bluuebunny/crossref_metadata_2025 huggingface dataset:
AN ELECTROMAGNETIC METHOD FOR FREQUENCY ANALYSIS OF TRANSVERSE VIBRATIONS OF A BEAM
Authors:   Tomsk Polytechnic University (Tomsk, Russian Federation), Kuznetsov F.Yu.
Published: October 2020

Vibration-based diagnostics of constructions is an obligatory technical procedure in mechanical engineering. In this regard, there is a problem of an adequate theoretical description of vibration processes in various structures with account for end fixity conditions, as well as the creation of experimental facilities for non-contact testing. The paper presents a theoretical basis and experimental verification results for a method of electromagnetic frequency analysis of rod systems. The essence of the method is the experimental determination of natural oscillation frequencies and their comparison with reference values. The main attention is paid to a theoretical description of transverse vibrations of a cantilever conductive rod in an external magnetic field in order to determine reference frequencies of a defect-free sample. The presence of the external magnetic field gives rise to the distributed electromagnetic force exerted on the rod. In the case of natural oscillations, the magnetic force is damping, which leads to a change in damping factors of partial oscillations. The electromagnetic effect is selective towards vibrational modes; hence, the damping factors of various partial oscillations of the rod vary to different degrees. This fact allows one to determine an optimal location of the area with acting magnetic field, as well as its width when measuring a given frequency of sample testing. The proposed method has several advantages: indestructibility of the sample, non-contact measurements, invariability of mechanical properties of the sample during the tests.
Protocols for "Draft genome of the aquatic moss Fontinalis antipyretica (Fontinalaceae, Bryophyta)" v1
Authors: Liu Yang , Liu Huan , Chen Hongfeng , Goffinet Bernard , Patel Nikisha , Chen Ziqiang , Dong Shanshan , Wang Sibo , Li Linzhou , Yu Jin
Published: October 2020

Background:Mosses compose one of the three lineages that form the sister group to extant vascular plants. Having emerged from an early split in the diversification of embryophytes, mosses may offer complementary insights into the evolution of traits following the transition to and colonization of land. Here, we report the draft nuclear genome of Fontinalis antipyretica (Fontinalaceae, Hypnales), a charismatic aquatic moss widespread in temperate regions of the Northern Hemisphere. Wesequenced and de novo assembled its genome using the 10 × genomics method. The genome comprises 385.2 Mbp, with a scaffold N50 of 45.8 Kbp. The assembly captured 87.2% of the 430 genes in the BUSCO viridiplantae odb10 dataset.The newly generated F. antipyreticagenome is the third genome of mosses, and the second genome for a seedless aquatic plant.
TOPLUMSAL CİNSİYET EŞİTLİĞİNE YÖNELİK FAALİYETLER, CİNSİYETE DUYARLI BÜTÇELEME UYGULAMALARI VE KADIN MEMNUNİYETİ ARASINDAKİ İLİŞKİNİN ANALİZİ: SAKARYA İLİ ÖRNEĞİ
Authors: DUMLUPINAR Serdar , GÜNGÖR GÖKSU Gonca
Published: October 2020

Araştırmanın amacı Sakarya’da toplumsal cinsiyete duyarlı bütçeleme (TCDB) bağlamında yerel yönetimlerce gerçekleştirilen hizmetler, faaliyetler ve yöneticilerin tutum/yaklaşımları ile kadın hemşerilerin memnuniyeti arasındaki ilişkiyi analiz etmektir. Bu sebeple Ekim 2019-Aralık 2019 tarihleri arasında Sakarya’da yaşayan 1592 kadın ile görüşülmüş ve 25 soruluk bir anket formu uygulanmıştır. Çalışmanın yöntemi kadınların memnuniyetini etkileyen ana boyutların ve alt maddelerin yapısal eşitlik modeli ile analizidir. Çalışmanın önemi ve özgün değeri Sakarya’da yerel yönetimler tarafından yapılan faaliyetler ile kadın memnuniyeti arasındaki ilişkiyi içeren bir analizin yapılmaması ve ulaşılan sonuçların yöneticilere bilgi verici olmasıdır. Çalışmanın sonuçları sadece Sakarya ili için geçerlidir. Bulgulara göre dört ana boyut ile memnuniyet arasında %74 ve üzeri yüksek korelasyon tespit edilmiştir. Ayrıca katılımcıların büyük kısmı yaşadıkları şehri kadın dostu kent olarak nitelemediklerini belirtmişlerdir.
ADAPAZARI ESNAFININ SORUNLARININ TESPİTİ
Authors: AKAL Mustafa , SARI Furkan
Published: October 2020

Esnaflar, ticari hayatın yapı taşıdırlar. Sakarya’nın Merkez İlçesi; Adapazarı ilçe esnafının sorunları, önerileri ve mesleğinden beklentileri yüz yüze anket yöntemiyle sorular yöneltilerek ortaya çıkartılmış ve değerlendirilmiştir. Üniversitelerin konuşlandığı illerin yerel sorunlarını araştırıp çözüm üretmesi açısından bu çalışma önemlidir. Esnafın belediyenin teşvik ve desteklerini çok yetersiz bulduğu, yaşadığı sorunlar karşısında Esnaf ve Sanatkârlar Odasının maddi manevi imkanlarını değerlendiremediği ve esnafın huzurlu ve sağlıklı bir şekilde geçimini sağlayacak kadar kazanarak ticari faaliyetlerini ve sosyo-ekonomik kültürünü devam ettirmek istediğine ulaşılmıştır. Ki-Kare bağımsızlık testleri ile esnafın mesleğini sürdürüp sürdürmemesi kararını anlamaya yönelik olarak çeşitli kategoriler ile “meleğinde ne ölçüde gelecek gördüğü” arasında ilişkiler test edilmiştir.
Design and Implementation of a Network Based Multi-Axis Motion Control System for Laboratory Studies
Authors: GÜVEN Yılmaz , ATİŞ Selçuk
Published: October 2020

