bluuebunny/crossref_metadata_2025 huggingface dataset:
A case series of clinically suspected cases of tetanus
Authors: Kathyayani Y.
Published: July 2022

Tetanus is a serious illness contracted through exposure to the spores of the bacterium, Clostridium tetani, which live in soil, saliva, dust and manure. The bacteria can enter the body through a deep cuts, wounds or burns affecting the nervous system. The infection leads to painful muscle contractions, particularly of the jaw and neck muscle, and is commonly known as “lockjaw. The disease remains an important public health problem in many parts of the world, but especially in low-income countries or districts, where immunization coverage is low and unclean birth practices are common. WHO estimates that in 2018 for which estimates are available), 25 000 newborns died from neonatal tetanus, 88% reduction from the situation in 2000. Global tetanus vaccination programs contributed to a 95% reduction in neonatal tetanus deaths in the last 30 years and continue to decrease tetanus burden.
Knowledge, attitude and practices of medical students regarding biomedical waste management
Authors: Khan Fatima , Khan Jowairiya Tehreem , Khursheed Manal , Sultan Asfia , Khan Haris M
Published: July 2022

Context:

India generates around 3 million tonnes of medical wastes every year, an amount that is expected to grow at 8% annually. Improper handling of biomedical waste (BMW) can result in the spread of infections such as HIV-acquired immunodeficiency syndrome, hepatitis B virus and hepatitis C virus in addition to being a burden on the environment. Segregation being the most important step in BMW management (BMWM) necessitates that people working in the health-care system are aware of its rules and regulations. Therefore, it is important to understand and explore any lacunae in knowledge, attitudes and practices regarding BMWM.

Aim:

The aim of this study is to develop an insight into the knowledge, attitude and practices of medical students regarding BMWM.

Settings and Design:

An institutional-based cross-sectional study with a quantitative approach was conducted.

Subjects and Methods:

A structured questionnaire prepared according to the knowledge, attitude and practices (KAP) model.

Statistical Analysis Used:

Data were analysed by the IBM SPSS (Statistical Package for the Social Sciences), v20.0 software.

Results:

The participants' knowledge on BMWM was scored on a scale of 0–50. Thirty-six per cent of them scored in the range of 20–30, while 30.9% scored between 30 and 40. Three-fourths of them believed that it was important to be aware of BMW generation, hazards and legislation. About 87.09% opined that soft skills regarding BMWM should be a part of the curriculum for health-care students. About 76% of the respondents claimed to follow colour coding while discarding BMW. About 41.3% of the participants responded that they would report anyone found breaking the rules of BMWM.

Conclusions:

The study revealed that there is still a significant lack in the KAP of health-care students regarding BMWM.
The Burden of Geriatric Trauma at the University College Hospital, Ibadan, Nigeria
Authors: Ogunrewo Tolulope , Alonge Oluwagbenga T.
Published: July 2022

Background:

Geriatric populations presently account for 9% of the world population and this is expected to increase. Injuries to the elderly accounted for 5.8 million accident and emergency visits in the USA as well as 4% of patients treated for traumatic injuries in Abuja, Nigeria. Traumatic injury is therefore a major cause of morbidity in the elderly as such the need for the study in our environment.

Aims and Objectives:

The aim(s) of this article is to review the incidence and types of traumatic injury among elderly population who presented at the University College Hospital, Ibadan, Nigeria and to determine the causes of traumatic injury involving the geriatric age group in our environment.

Materials and Methods:

A retrospective hospital-based study involving the records of geriatric patients who presented with traumatic injuries between January 2014 and June 2021 at the geriatric center and the accident and emergency department of the hospital. The record was retrieved from the Total Quality Management Unit of the hospital.

Results:

About 7.61% of the traumatic injury that presented at the accident and emergency department within the study period involved geriatric patients with a male-to-female ratio of 1:1.08, whereas 0.3% of the patients for inpatient care at the geriatric center had traumatic injury. Fall was the most common cause of traumatic injury observed and fracture the most common traumatic injury observed.

Conclusion:

Less than 10% of the patients with traumatic injury who presented at the University College Hospital, Ibadan, Nigeria are in the geriatric age group. Most of the traumatic injury involving geriatric patients in our environment is due to low energy falls, and fracture is the most common injury observed, with the femur being the most affected bone. Therefore, interventions directed at reducing the incidence of falls in our environment will hopefully help in reducing the incidence of traumatic injuries in the older population.
Clinicopathological Profile of Central Nervous System Tumors in a Tertiary Hospital in Southwest Nigeria
Authors: Omon Henry Ehidiamen , Komolafe Edward O. , Olasode Babatunde J. , Ogunbameru Ronke , Adefidipe Adeyemi Abiola , Anele Christopher O. , Balogun Simon Adewale , Ajekwu Temitope O.
Published: July 2022

Background:

Central nervous system tumors are a complex heterogeneous group of neoplasm comprising both benign and malignant tumors with varied patterns in clinical picture and histologic profile. There have been some similarities and differences seen in the pattern of clinicopathological profile worldwide, however, there is a paucity of study to show the pattern in Nigeria.

Aim:

This study aimed at describing the clinical and histopathological pattern of central nervous system tumors in our institution.

Materials and Methods:

This was a retrospective review of cases of central nervous tumors from 2010 to 2021. Information on clinical presentations and histopathology of the tumors were reviewed and analyzed.

