bluuebunny/crossref_metadata_2025 huggingface dataset:
Management of Lateral Periodontal Cyst with Platelet Concentrate
Authors: Dr Vivek Srivastava  , Elizabeth  , Prachi chandra  , Purwar Prasoon
Published: October 2023

Abstract 

A periodontal cyst (LPC) is considered a rare developmental odontogenic cyst, originates from epithelial rests in the periodontal ligament, and is a non-inflammatory cyst on the lateral surface of the root of a vital tooth. This case report features a 22-year-old female who complained of a painful hyperplastic lesion that had been present for two months between the distobuccal site of her maxillary right lateral incisor (#12) and the mesiobuccal site of her maxillary canine (#13). Radiographically, an interproximal periodontal cyst appears on the side of the root and extends to the apex of an involved tooth as a radiolucent area with a well-defined bordered by a radiopaque line that cannot be differentiated from that of a periodontal abscess. This case report discusses the management of LPC using surgical enucleation with adjunctive use of regenerative platelet concentrate.
Management of Hot Irreversible Pulpitis with Radix Entomolaris: An Uphill Battle for a Pediatric Dentist. A Case Report.
Authors: Singh Vaishnavi , Gangwar Anshul
Published: October 2023

Background: Hot tooth with Radix Entomolaris anomaly is rarely occurring condition. To achieve anesthesia satisfactorily in patients with a Hot tooth, especially in pediatric cases, can be seriously challenging for the pediatric dentist. Hot Irreversible pulpitis is most commonly found in permanent mandibular first molars, where the patient may experience severe or intense acute pain during the access opening procedure, even after the anesthetic block. The present case report describes the hot tooth, causes for anesthetic failure and some of its management techniques with a case report.

Keynote: To the best of our knowledge, this Case report is the first report of Hot tooth Syndrome with Radix Entomolaris treated under multiple Pain and Anxiety control methods.
Effectiveness of Oral Health Training Session on Knowledge, Attitude, Practices and Barriers Towards Oral Health Amongst Teachers and Caregivers of Disabled Children in Bareilly, Uttar Pradesh.
Authors: Singh Vaishnavi , Sharma Shivangi , Naik Sathyajith , Vashisth Pallavi
Published: October 2023

INTRODUCTION: Special Care Dentistry aims at management and prevention of Oro-dental diseases in disabled children, who spend most of their time in rehabilitation centres or special schools. Therefore, training their teachers and caretakers on oral health promotion will help to inculcate healthy oral habits in children during their formative years of life.

METHODOLOGY: A closed-ended questionnaire evaluated the knowledge, attitude, practices, and barriers toward oral health before and after the oral health training session. The training was done using a validated training manual on oral health promotion entitled as Oral health for families with special health care needs, along with conducting workshops, and delivering dental talks. Data was obtained and statistical analysis was done.

STATISTICAL ANALYSIS: Evaluation of the data obtained was done twice to assess the difference between the scores before and after oral health education.

RESULTS: Maximum participants showed significant improvement in knowledge, attitude and practices towards oral health.

CONCLUSION: Continuous reinforcement of knowledge, conducting workshops and oral health check-up programs is required to eradicate the barriers and bring changes in Knowledge attitude and practices towards oral health among these teachers and caregivers.

 KEYWORDS: National Education Policies for children with special needs, Knowledge, Oral health, teachers and caregivers.
Revisiting “Plaque Free Zone”- Island of Peace in a Zone of Conflict: A stereomicroscopic study
Authors: Sunpreet Kaur  , Amit Bhardwaj
Published: October 2023

Aim: This study was undertaken to find if Plaque Free Zone (PFZ) indeed was a ubiquitous entity observed both on healthy and diseased teeth and further to compare the width of PFZ in healthy and diseased teeth.

Material & Methods: Out of total 31 teeth, 18 teeth extracted from patients with chronic periodontitis and 13 teeth extracted from healthy individuals were examined. The teeth were stained and measurements of width of PFZ were made. Photomicrographs were taken at 20X magnification using a stereomicroscope & measurements were made using Image J software. The data obtained was subjected to statistical analysis.

Results: A significantly wider PFZ was found on the surfaces of teeth of healthy group as compared to diseased group.

Conclusion: Wider PFZ zone in healthy teeth may have a protective role preventing direct contact of bacteria with underlying periodontal ligament. Invasion of this zone during mechanical instrumentation needs to be avoided.

Clinical Significance: The existence of plaque free zone has clinical implications. Instrumentation beyond the base of the pocket during SRP may upset the delicate balance existing at tooth sulcus/pocket interface.
The impact of transformational leadership on enhancing organizational trust: Moderating role of empowerment
Authors: Al Saed Rashad , Al Saed Mohammad
Published: October 2023

Worker empowerment is one of the main objectives of any organization. The purpose of the current study is to examine the impact of transformational leadership on organizational trust (trust in coworkers, trust in organization management, and trust in supervisors). In addition, it examines whether workers’ empowerment moderates the mentioned impact. An analytical descriptive approach was adopted, and a survey collected relevant data. A stratified random sample included 294 department managers, branch managers, and heads of departments who work in Jordanian telecommunications companies (Zain, Orange, and Umniah). The study employed SPSS and AMOS 21 for data analysis and hypotheses testing. The paper revealed a significant impact of transformational leadership on organizational trust, except for the ideal influence and inspirational motivation dimensions. Furthermore, workers’ empowerment significantly moderates the impact of transformational leadership on organizational trust at Jordan’s telecommunications companies (Zain, Orange, and Umniah). The study recommends improving transformational leadership methods in telecom businesses as one of the most critical administrative leadership techniques. It is vital to ensure the continuation of telecom business leaders in these companies to foster organizational trust between company workers and administrative leaders. Additionally, future studies should find new funding sources, identify practical ways to put strategies into practice for intellectual stimulation and arousal in these companies, and conduct more studies on transformational leadership, organizational trust, and empowerment.
Secondary ametropia retreatment with flap lifting performed long after LASIK surgery: a clinical case
Authors: Khodzhabekyan N. V. , Khandzhyan A. T. , Ivanova A. V. , Sklyarova A. S. , Manukyan I. V.
Published: October 2023

