bluuebunny/crossref_metadata_2025 huggingface dataset:
Toma de decisiones compartidas en salud mental: una propuesta novedosa
Authors: Buedo Paola , Luna Florencia
Published: October 2021

El sistema de salud tiende a subestimar la capacidad de las personas con padecimientos mentales para tomar decisiones, caracterizándolas como vulnerables y adoptando una actitud estigmatizadora frente a esta vulnerabilidad. Por lo tanto, su autonomía, en el sentido clásico del término, se reduce o anula. Otra forma de responder a la vulnerabilidad es promoviendo la autonomía, concibiéndola como contextual y de una manera relacional. Esto podría ser beneficioso para las personas con sufrimiento mental, porque permite analizar qué condiciones podrían mejorar o dañar el ejercicio de la autonomía y considerar la ayuda de los demás en la toma de decisiones. El proceso de toma de decisiones compartidas es una forma de colaboración entre profesionales, pacientes y/o miembros de la familia, en el que la evidencia disponible se comparte con el paciente y se contextualiza cuando se enfrenta a la tarea de tomar decisiones en el entorno médico.
Bioética, neurociencias y salud mental
Authors: Hernández-Valdez Martha Patricia
Published: October 2021

Reseña del libro: Márquez Mendoza, Octavio. Obras completas I. Bioética, neurociencias y salud mental. Editorial Torres Asociados, 2017, pp. 489.
A STUDY ON IDENTIFICATION AND ISOLATION OF DERMATOPHYTE INFECTION IN PATIENTS ATTENDING IN THE DERMATOLOGY OPD IN A TERTIARY CARE HOSPITAL
Authors: Kumar Purushottam , Roy Sudeb , Jana Debarshi
Published: October 2021

INTRODUCTION Fungal infections are very common in human beings, especially cutaneous fungal infections in which supercial keratinized
tissue of the stratum corneum of the skin, hair and nail are involved by a group of specialized fungi known as Dermatophytes and the condition is
known as Dermatophytosis. These dermatophytes use keratin as a nitrogen source. Dermatophytes produce only supercial infections of the skin
and its appendages without involving the deeper tissue or the internal organs.AIM OFPROPOSED RESEARCH General objectives This study
is to determine the proportion and distribution pattern of the etiological agents of dermatophytosis among the clinically suspected cases, attending
the dermatology OPD of Calcutta National Medical College and Hospital with specic dermatological complaints, taking into account, the
different parameters like age, sex, occupation of the patient, associated relevant co-morbidity if any, socio- economic condition and nature of the
dermatological condition. MATERIALAND METHODS Study design: Observational, Cross sectional, Hospital based study. Study setting and
time lines: Submission of thesis synopsis - within 30th November 2017. Data collection: After approval by the ethical committee, data was
collected for the next 1year. Data analysis and submission is done in following 6 months. Place of study: Department of Microbiology and
department of Dermatology at Calcutta National Medical College and Hospital Kolkata (WB) Period of study: One year from March 2018 to
March 2019 Study population: Clinically suspected cases with specic dermatological complaints attending the dermatology OPD of Calcutta
National Medical College and Hospital.Sample Size/Design Sample Size: Altogether 200 samples (approximately) including nail, skin scrapings
and hair samples.RESULTS AND ANALYSIS Our study showed that out of 200 clinically suspected cases, 112 were male and 88 were female,
153 were KOH positive and 47 were KOH negative, and 125 found to be suggestive for dermatophyte of different species, on cultivation.
Remaining 75 were either contaminant, fungi of other than dermatophytes like aspergillus yeast cells malasagia furfur etc or did not show any
positive reports on KOH mount preparation and growth on culture media. CONCLUSIONS The most common clinical type was tinea corporis
followed by tinea cruris and tinea pedis and overall predominance in the study was female with 16-55 being most affected age group. T. verrucosum
forms the commonest etiological agent of dermatophytosis, which were mostly isolated from Tinea corporis, Tinea cruris Tinea unguinum,and
Tinea manuum. Possible cause of dermatophytic infection in lower socioeconomic groups were due to more exposed to the infections and because
of their lack of awareness as well as poorer knowledge on hygiene on fungal infection and its preventive measures.
PROSPECTIVE ANALYSIS OF THE CODE BLUE SYSTEM IN A TERTIARY CARE HOSPITAL
Authors: Linthoingambi Laishram , Agarwal Rahul
Published: October 2021

BACKGROUND: This study was an analysis done to ascertain the efciency of the code blue system in a tertiary care hospital. All patients on
whom a 'Code Blue' has been called in Command Hospital (Eastern Command) Kolkata from January 2017 to July 2018 were analysed using the
standardised Code Blue audit form, maintained by the Department of Anaesthesiology & Critical Care and lled in soon after the Code Blue
protocol is run. The primary objective was to analyse the factors associated with survival as well as survival rate along with the issues faced by the
Code Blue team.METHODS: Data was collected as per the Code Blue audit form and analysed RESULTS: SPSS software version 22 was used.
Pearson Chi Square Test and Cox Regression analysis were used to analyse the data. Atotal of 446 code blue calls were initiated during the period.
After excluding 40 False calls and 08 Administrative calls, 398 calls were studied and analysed. Overall survival discharge from ICU was 23.37%.
But when patients who had a cardiac arrest at the time of code blue were considered, the survival rate dropped to 5.9%. Factors such as Age,
Presenting Rhythm and Duration of CPR were found to have signicant effect on overall survival. Four types of problems were faced during the
study – technical, equipment related, crash cart related and staff on duty.CONCLUSION: The study concludes that the code blue system and team
is useful in managing patients with a cardiac arrest as well as other medical emergencies. However, there are many lacunae that need to be
addressed and more studies are required.
FEMALE WORK PARTICIPATION IN AGRICULTRUE IN ANDHRA PRADESH: AN ANALYTICAL STUDY
Authors: Swaroopa K. , Savaraiah G.
Published: October 2021

