bluuebunny/crossref_metadata_2025 huggingface dataset:
Psychosocial intervention model for migrant workers during extended lockdown
Authors: Chavan B. S. , Arun Priti , Singh Gurvinder Pal
Published: April 2021

Background:

Human suffering and future uncertainty due to extended lockdown is enormous and this is much more among migrant workers.

Aim:

The aim of this study was to design and utilize a model for psychosocial intervention for migrant workers during the extended lockdown.

Materials and Methods:

In Chandigarh, due to lockdown, 61 migrant workers from various states were lodged in a shelter home at village Maloya, located in the outskirt of Chandigarh. Since no specific model was available to handle the psychosocial issues of this specific population, hence, an attempt was made to prepare a model for psychosocial intervention using Maslow's hierarchy of needs.

Results:

Changes in infrastructure and facilities provided to migrant workers due to implementation of this model for psychosocial intervention helped the participants seeing beyond their problems.

Conclusion:

Psychosocial intervention model based on Maslow's theory was found suitable for migrant workers in shelter home in Chandigarh.
Sexual functioning during the lockdown period in India
Authors: Grover Sandeep , Vaishnav Mrugesh , Tripathi Adarsh , Rao T. S. S. , Avasthi Ajit , Dalal P. K. , Mehra Aseem , Sahoo Swapnajeet , Manohar Shivanand , Chandran Suhas , Kumar Ajay , Sharma Pratheek , Rao Suman S.
Published: April 2021

Aim:

This study aimed to evaluate the impact of lockdown on sexual functioning in India. In addition, impact of lockdown on relationship with the partner and mental health was evaluated.

Materials and Methods:

An online survey was conducted using changes in sexual functioning questionnaire, Patient Health Questionnaire-4, and a self-designed questionnaire.

Results:

The mean age of the participants was 41.5 (standard deviation: 11.2; range: 22–77; median: 39.5) years, with the majority being males 385 (85.6%). The participants reported that lockdown led to reduction in the frequency of sexual intercourse and also touching the partner (fondling, caressing, touching, or kissing) when not indulging in sexual intercourse. Majority of the participants reported improvement in the overall relationship, communication with the partner, and interpersonal conflicts. About two-fifths of the participants reported engaging in sexual intercourse more than twice a week or more. About one-fifth screened positive for psychiatric morbidity, with 14.2% screened positive for anxiety, 14.8% screened positive for depression and 8.7% screened positive for both. In both genders, presence of depression and anxiety were associated with lower sexual functioning in all the domains.

Conclusion:

Lockdown led to a reduction in the frequency of sexual intercourse, and reduction in the frequency of intimacy in the form of fondling, caressing, touching, or kissing partner when not doing sexual intercourse. However, lockdown led to the improvement in overall relationship and communication with the partners and a reduction in interpersonal conflicts.
Early-onset bipolar disorder, stress, and coping responses of mothers
Authors: Paul M. Sam , Bhattacharjee Dipanjan , Khanande Roshan Vitthalrao , Nizamie Shamsul Haque
Published: April 2021

Background:

Providing care and nurturance to a child with bipolar disorder (BPAD) is a challenging task for parents, especially mothers. In Indian contexts, mothers are the primary caregivers of ailing children and they have to keep intrafamily situation stable, which makes their role more stressful.

Objectives:

The objective of the study was to assess maternal stress and coping in mothers of adolescents with BPAD.

Materials and Methods:

This study was a comparative one and carried out on sixty mothers of adolescents; of which thirty were adolescents with BPAD, and the remaining thirty were the mothers of normal adolescents. The participants were selected purposively as per the mothers' age and education level, and the socioeconomic status of the families they belong to. Sociodemographic and clinical data sheet, Parenting Stress Index/Short Form (PSI/SF), and Brief COPE were applied on the mothers for data collection.

Results:

Mothers' of the BPAD adolescents reported higher scores in the both PSI/SF and Brief COPE.

Conclusion:

Mothers of the adolescents with BPAD tend to perceive high level of stress and they also use maladaptive coping more in dealing with stressful situations.
Religiosity and Spirituality of patients with severe mental disorders
Authors: Grover Sandeep , Dua Devakshi , Chakrabarti Subho , Avasthi Ajit
Published: April 2021

Background:

Religion and spirituality form an integral part of life, yet have been poorly studied in patients with mental illness.

Aim:

This study evaluated the religious and spiritual practices, a sense of purpose/connection, religious/spiritual belief and sense of hope/control among clinically stable patients diagnosed with schizophrenia, bipolar disorder, and depression and compared the same with healthy controls. It also aimed to evaluate the association of residual psychopathology with various dimensions of religiosity and spirituality.

Materials and Methods:

Patients diagnosed with schizophrenia, bipolar disorder, and major depressive disorder, in a state of clinical remission were assessed on the Spiritual Attitude Inventory and compared with a healthy control group.

Results:

A total of 284 participants were recruited, which included patients with major depressive disorder (n = 72), bipolar disorder (n = 75), schizophrenia (n = 63), and healthy controls (n = 74). The groups were matched for age and gender. As compared to healthy controls, participants with any severe mental disorder had significantly lower participation in organized religious activities. In terms of existential well-being, all patient groups had significantly lower scores than the healthy control group. Patients with severe mental disorders significantly more frequently used negative religious coping than the healthy controls and also had lower scores on the sense of purpose. No significant difference was observed between the three patient groups on various dimensions of religiosity and spirituality as assessed in the present study. In patients with schizophrenia, higher use of negative religious coping was associated with greater residual psychopathology.

