bluuebunny/crossref_metadata_2025 huggingface dataset:
Seizures, deep vein thrombosis, and pulmonary emboli in a severe case of May–Thurner syndrome: a case report
Authors: Seely Kevin D. , Arreola Heidi J. , Paul Loveleen K. , Higgs Jordan A. , Brooks Benjamin , Anderson Randal C.
Published: November 2022

Background

May–Thurner syndrome is a vascular disorder caused by the right common iliac artery compressing the left common iliac vein against the lumbar spine, causing distal venous stasis and potentially leading to fibrous change in the venous wall structure. Although May–Thurner syndrome is most commonly discovered in females upon investigation of new-onset deep vein thrombosis, we present the case of an otherwise healthy 29-year-old male with severe May–Thurner syndrome who presented with seizures, bilateral deep vein thrombosis, and diffuse pulmonary emboli. Seizures constituted the earliest presenting symptoms for the patient. Although it is difficult to prove that the patient’s seizures were related to the May–Thurner syndrome, this possible association renders this case extraordinary.

Case presentation

This report describes the case of a 29-year-old previously healthy white male with a severe case of left-sided May–Thurner syndrome that required extensive medical and interventional treatment. The patient experienced two seizures, one month apart, both of which occurred while residing at high altitude. The patient had no prior history of seizures, and epilepsy was ruled out. Three weeks after the second seizure, he presented to the emergency room with hemoptysis, dyspnea, and severe leg pain. Sites of thrombus were confirmed in both legs and diffusely in the lungs. Etiological work-up after treatment with intravenous tissue plasminogen activator revealed May–Thurner syndrome. Hematology workup including genetic testing showed no evidence of coagulopathy. Bilateral common iliac venous stents were placed to attempt definitive treatment. Despite stenting, the patient had another thrombotic event with associated sequelae after discontinuation of anticoagulation. The patient has not had another seizure since the stents were placed. Despite the negative testing, the patient remains on lifelong chemoprophylaxis in the event of an undiscovered hypercoagulopathy.

Conclusions

The care team theorizes that the seizures resulted from hypoxia due to May–Thurner syndrome-induced hemostasis and associated thrombotic events, the high-altitude location of his residence at the time he experienced the seizures, and shallow breathing during sleep. For patients with lower limb venous thrombosis, May–Thurner syndrome should be considered in the differential diagnosis. Endovascular treatment followed by extended prophylactic anticoagulation therapy until the patient is determined to be no longer at risk for thrombosis is recommended. Post-venoplasty thrombosis is a common complication of endovascular treatment of May–Thurner syndrome and should be carefully monitored.
Urbanization, economic development, and environmental changes in transitional economies in the global south: a case of Yangon
Authors: Fan Peilei , Chen Jiquan , Fung Cadi , Naing Zaw , Ouyang Zutao , Nyunt Khaing Moe , Myint Zin Nwe , Qi Jiaguo , Messina Joseph P. , Myint Soe W. , Peter Brad G.
Published: November 2022

Background

Transitional economies in Southeast Asia—a distinct group of developing countries—have experienced rapid urbanization in the past several decades due to the economic transition that fundamentally changed the function of their economies, societies and the environment. Myanmar, one of the least developed transitional economies in Southeast Asia, increased urbanization substantially from 25% in 1990 to 31% in 2019. However, major knowledge gaps exist in understanding the changes in urban land use and land cover and environment and their drivers in its cities.

Methods

We studied Yangon, the largest city in Myanmar, for the urbanization, environmental changes, and the underlying driving forces in a radically transitioned economy in the developing world. Based on satellite imagery and historic land use maps, we quantified the expansion of urban built-up land and constructed the land conversion matrix from 1990 through 2020. We also used three air pollutants to illustrate the changes in environmental conditions. We analyzed the coupled dynamics among urbanization, economic development, and environmental changes. Through conducting a workshop with 20 local experts, we further analyzed the influence of human systems and natural systems on Yangon’s urbanization and sustainability.

Results

The city of Yangon expanded urban built-up land rapidly from 1990 to 2000, slowed down from 2000 to 2010, but gained momentum again from 2010 to 2020, with most newly added urban built-up land appearing to be converted from farmland and green land in both 1990–2000 and 2010–2020. Furthermore, the air pollutant concentration of CO decreased, but that of NO2 and PM2.5 increased in recent years. A positive correlation exists between population and economic development and the concentration of PM2.5 is highly associated with population, the economy, and the number of vehicles. Finally, the expert panel also identified other potential drivers for urbanization, including the extreme climate event of Cyclone Nargis, capital relocation, and globalization.

Conclusions

Our research highlights the dramatic expansion of urban land and degradation of urban environment measured by air pollutants and interdependent changes between urbanization, economic development, and environmental changes.
Effect of external use of Qingluo San on clinical efficacy in patients with acute gouty arthritis
Authors: Shu Chun , Yang Fang , Zhu Fubing , Hua Dongping
Published: November 2022

Objective

The present study aimed to observe the clinical efficacy of the external use of Qingluo San combined with diclofenac sodium double-release enteric capsules in the treatment of acute gouty arthritis (dampness–heat accumulation syndrome).

Methods

A total of 58 acute gouty arthritis patients were divided into two groups using the random number table method. Diclofenac sodium double-release enteric capsules were orally administered in the control group. Based on the treatment in the control group, the external use of Qingluo San was given in the treatment group, with 7-day course of treatment. The changes in visual analog scale (VAS) scores, the tenderness, swelling, and mobility function of the joint, and the traditional Chinese medicine (TCM) syndrome scores before and after the treatment, at day 0, 1, 3, 5 and 7, were observed in both groups, together with the comparison of laboratory indicators (erythrocyte sedimentation rate, ESR; C-reactive protein, CRP; uric acid, UA).

