bluuebunny/crossref_metadata_2025 huggingface dataset:
Relationship between Degree of Dependency and Hospitalization Time of Surgical Patients
Authors: Asenjo-Alarcón José Ander , Vergara Cieza Luz Elita
Published: March 2023

Objective. This work sought to establish the relationship between the degree of dependency with hospitalization time of patients intervened surgically in a regional hospital of Peru.

Methods. The study was analytical, cross-sectional with retrospective data collection, studying 380 patients treated in the surgical service at Regional hospital Docente in the municipality of Cajamarca (Peru). The patients’ demographic and clinical information was obtained from the daily care records in the hospital’s surgery service. The univariate description was conducted through absolute and relative frequencies and confidence intervals for proportions at 95%; for the association between the degree of dependency and hospitalization time Log Rank (Mantel-Cox) – Chi-square was applied, as well as the Kaplan-Meier survival analysis, with statistical significance of p<0.05.

Results. The study had 53.4% male patients, with mean age of 35.3 years, referrals from operating room (64.7%), surgery specialty (66.6%) and the most-frequent surgical intervention was appendectomy (49.7%). Mean hospitalization time was 10 days; 88.1% of the patients had grade-II dependency. The degree of patient dependency had a significant impact on the days of post-surgery hospitalization with direct relationship between both variables (p=0.038).

Conclusion. Hospitalization time is determined by the degree of dependency of patients subjected to a surgical intervention; thereby, it is fundamental to anticipate all the necessary resources for proper care management.
Impact of the COVID-19 pandemic on the nursing students' education in a public university in Colombia
Authors: Palomino Cecilia Leon , Ochoa Marín Sandra Catalina , Restrepo Betancur Vanessa , Semenic Sonia
Published: March 2023

Objective.  To explore the impacts of the COVID-19 pandemic on nursing student education in one public university in Medellin, Colombia.

Methods. This descriptive qualitative study used content analysis to address the following questions: (1) How has the COVID-19 pandemic impacted nursing education at the University of Antioquia? (2) What were the most important challenges experienced by nursing students? (3) What was most supportive for the students during the pandemic? and (4) What were the potential opportunities and lessons learned related to nursing education? Data were collected virtually through individual online interviews with 14 undergraduate nursing students and analysed using qualitative content analysis with constant comparisons.

Results.  Four main categories of findings related to the experience of undergraduate nursing students during the COVID-19 pandemic were identified: (1) transitioning to online learning, (2) managing the digital world, (3) impacts on clinical training, and (4) work-related stressors. Key challenges included home environments that were not conducive to learning, reduced social interactions with peers and faculty, accessing technology required for online education and insufficient preparation for clinical practice. Family members and university-provided resources were important sources of student support. Whereas the pandemic limited opportunities for hands-on clinical training, the shift to online learning allowed for the development of skills related to informational technologies and telehealth.

Conclusion. Undergraduate students at the University of Antioquia identified significant barriers to learning during the COVID-19 pandemic restrictions and transition to online learning, as well as new opportunities for the development of digital skills among both students and faculty.
Adaptation Strategies in Students with Motor Functional Diversity
Authors: Franco Buitrago Maribel , Muñoz Jara Luisa María , Vargas Pérez Nicol Dayana , García García Nancy
Published: March 2023

Objective. The work sough to know the adaptation strategies of students from Universidad del Quindío with motor functional diversity.

Method. Descriptive qualitative study with a phenomenological approach. Data were collected through an in-depth interview with nine undergraduate students with moderate motor functional diversity, in face-to-face class attendance modality during the period 2022-2 at Universidad del Quindío (Colombia) with age ≥ 18 years and having scored from 20 - 40 in the Barthel index. The definition of the number of participants was conducted through theoretical saturation.

Results. Seven categories emerged from the descriptive analysis of the interviews: 1) support; 2) affection; 3) life project; 4) personal growth; 5) spirituality; 6) autonomy, and 7) education. Together, they reveal important aspects on the way students have adapted to the university campus and how interpersonal relations can contribute to promoting resilience processes

Conclusion. Support and affection provided by the social setting play a fundamental role in the adaptation of students with motor functional diversity, improving their mental health, generating resilience, and increasing their self-esteem. Noting that in spite of lifestyle changes after the acquisition of the diversity, the students set novel goals and develop new abilities that contribute to complying with their life project; likewise, they have set into practice and can recognize their coping mechanisms, acquiring qualities, like resilience and autonomy.
The effects of mobile-based education on nurse self-concept among nursing students: an embedded mixed methods study
Authors: Badiyepeymaiejahromi Zohreh , Yektatalab Shahrzad , Momennasab Marzieh , Mehrabi Manoosh
Published: March 2023

Objective. This study evaluates the effects of mobile-based education (MBE) on nurse self-concept (NSC) among nursing students.

Methods. This embedded mixed methods study was conducted in 2020–2021 in a main quantitative phase and a supplementary qualitative phase. In the quantitative phase, a quasi-experimental study with the Solomon four-group design was conducted on 117 second-year nursing students of Shiraz University of Medical Sciences, Shiraz, Iran. 70 students in the first (C1: n=37) and the second (C2: n=33) semesters of the 2020 academic year were respectively considered as the control groups, and 40 students in the first semester of the 2021 academic year considered as the experimental groups (I1: n=20 and I2: n=20). Participants in the experimental groups received NSC-related MBE through an Android application, while their counterparts in the control groups received no NSC-related MBE. Cowin’s Nurse Self-Concept Questionnaire was used to assess the NSC. In the qualitative phase, six students from the experimental groups were purposively selected and interviewed through face-to-face semi-structured interviews. Moreover, two focus group discussions were held with a six-person and a five-person group of students from the experimental groups.

