bluuebunny/crossref_metadata_2025 huggingface dataset:
In die gees van die Dionisiese: Marlene van Niekerk se aanhangersbrief aan Freddy Mercury
Authors: Crous Marius
Published: September 2022

Drawing on Nietzsche’s dichotomy between the Apollonian and Dionysian principles pertaining to classic tragedy, in this article, I consider the poem “Fan mail Freddy Mercury” by Marlene van Niekerk, from Kaar (2013) from that perspective. The poem deals with the rock musician Freddy Mercury and from my reading is shown to be exemplifying the Dionysian spirit through Mercury’s movements, his performance and his vocal range. From my reading of the text it is evident that there was a strong fusion of the Apollonian and Dionysian in the life and work of Freddy Mercury. Despite his rebellious spirit and his negation of the faith of his childhood, culture dictated that he be buried in his faith. Van Niekerk, with her insight into the philosophy of Nietzsche, adds another dimension to the poem when she invokes Zarathustra, Nietzsche’s prophetic figure, to be distinguished from the historical god of the Zoroaster faith. The metaphorical language used by the poet suggests her Dionysian playfulness.
The DBST Index, the Discrepancy Between Desired Time in Bed and Desired Total Sleep Time: The Possible New Sleep Index Predicting Severity of Insomnia
Authors: Chung Seockhoon
Published: September 2022

Background and Objective We considered the concept of the DBST, the discrepancy between a patient’s desired time in bed (TIB) and desired total sleep time (TST). The DBST index can be used to easily assess a patient’s thoughts on their desired TST and dysfunctionally long TIB. This study aimed to explore whether the DBST index can predict the severity of insomnia.Methods A total of 374 members of the general population participated in this e-survey study. The participants answered questions regarding their bedtime, sleep onset time, wake-up time, desired TST, and desired TIB, and psychological symptoms were assessed using the Insomnia Severity Index (ISI), Patients Health Questionnaire–9 items (PHQ-9), Dysfunctional Beliefs and Attitudes about Sleep–16 items (DBAS-16), and Glasgow Sleep Effort Scale (GSES).Results The DBST index was significantly correlated with the ISI (r = 0.20, p < 0.01), PHQ-9 (r = 0.15, p < 0.01), GSES (r = 0.14, p < 0.01), DBAS-16 (r = 0.16, p < 0.01), desired TST (r = -0.62, p < 0.01), and desired TIB (r = 0.52, p < 0.01). Linear regression analysis showed that insomnia severity was predicted by persistent preoccupation with sleep (beta = 0.64, p < 0.001), dysfunctional beliefs about sleep (beta = 0.06, p < 0.001), depression (beta = 0.23, p < 0.001), and DBST (beta = 0.32, p = 0.035). The DBST directly influenced insomnia severity, and this association was shown to be mediated by dysfunctional beliefs and attitudes about sleep, preoccupation with sleep, and depression.Conclusions The DBST index could be a possible new sleep index due to its relationship with insomnia severity, depression, dysfunctional beliefs about sleep, and preoccupation with sleep. Further studies are needed to explore the consistency of the clinical sample.
From Engle & Granger model to Johansen model for a more accurate photovoltaic power output forecast
Authors: Harry Ramenah
Published: September 2022

The French government has recently decided to increase the Photovoltaic (PV) capacities to reach 35GW by 2028 in all french territories, the European territory, and overseas territories such as Reunion Island in the Indian Ocean. However, integrating growing numbers of PV power installations and microgrids onto the grid can result in larger-than-expected fluctuations in grid frequency. This is due to PV power output that is not only a function of the operating temperature and solar irradiation but also of other environmental parameters. In this paper, only two environmental parameters are considered in the European zone and when the Engle & Granger statistical method is used, a relationship between variables such as photovoltaic power output and solar irradiation at a different level is obtained. The final relationship without suspicious heteroscedasticity is determined. The model is formulated on the basis of photovoltaic real conditions statistical approach and is more realistic than steady approach models. The Engle & Granger method does not distinguish several cointegration relationships when more variables are considered. For the overseas zone, we added other measured environmental variables and applied a more robust statistical method known as the Johansen vector error correction model (VECM) cointegration approach. In the VECM model, for N explanatory variables and for N > 2, we established a long-run equilibrium relationship that has been tested and the outcome is more than reliable when comparing the model to measured data.
Pedagogical monitoring of the moral culture of a preschool child
Authors: Beznosova Olga A. , Allagulov Artur M.
Published: September 2022

