bluuebunny/crossref_metadata_2025 huggingface dataset:
Frequency of Arrhythmias in ST-Segment Elevation Myocardial Infarction Patients During Primary Percutaneous Coronary Intervention (PPCI) Till 48 hours Post PPCI in NICVD
Authors: Siddiqui Fawad Ali , Khubaib Syed , , Kumar Harish , Kumar Haresh , Aslam Muhammad , . Khushwant, , Rehman Saif Ur , Siddiqui Yumna
Published: March 2023

Objective: To determine the frequency of arrhythmias in patients with acute ST-segment elevation myocardial infarction primary percutaneous coronary intervention (PPCI) till 48 hours post PPCI in admitted at national institute of cardiovascular diseases (NICVD), Karachi. Material & Methods: This was a hospital based clinical study conducted at NICVD through convenience sampling technique for the period of 6 months from 1st September 2021 to 31st March, 2022. All the adult (age more than 18 years) male and female, presented with acute ST-segment elevation myocardial infarction, and eligible for PPCI were included in this study. Cardiac arrhythmias during 48 hours post-PPCI were evaluated and documented. SPSS v. 26 was used for data entry and analysis. Results: A total of 285 patients were included for final analysis. The overall mean age ± SD was 56.56±13.07 years. Most of the patients were belongs to age group II (age ≥55 years) as compare to age group I (age <55 years), 50.87% and 49.12%, respectively. The overall incidence of arrhythmias was 16.6% among them most of the arrhythmias were observed during the first 24 hours of PPCI (72.22%). Ventricular arrhythmias were most common as compare to atrial arrhythmias (61.11%). There was an insignificant association observed in relation to gender and incidence of arrhythmias, p 0.236. Patients having age ≥55 were significantly associated with occurrence of arrhythmias, p <0.001. Conclusion: Frequency of cardiac arrhythmias is higher during early hours of after PPCI. Among them, ventricular arrhythmias were more common as compare to atrial arrhythmias. Older patients (age >55 years) were significantly associated with increased incidence of cardiac arrhythmias as compare to younger age group (age <55 years). Keywords: Cardiac arrhythmias, STEMI, primary PCI, time duration, in-hospital incidence, South Asia
Frequency of Perinatal Depression in Pregnant Women Utilizing Edinburgh Postnatal Depression Scale
Authors: Mustafa Nilofar , Mushtaq Qurutulain , Kanwal Rehana , Tabassum Humaira , Nawaz Qudsia , Khan Samina Rehan
Published: March 2023

Objective: To determine the frequency of perinatal depression in pregnant women utilizing Edinburgh Postnatal depression scale (EPDS). Study Design: Cross-sectional study Settings: Out-patient Department of Obstetrics and Gynecology, Combined Military hospital, Lahore. Duration of study: 1st November 2018 to 30th April 2019 Total 254 patients were selected. Patients were questioned according to EPDS scale and information recorded on prescribed form. Data was stratified for age, parity, gestational age, education level, and income group. Pregnant women with an EPDS score of ≥9 were considered to be suffering with depression. Results: In this present study a total of 254 women were interviewed for perinatal depression. The mean age of the patients was 27.64 ±8.89 years with minimum and maximum ages of 20 years and 34 years respectively. The mean gestational age of the patients was 38.31±2.16 weeks with a minimum and maximum gestational age of 37.40 and 40.02 respectively. In the study a total of 254 women were assessed for perinatal depression. 19.2% of women were found to be suffering from perinatal depression. Conclusion: “The results of our study demonstrate that, both antepartum and postpartum depression, in pregnant women are significantly prevalent.” Keywords: “Edinburgh Postnatal depression scale (EPDS), perinatal depression, low-income countries (LIC), high-income countries (HIC).”
Frequency of Post-Transplant Erythrocytosis in Patients with Live Related Renal Transplant
Authors: Chandio Rameez , Shoaib Muhammad , Jamro Raza Muhammad
Published: March 2023

Background: It is commonly observed in the patients undergoing kidney transplant. The red cell mass increased in this condition but the plasma volume remain normal. It is characterized by the hematocrit levels equal to 51% or greater than 51%. Study design: It was a cross-sectional and descriptive study conducted at the department of nephrology and transplantation, Pir Abdul Qadir Shah Jeelani Institute of Medical Sciences Gambat. This study was conducted for the duration of six months from January 2022 to June 2022. Material and Methods: There were total 90 patients selected for the study. There were 35 patients in the control group and 55 patients in the Post-transplant Erythrocytosis patients group. The 25 out of 35 were male and 7 were females. The 17 out of 55 were male and 38 were females. Haemoglobin and Hematocrit was assessed retrospectively. Those with Hct > 51 was labelled as PTE. The study comprised of control group and PTE group having post erythrocytosis patients. The duration of dialysis of the patients was 12 and 13 months for control and PTE group respectively. Results: The red cell and plasma volume of the control group and PTE was analyzed and it showed that most of the patients had their RCV and PV in the normal range. However, there were 5 patients in control group and 15 patients in PTE group that had reported low level of RCV. The percentage of alive patients with functional graft was more in case of control (97%) as compared to PTE group (83%). Conclusion: The study was done to find the frequency of post-transplant Erythrocytosis among patients and control group. It was found that there were several risk factors that could possibly play role in causing the disease. The 21% of the patients were diagnosed with PTE. Keywords: Erthrocytosis, haematocrit, and haemoglobin.
Demographic Profile and Extra Intestinal Manifestations of Ulcerative Colitis in Pakistani population
Authors: Ali Usman , Anjum Jahangir , Ahmed Sheraz , Erum Humaira , Hamid Saadia , Mir Nazia Akber
Published: March 2023