Results. While the mean scores of NSC and its dimensions did not significantly change in the C1 group, the posttest mean scores of them in the E1 group were significantly greater than the corresponding pretest values (p<0.05), expect for the care dimension (p=0.586). Moreover, except for the care dimension (p>0.05), the posttest means scores of NSC and its other dimensions in the E1 and the E2 groups were significantly greater than the C1 and the C2 groups, respectively (p<0.05). Analysis of the qualitative data resulted in the generation of the main theme of multidimensional growth and development with three main categories, namely development of coping strategies, knowing professionalization strategies, and development of managerial potentials.

Conclusion. NSC-related MBE is effective in improving nursing students’ NSC.
Discourse Analysis of Policies to Prevent Violent Radicalization in Ten European Countries and their Impact on Educational Systems
Authors: Díaz de Alda Arantxa Azqueta , Merino-Arribas Adoración
Published: March 2023

After the 9/11 attacks, Western societies and institutions try to respond to terrorist attacks. The fight against radicalization has gained prominence on international agendas. The OECD Programme for International Student Assessment (PISA) proposes a new learning objective: global competence. This research analyses how the attitudes of global competence, are reflected in government plans for the prevention of radicalization in ten European countries: Spain, Sweden, Germany, Denmark, the Netherlands, Austria, Belgium, France, the United Kingdom and Finland. A lexicometric analysis was performed using clustering techniques. Iramuteq program is used. A quantitative analysis was also carried out on a qualitative data corpus to facilitate comparative analysis. While European socio-educational policies are, theoretically, a fundamental pillar in the pursuit of integration, in practice, the network of correspondence shows a policy focused on the threat of terrorism, where police intervention is prioritized, and the role of education is insignificant. We conclude that policies for the prevention of radicalization in Europe do not reflect the characteristics that define democratic, interculturally competent citizenship and are not aligned with global competence. We suggest promoting transversality and unity of policies which encourage integration and social cohesion and reassessing the value of schools as a proactive measure for inclusion.
A Systematic Review of the Current Status of Research on the Quality of Life and Well-Being of Institutionalized Older Adults in Spain
Authors: Rodríguez-Martínez Antonia , De la Fuente Robles Yolanda María , Martín Cano María del Carmen
Published: March 2023

The review question being considered in this article aims to study the research on quality of life and well-being of older adults residing in nursing homes in Spain, and the elements that address quality of life or its measurement in important aspects. The following databases were used: Scopus, Web of Science, ProQuest, Wiley online library, PubMed, EBSCOhost, ERIC, Emerald, and Dialnet plus. This review was reported according to the PRISMA guidelines. "Thematic Synthesis Analysis" was used to analyze the studies. Of the initial 1231 studies, a total of 18 studies, which met the eligibility inclusion and critical appraisal criteria, were analyzed. We note the lack of unicity of measurement criteria, as well as the need to generate a single scale defining the basic characteristics and essential factors that identify the quality of life. Further research and an integrated model of personalized quality of life, adapted to residents, is required.
Confronting Racialised Power Asymmetries in the Interview Setting: Positioning Strategies of Highly Qualified Migrants
Authors: Scheibelhofer Elisabeth , Holzinger Clara , Draxl Anna-Katharina
Published: March 2023

Based on our longitudinal, in‐depth qualitative research focusing on the social construction of deskilling among highly educated migrants from Central and Eastern European (CEE) member states of the European Union, we will discuss in this article the positioning of the interview partners within the interview situation as interrelated to societal racialised power asymmetries. In this contribution, we exemplify that critical migration research can only be carried out when we reflect on our methods accordingly. To do so, we discuss actual evidence from this ongoing research project: While we see that many of our interview partners from new EU member states are reluctant to point to negative experiences in our conversations, we want to highlight that the potentiality of discrimination is part of the interview setting in our research and thus co‐constructs the empirical data. By analysing a variety of discursive positioning strategies employed by our interview partners that can be understood as strategies to avoid anticipated discrimination, we aim to fulfil the promise of methodological reflexivity and thus contribute to the quality of interview research in the context of migration studies. The aim of this contribution is thus twofold: We want to contribute to methodological discussions as well as refine current research focussing on the racist experiences of CEE migrants.
HbsAg seviyesinin HBV DNA ve karaciğer fibrozisi ile ilişkisi
Authors: BAYKAN Ahmet Ramiz , KASAP Elmas
Published: March 2023

