bluuebunny/crossref_metadata_2025 huggingface dataset:
A Randomized Comparative Study to Compare Karman's Cannula and Pipelle Biopsy for Evaluation of Abnormal Uterine Bleeding
Authors: Gupta Meeta , Gupta Puneeta , Yadav Poonam
Published: May 2022

Objectives:

This study aimed to compare the diagnostic accuracy, inadequate sampling, pain during the procedure (Visual Analog Scale [VAS] score), and ease of insertion of the Karman's cannula and Pipelle biopsy for patients with abnormal uterine bleeding (AUB).

Methods:

This prospective observational randomized comparative study included women of age more than 40 years with complaints of AUB. Two hundred and fifty women were randomly divided into two groups: (1) Group A (n = 125) who underwent endometrial aspiration using Karman's cannula and (2) Group B (n = 125) who underwent Pipelle endometrial sampling. Both the groups were followed by conventional dilation and curettage (D and C) which was considered the gold standard. Sensitivity, specificity, positive predictive value, and negative predictive value for differentiating benign and malignant conditions of endometrium were calculated.

Results:

Group B had a sensitivity of 89.29% followed by Group A (86.36%); on the other hand, Group A had a specificity of 96.08% followed by Group B (95.74%) (P > 0.05). Inadequacy was comparable among the two groups with 1 inadequate in Group A and 3 inadequate in Group B. Mean VAS score was significantly lesser in Group A than Group B (4.5 ± 2 vs. 5.8 ± 2.1, P < 0.0001). Ease of insertion was similar in Groups A and B (P = 0.345).

Conclusion:

Both procedures were equivalent in diagnostic accuracy, inadequacy, and ease of insertion. However, the use of Karman cannula resulted in less pain and is a much cheaper option in comparison to Pipelle. Overall, either procedure can be performed on an outpatient basis without cervical dilation and anesthesia and thus may be routinely used for women presenting with AUB.
Comparison of Effectiveness of Home-Based Verses Supervised Pelvic Floor Muscle Exercise in Women with Urinary Incontinence
Authors: Mishra Daxa G. , Vaishnav Smruti Bhalendu , Phatak Ajay Gajanan
Published: May 2022

Background:

Urinary incontinence (UI) is a significant health problem with serious physical, psychological, and social consequences. Pelvic floor muscle exercise (PFME) is proven efficacious in the prevention and management of UI. A lack of trained physiotherapist in rural areas mars the uptake of physiotherapy and therefore innovative mechanisms are required. The present study was undertaken to evaluate the usefulness of home-based physiotherapy in the management of UI.

Materials and Methods:

A total of 49 women, who screened positive for UI from a larger study conducted in 4 randomly selected villages of Charutar region, were included in the study. They were assigned home-based or supervised regimens randomly. All participants received education about UI and its management. A structured PFME schedule was developed. Participants in the supervised group received PFME by a trained physiotherapist, while those in the home-based group received training on exercise. Details of each session were documented through a daily diary in both groups. Revised urinary incontinence scale (RUIS) and incontinence impact questionnaire (IIQ-7) were administered at baseline and after 6 months to assess and compare the impact across groups.

Results:

Analysis of variance (with post hoc comparisons) was employed to compare the effect of physiotherapy across groups. Only 18 (10 supervised and 8 home-based group) out of 49 women participated. Another 10 provided the required data, albeit had not done any exercises. The mean standard deviation of RUIS (P = 0.84) and IIQ-7 (P = 0.55) scores was similar at baseline across the groups. The RUIS (P = 0.01) and IIQ-7 (P = 0.006) improved significantly; however, post hoc analysis revealed that both RUIS and IIQ-7 improved significantly only in the supervised group.

Conclusion:

Supervised exercise worked better, whereas home-based exercise failed to achieve the desired impact. Identifying barriers in home-based exercise and finding feasible solutions would prove a breakthrough in the management of UI in resource-limited settings.
RBC Indices and Morphological Pattern of Anemia in Geriatric Population: A Cross-sectional Study in Eastern India
Authors: Talukdar Manas , Samaddar Aparajita , Lahiri Subhayan
Published: May 2022

Background:

Geriatric anemia is one of the neglected and undiagnosed health problems throughout the world leading to increased morbidity and mortality among this vulnerable age group. Anemia in elderly is often an indicator of an underlying co-morbid condition. Morphological pattern of anemia may reflect the underlying etiology and thus directs the appropriate way to management of the condition.

Aims:

To evaluate the severity and morphological pattern of anemia in geriatric age groups.

Materials and Methods:

Elderly individuals aged 60 years or older of either sex with Hb level <12 gm/dl in women and <13 gm/dl in males were included in this study as geriatric anemic population. Blood samples were analyzed for Hb, hematocrit (Hct), Mean corpuscular volume (MCV), Mean corpuscular haemoglobin (MCH), Mean corpuscular haemoglobin concentration (MCHC) and Red cell distribution width (RDW-CV). Anemia was graded as mild, moderate and severe according to WHO criteria. Morphological classification was done based on RBC indices and peripheral blood smear examination. Statistical analysis was done using SPSS software.

Results:

Total 277 geriatric anemic subjects were included in this study. Female to male ratio was 1.9:1. Most of the participants (60.29%) were in the age group of 60-69 years. Majority had mild anemia (48.02%). Normocytic-normochromic was the most predominant morphological subtype (74.73%). Mean Hb, MCH and MCHC were found to be significantly lower in geriatric females compared to males (P < 0.05).

