bluuebunny/crossref_metadata_2025 huggingface dataset:
Judiciário Midiatiza(n)do
Authors: Souza Flores de Mendonça Hermundes
Published: March 2023

Propomos uma reflexão teórico-prática sobre a judicativa realização do Direito no contexto da midiatização. Articulamos os conceitos de midiatização, ativismo judicial e judicialização para responder a questões formuladas no curso da observação do interrogatório do ex-presidente Lula perante o então juiz Sérgio Moro. A pesquisa privilegia a singularidade do caso. As teorias são acionadas a serviço da compreensão do que acontece no caso, observando os sujeitos participantes do episódio analisado. Em termos metodológicos, fazemos movimentos ascendentes e descendentes – do caso aos conceitos e destes ao caso em cujo percurso reflexivo vamos elaborando tentativamente formulações potencialmente generalizáveis para a compreensão da prática comunicacional e judicativa no contexto da midiatização. O caso mostra processos sociais mediados pela prestação jurisdicional nos quais o acionamento de lógicas comunicacionais na midiatização gera tensionamentos em face do juridicamente normatizado.
E-Learning and Digital Transformation
Authors: Al-Mayyahi Auday , Khalaf Zainab A. , Barrett Steven F.
Published: March 2023

Continuing education has been facing a challenging time for institutions of higher learning throughout the globe. In response to the COVID-19 pandemic, many institutions have pivoted to online instruction or employed a hybrid approach to content delivery and student interaction. Important lessons have been learned during this health crisis in which institutions pivoted much of their content online and continued to teach, such as delivering online laboratory exercises. However, many challenges have been identified and solved: delivery of online experiential material, providing internet access for students with poor or non-existent internet access and technology, and maintaining an accreditation schedule. The lessons learned will be investigated and the positive impact on distance education moving forward at different institutions located over 11,000 km apart. As a result, the authors recommend institutions need to significantly develop and apply digital transformation in their administrative and educational systems.
Virtual Reality in Process for Children With Autism Disability
Authors: Albadawi Bushra Izzat
Published: March 2023

For more than half a century, educators for normal as well as special children have used virtual reality in the classroom. Systematic analysis and metanlysis of virtual reality in teaching were conducted in order to understand these difficulties and what educators want to gain from employing these innovations in the first place. The researcher picked 250 articles for systematic literature review and select 6 using Prism flowchart. For the purpose of metanlysis, compare the results with six relevant articles. Looked into the potential uses and reported motivations for creating virtual reality learning environments supplied by educators in scholarly papers, and then looked into the potential drawbacks of doing so. Most academics employ virtual reality to boost students' intrinsic motivation, and they focus on a few characteristics, such as instructional practices, engagement, and ramification, in their design of experience, according to these findings. The great majority of instructional virtual reality deployments are found in significant number of educational fields.
A Preliminary Evaluation of Learning Sign Language Through Information and Communications Technology (ICT)
Authors: Zaini Khairulnisak Mohamad , Ahmad Aznan Che
Published: March 2023

Sign language is a medium of communication used to teach students with hearing problems and is also used in their daily lives in lieu of spoken language. Although there are individuals with hearing problems who still have the ability to speak the language, their number is minimal, and their verbal ability is very limited. The educational application or aids which are tailored and designed for mobile devices towards sign language is scarce. And there is a lack of teaching and learning aids to assist the deaf community in the learning process and those who are interested in learning Malaysian Sign Language. So, this chapter investigates a preliminary evaluation and previous research regarding the use of information and communications technology (ICT) for sign language. Future studies for this research will help a researcher develop a teaching aid based on mobile devices and enable users to use it as a reference and improve their communication. This mobile application is not only suitable for the deaf community but also for the general public.
Artificial Intelligence in Human Resource Management
Authors: Kaur Rajwinder
Published: March 2023

Artificial intelligence in human resources plays an important and crucial role in the 21st century. It is helpful in gathering, analysing, and presenting data in such a way that is more helpful for the HR professional to use. As technological advancements happen in the era, artificial intelligence helps to fulfil organisational demands as well as employee demands. Artificial intelligence eases the work of HR as well as effectively provides efficient work. Therefore, the present study explores the implementation of artificial intelligence in human resource functions. It further explores the various benefits and challenges of artificial intelligence in human resource functions. Finally, the study concludes that the work of artificial intelligence can be used in all areas of the HR functions. No doubt in the initial stage of artificial intelligence implementation the HR professionals and organization can face some challenges, but after its successful implementation, it is considered the best tool for HR functions.
Visualizing Neuroscience Through AI
Authors: Sille Roohi , Kapoor Akshita , Choudhury Tanupriya , Mahdi Hussain Falih , Khurana Madhu
Published: March 2023

The field of neuroscience explains how the neural networks in the brain work together to perform a variety of tasks, including pattern recognition, relative memory, object recognition, and more. The mental activity that makes different jobs possible is difficult to understand. Understanding the various patterns present in natural neural networks requires a combination of artificial intelligence and neuroscience, which requires less computation. As a result, it is possible to understand a large number of brain reactions in relation to the activity that each person is engaged in. Human brain neurons need to be trained by experience in order to perform activities like moving the hands, arms, and legs while also considering how to respond to each activity. In the past 10 years, artificial intelligence (AI), with its potential to uncover patterns in vast, complex data sets, has made amazing strides, in part by emulating how the brain does particular computations. This chapter reviews the replication of neuroscience via AI in a real-time scenario.
Knowledge Representation-Based Hemispheric Specialization of the Brain
Authors: Bhuyan Bikram Pratim
Published: March 2023

