bluuebunny/crossref_metadata_2025 huggingface dataset:
Fatores associados a ansiedade, depressão e estresse em estudantes de Medicina na pandemia da Covid-19
Authors: Barros Gustavo Felipe Oliveira , Coimbra Neto João Bosco Rocha , Campanholo Enzo Mugayar , Ritter Guilherme Pazinato , Silva Antonio Márcio Teodoro Cordeiro , Almeida Rogério José de
Published: November 2022

Resumo: Introdução: O curso de Medicina apresenta alta prevalência de transtornos mentais, e essa situação é agravada com a pandemia da Covid-19. Objetivo: Assim, o objetivo deste estudo foi analisar os fatores associados aos sintomas de ansiedade, depressão e estresse em estudantes de Medicina durante o período pandêmico. Método: Trata-se de um estudo transversal analítico com abordagem quantitativa. Foram aplicados dois questionários: um sobre dados sociodemográficos, pessoais e acadêmicos, e a DASS-21. Resultado: Investigou-se uma amostra de 274 estudantes de Medicina. A maioria dos participantes era do sexo feminino (63,5%) com idade que variava de 21 a 25 anos (58,4%). Dos entrevistados, 40,1% raramente encontraram os amigos. A maior parte estava insatisfeita com o rendimento acadêmico (79,9%) e acusou piora na qualidade de vida (54,7%). Em relação aos dados sociodemográficos, foi evidenciada uma incidência muito maior de depressão, ansiedade e estresse em estudantes do sexo feminino (p < 0,0001). No que diz respeito aos dados pessoais e clínicos, os estudantes que já tinham doença psiquiátrica apresentaram mais comumente ansiedade, estresse e depressão (p < 0,0001), e aqueles já faziam terapias psicológicas tiveram o mesmo resultado (p < 0,0001). Quanto aos aspectos acadêmicos, no grupo que referiu já ter pensado em abandonar o curso, houve maior incidência de depressão, ansiedade e estresse (p < 0,0001), bem como quem referiu piora na qualidade de vida durante a pandemia teve depressão, ansiedade e estresse com maior frequência (p < 0,0001). Conclusão: Este estudo evidenciou aspectos sociodemográficos, pessoais e acadêmicos, e, consequentemente, os fatores que estiveram associados a maiores níveis de ansiedade, depressão e estresse em estudantes de Medicina durante a pandemia da Covid-19. Tendo em vista o impacto da pandemia na saúde mental dos estudantes, é essencial a adoção de medidas e programas específicos que visem à diminuição e à prevenção dos transtornos psíquicos no ambiente estudantil.
Glucose and reflexology for pain relief during arterial puncture in neonates: a protocol
Authors: Costa Thatiane Monick de Souza , Fernandes Thatiane Evelyn de Lima , Silva Silmara de Oliveira , Queiroz Cintia Galvão , Rocha Mayara Araújo , Duarte Fernando Hiago da Silva , Dantas Rodrigo Assis Neves , Dantas Daniele Vieira
Published: November 2022

ABSTRACT Objective To present a study protocol to compare glucose and reflexology in pain relief in neonate intensive care during arterial punctures. Methods A randomized, controlled, double-blind clinical trial protocol will be carried out at a teaching hospital maternity, with30 newborns admitted to neonate intensive care who are to undergo blood collection by arterial puncture. They will be randomly assigned to a control group (25% glucose) or an intervention group (foot reflexology). The primary outcome will be neonate pain scores during and after arterial puncture. Secondary outcomes will be crying time and variation in neonates' vital signs during and after the arterial puncture procedure. Registration number RBR-639bff. Discussion The results of this trial will provide new insights into the most appropriate intervention for the relief of neonate pain during painful procedures.
Factors associated with alcohol abuse in nursing professionals in São Paulo State, Brazil
Authors: Martinez Maria Carmen , Latorre Maria do Rosário Dias de Oliveira , Fischer Frida Marina
Published: November 2022

Abstract Objective: to identify factors associated with alcohol abuse in nursing professionals in São Paulo State. Methods: this is a case-control nested in a cross-sectional study. We collected data on demographic characteristics, lifestyle, work ability, occupational features, physical and psychosocial work environment, and alcohol abuse (CAGE Questionnaire). Multiple logistic regression analyses were performed. Results: the study involved 119 participants in the case group and 356 in the control group. After age adjustment, alcohol abuse was associated with male sex (OR: 3.39; 95%CI: 1.96;5.85), current or former smoking (OR: 2.11; 95%CI: 1.32;3.38), and poor sleep quality (OR: 1.91; 95%CI: 1.12;3.25); and negatively associated with ≥50 weekly working hours (OR: 0.54;95%CI: 0.32;0.92) and a monthly family income ≥6.1 minimum wages(OR: 0.37; 95%CI: 0.20;0.67). Conclusions: working hours and individual characteristics were associated with alcohol abuse. Workplaces should implement programs to prevent and treat alcohol abuse in nursing professionals to reduce workers’ and patients’ alcohol-related harms.
Fatores associados ao consumo abusivo de álcool em profissionais de enfermagem no estado de São Paulo, Brasil
Authors: Martinez Maria Carmen , Latorre Maria do Rosário Dias de Oliveira , Fischer Frida Marina
Published: November 2022

