bluuebunny/crossref_metadata_2025 huggingface dataset:
Redefinindo para melhor refletir: um ensaio sobre as limitações das estratégias de padronização das práticas de higiene em serviços de alimentação para coletividades no Brasil
Authors: Costa-Souza Jamacy , Araújo Maria da Purificação Nazaré
Published: September 2024

Após duas décadas observando a repetição regular e pouco efetiva de treinamentos que visam a padronização de procedimentos de higiene destinados aos trabalhadores de serviços de alimentação para coletividades, os autores refletem neste ensaio sobre esse fenômeno apoiado nas ciências sociais e, de modo mais predominante, na sociologia de Pierre Bourdieu. Apontam para a incorporação acrítica de pontos de vistas não científicos produzidos no interior do Estado brasileiro; a repetição de práticas que reproduzem a naturalização da brutal desigualdade social do Brasil que transforma vítimas em culpados; e sugerem uma redefinição no conceito usualmente adotado para os serviços de alimentação coletiva, de modo a incorporar a complexidade que envolve o processo de produção de refeições.
A alimentação nas festas de candomblé da região da cidade do Recife já não possui o gosto dos orixás
Authors: Vilela Correia Bruno Celso , Larrea Killinger Cristina , Contreras Hernández Jesús
Published: September 2024

Este artigo tem por propósito demonstrar que os terreiros de Candomblé da região de Recife já não oferecem as icônicas comidas típicas de terreiro, ou comida de orixá, nos momentos finais das festividades dos terreiros, os ditos “ajeum das festas”, na alimentação dos integrantes do culto e seus visitantes. Para tanto foram realizadas investigações nos 3 terreiros mais conhecidos e prestigiados da região e mais 2 terreiros locais onde foi possível identificar que as comidas de axé como o acarajé, o amalá, o xinxim e muitas outras iguarias vem desaparecendo deste momento festivo do culto para serem substituídas pela “comida de branco”, ou comida não relacionada com a comida dos orixás. No momento final das festas dos orixás, onde as pessoas presentes eram convidadas a participar do banquete de comunhão, os indivíduos se alimentavam das comidas prediletas da divindade em comemoração. Porém, por algumas motivações esclarecidas pelos integrantes do Candomblé local, como perseguições históricas, o custo dos alimentos, enfermidades e proibições alimentares por parte dos adeptos do culto e até mesmo a moda culinária; fizeram com que o ajeum final das festas de Candomblé da região de Recife já não parecessem com uma festa de terreiro, ao menos no tocante a alimentação característica de um terreiro de Candomblé. Hoje de tudo se encontra: bolos confeitados, frango xadrez, açaí na tigela, menos as comidas de orixá: o que fez alguns integrantes do Candomblé de Recife repensarem um retorno do ajeum das festas de terreiro ao costume da comida de orixá.
Comida ritualística às divindades africanas em Tenda dos milagres (1969), de Jorge Amado
Authors: Rocha Denise
Published: September 2024

O objetivo desse artigo é delinear o papel das comidas ritualísticas em cerimônias de candomblé na obra Tenda dos Milagres (1969), de Jorge Amado, na qual o romancista baiano aborda o preconceito dos brancos perante as religiões de matriz africana. Mulato e capoeirista, o protagonista Pedro Archanjo, que transita no universo das festas religiosas da Bahia e nos terreiros de pais de santos, é um bedel da Faculdade de Medicina. Autodidata, o sociólogo amador escreve livros sobre a mestiçagem, o sincretismo religioso, a gastronomia e a cultura popular. Em uma época plena de críticas ao candomblé, o narrador apresenta a profundidade dos ritos, nos quais a comida é um elemento primordial na relação de trocas entre os seres humanos e as divindades. O artigo de caráter bibliográfico foi baseado em reflexões de Mauss (dádiva), de Vogel (oferendas e sacrifícios) e de Bastide (hibridismo cultural).
El caso de la Fiesta de los Santos Reyes en San Pedro Zacán y sus ofrendas para alegrar al Niño Dios
Authors: Garcia Garcia Brisol
Published: September 2024

En el presente artículo se describe la fiesta de los Santos Reyes, en la cual se celebra el Niño Dios en la comunidad P´hurpecha de San Pedro Zacán. En esta fiesta, como en otras fiestas, a los invitados se les da a degustar comida, la cual se prepara en la casa de los cargueros, pero la particularidad es que esta labor se realiza en medio de un singular juego. El juego tiene su razón de ser en la creencia que, como se está celebrando a un niño, se deben propiciar momentos de diversión (en la preparación de las bebidas y de la comida) para que el Niño Dios las disfrute, ya que él está observando todo lo que se suscita en la celebración. Sin embargo, pormedio de este caso, se vislumbró cómo las fiestas en las comunidades p´hurépechas son esenciales para obtener el reconocimiento social, al asumir la figura del carguero. Lo cual puede conducir a importantes endeudamientos de parte de los cargueros y sus familias. Cabe destacar que esta fiesta no ha sido estudiada a diferencia del Concurso Artístico de la Raza Purhépecha que, también se realiza en esta localidad del estado de Michoacán, México.
Entrevista com Doutor Patrício Carneiro Araújo
Authors: Araújo Patrício Carneiro
Published: September 2024

O Professor de Antropologia e pesquisador na Unilab, Patrício Carneiro Araújo, autor de Comida com gosto de política: alimentação e integração internacional numa nova diáspora africana (2022), Religiões e culturas alimentares: do cuidado ao controle dos corpos (2022, no prelo) e A mesa das autoridades: o comer e o poder no candomblé (2021), entre outros, concedeu uma entrevista para esta edição da Raca para falar sobre a sua experiência de pesquisa em torno do campo que envolve a cultura alimentar de terreiro no Brasil. A partir dessas reflexões de Patrício Carneiro Araújo, a Raca buscou saber mais sobre sua produção acadêmica e científica envolvendo a cultura alimentar em terreiros por meio de um diálogo virtual. Confira!
Dádiva como conceito de socialização do Olubaje do Candomblé na RIDE - Distrito Federal
Authors: Rocha Fábio Libório
Published: September 2024

