bluuebunny/crossref_metadata_2025 huggingface dataset:
The processing and transferring of food in the colony of \(\textit{Odontotermes hainanensis}\) Light (Isoptera: Macrotermitinae)
Authors: Thi My Nguyen , Quoc Huy Nguyen , Thuy Hien Nguyen , Van Quang Nguyen
Published: March 2023

Odontotermes hainanensis Light is known as a pest to structures, crops, dikes and dams in Vietnam that needs to be controlled. Currently, termite control using baits is considered a pre-eminent especially environmentally friendly measure. However, applying this method has been proven to be incapable to control O. hainanensis or other fungus-growing termites (subfamily Macrotermitinae) due to their complex food processing. The research on food processing and the food distribution ability within the colony of this species was conducted in order to identify a scientific basis to further enhance the efficiency when treating them with baits. Results on the food processing of laboratory cultured colonies showed that this process took from 21 to 35 days with labor division in worker groups. Results on food transferring by food marking method in the field colonies showed that food was distributed by workers to most of the fungus garden cavities of the colonies. The proportion of cavities that fungus combs containing marking food reached from 92.1% to 100% in these studied nests. This is an essential scientific basis for the termite bait study on controlling fungus-growing termites, particularly O. hainanensis.
\(\textit{Fusarium fujikuroi}\) WQF5 isolated from \(\textit{Cephalotaxus mannii }\)Hook.f. as a producer of antibacterial agent and paclitaxel
Authors: Ngoc Tung Quach , Hanh Nguyen Vu Thi , Phuong Chi Le , Quang Tran Hong , Thao Do Thi , Hoang Ha Chu , Tien Phi Quyet
Published: March 2023

Cephalotaxus mannii Hook.f is a rare medicinal plant used for the treatment of leukemia, however, its fungal endophytes with antibacterial and anticancer properties have not been exploited yet. In this study, six fungal isolates were recovered from roots of C. mannii collected in Ha Giang province, Vietnam. Among them, ethyl acetate crude extract of strain WQF5 exhibited strong antibacterial activity against 5 tested pathogens with inhibition zones ranging from 13.0 ± 0.5 mm to 20.0 ± 0.4 mm. Sulforhodamine B assay showed that WQF5 extract possessed the most potent cytotoxic activity against lung cancer A549 and breast cancer MCF7 cell lines with IC50 values of 6.9 ± 0.7 µg/mL and 23.1 ± 1.9 µg/mL, respectively. PCR-based molecular marker screening revealed that the positive hits for essential genes encoding 10-deacetylbaccatin III-10-O-acetyltransferase (dbat) and C-13 phenylpropanoyl side chain-CoA acyltransferase (bapt) involved in paclitaxel production were found in the fungal isolate WQF5. In addition, isolate WQF5, identified as Fusarium fujikuroi by morphological and ITS analysis, also produced paclitaxel as shown by HPLC-DAD analysis. This is the first report of bioprospecting endophytic fungi isolated from C. mannii, in which the capability of producing paclitaxel of endophytic fungi was also proved for the first time. These findings addressed a potent candidate for paclitaxel production and provided excellent material for further investigations of how endophytic fungi from non-Taxus plant species synthesize paclitaxel.
The myriapod fauna (Chilopoda, Diplopoda) of the Truong Sa (Spratly) archipelago, Vietnam
Authors: Son Le Xuan , Dac Le Xuan , Dung Ngo Trung , Dung Dinh The , Hung Nguyen Duc , Anh Nguyen Duc
Published: March 2023

This paper provides the first data on myriapods in the Truong Sa archipelago (Vietnam). A total of 292 myriapod specimens identified 9 species in 7 genera, 6 families, 5 orders of two classes Chilopoda and Diplopoda were collected from 10 islands in the Spratly archipelago of Khanh Hoa province in Vietnam including Southwest Cay (Song Tu Tay), Sand Cay (Son Ca), Namyit island (Nam Yet), Grierson Reef (Sinh Ton Dong), Sin Cowe island (Sinh Ton), Pearson Reef (Phan Vinh), Central Reef (Truong Sa Dong), Spratly island (Truong Sa), West Reef (Da Tay), and Amboyna Cay (An Bang), , , during two surveys in October–November 2020 and May–June 2021. The class Chilopoda has 276 specimens of seven species, 6 genera, 5 families in three orders (Scolopendromorpha, Geophilomorpha, and Lithobiomorpha); The class Diplopoda has 16 specimens of 2 species, 2 genera, and 2 families in two orders (Polydesmida and Spirobolida). Among the recorded species, Rhysida longipes (Newport, 1845) were commonly recorded on all islands.
Unit and idempotent additive maps over countable linear transformations
Authors: Gümüşel Günseli , Koşan M.  Tamer , Zemlıcka Jan
Published: March 2023

Let $V$ be a countably generated right vector space over a field $F$ and $\sigma\in End(V_F)$ be a shift operator. We show that there exist a unit $u$ and an idempotent $e$ in $End(V_F)$ such that $1-u,\sigma-u$ are units in $End(V_F)$ and $1-e,\sigma-e$ are idempotents in $End(V_F)$. We also obtain that if $D$ is a division ring $D\ncong \mathbb Z_2, \mathbb Z_3 $ and $V_D$ is a $D$-module, then for every $\alpha\in End(V_D)$ there exists a unit $u\in End(V_D)$ such that $1-u,\alpha-u$ are units in $End(V_D)$.
MAPEAMENTO DE ESTUDOS SOBRE CURRÍCULO DE LICENCIATURA EM MATEMÁTICA
Authors: Soares Soria Pereira Lima , Palanch Wagner Barbosa de Lima
Published: March 2023