Results:

We found 115 cases of central nervous system tumor with a mean age of 43.7 years and female preponderance. The most common presentations were headache (59 cases, 55.5%) for brain tumors and neck/back pain (16 cases, 100%) for spinal tumors. Supratentorial tumors were the most common accounting for (69 cases, 60%), and sellar region, the commonest site accounting for (25 cases, 29%) of primary brain tumors. Neuroepithelial tumors accounted for the majority (35 cases, 30.4%)

Conclusion:

Central nervous system tumors were most common in the 5th decade with female preponderance. Neuroepithelial tumors have the highest incidence in the tumor groups.
Hydrocephalus Management Challenges in a Low-income Country
Authors: Anele Christopher O. , Omon Henry E. , Balogun Simon A. , Ajekwu Temitope O. , Komolafe Edward O.
Published: July 2022

Hydrocephalus is a very common brain disorder affecting both children and adult populations. Its global burden has been well documented in the literature, and its management is not without challenges and complications, especially in low-income countries. This study aims at reviewing the management of hydrocephalus in a tertiary hospital in Nigeria and illustrating two cases managed with peculiar challenges. This study is a retrospective clinical review of 170 patients with hydrocephalus amenable to ventriculoperitoneal shunting as primary treatment. Two cases of hydrocephalus with peculiar management challenges were illustrated. The first case was that of an abandoned infant with hydrocephalus. The second case was that of a 5-year-old boy with post-meningitic hydrocephalus with delays in having cerebrospinal fluid (CSF) shunting. Majority of the patients with hydrocephalus were infants (71.2%), and the top two most common etiologies were aqueductal stenosis (64.7%) and post-meningitic hydrocephalus (11.2%), respectively. Shunt infection was the most common complication (9.4%), which was within the lower limit of rates reported in the literature (8.6%–50%). Approximately 84% of shunting had no complication. In conclusion, ventriculoperitoneal shunting is the preferred treatment option for hydrocephalus in low-income countries, and it is not without management challenges that are peculiar to these climes. Shunt infection appeared to be the most common complication.
The effect of modern devices of alveolar ridge split and expansion in the management of horizontally deficient alveolar ridge for dental implant: A systematic review
Authors: Manekar Varsha Sunil , Shenoi Ramakrishna S , Manekar Sunil M , Morey Suresh
Published: July 2022

The alveolar ridge split and expansion (ARSE) can be performed using conventional devices (osteotome/chisel) or modern devices (ultrasonographic [USG], motorized ridge expansion [MRE], etc.). The aim of this systematic review was to evaluate the effect of modern devices for ARSE. This review has been registered at PROSPERO under the number CRD42020213264. A systematic search was conducted by two reviewers independently in databases PubMed, MEDLINE, Cochrane Central Register of Controlled Trials, Grey Open, Hand search of reference lists of relevant studies, and previously published systematic reviews. The article published until September 2020 were searched for this review. The searches identified 24 eligible studies, twenty-two cohort and two randomized control trial studies. A total of 1287 dental implants were installed in 634 patients with the age range of 17–70 years and a minimum of 3 months of follow-up. Ten articles of USG device and seven of MRE device were finally evaluated for metanalysis. The mean ridge width gain was 3.40 mm (USG device) and 2.83 mm (MRE device). The overall implant survival rate was 98.07%. Mean width gain between USG and MRE devices was significantly different (P < 0.0001, HS). Test of heterogeneity was significant (Q = 88.3877, P < 0.0001, HS) and there was no publication bias (Intercept = 6.6634, P = 0.6142, NS) by Egger's test. The most commonly used devices were USG and MRE. USG is more effective for osteo-mobilization type and MRE device for minimally invasive osteo-condensation.
Strengthening the Oral Health System in Nigeria
Authors: Amedari Mcking Izeiza , Ogunbodede Eyitope O. , Uti Omolara G. , Aborisade Adetayo O. , Amedari Ifeoma Katerine
Published: July 2022

Aim:

The present study aimed to describe the building blocks of the oral health system, including the role that the community plays in strengthening the oral health system in Nigeria.

Methodology:

This research was a scoping review of the existing literature retrieved from search engines and databases. Thus, we utilised grey literature, peer-reviewed literature, policy documents and websites. The oral health system was analysed using the World Health Organisation's Health systems framework, and we adapted this framework by introducing a seventh block, community participation. We also inserted the links between the oral health service delivery and oral health workforce blocks of the framework to improve the oral health outcomes.

Results:

More dental clinics are required to improve the availability and accessibility of oral health services. Dental workforce expansion is imperative. This can be approached by training of junior cadre dental professionals and incorporating community health practitioners to deliver basic oral care. There is an unregulated access to medication to treat dental conditions; hence, oral disease treatments need to be included in the country's treatment guidelines to improve standard of care. The government needs to improve on overall health spending and invariably increase oral health care allocation urgently. Furthermore, the country's stewardship of oral health care is hinged on well disseminated and implemented national policies on oral health. The oral health system can achieve its overall goals with community participation, engagement and ownership.

Conclusion:

Strengthening the oral health system in Nigeria requires urgent attention on each building block and cross-cutting interventions across the system's building blocks. The role of the community will need to be recognised because it is vital in sustaining any organisational change.
The Risk Factors and Pattern of Traumatic Dental Injuries in 10–12-Year Olds in Kano, Nigeria
Authors: Okolo Chizoba Chineme , Oredugba Folakemi A. , Denloye Obafunke O. , Adeyemo Yewande Isabella
Published: July 2022

Background:

Traumatic dental injuries (TDIs) rank among the most common conditions in children and adolescents. Nigerian dental trauma data are largely based on studies that were conducted in the southern parts of Nigeria. This study was designed to identify the risk factors and the pattern of TDIs among school-age children in northern Nigeria.