Resumo Objetivo: identificar fatores associados ao consumo abusivo de álcool entre profissionais de Enfermagem no estado de São Paulo. Métodos: trata-se de um estudo caso-controle aninhado a um transversal. Foram coletados dados sobre características demográficas, do estilo de vida, capacidade para o trabalho, aspectos ocupacionais, do ambiente de trabalho físico e psicossocial e de consumo abusivo de álcool (questionário CAGE). Foi realizada análise de regressão logística múltipla. Resultados: o estudo envolveu 119 casos e 356 controles. Após ajuste por idade, o consumo abusivo de álcool foi associado ao sexo masculino (OR: 3,39; IC95%:1,96;5,85), tabagismo atual ou pregresso (OR: 2,11; IC95%: 1,32;3,38) e à qualidade do sono ruim (OR: 1,91; IC95%:1,12;3,25); e negativamente associado a carga horária de trabalho semanal ≥50 horas (OR: 0,54; IC95%:0,32;0,92) e renda familiar mensal de ≥6,1 salários-mínimos (OR: 0,37; IC95%: 0,20;0,67). Conclusões: jornada de trabalho e características individuais estiveram associadas ao consumo abusivo de álcool. Programas de prevenção e tratamento do consumo abusivo de álcool em profissionais da Enfermagem deveriam ser implementados nos locais de trabalho, visando reduzir os danos causados pelo álcool para trabalhadores e pacientes.
Neoruralismo pedagógico: a formação dos trabalhadores do campo no projeto neodesenvolvimentista brasileiro (2001–2016)
Authors: Santos Magda Gisela Cruz dos , Paludo Conceição
Published: November 2022

RESUMO Para compreender a perspectiva de formação proposta pelo Estado nas políticas de Educação do Campo do período neodesenvolvimentista (2001–2016), analisamos a relação dessas políticas com o projeto de desenvolvimento. Com base no referencial teórico metodológico do Materialismo Histórico-dialético, realizamos análise documental, investigação de dados estatísticos sobre a questão agrária e revisão de bibliografia. Como principal resultado da pesquisa, constatamos que a formação dos trabalhadores do campo, proposta pelo Estado no período neodesenvolvimentista, configurou o que denominamos de neoruralismo pedagógico, uma perspectiva de formação que tem por objetivo central a adequação da força de trabalho do campo às novas demandas da reestruturação produtiva, no contexto da acumulação flexível. Para isso, promove a reconfiguração da proposta de adaptação psicofísica dos trabalhadores, transmutando-a para a educação socioprofissional.
Compósitos cimentícios com fibras de polipropileno: avaliações no estado fresco e endurecido
Authors: Silva Reginaldo Virgílio da , Cascudo Oswaldo , Bacarji Edgar
Published: November 2022

RESUMO O concreto é um material largamente utilizado em todo o mundo. Algumas de suas particularidades são a fissuração e a baixa resistência à tração. Assim, a adição de fibras pode ser uma alternativa viável, a fim de se minimizar a ocorrência destes efeitos. O presente estudo investigou as vantagens e desvantagens da adição de fibras de polipropileno (PP) nos materiais cimentícios e, por fim, apresentou os resultados e considerações de um estudo experimental sobre as propriedades dos compósitos de microconcreto no estado fresco e endurecido. Foram usados dois tipos de fibras: uma curta com 12 milímetros de comprimento (microfibras), e outra de 54 milímetros (macrofibras). Os teores de fibras, em relação ao volume do microconcreto, foram de 0,1%, 0,2%, 0,3% e 0,4% para a microfibra e de 0,3%, 0,4% e 0,5% para a macrofibra e para os híbridos. Estes últimos foram compostos por 30% de microfibras e 70% de macrofibras. Parte do cimento foi substituída por sílica ativa (SA) e cinza volante (CV), nas proporções de 7,5% para cada uma delas, em massa. A proporção ligante:agregados foi de 1:3, em massa. Para os agregados, foi adotada a relação de 30% de areia natural e 70% de areia artificial, em massa. Quanto ao efeito das microfibras, estas apresentaram resultados satisfatórios para adições de 0,1% no compósito com adição de microfibras e em todas as composições híbridas nas idades de 28 e 91 dias., tanto no estado fresco como no endurecido. Quanto às macrofibras, estas ocasionaram discreta redução no abatimento e na absorção, constância no percentual de ar aprisionado e melhora nos resultados no estado endurecido para os teores de 0,4% e 0,5%, em relação à mistura de referência (sem fibras).
Trabalhando todo o tempo: sobrecarga e intensificação no trabalho de professoras da educação básica
Authors: Viegas Moacir Fernando
Published: November 2022

Resumo O objetivo do presente artigo é descrever, analisar e explicar as propriedades e características da intensificação e da sobrecarga de trabalho de professoras e professores da educação básica de 18 municípios da região do Vale do Rio Pardo, Rio Grande do Sul, nos anos de 2018 e 2019. Para tanto, apoia-se em dados originados da aplicação de questionário realizado com uma amostra de 204 docentes de escolas públicas da educação infantil, do ensino fundamental e do ensino médio, além de entrevistas e grupo de discussão. O estudo é apoiado em referências teóricas que possuem como base a sociologia do trabalho e que tratam das principais categorias da discussão realizada no artigo, especialmente intensificação e sobrecarga, além de condições de trabalho e divisão e organização do trabalho. O artigo se justifica pela necessidade de aprofundamento de pesquisas que abordem as problemáticas da intensificação e da sobrecarga no trabalho docente em tempos de aumento da precarização e de novas e complexas responsabilidades das professoras e professores decorrentes das reformas neoliberais e das mudanças na produção econômica. O estudo revela que as docentes e os docentes dos municípios abrangidos estão envolvidos permanentemente com o trabalho, em jornadas intensas e de sobrecarga que exigem uma constante dedicação ao trabalho, estendendo-se a jornada ao espaço doméstico e produzindo condições que frequentemente levam ao adoecimento.
Teaching through lives: biographical-narrative constructions thought as an active and meaningful methodology
Authors: Thé Raul da Fonseca Silva
Published: November 2022

