bluuebunny/crossref_metadata_2025 huggingface dataset:
L’engagement d’une ASS dans une intervention sociale d’intérêt collectif (ISIC)
Authors: Sanchez Joelle
Published: February 2021

Le parcours d’une ASS travaillant en psychiatrie. Afin de se décentrer quelque peu de ses attributions professionnelles habituelles et dans un souci de déchronicisation des pratiques, l’auteur nous raconte comment elle a pu partager ses compétences personnelles pour mettre en place, après s’être formée, des interventions sociales d’intérêt collectif, ateliers d’écriture puis groupe de création collective avec les patients, en complément des activités traditionnelles liées à sa fonction.
Travail social et Santé mentale en Pays de l’Adour
Authors: Godart Pierre
Published: February 2021

Les textes qui suivent reflètent les deux questions dont nous avons débattu : De quelles façons nos réalisations sur la longue durée ont-elles impacté la formation des travailleurs sociaux ? Comment la nécessité de la prise en compte du social a impacté le travail au quotidien des assistants de service social ? A la lecture des réponses à ces interrogations, il est possible de formuler quelques hypothèses.
Le service social hospitalier à la croisée des chemins
Authors: Baesa Géraldine , Manjon Agnès
Published: February 2021

Les auteures tentent de cerner au plus près les spécificités du travail de terrain des assistants de service social travaillant au sein d’une équipe de psychiatrie. Elles décrivent des attitudes et activités protéiformes adaptées à chaque moment au contexte de soin et à la trajectoire des patients au sein de celui-ci. Sont abordés le travail avec les patients, le travail en équipe, les liens avec les familles et les partenaires du réseau, l’accueil des ASS en formation.
L’urgence d’un hébergement ou l’hébergement d’urgence
Authors: Lecarpentier Aurélie
Published: February 2021

Historiquement, le Samu social œuvre pour venir en aide à ceux qui ne demandent plus rien. Depuis sa création en 1993, le nombre de personnes sans abri augmente et les moyens mis à disposition ne sont pas à la hauteur des besoins. Les politiques sociales en faveur du logement et de l’hébergement ne parviennent pas à endiguer le phénomène. Une vision à court terme induit des réactions et des réponses individuelles prises dans l’urgence, ne prenant pas assez en compte le contexte, ni les facteurs structurels.
À propos de ...
Authors: Haliday Héloïse
Published: February 2021

Avec l’essor de la santé mentale dans la communauté, du rétablissement et des pratiques territoriales, la psychothérapie institutionnelle apparaît comme un corpus dépassé. Nous tentons dans cet article de démontrer qu’il n’en est rien, en comparant les travaux d’auteurs majeurs de ce courant et les discours de professionnels de la santé mentale actuellement en exercice au sujet de ce qui fait équipe. Nous indiquons que la P.I. avait déjà su en son temps anticiper deux caractéristiques fondamentales du travail pluriprofessionnel : la distinction entre statut, rôle(s) et fonction(s) et la collectivisation de la fonction de décision. En éclairant la façon dont les professionnels vivent ces questions aujourd’hui, nous affirmons que le sentiment de collégialité relève d’un véritable travail psychique d’équipe, et que les élaborations de la P.I. à ce sujet pourront s’avérer utiles à l’heure où la coordination inter-institutionnelle est la clé de voûte des parcours de rétablissement des usagers.
Business Models in the Information Systems Literature: State of the Art and Research Perspectives
Authors: Maucuer Raphaël , Renaud Alexandre , Snihur Yuliya , Bojovic Neva
Published: February 2021

La digitalisation à grande échelle a bouleversé l’économie contemporaine et la littérature en systèmes d’information (SI) offre une perspective privilégiée pour analyser et comprendre l’évolution des business models. Construit sur une analyse bibliométrique mixte, cet article reconsidère la contribution historique de la littérature en SI sur les business models et identifie ses tendances actuelles. A partir de ce double diagnostic, nous proposons un programme de recherche à destination de la communauté scientifique en systèmes d’information décliné en trois volets : une perspective ancrée en design science; une perspective centrée sur l’utilisateur; et une perspective orientée données.
Bénéfices et risques de l’IdO : Que pouvons-nous en apprendre à propos du changement du Business Model ?
Authors: Affogbolo Rostand , Gauzente Claire , Kuntz Pascale , Guénoche Alain
Published: February 2021

Pour les praticiens, la technologie émergente et ubiquitaire de l’internet des objets (IdO) présente des capacités disruptives majeures. Les données auxquelles elle donne accès ouvrent des opportunités pour les organisations établies pour initier des changements de leurs business models (BM), et peuvent les conduire à les remplacer par de nouvelles approches. Dans cet article, nous nous appuyons sur le cadre théorique du PFI (Teece, 1986) pour souligner l’importance des ressources complémentaires pour tirer profit de l’IdO et effectuer des changements de BM. En nous inspirant des approches d’analyse de données ordinales, nous effectuons une méta-analyse inductive des motivations – bénéfices et challenges – risques associés à l’IdO extraits d’une sélection de onze études managériales interrogeant plusieurs milliers d’organisations (8042 répondants). La procédure de méta-analyse permet de comparer par un ordre de préférence les construits inférés de manière inductive sur la base des items de motivations – bénéfices et challenges – risques proposés dans ces études. La méthode calcule un consensus entre ces ordres et présente en résultats les construits prioritaires (respectivement secondaires). Ces résultats nous permettent de discuter des changements du BM qui intègrent en particulier une reconfiguration de la création de valeur et une mobilisation de la configuration duale, et de préconiser une approche prudente du changement du BM, face aux nombreuses incertitudes relatives à l’IdO.
Asymptotics of singularly perturbed damped wave equations with super-cubic exponent
Authors: Li Dandan
Published: February 2021