Agriculture is one of the important and crucial occupations in Andhra
Pradesh. More than 66 per cent of population is involved in agriculture
and allied activities in the state. Women's participation in agricultural
activities has been continuously growing compared to that of men
which not only implies increased dependence of women on
agricultural sector but also reiterates their crucial role in the
sustainable growth and future of the farm sector. In other words
changes in relation to economic and social changes have crept in the
villages since the launch of the liberalization, privatization and
globalization (LPG). Youth in the villages in Andhra Pradesh have
been migrated to the towns and cities to eke out livelihood and joined
the construction works and other menial works. As a result of it, the
role of women in rural India has become multiple and their share in the
agriculture workforce has increased since 1991.
INFLUENCE OF EMOTIONAL INTELLIGENCE ON MARITAL SATISFACTION AMONG MARRIED COUPLES
Authors: Heidari Mitra , Kumar G. Venkatesh
Published: October 2021

Marital satisfaction is not something that comes naturally to a person. The greater the individual's awareness and life skills, the more content he or
she is with marriage. One of the factors that can inuence marital satisfaction is trait emotional intelligence. Previous research has found that
individuals with higher emotional intelligence are more aware of their own and others' emotions, are better at managing their marital relationships,
are better at resolving disagreements, and are better at dealing with marital dilemmas. The current study aimed to investigate the inuence of trait
emotional intelligence on marital satisfaction among married couples in India. There were 304 participants (152 females and 152 males) from
various cities across India. To assess participants' emotional intelligence and marital satisfaction, the TEIQue-SF and ENRICH-SF were used. The
statistical analysis was determined using the Chi-square, Kruskal-Wallis, and Mann-Whitney U tests. Results indicated participants with better
emotional intelligence had higher marital satisfaction. Except for the sociability level of emotional intelligence, the gender difference was not
signicant in any of the scores. Hence, concluded that higher levels of emotional intelligence lead to greater marital satisfaction. The current
ndings are useful for psychotherapists in general, and couple therapists in particular. Further research will help to clarify this discovery
ISOLATION AND IDENTIFICATION OF VEGETABLE MARKET AEROMYCOFLORA FROM THE ENVIRONMENT OF WARDHA CITY
Authors: Kalode S.N. , Dalal L. P.
Published: October 2021

Airborne fungi behaves as an indicators of the levels of atmospheric biopollutants. The study was carried out during the period of March 2017-
February 2018. The fungi were isolated from the area of vegetable market of Wardha city. The exposed petriplate method were used for the isolation
of fungi from morning and evening hours and humidity and temperatures were recorded regularly. Total 835 and 800 fungal colonies were recorded
during one-year study period and they were belonging to 95 fungal species. The fungus Cladosporium cladosporoides, C. herbarum, A.niger ,A.
flavus, A. nidulans, A.fumigatus was the prevalent isolated types from vegetable market area of Wardha city from morning and evening hours.
Maximum percentage contribution of fungal colonies was observed at morning and evening hours during rainy (41.43%), (40.05%) and winter
season (39.64%), (41.16%) followed by summer season (18.92%), (18.03) respectively
SPECTRUM OF UVEITIS IN PATIENTS ATTENDING TERTIARY EYE CARE HOSPITAL IN SOUTHERN INDIA
Authors: Kajla Singh Sonali , Bhatt Darshan , Chandrasekaran B
Published: October 2021

Aim:To study the pattern of uveitis in different age groups of patients visiting Ophthalmology OPD in Chennai
Materials and Methods: It is a prospective study, done over a duration of one and half year from September 2018 to February 2020. Atotal of 115
patients were enrolled in the study and divided into 3 groups, based on their age. In each group, demographic analysis, type, etiology and
complications of uveitis were studied.
Results: Uveitis was found to be most common in the middle age group. Anterior uveitis was the most common site of presentation in all age
groups. Non-infectious causes accounted for more than 50% of the total cases, with idiopathic being the most common cause in pediatric and
elderly.
Conclusion: Proper evaluation and complete workup of uveitis cases, along with investigations is absolutely necessary in all age groups.
Idiopathic causes are most common in pediatric and elderly population, with traumatic being most common in the middle age.
THE EFFECT OF SUCKING LOLLIPOPS ON RETURN OF BOWEL FUNCTION AFTER ELECTIVE DISTAL BOWEL SURGERY IN CHILDREN.
Authors: Jha Saket , Kekre Geeta , Gupta Abhaya , Kothari Paras , Kulkarni Apoorva , Jayaswal Shalika , Deshmukh Shahaji
Published: October 2021