Abstract The present work intends to present as a perspective of the field of social sciences, the biographical-narrative approach of lives, has the founding potential – when applied in teaching – to activate and make meaningful (and significant) both learning and the lives of students and educators. Based on an interpretive and reflective reading, the methodology is based on a broad discussion about dealing with biographical narratives. Along with this, the relational possibilities that narrating and reconstructing trajectories reveal are pointed out, added to the understanding of how these are intercrossed in contexts and relationships at the micro and macro level, in the private and public spheres, encompassing traditional, popular and cultivated knowledge. This fact leads to the pedagogical latency of this methodological experience of teaching-learning-research. Therefore, it is intended to point to ways of operationalizing – disciplinary and also inter-, multi- and transdisciplinary – the processes and tools, as well as the gains in interests and contextualization of the contents proposed by the curricula and school calendars. These procedures have the relevant role of revealing the socio-historical present of the trajectories and of the agents that circulate educational life, but also of the families and, especially, of the students themselves, and place them as historical agents filled with subjectivities built in the daily interrelationships and intercoms. In this way, it is pointed out, finally, how the biographical-narrative approach has the potential to constitute itself as an active, interpretive and reflective methodology, without forgetting to be critical and to produce openings for the emancipation of the agents (educator and student).
New α-NaFeO2 synthesis route for green sodium-ion batteries
Authors: Guaita Maria Gabriella Detone , José de Oliveira Otávio , Catarini da Silva Paulo Rogério , Dall’Antonia Luiz Henrique , Urbano Alexandre
Published: November 2022

New technologies have been investigated to replace the use of lithium and cobalt ions, raw materials of the cathode active material of lithium-ion batteries. Among the emerging technologies stands out one that uses sodium (Na+) and iron ions. Sodium iron oxide (NaFeO2) has polymorphism, with only the α phase being active for the reversible deintercalation of sodium ions, so this phase has potential application as an electroactive material in green sodium-ion batteries. The novel synthesis of α-sodium iron oxide through the sol–gel route, which provides a material with small particles and high crystallinity, is described in this work. Through X-ray diffraction and Rietveld refinement, it was found that the initial chelating agent/metals ratio affects the concentration of the α and β phases at the end of the synthetic route. The α-sodium iron oxide, obtained with an appropriate chelating agent/metals ratio, showed high purity and crystallinity. A discharge capacity of approximately 110 mAh/g was achieved when the α-sodium iron oxide electrode, obtained through the sol–gel route, was cycled from 1.00 to 4.00 V against sodium ions/sodium (Na), corresponding to the intercalation of approximately 0.5 sodium ions of the Na1−x FeO2 formula. The success of the synthesis of the α-sodium iron oxide phase can lower the cost and ensure the economic viability of green sodium-ion batteries.
Overcoming Covid19 Effect to Implement NAAC: Mind Mapping
Authors:   CEO, Akella Systems (Incubation Center) & Professor, Dept. of Mechanical Engineering, Akella Suresh , Prasad Kantipudi MVV ,   Director of Advancements, Dept. of Electronics & Communication Engineering Sreyas Institute of Engineering and Technology, Hyderabad, India
Published: November 2022

Abstract :The sudden impact of Covid19 in India coincided with the NAAC assessment submission decision at Sreyas Institute of Engineering & Technology at Hyderabad, India. Institute decided to document the upgraded National Assessment and Accreditation Council (NAAC) version and submit it to the NAAC board during February 2020; Covid19 started spreading in India. By March first week, a total lockdown started, and all educational institutions were closed. Along with quickly adapting to online classes, online examinations for the benefit of student's the staff also adopted the online media to complete the NAAC documentation as per the new standards laid by NAAC. To motivate the staff, who were technically knowledgeable, a lateral thinking approach was adopted. The criteria aspects were mapped to the socio, spiritual, scientific, and management aspects to bring the group together to focus on achieving their common goal for the institute of achieving the assessment and approval of the upgraded NAAC procedures and standards. Within the Covid locked down period of about five months, the required five years of data of all aspects of all criteria were collected with co-operation among the staff, and the submission was completed in September of 2020. This report is to focus on the mind mapping used initially to bring the faculty team together forpreparing the NAAC Document. All seven criteria of the NAAC system were mapped to socio, scientific and spiritual practices through which all humans were brought up. The relationship is communicated via zoom meetings to all staff and the criteria in charge. Commitment improved as they related the known imbibed knowledge they possessed. Keywords: Covid19; Mind Mapping; NAAC; Baghavad Gita; Engineering Institute; Pedagogy
Factors Affecting Computer Science Student's Academic Performance During Covid-19
Authors:   Federal Urdu University of Arts, Science & Technology, Karachi, Pakistan, Shaikh Dr. Muhammad Khalid , Shah Tanveer ,   Virtual University of Pakistan
Published: November 2022