Purpose: to present a clinical case of secondary ametropia retreatment with flap lifting, which was performed long after a LASIK surgery.Material and methods. A female patient who experienced a regression of the refraction effect after a LASIK surgery, received a flap lifting with keratoablation 18 years after the primary LASIK surgery. 8 days following this procedure, the patient developed a complication, namely an epithelial ingrowth. Another flap lifting procedure was performed and the epithelial ingrowth was removed.Results. The expected refractive effect was achieved with binocular hypocorrection as planned.Conclusion. A repeated flap lifting undertaken 3 years or more after the first LASIK or FemtoLASIK surgery increases the risk of a complication — an epithelial ingrowth into the space under the flap. To avoid the complication in such cases, the retreatment by PRK is preferable. Scarification and elimination of the in-grown epithelial should be performed early after the surgery.
Methodological aspects of statistical analysis in ophthalmology
Authors: Sorokin A. S. , Petrov S. Yu. , Zvezdina N. V. , Golovanova M. A.
Published: October 2023

Statistics can be used to evaluate the prevalence of diseases, differences between patient groups, links between test results, compare the effectiveness of different types of treatment, test the hypothesis and model the interdependencies between variables. In medical universities, preference is given to special medical disciplines. Yet, a skilled medical specialist should have an adequate understanding of statistical data analysis. Purpose: to systematize and demonstrate statistical analysis techniques that could be useful for an ophthalmologist. Results. The major methodological aspects of statistical analysis in ophthalmology are considered. An overview of statistical techniques and an algorithm of choosing such techniques is given. Descriptive statistics and features of in-depth statistical analysis used in ophthalmological research are presented. Examples of scientific work using these methods are listed. Conclusion. The basics of statistical analysis expand the scope of instruments that ophthalmologists have at their disposal. The paper provides links to open sources in which statistical techniques and results achieved therewith are presented. These links increase the ophthalmologist’s awareness of the instruments considered.
Transplantation of the Bowman’s layer in cases of biomechanical instability of the cornea after radial keratotomy
Authors: Oganesyan O. G. , Ashikova P. M. , Ivanova A. V. , Letnikova K. B. , Oganesyan C. O. , Makarov P. V.
Published: October 2023

Late complications of radial keratotomy (RK), are as a rule caused by a change in the biomechanical properties of the cornea.

Purpose: to study the long-term stabilizing effect of the Bowman’s layer (BL) transplantation after RK.

Material and methods. In a limited, prospective, monocentric pilot study we operated 2 male patients (2 eyes) aged 60 and 55. The radial incisions had been performed 34 and 38 years ago. The indications for surgery were progressive biomechanical instability of the cornea and functional refractive visual fluctuations. Within 12 months after the operation, complications, corrected visual acuity, keratometric parameters, biomicroscopic transparency of the cornea, and patient satisfaction were assessed.

Results. No complications were noted during the follow-up period, the cornea and graft retained transparency. The average thickness of the BS graft was 20±2.1 µm. The average visual acuity corrected by contact lenses increased from 0.4±0.3 to 0.65±0.1, the average indicator of keratometric astigmatism changed from 1.9±1.6 to 3.0 D, these indicators remained after 6, 9 and 12 months, which indicates that biomechanical stability of the cornea was achieved and that the refractive-visual fluctuations are absent.

Conclusion. In late term RK complications, BS transplantation partially restores the normal anatomy of the anterior surface of the cornea and ensures its biomechanical stability during a 12-month follow-up period. For the conclusions to be maximally objective, more clinical cases should be studied within a longer observation period.
Improving the reservoir inflow prediction using TIGGE ensemble data and hydrological model for Dharoi Dam, India
Authors: Patel Anant , Yadav S. M.
Published: October 2023

Flooding occurs frequently compared to other natural disasters. Less developed countries are severely affected by floods. This research provides an integrated hydrometeorological system that forecasts hourly reservoir inflows using a full physically based rainfall–runoff and numerical weather models. This study develops a 5-day lead time reservoir inflow prediction using TIGGE ensemble datasets from ECMWF, UKMO, and NCEP for the Dharoi Dam in Gujarat, India. The ensemble data were post-processed using censored non-homogeneous Linear Regression and Bayesian model averaging approach. These post-processed data were used in a hydrological model to simulate hydrological processes and predict Dharoi Dam reservoir inflows. Results show that ECMWF with a BMA approach and HEC-HMS hydrological model can predict reservoir inflows in the Sabarmati River basin. The correlation result of an observed reservoir inflow is 0.91. This research can help regional water resource managers and government officials to plan and manage water resources.
Construction and Validation of a Prognostic Model Based on
Pyroptosis-related Genes in Bladder Cancer
Authors: Shen Chong , Han Chenyang , Li Zhi , Yan Yan , Li Chenyun , Chen Houyuan , Fan Zhenqian , Hu Hailong
Published: October 2023

Background:

Bladder cancer (BCa) is a highly prevalent disease with a poor prognosis. There is no better forecasting method for it yet. Current studies demonstrate that pyroptosis
is involved in the development and progression of various cancers.

