bluuebunny/crossref_metadata_2025 huggingface dataset:
Physical activity of Ukrainian people interned in camps on the territory of the province of Łódź in the years 1920–1938
Authors: Jaroszewski Julian
Published: October 2020

After the truce between Poland and Russia had been signed in October 1920, the soldiers of the Ukrainian People’s Republic who crossed the Polish border were first disarmed and then impris-oned in internment camps. In 1921 over 15 000 people were sent to camps on the territory of the province of Łódź, namely to Kalisz-Szczypiorno, Piotrków Trybunalski and Strzałkowo. The camps functioned until 1924 and after their liquidation, the internees had to leave the territory of Poland or, after obtaining the status of political immigrants, they were granted a permit to stay. Those who stayed settled in Kalisz, in the so-called Ukrainian Stanitsa. They lived in shabby con-ditions. However, although isolated and subjected to hostile agitation by Bolshevik authorities, they managed to restore their patriotic and national spirit as well as their sports and health character. Cultural and educational activity, apart from theatres, choirs, libraries, the press was run primarily by schools. The Ukrainian people attended both camp (Ukrainian) schools and Polish schools where they participated in PE classes as part of the curriculum. Moreover, the sports movement developed, supported by the American YMCA association. Their sports level made it possible to compete with the leading regional teams. Sports Activities, apart from their pro-health impact, integrated the Ukrainian community.
M.A. BALUGYANSKY’S REFORMMATIVE IDEAS AND POLITICS: TO THE 250th ANNIVERSARY OF HIS BIRTH
Authors:   Institute of Philosophy and Law, Ural Branch of the Russian Academy of Sciences (Ekaterinburg, Russia), Vakhrusheva E.A. , Rudenko V.V. ,   Institute of Philosophy and Law, Ural Branch of the Russian Academy of Sciences (Ekaterinburg, Russia)
Published: October 2020

This article is dedicated to the 250th anniversary of the birth of Mikhail Andreevich Balugyansky, a prominent scientist and statesman of Rusinian descent (1769–1847), who made a significant contribution to the development of Russian humanities, higher education and public administration by developing a number of important reforms and codification of Russian legislation during the reign of Alexander I and Nicholas I. Having analysed and collated M.A. Balugyansky’s theoretical views of the state, law, economy and society, the authors conclude about their correlation with those of Joseph Sonnenfels, Adam Smith, and the Physiocrats. They emphasize M.A. Balugyansky’s commitment to the capitalist model of development, which he reinforced with his own insights. M.A. Balugyansky applied his theoretical positions to practice. The article focuses on two of his projects – on finance and on state peasants, which had the systemic nature and exerted a strong impact on the subsequent reformative projects. Analyzing these projects as well as challenges of their promotion, the authors conclude that their implementation was limited by the historical conditions of the Russian absolutist state with its inert bureaucracy and dominant noble landlord class. In this regard, the authors argue that M.A. Balugyansky was a forward-thinker, so it was only later that his progressive ideas and reformative activities could be successfully implemented.
MARKET SEEKING & STRATEGY DEVELOPMENT IN WEST AND NORTH AFRICAN COUNTRIES: A TURKISH FAMILY BUSINESS EXPERIENCE
Authors: DİL Esra , BİNDJO Souleymane
Published: October 2020

This study aims to reveal the situation of small-scale family businesses that are looking for a market in Western and North African countries and want to realize their growth strategies in this region, and to develop solutions for their growth problems. For this purpose, the market development stages of the selected ABC Company were evaluated within the scope of action research. One of the researchers worked in the company within the scope of UPEP (Üniversiteden Pazar Elçiliğine Projesi -From University to the Market Ambassador Project) in the field to conduct action research, while the other researcher supervised the process academically. Inherent in action research is an approach to find a solution to the problem of the unit that is the subject of the research. The researchers analyzed the market search and development strategies of the company subject to the research and seek solutions for their growth problems. As a result of the research, it is concluded that the example ABC Company, which wants to be effective in these markets, will follow the stage model while opening up to international markets, and will be more effective in terms of penetration into the market. The literature that this result is suitable for small-scale family businesses that are in search of similar support has been supported.
A. MARSHALL’IN ZENGİNLİĞİ YÖNETME DÜŞÜNCESİ: EKONOMİK PRATİK-RASYONELLİK
Authors: ÇAMLI Ahmet Yavuz , DURAN Bünyamin
Published: October 2020

