sciences (SPSS) version 23. P < 0.05 was taken as significant.

Results:

Eighty-eight respondents completed the questionnaire. Mean age of participants was 40.272 ± 9.35 years (range: 23–55 years). Forty-three (48.9%) and 45 (51.1%) participants had OT and NTOD, respectively. The most common cause was traumatic optic neuropathy (21.6%) followed by corneal causes (19.4%). Low visual QoL scores were reported in all the cases (57.52 ± 16.08). Between OT and NTOD, a significant difference in terms of age (P = 0.001) and general vision (P = 0.03) was seen. Lowest scores were for driving. Based on VD%, 77 cases had ≤40 and the rest had >40% VD with a significant difference in overall mean scores (P = 0.03), specifically in domains of general vision (P = 0.00), near activities (P = 0.00), and driving (P = 0.007). QoL was decreased in each subscale of ≤40%VD group, who faced the same predicament everywhere as by the cases with more disability.

Conclusion:

Ocular morbidity is associated with low QoL, predominantly in domains like general vision, near activities and driving. The RPwD Act leaves out a huge population with VD without any government benefits. One might need to consider other vision-related factors also to provide them with social, psychological, and employment benefits.
Effect of sodium hyaluronate eye drops combined with tobramycin, dexamethasone and pranoprofen eye drops in the treatment of dry eye after phacoemulsification
Authors: Lu Hongwei , Guan Yongqing , Su Yudan , Nan Na , Yuan Yazhen
Published: December 2022

Purpose:

To investigate the clinical effect of sodium hyaluronate eye drops combined with tobramycin, dexamethasone, and pranoprofen eye drops in the treatment of dry eye after phacoemulsification.

Methods:

Medical records of 188 patients with dry eye after phacoemulsification, treated in our hospital from August 2020 to August 2021, were included and divided into groups based on the type of dry eye treatment. Patients in the control group (n = 90) were treated with tobramycin, dexamethasone, and pranoprofen eye drops. Patients in the test group (n = 98) were treated with sodium hyaluronate, tobramycin, dexamethasone, and pranoprofen eye drops. The tear secretion test (TST), film rupture time (BUT), corneal fluorescence staining (FS) score, levels of interleukin (IL)-6, and tumor necrosis factor (TNF)-α before the treatment and at 1 month follow-up, the overall total effective rate and the number of completely cured cases were compared between the two groups. Multiple linear regression was used to calculate coefficients for predicting clinical variables. Ordinal logistic regression was used to compute coefficients and odds ratios for predicting effective scores.

Results:

The total effective rate in the observation group (99%) was significantly higher than that in the control group (80.00%). After the treatment, the TST and BUT indexes of the observation group were higher compared to the control group, and the FS score of the observation group was lower than that of the control group. TNF-α and IL-6 levels of the observation group were lower compared to the control group. Logistic regression analysis demonstrated that the differences in the effective rate and clinical variables between the two groups remained significant after adjusting for the effect of age.

Conclusion:

A combination of sodium hyaluronate, tobramycin, dexamethasone, and pranoprofen eye drops for the treatment of dry eye after phacoemulsification can improve the curative effect, reduce corneal fluorescein staining and inflammatory factor index levels compared to the treatment regimen lacking sodium hyaluronate eye drops.
Role of 0.01% atropine in high myopic children of Moradabad, India (RAMCOM Study)
Authors: Agarwal Pradeep , Khurana Ashi , Maan Veenu , Sutar Samir , Chauhan Lokesh
Published: December 2022

Purpose:

Low-concentration atropine is an emerging therapy for myopia progression, but its efficacy remains uncertain among high myopic children. This study aimed to evaluate the efficacy and safety of low-concentration atropine eye drop (0.01%) in high myopic children.

Methods:

A non-randomized, parallel-group, longitudinal interventional cohort study. Myopic children were divided into two groups: (1) the intervention arm of children who received one drop of topical 0.01% atropine once a day at bedtime and (2) the control arm, in which enrolled children who were on observation only. Repeated measurements of spherical equivalent refractive errors (SERs) were performed at baseline and 1 and 2 years after treatment.

Results:

A total of 37 eyes were enrolled in the intervention arm (allocated to 0.01% atropine at year 1 follow-up) and 23 eyes in the control arm. After 1 year of 0.01% atropine therapy, the myopia progression was 0.15 ± 0.9 D in the intervention group versus 1.1 ± 1 D in the control group (P = 0.001). Similarly, after 2 years of treatment, the myopia progression was 0.3 ± 1.1 D in the intervention group versus 1.4 ± 1.1 D in the control group (P ≤ 0.001).