Knowledge is an essential ingredient for the development of the majority of human cognitive skills. The subject of how to define knowledge is a challenging one. Knowledge is an organised collection of information that may be acquired by learning, perception, or the application of reasoning. This chapter focuses on human brains and computer knowledge models. Concepts and categories are offered as a paradigm for storing information, followed by semantic networks and a description of how individuals store and interpret information. The authors also explore artificial methods to store and retrieve information and make quick judgments, as well as biological features. After studying how information is stored and accessed in artificial and human systems, they analyse hemisphere specialisation. This chapter reviews trials that have advanced research in this area and examines if they interpret information differently.
Teaching Drug Interactions to Complementary and Alternative Medicine Students
Authors: Zin Thaw
Published: March 2023

A drug interaction occurs when a patient's response to a drug is modified by food, nutritional supplements, formulation excipients, environmental factors, other drugs, or disease. An interaction can either increase or decrease the effectiveness and/or the side effects of a drug, or it can create a new side effect not seen before. Interactions between drugs (drug-drug interactions) are the commonest and may be either beneficial or harmful. Drug interactions are avoidable and knowing how drug interactions occur, recognizing them when they occur, and knowing how to manage them is an important part of clinical practice. The main objective of learning pharmacology and drug interactions by the CAM students is the integration between the two systems of medicine and as far as the use of medicines are concerned, knowledge of pharmacology and its basic principles are most essential in understanding the adverse reactions and drug interactions that can hamper the integrating of the two systems of medicine as such outcomes will produce doubts and lack of confidence in the end-users.
Food-Drug Interactions
Authors: Adil Muhammad , Asif Muhammad
Published: March 2023

Bioactive dietary ingredients can influence the pharmacokinetic and/or pharmacodynamic attributes of drugs that are orally administered either in conjunction with food or following a short interval. The pharmacokinetic form of food-drug interactions is reflected by changes in the rate/extent of drug absorption, distribution, metabolism, or excretion. Whereas, diet-induced pharmacodynamic modulation may arise in terms of additive, synergistic, or antagonistic effects. Most of the clinically important, food-drug interactions occur on account of altered drug bioavailability attributed to dietary constituents. Depending upon their occurrence and severity, food-drug interactions leading to enhanced plasma drug concentrations may have beneficial or harmful consequences. The outcomes of food-drug interactions may range from the loss of drug efficacy and subsequent treatment failure to serious adverse effects. Proper adherence to the drug-specific prescribing guidelines and patient compliance are requisite for minimizing the likelihood of potential food-drug interactions.
Enhancing Memory Using Mnemonics Acronym
Authors: Aslam Muhammad Shahzad , Lkhagvasuren Dulmaa
Published: March 2023

Traditional Chinese medicine students find pharmacology challenging because it is complicated, yet they still need to understand facts about the mechanism of actions of drugs and how to use this knowledge in clinical settings. Mnemonics are strategies that can enhance learning and memory of course material. Mnemonics are memory techniques that aid in chunking and organising material to be learnt; as a result, they improve encoding and ease retrieval. There are variety of forms that include acronyms and acrostics (also known as first-letter mnemonics), the loci method, the pegword method, the keyword approach, auditory, visual, and kinesthetic mnemonics, and a group of semantic-based mnemonic devices such as rhymes, songs, and stories.
Study on the Application of Music Memory Method in Pharmacology
Authors: Wang Yusu
Published: March 2023

Memory is the faculty by which the mind stores and remembers information. Music is some combination of vocal or instrumental sounds. Research offers new insights into how music links to memories, and how those connections make life better. Medicine is undoubtedly one of the most challenging courses for memory. In all academic settings, there is no other need for powerful mnemonic tools like medicine. In the study of pharmacology, students generally report that the course of pharmacology is difficult, some students say that the names of drugs are too complicated to remember; however, few students realize that music mnemonics is a good way to learn.
Intra-operative ultrasound-guided wide local excision - Editorial commentary
Authors: Kothari Ashutosh
Published: March 2023

Abstract

A better understanding of tumour biology and tailored surgical approach has led to de-escalation of surgery both in the breast and axilla. Neo-adjuvant systemic treatment with targeted therapies in specific tumour sub-types leads to a complete clinical response both in the breast and axilla in close to 60% of patients. It is therefore essential to identify techniques for the accurate localisation of these sub-clinical lesions in the breast and axilla. Some of the newer techniques are expensive and not readily available across low and middle income counties. In this article, we explore the feasibility of intra-operative ultrasound as a safe, cheap and reliable method to localise and excise occult tumours and lymph nodes.
Low axillary sampling—Editorial commentary
Authors: Chintamani
Published: March 2023

