bluuebunny/crossref_metadata_2025 huggingface dataset:
The Effect of an Empowerment Program on the Health-promoting Behaviors of Iranian Women Workers: A Randomized Controlled Trial
Authors: Noori Fatemeh , Behboodimoghadam Zahra , Haghani Shima , Pashaeypoor Shahzad
Published: June 2021

Objectives: The workplace is an ideal place for encouraging health-promoting behaviors. Therefore, the aim of the present study was to determine the effect of an empowerment program on the health-promoting behaviors of women workers.Methods: This randomized clinical trial was conducted with 80 women workers employed at a food packaging facility in 2020. The subjects were selected using convenience sampling and were classified into intervention and control groups using block randomization. An empowerment program for women workers was conducted across 6 sessions based on an empowerment model. Data collection tools included a demographic questionnaire and the Health Promoting Lifestyle Profile-II, which participants completed both before the program and 8 weeks after the last session. Data analysis was performed in SPSS version 16 using descriptive analysis and inferential statistics.Results: There were no significant differences between the 2 groups in various health-promoting behaviors before the program. However, the intervention group’s scores for nutrition (34.92±1.09 vs. 27.87±4.23), physical activity (24.40±2.94 vs. 17.40±5.03), stress management (26.35±2.60 vs. 23.05±4.27), spiritual growth (34.02±3.00 vs. 30.22±5.40), interpersonal relationships (30.82±2.38 vs. 27.60±4.61), and health responsibility (31.60±2.71 vs. 28.22±4.59) were significantly higher than the control group’s 8 weeks after the program had ended. Moreover, there was a significant difference in the total score of health-promoting behaviors for the intervention group compared to the control group (179.00±9.22 vs. 151.42±20.25, p=0.001).Conclusions: An empowerment program for women workers led to significant improvements in the health-promoting behaviors of the participants. Similar programs can ultimately improve women’s health in the workplace.
Association Between Parity and Low Bone Density Among Postmenopausal Korean Women
Authors: Seo Eunsun , Lee Yongrong , Kim Hyeon Chang
Published: June 2021

Objectives: Low bone density (LBD) in the postmenopausal period has long been a pervasive public health concern; however, the association between parity and LBD has yet to be fully elucidated. Thus, we investigated the association between parity and LBD in postmenopausal Korean women.Methods: This study used baseline data from 1287 Korean postmenopausal women aged 40 years or older enrolled in the Cardiovascular and Metabolic Diseases Etiology Research Center community-based cohort study conducted in Korea from 2013 to 2017. The main exposure was parity (nullipara, 1, 2, 3+). The main outcome was LBD, including osteopenia and osteoporosis, based on bone mineral density measured using quantitative computed tomography of the lumbar spine (L1-2).Results: The mean age of participants was 57.1 years, and the median parity was 2. Of the 1287 participants, 594 (46.2%) had osteopenia and 147 (11.4%) had osteoporosis. No significant difference in the prevalence of LBD was found between nullipara and parous women, whereas higher parity was associated with a higher risk of LBD among parous women; the adjusted odds ratio (95% confidence interval) for the presence of LBD was 1.40 (0.97 to 2.02) for a parity of 2 and 1.95 (1.23 to 3.09) for a parity of 3 relative to a parity of 1.Conclusions: Women who have given birth multiple times may be at greater risk of bone loss after menopause; therefore, they should be a major target population for osteoporosis prevention.
Contribución de la obra social femenina de Nuestra Señora de los Desamparados al desarrollo de la enfermería en la Valencia de los años cuarenta
Authors: Reig Ureña María Ángeles , Cardells Martí Francisco Abelardo
Published: June 2021

Atender a las particularidades de las diversas disciplinas profesionales contribuye a enriquecer el corpus de conocimientos que las integran. Las aportaciones que se realizan desde el ámbito local ayudan a completar este conocimiento y ponen de manifiesto la singularidad de unos acontecimientos que, desencadenados por diversos condicionantes, explican el hecho histórico.
El objetivo perseguido con la redacción de este artículo se centra en dar a conocer la influencia que, la iniciativa llevada a cabo por la Obra Social Femenina de Nuestra Señora de los Desamparados de Valencia (OSF) tuvo en la promoción personal y profesional de la mujer valenciana. Concretamente centramos nuestra atención en la tarea llevada a cabo desde la OSF en la promoción de la mujer enfermera.
Siguiendo el modelo de investigación histórico basado en la obtención de los datos de forma organizada y sistemática, consultamos fuentes primarias que aportan datos relevantes y hasta hoy desconocidos al estudio y consultamos también bibliografía especializada que nos ayuda a situar, analizar y comprender las circunstancias en las que acontecen los hechos. Enfatizando en el rol social que jugaría la mujer durante las primeras décadas del franquismo y justificando la necesidad de profesionales sanitarios que velaran por poner en práctica las medidas eugenésicas propuestas por el Nuevo Régimen, procuraremos una visión general de la profesión enfermera en aquellos años. Para terminar, y en el contexto de una de las instituciones privadas, que al amparo de la orden de 21 de mayo de 1941 ofrecía la posibilidad de dar validez oficial a los estudios de enfermera, llegamos a descubrir la presencia de una agrupación local de enfermeras que impulsada desde las filas del asociacionismo confesional de principios de siglo XX, contribuyó a la formación de las enfermeras valencianas.
El trabajo de Antonio Chamorro en el Institut du Radium de París (1938-1952): hormonas y cáncer de mama
Authors: Melgares Moreno Ignacio , Barranco Castillo Enriqueta
Published: June 2021