Conclusion:

Compared to no treatment, 0.01% atropine treatment had shown better effect on myopia progression in high myopic children.
Is dacryocystectomy effective in reducing epiphora?
Authors: Alam Md Shahid , Kundu Debi
Published: December 2022

Purpose:

To study the efficacy of dacryocystectomy (DCT) in reducing epiphora in cases of primary acquired nasolacrimal duct obstruction.

Methods:

This was a prospective, nonrandomized, interventional study conducted over a period of 12 months. All cases who either opted or satisfied our criteria for DCT in primary acquired nasolacrimal duct obstruction (age above 70 years) were included in the study. Patients with secondary nasolacrimal duct obstruction and those undergoing revision surgeries were excluded. Patients were asked to report the percentage improvement in postoperative watering subjectively. Munk score and fluorescein dye disappearance test (FDDT) were recorded pre- and postoperatively. Wilcoxon signed ranked test was used for analysis.

Results:

Eighty-two eyes of 65 patients were included. Most of the patients (46, 70.8%) were females. The mean age was 68.46 ± 5.7 years (range: 60–85 years). The mean subjective improvement in watering was 86.8%. The P value for preoperative and postoperative difference in Munk score and FDDT score was highly significant (P = 0.00001).

Conclusion:

Apart from providing relief from ocular discharge, DCT also provides significant improvement in watering. Patients can be preoperatively counseled regarding chances of reduction in epiphora following surgery.
Robot-assisted retroperitoneal lymph node dissection for post-chemotherapy residual mass in testicular cancer: Long-term experience from a tertiary care centre
Authors: Vasudeo Vivek , Khanna Ashish , Pratihar Sarbartha Kumar , Jaipuria Jiten , Chakraborty Arnab , Rawal Sudhir Kumar , Singh Amitabh
Published: December 2022

Objectives:

To present our intermediate to long-term oncological and functional outcomes of robot-assisted retroperitoneal lymph node dissection (RA-RPLND) in post-chemotherapy (PC) residual mass in testicular cancers. To the best of our knowledge, this is the largest single-centre experience of RA-RPLND for in such setting.

Methods:

Prospectively maintained database of carcinoma testis patients undergoing RA-RPLND from February 2012 to September 2021 was reviewed. Patient demographics, tumour stage and risk groups and chemotherapy details were recorded. Intraoperative details and post-operative complications were also noted. Pathological outcomes included were lymph node yield and histopathology report. Further, follow-up was done for recurrence and antegrade ejaculation status.

Results:

Total of 37 cases were done for PC residual masses. International germ cell cancer collaborative group good, intermediate and poor risk proportion was 18 (48.6%), 14 (37.8%) and 5 (13.5%), respectively. Bilateral full template dissection, unilateral modified template dissection and residual mass excision was performed in 59.5% (22/37), 35.1% (13/37) and 5.4% (2/37) patients, respectively. The median size of the excised residual mass was 3.45 cm interquartile range (IQR 2–6 cm), with the largest being 9 cm. The median lymph nodal yield was 19. The most common histology was necrosis (n = 24, 65%), followed by teratoma (n = 11, 30%) and viable malignancy (n = 2, 5%). Antegrade ejaculation was reported in 32 patients (86.4%). After a median follow-up of 41 (IQR 14–64) months, only one patient had a recurrence.

Conclusions:

RA-PC-RPLND is thus a safe, feasible and oncologically effective option for selected patients. With increasing experience, larger masses can also be dealt with efficiently.
The beginner’s odyssey: ethics, participant observation and its challenges in native ethnography
Authors: Ugwu Ugochukwu T.
Published: December 2022

