bluuebunny/crossref_metadata_2025 huggingface dataset:
Migración haitiana en Chile 2020: barreras a la incorporación social, arraigo cuestionado y re-emigraciones
Authors: Rodríguez Torrent Juan Carlos , Gissi Barbieri Nicolás
Published: March 2022

Lo que planteamos a continuación se realiza en clave antropológica, en un contexto de excepcionalidad sanitaria, crisis institucional y de ciudadanía en Chile. Refiere a una población joven de residentes haitianos, con dificultades para ejercer el derecho a la ciudad dentro de los principios de democracia, igualdad y justicia social, por lo cual son alterizados de manera subalterna debido al racismo cotidiano e institucional. Revisamos algunas de las acciones adoptadas por las autoridades chilenas en el año 2020, en el marco de la pandemia, para analizar cómo les afectan desde la perspectiva de sus derechos ciudadanos, esto al focarlizarnos en la informalidad económica, el trabajo y el acceso a la vivienda, situaciones que tienen efectos en la evaluación del proyecto migratorio y sus intenciones de arraigo, aumentando su salida de Chile.
Integrating Pediatric Universal Behavioral Health Care at Federally Qualified Health Centers
Authors: Sheldrick R. Christopher , Bair-Merritt Megan H. , Durham Michelle P. , Rosenberg Jessica , Tamene Mahader , Bonacci Cathleen , Daftary Genevieve , Tang Michael H. , Sengupta Nandini , Morris Anita , Feinberg Emily
Published: March 2022

BACKGROUND

Research supports integrated pediatric behavioral health (BH), but evidence gaps remain in ensuring equitable care for children of all ages. In response, an interdisciplinary team codeveloped a stepped care model that expands BH services at 3 federally qualified health centers (FQHCs).

METHODS

FQHCs reported monthly electronic medical record data regarding detection of BH issues, receipt of services, and psychotropic medications. Study staff reviewed charts of children with attention-deficit/hyperactivity disorder (ADHD) before and after implementation.

RESULTS

Across 47 437 well-child visits, >80% included a complete BH screen, significantly higher than the state’s long-term average (67.5%; P < .001). Primary care providers identified >30% of children as having BH issues. Of these, 11.2% of children <5 years, 53.8% of 5–12 years, and 74.6% >12 years were referred for care. Children seen by BH staff on the day of referral (ie, “warm hand-off”) were more likely to complete an additional BH visit than children seen later (hazard ratio = 1.37; P < .0001). There was no change in the proportion of children prescribed psychotropic medications, but polypharmacy declined (from 9.5% to 5.7%; P < .001). After implementation, diagnostic rates for ADHD more than doubled compared with baseline, follow-up with a clinician within 30 days of diagnosis increased (62.9% before vs 78.3% after; P = .03) and prescriptions for psychotropic medication decreased (61.4% before vs 43.9% after; P = .03).

CONCLUSIONS

Adding to a growing literature, results demonstrate that integrated BH care can improve services for children of all ages in FQHCs that predominantly serve marginalized populations.
Projevy spirituality při zvládání stresu z vysokoškolských zkoušek – případová studie
Authors: Pustková Martina , Beláňová Andrea
Published: March 2022

The article describes the mechanism of spiritual coping as a coping strategy for dealing with stress during an exam period in university students. The study emphasizes various manifestations of inner spirituality or religiosity and its effects on the perception of the academic locus of control (ALOC). This is a case study of perceiving the influenceability of the exam in correlation to spirituality. The study is a qualitative analysis of semi-structured interviews using the constructivist methodology. Twelve students of psychology from the Faculty of Education at Charles University were interviewed about their coping mechanisms. The study explores the mechanism of transforming spiritual believes into a form of spiritual coping in an academic environment. The design of the study is single-blinded, meaning that the participants did not know in advance that their spiritual coping is studied. Thanks to this, authors were able to interview a sample of students including those who do not consider themselves spiritual. A concept of “equation of exam” was discovered during the qualitative analysis. The equation of exam means that controllable and uncontrollable factors were assessed by participants and the result of the equation is a feeling of gaining maximum control. Spiritual coping helps participants to cope with the uncontrollable factors by a belief that these are actually influenceable. This way, participants increased their inner locus of control over the result of the exam. Forms of spiritual coping using an external locus of control were rejected by all participants as undesirable. More complex spiritual believes lead to more sophisticated ways of increasing internal locus of control and subjective preparedness for the exam. The methodology used in this study leads to a finding that unspiritual people can use spiritual coping to a certain extent. The results indicate that while the use of spiritual coping varies, the form remains the same in all situations. But using spiritual coping in other life situations does not necessarily mean it will be used in an academic environment too. Two people can use the same strategy, but it does not mean it has the same meaning. A talisman is a good example. About half of the participants have experience with using a talisman. However, it serves as social support rather than spiritual. It reminds them of the close ones. Only one participant stated that they believed the talisman had power by itself. None of the participants use maladaptive coping, so it cannot be disputed that spirituality leads to a preference for adaptive coping. Even though the results of this study cannot be generalized, they could serve as a foundation for new research. Spiritual individuals do not necessarily use spiritual coping in an academic context, and at the same time, non-spiritual individuals may resort to this behavior. The results may also be correlated to anxiety caused by uncontrollable factors. This idea is worth considering in follow-up studies.
Improving the public procurement system through the use of monitoring technology
Authors: Khachaturian Karine , Moskvitin Alexey , Voytov Vladislav , Rotar Maxim
Published: March 2022