Conclusion:

Normocytic-normochromic anemia of mild degree was the most common type of anemia among geriatric population. Evaluation of morphological pattern of anemia may help in appropriate management of underlying condition.
A Clinical Study of Resections in Oral Cavity Carcinomas
Authors: Parasnis Amit , Athavale Virendra S. , Athavale Prachi , Kumar Benod , Gutta Omkar
Published: May 2022

Background and Aims:

Oral carcinoma is one of most common cancers reported globally of which most arise in developing countries such as India. In our study, the presentation of disease in oral cavity, types of resection with closure and clinical with histopathological correlation has been described.

Methods:

Prospective study done in Dr. D. Y. Patil Medical College, Hospital and Research Center, Pimpri, Pune, under General Surgery Department. Carcinomas of the oral cavity operated from July 2012 to September 2014 were included. Diagnosis was confirmed by biopsy/fine-needle aspiration cytology. Patients were subjected to appropriate surgeries, which were performed by the same surgeon and the histopathological specimens had been evaluated by the same pathologist.

Results:

Of the 50 patients in our study, age of the patients varied from 32 years to 91 years with highest number of patients were found in the age group of 41–50 years, with 32 (64%) patients were male accounting for male preponderance. Composite resections for the primary were done in 72% and wide local excisions in 28%. A total of 5 radical neck dissection, 40 MRND 10 Supraomohyoid neck dissection were performed according to the stage of the neck and their reconstruction.

Conclusion:

Oral cavity carcinomas are one of the most commonly occurring malignancies in India and most of them are detected in the low socioeconomic strata of the society. Although the distribution of primary site was varied, it was possible to achieve some uniformity in the treatment of these patients on the background of diversity in clinical presentation.
Dental interns' perceptions of their training experiences at different training centers
Authors: Alenezi Ali
Published: May 2022

Background:

Investigating dental interns' perceptions of their learning experience is important for properly understanding potential difficulties and obstacles in training.

Aims:

The aim of this study was to explore dental interns' perceptions on their learning environment and supervision.

Settings and Design:

This survey was in a form of a questionnaire that includes 20 items and was divided into three main parts: The first part of the questionnaire evaluated the intern's perception toward the learning outcomes obtained from the field experience. The second part of the study assessed the interns' perceptions toward their supervisors. The third part of the questionnaire investigated the interns' perceptions toward training centers facilities.

Methods:

This questionnaire was presented in a Likert-type format. Respondents stated their agreement or disagreement with each item on a four-point scale; strongly agree (4), agree (3), disagree (2), and strongly disagree (1).

Statistical Analysis Used:

Descriptive analysis was conducted to illustrate the sample characteristics using Chi-square Test. The Mann–Whitney U-test was used test the differences between male and female interns.

Results:

A total number of 234 questionnaires were filled and submitted by interns in which 134 from male interns (57.3%) and 100 from female interns (42.7%). In general, the interns from both genders appeared very satisfied with their training experience. With all the questionnaire 20 items, more than 75% of the obtained answers were either agree or strongly agree with similarly obtained from both male and female interns.

Conclusions:

High level of satisfaction can be obtained when the field experience outcomes are clearly explained. In addition, the availability of supervisors with full awareness of learning outcomes will improve the learning experience of dental interns.
Evaluation of dental intern's satisfaction and self-competence in treating emergency cases during the first year of the coronavirus pandemic
Authors: Alolayan Albraa B. , Alsahafi Yaser A. M. , Ghibban Ahmed Ibrahim Hassan , Aljazaeri Khuloud Mohammed Misbahammar , Elsayed Shadia Abd-Elhameed
Published: May 2022

Background:

The study aimed to identify the level of satisfaction and confidence of dental intern students in emergency care emergency room (ER) during COVID-19 Pandemic in order to determine factors that influence their satisfaction such as patient's age, gender, and ethnicity.

Materials and Methods:

A cross-sectional survey-based study was conducted at Al-Madinah Al-Munawwarah-Taibah University Dental-College and Hospital. The overall sample included in analysis was 105 dental interns with an average age of 24.7 years who were treating patients between July 2019 and August 2020 in emergency dental clinics at TUCDH.

Results:

The survey response rate was 100% and 51.4% of the participants felt comfortable and 80% felt confident on emergency days. However, male interns were significantly more comfortable and confident than females (P = 0.001 and 0.022 respectively). Endo-emergency constituted 77% of dental emergencies followed by surgery. 81.9% believe that age is the most challenging factor affecting their ER work, and most of them do not believe that patient's gender and ethnicity affect their performance. Stock shortages were the biggest challenge for their supervisor-led management.

Conclusion:

Majority of interns feel satisfied with their management of emergency cases during COVID-19 Pandemic with superior male significant meaning. More emergency training programs should be established in the educational dental curriculum to improve their satisfaction and confidence rate, especially for females during pandemics.
Challenges in managing postoperative pulmonary embolism after cesarean section
Authors: Tiwary Manish Kumar , Nair Abhijit Sukumaran
Published: May 2022

Postoperative acute pulmonary embolism (APE) can be a life-threatening emergency and is associated with very high mortality. Approximately two-thirds of patients, who died of pulmonary embolism, die within the first hour after the presentation. We report a case of APE following an emergency lower segment cesarean section (LSCS) because of severe fetal distress. This 37-year-old female with no previous medical or surgical history underwent LSCS under general anesthesia. The surgery was uneventful and she was extubated uneventfully at the end of surgery. Six hours after surgery, there was a sudden drop in oxygen saturation on pulse oximetry, tachypnea which raised the suspicion of APE. An urgent chest radiograph computed tomographic pulmonary angiography (CTPA) and transthoracic echocardiogram along a sample for D-dimer were ordered immediately. CTPA was consistent with APE involving the main pulmonary artery. Given immediate postoperative status, therapeutic anticoagulation was done using low-molecular-weight heparin. The patient was discharged 10 days later. APE is a potentially high-risk event that can be challenging in the postoperative period. A high index of suspicion and therapeutic anticoagulation with meticulous monitoring is required in such cases to reduce morbidity.
Neuropsychiatric presentation of coronavirus disease 2019
Authors: Alshamlan Yafa Abdulrahman , Aljarallah Salman , Alzuman Omar , Alkhawajah Nuha M
Published: May 2022

