bluuebunny/crossref_metadata_2025 huggingface dataset:
An update on epidemiology and management practices of Scorpion envenomation in India
Authors: Kumar Rakesh
Published: October 2022

Introduction:

Scorpion envenomation is a life-threatening condition, particularly for children. Therefore, it is essential for primary care health providers to suspect, identify, and manage this condition early to prevent death and minimize morbidity.

Objective:

To identify the key epidemiological characteristics of scorpion envenomation and update the primary care health workers regarding the latest management practices of scorpion envenomation.

Methodology:

A non-systematic review was performed by searching the key terms on databases such as PubMed, Medline, Scopus, Google Scholar, and ResearchGate.

Results:

Worldwide, over 2.5 billion people are living at risk of scorpion stings. Every year, over 1.2 million are stung by scorpions leading to the death of at least 3,250 people globally. The most vulnerable group includes farmers, laborers, and those living in rural areas. Adults are most frequently stung but envenomation is more severe among children. Prazosin is a key drug to prevent death due to cardiovascular complications.

Conclusion:

Most of these stings and deaths could be preventable with proper awareness, safety precautions, and timely access to treatment. Government and local hospitals should ensure the availability of key drugs such as prazosin.
Medical education in post-pandemic times: Online or offline mode of learning?
Authors: Rastogi Aayushi , Bansal Akanksha , Keshan Pranav , Jindal Ankur , Prakash Arun , Kumar Vinay
Published: October 2022

Background and Objective:

With the advent of the COVID-19 pandemic, face-to-face training was suspended considering social-distancing norms. The training needs of the healthcare workers (HCWs) were being met by the online mode. Initially, the use of the online mode was limited but was eventually popularized with increased use. This would have led to a change in the perception toward the online mode. However, the use of online learning has financial and temporal obstacles. With this objective, a study was conducted among the HCWs to assess the perception, satisfaction, and preference associated with the modes of learning.

Methods:

A cross-sectional study was conducted from February to April 2021 among the HCWs. An online link to the survey was circulated among the HCWs who attended online or/and offline training. The questionnaire had 38 questions assessing the sociodemographic details, perception, satisfaction level, and preferences of the participants. Univariable and multivariate logistic regression were performed using SPSS v-22.

Results:

A total of 1,113 responses were received with the mean age of 33.17 ± 8.13 years and approximately 63% of the participants were females. Approximately 54% perceived the online mode of learning as a better mode of learning. Also, 67% preferred and 80.5% recommended the online mode whereas mean satisfaction was found to be more for the offline mode as compared to the online mode.

Interpretation and Conclusions:

The study concludes that the online mode of learning is the most preferred and recommended mode among the HCWs, whereas there is more dissatisfaction with respect to the online mode. The study also emphasizes that the instructors need to improve the practical knowledge of the learners by integrating technical modalities.
Capillary leak syndrome due to Russell’s viper envenomation—A doomy presage for treating clinician
Authors: Hariharan A S , Gopalakrishnan Shivkumar , Abraham Bobby
Published: October 2022

Russell’s viper envenomation is a major challenge to physicians providing intensive care due to diverse presentations and dismal outcomes. The venom can cause idiopathic systemic capillary leak syndrome manifesting with bilateral parotid swelling, hemoconcentration, and refractory shock. Physicians’ awareness about this presentation is lacking. Delayed recognition of this syndrome leads to fatalities despite providing the best possible care. We hereby report a fatal case of Daboia russelii bite presenting as capillary leak syndrome. The aim is to create awareness among tropical physicians who are primary caregivers to these victims.
Effect of non-pharmacological interventions on adults with cardiovascular risk in a rural community
Authors: Kumar Santosh , Kant Ravi , Yadav Poonam , Kumar Barun
Published: October 2022

Background:

Non-communicable diseases (NCDs) are the leading cause of morbidity and mortality worldwide, with three-fourth of deaths occurring in low- and middle-income countries (LMICs) like India. Currently, three out of the top five causes of morbidity and mortality in the country are NCDs.

Objective:

This study evaluated the impact of non-pharmacological interventions as a comprehensive approach toward adults with cardiovascular risk in Indian rural communities.

Material and Methods:

It was a quasi-experimental study conducted in Rishikesh, a holy city of Uttarakhand known as the world’s yoga capital at the foothills of Himalaya. Out of 87 villages, four villages were randomly selected. Eighty-eight participants were enrolled (22 from each village and household). It was a multi-stage random sampling. All the participants with cardiovascular risk and age >30 years were recruited. Pregnant, severely ill, and unwilling to consent were excluded. Non-pharmacological intervention as a comprehensive approach, including yoga, meditation, mental health counseling, dietary counseling, tobacco, and alcohol cessation counseling has been provided to cardiovascular risk participants.

Results:

Data of 76 participants were analyzed as the per-protocol analysis method. The drop-out rate was 13.63%. Male and female participants were 52 (68.4%) and 24 (31.6%) in number. Mean age of the participants was 55.28 ± 13.64 years. Diastolic blood pressure or DBP (P = 0.017*), systolic blood pressure or SBP (P = 0.008**), waist circumference (WC) (P = 0.000**), waist-to-hip ratio (P = 0.000**) and waist-to-height ratio (P = 0.000**) significantly improved in the post intervention group.

