bluuebunny/crossref_metadata_2025 huggingface dataset:
Diagnosis of metachronous papillary thyroid cancer with elevated carcino-embryonic antigen levels in tracking rectal carcinoma
Authors: Chakaravarthi Karikal , Anbalagan Amudhan , Satyanesan Jeswanth
Published: July 2022

Carcinoembryonic antigen (CEA) is a tumor marker that is mostly used to track patients with colorectal cancer (CRC). CEA is an indirect tumor marker that can be useful in both malignant and benign diseases. We presented the case of a 49-year-old man who had been monitored for a lower rectal adenocarcinoma since 2010. In 2010, he had an abdominoperineal resection. Previously completed both neoadjuvant and adjuvant chemo-radiotherapy. In 2019, he was planned to undergo parastomal hernia (PS) repair, but studies have shown elevated CEA levels. The CEA concentration was 27.6 ng/ml. Although there were no signs of recurrence, positron emission tomography (PET) and computed tomography (PET/CT) revealed considerable uptake in the left lobar thyroid. Papillary thyroid carcinoma (PCT) was found on fine needle aspiration cytology (FNAc). He underwent total thyroidectomy and CEA level reached the baseline after thyroidectomy.
Diagnosis and management of liposarcomatous differentiation in a phyllodes tumor: a rare clinical conundrum
Authors: Singhal Pranav Mohan , Jindal Rohit , Lakhera Kamal Kishor , Patel Pinakin , Singh Suresh , Sharma Raj Govind
Published: July 2022

The solitary variant of rapidly growing large breast masses consisting of both epithelial and stromal components with no nodal involvement is called a phyllodes tumor and they are rare neoplasms of the breast. They constitute about 1% of all breast masses, with a slightly higher incidence in the Asian population. Although 10-30% of phyllodes tumors eventually undergo malignant transformation, which can either be in the epithelium or the stroma. However, heterologous transformation of phyllodes is an extremely rare entity. Here, we reported the case of a 60-year-old woman with an expeditiously growing breast mass for six months, which on biopsy raised a suspicion of malignant mesenchymal neoplasm. The patient underwent mastectomy with axillary sentinel lymph node biopsy (SLNB) and the final histopathological and immunohistochemistry examination revealed a phylloides tumor with a pleomorphic variety of liposarcomatous differentiation. Even with a typical mammographic appearance, liposarcomatous differentiation in phyllodes tumors can present a diagnostic dilemma on histopathology. Axillary sentinel lymph node biopsy (SLNB) forms a middle path in such cases of diagnostic challenge, which not only avoids the unnecessary morbidity of axillary lymph node dissection but also, at the same time, addresses the axilla in case the final histopathology shows evidence of invasive carcinoma.
Phyllodes tumour presenting in a rare location: a case report and literature review
Authors: Rajgopal Vandhana , Sammader Saugata , Ranjan Piyush , Fawaz Mohammed
Published: July 2022

Phyllodes tumors are rare fibro-epithelial tumors that are known to grow very rapidly in a short period. The tumor is known for its propensity to recur locally despite adequate wide excisions and even mastectomies. This case report is of a woman who had a recurrent Phyllodes tumor in a peculiar location. Phyllodes tumours are generally confined to arising from the breast; however, in this case, we found it arising from the anterior abdominal wall. The tumour was removed with a 2 cm margin of excision. The large defect that remained after excision was reconstructed using a latissimus dorsi flap, along with a split skin graft. The immediate post-operative period was uneventful. Ultrasonography did not detect a recurrence after 12 months. We presented relevant literature highlighting tumor infiltration into the anterior abdominal wall, our surgical management and reconstructive planning for closure of a large post-excision defect. In order to prevent a recurrence of phyllodes tumour, it is important to excise the tumour with wide margins of 2 cm. A multi-disciplinary team approach is essential for the reconstruction of the remaining defect.
Surgical site infection: risk factors
Authors: Riojas Patricia S. E.
Published: July 2022

Surgical site infections are some of the most common and costly health care-associated infections. We searched PubMed for articles that talk about surgical site infection, to analyze the information contained in them and synthesize it in the present text. It is estimated that surgical site infections are developed 2 to 5% of patients undergoing surgical procedures per year. They are directly associated with an increase in morbidity and mortality, in fact, they are the leading cause of death in the immediate postoperative period. It is observed in the literature that only 4 measures are recommended by all agencies and institutions: proper hair removal, antibiotic prophylaxis, preparation of the surgical field with alcohol-based product, being recommended in the Most of them are alcoholic chlorhexidine and normothermia. In addition to the measures recommended by international mechanisms, it is essential to control risk factors as much as possible to minimize the possibility of surgical site infection, as well as to follow asepsis and antisepsis measures, as well as proper management. of the surgical wound.
Caries prevention during removable orthodontic treatment: a scoping review protocol
Authors: Park Hyunjin , Morse Zac
Published: July 2022

Background: Removable orthodontic treatment corrects dental and skeletal malocclusion by utilising various types of removable appliances. Although removable orthodontic treatment has a reduced risk of dental caries compared to fixed orthodontic treatment, removable appliances create niches for cariogenic microorganisms to increase their numbers and lead to an ecological shift. However, there is insufficient information on caries prevention during removable orthodontic treatment. The protocol details the research for a scoping review of caries prevention during removable orthodontic treatment.