El objetivo de este trabajo es visibilizar la relevancia de uno de los personajes que fueron víctimas del exilio científico tras la guerra civil española. Se trata de Antonio Chamorro Daza (Huesa, Jaén, 1903-Banyoles, Girona, 2003), un Profesor Ayudante de Clases prácticas de la Facultad de Medicina de Granada que, sorprendido en Berlín por la sublevación militar, posteriormente fue juzgado por el Tribunal para la Represión de la Masonería y el Comunismo e inhabilitado para el ejercicio profesional en España. Como refugiado político en París, formó parte de una élite de investigadores que volcaron sus esfuerzos en la investigación experimental sobre el origen hormonal del cáncer de mama, basándose en la llamada medicina de laboratorio, con notables hallazgos, reconocidos en el gran número de publicaciones en las que se les tuvo en cuenta. El grupo de trabajo estuvo dirigido por el médico francés Antoine Lacassagne, quien influyó decisivamente en el porvenir de Antonio Chamorro.
Mujer, saber y corte: artes y conocimientos de una esclava «fijadalgo»
Authors: Haro Cortés Marta
Published: June 2021

La intervención más destacada que se lleva a cabo en el marco narrativo de la editio princeps toledana de la Historia de la doncella Teodor, se centra en los saberes que domina la protagonista. La ampliación de conocimientos de la joven esclava convertida en «fijadalga», como se analizará en este trabajo, conforman la semblanza perfecta de la puella docta noble cortesana.
Evolución y adaptación del mundo cortesano en las versiones hispánicas del Sendebar
Authors: Lacarra María Jesús
Published: June 2021

En el artículo se estudia la representación del mundo cortesano en el Sendebar, desde la primera traducción castellana de origen oriental a las versiones occidentales. Las líneas generales se mantienen, pero las modificaciones entre unas y otras versiones realzan las malas artes femeninas o se reorientan más hacia los problemas linajísticos, como en los Siete sabios de Roma.
La encrucijada cortesana del Amadís de Gaula
Authors: Cacho Blecua Juan Manuel
Published: June 2021

En el artículo se contextualiza la creación inicial, recepción y texto final del Amadís de Gaula de Rodríguez de Montalvo (1495-1496) desde la perspectiva de la curialitas. El léxico de la cortesía servirá de punto de partida para analizar sus características y evolución.
La cortesanía verbal en los libros de caballerías: el caso de Belianís de Grecia
Authors: Romero José Julio Martín
Published: June 2021

Este artículo analiza la importancia de los aspectos verbales en el comportamiento cortesano en Belianís de Grecia, un libro de caballerías escrito por Jerónimo Fernández. El estudio determina los rasgos corteses de expresión verbal y muestra que (al igual que los mencionados en el libro de Castiglione) derivan de la cortesía medieval.
La Filosofía cortesana y el juego de la oca (II). Casas marcadas
Authors: Lucero Ernesto
Published: June 2021

La Filosofía cortesana de Alonso de Barros es una recreación de la corte sobre el tablero de un juego de la oca convenientemente adaptado. El artículo tiene como propósito explicar las enseñanzas contenidas en aquellas instrucciones de juego sobre las casas marcadas, donde quedan cifradas las condiciones y dificultades que afrontará el pretensor cortesano.
La imagen de Murillo en Fernando de la Torre Farfán (a propósito de la renovación de S.ª M.ª la Blanca)
Authors: Martínez Navarro M.ª del Rosario
Published: June 2021

La renovación e inauguración de la iglesia sevillana de Santa María la Blanca en 1665 proyectó la imagen de Bartolomé Esteban Murillo, al participar en el programa iconográfico y artístico. Su intervención entra en relación, además, con la poesía de Fernando de la Torre Farfán compuesta con ocasión de esta efeméride en honor del dogma de la Inmaculada Concepción, tan celebrado durante el Siglo de Oro.
La nouvelle comme forme d’expression de la vie de cour : d’Espagne en France
Authors: Merino García María Manuela
Published: June 2021

De l’époque appelée « âge d’or de la littérature espagnole » en France, nous retenons ici les nouvelles de Paul Scarron. Hispanophile convaincu, il réécrit ses modèles espagnols en évoquant, tout comme eux, la vie qui gravite autour de la cour. Cette étude porte sur les nouvelles du Roman Comique et les Nouvelles Tragi-Comiques.
De Castillo Solórzano a Paul Scarron. El Siglo de Oro español desde una mirada francesa
Authors: Ruiz Álvarez Rafael
Published: June 2021

El teatro es, a menudo, un fiel reflejo de la sociedad de una época determinada. En Francia durante el siglo XVII, la mirada teatral hacia España constituye una forma de interpretar la vida del otro, costumbres, normas de conducta. En este artículo analizaremos la manera en que Scarron elabora sus comedias y caracteriza a sus personajes, tomando como referencia y modelo al dramaturgo Castillo Solórzano.
Estudio diplomático de los testamentos de Lope de Vega
Authors: Cuenca Muñoz Paloma
Published: June 2021

En los estudios sobre Lope de Vega, la crítica menciona la existencia de los dos testamentos que mandara realizar el poeta (1627 y 1635). Este trabajo presenta un análisis diplomático comparativo de ambos textos, en el que se explica por qué, a pesar del escaso tiempo transcurrido y de la similitud de las principales disposiciones testamentarias, el autor estaba obligado a realizar un segundo documento.
Finlande-Québec au temps d’une décennie PISA : regards croisés de deux systèmes éducatifs
Authors: Pelletier Guy
Published: June 2021

