bluuebunny/crossref_metadata_2025 huggingface dataset:
Analysis of Educational Reality and Expectations Regarding Competencies Defined in “The Role of Korean Doctor, 2014”
Authors: Yang Eunbae B. , Shin Hyekyung , Suh Dukjoon , Han Jae Jin
Published: March 2023

The aim of this study is to determine whether the 65 competencies, defined in “the role of Korean doctor, 2014”, are suitable for basic medical education phase in Korea. It seeks to analyze the gap among the educational reality and expectation, assessment situation of the competencies above. We also try to define issues of the development, application and assessment phases of competency-based medical education (CBME) at individual medical schools. We designed survey tools based on the Miller’s assessment pyramid (knowledge, explanation, demonstration, and performance) for each of the 65 competencies. The survey distributed to 41 medical schools in April 2015 and 38 replies were received (92.7%). Competencies that matched both the educational reality and expectation were numbers 1 (patient care), 33 (social accountability), and 49 (professionalism). However, all the other competencies ranked lower in current status than that of desirable level. 54 out of 65 competencies (83.07%) remained at the knowledge and explanation level when each competence were assessed. In the development, application, and assessment phases of CBME, common issues that medical schools commonly noted were difficulty linking competencies to curriculum preparation and student assessment, the lack of faculty’s understanding, difficulty to reach consensus among faculties, and absence of teaching and learning methods and assessment tools that fits CBME. For the successful settle down of CBME, there is a need for efforts to develop the model of graduate outcomes, to share information and experience, and to operate faculty development program by the medical education communities.
Patient Safety Education: Team Communication and Interprofessional Collaboration
Authors: Park Kwi Hwa , Park Kyung Hye
Published: March 2023

Team communication, teamwork, and interprofessional collaboration are critical and the basis for patient safety in a more diverse and complex clinical environment. This study explored the current status of teamwork, team communication, and interprofessionalism in the context of patient safety within undergraduate medical education. A scoping review of the literature published since 2010 was undertaken. Fifteen papers were included for final review. The most commonly used educational methods were off-line lectures and simulations. Standard team communication tools suggested in TeamSTEPPS (team strategies and tools to enhance performance patient safety) were covered in some of the research. Knowledge, skills, and teamwork attitudes, interprofessional collaboration, and/or patient safety were improved in most of the papers. In the previous studies of team communication, the content and method of education, and the change in knowledge and attitudes of the individuals have been widely reported, but more research is needed regarding the method of evaluating the teamwork itself. In addition, education on team communication as well as patient safety and interprofessionalism is lacking. As the importance of team communication in patient safety increases, more attention is needed on this topic in undergraduate medical education.
The Making and Shaping of the Young Gael: Irish‐Medium Youth Work for Developing Indigenous Identities
Authors: McArdle Eliz , Neill Gail
Published: March 2023

Identity exploration and formation is a core rumination for young people. This is heightened in youth where flux and transition are characteristic of this liminal state and intensified further in contexts where identity is disputed and opposed, such as in Northern Ireland. In this post‐colonial setting, the indigenous Irish language and community recently gained some statutory protections, but the status and place of the Irish‐speaking population continue to be strongly opposed. Drawing on focus group data with 40 young people involved in the emerging field of Irish‐medium youth work, this article explores how informal education offers an approach and setting for the development of identities in contested societies. Principles of emancipation, autonomy, and identity formation underpin the field of youth work and informal education. This dialogical approach to learning and welfare focuses on the personal and social development of young people and troubles those systems that marginalise and diminish their place in society. This article identifies how this youth work approach builds on language development to bring to life a new social world and space for Irish‐speaking young people. It identifies political activism and kinship development as key components in strengthening individual and collective identity. This article proposes a shift in emphasis from the language‐based formal education sector to exploit the under‐recognised role of informal education in the development of youth identity, cultural belonging, and language revitalisation.
Assessment of predisposition in the acquisition of the english language and motor development in children with autism spectrum disorder: Case report
Authors: Bernardo de Carvalho Fernanda , Batista Saldanha Jackeline , Protestato Fernanda , Mendes Trevizan Silva Mariana , Lima Silva Giovana , Benite Palma Lopes Jamile , Barbosa Cordeiro Lorraine , Santos Oliveira Claudia
Published: March 2023

Background: Autism Spectrum Disorder (ASD) is a complex neurobiological disorder. Characterized by language deficits, however, it is known that there is a development of bilingualism in the autistic population. Delay in motor development is present in the population, with deficits in fine and gross motor coordination. Objective: The present study aims to evaluate the predisposition to acquire a second language and motor development in children with ASD. Method: The case report is composed of four children, verbal with the cognitive and physical capacity to participate in the evaluations. Mean age ± 8 years and 3 months, 50% male, 100% literate. Distributed into two groups: group I: two children diagnosed with ASD according to DSM-V and group II: two children with typical development. The group of children with ASD underwent the assessment protocol consisting of the application of the Childhood Autism Rating Scale (CARS) while the Revised Psychoeducational Profile (PEP-R) and the Placement Test were applied in both groups. Result: Children with ASD assessed with CARS had a low level of support. Regarding the PEP-R, the same group showed a deficit in the development of fine and gross motor coordination compared to group II. The child with ASD from the public network had a lower score compared to the child from the private network in relation to the level of development of bilingualism, both in reading and writing. Conclusion: It is possible to suggest that the development of fine and gross motor skills of children with ASD are deficient, however, they demonstrated a good result in the predisposition to learning a second language, including the child who studies in a public school. Although its development is a little smaller.
Determination of the Industry Nature of Public Law Regulations Governing Banking as a Basis for Resolution of Practical Conflicts
Authors: Lysova-Bahareva J. V.
Published: March 2023