Methods: This scoping review will be conducted according to the Preferred Reporting Items for Systemic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) and Joanna Briggs Institute (JBI) Manual for Evidence Synthesis guidelines. Published primary and secondary research studies (including reviews), guidelines, websites, and reports that are written in English until April 2022 will be searched from seven databases, including Dentistry and Oral Sciences Source, CINAHL, MEDLINE, via EBSCOHost, Scopus, Cochrane, Google, and Google Scholar. Two reviewers (HP and ZM) will analyse the retrieved articles simultaneously using the parameters and three-step strategy recommended by JBI. Obtained numbers of included and excluded identified sources will be presented in a PRISMA flow diagram and the data extraction table will demonstrate the variables from included sources.

Conclusions: The findings of this review will be summarised in a narrative description to facilitate guidance in clinical practice and research for health professionals.
Single-centre, randomized, clinical trial of opioid-free analgesia versus routine opioid-based analgesia regimen for the management of acute post-operative pain following caesarean section: study protocol
Authors: Makinde Olakunle I. , Aigere Samuel E. O. , Oyeyemi Nuvie , Adesina Adedotun D.
Published: July 2022

Background: Pain management post-caesarean section is a common source of exposure to opioids in women. To address the rising opioid addiction associated with peri-operative administration, trend in operative analgesia is moving towards opioid-free, multimodal analgesia. We present our protocol for this study so that it may be replicated in other settings and possibly modified for future studies.

Methods: In a Single-centre, non-inferiority, parallel, randomized, controlled, clinical trial with balanced allocation [1:1] into two arms, we compared a peri-operative opioid-free analgesia regimen with a routine post-operative opioid-based analgesia regimen in women undergoing caesarean section under spinal anaesthesia. Primary outcome measures were post-operative pain intensity at 4, 8 and 24 hours (using Numerical Rating Scale) and post-operative pentazocine use. Secondary outcome measures were the incidence of adverse events and Apgar score. Results will be published in a peer-reviewed, open access journal.

Conclusions: This protocol adopted the use of intravenous paracetamol and intravenous NSAID as baseline analgesics. Magnesium sulphate was introduced peri-operatively as part of our opioid-free multimodal analgesia regimen because of its established effect in decreasing post-operative pain and opioid use. We also relied on the preventive analgesic effect of administration of intravenous paracetamol and intravenous magnesium sulphate before surgical incision, continued intraoperatively and post-operatively. In addition, magnesium sulphate is a familiar drug to the obstetrician, readily available and affordable in most settings where comprehensive emergency obstetric care is offered, easy to administer and it has been well tolerated clinically.

Trial registration: This protocol was registered with clinicaltrials.gov (Identifier: NCT04539249) on September 3, 2020, prospectively.
The effect of lavender oil inhalation on pain, anxiety, and sleep quality after coronary artery bypass graft: a randomized controlled trial protocol
Authors: Aydin Yeşim Dikmen , Gurkan Aysel
Published: July 2022

Background: Pain, anxiety, and sleep disorders are common side effects of coronary artery bypass graft (CABG) surgery. Although pharmacological agents are currently used in the treatment of these problems, in addition to their undesirable side effects, they increase healthcare costs, and their inadequate control leads to morbidities, prolonged hospital stay and increased burden of care. Therefore, supportive interventions are needed. The aim of this study is to determine the effect of lavender oil inhalation on the pain intensity, anxiety and sleep quality of patients that underwent CABG surgery.

Methods: This study was planned as a prospective randomized controlled trial. Participants meeting the inclusion criteria will be randomly assigned to the intervention and control groups. During the hospitalization period after CABG surgery, 2% lavender oil (Lavandula angustifolia) inhalation will be applied to the intervention group three times a day, while the control group will only receive routine care. The pain intensity of the groups will be evaluated with the numeric rating scale, anxiety levels with the state-trait anxiety inventory, and sleep quality with the Richards-Campbell sleep questionnaire.

Conclusions: There is a need for new approaches to improve the physiological and psychological health of patients after CABG surgery and help them return to their daily life activities and social lives in a shorter time. This trial will allow for the assessment of the effects of this intervention and provide valuable evidence to guide clinical practice.

Trial registration: This trial was registered in May, 2022 (NCT05377983).
Prevalence and determinants of underweight, overweight, and obesity among adolescent secondary school students in Dongola City, Northern Sudan in 2019
Authors: Alzain Mohamed A. , Abdelaziz Mohamed O. , Mustafa Areej E. , Elsheikh Mohamed
Published: July 2022