A plusieurs égards, la décennie des années 2000 en éducation fut celle de l’impact du Programme international pour le suivi des acquis des élèves (PISA) sur l’analyse, le bilan et l’évaluation des systèmes éducatifs nationaux des pays de l’Organisation de coopération et de développement économique (OCDE). Pourtant, les résultats aux épreuves PISA n'ont pas toujours eu le même accueil et n’ont pas été conçus dans ce dessein. Ce texte présente et analyse la situation entre la Finlande et le Québec sur le sujet. Il aborde un certain nombre d’exemples qui illustre la problématique et les mythes associés au recours aux résultats du PISA pour valoriser un système éducatif.
Un point de vue critique : La Finlande, vers un modèle éducatif néolibéral ?
Authors: Leguérinel Luc
Published: June 2021

La Finlande ne cesse de faire parler d’elle depuis de nombreuses années en raison de son système éducatif. Mais ce système est-il réellement aussi bon qu’il le prétend, ou n’est-ce au contraire qu’un mythe des temps modernes ? C’est à cette question que nous essaierons de répondre dans cet article. Pour ce faire, nous commencerons par analyser les raisons pour lesquelles le système éducatif finlandais se prête beaucoup mieux que le système éducatif français aux études PISA. Nous présenterons également, à travers une analyse succincte du système éducatif finlandais, les limites de sa politique éducative notamment lors du passage du collège au lycée ou encore avec le système modulaire au lycée qui contredisent souvent les discours officiels. Enfin, nous tenterons de démontrer en quoi ce système éducatif pragmatique, dont la véritable ambition a été de remplacer le savoir par des compétences de type utilitaire, n’est que l’antichambre de ce qui se met en place au sein même des universités, pour répondre aux exigences de l'économie libérale des marchés dominée par le science et le développement économique.
La fonction de l’esthétique dans l’éducation : la théorie et l’action de Victor Cousin
Authors: Olivier Alain Patrick
Published: June 2021

Cet article montre comment la fondation théorique et les structures d’enseignement de l’esthétique en France telle que nous la pratiquons trouvent leur origine dans la théorie et l’action du philosophe Victor Cousin. Cette pénétration de l’esthétique dans le système éducatif fut en même temps limitée : plusieurs obstacles épistémologiques d’ordres idéologiques ou intrascientifiques expliquent pourquoi l’esthétique et l’enseignement philosophique lui-même occupent jusqu’à aujourd’hui une place spécifique à la fois marginale et centrale dans le système universitaire et dans le système d’enseignement général.
Effect of Chlorhexidine Mouthrinse on Prevention of Microbial Contamination during EBUS-TBNA: A Study Protocol for a Randomized Controlled Trial
Authors: Kim Na Young , Park Jae Hyeon , Park Jimyung , Kwak Nakwon , Choi Sun Mi , Park Young Sik , Lee Chang-Hoon , Cho Jaeyoung
Published: June 2021

Background: Endobronchial ultrasound‒guided transbronchial needle aspiration (EBUS-TBNA) is a standard diagnostic method for mediastinal and hilar lymphadenopathy. Although rare, fatal infectious complications can occur following EBUS-TBNA. However, to date, there is a lack of effective preventive strategies to reduce these complications. We started a trial to investigate the effect of chlorhexidine mouthrinse on the prevention of microbial contamination during EBUS-TBNA.Methods: This study is a single-center, parallel-group, assessor-blinded randomized controlled trial (RCT). We will enroll 112 adult participants undergoing EBUS-TBNA using a convex probe, and randomly assign them to two groups at a 1:1 ratio. The intervention group will gargle for 1 minute with 100 mL of 0.12% chlorhexidine gluconate before EBUS-TBNA, while the control group will have no mouthrinse before the procedure. Immediately after completion of EBUS-TBNA on all targeted lesions with an aspiration needle, a needle wash sample will be taken by instilling 5 mL of sterile saline into the used needle. The primary outcome is colony forming unit (CFU) counts in aerobic cultures of the needle wash samples. Secondary outcomes are CFU counts in anaerobic cultures, fever within 24 hours after EBUS-TBNA, and infectious complications within 4 weeks after EBUS-TBNA.Conclusion: This trial was designed as the first RCT to investigate the effect of chlorhexidine mouthrinse on the prevention of microbial contamination during EBUS-TBNA. Results from this trial can provide clinical evidence for a simple, safe, and cost-effective strategy to prevent infectious complications following EBUS-TBNA (ClinicalTrials.gov ID: NCT04718922, registered on 22 January 2021).
Wind Tunnel Test on a Slowed Mach-Scaled Hingeless Rotor with Lift Compounding
Authors: Maurya Shashank , Wang Xing , Chopra Inderjit
Published: June 2021

