bluuebunny/crossref_metadata_2025 huggingface dataset:
Mentorship in Higher Education
Authors: Zografou Alexandra , McDermott Laura
Published: May 2022

Although mentorship in business settings is typical, its emergence as a tool in education started only recently. Consequently, this new opportunity has initiated a discussion about mentorship and its principal elements in an academic context. Aspects like the mentor profile, the relationship built between mentors and mentees, and the scope of mentorship have been constantly explored and debated by researchers in this field. All contributions are invaluable; however, the information on what the authors consider the fundamental elements of mentorship is scattered throughout many sources. This is precisely what we are attempting to do in this article; by presenting insights from a literary review and investigating the principal aspects of a successful mentorship program in Higher Education, we are answering the most fundamental mentorship-related questions – what mentorship involves; what the qualities of the ideal mentor are; what the student-mentor interaction entails; what the role of the mentor is; and what activities this interaction should include – in a single, well-organized source.
Direct Outcomes and Win-Win Relationships Between University Careers Advisors and Graduate Recruiters
Authors: Buckholtz Dr Thomas J. , Donald Dr William E.
Published: May 2022

The purpose of our paper is to apply the state progress checklist from direct outcomes theory to a new domain of the university-to-work transition to mediate a dyadic win-win relationship between university careers advisors and graduate recruiters. The state progress checklist incorporates three endeavour elements - (i) potential, (ii) agendas, and (iii) effects; and nine themes - (i) resources, (ii) motivations, (iii) interactions, (iv) assumptions, (v) scenarios, (vi) plans, (vii) actions, (viii) outcomes, and (ix) reuses. The endeavour elements and themes are systematically applied to help envision, pursue, and achieve mutually beneficial relationships between both parties. The application of direct outcomes theory as a mediator of the relationship between university careers services and graduate recruiters offers synergy effects for both parties and helps overcome pre-existing barriers to collaboration and communication. Our paper applies the state progress checklist from direct outcomes theory to a new domain of the university-to-work transition to bridge research agendas across the education, vocational behaviour, and human resource management literature. We identify opportunities for university careers services and graduate recruiters to foster a win-win relationship by aligning their objectives and through the provision and receiving of support. These benefits subsequently transcend additional stakeholders, including university students, universities, and organisations. Moreover, Appendix 1 provides a summary sheet offering some potential questions for each of the nine themes across the three endeavour elements.  These example questions are not meant to be an exhaustive list. Their purpose is to act as a starting point for discussion and action. The university careers advisors and graduate recruiters could initially work through this sheet separately before working through the sheet a second time collaboratively.
An Exploration of the Role of Housing Equity as a Supplement to Retirement Income
Authors: Jaiyawala Yogesh , Maher John , Burke Richard , Byrne Sean
Published: May 2022

This paper explores the issues involving the use of equity in residential property as a source of supplementary income for the elderly (retirees and soon to be retired) in Ireland. Three focus groups were conducted to generate primary data. The research draws on the behavioural life-cycle hypothesis as an underpinning theory. The findings indicate that there seems to be a nascent interest in housing equity withdrawal among the elderly Irish. In terms of the different means of releasing housing equity, downsizing and rent-a-room appear to be the preferred choices, along with the use of equity release schemes (ERS) as a next preferred alternative. Furthermore, leaving a bequest is considered desirable but not necessary. These results contribute to the framing of public policy regarding retirement income.
Utilizing the date palm (Phoenix canariensis) seeds in the preparation of some special foods of high nutritional value
Authors: El-Dreny El-Shahat Gomaa , Shaheen Marwa Mustafa
Published: May 2022

This research was carried out in order to evaluate the benefits of date seed powder (DSP) by adding it to bakery products to enhance the nutritional value of these products and maximize the economic value of these wastes. Thus, the contents of the (DSP) were determined from the chemical composition, mineral elements, amino acids, fatty acids, phenols and flavonoids, afterthought DSP were added to the toast bread and crackers with a ratio of 5, 10 and 15 % as substitute of the wheat flour and then the organoleptic properties of these products were evaluated. The findings of these investigations revealed that the (DSP) contains important minerals, essential amino acids, unsaturated fatty acids and antioxidants, and all of these compounds have an effective effect on the health of the body. In addition, the Sensorial evaluation of toast bread and crackers were shown to be acceptable by the judges, and thus the possibility of adding DSP to bakery products.
Kortvarige brukerstyrte innleggelser som alternativ til tvangsinnleggelse hos pasienter med alvorlig selvskading
Authors: Kunøe Nikolaj , Antonsen Bjørnar Torske , Ebeling Benjamin , Bruun Sissel
Published: May 2022

Background: Treatment guidelines recommend that patients with extreme self-harm behavior avoid admission to psychiatric wards. Some patients may escalate their self-harm until admission is granted for safety reasons. The resulting admissions often result in escalating self-harm that is managed with coercive measures. To prevent negative, repeated episodes of acute admissions with escalating self-harm and coercion before discharge, Lovisenberg Diaconal Hospital in 2013 developed a service providing brief acute ward admissions by self-referral. This article presents the first survey of users’ satisfaction with this targeted self-referral service and reflections on further development and evaluation of the service.

Material and methods: In 2018, a total of 32 patients were enrolled in the self-referral service and were asked to respond to a survey on service satisfaction that included both multiple-choice and free-text responses. Twenty-three patients consented to participate. Group-based descriptive statistics of real-life service use was conducted to control for survey bias.