The article touches on both general theoretical and practical issues of the importance of determining the sectoral affiliation of legal norms for resolving emerging legal conflicts. As an example, the author explores the problem of interaction between Article 74 of the Law on the Bank of Russia and Articles 15.26, 15.27 of the Administrative Code of the Russian Federation, which often leads to arbitrariness on the part of the Mega-Regulator. Attention is drawn to the manifestation of distortions in the principle of independence of the Bank of Russia in the form of a 20-year confrontation with court decisions on disputes on bringing credit institutions to responsibility. The resolution of contradictions between legal norms is proposed to be carried out on the basis of the constitutionally enshrined principle of legal equality, the guarantee of which is the codification of provisions on public liability. The correlation of financial and administrative law in the regulation of banking activity is analyzed and the absence of any features for the assertion of the existence of financial and legal responsibility is revealed. The author comes to the conclusion that it is necessary to exclude compositions providing for administrative liability for violation of banking legislation from any legislative acts, except the Administrative Code of the Russian Federation, in order to ensure consistent and predictable legal regulation.
About Currency Restrictions in 2022, Introduced in Respect of Individuals
Authors: Tarasenko O. A. , Andronova T. A.
Published: March 2023

The focus of this article is the currency restrictions imposed by the Russian Federation on resident individuals in response to the deployment by foreign states and their unions of a policy of sanctions pressure on the national banking system. First, the authors identify regulatory windows and types of country sanctions: freezing of reserves and assets of the Bank of Russia, a ban for the Bank of Russia on access to the capital market and a ban on the sale, supply, transfer or export of cash euros and US dollars to Russia. Further, the domestic legal order is analyzed in terms of the introduction and operation of currency restrictions that apply to resident individuals. It is revealed that the main restrictions consisted in the forced conversion of part of foreign currency deposits, prohibitions on crediting currency to foreign accounts and providing loans to non-residents, setting thresholds for crossborder transfer of non-cash and cash funds; prohibition of electronic money transfers with the help of foreign payment service providers and transactions with persons of foreign states committing unfriendly acts or included in the sanctions list by the Government of the Russian Federation. The legality of the establishment of these currency restrictions and the practice of their application are investigated. Based on the results of the analysis, ways to improve domestic legislation are proposed.
Fundamental Categories of Civil Law in the Conditions of Digitalization of Society (on the Example of Banking Agreements)
Authors: Volos A. A.
Published: March 2023

The author discusses the problems related the transformation of the theory of civil law in the situation of subjects and objects. It is noted that there is one fundamental question that can be divided into separate sub-questions. The question is if it is necessary to expand the legally established list of subjects/objects. Can new digital relationships be explained according to classical constructions? In order to solve these problems, the author proposes a “test on the principles of civil law”. It can be a theoretical and practical basis for solving the issue of changing fundamental approaches to the subject, object, subjective rights, legal facts in the conditions of digitalization of society. According to this approach the “test on the principles of civil law” is a thought experiment, which consists in presenting how the principles of civil law will be interpreted with a significant transformation of the fundamental categories of civil law in connection with the digitalization of society.
Law of Monetary Circulation: System Analysis
Authors: Davidenko D. V.
Published: March 2023

System analysis is necessary to establish the boundaries of the law of money circulation and describe the mechanism of its functioning. The concept of the monetary system, which is an integral category reflecting the structure of monetary circulation, allows establishing systemic links between the institutions of money circulation. The elements of the monetary system accurately describe the composition, boundaries and nature of the internal relations of social relations related to the subject matter of the law of monetary circulation. The institutions of the law of money circulation underlie the relations that make up the content of credit money and mediate their emission, as well as relations for the organization and regulation of money circulation, the need for which is due to the fiat nature of money. The institutions of the law of monetary circulation have different industry affiliations, but there is a close functional relationship between them, due to the unity of purpose and the distribution of tasks within the mechanism of monetary circulation. The legal regulation of the circulation of modern money has a private law and public law basis. Interaction between institutions is implemented within the framework of complex legal relations.
Peculiarities of Legal Personality of Credit Organizations (on the example of the Republic of Tajikistan)
Authors: Shukhratpur M.
Published: March 2023