Background: It is a systemic disorder. It begin in the rectum and later on extent to the other organs. Usually the involvement of other organ in addition to intestine is observed and the condition is called as extra intestinal manifestation. It is associated with high rate of morbidity and mortality. Study design: It is a retrospective study conducted in Mohtrama Benazir Bhutto Shaheed Medical College / Divisional Headquarters teaching hospital Mirpur Azad Kashmir for the duration of six months from February 2022 to July 2022. Material and Methods: There were total 72 males that participated in this study and 48 females. The age distribution of the patients is. Most of the patients belonged to age group from 20 to 39 years followed by group 40-59 where 22 patients were reported. This study was approved by the hospital review board committee. The participants were aware of the study objective. The written consent was signed by the participants. The SPSS was used for the statistical analysis. Results: Extra-intestinal manifestations of the patient were analyzed and it was found that in 24% of the patient’s musculoskeletal symptoms were present. Sacroilitis was observed in 12.1% of the patients as the most commonly found symptom. Peripheral arthritis was also reported in 7.3% of the patients. Episcleritis was present in case of 2.1% of the patients. Conclusion: It is concluded that the peak age of patients included in this study with Ulcerative colitis is according to the other European and Asian countries, However, the second peak of Ulcerative colitis was missing unlike in some European studies. Extra intestinal Manifestations were quite low. Keywords: Inflammatory bowel disease and extra intestinal manifestation.
Frequency of Attention-Deficit Hyperactivity Disorder (ADHD) in Patients with Congenital Heart Diseases (CHD) at NICVD Karachi, Pakistan
Authors: Memon Sobia , Maheshwari Greesh Kumar , Ashfaq Mehak Muhammad , Khan Maham , Shamim Zainab , Khan Zaynab , Khan M. Saadullah
Published: March 2023

Background: The study aimed to assess the frequency and impact of attention-deficit hyperactivity disorder (ADHD) on behavior, social-emotional development, intelligence, and overall quality of life among school-aged children with congenital heart diseases (CHD). Methodology: A descriptive cross-sectional study was undertaken at the National Institute of Cardiovascular Diseases (NICVD) between July 2021 to August 2021. A total of 100 CHD patients aged 6 to 18 were assessed using the non-probability purposive sampling technique. The data was collected using a questionnaire comprising SNAP-IV 26 Scale that is a screening tool for ADHD. The collected data was entered and analyzed by using Statistical Package for Social Sciences (SPSS) v 24.0. The statistical analysis was carried out with a confidence interval set at 95% and no p-value was determined as a threshold of statistical significance, owing to the qualitative nature of the data. Result: The study comprises n=100 CHD patients, aged 6 to 18 with the mean age ± standard deviation of 11.18 ± 3.914, and males and females stratifiable into 56% and 44% respectively. The ADHD screening identified n=22 (22%) subjects as highly suspected of having ADHD with no statistically significant gender difference (n=10 females vs. n=12 males). The study revealed Ventricular Septal Defect (VSD) to be the most common (28%) congenital heart defect across the in-patient and out-patient settings. VSD is followed by Atrial Septal Defect (ASD) at 24%, Tetralogy of Fallot (TOF) at 22%, Atrioventricular Septal Defect (AVSD) at 19%, and Aortic Stenosis (AS) in 7% of the patients. Out of the 25% facing comorbidities, hypertension dominated the subset of 23%. Conclusion: This study suggests that children with CHD are at an increased risk of developing ADHD, the hyperactive and the combined subtype in particular, compared to the healthy population. About 22 percent of the subjects manifested a typical clinical picture of an ADHD patient with mostly living a ‘somewhat difficult’ life. Keywords: Children, Congenital Heart Disease, CHD, Attention-Deficit Hyperactivity Disorder, ADHD, Ventricular Septal Defect, VSD, Atrial Septal Defect, ASD
Clinical and Radiological Profile of Patients with Polycystic Ovary Syndrome
Authors: Khalil Afrasyab , Ghaffar Tahir , Jabbar Asifa Abdul
Published: March 2023

Background: The current study aimed to assess the symptomatology, clinical features, and ultrasound findings in individuals with polycystic ovarian syndrome (PCOS). Methodology: A cross-sectional research was undertaken at the Department of Gynaecology at the Medical Teaching Institute, Hayatabad Medical Complex, Peshawar MTI, HMC between 1st January 2021 to 31 December 2022. Hundred patients of the reproductive age group presenting in Gynecology outpatient departments with signs of PCOS meeting the inclusion criteria were selected for the study. A thorough history and examination were conducted. Laboratory and ultrasound examinations supported the PCOS diagnosis. Results: A total of 109 patients with a mean age of 26.02 ± 8.66 years were assessed. 13 (11.93%) were overweight, and 44 (40.37%) were classified as obese. The mean BMI was 26.98 ± 7.24 kg/m2. 75 (68.8%) individuals reported having menstrual irregularities. Out of these, oligomenorrhea was reported in 56 (51.38%) and amenorrhoea was revealed in 19 (17.43%) patients. 80 (73.39%) reported having overgrowth of hair. Infertility was reported in 60 (55.05%) patients. Majority of the patients had high cholesterol, luteinizing hormone and testosterone. Conclusion: Obesity, hirsutism, and irregular periods were the most prevalent clinical manifestations of PCOS. Hormonal irregularities were quite common. Many PCOS patients can be identified by taking a thorough medical history and completing a thorough physical examination. Keywords: PCOS, diagnosis, obesity, amenorrhea, menorrhagia
Still’s Osteopathy
Authors: Handoll Nicholas
Published: March 2023

Osteopathy has existed and been practiced since the late 1800s. From its earliest days to the present there has been confusion and controversy about what osteopathy is, what are its unique foundational principles and how it might be practiced in its fullest form. To explore these questions we look to its origin – to the osteopathy of its founder, Andrew Taylor Still, MD, DO. Comparisons are made with the development of osteopathy in Britain.
Osteopathic Manipulation Skills Training: Past, Present, and Future
Authors: Masiello Domenick J. , Torrents Martin
Published: March 2023