Coronavirus disease 2019 (COVID-19) pandemic has caused more than 1,000,000 deaths worldwide. Neurological manifestations are increasingly being recognized, mostly with severe systemic illness. Here, we describe two previously healthy males who developed encephalopathy with psychosis, fever, and headache. Investigations were remarkable only for severe acute respiratory syndrome coronavirus 2 RNA in the nasal swab without cerebrospinal fluid pleocytosis or brain imaging abnormalities. Patients received supportive management. One recovered in a short period, while the other deteriorated and passed away. The latter had elevated inflammatory blood markers, which can be useful prognosticators even in patients with neuropsychiatric manifestations.
Knowledge, attitude, and blood donation practices among medical students of Taif University, Saudi Arabia
Authors: Rizwan Farzana Arain , Al-Amri Razan Othman , Al-Harthi Azzah A. , Al-Otaibi Nada A. , Al-Otaibi Rawa F.
Published: May 2022

Background:

People's need for blood increases every day. That is very important to assess knowledge, attitude, and practice (KAP) toward blood donation especially on medical students.

Objectives:

The objective of the study is to determine the KAPs about blood donation among medical students of Taif university.

Subjects and Methods:

A cross-sectional study with a sample of 300 medical students of Taif university in Taif Saudi Arabia conducted from September 29, 2020, to April 29, 2021. A pre–designed questionnaire was used to collect data about their KAP toward blood donation.

Results:

The analysis of 318 medical students showed that 33.0% had a good, 30.5% had average, and 36.5% had poor knowledge related to blood donation. Of them, 28.3% had good attitude, 53.5% had fair, and 18.2% had poor attitudes toward blood donation. The scores of practices were also classified into “Good,” “Fair” and “Poor” based on the percentage obtained > 75%, 60%–75%, <60%, respectively. About 17% (17.3%) of students had demonstrated good practices, whereas most students (76.7%) showed poor practices. There was no statistically significant difference observed between female and male students except in 1st medical students the attitude was good in males (30.1%) compared to females (12%). Relationship of knowledge with practices found about 49.1% of the students who had demonstrated good knowledge showed good practices.

Conclusion:

About one-third of the participants had shown good knowledge about blood donation and the majority had a positive attitude toward future donation.
Influence of nursing care intervention on quality of sleep in hospitalized patients at Riyadh, Saudi Arabia
Authors: Alotaibi Jazi Shaydied , Dharmarajan Babu , Rizvi Moattar Raza
Published: May 2022

Background:

In clinical practice, patients' sleep is disrupted by medical professionals' care or evaluations both at night and during the day. Multiple factors contribute to this sleep disruption resulting in poor clinical outcomes.

Aims:

This study aims to determine the quality of sleep perceived by patients admitted to various hospital settings, as well as the factors affecting sleep quality.

Settings and Design:

Descriptive explorative design involving purposive convenient sampling of 90 hospitalized admitted at King Khalid General Hospital, Al Majmaah, and General Hospital, Zulfi.

Methodology:

St. Mary's Hospital Sleep Questionnaire used to assess patients' sleep and sleep-disturbing scale.

Statistical Analysis Used:

The Chi-square test was used to compare the different parameters related to sleep.

Results:

Subjective conclusions suggested that 38 (26.4%) patients slept lightly, 67 (46.5%) were moderately satisfied with their last night's sleep, and only 9 (6.3%) were mildly dissatisfied. Continuous light, uncomfortable Pillow, strange fragrances (P = 0.004), hearing frequent sound (P = 0.018), telephone (P = 0.046), and machine alarms (P = 0.006) were the elements impacting sleep pattern connected to the patient themselves. Tubings, monitor leads, pain, and fear of death all significantly influenced sleep pattern. Many of the healthcare workers' behaviors such as awakening by doctors and nurses (χ
2 = 13.08, P = 0.02), making loud noise (χ
2 = 15.85, P = 0.007), assessing vitals (χ
2 = 12.90, P = 0.02), hygiene care (χ
2 = 5.24, P = 0.14), feeding (χ
2 = 9.82, P = 0.09), tubing and drain (χ
2 = 17.92, P < 0.002), and suctioning (χ
2 = 21.30, P = 0.0001) had significant influence on sleep pattern.

Conclusion:

Based on the results, nurses can minimize the factors that cause sleep interference in hospitalized patients and avoid the possible negative effects caused by sleep deprivation.
Medication reconciliation – Responsibilities and barriers facing physicians, pharmacists, and nurses in Saudi Arabia
Authors: Alanazi Najah Saud , Alatawi Wafa A. , Prabahar Kousalya
Published: May 2022

Background:

Patient safety can be adversely affected by medication errors. The medication reconciliation process plays a critical role in the prevention of medication discrepancies and adverse drug events.

Aims:

This study aimed to investigate the perceptions of Saudi Arabian physicians, pharmacists, and nurses regarding their functions in the medication reconciliation process and to elucidate the barriers to implementing this process.

Materials and Methods:

A cross-sectional survey was performed for 4 months targeting pharmacists, physicians, and nurses who work at various hospitals in Saudi Arabia. An online survey was used to collect all data. Data gathered were statistically analyzed using SPSS24.