The issue of the legal personality of credit organizations has been studied by the authors for a long time, but there is still no full-fledged judgment on it. What type of legal personality is characteristic of credit organizations — in modern science is an acute issue. Today there are different opinions on this issue. Modern science has long advanced from the primitive division of the legal personality of all legal entities into general and special. The authors identify different types of legal personality of credit organizations — mixed, exclusive, general, partially limited general, special, partially limited general, etc. However, the arguments given by the authors in favor of their position are refuted by other equally convincing arguments. This article analyzes all currently known types of legal personality inherent in credit organizations, and puts forward a new author’s concept of solving the problem.
The air exchange rate measuring method by the concentration of carbon dioxide in the vehicle cabin air
Authors: Yakunova Elena A.
Published: March 2023

BACKGROUND: Vehicle passengers may be exposed to high concentrations of hazardous substances, especially in heavy traffic and traffic jams. The air exchange rate is an important factor in assessment of the level of pollutant substances exposure on the people inside the vehicle.
AIMS: Development of the air exchange rate measuring method, based on carbon dioxide concentration build-up in the vehicle cabin air.
MATERIALS AND METHODS: The presented method makes possible to determine the air exchange rate in a stationary vehicle or vehicle, moving with constant velocity. The set of experiments was carried out, in which the air exchange rate was determined in a stationary vehicle and in a moving vehicle at velocities of 30, 60 and 90 km/h. For each velocity, the air exchange rate was determined for three air conditioning system modes, such as intake air supply, recirculation mode and air conditioning system off.
RESULTS: According to the results of measurements, the air exchange rate varied from 0.42 h-1 to 76.17 h-1.
CONCLUSIONS: The study results corresponds to the results, obtained earlier by other authors, using alternative methods, and may be used for development of regulatory requirements to control the pollutant substances exposure on the people inside vehicle cabins and for the people healthcare strategy formation.
The straight-line stability analysis of the vehicle with the electronic stability control
Authors: Eranosyan Artem V.
Published: March 2023

BACKGROUND: At present time, branches of industry have been increasingly filled with electronics, capable of controlling different processes in order to achieve demanded paremeters values. Automotive industry, safety issues of which such as vehicle stability and handling are paid much attention, have not become an exclusion. Vehicle safety improvement is one of the areas of development of modern auto-motive industry. Manufacturers permanentally increase the number of control systems and raise the level of control on wheeled vehicle motion parameters in order to achieve the highest possible level of stability and handling. Using of various all-wheel-drive systems becomes more relevant and reasonable. Traction force distribution between all wheels improves dynamic performance indicators, makes cross-country ability better in similar road conditions and allows using algorithms, improving handling and course-keeping ability of a vehicle.
AIMS: Determination of variation range of the control parameter in order to ensure stable straight-line motion of a vehicle with controlled transmission.
MATERIALS AND METHODS: The two-axled vehicle, which transmission has an ability of torque distribution between front and rear axles, is considered in the article. The system of diiferential equations in terms of middle wheels side slip angles was made up in the study. The LinardChipart algebraic cri-terion was used to define variation ranges of the control parameter in order to ensure stable straight-line motion of the vehicle.
RESULTS: The obtained variation ranges of the control parameter are included in the adjustment range of modern torque distribution mechanisms, consequently, it is possible to speak about ability to ensure stability of straight-line motion of a full-wheel-driven vehicle with currently existing mechanisms. The scientific novelty of the study lies in analytical determination of variation range of the control parameter for the case of straight-line motion of a vehicle equipped with the electronic stability control.
CONCLUSIONS: Practical value of the study lies in establishment of ability to ensure stability of straight-line motion of a full-wheel-driven vehicle with currently existing mechanisms.
The test rigs for motorcycle framework and suspension testing. Durability testing of motorcycles and their components
Authors: Kuzmin Andrey O. , Meshcheryakov Denis Y. , Eidelman Alexander L.
Published: March 2023

BACKGROUND: Leading motorcycle manufacturers use a wide range of testing equipment in the process of development of new vehicles. At various stages of the motorcycle development, static and dynamic tests are carried out to determine the properties of the being developed vehicle, to make changes in the design or to validate the virtual model.
AIMS: The analysis of domestic and foreign testing equipment in order to create the roller test rig for fatigue testing of motorcycles.
METHODS: The tests results and articles on the subject of motorcycle testing were analyzed.
RESULTS: Various motorcycle test rigs and types of the motorcycle framework testing were analyzed.
CONCLUSIONS: The practical value of the study lies in the use of the analyzed information for the development and producing of the roller test rig for motorcycle durability testing.
Una Breve Revisión de la Aplicación del Diseño de Experimentos en la Coloración de Materiales Plásticos
Authors: Acosta-Toscano Dylan , Troncoso-Palacio Alexander
Published: March 2023

El color es una característica clave esencial para que los envases de plástico se destaquen en el mercado. Debido a esto, los productores de envases plásticos, se preocupan por aplicar técnicas que ayuden a que su apariencia sea más atractiva para los clientes. El objetivo de este estudio es, brindar a la comunidad un artículo que sirva de base para futuras investigaciones sobre los envases plásticos de colores. Se realizó un rápido análisis sobre el uso del diseño de experimentos para el tratamiento del color en materiales plásticos. Se analizó una muestra de quince estudios publicados en Scopus, Web of Science y Science Direct. Al examinar sus resultados, se concluye que, para obtener una buena pigmentación del material plástico, se deben controlar los siguientes tres factores: Temperatura, Velocidad del Tornillo sin fín y Velocidad de Avance de la Máquina.
Estrategias para la disminución de costos logísticos en la importación de una empresa comercializadora de productos alimenticios
Authors: Cabrales-González Andrés , Caicedo-Rosado Angie , Castañeda-Ortega Rolando , Romo-Esquea Kate
Published: March 2023

Este artículo busca promover algunas estrategias que permitan un mejor control y disminución de los costos logísticos en las importaciones de productos alimenticios (carnes blancas, carnes rojas y productos veganos).