Methods:

This study employed bioinformatics techniques to analyze the data of BCa patients obtained from the TCGA and GEO databases in order to construct a prognostic risk model. The
TCGA dataset was used for the training set, and the multiple external datasets (including
GSE13507, GSE31684, GSE48075, IMvigor210, and GSE32894) were applied as the validation
sets. Prognostic-associated pyroptosis genes screened by univariate Cox regression analysis were
utilized to construct the lasso Cox regression model. GO and KEGG analysis results identified
the selected genes that are primarily involved in the inflammation and cell death processes. The
related patients were grouped into low- and high-risk groups. Kaplan–Meier survival analysis
was performed to compare survival differences between the risk groups. The accuracy of this
risk prediction model was assessed by ROC. We also applied the Human Protein Atlas (HPA) to
detect the protein expression of these genes. Subsequently, qRT-PCR was performed to verify
the expression of these model genes.

Results:

There are 29 pyroptosis-related genes with significant expression differences between
BCa and corresponding adjacent tissues, and 11 genes (SH2D2A, CHMP4C, MRFAP1L1,
GBP2, EHBP1, RAD9A, ANXA1, TMEM109, HEYL, APOL2, ORMDL1) were picked by univariate and LASSO Cox regression analysis. Immunological cell infiltration and ssGSEA results
further indicated that the low and high-risk groups were substantially correlated with the immune
status of BCa patients. According to TCGA and multiple external datasets, Kaplan-Meier survival curves showed the overall survival rate of the high-risk group to be decreased. ROC curves
showed the model established to be accurate and reliable. Moreover, the HPA database also
demonstrated the verification of the modeled genes’ expression in BCa and normal bladder tissue using the HPA database. qRT-PCR results also suggested the up-regulated EHBP1 and
down-regulated RAD9A mRNA expression levels to be confirmed in 15 pairs of BCa and corresponding adjacent tissues.

Conclusion:

This study presents the development and validation of a novel gene signature associated with pyroptosis, which holds the potential for predicting patient outcomes in BCa and
providing insights into the immune microenvironment of BCa.
Poziom wyszczepialności i postawy rodziców noworodków i niemowląt, a lęk w okresie pandemii
Authors: Kochman Dorota , Szklarczyk Kasandra
Published: October 2023

Wstęp. Szczepienia są najskuteczniejszą formą profilaktyki chorób zakaźnych. Na efektywność szczepień wpływa przede wszystkim ilość osób zaszczepionych. Stały wzrost liczby osób niepoddających swoich dzieci szczepieniom ochronnym powoduje obniżenie odporności zbiorowej. Istotne jest edukowanie społeczeństwa w zakresie konieczności realizacji kalendarza szczepień.

Cel. Celem pracy była analiza poziomu wyszczepialności i postaw rodziców noworodków i niemowląt oraz poziom odczuwanego stresu w okresie pandemii w badanej grupie.

Materiał i metody. W badaniach własnych wykorzystano analizę dokumentacji medycznej, metodę sondażu diagnostycznego  z użyciem ankiety własnego autorstwa, metodę szacowania przy pomocy kwestionariusza mini – COPE. W badaniu wzięło udział 100 osób. W obliczeniach przyjęto stopień statystyczności p < 0,05.

Wyniki. Z badań własnych wynika, że 99% ankietowanych poddało swoje dzieci szczepieniom ochronnym. Na decyzję o poddaniu dziecka szczepieniom wpłynęły przede wszystkim strach przed zachorowaniem dziecka oraz łagodniejsze przebycie choroby po zaszczepieniu, natomiast informacje na temat szczepień ankietowani czerpali głównie od personelu medycznego. Większość badanych uważa, że zasadnym jest, iż program szczepień ochronnych jest obowiązkowy. Część ankietowanych obawia się wystąpienia niepożądanych odczynów poszczepiennych. Większość badanych uważa, że pandemia koronawirusa nie wpłynęła na ich decyzję w zakresie konieczności realizacji szczepień ochronnych. Wykształcenie, pozostawało w istotnej statystycznie, średniej korelacji z wynikami zagadnienia czy koronawirus SARS-CoV-2 sprawił, że zmieniło się podejście do szczepień oraz w korelacji niskiej z wynikami zagadnienia zdanie na temat konieczności stawienia się z dzieckiem na szczepienia ochronne w czasie pandemii wirusa SARS-CoV-2 (p<0,05). Wyrażając opinię na temat konieczności stawienia się z dzieckiem na szczepienia ochronne w czasie pandemii wirusa SARS-CoV-2, najwięcej kobiet z wykształceniem podstawowym / gimnazjalnym wskazało, że boi się o kontakt z wirusem SARS-CoV-2 podczas wizyty w celu realizacji szczepień ochronnych. Zjawisko pandemii istotnie wpłynęło na poziom odczuwanego stresu w badanej grupie rodziców – odnotowano wyższą średnią odczuwanego lęku podczas trwania pandemii niż przed jej wystąpieniem.

Wnioski. Badani mają w większości pozytywny stosunek do konieczności realizacji szczepień ochronnych, a pandemia nie miała istotnego wpływu na konieczność ich realizacji. Badani zarówno w okresie przed pandemią oraz w trakcie jej trwania wciąż uważają szczepienia za zasadne. Zjawisko pandemii wpłynęło na poziom odczuwanego stresu. Zdecydowanie wyższą średnią odczuwanego lęku odnotowano w czasie trwania pandemii – 5,82 punktu, przy średniej – 3,04 punktu w okresie przed pandemią.
THE ROLE OF ANEMIA IN THE DEVELOPMENT OF NON-FATAL CARDIOVASCULAR EVENTS AND PREDICTION OF THEIR RISK IN PATIENTS WITH CORONARY HEART DISEASE
Authors: Zaiats I.O. , Khanyukov O.O.
Published: October 2023

РОЛЬ АНЕМІЇ В РОЗВИТКУ НЕФАТАЛЬНИХ СЕРЦЕВО-СУДИННИХ ПОДІЙ ТА ПРОГНОЗУВАННЯ РИЗИКУ ЇХ ВИНИКНЕННЯ У ПАЦІЄНТІВ З ІШЕМІЧНОЮ ХВОРОБОЮ СЕРЦЯ

