bluuebunny/crossref_metadata_2025 huggingface dataset:
OneCOVID19 PCR: Genomic Expression’s FDA EUA PCR Assay v1
Authors: L Pedersen Morten
Published: September 2020

MEASURAND: Specific nucleic acid sequences from the genome of the SARS-CoV-2: SARS-CoV-2 testing utilizes the CDC-developed assay that targets the Nucleocapsid gene of this virus. Two gene targets, N1 and N2, are used to detect cases of COVID-19. During testing of clinical samples, both N1 and N2 nucleocapsid genes must be detected in order for the sample to be determined as a positive. The primer and probe sequences for the N1 and N2 genes, as well as those for the RNase P control sequences, can be found on the CDC homepage: https://www.cdc.gov/coronavirus/2019-ncov/lab/rt-pcr-panel-primer-probes.html. REGULATORY INFORMATION: Approval/Clearance Status: The SARS-CoV-2 assay test is not cleared, CLIA waived, approved, or subject to an approved investigational device exemption. PROPOSED INTENDED USE: Intended Use: The SARS-CoV-2 assay is a real-time RT-PCR intended for the qualitative detection of nucleic acid from the SARS-CoV-2 in nasopharyngeal swabs, oropharyngeal swabs, nasal swabs, mid-turbinate nasal swabs, BALs, saliva and sputum from individuals suspected of COVID-19. Testing is limited to Genomic Expression that is a Clinical Laboratory Improvement Amendments of 1988 (CLIA), 42 U.S.C. §263a certified high-complexity laboratory. Results are for the detection and identification of SARS-CoV-2 RNA. The SARS-CoV-2 RNA is generally detectable in respiratory specimens during the acute phase of infection. Positive results are indicative of active infection with SARS-CoV-2 but do not rule out bacterial infection or co-infection with other viruses. The agent detected may not be the definite cause of disease. Laboratories within the United States and its territories are required to report all positive results to the appropriate public health authorities. Negative results do not preclude SARS-CoV-2 infection and should not be used as the sole basis for patient management decisions. Negative results must be combined with clinical observations, patient history, and epidemiological information. The assay is intended for use by CLIA certified high-complexity laboratories with experience in developing molecular diagnostics and is only for use under the Food and Drug Administration’s Emergency Use Authorization.
Sequencing Protocol (GenapSys) v1
Authors: Roy Sid
Published: September 2020

User guide to prepare your libraries for sequencing on the GenapSys Sequencer.
Bioneer MDx Protocol for High-throughput SARS-CoV-2 Detection v1
Authors: Ryoung Park Sang , Yang Jeong-Ha , Sik Kim Dong , Park Han-Oh
Published: September 2020

The SARS-CoV-2 testing protocol of Bioneer high-throughput MDx system.
DNA-isolatieFusarium v1
Authors: Aanhane Stan
Published: September 2020

Protocol for DNA isolation of Fusarium oxysporium f. sp. tulipae.
Mask-Based Covid-10 testing system using Exhaled Breath Condensate v1
Authors: J Daniels John
Published: September 2020

The Kinaptic mask-based COVID-19 testing system uses a unique Exhaled Breath Condensate (EBC) collector that converts breath vapor to a liquid biosample for rapid testing and wireless automatic contact tracing. Exhaled Breath Condensate (EBC) is collected from a mask-based EBC collector as a low cost disposable component. Our electronic biosensor detects even low concentrations of virus biomarkers if they are present in the EBC sample. Corona viruses have slowly evolving N-protein and quickly evolving S-protein. N-Protein testing screens for any corona virus infection / S-Protein screens for only COVID-19 infection. The Kinaptic mask-based COVID-19 testing system is a “two-stage filter”: 1) catch only of N-protein biomarker = trigger warning to get more stringent diagnostic and contact trace; 2) catch both N- and S-, or just S- biomarkers = more urgent need for immediate quarantine and medical attention. As the target biomarkers bind to the capture molecules, the electrical conductivity of the electronic biosensor changes. This change in conductive is amplified by our bluetooth electronics, analyzed to determine the presence and quantity of the target biomarker, and the test result wireless transmitted to a smartphone or directly to the cloud.
The Gradient-Based Algorithm for Parametric Optimization of a Variable Structure PI Controller with Dead Band
Authors: Kulikov V. V. , Kutsyi A. P. , Kutsyi N. N.
Published: September 2020

In the automatic system, the presence of an object with a delay that exceeds the value of the maximum time parameter of the controlled object reduces the operating quality of generic controllers (integral, proportionally-integral, proportionally-integral-differential). The occurrence of this kind of delay in the system requires addressing a particular class of regulators that compensate for the negative effects of the delay. This paper examines the PI controller known for its advantages with variable or switchable parameters, which belongs to the class of controllers with variable structure (henceforward — VSC) that do not use sliding mode. Due to the fact that the controller used contains switchable parameters and the object with delay is considered, it is extremely difficult to use analytical approaches to parametric optimization of the system. This lays one under a necessity to use algorithmic methods. This work employs a gradient-based algorithm in which the components of the gradient are calculated using sensitivity functions with their known advantages. The generated Automatic Parametric Optimization (APO) Algorithm calculated the optimal VSC parameters for a given object, based on the minimum of the integrated quadratic criterion. The reliability of the found vector of the controller setting, formed by the APO algorithm, is confirmed by the computational methodology. With accuracy sufficient for practice, the APO algorithm solved the problem of parametric optimization. The positive experience of optimizing the PI controllers with variable parameters allows one to apply it to other VSC, which do not use a sliding mode, and thus further expand the practice of using a gradient-based algorithm based on sensitivity functions for such a class of VSC under various laws of switching structures of the controller.
ALTERNATIVE WAYS TO RESOLVE LABOUR DISPUTES: PRACTICE OF UKRAINE AND THE EU
Authors: Terekh O.
Published: September 2020