Objectives:

The objective of the study was to identify the risk factors for and to determine the pattern of dental injuries among 10–12-year-old males in Kano, northern Nigeria.

Materials and Methods:

Six hundred and ninety-six 10–12-year olds were selected through a multistage sampling of school children, street children and rehabilitated children in Kano and examined for TDIs using the WHO protocols. Data analysis was carried out using SPSS version 20. Statistical significance was considered when P < 0.05.

Results:

Six hundred and ninety-four 10–12-year olds participated in the study; The prevalence of TDIs was 6.6%. Being a street-child was associated with 30% higher risk for dental injuries (adjusted odds ratio [aOR] = 1.3; 95% confidence interval [CI] = 0.60 - 3.1; P = 0.48), whereas living as a rehabilitated street child (aOR = 0.41; 95% CI = 0.19 - 0.88; P = 0.02) and older age were associated with a reduced risk (aOR = 0.63; 95% CI = 0.39 - 1.01; P = 0.06) to injuries. The most common type of trauma was enamel–dentine injuries or Ellis II, and the most common cause was falls. Street children and low-age groups had more single-tooth injuries (85.7% and 85.0%, respectively). The commonly injured teeth were the maxillary right and left central incisors.

Conclusion:

Living on the street and young age were associated with the likelihood for injuries in male adolescents in Kano. The maxillary central incisors were the commonly affected teeth.
Translation of pain self-efficacy questionnaire into Gujarati language and analysis of psychometric properties in subjects with musculoskeletal pain
Authors: Bhatt Vidhi Paras , Shah Nehal , Bhrambhatt Krishna M , Kapadia Dharti
Published: July 2022

BACKGROUND:

Musculoskeletal disorders (MSDs) are a leading cause of disability worldwide. Musculoskeletal conditions are typically characterized by pain which is often persistent and limits one's mobility, dexterity, and functional ability, reducing people's ability to work and participate in social roles with associated impacts on mental well-being. The Pain Self-Efficacy Questionnaire (PSEQ) is a 10-item questionnaire, developed to assess the confidence of people with ongoing pain; in performing activities with pain. The PSEQ scale is applicable to all persisting pain presentations. The study aims to translate PSEQ into Gujarati and analyze its psychometric properties in subjects with musculoskeletal pain.

MATERIALS AND METHODS:

Prior permission from the author was taken for the translation of PSEQ scale into Gujarati language. The translation procedure was carried out according to the guidelines provided by the WHO with forward and backward translation. Thereafter to analyze the psychometric properties of the scale, a total of 30 subjects (mean age of 45.43 ± 17.02) with different MSDs were enrolled in the study. The concurrent validity was obtained by establishing a correlation between the Gujarati translated version of PSEQ (PSEQ-G) and Visual Analog Scale (VAS). The intra-rater reliability was established by test-retest method within a span of 2 days. The questionnaire was again administered after 1 week by two different investigators to test the inter-rater reliability.

RESULTS:

The concurrent validity was established with a moderate strength negative correlation between PSEQ-G and VAS (r = -0.398, P < 0.05). The intra-rater reliability was found between 0.887 and 0.980 (intraclass correlation coefficient [ICC] = 0.955) and inter-rater reliability was between 0.848 and 0.958 (ICC = 0. 917). There was a high internal consistency with Cronbach's alpha 0.938. Bland-Altman plot analysis was performed for PSEQ-G scores between the two raters which showed agreement between the two scores within the limits of agreement with a 95% confidence interval. The linear regression showed no proportional bias.

CONCLUSION:

The results showed fair concurrent validity with a weak correlation between VAS and PSEQ-G scores (Gujarati version of PSEQ) and excellent inter-and intra-rater reliability for PSEQ-G in subjects with MSDs.
Pattern of short-term adverse effects in patients undergoing low-dose radioactive iodine therapy
Authors: George Ancy , Annapurna Y. , Harilal P. , Purayil Anila Kumari Vatakke
Published: July 2022

Introduction:

The disorders of the thyroid gland are on the rise. It involves the dysregulation of hormone synthesis and release and carcinoma of the thyroid gland among others. Radioactive iodine (RAI – I-131) is now used for the treatment of hyperthyroidism and thyroid carcinoma. This helps in the destruction of the follicular cells, and the radiation helps in annulling the cancer cells. RAI has many adverse effects including short term and long term; the short-term effects include gastrointestinal disorder, salivary dysfunction, and thyroiditis, while the long-term adverse effects include secondary carcinomas. The facilities for giving RAI therapy (RAIT) are fewer in the state of Kerala and even less in the government sector; further, the adverse effects of RAIT are less studied in our population. Thus, this study aims at finding the pattern of short-term adverse effects of low doses of RAI.

Objectives:

To evaluate the pattern of short-term adverse effects following low doses of RAIT in patients with hyperthyroidism and thyroid cancer.

Materials and Methods:

This study was designed as a prospective, observational study conducted in patients attending the department of nuclear medicine for low-dose radioiodine therapy in a tertiary care center. Patients were followed up for any occurrences of adverse effects at 1, 3, and 6 months. Data were analyzed using SPSS software version 18, and Chi-square test was done to find the association between dose and adverse drug reactions.

