bluuebunny/crossref_metadata_2025 huggingface dataset:
Expectations vs. Practice in Critical Infrastructure Operator Crisis Communication
Authors: Petersen Laura , Fallou Laure , Reilly Paul , Serafinelli Elisa
Published: August 2022

Previous research into social media in crisis communication has tended to focus on use by emergency managers rather than another key stakeholder, critical infrastructure (CI) operators. This chapter adds to this field by empirically investigating public expectations of information provided by CI operators during crisis situations. It does so by drawing on a review of the literature on public expectations of disaster-related information shared via social media. Then it presents the results of an online questionnaire and interview-based study of disaster-vulnerable communities in France, Norway, Portugal, and Sweden. Results indicate that members of the public expect CI operators to provide information via traditional and social media, but not necessarily respond to queries on social media. Operators appear to meet traditional media expectations but should expand their current practices to include digital media.
Strengthening Post-Disaster Management Activities by Rating Social Media Corpus
Authors: Kuhaneswaran Banujan , Kumara Banage T. G. S. , Paik Incheon
Published: August 2022

In times of natural disasters such as floods, tsunamis, earthquakes, landslides, etc., people need information so that relief operations such as help can save many lives. The implications of using social media in post-disaster management are explored in the article. The approach has three main parts: (1) extraction, (2) classification, and (3) validation. The results prove that machine learning algorithms are highly reliable in elimination disaster non-related tweets and news posts. The authors strongly believe that their model is more reliable as they are validating the tweets using news posts by providing various ratings according to the trueness.
Sentiment Analyses of Twitter for Winter Storm Leo
Authors: Yum Seungil
Published: August 2022

This study sheds new light on sentiment analysis of Twitter for natural disasters according to a magnitude of the importance of information and a multitude of regions and periods. First, this study finds that a winter storm plays a more important role in positive sentiment than negative sentiment based on the magnitude of the importance of information and the number of tweets. Second, people are more interested in sharing information about the weather, such as forecasts and reports, rather than the positive or negative sentiment according to the winter storm. Third, people actively utilize their Twitter for disaster preparation, response, and recovery. Fourth, the spatial patterns of the proportion of tweets in the US states are differentiated by weeks. The results show that governments should develop natural disaster policies by understanding a multitude of human responses, needs, regional characteristics, and periods.
Seed germination of Hesperozygis ringens (Benth.) Epling, an endemic and threatened species
Authors: Leite Leandro Gonçalves , Stefanello Raquel , Essi Liliana
Published: August 2022

Hesperozygis ringens (Lamiaceae), popularly known as espanta-pulga, is a threatened species endemic to rocky and sandy regions of the Pampa biome. One factor that can influence the low number of individuals of a species is a low seed germination rate influenced by temperature and/or light. Thus, the objective of this study was to evaluate the influence of light and temperature on the seed germination of H. ringens. The seeds of two lots were sown on a paper substrate and maintained in BOD chambers at temperatures of 15, 20, 25 and 30ºC in the presence and absence of light. The germination speed rate was evaluated every 3 days for 21 days. The experiment was completely randomized with treatments that had a 4 x 2 factorial design. The first visible sign (protrusion of the primary root) of germination was observed seven days after sowing. Germination occurred both in the presence and absence of light and the lowest temperatures significantly influenced the germination process and germination speed. For germinating the species, 15°C was the most favorable temperature compared to 20, 25 and 30°C. It can be concluded that a temperature of 15ºC favors the germination process of H. ringens seeds, which are insensitive to light.
Color polymorphism and variation in microhabitat selection: a defensive strategy in males of Boana pulchella (Anura: Hylidae)?
Authors: Lermen Luísa Nunes , Furtado Raíssa , Hartz Sandra Maria
Published: August 2022

Anurans vary in body coloration and frequently exhibit color polymorphism, with selection by predation pressure favoring more cryptic animals. Spatial differentiation may also favor color polymorphism in some species, since cryptic morphotypes can use substrates that better match their coloration. Boana pulchella is a polymorphic species with green and brown morphotypes, but its polymorphism remains poorly understood. The aim of the present study was to determine the functionality of color polymorphism in B. pulchella as a defense strategy. Artificial green and brown clay models were placed in environments with green and brown background to determine if the two morphotypes of B. pulchella experience different frequencies of attacks. We expected that more conspicuous morphs are attacked more frequently. The attack rate, which suggests predation intent, on the models was 9.57%. The marks observed in the artificial models were left by both mammals and birds. The number of damaged models did not significantly differ between the different background environments. The results indicate that B. pulchella morphotypes are equally cryptic to predators in the studied environments. In conclusion, probably color polymorphism in B. pulchella is not operating as a defensive strategy, and other selective forces may be acting in the maintenance of color polymorphism in this species.
Diversity of Collembola and occurrence of Talitroides sylvaticus in a Pinus elliottii Engelm afforestation
Authors: Schardong Igor Sulzbacher , Freiberg Joice Aline , Aloísio Sulzbacher Marcelo , Santana Natielo Almeida , Godeiro Nerivania Nunes , Kohler Andreas , Antoniolli Zaida Inês , Jacques Rodrigo Josemar Seminoti
Published: August 2022