Abstract : In this research, the factors that affect the computer science student's academic performance are investigated in the scenario of online learning induced by the COVID-19 pandemic. It is found that while staying at home, and getting tutored online, the academic achievement of the students of Computer Science gets affected by the following group of factors: Family characteristics (family causal factors), Student's academic characteristics, Social and personal characteristics, Psychological and Health Related Factors, Institutional characteristics, Teachers (academic causal factors), Perceptions about Online Learning, Perception about Computers. As opposed to the general usage of only the CGPA as a measure of the academic performance, this research introduces the online self-study time (OSST) as well, as a measure of the academic performance. A total of 170 students had responded to a questionnaire administered to them to assess the effects of the identified factors. The questionnaire was checked for reliability and validity as well, using construct reliability, indicator reliability, convergent validity, and discriminant validity. The students were from various semesters of Bachelor of Computer Science degree program. The questionnaire data is subjected to the multinomial logistic regression analysis. Results have shown that there is relation that exists between the identified factors and the academic performance of the students that is reflected in their CGPA and the OSST. Keywords : COVID-19, Academic performance, Online learning, Online Self-study Time (OSST).
Continuity risks
Authors: Cescon José Antonio , Lima Nilton César , Silva Jorge Luiz Rosa da , Ferreira Júlio César
Published: November 2022

This paper aims to demonstrate whether there is information asymmetry between the independent auditors' report and the management report/explanatory notes, in relation to the auditor's mention of the existence of risk of the company's going concern. This research is characterized as qualitative, supported by quantitative, exploratory, documentary, and bibliographic analysis. Data collection was carried out via the Internet on the companies' webpages and on Brasil Bolsa e Balcão (B3), with a delimited sample of companies that mentioned the operational continuity in the audit report for the years ended in 2019, 2020, and 2021, constituting a sample of 41 companies. Discourse analysis and descriptive statistics were used to obtain the results. Supported by the agency theory, especially in the aspect of asymmetry of information, the reports of the companies examined were compared, through which it was noticed that in the report of the independent auditors, the language is clear and objective, even pointing out the reason for the mention of continuity risk. However, in the management reports/explanatory notes, there are few companies that address this mention of the continuity risk, and most of the companies analyzed only make arguments that would justify the difficulties these companies are experiencing. To give greater robustness to the understanding that there is information asymmetry, this study used as an indicator of asymmetry, the t-test (average) of the differences between the returns of the assets paired with the return of the market index (IBOV), between the date of publication of the financial statements and the immediately preceding date. It is concluded that in the discourse analysis, the mention of the continuity risk indicates the existence of information asymmetry, which can mislead readers/investors in the interpretation of the Financial Statements of these companies, however when comparing stock returns with market returns, this asymmetry was not confirmed with the t-test.
SIGNS OF THE TIME: MEMORY ABOUT MASS POLITICS OF THE 1990s IN THE EXPOSITIONS OF RUSSIAN MUSEUMS
Authors:   National Research University “Higher School of Economics”, Malinova O. Yu.
Published: November 2022

The article explores framing of collective memory about the 1990s in two Russian museums of political history. It provides a comparative analysis of the expositions of the State Central Museum of Contemporary History of Russia (SCMCHR) in Moscow and the Museum of Boris Yeltsin (MBY) in Yeltsin Center in Ekaterinburg, with a focus on material objects representing the mass politics. The comparative analysis of material objects presented in the two museums is supplemented by the observations derived from memoirs of “the ordinary” people. It helps to reconstruct the stories that might be triggered by the objects at display, and to reveal some lacunas and inconsistencies in the expositions. The expositions of SCMCHR and MBY are evidently different, which is determined by their missions and narratives. SCMCHR presents a broader spectrum of political and social perspectives and pays more attention to the negative aspects of the 1990s. The exposition of MBY is focused on the figure of Russia’s first president, who is presented as the leader who brought people freedom. This allows the authors of the exhibition to provide less space for the voices of “ordinary people” and emphasizes positive aspects of the 1990s. In spite of the differences, both expositions provide multidimensional stories that go beyond the stereotypes exploited in political discourses. They illustrate not only the economic difficulties and political turbulences of the 1990s, but also the mass support for the expected changes and new opportunities for social activities. This is particularly true for the case of mass politics, as both expositions provide evidence of political freedoms incomparable to that in Putin’s Russia.
THE ORTHODOX CHURCH IN VOLYNIA DURING THE INTER-WAR YEARS: BETWEEN THE UKRAINIAN AND POLISH NATIONALISMS
Authors:   Perm State University, Bulakhtin М. А.
Published: November 2022

The article reveals the evolution of Poland’s policy towards the Orthodox Church in the 1920s and 1930s on the example of Orthodoxy in Volynia. This region of Poland had the largest number of Orthodox Christians, and Ukrainians prevailed among them. The Ukrainian national movement that was growing during those years stood for Ukrainization of the Orthodox Church in Volynia. The advocates of Ukrainization put pressure on the religion leadership and declared the need for “derussification” of the church life. They also proclaimed Russian priests as a threat not only to Ukrainians, but also to the Polish state, and called them supporters of the restoration of “one and undivided Russia”. In the early 1920s, the Polish authorities were afraid of the Ukrainian national movement and put up with the continuing influence of the ethnic Russian priests in the Orthodox Church. Polish officials did not want to allow the church to become an additional resource for the political influence of Ukrainian nationalists. After the coup of May 1926, when the supporters of Marshal J. Pilsudski came to power in Poland, state policy began to change in favor of the Ukrainization of the Orthodox Church in Volynia. The Volyn governor Henryk Józewski made an important contribution to the approval of this policy. However, later, under the influence of the international political situation in Europe during the 1930s, the approach of the Polish authorities towards the Orthodox Church in Volynia changed again. The authorities set a course towards the Polonization of the Ukrainians in Volynia together with the strengthening of the position of the Roman Catholic Church in the region. All this led to an increase of inter-ethnic tensions and anti-Polish sentiments there.
Screening of zinc, copper and iron in lettuce and Chinese cabbage cultivated in Durban, South Africa, towards human health risk assessment
Authors: Nkosi S’busiso M. , Msimango Nomaxhosa M.
Published: November 2022