Results:

The study comprised 53 participants, of which 38 (72%) were female. The adverse reactions were reported by 39 participants (74%). Loss of taste and smell in 19 participants (39%), xerostomia in 17 patients (32%), and hair loss in 14 patients (26%) were reported. After 1 month of RAIT, these subsided. The association between gender, age, dose, and adverse effects due to RAIT was tested but was found to have no association (P = 0.979, 0.504, and 0.494, respectively). The complaint of hair loss was higher in female participants, showing a statistically significant association with a P = 0.04. The complete blood counts done pre- and post-RAIT showed a statistically significant decrease in platelet count (P = 0.00) and lymphocytes (P = 0.003), with no clinically significant symptoms or signs.

Conclusion:

RAI produces short-term adverse effects such as loss of taste and smell, xerostomia, and hair loss which are self-limiting. However, there is a need to identify and manage it for better treatment and patient compliance.
Development of a symptoms-based thyroid risk questionnaire to screen for hypothyroidism in India
Authors: Kumar K. M. Prasanna , Sethi Bipin Kumar , Khare Sanjay P. , Padsalge Mahesh , Tripathi Anadya Prakash , Bhole Milind , Roy Dyotona Sen
Published: July 2022

Context:

In India, many cases of hypothyroidism go undetected due to lack of timely screening.

Aims:

The aim of the study is to develop a symptom-based thyroid risk index (STRI) questionnaire.

Subjects and Methods:

Questionnaire development involved the following steps: (1) hypothyroidism symptom selection and questionnaire construction based on the literature survey, (2) expert (2 endocrinologists and 2 consultant physicians) review, (3) face validation (Phase 1, cross-sectional survey followed by review by a psychometrician, an endocrinologist, and a layperson), and (4) pilot survey (Phase 2). The face validation was conducted in subjects from general population naïve to their thyroid status (Arm 1 [at 2 nonclinical settings], n = 16) and in subjects with hypothyroidism who were treatment-naïve (Arm 2 [at 2 clinical centers], n = 19). Results were summarized descriptively.

Results:

Hypothyroid symptoms were incorporated into the questionnaire in the form of 18 questions under four sections and were assigned a score from 1 to 4 based on the strength of literature evidence. The questionnaire underwent face validation followed by incorporation of expert review and recommendations. In Arm 1, 12 subjects (75%) had thyroid-stimulating hormone levels >4.5 mIU/L indicating hypothyroidism. The total mean (standard deviation) STRI score was 25.4 (10.7) in the Arm 1 (29.8 [8.2] in the 12 hypothyroid-positive subjects) and was 18.6 (10.8) in the Arm 2.

Conclusions:

The STRI questionnaire was successfully face validated for its applicability in clinical and nonclinical settings. The questionnaire, finalized after expert committee review and recommendations, will be validated for its sensitivity and specificity to detect symptoms of hypothyroidism in a pan-India pilot study.
Другое доказательство одной теоремы Саханенко
Authors: Formanov Shakir Kasimovich
Published: July 2022

В работе приведено аналитическое доказательство теоремы Саханенко о справедливости усиленного закона больших чисел, основанное на методе характеристических функций: при выполнении условия типа Линдеберга абсолютное значение суммы независимых случайных величин в среднем стремится к нулю. Приведенное доказательство использует представление математического ожидания абсолютного значения случайной величины через соответствующую ей характеристическую функцию.
Comparison of Two Serological Assays in Detecting Strongyloides Infection in Immunocompromised Patients
Authors: Osman Emelia , Amin Nur Azma , Noon Thieeraporn Phraseart Ma , Lahat Siti Nuratiqah Hanani , Rosli Mohamad Syairazi , Sham Shazia Farhana , Periyasamy Petrick Ramesh , Ghazali Nuraffini , Manap Siti Nor Azreen Abd , Noordin Rahmah
Published: July 2022

Strongyloides infection may develop into fatal hyperinfection and dissemination syndrome in immunocompromised hosts. Despite suboptimal specificity issues, the detection of IgG antibodies by ELISA has been central in the serodiagnosis of Strongyloides infection. Recently, an IgG4-based lateral-flow test (SsRapid) using recombinant NIE (rNIE) protein with good diagnostic performance has been reported. This study assessed the result concordance between a commercial IgG-ELISA and the SsRapid. Additionally, we determined the Strongyloides seroprevalence and its association with clinical manifestations. Immunocompromised patients (N = 200) were from Hospital Canselor Tuanku Muhriz, Kuala Lumpur, Malaysia, and were diagnosed with HIV/AIDS, hematological malignancy, and solid organ cancers. Their plasma samples were tested using a commercial IgG-ELISA and SsRapid. A fair concordance (κ = 0.27–0.33; P < 0.05) between the tests was demonstrated. The SsRapid exhibited a significantly higher (P < 0.05) seroprevalence (10.5% [21/200]) compared with IgG-ELISA (7.5% [15/200]). After adsorption with rNIE, all SsRapid-positive samples tested negative with the rapid test, thus showing binding specificity. There was no significant association with clinical manifestations. This study revealed that SsRapid is a useful diagnostic tool for Strongyloides infection, and there is a notable seroprevalence among the immunocompromised patients.
Prediction and Experimental Verification for Oil Transport Volume around Three-Piece Type Oil Control Ring Affecting Lubricating Oil Consumption
Authors: Mochizuki Kazuya , Sasaki Ryuichi , yazawa Masaru , Iijima Naoki , Usui Miyuki
Published: July 2022