Conclusion:

Non-pharmacological interventions as a comprehensive approach can significantly reduce modifiable risk factors for cardio-metabolic disease.
Assessing the SpO2 in a random population – Looking for the best among fingers
Authors: Agrawal Prabhat , Pursnani Nikhil , Gautam Ashish , Singh Akhil Pratap , Garg Ruchika , Pandey Anjana , Agarwal Akanshi
Published: October 2022

Context:

Pulse oximetry is one of the most revolutionary methods used to monitor the patients in the clinical setting, particularly intensive care and anesthesia. We usually use the index or middle finger to measure SpO2 values, but little is known about the inter-digital differences that exist between the fingers.

Aim:

We aim to compare the peripheral capillary oxygen saturation among fingers of both hands. A total of 93 healthy volunteers aged between 18 and 50 years participated in the study.

Materials and Methods:

Their SpO2 values were recorded from each finger with at least 1 minute of resting interval. Their blood pressure, heart rate, and body temperature were recorded as well.

Result:

A total of 930 measurements were obtained from 93 volunteers. The highest average SpO2 value of right-handed volunteers was measured from the left little finger (98.48 ± 0.62) of right-handed volunteers, and it was statistically significant when compared with the right ring finger, right little finger, left thumb, left index, left middle finger, and left ring finger. The highest average SpO2 from left-handed volunteers was obtained from the right index finger, but it was statistically insignificant.

Conclusion:

We assume ethnic and climatic differences to play a role in contradictory results noted from previous studies conducted, and this needs to be investigated further. It is recommended that multiple readings may be obtained from other fingers as well before coming to any conclusion as inter-finger variability cannot be ignored.
Is International HIV Dementia Scale good enough to diagnose HIV-associated neurocognitive disorders?
Authors: Himanshu Dandu , Tandon Ruchika , Kumar Sachin , Sawlani Kamal K. , Verma Sudhir K. , Misra Ravi , Atam Virendra
Published: October 2022

Introduction:

Human immunodeficiency virus (HIV)-associated neurocognitive disorders (HAND) comprise impairment of multiple cognitive domains and cause significant morbidity. International HIV Dementia Scale (IHDS) is a quite sensitive and specific method for screening for HAND, and Modified Mini-Mental State Examination (3MS), though nonspecific, contains more parameters for screening for neurocognition. Hence, we compared 3MS and IHDS as screening tools for HAND with an aim to find out which was a better screening tool for HAND.

Methods:

Using 3MS and IHDS, we assessed the cognitive status of 200 HIV-positive patients (65% males) and 84 controls, presenting to the Department of Medicine, King George’s Medical University, Lucknow, India from September 2015 to September 2019.

Results:

According to 3MS, 42 (21%) HIV-positive patients were neurocognitively impaired (mean 76.24 ± 1.51), and 158 (79%) patients were not (mean 87.02 ± 4.16). As per IHDS, 185 (92.5%) HIV patients were neurocognitively impaired (mean 8.45 ± 0.88), and 15 (7.5%) patients were not (mean 11.13 ± 0.35). The mean 3MS score of controls was 87.56 ± 4.26, and the IHDS score was 9.73 ± 1.00. According to Patient Health Questionnaire-9 (PHQ-9), moderate depression occurred in only 3.5% of the patients, and the rest had only minimal or mild depression. In IHDS, psychomotor speed was the most affected parameter, whereas in 3MS, similarities were the most affected.

Conclusion:

IHDS may be over diagnosing neurocognitive impairment in HIV patients due to difficulty in understanding the test, especially psychomotor speed testing. 3MS may be more accurate for detecting neurocognitive impairment in HIV patients, and scale combining both these methods may be a still better choice.
A cross sectional study to assess the psychological impact of covid 19 on family medicine specialists and residents in Kerala
Authors: Vinod Anuna , Kaimal Resmi S.
Published: October 2022

Aim:

To study the psychological impacts of COVID-19 on family physicians and residents in Kerala.

Objectives:

1. To evaluate mental health outcomes among family physicians and residents in Kerala involved in the COVID-19 response. 2. To quantify the symptoms of depression, anxiety, and stress. 3. To assess the potential risk factors associated with the symptoms of anxiety, depression, or stress.

Background:

Health care professionals dealing with COVID-19 are under increased work pressure and experience high rates of anxiety and depression. This is even more in family physicians as they are the frontline workers and may contract the disease themselves. So, it is imperative to assess and grade the psychological impact of COVID-19 on family physicians.

Methodology:

The study population included 80% of the family physicians and residents working in Kerala. This is a cross-sectional survey conducted in the month of January 2021 with the help of a predesigned and pretested questionnaire. Sample size: 120. Depression and anxiety were measured using a 14-item Hospital Anxiety and Depression Scale (HADS: 0–21). Stress was computed using Perceived Stress Scale. The data were analyzed statistically by Chi-square and simple proportions.

Results:

A total of 80% were directly involved in treating/dealing COVID-19 patients. A total of 55.83% had an economic impact due to COVID-19. A total of 95% agreed to be anxious about spreading the disease to people at home. The increased stress was mostly attributed to change in social habits/lifestyles. Residents had a higher PSS score compared to temporary and permanent employees. Compared to other age groups, borderline or abnormal depression scale was seen in the age group of 31–40 years and 21–30 years. Compared to males, more proportion of females had anxiety and depression scores.