Neste artigo o objetivo é tratar da celebração de Olubajé a partir de uma experiência vivida em um terreiro de Candomblé da Região Integrada de Desenvolvimento do Distrito federal e Entorno – Ride-DF.  A metodologia segue o caminho da abordagem etnográfica e se propõe a articular o conceito de dádiva do antropólogo Marcel Mauss à festa do Olubaje no Candomblé do Distrito Federal, como resultado de nossa pesquisa de campo de terreiros. No terreiro vivido na festa do Olubaje, verifica-se uma fartura de comida que é oferecida gratuitamente à todos os presentes, subvertendo à noção consumista e utilitarista do capitalismo atual. Percebe-se também que dentro do terreiro em tempos de Olubaje, o Orixá que rege a casa não necessariamente vai interferir nas escolhas alimentares. O que de fato irá determinar essas escolhas são: o período, as festas e os orixás de cada pessoa. Isso concorre ainda mais para a explicação conceitual da dádiva comunal sem intenções egoístas.
Satisfação do peso corporal frente à percepção da imagem corporal e IMC
Authors: Zago Mayla Angelini
Published: September 2024

O estudo teve por objetivo avaliar a percepção e a satisfação da imagem corporal diante de sua adequação ao peso corporal. Metodologia: Preenchimento de questionário virtual com 235 trabalhadores de instituição de pesquisa e ensino em Brasília/DF. Resultados: Maioria mulheres (68,9%), idade variou entre 21 e 68 anos, (M=37 anos), mais de 90% dos participantes com nível superior completo e com maioria (65,9%) recebendo mais de 5 salários-mínimos. 50% das pessoas estavam acima do peso e 63,8% dos participantes não estavam satisfeitos com seu peso corporal. Os resultados da autorreflexão sobre a imagem corporal acordo com o IMC mostram uma heterogeneidade nas respostas em relação à reflexão sobre o perfil corporal, tanto para homens quanto para mulheres. As mulheres apresentam a autorreferencia de seu peso mais semelhante ao retrato de seu IMC. Conclusão: Verificação de distorção da representatividade das imagens em relação ao IMC. Necessidade de outros estudos que avaliem aspectos da percepção da imagem corporal.
Receita de farofa ou Para que serve papai?
Authors: Silva Neto José Pedro da
Published: September 2024

A narrativa traz os significados da “farofa”, prato de tradição ancestral dos povos originários e de matriz africana, para refletir sobre os princípios civilizatórios, de circularidade, ancestralidade, continuidade, Èsù, movimento, força e paciência.
Feijão fradinho nos ensinando sobre a paciência
Authors: Cristina Mendes Bonifácio Bonne Jaqueline , Pereira das Chagas Cassia
Published: September 2024

Quando partilha e aprende sobre resgate da ancestralidade, antigos saberes e a resistência de um povo muito é construído por diversos olhares, experiências, espaços ocupados, manifestações realizadas em suas mais diversas intenções. Tudo isso permeia a construção da base de uma cultura, ouçamos beber dessa fonte e levantar a indagação de tamanha influência da cozinha ritualística do candomblé com insumos base da culinária brasileira. Figuras centrais como as mulheres negras na cozinha dos senhores, as Yabassés dentro dos Ilês, o feijão fradinho entre tantos outros insumos e como tudo isso vem sendo adaptado e preservado. Com o uso do registro visual,buscamos não apenas compartilhar uma leitura como também proporcionar algumas indagações e resgate de lembranças da construção do nosso comer à mesa.
Significados do cuidado alimentar e nutricional para idosos em Instituições de Longa Permanência de Idosos do Distrito Federal, Brasil.
Authors: Camandaroba Carolina
Published: September 2024

O momento pandêmico reforçou a necessidade do cuidado institucional aos idosos e a emergência em pensar o envelhecimento como uma questão pública, na qual a atenção e cuidado alimentar e nutricional dos idosos são fundamentais para promover o envelhecimento seguro e ativo, mediante as necessidades e individualidades de cada sujeito. Trata-se de uma pesquisa de abordagem qualitativa, utilizando a hermenêutica-dialética como caminho metodológico. Foram realizadas entrevistas em profundidade, e a análise de dados se deu por meio da construção de mapas conceituais e análise de similitudes, formando as categorias do cuidado, da comida e da pandemia. Os resultados indicaram a necessidade de compreender os sentidos e significados atribuídos ao cuidado centrado na pessoa idosa a partir de uma perspectiva reflexiva estruturada nas relações de cuidados nutricionais envolvendo idosos e profissionais de saúde durante a pandemia por covid-19.
Regionalidade nos cardápios escolares do estado do Rio Grande do Sul
Authors: Mangan Bringhenti Andressa , Silva-Sperb Amanda Souza , Dias de Oliveira Luciana , Lima da Silva Vanuska
Published: September 2024