Results

The total effective rate was 96.55% in the treatment group and 82.76% in the control group. After treatment, the VAS score, the tenderness, swelling and function scores of the joint, and the TCM syndrome scores decreased in both groups. The treatment group was superior in improving the VAS scores, the tenderness, swelling and mobility function of the joint, and TCM syndrome scores, when compared to the control group (p < 0.05). The laboratory indicators, which included the ESR, CRP and UA, obviously decreased in both groups after treatment (p < 0.05). The ESR significantly decreased in the treatment group, when compared to the control group (p < 0.05).

Conclusion

The combination of the external use of Qingluo San and oral administration of diclofenac sodium double-release enteric capsules can more rapidly relieve joint pain, and improve the clinical efficacy. This combination therapy also has certain advantages in relieving joint swelling and improving the mobility function of the joint. Hence, this is worthy of clinical promotion and application.
Value chain analysis of Mung Bean (Vigna radiata L. Wilczek thrive) in Kalu Woreda, Ethiopia
Authors: Assefa Zena Befkadu , Dinku Amare Molla , Jemal Abdulkerime Mohammed
Published: November 2022

Background

Mung bean is an important pulse legume multipurpose crop that has significant health and economic benefits. It plays an important role in climate resilience and increasing food security. We conducted the study in Kalu Woreda Eastern Amhara, Ethiopia, where the crop is highly adopted. The study aimed to analyse and evaluate the local value chain of the crop. Though Mung bean is a market oriented crop and playing an important role in food and nutrition security; there is a lack of clear evidence that shows how the local value chain of the crop is performing. Therefore, empirical evidence on the Mung bean value chain is required to design interventions to enhance the value chain actors’ performance.

Methods

A mixed approach was used to collect and analyse the data and to have a complete picture of the research. We collected data from producers, collectors, wholesalers, retailers, and exporters through household survey, focus group discussion and key informant interviews. Descriptive statistics and econometric model were used to analyse the quantitative data. We analysed qualitative data using narration, summarization, and theme formation.

Results and conclusion

The average allocated land for Mung bean per household was 0.32 ha with a standard deviation of 0.15 ha. Mung bean value chain actors include input suppliers, producers, collectors, retailers, wholesalers, exporter and consumers. The highest percentage of the profit share goes to exporters (25.04%), followed by wholesalers (21.61%). Traditional farming practices, small landholding, poor access to agricultural inputs, pests and disease, poor infrastructure, and price fluctuations were the major Mung bean production and marketing challenges. Sex 0.166 (P = 0.008), the volume of Mung bean produced 0.26 (0.0001), farming experience 0.028 (0.048), frequency of extension contact 0.01 (0.072) and land allocated for Mung bean 3.411 (0.0001) were significantly determining the amount of Mung bean supplied to the market. Supporting farmers with agricultural inputs and delivering training on post-harvest issue, experience sharing among producers, and linking producers to cooperatives looks important to develop Mung bean local value chain. Strengthening multi-stakeholder linkages among Mung bean value chain actors through field days and workshops is also imperative in smoothing the local and international marketability of the crop.
Training effect on sex-based differences in components of the Shepard and Metzler mental rotation task
Authors: Kozaki Tomoaki
Published: November 2022

Background

Spatial ability has been reported to indicate sex-based differences in humans, mainly assessed by Shepard and Metzler mental rotation task (SM-MRT). Most performances in earlier studies have been evaluated by the mean value of reaction time and/or accuracy. The performance indexes might not be sensitive measures of mental rotation. Sex-based differences in the performance might also be involved in the spatial experience of the subject at the time. This study observed variations in components of the SM-MRT over repetition.

Methods

Male (n = 17) and female (n = 17) subjects completed 20 days of repeating the SM-MRT. The slope and intercept of the function performance (reaction time) to the angular disparity are calculated; the slope of this function indexes the mental rotation (main-process), and the intercept indexes the other sub-processes.

Results

A significant main effect of sex was obtained on the slope. The intercept also showed a tendency toward statistical difference. The interactions between the sexes and the day were not significant for the indices. Statistical testing for coefficient of variations (CV) indicated no sex-based difference in the effect of the intercept throughout the experiment day. The CV of the slope, however, showed tendencies toward sex-based difference from days 7 to 12.

Conclusions

The difference between the sexes in performance on the slope was sustained throughout the experimental period. A few female subjects who demonstrated larger slope values than male subjects caused the sex difference. The learning rate of mental rotation may be an inherent spatial ability.
Interplay of greening and ENSO on biosphere–atmosphere processes in Australia
Authors: Liang Shijing , Ziegler Alan D. , Li Laurent Z. X. , Wu Jie , Wang Dashan , Zeng Zhenzhong
Published: November 2022