Türkiye ekonomisine ilişkin temel parametreler incelendiğinde toplumun giderek daha fazla zenginleştiği görülür. Hatta çeşitli kuruluşların raporlarında Türkiye’nin önümüzdeki yıllarda milli gelirini daha fazla arttıracağı belirtilir. Yani Türk toplumu zenginliği yönetmek gibi zor bir sürecin içindedir. Bu çalışmanın amacı da zenginleşme sürecinin adil ve doğru bir şekilde yönetilebilmesi için ne yapılması gerektiğini vurgulamaktır. Batı toplumları gibi ekonomik büyüme uğruna dini, ahlaki ve insani pek çok değerden taviz mi verilmelidir? Yoksa ahlaki ve ekonomik gelişme birlikte mi başarılmalıdır? Problemin çözümü adına Neo-Klasik iktisadın ve faydacı yaklaşımın öncülerinden olan Marshall’ın kılavuzluğu ayrı bir öneme sahiptir. Kapitalizmi savunan ve pür iktisatçı olan Marshall ahlaki motiflerin ekonomik faaliyetlerden ayrı tutulamayacağını belirtir. Ayrıca Weberyen sosyolojinin temel dinamiklerinden olan ve ekonomik eğilim, eylem ve etkinliklerde rasyonellik ile değerlerin birlikteliğini ifade eden ‘ekonomik pratik-rasyonellik’ olgusuna dikkat çeker. Marshall’ın bu ve benzeri görüşleri birey, firma ve devlet nazarında toplumumuzun zenginliği adil bir şekilde yönetmesi açısından referans alınması gereken niteliktedir.
VLSI Architecture with a Configurable Pipeline
Authors:   Research and Development Institute Kvant, Moscow, 125438, Russian Federation, Korneev V. V. , Tarasov I. E. ,   Research and Development Institute Kvant, Moscow, 125438, Russian Federation
Published: October 2020

The analysis carried out in the article shows the possibility of creating a problem-oriented VLSI, fabricated according to the technological standards of 28 nm or less, for at least one family of digital signal processing problems using similar computing nodes in structure. The use of distributed arithmetic allows one to apply a technique based on performing only those multiplication steps for which non-zero digits are set in the corresponding positions of the filter coefficients. Therefore, the performance of 200 nodes executing 2 steps at 1 GHz is equivalent to approximately 80 GMAC/s/mm2 for 16-bit coefficients. The VLSI architecture view opens up the possibility to study the effectiveness of implementing other families of tasks and refine the architectural parameters for their implementation. The proposed functionality of VLSI computing nodes allows them to be used in various fields of technology, which potentially increases the need for the release of such VLSI.
A Research for Feasibility Analysis and Model Building of e-Tourism Industrial Value Chain with Cooperation of Industry, Government and University in Taiwan
Authors:   Department of Information Management, Chung Chou University of Science and Technology, Hsu Shun-Fa ,   No. 6, Lane 2, Sec. 3, Shanjiao Rd., Yuanlin City, Changhua County 510, Taiwan, Lee Yi-In , Hsu Ching-Tzu , Chen Chih-Hua
Published: October 2020

This paper investigates the technical resources of cooperation of industry, government and university, and how industrial value chains (IVC) in e-tourism industry develop in such collaboration. First, the chance of cooperation between small and medium enterprises (SMEs) in tourism industry and information technology developers were discovered inside the national industry policies of Taiwan, and local technological universities could play a key role inside as an official resource importer. Then, theoretical feasibility of industry-government-university cooperation in e-tourism and IVC were testified to build the core concept of e-tourism IVC model with cooperation of industry, government and university. Furthermore, based on prospective framework in e-tourism, the research team, consisting of professionals in various fields, put the concept into practice by endeavoring to collaborate with enterprises in tourism and information and communication technology (ICT) industry. After complying with requirements of grant applying programs, the team acquired funds of 570,000 NTD from Ministry of Education (MOE), companies and universities, making this cooperation model preliminarily practical. As stated above, e-tourism IVC model with cooperation of industry, government and university is an applicable university-industry cooperation (UIC) model technological universities can utilize to enhance competitiveness of ICT and tourism industries, as well as SMEs.
PSYCHOSEMANTIC FEATURES OF PERCEPTION OF ANIMATED ADVERTISEMENT OF YOUTH TARGET AUDIENCE
Authors: Sosniuk O. P. , Vlasiuk І. Yu.
Published: October 2020

The article is devoted to the analysis of the results of empirical research of psychosemantic features of perception of animation advertising by the representatives of the youth target audience. Differences in the perception of animation advertising between representatives of three age groups within the youth target audience were established. The authors identified four factors (“Confidence”, “Attractiveness”, “Trust”, “Consumer Activity”), which are manifested in the perception of animation advertising by young teens (12-15 y.o.). At the same time, for аdolescence teens (16-19 y.o.) and youth (20-24 y.o.) there are three factors (“Confidence”, “Attractiveness”, “Consumer activity”), which determine their attitude to animation advertising. The peculiarities of young people's attitude to animation advertising with different types of graphics (2-D, 3-D, combined) and consumer motivation of this target audience are revealed. It has been identified that commercials based on the use of 3-D graphics are evaluated by representatives of the youth audience (of all age groups) most positively and often make them want to buy the products of the advertised brand. Commercials based on the use of 2-D graphics technology attract the most attention of younger teens (12-15 y.o.) and create the appropriate consumer motivation. The commercials created on the basis of the combined graphics are the least interesting to the representatives of the youth target audience. However, the ideas underlying such advertising are the most understandable for youth, and the advertising itself is perceived as relevant and evokes a sense of trust in the product and brand. The connection between the level of emotional intelligence and creativity with the peculiarities of the perception of animation advertising is revealed. Subjects with higher level of emotional intelligence rate animation graphics in advertising more positively than people with low levels of emotional intelligence. Representatives of the youth target audience (all age groups) with high levels of emotional intelligence are most sensitive to animation advertising using 3-D graphics. A similar trend is observed in subjects with a high level of creativity, rate commercials using 3-D graphics higher and perceive it more positively (compared with subjects with lower level of creativity). It is established that young teenagers (12-15 y.o.) with a high level of creativity also positively perceive animation advertising using 2-D graphics technology. Prospects for further research include a more detailed study of the perception of animation advertising with different types of graphics by different age groups, determining the relationship between the perception of animation advertising and the value-semantic sphere of the personality of consumers.
PERSONAL LANDSCAPE TRANSFORMATIONS FOLLOWING THE TRAUMATIC WAR EXPERIENCE
Authors: Tytarenko T. M.
Published: October 2020

