bluuebunny/crossref_metadata_2025 huggingface dataset:
A Clinical Comparative Evaluation of Steroid and Tacrolimus in Oral Lichen Planus: A Pilot Study
Authors:   Oral Medicine and Radiology, Nair Hospital Dental College, Mumbai Central, Mumbai, India, Unnikrishnan Aswathi , Sansare Kaustubh P ,   Oral Medicine and Radiology, Nair Hospital Dental College, Mumbai Central, Mumbai, India, Vahanwala Sonal ,   Oral Medicine and Radiology, Nair Hospital Dental College, Mumbai Central, Mumbai, India
Published: November 2023

Background: There are various pharmacological approaches for Oral Lichen Planus (OLP), but mainstay of therapy always tends to be corticosteroids. Irrespective of innumerable therapies, attaining permanent cure is still far from reach. Considering the limitations of steroids, a relatively novel therapeutic option is provided by immunosuppressants like Tacrolimus. Thus, the aim of this pilot study is to clinically compare and evaluate the effectiveness of Tacrolimus over corticosteroids in OLP patients. Materials And Methods: Four cases of bilateral OLP administered with 0.1% topical Triamcinolone acetonide (S group) and four other cases administered with 0.1% topical Tacrolimus (T group) were selected and their response to the treatment based on changes in symptoms and signs were recorded on follow up visits. Both the groups were followed up for 3 months. Visual Analogue Scale (VAS) was used for recording the burning sensation and Modified Oral Mucositis Scale (MOMI) for measuring the extent of the lesion. Results: Although the post-follow up results were insignificant between 2 groups, T group had more stable reduction in symptoms without flare up with a significant reduction in post follow up VAS and MOMI score. Conclusion: Tacrolimus can be considered as an effective alternative to steroid, and a potential drug of choice for OLP.
Oral Lesions In Leprosy – A Study of 100 Patients
Authors:   Department of Oral Pathology, Nair Hospital Dental College, Mumbai., Prasad Pooja , Desai Rajiv ,   Department of Oral Pathology, Nair Hospital Dental College, Mumbai., Bansal Shivani ,   Department of Oral Pathology, Nair Hospital Dental College, Mumbai., Pankaj Shirsat Pankaj ,   Department of Oral Pathology, Nair Hospital Dental College, Mumbai., Raipure Pravin ,   Department of Prosthodontics and Implantology, Nair Hospital Dental College, Mumbai.
Published: November 2023

Abstract: Leprosy is a chronic infectious disease affecting primarily the skin, peripheral nerves, respiratory system and the eyes. The clinical spectrum of leprosy ranges from the tuberculoid form (TT) to the disseminative and progressive lepromatous form (LL). Oral lesions are rare but, when present, occur in the lepromatous form. Objective: The goal of this study was to evaluate the oral lesions in leprosy patients. Materials and Methods: 100 patients diagnosed with leprosy were clinically and histopathologically examined for oral mucosal changes. Results: Of 100 patients examined, 22 showed evident oral mucosal lesions, gingivitis and periodontitis being the commonest. Conclusion: Although, a reduced number or absence of patients exhibiting oral manifestations of leprosy is attributed to the efficacy of the multidrug therapy carried out in recent times, along with the early diagnosis of the disease. Still role of dental supervision cannot be overlooked while considering rehabilitation of these patients.
Lobular Capillary Hemangioma : A Rare Entity
Authors:   Department of periodontics, Nair Hospital Dental College, Mumbai, India., Gotpagar Sayali
Published: November 2023

Hemangioma is a relatively common benign proliferation of blood vessels that primarily develops during childhood. Two main forms of hemangioma are: capillary and cavernous. The capillary form presents as a flat area consisting of numerous small capillaries. Cavernous hemangioma appears as an elevated lesion of a deep red color, consisting of large dilated sinuses filled with blood. The purpose of the study was to report the case of a capillary hemangioma in a patient and to describe the successful treatment of this case.
A Case of Vagal Nerve Schwannoma: A Rare Case Report
Authors:   Senior Consultant. Balrampur Government Hospital, Kaisarbagh, Lucknow, Uttar Pradesh, India, Khan Gulam Rabbani , Humne Abhijeet ,   Department of Oral & Maxillofacial Surgery, Babu Banarasi Das College of Dental Science, Lucknow, Uttar Pradesh, India, Dharmi Piyush Raj ,   Department of Oral & Maxillofacial Surgery, Babu Banarasi Das College of Dental Science, Lucknow, Uttar Pradesh, India.
Published: November 2023

Schwannomas are rare, benign tumors that originate from Schwann cells, which are cells that provide support and insulation for nerve fibers. With the exception of the olfactory and the optic nerves, they may emanate from any of the body's peripheral, cranial, or autonomic nerves. This tumor often manifests as a solitary, slowly developing, asymptomatic neck lump with a slight probability of malignant transformation. The initial workup necessitates computed tomography with a contrast medium or magnetic resonance imaging. A precise pre-operative diagnosis may be challenging, as investigations such as Fine Needle Aspiration Cytology (FNAC) have a low specificity. Schwannomas arising from the carotid triangle and involving the Vagus nerve are very rare, but they can cause significant morbidity if left untreated. The treatment of choice is to surgically excise the tumor, with recurrences being rare. Here, we report a case of Schwannoma presented at our hospital which was treated by the surgical excision of the lesion.
Chandrodaya Rasa: A Critical Review
Authors:   Department of Rasashastra & Bhaishajya Kalpana, Dr. G.D. Pol Foundation's Y.M.T. Ayurvedic Medical College, Navi Mumbai, Sathe Ninad , Joshi Sukhada ,   Department of Rasashastra & Bhaishajya Kalpana, Dr. G.D. Pol Foundation's Y.M.T. Ayurvedic Medical College, Navi Mumbai, Hardas Shweta ,   Department of Rasashastra & Bhaishajya Kalpana, Dr. G.D. Pol Foundation's Y.M.T. Ayurvedic Medical College, Navi Mumbai, Punde Ashish ,   Department of Rasashastra & Bhaishajya Kalpana, Dr. G.D. Pol Foundation's Y.M.T. Ayurvedic Medical College, Navi Mumbai
Published: November 2023

