bluuebunny/crossref_metadata_2025 huggingface dataset:
Iklim Kerja, Postur Kerja, dan Masa Kerja Terhadap Kelelahan Kerja pada Pekerja Bengkel Las
Authors: Hijah Nurul Fidinia , Setyaningsih Yuliani , Jayanti Siswi
Published: January 2022

Abstrak.

Pendahuluan: Kelelahan kerja merupakan suatu keadaan yang dirasakan oleh tenaga kerja dan dapat menimbulkan penurunan vitalitas dan produktivitas kerja. Kelelahan kerja bisa terjadi karena beberapa faktor diantaranya iklim kerja, postur kerja dan masa kerja. Salah satu pekerjaan yang terpapar iklim kerja  adalah pekerjaan di bengkel las.  Penelitian ini bertujuan untuk menganalisis hubungan iklim kerja, postur kerja dan masa kerja terhadap kelelahan kerja pada pekerja bengkel las. Metode: Variabel bebas berupa iklim kerja, postur kerja serta masa kerja dan dilakukan dengan menggunakan metode penelitian kuantitatif pendekatan cross sectional. Teknik pengambilan sampel yang digunakan adalah simple random sampling. Sampel pada penelitian yaitu berjumlah 75 pekerja dan dianalisis menggunakan Uji Chi-Square tingkat kepercayaan 95%. Hasil: Hasil menunjukkan variabel iklim kerja berhubungan terhadap kelelahan kerja dengan nilai p = 0,041, variabel postur kerja berhubungan terhadap kelelahan kerja dengan nilai p = 0,027, dan variabel masa kerja berhubungan terhadap kelelahan kerja dengan nilai p = 0,000. Penutup: Kesimpulan bahwa iklim kerja, postur kerja dan masa kerja berhubungan dengan kelelahan kerja pada pekerja bengkel las.

Abstract.

Introduction: Fatigue is a condition that is felt by the workforce and can lead to a decrease in vitality and work productivity. Fatigue can occur due to several factors including work climate, work posture and working period. One of the jobs exposed to the work climate is work in welding workshop. This study aims to analyze the relationship of work climate, work posture and working period to fatigue in welding workers. Methods:Independent variables are work climate, work posture and work period using quantitative research methods with cross sectional. The sampling used is simple random sampling. The sample is amounted to 75 workers and analyzed using Chi-Square Test with 95% confidence.  Results: Work climate variable is related to work fatigue with p Value = 0.041, the work posture variable is related to work fatigue with p Value = 0.027, and the variable period of work is related to work fatigue with  p Value = 0.000. Closing: Work climate, work posture and working period are related to work fatigue in welding workers.
Barcelona como laboratorio de innovación democrática (2015-2020)
Authors: Bonet-Marti Jordi , Serrano-Miguel Mercedes
Published: January 2022

Este artículo tiene por finalidad conocer el diseño e implementación de las nuevas formas de co-producción de gobernanza relacional y democrática que se han desarrollado en la ciudad de Barcelona durante el periodo 2015-2020 coincidiendo con el primer mandato del gobierno municipal de Barcelona en Comú. Para ello, nos centramos en el análisis de tres procesos de innovación democrática -la gestión cívica de equipamientos públicos, la producción de comunes urbanos y la democratización de la innovación digital- que ejemplificamos a través de tres casos de estudio: el Centro LGTBI de Barcelona, el proyecto cooperativo Can Batlló y el Canódromo – Ateneo de Innovación Digital y Democrática. Tal y como se evidencia en la comparación desarrollada, estos tres modelos suponen un cambio respecto a los modelos tradicionales de gestión pública al permitir articular una nueva relación entre movimiento e institución, su orientación hacia la autogestión y su articulación con un nuevo marco normativo, dentro del marco conceptual de la cooperación público-comunitaria.
Diseño y validación de instrumentos para valorar la postura de sedestación y motricidad fina en alumnado de primaria
Authors: Sánchez-Matas Yolanda , Gutiérrez David , Salido López José Vicente , Hernández Martínez Andrea
Published: January 2022

Los niños y las niñas en edad escolar pueden pasar aproximadamente un 80 % de su jornada escolar haciendo uso de la silla. Debido a esta situación, diferentes estudios establecen una relación entre postura y problemas de salud. Señalan además, que las dificultades de escritura pueden afectar la percepción de las propias capacidades. Debido a estos resultados, se ha insistido en la importancia de inculcar hábitos posturales y grafomotrices adecuados desde edades tempranas. Los objetivos principales de este estudio fueron, por un lado, diseñar instrumentos de observación y recolección de datos de los patrones posturales y de grafomotricidad; por otro, validar dichos instrumentos mediante la opinión de personas expertas. Como objetivo secundario se consideró evaluar la consistencia interna del instrumento para valorar la postura de sedestación. En relación con el primer objetivo, ambos instrumentos mostraron valores altos de concordancia inter jueces en cuanto a la pertinencia y precisión de los ítems. Con respecto al segundo, los instrumentos fueron aplicados a una muestra de 93 niños y niñas de 1º y 5º curso de Educación primaria para evaluar la consistencia interna del instrumento postura. Los resultados de confiabilidad por dimensiones mostraron unos valores superiores a 0.7. Los instrumentos diseñados se presentan como herramientas útiles para valorar los patrones relacionados con la postura y la grafomotricidad y contribuir así a la detección de problemas asociados en niños y niñas en edad escolar. En conclusión, estos instrumentos pueden ofrecer directrices adecuadas para elaborar planes de trabajo destinados a atender las necesidades que presente el alumnado.
¿Cuán importante es la seguridad cibernética para lograr la seguridad hídrica?
Authors: Donoso María Concepción
Published: January 2022