In this study, an open source network based three axis motion control system has been designed and implemented to be used within motion control courses at engineering and technical branches for applicational studies. This system has been developed by using open source code and suitable physical structure for engineering studies. This experimental set has been evaluated by 107 students in related courses which are electrical machines and servo systems. Students have conducted various experiments by using single, two and three axes respectively. These students have been subjected to a Learner Satisfaction Survey which focuses on cognitive, affective and psychomotor extend of experimental studies in the laboratory with the designed motion control system. It has been observed from the results of this survey that learner-centered approach with the experimental set contribute in learning process positively.
PECULARITIES OF EXPERIENCE OF FEELING OF LONELINESS BY WOMEN FROM DIFFERENT SOCIAL GROUPS
Authors: Leonova І. M.
Published: October 2020

The article presents the results of research on an experienced feeling of loneliness by women from different social groups. It was determined that an experienced feeling of loneliness by women was affected directly by the specific group membership. It was revealed as a trend that graver loneliness was observed in the group of women with disabilities, and the easiest one in the group of women at the temporarily occupied territory of Donbass or internally displaced women. The average level observed in the group of religious women from Kyiv. Existence or absence of children at women had no significant effect on women’s feeling of loneliness. The description indicated only that religious women in the penal colony or the disabled (deaf and dumb) women had graver loneliness than women at the temporarily occupied territory of Donbass, IDP or Kyivans. The identified psychological factors that affect loneliness: cheerfulness, personal potential (successful or failed), present or absent motivation for self-realization and an individual position in relation to herself and others: positive-indulgent or aggressive-negative (socially adapted or disadaptive). Women without motivation to achieve success or to personal development, with aggressive behaviour and negative attitude to themselves and others, experiencing conflicts are more socially desadaptive in society and feel lonely than women with good mood, positive attitudes to themselves and others, cheerful, who are motivated for self-realization and success.
Gestión de la innovación en empresas de economía solidaria de Caldas-Colombia
Authors: Henao Gil Andrea Viviana , Bom-Camargo Yomeida Inmaculada , Ovalles Castiblanco Alex Mauricio , Ocampo López Olga Lucía
Published: October 2020

El Sistema Nacional de Ciencia, Tecnología e Innovación en Colombia ha promovido diversas estrategias para mejorar la Gestión de la Innovación, como la estrategia de crecimiento y desarrollo empresarial denominada Pactos por la innovación. El Programa Alianzas para la Innovación, fase inicial de esta estrategia, ha tenido como propósito impulsar la cultura de la innovación. La Cámara de Comercio de Manizales por Caldas ha liderado la implementación de este programa en el departamento. El análisis de los impactos de este programa se ha efectuado mediante una investigación aplicada de tipo explicativo, con el apoyo de investigadores de la Universidad Autónoma de Manizales. Para su desarrollo, fue diseñado y validado un instrumento para la recolección y análisis de la información, a partir de los lineamientos de la guía de Ruta de la Innovación definida por Confecamaras. La técnica de investigación de entrevista en profundidad fue aplicada a los directivos de las empresas para la recopilación de la información primaria.  Este estudio muestra los resultados para las empresas del Sector Solidario. Los impactos del programa Alianzas para la Innovación; las Actividades de Ciencia, Tecnología e Innovación (ACTI); los beneficios, impulsores y barreras para la innovación; el avance en los componentes de innovación y las brechas en la Gestión de la Innovación fueron objeto de análisis.  Las estrategias para el cierre de brechas en este estudio de caso ilustran la necesidad de impulsar estos programas de fomento de cultura y mentalidad innovadora, generación de capacidades en el talento humano para la innovación, consolidación de la estrategia y de los procesos de gestión de la innovación, así como la promoción de proyectos de innovación social.
Evaluación del tratamiento preliminar y primario para las aguas residuales del procesamiento industrial de alimentos en La Grita (Venezuela)
Authors: Pimiento Kleiver , Cárdenas Marcos José
Published: October 2020

Introducción: La crisis venezolana ha disminuido la producción industrial, con la consecuente merma en el caudal y cambios en la calidad de las aguas residuales que se generan, afectando los sistemas de depuración de efluentes.
Objetivo: Evaluar los tratamientos preliminares y primarios del agua residual en una industria de alimentos ubicada en Táchira (Venezuela) y presentar alternativas de mejora.
Metodología: Se evaluaron el tanque de bombeo, homogeneizador y flotación por aire disuelto (DAF). Para ello se tomaron muestras de agua y se determinaron parámetros de calidad, los cuales se compararon con lo previsto en el diseño. Se realizaron cálculos para verificar parámetros técnicos del diseño y de la literatura.
Resultados: El caudal tratado oscila entre 0,95 y 2,84 L/s, versus los 12,16 L/s del diseño. Esto ha aumentado el tiempo de retención en las unidades de tratamiento, lo cual, a su vez, disminuye el pH del agua desde 6,10 ± 0,23 hasta 5,34 ± 0,23 por la ocurrencia de procesos anaeróbicos, afectándose la coagulación. El DAF es eficiente y disminuye 79% los SST y un 62% la DBO5,20, pero remueve el N y P hasta 2,5 ± 1 mg/L y 9 ± 4 mg/L, respectivamente, resultando insuficiente la relación de nutrientes necesaria en el tratamiento biológico.
Conclusiones: El diseño del sistema de tratamiento tuvo como error la calidad teórica del agua que se asumió. La merma de caudal afecta el tratamiento preliminar y primario. Se deben tomar medidas de mejora en la coagulación y floculación del DAF.
Geðræn líðan íslenskra ungmenna: Tengsl við vinnu með skóla?
Authors:   Faculty of sociology, anthropology and folkloristics, University of Iceland, Einarsdóttir Margrét , Snorradóttir Ásta ,   Faculty of Social Work, University of Iceland
Published: October 2020