Abstract

The standard of care in addressing a node negative axilla is sentinel lymph node biopsy using dual technique. However in resource constrained scenarios and in centres with challenges relating to availability of nuclear medicine facilities, low axillary sampling could be a comparable option.
Surgical anatomy
Authors: Rancati Alberto , Mishra Rupa , Joshi Sneha
Published: March 2023

Abstract

Preoperative vascular mapping has been demonstrated to be an excellent adjunct to perforator flap surgery by reducing operative times and enhancing surgical precision. The purpose of this study was to evaluate the benefit of preoperative vascular mapping using magnetic resonance imaging and Doppler ultrasonography to identify the different perforators to the breast and compare it postoperative mapping. Specifically, the intent was to determine whether preoperative knowledge of the various vascular sources to the nipple areolar complex affected the outcome and vitality of the NAC.
Extreme oncoplasty
Authors: Silverstein Melvin , Joshi Sneha , Dewle Ankush
Published: March 2023

Abstract

This Keynote Address presents the evolution of a technique called ‘Extreme Oncoplasty’. Extreme oncoplasty is a combination of surgical oncology and plastic surgery techniques that is used for breast preservation in patients who do not meet that usual criteria for breast conservation and would normally receive a mastectomy.
Pathology for breast surgeons - Editorial commentary
Authors: Koppiker C B
Published: March 2023

Abstract

This is a commentary on the article ‘Pathology for Breast Surgeons’. In the commentary the editor emphasizes on the role of intra-operative frozen sections for margin assessment especially in low-resource settings.
Pathology for breast surgeons
Authors: Badve Sunil , Kelkar Devaki , Joshi Sneha
Published: March 2023

Abstract

Histopathologic analysis is critical for surgical practice and it is important to understand certain nuances associated with its adaptation in clinical practice. This article focuses on a few critical issues that are especially relevant to surgeons.
Assessment of Shear Bond Strength to Sound and Artificial Caries Affected Dentin Using Different Adhesive Systems
Authors: Al-Obaidi Zahraa Salman , Jasim Haider Hasan
Published: March 2023

Introduction:

We aimed to determine how the various adhesive systems affect the shear bond strength (SBS) to normal and artificially create caries affected dentin (CAD) in permanent teeth.

Methods:

Forty eight sound premolars had their occlusal enamel ground to create flattened midcoronal dentin. According to the dentin substrate, specimens were allocated into sound and artificially created CAD induction using the pH-cycling technique. Each group was further subdivided according to the adhesive materials: Scotchbond Universal Plus, Scotchbond Universal, and Adper Single Bond 2 adhesives (applied in Etch and Rinse Adhesive Protocol). After that, a composite was put on and shear bond strength (SBS) tests were done. Data analyzed using two-way ANOVA and chi-squared tests.

Results:

Overall model test of the ANOVA statistics showed that both type of dentin and types of adhesive had a significant effect on the SBS values (P <  0.001). Tuckey post hoc comparisons showed a significant difference for type of dentin (P <  0.001) and types of adhesive (P ≤  0.005). Mode of failure assessment is non-statistically significant difference (P = 0.41).

Conclusion:

All adhesives showed a decrease in SBS when used on artificial CAD.
Early and Delayed Effect of Cavity Disinfection with Chlorhexidine and Ozone on the Shear Bond Strength of Dentin to Glass Hybrid Restoration
Authors: AL-Anezi Murtatha M. , Abduljabar Shahbaa M.
Published: March 2023

Introduction:

We aimed to evaluate the early and delayed effects of chlorhexidine (CHX) and ozone disinfection on the shear bond strength (SBS) of dentin to glass hybrid restoration.

Methods:

The occlusal surfaces of 60 extracted premolars were trimmed to obtain a flat dentinal surface and randomly divided into three groups, including distilled water (control), 2% CHX, and ozonized water. Each group was further subjected to a shear bond strength test after 24 hours and 3 months.

Results:

The overall model test (P <  0.001), disinfectant and time (P <  0.001), and time (P = 0.017) showed statistically significant differences among study groups. Yet, the type of disinfectant revealed a non-significant difference (P = 0.238). Post hoc tests showed SBS significantly decreasing over time in the control group (P <  0.001) while the difference between 24 hours and 3 months for the CHX (P = 0.880) and ozone (P = 0.983) groups was not significant.

Conclusion:

Within the inherent limitations of in vitro studies, it can be concluded that cavity disinfection with CHX and ozone before glass hybrid restoration had a significant effect on the stability of SBS to dentin over 3 months. The type of disinfectant revealed non-significant difference.
Assessment of Salivary Interleukin-1β Levels in Patients with Gingivitis and Periodontitis
Authors: Al-Musawi Muntadhr A. , Ali Omar H.
Published: March 2023

Introduction:

The study aimed to analyze the level of salivary Interleukin-1 beta (IL-1β) in subjects with healthy periodontium and patients with gingivitis and periodontitis stage I-III.

Methods:

A total of 90 individuals participated in the research, separated into five groups, clinically healthy (n = 10), gingivitis (n = 20), stage I periodintitis (n = 20), stage II periodontitis (n = 20), and stage III periodontitis (n = 20). Level of salivary IL-1β was assessed using the enzyme-linked immunosorbent assay.

Result:

A statically significant difference (P < 0.001) found amongst study groups, further multiple group comparison revealed a statistically significant difference (P < 0.05) when comparing the experimental groups with control and when comparing gingivitis with stage II and III groups.