Classic anthropological fieldwork emphasized working „abroad‟ – that is, doing fieldwork in societies that were culturally and geographically distant from that of the ethnographer. More recent discussions of anthropological fieldwork have drawn attention to significance of working „at home‟ – including paying attention to the forms of social differentiation and marginalization present in the society to which the ethnographer belongs. There are arguments that native anthropologists are better qualified to study issues involving their group than outsiders are. This paper discusses the researcher’s field experience conducting native ethnography among the Nrobo of Southeastern Nigeria. This study adopted ethnographic methods of participant observation – adopting chitchatting and semi-structured interviews. Also, focus group discussion (FGD) was used to cross-check the validity of data from the other instrument. This study found among other things, that conducting native ethnography is a challenge to the ethnographer. The mutual intelligibility does not guarantee quick rapport instead it sets up suspicion. Furthermore, ethical issues in ethnographic research are culturally relative. The Nrobo case stipulates time value and as such reward is expected for every task that takes up their time. Also security threat poses challenges to native ethnography. This study, to the best of my knowledge, is the first attempt to conducting native ethnography among this group. As such it adds to the corpus of ethnographies on the Igbo of Southeastern Nigeria.
A historical survey of Karofi abandoned settlement, Dutsen-Ma, Katsina State, Nigeria
Authors: Kabir Zainab , Nasidi Nadir Abdulhadi
Published: December 2022

This paper is an archaeological survey of Karofi abandoned settlement, which is located in the north-central area of Katsina State of Nigeria conducted from the 5th of January to 30th of March, 2018. Despite Karofi’s large amount of archaeological resources as the survey shows, the area receives little or no attention from researchers. Through ethnographic survey, an effort is made to examine fundamental features of the site with particular reference to the history of the early inhabitants of the area through the collection and analysis of both tangible and intangible remains using an archaeological survey of site. Among the finds identified in this survey are: house and granary foundations, collapsed defensive walls, grinding stones, dye pits, potsherds, remnants of iron slags, cave and rock shelters, among others. The paper suggests that when closely studied, Karofi abandoned settlement will yield great archaeological results.
Assessment of knowledge attitude and practice of pharmacovigilance by leaders in public health pharmaceutical supply chain in Nigeria.
Authors: Obieze Anthony , Adigwe Obi Peter , Ibegbunam Innocent , Oreagba Ibrahim A. , Osakwe Adeline I. , Obieze Chidinma C. , Raheem Saheed A.
Published: December 2022

Pharmacovigilance involves the spontaneous reporting of adverse drug reactions (ADR) and ensuring the post-marketing surveillance of the quality and safety of medicines including phytomedicines and other pharmaceuticals used in the management of diseases. Its success depends on the awareness, attitude, and voluntary participation of healthcare personnel, patients, and institutions. This study aimed at examining the knowledge, attitudes, and practices of key pharmacovigilance actors in the public health pharmaceutical supply chain management in Nigeria. Consequently, a cross-sectional approach was used in the survey of 209 leaders of selected public health organizations. Purposive sampling technique was applied to administer validated semi-structured questionnaire electronically. Questions were drawn from the Nigerian national pharmacovigilance policy. Overall, response rate was 55%. Among the responders, medical doctors and medical laboratory scientists had better knowledge and practice of pharmacovigilance than pharmacists. Factors associated with practice of pharmacovigilance include awareness of policy (OR =1.90; P-value =0.1140), training provided by respondents' organizations (OR =1.34; P-value =0.4801), respondents' organization receiving periodic updates from the National Pharmacovigilance Center (OR =1.11; P-value =0.8525) and respondents independently receiving periodic updates (OR =0.83; P-value =0.7279). In conclusion, the study suggests pharmacovigilance outcomes could improve through increased awareness of the policy, training, and periodic safety communications.
Preparation and characterization of crosslinked starch-albumin films for coating of prednisolone tablets for use in Covid-19 related respiratory disease
Authors: Builders Philip F. , John Judith E. , Alfa John , Mohammed B. B.
Published: December 2022

Steroidal products have been found useful in inflammations associated with Covid 19. Prednisolone is one readily available steroid, which is often found as uncoated normal release tablets. Modified release prednisolone may be desirable in Covid 19 for sustained actions. This is expected to reduce dosing frequency and enhance compliance. This study is concerned with development of controlled release prednisolone using coating technology with bio-compatible, cross-linked starch-albumin films. Starches and proteins are excellent film formers with good flexibility, transparency, and bio-compatibility. The cross-linked starch-albumin films were prepared using glycerol as the plasticizer: starch (A), starch-albumin (B), starch-albumin cross-linked with formaldehyde at 1 % (C), 5 % (D) and 10 % (E). Equilibrium moisture sorption (EMS) at 100 % relative humidity, equilibrium swelling (ESC) in buffer solutions of pHs 2, 7 and 9, and DSC thermal properties were evaluated. In-vitro drug release from the film coated prednisolone tablets were evaluated in 0.1N HCl, water and phosphate buffer 8.0 as dissolution media. Films showed ESC in the order A>D>E>B>C; D>C>A>E>B and A>D>C>B>E in acidic, neutral and alkali media respectively. EMS was in the order B>E>A>D>C; with slight shift in the melting temperatures. In-vitro release at 240 min varied from 78 to 117 % (E>D>C>A>B); 19 to 60 % (D>B>C>E>A) and 49 to 60 % (B>A>C>D>E) in 0.1N HCl, water and PBS respectively. Cross-linking improved the stability and swelling of films. The in-vitro release in alkaline medium suggests their usefulness for controlled drug delivery. New pH-responsive polymers, with improved physicochemical properties for coating prednisolone tablets were developed.
Tourism, Nature, and Community: Investigating the Potential of Indigenous Tourism for Fostering Cultural Resilience and Reconciliation.
Authors:   , Ferguson Robert John
Published: December 2022

