bluuebunny/crossref_metadata_2025 huggingface dataset:
Contributions of Urban Woodlands to Bird Diversity and Abundance in The Anatolian Side of Istanbul
Authors: Sözgen Ömer Taha , Arslangündoğdu Zeynel , Oğurlu İdris
Published: September 2024

Aim of study: The study aimed to assess the impact of urban woodlands on bird species diversity and abundance in the Anatolian side of Istanbul, focusing on species typically absent from urban centers but found within urban environments. The findings are intended to contribute to the development of future conservation and habitat management strategies.
Area of study: The study was conducted in five areas in Üsküdar and Beykoz, including an urban center, three urban woodlands (Fethipaşa, Hidiv, and Beykoz Abrahampaşa) and a natural area in Istanbul's northern region.
Material and methods: Data on bird species and their abundances were collected and tabulated through 900 point counts from April 2022 to March 2023. The data was analyzed using abundance values, species richness and diversity, identifying distribution and evenness through rank abundance distribution and curves. Similarity analysis was performed using the clustering method and species composition was compared using a Venn diagram.
Main results: Seventy-two bird species were identified across the study areas. A decrease in urbanization density enhances bird species richness, diversity and evenness, with the natural area recording the highest values. Urban woodlands harbor species absent from more urbanized locations. Distinctions in species distribution and bird diversity between the areas were revealed.
Research highlights: Urban woodlands are crucial areas for wildlife in metropolises, providing significance from both ecological and sociocultural perspectives. Although they may not match natural areas in species diversity, these woodlands significantly contribute to bird diversity within the urban environments. Further research is needed to explore the unique characteristics of each woodland and their contributions to urban ecosystems.
Temporal Analysis of Riparian Buffer Zones and Demographic Trends in the Coastal Districts of Kastamonu
Authors: Bulut Alper , Aktürk Emre
Published: September 2024

Aim of study: This study investigates the temporal changes of forest areas within and outside the Riparian Buffer Zones (RBZs) and examines their correlation with demographic trends in the coastal districts of Kastamonu from 1987, 2000, and 2016 to assess how population dynamics influence forest cover.
Area of study: The study was conducted in four coastal districts in northern Kastamonu province, Türkiye, covering approximately 1000 square kilometers and focusing on 153 forest villages.
Material and methods: Geographic Information Systems and remote sensing data delineated and analyzed land cover and population changes. The study used Landsat imagery and population data to explore spatial and temporal dynamics within the RBZs
Main results: The study found a significant increase in forest area from 1987 to 2000 and a subsequent decrease from 2000 to 2016, with these changes showing a weak but significant negative correlation with the declining local population.
Research highlihts: The findings suggest that declining rural populations may reduce anthropogenic pressures on forests and pose challenges to effective forest management and conservation. The research highlights the need for sustainable strategies integrating demographic change with forest conservation efforts to maintain ecosystem services and biodiversity.
Nielsen and Ford (2024) -Reduced striatal M4-cholinergic signaling following dopamine loss differentially contributes to parkinsonian and L-DOPA-induced dyskinetic behaviors v2
Authors: E Nielsen Beatriz , P Ford Christopher
Published: September 2024

This collection contains protocols detailing methods used in Nielsen and Ford (2024)-Reduced striatal M4-cholinergic signaling following dopamine loss differentially contributes to parkinsonian and L-DOPA-induced dyskinetic behaviors.
Öğrenme Kültürü Ölçek Geliştirme Çalışması
Authors: Orhan Ümmühan Güliz , Gel Muhammet , Şahin Şeyma , Kılıç Abdurrahman
Published: September 2024

Bu araştırma ile öğrencilerin öğrenme kültürlerini ölçebilecek bir ölçek geliştirmek amaçlanmaktadır. Açımlayıcı faktör analizi örneklemi 375’i lise ve 205’i üniversite ve 103’ü formasyon öğrencisi olmak üzere toplam 683 öğrenciden oluşmuştur. Doğrulayıcı faktör analizi için veri toplama işlemi farklı bir örneklemde yeniden yapılmıştır. Doğrulayıcı faktör analizi örneklemi 271’i lise ve 191’i üniversite öğrencisi ve 67’si formasyon öğrencisi olmak üzere toplam 529 öğrenciden oluşmuştur. Açımlayıcı faktör analizinde faktör çıkarma tekniği olarak “temel bileşenler analizi” seçilmiş, dik döndürme tekniklerinden “varimax” tekniği kullanılmıştır. Araştırma sonucunda 28 maddeden ve altı faktörden oluşan ölçeğin toplam varyansın %57,5’ini açıklamakta olduğu görülmüştür. Araştırma sonunda oluşan faktörler; 1) Öz Düzenleme, 2) Öğrenmeye İstek Duyma, 3) Gelişime Açık Olma, 4) İş birliği 5) Azimli Olma, 6) Öğrenmeyi Yürütme şeklinde isimlendirilmiştir. İlk faktörde 10, ikinci, üçüncü ve dördüncü faktörlerde dört, beşinci ve altıncı faktörlerde ise üçer madde yer almıştır. Doğrulayıcı faktör analizi sonrası ölçeğin uyum indeksi değerleri RMSEA=0,05, NFI=0,97, CFI=0,98, GFI=0,98, AGFI=0,98 olarak bulunmuştur. Bu değerlere göre ölçeğin 28 maddeden oluşan altı faktörlü yapısının doğrulandığı görülmüştür. Güvenilirliği belirlemek amacıyla CR güvenilirlik hesaplaması yapılmış ve 0.960 olan CR değerinin yüksek güvenirliğin göstergesi olduğu görülmüştür. Bu çalışmanın, öğrenme kültürü alanındaki araştırma ve uygulamaların geliştirilmesine katkı sağlayacağı ve geliştirilen ölçeğin bireylerin öğrenme kültürü düzeyini ölçmekte kullanılabileceği düşünülmektedir.
Saúde de pessoas LGBT+ na formação, pesquisa e atenção em enfermagem e saúde
Authors: Silva Bruno Pereira da , Regis Cristiano Gil , Souza Eduardo Sodré de
Published: September 2024

