bluuebunny/crossref_metadata_2025 huggingface dataset:
Pre- and Postoperative Treatment of Keloid Pinna with Triamcinolone Injection
Authors: Karthikeyan D. Anand , Kumar Poornima
Published: May 2024

Introduction:

Keloid is a pathological cutaneous dermal lesion resulting from aberrant wound-healing process. It mainly arises in the chest, upper back, earlobes, and shoulder region. Keloid pinna is common diagnosis in the ear, nose, and throat, for which various treatment options are available. We describe our experience with pre- and postoperative injections with triamcinolone.

Materials and Methods:

This is a retrospective observational study from December 2020 to April 2022. A total of 16 cases (14 females and two males) were included in the study. Triamcinolone acetonide (TAC) (40 mg/mL) was injected both preoperatively and postoperatively following surgical excision.

Results:

The triamcinolone injections resulted in drastic size reduction of the keloids and made the keloids softer in consistency. The main benefit of the triamcinolone injection was the soft-tissue margin reclamation making surgical excision easy.

Discussion:

The main advantage of preoperative intralesional TAC is size reduction, reduced vascularity and scar pliability, and better soft-tissue margin reclamation which helps in getting better operative margins for surgical excision leading to better cosmetic results.

Conclusion:

TAC injection perilesional in keloid pinna preoperatively improves the surgical outcomes and postoperative injection reduces the recurrence rates considerably.
Is Endoscopic Tympanoplasty an Alternative to Microscopic Tympanoplasty for Small Central Perforations? A Study
Authors: Rajguru Renu , Bedi Tejpal Singh , Rajguru Garima
Published: May 2024

Introduction:

Traditional approaches to tympanoplasty involve the use of a microscope. However, with the advent of endoscopes and HD cameras, endoscopic tympanoplasty has appeared as an alternative to microscopic tympanoplasty. Our study was aimed at assessing the success rates of endoscopic tympanoplasty in small dry central perforations of pars tensa.

Materials and Methods:

49 patients were enrolled in this study for undergoing endoscopic tympanoplasty and the surgical outcome was analyzed in terms of graft uptake and postoperative air-bone gap closure for 6 months.

Results:

Among the study population, 45 participants (91.84%) had an intact neotympanum at the end of 6 months, two participants (4.08%) had residual perforation, and two (4.08%) had recurrent perforations due to upper respiratory tract infection. The mean preoperative air-bone gap (AB gap) was 23.63 dB ± 3.9 dB in the study population with a minimum of 16 dB and a maximum of 31 dB (95% confidence interval [CI] 22.43–24.83), whereas the mean postoperative AB gap was 13.84 dB ± 2.79 dB, minimum being 8 dB and maximum being 20 dB (95% CI 12.98–14.69). The difference between the preoperative and postoperative air-bone gap was statistically significant (P < 0.001).

Conclusions:

We conclude that the endoscopic myringoplasty is an attractive alternative to conventional microscopic myringoplasty in terms of surgical outcomes, graft uptake, and air-bone gap closure.
Father Augustus Muller: An extraordinary life dedicated to the cause of Homoeopathy and charity
Authors: Das Biswo Ranjan
Published: May 2024

Abstract

Fr Augustus Muller was a great homeopathic practitioner and the first Indian repertorian. He possessed the secrets of manufacturing quality homeopathic medicines. He drew his strength from his compassion for the poor. He worked relentlessly to bring assistance to the poor and suffering.

Fr Muller was a man of self-sacrifice, love for the poor and the sick, of the lepers in particular and by his universal charity, which deserved the gratitude of all classes. This article is a brief sketch of the life history of Fr Muller, which will inspire and motivate future generations of Homeopathy.
Efficacy of leukocyte–platelet-rich fibrin membrane in immediate postextraction implant placement: A randomized controlled trial
Authors: Soni Monal , Gugnani Shalini , Pandit Nymphea , Bali Deepika , Sharma Monia
Published: May 2024

Background:

Leukocyte–platelet-rich fibrin (L-PRF) membrane is an emerging autologous healing biomaterial that promotes angiogenesis and healing in immediate implant sites. The purpose of the study was to evaluate hard and soft tissue outcomes of immediate implant placement with or without L-PRF.

Materials and Methods:

A total of 18 immediate implants were divided randomly into two groups of 9 implants each, i.e., Group 1 and Group 2. All sites received a definitive restoration after 3 months of implant placement and were followed up for a period of 6-months.

Results:

Addition of L-PRF in the extraction sockets when placing immediate implants resulted in statistically nonsignificant benefit in terms of clinical and radiographic parameters when compared to immediate implant placement without L-PRF.

Conclusion:

Immediate implant placement in Group 2 demonstrated marginal but statistically significant benefit as compared to sites in Group 1.
Protein and mRNA expression of interleukin-33 in periodontally diseased and healthy individuals and impact of nonsurgical periodontal therapy in salivary IL-33 levels
Authors: Renjith Ambili , Rajan Nisha Sushama , Shaila Shabnas Nazar
Published: May 2024

Background:

Interleukin (IL)-33 is a member of IL-1 beta family of cytokines having a pivotal role in bone destruction. However, its role in periodontal disease is not clearly established. The objective of the present study was to evaluate salivary and gingival IL-33 expression in periodontally healthy and diseased individuals. The change in salivary IL-33 after nonsurgical therapy was also analyzed.

