bluuebunny/crossref_metadata_2025 huggingface dataset:
A rare case of uterine myxoid leiomyosarcoma
Authors: Dulewad Shirish S. , Bhat Varsha Narayana , Koli Prachi V.
Published: November 2021

Myxoid leiomyosarcoma is an uncommon tumour and in most cases, it is recognised only after the surgery. A 65 years old female patient got admitted at our hospital with history of rapidly growing abdominal mass with pain in abdomen since last 3 months. During abdominal examination 32 weeks huge mass was noted and on prevaginal examination mass couldn’t be separated from uterus. LDH was elevated, USG suggestive of vascular tumour of with neoplastic etiology of ovarain origin. CECT was done and findings suggestive of uterine adenocarcinoma with peritoneal carcinomatosis. Exploratory laparotomy with total abdominal hysterectomy with bilateral salphingoopherectomy with omentectomy with debulking surgery was performed. HPR reports suggestive of myxoid leiomyosarcoma with mitotic index of 10 with tumour cell necrosis suggestive of poor prognosis. Post-operative period patient had developed sudden myocardial infarction and shifted to ICU where she died due to ventricular fibrillation.
Pediatric otolaryngology: influence of ambulatorial surgical procedures on postoperative pain
Authors: De Sousa Francisco Alves , Casanova Maria Jorge , Pinto Ana Nóbrega , Coutinho Miguel Bebiano , E Sousa Cecília Almeida
Published: November 2021

Background: In Pediatric Otolaryngology surgery associating procedures is a common finding. Each surgical act elicits different degrees of pain, with implications on recovery. The aim of this work was to evaluate the severity of children's pain after outpatient surgery, considering combinations of common Otolaryngologic procedures.

Methods: Data from children submitted to surgery in the Pediatric ambulatory Unit of Centro Hospitalar Universitário do Porto was reviewed. Children with history of previous interventions or any associated comorbidity were excluded. Postoperative pain at hospital discharge using the Universal Pain assessment tool (0-10) was assessed and compared concerning the various procedures.

Results: A total of 954 operated children were included. Adenoidectomy was performed in 783 patients (82.1%), tonsillectomy in 714 (74.8%), myringotomy in 432 (45.3%) and radiofrequency inferior turbinoplasty in 98 (10.3%). Patients undergoing tonsillectomy showed significantly higher pain scores (1.48±1.02 in tonsillectomy versus 0.89±0.75 in no tonsillectomy, p=0.001). Importantly, adenoid curettage, radiofrequency inferior turbinoplasty and myringotomy did not associate with increased post-operative pain (p>0.05). Number of procedures within the same intervention and surgical indication (recurrent infections, obstructive sleep disordered breathing and otitis media with effusion) did not influence post-operative pain scores (p>0.05).

Conclusions: Performing total tonsillectomy was the most important influencer of post-operative pain in Pediatric ambulatory surgery in this cohort. Performing concomitant adenoidectomy, turbinoplasty or miringotomy do not seem to influence post-operative pain significantly. A higher number of procedures within the same intervention does not associate directly with postoperative pain scores.
Study of ossicular chain defects in patients with chronic otitis media
Authors: Soni Smita , A. R. Anjali , J. K. Yashveer
Published: November 2021

Background: Chronic otitis media (COM) is a long-standing disease of middle ear cleft and mastoid cavity having a permanent perforation in the tympanic membrane with or without discharge. It’s a worldwide health problem and it is still predominant in the modern antibiotic era. Aim was to determine the prevalence and types of ossicular chain defect in mucosal and squamosal type of COM. Also, to evaluate the hearing loss in relation to ossicular chain defect.

Methods: The study was prospective observational study conducted in Bhopal over the duration of one year (January 2019 to June 2020). Patient aged 11-70 years reporting with COM were included in the study. Details regarding sociodemographic profile and extensive examination were recorded. Data was entered into MS excel 2007, analysis was done.

Results: It was more prevalent in the age groups of 21-30years (39%) with female (53%) preponderance. Right sided ear was commonly involved (58%). Majority of the patients had tubo-tympanic disease (62%) whereas 38% had attico-antral disease. Ossicular chain was found intact in 33% cases. Average hearing loss was maximum (67.6 dBHL) when all ossicles are eroded. Hearing loss was minimum (33.6 dBHL) with isolated handle of malleus involvement.

Conclusions: COM is one of the commonest causes of preventable hearing impairment in our society, hence early diagnosis and timely intervention is needed. Awareness among patients and doctors regarding the need for better ear hygiene is necessary.
Incidence of Meniere disease in a tertiary healthcare center in Mumbai
Authors: Penwal Suman S. , Valame Deepa A.
Published: November 2021

Background: The disorder of the inner ear related to abnormally increased levels of endolymph in the membranous labyrinth is called Meniere’s disease.  It is well studied that the prevalence of Meniere’s disease varies widely across regions.  It was found to be 13% to 42% around the world in various places.  It is important to know the incidence in India to know the population suffering and to plan better treatment strategies to cater to rehabilitation strategies. Hence, the current study was planned to estimate a load of Meniere’s disease in a tertiary care hospital in Mumbai.

Methods: A retrospective analysis of the case reports was undertaken.  As per American academy of otolaryngology-head and neck surgery (AAO-HNS, 2020), the patients were separated as definite and probable Meniere’s disease.