Terrestrial ecosystems are fully coupled with the climate. The planet has been greening owing to the increased vegetation growth in response to the changing atmosphere, which in turn has feedback on the climate. Greening has slowed down the rise in global land-surface air temperature mainly through a coincident increase of evapotranspiration and precipitation in wet regions. In dry regions, greening intensifies the decrease in soil moisture induced by greening-enhanced transpiration. Uncertain, however, is how the climate effects of greening in semi-arid lands might differ for variable wet and dry conditions. Here, we focus on the biosphere–atmosphere interactions in Australia by modeling the perturbation of vegetation changes under various states of sea surface temperature (SST), including the climatology mean, El Niño, and La Niña conditions. For the dry conditions of El Niño, greening exacerbates water stress and largely depletes the soil moisture, while for the wet conditions of La Niña, greening-enhanced evapotranspiration and precipitation resupply the soil moisture. For the normal conditions using the climatology mean SST, a small decrease in soil moisture occurs but with large spatial contrast because of heterogeneous changes of evapotranspiration and precipitation induced by greening. We emphasize that the alternating dry and wet conditions modulated by the large-scale climate variability are vital to understanding the response of climate to greening. Furthermore, vegetation-based warming mitigation policies need to be cautious when inferring distinct climate effects associated with greening.
Association between 1st trimester diet quality & gestational weight gain rate among pregnant women in Dhulikhel, Nepal
Authors: Martin Kelly , Radler Diane Rigassio , Sackey Joachim , Zhang Cuilin , Shrestha Kusum , Shrestha Abha , Shrestha Archana , Barrett Emily S. , Rawal Shristi
Published: November 2022

Background

Despite promising data from high-income countries, the impact of diet quality on gestational weight gain (GWG) has not been investigated in the context of many low-income countries including Nepal.

Methods

We prospectively examined the association between 1st trimester diet quality and GWG rate among a cohort of singleton pregnant women (n = 101; age 25.9 ± 4.1 years) from a community-based periurban hospital in Dhulikhel, Nepal. Diet quality was assessed from the adapted Nepali version of the 21-item PrimeScreen questionnaire in the 1st trimester. The diet quality score is based on consumption frequency of 21 food group components (score ranging 0–42), categorized as healthy (12 groups) versus unhealthy (9 groups), with higher scores indicative of better overall diet quality. The GWG rate was calculated as the measured weight at early-to-mid 3rd trimester (28–35 wks) minus the weight at 2nd trimester (13–25 wks), divided by the number of weeks in between. Linear regression estimated the association between diet quality and GWG rate, adjusting for a priori covariates (i.e. age, education, ethnicity, pre-pregnancy BMI, and nausea/vomiting.)

Results

The mean GWG rate in mid-to-late pregnancy was 0.46 ± 0.2 kg/wk and the mean diet quality score was 23.6 ± 2.5. Based on pre-pregnancy BMI, 49.4% of women had excessive GWG rate, while nearly equal numbers had either adequate GWG or inadequate GWG rate. There was no significant association between diet quality and GWG rate [adjusted β (95% CI) = -0.02 (-0.05, 0.01); p = 0.14]. The mean GWG rate was marginally higher (0.57 vs. 0.44 kg/wk; p = 0.06) among those with high versus low (2 + servings vs. 0–1 serving/wk) intake of red meat; similar findings were seen when comparing red meat intake between women with excessive versus adequate GWG (Cramer's V = 0.2; p = 0.06).

Conclusions

While 1st trimester diet quality is not related to GWG among Nepali women, a high intake of red meat may be a potential risk factor for excessive GWG in this population.
Adherence to dietary approaches to stop hypertension (DASH) diet in relation to psychological function in recovered COVID-19 patients: a case–control study
Authors: Khorasanchi Zahra , Ahmadihoseini Asieh , Hajhoseini Omalbanin , Zare-Feyzabadi Reza , Haghighi Masoumeh , Heidari Masoumeh , Esfehani Ali Jafarzadeh , Dehnavi Zahra , Sharifan Payam , Rashidianyazd Simin , Latifi MohammadReza , Rastgooy Fatemeh , Ildarabadi Danial , Bajgiran Maryam Mohammadi , Soflaei Sara Saffar , Ferns Gordon , Mobarhan Majid Ghayour
Published: November 2022

Background

Follow-up of patients after recovery from coronavirus disease 2019 (COVID-19) and identifying the adverse effects of the disease in other organs is necessary. Psychiatric symptoms can persist after patients recover from the infection.

Aim

We aimed to examine the adherence to the dietary approach to stop hypertension (DASH) diet in relation to psychological function in individuals who have recovered from COVID-19.

Method

This case–control study was conducted on 246 eligible adults (123 cases and 123 controls). A valid and reliable food frequency questionnaire (FFQ) was used to determine dietary intake. Depression, anxiety and stress, insomnia, sleep quality, and quality of life of participants were evaluated using DASS, Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), and SF-36 questionnaires, respectively.

Results

There was a significant inverse correlation between total depression score with vegetables, depression, anxiety, and stress score and dietary intake of nuts, legumes, and whole grains (p < 0.05). There was a significant positive correlation between stress scores and the intake of red and processed meat (P < 0.05). In multivariate-adjusted regression model, a significant association was found between adherence to DASH diet and depression and stress only in case group (OR = 0.7863, 95% CI 0.746–0.997, p = 0.046 and OR = 0.876, 95% CI 0.771–0.995, p = 0.042, respectively).