Giriş ve Amaç: Kovalent olarak kapalı dairesel DNA düzeyinin kronik hepatit B hastalarında hastalığın aktivitesini öngörmede klinik önemi bulunmaktadır. Kovalent olarak kapalı dairesel DNA düzeyinin dolaylı bir göstergesi olan hepatit B yüzey antijeni düzeyi, kronik hepatit B hastalarının yönetiminde hepatit B virüs-DNA düzeyi ile birlikte önemli rol alabilir. Çalışmamızda, hepatit B nedeni ile karaciğer biyopsisi yapılan hastaların fibrozis skorları, hepatit B virüs-DNA ve hepatit B yüzey antijeni seviyelerinin hepatit B zarf antijeni durumu dikkate alınarak kıyaslanması amaçlandı. Gereç ve Yöntem: 2017-2020 yılları arasında kronik hepatit B nedeni ile karaciğer biyopsisi yapılan hastaların biyopsi sonuçları, retrospektif kesitsel olarak değerlendirildi. Biyopsi sonucunda fibrozis değerleri hepatit B zarf antijeni durumu göz önüne alınarak değerlendirildi. Bulgular: Çalışma grubunu 71 (%55.4) erkek, 57 (%44.5) kadın toplam 128 hasta oluşturdu. Ortalama yaş erkeklerde 41.58 ± 14.27, kadınlarda 43.63 ± 12.13 idi (p: 0.38). Hepatit B zarf antijeni pozitif hastalarda hepatit B yüzey antijeninin hepatit B virüs-DNA (p:
IMPLEMENTAÇÃO DA TRANSFORMADA DE FOURIER BIDIMENSIONAL PARA ANÁLISE DE ESTRUTURAS ESPIRAIS EM GALÁXIAS
Authors: Faria Costa Stella , Rodrigues de Oliveira Filho Irapuan , Antonio Caritá Lucas
Published: March 2023

Normal spiral galaxies have a nucleus, disk, bulge, halo, and spiral arms. These systems arouse a lot of curiosity, attraction, and scientific questions and, consequently, many studies and techniques are proposed for the analysis of such structures. In this work, we implement the two-dimensional Fourier Transform method to analyze the spiral structures of galaxies and for that, a Python program was developed. The algorithm was tested using three images: a two-armed logarithmic spiral, a three-armed logarithmic spiral, and an image of the galaxy NGC 4321. With this technique we were able to determine the dominant components in each of the spiral structures, being m=2, m=3 and e m=2, respectively.
On Neutrosophic Soft Multisets and Neutrosophic Soft Multi Topological Spaces
Authors: YOLCU Adem , AKA Büşra
Published: March 2023

Bu çalışma da, yeni bir hibrit sistem olan neutrosophic esnek çoklu kümeler tanıtılmaktadır. Ayrıca, alt küme, eşit küme, boş küme, mutlak küme, birleşim, kesişim, farklı gibi bazı temel özellikleri bu kavramlar üzerinde çalıştık. Dahası, neutrosophic esnek çoklu topolojik uzayları tanıttık. Bu topolojik uzaylar üzerinde açık küme, kapalı küme, iç, kapanış gibi bazı önemli kavramlar araştırılmıştır. İncelenen tüm kavramların önemli özellikleri araştırılmış, bazı önemli teoremler ispatlanmış ve konu ile ilgili çeşitli örnekler sunulmuştur.
Determination of Noise Pollution and Noise Dose Level of Kahramanmaras Sutcu Imam University Medical Faculty Hospital
Authors: SÖĞÜT Ömer , ZEYTUN Büşra
Published: March 2023

Gürültü kirliliği günümüzde çözüm bekleyen en önemli çevre sorunlarından biridir. Bu nedenle bu çalışmada toplumun yoğun olarak kullandığı alanlardan biri olan hastane ortamındaki gürültü seviyesi ve dozunun belirlenmesi amacıyla KSÜ Tıp Fakültesi Hastanesi poliklinik koridorlarında gürültü ölçümü yapılmıştır. Toplam 10 poliklinik koridoru bulunan hastanenin tüm koridorlarında Pazartesiden Cumaya kadar 08:00-09:07, 10:00-11:01, 12:00-13:01, 14:00-15:01, 15:01 ve 16:00-17:01 saatlerinde Testo 815 gürültü ölçer ile dB(A) olarak gürültü şiddeti ölçümleri yapılmıştır. Ölçümler ortalama olarak her noktada 15 dakika süreyle yapıldı ve en az üç kez tekrarlandı. Ölçüm sonuçlarından hesaplanan eşdeğer gürültü seviyesi (Leq) 27,39 ile 50,68 dBA arasında değişmektedir. Birçok koridor için hesaplanan Leq değerlerinin çoğu, T.C. Çevre ve Orman Bakanlığının ve DSÖ'nün sınır değerinden (35 dBA) daha büyüktür. Ancak KSÜ tıp fakültesi hastanesinin koridorları için hesaplanan gürültü dozu değerlerinin (zemin kat hariç) yetkili kurum veya kuruluşlar tarafından belirlenen kabul edilebilir gürültü doz değerinden (D≤1) daha küçük olduğu tespit edilmiştir.
On Hybrid numbers with Gaussian Mersenne Coefficients
Authors: YILDIRIM Serhat , YILMAZ Fatih
Published: March 2023

In this paper, we consider hybrid numbers with Gaussian Mersenne coefficients and investigate their interesting properties such as the Binet formula, Cassini, Catalan, Vajda, D’Ocagne and Honsberger identities. Moreover,
we illustrate the results with some examples.
Unipotent and Unit-Regular Elements in Certain Subrings of M_2 (Z)
Authors: GÜMÜŞEL Günseli
Published: March 2023

We presented a simple and direct way to construct a unipotent unit and clean but not nil-clean element in a ring. New examples of unipotent/unit-regular elements that are not nil-clean are given. We also study the product of two idempotents/unit-regulars which are unit-regular. The studies are exemplified in two subrings of M_2 (Z).
Histomorphological spectrum of ovarian lesions from a single institute
Authors: Marachapu Jahnavi , Vij Swati
Published: March 2023