Chandrodaya rasa is a classic example of kupipakwa rasayan which is one of the exclusive methods of herbo-mineral preparations of Rasashastra. This review article analyses 16 different references of Chandrodaya rasa also known as Makaradhwaj. Shuddha parad, shuddha gandhak and shuddha suvarna are core ingredients of the formulation. The formulation is prescribed under rasayan and vajikaran rog-adhikar. All ingredients are wisely picked up in such a manner,that they facilitate the penetration of the formulation to cellular level and rejuvenates body and mind. The literature also claims that it increases the quality of shukra dhatu. And it also increases the sexual strength and shows aphrodisiac activity
Nursing care for pregnant women who use alcohol and other drugs in primary care: An instructional video for nursing students
Authors: Bittencourt Mariane Alves Corrêa , Ferreira Helen Campos
Published: November 2023

BITTENCOURT, M. A. C. Elaboration of an instructional video for nursing students about the care of pregnant women who use alcohol and other drugs in Primary Health Care. 2023. 134f. Dissertation (Professional Master's Program in Health Education: Interdisciplinary Teacher Training for the Unified Health System (SUS)) – Fluminense Federal University, Niterói, 2023. Consumption and abuse of alcohol and other drugs during pregnancy constitute one of the most frequent psychiatric disorders during pregnancy. From the assumption of the existence of gaps related to the training of nurses on this subject, a research problem emerged: Are nursing students clearly prepared to act, in primary care, to pregnant women who use alcohol and other drugs? The objective was: to produce a video, as a teaching strategy, to help preceptors and professors in promoting the development of competences of nursing students on primary care for pregnant women who use alcohol and other drugs in CAPS AD; identify gaps in knowledge about the skills of nursing students for nursing care for pregnant women; bring nursing students closer to the subject in question, bringing to reflection the relevance of nurses' work with pregnant women who use alcohol and other drugs and bringing up the discussion about the demands of this population and the possibilities of nursing actions in the adequate care of pregnant users of alcohol and drugs in primary care. As a method, action research was used, a case study, with an exploratory, descriptive and qualitative approach. The research subjects were 07 professionals from the multidisciplinary team of a Psychosocial Care Center for alcohol and drugs (CAPS Ad) in the city of Nova Friburgo, RJ and 05 nursing students who use this health device as a clinical internship field. Data collection took place from an interview with professionals and the application of a questionnaire to nursing students. The following results were obtained: the data were developed in Bardin's thematic perspective and grouped into 03 categories of analysis: Living with a pregnant woman who used alcohol and drugs; Assistance to pregnant women who use alcohol and drugs by health services and experiencing the constructed strategy - instructional video. This study shows that health professionals have a gap in their academic training on adequate training related to the care of pregnant women who use alcohol and other drugs. With regard to nursing students, this fact was also evidenced, as they revealed that the approach to this subject in training was superficial and general. In addition, they also mentioned that they did not feel prepared to work professionally in assisting these pregnant women. The need to produce a didactic-pedagogical tool was evidenced to assist in the teaching-learning process in the training of nurses.
The Maria da Penha law in the basic education curriculum
Authors: Silva Mara Cristina Maia da , Lopes Henrique César , Maia Tatiana , Pereira Ângela Márcia Costa
Published: November 2023

Obsma is an initiative of Fiocruz, and is a project for Brazilian students from public and private schools whose objective is to strengthen students' desire to learn, understand, research and investigate, as well as to encourage work that contributes to the improvement of the environment and the country's health. The article in question aims to support the school as an institution and combat violence against women through education. For the elaboration of the present work, a methodological approach of a qualitative nature of the exploratory type was used. It is believed to allow for a better understanding of meaning and engage researchers more directly, leading to robust interpretations. Based on this question, it is believed that the root of violence lies in the lack of education itself, therefore, it is necessary to use the school as a learning space, not only in alphabetical order, but also used to generate values, morality, respect and equality including this theme in the basic education curriculum.
Musicalization and development for babies in kindergarten
Authors: Campanharo Adriana Silveira , Galon Mariana , Vasconcelos Mário Sérgio
Published: November 2023