This article explores alternative ways of resolving labour disputes through the analysis of relevant regulations of Ukraine and the Member States of the European Union, in particular, France, Bulgaria and Poland, and compares the relevant regulations in this area by contrasting the provisions of domestic and foreign legislation. The purpose of the article is to explore the ways to alternatively resolve labour disputes by analyzing the relevant legal doctrine and provisions of domestic and European law, to identify the advantages and disadvantages of such methods as mediation, conciliation, arbitration, to suggest ways to improve existing legislation. It is noted that the lack of proper legal regulation of alternative dispute resolution today is not the only. Thus, it emphasizes the need to train personnel who could perform the functions of mediators in labour disputes, as well as the need to conduct a comprehensive information policy to inform the public about the benefits of alternative dispute resolution as opposed to litigation, to which the author, in particular, relates the speed, efficiency and focus on maintaining labour relations. In addition, consideration is given to the feasibility of introducing mandatory pre-trial procedures for the settlement of labour disputes. The results of the study can be used for further research in the study of alternative ways of resolving labour disputes, and the formulated proposals can be used to improve existing legislation in the field of labour disputes. Keywords: a labor conflict, mediation, conciliation, arbitration courts, arbitration, a labor dispute commission.
Developing foreign language professional-communicative competence of pedagogical university students by means of CLIL
Authors: Byrdina O. G. , Yurinova E. A. , Dolzhenko S. G.
Published: September 2020

Introduction. The article describes a study of an original CLILbased teaching model at a teacher-training university, designed specifically to develop students’ foreign language professional-communicative competence (FLPCC). Its relevance is due to a lack of research into applying CLIL theory and methodology in teacher-training institutions of higher education, as well as to a practical need to improve the quality of pedagogy undergraduates’ foreign language instruction.

The aim of the present study is to substantiate the effectiveness of implementing the proposed CLIL-based FLPCC development model at a pedagogical university.

Methodology and research methods. The proposed model integrates the communicative and competence-based approaches, as well as the method of conceptual modelling. To assess and confirm the results of the experiment, the authors created a diagnostic complex test in accordance with the Professional Teacher Standard. A feedback survey among students and teachers was conducted, and a SWOT analysis was carried out. The applied methods of mathematical-statistical analysis: Mann – Whitney U-test, Student’s t-test.

Results and scientific novelty. Experimentally and statistically, the study proved the effectiveness of the proposed CLIL-based FLPCC development model. A new model-based CLIL-course was introduced, uniting the content, communicational, cognitive and cultural components of CLIL framework. The conducted experiment contributed to an increase in professional and subjectlanguage knowledge, development of the FLPCC skills and professional and communicative strategies, aimed at solving professional and pedagogical problems. The study presents a new perspective on tandem teaching by integrating the efforts of teachers from various scientific fields. A diagnostic complex test was developed in accordance with the Professional Teacher Standard. SWOT analysis of experimental results revealed the effectiveness and viability of the proposed model.

Practical significance. The study will be useful to teachers practicing CLIL, and for those looking for ways to develop FLPCC in a teacher training institution. Although the experimental work carried out in one university, does not claim to be comprehensive, the authors believe that the model implementation may improve the quality of teacher education.
Pornografía mainstream y su relación con la configuración de la masculinidad hegemónica
Authors: Artazo Gabriela , Bard Wigdor Gabriela
Published: September 2020

El presente artículo analiza prácticas y discursos de la masculinidad hegemónica, especialmente en varones jóvenes y adultos argentinos, que consumen pornografía en sitios de internet reconocidos internacionalmente. Para lo cual, delimitamos un enfoque sobre sexualidad, erotismo y prácticas/discursos de la industria del sexo, especialmente en fenómenos como la pornografía mainstream. Partimos de reflexiones que se desprenden de las investigaciones doctorales (sobre industria del sexo) y posdoctorales (sobre configuración de las masculinidades hegemónicas y su relación con la violencia de género) de las autoras, desde perspectivas feministas latinoamericanas y decoloniales. Metodológicamente, analizamos datos de una incipiente etnografía virtual en foros de debate entre consumidores de pornografía en Argentina, información obtenida de páginas web de pornografía reconocidas y de investigaciones previas en la temática. Como resultado, comprendemos que la pornografía se constituye en un dispositivo pedagógico para los vínculos sexuales, especialmente para la sexualidad heteronormada masculina.
Sarah Kofman, Freud y lo femenino
Authors: Posada Kubissa Luisa
Published: September 2020