The personal landscape transformations are defined as the territory of a person 's life, which has special dynamics, structural and functional characteristics, meaningful filling. In addition to specifying the landscape concept, the task was to determine the types of landscapes of combatants after returning from the war. The sample consisted of 91 combatants (higher education cadets and volunteers). We used the written narrative method of the proposed scheme, a conversation, and a focused one-on-one interview. As a result, post-traumatic combatants 'narratives consisted of war-related injuries (41.9%); family treason (24.7%); losses suffered in peace time (23.5%); other difficult life situations (9.9%).
The following criteria for determining the type of landscape have been developed: meaningfulness of the past; assessment of the present; a vision of the future; value dominant. There is considered the value-semantic configuration of the individual 's life as an integral indicator of the landscape. The following types of landscapes have been identified: a) existential (differs in the unwillingness to rethink the traumatic past; the inability to assess the present adequately; the inability to construct the future; the dominant for survival); b) family (distinguished by a good understanding of the past; adequate assessment of the present; detailed construction of the future; dominant of meaningful relationships); c) service (differs from family one primarily by the criterion of dominant value – to be useful to the state, to the fight against the aggressor, and to the army); d) self-realization (differs in the main value of self-development); e) pragmatic (distinguished by the major value of career advancement).
The most common landscapes are existential and family landscapes (25.0% each); in second place is landscapes of service and self-realization (17.3% each); on the third – pragmatic (13.6%). The hypothesis according to which the direct participation of military personnel in hostilities can act as a trigger for changing the personal landscape is confirmed.
PSYCHOMETRIC PROPERTIES OF THE GIFTED STUDENTS’ PERSONAL VALUES QUESTIONNAIRE
Authors: Korolov D. K.
Published: October 2020

The purpose of presented research is the finalization of the gifted students’ personal values questionnaire development. This work carried out in four stages: 1) approbation of the preliminary version of the questionnaire, 2) the response scale elaboration with acceptable discrimination, 3) development of internal consistent, factor and content valid scales, designing test norms, 4) assessing the instrument retest reliability and the criterion validity. Three hundred eighty-six university students answered the questionnaire at all stages of the study. Based on factor and content analysis six measuring scales were constructed: productive creative activity values, orientation on intensive emotional experience, orientation on social recognition, value uncertainty, orientation on profession, value of comfortable living. The data confirm the questionnaire final version compliance with other standard psychometric requirements: no answer to the items was chosen more often than 55%, the distribution of raw scale scores is normal, Cronbach's Alpha closes to 0.70, corrected item-total correlation is above 0.20, retest reliability coefficient is not below 0.70. The instrument is recommended for individual assessment and research purpose in students' population. Further research prospects are related to questionnaire validity determination in relation to other external criteria of giftedness and to the accumulation and reflection of experience in using the tool.
Los IFRS y la armonización contable material de los inventarios de las empresas colombianas cotizantes no financieras
Authors: Rico Bonilla Carlos Orlando , Laverde Sarmiento Miguel Ángel , Franco Navarrete Blanca Myrian , Montoya Ocampo Luz Dary
Published: October 2020

Los inventarios son un rubro estratégico en el desarrollo del objeto social de las empresas que se dedican, principalmente, a la manufactura y comercialización de productos. Así entonces, esta investigación es una contribución a la literatura sobre los efectos de la convergencia colombiana hacía IFRS. Se analizó la armonización material de las prácticas sobre el tratamiento contable de los inventarios para empresas cotizantes no financieras, esto a partir del estudio de sus estados financieros y la estimación de un índice de Herfindahl para medir la coincidencia en la elección de la fórmula del cálculo del costo. Al comparar el periodo previo (2011 y 2013) con el de aplicación de los IFRS (2015 y 2017) se encontró que hay un aumento relevante en las divulgaciones sobre las políticas contables y el reconocimiento inicial de estos activos, pero aún son bastantes las brechas en aspectos como la medición posterior, el valor neto realizable y el deterioro. En cuanto a la divulgación de información referente a pérdidas por deterioro del inventario se concluye que hay un aumento sustancial entre el periodo previo y el de aplicación.
Propuesta del Modelo de Cadena de Valor de la Cebolla Junca de Aquitania, Boyacá
Authors: Herrera Rodriguez Jenny Mairena , Chacón Casallas Wilmar Nicolas , Aragón García Julián Andrés
Published: October 2020

