bluuebunny/crossref_metadata_2025 huggingface dataset:
Consciences immédiates
Authors: Falgas Claude
Published: February 2021

Je déploie ici la complexité qui se dévoile aux consciences immédiates de ma cliente et de moi, là où s’enracine ma pratique. Depuis le temps des fondateurs, ce qui est accessible à la frontière-contact est différent, les mots pour dire ce qui se passe aussi. Cela m’amène à prendre en compte la difficulté de l’aller-vers, celle du retour à soi, d’où l’idée que la qualité de la circulation des informations proprioceptives est centrale dans la spontanéité au contact. Les Gestalt-thérapeutes contribuent ainsi au développement de « bouillons de culture » dans les contextes de thérapie et de prévention.
Rendre l’ignorance capacitaire
Authors: Moninot Marie
Published: February 2021

Ignorer que nous sommes pétris de certitudes, celles de notre savoir, nous détourne de la connaissance. La quête de vérité passe par l’ignorance consciente, source d’humilité, car elle ne tient rien pour acquis. Pour ne pas enfermer nos patients dans nos propres ornières et co-créer le sens de l’expérience, nous sommes convoqués à être vigilants et à cultiver notre esprit critique en philosophes et notre pouvoir contemplatif en poètes. C’est cette double attitude tendant à rendre l’ignorance capacitaire qui redonne au patient son statut de sujet dévoilant le mystère de son être-au-monde.
Le féminin du Gestalt-thérapeute
Authors: Pluvinage Séverine
Published: February 2021

L’auteure délimite les contours de trois ensembles de valeurs culturellement et non biologiquement associées au féminin : l’attention et le soin portés au corps, le rapport au temps et au mystère, le goût d’une vie centrée sur l’intérieur. Puis elle explore celles qui imprègnent la pratique de la Gestalt-thérapie. Une vignette clinique vient illustrer le propos en lien avec le rapport au temps et la patience du thérapeute. Elle montre la différence entre une réponse de type frontal et une capacité à accueillir ce qui est sans subir. Elle termine par la dimension féministe de la Gestalt-thérapie.
Les questions sociales à la Clinique de La Borde et dans le champ de la Santé Mentale
Authors: Lecarpentier Michel
Published: February 2021

La Clinique de La Borde soigne activement des personnes souffrant de psychoses en tenant compte de leur aliénation sociale. Son approche sociothérapeutique repose sur une articulation d’associations intra et extrahospitalières indépendantes ayant convention avec l’établissement pour favoriser l’insertion en son sein et dans la cité. Cette approche a permis d’intégrer une assistante de service social depuis une trentaine d’années. Les personnes en souffrance venant de toute la France, se sont au fur et à mesure durablement installées en proximité de l’établissement et des associations bénéficiant ainsi de soins au long cours alors que la politique de Secteur se trouvait mise en péril. Cette praxis dynamique intègre le morcellement actuel des parcours et promeut l’idée que le souci social doit être le fait de tous, professionnels et usagers dans une approche collective fondée sur la rencontre, la liberté, la solidarité et la reconnaissance des compétences de chaque personne dont l’insertion se trouve facilitée par cette thérapeutique généralisée plus active dans la clinique comme dans la cité.
Redesigning business models to leverage members’ participation in online communities: The case of the French gambling industry
Authors: Joachim Marie , Laszczuk Alexis
Published: February 2021

Les communautés en ligne se sont imposées comme une nouvelle partie prenante centrale pour les entreprises du fait du développement des technologies d’information et de communication. Les clients réunis au sein de ces espaces en ligne bénéficient de nouveaux moyens d’interaction entre eux et avec les entreprises. Si les communautés en ligne sont considérées comme une source de valeur pour les deux parties prenantes, intégrer leur participation reste un défi pour les entreprises et implique le réagencement de leur business model. Grâce à une étude de cas de l’industrie du jeu d’argent en France, nous montrons qu’au travers de leur participation, les membres des communautés en ligne apportent de nouvelles ressources et compétences dont la mobilisation façonne les mécanismes de création et capture de valeur. Cet article révèle deux mécanismes d’exécution grâce auxquels une entreprise réagence son business model autour des communautés en ligne et améliore ainsi sa performance.
Insect left-over substrate as plant fertiliser
Authors: Chavez M. , Uchanski M.
Published: February 2021

The production of insect protein as human food and livestock feed (entomophagy) may provide a more environmentally beneficial alternative to traditional animal agriculture. However, the resulting waste product from insect production has resulted in large accumulations of left-over substrate and frass. Due to its nutrient and microbial profile, this left-over product has the potential to be utilised as a biofertiliser for high value crop production. Studies have been conducted using the frass of various insects (e.g. black soldier flies, houseflies, and mealworms) to monitor its impact on crop productivity. Overall, frass tends to have similar or better results when compared to inorganic fertilisers, especially when combined with them. Aside from productivity and growth, frass may also preserve soil fertility by decreasing leaching and infiltration, and reducing the prevalence of disease and pathogens. In addition, chitin found in frass also has beneficial properties for plant/crop growth and disease resistance. Monitoring the dietary inputs of industrially reared insects may be the best way of mitigating the potential negative impacts of frass application, such as increased electrical conductivity and heavy metal toxicity. No single study confirms all of these benefits at once. Future studies should focus building onto these results by demonstrating systems levels benefits.
A meshless collocation method with a global refinement strategy for reaction-diffusion systems on evolving domains
Authors: Li Siqing , Qiao Zhonghua
Published: February 2021