Este trabajo se propone rescatar a una pensadora contemporánea poco (re)conocida hoy, como fue Sarah Kofman y, en particular, atender a la relevancia de sus ajustes críticos con el discurso freudiano sobre la feminidad. Desde una innegable afinidad intelectual con el padre del psicoanálisis, esta pensadora analiza las quiebras de su discurso cuando se trata de conceptualizar la femineidad, que la discípula entiende y revisa en Freud no sólo como insuficiente, sino como expresión de un subtexto patriarcal presente ya en filósofos tan reconocidos como Rousseau o el propio Kant. A partir de aquí, se entrará a discutir si estas posiciones de Kofman pueden ser leídas o no en clave de un discurso crítico-feminista.
La salud reproductiva de las mujeres inmigrantes: el "plus" de la desigualdad
Authors: Ugarte Gurrutxaga María Idoia
Published: September 2020

La vulnerabilidad de la población inmigrante está ampliamente documentada y se puede comprender teniendo como marco de análisis los determinantes sociales y su implicación en las desigualdades en salud.En el marco del modelo conceptual de los determinantes sociales de la salud propuesto por la Comisión para Reducir las Desigualdades en Salud en España, el género se postula como uno de los ejes de desigualdad que atraviesan la estructura social y que, en interacción con otros ejes como la clase social, la edad, la etnia o la raza y el territorio, determina jerarquías de poder y conlleva desigualdades en las oportunidades de tener una buena salud.A pesar del reconocimiento internacional sobre la importancia de la Salud Sexual y Reproductiva (SSR), el ejercicio de los derechos humanos en este campo está fuertemente limitado y existen graves barreras que impiden a las personas – y de forma particular a las mujeres- desarrollar plenamente su sexualidad, así como acceder a servicios y suministros de salud sexual y reproductiva necesarios. Esta situación se agrava en el caso de las mujeres inmigrantes.Es importante señalar que hay interés y preocupación respecto a la salud obstétrica de la población inmigrante, ya que numerosas investigaciones ponen de manifiesto la existencia de un grave problema de equidad en la salud perinatal de estas mujeres. Su salud reproductiva es mucho peor que la de las mujeres autóctonas.Entre los factores que contribuyen a la situación de vulnerabilidad de las mujeres inmigrantes destacamos las propias características del contexto migratorio, el abordaje biomédico de la atención a la salud y la escasa competencia cultural del sistema sanitario.
Me echó bilongo… La brujería sexual entre la dominación masculina y la enemistad genérica: dos casos en la Cuba del periodo especial
Authors: Sáez Laredo Liudamys Barbara
Published: September 2020

Este trabajo indaga cómo operó la brujería sexual dentro de las relaciones de poder sexogenéricas a mediados del periodo especial (1990-2000) en Cuba. Desde la metodología cualitativa se analiza la brujería sexual en la sociedad cubana durante la mencionada etapa, usando varios testimonios, entre ellos el de mi bisabuela, una santera cubana con cerca de cincuenta años de práctica La reflexión concluye que la brujería sexual opera en tres sentidos fundamentales: primero, como arma ante la dominación masculina que compensa el cambiante equilibrio de poder entre los sexos dentro de la relación marital, sobre la base de las costumbres y las leyes del orden social; segundo, integra las relaciones de poder entre mujeres evidenciando una enemistad genérica femenina; y tercero crea jerarquías sexuales y sociales que se entrecruzan con otras categorías naturalizadas de desigualdad.
La teoría crítica feminista como correctivo epistémico en psicología
Authors: García Dauder S.
Published: September 2020

El artículo comienza analizando la situación de las mujeres en la psicología (como sujetos y objetos de conocimiento); para posteriormente abordar cómo el feminismo, como teoría crítica y movimiento social, ha transformado la psicología. En primer lugar, describe cómo las pioneras psicólogas utilizaron sus conocimientos científicos para desmontar mitos sobre la inferioridad de las mujeres y los efectos de la educación en su salud. En segundo lugar, analiza cómo los feminismos de los 70 denunciaron el androcentrismo en salud mental y crearon los grupos de auto-conciencia como formas colectivas de politizar los malestares con efectos terapéuticos. Por último, cómo las psicólogas feministas han criticado la esencialización de las diferencias y los dualismos de sexo/género y la patologización de la diversidad. El artículo termina con una reflexión sobre las relaciones entre el feminismo y la psicología hoy.
Investigar y comunicar la historia de la anticoncepción
Authors: Ortiz Gómez Teresa , Ignaciuk Agata
Published: September 2020

En este trabajo se lleva a cabo una breve revisión de la producción académica más reciente sobre la historia de la anticoncepción en un ámbito internacional y se establecen las principales líneas de investigación desarrolladas. A continuación, se presenta y reflexiona sobre una experiencia de divulgación online acerca de la anticoncepción en España durante el franquismo y la transición democrática.
Las madres de los expósitos en España en la segunda mitad del siglo XIX
Authors: Rodríguez Martín Ana María
Published: September 2020

Los objetivos de este artículo son el análisis de las diferencias entre la realidad y la visión social y literaria de las madres que abandonaban a sus hijos y luego los recuperaban, y el estudio de las causas que las empujaban a efectuar ambas acciones, todo ello en la segunda mitad del siglo XIX. Las fuentes que hemos utilizado son los libros de matrícula y los expedientes de los ingresados en la Casa de Maternidad y Expósitos de Barcelona, que nos han permitido analizar las naturalizaciones y las legitimaciones y, además, establecer las características de las madres que las realizaban. Estos resultados los hemos confrontado con la visión que la literatura, la prensa y bibliografía de la época daban de los abandonos de niños y de las mujeres que los efectuaban. La conclusión principal es que era la pobreza, sobre todo, la causa de los abandonos de los hijos, y que esta acción comportaba el rechazo social hacia sus madres.
La salud en la teoría feminista
Authors: Nogueiras Belén
Published: September 2020