Este artigo apresenta os resultados de um mapeamento de pesquisas brasileiras dedicadas ao tema Currículo de Licenciatura em Matemática produzidas e defendidas nas áreas de Educação e Ensino em nível de Mestrado e Doutorado nos últimos cinco anos (2017-2021), e presentes no banco de dados da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). O objetivo desse mapeamento é compreender como o tema Currículo de Licenciatura em Matemática está sendo tratado por estudiosos da área de Educação Matemática. Na realização do mapeamento foi seguida uma abordagem qualitativa do tipo exploratória, na tentativa de expandir o levantamento realizado por Libório (2019) da mesma temática e que teve como lapso temporal o período de 1989 a 2016. O corpus de dados é constituído de 15 pesquisas e o processo de análise de dados foi subsidiado pela Análise de Conteúdo de Bardin, os resultados do mapeamento apresentam estudos dedicados a implementação de documentos oficiais e organização curricular; a determinado componente curricular; e, ao currículo dos cursos de formação inicial de professores de Matemática em uma perspectiva histórica, a partir de narrativas.
O QUE DIZEM OS AUTORES SOBRE RACISMO?
Authors: Lisboa Edson da Silva , Lopes Luis Fernando , Oliveira Marcia Maria Fernandes
Published: March 2023

Este estudo reflete sobre a relação entre o racismo no Brasil e o currículo das universidades, apresentando casos reais de racismo. Tem-se como problema que o currículo é reflexo social, de modo que há baixo número de autores negros, gerando implicações na representatividade. Logo, a pergunta norteadora é: como é possível diminuir atos racistas nas universidades, mesmo havendo baixa representação de autores negros? Tem-se como hipótese que a identidade pode ser configurada/reconfigurada pela representatividade, ilustrada por falas antirracistas de alguns autores presentes no currículo das ementas dos cursos de Sociologia, de modo que, mesmo com baixo número, proporcionam a criação de espaços de fala e escuta contra o racismo, pois viabilizam a emancipação. Os fundamentos ancoram-se na noção de currículo de Sacristán (2000) e Silva (1998); representatividade em Woodward (2000) e Arroyo (2015); identidade de Hall (2003), bem como emancipação nos espaços de fala e escuta, na perspectiva de Freire (1987). Justifica-se este estudo, uma vez que a incidência de atos racistas atinge mais da metade da população negra brasileira. A metodologia é bibliográfica e exploratória. O objetivo geral é o de apresentar como as teorias e falas de alguns autores ajudam na formação da representatividade negra. Os resultados indicam ser possível emancipar-se nos espaços de fala e escuta. Espera-se produzir reflexões para o combate ao racismo.
POR UM CURRÍCULO PARAENSE OUTRO QUE FAÇA JUSTIÇA CURRICULAR
Authors: Rocha José Damião Trindade , Bassalo Lucélia de Moraes Braga , Silva Jardinélio Reis da
Published: March 2023

Este artigo discute o currículo como espaço de construção da equidade de gênero junto a professoras/es, gestoras/es e comunidade em geral, frente a atitudes discriminatórias e homofóbicas. Nesse sentido, analisa propostas didáticas anti-discriminatórias de um Guia curricular sugerido a professoras/es de um município paraense. Situada no campo do Currículo, trata-se de uma investigação qualitativa do tipo documental que utiliza a hermenêutica objetiva para a análise dos dados. O corpus é o Guia Pedagógico elaborado pela Secretaria Municipal de Ensino de Castanhal - Pará (SEMED/Castanhal). Os resultados da análise sinalizam que as orientações curriculares são caminhos para um planejamento didático e de ensino para conduzir enfrentamentos à homofobia, mesmo que essas orientações não façam parte da “Base Comum” obrigatória do currículo da rede municipal de ensino. A partir desse pressuposto, o Guia Pedagógico, ao respaldar o trabalho docente na abordagem da homofobia e do bullying homofóbico objetificado no ambiente escolar, se constitui elemento nuclear como “Parte Diversificada” do currículo que faça justiça curricular.
REPLANTEANDO LOS ESPACIOS EDUCATIVOS EN LAS ESCUELAS RURALES EN EL CURRÍCULUM COMPETENCIAL
Authors: Carrete-Marín Núria , Buscà Francesc
Published: March 2023

El valor de la didáctica multigrado y su consideración por parte de los docentes en las escuelas rurales cada vez toma más peso en los procesos educativos actuales. Esto implica tener en cuenta no tan sólo estrategias didácticas activas y participativas; materiales adaptados al entorno rural y a la diversidad inherente a la realidad multigrado o cambios en los tiempos y la organización escolar de los centros sinó también una reconsideración de los espacios como elementos relevantes para contribuir, como un todo, al éxito educativo. En el caso de los modelos curriculares basados en competencias, la didáctica multigrado puede ser el medio ideal para lograrlo de forma significativa. En concreto contribuye a que este éxito educativo se fundamente tanto en la adquisición de resultados académicos basados en saberes o conocimientos, como en la capacidad del alumnado para movilizarlos y aplicarlos, resolviendo problemas situados en su contexto y realidad próxima. El presente artículo se centra en los antecedentes y el estado actual en relación a la consideración de los espacios educativos en base a los cambios de los currículums competenciales. Todo ello para remarcar los nuevos requerimientos y consideraciones referentes al espacio como un recurso más para el aprendizaje para favorecer el desarrollo de experiencias de aprendizaje significativas en la escuela rural.
CURRÍCULO, COMPLEXIDADE E CONSTRUÇÃO DO CONHECIMENTO
Authors: Klausberger Marcos Irineu
Published: March 2023

