bluuebunny/crossref_metadata_2025 huggingface dataset:
Obstrucción intestinal por tumor neuroendocrino de íleon. Reporte de un caso
Authors: Rodríguez Martin Arelis De las Mercedes , Gónzalez Labrada Juan Carlos , Ruesca Domínguez Cristina , Hernández Fernández Diana Maite , Pérez Janette Cartaya
Published: October 2022

Los tumores neuroendocrinos bien diferenciados son raros, de crecimiento lento, pueden originarse en múltiples órganos como páncreas, timo, tiroides, ovarios, piel, etc., aunque son más frecuentes en el sistema bronquial y tracto gastrointestinal. Su presencia puede pasar imperceptible por años, sin síntomas ni signos detectables. Constituyen solo 0,5 % de los tumores malignos y 2 % de los tumores del tracto gastrointestinal, son diagnosticados con relativa frecuencia en apéndice y recto, pero su presencia en íleon se considera esporádica. Se presenta el caso de un paciente masculino de 31 años de edad, que durante dos años presentó dolor abdominal, náuseas y vómitos, interpretado y tratado como cólico nefrítico. Por la persistencia del dolor y anemia, se realizó drenaje biliar con diagnóstico de Necátor americano, imponiéndose tratamiento con mejoría clínica. Al presentar dolor abdominal agudo, distención abdominal acentuada en posición de pie, es valorado por Gastroenterología, se indicó Rx de abdomen simple observándose signos de oclusión intestinal baja. Se decidió intervención quirúrgica de urgencia, hallándose tumor en región distal del íleon, no detectado en estudios de imágenes realizados; el diagnóstico anatomopatológico fue tumor neuroendocrino bien diferenciado. La obstrucción intestinal por este tipo de tumor ha sido escasamente reportada, y su diagnóstico es habitualmente incidental, lo que nos motivó a presentar este caso.
La diabetes mellitus como problema de salud pública y su epidemiología
Authors: Aburto López Irma Araceli , Cardoso Gómez Marco Antonio , Ponce López María Luisa , Zarco Villavicencio Alejandro Sotero , Robles Aguirre Bernardo Adrián , Mestas Hernández Lilia
Published: October 2022

La diabetes mellitus es considerada actualmente un problema de salud pública a nivel internacional, es por ello que el objetivo de este trabajo es efectuar una revisión documental de la productividad científica con relación a esta enfermedad. Para esto, se realizó un rastreo de información con motores de búsqueda en internet. La selección de los documentos identificados fue conforme a lo requerido para el estudio; los hallazgos se examinaron, compararon y analizaron; posteriormente se efectúo una sinopsis. Se presentan aspectos sobresalientes que sitúan a la diabetes mellitus como un problema de salud pública, su epidemiología, los determinantes causales de la misma, los factores de riesgo, los estilos de vida, las secuelas de la enfermedad, el manejo no farmacológico y las acciones para evitarla. Además, evidencia los vacíos de atención para la salud, la multicausalidad de la enfermedad y de sus complicaciones, así como, la complejidad de su manejo y prevención, con propuestas de intervención individual, colectiva, multidisciplinaria y social, acorde a la vanguardia ideológica de la Salud Pública.
PRÁTICAS EM SAÚDE NO CRAS: CONSTRUINDO UM PLANO DE INTERVENÇÃO
Authors: Louzeiro Letícia Pereira , Souza Thais Coutinho , Araújo Maria Gabriela do Nascimento , Barros Marcelly de Oliveira , Alves Mateus Egilson da Silva , Damasceno Roniel Sousa
Published: October 2022

O presente estudo tem como objetivo relatar o desenvolvimento de um plano de intervenção com atividades participativas, tendo como público-alvo um grupo de idosos de um Centro de Referência da Assistência Social (CRAS) do estado do Piauí. O plano teve como principal finalidade promover ações de promoção e prevenção em saúde, abrangendo demandas relacionadas ao processo de envelhecimento e cuidado em saúde, bem como suas implicações biopsicossociais. Assim, a partir da construção de estratégias e metodologias participativas e integrativas, buscou-se contemplar a população idosa assistida e suas famílias, como também os profissionais que compunham a instituição e a comunidade a qual esse dispositivo se insere. Para tanto, foram traçadas sete atividades interventivas de curto, médio e longo prazo abarcando novas concepções sobre o processo de envelhecimento com o grupo, assim como a equipe técnica de profissionais responsáveis, atores sociais da rede socioassistencial e com a Secretaria de Assistência Social. Por fim, ressalta-se a importância do manejo com a população idosa, a fim de compreender as suas peculiaridades e seus atravessamentos e a partir disso pensar em intervenções que sejam significativas, promotoras de bem-estar, qualidade de vida e cuidado aos indivíduos assistidos.
Pengaruh Gangguan Ritme Sirkadian Dengan Kejadian Diabetes Melitus Tipe 2
Authors: Sumbarwoto Andityo , Isbandiyah Isbandiyah , Nelasari Halida , Rarung Geovani
Published: October 2022