A single main rotor helicopter's maximum forward speed is limited due to the compressibility effects on the advancing side and reverse flow and dynamic stall on the retreating side. Compound helicopters can address these issues with a slowed rotor and lift compounding. There is a scarcity of test data on compound helicopters, and the present research focuses on a systematic wind tunnel test on lift compounding. Slowing down the rotor increases the advance ratio and, hence, the reverse flow region, which does not produce much lift. The lift is augmented with a wing on the retreating side. A hingeless rotor hub helps to balance the rolling moment with lift offset. Wind tunnel tests were carried out on this configuration up to advance ratios of 0.7 at two different wing incidence angles. Rotor performance, controls, blade structural loads, and hub vibratory loads were measured and compared with in-house comprehensive analysis, UMARC. A comparison between different wing incidences at constant total lift provided many insights into the lift compounding. It increased the vehicle efficiency and reduced peak-to-peak lag bending moment and in-plane 4/rev hub vibratory loads. The only trade-off was steady rotor hub loads and rolling moment at the wing root carried by the fuselage.
Published randomized controlled trials of surveillance in cancer patients - a systematic review
Authors: Giglio Victoria , Schneider Patricia , Madden Kim , Lin Bill , Multani Iqbal , Baldawi Hassan , Thornley Patrick , Naji Leen , Levin Marc , Wang Peiyao , Bozzo Anthony , Wilson David , Ghert Michelle
Published: June 2021

With solid tumor cancer survivorship increasing, the number of patients requiring post-treatment surveillance also continues to increase. This highlights the need for evidence-based cancer surveillance guidelines. Ideally, these guidelines would be based on combined high-quality data from randomized controlled trials (RCTs). We present a systematic review of published cancer surveillance RCTs in which we sought to determine the feasibility of data pooling for guideline development. We carried out a systematic search of medical databases for RCTs in which adult patients with solid tumors that had undergone surgical resection with curative intent and had no metastatic disease at presentation, were randomized to different surveillance regimens that assessed effectiveness on overall survival (OS). We extracted study characteristics and primary and secondary outcomes, and assessed risk of bias and validity of evidence with standardized checklist tools. Our search yielded 32,216 articles for review and 18 distinct RCTs were included in the systematic review. The 18 trials resulted in 23 comparisons of surveillance regimens. There was a highlevel of variation between RCTs, including the study populations evaluated, interventions assessed and follow-up periods for the primary outcome. Most studies evaluated colorectal cancer patients (11/18, [61%]). The risk of bias and validity of evidence were variable and inconsistent across studies. This review demonstrated that there is tremendous heterogeneity among RCTs that evaluate effectiveness of different postoperative surveillance regimens in cancer patients, rendering the consolidation of data to inform high-quality cancer surveillance guidelines unfeasible. Future RCTs in the field should focus on consistent methodology and primary outcome definition.
Adenomatous polyposis coli in cancer and therapeutic implications
Authors: Noe Olivia , Filipiak Louis , Royfman Rachel , Campbell Austin , Lin Leslie , Hamouda Danae , Stanbery Laura , Nemunaitis John
Published: June 2021

Inactivating mutations of the adenomatous polyposis coli (APC) gene and consequential upregulation of the Wnt signaling pathway are critical initiators in the development of colorectal cancer (CRC), the third most common cancer in the United States for both men and women. Emerging evidence suggests APC mutations are also found in gastric, breast and other cancers. The APC gene, located on chromosome 5q, is responsible for negatively regulating the β-catenin/Wnt pathway by creating a destruction complex with Axin/Axin2, GSK-3β, and CK1. In the event of an APC mutation, β-catenin accumulates, translocates to the cell nucleus and increases the transcription of Wnt target genes that have carcinogenic consequences in gastrointestinal epithelial stem cells. A literature review was conducted to highlight carcinogenesis related to APC mutations, as well as preclinical and clinical studies for potential therapies that target steps in inflammatory pathways, including IL-6 transduction, and Wnt pathway signaling regulation. Although a range of molecular targets have been explored in murine models, relatively few pharmacological agents have led to substantial increases in survival for patients with colorectal cancer clinically. This article reviews a range of molecular targets that may be efficacious targets for tumors with APC mutations.
Confirming Whether KLHL23 Deficiency Potentiates Migration in Urothelial Carcinoma
Authors: Peng Jei-Ming , Hsieh Sen-Yung , Cheng Jai-Hong , Luo Jia-Wun , Su Yu-Li , Luo Hao-Lun
Published: June 2021

Epithelial–mesenchymal transition (EMT) is associated with malignant tumors. In a previous study, we found that KLHL23 is a tumor suppressor gene that inhibits EMT and cancer dissemination. However, the correlation between its expression and cancer progression in urothelial carcinoma (UC) remains unknown. This study showed that the deficiency of KLHL23 in the invasive leading cancer cells is important for improving cell migration in UC. Currently, little is known about the underlying mechanisms of KLHL23-mediated cytoskeleton remodeling in the metastatic leading cells of tumors. Our findings showed that silencing of KLHL23 promotes cell migration in UC by regulating the translocation of focal adhesion proteins. Lack of KLHL23 causes abnormal formation of lamellipodia and increases the EMT phenotype and migration. Wound healing assay revealed that KLHL23 potentiates the actin bundles and intracellular focal adhesion protein formation in the invasive leading cells. Knockdown of KLHL23 abolishes the formation of actin stress fibers and translocalizes vinculin to the perimembrane, which enhances the mobility of cancer cells. To elucidate the mechanism, we found that during migration, KLHL23 appears in the leading cells in large numbers and binds to the actin stress fibers. A large amount of vinculin accumulated at both ends of the KLHL23/actin fibers, indicating an increase in cell anchorage. Thus, KLHL23 might play a critical role in enhancing actin fibers and promoting focal adhesion complex formation in the invasive leading cells. Analysis of the overall survival revealed that low KLHL23 is associated with poor survival in patients with bladder UC, indicating its clinical significance. We hypothesize that KLHL23 is involved in the formation of actin stress fibers and focal adhesion complexes in the invasive leading cells and may be associated with EMT progression and prognosis in UC patients.
The Effect of Listening to SMT Music Made Using Musical Expectancy Violations on Brain Concentration and Activation
Authors: Yeo HaeJu , Nam HyunWoo , Lee JeongBeom
Published: June 2021