Alcanzar la seguridad hídrica es indispensable para lograr un desarrollo sostenible.  La seguridad hídrica implica tener acceso a cantidades adecuadas de agua de calidad aceptable, pero también exige salvaguardar el recurso hídrico y disponer de un sector de agua eficiente y sostenible. Hoy día la seguridad de este sector se ve afectada por ataques cibernéticos.  Las amenazas cibernéticas han aumentado exponencialmente en los últimos cinco años. Se estima que cada 39 segundos ocurre un nuevo ataque en algún sitio de la red global.  Sin embargo, la ciberseguridad en el sector del agua en América Latina y el Caribe se encuentra en una fase incipiente. Esta vulnerabilidad del sector pone en peligro la seguridad hídrica de cada país.   El presente artículo expone una visión amplia del concepto de seguridad hídrica e ilustra la amenaza real de ataques cibernéticos, identificando los diversos elementos que pueden ser objeto de los ciberdelincuentes.  Las consideraciones finales apuntan a sugerir acciones de sensibilización del sector del agua ante los peligros de agresiones cibernéticas y adelantar gestiones tendientes a consolidar la ciberseguridad para propiciar o fortalecer una seguridad hídrica sostenible.
Estrategia de difusión de la nanotecnología: Enseñanza interdisciplinaria a profesores de educación primaria
Authors: Camacho-Elizondo Melissa , Batista-Menezes Diego , Mora-Bolaños Rodrigo , Vega-Baudrit José Roberto , Montes de Oca-Vásquez Gabriela
Published: January 2022

El objetivo de la investigación fue socializar los conceptos, aplicaciones y beneficios de la nanotecnología entre personal educador de las diferentes provincias de Costa Rica, para incrementar su aceptación y difusión del tema a los niños y niñas de educación primaria. Se realizó una convocatoria para seleccionar a sujetos educadores de distintas zonas del país. Se impartieron 5 talleres de capacitación en las siguientes localidades: Turrialba, Cahuita, Alajuela, Buenos Aires y Nicoya. En estos se abordaron temas fundamentales de la nanotecnología y sus aplicaciones, así como los aportes que se pueden ofrecer desde el punto de vista educativo. Los talleres se impartieron de manera presencial durante dos días completos, con exposición de charlas, actividades prácticas y discusiones. Además, se preparó material didáctico, como un afiche y un folleto informativo, y dos videos educativos alusivos a la nanotecnología. Se logró capacitar a 98 sujetos educadores, 87 % hombres y 13 % mujeres, de distintas provincias del país. Los resultados de las evaluaciones de los talleres fueron buenos, en términos del conocimiento adquirido con un promedio de calificación de un 57,30 %, comparado con un 5,10 % alcanzado antes de iniciar la capacitación. Este proyecto, contribuyó a fortalecer el conocimiento de los educadores sobre la nanotecnología y sus aplicaciones; además, se dieron a conocer proyectos de investigación nacionales e internacionales relativos a la nanotecnología. Lo anterior permitirá que los educadores sean capaces de transmitir los nuevos conocimientos a la población estudiantil, y se conviertan en multiplicadores del conocimiento.
Las Raíces de un estruendo: el legado de Platón en la génesis del pensamiento dialéctico hegeliano
Authors: Morenas Rodríguez Miguel Ángel
Published: January 2022

Resumen A pesar de la importancia ampliamente conocida que Hegel siempre dio a pensadores como Aristóteles o Heráclito, otras filosofías clásicas, como la de Platón, han tenido un papel esencial a la hora de inspirar y fundamentar las bases de la filosofía hegeliana. Por ello, en este artículo, a partir de la interpretación que hizo Hegel de la filosofía platónica en los periodos que van desde su estancia en el Tübinger Stift a la etapa de elaboración de la Fenomenología del Espíritu -1788-1806-, estudiaremos las muy importantes contribuciones de la dialéctica platónica a la génesis de la dialéctica hegeliana, además de los paralelismos y distancias entre ambos modelos de dialéctica, intentando destacar su influencia en los desarrollos filosóficos posteriores. Y es que, si como bien dice Hegel en la Fenomenología, la tarea de la Modernidad no «trata tanto de purificar al individuo de lo sensible inmediato y de convertirlo en sustancia pensada y pensante, sino más bien de lo contrario, es decir, de realizar y animar espiritualmente lo universal», hoy, en el momento de la postmodernidad en el que los universales se derrumban, es más importante que nunca volver a hacer patentes las raíces que, llegado un momento, comenzaron a hacerlos temblar.
A Experiência da Consciência
Authors: Pedro Mauad
Published: January 2022

O presente artigo é uma interpretação da Introdução da Fenomenologia do Espírito à luz dos conceitos de bestimmte Negation (negação determinada), Umkehrung des Bewußtseins (reversão da consciência) e Aufhebung (conservação e superação). Busca-se, com isso, demonstrar como estes são os conceitos motrizes da experiência da consciência (Erfahrung des Bewußtseins) tal como Hegel a formula e expõe na Introdução. Assim, o objetivo é demonstrar como essa experiência nos indica uma nova maneira de pensar a temporalidade própria à consciência, isto é, ao contrário do que nos sugerem as imagens lineares do caminho a ser percorrido pela consciência, a experiência que a consciência realiza sobre seu objeto é um olhar para trás que cria seus pressupostos e os transformam em seu verdadeiro fim. Trata-se, portanto, de compreendermos como o caminho para a ciência é ele mesmo ciência e que a Introdução da Fenomenologia já é seu verdadeiro começo. Ou seja, não há uma introdução à ciência porque não existe uma ciência a ser introduzida a menos que já se esteja nela, e estar nela significa experienciá-la.
Sociedad civil y estado en Hegel: prolegómeno indispensable para la crítica marxista de la sociedad burguesa
Authors: Gallardo Blanco Gonzalo
Published: January 2022