Turing-type reaction-diffusion systems on evolving domains arising in biology, chemistry and physics are considered in this paper. The evolving domain is transformed into a reference domain, on which we use a second order semi-implicit backward difference formula (SBDF2) for time integration and a meshless collocation method for space discretization. A global refinement strategy is proposed to reduce the computational cost. Numerical experiments are carried out for different evolving domains. The convergence behavior of the proposed algorithm and the effectiveness of the refinement strategy are verified numerically.
Weak pullback attractors for stochastic Ginzburg-Landau equations in Bochner spaces
Authors: Zhang Lu , Zou Aihong , Yan Tao , Shu Ji
Published: February 2021

In this paper we discuss the weak pullback mean random attractors for stochastic Ginzburg-Landau equations defined in Bochner spaces. We prove the existence and uniqueness of weak pullback mean random attractors for the stochastic Ginzburg-Landau equations with nonlinear diffusion terms. We also establish the existence and uniqueness of such attractors for the deterministic Ginzburg-Landau equations with random initial data. In this case, the periodicity of the weak pullback mean random attractors is also proved whenever the external forcing terms are periodic in time.
Bona fides (poštenje posjeda) kod zastare (praescriptio acquisitiva) i dosjelosti (usucapio) – prilog raspravi o suodnosu kanonskog i hrvatskog prava
Authors:   Faculty of Law, University of Zagreb, Held Henrik-Riko
Published: February 2021

The author analyses bona fides, or possession in good faith, as a prerequisite of the canonical praescriptio acquisitiva and the adverse possession as set forth in contemporary Croatian law in their interrelationship. The problem stems from the fact that the Treaty between the Holy See and the Republic of Croatia on legal matters, being an international treaty and thus having precedence over Croatian laws according to the Croatian constitution, in certain circumstances allows for a direct application of canon law within the Croatian legal system. The aim of this paper is to analyse whether this also applies to bona fides in adverse possession, and if so, in which way exactly. The canonical praescriptio in the context of the Roman legal tradition is analysed first in order to clarify certain terminological and conceptual discrepancies between canon law and Croatian law in this field. Bona fides regarding usucapio and praescriptio of Roman law and the Roman legal tradition is then particularly addressed. The central part of the paper deals with canonical bona fides, where it is specifically noted that it is a stricter standard in comparison to good faith as found in Croatian law. Canon law requires positive good faith throughout the whole required prescription period, meaning knowledge or a reasonable possibility of knowledge of having a right to possess, not infringing the right of another thereby. On the other hand, Croatian law requires knowledge or possibility of knowledge at the outset, while later on only acquired knowledge will render possession illicit. In addition, the Croatian standard of good faith is conceived more simply in comparison to the twofold canonical standard, i.e. only as the absence of knowledge or possibility of knowledge of not having a right to possess. Although both systems presume good faith, those differences may prove crucial if an interested party (owner of property being prescribed) offers evidence to the contrary. Finally, our analysis of the Treaty between the Holy See and the Republic of Croatia on legal matters revealed that the canonical standard of bona fides should be applied whenever a juridical person of the Catholic Church in Croatia acquires property by means of adverse possession, but by all accounts also when any other person acquires Church property in the same way.
Training Model and Quality of College Students in English Major
Authors: Tang Jingwei
Published: February 2021

This paper mainly analyzes the training model and quality of college students in English major, aiming to improve the training of English majors in colleges. Firstly, the current problems in the training of college students in English major were summarized, the influencing factors of the training quality were identified, and the implementation strategies and paths for the training model were introduced in details. On this basis, the author designed an evaluation index system, set up an evaluation model for the training quality of college students in English major, and explained the fuzzy decision process in the evaluation. The proposed evaluation model effectively quantifies the training quality of English majors in colleges. The research results provide an important guidance for pinpointing the weak links in the training model of English majors in colleges, and laying a solid basis for improving the training quality.
Cultivation Model for Autonomous Learning Ability of Japanese Majors
Authors: Wei Haiyan
Published: February 2021

As an important ability of students, autonomous learning refers to the completion of learning tasks in an independent, active, and conscious manner. Many colleges are working hard to cultivate the autonomous learning ability of their students. Taking Japanese majors as research objects, this paper carefully examines the current cultivation model for their autonomous learning ability, identifies the problems in the cultivation model, and proposes countermeasures for self-regulation and improvement from the perspectives of external environment and individuals. The results show that: autonomous learning is affected by such factors as self-efficacy, metacognition, goal setting, learning strategy, learning environment, and teachers; most college students spend 3-4h in autonomous learning daily; female students have a longer daily autonomous learning time than their male counterparts in any grade. The research results lay the basis for improving the autonomous learning ability of college students.
The Relationship between Massive Online Open Courses (MOOCs) Content Design and Students’ Performance
Authors: Mohamad Norhidayah , Othman Azrina , Ying Tan Siew , Rajah Neerosha , Samsudin Norsamsinar
Published: February 2021