O movimento de Lésbicas, Gays, Bissexuais, Travestis, Transexuais, Intersexuais e de demais identidades de gênero e/ou orientações sexuais (LGBT+) tem vivenciado conquistas de direitos em diversos âmbitos da sociedade. Nas esferas política e social, o aumento da representação de pessoas LGBT+ em cargos políticos, o reconhecimento da união homoafetiva como núcleo familiar pelo Supremo Tribunal Federal, em 2011 e a criminalização da homofobia, em 2019, são alguns exemplos. Na cultura e na mídia, a representatividade e pluralidade dessas pessoas vem se tornando mais presente com esforços na direção da desconstrução da caricaturização e estigmatização.
Prática Avançada de Enfermagem: relato de experiência de um time de terapia infusional
Authors: Souza Danielle de Oliveira Miranda de , Lins Silvia Maria De Sá Basilio , Cavalcanti Ana Luiza Da Silva , Tomaz Caroline Pereira Ribeiro
Published: September 2024

Objetivo: Descrever as atribuições do time de terapia infusional de um hospital universitário e a ampliação de suas atividades no progredir para a prática avançada de enfermagem. Método: trata-se de um relato de experiência do Time de Terapia Infusional em um hospital universitário. Resultados: O Time de Terapia Infusional busca implementar o tipo de dispositivo venoso mais seguro e adequado para cada paciente e ampliar o conhecimento acerca da terapia infusional na Instituição, com os objetivos de melhorar qualidade da assistência, a experiência do paciente, reduzir custos e otimizar o tempo das equipes, desempenhando um papel de protagonismo assistencial. Conclusão: A experiência do time supracitado converge para o conceito de Enfermeira de prática avançada através da expansão dos limites de sua prática com foco nas necessidades dos usuários e atuação clínica baseada em evidências científicas robustas e aplicáveis à realidade institucional.
Parto sob a perspectiva masculina: uma pesquisa qualitativa sobre a vivência dos pais no nascimento
Authors: Bellas Lorena Lopes Carvalho , Quitete Jane Baptista , Xavier Brunno Lessa Saldanha , Castro Rosana , Blanc Helene Nara Henriques , Carneiro Milena Batista , Almeida Taís Fontoura de
Published: September 2024

Objetivo: revelar como foi a vivência do parto para os homens que participaram do nascimento de seus filhos. Método: estudo descritivo, de natureza qualitativa e de campo, tendo como técnica de coleta de dados o grupo focal, no formato virtual, denominado de roda de relato de parto. Os dados foram analisados através do software IRAMUTEQ®.  Resultados: cinco (05) depoentes participaram da coleta de dados, gerando dez (10) relatos. A partir das análises foram geradas seis classes de palavras, representadas por meio de um filograma das quais se destacaram alguns termos relevantes para o estudo como “participar”, “vontade”, “possibilidade”, “medo”, “hospital”, “decisão”, entre outras. Conclusão: a participação da figura paterna, no momento do nascimento, assim como em todo o processo gravídico ressignifica a masculinidade e insere o pai em uma posição de protagonismo na vivência da paternidade.
UKRAINIAN REFUSAL SPEECH ACT IN NATIONAL CULTURAL PERSPECTIVE
Authors:   Taras Shevchenko National University of Kyiv, Kyiv, Ukraine, Qingchuan Jiang
Published: September 2024

A Refusal Speech Act (RSA) is a speech act in which a refusal is made to cooperate with a specific request (invite, suggestion, offer, etc.). Such a speech act threatens to save the face of the communicators, putting both communicators in an uncomfortable situation and even destroying harmonious interpersonal relations between the speakers. In carrying out such acts, it is necessary to adopt some strategies and tactics of refusal to reduce the threat of loss of face and ensure the maintenance of harmonious interpersonal relations. Each lingual culture has its own peculiarities in implementing speech acts of refusal. Within the framework of this article, we studied the peculiarities of implementing RSAs in Ukrainian linguoculture. The refusal strategy has two primary levels of implementation: deep and surface. The surface level contains lexical sub-strategy and syntactic sub-strategy, which are provided by 17 verbalizations and communicative tactics. Based on quantitative and qualitative analysis, it was shown that the choice of specific tactics in the Ukrainian RSA is determined by cultural factors, in particular, the peculiarities of the Ukrainian mentality, the formation of which was primarily influenced both by the Cossack cultural and spiritual heritage and religious beliefs of Ukrainians. Studying RSA is essential to understanding a nation’s character and cultural peculiarities.
Pre-service EFL Teachers’ Experiences of Translation Studies before and after a Translation Course
Authors: Canlı Bekir , Sarıgül Semih
Published: September 2024

