bluuebunny/crossref_metadata_2025 huggingface dataset:
Identification of factors contributing to the development of postoperative delirium in geriatric patients with hip fractures- A prospective study
Authors: Venkatakrishnaiah Nagakiran K. , Anandkumar Uma M. , Wooly Sameer , Rajkamal Guda , Gadiyar H. Balakrishna , P Janakiraman
Published: September 2022

Introduction:

Geriatric hip fractures are a major cause of concern globally and often a frequent reason for morbidity and mortality. Postoperative delirium (POD) is a frequent but often under-diagnosed complication, especially after a major hip surgery. Some of the factors that have been associated with POD are diabetes, high American Society of Anesthesiologists (ASA) grading, electrolyte imbalance, and blood pressure fluctuations. Malnutrition as a risk factor is only recently being recognized. Although there are many possible risk factors reported, they are quite conflicting and not very clear. Therefore, we have attempted to conduct this study to identify the potential risk factors for the development of POD in patients with hip fractures.

Materials and Methods:

A prospective observational study was performed on 110 geriatric hip fracture patients admitted to tertiary health care in South India. Data regarding preoperative blood investigations, ASA grading, hypertension and diabetes status, MNA (mini nutritional assessments) status, serum albumin, and serum electrolytes values were recorded. The Confusion Assessment Method tool (CAM) was used to diagnose delirium in the postoperative period. Statistical analysis was done for various factors influencing the occurrence of POD.

Results:

Among the total of 110 cases of geriatric hip fractures patients, 44.5% of the patients developed postoperative delirium. Advancing age, hypoalbuminemia, malnourishment, and uncontrolled diabetes played an important role to the development of post operative delirium in patients with hip fractures.

Conclusion:

Advancing age, hypoalbuminemia, malnourishment, and uncontrolled diabetes are strong predictors for the development of postoperative delirium in geriatric hip fracture patients. Since age is a non-modifiable risk factor, interventional strategies aimed at correcting modifiable risk factors like nutrition, serum albumin levels, and diabetes control play an important part in preventing delirium in the postoperative period in elderly hip fracture patients.

MeSH terms: Hip Fractures, Postoperative Complication, Delirium, Nutrition Assessment, Serum Albumin
School reopening: Back to classroom. A systematic review of strategies and their implementation during COVID-19 pandemic
Authors: Dewan Manasvee , Sharma Neha , Panda Pragyan S. , Banerjee Priyanka
Published: September 2022

School closure has affected millions of students worldwide. After more than a year of school closure, steps have been taken to re-start in-person schooling. These strategies have worked well for many setups; however, there are some gaps that have led to repeated sessions of closure and reopening of schools. We have studied these plans of reopening schools and looked into changes that can improve their execution. In this study, we have studied the impact of school reopening in the transmission of SARS CoV-2 in various countries, both developed and developing nations. We have reviewed the measures taken in different countries to reopen schools. We have studied how effective these measures were so as to chart out plans from them to execute our strategies in the country. Both urban and rural setups have been taken in to account. We have searched the electronic databases, PubMed and MEDLINE, and bibliographies of relevant studies were included. We have used the keywords “COVID-19,” “school,” “reopening,” “prevention,” “strategies,” and “transmission.” We have manually searched for studies addressing school reopening during the COVID-19 pandemic. PRISMA approach has been adopted to study the articles systematically. After reviewing different studies on school reopening, a low transmission rate among students was noted in 12 out of 13 studies. Measures such as hand hygiene, masks, and contact tracing are fundamental in preventing the spread of infection in schools.
Adaptation status and related factors in patients living with implantable cardioverter defibrillators
Authors: Razavi Mohammadreza , Khatiban Mahnaz , Ahmadi Fazloallah , Oshvandi Khodayar
Published: September 2022

Introduction:

An implantable cardioverter-defibrillator (ICD) is the only approach to treat patients with life-threatening ventricular arrhythmias. Adaptation and acceptance of ICD play an important role in the optimal treatment of the patients. The aim of this study was to determine adaptation status and related factors in patients living with ICDs.

Methods and Materials:

In this descriptive–analytical study, 148 patients referred to Kowsar Hospital in Shiraz and Farshchian Hospital in Hamedan city between July 2020 and September 2021 were included in the study. Patients’ adjustment status was measured based on the mode of the Roy nursing model and using the Baecke physical activity questionnaire, Pittsburgh sleep quality, mini nutritional assessment (MNA) nutrition questionnaire, constipation scoring questionnaire, self-concept scale, and multidimensional scale of perceived social support (MSPSS).

Results:

Patients had low physical activity and poor sleep quality. Negative self-concept in relation to the disease and adherence to physicians’ recommendations was observed among patients. In addition, patients did not have optimal interpersonal communication. Multivariate regression findings showed that the number of years of device implantation and the number of shock discharges are effective factors in the incidence of insomnia and the negative self-concept of patients.