Se expone la histórica interpelación del feminismo a los discursos científicos y filosóficos sobre la lábil y débil salud de las mujeres, atribuida a su biología, argumentando que son las limitaciones impuestas en sus vidas por las estructuras materiales y simbólicas del patriarcado las que debilitan y dañan su salud. Se identifica la política sanitaria del patriarcado como una herramienta indispensable para el control y la subordinación de las mujeres, que se ha aplicado históricamente a través los discursos científico-sanitarios, las prácticas clínicas, los diagnósticos y tratamientos, la sanitarización y medicalización normalizada y sistemática de las mujeres. Se concluye que el imaginario creado por el patriarcado sobre la salud de las mujeres y su proclividad natural al desarrollo de malestares físicos y emocionales subyace bajo la objetividad de la ciencia y continúa vigente en las prácticas sanitarias actuales.
Entrevista a Victoria Sau Sánchez
Authors: Turrado María Teresa Fernández , Delgado Echeverría Isabel , Portóles Carmen Magallón , Morán María José Barral
Published: September 2020

Entrevista a Victoria Sau Sánchez
Understanding the resilience and mental health impacts of natural disasters in India: A narrative review
Authors: Patel Sangram Kishor , Agrawal Gopal , Mathew Bincy
Published: September 2020

The purpose of this study is to understand the linkages between natural disasters and their impact on the mental health of people as well as associated resilience mechanisms in India. Natural disasters affect not only the physical environment but also the economy, social life, and well-being of the population. In addition to the loss of precious lives and economic losses, disasters affect the natural growth and mental health of the affected populations to a great extent. It is extremely challenging to quantify the true scale of damage caused by a disaster because physical damage is visible, but hidden impacts could be much more severe and have catastrophic effects on the socioeconomic growth of the affected families and areas. Against this background and with the limited available evidence, this study has tried to understand how disasters lead to poor mental health among the affected populations around the globe and tried to conceptualize this in the Indian context. Our review documents the different pathways for disasters to adversely affect mental health, particularly among vulnerable populations. The review also highlights how an increased frequency of disasters with climate change can lead to a post-traumatic stress disorder, adjustment disorder, and depression. Changes in climate and global warming may require populations to migrate, which can lead to acculturation stress. It can also lead to increased rates of physical illnesses, which secondarily would be associated with psychological distress. This research is an initial step in bringing this important issue forward in the context of Sustainable Development Goals and outlining that better policies need to be designed for prevention, services, and psychological counseling of mental health problems due to disasters. This study also suggests for more longitudinal research to understand the development of disaster-related mental health problems and to develop adequate mitigation strategies.
Comparing two different doses of propofol after sevoflurane induction for intubation in paediatric patients without use of neuromuscular blocking agents
Authors: Muneer Khawer , Khurshid Hina , Chandrakala K R , Chandrika Y R
Published: September 2020

In the practice of paediatric anaesthesia, intubation of trachea without using neuromuscular blocking agents is becoming commoner more so in conditions in which muscle relaxants are not preferred. Different combinations of drugs including opioids, intravenous agents and inhalational agents are being used for facilitating endotracheal intubation when muscle relaxants are not used. In this study we compared intubating conditions in paediatric patients after sevoflurane induction and propofol in two different doses.

80 children of 2 to 12 years age undergoing elective surgeries were divided into two groups P2 and P3 of 40 each. After sevoflurane induction and fentanyl 2mcg/kg I.V. group P2 received propofol 2mg/kg and group P3 received propofol 3mg/kg I.V. The two groups were compared with respect to intubating conditions and haemodynamic parameters.

Clinically acceptable intubating conditions were seen in all patients in both groups. Excellent intubating conditions were more in group P3 (87.5%) than group P2 (80%). Haemodynamic parameters showed no significant difference between the two groups.

In paediatric patients, endotracheal intubation can be comfortably performed without muscle relaxantsby using propofol and fentanyl with sevoflurane induction with no respiratory or haemodynamic adverse events. Propofol in a dose of 3mg/kg gives better intubating conditions than 2mg/kg without adverse haemodynamic effects, although 2mg/kg propofol also gives acceptable intubating conditions.
Randomized controlled study comparing the efficacy of neuraxial blockade by using intrathecal administration of 0.5% hyperbaric bupivacaine 15mg and fentanyl 25mcg - in a single syringe versus separate syringe techniques in inguinal hernia surgeries
Authors: Balaji Ramamurthy , Manoj Kumar Takkillapati Raghavendrati
Published: September 2020

Adjuvants premixed with local anaesthetic solution can alter the density of the hyperbaric solution affecting the spread of block. Administering local anaesthetic and adjuvant in a separate syringe may minimize these changes with respect to densities. Hence we aimed to compare the efficacy of the drugs when administered sequentially and as a mixture.