INTRODUCTION: Adolescent mental health problems have increased in recent years, and such problems may predispose the adolescent to long-term mental illness in adulthood. In past decades it has become more common for Icelandic teenagers to work while attending school (term-time work). Nevertheless, research is missing on the association between the level of termtime work and mental health. The aim is to examine the association between six types of mental symptoms (tiredness after an adequate night's sleep, difficulty sleeping, depression, stress/anxiety, worries/sadness, and multiple symptoms) and level of term-time work, by gender, age, and family's financial status. MATERIAL AND METHODS: A survey applying a Nordic questionnaire based on self-assessed mental symptoms, was conducted among 2800 randomly selected adolscents, aged 13-19. The response rate was 48.6%. Participants were asked how often they felt symptoms of poor mental health. They were divided into three groups consisting of: non term-time workers, moderate term-time workers, and intensive term-time workers. A Chi-square test was used to test statistical significance: 95% confidence interval (CI). RESULTS show gender difference in the association between level of term-time work and the mental symptoms. Intensive female workers are more likely to suffer symptoms of poor mental health than female non-workers, but no relationship was examined amongst boys. Furthermore, some association between term-time work and poor mental health is found amongst 13-15-year-olds, and for those whose parents are financially well-off. CONCLUSION: It is important that all stakeholders promote that term-time work of adolescents is moderate and that the young people themselves receive occupational health and safety education to be better able to understand the connection between work and mental health.
Lifrarbólguveira E: Umræða um tvö íslensk tilfelli
Authors:   Department of internal medicine, Landspítali University Hospital Reykjavík, Iceland., Ólafsdóttir Marta , Löve Athur ,   Department of Virology, Landspítali University Hospital Reykjavík, Iceland., Jónasson Jón Gunnlaugur ,   Department of pathology, Landspítali University Hospital Reykjavík, Iceland., Björnsson Einar Stefán ,   Department of gastroenterology, Landspítali University Hospital Reykjavík, Iceland.
Published: October 2020

Hepatitis E is a viral disease that is usually transmitted through contaminated drinking water and most often causes a self-limiting infection that does not require specific treatment. It is common in India and has caused outbreaks in Asia, Africa and Mexico but has very rarely been diagnosed in Iceland. We describe two cases of hepatitis E diagnosed in Iceland in the last year.
Computational and Numerical Modeling for Classification of Water Quality of Lake
Authors:   the College of Computer and Information Science at Malayan College Laguna, A Mapua School, Pulo-Diezmo Road, Cabuyao, Laguna, Philippines, Ebron Jonalyn G. , Leon Rommel Ivan D. De , Alejandro Arviejhay D. , Amoranto Basaron A.
Published: October 2020

In this study, the Multivariate Linear Regression (MLR), Artificial Neural Network (ANN), k-Nearest Neighbour (kNN), and Support Vector Machine (SVM) models had been developed to simulate and to predict the water quality of Laguna Lake. The input variables for the MLR model had been determined through linear regression. The ANN, kNN, and SVM had been modelled per water quality parameter with cross validation and evaluated through its accuracy. The performance of the MLR models had been evaluated with the statistical metrics R-squared, Mean Absolute Error, and Root Mean Square Error. A web-based water quality monitoring had been developed to incorporate in their monitoring. The results had indicated that the performance of SVM is superior in the prediction of classes in most water quality parameters. The study results had shown that the poor correlation between the water quality parameters indicated that the data cannot be modelled. The results had shown that the correlation had not reached the threshold to be significant of 60% for R-squared. As per the classification models, the results of the comparison had shown that SVM had been the best model in the majority of parameters.
The impact of mental illnesses on the clinical manifestations of COVID-19 patients
Authors: Alipour Rasoul , Hashemi Seyed H. , Mikaeili Fariba
Published: October 2020