Conclusion:

Patients living with ICD did not adjust to the new conditions after placement of the device. Low level of physical activity and sleep disturbance and also negative self-concept about the disease and adherence to treatment was observed among the patients. Shock discharges and duration of the device implantation were associated with impaired self-concept and insomnia in the patients.
Closing human resources gap in health: Moving beyond production to proactive recruitments
Authors: Kumar Shobhit , Sarwal Rakesh
Published: September 2022

Human Resources for Health (HRH) plays an integral role in healthcare service delivery. Gap in HRH has been a major concern with our healthcare ecosystem for a long time. It is vital to have adequately staffed public healthcare facilities, which are freely accessible to the population. To understand the reasons, we looked at the production, availability, and vacancies of HRH existing in public sector as well as measures taken for closing HRH gap during the period 2014–2015 to 2019–2020 and best practices adopted by the some of the State/UTs. We relied on official websites and official reports/statistics. While teaching capacity has increased significantly in recent past, and there are sufficient numbers of registered HRH, it has not translated into the recruitment of HRH in public facilities. Measures like campus placement, assured career progression, efficient and transparent recruitment process, modern and responsive HR management system, financial and non-financial incentives and notification of the vacant posts can play a vital role in filling the existing gaps. Some of the states have taken proactive measures for filling the vacancies, which can be replicated. The vacancies need to be filled in a mission mode. States also need to sanction required posts as per the norms. The ratio between different categories of healhtcare staff should be taken into consideration while sanctioning posts for these cadres. Availability of HRH in public sector as per norms would contribute toward achieving Sustainable Development Goal-3, reducing out of pocket expenditure and bring enormous socioeconomic gains.
Home-based newborn care (HBNC) under the national health mission in urban India – A cross country secondary analysis
Authors: Hannah Erin , Dumka Neha , Ahmed Tarannum , Bhagat Deepak K. , Kotwal Atul
Published: September 2022

Background:

There is a paucity of evidence in the coverage of the home-based newborn care (HBNC) program delivered through the National Urban Health Mission (NUHM). Hence, an analysis was undertaken to identify gaps and progress in its implementation and inform policy and strategies to achieve universal access to newborn services.

Objectives:

The study aimed to evaluate and understand the status of the HBNC program in urban areas of India through a health systems approach.

Methods:

Cross-sectional intra-country study was undertaken based on facility records and supporting literature available in the public domain. After categorizing the states into four groups, the programme’s status in urban areas was analysed and presented in median and interquartile ranges. Statistical significance in the difference between the medians across the groups was checked using the Kruskal Wallis test.

Results:

Overall, the median full HBNC coverage was less than one-fifth (< 20%) of the total reported live births (P = 0.17). Excepting the union territories (UTs), the median coverage was found to be less than one-fifth (< 20%) of the reported institutional deliveries (P = 0.16) and more than half (> 50%) of the reported home deliveries (P = 0.83) in urban areas. The differences in the medians across the groups were not statistically significant.

Conclusion:

The differential coverage calls for strengthening referral linkages to specialized newborn care facilities, ensuring skilled personnel at varying levels of facilities, and improving the engagement of frontline workers in urban communities under the NUHM.
Bacterial coinfections in COVID: Prevalence, antibiotic sensitivity patterns and clinical outcomes from a tertiary institute of Northern India
Authors: Sahu Chinmoy , Singh Sweta , Pathak Ashutosh , Singh Sanjay , Patel Sangram Singh , Ghoshal Ujjala , Garg Atul
Published: September 2022

Purpose:

Bacterial coinfections are a leading cause of morbidity and mortality during viral infections including corona virus disease (COVID-19). The COVID-19 pandemic has highlighted the need to comprehend the complex connection between bacterial and viral infections. During the current pandemic, systematic testing of the COVID-19 patients having bacterial coinfections is essential to choose the correct antibiotics for treatment and prevent the spread of antimicrobial resistance (AMR). This study was planned to study the prevalence, demographic parameters, comorbidities, antibiotic sensitivity patterns, and outcomes in hospitalized COVID-19 patients with bacterial coinfections.

Material and Methods:

The COVID-19 patients having bacterial coinfections were selected for the study and analyzed for the prevalence, antibiotic sensitivities, comorbidities, and clinical outcomes. The bacterial isolates were identified and the antibiotic susceptibility testing was performed according to the Clinical and Laboratory Standards Institute (CLSI) guidelines.

Results:

Of the total 1,019 COVID-19 patients screened, 5.2% (n = 53) demonstrated clinical signs of bacterial coinfection. Escherichia coli were the most common isolate followed by Pseudomonas aeruginosa and Klebsiella spp. among the gram-negative bacterial infections. Coagulase-negative Staphylococcus species (CONS) and Staphylococcus aureus were most common among the gram-positive bacterial infections. The antibiotic sensitivity profiling revealed that colistin (99%), imipenem (78%), and fosfomycin (95%) were the most effective drugs against the gram-negative isolates while vancomycin (100%), teicoplanin (99%), and doxycycline (71%) were most potent against the gram-positive isolates. The analysis of the clinical parameters and outcomes revealed that among the COVID-19 patients with bacterial coinfections, the mortality rate was higher (39%) than the control group (17%) (P-value < 0.001).

Conclusion:

This study reveals the significantly increased rates of bacterial coinfections among COVID-19 patients which may lead to an increase in mortality. This study will guide the physicians at the primary level on the rational and correct usage of antibiotics in such COVID cases. Hence, systematic testing of COVID-19 patients with bacterial coinfections is the need of the hour to decrease the mortality rate and limit the spread of AMR.
Community-based assessment of risk factors for cardiovascular diseases in a tribal population of Tharus in Bihar, India
Authors: Kumar Dhananjay , Kumari Rakhi , Anwar Khalid , Singh Rashmi
Published: September 2022

Background:

The problems of cardiovascular diseases are on the rise and the tribal population are also not an exception to it. The present study aims to estimate the prevalence of risk factors of cardiovascular diseases and to find association of hypertension and diabetes with various risk factors among the Tharu tribe of Bihar, India.

