bluuebunny/crossref_metadata_2025 huggingface dataset:
Covid-19 Sürecinin Sosyal Medyaya Yansıması (Bir Meta-Sentez Çalışması)
Authors: BAYDİLİ Ismail
Published: July 2021

Zaman ve mekân zorunluluğunu ortadan kaldıran sosyal medyanın kullanımı, her geçen gün biraz daha artmakta ve kullanım amaçları biraz daha genişlemektedir. Covid-19 ile ilgili bilgi edinmek ve Covid-19’un oluşturduğu kaygıları gidermek isteyen bireyler sosyal medya ortamlarında merak ettikleri sorulara cevap aramaktadır. Bu durum sosyal medya platformları üzerinde sağlık iletişimi ile ilgili ciddi bir bilgi alışverişinin yaşanmasını sağlamaktadır. Sosyal medyanın pandemi süreci ile ilişkisini inceleyen çok sayıda çalışma yapılmıştır. Bu çalışma, sosyal medya ve Covid-19 pandemisi arasındaki ilişkiyi ele alan çalışmaların nitel verilerini birleştirerek kümülatif bir sonuç elde etme amacındadır. Çalışmada nitel verileri değerlendirmeye uygun ve nitel araştırma deseni içinde yer alan meta-sentez yöntem kullanılmıştır. Araştırmaların analizi sonucunda elde edilen veriler araştırmaların sınırlı amaçlar ve sınırlı sonuçlar etrafında birleştiğini göstermiştir. Ayrıca kullanılan yöntemlerde de çeşitliliğin düşük olduğu anlaşılmıştır. Konunun önemi ve genişliği düşünüldüğünde araştırmaların amaçlarının daha çeşitlilik göstermesi gerekmektedir. Araştırmalarda, yeni araştırmalara yol gösterecek, alana yön verecek daha güçlü önerilerin de yer alması gerekmektedir. Ayrıca sağlık iletişiminde yaşanan bilgi kirliliği sorununa çözüm getirecek daha fazla çalışmaya ihtiyaç vardır.
The Role of Sustainable Communication on Human Behavior on Recycling: A Case of Turkey
Authors: TAMERGENCER Zekiye
Published: July 2021

The resources that nature offers to human beings are of course not infinite, unless there is a conscious and careful use, an "end" is coming in terms of natural resources. Preventing waste of resources, protecting nature and gaining the habit of recycling are now inevitable in order for healthy generations to continue their lives and to increase their economic development levels. There are not enough studies in the literature on the subject. The current study aims to determine the levels of individuals' behaviors and attitudes regarding the subject. The literature review section is divided into two sections. The first section briefly explains the recycling issue. The second section includes studies on recycling in Turkey and in the world. The current study measured and determined the focus group's level of awareness about recycling. SPSS was used to analyze the data. A total of 4885 people participated in the study. 60.8% of the participants were women and 39.2% of them were men. Participants had an average score of 106.04 (SD = 17.80) from the environmental awareness and sensitivity scale and considering that the maximum score to be obtained was 140, the participants were at a partially good level in terms of environmental awareness and sensitivity.
Sayısal Belediyecilik: Türkiye’deki Belediyelerin Yeni Medya Kullanımları
Authors: KILIÇ Nilüfer Pınar , DİKMEN Ergin Şafak
Published: July 2021

Türkiye’de faaliyet gösteren belediyelerin web sitesi ve sosyal medya kullanımlarını tespit etmeyi amaçlayan çalışmada tam örnekleme yapılarak 81 il ve 919 ilçe belediyesinin web siteleri, Facebook, Twitter, Instagram ve YouTube hesapları incelenmiştir. Sayısal ortamın devingen olması nedeniyle web hasatçılığı yöntemi kullanılarak 10-27 Mart 2020 tarihleri arasında belediyelerin internet siteleri ve sosyal medya hesapları kayıtlanmıştır. Kayıtlanan veriler kodlanarak nicel analize tabii tutulmuştur. Araştırmada bin belediyenin 932 tanesinin web sitesinin işler olduğu tespit edilmiştir. Web sayfalarının sosyal medya ile ilişkilendirilmesinde sorunlar olduğu gözlenmiştir. Buna göre web sitelerinde sosyal medya hesaplarına yönlendiren butonların hepsinin yönlendirme yapmadığı, bazılarının eski hesaplara ya da belediye başkanlarının kişisel hesabına yönlendirdiği, bazılarının ise kapatılan sosyal ağlara ait olduğu tespit edilmiştir. Bu durum belediyelerin web sitelerinin ağ yapılanmasının güncellenmediğini göstermektedir. Belediyelerin sosyal medya kullanım pratiklerine bakıldığında 944 belediyenin Facebook, 804 belediyenin Twitter, 729 belediyenin Instagram hesabı, 665 belediyenin ise YouTube kanalı olduğu belirlenmiştir. Ancak bazı belediyelerde sadece hesap alındığı, sosyal medya hesaplarının önemli bir kısmının paylaşım ve takipçi sayılarının az olduğu ve dolayısıyla etkin biçimde kullanılmadığı görülmüştür. En etkin sosyal medya hesaplarının çoğunlukla ilçe belediyelerine ait olduğunun tespit edildiği araştırmada sosyal medya hesaplarının kullanım süresi, paylaşım sayıları, takipçi sayıları ve belediyelerin nüfusları arasında doğrusal bir ilişki olmadığı söylenebilir.
Effect of fixed orthodontic treatment on mandibular condyle bone quality in different malocclusion groups
Authors: YÜZBAŞIOĞLU ERTUĞRUL Betül
Published: July 2021

Purpose: The aim of this study was to investigate the effects of orthodontic treatment on the mandibular condyle head bone formation according to different orthodontic malocclusion groups.