The article presents an analysis of the planning function of the state-governmental procurement. It defines its role in meeting the state order-tors in goods, works and services through the execution of the state order. Identified key weaknesses in existing laws and acts regulating public procurement. Identified the key participants of the state purchases, exercising control and process monitoring. It offers integrated unified information system for public procurement contributing to
NIJ-identified violations of the state order execution at all stages.
Sentiment Analysis of Human Speech using CNN and DNN
Authors: Roy Saumya , Ghoshal Sayak , Basak Rituparna
Published: March 2022

Communication is the exchange of thoughts, ideas and feelings through emotion. In this paper we have proposed a method where human speech is converted into digital input. The digitized sound is fed into the proposed models and the voice of every person is classified into discrete emotional
characteristics by its intensity, pitch, timbre, speech rate and pauses. In the proposed method, authors have applied multi scale area attention in a deep 2D-CNN connected to dense DNN to obtain emotional characteristics with wide range of granularities and therefore the classifier can predict
a wide range of emotions on a broad scale classification.
HIGH-INTENSITY PHYSICAL ABILITY TRAINING OF TEENAGER BASKETBALL PLAYERS
Authors: Yang Wancheng , Yang Yurong , Wang Donglei
Published: March 2022

ABSTRACT Introduction: The antagonism of basketball is very prominent during the game. Athletes with good physical fitness will have great advantages in basketball games. Objective: To study the influence of physical exercise on the physical fitness of young athletes. Methods: This article uses mathematical statistics to investigate and analyze the physical training status of young basketball players. Results: After studying various training methods, we found that impedance training can improve the physical fitness of young athletes. Basketball physical training includes strength, speed, endurance, sensitivity, etc. Conclusion: Young basketball players need to adopt a variety of training methods. Group sports can effectively improve the physical fitness of young basketball players and increase the winning probability of the team in the game. Level of evidence II; Therapeutic studies - investigation of treatment results.
Bond degradation of rebar and concrete confined with corroded stirrups: effects of concrete grade and casting position
Authors: Zhou Haijun , Qiao Mu , Du Yingang , Liu Jian , Zhou Yifan , Mo Yeqiang , Xing Feng , Zhao Yangping
Published: March 2022

An experimental study was conducted to investigate the effects of stirrup corrosion, concrete strength and casting position on the behaviour of the bond between steel bars and concrete. Accelerated corrosion was applied to corrode the stirrups in concrete specimens under laboratory conditions. In total, 180 specimens were cast and tested in this experiment. The specimens had three nominal concrete strengths of C20, C40 and C50 with two deformed steel bars of 18 mm in diameter set in a 200 × 200 mm diagonal concrete prism with two stirrups of 8 mm in diameter to provide confinement. The steel bars were cast with different pouring positions, namely the upper and lower ends. Five corrosion levels were investigated, namely 0, 5, 10, 15 and 20%; 12 specimens were investigated for each corrosion level. A pull-out test was carried out to obtain the bond–slip curves. The test results indicate that the porosity of concrete has a great effect on bond degradation with the increase of the steel corrosion level.
STRATEGY OF DIGITALIZATION OF RUSSIAN BANKING PRODUCTS IN SOCIAL NETWORKS IN THE CONTEXT OF A PANDEMIC
Authors: Mincheva V. N.
Published: March 2022

In the article, the author explores the digital technologies used by Russian banks in the creation and promotion of financial products (goods and services) in social networks. First of all, we study the introduction of media technologies in the creation and broadcasting of banking services and products using social media, the main of which are social networks. Systemic and statistical methods were used for a comprehensive disclosure of the problem, which made it possible to classify approaches to the problem, as well as a method of structuring information, which makes it possible to identify the main tools for the specifics of the functioning of the banking system in the context of new media. Analysts are exploring the format of functioning in the modern market through social networks that allow expanding digital banking. Analysis of the activities of the banking sector, the introduction of innovations in the activities of the banking sector allow us to determine the trend of attracting the maximum number of customers. The study identifies incentives for the development of the banking system in the context of the new realities associated with the pandemic. The expansion of the production of new banking services through their digitalization is determined by long-term strategies for the development of financial institutions in three types of innovative areas. New services and products of banks broadcast through social networks were identified. The transformation of banking services is characterized. Thus, the analysis of statistical data of digital content and analytical data allows us to determine the innovative potential of payment systems that have proven themselves in the world community and practice.
Functional postoperative treatment of Achilles tendon subcutaneous tears
Authors: Mironov S. P. , Vasiliev D. O.
Published: March 2022

The methods of postoperative functional treatment of Achilles tendon subcutaneous tears were elaborated and employed in the practical work of the Clinic of Sports and Ballet Injury, N.N. Priorov Central Institute of Traumatology and Orthopedics. These involved application of removable polyvic orthoses for postoperative immobilization. This type of the orthoses allows active controlled movements to be performed in the ankle joint. Postoperative functional treatment conducted in 14 patients significantly reduced the probability of development of long-term immobilization-associated complications and gave an opportunity to promptly revert to the initial level of physical activity.
Slip-Correlated High-Frequency Scaling Factor for Stochastic Finite-Fault Modeling of Ground Motion
Authors: Dang Pengfei , Cui Jie , Liu Qifang , Xia Songlin
Published: March 2022