Conclusion:

Considering the association of negative religious coping with residual psychopathology, there is a need to incorporate psychological interventions to address religious and spiritual issues for patients with various severe mental disorders.
Global Frobenius liftability I
Authors: Achinger Piotr , Witaszek Jakub , Zdanowicz Maciej
Published: April 2021

We formulate a conjecture characterizing smooth projective varieties in positive characteristic whose Frobenius morphism can be lifted modulo

p^2

– we expect that such varieties, after a finite étale cover, admit a toric fibration over an ordinary abelian variety. We prove that this assertion implies a conjecture of Occhetta and Wiśniewski, which states that in characteristic zero a smooth image of a projective toric variety is a toric variety. To this end we analyse the behaviour of toric varieties in families showing some generalization and specialization results. Furthermore, we prove a positive characteristic analogue of Winkelmann’s theorem on varieties with trivial logarithmic tangent bundle (generalizing a result of Mehta–Srinivas), and thus obtaining an important special case of our conjecture. Finally, using deformations of rational curves we verify our conjecture for homogeneous spaces, solving a problem posed by Buch–Thomsen–Lauritzen–Mehta.
Epidemiological characteristics of a COVID-19 outbreak caused by religious activities in Daegu, Korea
Authors: Kim Jong-Yeon , Lee Yu-Mi , Lee Hwajin , Kim Jung-Whan , Kim Shin-Woo
Published: April 2021

OBJECTIVES: A coronavirus disease 2019 (COVID-19) outbreak triggered by religious activities occurred in Daegu, Korea in February 2020. This outbreak spread rapidly to the community through high-risk groups. This study describes the characteristics of COVID-19 cases based on S religious group membership and summarizes the Daegu municipal government’s processes and responses to control the outbreak.METHODS: The epidemiological characteristics of confirmed cases were obtained through basic and in-depth epidemiological surveys. General characteristics, the proportion of asymptomatic cases, the case-fatality rate, and the time-to-event within each group were presented after stratifying confirmed cases according to S religious group membership.RESULTS: Overall, 7,008 COVID-19 cases were confirmed in Daegu from February 18, 2020 to June 30, 2020, and 61.5% (n= 4,309) were S religious group members. Compared with non-members, members had a higher proportion of female (p< 0.001) and younger age (p< 0.001), as well as lower disease prevalence. At the time of the investigation, 38.4% of cases in members were asymptomatic versus 23.7% of cases in non-members (p< 0.001). The case-fatality rate of non-members aged ≥ 60 years was significantly higher than that of members (p< 0.001). Compared with non-members, members had longer intervals from symptom onset to diagnosis (p< 0.001) and from diagnosis to admission (p< 0.001), and a shorter interval from admission to discharge (p< 0.001).CONCLUSIONS: The epidemiological features of S religious group members, including the proportion of asymptomatic cases, case-fatality rate, and time-to-event, differed from non-members. The Daegu authorities prevented further COVID-19 spread through immediate isolation and active screening tests of all S religious group members.
Ebola Outbreak amid COVID-19 in the Republic of Guinea: Priorities for Achieving Control
Authors: Aborode Abdullahi Tunde , Tsagkaris Christos , Jain Shubhika , Ahmad Shoaib , Essar Mohammad Yasir , Fajemisin Emmanuel Adebowale , Adanur Irem , Uwishema Olivier
Published: April 2021

In February 2021, a new Ebola outbreak occurred amid the coronavirus disease 2019 (COVID-19) pandemic in the Republic of Guinea. Technical committees and Ebola mitigation mechanisms used during the 2014–2016 Ebola epidemics, have been redeployed by the public health organizations and African health organizations. As the burden on the local healthcare system is rising, fears of socioeconomic disruption are growing as well. Strategies used during the previous epidemic need to be reactivated, and new measures taken during the challenges of COVID-19 are being considered. This perspective discusses the available evidence regarding the epidemic of Ebola in Guinea amid the COVID-19 pandemic, highlights the challenges to be prioritized, and provides evidence-based recommendations.
Antibiotic Susceptibility of Mastitogenic Bacteria Isolated From Clinical Mastitis Cows in Midlands Province, Zimbabwe
Authors: Gufe C. , Bokosha V. , Marumure J. , Makuvara Z. , Manatsa S. , Mbonjani B. , Petzer I. , Makaya P.V.
Published: April 2021

Mastitis is a global challenge for the dairy industry and mastitogenic bacteria play a critical role among other causes. Many mastitogenic bacteria are becoming resistant to single or combination antibiotic therapy, making mastitis cases difficult to cure. Nevertheless, there is insufficient evidence on the occurrence and antibiotic resistance patterns of mastitogenic bacteria in commercial dairy and communal farms in the Midland Province of Zimbabwe that might support a holistic approach to mastitis mitigation. A cross-sectional study aimed to isolate and evaluate the antibiotic susceptibility patterns of mastitogenic bacteria from cattle with clinical mastitis was conducted. A total of 164 milk samples were analyzed, of which 36.6% (60) samples were collected from commercial farmers, and 63.4% (104) came from communal farmers. The samples were cultured on standard media and sensitivity patterns of the identified bacteria were tested against 14 antibiotics using the Kirby-Bauer disc diffusion method. All milk samples from communal farms were positive for mastitogenic bacteria compared to 88% (53) of mastitogenic positive milk samples from commercial farms. The most common microorganisms from all the 157-mastitogenic positive milk samples were Staphylococcus aureus (37.5%) and Escherichia coli (23.3%). The highest resistance was observed against Penicillin, Erythromycin, Ampicillin, and Lincomycin, whereas most isolates were susceptible to Sulphamethoxazole, gentamycin, neomycin, kanamycin, cloxacillin, ertapenem, ceftriaxone, Amp-Ampicillin, amikacin, vancomycin, and tetracycline. Futher research to investigate the significance of resistant mastogenic bacteria in terms of Veterinary costs, production losses and potential public health transmission of antibiotic resistant mastogenic bacteria is recommended
Cat Pelvic Fractures
Authors: Felix A.K. , Makungu M.
Published: April 2021