Methodology:

The present study was an observational, cross-sectional study conducted on 252 individuals of 20–60 years age group. Risk factors related to cardiovascular diseases were assessed.

Results:

Among 252 participants, the prevalence of hypertension and diabetes was 32.5% and 4.8%, respectively. Around 30% of study participants were smokers, 39% were habitual of chewing tobacco, and about half of the population were not involved in active physical activities (49.2%). Raised blood glucose level was significantly associated with gender, age, smoking status, and tobacco chewing while hypertension was significantly associated with age, smoking status, and body mass index.

Conclusions:

Increased number of various risk factors among the tribal population makes them vulnerable to cardiovascular diseases and other complications.
Community practices in COVID-19 outbreak in rural Ballabgarh, Haryana – A mixed methods study
Authors: Salve Harshal Ramesh , Jaiswal Abhishek , Kumar Rakesh , Kant Shashi
Published: September 2022

Background:

More than 43 million cases and 5.2 lakhs death have occurred due to COVID-19 in India. Approximately 1 lakh people (cumulative) have been infected by COVID-19 in Faridabad district alone as of 4 April 2022. To understand the effects of COVID-19 on community practices this study was conducted.

Methods:

A community-based cross-sectional study was conducted in Intensive Field Practice Area of Comprehensive Rural health Services Project (CRHSP), Ballabgarh, Haryana. Five hundred participants (≥18 years) were selected by using simple random sampling from Health Management Information System (HMIS) maintained at Centre for Community Medicine, AIIMS, New Delhi. Participants were informed regarding study and consent was taken. A semi-structured interview schedule was administered.

Results:

Study participants included 500 adults (52.2% Male). Mean age (S.D.) of participants were 39.1 (14.9) years. Almost all participants started practicing hand sanitisation (496, 99.2%), avoiding crowd (488, 97.6%), and covering face with cloth/handkerchief (459, 91.8%). More than 80% (428, 85.6%) started using mask, and following cough etiquettes (405, 81.0%). More than three-fourth (389, 77.8%) participants were very unsatisfied with lockdown. Majority faced financial difficulties (322, 64.4%), followed by difficulty in their entertainment/recreational activity (158, 31.6%), difficulty in acquiring ration/food items (87, 17.4%) and mental stress (46, 9.2%) during lockdown.

Conclusions:

Rural community of Ballabgarh showed positive practices with respect to prevention of COVID-19. Financial distress and job loss due to lockdown were widely reported from the rural community. Majority of the community was displeased with lockdown as intervention for COVID-19.
Evaluation of chest CT-scan appearances of COVID-19 according to RSNA classification system
Authors: Arian Arvin , Gity Masoumeh , Kolahi Shahriar , Khani Sina , Ahmadi Mehran Arab , Salehi Mohammadreza , Delazar Sina
Published: September 2022

Background:

The Radiologic Society of North America (RSNA) divides patients into four sections: negative, atypical, indeterminate, and typical coronavirus disease 2019 (COVID-19) pneumonia based on their computed tomography (CT) scan findings. Herein, we evaluate the frequency of the chest CT-scan appearances of COVID-19 according to each RSNA categorical group.

Methods:

A total of 90 patients with real-time reverse transcriptase-polymerase chain reaction (RT-PCR)-confirmed COVID-19 were enrolled in this study and differences in age, sex, cardiac characteristics, and imaging features of lung parenchyma were evaluated in different categories of RSNA classification.

Results:

According to the RSNA classification 87.8, 5.56, 4.44, and 2.22% of the patients were assigned as typical, indeterminate, atypical, and negative, respectively. The proportion of “atypical” patients was higher in the patients who had mediastinal lymphadenopathy and pleural effusion. Moreover, ground-glass opacity (GGO) and consolidation were more pronounced in the lower lobes and left lung compared to the upper lobes and right lung, respectively. While small nodules were mostly seen in the atypical group, small GGO was associated with the typical group, especially when it is present in the right lung and indeterminate group.

Conclusion:

Regardless of its location, non-round GGO is the most prevalent finding in the typical group of the RSNA classification systems. Mediastinal lymphadenopathy, pleural effusion, and small nodules are mostly observed in the atypical group and small GGO in the right lung is mostly seen in the typical group.
Management of intramedullary spinal cord tumors
Authors: Pattankar Sanjeev , Das Kuntal Kanti , Sardhara Jayesh , Jaiswal Awadhesh Kumar
Published: September 2022

Intramedullary spinal cord tumors are one of the most challenging neurosurgical conditions. The compact spinal cord fiber bundles (ascending and descending tracts) and spinal cord vascularity are at a huge risk during tumor resection. Hence, the resection of such tumors always has an inherent risk of inducing neurological deficits. Thus, the determination of tumor–cord interface assumes the greatest importance. The refinement in surgical technique and intraoperative neuromonitoring has increased the safety level of modern-day results with such tumors. Management of tumor recurrence and the exact role of adjuvant therapy, however, remains to be defined. In this review, we highlight surgically relevant aspects of these tumors, the current state of adjuvant treatment choices, and a literature review.
“COVID Arm” in the Family Medicine Setting
Authors: Cohen Lara L. , Suarez Antonio J. , Pardo Bryan W.
Published: September 2022