A 52-year-old pine forest is characterized as an environment with low plant diversity and large accumulation of allelopathic litter with poor nutrient content. Collembola is sensitive to environmental conditions and may have difficulties living in these forests. This study aimed (1) to evaluate the abundance and richness of Collembola in the soil of a 52-year-old pine afforestation with different moisture contents; and (2) to identify the landhopper sampled unintentionally. For sampling, pitfall traps were set up for four days, in areas of a Pinus elliottii afforestation with high and low soil moisture located at the Universidade Federal de Santa Maria. Collembola specimens were counted and identified to family and genus level. The total abundance of springtails was greater in the low soil moisture area. The genera Desoria and Lepidocyrtus, and specimens of the family Onychiuridae were more abundant in low soil moisture, meanwhile, the genus Ceratophysella was more abundant in the high soil moisture. The landhopper Talitroides sylvaticus was sampled unintentionally by traps set up in the soil with higher moisture and calcium content. Six genera of Collembola and the landhopper T. sylvaticus were identified in soil of a P. elliottii afforestation and their distribution is influenced by soil moisture.
Comunidade de prática docente-assistencial: análise do compromisso mútuo, objetivo comum e repertório compartilhado
Authors: Zamprogna Katheri Maris , Backes Vânia Marli Schubert , Menegaz Jouhanna do Carmo , Souza Sabrina da Silva de
Published: August 2022

A presente escrita tem o objetivo de analisar o processo de construção do compromisso mútuo, objetivo comum e repertório compartilhado de comunidade de prática docente-assistencial na Atenção Primária em Saúde. Utilizando uma metodologia de Pesquisa ação com participação de enfermeiros supervisores de discentes e enfermeiros docentes que atuavam na Atenção Primária em Saúde em um município do Sul do Brasil. A coleta de dados ocorreu em cinco grupos focais. Os dados foram analisados segundo a análise de conteúdo de Bardin (2011), utilizando-se o software de análise de dados AtlasTi8. A partir do método utilizado, foi possível obter resultados que estão apresentados em três categorias: Estabelecendo o compromisso mútuo para comunidade de prática docente assistencial na Atenção Primária em Saúde; Realizando o empreendimento conjunto para comunidade de prática docente assistencial na Atenção Primária em Saúde; Desenvolvendo repertório compartilhado para comunidade de prática docente assistencial na Atenção Primária em Saúde. Por fim, levou em consideração que, a negociação de significado sobre a prática foi pautada em diferentes perspectivas sobre o mesmo objeto, chegando ao compromisso mútuo; o objetivo comum, negociado à luz de políticas, de leis, de portarias que reforçam a maneira como o trabalho deva ser executado na Atenção Primária em Saúde, voltou-se à clínica ampliada, estruturado a partir das necessidades do território; os materiais que norteiam as atividades de ensino, como o currículo, os projetos políticos pedagógicos, os termos de estágio foram considerados elementos do repertório compartilhado.
O reconhecimento de si na narrativa: a projeção do eu como outro em Boyhood, de J. M. Coetzee
Authors: Hermes Ernani Silverio , Porto Luana Teixeira
Published: August 2022

Este trabalho investiga as formulações de identidade no campo literário erigidas pelo reconhecimento de si alcançado pela práxis narrativa. Tal problema é formulado a partir da obra Boyhood, de J. M. Coetzee (1997). A analítica do objeto literário será focalizada a partir da constituição do eu projetado no discurso por meio da construção da figura ficcional. Assim, busca-se observar como a projeção discursiva do eu como um outro implica um percurso de reconhecimento que é a base da conformação da identidade do personagem. Em uma abordagem fenomenológico-hermenêutica, recorre-se a Paul Ricoeur e Phillip Lejeune a fim de elaborar a teorização necessária para dar cabo da proposta investigativa; bem como as ideias de Walter Benjamin sobre narração e experiência. Desse modo, apoiadas na discussão teórica articulada à análise literária, as reflexões indicam para o enquadramento da narrativa como forma de organização e transmissão da experiência e espaço privilegiado para o reconhecimento de si e, por extensão, meio constituinte da identidade.
Percepções realistas mediadas pelos narradores de Vidas secas e de Eles eram muitos cavalos: proposição de sequência didática para o Ensino Médio
Authors: Sales Paulo Alberto da Silva , Ferreira Cejana Machado
Published: August 2022

A partir da leitura comparativa de aspectos dos romances Vidas secas, de Graciliano Ramos, e Eles eram muitos cavalos, de Luiz Ruffato, desenvolve-se uma proposição de sequência didática para aulas de literatura no Ensino Médio. Objetiva-se aproximar elementos desses romances por meio da escolha da voz narrativa, que tratam de percepções realistas em diferentes contextos históricos e sociais do Brasil. Para tanto, inicia-se uma discussão sobre o letramento literário e, mais especificamente, sobre a abordagem do gênero romance em sala de aula. Em seguida, apresenta-se uma proposta de leitura dialógica das narrativas, nas quais se evidenciam as percepções realistas presentes nos enredos de Vidas secas e de Eles eram muitos cavalos a partir dos narradores heterodiegéticos. Nesse sentido, propõem-se estratégias de leitura dirigida em sala de aula a partir da sistematização da sequências didáticas básica sobre esses romances. Chega-se à conclusão de que trabalhar com romances a partir da sequência didática básica, elaborada e planejada a partir do conhecimento de obras essenciais no currículo estudantil, sobretudo do Ensino Médio, é uma importante metodologia para o ensino de literatura nas escolas, principalmente escolas públicas, onde a leitura e a aquisição de obras, por parte dos alunos, sempre foram problemáticas para o ensino/aprendizado de literatura.
Desencontro, desaparecimento forçado e alegorização em ‘Rubrica’, conto de Caio Fernando Abreu
Authors: Franco Junior Arnaldo
Published: August 2022