This work is devoted to studying the relations between the asymptotic behavior for a class of hyperbolic equations with super-cubic nonlinearity and a class of heat equations, where the problem is considered in a smooth bounded three dimensional domain. Based on the extension of the Strichartz estimates to the case of bounded domain, we show the regularity of the pullback, uniform, and cocycle attractors for the non-autonomous dynamical system given by hyperbolic equation. Then we prove that all types of non-autonomous attractors converge, upper semicontiously, to the natural extension global attractor of the limit parabolic equations.
Application of Blockchain Technology in Cultural and Creative Design and Education
Authors: Liu Jun , Zhu Tiejun
Published: February 2021

Blockchain technology can realize the openness, transparency, non tampering, non forgery and traceability of all data information in the system without the endorsement of a third party, which can make up for the old and new problems in the field of cultural creative design and education. This paper first analyzes the technical principles of blockchain and the deficiencies of online teaching and cross regional teaching in cultural and creative design education, and then applies blockchain technology in learning resource management, learning process tracking, learning evaluation, learning path shaping, teaching management and assessment. It is concluded that blockchain technology can effectively optimize the teaching structure and teaching management of cultural and creative design education, and promote the design education field to adapt to the contemporary development. Finally, it puts forward the future prospects.
Calculation of the Boundary Dimensions of Functionally Active Nanoparticles
Authors: Smanova Zulayho A. , Rakhimov Tokhir Kh. , Mukhamediev Muxtarjan , Gafurova Dilfuza , Shaxidova Dilbar
Published: February 2021

Size is a key characteristic of nanoparticles that determines whether the objects belong to this category. Currently, there are not enough experiments on materials of the same chemical composition but of different dispersion in particle size, with equal size of the particles or grains of each sample of material investigated. In the present article, the authors show that the effect of the dispersion of the particle size determines whether the size dependence of a specific property can be calculated alternatively to the direct measurements. By finding the correlations between nano-properties and content of nanoparticles' fractions of different sizes, the boundary conditions can be calculated.
Synthesis and Characterization of Mullites From Silicoaluminous Fly Ash Waste
Authors: Yadav Virendra K. , Saxena Pallavi , Lal Chagan , Gnanamoorthy Govindhan , Choudhary Nisha , Singh Bijendra , Tavker Neha , Kalasariya Haresh , Kumar Pankaj
Published: February 2021

Fly ash is considered one of the major hazardous pollutants around the globe. Every year a million tonnes of fly ash is disposed of into the fly ash ponds which are major sites of pollution. The major fractions of fly ash are silicates, aluminates, and ferrous substances followed by minor traces element oxides. The aluminates and silicates comprise of 70% of the fly ash. The aluminates and silicates are present in fly ash in the form of crystalline mullites and sillimanites. Mullites being inert and crystalline are retractile to mineral acids. So, here the authors have reported a novel and simple step for the recovery of all the major elements of fly ash along with recovery of mullites by using hydrofluoric acid at room temperature. The method comprises of treatment of fly ash with diluted hydrofluoric acid for 12 hours under agitation. The recovered white color mullite powder, rod shaped of size 90-300 nm, was analyzed by the sophisticated instruments for the confirmation of the mullite particles.
Possibilities of the Quantitative Comparison of Catalytic Capacity in Autocatalytic Processes of Palladium-Containing Nanocatalysts
Authors: Smanova Zulayho A. , Rakhimov Tokhir Kh. , Mukhamediev Muxtarjan , Gafurova Dilfuza A. , Shaxidova Dilbar A.
Published: February 2021

When studying the nanocrystalline state, in some cases, an increase in functional activity is observed with an increase in the size of nanoparticles. In this case, the most active atoms are situated on the faces and have a higher coordination in comparison with the atoms on the tops and the edges. One of the explanations for this phenomenon is the formation of hypercycles due to the occurrence of autocatalytic processes. For oscillatory processes inherent in autocatalysis, when the parameters of a nonequilibrium process change over time, it is difficult to apply traditional methods of processing the results of analytical studies. In this regard, it is necessary to develop a methodology for a comparative study of short-term parameters of processes on the same scale, highlighting the main ones and eliminating insignificant and random ones, such as the phase shift at the beginning of self-oscillations or time-localized deviations from activity. This paper presents the results of such a study on the example of palladium-containing nanosystems in the reaction of low-temperature oxidation of CO. It is shown that the study of the behavior of nanocatalysts during the formation of hypercycles is informative using the calculated generalized parameters of the process
Creating Inclusive Workplaces for Women in Health Organizations Engaging in Digital Economy-Driven Innovations
Authors: Burrell Darrell Norman , Barrett Stephanie Johanna , Lewis Eugene J. M. , Dawson Maurice , Bovell Karen , Crowe Margie
Published: February 2021

