bluuebunny/crossref_metadata_2025 huggingface dataset:
Direitos linguísticos e barreiras na integração social da comunidade surda com a ouvinte
Authors: De Sousa Costa Ana Paula , Pereira Cássio Luz
Published: March 2023

Esta pesquisa realiza um estudo sobre os direitos linguísticos da comunidade surda e das barreiras comunicacionais entre este público e o público ouvinte. Para isto foram considerados aspectos históricos, as perspectivas de análise do conceito de surdez e a normativa nacional e internacional que versa sobre os direitos linguísticos e de comunicação. Logo, o trabalho possui como objetivo geral analisar a legislação referente aos direitos linguísticos da comunidade surda e como as barreiras comunicacionais influenciam diretamente na integração entre surdos e ouvintes. A pesquisa ora proposta se utiliza para sua consecução dos métodos bibliográfico, o qual recorre a livros, artigos científicos, dissertações de mestrado e teses de doutorado que versam sobre o assunto, e documental, na qual são consultadas legislações nacionais e internacionais referentes ao tema.  Deste modo, através da realização de análises teóricas e jurídicas, buscou-se refletir sobre as barreiras comunicacionais que obstam o direito à comunicação por este público e verificou-se que este direito resta prejudicado pela carência de políticas públicas educacionais para a propagação massiva da Libras.
O fluxograma como potencializador do atendimento nutricional na Estratégia Saúde da Família
Authors: Tomais Parente Kelle Maria , Plácido Nogueira Arcanjo Francisco , Teixeira de Sousa Francisco Leonardo , Valdicélio Ferreira Francisco , Conrado Aragão Neto Jaime , Tomais de Souza Kelvia Maria , Albuquerque Mendes Lia
Published: March 2023

Objetivou-se potencializar a assistência nutricional da Estratégia Saúde da Família(ESF) de Sobral-CE, através da elaboração do fluxograma analisador. Trata-se de uma pesquisa do tipo intervenção de abordagem qualitativa, realizada com 11 Nutricionistas. Realizou-se a intervenção em 3 passos, com a dinâmica de acolhimento com a percepção do conhecimento e experiência prévia dos participantes, em seguida a dinâmica da troca de segredos, e por último a montagem através de quebra cabeça do fluxograma, para a coleta de dados foi utilizado diário de campo e Smartphone para registro de voz. Para a interpretação das informações utilizou-se a Análise Temática de Conteúdo e a categorização. Desta forma foram elaborados 4 temas com base na experiência dos nutricionistas. Logo após teve a construção do fluxograma através de 3 perguntas norteadoras. Conclui-se que foi desenvolvido o fluxograma, analisou-se as principais experiências do processo de trabalho dos Nutricionistas da ESF e ocorreu a construção coletiva do fluxograma analisador da produção do atendimento nutricional na ESF, sendo uma ferramenta exclusiva para os Nutricionistas deste nível de atenção no município.
Wayfinding design em ambientes hospitalares de emergências pediátricas: revisão sistemática de literatura
Authors: Bara Guilherme Gattás , Santos Fernanda Mendes de Vuono , Freitas Sydney Fernandes de
Published: March 2023

O objetivo geral de pesquisa é elaborar um conjunto de informações para que os pesquisadores/ especialistas possam utilizar em estudos e projetos de wayfinding design, relativos às situações de orientabilidade espacial em ambientes de saúde, com enfoque pediátrico. Como se enquadra nas tipologias exploratória e quali quantitativa, utilizou-se na metodologia, o instrumento de coleta de dados denominado Revisão Sistemática da Literatura (RSL). Nos resultados, os dados obtidos foram categorizados em três categorias principais denominadas: Conceitos de wayfinding; Wayfinding design; Wayfinding em hospitais. A partir dessas, também foram conceituados termos derivados. As considerações finais indicam que as revisões de sistemáticas de literatura possibilitaram identificar e sistematizar as principais produções acadêmico científicas de áreas afins, resultando em um conjunto de publicações que podem fundamentar de forma teórica e procedimental pesquisas futuras e, também, aplicações práticas.
ANALISIS REGRESI LOGISTIK ORDINAL TERHADAP FAKTOR-FAKTOR YANG MEMPENGARUHI WAKTU TUNGGU KERJA ALUMNI MATEMATIKA FST UIN SYARIF HIDAYATULLAH JAKARTA
Authors: Inna Suma , Mariana Dina , Mahmudi Mahmudi , Manaqib Muhammad
Published: March 2023

Penelitian ini membahas faktor - faktor yang mempengaruhi waktu tunggu kerja alumni Matematika FST UIN Syarif Hidayatullah Jakarta. Data yang digunakan adalah data Tracer Study alumni angkatan 2002-2012. Dari data tersebut, diambil beberapa faktor yang diduga mempengaruhi waktu tunggu kerja yang menjadi variabel independen yaitu jenis kelamin dengan kategori laki-laki dan perempuan; lama studi dengan kategori tepat waktu dan tidak tepat waktu; Indeks Prestasi Kumulatif (IPK) dengan kategori baik, amat baik, dan cumlaude;  kompetensi alumni yang terdiri atas bahasa inggris, keterampilan komputer, kemampuan berkomunikasi, berpikir kritis, kepemimpinan, kemampuan dalam memegang tanggung jawab; loyalitas dengan kategori sangat rendah, rendah, cukup tinggi, tinggi dan sangat tinggi. Untuk menentukan faktor-faktor yang mempengaruhi masa tunggu kerja digunakan model regresi logistik ordinal dengan variabel dependen waktu tunggu kerja (WT) diklasifikasikan menjadi tiga, yaitu cepat, sedang dan lambat. Dari analisis data diperoleh bahwa faktor yang signifikan mempengaruhi WT adalah Lama studi dengan kategori ”tidak tepat waktu”, dan Tingkat penguasaan Bahasa Inggris Alumni kategori “tinggi”, dan “sangat tinggi”.
Clinical manifestations, hormonal profile and rationale of the polycystic ovary syndrome and infertility in Pakistani women
Authors: Monika  , Malik Naushabah , Waqar Mehwish , Naeem Nadeem , Memon Erum , Abbas Hafiza Yasmeen
Published: March 2023