Este artigo evidencia a necessidade de refletir as questões curriculares a partir da Epistemologia da Complexidade, fundamentando a importância dessa teoria para afastar o currículo do método cartesiano e da lógica positivista que, dissociando e compartimentando os saberes, inibe as possibilidades de análise e compreensão do todo. Para tanto, são discutidos os conceitos de currículo e complexidade, a importância dessa relação e os possíveis desdobramentos para o campo da educação. Nessa esteira, permeado pelos princípios morinianos, a produção compreendida neste texto apresenta elos conceituais que dialogam com a Psicologia Genética de Jean Piaget e sua relação com o desenvolvimento de habilidades e competências, destacando os fundamentos didáticos e epistemológicos que favorecem a promoção da aprendizagem. Do interior desses movimentos, evidencia-se a necessidade de um planejamento curricular versátil, generoso e flexível, aberto à criatividade e ao novo que, acolhendo a incerteza, possibilita novas efervescências cognitivas. A metodologia é bibliográfica.
TRAJETÓRIA DAS POLÍTICAS PÚBLICAS EDUCACIONAIS BRASILEIRAS ATÉ A BNCC E O OLHAR DA COORDENAÇÃO PEDAGÓGICA SOBRE SUA CRIAÇÃO
Authors: Magdaleno Beatriz , Faria Rejane
Published: March 2023

Este artigo objetiva discutir a trajetória das políticas públicas educacionais brasileiras até a Base Nacional Comum Curricular e a visão da Coordenação Pedagógica das escolas estaduais de Viçosa/MG sobre a sua criação. Buscando compreender a visão da Coordenação Pedagógica das escolas estaduais de Viçosa/MG sobre a criação deste documento, foi realizada uma pesquisa cuja proposta metodológica é de cunho qualitativo e os dados foram produzidos a partir de questionários e entrevistas semiestruturadas. Após essa etapa, foram categorizados, a partir da descrição das percepções e transcrição dos diálogos, e analisados por meio da triangulação com o referencial teórico e com a metodologia de análise Ciclo de Políticas. A análise aponta que os profissionais da educação receberam notícias sobre a criação da BNCC, através de avisos da superintendência de ensino, propagandas e secretaria de educação. Também aponta que o documento já era esperado pelas coordenadoras e docentes, que não enxergam a BNCC de modo negativo, sendo um contraponto às críticas elaboradas por pesquisadores da área. Os dados assinalam ainda que a participação dos profissionais da educação básica não foi efetiva, além do que, a elaboração e implementação de uma política pública tão importante foram consideradas realizadas com rapidez, o que consideramos negativo.
Két ismeretlen 16. századi prognosztikon a szombathelyi Smidt Múzeumból
Authors: Sánta Sára , Balázs Tangl
Published: March 2023

Az alábbiakban két, eddig ismeretlen, 16. század eleji nyomtatványt mutatunk be, melyek 2021 tavaszán kerültek elő a szombathelyi Smidt Múzeum1 muzeális könyveinek feldolgozása során. Noha Smidt Erzsébet, a múzeum korábbi igazgatója tollából több tanulmány is született az itt található nyomtatványok néhány kiemelkedő darabjáról, a több száz kötetes gyűjtemény szisztematikus, részletes feldolgozása csak napjainkban vette kezdetét. E munka során derült ki az – egyébként a könyvleltár legelső tételeként (SK.72.1.1.) bejegyzett – kolligátumkötetről, hogy annak két nyomtatványa, melyet Johannes Stabius, illetve Johannes Muntz humanista tudósok jegyeznek, valójában eddig ismeretlen, unikális darabok.
A székely írás emlékeinek új kézikönyve
Authors: Dr. Tubay Tiziano
Published: March 2023

A magyar művelődéstörténet köréből kevés kérdést övez olyan széles körű közérdeklődés, mint amilyet a székely írás élvez. A tárgy vizsgálatát és a vele kapcsolatos ismeretterjesztő tevékenységet a tudományos kutatás sokáig elhanyagolta, bőséggel termettek viszont az objektív megközelítésmódot és tárgyszerűséget nélkülöző laikus, nemritkán dilettáns írások. A gyakran a legképtelenebb állításoktól sem visszariadó, de annál termékenyebb műkedvelők szinte diszkreditálták a témát. Szerencsére a feliratos és kéziratos emlékeknek az elmúlt három évtizedben látott örömteli gyarapodása, valamint az egyes emlékek hitelessége és datálása körüli viták újra ráirányították az akadémiai szféra képviselőinek figyelmét a székely írás körüli tennivalókra.
Bartók Zsófia Ágnes, Egyházi férfiak magyar nyelvű szövegei, A Pray-kódextől az Érdy-kódexig, Budapest, Argumentum Kiadó, ELTE BTK Vallástudományi Központ Liturgiatörténeti Kutatócsoport, (Műhelytanulmányok, 7) 2021
Authors: Lázs Sándor
Published: March 2023

Vannak művek, amelyek mindig hiányosak maradnak. Nem azért, mert a szerző nem tett meg mindent a teljességért, hanem a dolgok természeténél fogva. Ilyen mű Bartók Zsófia Ágnes kiváló monográfiája is, amelynek tárgya a 15–16. században nyomtatott könyvekbe bejegyzett magyar nyelvű lelkipásztori feljegyzések. Ezeket a szövegeket jórészt különböző folyóiratokban már közölték, összefüggéseik azonban feltáratlanok maradtak. A könyv szerzője lelkiismeretesen gyűjtötte be ezeket a lelkigondozói szövegeket, ezzel egységes korpuszt hozott létre, új szövegegyüttest mutatva be. Bartók munkája nem egyszerűen ráirányítja a figyelmet ezeknek az anyanyelvű bejegyzéseknek a jelentőségére, hanem munkája nyomán a később előkerülő szövegeket már lesz mihez kötni.
Entropy approach to the analysis of banks’ balance sheets
Authors: Matokhin Valentin , Sigal Anatoliy
Published: March 2023