This thesis contributes to knowledge by contextualising strategic tourism development to address social inequity, poverty alleviation, and conservation in the contemporary discourse of reconciliation between Canada and its Indigenous peoples. Further contributions can be identified in the implementation of a methodological approach that attempts to overcome dominant Eurocentric knowledge-production systems, which have proven exploitative and harmful to the Indigenous peoples of Canada and therefore lack credibility in the process of advancing mutual understanding and respect between Indigenous and non- Indigenous peoples. Tourism has the potential to be a powerful force for positive change in rural and remote Indigenous communities. However, for the full and mutually positive benefits to be realised, a number of policies, principles, and practice gaps need to be addressed. These gaps place responsibility upon leaders to act with a sense of purpose and urgency to meet the growing demand for Indigenous cultural tourism on Canada’s west coast, while supporting remote and rural Indigenous community resilience and national reconciliation processes. This study employs an innovative methodology that integrates Indigenous and Western research paradigms and principles, with a pragmatic approach that aims to achieve maximum benefit for collaborators. Furthermore, the time period of the study coincides with a dynamic and rapidly changing socio-political culture, resulting in a timely, contemporary analysis of the extent to which Indigenous tourism can support reconciliation initiatives and cultural resilience for communities pursuing explicit community aims.
Un voievod valah redat pe cahle placă descoperite la Văleni, jud. Dâmboviţa (sf. sec. XIV- începutul sec. XV) O filă din repertoriul iconografic al cahlelor medievale româneşti
Authors: Rădulescu Maria-Venera
Published: December 2022

Studiul prezintă două cahle-placă, fragmentare, nesmălţuite, descoperite întâmplător, în anul 1873, la Văleni, o mica localitate situată în partea de Nord-Est a podişului Getic, la poalele Munţilor Carpaţi, pe valea râului Dâmboviţa. Compoziţia redă un personaj pedestru, văzut frontal, încoronat, înveşmântat în surcot, bogat ornamentat, având pe umeri o mantie îmblănită. Cu mâna dreaptă susţine o lance, în poziţie verticală, iar cu mâna stângă, ridicată, ţine o daga. Realizarea plastică este opera unui meşter popular. Pe baza unor analogii stilistice cu alte artefacte, s-au putut determina modelele care au inspirat creaţia acestor piese. Astfel, în efigiile unor ducaţi emişi de Mircea cel Bătrân (1386-1418), voievodul este reprezentat încoronat, purtând surcot şi mantie, ţinând cu mâna dreaptă o lance, în poziţie verticală. Pentru chenarul cahlelor de la Văleni, meşterul popular s-a inspirat din chenarul pietrei tombale a voievodului Nicolae Alexandru Basarab (1352-1364), lespede aflată în biserica domnească de la mănăstirea Negru Vodă din Câmpulung Muscel. Pe baza acestor date, se poate deduce executarea cahlelor de la Văleni în perioada cuprinsă între sfârşitul secolului al XIV-lea şi primii ani ai secolului următor. În compoziţie, presupunem că este redat voievodul Mircea cel Bătrân.
A EXPERIÊNCIA MÍSTICO-RELIGIOSA SEGUNDO A FENOMENOLOGIA DA RELIGIÃO DE MICHEL HENRY
Authors: Queiroz Bruno dos Santos
Published: December 2022

O objetivo deste artigo é apresentar a compreensão do filósofo vietnamita Michel Henry a respeito da experiência místico-religiosa com base em sua fenomenologia da religião. A partir disso, será considerado a definição de fenomenologia da religião à luz da síntese entre a escola holandesa e o método fenomenológico husserliano. Será discutido, ainda, as críticas henrianas ao monismo ontológico e a descoberta da vida. Desse modo, será possível entender a compreensão da experiência religiosa à luz de uma fenomenologia da vida e da filosofia do Cristianismo de Henry. Conclui-se que o entendimento henriano da experiência mística é frutífero para as mais diversas religiões e até mesmo para perspectivas não-teístas.

