bluuebunny/crossref_metadata_2025 huggingface dataset:
A COMPARATIVE STUDY TO UNDERSTAND THE PSYCHOLOGICAL DISTRESS AND ITS ASSOCIATED FACTORS AMONG TB PATIENTS RECEIVING TREATMENT FROM GOVERNMENT AND PRIVATE FACILITY
Authors: Mishra Shubham , Khanna Dr. Anoop
Published: February 2024

Shubham Mishra; Dr. Anoop Khanna
HEALTH SEEKING BEHAVIOUR OF COMMUNITY IN RURAL AREAS OF UJJAIN, MADHYA PRADESH
Authors: Saha Shayoni Devis , Sodani Dr. P.R.
Published: February 2024

Shayoni Devis Saha; Dr. P.R. Sodani
ASSESSING RADIOLOGY DEPARTMENT EFFICIENCY AND ANALYSING OUTLIERS TO IMPROVE ITS PERFORMANCE AT DHARAMSHILA NARAYANA SUPER-SPECIALTY HOSPITAL, NEW DELHI
Authors: Anand Tasbi , Singh Dr. Jagajeet Prasad
Published: February 2024

Tasbi Anand; Dr. Jagajeet Prasad Singh
IMPLEMENTATION OF PRESCRIPTION REVIEW
Authors: Parmar Chitra
Published: February 2024

Chitra Parmar; Dr. P.R. Sodani
MONITORING PROCESS FLOW AND REDUCING TURNAROUND TIME (TAT) AT PRIMARY HEALTH CHECKUP (PHC) STATION AND RADIOLOGY DEPARTMENT OF ETERNAL HOSPITAL
Authors: ji Mahak , Singh Dr. Jagajeet Prasad
Published: February 2024

Mahak; Dr. Jagajeet Prasad Singh
STUDY ON GAP ASSESSMENT OF RMNCH+A STRATEGY IN HIGH PRIORITY DISTRICT OF BARABANKI UTTAR PRADESH
Authors: Kumar Vikash , Singh Dr. Jagajeet Prasad
Published: February 2024

Vikash Kumar; Dr. Jagajeet Prasad Singh
STUDY OF COMPLIANCE RATE OF VENOUS THROMBOEMBOLISM (VTE) PROPHYLAXIS FORM IN IN-PATIENT DEPARTMENTS
Authors: Wangzen Dr. Sonam Kelzang
Published: February 2024

Dr. Sonam Kelzang Wangzen; Dr. Vinod Kumar SV
DIPSTICK SURVEY AT ANSAR MALL TO ASSESS THE MARKET FOR UPCOMING GMC HOSPITAL IN DUBAI
Authors: Siddique Nida
Published: February 2024

Nida Siddique; Dr. Vinod Kumar SV
A STUDY TO ANALYSE THE TURNAROUND TIME OF THE DEPARTMENT OF BIOCHEMISTRY IN CARE HOSPITALS, BANJARA HILLS, TELANGANA
Authors: Varun GVVS , Majumdar Dr. Piyusha
Published: February 2024

GVVS Varun; Dr. Piyusha Majumdar
LIVESTOCK SITUATION IN A TRIBAL VILLAGE WITHIN CHAIBASA DISTRICT OF JHARKHAND UNDER THE AJEEVIKA PASHU SAKHI PROJECT
Authors: PAREYA MANISHA , MISHRA Dr. HEMANT KUMAR
Published: February 2024

MANISHA PAREYA, Dr. HEMANT KUMAR MISHRA
A STUDY ON PATIENT MANAGEMENT IN OUT-PATIENT DEPARTMENT AND THEIR LEVEL OF SATISFACTION IN THE MISSION HOSPITAL, DURGAPUR
Authors: SAH AMAN KUMAR
Published: February 2024

AMAN KUMAR SAH, Dr. GOUTAM SADHU
EXPLORING ORGAN DONATION AWARENESS, ATTITUDES AND BELIEFS AMONG YOUNG ADULTS (AGED 18-30 YEARS)
Authors: GUPTA MOHINI
Published: February 2024

MOHINI GUPTA, Dr. GOUTAM SADHU
AGAR-BASED EDIBLE FILMS AS FOOD PACKAGING MATERIALS
Authors: FARAZ AHMAD , ji FIZA , ji SHUBHAM , ji ANURADHA , AZEEM KASHFA
Published: February 2024

This chapter delves into the emerging field of agar-based edible films as an eco-friendly alternative to plastic food packaging. Against the backdrop of mounting environmental concerns regarding plastic waste, it explores the unique attributes of polysaccharides, including agar, such as biodegradability, cost-effectiveness, and biocompatibility, making them promising materials for sustainable packaging. The chapter also delves into recent research and developments, covering mechanical improvements, moisture barriers, and regulatory compliance, highlighting the potential of agar-based films in contributing to a more environmentally conscious and sustainable future for food packaging.
AUGMENTED REALITY (AR) AND VIRTUAL REALITY (VR) HEADSETS APPLICATION IN FOOD PACKAGING
Authors: YUSUF MOHD , MALLIRA NIKITA , AZEEM KASHFA , PARVEEN NISHA , ji AMMARA , ji FIRDOS
Published: February 2024

MOHD YUSUF; NIKITA MALLIRA; KASHFA AZEEM; NISHA PARVEEN; AMMARA; FIRDOS
SUSTAINABLE SOLUTIONS FOR FRESHNESS: POLYMERIC NANOCOMPOSITES AND NANOCOATINGS AS PIONEERS IN MODERN FOOD PACKAGING ENHANCEMENT
Authors: AHMED BILAL
Published: February 2024