This article reviews the methods used to teach osteopathic manipulative treatment (OMT) from the inception of the profession in the 19th century through the 21st century. Past and current osteopathic literature contains very few references to psychomotor skills training methods used in the OMM lab. Faced with this paucity of information, suggestions for improving the traditional demonstration/imitation model of instruction are given. These suggestions are derived from the science of learning (SL), Simulation-Based Medical Education (SBME), Evaluation Science (EV), and insights gleaned from sim lab student assessment research. The future of osteopathic pedagogy is discussed in relation to advances in neuroscience, technology, and the need to preserve the uniqueness of the osteopathic profession. Kirkpatrick’s method of training evaluation is suggested as a paradigm for assessing curriculum changes and measuring goals set on departmental, college and professional levels.
PEMBERDAYAAN GURU DAN SISWA MELALUI LITERASI DIGITAL QUICK RESPONSE CODE KURIKULUM 2013 DAN KURIKULUM MERDEKA DI SMA 11 PANGKEP
Authors: Suardi Suardi , Rukman Aulia Andika , Ramlan Herdianty , Mutiara Indah Ainun , Atmaja Thomy Sastra , Sadeli Elly Hasan , Kiptiah Mariatul , Pudjiastuti Sri Rahayu , Mathuro Mohammad , Latief Abdul
Published: March 2023

Permasalahan SMAN 11 Pangkep kurangnya literasi digital kurikulum 2013 dan kurikulum merdeka yang bisa digunakan oleh guru dan siswa dalam belajar baik di sekolah maupun di rumah. Solusi permasalah SMAN 11 Pangkep melalui Literasi Digital Berbasis Quick Response Code (QR Code). Metode pelaksanaanya melalui (1) Sosialisasi Literasi Digital, (2) membuat Literasi Digital, (3), mencetak Literasi Digital (4) menyampaikan Literasi Digital, (5) Melatih menggunakan Literasi Digital, (6) Membagikan Literasi Digital, (7) Praktik Literasi Digital dan (8) Gerakan Literasi Digital. Hasil kegiatan pengabdian Literasi digital mata pelajaran kurikulum 2013 dan kurikulum merdeka berbasis Quick Response Code (QR Code) mendapatkan respons positif dari seluruh elemen sekolah SMA 11 Pangkep karena menganggap kegiatan yang dilakukan sangat bermanfaat untuk kepala sekolah, guru dan siswa-siswa dalam belajar di semua mata pelajaran baik kurikulum 2013 dan kurikulum merdeka. Literasi digital Quick Response Code sangat bermanfaat untuk proses pembelajaran.
АБАЙ ДӘСТҮРІ ЖӘНЕ ШЕРХАН МҰРТАЗА ШЫҒАРМАШЫЛЫҒЫ
Authors: Саурықов Е.Б. , Тамабаева Қ.Ө. , Елубаева Р.С. , Беркенова Р.А.
Published: March 2023

Абай мұрасы – тек қазақ халқының ғана емес, бүкіл әлемдік қымбат қазыналардың бірі. Бұл қазына күн өткен сайын маңызы тереңдеп, зерделеген сайын тылсым сырларға жетелей береді, нәтижесінде жаңа тұжырымдар мен жаңалықтар табылуда. Бұл өз кезегінде өткеннің өнегесі ғана емес, жаңа Қазақстанды әлемдік мәдениет көшінің алдыңғы қатарынан табылуында  рухани бастаушы екені  анық. 

Ал, Шерхан Мұртаза болса, ХХ ғасырдың кесек тұлға, кенен дарыны. Ендеше екі ұлы тұлға  шығармашылығында  ой-таным үндестігінің болуы заңдылық. Тәуелсіз еліміздің руханиятының бәйтерегіне саналған Шерхан Мұртаза да әрбір ұлы тұлғалар секілді Абай мектебінен нәр алды, рухани қуаттанды.  Өмір теперішін көп көрген бала Шерханның дана тұлғаға айналуында жастайынан құныға оқыған Абай жырлары, нақылдарының ерекше ықпалы болғандығы жазушының өмірбаяндық мақалаларында да көптеп айтылады. Дегенмен, әлі күнге дейін ғылыми зерделенбей келеді. Осыған байланысты мақалада Шерхан Мұртазаның тұлғалық жетілуіне, шығармашылық тұғырнамасын айқындауда ықпалы өте зор болған Абай дәстүрі ғылыми талданып, ақын мұрасының көрініс тапқан қырлары зерттеледі.

Абай мұрасы мен Ш. Мұртаза шығармашылығы   арасында рухани сабақтастықтың арналары мол деуге болады. Мақалада екі сөз зергерінің әлеміндегі сабақтастық, ортақ гуманистік, қоғамдық дүниетанымдары  мен ойшылдық, ұлтына деген ерекше сүйіспеншілік, қайраткерлік  болмысының арасындағы үндестік сырларын зерттеу  өзекті деп танылады.  