Over the years, there has been tremendous growth in online social networking which contributed to the revolution of higher education’s learning environment. Massive Online Open Courses (MOOC) is now common in online education, which provides open networks of self-directed learning. MOOCs are referred as a continuation trend in innovation that initiated by learning from geographical distance and online. MOOCs is a current evolvement in higher learning institution in Malaysia with the aims to provide quality education for the students. However, there are some challenges in developing effective instructional design courses and retaining learners in MOOCs. Therefore, the purpose of this study is to discover the relationship between MOOC’s content design and students’ performances among UTeM’s engineering students. Through literature review, variables are identified such as courses content design, enhancement in teaching and learning and students’ performance. In this study, 373 samples have been collected and the data analysed using SPSS. The results revealed that there are significant relationships between courses materials, courses activities, and courses tools with students’ performance. It is believed that this research paper will beneficial to higher education to improve MOOC’s content design in order to enhance the students’ performance in the future.
7th International Conference on Remote Engineering & Virtual Instrumentation
Authors: For Papers Call
Published: February 2021

REV 2010 is the seventh in a series of annual events concerning the area of remote engineering and virtual instrumentation. The REV conferences are the annual conferences of the International Association of Online Engineering (IAOE) (www.online-engineering.org). REV2010 will be held at Kungliga Tekniska Högskolan (Royal Institute of Technology, KTH) in Stockholm. The general objective of this conference is to demonstrate and discuss fundamentals, applications and experiences in the field of remote engineering and virtual instrumentation. With the globalization of education the interest in and need of teleworking, remote services and collaborative working environments now increases rapidly. Another objective of the symposium is to discuss guidelines for education in university level courses for these topics. REV 2010 offers an exciting technical program as well as academic networking opportunities during the social events.
1st Experiment@ International Conference - Remote and Virtual Labs
Authors: For Papers Call
Published: February 2021

Call for Papers
Meal delivery logistics and the agencies of distribution in urban economies of food provision in the UK
Authors: Richardson Lizzie
Published: February 2021

Newcastle-upon-Tyne has recently seen an expansion in takeaway prepared food thanks to the meal delivery service provided through companies such as Deliveroo. These companies have what they call a “technology platform” that enables customers in certain urban areas to order and purchase a meal which is delivered to their location, usually within thirty minutes. Although a seemingly mundane moment of consumption, the processes underpinning this act compose a distinctly urban manifestation of the broader logistical logics of contemporary capitalism. Delivering a prepared meal from a restaurant to its nearby site of ingestion in the city is symptomatic of the role of logistics in valuation, through achieving the right place at the right time for a given commodity. Such logistics require the emergence of new urban infrastructure and the reconfiguration of existing components through the combination of the technology platform, the restaurant collection point and rider-deliverybox-vehicle assemblage. Building from this infrastructure, Deliveroo are able to extend their operations into food production and supply, whilst also re-organising socio-spatial divisions of labour in food provisioning. Distribution is therefore no neutral mediator between production and consumption, but rather has far-reaching effects, altering existing and generating new spatial practices composing urban economies of food provision.
The production of maquiladora space in Motul, Mexico: from henequen municipality to industrial city
Authors: Alfaro Claudia Fonseca
Published: February 2021

At the intersection of commodity chains and urban research, this paper engages with Bair and Werner’s “disarticulations perspective” through a conversation with Lefebvre’s “production of space.” I argue that this mix can provide a stronger theoretical lens to explore social differentiation, accumulation by dispossession, and uneven development and with this, shed more light on how the uneven geographies of global capitalism are created and reproduced. I develop my argument fixed analytically in Motul, in the southeastern Mexican state of Yucatán, as I explore the changes that the city experienced in the midst of a maquiladora boom-to-bust cycle. Maquiladoras—a type of Export Processing Zone that were meant to replace the state’s dying agro-based economy—arrived to the region in the 1980s and grew exponentially between the 1990s-2000s. With a historical approach, I draw on discourse analysis and ethnography-inspired fieldwork to unpack how the production of maquiladora space—in the form of the New Frontier—came about at the intersection between discourse, materiality, and effects on everyday life. The creation of the New Frontier unfolded within the logic of a global maquiladora architecture but was carried out by local actors through a double movement of homogenization and differentiation.
Plurilinguismo e politiche linguistiche
Authors: Telmon Tullio
Published: February 2021

Dans cet article, nous résumons certaines des initiatives les plus significatives concernant la recherche ou les projets portant sur le bilinguisme et le plurilinguisme depuis la fin du 20ème et le début du 21ème siècle. Nous serons particulièrement attentifs au CIEBP (Centre d’Information sur l’Education Bilingue et Plurilingue), né en 1968 et dont le premier président était André Martinet, à une époque où l’attitude de la pédagogie officielle envers l’éducation bilingue précoce était encore fortement négative. Le CIEBP faisait partie de la Fédération Mondiale des Villes Jumelées. Nous discuterons de ses objectifs, son développement, son organisation et ses accomplissements depuis ses débuts et jusqu’à nos jours.
Expenditure on sports and leisure by the Government of the State of Piauí
Authors: Dos Santos Edmilson Santos , Juchem Luciano , Ramires Maduro Luiz Alcides
Published: February 2021