To eliminate the effect of the subfault dimension on the synthetic ground motion of the stochastic finite-fault technique, Motazedian and Atkinson developed the dynamic corner frequency. Furthermore, they derived a high-frequency scaling factor based on the velocity spectrum to compensate for the underestimation of the ground-motion source spectrum amplitude in the high-frequency range caused by the dynamic corner frequency. However, this high-frequency scaling factor was developed on the assumption that the slip amount, seismic moment, and the high-frequency received energy of each subfault on the rupture surface were the same. Considering the nonuniformity of the slip of each subfault and the large amount of received energy released on the asperity body, the received energy of the entire fault was distributed to each subfault according to the ratio of the slip of the subfault to the total slip. This could ensure not only that the high-frequency received energy radiated by the subfault with a large slip was greater but also that the total received energy was conserved. Finally, an example was used to discuss the effect of the improvement on the synthetic ground motion. The results showed that the proposed improved approach can further eliminate the dependence of the synthetic results on the dimension of the subfault.
Model Sistem Informasi untuk Asesmen Risiko HIV Menggunakan Data Perilaku
Authors: Siregar Rohana Uly Pradita , Siregar Kemal Nazaruddin
Published: March 2022

Pelaporan kasus HIV di Indonesia mengalami kenaikan tiap tahun. Namun, jumlah kumulatif kasus HIV yang masuk ke Kementerian Kesehatan sampai tahun 2019 hanya sebesar 59 persen dari estimasi ODHA. WHO merekomendasikan targeted screening pada individu berisiko tinggi sebagai sarana untuk meningkatkan penemuan kasus HIV. Perlu dikembangkan alat untuk memperkirakan secara objektif risiko seseorang terkena infeksi HIV. Salah satu model prediksi HIV yang disusun dari data perilaku adalah Denver HIV Risk Score. Tujuan dari penelitian ini adalah untuk merancang sistem informasi yang dapat melakukan asesmen risiko HIV sehingga individu yang berisiko tinggi dapat diarahkan untuk melakukan VCT. Metode pengembangan sistem yang digunakan adalah prototyping yang dimulai dari analisis kebutuhan sistem, perencanaan sistem, sampai perancangan sistem. Hasil dari penelitian ini berupa rancangan sistem informasi untuk asesmen risiko HIV berbasis web.
Edukasi Dengan Media Booklet Terhadap Pengetahuan Gizi Prakonsepsi, Sikap dan Asupan Zat Gizi Makro Wanita Pranikah
Authors: Putri Pratiwi Hariyani , Ainani Farah Nilna Nur , Yuliani Kartika , Sunaryo Merry , Puspitasari Putri
Published: March 2022

The prevalence of chronic energy deficiency (KEK) in Jombang District has a percentage of 15.17 percent in women who are not pregnant and 12.63 percent in women of childbearing age who are pregnant (Kemenkes RI, 2018). The high prevalence of chronic energy deficiency (KEK) in women of childbearing age in Jombang District, which exceeds the average in East Java, indicates that there are problems that need special attention. This study aims to analyze the effect of nutrition education with booklet media on preconception nutrition knowledge, attitudes and macronutrient intake of premarital women. This type of research is a quasi-experimental. The design used pre-post test control group design. The results of the study indicate that there is an effect of education with booklet media on nutritional knowledge of premarital women (p sama dengan 0,008), there is an effect of education with booklet media on the attitude of premarital women (p sama dengan 0,001), there is an effect of education with booklet media on energy intake (p sama dengan 0,020), protein (p sama dengan 0,025), lemak (p sama dengan 0,005), karbohidrat (p sama dengan 0,034).  Education using booklet media affects preconception nutrition knowledge, attitudes and macronutrient intake. This happens because the booklet media is easy to understand, can be taken anywhere and can be read at any time so that this media is very effective.
Weekly patterns of suicide and the influence of alcohol consumption in an urban sample
Authors: Sapozhnikov Sergei , Golenkov Andrei , Rihmer Zoltán , Ungvari Gabor S. , Gazdag Gábor
Published: March 2022

The weekly fluctuation in suicide rates is influenced by several factors including sex, psychiatric illness and alcohol dependence. The purpose of this study is to explore the impact of current alcohol use on suicid Data on sex, date of death, results of blood and/or urine alcohol tests and history of alcohol dependence in suicide victims over the 1997-2002 period were retrieved from a forensic database in two cities in Chuvash Republic. Over the six-year study period, 1,379 suicides were committed, 59% of them under the influence of alcohol. The peak incidence for men and women regardless of previous alcohol consumption was on Wednesdays and Mondays, respectively. The overall suicide rate was highest on Mondays and lowest on Thursdays. Both sexes were less likely to commit suicide during holidays than on weekends or workdays while intoxicated with alcohol. In this urban sample, the distribution of suicide across weekdays only partly followed the international pattern. The peak incidence of suicide showed sex difference, with the highest incidence for women on Mondays and for men on Wednesdays. The higher suicide rate on workdays might be accounted for by work-related stress, while the lower rate on weekends could be explained that people usually drink alcohol in the comforting company of family or friends, which reduces psychological tension and suicidal ideation. The majority of men consumed alcohol before committing suicide, regardless of the day of the week, while this observation was true for women only on Fridays and Sundays. Alcohol consumption greatly contributes to suicidal behavior in Chuvash Republic.
Új, innovatív prognóziskalkulátor áttétes gerinctumoros betegek számára
Authors: Mezei Tamás , Báskay János , Pollner Péter , Horváth Anna , Nagy Zoltán , Czigléczki Gábor , Banczerowski Péter
Published: March 2022