Teniendo como base de análisis el diagrama de Ishikawa, desarrollado por Kaoru Ishikawa. El cual permitió realizar una evaluación de las áreas involucradas en la importación de dichos productos las cuales generan cuellos de botellas que afectan los procesos operativos. Para esta investigación se utilizó una metodología de tipo elemental que agregue valor a la cadena de distribución, teniendo en cuenta; beneficios fiscales, negociación del valor de la mercancía, despachos de aduanas en zonas secundarias, automatización de procesos y contratación de un comercio con el objetivo de obtener mejoras en los procesos de transporte y distribución de la mercancía de contenedores en los puertos, minimizando costos y optimizando tiempos de entregas entre operaciones.
Propuesta de mejora en el proceso de almacenamiento de productos perecederos en el programa del banco de alimentos
Authors: Barrios Muñoz Diana Silvana , Barrios Guerrero Wendy Paola , Cerinza Barrero Aratxa Andrea , Hernández Calvo Gabriela
Published: March 2023

A través del tiempo, las empresas han prestado poca atención al desempeño eficiente de sus bodegas, esta área ha sido considerada como una zona de poca importancia y por ende, se ha concebido popularmente que no requiere métodos, técnicas y procedimientos para su manejo o control de los productos allí almacenados especialmente los relacionados con productos perecederos, sin embargo, debe existir una serie de normas referente a la inocuidad y calidad de entrega de productos de diferentes categorías según la escala de alimentos a procesar. El proceso de distribución en este contexto, debe ejecutarse en el mínimo tiempo posible ya que si no se cuenta con la infraestructura (cuarto frío) para mantener la cadena de frío en los productos frutas y verduras, estas se deterioran rápidamente. Tomando dicha descripción como base y enfocándonos en el proceso de distribución, tomamos como objetivo principal, después de realizar el análisis pertinente de las problemáticas actuales dentro de la operatividad del programa, se pretende proponer  diversas estrategias o posibles recomendaciones para mejorar o minimizar el cuello de botella que se presenta en el tiempo de entrega de productos Fruver y en el proceso en general, ya que debido a esto retrasa netamente la operatividad de la dinámica.
Análisis de un Proceso de Impresión Litográfica, Mediante la Técnica de Simulación de Sistemas
Authors: Ayala Del Toro Karen , De La Hoz Acosta Dailyn , González Polo Esteban , Troncoso-Palacio Alexander
Published: March 2023

Este articulo tiene como propósito diagnosticar el proceso productivo de una empresa litográfica de Barranquilla con el fin de identificar las deficiencias que presenta su actual proceso de impresión. Se hace uso del Software Arena para simular el comportamiento del sistema productivo y se identifica que hay un bajo nivel de aprovechamiento de los recursos, puesto que no se llega a utilizar ni el 50% de la capacidad de las máquinas y operarios, por ello, se sugiere asignar a menos operarios las actividades de corte, diseño y empaquetado. Con esto se concluye que, por motivo de la ausencia de estudios de los diferentes procesos, las empresas litográficas pueden estar omitiendo datos importantes que les puedan permitir la eliminación o reducción de los cuellos de botella y un aumento en la productividad de la organización.
Research on Ideological and Political Construction of Basic Accounting Course for Non Accounting Majors
Authors: Zhao Xiaoling , Zhang Bo , Wei Lan
Published: March 2023

Basic accounting is a basic course for non accounting majors stipulated by the Ministry of education. It is the core course for all majors of economics and management. The introduction of ideological and political education content in the teaching process of basic accounting can integrate the socialist core values into teaching and educating people, stimulate students’ interest in learning, mobilize students’ enthusiasm for learning, and then improve the learning effect. Firstly, this paper introduces the significance of carrying out curriculum ideological and political teaching reform in the basic accounting course of non accounting majors under the educational concept of “curriculum ideological and political education”; Secondly, it analyzes the current situation of the curriculum construction of basic accounting for non accounting majors, then discusses the problems existing in the ideological and political construction of basic accounting for non accounting majors, and finally puts forward practical measures.
Proto-Speech Roots Hypothesis in English Vocabulary Teaching in Second Language Acquisition
Authors: Cui Jinying
Published: March 2023