An eight-month-old, 2.7 kg, male, neutered mixed breed cat was presented at the Sokoine University of Agriculture Teaching Animal Hospital with a history of lameness involving hind limbs, lethargy, anorexia and failure to urinate or defecate. Abdominal palpation revealed a distended urinary bladder and firm faeces within the colon. Manipulation of the hips elicited pain and lower lumbar pain was also elicited on palpation. Radiographic examination revealed, an old fracture of the sacrum, lordosis of the lumbar spine with indented vertebral end plates, left sacroiliac joint subluxation and abnormally ventral angling of the ilial wings. Narrowing of the pelvic canal was also observed. A diagnosis of old fractures of the sacrum, left sacral iliac subluxation and narrowing of the pelvic canal was made based on the history, clinical and radiographic examination. Limitation of activity for three weeks was recommended to facilitate healing process. The owner reported the patient had a gradual recovery from lameness. Computed tomography would have provided further insight on the nature and severity of the fractures that the animal sustained. However, it was not done due to unavailability
Australia's Participation Factors in Quad Cooperation
Authors:   Korea Research Institute for Strategy, Lee Jun-il
Published: April 2021

Why has Australia, which withdrew its Quad cooperation in 2007, participated in Quad cooperation again since 2017? It is very interesting that Australia, which has been separated from China for thousands of kilometers, participates in the Quad cooperation, the U.S. initiative toward China. Especially for Australia, China is the largest exporter and largest importer. This study analyzes Australia's quad-cooperative participation factors through research methods in these problematic hypothesis settings. In other words, we validate this by establishing three hypotheses: China's threat, economic dependence, and domestic political factors as factors affecting Australia's quad cooperation. As a result of the study, this study argues that China's increased threat was a key factor in Australia's decision to participate in quad cooperation in 2017. Australia has a strategic similarity with Korea. Both countries, Australia and South Korea, are allied with the United States and have a lot of exchanges and cooperation with China. Despite these strategic similarities, Australia participated in quad cooperation under the threat of China, while South Korea has failed to make a choice about the U.S. plan to China. The Biden administration, which was newly launched in 2021, sees quad cooperation as a fundamental foundation for the development of U.S. policy in the Asia-Pacific region. While the U.S. demand for participation in the idea of China is expected to increase, this study could provide important strategic implications for Korea's national strategy.
A Study on the Combat Effectiveness of Dronebot Combat System using Lanchester’s Law
Authors:   Korea Research Institute for Strategy, Eom Hong-seob
Published: April 2021

The purpose of this study is to analyze the combat effectiveness of dronebot combat system using the Lanchester’s Law. To this end, the vision and the operational concept of the dronebot combat system were identified, and the concept and utility of Lanchester's law were analyzed. Subsequently, the ground combat robot effectiveness of the dronebot system was evaluated using the Defense M&S model, and the combat effectiveness of the aerial dronebot system was calculated using the Lanchester’s law. As a result, we could compare the relative combat power linking the combat power and combat effectiveness of the ground dronebot combat system, and the combat power function for the aerial dronebot could be derived in conjunction with the combat time. By applying the results of this study, it is possible not only to help design the planning and operation concept by calculating the effectiveness on dronebot operation in the future, but also to use it for efficient requirements planning through the cost-effectiveness analysis.
Israel's Revolution in Military Affairs and Insights for Korean Armed Forces
Authors:   Korea Research Institute for Strategy, Chung Choon-il
Published: April 2021

The objective of this article is to examine the significant causes that have led Israel's revolution in military affairs and its outstanding outcomes. This article also tries to figure out the lessons the Korean armed forces actually need for the revolution in military affairs. To be more specific, it is meaningful to build the conceptual framework of revolution in military affairs and conceptualize key factors. By applying each of factors to the case the article analyzes causes and outcomes of the Israel's revolution in military affairs(RMA). Israel Defense Forces(IDF) do not adopt general concepts and principles of revolution in military affairs comprehensively. Consequently they have developed own concepts and methods of warfare and superiority in military technology and the military systems. In detail, it is important to focus on the high-tech military systems Israel has built up, such as nuclear weapons, medium and long-range ballistic missiles, intelligence, surveillance and reconnaissance satellites, multilayer air and missile defense systems and reconnaissance and strike unmanned air vehicles(UAV). In addition, Israel has developed the innovative defense system and operational concepts and organizations, for example, unified forces, reconnaissance and strike complex, new doctrine of blitzkrieg warfare, special warfare units, information and cyber warfare units and Talpiot program. This article suggests some lessons to substantially enable the Korean revolution in military affairs from the Israel case analyzed with the theoretical frame. First, it is important to establish asymmetric military strategies that can deter the biggest military threats such as North Korea's nuclear weapons and missiles. Second, the Korean forces need to recognize more thoroughly enemy's strategies and its centers of gravity, so they need to develop surveillance and reconnaissance capabilities much more rapidly than now. Third, it is significant to build multilayer air and missile defense systems to prevent air and missile threats by North Korea and other countries. Forth, one of substantial issues is to build up diverse precise guided munitions that enable simultaneous parallel strikes against strategic and tactical targets in the whole area of North Korea and standoff hypersonic high-precision missile power system that can strike enemy's strategies and its centers of gravity. Finally, the Korean armed forces should educate much more military elites specialized in military technologies who can lead the Korean RMA.
The China's Maritime Power Initiative and East Denial, West Advance Strategy: A View of a Maritime Geopolitics
Authors:   Korea Research Institute for Strategy, Jung Gwang-ho , Baek Joo-hyun
Published: April 2021

