bluuebunny/crossref_metadata_2025 huggingface dataset:
EARLY RENAL REPLACEMENT THERAPY AND RESPIRATORY STATUS IN PATIENTS WITH ACUTE SEVERE PANCREATITIS
Authors: K. V. Nikitina , G. V. Ilukevich ,   Belarusian State Medical University
Published: June 2024

The use of renal replacement therapy (RRT) in the complex intensive care of acute severe pancreatitis (ASP) for extrarenal indications is important for the protection of target organs, but at the moment there are no unified approaches to its implementation. Objectives: to study the effect of complex intensive therapy with early inclusion of RRT on respiratory status indicators in patients with ASP. Methods. Respiratory status indicators were analyzed in 72 patients with ASP, divided into 2 groups depending on the fact of early RRT (from the second day of hospitalization). Results. Conducting complex intensive therapy with the inclusion of early RRT in patients with ASP normalized the parameters of the gas composition of arterial blood, manifested by an increase in the respiratory index, pO2, a decrease in lactate levels, and an increase in respiratory compliance. Moreover, extrarenal indications for inclusion in complex intensive therapy of early RRT in patients with ASP include the following: low respiratory index (≤ 177 mmHg), respiratory compliance (≤ 33 ml/cmH2O), pO2 (≤ 85 mmHg) and hyperlactatemia (≥ 2.5 mmol/l). Conclusion. The first experience of complex intensive care with the inclusion of early (from the second day of hospitalization) RRT showed its positive effect on respiratory status in patients with ASP with a decrease in mortality from 52% to 35%.
THE ROLE OF BLOOD FUCOSE AS AN ADDITIONAL PREDICTOR OF LIVER FIBROSIS IN PATIENTS WITH CHRONIC HCV INFECTION
Authors:   Belarusian State Medical University, I. V. Yurkevich , I. A. Karpov ,   Belarusian State Medical University, D. E. Danilov ,   Belarusian State Medical University, D. V. Litvinchuk ,   Belarusian State Medical University
Published: June 2024

Introduction. Chronic hepatitis C is a widespread condition and poses severe burden on public health. Given the high relevance of chronic hepatitis C, the search for new prognostic markers of liver fibrosis progression is an important area of research. Aim. To evaluate the clinical significance of fucose in patients with chronic HCV infection with various stages of liver fibrosis. Methods. The study included 77 patients with chronic HCV infection (chronic hepatitis with various stages of liver fibrosis, cirrhosis of the liver). The study evaluated parameters of complete blood count, coagulation tests, biochemical blood analysis (including fucose) according to the stages of fibrosis (or cirrhosis). The statistical analysis was performed in R 4.3.2. P-values < 0.05 were considered statistically significant. Results. Blood fucose in patients with severe stages of liver fibrosis (or cirrhosis) – 18.3 (14.7; 20.7) mg/dl (compared to stages F0-F2 – 7.5 (6.7; 10.3) mg/dl, p <0.00001). The fucose concentration correlated with a number of laboratory parameters: erythrocytes (p <0.001), hemoglobin (p <0.01), platelets (p <0.001), average hemoglobin concentration in erythrocyte (p <0.01), alkaline phosphatase (p <0.05), albumin (p <0.001), LDH (p <0.05), but not with ALT and AST levels (p>0.05). Conclusion. Fucose concentration in blood was significantly higher in patients with severe stages of fibrosis or liver cirrhosis. Absence of correlation between blood fucose and cytolytic syndrome allows to use it as a potential additional predictor of liver fibrosis, especially in cases where the results of liver elastography may be questioned.
N-ACETYL CYSTEINE: POSSIBILITIES AND PROSPECTS FOR USE IN URINARY TRACT INFECTIONS
Authors:   Belarusian State Medical University, A. A. Gavrusev
Published: June 2024

A review of literature data on the prospects for the use of acetylcysteine in the treatment of urinary tract infections is presented. In addition to the well-known mucolytic effect, ACC has antibacterial, anti-inflammatory and antioxidant properties. A number of studies have revealed the ability of ACC to suppress the development of bacterial biofilms, which is important in the treatment of chronic infections, including urinary tract infections. Studies have also demonstrated the anti-inflammatory activity of ACC, expressed in a decrease in the production of interleukins. Of interest is the property of ACC to suppress urease Proteus mirabilis, one of the main causative agents of nasocomial infection in urology. This property of ACC can be used in the prevention of infections associated with urinary catheters and ureteral stents incrustations.
CERTAIN CHARACTERISTICS OF HUMAN HEIGHT IN THE BELORUSIAN POPULATION FOR THE PERIOD 2021–2023
Authors:   Belarusian State Medical University, D. A. Alexandrov , O. A. Gorbich , V. A. Pereverzev ,   Belarusian State Medical University
Published: June 2024

The characteristics of the indicators of the final body height of men and women in the Belarusian population in 2021–2023 and their change during 1985–2023 are given. Uneven and unequal changes in both absolute height and growth rate of men's and women's final height in the Belarusian population are shown. The average final height of men for the period from 1985 to 2021 increased on average by 5.8 cm (from 175.6 to 181.4 cm) with a growth rate of +3.3%, while the average final height of women from 1985 to 2022 increased by 3.8 cm (from 164.5 to 168.3 cm), with a growth rate of +2.3%. It was found that at present in the described population the body growth of men can continue up to 22 years, and of women – up to 20 years. In 2023, there is a trend towards deceleration of final height in the Belarusian population in both men and women, but this observation requires further clarification.
Back to Bureaucracy? The Advent of the Neo-Weberian State in Germany
Authors: Kuhlmann Sabine
Published: June 2024