Introduction: Many women of reproductive age experience polycystic ovary syndrome (PCOS), characterized by growth of cysts on the ovaries that range in size from 2 to 10mm in antral measurement, oligomenorrhea, menorrhagia, acne and hyperandrogenism. Objective: The study aimed to correlate the rational of PCOS with infertility in women. Place and Duration: The study was conducted in different districts of Sindh in Pakistan during the period 2020-22. Methods: This cross-sectional study aimed to determine how common infertility was among women with PCOS who sought care at different gynecological clinics. Pathological investigation of the patient's hormonal profile, including serum insulin, serum prolactin, LH, FSH, and serum testosterone levels were also investigated. Results: 316 of infertile women (63.20%) were diagnosed with PCOS. Females had oligomenorrhea as the predominant (p<0.05) pattern of the PCOS-affected females. Acne, hirsutism, and hyperandrogenism were significantly (P<0.05) more common among these women. In women with PCOS, the level of testosterone was significantly elevated (132+2.39 ng/dl; P<0.05). Conclusion: PCOS is the leading cause of infertility owing to anovulation, as affected women displayed severe clinical manifestations of oligomenorrhea, hirsutism, acne, hyperandrogenism, and elevated testosterone levels and thus can easily be diagnosed and treated accordingly.
Kinetic Study on Propionic using Alamine 336 in Petroleum Ether by Reactive Extraction
Authors:   Associate Professor, Department of Chemical Engineering, S. V. University College of Engineering, Tirupati (Andhra Pradesh), India, Babu Dr. B.Sarath , Priyanka Seerla Venkata ,   PG Scholar, Department of Chemical Engineering, S. V. University College of Engineering, Tirupati (Andhra Pradesh), India
Published: March 2023

The growing demand for the production of propionic acid as it useful in chemical industry, pharmaceutical industry, preservations, drug delivery towards a more economical energy efficient technology. Reactive extraction is used over conventional method as conventional methods i.e., fermentation broth is expensive as well as unfriendly towards the environment. A specific extractant and various diluents are used in reactive extraction which gives us a promising technique for the acid extraction. Alamine 336 (TOA) was used with a combination of petroleum ether by varying concentrations. Physical and chemical extractions results are presented as equilibrium distribution, distribution co – efficient, extraction efficiency, loading ratio and volume percentage by varying concentrations. The propionic acid distribution between aqueous & organic phase reaches equilibrium over a concentration range of 0.04 kmol/m3 – 0.22 kmol/m3. The optimum TOA concentration is found to be 40% at which KD value for petroleum ether is 0.73. In petroleum ether the modified separation and loading ratio increases with decrease in TOA acid concentration in petroleum ether.
Endovascular Treatment of an Elderly Diabetic Patient with a Circular Myocardial Infarction in Cardiogenic Shock Complicated by Stent Thrombosis
Authors:   Department of Clinical Surgery, Kirov State Medical University MOH Russia, Kirov, Russia, Korotkikh Sergey , Trushnikova N ,   Department of Clinical Therapy, Kirov State Medical University MOH Russia, Kirov, Russia, Derbenev O ,   Department of Clinical Surgery, Kirov State Medical University MOH Russia, Kirov, Russia, Sherbakova O ,   Department of Labour Law, Ural State Law University, Ekaterinburg, Russia
Published: March 2023

The most common cause of cardiogenic shock (CS) is acute myocardial infarction (AMI), which is diagnosed in approximately 5–8% of patients hospitalized for AMI and is more common in patients with acute ST-segment elevation myocardial infarction (STEMI). CS is caused by severe myocardial dysfunction, which leads to a decrease in cardiac output, hypoperfusion of the end organs, and hypoxia. Mortality in diabetic patients with AMI is high. Besides the fact that type 2 diabetes mellitus (DM2) contributes to the progression of coronary atherosclerosis, coronary pathology in this category of patients occurs against the background of a specific diabetic myocardial lesion – diabetic cardiomyopathy. Against the background of cardiomyopathy, acute heart failure is more often developed with a decrease in global myocardial contractility up to CS, which increases hospital-acquired mortality in MI by more than 15 times. The increased risk of death observed in patients with DM2 in the acute period of myocardial infarction (MI) persists for several years, and therefore, at present, in patients with the acute coronary syndrome (ACS) and diabetes, an early invasive strategy is preferable to a conservative strategy. The SHOCK (Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock) trial demonstrated that in patients with CS complicating AMI, emergency revascularization with percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) improved long-term survival when compared with initial intensive medical therapy. However, in the CULPRIT-SHOCK (Culprit Lesion Only PCI Versus Multivessel PCI in Cardiogenic Shock) study, stenting of non-infarct-dependent coronary arteries in CS increases the risks of major cardiac events, as well as the number of repeated revascularizations within 30 days and 1 year. Patients with multivessel lesions, in most cases, are elderly patients (75–90 years old) who have age restrictions on taking the loading dose at the prehospital stage. Such a loading dose of clopidogrel may not be sufficient to saturate the patient in fact, despite optimal epicardial recanalization, a large proportion of patients still experience impaired reperfusion and in-stent thrombosis. A large body of evidence has been accumulated on the benefits of glycoprotein (GP) IIb-IIIa inhibitors in terms of prevention of stent thrombosis, and benefits in mortality, especially among high-risk patients, and as an upstream strategy.
The Importance of Time-Domain HRV Analysis in Cardiac Health Prediction
Authors:   Independent Researcher, Bangalore, India, Chattopadhyay Subhagata
Published: March 2023