Although studies on student experiences of translation are widespread in the field of translation studies, they still remain limited in the field of English language teaching. To fill a gap in this field of research, the present study focuses on the pre-service English language teachers’ experiences of translation as a practice and translation studies as a discipline at a state university. To this aim, an open-ended pre-test and an open-ended post-test questionnaire were designed to explore 40 senior ELT students’ individual views on translation studies before and after a compulsory translation course and thus offer theoretical solutions to their common translation problems. Firstly, all students were taught basic translation theories, test types, strategies, and approaches throughout the course. Later, their responses to both questionnaires which involved elements related to these theoretical and practical aspects were analyzed through thematic coding in a qualitative manner. These responses produced several thematic categories for each question in each questionnaire. According to the results of the analysis, pre-service English language teachers developed a positive experience of translation and translation studies after being introduced to the above-mentioned theoretical and practical points throughout the course. This can be associated with the fact that they largely benefited from these theories for translation tasks given in the course, which improved their overall translation competence. The present study also provided useful ideas for decision-makers in bachelor’s degree ELT programs and indicated the need for multidisciplinary cooperation between ELT and translation studies to increase the students’ academic level in both departments.
Eleştirel Söylem Analizi Bağlamında Haber Metinlerinin İncelenmesi: 31 Mart 2024 Yerel Seçimleri Örneği
Authors: Güneş Ahmet , Bilici Serdar
Published: September 2024

Özellikle politik mesajlarda ve haber içeriklerinde kullanılan söylemin arka planı ve bağlam içerisindeki anlamı kitlelerin onu algılama biçimini şekillendirir. Özellikle kitleler üzerinde etkileme gücüne sahip olması nedeniyle medyanın kullandığı dil oldukça önemlidir. Haberin nasıl bir başlıkla, nasıl bir içerikle ve bağlam etrafında sunulduğu aktarılan anlamın inşasında önemli rol oynar. Bu açıdan Türkiye’de uzun süre konuşulacak sonuçlarıyla medyada yer alan 31 Mart 2024 seçimleri ve medyanın kullandığı dil mükemmel bir analiz nesnesi oluşturmaktadır.
Bu amaçla çalışmada, 31 Mart 2024 Yerel Seçimlerine ilişkin 1 Nisan 2024 tarihinde Türkiye’de ulusal düzeyde yayınlanan Akşam, Cumhuriyet, Korkusuz, Milliyet, Posta, Sabah, Sözcü, Takvim ve Yeni Şafak gazetelerinde yer alan görsel ve yazılı haber metinlerinin eleştirel söylem analizi yapılmıştır. Konuyla ilgili haberler, Teun Van Dijk’ın eleştirel söylem analizi modeli kullanılarak çözümlenmiş, gazetelerin taraflı davrandıkları ve okuyuculara bu yönde haber sundukları sonuçlarına ulaşılmıştır.
Computer simulation of the truck cabin tests to find ways to meet the requirements of the UNECE Regulation 29
Authors: Sergievsky Sergey A. , Trusova Yulia P. , Morozova Anastasiia A. , Makarov Vladimir S. , Shmelev Alexander A. , Mansurov Timur N.
Published: September 2024

BACKGROUND: Ensuring the required level of passive safety of trucks is a relevant task. To solve this problem, it is necessary to use computer simulation methods.
AIM: Search for the ways to ensure the passive safety of trucks by choosing the appropriate cabin design.
MATERIALS AND METHODS: During the study, the method of virtual simulation of the truck cabin tests was used in accordance with the requirements of the UNECE Regulation 29.
RESULTS: A simulation model of a truck cabin has been developed, which makes it possible to conduct the computer simulation of the tests according to the UNECE Regulation 29. The main requirement of the UNECE Regulation 29 is retaining sufficient space in the cabin to accommodate the driver’s dummy inside it after its testing. As a part of the study, the properties of the material (steel) used for manufacturing of prototype cabins of the truck under development were determined, and the tested specimens were obtained by dissecting the prototype of the cabin, so the obtained results take into account the technological history of the material. The obtained data on the properties of the materials were used in the development of the simulation model of the cabin. The developed and used simulation model takes into account all the design features of the cabin under study, including the location and properties of welding points. Various options of cabin design changes and their impact on the ability to meet the requirements of the UNECE Regulations 29 are investigated. It has been found that it is not possible to fully comply with the requirements of the UNECE Regulation 29 only by increasing (within reasonable limits) the thickness of individual elements of the cabin frame and/or using high-strength steel for their manufacturing. Based on the analysis of the deformation of the prototype cabin frame during the Test C according to the UNECE Regulation 29 Revision 2, proposals for changes to the cabin design to meet the requirement of the UNECE Regulation 29 are formulated.
CONCLUSION: The results of the study indicate the prospects of the proposed changes to the cabin design.
Mass spectrometry imaging of two neocortical areas reveals the histological selectivity of schizophrenia-associated lipid alterations
Authors: Osetrova Maria S. , Zavolskova Marina D. , Mazin Pavel V. , Stekolschikova Elena A. , Vladimirov Gleb N. , Efimova Olga I. , Morozova Anna Y. , Zorkina Yana A. , Andreyuk Denis S. , Kostyuk George P. , Nikolaev Evgeniy N. , Khaitovich Philipp E.
Published: September 2024