Сонымен қатар, талдау, салыстыру, ғылыми пайымдау әдістері қолданылып, нәтижесінде Шерхан Мұртазаның  өз шығармашылық мұрасы арқылы Абай даналығын, Абай дәстүрін жалғастырушы, ұлттық әдебиетіміздің тау тұлғасы  Абай шығармашылығынан өз кезегінде Шерхан Мұртазаның да қажетінше сусындап, азаматтық, тұлғалық жетілу барысында үлгі-өнеге алғандығы дәйектеледі. Абай шығармалары, даналыққа толы ой-идеялары  – тәуелсіз мемлекетіміздің қайсыбір өзекті мәселесінің де сәтті шешілуінің кепілі екендігі тұжырымдалады.
Evaluación morfoagronómica de la jamaica (Hibiscus sabdariffa L.) variedad Ficaru 90 en un suelo Fluvisol
Authors: Rojas Guerra Raulienkis , Chávez Suárez Licet , Camejo Serrano Yanelis , Álvarez Fonseca Alexander , Pérez Fajardo José Ángel , Castillo Fonseca Pedro
Published: March 2023

Objetivo: evaluar caracteres morfoagronómicos del cultivo de la jamaica, variedad Ficaru-90, en un suelo Fluvisol. Materiales y métodos: la investigación se llevó a cabo en la Estación Experimental Agrícola Jucaibama perteneciente al Instituto de Investigación Agropecuario “Jorge Dimitrov”, y se realizó en el período comprendido desde agosto a diciembre de los años 2019 y 2020. Se estableció un marco de plantación de 1×1 m. Al momento de la cosecha se evaluó la altura de la planta (m), diámetro basal del tallo (mm), ramas por planta (número), cáliz por planta (número), longitud de los cálices(mm), así como acumulación de biomasa fresca y seca de los cálices. Se realizó la prueba t-student para evaluar las diferencias entre los dos años. Resultados: se corroboraron diferencias estadísticamente significativas en las variables altura de la planta, diámetro basal del tallo, longitud de los cálices y masa fresca de los cálices. Los mayores valores se observaron en el año 2020 donde la altura de la planta alcanzó 1.87 m con respecto a 1.43 m en 2019; el diámetro del tallo fue de 3.7 cm en 2020 y 2.9 cm en 2019; mientras que en el año 2020 la masa fresca de los cálices alcanzó un valor de 1 320.3 g/planta y 963.8 en 2019. Conclusiones: en el año 2020 existieron condiciones más favorables para el crecimiento y desarrollo del cultivo de la flor de jamaica.
What can be the Holistic Point of View?
Authors: Gole Prakash
Published: March 2023

The article advocates for a Holistic Point of View, which recognizes the interconnectedness of all things and the need to treat the whole system, rather than just its parts. It highlights the impact of human actions on the environment and emphasizes the importance of preserving the balance of natural processes. The article draws from various sciences and acknowledges the historical and evolutionary processes that have shaped life on Earth. It also discusses the negative impacts of industrialism in India and argues that modern industrialism is rooted in western culture, which includes exploitative colonialism, resource-intensive technology, and an economic system geared towards wealth creation but not its equitable distribution. The author suggests that a holistic approach to development is needed, which takes into account the social, economic, and environmental costs of progress and focuses on the just distribution of wealth, investment in health, education, development of local resources, and local initiatives.
A soproni középkori ferences templom szentélyrekesztője
Authors: Takács Ágoston
Published: March 2023

A mai Magyarországon egyedülálló leletegyüttes a soproni egykori ferences (ma bencés) templom faragványcsoportja, amelyet Szakál Ernő szobrászrestaurátor felismerése alapján a templom elbontott szentélyrekesztőjeként ismerünk. Nemcsak azért, mert mindeddig nem készült rekonstrukció egyetlen hasonló magyarországi koldulórendi emlékről sem, hanem azért is, mert nem csupán egyes elbontott, majd másodlagosan beépített faragványait ismerjük, de mivel maga a templom ma is áll, lehetőség adódik a szerkezet eredeti elhelyezkedésének vizsgálatára is.
POPULAÇÃO EM SITUAÇÃO DE RUA E SEU ACESSO À ALIMENTAÇÃO
Authors: Martins Natália Borges , Reidel Tatiana
Published: March 2023

Em 2022, 33,1 milhões de pessoas são atingidas pela fome, e o acesso à alimentação pela população em situação de rua é dificultado ainda mais no contexto pandêmico da COVID-19. Este artigo busca compreender como está preconizado o acesso à alimentação da pessoa em situação de rua na cidade de Porto Alegre. Trata-se de pesquisa qualitativa em que as entrevistas foram guiadas por um roteiro com questões abertas. As entrevistas aconteceram pelo método bola de neve em que cada entidade sugeriu outra para a entrevista. Assim, foram totalizadas 10 entidades relacionadas ao tema, cujos dados foram analisados por meio da análise de conteúdo. Como critério de inclusão está ‘a entidade que trabalha com população em situação de rua e alimentação em Porto Alegre’. Como resultados, evidencia-se que há quatro formas de acesso à alimentação: ações individuais, de terceiros, do Estado e de projetos sociais. Destaca-se, também, o desmonte de políticas públicas vivenciado no Brasil e a consequente ausência do papel do Estado na garantia do direito à alimentação, o que faz recair sobre a sociedade civil uma responsabilidade que é do Estado. Conclui-se que a alimentação da pessoa em situação de rua é mais proporcionada pelas ações voluntárias, o que sinaliza a transferência de papel do Estado à sociedade civil. Há necessidade de reconhecer a insegurança alimentar como problema emergente e que requer enfrentamento por meio de melhor distribuição de renda, emprego e direitos trabalhistas, assim como políticas sociais públicas, com medidas que ultrapassem a perspectiva filantrópica de entidades. Reitera-se a importância da pesquisa e da produção de conhecimento com vistas a visibilizar a falta de acesso ao direito à alimentação e os desafios de pensar sobre o tema considerando a população em situação de rua.
Design & Development of a Cost-Effective User-Friendly Fall Detection Device Using IOT Technology
Authors:   Department of Biomedical Engineering, JIS College of Engineering, Sikdar Swati , Maity Swarnendu , Mondal Dipayan , Saha Sourav
Published: March 2023