Materials and Methods: In the study, forty-eight patients were examined. Individuals included in the study were grouped according to malocclusion groups. Our study was carried out retrospectively. The quality of mandibular condyle bone in panoramic images of patients before and after orthodontic treatment were compared retrospectively. This examination was carried out by a fractal analysis method.

Results: According to the findings we obtained from our study; the change in mandibular condyle bone quality before and after orthodontic treatment by age and gender was not found to be statistically different. After orthodontic treatment in individuals with Class I and III malocclusions, the trabecular density structure of the mandibular condyle bone increased and decreased in individuals with Class II malocclusion. The change in mandibular condyle bone quality before and after orthodontic treatment by malocclusion groups was found to be statistically different.

Conclusion: The fractal analysis method is a technique that facilitates the diagnosis of minimal changes occurring on the radiographs of orthodontic treatment patients and to evaluate the prognosis of the disease. A relationship was found between orthodontic treatment applied to different malocclusion groups and mandibular condyle head bone formation. When evaluating orthodontic treatments, mandibular condyle head bone formation should be taken into consideration.
Armonización de criterios de calidad modelos SINEACE de Perú – CNA de Colombia, autoevaluación del doctorado en ciencias de la educación universidad de Cartagena de indias Colombia y universidad nacional Daniel Alcides Carrión Perú, 2017 -2019
Authors: Rodríguez M. Nancy B. , Campos S. Orlando , Lagos-Vergara Diana
Published: July 2021

El objetivo de este artículo fue determinar la convergencia de criterios de calidad de los modelos de evaluación SINEACE Perú y CNA Colombia, del Doctorado en Ciencias de la Educación. La metodología empleada fue descriptiva, estableciendo la afinidad de cuestionarios aplicados. Encontramos que los programas y plan curricular reflejan diferentes porcentajes de cumplimiento de factores y estándares de evaluación, consolidados con criterios válidos. Llegamos así a la conclusión de que existe una convergencia en los modelos SINEACE y CNA de los Programas de Doctorado en Ciencias de la Educación: el SINEACE tiene un 75% de cumplimiento y el modelo CNA, un 98% de cumplimiento, lo que demuestra que los dos modelos armonizan y convergen en estándares de calidad.
fotografía como estrategia pedagógica para la enseñanza de las ciencias naturales en escuela nueva
Authors: Yory-Sanabria Lucy Edith , Niño-Vega Jorge Armando , Fernández-Morales Flavio Humberto
Published: July 2021

Este artículo presenta los resultados de un proyecto implementado en una institución educativa rural, que trabaja con el método escuela nueva, en el cual se diseñó una propuesta pedagógica que usa la fotografía como eje central para la enseñanza de las ciencias naturales, sobre el tema de la biodiversidad. El trabajo es de enfoque cualitativo, del tipo investigación-acción. La propuesta pedagógica articula las asignaturas de ciencias naturales, tecnología, artística y ética, a través de temáticas propias de cada área. Las fotografías registradas por los estudiantes permitieron realizar un total de 166 observaciones en la plataforma iNaturalist, con las cuales se identificaron 77 especies de animales, 15 de plantas y 7 de hongos. Estos resultados se divulgaron dentro de la institución, a través de carteleras elaboradas por los mismos estudiantes. Se concluye que el uso de la fotografía motivó a los estudiantes a conocer su región, aprendieron sobre la ilustración científica, fortalecieron sus habilidades en el manejo de dispositivos móviles y equipos de cómputo, a la vez que adquirieron una opinión crítica sobre las actividades del hombre que afectan la biodiversidad.
A Review on Future Beyond Human Intelligence Using Technology
Authors: Raut Monika M.
Published: July 2021

Combination of Internet of things (IoT), Nano-Technology, Augmented Reality (AR) and Artificial Intelligence (AI) will be the future. Lots of research and development is happening to develop the IoT based application and few of them have already developed. Home automation, self-drive cars, simulators are few examples of IoT based applications. Still, there is scope for more research and development to develop very advanced and intelligent applications, which can eliminate human intervention or provide intelligent reporting. This paper reviewed some of selected articles related to the future beyond human intelligence using technology. Current development in this sector is achievable. We sent astronauts to space for studying life on other planets and earth's movement. In the future, without sending astronauts to space, data should be available with intelligence reporting. Home automation is easily available these days, but it still requires human intervention to on and off the switches using mobile app or calls. In the future, without human intervention, it should be workable as well, we may not have to worry about odd times of water supply in housing societies and close the tap once the water tank is full, etc. I am going to focus on such a future developments through this paper. Combination of Human Intelligence and Technology will definitely be the future to come up with a solution.
Traditional Ethnomedicinal Plants used for Skin Diseases by Dharampur Taluka of Gujarat State, India
Authors: Raut A. P. , Suryawanshi N. S.
Published: July 2021