Conclusion:

Within the limitations of this cross-sectional study, IL-1β can be considered as a potential salivary biomarkers to differentiate between healthy and unhealthy periodontium.
Assessment of the amount of apically extruded debris using three different reciprocating single endodontic file systems
Authors: Alnajm Hasanain M. , Shukri Biland MS
Published: March 2023

Introduction:

This study aimed to assess the amount of apical extrusion of debris after root canal instrumentation with three different reciprocating single endodontic file systems including R-motion, Edge One Fire, and Reciproc Blue.

Methods:

Forty-five human upper first molars that were extracted for periodontal reason included in the study and randomly assigned among three study groups (n = 15). Reciproc Blue, R-motion, and Edge One files were used to instrument the palatal root. Amount of apical extrusion of debris was assessed using the empty tube model of Myers and Montgomery. Data were analyzed blindly via one-way ANOVA and the Tukey post hoc test using R.

Results:

There was statistically significant difference among study groups (p < 0 .001). Post hoc test showed nonsignificant difference among Edge One and Reciproc Blue groups (p = 0.106). The difference between R-motion and Reciproc Blue was marginally significant (p = 0.055).

Conclusion:

Within the limitations of this study, R-Motion showed the most amount of apically extruded debris followed by Reciproc Blue and Edge One.
Holistic Dentistry
Authors: Teplitsky Bernice
Published: March 2023

There has been an increase in worldwide curiosity regarding how people can become healthier through the intake of natural and organic foods, the reduction of toxins, and the use of natural medicine and dentistry. Holistic dentistry has been practiced for over 40 years in the United States, but it is not recognized as a standard of care by the American Dental Association yet. In fact, holistic dentistry carries a stigma and tends to daunt traditional dentists due to a lack of formal holistic dentistry education in dental school or continuing educational courses. Holistic dentistry is the most comprehensive modern form of dentistry that incorporates traditional teachings. It has numerous advantages and should be included into the field of dentistry both in education and as a standard form of practice.
Awareness and Knowledge of HIV/AIDS Among Senior Secondary School Students in Zaria, Nigeria
Authors: Olorukooba Abdulhakeem A. , Saulawa Fahad A. , Zaharaddeen Babandi S. , Raji Ismail A. , Olorukooba Halima O. , Belgore Salamatu
Published: March 2023

Background:

Nigeria has one of the largest human immunodeficiency virus (HIV) epidemics in the world and one of the highest rates of new infections in Sub-Saharan Africa. The younger age group has been identified as bearing half of the burden of HIV worldwide. This includes secondary-school children.

Objectives:

The aim of this study was to determine the awareness and Knowledge of senior secondary-school (SSS) students concerning HIV/AIDS.

Materials and Methods:

A cross-sectional, descriptive study was conducted among SSS students in Zaria, Kaduna state, Nigeria. Respondents were selected using a multistage sampling technique. Data were collected using a pretested, semi-structured, self-administered questionnaire. Descriptive statistics were used to represent univariate level data, whereas chi-square and Fisher’s exact test where applicable were used to identify the relationship between knowledge of HIV and other categorical variables with a level of significance of P < .05.

Results:

The mean age (± SD) of respondents was 16.1 ± 1.1 years. All (100%) of the respondents were aware of HIV/AIDS. The majority of the respondents knew HIV/AIDS was caused by a virus (89%). Almost a quarter of the respondents (22.1%) believed that antibiotics can prevent HIV. The mean (±SD) knowledge score was 80.5 (± 15.8) out of a total of 100%. Overall, 62 (84.9%) of the respondents had good knowledge of HIV/AIDS. There was a statistically significant relationship between knowledge and tribe as well as the religion of the respondents (P = 0.008 and P = .016, respectively). No statistically significant relationship was found between knowledge and other sociodemographic factors (P > .05).

Conclusion:

HIV/AIDS awareness and knowledge were good among respondents though some misconceptions still existed. Respondent’s tribe was significantly associated with the level of knowledge of HIV/AIDS. The school authorities and all other concerned agencies should design campaigns targeted at correcting specific misconceptions and gaps in knowledge for the benefit of the students in the study area and the country at large.
Assessing Current and Preferred Sources of Information on Adolescents’ Sexual and Reproductive Health in Southeast Nigeria
Authors: Agu Chibuike I. , Mbachu Chinyere O. , Agu Ifunanya C. , Okeke Chinyere , Ndubuisi Mildred N. , Ezumah Nkoli , Onwujekwe Obinna E.
Published: March 2023

Background:

Although there are numerous information on sexual and reproductive health (SRH), these vary in content and quality.

Objectives:

This study examined the sources of SRH information, its value, and their significance for adolescent health programming.

Materials and Methods:

This was a mixed methods, community-based study conducted in six local government areas. Quantitative data were collected from 1057 unmarried adolescents aged 13–18 years. The qualitative data were collected through in-depth interviews (IDIs), and focus group discussions (FGDs). Descriptive and inferential analyses were performed for quantitative data using Stata software, while thematic framework approach was used to analyze qualitative data.