Conclusions:

It is imperative that we evaluate the psychological impact of COVID-19 on family physicians in order to ensure their mental wellbeing and better productivity.
A study of road traffic injury victims at a tertiary care hospital in Goa, India
Authors: Bicholkar Abhishek , Cacodcar Jagadish A.
Published: October 2022

Background:

While road traffic accidents are declining in many developed countries, fatalities are still on the rise in many developing countries including India. More than half of the road traffic injury (RTI) victims are in the age group of 20-55 years, which constitutes the key wage-earning and child-raising age group.

Objective:

To study the socio-demographic profile of RTI victims and to study the pattern of injury among them.

Methods and Material:

The RTI victims brought to the casualty of Goa Medical College and Hospital were interviewed using a predesigned questionnaire following transfer to in-patient wards after initial stabilisation in the casualty. Data are expressed as proportions and presented using graphs and charts.

Results:

A majority of the RTI victims, i.e., 134 (30.45%) were in the age group of 30–40 years. The findings reveal that 33 (13.04%) RTI victims did not have a valid driving licence, while the use of alcohol within 6 h before accident was seen in 38 (12.75%) RTI victims; 234 (65.36%) victims were not using a seat belt or helmet and 350 (79.55%) victims had grievous injuries.

Conclusions:

A high number of drivers were driving without a valid driving licence while a good number of RTI victims consumed alcohol putting themselves as well as other commuters at risk. There is a need for increasing awareness among the road users and community regarding road safety. Government authorities should ensure consistent and strict implementation of traffic rules as well as accelerate the implementation of road-safety preventive measures.
Economic burden estimation associated with dengue and chikungunya in Gujarat, India
Authors: Kaur Jaspreet , Yadav Chander Prakash , Chauhan Naresh Muljibhai , Baharia Rajendra Kumar
Published: October 2022

Background:

Dengue and chikungunya have been emerging as major vector-borne diseases. The global burden of the diseases is rising as a public health problem. The complexity of disease is governed by multiple constraints including only symptomatic treatment and inflicts heavy social and economic burden on society. The present study is designed to assess the economic burden of dengue and chikungunya infection by calculating cost per patient in Gujarat, India.

Methods:

A total of 210 patients were enrolled in the study from Ahmedabad and Kheda district of Gujarat from May 2018 to December 2019 of which 150 had dengue and 60 chikungunya infections, subject to the willingness of participation in the survey. Information on wage loss days, cost associated with medicines, diagnosis, special food and travel cost, etc., for the calculation of the direct and indirect costs associated with dengue and chikungunya were collected from these participants using a structured questionnaire. Informed consent was taken before including any participant in the study.

Results:

In the dengue sample, 86 were males (57.3%) and the rest were females, and in the chikungunya sample, 31 were males (51.7%) and the rest females. The median age of the participants with dengue and chikungunya was 18 (p25 to p75: 8 to 26) and 30 (p25 to p75: 21 to 45) years respectively. Median family income was recorded as Rs 15,000 (p25 to p75: 9000 to 25500) and Rs 12,000 (p25 to p75: 9000 to 18500) for the dengue and chikungunya cases, respectively. The average duration of the illness was observed to be higher in chikungunya (median days (P25 to p75): 15 (7–45)) than dengue (median days (P25 to p75): 10 (5–15)). The median indirect cost in the case of dengue was Rs 1,931 (p25 to p75: 300 to 4500) while Rs 2,550 (p25 to p75: 0 to 5250) was observed for chikungunya cases. Two types of direct cost, namely, direct cost related to medical expenses and direct cost related to other expenses were calculated. Direct cost related to medical expenses was observed to be higher in dengue (Md (P25 to p75): Rs 2,450 (400–5000)) than chikungunya (Md (P25 to p75): Rs 1,500 (150–5200)) while indirect cost related to other expenses were comparable between dengue (Md (P25 to p75): Rs 1,575 (1300–2600)) and chikungunya (Md (P25 to p75): Rs 1500 (850–2850)). The average total cost for one dengue episode was estimated to be Rs 6,860 (3700–12525) whereas it was Rs 7,000 (2550–14000) for one episode of Chikungunya.

Conclusions:

Overall, patients have to bear high costs while suffering from dengue and chikungunya infections. Furthermore, the duration of illness while suffering from viral diseases also contributes to the substantial economic burden. Improved knowledge about the impact of the cost and the economic burden associated with dengue and chikungunya will help policymakers allocate and appropriate resources accordingly.
Medical abortion in India – An imperative need for task sharing
Authors: Arora Nalini , Singh Nita
Published: October 2022

Background:

Over-the-counter (OTC) sale of medical abortion (MA) inducing drugs is a common practice. Exploring its impact on women’s health and the barriers to avail free MA services at hospital by these women is essential to improve upon policy decision.

Methods:

A prospective observational study included 112 women following ingestion of MA drugs from nonformal providers. Demography, clinical details, and reasons for not availing free abortion services at hospital were recorded.

Results:

Among 112 women, mean age was 28.63 (SD 4.7) years. Seventy one (63.39%) women were from rural region; 70.54% were educated below high school; 44 (39.28%) had prior induced abortion; 62.5% had never used any contraception. Majority (101; 90%) took two drugs (Mifepristone and Misoprostol), 28 (25%) used correct dosage. Drugs were consumed beyond 9 weeks of gestation by 25 (22.4%) women. Abnormal vaginal bleeding was commonest 105 (93.75%) presentation. Haemorrhagic shock was noted in 21 (18.75%) women, while 21 (18.7%) women required blood transfusion. “Easy and quick availability of these drugs OTC” was the commonest statement for not attending hospital.