To compare the efficacy of neuraxial blockade with pre- mixed fentanyl and 0.5% hyperbaric bupivacaine and sequential administration of fentanyl and 0.5% hyperbaric bupivacaine.

After obtaining the institutional ethics committee approval, patients were randomly allocated into Group M = received spinal anesthesia using 15mg of 0.5% bupivacaine heavy and 25mcg fentanyl premixed in the same syringe. Group S = received spinal anesthesia sequentially. Drugs were injected through 25 gauge quincke’s needle in sitting position, inserted at L3-L4 space. Onset of block ,hemodynamics, duration of analgesia and complications were monitored.

Group S had slower onset and slow progression of the block with more time taken to regression of the block compared to the group Incidence of hypotension ,bradycardia was less in group S compared to group M.

We conclude that administrating adjuvants to local anaesthesia sequentially is better than mixing them in a single syringe in terms of surgical anaesthesia, hemodynamic stability and post operative pain relief.
Role of flupirtine in reducing preoperative anxiety of patients undergoing brain tumor surgery- A prospective double blind study
Authors: Sharma Sunita , Modi Shaileshkumar , Jethava Durga
Published: September 2020

Preoperative anxiety is unpleasant sensation, due to parasympathetic, sympathetic and, endocrine stimuli, is often unspecific and unknown to the person and known to cause hemodynamic instability. It can also leads to various intraoperative and postoperative complications which are difficult to manage thus it must be considered one of the important factor to treat preoperatively. Flupirtine acts as antagonism of N-methyl-d-aspartate antagonism and stimulate neuronal kv7 channels causing analgesic action, better tolerability, preservation of respiratory functions, antiepileptic properties. Due to limited study of flupirtine as anxiolytic we conducted study to evaluate role of flupirtine in patients undergoing brain tumor surgeries.

This study was done in 100 patients who were undergoing brain tumor surgery. All patients were randomly assigned in to two groups. One group received flupirtine 100 mg and other group received placebo. Before drug administration and 2 hours after drug regimen level of preoperative anxiety was noted in term of VAS score. Unpaired t-test was used for various aspects of two groups and paired t-test was used for within group comparison.

Compare to baseline, Reduction of VAS was seen in both groups. But reduction was significantly more in flupirtine group compare to placebo group without any side effects.

Flupirtine is useful drug as anxiolytic in patients undergoing brain tumor surgery.
Observational study on the accuracy and speed of ultrasound guided transversus abdominis plane block with two different monitor positions
Authors: Sundaram Subbulakshmi , Dhakshinamoorthy M , Swaminathan G Ashok
Published: September 2020

Aim of the study is to analyse the accuracy and speed of ultrasound guided transversus abdominis plane block with two different monitor positions.

Prospective observational study was conducted after institutional hospital ethics committee. Twenty four male patients posted for open inguinal hernia repair posted under spinal anaesthesia were selected and divided randomly into two groups and at the end of surgery USG TAP block was given. Group I – USG monitor was kept in line, whereas in Group II – USG monitor was kept in perpendicular to the participant. Twelve anaesthetists who had performed more than 20 procedure were selected and they performed one procedure in each group. History of back pain and neck pain was elicited and any discomfort during procedure was recorded. Accuracy of USG image was recorded. Time taken for the procedure was recorded for both groups.

Twelve anaesthetists were selected for this prospective study. Time taken to perform USG TAP in Group I vs Group II was (69.08 ± 8.19 s vs 80.16 ± 4.84s). Difference was statistically significant (p<0.001). Needle placement was significantly more accurate when anaesthetists had the monitor in front of them than to the side (Score was 15 vs 24). Out of 12 anaesthetists, 4 had history of neck pain previously and one was taking treatment for the same. When performed in Group I they had no discomfort but when performed in Group II, anaesthetists with positive history had discomfort during the procedure.

It was concluded that the performance of USG TAP block was comfortable and more accurate and the procedure time was shorter, if the monitor was kept in line of the sight of the operator.
A study to evaluate the efficacy of submental intubation in panfacial trauma
Authors: Ningawal Basant K , Banjare Manish , Nema Anshul , Arora K K
Published: September 2020

Anaesthesia for pan-facial surgeries is challenging because the anaesthesiologist and surgeon have to share the common upper airway field. Oral and nasal routes for intubation are often not feasible. Submental intubation is alternative method to tracheostomy and other modes of intubation for management of airway during maxillofacial surgeries.

To provide safe and easy airway with unobstructed intraoral surgical field without causing much morbidity.

30 ASA I and II patients who had pan-facial fracture, including Le Forte II, Le Forte III, with naso-orbital ethmoidal fracture requiring surgical correction admitted in MGM Medical College and MY Hospital Indore were selected for the study. The patients are intubated by submental route and various hemodynamic parameters were evaluated at different time interval during the surgery. In our study, we used two tube method of submental intubation in which another tube was drawn intra oral through submental incision and first tube was replaced.

There were no episode of desaturation and no difficulty was encountered in secondary intubation. The average duration of secondary intubation was 3-4 minute (Mean+SD = 3.45+0.95) which is less than the conventional one tube method.