This paper aims to take a macroscopic view of China's maritime strategy in terms of the maritime geopolitics and the military theory dealing with the fear of military blockade. China recently designated a maritime power as its major driving strategy for its national development strategy in pursue of economic development and hegemony in the East Asian region. This paper argues that China's maritime strategy is emerging as an “East Denial, West Advance” strategy in terms of the maritime geopolitics. The “East Denial, West Advance” strategy is to reject U.S. naval power approaching from the Pacific Ocean in order to advance into the Indian Ocean, west of China. In geopolitical terms, what China fears most is strategic siege. Access to the space of the Indian Ocean, a major transportation route for energy and commodity trading, must be reliably guaranteed in order for China to sustain its stable economic growth and become a maritime power. And to achieve this, security against the strategic rear must be guaranteed. China's maritime strategy in the 21st century is embodied by rejecting the U.S. approaching from the Pacific Ocean region, the strategic rear, with hard power, whereas, by advancing into the Indian Ocean region, the strategic front, with smart power.
Yenidoğan Yoğun Bakım Ünitesi Ebeveyn-Personel İletişimi Algıları Ölçeği Türkçe Geçerlik ve Güvenirlik Çalışması
Authors: ZENGİN Hamide , TİRYAKİ Öznur , KARAKAYA SUZAN Özge , ÇINAR Nursan
Published: April 2021

Giriş: Ebeveynlerin Yenidoğan Yoğun Bakım Ünitesindeki (YYBÜ) bebeklerinin bakımına katılabilmeleri, onların yaşadıkları sürece uyum sağlamalarına, bebeklerinin durumları ile ilgili daha sağlıklı karar vermelerine ve sağlık ekibi ile iletişim içinde olmalarına katkı sağlar. Amaç: Bu çalışma Yenidoğan Yoğun Bakım Ünitesi Ebeveyn-Personel İletişimi Algıları Ölçeğinin (EPİAÖ-YYBÜ) Türkçe kültürel adaptasyonunu, geçerlik ve güvenirliğini yapmak amacıyla planlanmıştır. Yöntem: Araştırmanın örneklemini bir eğitim araştırma hastanesinin YYBÜ’sinde tedavi gören, araştırmaya katılmayı kabul eden ve sınırlamalara uyan, toplam 246 ebeveyn oluşturmuştur. Geçerlik kapsamında; kapsam geçerliği, açıklayıcı ve doğrulayıcı faktör analizleri, ölçek güvenirliği için; iç tutarlılık güvenirliği Cronbach Alfa katsayısı ve 25 kişiden oluşan bir örnek kullanılarak test-tekrar test için sınıf içi korelasyon (ICC) hesaplanmıştır. Bulgular: Ölçek maddeleri İngilizce’den Türkçe’ye çevrilerek dil ve kapsam geçerliği için uzman görüşüne sunulmuştur. Kapsam Geçerlik İndeksi ve Kapsam Geçerlik Oranlarının ortalaması 0,958 bulunmuştur. Açıklayıcı Faktör Analizi sonucunda Kaiser Meyer Olkin değeri 0,823; Doğrulayıcı Faktör Analizi sonucunda elde edilen uyum indeksleri (χ²/sd: 3,068; RMSEA: 0,078; GFI: 0,873; CFI: 0,901; SRMR: 0,041) olarak elde edilmiştir. Uygulanan güvenirlik analizi sonucunda;16 maddeden oluşan EPİAÖ-YYBÜ’nün Cronbach Alfa katsayısı (α): 0,926; 8 maddelik “Genel Engeller” alt boyutu için α: 0,876; 4 maddelik “Kişisel İlişkiler” alt boyutu için α: 0,901; 4 maddelik “Katılım” alt boyutu için α: 0,914 olarak bulunmuştur. Test tekrar test sonucunda ICC katsayısı ölçek için 0,757 olarak tespit edilmiştir. Sonuç: Araştırma sonucuna göre, YYBÜ’sinde bebeği yatan ebeveynler ile personel arasındaki iletişim algılarının belirlenmesinde EPİAÖ-YYBÜ ölçeğinin Türk toplumu için geçerli ve güvenilir olduğu saptanmıştır.
Design & Fabrication of Intelligent Bumper and Braking System
Authors: Author Crossref , Umesh Kamble, Sanchit Godse and Reshma Patil Onkar Kulkarni, Prithviraj Sawant,
Published: April 2021