The Moderna COVID-19 vaccination has been widely distributed since authorized for emergency use. Phase 3 clinical trial data reported that 1.5% of recipients experienced hypersensitivity reactions after vaccination. The resulting erythematous rash, termed “COVID arm,” has been described in isolated case reports. To our knowledge, existing literature has not presented this diagnosis in the family medicine setting. This study was exempt from Institutional Review Board approval. An 85-year-old female presented to our family medicine clinic with a rash at injection site 15 days after receiving the Moderna vaccine. She endorsed pruritus and allodynia. She was afebrile. The rash measured 8 cm (height) × 9 cm (width) and was erythematous, without edema or warmth. We determined the rash was a “COVID arm” hypersensitivity reaction. Family medicine physicians are newly responsible for providing education and care related to COVID-19 vaccination. This case provides a unique opportunity to review the suspected pathology of “COVID arm” and describe management in an outpatient setting. Patients without severe allergic reactions should proceed with the second dose in their other arm, anticipating possible repeat “COVID arm.”
Vaccine Hesitancy and Risk Perception among Health-Care Workers in a Tertiary Hospital in North-East India
Authors: Rajkumari Bishwalata , Keisam Avinash , Devi Ningthoukhongjam Shugeta , Devi Samurailatpam Priyanka , Wahengbam Regina , Haokip Mangvung Mangboi
Published: September 2022

Context:

Vaccine hesitancy is an important threat to public health and a major setback for achieving herd immunity especially during the COVID 19 pandemic. Health-care workers are a major reckoning force in making the vaccines acceptable to the general population and the question is why there is vaccine hesitancy among them.

Aims:

The study plans to determine the reasons of vaccine hesitancy among health-care workers and to assess the association between their risk perception and variables of interest.

Settings and Design:

A cross-sectional study was conducted among doctors, nurses and other support staff in a tertiary hospital in North-East India, who were hesitant to take the vaccine when it was their turn.

Methods and Material:

Using convenience sampling method, data collection was done using a pre-tested interview schedule after obtaining informed verbal consent. Ethical clearance was obtained from the Institutional ethics committee. Statistical analysis used: Descriptive statistics like Mean, SD and percentages were used. Chi-square and Fisher's exact tests were used for association.

Results:

There were 160 participants out of which 30 (18.8%) had low risk perception of COVID-19 infection. Three (1.87 %) of the respondents said they were never going to be vaccinated against the disease and 59 (36.87%) said they may get the vaccine maybe at a later date. While 56 (35%) of the individuals were scared of common AEFI's like fever, chills and rigor; 21 (13.12%) were scared of unknown side effects. Fifteen percent of the respondents had trust issues with the vaccines.

Conclusions:

Though majority of the respondents had high-risk perception of COVID-19 infection, but almost one-sixth had trust issues with the vaccine. Trust building for the vaccine and information, education, and communication must be in the forefront for making the vaccination drive a success.
Papillary and medullary thyroid carcinomas coexisting in the same lobe, first suspected based on fine-needle aspiration cytology: a case report
Authors: Koh Hyun Hee , Oh Young Lyun
Published: September 2022

Because different types of thyroid malignancies have distinct embryological origins, coexisting tumors are rarely observed. We describe a coexisting papillary thyroid carcinoma (PTC) and medullary thyroid carcinoma (MTC) first suspected by fine-needle aspiration cytology (FNAC). A 57-year-old female presented with an irregular mass in the right thyroid lobe. The cytopathologic findings of fine-needle aspiration showed two components: a papillary-like arrangement consisting of cells with pale enlarged nuclei indicative of PTC and loose clusters comprised of oval cells with granular chromatin indicative of MTC. The diagnosis of a coexisting PTC and MTC was initially confirmed by calcitonin immunocytochemistry and later after total thyroidectomy. Although some surgical case reports of PTC and MTC coexisting in either the same or different lobes have been documented, a case suspected by FNAC before the surgery has rarely been reported. Because appropriate treatment and prognosis of PTC and MTC are different, cytopathologists should be aware of this rare entity.
A New Electrically Heated Mixer (EHM) for Efficient SCR of NOx in Low Load Cycles
Authors: Masoudi Mansour , Poliakov Nick , Noorfeshan Sahm
Published: September 2022

Low temperature Diesel exhaust operations such as during low-load cycles are some of the most difficult conditions for SCR of NOx. This, along with newer regulations targeting substantial reduction of the tailpipe NOx such as California-2024/2027 NOx regulations, adds to challenges of high efficiency SCR of NOx in low temperature operations. A novel design, low-cost, low-energy Electrically Heated Mixer (EHM™), energized via the 12, 24 or 48 V vehicle electrical system, is used to accelerate formation of reductants (ammonia, isocyanic acid) in low temperature exhaust (low load cycles), so to enable high efficiency SCR of NOx in most challenging SCR conditions, while also mitigating urea deposit formation. EHM™ is also used to heat the cooler exhaust flow during engine cold-start. It easily fits common exhaust configurations and can be utilized on light, medium or heavy duty Diesel aftertreatment systems, on- or non-road or in stationary systems.
Contribuții la îmbunătățirea modului de calcul al creșterii indicatoare în contextul schimbărilor climatice – studiu de caz, Ocolul Silvic Bașotă, jud. Botoșani
Authors: Ceornea Ciprian , Mititelu Cristian , Drăgoi Marian
Published: September 2022