Results: The descriptive analysis revealed that 6 in 1000 patients reporting for hearing evaluation in a tertiary care hospital are suffering from Meniere’s disease. There was a female preponderance found in the patients with a gender ratio of 1.85:1.

Conclusions: The incidence of Meniere’s disease in a tertiary care hospital in Mumbai was found to be 0.61% of all the patients tested for hearing impairment.
Ulcerative lesion over tongue: a diagnostic dilemma
Authors: Ansari Ashfaque , Manjusha Bavisetty L. V.
Published: November 2021

Tuberculosis even today remains as the most common infectious disease affecting lungs in India despite having advanced diagnostic testing and a national programme to eradicate this disease. It may present with various clinical appearances, of them tongue tuberculosis is rare and it mimics malignant lingual neoplasms on clinical examination which was rarely described in the literature. In this article we are presenting a 69-year-old patient with tuberculosis of tongue presented as a painful ulcer, so far very few cases reported
Case series of scar endometriosis- post caeserean section: A diagnostic pitfall
Authors: Singh Shilpi , Dharwadkar Mahfrid
Published: November 2021

The presence and growth of ectopic functional endometrial tissue outside the uterus is called endometriosis among which scar endometriosis is rare and difficult to diagnose. It occurs as a result of obstetrical and gynecological surgeries and can be confused with other surgical conditions.

We reviewed the case records of patients with the diagnosis of scar endometriosis seen in our hospital from 2015 to 2018.

We found six patients of scar endometriosis. The median age of the patients was 28.5 years (range 20-31 years) and median interval from symptoms to treatment was 4 years (range 2-6 years). Four patients had first presented to either the surgery or dermatology physicians. The most common complain being cyclical pain and swelling at local site. Patients underwent wide excision of the mass with no recurrence of symptoms at a follow up ranging from 9 months to 12 years.

Confirmation of the diagnosis is histopathology with wide surgical excision being the treatment of choice. We have discussed the pathogenesis, diagnosis and treatment of this condition. Imaging techniques and FNAC are indicated towards better diagnostic approach and avoid confusion with other conditions. Medical treatment is helpful in selected cases only. After studying and presenting this paper we would like to highlight on such a rare condition and prevent its misdiagnosis.
A randomized prospective comparative study to evaluate the efficacy of prostaglandin E2 (Dinoprostone) controlled release vaginal insert versus sublingual prostaglandin E1(Misoprostol) in induction of labor in term gestation
Authors: Sahu Rakhee , Janjewal Kirti
Published: November 2021

In modern obstetrics, one of the common challenges is induction of labour (IOL). WHO Global Survey reported that IOL accounted for 9.6% of all deliveries.

Prostaglandins have evolved and frequently used pharmacologic agents for IOL, owing to their dual action of cervical ripening and uterine contraction inducing effect.

: 1. To compare the efficacy and induction to delivery interval (IDI) of PGE2 vaginal insert and Sublingual PGE1 in induction of labor in term pregnant women; 2. To study the maternal and fetal outcome in both groups.

: This a randomized, prospective, comparative study of 100 term pregnant women for induction of labour. Group 1-(50 women) PGE2-10mg vaginal insert and group 2-(50 women) PE1 Sublingual tablets – maximum 200 mcg in 24 hrs, at Dr LH Hiranandani Hospital, Mumbai, India.

: In my study the mean induction to delivery interval in Dinoprostone group was 17.47 hours and 23.44 hours in Misoprostol group. So the mean IDI was shorter in Dinoprostone insert group than Misoprostol group by about 6 hours. There was no significant difference noted in terms of overall incidence of caesarean deliveries among the groups.

Our study concluded that Dinoprostone 10mg vaginal insert was more efficacious than sublingual Misoprostol in reducing induction to delivery interval without maternal and fetal complications.

Our study suggests that the Dinoprostone vaginal insert can be used as both inducing as well as augmentating agent in labour. Dinoprostone vaginal insert maybe more effective in reducing the incidence of caesarean sections.
Correlation of absolute eosinophil count, nasal smear eosinophilia and serum IgE levels in allergic rhinitis
Authors: Gowthami M R Shruthi
Published: November 2021

Allergic rhinitis (AR) is one of the most common disease in India. The association between eosinophils and allergic diseases has been known since many years.

To correlate Nasal smear eosinophilia (NSE), blood absolute eosinophil count (AEC) and total serum IgE levels with severity of the clinical score in patients with allergic rhinitis.

This is one-year prospective study in patients (n=60) presented with allergic rhinitis to our institute. After taking consent, all the study participants were subjected for blood AEC, IgE levels and nasal smears for eosinophils.