The continuous evolution of packaging materials has been pivotal in addressing the ever-growing challenges associated with food preservation and safety. Polymeric nanocomposites and nanocoatings have emerged as promising solutions to enhance the performance of traditional food packaging. This review provides a comprehensive overview of the recent developments in polymeric nanocomposites and nanocoatings, highlighting their specific properties and significance in the context of food packaging. We explore the potential of these advanced materials to extend shelf life, improve barrier properties, and mitigate environmental impacts.
ADVANCEMENTS IN FOOD PACKAGING: FOCUS ON POLYSACCHARIDE-BASED MATERIALS
Authors: YUSUF MOHD
Published: February 2024

In recent years, the field of food packaging has witnessed a paradigm shift towards the integration of innovative materials to address the growing concerns associated with traditional packaging solutions. This comprehensive review deals with the recent advancements in food packaging, with a specific focus on the utilization of polysaccharide-based materials. Polysaccharides, derived from a variety of natural sources such as alginate, starch, cellulose, pectin, and carboxymethyl cellulose, have emerged as promising alternatives for sustainable and functional food packaging. The review discusses the inherent properties of these polysaccharides, including biocompatibility, biodegradability, and versatile functionality, which make them well-suited for addressing the evolving needs of the food packaging industry. The exploration covers the applications of polysaccharide-based materials, and their contributions to enhancing barrier properties, antimicrobial features, and overall sustainability. As the food industry grapples with the demand for eco-friendly and effective packaging solutions, this review provides insights into the potential of polysaccharide-based materials to revolutionize food packaging practices.
STUDY TO UNDERSTAND ACCEPTABILITY AND USE OF ANMOL APPLICATION AMONG ANMS IN MADHYA PRADESH
Authors: Jain Amit
Published: February 2024

Amit Jain; Dr. P.R. Sodani
AN OBSERVATIONAL STUDY TO ANALYSE & DEVELOP A TOOL TO TRACK GENERAL UNFIT SURGERY PATIENTS IN COUNSELLING DEPARTMENT AT SANKARA EYE HOSPITAL, COIMBATORE
Authors: Kumar Manish
Published: February 2024

Manish Kumar; Dr. Anoop Khanna
ASSESSMENT OF QUALITY OF DATA COLLECTED UNDER ICDS AT ANGANWADI CENTERS
Authors: Eritem Srikanth R.
Published: February 2024

Srikanth R. Eritem; Dr. Anoop Khanna
STUDY ON FARM BASED LIVELIHOOD INTERVENTIONS FOR TRIBAL COMMUNITIES IN NAGRI BLOCK, RANCHI JHARKHAND
Authors: KACHHAP REEMA , VERMA Dr. RATNA
Published: February 2024

REEMA KACHHAP, Dr. RATNA VERMA
KNOWLEDGE ON THE DISASTER RISK REDUCTION (DRR) AMONG THE YOUTH RESIDING AT KATHMANDU VALLEY
Authors: KHANAL, SABIN , VERMA Dr. RATNA
Published: February 2024

SABIN KHANAL, Dr. RATNA VERMA
SOLIDARITY CLINICAL TRIAL FOR COVID-19 TREATMENT-A SYSTEMATIC REVIEW
Authors: Sharma Niharika , Das Dr. Arindam
Published: February 2024

The virus known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the source of COVID-19. It was first discovered in Wuhan, the Chinese province of Hubei, in December 2019, and in 2019–20 it spread to other parts of the world and became a pandemic [1]. The WHO officially designated it COVID-19 on February 11, 2020. Director-General of the WHO, Tedros According to Adhanom Ghebreyesus, the word is a combination of the terms "CO" for corona, "VI" for virus, "D" for disease, and "19," which stands for the year the epidemic was first discovered (December 31, 2019) [2]. Tedros Adhanom Ghebreyesus, Director-General of the WHO, underscored the challenge of conducting numerous small trials for the coronavirus vaccine with diverse methodologies, potentially lacking adequate evidence. As a result, the WHO and its partners are coordinating a study, known as the SOLIDARITY Trial, to compare untested treatments across various countries. Tedros Adhanom Ghebreyesus emphasized the trial's extensive international scope and its purpose of generating robust data on the most effective treatments [3].
Modern psychological assistance technologies for internally displaced persons
Authors: Bretsko Іryna , D. Shcherban Tetiana , Yamchuk Taisa
Published: February 2024

Since the full-scale invasion of Ukraine by Russia, many Ukrainians have fled their homes in search of safer places, thus the problem of developing convenient and effective methods of providing psychological support to the maximum number of citizens has become urgent. The research aims to develop a technology for helping internally displaced persons based on exposure therapy methods. The study sample consisted of 84 respondents who had the official status of internally displaced persons. To quantify the parameters of the stressful state, the PCL-5 post-traumatic stress disorder diagnostic tool was used, and the updated Oxford Happiness Inventory (OHI) was used to determine the emotional state. At the beginning of the study, 67% of respondents in the sample had a level of symptoms sufficient to diagnose post-traumatic stress disorder, which indicates a high level of psychological distress. The methods of trauma-focused cognitive behavioural therapy and Eye Movement Desensitisation and Reprocessing were used for psychotherapeutic procedures. The use of both methods proved to be effective in improving the overall psychological state of the respondents. The use of trauma-focused cognitive behavioural therapy led to a 9.0% reduction in symptoms of post-traumatic stress disorder and a 37.73% increase in happiness compared to the control group. The method of desensitisation and eye movement processing led to a 15.41% reduction in symptoms of post-traumatic stress disorder and a 35.30% increase in subjective indicators of happiness compared to the control group. The combined use of both methods showed the best results: after three months, there was a 19.72% reduction in post-traumatic stress disorder symptoms and a 42.54% increase in happiness scores compared to the control group. Based on the data demonstrated in this paper, the combined use of trauma-focused cognitive behavioural therapy and eye movement desensitisation and reprocessing can be recommended to reduce the severity of post-traumatic stress symptoms and improve the well-being of internally displaced persons
Teachers and principals’ assessment of schools as professional learning communities in a district in the North-West Province of South Africa
Authors: Nkengbeza David , Heystek Jan
Published: February 2024