Results:

Adolescents reported school teachers (60.5%) and mothers (39.8%) as their major sources of information on signs of puberty. While, teachers (36.3%) and friends/peers (29.8%) were reported as their major source of information on relationship with opposite sex. Bivariate analysis shows that gender had statistically significant associations with parents/guardians (P < 0.001), other family members (P < 0.001), and friends (P = 0.01) as adolescents’ sources of information about relationship with opposite sex. Age category was found to be statistically significant associated with other family members (P < 0.001), teachers (P < 0.01), and friends (P < 0.001) as adolescents’ sources of information about puberty. Other common sources of SRH information elicited through adolescents’ interviews were internet, social media and mass media. Most adolescents valued information from teachers and parents, but preferred receiving SRH information from their friends/peers, social media and mass media because these sources are easy to access with a guarantee of some level of confidentiality. In the opinion of parents and other stakeholders, sources of appropriate SRH information for adolescents were health workers, teachers, parents and adult family members; whereas peers/friends and social media were considered as inappropriate sources of SRH information for adolescents.

Conclusion:

Efforts at addressing adolescents’ needs for SRH information should be targeted at their valued and preferred sources, whilst maintaining a delicate balance with the expectations of parents and other adults.
Unruptured Sinus of Valsalva Aneurysm Coexisting with Ventricular Septal Defect
Authors: Udora Nneka C. , Ojiakor Amamihechineke G. , Oguanobi Nelson I. , Anakwue Raphael C.
Published: March 2023

Unruptured sinus of valsalva aneursym is an incidental, relatively rare finding on cardiac imaging and is often found in association with other cardiac defects with ventricular septal defect as the commonest. It presents a diagnostic challenge on transthoracic echocardiography in coexistence with ventricular septal defect in adulthood, mimicking other cardiac defects. Unruptured sinus of valsalva aneurysm coexisting with ventricular septal defect usually presents with symptoms of rupture—a surgical emergency in the third and fourth decade of life. We report a case of a 24-year-old single mother referred to the Cardiology Clinic of the University of Nigeria Teaching Hospital with 5 months symptoms of heart failure. Investigations showed cardiomegaly, prominent pulmonary conus, and upper lobe vessel diversion on chest x-ray. There were bigeminal premature ventricular contractions, left atrial abnormality, biventricular hypertrophy with a right strain on electrocardiogram, and bidirectional membranous ventricular septal defect with right sinus of valsalva aneurysm on transthoracic echocardiography.
COVID-19 Vaccine Uptake Among Clinical Medical Students in Enugu, Nigeria
Authors: Idoko Chinedu A. , Chidolue Ikechukwu C. , Ibiok Ntat C. , Eze Kingsley
Published: March 2023

Background:

The COVID-19 pandemic shook the world, claimed a lot of lives, incapacitated many, and forced majority of the world into a lockdown. Vaccination is the key strategy to tackling the virus.

Objectives:

To ascertain the level of vaccination and the difficulties associated with vaccination, among clinical medical students in Enugu, South-East Nigeria.

Materials and Methods:

A multistage sampling was used to select 160 respondents while questionnaires (hard and soft copy) were administered to the participants. The IBM Statistical Package for the Social Sciences was used for data entry and data analysis.

Results:

There was a poor (16.3%) knowledge, negative perception (66.3%), and poor uptake of the COVID-19 vaccine (20.6%). There were statistically significant relationships between vaccination status, knowledge of vaccine, age, and perception of the vaccine (P = 0.000) as well as between level of training and vaccine perception (P = 0.03).

Conclusion:

There was very low level of COVID-19 vaccination in the study population that may be attributable to the low knowledge of the vaccine and the high negative perception. The rush to development of the vaccine, possible side effects, and possible long-term complications may be contributory to the poor uptake of the COVID-19 vaccine among the study respondents.
Cannabis as Medicine
Authors: Okafor Michael T. , Okoli Uzoamaka A. , Opoke Uwamleeka , Okafor Germaine A. , Shu Elvis N. , Anusiem Chikere A.
Published: March 2023

The use of cannabis for medical purposes has been a subject for discussion for so many years. Cannabis as a source of medical treatment first came to light in the 19th century. However, origins of cultivation of marijuana as a medical plant can be traced back to thousands of years. Attempts to completely legalize the use of cannabis for medical purposes are strongly contested in many places due to some of its negative effects on users physically, psychologically, and socially. This review is aimed to discuss the mechanism of action and pharmacogenetics of cannabinoids to elucidate its uses as medicine as well as negative effects. Online searches on the following database: Google Scholar, PubMed, Biomed Central, and SciELO were done. An attempt was made to review articles with keywords such as cannabis, cannabinoid receptors, genes, and medical marijuana. This review has highlighted with evidence the importance of genomic profiling to prevent side effects associated with predisposing genes for the benefit of patients who are medical candidates for medicinal cannabis use. Medical profiling via cannabinoid gene expression studies of patients who are medical candidates of cannabis could prevent the negative effects associated with its use.
A Case Report of Intracholecystic Papillary Neoplasm Presenting as Gallbladder Polyp
Authors: Thiek James , Kalita Lachit , Kamalasanan Kiran
Published: March 2023