In the learning process, musicalization is presented in a multidisciplinary character, which allows the expansion of factors related to human development, in addition to expressiveness, communication and autonomy. In Early Childhood Education, it is an essential element to meet the demand for the formation of children's behaviors and habits. However, its use should be expanded, being "music for music's sake", since working with music itself is beneficial for the development of various skills. This chapter aims to demonstrate the role of musicalization in the development of babies and the importance of the use of this resource by teachers in the conception of Early Childhood Education. To this end, an exploratory bibliographic review was carried out on the subject, presenting the existing foundations in the literature on music, musicalization, baby development, and the insertion of this aspect in Early Childhood Education. As a result, it is seen that although the literature demonstrates the benefits of the use of musicalization for the development of babies in Early Childhood Education, its application is still made with a recreational nature, due to the absence of specific training of teachers. The lack of musical knowledge and experience leads teachers to not feel prepared to use music as a protagonist in the activities.
O impacto dos cuidados paliativos em pacientes com insuficiência cardíaca avançada na UTI
Authors: Aragão Maria Renata de Oliveira , Macedo Ana Glace Magalhães de , Diniz Adriane Nunes , Sa Andre Cruz de , Queiroga Ciro Gadelha , Franco Cristiane Ferreira Pires , Barros Neto Francisco Medeiros de , Vasconcelos Glauber Gean de , Barreto Júnior José Erirtônio Façanha , Almeida Priscila Nascimento de Barros
Published: November 2023

O presente artigo proporciona uma análise detalhada sobre a essencialidade dos cuidados paliativos para pacientes internados em Unidades de Terapia Intensiva (UTIs) com diagnóstico de insuficiência cardíaca avançada. Diante do cenário de aumento da prevalência da insuficiência cardíaca em escala global, surgem desafios multifacetados no manejo dessa patologia em estágios avançados. Este trabalho, com base em uma revisão sistemática e rigorosa da literatura científica, visa elucidar o curso clínico da insuficiência cardíaca, suas complicações emergentes e a necessidade premente de incorporar uma abordagem paliativa. Ao focar na integração dos cuidados paliativos, o estudo reforça o potencial para melhorar significativamente a qualidade de vida do paciente, aliviar o sofrimento e otimizar a tomada de decisões clínicas.
A substituição dos juristas por inteligências artificiais
Authors: Costa Julianne Dutra da , Costa Rosinei Mendonça Dutra da , Costa Neto Julião da , Dutra Edinael Mendonça , Lourinho Katia Cilene Barbosa , Dutra Raylane Cristina da Silva Lima
Published: November 2023

O presente artigo aborda a respeito da substituição dos juristas por inteligências artificiais, a qual é um tópico em debate atual. Nessa pesquisa, utiliza-se de estudos em direito, dedicados a discutir essa nova realidade, realizando um estudo teórico-dedutivo sobre a possibilidade colocada como tema central. Dessa forma, os argumentos em favor da substituição, incluem a eficiência e precisão da IA em tarefas jurídicas, ao mesmo tempo que argumentos contra destacam a falta de compreensão do contexto jurídico e a limitação da IA em situações complexas. Afinal, mesmo que a IA tenha potencial para automatizar tarefas repetitivas, apenas os juristas são capazes de utilizar e desenvolver habilidades únicas, tal qual o pensamento crítico, a comunicação, e a liderança, as quais são extremamente relevantes para o direito e complexas demais para esta tecnologia. No fim das contas, a colaboração entre juristas e IA é uma possibilidade que já está presente e é essencial para o aprimoramento dos profissionais, tornando a substituição completa uma possibilidade que ainda está distante.
Avaliação da de óleos essenciais frente a fungos de interesse clínico: Candida auris, Trichophyton rubrum e Aspergillus fumigatus
Authors: Araújo Maria Cecília Roncato , Ferreira Luiza Maria Rezende , Cruz Ana Paula Merino , Fachin Ana Lúcia
Published: November 2023

A resistência a medicamentos de fungos vem aumentando, os do gênero Aspergillus são comuns no ambiente e linhagens resistentes a antifúngicos são preocupantes. Infecções por C. auris estão se tornando uma ameaça à saúde pública mundial, e o T. rubrum é o “dermatófito mais comum no mundo”. Foram utilizados os óleos essenciais de Melaleuca Alternifolia, Eugenia caryophyllata, Origanum Vulgare, Thymus Vulgaris, Rosmarinus Officinalis, Mentha Piperita, Eucalyptus citriodora.
O papel das PANCS no resgate da ancestralidade e da consciência alimentar e nutricional
Authors: Souza Lindomar Maria de , Barbosa Marta Ribeiro
Published: November 2023

O mundo moderno e suas tecnologias têm trazido inúmeros benefícios para a sociedade em termos de rapidez e conveniência em diversos serviços. Ao mesmo tempo em que se busca agilidade, grande parte das pessoas também estão preocupadas com o estilo de vida, o que tem relação direta com a alimentação e a saúde. A rapidez com que o mundo tem exigido na execução de atividades cotidianas de um modo geral, tem afetado o comportamento alimentar das pessoas, apresentando, na maioria das vezes, mudanças radicais e imediatistas, sem qualquer fundamento científico.
As repercussões do abuso sexual no processo de aprendizagem
Authors: Silva Exdra Pablya Pires da , Silva Juliete Peres da , Pirateli Marcelo Augusto
Published: November 2023