In this contribution, the emergence of the neo-Weberian state (NWS) is analyzed with regard to German public administration. Drawing on the concept of a governance space, which consists of a hierarchy, markets, and networks, we distinguish between four empirical manifestations of the NWS, namely, the NWS as (1) come back of the public/re-municipalization; (2) re-hierarchization; (3) de-agencification; (4) de-escalation in performance management. These movements can, on the one hand, be interpreted as a (partial) reversal of New Public Management (NPM) approaches and a “swinging back of the pendulum” (see Kuhlmann & Wollmann, 2019) toward public and classical Weberian principles (e.g., hierarchy, regulation, institutional re-aggregation). This reversal re-strengthened the hierarchy within the overall governance space to the detriment of, but without completely replacing, market mechanisms and networks. NPM’s failure to deliver what it promised and its inappropriateness as a response to more recent challenges connected to crises and wicked problems have engendered a partial return of the public and a move away from the economization logic of NPM. On the other hand, post-NPM reversals and managerial de-escalation gave rise to hybrid models that merge NPM and classic Weberian administration. While some well-functioning combinations of NPM and Weberianism exist, the hybridization of “old” and “neo” elements has also provoked ambivalent and negative assessments regarding the actual functioning of the NWS in Germany. Our analysis suggests that the NWS is only partially suitable as a model for reform and future administrative modernization, largely depending on the context surrounding reform and implementation practices.
Building Resilience, Agility, and Trust: The Neo-Weberian State as a Referential Model for Brazilian Public Administration
Authors: Gomide Alexandre , Lotta Gabriela
Published: June 2024

The paper explores the challenges and potential solutions for enhancing Brazilian public administration through the lens of the Neo-Weberian State (NWS) model. It discusses the historical context of Brazil’s public administration, highlighting the coexistence of different administrative mechanisms and the need for a stable, resilient, and agile bureaucracy to address contemporary societal challenges effectively. The article advocates for a paradigmatic shift toward a more coordinated, inclusive, and socially driven public sector, emphasizing the importance of hierarchical mechanisms and public service ethos in safeguarding democracy. By analyzing the trajectory of public administration reforms in Brazil and comparing them to global challenges, the essay underscores the NWS’s potential to bring legitimacy and effectiveness to state actions, ultimately aiming to restore trust in public administration and strengthen democratic governance in Brazil.
Determining the Best Location for Cold Test Based on Response Time in Anterior Teeth Using Various Applicators: An in-vivo Study
Authors: L. Naik Priyadarshini , Valli S Kusum
Published: June 2024

Although the cold tests have been used to supplement the diagnosis over the years in clinical practice, there are no exact locations that have been cited in literature where the stimulus can generate fastest and accurate response in anterior teeth. Various authors have suggested different sites to perform a cold test however this has not been standardised thus making it the need for the study.
Aim: To determine the best location to perform a cold test on anterior tooth and to compare endofrost with ice-sticks based on the response time.
Setting and design: An invivo study was performed on 20 subjects in the age groups of 20-40.
Methods: The labial surface of the anterior teeth were divided into three parts cervical, middle, incisal third. The cold test was performed with ice-sticks. The patients were instructed to raise a hand when they experienced a sensation and time was noted using a stopwatch. After giving a gap of 5 minutes for each teeth to recover the cold test was carried out with endofrost on the same subjects. The test was performed with both large #2 cotton tip applicators and small #4 cotton tip applicators and checked for response time following which the mean time taken to respond was calculated and ANOVA with tukeys post hoc analysis was done.
Conclusion: Within the limitations of this study, we can conclude that endofrost is the faster method to do a cold test when compared to ice sticks. Cervical third is the appropriate site to perform cold test with ice-sticks for anterior teeth. With endofrost middle third is the faster to perform cold test. Larger the size of cotton tip applicator faster is the response when performing the cold test.

Key words: Cold test, Cotton tip applicators, Endofrost, Ice-sticks, Vitality test
Functional Independence and Quality of Life in Traumatic Below T6 Level Spinal Cord Injury at Different Time Spans
Authors: G Chavhan Dinesh , Mehta Amita , Iyer Sarasawti
Published: June 2024

Background: Trauma is the most frequent cause of spinal cord injury in Indian adult populations. Injury results from damage caused by traumatic events such as motor vehicle accidents (40.4%), falls (27.9%), violence (15.0%), and sports (8.0%).
Aim: To find out the level of functional independence and quality of life in a person with traumatic below T6 level spinal cord injury as time progresses
Study Design & Setting: observational study & Tertiary care center, neuro-rehabilitation center.
Methods and Material: The sample size was 45 and each group had 15 spinal cord injury individuals. Inclusion was of both genders, traumatic incomplete below T6 level of spinal cord injury and sub-acute to chronic phase spinal cord injury were taken. The exclusion was a traumatic head injury and recent trauma to the lower limb.
Statistical analysis: Analysis was done using SPSS V 26. Krushkal Wallis test was used for the non-parametric data, and the mean and standard deviation were calculated.
Results: WHOQOL and SCIM were the scales used and mean values of the same at 3 different time spans are as follows: for WHOQOL, Physical domain 48, 56, 56., Psychological 39, 51, 54. c) Social 54, 60, 59, Environmental 52, 62, 64. Similarly, SCIM showed 36, 47 and 52
Conclusion: The study concludes that quality of life and functional capacity show a much better and significant improvement in the acute and subacute stage post-injury after which their stagnancy is observed