En un mercado globalizado y saturado de bienes y servicios, en el cual todos son commodities, la cadena de valor permite añadir factores diferenciadores a lo largo de su producción que da como resultado un valor agregado, el cual permite la preferencia en la decisión de compra y la competitividad en los mercados globalizados. Este trabajo corresponde a los resultados parciales de un proyecto de investigación. El presente artículo busca proponer un modelo para la cadena de valor de la cebolla Junca de Aquitania, identificando los actores que intervienen directa o indirectamente desde la siembra hasta su comercialización al por mayor. La metodología utilizada es mixta, la recolección de datos se realiza por medio de observación, entrevista, análisis documental, el instrumento a utilizar es un cuestionario diseñado por los autores. Se concluye que la cadena de valor es una de las herramientas más eficaces que existen puesto que, una vez comprendida facilita los procesos de innovación, mejora continua o toma de decisiones organizacionales.
The Effect of Urbanization on Temperature Trend in Some Regions across Vietnam during the Past Decade
Authors:   the Faculty of Environmental Sciences, University of Science, Vietnam National University, Hanoi, Vietnam, Pham Ha Thi Thu , Tran Toan Kim
Published: October 2020

Throughout time and history, urbanization has proven itself to be a significant impact on climate in urban areas. In this study, we investigate urbanization effect on temperature trends in several regions across Vietnam based on statistical relationship between these trends and local population growth as well as the change in the annual mean temperature in the past decade by applying statistical analysis to the results. Population data from 2008-2018 and the temperature data from 1988-2018 were obtained from the Annual Abstracts of Statistics and the Institute of Hydrology and Meteorology Science and Climate Change, respectively. Although most of our findings indicate a very small correlation between temperature rise and local population growth, there were exceptions with reasonable values. The results suggest that urbanization contributes to the change in temperature trend of different regions. The type of region (based on its population) also determines if the change in temperature is positively or negatively correlated with the population growth. Furthermore, by using ArcMap, we also constructed several surface temperature maps in the past few decades in order to gain further insights into how temperature changed with time.
Invertebrate-Interactive Dichotomous Key Media: Enhance Students Learning Motivation in Lower Secondary School
Authors:   the Department of Biology Education, Universitas Negeri Jakarta, Indonesia, Ristanto Rizhal Hendi , Miarsyah Mieke , Luthfi Ilena Amalia , Kristiani Endah , Hasanah Risky
Published: October 2020

The purpose of this research is to develop interactive learning media about classification of organisms. This research used modification of 4D method (Define, Design, Develop, and Disseminate from Thiagarajan et al., 1974). Invertebrate Interactive Dichotomous Key (Invertebrate-IDKM) is given in the learning at lower secondary school. Percentage of the expert validation is 80%. According to the validation result, we conclude that Invertebrate-IDKM is valid in the media, materials, languages, and eligible in the learning about the classification of organisms especially classification of invertebrate animals. Invertebrate-IDKM increases learning motivation especially lower secondary school students because it encourages interaction and use technology.
Hospitalizations in neonatal intensive care unit at Mahajanga: impacts on parents
Authors: Raveloharimino Henintsoa N. , Razanamanana Safidisoa N. , Randriamanga Lovasoa R. , Rasamimanana N. G. , Vonindrazana Eudino J. , Rabesandratana Norotiana H.
Published: October 2020

Background: Experiencing a birth with a pathology imposes on parents a lot of frustration. Objectives of this study were to describe the general profiles of newborns and to describe the hospitalization’s psychosomatic impact on parents; in intensive care unit of the neonatalogy ward at the mother-child complex at the university Hospital Androva Mahajanga Madagascar.Methods: It was prospective descriptive study, by a survey of parents, among 3 months, from 01st May to 31th July.Results: Were included 102 newborns. Mains reasons of admission are low birth weigth (51.9%), prematurity (42.1%) and perinatal asphyxia (23.5%). One hundred mothers and 90 fathers had answered our survey. Sleep distturance (all parents), negative feelings (70% of fathers and 75% of mothers), depressed mood (52.2% of fathers and 78% of mothers) and guilt (25.5% of fathers and 58% of mothers) were the most prominent psycological manifestations among parents; then somatic manifestations as digestive, cardiovascular type; weight loss was objectified on 33% of fathers.Conclusions: Newborns’s hospitalization is a difficult situation for parents. Caregivers have an important role in enabling the family to build up.
Knowledge of electronic medical records system among frontline health care workers in Jos University teaching hospital, Plateau State Nigeria
Authors: Afolaranmi Tolulope O. , Hassan Zuwaira I. , Dawar Bulus L. , Wilson Bamkat D. , Zakari Abdulbasit I. , Bello Kayode K. , Ofakunrin Akinyemi O. D. , Ogbeyi Gabriel O.
Published: October 2020