Analisaremos, neste artigo, o conto ‘Rubrica’, de Caio Fernando Abreu, publicado originalmente no livro Pedras de Calcutá, em 1977. Trata-se de um dos primeiros textos da literatura brasileira a tematizar o desaparecimento forçado nos anos 1970 por meio, fundamentalmente, de uma cena que registra um tenso diálogo entre um jovem e uma menina que dele se aproxima para conversar. Em nossa leitura, abordaremos a relação entre a tematização do desaparecimento e os procedimentos formais de construção da narrativa, a saber: o diálogo truncado, o jogo entre figura e fundo, a incorporação de procedimentos da narrativa cinematográfica (zoom, corte, justaposição de imagens, montagem) e alegoria. O resultado da análise evidencia que os recursos formais articulam-se com a tematização para criar uma alegoria crítica do Brasil sob a ditadura civil-militar.
Treatment of vinasse by adsorption on activated carbon from sugarcane bagasse agglomerated with Al2O3
Authors: Nippes Ramiro Picoli , Macruz Paula Derksen , Fernandes Nádia Regina Camargo , Gimenes Marcelino Luiz
Published: August 2022

The objective of this work was to produce and characterize activated carbon from sugarcane bagasse agglomerated with Alumina (Al2O3) and apply it in treatment of vinasse pretreated by coagulation-flocculation to reduce the toxics parameters of vinasse. The adsorbent was characterized from textural analysis, XRD, pHZPC, SEM and EDS. Adsorption isotherms, adsorption kinetics and thermodynamic parameters of the process were obtained. The Langmuir isotherm model fitted the experimental data better and the pseudo-first-order model best represented the adsorption kinetics. The process was spontaneous, exothermic and with increased entropy. The combined coagulation-flocculation/adsorption process was efficient in reducing the parameters of color, turbidity, COD, TOC and toxicity of the vinasse with removal rates of 73.50, 96.06, 72.65, 76.08, 78% respectively.
Structure and share of satellite TV channels and DTH platforms in Europe
Authors: Jaksic Krsto , Milosevic Ivana , Jaksic Branimir , Maksimovic Vladimir , Todorovic Jelena
Published: August 2022

This work deals with the structure of TV channels that are distributed from satellite positions where DTH platforms offer their services in European countries. The structure is being considered via service availability (FTA and PAY TV), resolution (SDTV, HDTV and UHDTV), standards of broadcasting (DVB-S and DVB-S2), satellites and satellite positions, as well as market share of leading satellite operators at European market through which DTH providers do their services to the ultimate users. We also represent the market of TV channel distribution through the number of household which use cable, satellite, terrestrial and IPTV. Collected data are represented as a table and graph for the period from 1996 to 2020.
DESFAZIMENTO DE BENS PERMANENTES NA UFGD: UM DESAFIO À LUZ DO DECRETO 9.373/2018
Authors: Parron Anderson , Maria Aparecida Farias de Souza Nogueira  , Vera Luci de Almeida
Published: August 2022

O Decreto 9.373/2018 veio regulamentar as formas de desfazimento dos bens móveis no âmbito da administração pública federal e o legislador trouxe uma nova visão sobre esse tema, compreendendo a disposição final ambientalmente adequada desses bens. Com o aumento da conscientização da sociedade civil com as questões ecológicas, houve a necessidade de os entes darem uma resposta com relação ao desfazimento destes bens. A pesquisa foi realizada na Universidade Federal da Grande Dourados (UFGD) e objetivou-se analisar a partir deste estudo de caso com a utilização de técnicas de pesquisa exploratória e documental o que tem sido realizado até o momento para se atender às normativas, além de se identificar falhas nesse processo e propor novas estratégias para o cumprimento desse desafio. Constatou-se que a UFGD em que pese ter apenas 15 anos de existência, já possui uma estrutura consolidada com relação a sua gestão ambiental, possuindo uma Política Ambiental, um Plano de Logística Sustentável próprio, adesão junto à Agenda Ambiental da Administração Pública (A3P) e acordo com ente privado para a destinação correta de alguns resíduos. Com relação ao desfazimento dos bens móveis permanentes verificou-se a necessidade de se realizar a conciliação física/contábil dos bens permanentes, o mapeamento dos processos relativos ao desfazimento, além da mudança de sistema informatizado para gerência dos bens móveis.
Aproximaciones a los modelos de inserción migratoria en su dimensión religiosa desde el caso chileno
Authors: Orellana Gallardo Felipe
Published: August 2022

El objetivo del artículo es discutir los modelos de inserción migratoria -transnacionalismo, multiculturalismo y asimilación- en su dimensión religiosa para el caso chileno. El artículo se desarrolla en base a literatura con evidencia etnográfica de países del Cono Sur -Chile y Argentina- para visualizar cómo se expresan los tres modelos citados en el caso chileno y con referencias al caso argentino. Destacan las expresiones de transnacionalismo religioso como una práctica religiosa común de los inmigrantes, ya sea tanto en Chile como Argentina, en la cual se reproducen celebraciones religiosas del país de origen que se expresan y adaptan en el país de destino. De igual modo, en términos de multiculturalismo se identifica la convivencia de comunidades culturalmente distintas y los intentos de integración de estas. Finalmente, el modelo de asimilación no se entiende para los casos analizados aquí como una pérdida de los rasgos culturales propios del país de origen, sino que hay un refuerzo de la identidad comunitaria mediante las prácticas y expresiones religiosas.
A religião como prática
Authors: Rabelo Miriam
Published: August 2022