Globally, it is estimated that around 422 million adults had diabetes in 2014. Diabetics then have a higher risk of developing other diseases, such as: stroke and heart attack. Circadian rhythm disorders such as sleep disorders are one of the factors causing type 2 diabetes mellitus. This study isintended to increase knowledge and as a basis for further research on the effect of circadian misalignment in type 2 diabetes mellitus and to determine the effect of sleep disorders on type 2 diabetes. This research is a literature review with a database of articles on Google Scholar, PubMed, and Science Direct from 2016 to 2021 from national journals, and international journals indexed by Scopus and ISSN. Circadian misalignment discussed in this study is that sleep disorders affect the incidence of type 2diabetes mellitus. Lack of or little sleep will affect type 2 diabetes mellitus. This effect is mediated by a number of hormones such as melatonin, cortisol, leptin, and ghrelin. There is an effect of circadian misalignment on the incidence of type 2 diabetes mellitus.
Dampak Akibat Implementasi Program JKN Terhadap Biaya Kesehatan di Fasilitas Kesehatan Tingkat Lanjutan
Authors: Arofah Annisa Nurul , Noor Viva Maiga Mahliafa , Setyawan Febri Endra Budi , Shihab Dafa Azmi Syauqi
Published: October 2022

The current implementation of JKN brings major changes in the health care and financing system, especially in hospitals. The payment system in hospitals has changed, which previously used a fee-for-service system, was changed to a prospective payment system using the INA-CBGs rate and BPJS Kesehatan was appointed as the implementing institution for the program. The INA-CBG's payment system was chosen because it is possible to control health costs, encourage quality services according to standards, limit unnecessary or excessive health services and encourage providers to carry out cost containment. This study aims to determine the impact of the implementation of the JKN program on health costs in FKTL. This research is a literature review (narrative review) by conductinga literature review of 12 journals. Journals were obtained from Google Scholar and PubMed searches with the keywords Impact of JKN on Healthcare Costs in FKTL OR Hospitals which were selected with the criteria of national and international journals with good reputation and indexed by SINTA and SCOPUS which were published no later than 2016. the purpose of this study and passed the selection. The results of the analysis show that the impact of JKN, especially on health costs, has an effect on the pattern ofJKN utilization by the community, patient satisfaction, hospital efficiency, Gross Profit Margin and Net Profit Margin of hospitals, and has an effect on hospital income. It can be concluded that there has been an influence on FKTL since the JKN era entered Indonesia.
Pilonidal Cyst with Malignant Degeneration: A Case Report
Authors: Lopez Liliana Cuevas
Published: October 2022

Introduction: Pilonidal cyst is a frequent surgical pathology with low risk of malignancy.Here, we present a case of a chronic pilonidal cyst with transformation to skin squamous cell carcinoma.

Case presentation: A 67-year-old male patient with a chronic presentation of injury in the sacrococcygeal region with occasional bleeding that got worse with progressive growth and purulent discharge. Initially was treated as a soft tissue infection with oral antibiotics but did not solve.A skin biopsy reported a squamous cell carcinoma, extension studies showed no secondary disease of the lesion. The patient was treated as if he was diagnosed a squamous cell carcinoma of the anal margin. Treatment was initiated with Nigro protocol chemoradiotherapy and wide local resection of the lesion with oncological margins of 1cm with success.

Discussion: The pilonidal cyst is an episodic inflammatory disease in the sacrococcygeal zone that usually responses to antibiotic treatment and surgery if it’s necessary, malignant degeneration is rare, might it be related with chronic inflammation that affects repair mechanisms and create a predisposition for malignancy. The optimal treatment is in bloc surgical resection with tumor-free margins and complementary treatment depends on the histology.

Conclusion: This is an uncommon case of a Pilonidal cyst with transformation to skin squamous cell carcinoma managed with Nigro protocol chemoradiotherapy and wide local resection. This case will give surgeons another tool to treat this condition.
Juvenile Glaucoma Related to Pineal Tumor Post Ventriculoperineal Shunt Procedure: A Case Report
Authors: Satria Elan , Fitratul Ilahi
Published: October 2022

Background: Glaucoma is a cause of irreversible blindness worldwide. This study aims to describe a case of juvenile open-angle glaucoma with a history of post-ventriculoperitoneal shunt perineal tumor.

Case presentation: A 27 years old man came with complaints of blurred vision in both eyes about 2 years ago. The vision in both eyes is felt to be progressively decreasing, almost the same in both eyes. Blurred vision felt suddenly while driving 1 year ago. The patient had been diagnosed with a pineal tumor and underwent surgery to install a ventriculoperitoneal (VP) shunt for hydrocephalus indications 3 years ago. The patient also underwent radiotherapy 26 times for the treatment of the pineal tumor. Ophthalmological examination revealed 20/80 OD and OS vision; not advanced with pinhole, no eyelid edema, intraocular pressure OD 21 mmHg, OS 23 mmHg. Visual fields index on OD 85% and OS 81%. Central corneal thickness (CCT) examination showed CCT of the right eye at 541  mm and left eye at 547 mm. The results of a brain CT scan showed that there was a heterogeneous solid mass with calcification and cystic (necrotic) in the pineal region. This patient was diagnosed with juvenile glaucoma with bilateral papillary atrophy et causa pineal tumor post VP shunt. The therapy given was latanoprost 1 drop/day ODS and Cendo Lyteers 1 drop/6 hours ODS, and Thymol 0.5% 1 drop/12 hours ODS.