Background: Electronic Medical Records system (EMRs) in any healthcare system has the potential to transform healthcare in terms of saving costs, reducing medical errors, improving service quality, increasing patients’ safety, decision-making, saving time, data confidentiality, and sharing medical. Evidence on the current state of EMR system in Nigeria health system particularly its knowledge among health professionals is limited. Hence, this study was conducted to assess the level of knowledge EMRs among frontline health care workers in a tertiary health institution in Jos, Plateau State.Methods: This was a cross-sectional study conducted between April and August 2019 among 228 frontline health care workers in Jos University Teaching Hospital using quantitative method of data collection. SPSS version 20 was used for data analysis and a p-value of ≤ 0.05 considered statistically significant.Results: The mean age of the respondents in this study was 35 ± 8 years with 93 (40.8%) being 36 years and above. The overall level of knowledge of EMRs was adjudged to be good among 163 (71.5%) of the participants. Category (pharmacists) of the respondents was found to influence good knowledge of EMRs (OR = 1.37; 95% CI = 1.007 – 1.865; p = 0.045).Conclusions: This study has demonstrated a relatively high level of good knowledge of EMRs with variation existing along the categories of health care workers bringing to light the existence of a good knowledge base in the light of future EMRs implementation.
Determination of putative virulence factors among clinical isolates of enterococci isolated from a military hospital in the eastern province of Saudi Arabia
Authors: George Siju Kankalil , Suseela M. R. , El Safi Saleh , El Nagi El Moiez Ali , Adam Ahmed Adlan Mohammed , Jacob Ashly Mary , Al-Maqati Thekra , Al Shehri Abdullah , K. S. Harish Kumar
Published: October 2020

Background: The pathogenic potential of enterococci to produce life-threatening infections is well-documented. The scientific community has, of late, evinced a renewed interest in the putative virulence factors of enterococci. Objective of the study was to determine the putative virulence factors of clinically isolated Enterococcus species from a military hospital and to describe the association between virulence factors and vancomycin susceptibility.Methods: A total of 245 enterococci were isolated from clinical samples collected from KFMMC, a leading military hospital in the eastern province of Saudi Arabia. Following species identification and antimicrobial susceptibility testing using the Vitek 2 system; the isolates were tested for the production of caseinase, gelatinase, biofilm, and presence of haemolysin.Results: Among the enterococcal isolates, 36.7% produced caseinase, 38% produced gelatinase, 24.1% exhibited biofilm formation, and 30.6% were positive for haemolytic activity. A significant association between vancomycin susceptibility patterns and the virulence factors, gelatinase and haemolytic activity, were noted. No significant associations were observed between vancomycin susceptibility patterns and the presence of caseinase or the formation of biofilms.Conclusions: Virulence factors are invariably produced by several clinical isolates of enterococci in our hospital, and some virulence factors are associated with vancomycin susceptibility.
Outcome of internal fixation procedure: miniplate vs cross K wires for displaced metacarpal metaphyseal fracture
Authors: Shair Naveed Ali , Tariq Abdullah , Shakeel Muhammad , Kashif Muhammad , Ahmad Ejaz , Abubakar Muhammad
Published: October 2020

Background: Metacarpal fractures are considered a frequent orthopedic injury seen commonly in emergency units. Objectibe of thestudy was to compare the outcome of internal fixation procedure of miniplate versus cross kirschner wires (k-wires) for displaced metacarpal metaphyseal fractures.Methods: In this experimental prospective study, 100 patients with metacarpal metaphyseal fracture were considered. internal fixation was done by miniplate in one group and cross k wires in other group. Outcomes in terms of radiological union were compared between both groups. The data was analyzed by using SPSS for windows (version 26.0).Results: Mean age of the patients was 38.70±13.61 years. Male to female ratio of the patients was 1.2:1. The radiological success was noted in 76 (76.0%) patients. Statistically insignificant difference was found between the study groups in terms of radiological success of the patients (p=0.6396). K wire fixation was recorded to have significantly shorter duration of operation time in comparison to miniplate fixation (p=0.0001).Conclusions: The internal fixation procedure of both miniplate and k wire are equally effective in terms of radiological success for management displaced metacarpal metaphysis fractures. As compared to miniplate fixation, K wire fixation was found to have significantly shorter duration of operation time.
Comparison of blood glucose in obese and non-obese students in a medical college
Authors: Chaudhari Aparna , Gujarathi Shreya , Bhatia Geeta
Published: October 2020

Background: Obesity has a negative effect on health, leading to reduced life expectancy and/or increased health problems. It is one of the underlying causes of non-communicable chronic diseases like type II diabetes, stroke etc. The study was aimed to compare blood glucose levels in obese and non-obese students in a medical college and to show that obese students are more prone to develop type II diabetes.Methods: A total 20 obese subjects with age and sex matched 20 non-obese subjects were chosen. Their venous blood samples were collected after 12 hours of fasting and analysed for fasting blood sugar (FBS) and haemoglobin A1c (HbA1c).Result: Results of the study showed that obese students have significant (p<0.001) high blood glucose and HbA1c levels as compared to non-obese students.Conclusion: The obese students are prone to develop type II diabetes due to changes in body metabolism as a result of change in fat distribution.
Diagnostic utility of fine needle aspiration cytology in the evaluation of neoplastic cutaneous nodular lesions: experience from tertiary care institute
Authors: Soni Sarita , Mardi Kavita
Published: October 2020

Background: Cutaneous nodules can result from neoplastic and non-neoplastic causes. The present study conducted with the aim to find out sensitivity, specificity and diagnostic accuracy of cytology in neoplastic cutaneous nodules.Methods: This prospective study was conducted for a period of one year from August 2017 to August 2018. Nodular skin lesions diagnosed clinically as neoplastic were assessed by Fine needle aspiration cytology (FNAC) and correlated with histopathology. The sensitivity, specificity and accuracy of FNAC were determined using histopathology as a gold standard.Results: 82 cases with nodular skin lesions were subjected to cytological examination and biopsy. Aspiration was inadequate in 03 cases. For diagnosing neoplastic lesions, FNAC had a sensitivity of 98.7%, specificity of 94.6% and diagnostic accuracy of 97.4%.Conclusion: FNAC is safe, rapid, cost effective, highly sensitive and specific for the diagnosis of neoplastic nodular skin lesions with high diagnostic accuracy.
The role of peritumoural brain edema in ascertaining the high risk meningiomas
Authors: Butta Shristi , Gupta Manoj Kumar , V. Sandeep B. , Pal Mallika , Saha Suniti Kumar
Published: October 2020