In today’s world automation is increasing day by day which includes Pneumatic technology, it had gained
tremendous importance from old age & coal mining to modern machines like heavy machinery’s & even in
space robot’s. to surf along with the study or market research one should must have knowledge in pneumatic
system. The main course of this project is to study on pneumatics’ and to relate the topic in the project. In that
case we designed and fabricated Intelligent electronically controlled automotive bumper activation called
“PNEUMATIC BUMPER & BRAKING SYSTEM”. This system has a ARDUINO UNO as a micro controller, IR
transmitter & Receiver circuit & Pneumatic actuators used as braking & bumper system. Now a day’s
accident is a huge problem especially in INDIA due to improper construction of road and tracks. To overcome
this problem this project helps in minimizing the accidents & greatest damage to the person if accident takes
place.
An Experimental Investigation on High Strength Binary Blended Polymer Hybrid Concrete using polycarboxylate Super Plasticizer
Authors: Ragini Matharaboena and Dr.R.Dinesh kumar
Published: April 2021

Concrete the arena’s most consumed material after water on the earth planet. Concrete is the cloth that's
stated to be sturdy in compression and susceptible within the tension. Steel is the ductile fabric to resist
anxiety in the concrete. Cement is the non-acidic and alkaline which save you the metal from corrosion. The
most important attention on this experimental take a look at inside the beyond is made to make concrete
strong in tension with less use of metal and with using a few replacements. The Steel crimped fibres are said
for use to enhance the homes of concrete that have the improvement to the age factor of concrete. The use of
Polypropylene fibres to enhance the flexural assets inside the concrete. Past Experimental research with the
aid of part of the past researchers. The use of polycarboxylate amazing plasticizers to enhancethe
workability and to lessen the water percentage material with in the concrete along with improve the
compressive electricity with the emphases at the specific properties of concrete to triumph over the special
botheration in concrete. Concrete has been serious trouble manifest in now every day so we want to find out
the arrangement of this difficulty. In this undertaking to be middle around attributes best of solid evaluation
of cement with various corresponding of supplanting of concrete with and we along with pleated metallic
fibre. To utilising metal fibre, improve the flexural pleasant of cement in diverse range mixture. The solid of
blend to be casted with metallic fibre and without metal fibre in vary costs 0.8% 1.8% 2.8% and 3.8%. To trust
the cost of improvement to be examines. The 3-d squares and chamber have been tried for both split
malleable (150 mm width and 300 mm period chambers) and compressive excellent 3-D shape. At final, the
high-quality presentation of blended fibre concrete is contrasted and the exhibition of commonplace cement
Utilização da aprendizagem baseada em problemas (ABP) para o desenvolvimento do pensamento crítico (PC) em Matemática: uma revisão teórica
Authors: Rezende Adriano Alves de , Silva-Salse Angela Ruth
Published: April 2021

A necessidade de desenvolver um pensamento crítico é uma habilidade necessária a todas a pessoas e a todos os temas. Na Matemática essa necessidade também existe, todavia, esse desenvolvimento cognitivo superior depende de uma abordagem de ensino capaz disso. No caso deste artigo o objetivo foi, por meio de ampla revisão teórica (bibliográfica e documental), determinar se a Aprendizagem Baseada em Problemas (ABP) é capaz de fomentar o desenvolvimento do pensamento matemático crítico. Segundo o estudo, diversos autores têm explorado o uso da ABP para o ensino da Matemática em assuntos específicos. Contudo, como resultado da ABP são percebidos incrementos, em diversas magnitudes, na capacidade cognitiva e crítica observada. Isso, por sua vez, reforça o potencial da ABP como instrumento didático seja para o ensino de Matemática, seja para o desenvolvimento do pensamento crítico dos educandos envolvidos.
Cultural Variations and Socio-Ecocultural Understanding on Cross-Cultural Adaptation
Authors: Rozaimie Awang
Published: April 2021

Cross-cultural adaptation is a challenging process while sojourning abroad. The inability to understand cultural variation triggers psychological, physical or behavioral difficulties and maladjustment or misunderstanding. Socio-ecocultural underestimation is the root of intercultural resistance, stereotyping, ethnocentrism and racist sentiments among sojourners. Most of the cross-cultural adjustment studies have quantitatively demonstrated factors and predictors of adaptation success. However, the specific forms of cultural variation that impacted sojourning adaptability is blindly explained. Hence, this phenomenological paper autoethnographically observed the socio-ecocultural environment while sojourning in New Zealand. The findings highlighted that cultural awareness and sensitivity assist sojourner’s cross-cultural adaptability due to the socio-ecocultural variation.
Effect of Lavender Essential Oil Inhalation on Anxiety Level for Patients Undergoing Closed Magnetic Resonance Imaging
Authors: Dabou Eman A. A. , AbdElazeem Yasmin F. M. , Elshenawie Hend A. E.
Published: April 2021

Contents: Magnetic resonance imaging (MRI) is one of the medical diagnostic imaging techniques that can provoke or exaggerate anxiety in certain patients. It may sometimes lead to the cancelation of the MRI.   The lavender essential oil has a long historical anxiolytic benefit.

Aim: This study aimed to examine the effect of lavender essential oil inhalation with a massage on anxiety level for patients undergoing closed magnetic resonance imaging.

Methods: A quasi-experimental research (study/control group) was used to achieve the aim of this study. The study conducted at Magnetic Resonance Imaging Unit in Main University Hospital, Alexandria, Egypt. A convenient sample of 100 patients divided into the study and control group (50 patients for each). Two tools were used in the present study. Those were structured interview questionnaire that elicited the patients' sociodemographic characteristics, and State-Trait Anxiety Inventory to identify the patients' anxiety levels.