Conclusion: Monitoring and evaluation of staging and clinical progression of glaucoma patients with increased intracranial pressure is a condition that needs attention. The correlation between the two is the involvement of the lamina cribrosa in the form of a translaminar pressure gradient.
Assessing the Expeditiousness of Existing Strategies for Preventing and Countering Youth Radicalization through Prison’s Aspect of Criminal Justice System in Isiolo County, Kenya
Authors: Olwenyo James Francis Otieno , Ater Erick Onyango
Published: October 2022

This study investigated the expeditiousness of existing strategies for preventing and countering youth radicalization through the Prisons aspect of the criminal justice system in Isiolo County, Kenya. This study was premised on three theories: frustration-aggression theory, rational choice theory, and criminal justice theory. The study area was Isiolo County. Isiolo County is located almost in the centre of the country, 285 km north of Nairobi. Its capital, Isiolo Town, lies along the main highways leading to both Moyale, Ethiopia, and to Somalia. Though Islam and Christianity are practiced in Isiolo County, the inhabitants are largely Muslim. The county is mostly arid with some semi-arid areas, economically poor and marginal. The study focused on Isiolo, Merit, and Garbatulla sub-counties. Additionally, the study was underpinned by a descriptive survey research design. The sample size was composed of 287 households, remandees and mainstream prisoners, key informants, youth returnees, and radicalized and extremist youths. The sampling strategies that were used included, simple random sampling, purposive sampling for key informants, and snowballing for youth returnees and radicalized as well as extremist youths. Data was collected through questionnaires, focus group discussions, and key informant interviews. Quantitative data was analysed through the statistical package for Social Science (SPSS) tool version 24 where descriptive and inferential statistics were generated while qualitative data was analysed using content analysis with themes generated through verbatim triangulation. The findings were presented in form of tables, pie charts, and graphs. In line with the study objective, the study concludes that the existing strategies have not been effective despite concerted efforts to employ them and counter youth radicalization in Isiolo County. The study recommends that new strategies be adopted to reinforce the existing ones to prevent the escalation of youth radicalization within prison cells
A cross-sectional study on Quality of life and stress among nursing students in Central Karnataka.
Authors: Rashmi. B.M  , Sindhu. B.M.  , Abhinandan. S.Kumbar
Published: October 2022

Introduction: Various studies have shown higher levels of stress and lower quality of life (QoL) among healthcarestudents compared to others. This study was done to assess the quality of life and perceived stress levels among nursingstudents and correlation between them. The symptoms in case of stress and coping strategy for stress were also studied.Methodology: All students studying in a nursing college in Central Karnataka were interviewed. WHO Qualtiy of Life-Bref (WHOQOL-BREF) scale and Perceived Stress scale (PSS-10) were used to assess the Quality of life and perceivedstress levels respectively.Results: 175 students participated. Psychological domain and environment domain scores (55.6 and 53.8 respectively)were lower. Significant negative correlation was observed between all the domains of Quality of life and Stress scores.Majority (81.7%) of nursing students were under moderate stress.Conclusion: Efforts should be made to improve the Quality of life of nursing students. Effect of various better copingmethods for stress should be researched and taught to them.
Awareness about Tobacco use among Auto- Rickshaw Drivers in Belagavi, North Karnataka
Authors: Amaresh P. Patil  , Yogeshkumar S
Published: October 2022

Background: Auto – rickshaws are most commonly used mode of transportation in cities where metros or applicationbasedcab aggregators (ABCA) are either non-existent / not available. Auto rickshaw drivers (ARD’s) are under constantphysical and mental pressure due to various factors most importantly illiteracy, poverty, lack of awareness about hazardsof addictions which lead to various habits majority being tobacco use. Studies have found that overall prevalence oftobacco use among ARD’s is very high compared to general population.Objectives: To know level of awareness about tobacco use among ARD’s in Belagavi, North Karnataka.Methods: It was a cross sectional study conducted among 600 regular ARD’s of Belagavi City Corporation betweenJanuary to December 2016. Estimated sample size was 600. Two ARD’s who were last in queue were selected from 300major auto rickshaw stands. Questionnaire was adopted from Global Adult Tobacco Survey (GATS) questionnaire. Datawas collected by personal interview after getting informed consent. Data compilation and analysis was done using SPSSsoftware. Study was approved by Institutional Ethics Committee of J. N. Medical College, KAHER, Belagavi.Results: Most (88.66%) of the participants knew that tobacco in any form caused serious illness. Cancers (72.66%) werethe most commonly known illnesses. Most of the participants supported law prohibiting smoking in indoor work places(99%) and favored increase of taxes on tobacco products (94.5%).Conclusion: Although the awareness regarding hazards of tobacco has increased in recent days, actual practice remainsa challenge.
Students’ Perspectives on Simplified Breakout Room Approach during Video Proctored Online Assessment in COVID 19 Lock down
Authors: Anil Kumar Reddy Y  , Montosh Chakraborty  , Vidya Desai Sripad  , Sathianarayana  , Joy A Ghoshal  , Mukesh Tripathi
Published: October 2022