The present study deals with ethnomedicinal uses of plants with respect to skin diseases, utilized by tribal inhabitants of Dharampur taluka of Gujarat state, India, which is one of the tribal area. The local people depends on the plant species for curing various diseases by taking the help of medicine healers. The paper discuss about overall 42 plant species which has used in protecting and enhancing the beauty of the skin. Among which Leguminosae (05) family is found to be dominant among the rest of the family followed by Asteraceae, Solanaceae, Asclepiadaceae, Acanthaceae, Moraceae and Euphorbiaceae (02) with Sapindaceae, Puniaceae, Apocynaceae, Araceae, Papaveraceae, Bombaceae , Cruciferae, Anacardiaceae, Cariaceae, Amaranthaceae, Apiaceae, Verbenaceae, Cuscutaceae, Liliaceae, Balsaminaceae, Oleaceae, Boraginaceae, Rhamnaceae, Burseraceae, Combretaceae, Meliaceae, Nyctaginaceae, Rubiaceae and Nymphaceae.
Digital Locker: How Much The Young is Really Utilizing It in Pandemic?
Authors: Pal Sneha Subhashchandra
Published: July 2021

The COVID-19 pandemic could move the world more rapidly towards Digital Locker application. Advanced Locker is one of the fiercest parts of the Digital India Program. Digital computerized improvements including cloud computer and mobile application have arisen as an impetus for quick mandatory advancement strengthening of inhabitants around the globe. Progressed improvement is like a law that slowly utilizes the everyday presence from retail outlets to government working environments. They assist us with locks in other and all the more with the goal that we share data on the issues and concerns we face. After that the paper takes an update on what about Digital India with its nine pillars, complexity and transformation
Digital Library Resources for Next Generation
Authors: Yadav Kalyan Dattatray
Published: July 2021

Present article is an attempt to review the upcoming changes in the library collection. Time is changing rapidly, technology also changes with supersonic speed. Limited financial resources and changing pattern of library resources make extra presser on the libraries. In this complex situation, librarians and technical staff can overcome by using their skill.
Human cytomegalovirus infection, viraemia and retinitis among people living with HIV/AIDS in Kano, North-Western Nigeria
Authors: Edwin Chinagozi P. , Hassan Sadiq , Ebisike Philips I. , Habib Saudat G. , Amole Taiwo G. , Bakare Rasheed A.
Published: July 2021

Background: Human cytomegalovirus (HCMV) is a leading cause of opportunistic infection in HIV-infected patients. HCMV viraemia is an active infection marker and prelude to end-organ diseases (EODs), such as retinitis. The aim of the study was to assess the burden and associated factors of HCMV infection, viraemia and retinitis among HIV-infected patients in Nigeria.Methods: Comparative cross-sectional study of 160 HIV-infected adults, comprising 80 participants in each of <100/mm3 and ≥100 cells/mm3 CD4+ cell count groups, who attended HIV clinic at a tertiary hospital located in a major Nigerian city.  A questionnaire was used to collect data from eligible consenting participants and their case files. Sera from all participants were tested for anti-HCMV IgG using ELISA method, and plasma of seropositive participants were subjected to PCR for HCMV viraemia. Participants whose samples were HCMV viraemic were examined for HCMV retinitis using indirect ophthalmoscopy. Data was analyzed using Minitab vs 14.1.1PP.Results: All 160 participants tested positive for anti-HCMV IgG. HCMV viraemia was 14.4% (23 of 160) generally, but comparatively more among <100 CD4 cells/mm3 group (18.8%; 15 of 80) than in ≥100 cells/mm3 patient group (10%; 8 of 80). Only HCMV viraemic patients in <100 CD4 cells/mm3 group (20%; 3 of 15) were diagnosed with HCMV retinitis. WHO stage was associated with HCMV viraemia (χ2= 7.79, p=0.05) and HCMV retinitis (χ2= 4.60, p=0.03). The only predictor of HCMV retinitis was WHO staging I and II [aOR = 0.04, 95%CI (0.01- 0.52)].  Conclusions: Evidence of previous and active HCMV infection is prevalent among PLWHA in Nigeria with WHO staging being associated and a predictor of HCMV viraemia and retinitis, respectively.
Application of rubber band ligation as a treatment of internal hemorrhoids
Authors: Sari Sevil Ozer , Yıldız Coşkun
Published: July 2021

Background: Aim was to more than three-quarters of the whole population will experience complaints of hemorrhoids at some point in their lifetime. The treatment of internal hemorrhoids includes medical, minimally invasive and surgical treatments. The aim of the study was to evaluate the data of patients who were applied with rubber band ligation (RBL) as a minimally invasive treatment method of internal hemorrhoids.Method: The study conducted in the gastroenterology department of Izmir Tepecik training and research hospital between December 2015 and December 2019. Demographic and laboratory data of the patients, the success and the complications rates of the procedure were evaluated retrospectively .Results: Evaluation was carried out  in 45 consecutive patients, comprising 23 (51.1%) females and 22 (48.9%) males with a mean age of 54.62±7.82 years (range, 40-82 years). Procedural success rate was 91.1% and failure of treatment was seen in 8.9% of the patient. Recurrence rate of RBL procedure determined with control rectoscopy was found as 5.26% at 1 year follow-up. No major complications developed in any patient. Significant correlation was determined between the development of bleeding and the use of anticoagulants and anti-aggregants (p=0.003). No significant relationship was seen between the number of band ligation procedures and the development of complications (p=0.275).Conclusions: The application of RBL, which is widely used in the treatment of internal hemorrhoids, is a reliable and low-cost method that shortens the length of stay in hospital, which can be preferred in patients with high comorbidity risk for surgery.
A correlative study of homocysteine levels and dementia: an Indian perspective
Authors: Iqbal Roshan , Harsha S. , C. Nemichandra S. , Paneyala Shasthara , Colaco Vimala C.
Published: July 2021