Human well-being and ecological reliability continue to face a major threat resulting from heavy metal pollution to soils caused by untreated discharge from metropolitan and industrial wastewater. The potential human health risks of zinc (Zn), copper (Cu) and iron (Fe) contamination to native inhabitants through the food chain were assessed in Pinetown, Durban, where their irrigation processes are from the Umgeni River passing through the highly industrialised Pinetown area. River water, vegetables (cabbage and lettuce) and soil were analysed for Zn, Cu and Fe; transfer factor, health risk index and the daily intake of metals were also calculated. The concentrations of heavy metals indicated the pattern trend as Fe>Zn>Cu for both cabbage and lettuce. The levels of transfer factors for heavy metals ranged from 0.02 mg/kg to 1.89 mg/kg. The health risk index (0.0002–01430) was found to be within the recommended range (<1), which poses no human health risk with respect to all heavy metals tested.
Significance:
The present study has generated data on heavy metal pollution in and around the area and associated risk assessment for consumers’ exposure to the heavy metals. These data can assist decision-makers in understanding the suitability status of vegetable consumption and irrigation by providing an understanding of the human health risk of the studied area. This database can be used as a tool to pinpoint the mechanisms and processes influencing public health implications of heavy metals in foods, soils and water.
DETERMINING THE RELATIONSHIP BETWEEN THE ATTITUDES OF THE PATIENTS APPLICING TO THE EMERGENCY DEPARTMENT TO USE THE RIGHTS OF THE PATIENTS AND THE LEVELS OF ANXIETY
Authors: GÖKÇAY Gönül , ÇEVİRME Ayşe
Published: November 2022

Aim: This study was planned to determine the relationship between the attitudes of patients applying to the emergency department to exercise their patient rights and their anxiety levels. Method: The descriptive study was conducted with 913 individuals. As data collection tools, the Patient Information Form, the Attitude to Use Patient Rights Scale and the State-Trait Anxiety Scale were used. The data obtained from the research were analyzed with the SPSS 26 package program. In the evaluation of the data, descriptive statistics such as number, percentage, mean and t-test analysis from advanced statistical methods, Anova, Pearson Correlation tests were used. Results: The mean age of the patients was 33.03±13.82 years. The patients scored 60.85±19.16 points from the total attitude of using patient rights and between 3.89±1.18 and 16.36±6.11 points from its sub-dimensions. The patients scored 46.29±7.57 on the state anxiety scale, 47.47±7.42 on the trait anxiety scale, and 93.44±12.82 on the state-trait anxiety total. Conclusion: In this study, it was found that the patients had a low level of patient rights and a high level of state-trait anxiety. There was a moderate, positive and statistically significant relationship between the mean of the Patient Rights Attitude Scale and the state anxiety and state-trait anxiety scale averages, and a weak, positive and statistically significant relationship between the trait anxiety scale mean. Suggestions were made in line with the results.
Love waves in multilayered media with irregular interfaces: I. Modal solutions and excitation formulation
Authors: Chen Xiaofei
Published: November 2022

In this article, we present a new formulation of Love waves in arbitrarily irregular multilayered media by using the global generalized reflection/transmission matrices method (abbreviated to GGRTM; Chen, 1990, 1995, 1996). From the basic principle that the modal solutions are the nontrivial solutions of the free elastodynamic equation under appropriate boundary conditions, we naturally derived the characteristic frequencies and the corresponding distorted modes of Love wave in irregular multilayered media. The basic principle used here for defining modal solutions is a general one. It is identical to that used for defining normal mode solutions in laterally homogeneous-layered media (Chen, 1993) and that used for determining the resonant modes in finite-scatters case (e.g., sedimentary basin structure; see Zhou and Dravinski, 1994) and is independent of any particular mathematical technique. We found that the distorted mode in 2D structure is nonseparable in (x, z) coordinates, that is, wn,v(x,z)=∑m{a(z,ωn,v)}meikmx; whereas the normal mode for 1D structure is separable in (x,z) coordinates: un,v(x,z) = l(z,ωn,v)eiknx. Based on the formulation of GGRTM and the modal solutions, we also analytically derive the excitation formula of Love waves in irregular multilayered media, that is, the formulation of synthetic Love waves due to an arbitrarily seismic point source in such lateral heterogeneous media. We found that the synthetic Love wave in time domain can be expressed as a superposition of a series of distorted modes that is similar to the excitation formula of classic Love waves. Since the structure model used here is quite arbitrary, the new formulation of Love waves derived in this article can be applied to study a variety of seismological problems ranging from resonated motion in a sedimentary basin structure to excitation of Love waves in irregular multilayered media. It offers an alternative mean to understand the nature of Love waves in laterally heterogeneous media.
To study the effect of proning the patient on ROX index in Covid patients on HFNC
Authors: Suresh Arun , Gangele Shraddha , Pai Krishnaraj , Tandon Ruchi , Patil Yuvaraj , Belgaonkar Rahul
Published: November 2022

The study aimed to determine the outcome of prone position on oxygenation by studying the ROX index of the COVID 19 patients.