Reducing of lubricant oil consumption (LOC) remains a major issue for internal-combustion engines. Especially in recent years, in order to comply with Particular Number (PN) regulations and lower oil viscosity to reduce friction loss, need to reduce the LOC has increased. Controlling the upward oil flow, that passes the piston and piston rings, is effective in reducing the LOC. In addition, oil control ring (OCR) has significant effect on upward oil flow. Therefore, development of a high-precision prediction method of oil behavior around the OCR is important for prediction of LOC. So, the model of Three-piece type oil control ring (3POCR) motion within the OCR groove and the model of oil behavior around the 3POCR were developed using the computer aided engineering (CAE) method in this paper. These models calculate in detail the upward oil outflow to the 3rd land from the OCR groove, which is based on the relation between the OCR motion and the gas pressure as well as the inertial force of oil. Since factors that greatly affect the prediction accuracy are the gas pressure around the OCR and the OCR motion, these were measured and verified in the actual engine. Furthermore, oil behavior observation using in-cylinder visualization engine, and oil film thickness measurement using optical fiber were conducted for experimental verification of the oil behavior model around the 3POCR. As a result, qualitative tendency of calculated results and measured results showed good agreement. Also, comparison in two different OCR specification, the similarly tendency was obtained. Therefore, the effectiveness of the developed prediction model was confirmed.
Numerical Modelling of Coolant Filling and De-aeration in a Battery Electric Vehicle Cooling System
Authors: Tao Mingyuan , Slike Jody , Bhagat Meghraj , Srinivasan Chiranth , Zhang Yi , Motin Abdul
Published: July 2022

Trapped air bubbles inside coolant systems have adverse effect on the cooling performance. Hence, it is imperative to ensure an effective filling and de-aeration of the coolant system in order to have less air left before the operation of the coolant system. In the present work, a coolant/air multiphase VOF method was utilized using the commercial CFD software SimericsMP+® to study the coolant filling and subsequent de-aeration process in a Battery Electric Vehicle (BEV) cooling system. First, validations of the numerical simulations against experiments were performed for a simplified coolant recirculation system. This system uses a tequila bottle for de-aeration and the validations were performed for different coolant flow rates to examine the de-aeration efficiency. A similar trend of de-aeration was captured between simulation and experimental measurement. Next, the same numerical techniques were further applied to a BEV cooling system to evaluate the efficiency of de-aeration processes. The first step of the process involved a vacuum filling simulation. After the filling process, the air remained in the system is about 10% of total system volume. Different combinations of a multi-position valve and pump on/off cycles strategies were explored to decrease trapped air in the system. It is found that the opening/closing strategy of the multi-position valve plays a crucial role for an effective de-aeration. The devised methodology is observed to be numerically robust and accurate, while having good computational efficiency for modelling the coolant filling and de-aeration process that takes large physical time.
Individual and Social Factors Influencing Sports Science Internship Students’ Practice-Based Learning: A Phenomenological Study
Authors: Chobphon Peson
Published: July 2022

The results of this study will help form guidelines for developing students’ capacities for learning in authentic workplace settings to better prepare them to be effective and efficient in their chosen careers. This phenomenological study examined factors influencing practice-based learning and how participants learned from their practice. Six fourth-year students majoring in sports science who had recently returned from their internships took part in this study. Data were collected through semi-structured interviews. Thematic analysis was performed on the transcripts to characterize the participants’ shared experiences, which yielded the following seven themes of factors influencing their practice-based learning: (a) clear career goals and identification of an appropriate internship facility; (b) self-efficacy; (c) reflective practice; (d) good workplace relationships; (e) organizational leaders as agents transferring knowledge; (f ) knowledge-sharing behavior; and (g) impact of the COVID-19 pandemic. Internship students also learned to identify their weaknesses in this study, communication skills, group fitness instructor skills, and a professional exercise instructor image.
Resolución laparoscópica de perforación diverticular en paciente con fistula colo-vesical.
Authors: Avellaneda Nicolás , Carrie Augusto , Santillan Mateo
Published: July 2022

Se presenta el caso de un paciente masculino de 65 años de edad con antecedente de enfermedad diverticular a nivel sigmoideo complicada con una fístula colo-vesical, en plan quirúrgico para resolución de su patología.

2 semanas antes de la fecha quirúrgica, concurre a guardia por dolor abdominal agudo, haciéndose el diagnóstico de perforación intestinal secundaria a su enfermedad de base.

Se decide tomar conducta quirúrgica, realizándose una laparoscopía exploradora donde se evidencia peritonitis localizada a nivel del espacio parietocólico izquierdo, con absceso interasas y adherencias de intestino delgado a tumor inflamatorio sigmoideo. Por último, también se evidencia la fístula colo-vesical previamente diagnosticada.

El video muestra la resolución quirúrgica mini-invasiva del cuadro, transcurriendo el período postoperatorio sin complicaciones.
Procedimiento de Altemeier para el prolapso rectal completo encarcelado: a propósito de un caso
Authors: Laciar Nicolás , Sosa Ramiro , Olivato Carlos , D'Andrea Ricardo
Published: July 2022

El prolapso rectal completo es el descenso circunferencial del espesor total de la pared rectal a través del conducto anal. El encarcelamiento es una complicación rara del prolapso rectal. Presentamos el caso de una mujer de 75 años con antecedente de mielomeningocele, esquizofrenia, escoliosis severa y parálisis cerebral a quien se le realizó una rectosigmoidectomía perineal (procedimiento de Altemeier) debido a un prolapso rectal encarcelado. La paciente evolucionó favorablemente por lo que fue dada de alta de la institución al quinto día postquirúrgico.
PERANAN KELUARGA DALAM PELAKSANAAN PENDIDIKAN AGAMA ISLAM (Desa Sumberkare Kecamatan Wonomerto Kabupaten Probolinggo)
Authors: Rifhan Halili Heri , Saidah Lilik , Prasetiya Benny
Published: July 2022