BACKGROUND-The phenomenon of cessation of coordinated bowel motility, commonly called as paralytic ileus is well known after certain
surgeries. While procedures that involve direct manipulation of gut are almost always associated with post operative paralytic ileus, even
orthopaedic surgeries may also cause post operative paralytic ileus. It contributes signicantly in prolonging hospital stay and is associated with
abdominal distension, respiratory compromise, nausea and vomiting. Number of pharmacological and non pharmacological agents have been tried
to reduce the post operative paralytic ileus. We studied the effect of sucking lollipop on the return of bowel function in children undergoing distal
bowel surgery.
AIM-To study effect of lollipop sucking on return of bowel function in children undergoing distal bowel surgery in terms of time to return of bowel,
passage of stool per anal.
MATERIALAND METHODS-Patients undergoing distal bowel stoma closure were assigned to two groups. The experimental group patients
were given lollipops 6 hrs postoperatively, time to return of bowel sound and rst passage of stool was noted and analysed.
RESULTS-Mean time to return of bowel sounds in the experimental group was 50.25 + 6.016 hrs, while in control group was 65.87 + 8.83 hrs,
difference was statistically signicant (P<0.0001).Mean time to passage of stools in experimental group was 72.312 +12.644 hrs , while in control
group was 88.25 + 8.38 hrs. difference was statistically signicant(P=0.0002) .
CONCLUSION- Sucking lollipop is a safe and effective in reducing duration of post operative paralytic ileus in paediatric patients undergoing
elective bowel surgery.
TO DETERMINE THE PREVALENCE AND OCCURANCE OF VISUAL MORBIDITY IN PATIENTS OF PTERYGIUM ATTENDING EYE OPD IN A TERTIARY CARE CENTRE OF EASTERN INDIA
Authors: Parasar Vandana , Kumar Vidyabhushan , Singh Ankita , Mohan Nilesh
Published: October 2021

To determine the prevalence and occurrence of visual morbidity in patients of pterygium attending eye opd in a tertiary care centre of Bihar.
Methods: In this observational study a total of 193 patients, diagnosed with pterygium, underwent complete ocular examination by an
ophthalmologist. Epidemiological trends including age, sex, occupation, effect of living condition and socioeconomic status were analyzed.
Results: There is a male preponderance of 58.03%. The age incidence of the group showed that the incidence of pterygium was 10.36% in the age
group of less than 30 years. It rises to a maximum of 29.53% in the age of 41-50 years and then gradually declines.. The incidence was found to be
maximum among farmers(39.86%) followed by miners(31%). Conclusion: People who work outdoors are at a greater risk because they are
subjected to involuntary UVB exposure. The highest exposure occurs during the two hours on either side of noon. Workers must be aware and
should take appropriate measures like wearing protective glasses, caps, etc
GREENISH PLASMA FROM A MALE BLOOD DONOR : AN UNUSUAL EXPERIENCE
Authors: Shaikh Sanehaanjum , Kothari Farzana
Published: October 2021

Background: Normally plasma is straw yellow colored, but nding a green colored plasma from a male donor was something unusual. 32 yr old
male donor, with no history of any medical illness was reported. Donor met all criterias of blood donation.
Method: 450 ml of collected donor's bag was centrifuged in Cryofuge at 4000 rpm for 10 mins. Plasma was extracted using automatic plasma
extractor. Donor was recalled and reassessed. There was no history of Sulphonamides or any drug intake. Blood sample of donor after taking
consent were sent for investigations like S.ceruloplasmin , S. bilirubin Direct and Indirect , it was also sent for culture.
Result: No abnormality was detected in S. ceruloplasmin , S. bilirubin Direct and Indirect. Culture turned out to be normal also. But considering
our blood bank's policy of not issuing any discoloured blood product, plasma was discarded.
Conclusion: From this we concluded that Green coloured plasma is an interesting entity to study and it is safe to transfuse unless possibility of
transfusing Paeruginosa are ruled out.
A NEW TECHNIQUE FOR AUGMENTATION OF MASSIVE ROTATOR CUFF RECONSTRUCTION USING THE BICEPS TENDON ALONG WITH TENODESIS
Authors: Mutlu T. , Eke İbrahim , Akçal M. A.
Published: October 2021

The purpose of this study is to describe a new, minimally invasive massive rotator cuff tear reconstruction technique that uses the biceps tendon and
to compare the results of this novel technique with primer repair. Eighteen patients were operated on a minimally invasive biological reconstruction
of the massive rotator cuff tear using the biceps tendon, together with tenodesis. A further 23 patients underwent operations using anchors during
the same period. The difference in postoperative UCLA scores between the two groups was not statistically signicant, but the postoperative
Constant score was signicantly higher for the new technique, while the postoperative VAS score was signicantly lower for the new technique.
Massive rotator cuff tear reconstruction using the biceps tendon as a graft, together with tenodesis, was feasible using the technique described here
and was associated with good middle term clinical and functional outcomes, with a low re-rupture rate.
FIGHTING COVID IN UN MISSION – DESPERATE SITUATION, UNIQUE CHALLENGES: EXPERIENCE OF INDIAN HOSPITAL, MONUSCO, DR CONGO
Authors: Kumar Sushil , Dash PK , Madan Gurdarshdeep Singh
Published: October 2021

The ongoing COVID-19 pandemic has put an unprecedented stress on the healthcare facilities and logistics chains all over the world. The UN
medical establishments are similar yet unique due to location and peculiar logistic challenges. Amidst the stir and principally to stand erect in the
face of the pandemic the capabilities of this Indian hospital were augmented both in terms of infrastructure, manpower and the capabilities too. We
illustrate the challenges faced and the mitigation strategies instituted by the hospital to surpass the insurmountable odds. This was made possible by
synergistic efforts of UN and Indian authorities and this article intends to share the hospital's challenges and experiences during this trying time.
CHRONIC OBSTRUCTIVE PULMONARY DISEASE: GRADING OF SEVERITY AS REFLECTED BY SHORT TERM HEART RATE VARIABILITY.
Authors: Sarkar Somsubhra , Bhattacharya Jayanta
Published: October 2021