Falls are a crucial health problem mainly among the older people and the newly born babies too. In recent years, there are many systems that aimed at detecting the falls has increased adequately. This kind of device is aimed to provide for helping out the both biomedical engineers and clinicians. Our team has implemented a new technology towards the integration of fall detection in smartphones with the use of IOT methods and gyroscope sensor in the detection algorithm. The main objective of our work is to build an android-based fall detection system at cheap price for the children and elderly. The challenges like power consumption, sensing limitation, real-life conditions, real-time operations are well identified by us. The hardware part comprises the sensor which detects the position of the body of the user whether it is on a falling mode or not and the Node MCU where all the processing is done. The software consists of some coding and some formulas that detect the fall and provoke to ring the alarm. Key Words: fall detection, accelerometer, non-invasive tool, older adults, IoT
Hybrid Neutrosophic- Promethee Method for Selection of Relay Node in WBAN
Authors:   Department of Computer Science and Engineering, DAV University Jalandhar, India, Kaur Simranjit
Published: March 2023

A wireless body area network (WBAN) is made up of small health-monitoring sensors that are implanted or placed on the human body. These sensors collect and transmit human medical and physiological data . WBANs are linked to medical servers that observe the health of patients. Because of its ability to continuously and remotely monitor patients' health, this type of network can save critical patients.WBAN is being used to establish communication links between these sensors and provide feedback to users. To provide mobility, sensor nodes must perform on electric power. As a result, the most crucial problem in WBAN is low energy consumption. It is difficult to replace the batteries in in-body sensors. To resolve this problem, we present an Neutrosophic -Promethee (Preference Ranking Organization Method for Enrichment Evaluations (PROMETHEE)method for choosing the selection of relay node, in which AHP calculates the weight of different criteria and and forwards them to the promethee technique which used for outranking them. The experimental outcomes of this study indicate that energy utilization and overall network reliability are significantly reduced. Keywords:WBAN, MCDM method, Neutrosophic method, Promethee method.
Securing political and financial support for the global HIV response
Authors: Krishna Kurup Karishma , Ross Emma , Chiossi Scott Laurence
Published: March 2023

International donors have repeatedly failed to commit the funding necessary to address core global health priorities. The global HIV response since 2000 has been a rare exception. This research paper aims to explain the health and political factors leading to the surge in funding for the HIV response, particularly from the perspective of donors, and to seek insight into how other global health issues might gain similar political and financial support. Among other such insights, the paper finds that support for HIV-focused initiatives was a result of determined pursuits through multiple channels by key individuals, strong action on the part of civil society and public health professionals, and of narratives framing the disease as more than simply an issue of public health.
A Study of Impact of EdTech Platforms on Learning Patterns in Western Maharashtra
Authors: Chaudhary Shreyam , Sathe Mr. Atul
Published: March 2023

Technology enabled education has been trending worldwide for many years but recent pandemic of COVID 19 has brought paradigm shift in teaching learning processes. EdTech has facilitated learning by breaking walls of geographical and cultural boundaries across all sections of societies in India. The paper aims at understanding perception and responsiveness of people towards EdTech. Study also focuses on identifying opportunities and challenges of EdTeching future. The structured questionnaire was circulated using convenient sampling method to collect primary data from 44 respondents. The questionnaire included aspects of devices used, frequency of use, preference to learn and so on. It was found that the respondents had fair idea about functioning of EdTech and respondents used EdTech as primary and secondary source of knowledge equally. The key challenges faced in using EdTech were found to be technical issues, lack of personal touch and attention and inability to pose questions on the spot. If interface is made user - friendly and lectures are made available on offline platform too then the utility can be multiplied so as to reach to last leg of society.
Gamifying teacher professional development: an experience with collaborative learning design
Authors: Pozzi Francesca , Persico Donatella , Collazos Cesar , Dagnino Francesco , Jurado Jose Luis
Published: March 2023

Despite wide-scale uptake of gamification in professional training generally, application in Teacher Professional Development (TPD) is still in its infancy. The few experiences reported hitherto mainly concentrate on fostering participation and engagement in the training intervention itself. By contrast, we believe that gamification of TPD can and should have a broader scope, helping to enhance teachers’ motivation to apply newly acquired knowledge and approaches in their daily practice. Accordingly, we have sought to gamify an existing TPD environment called 4Ts, which encourages teachers to design collaborative learning activities for their students via a specific theoretic approach (4Ts). In this paper, we describe the selection and integration of gamification mechanics in 4Ts following an existing methodology that, while generic, has nonetheless proved useful for gamification in the education field. The paper illustrates both the methodology and the experience of gamifying 4Ts with a view to potential transferability to similar, educational contexts.
NEW INDIA ASSURANCE CO. LTD: GROWTH STORY AND ITS COMPETITIVE STATUS IN NON-LIFE GENERAL INSURANCE SECTOR IN THE GLOBALISED WORLD
Authors: Sawant Saumitra , Ger Aparna
Published: March 2023

New India Assurance a Market leader in the Indian general insurance sector, with 100 years of operations. There were a total of 4 non-life insurance companies in India, but only one of them, New India Assurance, turned a profit and rose to the top of the non-life market. The main goal of the study is to understand how New India Assurance Company managed to outperform other government insurance companies in the face of setbacks. In 2000, the Indian government liberalised the insurance industry, increasing competition by allowing many foreign and private insurance companies to operate there. The research focuses on the factors that have kept New India Assurance Company at the top of the market even after the liberalisation and privatization of the insurance sector. For the purpose of the research, secondary data were gathered from a number of annual reports and the websites of the New India Assurance Company.
The Intersectionality Of Quilombola Woman And Her Needs Of Care: Evidence Of Scientific Literature
Authors: Pacheco Zuleyce Maria Lessa , Almeida Geovana Brandão Santana , Silva Érika Andrade e , Farah Beatriz Francisco , Dutra Herica Silva , Carvalho Janaina Otoni de , Borges Mariana Moreira , Miranda Mariana , Pinheiro Roseni
Published: March 2023