O presente artigo aborda a temática do abuso sexual e suas repercussões no processo de aprendizagem. Esse tipo de agressão tem se registrado cada vez mais e é dever da família, escola e comunidade preservar os direitos da criança e do adolescente. Os reflexos dessa violência são manifestados no ambiente escolar de diversas maneiras e interferem principalmente no processo de aprendizagem. Esse trabalho tem como objetivo alertar a escola, família e comunidade sobre perigos que envolvem o abuso sexual na vida da criança e adolescente, assim como a sua relação com a aprendizagem, a fim de propor um pensamento lógico-reflexivo a respeito da prevenção do abuso sexual.
Cirurgia Laparoscópica na Remoção de Apendicite Aguda
Authors: Dorigheto Patrick Soares , Decaria Filyppo Ferreira Porto , Solidade Cassio Humberto Rocha , Silva Thatiane Leite da , Mosqueira Cristiélle Corrêa , Zucco Karoline Gomes , Santos Matheus Rosa , Guastaldi Giovana Pesce , Furian Maria Eduarda Alegretti , Cardoso Barbara Varussa
Published: November 2023

A cirurgia laparoscópica é uma técnica minimamente invasiva amplamente utilizada na cirurgia geral. Neste resumo, exploramos o uso da laparoscopia na remoção de apendicite aguda, um procedimento comum que ilustra os benefícios dessa abordagem. A análise dos estudos revisados indicou que a cirurgia laparoscópica para apendicite aguda apresenta vantagens significativas. Ela resulta em menor tempo de internação, menor dor pós-operatória, menor incidência de infecções e melhor resultado estético, devido às pequenas incisões. Além disso, os pacientes submetidos à laparoscopia tendem a retornar às suas atividades normais mais rapidamente.
Incidência de infecções por micobactérias no estado do Piauí: Um estudo epidemiológico
Authors: Pacheco Larissa de Almeida Silva , Tavares Miriam Linhares
Published: November 2023

As bactérias do gênero Mycobacterium são microrganismos aeróbicos, álcool-ácido resistentes, o que explica a impossibilidade de serem coradas pelo método de coloração de Gram. Podem ser identificadas por testes químicos que busquem a presença de catalase, uma enzima produzida por representantes desse gênero bacteriano que é responsável por degradar o peróxido de hidrogênio em água e em gás oxigênio, protegendo a célula bacteriana de danos oxidativos, atuando como uma forma de evasão do sistema imune do hospedeiro.
Hepatic encephalopathy approach: Pharmacological therapy
Authors: Tanajura Magna Carolina Santos , Silva Denise Teles e , Beltrao Neiva Angelina Bolonhin , Rizzi Yasmine Ibrahim , Caixeta Walker Henrique Viana , Oliveira Nathália Vieira de
Published: November 2023

Introduction: Hepatic encephalopathy is a neuropsychiatric complication that occurs in patients with advanced liver disease, resulting in a variety of neurological and psychiatric symptoms. Effective treatment is of paramount importance due to the morbidity associated with this condition. Objective: This study aims to review current therapeutic approaches for hepatic encephalopathy, highlighting common treatment strategies and future prospects for therapeutic intervention. Methodology: The review was conducted by searching scientific databases, including relevant clinical trials, to identify therapeutic strategies used in hepatic encephalopathy. Results: Common therapeutic approaches for hepatic encephalopathy include dietary protein restriction, the use of Lactulose for ammonia excretion, and the administration of antibiotics such as rifaximin to reduce ammonia-producing intestinal flora. Various research efforts are underway to discover future pharmacological therapies. Conclusion: The therapeutic approach to hepatic encephalopathy is multifaceted, aiming to alleviate acute symptoms and prevent recurrences. A multidisciplinary strategy is essential for the effective management of this complex condition, and ongoing research is exploring new therapies that may improve the prognosis and quality of life for affected patients. Understanding the pathophysiology of hepatic encephalopathy is evolving, offering hope for more effective treatments in the future.
The quality of sleep of nursing professionals and the Covid-19 pandemic
Authors: Picoli Mauricio , Santos Giane Alves , Machado Elisiane de Oliveira , Vizini Simone Thais , Rosa Fabio Silva da , Santos Suimara , Chassot Maicon Daniel , Campos Rejane Silveira de , Bonatto Vanessa Frighetto
Published: November 2023

Objective: to compare the quality of sleep of nursing professionals who worked in an adult intensive care unit with nursing professionals who worked in inpatient units during the Covid-19 pandemic. Method: This is a cross-sectional study. The selection of participants occurred intentionally using the snow ball methodology. The study included 27 participants, nurses and nursing technicians who worked in adult intensive care or adult hospitalization units caring for patients affected by Covid-19 and excluded professionals who regularly use sleep-inducing medications prior to the Covid-19 pandemic. Covid-19; or Individuals with sleep apnea. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (IQSP) instrument. The independent variables were classified as sociodemographic, work situations, lifestyle habits, nutritional status and presence of comorbidities. The analysis was carried out using descriptive and inferential statistics using SPSS v25.0 software. Data normality was tested using the Shapiro-Wilk test. Results: The sample of the present study was composed of men (22.4%) and women (77.8%) with an average age of 34.2 (±6.2) years. No significant correlations were found between the Sleep Quality Index and the analyzed variables. However, when analyzing whether there was any correlation between the questionnaire score and some continuous variables, such as the participants' weight, a moderate correlation was observed between the questionnaire score and the participants' weight r =0.469 p = 0.025. Conclusion: Despite not demonstrating statistical significance for the variables studied, the study considers the relationship between sleep quality and obesity, demonstrating statistical significance and corroborating the scientific literature.
Difficulties in urgent and emergency care in small municipalities: Literature review
Authors: Moura Edenílson Leonardo Vendrameto de , Sanguino Gabriel Zanin , Frez Flávia Cristina Vieira , Sesnik Heitor Hortensi , Felipin Larissa Carolina Segantini , Santos Lorraine de Souza , Lima Ana Luísa Serrano , Fernandes Maria Eduarda Itikawa , Iamaguchi Franciele Emily , Luz Kelly Cristina Suzue Iamaguchi
Published: November 2023