Results: There were no statistically significant differences between both groups concerning the anxiety level before the MRI procedure (χ2=2.041, P = 0.495). While there were statistically significant differences between both groups concerning anxiety level post-MRI procedure and after receiving of interventions (χ2 =35.135, P=0.000), there was a highly statistically significant difference between anxiety level before and after receiving intervention in study group patients (t= 77.059, P=0.000).

Conclusion: Patients undergoing a closed magnetic resonance imaging who inhaled and massaged their hands with Lavender essential oil exhibited a reduced level of anxiety compared to the control group and compared to their preintervention level. The study recommended using the lavender essential oil, which is an inexpensive and noninvasive intervention in reducing MRI anxiety or other anxiety-producing procedures.
FACTORS ASSOCIATED WITH PSYCHOLOGICAL OUTCOMES OF HEALTHCARE WORKERS DURING THE COVID-19 PANDEMIC AND ITS EFFECTS ON QUALITY OF LIFE
Authors: Shalaby Mrs. Hanin , Baroom Nora , Obaid Rawan , Raboe Enaam
Published: April 2021

Purpose: This study aimed at assessing the factors associated with psychological outcomes among HCWs in Saudi Arabia (SA) during the pandemic. It also aims to determine the factors affecting their QoL.

Methodology: In this descriptive cross-sectional study, all HCWs who are working in direct and indirect contact with COVID-19 cases in tertiary hospitals of SA were invited voluntarily to complete the validated web-based survey during the study period. A total of 1,182 HCWs from different regions across SA and different specialties including physicians, nurses, pharmacists, health educators, technicians, and others responded to this study between the 1st of June and the 31st of July 2020. Psychological risk factors were evaluated using Patient Health Questionnaire depression scale; and the Generalized Anxiety Disorder (GAD-7) anxiety scale. QoL was assessed using the World Health Organization Quality of Life Questionnaire (WHOQOL). Socio-demographic data were summarized with frequency and percentages. The overall anxiety, depression, WHOQOL scores of the study participants were calculated according to mean value, SD, and median. The association between socio-demographic factors and anxiety, depression scales were examined using independent samples t-tests, one-way ANOVA, and the chi-square test (for categorical depression/ anxiety variables severe depression/severe anxiety against mild/moderate/moderately severe). While those factors and WHOQOL domains were examined using one-way ANOVA.   Multivariate analysis was used to identify the front-line work predictors of depression and anxiety.

Findings: Poor QoL scores were observed, especially in the physical and psychological health domains. In general, low QoL was significantly higher among workers who reported higher levels of anxiety and depression. The observed factors affecting the psychological health and QoL were age, gender, living with children and/or older people, occupation, years of experience, participation in front-line work.

Unique contribution to theory, practice and policy: Specific characteristics of HCWs may act as protective or risk factors with regard to depression, anxiety, and QoL. Targeted interventions could mitigate the negative effects of front-line work to maintain medical professionals’ optimal psychological and physical health .More research is needed to further determine how the COVID-19 pandemic and front-line work affect HCWs' mental and physical well-being
Obstructive Sleep Apnea High-Risk Prevalence, Symptoms and Sleepiness among Patients with Uncontrolled Type 2 Diabetes Mellitus Seen at the Out-Patient Department of Philippine General Hospital
Authors: De Leon Maria Lowella F. , Alibutod Nina R. , Jorge II Manuel Peter Paul C.
Published: April 2021

Objectives. We determined the prevalence of patients at risk for obstructive sleep apnea (OSA) with uncontrolled type 2 diabetes mellitus (T2DM) at the out-patient department (OPD) of the University of the Philippines-Philippine General Hospital (UP-PGH) from December 1, 2018 - February 28, 2019. We described the demographic characteristics of patients with uncontrolled T2DM and compared them with high and low OSA risk, its association, and correlation with the quality of sleep.

Methods. This is a prospective cross-sectional study among uncontrolled T2DM. The questionnaires were Berlin Questionnaire (screen OSA-HR) and Epworth Sleepiness Score (level of sleepiness). Clinicodemographic profile and significant laboratory data were obtained. Descriptive statistics utilized. Chi-square test was used to compare categorical variables between patients with high vs low OSA risk and to determine if an association exists between OSA-HR and sleep quality.

Results. A total of 240 participants, 88 males and 151 females, were included in the study. The overall prevalence of OSA-HR among patients with uncontrolled type 2DM is 58.33%. The majority of the OSA–HR patients (105 /140) was 46 years old and above. There is a significant association of tonsillar grade, Mallampati score, BMI, HbA1c, hypercholesterolonemia, and Epworth sleepiness on OSA High risk. There is also a substantial association with age, BMI, Mallampati score, tonsillar grade, hypertension, asthma, HbA1c, and hypercholesterelonemia on the level of sleepiness of OSA-HR.