Heart rate variability (HRV) is defined as the momentary variation in the end heart rate (EHR) estimated at various intervals (time domains), such as from 2 min (ultra-short HRV) to 24 h (long HRV) intervals. The R peak interval (RRI) between two consecutive beats called momentary heart rate (MHR) provides insight into the impending cardiovascular risk and not the EHR. The autonomic nervous system (ANS) is in charge of maintaining physiological homeostasis by keeping the MHR and in turn the EHR within the normal range of 60–100 bpm. ANS has two components – the sympathetic nervous system (SNS) and the parasympathetic nervous system (PNS). The former increases HR (reduces RRI) while the latter reduces it. Therefore, the RR time-domain-HRV-data (THD) provides better insight into overall health than the EHR. Six types of THDs, e.g., mean-HR, mean-RR, SDNN, SDHR, RMSSD, and pNN50 are discussed in this article.
Analysis and Exploration of Physical, Verbal and Social Bullying in Secondary Schools of Khyber Pakhtunkhwa
Authors: Shah Jehangir , Khan Musharaf
Published: March 2023

The overall purpose of the study was to analyze and explore physical, verbal and social bullying in secondary schools of Khyber Pakhtunkhwa. The target population was all the principals, teachers and students, both male and female. The sample was selected through random stratified sampling techniques. A sample of 1800, (30 principals, 270 teachers and 1500 students) were selected from Charsadda, Mardan Nowshera, Peshawar, Malakand and Swabi. Five (four boys and one girl), secondary schools were randomly selected from each selected district. From each district five (05) principals, forty five (45) teachers and two hundred and fifty (250) students participated in the study. To achieve the objectives of the study, three questionnaires containing same items, were prepared one each for principals, teachers and students. The data was collected, tabulated, analyzed and interpreted by using Chi Square method. after analyzing the data it was concluded that students are made the victim of physical, verbal and social bullying in the Secondary Schools of Khyber Pakhtunkhwa
The Status of Citizenship Education in Secondary Schools of District Swat, Khyber Pakhtunkhwa
Authors: Zeb Alam , Ullah Atta
Published: March 2023

The era of globalization is a complex phenomenon where individuals are faced with multiple challenges and responsibilities at the national, regional and global level. To fulfill responsibilities and turn challenges into opportunities, they need appropriate citizenship education that enables them to understand their rights and duties and act accordingly. Secondary education is a stage that determines the role of youth in the society through provision of citizenship education, therefore; the study focused on investigating the status of citizenship education in secondary schools of district Swat, Khyber Pakhtunkhwa. Study objectives were to; find out the current status of citizenship education at secondary level and to recommend strategies for betterment of citizenship education at secondary level. The study utilized quantitative descriptive survey research design. The population of the study was 1301 male secondary school teachers of District Swat. The researchers randomly selected a sample of 300 teachers for the collection of data. The researchers developed a questionnaire; validated in pilot study, further, reliability was ensured statistically. The data were collected with self-administered questionnaires and analyzed with means, standard deviation and chi-square test. The study found that secondary school teachers were unaware and were in a state of dissonance about the elements of citizenship education for secondary school curricula; however; there were materials in the curricula that supported citizenship education. The study recommended comprehensive citizenship education curricula, arrangement of professional development opportunities in citizenship for teachers and exposure of students to learn citizenship skills in secondary schools.
Analyzing Principals’ Leadership Styles and Student Academic Performance in Secondary Schools in Dir Upper Khyber Pakhtunkhwa
Authors: Rashid Abdur , Amin Rooh ul , Amin Iqbal
Published: March 2023

This paper investigated principals’ leadership styles and students’ academic achievement in secondary level in Dir Upper, KP. The co-relational research design was used for the study. The study population comprised all the 64 secondary schools in the district. Out of total 32 secondary schools were selected through the simple random sampling techniques. Out of the total 64 principals, 32 were selected for this work using a stratified random sampling technique. For the data collection questionnaire was used. The collected data were analyzed by using different statistical tools. The study result revealed that the democratic leadership style was the common leadership style adopted by secondary school principals in the area. Similarly, it was found that autocratic leadership style significantly associated with students’ academic performance. It was recommended that principals should make use of autocratic leadership style in order to improve academic achievement of students in their respective schools.
The Bogey Beast By Flora Annie Steele: A Study of Martin Seligman’s Positive Psychology (Optimism)
Authors: Shoukat Laila , Arshad Khushnood , Ahmad Sulaiman
Published: March 2023

The researcherss have attempted to study the short story, “The Bogey Beast” by Flora Annie Steele with the lens of Martin Seligman’s Positive Psychology (Optimism). The elements and effects of Martin’s Positive Psychology (Optimism) were aimed to be found out in the story by inducing Martin’s concept of Optimism. No past investigations have been carried out in this particular under study subject. The researcherss have opened up the topic to provide clues to his readers that Positive Psychology (Optimism) can have everlasting, evergreen effects on one’s brain and soul.
AN ANALYSIS OF GRADE-VIII ENGLISH TEXTBOOK WITH GENDER DISPARITY PERSPECTIVES IN THE CURRICULUM OF KHYBER PAKHTUNKHWA
Authors: Rahman Aftab Ur , Muhammad Ghulam , Jan Abdur Rashid
Published: March 2023