Results: The majority had been diagnosed with borderline personality disorder. A total of 16 respondents were satisfied or very satisfied with the self-referral service. About 40 % of the respondents had no new admissions following their enrolment in the self-referral service. Most respondents reported that the option of self-referral increased their everyday sense of safety and control, and emphasized the absence of emergency-room evaluation as a major advantage.

Conclusion: Users’ responses indicate that a self-referral service tailored to this small group of patients may enhance their sense of self-control and everyday safety and reduce the need to escalate the level of self-harm necessary to qualify for regular acute psychiatric admission. This is consistent with studies of similar services in other countries.

Keywords: long-term suicidal behavior, self-referral, brief hospital admissions, patient satisfaction
Russian Policy on the Syrian Civil War and Expansion of Influence in the Middle East
Authors:   The Institute of Middle East, Kim Kang-Suk
Published: May 2022

Given the foreign policy of Vladimir Putin supporting revival of a strong Russia, this study examines how Russia's intention to expand its influence in the Middle East was reflected in its policy on the Syrian Civil War. Russia’s intervention in the Syrian Civil War went beyond defeating ISIS, and instead was intended to provide a bridgehead for entry into the Middle East by defending the geopolitically important Assad regime. In addition, Russia attempted to secure its political position as a mediator of conflicts by leading various diplomatic initiatives. Above all, Putin sought to establish cooperative relationships with major regional political actors such as Iran and Turkiye, which could contribute to Russia’s expansion of influence in the Middle East.
Pengaruh Efektivitas Implementasi Dan Layanan Digital Pelni Mobile Terhadap Perspektif Pelanggan Selama New Normal Pandemic Covid-19
Authors: Kurniawan Johanes
Published: May 2022

Abstract:
Penelitian ini dibuat dengan merujuk pada para Pengguna yang menggunakan Layanan Digital untuk Pembelian Tiket di PT. PELNI.  Studi ini bertujuan untuk menganalisis Efektifitas Pelayanan Digital yaitu Aplikasi berbasis Mobile yang bisa memfasilitasi interaksi antar pemangku kepentingan yang terlibat dalam aktivitas Penumpang Melalui Moda Transportasi Laut secara efektif dan efisien selama  pandemi Covid-19. Aplikasi yang dibuat berdasarkan kebutuhan dari para pengguna Jasa Transportasi Laut serta industri Logistik. Penelitian ini menggunakan teori D&M information system success model oleh De Lone dan Mc Lean pada 2003. Pada penelitian ini terdapat enam indikator yaitu kualitas sistem, kualitas informasi, kualitas layanan, intensi pengguna, kepuasan pengguna dan manfaat bersih. Metode yang digunakan pada penelitian ini yaitu kuantitatif deskriptif. Dalam penelitian ini pengumpulan data dilakukan dengan menyebarkan 100 kuisioner kepada pengguna aplikasi Pelni Mobile. Penentuan sampel menggunakan rumus Slovin karena jumlah pengguna aplikasi pelni mobile sebanyak 1,049 pengguna. Penelitian ini menggunakan pendekatan kuantitatif dengan tipe penelitian deskriptif. Tipe penelitian deskriptif dipilih karena peneliti hanya bertujuan untuk menggambarkan efektifitas Layanan Mobile Aplication (PELNI MOBILE) dengan melakukan pengujian hipotesis. Metodologi yang dipergunakan dalam studi ini adalah dengan Metode Campuran (Mix Method), yaitu Kuesioner. Hasil penelitian menunjukkan bahwa semua hipotesis berpengaruh positif dan signifikan. Berdasarkan hasil uji analisis deskriptif bahwa Aplikasi Pelni Mobile dapat dikatakan Sangat Efektif dengan rata  rata dari penggabungan setiap indicator menghasilkan nilai sebesar 3,63 yang berada dalam rentang skala sangat efektif.
Keywords:  EFFECTIVENESS, APPS MOBILE, CUSTOMER PERSPECTIVE
PEMANFAATAN MINUMAN FERMENTASI KULIT MELINJO MERAH (Gnetum gnemon L.) TERHADAP KADAR ASAM URAT TIKUS WISTAR
Authors: Parhusip Adolf
Published: May 2022

Kulit melinjo merah mengandung senyawa fenolik dan flavonoid yang dapat menurunkan kadar asam urat pada darah dan urin. Tujuan dari penelitian ini yaitu untuk mengetahui pengaruh pemberian minuman fermentasi kulit melinjo terhadap kadar asam urat pada tikus wistar. Minuman fermentasi dibuat dengan menggunakan kultur Lactobacillus acidophilus, Streptococcus thermophilus, dan Lactobacillus casei (1:1:1, 1:1:2, 1:2:1, 2:1:1 4%). Formulasi dari minuman fermentasi kulit melinjo merah yaitu ekstrak kulit melinjo 4%, susu skim 5%, dan gula (4, 6, 8, 10%). Rasio BAL dengan perbandingan 1:1:1 dan gula 4% adalah formulasi terpilih berdasarkan nilai pH, TAT dan jumlah total BAL. Kandungan fenolik dan flavonoid juga akan dianalisis pada minuman fermentasi formulasi terpilih. Minuman fermentasi dengan ekstrak 4% diberikan terhadap tikus wistar untuk mengetahui pengaruhnya terhadap kadar asam urat dalam urine dan darah. Analisis fungsi hati dan fungsi ginjal juga dilakukan dengan menghitung nilai SGPT, SGOT, kreatinin dan BUN. Hasil penelitian menunjukkan bahwa minuman fermentasi kulit melinjo ekstrak 4% dapat menurunkan kadar asam urat dalam darah sebesar 55.1±1.01% dan dalam urine sebesar 59,9±1,21% pada hari ke-32. Ekstrak 4% dapat menurunkan kadar asam urat dalam darah sebesar 49.62±3.34% dan dalam urin sebesar 59.57±1.45%. Allopurinol dapat menurunkan kadar asam urat dalam darah sebesar 54.97±2.78% dan dalam urin sebesar 60.45±1.07%. Dengan demikian dapat dikatakan bahwa minuman fermentasi memiliki efektifitas penurunan kadar asam urat setara dengan allopurinol. Nilai SGPT, SGOT, kreatinin dan BUN masih didalam batas normal sehingga pemberian minuman fermentasi  dapat memelihara fungsi hati dan fungsi ginjal pada tikus wistar.
Assessment of Adrenal Computed Tomography Characteristics in Cats with Nonadrenal Disease
Authors: Gaisbauer Stefanie , Zeugswetter Florian Karl , Tichy Alexander , Rowan Conor , Ludewig Eberhard
Published: May 2022