The paper is devoted to the problem of complex pedagogical monitoring of the development of moral culture of preschool children. The issues addressed in the paper are updated by the contradiction existing in psychological and pedagogical research between the extensive attention of science to the issues of moral education, the moral development of the personality and the uncertainty of the assessment criteria and the corresponding means of pedagogical monitoring of the development of moral culture among preschoolers. The options for monitoring the moral culture of children proposed by researchers do not reflect a general understanding of moral culture, focusing on its individual aspects (national values, Orthodox moral categories, various moral qualities, etc.), which is undoubtedly significant for science and practice. However, the tasks of preschool education, dictated by modern standards, require a qualitatively new approach to a holistic and comprehensive assessment of the results of the education of moral culture, which emphasizes the need to create, describe and empirically test a model of integrated pedagogical monitoring of the development of moral culture among preschoolers. Within the framework of the model of complex pedagogical monitoring of the development of moral culture among preschoolers described in the paper, a three-stage monitoring procedure is proposed. It allows to conduct a comprehensive assessment of the moral development of children according to cognitive, emotional-evaluative and behavioral criteria. Empirical testing has shown that the proposed monitoring procedure corresponds to the solution of the tasks set, makes it possible to assess both individual criteria and the general level of development of the moral culture of preschoolers, and the results obtained are correlated with expert assessments and observations of teachers and educators.
Prognostic model of socio-pedagogical assistance to employment of university graduates
Authors: Pak Ljubov G. , Kameneva Elena G. , Kochemasova Ljubov A. , Sokolova Yulia A.
Published: September 2022

The paper presents theoretical and methodological grounds that update the development of a prognostic model of social and pedagogical assistance to the employment of university graduates. Problems and risks have been identified that objectively impede the entry of young people into the labor market and the negative consequences (effects) of the employment of young specialists for themselves, educational organizations of higher education, and in general, the state. On the basis of interdisciplinary analysis of domestic and foreign scientific literature, advanced pedagogical experience, the basic concepts of research were clarified and the block structure of the prognostic model of social and pedagogical assistance to the employment of university graduates was substantiated. The paper describes the interrelated target, methodological, meaningful, organizational and technological, productive blocks of the authors model. A target block of the model is presented, reflecting the target guidelines for providing social and pedagogical assistance to the employment of university graduates on the basis of analyzing the social order of society for productive primary employment of university students, studying regulatory documents in the fields of education, labor, economics, and employment centers. The methodological block of the authors model was characterized, reflecting the conceptual ideas of acmeological and activity scientific approaches, patterns and the general scientific principles arising from them (professional orientation; focus on self-development of key competencies; subjectivity; expediency and conscious perspective; activity polyphonism). A meaningful block of the prognostic model is presented, aimed at the phased implementation of semantic guidelines (subjectivity, facilitation, partnership), strategies (updating the professional and personal potential of young specialists; socio-pedagogical orientation of students to successful self-presentation; activating professional self-determination and granting the right to choose; scaffolding), methods and forms of prognostic orientation of the studied phenomenon. The organizational and technological unit of the authors model describing the set of organizational conditions of the optimal functioning of the model is considered. An effective block of the prognostic model of social and pedagogical assistance to the employment of university graduates is presented, which performs feedback functions and allows, during the justification of the criterion and diagnostic tools, to determine the dynamics and level of formation of the culture of employment of university graduates (as a result of the authors model).
Formation of the student civic position at the present stage of society development
Authors: Miroshina Tatiana A.
Published: September 2022

Democratic principles and values must be learned by every generation in order to solve pressing problems. The purpose of this study was to theoretically substantiate and experimentally test the pedagogical conditions for the formation of the civic position of students at higher educational institution. The object of research is the civic position of students. We have created and tested pedagogical conditions in experimental work. The sample consisted of 90 teachers, including 22 curators, 260 students of the Kuzbass State Agricultural Academy. The survey was carried out from 2016 to 2020. The paper presents the results of the pedagogical experiment, confirmed by the data of a comprehensive assessment of the formation level of the student civic position at the present stage of society development. The substantive component of the activities of teachers, students in classroom and extracurricular activities, based on the principles of citizenship, democracy, tolerance, involvement in the experience of civic action is considered. The course of organizing the activities of curators on the formation of student civic position, the development of self-government in student groups is presented. The work of the academy on the development of partnerships with the public, educational institutions, government, and business is described. Analysis of the results allows us to state that this process is controlled. The pedagogical conditions are: interaction of all subjects of the academy in classroom and extracurricular activities, their professional training, interaction with the public; the formation of temporary working teams from teachers to highlight special topics in the disciplines studied by students, issues that affect the development of student civic consciousness and behavior and the widespread use of active teaching methods in the educational process; organization of curators activities aimed at the formation of student civic position; monitoring the process of student civic position formation.
Translating and adapting the lexicographic definitions in the Slavonic–Romanian Lexicon from the Ms no 3473
Authors: Moscal Dinu , Gînsac Ana-Maria
Published: September 2022

The late 17th century Slavonic–Romanian Lexicon preserved in the Ms no 3473 from the Romanian Academy Library belongs to a group of six Slavonic–Romanian lexicons translated following Pamvo Berynda’s Slavonic–Ruthenian Lexicon (Kyiv, 1627). These dictionaries most likely originate from a common unpreserved translation, having been studied mainly from the perspective of their filiation. The present study surveys aspects of the lexicographic approach in Ms no 3473, discussing the strategies adopted by the Romanian compiler(s) and their cultural determinant, the criteria applied in establishing the Romanian definitions and the semantic evolution of a few Romanian words. The examined examples reveal that the source was modified by simplification or, less often, amplification. Although the supplementary explanations mainly concern culture-specific terms and neologisms whose definitions often imply challenges, the definition techniques vary. Bilingual lexicons’ type definitions alternate with those of monolingual dictionaries type, which may be due both to the model and to the intervention of the translator and/ or the copyist.
A Comparative Examination of Turkey's Teacher Profile with OECD Countries
Authors: DEMİREL YAZICI Süheyla , CEMALOĞLU Necati
Published: September 2022