As researchers continue to seek strategies to bring systemic change in schools, many have turned to professional learning communities due to the valuable possibilities that these communities offer in reforming schools. The study aims to analyse how teachers and principals in the Dr Kenneth Kaunda District in the North-West Province of South Africa perceive their schools as professional learning communities. A quantitative approach was used to sample 87 schools for this study. Questionnaires were given to 1,260 teachers and principals in this district. The questionnaire was based on the conceptual framework of professional learning communities. The Statistical Package for the Social Sciences software program was used to analyse the data. Assessing schools as professional learning communities remains a significant way to re-examine educational institutions to determine their performance outcome. The main findings included respondents who strongly agreed to all the core components ranging from 21% (Supportive conditions – structures) to 28% (Shared supportive leadership and Supportive conditions – relationships). Respondents who agreed with all the core components rated all the components above 50% and ranged from 55% (Supportive conditions – structures) to 65% (Additional statements). While respondents who disagreed ranged from 9% to 18%, respondents who strongly agreed only ranged from 1% to 6%. Principals rated their schools as professional learning communities more than the teachers. This study also established other problems facing educational institutions in this district, adding to those already highlighted by previous researchers. Schools should be encouraged to use this self-assessment method for their respective evaluations. This article is intended mainly for teachers and principals and all those who are involved in schools' reconstruction, including the Ministry of Education
The determinants of the communication of societal accounting data within companies in Tunisia
Authors: Jammoussi Imen , Mroua Mourad
Published: February 2024

The objective of this research is to study the reasons for the communication of societal accounting information in Tunisian companies. In fact, we have discussed the questions of the convergence of sustainability accounting models, the questions of the communication of accounting data or even questions of the participation of the actors. The results of qualitative research on a sample of 16 companies show a certain homogeneity in the assessment of the communication policy of societal accounting information of each type of company. It turns out that the social and societal activities identified come under the initiative of companies, their organizational culture and their extra-economic concerns. The social and societal concerns of these companies remain at the heart of the concerns of managers.
Portfolio optimization in the light of factor investment: A bibliometric analysis
Authors: Khazaei Pegah , Makui Ahmad
Published: February 2024

In this study, we attempted to conduct a comprehensive review of the existing and pertinent literature on the topic of factor investment. We performed Scientometric analysis of studies published in reputable finance journals, i.e., The Journal of Portfolio Management, The Financial Analysts Journal, The Journal of Asset Management and others, during the years 2014 to 2023. To obtain the research data for our study, we gathered and examined a collection of 76 bibliographic records sourced from the Web of Science database. This database provided a comprehensive and reliable source of scholarly publications in the field of finance. To analyze the data, we employed Scientometric networks as part of our analytical approach. Scientometric networks allowed us to explore the relationships and connections between different publications, authors, and keywords within the domain of factor investment. To visualize and present the research findings, we utilized the Bibliometrix package for R, a powerful tool specifically designed for bibliometric analysis. This package enabled us to generate insightful visualizations that showcased the key patterns, trends, and interconnections within the literature on factor investment. By employing Scientometric analysis and leveraging the capabilities of the Bibliometrix package, we aimed to provide a comprehensive overview of the existing scholarly research in this field and contribute to the understanding of factor investment.
Algorithm for Working with Metal Objects in Breast Expander in Radiotherapy
Authors: Panchenko V. R. , Lebedeva Zh. S. , Litvinov A. P.
Published: February 2024

Purpose: The article is devoted to the analysis of the developed algorithm of contouring minimizing dosimetric deviations during post-mastectomy radiation therapy of patients with breast tissue expanders with a metal port. The influence of the main errors in contouring the critical structures of the above patients on the quality of dosimetric planning is also considered.

Material and methods: Mentor CPX4 tissue expander with a two component SmoothCast medical plastic shell imitating the patient's skin was scanned on three protocols using CT GE Optima 540, the resulting series of slices were contoured by different methods in the Eclipse planning systemand dosimetry evaluated by film dosimetry. Algorithm minimizing a contouring errors was developed.

Results: When contouring on the basis of the developed algorithm, the deviation in dose compared with the value calculated in the planning system was 1.7 %. Contouring on the basis of the above errors gave a deviation in the dose up to 6.7 %.

Conclusion: The developed delineation algorithm can be used both in departments with the presence of CT with the “extended curve” function, and in departments where this function is unavailable in CT.
Computational Fluid Dynamics Modeling of Solar Thermal Dry Reforming of Methane in a Parabolic Trough
Authors: Ho Clifford , Riley Christopher R.
Published: February 2024

Computational fluid dynamics simulations of solar-thermal dry reforming of methane using a parabolic trough configuration were performed. Parametric simulations of different combinations of gas flow rate, receiver tube emissivity, and geometric concentration ratio were conducted to determine configurations that could achieve the required catalyst temperatures of at least 700 °C to achieve high conversion of CH4 and CO2 to H2 and CO. Results showed that the concentration ratio of the parabolic trough collector had to be increased from ~70 to ~120 and the receiver-tube emissivity had to be reduced to ~0.2 to achieve bulk average catalyst temperatures of greater than 700 °C.  Lower gas flow rates also reduced enthalpic heat losses and increased catalyst temperatures.
Functional Dyes
Authors: Chan Jefferson , Yang Youjun , Fan Jiangli , Chen Zhixing , New Elizabeth , Li Lin
Published: February 2024

Functional dyes possess the ability to absorb light within the visible spectrum but are harnessed for their unique properties in their excited states, such as heat generation or light emission. Today, functional dyes represent a vibrant and evolving field of research, where scientists are continually exploring novel molecules capable of harnessing light energy for diverse functional applications.
Advances in Skeletal Editing and Rearrangement Reactions
Authors: Tobisu Mamoru , Levin Mark
Published: February 2024