Background: The lockdown in COVID 19 pandemic mandated the normal academic schedule in virtual mode includinge-assessments. Since the summative assessments are a mix of both selected response approach and constructed responseapproach, a new method of e assessment under video surveillance by break out room approach has been tried in thisstudy and the student’s response with regard to the different aspects of this technology will be evaluated.Methods: The students were asked to appear for the exams under video surveillance by zoom video conference. Theinstructions and the check lists were rolled out accordingly for both the students and teachers. The students appeared forthe examination under video surveillance such that one invigilator monitors 10 students along with a guardian secondaryinvigilator present by their side. A questionnaire based survey regarding the conduct of examination was conductedamongst the students. The data was analysed by descriptive statistics. P value < 0.05 is taken as statistically significant.All statistical analysis was performed by using the statistical software package SPSS version 21.Results: Analysis of student’s feedback revealed that 90% are agreed that proctored clarified their queries. Majority of thestudents (96%) are happy with overall experience with break out room approach in video proctored online assessment.Conclusion: The conduct of online assessment by break out room approach is a new methodology tried in this period ofpandemic lockdown and will be evaluated for its acceptance by the students so that it can facilitate the upgradation ofe-assessment methodologies.
Assessment of Appropriateness of Doing CT Scan for Investigating Headache in a Tertiary Care Hospital in Eastern India
Authors: Debabrata Maitra  , Sharmistha Chatterjee  , Sharmistha Debnath  , Dipta Kanti Mukhopadhyay  , Somsubhra Chattopadhyay
Published: October 2022

Background: Headache is one of the most common presenting symptoms encountered in day to day clinical practice.A computed tomography is often the most common imaging modality to diagnose the underlying causes of headache,majority of which turns out to be normal. The objective of this research is to study the morbidity patterns in the CT scanreports of patients presenting with headache in the population attending a tertiary care hospital in Eastern India.Method: The study was a retrospective analysis of all the CT scan reports performed in a tertiary care government hospitalperformed for diagnostic evaluation of headache referred from different clinics and included all patients regardless of theage during the time period December 2018 to November 2019.Results: All the patients were classified into two groups traumatic and non- traumatic depending on the history. Out ofa total 1142 patient evaluated, 649 patients (56.83%) did not yield any positive findings on CT scan, i.e. the reports werenormal. In fact, a routine CT scan is not advised for all headache complaints even by the ACR (American College ofRadiology) appropriateness criteria. The difference between the number of patients with normal CT scan and abnormalCT scan in both the groups was statistically significant (p< 0.05).Conclusion: In concordance with the previous similar studies, it may be concluded that in evaluation of headache, CTscan should be advised only in selected cases as recommended by ACR Appropriateness Criteria® Headache or any otherguidelines that may be developed for this purpose.
Hemiarthroplasty in Unstable Intertrochanteric Fractures in Elderly: A Prospective Study
Authors: Nahas R  , Jassim Usman  , Abhishek Shetty V  , Dhuha sajad Qazi  , Imthiaz Ahammed
Published: October 2022

Background: Grossly comminuted intertrochanteric fractures in osteoporotic bones are highly unstable and difficult totreat. Hemiarthroplasty is a popular choice because it provides stability and enables for immediate complete weightbearing.Objectives: The goal of this trial was to see how effective cemented hemiarthroplasty was at treating proximal femoralfractures in older people with severe osteoporosis.Methods: Thirty patients who had bipolar hemiarthroplasty for unstable intertrochanteric fractures were studiedprospectively. The posterior (Moore’s) technique was used to treat all of the patients with cemented bipolar prostheses.The average time of follow-up was 12 months. The modified Harris hip score was used to evaluate the patients.Results: Abductor weakness was present in 5 of the individuals. At the 12-month follow-up, 21 cases (70%) had badresults, while three cases (10%) had poor results. The average length of stay in the hospital was 10.9 days. Excellent to fairresults were observed in 24 patients, as measured by the modified Harris hip score.Conclusion: In older individuals with significant osteoporosis, the therapy of unstable intertrochanteric fractures differsfrom the treatment of other proximal femoral fractures. Internal fixation is not as effective as cemented hemiarthroplastyin treating these fractures. This approach has a clear advantage in terms of early full weight bearing and recovery. Hipsthat have undergone cemented hemiarthroplasty are stable and mobile. Weight bearing can begin earlier than with othertreatment approaches, avoiding any recumbency-related problems.
Healthy Literate Working Dynamic Life Expectancy for India and Some of its Major States
Authors: Nazmina Hussain  , Barnali Thakuria
Published: October 2022

The absence of disease or disability, good level of education and active involvement in society are considered as essentialdimensions for a long and fulfilling life. To assess these concepts, we propose a new indicator the Healthy Literate WorkingDynamic Life Expectancy that associates health, literacy level and employment status along with the changing mortalityscenario in India and some of its major states for the census year 2011 based on the rates of change of probabilities of deathover the previous 10 years i.e.2001. Since dynamic life table considers the mortality changes prevailing in a population,therefore it might provide a more realistic and accurate picture of the healthy, literate and working population underconsideration. The analysis reveals higher values of healthy literate working dynamic life expectancy at birth for Indiaand all the major states as compared under usual consideration. Further, different inequalities and a number of particularcases are obtained from the above proposed index.
Comparative Analysis of Optical Coherence Tomographic Study of Macula in Preoperative and Postoperative Diabetic Patients Undergoing Small Incision Cataract Surgery
Authors: Nishant Solanki  , Jayeshkumar C. Sadhu
Published: October 2022