The present study aimed to analyze the participation of the government of Piauí in the bottom-up funding of sport and leisure public policies from 2013 to 2017, embracing four aspects: (1) comparison of expenditure with tax revenue; (2) comparison of expenditure with other social agendas, notably Social Assistance and Culture; (3) identifying the spending behavior regarding subfunctions; (4) analyzing the efficiency in resource liquidation comparatively. Quantitative data were collected from the National Treasure website and submitted to descriptive statistics. In a conclusive manner, the study indicated that: (a) state government expenditure with the SLF is far shorter than the estimated by the II National Sport Conference; (b) expenditure has not followed the positive revenue variation during the period; (c) when compared to Social Assistance and Culture, Sport and Leisure has been the less considered area on the government’s agenda; (d) there has been an abrupt chance in the government’s agenda towards performance sport; (e) the government acts in an efficient way regarding the liquidation of planned resources.
Aprendizagem profissional de professores universitários em educação física: um olhar no desenvolvimento profissional ao longo da vida
Authors: Milan Fabrício João , Farias Gelcemar Oliveira
Published: February 2021

O objetivo deste trabalho é analisar teoricamente a aprendizagem ao longo da vida de professores universitários em Educação Física. Durante os processos biográficos da vida, o professor passa por experiências episódicas que se desdobram em habilidades, conhecimentos, entre outros elementos. Este processo ocorre pelo significado que é atribuído a tais experiências, significado este construído por níveis de reflexão crítica que qualificam a atuação profissional. Neste cenário, importa destacar e considerar que este processo é social e o professor universitário é um indivíduo socialmente interligado a uma cultura social, o que por sua vez revela o processo idiossincrático da aprendizagem deste sujeito. Assim, na sua biografia, as experiências de vida do professor universitário conduzem o seu desenvolvimento profissional.
A criação de um esporte brasileiro: o Futsac e sua articulação com o campo político
Authors: Amstel Narayana Astra van , Cunha Neto Luiz Guilherme , Marchi Jr. Wanderley
Published: February 2021

O Futsac é um esporte criado em Curitiba – PR em 2002, pelo empresário Marcos Juliano Ofenbock. A modalidade foi reconhecida oficialmente pelo Ministério do Esporte Brasileiro em 2014, em que demonstrou forte processo de inserção no meio político. O presente estudo mapeou os caminhos adotados pelo idealizador da modalidade nos campos políticos do Brasil. Os resultados da pesquisa apontaram que as relações estabelecidas pelo criador do Futsac com determinados membros das esferas legislativas e executivas, que já possuíam imagem vinculada ao meio esportivo no cenário curitibano e paranaense, facilitaram a estruturação legal da modalidade dentro do Ministério do Esporte.
Estratégias de aconselhamento para atividade física utilizadas pelo Núcleo Ampliado de Saúde da Família em Florianópolis
Authors: Moraes Sheylane de Queiroz , Loch Mathias Roberto , Rech Cassiano Ricardo
Published: February 2021

Estratégias de aconselhamento, como o modelo 5As, podem oportunizar importantes mudanças na atividade física. O objetivo deste estudo foi estimar a prevalência das estratégias de aconselhamento para atividade física utilizadas pelos profissionais do Núcleo Ampliado de Saúde da Família e Atenção Básica (NASF-AB) de Florianópolis de acordo com o modelo 5As. Foi realizado inquérito com profissionais do NASF-AB. A coleta ocorreu nas reuniões de planejamento dos Centros de Saúde. Participaram 72 profissionais, sendo 40 servidores e 32 residentes.  A maioria dos profissionais reportaram realizar algum aconselhamento para atividade física nos últimos 12 meses (97,2%). Entre os profissionais que referiram realizar algum tipo de aconselhamento, as estratégias de aconselhamento mais reportadas concentram-se nos “As” ask (94,1%), advise (98,5%) e assist (95,7%). A estratégia menos reportada foi arrange (25,7%). O recurso mais utilizado foi indicar a participação em grupos de atividade física do Centro de saúde. Conclui-se que os profissionais NASF-AB realizam aconselhamento para atividade física e utilizam algumas estratégias conforme o modelo 5As, embora não sejam usadas de modo sistematizado. Portanto, recomenda-se o investimento em Educação Permanente no uso de ferramentas para avaliação (asses) e no aperfeiçoamento de estratégias de acompanhamento (arrange) da efetividade, para assim aprimorar a prática do aconselhamento.
Inventário de Burnout para Árbitros (BIR): propriedades psicométricas para árbitros brasileiros de futebol
Authors: Santos Talita Rocha , Bicalho Camila Cristina Fonseca , Monteiro Alessandra Peixoto , Brandão Maria Regina Ferreira , Alves Marcela Mansur
Published: February 2021