Background: Adolescents comprise 1.2 billion of the world population. There is a worldwide increase in the prevalence of obesity and overweight among adolescents. This study aimed to determine the prevalence of underweight, overweight, and obesity among secondary school adolescents in Dongola city, North Sudan.Methods: A cross-sectional, school-based study was conducted among adolescents from 7 out of 11 schools in Dongola city in November 2019. Multistage sampling method was used besides ethical approval and informed consent were taken. Data was collected through questionnaire, weight and height of each participant were measured, body mass index was calculated and the World Health Organization (WHO) (5-19 years) reference chart was used to determine underweight, overweight, and obesity. Chi-square test and multinomial logistic regression were performed to determine factors associated with underweight, overweight, and obesity.Results: The study included 695 students with 397 (57.1%) males. The prevalence rates of underweight, overweight, and obesity were 12.2%, 15.7% and 5.2% respectively. Male students had more than twice times (OR=2.37; 95%CI=1.29-4.37) likely to be underweight. Students with family history of obesity had almost twice and two and half times (OR=1.78; 95% CI: 1.15-2.76) and (OR=2.46; 95% CI: 1.21-4.98) more likely to have overweight and obesity respectively. Students living in urban areas had thirteen times (OR=13.0; 95% CI: 1.76-0.96.7) more likely to be obese.Conclusions: The prevalence rates of underweight, overweight, and obesity are high compared to primary school children in Northern State. There is a need to strengthen the school health program and further studies involving rural and urban schools are recommended.
Domestic violence among women in slums: scope for public health intervention
Authors: Chatterjee Debolina , Ganguly Sohini
Published: July 2022

Background: Domestic violence is a major human rights violation and public health crisis. Slums offer scope to understand violence as intertwined with specific material and social configurations. The present study aimed to explore the experiences of domestic violence among women and the scope for public health intervention in the context of the realities of a slum.Methods: Qualitative data were collected through narrative interviews of 30 married women residing in a slum in the Indian city of Kolkata using an unstructured interview schedule.Results: A thematic analysis revealed that all the women faced both physical and sexual violence in their day-to-day lives. The trajectories of the violence could be traced through their early marriage, lack of financial autonomy, and absence of control over their bodies. Women reported pain and physical injuries, as well as gynecological health problems due to routine violence. It also took an adverse toll on their mental health. There was a dearth of effective community-based help-seeking resources.Conclusions: The study concludes that there is a need for moving beyond solely a justice system approach to more integrative models of promoting health in addressing the issue of domestic violence.
Epidemiological correlates of adherence to anti-hypertensive treatment in primary health care setting of Ludhiana, Punjab
Authors: Girdhar Sangeeta , Chaudhary Anurag , Bansal Nahush R. , Kaur Prabhleen , Grewal Amanat
Published: July 2022

Background: There is an increasing burden of hypertension in India. The complications arising from hypertension mainly occur due to non-adherence to pharmacological and non-pharmacological interventions. Adherence to pharmacotherapy for hypertension varies from 43-88%. Various socio-demographic factors influence non-adherence. This study determined adherence to treatment among hypertensives and factors associated with non-adherence.Methods: A cross-sectional study was conducted on hypertensive patients visiting OPD of an institutional urban health centre. A predesigned semi-structured questionnaire including socio-demographic profile, treatment-seeking behavior, adherence to medications, and lifestyle risk factors (smoking, intake of alcohol, junk food, and high salt diet) was applied. Reasons for non-adherence were also explored. Data were analyzed using SPSS 26 version.Results: A total of 186 individuals: 113 females (60.8%) and 73 males (39.2%), participated in the study. The mean age of participants was 60.9±10.7 years. Adherence to anti-hypertensive treatment was witnessed in 68.3% of patients. The adherence was noticed significantly (p=0.001) more in literate than illiterate subjects. Further, the adherence was lower among smokers (25%) and alcohol consumers (43.75%) as compared to non-users (70.22% and 73.37%, respectively; p<0.01). Discontinuation of medicine on feeling well, forgetfulness, and unawareness were predominant reasons for skipping medications.Conclusions: Non-adherence to the anti-hypertensives significantly adds to the disease burden. A deeper understanding of factors responsible for the non-adherence plays a pivotal role in addressing this issue and improving quality of life. Intensive health education and counseling of the patients is the need of the hour.
Perception of community medicine as a curriculum and career option among medical students
Authors: Muthamilan Om Lokesh , Hapani Pragati Amit , Beotra Sakshi , Kotian Shashidar , Goyal Ishan
Published: July 2022

Background: In India, medical curricula have not been kept up to date with changes in public health, demography, and health policies. Clinicians serve as role models for students in medical colleges, and CM is not seen as an appealing career option by students. Hence this study was designed to analyze the perceptions and attitudes of medical undergraduates towards the relevance of CM as a future career option.Methods: This cross-sectional study was done in a Kasturba medical college, Manipal academy of higher education, located in Mangaluru, conducted especially for undergraduate medical students consisting of 440 medical students (MS) formulate this study population who belonged to different socio-demographic and regional backgrounds.Results: This study on the perceptions of the MS in LCM as part of their MBBS syllabus and their preference for the subject as a career path. Out of 440 MS, the rate of response was 100%. Among them, 237 (53.8%) were male and 203 (46.2%) were female. In our study, 93.9% showed a positive attitude in gaining skills to understand the research in their period of CM postings, 89.7% suggested having an understanding of concepts in CM followed by preventive measures against diseases (86.6%), the real-life health issues of the communityConclusions: The prime motive was a desire to pursue a career in clinical subjects, students must learn community medicine subjects as well, and they must be better informed about the chances were available for CM specialists to work with international, national and state healthcare organisations and research institutes.
Knowledge, attitude and practise about tobacco use among school personnel in Dharamshala city: a cross-sectional study
Authors: Gurung Deepak , Bhardwaj Vinay K. , Fotedar Shailee , Thakur Arun S.
Published: July 2022