The digital economy is creating significant innovations in healthcare. Thriving in this new digital era requires all kinds of healthcare organizations to shift their cultural and organizational mindsets to be more adaptive. The new adaptability means letting go of outdated business cultures and processes, especially those that not inclusive and respectful of women and their professional contributions. This case study reflects an IT healthcare organization in which several senior managers inappropriately harassed female workers at work and online through their social media accounts. The study explored the complex dynamics of management consulting organizational development intervention using an applied research approach. The results concluded a significant need for organizational change in technical healthcare organizations as healthcare goes through a significant digital transformation as a result of a growing digital economy.
Elementos para a leitura de jogo no levantamento a partir da praxiologia motriz: a linguagem corporal dos jogadores de voleibol
Authors: Oliveira Raquel Valente de , Ribas João Francisco Magno
Published: February 2021

O objetivo da pesquisa foi sistematizar os elementos relativos à linguagem corporal dos jogadores de Voleibol que orientam a Leitura Praxêmica e a tomada de decisão do Levantador, fundamentado nas interações de cooperação e oposição estabelecidas no jogo. Para isso, realizou-se uma pesquisa teórica, nos quais foram utilizados artigos, livros, teses e dissertações que têm como temática o Voleibol e a leitura de jogo, selecionados em cinco fontes de pesquisas: Portal de Periódicos CAPES/MEC; Revistas Brasileiras da área da Educação Física; Acervo da Biblioteca do Centro de Educação Física da Instituição; Acervo do Grupo de Pesquisa; Catálogo de Teses e Dissertações – CAPES. Os elementos Praxêmicos mais apontadas pelos estudos analisados foram: Salto (saque); Posicionamento de Mãos/Braços, Flexão de Joelhos, Deslocamento dos Passadores (recepção); Passadas (corrida) de Preparação (ataque); Deslocamento dos Bloqueadores (bloqueio); Deslocamento dos Defensores (defesa adversária); Posicionamento de Mãos/Braços, Flexão de Joelhos, Deslocamento dos Defensores (defesa da equipe). Fundamentado nos resultados desta pesquisa é possível afirmar que os elementos sistematizados se complementam no contexto do jogo de Voleibol, orientando a leitura e a tomada de decisão do Levantador durante as mais variadas situações pelas quais ele é responsável no momento do Levantamento.
Effect of Mindfulness-Based Stress Reduction Program on Psychological Symptoms, Quality of Life, and Symptom Severity in Patients with Somatic Symptom Disorder
Authors: Zargar Fatemeh , Rahafrouz Leila , Tarrahi Mohammad Javad
Published: February 2021

Background:

Patients with somatic symptom disorder (SSD) had a poor quality of life and suffered from depression, anxiety, and stress. Mindfulness-based stress reduction (MBSR) is a psychological treatment with remarkable effects on several psychological disorders. This study aimed to evaluate the effect of the MBSR program on psychological symptoms, quality of life, and symptom severity in patients with SSD.

Materials and Methods:

The patients with SSD were randomly divided into two groups of receiving venlafaxine alone and venlafaxine with an 8-week MBSR program. Depression, anxiety, and stress with their severities were assessed along with the quality of life, the number of physical symptoms and their severities, as well as SSD severity before and after the intervention. Subsequently, the results were compared between the two groups.

Results:

This study included 37 patients with SSD who referred to Shariati Psychosomatic Clinic, Isfahan, Iran, with a mean age of 37.08 ± 8.26 years. It should be noted that 37.8% of the participants were male. The intervention group obtained significantly lower scores in depression, anxiety, stress, and their severities, compared to the control group. Moreover, the number of physical symptoms, their severity, and the severity of SSD were significantly decreased more in the intervention group rather than the controls.

Conclusion:

The MBSR accompanied by prescribing venlafaxine can significantly reduce the severity of SSD, as well as the number and severity of physical symptoms. Moreover, it can reduce depression, anxiety, stress, and their severity. The MBSR can be used as complementary medicine for the treatment of patients with SSD.
Community-based assessment of postnatal care in Puducherry—A cross-sectional study
Authors: Selvaraj Ramya , Ramakrishnan Jayalakshmy , Sahu Swaroop kumar , kar Sitanshu Sekhar , Roy Gautam
Published: February 2021

Introduction:

Postnatal period is a neglected period compared to the antenatal period. Providing adequate care to infant and mother during this vital period is essential.

Objectives:

To assess the postnatal care (PNC) received by the mothers and newborn children in Puducherry.

Materials and Methods:

Community-based cross-sectional study done among the postnatal mothers under the care of two urban Primary Health Centers (PHC A and PHC B) in Puducherry in 2015–2016. Eligible mothers were contacted at their houses within 4 weeks of completion of their postnatal period to assess the postnatal care.

Results:

Out of 227 postnatal mothers in the study, only 37.4% (85) (95%CI 31.3–43.9) of the mothers had received adequate counselling services on topics of nutrition, hygiene, contraception, essential newborn care, breastfeeding, and immunization. Cord care was given for 99.1% of the babies and breastfeeding position was checked for 88.5% of the babies. Among the mothers who had normal deliveries, 48.1% (76) (95% CI 40.4–55.9) of the mothers had initiated breastfeeding within 1 h of normal delivery and within 4 h of delivery for 72.4% (50) (95% CI 61.1–82.0) among the mothers who had a cesarean section. Only 20.7% (47) (95%CI 15.8–26.3) of the mothers and newborns had received at least one postnatal home visit and none of the mothers had received adequate postnatal home visits as per Indian Public Health Standards guidelines. Out of the 126 eligible mothers for JSY benefits, only 46% (58) (95% CI 37.5–54.8) of them had registered. Among those who were not registered, 20.6% had reported that they were unaware of the scheme. Out of 227 births, 14.1% (32) of them were of low birth weight (<2.5 kg) and 1.3% (3) were of very low birth weight (<1.5 kg) category.