A verba federal destinada à compra da alimentação nas escolas municipais e estaduais deve estar em conformidade com a legislação vigente para a elaboração dos cardápios, garantindo não apenas a promoção de uma alimentação saudável e adequada, mas também o respeito pelos hábitos alimentares da cultura local. Com o intuito de abordar a diversidade das regiões do Rio Grande do Sul, este estudo tem como objetivo avaliar a presença de traços regionais nos cardápios escolares disponibilizados pela Secretaria de Educação do Estado do Rio Grande do Sul (SEDUC), considerando as influências culturais germânicas, italianas, indígenas e quilombolas, em relação aos parâmetros estabelecidos pelo Programa Nacional de Alimentação Escolar (PNAE). Por meio de uma abordagem exploratória, busca-se destacar a regionalidade nos cardápios escolares através da aplicação da ferramenta de análise qualitativa IQ COSAN, utilizando referências bibliográficas sobre a temática da regionalidade, o compêndio de receitas regionais (elaborado pela SEDUC) e o registro das compras efetuadas pelo estado. Após a análise dos materiais supracitados, é evidente a presença marcante da regionalidade nos cardápios, acompanhada de uma adaptação às culturas locais, especialmente à cultura indígena.
Do planejamento à degustação: experiência de educação alimentar e nutricional em uma escola pública em Salvador, Bahia
Authors: Lessa Andrade Lílian , Santos Fernandes Eduarda , Silva de Jesus Bianca , Santos de Jesus Claudia Senise
Published: September 2024

O período de isolamento social, causado pela pandemia do COVID-19, impediu uma das esferas mais importantes da educação nacional, o aprendizado em ambiente escolar. Com isso, o acesso às refeições no âmbito escolar foi suspenso, colocando muitos destes alunos em situação vulnerável em relação à segurança alimentar, previsto pelo Programa Nacional de Alimentação Escolar (PNAE). Com o retorno às atividades escolares presenciais, o PASNE, em associação com uma escola pública de Salvador/BA, planejou e executou atividades como ação mediadora para estímulo da Educação Alimentar e Nutricional (EAN) para jovens, estimulando a discussão sobre hábitos saudáveis e sustentabilidade. Para isso, o PASNE realizou reuniões entre membros para planejamento, dialogou com os escolares para definição de temas de interesse e formas de apresentação. Em seguida construímos materiais relacionados à educação alimentar e nutricional a partir de jogos, dinâmicas e apresentações, além de avaliação sensorial e formulários para feedback dos escolares participantes. A avaliação dos escolares, da docente e dos integrantes do PASNE foi considerada positiva, tanto relacionada à metodologia, quanto à sua realização.
(IN) Segurança alimentar e nutricional e suas associações com as condições sociodemográficas no residencial Gilson Coelho em Bom Jesus-PI na pandemia da Covid-19
Authors: Neves Martha Barbosa , Corrêa Ana Maria Segall , Cabrini Danielle
Published: September 2024

O isolamento social foi a principal recomendação da ONU para prevenir a infecção respiratória COVID-19, causando impactos graves na região Nordeste do Brasil, como o fechamento do comércio, aumento do desemprego e queda na renda familiar. Para minimizar os efeitos econômicos, o governo federal implementou o auxílio emergencial, mas este não foi suficiente para combater a pobreza e as desigualdades durante a pandemia. O estudo realizado no Residencial Gilson Coelho, em Bom Jesus-PI, durante a pandemia, analisou a insegurança alimentar e sua relação com as características sociodemográficas e a participação em programas governamentais de transferência de renda. Os resultados mostraram que 88,7% dos chefes de família eram mulheres, 82,9% são pretos ou pardos e 44,9% possuem baixa escolaridade. Além disso, 27% possuem renda familiar menor que R$ 550. Ainda 85% da população convive com algum nível de insegurança alimentar, sendo que 17,2% dos domicílios enfrentavam insegurança alimentar grave. A pandemia destacou a necessidade de políticas públicas eficazes e ágeis para enfrentar a doença, especialmente em grupos vulneráveis. A redução da pobreza deve ser abordada de forma multidimensional e com medidas adaptadas à realidade de cada público.
Conexões sociais, políticas e culturais da alimentação
Authors: E Silva Denise Oliveira , Elias Flavia Tavares Silva , Ell Erica
Published: September 2024

Editorial
UKURAN PERUSAHAAN, PROFITABILITAS DAN LEVERAGE TERHADAP AUDIT REPOT LAG KUMPULAN JURNAL
Authors: Aprinansi
Published: September 2024

Abstrak: Tujuan penelitian untuk membuktikan pengaruh secara simultan dan pasial akuntansi hijau dan corporate social responsibility terhadap kinerja keuangan pada perusahaan pertambangan periode 2021-2023. Penelitian menggunakan data sekunder berupa laporan keuangan, PROPER dan analisis regresi berganda dengan sampel yaitu perusahaan pertambangan berjumlah 35. Metode pengambilan sampel menggunakan kriteria sesuai dengan tujuan penelitian. Hasil penelitian ini menunjukkan secara parsial dan simultan akuntansi hijau dan corporate social responsibility berpengaruh positif dan signifikan terhadap kinerja keuangan. Koefisien Determinasi (R²) sebesar 0,111 atau 11,1% kinerja keuangan dipengaruhi oleh akuntansi hijau dan corporate social responsibility, sementara sisanya 88,9% dipengaruhi variabel lain tidak diteliti.
 
Kata kunci: Financial Performance, Green Accounting, Corporate Social Responsibility
STUDY OF VITAMIN D LEVELS IN PATIENTS WITH BRONCHIAL ASTHMA
Authors: Sagar Pinkutty , Thampan Sebin John , Kumar Dhinesh
Published: September 2024

Introduction: Bronchial Asthma is one of the oldest diseases yet its recognised as a major public health
problem which cannot be cured but can be maintained, provided apt and correct treatment and style life
management has been followed. This study is about the relation between vitamin D levels with bronchial asthma and to nd out
whether mere supplementation of the vitamin along with inhalers can prove benecial to all bronchial asthma patients who has
been stabilised with their own management, in view of asthma control and lung function. Methods & Materials: This is a crosssectional study where in 55 patients were taken up for the study by OPD follow up in a tertiary care centre, after looking into the
inclusion and exclusion criteria and were prescribed with vitamin D supplements and ACT scores and PFT values were recorded
and analysed pre and post supplementation. Results: It was found out that in our study, there was signicance in bronchial
asthma patients with low vitamin D levels, but its supplementation had created an improvement of ACT scoring from 18.76 ±
1.42 to 21.16 ± 1.55 and in regard of FEV1 in spirometry there was an improvement from 59.58 to 67.21 post supplementation.
Conclusion: This study proves that vitamin D supplementation does cause benecial effects on the performance of stabilised
bronchial asthma patient in the long run.
A LARGE CUTANEOUS HORN ARISING FROM BURN SCAR ON ABDOMEN: A RARE CASE REPORT
Authors: Samira Sharma , Naivedya Bhandari
Published: September 2024