Objective: To identify essential elements that outline the needs of care and health of quilombola women, from the perspective of the intersectionality of gender, race, body and politics, evidenced in the scientific literature. Method: This is an integrative review of the literature, whose search was made in the databases: VHL, EBSCO, LILACS, SciELO, MEDLINE, Web of Science, Scopus, Applied Social Sciences Index & Abstracts (ASSIA) and in the Brazilian Digital Library of Theses and Dissertations and Portal of CAPES Journals. The descriptors "Quilombola Woman", "Black Woman", "Vulnerability", "Health", "Health Conditions of Ethnic Groups", "Care Practices", "Self-Care", whose combinations were used with boolean operators AND and OR. Inclusion criteria were: articles, theses and dissertations available free of charge in databases for full reading in Portuguese or English, derived from research conducted in Brazil and published between 2008 and 2018. Publications in editorial format, debates and reviews were excluded. Results: Twenty-three publications inserted in national databases were analyzed, which outlined the memories of the ways of life of quilombola women, pointing to the saga of resistance and the fight against racism, patriarchy, sexism, lack of access to health and disrespect for their cultural practices of care throughout the ten years of the National Policy of Integral Health of the Black Population. Conclusion: The publications indicate the social inequities experienced by quilombola women, a reflection of the daily oppressions generated by intersectionality, requires greater attention from health policies and social rights.
Gc-Ms Analysis And In Vitro Antibacterial Activity Of The Essential Oil Of Cinnamodendron dinisii Schwacke (Canellaceae) Against Multirresistant Strains
Authors: Pereira Maria Juliana Alves , Rocha Janaína Esmeraldo , Freitas Thiago Sampaio de , Amaral Wanderlei do , Deschamps Cícero , Confortin Camila , Silva Luiz Everson da , Costa José Galberto Martins da , Coutinho Henrique Douglas Melo , Colares Aracelio Viana
Published: March 2023

Medicinal plants are used as cheaper alternatives for the treatment of certain pathologies. Due to the great Brazilian biodiversity, many plants do not have in-depth studies such as Cinnamodendron dinisii Schwacke (pepper or pau-pra-tudo), which is native to the south and southeast. The aim of this study was to evaluate the antibacterial activity of Cinnamodendron dinisii Schwacke essential oil (OECd) against multiresistant strains: Escherichia coli 06 (EC 06) and Staphylococcus aureus (SA 10). Ampicillin, Norfloxacin and Gentamicin were diluted in distilled water and used for the modulatory test. The tests followed the methodology of microdilution in broth to obtain the Minimum Inhibitory Concentration (MIC). The MIC/8 of the products was used in the resistance reversal test. In terms of direct activity, OECd showed the best result against S .aureus with a MIC of 512µg/mL. For bacterial resistance reversal tests, OECd showed better synergistic interactions with the antibiotics ampicillin and gentamicin, both against E.coli strains. The results demonstrate that OECd has antibacterial action when tested alone or in combination with antibiotics against multidrug-resistant strains.
SENTENCING DISPARITY IN TAXATION AND EFFORTS TO OVERCOME THE CONSEQUENCES (Part 1 of 2
Authors: Sinaga Henry , Santoso Didit
Published: March 2023

Gap yuridis dan gap empiris yang terjadi dalam banyak putusan tindak pidana di bidang perpajakan di Indonesia masih menimbulkan seringnya permasalahan sentencing disparity tanpa dasar pembenaran yang jelas. Perlu dan mendesak untuk melakukan studi yuridis normative dalam menjawab 2 (dua) rumusan permasalahan yang ada, mengingat fungsi utama pajak adalah fungsi budgeter dan fungsi mengatur (regulerend). Disimpulkan bahwa saat ini hanya terdapat Pasal 44B UU KUP yang dapat mengurangi terjadinya sentencing disparity di bidang perpajakan di Indonesia, sehingga perlu konsep  equality before the law dan

checks and balances dalam menangani sentencing disparity di Indonesia, yang umumnya terdiri dari disparitas lintas integrated criminal justice system, disparitas horizontal peradilan, dan disparitas vertikal peradilan. Disarankan agar terdapat Peraturan Mahkama Agung tentang Pedoman Pemidanaan Tindak Pidana Perpajakan, dan Peraturan Kejaksaaan Agung tentang Pedoman Penuntutan dan Pra-Penuntutan Tindak Pidana di Bidang Perpajakan, eksaminasi dan diseminasi public setiap putusan yang menghasilkan putusan yang mengandung sentencing disparity tanpa dasar pembenaran yang jelas, dan penguatan lembaga pengawas masing-masing integrated criminal justice system, seperti Komisi Yudisial, dan Mahkamah Agung.
Impact of social media in educating and improving the oral health status in children – A Comprehensive review
Authors: Nagaveni N B , Umashankara K.V. , Ashwini K.S
Published: March 2023

Electronic media in the form of television and radio has played a pivotal role over the decades in influencing human minds. Social media is the most popular form of modern-day media that directly connects people all over the world. Due to its fast access and ease of use, in the form of text messages, images, audio and video files, social media has irreplaceably taken over present-day modes of communication. It is also the most economical means which have made its use span across all age groups. Children love the variety of exciting videos that brings to them a plethora of information and are hooked onto it from a very young age. Social media has limitless potential when used as a learning tool. It can create awareness, spread knowledge and can guide in adopting new life style practices. We are all familiar with how kids like to imitate. They watch and learn simple manners such as saying ‘thank you’ and ‘sorry’ like their favourite cartoon characters who become their role models. Images and videos help children absorb information in a fun way that can easily be reproduced when needed. As learning begins early, surely the impact of social media on young minds is surmounted and can help them develop healthy habits. In this essay it has been discussed in detail how social media can be made useful in both educating and improving oral health status of children
A támogatott tolperison, baclofen és tizanidin izomlazító gyógyszerek kiváltása Magyarországon 2015 és 2019 közötti időszakban
Authors: Góczi Tímea , Dombrádi Viktor , Bányai Gábor , Boruzs Klára , Bíró Klára
Published: March 2023