Background: Meningiomas are benign tumours which possess a potential to recur. Peritumoural brain edema (PTBE) has been associated with several complications and future recurrence. This study aims to establish the relation of PTBE in different histopathological grades and subtypes of meningiomas and in addition determines the significance of PTBE in ascertaining tumour recurrence.  Methods: Complete surgical resection samples from 50 meningioma patients were obtained from the neurosurgical department and histopathologically processed. CT (computerised tomography) scans were used for ascertaining the tumour site and PTBE. Patients were followed up yearly for 4years. Recurrent cases were surgically resected and histologically typed.Results: Meningiomas were more common in the females (70%) than males (30%). PTBE was found in 56% of the cases. 62% were <50 years of age. No significant association was found between gender or age and PTBE. Cerebral convexity was the most common site (56%). 48.8% of grade I meningiomas (p<0.05) and 100% of grade II and grade III meningiomas showed PTBE. Yearly follow up for 4 years showed 10 cases to recur. 90% of these had evidence of PTBE on their pre-operative CT scans. These results were statistically significant (Z=11.31, p<0.001).  Conclusions: Meningiomas are mostly benign entities. However, some histological subtypes possess a potential to recur and invade. It has been found that cases showing radiological evidence of PTBE are at a high risk. Hence, follow up of such cases is essential to improve patient survival.
Impact of clinical pharmacist intervention in chronic obstructive pulmonary disease management
Authors: Moses Jackin R. , E. M. Neena Priyamalar , Ravi Shilpa , Balakrishnan Raveena Pachal , Ravichandran Rajganesh , Selvaraj Lavanya
Published: October 2020

Background: Chronic obstructive pulmonary disease (COPD) is a common, preventable, and treatable disease characterized by persistent respiratory symptoms and airflow limitation. In 2016, COPD is the third leading cause of death globally and is projected to increase by more than 30% in the next 10 years. The main threat to the prognosis lies in the lack of disease knowledge, poor medication adherence, and health-related quality of life. Clinical Pharmacist is a key profession to improve patient care in COPD management and literature in this regard is very limited. It is important to establish the impact of a clinical pharmacist as an indicator to improve patient outcomes. Hence the aim of this was to assess the Impact of Clinical Pharmacist Intervention in COPD management in a Tertiary care hospital.Methods: The study was conducted as a prospective and interventional. A total of 53 patients were recruited in the study. The study participants were educated by a clinical pharmacist on disease state, medications, and breathing techniques. Patients have a regular follow-up after 6 months during a scheduled visit. Questionnaires were administered to all patients at baseline and 6 months to assess their medication adherence, disease-related knowledge, and HRQoL.Results: Out of 53 study participants, the majority of COPD patients 23 (46.94%) were found to be in the elderly age group of 60-69 years. The majority of the patients were in a severe category of 48.98%. Thereafter intervention assessment of COPD related knowledge showed a 33.45% improvement. The majority of study participants showed high adherence after the intervention of 46.94 %. All aspects of the HRQoL questionnaire showed improvement after intervention. The results were statistically significant.  Conclusions: The Pharmacist-led COPD Intervention showed improvement in the three main aspects of the study. It confirms the need for healthcare systems to recognize the role of clinical pharmacists in both pharmacological therapy and non-pharmacological supportive care.
Barriers in health seeking behaviour among tribal pregnant women in a hilly tribal area of Kashmir: a qualitative study
Authors: Zahoor Nazia , Bashir Khalid , Kausar Zeenat , Ain Syed Najmul
Published: October 2020

Background: Maternal health is of paramount concern all over the world and has been a priority in India as well with the maternal health programs evolving over the time, addressing new arenas and overcoming challenges to reach the Maternal mortality ratio (MMR) target with quality. (1) In tribal areas various barriers in health seeking behavior are impediments towards maternal health.Methods: An explorative qualitative study was undertaken in a tribal area of Srinagar, Kashmir, which is a rural field practice area of the Department of Community Medicine Government Medical College, Srinagar. Focus group discussion (FGD) and in-depth interviews were conducted. Thematic analysis was used to analyze the FGD and in-depth interview data.Results: The data analysis generated following five themes: Theme 1: Perceptions and practices among tribal pregnant women in Faqir Gujree area. Theme 2: Socio-cultural influences, attitude and beliefs. Theme 3: Health system related barriers. Theme 4: Community related barriers. Theme 5: Cultural barriers among the pregnant women.Conclusions: There is a need of continuous behaviour change communication (BCC) with pregnant women and community members. In addition to addressing these issues, the health system related issues need to be addressed and improved in order to improve access to health care facilities by these pregnant women. Thus, a comprehensive tribal-sensitive health care system incorporating the above cultural issues is required to improve the health care access among these vulnerable ANC patients.
Clinical, haematological, and biochemical profile of HIV patient co-infected with hepatitis B and /or C
Authors: Suman Sonu
Published: October 2020