Results:

In all, 447 participants completed the survey. Physicians considered their profession to be the primary health-care providers responsible for every step of the medication reconciliation process. Pharmacists believed that their profession was the main one among health-care providers responsible for all steps in the process, apart from interviewing patients during admission and taking a correct medication history. They assigned those tasks to physicians by a margin of 53.3%. Nurses viewed themselves as responsible for more roles than physicians, except for two steps, in which they considered pharmacists to be the responsible person: reconciling medications while transferring a patient to the next level of care (54.1%) and sending the patient's discharge medication list to his or her next provider (56.5%).

Conclusions:

Participants revealed the insufficiency of a clear understanding of the functions of health-care providers in every step of the medication reconciliation process.
Clinicopathologic features and survival outcomes of ocular melanoma: a series of 31 cases from a tertiary university hospital
Authors: Kestel Selin , Göçün Feriha Pınar Uyar , Öğüt Betül , Erdem Özlem
Published: May 2022

Background: We aimed to determine the effect of clinicopathologic features on overall survival among Caucasian ocular melanoma patients in the Central Anatolia region of Turkey.Methods: This single-center study included conjunctival (n = 12) and uveal (n = 19) melanoma patients diagnosed between January 2008 and March 2020. Clinicopathologic features and outcomes were reviewed retrospectively. Five cases were tested for BRAF V600 mutations with real-time polymerase chain reaction, and one case was tested with nextgeneration sequencing. Survival was calculated using the Kaplan-Meier method.Results: Thirty-one patients had a mean initial age of 58.32 years (median, 61 years; range 25 to 78 years). There were 13 male and 18 female patients. The median follow-up time was 43.5 months (range, 6 to 155 months) for conjunctival melanoma and 35 months (range, 8 to 151 months) for uveal melanoma. When this study ended, eight of the 12 conjunctival melanoma patients (66.7%) and nine of the 19 uveal melanoma patients (47.4%) had died. The presence of tumor-infiltrating lymphocytes was related to improved overall survival in conjunctival melanoma (p = .014), whereas the presence of ulceration (p = .030), lymphovascular invasion (p = .051), tumor in the left eye (p = .012), tumor thickness of > 2 mm (p = .012), and mitotic count of >1/mm² (p = .012) reduced the overall survival in conjunctival melanoma. Uveal melanoma tumors with the largest diameter of 9.1–15 mm led to the lowest overall survival among subgroups (p = .035). Involvement of the conjunctiva (p=.005) and lens (p = .003) diminished overall survival in uveal melanoma. BRAF V600 mutation was present in one case of conjunctival melanoma, GNAQ R183Q mutation was present in one case of uveal melanoma. Patients with uveal melanoma presented with an advanced pathological tumor stage compared to those with conjunctival melanoma (p = .019).Conclusions: This study confirmed the presence of tumor-infiltrating lymphocytes as a favorable factor in conjunctival melanoma and conjunctival and lens involvement as unfavorable prognostic factors in uveal melanoma for overall survival, respectively.
Development of Artificial Intelligence Model to Forecast Photovoltaic Power Generation Including Airborne Particulate Matter
Authors: Yoon Jaeseong , Kim Kyung-Min , Ahn Johng-Hwa
Published: May 2022

Purpose : This study aims to suggest an optimal model for predicting photovoltaic (PV) power generation by comparing single and hybrid models that include particulate matter in the atmosphere as input parameters.Methods : From December 2016 to December 2019, 1 MW-class PV power generation data in Jindo-gun, Jeollanam-do and meteorological data and particulate matter data from Mokpo were used. Radiation, sunshine time, pressure, temperature, humidity, wind speed, wind direction, snow load, precipitation, PM10, and PM2.5 were used as input parameters. We used single models such as random forest (RF), artificial neural network (ANN), long short-term memory (LSTM), and gate recurrent unit (GRU) and hybrid model such as LSTM-ANN and GRU-ANN. Coefficient of determination (R2), root mean square error (RMSE), and mean absolute error (MAE) were used to compare and evaluate the prediction performance of the models.Results and Discussion : The variable importance through RF was as follows: radiation (77.66%), day light hours (4.85%), pressure (4.16%), temperature (3.98%), humidity (2.25%), wind speed (2.21%), PM10 (2.72%), PM2.5 (1.65%), wind direction (1.44%), snow cover (0.05%), and precipitation (0.02%). GRU-ANN showed the highest R2 (0.838) among the models and lower epoch (8) than GRU using the early stop.Conclusion : The GRU-ANN model was the most suitable for forecasting PV power generation including particulate matter.
Comparison of Commercial Dechlorination Chemicals used in Reverse Osmosis Processes
Authors: Yoon Zi Sue , Lee Wontae
Published: May 2022

Objectives : The objective of this study was to find a promising dechlorination chemical which can replace sodium bisulfite (SBS), which is mainly used as a dechlorination agent in reverse osmosis processes but can cause odor issues.Methods : Candidate chemicals were selected in consideration of economic feasibility, ease of use, and toxicity. These included sodium metabisulfite (SM), sodium thiosulfate (ST), and sodium sulfite (SS). We investigated the effect of organic matters in water on residual chlorine decomposition and compared the appropriate injection amounts for each dechlorination chemicals. Also, the effect of the pH of treated water upon dechlorination was assessed.Results and Discussion : Upon injection of dechlorination chemicals at the theoretical chlorine removal point, the chlorine was not completely removed but 10% to 40% remained. In ultrapure water, it was possible to completely dechlorinate by injecting 1.6 to 2.6 times more than the theoretical injection amount: 1.8, 2.2, and 3.1 times more for ST, SM, and SS, respectively. Considering only the injection amount, ST is an efficient dechlorination chemical for water with pH 9 or higher, and SM is for pH 9 or lessConclusion : Considering the product price and user convenience, it is feasible to use ST, which can resolve the odor problem.
Haloacetamides Formation and Fate in Drinking Water Treatment Process of the Lower Nakdong River: Comparison of Summer and Winter Seasons
Authors: Ryu Jungmoon , Seol Hyunjoo , Son Heejong
Published: May 2022