Adrenal computed tomography characteristics (aCTc) in healthy cats are known, but reference intervals for diseased cats are lacking. aCTc of cats without evidence of adrenal disease (NAD group) were compared to parameters of cats with possible concurrent adrenal disease (PAD group). The PAD group was assessed for adrenal masses or other morphological deviations using the NAD group as reference. Associations of aCTc with patient variables were explored, and all results were compared with published aCTc of healthy cats. No incidental adrenal masses were identified in the PAD group (n = 92), and only few aCTc differed compared to the NAD group (n = 30). The NAD group showed similar associations of patient variables and aCTc as length (right: 11.5 ± 2.2 mm, left: 11.8 ± 1.7 mm), width (right: 6.4 ± 1.2 mm, left: 5.4 ± 0.8 mm), height (right: 4.5 ± 0.9 mm, left: 4.5 ± 0.8 mm), attenuation (right: 33.1 ± 5.0 Hounsfield units, left: 32.5 ± 5.3 Hounsfield units) and position, but markedly more mineralization (right: 10%, left: 13.3%) than reported in healthy cats. This study provides references of aCTc for diseased cats without evidence of adrenal disease. The result suggests that adrenal incidentalomas seem to be rare in cats.
Retrospective Study of Long-Term Outcome of Phacoemulsification in 22 Feline Eyes with Presumed Congenital/Juvenile Cataracts (2007–2020)
Authors: Bailey Kelsey , Webb Terah
Published: May 2022

The objective of this study was to determine the complication risk and prevalence after phacoemulsification in cats with presumed congenital/inherited cataracts. Twelve client-owned cats were included in the study. This retrospective study spanned 13 yr and involved 22 eyes. The median age at the time of surgery was 15 mo (range: 4.5–168 mo of age). Recorded complications were 3 eyes developed postoperative ocular hypertension, 1 eye developed glaucoma, 7 eyes developed feline herpes virus-1 signs, and 7 eyes developed postoperative uveitis >2 wk after surgery. No eyes had developed intraocular sarcomas at the time of their last exam. All eyes remained visual at last follow-up (range: 0.5–121 mo). Success was defined as a comfortable and visual eye without intraocular neoplasia, glaucoma, a partial or complete retinal detachment, or uveitis that occurred >2 wk after surgery or persisted longer than 2 wk. Twenty-one out of 22 eyes had a successful outcome. In this study, cats with presumed congenital/juvenile cataracts who underwent phacoemulsification had an excellent outcome.
O BRINCAR E AS ATIVIDADES MOTORAS NO TRATAMENTO DE CÂNCER INFANTIL: REVISÃO SISTEMÁTICA – PARTE II
Authors: Poletto Jéssica Eloá , Tolocka Rute Estanislava
Published: May 2022

O câncer infantil altera a rotina da criança e diminui possibilidades de brincar e praticar atividades motoras. O objetivo geral deste estudo foi realizar uma revisão sistemática sobre brincar e ou praticar atividades motoras em tratamentos de câncer infantil. Adotou-se o método de revisão bibliográfica indicada por Severino e utilizou-se os indexadores do portal de periódicos da CAPES. Foram encontrados 23 estudos com brincar e 21 estudos com atividades motoras em tratamento de câncer infantil. Foram encontradas evidências de que o brincar auxilia no enfrentamento do câncer, na adesão ao tratamento e na diminuição de sentimentos negativos e de comportamentos não-facilitadores, além de indícios de que o brincar pode ser utilizado para oferecer momentos de alegria em meio à dor e aos processos invasivos. Porém, estes estudos não consideram o lúdico como um fim em si mesmo, apenas como meio facilitador de adesão ao tratamento oncológico. Os estudos referentes à atividade motora e câncer infantil trazem indícios de que a prática de tais atividades é segura e viável e pode auxiliar as crianças nos aspectos físicos, sociais e psicológicos. Indicam ainda que a falta dela pode causar prejuízos em relação à tais aspectos, além do fato de que crianças expostas ao tratamento oncológico apresentam níveis baixos de atividade física. Os cuidados e os riscos dessa prática com crianças com câncer estão relacionados à verificação da pressão arterial e da temperatura antes de iniciar o programa. O estudo foi dividido em duas partes sendo que na primeira são apresentados os aspectos introdutórios e metodológicos. Pela segunda parte são mostrados os resultados, discussão e considerações finais.
VARIÁVEIS POSITIVAS EM ATLETAS UNIVERSITÁRIOS, UMA REVISÃO SISTEMÁTICA: PARTE II
Authors: Melo Sandro Victor Alves , Contreira Andressa Ribeiro , da Silva Ana Flávia Lopes Freitas , Amaro Guilherme Futoshi Nakashima , Faria Jaqueline Gazque , Xavier Caroline Carneiro , Fiorese Lenamar
Published: May 2022