Background: Human immunodeficiency virus (HIV) positive population is at higher risk of getting infected with hepatitis B virus (HBV) or hepatitis C virus (HCV) or both. Co-infection with HBV/HCV may possibly complicate the clinical course of HIV in infected patients. Aim and objectives of the study were intended to determine clinical, haematological and biochemical profile of HIV patients co infected with hepatitis B and/or C.Methods: All consecutive patients presented with HIV infection who were coinfected with either Hepatitis B, C or both presenting to immunodeficiency or Gastroenterology OPD Base Hospital Delhi, were included in the study. It was a prospective, observational study.Results: HIV impacts the progression of HCV and increases the likelihood of subsequent liver damage as it is apparent in study by significant raised liver enzymes and hypoalbuminemia in HIV-HCV co infection compare to HIV–HBV.  Conclusions: These coinfections are more common in younger and lesser educated people. Biochemical parameters could serve as pointers for early detection of liver disease as result of hepatitis co infections in HIV patients. Prompt diagnosis of HCV and HBV co-infection in HIV patients has both individual and public health benefits.
Bacteriological profile and antibiotic sensitivity pattern of blood culture isolates from tertiary care level teaching hospital of Vijayapura district
Authors: Totad Raveendra D. , Ganganahalli Praveen
Published: October 2020

Background: Blood stream infections, ranging from self-limiting bacteraemia to life threatening septicaemia, remain one of the most important cause of morbidity and mortality worldwide. Sepsis is a systemic illness caused by microbial invasion of normally sterile parts of the body. Bacteria isolated from blood stream infections are numerous and diseases related to them need urgent treatment with antimicrobial drugs. Aim was to study the bacteriological profile of positive blood cultures and to find their antibiotic sensitivity patternMethods: A retrospective analysis of positive blood culture reports was done in the microbiology laboratory of present tertiary care teaching hospital (Al-Ameen Medical College, Vijayapura) for the consecutive year 2017, 2018 and 2019.Results: Total 21% samples found positive on blood culture shows Staphylococcus aureus as most common organism followed by Klebseilla and E.Coli antibiotic sensitivity pattern shows maximum sensitive to gentamicin (92%) and vancomycin (92%) as maximum resistance to penicillin (55%). Gram-positive organisms show more resistance to penicillin and least to vancomycin whereas gram-negative organisms show more resistance to cephalosporin group of antibiotics and least resistance to ciprofloxacin/gentamicin.Conclusions: Resistance pattern of organisms to some commonly used drugs has given warning signal to clinicians to search for alternate effective antibiotics and hospital authorities to formulate antibiotic policy for rationale use of antibiotics to prevent drug resistance.
A study of prescription auditing in inpatient general medicine in tertiary care government hospital
Authors: Kumar Yogi Eshwar P. , Rajasekhar Giri D.
Published: October 2020

Background: Irrational prescribing is a global problem. Prescription auditing can help to find the medication errors caused by the Inappropriate prescribing. It is the systematic tool for analysing the quality of medical care, including the procedures used for diagnosis and treatment.Methods: An observational, non-interventional study carried in general medicine department. A list of 10 questions were prepared to assess the appropriateness of prescribing patterns.Results: A total of 110 prescriptions were collected and audited. Out of 110 prescriptions 6 (5%) prescriptions have therapeutic duplications and 21 (19%) classes of drugs in the prescription have interactions with each other. Found 8 (7%) drug food interactions. Found 100% appropriateness of drug ordered based on patient diagnosis, dosage of drug, frequency of drug, route of administration, drug intended to have a drug order in the medication chart, medication orders are clear, legible, dated, timed, names and signed, medication chart do not have any unapproved abbreviationsConclusion: This study shows most of the prescribers need to check for drug duplication, drug-drug interactions and drug-food interactions before prescribing the medicines.
Impact of COVID-19 pandemic on mental health of general population in Kashmir Valley, India
Authors: Wani Feroz Ahmad , Jan Rifat , Ahmad Mudasir
Published: October 2020

Background: The high morbidity and morbidity associated with epidemics and disasters and economic losses thereof is a high psychosocial risk. Estimation of the burden of mental health issues and recognition of various risk groups will lead to better allocation of resources to prevent the increased burden of psychiatric morbidity during the epidemic.Methods: This was an online survey conducted during COVID-19 pandemic based on self reporting DASS 21 scale.Results: Among the participants 49.5% had depression, 34.8% had anxiety and 22.3% had stress in varying severity from mild to extremely severe forms. Female gender, less age, high level of education and unemployment were the risk factors for increased psychiatric morbidity.Conclusions: There is a dire need to recognize the mental health threat due to COCID-19 pandemic and implement the steps to protect the vulnerable population from it.
Utility of telemedicine in COVID-19 pandemic: our experience at a tertiary cancer center in North East India
Authors: Das Ashok Kumar , Boro Sumanjit S. , Das Anupam , Medhi Partha Pratim , Kakati Kaberi , Baishya Nizara , Bhattacharyya Mouchumee , Kataki Amal Chandra
Published: October 2020