Conclusion

Adherence to a DASH diet might be associated with depression and stress reduction in recovered COVID-19 patients.
Obliterated Materiality: The Supremacy of the Book and Chosŏn Funerary Texts
Authors: Cho Hwisang
Published: November 2022

The deaths of Confucian scholars in the Chosŏn period (1392–1910) gave rise to elaborate rituals through which the bereaved reframed their relationships to the deceased as well as among themselves, and which took place most explicitly in the process of producing diverse funerary texts. Created in a specific material format and aesthetic, each funerary text addressed a particular group of people enacting its respective performative functions in the ritual proceedings. While exploring the funerary texts produced for T’oegye Yi Hwang (1501−1570), this article grapples with the indistinguishable narrative styles shown in different funerary texts despite their distinctive material conditions and ritual functions. It demonstrates that the privileged status that books enjoyed in Chosŏn Confucian tradition meant that their addressivity nullified the original tone and style of each text, because funerary texts were eventually compiled and included as part of the deceased’s collection of writings in book form. This study argues that textual scholarship needs to account for hierarchies among the different textual materialities, particularly when the same texts travel across diverse media forms. It complements existing historiography that almost always uses Chosŏn funerary texts as narrative sources and takes for granted the cultural practice of writing and including them in books.
“A Great Invention of the East, Unsurpassed in History”: Tŭngsap’an Mimeography in Korea, 1910–1945
Authors: Solomon Deborah B.
Published: November 2022

In 1912, Horii Duplication opened a branch office in Keijō, or present-day Seoul, aiming to sell what the company optimistically described as “a great invention of the East,” its patented tōshaban (K. tŭngsap’an) duplicator. The tŭngsap’an was, indeed, a remarkably accessible technology. It was simple and inexpensive to operate; it could reproduce images, roman letters, and East Asian scripts; and it was capable of generating duplicates on any type of paper using readily available ink. Tŭngsap’an technology was deeply implicated in Japanese expansionism from its inception, and in Korea, its role in enabling knowledge production, surveillance, and other forms of political control furthered the reach of the colonial state. Even so, tŭngsap’an duplication was widespread beyond official use, and its unique combination of affordances led colonial authorities to view the tŭngsap’an as both a tool for and a target of state surveillance, especially as independence activists utilized tŭngsap’an duplication in fluid and interactive ways to further resistance efforts. The paradoxes that tŭngsap’an duplication embodied make it a unique site of textual practice, and a rich vantage point from which to study how arrangements of power in colonial Korea were enacted, experienced, navigated, and contested.
Taejabo: Remediations and Materiality of South Korean Wall Posters
Authors: Fedorenko Olga
Published: November 2022

An iconic medium of underground antiauthoritarian student activism in the 1980s, taejabo, or large “big-character” paper posters, has experienced a revival in postmillennial South Korea. Despite democratization and the availability of numerous online platforms, taejabo remains an important low-tech medium for students’ expression on matters of local, national, and international significance. This article explores taejabo’s transformations—from flourishing as an analogue counter-establishment medium in the 1980s, to experimental digital adaptations and the medium’s decline in the 1990s, to taejabo’s comeback in the 2010s as a postdigital medium. Drawing on scholarship on remediation, media materiality, and postdigitality, this article argues that taejabo’s abiding relevance and coherent identity have been anchored in its ontology as publicly displayed large sheets of inscribed paper, and in its material performativity. In particular, taejabo’s spatiality enables it to not simply represent different ideas but emplace them, literally confronting onlookers and materially transforming campuses into places of contestation. Contemporary taejabo’s intermediality between paper and digital illustrates how online media, rather than being disruptive, are incorporated into established media practices.
Aïda Muluneh’s Photographic Memory
Authors: Bateman Anita N.
Published: November 2022

This article contextualizes the work of contemporary photographer Aïda Muluneh within a broader discussion of Ethiopia’s recent political climate. The author argues that Muluneh visually interprets narratives of place, exile, and agency, with particular regard to issues of displacement, by showing photographic representation of Ethiopian modernity structured around Muluneh’s invocation of her personal history and reference to Ethiopia’s many ethnic groups. For the purpose of clarifying the term “modern,” this assignation refers to the demarcation of time in Ethiopia’s history beginning with the Zemema Mesafint, or Era of Princes (ca. 1760– 1855), which laid the groundwork for the emergence of centralized imperial power that was later dissolved by the 1974 revolution. The article explores the consequences of state power and nationalism post-revolution in definitions of modernity as well the political messages Muluneh embeds within her images.
Caring for the Dead
Authors: Zengin Aslı
Published: November 2022

In Sunni Muslim funerals in Turkey, the state, religious actors, and members of kin and family hold the obligations and rights to the deceased, such as washing, shrouding, burying, and praying for the dead body, which the author characterizes as care for the dead. The practices of care represent the deceased body in strictly gendered ways. For instance, the coffin design, the prayers at the mosque, the washing ritual prior to burial, and the rites of inhumation are different for women and men. This article examines the intimate economies of touch that take place while preparing the deceased body for a religious afterlife. Touch, in the form of washing, kissing, and caressing the deceased by family members, is central to showing the last deeds and bidding farewell to the lost one. However, past cases demonstrate that when the deceased is a trans person, corpse washers and family members may refuse to touch the body of the deceased during the washing ritual. Theorizing touch as an essential care work for the dead, the author discusses the limits of gendered and sexual belonging in the practices and discourses of mourning and grief in Turkey.
Techniques of Abstraction in Black Arts
Authors: Moore Kelli
Published: November 2022