The objective of this study was to point out the difficulties faced in urgent and emergency care for critically ill patients in small municipalities, according to the current literature. This is a bibliographic research, with a qualitative, retrospective approach, of a basic nature, with the exploratory purpose of data, having as a data source articles published between the years 2006 and 2021. From February to November 2021, 576 articles were collected, but only 13 met the inclusion criteria, and 563 articles were discarded. The results were separated into axes. Axis 1 grouped articles that discuss the management and conditions of the urgency and emergency service in small municipalities. Axis 2 describes elements that identify and report all the difficulties faced by nurses on a daily basis in the urgent and emergency service. Axis 3, on the other hand, contains the reports that express all the feelings of stress and suffering experienced in the hospital environment. The first axis is headed for 3 articles, the second axis is 7 for articles and the third axis is for 3 articles. The difficulties faced by small municipalities involve issues related to the physical structure, the excessive demand for work that could be reviewed and distributed among the less complex services, and the feelings generated by the obstacles experienced, such as the work overload that causes stress.
Prescribed versus infused enteral diet and clinical outcome in critically ill elderly
Authors: Araújo Camila Melo de , Carvalho Adriana Gomes Cézar de , Barbosa Janine Maciel , Feitosa Gina Araújo Martins , Olinto Edcleide Oliveira dos Santos , Araújo Pollyana Paula Almeida de , Cavalcanti Isabel Carolina Pinto , Cavalcanti Débora Silva , Lacerda Aline Honor , Cabral Caroline Sousa
Published: November 2023

The nutritional status of individuals is directly related to inadequate intake, absorption and utilization of nutrients in general. The changes resulting from aging associated with the continuous use of medications accentuate this picture. In the context of intensive care, this reality is even more challenging, since the severity of the patients' clinical condition, associated with the constant use of antibiotics and opioids, corroborate in worse tolerance to the diet offered. In view of the above, this study aimed to evaluate the association between prescribed versus infused enteral diet and the clinical outcome of elderly patients admitted to an Intensive Care Unit. This was a cross-sectional study conducted with elderly patients in the Intensive Care Unit of a University Hospital. Data collection was carried out using the nutritional follow-up form used in the nutritionist's daily routine and adopted by the nutrition service. The data obtained were analyzed using the statistical program SPSS version 13.0. Associations were tested using Pearson's chi-square test, where associations reaching p <0.05 were considered significant. A total of 79 elderly patients of both sexes admitted to the Intensive Care Unit with exclusive Enteral Nutrition Therapy were evaluated, most of whom were female (62%), with a mean age of 72.5 years. Regarding nutritional status, in relation to Body Mass Index and Arm Circumference, there was a prevalence of underweight (43.7) and malnutrition (57.8%), respectively. Regarding enteral nutrition, 54.7% of the patients reached the prescribed volume. It was possible to list the main complications related to nutritional therapy, with the open nasal tube being significantly associated with the unsatisfactory volume infused versus prescribed.
The import of panela in the peasant economy of the municipality of San José del Fragua
Authors: Lozada Cuervo Michael Ronaldo , Sánchez Castillo Verenice , Patiño Gelber Rosas
Published: November 2023

Panela production for many years has been the main livelihood of many families in the municipality of San José del Fragua, which is anchored in the department of Caquetá. This market has suffered various effects due to the import activity, which comes from other departments and as a result has had a negative impact on the profitability and production of families. This has triggered a series of disagreements on the part of small and medium-sized producers towards the government, since they have never had significant support with which they can make up for the low income due to the fact that this panela that they import is cheaper and consumers buy it. they prefer it only because the price is more attractive, leaving aside the quality and origin of the product. Therefore, the objective was oriented to identify the reasons why the peasants preferred the imported panela product. Various methods and techniques were used such as: the interview and documentary analysis. As a main result, it was evidenced that the import activity is the main problem faced by the peasants of the municipality of San José del Fragua in the commercialization of panela
Community intervention on oral cancer in high risk patients
Authors: Montano-Silva Rosa María , Padín-Gámez Yanelilian , Abraham-Millán Yoneisy , Ruiz-Salazar Reynier , Leyva-Samuel Ladisleny , Crispín-Rodríguez Douglas
Published: November 2023

Introduction: oropharyngeal cancer mortality ranked tenth among cancers in Cuba in 2020 and 2021. Objective: to implement a community intervention on oral cancer in high-risk patients aged 35 to 59 years. Method: a community intervention with quasi-experimental design, before-after type with control group, was carried out in clinics 7, 25 and 27 of the polyclinics of Nueva Gerona, Isla de la Juventud between January and September 2022. A sample of 454 patients was selected, distributed in a control and experimental group for each clinic, formed by the same number of patients at random. Theoretical, empirical and mathematical-statistical methods were used, and the variables used were: risk for predicting oral cancer, risk factors, level of knowledge about oral cancer and teaching methods. Results: the risk of developing oral cancer was high in 69 % of the patients between 35-59 years of age in the clinics under study. Before the intervention, a poor level of knowledge predominated, representing 57,7 % of the experimental group. After the intervention, 86,8 % of the main risk factors initially identified decreased. Conclusions: the use of new information and communication technologies in promotion and prevention activities contributed to raise the level of knowledge about oral cancer, the main risk factors associated to its appearance and oral self-examination, allowing to transform the modes of action and to evaluate as satisfactory the community intervention implemented in high-risk patients between 35-59 years old
Illness and death: how we cope with the end of life of a family member as health professionals
Authors: Linares Antonella , Manos Juan Carlos , Tolaba Ivana Lourdes
Published: November 2023