O objetivo do estudo é analisar as propriedades psicométricas do Inventário de Burnout para Árbitros (BIR) oferecendo evidências de validade do instrumento por meio da análise de sua estrutura interna, estimando indicadores de confiabilidade e comparar o escore total de Burnout em árbitros centrais e árbitros assistentes.  Participaram 284 árbitros de futebol de seis Estados brasileiros. A idade média foi 31,3 anos(±6,1), sendo 255 do sexo masculino (89,7 %) e tempo de experiência na arbitragem médio 6,9 anos (±5,5 anos). O BIR consiste em um questionário de 9 itens, dispostos em uma escala likert de 7 pontos. O resultado da análise fatorial exploratória apontou para a presença de um fator que explicou 53,1% da variância dos dados. O ajuste do modelo Comparative Fit Index = 0,923 (IC de 95% 0,883-0,950) e Non-Normed Fit Index = 0,897 (IC de 95% 0,844- 0,933), indicam adequação do modelo de um fator único.  Não houve diferença de burnout entre árbitros assistentes e centrais. O instrumento apresentou índice de confiabilidade ômega de McDonald = 0,823. Conclui-se que o BIR apresenta estrutura fatorial centrada na dimensão exaustão física e emocional, diferente do seu modelo inicialmente proposto, e de outros estudos realizados anteriormente com o instrumento.
Efeito de uma intervenção na redução da percepção de barreiras para o uso de bicicleta no deslocamento ao trabalho
Authors: Belther Santos Ana Carolina , Rech Cassiano Ricardo , Diniz Ilca Maria Saldanha , Oliveira Elusa Santina Antunes de
Published: February 2021

Esse estudo investigou o efeito de uma intervenção na percepção de barreiras para o uso de bicicleta no deslocamento ao trabalho de industriários. Participaram 876 homens (idade média = 35,4 ± 9,5 anos) de uma empresa metalomecânica. A amostra foi randomizada em grupo controle e intervenção (438 participantes em cada grupo), considerando o uso ou não da bicicleta ao trabalho. A intervenção contou com 23 encontros de 30 minutos cada ao longo de seis meses, baseados no Modelo Transteórico de Mudança de Comportamento (MTMC). A percepção de barreira para uso de bicicleta foi avaliada por meio da "escala de percepção de barreiras para o uso de bicicleta”. Para análise foi aplicada estatística descritiva, qui-quadrado, teste de Wilcoxon, Kruskal-Wallis e Mann-Whitney adotando p < 0,05. Houve redução estatística na média da percepção de barreiras para uso de bicicleta no grupo intervenção (Z=-2,218; p=0,027). Quando estratificado por faixa etária, observou-se maior eficácia da intervenção na redução da percepção de barreiras em indivíduos na faixa etária de 30-39 anos (Z=-2,637; p=0,008). Para as demais faixas etárias, não houveram diferenças significativas. Conclui-se que intervenções baseadas no MTMC são eficazes na redução da percepção de barreiras para o uso da bicicleta para o deslocamento ao trabalho.
Erratum to: Analytical Estimate of Rotor Controls Required for a Straight Vortex Disturbance Rejection
Authors: van der Wall Berend  G.
Published: February 2021

Correction to:Journal of the American Helicopter Society, Vol. 62, (1), January 2017, pp. 1-4,http://dx.doi.org/10.4050/JAHS.62.015001
The Prevalence of Hepatitis B Virus Markers among Students of Shiraz University of Medical Sciences
Authors: Dowran Razieh , Malekzadeh Mahyar , Nourollahi Tayyar , Sarkari Bahador , Sarvari Jamal
Published: February 2021

Background:

Protection against hepatitis B virus (HBV) is based on the presence of antibodies against hepatitis B surface antigen (HBsAg). Vaccination of newborns is the most effective means of prevention. This study aimed to evaluate the frequency of anti-HBs antibody (anti-HBsAb), anti-HB core Ab (anti-HBcAb), HBsAg, and HBV DNA among university students in Fars province, Southern Iran.

Materials and Methods:

In this cross-sectional study, 272 students of Shiraz University of Medical Sciences, were enrolled. Venous blood (5 mL) was collected from each participant and centrifuged; the sera were stored at −20°C until use. Anti-HBsAb, Anti-HBcAb, and HBsAg were measured using a commercial enzyme-linked immunosorbent assay kit. HBV DNA load was also measured by a real-time polymerase chain reaction.

Results:

The mean age of the participants was 19 ± 1 years. There were 171 (62.9%) females and 101 (37.1%) males. Anti-HBsAb at a protective level (>10 mIU/mL) were detected in the sera of 104 (38.5%) of the cases. Of the anti-HBsAb seropositive participants, 82 were female and 22 were male; the difference between the gender and seropositivity to anti-HBsAb was statistically significant (P = 0.001, odds ratio: 3.3, 95% confidence interval = 1.89–5.79). Anti-HBcAb was detected in only one participant that was negative for both HBsAg and HBV DNA.