Cutaneous horns are the lesions that develop on the skin due to hyperkeratosis and resemble like an
animal horn. They usually develop in the areas exposed to sun. This was a rare case of large cutaneous
horn which developed over abdomen in the post burn scarred skin. The lesion was excised taking adequate margins.
Histopathology examination supported the clinical diagnosis of cutaneous horn and no evidence of malignancy was found.
Patient recovered uneventfully.
DIGNOSTIC ACCURACY OF ANKLE BRACHIAL INDEX OVER LOWER LIMB ARTERIAL DOPPLER SONOGRAPHY TO EVALUATE PERIPHERAL ARTERIAL DISEASE IN DIABETIC AND HYPERTENSIVE PATIENTS.
Authors: Shaikh Sawkat , Mandal Sumanta Kumar , Randhawa Amandeep Kaur , Dey Sayantan
Published: September 2024

Peripheral vascular disease (PVD) is a common cause of morbidity and mortality amongst diabetic (DM)
and hypertensive (HTN) subjects. PVD can be diagnosed if there is hemodynamically signicant
obstruction on arterial doppler (AD) ultrasonography, or, if the Ankle Brachial Index (ABI) < 0.9. Though, any PVD can be
conrmed by AD, it is, however, time consuming and not always accessible for early screening. To ass Objective – ess the
diagnostic accuracy of ABI compared with AD for evaluation of severity and duration of PVD in DM and HTN patients.
Methodology - A cross sectional study was conducted among 72 patients (40-75 years) with 21 (29%) having HTN, 24 (33%)
having DM and 27 (38%) having both, for suspected PVD assessment by both AD and ABI. Correlation between ABI and AD
ndings was done after detailed clinical history, physical and local examination, ABI assessment by sphygmomanometer and
linear ultrasound probe, AD evaluation of peripheral arteries of lower limbs and other relevant examinations was done as
necessitated. ABI had an accuracy of 80%, a sensitivity of 76.6%, a specicity of 88%, a positive p Result - redictive value of
92.3%, and a negative predictive value of 66.6%. DM (81%) and people with both (DM and HTN) (81.3%) were found to have
higher sensitivity compared to those with HTN (60%) when evaluated with ABI. It was found that there was a positive correlation
between the duration of DM (r=0.86, P=0.00001), HTN (r=0.76, P =0.00006) or both (r=0.64, P=0.003) with the severity of
arterial disease as calculated by AD and by ABI (r=0.68, P=0.0002) in DM, (r=0.73, P=0.0001) in HTN, and (r=0.69, P=0.0006)
in both. Thus, implying a strong correlation between the duration and severity of PVD involvement as evaluated by ABI and AD.
Conclusion- ABI is an effective, non-invasive, early screening tool for PVD.
THE SALIVARY GLAND ENIGMA: UNRAVELING RARE TUMOUR MYSTERIES
Authors: Prabhu Karthick , Harrini Harrini , Bindu I N , V P Lakshmi , Janardhan Karpagam , Abdullah M V Shahseena
Published: September 2024

Salivary glands comprise of parotid glands found in front of and just below the ears, submandibular
glands below the jaw, sublingual glands under the tongue and few minor salivary glands in upper
aerodigestive tract. In spite of different locations, the glands share the same histology with acinar and ductal epithelial cells
and myoepithelial cells. Salivary gland tumours are rare groups of complex heterogenous histology with wide range of tumour
etiology, microscopy, growth patterns and tumour characteristics, which may be challenging to the pathologists. In this case
series, we are presenting 3 cases of rare salivary gland tumours, mucoepideromoid carcinoma arising from Warthins tumour,
Epithelial myoepithelial carcinoma presenting as multiple nodules around the parotid gland with H/O previous pleomorphic
adenoma operated and Canalicular adenoma which is rare with our case having unique aspects like occurring in a younger
age, bigger than average size reported, rare location in the parotid gland, cystic change and occurrence in a woman of Asian
ethnicity.
A STUDY OF BLOOD CULTURE ISOLATES IN COVID-19 PATIENTS IN TERTIARY CARE TEACHING HOSPITAL
Authors: Sharma Heeral , Katara Rajeshkumar , Bhut Mira , Parekh Pratik
Published: September 2024

Background: Coronavirus is known to cause respiratory tract infection with illness ranging from mild to severe disease depending upon morbidity.
This retrospective observational study was done to determine the prevalence of bloodstream infections in COVID-19 patients admitted in a tertiary
care centre in civil hospital, Ahmedabad. The study objectives were as follows: (a)To determine the Methods: prevalence of blood stream infection
in COVID-19 positive patients. (b)Antimicrobial susceptibility testing of these isolates as per standard guidelines. All blood cultures received from
COVID-19 positive patients with signs and symptoms of BSI admitted into various wards and ICUs of COVID-19 hospital were included in the
study. Blood samples were received in automated blood culture bottles and monitored on automated blood culture system. ID and susceptibility of
all the isolates were performed on automated system (VITEK 2). Results: A total of 9936 patients which were further reported rRT-PCR positive
for SARS nCoV2 during the period of August 2020 to July 2022. 700 patients developed sepsis like syndrome and were subjected to blood culture.
The Blood culture positivity was 140/700 (20%). 85 (61%) patients needed intensive care in ICU. Signicant correlation of blood culture positivity
was found with parameters like ICU admission, presence of an indwelling device, underlying comorbidity, and adverse clinical outcome.
Conclusion: The incidence rate and the risk of developing BSI increased with ICU stay. Staphylococcus aureus and Enterococcus was the
commonest amongst Gram positive bacteria. Gram negative secondary bacterial infections such as Acinetobacter baumannii and Klebsiella
pneumoniae were more common with patients on ventilator. The susceptibility pattern would help in decision making of empirical antibiotic
therapy.
PREGNANCY ASSOCIATED ACUTE KIDNEY INJURY IN PATIENTS WITH HYPERTENSIVE DISORDERS OF PREGNANCY [HDP]
Authors: Bharathi Dhivya , Thangamani Thangamani
Published: September 2024

