bluuebunny/crossref_metadata_2025 huggingface dataset:
Facilitating the Adoption of Digital Health Technologies by Older Adults to Support Their Health
Authors: Harris Maurita T. , Rogers Wendy A.
Published: June 2021

With over 50% of older adults in the United States managing at least one chronic condition, it is crucial to understand how to promote their self-management of positive health behaviors. Health interventions through digital health technologies are becoming more commonplace. Theoretical models related to health behavior change and technology acceptance can guide the design of these healthcare tools and lead to adoption by older adults to support their health. This chapter provides an overview of health behavior change and technology acceptance models to inform the development of digital health technology for older adults. This chapter illustrates the application of these models by describing two design personas that represent human factors designers. This chapter discusses the lack of inclusion of technology adoption and other long-term concepts and the need for further exploration that could inform understanding of technology integration into everyday health activities.
From the Digital-Twin to the Cyber Physical System Using Integrated Multidisciplinary Simulation
Authors: Catelani Daniele
Published: June 2021

Simulation has been a competitive differentiator for engineering-driven businesses, available at all stages of the development process and lifecycle, used by the various domains within an organization, not necessarily simulation experts. It requires discipline integration, scalability, reduced-order model, and democratization. The concept of digital transformation involves new approaches for data and lifecycle management, the understanding of the digital thread, digital twin, predictive and cognitive capabilities, including improvement of model complexity, integration of physics, increase of knowledge. These trends require bringing the physical and virtual worlds closer together and also the adoption of cyber-physical model at all stages of design, production, and operation. To overcome the drawback of simulation and the need to balance the computational effort with accuracy and efficiency, new modelization strategies are adopted with ML and AI, which use a combination of virtual and physical data for training ROM, with an order of magnitude faster than the multiphysics one.
Critical Race Theory for Speech-Language Pathology
Authors: Privette Chelsea
Published: June 2021

Race has yet to be discussed as a significant factor in the field of speech-language pathology. Race is often conflated with nonmainstream dialects and discussed in purely linguistic terms. However, the terms we use to describe dialects are highly racialized, centering white mainstream norms and treating nonmainstream varieties of English as “different” and, therefore, inferior. Hierarchical thinking about language contributes to the misdiagnosis in Black and other communities of color because racialized language ideologies have been left unstated. This chapter demonstrates through a critical race theory approach how structural racism shapes the field's conceptualization of language and competence. Using an intersectional lens in particular, this chapter discusses race, disability, and language ideology as systems of domination that compound the effects of racism for communities of color. CRT is then used to reveal, critique, and intervene on the historically embedded racist structures that continue to manifest in speech-language pathology research, teaching, and practice today.
Research Methodology to Examine Disparities in Communication Disorders in Underrepresented and Vulnerable Populations
Authors: Jacobs Molly , Ellis Charles
Published: June 2021

The existence of disparities in health has gained national attention. While disparities in communication disorders undoubtedly exist, little research has documented these disparities. Disparities may occur across categories such as race/ethnicity, age, sex/gender, geographic, and socioeconomic status. In order to heighten awareness of existing disparities in the field of communication sciences and disorders (CSD), this chapter focuses on designing and conducting research to identify and explain disparities among population subgroups. The chapter consists of seven sections: 1) Challenges in Defining Variables for Measuring Health Disparities, 2) Other Data Considerations, 3) Thinking Beyond the Traditionally Measured Sociodemographic Variables, 4) Causal Pathways Between Social Determinants and Health Outcomes, 5) Research Designs, 6) Research Frameworks, and 7) Theories of Contextual Factors. The goal of this chapter is to offer information that assist CSD researchers in systematically identifying, analyzing, and addressing health disparities in CSD.
Nautical Sports Tourism
Authors: Cavalheiro Mariana Brandão , Feder Mayer Verônica , Luz Aline Barbosa Tinoco
Published: June 2021

While positive news on COVID-19 vaccines has boosted the hopes of the travel and tourism sector (T&T), the pandemic scenario has brought new concerns to tourists and different motivations to travel. For instance, safety, health, and hygiene are paramount. Moreover, as the pandemic impacted not only the physical, but also the mental health, wellness has been acknowledged as a key ingredient for the T&T recovery. The appreciation of nature surroundings and the practice of outdoor activities are the new trend in the post-COVID-19 world. As such, the nautical tourism with special interest in sports has the potential to become very popular. Thus, with the purpose to identify managerial, governmental, and academic opportunities for this sector, a literature review on nautical sports tourism was developed. The analysis revealed that there is still a long way for this literature research to reach maturity. Nevertheless, it was observed that the combination of sports and tourism in nautical environments opens a myriad of possibilities for places to enhance their public welfare.
Barriers, Issues, and Similarities Among Women in eSports and Similar Mixed Gender Sports
Authors: Andrews Sharon K. , Crawford Caroline M.
Published: June 2021

eSports provides exciting opportunities for women to compete equally with men within a sex-integrated sport. Examples of sports that are sex-integrated are the three equestrian Olympic sports of jumping, eventing, and dressage. Unlike equestrian sports, eSports is accessible to women of all income levels and in all parts of the world. However, even though women meet the biologic requirements of eSports, women face difficult gender-based social and cultural barriers. Similar barriers historically existed, and still exist, in Equestrian sports. This chapter explores the historical and present barriers in eSports and equestrian sports, and others, looking for similarities and common ground in the causes and mediation of such barriers and makes predictions for the future of women in eSports.
ESportsU Digital Warrior Camp
Authors: Engerman Jason Alphonso , Otto Richard F. , VanAuken Mark
Published: June 2021