As healthcare professionals, we face the daily challenge of providing quality care to our patients with different pathologies at different stages, often even at the end of life. However, what happens when one of our family members is the one who is going through the end of life? Are we able to get involved as primary caregivers? If we do, how does it affect us emotionally? Has our profession given us the necessary tools to handle such a situation? We ask these questions based on the premise that, although we are dedicated to caring for others, we are only sometimes prepared to do so with people we are united by love or affection. About the subject of study of this work, we highlight the personal experiences of this team and colleagues, who could/we were able to contribute different life experiences in the personal sphere without leaving aside our professionalism when making decisions, finding a bibliography that relates in a scientific and empirical professional way that serves us as a theoretical framework, but that does not propose its application in the specificity that we propose, that is, our professional being related to the personal experience lived. As a common denominator, most of the colleagues consulted, and ourselves believe that experience in the practical field helps us to provide comfort and security to both the patient and the family environment, not only in the end-of-life process but also in the context of some pathology in the acute phase.
TWO EARLY BYZANTINE BRONZE LAMPS FROM FETHİYE MUSEUM
Authors: METİN Hüseyin
Published: November 2023

Bu çalışmada Fethiye Müzesi’nde sergilenen iki bronz kandil incelenmiştir. Her iki kandil de bronz döküm tekniği ile yapılmıştır. Bronzun içeriğinde %90 bakır, %10 kalay bulunur. Yüksek oranda tercih edilmesinin sebebi bakıra nazaran daha sağlam olması ve bakırın aksine eritildiği zaman kabarcık yapmamasıdır. Kullanım özelliğini kaybeden bronz kandiller eritilip tekrar tekrar kullanılmıştır. Bunun sonucunda günümüze az sayıda gelmelerine neden olmuştur. Dolayısıyla bugün müzelerde sergilenen bronz kandiller, müzelerin en nadide örnekleri arasında sayılırlar.

Değerlendirilen kandillerden birisi Muğla - Köyceğiz Cumhuriyet Savcılığından hibe yolu ile (FK1), diğeri Niyazi Yıldırım’dan müsadere yolu ile müzeye kazandırılmıştır (FK2). Her ikisinin de buluntu yeri belli değildir. Buna karşın eldeki verilerle ikinci örneğin Kaunos’tan ele geçmiş olabileceği düşünülmüştür. Kazı konteksi olmadıkları için her iki kandil de yaygın bir çalışma metodu olan analojik benzer örnekleri vasıtasıyla, erken Bizans Dönemi’ne tarihlendirilmiştir (M.S. 6.-7. Yüzyıl). Bugün Türkiye Müzelerinde sergilenen bronz kandillerin büyük çoğunluğunun da Erken Bizans Döneminden olması dikkati çeker. Bu onların doğrudan dönem için popülerliğini gösterir.
Prevalence of non-communicable Diseases (NCDs) in an urban area in Sudan and the role of medical students in health promotion of patients with NCDs
Authors: Sawsan A. Omer  , Ahmed A. Adam  , Ghada T.M.Abdoun  , MustafaAlhamed  , Mohanad A. Elmubarak  , Mohab A.Elmubarak  , Mehad A. Elmubarak  , Abobaker Younis  , Rihab.I. Mukhtar  , Salwa Elsanousi
Published: November 2023

Introduction: Chronic non-communicable diseases are prevalent conditions in developing countries, such as Sudan. The World Health Organization (WHO) recommends ongoing surveillance of non-communicable diseases (NCDs). This study aimed to assess the prevalence of NCDs in urban area in Sudan and the role of medical students in health promotion of patients with NCDs. Materials and methods: A community–based cross-sectional study, conducted in 2022 among families in Wad-Medani city in central part of Sudan. A structured interviewer- administered; questionnaire was used for data collection, it included demographic data, the presence of any type of NCDs. The last part of the questionnaire was filled by medical students about their role in health promotion and health education to patients with NCDs. Results: The total number of population who participated in this study was 607. The prevalence of NCDs in the study population was 20%. Out of those who had NCDs 35% had diabetes mellitus, 40% had hypertension. Bronchial asthma was found in 12% of the individuals, cardiovascular diseases were found in 4%. There were significant association between the age of the patient and the occurrence of diabetes and hypertension (P-value. 0.000 and 0.001) respectively. Role of medical students in the health promotion of patients with NCDs was health education, advised for regular follow up in PHC centres to 40% 0f patients. Conclusion: The prevalence of NCDs among the study population was high with hypertension as the most prevalent chronic condition. Medical students play great role in the health promotion of patients with NCDs.
Diversity in clinical trial inclusion for peripheral artery disease lower extremity endovascular interventions: a systematic review protocol
Authors: Long Chandler , Williams Abimbola O , Jacobsen Caroline M , McGovern Alysha M , Hargens Liesl M , Duval Sue , Jaff Michael R
Published: November 2023