Skeletal editing allows chemists to insert, delete or exchange atoms in molecules. The focus of this webcheminar was on transformations that modify the heavy-atom skeleton of organic compounds, especially those amenable to late-stage synthesis. Transformations agnostic of the underlying chemical modality (e.g., transition metal catalysis, photochemistry, reagent development, etc.).
Time-based sampling: Theory and an application to video reconstruction from events
Authors: Dragotti Pier Luigi
Published: February 2024

Traditional signal processing is based on the idea that an analogue waveform should be converted in digital form by recording its amplitude information at specific time instants. Nearly all data acquisition, processing and communication methods have progressed by relying on this fundamental sampling paradigm. Interestingly, we know that the brain operates differently and represents signals using networks of spiking neurons where the timing of the spikes encodes the signal's information. This form of processing by spikes is more efficient and is inspiring a new generation of event-based audio-visual sensing and processing architectures.

In this talk, we investigate time encoding as an alternative method to classical sampling, and address the problem of reconstructing classes of sparse non-bandlimited signals from time-based samples. We consider a sampling mechanism based on first filtering the input, before obtaining the timing information using a time encoding machine. Leveraging specific properties of these filters, we derive sufficient conditions and propose novel algorithms for perfect reconstruction of classes of sparse signals.

We then extend our analysis to multi-dimensional signals and introduce a deep neural networks for the reconstruction of intensity videos from events generated by event-driven cameras. The network is obtained by embedding prior-models in its architecture. We show that this approach leads to simple and yet effective neural networks.
Die soziale Sünde als Hauptursache des relationalen Elends
Authors: Farcas Lucian
Published: February 2024

Social sin is emerging as a new category in the hamartology of the last 30 years. The search for an exact definition of this concept cannot be carried out simply, and its results are modest. The understanding of structural sin takes place in the context of an image of the human being who understands man as an ethically capable person in relation to his sociality and speaks of him as such. Social sin must be distinguished from collective guilt and linked to social misery. Social sin is seen as a structural rejection of a responsibility for the future.
Nella debolezza il Cardinale Carlo Maria Martini sperimenta di più la fiducia in Dio
Authors: Imbrisca Ionut Eremia
Published: February 2024

Many people see weakness as synonymous with failure and humiliation, linking it to a deep sense of worthlessness. Cardinal Carlo Maria Martini contradicts this thinking, stating that God’s love makes itself felt above all in weakness. It is precisely in our weaknesses that God manifests his help and love for humanity in an eminent way. The experiences that Cardinal Carlo Maria Martini experiences in his life (on a personal level, in his ministry, in his relationship with the Church, in his illness and old age) lead him to a greater trust in God to the point of abandoning himself into the Lord’s hands, as he is increasingly aware that power comes from God’s hands.
Cas de varicelles compliquées observés dans le service des maladies infectieuses du CHU Yalgado Ouédraogo de Ouagadougou. Burkina Faso
Authors: Savadogo M , Al Et.
Published: February 2024

Introduction : selon l'Organisation Mondiale de la Santé (OMS), la varicelle est la plus contagieuse des pathologies éruptives. Si la maladie est le plus souvent bénigne, des complications peuvent survenir en cours d’évolution. Nous rapportons quatre cas de complications varicelleuses observés dans le service des maladies infectieuses du CHU Yalgado Ouédraogo, avec comme objectif de contribuer à la prise en charge précoce et adaptée. Observations : les patients étaient majoritairement de sexe masculin (3/4). Leurs âges étaient respectivement de 5 ans,14 ans, 37 ans et 39 ans. Ils résidaient tous dans la ville de Ouagadougou. Une notion de contage familiale a été retrouvée chez tous les patients. Les complications étaient représentées par l’encéphalite, les pneumopathies, les surinfections bactériennes et la thrombopénie. La maladie se manifestait par une éruption caractéristique chez tous les patients, faite de lésions vésiculo-papuleuses, des lésions ombiliquées et prurigineuses. L’éruption était précédée par une fièvre, des céphalées, un malaise, et une anorexie chez tous patients. Elle était profuse chez les patients adultes. Une toux grasse accompagnée de lésions pustuleuses et de dyspnée avait été notée chez deux patients. Sous traitement à base d’antiseptique, d’antihistaminique, d’antiviraux, et d’antibiotiques, l’évolution a été favorable chez tous les patients.

Conclusion : la varicelle est encore responsable de flambées épidémiques dans la communauté comme le témoigne la notion de contage retrouvée chez tous les patients. Les complications de la varicelle ne sont pas rares. Devant tout cas de varicelle, il faut toujours y penser et prendre en charge une éventuelle complication. L’introduction du vaccin anti-varicelleuse dans le PEV contribuera à lutter contre cette maladie et ses complications
Séroprévalence de l’hépatite B chez les femmes enceintes en consultation prénatale au centre de sante urbain Mafoudia de Dubreka (République de Guinée).
Authors: Diallo MB , Al Et.
Published: February 2024