Background: The prevalence of dementia is increasing worldwide and with India experiencing an epidemiological transition with increasing ageing population, the prevalence in India is expected to double by 2030 adding to the already high burden of significant health care costs and caregiver fatigue. Indian population has a higher burden of elevated homocysteine levels due to multiple factors. However, studies correlating the homocysteine levels and severity of dementia in the Indian subcontinent is lacking. This study is aimed to analyse the diagnostic utility of serum total homocysteine in dementia and to examine the association between serum total homocysteine levels and severity of dementia.Methods: This was a cross-sectional hospital-based study on patients attending neurology out-patient department who satisfied the DSM-V criteria. Each participant underwent an interview of general health and function followed by a standard assessment including medical history, physical and neurological examination as well as a neuropsychological battery.Results: A total of 30 patients fulfilling the DSM-Vcriteria for Dementia were included in the study. Increasing S. Homocysteine levels were associated with lower neuropsychological compound scores with MMSE score of 20.78±2.98 and ACE-3 score of 77.40±5.60 in patients with Serum Homocysteine less than 22 Umoles/L and 18.85±2.50 and 75.55±5.06 respectively in patients with serum homocysteine levels above 22 Umoles/L. However, there was no statistically significant correlation between neurocognitive scores and serum homocysteine levels (p value 0.06 for MMSE and 0.19 for ACE-3). Also, no correlation was found between severity of dementia and serum homocysteine levels with p≥0.05 and Pearson’s correlation coefficient r=0.06.Conclusions: This study shows no significant association between serum total homocysteine levels and severity of dementia. Thus, the association of homocysteine as an independent risk factor with the diagnosis and severity of dementia needs to be re-evaluated as it might undermine the multiple mechanisms underlying the pathogenesis of dementia.
Prevalence and pattern of dyslipidemia in newly detected type 2 diabetes mellitus and its correlation with anthropometric parameters
Authors: Sukumar Cynthia A. , Ramachandran Arunachalam , K. Sudeep
Published: July 2021

Background: Globally 425 million people have diabetes mellitus (DM) of which 90% are type 2 DM. India carries nearly 70 million cases of DM. India is called the diabetes capital of the world. The escalating epidemic of type 2 diabetes has been attributed to increasing obesity and longevity. Due to the additive cardiovascular risk of hyperglycemia and hyperlipidemia, lipid abnormalities should be aggressively detected and treated as a part of comprehensive diabetic care. The study aimed at detecting the occurrence and pattern of dyslipidemia in newly-detected type 2 diabetic patients in a tertiary care hospital in South India.Methods: This cross-sectional study was conducted over a period of eighteen months. It comprised of 50 newly detected diabetics above the age of 18 years who satisfied the inclusion and exclusion criteria.Results: Fifty patients were included in the study which included 18 males and 32 females. The body mass index (BMI) was abnormal in 62% (as per the Asian criteria) and in 42% (as per the WHO criteria). The waist circumference (WC) was found to be high in 82% and 70% as per the Asian and the WHO criteria, respectively. Forty six percent of the population was found to have elevated total cholesterol levels. LDL was increased in 70% of the study population while triglycerides were elevated in 40%, total cholesterol in 46% and low HDL in 76% of the patients.Conclusions: A significant correlation was found between the fasting blood sugars (FBSs) and serum triglycerides. There was a positive correlation noted between the dyslipidemia and the anthropometric parameters recorded.
Role of high sensitive c-reactive protein and serum uric acid in coronary artery diseases: a case control study
Authors: Takkalaki Nandini , Muchchandi Raja Shekhar , N. Krishnamurthy
Published: July 2021

Background: Coronary artery diseases (CAD) are considered to be the major public health concerns throughout the world, including India. Despite significant improvement in the diagnosis, treatment and prevention, CAD remains the most common, acute, and chronic illness, which is the leading cause of mortality and morbidity in the world.Methods: To estimate the serum uric acid and hs-CRP levels in coronary artery disease cases with diabetes mellitus and hypertension and compare with the healthy individuals.Results: The mean serum uric acid levels were raised in cases (6.1±1.54 mg/dl) compared to the controls (5.16±1.007 mg/dl) which was significant statistically (p<0.008). The mean hs-CRP levels were raised in cases (7.1±8.122 mg/dl) compared to the controls (0.185±0.254 mg/dl) which was highly significant statistically.Conclusions: Measurement of the levels of hs-CRP and serum uric acid in CAD might help in identifying the patient at increased risk of mortality.
A study on histopathological examination of colorectal carcinoma with special reference to expression of CK20 in colorectal adenocarcinoma at a tertiary care centre
Authors: Deori Biman J. , Lahkar Nandinee , Tabassum Musfika
Published: July 2021

Background: Colorectal carcinoma is the third most common cancer worldwide, over 1.8 million new cases are estimated in the year 2018. In terms of mortality, colorectal carcinoma ranks second with estimated 881,000 deaths in 2018. Histopathological study plays a central role for diagnosis and definitive treatment of colorectal carcinoma. In present time, immunohistochemical markers with adjunct to morphology helps in diagnosis and also in prognosis and treatment. Therefore, in colorectal carcinoma, along with morphology, many such immunohistochemical markers are being studied.Methods: This study was carried out in the Department of Pathology at a tertiary care health centre in the southern part of Assam for a period of 1 year from June 2018 to May 2019. 52 cases of colorectal carcinoma diagnosed by histopathological study were included in the study. All patients were analysed for age, gender, type of growth and location of growth. Immunohistochemical staining of cytokeratin (CK) 20 was done and expression was studied and correlated with age, location of tumour, grade and tumour stage.Results: Out of total 52 patients, 33 were male and 19 were female. Average age of presentation was 48.46±15.51 years. On gross examination rectal tumours were the most common and maximum tumours had polypoidal type of growth. On immunohistochemical study CK20 expression was detected in 82.7% out of 52 cases of colorectal adenocarcinoma and negative in 17.3% cases.Conclusions: The correlation between CK20 expression and grading and tumour stages of colorectal adenocarcinoma was statistically significant. Further, large scale population-based studies with more number of cases and follow-up of these cases need to be done for better assessment of this immunohistochemical marker in colorectal adenocarcinoma that can be used for assessment of prognosis.
Covishield vaccine experience in a health care setting
Authors: Boorugu Hari Kishan , Misra Krushna Chandra , Prusty B. Saroj Kumar
Published: July 2021