O objetivo deste estudo foi revisar de forma sistemática a literatura acerca das variáveis psicológicas positivas investigadas em atletas universitários. As buscas foram conduzidas nas bases Lilacs, PsycINFO, PubMed, Scielo, Science Direct, Scopus, Sport Discus e Web of Science. Para a realização da revisão foram seguidas as indicações do modelo Preferred Reporting Items for Systematic Review and MetaAnalyses – Prisma. A análise dos dados e verificação dos indicadores das variáveis psicológicas positivas nos estudos foi realizada a partir da técnica de análise de conteúdo do tipo categorial. A revisão incluiu 11 estudos publicados no período de 2000 a 2020, com caráter quantitativo (91,0%) e qualitativo (9,0%), sendo predominante o delineamento longitudinal nas investigações (n=6; 54,6%). Os atletas participantes das pesquisas, de ambos os sexos, eram representantes de modalidades individuais e coletivas e competiam em nível nacional e internacional. A maioria das pesquisas foi desenvolvida no continente americano e o instrumento mais frequentemente utilizado foi o Adult Trait Hope Scale. Os resultados revelaram, com base na análise de conteúdo, que os indicadores encontrados nos 11 estudos foram agrupados em sete categorias de primeira ordem, sendo seis relacionadas à Psicologia Positiva (competência, fatores sociais, motivação, sentimentos, fatores pessoais e resiliência) e uma categoria contendo as demais variáveis (burnout, carreira atlética, desempenho acadêmico, desempenho atlético e estresse), sendo esta denominada outros fatores. Este estudo concluiu que há um enfoque da Psicologia Positiva sobre o esporte universitário, com pesquisas emergentes abordando o potencial do contexto esportivo sobre o desenvolvimento humano, virtudes e bem-estar dos atletas, abordando a investigação de competências, sentimentos, aspectos pessoais, sociais, motivacionais, bem como as capacidades dos atletas para enfrentamento de intervenientes no esporte e na vida acadêmica. O estudo é dividido em duas partes. Na primeira parte são apresentados os aspectos introdutórios e metodológicos. Na segunda parte são apresentados as discussões relacionadas aos resultados obtidos e conclusões do estudo.
Pesquisa e Inovação em Ciências da Saúde
Authors:   Priscila da Silva Castro,   Ana Cristina Viana Campos,   Pedro de Souza Quevedo,   Sergio Ricardo Siani,   Luciana Pereira Colares Leitão,   Letícia Dias Lima Jedlicka
Published: May 2022

É com grande satisfação que apresentamos o livro “Pesquisa e Inovação em Ciências da Saúde”, este livro centra-se em artigos que abordam a pesquisa e a inovação na área da saúde. Inovar, implica em trazer novos ares, buscar trabalhar um mesmo objeto sob uma nova ótica. A inovação em saúde se refere a uma nova forma de atuar, seja com a introdução de novas tecnologias e/ou protocolos, com o enfoque na melhoria dos serviços prestados para a população, visando melhorar a qualidade de vida das pessoas, com aumento da precisão diagnóstica e da definição mais adequada de terapêuticas, melhoria da satisfação dos usuários, alinhados à redução de gastos e dos custos nos serviços de saúde. A organização deste livro, considerou então, pesquisadores compromissados no desenvolvimento de trabalhos que busquem melhorias para a saúde da população. Dividido em oito artigos, que irão abordar de forma interdisciplinar trabalhos desenvolvidos em diferentes regiões do país, abordando questões centrais para a área da saúde com temáticas desde a validação, construção e avaliação de instrumentos e ferramentas na área da saúde, diferentes abordagens às doenças negligenciadas como as arboviroses, dentre elas a dengue e o chikungunya, relação entre saúde mental e o contexto pandêmico, riscos adicionais para Toxoplasmose na pandemia por Covid-19 e, avaliação de dor em pacientes internados em Unidades de Terapia Intensiva, tornando-se uma obra relevante tanto aos discentes em formação, quanto aos pesquisadores e profissionais de saúde como um material de qualidade para consulta e atualização, tão necessárias. Estudar, trabalhar e pesquisar saúde no Brasil, ainda pode ser considerado por muitos um ato de coragem, dadas às inúmeras adversidades encontradas na consolidação de um sistema de saúde plural, capaz de atender e acolher as demandas da nossa população. Assim, é nosso desejo, que a leitura desta obra contribua para a ampliação do conhecimento científico, de acadêmicos, pesquisadores e profissionais das áreas da saúde, inspirando novos olhares e hipóteses, que conduzam ao desenvolvimento de pesquisas na área de inovação em ciências da saúde no Brasil.
ESTUDOS DOS EFEITOS DAS MUTAÇÕES L81N, I88N, L81N-I88N E L50S NA PROTEÍNA CAPSÍDICA DO VÍRUS DA DENGUE DINÂMICA MOLECULAR
Authors: Stoque Rafael Mesquita , Gomes Diego Enry Barreto , Pascutti Pedro Geraldo
Published: May 2022