Background: The underlying medical conditions with COVID-19 patients may affect the clinical symptoms, morbidity and mortality. Due to the high prevalence of mental illnesses and their impact on inflammatory processes and pulmonary function, we evaluated the impact of depression and anxiety as the highest prevalence of mental illness on clinical manifestations of COVID-19 patients.Methods: A questionnaire form about past medical history completed for the COVID-19 patients. Patients with underlying depression and anxiety excluded and compared with the patients without comorbidities of medical or mental conditions in terms of the common clinical manifestations.Results: Total out of the 560 patients reviewed, 174 patients had no history of any disease (named as group A). 39 patients had the history of depression only and 45 patients had the history of anxiety only (respectively named as groups B and C). There was a high and meaningful frequency of feeling dyspnea (p value <0.001), tachycardia (p value <0.001), tachypnea (p value<0.001), cough (p value <0.001) and chest pain (p value <0.001) in groups B and C compare to Group A. In other clinical manifestations, there was not any significant difference among three groups (p value >0.05).Conclusions: Comorbidity of depression and anxiety may affect the clinical symptoms in patients with COVID-19. Respiratory symptoms (e.g., cough, tachypnea and feeling dyspnea), tachycardia and chest pain are the more manifested symptoms in the patients with depression and anxiety and may be due to their underlying disease. The impact of mental illnesses on morbidity and mortality of COVID-19 patients remains unclear and requires further studies.
Measurement of normal optic nerve for Sudanese pediatric using magnetic resonance imaging
Authors: Ahmed Rihab A. Yousif , Suliman Awadia G. , Abdullah Abdulmalek Y. , Mohammed Alrayah A. , Abdulghani Amna R. , Aodalkream Esra N. , Altejany Namarig A. , Edriss Yasir M.
Published: October 2020

Background: Much congenital and intracranial pathology may affect optic nerve (ON) and caused increased or decreased in size, so the measurement is crucial and aiding in diagnosed of some neurogenic and endocrine disorders. The aim of this study was to measure the normal ON length and diameter by magnetic resonance imaging among pediatric at Khartoum state Sudan.Methods: This was descriptive, cross section study,  done in 100 Sudanese pediatrics with age from 1 month to 15 years came to Magnetic resonance imaging (MRI) department for MRI brain at three hospitals in Khartoum state  (Al-Amal national hospital, Al-Zaitona hospital and Modern Medical Center) during the period from December 2019 to March 2020, all of patients had no pathological or medical condition that may affect the orbits and optic nerve (OON), any child with and medical condition or pathology related to orbits excluded from study sampling. The data were collected by data collection sheet designed especially for this study then analyzed.Results: The study found that the mean diameter of ON was 2.06±0.44 mm, the mean length of right ON was 31.54±4.11 mm, there is no significant different in measurement between males and females (p>0.05), there was strong significant correlation between ON length and diameter with children age (r=0.592**, 0.654**, p<0.001 respectively).Conclusions: The study concluded that there was strong correlation between right and left ON diameter and length with age.
Efficacy of metronidazole to prevent active pulmonary tuberculosis in people living with HIV/AIDS on highly active anti-retroviral therapy: a prospective cohort study
Authors: Suryana Ketut
Published: October 2020

Background: People living with HIV/AIDS (PLWHA) were more susceptible of Active Pulmonary Tuberculosis (APT) than non-PLWHA. Whether Metronidazole Preventive Therapy (MPT) may prevent APT, remain unclear. The objective of the study was to investigate efficacy of MPT and other associated risk factors of APT among PLWHA on Highly Active Anti Retroviral Therapy (HAART).Methods: A prospective cohort study included 182 PLWHA on HAART and asymptomatic tuberculosis (TB), 62 received MPT (first group) and 120 PLWHA did not receive MPT (second group). APT were diagnosed among the first group (4 participants) and the second group (26 participants). Monthly visit to replenish pills and to confirm APT. Efficacy of MPT to prevent APT, socio-demography and laboratory, were analyzed using Chi-square with significancy p<0.05.Results: Of 112 participants (62.20%) were males, 70 (37.80%) females, mean age (year) 37.31±9.83. Four (2.20%) of participants (first group) and 26 (14.47%) (second group) were confirmed APT (p=0.003). In bivariate analysis, sex (p=0.020), alcohol consumption (p=0.000); smoking (p=0.000), CD4 cell counts (<70 cell/µl) (p=0.001), previous history of TB (p=0.000) were the significant factors associated with APT. Participants who received MPT had a significantly lower risk of APT than participants who did not receive MPT (p=0.003). Other factors; weight, Hb, WBC, neutrophil, lymphocyte, Neutrophil Lymphocyte Ratio (NLR) were not significantly associated with APT.Conclusions: We found, a significant protective effect of MPT, prevent APT. Other significant associated risk factors of APT were sex (male), smoking, alcohol consumption, previous TB history, lower CD4 counts.
Evaluation of the relationship of disease activity with neutrophile to lymphocyte ratio and platelet to lymphocyte ratio in patients with peptic ulcer and gastritis
Authors: Gulbagci Burcu , Sametoglu Fettah , Cengiz Hasret , Varim Ceyhun
Published: October 2020