Conclusion:

Easy and quick availability of OTC drugs, distance to hospital were major barriers. Incorrect dosage and lack of gestational age calculation were two most common errors in the risk assessment protocol. Expanding provider base, by training midlevel providers, can overcome these and unmask the full potential of MA to make abortion safer.
Effectiveness of the lateral pedicled endonasal flap for prevention of restenosis in frontal sinus drillouts
Authors: Fischer R. , Seebauer C.T. , Zeman F. , Bohr C. , Hosemann W. , Weber R. , Rohrmeier C. , Kuehnel T.S.
Published: October 2022

Background: Frontal sinus median drainage according to Draf is an established procedure for achieving maximum drainage of the frontal sinus. Despite great efforts and several modifications, restenosis of the neo-ostium is still a persistent problem. This study presents an approach by implementing local mucosal flaps to prevent restenosis and compares it with the conventional technique without using the flap. Methods: Description of endonasal, lateral pedicle mucosal flap. A Draf III procedure was performed on 156 patients between 2012 and 2021. Data for 123 of the included patients were retrospectively analyzed in terms of surgical indication, technique, postoperative aftercare and patency of the drainage pathway. The follow-up observation period was between 3 and 24 months. Results: Treatment with the pedicle mucosal flap took place in 86 cases. 37 patients were treated as a control group without this flap. The analysis showed a significant association to the event "total closure of the drainage pathway" for surgical technique, as well as in the case of the presence of an allergy and the existence of Samter’s triad. Furthermore, there was a significant association between the onset of "near total closure of the frontal sinus ostium" and Samter’s triad, CRS and revision surgery was involved. Conclusions: Use of an endonasal lateral pedicle flap for reconstruction of mucosal defects in frontal sinus surgery improves the long-term chances of a patent drainage pathway. Bone exposed by drilling was covered with a local mucosal flap for a faster epithelialization, healing and less scarring.
Features of resolving economic disputes in relation to digital technologies
Authors: Гуляева Н.С.
Published: October 2022

В СТАТЬЕ РАССМАТРИВАЮТСЯ ПРОБЛЕМЫ РАЗРЕШЕНИЯ ЭКОНОМИЧЕСКИХ СПОРОВ В ОТНОШЕНИИ ЦИФРОВЫХ ТЕХНОЛОГИЙ И ИХ ЭЛЕМЕНТОВ, ОХРАНЯЕМЫХ КАК НА ОСНОВАНИИ РЕГИСТРАЦИИ (НАПРИМЕР, ИЗОБРЕТЕНИЯ), ТАК И БЕЗ РЕГИСТРАЦИИ (НАПРИМЕР, НОУ-ХАУ), АНАЛИЗИРУЮТСЯ ОСОБЕННОСТИ РАССМОТРЕНИЯ ДАННОЙ КАТЕГОРИИ СПОРОВ.

THE ARTICLE DISCUSSES THE PROBLEMS OF RESOLUTION OF ECONOMIC DISPUTES REGARDING DIGITAL TECHNOLOGIES AND THEIR ELEMENTS PROTECTED BOTH ON THE BASIS OF REGISTRATION ( FOR EXAMPLE, INVENTION) AND WITHOUT REGISTRATION ( FOR EXAMPLE, KNOW-HOW),
EUROPE, RELIGIONS AND STATE MODERNITY: MENDELSSOHN’S VISION
Authors:   nstitute of Banat Studies, Romanian Academy of Sciences, Neumann Victor
Published: October 2022

Religious ideas and beliefs not only suggest spiritual life, but inspire everyday life, the collective psyche. As for the elites, they can be better understood by the acknowledgement of both discontinuity (due to time and vocabulary) and continuity of their spiritual and cultural preoccupations. Moses Mendelssohn asserted a side of modernity without distancing from community culture limited to its own set of values. He was not free in relation to the traditions and history of his own community, and especially to religious dogma. In fact, Mendelssohn, in his own philosophy, associated the principles of the Old World to those of the new reality. On one hand, he was enticed by emancipation, civism and modernity, and on the other by the preservation of Jewish identity according to the ancient myths. Even if he was an enlightened spirit in the way he regarded the integration of Jews or social emancipation in general, Mendelssohn was not an advocate of interferences (of inter-culturality). He was not a successor of those free, open and creative Marranos of the fifteenth century – Spanish Jews converted to Christianity, preserving a part of old Judaic practices – and neither a follower of Spinoza’s new philosophy. Not incidentally, Voltaire better understood human nature, being a humanist in all aspects. The freedom of conscience could not and still cannot ignore the diversity of people and human groups, and neither can the associations or interferences among them who, in modernity, needed to cohabitate and cooperate, not only in order to survive, but to generate universal values.
SEI FILONI SOROKIANI
Authors:   Gabriele d’Annunzio University, Pitasi Andrea
Published: October 2022

Focusing on Sorokin’ 1942 masterpiece Man And Society In Calamity, this paper aims to assess and systematize Sorokin’s most important concepts, models and methodological toolkit to observe the current scenarios and strategically implement global governance of high scale public policies before high scale and impact challenges.
Book review: “Perspectives on Historical Sociology” by JIRÍ SUBRT
Authors:   Charles University, Prague, Czech Republic, Alyasan Seyed Fazel
Published: October 2022

Only by historical analysis can we discover what makes up man since it is only in the course of history that he is formed.
L’EUROPE COMME UTOPIE COMMUNAUTAIRE : PERSPECTIVE SOCIOLOGIQUE DE LA COMPLEXITE DE L’IDENTITE
Authors:   E.A.-LiRIS, Rennes 2, Abdelmalek1 Ali Aït
Published: October 2022