Intracholecystic papillary neoplasm was a newly proposed term in the 2019 World Health Organization classification of tumors of the digestive system, as a preinvasive neoplasm of the gallbladder. We report a case of intra-cholecystic papillary neoplasm, biliary type with high-grade dysplasia presenting as a polypoidal mass in the fundus of the gallbladder, in a 47-year-old man with a history of periodic abdominal pain and dyspepsia of 6-month duration. As the term for the pathological classification in itself is new, we wish to report this case for record storing purposes that may be imperative if any further study on the said topic is planned in the future.
Yang-Monti ileal ureter: An approach to complex upper urinary tract reconstruction – A case report and literature review
Authors: Ocampo Maria A. , Cabrera Marino
Published: March 2023

Complex ureteral stricture is a challenge for the reconstructive urologist, the surgical technique depends on the length of the segment. Surgical expertise is fundamental due to the limited surgical management in this scenario. We aim to describe the surgical technique and long-term follow-up of complex ureteral injury reconstruction with the Yang-Monti ileal ureter approach, which can be achieved successfully. A literature review was made using Medscape, Embase, and SciELO databases. We describe the cases of two female patients who had complex ureteral injury after urological procedures. Due to the extent of the ureteral stricture, the Yang-Monti ileal ureter was the best option to preserve renal function successfully in these patients. The Yang-Monti ileal ureter is a feasible surgical technique for the reconstruction of complex ureteral strictures when other approaches have failed. The right selection of patients is fundamental to achieving good results.
Indiana pouch cutaneous continent urinary diversion: Lessons learned and outcomes in a referral center with 35 years of experience
Authors: Ocampo María A. , Moreno-Matson María C. , Ruiz David , Forero Jorge , De Mesa Byron López , Varela Rodolfo
Published: March 2023

Objective:

The objective of this study is to describe a single-institution experience of patients with an Indiana pouch (IP) reservoir performed during 35 years, their surgical complications, and functional outcomes in a long-term follow-up. We believe this is the largest experience to date to be described in Latin America.

Methods:

A retrospective chart review of 100 modified IPs constructed from June 1987 to February 2022 was performed. We evaluated the early and late surgery-related complications as well as functional outcomes in a long-term follow-up.

Results:

Complete information was obtained for 100 patients. The mean follow-up was 33.1 months. The most common indication for the IP was radical pelvic surgery (56%), followed by complex lower urinary tract fistula presented in 38% of patients. Above 96% of patients were continent and the mean IP capacity was 468 mL. Early and late surgical-related complications were seen in 31% and 62.3% of the patients, respectively. During follow-up, 50% of patients had reoperation. In our series, only 23% of the patients had urinary tract infection. In the early postoperative period, six patients died.

Conclusion:

The IP reservoir is a suitable continent urinary diversion for patients undergoing radical cystectomy, or patients that want to improve their quality of life when their native bladder is functioning erroneously due to oncologic comorbidities. A high continence rate can be achieved successfully. However, complications occur late rather than early, with a high surgical reintervention rate.
Pain management in outpatient urologic procedures: A prospective randomized trial of oxycodone versus ketorolac
Authors: Yu Eileen , Chen Melody , Mahran Amr , Bukavina Laura , Gonzalez Christopher , Elagooz Reem , Mishra Kirtishri
Published: March 2023

Objectives:

The objectives of the study were to evaluate the efficacy of ketorolac for pain control compared to oxycodone after routine outpatient urologic procedures and to characterize medication overprescription and disposal.

Materials and Methods:

A prospective randomized trial of 150 adults (75 in the ketorolac arm and 75 in the oxycodone arm) who underwent outpatient urologic procedures over 12 months was performed. Baseline and follow-up pain scores were elicited from 55 of these patients (30 ketorolac patients and 25 oxycodone patients), and improvement in pain scores was calculated. Wilcoxon rank-sum test was used to analyze changes in pain scores within and between groups. Pill disposal methods were also recorded.

Results:

Pain significantly decreased in both oxycodone (5/10 at baseline and 3/10 at follow-up) and ketorolac (4/10 at baseline and 3/10 at follow-up) groups. No statistically significant differences in pain improvement were found between groups, despite patients in the oxycodone group taking a higher number of pills (one ketorolac pill vs. four oxycodone pills). A large portion of patients in both groups also did not fill their analgesics (14.7% of oxycodone and 38.7% of ketorolac). Patients in the oxycodone group were more likely to keep surplus pills than ketorolac patients (61.3% vs. 38.7%).

Conclusion:

Ketorolac is a noninferior alternative to oxycodone following outpatient urologic procedures. Patient and physician education is necessary to curtail the indiscriminate prescription, use, and disposal of opioids.
Voiding dysfunction: Postsuccessful anastomotic urethroplasty for pelvic fracture urethral injury
Authors: Desai Devang , Joshi Pankaj , Kulkarni Sanjay
Published: March 2023

Introduction:

Anastomotic urethroplasty (AU) is the standard of care for pelvic fracture urethral injuries (PFUIs). Few patients despite having successful AU have postoperative voiding dysfunction due to an unrecognized neurogenic bladder. This article outlines clinical signs which may predict these injuries.