Chronic obstructive pulmonary disease (COPD) is a broad spectrum respiratory illness where there are structural and functional changesin the
lungs. According to WHO, COPD is a leading global burden and by 2030 it will be the third leading cause of death worldwide. The structural
and functional changes in the lungs in COPD patients tend to inuence the cardiac autonomic functions and heart rate variability (HRV).
Previousstudiesshow that there is decrease in heart rate variability in COPD patients. In many previousstudies, it isfound that results ofshort
term HRV analysis of 5minutes is comparable to standard 24hours HRV analysis and is very patient friendly and reproducible procedure to
analyse the cardiac autonomic functions. So determination of parameters of cardiac autonomic functions with the help of short term HRV
analysis in COPD patients is helpful in determining the pathophysiology and subsequent management of such patients. A Descriptive and
observational study was conducted upon 100 previously diagnosed COPD patients at the Autonomic function research Laboratory,
Department of Physiology, R G Kar Medical College and Hospital, Kolkata, West Bengal. The study includes short term (5min) HRV analysis
in COPD patients between the age group 18years and 60years after fullling appropriate inclusion and exclusion criteria and the results were
analyzed using proper statistical software. After analysis of different data it was found that there is decrease in heart rate variability (in both
Time domain and Frequency domain analysis) in case of COPD and also the decrease is more in case of increasing severity grading of COPD.
Sympathetic activity increases and vagal or parasympathetic activity upon heart rate decreases with the increase in COPD grading. Further
studies with more number of subjects will be helpful in assessing pathophysiology and management of COPD patients with the help of HRV
analysis.
“MATERNAL OUTCOME IN PREGNANCY WITH THROMBOCYTOPENIA”
Authors: Jain Uma , Gupta Preeti , Jain Deepali
Published: October 2021

INTRODUCTIONThrombocytopenia is diagnosed when the platelet count is less than 1,50,000 per microliter of blood It is a common hematological disorder
Thrombocytopenia is divided into 3 types according to severity: mild (100,000 to 150,000), moderate (50,000to100,000) and severe (less than
50,000) thrombocytopenia.
MATERIALAND METHODObjective- To study the incidence of thrombocytopenia in normal pregnancy.
to study the maternal and fetal outcomes in pregnant patients with thrombocytopenia
This is a retrospective study in which a total of 1202 patients delivered in a maternity hospital of Gwalior from 1 January 2018 to 30 June 2019 were
studied. 72 patients with a platelet count below 1.5 lakhs were included in the study.
RESULTSA total of 1202 patients were delivered during the study period out of the 72 patient had thrombocytopenia thus the prevalence was found to be
5.99%.
rd In our study majority of the patients were multigravida 63.88% in the 3 trimester 54.16% majority by between age of 25-30 years 58.33%.
In our study 61.11% of women had mild, 27.77 had moderate and 11.11% had severe thrombocytopenia.
In this study, gestational thrombocytopenia was the most common etiological factor with 29.16% of cases. In our study, 70.83% of patients were
delivered vaginally and 29.16% of patients were delivered by LSCS. No complication was reported in 48.61% of patients. The bleeding during CS
was found in 4.16% cases, maternal hemorrhage was found in 5.55%, pulmonary edema in 5.55%, ARF in 5.55%, DIC 4.16%, and Puerperal sepsis
in 2.77%.
Blood transfusion was needed in 15.27% of patients, platelet transfusion in 4.16% of patients. Obstetric hysterectomy was done in 1 patient. During
the study, 2 maternal death were reported due to the HELLPsyndrome and associated complications.
CONCLUSIONGestational thrombocytopenia is the most common cause of thrombocytopenia during pregnancy. We conclude that early diagnosis of
thrombocytopenia in pregnancy is essential for better maternal and fetal outcomes. It is important to determine the exact etiological cause of
thrombocytopenia so that timely management can be provided to the pregnant patients to decrease the complication rate thus, timely diagnosis,
frequent monitoring, and treatment is must achieve a better outcome.
EVALUATION OF REASONS OF PRE-DONATION BLOOD DONOR DEFERRAL IN A TERTIARY CARE HOSPITALAT DHAKA
Authors: Arefin Biswas Daanish , Afroz Tamanna , Wasim Md. , Naznin Bepasha , Bhuiyan Hasiba Akter
Published: October 2021

Background: Our aim is to evaluate reasons of donor deferral in tertiary care hospital to nd new disease distribution, any areas of negligence in
part of donor or history taking physicians and human errors which could be easily correctable and benecial for donors to remain healthy and
provide safe blood.
Methodology: This is a retrospective analytic study carried out during the period of January to December 2015 at Department of Transfusion
Medicine, Sir Salimullah Medical College and Mitford Hospital. After preliminary registration, each donor was either selected or deferred by
medical ofcers. The donor selection and deferral criteria were according to the standard operating procedure. Detailed information of reason of
deferral was recorded.
Results:Among 10056 registered donors, 9453 (94.004%) were eligible for donation and 603 (5.996%) blood donors were deferred due to various
reasons. Male donors were 7526 (74.84%) more than female 2530 (25.16%). Females (60.03%) were found to have higher deferral rate than male
population (39.97%). Low hemoglobin was found to be leading cause constituting 17.58% followed by hypertension 15.26%, medications 12.11%
and underweight 11.28%.
Conclusion: Deferral may discourage the donor for subsequent donations, especially young rst time donors. Deferred donors should be properly
counseled and educated for probable future donations. By knowing the causes of deferral we can take further steps to prevent those causes and can
preserve precious blood and blood components.
COMPARATIVE STUDY OF ENDOMETRIAL CYTOLOGY AND ENDOMETRIAL BIOPSY IN PERI MENOPAUSAL WOMEN
Authors: Rani Vasudha , Kumari Punam , Jha Asha
Published: October 2021