Modelul lanțurilor Markov a fost aplicat în cazul unei păduri de 340 ha, a cărei posibilitate anuală este de 896 m3. Întrucât pe parcursul a cinci ani s-au recoltat  2843 m3 de produse accidentale, s-a testat utilizarea lanțurilor Markov la corectarea creșterii indicatoare, presupunând că la următoarea reamenajare creșterea indicatoare ar putea fi calculată cu ajutorul unui model structural îmbunătățit, ce ține cont de cuantumul produselor accidentale recoltate pe durata unei clase de vârste. Având o distribuție pe clase de vârstă a produselor accidentale, am simulat pe o perioadă de 240 ani structura pe clase de vârstă, ținând cont exclusiv de probabilitățile de revenire în prima clasă de vârstă a arboretelor din toate clasele de vârstă. Deoarece produsele accidentale nu modifică doar distribuția normală pe clase de vârste ci și suprafața ocupată efectiv de arbori, am propus două modele simplificate de corecție a mediei creșterilor curente folosite la calculul creșterilor indicatoare.
Lectio magistralis: Voluntariatul și unicitatea naturii din România
Authors: Rákosy László
Published: September 2022

Evenimentul de azi, sentimentele și gândirea noastră sunt, din păcate umbrite și tulburate de atrocitățile războiului din Ucraina. Orice subiect aș alege, acesta ar fi eclipsat de tragicele evenimente din Ucraina. Am ales voluntariatul pentru că are legătură cu evenimentele din Ucraina și unicitatea naturii, pentru că acest subiect mă doare și mă revoltă.

Participarea populației la acțiuni de voluntariat care vizează natura sunt deocamdată firave și izolate. Principala cauză este nivelul de trai scăzut al populației, procentul celor mulțumiți de nivelul lor de viața nedepășind la noi 3%, iar în țările în care voluntariatul este la ordinea zilei, tinde sau depășește 50%. Alt factor hotărâtor este nivelul educațional și cultural. Deocamdată România nu are o societate pregătită pentru voluntariat de mediu.

Și totuși, războiul din Ucraina a relevat o altă latură a voluntariatului. Mii de oameni au sărit să ajute alte sute de mii de oameni alungați de ororile războiului. Empatia omului față de semenii săi este mult mai puternică decât cea față de natură. Empatia față de natură nu face parte din cultura și educația noastră. Recunoștința omului ajutat se manifestă imediat încărcând psihic și energetic conștiința voluntarului. Ajutorul dat naturii se reîntoarce în timp, de cele mai multe ori generațiilor umane viitoare, de unde lipsa sentimentelor imediate de mulțumire.

Educația sau non-educația și modelele de viață direcționează spre obsesiva idee de prosperitate materială, făcând din om un autointitulat ”stăpân al naturii”.

Dar care este menirea noastră, cel puțin a minorității care gândește altfel? Creativitatea cere libertate, nesupunerea la dogme, manifestarea nemulțumirii. Avem datoria să trezim mândria și conștiința individuală, incluzând natura în reperele mândriei naționale. Unicitatea naturii din România ne oferă multe repere pentru o identitate națională. Dar nimeni nu încearcă să trezească mândria națională prin unicitatea naturii din România.

Universitățile deschise, inovative, pot aduce schimbarea. Ancestralul pozitiv din spiritul tinerilor noștri trebuie trezit și călăuzit spre o legătură mai trainică cu natura. Îndepărtați ignoranța, treziți interesul pentru natură.
Editorial
Authors: Marcos P. Henrique
Published: September 2022

Este número do Boletim Gepem apresenta um conjunto de textos heterogêneos que abordam temas já consolidados, versando pelos processos de ensino e aprendizagem, e discussões contemporâneas que trazem questões de gênero e liberdades fundamentais, todos os quais, comprometidos com a divulgação científica em Educação Matemática.
The Pitfalls in Assessment Practices in Distance Learning
Authors: Douali Latifa , Selmaoui Sabah , Bouab Widad
Published: September 2022

The assessment of learning and the assessment for learning are considered as an integral part of learning process. They provide information to improve the educational instructions and to boost the students’ performances. It is a critical aspect of teaching and learning process and it requires teachers and learners to be prepared for the whole situation. The assessment is a complex process and its implementation poses many challenges to teachers. Online tools and learning management systems (LMS) help to overcome most of these challenges. During the COVID-19 pandemic, almost all schools and universities switched to distance learning and teachers had to change their way of teaching. However, many problems arose from this situation; The "new" teaching mode raised many discussions and needs to be analyzed thoroughly. In this paper, we discuss the usage of distance learning resources during the lock-down and the issues it generated. We focus on the assessment process in the circumstances of COVID-19. For the purpose of this study, future teachers were surveyed after their experience with distance teaching. It seems that platforms providing interactive assessment and those allowing automatic evaluation of learners are more required than others.
Evaluation of Digital Storytelling in terms of Pre-Service ICT Teachers' Perceived TPACK Levels and Teaching Proficiency Self-Efficacy Levels: A Mixed-Method Study
Authors: Kukul Volkan
Published: September 2022