Materials and Methods:

We retrospectively evaluated our database of more than 1000 cases. Patients who underwent successful AU with postoperative voiding dysfunction were included. The success of urethroplasty was determined by a retrograde urethrogram (RGU) and endoscopic evaluation. Voiding dysfunction was defined as patients with poor urine flow (Qmax <10 ml/s) postsurgery. Urodynamics (UDS) was performed postoperatively on all patients.

Results:

Six men were included with an average age of 27 years (all required step 3 AU). A RGU and endoscopy revealed a patent anastomosis. UDS showed neurogenic detrusor underactivity. There were variable occurrences of other lower motor neuron findings – muscle atrophy, fasciculations, sensory loss, areflexia, and fecal incontinence. The common factor was that all patients had a foot drop on preoperative assessment.

Conclusions:

Coexistent neurogenic bladder with PFUI is rare. The presence of foot drop and other lower motor neuron signs is a predictor for voiding dysfunction. We recommend these patients should have UDS before surgical repair and must be counseled accordingly.
Evaluation of the Effect of Nasal Septal Deviation on the Middle Ear with Wideband Acoustic Immitancemetry
Authors: Bal Nilufer , Kulaksiz Yasin , Yenigun Alper , Polat Emre , Ozturan Orhan , Toprak Ali , Tugrul Selahattin
Published: March 2023

Objectives:

This study aimed to objectively reveal the effects of nasal septal deviation (NSD) and its subgroups on normal middle ear physiology by wideband acoustic immitancemetry (WAI), (it is also known as Wideband Tympanometry).

Methods:

Eighty-five participants with normal hearing were included in the study. Types of NSD finalized with the paranasal CT. The group without NSD was taken as the control group. Wideband absorbance and resonance frequency values were measured at ambient pressure and in the frequency range of 0.25–8.0 kHz. Results: Normal WAI results were obtained in 20 (31%) participants in the NSD group, compared to 13 (72%) in the Control group. The peak pressure values, resonance frequencies, and absorbance at ambient pressure were significantly different between the NSD and the control groups.

Conclusion:

WAI may be used as an objective method to evaluate middle ear involvement in patients with NSD problems.
Sudden Hearing Loss Related to COVID-19 Adenovirus Vector vaccine?
Authors: Margani Valerio , Covelli Edoardo , Elfarargy Haitham H. , Bandiera Giorgio , Filippi Chiara , Buffoni Antonella , Sabino Luigi , Barbara Maurizio , Monini Simonetta
Published: March 2023

There are increasing reports connecting the coronavirus disease 2019 (COVID-19) vaccinations and adverse otological events. These events are mostly explained by the immunological effects or the recorded thrombotic consequences of the vaccinations. The inner ear is liable to be insulted by the thrombosis of the terminal auditory artery causing sudden sensorineural hearing loss (SSNHL). We reported two cases that suffered from SSNHL within 2 weeks after the first dose of the Oxford–AstraZeneca vaccine without any previous hearing problems. These cases showed severe–profound hearing loss in the audiological evaluation. The first case presented with a vestibular hypofunction in the affected ear and received a course of systemic corticosteroids, followed by anticoagulants (heparin). The second case, instead, received six intratympanic injections of corticosteroid, followed by hyperbaric oxygen therapy. The audiological function partially recovered after the treatment in both cases, with complete vertigo recovery in the first case. These results revealed a kind of similarity of the clinical course in COVID-19- and non-COVID-19-associated SSNHL. Hyperbaric therapy showed to be helpful for improving the prognosis.
Assessment of Rheumatoid Arthritis in Clinical Care
Authors: Sokka Tuulikki
Published: March 2023

Quantitative clinical monitoring of patients with musculoskeletal conditions should be included in the infrastructure of every clinical practice. Quantitative monitoring improves the physician’s capacity to assess and document a patient’s clinical status and changes over time, which leads to greater accuracy in the underlying rationale for clinical decisions. Furthermore, routine data collection in consecutive patients facilitates analyses of groups of patients over long periods in usual care, beyond information that can be obtained from randomized clinical trials. (Turk J Rheumatol 2010; 25: 1-11)
Postpartum Spinal Osteoporosis: An Unusual Cause of Low Back Pain
Authors: Gündüz Berrin , Erhan Belgin , Sarıdoğan Merih , Elbaşı Nurgül , Özdoğan Huri
Published: March 2023

Postpartum spinal osteoporosis (PPSO) is a rare condition characterized by osteoporosis associated with pregnancy. The most common symptoms are low back pain and loss of height due to vertebral compression fractures. It is observed in the last trimester of pregnancy or subsequent to delivery. Herein; we report 2 cases of PPSO who presented with low back pain in the postpartum period, aiming to draw attention to this unusual cause of low back pain. (Turk J Rheumatol 2010; 25: 47-9)
Manwoman and the Neuterity of Being in Greek Statuary
Authors: Arvanitopoulos Michael
Published: March 2023