Background and Aim: Macular oedema (ME) occurs in a variety of pathological conditions and accounts for differentdegrees of vision loss. Early detection of ME is therefore critical for diagnosis and management. Optical CoherenceTomography (OCT) is particularly useful and accurate for measuring retinal nerve fiber layer (RNFL) thickness andmacular thickness. This study is undertaken to evaluate the quantitative changes in macular thickness using spectraldomain optical coherence tomography in diabetic patients undergoing cataract surgery pre and post operatively and itsrelation with diabetic retinopathy.Material and Methods: Study participants included 100 diabetic patients irrespective of presence or absence of retinopathywho underwent cataract surgery. Each eye underwent fundus examination with indirect ophthalmoscopy and OCT ofmacula i.e.,preoperatively and at postoperatively at day 1, 1 week, 4 weeks and at 12 weeks. Best-corrected visual acuity(BCVA) was recorded at each visit.Results: Visual acuity improved postoperatively at 4th and 12th week after small incision cataract surgery to 6/12 and 6/9in majority of the patients. Post operatively 1 month 75% patients achieved vision of 6/6– 6/12. Mean values of centralsubfield macular thickness at preoperatively was 268.9 μm which increased to 278.2 μm at postoperative day 1, 281.6 μmat postoperative 1 week, 286.1 μm at postoperative 4 weeks and 297.2 μm at postoperative 12 weeks.Conclusion: There was no difference in median macular thickness between the groups, and no cases in either group hadan increase in macular thickness to reach this threshold. diabetic macular edema generally worsens after cataract surgery,and that the worsening of macular edema is more prominent in eyes with DR.
Scoping Review on Brain Mapping Leadership and Talent Engagement
Authors: Rapeerat Thanyawatpornkul  , SupalakKhemthong  , Winai Chatthong
Published: October 2022

Brain mapping performance (BMP) is an innovative assessment designed by psychosocial occupational therapists to createtalent engagement across lifespan. However, work readiness seems to be challenging assessment for anyone who has notbeen accepted on why and how to develop their upskilling. This preliminary study aimed to examine the validity andreliability of the BMP assessment. Six case studies were voluntarily participated as talented leaders of one corporate. Fourassociations of soft skills were outcomes, i.e., creativity, flexibility, empathy, and leadership, in the consecutive assessmentof resting and voice-recording.This special formulation displays healthy brain performance, significantly associated inbetween empathy and leadership (Sr = 0.880-0.943); creativity and flexibility (Sr = 0.886); eustress engagement and growthmindset (Sr = 0.943); flexibility and positive thinking (Sr = 0.926). The BMP can individually explain how well of intrinsicbrain capacity for leadership talent. This is a transformative strategy to optimize human-centered performances.
Study of Diabetic Peripheral Neuropathy in Adults of Telangana
Authors: Reyya Mohan Sundar  , Makandar U.K.
Published: October 2022

Background: Diabetic peripheral neuropathy (DPN) predisposes to foot ulceration and gangrene. It has been reported thatprevalence of DPN is lower in Indians relative to Caucasians. Studies among recent onset patients with type 2 diabetesmellitus (Type2-M) are very few. We studied the prevalence and risk factors of DPN in patients with newly diagnosedType2DM.Methods: We prospectively studied 80 consecutive patients over age 30 with a duration of diabetes ≤1 year. Every patientunderwent a clinical and biochemical evaluation and was screened for DPN using TCSS scale (Toronto clinical scoringsystem) and Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) pain scale.Results: The cases had a mean age of 60.28 years and duration of symptoms of DM is <1year prior to presentation. Theoverall prevalence of DPN was 12.5%. The prevalence of DPN showed an increasing trend with FBS (trend chi-square=3.517, P = 0.0304). A logistic regression analysis showed that DPN was independently associated with Fasting Blood Sugar(P = 0.0304), Body mass index (P= 0.0389), HbA1c (P = 0.0451), family history (P= 0.0426) and physical activity (P= 0.0219)but not with age, sex and education.Conclusions: Our study showed high prevalence of PN in recently diagnosed patients with Type2DM, which wasindependently associated with age and duration of symptoms of diabetes prior to the diagnosis. FBS, HbA1c, BMI, werefound to be risk factors for prevalence of Diabetic Neuropathy.
Association of Academic Performance and load with Depression, Anxiety and Stress among School going Students (9th-12th class) of District Amritsar: A Cross Sectional Study.
Authors: Simran Kaur  , Sanjeev Mahajan  , Manohar Lal Sharma  , Preeti Padda  , Shyam Sundar Deepti
Published: October 2022

Background: Adolescence is a ripe stage where the onset of many psychiatric illnesses increases sharply. Identification offactors making adolescent population vulnerable to disturbed mental health is of high public health importance.Materials and methods: A cross sectional study was conducted among students of 9th -12th class of government andprivate schools of urban and rural areas of Amritsar. Sample size was calculated using formula N > 4pq/ d2. Data wascollected during the period of one year. Pre tested, semi structured questionnaire and DASS -21 scale were used. Chisquared tests were applied and statistical analysis was conducted using Epi-Info. P value <0.05 was considered to bestatistically significant.
Results: The prevalence of Stress, Anxiety and Depression was found to be 53%, 58% and 54%respectively having significant associations with academic performance, excessive homework,performance satisfaction among self & parents and comparison by parents.
Conclusion –Stress, anxiety and depression were associated with factors like academic performance, academic load, performance satisfaction by self and parents and other parental factors. There is need to provide a healthy and supportive school as well as home environment to reduce the risk of stress, anxiety and depression among adolescents.
Emotional and Behavioural issues in children during early Phases of school opening after Covid 19 Pandemic in Eastern India
Authors: Somsubhra Chattopadhyay  , Sharmistha Debnath  , Rumi Gayen  , Subhendu Dattta
Published: October 2022