Background: SARS-CoV-2 pandemic has affected the whole world and India is one among the most affected countries. Vaccination is the most important tool to halt this pandemic and vaccine hesitancy unfortunately derails vaccination drive. Vaccine hesitancy among people is mainly due to concerns about vaccine safety! This study was done to assess adverse effects of Covishield vaccine among health care workers in a single health care organization.Methods: All the vaccine recipients were requested to answer a questionnaire with demographic details and various side effects following both the doses of Covishield vaccination.Results: About 665 employees responded to the questionnaire and the most common adverse reaction following Covishield vaccine was injection site pain, which was reported by 63% of vaccinees after first dose of vaccine.Conclusions: Covishield vaccine is relatively safe and incidence of major adverse events are rare following vaccination.
Understanding the second wave of epidemics using the susceptible-infectious-recovered model
Authors: Butta Raman , Butta Shristi , Gupta Manoj Kumar
Published: July 2021

The world is currently reeling under the COVID-19 pandemic and secondary waves of the same are occurring in different countries. In the current paper, the authors try to explain the exact mathematical concept of a second wave based on their analysis of the popular SIR (susceptible-infectious-recovered) model in epidemiology. Effort is made to graphically and mathematically illustrate the natural infection curve, the necessity of austerity measures, the effects of such measures on the infection curve and the possible reasons for a second wave. The risk of quick mutation and need for effective vaccination is also discussed. It is believed that this analysis will be of immense help to scientists, doctors and policy-makers to devise proper strategies to urgently control the current COVID-19 pandemic, especially in countries where virus variants and secondary waves are occurring.
Orticochea flap for a massive scalp defect closure in a pediatric patient: literature review and case report
Authors: Mendoza Velez Maria de los Angeles , Macias Gabriel Sandoval , Cazares Liliana Aguirre
Published: July 2021

Scalp defects are still challenging to the surgeon because of the poor elasticity of the soft tissue overlying the calvarium. Defect size, location, and skin characteristics rule the reconstructive options available. Orticochea flap is an excellent option for scalp defects reconstruction. We present a case of a pediatric patient with a massive occipital scalp defect following an animal aggression that was successfully reconstructed with an Orticochea modified flap.
High grade endometrial stromal sarcoma: a clinician dilemma
Authors: Dogra Poojan , Sharma Shuchi , Sharma Reena , Bhardwaj Suraj
Published: July 2021

Uterine sarcomas are relatively rare tumors of mesodermal origin. ESS occurs primarily in perimenopausal women in 4th and 5th decade of their life; about one third occurs in postmenopausal women. Here in we describe a case of 44 years old patient presented with one month history of foul smelling discharge per vagina and a pelvic mass. Ultrasound and MRI gave possibility of a large anterior wall and fundal fibroid with degeneration versus neoplastic endometrial thickening. The patient underwent exploratory laparotomy with total abdominal hysterectomy with bilateral salpingoophorectomy with pelvic lymphadenectomy. Histopathology showed tumor cells with round to oval nuclei with high mitotic activity, blood vessel proliferation between the tumor cells and extensive lymphovascular invasion. The pathological diagnosis was HG-ESS stage IB. The patient was referred to radiotherapy department for adjuvant therapy. HG-ESS is a rare clinical entity and considered as important differential diagnosis.
Nurses’ knowledge of heart failure self-management education principles
Authors: Abu Sa'aleek Mohammad A. , Al zawahra Bader T.
Published: July 2021

Heart failure is considered as a chronic disease and the management of such condition is complex and challenging. Nurses play a significant role in managing heart failure by enhancing self-care practices among patients. This paper aims to evaluate evidence from the literature regarding nurses level of knowledge about the educational principles in heart failure. The nine selected studies included a total number of 1181 patients. These studies were conducted in the USA and Europe from 2002 until 2019.the uniqueness of those selected studies that all the authors use the same instrument titled “nurses knowledge of heart failure education principles”. The results revealed that there was an inconsistency in the level of knowledge among nurses in hospital-based, ambulatory, primary care or home care settings. More randomized studies are needed to solve this discrepancy. The level of knowledge ranged from (60.4-79.85%). Six topics have been identified as areas of weakness in which education is needed. Educating nurses in different settings is the gold stander to raise their level of knowledge which in turn will be in a better position to provide a high level of education for patients in order to alleviate their suffering, improve the quality of life and reduce the frequent hospitalization.
A review of COVID-19: a threat to pregnant women?
Authors: Kaur Amanjot , Singh Jasninder , Shingla Shweta , Kaur Mandeep
Published: July 2021