Conclusion:

Findings of the current study show that more than half of the students do not have a protective level of anti-HBsAb and might be susceptible to HBV infection, indicating the necessity of checking the level of anti-HBsAb as well as a booster dose in high-risk groups.
Association of coronavirus pathogencity with the level of antioxidants and immune system
Authors: Hejrati Alireza , Nurzadeh Maryam , Roham Maryam
Published: February 2021

Viruses are non-living organisms that annually cause many problems for human societies. The spread of some of the most dangerous viruses causing acute pneumonia, including novel Corona virus has led to the largest death toll in the world. With a long incubation period, Corona virus causes many problems for the immune system. Studies have shown that antioxidant enzymes play an important role in reducing infection and boosting the immune system. The immune system of people with chronic infections is often weak. Specific immunity is one of the most important responses to the virus. The present study therefore investigates association of Coronavirus pathogenicity with the level of antioxidants and immune system.
Parents' perception of their children's weight status in an urban area of Western Greece
Authors: karavida Vasiliki , Tympa Eleni , Panousis Georgios , Psyrropoulos Zissis
Published: February 2021

Context:

A lot of parents whose children are overweight or even obese are in no position to accurately acknowledge the real weight of their children. Parents' perception of their children's weight plays a significant role in the prevention and treatment of childhood obesity.

Aims:

This paper describes parents' opinions on the real weight status of their children and the sufficiency of quality nutrients in their diet.

Settings and Design:

The research methodology used in the particular study was based on survey research in preschool settings in West Greece.

Methods and Material:

The research methodology used in the particular study was based on survey research. Data were collected through questionnaires answered by parents of children attending preschool settings aged between two and five. One hundred and seventy-eight children and their parents participated. All parents had been informed of the aim of the study beforehand and gave their consent on condition that they could withdraw at any stage they wished.

Statistical Analysis Used:

Data were analyzed using SPSS (Statistical Package for the Social Sciences).

Results:

Comparing the Body Mass Index of children with the parents' opinion of their children's weight, we noticed 85,71% and 78,13% of the parents whose children were obese and overweight respectively, regarded their weight as normal. The majority of the overweight and obese children's parents were of the opinion that their children's diet was proper and healthy.

Conclusions:

Most parents whose children were obese or overweight underestimated the real weight of their children and considered their nutrition healthy.
Evaluation of prescription practices in rheumatoid arthritis at the rheumatology clinic in a tertiary care teaching hospital in Uttarakhand
Authors: Mittal Gauri , Bisht Manisha , Pai Venkatesh S. , Handu Shailendra S.
Published: February 2021

Objective:

This study was aimed to analyze the prescription pattern of disease modifying anti-rheumatic drug (DMARD) therapy in patients with rheumatoid arthritis (RA) in a tertiary care teaching hospital in Uttarakhand, India.

Methodology:

This cross-sectional study was conducted in 150 RA patients who were given DMARD therapy. Patient's demographic details, drugs prescribed with their dosage and administration routes and the usage of complementary and alternative medicine (CAM) therapy were recorded to study the prescription pattern.

Results:

Overall, 4 DMARDs were prescribed in all the studied patients: Methotrexate (n = 150), hydroxychloroquine (n = 35), leflunomide (n = 5), and adalimumab (n = 1). Single DMARD therapy with methotrexate was prescribed to 110 (73.3%) followed by double therapy with methotrexate + hydroxychloroquine in 35 (23.3%), triple therapy (methotrexate + hydroxychloroquine + leflunomide) in 4 (2.7%) and triple therapy with biological DMARD (methotrexate + hydroxychloroquine + leflunomide + adalimumab) in 1 (0.7%) patient. Adjuvant therapy drugs included: Prednisolone (n = 150), folic acid (n = 150), naproxen (n = 150), calcium (n = 150), vitamin D (n = 150) and indomethacin (n = 40). Of the total, 61.4% patients also took complimentary alternative medicine (CAM) therapy.

Conclusion:

Our study concludes that the most commonly prescribed DMARDs in our setting, to patients of RA, in descending order of frequency were methotrexate, followed by hydroxychloroquine, leflunomide and lastly adalimumab. A total of five adjuvant medications were commonly prescribed to all patients. There was a high prevalence of self-medicated CAM therapy in the majority of these patients.
Experiences with use of a pulse oximeter multimodal device in outpatient management of children with Acute Respiratory Infection during Covid pandemic
Authors: Sarin Enisha , kumar Arvind , Alwadhi Vaishali , Saboth Prasant , kumar Harish
Published: February 2021

Background:

While Covid-19 infection rate in children is low, respiratory symptoms are a common mode of presentation which calls for better management of such symptoms. However, ARI case managemnet in primary health settings settings has challenges as health workers lack skills to count respiratory rate and check chest indrawing. To address this multimodal pulse oximeters have been introduced in health and wellness centres of seven states to ease the work of front line health workers. A study was undertaken to understand the usability of the multimodal pulse oximeter during Covid times.

Methods:

A qualitative study was conducted with the aid of indepth interviews among a convenience sample of eleven health care workers from ten health and wellness centres. Interviews were conducted and recorded over phone, after obtaining consent. Transcribed interviews were coded and analysed on a qualitative analysis software. Content analysis was conducted.

Results:

Total children screened during covid lockdown period (April 1-May 31) is 571, those diagnosed with pneumonia and severe pneumonia is 68 and 2. Health care workers were satisfied with pulse oximeter as it helped in timely diagnosis and treatment, and offered protection from possible infection as it mitigated the need for physical contact.