Materials and Methods:

Salivary IL-33 concentration was estimated using enzyme-linked immunosorbent assay in periodontally healthy and diseased individuals (30 in each group). Re-evaluation was done in periodontitis patients after 6 weeks of nonsurgical therapy. Further, the messenger ribonucleic acid expression of IL-33 in healthy and diseased gingival tissues was also examined using reverse transcriptase-polymerase chain reaction and correlated with IL-1 beta messenger ribonucleic acid.

Results:

Salivary IL-33 concentration in periodontitis patients was 1.65 fold higher than healthy controls (P < 0.0001), and 16% reduction was noticed after nonsurgical treatment. Salivary IL-33 concentration could be used to differentiate periodontitis from health at a cutoff value of 543.16 ng/mL with 93.33% sensitivity and 90% specificity (area under the curve 0.92). Upregulated gingival expression of IL-33 was also noted in periodontitis patients, and it was positively correlated with IL-1 beta (r = 0.7).

Conclusion:

The study reconfirms the role of IL-33 in periodontal disease, proposed a threshold value of differentiating healthy and periodontitis patients, and suggests IL-33 as a potential diagnostic biomarker for periodontal disease and to evaluate the response to periodontal therapy.
Ultrasound-guided Parasagittal Infraclavicular Block for Patients without Neurostimulation Endpoints: A Case Report in Crush Injuries of the Upper Limb
Authors: Diwan Sandeep Madhusudan , Dongre Himaunshu Vijaykumar , Bhong Ganesh , Sancheti Parag
Published: May 2024

Evoked motor responses (distal muscle responses) to a specific nerve stimulation are considered an endpoint. Often in crush injuries of the upper limb below the level of the elbow, the distal muscle responses are irrelevant. We report 14 cases of crush injuries of the upper limb that underwent an amputation below the level of the elbow. A parasagittal ultrasound-guided infraclavicular block without neurostimulation was administered in all patients. A reliable local anesthetic (LA) spread either in the perineural or perivascular area is considered adequate. Adequate intraoperative anesthesia and postoperative analgesia were achieved with the deposition of LA beneath the axillary artery.
COVID-19 Associated Peripheral Gangrene: A Case Series
Authors: Patil Bharat Umakant , Hivre Mangesh , Ghongade Pravinkumar Vijaykumar , Gupta Anupama , Gupta Dilip
Published: May 2024

Patients with COVID-19 may develop venous and arterial thrombosis due to severe inflammation, cytokine storm, and diffuse intravascular coagulation, increasing mortality and morbidity. The aim was to report the clinical profile and outcome of patients diagnosed with peripheral gangrene associated with COVID-19. In this case series, we discussed the clinical presentation, laboratory parameters, and outcome in a series of three patients with peripheral gangrene associated with COVID-19 and also compared those findings. Three patients (two males and one female, age range: 50–72 years, and mean: 61.6 years) were admitted with the diagnosis of COVID-19-associated peripheral gangrene. Three patients had clinical and laboratory evidence of disseminated intravascular coagulation. Marked thrombocytopenia was noted in two patients. Despite vigorous therapy, two patients succumbed to their illness within 9–21 days of intensive care admission. D-dimer level and procalcitonin increased in all cases, while those who succumbed to death showed a marked variation in the D-dimer level from day 1 to the day of death. Prothrombin time (PT) was markedly increased in all three cases, while activated partial thromboplastin time showed little change. Amputation was done in two patients, out of which one succumbed to death. Peripheral gangrene cases in the background of COVID-19 portend a fatal outcome and need strict monitoring of the D-dimer, procalcitonin, and PT level, and a marked variation in these values could be alarming and used as a marker for predicting survival in cases of COVID-19 with peripheral gangrene and also highlighted the limited role of amputation in reducing mortality.
Evaluation of Neck–Shaft Angle of Dry Femora in the Gangetic Region of West Bengal
Authors: Mukherjee Barnali , Sadhu Anirban , Majumdar Sudeshna
Published: May 2024

Background:

Femur being the strongest and longest bone of the skeleton plays a crucial role in maintaining the usual anatomy of the hip joint. The neck–shaft angle (NSA) contributes greatly to the daily activity of the hip joint and therefore is of considerable importance in planning a proper surgery. Knowledge of the usual range of NSA is, therefore, imperative in the proper treatment of patients who present with disease of the hip related to the NSA. The objective of the present study was to estimate the minimum, maximum, mean, median, and range of NSA and to determine the difference(s) between the right and left sides of dry adult femora in the Gangetic region of West Bengal.

Methodology:

The present study was conducted on 281 dry adult femora (144 on the left and 137 on the right sides). The femora were selected according to the inclusion and exclusion criteria. Measurements of NSA were based on the standard method.