The authors share two case studies that provide preliminary data for a National Science Foundation Innovative Technology Experiences for Students and Teachers award at the intersection of interactive media for STEM career development. The chapter explores the potential of culturally relevant Esports gaming activities to enhance students' motivation, attitudes, and awareness towards careers in the digital media aspects of traditional video gaming and Esports. Towards designing authentic learning environments, the findings from the two case studies revealed that play ecosystems help identify social, cultural, and historical attributes of gaming communities; students need opportunities to take on leadership roles in the design and development of the environment by trusting that they are capable of technological innovations; and that social and cultural nuance of tools, rules, and language define gaming communities.
Case Study on Patient Groups on Facebook in Turkey
Authors: Ardıç Çobaner Aslıhan , Gülgün Beste Sultan
Published: June 2021

Increasing prevalence of chronic diseases and ageing population necessitate access to accurate health information for better health. The internet and social media affect and transform the communication of health-related information. Online platforms are enabling patients and patient groups to find common ground to discuss their health and diseases. Focusing on disease/patient group sites, this chapter investigates these sites through analyzing their features, inclusion of social and economic determinants of health in their contents, and level of critical health literacy calling for decision and action. Furthermore, these sites and their organization structures are analyzed by netnography. The findings show that disease/patient sites on Facebook are highly benefitted as an information and experience sharing platform. However, the critical health literacy level of the contents is quite low. Therefore, the role of social media as an improvement area for critical health literacy in health communication is getting more important.
Addressing the Public Health Epidemic of Childhood Obesity Using Public Schools as Health Education Learning Laboratories
Authors: Burrell Darrell Norman , Wright Jorja B. , Taylor Clishia , Shockley Tiffiny , Reaves April , Mairs Judith-Jolie
Published: June 2021

In our society, childhood obesity has become a pressing health issue. Childhood obesity occurs when children are considerably overweight for their age and height. Body mass index (BMI) is used to measure the percentage of body fat; therefore, the higher the BMI, the more body fat an individual has accompanied by the likelihood that the individual is obese. This research aims to address the factors that cause childhood obesity. A total of 116 journal articles were used for the development of this paper; the articles were analyzed and selected based on the occurrence of the following keywords and phrases: (1) childhood obesity, (2) social cognition theory, (3) telemedicine, and (4) nutrition education. The literature review showed a relationship between childhood obesity and body mass index (reduction, the use of telemedicine, and school food gardens). Using telemedicine video conferencing software and adding food gardens to public school curricula may be a strategy educators and policymakers can use to reduce the rate of childhood obesity.
GIS Based Health Information Management through LETL, Multi Criteria Query, Analysis, Visualization
Authors: Abburu Sunitha
Published: June 2021

For effective decision making in public health information management(HIM) system, health information availability, accessibility, prompt exchange, GIS linkage, spatiotemporal analysis of diseases is crucial. Lack of cost-effective technical support and information gaps are the main obstacles in HIM. This article defines a generic conceptual process framework for effective HIM that provides cost-effective, portable, easy to use solution. The solution incorporates GIS, Mobile technology, information management concepts, ICD-10 codes, WHO and mHealth standards. The current research is implemented as an android application that facilitates: 1) Patient disease data collection, geospatial mapping of disease data and accumulate a centralized server 2) LETL that supports bulk disease data upload 3) Addresses syntactic and semantic heterogeneity in health data 4) A strong multi-criteria query engine, visualization and spatiotemporal analysis of diseases are designed with a global perspective to be used across the globe.
An Efficient Method for Video Shot Transition Detection Using Probability Binary Weight Approach
Authors: Nandini H. M.  , Chethan H. K.  , Rashmi B. S.
Published: June 2021

Shot boundary detection in videos is one of the most fundamental tasks towards content-based video retrieval and analysis. In this aspect, an efficient approach to detect abrupt and gradual transition in videos is presented. The proposed method detects the shot boundaries in videos by extracting block-based mean probability binary weight (MPBW) histogram from the normalized Kirsch magnitude frames as an amalgamation of local and global features. Abrupt transitions in videos are detected by utilizing the distance measure between consecutive MPBW histograms and employing an adaptive threshold. In the subsequent step, co-efficient of mean deviation and variance statistical measure is applied on MPBW histograms to detect gradual transitions in the video. Experiments were conducted on TRECVID 2001 and 2007 datasets to analyse and validate the proposed method. Experimental result shows significant improvement of the proposed SBD approach over some of the state-of-the-art algorithms in terms of recall, precision, and F1-score.
Improved Face Recognition With Fractal-Based Texture Analysis
Authors: Padhy Rajalaxmi , Dash Aishwarya , Dash Sanjit Kumar , Mishra Jibitesh
Published: June 2021

Fractals are useful to uniquely represent texture in the human face, which serves as an equivalent of human vision. FaceNet, calculating face descriptors of a person, has been observed to perform with setbacks when several factors of occlusion are present. This paper proposes a new methodology that exploits the self-similar patterns in a person's face to highlight and enhance regions of high texture in a facial image. The system maps the original image into a representation in the pre-processing stage of computer vision. This representation when fed as an input to the FaceNet CNN optimizes the face embedding generated. An SVM classifier separates the hard positive examples from the hard negative examples during classification. The model is trained using YouTube Faces DB as primary dataset and for validation; a custom dataset is designed to verify a person's identity despite the presence of secondary factors such as expressions and forgery. The proposed model attained an overall accuracy of 96.73% with the YouTube Faces DB, and a notable reduction in the false positive rates is observed.
Millimeter Wave Communication Networks
Authors: Farooq Umar , Rather Ghulam Mohammad
Published: June 2021