Background: Dyspepsia is a confusing complaint in terms of patient approach and management. Since the most important clinical diagnoses that occur with dyspeptic complaints are gastroduodenitis, peptic ulcer disease and gastric-esophageal cancers, endoscopic evaluation method is often preferred in the diagnosis. It has been shown that NLR (neutrophil to lymphocyte ratio) can be an important marker in many chronic systemic diseases, especially malignancies. Since upper gastrointestinal endoscopy is an invasive and costly procedure, NLR and PLR (Platelet to lymphocyte ratio) may be useful as a new marker to help in the diagnosis of gastritis and peptic ulcer. In our study, we aimed to investigate how NLR and PLR changes seen in patients with gastritis and peptic ulcer diseases.Methods: A total of 906 patients who applied to the internal medicine clinic of our hospital between January 2016 and September 2017 were included in the study. The demographic data, drugs, endoscopy and biopsy results and hemogram parameters of the patients were obtained from the outpatient clinic records. NLR and PLR values were calculated and statistically interpreted.Results: According to the endoscopy results, a total of 906 patients with 311 (34.3%) gastritis, 288 (31.8%) peptic ulcer and 307 (33.9%) normal findings were included in to the study. Male to female ratios were 55% to 45% in gastritis patients, 55,6% to 44,4% in peptic ulcer patients and 53,4% to 46,6% in normal subjects. The median age of the patients was 50 years (18-82 years). The median NLR and PLR ratios were 1.82 (0.54-8.35) and 107.8 (46.27-446.43) in the gastritis group, 1.9 (0.61-9.86) in the peptic ulcer group and 110.95 (44.03-340.65) and 1.71 (0.56-12.89) and 106.02 (40.41-397.62) in the normal group. While a significant difference was obtained between the groups in terms of NLR ((p=0.048), no significant difference was found for PLR (p=0.422).Conclusions: In our study, a statistical significant difference was found between patients with gastritis and peptic ulcer and normal subjects in terms of NLR, but this difference was not at a level that could be used in clinical practice.
Study on correlation between six minute walk test and BODE index in chronic obstructive pulmonary disease patients
Authors: Bansiwal Babulal , V. Anees K. , Jelia Maneesha , Agarwal Satyam
Published: October 2020

Background: Chronic obstructive pulmonary disease is preventable and treatable disease with progressive persistent airflow limitation and enhanced chronic inflammatory response in the airways. Indian council of medical research conducted a study and found that total burden of COPD in India has more than doubled to about 14.84 million in 2011 from about 6.45 million in 1971Methods: It was an open label cross sectional study. It was conducted on patients attending the outpatient department of respiratory medicine, new medical college and hospital, Kota, over a period of one year. 100 COPD patients attending the respiratory outpatient department of GMC, Kota and fulfilling the inclusion criteria’s were included in the study. A diagnosis and severity of COPD was established by clinical symptoms and spirometric data as per GOLD guideline (ratio of FEV1 and forced vital capacity <0.7).Results: We found a significant negative correlation (Pearson correlation coefficient r = -0.664, p< 0.001) between 6 MWD and BODE index in study population.Conclusions: Thus, we concluded that the functional exercise capacity of COPD patients measured by 6MWT deteriorates linearly with severity of the disease assessed by the GOLD staging criteria. Hence we can use 6 MWT for assessing the severity of COPD in place of spirometry where the facility of spirometry is not feasible.
Knowledge and perception of postmenopausal women towards menopause
Authors: Ismail Haamid , Fayaz Farhana , Ismail Nadia
Published: October 2020

Background: Aim of the research was to study the knowledge and perception of postmenopausal women towards menopause.Methods: It was a cross sectional study which was carried at outpatient department of psychiatry, Government medical college, Srinagar over a period of 3 months. Participants who fulfilled the inclusion criteria of the study were evaluated on a semi-structured proforma for demographic variables, knowledge and attitude towards menopause.Results: A total of 120 postmenopausal women were included in our study. Mean age of study population was s 54.5±8.6 years. Majority of women belonged to rural background (80.0%) in the age group of 51-60 years (58.3%), married (78.3%), having 1-3 issues (53.3%) and had received no formal education (67.5%). Menopause was natural in (80.8%) of women and (19.2%) had surgical menopause. 85% of study population had heard about menopause at the time their periods stopped mostly from family elders and friends. 45% had knowledge about the age of the menopause, while as only (20.8%) were aware about the symptoms of menopause. 56.6% of study population were having positive perception about the menopause.Conclusions: Majority of our women were unaware of menopausal symptoms. Most of them considered it as a natural process of aging and thus were having a positive perception about the menopause.
Effect of frequent hand washing for COVID-19 prevention
Authors: Kumar Raj , Kumar Sweta S. , Kumar Adesh , Jain Prateek
Published: October 2020

Background: Coronavirus disease 2019 (COVID-19) has become a global public health concern. While dealing with COVID-19 pandemic, hand washing and the use of hand-hygiene products has been advocated, as a preventive measure. However, frequent hand washing leads to an increased risk of skin changes ranging from dryness and peeling of skin to itching, redness and blister formation. This study aims to understand the hand-hygiene practices and compare side effects between group using hand sanitizers with the group using soap with water.Methods: A 12-item self-administered close ended questionnaire assessing the hand washing habits and effect of the same on skin was used. A total of 60 cases were enrolled. The correlation between use of hand hygiene measures and the clinical changes was studied.Results: In our study, 32 out of the 60 reported a frequency of hand washing between 5-10 times a day. The awareness about using hand moisturizer was noted in 75% individuals. Side effects were more commonly observed in group B using alcohol-based sanitizers as compared to group A using soap with water. Dryness was the most common symptom, observed in 23.3% individuals using alcohol-based sanitizers and 10% individuals using soap with water.Conclusions: Hand-hygiene measures remain the cornerstone of prevention of COVID-19 transmission. However, the use of hand-hygiene products is associated with side effects especially dryness. Regular use of hand moisturizer is essential in preventing the unnecessary effects of frequent hand washing.
Introducing and assessment of FAIR principles of education in teaching biochemistry to I year MBBS students
Authors: Jain Suman , Mahajan Neeraj , Sogani Sonal , Bapna Anju
Published: October 2020