Kutatásunk célja volt egy prognózist jósló és terápiás opciót ajánló pontrendszer létrehozása a gerincmetasztázissal érintett betegek számára. Az egyre bővülő onkoterápiás lehetőségek és a prolongált túlélés miatt egyre gyakrabban foglalkozunk a primer tumor csontáttétei miatt kialakult klinikai tünetek megoldásával. A csigolyaáttétek az okozott neurológiai deficittünetek, illetve a fájdalom által szignifikáns életminőségbeni csökkenést okozhatnak, és a várható élettartamot is jelentősen befolyásolhatják. A prognózist megfelelő pontossággal jósló pontrendszer segítségünkre lehet a személyre szabott gyógyítás megvalósításában. Retrospektív klinikai vizsgálatot végeztünk az Országos Mentális, Ideggyógyászati és Idegsebészeti Intézetben a 2008 és 2018 között műtéti úton kezelt 18 év feletti gerincáttétes betegek adataiból. 454 beteg adatait elemeztük. Túlélési analízist (Kaplan–Meier-, log-rank-, Cox-modell) végeztünk, hálózati korrelációs vizsgálat segítségével választottuk ki pontrendszerünk prognosztikai faktorait úgy, hogy a vágópont-analízis során maximáljuk annak C értékét (predikciós képességi indexét). Multivariáns Cox-analízis eredményeként öt prognosztikai faktort azonosítottunk (a primer tumor típusa, életkor, járóképesség, belszervi áttétek, szérumfehérjeszint). Rendszerünk a 10 éves vizsgált periódusban átlagosan 70,6%-os pontossággal prognosztizált. Szimptómás, műtéten átesett, gerinc­metasztázisban szenvedő betegek nagy esetszámú, egycentrumos, retrospektív műtéti adatait felhasználva létrehoztuk rizikóbecslő rendszerünket, ami segítheti a terápia megválasztását. Rizikókalkulátorunk online is elérhető az alábbi címen: https://emk.semmelweis.hu/gerincmet.
The burden of childhood epilepsy and its impact: Parental perspectives
Authors: Garadi Shweta , Sharma Rakesh , Jelly Prasuna
Published: March 2022

A chronic childhood illness directly impacts the overall support system, which also plays a role in parental stress, thus leading to the disturbing family process. Children with long-term disease may exhibit behavioral problems that are more common in epilepsy. Epilepsy is a neurological condition with recurrent spontaneous seizures in children. This article examines the multifaceted nature of the crisis burden among young children living with severe epilepsy in their initial years of life and their parents. Childhood epilepsy is often related to family socioeconomic and psychosocial factors. It gives a road map for the future care of children with epilepsy and even their family members to strengthen their epilepsy control and care efforts in the early years of life.
Floating Hearts and Coronets
Authors: Quarmby Kevin A.
Published: March 2022

A review of the live virtual production of King Lear, presented by the San Francisco Shakespeare Festival for their "Shakespeare at Home" season 2020. Freely available to all via YouTube, this production featured actors performing the play in multiple and individual locations, the socially-distanced imperative facilitated by Zoom and Open Broadcaster Software technology to create a performance in "real-time" that captured the spirit of living theatre, while keeping all involved safe and gainfully employed.
Problem-based Collaborative Learning Strategy in Computer Programming
Authors: Irwan Irwan , Susanti Wilda , Desnelita Yenny , Gustientiedina Gustientiedina , Wongso Fery , Fudholi Ahmad
Published: March 2022

Computer programming is the basic skill that has to be possessed by students who attend Algorithm and Programming courses. This skill requires a problem solving strategy and involves a large number of programming logic activities. The purpose of this study is to offer a collaborative learning environment in order to provide a learning experience by interacting socially. However, social interaction does not just happen; the appropriate guiding strategies are needed to support collaborative learning. The proposed strategy is a problem-based practice strategy. This research was conducted on the second semester students of the Informatics Engineering Study Program, Faculty of Computer Science, Pelita Indonesia. Two classes were used for testing, namely the control class with 16 students and the experimental class with 15 students. The control class is taught by conventional collaborative learning and the experimental class is taught by collaborative learning using problem-based practice strategies. The results show that the proposed strategy can be useful for students in improving computer programming skills in a collaborative learning environment with a problem-based approach.
Change of the form of the vertical elastic tank with a liquid
Authors: Volobuev Andrey N. , Krasnov Sergei V. , Adyshirin-Zade Kaira A. , Antipova Tatyana A. , Aleksandrova Natalia N.
Published: March 2022