This study was conducted as a prospective observational study on COVID 19 patients admitted in HDU and ICU requiring HFNC at Gandhi Medical College and Hamidia hospital Bhopal which is a tertiary COVID Centre, during the study period of 1 year. Detailed history was obtained and examination was done. Subjects who did not perform or did not allow prolonged proning were included as control. SpO2, RR, ROX index were assessed at baseline, at 30 min, hourly for 6 hours and at 12 hours to assess the improvement in oxygenation.

A total of 60 COVID-19 confirmed cases were enrolled with mean age of 57.22±8.9 years. The two groups were thus comparable with respect to baseline variables. Mean SpO2, RR and ROX index significantly improved following prone positioning. The need for invasive mechanical ventilation was significantly higher in group 2 (30.8%) as compared to group 1 (8.8%), (p<0.05). Similarly, mean time to recovery of hypoxia was significantly earlier in group 1 (6.9±1.8 days) when compared to group 2 (8.2±2.3 days) (p<0.05).

Prone positioning is a simple and safe manoeuvre to improve oxygenation in COVID-19-associated hypoxemic respiratory failure. Prone positioning for longer duration reduce the work of breathing and improve the respiratory rate, SpO2 and FiO2 and ROX index. Also, prone positioning for prolonged duration is effective in obviating the need for invasive mechanical ventilation.
Knowledge, attitude and practices of cardiopulmonary resuscitation among medical interns & junior residents
Authors: Shingade Poonam P , Sajjan Saraswati V , Reddy Anil
Published: November 2022

Cardiopulmonary resuscitation (CPR) is a lifesaving technique that's useful in many emergencies. There is documented evidence that timely performed CPR can prevent sudden death. The quality of CPR depends on the sufficiency of the knowledge of health professionals, with this background the present study was undertaken to assess knowledge, attitude and practice of Cardiopulmonary Resuscitation among Junior Residents and Medical interns.

It is a cross-sectional study conducted from October to December 2018 among 100 medical interns and junior residents of a tertiary care institute in Karnataka. A Pre tested structured questionnaire was used to assess the knowledge, attitude and practice among the study participants.

The mean knowledge score of MBBS interns was 22.63±4.211 and the mean score of junior residents was 22.06 ± 3.788. Out of the total, 52% of study subjects had fair knowledge, 36% had good knowledge score and only 8% had poor knowledge score. Almost all (90%) the participants had positive attitude towards CPR, 63% of study participants had assisted while performing CPR and 34% had performed CPR independently.

The knowledge, attitude and practices of cardiopulmonary resuscitation among the medical interns and junior residents is better in the present study compared to studies conducted in other parts of India. Simulation based training and exposure to more number of CPR practices in real scenarios will further boost up their confidence to perform this life saving technique.
Level of patient satisfaction after subcutaneous mastectomy in gynecomastia
Authors: PS Ajith , Kurian Jacob , N Praveen
Published: November 2022

The objective of our study was to assess satisfaction in patients undergoing subcutaneous mastectomy for gynecomastia.

A retrospective analysis of patients undergoing subcutaneous mastectomy without additional liposuction, from July 2016 to February 2020 in a tertiary care centre in south India, was conducted. They were approached over phone with a questionnaire; their response was recorded and mean value of each variable (total 10 variables) was tabulated against grade of gynecomastia and age interval. The sum of the mean values was taken as patient satisfaction score (PSS) and was grouped into very good satisfaction (15-20), good satisfaction (10-15), average satisfaction (5-10) and poor satisfaction (0-5); for each grade and in each age interval.

The patients with grade 1 and 2A gynecomastia showed very good satisfaction after Subcutaneous Mastectomy, with average score of 18.71 and 17.28 respectively; where as those with grade 2B showed good satisfaction, with average score 13.

Very Good patient satisfaction and surgical outcome can be obtained after subcutaneous mastectomy in grade 1 and grade 2A gynecomastia which improved body image and thereby quality of life.
Study of radiation enteritis in cervical cancer patients treated with definitive radiotherapy and adjuvant radiotherapy – A prospective study
Authors: S Vijayakumar
Published: November 2022

The third most frequent type of cancer in the world is cervical cancer. Traditionally cervical cancer treatment is carried by either Radiation therapy alone and/or with chemotherapy. High doses of Radiation therapy can cause gastric enteritis. 

To study the incidence of radiation enteritis in cervical cancer patients of stage upto IIIA.

A total of 94 patients receiving radiation therapy (RT) for cervical cancer treatment were enrolled for the study in our hospital from August 2018 to January 2020. The 94 patients were divided into definitive RT group (64 patients) and Adjuvant RT group (30 patients). The incidences of radiation enteritis were evaluated statistically.

In all cervical cancer patients, early radiation enteritis (RE) observed in 68.08%, and late radiation enteritis observed in 21.1%. Patients treated with definitive RT showed more frequent radiation enteritis than in adjuvant RT. In the group treated with definitive RT, the occurrence of early (RE) is more in the Radical radiotherapy group (RRT), whereas late RE appeared more with concurrent chemoradiotherapy (CCRT) group. The late (RE) severe cases (Grade 3,4) observed more with the definitive RT group (only RRT) than in the adjuvant RT group.  