Introduction : Le virus de l’hépatite B (VHB) est un virus à ADN enveloppé, de la famille des Hepadnaviridae. Elle est l’une des maladies infectieuses les plus courantes dans le monde. On estime qu'il y a 350 millions de porteurs chroniques du virus de l'hépatite B (VHB) dans le monde avec un risque important chez les femmes enceintes. La présente étude avait pour but d’évaluer la séroprévalence de l’AgHBs chez les femmes enceintes reçues en consultation prénatale au centre de sante urbain Mafoudia de Dubreka. Méthode : Il s'agissait d'une étude transversale d’une durée de trois (03) mois allant du 18 novembre 2020 au 18 février 2021. Résultats : Durant cette étude, nous avons testé 250 femmes enceintes venues en consultation prénatale au centre de santé, une séroprévalence de 10,6% a été obtenue. La tranche d’âge de 15-24 ans était la plus représentée avec 8,6% des cas. Les femmes fonctionnaires étaient les plus touchées avec 16,7%. Les universitaires étaient les plus représentés avec 20,8%. La plupart des femmes enceintes étaient au 3ème trimestre avec 13.7% des cas. Les facteurs de risques associés à ce portage sont entre autres les soins dentaires, piercing et les comportements sexuels à risques avec p ≤ 0,05. Conclusion : Notre étude montre que l’hépatite B représente bien un problème de santé publique chez les gestantes de la ville de Dubréka. Ce constat a pour conséquence d’impacter significativement dans la prise en charge des nouveaux nés sur le plan clinique et économique dans un contexte de pays à ressources limitées
COVID-19 : Embolie Pulmonaire aigue sous le vaccin Covishield à l’Hôpital du Mali Aout 2021.
Authors: Traore D , Al Et.
Published: February 2024

Introduction La pandémie de COVID-19 est une cause permanente de la crise sanitaire mondiale actuelle. À l'heure actuelle, il existe très peu de rapports sur les embolies pulmonaires induites par le vaccin contre le COVID 19. Nous rapportons un cas embolie pulmonaire aigue proximale massive après la vaccination.

Observation : Une femme de 61 ans s'était présentée au service des urgences avec une histoire de 3 jours de douleur thoraciques, dyspnée, 5 jours après avoir reçu sa première dose du vaccin anti-COVID-19 Covishield. Elle a été diagnostiquée d’une thrombose veineuse des membres inférieurs et d'une embolie pulmonaire le 13 Avril 2021. Elle a été hospitalisée pendant 14 jours et suivi en ambulatoire avec un anticoagulant oral. Un lien improbable avec le produit vaccinal a été le score de l’OMS de l’imputabilité. Ceci a été argumente les facteurs de risque du patient (hepatite B, obésité, Diabète et hypertension).

Conclusion Ce rapport de cas a fait l’objet d’une évaluation au sein du comité technique de la pharmacovigilance a conclu un lien improbable entre le vaccin Covishield et la manifestation post vaccinale.
Facteurs associés aux discordances immunovirologiques, aux échecs immunologiques et virologiques chez les patients vivant avec le VIH-1 et suivis à l'hôpital de jour de Bobo-Dioulasso en 2019
Authors: Damolga M , Al Et.
Published: February 2024

Objectif: Déterminer la prévalence des discordances immunovirologiques, des échecs immunologiques et virologiques et les facteurs associés chez les patients vivant avec le VIH-1 et suivis à l'hôpital de jour de Bobo-Dioulasso.

Méthodes: Cette étude transversale descriptive a été menée de janvier à décembre 2019, incluant les patients séropositifs pour le virus de l'immunodéficience humaine VIH-1 suivis à l'hôpital de jour pour adultes de Bobo-Dioulasso et, ayant bénéficié de deux mesures consécutives de la charge virale et du taux de lymphocytes T CD4 au cours de l'année. Les données extraites de la base de données d'évaluation et de suivi opérationnel des programmes ESTHER ont été analysées à l'aide de STATA et SPSS V.20.0Résultats : Un total de 261 patients a été inclus dans cette étude. L'âge médian de la population étudiée était de 46 ± 10,64 ans, avec une prédominance féminine (70,50%). Nous avons noté que 8 patients étaient en échec immunologique (3,06%) avec une prédominance des personnes mariées et des sujets âgés de 50-59 ans. 115 patients étaient en échec virologique (44,06%) avec une majorité de femmes. La prévalence de la discordance immunovirologique était de (1,92%) avec une prédominance masculine (60%). Parmi les patients présentant une discordance immunovirologique, 60 % étaient âgés de 40 à 49 ans et 60 % étaient mariés.

Conclusion : La prévalence des échecs virologiques était de 44,06% dans notre population étudiée, celles des discordances immunovirologiques et des échecs immunologiques étaient faibles, soit respectivement 1,92% et 3,06%. Les principaux groupes rencontrés dans les discordances immunovirologiques et les échecs immunologiques et virologiques dans notre population d'étude étaient la tranche d'âge 40-59 ans, les femmes de ménage, les personnes mariées et non scolarisées
Co-infection pulmonaire à Pneumocystis jirovecii , cytomégalovirus et Pseudomonas aeruginosa chez une patiente immunodéprimée par le VIH à Bamako, Mali
Authors: Ouedraog D , Al Et.
Published: February 2024

Les infections opportunistes pulmonaires restent une cause importante de morbi-mortalité au cours du sida. Nous rapportons un cas de co-infection opportunistes pulmonaires chez une patiente vivant avec le VIH. Il s’agissait d’une patiente de 43 ans admise pour une toux et une dyspnée d’aggravation progressive. Elle était naïve de tout traitement antirétrovirale et avait un taux de CD4 et une charge virale VIH-1 initiales respectivement à 17 cellules/mm3 et à 1.218.000.000 copies/mL. La tomodensitométrie thoracique a objectivé un infiltrat interstitiel pulmonaire diffus en verre dépoli. La PCR de l’aspiration endotrachéale a mis en évidence l'ADN de Pneumocystis jirovecii et du cytomégalovirus. La microbiologie a isolé Pseudomonas aeruginosa. L'évolution a été défavorable sous traitement spécifique après 32 jours d’hospitalisation. Les facteurs de mauvais pronostic étaient surtout l’atteinte massive des poumons et la profondeur de l’immunodépression cellulaire. Le dépistage et le traitement antirétroviral précoces de l’infection à VIH sont essentiels pour la prévention des infections opportunistes graves
Circonstances de dépistage et bactériologie des infections urinaires du sujet âgé, Vierzon, France
Authors: Alassani A , Al Et.
Published: February 2024

Introduction : Les infections urinaires constituent une préoccupation majeure de santé principalement chez les sujets âgés. La présente étude s’est intéressée aux circonstances de dépistage et à la bactériologie des infections urinaires chez les sujets âgés.