The kind of a hydrostatic equation for the vertical elastic tank, for example, a fuel tank of a rocket on a starting table is proved. The hydrostatic equation is received on the basis of specified Bernoullis equation. The substantiation is lead with the help of Laplaces formula for pressure under an elastic surface of a liquid which can arise both due to forces of a superficial tension, and due to an elastic thin-walled shell as in the present task. The form of the vertical elastic tank with a rigid bottom and the rigid top band, filled with a lied liquid is received. It is shown that it is necessary to use special record of the Gooks law for reception of the form of the tank. The analysis of this form is carried out. Distribution on height of the tank of hydrostatic pressure, volumetric density of energy of the stretched elastic wall, and also the sum of these sizes is shown. Hydrostatic pressure at which level there is a maximal increase in the area of the elastic tank is found.
The Effect of the Door to Needle Time of Streptokinase Administration on the QTc Interval and the Incidence of Life-Threatening Arrhythmia in Patients With Anterior Myocardial Infarction
Authors: Ghasemi Reza , Vojdanparast Mohammad , Hosseinzadeh Maleki Mahmood , Yaghubi Mohsen
Published: March 2022

Early administration of thrombolytic agents is standard for patients presenting with acute myocardial infarction (MI). Also, prolonged QT intervals indicate a higher risk for sudden death in patients with MI. This study was conducted to evaluate the door to needle time of streptokinase administration and the incidence of life-threatening arrhythmia in patients with anterior MI. This study was a prospective, single-center study on participants with anterior MI, who were divided into streptokinase and non-streptokinase groups. After administration of streptokinase, QTc was measured in hyper-acute, acute, and recent phases of anterior MI in the group and compared with acute and recent phases in the non-streptokinase group. The incidence of life-threatening arrhythmia was measured and compared in two groups. The data were analyzed by descriptive statistics method and variance analysis in the SPSS software, version 22. The level of significance was considered to be 0.05. Among 87 participants, there was a significant relationship between the door to needle time of 30 minutes and QTc interval in the hyperacute phase (P=0.005). Also, QTc in the streptokinase group was significantly lower than the non-streptokinase group in the acute phase (P=0.003 vs. P=0.205) and recent phase (P=0.007 vs. P=0.228). The incidence of fatal arrhythmias in the streptokinase group was lower than in the others. The relationship between the incidence of VT/VF and TIMI flow grade was insignificant (P=0.089). Reduction of the door to needle time after anterior MI has significant effects on QTc and incidence of threatening arrhythmia.
Iranian Nurses’ Perception of Factors Contributing to Medical Errors in Intensive Care Unit: A Qualitative Study
Authors: Najafi Ghezeljeh Tahereh , Ashghali Farahani Mansoureh , Kafami Ladani Fatemeh
Published: March 2022

Patient safety is a major health concern throughout the world, and medical errors are the most important factor threatening patient safety, especially in the Intensive Care Unit (ICU). To prevent errors and improve patient safety, it is necessary to identify the underlying causes of error from the perspective of nurses working in ICUs. This study aimed to explore nurses’ experiences of factors contributing to medical errors in the Intensive Care Unit. The present qualitative study was conducted using conventional content analysis. The participants included 17 nurses working in ICUs in two educational hospitals affiliated with the Iran University of Medical Sciences in Tehran. Data were collected using in-depth semi-structured interviews and were analyzed through the conventional content analysis approach based on Graneheim and Lundman's model. Four main categories (a) extra-organizational challenges; (b) Organizational position; (c) The specificity of the care environment, (d) Individual reason and nine subcategories: (accreditation problems, non-native care standards, organizational management, organizational Features, critical condition of patients, physical structure of unit, neglect in the process of care, lack of clinical knowledge and experience, and physical and psychological problems) were identified. From the nurses' perspective, a series of factors associated with the health system, the organization, the ICUs, and the individual play a role in the occurrence of errors; therefore, it is necessary for planners, policy-makers, nursing managers to think about these underlying factors and with in-service training, and a positive, supportive atmosphere; lead nurses to support the patient and improve patient safety.
Estimation of Femur Length From Its Fragments in an Iranian Population
Authors: Madadi Soheila , Farsi Alireza , Bayat Parvindokht
Published: March 2022

Stature is one of the important variables to identify an individual, and the previous reports show that intact femur has the highest correlation with stature. But the femur is usually damaged in forensic cases. Hence in the present study, the femur length is estimated from proximal and distal femoral fragments in the Iranian population. Sixty-four dry femora (32 from each side) without sex determination were studied. The variables were measured by using the osteometric board and digital vernier caliper. The bones with visible abnormalities were excluded from the study. The measured values were analyzed by SPSS 25 software. The linear regression is used for estimating maximum femur length from the other measurements of femoral fragments. The result of this study showed that the value of segmental measurements was different between the right and left sides, but it was not statistically significant. All segmental measurements were positively correlated and found to have a linear relationship with the maximum femoral length (P<0.05) except for femoral neck circumference, which was not significantly different. The regression equation suggested that the intertrochanteric crest length is the best estimator of maximum femur length. The data of this study showed that the femoral length could be estimated from proximal and distal femoral fragments with the help of a regression equation. Then femoral length can be used to estimate the stature. The result of this study can be used in the analysis of forensic bone remains.
Evaluation of Drug Resistant Genotypes to Fansidar and Chloroquine by Studying Mutation in Pfdhfr and Pfmdr1 Genes in Plasmodium falciparum Isolates from Laghman Province, Afghanistan
Authors: Dalimi Abdolhossein , Mosawi Sayed Hussain , Fotouhi-Ardakani Reza , Dalirghafari Ali
Published: March 2022