A populációk elöregedésével egyre nő a fogyatékosság incidenciája és prevalenciája. A fogyatékosság nem csupán egészségügyi, hanem globális társadalmi, gazdasági probléma. A fogyatékos népességen belül a mozgássérülteké a legnagyobb arány. A mozgásszervi betegségekben jellemző izomtónusfokozódás kezelése alapvető jelentőségű. A kezelésben használatos baclofen, tolperisone és tizanidine kiváltás, ártámogatás és térítési díj változását vizsgáltuk 2015 és 2019 közötti időszakban Magyarországon. A Nemzeti Egészségbiztosítási Alapkezelő által kifizetett ártámogatás összege folyamatosan emelkedett, mely a tizanidine hatóanyagra kifizetett ártámogatás emelkedésének volt betudható. A baclofen és a tolperisone esetében nem történt jelentősebb változás.
Az állami és a magán egészségügy fogyasztói szemmel Magyarországon
Authors: Szigeti Szilárd
Published: March 2023

A tanulmány kérdésköre a magyarországi lakosság állami és magán tulajdonú és finanszírozású egészségügyi szolgáltatásokról adott véleménye. Kapcsolat áll fenn a fogyasztók korcsoportja és a számukra elfogadható egészségügyi szolgáltatói forma között. Primer kvantitatív kutatás (N=1196) rámutat, egy állami tulajdonú intézményben kínált szolgáltatásért saját zsebből történő fizetés inkább elfogadhatatlan. Az 54 évnél idősebb generációnak van a legkevesebb tapasztalata a magánegészségüggyel, míg a legtöbb a 36-41 év közötti generációnak. A magyar felnőttkorú lakosság szerint a magán egészségügyi szolgáltatásokat a közfinanszírozott ellátással szemben a kevés várakozási idő, gyors időpont foglalás, emberibb bánásmód, páciensközpontúság és kellemes környezet jellemzi.
Ayasofya Cami’sinin İbadete Açılmasının İç Politikaya Yansıması: Parti Liderlerinin Sosyal Medya Paylaşımları
Authors: KALÇIK Tuba
Published: March 2023

Teknolojinin getirdiği yenilikler hayatın birçok alanında olduğu gibi si-yasal alanı da yakından etkileyip, dönüştürmüştür. Eskiden hedef kitlesi ile basın-yayın organları üzerinden iletişime geçen siyasal aktörler, bugün akıllı telefon aracılığıyla bile kısa bir sürede yoğun bir kitleye ulaşma şansına sahiptirler. Sosyal medya bu açıdan siyasal iletişim alanında önemli bir dönüşüme katkı sağlamıştır. Sosyal medya, seçmenlerle iletişime geçmede ve kamuoyu oluşturmadaki gücünü gören siyasal aktörlerin vazgeçilmezi haline gelmiştir. Çalışma, Ayasofya Camisi’nin ibadete açılmasını, muhafazakâr-sağ kesimin en büyük temsilcisi konumunda olan Adalet ve Kalkınma Partisi ile seküler-Batıcılık geleneğinin en büyük temsilcisi konumunda olan Cumhuriyet Halk Partisi’nin liderlerinin sosyal medya paylaşımlarına nasıl yansıdığını incelemeyi amaçlamaktadır. Bu bağlamda, ilk olarak günümüzde önemli bir siyasal iletişim platformu olan sosyal medyanın nasıl kullanıldığı ve sembolik açıdan Ayasofya’nın önemi ele alındıktan sonra 24 Temmuz 2020’de Ayasofya Camisi’nin ibadete açılmasının Türk siyasetine yansıması, Türkiye’nin siyaset alanında oy oranı açısından da iki büyük partisi konumunda olan AK Parti ve CHP’nin liderlerinin sosyal medya paylaşımları söylem analizi üzerinden incelenmiştir. Elde edilen bulgulara göre, Ayasofya Camisi’nin ibadete açıl-masını, muhafazakâr-sağ kesimin en büyük temsilcisi konumunda olan AK Parti ile seküler-Batıcılık geleneğinin en büyük temsilcisi konumunda olan CHP liderlerinin siyasetteki konumlanışlarındaki farklılıkların sosyal medya-daki paylaşımlarına da yansıdığı görülmüştür.
Ankara’da Evlenme Hazırlığında Bulunan Çiftlerin Evlilik Rol Beklentileri
Authors: YORGANCILAR Serkan
Published: March 2023

Çalışmanın amacı Ankara’da evlenme hazırlığında bulunan çiftlerin evlilik öncesinde aile içi rollere ilişkin rol beklentilerini ortaya koymaktır. Toplumsal bir kurum olarak ailenin değişen yönleriyle birlikte yeni çiftlerin aile yapısı hakkında nicel bir araştırma yapılmıştır. Çalışmanın örneklemi Ankara’da evlenme hazırlığında bulunan çiftler arasından rastgele seçilmiştir. Çalışmada kırk sorudan oluşan Köksal ve İlhan tarafından geliştirilmiş olan “Evlilik Rol Beklenti Ölçeği” kullanılmıştır. Evlilik rol beklentileri gelenekselci ve eşitlikçi olmak üzere iki faktör üzerinden değerlendirilmiştir. Araştırma 2022 yılı Kasım ve Aralık aylarında yapılmış ve çalışmada 481 katılımcıya anket uygulanmıştır. Ankara’nın metropol ilçelerinde uygulanmış, taşra ilçeleri araştırma dışı tutulmuştur. Elde edilen veriler SPSS 24 programı ile analiz edilmiştir. 481 katılımcı üzerinde gerçekleştirilen araştırma sonunda elde edilen bulgulara göre eğitim durumu, gelir düzeyi ve bireyin yetişmiş olduğu aile yapısına göre anlamlı farklılıklar bulunmuştur. Evlenme hazırlığında bulunan çiftler farklı rol beklentileri ile evlilik kurumunu yeniden yapılandırmaktalardır.
Habilidades, actitudes y concepciones en la enseñanza de ciencias naturales
Authors: Martínez Rizo Felipe
Published: March 2023