En el presente trabajo se pretende llevar a cabo una aproximación a la filosofía política hegeliana centrada en la sociedad civil y el estado, como dos de los momentos más importantes de este estadio de su filosofía, estudiando su relación con la posterior crítica marxista de la sociedad burguesa. El trabajo se presenta, por tanto, como un análisis crítico de sus Principios de Filosofía del Derecho, obra fundamental en el pensamiento de Hegel para el tema que nos ocupa, el cual nos permitirá acceder a esta parte de su filosofía y ponerla en relación con ciertos desarrollos posteriores del pensamiento de Marx.
Actitudes contra el feminismo durante la República en la prensa murciana
Authors: Rabal García Jose Luis
Published: January 2022

El objetivo del presente artículo es analizar las reacciones reflejadas en la prensa murciana contra las transformaciones que las relaciones de género experimentaban en la Segunda República. La metodología consistirá en epígrafes dedicados al contexto temporal, a analizar las fuentes de prensa y a extraer conclusiones. Las aportaciones bibliográficas aportan el cuerpo teórico sobre las mentalidades y las relaciones de género, mientras que los periódicos coetáneos añaden novedosos datos sobre estas mentalidades y cómo iban modificándose. Las conclusiones indican que la resistencia a las modernidades feministas se reflejó con mensajes peyorativos contra esta corriente intelectual al tiempo que se defendía la diferenciación de funciones y capacidades de ambos sexos argumentando las capacidades innatas y distintas de hombre y mujer.
La erupción del volcán Cumbre Vieja en la Isla de La Palma (2021). El enfoque educativo de un volcán urbano
Authors: Santa-Cecilia Fernando Javier , García de la Vega Alfonso , Martín-Moreno Raúl
Published: January 2022

El texto cita en primer lugar ejemplos de vulcanismo a nivel internacional que ilustran la importancia de este fenómeno geomorfológico y geológico.  Desciende en escala para describir la evolución volcánica del archipiélago canario y contextualiza la erupción de Cumbre Vieja de 2021, como un episodio más en la configuración de las islas atlánticas. Introduce el concepto de volcán urbano dentro del ámbito educativo tomando como referencia esta erupción en la que se ven afectadas distintas localidades y una población de más de 2000 personas hasta la fecha. Ofrece un relato de los hechos a partir del trabajo de campo realizado en la segunda semana de erupción del volcán y aporta detalles del paisaje palmero y del proceso de transformación del territorio que está viviendo. Incluye una revisión científica de términos geográficos que tienen que ver con el vulcanismo. Al finalizar, se decantan unas conclusiones y una relación de recursos educativos que esperamos sean de interés en el campo de la Geografía y en la Didáctica de las Ciencias Sociales.
La política de alianzas matrimoniales trasferida al lenguaje pictórico: La feliz unión de España y Parma impulsa las Ciencias y las Artes
Authors: Rey Recio Maria Jesus
Published: January 2022

De entre todas las pinturas murales realizadas en los palacios reales en el siglo XVIII en España llama la atención La feliz unión de España y Parma por lo excepcional del tema y por las implicaciones familiares que actuaron de nexo entre Nápoles y Madrid en la elección de la decoración de los respectivos palacios. Las decoraciones visualizan la política de las alianzas matrimoniales de los Borbones mediante el lenguaje alegórico basado en Cesare Ripa que era compartido por los artistas al servicio del rey -Solimena, De Mura, Sabatini y Bayeu-, y bajo la temática común de las unionesconyugales celebradas por el dios Himeneo.
Appendicitis in a Newborn: Case Report and Review of the Literature
Authors: Ivanova Eleonora , Garunkštienė Rasa , Liubšys Arūnas
Published: January 2022

Background: Acute appendicitis in a newborn is rare and may be fatal. The reported incidence is 0,04 % to 0,2 %. Diagnosis remains challenging as the symptoms are undefined.Case presentation: Here we present a full-term newborn boy of 9 days presenting with malaise, reluctance to feed and subfebrile fever. Over the course of 6 days his condition became worse. The newborn was febrile, passed no stool and his stomach became distended. Perforation due to necrotizing enterocolitis was highly suspected. The diagnosis of acute appendicitis was finalized perioperatively after the perforation and worsening condition made the emergency surgery inevitable. After 16 days of admission the patient was discharged in good condition.Conclusion: Appendicitis in neonates is a dangerous yet manageable condition. While rare it should be included in differential diagnosis when presented with atypical necrotizing enterocolitis or unexplained peritonitis. Quick and accurate diagnosis may increase survival rates.
Cutaneous Melanoma with Tonsillar Metastasis: Treatment with Cryoablation
Authors: Dulskas Audrius , Trakymas Mantas , Gibavičienė Jolita , Čepulis Vytautas , Čižauskaitė Agnė , Samalavičius Narimantas
Published: January 2022

Metastasis of cutaneous melanoma to the oral cavity is a rare condition. Male patient with cutaneous melanoma metastasis to right tonsil 2 years after radical skin lesion resection was treated with surgery: tonsillectomy and later resection of soft palate were performed. Two years later the patient was diagnosed with progressive disease to right tonsil and soft palate. Rapid inoperable relapse was detected six months later. The patient underwent two procedures of palliative cryoablation of the metastasis. Postoperative course was uneventful. Patient died 7 months later due to progression of the disease.Cryoablation alone or together with surgery may be a relatively safe option for treatment of inoperable disease of head and neck tumours.
The uniqueness and iterative properties of solutions for a general Hadamard-type singular fractional turbulent flow model
Authors: Zhang Xinguang , Xu Pengtao , Wu Yonghong , Wiwatanapataphee Benchawan
Published: January 2022

In this paper, we consider the iterative properties of positive solutions for a general Hadamard-type singular fractional turbulent flow model involving a nonlinear operator. By developing a double monotone iterative technique we firstly establish the uniqueness of positive solutions for the corresponding model. Then we carry out the iterative analysis for the unique solution including the iterative schemes converging to the unique solution, error estimates, convergence rate and entire asymptotic behavior. In addition, we also give an example to illuminate our results.
Short Intravenous Antibiotic Courses for Urinary Infections in Young Infants: A Systematic Review
Authors: Hikmat Samar , Lawrence Jolie , Gwee Amanda
Published: January 2022

CONTEXT

Urinary tract infections (UTIs) are common in young infants, yet there is no guidance on the optimal duration of intravenous (IV) treatment.