Neste trabalho, simulações de dinâmica molecular foram realizadas com as proteínas mutantes L81N, I88N, L81NI88N e L50S, a fim de entender o efeito dessas mutações na estrutura e estabilidade dessas proteínas. Os dímeros formados por proteínas contendo mutações simples (L50S e I88N) apresentaram menor estabilidade quando comparados aos formados pela proteína C selvagem, sugerindo um papel importante desses resíduos hidrofóbicos para a estabilidade do dímero. Os resultados também mostraram que as mutações permitem a entrada de água no ambiente. estabilidade das proteínas. Os dímeros formados por proteínas contendo mutações simples (L50S e I88N) apresentaram menor estabilidade quando comparados aos formados pela proteína C selvagem, sugerindo um papel importante desses resíduos hidrofóbicos para a estabilidade do dímero. Os resultados também mostraram que as mutações permitem que a água entre no dímero hidrofóbico, mas sem alterar significativamente a estrutura secundária e terciária dos monômeros.
The Effect of Aerobic Exercises on Pain in Patients with Diabetic Peripheral Neuropathy
Authors: Ullah Naimat- , Waqas Muhammad Sharif , Sadiq Umar , Zafar Amirah , Batool Afifa
Published: May 2022

Background: Evidence has suggested that exercises have always been part of diabetes controlling programs in past and recent years. But recently new improvements have been noticed regarding use of Aerobic exercises in controlling variation in symptoms of diabetes type 2 especially neuropathic pain. It has been proved that Aerobic exercises are much useful in controlling neuropathic symptoms than simple exercises. Objective: This study was to determine the impacts of aerobic exercises on pain in diabetic neuropathic patients. Methodology: A randomized controlled trial was done on 80 patients who fulfilled inclusion criteria of diabetic neuropathy having 40 to 70 years of age with no serious systemic illness and sensitivity. Coin toss method was used to randomize the patients in two groups in the Physical therapy department of District Head Quarter Hospital Layyah, Pakistan. Baseline measurements and demographic data were taken before starting exercise plans. Patients were divided into two groups (group A) treatment group and (group B) control group. Treatment plan consisted on 10 weeks program. Group A was given Aerobic exercises plan like cycling, treadmill walking and Group B was given Strengthening exercises like pulley exercises, dumbbell exercises for a period of 30-minute session thrice a week initially which was later on increased to Four days a week. Data was analyzed through SPSS version 20. Paired t test were used to analyze the data. Results: The Physical Exam score within group showed before treatment 5.53± .91 and after treatment was 1.07±.59 (<0.001*) and it showed significant improvement with the intervention of aerobic groups. Mean difference of pre-test post-test score in strengthening group was 2.19±.40 and in aerobic group was 4.76±2.66 (P=0.010) showed there was significant difference between mean score of both groups. Mean score of pain in aerobic group in measurement was 79.1± 8.9 and after treatment was 39.2± 8.4 (<0.001*) showed significant effect with intervention of this group Conclusion: Aerobic exercises improve the intensity of pain in diabetic neuropathy patients while control group have no improvement of pain. While both experimental and control group showed some improvement regarding muscle tone and strength by exercises but intensity of pain only improved by Aerobic Exercises. Keywords: Aerobic exercises, Diabetes, Pain management, Peripheral Neuropathy, Resistance exercises
Risk Factors for Blood Transfusion during Caesarean Section
Authors: Shaikh Aneela Gul , Shaikh Varisha Fatima , Nasim Muhammad Taha , Farid Eisha , Ali Shajeea Arshad , Azim Dua , Afzal Hadiya , Iqbal Kinza , Iqbal Ayman
Published: May 2022

Objective: To assess the risk factors and evaluate the association of blood transfusion with neonatal outcomes. Study Design: Prospective study Place and Duration of Study: Department of Obstetrics & Gynaecology, Lady Willingdon Hospital, Khairpur Mir’s Pakistan from 1st June 2021 to 31st December 2021. Methodology: Nine hundred and fifty seven women who underwent C-sections were enrolled. The maternal socio-demographics and comorbidities, obstetrics and operative factors, indications for C-section, and neonatal outcomes were recorded. Results: The results revealed that high maternal weight and age, preoperative anemia, placenta previa or abruption, antepartum hemorrhage, third trimester bleeding, multiparity, assisted reproductive technology (ART), prophylactic anticoagulation, and prolonged labor were significantly associated with transfusion during C-section. However, prior uterine scar or atony, previous C-sections, multiple births, diabetes, fibroids, Human immunodeficiency virus (HIV), type of C-section, the cadre of the lead surgeon, surgery type, failed induction or instrumentation, fetal distress, malpresentation, and adhesions were not significantly associated with blood transfusion. There was no significant difference in birth weights of neonates from the two groups. Conclusion: Healthcare professionals should stay cautious when dealing with parturients exhibiting such risk factors. Timely arrangement and transfusion of blood in these women can help reduce maternal mortality. Key words: Caesarean section, Blood transfusion, Risk factors, Postpartum hemorrhage, Antepartum hemorrhage
Assessment of Inflammatory Biomarkers as Predictor of Mortality in COVID-19 Patients
Authors: Hafeez Muhammad Mansoor , Khan Muhammad Tahir , Shakoori Tania Ahmed , Mahmood Waqas , Khalid M. Sohail , Rana M. Asim , Raza Sitara
Published: May 2022