Among the samples, 81.7% were males. The mean age of patients was 35.2 years. AEC > 440 cells/cu.mm was seen in 46.6%, NSE>10% in 81.6% and total serum IgE was elevated > 100 IU/ml in 95.0%. There was a good correlation of NSE and serum IgE with the severity of disease. There was no correlation of blood AEC with the severity of clinical score. Data was analysed using SPSS software.rn

NSE and IgE both correlated well with severity of the disease. Nasal smear cytology is a simple procedure having good correlation with severity of clinical score should be used routinely. Testing for serum IgE levels will increase the accuracy with a better diagnostic utility.
Comparison of trifocal toric and bifocal toric intraocular lens implantation in patients with cataract and high corneal astigmatism
Authors:   Ophthalmology Clinic, Antalya Training and Research Hospital, Antalya 07100, Turkey, Gencer Merve Bozkurt , Yasar Erdogan ,   Ophthalmology Department, Aksaray University Medicine Faculty, Aksaray 68100, Turkey, Onal Ozkan ,   Ophthalmology Clinic, Ozalp State Hospital, Van 65800, Turkey
Published: November 2021

AIM: To investigate and compare the quality of life, satisfaction, contrast sensitivity, glare, depth perception, and intraocular lens (IOL) rotation in patients who underwent trifocal toric and bifocal toric IOLs.
METHODS: A total of 80 eyes of 40 patients were included in this prospective study. Twenty patients in each group were implanted with trifocal toric and bifocal toric IOL, respectively. Preoperative and postoperative 6-month measurements were recorded for both patient groups. Comprehensive anterior and posterior segment examinations, distance-intermediate-near visual acuity values and the visual function scale questionnaire results were evaluated at these examinations. Patient satisfaction, contrast sensitivity, glare, intermediate-near and distance stereopsis and IOL rotation were also evaluated.
RESULTS: No significant difference was found between the groups in terms of distance and near visual acuities (P=0.269, P=0.451). Intermediate visual acuity was significantly increased in the trifocal toric group (P<0.001). The visual function scale results were increased after surgery in both groups (P=0.001 and P<0.001), with no difference determined between them (P=0.158 and P=0.691). The number of patients wearing glasses was low in both groups and there was no significant difference between the groups (P>0.05). The overall satisfaction in the trifocal toric group was significantly higher than in the bifocal toric group (P=0.03). The highest sensitivity was observed at 6 cpd spatial frequency in all patients under photopic conditions (1.80±0.24 logU, 1.74±0.20 logU). Distance-intermediate-near binocular depth perception results in both groups were higher in the trifocal toric group (P=0.02, 0.048, 0.003, respectively). Although there was no significant difference for 3 meters stereopsis, the trifocal toric group had higher depth perception (P=0.577). Mean rotation was 5.76°±3.93° in the trifocal toric group and 12°±7.1° in the bifocal toric group.
CONCLUSION: Better results in the middle distance are obtained in the trifocal toric group and less IOL rotation due to digital system-coordinated surgery. Moreover, the overall satisfaction in the trifocal toric group is significantly higher than in the bifocal toric group.
Establishment of a prediction tool for ocular trauma patients with machine learning algorithm
Authors:   Department of Ophthalmology, Pusan National University Hospital, Busan 49241, Republic of Korea; Biomedical Research Institute of Pusan National University Hospital, Busan 49241, Republic of Korea, Choi Seungkwon , Park Sungwho ,   Department of Ophthalmology, Pusan National University Hospital, Busan 49241, Republic of Korea; Biomedical Research Institute of Pusan National University Hospital, Busan 49241, Republic of Korea, Byon Iksoo ,   Department of Ophthalmology, Pusan National University Hospital, Busan 49241, Republic of Korea; Biomedical Research Institute of Pusan National University Hospital, Busan 49241, Republic of Korea, Choi Hee-Young ,   Department of Ophthalmology, Pusan National University Hospital, Busan 49241, Republic of Korea; Biomedical Research Institute of Pusan National University Hospital, Busan 49241, Republic of Korea; Department of Ophthalmology, School of Medicine, Pusan National University, Busan 49241, Republic of Korea
Published: November 2021

AIM: To predict final visual acuity and analyze significant factors influencing open globe injury prognosis.
METHODS: Prediction models were built using a supervised classification algorithm from Microsoft Azure Machine Learning Studio. The best algorithm was selected to analyze the predicted final visual acuity. We retrospectively reviewed the data of 171 patients with open globe injury who visited the Pusan National University Hospital between January 2010 and July 2020. We then applied cross-validation, the permutation feature importance method, and the synthetic minority over-sampling technique to enhance tool performance.
RESULTS: The two-class boosted decision tree model showed the best predictive performance. The accuracy, precision, recall, F1 score, and area under the receiver operating characteristic curve were 0.925, 0.962, 0.833, 0.893, and 0.971, respectively. To increase the efficiency and efficacy of the prognostic tool, the top 14 features were finally selected using the permutation feature importance method: (listed in the order of importance) retinal detachment, location of laceration, initial visual acuity, iris damage, surgeon, past history, size of the scleral laceration, vitreous hemorrhage, trauma characteristics, age, corneal injury, primary diagnosis, wound location, and lid laceration.
CONCLUSION: Here we devise a highly accurate model to predict the final visual acuity of patients with open globe injury. This tool is useful and easily accessible to doctors and patients, reducing the socioeconomic burden. With further multicenter verification using larger datasets and external validation, we expect this model to become useful worldwide.
In depth understanding of retinitis pigmentosa pathogenesis through optical coherence tomography angiography analysis: a narrative review
Authors:   Department of Ophthalmology, Ophthalmology Hospital of China Academy of Traditional Chinese Medicine, Beijing 100040, China, Lu Bing-Wen , Wu Gai-Ping ,   Department of Ophthalmology, Ophthalmology Hospital of China Academy of Traditional Chinese Medicine, Beijing 100040, China, Xie Li-Ke ,   Department of Ophthalmology, Ophthalmology Hospital of China Academy of Traditional Chinese Medicine, Beijing 100040, China
Published: November 2021