Key words: Quality of life, Traumatic, Spinal cord injury, Functional independence
Microbiological Analysis and Antimicrobial Susceptibility Pattern of Salmonella typhi and Escherichia coli Isolated from Raw Vegetables Sold in Some Selected Markets in Damaturu, Potiskum and Bade L.G.A, Yobe State, Nigeria
Authors: Wakil Sheriff , Bello Rabi Yakubu , Yunusa Saheed
Published: June 2024

The contamination of vegetables by pathogenic microorganisms is a global challenge to food safety and human health. This study was carried out to isolate Salmonella typhi and Escherichia colion three different raw vegetables (tomato, lettuce and carrot) randomly sampled from central markets (Damaturu, Potiskum and Bade) in Yobe State, Northeast, Nigeria. A total of two hundred and seventy (270) raw vegetable samples; (30) tomatoes, (30) lettuce and (30) carrots from each market were collected in clean-sterilized sampling bag and taken to Microbiology Laboratory, Department of Microbiology, Yobe State University Damaturu, Nigeria, for the isolation of S. typhi and E. coli using standard laboratory protocol. One hundred and thirty-six (136) positive isolates; Sixty-seven (67) S. typhi and sixty-nine (69) E. coli were obtained from raw vegetables. Damaturu market S. typhi were high in lettuce 47.1%, tomato 41.7% and carrot 37.5% while the E. coli has highest percentage on carrot 62.5%, tomato 58.3% and lettuce 52.9%. In Potiskum market, S. typhi occur higher on lettuce 57.7%, carrot 56.3% and tomato 42.9% while E. coli has high percentage on tomato 57.1%, carrot 43.7% and lettuce 42.3%. In Gashua (Bade) market, S. typhi has high occurrence on lettuce 54.5%, tomato 45.5% and carrot 40.0% while E. coli has highest occurrence in carrot 60.0%, tomato 54.5% and lettuce 45.5% respectively. The antibiotic sensitivity test of the resistant isolates (S. typhi and E. coli) shows one hundred and thirty-six (136) were isolated, thirty-seven (37) resistant isolates in Damaturu, fifty-six (56) in Potiskum and forty-five (45) in Gashua markets. The resistant genes were observed using an agarose gel electrophoresis of amplified 16SrRNA gene for S. typhi at 500bp and 586bp for E. coli were detected. The high presence of the resistant isolatesin raw vegetablesindicates contamination of faecal origin probability during harvesting, processing, selling and/or distribution under inadequate hygienic conditions. Surveillance and enlightenment were recommended to the general public on the health risk of consuming unhygienic raw vegetables.

Keywords: Salmonella spp., Escherichia coli, Enterobacteriaceae, Raw vegetables, Antibiotic resistance, Food safety, public health.
Knowledge and Perceptions Towards the Use of Artificial Intelligence in Dentistry Among Dental Students in Nellore City, India: A Cross-Sectional Survey
Authors: Kolluru Jahnavi , Krishna Mohan Kolluru Venkata , Krishna Kumar RVS
Published: June 2024

Background: The human brain has been a frontier for scientific exploration for centuries. Artificial intelligence is one of the disruptive innovations that are transforming modern medicine. The use of AI-based technologies in dentistry practice has increased rapidly in recent years. Dental professionals frequently utilize artificial intelligence (AI) applications to help with patient diagnosis and treatment planning.
Aim: The main aim of this study was to evaluate knowledge and perceptions towards the use of AI in dentistry among dental students in Nellore city, Andhra Pradesh, India.
Methodology: A cross-sectional study was conducted to assess the knowledge and perceptions regarding the use of AI among the dental students of Nellore city, Andhra Pradesh. The study was conducted using a pre-validated questionnaire. The questionnaire was prepared in Google Form and sent through WhatsApp and Instagram to their respective groups.
Results: A total of 298 students responded to the questionnaire; More than half of participants (53.69%) agreed that AI could assist them in 3D implant planning and positioning; less than half of respondents (48.65%) agreed that artificial intelligence could transform dentistry; and more than half of participants (51.67%) reported that AI would never be able to take their place.

Keywords: Artificial intelligence, Dentistry, Dental students.
Exploring the Role of Miasmatic Influences on Child and Adolescent Psychological Diseases with Scope of Homoeopathic Treatment in such Cases
Authors: Khatoon Rayba , Hait Himangsu , Biswas Debashis
Published: June 2024

The article investigates the impact of miasmatic influences on psychological diseases in children and adolescents, with a focus on the potential benefits of homeopathic treatment. The study examines the historical and theoretical underpinnings of homeopathy, especially the Law of Similar and Hahnemann's theory of miasms, categorizing them into psoric, sycotic, and syphilitic miasms. These miasms are analyzed for their role in various mental and physical ailments. The manuscript highlights the parallels between psychology and homeopathy, emphasizing the holistic approach of both fields in understanding and treating behavioral and mental health issues. Homeopathic remedies are discussed as complementary treatments for conditions such as anxiety, depression, obsessive-compulsive disorder, and stress-related disorders. The study aims to bridge the gap between traditional psychological approaches and homeopathic practices, proposing an integrated treatment model for better mental health outcomes in young populations.