As per our experience in study and the review of literature, the submental intubation is very easy and safe method of intubation to provide the unobstructed surgical field for the Le forte II and III panfacial fracture surgeries.
Intranasal midazolam versus intranasal ketamine as premedication in paediatric patients: A comparative study
Authors: Naz Anjum , Chakraverty Prithviraj , Roy Saurabh
Published: September 2020

This study aims to compare the efficacy of intranasal midazolam and ketamine as premedication before anaesthesia in paediatric patients.

Sixty pediatric patients scheduled for surgery between the age group of 2-8 years and belonging to the American Society of Anesthesiologists (ASA) grade I and II were selected for the study. Group A received midazolam (0.2 mg/kg) and Group B received ketamine (5 mg/kg), intranasally 30 minutes before surgery with monitored anesthesia care. Sedation score, parenteral separation reaction, intravenous cannula acceptance, mask acceptance, and hemodynamic parameters were measured.

Patients of both the groups were calm and tranquil, but sedation scores were higher in the ketamine group (3.37±0.67) in comparison to midazolam group (2.60±0.67) at 30 minutes. Parenteral separation was easier in ketamine group compared to midazolam group with a significantly higher separation reaction scores (p<0.05). Venous cannulation and face mask acceptance was also better in the ketamine group with a significantly higher percentage of patients with satisfactory venous cannulation and face mask acceptance (p<0.05). Non-invasive blood pressure, oxygen saturation, and respiratory rate were maintained in both the groups throughout the study period, however tachycardia was observed in the ketamine group.

Administration of the drug through the nasal route is an effective way for paediatric premedication. Both midazolam and ketamine gave a good level of sedation, however, level of sedation, venipuncture acceptance, and face mask acceptance were signiﬁcantly better in the ketamine group. No adverse effects of the premedication drugs were observed in any of the groups.
Erector spinae plane block OR modified pectoralis block for postoperative analgesia after modified radical mastectomy: Which is better ???
Authors: Pathania Anshit Abhi , Mahajan Shweta , Khanoria Rita
Published: September 2020

Finding the best analgesic technique for breast surgeries has always been a matter of great concern. Stable intraoperative hemodynamics and comfortable postoperative patient is what every anesthesiologist aspire of. The benefits of using regional blocks for postoperative analgesia is well known. Hence we intended to study the analgesic efficacy of two of the most latest blocks, used for breast surgeries, the PECS block and the ESP block.

The prospective open label study was conducted in 59 ASA 1, 2 patients, planned for Modified Radical Mastectomy(MRM) under general anesthesia. After approval from institution scientific and research committee, and obtaining written informed consent, the patients were randomly divided into two groups(P and E). Group P(N=30), received ultrasound guided modified PEC block with 30ml of 0.25% levobupivacaine. Group E(N=29) received ultrasound guided ESP block with 30 ml of 0.25% levobupivacaine. General anesthesia was then administered in both the groups. The intraoperative hemodynamics, duration of analgesia, VAS score, number of rescue analgesia, patients satisfaction, safety and side effects were noted and compared between the two groups.

The mean VAS score at 24 hours was 4.11 ± 0.629 in group P and the mean VAS score at 24 hours post operatively was 3.69 ± 0.679 in group E, and the difference was statistically significant (P=0.024).

Both PECS and ESP block can be used efficaciously for providing analgesia for MRM surgeries, with ESP block providing longer duration of pain free postoperative period, without any noted side effects and technical difficulties.
Anaesthetic considerations in paediatric klippel feil syndrome- A case report
Authors: Dhiman Shweta , Sharma Kavita Rani
Published: September 2020

Klippel feil syndrome is a rare skeletal disorder primarily characterized by abnormal union or fusion of two or more cervical vertebrae which is often associated with cervical canal stenosis. This results in a short neck, a low hairline at the back of the head, a limited range of motion in the neck and infrequently an atlanto- axial instability.

Here we report a case of type 3 paediatric Klippel Feil syndrome who underwent Sprengel deformity repair in prone position and its anesthetic implications.

A careful assessment of airway and an algorithmic approach towards management is needed in children with KFS. The various spine deformities associated with KFS demand careful positioning and a reconfirmation of appropriate ETT position, airway pressures and lung compliance is recommended in these children.
Comparative evaluation of post-operative pain with different calcium hydroxide formulations when used as intracanal medicament in root canal treatment- In vivo study
Authors: Thakur Divyangana , Makkar Sameer , Aggarwal, Anurag , Mushtaq Farheen , Mushtaq Uzma
Published: September 2020

The purpose of this study was to compare to evaluate the post operative pain with different calcium hydroxide formulations when used as intracanal medicament in root canal which was evaluated by VAS scale.

The 150 subjects were randomly assigned to four groups and one control group depending upon the intracanal medicament: Group 1: Calcium hydroxide paste (Ivoclar) was used as intracanal medicament, Group 2: Calcium hydroxide paste with iodoform (Metapex) was used as intracanal medicament, Group 3: Calcium hydroxide points (Hygenic) was used as intracanal medicament, Group 4: Calcium hydroxide paste using chitosan (0.2%) as vehicle was used as intracanal medicament, Group 5: Control group containing dry sterile cotton. The incidence and intensity of preoperative pain and experienced post operative pain (on 6, 12, 24 hour and 48 hour) after first visit of treatment were assessed according to patient’s recordings in visual analogue scale.