Nesse texto pretendo explorar algumas das consequências para a antropologia da religião de um enfoque que privilegia a prática. Na primeira seção examino os efeitos do enquadramento proposto sobre o modo como tratamos os percursos pelos quais as pessoas transitam entre religiões e mudam de pertença religiosa. Na segunda endereço diretamente a questão de como abordar a religião como uma prática, a partir da proposta de uma ecologia das práticas delineada pela filósofa Isabelle Stengers. A reflexão é desenvolvida a partir de situações de pesquisa junto a religiões afro-brasileiras.
El aporte de la cultura africana en el Perú: una identidad perdida
Authors: Tavera Colonna Jazmín
Published: August 2022

Este artículo analiza el rol que jugó la religión de los esclavos africanos en la fusión de dos culturas antagónicas: la andaluza y la andina, en el período de choque de culturas durante la conquista española. Tal enfoque permite reevaluar la situación actual de los afrodescendientes, cuyo aporte a la identidad de la sociedad peruana ha sino minimizado e invisibilizado, desconociendo su influjo catalizador de culturas en una sociedad que aún no ha superado su mentalidad esclavista. Dentro del marco de subalternalidad al que se vieron expuestos los esclavos, destaca el nivel de autorreflexión de conciencia alcanzado por la religión africana. Al respecto, se identifica la existencia de elementos fundamentales en su cosmovisión que sirvieron de puente entre las religiones antagónicas. Sin capacidad de participación política, la socialización de estos elementos sincréticos se dinamizó a través del conjunto de incongruencias propias de los sistemas esclavista y virreinal.
Polypoid basal cell carcinoma
Authors: Wu Po-Chien , Dai Ying-Xiu , Chou Yu-Ju , Chang Yun-Ting , Chen Chih-Chiang , Ma Sheng-Hsiang
Published: August 2022

Polypoid basal cell carcinoma (BCC) is characterized by a stalk connecting the tumor and skin surfaces, with neoplastic cells restricted in the polypoid zone microscopically. A thorough review of polypoid BCC is still lacking. Thus, we performed this scoping review to investigate the clinical manifestations, dermoscopic features, histopathology, treatment, and prognosis of polypoid BCC. A literature search was conducted in the PubMed, Embase, Web of Science, and Cochrane databases until December 23, 2021. Studies reporting at least one patient with polypoid BCC following the pathology and clinical criteria were included. A total of 47 studies with 54 patients with solitary polypoid BCC and 13 patients with multiple polypoid BCCs were included. Solitary polypoid BCC occurred at a relatively younger age, with an equal sex ratio. These tumors most commonly presented as red or flesh-colored pedunculated papules and were commonly distributed over nonsun-exposed areas. Most tumors were managed with excision, and recurrence or metastasis was seldom reported. Most patients with multiple polypoid BCCs had basal cell nevus syndrome and presented with generalized distributed, flesh-colored, or brown papules mimicking skin tags. Typical dermoscopic features of BCC could still be observed in these lesions, including arborizing vessels, blue-gray globules, and ovoid nests, which could aid in early diagnosis. In conclusion, polypoid BCC is a distinct variant of BCC with pedunculated morphology. Physicians should be aware of polypoid BCC and may use dermoscopy to aid in early diagnosis and treatment.
Effect of pre-operative communication using anaesthesia information sheet on pre-operative anxiety of patients undergoing elective surgery—A randomised controlled study
Authors: Kharod Utpala , Panchal Nirali N. , Varma Jagdish , Sutaria Krupa
Published: August 2022

Background and Aims:

Pre-operative anxiety can affect psychological and physiological parameters during the intra-operative period. Pharmacological measures used to reduce pre-operative anxiety have their associated adverse effects. Pre-operative anaesthesia education is one of the non-pharmacological tools to reduce anxiety, but very limited literature is available in the Indian scenario. Hence, this study was designed to evaluate the effect of pre-operative counselling of patients using anaesthesia information sheet on pre-operative anxiety of patients who underwent elective surgery as the primary outcome. Secondary objectives were to assess the pre-operative anxiety for surgery, correlation of demographic data with pre-operative anxiety, and the common causes responsible for pre-operative anxiety.

Methods:

Total 110 patients were randomly allocated into two groups. Group-A was counselled using anaesthesia information sheet and in Group-B, conventional counselling was done during pre-anaesthesia check-up. Anxiety scores for anaesthesia and surgery were measured using visual analogue scale for anxiety (VAS-A). VAS-A score was compared pre- and post-intervention.Effect of intervention was assessed by comparing reduction in VAS-A score in both groups with paired t-test. Data were analysed using STATA (14.2) version.

Results:

The mean reduction in VAS-A for anaesthesia was more in Group-A compared to Group-B (16.6 ± 6.9 vs. 4.4 ± 5.8; P < 0.001). The mean reduction in VAS-A for surgery was more in Group- A compared to Group- B (14.6 ± 7.8 vs. 4.8 ± 7.3; P < 0.001).