OBJECTIVE

To determine if shorter IV antibiotic courses (≤7 days) are appropriate for managing UTIs in infants aged ≤90 days.

METHODS

PubMed, the Cochrane Library, Medline, and Embase (February 2021) were used as data sources. Included studies reported original data for infants aged ≤90 days with UTIs, studied short IV antibiotic durations (≤7 days), and described at least 1 treatment outcome. The Preferred Reporting Items for Systematic Reviews and Meta-analyses guideline was followed. Studies were screened by 2 investigators, and bias was assessed by using the Newcastle-Ottawa Scale and the Revised Cochrane Risk-of-Bias Tool.

RESULTS

Eighteen studies with 16 615 young infants were included. The largest 2 studies on bacteremic UTI found no difference in the rates of 30-day recurrence between those treated with ≤7 vs >7 days of IV antibiotics. For nonbacteremic UTI, there was no significant difference in the adjusted 30-day recurrence between those receiving ≤3 vs >3 days of IV antibiotics in the largest 2 studies identified. Three studies of infants aged ≥30 days used oral antibiotics alone and reported good outcomes, although only 85 infants were ≤90 days old.

CONCLUSIONS

Shorter IV antibiotic courses of ≤7 days and ≤3 days with early switch to oral antibiotics should be considered in infants aged ≤90 days with bacteremic and nonbacteremic UTI, respectively, after excluding meningitis. Further studies of treatment with oral antibiotics alone are needed in this age group.
RESEÑA. El Dao de la sabiduría, de Filippo Costantini. Puntarenas: Editorial Sede del Pacífico, 2021. 378 páginas. ISBN 978-9930-9732-1-9
Authors: CERVERA JIMÉNEZ JOSÉ ANTONIO
Published: January 2022

La editorial de la Sede del Pacífico de la Universidad de Costa Rica acaba de publicar una gran obra sobre filosofía china. Se trata de El Dao de la sabiduría, del investigador italiano afincado en Costa Rica, Filippo Costantini.
Flucht und Asyl – internationale und österreichische Perspektiven
Authors: Sievers Wiebke , Bauböck Rainer , Reinprecht Christoph
Published: January 2022

Flucht und Asyl haben lange die öffentlichen Debatten in Europa bestimmt. In vielen Ländern haben rechtspopulistische Parteien an Bedeutung gewonnen. Eine Einigung darüber, wie die Europäische Union ihre Verantwortung gegenüber den weltweiten Fluchtbewegungen wahrnehmen kann, scheint in weiter Ferne. Der vorliegende Band trägt zu einer Ausdifferenzierung dieser Debatten bei. Einerseits regt er dazu an, Flucht und Asyl aus einer internationalen und historischen Perspektive sowie aus dem Blickwinkel der Betroffenen neu zu denken. Andererseits präsentiert er empirische Ergebnisse zur politischen und zivilgesellschaftlichen Auseinandersetzung mit Geflüchteten, zu ihrer Integration in den Arbeitsmarkt sowie zu den Möglichkeiten und Grenzen ihrer gesellschaftlichen und kulturellen Teilhabe.
Material Culture and Identities in Egyptology. Towards a Better Understanding of Cultural Encounters and their Influence on Material Culture
Authors: Bader Bettina
Published: January 2022

The book examines the connection between identity and material culture, which forms the backbone of archaeology. The assumed direct relationship between the things of daily life and the aspects of identity such as gender, age or ethnicity to name but a few is challenged under consideration of post-colonial theories and critically applied to a case study in ancient Egypt (Tell el-Dab'a), which provides exclusively material culture for interpretation. Besides a detailed introduction to the formation and current use of aspects of identity and culture concepts with special regard to archaeology, definitions (such as 'entanglement' and 'appropriation') and a placement of fusions of material culture from various areas in the theoretical framework are proposed.
Czy szczęście przyjmuje kształt litery U? Polityka senioralna a dobrostan osób starszych
Authors:   Uniwersytet im. Adama Mickiewicza w Poznaniu, Polska, Górny Maciej , Lorek Artur Marcin ,   Akademia Nauk Stosowanych im. Mieszka I w Poznaniu, Polska
Published: January 2022

Previous studies of the “happiness curve” have shown that building psychological resilience to limitations typical of elderly people, allows us to reverse the negative trend in the level of subjective well-being. Activities, in the field of social, economic and health policy implemented by local government units and central authorities can improve the quality of aging. The aim of this article is to investigate the determinants of seniors' happiness, with particular emphasis on the potential of senior policy in its support, which will allow the development of a model of “senior well-being policy” and the development of a catalog of recommendations.
Senat RP jako efekt kompromisu „okrągłego stołu”
Authors:   Uniwersytet Marii Curie-Skłodowskiej w Lublinie, Polska, Leszczyńska-Wichmanowska Krystyna
Published: January 2022