Background: Ovarian tumours pose a significant and intricate issue, contributing to the wide-ranging problem of ovarian pathology. The mortality rate of this condition surpasses the combined mortality rate of endometrial and cervical neoplasms. To address this challenge, we conducted a study of the clinical spectrum, its accompanying findings, and various histomorphological patterns of ovarian lesions. Our findings provide a definite diagnosis, which is of great clinical importance and aids in enhancing the understanding of the disease and developing proper management plans for patients.
Methods: This is a retrospective study conducted in the department of pathology, ESIC hospital from January 2021 to December 2021. A total of 62 ovarian tumours, were analysed for a year, verifying their clinical, radiological, and gross features and correlating them with histopathological findings.
Results: Out of 62 cases, 53 were benign, 3 cases were borderline and 6 were malignant. Most of the patients (60%) were from the reproductive age group. Among non-neoplastic lesions, the commonest epithelial tumours were serous cystadenoma 35 cases (43.5 %), 10 mucinous (16.1%). The most common germ cell tumour was mature cystic teratoma 10 cases (16.5%) and others. Among neoplastic lesions, five cases were of surface epithelial type. Abdominal pain (70.97%) is the most common presenting symptom, followed by dysfunctional uterine bleeding (9.6%), mass per abdomen (4.8%), abdominal distention (4.2%), and loss of weight (3.4%). The right ovary is more affected than the left. Bilaterality was observed in all lesions of size more than 4.5 cm.
Conclusions: The ovary is a frequently affected site of tumours in the female reproductive system, and they often exhibit a diverse range of clinical, morphological, and histological characteristics. Among these tumours, benign tumours are the most prevalent, with surface epithelial tumours being the most commonly observed subtype. In this study, benign epithelial tumours comprised the majority of cases, accounting for 66.2% of cases. The most common types of benign tumours were serous cysts, corpus luteal cyst and mature cystic teratoma. It is important to note that although most ovarian tumours are benign, some can be malignant, requiring more aggressive treatment. Therefore, an accurate diagnosis and appropriate management are crucial to warrant the best probable outcome for the patient.
Evaluation of axial length measurements obtained using three different techniques- applanation A-scan, immersion A-scan and optical biometer
Authors: Arora Chandni , Gupta Surbhi
Published: March 2023

Background: To compare measurements of axial length obtained with manual A-scan, immersion A-scan and optical biometer and assess the accuracy of different techniques of intraocular lens power calculation.
Methods: This was a prospective randomized study done in 90 patients over a period extending from November 2019 to October 2020 in the upgraded department of ophthalmology, Government Medical College Jammu. Intraocular lens power was calculated by measuring axial length by three different techniques and further the accuracy of the axial length values obtained were compared.
Results: In this study, mean axial length measured by applanation A-scan was 22.86±0.85 mm which ranged from 20.99-24.6 mm and axial length measured by immersion technique ranged from 21.5-24.9 mm with a mean AL of 22.92±0.85 mm. AL measured by non-contact method ranged from 20-25.08 mm with a mean AL of 23.1±0.93 mm. There was a statistically significant difference between all the three techniques regarding the measured AL (p=0.0004).
Conclusions: This study concludes that the optical biometry has greater accuracy than ultrasound biometry including applanation and immersion A-scan.
Amphotericin B in the management of COVID-19 associated mucormycosis
Authors: Premachandran Architha M. , Shivalingaiah Pruthvi R. , Godse Ashwini , Sheeja Arunima , Chandrashekar Ravishankar
Published: March 2023

Background: Amphotericin B is considered the drug of choice for primary treatment of mucormycosis. During second wave of COVID-19 pandemic there was severe scarcity of liposomal amphotericin B. This study aims to determine role of various formulations of amphotericin and their side effects when used for the treatment of COVID-19 associated mucormycosis.
Methods: A retrospective study was conducted between May 2021 and December 2021 at a tertiary care centre. 380 patients with post-COVID rhino-orbito-cerebral mucromycosis (ROCM) were included in the study. Liposomal amphotericin B, conventional amphotericin deoxycholate, lipid complex amphotericin B was used in the treatment. Patients were observed for side effects like fever, chills, rigors, hypokalemia, renal function derangements, thrombophlebitis and respiratory difficulties.
Results: Majority of patients received liposomal amphotericin B (331) and 31 patients received conventional amphotericin deoxycholate and 5 patients were given lipid complex amphotericin B injections. The most commonly encountered side effects were of the mild type constituting chills (98% with liposomal and 100% with amphotericin deoxycholate), and fever (94% with liposomal and 74% with amphotericin deoxycholate).
Conclusions: Our study highlights the role of various formulations of amphotericin B in the treatment of COVID-19 mucormycosis.
Strengthening primary health care in rural western India-team based approach
Authors: Roy Kallol , Das Neha , Roy Swati A.
Published: March 2023