Méthode d’étude : Il s’agissait d’une étude transversale, descriptive et analytique qui avait concerné les sujets âgés d’au moins 65 ans ayant une infection urinaire et hospitalisés à l’hôpital de Vierzon. Les variables étudiés étaient relatives aux caractéristiques générales des patients, aux circonstances de dépistage de l’infection urinaire, à la nature des agents pathogènes et leur sensibilité aux antibiotiques.

Résultats : La population d’étude était composée de 150 sujets. Une prédominance féminine était observée avec un sex-ratio de 2. La moyenne d’âge était 84,21 ans ±10,20 ans. La fièvre (66%) et la pollakiurie (22%) étaient les principales circonstances de dépistage de l’infection urinaire. Escherichia coli était la principale cause d’infection urinaire et était retrouvé dans 80% des cas. L’ampicilline, l’amoxicilline et la ticarcilline n’étaient pas actives sur Escherichia coli respectivement dans 15%, 7,5% et 15% des cas.

Conclusion : Escherichia coli est la principale cause d’infection urinaire le plus souvent révélée par la fièvre chez les sujets âgés et a dans la plupart des cas une bonne sensibilité aux antibiotiques.
Devenir à douze mois des patients infectés par le virus de l’immunodéficience 1 initiant le dolutégravir à Bouaké (Côte D’Ivoire) de 2020 à 2021.
Authors: Kadiané-Oussou NJ , Al Et.
Published: February 2024

Objectif : décrire le devenir à douze mois des patients infectés par le VIH-1 recevant le dolutégravir..

Méthodologie : il s’est agi d’une étude transversale menée sur 18 mois, incluant les dossiers de patients VIH-1 positifs, prétraités par une trithérapie antirétrovirale de première ligne, chez           qui le 3ème agent efavirenz a été remplacé par le dolutégravir. Les paramètres sociodémographiques, cliniques, immuno-virologiques après douze mois de changement ont été analysés avec le logiciel Epi info 7.2.6.

Résultats : Au total 214 dossiers analysés. L’âge médian était de 53 ans [47– 59 ans] et le sexe ratio de 0,9. Les patients étaient prétraités depuis au moins 5 ans dans 56,5% des cas. Après 12 mois d’introduction du dolutégravir, aucune infection opportuniste, ni d’évènement indésirable grave n’a été notifié. On observait une prise pondérale en moyenne de 2,06 kg ± 4,3 à 6 mois et de 3,02kg ± 5,47 à 12 mois de traitement chez chaque patient sans lien avec : âge, sexe, taux de CD4, ancienneté de l’infection ni durée du traitement initial. Sur le plan immunologique, la proportion de patients ayant des CD4+ ≥500 elts/mm3 s’est majorée (54,2% versus 66,2%) en lien significatif avec la prise du dolutégravir (p=0,010). Tous les patients (100%) étaient en suppression virale ou indétectables à 6mois et 12mois.

Conclusion : Le dolutégravir a montré une efficacité et une bonne tolérance clinique à douze mois. Cependant on note une prise de poids précoce qui nécessite d’être surveillée
Résistance des Résistance des bactéries aux antibiotiques : états des lieux au Niger en 2022rbactéries aux antibiotiques : états des lieux au Niger en 2022
Authors: Abdoulaye O , Al Et.
Published: February 2024

Introduction :  Selon l’OMS, la résistance des bactéries aux antibiotiques constitue un problème de santé publique. Elle évolue aussi au Niger. La présente étude visait à faire un état de lieu à l’échelle nationale. Méthodologie :  Une méta-analyse a été conduite à partir des données recueillies dans les bibliothèques numériques, sur Pub Med et Google schoolar. Résultats : Vingt et une études sur la résistance des bactéries aux antibiotiques ont été retenues. Il était ressorti de l’analyse qu’à Zinder la prévalence des entérobactéries productrices de bêta-lactamase à spectre élargi étaient de 42% et 40% des souches de Staphylococcus aureus isolées étaient résistantes à la Céfoxitine.  Parmi les causes recensées, la consommation excessive, l’usage inapproprié et la distribution par des circuits informels des antibiotiques étaient les plus citées. La mauvaise hygiène hospitalière, l’automédication et les comorbidités étaient aussi des facteurs favorisants. À cela s’ajoute la mauvaise qualité des antibiotiques. L’évaluation des agents de santé vis-à-vis de la résistance bactérienne aux antibiotiques a montré un faible niveau de connaissance des mécanismes de l’antibiorésistance et des pratiques et attitudes non recommandées. Enfin, nous avions noté l’insuffisance des données dans les volets de l’élevage et l’environnement. Conclusion : Les résultats de cette étude permettent une meilleure compréhension de la situation de la résistance des bactéries aux antibiotiques au Niger. Il est donc plus que nécessaire de prendre conscience de la gravité de ce problème pouvant s’aggraver si aucune stratégie de lutte n’est proposée. C’est pourquoi un plan national multisectoriel de lutte contre la résistance bactérienne s’impose.
Gravidez ectópica cervical: relato de caso clínico e tratamento conservador em hospital terciário
Authors: Trévia Sophia Gaspar Carvalho da Silva Vieira , Santos Emerson Batista da Silva
Published: February 2024