The objective of the present article is to systematize the knowledge about the political conditions that in 1989 were decisive for the restoration of the Senate with quite limited powers. The reasoning consists of an introduction, two main parts listed in chronological order, and a conclusion. The article presents the concepts of reactivation of the second chamber of parliament, which usually appeared in the years of Polish socio-political crises, and then goes on to present the political and constitutional effect of negotiations on the Senate at the "Polish round table". The main result of the research carried out is the fact that the 1989 Senate decision, part of the consensus enabling the "Polish round table" agreement to be reached, resulted in fully democratic elections to the Second House, in which the political opposition won 99 out of 100 senatorial seats. The success of "Solidarity" did not have any real impact on the practice of governance, because (apart from the election of the president) the Senate had no major influence on the then existing system of power. However, the unprecedented victory of the opposition in this election undoubtedly gave an impulse to take steps to establish the cabinet of Tadeusz Mazowiecki - the first non-communist prime minister, who initiated the political process of establishing democracy and a free market economy.
ABSTRACTS OF PARTICIPANTS OF THE XI ALL-RUSSIAN SCIENTIFIC-PRACTICAL STUDENT CONFERENCE "MAZURIN READINGS"
Authors: Article Editorial
Published: January 2022

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Memory about 1990th in Contemporary Saint-Petersburg: Anatoliy Sobchak and Galina Starovoytova
Authors:   National Research University Higher School of Economics, Sungurov A. Yu.
Published: January 2022

Process of co-memorization of famous politicians analyzed at the example of memory of two bright Petersburg politicians of 90th. Discussions about possible monuments and memorable desks, appellations of their names to some places of city as well as creation and following activities of memorial museums are subjects of research. In the first case co-memorization process are realized from the top mostly, by decisions of political leaders at regional and federation levels. In second case efforts from bottom prevailed, from friends and colleagues, which received support from officials some later. The efforts of politicians family members play prominent role in the both cases.
Nasal epenthesis in preverbal accusative clitic pronouns. A variationist study of present-day dialectal European Portuguese
Authors: Nkollo Mikołaj
Published: January 2022

The paper investigates nasal epenthesis in vowel-initial preverbal 3rd person accusative pronouns in modern dialectal European Portuguese (EP). The study is underpinned by the data from the verbatim transcription section of CORDIAL-SIN, a dialectal corpus of contemporary EP. Speakers’ behaviors are analyzed in the fifteen localities where variation is found. Different grammars (prosody-syntax mappings) are singled out, depending on whether the alveolar nasal is extended on preverbal clitic pronouns only or is found in other monosyllabic clitic words (definite articles and demonstrative pronouns) as well. Analogical extensions are demonstrated to be instrumental in inducing speakers to use the nasal-initial allomorph. The analysis points also to the varying realizations of proclisis triggers. Besides surfacing as a nasal diphthong, their last syllable frequently ends in a monophthong, its vocalic nucleus denasalizes or its quality gets altered. Finally, the historical profile of this sandhi process is approached. The change is argued to have spread from grammatically and communicatively unmarked contexts, close to orality. Rather than positing a continuous transmission of nasal epenthesis across generations, emphasis is placed on the consistency with which preverbal clitic pronouns were treated in various periods and in different communicative circumstances.
Implant-Supported Removable Partial Denture: An Approach to Rehabilitate Maxillary Kennedy Class I
Authors:   Prosthetic Department, Dental Clinic of Monastir, University of Monastir, Avicenna Avenue, 5019 Monastir, Tunisia, Ouni Imed , Ammar Sinda ,   Prosthetic Department, Hospital Mohamed Tlatli, Nabeul, Tunisia, Triki Hiba ,   Prosthetic Department, Dental Clinic of Monastir, University of Monastir, Avicenna Avenue, 5019 Monastir, Tunisia, Afia Imen B. ,   Prosthetic Department, Dental Clinic of Monastir, University of Monastir, Avicenna Avenue, 5019 Monastir, Tunisia, Mansour Lamia ,   Prosthetic Department, Dental Clinic of Monastir, University of Monastir, Avicenna Avenue, 5019 Monastir, Tunisia
Published: January 2022

Patients with maxillary Kennedy Class I are frequent visitors to the dental office, the missing of posterior teeth makes the control of the movement of removable partial dentures difficult due to the axis of rotation and the different resiliencies between the supporting structures. The use of implants in association to the conventional metal frame denture provides favorable long-term stability and retention, good clinical outcomes in terms of occurrence of complications and maintenance. In this clinical case, a patient with a maxillary Kennedy Class I was rehabilitated using a 3 implants to support metallic removable partial denture. A three dimensional (3D) surgical guide was used for the well-placement of the strategic implants and ball attachments were tightened as connectors between implant and denture. The patient was satisfied after 4-years of follow-up and reported good occlusal stability, esthetic and functional satisfaction.
Type 2 Diabetes Mellitus with Diabetic Gastroparesis and Occasional Liver Dysfunction Treated by Low Carbohydrate Diet
Authors:   Tokushima University, Medical Research, Tokushima, Japan, Bando Hiroshi , Kato Yoshinobu ,   Kanaiso Hospital, Komatsushima, Tokushima, Japan, Kato Yoshikane ,   Kanaiso Hospital, Komatsushima, Tokushima, Japan, Yamashita Hisako ,   Kanaiso Hospital, Komatsushima, Tokushima, Japan, Yada Seigo ,   Kanaiso Hospital, Komatsushima, Tokushima, Japan, Ogura Katsunori ,   Kanaiso Hospital, Komatsushima, Tokushima, Japan
Published: January 2022