The medicament causing least operative pain are ranked according to superiority as Calcium hydroxide paste > Calcium hydroxide points > Calcium hydroxide with chitosan > calcium hydroxide with iodoform

At 6 postoperative hour, least post operative pain was recorded by the calcium hydroxide points and high post operative pain in calcium hydroxide with iodine (Metapex). At 12th, 24th, 48 postoperative hour least post operative pain was recorded by calcium hydroxide paste (Apexcal).
Endodontic retreatment of mandibular incisors with variable anatomy: A case report
Authors: Khanna Shreya
Published: September 2020

Single rooted teeth are often considered as the easiest teeth to treat endodontically. Literature revealed several cases documenting single rooted tooth with anatomical variations. The present report is a unique case of two canals in all the mandibular incisors of same patient.
Enhancing smile with ceramic veneers two case reports
Authors: Jajoo Namrata , Chowdhury Deepshikha , Maity Ipsita , Kanti Majumdar Tushar
Published: September 2020

Aesthetic rehabilitation depends clinical procedures as well as respect for biomemitic principles to obtain the final result. In this case report, two cases are described for the restoration of anterior teeth with porcelain veneers. The porcelain veneers have become a treatment of choice due to the advancements in its bonding procedures as well as its high esthetics. The clinical success of any technique depends on the correct identification of a case for which this treatment is appropriate and the successful execution of the clinical steps involved.
Dar w obrzędzie narodzinowym na Lubelszczyźnie
Authors: Tymochowicz Mariola
Published: September 2020

Obdarowywanie w obrzędzie narodzinowym w przeszłości jak i współcześnie odgrywa ważną rolę, stanowi jeden z istotniejszych jego elementów. W artykule przedstawione zostały sytuacje, w których dochodziło do składania darów, kto był obdarowywany i jakie były i są obecnie formy darów, a także jakie one mają znaczenie. Podstawę analizy stanowią etnograficzne materiały z terenu Lubelszczyzny zastane i wywołane, pozyskane przez autorkę, jak też pochodzące z archiwów lubelskich muzeów i Archiwum Polskiego Atlasu Etnograficznego z Cieszyna.
Reinterpretacja integralnego powstawania i rozwoju Kościoła. Niektóre aspekty trynitarnej i antropologicznej eklezjogenezy
Authors: Napiórkowski Andrzej A.
Published: September 2020

Opowiadając się za dynamiczną koncepcją Kościoła, a zwłaszcza ukazując starotestamentalną i nowotestamentalną eklezjogenezę, autor odchodzi od stanowiska, iż Jezus wprost i bezpośrednio założył Kościół. Stawia nawet tezę: nie to było głównym motywem Jego ziemskiej działalności. W uzasadnieniu prezentuje wspólnotę Bosko-ludzką, której kształt tak zależy od Trójcy Świętej i udzielającego się trynitarnie miłosierdzia, jak i od ludzkiej wolności, wypowiadającej się w świętości i grzechu. Jezus nie tyle bowiem funduje instytucjonalno-charyzmatyczną społeczność, ile przede wszystkim pełni wolę swojego Ojca: „Moim pokarmem jest wypełnić wolę Tego, który Mnie posłał” (J 4,34). Odchodzenie od chrystomonizmu w eklezjologii skutkuje dowartościowaniem trynitologii, eschatologii, pneumatologii, antropologii, mariologii oraz wzmożeniem dążeń misyjnych i ekumenicznych.
Obsessive-Compulsive Disorder during the Coronavirus Epidemic 2019 (COVID-19): Letter to the Editor
Authors: Bagheri Sheykhangafshe Farzin , Sadeghi Chookami Elnaz
Published: September 2020

Introduction: In the recent months, the world has been exposed to a serious and evolving threat called the Corona virus disease 2019. A virus that did not take more than a month to become a pandemic disease and it has infected the whole world with its contagion. The virus, which originated in the Chinese city of Wuhan, quickly infected millions of people around the world. As a result, borders were closed internationally, communications were reduced, and billions were quarantined in their homes. The most important strategies recommended by the World Health Organization and the centers for disease control and prevention are such as social distancing, personal hygiene, and disinfection. This situation led to a significant increase in demand for masks, gloves, alcohol, and disinfectants. However, excess in this area may cause various psychological disorders, including obsessive-compulsive disorder and hoarding, which need further attention and investigation.
ISOTERMAS DE ADSORÇÃO DE ÍONS CÁLCIO (Ca+2) EM MATERIAIS CELULÓSICOS
Authors: Silva Brunela Pereira da , Botelho Lorenna Almeida , Neto Abelardo Barreto de Mendonça , Sousa Rita de Cássia Superbi de , Bellato Carlos Roberto , Silva Deusanilde de Jesus
Published: September 2020

A água a ser utilizada em processos industriais demanda um tratamento e qualidade diferenciados. O objetivo desse estudo foi investigar o uso de três materiais celulósicos para abrandamento da água, sendo duas celuloses microcristalinas com granulometrias diferentes (CMC101 e CMC500) e a polpa Kraft de Eucalyptus branqueada. Realizou-se um estudo cinético para a obtenção de parâmetros otimizados, e determinaram-se isotermas de adsorção, utilizando diferentes concentrações de cálcio e assumindo três diferentes níveis de pH. A partir dos resultados, pode-se observar que o modelo cinético de pseudo-segunda ordem apresentou o melhor coeficiente de correlação e o modelo de isoterma Freundilch apresentou melhor ajuste aos dados experimentais, sendo a maior adsorção no nível de pH 7,0 para os três materiais, em que as amostras de CMC adsorveram mais significativamente que a polpa. Conclui-se então que o objetivo foi alcançado
Igualdade de oportunidades e acesso a conhecimentos relevantes: estudo sobre a equidade nas políticas curriculares
Authors: Vasques Rosane Fátima , Silva Roberto Rafael Dias da
Published: September 2020