BACKGROUND: Schizophrenia is a psychiatric disorder known to affect brain structure and functionality. Structural changes in the brain at the level of gross anatomical structures have been fairly well studied, while microstructural changes, especially those associated with changes in the molecular composition of the brain, are still being investigated. Of special interest are lipids and metabolites, for which some previous studies have shown association with schizophrenia.
AIM: To utilize a spatially resolved analysis of the brain lipidome composition to investigate the degree and nature of schizophrenia-associated lipidome alterations in the gray and white matter structures of two neocortical regions — the dorsolateral prefrontal cortex (Brodmann area 9, BA9) and the posterior part of the superior temporal gyrus (Brodmann area 22, posterior part, BA22p), as well compare the distribution of the changes between the two regions and tissue types.
METHODS: We employed Matrix-Assisted Laser Desorption/Ionization Mass Spectrometric Imaging (MALDI-MSI), supplemented by a statistical analysis, to examine the lipid composition of brain sections. A total of 24 neocortical sections from schizophrenia patients (n=2) and a healthy control group (n=2), representing the two aforementioned neocortical areas, were studied, yielding data for 131 lipid compounds measured across more than a million MALDI-MSI pixels.
RESULTS: Our findings revealed an uneven distribution of schizophrenia-related lipid alterations across the two neocortical regions. The BA22p showed double the differences in its subcortical white matter structures compared to BA9, while less bias was detected in the gray matter layers. While the schizophrenia-associated lipid differences generally showed good agreement between brain regions at the lipid class level for both gray and white matter, there were consistently more discrepancies for white matter structures.
CONCLUSION: Our study found a consistent yet differential association of schizophrenia with the brain lipidome composition of distinct neocortical areas, particularly subcortical white matter. These findings highlight the need for broader brain coverage in future schizophrenia research and underscore the potential of spatially resolved molecular analysis methods in identifying structure-specific effects.
test with copyedit
Authors: Hossain Shahadat
Published: September 2024

test upon copyedit
test sumisson default
Authors: Hossain Shahadat
Published: September 2024

test default
Determinants to utilization of emergency obstetric care services among perinatal clients seeking care at Kajiado County Referral Hospital, Kajiado County, Kenya
Authors: Ahmed Khalid , Njoroge Harrison C.
Published: September 2024

Background: Worldwide, one or more potentially fatal perinatal obstetric complications affect nearly 15% of all pregnant women. There has been little research on the provision of emergency obstetric care (EmOC) services in Kenya. This study aimed to assess the determinants of EmOC services among perinatal clients seeking care at Kajiado County Referral Hospital, Kajiado County, Kenya.
Methods: An analytical cross-sectional study design was embraced in this study while both systematic and simple random sampling were used to recruit study respondents for this research. Associations between the utilization of emergency obstetric care services and associated determinants were established using a Chi-square test and binary logistic regression where a p value of 0.05 or lower was considered significant.
Results: The utilization of EmOC services from this research was at 74%. Study respondents aged between 18-25 years (OR=9.4, 95% CI=0.04-0.31), being knowledgeable about EmOC services (OR=3, 95% CI=0.13-9.75), and being knowledgeable about obstetric danger signs (OR=6, 95% CI=0.06-0.45), increased the odds of utilizing EmOC services while earning less than 10000 Kshs (OR=4.3, 95% CI=0.45-4.77), reduced the odds of utilizing EmOC services.
Conclusions: The utilization of EmOC services from this research was at 74%. Study respondents aged between 18-25 years, being knowledgeable about EMOC services and being knowledgeable about obstetric danger signs increased the odds of utilizing emergency obstetric care services while earning less than 10000 Kshs reduced the odds of utilizing emergency obstetric care services.
Assessment of physical literacy amongst school going children aged 10-17 years: a survey study
Authors: Lokhande Aditi , Mayank Afle Gauri
Published: September 2024

Background: Physical literacy term outlines, the physical competence, confidence, knowledge, motivation and understanding that an individual developed intending to keep physical activity at an appreciable level all throughout their life. The. need of the study is to find out the prevalence of physical literacy in children and do they inculcate it into their lives.
Methods: The study was conducted on students aged 10-17 years from schools in and around Pune using the Canadian assessment of physical literacy-2 scale.
Results: It was found that prevalence of physical literacy for boys was 72.61% for girls’ prevalence of physical literacy was 64.02% with knowledge domain being most affected in both.
Conclusions: It was being concluded that physical literacy was more affected in females influencing factors being social, environmental and biological. Knowledge and understanding domain were affected the most.
Study of thalassemia in pediatrics population
Authors: Khare Atul Kumar , Patel Kuldip Pratap , Singh Kirti , Paliwal Ashish
Published: September 2024