This study investigated the effect of listening to self-music therapy training (SMT) music, which was specially developed using musical expectancy violations, on improving brain concentration and activation. It was performed with a sample of 12 adults. Electroencephalograms (EEG) were obtained and analyzed after allowing the participants to listen to SMT music. An EEG device with eight channels was used to measure the brain waves. The changes in the EEGs were recorded when listening to SMT music in three states (stable, basic, and stimulated) after attaching the electrodes to the prefrontal cortex (Fp1 and Fp2), and the frontal (F3 and F4), temporal (T3 and T4), and parietal lobes (P3 and P4) according to the International 10/20 system. The EEG data were analyzed to determine the m-β wave appearance rate and absolute total power (ATP) for the three conditions, and a t-test was performed. The results showed that the rate of m-β wave appearance was higher in the stimulated and basic states than in the stable state (Fp1, Fp2, F4, T3, T4, P3, and P4) and higher in the stimulated state than in the basic state (Fp1, Fp2, T3, T4, and P4). The ATP was lower in the basic state than in the stable state (Fp2, F3, F4, and T3), but the ATP in the stimulated state was higher than in the basic or stable state in all areas excluding the left and right parietal lobes (Fp1, Fp2, F3, F4, T3, and T4). These results demonstrated that listening to SMT music by normal adults could increase brain concentration and activation.
18F-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography in the Evaluation of Anorectal Malignant Melanoma
Authors: Gupta Nitin , Drolia Babita , Verma Ritu , Belho Ethel Shangne , Dhawan Shashi
Published: June 2021

Melanomas are the malignancies that can affect any anatomic region where melanocytes exist (such as the epidermis, eyes, nasal cavity, and anus). Anorectal melanoma is a rare mucosal melanocytic malignancy, comprising 0.8% of all anorectal malignancies. Here, we report a case series of three patients of anorectal melanoma and role of positron emission tomography/computed tomography in diagnosis and follow-up to evaluate the local recurrence and distant metastases. Of three patients, two presented with rectal bleeding and one with obstruction. One patient had recurrence after 10 months, other after 24 months, and third remained disease free post surgery till 9 months.
Synchronous Detection of Extra-Adrenal Paraganglioma in a Follow-Up Case of High-Grade Gastrointestinal Stromal Tumor
Authors: Husain Azhar , Jain Anurag , Singh Harkirat , Hegde Arun
Published: June 2021

Extraadrenal paragalionoma at multiple sites and its association with GIST is a rare finding. Although 18F-FDG PET-CT is not a modality of choice for primary diagnosis of paraganglioma, and its use is restricted for detection of metastases/multiple sites and disease staging. However, in this case that we describe here, its role in an already-proven/recurrent case of paraganglioma is emphasized by its simultaneous assessment of disease at several different sites.
Paraneoplastic Hyperfibrinolysis
Authors: Sharma Punit
Published: June 2021

Hyperfibrinolysis caused by abnormal over-activation of the fibrinolytic system can be associated with occult cancer. We present an interesting case of a 48-year-old man with paraneoplastic hyperfibrinolysis, where 18F-fluorodeoxyglucose (18F-FDG) positron emission tomography-computed tomography (PET-CT) was able to detect occult prostate-specific antigen-negative metastatic prostate cancer as the underlying etiology. This shows that while 18F-FDG PET-CT has overall poor sensitivity for prostate cancer, it can be useful in certain clinical situations.
68-gallium Prostate-Specific Membrane Antigen Positron Emission Tomography/Computed Tomography Detects Rare Testicular Metastasis from Prostate Cancer
Authors: Jain Yash , Agrawal Archi , Bakshi Ganesh , Joshi Amit , Menon Santosh , Prakash Gagan , Purandare Nilendu , Puranik Ameya , Shah Sneha , Rangarajan Venkatesh
Published: June 2021

Testicular metastases from solid tumors is a rare entity. We describe one such case where a patient on treatment for prostate cancer presented with a right scrotal swelling. For restaging, whole-body 68-gallium prostate-specific membrane antigen positron emission tomography/computed tomography (PET/CT) was performed. Fused PET/CT images demonstrated intense uptake in the testicular lesion. Unique anatomic and functional information provided by hybrid PET/CT helped in reliably establishing the testicular mass as the site of metastases from prostate cancer, which had a major impact on patient management.
18F-Fluorodeoxyglucose Positron-Emission Tomography/Computed Tomography Detected Inguinal Lymph Nodal Metastasis from Hepatocellular Carcinoma
Authors: Ramachandran Nair Arun Visakh , Pratap Thara , Mahadevan Pushpa , Mukkada Roy J. , Yadav Abhishek , Senthil Raja
Published: June 2021

Hepatocellular carcinoma (HCC) usually metastasizes to the regional abdominal lymph node, lungs, and bones. Nonregional lymph node involvement by HCC in the absence of regional lymph nodes is rare. We describe the 18F-fluorodeoxyglucose positron-emission tomography-computed tomography findings of an HCC patient with histopathologically proven inguinal lymph nodal metastasis in the absence of regional lymph nodal metastases.
Solitary Subcutaneous Tissue Metastasis as Recurrence in a Case of Primary Angiosarcoma of Breast
Authors: Tripathy Sarthak , Rastogi Sameer , Prakash Sneha , Arun Raj Sreedharan Thankarajan , Sagar Sambit , Shamim Shamim Ahmed
Published: June 2021