Conclusion:

Pre-operative counselling using anaesthesia information sheet is helpful in reducing pre-operative anxiety more efficiently. Further trials are required to assess transferability in other settings.
Iatrogenic Superior Gluteal Artery Pseudoaneurysm Due to Iliac Bone Marrow Biopsy Treated with Endovascular Coil Embolization
Authors: Ariharan K , Nagarajan K , Vivekanandan Pillai M , Amuthabharathi M
Published: August 2022

Superior gluteal artery pseudoaneurysms are uncommon with the main causes being trauma and iatrogenic. They have been treated by coil embolization, open surgery, or thrombin injection. A 36-year-old female with leucocytosis underwent bone marrow biopsy following which she developed pain and left lower limb weakness. Magnetic resonance imaging showed hematoma in the left pyriformis muscles probably compressing the sciatic nerve. A computed tomography angiogram confirmed a left superior gluteal artery partially thrombosed pseudoaneurysm which was subsequently treated by coil embolization. A high degree of suspicion of this complication early imaging and management can prevent significant blood loss and mortality.
Penetrating Atherosclerotic Aortic Ulcer with Pseudoaneurysm
Authors: Periyanarkunan Murugesan Ramaiya , Swamiappan Elango , Chinnasamy Ganesan , Rajapandian Jayasree
Published: August 2022

We present a case of penetrating atherosclerotic aortic ulcer with pseudoaneurysm which was managed by a hybrid partial debranching thoracic endovascular aneurysm repair (d-TEVAR) procedure. A 68-year-old professional singer with multiple comorbidities presented with mid-chest pain radiating to the back for the past 2 months. Computed tomography aortogram revealed a penetrating atherosclerotic ulcer near the summit of the left subclavian artery (LSA) at the distal aortic arch. In view of the high risk of an open-heart surgery, TEVAR procedure with partial debranching of the aortic arch vessel was proposed. As the aneurysm was close to the origin of the LSA, an adequate proximal landing zone was not available. Hence, a bypass from the left common carotid artery to the LSA was done. Following this, an endovascular procedure was performed and the stent graft was placed covering the origin of the LSA. Check aortograms after the procedure revealed patent stent and complete obliteration of the pseudoaneurysm. There was no endoleak noted and the left carotid to subclavian artery bypass was functioning well. The postoperative period was uneventful. Follow-up over a 6-month period was satisfactory. The key elements of a successful thoracic endovascular aneurysm repair are appropriate patient selection, thorough planning, and careful procedural execution. This case demonstrates that a hybrid procedure with partial debranching and thoracic endovascular repair of penetrating aortic ulcers is a safe and less-invasive alternative for elderly, high-risk patients.
Profile of cleft lip and palate patients at a dental hospital in Johannesburg, South Africa
Authors: Carrim Fatima , Hlongwa Phumzile
Published: August 2022

Objectives:

This study aimed to determine the clinical profile of patients with orofacial clefts (OFC) who presented at a dental hospital in Johannesburg, South Africa, from January 1, 2013, to December 31, 2019. The aim of the study is to use the data collected to conduct an epidemiological survey and create an electronic database of all patients with OFC who presented to the hospital.

Materials and Methods:

A cross-sectional, retrospective record review of all cases of OFC treated at Johannesburg Cleft clinic from January 1, 2013, to December 31, 2019, was conducted. A structured, pretested record review form was used to obtain demographic and clinical information of patients with OFC. STATA version 15 was used to analyze the data and statistical tests were conducted at a 5% significance level.

Results:

One hundred and thirty-three records were analyzed. The majority were males (n = 68, 51.13%), while 48.87% (n = 65) were females. Most patients were South Africans 91.73% (n = 122,), and the majority were African blacks (67.67%). A statistically significant difference (P < 0.05) was found in gender and racial distribution of OFC. Majority of the sample presented with clefts of the lip and palate 55.64% (n = 74,), followed by isolated CP 24.81% (n = 33), CL 17.29% (n = 23), and 2.26% (n = 3) presented with a facial cleft. Majority of the clefts were described as unilateral (n = 50, 37.59%) and 30.83% (n = 41) of the clefts were described as bilateral. Isolated cleft of the palate accounted for 24.81% (n = 33), while 4.51% (n = 6) were midline clefts. Facial clefts accounted for 2.26% (n = 3). Of all unilateral clefts (n = 50), those who presented on the left side account for 68% (n = 34), while those who presented on the right side accounted for 32% (n = 16).

Conclusions:

The dental hospital is providing services to a large number of patients with OFC. The study findings should assist in planning services for these patients.
Anatomage - the virtual dissection tool and its uses: A narrative review
Authors: Raja BS , Chandra A , Azam MQ , Das S , Agarwal A
Published: August 2022

Advancement in technology has given students and institutes an educational, interactive, and diagnostic aid with virtual reality functionality known as the Anatomage table. This review analyses the various spheres of the medical field where the 3D virtual tool is being used and assesses its acceptability, convenience, and practical application. A search for relevant studies in various databases namely Pubmed, Embase, Wiley Library, and Google Scholar was performed, and the data was compiled to understand the use of the Anatomage table. The search yielded a total of 24 studies that focused on the use of the Anatomage table. Eleven articles focused on using Anatomage as a learning tool and 13 described the perception of the Table. Anatomage table offers an excellent tool for learning anatomy by virtual dissection. The tool is not only used as a teaching aid, but also as a diagnostic and planning tool in residency programs. Adding the tool as an educational aid boosts the existing curriculum and helps to counter the challenges with cadaveric dissection. The equipment cost and its maintenance charges may be a deciding factor for the underutilization of the tool in developing countries.
Respiratory epithelial adenomatoid hamartoma - A neglected entity in the nasal cavity
Authors: Vidwans Tejas Prasad , Deshmukh Abhay Vilas , Shivkumar Vitaladevuni Balasubramanyam
Published: August 2022