Abnormal Uterine Bleeding (AUB) is one of the most common health problems encountered by women. It affects about 20% women of
reproductive age, and accounts for almost two thirds of all hysterectomies. Gynaecologists are often unable to identify the cause of abnormal
bleeding even after a thorough history and physical examination. Diagnostic evaluations and treatment modalities have been evolving over time.
The onus in AUB management is to exclude complex endometrial hyperplasia and endometrial cancer. From D and C + EUA under general
anaesthesia the shift to more accurate procedures like hysteroscopy and vision directed biopsy was welcome. But the current minimally invasive
procedures like sonohysterography, ofce vacuum aspiration (Pipette) and the use of ofce hysteroscopy have revolutionized the management of
AUB. We have tried to review the current literature and guidelines for evaluation of endometrium with the twin goals of nding an accurate reason
causing the AUB and to rule out endometrial cancer or a potential for the cancer in future. We have also attempted to compare the current procedures
and their present perspective vis-à-vis each other. Histological assessment is the nal word, but obtaining a sample for histology makes it more
accurate, and we have reviewed these techniques to enhance accuracy in diagnosis. Hysteroscopy and directed biopsy is the 'gold standard'
approach for most accurate evaluation of endometrium to rule out focal endometrial Carcinoma. Blind endometrial biopsies should no longer be
performed as the sole diagnostic strategy in perimenopausal as well as in postmenopausal women with AUB. Asingle-stop approach, especially in
high risk women (Obesity, diabetes, family history of endometrial, ovarian or breast cancer) as well as in women with endometrial hyperplasia of
combining the ofce hysteroscopy, directed biopsy in presence of a focal lesion, and vacuum sampling of endometrium in normal looking
endometrium, all without anesthesia is the most minimally invasive and yet accurate approach in current practice.
Дифференциальные уравнения в банаховых пространствах с необратимым оператором в главной части и неклассическими начальными условиями
Authors: Сидоров Николай Александрович , Sidorov Nikolai Aleksandrovich , Дрегля Алена Ивановна , Dreglea Aliona Ivanovna
Published: October 2021

Исследованы дифференциальные уравнения с неклассическими начальными условиями в случае необратимости оператора в главной части уравнения. Приведены необходимые и достаточные условия существования неограниченных решений с полюсом $p$-го порядка в точках, в которых оператор, стоящий в главной части дифференциального уравнения, не имеет обратного. На основе альтернативного метода Ляпунова - Шмидта и ряда Лорана предложен двухступенчатый способ построения коэффициентов разложения решения в окрестности полюса. Решены иллюстративные примеры. Приведен аппарат скелетных цепочек линейных операторов в банаховых пространствах и рассмотрены его приложения к постановке начальных условий у дифференциальных уравнений. Результаты развивают теорию дифференциальных уравнений с вырождениями.
DEPORTATION OF “KULAK” FAMILIES
Authors: Khudoyorov Noyibjon Maripdjanovich
Published: October 2021

The article details the horrific deportations carried out by the former Soviet Union among the population in order to develop agriculture, the deportation of innocent peasants to the undeveloped remote areas with limited rights to labor, and their details.
KEY WORDS: Exile, resettlement policy, nationalism, tolerance, self-government, Soviet power, peasant class, counter-revolutionary movement, collectivization, commandant’s office, violence, entrepreneurship.
Kinematic Applications of Hyper-Dual Numbers
Authors: Aslan Selahattin
Published: October 2021

Hyper-dual numbers are a new number system that is an extension of dual numbers. A hyper-dual number can be written uniquely as an ordered pair of dual numbers. In this paper, some basic algebraic properties of hyper-dual numbers are given using their ordered pair representaions of dual numbers. Moreover, the geometric interpretation of a unit hyper-dual vector is given in module as a dual line. And a geometric interpretation of a subset of unit hyper-dual sphere (the set of all unit hyper-dual vectors) is given as two intersecting perpendicular lines in 3-dimensional real vector space.
Nonholonomic Frame for a Deformed $(\alpha,\beta )$-metric
Authors: Pıscoran Laurian-loan
Published: October 2021

Recently, in paper [14], we have introduced the following deformed $(\alpha, \beta)$-metric: $$ F_{\epsilon}(\alpha,\beta)=\frac{\beta^{2}+\alpha^{2}(a+1)}{\alpha}+\epsilon\beta $$ where $\alpha=\sqrt{a_{ij}y^{i}y^{j}}$ is a Riemannian metric; $\beta=b_{i}y^{i}$ is a 1-form, $\left|\epsilon\right|<2\sqrt{a+1}$ is a real parameter and $a\in \left(\frac{1}{4},+\infty\right)$ is a real positive scalar. The aim of this paper is to find the nonholonomic frame for this important kind of $(\alpha, \beta)$-metric and also to investigate the Frobenius norm for the Hessian generated by this kind of metric.
Gender Issues and Space in Esan Festivals and Ceremonies
Authors: Jamgbadi Esther
Published: October 2021

The paper examines the areas of discrimination against women in Esan cultural activities. It focuses on the spaces in which women are marginalized especially in festivals and cultural ceremonies. To actively demonstrate this sidelined participation of women, the New Yam festival and the Efae ceremony are highlighted. In evaluating the marginal spaces of women, the study adopts the tenets of patriarchy and the feminist theory to see the specific attitudes and instruments of marginalization. It identifies patriarchy, as the major cause of discrimination and also shows that the situation persists till date because women offer no resistance to their plight. The paper intends to incite women to open their eyes to their unpalatable position.
Dialect Levelling: A Case Study of Ìkàr??-Àkókó Dialect
Authors: Bamigbola Esther Olayinka , Umar Fadekemi Rukayat
Published: October 2021