This research was aimed to study the curriculum of English Textbook Grade-VIII in the Khyber Pakhtunkhwa province of Pakistan. A qualitative approach was adopted to study the textbook with gender perspectives. Gender presentation in school textbooks is a newly emerging field of study in academia. The ministry of education clearly states that "efforts will be made to eliminate gender bias in textbooks and curriculum" (Ministry of Education 2003b, 22). There is still a lack of practical application for gender equity in schooling tackling the obstacles in the way of such goals (Khalid and Khan 2006; Khan 2007). This study used the two main themes 1. Nature of narrations and 2. Sensitivity of illustrations. Nine steps were taken in this research process. All the themes and sub-themes have a male dominancy though the 1973 Constitution of Pakistan has claimed to remove the gender disparities. , it is clear that schools textbooks promote the gender biased approach because men are shown in powerful, prestigious, well reputed and respectable jobs and women are shown in less visible and less valued positions. It was suggested that to improve feminine visibility, the government, the textbooks boards, and the directorate of the curriculum should assure the equal distribution of contents between the genders in Pakistan.
Keputusan Pembelian Smartphone Yang Dipengaruhi Oleh Harga Dan Kualitas Produk
Authors: Maulidina  , Simanjuntak Yosafat Vitorio
Published: March 2023

It cannot be denied, the development of world technology is currently very rapid, especially the development of smartphones. Smartphones have become one of the important needs for the community, because with the existence of smartphones, people can be assisted in various activities and their daily activities. One of the well-known smartphone companies, namely Xiaomi Inc., with its product, Xiaomi. There are several reasons why people decide to buy Xiaomi, because they are influenced by competitive prices with guaranteed product quality. This study aims to determine the effect of price and product quality on purchasing decisions for Xiaomi brand smartphones in Medan Marelan sub-district. This study used a quantitative approach with data collection methods through questionnaires via G-form, which were distributed to 96 respondents using a purposive sampling technique. Testing the data in this study uses the Validity Test, Reliability Test, Multiple Linear Regression Test, T Test, F Test, and Coefficient of Determination Test. The variables in this study consist of Price (X1), Product Quality (X2) and Purchase Decision (Y). From the test results, it is obtained that the price variable (X1) and product quality variable (X2) have a positive influence on purchasing decisions (Y), with the multiple linear regression test equation Y = 5.236 + 0.084 X1 + 0.272 X2.
The Mediating Role of Job Satisfaction on the Relationship Between Human Resources Management Strategies and Employees Performance in Waha Oil & Gas Company in Libya
Authors: Marhil Manal M B , Masaud Khairi Ahmed R , Majid Nahg Abdul
Published: March 2023

The structure of planned human resource deployments and activities intended to help an organization accomplish its objectives is known as strategic human resource management. This study aims to investigate the relationship between HRM strategies and employee performance in the Libyan oil and gas sector. Accordingly, 321 survey data were collected from Waha Oil Company employees in Tripoli, Libya. The structural Equation Modelling (SEM) technique was used to analyze the data as well as hypotheses testing. The findings demonstrated that human strategies significantly affect both job satisfaction and employee performance. Job satisfaction influences employee performance. Besides, training and development, recruitment and selection significantly affect job satisfaction, while performance appraisal significantly influences employee performance. The findings are beneficial to HRM department to enhance their emphasis on the crucial factors that boost employee performance through improving job satisfaction.
Unpacking the Effects of High Staff Turnover in Zimbabwean Government Hospitals
Authors: Dzvairo Tawanda
Published: March 2023

Economic factors in the international scene have attracted trained and qualified health personnel in other countries. The mass exodus has been happening at an alarming rate, resulting in disadvantaged countries losing effective hospital staff. Staff turnover has been witnessed in Government administered hospitals in Zimbabwe. Both low and high staff turnover has proven to affect the healthcare system. This is evident in the poor health service that is being delivered after qualified and experienced doctors, nurses and other related personnel have left their work places in search of better opportunities and greener pastures. The study gathered findings from related literature and distributed questionnaires around selected hospitals in an attempt to evaluate and assess the effects of high staff turnover in Zimbabwean hospitals. Thus, a survey on the results of being short staffed due voluntary hospital staff turnover has shown the negative effects of staff turnover in Zimbabwean hospitals. The study included four government hospitals (GH) as case studies, these are; Chivhu, Sadza, Kotwa and Marondera Hospitals. The study reviewed that 95% of the respondents indicated that there was a record of staff turnover at their respective hospitals. The research results showed that nurses constituted the most staff members leaving government hospitals, making up 29.49% of the total turnover in the four GH involved in the study. The destination for those nurses and other medical practitioners was regarded as ‘g mainly regarded as ‘greener pastures’ in the United Kingdome effects of staff turnover was the shortage of qualified and experienced staff members in hospitals in Zimbabwe which affected the quality-of-service delivery. This article gives in detail the objectives, results and recommendations for the topic in question.
Cancers Attributable to Smoking and Obesity in Turkey: a population-based study
Authors: YUCE Deniz , HAYRAN Mutlu , ESER Sultan , AKSAKAL Fatma , UNER Sarp
Published: March 2023