Respiratory epithelial adenomatoid hamartoma (REAH) is a rare subtype of hamartoma which consist of the proliferation of glandular spaces and is lined by ciliated epithelium or goblet cells. Here, we report the case of REAH in a 45-year-old male who presented with bilateral nasal blockage in the past 1 year. The bilateral polypoidal nasal mass was excised. Microscopically, the proliferation of glandular spaces lined by ciliated epithelium and goblet cells and thickened eosinophilic basement membrane was seen. Immunohistochemistry showed positivity for pancytokeratin. One should always consider REAH as one of the differential diagnoses of a symptomatic polypoidal sinonasal mass.
Beliefs, Attitudes, and Behaviors of Saudi Physiotherapists Toward Evidence-Based Practice
Authors: Alsaadi Saad M.
Published: August 2022

Background

Evidence-based practice (EBP) has gained significant importance in clinical practice worldwide, including physiotherapy, but there are limited studies that have assessed the knowledge, attitude, and behaviors of Saudi physiotherapists toward EBP.

Objective:

To determine the beliefs, attitudes, knowledge, and experience of Saudi physiotherapists in public hospitals of the Eastern Province of Saudi Arabia toward EBP as well as identify barriers that limit the integration of EBP in clinical practice.

Materials and Methods:

This cross-sectional design included all Saudi physiotherapists working in four major tertiary hospitals in the Eastern Province of Saudi Arabia. The Evidence-Based Practice Questionnaire was used to elicit responses. The association between attitudes, awareness, and knowledge scores and the demographic data such as age group, years of experience, and level of education was assessed.

Results:

The questionnaire was distributed to a total of 171 physiotherapists, of which 118 (69%) responded. About 90% of the participants agreed or strongly agreed that EBP is necessary for clinical practice. However, about 25%, 19%, and 18% of the participants reported that EBP does not consider clinical limitations, support physiotherapy intervention, or consider patients' physiotherapy preferences, respectively. The most common barrier in the implementation of EBP in daily clinical practice was insufficient time (>50%), followed by self-efficacy in retrieving evidence from the literature and translating research findings into clinical practice. Years of experience, age, and gender were significant factors associated with physiotherapists' beliefs and attitudes toward implementing EBP.

Conclusions:

Although EBP was favored, several barriers exist that hinder its adoption by physiotherapists. Institutional support and research skill development may help accelerate EBP adoption levels and should be considered by policymakers.
A Case of Digital Autoamputation with Concurrent Sjogren's Syndrome, Antiphospholipid Syndrome, and Ovarian Cancer
Authors: Keles Esra , Kabaca Canan , Akis Serkan , Celik Zeynep
Published: August 2022

Sjogren's syndrome (SS) is a chronic autoimmune disease that is characterized by focal lymphocytic infiltration of the exocrine glands. SS mostly affects middle-aged women, and results in an increased risk of developing malignant neoplasm, particularly hematologic malignancies. The concurrent occurrence of SS, ovarian cancer, and autoimmune disease is very rare. Here, we present a case with postoperative digital autoamputation in a young Sjogren's patient diagnosed with high-grade serous ovarian cancer. The patient was later also diagnosed with antiphospholipid syndrome. Clinicians should note that female genital tract malignancies might occur in autoimmune diseases. In addition, when planning for surgery, they should also be aware of the possibility of another autoimmune disease and different patterns of postoperative complications such as venous thromboembolism and thrombophlebitis. A multidisciplinary approach is required to achieve successful management. To the best of the authors' knowledge, this is the second case with concurrent SS and ovarian cancer and the first case with concurrent SS, antiphospholipid syndrome, and ovarian cancer.
Awareness and Knowledge of Postoperative Surgical Site Infections in Patients from Saudi Arabia
Authors: Alsahli Alaa Mohammed , Alqarzaie Abdullah Ahmed , Alasmari Ali Mohammed , AlOtaibi Mohammed M. , Aljuraisi Abdulrahman Majed , Khojah Abdulaziz Abdulrahman , Alzahrani Nadia Abdullah M. , Alaqeel Faten
Published: August 2022

Background:

Knowledge regarding surgical site infections (SSIs) can help reduce hospital stay, morbidity, and mortality associated with SSI.

Objectives:

This study aimed to determine the knowledge and awareness of SSI among patients undergoing surgeries across Saudi Arabia.

Methods:

This multi-center cross-sectional study included adult patients (aged >18 years) who underwent surgery at six centers located across the five regions of Saudi Arabia. A 36-item questionnaire was used to elicit data regarding demographics, patient's health status, procedures, and hospitalization history and awareness and knowledge about SSIs.