Results:

The mean NSA of the total sample size was 124.12° ± 6.231°. The means for the left and right NSAs were 123.33° ± 6.47° and 124.91° ± 5.885°, respectively. The mean difference between the right and left femora was statistically significant. There was also a high degree of positive correlation between the NSAs of the left and right sides. Conclusion: This study establishes baseline data for the NSA of the Gangetic region of West Bengal, India. This will be helpful for orthopedic surgeons and implant makers to properly design and treat patients with problems of the NSA.
Does apneic oxygenation with nasopharyngeal cannula during intubation improve the oxygenation in patients with acute hypoxemic respiratory failure compared to the standard bag valve mask preoxygenation? An open-labeled randomized control trial
Authors: Shahul Hameed Irfan Zubair , Hazra Darpanarayan , Ganesan Priya , Prabhakar Abhilash Kundavaram Paul
Published: May 2024

OBJECTIVES:

In the context of acute hypoxemic respiratory failure (AHRF), ensuring effective preoxygenation and apneic oxygenation emerges as the pivotal approach ensuring for averting hypoxemic adverse events during endotracheal intubation. To investigate this, we conducted an open-label randomized controlled trial, aiming to assess the comparative effectiveness of nasopharyngeal high-flow oxygenation in conjunction with Bag-Valve-Mask (BVM) versus standard BVM preoxygenation in patients experiencing AHRF within the emergency department (ED).

METHODS:

This prospective single-center, open-labeled, randomized controlled trial enrolled patients aged 18 years and above requiring rapid sequence intubation due to AHRF in the ED. Participants were randomly assigned in a 1:1 ratio to either the intervention arm (involving nasopharyngeal high-flow oxygenation and BVM preoxygenation) or the control arm (involving BVM preoxygenation alone).

RESULTS:

A total of 76 participants were enrolled in the study, evenly distributed with 38 individuals in each arm. Median (interquartile range [IQR]) SpO2 at 0 min postintubation was 95.5 (80%–99%) versus 89 (76%–98%); z-score: 1.081, P = 0.279 in the intervention and control arm, respectively. The most common postintubation complications included hypoxia (intervention arm: 56.7% vs. control arm: 66.7%) and circulatory/hypoxic arrest (intervention arm: 39.5% vs. control arm: 44.7%). There were no adverse complications in 36.7% (n = 11) of patients in the intervention arm. Despite the best possible medical management, almost half (52.6%) of patients in the intervention arm and 47.4% of patients in the control arm succumbed to their illnesses in the ED.

CONCLUSION:

The primary outcome revealed no statistically significant difference between the two arms. However, patients in the intervention arm exhibited fewer intubation-related adverse effects.
Posttraumatic stress disorder in health-care workers after two major earthquakes centered in Kahramanmaras, Turkey
Authors: Satilmis Dilay , Yildiz Egemen , Cevik Erdem
Published: May 2024

OBJECTIVES:

Earthquakes are one of the most studied uncontrollable natural conditions that cause negative psychological consequences. Although health-care workers (HCWs) are trained to manage trauma in the out-of-hospital area, uncontrollable tragic events in the earthquake field and exposure to life-threatening situations may cause psychological disorders. This study aimed to investigate the risk of the development of probable posttraumatic stress disorder (PTSD) and the factors affecting it in HCWs working in the region during major earthquakes centered in Kahramanmaras.

METHODS:

The questionnaire, which consists of the Turkish version of the 20-item PTSD Checklist for DSM-5 (PCL-5) self-report measure assessing DSM-5 symptoms of PTSD, was applied to HCWs. The Turkish version of the PCL-5 proved validity and reliability, with a cutoff point of ≥47 to diagnose probable PTSD.

RESULTS:

In this study, of the 79 HCWs, 62.7% were male. The overall probable PTSD rate was 37.9% (n = 30). Female participants had a significantly higher probable PTSD rate than males (P < 0.001). The nurses met probable PTSD criteria statistically significantly more than the doctors (P = 0.026). The multiple regression analysis for predictors of probable PTSD revealed that female gender, previously working in a level 1 hospital, and being a nurse were among the independent risk factors.

CONCLUSION:

This study showed that the probable PTSD rate was high among HCWs and that female HCWs were at higher risk for PTSD. HCWs, especially females working in the disaster area, should be closely monitored, and more mental health services should be provided to ensure that HCWs receive the necessary support in the postdisaster period.
Face-to-face awake intubation in an upright position in severe maxillofacial trauma
Authors: Ayuningtyas Laurensia Vidya , Mutiar Airi , Airlangga Prananda Surya
Published: May 2024