Background: In individuals with coronavirus, a cytokine storm is an important cause of illness and demise. The purpose of the study was to assess whether pro-inflammatory cytokines had an impact on progression and risk of mortality in patients with COVID-19. Study Design: Retrospective study Place and Duration of Study: Intensive Care Unit (ICU) and Medical Wards, Bahria Town International Hospital from 21st August 2020 to 17th September 2021. Methodology: One hundred and thirty-six patients of confirmed cases of COVID-19 disease were enrolled. Their demographic, blood and biochemical parameters were collected within 48 hours after admission from the medical record of patients. Patients were divided into two groups according to the final outcome, the survivors and non survivors. The data were investigated to assess the prognostic importance of the blood marker and inflammatory variables for the prognostic importance. Results: The mean age and body mass index (BMI) were statistically higher in the non-survivors than in the survivors (p=0.017 and 0.03 respectively). For those with asthma and chronic obstructive pulmonary disease, the number was statistically higher in non-survivors (p = 0.002 and 0.04, respectively). The inflammatory markers concentrations of CPR, D. Dimer, serum ferritin, procalcitonin, and interleukin-6 were significantly higher within 48 hours of admission for non-survivors (p = 0.003, 0.007, <0.001, 0.015, and <0.001 respectively). Except ferritin levels, multi-variate logistic regression analysis exhibited that the CRP, D. Dimer, Procalcitonin and IL-6 were associated statistically significant higher risk of mortality (OR 1.235, p=0.007, 95% Cl 5.621-42.652, OR 1.906, p=0.003, 95% Cl 1.481-1.982, OR 3.967, p=<0.001, 95% Cl 4.256-23.981, and OR 7.589, p=0.009, 95% Cl 4.561-113.852 respectively). Conclusion: The inflammatory markers have the prognostic importance in patients suffering from covid-19 infection as we found higher levels of these markers were related with the poor prognosis. Keywords: Inflammatory markers, Corona virus, Prognostic markers, Interleukin -6, Mortality
Comparison of Outcome of Renal Transplant with and Without Double J Stenting
Authors: Majeed Abdul , Rahim Jamshed , Hussain Nadir , Ibrahim M. Nasir , Rahim Jamil , Akhtar Hadia
Published: May 2022

Background: Renal transplant is definitive treatment for chronic renal disease. Renal transplant involves three anastomosis, renal artery, vein and ureter. Some surgeons prefer urinary stenting for prevention of urinary complication like urinary leakage, while others do not. Still there is controversy whether to use or not use intraoperative stenting. The purpose of this study is to share experience of renal transplant with and without stenting. Objective: To compare the outcome of renal transplant with and without intraoperative placement of Double J Stent Study Design: Comparative study. Place and Duration of Study: Department of Urology and Kidney Transplantation, Shaikh Zaid Hospital, Lahore from 1st January 2014 to 31st December 2015. Methodology: One hundred and eight patients with chronic kidney disease had renal transplant. Randomly, 54 patients transplant was done with stenting and in 54 patients transplant was done without stenting. The patients were followed up for presence of urinary leakage. Results: Among 54 renal transplants with stenting, no urinary leakage was found (0%), while in 54 patients without stent placement, urinary leakage was observed in 2 (3.7%) patients. (p=0.153, i.e. >0.05) Conclusion: Ureteric stenting is not mandatory for renal transplantation. Frequency of urinary leakage among patients with renal transplant with stent was low while no leakage was seen with stenting. Difference in rate of urinary leakage with and without stenting was not statistically significant. Keywords: Live related renal transplant; Intraoperative DJ stenting; Urinary leakage
Incidence of Hypocalcemia in Women Suffering from Preeclampsia
Authors: Haroon Madiha , Zubair Hina , Mudassir Asma Qamar , Perveen Saima , Fatima Aurooj
Published: May 2022

Objective: To estimate the incidence of hypocalcemia in women suffering from preeclampsia. Study Design: Cross sectional study. Place and Duration of Study: Department of Obstetrics & Gynaecology, Pakistan Railway Hospital Rawalpindi from 1st July 2020 30th June 2021. Methodology: One hundred women with preeclampsia were suffering from high blood pressure and amenorrhea 32 weeks’ pregnant women with parity between 0-5 were enrolled. They were divided in two groups. Group A consisted of normal pregnant women while Group B consisted of pre-eclamptic pregnant women. Blood pressure was taken at three various times using a mercury based sphignomometer. Urine analysis was initially performed as a confirmation of preeclampsia. Serum Calcium levels were determined through calorimetric method using Human Diagnostic kits (Germany). Results: The study highlighted the fact that majority of the pre-eclamptic women such as 54% were educated. There was a significant difference in primigravida of group A and Group B with p value <0.05. Conclusion: Significant association was found between hypocalcemia and preeclampsia among pregnant women. Keywords: Preeclampsia; Pregnancy; Serum calcium levels; Significance
Effectiveness of Beta Blockers against Hypertrophic Cardiomyopathy
Authors: Yousaf Muhammad , Khan Munir Ahmad , Tahir Muhammad , Hayee Pir Abdul , Butt Maleeha Tahir
Published: May 2022

Objective: To determine the efficacy of beta adrenergic blockers against hypertrophic cardiomyopathy. Study Design: Retrospective study Place and Duration of Study: Khyber Teaching Hospital Peshawar from 1st April 2021 to 30th September 2021. Methodology: All the data was retrieved from the medical files of the patients who were registered as out/indoor patients at cardiology department. The sample size for this study was taken as 110 patients and age was between 5-76 years. Each patient complete information regarding age, gender, clinical history, comorbidity history, clinical symptoms, clinical assessment results, echo and ECG results was documented on a well-structured questionnaire. Patients were given beta blockers for two-year time and the effectiveness of various beta blockers was recorded. Results: There were 57.27% males while 42.73% were females. Patients where increased left ventricle outflow-tract such as LVOT was observed the efficiency of beta blocker was significantly reduced. A value of LVOT ≥50mmHg was presented in patients of the later ages while LVOT <50mmHg was seen in young and pediatric cases. Conclusion: Beta adrenergic blockers showed great effectiveness against hypertrophy cardiomyopathy. Keywords: Hypertrophy cardiomyopathy, Intervention, Beta blockers, Left ventricle
The importance of assessing the SMA margin in patients undergoing pancreaticoduodenectomy
Authors: Jeyarajah D. Rohan , Osman Houssam , Dietemann Daniel , Jeyarajah D. Rohan
Published: May 2022

Aim: The purpose of this study is to examine the true incidence of superior mesenteric artery (SMA) positivity in patients who have superior mesenteric vein (SMV) positivity while undergoing pancreaticoduodenectomy (PD) for pancreatic adenocarcinoma (PDAC).