The social world is experiencing – with modernization, the development of science, especially of communication, social changes and social organizations – upheavals related not only to the identity and cultural reality, but also to the paradigmatic one. This is what paved the way for the sociological analysis, in particular, of societies as “complex systems”. It is precisely within this framework that Edgar Morin, sociologist (and so much more…), implemented his theory of complexity (and in fact, well after Descartes and Bachelard, his own “method”) by articulating, in a systematic way, the social perspectives, with the biological and physical dimensions (nature), but also with the more anthropological and psychological aspects (culture) around his, now famous, concept of “complexity”. In an attempt to understand the transition from a territorial identity, in traditional and rural societies, to a more professional identity, in more modern and urban societies, we have mobilized the main paradigms of complex thought. European construction has, in fact, turned out to be a “social laboratory” for analysis.
Virtual reality as a way to modernize Russian medical education
Authors: Kubanov A. A. , Mahakova Yu. B. , Astakhova I. V.
Published: October 2022

Recent trends in intense evolution of information technologies and improving of medical education increases the availability of advanced training for doctors. These changes promote development of health care and society. The purpose of educational process modification is to create an environment for students to apply modern technologies, which allows students to remain interested in the disciplines being studied. Technological advancement results in creating of multimedia technologies that are currently being used to improve learning outcomes. The availability of multimedia technologies, digital content, and software simplify educational materials and make it more efficient for the learning process, and therefore empowers students.The article provides an overview on currently used educational programs for medical residents, as well as an analysis of the sociological and psychological characteristics of modern students in the context of rapidly developing digital technologies. The article describes the current issues of the educational process implementation, highlights the complexity of the work of medical organizations and universities. The paper discusses the existing methods of modernizing education that meet modern trends in the development of medicine. The study also offers some important insights into using the innovative technologies by foreign colleagues. This research proposes a new methodology of integrating virtual reality into dermatovenereologists and cosmetologists training programs for optimizitation the educational process, standardization students and residents knowledge control, and improvement the practical training of healthcare personnel.
Analysis of indicators of medical care of primary children’s healthcare organizations
Authors: Terletskaya R. N. , Konova S. R. , Fisenko A. P. , Timofeeva A. G. , Makarova S. G. , Aprosimova S. I. , Shirokova T. V.
Published: October 2022

The aim of the study is to assess the state of primary health care for the child population in the constituent entities of the Russian Federation supervised by the National Medical Research Center of Children’s Health, and to develop proposals for its further improvement. Materials and methods. The sources of information were specially designed passports of the regions and statistical data of the Federal State Statistics Service. The provision, staffing of primary health care with pediatricians, district pediatricians and pediatric surgeons, their qualifications and the coefficient of combination, as well as the proportion of visits by children to medical organizations for preventive purposes and the proportion of children taken under dispensary observation were assessed. Results. Problems were identified in the organization of primary health care for the child population, concerning, first of all, staffing – a low level of pediatricians, district pediatricians and pediatric surgeons, which determined the insufficient staffing and high combination (having more than one job) coefficient of doctors of this profile. A significant part of the territories did not reach the planned level of the proportion of visits by children to medical organizations for preventive purposes and the proportion of children taken under dispensary observation, both in general and for certain classes of diseases (musculoskeletal, gastrointestinal, circulatory, endocrine system and eye). Conclusion. Proposals for further improving the organization of primary health care are aimed at improving the personnel situation (targeted training of doctors taking into account the needs of the region, monitoring their qualification level improvement, social support) and improving the quality of organization and conducting preventive medical examinations of the child population.
Ways to improve outpatient care for cardiovascular diseases
Authors: Boytsov S. A. , Efremova Yu. E. , Lazareva N. V. , Dolgusheva Yu. A. , Sorokin E. V.
Published: October 2022

The article presents the modern strategy of an outpatient cardiovascular care improvement. The modernization of primary health care in outpatient network is based on primary and secondary prevention of cardiovascular diseases including an improvement of outpatient observation, development of an outpatient high-risk offices network, advancement of telemedical consulting, increase of preferential medication provision effectiveness, increase of quality management patients with chronic heart failure and development of vertically integrated medical information system. Improvement of cardiovascular outpatient care will reduce cardiovascular mortality in the whole population.
Impact of Stone Mining on the Health and Environment: A Study of the Village of Mewat, India
Authors:   Associate Professor, Department of Physics, University of Delhi, Motilal Nehru College (Day), New Delhi, India, Vats Seema
Published: October 2022

Haryana has been blessed abundantly with Stones and limestone reserves. Stone mining is carried out at both large- and small-scale levels. Some of the environmental implications of stone mining are loss of forest land, erosion of soil, degradation in agriculture, reduction in biodiversity, and instability of rock masses. In this paper, we have reviewed the environmental implications in one of the villages of Mewat, Ghatashamshabad, Haryana. Results on the impacts of stone mining on health and environment are summarized and discussed.
White Eyed Blow out Fracture
Authors:   Rizal Medical Center, Ophthalmology Department, S Nicanor Aniana Katherine , Paula I Valencia Ma Regina ,   Rizal Medical Center, Ophthalmology Department
Published: October 2022