Maxillofacial injury may cause difficulty during airway assessment and management in the emergency setting. Alternative intubation positions and techniques should be considered to ensure patient safety. A 37-year-old male patient arrived at the emergency department with a degloving maxillofacial injury after a high-impact motor vehicle accident. Active bleeding from his wounds prevented him from lying supine and raised concerns of aspiration, requiring immediate securing of the airway. Since the patient was alert and cooperative, awake face-to-face intubation in the upright position was performed. Intubation was successful on the first attempt without any complications using a video laryngoscope with topical anesthesia sprayed intraorally. Awake intubation in the face-to-face upright position can be successful in a cooperative patient with severe maxillofacial trauma.
Smart meter-based outage detection method for power distribution systems
Authors: Wang Xuan , Shi Zhiqiang , Liu Bing , Xiao Wenbiao , Cheng Shuai
Published: May 2024

This paper proposes a new data-driven method for power outage detection. By capturing the changes in data distribution of smart meters (SM), it can detect power outages in partially visible distributed systems. First, a mechanism based on breadth-first search (BFS) is proposed, which decomposes the network into a set of regions to find the location information where power outages are most likely to occur. Then, the SM data for each region, generating a generative adversarial network (GAN), is used in order to extract unsupervised manner implicit temporal behavior under normal conditions. After network training, anomaly scoring technology is used to determine whether the real-time measurement data is the data of a power outage event. Finally, in order to infer the location of a power outage in a multi-area network, a regional coordination process with interdependence be-tween cross-regions is used. At the same time, the concept of entropy is used to provide performance analysis for the algorithm in this paper. This method has been verified on the distribution feeder model with actual SM data. Experimental results show that the algorithm is effective and feasible.
Critical points of the Eisenstein series $E_{4}$ and application to the spectrum of the Lamé operator
Authors: Chen Zhijie , Lin Chang-Shou
Published: May 2024

We give a complete description of the distribution of the critical points of the classical Eisenstein series

E_{4}(\tau)

. An application to the spectrum of the Lamé operator is also given.
An extension of the Liouville theorem for Fourier multipliers to sub-exponentially growing solutions
Authors: Berger David , Schilling René L. , Shargorodsky Eugene , Sharia Teo
Published: May 2024

We study the equation

m(D)f=0

in a large class of sub-exponentially growing functions. Under appropriate restrictions on

m \in C(\mathbb{R}^{n})

, we show that every such solution can be analytically continued to a sub-exponentially growing entire function on

\mathbb{C}^{n}

if, and only if,

m(\xi) \neq 0

for

\xi \neq 0

.
Калибровочная эквивалентность между $(1+1)$-мерными теориями поля Калоджеро-Мозера-Сазерленда и тригонометрическим уравнением Ландау-Лифшица старшего ранга
Authors: Atalikov Kantemir Ruslanovich , Zotov Andrei Vladimirovich
Published: May 2024

Рассматриваются классические интегрируемые $(1+1)$-мерные тригонометрические $gl_N$ уравнения Ландау-Лифшица, построенные с помощью квантовых $R$-матриц, удовлетворяющих также ассоциативному уравнению Янга-Бакстера. Показано, что $(1+1)$-мерный полевой аналог тригонометрической системы Калоджеро-Мозера-Сазерленда калибровочно эквивалентен уравнению Ландау-Лифшица, возникающему на основе нестандартной тригонометрической $R$-матрицы Антонова-Хасегавы-Забродина, которая обобщает 7-вершинную $R$-матрицу Чередника в случае $GL_2$ на случай $GL_N$. Получена явная замена переменных между $(1+1)$-мерными моделями.
Application of Electrical Resistivity Sounding Method for Groundwater Exploration in Ugboshi-Afe, Akoko-Edo, Southwestern Nigeria
Authors: Salami S. A. , Babafemi E. M. , Ossai F. E.
Published: May 2024

Schlumberger configuration of Vertical Electrical Sounding (VES) was deplored for groundwater exploration in Ugboshi-Afe study location. A total of nine (9) vertical electrical sounding (VES) locations, spread across the community were occupied to gain insights on the hydrogeological settings within the area. Quantitative computer interpretation of the data yielded three to six geoelectrical layers. The geoelectrical interpretation models were geologically interpreted as: clayey sand/sandy topsoil with resistivity values ranging from 54 Ohm-m to 424 Ohm-m, this is underlain by a relatively high resistivity layer (228-868 Ohm-m) interpreted as lateritic sand, and below this the low resistivity (21.38 Ohm-m – 42.4 Ohm-m)  interpreted as clay,  then the fractured/weathered geoelectric layer (95Ohm-m to 385Ohm-m), while the fresh basement has resistivity greater than 400 Ohm-m. Several maps such as fractured window thickness map, isoresistivity map of the fractured interval, overburden map were generated to investigate trends that may hold prospects for groundwater exploitation. Furthermore, hydro-resistivity parameters such as Total Transverse Resistance, Total Longitudinal Conductance, Resistivity Reflection Co-efficient and Resistivity Contrast values were calculated for further screening of the study site for groundwater development. The VES1, VES2, VES6 and VES7 locations were concluded as holding prospects for groundwater potentials in the study area.
Interactions between TNFAIP3, PTPN22, and TRAF1-C5 gene polymorphisms in patients with primary Sjögren's syndrome
Authors: Cadena-Sandoval Daniel , Montúfar-Robles Isela , Elda Barbosa-Cobos Rosa , Hernández-Molina Gabriela , Karen Salas-García Ana , Sánchez-Zauco Norma , Ramírez-Bello Julian
Published: May 2024

Objectives: The aim of our study was to investigate whether TNFAIP3, PTPN22, and TRAF1-5 single nucleotide polymorphisms (SNPs) are associated with susceptibility, severity, or serological markers in primary Sjögren’s syndrome (pSS).