Objectives : The formation characteristics and fate of haloacetamides (HAcAms), nitrogenous disinfection by-products (DBPs), were evaluated for each process in a drinking water treatment plant (DWTP) located downstream of the Nakdong River in summer and winter. In preparation for the gradually strengthening rules for DBPs, it was intended to be used as basic data for operating DWTPs.Methods : Seven HAcAms were monitored from the raw water to the clean water in the summer (Jul.∼Aug.) and winter (Dec.∼Jan.) at a large DWTP (180,000 m3/day) located downstream of the Nakdong River. Liquid-liquid extraction (LLE) method was used for sample extraction and GC-MS/MS was used for HAcAms analysis.Results and Discussion : The concentrations of HAcAms formed by the pre-Cl2 treatment in the DWTP in summer and winter were 9.4~27.2 µg/L and 1.4~3.5 µg/L, respectively, and were 7.7 times higher in summer than in winter. The HAcAms/TOX concentration ratio was 0.09~0.14 in summer compared to 0.01~0.02 in winter, and the HAcAms composition ratio among DBPs formed by the pre-chlorination increased rapidly in the summer. Five species of DCAcAm, BCAcAm, TCAcAm, DBAcAm, and BDCAcAm were formed in summer by the pre-chlorination, and five species of DCAcAm, BCAcAm, DBAcAm, DBCAcAm, and TBAcAm were formed in winter. The composition ratio of di-HAcAm species accounted for 91% and 66% in summer and winter, respectively, and the DCAcAm concentration was highest compared to other HAcAms species. In the batch biodegradation experiment, it was evaluated that the biodegradation of the HAcAms species was easy, and in the laboratory scale BAC process experiment (water temp. 20℃, EBCT 10~30 min.), di- and tri-HAcAms removal rate were 75~99% and 85~100%, respectively. In summer and winter, the removal rates of HAcAms in the BAC process of the DWTP were 81% and 54% on average, respectively. The HAcAm detection concentrations in the clean water ranged from 1.7 to 2.4 μg/L in summer and 0.7 to 1.2 µg/L in winter, which was twice as high in summer as was compared to winter.Conclusion : The formation concentration of HAcAms was higher than in winter by pre-chlorination, but it was easily removed in the BAC process in summer. However, in winter, the formation concentration of HAcAms was low by pre-chlorine treatment, but the removal rate in the BAC process was as low as 54%. The main removal process and mechanism of HAcAms in the DWTP were the BAC process and biodegradation. In a lab-scale BAC process simulation, a removal rate of more tthan 95% removal efficiency could be expected with the increase of EBCT to 30 minutes when HAcAms was highly formed in summer.
Lâle Müldür'ün Buhurumeryem'i
Authors: KOŞAR Emel
Published: May 2022

Lâle Müldür’ün şiirlerinin köklerine inildiğinde farklı kültürlerin izleri görülebilir. Müldür, okuruna şiirinin arkeolojik bir kazı gibi hazineler vaat ettiğini gösterircesine geçmiş medeniyetlerin aynası sayılabilecek metinler kaleme alır. Her sözcüğün, rakamın, işaretin hatta boşluğun bile anlam kazandığı Lâle Müldür’ün şiirlerinde büyük resme bakıldığında görülen/duyulan zenginlik metinlerarasılıkla sağlanır. Lâle Müldür’ün şiir coğrafyası tarihin, mitolojinin, tasavvufun ve kutsal kitapların izlerini taşır. Yüzyıllar öncesinin metinleri, değişmeyen insan tabiatının soluğunu okura duyurur. Dîvânü Lûgâti’t-Türk’ten Şeyh Gâlîb’in şiirlerine birçok metni yeniden kuran-yorumlayan Lâle Müldür, kuantum fiziğinden coğrafyaya pek çok alanın kavramlarına şiirlerinde yer verir. Resim, sinema ve güzel sanatlarla soluk alan şiirlerin melankolik atmosferi başka dillere (Latince, İngilizce, İtalyanca) de açılır. Lâle Müldür’ün aldığı eğitimin izlerini taşıyan şiirler, onun zihin haritasını gösterir. Çiçeklerin/otların şifası, eski kültürlerdeki kullanım şekilleri, mitolojik hikâyeleri ve efsanevî yönleri Lâle Müldür’ün şiir dünyasını zenginleştirir. Lâle Müldür Buhurumeryem’de tarihî şahsiyetleri kutsal kitaplar odağında âdeta yeniden kaleme alır. Buhurumeryem, Müldür’ün şiirinin zenginliğini ve metinlerarasılıktan nasıl faydalandığını gösteren bir kitaptır. Bu çalışmada, Lâle Müldür’ün Buhurumeryem’de sembolik ifadeler ışığında hangi tarihî ve dinî metinlere gönderme yaptığı ve şiirini nasıl kurduğu incelenmiştir.
Mental health social work re-imagined
Authors: Cummins Ian
Published: May 2022

This much-needed book calls for a return to mental health social work that has personal relationships and an emotional connection between workers and those experiencing distress at its core.
Home-Land Romanian Roma domestic spaces and the state
Authors: Humphris Rachel
Published: May 2022

This book is the first intimate ethnography of governing encounters in the home space between Romanian Roma migrants and local frontline workers. It covers the divide between state and family, home-land and home, and what it means for the new rules of citizenship.
El pes de la precarietat laboral en la pobresa laboral de les llars amb infants
Authors: Lanau Alba , Lozano Mariona
Published: May 2022