Primary angiosarcomas of the breast are rare tumors, with a fatal outcome. We present a rare case of an operated primary angiosarcoma of the right breast in a 20-year-old female who showed disease recurrence in the right posterior arm subcutaneous tissue on 18F-fluorodeoxyglucose positron emission tomography-computed tomography after 1 year of surgery without any other visceral metastasis.
Evaluation of Pain Management and Quality of Life among Oral Cancer Patients - A Cross Sectional Study
Authors: Baliah John W. , Keluskar Vaishali , Livingstone David W. , Panwar Arun
Published: June 2021

Background:

Oral cancer is a health concern in India, accounting for 90% of all head and neck cancers. Recent advances in treatment have improved survival rates, but unbearable pain creates a poor quality of life. Intense pain at the primary site significantly impairs speech, mastication, and swallowing. The use of extensive pain evaluation questionnaire may yield false responses from patients due to severe pain.

Aim:

The study aims to assess pain management and quality of life using an 8-point questionnaire among patients with squamous cell carcinoma of oral cavity, pharynx, and esophagus undergoing treatment procedures.

Materials and Methods:

A total of 64 oral cancer patients from two cancer hospitals were interviewed using the self-designed questionnaire to assess their pain level and quality of life.

Statistical Analysis:

Descriptive analysis was used to describe the frequencies and percentages. Chi-square test was used to determine statistical significance.

Results and Conclusion:

In 33% of the oral cancer patients, pain medication did not have an analgesic effect; 32.8% of the patients needed stronger pain medication; 36% had severe mood swings; 31.3% had severe sleep disturbance; and 39.1% had severe interference in eating food. On using numeric pain intensity scale, 42.2% had severe pain and 51.5% had moderate pain due to oral, pharyngeal, and esophageal squamous cell carcinoma and its treatment. This simplified questionnaire can be used as a preliminary tool to evaluate oral cancer pain and quality of life.
Comparison of the CBCT, CT, 3D Printing, and CAD-CAM Milling Options for the Most Accurate Root Form Duplication Required for the Root Analogue Implant (RAI) Protocol
Authors: Kachhara Saloni , Nallaswamy Deepak , Ganapathy Dhanraj , Ariga Padma
Published: June 2021

Background:

A computerized tomography (CT) scan or a cone beam computerized tomography (CBCT) imaging techniques can be used for tooth segmentation and acquisition of a three-dimensional (3D) reconstruction using CADCAM milling and 3D printing methods.

Aim:

This experimental study was done to assess the accuracy of CBCT, CT, CAD-CAM milling, and 3D printing for acquiring the most accurate duplication for root analog implant (RAI).

Materials and Methods:

The study was an ex-vivo feasibility study comparing CBCT, CT, CAD-CAM milling, and 3D printing methods for acquiring the most accurate duplication for root analog implant (RAI). Informed consent was obtained from patients for the study purpose for recording CT and CBCT scans and to utilize the extracted teeth for research purpose. The teeth were segmented from the DICOM files of CBCT and CT scans of the patients and Standard Tessellation Language files (STL) were obtained for individual teeth. The STL files of the individual teeth obtained were printed and milled in polymethylmethacrylate material (PMMA). The study thus consisted of 5 groups—Natural teeth as control, CBCT milled group, CT milled group, CBCT printed group and CT printed group of 16 samples each. Morphological differences in the three dimensions namely apico-coronal, bucco-lingual, and mesio-distal between the natural tooth and the 3D replicas were assessed using the one-way ANOVA test using the statistical software.

Results:

There was no statistically significant difference among the dimensions between the CBCT, CT, CAD-CAM milling, and 3D printing groups with respect to the most accurate duplication for root analog implant (p > 0.05).

Conclusion:

Within the limitations of this study, the CBCT segmentation and the Milling technique produce the least distortion for fabricating the root analog implant.
Unusual Case of Recurrent Intestinal Obstruction
Authors: Kaur Arshpreet , Chawla Subhash , Yadav Naveen , Sharma Shivam
Published: June 2021

Intestinal diaphragm disease is a very rare entity and is generally recurrent subacute intestinal obstruction. A 38-year-old male admitted to hospital with subacute intestinal obstruction. The patient had a history of long-term nonsteroidal anti-inflammatory drugs (NSAIDs) intake. On computed tomography scan, no pathology found except for dilated bowel loops. He underwent diagnostic laparoscopy which showed stricture along distal jejunum with proximal dilated gut loops with collapsed distal gut loops, found unusual thin intraluminal diaphragm with pinpoint 3 mm opening along with it there was one more diaphragm 2 cm distal to it with 2 mm pinpoint opening, resection of both the stricturous part was done, and end-to-end jejunojejunostomy was done. Here on, histopath grossly received a segment of the intestine in two pieces along with fibrofatty tissue. Cut-open specimen showed narrowing of the lumen and at one place is marked band-like constriction. Microscopic appearance shows ulcerations of lining epithelium. The submucosa shows fibrosis along with the proliferation of the muscle fiber, neural, and vascular elements giving impression consistent with the jejunal diaphragm. Here, we report an unusual case of intestinal diaphragm disease in relation to the use of NSAIDs. The aim is to sensitize the medical officers regarding the rational use of NSAIDs.
Congenital Mesoblastic Nephroma Beyond Infancy
Authors: Dhandore Priya , Hombalkar Narendra Narayan , Shafique Ahmed Khan Mohd Hamid
Published: June 2021