Keywords: Miasmatic Influences, Psychological Diseases, Homeopathy, Child and Adolescent Mental Health, Holistic Treatment
Descriptive Study on Treatment of Poisonous Bites Followed by Traditional Medical Practitioners in Vilavancode Taluk, Kanyakumari District
Authors: Scottlin. G Sathya. J. , Prabula Rani J. Jeraldin , Muhilan A.
Published: June 2024

Siddha system of medicine is an unique system of medicine which has been flourished with a wide range of treatment methods and provides definite cure to a vast number of diseases. Traditional medicine has been an integral source of health in communities for centuries. They also provide treatment to wide range of toxins ranging from plant biotoxins to animal biotoxins such as the bites of rats, dogs, spider, scorpion, monkeys, snakes, cats, centipede etc. In this aspect Poisonous bites are treated by many traditional practitioners in Vilavancode Taluk from which I had chosen four of them for this descriptive study. They were using both internal and external medicines. This study helps to bring out the treatment procedure used for the Poisonous bites by traditional medical practitioners.

Keywords: Traditional medical practitioners, Poisonous bites, Vilavancode Taluk, Kanyakumari district.
Cultura Viva Conceito-Fronteira
Authors: Lopes Pablo
Published: June 2024

Por meio da etnografia dos arquivos, este artigo busca apresentar a trajetória da implementação das Redes Cultura Viva no Estado de Goiás e como a partir dessa incursão a invenção da política cultural começou no estado. Para isso essa investigação utiliza o levantamento de dados dos processos presentes na plataforma Plataforma TransfereGov com recorte de tempo de 2005 a 2017 em que teve como convenente o órgão federal da cultura, estado, munícipios e instituições sem fins lucrativos. Enquanto conceito-fronteira, a Cultura Viva se relaciona entre os interesses do estado em constituir políticas culturais e as demandas da comunidade de apenas não receber cultura, mas, de ser produtora de suas estéticas e dos seus modos de criação artistico-cultural. Em base comunitária, a Cultura Viva inventa a política cultural em Goiás e no Brasil.
Da clausura insalubre à midiatização e ao empreendedorismo moral
Authors: Previatti Débora
Published: June 2024

A cultura contemporânea reúne uma pluralidade de intermediários culturais que, ao aliar credenciais de autoridade e expertise, atuam diretamente na produção simbólica de valor e gosto. A partir dos anos 1990, os chefs passaram a desempenhar um papel proeminente no cenário da indústria cultural nacional. Este estudo aborda a transição das representações dos profissionais da cozinha em revistas impressos brasileiras entre a segunda metade do século XX e o início do século XXI. Para compreender as principais características dessas transformações, foram consultados os acervos de revistas do Sistema Integrado de Bibliotecas da Universidade de São Paulo. Observa-se um deslocamento espacial e posicional progressivo, bem como uma entrada expressiva desses profissionais na indústria cultural. Há uma performatividade da televisão e do mercado editorial, ampliando significativamente a produção cultural voltada ao tema da alimentação e tornando-se decisivos para a consagração e a atribuição de prestígio social. Essa atuação, externa à cozinha dos restaurantes, é marcada por heroicização e celebrização, através das quais exerce-se uma mediação simbólica marcada por um empreendedorismo moral e social.
A vida em risco e a vida como obra de arte no projeto intelectual de Simone Weil
Authors: Stori Jessica
Published: June 2024

O projeto intelectual de Simone Weil (1909 – 1943) se deu a partir de uma série de experimentações escritas que deixou em suas obras. A escritora francesa pensou, escreveu e propôs ações sobre o seu tempo através de um modelo ético e político que temos como objetivo investigar neste artigo, a perceber as condições históricas em que estava inserida, aspectos de sua trajetória e como articulou referências do passado em sua criação de si. A partir desses direcionamentos, procuramos analisar o fazer-se intelectual de Simone Weil recorrendo às formulações de Michel Foucault a respeito das “artes da existência” ao identificar em Weil aspectos que se relacionam com uma vida de reflexão, escrita e ação. Propomos também dar início ao diálogo entre o sujeito ético que foi Weil com modelos de santidade que a inspiraram, como São Francisco de Assis e Joana d’Arc. Por fim, nos interessa perceber os “riscos” vividos por Simone Weil ao escolher ser o teatro vivo da sua própria verdade em sua obra e vida.
“Comer é viajar” e viajar é comer
Authors: Mira Maria Celesta , Oliveira Beatriz Salgado Cardoso de
Published: June 2024

Este artigo tem como objetivo problematizar as relações entre gastronomia e viagem, dois grandes mercados de consumo contemporâneos. O tema nos foi suscitado pela investigação [“projeto de pesquisa das autoras”] que vem sendo realizada por meio da análise das produções audiovisuais nas quais circulam repertórios prescritivos sobre esses domínios. Comparando a histórica relação entre esses dois campos/mercados, buscamos compreender as rupturas e permanências observáveis na atualidade. Concluímos que a gastronomia, que nasce como necessidade da viagem, acaba por se transformar na sua motivação principal no caso do turismo gastronômico; e que a expansão do turismo, entre outros fatores, leva à difusão de antigas e novas visões da gastronomia no mercado audiovisual global.
Apresentação
Authors: Barbalho Alexandre , Farias Edson , Barreto Mariana
Published: June 2024