A Espanya, el 70% dels infants en pobresa viuen a llars amb un o més treballadors. Malgrat que només un 27% de les llars a Espanya hi ha menors, aquestes constitueixen la majoria de les llars en pobresa laboral (53%). Tanmateix, sovint pensem en la pobresa laboral i la pobresa infantil com a problemes separats. La majoria de les anàlisis sobre la pobresa laboral a Espanya fan servir dades d’un moment en el temps i es focalitzen només en aquells que treballen en el mercat laboral. No obstant això, atès que les llars comparteixen necessitats i recursos, entendre els factors que incrementen el risc de pobresa requereix posar el focus a les llars. En aquest treball, fruit d’una investigació del Centre d’Estudis Demogràfics a la Universitat Autònoma de Barcelona, adoptem una perspectiva dinàmica per analitzar la interrelació entre pobresa infantil i laboral i específicament la concentració de la pobresa laboral en llars amb infants i adolescents. Utilitzant dades longitudinals de l’Enquesta de condicions de vida (2017-2020), examinem el paper que juguen factors com el naixement d’un nadó, la presència de menors a la llar i la seva edat en els processos d’empobriment. Els nostres resultats apunten que durant l’any 2020 només un 4% de les entrades a la pobresa laboral coincideixen amb un augment en el nombre de menors a la llar. En contrast, en el 37% de les entrades es reporta una disminució d’ingressos sense que disminueixi el nombre de treballadors (per exemple, per un període temporal de desocupació), i un 29% amb una reducció en la prestació d’atur. Les llars amb infants solen tenir més dificultats per sortir de la pobresa, fet que es tradueix en períodes de pobresa més prolongats. Les nostres conclusions apunten que els canvis en la situació laboral són més rellevants que els canvis en la composició de la llar per entendre la pobresa laboral i infantil. Alhora, factors de risc com la temporalitat laboral dificulten particularment la sortida de la pobresa de llars amb infants. Reduir la pobresa infantil requereix afrontar la pobresa laboral i a la inversa
Financial Technology (FinTech) and Its Impact on Financial Performance of Islamic Banking
Authors: Siska Elmira
Published: May 2022

As a financial services provider, Islamic banking must be able to keep up with the times by responding to challenges and establishing a competitive advantage through the development of innovative financial products and services using Fintech. The goal of this research is to examine how FinTech services affect Islamic banking's financial performance. With a case study at Bank Syariah Indonesia (BSI), this study used a quantitative-descriptive research design. Financial ratios such as CAR, ROA, ROE, BOPO, FDR, and Finctech service were used as secondary data. The data is in annual time series format ranging from 2016 to 2020. In this study, the program SPSS 21 was used to process the data to perform the Classical Assumption Test, Simple Linear Regression, t-Test, and Coefficient of Determination Test. Finding of current research proves that Fintech service has an impact on the financial performance of BSI in terms of CAR, ROA, ROE, BOPO, and FDR
EXPERIENCIA CUBANA: EN LA REHABILITACIÓN DE UN PACIENTE CON INFARTO CEREBRAL EN TIEMPOS DE COVID 19
Authors: García Grillo Lidia Esther , Vigoa Escobedo Yisell , Figueredo Frutos Lexy , Quijije Quiroz Hilda Brigitte
Published: May 2022

The work presented is based on the experiences in the rehabilitation of a patient who suffered a cerebral infarction and it was necessary to make adaptations for her rehabilitation, due to the affectations of the COVID 19. Its objective is focused on achieving the active reincorporation of the patient to daily life and it was carried out from the use of a transversal descriptive, qualitative and non-experimental approach and methods such as historical-logical, analytical-synthetic, inductive-deductive, review of studies and medical results and observation. With the proposal and adjustments made to the therapeutic physical exercise program for hemiplegic patients, active reincorporation to social life was achieved.
CARACTERIZACIÓN DEL VARAMIENTO DE TORTUGAS GOLFINAS EN PLAYAS DE LA PARROQUIA CRUCITA
Authors: Álvarez Gutiérrez Yamel , Hernández Escobar Arturo , Vince Andy
Published: May 2022

Las tortugas marinas cumplen un rol destacado para los ecosistemas marinos; el varamiento de las tortugas Golfinas en las costas ecuatorianas se ha convertido en un problema ecológico. El propósito de nuestra investigación fue la caracterización de dicho proceso en las condiciones de la Parroquia Crucita en la provincia de Manabí. La investigación es del tipo no experimental, de carácter descriptivo y en su realización se aplicaron métodos científicos, tanto de carácter teórico como empírico.  Se valoraron las características fundamentales del varamiento de este tipo de tortugas en la zona de investigación señalada que ponen de manifiesto la concordancia de los resultados registrados con trabajos similares realizados en Ecuador y en el extranjero. Se establecieron conclusiones de carácter científico y se formularon recomendaciones para la atención de esta situación, que afecta de manera directa al ecosistema de la zona estudiada.
LA HABILIDAD COMUNICATIVA DE ESCUCHA EN LA FUNCIÓN ORIENTADORA DEL PROFESOR EN SECUNDARIA BÁSICA
Authors: Batista Ramos Karla Virgen
Published: May 2022

La sociedad de hoy, exige de un maestro que cumpla con eficacia su misión social; y desde el vínculo estrecho que existe entre la orientación educativa y la comunicación, se requiere que a lo largo de su formación este profesional desarrolle habilidades comunicativas para ejercer su función orientadora. La autora a través los fundamentos teóricos, metodológicos y empíricos realizados durante el proceso investigativo, relacionado con la habilidad comunicativa de escucha para el desempeño de la función orientadora, corroboró que el estado actual del desarrollo de la habilidad de escucha para el desempeño de la función orientadora en los profesores  es de un  nivel bajo de conocimiento. Se hace necesario un material que les sirva de apoyo para apropiarse de contenidos y ejercitar dicha habilidad. La situación  epidemiológica por la que ha atravesado el país ha exigido la utilización de los medios de comunicación,  por lo que la autora, desde su perfil profesional,  como  asesora psicopedagógica,  ha diseñado un folleto digital que contribuya a la preparación en el desarrollo de las habilidades comunicativas para el desempeño de la función orientadora en el profesor de Secundaria Básica.
Proteínas de fase aguda, estresse oxidativo e componentes hematológicos e bioquímicos de equinos submetidos ao transporte rodoviário
Authors:   , Carvalho Filho Wilson Pinheiro de
Published: May 2022