Accounting ensures the collection and systematization of documented information about the facts of the economic life of enterprises and organizations. The information collected is systematized and formalized in various forms of reporting. One of the key forms of reporting is the balance sheet. The balance sheet is based on the principle of double entry, according to which each change in the financial resources of the organization is reflected in at least two accounts related assets and liabilities. Thus, the condition of the balance of the volumes of the generalized values of assets and liabilities is realized. The control element of the balance sheet is the equality of the values of assets and liabilities. However, this control element does not allow us to identify the systemic difference (diversity) of balance sheets with equality of distributed funds. Namely, the equality condition is integral in nature and its fulfillment is not related to the specific nature of item-by-item distributions, since, at a given size of the total cost of the balance sheet, the condition can be fulfilled by various options for the distribution of financial resources by assets and liabilities. Therefore, within the framework of this article, an attempt has been made to introduce a new control element of the balance sheet, taking into account the uneven distribution of financial resources by assets and liabilities of credit and financial organizations.
FliA-Dependent Surface Macromolecules Promote Initial Biofilm Development of Escherichia coli by Influencing the Bacterial Surface Properties
Authors: GÖRDESLİ DUATEPE Fatma Pınar
Published: March 2023

FliA is an important regulatory component for the synthesis of surface macromolecules which are involved in motility and biofilm development of Escherichia coli. In this study, the roles of FliA-dependent surface macromolecules in E. coli surface tension, surface heterogeneity and surface roughness, and initial biofilm development consisting of reversible and irreversible adhesion were investigated using E. coli MG1655 wild-type strain and fliA gene deleted mutant strain. Negative Gibbs free energy change values calculated using bacterial surface tensions obtained by a spectrophotometric method showed that both wild-type and mutant cells in water can reversibly adhere to the surface of the model solid, silicon nitride (Si3N4). The calculations further showed that bacterial reversible auto-adhesion and co-adhesion were also thermodynamically favorable. In comparison, the reversible adhesion and auto-adhesion capacities of wild-type cells were higher than the mutant cells. Direct measurements by atomic force microscopy (AFM) and thorough analysis of the recorded adhesion data showed that the irreversible adhesion strength of wild-type cells to Si3N4 in water was at least 2.0-fold greater than that of the mutants due to significantly higher surface heterogeneity resulting in higher surface roughness for the wild-type cells compared to those obtained for the mutants. These results suggest that strategies aimed at preventing E. coli biofilm development should also consider a combined method, such as modifying the surface of interest with a bacterial repellent layer and targeting the FliA and FliA-dependent surface macromolecules to reduce both reversible and irreversible bacterial adhesion and hence the initial biofilm development of E. coli.
Exclusive breastfeeding after breast cancer. Case study
Authors: Poupas Martins Maria Antónia , Sim-Sim Margarida
Published: March 2023

Objective. To develop a care plan focused on assisting a puerperal woman who decides to feed their child through breastfeeding on the contralateral breast.

Methods. A case study conducted with a 36-year-old primiparous woman who underwent tumorectomy and left axillary emptying, chemotherapy and radiotherapy 8 years ago. The data were collected in the Nursing process, with initial assessment using the Marjory Gordon functional health patterns. The care plan used the NANDA-I, NIC and NOC taxonomies.

Results. Three diagnoses were identified: [00208] Readiness for Enhanced Childbearing Process, [00106] Readiness for Enhanced Breastfeeding and [00167] Readiness for Enhanced Self-Concept. The indicators were evaluated in the initial and later phase, with gains in the first two diagnoses. The third diagnosis proved to be partially sufficient, as it did not allow assessing the developmental and non-pathological self-image in the puerperium. In the puerperal phase, maternal roles are challenging and demanding. Nursing care contributed to the adaptation to breastfeeding in the contralateral breast and to the guarantee of adequate nutrition for the newborn. The childbearing process was strengthened. Breastfeeding is carried out with maternal satisfaction, good latch and normal weight evolution in the newborn.

Conclusion. The case study strengthened knowledge by addressing a little investigated theme. The NANDA-I taxonomy may need further study in the Self-perception domain, more specifically in the self-image reported during the pregnancy-puerperal phase.
Men's health care: concept analysis
Authors: Reis de Sousa Anderson , De Carvalho Félix Nuno Damácio , Rosendo da Silva Richardson Augusto , De Santana Carvalho Evanilda Souza , Pereira Álvaro
Published: March 2023

Objective. To analyze the concept of men's health care and identify its essential, antecedent and consequent attributes in the health context.

Methods. This is a concept analysis structured in the theoretical-methodological framework of the Walker and Avant Model. An integrative review was carried out between May and July 2020, using keywords and descriptors: Men's Care and Health.

Results. The concept of men's health care is structured by 240 attributes, 14 categories, 82 antecedents and 159 consequents, from the selection of 26 published manuscripts. The design was evidenced from the dimensions: Intrapersonal, psychological and behavioral related to masculinities, interpersonal, organizational and structural, ecological, ethnoracial, cross-cultural and transpersonal.