Introduction: The Covid 19 pandemic was first officially noted in China in late 2019. After that, the virus spread globally.At that time it was a new virus and we did know nothing about the virus. So lock down or home confinement was the onlyoption to control the spread of the virus (1). During that time children suffered the most as they were confined at home (2).During this period they showed various behavioural problems and when restrictions were withdrawn they still showedsome behavioural issues.Methodology: We conducted a cross-sectional study using an English questionnaire. The questionnaire was validatedby five independent psychiatrists who were finally excluded from the study. Responses from the parents of randomlyselected 76 children were recorded. We included the children aged between 3 to 12 years and who previously used to goto school.Results: 40.8 % of children were of 6 to 10 years of age and the male and females were almost equal in number in ourstudy (M: F = 40:36). Maximum children are from urban residences (about 59.2%) and the nuclear family (56.6%) followedby joint families (38.2%) and single-parent families (5.3%). In most of the cases ( 61.8%) father is the only earning memberfollowed by both parents working (34.2%) and in only 3.9% of cases, the mother is the only earning member of the family.About 76.3% of parents observed behavioural issues in their children. The problems were mostly observed in 6 to 10 yrsof age. Males showed the problem most often than females ( M:F = 33:25). Children from urban areas showed behaviouralproblems more often.Discussion: Most of the parents reported that their children were having different sorts of problems during this period(3).The families of small children aged 6 to 10 yrs of age were facing various problems more often. The children of this agegroup showed problems more often as they were isolated at home. Previously they were in the discipline of school andsociety. Due to the sudden release of pressure, all routine activities got disturbed.
Perceptions and Barriers to Deceased Organ Donation in Armenia: A Qualitative Research
Authors: Nare Ghazaryan  , Miqayel Adamyan  , Samvel Grigoryan  , Tatevik Hovakimyan
Published: October 2022

Background and aim: Transplantation is the treatment of choice for end-stage organ failure. The worldwide shortageof organs focuses the attention of scientific community and policymakers on it. Despite having a favourable legislativeframework Armenia still do not perform transplantation from deceased donors. Aim of this study is to understandperceptions and barriers of deceased organ donation in Armenia.Methods: This qualitative study utilizes semi-structured, in-depth interviews to produce rich descriptions of healthyadult individuals and main stakeholders about the perceived drivers and barriers to deceased organ donation andtransplantation in Armenia. Participants included healthcare providers, policymaker, priest and healthy adult individualsof other occupation. Content analysis with deductive approach was utilized.Results: 11 in-depth interviews were performed. The main concepts around which the themes evolved were knowledge,attitudes, interaction with health system, family, cultural, religious and socioeconomic factors. Several factors emergedduring the interviews: lack of knowledge, medical distrust, role of the donor’s family as a buffer and misinterpretation ofreligious stance are examples.Conclusion: Lack of knowledge regarding the brain death and deep mistrust to healthcare system were identified as themajor barriers to acceptance of donation after death. It is recommended to conduct a comprehensive educational andawareness raising campaign both for public and providers.
Is This Thing On? Teacher Views of Incorporating Humor Into Online Language Classes
Authors:   Okayama University, Rucynski John
Published: October 2022

Humor has numerous potential benefits in language teaching, but the sudden shift to online instruction in 2020 forced many teachers to re-examine their approach to using it. This study surveyed 59 English language teachers’ perceptions of using humor during online instruction in four key areas: differences between online and face-to-face (F2F) humor in teaching, humor as part of the teacher’s online repertoire, benefits of humor in online teaching, and challenges of teaching with humor online. Despite strikingly divergent views about the differences between using humor in F2F and online instruction, many participants reported still finding ways to use humor in the online format. While the perceived benefits of using humor were generally similar in both contexts, online teaching presented numerous new challenges, such as a lack of nonverbal cues from learners. Open-ended participant comments provided deeper insights into the differences, benefits, and challenges of incorporating humor into online classes. ユーモアは語学教育において多くの効果が期待できるが、2020年のオンライン教育への急転換により、多くの教師がユーモアの活用方法を見直す必要に迫られた。本研究では、59名の英語教師を対象にオンライン授業におけるユーモアの使用に関する認識を4つのテーマ（オンライン授業と対面授業でのユーモアの違い、オンライン授業のレパートリーとしてのユーモア、オンライン授業におけるユーモアの利点、オンライン授業でユーモアを使用する際の課題）に分けて調査した。参加者においては、対面とオンラインでのユーモアの使い方の違いについて、特に意見が分かれたが、多くの参加者は、オンライン形式でもユーモアを使う方法を見つけたと報告している。認識されているユーモアの利点はどちらの状況でも似ていると考えられるが、オンライン形式では、学習者からの非言語的な合図がないなど、ユーモアを使う上での新たな課題が数多く示された。参加者の自由形式のコメントからは、オンライン授業にユーモアを取り入れることの対面との相違点、利点、課題についての深い洞察が得られた。
Improving Receptive Phonological Accommodation in Monolingual EFL Classrooms
Authors:   Kochi University, Burgoine Sean
Published: October 2022