The outbreak of Coronavirus disease-2019 (COVID-19) has widely spread worldwide. While, mild symptoms have been observed in a majority but on the other hand, the virus may cause severe pulmonary disease. The major concern has been the pregnant women. In this review, we have tried to cover COVID-19 infections transmission, diagnosis, management, prognosis during pregnancy. The evidence on vertical transmission has been lacking. However, physiological changes during pregnancy, make women more vulnerable to this COVID-19. The problem of anxiety also flares up the disease in pregnancy.
Evaluation of emergency general surgery operations in COVID-19 patients in a pandemic hospital: a single center experience
Authors: Hasirci İsmail , Ulutas Mehmet E. , Simsek Gurcan , Sahin Alpaslan , Arslan Kemal , Eryilmaz Mehmet A.
Published: July 2021

Background: During the pandemic, the decision on delaying elective surgeries was implemented country-wide, and emergency surgeries were excluded from this scope. In this study, the patients diagnosed with COVID-19 and who underwent an emergency general surgery operation were evaluated regarding indications, demographic characteristics, and preoperative and postoperative clinical features.Methods: In the study, emergency surgeries performed by the department of general surgery between 1st June and 30th September, when our center cared only patients diagnosed with COVID-19, were reviewed retrospectively.Results: A total of 13 patients, 7 women and 6 men, were included in this study. The most common surgical diagnosis was acute appendicitis (9/13). For all of the patients with appendicitis, a conventional appendectomy procedure was performed. 2 patients were diagnosed with an incarcerated femoral hernia and then operated (2/13). One patient was operated on due to a sharp object injury, and one due to an acute abdomen caused by a perforation. Only 3 of the operated patients developed postoperative wound site complications (23%). No mortality was observed by the end of a 15-day follow-up.Conclusions: The most common cause of emergency surgeries during the pandemic, changelessly, remains to be acute appendicitis. Besides, cases of trauma, perforated peptic ulcer, and incarcerated hernia are also commonly encountered. While the pandemic continues full steam, these conditions that are associated with the pandemic but among causes of mortality and morbidity other than COVID-19 and that may require an emergency surgery should be considered. All emergency surgical procedures should continue to be performed punctually by using necessary protective types of equipment.
Comparison of use and non-use of prophylactic antibiotics for severe acute pancreatitis
Authors: M. Hector Losada , Curitol Sonia , T. Andres Troncoso , L. Norberto Portillo
Published: July 2021

Background: Acute pancreatitis is a frequent disease in Chile, with mortality rate of 10-30%. Prophylactic antibiotics administration has been part of severe acute pancreatitis treatment for theoretical prevention of infectious complications and mortality reduction. Yet the available evidence is controversial. The aim of the study was to demonstrate that prophylactic antibiotics do not reduce complications, need for intensive care unit bed or mortality in severe acute pancreatitis.Methods: Randomized clinical trial with simple randomization using a computational table (use or non-use of prophylactic antibiotics) of patients with severe acute pancreatitis. We define severe acute pancreatitis as APACHE II ≥8, C-reactive protein ≥150. In prophylactic antibiotics use group, ciprofloxacin and metronidazole were administered for 7 days. This preliminary report is presented with 50% of the calculated sample.Results: N=150, two randomized groups; group 1 (n=73), without prophylactic antibiotics use, and group 2 (n=77) with antibiotic prophylaxis use. Twenty-four patients (16%) required intensive care unit bed; twelve in group 1, and twelve in group 2 (p=0.53). Ten patients (6.66%) had some type of complication, one in group 1 and nine in group 2 (p=0.01). The average hospital stay was 15.7±9.0 days in group 1, and 16.8±17.9 days in group 2 (p=0.57). Mortality was four patients (2.66%), one in group 1 and three in group 2 (p=0.33).Conclusions: In this preliminary report, the prophylactic antibiotics use for severe acute pancreatitis was not shown to reduce complications, need for an intensive care unit bed or mortality.
Breast ovarian cancer syndrome
Authors: R. Abhirup H. , Kenchetty Priyanka , Chidananda Aishwarya K.
Published: July 2021

BRCA1 and BRCA2, known as breast and ovarian cancer predisposition genes, were discovered in the 1990s. As part of a normal genetic structure, these genes are intrinsic to all human beings, but they are mutated in some individuals increasing the risk for breast and ovarian cancers development. BRCA1 is not only expressed in endocrine tissues but is also detected in other cells such as the neuroepithelial cells in the early stage of cell development. Like BRCA1, BRCA2 is also expressed in a wide variety of tissues and is observed with higher rates in the breast and thymus and with lower rates in the lung, ovary and spleen. We presented to you a case of 40 year old female admitted in surgical ward with lump in the left breast since 2 months with ipsilateral discrete axillary lymphadenopathy. Bilateral sono-mammography showed BIRADS V lesion in left breasts with satellite nodules. Ultrasonography of abdomen and pelvis showed large left adnexal solid mass lesion and right sided ovarian cyst with retrocaval, preaortic lymphadenopathy. Patient underwent a diagnostic laparoscopy which was converted to a laparotomy. Total abdominal hysterectomy with bilateral salphingo-oophorectomy was done. For the breast lump, patient underwent left sided modified radical mastectomy. Gene testing for revealed BRCA1 positivity. Chemotherapy was given to cover both breast and ovarian carcinoma. Patient came back with abdominal distension after 9 months and was offered palliative care. Patient succumbed for disease after 1 year after diagnosis. We reviewed the literature for the same.
Los pueblos fundantes de Colombia y las perspectivas de una paz duradera
Authors: Avellaneda Cusaría Alfonso
Published: July 2021