This study investigates the factors that are responsible for the levelling of Ìkàr??-Àkókó dialect. Specifically, the paper examines the impacts of Nigerian indigenous languages, especially Yorùbá, on the dialect. The study aims at identifying the patterns of changes in the dialect and their impacts on the ethnic identities of the people. The work is based on the variationist approach pioneered by William Labov in the late 1960s and early 1970s. The tools used for data collection include questionnaire, oral interview and observation. The findings of the study reveal that the dialect manifests different stages of changes, vital domains like home, school and work place, which are supposed to be the strongholds of this dialect are being encroached upon by languages other than the mother tongue in the study area. It was found that the changes in the dialect are not due to the influence of English language only, but to indigenous Nigerian languages, mostly Yorùbá. It was concluded that the gradual levelling of Ìkàr??-Àkókó dialect is caused in part by restricted domains of use, increase in population; lack of commitment to indigenous language use by the native speakers; and suppressive language policy in the nation. The study recommends sensitization campaigns as a way of maintaining and sustaining the status of indigenous languages.
Alcoholic brain injury via 8-layer customized deep convolution neural network
Authors: Zhu Ziquan , Brown Mackenzie
Published: October 2021

Alcohol can act quickly in the human body and alter mood and behavior. If alcohol is consumed in excess, it will accumulate in the organs of the body, especially in the liver and brain. To a certain extent, the symptoms of alcoholism will appear. So far, the main method of diagnosis of alcoholic brain injury is through MRI images by radiologists. However, this is a very subjective diagnosis. Radiologists may be affected by external factors, such as physical discomfort, lack of rest, inattention, etc., resulting in diagnostic errors. In this paper, we proposed a novel 8-layer customized deep convolution neural network for alcoholic brain injury detection, which contains five convolution layers, five pooling layers, and three fully connected layers. There are three improvements in this paper, (i) Based on deep learning, we proposed a method for automatic diagnosis of alcoholic brain injury; (ii) We introduced Dropout to the proposed structure to improve robustness; (iii) Compared with other state-of-the-art approaches, the proposed structure is more efficient. The experimental results showed that the sensitivity, specificity, precision, accuracy, F1, MCC and FMI were 96.14±1.99, 96.20±1.47, 95.98±1.54, 96.17±1.55, 96.05±1.62, 93.34±3.11, 96.06±1.62 respectively. According to comparison results, our method performed the best. The proposed model is effective in detecting alcoholic brain injury based on MRI images.
Ceftaroline
Authors: Soriano Alex ,   Servicio de Enfermedades Infecciosas, Hospital Clínic de Barcelona, Spain.
Published: October 2021

Community-acquired pneumonia (CAP) is one of the leading causes of admission to emergency departments. Ceftaroline is a fifth-generation cephalosporin with a potent In vitro activity against Streptococcus pneumoniae, Haemophilus influenzae and Staphylococcus aureus, the three most important pathogens causing CAP. Three randomized and double-blind clinical trials compared the efficacy of ceftaroline versus ceftriaxone in patients with CAP and the results of each trial and a meta-analysis, concluded the superiority of ceftaroline in terms of clinical success. In particular, the major difference was observed among patients with CAP caused by S. aureus. Accordingly, ceftaroline has been included as a first-line option in the recent clinical guidelines for the management of CAP.
Ceftazidime-avibactam
Authors: Matesanz Mayra , Mensa José ,   Department of Internal Medicine. Hospital clínico San Carlos. Madrid
Published: October 2021

Ceftazidime is a 3rd generation cephalosporin active against Pseudomonas aeruginosa. Avibactam is an inhibitor of class A, C and some class D β-lactamases. The antibacterial spectrum of ceftazidime-avibactam covers 95% of P. aeruginosa isolates and >99% of enterobacteria, including strains carrying extended-spectrum β-lactamases (ESBLs). Selection of resistant mutants in Klebsiella pneumoniae and Enterobacter cloacae strains producing KPC-3 or KPC-2 after exposure to ceftazidime-avibactam has been described by the appearance of one or more amino acid changes in the Ω-loop of the β-lactamase. These strains usually regain susceptibility to meropenem. There is evidence of a shorter multidrug-resistant organisms colonization period in patients treated with this antimicrobial, which could be beneficial in the treatment of infections caused by bacteria carrying ESBLs or carbapenemases.
Infection and infectivity: Utility of rapid antigen tests for the diagnosis of COVID-19
Authors: Barreiro Pablo , San-Román Jesús , Carretero María del Mar , Candel Francisco Javier ,   Research Unit. Laboratory of Public Health, Hospital Isabel Zendal, Madrid, Spain
Published: October 2021

Detection of SARS-CoV-2 proteins is commercially available in the form of lateral-flow rapid antigen test for the point-of-care diagnosis of COVID-19. This platform has been validated for symptomatic and asymptomatic individuals, for diagnosis or screening, and as part of single or sequential diagnostic strategies. Although in general less sensitive than amplification techniques, antigen tests may be particularly valid during the first days of symptoms and to detect individuals with greater viral load, thereby with enhanced chances of viral transmission. The simplicity of antigen tests make them very suitable to discard infection in settings with low pretest probability, and to detect infection in case of higher chances of having COVID-19.
Role of molecular diagnostics in the clinical management of SARS-CoV-2 infection: advantages and drawbacks
Authors: Martín-Higuera Carmen , Muñoz-Gallego Irene , Dolores Folgueira María ,   Department of Clinical Microbiology. Hospital Universitario 12 de Octubre, Madrid, Spain
Published: October 2021