Background: Malaria is one of the major health problems in endemic countries like Afghanistan. Evidence has been reported about reducing the effects of chloroquine against Plasmodium falciparum in many endemic countries. The aim of this study was to investigate the resistance mutations in pfmdr1 and pfdhfr genes of P. falciparum samples detected in blood samples of malaria patients in Laghman Province, Afghanistan.
Methods: Samples were taken on DNA retention cards and 3 glass slides (thin and thick spread) from Laghman Province, Afghanistan in 2018. The pfmdr and pfdhfr mutations in 30 P. falciparum positive samples were examined using PCR-RFLP techniques. The PCR product was then sequenced to determine the mutation at the N86Y and D1246Y mutations of the pfmdr1 and N51, C59, I164, S108 and A16 points of pfdhfr genes.
Results: In the pfmdr1 gene, all samples were wild-type and no mutation was detected at point 86 and D1246Y. In the pfdhfr gene sequences using CLC main workbench software no mutations were detected at codons 16, 51. However, some mutation was observed at codons 59, 108 and 164. These mutations were L164I, S108N and C59R.
Conclusion: Our findings provide evidence of the possible emergence of fansidar-resistant specimens in Laghman. The data of this study provide the basis for future prospective studies in other endemic areas of Afghanistan. The absence of significant mutations in P. falciparum samples of Laghman Province may indicate that this parasite may have switched to chloroquine re-sensitization in this area.
Anti-Tumor Effect of Marshallagia marshalli Somatic Antigen on Inhibition Cell Growth of K562
Authors: Raisnia Reyhane , Mohebalian Hadi , Shahrokhi Sabzevar Atousa , Borji Hassan
Published: March 2022

Background: Today, the inhibitory effect of helminths on tumor cell growth has been proven. We investigated the anti-tumor activity of Marshallagia marshalli somatic against K562 cells.
 Methods: Different concentrations of M. marshalli somatic antigen were incorporated in the culture medium of K652 cells, and the proliferation and apoptosis were measured after 24, 48, and 72 h, using MTT and Annexin V/PI staining assay.
Results:  Treatment of cells with 1-2 mg/ml antigen for 24-72 h could suppress cell proliferation and increase apoptosis. While treating cells with 0.1 mg/ml antigen for 72 h could inhibit cell growth. There was no meaningful effect on treated cells in comparison with the control group (P< 0.05) after incubating cells for 24- 48 h with 0.1 mg/ml antigen.
Conclusion: M. marshalli somatic antigen had an anti-cancer property, and its role in cancer treatment could be considered as an effective therapeutic method.
The Prevalence of Blastocystis sp. and Its Relationship with Gas-trointestinal Disorders and Risk factors
Authors: Viesy Soghra , Rezaei Zahra , Pouladi Iman , Mirzaei Asad , Abdi Jahangir
Published: March 2022

Background: Blastocystis sp., located in the large intestine, is one of the most common zoonotic parasites. Risk factors affect its prevalence and pathogenicity, and it causes gastrointestinal disorders. Thus, this study aimed to investigate the Blastocystis sp. prevalence and its relationship with gastrointestinal disorders, in patients referred to laboratories, and provide some prevention strategies.
Methods: In this descriptive-analytical study, 1,000 stool specimens were collected from patients referred to Ilam, Iran laboratories from 2018-2019. Wet mount method was conducted on samples, and suspected specimens were confirmed using trichrome staining. The demographic and clinical information was recorded in a questionnaire. Finally, the results were analyzed using the SPSS.
Results: Blastocystis infection was detected in 81 out of 1,000 patients (8.1%) including 61 (75.3%) males and 20 (24.7%) females. and illiterate people were more at risk. The prevalence in rural was more than urban areas, and it was more in the age group of 31-50 year.
Conclusion: There was a significant relationship between Blastocystis sp. and risk factors (age, sex, level of education, and residence) and clinical symptoms (stomach ache and nausea) (P<0.05), but interestingly there was no significant relationship between bloating and diarrhea.
The First Case of Basal Cell Carcinoma in the Scar Fifty Years After Leishmanization
Authors: Tumolskaya Nelli Ignatievna , Sergiev Vladimir Petrovich , Zelya Olga Petrovna , Zavoikin Valerij Dmitrievich
Published: March 2022

Cutaneous leishmaniasis (CL) is a self-curing skin infection distributed in tropics and subtropics. Up to one million cases of CL appeared in endemic areas a year. Leishmanization (artificially controlled infections) was widely used to control cutaneous leishmaniasis in the past. Basal cell carcinoma (BCC) is the most common epithelial neoplasm of the skin. Cases of BCC developing in a leishmanial scar have been documented. We present the first case of confirmed basal cell carcinoma arising in 2020 in an 81-old physician working in Moscow (Russian Federation) in a leishmanial scar.  It was 50 years after the primary lesion due to a successful leishmanization, widely used to control cutaneous leishmaniasis in the past.
First Report of Nasal Myiasis Caused by Lucilia sericata in the Pediatric Age Group from Tehran, Iran
Authors: Sayyahfar Shirin , Mahmoudabadi Ramin Zare , Mahdavynia Soheila , Esteghamati Abdoulreza , Salemi Borna , Khanaliha Khadijeh
Published: March 2022