Today, the point where technology has come has revealed the need for individuals to be equipped with different skills. Teachers play an essential role in the development of these skills. Teachers should be able to use and master the methods that enable students to participate in the learning environment actively and gain the technological competencies they need today. In this direction, this study aims to examine the effect of digital storytelling on pre-service teachers' TPACK skills and teaching self-efficacy. An explanatory sequential research design is conducted with 29 pre-service ICT teachers. In the quantitative part of the study experimental research design and, in the qualitative part of the study case study is used. According to the results, digital storytelling is significantly affecting both TPACK and teaching proficiency self-efficacy levels of pre-service teachers. The results and future recommendations of the study are reported in detail.
Bibliometric Analysis of Game-Based Researches in Educational Research
Authors: Ekin Cansu Cigdem , Gul Abdulmenaf
Published: September 2022

This research aims to conduct a bibliometric study to describe how game-based educational research is structured and how it has evolved over time. For this purpose, bibliometric analysis has been used to analyze 4980 publications indexed by the Elsevier SCOPUS database between 1967 and May 2021. The related publications were evaluated by analyzing co-authorship, co-occurrence, and citation by considering author, keyword, country, journal, university, and publication variables. As a result of the bibliometric analysis, it was concluded that the United States was leading the field and significantly publishing more studies. Top performing organizations were in Taiwan and the United States. According to the keyword co-occurrence analysis, “game-based learning” was the most used keyword followed by “serious games” and “gamification”. Co-authorship status results show that collaboration between researchers in the field was not high and the number of researchers in co-author groups was small. It was found that the most influential research was related to literature review on games and the effectiveness of games on motivation or learning and Computers Education was the most published and cited journal in game-based educational research.
Hacerse profesión: historia concomitante de la construcción del sistema de salud y de la profesionalización del grupo médico en México
Authors:   Instituto Tecnológico y de Estudios Superiores de Monterrey, Lejault Antoine , Fouquet Anne ,   Instituto Tecnológico y de Estudios Superiores de Monterrey
Published: September 2022

El artículo propone una historia del proceso de profesionalización de los médicos en México, interesándose en la construcción de la legitimación del quehacer del grupo médico hacia el público, pero en particular, hacia un actor nuevo en el mundo sanitario posindependencia: el Estado. El interés estatal en la salud pública nace de la necesidad de responder a las sucesivas olas de epidemias que afectaron al país durante el Siglo XIX, iniciando así la relación médico/Estado. Estudiamos cómo desde entonces, las respuestas a la Salud pública desarrolladas por los gobiernos del siglo XIX hasta el inicio del siglo XXI estructuran el proceso de la construcción de la medicina como una profesión.
Mapiranje izazova novinarske profesije u suvremenom medijskom ekosistemu
Authors: Lj. Bulatović Ljiljana , Bulatović Goran
Published: September 2022

Pod utjecajem suvremenih tehnologija i posebno društvenih mreža, profesionalno novinarstvo našlo se u raskoraku između normi, standarda i izvornih zahtjeva profesije s jedne strane, zahtjeva poslodavaca, vlasnika medijskih kompanija i industrije s druge strane i s treće očekivanja atomiziranih javnosti rukovođenih različitim patikularnim interesima, sklonostima i predrasudama. U radu ukazujemo na izazove profesionalnog novinarstva koji su uticali na gubljenje povjerenja između informativnih medija, novinara i publike, što je utjecalo na promjenu profesionalnog identiteta novinara i umesto nezavisnih, kritičkih i objektivnih istraživača i snabdjevača informacijama odgovornog demokratskog i kritičkog javnog mnjenja, oni su svedeni na „zaposlene u medijskim kompanijama“. Jedna od posljedica novinarskog odustajanja od normi profesionalnog identiteta i fokusiranosti na javni interes je poplava lažnih vesti koje medijski ekosistem čine još kaotičnijim, a površnu i medijski neobrazovanu publiku sklonu jednostavnim rješenjima i predrasudama, lakom za manipulaciju. U tako oblikovnom medijskom ekosistemu, u kojem novinari nemaju obavezu da provjeravaju informacije prije objavljivanja nego se to radije prebacuje na korisnike, manipulacija nema za cilj samo ekonomsku dobit medijskih kompanija nego i ideološku i političku indoktrinaciju, širenje govora mržnje, straha i nepoverenja i konačno stvaranje uvjeta za nedemokratske oblike vladavine. U radu tvrdimo da dokumenti u kojima se utvrđuju mjere za ojačavanje povjerenja između novinara i publike neće imati efekta ukoliko sami novinari ne reafirmiraju svoj profesionalni identitet i ne steknu podršku publike da zaštite svoje profesionalne strandarde od uticaja tržišta i profita.
Sulejmanpašić and Zelizer
Authors: Delić Amela
Published: September 2022