Vocabulary acquisition is the core and foundation of second language acquisition. This article puts forward a new method of English vocabulary teaching -- Proto-speech Root Hypothesis Method, which is based on the motivation of language -- the iconicity of sound and meaning. The main objective of the article is to discover the effect and learners’ attitudes on two vocabulary methods -- Proto-speech Root Hypothesis Method and Roots-affixes Method-- on learning the meaning of new English words by English majors in private universities in Henan Province, China. The research was conducted at two first-year classes of English majors in Shengda University, a famous private university in Henan. Two classes learned 100 new English words in two vocabulary methods within two weeks by Massive Open Online Course (MOOC) and then received an online vocabulary test. The result shows that the Proto-speech Root Hypothesis Method is better for remembering new words, and students tend to learn more of it in class.
Stakeholder's Perceptions of Translanguaging in Chinese Primary Education
Authors: Yuan Yijia
Published: March 2023

A new paradigm in multilingualism, known as translanguaging, offers a fresh and different perspective on second language acquisition. However, little is known about stakeholders’ attitudes towards translanguaging in China. By conducting interviews, questionnaires, and making classroom observations, this study investigates primary school teachers’ and students’ perceptions of translanguaging in China. The results revealed that although they do not recognize its legitimacy, they use it in classes due to limited English proficiency and improved classroom management, among other reasons.
Donation of women's milk to the neonatology department at the Androva hospital in Mahajanga
Authors: Raveloharimino Nirina Henintsoa , Randriamanga Radohery Lovasoa , Razanamanana Safidisoa Nambinina , Rabesandratana Norotiana
Published: March 2023

Background: The functioning of a milk bank begins with the donation of milk from women donors. The objective of our study was to describe the demographic profile of mothers who donate milk and their practice of donating milk in the neonatology department at the hospital Center Androva Mahajanga.
Methods: This is a prospective, descriptive study over a 7-month period, from August 2019 to February 2020. Were included all healthy breastfeeding women who agreed to donate excess breast milk.
Results: The participation rate of breastfeeding women in milk donation was 6.6%. Vaginal delivery was the most common (85.9%). The majority had no knowledge about milk donation (83.8%). Manual breast pumping was the most used (43.8%). The average total amount of milk collected by a mother from the beginning to the end of the donation was 613 ml. The average duration of donation by a mother was 6.4 days.
Conclusions: The participation and knowledge of mothers on the donation of women's milk was low, although it can improve the survival of newborns.
Renal involvement and outcome in children with COVID-19 infection
Authors: Pandey Neha , Ohri Alpana , Udani Amish , Shah Chintan
Published: March 2023

Background: COVID-19 infection is known for multi-organ involvement of which Kidney injury predominates. AKI is associated with raised mortality in intensive care setting worldwide. Due to scarcity of data of renal involvement in pediatric COVID-19 population, we aimed to study its incidence in pediatric population requiring admission for COVID 19.  
Methods: This was a single centred observational study where all the indoored COVID-19 infected children were looked for any form of renal involvement. We divided the study population into subgroups of those having any underlying renal ailment and the other without any underlying illness.  
Results: 342 patients with COVID-19 infection were enrolled. Renal involvement was seen in 38 (11%) subjects. Of them 31 subjects developed AKI. Maximum number of population had severe/ stage III AKI (as per KDIGO criteria). Among the AKI subgroup (N=31), 41.9% (n= 13) required acute RRT of which 6 subjects were successfully discharged. 20/31 (64.5%) subjects of AKI subgroup were discharged with complete renal recovery and 11/31 (35.4%) had expired. Among the 7 subjects who did not develop AKI, all were discharged successfully.  
Conclusions: AKI occurred in significant proportion of study population with SARS-Co-V2 infection. AKI subgroup reports higher mortality rate which is proportional to the stage of AKI.
Kawasaki like illness in COVID versus Kawasaki disease in pre-COVID era
Authors: Bhat Aijaz Ahmad , Bashir Amber , Muzafar Jan  , Wani Khurshid Ahmad
Published: March 2023

Background: In children and adolescents, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is mostly responsible for mild respiratory symptoms, in contrast with severe forms reported in adults. An association between the disease caused by SARS-CoV-2, coronavirus disease 2019 (COVID-19), and late manifestations of vasculitis has been increasingly suspected.
Method: All children and adolescents (aged ≤18 years) who were diagnosed with Kawasaki disease (KD) and KD shock syndrome (KDSS) as per AHA and Kanegaye et al criteria. From each patient we obtained at least two nasopharyngeal swabs to test for SARS-CoV-2 using reverse transcription- polymerase chain reaction (RT-PCR). We also took blood samples to test for IgG antibodies against SARS-CoV-2. 
Results: Leucocytosis was found in majority with median leucocyte count of 10100 predominant neutrophila. Inflammatory markers D dimer, serum ferritin and fibrinogen level were raised. The 43% patients had coronary artery aneurysm. The 75% patient had some form of Left ventricular systolic dysfunction. All patients received IVIG while 13 patients received both IVIG and methyl predinisolone. Ionotropes were used in 68%. Two patients received tocluzumab.
Conclusions: In this study we found increased incidence of Kawasaki like illness temporally associated with COVID-19. Older age of presentation with more atypical presentation.
Evaluation and assessment of clinical and demographic profile, aetiology and outcome of status epilepticus in paediatric patients
Authors: Garasiya Nirav Z. , Patel Priyanshi P.
Published: March 2023