Este texto parte de la idea de que aprender ciencias no se reduce a estudiar contenidos y debe hacer que los estudiantes manejen habilidades propias del trabajo científico, cultiven actitudes favorables a la ciencia, y tengan concepciones correctas sobre ella. Se reconoce, sin embargo, que la enseñanza que tiene lugar en las aulas suele ser deficiente no solo en cuanto a conocimiento de contenidos, sino aún más en cuanto a habilidades, actitudes y concepciones; por lo general los docentes intentan trabajar habilidades y actitudes de tipo general, y no las propias de las ciencias. Con base en la metodología del ensayo, la literatura disponible y la experiencia de trabajo en actividades de desarrollo profesional para docentes de educación básica en servicio, se identifican habilidades, actitudes y concepciones que sí son propias de las ciencias, y se hacen sugerencias para mostrar que, en un nivel adecuado a la edad de los alumnos es posible trabajarlas desde la educación básica.
Manejo del síndrome caquexia-anorexia en el cáncer avanzado
Authors: Cherro Ariel F. , Sala Raúl , Velasco Leiva Adriana , Márquez Gloria
Published: March 2023

El síndrome de caquexia-anorexia (SCA) afecta aproximadamente al 80% de los pacientes con cáncer avanzado cercanos al final de la vida. El SCA asociado al cáncer avanzado es un fenómeno complejo que no se revierte con el aumento de la ingesta calórica. Su incidencia y gravedad aumentan a medida que progresa el cáncer. Las posibilidades de aumentar la masa magra o de lograr aumento del peso en el paciente caquéctico con cáncer avanzado son prácticamente nulas. Un abordaje multimodal aplicado precozmente permitiría mejorar la tolerancia al tratamiento oncológico, detener la pérdida de peso y eventualmente mejorar la supervivencia. Sin embargo, en etapas avanzadas y con pobre pronóstico, no es apropiado por el tiempo necesario para lograr un efecto. En la caquexia avanzada es conveniente utilizar esquemas de medicación sencillos y de acción a corto plazo. Los progestágenos producen aumento del apetito, de la ingesta calórica, reducción de las náuseas y de la fatiga. Dado que estos efectos se logran luego de varias semanas de tratamiento, es racional utilizar este fármaco cuando el pronóstico de supervivencia sea de 3 meses o más. Los corticoides producen aumento del apetito y de la ingesta sin aumento de peso concomitante, su eficacia está limitada a unas pocas semanas (2-4 semanas en general). La indicación más apropiada de los corticoides es a corto plazo o por períodos intermitentes. Con respecto a la hidratación parenteral en pacientes con cáncer avanzado, es aconsejable efectuar una toma de decisiones individualizadas para cada paciente, como así también monitorear de cerca la cantidad de líquido administrada y la respuesta a la misma.
Trastuzumab emtansina (T-DM1) en cáncer de mama HER2 positivo
Authors: Nervo Adrián , Costanzo Victoria , Chacón Reinaldo
Published: March 2023

El cáncer de mama es una enfermedad frecuente en todo el mundo. Un 20-25% de estos tumores tienen sobre-expresión/amplificación de HER2. El desarrollo de anticuerpos conjugados con drogas citotóxicas no sólo maximiza el potencial de la eficacia antitumoral de la droga, sino que además minimiza la toxicidad de los tejidos normales, mejorando así el índice terapéutico. Trastuzumab emtansina (T-DM1) es un conjugado anticuerpo-quimioterápico que incorpora las propiedades anti-HER2 del trastuzumab y la actividad citotóxica del inhibidor de microtúbulos DM1 (derivado de la maytansina). Los resultados de los estudios clínicos con trastuzumab emtansina demuestran su utilidad en el tratamiento del cáncer de mama HER2 positivo, prolongando la supervivencia libre de progresión y la supervivencia global en pacientes con enfermedad metastásica previamente tratadas con trastuzumab y taxanos, con un perfil de toxicidad favorable. Los distintos estudios en curso definirán el rol de esta droga en otras líneas de cáncer de mama y posiblemente de otros tumores.
Justicia con perspectiva de género
Authors: Coaña Be Luis David , Cámara Santos Monserrat Jacqueline
Published: March 2023

El presente artículo señala el impacto que la justicia internacional ha tenido en la adopción o creación de mecanismos y normas encaminadas a cumplir el deber de prevenir, investigar, sancionar y reparar la violencia que históricamente ha aquejado a la mujer mexicana. Tras analizar cinco sentencias de la Corte Interamericana de Derechos Humanos en relación con la violencia de género, se examina el primer caso de feminicidio conocido por la Suprema Corte de Justicia de la Nación, en el cual se establecen lineamientos en materia de derechos humanos y la necesidad de erradicar la violencia y discriminación en contra de la mujer, particularmente en el ámbito penal, a través de la adecuada investigación de los delitos de los cuales es víctima.
Narrar el cuerpo de las víctimas de feminicidio
Authors: Jiménez Sánchez Rita Margarita
Published: March 2023

A partir de un caso de feminicidio, se desarrolla un análisis antropológico centrado en el lenguaje cotidiano sobre los significados asociados al cuerpo de las mujeres. Se muestran las narrativas sobre violencia feminicida que se desprendieron del caso con la ayuda de instancias encargadas de impartir justicia y de los medios de comunicación, y se abordan las implicaciones de tratar los feminicidios como espectáculo en un país que convirtió la violencia hacia las mujeres en un hecho social. En contraste, se resalta el trabajo de los contrapúblicos feministas que se pronuncian por una resignificación digna del cuerpo de las mujeres.