Millimeter wave (MMW) communication is a key technology to support the high data rate requirements of next generation networks and cope up the spectrum scarcity and capacity limitations of current wireless systems and hence enable a plethora of applications. However, this technology is in its initial development stage, and there are various technical challenges in its practical implementation that need to be addressed before its successful deployment. This paper reviews the state of the art in MMW communications and provides in-depth detail of the basic propagation characteristics of MMWs in different operation scenarios. The paper also analyses the various technical challenges of MMW communication networks envisaged in its implementation and highlights the design choices proposed so far to address these challenges. Finally, some of the potential applications of MMW communications that may emerge in the near future are also discussed.
Estimation of Correct Long-Seam Mismatch Using FEA to Compare the Measured Strain in a Non-Destructive Testing of a Pressurant Tank
Authors: Pany Chitaranjan
Published: June 2021

This paper discusses the design criterion of a pressurant steel tank made of HSLA 15CDV6 and proof pressure test (PPT) as a non-destructive examination. An inverse Ramberg-Osgood relation is used to represent the stress-strain curve of the material. Elasto-plastic finite element analysis (FEA) has been carried out to examine the adequacy of the design. Experimental stress analysis has been carried out from the measured strains and found maximum effective stress is at LS joint (max. measured strain location). Strain obtained from FEA is compared reasonably well with the proof pressure test (PPT) data at most of the strain gauge locations except at one long-seam (LS) joint. So, to explain the causes of difference in strains near one LS, parametric studies have been performed in a 3D FEA with varying LS mismatch to find the correct mismatch as a reverse engineering problem. It is found that a mismatch value of 0.9 mm will give the required strain at PPT, which is measured only 0.4 mm. The failure pressure estimated through nonlinear FEA/analytical expressions found to meet the design.
Operation of VANET Communications
Authors: Mihret Estifanos Tilahun , Yitayih Kebebew Ababu
Published: June 2021

This work proposed an integrated novel architecture of UAV System, LTE/4G, and WAVE technologies with its forwarding schemes in highway scenario to enhance the VANET communications and achieve the requirements of its basic applications, particularly safety and traffic. Algorithms for UAV sensing, tagging (based on the proposed safety and traffic info model), and broadcasting operations, and forwarding of safety or traffic info to respective infrastructures, and then smart ground vehicles are designed, particularly to minimize intermittent connectivity and bandwidth usage as well as to satisfy the requirements of VANET applications. The authors have evaluated the performance of the integrated novel architecture with its forwarding schemes/algorithms through integrated and simulated VANETs and wireless access technologies (LTE/4G and UAV system) environment.
A multilevel analysis of a randomized clinical trial comparing adjunctive moxifloxacin versus amoxicillin/metronidazole for the treatment of aggressive periodontitis
Authors: Ardila Carlos-Martín , Bedoya-García Jader-Alexander
Published: June 2021

Background:

It was documented that the clinical outcomes of mechanical periodontal treatment can fluctuate not merely concerning patients but equally among various tooth sites in the subject. This trial evaluates the clinical parameters related with the patient, tooth, and site that generate more changes in clinical attachment level (CAL) gain and probing depth (PD) reduction, using moxifloxacin (MOX) versus amoxicillin plus metronidazole (AMOX + ME) as adjuncts to scaling and root planing (SRP), in comparison to SRP only, post-therapy in generalized aggressive periodontitis (GAgP).

Materials and Methods:

The analysis of this clinical trial included 6012 tooth sites at 1002 teeth in 36 patients; they were randomly assigned to three protocols: Systemically intake of MOX or AMOX + ME plus SRP, or SRP + placebo for 7 days. The clinical effect of the patient, tooth, and site characteristics, in terms of CAL gain and PD reduction, was explored using a multilevel linear model. P < 0.05 was statistically significant.

Results:

Following 6 months of treatment, the differences between the groups were statistically significant, favoring the MOX and AMOX + ME protocols (P < 0.0001). Moreover, the multilevel model showed that adjunctive MOX, AMOX + ME, non-molar, and interproximal sites were the features that contribute significantly to CAL improvement, and PD decreases in GAgP (P ≤ 0.001 for all).

Conclusion:

The most relevant characteristics for the changes in CAL increase and PD diminution, after adjunctive antimicrobials, were ascribable to the features related to the tooth. MOX and AMOX + ME, non-multi-radicular-tooth, and interdental sites indicated superior clinical gains at the tooth and site levels in GAgP.
Effect of indirect ultrasonic activation of modified bioceramic materials on the bond strength and tubular penetration in root canals
Authors: Yamini Bandaru , Gali Praveen Kumar , Nagesh Bolla , Varri Sujana , Garlapati Roopadevi , Naik K. Madhu Kiran
Published: June 2021

Background:

To maintain the integrity of the interface between root canal filling and radicular dentin an ideal endodontic biomaterial should have good adhesion. This study was aimed to evaluate the bond strength and tubular penetration of modified bioceramic materials by indirect ultrasonic activation.