O.O. Ханюков1, I.O. Заяць2

1Дніпровський державний медичний університет,

кафедра внутрішньої медицини 3,

 м. Дніпро, Україна,

ORCID: 0000-0003-4146-0110,

е-mail: khanyukov.al@gmail.com;

2Європейський медичний університет,

 кафедра внутрішньої медицини,

м. Дніпро,  Україна,

ORCID: 0000-0001-8225-5901,

е-mail: irinazayats8gb@gmail.com

Резюме. Мета дослідження: вивчити вплив залізодефіцитної анемії  (ЗДА) на ризик розвитку нефатальних серцево-судинних подій (ГІМ, прогресії стенокардії напруги та хронічної серцевої недостатності, виникнення тахіаритмій) у пацієнтів з ІХС; розробити математичні моделі оцінки ризику розвитку нефатальних ускладнень (ГІМ і прогресії хронічної серцевої недостатності) у хворих на ІХС, в залежності від рівню гемоглобіну.

Методи. В дослідженні брали участь 95 хворих на ІХС, які перебували на стаціонарному лікуванні в терапевтичних та кардіологічних відділеннях ЛПУ міста Дніпро.  Основну групу склали 53 хворих  з супутньою анемією, контрольну  –   42 пацієнти без анемії. З метою виявлення нефатальних ускладнень ІХС (ГІМ, декомпенсації СН, аритмії) і з’ясування причин їх виникнення, у пацієнтів обох груп ретроспективно проведено 8-річний аналіз медичної документації, з наступним кореляційним аналізом та визначенням факторів, які сприяють розвитку нефатальних серцево-судинних подій, і розробкою математичної моделі ризику ймовірних ускладнень впродовж 5-8 років.

Результати. Отримані статистично значущі показники несприятливого впливу анемії на виникнення кардіо-васкулярних подій (прогресії ішемії міокарду, серцевої недостатності, тахіаритмій) (р<0,05); методом кореляційного аналізу визначені предиктори виникнення ГІМ (стаж ГХ,  рівні гемоглобіну і загального холестерину у сироватці крові, а також ЧСС і PsАТ) і прогресування ХСН (вік, стаж ФП, наявність ХНН 3 ст., клінічна стадія СН, рівень гемоглобіну, ЧСС) у пацієнтів на ІХС; розроблені математичні моделі ризику розвитку ГІМ та декомпенсації СН.

Висновки. Анемія сприяє росту госпіталізацій з приводу прогресії ішемії міокарду, СН і розвитку тахіаритмій (р<0,05). Розроблені моделі ймовірності розвитку ГІМ і прогресії СН продемонстрували відмінні результати. Ймовірність настання ГІМ виникає при значенні Р > 0,47% (Se = 87,9%, Sp = 96,8%, De = 93,7%), а вірогідність прогресії ХСН – при Р > 0,43 (Se = 87,8%, Sp = 87,0%, De = 87,4%).

Ключові слова: ішемічна хвороба серця, серцево-судинні ускладнення, хронічна серцева недостатність, анемія, прогнозування.
FEATURES OF THE PSYCHO-EMOTIONAL STATE IN ADOLESCENTS WITH DIFFERENT HEAT SENSITIVITY
Authors: Dzhyvak T.V. , Vadzyuk S.N.
Published: October 2023

Зміни клімату та глобальне потепління стали однією з головних проблем сучасного світу, згубно впливаючи на наше навколишнє середовище і суспільство в цілому. Дана стаття присвячена дослідженню впливу теплочутливості на психічний стан індивідів в умовах сучасного глобального потепління. Актуальність проблеми полягає в тому, що зміни клімату стають не тільки екологічними викликами, але і впливають на психологічну стійкість та благополуччя людей. Метою даного дослідження було оцінити особливості психоемоційного стану у осіб з різною теплочутливістю. Для цього було залучено залучено 150 студентів у віці 17-20 років. Учасники дослідження були поділені на дві групи – із вищою та нижчою теплочутливістю. Оцінка індивідуальної теплової чутливості була визначений за допомогою опитувальника "Рівні теплочутливості". Була проведена оцінка особистісних характеристик, оцінка особистісної та реактивної тривожності за допомогою відповідних тесті. Також було проведено визначення рівня адаптованості до різних життєвих викликів. В результаті дослідження було встановлено, що особи з нижчою теплочутливістю є емоційно більш стійкими і можуть адекватніше реагувати на стресові фактори навколишнього середовища. Було відзначено наявність різниці в рівні адаптації між двома групами, а саме - група з нижчою теплочутливістю виявила більш успішно налагоджений механізм адаптації до навколишнього середовища порівняно із групою з вищою теплочутливістю. Загалом, ці результати вказують на індивідуальні особливості у реакції на стресові ситуації та адаптаційні можливості різних груп. Це дослідження не підтверджує важливість врахування теплочутливості при аналізі психоемоційного стану людей, але також надає основи для подальших досліджень у цьому напрямі. Розуміння, як реакція на зміни клімату впливає на людське психічне благополуччя, є одним із ключових факторів для розробки стратегій збереження психологічного здоров'я в умовах зміни клімату.
Primer registro del escarabajo Postelichus musgravei (Hinton, 1935) para Nuevo León, México, con un listado de especies y clave para los géneros de la familia Dryopidae (Coleoptera: Byrrhoidea) en México
Authors: Jordán Hernández María , De Luna Manuel , Cuéllar-Rodríguez Gerardo
Published: October 2023

Se registra al escarabajo acuático de dedos largos Postelichus musgravei (Hinton, 1935) (Coleoptera: Byrrhoidea: Dryopidae) para el estado de Nuevo León, México, siendo, el primer registro de la familia Dryopidae para este estado, así como el registro más norteño de esta especie. Además, se presenta un listado de especies de la familia Dryopidae de México y una clave de identificación para los géneros encontrados en Norteamérica continental.
CONHECIMENTO E PODER NO PROJETO DE EJA DA UNIVERSIDADE DE BRASÍLIA
Authors: Ferreira Duques Maria Luiza
Published: October 2023