Patients and methods: The cases and controls study was conducted between December 2021 and June 2022. TNFAIP3 rs10499194C/T, rs6920220G/A, and rs2230926T/G, PTPN22 rs2476601C/T and rs33996649G/A, and TRAF1-C5 rs10818488G/A polymorphisms were genotyped in 154 female pSS patients (mean age: 45.2±6.8 years) and 313 female control subjects (mean age: 50.3±7.5 years) using the TaqMan® SNP genotyping assay. An association analysis between TNFAIP3, PTPN22, and TRAF1-C5 SNPs and susceptibility, clinical characteristics, and serological markers of pSS was performed. Interactions between TNFAIP3, PTPN22, and TRAF1-C5 SNPs were also evaluated in patients and controls.

Results: The genotype and allele frequencies showed no association with susceptibility, severity, or serological markers of pSS. Nevertheless, several interactions between TNFAIP3 and TRAF1-C5 or TNFAIP3, PTPN22, and TRAF1-C5 genotypes were associated with susceptibility to pSS (p<0.01).

Conclusion: Individual TNFAIP3, PTPN22, and TRAF1-C5 SNPs are not associated with susceptibility, severity, or serological markers of pSS. However, genetic interactions between TRAF1-C5 and TNFAIP3 or TNFAIP3, PTPN22, and TRAF1-C5 SNPs are risk factors for pSS.
Actuación de enfermería ante el Síndrome de Sheehan en pacientes: una revisión bibliográfica
Authors: Espinoza Loja Patricia Alexandra
Published: May 2024

Se busca determinar la prevalencia y los factores de riesgo del Síndrome de Sheehan, así como explorar los abordajes terapéuticos, identificar complicaciones frecuentes y evaluar intervenciones de enfermería. Se efectuó una revisión de 50 artículos seleccionados por su relevancia. La prevalencia registrada es de 14 millones de casos de hemorragia posparto anualmente, con una incidencia global del Síndrome de Sheehan de 1 en 100,000 nacimientos. El embarazo y la subsiguiente hemorragia posparto se presentan como los principales factores precipitantes. El tratamiento eficaz requiere un reemplazo hormonal permanente. Las complicaciones clave incluyen la agalactia, la amenorrea y el hipopituitarismo. Las intervenciones de enfermería se centran en el manejo de los síntomas y la implementación del Proceso de Atención de Enfermería (PAE). La hemorragia posparto que excede los 1000 ml de pérdida sanguínea, con una reposición insuficiente de volumen, es un antecedente común en las pacientes con el síndrome de Sheehan.
Adorno ve Ranciére'de Estetik ve Politika
Authors: Demir Ayşe Bilge
Published: May 2024

Bu çalışmada Theodor Adorno’nun ve Jacques Rancière’in estetik deneyimin politik tahakkümden özgürleştirici potansiyellerine dair düşünceleri betimlenmektedir. Adorno’nun dissonance olarak ifade ettiği şey, sanat eserinin gerçekliği negatif bir şekilde göstermesinden kaynaklanan uyumsuzluktur. Bu uyumsuzluk sanat eserlerine, Aydınlanmacı aklın ve onun yol açtığı toplumsal patolojilerin kuşatamadığı duyusal anlamları sergileme işlevi yükler. Rancière’in dissensus olarak ifade ettiği şey, farklı duyusal rejimlerin karşılaşmasından doğan ihtilaftır ve politikanın olduğu gibi estetiğin de kurucu edimidir. Estetik deneyimde yeni mekânsal zamansal tarzlar var eden dissensus, politik eylemde bu yeni mekansallıklar-zamansallıklardan bir müştereklik meydana getirir. Adorno için olduğu gibi Rancière için de duyusal deneyimin istikrarsızlaştırıcı kapasitesi, ona politik olarak özgürleştirici bir potansiyel yükler. Rancière, estetik deneyimin tanımını tüm deneyim alanlarını kapsayacak şekilde genişletirken, Adorno bunu yalnızca sanatın özel alanıyla sınırlandırır. Eldeki çalışma Adorno ve Rancière arasındaki yakınsamaları ve ayrımları görünür kılmayı amaçlamaktadır.
Endodontic microsurgery and prosthodontic treatment of a permanent anterior concrescence: a case report
Authors: Zhang Lei , Wang An-na , Sun Qiong , Zheng Han , Xu Mengdan , Zhang Fuhua
Published: May 2024