The diagnosis of SARS-CoV-2 is based on the use of nucleic acid amplification tests (NAAT), especially rRT-PCR. The latter also allows us to quickly identify variants of concern. However, its use in follow-up of patients and the correlation between Ct value and the viability of the virus is controversial.
COVID-19 and fungal infections: Etiopathogenesis and therapeutic implications
Authors: Chumbita Mariana , Puerta-Alcalde Pedro , Garcia-Pouton Nicole , García-Vidal Carolina ,   Department of Infectious Diseases, Hospital Clinic of Barcelona-IDIBAPS, University of Barcelona, Barcelona, Spain
Published: October 2021

Invasive fungal infection often complicates patients with severe viral infection, especially those admitted to critical care units. Severe SARS-CoV-2 infection has been no exception and a significant association with Aspergillus spp. has been documented, resulting in high patient mortality. In this summary we describe the clinical presentation, the underlying diseases most commonly linked with this association, radiological manifestations and therapeutic management of CAPA.
FAKTOR-FAKTOR YANG MEMBENTUK BISNIS KELUARGA BERTUMBUH SECARA BERKELANJUTAN
Authors: Performa Performa
Published: October 2021

Keberlanjutan bisnis keluarga atau yang juga disebut family business sustainability oleh Komisi Lingkungan dan Pembangunan dunia (1987 dalam Oudah et al. 2018) didefinisikan sebagai pemanfaatan keberlangsungan usaha yang telah ada saat ini, dengan tujuan untuk pemenuhan kebutuhan hidup dimasa mendatang tanpa mengorbankan kemampuan genarasi-generasi penerus selanjutnya. Keberlanjutan bisnis keluarga memiliki peran yang sangat penting bagi seorang entrepreneur yang sedang menjalankan family business. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor apa saja yang membentuk bisnis keluarga bertumbuh secara berkelanjutan. Responden dari penelitian ini adalah mahasiswa Universitas Ciputra yang tergabung dalam komunitas Family Business. Jumlah responden yang digunakan sejumlah 80 responden. Pendekatan penelitian ini dilakukan secara kuantitatif menggunakan metode second order confirmatory factor analysis (CFA). Metode pengumpulan data yang digunakan adalah kuesioner dengan berdasar pada kedelapan variabel yang diperkirakan merupakan faktor yang membentuk keberlanjutan bisnis keluarga. Hasil penelitian ini mengungkapkan bahwa terdapat tiga faktor yang membentuk bisnis keluarga bertumbuh berkelanjutan yaitu kepemimpinan, nilai bisnis keluarga, dan keharmonisan keluarga.
 
Kata kunci: Usaha Keluarga, Kewirausahaan, Generasi Penerus, Keberlanjutan Bisnis Keluarga.
Meditation Programs for Adults with Type 2 Diabetes Mellitus: Protocol for a Systematic Review and Meta-analysis
Authors:   The Artemisinin Research Center, Guangzhou University of Chinese Medicine, Guangzhou, China, Mei Manxue ,   The Second Clinical College, Guangzhou University of Chinese Medicine,Guangzhou, China, Jiang Min , Li Zunjiang , Zhu Wei , Song Jianping
Published: October 2021

Review question / Objective: Would meditation programs affect fasting blood glucose levels and HbA(1c) of patients with type 2 diabetes mellitus? Would meditation programs intervention be of benefit for remission of depression and anxiety level? Would meditation programs improve quality of life of individuals with type 2 diabetes？ Do meditation programs affect body mass index (BMI), serum lipid levels and level of blood pressure? Which type of meditation programs is better for type 2 diabetes patients? Are there any differences of efficacy among different meditation programs? To provide valid evidence for the effect of meditation programs for type 2 diabetes by synthesizing and comparing outcomes from clinical trials. Main outcome(s): The outcomes include fasting blood glucose levels and HbA(1c).
Ethnolinguistic Situation and Language Policy in Haiti
Authors:   Institute of Linguistics, Russian Academy of Sciences, Kozhemyakina V.A.
Published: October 2021

The article presents the dynamics of the language situation in the Republic of Haiti and its characteristics at the present stage, as well as an analysis of the language policy and language legislation in the country. The paper also analyses the functioning of languages in the spheres of communication regulated by the state and in interpersonal communication such as in the family, at home, etc., is also analysed. The main attention is paid to the use of languages in the educational system, which is one of the most important spheres of commu-nication both for the transfer of knowledge and culture from generation to generation and for the formation of the language competence of the younger generation of the country. The Republic of Haiti is an example of a language situation in a former colony, where after two hundred years of independence French, the language of the colonizers, still domi-nates in the educational system at the expense of Haitian Creole, which is spoken by 90% of the population.
On Determining the Optimal Lifting Law of the Walking Propulsion Device Foot of an Underwater Robot from the Bottom
Authors: Briskin E.S. , Kalinin Ya.V. , Smirnaya L.D.
Published: October 2021

The problem of lifting the foot of the walking propulsion device of an underwater mobile robot is considered, taking into account the additional “compression” force acting on it. A mathematical model has been developed for the detachment of a propulsion foot from the ground, based on Henry's laws establishing the concentration of dissolved air in a liquid, the law of gas expansion at a constant temperature, Darcy's law on fluid filtration and the theorem on the motion of the center of mass of a solid body. The linearized model allows to obtain and analytical solutions. Based on the solution of the variational problem, optimal modes of lifting the foot of the walking propulsion of an underwater mobile robot are established.
Modeling the Scheduling Problem in Cellular Manufacturing Systems Using Genetic Algorithm as an Efficient Meta-Heuristic Approach
Authors: Rezaeipanah Amin , Mojarad Musa
Published: October 2021