O presente estudo investigou a proposta de EJA desenvolvida pela UnB na redemocratização e teve como objetivo analisar as relações de conhecimento e poder no âmbito do Projeto Paranoá/UnB. O estudo estabelece uma aproximação com o materialismo histórico dialético, tendo os dados levantados através de entrevistas e análises de documentos. Enquanto proposta contra-hegemônica, a experiência de EJA da UnB teve sua origem articulada ao processo histórico da construção de Brasília, em um universo em que a busca pelo conhecimento foi elemento essencial para a consolidação do projeto. Os achados do estudo revelaram que o conhecimento foi o elemento primordial para a fixação do Paranoá e para a sobrevivência dos moradores. As relações entre conhecimento e poder no Projeto Paranoá/UnB, impulsionaram a produção de conhecimento científico, desdobrando-se na ampliação das lutas por direitos e, consequentemente, no alcance da transformação social.
ALFABETIZAÇÃO MATEMÁTICA
Authors: Ciríaco Klinger Teodoro , Santino Fernando Schlindwein , Corrêa João Vítor Dornelas
Published: October 2023

Analisamos experiências de professoras alfabetizadoras a partir de suas práticas cotidianas narradas em um grupo de estudos virtual, constituído durante a pandemia de COVID-19. Como objetivo propusemos discutir o processo de alfabetização matemática na perspectiva do letramento, de modo que as integrantes puderam rememorar suas experiências profissionais em um movimento de ressignificação a partir da ampliação do repertório didático-pedagógico. Com uma abordagem qualitativa, a produção de dados transcorreu no contexto de uma Atividade de Extensão vinculada à (nome da universidade), a qual teve, em sua dinâmica, encontros virtuais quinzenais para estudo coletivo na perspectiva de reflexão das práticas de ensino exploradas em turmas de 1º ao 3º ano. Os resultados evidenciaram que o trabalho colaborativo leva à novas formas de apropriação de conhecimentos, saberes e práticas profissionais que levantaram possibilidades e indicadores de atuação com sequências didáticas no pós-pandemia nas aulas de Matemática.
EXPOSIÇÃO MULTILINGUÍSTICA SÓ 15 DIAS?
Authors: Mattos Mára Beatriz Pucci de , Fagundes Paloma de Mattos , Pereira Arthur Jacques , Da Silva Raiane Marques
Published: October 2023

O relato de experiência reflexivo constitui um testemunho de sucesso da prática pedagógica exposição multilinguística Só 15 Dias?” realizada no Instagram, no período de 15 de agosto a 15 de setembro de 2021, durante a Pandemia Covid-19, pelos acadêmicos e docente da disciplina de Produção em Artes Visuais do Curso Superior Tecnologia em Produção Cultural, do Campus Natal – Cidade Alta do Instituto Federal de Educação, Ciências e Tecnologia do Rio Grande do Norte. Ao projetar os aprendizados para além da experiência teórica, as equipes de acadêmicos valeram-se da metodologia de trabalho com projetos em Artes Visuais, de modo a criar estratégias multidisciplinares e construir as fases de pré-produção, a produção e a pós-produção cultural numa das redes sociais mais utilizadas no Brasil.
PERCEPÇÕES DOS ALUNOS SOBRE O USO DA SALA DE AULA INVERTIDA NO ENSINO DE CIÊNCIAS E QUÍMICA
Authors: De Araújo Santos Jailson , Gomes Rodrigues Marciele , Amaral de Carvalho Lilian
Published: October 2023

O presente estudo apresenta as percepções de alunos sobre o uso da Sala de Aula Invertida (SAI) para o ensino de Ciências e Química. A pesquisa apresenta caráter quantitativo e qualitativo e foi realizada em duas escolas do Piauí. Houve a aplicação da metodologia durante as aulas e, após, um questionário foi utilizado para receber as percepções dos estudantes. Verificou-se um bom índice de aceitação do método pelos alunos dos anos finais da educação básica (disciplina de química) que vivenciaram o uso da metodologia pela primeira vez. Por outro lado, observou-se desmotivação e não aceitação do método por alunos dos anos iniciais (disciplina de ciências) que já haviam vivenciado o uso da metodologia em sala de aula. Portanto, é preciso que estratégias sejam adotadas a fim de motivar alunos para que eles possam se sentir atraídos pelo uso de metodologias diferentes e desenvolvam novas habilidades e competências.
PRIMEIROS SOCORROS NA ESCOLA
Authors: Rodrigues Magalhães Ana Hirley , Mota Neves de Almeida Sinara , Falcão do Amaral Jeferson , Vilagran Pinheiro Virginia
Published: October 2023

Este artigo objetivou desenvolver uma cartilha educativa digital como ferramenta de apoio ao ensino e aprendizagem da disciplina eletiva de Primeiros Socorros. Para a elaboração da referida ferramenta digital, foi realizado o levantamento do universo vocabular dos escolares acerca de primeiros socorros, cujos conteúdos selecionados por estes foram levados em consideração para a construção da cartilha. Trata-se de uma pesquisa exploratória descritiva com 10 jovens escolares na faixa etária de 15 a 18 anos, matriculados na disciplina eletiva de primeiros socorros. A coleta de dados compreendeu um questionário semiestruturado e duas sessões educativas sobre a temática. Os resultados assinalam que os escolares compreendem o significado de Primeiros Socorros de forma polarizada, em que a maioria define a temática como sendo uma ajuda apenas em situações graves e outra parte compreende como atendimento em situações simples, pouco complexas.
ISOLATION, IDENTIFICATATION, AND DETERMINATION OF THE ANTIBIOTIC SUSCEPTIBILITY PATTERN OF BACTERIA ASSOCIATED WITH DIABETIC FOOT ULCER
Authors: MWALIMU RAPHAEL JILANI  , HAIDER HAMZHA BAAYWI
Published: October 2023