Objective: Cancers are the second most common cause of mortality following cardiovascular diseases in Turkey. Tobacco and obesity are the two major etiological factors for cancer progression, which are highly prevalent in Turkey. This study aimed to evaluate the new cancer cases in Turkey attributable to these two main risk factors.
Material and methods: The tobacco-related cancers based on the International Agency for Research on Cancer (IARC) monographs were esophagus, oral cavity, gastric, pancreatic, larynx, lung, renal, and bladder cancers, and the obesity-related cancers based on the IARC's and World Cancer Research Fund (WCRF)/American Institute for Cancer Research (AICR) Continuous Update Project's reports were esophagus, colon, rectum, gallbladder, pancreas, kidney, ovary, endometrium, and breast cancers. The cancer incidences were obtained from the national cancer statistics. A lag time of at least 10 years was regarded adequate to observe the effects of past exposures on the new cancer cases. Prevalence of tobacco smoking was based on Peto-Lopez approach, and the obesity prevalence was obtained from the National Burden of Disease and Cost-Effectiveness Project Household Survey, 2003 Report in Turkey. Using these incidence and prevalence data, we estimated the population-attributable fractions (PAF) of cancers attributable to smoking and obesity in Turkey.
Results: For tobacco-related cancers, the highest PAFs were found in lung cancer (89.8%), larynx cancer (86%), oral cavity and pharynx cancer (77.2%) in males, and larynx cancer (46.5%), lung cancer (43%), and esophagus cancer (31.4%) in females. For obesity-related cancers, the highest PAFs were found in esophagus adenocarcinoma (31.4%), kidney cancer (19.8%), gallbladder cancer (15.1%) in males, and esophagus adenocarcinoma (33.9%), endometrium cancer (32.8%), and postmenopausal breast cancer (22.8%) in females. When all tobacco-related cancers were considered, 41283 cases in males and 3853 cases in females were attributable to tobacco smoking, and when all obesity-related cancer types were considered, the number of attributable cancer cases to obesity was 2653 in men and 7387 in women
Conclusion: The current situation of avoidable cancer burden in Turkey shows that eliminating the tobacco smoking and obesity may result with preventing more than 50000 cancer cases in Turkey.
Can prenatal online education improve pregnancy outcomes compared to classic education?
Authors: Din Kemal , Deveci zlem
Published: March 2023

Aim: Cesarean section rates have increased, and although various measures such as antenatal education programs have been introduced to correct this, these could not be performed face-to-face due to the COVID-19 pandemic, and were largely carried out online. This study was planned to determine the effect on the rate of cesarean deliveries and pregnancy outcomes of classic education received in the antenatal period and its online replacement in such and similar extraordinary situations.
Material and Method: The research was designed as a retrospective, cohort study. Fifty women undergoing childbirth in our hospital and who received online antenatal education (Group 1), 101 women who received classic education (Group 2), and 77 women receiving no education (Group 3) took part in the study. Patient data were retrieved from the hospital information system and patient records.
Results: This study involved 228 pregnant women. Fifty pregnant women (22%) receiving antenatal online education were assigned to Group 1, 101 women (44%) receiving classic face-to-face education to Group 2, and 77 women (34%) receiving no education to Group 3. Forty percent of Group 1, given online education, and 62.4% of Group 2, given classic education, were able to give birth via the normal vaginal route, and the difference was statistically significant (0.001). Cesarean delivery rates were significantly higher in Group 1 (60%) than in Group 2 (37.6%) (0.001). Statistically similar results were determined in all three groups in terms of birth weight, birth length, and low birth weight. No significant difference was also observed between the three groups in terms of premature birth (<37 weeks) (p=0.67).
Conclusion: Online antenatal education does not reduce cesarean delivery rates compared to classic education. However, neonatal outcomes are similar.
Viral respiratory tract infection in Gaucher disease, a rare disease: A case study of 24 patients in Malatya-Turkey
Authors: YAPRAK B , ALADA H , ALADA MURAT
Published: March 2023

People with chronic diseases have a higher rate of morbidity and mortality from SARS-CoV-2 infection. A rare lysosomal storage disease is Gaucher disease. Chronic myeloid cell immune activation is caused by a decline in acid -glucosidase activity and an accumulation of inflammatory glycosphingolipids in Gaucher disease. Unknown is how SARS-CoV-2 affects rare disease populations like Gaucher disease. Myeloid cell immune activation in Gaucher's disease may predispose to severe effects of this infection. The only study conducted in Turkey so far is this one. People with chronic diseases have a higher rate of morbidity and mortality from SARS-CoV-2 infection. A rare lysosomal storage disease is Gaucher disease. Chronic myeloid cell immune activation is caused by a decline in acid -glucosidase activity and an accumulation of inflammatory glycosphingolipids in Gaucher disease. Unknown is how SARS-CoV-2 affects rare disease populations like Gaucher disease. Myeloid cell immune activation in Gaucher's disease may predispose to severe effects of this infection. The only study conducted in Turkey so far is this one. Eight of our patients reported having contact with someone who had COVID-19 infection or was suspected of having the infection, and in three of these cases (37.5%) the patient reported having at least one symptom of infection. Out of the 18 patients who were tested, 4 (22.2%) had a positive result. Positive test results were associated with more symptoms in patients (3.8 vs 0.3, p0.001) than negative test results. In Gaucher patients, symptoms or positive test results were not correlated with age, gender, BMI, comorbidity, genotype, previous splenectomy, or enzyme replacement therapy. All of our patients only received supportive care; none of them required intensive care or specialized treatment. Our research revealed that there was a low risk of serious side effects in other chronic patients following SARS-CoV-2 infection in Gaucher patients. In this regard, studies with larger case series are required.
Computed Tomography-Chest in COVID-19 Pneumonia and cardiac failure: An Imaging Enigma
Authors: Majella Dr , Adaikkalam Dr
Published: March 2023

BACKGROUND-
Computed tomography (CT) of the chest is an efficient tool to assess COVID-19 pneumonia. Nevertheless, imaging characteristics that overlap with cardiogenic pulmonary edema are not infrequent. CT chest characteristics pose challenges for which additional transthoracic echocardiography is an additional invaluable simple tool to aid in the diagnosis. In this article, we present the CT chest findings of patients with only covid-19 pneumonia, isolated heart failure, and combined covid-19 pneumonia and heart failure.