Although the book Journalism – the Destroyer of Humanity is one of the most sharply intoned critical reviews of journalism we have read, we believe that this book is also some kind of a call for change. It is interesting that back in 1936 Sulejmanpašić accurately dissected journalistic reality, distinguishing sensational journalism from professional journalism. Thus, he leaves us room for a different, purposeful and visionary journalism. The author discusses the impact of journalism on various spheres of human social and his psychological life, and this impact is, from his perspective, mostly negative.Although the lessons of Sulejmanpašić’s book are profound, and the arguments are so strong that they are difficult to refute, we want to believe that there is still hope for the journalistic profession. This paper will compare the reflections of Dževad Sulejmanpašić and Barbie Zelizer in their different, but somewhat similar, views of the profession. While Sulejmanpašić emphasizes and perfectly recognizes all the shortcomings of the profession, Zelizer gives recommendations and in a different, modern digital or online context, devising journalism that would serve humanity, instead of destroying it.
COVID-19: Energy, Protein Folding & Prion Disease
Authors:   MD. Department of Radiology, Sparrow Health System, Lansing, MI, Thorp K. E. , Thorp James A. ,   MD. Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Sisters of St. Mary’s Health System, St. Louis, MO, Thorp Elise M. ,   BS, FNTP. Williamston, MI, Thorp Margery M. ,   JD MACP. Law Firm of Margery M. Thorp, PLLC, Gulf Breeze, FL., Walker Paul R. ,   BSME, MSEE
Published: September 2022

The recent recognition of intravascular amyloid formation with deposition of insoluble microthrombi throughout the circulatory system in primary COVID-19 infection or following administration of mRNA vaccines is a pivotal discovery that alters conventional notions about the nature of the underlying pathologic process at play in SARS-CoV-2 infection.
UPRAVLjANjE LjUDSKIM RESURSIMA KAO FAKTOR KVALITETA USLUGA LOKALNE SAMOUPRAVE
Authors:   University of Kragujevac, Faculty of Law, Vučković Jelena
Published: September 2022

Human resources management is an integral part of the management of local self-government. It is part of a public policy that applies to the local government employees. Human resources management includes several basic activities: analysis and design jobs, human resources planning, recruitment, selection, training and development of employees, assessment of their performances and rewarding, relationship with employees, health and safety management and leaving the organization itself. Importance of human resources management for the local self-government system was pointed out in 1985 when the European Charter of Local Self-Government was adopted. The Law on Employees in Autonomous Provinces and Local Self-Government Units in 2016 completed the system of local self-government regulations in the Republic of Serbia, by introduction of transparency and depolitization of the recruitment process, as well as professionalization of the local official apparatus. Units of local self-government in Serbia are only at the beginning of the reform process, and if, based on the principles of management, human resources are to be managed, it is necessary to answer these questions: whether the institutional, normative and strategic determinations of the system are regulated well in relation to issues of functioning, not only in terms of human resources management, but also of the overall system of local self-government
ZAŠTITA PRIVATNOSTI I LIČNIH PODATAKA OD STRANE TRGOVACA KOD ELEKTRONSKE TRGOVINE
Authors:   University of Rijeka, Faculty of Law, Mihelčić Gabrijela
Published: September 2022

The author analyses the category (principle) of proportionality that appears as a corrective in the jurisprudence of the European Court of Human Rights and of the European Court of Justice when it comes to possible forms of protecting the enforcement debtor moving out of his real estate. The starting point is the requirement to achieve the fair balance between the interests of the enforcement debtor and the enforcement creditor, and the features related to this issue are presented in relation to the protection of the right to respect for home, the right to peaceful enjoyment of property and the protection of consumers from unfair contractual provisions.
BANKARSKA TAJNA – GRANICE ZAŠTITE
Authors:   University of Banja Luka, Faculty of Law, Vasiljević Zoran , Vasiljević Dragana
Published: September 2022

The authors analyze in this paper the institute of the banking secrecy as from the aspect of the private law as well from the aspect of the public law. Banking secrecy represents an important institute of the banking law which is based on a high level of confidence between the bank and the client. However, public interests also imply an increasing need to circumvent this duty of banks toward clients. Therefore, in the paper was analyzed the content of the banking secrecy, then it was made its comparison and possible subduction under the institute of the business secrecy and were defined the limits of its protection. It is noted that banking secrecy still has civil law, misdemeanor law and criminal law protection, but in the more limited extent, due to exceptions whose existence requires an obligation to combat against financial terrorism, money laundering, tax fraud and other forms of financial crime. In addition, sometimes the justified interests of the banks themselves and of other private law entities impose the need for disclosure of classified informations
HUBUNGAN DUKUNGAN KELUARGA DAN DUKUNGAN TENAGA KESEHATAN DENGAN KEPATUHAN MINUM OBAT PENDERITA SKIZOFRENIA
Authors: Dian Setyaji Egyi , Sakufa Marsanti Avicena , Riska Ratnawati
Published: September 2022

Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dan dukungan tenaga kesehatan dengan kepatuhan minum obat penderita skizofrenia. Penelitian ini menggunakan designcross sectional. Penelitian ini menggunakan total sampling dengan jumlah sampel sebanyak 53 orang. Uji statistik yang digunakan chi-Square dengan tingkat kepercayaan 95% .Dukungan keluarga dan dukungan tenaga kesehatan memberikan hubungan yang signifikan terhadap kepatuhan minum obat penderita skizofrenia (p = 0,005 dan p = 0,007), yang berarti ada hubungan antara dukungan keluarga dan dukungan tenaga kesehatan dengan kepatuhan minum obat penderita skizofrenia. Diharapkan agar keluarga dan tenaga kesehatan memberikan dukungannya agar penderita skizofrenia menyadari pentingnya patuh minum obat supaya penderita tidak mengalami kekambuhan.
El impacto de la gestión de proyectos en la construcción civil
Authors: Franco José Oswaldo , Coello David Omar Stay
Published: September 2022