Palavras-chave: Michel Henry. Fenomenologia da Religião. Vida. Experiência Místico-Religiosa.
A FOTOGRAFIA DE BALTIMORE:
Authors: Samudio Jonas Miguel Pires
Published: December 2022

Propomos uma leitura do livro Nenhum orvalho sobre a cidade (2016), de Lucia Castello Branco, ao redor de três questões: a escrita, o feminino e a tradução. Partimos de reflexões a respeito do feminino (J. Lacan, 2008, entre outros), perpassando pelas articulações entre feminino e escrita (Castello Branco, 1991, 1994), chegando às considerações acerca da tradução (Paul B. Preciado, 2015, entre outros). Como método, seguimos as propostas do “pensamento fraco” (Vattimo, 2004) e uma discussão acerca da potência poética do prefixo “in”, almejando a elaboração de uma imagem para o que denominamos “a fotografia de Baltimore”: o ausente que move a escrita do livro.
A MÍSTICA DA RELAÇÃO DO BODHISATTVA KUAN YIN COM AS POPULAÇÕES DO EXTREMO ORIENTE E DO BRASI
Authors: Sato Haroldo Tuyoshi , Barrio Angel-Baldomero Espina
Published: December 2022

Este é um artigo de antropologia religiosa que estuda o mito e o rito de Kuan Yin, o bodhisattva da compaixão que, desde seu surgimento nos sutras do Budismo Mahayana, foi acolhido pelas populações do Extremo Oriente e do mundo como uma das expressões máxima deste. O mito será estudado historicamente e por meio de entrevistas realizadas com devotos do bodhisattva e o rito, através da observação participante.
La complejidad desde la perspectiva de cuatro ejes temáticos
Authors: Solis Veliz Karla Isabel , Escobar Orozco Lizzy Carlily , Chacón González Oscar Augusto , Samayoa Juárez Shirley Mireya del Rosario
Published: December 2022

OBJETIVO: abordar la complejidad desde cuatro ejes temáticos que intervienen en el proceso de enseñanza-aprendizaje. MÉTODO: fue utilizado el enfoque cualitativo mediante revisión bibliográfica y documental. RESULTADOS: demuestran que la didáctica, la etnografía, el pensamiento crítico y la deontología, tienen incidencia directa en la formación del sujeto de la educación, por lo que, a partir de su reconstrucción e interrelación, resaltan la lógica de su ordenamiento y sistematización. La preparación académica del docente y el desarrollo de competencias científicas, psicológicas y didácticas y con ello, generar procesos de innovación educativa, capaz de desarrollar en el estudiante las habilidades para interpretar, analizar, evaluar y crear nuevos conocimientos, no solo con solidez científica, sino también con ética y moral, entendiendo a la sociedad y lo que en ella acontece. CONCLUSIÓN: la complejidad es una teoría científica en formación que permite su abordaje a través de diferentes ejes temáticos que al interrelacionarse promueven la construcción de una nueva epistemología educativa.
DIMENSIONAL ACCURACY OF DIGITAL IMPRESSION AND DOUBLE IMPRESSION MOLDING MODELS IN THE MANUFACTURING OF BRIDGE DENTAL
Authors: Suhendra  , Nurlitasari Dewi Farida , Pradnyadena Dsk Pt Bunga Raditya
Published: December 2022