Background: Non-communicable diseases (NCDs), such as cardiovascular diseases (CVDs), diabetes, have taken an epidemic form. With a huge population and existing sedentary lifestyle, in developing countries like India, there exists a struggle to deliver quality chronic care. A reorganization of systems in healthcare service delivery is crucial to improve primary healthcare. We have reported our model to address primary healthcare service delivery in rural settings. The SPARSH team-based care approach is designed with the objective of improving adherence to anti-hypertensive and anti-diabetic medications to improve blood pressure (BP) and blood sugar (BS) control among hypertension (HTN) and diabetes mellitus (DM) patients.
Methods: This is a descriptive study describing a model and array on interventions delivered through a team-based care approach from 2016 till 2020 by Shree Krishna Hospital, Karamsad across three districts in Gujarat. Data was collected on case record forms and later was analysed using Microsoft excel.
Results: From the financial year of 2016 till 2020 patients enrolled in SPARSH increased from 932 till 1920 for availing treatment and ongoing care. A total of 108 training sessions were conducted and facilitated by a senior member of SPARSH. Average monthly cost of treatment for hypertensive, diabetic and patients with both conditions was Rs. 38, 78 and 130 respectively.
Conclusions: Our model described here can be tested for effectiveness through a rigorous community trial focusing on objective outcome measures such as BP control and glycemic control.
Drainage of the hepatic cyst by laparoscopy - clinical case
Authors: Falcón-Cancino Luis A. , Baltazar-Herrera Ernesto , Flores-López Alejandro A. , Yépez-Vallejo Segundo , Echevarría-Fernández Fidel , Padrón-Arredondo Guillermo , Villalobos-Rodríguez Alejandro L.
Published: March 2023

Liver cysts are formations of serous content surrounded by normal liver parenchyma, without communication with the bile duct. The cyst wall is generally lined with cuboidal epithelium surrounded by layers of connective tissue. They are rare entities in adult patients, generally, they are asymptomatic in 3%, and between 10-15% of all patients will generate symptoms that lead them to consult. A 38-year-old man with an external abdominal tomography study that reported a giant hepatic cyst. Laboratory blood tests: hemoglobin 7.9 g/dl; leukocytosis 11,000/ul; serum electrolytes, liver transaminases, and bilirubin were normal, alkaline phosphatase, and gamma glutamyl-transpeptidase 94 U/l and 241 U/l, respectively. Non-reactive anti-human immuno-deficiency virus (HIV 1) and two antibodies, venereal disease research laboratory (VDRL), cancer antigen (CA) 19-9 antigen, hepatitis B-C surface antigen, and carcinoembryonic antigen were negative. He underwent surgery by laparoscopic drainage of the liver cyst, through a median infraumbilical incision with the Hasson technique and placement of three 12 mm trocars, hepatomegaly was observed without finding an exit site for purulent material, it was punctured through liver segment V, and 2000 ml of citrine fluid was extracted. The hepatic wound is addressed with a 1-0 caliber chromic catgut thread, placing a Penrose-type drain. At 48 hours postoperatively, it evolves favorably, so it is decided to discharge. Hepatic cysts are fluid-filled cavities lined by a single-layered cuboidal or columnar biliary epithelium in the liver. A majority of hepatic cysts are found incidentally on liver imaging, such as abdominal ultrasonography, computed tomography, or magnetic resonance imaging.
Knowledge regarding breast self-examination among middle aged women of Uttarakhand
Authors: Kothiyal Divya , Pokhriyal Geetika , Payal Mukul , Rawat Raveena , Juyal Shagun , Rathi Sheetal , Pundir Namrata , Rawat Sonia
Published: March 2023

Background: Breast self-examination involves the women herself looking at the mirror and feeling each breast for possible lumps and distortion or swelling. It is seen that more than 10% to 20% breast cancer is detected by breast self-examination.
Methods: A descriptive cross-sectional study was conducted to assess knowledge regarding breast self-examination among middle aged women in a selected community setting of Uttarakhand. A total of 62 samples were selected through systematic randomized sampling technique. A structured knowledge questionnaire was administered through interview technique to assess the knowledge.
Results: Most of the (49%) women had poor knowledge regarding breast self-examination. There was significant association between age of the samples, education status, family income and previous information regarding breast self-examination with knowledge score.
Conclusions: The study concluded that there was inadequate knowledge regarding breast self-examination among middle aged women in Uttarakhand. There is a need for educational programs to create awareness and improve knowledge regarding routine breast self-examination.
A comparative study to assess hypochondrial attitude among nursing and other department students of Eternal University Baru Sahib, Himachal Pradesh
Authors: Verma Kavita , Mehta Kirti , Rawat Bipasha , Sharma Kritika , Manasvi  , Rathoure Manju
Published: March 2023

Background: Hypochondrial attitude is a cognitive and thought process in which person lives with the fear that they have some kind of serious illness but undiagnosed condition. The aim of this study was to examine the sample of students in order to assess and compare the degree of hypochondrial attitude among nursing and other department student.
Methods: Total sample size was 310, among them 155 nursing student and 155 other department students were recruited through a convenient sampling technique. Online survey was employed using socio-demographical questionnaire and Whiteley index.
Results: Among all participants, hypochondrial attitude prevalence is higher among nursing students then other department students. In the present study, mild (55% in nursing students while 65% in other department students), moderate (43% in nursing students while 34% in other department students) and severe (2% in nursing student and 1% in other department students) hypochondrial attitude was assessed. Furthermore, nursing students are significantly associated with hypochondrial attitude. The highly significant association was assessed among age (0.000), academic year (0.000), diagnose with serious illness (0.000) and the significant once was the number of sibling (0.13), personality (0.015), visit to physician (0.005) and fear of getting covid 19 during pandemic (0.002), there was no significant association between demographic variable and hypochondrial attitude in other department students i.e., p<0.01.
Conclusions: The conclusion of this study shows that there is higher prevalence of hypochondrial attitude among nursing students. At last it was suggested that counseling and support services are necessary for nursing students.
A triple-blinded randomized controlled trial to evaluate the effectiveness of hydrotherapy versus land-based exercises outcome on pain among patients with rheumatoid arthritis
Authors: Jinjwaria Rajendra Kumar , P. John Rashmi , Kumar Arvind , Kumar Sanjay
Published: March 2023