Background: Status epilepticus (SE) is one of the most frequent neurological emergencies that require prompt diagnosis and treatment. If not managed promptly, it may result in significant neurological morbidity and mortality.
Methods: It is prospective observational study. Study for clinical and demographic profile, aetiology, outcome in patient of status epilepticus.
Results: Occurrence of SE is in indoor paediatric patients was 2.05%. Male and female M: F ratio is 1.3:1. Fever was common associated symptoms in SE. The commonest type of seizure was generalised tonic-clonic seizure (GTCS). Infective etiology was most common amongst patients with SE. secondary epilepsy with CP was second most common cause followed by complex febrile seizure and primary epilepsy. In infants, metabolic etiology was the most common cause for SE. Majority of seizures were controlled only by benzodiazepines. Requirement of midazolam infusion was only in few patients and requirement of anesthetic agent was rare. Mechanical ventilation was frequently required in patients with refractory status epilepticus (RSE) and super-refractory status epilepticus (SRSE). Mortality was almost same in all age groups with SE. Mortality was directly proportional to duration of the SE and was highest in patient having >30 minutes of duration of seizure.
Conclusions: SE was more commonly associated with male gender and age <5 years. By improving hygiene, nutritional and vaccination status, overcrowding and education, we can reduce occurrence of SE, by reducing infections. Mortality can be reduced by immediate control of seizure and improving intensive care facilities.
Study of tuberculosis and other infections among children (age 2 to 18 years) with multitransfused thalassemia major
Authors: Gunjan V. Ramani  , Makwana Namrata K. , Bhadresh Vyas  , Mahesh Jani
Published: March 2023

Background: In India, beta thalassemia is prevalent across the country, with an average frequency of carriers being 3-4%. Infection is the major cause of morbidity and mortality in thalassemia, so regular screening is required for this disease.
Methods: Ethical clearance taken from institutional ethical committee. 150 thalassemia patients were enrolled in study after informed written consent. The medical histories were obtained from the patients and their files. Clinical examination was done including anthropometry, general examination, and systemic examination. MT and chest X-ray (CXR) were done for screening of tuberculosis infection. Blood samples were taken for S. ferritin, S. creatinine, serum glutamic pyruvic transaminase (SGPT), human immunodeficiency virus (HIV), and hepatitis B surface antigen (HBsAg) tests. Transfusion and other detail were taken like iron chelator, folic acid (FA) and calcium supplements.
Results: In this study, out of 150 patients, 4 patients were RVD positive and 34 patients were HCV positive. No Patients found HBsAg positive. No patient had Montoux test reactive and chest X-ray positive finding.
Conclusions: : Increase frequency of transfusion-related infection (hepatitis C, B, and HIV) in multi-transfused thalassemia. No correlation was found between tuberculosis infection and thalassemia patients in this screening study.
Safety and efficacy of combination of oral iron chelators in thalassemia major patients
Authors: Thomas Justin , Sharma Pramod , Parakh Manish , Mandloi Deepshikha
Published: March 2023

Background: To assess the safety and efficacy of combination of oral iron chelation therapy in transfusion dependent thalassemia patients and to compare it with other regimes.
Method: 150 transfusion dependent thalassemia patients with iron overload were recruited for a prospective, case control study. They were divided into 4 groups based on their chelation regime. The drugs used were deferasirox (DFX) alone, deferiprone (DFP) alone, DFP+DFX in combination, parenteral desferrioxamine (DFO) with either DFX or DFP with 50, 15, 70 and 15 in each group respectively. Doses used were DFX-30 mg/kg, DFP- 75 mg/kg/day, DFP+DFX-50 +30 mg/kg/day, DFO+DFP-25 mg/kg/d+50 mg/kg/day and DFO+DFX-25 mg/kg/d +30 mg/kg/d daily. Base line haematological, hepatic and renal profile and S. ferritin samples were collected and analyzed. Patients were monitored monthly for compliance and side effects. 30 patients were excluded during the course of study. Tests were repeated after 18 months period and the results of 120 patients were compared between the groups and statistically analyzed.
Results: There was statistically significant reduction of S. ferritin in both groups taking oral combination therapy and parenteral therapy (p<0.0001). There were no serious hematological, renal/hepatic side effects in any groups.
Conclusions: The oral combination therapy of iron chelators is safer and was well tolerated by all the patients and is similarly efficacious to the parenteral therapy in lowering S. ferritin.
The role of melatonin in regulating sleep wake disorders in children attending the developmental pediatrics outpatient service of a tertiary care hospital in South India
Authors: Thampy Megha , M. C. Mathew  , Mathew Anna , Kurien Liya Grace , Michael Raj John
Published: March 2023