Background: Thalassemia is an inherited disorder of AR gene caused by impaired synthesis of one or more globin chains. Study aimed to study of thalassemia in pediatrics population.
Methods: This observational prospective Study done in GMC Shahdol from January 2020 to January 2023 in 60 patients. Children with thalassemia, ≥6 months age and children on regular blood transfusion with or without iron chelation therapy are included and Children with other causes of anemia like nutritional anemia, aplastic anemia, SCA were excluded.
Results: The mean age was 10.2 years, 75% were males. MC clinical features were (97%) icterus followed by (90%) pallor, 80% had moderate to severe hepatomegaly. Mean Hb was 8.5±0.9 gm/dl, 67% had severe anemia, mean MCV level was 73±2 µm3, Mean MCH and MCHC level were 20±2 pg/cell and 28±2 ghb/dl. Mean ferritin level was 1281.8±219.9 ng/dl, 39% had more than 2500 ng/dl, mean frequency of blood transfusion 16±2 times a year, mean interval between transfusion 22 ±2 days, 10% had hyperglycemia. The 6.5% had impaired GTT, while 3.3% patient’s diabetic range. 18% had hypocalcemia, 1.6% had subclinical hypothyroidism and only 4% had overt hypothyroidism. Tablet deferasirox chelating agent in all thalassemia patients. The common adverse reaction was diarrhea (26.1%), abdominal pain (23%), skin rash. Hepatitis C virus infection in 76% and hepatitis B in 48%. Two patients (4%) had decreased LVEF of 35 to 40%.
Conclusions: This study done to evaluate the thalassemic pediatrics patients in whole aspects, which is very important to know about this.
Safety and efficacy of decoction obtained from Asparagus officinalis and Cucumis melo in the management of nephrolithiasis: single blind, randomized, active controlled parallel arm study
Authors: Rashid Rameesa , Rather Shameem Ahmad , Bhat Shabir Ahmad
Published: September 2024

Background: Nephrolithiasis (Hisah-al-kulya) is a common and painful condition where the stone formation is due to crystallization of lithogenic factors in the upper urinary tract. There are a number of medications listed in classical Unani literature that are intended to treat nephrolithiasis. Haliyun (Asparagus officinalis) and Tukhm-e-Kharpaza (Seeds of Cucumis melo) are among those drugs which are said to have lithotriptic properties. To evaluate the safety and therapeutic efficacy of oral administration of decoction of Asparagus officinalis and seeds of Cucumis melo in the management of nephrolithiasis.
Methods: In a single blind, active controlled two arm study, 44 patients were randomly allocated in test and control group. To check the efficacy, subjective assessment was done after every two weeks of treatment. Investigations including objective and safety parameters were performed only at 0 day and after completion of the treatment. 20 patients from each group completed the trial and the result data obtained was analyzed using student t-test, Wilcoxon, chi-square and McNemar test.
Results: The symptoms like flank pain, dysuria and hematuria were graded using arbitrary grading scales ranging from absent, mild, moderate or severe and the results obtained, using Wilcoxon matched pair test and chi-square test, are significant. The ultra-sonography and X-ray data clearly reveals the improvement by the test drug compared to control drug.
Conclusion: The current study has shown that the Unani formulation, decoction of Asparagus officinalis and Cucumis melo seeds, possess lithotriptic activity and is safe and effective in the management of Nephrolithiasis.
A study on the gynecological morbidity among women in reproductive age group in a rural area in Kannur district
Authors: Thomas Enid Elizabeth , Kumaran Jayasree Anandabhavan
Published: September 2024

Background: Concern for the health of women in poorer nations, is on the rise. Despite being more frequent than ill health during pregnancy, gynecological illnesses are often missed. These issues have a large effect on the lives of women creating discomfort and social fallout. There are only a few studies in Kerala dwelling into this subject. This was a pioneer study in Kannur looking into women’s gynecological issues.
Methods: Cheruthazham Panchayat in Kannur district, serves as the field practice area for the department of community medicine at the Government Medical College in Kannur. Here a community-based descriptive research was conducted including 404 women, between June 2017 and July 2018. Relevant data was gathered utilizing a pre-tested, semi-structured questionnaire and SPSS was used for data analysis.
Results: The study population’s mean age was 32.20±10.741 years. 81.7% was the prevalence of gynecological morbidity in the study. Menstruation related problems (68.1%) formed the majority of them. Gynecological morbidity was significantly associated with age at menarche, religion and education. Menstrual disorders and dysmenorrhoea also had significant associations with age at menarche, age and factors like parity, marital status, sexual activity. 30.6% of women sought treatment for their gynecological morbidity.
Conclusions: The prevalence of gynecological morbidity was very high among the study population, but the treatment seeking behaviour was very low. Education and guidance on identifying and managing these issues should be provided so as to improve their quality of life.
Exploring nursing students' attitudes towards online teaching and learning: challenges and recommendations
Authors: Rai Ajeet Kumar , Sharma Sushil Kumar , Sharma Sakshi , Chauhan Soni , Tiwari Surya Kant
Published: September 2024

Background: With the increasing integration of technology in education, understanding students' attitudes toward online teaching and learning is crucial for effective educational strategies. The primary objectives were to assess nursing students' attitudes toward online teaching and learning and to explore perceived challenges encountered during online education.
Methods: A descriptive cross-sectional survey was conducted among 120 nursing students who experienced online education between March 2020 and February 2022. Data were collected using a self-structured attitude scale and analyzed using descriptive and inferential statistics.
Results: The majority of nursing students exhibited positive attitudes towards online teaching and learning, with second-year students displaying the highest mean scores across attitude sub-scales. Challenges identified included internet issues, lack of interaction, and physical problems. Recommendations for improvement included enhancing technological infrastructure, promoting interactive learning experiences, and providing additional support services.
Conclusions: Nursing students generally hold positive attitudes towards online teaching and learning, despite facing challenges such as internet connectivity issues and lack of interaction. By addressing these challenges and implementing recommendations for improvement, educational institutions can optimize online education delivery, fostering a positive and conducive learning environment for nursing students in the digital age.
Role of Jawarish Amla as an adjunct to anti-tuberculosis drugs in the symptomatic relief of pulmonary tuberculosis
Authors: Rahmathulla  , Sherwani Arish Mohammad Khan , Husain Safder
Published: September 2024