Background: The goal of the study was to determine the effectiveness of hydrotherapy versus land-based exercise outcomes to reduce pain in chronic rheumatoid arthritis (RA).
Methods: A triple-blinded, randomized controlled, parallel-group, multiple arm trial was conducted between 29/09/2019 to 30/09/2021. Single centre, the study was done at the department of physical medicine and rehabilitation, KGMU (India). Eligible 90 patients were adults aged from 17 to 75 years old suffering from chronic RA) and randomization through the SNSOE method. The intervention (RJHLERA) administered was hydrotherapy exercise (Weekly 30-minute for 6 weeks exercises in a hydrotherapy bathtub, and land-based exercises (Weekly 30-minute for 6 weeks of exercises on land and 11 minutes of active exercise for the control group. NRPS scale was used for pain assessment.
Results: The result revealed that pain score, In the pre-test, all the subjects had almost the same average pain score for selected subjects in each group. In the post-test, the hydrotherapy exercise group showed the maximum response with an average pain score of 3.64±1.89. the land-based exercises group showed the next to maximum response with an average pain score of 5.88±1.37 while the clear control group showed the least/poor response with an average pain score of 7.63±1.41. Hall et al and conclusion of the study is hydrotherapy produced the greatest improvement.
Conclusions: The study recommends hydrotherapy and land-based exercise as safe, inexpensive interventions. Amongst hydrotherapy exercises and land-based exercises, Hydrotherapy showed the maximum (much better) to reduce the pain.
The unmet need of psycho-oncology services for integrated cancer care in India: a review
Authors: Brahmbhatt Twinkle , Gunjan Desai
Published: March 2023

Cancer has varied effects on mental health of the patients, their family and friends as well as the caregivers. The emotional, social, interpersonal, rehabilitative and psychological effects of cancer on all of them can contribute to psycho-social distress. Appropriately addressing psychological, social and behavioral issues through psycho-oncology services improves the physician-patient relationship, increase satisfaction to the ongoing treatment, create a positive attitude towards treatment and outcomes and improve the quality of life. It also has a role in preventive oncology as well as in cancer rehabilitation. Global recognition of the need of psycho-oncology services has led to establishment of a lot of international organizations and societies in the developed countries. On the other hand, there are no societies or standard guidelines for psychosocial care in India. Also, due to lack of awareness and cancer education, the stigma associated with this care compounded by the stigma associated with cancer is a major hindrance to availing mental health care in India. Identifying this unmet need, creating awareness about the need of distress management during key transitions in cancer care pathway and providing training and research opportunities in this field in India will pave the way to improve the outcomes of cancer treatment delivery and patient compliance as well as satisfaction to the provided care.  Psycho-oncology services need to be integrated into the existing cancer care pathways in a structured manner so as to enable ease of availability of these services for the patients and their families when in need.
Visual outcome in patients of branch retinal vein occlusion (BRVO) with macular edema after one injection of intravitreal biosimilar ranibizumab
Authors: Nada Manisha , Phogat Jitender , Goel Supreme , Kumar Manish , Rani Swati
Published: March 2023

: This study aims to determine the effects of intravitreal biosimilar ranibizumab injection on best corrected visual acuity (BCVA) and central macular thickness (CMT) in patients of branch retinal vein occlusion (BRVO) with macular edema.

: A retrospective, unmasked, and data-based study was conducted on 50 patients of BRVO with macular edema, who presented to our OPD over a period of 2 years. Cases in our study received one intravitreal injection of biosimilar Ranibizumab (0.5 mg/0.05 ml) at presentation and were followed up one month after injection. The data was collected from patients and available records. The data regarding BCVA and CMT (by Optical Coherence Tomography) before and 1 month after treatment was recorded and analyzed statistically.

: In this study, we included fifty eyes of fifty patients. The mean patients’ age (in years) was 53.08 ± 9.58. There were 24 (48%) male and 26 (52%) female patients. The baseline mean BCVA ± SD (logMAR) was 0.79 ± 0.16 and mean CMT ± SD (in µm) was 688.14 ± 98.41 before treatment. Mean BCVA (logMAR) and mean CMT (in µm) after one biosimilar ranibizumab injection, at 1-month follow-up, were 0.33 ± 0.13 and 307.18 ± 34.97 respectively. We used paired t-test to compare mean BCVA and mean CMT before and after injection, and we found a statistically significant difference (p-value of <0.001) for both. None of the patients experienced any significant ocular and systemic adverse effects on post-op day 1, and at 1 month.

: Intravitreal biosimilar ranibizumab is an effective and safe therapy for patients of BRVO with macular edema and results in improvement of BCVA and decrease in CMT. Biosimilar injection has also reduced the cost of treatment leading to an increase in patients’ compliance.
Assessment of dry eye in glaucoma
Authors: Kushwah Swati , Usha B. R
Published: March 2023

This study intends to assess the prevalence of dry eye in glaucoma patients.