A gravidez ectópica cervical é uma localização rara de uma fixação inadequada do embrião, sendo encontrada em menos de 1% de todas as gestações ectópicas. Sendo uma patologia incomum, o seu tratamento vem sendo discutido em literatura com objetivo de melhorar a segurança para a paciente e, também, visando a manutenção da sua fertilidade. Neste trabalho, foram avaliadas a apresentação clínica e tratamento da gravidez ectópica cervical e seus desfechos. Paciente sexo feminino, primigesta, 25 anos, internada em contexto de uma gestação ectópica cervical, visualizada em ultrassonografia transvaginal, saco gestacional em colo uterino e aumentado fluxo ao doppler localmente. Realizou tratamento conservador com metotrexato em múltiplas doses e evoluiu com queda do BHCG conforme o passar dos dias. Desta forma, realizou segunda modalidade terapêutica (dilatação e curetagem de colo uterino). Além de alguns efeitos colaterais inerentes a medicação utilizada, a paciente experimentou um quadro de hemorragia, porém controlada, durante o procedimento cirúrgico. Com isso, após apresentou quedas consecutivas e mais expressivas do BHCG sérico. Haventados possíveis fatores de risco para a patologia em questão, nesse caso, como síndrome dos ovários policísticos e doenças como endometriose ou adenomiose, porém, sem comprovações robustas além da anamnese. Ainda, discute-se a possibilidade de realização de procedimentos pré e intra-operatórios que são apresentados em literatura para prevenção de hemorragia na curetagem uterina em gestações ectópicas cervicais. O tratamento conservador nesses casos, vem se demonstrando cada vez mais com resultados favoráveis e, principalmente, melhor assegurando a segurança e a fertilidade das pacientes. Com isso, tem-se visto menor necessidade de intervenções cirúrgicas radicais, como a histerectomia. Entretanto, frente a raridade da patologia, encontra-se dificuldade no embasamento científico no tratamento dessas pacientes, demonstrando uma necessidade de pesquisas no referente assunto, principalmente no que tange o diagnóstico (critérios clínicos e ultrassonográficos) e o tratamento adequado para cada caso.
Stachy in jenipapeiro: effect of season and regulator
Authors: Rosa Artur Guerra , Da Silva Adriana de Castro Correia , Da Silva Daniel Lima , Rosa Andréia Alves
Published: February 2024

The jenicrop stands out as a plant species of significant importance due to its medicinal, cultural and economic properties, so it is relevant to verify the capacity of vegetative propagation through the technique of cuttlefish, to optimize the commercial production and conservation of this plant. The project consisted of evaluating the viability of vegetative propagation by means of staking of the species Genipa americana (jenicrop), in different seasons of the year (winter and summer), using five doses of synthetic auxin, in the form of indole butyric acid (AIB): 0, 2000, 4000, 6000 and 8000 mg/L. The cuttings were made and kept in a mist chamber and evaluated after 60 days for rooting (number and length of roots), calleying, survival and bud formation. No stakes took root in both seasons; survival averaged 38% in summer and 61% in winter. In calejamento the averages were 10% in summer and 4.50% in winter. In the sprouting, 17.50% of the cuttings made in the summer sprouted, while none sprouted in the winter. A joint analysis was carried out and there was significant interaction between doses and seasons for calming, sprouting and survival; greater physiological activity can be noted in the summer, with sprouting and increased presence of calluses, while in the winter, there was no sprouting and less presence of calluses, but there was greater survival of the cuttings. Binomial regression analyzes were performed, where only the calejamento interaction and doses obtained significance; in this it was possible to observe that lower doses of AIB are correlated with higher presence of calluses. The vegetative multiplication of the genipap by cuttings was not possible; the use of AIB in the doses used had a negative effect; the seasons of the year affect directly on the cuttings, summer being the recommended period for collecting the cuttings
The philosophical workshop as an intervention proposal based on István Mészáros
Authors: Araújo Bernardo Silva , Dos Santos Pedro Pereira , Santos Marquele de Moura
Published: February 2024

This research aims to reflect on the philosophical workshop as a possible intervention proposal for teaching philosophy to high school students in order to strengthen their interest in this curricular component. This is research that is based on the historical-dialectic materialist method and the thought of the philosopher István Mészáros, which inspires the debate on philosophy teaching committed to the omnilateral formation of the socio-historical subject. Six (06) high school students from a public school in the municipality of Joca Marques, in the State of Piauí, participated in the research. The data were organized and analyzed according to Bardin's content analysis technique. The results reveal that the intervention proposal is an important resource to help students arouse interest in philosophy classes, as they can take a critical position on a certain topic related to their daily lives. In view of this, it is hoped that the workshop can contribute to students, as it can educate them to be critical, to overcome common sense, to have a critical view of the world and to engage in the struggle to radically overcome class society.
The use of alternative methodologies as a strategy in teaching Geography
Authors: Dos Santos Neta Elza Ribeiro , Muzzolon Anderson , Xavier Ítalo Pereira , De Araújo José Alencar Viana , Barbosa Liriane Gonçalves , Laranja Ruth Elias de Paula , Pereira Rosana Sousa
Published: February 2024

Considering the constant changes in the teaching of Geography, with the objective of directly impacting basic education through methodologies that facilitate the teaching-learning process, the interest in this theme arises. In this context, the exploration of methodological alternatives for teaching-learning has become essential. Resources such as music, information and communication technologies (ICTs), literature and cartoons were addressed, with an emphasis on the latter, through a bibliographical review. These methods were presented as tools that revolutionized the teaching of geography, facilitating the transmission of content combined with geographical themes. The idea is to awaken in educators the interest in methodologies that align with their reality and didactic, overcoming paradigms associated with traditional geography. This aims to lead students to a more critical, subjective and contextualized approach within the school geography.
RECONSTRUCTION OF THE MULTIELEMENT APPARATUS OF THE CONODONT GLADIGONDOLELLA TETHYDIS (HUCKRIEDE) USING MULTIVARIATE STATISTICAL ANALYSIS; IMPLICATIONS FOR TAXONOMY, STRATIGRAPHY, AND EVOLUTION
Authors: GOLDING MARTYN L. , KILIÇ ALI M.
Published: February 2024