Conclusion.  The concept of men's health care revealed the male specificities regarding the recognition of the place of health care and the daily exercise in the lived experience.
Current understanding of chemotherapy-induced peripheral neuropathy (literature review)
Authors: Tikhonova O. A. , Druzhinin D. S. , Tynterova A. M. , Reverchuk I. V.
Published: March 2023

This review focuses on chemotherapy-induced polyneuropathy, which is a fairly common side effect and affects not only the quality of life of patients with malignancies, but can also lead to a change in patient management tactics, namely dose modification, delay of drug administration to complete cessation of treatment, which threatens the life of the patient. Chemotherapy-induced polyneuropathy is based on different mechanisms of damaging effects depending on the type of cytotoxic agent. The most neurotoxic drugs are platinum drugs, taxanes, periwinkle alkaloids, bortezomib, and thalidomide. As a result of neurotoxic effects, damage occurs to thin and thick fibers of peripheral nerves. However, it is still a mystery why one patient develops manifestations of neurotoxicity and another does not. Therefore, the modern medical community is faced with the urgent question of further study of the mechanisms of development, risk factors, as well as the search for biomarkers and the development of prevention and treatment of chemotherapy-induced polyneuropathy. The results of studies on the mechanism of onset, clinic, diagnosis, prevention and treatment of chemotherapy-induced polyneuropathies are summarized.
Clinical and genetic characteristics and an algorithm for the differential diagnosis of progressive muscular dystrophies that manifest after a period of normal motor development
Authors: Sharkova I. V. , Dadali E. L.
Published: March 2023

Background. Progressive muscular dystrophies (PMD) are a group of genetically heterogeneous diseases that manifest in the age range from early childhood to adulthood. Depending on the predominant topography of the muscular lesion, there are: limb-girdle, distal, oculopharyngeal, facial-shoulder-scapular-peroneal variants of PMD.

Aim. Creation of algorithms for the differential diagnosis of PMD with multiple topography of muscle lesions.

Materials and methods. We observed 192 patients aged 1.5 to 66 years with PMD with a debut after a period of normal motor development. The diagnosis was established on the basis of genealogical analysis, neurological examination, assessment of non-muscular manifestations, results of instrumental, biochemical molecular genetic studies.

Results. Four groups of patients were identified, differing in the topography of muscle damage and 19 genetic variants of PMD were diagnosed. An algorithm for diagnosing PMD that manifest after a period of normal motor development is proposed, which is based on the frequency of occurrence of individual genetic variants and their proportion in the analyzed sample, the presence of major mutations in causal genes, the features of phenotypic characteristics, the gender of the patient and the possibility of conducting etiopathogenetic therapy developed by for some genetic variants.

Conclusion. The use of the proposed algorithm in clinical practice can significantly reduce the economic and time costs for confirmatory molecular genetic diagnosis, and promptly recommend etiopathogenetic therapy for some genetic variants of this group of diseases.
Neurophysiological differential diagnostic markers in hereditary neuropathy with liability to pressure palsies and chronic inflammatory demyelinating polyradiculoneuropathy
Authors: Grishina D. A. , Suponeva N. A.
Published: March 2023

Background. Today, the issues of differential diagnosis of chronic hereditary and acquired demyelinating neuropathies are still relevant. The variety of phenotypic variants of chronic inflammatory demyelinating polyradiculoneuropathy and hereditary neuropathy with liability to pressure palsies, their remitting course and the non-specificity of neurophysiological changes necessitate the identification of clear markers that can help in the differential diagnosis of the neuropathies under discussion already at the stage of the analysis of the electroneuromyographic study data.

Aim. To determine neurophysiological differential diagnostic markers in the manifestation of chronic inflammatory demyelinating polyradiculoneuropathy and hereditary neuropathy with liability to pressure palsies.

Materials and methods. A retrospective analysis of the data of neurophysiological examination of 25 patients with hereditary neuropathy with liability to pressure palsies and 25 patients with chronic inflammatory demyelinating polyradiculoneuropathy.

Results. A combination of such indicators as the age of the onset of the disease <33 years, the latency of the dM-wave with m.ADM ><3.7 ms and with m.AH ><4.8 ms (AUROC >0.7), the value of the conduction velocity along of the motor fibers of the ulnar nerve at the level of the elbow joint <37.5 m/s (AUROC >0.8), the conduction velocity along of the sensory fibers of the median nerve at the level of the wrist <48 m/s (AUROC >0.8), absence of conduction block along the median nerve in any area, and also the presence along the ulnar nerve at the level of the elbow joint is characteristic of hereditary neuropathy with liability to pressure palsies and allows to exclude chronic inflammatory demyelinating polyradiculoneuropathy.

Conclusion. Neurophysiological markers have been identified that can help in the differential diagnosis of two chronic remitting demyelinating neuropathies: chronic inflammatory demyelinating polyradiculoneuropathy and hereditary neuropathy with liability to pressure palsies. However, only a combined analysis of clinical, anamnestic and paraclinical data makes it possible to establish a final diagnosis.
Validation of the Medical Research Council sum score (MRCss) for use in Russian-speaking patients with chronic inflammatory demyelinating polyneuropathy
Authors: Suponeva N. A. , Arestova A. S. , Melnik E. A. , Zimin A. A. , Zaytsev A. B. , Yakubu A. , Sherbakova E. S. , Yusupova D. G. , Grishina D. A. , Gnedovskaya E. V. , Piradov M. A.
Published: March 2023

Background. The use of rating scales and questionnaires is essential in an evaluation of disease course, treatment response, the disability level and quality of life in patients with chronic inflammatory demyelinating polyneuropathy. The Medical Research Council (MRC) scale and its modification Medical Research Council sum score (MRCss) are widely used for measurement of motor deficit in patients with neuromuscular disorders. However, its usage is limited by the absence of the validated version for Russian-speaking patients.