Aim:
This review provides a study protocol for a systematic review of peripheral artery disease (PAD) clinical trials to examine the eligibility criteria, demographic representation, and enrollment strategies among PAD patients undergoing lower extremity (LE) endovascular interventions.
Methods:
This systematic review will be conducted according to the Cochrane Collaboration methodology for systematic reviews and following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA-P). Eligible studies will include randomized controlled trials (RCTs) between January 2012 and December 2022. The primary outcome will be a description and summary of the frequency of the reporting of demographic characteristics. The feasibility of a meta-analysis or meta-regression will be explored, but if determined to be infeasible, the Synthesis Without Meta-analysis (SWiM) reporting guideline will be followed for the reporting of findings.
Discussion:
The findings may help to quantify existing inequities in clinical trial participation that may be addressed through optimizing enrollment strategies for future PAD trials.
Systematic review registration:
PROSPERO (CRD42022378304)
Run-time Adaptable Service Oriented Architecture in the Context of Repository Systems
Authors: Gottardi Thiago , Braga Rosana T. Vaccare
Published: November 2023

Service-Oriented Architectures facilitate high modularity and reusability. In this context, service discovery is crucial in identifying new servers that meet the desired client requirements. Although this approach may seem ideal, it is not enough in some situations. For example, in the case of different artifact repositories, they may rely on specific services to adequately adapt to their unique requirements and evolve accordingly. Even considering the availability of common standards for metadata, storing beyond basic metadata and supporting data interchange often requires the development of specific systems. In this paper, we present an architecture for a completely dynamic service-oriented system and use it to implement a prototype of an artifact repository server capable of using different protocols and schemas and reloading new configurations while running. This capability is made possible through an innovative combination of service-oriented architecture, models at run-time, code interpretation, and code generation with just-in-time compiling. This dynamic nature enables the deployment of new configurations on demand without requiring a restart while also facilitating the execution of data processing tasks for various purposes, such as data analysis, in a seamless manner. A working prototype using multiple configurations is used to attest the feasibility of the architecture. We conclude that the solution is viable, but we point to possible scalability and security concerns and how to tackle them.
SoSML: Rumo a uma Linguagem de Modelagem Arquitetural para Sistemas-de-Sistemas Intensivos em Software
Authors: Paes Carlos Eduardo de Barros , Graciano Neto Valdemar Vicente
Published: November 2023

Sistemas de Sistemas (SoS) oferecem serviços inovadores que não poderiam ser oferecidos por sistemas individuais. Como os SoS geralmente apoiam domínios críticos, é imperativo garantir, ainda em tempo de projeto, sua qualidade. Nesse sentido, os modelos podem contribuir nessa iniciativa, pois podem capturar a essência da arquitetura do SoS (estrutura e comportamento) ainda em tempo de projeto. No entanto, as linguagens disponíveis e frequentemente adotadas na prática da engenharia de software (tais como UML) não oferecem expressividade semântica suficiente para capturar com precisão as idiossincrasias das arquiteturas de SoS. Nesse sentido, este artigo discute os principais desafios da modelagem SoS e apresenta a concepção de uma Linguagem de Descrição Arquitetural (ADL) para especificar arquiteturas de SoS, denominada SoSML (System-of-System Modeling Language), uma ADL semiformal que está sendo desenvolvida pelo enriquecimento de linguagens como UML, SysML e SoaML.
Arthropods: Prospect of Household Food Security
Authors: Ibrahim Jonathan , Daniel Gyang Dalyop
Published: November 2023

Food security is a “situation that exists when all people, at all times, have physical, social, and economic access to sufficient, safe, and nutritious food that meets their dietary needs and food preference for an active and healthy life”. With a growing world population and increasingly demanding consumers, the production of sufficient protein from livestock, poultry, and fish represents a serious challenge for the future and prompts the need for other sources of nutrition to be explored. Approximately more than 1,900 arthropod species are edible. This requires the development of cost-effective, automated mass-rearing facilities that provide a reliable, stable, and safe product for consumption. This chapter discusses arthropods as food, arthropods as animal feed, nutritional composition, the secondary metabolites of edible insects and potential medicinal substances, development and utilization of edible insect’s resources, insect farming, impact of insect quality on consumers’ preference and acceptability (insect processing and product quality, processing and marketing, and consumer acceptance), food safety and legislation, as well as the way forward.
Monitoring the Aroma Compounds of Vicia faba L var. Major and var. Minor
Authors: Rajhi Imene , Baccouri Bechir , Rajhi Fatma , Amri Moez , Flamini Guido , Mhadhbi Haythem
Published: November 2023

The volatile compounds of Vicia faba. L var. minor and var. major seeds were evaluated by headspace-solid phase micro-extraction (HS-SPME) coupled to gas chromatography-mass spectrometry (GC-MS). The total identification percentages of the extracted volatiles were 95.5% and 98.3%, respectively. The number of aroma compounds detected was 28. Among them, 15 compounds were determined in the emission of whole legume seeds of minor cultivar and 22 from the major one. The volatiles were classified into five chemical classes, i.e., monoterpene hydrocarbons, oxygenated monoterpenes, sesquiterpene hydrocarbons, apocarotenes, and non-terpene derivatives. Aldehydes and alkanes were considered as the most abundant constituents in non-terpene derivatives, followed by esters, alcohols, phenols, phenones, and hydrocarbons. A wide difference in term of volatiles was observed between major and minor faba bean cultivars. This study can provide useful information about the specific volatile characteristics for each cultivar and its possible use in the conception of legume-based ingredients and for pertinent breeding programs.
Revolution in Plant Genetic Resources
Authors: Uzoebo Chiebuka
Published: November 2023