This review essay discusses recent exhibitions and accompanying art books published at the threshold of Black philosophy and aesthetics in relation to feminist mourning practices: Nicole Fleetwood’s book and exhibition Marking Time: Art in the Age of Mass Incarceration (2020); Grief and Grievance, an exhibition (2021); a book (2020) conceived by the late Nigerian curator Okwui Enwezor; and Saturation: Race, Art, and the Circulation of Value (2020), edited by C. Riley Snorton and Hentyle Yapp. These books and several others elucidate how relationships between transnational feminism, mourning, and Black works of art speak to Frantz Fanon’s idea of “the leap into existence,” Hortense Spillers’s “dialectics of a global new woman,” and David Marriott’s psycho-political analysis of invention.
Mothering Dead Bodies
Authors: Caesar Tiffany , Melonas Desireé , Jones Tara
Published: November 2022

Through the recounting of the narratives of two revolutionary Black mothers, Melissa Mckinnies and Yolanda McNair, this essay explores the ways in which Black mothers who have lost children to police violence have responded to Black maternal necropolitics and the ensuing historical legacy of Black maternal grief through political activism. It examines, through an engagement with global Black scholars through political theory, mothering theories, and depth psychology, how they manage to navigate maternal grief and loss into political action, thereby continuing their work of mothering and affirming the worth of their children’s lives, even when all that remains of their children are their dead bodies. In this way, the authors hope to highlight how Black mothers who embody revolutionary mothering through maternal activism enable them to imagine the possibility of an alternative future, one in which Black mothers are able to live happily with their children free from state-sanctioned violence targeting Black people.
Immediate clip migration after breast biopsy: a meta-analysis for potential risk factors
Authors: Lee Irene Tai-Lin , Ma Kevin Sheng-Kai , Luan Yu-Ze , Chen Jian-Ling
Published: November 2022

Objectives

Immediate clip migration following breast biopsy is not a rare condition but its impact on future cancer management can be profound. However, there is limited knowledge on what causes the phenomenon and how to prevent it.

Methods

A systematic search was performed to identify articles discussing factors associated with clip migration, and a meta-analysis for each risk factor was conducted to determine the risk ratio.

Results

The most significant risk factor for immediate clip migration is globally fatty breast (RR = 2.00 [1.43-2.80], P<0.00001), while local heterogeneity has a moderate but insignificant protective effect (RR=0.68 [0.45-1.04], P=0.07). Clips with bioabsorbable carriers and biopsy along the superior/inferior breast axis do not change the rate of clip migration.

Conclusion

Intrinsic breast composition is the most important determinant for accurate clip placement. Further research to identify potentially modifiable factors, such as clip design and biopsy techniques, is needed.

Advances in knowledge

Fatty breast composition has the highest risk of clip migration. Research on potentially modifiable factors such as clip design and biopsy techniques is needed.
Εκτίμηση της συμπεριφοράς των τελειόμηνων και οριακά πρόωρων νεογνών σε σχέση με προγεννητικούς και περιγεννητικούς παράγοντες
Authors: Χρέλια Κλεοπάτρα
Published: November 2022

Η ιδέα ότι το νεογνό είναι ένας αχαρτογράφητος και συνεπώς εύπλαστος οργανισμός, που μπορεί να διαμορφωθεί σύμφωνα με τη θέληση των γονιών του, έχει προ πολλού απορριφθεί, κυρίως μετά τη διαπίστωση της ύπαρξης κανόνων συμπεριφοράς όχι μόνον στα τελειόμηνα αλλά και στα οριακά πρόωρα νεογνά, που επηρεάζονται όμως από διάφορους τόσο προγεννητικούς όσο και περιγεννητικούς παράγοντες. Η ικανότητα των νεογνών να καθορίζουν τους κανόνες της συμπεριφοράς τους ανάλογα με τα ερεθίσματα που δέχονται από εσωτερικούς και εξωτερικούς παράγοντες, αποτέλεσε αντικείμενο πολύχρονων ερευνών και οδήγησε τους παιδιάτρους και τους άλλους λειτουργούς υγείας, να αναπτύξουν ένα μοντέλο βαθμολόγησης των δυνατοτήτων αυτών του νεογνού. Έτσι δημιουργήθηκε η κλίμακα εκτίμησης της νεογνικής συμπεριφοράς (Neonatal Behavioral Assesement Scale – NBAS) που χρησιμοποιείται από τους ερευνητές για περισσότερο από 40 χρόνια. Αποτελεί ένα ερευνητικό εργαλείο με ευρεία εφαρμογή, καθώς πολλά από τα σημεία που διερευνά μπορεί να ενσωματωθούν σε άλλα μέσα εκτίμησης των ικανοτήτων του νεογνού. Επίσης η κλίμακα αυτή έχει μια διαρκώς αναπτυσσόμενη εφαρμογή ως κλινικό εργαλείο στην εκτίμηση των γονέων.Το αντικείμενο της παρούσας διατριβής είναι να μελετηθούν οι αντιδράσεις τελειόμηνων και οριακά πρόωρων νεογνών και να περιγραφεί ο τρόπος συμπεριφοράς τους στο 2ο και 3ο 24ωρο της ζωής τους, σε σχέση µε διαφορετικούς προγεννητικούς και περιγεννητικούς παράγοντες.Παρατηρήθηκαν διαφορές στατιστικά σημαντικές. Όσον αφορά την κακή ψυχολογία της μητέρας το οποίο προκαλεί ευερεθιστότητα στο νεογνό, το χαμηλό μορφωτικό επίπεδό της όπου προκαλεί μια πιο υπερ-αντιδραστική συμπεριφορά επίσης ,το βάρος γέννησης >3kg όπου κ δυσκολεύει την οργάνωση του και η μη χρήση του κινητού τηλεφώνου της μητέρας κατά την διάρκεια της εγκυμοσύνης ρυθμίζει χειροτέρα το νεογνό. Η χρήση φούρνου μικροκυμάτων (ίσως έντονης ζωή της μητέρας) προκαλεί κακή ρυθμιστηκότητα στο νεογνό. Όσες μητέρες έχουν διαβήτη κύησης τα νεογνά του έχουν καλύτερη αντιδραστικότητα και αυτά γιατί λόγω του ότι η μητέρα ήταν πιο προσεκτική στην διάρκεια της κύησης.Όσες λάμβαναν αγωγή για θυρεοειδή τα νεογνά έχουν έντονα αντανακλαστικά , καθώς και αντίστοιχα με την λήψη μαγνησίου έχουν έντονη υψηλή αντιδραστικότητα ενδεχόμενος λόγω ενοχλήσεων , πόνων , κράμπες. Όσον αφορά το μητρικό γάλα τα νεογνά έχουν καλύτερη συμπεριφορά , όμως έχουμε πιο ήρεμα αντανακλαστικά με όσα νεογνά λαμβάνουν formula ενώ κάνοντας μεικτή διατροφή ισοβαθμούσαν.Δεν είχαμε διαφορές σε μεταξύ των δύο φύλων, όσον αφορά την οικογενειακή κατάσταση, τον τρόπο τοκετού (Φυσιολογικός Τοκετός ή Καισαρική Τομή), τις διαφορετικές μεθόδους αναισθησίας στη διάρκεια του τοκετού , (χωρίς αναισθησία, γενική αναισθησία, επισκληρίδιος/ραχιαία αναλγησία), τη χρήση ηλεκτρονικού υπολογιστή, λήψη προγεστερόνη στη διάρκεια της κύησης, αν ήταν πρωτοτόκος ή πολύτοκος η μητέρα, την ομάδα αίματος των μητέρων, το κάπνισμα.
Development of phase change materials for low-temperature thermal energy storage application
Authors: Nayan Kamal , Anand Abhishek , Shukla Amritanshu , Buddhi Dharam , Sharma Atul
Published: November 2022