Conclusion:

Although the antenatal care is satisfactory in the study setting, implementation of PNC needed further attention and active guidance via health system strengthening.
Human brucellosis
Authors: Ghugey Satish L. , Setia Maninder S. , Deshmukh Jyotsna S.
Published: February 2021

Introduction:

Brucellosis is a recognised occupational threat among animal handler and raw animal product consumers. In India, there is a likelihood of missed diagnoses and under-reporting cases by physicians causing an extended debilitating illness. We steered research to conclude the seroprevalence and risk factors allied with Human Brucellosis (HB) among the rural population in Nagpur District, Maharashtra, India.

Methods:

Closed-ended questionnaires used for a cross-sectional study to collect data for demographics and risk exposure variables. 382 subjects' serum-samples were tested by using Rose-Bengal (RBPT) and ELISA technique. An odd ratio calculated for risk factors for HB reported positive or negative. Data were analysed by using SPSS.

Results:

The brucellosis seroprevalence in rural Nagpur was 1.83%. The mean age was 42.32 years, 78.5% were male, and 21.5% were female. Prevalence was higher among males [85.7%] than females [14.3%]. The risk for brucellosis among males (OR = 1.65, 95% CI = 0.19–13.92, P = 0.64) was more than females. Handling raw meat had more risk (OR = 3.14, 95% CI = 0.40 – 28.6, P = 0.23) than those not handling raw meat. Milking animal was protective (OR = 0.88, 95% CI = 0.80 – 0.96, P < 0.001) for brucellosis than those not milking animal. Subjects reported more likely to be a seropositive to human brucellosis those involved in assisted animal delivery (P = 0.001), drinking unpasteurised milk (P<0.001), consuming milk products made from raw milk (P<0.001) and eating raw meat (P = 0.001)

Conclusion:

Health education program is essential to generate awareness for brucellosis in the rural community to prevent animal to human disease transmission.
Vaccine wastage at primary, secondary, and tertiary level of healthcare system—A study from Northern India
Authors: Oberoi Simmi , Mishra Prabhakar , Gupta Vikram k. , Patnaik Siriesha , Garg Ayushi , kaur Ravneet
Published: February 2021

Background:

High vaccine wastage results in escalation of budget of immunization program.

Objective:

To analyze vaccine wastage at three levels of service delivery under public sector, such as at district level, community health Centre (CHC), and sub center (SC).

Study Design:

A retrospective cross-sectional record based study in a north Indian state.

Materials and Methods:

The record from January to June 2016 was taken from randomly selected 5 districts of the state at 3 levels; for number of doses of vaccine used and number of children vaccinated for BCG, OPV, Hepatitis B, Pentavalent, DPT, IPV, Measles, and TT (vaccines being given in state in the study year). A total of 67,550 vaccine doses in routine immunization were studied.

Statistical analysis used:

Data were presented in mean ± standard deviation. One-way ANOVA test was used to compare the means among three levels.

Results:

Vaccine wastage for Pentavalent was remarkably low (4.86% at district level, 8.35% at CHC and 11.50% at SC) in contrast to other similar 10 dose vials of vaccines like DPT, TT, Hep B. For both the lyophilized vaccines, interestingly BCG wastage was not only significant but over the permissible levels at 60.39%, whereas it is not so for measles. Result indicated that mean difference of the vaccine wastage among three levels was significant for the BCG, OPV, Hepatitis B, Pentavalent, and TT (P < 0.05); while insignificant for the DPT, IPV, and Measles (P > 0.05).

Conclusions:

Not all vaccine wastage is preventable, but pruning the corners where feasible and allowing where it is desirable should depend on prioritizing stakeholders at the receiving end.
Efficacy evaluation of rubber cup and air polishing techniques using glycine in plaque and stain removal - A clinical trial
Authors: kaur Avineet , Bhardwaj Arvind , kansil Shanam , kaur Rasveen , kaur Supreet , Gambhir Ramandeep S.
Published: February 2021

Background:

Researchers have proved Glycine to be safe, less abrasive, sweet and comfortable for patients. It is beneficial in removing plaque as well as stains. The present study aims to compare the plaque and extrinsic stain removal efficacy of the air-polishing device and rubber cup prophylaxis technique along with a comparative evaluation of the gingival trauma caused by both the techniques.

Method:

This split-mouth randomized clinical trial was conducted on a total of 60 subjects in half of whom, left side was assigned to Glycine powder air polishing and the right side to rubber cup prophylaxis with (Glycine powder) and vice versa in the other half. All the subjects had their calculus removed one month prior to the intervention. Plaque index, Stain index and Trauma index were recorded and statistical analysis was done.