Objective: This study involved isolating, identifying, and determining the susceptibility patterns of bacteria from diabetic patients who were hospitalized for diabetic foot ulcers.
Methods: The specimen was collected using a deep swabbing approach from the feet of forty hospitalized patients with diabetes. The two sample swabs were delivered to the microbiology laboratory as soon as they were collected. One swab was used for microscopic examinations, and the other was utilized for culture. Three aseptically prepared agars – chocolate, MacConkey, and sheep blood were used for culture. In accordance with accepted clinical standards, the pathogens were identified. By performing the Kirby–Bauer disc diffusion method on Mueller–Hinton Agar medium, the isolates’ antibiotic sensitivity patterns were examined.
Results: Twenty-five patients had microorganisms in their foot ulcers, whereas 15 patients had sterile samples (no pathological growth). Gram-negative (10) and positive (15) bacteria were recovered, with some patients having both types. Pseudomonas aeruginosa (32%), Klebsiella species (8%), and methicillin-resistant (10), sensitive (2), and coagulase-negative (3) strains of Staphylococcus aureus were identified.
Conclusion: Imipenem was the antibiotic most sensitive to almost all of the isolates, whereas Penicillin G had more resistance to all of the isolates, and the other antibiotics had more variation. Our findings lead us to recommend that patients with diabetes be empirically given imipenem.
PROGNOSTIC SIGNIFICANCE OF GLYCEMIC STATUS ON ADMISSION IN DIABETIC AND NON-DIABETIC PATIENTS WITH ACUTE CORONARY SYNDROME
Authors: Padhiar Abhishek , Shrimali Lalit , Thacker Bhavik
Published: October 2023

Objectives: The aim is to study the relationship between glycemic status at admission and outcome in diabetic and non-diabetic patients with acute coronary+ syndrome (ACS).
Methods: This prospective, observational study was conducted on all patients admitted to general wards and ICCU at GMCH, Udaipur, from February 2021 to July 2022. Detailed history and clinical examination were done. HbA1c, RBS, CBC, TROP I, and CPK-MB were done. Investigations were collected at the time of admission and discharge.
Results: Among non-diabetic patients, there were 19 patients who had hyperglycemia on admission and 36 had normal sugar. Among diabetic patients, 31 patients had hyperglycemia and 24 patients had normal sugar. 31 patients with hyperglycemia on admission had high HbA1c. 29 patients had cardiac failure (26.36%), 30 with cardiogenic shock (27.27%), 33 with arrhythmias (30%), and 4 with pulmonary edema (3.63%), making cardiac failure the most common complication in the study population. The mean ejection fraction at admission for the non-diabetics with normal sugar was 44.52, for non-diabetics with hyperglycemia was 43, for diabetics with normal sugar was 41.88 and for diabetics with hyperglycemia was 40.95.
Conclusion: We conclude that non-diabetics presenting with hyperglycemia on admission are at more risk of having complications of ACS and had more mortality compared to diabetics having normal sugar on admission.
CORRELATION OF BRAIN MAGNETIC RESONANCE IMAGING INCLUDING DIFFUSION-WEIGHTED IMAGING WITH NEUROCOGNITIVE OUTCOME IN CORONARY ARTERY BYPASS GRAFTING (CABG) PATIENTS
Authors: Khamesra Renu
Published: October 2023

Objectives: This study aims to evaluate the new lesions on magnetic resonance imaging including diffusion-weighted imaging (MRI-DWI) in patients undergoing coronary artery bypass grafting (CABG) and its relationship with neurocognitive outcome.
Methods: In this prospective study, bilateral carotid and vertebral Doppler study was done before CABG surgery and the brain MRI protocol including fluid attenuation inversion recovery and DWI was applied 1–4 days before surgery and 6–12 weeks after surgery. Neuropsychological examinations were administered to both groups before and 6–12 weeks after surgery.
Results: A total of 66 patients were included in the study. On pre-operative angiogram, CABG had less double-vessel (31.8%) and more triple-vessel disease (65.15%). MRI brain with DWI was performed preoperatively in 50 (75.75%) of 66 CABG patients. Before surgery, no diffusion abnormalities were found on DW images. In those who underwent MRI, no lesions were found in 21 (31.82%) CABG patients. Bilateral small vessel ischemic disease (SVID) or periventricular lucencies was seen in 23 (34.85%) CABG patients. Bilateral SVID with lacunar infarct was seen in 4 (6.06%) CABG patients. Lacunar infarct and wedge infarct were seen in 1 (1.52%) patient each. At follow-up, MRI brain with DWI was performed only in 54 (81.82%) CABG patients. There was no significant change found postoperatively on brain MRI imaging. There was also no significant difference before and after CABG patients in cognitive function.
Conclusion: This study concluded that CABG has no relation in the form of brain MRI changes with the cognition function of the patients.
COMPARISON OF BILATERAL USG-GUIDED ERECTOR SPINAE BLOCK VERSUS CONTROL GROUP FOR INTRAOPERATIVE HEMODYNAMIC STABILITY AND POST-OPERATIVE ANALGESIA IN SPINE SURGERIES UNDER GENERAL ANESTHESIA
Authors: Saini Manish Kumar , Sisodia Ravindra , RC Gupta , Jethava Durga
Published: October 2023