Acute Kidney Injury is used to describe suddenly impaired renal
function with retention of nitrogenous and other waste products
normally excreted by kidneys. Hypertensive disorders of pregnancy
complicates 3%-5% of all pregnancies, but incidence is higher in
primigravida, and with certain risk factors such as diabetes mellitus,
hypertension and chronic kidney disease. AKI occurs approximately
1% of women with severe Preeclampsia. Hypertensive disorders
causing AKI mostly occurs in late second to third trimester. AKI most
often develops in the complications of preeclampsia such as
i)Placental abruption, ii)Disseminated intravascular coagulation
(DIC), iii)Sepsis,iv)Postpartum hemorrhage or v)Intrauterine death.
THE ASSOCIATION BETWEEN ALBUMIN-DERIVED NEUTROPHIL TO LYMPHOCYTE SCORE AS A BIOMARKER OF DISEASE ACTIVITY IN RHEUMATOID ARTHRITIS PATIENTS
Authors: Mehta Chiranjeev , Balvantsinh Zala Satyadipsinh , Shah Heeya , Patel Kaushal
Published: September 2024

Rheumatoid arthritis (RA), an inammatory autoimmune disease,
poses challenges in understanding its pathophysiology, with
contributions from genetic susceptibility and environmental factors
[1,2]. Despite affecting only a small percentage of the population, RA
exhibits a higher prevalence in women. Globally, it is estimated that
RA affects around 0.5-1% of the population, with regional variations
[3]. Joint erosion and deformity, driven by synovial inammation, are
characteristic features, leading to physical impairment and a reduced
quality of life [4]. Current treatment strategies focus on minimizing
disease activity, often assessed through the Disease Activity Score of
28 joints (DAS-28) system, although challenges persist in accurately
gauging inammation [5].
BREAST CANCER/BIRADS 4A: BIOPSY THRESHOLDS - UNDERSTANDING THE GRAY AREA
Authors: Mu'taz Halasah , Laith Alomari , Anfal Daheerat , Mohammad Alshurafat , Jamilah Sarairah , Duaa Alshurbaji
Published: September 2024

Introduction: Breast screening entails examining the breasts for cancer before any signs or symptoms of the disease emerge. While screening
cannot prevent breast cancer, it plays a crucial role in detecting it early, when treatment is more effective. However, it's important to acknowledge
that screening results may not always be denitive. False negatives occur when screening fails to detect cancer that is present, while false positives
happen when screening indicates abnormalities that are not cancerous. Despite these limitations, breast screening remains a valuable tool in the
ght against breast cancer. It offers the opportunity for early detection, enabling prompt intervention and potentially improving treatment outcomes
for individuals diagnosed with the disease. This article examines the nuanced considerations surroun Objectives: ding the management of
BIRADS 4a ndings, addressing the pivotal question: Should patients with BIRADS 4a ndings undergo biopsy? This Materials and Methods:
cross-sectional study conducted in a retrospective manner, by analyzing the medical reports of all consecutive female patients examined at
radiology department at King Hussein Medical Center (KHMC) for breast mass. Descriptive statistics were used to analyze the data and correlate
mammogram results and histopathological reports. The study nal population included 112 patients who Results: met the inclusion/exclusion
criteria. The age of patients was between 30 and 77 years with a mean age of 49±11 years. Most common age group in BIRAD 4a was 40-49 years
old, 37.5% (42/112). Breast masses were encountered bilaterally in 7.14% (8/112) of patients, while right breast masses were revealed in 57.14%
(64/112), and in left breast results showed 35.71% (40/112). Smokers were 27.68% of the total population (31/112) (Table. 1). Histopathological
reports showed that 54.46% of patients (61/112) had benign lesions in BIRAD 4a group and only 21.43% (38/115) had malignant lesions.
Conclusion: The management of BIRADS 4a ndings represents a complex clinical challenge, requiring careful consideration of various factors.
While the decision to biopsy entails inherent risks, it also offers the opportunity for timely diagnosis and intervention. Advancements in imaging
technology and biopsy techniques continue to rene our ability to characterize and sample suspicious lesions. A patient-centered approach that
prioritizes shared decision-making and individualized care remains paramount in navigating the management of BIRADS 4a ndings.
INCIDENCE OF RADICULOPATHY IN LUMBOSACRAL SPINE IN HADOTI REGION, RAJASTHAN, INDIA - A RETROSPECTIVE CROSS-SECTIONAL STUDY
Authors: Kumar Meena Umesh , Karir Ekaansh , Meena Ram Prasad , Joshi Sachin , Gopal Nama Kishan
Published: September 2024