Background: The primary objective was to assess the knowledge, attitude and practice of school personnel of tobacco use and its effect in school-based tobacco intervention for making tobacco free educational institutions (TOFEI) and tobacco free society.Methods: The sampling used was probability stratified random sampling. The data collections were done by self-administered prevalidated World Health Organization (WHO) global school personnel survey (GSPS) questionnaire.Results: Majority of participants were from 40-49 years of age (44.4%) representing both from the government and private schools. Out of total school personnel 69.4% were female and 30.4% were male. Majority of the school personnel were teachers (91.8%) followed by principals 3.6%. Majority of the teachers had good knowledge and attitude.Conclusions: A better compliance always leads to better enforcement. This compliance can be further enhanced by creating uniform policies for schools for better enforcement on tobacco control. It is important to understand the role of each school personnel with their shared responsibility in advocacy and enforcement of already existing tobacco control laws.
A hospital-based study on lipid profile in acute myocardial infarction in Goa
Authors: Menezes Carlos Noel , Nayak Aditya Hanuman , Sawant Dessai Bhargav P. , Mardolkar Saiesh Madhukar
Published: July 2022

Background: Acute myocardial infarction (AMI) is by far the most important form of ischemic heart disease (IHD). Epidemiological surveys have shown that atherosclerosis due to dyslipidemia is directly correlated with risk of IHD.Methods: A prospective Case series study was conducted among 200 patients who suffered from AMI and admitted at Goa medical college, Bambolim from 1st January 2020 to 31st March 2020. After taking consent, the patient’s socio-demographic details were taken from the patients and blood sample for lipid profile and inflammatory markers estimation was obtained within 24 h from the onset of symptoms. IEC approval taken before conducting the study.Results: The patients were aged between 42 and 80 years (mean 59.51±11.41). They included 140 (70%) males and 60 (30%) females. Most of the patients had suffered from anterior wall MI (51, 25%) inferior (72, 36%) lateral wall (15, 7%) septal 62 (31%). The study found a significant association between longer hospital stay and development of complications post MI among patients with raised serum TG levels and low HDL levels.Conclusions: Our study revealed that with the increase in TG level and decrease in HDL levels, the rate of complications post MI and hospital stay increased which is suggestive that high TG levels and low HDL levels may be a significant marker for post MI. Hence a preventive approach would go a long way to prevent complications.
Pediatric turbinoplasty: what is the impact of allergy on long-term outcomes?
Authors: Sousa Francisco Alves De , Azevedo Sara Raquel , Costa Sara , Pinto Ana Nóbrega , Soares Teresa , Coutinho Miguel Bebiano , Meireles Luís
Published: July 2022

Background: The use of inferior turbinoplasty (IT) in pediatric patients is controversial, especially in the presence of allergic rhinitis. The objective of this study was to assess the long-term results of radiofrequency inferior turbinoplasty in allergic versus non-allergic children.

Methods: Children operated between 2017 and 2019 and whose intervention included radiofrequency IT were included. Multiple scores were collected in 2021 through a telephone call to parents. A comparison was made between allergic children (AC) and non-allergic children (NAC).  

Results: 41 children were included. Parents of AC reported a higher degree of dissatisfaction with surgery (AC: 0.8±1 verses NAC: 0.2±0.5, p=0.026). AC revealed a greater dependence on medication in order to control nasal obstruction (41% in AC vs 6% in NAC, p=0.010). The total Nasal Obstruction Symptom Evaluation (NOSE) score was higher in AC (mean AC 26±25 verses mean NAC 5±12, p=0.003). The sinus and nasal quality of life 5 SN-5 score was higher in AC (mean AC 2.5±1 vs NAC mean 1.4±0.8, p<0.001).AC had a lower score on the SN-5 quality of life scale (mean AC 6.6±2.4 vs NAC mean 8.3±1.8, p=0.014).

Conclusions: Radiofrequency IT alone does not seem effective in the long-term resolution of nasal obstruction in AC.

 
A study of radiological assessment of chronic otitis media in both mucosal and squamosal disease
Authors: Murugesan Gowrishankar , Vadivel Suresh , Balu Sujatha
Published: July 2022

Background: Chronic otitis media (COM) is common disease prevalent in India. Patients coming to OPD who were clinically diagnosed as chronic otitis media (COM) were evaluated using High resolution computerised tomography (HRCT) temporal bone. HRCT temporal bone is highly useful in knowing the disease involving middle ear cleft and adjacent structures. Previous studies have indicated the importance of HRCT temporal bone in mapping anatomy and middle ear disease status in COM patients. The aim of the study was to assess radiological findings of chronic otitis media in both types, and to choose management plan based on the involvement of structures.

Methods: A prospective study was done in 100 COM patients with both mucosal and squamosal disease, using HRCT temporal bone scan and features analyzed.  

Results: Among 100 COM patients, 75 had mucosal disease, 25 had squamosal disease. In our study the most common age group was between 16 to 25 years (26%) and 46 to 55 years (24%).  The male: female ratio was 2:3.  In 100 clinically diagnosed COM participants, 10% of them were found to be radiologically negative. In 90% radiologically positive participants, findings showed radiolucent shadow in the mastoid and  middle ear cavity(67%), ossicular involvement(35%) and adjacent structures like epitympanum (22%), hypotympanum (2%), tegmen tympani (3%), Prussak’s space (20%), scutum involvement (18%), sinus tympani (3%), were noted by HRCT.