Results:

Both the techniques (RCP and AP) demonstrated a significant reduction in plaque and stains within their respective groups, but revealed non-significant differences between the study groups. Gingival trauma was found to be significantly higher in case of AP group. Rubber cup technique was preferred over air polishing by the subjects.

Conclusion

The data indicates that both the techniques were equally beneficial for plaque and stain removal, but rubber cup polishing technique has an advantage over the air polishing technique.
The prevalence of self-reported bleeding tendency symptoms among adolescents in Almadinah Almunawwarah, kingdom of Saudi Arabia
Authors: Zolaly Mohammed A. , Tarwah Ahmad , Albalawi Mohammed , Alwasaidi Turki , Owaidah Tarek
Published: February 2021

Bleeding tendency is a common medical problem that is usually caused by either coagulation factors abnormalities, platelets disorders, or vasculopathy. Detection of patients with high bleeding risk through history taking and accurate diagnosis followed by appropriate management will help decreasing chances of significant complications.

Methodology:

A cross-sectional survey of a random sample of adolescent students in the preparatory year at Taibah University in Almadinah Almunawwarah, Saudi Arabia were interviewed using a validated semi-structured condensed bleeding tendency questionnaire generated from Molecular and Clinical Markers for the Diagnosis and Management of (MCMDM-1).

Results:

A total of 680 questionnaires were collected, the phase I data were analyzed to determine participants who gave a positive response to any related question while in Phase II respondents with at least one positive response of any bleeding symptom were interviewed. More than half 52.6% (358 out of 680) were positive for any bleeding symptoms. The incidence rose to 70.9% (482 out of 680) if “Mild” symptoms were also included. Epistaxis was positive in 21.8%, Cutaneous symptoms were reported by 22.65%, Bleeding from the oral cavity was reported in 39.6%, Gastrointestinal bleeding was observed by 5.9%, bleeding after the first surgery reported in 21% and Muscle hematomas/hemoarthrosis was observed by 3.2%, Among female papulation, 16.1% reported having 6-10 “Heavy Days” during their menstrual cycles.

Discussion:

High prevalence of bleeding symptoms having the possibility of the presence of an Inherited Bleeding Disorders were observed in our study in comparison to other studies, this might be attributed to the high percentage of consanguinity marriages in our area.

Recommendations:

Raising awareness among family doctors and pediatricians about the possibility of presence of bleeding tendency utilizing good history taking followed by appropriate examination and laboratory confirmatory testing will help in early detection and managements.
Parental perception on screen time and psychological distress among young children
Authors: Ishtiaq Annum , Ashraf Hiba , Iftikhar Sundus , Baig-Ansari Naila
Published: February 2021

Objective:

We aimed to assess the parent-reported screen time of children, identify the perceived risk factors for increased screen time and its relationship to psychological distress in children.

Materials and Method:

A cross sectional study was conducted at a teaching hospital in karachi, Pakistan. A total of 230 employees from medical and non-medical departments were included. Participants were employees with child/children ages 4-12 year who consented to participate in the study, we included 135 fathers and 91 mothers. The questionnaire included (i) demographic data (ii) Media history exam form and (iii) parent reported strength and difficult questionnaire (SDQ).

Result:

The average daily screen time reported was 2.5 (1.5-5) hour for boys and 2 (1-4) hour for girls. Preschoolers had greater screen time as compared to school-aged children (Median (IQR): 3 (1.5-5.6) vs 2 (1-4), P = 0.46). The children owned devices with approximately equal distribution of preschoolers and school-aged children (19 (27.1%) and 48 (30%), P = 0.661 respectively). Emotional score was found higher in school-aged group in comparison to preschoolers (p = 0.036). Moreover, mother screen time and number of devices owned by a child were found to be positively associated with child's screen time.

Conclusion:

We conclude that as we are embracing the digital age providing a tech free zone to children is virtually impossible. Children screen time related activities in our part of the world exceeds the limitation. Parental awareness and co-viewing screen with their children are essential to avoid media related behavior problems.
A rare case of sacral metastasis of unknown follicular thyroid carcinoma radiologically mimicking as chordoma
Authors: khera Sudeep , Elhence Poonam , Jayakumar D. , Gupta Amit
Published: February 2021

Follicular thyroid carcinoma (FTC) presenting as an isolated spinal metastasis with features of compression myelopathy is extremely rare with <10 cases reported in world literature. FTC is the second most common thyroid cancer with an indolent course. It predominantly occurs in females. The most common route of metastasis is through hematogenous routes to lung, liver, bones, etc., Herein we report a case of 47-year-old female presented with lesion involving sacral vertebrae and biopsy showing metastatic follicular carcinoma with morphology and immunohistochemistry of thyroid gland. The present case highlights the rarity of FTC to present as upfront solitary vertebral metastases with history of prior hemithyroidectomy. All the cases of spinal mass should be evaluated thoroughly to exclude any metastatic deposits.
Sex education and Afghan migrant adolescent women
Authors: Hakimi Razia , kheirkhah Masoomeh , Abolghasemi Jamileh , Hakimi Masumah
Published: February 2021

Introduction:

Successful sex is one of the greatest behavioral needs of couples, especially those who marry at an early age. The best way to access information is education and learning. Face to face training is one of the most common methods, with the advancement of technology, multimedia training can be a good alternative method to sex education. This study was designed to comparison between two educational method Multimedia and Face to face on sexual function of Afghan Migrant Adolescent Women.