En el texto que viene a continuación, su autor nos ofrece un apasionante recorrido por la historia de los pueblos que han fundado nuestra nacionalidad. Asimismo, de manera crítica, habla de la violencia y de las transnacionales, culpables con sus políticas neoliberales del desplazamiento de indígenas, afrodescendientes y campesinos. Para evitar que la historia se repita, al final propone algunas soluciones.
La Ley Estatutaria de Salud
Authors: Sánchez Suárez Jesús Andrés
Published: July 2021

La nueva Ley Estatutaria de Salud ha dado mucho de qué hablar. En este artículo, el autor nos ofrece una reflexión en torno al papel del médico familiar en el sistema de salud hoy y su necesario reconocimiento, desde la sociedad y desde la academia.
Colombia
Authors: González Andrés Eduardo
Published: July 2021

El país atraviesa un momento trascendental: la eventual firma del acuerdo de paz. Ante esto, ¿qué debemos hacer los colombianos más allá de apoyar o cuestionar una causa común? Aquí se nos ofrece una sentida reflexión de los retos y las necesidades del momento que vivimos como sociedad.
Security: Intrusion Prevention System Using Deep Learning on the Internet of Vehicles
Authors: Praneeth Vipparthy , Kumar Kontham Raja , Karyemsetty Nagarjuna
Published: July 2021

Internet of vehicles supports to transfer of safety-related messages, which help to mitigate road accidents. Internet of vehicles allows vehicle to cooperative communicate, share position and speed data among vehicles and road side units. The vehicular network become prone to large number of attacks including false warnings, mispositioning of vehicles etc. The authentication of messages to identify the normal message packet from attack messages packet and its prevention is a major challenging task. This paper focuses on applying deep learning approach using binary classification to classify the normal packets from malicious packets. The process starts with preparing the training dataset from the open-source KDD99 and CICIDS 2018 datasets, consisting of 1,20,223 network packets with 41 features. The one-dimensional network data is preprocessed using an autoencoder to eliminate the unwanted data in the initial stage. The valuable features are then filtered as 23 out of 41, and the model is trained with structured deep neural networks, then combined with the Softmax classifier and Relu activation functions. The proposed Intrusion prevention model is trained and tested with google Colab, an open platform cloud service, and the open-source tensor flow. The proposed prevention classifier model was validated with the simulation dataset generated in network simulation. The experimental results show 99.57% accuracy, which is the highest among existing RNN and CNN-based models. In the future, the model can be trained on different datasets, which will further improve the model's efficiency and accuracy.
MTHFR GENE MUTATION AND ITS REPERCUSSION IN THE GENESIS AND TREATMENT OF DEPRESSION: CASE REPORT
Authors: Leal Laux Alexandre , Klochinski Alana , Bobato Bruna , Suquebski Dib Evelyn , Sprung Harien , Mallmann Jussara , Rota Vitória
Published: July 2021

This study aims to report the correlation of MTHFR gene mutation with the genesis of depression and antidepressants non-response in a patient, highlighting the importance of genetic investigation and indicating the replacement of L-methylfolate as an effective treatment adjuvant. This is a case report of a patient diagnosed with major depressive disorder, refractory to pharmacological therapies, in monotherapy or combination therapy, and psychotherapy. After 1 year and 4 months of persistent residual symptoms, genetic testing of the MTHFR gene was requested with confirmation of a heterozygous double mutation of MTHFR. This gene polymorphism can result in deficiency of L-methylfolate, which is related to psychiatric diseases and refractoriness to antidepressant therapy. With the introduction of l-methylfolate 15mg, the patient reported remission of depressive symptoms in 4 months of follow-up. MTHFR gene mutations influence the action of folate, favoring depression and leading to refractory response to conventional treatment.
Diagnóstico técnico preliminar da Ruína da Igreja Matriz de Vila Bela da Santíssima Trindade-MT e entorno
Authors: Mascaro Luciana Pelaes
Published: July 2021

A cidade de Vila Bela da Santíssima Trindade localizada no Estado de Mato Gross tem um centro antigo com importante valor histórico, tombado na esfera estadual e ainda dois prédios tombados pelo IPHAN – Instituto de Patrimônio Histórico Artístico Nacional, em esfera Federal. Um deles é a ruína da Igreja Matriz, que tem apresentado degradações devido a fatores variados. Em vista ao valor desse bem para o patrimônio histórico nacional, foi realização do diagnóstico técnico preliminar da ruína para identificar problemas e propor recomendações a fim de evitar a degradação do bem. Assim, objetivo deste artigo visa apresentar propostas de intervenções com intuito de resguardar esse patrimônio histórico para as futuras gerações. A ação se desenvolveu por meio de Projeto de Extensão universitária intitulada "Ações relacionadas à Preservação do Patrimônio Material e Ambiental em Mato Grosso”, com isso foram identificados problemas e degradações ao bem cultural protegido e seu entorno, a partir da qual foram realizadas recomendações e propostas para a melhoria das condições do bem. As principais causas de degradação estão ligadas a conflitos humanos, má utilização, falta de drenagem e iluminação adequadas, intervenções equivocadas e, principalmente, a existência de uma colônia de pombos que se instalou na ruína, ao abrigo de sua cobertura. Como se trata de local e bem especiais, protegidos por tombamentos, as recomendações e as propostas de intervenções foram elaboradas seguindo as normas exigidas a respeito. Em fase a rápida degradação do bem, recomenda-se que as ações propostas sejam implementadas com maior rapidez possível para resguardar o patrimônio histórico local.
Women Entrepreneurial Networks and Small Business Development: A Study Based on Tourism Industry in Sri Lanka: Ongoing Research Project
Authors: H. A. K. N. S. Surangi
Published: July 2021