Conclusions: HRCT temporal bone is a highly reliable diagnostic tool used for preoperative assessment of all COM patients planned for surgery.
Profile of hyperacusis and tinnitus among traffic police exposed to noise
Authors: Abdul Maqbool Mattathil , Rajmohan Deekshith , S. Hemaraja Nayaka
Published: July 2022

Background: Traffic police are in constant risk for developing noise induced hearing loss. Studies have reported prevalent permanent threshold shift resulting to varying degrees of hearing loss. The present study was carried out with an aim of investing the prevalent Hyperacusis and Tinnitus among traffic police personnel of Mangalore, Karnataka. To profile Audiological investigations and document the prevalent Hyperacusis and Tinnitus signs and symptoms among traffic police.

Methods: A total of 52 participants took part in the study in the age range of 24 to 45 years, with a mean value of 35.83±0.965 years. The study had 45 male ad 7 female participants. The Audiological evaluations were carried out. The pure tone audiometry was carried out using AC 40, two channel, diagnostic audiometer. Tympanometry was carried out using Middle ear Analyzer from Clarinet Inventis. To document the clinical signs and symptoms of Hyperacusis and Tinnitus, Modified Khalfa Hyperacusis questionnaire and Inventory of Hyperacusis Symptom (IHS) was used.  

Results: In our study, mean pure tone average (PTA) on right side was 13.10±0.710 dB and on left side was 13.25±0.874 dB. Pure tone average on right side ranged from 5 to 30dB and left side 4 to 30dB. It was also observed that four of the participants had mild level of Hyperacusis and one had moderate Hyperacusis and another participant with severe level Hyperacusis.

Conclusions: There is a necessity to regularly monitor hearing skills and impact of noise on hearing health of traffic police personnel.
Prevalence and determinants of left ventricular hypertrophy among elderly hypertensive patients attending tertiary health care center in West Bengal, India
Authors: Kushwaha Poonam , Yadav Bijay Prakash
Published: July 2022

: Hypertension (HTN) is one of the most prevalent, modifiable and treatable causes of cardiovascular diseases in the elderly. Damage to cardiovascular system due to chronic hypertension causes hypertensive heart disease including left ventricular hypertrophy (LVH). It is a physiological adaptation to chronic blood pressure (BP) indicating grave prognosis and should be diagnosed early.

Present study therefore aimed to assess LVH and other Cardio-vascular (CV) changes and to ascertain correlation between the electrocardiographic (ECG) and radiographic / chest x-ray (CXR) evidences and find out their determinants among elderly hypertensive patients.

100 elderly hypertensive subjects were included in study. Cardio-vascular changes and LVH was assessed by using chest x-ray and ECG. Other bio-chemical investigations were done also.

: 29% and 32% subjects had LVH detected by Chest x-ray and ECG respectively. Female, increasing age, family history and duration of HTN, smoking, alcohol consumption were found independent determinants of LVH. Subjects with LVH had higher mean blood pressures, mean pulse pressure and higher blood urea nitrogen than those without LVH. Micro-albuminuria was significantly more frequent in patients with LVH as detected by CXR. Fasting Blood sugar and dyslipidaemia was associated with greater odds of developing LVH.

In low resource settings, where standard diagnostic tests are unavailable- chest x-ray and ECG are the useful tools for detection of cardio vascular changes / LVH among chronic hypertensive.
Diseño ecológico: estrategias para la ciudad vulnerable: infraestructuras verdes urbanas y espacio público en América Latina y Caribe
Authors: Vera Felipe , Doherty-Bigara Jennifer , Patiño Soledad , Sordi Jeannette
Published: July 2022

El segundo tomo de la serie Diseño Ecológico: Estrategias para la Ciudad Vulnerable, presenta un reporte de políticas urbanas y nacionales, estrategias y casos de estudio para potenciar el espacio público y el territorio en las áreas urbanas más vulnerables de América Latina y Caribe a través de infraestructuras verdes y soluciones basadas en la naturaleza. Estas intervenciones ofrecen múltiples ventajas para mejorar la calidad del espacio público y aumentar la resiliencia urbana de los asentamientos más vulnerables. En este tomo, Infraestructuras verdes urbanas y espacio público en América Latina y Caribe, se ponen en evidencia las ventajas sociales, económicas y medioambientales de intervenir en el espacio público a través de la naturaleza, delineando una serie de criterios y estrategias de implementación. Se presentan 30 proyectos de espacio público e infraestructura verde desarrollados en América Latina y el Caribe en los últimos veinte años, distribuidos en diversas regiones biogeográficas e insertos en contextos muy disímiles, analizando las condiciones de dichos entornos, sus principales riesgos y antecedentes de los proyectos, las soluciones adoptadas, los procesos de construcción e implementación, los beneficios aportados tanto ambientales como sociales, y su evolución en el tiempo.
Measuring the Psychological Markers of Birds Encounter Using Virtual Reality Environments
Authors: Obeidat Bushra , Fadalah Jenan Abu
Published: July 2022