Conclusion:

The multimodal pulse oximeter is well accepted among providers as it is easy to use aiding in timely management of ARI in children. It has an added protection as it's use reduces the need for physical contact. It can be adopted in other HWC and primary health facilities.
A comparison of nutritional status between children with and without disabilities
Authors: Jacob Ankeeta Menona , Pruthvish Sreekantaiah , Sastry Nandakumar Bidare , kunnavil Radhika , Shankarappa Mohanraju , Shetty Avinash k.
Published: February 2021

Background:

Children with disabilities are expected to have poor nutritional status in comparison to children without disabilities. However, limited data on nutritional status of children with and without disabilities in rural settings in India.

Objective:

To assess and compare the nutritional status of children with and without disability.

Methods:

A cross-sectional study among children aged 5–15 years was conducted in the rural practise area of a medical college in karnataka. 290 children (145 with and 145 children without disability) of similar age and sex were studied. Age and sex-specific World Health Organization (WHO) BMI centiles, 24 h dietary calorie and protein intakes were assessed and compared. Median and interquartile ranges were calculated for quantitative variables. Mann–Whitney U test was used to assess the differences in quantitative variables among the two groups.

Results:

As per WHO BMI centiles, 33.1% with and 37.20% without disabilities were undernourished. The median calorie consumed by children with disabilities was 1169.0 (946.5–1586.0) significantly lower compared to that of children without disability, that is, 1362.0 (1167.0–1641.0). The median protein consumed by children with disabilities was 28.0 (22.5–38.0) significantly lower compared to that of children without disability, that is, 32.0 (28.0–40.0).

Conclusions:

Children with disabilities had similar rates of undernutrition as that of their non-disabled peers and their lesser dietary intake in terms of calories and proteins.
A holistic care approach to combat the COVID-19 disease
Authors: kotwani Priya , Patwardhan Vaibhav , Patel Geetika Madan , Williams China-Lee , Modi Ekta
Published: February 2021

Background:

Coronavirus disease-2019 (COVID-1) 9 pandemic is spreading like a wildfire across the globe. For its containment, measures such as isolation and quarantine are followed. The patients tested positive for COVID-19 disease are kept in isolation with no interaction with the family members leading to negative mental health consequences. To address this, Parul Sevashram Hospital adapted to a more holistic approach to treatment.

Methodology:

A process documentation of the best practices was undertaken. key Informant Interviews (kIIs) were used to gather responses of the project implementers (n = 2), physiotherapists (n = 2), dietician (n = 1), Ayurveda practitioners (n = 2), and staff nurses (n = 2) who were mainly involved in tailoring the package of services to be offered as well as their implementation. In addition, kIIs were also conducted with the patients (n = 10) their views on the additional package of services offered to them and the overall level of satisfaction with the care.

Findings:

The holistic care services involved diet therapy, physiotherapy and yoga, AYUSH medicines for boosting immunity, music therapy and books and indoor games. Few implementation challenges include convincing healthcare workers for providing care to COVID patients, availing raw materials for preparing AYUSH medicines during lockdown. Trainings were also provided to HCW on infection control practices, provided monetary incentive and mobilised the existing resources for addressing the challenges.

Conclusion:

The holistic care has potential influence on patient's mental health, recovery rate, and satisfaction of COVID-19 patients. These approaches can be up-scaled with a minimum investment and has a potential to benefit patients both in public and private hospitals.
An alternative yogic approach for cyclical mastalgia—A narrative review
Authors: Jaiswal Garima , Thakur Ghanshyam S.
Published: February 2021

Background:

Mastalgia or breast pain common benign breast disorder in women in her reproductive life. Mastalgia estimate prevalence 41–71%. It affects to overall quality of life and associated with anxiety, stress, and other psychological factors.

Objective:

The purpose of the study was to conduct a review of alternative therapy in the management of mastalgia.

Method:

A review was conducted using search terms cyclical mastalgia (CM), yoga therapy, breast treatment, primrose oil, oestrogen, progesterone and all the probable term in national and international data repositories such as PubMed, Scopus, science direct, google scholar, web of science in English language.

Result:

The review of alternative therapies in the management of CM suggests that most of the studies used primrose oil, vitamins, and physical activity. There are very few studies conducted in relation to yoga and cyclical mastalgia. Further, most of the studies explored effect of alternative therapies on psychological outcomes. None of the studies investigated efficacy of these therapies on hormonal changes.

Conclusion:

Evidence suggests that biochemical clinical trial is effective with side effect, primrose oil and seeds treatment is less effective. One evidence-based study with integrated yoga therapy should be considered in the management of cyclical mastalgia. More high-quality trial with yogic approach needed to first line management of patients presenting with CM.
Effectiveness of early clinical exposure in improving attitude and professional skills of medical students in current Indian medical education set up
Authors: Tayade Motilal C. , Giri Purushottam A. , Latti Ramchandra G.
Published: February 2021

Introduction:

As a part of education reforms Medical Council of India has introduced early clinical exposure (ECE) as an important intervention in Medical teaching. It is stated in the literature, ECE helps to relieve stress of the students pertaining to patient handling, developing real-time clinical reasoning ability, communication skills, professional attitude, and patient empathy. With this view, this study was planned to assess effectiveness of early clinical exposure in improving attitude and professional skills in the current Indian medical education set up.