Bu çalışma, Türkiye’nin öğretmen profili açısından OECD ülkeleri arasındaki yeri ve gelişimini incelemek amacıyla yürütülmüştür. Doküman analizi yoluyla veri toplanan araştırmada OECD’nin Education at a Glance göstergeleri ve TALIS 2018 araştırması sonuçlarından yararlanılmıştır. Araştırma sonucunda, Türkiye’de öğretmenlerin OECD ortalamasına göre daha genç oldukları ve yaşlı öğretmen oranının daha düşük olduğu tespit edilmiştir. Türkiye’de kadın öğretmen oranı yükseköğretim hariç tüm düzeylerde OECD ortalamasından düşüktür. OECD ortalamasına göre Türkiye’de ortaöğretim düzeyi hariç tüm düzeylerde öğretmen başına daha fazla sayıda öğrenci düştüğü anlaşılmıştır. Türkiye'de öğretmenlerin maaşları tüm kademeler için OECD ortalamasının altındadır ve öğretmenler deneyim kazandıkça maaşları OECD ortalamasının daha da altına düşmektedir. Türkiye’de öğretmenlerin büyük çoğunluğu lisans mezunudur ve yüksek lisans ve doktora mezunu öğretmen oranı OECD ortalamasından düşüktür. Türkiye’de öğretmenlerin sadece %72'si katıldıkları mesleki gelişim faaliyetlerinin öğretmenlik uygulamaları üzerinde olumlu etkiye sahip olduğunu düşünmektedir. Türkiye'de öğretmenlerin yalnızca %26'sı mesleklerinin toplumda değerli olduğunu düşünmekte iken öğretmenlerin %89'u işlerinden genel olarak memnundur.
The Impact of Meaning on Being a Process Verb or an Action Verb: The Example “Git- ” Verb
Authors: DOĞAN Ahmet Turan
Published: September 2022

Dilde fiiller varlık ilgisi bakımından temelde oluş ve kılış olmak üzere iki kategoride ele alınır. Bu aynı zamanda fiillerin dildeki oluş veya kılışların karşılıkları olmalarının bir gereğidir. Bu itibarla, dildeki fiillerin bir kısmı gerçekleşmek için bir yapana ihtiyaç duyarken bir kısmı ise bir yapana ihtiyaç duymaz. Bu durum, aslında fiillerin temel anlamlarıyla ilgilidir. Ancak zamanla ortaya çıkan yan anlamlarda aynı durum söz konusu olmayabilir. Yani, cümlede temel anlamıyla kullanılan bir fiil, kılış bildirirken yan anlamlarından biriyle kullanımında oluş bildirebilir, oluş bildiren bir fiil ise yan anlamlarından biriyle kullanımında kılış bildirebilir. Bu da fiillerin oluş veya kılış bildirmelerini dilin yatay boyutunda ortaya çıkan anlamların belirlediğini gösterir. Bu çerçevede Türkçenin kullanım sıklığı yüksek olan git- fiili Türkçedeki anlamları esas alınarak oluş veya kılış bildirme bakımından değerlendirilmiştir. Değerlendirme neticesinde git- fiilinin bazı anlamlarıyla oluş fiili, bazı anlamlarıyla ise kılış fiili özelliği gösterdiği ortaya konmuştur.
Reflections of the Conversations about Teachers in the Media on Teachers' Professional Happiness
Authors: BAYAR Adem , BAYAR Mine
Published: September 2022

Bu araştırmanın amacı, medyada öğretmenler hakkında yapılan konuşmaların öğretmenlerin mesleki mutluluklarına yansımalarını ortaya koymak ve mesleki mutluluklarını arttırmak için yapılması gerekenleri belirlemektir. İlgili araştırma nitel araştırma yaklaşımı çerçevesinde olgu bilim deseni ile düzenlenmiştir. Araştırma, öğretmenlerin mesleki mutluluklarında medyada haklarında yapılan konuşmaların ne kadar etkili olduğunu göstermesi açısından önem arz etmektedir. Araştırmanın çalışma grubu amaçlı örneklem kapsamında ölçüt (kriter) örneklem tekniğiyle belirlenmiştir. Yarı yapılandırılmış görüşme tekniğiyle toplanan veriler betimsel analiz yöntemi ile çözümlenmiştir. Analizler neticesinde araştırmacılar katılımcıların mutluluk kavramını sevinç, takdir edilme, huzur, ait olma ve güvende hissetme ile bir tuttukları bulgusuna ulaşmışlardır. Katılımcılar mesleki mutluluğu etkileyen unsurları okul yönetimi, öğrenci başarısı, mesleki saygınlık-değer görme, medya, okulun sahip olduğu imkânlar, meslektaşlar ve veli şeklinde sıralamışlardır. Ayrıca araştırmacılar katılımcıların çoğunun (9 öğretmen) medyada öğretmenler hakkında çıkan haberlere yönelik olumsuz, çok azının (2 öğretmen) olumlu ve yalnızca birinin nötr düşünceye sahip olduklarını tespit etmişlerdir. Son olarak katılımcılar öğretmenlerin mesleki mutluluklarını arttırmak için birtakım önerilerde bulunmuşlardır. Elde edilen tüm bu bulgular doğrultusunda araştırmacılar öğretmenlerin mesleki adanmışlıklarının sürdürülebilmesi için mesleki mutluluklarının sağlanması gerektiği sonucuna varmışlardır.
Consolidating Indonesia’s Fragile Elections Through E-Voting: Lessons Learned from India and the Philippines
Authors: Elven Tareq Muhammad Aziz , Al-Muqorrobin Shalahuddin Ahmad
Published: September 2022