Diabetes mellitus (DM) has wider neurological complications. They include upper gastrointestinal (GI) symptoms, impaired motility, impaired gastric emptying (GE) and diabetic gastroparesis (DG), which are usually found. The patient was a 64-year-old man with type 2 diabetes (T2D) for 22-years. The patient weighed 74 kg with body mass index (BMI) 23.6 kg/m2, hemoglobin A1C (HbA1c) 9.2%, ankle brachial index (ABI) 1.19/1.23, AST 25 U/L(7-38), ALT 23 U/L(4-44), GGT 48 U/L(<86), Chest X-P normal, and electrocardiogram (ECG) negative. When the patient was treated with low carbohydrate diet (LCD), a significant reduction in body weight and HbA1c was observed. Abdominal computerized tomography (CT) revealed multiple gall stone, dilated common bile duct and impaired GE, indicating DG. For endoscopic examination, much food residue was found in the stomach due to DG after 13 hours fasting. Treatment for DG was initiated by mosapride citrate hydrate. During clinical progress, occasional liver dysfunction was observed twice associated with elevation of AST 196 U/L, GGT 373 U/L and without symptoms, indicating cholestasis-type dysfunction. Some possible triggers may be involved in these episodes, such as gall stone, enlarged volume of stomach due to DG, overeating, overdrinking, and other factors. This impressive report will hopefully become a reference for developing diabetic practice and research.
Current Perspectives for Oral Hypoglycemic Agents with Clinical Evidence of Larger Studies
Authors:   Tokushima University, Medical Research, Tokushima, Japan and apan Low Carbohydrate Diet Promotion Association (JLCDPA), Kyoto, Japan, Bando Hiroshi
Published: January 2022

Current reports for oral hypoglycemic agents (OHAs) are described. As to the association of dipeptidyl peptidase-4 inhibitors (DPP4i) and bullous pemphigoid (BP), odds ratio (OR) was vildagliptin 5.08, linagliptin 2.87, sitagliptin 1.29 (not significant). Regarding the comparative study between SGLT2i and DPP-4i, SGLT2i group showed lower hazard ratio (HR) as MACE 0.76, myocardial infarction 0.82, cardiovascular death 0.60, heart failure 0.43, all-cause mortality 0.60. Semaglutide showed reduced OR for cardiovascular death than exenatide 0.47, dulaglutide 0.46, albiglutide 0.45, lixisenatide 0.43. SGLT2i showed reduction risk of HR for MACE 0.90, hospitalization for heart failure (HHF)/cardiovascular death 0.78, renal outcomes 0.62.
Assessment of Level of Awareness Towards Radiation Protection Among the Staff Working at Angiography Suite at Public Hospitals
Authors:   Department of Pediatric Cardiology, the Children Hospital and ICH, Lahore, Punjab 54000, Pakistan, Niaz Ruby , Hyder Syed N. ,   Department of Pediatric Cardiology, the Children Hospital and ICH, Lahore, Punjab 54000, Pakistan, Ahmed Usaid ,   Department of Pediatric Cardiology, the Children Hospital and ICH, Lahore, Punjab 54000, Pakistan, Ghous Munawer ,   Department of Pediatric Cardiology, the Children Hospital and ICH, Lahore, Punjab 54000, Pakistan
Published: January 2022

Introduction Several challenges with radiation protection and safety culture in radiology departments needs to be addressed as few studies done in this aspect in our country. Especially with regard to the awareness about radiation protection, hazards, dosimetry usage and measurement. Objective The objective of this study is to find knowledge about radiation exposure hazard and practices among various auxiliary staff working in radiation units. Material and Methods Cross-sectional study done by using stratified random sampling method. A questionnaire made to check the awareness level of the radiological staff regarding radiation protection working in angiography suite. The questionnaire had two parts with various questions about radiation protection measures and safety related knowledge for staff and patient. Data collected from angiography suite of three public sector hospitals of Lahore, Pakistan. All the data entered in statistical package for the social science (SSPS) version 16 and analyzed for statistically significant outcomes. Results Total of 67 staff members were included in this study from three different public sector hospitals, 55.2% were males 44.77% were females. Twenty-nine (29) persons belonged to the age group of 20-30-years. Twenty (20) doctors, 21 nurses, 12 radiographers and 14 paramedical staff were included. 89.55% staff members were aware of radiation hazard. 55.22% had training on radiation protection and 44.77%. 56.71% were aware of dosimeter. Only 16% were aware of as low as reasonably achievable (ALARA). Conclusion The radiological staff members were partially aware about radiation hazards and radiation safety. They were lacking from training and workshops. Essential steps required to develop nationwide strategies for improving the situation and maintaining a safe working environment.
Oral and Gut Health Can Play an Important Role in Psychosomatic Illness Associated with Coronavirus Disease 2019 Patients
Authors:   Department of Neurochemistry, NIMHANS, Bangalore, India, Huchegowda Ravish , Sharma Manoj K. ,   Department of Clinical Psychology, NIMHANS, Bangalore, India, Anand Nithin ,   Department of Clinical Psychology, NIMHANS, Bangalore, India, Devadiga Darshana ,   Department of Conservative Dentistry and Endodontics, A.B.Shetty Memorial Institute of Dental Sciences, Mangaluru 575018, Karnataka, India
Published: January 2022