Plant genetic resources are the use of plant materials, such as seed, pollen, and other plant organs, which have potential value for food and agriculture. The future of crop improvement programs relies on the quality of plant materials. Globally, agriculture and food production are confronted with diverse issues, such as climate change, genetic erosion, land degradation, loss of biodiversity, and human encroachment. A wider genetic diversity research will mitigate these challenges and improve crop production. In today’s science innovative approaches, such as the use of molecular markers, cryopreservation, genebanks, and relevant molecular assays are changing the face of collating data, preparation, processing, and sorting of genetic resources. The objective of this review article is to discuss the revolutionary approaches to plant genetic resources and how they will help in the improvement of agricultural production.
Quality of Life: The Concept and Interventions
Authors: A. Arnout Boshra
Published: November 2023

Quality of life is one of the positive psychology concepts that gained popularity and acceptance in the second half of the twentieth century. Quality of life is a multifaceted concept that refers to the overall general happiness due to his subjective and objective evaluation of all aspects of his life. The quality of an individual’s life has multiple determinants, including values, goals, culture, and environment, in which the individual lives, desires, needs, and others. And the multiplicity of definitions of quality of life in the light of the theoretical approaches to its study led to the lack of agreement on a single definition of the concept of quality of life. An increasing number of studies have clarified the benefits of counseling interventions to improve the quality of life of members of society in all its groups, as well as the effectiveness of quality-of-life interventions in developing the positive traits of an individual’s personality. There is still an urgent need to study the impact of intervention strategies to improve the quality of life, especially for people with chronic diseases.
Mathematical Modeling of a Porous Medium in Diesel Engines
Authors: Mohammadi Arash
Published: November 2023

Direct injection diesel engines have high power density with low exhaust emission but suffer from particulate matter (PM). Some new technologies were applied to reduce emissions, but they have not solved the emission problem of diesel engines altogether. The main problem of emissions from diesel engines is the simultaneous process of fuel injection and combustion, so non-homogeneous mixture formation occurs in cylinder space, and non-homogeneity is the main reason for emission generation. The solution to this problem is the separation of injection fuel and combustion processes for homogeneous mixture formation in diesel engines. An applicable practical solution for homogeneous mixture formation is the application of porous media (PM) in diesel engine combustion chambers. PM develops stable ultra-lean combustion and decreases emissions. This chapter has three parts for the mathematical modeling of PM diesel engines. The first part is thermodynamically modeling in a closed cycle. The second is zero-dimensional modeling with the chemical kinetics of PM diesel engines, and the third is three-dimensional CFD modeling with the chemical kinetics of PM diesel engines in open or closed cycle. So, mathematical modeling of PM diesel engines, from simple thermodynamically modeling to complicated 3D modeling, is described in this chapter.
Juvenile Idiopathic Arthritis-Associated Uveitis: Evidence-Based Screening, Monitoring, and Treatment
Authors: M. Neves Luiza , Bohn de A. Alves Marcela
Published: November 2023

Juvenile idiopathic arthritis (JIA) is the most frequent chronic autoimmune rheumatic disease in children and adolescents. JIA-associated uveitis is its commonest extra-articular manifestation comprising usually a silent iridocyclitis. Due to this asymptomatic clinical presentation, it is estimated that one-third of JIA-associated uveitis may present with ocular complications by the time of diagnosis. Time-appropriate screening and monitoring are crucial for the prevention of sight-threatening ocular manifestations. Updated treatment is also essential for adequate management and, therefore, to guarantee the best long-term functional vision in these patients. The scope of this chapter involves: (a) JIA and JIA-uveitis introduction/background; (b) etiology, pathogenesis, and risk factors; (c) diagnosis, clinical presentation, and ocular complications; (d) monitoring and screening (including national/international screening guidelines); (e) management (treatment options and treatment monitoring); (f) disease burden; and (g) conclusion and take-home messages.
Graphene-Based Functional Coatings for Pool Boiling Heat Transfer Enhancements
Authors: M. Rishi Aniket
Published: November 2023

Pool boiling heat transfer has proven to be the most effective ways to dissipate the large amount of heat fluxes and achieve the efficient cooling in many industrial applications including high-power electronics cooling, data center cooling, heat exchangers, batteries, refrigeration, and air conditioning. With the aggressive net-zero carbon footprint goals set up by the numerous industries across the globe, the need for development of innovative two-phase cooling solutions is of utmost importance. Graphene, being the highest thermal conductivity material, has been implemented in numerous studies for improving both the critical heat flux (maximum possible heat removed before thermal runaway of the heater surface) and a heat transfer coefficient (determines how efficiently the heat is removed) in pool boiling heat transfer. Initially, this chapter introduces various graphene-based nanomaterials and basics related to structure and characterization of graphene. Later, the highlights of some of the notable research work related to the graphene-based coatings for pool boiling enhancements are discussed. The responsible mechanism for such higher performance is summarized. Concluding remarks and industrial applicability of these techniques are also discussed in this section.