Background: Recent curriculum is theory based where students just mug up and reproduce in exam with less understanding. It is Exam and marks oriented education. Students show less interest in classes. Presently FAIR (Feedback, Active learning, Individual learning and Relevance) principles of application are practically missing, according to this model students will be naturally motivated to learn. Students will take more responsibility for their own learning. By applying these principles we will improve the effectiveness and efficiency of learning and enhancing learning among students. The objective was to design an effective educational strategy using certain principles of education such as FAIR.Methods: The first batch of the Integrated Curriculum students of the I MBBS program formed the study population. Certain principles of education such as Feedback, Active learning, Individualization of learning and relevance that have been advocated for use to enhance learning, were applied in educational strategies for the implementation of the Integrated Curriculum.Results: By Implementing the FAIR model of integrated curriculum the scores obtained during evaluation and the positive student response validated the enhancement of learning objectively and subjectively.Conclusions: Our collective experience convinced us that designing a curriculum with FAIR model was well worth. 95% students felt it is advantageous with negative perception 35% of students, they felt lengthy and time consuming.
Knowledge, attitude, and practices in response to COVID-19 pandemic in Indian population
Authors: Vyas Himali , Goyal Raunak , Meena Jitendra Kumar , Mathur Medha , Yadav Arvind
Published: October 2020

Background: The World Health Organization (WHO) had reported COVID-19 disease as a pandemic in March 2020, following which India witnessed more than 29,451 cases on 29th April. Correct knowledge about the disease, the right attitude, and response to infection control recommendations among people is of utmost importance to limit the contagion.Methods: A Cross-Sectional, web-based online study was conducted for five days. The responses (N= 1231) were collected across social networks using snowball sampling. The survey questionnaire assessed the knowledge, attitude, and practical aspects of participants for COVID-19. Knowledge items assessed the causative agent of COVID-19, it’s clinical symptoms, routes of transmission, preventive measures etc. Positive or negative attitudes towards mask usage and restriction compliance were assessed. Socio-demographic data and scores were de-identified and analyzed using appropriate statistical tests.Results: The mean age of participants (N=1231) was 32.3±13.7 years and 60.9% were males. High knowledge years and 60.9% participants were males. High knowledge accuracy rate of 84.5% and a mean score of 10.19±1.6 out of 12 was observed. Mean attitude and practice scores were 2.33±0.66 (3) and 1.97±0.16 (2) respectively. A significantly higher knowledge status was observed among females, medical workers, students, and homemakers. Similarly, better attitudes were noticed in males, adults (30-60 years), graduates, and those in job/service. As for practices, no such difference was noticed as more than 98% of participants were compliant to lockdown restrictions and practiced proper distancing and personal hygiene measures.Conclusions: Satisfactory awareness and response were observed owing to the public awareness campaign. Knowledge gaps, poor attitudes, and prevailing myths need to be addressed through targeted communication strategy.
Intrathyroid parathyroid adenoma: report of two cases and literature review
Authors: Acuna Pinzon Camilo Levi , Valencia Eduardo Morales , Condoy Jefferson Nieves , Zuniga Vasquez Luis Abraham , Sotelo Arturo Jorge
Published: October 2020

Approximately 80% of patients with primary hyperparathyroidism have a parathyroid adenoma, with surgery being the only definitive treatment. Sometimes in surgery there is difficulty in identifying the pathological parathyroid gland at which time the possibility of ectopic parathyroid should be considered. We present two cases of patients which after hemithyroidectomy histopathological report, reported intrathyroid parathyroid adenoma. Intrathyroid parathyroid adenomas are an infrequent presentation of parathyroid adenomas that require high clinical suspicion if they are not detected by imaging studies in the preoperative period.
Serial casting for severe spastic cerebral palsy followed by single-event multilevel surgery
Authors: Sananta Panji , Saputra Tofan M.D. , Dradjat Respati S.
Published: October 2020

Casting has been used as an adjunct therapy in Cerebral palsy (CP) management. Serial casting is used to inhibit overactivity of plantarflexors, aiding surgical preparation. Currently, the surgical management of CP is done by Single-event multilevel surgery (SEMLS). We aim to report a successful case of adolescent CP treated with SEMLS with prior serial casting. An 18-year-old woman complained of difficulty walking on her feet. The patient used the back of her foot to walk since she was 4-year-old. The patient was premature with birth weight of 1300 grams. She had history of seizure when she was 8-months old. She was diagnosed with clubfoot due to CP. She underwent 3 serial castings in the course of 9 weeks. Serial casting followed by SEMLS could be an effective measure to treat adolescent CP.
Synchronous dual malignancy: a rare case report of carcinoma breast with carcinoma gall bladder
Authors: Das Biswajyoti , Pasricha Rajesh , Joseph Deepa , Pandey Laxman , Singh Pragya , Krishnan Ajay S. , Paul Pranoy , Gupta Manoj , Ravi Bina
Published: October 2020