Conclusion. There is a high prevalence of high OSA-risk among patients with uncontrolled DM. Factors associated with high OSA-risk among uncontrolled diabetes mellitus include HbA1c, dyslipidemia, BMI, Mallampati score, tonsillar grade, and Epworth score.
Educação inclusiva: o processo pedagógico de um estudante com dificuldade de aprendizagem em uma escola municipal de Presidente Kennedy (ES)
Authors: Fontana Contarini Maria Regina , Silva Pereira Nilda da Paiva
Published: April 2021

O capítulo Educação Inclusiva: O processo pedagógico de uma estudante com dificuldade de aprendizagem em uma escola municipal de Presidente Kennedy-ES, as autoras Maria Regina Fontana Contarini e Nilda da Silva Pereira, buscam compreender o fazer pedagógico no processo educacional de uma aluna com dificuldade de aprendizagem, analisando o procedimento educativo e a aplicação das teorias da educação de forma empírica. Entende-se que a ação pedagógica deve consistir na elaboração de programas de intervenção adaptados às características de aprendizagem específicas de cada criança e no espaço em que ocorre essa aprendizagem. Incluir alunos com dificuldades de aprendizagem é um grande desafio. Isso, na maioria das vezes, ainda não ocorre na escola. Para uma educação realmente inclusiva é necessário repensar o processo de ensino e aprendizagem conhecendo e compreendendo as adversidades físicas ou culturais, as múltiplas diversidades, sejam elas físicas ou culturais, necessitando ser plurissignificativa e construir um currículo contextualizado, em que esteja presente a equidade.
Busca pelo tratamento da crise álgica na doença falciforme:concepções das genitoras
Authors: Silva Gabriel Santos da , Sousa Brendo Vitor Nogueira , Oliveira Elenilda Farias de , Martins Karoline Dias , Jesus Viviane Silva de , Nascimento Ohana Cunha do
Published: April 2021

Objetivo: Conhecer os aspectos envolvidos na busca por tratamento da crise álgica na doença falciforme, a partir das concepções das genitoras/responsáveis. Métodos: Pesquisa descritiva, de abordagem qualitativa, realizada entre os meses de julho a novembro de 2017, no Centro de Atendimento à Pessoa com Doença Falciforme em Feira de Santana, Bahia, Brasil, com seis mães/responsáveis de crianças e adolescente entre 6 a 18 anos. A coleta de dados se deu por meio de entrevistas semiestruturadas. Os dados foram analisados pelos critérios da análise de conteúdo temática e apresentados em quatro categorias: “Motivos que levaram à procura de unidades especializadas”, “Dificuldades encontradas no trajeto à unidade de saúde/logística”, “Infraestrutura/falta de sensibilização profissional para o atendimento de urgência” e “Condições para alta/sentimentos na alta hospitalar”. Resultados: Os principais motivos para procura de uma unidade especializada foram as crises álgicas, bem como febre e infecções pregressas. As dificuldades encontradas no trajeto/logística referem-se ao longo percurso entre o domicílio e o hospital, falta de veículo próprio e a demora no atendimento. A infraestrutura hospitalar foi considerada confortável, porém casos de subjugação da dor e falta de atendimento integral foi associada à falta de conscientização profissional para o problema. As condições de alta foram relacionadas ao alívio da dor, trazendo sentimentos de alegria na alta hospitalar. Conclusão: Os achados revelam fatores relacionados à dificuldade de acesso aos serviços de saúde devido a vulnerabilidade social, havendo necessidade de estratégias efetivas de educação em saúde para capacitar os pais/responsáveis no cuidado domiciliar, visando a prevenção das crises, além de criação de novas unidades especializadas para facilitar atendimento humanizado ao paciente e familiar.
Late Complete Heart Block after Surgical Repair of an Atrial Septal Defect
Authors: Zwaenepoel Bert , Roelandt Raf , De Backer Julie , De Pooter Jan
Published: April 2021

ABSTRACT
Atrial septal defects (ASD) are among the most common forms of congenital heart disease.
Although surgical correction was the only available therapy for decades, its long-term
complications remain unknown and many patients do not have structured medical follow-up in later life.

However, increasing evidences suggest that late-onset cardiac problems, such
as complete heart block (CHB), can arise after surgery and therefore, long-term follow-up should be advised in these patients. We hereby present an interesting case of CHB occurring in a 30-year-old patient who had undergone surgical secundum ASD closure approximately 21 years prior to this event and now presented with episodes of dizziness and pre-syncope. Seven-day Holter reported seven episodes of CHB, corresponding to the presenting complaints.

The patient was successfully managed with conduction system pacing and he remained
asymptomatic on further follow-up. The case description is followed by a brief overview of
the available literature.
ADCY2, ADCY5, and GRIA1 are the key genes of cAMP signaling pathway to participate in osteoporotic spinal fracture after the manipulation of Wnt signaling
Authors: Zuo Xiaohua , Zhou Changdong , Zhu Xuepiao , Liu Dan , Wang Yan , Bao Hongguang , Zhang Kai , Zhang Yong
Published: April 2021

Introduction

Osteoporotic spinal fracture, characterized by high morbidity and mortality, has become a health burden for the aging population. The inactivation of the Wnt signaling has been proved to promote osteoporotic fractures. Our study is to identify the key genes, miRNAs, and pathways that possibly lead to osteoporosis and osteoporotic spinal fracture after the aberrant activation or mutation of Wnt signaling pathway.

Material and methods

Impute R package was used to screen out the differently expressed genes (DEGs) and differently expressed miRNAs in GEO datasets. STRING and Metascape were used to construct protein-protein interactions (PPI) network, gene ontology (GO) enrichment and pathway enrichment. The relative expression of ADCY2, ADCY5, and GRIA1 in bone tissues was measured by RT-qPCR.