Concrescence is a rare dental anomaly in which two adjacent teeth are united only by their cementum. Concrescence most frequently occurs in molars, especially a third mandibular molar and a supernumerary tooth. It is rarely seen in the maxillary anterior teeth. This case report is the first in the literature which details the successful treatment of a concrescence between the maxillary central incisor and a supernumerary tooth through multidisciplinary therapy. The treatment plan included root canal treatment, endodontic microsurgery, and prosthodontic treatment.
Keywords: Concrescence, Endodontic microsurgery, Multidisciplinary therapy, Odontogenic keratocyst
Strengthening children's health in a health-promoting school provides the opportunity to learn to live healthier lives
Authors: Nijolė Paulauskienė
Published: May 2024

Lithuania's health-promoting schools have entered the fourth decade with their continuous long-term activity and rich experience. The very title unites two sectors, health and education, under one cohesive effort. A health-promoting school is a school where, through the involvement of the school community and social partners, students' healthy lifestyle skills are being developed and a physically and psychosocially favorable environment for the school community's health is created. The goal of health-promoting schools is to integrate health promotion activities into the entire school life, involving students, teachers, parents (guardians), specialists, and community members. In these schools, long-term and purposeful health promotion activities are carried out on a voluntary basis, and community members take care of their own and others' health in their daily activities. A wide range of institutions implements the concept of health-promoting schools: preschool, general education, vocational, and higher education institutions. They prioritize children's participation in health promotion and education programs, which is expected to lead to better child health. Health promotion activities are purposeful and carried out according to approved health promotion programs, which forms the basis of health-promoting schools. These programs encompass six areas of activity: health promotion activity management structure, policy and quality assurance, psychosocial and physical environment, human and material resources, health education, dissemination of health-promoting school experience within and beyond the school. Each school in this program highlights its own priorities, meets the needs of the school, addresses current issues, and proposes solutions. The activity in a health-promoting school is based on existing evidence and research or those discovered by the schools themselves. Research has shown that the lifestyle of students studying in health-promoting schools is healthier, educators pay more attention to health issues, parents (guardians) and the entire school community are involved in health promotion activities, thus it is necessary to develop the network of health-promoting schools in the perspective.
Legal liability for failure to render first aid: author's view of the problem
Authors: Масляков В.В. , Полиданов М.А. , Волков К.А. , Дягель А.П.
Published: May 2024

В статье рассматриваются юридические нормы, предусматривающие уголовную ответственность за неоказание первой помощи больному. На базе проанализированных нормативных документов был сформулирован авторский взгляд, касающийся как самого определения первой помощи, так и типов, размеров ее оказания как необходимой в экстренной ситуации, а также выявлены необходимые признаки состава и причины неоказания первой помощи больному с позиции человека, страдающего от заболевания, наличие которого, наряду с состоянием, может быть основанием для оказания первой помощи.

The article considers the legal norms providing for criminal liability for failure to render first aid to a patient. On the basis of the analyzed normative documents the author's view concerning both the very definition of «first aid» and the types, dimensions of first aid as necessary in an emergency situation was formulated, as well as the necessary signs of the composition and causes of failure to provide first aid to a «sick person», from the position of «a person suffering from a disease, the presence of which, along with the condition, may be the basis for providing first aid».
Organizational and legal aspects of providing assistance to victims in emergency situations at the pre-hospital stage
Authors: Масляков В.В. , Полиданов М.А. , Высоцкий Л.И. , Дягель А.П.
Published: May 2024

Оказание помощи пострадавшим в чрезвычайных ситуациях, как правило, занимает небольшой промежуток времени до прибытия на место происшествия специализированной бригады скорой медицинской помощи или службы медицины катастроф. В статье анализируются организационно-правовые аспекты оказания помощи пострадавшим в чрезвычайных ситуациях на доврачебном этапе. Как показывает изучение правоприменительной практики, верная юридическая оценка правильного оказания помощи больному продолжает сохранять свою актуальность, а организация взаимодействия – главный вопрос системы современного здравоохранения.

Assistance to victims in emergency situations usually takes a short period of time until the arrival of a specialized emergency medical team or disaster medicine service at the scene. The article analyzes organizational and legal aspects of rendering assistance to victims in emergency situations at the pre-hospital stage. As the study of law enforcement practice shows, the correct legal assessment of the correct provision of assistance to the patient continues to retain its relevance, and the organization of interaction is the main issue of the modern health care system.
Effects of Food Bioactive Compounds on Human Health and Disease Prevention in Botswana
Authors: Larona Mercy
Published: May 2024