“White-eyed blow out fracture (WEBOF)” is a term used for children who had periorbital trauma with mild signs of soft tissue damage. WEBOF can be easily missed, resulting in a lost opportunity for surgical intervention. A pediatric patient presented with vomiting and diplopia after sustaining trauma, she was referred to our institution 2 weeks after a suspected head injury. Examination showed marked limitation on upgaze and downgaze on the right eye with accompanying diplopia. CT scan of the orbits revealed a right orbital floor fracture, with herniation of orbital fat and a mildly thickened right inferior rectus muscle. Patient underwent repair of orbital floor fracture and release of muscle entrapment with silicone implant under general anesthesia. Although release of muscle entrapment and repair of floor fracture was achieved, EOM underaction on vertical gaze and diplopia persisted. Timely diagnosis and intervention of WEBOF is important, not only to reverse the oculocardiac reflex but also to minimize the possibility of permanent ischemic injury and contracture of the involved extraocular muscle, which could lead to long-term strabismus and diplopia. Because the first clinical presentation is similar to that of a head injury, it is often overlooked, resulting in a delay in diagnosis and permanent morbidity.
O problema das anomalias não-observadas
Authors: Chiarotti Sardi Gabriel
Published: October 2022

O antirrealismo científico, ou seja, a visão de que as teorias bem-sucedidas são somente empiricamente adequadas, é insustentável à luz do problema das anomalias não-observadas. Esse problema pode ser descrito da seguinte forma: já que os cientistas do passado não puderam observar as anomalias que causaram a substituição das teorias passadas pelas teorias atuais, os cientistas de hoje também não podem observar as anomalias que causarão a substituição das teorias presentes por teorias futuras. Há várias estratégias que os antirrealistas seriam tentados a oferecer para contornar o problema das anomalias não-observadas. Todas elas, no entanto, são problemáticas.
Abstract
Scientific antirealism, the view that successful theories are empirically adequate, is untenable in light of the problem of unobserved anomalies that since past scientists could not observe the anomalies that caused the replacement of past theories with present theories, present scientists cannot observe the anomalies either that will cause the replacement of present theories with future theories. There are several moves that antirealists would be tempted to make to get around the problem of unobserved anomalies. All of them, however, are problematic.
matemática con mayúscula. Reconocerla y reconocernos
Authors: Rodríguez Milagros Elena
Published: October 2022

Se analizó la MATEMÁTICA con mayúscula, en tanto re-conocerla y reconocernos en ella desde la interioridad del ser es urgente. Es un constructo socialcultural espiritual definido en anhelos y reconocimientos para conformar a generaciones en la concientización de los aportes de la ciencia legado de la humanidad, como esencial en la ciudadanía. Se realizó con el transmétodo la deconstrucción rizomática; donde la posibilidad de reconocernos se conjuga en lo complejo y transdisciplinar. En conclusión como escenario simbólico, la matemática es configurada por la sociedad atendiendo a sus convicciones y creencias sobre lo que debe ser el ser humano y el mundo.
KAJIAN TEORITIS PERAN PENTING NILAI PANCASILA SEBAGAI DASAR KEHIDUPAN BERMASYARAKAT DI INDONESIA
Authors: Cahyani Sekar Ayu , Dewi Dinie Anggraeni
Published: October 2022

Upaya mengembangkan potensi menjadi pribadi yang bermoral, bertakwa, percaya kepada Tuhan Yang Maha Esa, kompeten, sehat, berpengetahuan luas, kreatif, mandiri, sipil, demokratis dan bertanggung jawab maka perlu diajarkan Pancasila sebagai landasan dalam menjalankan kehidupan sehari-hari di Indonesia. Kajian penelitian ini senantiasa menggunakan metode yaitu deskriptif dengan pendekatan kualitatif. Yang mana dasar pembahasan serta teori-teori yang ada didalamnya dihasilkan dari studi pustaka yang asalnya dari berbagai sumber contohnya seperti buku, artikel, jurnal, dan majalah. Hasil penelitian ini menunjukkan mengenai bahwasanya globalisasi telah membawa perubahan tatanan dunia internasional dan berdampak langsung pada perubahan di negara-negara di dunia. Kemampuan menghadapi tantangan yang paling mendasar, bahkan secara spiritual dan kebangsaan, akan menghantam kehidupan berbangsa, sosial, dan politik. Benteng terakhir adalah kepercayaan bangsa yang berlandaskan Negara Pancasila. Negara Pancasila adalah benteng tantangan di era sekarang yaitu globalisasi. Penerapan nilai-nilai Pancasila di era ini bisa dilakukan diwaktu yang tepat, yaitu pada sekarang ini. Oleh karenanya, penting sekali bagi kita semua untuk berupaya memahami apa itu arti dari nilai Pancasila. Dengan memahami arti dari Pancasila maka kita mampu menerapkan nilai itu dalam kehidupan sehari-hari.
MEMBANGUN IMPLEMENTASI NILAI-NILAI PANCASILA TERHADAP KEHIDUPAN UNTUK MEMBENTUK BUDI PEKERTI PADA ANAK
Authors: Rahmadhani Defany Dwi , Dewi Dinie Anggraeni
Published: October 2022

Abstrak: Pancasila adalah sebuah ideologi bangsa Indonesia sebagai pedoman dalam bermasyarakat. Nilai-nilai dalam Pancasila pun memiliki makna dapat membentuk generasi bangsa yang berkualitas. Penelitian ini bertujuan untuk mengungkapkan implementasi nilai-nilai Pancasila dalam kehidupan sehari-hari untuk membentuk budi pekerti yang baik pada anak bangsa. Penelitian ini dilakukan dengan literatur, dengan mengumpulkan dari berbagai jurnal, tesis, yang berhubungan dengan pembahasan yang di angkat. Selanjutnya, dari sumber-sumber yang telah didapat mengenai pengimplementasian nilai-nilai Pancasila. Maka, dari penelitian ini diharapkan dapat membangun pengimplementasian kepada nilai-nilai Pancasila kepada bangsa Indonesia.