Results

562 DEGs were screened out using Impute R package, and a PPI network involving the 562 DEGs was constructed using STRING and Metascape. GO enrichment and pathway enrichment showed that the 562 DEGs were associated with membrane protein-related signaling pathways. Then, 75 genes between the target genes of miR-18a-3p and 562 DEGs were overlapped using Venny 2.1.0. Finally, the cAMP signaling pathway was identified as the key pathway, whilst ADCY2, ADCY5, and GRIA1 were identified the key genes that possibly participate in osteoporotic spinal fracture after the manipulation of Wnt signaling pathway, which was further proved by their excessive downregulation in osteoporotic patients with spinal fracture.

Conclusions

The results demonstrated that ADCY2, ADCY5, and GRIA1 were the key genes to regulate the cAMP signaling pathway in osteoporotic spinal fracture after abnormal Wnt signaling.
Robust Food Supply Chain Traceability System based on HACCP using Federated Blockchain
Authors: Danish Muhammad , Hasan Muhammad Shahwaiz
Published: April 2021

In this fast growing world, everything needs to change and upgrade with the technology to survive in this rapidly changing environment. The Food Supply Chain system is one of them. In traditional supply chain management functions, it is hard to manage the flow of traceability information of products timely and effectively among upstream to downstream stakeholders.This gap in the flow of information and untrusted traceability of product causes to generate food contamination hazards and also increasing the network of modern FSC systems is still challenging to provide quality, privacy, and integrity of traceability mechanism. HACCP and Blockchain-based FSC provide various functions to enhance the FSC process such as traceability,transparency, security among all stakeholders. In these functions, some most important functions of the Food Supply Chain system are traceability, amount of data sharing, and privacy of data of products among stakeholders.

In this paper, we are going to provide an Enhanced Food Supply Chain Traceability system based on Federated Blockchain with HACCP using smart contracts. This model will manage by pre- selected leaders’ nodes. These leaders’ nodes have the right to control the action of middle nodes and lower nodes. The amount of data sharing can also be controlled by the leaders’ nodes.So, any particular transaction is restricted to perform by middle and lower nodes because the Federated Blockchain is partially decentralized. This model overcomes the issue of privacy concern which remains unsolved by blockchain-based FSC and makes a better and enhanced Federated Blockchain-based FSC traceability system.
EncyCloudPrado: posibilidades didácticas de las nuevas tecnologías para el acceso a la información en el ámbito museístico
Authors: Fernández Castrillo Carolina , Lintermann Bernd
Published: April 2021

Este trabajo ha obtenido un Accésit del Premio Estudios Financieros 2016 en la modalidad de Educación y Nuevas Tecnologías.
El papel y el desarrollo de los museos en el mundo contemporáneo está estrechamente ligado a las posibilidades que ofrecen las tecnologías de la información y la comunicación (TIC). En línea con la vocación educadora de las instituciones museísticas, el presente trabajo ofrece un recurso didáctico para facilitar el acceso a la información y la visualiza­ción de fondos culturales en la era digital. En el marco de esta investigación se ha crea­do el prototipo EncyCloudPrado 2016, una instalación interactiva que permite realizar búsquedas en la versión online de la enciclopedia del Museo Nacional del Prado. Los resultados aparecen proyectados en una pantalla panorámica de 360 grados a modo de dinámicos collages de sonidos, documentos e imágenes, convirtiendo la navegación por la web en una experiencia espacial. El objetivo de este estudio consiste en analizar el grado de aceptación por parte de la generación Z del uso de instalaciones interactivas en entornos inmersivos como posibles herramientas de aprendizaje. Asimismo, se valorará si este tipo de iniciativas supone un acicate para atraer a un mayor número de visitantes a los museos y favorecer el acceso a sus fondos.
Uso e interés por las redes sociales entre las personas mayores desde una perspectiva de género. Un estudio en las universidades de mayores andaluzas
Authors: Barroso Osuna Julio , Aguilar Gavira Sonia
Published: April 2021

Los datos ofrecidos en el presente artículo surgen de una investigación realizada a nivel autonómico en las diferentes universidades de mayores andaluzas. Uno de los propósitos de este estudio es conocer la situación de las personas mayores en las redes sociales en función del género. Participaron un total de 294 alumnos pertenecientes a los programas provinciales de las universidades de mayores. Para ello, se confeccionó un cuestionario tras una revisión de literatura y tomando como referente investigaciones realizadas con la temática de estudio. Los resultados indican que la brecha de género entre el colectivo prácticamente ha desaparecido al igual que en la generación más joven. Ambos géneros exponen las mismas preocupaciones al usar las redes sociales y coinciden también en los beneficios que les proporciona su uso, en las herramientas utilizadas o en los motivos que les llevaron a formar parte de las mismas. Sí se encuentran diferencias significativas entre hombres y mujeres con respecto al interés, el fin con el que se utilizan, la frecuencia de uso y los dispositivos de conexión utilizados.
ADULT PRESENTATION OF HIRSCHSPRUNG’S DISEASE; A CASE REPORT
Authors: Malik Zainab , Gul Salma , Khaliq Bhinder Khurram
Published: April 2021

Abstract 

Young patients presenting with chronic constipation and failure to thrive, should be promptly investigated and looked upon for late presentation of congenital diseases like Hirschsprung disease (HD). This case is reported to highlight rare case of adult presentation of HD who presented to emergency department with complaints of lower abdominal pain, flatulence and lethargy. Considering the findings of CT scan suspicion of Adult presentation of HD was given and lateral biopsy confirmed the diagnosis.