Aim. To validate MRCss scale in patients with chronic inflammatory demyelinating polyneuropathy with development of a Russian version.

Materials and methods. We enrolled 50 patients with chronic inflammatory demyelinating polyneuropathy (25 with typical chronic inflammatory demyelinating polyneuropathy and 25 with Lewis–Sumner syndrome). At the first step we conducted linguocultural ratification according to the standard protocol. At the second step the psychometric parameters were evaluated, such as reliability, validity and sensitivity.

Results. The developed Russian version of MRCss scale demonstrated the high level of reliability, validity and sensitivity.

Conclusion. As a result, we developed a validated Russian version of MRCss scale, recommended for clinical practice and research.
The influence of the physical therapist's clinical practice time on the perception of body stability of the traditional frontal plank exercise: a pilot study
Authors: Martins Tamiris Beppler , Costella Taís , Bastos Rodrigo Bittencourt e , Botti Mayane dos Santos Amorim , Parizotto Patricia , França Maria Elisa Duarte , Santos Gilmar Moraes
Published: March 2023

Background: The traditional frontal plank exercise has a greater demand for biomechanical stability and has been widely prescribed and used in the practice of health professionals and, verifying the influence of the time of clinical practice can contribute positively in the clinical, scientific and social scope. Objective: To verify the influence of the physical therapist's clinical practice time on the perception of body stability of the traditional frontal plank exercise. Method: Individuals were selected in a non-probabilistic and intentional way, constituting a sample of young male adults, with a body mass index within the normal range, with a self-reported level of moderate to advanced physical activity and with at least six months of previous training experience. of resistance. The subjects were instructed to perform the frontal plank for 30 seconds, seeking to maintain all the items in the description of the technique. No verbal commands and encouragement were given during the exercise in order to direct only the influence of the different times of clinical practice of the evaluators. At the end of the exercise, the two evaluators self-reported their feedback through a control sheet prepared by the researchers. Results: The sample of this study consisted of 10 participants, with a mean age of 30.6 years (±4.03). All were male, white, and had no history of trauma/injury. The evaluator with six months of experience pointed out that eight subjects performed the frontal plank with high stability, while the evaluator with six years of experience observed only three subjects with high stability in the execution of the exercise. Conclusion: The findings of this study showed that there is a tendency towards a difference in the proportions of perceptions of stability in the traditional frontal plank between physical therapists with six months and six years of clinical experience.
The dynamics of mental health measures of pre- and postpartum women undergoing assisted reproductive technology
Authors: Blokh Maria E. , Anikina Varvara O. , Savenysheva Svetlana S. , Levintsova Maria I.
Published: March 2023

BACKGROUND: The number of infertile women has been increasing since 2015, with a 1015% increase in IVF cycles every year. The data on mental health of women using assisted reproductive technology are contradictory; there is little research on the dynamics of mental health outcomes from pregnancy to postpartum.
AIM: The aim of this study was to evaluate the dynamics of mental health measures in the groups of pre- and postpartum women using assisted reproductive technology and to compare these groups with women who conceived spontaneously.
MATERIALS AND METHODS: This study had three stages: during pregnancy, within one month after delivery, and in four to nine months after childbirth, and included 59 women who used assisted reproductive technology (34.0 4.60 years old) and 85 women with natural pregnancy (30.6 4.39 years old). All the women had singleton, planned pregnancy, with the most of them at more than 20 weeks pregnant. Drop out within research stages was approximately 2030%. We used the Achenbach System of Empirically Based Assessment, socio-demographic and obstetric data gathering, as well as a postpartum telephone interview.
RESULTS: Women in the assisted reproductive technology group were less likely (р = 0.000) to attend or plan to attend childbirth preparation courses. In this study group, emergency (40%) and planned (26%) caesarean sections were used more often (p = 0.001); in 17% of cases, they gave birth before 37 weeks of gestation (vs. 1.9% in the group of women with natural pregnancy); and only 51% of women undergoing assisted reproductive technology used breast feeding (vs. 78% in the group of women with natural pregnancy). No significant differences in Apgar scores and the number of problems in childs health straight after the delivery were shown. In 49 months after the childs birth in the group of women using assisted reproductive technology, the number of somatic disorders was significantly higher (р = 0.046) compared to the group of women with natural pregnancy. The analysis of the dynamics of mental health measures revealed an increase of withdrawal (p = 0.010) and thought problems (p = 0.001) in the group of women using assisted reproductive technology. In the group of women with natural pregnancy, the analysis revealed a decrease in the number of mental health problems such as anxiety / depression, somatic problems, delinquent behavior, as well as DSM-associated anxiety disorder and avoidance (р 0.05).
CONCLUSIONS: Mental health measures of women undergoing assisted reproductive technology, their dynamics after childbirth, the number of preterm births and cesarean sections, as well as feeding type altogether may be a risk factor for the mental health and development of the children. These women may require additional support.
Stroke-ot követő rehabilitáció eredménye rehabilitációs intézetben
Authors: Dénes Zoltán , Borosnyay Kata , Masát Orsolya
Published: March 2023