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Detection of Urine abnormalities among school children
Authors: Nitto Tini , Alexander Mary
Published: June 2024

Introduction: Urinary abnormalities in children may go unnoticed and can result in severe kidney diseases. Thus, their early detection is an important strategy in the prevention and control of CKD. In this study, school children are screened for “urine abnormalities” like presence of protein, blood, glucose, ketones, nitrite, leukocytes, bilirubin, urobilinogen and abnormalities in pH and specific gravity using the urine dip strips. Objectives: The objectives of the study were to detect urine abnormalities among school children (10-14 years) and to find association between the detected abnormalities with selected baseline variables of children. Method: The study was done on 235 children using purposive sampling technique. Data on demographic variables, physical examination and urine dip-strip test results were collected from four schools over a period of one month. Data analysis was done using frequency and percentage, Chi-square and Fishers Exact test. Results: The study results revealed that 90.2% (212) of the students had urine abnormalities and the major urine abnormality detected was increased urine specific gravity in 89.36% (210), and all other abnormalities were in less than 3.4% (8) of the samples, namely Bilirubinuria in 3.4% (8), leukocyturia in 1.7% (4), alkaline pH in 1.27% (3) and proteinuria in 0.4% (1) and that there is a significant association between presence of urinary abnormalities with age (p= 0.001) and place of residence (p= 0.001) at 0.05 level of significance. Conclusion: Significant urine abnormalities though found in a small number of children, their early detection is crucial to prevent Chronic Kidney Disease.
A Study to assess the effectiveness of Tai Chi exercise on stress among staff Nurses in selected private hospital at Thanjavur
Authors: Yazhini R.K. , Anusia K. , Sagayamary P.
Published: June 2024

A Study to assess the effectiveness of TaiChi exercise on stress among staff nurses in selected private hospital at Thanjavur. Pre experimental one group pretest posttest design was used 40 Staff Nurses were selected by using Non probability Purposive sampling technique. The Sheldon Cohen standardized perceived Stress scale was used to assess the stress level of the selected sample. After assessing the level of stress the selected participants were given TaiChi exercise for 25 minutes for a period of 21 days. The pretest mean value of level of stress was 31.68 with standard deviation 5.111, and in the posttest mean value of level of stress was 11.18with standard deviation 3.544 and the 't' value was (Calculated value) 31.32 with reference to the table value of 1.685. Observed value was higher than the table value which was significant at 0.05 level. Since there was significant difference in pretest and posttest levels of stress among staff nurses, it clearly indicates that given Tai Chi exercise was effective.
Impact of COVID-19 Prevention Strategies on the health of individuals living in Nabor Community in Jos, North Central Nigeria
Authors: Achema Godwin , Onyinye Obialor Blessing
Published: June 2024

COVID 19 preventative strategies have been advocated in schools, churches, seminars, billboards, radio jingles, and television commercials to get information to the public; and to enforce compliance. The study aims to assess the impact of COVID-19 prevention measures on the health of the individuals in Nabor Settlement of Jos, North Central Nigeria. The study adopted a descriptive survey design to collect data from the respondents and a self-administered questionnaire was used to collect data. Descriptive and inferential analytic measures were adopted for the analysis; and to ensure confidentiality and anonymity of the research subjects, appropriate ethical measures were undertaken. The results shows that a greater percentage (98%) among the respondents indicated a good knowledge of COVID-19 prevention measures and the entire participants practiced the prevention measures with 57% using face masks and 28% practicing hand washing; about 85% had tested for COVID-19 infection with 70% indicating a decrease in the number of infections and 28% indicating a reduction in hospitalization as per impact on the health of residents; the hypothesis showed a significant association between compliance to COVID-19 prevention measures and an impact on the health of the residents (Chi-66.8 > Crit. 3.481; P >0.05). The study concluded that COVID-19 prevention measures would have a positive impact on the health of the residents; thereby, reducing infections and hospitalization. Efforts should be put in place to enhance health education and sensitization campaigns in a bid to maintain this positive impact among the residents.
Younger Adults, Knowledge and Attitude about Cardio-Vascular Risks in Bule Hora Town, Oromia Region, Southern Ethiopia
Authors: Degavi Girish , Kasimayan Pandiarajan , Panari Hazaratali
Published: June 2024