Background Context: Lumbosacral radiculopathy is a syndrome occurring due to the involvement of nerve roots in the lumbosacral region,
leading to symptoms such as lower limb tingling, weakness, pain as well as low back ache. Purpose: To estimate the burden of Radiculopathy in
patients with low back ache in Hadoti Region of Rajasthan, India. Study Design: Retrospective Observational Cross-Sectional Study Patient
Sample Size: 1,12,279 Outcome Measures: Radiological and clinical evidence of radiculopathy Methods: All patients presenting to the OPD
were screened and patients with complaints of low back aches were eligible for the study. All patients with low back aches were evaluated clinically
and radiologically using digital X-rays and MRI scans done on the same machine and with the same setup. All our results were tabulated and
statistical analysis was done using the paired T-test and ANOVA for different statistical analysis Results: Out of the 82,281 participants, 9,641
(11.72%) patients had complains of low back ache, 1,607 (16.67%) patients had clinically and radiologically conrmed radiculopathy, 118 (7.34%)
patients had involvement of the L1 nerve root, 108 (6.72%) patients had involvement of the L2 nerve root, 238 (14.81%) patients had involvement
of the L3 nerve root, 276 (17.17%) patients had involvement of the L4 nerve root, 394 (24.52%) patients had involvement of the L5 nerve root, 318
(19.79%) patients had involvement of the S1 nerve root, 98 (6.1%) patients had involvement of the S2 nerve root, 10 (0.62%) patients had
involvement of the S3 nerve root and 7 (0.44%) patients had involvement of the S4 nerve root, 1,239 (77.1%) patients were females, whereas 368
(22.9%) patients were males, 69 (4.29%) patients were in the age group of <20 years, 77 (4.79%) patients were in the age group of 20-30 years, 153
(9.52%) patients were in the age group of 30-40 years, 459 (28.57%) patients were in the age group of 40-50 years, 383 (23.81%) patients were in
the age group of 50-60 years, 306 (19.05%) patients were in the age group of 60-70 years and 160 (9.96%) patients were in the age group of >70
years, 1025 (63.78%) patients had radiculopathy in the right limb, whereas 582 (36.22%) patients had radiculopathy in the left limb. Conclusions:
Our study interprets that in the Hadoti region of Rajasthan, India, approximately, one out of every six patients with low back ache have
radiculopathy, out of which every three out of four patients are females. Almost one out of every four patients have radiculopathy in the L5 nerve
root and almost one in four patients are between 40-50 years old. Almost 6 out of 10 patients have radiculopathy in the right limb.
SURGICAL REPAIR OF EBSTEIN'S ANOMALY- 5 YEARS' EXPERIENCE OF A TERTIARY CARE CENTRE
Authors: Silky Vishakha , Dhanda Poonam , Grover Prof V. , S. Jhajhria Narender , Aiyer Palash
Published: September 2024

Aims: The aim of this study is to review our experience with Ebstein's's Anomaly Repair in a tertiary care center over 5 years. Materials and
methods: This is a retrograde observational study. All patients who underwent Cone Repair from May 2019 to April 2024 were included in the
study. Results: Total 6 patients underwent Ebstein's repair. The median age of the patients was 15 years with Male: Female ratio 2:3. 3 patients
(50%) had Carpentiers type A and 3 patients had Carpentiers type B (50%) of Ebstein's anomaly. Cones repair was done in 5 patients and
Danielson's repair in 1 patient. BD Glenn shunt was added in 3 patients. Patients median age at the time of surgery was 11.5 years with 5 paediatric
cases and 1 adult case. Mean hospital stay was 6.3±1.2 days. Early re-exploration in 1 patient and mortality in 1 patient (16.7%) Conclusion:
Ebstein's anomaly is a rare congenital anomaly. Most patients are managed by Cones Repair. The overall post operative outcomes are good
especially in paediatric patients.
CASE REPORT OF RH NEGATIVE PREGNANCY- A BIRTH BY A VIRTUE OF NEWFANGLED INVESTIGATION
Authors: Hema T. , Annapoorani R. , Priyadharshini M.
Published: September 2024

The advent of cell free fetal DNA in maternal plasma has evolved in eld of molecular fetal medicine leading a way to non invasive prenatal
diagnosis. Currently non invasive RH D genotyping by PCR has revolutionized the determination of fetal Rh D status in Rh negative pregnant
women who are on the verge of Rh D alloimmunization.Before the evolution of Non invasive prenatal diagnosis, fetal Rh D status was determined
using invasive procedure like CVS, Amniocentesis .The introduction of cell free DNA has obviated these risks to largest extent.
A PROFILE OF SERUM-BASED BIOMARKERS IN PATIENTS WITH ORAL LICHEN PLANUS: A CROSS-SECTIONAL ANALYTICAL STUDY FROM A TERTIARY CARE HOSPITAL IN EASTERN INDIA
Authors: Dey Sanghamitra , De Jayanta , Kumar Ghosh Sudip , banerjee Abhra , Aich Shritama , Ghosh Sandip , Choudhuri Sharmistha
Published: September 2024

Introduction: Oral lichen planus (OLP) is a chronic disorder affecting the immune system and in severe cases likely to progress towards malignant
outcome (oral squamous cell carcinoma). Effective diagnosis and adequate therapeutic management largely dependent on diagnostic techniques
which involves several biomarkers which are sensitive as well specic to the condition. This present study is aimed in identify such potential
biomarkers. We conducted a cross-sectional and analytical study with 48 cases of Oral lichen planus Methodology: who were recruited following
the set inclusion & exclusion criteria from Department of Dermatology, R.G. Kar Medical College & Hospital and in parallel 48 apparently healthy
age & sex matched normal individuals were selected as controls. Serum extracted from both the population was subjected to analysis of the selected
biomarkers, namely, iron, calcium, magnesium, phosphate, folic acid, vitamin B12, homocysteine and vitamin D3, estimated by manufacturer
recommended methods. The IFN-γ +874 T/A polymorphism was analysed by polymerase chain reaction (PCR) with sequence-specic primers
(SSPs) according to the amplication refractory mutation system–polymerase chain reaction (ARMS-PCR). The data obtained was subjected to
statistical analyses by using Graph Pad Prism, (v 8.4.3). In all statistical analysis p value of <0.05 was considered to be statistically signicant.
Results: It was found that levels of serum magnesium (p = 0.0192), homocysteine (p<0.0001) were signicantly lower in cases of OLP as
compared to controls. IFN-gamma polymorphism in Oral Lichen Planus cases showed signicant negative correlation with serum calcium levels
(p value 0.0173, r =-0.3791). Markers reective of nutritional status, mainly serum calcium, magnesi Conclusion: um and homocysteine exhibiting
signicantly lower levels in patients of OLP as compared to their heathy counterparts, may require dietary supplementation in such patients.
THE ROLE OF BONE MARROW ASPIRATION AND TREPHINE BIOPSY IN BONE MARROW INVOLVING DISORDER
Authors: Sharma Rashmi , Pachori Geeta , Bharadwaj Akhilesh , Mahawar Sarla , Tanwani Dipen
Published: September 2024