Results:

A total of 375 patients were included (equally for all five regions of Saudi Arabia). Most patients were male (55.7%) and aged 18–34 years (44%). Most respondents (49.1%) had poor awareness; being illiterate and from the Northern region were significant factors (P = 0.001). Patients with no history of surgery (P = 0.001) or SSI (P = 0.003) also had poor awareness levels. In terms of knowledge, 45.8% and 35.2% of the participants had fair and poor knowledge, respectively, with the level of knowledge being significantly associated with region (P = 0.001). Patients those aged >65 years had poor knowledge (P = 0.033), while of males had good knowledge (P = 0.02). Patients with no history of surgery had poor knowledge of SSIs (P = 0.003). Only 32.8% of the patients recalled having been educated by healthcare workers. About 42% learned of SSIs from sources outside the hospital, with internet/social media platforms accounting for 48.4% of such sources.

Conclusion:

A significant proportion of the patients included in this study had poor awareness and knowledge of SSIs. The study highlights the need for strengthening the preoperative patient education in Saudi Arabia to reduce the likeliness of SSIs.
Rehabilitation of Atrophic Mandible with Ultrashort Implants Combined with Photobiomodulation Therapy
Authors: Zayed Sara Mahmoud , Noureldin Marwa Gamal
Published: August 2022

Background:

Atrophic edentulous mandible is a challenging clinical condition. Studies assessing the use of ultrashort implants to support overdentures are scarce; the optimum photobiomodulation (PBM) dose for enhancing osseointegration is yet unknown.

Objective:

This study aimed to evaluate and compare mandibular overdentures assisted by two versus four ultrashort implants with adjunctive PBM therapy using two doses.

Materials and Methods:

A total of 36 implants were placed in 12 edentulous male participants and they were randomly allocated to Group I (mandibular overdentures assisted by two ultrashort implants) or Group II (by four ultrashort implants). Fully guided implant placement was performed, and then a split-mouth design was implemented. The participants received PBM by diode laser (660 nm). Dose A (3.75 J/cm2) and Dose B (7.5 J/cm2) were applied to the right and left implant (s), respectively. Implant stability, peri-implant probing depth (PIPD), and modified gingival index (MGI) were evaluated at baseline, and at 6 and 12 months after loading.

Results:

After 12 months, the implant stability values were significantly higher in Group II compared with Group I (P < 0.001). A significant difference was observed in between the PIPDs of both groups (Group I: 2.35 ± 0.54 mm; Group II: 1.69 ± 0.35 mm;P= 0.001). The mean MGI values were low for both groups (Group I: 0.75 ± 0.58; Group II: 0.51 ± 0.41).

Conclusions:

Mandibular overdentures supported by four ultrashort implants had a more favorable clinical outcome, while PBM doses A and B were comparable in all evaluated parameters.

Trial Registration:

ClinicalTrials.gov Identifier: NCT03540316.
Effect of varying storage time and temperature on unspun blood samples for prothrombin time and activated partial thromboplastin time in a tertiary hospital laboratory in the tropics
Authors: Ogbenna Ann A. , Oyedele Oluwafikewa A. , Adeyemo Titilope A. , Oyewole Kunmi Mathew
Published: August 2022

Introduction:

Delays in the time of analysis of unspun blood samples stored at varying temperatures received in the laboratory pose a risk for unreliable prothrombin time (PT) and activated partial thromboplastin time (APTT) result; hence, consequent detrimental effect on patient care. This study's aim was thus to determine the optimal storage conditions and the potential effect of various storage times and temperatures on unspun samples for PT and APTT for a reliable test result.

Materials and Methods:

In a cross-sectional study, 33 eligible apparent healthy volunteers were recruited. Eighteen milliliters (ml) of venous blood were collected into 20 ml plastic bottles containing 2 ml of 0.109 M sodium citrate as an anticoagulant. Each citrated sample was separated into nine 2 ml aliquots. Baseline PT and APTT were determined with a coagulometer immediately and the remaining aliquots were analyzed after 3, 6, 12, and 24 h storage time at refrigerated (4°C) and room temperature (RT), respectively. The Statistical Package for the Social Sciences and Paired student t-test were used for statistical analysis.

Results:

At 24 h storage time at both RT and 4°C for PT, there was a statistically significant difference (P = 0.000). For APTT, a statistically significant difference was observed at 12 h (P = 0.009) and 24 h (P = 0.000) at RT whereas, at 4°C, all storage time had a statistically significant difference (P < 0.05).

Conclusion:

Unspun blood samples can be stored maximally for 12 h at RT and 4°C for PT whereas it is 6 h at RT only for APTT.
Clinico-Demographic characteristics, morbidity and mortality patterns of sickle cell disease in a tertiary institution
Authors: Faruk Jamilu A. , Adebiyi Mustapha Niyi , Ahmad Hafsat Rufai
Published: August 2022

Introduction:

Sickle cell disease (SCD) is the most common hereditary hematological disorder in Nigeria with an annual incidence of more than 100,000 new births which contributes to the high Nigerian under-five childhood morbidity and mortality. Sufferers of the disease are frequently admitted into emergency rooms for presentations and complications such as pain crisis, anemia, stroke, and acute chest syndrome, in addition to other childhood infections such as severe malaria, sepsis, and acute respiratory tract infections. The aim of the study was to describe the clinicodemographic features and morbidity and mortality patterns of children with SCD in a tertiary institution.

Methods:

The study was a retrospective review of case records of children with SCD admitted with various diagnoses.