Background: Energy storage is very critical for reducing the mismatch between demand and supply thus offering better management capabilities. It reduces the peak energy demand and increases efficiency, security, and reliability. There is unavailability of low-cost phase change materials (PCMs) in the lower temperature range.

Methods: This study discusses the creation of eutectic from capric acid and paraffin wax. A series of blending of capric acid/paraffin wax (CA/PW) were prepared, having variable weight-composition. The thermophysical properties were obtained using differential scanning calorimetry, Further, thermal cycle testing was done to understand the thermal stability and reliability of the prepared eutectics.

Results: The area underneath the peak is used to calculate the latent heat of fusion, and the tangent of the steepest slope at the peak of the crest is used to calculate the melting temperature (Tm). Differential scanning calorimetry results showed the developed eutectic had an appropriate melting temperature and adequate latent heat of fusion of 29.86 °C - 30.60 °C and 154.15–198.62 kJ/kg respectively, and can be used for various thermal energy storage applications in buildings, solar absorption chillers, surgical dress/clinical bed, and photovoltaic systems.

Conclusions: The accelerated thermal cycle of the same confirmed its thermal stability up to 500 heating and cooling cycles. It was discovered that variable heating and cooling speeds had no significant influence on the melting temperature and latent heat of fusion of PW/CA eutectics. Further, the economic study revealed that the created PCM is inexpensive and readily available in the Indian market.
Pronominal system of Soikkola Ingrian: personal, demonstrative, reflexive and reciprocal pronouns and their variation
Authors: Schwarz Anna , Rozhanskiy Fedor
Published: November 2022

This research analyses the pronominal system of Soikkola Ingrian. The main goal of the article is descriptive, because existing publications on Soikkola Ingrian give only a superficial analysis of pronouns and there are no detailed descriptions based on data from the 21st century. The article focuses on both interspeaker and intraspeaker variation in four groups of Ingrian pronouns: personal, demonstrative, reflexive and reciprocal. The field data collected by the authors in the 21st century are compared with the data presented in grammars written in the 19th and 20th centuries. The research concludes that although the pronominal system has not changed significantly, there are a number of innovations in Ingrian pronominal forms and their variation. The most frequent type of variation is the variation between individual speakers, but not between sub-dialectal groups. Free variation is also common, while other types of variation are less relevant.

Kokkuvõte. Anna Schwarz, Fedor Rozhanskiy: Isuri keele Soikkola murde pronoomenite süsteem: isikulised, demonstratiivsed, refleksiivsed ja retsiprooksed pronoomenid ning nende varieerumine.Uurimus analüüsib isuri keele Soikkola murde pronoomenite süsteemi. Artikkel on olemuselt kirjeldav. Olemasolevad Soikkola murret puudutavad uurimused esitavad üsna pealiskaudse pronoomenite analüüsi ning puuduvad 21. sajandi andmetel põhinevad üksikasjalikud kirjeldused. Artikkel keskendub nii kõnelejasisesele kui ka kõnelejatevahelisele varieerumisele neljas isuri pronoomenite rühmas: personaal-, demonstratiiv-,  refleksiiv- ja retsiprookpronoomenid. Autorite poolt 21. sajandil kogutud välitööde andmeid võrreldakse 19. ja 20. sajandil kirjutatud grammatikate andmetega. Uurimuses jõutakse järeldusele, et kuigi pronoomenite süsteem pole oluliselt muutunud, on isuri pronoomenite vormides ja nende varieerumises mitmeid uuendusi. Kõige sagedamini esineb varieerumist üksikute kõnelejate vahel, kuid mitte murde allrühmade vahel. Levinud on ka vaba varieerumine, samas kui muud tüüpi varieerumised on vähem olulised.
Influence of digital health on public health protection against the COVID-19 panademic in Algeria
Authors: Bouriche Ahmed , Bouriche Sihem
Published: November 2022