Myiasis is an infestation caused by dipterous larvae. Nosocomial myiasis usually occurs in bedridden patients. Herein, we report a nasal myiasis in a 12-year-old female with cerebral palsy (CP) from Tehran, Iran and provide morphological identification of Lucilia sericata as the causative agent. The infection was identified 10 days after the hospital admission. It can be categorized as a nosocomial infection. As far as we are aware, this is the first report of nasal myiasis in the pediatric age group from Tehran, Iran.
Psychological Status of the Pandemic Covid19 Infections on Healthcare Staff
Authors: Jafari Nodoushan Reza , Nazari Mahsa , Alimoradi Hadi
Published: March 2022

The article's abstract is not available.
Design, Implementation, and Evaluation of Physicians Empowerment Course for Evidence-Based MRI Prescription at Bushehr University of Medical Sciences in 2021
Authors: Ahmady Soleiman , Salari Hedayat , Esfandiari Atefeh , Nemati Reza , Habibi Amin
Published: March 2022

Introduction: Evidence-based medicine is considered as a new and reliable approach which has new discussions on judgment to find the best evidence or qualitative evidence. This study was designed in Bushehr province for designing, implementing, and evaluating physician empowerment courses in evidence-based MRI prescriptions in the training hospitals of Bushehr University of Medical Sciences in 2021.
Methods: The present study was an educational scholarship which was conducted in Bushehr province. This study was performed in two phases in accordance with Glassic criteria. A number of five workshops were designed and conducted by researchers using the ADDIE Model in systemic educational design. The course was designed through the review of texts and interviews with experts and in-depth group discussions (FGD) with the presence of seven experts. After that, this training course was evaluated and the end-of-course test was performed using the Kirkpatrick model. In order to evaluate the reaction of participants during the training course, a questionnaire was designed and its face validity and content validity were approved by experts. In addition, a four-choice test was designed based on the presented scientific content to evaluate the learning level of participants. A number of 40 questions were designed for five workshops. Descriptive statistics (frequency, mean) were used in SPSS22 for data analysis.
Results: In terms of gender, 53.7 % were male and 46.3 % were female. In terms of age, 24.4 % were in the age group of 31-35 years. In terms of improving awareness, 34.1 % of participants were at a very good level after the empowerment course. Learning findings indicated that 85.7 % of participants in the final test received a passing score while 14.3 % failed.
Conclusion: In general, the findings of the study indicated that holding an empowerment course for physicians in Bushehr improved their awareness and knowledge. In fact, such improvement in awareness and knowledge can reduce unnecessary prescriptions and treatment costs but improve the quality of services.
Media codes of ethics for health professionals and media professionals: a qualitative study
Authors: Kiasalar Mohammad , Shokrkhah Younes , Nedjat Saharnaz , Namazi Hamidreza
Published: March 2022

Media is an opportunity for health professionals; however, it is not free of threats. Fixing the threats requires professional systematization through developing practical guidelines, which brings us to the goal this study was designed to achieve. The study was conducted qualitatively through literature review, semi-structured interviews, and a focus group discussion with health and media experts, as a result of which 486 codes were extracted and classified into 4 groups. The first group was addressed to media professionals and contained 126 codes in 5 categories: seeking and reporting the truth, harm minimization, integrity, independence, and respect for the rights of others. The second and third groups were addressed to health professionals, the former (150 codes) dealing with formal media, and the latter (190 codes) dealing with cyberspace. These groups were both categorized into 6 categories: scientific demeanor, beneficence, harm minimization, integrity, maintaining the dignity of the profession and professionals, and respect for the rights of others. The fourth group was addressed to the public audience and contained 20 codes categorized into 2 categories: ethics of belief, and ethics of (re-)publishing. Since the study was conducted during the pandemic/infodemic, the proposed codes can help reduce possible conflicts in similar future situations.
The Role of Tranexamic Acid in Reducing Blood Loss Following Total Joint Arthroplasty: A Review Article
Authors: Fallah Ehsan , Moharrami Alireza , Ahmadi Nouri Amir Hossein , Moazen Jamshidi Mir Mansour , Mafi Amir Reza , Mortazavi Seyed Mohammad Javad
Published: March 2022

Total Joint Arthroplasty (TJA) is a major surgery performed for patients who suffer from severe joint destruction. It is so important to reduce the blood loss in the TJA surgery to decrease the infection rate, falling, and other complications following the surgery. Many methods could reduce blood loss, such as mechanical methods and chemical methods. Tranexamic acid (TXA) is a chemical method to reduce blood loss in surgery. There are numerous methods of administration of TXA in the literature, such as intravenous (IV), intra-articular, and combination of intra-articular and -venous methods. In the present review article, we review the studies that compared the efficacy of each method of the TXA administration.
Outcome of Isolated PCL Tibial Avulsion Fractures Treated with Cannulated Cancellous Screw Fixation
Authors: Ghilley Sanjay Kumar , Kumar Sansi Narendra , Meena Mahaveer , Tatwal Deepak Kumar , Jhanwar Purushottam
Published: March 2022