Results:

Complete records of 460 patients were reviewed and this constituted 10.1% of all new admissions during the period. There were more males, 286 (62%), than females, 174 (38%). The mean age was 6.3 ± 5.1 years and 249 (54.1%) were under the age of 5 years. The most common admitting diagnosis was a pain crisis comprising 168 cases (36.5%). The mean packed cell volume was 20.6 ± 4.1 inclusive of hemoglobin SC phenotype, and 197 (42.8%) had simple top-up transfusion, while 28 (6.1%) had exchange transfusion. A total of 438 (95%) patients were discharged, 21 (4.6%) died, and the highest mortality was from severe anemia (47.6%).

Conclusion:

This study describes the high burden of SCD constituting 10.1% of admissions, as well as the pattern of morbidity and mortality largely from severe anemia in the area under study.
Об изоморфизме и
диффеоморфизме компактных полупростых групп Ли
Authors: Gorbatsevich Vladimir Vitalyevich
Published: August 2022

В статье изучается связь между алгебраическими и
топологическими свойствами компактных полупростых групп Ли.
Приводится три серии примеров компактных полупростых групп Ли,
которые между собой не изоморфны, но диффеоморфны.
Библиография: 11 названий.
Обратная задача восстановления функции источника
в многомерном неравномерно параболическом уравнении
Authors: Kamynin Vitaly Leonidovich
Published: August 2022

Доказана однозначная разрешимость обратной задачи
определения функции источника
в неравномерно параболическом уравнении
со многими независимыми переменными в ограниченной области.
В качестве дополнительного условия задается
условие интегрального наблюдения. Неизвестная функция источника
может быть найдена методом итераций из операторного уравнения
со сжимающим оператором. Приведен пример обратной задачи,
для которой применимы доказанные в работе результаты.
Полученные результаты для обратной задачи основаны
на предварительном исследовании однозначной разрешимости
соответствующей прямой задачи, которое представляет также
и самостоятельный интерес.
Библиография: 20 названий.
Голоморфная рефлексивность для локально конечных
и проконечных групп: абелев и общий случаи
Authors: Aristov Oleg Yurevich
Published: August 2022

Предложенная Акбаровым теория голоморфной рефлексивности для топологических
алгебр Хопфа получила развитие в двух направлениях - через усложнение
определений при расширении области применимости и через их упрощение при
сужении. В рамках второго подхода мы устанавливаем голоморфную рефлексивность
для топологических алгебр Хопфа, ассоциированных с локально конечными счeтными
группами и проконечными группами со второй аксиомой счетности. В абелевом случае
рефлексивность описана в терминах, близким к классическим.
Библиография: 23 названия.
Low Treatment Rates of Parasitic Diseases with Standard-of-Care Prescription Drugs in the United States, 2013–2019
Authors: Joo Heesoo , Maskery Brian A. , Alpern Jonathan D. , Chancey Rebecca J. , Weinberg Michelle , Stauffer William M.
Published: August 2022

To assess appropriate drug treatment of parasitic diseases in the United States, we examined the treatment rates of 11 selected parasitic infections with standard-of-care prescription drugs and compared them to the treatment rates of two more common bacterial infections (Clostridioides difficile and streptococcal pharyngitis). We used the 2013 to 2019 IBM® MarketScan® Commercial Claims and Encounters and MarketScan® Multi-State Medicaid databases, which included up to 7 years of data for approximately 88 million and 17 million individuals, respectively, to estimate treatment rates of each infection. The number of patients diagnosed with each parasitic infection varied from 57 to 5,266, and from 12 to 2,018, respectively, across the two databases. Treatment rates of 10 of 11 selected parasitic infections (range, 0–56%) were significantly less than those for streptococcal pharyngitis and Clostridioides difficile (range, 65–85%); giardiasis treatment (64%) was comparable to Clostridioides difficile (65%) in patients using Medicaid. Treatment rates for patients with opisthorchiasis, clonorchiasis, and taeniasis were less than 10%. Although we could not verify that patients had active infections because of limitations inherent to claims data, including coding errors and the inability to review patients’ charts, these data suggest a need for improved treatment of parasitic infections. Further research is needed to verify the results and identify potential clinical and public health consequences.
Selection of Photovoltaic Devices Using Weighted Sum Method
Authors: Saravanan Vimala , Ramachandran M , Mani Malarvizhi
Published: August 2022

In this paper, we are going to analyze the parameters involved in the photovoltaic module. It is done by obtaining experimental voltage-intensity cures. In the selection-making principle, the weighted sum model (WSM), also called Weighted Linear Combination (WLC) or Simple Additive Waiting (SAW). Evaluating a couple of alternatives primarily based on a couple of consequences. To discover the mean by weight, each variety has its multiply through weight after which upload the effects. If the weights do no longer fit, multiply the sum of all the variables by their weight and divide by using the sum of the weights. Is defined because the sum of weights. Where X is the solution variable and W is the burden variable. The answer variable and the burden variables have to have the same number of observations. For this command, the weights are not normalized, for every input raster weighted sum jobs through multiplying the assigned area values via a particular weight. This is all to create a release raster input raster as nicely. In this paper we used Weighted Sum Method for ranking the WSM method is the most ideal solution Short-distance and Alternative The solution with the longest distance from the solution Determines, but the comparison of these distances Does not consider importance. characteristic curve A1, A2, A3, A4.Evaluation Parameters in Irradiance C1, Temperature C2, Current(A) C3, Voltage(V)C4Use Attention deficit from the result it is seen that characteristic Curves A2 is got the first rank whereas is the characteristic Curves A4 is having the Lowest rank.