The multielement apparatus of the Spathian (late Early Triassic) to Carnian (early Late Triassic) conodont Gladigondolella tethydis (Huckriede, 1958) is reconstructed here using multivariate statistical analysis to determine the co-occurrence of elements previously assigned to the Gl. tethydis apparatus by other authors. Disagreements on the apparatus composition of Gl. tethydis have focussed around whether or not the species contained two pairs of P2 elements, or only one pair. Some reconstructions consider elements referred to Cratognathodus as belonging to the multielement apparatus of Gladigondolella, whereas other workers consider these elements to belong to their own multielement apparatus. In the absence of fused clusters or bedding plane assemblages, multivariate statistical analysis of isolated elements provides the best method for constraining apparatus composition. Examination of collections from the Anisian (early Middle Triassic) of China and Romania, together with published occurrences from the Anisian and Carnian from around the world, has allowed the development of a database for both abundance and presence/absence of elements assigned to the Gladigondolella tethydis apparatus. Bray-Curtis indices for abundance data and Jaccard indices for presence/absence data both demonstrate that Cratognathodus elements occur as frequently with other elements belonging to the Gladigondolella tethydis apparatus as those elements do with each other. This lends support to the hypothesis that Cratognathodus elements also belong to the Gladigondolella tethydis apparatus. Therefore, the Gladigondolella tethydis apparatus proposed herein consists of the following elements: Gladigondolella tethydis (P1); Cratognathodus sp. (P2a): Ozarkodina saginata (Huckriede, 1958) (P2b); Roundya lautissima (Huckriede, 1958) (S0); Lonchodina spengleri (Huckriede, 1958) (S1); an enantiognathid element (S2); Hindeodella petrae-viridis (Huckriede, 1958) (S3); Hindeodella multihamata (Huckriede, 1958) (S4); and Lonchodina venusta (Huckriede, 1958) (M). Several of the elements assigned to the apparatus exhibit morphological variability, including the P1 element of Gladigondolella tethydis.
Geografia Profético-Mítica
Authors: Garcia Carvalho Caê
Published: February 2024

Cassirer, em sua filosofia das formas simbólicas, explorando as diferenciações e o cordão umbilical comum entre mito e religião, assevera que o primeiro já é a religião em potencial, enquanto esta não pode, por sua vez, perder completamente a estrutura do mundo mítico. Navegando nestas correntezas, Dardel nos apresenta uma Geografia Mítica e uma Geografia Profética enquanto modos de experiência da realidade geográfica. O que intentamos neste artigo é mostrar como, recobrando as bases de um cristianismo primitivo, a fé (neo)pentecostal enseja um retorno-convergência da forma simbólica “religião” ao “mito”, uma via de retorno não imaginada por Cassirer. Neste contexto, busca-se apresentar a Geografia Profético-Mítica do movimento (neo)pentecostal e a dramaticidade de sua geograficidade. O debate se inicia com um preâmbulo teórico sobre as formas simbólicas e uma análise específica do mito e da religião, ao que se sucede a apresentação da constituição do pentecostalismo e sua consolidação no Brasil. Por fim, se discute a referida – e dramática – geograficidade de uma Geografia Profético-Mítica.
Vascular Anastomosis Course for Core Surgical Trainees (VACT)
Authors: Condie N , Al-Saadi N , Matthews R , Summerour V , Wall M
Published: February 2024

Abstract Introduction: On completion of Core Surgical Training, Core Surgical Trainees (CSTs) are expected to have an understanding of emergency and elective vascular conditions as well as practical experience of vascular suturing. A proportion of CSTs will have a vascular rotation and may have been unable to acquire these skills during their placement. We used the postgraduate virtual learning environment (PGVLE) developed by Health Education England West Midlands (HEEWM) in combination with practical sessions to provide a Vascular Anastomosis Course for CSTs (VACT). There are few courses aimed at teaching CSTs the practical skills needed to become a vascular surgeon. VACT aims to improve tissue handling and teach anastomotic technique to CSTs whilst exposing them to the vascular specialty and increasing their knowledge of vascular disease and its management. Methods: VACT is a one-day course consisting of one hour of online material and a one day in-person session. The online content was distributed via the PGVLE platform and included pre-course video tutorials, information and a survey. The in-person portion of the day included two lectures on vascular surgery and trauma and four practical stations covering embolectomy, inlay grafting, end-to-side anastomosis and patch repair. Course feedback was collected anonymously on PGVLE with automated certificate distribution after completion. The results were analysed qualitatively. Results: Thirty East and West Midlands trainees attended the course, of whom 25 (83%) completed the post-course feedback. Three had been on a previous vascular course and 15 would consider applying for higher level vascular training. Eight trainees (32%) self-scored their knowledge of common vascular conditions as good/excellent before the course; this increased to 20 (74%) post-course. The number of trainees self-scoring themselves as confident/very confident with vascular emergencies increased from 0 (0%) pre-course to 15 (56%) post-course. The delivery, content and equipment for the practical stations was rated as excellent/good by all participants in the embolectomy station and by 96% of participants in all other stations. Prior to the course one person (4%) rated their practical skills in vascular surgery as good/excellent. After the course this increased to 14 (56%). In all four practical stations, self-rated confidence levels increased after completing the course.100% of attendees would recommend this course to their colleagues. Conclusion: Feedback from VACT was extremely positive with comments requesting further similar courses. With an increasing need for vascular surgeons, it is essential we provide CSTs with the skills required to complete core surgical training and pursue a career in vascular surgery. VACT could be replicated and adapted to provide vascular training to CSTs across the country.