In the Definitive RT group, early and late RE occurrence is more than the Adjuvant RT group. The incidence of enteritis was correlated with the lengthening of total irradiation time. Methods to reduce small bowel intervention in RT and volume of irradiation will further decrease enteritis morbidity.
Diagnosis and management of a giant ovarian cyst during pregnancy and puerperium: Case series
Authors: Baniya Girish Chandra , Verma Kamala , Kumari Santosh
Published: November 2022

In the pregnancy and puerperium phase, giant ovarian cysts are highly uncommon. It raises the risk of fetal and maternal morbidity. We describe three cases of large benign ovarian cysts diagnosed and treated at a rural medical college and hospital with limited facilities during the pregnancy and puerperium phase.

Data were obtained by history analysis, clinical assessment, laboratory examination, radiological imaging, and histopathological analysis of the culled surgical specimen. Our first case was a 23-year-old primigravida who presented with pain in abdomen. Antenatal sonography confirmed a huge intact left ovarian cyst. She was managed at term by cesarean for obstetrical indication along with left ovarian cystectomy. Our second case, a 25-year-old woman, reported abdominal distention following uncomplicated vaginal delivery. After a complete workup, she was diagnosed with a benign serous ovarian cystadenoma. Laparotomy with left ovarian cystectomy was done. In our third scenario, a 20-year-old primigravida with a giant ovarian cyst at 34 weeks gestation who also delivered vaginally and underwent laparotomy with left ovarian cystectomy. Histopathological examination revealed benign ovarian serous adenoma in all three cases.

When a large ovarian cyst is present during pregnancy, it is unearthed that vaginal delivery is possible. In the postpartum period, surgical cyst treatment can be performed with satisfaction.
Premarital Pastoral Care in Lithuania and Its Challenges: The Problematic Areas of Understanding the Decalogue
Authors: Juškienė Vaineta
Published: November 2022

Premarital pastoral care occupies an important place in the ministry of the Church and is relevant in every time period. The purpose of this article is to present the format of premarital pastoral care in Lithuania and its problematics in terms of the perception of the Decalogue. In Lithuania, the preparation for matrimony is regulated by the documents of the Universal Church and the Lithuanian Bishops’ Conference. It is carried out in the format of a programme coordinated by the Family Centre. The programme includes essential elements of Catholic family life and faith, as the Sacrament of Marriage presupposes and requires faith. An integral part of the programme of preparing for marriage is the presentation and analysis of the Decalogue in harmony with family life. An empirical study indicates that the engaged couples question some aspects of the concept of the Decalogue in the areas of Sunday celebration, the value of the truth and respect for parents. These areas generate conflicting assumptions for the engaged and are the most difficult to perceive and accept. This reveals the need for constant renewal of the premarital pastoral care and deepening of its content in search of new relevant forms.
EDUCATION IN THE NEW ERA: CHALLENGES AND OPPORTUNITIES FROM CONTENT-BASED CURRICULUM TO COMPETENCE-BASED CURRICULUM IN KENYA.
Authors: Wekesa Jesse Dr. Napwora , Joshua Olela Ochieng
Published: November 2022

The fast and complex changing world coupled with dynamic technical advancements and great need for skilled manpower in the labour market within an ever-growing world economy has brought new challenges and requirements in the education sector (Owala, 2021 in Mulenga and Kabombwe, 2019).

The role of education in many African countries after independence was to impart knowledge to their citizens to help them take up leadership roles and positions in various sectors in order to help in the running of their countries. For example, in Kenya, there have been major reforms in the education sector since independence. The education system was changed in 1964 to 7-4-2-3  to de-colonise education. In 1985, the 7-4-2-3 system was changed to 8-4-4 following the recommendations of the Mackay Commission  in order to prepare its graduands for self-reliance, but seemingly, it never accomplished its mandate (Cheptoo and Ramdas, 2020) and in 2017, the education system changed from 8-4-4 to 2-6-3-3-3, which is a Competence Based Curriculum (CBC). Owala (2021) states that Kenya implemented the Competency Based Curriculum (CBC) in 2017 to help her citizens obtain appropriate knowledge, skills, values and attitudes through education with a focus on providing learners with the ability to obtain, improve and use knowledge, values and attitudes which would then lead to the use of skills acquired (Mulenga and Kabombwe, 2019). Momanyi and Rop (2019) argue that change of the education system to CBC was after prospective employer questioned the skills and capacity of university graduates’ competency. They state that competency means the graduates have sufficient knowledge and skills to perform an activity or service to a degree of quality that is acceptable to the industry and the customer in a time within which a competent person at the level could be reasonably be expected to perform the task.
Los derechos de la naturaleza entre la emancipación y el disciplinamiento
Authors: Cortés-Nieto Johanna del Pilar , Gómez-Rey Andrés
Published: November 2022

El objetivo de este artículo es discutir cómo los derechos de la naturaleza han sido juridificados y disciplinados por los jueces colombianos. Para lograrlo, utilizamos una metodología con dos componentes: un análisis del discurso de sentencias judiciales y un examen de doctrina y teoría sobre el origen y los pilares del movimiento de los derechos de la naturaleza. A lo largo del texto analizamos cómo su lectura desde nociones tradicionales jurídicas como propiedad y bien común limita las aspiraciones transformadoras que inspiran el movimiento de los derechos de la naturaleza.
Integralidad derechos humanos-derechos de la naturaleza: hacia la debida diligencia empresarial y la transición energética sostenible
Authors: Jiménez Guanipa Henry , Tous Chimá Javier
Published: November 2022