Background: Telemedicine is a very useful tool of communication between the doctor and the patient. The aim of this study was to find out the utility of telemedicine during the lockdown period of COVID-19 pandemic in North East India.Methods: It is a cross sectional study among the cancer patients at our center on follow up or ongoing treatment and analysis of all the data acquired from telephonic conversation with our patients from 30th March, 2020 to 3rd May, 2020. Have contacted 4181 patients during this period over phone. All phone calls were done by respective department doctors.Results: From the demographic data, we get that 35.4% of patients were at good physical condition, 3.5% with poor general condition, 11.6% patients having ongoing treatment in our institute, 21.1% patients expired, 0.9% patients have nonmalignant diagnosis, 1.4% patients left the institute due to various reasons. Analyzed this data with brain storming sessions amongst the COVID-19 task force doctors and tried to find out solutions of each problem.Conclusions: Telemedicine cannot replace conventional method of in person treatment, but it proved to be a useful tool during the COVID-19 pandemic for patient follow up and treatment of cancer patients.
Knowledge, attitude, and practice study among healthcare workers, during COVID-19 pandemic in an aspiring district of Uttar Pradesh
Authors: Yadav Richa , Pandey Omprakash , Shukla Rajendra K. , Yadav Geeta
Published: October 2020

Background: COVID-19 (coronavirus disease 2019) declared pandemic by WHO on 30th January 2020. Till date there is no antiviral treatment or vaccine has been developed for COVID-19. Primary preventive measures include regular hand washing, social distancing and respiratory etiquettes are only proven methods till date.Methods: A type of questionnaire based cross sectional study was conducted among the healthcare workers (HCWs) of Maharaja Suheldev Autonomous State Medical College, Bahraich.Results: In this predominantly uneducated and socially backward area, majority of participants had knowledge about COVID-19 precautionary measures and most of them are confident of winning over the disease; 77.5% were confident of successfully controlling the disease, yet maximum healthcare workers took seriously the precautionary measures.Conclusions: Good COVID-19 knowledge is associated with optimistic attitudes and appropriate practices towards COVID-19, suggesting that health education programs aimed at improving COVID-19 knowledge are helpful for encouraging an optimistic attitude and maintaining safe practices.
Amyand’s hernia: a case report and review of the literature
Authors: Mendez Andriana Teresa Cruz , Fuentes Huber Diaz
Published: October 2020

Amyand´s hernia represents an unusual cause of hernia. It has an incidence of 1% of all inguinal hernias. The clinical presentation depends on the involvement of the hernial sac and the inflammatory state of the appendix. Due to the low frequency of presentation of Amyand's hernia, there is no protocolized treatment. Authors present the case of a 70-year-old patient with the presence of surgically resolved Amyand´s hernia.
Osgood Schlatter disease with epiphyseal osteomyelitis, similar and simultaneous: a case report
Authors: Simatupang Mario Daniel , Pramana I. Gusti Ngurah Alit Oka , Kawiyana I. Ketut Siki
Published: October 2020

Osgood-Schlatter disease (OSD) is a condition in which inflammatory reaction happened the patellar tendon insertion on the tibial tuberosity, whereas osteomyelitis is a bone infection which can occur in any bone exposed to bacteria. Both Osgood-Schlatter and osteomyelitis share the same clinical manifestation such as pain and swelling. We present a case of OSD accompanied with epiphyseal osteomyelitis on the left knee. A 12 years old male coming with gradually increasing pain and swelling on the anterior aspect of the left knee. There was swelling and quadricep femoris muscle atrophy, tenderness and bony prominence on the left tibial tuberosity. Knee X-rays confirmed OSD on the left knee, while knee Magnetic resonance imaging (MRI) showed marrow changes on the left tibia epiphysis and patella, as well as increased intensity of patellar ligament, patellar fat pad, with surrounding edema. He was given broad spectrum antibiotic, non-steroid anti-inflammatory drugs (NSAIDs), and physiotherapy to improve the quadriceps, hamstring, and gastrocnemius muscle. Patient’s Visual analogue scale (VAS) score and knee range of motion improved after several weeks. It was believed that repetitive trauma and inflammation which cause OSD, could also cause epiphyseal osteomyelitis due to its nidus site of infection. The colonization can be promoted by prior inconsequential trauma that causes metaphyseal hematoma, which could explain the appearance of both Osgood-Schlatter and epiphyseal osteomyelitis in this presented case. Thorough examination is needed in diagnosing patient with OSD accompanied with osteomyelitis.
Meibomian gland carcinoma of the lower eyelid: a rare case
Authors: Behera Madhusmita , Dhar Subhra
Published: October 2020

Meibomian gland carcinoma (MGC) is a rare but highly malignant slow growing tumor of the eyelid. MGC usually arises from meibomian gland located in the tarsal plate although rarely it can originates in the gland of zeis, sebaceous gland of caruncle, and periocular skin. MGC is more common in cases of elderly females. Upper eyelid is more commonly affected where the meibomian glands are more. Early diagnosis is very important but in most of the cases the diagnosis is delayed as it mimics chalazion or blepharo-conjunctivitis. This leads to inappropriate treatment and increase in morbidity and/or mortality. Special feature of this carcinoma is that it spread intra-epithelial and causes skipped lesions.