Retinitis pigmentosa (RP) is the most recognized inherited retinal disorder involving progressive photoreceptors degeneration which eventually causes blindness. However, the pathogenesis of RP is still unclear, making it difficult to establish satisfying treatments. Evidence have been found to support the theory that vascular dysfunction is associated with the progression of RP. Optical coherence tomography angiography (OCTA) is a newly developed technology that enables visualization as well as quantitative assessment of retinal and choroidal vasculature non-invasively. Advances in OCTA have opened a window for in-depth understanding of RP pathogenesis. Here, we propose a hypothesis of RP pathogenesis based on the current OCTA findings in RP, which includes four stages and two important key factors, vascular dysfunction and microglia activation. Further, we discuss the future animal experiments needed and how advanced OCTA technology can help to further verity the hypothesis. The final goal is to explore potential treatment options with enhanced understanding of RP pathogenesis.
Foreign language as a means of educating a professional
Authors: Khramtcova A. B.
Published: November 2021

Rethinking the goals of vocational education, integrating into the international professional community, required rethinking of the academic disciplines role, which primarily affected the foreign language. Researchers note its importance for successful professional activity, for the development of special qualities. At the same time, the problem of educating professional responsibility, conditioned by the outlook of the individual, the conviction of the need to make professional decisions with an orientation towards their consequences for society and the country as a whole, has ceased to be a priority. The article focuses on the means of implementing the educational function of a foreign language in the unity of the content (context of the language) and methods of comparison with regional natural history, which activates creative thinking and affects the social position in the perception of the modern worldview, on the formation of a person's motivational-value attitude to his native culture. Comparative analysis of the native and foreign language culture allows a deeper understanding of the native culture and the formation of patriotic beliefs. The conclusions obtained in the course of understanding the educational function of a foreign language are based on the results of a comprehensive study conducted by graduate students of Samara University on the theory and methodology of vocational education, the purpose of which was to determine the effective personal characteristics of students in different areas of vocational training.
The Synthesis of Glycerol Carbonate from Glycerol and Dimethyl Carbonate in the Presence of Strongly Basic Anion-Exchange Styrene-Divinylbenzene Anionites Dowex
Authors: Shvydko A. V. , Prikhod’ko S. A. , Timofeeva M. N.
Published: November 2021

The synthesis of glycerol carbonate from glycerol and dimethyl carbonate in the presence of strongly basic styrene-divinylbenzene anionites Dowex 1×2, Dowex 1×4 and Dowex 1×8 in the –OH form with different cross-linking degree of polystyrene matrix (the divinylbenzene content of 2, 4 and 8 wt.%) at 90–105 °C and a dimethyl carbonate/glycerol molar ratio equal to 2 was studied. The yield of glycerol carbonate was shown to decrease with an increase in the cross-linking degree of the anion-exchange resin. The maximum conversion of glycerol (95 %) and selectivity to glycerol carbonate (45.5 %) were observed in the presence of Dowex 1×2 at 105 °C after 5 h of the reaction. Advantages of the studied systems were demonstrated in comparison with the anion-exchange and cationexchange resins proposed in the literature.
Catalytic Methods for the Production of Sugar Esters
Authors: Otache M. A. , Duru R. U. , Achugasim O. , Abayeh O. J.
Published: November 2021

Nowadays, Sugar esters (SEs) have become the focus of researchers due to their biocompatibility and extensive industrial applications as surfactants. This trend provides new methods and opportunities for the development of green synthetic chemistry. Taking the above into consideration, a critical review presented in this work emphasized the efficiency of catalyzing the synthesis of SEs with minimal hazardous by-products. These catalytic media have been employed with various impacts involving chemical, biological, and other catalytic materials. Chemical methods have been reported to show limitations in terms of preparation and bio-compatibility. To solve these shortcomings, therefore, other technologies have been adopted; ionic liquids (eutectic solvents), chemo-enzymatic systems and chemo-enzymatic systems on a catalytic surface. The use of chemo-enzymatic systems on catalytic surfaces has proved to be suitable in solving biocompatibility and stability problems and correspondingly increasing the yield of esters formed. Therefore, finding an improved catalytic surface, and the sustainable optimal reaction conditions for enzymes will be vital to improving sugar ester conversion. This study highlights the different catalytic advances employed in the esterification of SEs.
Reductive Catalytic Fractionation of Lignocellulosic Biomass: A New Promising Method of its Integrated Processing
Authors: Miroshnikova A. V. , Kazachenko A. S. , Kuznetsov B. N. , Taran O. P.
Published: November 2021