: A prospective study of enrolled consecutive topically treated glaucoma patients. The patients presenting with systemic or ocular conditions that could interfere with ocular surface status were excluded. Tear meniscus height (TMH), Schirmer I and II, tear breakup time (TBUT) tests were used to assess dry eye disease. Data was analysed using BDSS Statistics software, Version 1.0.

In our study of 60 patients, 41 subjects had abnormal TMH in right eye and 40 abnormal in left eye. 49 subjects had abnormal Schirmer I in Right eye and 44 subjects had abnormal Schirmer I in Left eye. Schirmer II test was done, out of 60 subjects, 47 subjects had abnormal results in RE and 41 subjects had abnormal results in LE. TBUT test was done 49 subjects had abnormal results in RE and 43 subjects had abnormal value in LE.

: The patients on topical antiglaucoma medications with preservatives are more prone to develop dry eye accounting for 84.49%.
Comparative study of early versus delayed presentation of lens induced glaucoma: A retrospective study conducted among population in remote hilly areas of Uttarakhand
Authors: Pandey Achyut N , Sharma Shweta , Tyagi Manoj
Published: March 2023

To compare the causes and visual outcome of lens induced glaucoma amongst those presenting early (within 7 days) with those presenting late (after 7 days).

This was a retrospective study which included a total of 50 cases diagnosed as lens induced glaucoma. Patients were divided into two groups- group A presenting within 7 days and group B presenting after 7 days. All the patients underwent manual small incision cataract surgery with PMMA lens implantation. Visual outcome and intraocular pressure in both the groups preoperatively and on postoperative day 30 were compared.

Majority of patients were females and in the age group of 61-70 years. Phacomorphic glaucoma was the main cause of lens induced glaucoma accounting for 64% of the cases. Good vision in the other eye was the most common reason of delay in seeking medical aid (45.45%). Postoperative day 30 assessment of visual outcome showed that majority of group A patients had a visual acuity of 6/6 to 6/12. Group B patients showed majority with visual acuity of 6/18 to 6/60. Postoperative IOP of 74% patients was well controlled below 21 mm Hg at 1 month.

The final BCVA in our study was found to be better in those who presented early, highlighting the importance of early diagnosis and efficient management.
Impact of cataract surgery on intraocular pressure
Authors: Ramya Adipudi , Usha B R
Published: March 2023

: To assess the impact of cataract surgery on intraocular pressure.

: A study comprising of 60 patients from the district of Kolar, who underwent Manual small incision cataract surgery were examined with Goldmann applanation tonometer for assessment of intraocular pressure before surgery and 1 week, 1 month after surgery along with visual acuity assessment, anterior segment evaluation with slit lamp biomicroscopy, posterior segment evaluation using indirect ophthalmoscopy.

60 participants were included in the study, of whom 27 (45%) were female and 33 (55%)were male. The mean age of the patient was 64.2 years, with the maximum number of patients being in the age group of 61-70 (51.7%). The mean of intraocular pressure in pre-operative patients was 15.18 mmHg, after manual small incision cataract surgery at 1 week, it showed 11.96 mmHg and after 1 month showed 12.75 mmHg.

The intra ocular pressure decreases significantly after manual small incision cataract surgery more so in female patients than male patients.
COVID-19 and Its Impact on Islamic Equity Mutual Funds in Indonesia
Authors: Nofrianto Nofrianto , Yutegi Aprila
Published: March 2023

The Islamic equity mutual funds, initially exhibiting a relatively high average interest, experienced a significant decline in Net Asset Value (NAV) in 2020 - 2021 due to the COVID- 19 pandemic. Therefore, this study analyzed the impact of the COVID-19 pandemic on the NAV of Islamic equity mutual funds and the influence of macro and micro factors, such as inflation, exchange rate, Jakarta Islamic Index (JII) trading volume, and age of mutual funds. Data were collected from a sample of 11 companies registered with the Financial Services Authority from 2014 to 2021, using the purposive sampling technique to achieve this objective. Subsequently, the data collected were analyzed using the Panel Data Regression Method, and the Wilcoxon Signed Ranked Test. The results showed that the pandemic delayed economic activity, decreasing returns on sharia investment instruments, such as the NAV of Islamic equity mutual funds. JII, trading volume, and fund age were negatively affected compared to mutual inflation and exchange rate. This study provides information that regulators can use in formulating appropriate policies to minimize the adverse effects of Covid-19 on Islamic equity mutual funds, specifically in macroeconomic policies. Likewise, investment managers can consider internal factors when positioning Islamic equity mutual funds in the NAV
Influence of nanoparticle dispersion in a transparent liquid on the spatial characteristics of a four-wave radiation converter
Authors: Ivakhnik Valery V. , Savelyev Maxim V.
Published: March 2023

Abstract – The spatial characteristics of a four-wave radiation converter in a transparent heterogeneous polydisperse medium are studied in this paper considering the nanoparticle flow caused by the gravity action with a normal size distribution of particle. Three ranges of average nanoparticle radii (small, intermediate and large), for which different types of spatial spectra of the object waves are characteristic, are distinguished. Shown that in the range of small average nanoparticle radii an increase in the standard deviation leads to an increase in the half-width of the spatial frequency band cut out by a four-wave radiation converter from the spatial spectrum of the object wave. In the range of intermediate average nanoparticle radii an increase in the standard deviation can lead to both an increase and a decrease in the width of the «ring» cut out by a four-wave radiation converter. At large average nanoparticle radii a change in the standard deviation doesn’t affect the spatial selectivity of the four-wave radiation converter.
The Meaning of Differentiation between Investigative and Judicial Actions within the Framework of Determination of Criminalistic Activity Borders
Authors:   Associate Professor of the Department of Criminal Procedure Law and Criminalistics of the East-Siberian Branch of the Russian State University of Justice, PhD (Law), Mitrofanova Alena A.
Published: March 2023