O objetivo deste estudo foi avaliar o efeito do transporte rodoviário de equinos sobre proteínas de fase aguda (PFA), estresse oxidativo e componentes hematológicos. Foram utilizados 11 equinos, mestiços Quarto de Milha, idade média de 8,5±1,4 anos e peso de 447,1±21,2 quilos. O experimento foi conduzido no município de Araruama, RJ, com amplitude térmica local variando de 15 a 34°C (21,4±5,4), umidade relativa do ar entre 58 e 93% (78±11,4). Os animais foram submetidos a duas viagens, a primeira de 50 km, que teve duração de uma hora e 40 minutos, com velocidade média de 30 km por hora. Após 21 dias, realizou-se a segunda jornada, desta vez, de 300 km com duração de cinco horas e 30 minutos e velocidade média de 54,5 km por hora. Para analisar as variáveis, foi coletado sangue em nove momentos em cada viagem: TAnVi (imediatamente antes do início da viagem), TTeVi (imediatamente após o término do percurso) e com seis (T6h), 24 (T24h), 48 (T48h), 72 (T72h), 96 (T96h), 120 (T120h) e 144 horas (T144h) após o término da viagem. Foram avaliados o hematócrito, proteínas totais, plaquetas, contagem global e diferencial de leucócitos; as proteínas de fase aguda: macroglobulina alfa 2 (ALF 2), ceruloplasmina (CP), transferrina (TRF), antitripsina alfa 1 (ALF 1), haptoglobina (HP), apolipoproteína alfa 1 (APO-A1), α1 glicoproteína ácida (GPA); marcadores de estresse oxidativo: óxido nítrico (NO), capacidade de redução férrica do plasma (FRAP), superóxido dismutase (SOD) e malondialdeído (MAD); atividade muscular: creatinoquinase (CK), aspartato aminotransferase (AST) e atividade metabólica glicose (GLI) e lactato (LAC). A estatística utilizou ANOVA, comparações pelo teste de Tukey e não paramétricos por Kruskal-Wallis com post hoc de Dunn, significância considerada quando p<0,05. Houve incremento de neutrófilos de TTeVi a T48h após os dois trajetos e dos leucócitos totais de TTeVi a T24h após os 300 km. A GLI não apresentou alteração entre as distâncias, porém apresentou depleção em TTeVi dos 300 km. Houve incremento do lactato após os 50 km em relação aos 300, bem como TTeVi dos 50 km. A AST apresentou incremento em TTeVi dos 300 km em relação aos 50. As PFAspermaneceram sem alteração em todos os momentos. O estresse oxidativo foi percebido com depleção do SOD e incremento do MAD nos 300 km em relação aos 50. O percurso de 300 km ocasionou alterações mais acentuadas nas enzimas musculares, marcadores metabólicos e estresse oxidativo, sinalizando que o transporte de longa distância acarreta variações fisiológicas importantes. Palavras-chave: Transporte. Estresse oxidativo. Bem-estar. Proteínas de fase aguda. Equinos.
Assessment of the Ecological State of the Katnakhbyur River
Authors:   Yerevan State University, 1 Alek Manoukian St., Yerevan 0025, Armenia, Gor A Khachatryan , Arakelyan Alexander
Published: May 2022

The article presents the results of the assessment of the pollution of the Katnakhbyur river. The purpose of this work is to study the ecological state of the river and identify the main pollutants. The article presents an integral assessment of the ecological state of the river based on hydrobiological and hydrochemical indicators. The article uses the method of field research and observations, geographical and descriptive methods. The article compared the results of the analysis of water samples taken from the site of the villages of Armanis and Urasar. For comparison, a section of the Katnakhbyur River in the village of Urasar was adopted as a reference. The results of the analysis of the water sample taken from the site of the village of Armanis show that in comparison with the site of Urasara, there is an increase in a number of metals. The high concentration of heavy metal compounds in this area is due to the impact of the Armanis deposit. The article uses data from the Center for Hydrometeorology and Monitoring of the Ministry of the Environment.
Complications in Testing for COVID-19 with Nasopharyngeal Swabs: The Severance of a Nasopharyngeal Swab in a 13-Month-Old Toddler and Review of Literature
Authors: Kahlenberg Lea , Krüger Juliane , Lwowsky Dominik , Fusch Christoph
Published: May 2022

Since the beginning of the COVID-19 pandemic, the number of nasopharyngeal smears increased enormously to detect SARSCoV-2 and consequently break the chain of infection. Yet, only a few cases of complications during the collection of smears are reported. This case report describes the treatment of a toddler who presented in our pediatric emergency ward with a broken swab after nasopharyngeal COVID-19 testing and the currently unknown location of the swab in the body. Subsequently, other complications in testing for COVID-19 are reviewed though no comparable case has been published so far in the pediatric field. Concluding methods to prevent and treat complications are discussed.
Hereditary Hemorrhagic Telangiectasia in a Geriatric Patient: A Case of Treatment Resistance
Authors: A. Demirjian Gregory , C. Tou Leila , E. Sugerik Samantha , A. Siddiqui Taha , Fernandez Bernardo Reyes
Published: May 2022