Incidence of multiple primary cancers is reported to be between 0.18% to 17.2% in various studies. Occurrence of breast and gall bladder malignancy as synchronous malignancy is very rare. We are reporting one of such rare case. Our patient, a 64 years old lady had a unique presentation. She underwent laparoscopic cholecystectomy for a clinical diagnosis of cholelithiasis. Histopathology turned out to be adenocarcinoma of the gall bladder (Stage II A). A clinical examination done at the time of presentation to our institute revealed suspicious thickening of the skin of the left breast and a subsequent tru-cut biopsy revealed infiltrating ductal carcinoma. Hormone receptor immunohistochemistry revealed oestrogen receptor (ER) negative progesterone receptor (PR) negative and Her2neu negative tumour. Further evaluation revealed a widespread metastatic disease. She was treated with palliative radiotherapy, chemotherapy and zolendronate. She had an aggressive clinical course and succumbed to her illness within four months after diagnosis of dual malignancy. There is a high incidence of gall bladder carcinoma along the Gangetic belt of Northern India. Presence of dual malignancy with gall bladder carcinoma as one primary in these geographic location needs to be further explored for sporadic environmental factors or other genetic alterations as possible causative factors.
Immunoglobulin G4-related disease - diagnostic dilemma and importance of clinical judgement: a case report
Authors: Chandrasekaran Jagadeesh , Machiraju Phani Krishna
Published: October 2020

Immunoglobulin G4 (IgG4)-related disease is a multi-organ, immune-mediated, fibro-inflammatory disorder characterized by tumefactive masses in the affected organs. Incidence and prevalence of IgG4-related disease (RD) are not clearly known and have slight male preponderance. It often involves multiple organs at the time of presentation or over the course of disease mimicking malignancy, Sjogren's syndrome, antineutrophil cytoplasmic antibodies associated vasculitis, infections. A thorough workup is needed to rule out these mimickers. A 33-year-old gentleman presented to us with history of progressive swelling in the right peri-orbital region for four years. On evaluation, abdominal imaging was notable for the sausage-shaped pancreas and hypoenchancing nodules in bilateral kidneys. Histological examination of right lacrimal gland revealed lymphoplasmacytic infiltrate and storiform fibrosis. Serum IgG4 levels were normal, and immunostaining was negative. A diagnosis of IgG4-RD was suggested because of multi-organ involvement, classical radiological and histopathological features. Awareness about IgG4-RD, an under-recognized entity is essential, as it is treatable, and early recognition may help in a favourable outcome. Appropriate use of clinicopathological, serological and imaging features in the right clinical context may help in accurate diagnosis. Elevated serum IgG4 levels and biopsy are not mandatory for the diagnosis.
Very late (>5 years) thrombus formation on an atrial septal defect device: a case report
Authors: Bolinera Sudheer Venkata , Soma Srinivas , Reddy Sanivarapu Srinivasa , Pamidimukkala Vijaya , Naronha Michael , Gali Deepti , Khamkar Vikas Somnath , Rachaputi Muralibaburao , Polavarapu Anurag , Polavarapu Naren , Gangasani Sirichandana , Byrapaneni Sravanthi , Chilukuri Meghana , Polavarapu Raghava Sarma
Published: October 2020

Though percutaneous transcatheter atrial septal defect closure with newer generation occluder devices is a standard treatment at present, these devices have significant long-term risks (>1 year) associated with such as thrombus formation. Here, we present a case of 28 year-old patient presented with few symptoms and had a history of ASD device closure using amplatzer septal occluder device five years back. The patient was found to have a large thrombus (30×33 mm) attached to the device which was managed using anticoagulants and patients was advised for regular echocardiographic follow-up.
A rare case of deep vein thrombosis in upper extremity: a case report
Authors: Sheerazi Mohammed Adnan , Khan Furqan Mohd. Akram
Published: October 2020

The incidence of deep vein thrombosis (DVT) in upper limb is less common as compared to lower extremities. There were no institutional screening protocols for patients at risk of DVT in upper limb. Hence this case report was presented to describe the features of upper limb DVT.
Appendiceal mucinous cystadenoma: a case report and review of the literature
Authors: Fuentes Huber Diaz , Méndez Adriana Teresa Cruz , Carrillo Angelita Fernández , Moguel Héctor Omar Márquez
Published: October 2020

Appendicular mucocele is a low incidence neoplasm with a frequency of 2 cases per 10,000 laparotomies. It is found in 0.2 to 0.3% of all appendectomies, with a higher incidence in women after the fifth or sixth decade of life. It is considered a benign lesion, although in some occasions, approximately 20% of cases it is associated with neoplasms of other intra-abdominal organs. Authors present the case of a 88-year-old patient with clinical findings consistent with acute appendicitis resolved with a simple appendicectomy based on the macroscopic findings during surgery.
A review article on swine flu
Authors: Himani  , Anand Abhinav , Barwal Amit , Qadrie Zulfkar Lateif , Gautam Surya Prakash
Published: October 2020

Swine flu, also called Hog or Pig Flu, is a contamination because of someone of the several forms of Swine Influenza Virus (SIV). It is common place through pig populace worldwide. Until now only folks were inside the direct contact with pigs were found to get swine flu. But, H1N1 virus is a brand new swine flu virus and it includes the genetic material of swine, hen and human influenza virus. H1N1 influenza or swine flu is a contagious disease this is as a result of the influenza virus. Infection with the H1N1 influenza virus can bring about intense illness and lifestyles threatening complications. Symptoms of H1N1 flu are similar to the ones of the common place flu and scientists are actively reading the scenario to better recognize its variety of signs and how it is spread. The intensity of this disorder may be lowered with the aid of diagnosing and taking proper treatments.
Deep Neural Networks with Transfer Learning Model for Brain Tumors Classification
Authors: Bulla Premamayudu , Anantha Lakshmipathi , Peram Subbarao
Published: October 2020