A combination of uncritical interpretations of Greek art maintained since antiquity, together with Heidegger’s failed attempt to connect Being with Dasein through the Greeks, has misled the feminist agenda into dismissing both Heidegger and the Greeks. The bad blood left by Irigaray has revitalized scholarship which wants to know why the world-disclosive nullity of Being cannot be primordially transgenderous in essence prior to its worldly dispersal into the two sexes. It takes a radical, phenomenological reduction which applies suprasegmental theory to re-chisel and strip the Greek statue from multiple layers of calcified presumptions deposited by millennia of realism, historicism, naturalism, and psychologism, until the inherently absent primordiality which Heidegger searched in vain in order to ground Dasein, the same which feminism would dismiss as phallocracy if it was not transgender, becomes literally visible. Two fifth century monumental works, the female Euthydikos Kore and the male Blonde Youth, are re-discovered in the reduction, and the prosody that is their faces lets the two genders reunite into something like a dark song.
De la Crítica de la Razón Pura a Ser y Tiempo
Authors: Romero Martín Francisco
Published: March 2023

En esta investigación intentaremos explicitar hasta qué punto Ser y Tiempo es una suerte de tentativa por retomar, en forma correcta, el originario proyecto filosófico que Kant desplegó en su Crítica de la razón pura. Para lograr justificar nuestra conjetura nos centraremos especialmente en la obra de Heidegger Kant y el problema de la Metafísica (1929). En dicho texto nos encontraremos con una controvertida interpretación que el pensador de Meßkirch elaboró del opus magnum de Immanuel Kant. Interpretación que, justamente, podría sugerirnos que su Ser y Tiempo, no sólo estaría hermanado con la Crítica de la razón pura, sino que vendría a ser una correcta continuación del camino allí trazado por el filósofo de Königsberg.
El pensar del evento y la transformación de la hermenéutica en Heidegger
Authors: Arrien Sophie-Jan
Published: March 2023

En este artículo, examino la transformación del gesto hermenéutico de Heidegger respecto a los grandes textos de la filosofía occidental. Defiendo que, entre 1920 y 1939, Heidegger pasa de un trabajo de «destrucción fenomenológica», donde la interpretación se mide a partir de la experiencia de fenómenos positivos (la historia, el sí-mismo, la fe, la existencia) a un trabajo de «destrucción poiética», dirigido hacia una historia «por venir», ligada a una «experiencia originaria» de la cual tan solo el poeta (Hölderlin) y el pensador (Heidegger) parecen tener la llave. Sin embargo, el pensar heideggeriano amenaza así con hundirse en una forma de hybris (o de desmedida), al sobrepasar la finitud constitutiva de toda hermenéutica digna de ese nombre.
ATTRACTIVENESS OF SYMMETRICAL AND ASYMMETRICAL FACES IN REFERENCE TO THE HALO EFFECT
Authors: Goel Prakriti
Published: March 2023

This study was conducted to find whether symmetrical faces would be rated more attractive than asymmetrical faces. Participants were shown pictures of random actors with symmetrical and asymmetrical faces. They were asked to rate them on a scale from 1-10. Participants were randomly allocated in two different groups; control and experimental. The results of the study stated that participants rated symmetrical faces higher in the terms of attractiveness in comparison to asymmetrical faces , the two conditions did not have a significant difference in asymmetrical ratings and both of them prove the Halo effect.
Parada de bus inteligente, educativo e inclusivo. Estudio comparado para Cuenca,
Ecuador
Authors: Ortega Castro Juan Carlos , Ureta Arreaga Laura Alexandra , Santacruz Espinoza Julio Jhovany , Yturralde Villagómez Juan Carlos
Published: March 2023

Esta investigación presenta una propuesta de arquitectura de hardware y software
necesaria para un sistema de paradas de autobús con la connotación de inteligentes,
educativas e inclusivas. En cada uno de los medios públicos de comunicación, a través de
los sensores se recogen los datos, se envían a un servidor, se procesan y se publica la
información a través de un servicio web. Los dispositivos terminales o interfaces de
usuario consumen la información publicada por el servidor; Información sobre los
usuarios, la línea de ruta, los asientos disponibles, la hora de llegada y la distancia
aproximada de cada autobús. Es un sistema inteligente por la capacidad y el uso de las
tecnologías de la información y la comunicación, educativo por el uso de herramientas
digitales para su acceso e inclusivo porque tiene capacidad para informar a personas con
discapacidad visual.
Line Balancing Method As An Effort To Improve Cable Production In Pt Kmi Wire And Cable Production Management
Authors: Suparmin  , Saragih Yuliarman
Published: March 2023

Write Line Inner Sheating at PT. KMI Wire and Cable has idle time due to processing time on Unbalanced work stations sometimes cause stop lines. Fromcalculations it is known that the cycle time gap / cycle time obtained is as big as 109.2 seconds and the figure is taken based on the biggest time from 6 stations existing work. The author intends to examine the causes of its occurrence processing time delays that occur on the Inner Sheating line and deliver give suggestions for future improvements. This research uses line balancing method and production system layouts. Among them is looking for the cycle time at the 6 largest stations as a reference in determining the next calculation, calculating the company's capacity, determining the efficiency of the machine, calculating the number of machines, adding the number of machines and additional floor area. Data is taken from field observations and records. The author uses two methods, namely the line balancing method and the system method production layout. he line balancing method and production layout system that has been carried out can be causing it to be able to meet market demand of 17,688 coils / month with the addition of machines / work stations, the required floor area is 14 m² with details, 7 m² at the Inner Sheat workstation and 7m² at the Outer Sheat station.