This research argues that implementing the electronic voting (e-voting) system in Indonesia is urged following the nation's first-ever 2019 simultaneous elections, which cost a deadly price of 527 election official lives of reported extreme fatigue during and after the event. Billed as "the world's most complex election", it has reached a consensus that the current manual election system, in which five different paper-based elections are voted at a time, has to be changed. Not to mention that the long-time gap between the voting day and the result announcement may create an opportunity for election fraud. This is evidenced by loads of electoral dispute lawsuits from the previous election brought to the Constitutional Court of Indonesia accused the others of cheating. This research stresses that despite the controversies of whether Indonesia, an archipelagic country with more than 17 thousand islands and 267 million people, is ready for e-voting.  Whether the application of technology is an appropriate response to the election problems? E-voting is desired as a long-term solution and intends to solve many issues such as speeding the counting of ballots, reducing the cost of elections, providing accessibility for disabled voters, and increasing overall voter turnout.
The Price of Animal’s Soul: Late-Stage Capitalism, Animal Welfare and the Law
Authors: Yogar Hanna Nur Afifah
Published: September 2022

The current epoch of capitalism creates more distinct issues, and one of its conflicts is the class struggle of animal workers. This paper will begin by inquiring how much is the price of an animal's soul?—and further, it will situate the Indonesian laws in the effort to accommodate the animal's protection and their welfare. The features of late-stage capitalism indicate the conflict of class struggle for animal workers. The assessment is more than an economic perspective, but human and non-human animal intra-action nexus, legal standpoint, and socio-cultural point of views. This analysis will refer to late-stage capitalism theory, Indonesian laws and other related regulations concerning animal protection, and comparative cases of animal welfare cases in Indonesia and Thailand. This paper is expected to provide an overview of the role of law in providing an understanding of animals as sentient beings rather than property.
Urgency of Indonesia to Establish a Comprehensive COVID-19 Pandemic Law: Lesson Learned from Singapore
Authors: Fauziah Mastin Annisa Nur
Published: September 2022

Indonesia, during the second wave of COVID-19 has become one of the country that was deemed to have had the highest COVID-19 cases and death rate similar to India, Iran, and Italy in 2020. Despite the low number of cases Indonesia currently have, the dismissive approach of the Indonesian government and the late response towards COVID-19 on the early days was some of the root of the issues. This tragedy could have been avoided if the Indonesian government act in a serious and efficient manner. This study seeks to create a solution or as a mirror for the Indonesian government in creating a comprehensive pandemic laws. Singapore, arguably have been successfully implementing the “living with COVID-19” Indonesia wished to achieve in mid-2020 during the “new normal” attempt. This study concludes that Indonesia could attain that standard under the condition that Indonesia have a strategic plan such as implemented by Singapore at the moment through gradual exit strategy and high vaccination rates. In preparing for the third wave, Indonesia could also mirror the pandemic laws application in Singapore in the early days where lockdown was stricter and penalty was not lax. This study hopes that if in the worst scenario Indonesia is attacked by third wave of COVID-19 cases, Indonesia will be ready to tackle such challenges by learning some measures implemented by the Singapore government.
Problems and Dilemmas: ASEAN Commitments in Disaster Management
Authors: Arumbinang Mohammad Hazyar
Published: September 2022

This research aims to elaborate the problems and dilemmas of disaster management and emergency response of ASEAN. This paper has adopted normative qualitative legal research with statutory approaches. The data will be analysed by using descriptive-analytical analysis. The research found that there are some major problems that faced by ASEAN members in working collectively on the disaster management and emergency response, such as non-intervention principles and sovereignty principles. The Southeast Asian region is remarkably vulnerable to natural and man-made disasters which repeatedly cause devastations to both human lives and properties. The experience has shown that local government and holders with their capacity have proved their ability to handle small and medium scale emergency response, but for some circumstance the host state sometimes cannot deal with this issue. Due to that issue Association of Southeast Asian Nations (ASEAN) as the regional organization in Southeast Asia playing an importance role to building a well-prepared disaster management through join collaboration among ASEAN member by reason of humanity.
Inflicting Death Penalty to Sexual Offenders: A Comparison between Indonesia and Saudi Arabia
Authors: Hardyanthi Try , Akbar M. Fabian , Akbar Napitupulu Ichwan Rizky , Nirwana Nia Prilia , Yasmin Shaffa Aulia
Published: September 2022