Methods: All patients who underwent PD for PDAC between January 2005 and December 2011 were retrospectively identified from our database. Patients deemed resectable by NCCN guidelines, protocol CT scans, and endoscopic ultrasound were included. The PD specimen was inked using five colors to specifically identify and study the SMV and SMA margins. We also analyzed and compared R1-sub groups (R1A group- SMA and SMV positive; R1B group - SMV positive, SMA negative).

Results: 98 patients underwent PD for resectable pancreatic adenocarcinoma. 75 patients (76.5%) were found to have negative surgical margin on final pathology (R0 group) while 23 patients (23.4%) had positive SMV margins (R1 group). In the R1 group, 11 patients (47.8%) were found to have positive SMA margin (R1A group) and 12 patients were SMV positive and SMA negative (R1B group). No statistically significant survival difference was noted between R0 and R1 or between R1-A and R1-B.

Conclusion: This study demonstrates that with careful inking of the SMA and SMV margins, there is a high rate of concurrent SMA positivity in those patients that are SMV positive. There was no impact on survival. Accurate margin assessment is critical by careful examination and inking of the SMA and SMV margin.
Dental occlusion: A newly proposed tetrahedral theory of occlusion
Authors: Odogun Loto Adolphus
Published: May 2022

Dental occlusion constitutes an important subject that cuts across many disciplines in the field of dentistry. There have been raging debates on occlusion and articulation with different opinions on theories and concepts. The raging debates have resulted into two schools of thoughts namely: the gnathological school of thought and the neuromuscular school of thought. The objective of this article was to show the interdependence and inter-relationship of the two schools of thought by proposing a new mechanical theory upon which the neuromuscular school of thought can be super-imposed. To this end, a tetrahedron is considered as the unifying geometrical figure upon which the new theory of occlusion is based. Thus, the various established theories and concepts of occlusion can adequately be explained using the tetrahedron’s characteristics. Consequently, a new theory of occlusion to be called the tetrahedral theory of occlusion is hereby presented to the dental professionals for further objective critique.
Diurnal Avifaunal Species in the Designated Mangrove Eco-park in Cabadbaran City, Philippines
Authors:   Faculty of Caraga State University Cabadbaran Campus, Cabadbaran City, 8605 Philippines, Anunciado Japhet D. , Budiongan Ailene B. ,   Faculty of Caraga State University Cabadbaran Campus, Cabadbaran City, 8605 Philippines, Angeles Wennie C. ,   Faculty of Caraga State University Cabadbaran Campus, Cabadbaran City, 8605 Philippines, Budiongan Franklin C. ,   Faculty of Caraga State University Cabadbaran Campus, Cabadbaran City, 8605 Philippines
Published: May 2022

The Cabadbaran Mangrove Eco-Park (CaME) intends to rehabilitate and establish eco-tourism through nature immersion and birdlife watching. However, baseline assessment of avifauna is lacking. Thus, this study aimed to identify the composition of diurnal bird species present in the designated mangrove eco-park, determine the diversity, dominance and evenness of the mangrove avifauna, and compare the bird species richness in the three sites. A total of 36 avian species representing 24 families and 9 orders were recorded during the study. Among the 373 individuals documented, 181 were found in abandoned fishponds which is 49% of all bird individuals; while C. hybrida, T. stagnatilis, and E. garzetta were the most abundant species. Shannon-Wiener diversity index revealed that mangrove site (H’=2.78) was the most diverse among the three sites which can be attributed to the presence of lush vegetations. Conversely, dominant species were recorded in the abandoned fishponds which were composed of migratory species mostly. There was a significant difference of species richness in mangrove site compared to other sites since species richness was highly influenced by vegetations. Moreover, this study also documented the first scientific record of migratory species in the area, which could be one of the stopovers of migratory species. Henceforth, the es
A PESQUISA EM PSICANÁLISE NA POS-GRADUAÇÃO EM PSICOLOGIA NA UNIVERSIDADE
Authors: Bezerra do Monte Jaime
Published: May 2022

A presente pesquisa configura-se como uma atualização dos dados de uma pesquisa realizada durante o mestrado do autor. Esse trabalho procurou responder a seguinte questão: como está caracterizada a pesquisa em psicanálise na universidade? O trabalho teve como objetivo estudar as características da pesquisa em psicanálise na universidade, especialmente na pós-graduação. Como método, foi realizada uma análise do tipo bibliográfica e documental em virtude da sua adequação ao objeto de estudo. Procurou-se discutir a relação entre psicanálise e universidade a partir do interesse de Freud em ensinar a psicanálise no Ensino Superior; permitindo, assim, a presença da pesquisa psicanalítica também na pós-graduação. A relevância da teoria e da prática clínica em psicanálise e a busca da compreensão da relação psicanálise e pesquisa justificam a realização do presente estudo.
intrinsic and extrinsic motivation on the performance of midwife in community health center
Authors: Resubun Restituta Maria Salome , Razak Amran , Arifin Alwi , Indar Indar , Malloangi Anwar , Thamrin Yahya
Published: May 2022