With physicians and patients fearful of coronavirus disease 2019 (COVID-19), this has a profound impact on the working and personal life and living style of individuals. In United States (U.S.), around 10.7% reported perceiving severe thoughts of hurting themselves and contemplating suicide as a reaction. There is a 3-4 times rise in the incidence of mental well-being disorders in the past year relative to the year prior as reported in the article in US. It was also confirmed that salivary glands of throats had affected by coronavirus and many patients infected have developed dysgeusia and anosmia which are also happened to be found in patients taking angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers, thus pointing out the role of ACE receptors for entry of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Reducing technologic use and addiction would be feasible by adequate sleep and preventing during work hours through reducing task triggering anxiety-related use of mobile phones. Consuming plenty of Vitamin C can protect against such viral infections. Study have also shown that sufficient vitamin D supplementation could boost humoral and cellular immune responses and reduce intestinal leakiness among COVID-19 infected population.
Accuracy of Bioimpedance Modalities for Fluid Assessment in Hemodialysis Patients: A Randomized Observational Study
Authors:   Division of Pediatric Nephrology, Children’s Hospital of Richmond at VCU, Richmond, VA, USA, John Jacob C. , Gipson Graham T. ,   Division of Nephrology, Virginia Commonwealth University Health Systems, Richmond, VA, USA, King Christopher D. ,   Division of Nephrology, Virginia Commonwealth University Health Systems, Richmond, VA, USA, Bunchman Timothy E. ,   Division of Pediatric Nephrology, Children’s Hospital of Richmond at VCU, Richmond, VA, USA, Karam Oliver ,   Division of Pediatric Critical Care Medicine, Children’s Hospital of Richmond at VCU, Richmond, VA, USA
Published: January 2022

Aim Fluid overload is a major contributor to mortality in critically ill patients but is difficult to estimate clinically. Bioimpedance has been used to estimate fluid volumes with three different methods of analysis:1. single-frequency; 2. multi-frequency; 3. bioimpedance spectroscopy. The aim of this study is to assess the accuracy of different types of bioimpedance analysis in detecting changes in fluid volumes. Methods Prospective observational study, in end-stage renal disease patients requiring dialysis, in a tertiary care center. During hemodialysis, we assessed the correlation between change in estimated total body water volumes, as measured by all three methods of bioimpedance, and fluid volumes removed, as measured by changes in body weight. Results Twenty-four pediatric and adult patients were included in the study (median age 42.4 years) with a total of 30 study assessments performed. There was a weak correlation between change in body weight and change in estimated total body water volumes (R=0.15, 0.41, and 0.38, respectively). In the Bland-Altman analysis, the mean biases along with their associated 95% confidence limits of agreement were -0.23 L (-4.1 to 3.5 L) for single-frequency; -1.1 L (-4.1 to 1.9 L) for multi-frequency; and -0.6 L (-6.1 to 4.8 L) for bioimpedance spectroscopy. Conclusion In this study of end-stage renal disease patients requiring dialysis, the accuracy of bioimpedance measurement to evaluate fluid changes was poor, regardless of bioimpedance modality.
A Study on the Role of Public Health in Reducing the Abuse of Ambulance Services
Authors:   Fatima College of Health Sciences, Al Maqam, Tawam, Abu Dhabi, UAE, Tanveer Yadgir A. M. D. I.
Published: January 2022

Background Demand for emergency medical services or ambulance response is situated within the context of other healthcare and social welfare services. Worldwide ambulance providers have a wide variety of services available, but many services are struggling to meet service demand. Inappropriate use of ambulance services is one of the biggest concerns globally. The burden of using the ambulance services includes transporting non-critical patients to the hospital. Misuse of the ambulance services is a serious problem that must be addressed and solved. Objective The purpose of this study is to evaluate the public perception of appropriate usage of ambulance services and determine the applicable role of public health to reduce the inappropriate use of an ambulance. Methodology A cross-sectional study was conducted to collect data from the general public using an online survey. The survey contains 9 questions that evaluate the public awareness of appropriate ambulance use. Participants are people from the public within the age of 18 and above. Sample Size A total of N=97 of participants’ responses were used to analyze the data. Inclusion Criteria Complete surveys and answer data using the English language. Exclusion Criteria Uncompleted surveys, and answered with other languages. Results During the online survey, a total of n=97 participants enrolled voluntarily. The majority of the residents are aware of when to and whom to call in case of a medical emergency. N=35 (36%) of the participants believe that ambulance services are misused. Conclusion The conducted study demonstrated that almost 36% of participants believed abuse of ambulance services, though there might be numerous reasons for calling ambulance unnecessary. Public health plays a vital role to reduce inappropriate ambulance calls when both ambulance services and public health are integrated into one system of care.
A Community Engagement Model to Drive Advance Directive Discussion and Completion
Authors:   Division of Geriatrics, Vanderbilt University Medical Center, Nashville, TN, USA, Hines Kristin L. , Taylor Elyse ,   Meharry Medical College, Nashville, TN, USA, Hollingsworth Emily ,   Division of Geriatrics, Vanderbilt University Medical Center, Nashville, TN, USA, Rhodes Shana ,   Division of Geriatrics, Vanderbilt University Medical Center, Nashville, TN, USA, Powers James S. ,   Division of Geriatrics, Vanderbilt University Medical Center, Nashville, TN, USA and Geriatric Research Education and Clinical Center, VA Tennessee Valley Healthcare System, Nashville, TN, USA
Published: January 2022