Methods-
This study included 120 patients in a tertiary care hospital in South India with dyspnoea and SP02 ≤ 95% between April 2021 to March 2022 who were subjected to chest CT imaging and transthoracic echocardiography and the results were analyzed. Isolated COVID-19 (n=60), isolated heart failure (n=39), and combined covid-19 pneumonia and heart failure (n-21) were identified depending on the CT chest imaging features.

Results-
There was no statistical difference in the imaging findings like ground glass opacities, crazy pavementpatternswithCOVID-19pneumonia, HF, and also in combined (covid 19 + cardiac failure )groups. However, in HF patients, diffuse patterns were more common than in COVID-19 pneumonia, which was statistically significant (p=0.001). Notably, CT images in HF patients were more likely to have interlobular septal thickening (ILST)(p=0.001) cardiomegaly (p=0.001), increased artery-to-bronchus ratio (p=0.0001), and bilateral pleural effusion (p=0.0001 ), and pericardial effusion (p=0.0001 )

Conclusion-
Chest CT is an indispensable tool in the early diagnosis of COVID-19 pneumonia.CT chest features overlap, and separating COVID-19 pneumonia from heart failure is not always easy. Yet, certain specific CT features may suggest heart failure over covid -19 pneumonia. In HF patients, thickening of the interlobular septa, increased artery-to-bronchus ratio, cardiomegaly, and bilateral pleural effusion, pericardial effusion are more common. Additional transthoracic echo showing dilated left ventricle with reduced ejection fraction is an additional key to aid diagnosis.
Effects of Plasma transfusion on various hematological and biochemical parameters in goats
Authors: Saha Mousumi , Rahman Md , Alam Md
Published: March 2023

This study investigated the clinical and hematological responses of plasma transfusion and hematinic administration in severely anemic goats. The blood profile of the recipient goats were assessed for hematological: Total Erythrocyte Count (TEC), Total Leukocyte Count (TLC), Hemoglobin (Hb), Packed Cell Volume (PCV), Neutrophil, Eosinophil, Lymphocyte, Monocyte, and Electrolytes and Biochemical parameters: Alanine Transaminase (ALT), Aspartate Transaminase (AST), Creatinine and Total Protein (TP) before and after (1st, 7th, 14th, 21th, 28th days) treatment with plasma transfusion or hematinic administration. In plasma transfusion group (Group A), TEC, PCV, Hb, ALT, AST and TP were increased significantly (p < 0.01) at 1st, 7th, 14th, 21th, 28th days of post-transfusion in comparison to pre-transfusion values. In the hematinic group (Group B), two patients died treated with hematinic. However, no significant changes (p > 0.05) in clinical parameters, electrolytes (K+, Na+ and Cl−) levels and creatinine values were observed in recipient goats after plasma transfusion and hematinic administration. After 28 days of treatment, all patients of plasma transfusion group (100%) and three in hematinic treatment group (60%) were recovered successfully. The plasma transfusion was found superior to hematinic administration to upgrade the hematological and biochemical parameters in anemic goats. It did not produce any adverse reaction in the recipient goats. Plasma transfusion could be an effective tool for the clinical management of anemic goats.
Study of serum iron and Vitamin B12 status in primary hypothyroidism at a tertiary care hospital in eastern region of India
Authors: Mallick Debi , Choudhury Jayati , Bhattacharya Asis , Bandyopadhyay Debasmita
Published: March 2023

Background: Reduced production of thyroid hormone is central feature of the clinical state termed as hypothyroidism. In approximately 99% of cases of hypothyroidism, the pathology lies in the gland itself, rest due to thyroid stimulating hormone deficiency, or other causes. The prevalence of hypothyroidism is 11% in India. There are various metabolic abnormalities associated with hypothyroidism. The literature has revealed alteration of various micronutrients in hypothyroidism in different parts of the world. In this background, the serum levels of iron and Vitamin B12 in primary hypothyroidism have been studied in tertiary care hospital in eastern region of India.

Aims and Objectives: The aim of the study was to delineate if there is any significant association between serum iron and Vitamin B12 levels with primary hypothyroidism cases belonging to the eastern India.

Materials and Methods: It was an observational, noninterventional, hospital-based, and cross-sectional study with 160 cases and same number of controls based on inclusion and exclusion criteria. Serum levels of iron and Vitamin B12 were analyzed in both cases and controls with the help of Erba EM-600 Autoanalyzer and ADVIA Centaur CP (Siemens). Statistical analysis was performed by Microsoft excel and Statistical Package for the Social Sciences software; P < 0.05 had been taken as significant.

Results: There was statistically significant difference in serum iron and Vitamin B12 levels in cases compare to controls with P = 0.0001.

Conclusion: Routine estimation of serum iron and Vitamin B12 should be mandatory in primary hypothyroidism for early detection and intervention if required.
Drugs used in patients with heart failure in a tertiary care center – A drug utilization study
Authors: Saha Manali , Mandal Ananya , Chattopadhyay Suman , Ghosh Arijit , Mondal Supreeti
Published: March 2023

Background: Heart failure (HF) patients need multiple drug therapy. There are numerous drugs used worldwide but knowledge regarding pattern of their use is limited from Eastern India.

Aims and Objectives: Objective was to assess utilization pattern of drug among the adult patients with HF in Nilratan Sircar Medical College and Hospital, Kolkata, West Bengal.