The review discusses the results of recent studies in the promising field of integrated processing of lignocellulosic biomass – the reductive catalytic fractionation (RCF). The effect of catalysts, cocatalysts, solvents, hydrogen sources and features of lignocellulosic feedstock on the selectivity of monomeric products formation from lignin is considered. RCF processes are performed mostly with the heterogeneous catalysts, which allow implementing the reductive depolymerization of lignin to obtain low-molecular compounds and preserve carbohydrate components of biomass. Among the studied catalysts based on platinum group metals and transition metals, the highest activity is observed for the catalysts containing Pd, Pt, Ru and Ni. Features of the metal also affect the composition of the resulting products. Thus, ruthenium catalysts make it possible to obtain 4-propylguaiacol as the main product, while Ni and Pd – 4-propanolguaiacol. Mo-containing catalysts, owing to their lower hydrogenating activity, can be used to obtain monolignols or their etherified derivatives with the preservation of carbohydrate components of lignocellulosic biomass. However, most efficient in RCF processes are the bifunctional catalysts, which have both the acidic and metallic active sites. Acidic sites promote the cleavage of the ether β-O-4 bonds, whereas metallic sites – the reduction of the formed intermediate compounds. An important aspect of choosing the appropriate catalysts for RCF process is the possibility of their repeated application. The use of a ferromagnetic catalyst or a catalyst basket allows separating the catalyst from the products.
Cognitive maps of discourses of British conservative and Australian liberal political manifestos
Authors: Zernetsky Pavlo , Kucherova Olena
Published: November 2021

The research endeavors to study and determine the influence of cognitive maps on production of political manifestos discourse. The research has been conducted in the framework of Sociocognitive Discourse Studies. The results show that discourse cognitive structure of British Conservative Party and Australian Liberal Party manifestos is characterized by different sets of cognitive maps on the level of communicative strategies and somewhat similar sets of cognitive schemas on the level of communicative tactics. Applying the method of interpropositional semantic analysis, the communicative strategy and communicative tactic of comparison was identified in Australian Liberal Party manifesto. Despite the close affinity between political discourses of the UK and Australia, there are significant differences in patterns of information organization in online manifestos of the ruling parties to engage the community and enhance persuasion.
Linguistic errors in terminology standarts (on the example of SSTU 3294-95 “Marketing. Terms and definitions of basic concepts”)
Authors: Lytvynska Svіtlana , Sibruk Anastasiia , Stetsyk Chrystyna
Published: November 2021

Background. The main aim of terminology standardization in different branches of knowledge is to standardize and approve unmistakable terms for any field of study, to improve the further development of the Ukrainian science. Achieving these tasks is impossible without exemplary in terms of the language design of regulations that regulate the use of industry terminology – national terminological standards. The high linguistic quality of these documents allows their effective use, so the linguistic examination of national terminological standards, their analysis in terms of compliance with the norms of language culture – is an urgent task of modern science.Purpose. To analyze cases of violation of lexical and grammatical norms of the modern Ukrainian language in the formulation of definitions. Suggest ways to replace identified non-normative words, expressions and sentences in the text of the standard.Methods. Linguistic description of linguistic facts, method of component analysis, comparative and statistical methods (to identify the number or nature of linguistic errors).Results. The standard contains errors related to the use of inappropriate or redundant words, tracing paper from the Russian language, violation of the laws of melodiousness of the modern Ukrainian literary language. In some cases, non-compliance with grammatical rules has been demonstrated.Discussion. Analysis of the text of SSTU 3294-95 “Marketing. Terms and definitions of basic concepts” in terms of compliance with language norms reveals violations related to the use of lexical units not peculiar to the Ukrainian language, the use of words in inappropriate meanings, without regard to their lexical compatibility or contrary to established tradition of word usage.
Harmonisation of higher education in Africa: 20 years after the Bologna Process
Authors: Adamu Abebaw Yirga
Published: November 2021

It has been 20 years since the Bologna Process has been realized, and the present paper examines efforts made to harmonise higher education in Africa. Similar to other continents, the higher education reform in Africa is inspired by the Bologna Process. This is clearly reflected in the African Union strategy for harmonisation of higher education and different reforms and harmonisation initiatives. The reforms in African higher education are directly and indirectly influenced by the European Union which is also the main financer and technical partner in the development and implementation of higher education harmonisation in Africa. There are different factors that affect the institutionalisation and sustainability of harmonisation initiatives in Africa. Some of the major factors include lack of strong and genuine cooperation among African HEIs, lack of nations’ political commitment to higher reforms, and lack of contextualisation in adopting reforms and strategies. Although the effort to harmonise African higher education is commendable, it is important to look for innovative strategies and reforms which are mainly based on the actual challenges that Africa is facing and the ultimate goal it envisions to achieve. Africa also needs to earnestly ‘conainise’ (continentalise, nationalise and institutionalise) reforms and harmonisation strategies adopted from elsewhere.
Received: 18 October 2020Accepted: 9 September 2021
A mixed methods contribution analysis of UK students’ unions’ internal communications response to addressing staff motivation during the Covid-19 pandemic
Authors: Kitching Matthew
Published: November 2021

This macro-level, mixed methods contribution analysis evaluates the influence of students’ unions internal communication response to the Covid-19 pandemic on staff motivation. Recognising the role individual interpretation and perception play in the receipt of such messages, this paper seeks to understand which motivating factors union managers sought to address through their communications, whether these efforts were recognised by staff and whether there is evidence they may have helped to alleviate employee concerns. The evaluation findings will be of interest to student union managers and professionals looking to enhance communications and improve employee motivation.