Dimensional accuracy of the impression model is very important in determining the success of denture treatment. The choice of printing technique is a factor that has a big influence on the printout. Digital impression and double impression techniques have good dimensional stability and provide accurate print details on the working model. The purpose of this study was to determine the level of dimensional accuracy of the digital impression and double impression models in the manufacture of bridge dentures. The research materials used were polyvinyl siloxanes elastomeric impression materials, stone gypsum type IV and aquades. The tools used are the master model, physiological printing spoon, glass stirrer, lekron, bowl spatula, calipers and 3D laser scanner. This research method used a laboratory experimental study design, and the master model was imprinted on the simulation of two abutments using digital impression and double impression techniques. The results showed that the digital impression technique showed a significant difference measured from the mesiodistal distance with the smallest value -0.004, the largest 0.011, the average difference 0.0369, at the occlusogingival distance the smallest value -0.003, the largest 0.009, the average difference 0.0375 , and the smallest value of interbutment distance is -0.001 and the largest is 0.000, and the average difference is -0.00031. The double impression technique showed a significant difference measured from the mesiodistal distance, the smallest value was -0.004, the largest was 0.011, the average difference was 0.00663, at the occlusogingival distance the smallest value was -0.014, the largest was 0.003, the average difference was 0.00300, and the interabutment distance was the smallest -0.001, the largest 0.003, and the average difference 0.00044. The conclusion of this study is that the digital impression technique is more accurate than the double impression technique in making denture bridges.
THOMPSON & BRODIE ANALYSIS IN THE CASE OF DEEP BITE
Authors: Ketut Virtika Ayu , Hidajah Norman , Walianto Surwandi
Published: December 2022

Gigitan dalam atau deep bite merupakan salah satu maloklusi yang sering terjadi disebabkan oleh berbagai macam faktor. Etiologi dari gigitan dalam mungkin dapat terjadi dari berbagai tingkatan struktur seperti gigi-geligi, rahang, kebiasaan buruk dan lain sebagainya. Tujuan penulisan ini adalah untuk mengetahui bagaimana kasus gigitan dalam dengan metode analisis Thompson & Brodie. Simpulan bahwa terdapat tiga kemungkinan yaitu jika overbite masih berlebihan sedang stenz bagian posterior hampir habis tergigit maka gigitan dalam tersebut karena supra oklusi gigi depan (belakang normal). Jika overbite normal dan stenz bagian posterior tebal maka gigitan dalam tersebut karena infra oklusi gigi posterior (anterior normal). Jika overbite masih berlebihan sedang stenz bagian posterior tebal maka gigitan dalam tersebut karena kombinasi supra oklusi gigi anterior dan infra oklusi gigi posterior
Evaluation of obstetric outcomes in adolescent pregnancies delivered by cesarean section: Single center experience
Authors: ALDEMİR Oya , YENİGÜL Nefise Nazlı , ERCAN Fedi
Published: December 2022

Aim: Adolescent pregnancies; defined as pregnancies in women aged 10-19 years old are still an important public health problem and must be considered as high risk pregnancies with increased maternal and fetal mortality and morbidity rates. In this study, we aimed to examine the obstetric and perinatal outcomes in adolescent pregnancies delivered with cesarean section (CS) and compare the outcomes in determined adolescent age groups.
Materials and Methods: In this retrospective study, the obstetric and perinatal outcomes in 2665 adolescent patients who delivered with cesarean section were examined in three groups divided according to the age of delivery: group 1 included the patients aged 14-15 years old, group 2 the patients aged 16-17 years old and group 3 the patients aged 18-19 years old. The outcomes were compared between the identified age groups.
Results: The incidence of preterm delivery was higher in group 1 compared with group 2 and group 3 (p=0.001) and 52.3% of group 1 patients had delivered between 29-34 gestational weeks. Fetal birth weight and APGAR scores were lower and need for neonatal intensive care unit (NICU) was higher in group 1. In group 3 116 (8.4%) patients had postpartum hemorrhage which was higher than group 1 and group 2 with statistically significant difference (p=0.001).
Conclusion: Preterm delivery, low birth weight, low APGAR scores and need for NICU are higher in 15-17 years old adolescents delivered with C/S whereas postpartum hemorrhage and need for blood transfusion is higher in adolescents aged 18-19 years old.
Conflict Management Policy on Oil Palm Plantations in Riau Province: Islamic Review
Authors: Ismi Hayatul , Kusumawaty Yeni
Published: December 2022