Congenital mesoblastic nephroma (CMN) is a peculiar renal tumor with a unique clinical, therapeutic, and prognostic pattern. CMN is a benign renal tumor of the neonatal period and early infancy. Although a rarity, presentations beyond infancy are also reported. Rarely, this tumor presents beyond infancy. The case report tries to highlight the fact that this tumor though rare beyond infancy should also be included in the list of differentials of childhood renal masses. It also underlines the utility of preoperative biopsy and the role of nephron-sparing surgery while dealing with such a benign etiology (considering the excellent prognosis associated with the condition).
Tissue Debridement Effect of Apamarga Kshara Taila and Adjuvant Medications in the Management of Nonhealing Venous Ulcer
Authors: Joshi Foram , Dudhamal Tukaram S.
Published: June 2021

Stasis ulcers of the gaiter zone are difficult to heal due to deoxygenated blood congestion in peripheral areas and lack of oxygenated blood supply. Venous ulcers occur due to insufficiency of distal peripheral veins in legs. This manuscript refers to three cases of nonhealing venous leg ulcers treated with local application of Apamarga Kshara Taila along with some oral drugs. Three patients of nonhealing venous ulcer of the gaiter zone were treated with ayurvedic treatment protocol. In all patients after Panchavalkala Kwatha wound wash, Apamarga Kshara Taila was applied locally on wound once daily up to complete wound healing. In this series, wound healing was achieved in 96 days, 27 days, and 38 days, with a unit healing time of 4.311, 7.287, and 3.677 days/cm3, respectively. For the past 8 months, all three patients are living symptom-free life without any reoccurrence. On the basis of these cases, it can be said that Ayurveda principles of ulcer management have shown a promising role in wound healing and resuming improved quality of life without any untoward effects.
Municipal Solid Waste Characterisation and Quantification as a measure towards Effective Waste Management in the Takoradi Sub-Metro, Ghana
Authors: Seshie V. I. , Obiri-Danso K. , Miezah K.
Published: June 2021

Waste management is a major challenge for many metropolitan and municipal assemblies in Ghana. The quantity of waste generated from the cities keeps increasing at a faster rate without increasing facilities to match its management. In the Takoradi sub-metro for instance, all the waste generated ends up at the final disposal sites without any recovery of the valuables. Proper management of the generated waste requires reliable and informative data which could assist in the collection as well as value addition process. Waste separation efficiency; willingness to separate waste at source; physical composition and per capita waste generated by households within the Takoradi sub-metropolis were studied over a five-week period. Questionnaire, interviews and survey were employed in the collection of the required data. The data were analysed using SPSS. The results showed solid waste composition of 60.0% organics, 11.5% plastics, 8.0% inert materials, 7.1% papers and cardboard, 5.0% miscellaneous materials, 2.9% textiles, 2.4% metals, 1.5% glasses and 1.2% leather and rubber. Over 80% of the waste fraction has the potential for recovery into other products; with this, 22.7% could be recycled and 63.6% suitable for biological conversions such as composting and anaerobic digestion since they have a moisture content as high as 55%. The average per capita waste generated within the sub-metro was 0.70 kg/cap/day. Households were able to separate the organic fractions from the rest of the waste fractions reaching effectiveness of 92% for organic separation and 83% for all other wastes. The data generated on the quantity and composition of the waste stream in the Metropolis would play a positive role in solid waste management and help solid waste managers make informed decisions on waste management options.  

 

Keywords: Waste Sorting and Separation, Biodegradables, Household Waste, Separation Efficiency
Calcination Behaviour of Nsuta Rhodochrosite Ore in the Presence and Absence of End-of-Life High Density Polyethylene
Authors: Nimako K. O. , Dwumfour A. , Mensah K. , Koshy P. , Dankwah J. R.
Published: June 2021

This research investigated the calcination behaviour of the Nsuta Rhodochrosite (MnCO3) in the presence and absence of end-of-life high density polyethylene (HDPE) using a custom-made palm kernel shell fired furnace. Samples of pulverised Nsuta rhodochrosite were heated rapidly for 30, 40, 50 and 60 minutes, coupled with temperature measurements to determine the maximum temperature attained in the fireclay crucible. The procedure at 60 min was repeated using three blends of rhodochrosite samples containing different masses of HDPE (30 g, 40 g and 50 g) and heated for an hour. For gas analyses studies during calcination, cylindrical compacts of rhodochrosite ore in a LECOTM crucible were heated rapidly with and without high density polyethylene (HDPE at C/O ratio = 1.0, 1.5, and 2.0) in a horizontal tube furnace for 600 s at 1150 °C under high purity argon gas and the off gas was continuously analysed for CH4, CO and CO2 using an online infrared gas analyser. The content of H2 in the off gas was detected using a GC3 gas chromatographic analyser equipped with a thermal conductivity detector. The Nsuta rhodochrosite ore was found to consist of a mixture of manganese II carbonate (MnCO3), silica (SiO2), mixed transition metal carbonate of the form Ca(Mn, Mg)(CO3)2 and mixed metal silicate of the form Ca0.6Mg1.94Si2O6. Calcination results indicated visible colour changes (from grey to dark brown), along with significant changes in the mass before and after calcination. In the absence and presence of the polymer, measured temperatures in the crucible ranged from 1001 °C to 1366 °C and 1361 °C to 1369 °C, respectively. Analyses by XRF showed marginal increase in the content of Mn in the calcined ore with HDPE addition. Gas analyses indicate that blending the carbonate with HDPE before heating results in significant decrease in the amount of CO2 emitted.