Materials and Methods:

In the present in vitro experimental study, 120 coronal root slices of 2 mm were prepared from mandibular premolars and randomly divided into six groups (n = 20) in accordance to placement techniques: Group I: Nano Biodentine-manual, Group II: CaCl2 modified ProRootMTA-manual (MM), Group III: Biodentine-manual, Group IV: Nano Biodentine: Ultrasonic, Group V: CaCl2 modified ProRootMTA-ultrasonic, and Group VI: Biodentine-ultrasonic (BDU). The samples were kept in humidifier for 4 days at 37°C and push out bond strength, sealer penetration were evaluated using an universal testing machine and confocal laser scanning microscope respectively. Data were subjected to statistical analysis using SPSS software by using One-way ANOVA for overall significance and Tukey's multiple post hoc test for intergroup comparison (P < 0.05).

Results:

Highest push out bond strength and greater tubular penetration were observed with Group VI (BDU), while the lowest bond strength and tubular penetration were associated with Group II (MM).

Conclusion:

Within the limitations of current study it was observed that Biodentine with indirect ultrasonic activation has resulted in highest pushout bond strength among all the study groups.
Evaluation of periostin levels in gingival crevicular fluid in association between coronary heart disease and chronic periodontitis
Authors: Rezaei Babak , Bayani Mojtaba , Anvari Mehdi , Vahed Pedram
Published: June 2021

Background:

Periostin is a protein, which is essential for periodontal tissue integrity, development and maturity. The aim of this study was to evaluate the role of gingival crevicular fluid (GCF) periostin levels in the association between coronary heart disease (CHD) and chronic periodontitis (CP).

Materials and Methods:

This matched case–control study was conducted on 116 participants. The participants were matched for age, gender, and body mass index and divided into four groups as follows: (1) 29 patients with CHD and sever CP (CHD-CP), (2) 29 patients with CHD and without CP (CHD-H), (3) 29 patients without CHD and with sever CP (H-CP), and (4) 29 healthy participants (H-H). The GCF periostin was collected and evaluated using the enzyme-linked immunosorbent assay (ELASA). Finally, the data were analyzed by analysis of variance using the stata software. Significance was assigned at P < 0.05.

Results:

The results showed that there was a significant difference in the GCF periostin levels in the four groups (P < 0.05). Moreover, according to the results of the Bonferroni's test, differences in the mean periostin levels were significant (P < 0.001) between CHD-CP and CHD-H, CHD-CP and H-CP, CHD-CP and H-H, CHD-H and H-H, and also between H-CP and H-H.

Conclusion:

The periostin levels reduced in the CHD patients, especially in the CHD-CP group. The findings reveal a probable role of periostin in the association between CHD and CP.
The effects of ingestion of hydrogen-dissolved alkaline electrolyzed water on stool consistency and gut microbiota
Authors: Tanaka Yoshinori , Kiuchi Masataka , Higashimura Yasuki , Naito Yuji , Koyama Katsuhiro
Published: June 2021

A relationship between Bifidobacterium and defecation has previously been reported. Our hypothesis on the effectiveness of alkaline electrolyzed water (AEW) proposes that ingestion of AEW, considered possessing antioxidative properties, increases the number of Bifidobacteria and improves stool hardness and gastrointestinal symptoms. A double-blind, randomized study was conducted to evaluate the connection between stool consistency and change in gut microbiota composition induced by drinking hydrogen-dissolved AEW. The participants drank 500 mL of purified tap water or AEW every day for 2 weeks. In this study, drinking AEW did not drastically change gut microbiota, but it appeared to act on a specific bacterial species. Drinking AEW was confirmed to cause an increase in Bifidobacterium. The AEW group also saw stool consistency significantly converge to Bristol stool scale Type 4 (“normal”). Therefore, it is highly likely that the gut microbiota will be changed by drinking AEW. This study was retrospectively registered in University Hospital Medical Information Network (UMIN) Clinical Trials Registry (UMIN ID: UMIN000039507) on February 18, 2020, and was approved by the Ethics Committee of University of Yamanashi (approval No. H30-25) on January 9, 2018.
Medical ozone therapy in facet joint syndrome
Authors: Latini Eleonora , Curci Enrico Roberto , Nusca Sveva Maria , Lacopo Alessandra , Musa Francesca , Santoboni Flavia , Trischitta Donatella , Vetrano Mario , Vulpiani Maria Chiara
Published: June 2021

Facet joint osteoarthritis is the most prevalent source of facet joint pain and represents a significant cause of low back pain. Oxygen-ozone therapy has been shown to have positive results in acute and chronic spinal degeneration diseases and it could be a safe and efficacious alternative to traditional facet joint conservative treatments. This review article explains the interventional facet joint management with ultrasound-guided oxygen-ozone therapy, providing an anatomy/sonoanatomy overview of lumbar facet joints and summarizing the potential mechanism of action of oxygen-ozone in the treatment of facet joint osteoarthritis, not yet fully understood.
Protective effects of sevoflurane in cerebral ischemia reperfusion injury
Authors: Liang Tian-Yu , Peng Song-Yang , Ma Mian , Li Hai-Ying , Wang Zhong , Chen Gang
Published: June 2021