Unlike multilingual classrooms, where the variety of L1 backgrounds contributes to phonological diversity, monolingual classrooms require artificial input in the form of either explicit or implicit instruction to prepare students for “real world” international communication. Such input not only increases the intelligibility of non-standard accents but also promotes greater tolerance for the diversity of World Englishes. This paper highlights the need to introduce non-standard accents into monolingual classrooms to improve receptive phonological accommodation and presents four learning activities designed for this purpose and adaptable for learners at various L2 proficiency levels. さまざまな第一言語を有する学習者がいる教室では、音韻的な多様性は確保されているが、第一言語が同じ学習者の教室においては、「実社会」での国際コミュニケーションに備えるために、明示的あるいは暗示的な指導方法で、英語の変種発音を生徒に人為的に提供する必要がある。そのようなインプットは、標準的ではないアクセント（訛り）の理解度を高めるだけでなく、World Englishesの多様性に対する寛容度を促進することになる。本論は、受容面での音韻論的適応力を向上させるために、第一言語が同じ学習者の教室に標準的でないアクセントを導入する必要性を強調し、また、この目的のためにデザインされた様々なL2レベルの学習者に適応可能な4つの活動を紹介する。
The main directions of scientific fisheries cooperation between Russia and the countries of the North-West Africa
Authors: Bandurin Konstantin , Maslyankin Grigory
Published: October 2022

Coastal African countries, primarily Morocco and Mauritania, are partners of the Russian Federation in the field of marine fisheries and scientific cooperation plays a key role in this collaboration. It has more than half a century of history. Cooperation between Russian and African scientists makes it possible to improve the quality of monitoring of small pelagic fish stocks’ condition in the Central-Eastern Atlantic area and to manage them more reliably, including within the framework of annual meetings of the FAO Working Group on the Assessment of Small Pelagic Fish Stocks in North-West Africa. This paper presents a brief overview of scientific fishing and economic cooperation between Russia and the countries of North-West Africa.
The state of populations, stocks and fishing of crayfish in the reservoirs of the Altai Territory in the period 2010-2021
Authors: Belorustseva Svetlana , Lukerin Aleksey
Published: October 2022

The long-toed crayfish Pontastacus leptodactylus Eschscholtz is one of the few invertebrates of freshwater reservoirs of the Altai Territory, representing a promising object of fishing. This paper provides an overview of changes in the state of cancer populations in commercial reservoirs of the Altai Territory in the period 2010-2021. The analysis of the dynamics of the main parameters reflecting the quantitative characteristics of cancer populations was carried out. The trend of decline in commercial stocks of cancer is traced, the dynamics of production (catch) of cancer by organized fishing is presented. The characteristic of the main causes of changes in commercial stocks of cancer, both natural and anthropogenic significance, is given.
A határrendészeti tisztképzés harminc éve – már nem katonák kellenek!
Authors: Balla József , Vájlok László , Vedó Attila
Published: October 2022

Aim: In addition to summarising the achievements of border police officer training over the past 30 years, the main aim is to present training methods, difficulties and challenges that meet current social and professional challenges, and to outline ideas for the future training system. A comparison of Hungary’s National Integrated Border Management Strategy as the basis for future border police officer training and the global, EU and continental role of border policing by presenting a new practice-oriented training format. A particular focus will be on introducing new technologies in education, such as biometrics, artificial intelligence and robotics.Methodology: The primary focus of this publication is to elaborate on the results gathered from experience, and to approach the present and future of border police officer training by taking into account the challenges of the European Union and the Hungarian border police.Findings: The training of border police officers has developed continuously over the past 30 years and this development is worth continuing. However, the aim is now to enrich the training repertoire with new methods and there is a clear need for greater emphasis on international experience.Value: The education of border police officers at university level will result in managers with a managerial approach who will be able to face future challenges and who will be able to stand their ground independently not only in the field of state borders, but also in the field of security and justice in the entire Schengen area.
Út az Innovatív Tanszék első helyezett díja felé
Authors: Ürmösné Simon Gabriella , Barnucz Nóra , Kudar Mariann
Published: October 2022

Aim: In 2021, the Department of Foreign Languages for Specific Purposes was awarded 1st place for the Innovative Department, initiated by the Creative Learning Programme. The paper describes the path to a successful application, namely the stages of a multi-year work process. The sharing of this workflow can be useful for other institutions in terms of how to be more innovative, self-learning and constantly innovating. As an axiom, it can be stated that it is impossible to innovate without workshops, tenders, collaboration, research, science organisation, curriculum development, mentoring and internationalisation.Methodology: In the tender, two researches were involved, namely the 1st place awarded tender of the BTT and the 3rd place awarded tender of the Scientific Council for Disaster Management. In the first research, we investigated the usefulness of education supported by internet platforms and the validation of digital competence. The second hybrid research was conducted to investigate how students and lecturers experienced online education at the Faculty.Findings: Using the principles of Computer-Assisted- and Mobile Assisted Language Learning, we introduced both computer and mobile applications, which enabled students to experience a competitive spirit, high motivation, experiential pedagogy and a constructive learning environment. It is also important to adapt to the professional competences and labour market expectations in target languages (interrogation, vehicle inspection) and to think in terms of specialised branching.Value: In terms of results, the study summarises the set of criteria that can be used to assess the innovative nature of a Department’s activities and its perception. The positive results present an exemplary model that can, if required, be a model for other institutions to follow.
Rendvédelmi dolgozók fizikai teljesítményének fejlesztési lehetőségei fizikai érterápiás készülékkel, BEMER érterápiával
Authors: Nagy Ádám Ferenc , Freyer Tamás
Published: October 2022