The case of sexual violence is increasing every year in Indonesia. The current prevailed penalties for perpetrators of sexual violence as stated in the Penal Code and the Child Protection Act are considered ineffective. The public then proposed that the perpetrators of sexual violence should be sentenced to death. The study aims to conduct a comparative study between Indonesia and Saudi Arabia in punishing sexual violence perpetrators. This study will look at how the death penalty is deemed appropriate to be applied for sexual offenders. It also explores the prevailed punishments by Saudi Arabian government for sexual violence cases. The study is normative research with employing comparative and statutory approaches. The study shows that sexual violence could be regarded as extraordinary crime as it meets particular conditions. Indonesia opens up the possibilities to punish the sexual offenders with the death penalty. However, Saudi Arabia on the other hand did not impose death penalty for sexual violence perpetrators but rather have a public humiliation as an alternative.
Thanatophoric dysplasia: a case report at Federal Medical Centre Yenagoa, Bayelsa state Nigeria
Authors: Onotume Okemena O. , Idholo Urire , Tunde-Oremodu Immaculata I. , Okosun Ofure , Adeyemi Oyedeji O. , Kunle-Olowu Onyaye
Published: September 2022

Thanatophoric dysplasia is a rare congenital severe skeletal disorder previously considered lethal but some survivals beyond the neonatal period have been reported due to extensive medical interventions. There have been a few studies on thanatophoric dysplasia in Africa and specifically in Nigeria hence this case report of an 8-day old female who was born with clinical features that were consistent with thanatophoric dysplasia creating awareness in this region. An eight-day old female term neonate who was seen in the special care baby unit with respiratory distress and limb abnormalities from birth. Two obstetric ultrasound scans had revealed a fetus with severe limb deformity. At presentation, she was in respiratory distress, with dysmorphic features, small chest wall with chest hypertelorism. The limbs were short having marks of amniotic bands with lymphoedema affecting both lower limbs. There were no palmar creases. Skeletal survey done revealed marked hypoplasia of the chest cavity, and widening of both proximal and distal epiphyses of all long bones showing telephone receiving appearance. Echocardiography and abdominal ultrasound scans were normal. It was documented that thanatophoric dysplasia was inherited in an autosomal dominant fashion however sporadic mutations do occur as seen in this patient who had no family history. Facility for genetic testing to analyse the fibroblast growth factor receptor (FGFR3) for typing and determining possible mutations was not available to confirm the diagnosis however, her clinical features and radiological findings were suggestive of thanotophoric dysplasia type 1.
A rare case of an Omphalocele Major with associated Tetralogy of Fallot in a newborn
Authors: Shah Dharmendra K. , Chaudhary Shivani R. , Shah Margi A.
Published: September 2022

Omphalocele major (OM) is a surgically challenging condition which owing to its large defect size and other congenital anomalies, is associated with poor outcomes. Complications while managing it are not uncommon. But here, we report a case of OM in a neonate who was successfully managed in a multidisciplinary approach by a team of neonatologist, surgeons and anesthetist.
Congenital dislocation of patella in a preterm infant-a case report
Authors: Garg Ayushi , Gill Karambir Singh , Garg Madhur
Published: September 2022

Congenital dislocation of patella (CDP) is a rare condition which manifests after birth and is diagnosed late in childhood when the patellar ossification has already occurred and symptoms start to develop in patients. The exact etiology of this disease is still unknown. Diagnosis at such a later age leads to associated conditions like contractures, genu valgum etc. This condition should be diagnosed and treated as soon as possible after birth to significantly reduce the associated complications and to restore the normal functioning of the knee joint. Although a number of papers have been published regarding congenital patellar dislocation in India, none of them have recognized this rare disorder early in infancy. This disorder can be easily missed on routine X-ray in infancy as the patella has not yet ossified. This case report represents the first CDP diagnosed at the age of 1.5 months in India, in a 1.5-month-old preterm male patient. The patient presented with no specific symptoms other than a right knee swelling and was diagnosed with congenital patellar dislocation at the early age of 1.5 months. Radiological investigations were carried out using venous Doppler and high-resolution ultrasound. Surgical correction is the only possible treatment of CDP and it should be done as soon as possible after diagnosing the condition to re-establish the normal operation of the affected knee joint.
Severe dengue fever presented as acute necrotizing encephalopathy with multiple organ dysfunction syndrome: a case report
Authors: Saini Susheel Kumar , Maheshwari Prabhat , Garg Palak , Kumari Seema , Saini Ajay Kumar
Published: September 2022

Acute necrotizing encephalopathy (ANE) is a para-infectious, pauci-inflammatory disorder predominantly reported among children younger than 5 years of age. The diagnosis is based on the typical clinical presentation, imaging findings, and exclusion of other mimicking conditions.Although the pathophysiology of ANE is not completely understood, it is considered to be immune-mediated after a viral infection.  Neurological manifestations of dengue are increasingly being recognized. These include encephalopathy, encephalitis, myelitis, myositis, Guillain-Barre syndrome and mononeuropathies. ANE following dengue fever has been reported earlier but rarely. We present a case of a boy who developed this condition with classical clinico-radiologic findings of ANE secondary to severe dengue infection. He had a stormy hospital course but survived without sequelae. We report this case with the aim to raise awareness about this fatal neurological complication of dengue infection as dengue has become a global health-care problem.
A study of hearing loss in infants using brain stem evoked response audiometry
Authors: Polisetti Ravibabu , Lanke Sowmya , Vanipenta Teja
Published: September 2022

Background: Hearing is necessary to learn languages and speech and to develop cognitive skills. Unfortunately, many children with severe hearing loss from birth are not diagnosed until 21/2-3 years. of age. Implementing high-risk neonatal screening, detecting hearing loss before 3 months, and intervention before 6 months will result in a better speech performance of neonates.