Ischemia/reperfusion (I/R) injury is a phenomenon that the reperfusion of ischemic organs or tissues aggravates their damage, which poses a serious health threat and economic burden to the world. I/R gives rise to a series of physiological and pathological world, including inflammatory response, oxidative stress, brain edema, blood-brain barrier destruction, and neuronal death. Therefore, finding effective treatment measures is extremely important to the recovery of I/R patients and the improvement of long-term quality of life. Sevoflurane is an important volatile anesthetic which has been reported to reduce myocardial I/R damage and infarct size. Sevoflurane also has anti-inflammatory and neuroprotective effects. As reported sevoflurane treatment could reduce nerve function injury, cerebral infarction volume and the level of inflammatory factors. At the same time, there is evidence that sevoflurane can reduce neuron apoptosis and antioxidant stress. The protective effect of sevoflurane in brain injury has been proved to be existed in several aspects, so that a comprehensive understanding of its neuroprotective effect is helpful to exploit new treatment paths for I/R, provide clinicians with new clinical treatment decisions, contribute to the effective treatment of I/R patients and the improvement of quality of life after I/R healing.
A narrative review of adjuvant therapy for glioma
Authors: Xue Tao , Ding Jia-Sheng , Li Bing , Cao De-Mao , Chen Gang
Published: June 2021

Glioma is a kind of common malignant tumor in neurosurgery and has a high mortality and morbidity rate, which poses a serious threat to the health of people all over the world. Surgery is the preferred treatment for patients with glioma, radiotherapy or chemotherapy can be used after surgery. Although there are clear therapeutic protocols, the efficacy and safety of these protocols are clinically proven, a large number of patients are still dissatisfied with the treatment and the health of the patient remains unsatisfactory. Therefore, it is crucial to look for other treatments or complementary treatments. In the modern medical treatment, hyperbaric oxygen (HBO) therapy is widely used in various kinds of pathological state of adjuvant therapy, and existing studies confirm the efficacy of HBO therapy in combination with surgery, radiotherapy, chemotherapy, and photodynamic therapy. Studies have shown that HBO can inhibit the growth of tumor tissue as an adjunctive therapy. This provides novel insights into the clinical treatment of glioma patients. Although HBO is not licensed for use in cancer treatment, as a kind of adjuvant therapy, the treatment effect of HBO can be accepted by the patients and its cost lower, which could be regarded as an ideal safe treatment.
Lingual schwannoma in a 4-year-old female baby
Authors: Thakur Vinit Kumar , Rahul Sandip Kumar , Kumar Bipin , Hasan Zaheer , Yadav Ramdhani , Chaubey Digamber , Prasad Ramjee , Keshri Rupesh
Published: June 2021

Schwannoma is a benign tumor arising from Schwann cells of the peripheral nerve sheath. Although a common tumor of the head and neck region, its location in the oral cavity is uncommon. We found lingual schwannoma in a 4-year-old baby. The patient underwent magnetic resonance imaging and complete surgical excision of the mass. Histopathology confirmed the diagnosis.
Lung cancer in the older population: Interactive effects of angiotensin converting enzyme gene polymorphism (rs 4340 ID) and tobacco addiction in risk assessment
Authors: Banerjee Joyita , Gupta Abhishek , Agnihotri Vertica , Pradhan Rashmita , Kandel Ramesh , Upadhyay Ashish D , Dwivedi Sadanand , Kumar Lalit , Dey Sharmistha , Dey Aparajit B
Published: June 2021

Background:

rs4340ID polymorphism of angiotensin-converting enzyme (ACE) correlates with serum ACE levels in many known cancers. This study analyzed ACE rs4340 ID polymorphism in lung cancer (LC) in older patients of North India and correlated it with addiction status.

Methods:

The study enrolled all subjects aged 60 years and above with 154 LC and 205 healthy controls. Genotyping was done by polymerase chain reaction (PCR) and validated by sequencing of 10% of the sample. Statistical analysis was done by SPSS Statistics 21.

Results:

Genotype II was observed to have a significant 2.21-fold increased risk of LC as compared to the DD genotype and 3.43-folds enhanced risk with interaction of I allele with tobacco consumption habits as compared to D allele in LC was seen.

Conclusion:

The risk of LC was higher with II genotype as compared to DD genotype. Interactive effect showed that I allele with tobacco habits may increase the risk of LC.
Referral mechanism and beneficiary adherence in cervical cancer screening program in Tiruchirappalli district, Tamil Nadu state, India, 2012–2015
Authors: Viswanathan Vidhya , Ganeshkumar Parasuraman , Selvam Jerard M , Selvavinayagam TS
Published: June 2021

Background:

A screening program for cervical cancer was established in 2011 in Tamil Nadu. Since the inception of the program, coverage, and dropout of screening has not been analyzed. We conducted a study to describe the referral mechanism in the cervical cancer screening program implemented in Tamil Nadu, to estimate the level of adherence to the referral process by the beneficiaries, and to identify strengths and weaknesses related to the referral mechanism in the program.

Methods:

This descriptive study was conducted during 2015–2016 in the Tiruchirappalli administrative district of Tamil Nadu. All women aged 30 years and above, who were screened in public health facilities, were the participants. Using a structured form, we collected the data maintained in the registers at the district health administration. We estimated the screening coverage, follow-up evaluation, and dropout rates at different stages of the referral mechanism. We used SPSS and Epi Info software for analysis.

Results:

Coverage of cervical cancer screening was 4,838(41.6%). We estimated 4,838(41.6%) of screened positives were lost to follow-up for a colposcopy examination. Biopsy samples were obtained from 3425(84%) of those who required a biopsy. Cervical cancer was diagnosed in 159(4.6%) and precancerous lesions in 528(15.4%) women.