Interactions between humans and animals benefit human health and well-being. There has been little study on the effects of bird encounters on people. This study addresses this conceptual gap by analyzing the results of a between-subjects experiment with 136 undergraduate students who were randomly assigned to experience one of four 360 stereo panorama virtual environments representing four encounters, namely "bird depicted in images," "Birds in a Cage," "Watching Birds in Nature inside a path," and "Birds in nature." Following their encounter in a virtual environment, participants assessed their experience in terms of spatial awareness, emotions, psychological well-being, and connection to nature through the use of an online survey. Standard descriptive statistics, correlation, Kruskal–Wallis, and post hoc Bonferroni analysis are used in data analysis. The findings suggested that experiences with birds in open surroundings were more likely to affect participants' spatial perception, emotions, psychological health potentials, and connection to nature than encounters with birds in confined places. This study is critical for environmental awareness since maintaining biodiversity and wildlife is inextricably linked to the potential well-being and quality of life of the human population who are part of the ecosystem.
Structure Equation Model of Causal Factors Affecting Employees’ Performance in Modern Trade Organization
Authors: Kettapan Komonmanee , Suphattanakul Onuma , Sui Jeky Mekianus , Hussain Sarfraz
Published: July 2022

Employees’ performance depends on both internal factors and external factors that stimulate the willingness to work which drives organizational performance. The purposes of this study are to develop and investigate the consistency and conformity of the structural equation model of causal factors affecting the employees’ performance, and to analyze factors that affect employees’ performance in modern trade organizations. Indices were derived from revised literature and related research. This study used the case of 220 employees in a modern trade organization in Songkhla Province, Thailand to collect data. In addition, the data were analyzed by using structural equation modeling. The results demonstrated the structural equation model of causal factors affecting employees’ work performance in modern trade organizations and are consistent with empirical data. The result also indicated that loyalty and motivation had significant direct and indirect influences on employees’ performance in modern trade organizations. Additionally, loyalty is passed on to motivation as an indirect power in employees’ performance. These results carry implications for the ways to improve employees’ performance by increasing factors affecting it and finally, employees' performance will ultimately affect the organizational effectiveness and achieve of overall organizational goals.
Learned Lessons from Traditional Architecture in Yemen -Towards Sustainable Architecture
Authors: Attia Ahmed S.
Published: July 2022

This paper explores the Learned Lessons from traditional Yemeni Architecture Towards Sustainable Architecture. It highlights how the local context influences the traditional architecture in Sanaa city and different regions of Yemen and Arab regions, according to nature, climatic conditions, culture, traditional values, and indigenous knowledge. Overview for sustainability during the twentieth century, sustainability and the Islam perspective in the Arab region, and selected the traditional architecture in Yemen as a case study. In addition to the analysis analyzed the city's urban form and the traditional house in Sana’a city, the design and elements of the house; spatial organization, construction systems and building materials, and window openings. Ornaments and sewerage systems. The study summarizes the aspects of sustainability in the traditional house in different regions in Yemen as an indigenous traditional knowledge for sustainable architecture. In conclusion, the traditional houses in the house in Yemen, designed according to the local context and indigenous traditional knowledge, have influenced traditional Yemeni architecture; the house elements and design fulfills sustainable requirements and positively impact the city's environmental, economic, and social aspects. Furthermore, it is considered a learned lesson from traditional architectural heritage and indigenous traditional knowledge toward sustainable architecture.
The Resilience Performance Index, a Fuzzy Logic Approach to Assess Urban Resilience
Authors: Gaber Rasha Mahmoud , El-Kader Mohamed Hussein Abd , Okba Ehab Mahmoud
Published: July 2022

Urban resilience is recently a prominent issue due to rapid urbanization and increasing challenges and stressors affecting cities. Assessment of urban resilience is an essential step in enhancing resilience performance since regular assessment informs resilience action plans, determines areas of deficiencies, and provides spatial and temporal comparisons. However, resilience assessment is a complex process that requires intensive data and resources due to the multi-dimensional and dynamic nature of resilience, and the imprecision of resilience data. In this context, the research aims to develop The Resilience Performance Index (RPI), through setting a conceptual framework, defining relevant resilience indicators, and finally modelling resilience performance using The Fuzzy Logic Approach, aiming to combine resilience analysis with artificial intelligence (AI) tools and dynamic modelling methods. The RPI assesses both qualitative and quantitative resilience indicators obtained through records, census data or structured questionnaires. Indicators’ values are modelled through a designed fuzzy logic system to obtain the resilience performance score. The developed index is applied on New Damietta city to inform resilience action plans in the Nile Delta region. The RPI addresses the complexity of resilience assessment and ambiguity of resilience data through an easy applicable, user friendly approach without the need for complex mathematical and statistical methods.
Recognising the Nexus Between the Entertainment Industry and Nigeria’s Economic Growth
Authors: Yerima Ahmed , Uwadinma-Idemudia Eunice , Yerima Bridgette R.
Published: July 2022