Background: Cardiovascular disease (CVD) is the commonest disease-causing morbidity and mortality around worldwide. Individuals' health attitudes, habits, and lifestyle patterns are influenced by their knowledge of the disease and risk factors. Public awareness about the minimization of modifiable cardiovascular disease risk factors is required to improve cardiovascular health. This study assessed knowledge and attitude of cardiovascular risks among young adults in BuleHora, Ethiopia. Methods: A community-based descriptive study was conducted from January 15 to February 15, 2021, among young adults in BuleHora town. A validated self-administered questionnaire was used to gather data. Based on the single population proportion formula the obtained sample size was 216. The data will be coded, checked and cleaned data (edited) will be entered into SPSS statistics version 25 for analysis. Descriptive statistics were used. Result: The overall knowledge and attitude among younger adults about cardio-vascular risk were, all among 63% had average knowledge, and 36 % had good knowledge. About 52% had a neutral attitude and only 23% had a favorable attitude. There was a moderate positive correlation (r=0.7) between knowledge and attitude about cardio-vascular risks, the mean knowledge value is 15.3(SD=5.02) and the mean attitude value is 27.25(SD=10.25). No significant association was found between knowledge and attitude with their selected socio-demographic variables of younger adults. Conclusion: Younger adults were in very less knowledge and attitude about cardiovascular risks in the selected setting. Educational intervention on the cardiovascular risks and their harmful effects is necessary.
Study to assess the Knowledge Regarding Menstrual Cup among Nursing Students of Selected Campus, Birgunj
Authors: Chaudhary A , Khadka A , Singh R
Published: June 2024

A menstrual cup is a small bell shaped cup that a woman can insert into their vagina to collect menstrual blood during a period. The menstrual cup can be a good solution for menstrual hygiene management in economically challenged setting. The purpose of the study is to assess knowledge regarding menstrual cup among the nursing students of selected Nursing Campus, Birgunj. The study concluded that there was more than half of the respondents with moderate level of knowledge with significant association of knowledge level and academic year of study. Planned Teaching Programme can be conducted to upgrade the knowledge about menstrual cup.
Role of Chat GPT in Nursing: Brief Communication
Authors: Lata Kusum , Ram Kudi Surat
Published: June 2024

ChatGPT, a powerful artificial intelligence language model, has emerged as a transformative tool in the field of nursing. This paper explores the role of ChatGPT on nursing education, clinical nursing, nursing research. ChatGPT offers a continuous learning platform. It makes learning easy to students by helping them in understanding difficult topics. It can create practice scenarios and allow nursing students to practice their communication and critical thinking skills. Nurses can engage in simulated patient interactions, hone their communication skills, and access the latest research and guidelines, fostering their growth as healthcare professionals. ChatGPT has revolutionized nursing by providing an efficient, accessible, and versatile tool for them. Its integration into nursing practice promises to improve patient care, streamline administrative processes, and support the ongoing development of nursing professionals, ultimately enhancing the overall quality of healthcare delivery.
Making Mental Health a Priority - Tele MANAS
Authors: K Sathiyakala. , R Danasu.
Published: June 2024

Worldwide COVID-19 pandemic had led to a prolonged stressful condition and bring about more psychological and social effects in the community. This condition is commonly seen in each group and more commonly it has affected in children, older peoples and even the health workers who are exposed and likely to bring about the condition of stress, anxiety, uneasiness and depression. These prolonged psychosocial issues may result in mental health problems and long-term consequence on the mental functioning and coping capacities of family members.1 India has a huge burden due to mental health problems, with one in every seventh person estimated to be suffering from a clinically diagnosable mental disorder. Taking into account the impact of the Covid-19 pandemic on the psychological and emotional health of citizens, the Union government has announced a ‘National Tele Mental Health Programme’ in 2022. With the aim to setup the T-MANAS (Tele-Mental Health Assistance and Networking Across States) initiative as a 24 x 7 facility in all states and Union territories. Its vision is to provide immediate mental health interventions for people in mental distress, particularly those in remote and under served areas of the country.
Strategies affect the Future of Forensic nursing and Global Anti-violence efforts
Authors: Punithalakshmi K. , Chouhan Preeti
Published: June 2024

Forensic nurse observers (FNE) are getting integral mates in contemporary medico legal systems worldwide. Being forensic services have been proven shy to sufficiently address the vast crimes against women and children, victims of sexual and domestic violence, sociocultural crimes, vituperative religious rituals, and atrocities that accompany fortified conflict. Considering that nurses comprise the largest group of healthcare providers worldwide, forensic nanny observers represent a preliminarily uncelebrated resource in universal healthcare and embody an ideal group to advance transnational considerations in global healthcare and social justice. Although specific legal enterprises within the healthcare communities vary from country to country, all nations struggle with issues of public health and safety. A comprehensive multidisciplinary forensic education and training program for nurses will grease advanced operation of being interpersonal and sexual violence heads. The addition of a forensic specialist in nursing wisdom will give a precious resource to help in the validation of prosecutors’ claims or aid in the exculpation of suspects who are falsely indicted. Their unique benefactions increase collaboration and cooperation, share medical/forensic moxie, enhance the care of victims of crimes while accelerating forensic services, and act as a liaison in applicable liabilities between healthcare institutions and law enforcement agencies. The applicable literature indicates that once the Forensic nurse Examiner Response Team is trained, specialists in forensic nursing wisdom practice singly under the aegis of a Director of Clinical Forensic drug or Chief Medical Examiner.
Drug Resistance in Cancer Therapy: Mechanisms, Challenges and Strategies
Authors: Kumar Alok , Singh Kanchan , Kumar Kartik , Singh Arjun , Tripathi Alpesh , Tiwari Lakshya
Published: June 2024