Conclusion:

More than half of the target population was screened in public health facilities. The dropout rate was less than half of those screened at the colposcopy evaluation level. Major pitfalls of the program were human resource issues at referral centers and poor maintenance of meaningful data.
Chronic kidney disease in children
Authors: Kumar Om , Pandey Vikash Kumar , Singh Prit Pal , Krishna Amresh
Published: June 2021

Chronic kidney disease (CKD) is a major public health issue globally. Although not so common in children, its impact can be devastating with long-term consequences. Syndromal association, congenital abnormalities of the kidney and urinary tract, and other congenital anomalies usually present in childhood and have more impact in this population. Issues such as growth retardation, hormonal imbalance, psychosocial development, and transitions to adult care are specific to children and need to be addressed appropriately. With CKD, their nutritional requirement is quite different from adults and needs more careful planning and dietary modification to avoid growth retardation in these patients. Pharmacokinetics and pharmacodynamics of many drugs including immunosuppressants also differ from adults and need special considerations. Kidney transplantation is the best treatment modality available for end-stage renal disease (ESRD). Preemptive kidney transplantation is preferred to prevent growth retardation and psychosocial maladaptations in children with ESRD. Because lymphoid system development is on peak in adolescents and developing children, they are at high risk of graft rejection. Poor adherence to medication and recurrence of primary disease also affects long-term prognosis in adolescents adversely.
Rare sites of giant cell tumor
Authors: Kumar Indrajeet , Ahmed Wasim , Kumar Rahul , Kumar Sanjeet , Kashyap Nishant , Kumar Santosh , Kumar Manish
Published: June 2021

Introduction:

Giant cell tumor (GCT) is a primary benign neoplasm of the bone. It accounts for 5% of all skeletal tumors. It usually originated from the long bones. It usually arises in the metaphyseal-epiphyseal area of the long bones. We report some cases of GCT at rare sites. These are clavicle, phalanx, head of fibula, distal end of the ulna, and extensor tendon sheath of the hand.

Materials and Methods:

All cases were investigated and managed in the Department of Orthopedics and Surgical Oncology, IGIMS, Patna, India, between March 2014 and June 2019. We surgically managed eight rare cases (5 male and 3 female) of GCT. Patients were followed up for minimum 1 year.

Discussion:

GCT represents about 3%–5% of all bone tumors and 21% of benign bone tumors. It is most commonly seen in early adulthood, with a peak incidence in the third decade and with a slight female preponderance; it is usually seen in the skeletally mature patient.

Conclusion:

GCT s of bone at rare sites present a challenge in both diagnosis and treatment because there is very few literature about them. Our study on this tumor at rare sites will throw a new insight into the proper management.
Management of dyslipidemia in chronic kidney disease
Authors: Singh Prit Pal , Krishna Amresh , Kumar Om
Published: June 2021

Dyslipidemia is one of the most important modifiable risk factors for cardiovascular morbidity and mortality in chronic kidney disease (CKD) patients. Lipid profile in CKD differs from that in general population. Even at normal or near-normal lipid levels, subparticles are more atherogenic and more pro-inflammatory. Because of altered clearance and metabolism of various lipid-lowering agents in CKD, its safety on long-term use remains a serious concern. Statins and ezetimibe remain drug of choice for most of the patients. The lowest and the safest dose of the drugs is guided by various trials. Until recently, not much study was available to formulate a guideline for these patients. However, recent studies and meta-analysis have solved this problem to some extent and that's evident with latest guidelines published by KDIGO and ACC/AHA.
Intradiaphragmatic extralobar pulmonary sequestration accompanying eventration of diaphragm
Authors: Keshri Rupesh , Yadav Ramdhani , Thakur Vinit Kumar , Chaubey Digamber , Kumar Vijayendra , Rahul Sandip Kumar
Published: June 2021

Pulmonary sequestrations (PSs) are rare anatomical aberrations of pulmonary development. We describe an unusual case of intradiaphragmatic extralobar PSs associated with eventration of the diaphragm on the left side. This association complicated the clinical presentation and intraoperative management of the patient.
Perturbation theory and higher order $\mathcal{S}^{\!p}$-differentiability of operator functions
Authors: Coine Clément
Published: June 2021

We establish, for

1<p<\infty

, higher order

\mathcal{S}^{p}

-differentiability results of the function

\varphi \colon t\in \mathbb{R} \mapsto f(A+tK) - f(A)

for selfadjoint operators

A

and

K

on a separable Hilbert space

\mathcal{H}

with

K

element of the Schatten class

\mathcal{S}^{p}(\mathcal{H})

and

f

n

-times differentiable on

\mathbb{R}

. We prove that if either

A

and

f^{(n)}

are bounded, or

f^{(i)}

,

1\leq i\leq n

, are bounded,

\varphi

is

n

-times differentiable on

\mathbb{R}

in the

\mathcal{S}^{p}

-norm with bounded

n

th derivative. If

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

with bounded

f^{(n)}

, we prove that

\varphi

is

n

-times continuously differentiable on

\mathbb{R}

. We give explicit formulas for the derivatives of

\varphi

, in terms of multiple operator integrals. As for application, we establish a formula and