Riau Province has a large area of oil palm plantations. Of the land area of 2.32 million hectares, 1.53 million hectares are oil palm plantations owned by the community. In 2019, there were 51 cases of natural resource conflicts in Riau Province, of which the plantation sector was the most with 40 cases (78.40 percent). This study applied a qualitative descriptive method to understand the phenomenon of plantation land conflict that aimed to: (1) identify the factors that cause conflicts in oil palm plantations in Riau Province; (2) identify current policies related to the handling of plantation conflicts and (3) recommend policy suggestions that better protect the interests of the community from an Islamic perspective. This study concluded as follow: (1) the causes of land conflicts identified are non-legal factor which is related to the management of land use and access, and legal factor which is related to judicial and regulation overlap; (2) Regarding the current policies related to plantation land conflicts, the development of oil palm plantations is basically in line with the mandate of the 1945 Constitution that natural resources are controlled by the state and used for the prosperity of the people.; (3) to protect the community interests in plantation land, this study recommends policy based on Islamic guidelines in land ownership. Islamic law classifies ownership into individual property rights (al-milkiyah al-khassah), collective property rights (al-milkiyyah al-'ammah) and state property rights (al-milkiyah al-daulah). This classification protects the community's property rights individually and collectively because investors cannot dictate the state to take over community ownership. Islam also has rules for activating inactive land and distributing it to people who can manage it, which will be the solution to unauthorized land use that is prone to conflict.
Halal Lifestyle in the Covid-19 Pandemic
Authors: Menne Firman , Santing Waspada , Makkawaru Zulkifli , Mabruri Tohir
Published: December 2022

The Covid-19 pandemic has had a negative impact on efforts to build a Halal lifestyle with the nation's economy slowing down, negative cash flow for a number of companies, increasing unemployment and poverty. This study aims to see and analyze the concept of a halal lifestyle in the life of the Muslim community in Indonesia, including during the Covid-19 pandemic. The research method used is a qualitative descriptive approach to explain some of the phenomena of the halal lifestyle in Indonesia which has been growing to date, complemented by a literature review based on several previous research results. The results show that, even though the Covid-19 pandemic is endemic, the halal lifestyle has first manifested itself in the halal ecosystem and has colored almost all aspects of the life of the Muslim community, this has happened with the presence of the Halal Product Guarantee Law and the Job Creation Law. These two laws and technical regulations derived from them, strengthen the guarantee of halal products and services, as well as halal and thayyibah businesses. Although it cannot be denied that there are obstacles in implementing a halal lifestyle in society
The Role of Sharia Supervisory Board in Implementing Public Trust on Sharia Banks
Authors: Susilawati Illa , Madani Lutfi , Sutrisno Sutrisno , Nasim Arim , Ningsih Caria
Published: December 2022

This study aims to see how implementing the Sharia Supervisory Board and its impact on providing public trust in Islamic banks. This study uses a quantitative approach with the method of Systematic Literature Review from various journals. With the Systematic Literature Review method, the research identifies all empirical evidence, where the identification aims to answer questions such as "What is the role of the sharia supervisory board on public trust?", "Implementation of the sharia supervisory board on sharia banking?". The analysis results found that the Sharia Representative Council (DPS) has a high level of helping to attract public interest. This is because the higher the spread of DPS, the public's knowledge about banking sharia will be increasingly known. This finding shows that Sharia Supervisory Board plays an essential role in providing public confidence to be interested in being part of a sharia bank because, so far, there are known factors that attract the public in the form of external factors such as marketing factors, psychological factors, cultural factors, social factors, and social factors. Personality so that this can be used as a view for further research that the Sharia Representative Council also still plays an essential role in contributing to society.
Final Fattening Live Weight Prediction in Anatolian Merinos Lambs from Some Body Characteristics at the Initial of Fattening by Using Some Data Mining Algorithms
Authors: COŞKUN Gizem , ŞAHİN Özcan , ALTAY Yasin , AYTEKİN İbrahim
Published: December 2022

This study's objective was to compare the performances of Random Forest (RF), eXtreme Gradient Boosting (XGBoost), and Bayesian Regularization Neural Network (BRNN) algorithms, which are some data mining algorithms used in final fattening live weight prediction. As the independent variable in the design of the algorithms, some body characteristics taken before fattening of 54 heads of Anatolian Merino lambs, with single birth and male, were withers height (WH), rump height (RH), body length (BL), chest girth (CG), leg girth (LG), and chest depth (CD) was used. The mean±standart errors for the body characteristics of Anatolian Merino lambs were determined to be 63.481±0.538, 63.315±0.501, 78.930±1.140, 60.037±0.549, 47.704±0.543, and 29.926±0.377, respectively. The mean initial live weight (ILW) and the mean final live weight (FLW) were found as 35.89±0.84 and 49.49±0.88 kg, respectively. There was difference of 13.60 kg between ILW and FLW means. The ILW and FLW were shown to positively correlate with body characteristics, and this correlation was statistically significant (P
The Essence of the Game in the National Holidays of Uzbekistan is the Embodiment of Pedagogical and Aesthetic Components
Authors: Atamukhamedov Akbar Kh.
Published: December 2022