Motivation is a condition that encourages or causes someone to do an act or activity, which takes place consciously. This study aims to analyze the effect of intrinsic and extrinsic motivation on the performance of midwives in community health centers. This type of research is qualitative research with a snowball sampling design. The sample is a midwife who is assigned to the book of Kesehatan Ibu dan Anak (KIA) at Asologaima community health center, Jayawijaya Regency, Indonesia. The results showed that there was no effect of work performed on the performance of health midwives. There is no influence between recognition, responsibility, incentives, work relations, and working conditions on the performance of midwives. Therefore, it is hoped that the government will pay more attention to incentives for health workers, especially midwives at a community health center increasing working hours.
Il ripugnante: oltraggio e contraddizione
Authors: Tedeschini Marco
Published: May 2022

For the past twenty years, the relationship between politics, morality and disgust has been resolved into a denunciation of the injustices perpetrated in the name of this emotion. However, no compelling reasons have been brought forward to release the suspicion that the condemnation is merely a corollary of the dominant liberal ideology. I will exemplify this weakness by analysing the theory of disgust proposed by Debra Lieberman and Carlton Patrick in 2018 (§§ 2-3). I will offer a different empirical basis for articulating an adequate answer to the question “what is disgust?” (§4). I will use some acquisitions from philology to exemplify the moral and political scope of disgust (§5). I will propose an “ontological” definition of disgust (§ 6), based on which I will distinguish between disgust and its ethical and political use to justify oppression and discrimination. This use must be replaced by explicating the reasons that justify such oppression and discrimination (§ 7). The fact of not being able to give reasons for such behaviours every time they occur opens up a breach in the direction of a more free and thus more just society.
Blockchain in Healthcare from a Neutrosophic Analysis
Authors:   Regional Autonomous University of the Andes (UNIANDES), Ambato, Ecuador, Jaramillo Kenia Peñafiel ,   Regional Autonomous University of the Andes (UNIANDES), Ambato, Ecuador,   Regional Autonomous University of the Andes (UNIANDES), Ambato, Ecuador, Quilambaqui Jhofree Prado , Yanez Jorge Marcelo Quintana
Published: May 2022

According to experts, the blockchain is very suitable for supply chains, as it streamlines processes and reduces their complexity. Both the pharmaceutical and health sectors can take advantage of their potential since, having different intermediaries, processes can become inefficient on many occasions. Blockchain contributes to bringing order and automation. The pharmaceutical sector has been one of the ones that have obtained the most advantages from this technology. Getting a drug out of the box is a long and expensive process that can take a long time between studies and clinical trials and all the regulations. However, if it is possible to gather all the information needed to complete the process of bringing a new drug to light so that it is available immediately and with all the safety guarantees and improve its management, speed up the process. Therefore, blockchain is the most appropriate technology, although the ability to government bodies to recognize the network's benefits is hampered. This study is focused on determining the level of integration of Blockchain technology in the health sector, and the level of acceptance and contradiction in the adoption of the new technology in the community through the application of the neutrosophic Iadov method.
Safety and Efficacy of Postoperative Nonsteroidal Anti-inflammatory Drugs in Sports Medicine
Authors: Trasolini Nicholas A. , Yanke Adam B. , Verma Nikhil N. , Cole Brian J.
Published: May 2022

Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used for multimodal pain control after surgery. These medications work by selective or nonselective inhibition of cyclooxygenase, which has downstream effects on thromboxanes, prostaglandins, and prostacyclins. Clinical studies have shown beneficial effects for alleviating pain and reducing opioid consumption after surgery. Within hip arthroscopy, there is evidence that postoperative NSAIDs can also reduce the risk of symptomatic heterotopic bone formation. However, preclinical and animal studies have raised concern over the effect of NSAIDs on bone and soft-tissue healing. In addition, selective and nonselective cyclooxygenase 2 inhibitors may have different safety profiles regarding postoperative soft-tissue healing. The purpose of this review was to outline the mechanisms of action, efficacy, and effect on soft-tissue healing of postoperative NSAIDs and to provide evidence-based recommendations for appropriate use.
Constructivism and Pedagogical Practices of Science Teachers
Authors:   DepEd City of Manila, R. Chan Joefrey , A. De Borja Joanna Marie , L. De Vera Jayson , G. Himoldang Jhun , V. Lansangan Ryan , M. Mercado Mark Gill , Dr. Samala Hazel , A. Soliman Abegail ,   Philippines Normal University,   National University,   University of Sto. Tomas,   Central Luzon State University,   Polytechnic University of the Philippines,   DepEd San Juan City
Published: May 2022

This study generally aimed to determine how the theory of constructivism has been translated into pedagogical practices of science teachers among the selected schools in Metro Manila. The study utilized case study adapting passive observation, document analysis and semi-structured interview in the data gathering and thematic interpretation in data analysis. Results uncovered that teachers’ practices of planning learning episodes elicit active engagement as an evidence of meaning making. Various learning activities have been conceptualized to thoroughly activate prior knowledge on essential information and concepts and link these to new knowledge being introduced in the lesson through designed activities. The art of questioning has been observed to initiate and induce engagement among learners and was evident in the implementation of different strategies such as pre-assessment, reflection, collaboration, and use of language. Assessment procedures planned and implemented by teachers embodied a constructivist approach in terms of assessing students’ understanding of concepts, creation of new knowledge, and integration of ideas to other disciplines. Results of the study further implied to revisit the curricular preparation of teachers in terms of its alignment to the various postulates of constructivist-approach of teaching and learning.