\mathcal{S}^{p}

-estimates for operator Taylor remainders for a more extensive class of functions. These results are the

n

th order analogue of results by Kissin–Potapov–Shulman–Sukochev. They also extend the results of Le Merdy–Skripka from

n

-times continuously differentiable functions to

n

-times differentiable functions

f

.
Removable singularities for Lipschitz caloric functions in time varying domains
Authors: Mateu Joan , Prat Laura , Tolsa Xavier
Published: June 2021

In this paper we study removable singularities for regular

(1,1/2)

-Lipschitz solutions of the heat equation in time varying domains. We introduce an associated Lipschitz caloric capacity and we study its metric and geometric properties and the connection with the

L^2

boundedness of the singular integral whose kernel is given by the gradient of the fundamental solution of the heat equation.
Conversion of biogas from anaerobic digestion to single cell protein and bio-methanol: mechanism, microorganisms and key factors - A review
Authors: Salehi Reza , Chaiprapat Sumate
Published: June 2021

Biogas is a mixture of mainly CH4 and CO2, which can be generated from anaerobic digestion of organic materials. The use of biogas is mostly limited to thermal energy and electricity generation. However, the abundance of cheap shale gas and solar energy could drive out biogas for such applications in the near future. Hence, alternative applications of biogas have recently received great attention among researchers across the globe. This review, for the first time, discusses the feasibility of the bioconversion of biogas to value-added products, including single cell protein as animal feed supplement, and methanol that is an important building block in the chemical industries. Mechanisms of the process, microorgnisms involved and key parameters affecting their efficiency are discussed in detail. Some future research needs are suggested in order to deepen our understanding of these biochemical processes.
Yaşlıların Pandemi Sürecindeki Biyopsikososyal Etkilenimleri
Authors: HASTAOĞLU Fatma
Published: June 2021

Covid-19 virüsü ilk olarak Çin’in Wuhan kentinde görülmüş ve Dünya Sağlık Örgütü (WHO) 11 Mart’ta pandemi ilan etmiştir. Pandemi süreci tüm dünyada başta sağlık, ekonomi ve toplumsal hayatı etkileyen oldukça önemli bir krize neden olmuştur. Covid-19 pandemisi herkesi etkisi altına alan, gerek toplumsal gerekse bireysel anlamda hem fiziksel hem ruhsal hem de ekonomik açıdan önemli önemli kayıplar yaşanmasına neden olan bir halk sağlığı sorunudur. Dezavantajlı grup olarak bilinen yaşlıların, özellikle yaşlı bireylerin enfeksiyon riski açısından riskli olmaları, hem ekonomik (para çekme, faturaları ödeme vb.), hem sosyal (yiyecek içecek alma, güneş ışığından faydalanma vb.) hem de sağlık gereksinimleri( ilaçların temini, sağlık kontrollerinin yapılması vb.) için desteğe ihtiyaç duyabilmeleri, sosyal izolasyon yaşamaları, toplumsal açıdan dışlanmaları, bilinmeyene karşı korku duymaları gibi pek çok neden pandemi sürecinin yaşlılardaki etkisini gözler önüne sermektedir. Evde kalıp dışarı çıkamayan yaşlılarda, fiziksel ve ruhsal gerilemelerin görülmesinin yanı sıra, korunma ve bakım gereksinimlerinde de belirgin bir artış görülmektedir. Pandemi sağlık sistemi üzerinde ciddi yük oluşturduğunda ve kaynakların pandemideki tüm nüfusun gereksinimleri ile başa çıkmak için yeterli olmadığında, yaşın olumsuz bir faktör olabileceği yönündeki risk unutulmamalı ve tüm yaşlı insanların bu zamanlarda saygı ve sevgi ile tedavi edilmesi sağlanmalıdır. Bu nedenle, yaşlıların pandemi sürecinden etkilenimlerinin erken dönemde tespit edilmesinin, hem bakım uygulamalarının düzenlenmesine, yaşlıların hastane yatışlarının azaltılarak, pandeminin kontrol altına alınabilmesine katkı sağlayacağı düşünülmektedir. Yaşlılardaki pandeminin olumsuz etkilerini azaltmak, bakım gereksinimlerini karşılamak, sosyal yaşama katılımlarını kesmeden koruyabilmek, onların bu acil, olağandışı ve zor durumda toplumsal saygınlığını devam ettirebilmelerini sağlamak pandemi farkındalığını artırmakla sağlanacaktır. Çalışmamız, bu farkındalığı sağlamak amacıyla planlanmıştır.
Anatolian Pot Marks in the 3rd Millennium BC: Signage, Early State Formation, and Organization of Production
Authors: HACAR Abdullah , YENER K. Aslıhan
Published: June 2021

This study presents new information and interpretation of pot marks applied specifically on “Anatolian Metallic Ware” that are dated to the 3rd millennium BC, and distributed in the southern Konya Plain and the southwestern region of Cappadocia. While many specialists have studied this ware group, also referred to as “Darboğaz” vessels, detailed studies have not been conducted on the pot marks themselves. The finds from the Göltepe excavations, when combined with other research data and ethnographic/ethnoarchaeological records, have helped to classify and interpret this signage. According to our preliminary results, there is no relationship between the pot marks and vessel type, sub-ware group, or ownership. Taking into account the general characteristics of the Anatolian EBA and the production techniques of Anatolian Metallic Ware, we discuss whether the pot marks reflect quality control over the production process and serve interregional connectivity.
The Gem Stamp on the Handle of a Mushroom-rimmed Amphora from Knidos: An Assessment of the Centauromachy in Terms of Stamps and Iconography
Authors: ALKAÇ Erkan , TEPEBAŞ Ulus
Published: June 2021