Background: We have observed that 75% of children with neurodevelopmental challenges visiting the Developmental Pediatrics department of this institution have sleep wake disorders. Disturbed sleep has a negative effect on learning and behavior. In this study we assessed the effectiveness of melatonin in improving sleep wake disorders in children with developmental compromise from this south Indian state.
Methods: Children with developmental challenges having sleep wake disorders confirmed by the pediatric insomnia severity index PISI, who were prescribed a daily dose of 3mg of melatonin participated in this prospective, observational, longitudinal study if the parents gave written informed consent. Parents were educated in the practice of sleep hygiene. The sleep disturbance scale for children (SDSC) was used to assess the overall pattern of sleep and six common disorders before and three weeks after starting melatonin.
Results: Based on the PISI scores, 13, 58 and 20 children had mild, moderate and severe insomnia respectively. Melatonin improved sleep latency, increased duration of sleep, decreased night awakenings, crying spells, dreams and daytime drowsiness. There was a significant improvement in the sleep pattern as indicated by better scores in the total SDSC score as well the scores for the six sleep disorders (p<0.001).
Conclusions: Melatonin has a significant role to play in regulating duration and quality of sleep and improving sleep pattern in developmentally challenged children with sleep-wake disorders.
A rare case report: an unusual fusion of mesiodens and incisors, supernumerary canine and missing mandibular lateral incisors
Authors: Mehta Rina G. , Kamlesh B. Rami  , Disha Bhatt  , Kunal Thakkar  , Niyati Thakkar
Published: March 2023

Supernumerary teeth are commonly encountered dental anomalies that affect the primary and early mixed dentition. They can lead to a range of pathological disturbances in the developing permanent dentition. Consequently, the patient has poor dental and facial aesthetics. The erupted or unerupted extra tooth located at the maxillary midline, between the central incisors is known as mesiodens. When diagnosed early, it can be treated properly with an excellent prognosis. The objective of this case report is to share knowledge about mesiodens and their management.
Bibliometric analysis of published research on pediatric health disparities
Authors: Glusman Jennifer W. , Doherty Kathryn , Johannes Kacie E. , Willis Allison W.
Published: March 2023

This study aimed to examine the current evidence in the medical literature on health disparities in the pediatric population. A bibliometric analysis of published research focused on health disparities in pediatric patients was conducted to analyze publication trends. A search of the Scopus database was conducted using keywords that were determined to be appropriate by the authors. This analysis helps determine which pediatric subspecialties may be lacking in health disparity research. A total of 2,380 publications from 1979 to 2021 met the inclusion criteria using the keywords “pediatric health disparities.” The number of articles published increased over the observation period, with 679 published between 2020-2021. When grouped by subspecialty, the majority of articles were associated with general pediatrics, followed by oncology, cardiology, nephrology, endocrinology, gastroenterology, neurology, pulmonology, and urology. When organized by health disparity risk factor or population, socioeconomics was the most common followed by race, urban, gender, rural, mental disability, physical disability, gender identity, religion and sexual orientation. The United States published more articles than any other country. The National Institute of Health has funded the majority of pediatric health disparities research. Pediatrics was found to be the leading journal of pediatric health disparity research. Research on pediatric health disparities is most frequently published in the United States, and is most focused on socioeconomics in a primary care setting. There is a large gap of research conducted in pediatric subspecialties, and on health disparities such as religion, sexual orientation, gender, and gender identity.
Dentine grafts in socket preservation: An overview
Authors: Prasanth T , Vantary Spandana Reddy , T S Satisha , Gupta Nitin , Krishna Ankit
Published: March 2023

During management of carious teeth, root stumps, fractured roots and unsalvageable teeth, extractions become inescapable. Healing post-extraction is characterized by changes that results in bone formation in the socket internally and changes related to width and height of alveolar ridge externally. The maintenance of height and width of alveolar bone or regeneration of alveolar bone is necessary to provide good support to the prosthesis, conservation of adjacent tooth structure and also for superior and satisfactory aesthetic outcome. A broadly documented approach is the preservation of bone walls by use of bone substitute (bone graft) in the extraction socket, where guided-bone regeneration may be required. Different varieties of bone grafts like autogenous bone grafts, allografts, alloplasts and xenograft may be used. Various factors like donor site morbidity, restricted availability and cost are the limitations of various bone substitutes. A new autogenous bone substitute that is being studied is the extract of patient’s own extracted tooth without need for a secondary bone harvesting site. Tooth-derived mineralized dentin matrix exhibits composition similar to the bone and is a viable option for alveolar bone augmentation immediately after dental extraction.

The aim of this review is to analyze the role and efficacy of dentine grafts in preservation of post-extraction sockets.

Autogenous dentine graft when used in socket preservation procedures showed many benefits for both patients and the clinicians by excluding donor site morbidity, limited availability and associated cost issues with a better quality of newly substituted bone and minimal amount of residual graft. Future controlled trials are suggested to monitor various tissue changes along with histological studies to provide substantial evidence of its regenerative potential.
Disfunções Decorrentes da Esquistossomose
Authors: Felipe Jerônimo Leite Wellington , Carolinne Araújo Rocha Anna , Lyev Bidô Alves Lincoln , Maria Sousa Teles Brenda , Bezerra de Sá de Sousa Nogueira Tiago , Nunes Alves de Sousa Milena
Published: March 2023