Methods:

This cross-sectional study was carried out amongst 820 students for three years duration. Students were randomly divided into two groups viz. ECE exposed group (Group A) and Traditional teaching exposed group (Group B). We conducted periodical sessions (Each duration: 60 minutes). We used a validated 10-point questionnaire for feedback collection.

Results:

Using perception-based 10-point questionnaire based on Likert scale we found, 93.21% of students strongly agreed that the method of ECE teaching aroused interest in learning. 86.03% of students strongly agreed that the method of ECE teaching technique helped in better retention of topic. 89.91% of students strongly agreed that the method of ECE teaching imparts better clinical context. 92.75% of students strongly agreed that the method of ECE teaching allows better assimilation of knowledge gained during learning. With ECE-based teaching 87.42% of students found highly satisfied while 81.22% of students found highly competent about the knowledge and skills thus acquired via this teaching methodology. 95.11% of students liked ECE teaching methodology and these students enjoyed it a lot and with interest.

Conclusion:

This study concluded that early clinical exposure is the most important teaching tool in improving attitude and professional skills in the current Indian medical education set up.
Daily self-regulation with biofeedback to improve stress and job satisfaction in a primary care clinic
Authors: Orlando Frank A. , Rahmanian kiarash P. , Byrd Charles E. , Chang ku-Lang , Yang Yang , Carek Peter J. , Lupi Maria Elisa
Published: February 2021

Background:

Burnout in healthcare professions is higher than other careers. An undesirable work-life balance has resulted in declining job satisfaction among primary care physicians. Biofeedback devices teach self-regulation techniques, which reduce stress and increase resilience.

Objectives:

We assessed whether self-regulation with biofeedback is effective at decreasing stress and improving job satisfaction among primary care clinicians and nurses.

Methods:

Two naturally occurring cohorts of clinicians and nurses were followed over 12 weeks. The treatment group (N = 9) completed 12 weeks of self-regulation with optional clinic-based biofeedback and received peer support for the first half. The control group (N = 9) started a delayed intervention after 6 weeks without peer support. Descriptive and bivariate analyses were conducted.

Results:

The treatment group averaged one biofeedback session weekly for 6 min and the control group two sessions for 11 min. Adherence differed by age. Subjects also reported using self-regulation techniques without biofeedback. Perceived stress initially increased in both groups with intervention implementation, more so in the treatment group (P = 0.03) whose stress then decreased but was not significant. Overall and extrinsic job satisfaction similarly increased but were not significance.

Conclusion:

The initial increase in perceived stress was related to daily biofeedback adherence and clinic responsibilities. Treatment group stress then decreased with self-regulation but was difficult to quantify in a small cohort. Larger studies could increase daily self-regulation adherence by improving biofeedback accessibility for leisurely use. Using self-regulation with biofeedback may be an innovative approach to reduce stress and improve job satisfaction in primary care.
Molecular and genetic characterization of hepatitis B virus among multitransfused thalassaemia patients in Islamabad, Pakistan
Authors: Farooq Ahmad , Waheed Usman , Saba Noore , kaleem Muhammad , Majeed Najma , Wazeer Akhlaaq , Cheema Naila Arif , Ahmed Saeed , Arshad Muhammad
Published: February 2021

Background:

Hepatitis B virus (HBV) is the aetiological agent of transfusion-transmitted hepatitis globally. Beta thalassaemia major individuals are at greater risk of contracting HBV infection due to multiple blood transfusions required for the medical management of these patients. Based on HBV genetic variability, it is divided into 10 genotypes. The determination of HBV genotypes has significant implications for clinical management and treatment regimens.

Aim:

This study was performed to assess the HBV epidemiology and circulating genotypes in multi-transfused β-thalassemia major patients with the aim to be considered while formulating the treatment pattern taking into account particular needs of thalassaemia patients.

Materials and Methods:

This study was performed from September 2018 to June 2019, at the Department of Pathology and Transfusion Medicine, Shaheed Zulfiqar Ali Bhutto (SZAB) Medical University, Islamabad. A total of 2,260 thalassaemia patients were enrolled in the study. The study was endorsed by the Ethics Committee of the SZAB Medical University, Islamabad. The samples were serologically screened for HBsAg on the LIAISON® XL Murex HBsAg Quant assay (DiaSorin S.p.A., Italy) a chemiluminescence based immunoassay (CLIA). HBV quantitative PCR kit was used to measure the HBV DNA in serum samples. The HBV genotypes were determined using universal primers targeting the P1 and S1 region amplification.

Results:

Of 2,260 thalassaemia patients, 64.6% were males while 35.4% were females. The HBsAg was identified in 98 individuals (4.33%). The PCR analysis was done for these 98 patients and in this cohort, genotype D was 59.18% (n = 58), genotype A was 21.42% (n = 21) while genotype C was 19.38% (n = 19).

Conclusion:

The determination of HBV genotypes in the multi-transfused patients is key to the effective management of chronic HBV patients as the severity and course of the disease is dependent on a specific type of genotypes. Quality assured screening of donated blood will prevent the incidence of HBV in thalassaemia patients.