Materials and Methods: This was an observational and cross-sectional study conducted in Department of Pharmacology and Cardiology at NRS Medical College and Hospital. A total 100 adult patients were included for this study after fulfilling inclusion and exclusion criteria and their treatment details were recorded.

Results: A total of 670 drugs were prescribed in this study (average of 6.7 drugs per prescription). Most of the patients were between 41 and 60 years of age and most of them were male (61%). Significant percentage of prescriptions were generic (86.87%) and 100% were adequately labeled and dispensed. Average consultation time for each patient was 10.5 min. Commonly used drugs included diuretics, angiotensin converting enzyme inhibitors, beta-blockers, mineral-corticoids receptor antagonists, and angiotensin receptor blockers.

Conclusion: This study showed that standard treatment protocol guidelines were followed and rational use of drug was seen.
A rare case report on Hurler syndrome with umbilical hernia
Authors:   Department of Pharmacy Practice, Parul Institute of Pharmacy and Research, Parul University, Vadodara, India, Patel Anisha , Chakraborthy Gunosindhu ,   Parul Institute of Pharmacy and Research, Parul University, Vadodara, India, Nayak S. P. Srinivas ,   Department of Pharmacy Practice, Parul Institute of Pharmacy and Research, Parul University, Vadodara, India, Shivani R. ,   Department of Pharmacy Practice, Parul Institute of Pharmacy and Research, Parul University, Vadodara, India
Published: March 2023

Hurler syndrome is also known as MPH I. A hereditary sickness of the lysosome is a result of a deficiency in theenzyme alpha-L-iduronidase, which breaks down glycosaminoglycans (GAG or mucopolysaccharides). As a result,tissue harm from dermatan sulfate and heparin sulfate worsens over time until death. Umbilical hernias are ventralhernias that arise at or across the umbilicus. This situation of a case report describes the surgical treatment of anumbilical hernia in a 4-year-old pediatric patient, a known case of Hurler syndrome. The patient received treatmentfor an umbilical hernia, a confirmatory test was performed for Hurler syndrome, and the only patient complaintrelated to it—corneal clouding—was treated.
The combined effects of L-Carnitine and matcha green tea in the formulation of effervescent powder for weight loss management as a dietary supplement
Authors:   Sanjivani College of Pharmaceutical Education & Research, Shinganapur, Kopargaon, Ahmednagar, Maharashtra, Nannar A. R. , Raosaheb S. Shendge ,   Sanjivani College of Pharmaceutical Education & Research, Shinganapur, Kopargaon, Ahmednagar, Maharashtra, Salunkhe K. S. ,   Sanjivani College of Pharmaceutical Education & Research, Shinganapur, Kopargaon, Ahmednagar, Maharashtra
Published: March 2023

In our day-to-day lives, nutrition and dietary supplements are necessities for work balance and active energy in our bodies. Also, in homeopathic medicine, allopathic medicines are given, and in Ayurveda, herbal medicines are given. Nowadays, chemical medicines are used as supplements, like steroids, which increase the body’s immunity, but these chemicals have hazardous side effects on our body’s functioning. Thus, in this review, we discuss and study L-carnitine and matcha green tea as supplements without any side effects on our body.
A AGROECOLOGIA E OS PROCESSOS DE TRABALHO DOS AGRICULTORES DA CSA NOSSA HORTA
Authors: Tonini Andreia , Santos Geraldo Márcio Alves
Published: March 2023

O estudo aqui apresentado investigou o trabalho de agricultores que estão passando por um processo de transição agroecológica, conceito chave dentro da Agroecologia. Para tanto, consideramos a complexidade dos processos envolvidos na transição de uma agricultura tida como moderna para uma agricultura de base ecológica, pressupondo esse novo enfoque como uma base para reorientar os processos de trabalho que envolvem a produção de alimentos. Sendo assim, acompanhamos o trabalho dos três agricultores vinculados à CSA Nossa Horta, uma associação sem fins lucrativos que, ao desenvolver suas atividades em apoio à economia popular solidária e à alimentação saudável, apoia agricultores que estão passando por um processo de transição agroecológica. Devido à especificidade do nosso objeto, optamos pela pesquisa qualitativa, sendo que os instrumentos utilizados para a realização da mesma foram a observação participante e a entrevista semiestruturada. Os resultados obtidos evidenciaram que esses agricultores estão reelaborando seus processos de trabalho a partir da implantação desse modelo alternativo de produção, embasado nos princípios da Agroecologia. Ademais, esses novos processos de trabalho foram se mostrando eficazes e viáveis na medida em que exigiam dos agricultores a construção e a aplicação de práticas e técnicas diferentes daquelas disseminadas pela agricultura moderna, baseadas principalmente no uso intensivo de agrotóxicos.
REPARO DE LESÃO PERIAPICAL PÓS-TRATAMENTO ENDODÔNTICO EM PACIENTE PORTADOR DE HEPATITE C: RELATO DE CASO
Authors: Ribeiro Francisco Carlos , Azeredo Lorena Cristina Duarte , Romano Claudia Mendonça Reis , Xavier Juliana Machado Barroso , Giovanelli Rafaela Aguiar , Martins Thaislaine Gonçalves , Lima Thiago Farias Rocha
Published: March 2023