Penelitian ini dilatarbelakangi karena kita semua tahu pendidikan agama seorang anak juga sangat dipengaruhi dari bagaimana peran keluarga dalam mendidik dan menanamkan spiritual (agama). Alasan pertimbangan ini adalah untuk memutuskan bagian keluarga dalam pelaksanaan Ajaran Islam. Pertanyaan semacam ini jelas subjektif, menggunakan dua jenis informasi, yaitu informasi penting khusus melalui wawancara dan informasi tambahan, menjadi informasi khusus sehubungan dengan gambaran peningkatan peran keluarga dalam pelaksanaan Pendidikan Agama Islam.Subjek penelitian terdiri dari 6 Keluarga Di Desa Sumberkare Kecamatan Wonomerto Kabupaten Probolinggo.Timbulnya pemikiran tersebut menemukan bahwa wali dalam pengajaran anak-anak mereka berperan sebagai pengasuh, guru dan pemimpin. Keluarga adalah tempat utama dimana anak-anak mendapatkan pengajaran. Karakter dan identitas anak dibentuk mulai dari dalam keluarga. Wali memilih konsep yang sesuai dengan kapasitas keluarga seperti mengajarkan nilai-nilai, mengawasi anak-anak, bersikap wajar secara agama kepada anak-anak, dan memberi penghargaan kepada anak-anak. Oleh karena itu, peran keluarga sangat diperlukan dalam penataan sikap pada proses perbaikan seorang anak..Teknik Random Sampling teknik analisis data adalah korelasi ganda yang digunakan untuk memilih sampel. Dari hasil analisis data yang diperoleh maka ditemukan bahwa keluarga mempunyai peran penting di dalam pelaksanaan Pendidikan Agama Islam di Desa Sumberkare Kecamatan Wonomerto Kabupaten Probolinggo. Maka nilai-nilai agama yang diperoleh anak bisa diajarkan dan ditanamkan melalui pendidikan keagamaan yang sudah dilakukan sesuai aturan agama Islam walaupun demikian nilai-nilai pendidikan keagamaan anak di Desa Wonomerto berdasarkan data tidak secara maksimal mereka terima dengan baik.Kata Kunci:Peranan Keluarga, Pendidikan Agama Islam
IMPLEMENTING SIGMUND FREUD’S PSYCHOANALYSIS THEORY IN THE ACADEMIC ARENA: A CRITICAL STUDY
Authors: Wahidah Evita Yuliatul , Yuminah Yuminah , In'ami Moh , Ulfa Ulfa
Published: July 2022

Sigmund Freud’s Psychoanalysis continuously develops as it also does in the academic arena. The theory explains humans’ personality structure which covers three aspects: id, ego, and superego. Freud has successfully developed a personality theory that divides the structure of the mind into three: consciousness, preconsciousness, and unconsciousness. From the above three, consciousness can be said to be the most dominant and important to determine humans’ behavior (analogy with an iceberg). In the academic arena, psychoanalysis has correlations that are complex and modificative. How far the implementation of psychoanalysis in the academic arena can be served as the main discussion of this article, which will be initiated on the theory in-depth and its critical analysis.Keywords: implementation, psychoanalysis, Sigmund Freud, education
CHF CASE – 2019. god.
Authors:   University of Split, Faculty of Law, Kačer Hrvoje
Published: July 2022

In this text the authors deal with the latest developments in the Croatian model of solving the so-called CHF case. Unfortunately, the legislator did not do well and failed to see the possibility that, when he had already decided to bring the new normative framework, to predict and to properly regulate in it at least the key legal issues, such as: (no)admissibility of the lawsuit for those who decided to convert, the statutory limitation of the judgment on collective lawsuit and the currency clause relating to the Swiss franc. Instead of preventing reasons for the future lawsuit by the amendment of the Consumer Credit Law, it seems that (whatever it is desired) has come to the contrary. Despite the criticism of the legislator, the authors agree with the current court practice, for which the authors think it might and must (regarding to the highest courts) be much faster, in any case, the waiting for decisions of the Supreme Court of the Republic of Croatia and the Constitutional Court of the Republic of Croatia should be measured in months rather than years. The authors certainly repeat their already stated opinion that in the procedures that are labeled with the CHF case syntax, as a rule, there is no exclusive responsibility, and that is only (above slowness) what should be criticized in the court practice, which has not recognized it.
ТОВАРОВЕДЧЕСКАЯ ОЦЕНКА МЯСНЫХ КОПЧЕНО-ВАРЕНЫХ
ИЗДЕЛИЙ ИЗ СВИНИНЫ
Authors: Муравьева Н. А. , Лютова Е.В.
Published: July 2022

В рамках лабораторной работы по дисциплине «Товароведение продуктов

биотехнологии из сырья животного происхождения» осуществилась товароведческая оценка

копчено-вареных изделий из свинины, по органолептическим, физико-химическим

показателям (массовая доля бека, жира, сухих веществ, содержание поваренной соли и

нитритов натрия), а также оценены функционально-технологические свойства исследуемых

образцов. Все показатели сравнивали с нормативными показателями соответствующего

ГОСТа, на основании чего сделан вывод о соответствии продуктов категории качества,