Methods: Detailed history taking and general and ear, nose and throat (ENT) examination were done to rule out external ear and middle ear pathology. Brainstem evoked response audiometry (BERA) was done in a dust-free, sound-proof, airconditioned room. Feed was given 10–15 min before the procedure. Syrup pedichloryl 20 mg/kg was given to sedate the baby half an hour before the procedure. Intelligent hearing system BERA instrument was used. The study included a total of 60 infants. 30 were in the high-risk group and 30 were in the normal group. There were 14 males and 16 females in each group.  

Results: 21 infants had hearing loss out of the 30 infants in the high-risk group on initial screening. On doing a repeat BERA after 3 mins on the affected infants, 3 were detected to have normal hearing, i.e., 18 out of 30 infants were affected. All the infants in the normal or no risk factor group had normal hearing.

Conclusions: The present study emphasizes the importance of using ABR as a screening tool for the detection of hearing impairment at an early stage which would have otherwise go unnoticed for about 2-3 years. Since it is an objective test, it is useful in the early identification of hearing loss.

 
Endoscopic cerebrospinal fluid leak repair combined with thecoperitoneal shunting for spontaneous cerebrospinal fluid rhinorrhea: MERF experience
Authors: Gajapathy Sowmya , Kumar Raghunandhan Sampath , Natarajan Kiran , Kameswaran Mohan
Published: September 2022

Background: Spontaneous cerebrospinal fluid (CSF) rhinorrhoea is encountered as a diagnosis of exclusion in clinical practice once all other aetiologies have been meticulously ruled out and can mostly present from preformed pathways due to benign intracranial hypertension (BIH) over time. Such leaks need to be clearly located for planning appropriate repair along with adequate control of CSF pressure to avoid recurrence. Thus, the aim of our study was to review the efficacy and outcomes of a combined endoscopic multilayered repair along with simultaneous theco-peritoneal shunting (TPS) for patients with spontaneous CSF rhinorrhoea in the background of BIH.

Methods: Retrospective observational study analyzing the clinical presentations, surgical techniques and the immediate / long term outcomes of this combined approach.

Results: The 46 patients who had endoscopic CSF repair with TPS done between 2008-2019 were reviewed. The mean opening CSF pressure in these cases were >25 cm H2O. The commonest site of leak was from cribriform plate followed by fovea ethmoidalis. Multilayered closure was done with autologous grafts along with TPS simultaneously. The 92% were successful, 6% had shunt problems needing revision shunts and 2% also needed revision endoscopic repair. 

Conclusions: Overall outcomes shows that the combined approach was safe and effective in arresting the CSF leak in 98% patients. Therefore, the rationale for a combined approach for the management of spontaneous CSF leaks in the background of BIH stands proven based on our Institutional experience.
Tunneled superior naso-labial island flap in post mucor infraorbital defect
Authors: Munjal Manish , Munjal Shubham , Sharma Salony , Arora Vineeta , Kaur Hardeep , Chawla Deeksha , Sandhu Loveleen , Gill Ruchika , Singh Diljot
Published: September 2022

Reconstruction of facial infraorbital defects, an untoward sequel of mucormycosis, is an issue confronting the rhinologist. Tunneled island flap was used in a patient with a wide defect involving the infraorbital region. Inspite of intricate pedicle dissection and likelihood of a trapdoor deformity these flaps facilitate repair in a single-staged procedure. The flap is so sited that its vascularity is not compromised neither by stretch tension or overlying tissue compression; while in the tunnel. The occasional, slight bulging is observed which is due to the pedicle; just over the undermined tunnel. This effect settles down with time and doesn’t need corrective intervention. Moreover, the donor site scars are merged in the margins of the aesthetic units thereby retaining central facial symmetry.
A novel inverted ‘V’ flap in endo-DCR: case report
Authors: Munjal Manish , Munjal Shubham , Arora Priyanka , Sharma Salony , Arora Vineeta , Kaur Hardeep , Chawla Deeksha , Sandhu Loveleen , Kaur Gursimran , . Utkarash
Published: September 2022

Endo-DCR has a successful outcome when the lacrimal sac is marsuplised on the nasal lateral nasal wall. The lacrimal sac and nasal mucosal edges heal by primary intention rather than by formation of granulation tissue with consequent restenosis or reclosure. An indigenous flap was utilized to cover the exposed bone following Endo-DCR in a young individual. The flap fashioned in an inverted ‘V’ prevented the granulation of secondary intent healing and thereby reclosure.
Sternoclavicular joint tuberculosis masquerading as neck abscess
Authors: Mathew Cynthia Susan , Mathews Suma Susan , Albert Rita Ruby A
Published: September 2022

Tuberculosis of the sternoclavicular joint is uncommon and management of tuberculosis can be challenging in the background of systemic illness like chronic liver disease as some of the first line drugs are hepatotoxic. Here we reported a case of 47 year old man who presented with a neck swelling noticed following a blunt trauma and record the clinical presentation, laboratory investigations, imaging findings. With the imaging studies and fine needle aspiration of the swelling detecting acid fast bacilli using TB PCR test, the diagnosis was arrived at. This case report illustrates the unusual presentation of extra pulmonary TB and selection of the anti-TB drugs in chronic liver disease.