Purpose: The aim of the study was to evaluate effects of food bioactive compounds on human health and disease prevention in Botswana.
Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.
Findings: The study found that bioactive compounds found in a variety of foods, including fruits, vegetables, grains, and herbs, have been extensively studied for their potential health benefits, including antioxidant, anti-inflammatory, and anti-cancer properties. In Botswana, where NCDs such as diabetes, hypertension, and cardiovascular diseases are major public health concerns, integrating bioactive-rich foods into the diet plays a crucial role in reducing the prevalence and impact of these conditions.
Unique Contribution to Theory, Practice and Policy: Nutritional Epidemiology Theory, Pharmacological Theory of Food Bioactive Compounds & Health Behavior Theory may be used to anchor future studies on effects of food bioactive compounds on human health and disease prevention in Botswana. Promote public awareness and education campaigns to highlight the importance of incorporating bioactive compounds into daily diets for health maintenance and disease prevention. This can include disseminating accessible information about bioactive-rich foods and their health benefits. Advocate for the inclusion of dietary guidelines that emphasize the consumption of bioactive-rich foods in national nutrition policies. This can involve collaborating with policymakers to integrate evidence-based recommendations into dietary guidelines and public health initiatives.
Social Media Usage and Political Participation in the United States
Authors: Brown Sophia
Published: May 2024

Purpose: The aim of the study was to analyze the social media usage and political participation in the United States.
Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.
Findings: Social media usage in the United States both enhances and complicates political participation. It facilitates information sharing and activism but also fosters filter bubbles and misinformation. Despite its capacity to mobilize individuals, its influence varies across demographics and ideologies. Thus, while it can enhance democratic engagement, it also presents challenges that necessitate careful regulation.
Unique Contribution to Theory, Practice and Policy: Social capital theory, uses and gratifications theory & digital divide theory may be used to anchor future studies on analyze the social media usage and political participation in the United States. Provides practical tools and strategies for individuals to navigate the digital landscape effectively, fostering a more informed and engaged citizenry. Encourages policymakers to prioritize investments in digital literacy education as part of broader efforts to promote civic engagement and democratic resilience.
Income Inequality and Social Mobility in Brazil
Authors: Pereira Juliana
Published: May 2024

Purpose: The aim of the study was to analyze the income inequality and social mobility in Brazil.
Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.
Findings: Income inequality in Brazil is among the highest globally, leading to significant barriers to social mobility. Limited access to education and employment opportunities exacerbates this issue. Despite government efforts, intergenerational mobility remains constrained, necessitating comprehensive reforms for economic inclusion.
Unique Contribution to Theory, Practice and Policy: Human capital theory, structural marxism & intersectionality theory may be used to anchor future studies on analyze the income inequality and social mobility in Brazil. Prioritize investment in education at all levels, with a focus on improving access to quality schooling, reducing dropout rates, and enhancing vocational training programs. Implement progressive taxation policies that redistribute wealth and reduce income inequality.
Migration and Cultural Integration in Germany
Authors: Becker Emma
Published: May 2024

Purpose: The aim of the study was to analyze the migration and cultural integration in Germany.
Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.
Findings: Migration and cultural integration in Germany present both achievements and hurdles. Successful integration hinges on factors like language skills, education access, and job opportunities. Yet, challenges persist due to cultural disparities, discrimination, and social exclusion. Though progress is evident, ensuring migrants' seamless integration remains a continual and intricate endeavor in Germany.
Unique Contribution to Theory, Practice and Policy: Social identity theory, multiculturalism theory & transnationalism theory may be used to anchor future studies on analyze the migration and cultural integration in Germany. Community-based organizations, educational institutions, and government agencies should collaborate to provide tailored support services and resources that empower immigrants to fully participate in German society while preserving their cultural identities. Policymakers should enact policies that promote inclusive societies and remove barriers to immigrant integration in Germany.
Social Welfare Programs and Poverty Reduction in Brazil
Authors: Costa Lucas
Published: May 2024

Purpose: The aim of the study was to analyze the social welfare programs and poverty reduction in Brazil.
Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.
Findings: Social welfare programs like Bolsa Família in Brazil have significantly reduced poverty by targeting the poorest segments of the population. Research shows these programs have improved education, healthcare, and nutrition outcomes among beneficiaries, breaking intergenerational cycles of poverty. Additionally, they've stimulated local economies, but challenges remain in ensuring sustainability and addressing persistent inequalities.
Unique Contribution to Theory, Practice and Policy: Social capital theory, institutional theory & capability approach may be used to anchor future studies on analyze the social welfare programs and poverty reduction in Brazil. Enhancing the effectiveness of social welfare programs requires attention to program design, implementation, and delivery mechanisms. Policy recommendations should focus on institutional reforms and policy interventions aimed at maximizing the impact of social welfare programs on poverty reduction.
Effects of Art Therapy on Anxiety Levels in College Students in Somalia
Authors: Osoble Ismail
Published: May 2024