To investigate the effect of deep neural networks with transfer learning on MR images for tumor classification and improve the classification metrics by building image-level, stratified image-level, and patient-level models. Three thousand sixty-four T1-weighted magnetic resonance (MR) imaging from two hundred thirty-three patient cases of three brain tumors types (meningioma, glioma, and pituitary) were collected and it includes coronal, sagittal and axial views. The average number of brain images of each patient in three views is fourteen in the collected dataset. The classification is performed in a model of cross-trained with a pre-trained InceptionV3 model. Three image-level and one patient-level models are built on the MR imaging dataset. The models are evaluated in classification metrics such as accuracy, loss, precision, recall, kappa, and AUC. The proposed models are validated using four approaches: holdout validation, 10-fold cross-validation, stratified 10-fold cross-validation, and group 10-fold cross-validation. The generalization capability and improvement of the network are tested by using cropped and uncropped images of the dataset. The best results for group 10-fold cross-validation (patient-level) are obtained on the used dataset (ACC=99.82). A deep neural network with transfer learning can be used to classify brain tumors from MR images. Our patient-level network model noted the best results in classification to improve accuracy.
Do Representatives Represent you?
Authors: S Lemmens , Balen V Lopes van , R De Vries , L Scheepers , M Spaanderman
Published: October 2020

Introduction: Representation by a small group of chosen representatives is a common used strategy for decision making within a large heterogeneous group of people. In hospital and first-line setting, we measured the level of representatives-peers agreement for representatives that were selectively chosen by peers and those that were randomly selected.Method: Professionals working in hospital-obstetric and first-line midwifery domains, 23 representatives and 114 represented peers, gave their opinion on obstetric topics by ranking 681 statements on a 10-point Likert scale. Correlations between representatives and peers scores were assessed with Bland-Altman difference plots. Level of agreement was evaluated by area under the curve (AUC) of the difference in statement score.Results: Statement scores of chosen representatives correlated well with their peers (r = 0.91). Fifty percent of representatives and peers scores differed less than 1.9 point. The average representative-peers agreement was 77%. Selectively chosen gynecologists and midwives showed comparable levels of agreement (gyn AUC 0.77 vs. mid AUC 0.75, p = 0.105), whereas randomly selected professionals tend to differ in professional view (gyn AUC 0.80 vs. mid AUC 0.74, p = 0.052). The selection method led to no differences within the group of gynecologists (chosen AUC 0.77 vs. random AUC 0.80, p = 0.220) and midwives (chosen AUC 0.75 vs. random AUC 0.74, p = 0.859).Conclusion: Decision making by representatives within a diverse group of professionals, largely reflects the opinion of their peers. The selection method of representatives and the professionals’ working environment do not statistically affect the level of representative-peers agreement.
ACCELERATING DIGITALISATION IN BUSINESS PRACTICES FOR SOCIAL VALUE CREATION: A PERSPECTIVE FROM MALAYSIA
Authors: Syuhada Jasni Nur , Yusoff Haslinda
Published: October 2020

Purpose: The purpose of this study is to investigate the business practices in both; accelerating digitalisation and addressing social issues among Malaysian companies.

Methodology: This study uses a sample consisting of four top telecommunication companies listed in the Bursa Malaysia. This study provides relevant literature on the social value creation concept from the corporate perspective. Besides, content analysis is used to extract relevant information from the particular sustainability report of the companies.

Results: Results indicate that three out of four companies in the sample are very proactive in embracing the social value creation concept that aligned with national objectives and Sustainability Development Goals (SDG). Although, similarly, all companies addressed providing rural and urban poor communities’ digitalisation assistance as their social contributions.

Implications: These results reveal input on the integration of accelerating digitalisation and addressing social issues, that focusing on social value creation. Management should understand that the financial implications has become an important component of social projects in line. Hence should establish effective strategic business strategy towards Integrated Reporting (IR) 4.0 that in reality has significant impact on the society and country.
COVID-19’S IMPACT ON THE HIGHER EDUCATION SYSTEM IN JORDAN: ADVANTAGES, CHALLENGES, AND SUGGESTIONS
Authors: S Haider Ahmad , Al-Salman Saleh
Published: October 2020

Purpose of the study: The present study surveys the reactions of university-level faculty members in Jordan towards their experience with COVID-19's emergency online learning model. It primarily investigates the advantages of switching to online learning, challenges faced, and suggestions for improving the teaching-learning process.
Methodology: The study is based on empirical data compiled from the responses of 432 instructors in six Jordanian public and private universities. The data collection instrument consists of a structured open-ended questionnaire, which comprises three constructs: challenges, advantages, and suggestions for improvement. Similar responses were combined in thematic categories and were calculated to obtain frequencies and percentages.
Main Findings: Concerning the advantages, e-learning enabled instructors to use new effective teaching tools and acquire new skills. The challenges were mainly related to technology and the Internet, assessment, interaction, and lack of clear vision and regulations by policymakers. Instructors suggested providing better technical support; blending online with traditional learning; offering more training, and improving the assessment tools and designing new ones.
Applications of this study: This study is useful for educational leaders and policymakers providing guidance and insights on how higher education institutions have responded to this global health emergency, and how they managed to meet the evolving needs of students and staff. Consequently, the higher education sector should be prepared to operate more efficiently and effectively for any future emergencies.
Novelty/Originality of this study: While different studies have investigated the impact of COVID-19 on the education sector globally, little attention has been given to developing countries in the Middle East. To this end, the present study focuses on how COVID-19 has been effective in reshaping and revolutionizing the higher education paradigm in Jordan through highlighting the advantages, challenges, and subsequent suggestions for improvement.