This study aims to explore the role and impact of women entrepreneurs’ networks on small business performance and examine the importance of factors that are perceived by women entrepreneurs to influence the process of networking. The focus of the study is in the field of networking of entrepreneurs and it is concerned with the main theoretical and practical perspectives of entrepreneurial networking. While women's entrepreneurship is a central aspect of economic development and public policy concern in most countries, scholarly research about their entrepreneurial activities is comparatively scarce. This study specifically focuses on women entrepreneurs who engage in tourism industry within the small business sector in Sri Lanka. This study adds to the extant literature through its two-dimensional focus on entrepreneurial networking. The structural dimension which investigates who are parts of the entrepreneurial networks; the relational side which explores the contributions each tie brings to the entrepreneurial venture. Having established that a qualitative methodology is most suitable for this study, the in-depth interview and observation are deemed a particularly suitable research tools. Narrative approaches are suggested in order to “tap” the voice – and thus the stories – of the acting entrepreneurs.
Supernatural Beings and Their Appropriation of Knowledge and Power in The Seafarer by Conor McPherson and Woman and Scarecrow by Marina Carr
Authors: Koneczniak Grzegorz
Published: July 2021

This article is a comparative analysis of Woman and Scarecrow by Marina Carr and The Seafarer by Conor McPherson from a hauntological perspective. It aims at discussing the influence of supernatural beings on mortal protagonists as well as addressing the configurations of power and knowledge formed between the characters. Woman and Scarecrow follows the final moments of a dying woman accompanied by the mysterious figure of Scarecrow, who is hidden from other characters. The verbal exchanges between Scarecrow and Woman will be interpreted as a manifestation of the apparent power possessed by the former, the ambiguous supernatural figure, over the latter, a human being, in terms of appropriating the knowledge about the woman’s past. In McPherson’s The Seafarer, a mysterious relationship develops between Sharky and Mr. Lockhart, who knows about Sharky’s past, too. This paper will demonstrate both similarities and differences in the way in which Carr and McPherson make use of supernatural beings that manipulate human characters in the most crucial moments of their lives and will situate the two plays within the recent rise of interest in spectrality in Irish drama.
​Haematological and Blood Chemistry Values in Red Fox (Vulpes vulpes) from Ladakh, India
Authors: Talukdar Animesh , Ghosal Sunetro , Raina Pankaj
Published: July 2021

Background: Red fox (Vulpes vulpes) is a pervasive carnivore species across most of Eurasia and parts of North Africa. The current study was aimed to evaluate baseline values for selected haematological and biochemical variables for red fox in Ladakh, India.
Methods: Blood samples were collected from a female red fox with a drug combination of Xylazine and Ketamine. Selected haematological and biochemical variables were assessed for red fox in Ladakh, India.
Result: The total leucocytic count was found as 6.37 10^3/uL, Differential Neutrophil count was found as 4.86 10^3/uL, absolute lymphocyte count, monocytes, eosinophil and basophils were found as 1.08 10^3/uL, 0.42 10^3/uL, 0 10^3/uL and 0.01 10^3/uL respectively. Differential count for neutrophil lymphocytes, monocytes, eosinophil and basophils were found as 76.1%, 17%, 6.6%, 0.1% and 0.2% respectively. Total erythrocytic count was found as 8.710^6/uL, hematocrit as 12 g/dL, mean corpuscular volume was 47.4 fL and platelet as 212 10^3/uL. Serum biochemical analysis revealed serum glutamic-oxaloacetic transaminase/ aspartate aminotransferase as 316 U/Lt, serum glutamic-pyruvic transaminase/alanine aminotransferase as 260 U/Lt and alkaline phosphatase as 46 U/Lt.
Sobre el papel de la ley en la ponderación de los derechos fundamentales en conflicto (a propósito de la regulación del derecho a la adaptación del tiempode trabajo por motivos de conciliación de la vida laboral y familiar)
Authors: Pérez de los Cobos Orihuel Francisco
Published: July 2021

La CE atribuye a la ley un papel central para el derecho que reconoce a los tra­bajadores de adaptar sus condiciones de trabajo por razones de conciliación de la vida laboral y familiar. Sin embargo, la problemática radica en muchos casos en la ponderación judicial que se haga de las necesidades de conciliación del trabaja­dor y de las necesidades organizativas y/o productivas de la empresa. El presente estudio señala que la renuncia del legislador al papel de intermediación que le es propio y la remisión a la jurisdicción ordinaria de la ponderación de los derechos y bienes constitucionales en conflicto, presenta asimismo un grave hándicap: ignora o minusvalora el coste que en términos de seguridad jurídica y litigiosidad judicial comporta remitir el conflicto a una valoración judicial ad casum.
Decisiones administrativas automatizadas en materia social: algoritmos en la gestión de la Seguridad Social y en el procedimiento sancionador
Authors: Goerlich Peset José María
Published: July 2021

El recientemente aprobado Real Decreto-Ley 2/2021 extiende el campo de las actuaciones administrativas automatizadas a la mayor parte de la gestión de la Seguridad Social y las introduce en el procedimiento sancionador en el orden so­cial. En este nuevo contexto, se intenta contextualizar estas novedades, analizan­do sus precedentes, y, sobre todo, determinar los problemas interpretativos que plantean. En este último terreno, se dispensa una atención especial a las garantías que los ciudadanos tienen en relación con este tipo de decisiones automatizadas