This article reveals the essence of the game from several angles, namely from the pedagogical and aesthetic components that form one whole concept. Since ancient times, games have been used for various purposes: educational, training, entertaining, managerial, educational. The game model, simple and clear, always becomes entertaining and interesting. With the help of the game, the basics of upbringing and education are comprehended, traditions accumulated over the centuries are transmitted. Games act as stimulants, developing creative thinking, initiative, the ability to act together, subordinate their interests to collective ones, and perform tasks to achieve common goals. In Uzbekistan, great importance is attached to the competent implementation of game elements during mass celebrations. This is the embodiment of a competent policy of the state, in the transfer of knowledge to the younger generation, through game elements. Spectacular mass performances are particularly charming due to the combination of folklore elements with modern musical means, which allow creating a truly deep, national flavor and filling them with relevant modern sound. The musical and artistic traditions of creating a patriotic song are rooted in folk art. In the history of mankind, they will remain one of the enduring, eternal components of being. Folk holidays cannot be created artificially: they have been formed over thousands of years, incorporating rich traditions, cultural values, and humanistic principles.
Hubungan tingkat pengetahuan IPCLN (Infection Control Link Nurse) dengan pelaksanaan Bundle Cateter dalam pencegahan infeksi saluran kemih di RSUD Sleman
Authors: Hidayat Nur , Anida Anida
Published: December 2022

Latar Belakang : Infeksi terkait pelayanan kesehatan atau “HAIs”(Healthcare-Associated Infections) adalah infeksi yang terjadi pada pasien selama perawatan di rumah sakit dan fasilitas pelayanan kesehatan lainnya dimana ketika masuk tidak ada infeksi dan tidak dalam masa inkubasi, termasuk infeksi dalam rumah sakit tapi muncul setelah pasien pulang . Infeksi Saluran Kemih (ISK) adalah salah satu jenis HAIs yang terjadi karena pemasangan kateter urin (CDC,2015). Infeksi saluran kemih yang terjadi di rumah sakit, sekitar 75 - 80 % disebabkan karena pemasangan kateter urin (Nicole, 2014). Lima belas persen (15%) sampai 20% pasien yang dirawat di rumah sakit mendapatkan tindakan pemasangan kateter selama perawatan di rumah sakit (CDC, 2015). Tujuan : Tujuan dari penelitian ini adalah untuk mengetahui hubungan tingkat pengetahuan IPCLN dengan pelaksanaan bundle catheter dalam pencegahan Infeksi Saluran Kemih di RSUD Sleman Metode : Penelitian ini dilakukan di RSUD Sleman dengan metode penelitian observasional menggunakan rancangan cross - sectional. Pengambilan sampel dilakukan dengan metodepurposive sampling. Tahap analisis yang digunakan adalah analisis univariat dan bivariate. Analisis univariat bertujuan untuk menjelaskan atau mendeskripsikan karakteristik responden, tingkat pengetahuan  Perawat, dan pelaksanaan bundle catether. Analisis bivariat bertujuan untuk menjelaskan hubungan antar dua variabel penelitian. Penelitian ini menggunakan uji Spearman Rank  untuk mengetahui hubungan antara tingkat pengetahuan perawat IPCLN dan  pelaksanaan bundle catether. Hasil : Hasil penelitian menunjukkan bahwa analisa bivariate dengan Spearman Rank bahwa  Tingkat penetahuan perawat IPCLN dan pelaksanaan bundle catether  didapatkan nilai p = 0.04. Kesimpulan : ada hubungan tingkat pengetahuan IPCLN dengan pelaksanaan bundle catheter dalam pencegahan infeksi saluran kemih di RSUD Sleman
Cybersecurity Policies and International Relations: The Case of the US and Iran
Authors: Aminloo Ryan , Vitone Tyler
Published: December 2022

One area of increased attention for defense departments around the world is the area of cybersecurity. This paper takes two very different players in cybersecurity--the US and Iran--to outline their general approaches, find areas of potential conflict, and outline confrontations that may be possible in the future. In this sense, this paper makes a wider contribution to the many ways in which states are pursuing cyber goals today and also contributes to the discussion of how even non-allied states might work together in this sphere.