Received: 14 September 2021Accepted: 27 October 2021
The e-portfolio in higher education: The case of a line of teaching innovation and complex change management
Authors: Berbegal Vázquez Alfredo , Merino Orozco Abel , Arraiz Pérez Ana , Sabirón Sierra Fernando
Published: November 2021

This work proposes a line of innovation to implement possible uses for the e-portfolio in higher education. We present an initial framework for analysis with attention to three main arguments: the validity of the interest of the e-portfolio for higher education in light of the current challenges posed by the knowledge society; the relevance of complex change management within organisations such as universities; and the identification of critical elements in the relevant literature concerning experiences similar to the case analysed here. The milestones for the line of innovation include six projects and three teacher training courses. Once data had been gathered in the respective assessment phases for each milestone by means of document analysis techniques (e-portfolios, teaching materials, usage statistics), questionnaires, discussion groups, in-depth interviews, and self-assessments (responsible academics, teachers, and students), a global analysis of the whole line was conducted from a complex approach to the problems of teaching change and innovation. A technological, political and cultural reading of innovation reveals emerging problems to reconsider: the attainment of deep learning; the standardisation of academic tutoring; the formation of learning and practice communities; the reconceptualisation of the e-portfolio as a personal learning environment; and the transformation of the university institution as a learning organisation. The premature condition of higher education to deal with the change in the teaching paradigm and the urgency to revisit its innovation policies to overcome it stand out among the critical conclusions of this study.

Received: 27 April 2021Accepted: 27 October 2021
Geohistorical, didactic, and linguistic competencies learning through a bilingual (Spanish/English) fieldtrip project with teachers in training
Authors: Martínez-Hernández Carlos , Albaladejo-Albaladejo Sara
Published: November 2021

This research is predicated on the hypothesis that a fieldtrip project adhering to a CLIL (Content and Language Integrated Learning) philosophy can be effective in promoting learning of both social and linguistic competencies. The main objective was to evaluate the didactic efficacy of a bilingual urban itinerary with teachers in training (from bilingual and non-bilingual groups) to develop geohistorical, didactic and linguistic competencies. Procedural and consolidated learning was assessed, via a dossier of activities and a statistically validated pretest-posttest. High development values were obtained in procedural tasks (average = 8.8/10), as well as a high increase in consolidated acquisition (average = +24.5% students). The greatest growth was observed in language skills (+ 26.4%). The assessed knowledge after the itinerary was significantly higher than before, for all competencies. However, there was no statistically significant difference between students belonging to bilingual or monolingual groups. Students positively valued these results. It is concluded that a local didactic fieldtrip is an effective CLIL strategy to develop social and linguistic competencies, and yet it is rarely discussed in the scientific literature and curricula.

Received: 3 March 2021Accepted: 5 October 2021
Pregled sodobne ginekologije in porodništva pred epidemijo covida-19 leta 2020
Authors: Takač Iztok , Lukanović Adolf
Published: November 2021

Znanstvena monografija z naslovom Pregled sodobne ginekologije in porodništva pred epidemijo covida-19 leta 2020 obsega strokovne prispevke avtorjev s celotnega slovenskega področja in priznanih strokovnjakov iz tujine. Monografija je razdeljena na sedem poglavij. Prvo poglavje obsega 34 prispevkov s področja perinatologije, ki zajemajo najnovejša spoznanja prenatalne diagnostike, preventive v nosečnosti, obravnavo nekaterih kroničnih bolezni v nosečnosti in več prispevkov s področja carskih rezov ter morebitnih posledic le-teh. Drugo poglavje s področja splošne ginekologije in uroginekologije v 41 prispevkih prikazuje novosti operativnega zdravljenja različnih benignih stanj in bolezni ter vlogo laserskega zdravljenja. Dodana so tudi najnovejša slovenska priporočila na področju obravnave menopavze in nujne kontracepcije ter prispevki o obravnavi tako mladostnic kot žensk v pomenopavznem obdobju. Tretje poglavje obsega prispevke s področja reproduktivne medicine, kjer so v 24 prispevkih zajeta področja oploditve z biomedicinsko pomočjo, kirurško zdravljenje neplodnosti in kontracepcija. Četrto poglavje z naslovom Ginekološka onkologija prav tako obsega 23 prispevkov, ki prikazujejo predvsem nove, manj radikalne načine kirurškega zdravljenja, pa tudi nekaj novosti na področju diagnostike in sistemskega zdravljenja ginekoloških rakov in raka dojk. Peto poglavje vsebuje sest prispevkov s področja genetike v ginekologiji in porodništvu, ki je v sodobni obravnavi žensk nepogrešljiva predvsem v perinatologiji in onkologiji. Šesto poglavje z naslovom lnterdisciplinarne teme vsebuje deset prispevkov o etičnih in drugih dilemah, ki se porajajo hkrati z novimi in drugačnimi načini obravnave, ter zdravljenju žensk. V njem so specializanti predstavili prenovljen potek specializacije iz ginekologije in porodništva; v ta del je umeščena tudi fizioterapija ter pomen telesne dejavnosti. Sedmo poglavje vsebuje sest prispevkov s področja zdravstvene in babiske nege, pri c:emer gre za pomemben korak k aktivnemu sodelovanju zdravstvene nege na področju obravnave žensk v ginekologiji in porodništvu. Monografija obsega prispevke 273 avtorjev, ki so napisani na visoki strokovni ravni; vse so kritično pregledali člani uredniškega odbora in dva recenzenta. Vsi so mednarodno priznani strokovnjaki za svoja področja, kar daje publikaciji dodatno težo in kakovost. Bogata vsebina monografije bo zagotovo koristno branje za vse zdravnike in druge zdravstvene delavce, ki delajo na področju ginekologije in porodništva, pa tudi za širšo strokovno javnost.
Deadly Disease vs. Chronic Illness: Competing Understandings of HIV in the HIV Non-Disclosure Debate
Authors: Speakman Erica , Pawluch Dorothy
Published: November 2021