Hereditary hemorrhagic telangiectasia (HHT) is a condition known for frequent and severe epistaxis, telangiectasias that form along various surfaces of the body, and potentially life-threatening arteriovenous malformations (AVMs) that may develop in major organ systems. Management of this condition begins with prompt diagnosis, followed by careful screening for systemic complications, and care to minimize morbidity associated with blood loss. We hereby describe a case of treatment-resistant HHT in a geriatric patient who suffers from recurrent and severe epistaxis warranting frequent hospitalizations and blood transfusions. The case underscores the need to recognize HHT early, begin treatment promptly, and closely follow these patients to minimize the risk of hospital readmission.
Influence of weather parameters on development of root rot in ajwain (Trachyspermum ammi L.)
Authors:   Department of Plant Pathology, Maharana Pratap University of Agriculture & Technology, Udaipur, Rajasthan, 313 001 (India), FAGODIA BABU LAL
Published: May 2022

The effect of various weather parameters along with different dates of sowing on the development of root rot was investigated during Rabi 2015-16 and 2016-17 at Rajasthan College of Agriculture Udaipur. The various weather factors viz., temperature, relative humidity and rainfall under inoculated conditions and with staggered dates of sowing were taken to observe the effect on disease progression.InRhizoctonia root rot, maximum plant mortality of26.5-39.3% in the plant sown on 5th October (inoculated on 30th October) and the lowest 19.4-37.0% in plants sown on 5th September (inoculated on 30th September) were observed during 49th to 51th standard meteorological week. It reached maximum39.0-42.8% in the plants sown on 5th October (inoculated on 30th October) and the lowest 35.1- 39.2%in plants sown on 5th September (inoculated on 30th September) were observed during 4th to7th standard meteorological week.It was also observed that the delayed sowing predisposes the ajwain plants for Rhizoctonia root rot disease so farmers should be advised to practice early sowing of ajwain crop
Physiological evaluation of growth and yield variation of mustard (Brassica juncea) varieties under organic products in North-Western Indo-Gangetic Plains
Authors:   ICAR-Indian Institute of Farming Systems Research, Modipuram, Uttar Pradesh 250 110, India, JAT N.K.
Published: May 2022

A field experiment was conducted for two years to analyze the physiological basis of variation in the growth and yield of popular mustard varieties under organic production. Twelve mustard varieties of varied duration and agroclimatic suitability were evaluated in a randomized complete block design. Results revealed that varieties NRCHB-506, RH-406, and RGN-229, being at par, registered significantly maximum leaf area index, photosynthesis rate, and chlorophyll content at all the crop growth stages, i.e., 30, 60 and 90 DAS. During both the intervals, i.e., 30-40 and 80-90 DAS, variety RH-406 followed by RGN-229 registered maximum crop growth rate, whereas,in NRCHB-101, the lowest crop growth rate was observed. At each crop growth stage, photosynthesis rate has a significant positive correlation with leaf area index, chlorophyll content, crop growth rate during 30-40 and 80-90 DAS. Varieties Pusa Mustard-25 (5.8) and Pusa Mustard-26 (5.7) recorded significantly higher primary branches plant-1. However, varieties Pusa Tarak, RH-406, and RGN-229 recorded the significantly highest number of secondary branches plant-1. Being at par, varieties NRCHB-506, RH-406, RGN-229, and Pusa Bold recorded a significantly higher number of silique plant-1, seed yield,and stover yield than other varieties. The seed yield was found significantly and positively correlated with the crop growth rate at 80-90 DAS (r=0.600**), chlorophyll content at 90 DAS (r=0.558**), and silique plant-1(r=0.518**).Therefore, it is inferred that varieties like RH-406, RGN-229, and NRCHB-506 are suitable to grow under organic nutrient management in the prevailing agro-climatic conditions.
Status of available micronutrients in soils of Neem Ka Thana tehsil, Sikar district of Rajasthan
Authors:   ICAR-National Bureau of Soil Survey & Land Use Planning, Regional Centre, Udaipur-313001(Rajasthan), MEENA R.S.
Published: May 2022

The study was conducted to evaluate available micronutrients (Fe, Zn, Cu and Mn) status and their relationship with some of the soil properties. In general, textural class of soils was found to be in the category of sandy loam, sandy clay loam, loamy sand and loam.The pH of soils varied from 7.3 to 8.9, EC varied from 0.03 to 1.11 dSm-1 with a mean value of 0.14 dSm-1, Organic carbon varied from 0.02 to 1.05 g kg-1 with a mean value of 0.37 g kg-1, CaCO3 ranged from 0.77 to 17.43 g kg-1 with a mean value of 4.20 g kg-1. DTPA- Zn, Fe, Cu and Mn ranged from 0.02 to 1.84 mg kg-1(mean 0.39 mg kg-1), 2.20 to 12.86 mg kg-1(mean 4.87mg kg-1), 0.15 to 9.68 mg kg-1(0.89 mg kg-1) and 3.38 to 14.70 mg kg-1(8.89 mg kg-1), respectively. The available micronutrients had positive and significantly relationship with silt, clay, and organic carbon of soils whereas, negative one with sand, calcium carbonate and pH of the soils. The deficiencies of Zn, Fe and Cu in these soils were 92, 49 and 14 % respectivelywhereas available Mn was found adequate in all the soils.
Racisme environnemental
Authors: Rougeon Marina , Mota Clarice , Trad Leny
Published: May 2022

Nous abordons la notion de racisme environnemental en partant de la diversité des usages et sens du terme. Dans un effort de délimitation conceptuelle, nous mentionnons ses antécédents historiques, puis nous indiquons quelques spécificités qui ont distingué les conceptions en vigueur, ainsi que certains prolongements sur le plan sociopolitique et juridique. Enfin, nous situons les usages du concept dans le champ de l’anthropologie, ainsi que leurs implications.