 

 
An audiological profiling in metachromatic leukodystrophy: a case study
Authors: Mehta Pritam , Ansari Imran , Sahu Preeti , Mahallik Debadatta
Published: September 2022

Metachromatic leukodystrophy (MLD) is a lysosomal storage disease, which is characterized by damage of the myelin sheath that covers most of nerve fibers of the central and peripheral nervous systems. The disease occurs due to a deficiency of the lysosomal enzyme arylsulfatase A (ARSA) or its sphingolipid activator protein saposin B (SapB). Audiological test batteries were carried out, i.e.; behavioural observation audiometry (BOA), impedance audiometry, otoacoustic emission (OAE) and brainstem evoked response audiometry (BERA). Result showed there was no changes in behaviour towards the stimulus, has been noticed in BOA, bilateral A type tympanogram with absence of acoustic reflexes in all frequencies on Ipsi and contra-lateral stimulations and no wave Vth was found at 90 dBnHL in both ears even at repeated trials in BERA. Early identification of hearing loss offers children the opportunity to develop significantly improved language skills. Otologist and audiologist need to be taken care and to provide medical treatment as well as amplification device to the patients.
Effect of Mobile Phone Radiation on Neurobehaviour: Possible Mechanisms from Preclinical Studies
Authors: Prasad Saka Vara , Chitra V. , Amodharan N. D
Published: September 2022

Excessive usage of gadgets Emitting Electromagnetic Radiation (EMR), especially smartphones, by people of all age groups, and so forth chronic exposure to the radiation, were indeed sounding the alarm about a multitude of health risks. The nervous system was significantly affected, altering the brain and behavior of people and animals. Many preclinical experimental studies have been performed to uncover the pathways that lead to injury, but the results have been contradictory. A strategic search was conducted to identify studies published between 2011 and 2020, using electronic databases such as PubMed and Science Direct. Based on predefined criteria, studies were identified for study and assessed individually. All of the included studies were assessed for the risk of bias, and no study was found to be free of bias. In preclinical research, heterogenicity was detected in the exposure settings (EMF-RF type, MW, pulsed, SAR value, and length of exposure) after a thorough assessment of the studies included. Exposure to mobile phone radiation can produce oxidative stress, which can lead to the activation of apoptotic and necrotic pathways if not reversed in time. The available scientific literature is insufficient to draw particular conclusions, but the possibility of harmful impacts cannot be ruled out, according to the authors. There is a great need to restrict extensive investigations and instead conduct a systematic and complete blinded study with significant reproducibility and long-term research. This review intended to explain the potential mechanisms and risks associated with mobile phone radiation exposure.
Cystic changes in the mammary gland structure in different age periods
Authors: М. Л. Травина  , А. Г. Попов  , С. А. Попов  , Е. В. Куликова
Published: September 2022

The article is devoted to problems of diagnosis of cystic disease of breast at different ages including children and teens. Analyzed various options for classification of cystic changes.The main method of detecting liquid formation is breast ultrasound, then, as a final verification is possible after thorough laboratory studies education (cytological, biochemical and histological method).Therapeutic and diagnostic puncture cysts do not affect the continued operation of the glandular tissue and can be used at any age. Active sanitation of cysts in children due to the high probability of occurrence of inflammation on the available background cystic cavity. In the adult diagnostic and treatment interventions have a diagnostic character and for reducing local pain symptoms associated with overexertion cysts.Analysis of the results carried out on the basis of examination and treatment of 22 381 patients aged 8 to 72 years, who applied to receive a specialized mammography department of the Federal State Autonomous Institution “National Health Research and Practical Center for Children” of the Ministry of Health of the Russian Federation for the period from 2008 to 2015. According to the results of instrumental studies, cystic changes were detected in 12.1% of 6 126 examined children and adolescents aged from 8 to 17 years, as well as in 49% of 16 255 examined patients over the age of 18.The authors summarize that the current International Classification of Diseases of the 10th revision does not reflect the structural features of the revealed cystic breast pathology for determining forms with increased oncological alertness. At present, for the formation of groups of oncological alertness, the most approximate to the work of the clinician is the classification of cysts according to Berg, which more closely examines the internal structure of the revealed cystic formations and determines indications not only for cytological, but for histological examination in groups whose types of cysts have high risk of malignancy.
Formation of Calcium Phosphate Minerals in the Presence of Fetuin-A
Authors: UCAR Seniz
Published: September 2022

Mineral formation is regulated by molecular based promoters or inhibitors in biological systems. Among serum proteins, fetuin-A can effectively inhibit unwanted calcification in vivo via forming fetuin-mineral complexes called calciprotein particles (CPPs). Here, the formation and phase transformation mechanisms of CPPs are investigated in detail by combining in situ potentiometric measurements and solid phase characterization. It is found that fetuin-A inhibits mineral formation via affecting both thermodynamic and kinetic factors of precipitation. A better understanding of the reaction pathway as well as the interactions between the mineral and protein counterparts can potentially inform the development of in vitro model systems of biomineralization and pave the way for the development of new therapies to treat ectopic calcification.
Seed Geometric Morphometrics of Neottioid Orchids
Authors: SÜNGÜ ŞEKER Şenay
Published: September 2022