O presente artigo tem o objetivo de relatar as principais disfunções decorrentes da esquistossomose. Caracteriza-se como uma Revisão Integrativa, a qual os artigos foram selecionados na plataforma da Biblioteca Virtual em Saúde, em que foram identificados 888 artigos, porém após a aplicação dos filtros foram encontrados 119, dentre os quais 18 foram selecionados. O país que mais foi alvo de estudos sobre tal doença foi o Brasil. Esses estudos foram realizados com mais frequência nos anos de 2009, 2010, 2011, 2015 e 2016. Dentre as disfunções analisadas citaram, majoritariamente, a fibrose periportal, hematúria, angiogênese, entre outras.  Diante dos achados, notou-se a importância de refletir sobre as disfunções decorrentes da esquistossomose, visando permitir um diagnóstico e tratamento precoce.
Doença de Chagas e a transmissão por alimentos contaminados
Authors: Nivardo Lóssio Rocha Ana Flávia , Da Silva Quirino Almeida Klebiany , Dias Rodrigues Araújo Rebeca , Isabeli Dantas Roseana , Bezerra de Sá de Sousa Nogueira Tiago , Nunes Alves de Sousa Milena
Published: March 2023

O presente artigo objetiva elucidar a ocorrência da transmissão da doença de chagas por alimentos contaminados. Dessa forma, utilizou-se de uma revisão integrativa em que a busca foi realizada a partir dos descritores em inglês e português “food contamination” and “chagas disease” e “contaminação alimentar” e “doença de chagas”, identificando-se 43 artigos nas bases de dados Biblioteca Virtual em Saúde e Publicações Médicas. Em seguida, a partir dos critérios de inclusão e exclusão estabelecidos, foram selecionadas 10 publicações. A contaminação de alimentos pelo T. cruzi pode ocorrer especialmente quando os triatomíneos depositam suas fezes na superfície de alimentos ou ingredientes alimentares infectados ou quando esses triatomíneos são esmagados com alimentos, principalmente, durante o processamento de suco de frutas, como no suco de açaí. Sendo assim, os achados indicam que a relação existente, dá-se, sobretudo, pelo aumento dos fatores de degradação ambiental que aumenta migração do inseto, além disso, as poucas condições higiênico-sanitárias existentes durante o processamento de alimentos contribuem para aumentar possibilidade de contaminação.
Dieta low carb como prevenção de complicações em pacientes com diabetes mellitus tipo 2
Authors: Gomes Lorenna Bezerra , Gouveia Filho Petrônio Souto , Sousa Milena Nunes Alves de
Published: March 2023

Introdução: Estimativas da Organização Mundial de Saúde (OMS) apontam que as Doenças Crônicas Não Transmissíveis (DCNT) como diabetes, agravos cardiovasculares, obesidade, síndrome metabólica e câncer figuram entre as principais causas de morte no mundo. Das doenças crônicas não transmissíveis o diabetes mellitus tipo 2 merece destaque em razão de haver 400 milhões de diabéticos  no mundo, sendo que 90% são do tipo 2. Sendo a dieta habitual o mais importante fator de risco modificável na etiologia dessa doença. Objetivo: Identificar os benefícios da low carbohydrate diet como medida preventiva para diabetes tipo 2. Método: A pesquisa se fundamentou no método de Revisão Sistemática da Literatura. A estratégia utilizada foi a PICO: População (P) -  Pacientes com diabetes mellitus tipo 2, Intervenção (I) - Low Carbohydrate Diet, Comparação (C) – high carbohidrate diet e low fat Desfecho (O) -  Prevenção e redução de complicações. Resultados: O teor relativamente baixo de carboidratos na dieta contribuiu para a manutenção dos níveis normais de glicose, impactando favoravelmente alguns parâmetros lipídicos e corrigindo anormalidades observadas no diabetes tipo 2. Conclusão: Conclui-se que o teor relativamente baixo de carboidratos na dieta pode contribuir para a manutenção dos níveis normais de glicose, impactando favoravelmente alguns parâmetros lipídicos e corrigindo anormalidades observadas no diabetes tipo 2. Quando a dieta é rica em gorduras boas, teremos uma menor absorção dos carboidratos e menores indices na liberação da insulina.
Proposta de sistema especialista para auxiliar no diagnóstico da doença de Alzheimer
Authors: Alves de Oliveira Fernanda , Sousa Milena Nunes Alves de , Bezerra de Sá de Sousa Nogueira Tiago , Ribeiro Suárez Pablo , Túlio Caldas Marcus , De Araújo Batista Suárez Larissa
Published: March 2023

Diante do cenário atual, em que a busca pelo conhecimento é constante, a tecnologia se faz cada vez mais presente na vida das pessoas como agente facilitador, o que agiliza o acesso à informação. Deste modo, a utilização de sistemas especialistas no processo de diagnóstico tende a facilitar o processo de busca pela informação do profissional da saúde. Sendo assim, este trabalho apresenta a elaboração de um protótipo de sistema especialista que auxilia profissionais a identificarem o diagnóstico sugestivo da Doença de Alzheimer, utilizando a ferramenta Expert SINTA. Para tanto, foi gerada uma base de conhecimento sobre aspectos teóricos relacionados à Doença de Alzheimer e Sistemas Especialistas, metodologia de desenvolvimento utilizada e análise de viabilidade da proposta sugerida através da avaliação de métodos qualitativos.