Introduction : Bone marrow examination is an important diagnostic tool to evaluate various bone marrow disorders including both neoplastic and
non neoplastic. Bone marrow examination involves use of bone marrow aspiration and trephine biopsy. Objective :To study various bone marrow
involving disorders and comparing the ndings of bone marrow aspiration with biopsy so that relevance and complementary role of both the
procedures can be evaluated. Material and Methods : A study was conducted in Department of Pathology, JLN Medical College, Ajmer from
January 2021 to December 2023. Bone marrow aspiration was performed on 410 cases including a comparative evaluation with trephine biopsy in
49 cases. Morphological examination of bone marrow was done in correlation with other clinical and haematological ndings and importance of
bone marrow examination was established. Results : Anaemia was seen in 250 (74.63%) cases out of 410 aspirations received with dimorphic
anaemia being most common diagnosis seen in 118 (35.22%) cases followed by megaloblastic anaemia seen in 78 (23.28%) cases. 49 (14.63%)
cases of leukaemia was diagnosed out of which chronic myelocytic leukaemia was most prevalent with 19 (5.67%) cases. Rest of the cases included
pancytopenia, immune thrombocytopenia, plasma cell dyscrasis, polycythemia, etc. In 49 cases trephine biopsy was available including 13
(34.22%) cases of dimorphic anaemia and 6 (15.79%) cases of various leukaemia. In most of the cases bone marrow aspiration and trephine biopsy
were complimentary to each other. Discussion/Conclusions: Bone marrow aspiration and biopsy are complimentary to each other in diagnosing
bone marrow involving disorders. If done together these procedures enable us to achieve a denitive diagnosis, which in turn has a tremendous
impact on the management of patients.
THE ANGELAPP OF ORGAN DONATION, TRINIDAD AND TOBAGO.
Authors: R Mootoo Gloria , S Daniel Esther , Sumitra Edward
Published: September 2024

Mobile health (mHealth) has emerged as a practical, all-purpose
treatment option for the healthcare system, as a result of the quick and
1 widespread proliferation of smartphone availability and usage. There
is a global prevalence of 13.4% for CKD stages 1–5 and 10.6% for
2 CKD stages 3–5.
CONTEMPORARY DEVELOPMENTS IN GRAPHENE: SYNTHESIS & APPLICATIONS
Authors: Dabas Seema
Published: September 2024

Graphene has emerged as a primary research area over the recent years. Its discovery has given a new dimension to research in material science and
nanotechnology. Amongst several 2-dimensional materials, graphene has got attractive properties, having varied functionalities and applications
across multitude of disciplines. This paper outlines and reviews the contemporary developments in graphene and materials based on graphene. The
rst part of this paper focuses on the developments in graphene synthesis. The next part describes the graphene applications such as lithium
batteries, electrochemical sensors, etc.
A FINITE ELEMENT ANALYSIS STUDY TO COMPARE INTRUSIVE MOVEMENTS OF MAXILLARY CENTRAL INCISOR TOOTH WITH LABIAL AND PALATAL ATTACHMENTS OF FIVE DIFFERENT SHAPES AND TWO DIFFERENT POSITIONS IN CLEAR ALIGNER THERAPY.
Authors: U. B Aanandhine. , N Rajvikram. , M. K. Karthikeyan.
Published: September 2024

Clear Aligners are advancement over traditional orthodontic treatments. Attachments increase the predictability of teeth movement during
orthodontic treatment. However, different movement mechanisms, including extrusion, intrusion, rotation, and torque, are used during orthodontic
treatment , and the attachment's locations on the tooth surface vary. The majority of the analyses conducted in earlier research focused more on the
movement mechanism and attachment location than on the efcacy of attachments at particular phases of orthodontic treatment. This nite element
analysis study was done to nd appropriate attachment shape and its position to produce maximum intrusion of maxillary central incisor tooth with
clear aligner therapy. Finite Element Analysis, or FEA, is the simulation of a physical phenomenon using a numerical mathematic technique called
the Finite Element Method, or FEM. This process is at the core of mechanical engineering, as well as a variety of other disciplines. It is also one of
the key principles used in developing simulation software. Finite Element Model of maxillary central incisor was created using the along with all
the supporting structures after which aligner was incorporated to this model. CAD Model – Solid Works 2021,Meshing-Hyper mesh 14, Analysis –
Abaqus 6.14.Five different shapes of attachments were placed on the labial and palatal surface, in the center of the middle/incisal 1/3rd of the crown
of maxillary central incisor tooth. The shapes of attachments included were, Square, Rectangular, Ellipsoidal, Beveled, Half-round and surfaces
included were, Labial and Palatal.
Dados Abertos para Sustentabilidade Ambiental
Authors: Oliveira Romanin Cristina , Furnival Ariadne Chloe Mary
Published: September 2024