The entertainment industry in its present state, as occasioned by the new wave of technology, is a ‘cash cow’. However, most African countries, Nigeria inclusive, are not fully tapping into its great potential to generate the required revenue for their economic growth and development. Anchored on the premise of cultural history, the paper adopts the historical research method to interrogate the concept of entertainment from the pre-colonial era to its current state and find the nexus between entertainment and the economic growth of nations. It finds that the entertainment industry is a gold mine that is not fully explored and concludes that Nigeria needs to capitalise on the new forms of technological advancement that could enhance and boost her economy. It recommends that young people need to be trained and repositioned in the process of driving modern entertainment and creative industries. Future researches need to explore ways Nigerians and Africans will learn to harness and absorb the positive changes in technological advancement and the digital revolution that is fast changing the face and pace of entertainment and the creative industries. This paper was limited by the shortage of schorly documentation on the emerging Nigerian creative industries.
Harder Than You Think – Immigrant Labor Market Integration in Agricultural Sector
Authors: Barth Henrik , Zalkat Ghazal
Published: July 2022

The recent forced migration to Europe has created more challenges for the labor market integration. However, the Swedish government encourages unemployed immigrants to seek employment in the farming, gardening, and forestry industries. Thus, this article focuses on the matching process in the Swedish agricultural sector by using an exploratory, qualitative, in-depth interview with representatives involved in the matching process. Immigrants experience challenges of Swedish language proficiency, lacking a driving license and adapting to new cultures in the workplace, while employers attribute challenges of effective hiring process and the absence of evidence of immigrants’ work experience. Furthermore, the employment service offices struggle with scant knowledge of agricultural employment that needs to be combined with limited contact with employers and the bureaucratic delays caused by requirements of qualifications validation. The paper concludes with a Labour Market Matching Model, which focuses on critical aspects before, during, and after the matching process.
Frequência de uso de benzodiazepínicos na atenção primária: uma revisão sistemática
Authors: Farias Flávia Thalia Guedes , Lima João Eduardo Miranda , Pecoraro Luana Meireles , Brito Fabíola Gabriellen de Barros , Sousa Luiz Henrique Celestino Camboim , Paulo Monalisa Maria de Souza Fernandes , Almeida Elzenir Pereira de Oliveira , Sousa Milena Nunes Alves de
Published: July 2022

Os benzodiazepínicos estão entre os psicotrópicos mais utilizados mundialmente, cujos índices do uso indevido e indiscriminado pela população em geral têm sido crescentes e se tornado foco de preocupação na saúde pública. Objetivou-se avaliar a frequência de uso de benzodiazepínicos entre usuários da atenção primária à saúde. Foi realizada uma revisão sistemática de frequência, com buscas nas Biblioteca Virtual em Saúde, Medical Publisher, World Wide Science e Science Direct, a partir dos descritores. O Grading Quality of Evidence and Strengh of Recommendation foi utilizado para discriminar a confiabilidade dos estudos. Portanto, 19 estudos foram incluídos. A maioria (n=18) dos estudos foram transversais, procedente de países desenvolvidos. A coleta de dados em bases eletrônicas e a análise de prontuários foram as principais fontes. Ademais, 63,15% dos estudos foram entre idosos de 65-75 anos. Na atenção primária nacional, constatou-se uma prevalência de uso de benzodiazepínicos de 70% na população em geral, variando de 12,1 a 70,3% só entre idosos. É importante destacar que os transtornos não psicóticos, tais como depressão, ansiedade e insônia, estão entre os transtornos mentais ou comportamentais mais prevalentes. A análise dos estudos mostrou alta frequência de usabilidade de benzodiazepínicos. Para estudos futuros, ressalta-se a importância de se discutir sobre iatrogenia médica no contexto da Atenção Primária à Saúde.
Palavras-Chave: Receptores GABA-A; Atenção Primária à Saúde; Prevalência; Benzodiazepínicos; Iatrogenia.
The Impact of Physical, Mental, Social and Emotional Dimensions of Digital Learning Spaces on Student’s Depth of Learning: The Quantification of an Extended Lefebvrian Model
Authors: Harkin Ben , Yates Alan , Wright Lily , Nerantzi Chrissi
Published: July 2022

Despite the widespread implementation of digital learning spaces (DLS) generally in Higher Education and for COVID-19 social distancing guidelines, a coherent and unified quantification of core aspects of the DLS on student learning has remained elusive. Therefore, this work extends the earlier work of Harkin and Nerantzi (2021), where we employed Lefebvre’s (1991) Trialectic of Space to explain physical, mental, and social aspects of the DLS. In the present paper, we now quantify Lefebvre’s original dimensions (physical, mental, social) and an Extended Lefebvrian Model (ELM; adding emotional experiences) on the depth of learning (DoL) of 188 university students at an undergraduate and postgraduate level. Results revealed that physical, mental, and social dimensions explained 42% of the variance in DoL, with emotion explaining an additional 6% which justifies its addition to our ELM (48%). Furthermore, postgraduate students experienced increased anxiety, held poorer mental representations of the DLS, and rated their DoL lower versus undergraduates. Using our findings as a guide, we highlight improvements to pedagogical practice within the DLS along physical, mental, social, and emotional dimensions to improve the experiences and learning of students in the DLS.
A Case of Nasal Septum Gossypiboma 14 Years After Septorhinoplasty
Authors: Yang Seungjoon , Bae Sohi , Seo Jayeong , Cho Hyung-Ju , Kim Chang-Hoon , Ha Jong-Gyun
Published: July 2022