Over the past several decades, understandings of what it means to have contracted the human immunodeficiency virus (HIV) have shifted so that an infection once viewed as deadly and ultimately terminal is now largely regarded as chronic and manageable, at least in the West. Yet, the shift has not been complete. There are arenas of discourse where understandings of what health implications HIV carries with it are contested. One such space is the debate concerning the appropriate response to cases of HIV non-disclosure, that is, situations where individuals who are HIV-positive do not disclose their health status to intimate partners. This paper examines the competing constructions of HIV found within this debate, particularly as it has unfolded in Canada. Those who oppose the criminalization of non-disclosure tend to construct HIV as an infection that is chronic and manageable for those who have contracted it, not unlike diabetes. Those who support criminalization have mobilized a discourse that frames the infection as harmful and deadly. We use the case of the HIV non-disclosure debate to make the argument that representations of health conditions can become mired in larger social problems debates in ways that lead to contests over how to understand the fundamental nature of those conditions.
“You Are First a Chinese Citizen, Then A Consumer”: Presenting and Balancing Identities Online as Chinese International Tourists
Authors: Ma Fangheyue
Published: November 2021

This paper is based on the analysis of 261 video and word posts collected from four popular social media sites on which Chinese tourists shared their consumption-related experiences during and after the trip. It investigates Chinese international tourists’ diverse presentations of self to a broad audience online through explaining their shopping experiences and product reviews. Tourists are expected to balance multiple identities carefully when they project themselves online as consumers—on the one hand, they present themselves as global consumers and trendsetters who are strategic and savvy; while on the other hand, they still need to preserve and even emphasize their national identity as Chinese patriots. Providing the much-lacking qualitative insight, this study enhances our understanding of international tourists and their consumption behaviors, the construction and presentation of a digital self, and how globalization operates at the micro-level.
Wizerunek polityka w warunkach kryzysu. Willy Brandt w polskiej publicystyce doby PRL
Authors: Patecka-Frauenfelder Anna
Published: November 2021

Celem artykułu jest analiza dyskursu prowadzonego w prasie i publicystyce PRL (1956– 1989) na temat zachodnioniemieckiego polityka Willy’ego Brandta. W badaniu przyjęto hipotezę, iż pozytywny wizerunek kanclerza w polskim dyskursie wynikał z potrzeb legitymizacyjnych władzy, a szerzej w utwierdzeniu w przekonaniu o słuszności panującej ideologii socjalistycznej. W analizie przyjęto metodę jakościową i wykorzystano Krytyczną Analizę Dyskursu (KAD). Podstawą analizy były publikacje prasowe i publicystyczne reprezentujące dopuszczone przez władze środowiska światopoglądowe w ówczesnej Polsce (1956–1989). Decydującą rolę w kształtowaniu pozytywnego obrazu zachodnioniemieckiego polityka w polskiej prasie odegrał sam Brandt, doceniany na całym świecie za skuteczne wdrożenie Ostpolitik, natomiast po 1981 r. za demonstrowany przez niego stosunek do komunistycznej władzy i ruchów solidarnościowych. W sytuacjach kryzysowych i przełomowych sięgano po wypracowany po 1970 r. wizerunek Brandta jako uznanego polityka Zachodu celem podkreślenia słuszności prowadzonej polityki. Stworzony dyskurs miał za zadanie wykształcić poczucie, że porozumienia wdrożone za jego pośrednictwem są jedynym możliwym rozwiązaniem dla polsko-niemieckich relacji.
El cuidado de sí en Foucault: capitalismo, economía psíquica y subjetividad
Authors: Gómez Christian
Published: November 2021

El presente artículo parte de la reflexión en torno al concepto del cuidado de sí en Foucault, que estriba, en términos éticos, en la noción de trabajo sobre sí mismo. Dicha perspectiva ética representa una forma de resistencia y disrupción contra los modelos de articulación de sentido, cristalización del valor, disciplinamiento y disposiciones de acción, que se despliegan en un circuito de prácticas alienantes que confeccionan la subjetividad del individuo contemporáneo. Subjetividad para cuya confección se consideran esquemas de la economía psíquica, hegemónica y vigente, que a su vez sostienen los modos de producción de la actualidad. Propiedades psíquicas entre las que destacan síntomas que se mueven en la órbita clínica del narcisismo, el cual se encuentra enraizado como una de las caras fenoménicas del fetichismo. Asimismo, este último se encuentra en consonancia con la racionalidad técnica, propia de la modernidad, que se desplaza y construye en un paradigma que ostenta nociones y orientaciones de crecimiento y progreso ilimitado. Formaciones fantasiosas que se materializan en un entramado de explotación, producción y consumo fundado en términos de poder-saber. La ilusión de la omnipotencia técnica adquiere, entonces, aparente condición de posibilidad mediante la intrusión de diferentes tecnologías, saberes e instrumentos, que favorecen el andamiaje en el que se erigen las representaciones de explicación y significado que fundamentan la subjetividad vigente y válida.
Healthy Rice Bran Oil is Suitable Media for Frying Process
Authors: M Basuny Amany 
Published: November 2021