Háttér és cél – Stroke-ot elszenvedett, majd kórházi fekvőbeteg-ellátásban, elsőbbségi rehabilitációban részesült betegek rehabilitációs eredményének vizsgálata, különös tekintettel a funkcionális állapotban bekövetkező változásokra. Módszerek – Retrospektív leíró vizsgálat. A funkciózavarok mérése felvételkor és kibocsátáskor a Barthel Indexszel és a Functional Independence Measure skálával történt. A vizsgálat alanyai az Országos Orvosi Rehabilitációs Intézet Agysérültek Rehabilitációs Osztályára 2018. január 1. és december 31. között stroke diagnózissal fekvőbeteg-rehabilitációra felvett betegek voltak. Eredmények – A vizsgált egy év alatt 86, stroke-on átesett beteget kezeltek az osztályon. Ebből 82 beteg adatai (35 nő és 47 férfi) voltak teljes mértékben feldolgozhatók. Elsőbbségi rehabilitációban 59-en, programozhatóban 23-an részesültek, az előbbiek adatait elemeztük. A stroke és a felvétel között átlagosan 36 nap (8–112) telt el. A stroke 20 betegnél vérzéses, 39 esetben ischaemiás volt. Az elsőbbségi rehabilitációra érkezett betegek átlagéletkora 56 év (22–88) volt. Az átlagos ápolási napok száma 84 nap (14–232) volt. Aphasia 26, dysarthria 11, dysphagia 12 esetben okozott problémát. Kognitív probléma miatt 31 esetben neuropszichológiai vizsgálat és tréning is történt, súlyosabb neglect szindrómát 9 betegnél észleltek. Hemiparesis mellett 14 esetben ataxia is nehezítette a rehabilitációt. A rehabilitáció eredményeként az átlagos Barthel Index a felvételi 32-ről 75-re emelkedett, az összesített FIM-érték 63-ról 97-re javult. A betegek 83%-a távozott otthonába, 64% önellátóvá, 73% járóképessé vált. Következtetés – Az osztályon multidiszciplináris csapatmunka keretében végzett rehabilitációs tevékenység eredményeként az akut osztályokról átvett, elsőbbségi rehabilitációban részesült stroke-betegek rehabilitációja sikeres volt. Az akut osztályról az átlagnál súlyosabb funkciózavarral érkező betegek sikeres rehabilitációját a közel 40 éves tapasztalatnak és a jól szervezett multidiszciplináris teammunka eredményének tartjuk.
The effect of applying alarm fatigue strategies related to nursing performance
Authors: Paredath Mohamed Shahid , Al Jarary Khadija Lafi
Published: March 2023

Background: Nurses working in an intensive care unit (ICU) are dependent on various medical devices to assist with patient monitoring, care and safety. Alarm fatigue is a consequence of an excessive number of alarms in the practice environment. The goal of this research was to identify the effect of applying alarm fatigue strategies related to nursing performance and to evaluate nurses’ perceptions concerning to alarm fatigue in intensive care unit King Abdullah medical city, Makkah.
Methods: The study type was a cross-sectional design. A sample of 85 nurses was obtained using a survey instrument that was created using a structured self-administered questionnaire designed based on literature review.
Results: The most rated mean score for Strategies that reduce the alarm fatigue was education and remaining was optimized technology, electrodes, setup customized alarms, and attitude respectively. When proving hypothesis, the findings demonstrate that there are no statistically significant differences between the nurses’ alarm fatigue with study variables including gender, age, professional experience and staff position. The use of an evidence-based alarm management strategy can reduce alarm fatigue and ensure the safety of all monitored patients. Therefore, the above strategies on alarm management will be beneficial to reduce the alarm fatigue.
Conclusions: This study’s findings have several practical implications on reducing alarm fatigue in intensive care unit. Nurses play a significant role on monitoring the patients, which may leads to alarm related fatigue.
Spectrum of ultrasonographic findings in gynaecological emergencies in a Nigerian Tertiary Hospital
Authors: Aimua Harriet I. , Olatunji Olubunmi O. , Jimoh Kamaldeen O. , Farouq Rabi , Aimua Ehijele J.
Published: March 2023

Background: Gynaecological emergencies are a common cause of morbidity and mortality among women of reproductive age group worldwide and can be life threatening. They can be easily managed if diagnosed early. Ultrasonography (USS) is a readily available and excellent diagnostic tool in the prompt and accurate diagnosis of these conditions. This is a comparative study aimed at evaluating the ultrasonographic findings in gynaecological emergencies and comparing with the clinical diagnosis.
Methods: 400 patients presenting with suspected gynaecological emergencies at the National Hospital, Abuja were evaluated. The USS findings of these patients were recorded and matched with their socio-demographic parameters and the radiological diagnosis was then compared with the clinical diagnosis at presentation.
Results: The mean age of participants was 34.2±7.5 years. Pregnancy related emergencies were the most common, making up 65.8%. Abortion was the most common emergency seen. Pregnancy related cases were commoner in the younger age group 20-39 years. A higher proportion of USS diagnosis for pregnancy related cases (96.7%) corresponded with the clinical diagnosis when compared to a smaller proportion for non-pregnancy related cases (80.6%), and this had significant correlation (x2=256.12, df=1, p<0.0001)
Conclusions: USS evaluation of gynaecological emergencies as seen in this study, allows for quick and accurate diagnosis so that appropriate emergent care can be instituted to improve the outcome in these cases.
Comparison of 2D and 3D gamma evaluation method in patient speciﬁc intensity-modulated radiotherapy quality assurance
Authors: Shukla Arvind Kumar , Bhamra Hartanya Kaur , Rathore Narendra Kumar , Patidar Arvind Kumar , Verma Atul , Rajpurohit Vikram Singh , Dangayach Suresh Kumar , Chaudhary Bhupendra S.
Published: March 2023