Methods:

The study was a quasi-experimental educational intervention conducted in selected charity centers in Mashhad. The selected centers were randomly chosen as face to face intervention (n = 36), multimedia intervention (n = 36) and control (n = 36) groups. Our method of sampling was convenient at each center. Intervention groups received four one-hour sessions of sex education using various face to face and multimedia methods. Sexual function were measured using female sexual function index (FSFI) before, immediately and 8 weeks after the intervention. Data were analyzed with SPSS version 16.

Results:

The level of sexual function did not show a significant difference in groups before the intervention, but these increased significantly immediately (P = 0.005) and 8 weeks later (P < 0.001).

Conclusion:

Because of the taboo of sexual issues and the lack of difference between the two methods in improving sexual function, multimedia method is a good alternative educational method.
How common are aches and pains among garment factory workers? A work-related musculoskeletal disorder assessment study in three factories of south 24 Parganas district, West Bengal
Authors: Pal Arkaprovo , Dasgupta Aparajita , Sadhukhan Sanjoy k. , Bandyopadhyay Lina , Paul Bobby , Podder Debayan
Published: February 2021

Context:

Garment Industry is considered to be the second-largest employment sector in India. Occupational health problems among workers are often ignored, work-related musculoskeletal disorders (WMSD) accounts for the majority of it. The leverage of a healthy workforce is indispensable in the smooth running of the country's economic machinery.

Aims:

To find out the prevalence of WMSD among the workers and to assess the relationship of WMSDs with sociodemographic, behavioral, and occupational factors.

Settings and Design:

A cross-sectional study was conducted from June 2017 to August 2019 among 222 workers in three garment factories located in a municipality area of south 24 Parganas District, West Bengal.

Methods and Material:

Sociodemographic and behavioral characteristics, occupational differentials, and morbidity profiles were assessed using a pre-designed, pre-tested schedule.

Statistical Analysis Used:

Data were analyzed by SPSS ver. 16.0. Logistic regression was done to determine the associates of WMSDs.

Results:

Most of the workers were males (70.27%), belonged to the age-group of 36–55 (42.34%) and were illiterate (33.78%). WMSD was prevalent among 70.72% of the workers. Presence of WMSD was significantly associated with educational status{illiterate (OR: 3.59; CI: 1.56–8.22), below secondary (OR-2.89;CI: 1.26-6.62)}, sitting job (OR: 2.02; CI: 1.01-4.03), unsatisfactory working environment (OR: 8.38; CI:1.95–36.06), and level of distress {mild (OR-2.89;CI: 1.26-6.62), moderate-severe (OR: 6.98; CI: 1.46–33.25)}.

Conclusions:

Improving health awareness and periodic health check-up is the need of the hour for the sustenance of the massive workforce, which can be achieved through the integration of basic occupational health services (BOHS) with primary health care (PHC) infrastructure.
knowledge and awareness about dentistry among medical students, residents, and medical practitioners in Bhairahawa city, Nepal
Authors: Sharma Bhagwat Swaroop , Sharma Jyoti , Upadhyay Manisha , Agrawal Ankita , Dayma Ashwini , Yadav Shashi Prabha
Published: February 2021

Introduction:

Oral health is considered to be a mirror of systemic health and vice-versa. Medical professionals are considered to be the primary caregivers in a given population and as such a vast majority of the population visits them for health-related problems. Therefore, this study aimed to evaluate the level of knowledge and awareness of dentistry among first-year medical students, residents, and medical practitioners.

Methods:

A cross-sectional questionnaire survey was carried out to assess the knowledge and awareness of dentistry among MBBS first-year students, medical residents, and medical practitioners of Bhairahawa city, Nepal. Data analysis was done with SPSS version 11.

Results:

As per the demographic characteristics out of 147 subjects 82 (55.8%) were male and 65 (44.2%) were female. Most of the participants were from the age group of 21–30 years, 66 (44.9%) and 115 (78.2%) of them were married. Among 147 subjects every respondent (100%) knew about the profession of dentistry giving statistically significant results.

Conclusion:

The present study shows that medical professionals had better knowledge of dentistry as compared to medical students and residents. This unnecessary gap between dental and medical professionals can only be fulfilled by including dental education in both undergraduate and postgraduate medical curriculum.
Reliability of Peg Restrained Intrinsic Muscle Evaluator for Measurement of Intrinsic Hand Muscle Strength in Adults with Tetraplegia
Authors: Yozbatiran Nuray , Russell Mary Beth , Korupolu Radha , Grossman Robert , Toups Elizabeth , Francisco Gerard E.
Published: February 2021

Background:

The manual muscle test (MMT) is the traditional method to assess the intrinsic hand muscle test. However, this test is qualitative and subjective. A device capable of rapidly measuring motor output along a linear scale may be of value in the evaluation of hand recovery from any neurological impairment. Objective: To demonstrate inter-rater reliability of the Peg Restrained Intrinsic Muscle Evaluator (PRIME) device for measuring intrinsic hand muscle strength in adults with impaired hand functions.

Methods:

16 subjects (2 female, 14 male, mean age=47±15 years) with cervical spinal cord injury were enrolled. Intrinsic hand muscle strength of adults were performed by two-tester with use of PRIME device and manual muscle testing, within the same session. Inter-tester correlation was tested by Pearson's correlation and Intraclass correlation coefficient (ICC).