Based on the study of the positions of scientists regarding the definition of the concepts of “judicial actions” and “investigative actions”, as well as the provisions of the criminal procedure legislation, the grounds for differentiating these concepts are presented. It is concluded that investigative and judicial actions of an “investigative nature”, although in many cases they have a similar name, still have a number of significant differences, and above all in terms of the purposes of their conduct, corresponding to the functional purpose of the stages of pre-trial and judicial proceedings. It is noted that forensic activity is aimed at optimizing the production of investigative actions, which are the main regulatory “tool” with which evidence is formed in the process of investigating crimes.
The Use of Special Knowledge in Russian Criminal Proceedings: The Procedural Aspect
Authors:   Associate Professor of the Department of Criminal Procedure and Criminalistics of the Law Faculty of the Southern Federal University, PhD (Law), Malina Maksim A.
Published: March 2023

The article explores the problems of using special knowledge in Russian criminal proceedings. The Anglo-Saxon and continental models of the involvement of scientific experts in the process are evaluated in world practice and on this basis the relevant provisions of domestic legislation are analyzed. Problems of a criminal procedural nature that arose after the introduction of the figure of a specialist and such type of evidence as “conclusion and testimony of a specialist” are revealed. A number of recommendations are being prepared to solve these problems and create conditions for the fullest use of special knowledge in the criminal process of Russia.
Limitation of the Opportunity to Dispose of One’s Life and Body as Another Measure of Criminal Procedure Coercion
Authors:   Associate Professor of the Department of Criminal Procedure of the Kikot Moscow University of the Ministry of Internal Affairs of Russia, PhD (Law), Associate Professor, Tutynin Igor B. , Khimicheva Olga V. ,   Head of the Department of Criminal Procedure of the Kikot Moscow University of the Ministry of Internal Affairs of Russia, LL.D., Professor, Sumin Aleksandr A. ,   Professor of the Department of Criminal Procedure of the Kikot Moscow University of the Ministry of Internal Affairs of Russia, LL.D., Associate Professor
Published: March 2023

The authors propose to create a new measure of criminal procedural coercion, which allows law enforcement agencies to limit the possibility of participants in criminal proceedings to dispose of their lives and bodily substance.
Administrative Prejudice: Approaches to Regulation of Criminal Liability Based on the Structure of Art. 264.1 and Art. 314.1 of the Criminal Code of the Russian Federation
Authors:   Honored Worker of the Higher School of the Russian Federation, Honored Lawyer of the Russian Federation, LL.D., Professor, Prokhorov Leonid A. , Zharkikh Ekaterina A. ,   PhD (Law), Sobin Dmitry V. ,   PhD (Law)
Published: March 2023

The article discusses the features of the approach of the Russian legislator to the assessment of a rather debatable criminal law institution — administrative prejudice. His opposite assessments in the theory of criminal law, as well as the position of the Supreme Court of the Russian Federation, are analyzed. A detailed legal analysis of the elements of crimes constructed in Art. 264.1 and Art. 314.1 of the Criminal Code of the Russian Federation, and their author’s edition is proposed.
Victims of Cyberbullying: The Problem Status
Authors:   Associate Professor of the Department of Criminal Law, Criminology and Criminal Procedure of the Law Institute of the Baikal State University, Coordinator of the Russian National Encyclopedic Service Project, PhD (Law), Associate Professor, Zhmurov Dmitry V.
Published: March 2023

This article is devoted to the victimological problems of cyberbullying. The key, in the author’s opinion, problematic issues arising in the study of this phenomenon are formulated. During the theoretical analysis of the works of domestic and foreign researchers, data on the prerequisites of cyberbullying are provided. The definition of the term “victim of cyberbullying” is given, the classification of victims of such actions is proposed. According to the nature of the victim’s responses, they are classified into two main groups (involved / uninvolved victims) and a number of subgroups, among which they differ: aggressive, avoidant, compromise, protective, submissive, auto-incriminating, ignoring and derealization victims. Depending on the degree of intensity of reactions of the victim of cyberbullying, it is proposed to distinguish the reacting and neglecting type of victim.
Criminological Features of Regional Recidivism
Authors:   Head of the Department of Criminal and Legal Disciplines of the East Siberia State University of Technology and Management, PhD (Law), Associate Professor, Filippova Olga V.
Published: March 2023

In this study, based on the analysis of statistical data on crime in Russia and federal districts, the features of recidivism in different regions are revealed. Differences are shown in the level and structure of recidivism, in the proportion and composition of persons who have previously committed crimes. The highest number of relapses is registered in the Volga, Central and Siberian federal districts. The highest recidivism rate per 100,000 people is observed in the Far Eastern Federal District. High intensity of recidivism is observed in those regions where an increased level of general crime is recorded. In regions with a relatively low level of recidivism in the composition of persons who have previously committed crimes, a greater proportion are those previously convicted and recognized as having committed crimes upon relapse. The structure of recidivism in the Northwestern and Far Eastern districts is characterized by increased danger due to the significant prevalence of serious and especially serious crimes in it. The article also shows the specifics of the structure of recidivism in different districts by type of crime.