Objectives: The aim of the study was to compare the intraoperative hemodynamics and post-operative analgesia after using bilateral erector spinae block (ESB) and conventional techniques during spinal surgeries. The study also aims at comparison of analgesics consumption in patients during post-operative period.
Methods: One hundred adults aged 18–80 years with American Society of Anaesthesiology physical status I/II scheduled for elective lumbar spine surgeries (two levels) under general anesthesia (GA) were divided into two groups. Group A received erector spinae plane block (ESPB) along with GA and Group B received GA only. Injection Paracetamol 1 g intravenously was given as rescue analgesia. Intraoperative hemodynamics, visual analog score at rest and at movement in 24 h postoperatively, first rescue analgesia, total dose of analgesics in first 24 h postoperatively, and intraoperative opioid dose requirement were compared in both the groups for 7 days.
Results: Intraoperative hemodynamics in ESPB group were found to be more stable than the control group. There was a significant low VAS score in Group A compare to Group B at rest and on movement (p<0.001). The time for first rescue analgesia was prolonged in group ESPB as compared to control group (p<0.05). The total dose of analgesia required in first 24 h was significantly lower in patients of ESP group 25±41.96 mg 82.5 than patients in control group ±22.73 mg.
Conclusion: Ultrasound-guided bilateral ESB provides profound intraoperative hemodynamic stability with perioperative analgesia in comparison to conventional GA technique. The present study concluded that ESP block decreased the opioid requirement in both intraoperative and post-operative period.
ACCEPTANCE OF COVID-19 VACCINATION AMONG STUDENTS OF HEALTH SCIENCES CHITTOOR ANDHRA PRADESH INDIA
Authors: JEERAGYAL DEVIKA P , DEVENDRA BASTI BHARATESH , B SRINIVASA
Published: October 2023

Objectives: To understand the overall perception of acceptance of COVID-19 vaccination if it is given free of cost by the Government of India.
Methods: A cross-sectional study was done at Apollo Medical College in Chittoor district, Andhra Pradesh. A study was undertaken among students of different courses, like medical students, nursing students, physiotherapy students, and medical skill students, who are currently studying in this college. After getting written informed consent, a pretested questionnaire was used to collect the data. Analysis was done using SPSS software.
Results: Out of 1115 students, 883 responded. 75% of students are willing to take the COVID vaccine. 85% of students are ready to take the vaccine if their head of institution insists them to take. Probability of vaccine non acceptance is higher in lower age group students. Students in the age group of 18–23 are 4.77 times higher risk of not accepting the vaccine compared to students above 23 years.
Conclusion: 21–23-year-old age group students are more likely to accept vaccination than lower age group students. MBBS students are less likely to accept than other health-care students.
DETERMINANTS THAT PREDISPOSE TO CONVERSION OF LAPAROSCOPIC CHOLECYSTECTOMY TO OPEN CHOLECYSTECTOMY IN A TERTIARY HEALTH-CARE CENTER IN INDIA
Authors: TR Karthikhaeyan , Visagan Keerthi , A Vasantha Ragavan , Sharma Ankit Kumar , V Rajasenthil
Published: October 2023

Objectives: The aim of this study was to analyze the patient and disease-related factors of gallstone disease and also to identify pre-operative clinical, laboratory, and ultrasonic predictors that predispose to conversion of laparoscopic to open cholecystectomy.
Methods: The study was prospectively conducted over 1-year duration in a tertiary care center in India. Demographic, hematological, and radiological data were recorded for all participants and compared to assess predictors of conversion from laparoscopic to open cholecystectomy.
Results: A total of 526 patients participated in the study. Thirty-two cases were converted to open with 6.08% conversion rate. The common intraoperative causes of conversion were frozen Calot’s triangle, dense adhesions, and empyema gallbladder. The significant predictors of conversion were found to be a previous episode of acute cholecystitis (p=0.003), previous upper abdominal surgery (p=0.001), total leukocyte count (p=0.012) with neutrophils (p=0.005), gallbladder wall thickness >5 mm (p=0.0082), and presence of pericholecystic fluid (p=0.0184).
Conclusion: The above-mentioned determinants can be used to predict the chances of conversion in a patient planned for laparoscopic cholecystectomy so that the patient can be counseled regarding the risk of conversion and informed consent can be obtained, and the surgical team can be adequately prepared.
ASSOCIATION BETWEEN VITAMIN D LEVEL AND ESSENTIAL HYPERTENSION
Authors: SINGLA KOMAL BHARTI , PATIL SNEHA , PATEL HIMANSHUKUMAR , PATEL KENA
Published: October 2023

Introduction: There is relationship between vitamin D deficiency and hypertension (HTN). The mechanism causing the development of HTN, the Renin Aldosterone Angiotensin System, was discovered to be strongly inhibited by vitamin D. This study was piloted to assess the role of vitamin D deficiency in the development of essential hypertension (EH).
Methods: A total of 50 patients with EH and 50 healthy participants participated in this study. Every participant was subjected to clinical history, physical examination, and other necessary blood testing, electrocardiography, and echocardiography.
Results: There was a significant decrease in vitamin D in hypertensive group (20.25±3.28 ng/mL) than normotensive group (38.33±6.89 ng/mL). Vitamin D level was moderately negative correlated with systolic blood pressure (BP) (r – 0.43, p – 0.001), strong negative correlation with diastolic BP (r – 0.76, p<0.001), strong negative correlation with intimal thickness (r – 0.67, p<0.001), and moderate negative correlation with ventricular mass (r – 0.48, p<0.001). Intimal thickness and ventricular mass were significantly higher in patients with EH with low vitamin D than those with normal vitamin D levels.
Conclusion: There is a strong inverse relationship between serum vitamin D and HTN. Vitamin D deficiency levels are considered an additional risk factor for cardiovascular morbidity and mortality.
INCIDENCE AND PREDICTORS OF SURGICAL SITE INFECTION IN MAJOR ABDOMINAL SURGERIES AT A TERTIARY CARE CENTER IN DELHI
Authors: RAYEES AHMAD BHAT  , SYED ALTAMASH  , PANDEY RUCHI
Published: October 2023