Covid-19, many challenges were faced by the people. Lacking of medical health facilities were top listed among these challenges. As a result of these issues, the medical system is paying more attention to digital Health. The purpose of this study was to examine the influence of digital health on public health protection against the COVID-19 pandemic via public health awareness and public health behavioural changes as mediating factors in Algeria. Population of the study was comprised of Algerian doctors and nurses. Five hundred and twenty two (522) respondents were selected as sample by using available sampling technique. For the collection of data a self-made questionnaire was developed and used for the collection of data. The collected data were analysed by using PLS-Smart program. Based on analysis, the researcher concluded that adoption of digital health can have a positive impact on public health behavioural changes and COVID-19 protection.
¿Las áreas protegidas sí están protegiendo nuestra biodiversidad?
Authors: Rubiano Kristian , Barragán Barrera Dalia C
Published: November 2022

En Colombia existen actualmente 1.391 áreas protegidas y tanto en su interior como en sus fronteras (zonas de amortiguación) se desarrollan muchas actividades humanas. El estudiante doctoral de la Facultad de Ciencias Naturales Kristian Rubiano mapeó 51 áreas protegidas para determinar las trayectorias de cambio en el uso de la tierra. Los resultados, que fueron presentados en la 58a Reunión Anual de la Asociación para la Biología Tropical y Conservación (ATBC), mostraron que las áreas protegidas están cumpliendo parcialmente su rol de conservar los ecosistemas.
MalSEIRS. Un modelo epidemiológico para predecir el comportamiento de virus informáticos
Authors: Martínez Martínez Isabella , Florián Andrés Felipe , Díaz López Daniel , Calderón Acero Camilo Andrés
Published: November 2022

Estudiantes del programa de Matemáticas Aplicadas y Ciencias de la Computación (Macc), de la Universidad del Rosario, desarrollaron un proyecto de investigación sobre la aplicación de modelos epidemiológicos para entender el software malicioso (MalSEIRS). Con él pretenden ofrecer mejores soluciones para enfrentar los ataques informáticos a los que se exponen a diario las empresas.
The antibacterial and antibiofilm activity of Granudacyn in vitro in a 3D collagen wound infection model
Authors: Esin Semih , Kaya Esingül , Maisetta Giuseppantonio , Romanelli Marco , Batoni Giovanna
Published: November 2022

Objective:

It is widely agreed that infection and the formation of biofilms play a major role in increasing inflammation and delaying wound healing. The aim of this study was to evaluate, in vitro, the antimicrobial activity of the wound irrigation solution, Granudacyn (Mölnlycke Health Care AB, Sweden) against planktonic bacteria and mature biofilms of clinically relevant bacterial species.

Method:

Quantitative evaluation of bacterial numbers and confocal and/or scanning electron microscopy were used to evaluate the wound irrigation solution's antimicrobial/antibiofilm activity in standard laboratory conditions as well as in a three-dimensional (3D) collagen wound infection model.

Results:

The wound irrigation solution exhibited a rapid and strong antibacterial activity against both Gram-positive and Gram-negative strains isolated from infected wounds in planktonic form, with a reduction in bacterial number of >4 Logs after as little as one minute of treatment. The wound irrigation solution also exerted an evident activity against preformed biofilms of Pseudomonas aeruginosa and Staphylococcus aureus (>3 Log and >1 Log reduction in colony forming unit number, respectively, after 15 minutes of incubation). Although the wound irrigation solution was partially inhibited in the presence of simulated wound fluid, it maintained a marked antibiofilm activity in in vivo-like conditions (ie. in a 3D collagen wound infection model) with a strong killing and a mild debridement effect, which was superior to standard saline.

Conclusion:

The results obtained in this study suggest that although the wound irrigation solution used might be partially inhibited by wound exudate, it has the potential to effectively kill wound infecting planktonic as well as biofilm bacteria.
Multidisciplinary management of a complex abdominal wound post necrotising fasciitis: a case study
Authors: Wynn Matthew , Gibson Ruth , Goldsmith Paul
Published: November 2022

A 59-year-old male patient presented with abdominal necrotising fasciitis secondary to a bowel perforation through a previous drain site that he had waited at home with for two weeks. Enteric contents were found within the abdominal wall. Surgery required extensive abdominal wall debridement and the formation of a double-barrel ileostomy within the debrided area. The resulting abdominal wound was large, initially covering an area of approximately 424cm2, and had continuous contamination from enteric leakage that could not be isolated. Achieving wound healing was challenging due to the enteric output and resultant continuous contamination of the wound bed.
A wound alkalinity measurement to predict non-healing wound outcomes
Authors: Senkowsky Jon , Li Shuxin , Nair Ashwin , Pal Suvra , Hu Wenjing , Tang Liping
Published: November 2022

Objective:

As wound pH could influence wound healing rates, this study examined the alkalinity of the entire wound during patients' follow-up visits to predict the final non-healing outcome.