Results:

Intraclass correlation coefficients for hypothenar, first dorsal interosseous, abductor pollicis brevis and opponence pollicis muscles ranged from 0.7 to 0.8 with hypothenar muscle test being lowest ICC=0.7 and thumb opposition highest, ICC=0.81. Conclusion: Results from this study suggest that PRIME device demonstrates good reliability within testers for quantified measuring of intrinsic hand muscle strength. Further use of PRIME in clinic will aid in diagnostics, medical decision making and evaluation of rehabilitation progress in patients with cervical spinal cord injury.
Sumsets of semiconvex sets
Authors: Ruzsa Imre , Solymosi Jozsef
Published: February 2021

We investigate additive properties of sets$A,$where$A=\{a_1,a_2,\ldots ,a_k\}$is a monotone increasing set of real numbers, and the differences of consecutive elements are all distinct. It is known that$|A+B|\geq c|A||B|^{1/2}$for any finite set of numbers$B.$The bound is tight up to the constant multiplier. We give a new proof to this result using bounds on crossing numbers of geometric graphs. We construct examples showing the limits of possible improvements. In particular, we show that there are arbitrarily large sets with different consecutive differences and sub-quadratic sumset size.
An $l^2$ decoupling interpretation of efficient congruencing: the parabola
Authors: Li Zane Kun
Published: February 2021

We give a new proof of

l^2

decoupling for the parabola inspired from efficient congruencing. Making quantitative this proof matches a bound obtained by Bourgain for the discrete restriction problem for the parabola. We illustrate similarities and differences between this new proof and efficient congruencing and the proof of decoupling by Bourgain and Demeter. We also show where tools from decoupling such as

l^2L^2

decoupling, Bernstein’s inequality, and ball inflation come into play.
Iatrogenic events contributing to paediatric intensive care unit admission
Authors: Salvini Romana , Frey Bernhard
Published: February 2021

AIMS
To identify the incidence of iatrogenic events leading to paediatric intensive care unit (PICU) admission and to analyse these patients regarding demographic, illness severity and outcome parameters.

MATERIAL AND METHODS
This was a retrospective case series. The computerised charts of all patients admitted to the multidisciplinary, tertiary, 18-bed PICU in 2014 were analysed. Iatrogenic events leading to PICU admission were identified and their preventability assessed. Underlying diseases, causes of iatrogenic events, illness severity at PICU admission, presence of complex chronic conditions, patient origin, length of stay on the PICU and outcome were analysed.

RESULTS
There were 138 admissions associated with iatrogenic events out of 1102 admissions (12.5%). Ninety iatrogenic events led to unplanned admissions and 48 cases concerned scheduled admissions, where the iatrogenic event would have led to PICU admission by itself or caused a second, planned PICU admission for re-operation. Iatrogenic complications during surgery (31% of all iatrogenic events), wrong management decisions / delayed diagnoses (20%) and nosocomial infections (14%) were the categories most often involved. Regarding origin of the patients, the greatest difference between iatrogenic event admissions and non-iatrogenic event admissions was found for the ward (21% vs 11%). The patients admitted for iatrogenic events had a higher mean expected mortality (8.4 vs 4.7%, p = 0.02) and a higher observed PICU mortality (5.8 vs 3.3%, p = 0.15). Of all iatrogenic events, 60.1% were judged to be preventable. The highest preventability rate was found in the categories “nosocomial infections” (100%) and “management decisions / delayed diagnoses” (92.9%).

CONCLUSION
In our setting, the number of PICU admissions associated with iatrogenic events is significant and comparable to adult data on admission to ICU caused by iatrogenic events. The categories with most potential for improvement are nosocomial infections and the wrong management decisions / delayed diagnoses. Focused measures on these iatrogenic events may have a major impact on patient outcome, availability of PICU resources and healthcare costs.
Masking in Fine-Grained Leakage Models: Construction, Implementation and Verification
Authors: Barthe Gilles , Gourjon Marc , Grégoire Benjamin , Orlt Maximilian , Paglialonga Clara , Porth Lars
Published: February 2021

We propose a new approach for building efficient, provably secure, and practically hardened implementations of masked algorithms. Our approach is based on a Domain Specific Language in which users can write efficient assembly implementations and fine-grained leakage models. The latter are then used as a basis for formal verification, allowing for the first time formal guarantees for a broad range of device-specific leakage effects not addressed by prior work. The practical benefits of our approach are demonstrated through a case study of the PRESENT S-Box: we develop a highly optimized and provably secure masked implementation, and show through practical evaluation based on TVLA that our implementation is practically resilient. Our approach significantly narrows the gap between formal verification of masking and practical security.
Theoretical Versus Grass-Roots Development of a Community Partnership
Authors: Escandón Socorro
Published: February 2021

The purpose of this qualitative study was to examine Bracht, Kingbury, and Rissel's five-stage community development model as applied to a grass-roots community action group. The sample consisted of low-income, predominantly Hispanic women in a community action group in a Southwestern barrio, some of whom were experiencing domestic violence. The community group organizer was interviewed, and a content analytic table was constructed. Results showed that the community group's efforts would have benefited from a theoretically organized approach. The window of opportunity continues to be open for community development researchers to offer theoretical assistance to groups that are forming and to those already formed to help them realize their goals.
Dialoguing with Body: A Self Study in Relational Pedagogy through Embodiment and the Therapeutic Relationship
Authors: Lussier-Ley Chantale
Published: February 2021