In 1973 a fragment of a stamped amphora with a mushroom-shaped rim was found during archaeological excavations at the “West Harbour Byzantine Church E” in Knidos. The gem-shaped stamp on the handle of this amphora features a mythological scene of a battle between a Centaur and a Lapith. The figure on the right-hand side of the scene on the gem stamp is the Lapith while the half human-half horse figure on the left is the Centaur. The heads and faces of both figures have eroded. Nevertheless, it is possible to provide information about their compositions on the scene. The torso of the Lapith figure on the right is depicted frontally, while the left leg is depicted from the side and right leg from the front. Mushroom-rimmed amphorae were produced at numerous centers across the southern Aegean region including Samos, Rhodes, Knidos, Kos, Halikarnassos, Peparethos, Klazomenai and Phokaia. The mushroomrimmed amphora, the subject of this article, must have been produced in the Aegean region or nearby. The production of mushroomrimmed amphorae is regarded as a reflection of a regional perception. Although these amphorae generally abide by the same form, some differences in shape can be observed. Stamps are rarely found on mushroom-rimmed amphorae. The stamps on this shape often consist of monograms and ligatures, not mythological scenes like that of the Lapith and Centaur. The depiction of this battle on the Knidos find is a unique example. This mushroom-rimmed amphora should be dated to the second half of the 4th century BCE based on similar examples in terms of form.
A New Honorific Inscription from Blaundos: Tiberius Claudius Lucius, the Priest of Dionysos Kathegemon
Authors: KİLECİ Şenkal , CAN Birol
Published: June 2021

This article introduces the Hellenic honorific inscription on a pedestal found in 2018 in the excavation of the ancient city of Blaundos, within the borders of the village of Sülümenli in the Ulubey district of Uşak province. The pedestal is carved with a border frame around it and was unearthed in the excavation of the main street of the city. It bears an inscription of thirty lines on its front face and a Ludus Duodecim (XII) Scriptorum on its back face, which is understood to have been made later. The inscription provides information about a man named Tiberius Claudius Lucius, a builder, patriot, and benefactor of the city as well as a priest of Dionysos Kathegemon. Further, it records significant information concerning the construction activities he undertook. The erection of the statue was supervised by his nephew Aurelius Claudius Alexandros, of equestrian rank, and the finalization of this task together with the various construction activities openly stated in the inscription were supervised by Aurelius Claudius Alexandros who has the same name as his father, the nephew of Lucius. This inscription is significant for recording information about both the military titles and construction activities in the city. It is dated after AD 212 because of the name Aurelius.
Çözüm Odaklı Kısa Süreli Psikolojik Danışma ve Öyküsel Psikolojik Danışma Yaklaşımlarına Dair Karşılaştırmalı Bir İnceleme
Authors: ERÇEVİK Ayşegül
Published: June 2021

Postmodernizm ve yapılandırmacılık akımları ve değişen bilim anlayışı psikolojik danışma sürecini de etkilemiştir. Çözüm Odaklı Kısa Süreli Psikolojik Danışma ve Öyküsel Psikolojik Danışma postmodernizmin ve yapılandırmacılığın etkileriyle ortaya çıkan ve yaygın olarak kullanılan yaklaşımlardandır. Her iki yaklaşım danışma sürecinin nesnel olarak yürütülebileceği düşüncesine karşı çıkmaktadır. Psikolojik danışma sürecindeki etkileşim gerçekliği yeniden yapılandırmakta hem danışanda hem de psikolojik danışmanda değişim yaratmaktadır. Her iki yaklaşım danışanın deneyiminin öznel olduğu fikrini benimsemektedir. Bu öznel deneyime ilişkin bilgiye sahip olan kişi ise danışandır ve dolayısıyla hayatının uzmanı kendisidir. Aynı zamanda her danışanın deneyimine ilişkin çözümlerinin de öznel olduğu vurgulanmaktadır. Psikolojik danışman ise iyi bir dinleyici konumundadır. Felsefi temelleri ortak olan bu iki yaklaşım belli noktalarda farklılaşmaktadır. Çözüm odaklı kısa süreli psikolojik danışmada danışanın deneyimini anlamak için sorular aktif olarak kullanılmaktadır. Bu yaklaşımda odak çözümlerdir ve çözüme yönelik adımlar ve sorunu azaltan deneyimler incelenmektedir. Dolayısıyla şimdi ve gelecek odaklı bir yaklaşım olduğu söylenebilir. Çözüm odaklı kısa süreli psikolojik danışmada soruların süreç içerisinde yoğun kullanımı söz konusudur. Öyküsel psikolojik danışmada ise sorunun baskın öyküden kaynaklandığı ifade edilmekte ve derinine araştırılmasına odaklanılmaktadır. Psikolojik danışma sürecinde bu öykülerin yeniden yazılmasına çalışılmaktadır. Bu bakımdan şimdi ve geçmiş odaklı bir inceleme içerdiği söylenebilir. Her iki yaklaşımında psikoterapi uygulamalarına kattığı yeni teknikler bulunmaktadır. Bu çalışmada Çözüm Odaklı Kısa Süreli Psikolojik Danışmanlık ve Öyküsel Psikolojik Danışmanlık yaklaşımlarının temelleri, insana bakışı ve temel varsayımları ve psikolojik danışma süreçleri karşılaştırılmıştır.