 

Keywords: Land Tenure Security, Registration, Spatial Data, Attribute Data
State of the art in persuasive systems design
Authors: Foulonneau Anthony , Calvary Gaëlle , Villain Eric
Published: June 2021

By their ability to change person's behaviors and attitudes, persuasive technologies appear as promising for overcoming societal challenges. They are based on theories and models from cognitive psychology and social psychology. The earlier works on persuasive technologies, by Fogg, identified many persuasive principles to influence user's behaviors and attitude, and thus useful for building persuasive systems. Studies on persuasive technologies also bring design methods, architectures, persuasive interfaces, and experimentation in numerous domains. The grand challenge is now to adapt persuasion to the complexity and versatility of each individual, thereby maximizing the persuasive effectiveness. We still have to build plastic persuasive technologies.

Les technologies persuasives, par leur capacité à agir sur le comportement et les attitudes des individus, sont une piste prometteuse dans de nombreux domaines, comme pour le traitement des grands défis sociétaux (ex : santé, environnement, …) ou le marketing (ex : inciter l’adoption d’un service, …) qui se présentent à nous. Elles s’appuient sur des résultats obtenus en psychologie cognitive et sociale lors des dernières décennies. Les travaux sur la persuasion technologique, initiés par Fogg à la fin des années 90, ont permis d’identifier de nombreux principes de persuasion sur lesquels les nouvelles technologies peuvent s’appuyer pour influencer le comportement de leurs utilisateurs. Ces travaux ont aussi permis de mettre en œuvre des méthodes de conception, des interfaces persuasives et d’expérimenter la persuasion technologique dans des domaines variés. Le plus grand défi reste maintenant d’adapter la persuasion à la complexité et à la variabilité intra-individuelle et interindividuelle, à la versatilité de chaque individu pour optimiser l’efficacité persuasive. Il nous reste à construire des technologies persuasives plastiques.
Ludo-persuasive systems for sustainable consumption. : . 2 – Elaboration of a ludo-persuasive principle grid
Authors: Negri Anne-Laure , Senach Bernard
Published: June 2021

Ludo-Persuasive Systems (LPS) are systems which are designed with the intent of changing people's behavior or attitude. As highlighted in Senach and Negri (2015a), such systems are based on two converging fields-gamification and persuasive technologies-but their engineering still is in its infancy. In this chapter, the authors build on existing lists of persuasive and gamification principles and integrate the various works ((Fogg, 2003) (Oinas-Kukkonen and Harjumaa, 2009) (Nemery, 2012)) in order to provide a grid that can be seen as a first tool in a LPS toolbox. The proposed grid is to be used both as a design and an evaluation tool. It was tested in the post-mortem analysis of an energy saving challenge described in Senach and Negri (2015b). The paper starts with discussions on the method followed to select, cluster and assess the implementation of the principles; it then defines the ludo-persuasive principles by providing examples and hints for identifying ludo-persuasive indicators.

Un système ludo-persuasif (ou SLP) est un système interactif dont l'objectif est d'inciter ses utilisateurs à adopter un comportement déterminé et qui, pour atteindre cet objectif, s'appuie sur des principes de persuasion et des mécanismes de jeu (Senach & Negri, 2015). Le développement, et donc à terme, l’usage par une population cible, de tels systèmes est donc particulièrement pertinent en vue d’instiller des changements de comportements et d’adopter, in fine, des modes de vie permettant un développement durable. Cependant l’ingénierie de tels systèmes doit relever plusieurs défis et manque d’outils spécifiques permettant notamment de capitaliser sur les recherches et pratiques issues de deux domaines convergents : celui de la gamification des systèmes et celui des technologies de la persuasion. Dans ce chapitre, nous présentons un travail d’intégration de plusieurs principes ludopersuasifs (cf. Fogg, 2003 ; Oinas-Kukkonen & Harjumaa, 2009 ; et Nemery 2012) qui peut être utile lors de la conception de SLP et qui a également été testé lors d’une analyse rétrospective d’un dispositif supportant un challenge énergétique intraentreprise (Senach & Negri, 2015b). Après des discussions évoquant le processus de sélection et de catégorisation des principes ludo-persuasifs, nous définissons les principes et indiquons plusieurs pistes liées à leur implémentation (exemples, modalités, indicateurs clés, etc.) en présentant 4 tableaux synthétiques qui constituent la première version d’une grille de principes ludo-persuasifs.
Evolution of the heuristic inspection: towards an integration of accessibility, usability, emotion and persuasion?
Authors: Brangier Eric , Desmarais Michel , Alexandra Nemery , Prom Tep Sandrine
Published: June 2021

This research investigates the issue of conducting heuristic inspections along an extended array of dimensions that includes often ignored considerations such as motivational and persuasive factors. Two objectives are pursued: to offer a comprehensive perspective on the different approaches to heuristic inspections and their evolution in the last decades since their emergence, and to propose an approach that integrates the extended array of heuristic criteria. The motivation for the proposed approach and the issues faced are also discussed.

Cette recherche porte sur l’inspection heuristique des interfaces selon un éventail de critères qui relèvent de plusieurs dimensions, notamment de ses aspectssouvent ignorés lors de l'inspection comme la motivation et la persuasion technologique. Elle poursuit deux objectifs : d’une part présenter un panorama desapproches en matière de critères d’inspection ergonomique et d’autre part à proposer les bases d'une approche qui intègre un élargissement des critères d'analyse heuristique des interfaces. Les motivations et enjeux de l'approche sont aussi présentés.