указанного производителем. В целях обеспечения отсутствия рекламы и во избежание

введения читателей в заблуждение производители образцов не указываются в статье. За

дополнительной информацией можно обратиться к автору.
ТОВАРОВЕДЧЕСКАЯ ОЦЕНКА МАСЛА СЛИВОЧНОГО
Authors: Некрасова Ю. О. , Лютова Е.В.
Published: July 2022

Сливочное масло входит в число продуктов, которые отличаются высоким

содержанием жира. Сливочное масло – продукт, произведенный из коровьего молока на

эмульсионной жировой основе путем отделения жировой фазы. Оно является ценным

продуктом переработки молока ввиду богатого химического состава, который

характеризуется большим содержанием молочного жира, что говорит о высокой усвояемости

данного продукта. Объектом исследования являлись три образца масла сливочного

жирностью 82,5 %. В ходе исследований сливочное масло оценивалось по следующим

показателям: органолептическая оценка, массовые доли жира, влаги и сухого обезжиренного

вещества, а также термоустойчивость. Затем вышеупомянутые показатели сравнивались с

нормативными значениями, которые регламентируются в ГОСТ 33632 – 2015 и ГОСТ 32261-

2013.
ТОВАРОВЕДЧЕСКАЯ ОЦЕНКА КУРИНЫХ ЯИЦ
Authors: Король С. , Лютова Е.В.
Published: July 2022

Куриное яйцо – очень распространенный продукт в питании человека. Самые

популярные и доступные яйца на прилавках в магазине – куриные. Яйца богаты

питательными веществами, которые необходимы нам, а также являются полезными

источниками некоторых из труднодоступных питательных веществ, таких как витамины D, Е

и B12, минерального йода. Яйца считаются «полноценным» источником белка, поскольку они

содержат все девять незаменимых аминокислот, которые мы должны получать из своего

рациона. Желток содержит большое количество каротинов, особенно лютеина и зеаксантина,

которые важны для предотвращения дегенерации желтого пятна и катаракты. Яйца также

являются источником витамина А, необходимого для хорошего зрения.
СЕВЕРНЫЙ МОРСКОЙ ПУТЬ: СТРАТЕГИЧЕСКАЯ РОЛЬ ДЛЯ РОССИИ
Authors: Кутузова А.А. , Киян А.А. , Фаустова О.Г.
Published: July 2022

В статье анализируются факторы, определяющие стратегическое значение Северного

морского пути для закрепления преимущества Российской Федерации в водах Северного

Ледовитого океана. В настоящее время Арктика представляет собой зону особого интереса

многих стран, а для нашего государства регион играет решающую роль не только в

политическом, но и в военном, экономическом, научном, социальном аспектах деятельности.
СЕВЕРНЫЙ МОРСКОЙ ПУТЬ КАК ВАЖНЕЙШАЯ ЧАСТЬ
ЛЕДОВОГО ШЕЛКОВОГО ПУТИ: СОСТОЯНИЕ И
ПЕРСПЕКТИВЫ
Authors: Якушева Д.А.
Published: July 2022

В работе рассмотрено современное состояние и перспективы развития

Северного морского пути как важнейшей части Ледового шелкового пути.

Актуальность исследования связана с обострением международной конкуренции в

Арктике в условиях борьбы за ресурсы и пути сообщения. Предметом

исследования являются современное состояние и перспективы развития Северного

морского пути. Теоретическая значимость данного исследования состоит в

проведенном анализе Северного морского пути как важнейшей части Ледового

шелкового пути.
Graciela S. Alarcón, a mentor in the academic sphere and family life
Authors: Fajardo Estefania
Published: July 2022

Dr. Graciela Alarcón has successfully managed both academia and family life. Among her many achievements in the field of rheumatology, her research in lupus, particularly in Hispanic populations, has achieved global recognition. In this interview, she recalls passages of her life, her professional and academic career, her passion for rheumatology and what it means now to support the new generations.
Mucormycosis and Its Co-Relation with Raised Ferritin Levels
Authors: Chahande Dr. Sandeep , Kashid Dr. Gajanan M. , Gaikwad Dr. Ashok , Futane Dr. Abhijit , Purohit Dr. Siddharth A. , Waghmare Dr. Shamal K. , Palwe Dr. Harshala
Published: July 2022

Background: Mucormycosis has emerged as an epidemic within the COVID-19 pandemic due to widespread use of corticosteroids and immune-modulators like Tocilizumab, in the management of COVID-19 pneumonia,. It is an invasive fungal disease which spreads by angioinvasion and rapidly spreads to adjacent tissues. If untreated its outcomes are dangerous and often fatal. Uncontrolled diabetes, malignancies and dialysis are predisposing factors. Raised blood iron is an important factor in pathogenesis and rapid progression of fungal invasion that needs to be investigated. Aim: To establish a correlation between raised serum ferritin level and aggressiveness of Mucormycosis. Methodology: A retrospective study was done from February 2021 to February 2022 of patients diagnosed with mucormycosis by middle meatal biopsy and microscopy along with CT & MRI scan of PNS with brain. They were treated either surgically or conservatively. All the blood parameters including serum ferritin level, were carried out.  A comparison was done on extent of disease in patients in-relation to their serum ferritin level. Results: Our study suggested that higher levels of ferritin are often associated with aggressive form the disease. Zygomycetes are dependent on environmental iron for their growth. Higher the serum ferritin level, more aggressive & widespread is mucormycosis. Conclusion: Serum free iron aggravates mucormycosis. Measures should take to control the serum ferritin in patients under risk for mucormycosis. Iron chelating agents or novel methods like anti-ftr1 immune serum should be developed for controlling the disease at its earlier stages.
Generalised Pustular Psoriasis Masquerading as Lepromatous Leprosy: A Case Report
Authors: Kitture Dr. Aishwarya , Indurkar Dr. Vishal , Wagh Dr. Anamika , Gosavi Dr. Ramesh
Published: July 2022