Drug resistance poses a significant challenge in cancer therapy, limiting the effectiveness of various treatment modalities and adversely impacting patient outcomes. This review article aims to provide a comprehensive overview of the mechanisms underlying drug resistance in cancer and the associated challenges. We discuss the intrinsic and acquired mechanisms of drug resistance, including genetic alterations, tumor heterogeneity, cellular plasticity, drug efflux pumps, DNA repair mechanisms, and bypass signaling pathways. Additionally, we explore the challenges posed by the tumor microenvironment, cancer stem cells, and the emergence of resistance during treatment. Furthermore, we highlight the strategies employed to overcome drug resistance, including combination therapies, targeted therapies, immunotherapy, nanomedicine, and the potential of precision medicine and biomarker-guided approaches. Finally, we present recent examples and advancements in understanding and overcoming drug resistance in cancer therapy, highlighting the latest research findings and therapeutic approaches.
A Descriptive Study to Assess the Knowledge regarding Coronavirus Disease 2019 (COVID-19) among Final-Year Basic B.Sc. Nursing students at selected College of Nursing, Dharwad District Karnataka, India
Authors: Kumbar Basavaraj
Published: June 2024

Background: Novel Coronavirus19 disease was a people health emergency concerned internationally. The Coronavirus19 disease has been identified as an outbreak of respiratory illness, a many of cases of ‘viral pneumonia’ in Wuhan, China, starting in 2019 December. COVID-19 has been declared as a pandemic on March 12, 2020. This type of global health problem, the role of healthcare providers and healthcare students is very important. The study is designed to assess the knowledge of student nurses studying in Govt. College of Nursing KIMS-Hubballi. Methodology: Descriptive design is used in this study which was conducted among 70 nursing students studying at Govt. College of Nursing KIMS-Hubballi. A structured knowledge questionnaire was designed to assess the knowledge of nursing students about Coronavirus disease. After the knowledge assessment information booklet was distributed to the students to enhance their knowledge about Coronavirus disease. Results: The present study found that almost all subjects got vaccinated against COVID-19. The majority 54(77.14%) of the respondents had a moderate level of knowledge and 16(22.86%) of the respondents possessed an adequate level of knowledge about Coronavirus disease-2019. Conclusion: Present study made the following conclusions, 22.86% of the nursing students possessed an adequate level of knowledge and 77.14% of the respondents had a moderate level of knowledge about Coronavirus disease-2019. No one had inadequate knowledge. The association was found non-significant with socio-demographic variables except only with the area of residence and knowledge regarding COVID-19. In order to enhance the knowledge about COVID-19, different awareness campaigns, publicity through mass media, and inclusion of COVID-19 in the nursing curriculum may be helpful.
Exploring the Prevalence and Factors behind Noncompliance to Lifestyle Modification in Hypertensive patients
Authors: Pawar Sminta
Published: June 2024

Hypertension, often referred to as the "silent killer," frequently presents no symptoms and remains unnoticed until severe complications arise. It can be likened to an iceberg-like ailment, where the concealed mass of the condition lies beneath the surface, while the visible tip signifies the signs and symptoms. Approximately 30% of individuals with hypertension are unaware of their condition. In the United States, treatment is administered to 59% of those with hypertension, but only 34% manage to maintain their blood pressure within a healthy range. Nevertheless, hypertension can be effectively managed in most instances. According to the World Health Organization, hypertension is defined as having a systolic blood pressure exceeding 140 mmHg or a diastolic blood pressure exceeding 90mmHg. Hypertension poses a substantial risk for various health complications, including stroke, heart attack, heart failure, peripheral arterial disease, aneurysms, and chronic kidney disease. Implementing dietary and lifestyle changes can enhance blood pressure control and reduce the likelihood of associated health issues. This research delves into the prevalence of noncompliance as a significant risk factor in the management of chronic ailments, with a specific focus on antihypertensive therapy. It also investigates the factors contributing to the increased incidence of noncompliance among hypertensive patients. The study's discoveries will equip healthcare professionals with valuable insights to guide their clients effectively and improve compliance. This will be achieved by emphasizing the disease process's importance and the necessity of consistent treatment, offering continuous support, and tailoring interventions based on individual learning needs and challenges.
Feasibility and Effectiveness of Objective Structured Clinical Examination in Indian Collegiate Nursing Programme
Authors: Elavally Sujitha , Muralidharan Rohini Athirarani , Annamalai Manjula , Avudaiappan Seethalakshmi , Sirala Jagadeesh Nalini , VK Thankamani
Published: June 2024

Objective: This study was aimed to assess the feasibility and effectiveness of OSCE as an assessment method with an initial exploration of faculty perception on traditional clinical examination (TCE) followed by comparing the feedback on OSCE and TCE among Post Graduate Nursing students. Methods: Needs assessment was conducted to gather necessary evidence before we incorporated OSCE. After ethics approval, as a first step, extensive focus group discussions (FGD) were conducted among 38 faculty members on the existing system of case-based clinical examination. We also identified a group of 30 post graduates who had underwent an OSCE session as part of their academic requirements. A modified, validated version of Examination Feedback Questionnaire was utilized, which is a 22 item five point likert scale with questions in three sections namely, Overall exam evaluation (10 items), Quality of performance testing (8 items) and Validity- reliability (4 items). Students were asked to rate their feedback on TCE and OSCE using the same questionnaire. Results: Faculty members had real concerns on the way the TCEs were conducted. The main themes emerged are ambiguous task assignment, non-standardized patients, task overload, examiner burden and time constraints. The students’ overall feedback scores on OSCE were better when compared to TCE (p <0.001) with higher scores on all three sections of the tool. Conclusion: OSCE is a preferred and feasible method of assessment in the selected set-up, inclusive of advanced learners. It is also inferred that strong and evocative research evidence makes the implementation of an innovative curricular change enduring and meaningful.
A Study to Assess the Perception towards Positive Ageing among the Early Elderly Subjects Visiting the Outpatient Department in a selected Hospital, Bangalore
Authors: Annette Nazareth Anjela , Sebastin Monica , Spoorthi Maria
Published: June 2024