Method:

Wound alkalinity of patients with diabetic foot ulcers (DFUs), venous leg ulcers, and other wounds during three follow-up visits within a four week period was recorded. All wounds were followed until 12 weeks to confirm that healed wounds did not relapse. The alkalinity of various wounds over multiple visits with varying durations was compared with final wound status to assess whether one-time wound alkalinity measurement could predict non-healing wounds. The effect of wound types, infection, age and sex on such determinations was also studied.

Results:

A total of 96 patients were included in this study. Based on probability variations of pre- and post-test non-healing outcomes from multiple visits over 12 weeks, second visit assessment gave the highest increase in risk of non-healing for an alkaline test result (+8.0%) and decrease in risk of non-healing for a non-alkaline test result (–19.7%). Moreover, a second visit (7–21 days from first visit) showed a greater change in risk for non-healing based on alkaline and non-alkaline test results (+15.7% and –38.1% respectively), compared with a visit within seven days (+6.3% and –12.5%, respectively). Wound type, infection, age and sex did not affect the prognostic ability of wound alkalinity.

Conclusion:

The results of this study support that a single wound alkalinity measurement during the second visit (7–21 days from first visit) can be used to predict non-healing wounds. Wound alkalinity may be routinely assessed to predict non-healing wounds and to determine whether the wounds are healing as expected following initial treatment.
Red legs: how to differentiate between cellulitis, venous eczema and lipodermatosclerosis
Authors: Nazarko Linda
Published: November 2022

Red legs are a common symptom. Linda Nazarko looks at how nurses can differentiate between the different causes to ensure safe and effective treatment

Nurses often encounter people with red legs. There are a number of reasons why an individual may develop red legs. The most common causes of red legs are cellulitis, venous eczema and lipodermatosclerosis. All have different causes and require different treatments. This article aims to enable readers to differentiate between these conditions which can appear similar, and to offer effective evidence-based care.
Best practice for medicines management and vaccination
Authors: Donovan Helen , Green David , Jenkins Jo
Published: November 2022

Helen Donovan, David Green and Jo Jenkins detail the legal mechanisms healthcare professionals may use to support vaccine administration

This article sets out the requirements for safe vaccine administration under the medicines legislation. The article explains the legal mechanisms available for the authorisation of vaccines to be administered: patient specific directions (PSDs), patient group directions (PGDs), national protocols and written instructions within occupational health services. The authors outlines these medicines mechanisms and when these different mechanisms can be considered for use in vaccination services.
Getting involved in the GPN forum committee
Authors: Nicholson Ellen
Published: November 2022

In this new column, Ellen Nicholson, RCN GPN Forum Chair, shares the purpose of the forum and explains how you can get involved
Phase separation and the properties of lithium strontium silicate glasses
Authors:   Alfred University, Shelby James E.
Published: November 2022

The immiscibility region covers most of the region of glass formation in the lithium strontium silicate system. Although the density, refractive index, and thermal expansion coefficient are insensitive to the presence of phase separation, the glass transformation temperature can be used to determine the limit of immiscibility in this system. The dilatometric softening temperature was used to determine the boundary the limit of connectivity of the silica-rich phase. The electrical conductivity and activation energy for conduction were used to determine the limit of connectivity of the lithium-rich phase.
Optical and electron paramagnetic resonance studies of VO2+ doped mixed alkali–alkaline earth oxide borate glass system
Authors:   Osmania University, Srinivas G. , Shiva Kumar J. , Shareefuddin Md. , Chary M. N. , Sayanna R.
Published: November 2022

Glasses with the composition xK2O–(25−x) Li2O–12·5BaO–12·5MgO–48B2O3–2V2O5 (0≤x≤20) were prepared by the melt quenching method. The mixed alkali effect (MAE) has been investigated in the glass system through density, molar volume, optical absorption and EPR studies. VO2+ ions were used as the spin probes. From the optical absorption studies the values of the optical band gap (Eopt) for indirect transitions and the Urbarch energy (∆E) were evaluated. The values of Eopt, ∆E and density exhibited nonlinear behaviour with the variation of Li2O content, which may be attributed to the mixed alkali effect. The EPR spectra have structures which are characteristic of a hyperfine interaction arising from an unpaired electron with the 51V nucleus and it builds up in intensity as x increases. The spin-Hamiltonian parameters were evaluated from the EPR spectra. For x=0 mol%, the EPR spectrum was found to be more intense and well resolved. The variation of g‖ versus A‖ and N versus 1/x as a function of Li2O content was found to be nonlinear, which may be due to the mixed alkali effect. The results obtained were explained.
ALD deposited amorphous alumina coatings can slow glass alteration
Authors:   University of Maryland, Hiebert Miriam E. , Weaver Jamie , Lam Thomas , Little Nicole , Hyde Ethan , Vicenzi Edward P. , Phaneuf Raymond J. ,   Smithsonian Institution,   National Institute of Standards and Technology
Published: November 2022

Atomic layer deposited (ALD) amorphous aluminium oxide and titanium oxide coatings have been investigated for use in reducing the rate of silicate glass alteration. Mass spectrometric analysis of leachate from elevated temperature aqueous immersion alteration experiments showed a marked decrease in the concentration of released Na and Si from the glass when the vitrified material was ALD coated as compared to uncoated glass. This decrease is consistent with the proposed protective effect of the ALD coating. Additionally, visual observations indicate formation of significant amounts of amorphous, secondary phase sediment for immersed, uncoated glass. This sediment was not present in the solution of the ALD coated and altered glass samples. However, the ALD coating did delaminate after protracted immersion, a likely limiting factor of the efficacy of ALD coatings. This limitation may be mitigated through a proposed refinement of the ALD coating procedure.