This article emerges from a self-study (Baird, 2004; Bergum, 2003; Grumet, 1990; Ham & Kane, 2004; Kitchen, 2005a, 2005b; Loughran, 2004) conducted as a requirement for a doctoral class at the University of Ottawa in the Faculty of Education. In this study, I reflected on my embodied experiences and the role of the body in my consulting practice in sport and performance psychology with athletes and dancers. Inspired by the work of Chehayl (2006), I engaged in a narrative analysis (Sands, 2002; Sparkes, 2002) of my own emerging autobiographic tale, and actively worked towards re-storying my body through a multi voiced dialogue between various "bodies" at play, both mine and those I interacted with. In light of my own personal experiences, combined with my growing understanding of the philosophy of the flesh (Lakoff & Johnson, 1999) and notions of embodiment in the therapeutic relationship, this study aimed to examine a) how I experienced my body in different domains of daily practice, b) what meaning I derived from these embodied experiences, c) what tensions, congruencies, and divergences existed within my embodied experiences, and d) what implications emerged relating to my consulting practice. Emerging from this self-study is the importance of learning to trust feel, learning to let go, and learning that I/matter. An embodied perspective appears to be an important part of a relational pedagogy and has the potential to facilitate healthy therapeutic relationships when integrated into a reflective, consulting, educational practice.
Flirtation Rejection Strategies: Toward an Understanding of Communicative Disinterest in Flirting
Authors: Goodboy Alan , Brann Maria
Published: February 2021

Single adults often seek successful flirtatious encounters; yet these encounters can sometimes be considered failures. However, little research has identified flirtation rejection strategies enacted by those not interested in reciprocal flirting. The purpose of this study was to examine behavioral and verbal flirtation rejection strategies among college students. Stemming from a grounded theory methodology and a focus group method, 21 college students shared their experiences in focus group discussions. Thematic analysis yielded five behavioral rejection strategies (i.e., departure, friendship networks, cell-phone usage, ignoring, facial expressions) and four verbal rejection strategies (i.e., significant others, brief responses, politeness, insults) and sex differences in their usage. Results suggest that both men and women possess a predictable arsenal of available rejection strategies.
Voices of Native Resiliency: Educational Experiences from the 1950s and 1960s
Authors: Penland Jennifer
Published: February 2021

The purpose of this study was to examine the lived educational experiences of American Indians who grew up during the 1950s and 1960s, known as the termination period in American history. The research for this phenomenological study consisted of interviews with eight participants who were willing to share their personal experiences from this selected time. Ten reoccurring themes were uncovered: chaos brings balance, challenge to become bi-cultural, the importance of teachers, external support systems, spirituality, tribal influences, influences of economic resources, cultural awareness and value, relevant curriculum, and recruitment of Native teachers. By uncovering these stories, it is hopeful that educators would benefit by being able to further illuminate and contextualize an understanding for more culturally responsive pedagogy.
Teaching Experiences of African American Educators in the Rural South
Authors: Polidore Ellene , Edmonson Stacey , Slate John
Published: February 2021

A scarcity of research exists regarding the voices of African American teachers who taught in the rural South. In this study, we report the life experiences, perceptions, thoughts, and feelings of three female African American educators as they pertain to their experiences teaching before, during, and after desegregation. Three female African American educators who taught before, during, and after desegregation in the same school district in the rural South were interviewed extensively. Data analysis revealed themes that mirrored those themes found in resiliency research. By examining these resilience themes within the context of this study, a model of adult resilience in teaching emerged.
PhD Students' Experiences of Thesis Supervision in Malaysia: Managing Relationships in the Midst of Institutional Change
Authors: Krauss Steven , Ismail Ismi
Published: February 2021

Despite the plethora of studies that have been conducted on PhD supervision, little qualitative investigation has been conducted with a diverse, non-Western sample of doctoral students in an attempt to understand how the supervisory relationship is experienced. In response, eighteen students from diverse, non-Western backgrounds studying at one Malaysian research university were interviewed. Results illuminated the theme of "management" of the supervisory experience and included two streams:(a) acceptance of the situation, and (b) response to the situation so as to optimize their experience. The two major themes further included four sub-themes that included managing personal relations, time and accessibility constraints, academic compatibility, and expectations. Implications for the development of international research universities where PhD supervision of a diverse student body is a critical factor for university success and development are discussed.
A Pilot Study of Nurses' Experience of Giving Spiritual Care
Authors: Deal Belinda
Published: February 2021

Using spiritual and religious resources gives patients and families strength to cope during a crisis, but nurses often do not offer spiritual care (Kloosterhouse & Ames, 2002). The purpose of this phenomenological study was to explore nurses" lived experience of giving spiritual care. A descriptive phenomenological approach was used to interview 4 nurses. Data were analyzed using Colaizzi's (1978) phenomenological method. Five themes were identified: spiritual care is patient-centered, spiritual care is an important part of nursing, spiritual care can be simple to give, spiritual care is not expected but is welcomed by patients, and spiritual care is given by diverse caregivers. Spiritual care is an integral part of nursing and nurses can support patients with spiritual interventions.