This paper presents a new, bi-criteria mixed-integer programming model for scheduling cells and pieces within each cell in a manufacturing cellular system. The objective of this model is to minimize the makespan and inter-cell movements simultaneously, while considering sequence-dependent cell setup times. In the CMS design and planning, three main steps must be considered, namely cell formation (i.e., piece families and machine grouping), inter and intra-cell layouts, and scheduling issue. Due to the fact that the Cellular Manufacturing Systems (CMS) problem is NP-Hard, a Genetic Algorithm (GA) as an efficient meta-heuristic method is proposed to solve such a hard problem. Finally, a number of test problems are solved to show the efficiency of the proposed GA and the related computational results are compared with the results obtained by the use of an optimization tool.
A Spatially Resolved Survey of Distant Quasar Host Galaxies. I. Dynamics of Galactic Outflows
Authors: Vayner Andrey , Wright Shelley A. , Murray Norman , Armus Lee , Boehle Anna , Cosens Maren , Larkin James E. , Mieda Etsuko , Walth Gregory
Published: October 2021

We present observations of ionized gas outflows in 11 z = 1.39–2.59 radio-loud quasar host galaxies. Data were taken with the integral field spectrograph OSIRIS and the adaptive optics system at the W.M. Keck Observatory targeting nebular emission lines (Hβ, [O III], Hα, [N II], and [S II]) redshifted into the near-infrared (1–2.4 μm). Outflows with velocities of 500–1700 km s−1 are detected in 10 systems on scales ranging from <1 kpc to 10 kpc with outflow rates from 8–2400 M
⊙ yr−1 . For five sources, the outflow momentum rates are 4–80 times L
AGN/c, consistent with outflows being driven by an energy-conserving shock. The five other outflows are either driven by radiation pressure or an isothermal shock. The outflows are the dominant source of gas depletion, and we find no evidence for star formation along the outflow paths. For eight objects, the outflow paths are consistent with the orientation of the jets. Yet, given the calculated pressures, we find no evidence of the jets currently doing work on these galactic-scale ionized outflows. We find that galactic-scale feedback occurs well before galaxies establish a substantial fraction of their stellar mass, as expected from local scaling relationships.
The Evolution of the Lyman-alpha Luminosity Function during Reionization
Authors: Morales Alexa M. , Mason Charlotte A. , Bruton Sean , Gronke Max , Haardt Francesco , Scarlata Claudia
Published: October 2021

The time frame in which hydrogen reionization occurred is highly uncertain, but can be constrained by observations of Lyman-alpha (Lyα) emission from distant sources. Neutral hydrogen in the intergalactic medium (IGM) attenuates Lyα photons emitted by galaxies. As reionization progressed the IGM opacity decreased, increasing Lyα visibility. The galaxy Lyα luminosity function (LF) is thus a useful tool to constrain the timeline of reionization. In this work, we model the Lyα LF as a function of redshift, z = 5–10, and average IGM neutral hydrogen fraction,

x

¯

Hɪ

. We combine the Lyα luminosity probability distribution obtained from inhomogeneous reionization simulations with a model for the UV LF to model the Lyα LF. As the neutral fraction increases, the average number density of Lyα emitting galaxies decreases, and are less luminous, though for

x

¯

Hɪ

≲
0.4

there is only a small decrease in the Lyα LF. We use our model to infer the IGM neutral fraction at z = 6.6, 7.0, and 7.3 from observed Lyα LFs. We conclude that there is a significant increase in the neutral fraction with increasing redshift:

x

¯

Hɪ

(
z
=
6.6
)
=

0.08

−
0.05

+
0.08

,

x

¯

Hɪ

(
z
=
7.0
)
=
0.28
±
0.05

and

x

¯

Hɪ

(
z
=
7.3
)
=

0.83

−
0.07

+
0.06

. We predict trends in the Lyα luminosity density and Schechter parameters as a function of redshift and the neutral fraction. We find that the Lyα luminosity density decreases as the universe becomes more neutral. Furthermore, as the neutral fraction increases, the faint-end slope of the Lyα LF steepens, and the characteristic Lyα luminosity shifts to lower values; hence, we conclude that the evolving shape of the Lyα LF—not just its integral—is an important tool to study reionization.
The Nightingale Still Sings: Ten Ethical Themes in Early Nursing in the United Kingdom, 1888-1989
Authors: Fowler Marsha
Published: October 2021

There is, by Nightingale’s intent, a centrality of “the moral” within nursing. The good nurse was to be a good woman as well, good in a moral sense. Her writings suggested that the qualities of a good nurse must first be the qualities of a good woman. Early American nursing leaders created an extensive body of literature specifically devoted to nursing ethics that included approximately 100 nursing ethics textbooks and editions. Unlike the American literature, the term “ethics” was rarely used in the United Kingdom (UK) nursing literature and there were few nursing ethics textbooks written by UK nurses. Despite this difference, UK journals and textbooks devoted considerable and ongoing attention to concerns that were specifically ethical in nature. This article describes the design and sources used in an extensive review of the UK literature, and describes ten ethical themes in areas that constitute continuing ethical threads in the first century of UK nursing literature from the 1880s to 1980.
Analyse transactionnelle et responsabilité sociale
Authors: Hüsgen-Adler Martha , Vaquié-Quazza Dominique
Published: October 2021

La responsabilité individuelle et collective est discutée sur la base de modèles d’analyse transactionnelle et enrichie par certains aspects du développement social. Les externalisations existant au sein des structures capitalistes et leurs conséquences caractérisent un cadre de référence spécifique. Les droits fondamentaux ne sont accordés aux « autres » que dans une mesure limitée. Une menace potentielle pour la cohésion sociale découle des exigences excessives imposées aux individus face à des complexités ingérables, qui conduisent à une diffusion des responsabilités. L’éthique postmoderne et la pulsion morale sont questionnées en articulation avec la notion d’autonomie en analyse transactionnelle.