Background Advance directives (ADs) describe individuals’ preferences for life-sustaining treatments and/or surrogate decision-makers, to help avoid unwanted, burdensome treatments at the end-of-life. However, only 36.7% of adults have completed an AD. There is growing interest in adopting a public health approach to end-of-life care, including ADs. We describe the experience of Honoring Choices Tennessee (HCT) which developed a pilot program, Advance Directives at Work in Tennessee (AD@WorkTN), to enhance AD completion by the general public workforce. Methods The AD@WorkTN initiative targeted adults in the Tennessee workforce by engaging human resource (HR) leaders in educational presentations. Each workshop provided resources to employers to integrate ADs into the employee orientation and benefits enrollment process. Educational materials, web tools, podcasts, AD forms, and a demonstration of how to complete an AD were included. Participants were directed to the HCT website which contains the state advance directive documents and with detailed instructions, as well as the co-branded MyDirectives app (MYD), to securely upload completed ADs. In April 2021 a HCT sponsored PBS documentary on advance care planning was produced with statewide distribution. Results Over a 2-year period, 58 workshops were conducted for 260 human resources leaders representing 958 businesses. As a result, 23 businesses have included ADs as part of the employee benefit process. Additionally, a 2-year multifaceted public outreach campaign between 2019-21 has reached 2,950 employees and 958 businesses. Approximately 81,500 Tennessee viewers have seen the Public Broadcasting Service (PBS) documentary on advance care planning. There have been 2,954 visits to the HCT website and 411 visits to the co-branded MyDirectives site. Conclusion AD@WorkTN is a promising model to promote integration of ADs into the employee orientation and benefits enrollment processes. Enhanced discussion and completion of ADs among employed individuals and enhanced public discourse such as podcasts and television productions may encourage intergenerational conversations about end-of-life care and documentation in healthcare records.
Immunotoxic Effects of Cypermethrin in Male Wistar Rats: Attenuation by Co-Administration of Zinc and Alpha-Lipoic Acid
Authors:   Biochemistry, Molecular Endocrinology and Reproductive Physiology Laboratory, Department of Human Physiology, Vidyasagar University, Midnapore,  West Bengal 721102, India, Paramanik Anurag , Chaudhuri Angsuman D. ,   Biochemistry, Molecular Endocrinology and Reproductive Physiology Laboratory, Department of Human Physiology, Vidyasagar University, Midnapore,  West Bengal 721102, India, Chakraborty Barun ,   Biochemistry, Molecular Endocrinology and Reproductive Physiology Laboratory, Department of Human Physiology, Vidyasagar University, Midnapore,  West Bengal 721102, India, Giri Dibyendu ,   Biochemistry, Molecular Endocrinology and Reproductive Physiology Laboratory, Department of Human Physiology, Vidyasagar University, Midnapore,  West Bengal 721102, India, Majumder Anirban ,   Biochemistry, Molecular Endocrinology and Reproductive Physiology Laboratory, Department of Human Physiology, Vidyasagar University, Midnapore,  West Bengal 721102, India, Chatterjee Debjani ,   Biochemistry, Molecular Endocrinology and Reproductive Physiology Laboratory, Department of Human Physiology, Vidyasagar University, Midnapore,  West Bengal 721102, India, Pradhan Ananya ,   Biochemistry, Molecular Endocrinology and Reproductive Physiology Laboratory, Department of Human Physiology, Vidyasagar University, Midnapore,  West Bengal 721102, India, Maiti Prasanta ,   Imgenex India Pvt. Ltd, Bhubaneswar, Odisha 751024, India, Choudhury Sujata M. ,   Biochemistry, Molecular Endocrinology and Reproductive Physiology Laboratory, Department of Human Physiology, Vidyasagar University, Midnapore,  West Bengal 721102, India
Published: January 2022

Aim The present study investigated the effects of cypermethrin exposure on humoral and cellular immune response in rat and its attenuation by zinc and alpha-lipoic acid. Methods Cypermethrin at the dose levels of 40 mg and 80 mg/kg body weight were orally administered and pre-treatment of zinc (227 mg/L in drinking water) and alpha-lipoic acid (35 mg/kg body wt.) were done. Total leukocyte and differential leukocyte counts (DLC), phagocytic index, serum nitric oxide (NO) activity, total immunoglobulin concentration, quantitative hemolysis, proliferation assay of blood mononuclear cells were estimated and histological examination of spleen was accomplished. Results Total white blood cell (WBC) count and percentage of lymphocyte, serum nitric oxide activity (p<0.001) and quantitative hemolysis were increased significantly increased whereas neutrophil %, total serum immunoglobulin, and blood mononuclear cell proliferation (p<0.001) and the phagocytic function of peritoneal macrophages were significantly reduced in cypermethrin treated rats compared to control group rats at a dose-dependent manner. Zinc and alpha-lipoic acid pre-treatment reversed the results. Conclusion From the findings it can be concluded that the co-administration of zinc and alpha-lipoic acid significantly attenuated the immunotoxic effects in cypermethrin exposed rat.
Green Synthesis of Nickel Oxide Nanoparticles using Populus ciliata Leaves Extract and their Potential Antibacterial Applications
Authors: Hafeez Muhammad , Shaheen Ruzma , Akram Bilal , Ahmed Muhammad Naeem , ul-Abdin Zain- , Haq Sirajul , Din Salah Ud , Zeb Maryum , Khan Muhammad Abdullah
Published: January 2022

ABSTRACT Green synthesis of nanoparticles has received a lot of attention from scientists globally because it is eco-friendly, relatively rapid, and a cost-effective method. This work presents a method for the green synthesis of nickel oxide nanoparticles (NiO-NPs) using leaf extracts of Populus ciliata as a reducing and stabilising agent. The synthesised NiO-NPs were characterised by ultraviolet-visible spectroscopy, Fourier transform infrared spectroscopy, powder X-ray diffraction, scanning electron microscopy, and transmission electron microscopy. It was found that the synthesised NiO-NPs shapes varied, were highly crystalline, and had a face-centred cubic geometry. The calculated crystallite size of the synthesised nanoparticles was 44 nm. Moreover, the antibacterial activity of the synthesised NiO-NPs was also conducted against Gram-positive bacteria (Bacillus subtilis, Bacillus licheniformis) and Gram-negative bacteria (Escherichia coli and Klebsiella pneumoniae). Bacillus subtillus showed a maximum inhibition zone of 28.1±1.6 mm, whereas Klebsiella pneumonia showed a minimum inhibition zone of 9.2±0.5 mm. It was also found that the antibacterial activity increased with an increase in the concentration of NiO-NPs. Keywords: antibacterial activity, green synthesis, nanoparticles, NiO, Populus ciliata.