Background: In this study we have compared 2D and 3D gamma pass percentage for a variety of acceptance criteria for 40 step-and-shoot IMRT (intensity-modulated radiotherapy) plans.
Methods: Treatment planning was done for 40 patient including head and neck, abdomen and pelvis simulated on the Siemens Healthcare GmBH CT simulator with images of 3 mm slice thickness using treatment planning system (TPS) (Monaco Version 5.11.03, Elekta medical system) using Monte Carlo algorithm. The gamma evaluation was done using PTW VeriSoft 8.1 which allowed us to perform 2D and 3D gamma index calculation, slice-by-slice comparison of measured and calculated dose distributions, measured dose was compared against the calculated DICOMRT dose on the OCTAVIUS 3D phantom from TPS.
Results: The average 3D and 2D gamma passing in coronal planes were 96.61±0.45% and 96.27±0.78% for 5 mm/5% criteria, 93.74±4.17% and 91.9±4.88% for 3 mm/3% criteria, 85.83±7.58% and 82.41±8.06% for 2 mm/2% criteria and 62.8±9.42% and 59.18±9.52% for 1 mm/1% criteria respectively for all cases. The average gamma passing rate for 3D gamma analysis was 0.35%, 1.97 %, 3.97% and 5.78% higher when compared with 2D coronal planar analyses for 5 mm/5%, 3 mm/3%, 2 mm/2% and 1 mm/1% DTA criteria respectively.
Conclusions: It is concluded in the study that 3 D gamma passing rate is higher compared to 2D gamma passing for head and neck, abdomen and pelvis cases.
WhatsApp control: a new norm to succeed in LIMS adoption
Authors: Reddy Mallikarjun Janardhan , A. S. Anand  , Khajasab  , Ankur Ankit
Published: March 2023

Background: Adoption of the LIMS (laboratory information management system) serves varied purposes in the diagnostic laboratory and might take a very lengthy period for its implementation. But, without controls being put in place, it can create a barrier to the project’s execution and prevent it from being finished on time.
Methods: A WhatsApp group with 22 members, including lab technicians, heads of lab sections, a billing manager, an operations assistant manager, an assistant nursing caretaker, and administrative staff, was created. The assistant operations manager posted the daily pending report status in the WhatsApp group to help the lab team ratify, correct, and complete the assignments. To track pending report closures in real-time, the WhatsApp group mediated weekly follow-ups. The laboratory services department head informed the team monthly on the project’s status. The nonparametric Wilcoxon rank test and paired student t-test were performed to compare pre and post-survey responses before and after the seven-month intervention period.
Results: The non-parametric Wilcoxon rank test and paired t-test results of the post-test demonstrated that the participant’s answer had improved significantly since the pre-test. The questionnaire showed that participants liked the new WhatsApp control mechanism. The number of pending reports reduced from 4,000 to 240 in seven months, a statistically significant decrease at a p value of 0.01. This supports the newly implemented WhatsApp control.
Conclusions: Based on this interventional study, WhatsApp-based controls can be employed in conjunction with more conventional ways to regulate process outcomes during LIMS adoption.
Migraine Synonyms in South Indian coastal population- A retrospective study
Authors: Francis M. V.
Published: March 2023

Background: A direct question like, do you get headaches or had headaches in the past will not unravel past history of migraine in many patients in Southern coastal region of India. This study was conducted to document migraine synonyms in this population.

Methods: A 5-year retrospective study was conducted in three outpatient clinics in a coastal region of Southern India. When children were brought with recurrent headaches, as an aid to diagnosing migraines, family history of headache or migraine was recorded from their mothers and grandmothers. They were asked two questions - 1) do you get headaches or 2) suffered from headaches in the past. If they replied in the negative, a third question was asked (Do you get any head discomfort /head pain along with any other illness).

Results: Out of 7000 mothers and grandmothers interviewed, 1778 reported headache in the past resembling migraine or probable migraine. 1001 who said no headache in the past, were getting other migraine synonym disorders in which headache was one of the complaints. 22 different synonyms which fitted into migraine diagnostic features were documented in this group of study participants.

Conclusions: To diagnose migraine and its subtypes, 2 (aura) to 5 (without aura) past episodes are mandatory. This study proves that a sound knowledge about local migraine synonyms and slangs are important to elicit past history of migraine. Headache epidemiological studies can be flawed if only one leading question like do you get headaches/suffered from headache in the past is asked.
Evaluation and perception of MBBS first year students regarding early clinical exposure
Authors: Jiwane Rekha , Gajbhiye Vivekanand , Jiwane Sushil
Published: March 2023

Background: Evaluation and perception of MBBS first year students regarding early clinical exposure (ECE). The goals of ECE are to provide significance to basic sciences along with expansion of medical knowledge so as to establish the cognitive component of professional learning. Medical council of India has given new curriculum for MBBS for undergraduate medical education in which ECE is one of the reforms to improve quality of medical education.
Methods: The study was conducted in the department of physiology, Peoples college of medical science and research centre Bhopal. The study duration was one year, 150 students of MBBS first year were included in study. All didactic lecture on systems was delivered mainly on respiratory physiology. It was vertically integrated with department of medicine and is followed by hospital visit. During hospital visit students was divided in 6 groups of 25. Clinicians was exposing the students to the relevant patients and discuss important symptoms and examination/findings on the patients. To assess whether the skills gained through ECE helped the students in the physiology classes of clinical examination, OSCE (Objectively structured clinical examination) was arranged before and after the intervention.
Results: The post OSCE scores are better than pre OSCE scores. Perception of students toward ECE they have better understanding and retention of topic.
Conclusions: ECE is a good tool for teaching and learning for first year MBBS.