A partir de la tendencia jurídica global del reconocimiento de la naturaleza como una entidad titular de derechos, este artículo propone, en primer lugar, abordar la debida diligencia empresarial en derechos humanos con un enfoque holístico, de modo que el núcleo de la responsabilidad de las empresas de respetar los derechos humanos incluya, además de la emergente debida diligencia climática, los derechos de la naturaleza. Este enfoque holístico se fundamenta en la adopción por parte de distintos ordenamientos jurídicos nacionales de los derechos de la naturaleza, y en la relación de integralidad reconocida entre los derechos humanos y la naturaleza. En segundo lugar, el artículo propone aplicar esta debida diligencia empresarial a la transición energética, teniendo en cuenta el papel que juegan las empresas en el proceso de transformación del sector energético como estrategia clave para enfrentar el cambio climático. En este sentido, la transición energética implementada bajo los estándares de la debida diligencia en derechos humanos, propuesta en este texto, respondería a la máxima: la transición energética no se trata solo de sustituir fuentes de energía fósil por fuentes renovables, sino que debe estar alineada con el desarrollo sostenible, la protección de la naturaleza y el respeto por los derechos humanos.
Τέρνοβος, ἐν ᾗ τὰ βασίλεια ἦν τῶν Βουλγάρων: the Role of the Bulgarian Capital City According to Ῥωμαϊκὴ ἱστορία by Nikephoros Gregoras
Authors: Marinow Kirił
Published: November 2022

The paper is devoted to a detailed analysis of direct and indirect references to Tărnovo, the capital of the so-called Second Bulgarian Tsardom (12th–14th centuries) in Roman history of Nikephoros Gregoras, an outstanding Byzantine scholar of the first half of the fourteenth century. An analysis of the passages devoted to this city leads to a conclusion that the status of the city was fully obvious to the Byzantine historian – this was the main, capital city of the Bulgarian state, in which its rulers permanently resided, without holding which one could not be a fully legitimate tsar of the Bulgarians and exercise real power of the northern neighbours of Byzantium. Thus the conflicts over power in contemporary Bulgaria focused primarily on taking Tărnovo. The Bulgarian tsar departed with military expeditions most often from this city, having gathered in its vicinity armed forces, and to this city Byzantines and rulers of other neighbouring countries sent their envoys to meet with the Bulgarian autocrat.
Multi-lingual, Pluri-ethnic Orthodox Monasticism in Palestine and on Sinai, in the Light of the Liturgical Sources with Particular Reference to the Liturgical Manuscript Sinai Arabic 232 (13th Century)
Authors: Wade Andrew
Published: November 2022

The multiple similarities between the Greek and Syriac eucharistic liturgies of Antioch and its hinterland on the one hand and the Jerusalem Liturgy of Saint James on the other hand situate Jerusalem within a single cultural area as regards liturgical life. Compared with Antioch, however, we have much more early evidence for the Liturgy of the Hours in Jerusalem. Main sources, which are briefly presented in the paper, are
a) the Itinerary of Egeria, who in the 380s produced extensive liturgical notes on celebrations in the Anastasis cathedral and the related stational sites;b) the Armenian Lectionary, 5th century, which gives more specific detail of the services held in Jerusalem;c) the Georgian Lectionary, 6th century, which gives a slightly later stage of the material described in the Armenian Lectionary;d) the Old Iadgari, or first Jerusalem Tropologion, entirely preserved in Georgian.
It is clear from these documents that the Anastasis Cathedral was officiated by monastic communities of different ethnic origins who used their own languages for their liturgical offices. We also have considerable evidence for this period for the Lavra of Saint Sabbas in the Judaean desert, where several ethnic communities prayed separately in their own languages, coming together only for the Eucharistic synaxis (in Greek).
This multi-ethnic situation continues today on Mount Athos and continued throughout the Middle Ages on Sinai. The vast library of manuscripts at Saint Catherine’s monastery is well known. It contains manuscripts in a very wide variety of Christian languages, including numerous liturgical texts.
The Manuscript Sinai Arabic 232 (13th century) contains a complete Psalter, a complete Horologion and other texts. It can be shown to be of Alexandrian Melkite origin, used by Arabic-speaking monks who were part of the Sinai community. There are archaic and specifically Egyptian, and even Coptic, elements that are of special interest.
Propuesta Didáctica para Impartir Música en Secundaria: Interdisciplinariedad, Inteligencia Emocional y Parámetros Musicales a Través de la Suite Op. 46 nº 1 Peer Gynt de Edvard Grieg
Authors: Berraquero Delia María García , Larrañaga Amaya Epelde
Published: November 2022

Esta propuesta didáctica está dirigida a los profesores y alumnos de Enseñanza Secundaria. Plantea una posibilidad metodológica interesante basada en el estudio de la Suite Peer Gynt, que pretende, direccionando el desarrollo de los contenidos musicales relacionados con dicha Suite a la realización de actividades lúdicas y creativas y a la realización de un proyecto final interdisciplinar: el desarrollo, por parte de los alumnos, de una motivación intrínseca hacia las materias y los conocimientos musicales, la adquisición de conocimientos significativos, la vivencia musical activa, el trabajo cooperativo, el entendimiento de las diferentes disciplinas artísticas como un todo con un sentido común, la creación hipotextual o interdisciplinar. Así mismo, realizamos una pequeña revisión bibliográfica, presentamos la propuesta didáctica y terminamos el manuscrito hablando de los diferentes tipos de evaluación que se pueden realizar con esta propuesta.