Gossypiboma, an infrequent surgical complication, describes a mass of cotton material inadvertently left in the body cavity after an operation. It is an extremely rare iatrogenic complication of nasal surgery, with only a few cases reported in literature to date. Here we present a case of gossypiboma in the nasal septum of a 35-year-old male patient who previously underwent septorhinoplasty fourteen years prior. He was treated by endoscopic endonasal surgery to remove the lesion. Pathologic findings showed a foreign body (gauze filament) with a giant cell reaction. This report will be helpful for treating patients with similar histories in the future.
Two Cases of Herpes Virus Infection of Nose Mimicking Acute Invasive Fungal Infection in Immunocompromised Hosts
Authors: Lee Changhee , Jung Yong Gi , Kim Hyo-Yeol , Hong Sang Duk
Published: July 2022

Various invasive fungal infections can occur in immunocompromised hosts, and an acute invasive fungal infection (AIFI) can be fatal. Because of its high mortality rate, AIFI must be quickly diagnosed and treated, such as anti-fungal agents or surgical debridement. In an immunocompromised host, nasal herpes simplex infection, usually caused by herpes simplex virus (HSV) type-1, can have various clinical manifestations, some of which can mimic AIFI. However, the management of acute viral infection differs significantly from invasive fungal infections of the nose. A fast and accurate differential diagnosis is mandatory because a delay in the disease-specific treatment of acute invasive infections can lead to mortality. This report describes two immunocompromised patients with mucosal and skin lesions around the nose. We provide clinical clues when mucosal lesions of the nasal cavity and skin lesions around the nose develop in immunocompromised hosts.
A Case With Herpes Zoster Ophthalmicus Mimicking Delayed Complication of Rhinoplasty
Authors: Jung Il Gu , Jung Hahn Jin , Shim Woo Sub
Published: July 2022

Herpes zoster ophthalmicus (HZO) occurs due to reactivation of dormant varicella zoster virus infection in the ophthalmic division of the trigeminal nerve. Hutchinson’s sign, a herpetic skin lesion in the nasal tip, is a predictor of ocular complications, as the nasal tip area and ocular structure are innervated by the same nasociliary nerve. Patients who present with Hutchinson’s sign should be referred to an ophthalmologist due to possibility of ocular complications. Here, we present a case of a 44-year-old man with HZO that was confused with delayed rhinoplasty complication. The patient presented with nasal tip skin lesions 17 years after undergoing augmentation rhinoplasty. A graft-related infection was suspected due to operation history and skin lesions. However, surgical exploration disclosed no infection or inflammation, and serological tests revealed positive varicella zoster virus immunoglobulin M, and immunoglobulin G, antibodies. Based on these findings, the patient was diagnosed with HZO. Further, the patient received antiviral treatment with famciclovir. The lesions gradually improved with conservative treatment and became almost unrecognizable. Therefore, HZO should be considered when there is an unexplained skin lesion at the nasal tip in patients with history of rhinoplasty.
Production performance of nursery graded eel Anguilla bicolor bicolor in recirculating aquaculture system
Authors: Budiardi Tatag , Effendi Irzal , Rahman Muhammad Aghistni , Vinasyiam Apriana
Published: July 2022

The growth rate highly varies in nurseries of eel. Variations in size lead to competition in obtaining feed, this causes stunting of smaller fish. This situation leads to high production costs due to poor feed utilization efficiency. Grading needs to be done periodically to improve nursery production performance. Water quality is controlled by a recirculation system that can support production performance through the degradation of toxic compounds. This study aims to analyze the production and nursery performance of graded eel (Anguilla bicolor bicolor) that graded in the same batch in a recirculation system. Completely randomized design (CRD) consisting of three treatments with four replications was used in this research. The treatments included nursery of graded eels for 60 days in three groups of initial weight size, namely 0,35±0,00 g (A); 0,50±0,00 g (B); and 1,04±0,00 g (C). There were 344 eels (A), 239 eels (B), and 116 eels (C) in each replication. The best nursery production performance was obtained in the treatment of 1,04±0,00 g, and the best nursery business performance was obtained in the treatment of 0,50±0,00 g.
DEVELOPMENT OF ANDROID-BASED MOBILE LEARNING MEDIA USING ANDROID STUDIO ON NATURAL SCIENCE SUBJECT IN ELEMENTARY SCHOOL
Authors: Erni Erni , Adetiya Wulan , Yuberti Yuberti
Published: July 2022

This research aim to develop Android-based mobile learning media using android studio on electrical energy material for 6th grade Elementary School. This research method is Research and Development (R&D) using 4D which consists of four stages, namely defining, planning, developing, and distributing stages. This research was conducted at SDN 2 Wates Timur and SDN 1 Tambahrejo by 10 students for the small-scale test and 30 students for the large-scale test in each school. The feasibility of android-based mobile learning media was tested using a product validation questionnaire by media experts, material experts and using a questionnaire response from educators and students. The results indicate that the percentage of media eligibility based on the validation of media experts and material experts is 82% in the very feasible category and 81% in the very feasible category. The responses of educators and students respectively obtained a percentage of 89% and 87.5% with a very feasible category. In conclusion, android-based mobile learning media using android studio on electrical energy material for 6th grade Elementary School is very feasible. Suggestions for further research to be able to develop appropriate similar media on other materials or subjects.