Background: Tuberculosis is a global emergency, with approximately nine million people developing the disease every year. India has the highest TB burden worldwide, accounting for nearly one-fifth of the global burden. DOTS provides an 85% cure rate and symptomatic relief during therapy. However, it has been observed that some troubleshooting symptoms persist during the regimen; therefore, testing and providing a pharmacologically multipotent herbal adjuvant drug can improve compliance with DOTS chemotherapy.
Methods: This study was conducted to explore whether any benefits could be achieved by adding Jawarish Amla to conventional anti-tubercular chemotherapy. Forty patients with pulmonary tuberculosis were enrolled to evaluate the efficacy of Jawarish Amla as adjuvant therapy. Patients were randomly assigned to the control and test groups, with 20 patients in each group. Jawarish Amla was administered to the test group for 60 days along with DOTS and the control group received a placebo with DOTS; for the same duration.
Results: The test drug exhibited statistically significant improvement in almost all parameters, especially appreciated in weight gain (p<0.046), hemoptysis (p<0.0069), breathlessness (p<0.0015), nausea (p<0.001) vomiting (p<0.001), abdominal pain (p<0.001), itching (p<0.001), burning sensation in feet (p<0.001), jaundice (p<0.001), Hb% (p<0.001), ESR (p<0.010), SGOT (p<0.034), SGPT (p<0.020), alkaline phosphatase (p<0.007) and total bilirubin (p=0.069+).
Conclusions: These results indicate that the test drug is safe and effective and especially checks the adverse effects of anti-tubercular drugs used in DOTS therapy. Thus, it can be used as an excellent adjuvant along with DOTS in community management of diqqe revi (pulmonary tuberculosis).
Assessment of knowledge, attitude and practice regarding blood donation among the residents in the urban field practice area of Bangalore Medical College and Research Institute: a community based cross sectional study
Authors: Thangaraj Selvi , S. Chaithra , Jayarajan Vishnu , Bhagavati Vilas Revanappa , Suvarna Suhan S. , M. Shujithaa , N. Sharanya , Sanjeev Shreya , Shaw Shreya , G. Yashika , Wadawadagi Veeresh P. , N. Nabha H. , Bhagyashree  , Sumedh  , Nidagundi Vinay N.
Published: September 2024

Background: The act of donating blood is crucial for healthcare systems worldwide. Despite its significance, blood donation rates are sub-optimal in many regions, especially urban areas. This study aimed to assess the level of knowledge, attitudes, and practices related to blood donation among urban residents in Bangalore. The study also aimed to identify misconceptions, motivators and barriers for guiding public health strategies to promote blood donation.
Methods: A community based cross sectional study was conducted in Urban field practice area of Bangalore Medical College and Research Institute, Bengaluru from May 2024 to July 2024. Sample size was calculated according to study done by Samreen et al. Data was collected using simple-random-sampling and analysed via SPSS 26.0.
Results: The study investigated knowledge, attitude, and practice of blood donation among 148 participants. Findings showed 6% having good knowledge, 92% having fair knowledge, and 1.3% having poor knowledge about blood donation. 70.9% had favourable attitude, while 29.1% had unfavourable attitude. 14.2% of participants had donated blood despite a high level of favourable attitude. Barriers identified were fear of infections (21%), fear of needles (15%), and laziness along with lack of information (27.2%), ineligibility (17.6%) and fear for health (13.2%).
Conclusions: This study indicated that while the population has fair knowledge and favourable attitude towards blood donation, very less proportion have actually donated blood. The study also identified misconceptions, motivations, and barriers to donation. Targeted measures are required to improve blood donation practices.
Improving patient care in the emergency department in a selected hospital: a study on patient centered care
Authors: Cardoza Shyni , Moras Jyothi Seema
Published: September 2024

Background: Patient-centred care is founded on the principle of active patient and family engagement at all levels of care, enabling them to take ownership of treatment decisions. As patients are best positioned to understand their unique needs and priorities, their involvement is crucial. This study seeks to evaluate the patient centered care delivered by the healthcare providers, specifically doctors and nurses in the emergency department setting.
Methods: A Questionnaire-based method was employed to collect data from a sample of 72 patients in the emergency department, assessing patient centered care in the selected tertiary care teaching hospital. The study was conducted between 1st May 2023 to 31st May 2023.
Results: The study revealed that patients rated their care experience as very good, achieving high ratings across various dimensions, with the following mean and standard deviation scores: “Patient preference” 4.06±1.13, “Physical comforts” 3.99±1.04, “Coordination of care” 4.03±1.06. “Information and education” 4.08 ±1.06, “Communication” 4.06±1.07, with respect to “Continuity and Transition” 4.13±1.07 and “Family and Friends” 4.24±1.08. These ratings demonstrate a high level of satisfaction with care quality.
Conclusions: Patient centered care is a healthcare approach that prioritizes patient needs and values. Its about working together with patients to provide flexible and personalized care. This study found that emergency department staff understand the importance of patient centered care and its benefit for patients and healthcare organisations.
Comparison of COVID-19 second wave with the first wave of a tertiary care center in Western Uttar Pradesh, India
Authors: Mehra Ridhi , Gupta Udita
Published: September 2024