Objective: Surgical site infections (SSIs) are the third commonly stated nosocomial infections, with the prevalence rate of 14–16%. In India, the prevalence of SSIs in elective surgeries ranged from 3.83% to 39% and in cases of emergency surgeries, the prevalence ranged from 12.41% to 26.4%. This study was aimed to measure the occurrence of SSIs amid subjects experiencing major abdominal surgeries at tertiary care center in Delhi and to assess the predictors related to occurrence of SSIs in these subjects.
Methods: In this cross-sectional study, data were collected over a period of 1 year at the Department of Surgery, Super Specialty Hospital in New Delhi. The, from January 2017 to January 2018. All major gastrointestinal surgeries were considered. Sociodemographic details, clinical history, and surgical details were taken.
Results: Out of total 626 patients, 42 (6.7%) developed SSIs. The positive predictors of SSIs in our study were male gender, American Society of Anesthesiology grade of 2 and above, wound class of two and above, longer duration of surgery, emergency surgery, open surgery, laparoscopic converted to open surgery, presence of comorbidities, presence of hypoalbuminemia, and hypoproteinemia.
Conclusion: SSIs seems to be a common source of perioperative morbidity and mortality, leading to increased hospital stay and cost of treatment. Proper planning and accordingly managing such case by case scenarios can lead to decreased incidence of SSIs and help reducing burden to the health system.
ULTRASONOGRAPHY AS AN INTRAOPERATIVE TOOL FOR LOCALIZATION OF THE ANATOMICAL LEVEL IN LUMBOSACRAL SPINE SURGERIES
Authors: Abhishek Patil  , Nupur Pruthi
Published: October 2023

Aims and Objectives: The aims and objectives of the study are to find the effectiveness of ultrasound as a pre-operative adjunct to localize the anatomical intervertebral level of interest and study its accuracy by comparing it with the gold standard intra-operative fluoroscopy and to study factors affecting localization of anatomical vertebral level by ultrasound.
Methods: This was a prospective study conducted in the Department of Neurology Department of Neurosurgery and Neuroimaging and Interventional Radiology, NIMHANS Hospital, Bengaluru, over a period of 1 year. 50 cases of lumbosacral degenerative diseases were included in this study on the basis of pre-defined inclusion and exclusion criteria. All patients underwent ultrasonography of the lumbosacral spine followed by pre-operative X-ray of the lumbosacral spine using the C-ARM. The accuracy of good localization of the desired level of the lumbosacral spine by ultrasound as compared to X-ray was determined. p<0.05 was taken as statistically significant.
Results: There were 22 (44%) males and 28 (56%) females with a M: F ratio of 1:1.27. The mean age was 46.7±13.5 years. 46 (92%) cases were diagnosed with prolapsed intervertebral disc (PIVD) and 4 (8%) cases with Grade II spondylolisthesis radiologically. Good localization which constitutes exact localization, close upper, and close lower localization added up to 82% of the cases (41/50) and the rest 18% were tagged as poor localization (9/50). The accuracy of good localization in both the groups of PIVD and spondylolisthesis (listhesis) was 82.6% and 75%, respectively.
Conclusion: Ultrasound can be used as an exceptionally good and accurate method of localizing the anatomical intervertebral level for patients undergoing various lumbosacral spinal surgeries.
The Era of Molecular Biology: Diagnostics for Nipah Virus
Authors: Khutade Kalpesh , Shah Harshada , Patil Samiksha , Patel Hiren
Published: October 2023

Abstract: Nipah virus (NiV) is an emerging pathogen that, unlike other priority pathogens identified by the WHO, is endemic to Southeast Asia. It is most commonly transmitted through exposure to saliva or excrement from the Pteropus fruit bat or direct contact with intermediate animal hosts, such as pigs. NiV infection causes severe febrile encephalitic disease and/or respiratory disease; treatment options are limited to supportive care. The serological and nucleic acid amplification techniques have been developed for NiV and are used in laboratory settings, including some early multiplex panels for differentiation of NiV infection. The rural and remote nature of NiV outbreak settings, there remains a need for rapid diagnostic tests that can be implemented at the point of care. Additionally, more reliable assays for surveillance of communities and livestock will be vital to achieving a better understanding of the fruit bat host and transmission risk to other intermediate hosts, enabling the implementation to outbreak prevention and the management of this NiV. An improved understanding of NiV viral diversity and infection kinetics or dynamics will be central to the development of new diagnostics to enable effective validation and external quality assessments
The Role of Artificial Intelligence in Reshaping Healthcare: Challenges and Solutions
Authors: Chouhan Arushi
Published: October 2023

Abstract: Healthcare systems have been offering services and advantages to people all over the world, playing a crucial role in enhancing health and quality of life. However, there are still incidents of incompetence in hospitals that endanger life. These effects on patients are becoming more prevalent at an accelerated rate. Thank goodness, technological developments like artificial intelligence (AI) and machine learning have shown to be effective in minimizing negative effects. Hospitals are now using AI to enhance care, transforming the medical field and improving patient outcomes.
A Review on Plagiarism Detection Methods in Digital Documents
Authors: R Smitha , G S Parvathy
Published: October 2023

Abstract: In the age of the Internet, it has become easy to copy someone else's work. Plagiarism refers to reusing someone else's work without acknowledging the source of the work or citing it. Because of the widespread availability of information and documents on the Internet and in online libraries, plagiarism has grown to be one of the major concerns for the educational and research sectors. It is actually a distinct offense against intellectual property. A variety of plagiarism detection software programs are currently available on the market or online for identifying certain sorts of plagiarism, but they still have some limitations. Typically, numerous documents are compared in order to find plagiarism, and a score is given depending on how similar they are to one another. In this paper, some of the plagiarism detection methods are reviewed and compared their performances.