The relationship between psoriasis and leprosy is debatable since ages. The varied clinical manifestations of leprosy may resemble other skin diseases, but there is no documented literature of skin lesions of psoriasis mimicking leprosy. We report a case of generalised pustular psoriasis (GPP) presented with the lepromatous leprosy like clinical features in a 60 year old male. The histopathological examination confirmed the diagnosis. Patient was then treated with Methotrexate 7.5mg weekly and showed improvement in subsequent visits. We report this rare possibility to raise awareness among clinicians to allow accurate diagnosis since leprosy still carries stigma in society.
Return to Job of a Construction Worker by Comprehensive Functional and Vocational Rehabilitation
Authors: Shinde Sandeep , Pawar Piyusha
Published: July 2022

BACKGROUND- Supracondylar humeral fracture is most common paediatric fracture around elbow. Most of these fractures arise as a result of fall from a height or due to fall on an outstretched hand (FOOSH). Undisplaced fractures are best managed by immobilizing the area using a cast or a splint. Displaced fractures are managed surgically by closed reduction and percutaneous pinning fixation. Loss of flexion, extension, or hyperextension, post immobilization tends to be the main functional issue. Physiotherapy aims to help patients regain their range of motion quickly and prevent late complications.CASE DESCRIPTION- Presenting a case of 12Y/O female with a supracondylar fracture of humerus who fell on the stage while playing on left side and was diagnosed with X-ray. She was managed surgically by closed reduction and percutaneous pinning with K- wires. Patient presented with the following complains post-operatively, i.e., pain at the incision site, swelling around the elbow joint and reduced movement at the elbow and shoulder joint. Patient underwent a 4weeks physical therapy rehabilitation program after the surgery and showed marked improvement in pain score, range of motion, muscle strength and functional activities.RESULT- The results demonstrated significant improvement in range of motion, muscle strength and pain reduction after post assessment was done. CONCLUSION- Immediate Physiotherapy Intervention program which includes manual therapy & therapeutic exercises for a postoperative case of supracondylar fracture in paediatrics can facilitate the activities of daily living and improved quality of life.
FACTORS AFFECTING THE PROFESSIONAL MOTIVATION OF TEACHERS
Authors: GÜMÜŞTAŞ Zerrin , GÜLBAHAR Bahadır
Published: July 2022

The influence and contribution of the teacher in every step of education is indisputable. Professional competencies of teachers have been investigated by many studies. Teachers' professional motivation is one of the most important factors that maximize their professional performance. It has been seen that employee motivation is very important in the evolutionary development of management theories in historical development. This is also important in the teaching profession. In education, situations that increase or decrease the motivation of teachers should be determined. The answer to this question has been sought in the research whether teachers get their professional motivation mostly from internal or external motivation sources. In accordance with the nature of this research, phenomenology, one of the qualitative research designs, was used. The study group of the research consists of teachers working in secondary schools. A semi-structured interview form developed by the researcher was used as a data collection tool. Research data were analyzed by descriptive analysis. As a result of the research, it is the tolerant administrator support with strong leadership characteristics that motivates teachers and enables them to be successful. It is seen that the majority of the views expressed are on human relations and human qualities. It has been concluded that while intrinsic motivation ensures the continuity of behavior, extrinsic motivation is an important element that supports intrinsic motivation. In addition, external factors such as physical conditions, economic conditions, student interest and parent support have an important place for teachers.
EXAMINATION OF MATHEMATICS QUESTIONS INCLUDED IN HIGH SCHOOL ENTRANCE EXAM (LGS) ACCORDING TO THE REVISED BLOOM TAXONOMY AND OBJECTIVES OF THE MIDDLE SCHOOL MATHEMATICS COURSE CURRICULUM
Authors: ÜZÜMCÜ Zeynep Büşra
Published: July 2022

The aim of this study was to determine the relationship between the mathematics questions asked in the High School Entrance Exam (LGS) and the 8th grade objectives of the Primary Education Mathematics Course Curriculum, and to reveal at which level cognitive processes are measured through these questions according to the revised Bloom taxonomy. Within the scope of the study, 20 mathematics questions in the 2021 LGS and 52 8th grade objectives based on the formation of these questions were analyzed by document analysis, one of the qualitative research methods. The questions and achievements were classified independently by the researcher teacher and a field expert, and descriptive statistics were used in the analysis of the data. The data obtained showed that the 2021 LGS mathematics questions were operational and metacognitive according to the knowledge dimension of the revised Bloom taxonomy, while the 8th grade mathematics objectives based on the formation of these questions were factual, conceptual and operational. In addition, it was concluded that most of the 2021 LGS mathematics questions measured the cognitive processes in the application and analysis steps in the cognitive dimension of the revised Bloom taxonomy, while the 8th grade mathematics objectives focused on the understanding and application steps. It is recommended that the mathematics questions in the high school entrance exams and the mathematics course objectives should be reviewed according to the revised Bloom's taxonomy metacognitive dimensions