Kata Kunci: Implementasi, makna Pancasila, nilai-nilai Pancasila
INVESTIGATION OF LIGHTING VALUES IN WEAVING BUSINESS IN TERMS OF OCCUPATIONAL HEALTH AND SAFETY
Authors: KODALOĞLU Murat , AKARSLAN KODALOĞLU Feyza
Published: October 2022

The definition of Occupational Health and Safety terms with risk factor measurements becomes more important for companies. Collecting data on occupational accidents and occupational diseases is the first step to assess conditions in some sectors. According to the Occupational Health and Safety Law No. 6331, the employer is obliged to make a risk assessment in terms of occupational safety. In this context, it is not possible to evaluate the risk without measuring the physical and chemical risk factors. Therefore, environment measurement studies should be carried out primarily in a company. In this study, weaving mill was chosen. The results of these measurements were compared on a machine-by-machine basis. A total of 18 lighting measurements were carried out in the weaving.
Semnificații ale tezaurului de la Săliștea
Authors:   Institutul de Arheologie Vasile Pârvan, Spânu Daniel
Published: October 2022

The silver objects discovered in 1821 in the Cioara village (currently Săliștea, Alba county, Romania) belong to the fi rst Dacian hoard ever conserved in modern times. Th e hoard is preserved nowadays in the Museum of Art History in Vienna (Kunsthistorisches Museum); it consists of two necklaces (Figs. 2/1-2), fi ve fi bulae (Figs. 1/1-4, 2/3), four bracelets (Figs. 3/2-5), six twisted links (Figs. 2/4-9), one loop-in-loop type chain (Fig. 3/1), fi ve pendants (Figs. 3/6-10), three spiral rings (Figs. 2/10-12), a gilded fragmentary plate with anthropomorphic representations (Figs. 4, 5), a funnel-shaped object (Fig. 6/1) and three perforated discs (Figs. 6/2-4). The dressing and adornment objects are typical products of the late Latène period of silversmith art in Dacia, dated in the second half of the 1st century BC. The present interpretation of the hoard’s inventory consists of three assumptions:
Pergamian Pottery Discovered in Geto-Dacian Sites (2nd - 1st Centuries BC)
Authors:   Muzeul Național de Istorie a Transilvaniei, Cluj Napoca, Popescu Mariana-Cristina
Published: October 2022

The present article attempts a classification of the Pergamian ware of the 2nd century BC and 1st century AD from North of Danube based on discoveries following systematic excavations or sondages, sherds either presented within the Romanian archaeological literature or not published. Thus, Pergamian ware could be identified only in 8 of the 27 investigated sites, more precisely in the localities of Brad and Răcătău, Bacău county; Poiana, Galaţi county; Grădiștea and Brăiliţa, Brăila county; Bordușani and Piscul Crăsani, Ialomiţa county; Pietroasele - “Gruiu Dării”, Buzău county.
Casa Manolescu-Vitzu din bulevardul Colței
Authors:   Catedra de Conservare și Restaurare, Universitatea de Arhitectură și Urbanism „Ion Mincu”, București., Mortu Petru
Published: October 2022

Rather unknown and many times treated as a work that does not characterize the creation of the architect Ion Mincu, the house of doctor Alexandru Vitzu has generated many debates regarding architecture, but above all in what concerns the exact situation of the construction, disappeared from the Bucharest architectural landscape following the numerous systematizations started at the end of the 19th century. Archive documents bring complementary clarifications in this respect, thus eliminating doubts and suppositions
Lamps discovered in pre-Roman Dacia (2nd century BC – 1st century AD). Notes on the adoption of an innovation.
Authors:   The National Museum of Transylvanian History  Cluj-Napoca, Popescu Mariana-Cristina
Published: October 2022

The article presents Hellenistic and Roman lamps and those locally produced discovered in three of the largest Geto-Dacian settlements researched until now – Poiana, Răcătău (both in County Bacău) and Popeşti (County Giurgiu). In this context, I attempted to follow the reception of these products in the indigenous milieu, in the conditions in which under the impact of Hellenistic and Roman products, local workshops from these three settlements introduced numerous innovations and developed their own production of pottery influenced by Hellenistic and Roman models.
Meanings of the Dacian golden spiral barcelets. outlines
Authors:   Institutul de Arheologie Vasile Pârvan, Spânu Daniel
Published: October 2022

For the fi rst time in the study of the Dacian age, the similarities between the golden bracelets on the Grădiștea and Căprăreaţa Hills and the other silver exemplars allow us to establish an esthetic and symbolic link between the vestiges in the Orăștie Mountains and the pompous manifestations in other parts of pre-Roman Dacia. These analogies indicate the adherence of local elites to a symbolic and heraldic code of identity that was probably elaborated exactly around the monumental center of Grădiștea de Munte. This is perhaps the most important implication of the golden bracelets. At the same time, the discovery of the golden bracelets may be perceived as the first confirmation of some burial practices with possible votive values in the immediate vicinity of the monumental edifices on Grădiștea Hill.
Némésis et la coudée. Un édicule votif de Tomis.
Authors:   Institut d’ Archéologie «Vasile Pârvan», Bucarest., Mărgineanu-Cârstoiu Monica
Published: October 2022