Background: During this COVID-19 pandemic, there were two distinct waves observed in almost every country. A second wave beginning in March 2021 was much more devastating than the first, with shortages of vaccines, hospital beds, oxygen cylinders and other medical supplies in parts of the country.
Methods: This retrospective observational study was conducted at Saraswathi Institute of Medical Sciences (SIMS), Hapur, Uttar Pradesh, India from March 2020 to May 2021. All COVID positive patients were included from the hospital records. The data was analysed by appropriate statistical techniques and tests.
Results: There were two distinct waves of COVID-19: wave 1 from 01 March 2020 to 31 December 2020 and wave 2 from 01 January 2021 to 31 May 2021. On admission, the mean (±SD) age of patients in the pandemic period was 45.97 years (±18.41). Males acquired COVID-19 infection in higher number in all age group compared to females in both waves. There was a higher male to female patient percentage who died in hospital from COVID-19 in wave 1 and wave 2 (χ2=0.027, p=0.869).
Conclusions: A comparative analysis of the first wave with that of the second wave can suggest a better way for the policymakers and stakeholders in the management of COVID-19 recurrence or its severity in India and other countries.
Effect of screen time and physical activity on sleep quality among adolescents
Authors: Negi Mohit , C. Sulochanadevi Basavantappa
Published: September 2024

Background: India houses the largest population of adolescents globally, with an estimated 253 million individuals between the ages of 10 to 19 years. Modifiable lifestyle behaviors such as physical activity, screen time use, and sleep patterns are important components of healthy life and have an impact on behavioral outcomes, performance-based outcomes, mental and emotional well-being, and the physical health of adolescents. The purpose of this study was to assess sleep quality and to determine its association with screen time and physical activity among adolescents.
Methods: A cross-sectional study was conducted among 317 study participants in Mysuru city, Karnataka. Convenience sampling technique was used for data collection. Descriptive statistics and association were analyzed using statistical package for the social sciences (SPSS) version 22.
Results: The study found 22.1% prevalence of poor sleep quality among study participants in Mysuru city, Karnataka. The average levels of screen times were higher on weekend than weekday. Moreover, specific types of screen time, such as small screen recreation on weekends and education and social activities on weekdays, were associated with poorer sleep quality. The study also observed physical activity, particularly during leisure time and travel is significantly associated with sleep quality.
Conclusions: The prevalence of poor sleep quality among study participants was significantly higher. Maintaining healthy sleep habits, incorporating yoga, meditation, or physical activity can effectively relax the mind and should be promoted in schools, and limiting the use of electronic devices before bedtime is crucial for improving sleep quality.
Epidemiological and clinical profile of melioidosis cases admitted in a tertiary care centre in North Kerala: a case series
Authors: Kottayi Remya Thattarath , Kumaran Jayasree Anandabhavan
Published: September 2024

Melioidosis is a bacterial infection caused by Burkholderia pseudomallei. It is endemic in South East Asia and Northern Australia and is also known as Whitmore’s disease. The bacteria are present in soil and water in the endemic areas. The transmission is through contamination of wounds, ingestion and inhalation. Recent increase in melioidosis cases in a tertiary care centre since last 10 months led to this study to understand the disease profile. There were 15 cases during this period, among them ten were male (67%). The median age was 55 years. The majority had history of contact with contaminated soil and water. The median duration of symptoms was 30 days. At time of admission, they were provisionally diagnosed as pneumonia (46%) septic arthritis (27%) and Suppurative lymph node with abscess (27%). Diabetes mellitus (67%) was the most common co morbidity. Among the fifteen cases, ten were investigated for tuberculosis by CBNAAT and found negative. Majority of patients had history of contact with contaminated soil and water. So, control measures will remain as a challenge. Diabetes mellitus was the most common associated factor. Its similarity with other diseases can be a reason for delay in diagnosis.
Amitraz poisoning: a rare case of suicidal poisoning from Malwa region of Punjab and role of early gastric lavage in preventing complications
Authors: Raina Rohit , Singh Rajat , Dhoat Preeti Singh , Kaur Amandeep , Verma Niket , Chaudhary Deepak , Kansal Maninder
Published: September 2024

Amitraz, a widely-used pesticide for both crops and animals globally, effectively controls pests such as ticks and mites in livestock, as well as red spider mites in fruit crops. Its formulation includes triazapenta 1,4 diene from the formamidine family. Despite its widespread use, only a few cases of poisoning have been reported worldwide, mostly stemming from accidental exposure. We present a case involving a 28-year-old woman from the Malwa region of Punjab, who intentionally ingested 30 ml of amitraz solution (12.5% w/v) following a marital dispute, resulting in a suicide attempt. The patient fully recovered within 72 hours and was discharged with resolved symptoms on the third day. Amitraz poisoning typically occurs due to accidental ingestion. In our case, the patient experienced central nervous system depression accompanied by bradycardia (Figure 1), necessitating treatment with atropine. These effects persisted for 72 hours. The clinical manifestations observed in our patient align with the mechanism of action on alpha 1 and alpha 2 receptors, with dizziness and bradycardia being prominent features. Respiratory involvement is also possible, while liver and renal effects are rare. Early gastric lavage is recommended for managing amitraz poisoning.
Oral health challenges in pediatric oncology patients
Authors: Alamoudi Raed Mohammed , Alzaid Abdullah Hamad , Algarni Shihnaz Mohammed , Ballaji Remaz Mohammed , Alsaadawi Abdullah Emad , Shiku Anas Abdulrazaq , Aljohani Sara Mohammed , Mohammad Sumayah Abdulbaqi , Alreshoodi Nasser Ibrahim , Alhussain Abdullah Mohammed , Alnakhli Asma Habib
Published: September 2024