This study aims to investigate orchid seed variation between some representatives of Neottieae, C. rubra, L. abortivum, Neottia nidus-avis, and N. (Listera) ovata, naturally distributed in our country by using geometric morphometric analyses based on 2-dimensional landmarks. For this purpose, a total of 95 specimens were evaluated. The results of ANOVA, PCA, and discriminant analyses showed significant shape and size differences between the species. Size differences were statically significant among all species except for that between C. rubra and N. ovata. Based on PCA, shape differences were most prominent in the chalazal and micropylar regions of the seed as well as the whole seed width. Discriminant analysis was also statistically significant and cross-validation scores were a highly powerful to distinguish the species with scores ranging from 60% to 88%. Regression analyses also showed highly significant allometric effect of the size on shape with a similar trend across species. Based on current results, geometric morphometric analysis is promising in the study of morphological variation within plant parts. The present study is also significant in terms of the widespread use of such studies in the field of botany, especially in the context of systematic or functional morphology.
Sexual Size Dimorphism And Pattern Polymorphism Of The Bufotes Sitibundus (Syn. Bufotes Variabilis) Pallas, 1771 In Azerbaijan
Authors: GASİMOVA Gulbeniz
Published: September 2022

The paper contains data on sexual size dimorphism of Bufotes sitibundus Pallas, 1771 with samples from the “Greater Caucasus”, “Lankaran” and “Absheron” territories of Azerbaijan. The 139 adult specimens (62♂ and 77♀) from 3 populations were collected. They were released after morphometric measurements and pattern morphs analysis. The data were processed in the STATISTICA Stat Soft 10 program. Reliability of differences was estimated using Independent Sample t-test. Statistical analysis of morphological features showed that there are differences in different features between males and females in different populations. In each of the populations studied, the femur (FmL) and tibia (TbL) were longer in males than in females. Investigation of the pattern polymorphism in 126 specimens has shown that dorsal pattern with spots separated by short distance between them is dominant in 2 studied populations (“Absheron” and “Lankaran”). There were not found any differences between males and females according to pattern charcteristcs.
Efficacy of Extracorporeal Shock Wave Therapy on Active Trigger Point in the Upper Trapezius Muscle
Authors: Albomahmood Karrar Hasan , Shadmehr Azadeh , Hadian Mohammad Reza , Jalaie Shohreh , Tahseen Jameel , Fereydounnia Sara
Published: September 2022

Introduction: To demonstrate the effectiveness of extracorporeal shock wave therapy (ESWT) in treating active trigger points to relieve pain and increase range of motion (ROM) and improve the function of the cervical region in fewer sessions.
Materials and Methods: In this single-group, pretest-posttest study, 15 participants with active myofascial trigger points (MTrPs) in the upper trapezius muscle took part. Before and after each treatment, visual analog scale (VAS), pressure pain threshold (PPT), neck disability index (NDI) questionnaire, and range of active contra lateral flexion (CLF) were assessed. Participants were given three treatments over a week, with at least a two- day break between them, and then all outcomes were evaluated.
Results: The general results of this study demonstrate a significant reduction in pain perception in terms of VAS (P=0.0001), increased pressure pain threshold (P=0.0001), increased CLF of ROM (P=0.0001), and improved neck function by reduction of NDI (P=0.0001), after the third session of ESWT intervention in participants with MTrP in the upper trapezius muscle.
Conclusion: It reveals that ESWT has positive effects on pain reduction, cervical range of motion, and cervical function in participants treated with MTrPs in the upper trapezius muscle.
Evaluation of Trunk Muscle Activation During the Two Directions of Flexi-Bar Exercise in People with and without Low Back Pain
Authors: Herasi Mona , Kahrizi Sedighe , Hoviattalab Maryam
Published: September 2022

Introduction: The flexible-bar with a small amplitude of 5 Hz, which transmits vibrations to the trunk, enables the activation of the core muscles that can be used to rehabilitate subjects with low back pain. Two types of exercise direction that can affect trunk muscles of low back pain subjects similar control group are not known. This study aimed to evaluate and compare exercises with two directions of the oscillating flexible poles in people with and without low back pain (LBP).
Materials and Methods: Twelve women with Mean±SD age of 28.75±2.92 years, and body mass index (BMI) of 22.31±2.10 kg/m2 and a history of low back pain, and 12 healthy subjects with Mean±SD age of 28.75±2.49 years and BMI of 21.59±1.50 kg/m2 voluntarily participated in this study. The electromyography (EMG) signals of trunk muscles were measured during two handheld oscillating flexible bars in two directions. The root means square (RMS) of signals for each muscle is normalized by the maximum RMS.
Results: The results of comparing two types of exercise in two groups showed significant differences for left external oblique (P=0.017), right external internal oblique (0.002), and left internal oblique (0.008). Also, the difference in the interaction between group×exercise was significant only for left internal oblique (P=0.026).
Conclusion: Muscle activity in the low back pain group appears different while performing exercises with a flexible-bar compared to the control group. This confirms motor control impairment in these populations and having different strategies for trunk co-activation during exercise.