L’une des représentations d’époque romaine de la double Némésis est incorporée dans un petit édicule votif de marbre visible aujourd’hui au musée d’archéologie de Constanţa. L’édicule votif est analysé dans la perspective de la «corporalité intégrée» entre la double Némésis et l’architecture qui l’habille. La relation entre la divinité et la Mesure est incorporée dans le principe compositionnel de l’édicule et elle traduit leur implicite cohésion et la stabilité réciproque par le langage de la géométrie appliquée. On peut supposer que l’édicule représentait beaucoup plus que l’image d’un édifi ce quelconque. Il n’est pas exclu que la structure «en archi tecture» qui abritait la double Némésis soit un simulacre en miniature de l’abri dédié à la déité, une reproduction (adaptée) à l’échelle (?) d’un Nemeseion.
Commanipulares / commanipuli in Roman Dacia and the fragmentary preserved forms. Terminology
Authors:   The National Museum for the History of Transylvania, Cluj-Napoca, Beu Dachin Eugenia
Published: October 2022

To designate the concept “member of a maniple”, the epigraphic sources center attention on two basic forms - commanipularis and commanipulus -, which appear in a variety of vulgar variants in the inscriptions from the Roman Empire. Th e term is attested three times in Dacia (twice at Potaissa, and once at Apulum). It seems that there is a preference here for the use of the corrupt form commanuculus, which has analogies only at Rome. Most of the vulgar forms of this term occur in the Roman province Italia (Rome and some regions of Italy). Dacia is one of the other three provinces in which the term is attested in a vulgar form.
Pietroasele – the edifice with hypocaustum. Epigraphic evidence of legio XI Claudia.
Authors:   Buzău County Museum., Stăicuț Gabriel
Published: October 2022

The systematic researches between 1976-2009 inside the edifice with hypocaustum in Pietroasele, have revealed a total of 17 bricks and tiles bearing the inscription of the legio XI Claudia. The article describes the epigraphic material and analyzes it in the context of the discoveries belonging to the legio XI Claudia in Walachia. We identified 5 different types of stamps framed during the 2nd and 3rd centuries AD of which 3 are singular to date on the territory of Walachia.
Preliminary note on the medieval structures of Târgşoru Vechi
Authors:   “Vasile Pârvan” Institute of Archaeology, Bucharest, Măgureanu Andrei , Ciupercă Bogdan ,   Prahova County Museum of History and Archaeology, Ploieşti.
Published: October 2022

Cercetările arheologice recente efectuate în zona Curţii Domnești au adus noi precizări referitoare la evoluţia structurilor de zid. A fost identifi cat un nivel de locuire din secolul al XV-lea și s-au conturat clădiri noi precum cea cu absidă (nr. 2), cea rectangulară (nr. 4) sau gârliciul de acces la beci (nr. 3). De asemenea, au fost identifi cate elemente care să permită redatarea unor structuri, cum este cea rectangulară (nr. 4) din secolul al XIX-lea în secolul al XVI-lea.
Zamfir Inn, Ion Românul Inn, Simion Inn. Notes on Bucharest Historical Topography
Authors:   “Ion Mincu” University of Architecture and Urbanism, Bucharest., Mortu Petru
Published: October 2022

A large number of small inns which were present in the central area of Bucharest at the beginning of the 19th century have determined researchers to give this subject particular attention. Lacunar bibliography, incomplete archive sources and last but not least, the proximity of several inns produced frequent identification errors. Such is the case with Zamfi r’s Inn, Simion’s Inn and Ion Românul Inn located on Blănari Street, which generated a great deal of debate regarding their owners and exact positions in the urban tissue. Historic topographical plans, images and written sources reveal new information and help clarify some of these problems.
Spaces with a specifi c morphology of mural paintigs degradation: the porches of Orthodox churches
Authors:   Department of Conservation / Restauration, National University of Arts, Bucharest., Mohanu Dan
Published: October 2022

The degradation morphology and its evolution in the space of our medieval churches, indicates the existence of an architectural zone with a specific behavior due to the environment. Its impact has to be studied before any other interventions which should completely modify the transitory condition – outdoor / indoor – of the porch.
Data on the lead-glazed pottery discovered on the Dacian sites Brad (Bacău Co.) and Poiana (Galaţi Co.)
Authors:   The National Museum of Transylvanian History  Cluj-Napoca, Popescu Mariana-Cristina
Published: October 2022

The article presents the lead-glazed pottery discovered on the Dacian sites Brad (Bacău Co.) and Poiana (Galaţi Co.). The identified items were either mould-made or wheel-made, and their relief decoration was moulded or applied in barbotine. The identified decorative motifs form three categories that are typical for this ceramic group: fi gurative decoration, vegetal decoration, and ornamental decoration. Th e identifi ed shapes and auxiliary elements – Ringhenkelskyphos Ia, cups, Daumenplatte 1 – and also the decorative motifs – Ionian kyma, stylized hearts, myrtle wreaths with berries, stylized vegetal decoration – have good analogies in Asia Minor; two of the items under discussion (no. 4-5) might have been produced in the center of Mytilene. In the absence of clear details on the contexts in which these items were discovered in the Dacian settlements, they can be dated to a wide interval between the end of the 1st century B.C. and early 2nd century A.D.