O presente trabalho tem como objetivo expor o relato de caso clínico referente ao tratamento endodôntico não cirúrgico realizado no dente 12, com lesão periapical extensa em paciente com hepatite C (HCV). A metodologia consiste em um estudo descritivo individual do tipo relato de caso, o qual inclui imagens clínicas e radiográficas de uma paciente do sexo feminino, 63 anos, com hepatite C, que compareceu à clínica odontológica queixando-se de tumefação na região do palato e ausência de sintomatologia relatada. Clinicamente além da tumefação constatou-se elemento com mobilidade, ausência de dor ao teste térmico (frio) e à palpação. Radiograficamente observou-se área radiolúcida bem delimitada associada ao ápice do elemento 12. O diagnóstico foi de polpa necrótica e periodontite apical assintomática. Após exame clínico completo, iniciou-se o tratamento endodôntico não cirúrgico, utilizando-se a técnica de preparo coroa-ápice Oregon modificada, associada ao hipoclorito de sódio a  2,5% como solução irrigadora. Aplicou-se a pasta de hidróxido de cálcio como medicação intracanal e o canal radicular foi selado provisoriamente com Cimento Interim (IRM). Decorridos 7 dias da primeira sessão, constatou-se o reagudecimento do processo inflamatório crônico instalado na região periapical, evidenciado pela exuberante quantidade de exsudato purulento drenando via canal radicular, e consequente sintomatologia dolorosa. Somente na quarta sessão, após rigoroso saneamento do canal radicular, antibioticoterapia e exposição dele ao meio bucal para drenagem, foi possível aplicar novamente a pasta de hidróxido de cálcio e selar provisoriamente a cavidade. Na sessão seguinte, após a constatação da ausência de sinais clínicos e sintomas, optou-se pela obturação do canal radicular pela técnica Híbrida de Tagger associada à guta-percha e ao cimento endodôntico AH Plus. Após o período de proservação, de aproximadamente 24 meses, constatou-se ausência de sinais clínicos e sintomatologia, além de imagens radiográficas compatíveis com reparação tecidual e neoformação óssea da área previamente lesionada, bem como o desaparecimento da tumefação na região do palato.
UTILIZAÇÃO DE BIOFERTILIZANTE NO DESENVOLVIMENTO DA HANDROANTHUS IMPETIGINOSUS
Authors: De Oliveira Arnald Pinho , De Oliveira Eduarda Ferreira , Oliveira Arlem Joaquim de Pinho , Lemos João Lucas Ferreira Gomes , Camargos Cláudia Emanuele Machado , Lopes Magnovaldo Carvalho
Published: March 2023

Situada no norte do estado de Minas Gerais, a região do Alto Rio Pardo, destaca-se pela sua produção cultural e econômica. A região é composta por 15 municípios, dentre os quais boa parte da parte da parcela populacional é oriunda de comunidades rurais, e tem como principal prática econômica e de subsistência a pecuária e a agricultura. Dado o presente exposto, faz-se necessário a constituição de novas tecnologias acessíveis, com o intuito de aumentar o desenvolvimento sustentável das práticas características da região. Seguindo esse precedente o presente estudo tem como objetivo trazer novas perspectivas para o enriquecimento dos solos da região do alto Rio Pardo, por meio da aplicação do biofertilizante proveniente de um biodigestor anaeróbico, situado nas depen5dências do IFNMG – Campus Salinas. O estudo utilizou-se do aproveitamento de dejetos de bovinos, para realizar pesquisas sobre a ação do biofertilizante na espécie Handroanthus Impetiginosus, nativa da região, popularmente conhecida como Ipê Roxo. As mudas foram cultivadas e mantidas em casa de sombreamento, alocadas em um viveiro do município. Nessa perspectiva, o trabalho teve como objetivo a quantificação do potencial de crescimento das mudas, via análises químicas, medição do comprimento e largura do caule, comparando os resultados obtidos, separando-os em 4 grupos que foram objetos de estudo. O primeiro grupo denominado G1 contendo apenas o solo in natura, o segundo grupo, denominado G2, contendo biofertilizante aplicado uma vez por semana, o terceiro grupo denominado G3, utilizando-se do aditivo de esterco bovino seco; e o quarto classificado com G4, contendo esterco seco e adubo químico NPK 4,14,8 super simples. As análises químicas e físicas identificaram um crescimento maior nos grupos G3, G4 e G2, respectivamente. O grupo G1, como esperado, apresentou os menores resultados. O desenvolvimento menor foi atribuído ao grupo G2, ficando atrás do G3 e G4, respectivamente. Este resultado reforça a necessidade de um aumento na dosagem aplicada. Portanto, novos estudos fazem-se necessários para esta investigação para otimizar ainda mais este trabalho.
CONTRIBUIÇÃO DO LETRAMENTO NO ENSINO-APRENDIZAGEM NA EDUCAÇÃO DE JOVENS E ADULTOS
Authors: De Matos Ana Paula Barreto , Almeida Joice Barreto dos Santos , Dos Santos Jeluse Barreto
Published: March 2023

Este estudo objetivou avaliar a contribuição do letramento no processo de ensino e aprendizagem nas turmas da Educação de Jovens e Adultos, bem como, investigar o nível de aprendizagem dos alunos locados na Escola Municipal Profº. Edgard Santos do município de Crisópolis/BA e determinar o grau de conhecimento dos docentes, acerca do letramento. Para este estudo, foi utilizado como método de coleta de dados, a pesquisa descritiva e observacional com enfoque qualitativo. A partir da análise dos dados, pode-se perceber o baixo rendimento dos alunos, principalmente, dos pertencentes à turma de professores com um menor nível acadêmico. Percebeu-se também, à necessidade de uma formação continuada para os profissionais, que reconhecem possuir pouco conhecimento sobre o assunto tratado. Desse modo, os resultados mostram o quanto é importante, dominar as múltiplas formas de letramento, tornando a aprendizagem significativa, favorecendo assim, na formação de alunos protagonistas/atuantes na sociedade que vive.