Purpose: The aim of the study was to assess the effects of art therapy on anxiety levels in college students in Somalia.
Materials and Methods: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.
Findings: The study indicated that engaging in artistic activities such as drawing, painting, and sculpting allows students to channel their stress and anxieties into a tangible form, facilitating emotional release and self-exploration. The therapeutic process of creating art fosters a sense of control and accomplishment, which can counteract feelings of helplessness and anxiety. Additionally, art therapy sessions often incorporate mindfulness techniques, further promoting relaxation and stress reduction. Overall, the integration of art therapy into mental health interventions for college students presents a promising approach to mitigating anxiety and enhancing overall well-being.
Implications to Theory, Practice and Policy: Expressive arts therapy, cognitive-behavioral theory and attachment theory may be used to anchor future studies on assessing the effects of art therapy on anxiety levels in college students in Somalia. Based on empirical findings, practitioners should design art therapy interventions that are tailored to meet the specific needs and preferences of college students. Policy initiatives should prioritize the integration of art therapy as a recognized and reimbursable service within college mental health programs.
PADRÕES ESTÉTICOS COMO ELEMENTOS NORTEADORES DAS DECISÕES CLÍNICAS EM ODONTOLOGIA: A INFLUÊNCIA DAS MÍDIAS SOCIAIS NA SAÚDE DAS PESSOAS
Authors: Silva Santos Anne Karoline , Benevides Reis Gabriella , Ferreira Ladeia Júnior Luciano , Vieira Dantas Reis Melissa , Pereira Costa Milene
Published: May 2024

Esse artigo buscou abordar a interseção entre padrões estéticos e decisões clínicas em odontologia, com foco principal na influência das mídias sociais na saúde bucal das pessoas e ressaltar a importância do equilíbrio na busca pela estética. Foi executada uma análise bibliográfica narrativa com intuito de obter um compilado teórico abrangente com diversidade extensa de informações sobre o tema supracitado. Esta revisão oferece mais percepção para profissionais de odontologia, pesquisadores, educadores e para toda a sociedade em geral, ajudando a compreender melhor o impacto das mídias sociais nos padrões estéticos impostos e disseminados pelas pessoas e nas decisões clínicas em odontologia. A mídia tem exercido um papel crucial na disseminação do consumo indiscriminado dos procedimentos estéticos sem a responsabilidade ética e profissional com a saúde, é necessário manter-se sempre atento ao serviço que vai ser ofertado, trazendo não só a satisfação estética mas também funcional e saudável ao paciente.
Empowerment Dynamics: Exploring the Impact of Self-Help Groups on Rural Women
Authors: K. Santhosh Kumar , Aithal P. S.
Published: May 2024

Purpose: This study aims to examine how Social Empowerment (SE) and Economic Empowerment (EE) affect Total Empowerment (TE) among women, using an ordinal regression method. The research seeks to explore the relationship between these dimensions of empowerment and their combined impact on women's overall empowerment.
Design/Methodology/Approach: This study utilizes a quantitative research methodology, incorporating both primary and secondary data sources. Primary data are gathered via a structured questionnaire distributed to members of Self-Help Groups (SHGs) in Kottayam District, Kerala. Secondary data are sourced from existing literature and financial reports. To analyze the data and examine the relationships between variables, statistical methods such as Kolmogorov-Smirnov tests, ordinal regression, and Spearman's correlation coefficient analysis are utilized.
Findings/Result: The results indicate that both Social Empowerment (SE) and Economic Empowerment (EE) are significant predictors of Total Empowerment (TE) among women. The ordinal regression model demonstrates a strong association between SE, EE, and TE, highlighting the importance of addressing both social and economic dimensions for women's empowerment. Additionally, strong positive correlations are observed between TE and SE, TE and EE, and SE and EE, emphasizing the interconnectedness of these empowerment dimensions.
Originality/Value: This research enhances the existing literature by offering insights into the multifaceted nature of women's empowerment, especially within the context of Self-Help Groups (SHGs). By examining the impact of SE and EE on TE and exploring their interrelationships, the study offers valuable understanding of the factors driving overall empowerment outcomes among women. The findings highlight the necessity of simultaneously addressing both social and economic empowerment to improve women's well-being and socio-economic status.
Paper Type: Empirical Research.
Segmentation on Panoramic Dental X- Ray Images Using U-Net
Authors: Prof. Rakesh Pandey  , Akash Reddy  , Arya Waghmare  , Avdhesh Kamojjalwar  , Chirag Rathi  , Devanshu Ghuse  , Mansi Kuranjekar
Published: May 2024

Radiological examinations in dentistry help professionals by targeting teeth for dental implants, bone defects, cysts, abscesses, infections, tumors, problems in the temporomandibular regions, to name a few some names, the skeletal system indicated. Although there is not yet a need for fully automated diagnostic tools, image pattern recognition has progressed towards decision support, primarily from the identification of teeth and their contents in X-ray images. Following a new direction, this paper proposes the investigation of a deep learning technique, such as tooth segmentation. To our knowledge, this is the first system to recognize and classify each tooth in panoramic X- ray images. It should be noted that this image is the most robust for dental separation because it shows other parts of the patient’s body (e.g. mandible, pelvis, and jaw) We propose a classification system based on a mask area-based complex neural networks so do not pattern classification. Performance was evaluated from 1500 robust image datasets, which had high diversity and included 10 groups of different buccal images The proposed ancient system used only 193 facial images with an average of 1500 images. there are 32 teeth, using the transfer learning methods, we obtained 98% accuracy, 88 % F1-score, 94% accuracy; More than 1224 unrecognized images achieved 84% recall and 99% specificity, better results than the other 10 unsupervised methods