Pediatric oncology patients face significant oral health challenges due to the adverse effects of chemotherapy and radiation therapy. These treatments, while essential for cancer management, often lead to complications such as mucositis, xerostomia, and increased susceptibility to oral infections. Mucositis, characterized by painful inflammation and ulceration of the oral mucosa, can severely impact a child’s ability to eat, speak, and maintain oral hygiene, leading to additional health complications and potential interruptions in cancer treatment. Xerostomia, or dry mouth, resulting from radiation damage to salivary glands, further exacerbates the risk of dental caries, periodontal disease, and oral infections, diminishing the child’s quality of life. Preventive strategies, including pre-treatment dental evaluations, regular oral hygiene, and the use of fluoride treatments, play a crucial role in minimizing these complications. Management approaches such as cryotherapy and low-level laser therapy have shown promise in reducing the severity of mucositis, while saliva stimulants and substitutes help alleviate xerostomia symptoms. Additionally, a multidisciplinary approach involving oncologists, dentists, nurses, and dietitians is essential for comprehensive care. Early dental intervention, continuous monitoring of oral health, and tailored nutritional support are key components of this collaborative model. Addressing oral health in pediatric cancer patients not only reduces discomfort but also supports better treatment adherence and outcomes. The integration of preventive and therapeutic strategies into cancer care can improve the overall well-being of these patients, highlighting the importance of interdisciplinary collaboration in managing the complex oral health challenges that arise during cancer treatment. This approach ensures that oral complications are addressed promptly and effectively, ultimately enhancing the quality of life and long-term health of pediatric oncology patients.
Trend analysis of Japanese B encephalitis in the states of India during the years 2018 to 2021: an ecological study
Authors: Karthikeyan S. , Suguna A. , Pandi S.
Published: September 2024

Japanese encephalitis (JE) is the main form of viral encephalitis in Asia. Around 50,000 cases are seen worldwide; and 10,000 deaths per year are seen in children below 15 years of age. JE has been reported from 23 states (viz: national vector borne disease control programme (NVBDCP), geospatial analysis, India). The study is an ecological study that looks in to the pattern of occurrence (time trend-explorative study) of Japanese B encephalitis in the states of India during the years 2018-2021. The objective of this study is to determine the geospatial mortality pattern of JE in the states of India during the years 2018-2021 and also to state wise forecasting using seasonal, environmental and geospatial analysis (mapping) of Japanese B encephalitis case fatality rates (CFR). The secondary data analysis of the JE and AES from the table provided by the NVBDCP was used. The mortality pattern and the distribution of the JE cases were more pronounced in the year 2019. The JE cases and deaths in 2019 were the highest with a mean of 110.6; Standard deviation of 148.8 and case fatality rate was 25.07. With the help of better understanding of the time trend (ecological study), recommendations could be given to strengthen the interventions under the NVBDCP program.
The epidemic of workplace violence against nurses: a narrative review
Authors: Kumar Mahendra , Kumari Anita
Published: September 2024

Workplace violence (WPV) has become the new normal for nurses, significantly impacting their physical and mental health, as well as their ability to work effectively. The world health organization (WHO) reported that approximately 8-38% of nurses face some form of violence in their careers. Despite nurses providing direct care for individuals suffering from various life-threatening events, and even infectious diseases 90% of violent behavior originated from patients and their families. The trend of violence against nurses is growing dangerously. More than 80% of WPV incidents among nurses are not formally reported due to fear of being blamed no support from management and no awareness about hospital policies to report an incidence. The impact of WPV is deep over 20% of nurses are leaving their jobs due to rising incidents of violence. The true extent of violence against nurses is underreported. It's crucial to identify areas requiring in-depth analysis and to provide appropriate solutions.
Pediatric dental practice during, pre and post COVID-era: a literature review
Authors: Gautam Kanishka , Srivastava Nikhil , Rana Vivek , Kaushik Noopur , Pruthi Tushar
Published: September 2024

Everyone is on edge for their health and safety as the COVID-19 pandemic has hit both developed and developing countries. As a result of its fast transmission rate by direct touch or droplet dispersion, the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a major concern for healthcare practitioners and is responsible for the horrific 2019 coronavirus sickness (COVID-19). An extensive electronic search was conducted using Google Scholar, PubMed, Scopus MEDLINE, EMBASE, Web of Science, Scopus, and Google to investigate the COVID-19 epidemic and its impact on pediatric dentistry. Pediatric dentists still do not have access to full data that would allow them to treat their pediatric patients before, during, and after the pandemic, despite the fact that more information is accessible on the concerning progression of COVID-19.