5.3% of India's overall population is over 65 years old at the present time. 7.2% of the Indian population is predicted to be over 65 by the year 2025. A senior's chance of developing depression and social isolation, both of which have been demonstrated to be silent killers, increases if they feel like a burden to others and believe their lives are less valuable as a result.1 The goal of the study is to evaluate how early elderly participants perceive positive ageing and to ascertain how these early elderly subjects' perceptions of positive ageing relate to baseline factors. The early aged individuals who visited the geriatric outpatient department at SJMCH, Bangalore, were the subjects of a descriptive study to determine how they perceived positive ageing. The Institutional Ethical Committee granted permission after receiving ethical clearance. Based on the inclusion criteria, 100 samples were taken from the SJMCH's outpatient division. The individuals also provided formal, informed consent. The tool, which included demographic information and a structured perceptual attitude questionnaire, was used to gauge how early-elderly individuals visiting the outpatient department at SJMCH, Bangalore, perceived positive ageing. Data were input into the master sheet, and descriptive and inferential statistics were used for analysis. According to the study's findings, 67% of the participants were between the ages of 65 and 70, 58% of them were men, 56% of them lived in urban areas, 55% of them received pensions, 62% were from nuclear families, 48% had more than two children, 56% were housing more than three people, 73% were independent in making decisions, 55% of the participants required assistance with daily activities, 39% had only received a primary education, and 63% were semiskilled. According to the study's findings, 27% of the population had positive ageing, 52% had average positive ageing, and 21% of the population had negative ageing. Early elderly respondents' perceptions of positive ageing did not correlate with any of the baseline factors.
The effectiveness of Video Assisted Teaching Module on knowledge regarding Puerperal sepsis and its prevention among postnatal mothers who have undergone Episiotomy at SCBMC and H, Ranihat, Cuttack, Odisha
Authors: Pradhan Madhumita , Panda Anuradha
Published: June 2024

In Puerperal period it is important for a mother to be aware of problems, that may develop in postnatal period due to soft tissue trauma and which provide an ideal environment for growth of pathogenic organisms which may lead to puerperal infection and increase the maternal morbidity and mortality. The objectives of the study is to assess the effectiveness of VATM on knowledge and to assess the pre and post intervention score regarding puerperal sepsis and its prevention. A pre-experimental study was conducted on 60 episiotomy postnatal mothers. The episiotomy postnatal mothers were selected from the SCBMC and H, Cuttack, Odisha.The data were collected by purposive sampling technique by using multiple choice close ended questionnaires from 06.09.2016 to 22.09.2016. The collected data were analyzed by using descriptive and inferential statistics. The findings revealed that the highest percentage (40%) of the episiotomy postnatal mothers were in the age grouped 26-30 years. The highest percentage (33.3%) of postnatal mothers had secondary school education. The maximum percentage (51.6%) of postnatal mothers were housewife. The majority percentage (63.3%) of the postnatal mothers were Hindu. The maximum percentage (55%) of the postnatal mothers belonged to urban area. The majority percentage (53.3%) of the postnatal mothers had their first number of delivery. The knowledge level of episiotomy postnatal mothers shows that in pre-test, 70% episiotomy postnatal mothers had Very Poor knowledge and 30% mothers had Poor knowledge. In post-test 46.66% had Excellent knowledge and 53.33% mothers had Good knowledge. Area wise pre-test and post-test knowledge scores reveals that in post-test highest mean score was 15.16±1.92 with 79.82% where as lowest mean score was 3.15±0.77 with 78.75%. The effectiveness varies in mean percentage from 55.43% to 65.79%. Item wise comparision between pre-test and post-test reveals that there was effectiveness of VATM in increasing knowledge of the episiotomy postnatal mothers on knowledge regarding puerperal sepsis and its prevention. The study findings reveal that there was highly significant difference in pre-test and post-test knowledge scores. It is obtained by paired ‘t’ test. The study findings reveal that the chi square test was calculated and found that there was significant association between post-test knowledge scores with the area of education of the episiotomy postnatal mothers at 5% level of significance where as no significant association were found between post test knowledge scores with age, occupation, religion, area of residence and number of delivery of the mothers. The study was concluded that VATM was effective in enhancing the knowledge regarding puerperal sepsis and its prevention among the episiotomy postnatal mothers.
High Intercostal Space Twelve-Lead ECG in Arrhythmogenic Cardiomyopathy
Authors:   Internal Department and Cardiology, Ubbo Emmius Hospital Norden, Germany., Peters Stefan
Published: June 2024

The value of high intercostal spaces of lead V1 and V2 is analyzed in arrhythmogenic cardiomyopathy. In this ECG writing technique a localized right precorial QRS prolongation and right precordial T-wave inversion can be demonstrated. In normal intercostal spaces only electroanatomic scar and myocardial atrophy documented in lead aVR was present.