Aim: Physical training is an important area of law enforcement education. Classical training is now supplemented by the transfer of knowledge related to training and lifestyle in law enforcement physical education. The next step is to involve the technical tools in the preparation. The aim of our article is to present the BEMER vascular therapy device and its possible application in the physical training and rehabilitation of law enforcement professionals.Methodology: The effectiveness of the BEMER magnetic therapy device has been demonstrated by clinical research. It is currently used primarily in medicine (improving microcirculation, reducing pain, treating high blood pressure, bone fractures) and sports (warming up, preventing and treating injuries, and enhancing efficiency). In our article, as a method, we present the research found in the literature and related to our topic (the physical training of law enforcement professionals).Findings: Rehabilitation- and measuring devices previously used only in medicine have appeared in our daily lives. Their user-friendly design and safe operation allow anyone to use them under the guidance of a proper professional. We believe that smart devices, including BEMER, have a place in the training of law enforcement professionals. In our article, we present the areas where we consider the use of magnetic therapy effective.Value: In our opinion, BEMER helps to improve the physical performance of law enforcement workers. It is also suitable for rehabilitation after injuries. We recommend using the tool at the National Public Service University, where we could make these treatments available to the students. The direction of our research is the acquisition and use of additional smart devices (smartwatch, body mass meter, chest strap recording physiological data, etc.), which will open new avenues in the field of physical training of law enforcement professionals.
FORMATION OF THE INTELLECTUAL SYSTEMS FOR THE TERRITORIAL DEVELOPMENT OF LAND ADMINISTRATION IN THE COASTAL REGIONS
Authors: Bieliatynskyi Andrii , Mingming Wen , Chang Liu , Mamonov Kostyantyn , Dymchenko Olena
Published: October 2022

It is essential to create the quantitative basis for decision taking on increasing the efficiency of land administration in the coastal regions as an important factor of ensuring development at the regional level. The analysis of the existing scientific research showed lack of unity in theoretical and methodological approaches to defining the territorial development of land administration in the coastal regions, which has been characterized as a combination of spatial, urban planning, investment and environmental factors, the interrelation of which results in achieving a new condition of land management compared to the past, accounting for the social, institutional, managerial peculiarities and the level of communication between the stakeholders operating in the field of land administration in the regions.
Response of Electric Field in Terrestrial Magnetosphere to Interplanetary Shock
Authors: Zhang Dianjun , Liu Wenlong , Du Junfeng , Yu Yiqun , Li Xinlin , Sarris Theodore E , Cao Jinbin
Published: October 2022

Electric field impulses generated by interplanetary shocks can cause a series of dynamic processes in the Earth’s magnetosphere and were previously explained by either fast-mode wave propagation or flow related to compression of the magnetopause. Based on a Space Weather Modeling Framework simulation, we suggest a new scenario in which the evolution of the impulse is due to both the propagation of the fast-mode wave and the compression of the magnetopause, which can explain the simulation and observations in previous related studies. The onset of the electric field impulse is determined by the propagation of the fast-mode wave in the magnetosphere while the peak of the impulse is determined by the propagation of the compression of the magnetopause. The new understanding of the impulse is important for the generation of subsequent ultralow frequency waves through the coupling of the fast-mode to Alfvén waves and field line resonances and related radiation-belt electron acceleration.
Langues dévalorisées et répressions identitaires dans la clinique des adolescents
Authors: Labbé Bleuenn , Bossuroy Muriel , Mouchenik Yoram , Moro Marie Rose
Published: October 2022

De nombreuses langues sont dévalorisées ou interdites, dans des contextes de répression culturelle. C’est le cas par exemple du tamoul au Sri Lanka, du tchétchène en Tchétchénie, et cela a été le cas du breton en France. L’objectif de cet article est de réfléchir, à partir de situations cliniques, à l’impact de ces contextes actuels ou historiques sur des adolescentes issues de ces cultures. La honte, l’angoisse de perte ou la loyauté transgénérationnelle traversent les séances thérapeutiques de ces adolescentes, chez qui apparaissent des conflits identitaires douloureux. Le langage semble structuré sur un clivage entre deux langues, associées à des appartenances culturelles vécues comme incompatibles. Accueillir et soigner les adolescentes commence alors par la reconnaissance de leurs maux, exprimés dans les mots occultés de la langue réprimée. Cela nécessite de considérer le passé des langues, ailleurs comme chez nous, et de penser les conséquences transgénérationnelles de ces histoires de répression ou d’assimilation.
Violences faites aux animaux. Littérature et société à l’âge romantique
Authors: Ledda Sylvain
Published: October 2022

La violence animale n’échappe pas aux observations de la littérature romantique. Au lendemain de la Révolution française, la tension entre les beaux quartiers de Paris et les faubourgs trouve une expression symptomatique dans le traitement réservé aux bêtes, et en particulier aux chevaux. Les sévices infligés aux animaux voués à l’équarrissage ont marqué les contemporains de Balzac et la littérature témoigne de cette violence à la fois visible et invisible. Symbole de la condition animale, l’équarrissage de Montfaucon est un lieu de répulsion et de fascination qui alimente l’imaginaire littéraire.
La fiscalité et la solidarité sociale
Authors: Dufour Anne-Claire
Published: October 2022

Les relations entre fiscalité et solidarité sociale méritent d’être à la fois réinterrogées et renforcées. D’une part, la fiscalité peut être davantage mise au service de la solidarité sociale. D’autre part, la solidarité sociale peut s’affirmer comme une source solide de légitimité de l’impôt. Le consentement à l’impôt, mis à mal par les imperfections de la fiscalité, peut ainsi être consolidé en mettant en exergue le financement de la solidarité sociale.