O presente estudo propôs-se a examinar os tensionamentos existentes entre a igualdade de oportunidades e a democratização do acesso a conhecimentos relevantes, por meio de uma revisão da literatura publicada no Brasil acerca da equidade nas políticas curriculares. A composição teórica do estudo encontra-se na interface entre os estudos curriculares e a sociologia da educação, evidenciando uma intensificação das investigações sobre a equidade. Após o exercício de mapeamento, constatou-se que cinco sentidos de equidade tendem a predominar na literatura brasileira: igualdade de oportunidades, promoção de recursos, processos e resultados, desempenho dos estudantes/eficácia escolar, justiça escolar e acesso ao conhecimento. Os debates em andamento gravitam em torno do debate meritocracia versus conhecimento, ou seja, a equidade no sistema educacional pode ser compreendida como acesso ao conhecimento; para isso se consideram os alunos diferentes no seu ponto de partida e se buscam meios para que alcancem uma efetiva aprendizagem. Mesmo reconhecendo as controvérsias acerca do conceito de equidade, consideramos que este possa contribuir para ampliar os debates acerca da justiça curricular.
A demanda no processo de trabalho dos assistentes sociais e sua configuração em serviços de saúde
Authors: Alves Francielle Lopes , Mioto Regina Célia Tamaso
Published: September 2020

O artigo tem o objetivo de discutir a demanda como um processo fundamental para a definição do trabalho dos assistentes sociais, especialmente nos contextos institucionais e multidisciplinares. A partir da área da saúde concentra sua atenção na análise da configuração da demanda de profissionais da saúde ao assistente social. Esta análise está precedida pelo debate da demanda como um processo que contém alguns pressupostos chaves. A análise trata dos aspectos da presença do “social” na processualidade da demanda, que se expressa através do “caso social”. Tal debate se compromete a oferecer referenciais sobre a disposição do trabalho coletivo que são cruciais para estabelecer diálogos sobre a forma dos assistentes sociais enfrentarem os desafios do cotidiano para firmar seu projeto profissional.
Violência intrafamiliar na Infância e Adolescência
Authors: Lopes Gessica dos Santos Machado , Lewgoy Alzira Maria Baptista , Marques Myriam Fonte
Published: September 2020

Este artigo é produto do trabalho de conclusão da Residência Integrada Multiprofissional em Saúde e em Área profissional da Saúde (RIMS), no Programa da Saúde da Criança em hospital universitário de Porto Alegre/RS. Objetiva-se apresentar a percepção dos Profissionais de Saúde Residentes (PSR) de como a formação em serviço contribui no trabalho profissional, diante da violência intrafamiliar contra as crianças e os adolescentes, no que se refere à concepção, preparação e intervenção. Trata-se de uma pesquisa qualitativa de natureza exploratória, descritiva e empírica por meio de entrevista com 14 residentes, cujas informações foram trabalhadas através de análise de conteúdo na perspectiva de Bardin (2011). Os resultados mostram que a concepção de violência intrafamiliar precisa ser ampliada e elucidada entre os profissionais. Há parca preparação durante a graduação, restringindo a formação e a qualificação profissional à pós-graduação, particularmente a formação em serviço. A intervenção se limita a determinadas áreas profissionais, tendo em vista atribuírem densidades diferentes dos conhecimentos teórico-práticos entre as áreas pelos profissionais. Conclui-se que é imprescindível o trabalho em equipe para garantir a proteção e a integralidade do cuidado na defesa da criança e do adolescente.
A participação da família no processo de cuidado da criança hospitalizada
Authors: Menezes Meirielle Soares de , Maia Ingrid Bezerra Costa
Published: September 2020

O adoecimento e a hospitalização de uma criança trazem inúmeras mudanças e requer um grande suporte familiar, pois esta é considerada essencial e apresenta significativa influência durante esse período. Com isso, o presente estudo teve como objetivo analisar a participação da família no processo de cuidado da criança hospitalizada. Para realizá-lo foi utilizado uma abordagem qualitativa, com oito entrevistas semiestruturadas, aplicadas na unidade de pediatria do Hospital de Messejana Dr. Carlos Alberto Studart Gomes – HM, em Fortaleza – Ceará. A coleta de dados ocorreu entre julho a outubro de 2019. Após transcritos, os dados foram analisados e discutidos. Definiram-se três categorias de análise: Mulheres Cuidadoras; Rede de apoio familiar e A importância da família no processo de cuidado. A análise mostrou que as mulheres são as principais cuidadoras das crianças, corroborando para a discussão das relações de gênero e seus desdobramentos. Destarte, conclui-se a necessidade do fortalecimento do vínculo familiar, visto a importância da participação da família durante a hospitalização e a criação de políticas públicas voltadas para ampliação da autonomia das mulheres.