Sustainability has been a topic with increasing focus in all areas of scientific knowledge, including Information Science. Open datasets have the potential to be used for sustainability. The study´s aim was to evaluate open datasets made available by Brazilian federal environmental agencies regarding their adherence to the FAIR principles and the W3C Good Practices for Data on the Web. The method consisted of preparing a protocol in the form of a checklist, composed of questions based on these principles and good practices, which was applied to the 166 data sets located on Brazilian government data portals. The results indicate that, although the government makes a substantial amount of this type of data available under open licenses, the potential for its location, access and reuse is compromised by the low use of permanent identifiers and good quality metadata. Conclusion: The use of data can boost and assist social and environmental causes in the Brazilian context, as, for action, arguments evidenced with data are necessary to support advocacy and public policies that aim to disseminate information to raise awareness.
Atividades de Mediação da Leitura nas Bibliotecas Escolares da Rede Pública Estadual de Salvador
Authors: Sales Simone Reis Santana de , Santos Raquel do Rosário
Published: September 2024

The general objective of this research was to highlight how reading mediation activities are developed in the school libraries in the Salvador state public educational network. In terms of methodology, this research was descriptive, employing a multiple case study approach to investigate reading mediation activities in these libraries. Moreover, questionnaires were applied by email seeking to understand how reading mediation activities are carried out in the 22 public school libraries. The results of the survey revealed that 19 librarians engage in reading mediation activities and that the most frequently cited objective for these activities was to encourage/stimulate/induce interest in reading. Thus, through the investigative trajectory, it was possible to conclude that the most common approach to reading mediation activities in public schools libraries in the Salvador state public educational network involves collective actions that occur more directly, with the participation of readers.
Mudanças na Política Nacional de Arquivos
Authors: Mintegui Evelin
Published: September 2024

Law 8.159, of January 8, 1991, which provides for the national policy of public and private archives in Brazil (Archives Law) is being revised, through Bill 2.789/2021. More contemporary perspectives on public policy allow us to identify public policy as a response to public problems, solutions that can come from the State or from other political spheres. Among the approaches to public policy analysis that permeate this conception, we highlight the Advocacy Coalition Model and What's the problem represented to be. The objective of this work is to understand the context of the amendments to the Archives Law, with the specific objectives of identifying the public problem that the Bill proposes to solve, as well as identifying evidence of defense coalitions among the political actors involved. The research has a qualitative, exploratory nature, with documentary procedures, supported by public policy analysis approaches. The results show evidence of two defense coalitions in the observed context, with divergences between the conceptions of public problem between them. It concludes with the need to expand the documentary corpus studied, as well as other data sources that allow to account for categories that could not be explored to the satisfaction.
INCLUSÃO DE ESTUDANTES COM DEFICIÊNCIA NOS JOGOS ESCOLARES DO RIO GRANDE DO SUL
Authors: Valente de Oliveira Raquel , Zarpellon Mazo Janice
Published: September 2024

The Jogos Escolares do Rio Grande do Sul (JERGS) are a school sporting event that has been part of the cultural itinerary of the state of Rio Grande do Sul since 1970, when it was created at the Secretaria da Educação e Cultura do Rio Grande do Sul (SEC). Currently, the event is aimed at students from the state's public network, at the municipal, state and federal levels. For many years, students with disabilities did not have an effective space in this school event, which, at times, greatly valued the participation of students with the “athlete” profile. Therefore, the research aims to understand the process of insertion and participation of students with disabilities in JERGS. To achieve this, we determined Cultural History as a theoretical and methodological matrix for research. To access the past about the historical conformations of JERGS, information was collected through documentary sources and digital sources. The collected sources were subjected to the document analysis technique, based on the recording, classification, analysis and cross-referencing procedures. After analyzing and interpreting the collected materials, we found that the JERGS began to include children and adolescents with disabilities in an effective and duly regulated manner from the 2017 edition onwards, the year following the Paralympic Games in Rio de Janeiro. The holding of this mega sporting event in brazilian territory may have encouraged the JERGS organizing committee to include sports adapted for students with disabilities in the event's modalities, almost 50 years since its creation in the state.
Received: 2024/04/04
Reformulated: 2024/06/03
Accepted: 2024/08/04
Diagnostic Strategy in Idiopathic Diaphragmatic Paralysis
Authors: Bouqourou H. , Taddart S. , Hajjami A. EL , Bouktib Y. , Boutakioute B. , Idrissi M. Ouali EL , Ganouni N. Cherif Idrissi
Published: September 2024

Unilateral diaphragmatic paralysis is a medical condition characterized by the impairment of either the right or left hemidiaphragm, resulting in an inability to contract effectively during inspiration. This condition may arise due to intrinsic diaphragmatic muscle dysfunction or a disruption in the neural input from the phrenic nerve to the affected hemidiaphragm. The etiology is diverse, with clinical manifestations varying from an absence of symptoms to severe respiratory compromise. This case study aims to review the assessment and management of unilateral diaphragmatic paralysis, highlighting the role of dynamic imaging techniques, such as diaphragmatic ultrasound, in the diagnosis, evaluation, and ongoing monitoring of patients with this condition.
Evaluation of University Ranking System to Propose a Model for Bangladeshi Universities
Authors: Akter Shamima , Tarannum Tasmia , Obhi Ashikur Rahman , Romjan Md. Roman Boshir
Published: September 2024

This study investigates and compares various university ranking systems, particularly considering the unique situation of Bangladesh. With the rise of globalization and emphasis on research in the knowledge-based economy, university rankings have gained significant attention. However, different organizations use diverse criteria and methodologies, leading to discrepancies in ranking positions. This research employed a two-phase approach. The first phase involved a systematic literature review focusing on globally used indicators and methodologies for university rankings. This phase revealed that research-related indicators hold the highest weightage (67.93%) in most ranking systems. Subsequently, the second phase utilized active ranking algorithms to explore the findings from the first phase. The study concludes that research output significantly influences a university's ranking and competitiveness globally. Considering Bangladesh's lower publication volume compared to other nations, adopting a ranking system like QS or THEWUR could be beneficial. This system aligns with the global focus on research output and could incentivize research efforts within Bangladeshi universities.