La gestión de proyectos ha tomado gran relevancia en el mundo actual, debido, principalmente, a sus múltiples beneficios y aplicaciones en los diferentes campos del conocimiento, empresarial, industrial y con gran impacto en el sector de la construcción civil, la cual se remonta a decenas de años de incidencia fructífera, pero aun poco valorada por algunos actores de la construcción civil, apegada a viejos paradigmas y enfoques tradicionales en el desarrollo de los proyectos. Los conceptos de la gestión de proyectos, se extienden, desde diferentes enfoques, que han ido evolucionado, atendiendo a las necesidades dinámicas de la sociedad y fundamentalmente de las empresas, por tanto, su definición, su desarrollo histórico y las tendencias que se esperan para su futuro cercano deben ser abordadas desde una visión holística, desde un enfoque sistémico. La gestión de proyectos a nivel global, es una profesión que se encuentra en crecimiento constante, evolucionando, con una mejora continua es sus estándares, principios y fundamentos y es actualmente una alternativa para lograr una diferenciación en un mundo tan competitivo de la construcción civil, en el que las habilidades y competencias diferenciadoras hacen de vital importancia el conocimiento de las nuevas prácticas que son demandadas por las organizaciones. El desafío actual, es construir empresas de construcción, flexibles con una sólida cultura organizacional que le permita adaptarse a momentos disruptivos, pero sobre todo basada en una gestión de proyectos holística, integral e integradora. La gestión de proyectos es una excelente herramienta para alcanzar objetivos estratégicos de la empresa, identificando las tendencias del negocio de la construcción, constituyéndose en un factor de transformación interno de las empresas, al mejorar los procesos y así alcanzar un crecimiento profesional, sostenibilidad en el tiempo, capacidad de resiliencia y ser competitivo en el sector, que conduzca a la constructora, al camino de la evolución organizacional y al mejoramiento continuo.
Sindemia y enfermedades crónicas no transmisibles, una perspectiva social y biológica
Authors: Posso-Paz Mariam Beatriz , Ruiz Paula Alexandra Correa , Ramírez Catalina Cáceres , Mantilla Álvaro José Lora , Parra-Gómez Laura Alejandra , Rocha-Lezama Catalina , Camacho Paul Anthony
Published: September 2022

El término sindemia se refiere a la interacción entre dos o más enfermedades que potencian su carga de enfermedad al situarse a un contexto sociopolítico específico. Las sindemias ocurren en enfermedades infecciosas y en enfermedades crónicas no transmisibles, resultando en un aumento de la carga de la enfermedad. En los últimos años, el término se ha expandido de forma exponencial, evidenciando la importancia del origen social de las enfermedades y el estudio de las causas de este fenómeno multinivel. En el escenario actual, en donde el sistema de salud sido retado por la contingencia secundaria a la COVID-19, se hace necesario analizar la interacción de la situación geopolítica, la situación previa de salud y la pandemia.  Finalmente, la pandemia por la COVID-19 merece ser considerada una sindemia, porque la evidencia demuestra que la forma grave de esta enfermedad es más frecuente en grupos sociales vulnerables y en personas con comorbilidades, con repercusiones inciertas a futuro.
Hepatotoxicity of Graded Doses of Ethanol Extract of Dialium guineense Stem Bark in Wistar Rats
Authors:   Department of Biochemistry, Faculty of Life Sciences, University of Benin, Benin City, Nigeria., O.D. Abu
Published: September 2022

Aim: To investigate the hepatotoxicity of graded doses of ethanol extract of Dialium guineense stem bark in Wistar rats. Materials and Methods: Adult male Wistar rats (n = 35), which weighed between 160 and 180 g (mean weight = 170 ± 10 g) were assigned to seven (7) groups (5 rats per group). Group I rats served as control, while those in groups II - VII received graded doses of extract (200 - 5000 mg/kg body weight, bwt) for 28 days. Liver function tests (LFTs) were carried out. Results: There were no significant differences in the activities of alanine aminotransferase (ALT) among the groups (p > 0.05). While there were no significant differences in the activities of aspartate aminotransferase (AST) and gamma glutamyltransferase (GGT) in groups II – V (p > 0.05), they were however, significantly increased in groups VI and VII, when compared with control group (p < 0.05). Similarly, there were no significant increases in the concentrations of albumin, total protein, globulins, bilirubin and malondialdehyde (MDA) in plasma of rats treated with graded doses of ethanol extract, relative to the control group (p > 0.05). In all instances, the basal activities and concentrations of the measured indices of liver function were not significantly different from the values after treatment (p > 0.05). Conclusion: The graded doses of ethanol extract of D. guineense stem bark did not elicit any deleterious effects on liver function indices.
LINGUO-CULTUROLOGICAL ASPECT OF STUDYING THE SYMBOLS OF COLOR IN TEXTS OF ART LITERATURE
Authors:   Karakalpak State University, Uzbekistan, MUKHITDINOVNA KHODJALEPESOVA INDIRA
Published: September 2022

The article deals with the issues of linguo-culturological aspects of color symbolism in the texts of fiction. Color acts as a meaningful element of culture, with the help of which it is possible to characterize, systematize objects, social attitudes and moral and ethical concepts. The culturological analysis of a literary text involves the identification of a system of culturally marked units, the totality and interaction of which forms the linguo-culturological space of the entire text.