The changes occurring in low acidity rice bran oil and its blend with palm olein during repeated frying cycles at 180˚C±5˚C for 4 hours a day up to five days of potato chips were determined. The parameters assessed were: acidity, color, smoke point, peroxide value, polar content, polymer content, oxidative stability by Rancimat method, tocopherol content, oryzanol content and fatty acid composition of rice bran oil, palm olein and binary oil mixtures were evaluated. Results indicated that, rice bran oil better stability than the palm olein in deep frying of potato chips. In general, this finding provides useful information to food processors and consumers who stable and healthy for frying process.
Impact of Commonly Prescribed Antibiotics on Preterm Gut Microbiome in Necrotising Enterocolitis and Late Onset Sepsis
Authors: B Abdulkadir 
Published: November 2021

Background: Antibiotics are usually prescribed to preterm infants during their early days of life in neonatal intensive care units. The effects of this intervention on the developing gut microbiome are poorly understood but might have important consequences for health. We aimed to explore the routinely used antibiotics in a neonatal intensive care unit and to what extent this intervention alters the preterm gut microbiome. Methods: The three most commonly prescribed antibiotic combinations were analysed VCM (Vancomycin, Ceftazidine and Metronidazole), VC (Vancomycin and Ceftazidine) and AFG (Amoxicillin, Flucloxacillin, and Gentamicin). Sampling was performed at four time points: 2-3 days before course started (Pre), last day of administration (During), 1-2 days after antibiotic was given (After), and one week later than or as late as possible before next antibiotic course. In total, 141 stool samples were collected from 38 patients and bacterial profiling was performed by 16SrRNA gene sequencing (Miseq, Illumina) Results: Bacterial diversity increased significantly after the VC course was stopped (P=0.1). Diversity was reduced for all antibiotic treatment during their administration (P>0.05). Generally, VCM and VC were comparable with lower bacterial taxa when compared to AFG which recorded higher bacterial taxa. The result also showed that VC and VCM recovered but AFG does not. Conclusion: The three antibiotics courses differentially affected the preterm gut microbiome, causing reductions in the diversity. Further work is necessary to determine the contribution of these changes to health and how medical intervention can be tailored to achieve optimal outcomes for preterm infants.
The Key to Health and Happiness –Measurements show that not only is it Important What You Eat and Drink, it is Equally Important What You Think
Authors: Kuman Maria
Published: November 2021

The Russians patented “torsemeter” and measured the spinning of the human donut-shaped nonlinear electromagnetic field (NEMF). They found that positive emotions make the human donut spin faster clockwise, while negative emotions make it spin counterclockwise. Measurements with our patented sensitive energy meter showed that when people think about the happiest moments of their life, the energy of their NEMF increases and is better balanced, which means they are healthier. When people think about the saddest moments of their life, the energy of their NEMF drops down and the balance becomes worse because their genetically inherited weak organ, drops in energy maximum. This would be the organ to develop a chronic disease first under distress or negative thinking. According to nonlinear physics, vortices spin clockwise and suck energy in. Since positive emotions or thinking make the donut-shaped NEMF spin clockwise faster, the spinning clockwise vortex on top of the head obviously sucks energy in, which explains the measured increased energy on top of the head, the increased total energy, and the improved energy balance. Since negative emotions or thinking make the donut spin faster counterclockwise, the spinning counterclockwise anti-vortex on top of the head would release energy, which explains the decreased total energy at negative thinking. Thus, to be healthy, not only is it important what you eat and drink – it is equally important what you think.
Analysis of Patients’ Perceptions Living with Implantable Cardioverter Defibrillators on Decision-Making, Satisfaction, Quality, and End of Life: Is there a Difference Between Primary and Secondary Prevention?
Authors: Varghese Swaroop
Published: November 2021

Aims: The psychological impact of ICDs results in severe physical and psychosocial impairment. This study attempts to analyze patients’ perceptions on decision making, satisfaction, security and end of life (EOL) as well as explore the similarities and differences between primary and secondary prophylaxis groups. Methods and Results: ICD recipients were asked to complete a questionnaire during routine follow-up (FU) visits, their quality of life (QoL) was assessed with the Minnesota Living with Heart Failure Questionnaire (MLHFQ) and with the Hospital Anxiety and Depression Scale (HADS). Out of 423 patients (41%CRT-ICD), 349(83%) were recipients with primary prevention indication. The median age was 69 years. Seventy-one (17%) patients reported a shock during a mean FU of 64±44 months. While most patients (90%) felt that their decision was right, younger patients (<69 years) were doubtful. Though no major differences between the two groups were observed, those in secondary prevention group were more in favor of ICDs. With an overall moderate to poor quality of life and mild psychiatric symptoms (Mean QoL-score 29.4±20.3, mean HADS-Score 8.7±7.3), there were no significant differences between both groups. Although 361 (87.4%) patients felt secure and safe, those with shocks were significantly more insecure. Only a minority of patients (31%), mostly younger, considered ICD-deactivation during EOL with no notable difference between the groups. Conclusion: Most patients felt safer following ICD implantation judging their decision for ICD as right. Only a minority considered ICD-deactivation at end of life situations. There were no significant differences between primary and secondary prevention groups.