Background: The posterior cruciate ligament (PCL) presents commonly as avulsion fractures from the tibial attachment site. Isolated tears of the PCL can be caused by a fall on the flexed knee or dashboard injury in road traffic accident. Such a mechanism (the upper tibia driven posteriorly with the knee flexed) may produce PCL disruption as the only clinically detectable instability. For the PCL avulsion fractures fixation, there are various methods available like closed reduction and internal fixation (CRIF), open reduction and internal fixation (ORIF), and arthroscopic fixation. This study was performed to assess the result of PCL avulsion fracture managed with ORIF with cannulated cancellous screw.
Methods: We performed ORIF using cannulated cancellous screws with the posterior approach in 11 patients with isolated PCL tibial avulsion injuries. The minimum follow-up period was 6 months. The results were assessed radiologically and clinically. The spectrum of outcomes following PCL tibial avulsion fracture were measure using the Lysholm knee scoring system and range of motion (ROM) of the knee joint.
Results: 63.6, 27.3, and 9.1 percent of the cases had excellent, good, and moderate fracture healing, respectively.
Conclusion: PCL tibial avulsion fractures managed with open reduction with cannulated cancellous screw fixation yields good functional outcome with less complications.
US Sanctions and Their Consequences on Orthopedic Procedures in Iran
Authors: Nabian Mohammad Hossein , Farhoud Amir Reza , Shahryar Kamrani Reza , Oryadi Zanjani Leila
Published: March 2022

Background: Sanctions have always been an obstacle for development, even in health and medical topics, since they aim to reduce a country’s financial and economic power, and their impacts on medical and health systems in the objected country are inevitable. In this report, we are going to show the effect of sanctions on orthopedic surgeries in Iran.
Methods: In this study, we surveyed the opinion of 32 orthopedic surgeons about the effect of sanctions on orthopedic procedures. We evaluated surgeries routinely done in our referral centers in terms of the need for equipment and facilities.
Results: In upper limb surgeries, the high cost of equipment has more frequency between answers although, in lower limb surgeries, the changing method due to lack of facilities with worse results than the standard method has more frequency between answers. Both results indicate that sanctions made the feasibility of orthopedic surgeries more difficult.
Conclusion: We believe that several actions are needed to take place in the current situation by the international organizations to stop this unreasonable and illogical sanction, to prevent its devastating results.
Treatment Approach to Acute Shoulder Dislocation: Educational Corner
Authors: Khanjani Amin , Moharrami Alireza , Hosseini Zare Nima , Moazen Jamshidi Mir Mansour , Mafi Amir Hosein , Salehi Milad , Mortazavi Seyed Mohammad Javad
Published: March 2022

The article's abstract is not available.
Small Bowel Entrapment Following Pelvic Fracture: A Case Report
Authors: Ravanbod Hadi , Hatami Saeed , Shahsavan Mohammad , Naderi Boldaji Hossein , Zand Fateme
Published: March 2022

Background: Due to traumatic events, patients with acetabular fractures are vulnerable to rupture of the peritoneum and abdominal hernia in the fracture site. Infection and thromboembolic events are the two most common complications of this situation.
Case Report: In the current report, we present a 63 year-old woman with a traffic accident that was diagnosed with multiple fractures of posterior and anterior walls and anterior column of the right acetabulum associated with femoral head protrusion to the fracture site. Furthermore, the right posterior iliac wing fracture and mild subluxation of the right sacroiliac (SI) joint were observed in the pelvic computed tomography (CT) scan. During the Stoppa surgical approach, small intestine penetration and peritoneum were observed and immediately treated by the surgical team. Our case was later diagnosed with pulmonary thromboembolism and recovered successfully, and no infectious complications were observed.
Conclusion: We suggest that bowel entrapment be considered in blunt traumatic events, and antibiotics and anti-coagulants be used in similar cases.
Lawyering in Transition. Post-Socialist Transformations in Autobiographical Narratives of Polish and Russian Lawyers
Authors: Mrowczynski Rafael
Published: March 2022

This paper presents preliminary findings on memories from the period of post-socialist transformation and on related narrative constructs of agency in autobiographical interviews with practicing lawyers from Poland and Russia. The study is based on 25 interviews with individuals born in the late-1930s, 1940s and 1950s. Six different types of narrative accounts about the period of post-socialist transformations are identified and described: (i) trailblazer narratives; (ii) follower narratives; (iii) narratives of volatility; (iv) narratives of continuity; (v) latecomer narratives and (vi) narratives of social decay.
Phenolic Compounds and Antimicrobial Activity of Olive (Olea europaea L.) Leaves
Authors: Bensehaila S. , Ilias F. , Saadi F. , Zaouadi N.
Published: March 2022

Background: Olive leaves are of great interest, especially in traditional medicine. The polyphenols contained in olive leaves play an important role in this respect, as they have anti-carcinogenic, anti-inflammatory and anti-microbial properties. Olive leaves share phenolic compounds with other plants, but they also contain phenolic compounds belonging to the Oleaceae family. Methods: We report the determination of phenolic compounds in olive leaves by HPLC and the evaluation of their in vitro activity against several microorganisms that may be causal agents of human intestinal and respiratory tract infections, Staphylococcus aureus, Bacillus cereus, Escherichia coli, Pseudomonas aeruginosa, Klebsiella pneumonia, Enterobacter cloacae, Proteus mirabilis and Salmonella typhimurium. Result: The results reveal that the olive leaves may constitute a good source of antimicrobial agents. The high performance liquid chromatography (HPLC) analysis showed the presence of five phenolic compounds: oleuropein, ascorbic acid, rutin, catechinand verbascoside and for the first time ascorbic acid. At low concentrations, olive leaf extracts showed an unusual antibacterial action, which suggests their great potential as nutraceuticals, particularly as a source of phenolic compounds.