bluuebunny/crossref_metadata_2025 huggingface dataset:
Avaliação da qualidade da assistência pré-natal prestada pelo enfermeiro
Authors: De Souza Rodrigo Ayres , Dos Santos Monique Silva , Messias Cláudia Maria , E Silva Halene Cristina Dias de Armada , Feitosa Rosa Ann Mary Machado Tinoco , Da Silva Maria Regina Bernardo
Published: November 2020

Objetivos: avaliar a atenção no pré-natal pelo enfermeiro; analisar a consulta de enfermagem na percepção da gestante. Metodologia: pesquisa exploratória, descritiva, qualitativa, desenvolvida em uma Clínica de Saúde da Família do Município do Rio de Janeiro. A população do estudo consistiu em 15 gestantes, usando referencial avaliativo proposto por Avedis Donabedian. Resultados: o estudo apontou gestantes jovens, casadas, sem incentivo do enfermeiro na participação do parceiro, porém classificando positivamente a consulta pré-natal. A sala de pré-natal possui equipamentos necessários, mas o registro no cartão da gestante foi inadequado. Conclusão: necessário maior incentivo da presença paterna nas consultas e uniformidade nos registros do cartão da gestante com qualificação do enfermeiro na assistência prestada.
A (in)visibilidade do adolescente na atenção primária na percepção do profissional da saúde
Authors: Takuno da Silva Taynara , Machado Cruz Shibukawa Bianca , De Oliveira Demitto Marcela , Ayres Baena Juliane , Higarashi Ieda Harumi , Garcia Lopes Merino Maria de Fátima
Published: November 2020

Objetivo: Identificar a percepção de enfermeiros da Atenção Primária sobre sua atuação no desenvolvimento de ações de saúde para adolescentes. Método: pesquisa qualitativa e descritiva, realizada em 30 Unidades Básicas de Saúde de um município do Sul do Brasil, com enfermeiros, que responderam à entrevista. Realizada análise temática, resultando em três categorias. Resultados: O conhecimento dos enfermeiros acerca das diretrizes nacionais para a atenção integral à saúde do adolescente apresenta-se restrito. Ações visando a promoção da saúde do adolescente são, em geral, preteridas pelos enfermeiros. Conclusão: A dificuldade de aproximação entre enfermeiro e adolescente na Atenção Primária se contrapõe à necessidade de vínculo entre eles. O desenvolvimento de estratégias mais efetivas de promoção à saúde, suscita a premência de capacitação profissional e de condições estruturais, que permitam ao profissional voltar seu olhar para essa população, notoriamente vulnerável.
Analysis of the subject field of the phenomenon of communicative culture in dissertation research on pedagogical science
Authors: Ryndak Valentina G. , Bazhenova Yuliya A.
Published: November 2020

The paper is devoted to the phenomenon of communicative culture in pedagogical science. The material for the study was the domestic dissertation research on pedagogy from 1998 to 2017, the subject of which is this phenomenon. The authors define the main theoretical constructs (communicative competence, pedagogical communication, communication culture, etc.), which allowed researchers to formulate their own definition of the phenomenon of communicative culture. It is revealed that the performances of modern domestic scientists understanding of the studied phenomena is ambiguous and depends on the specific problems of the study, in 53.1% of studies, the phenomenon of communicative culture is understood as an integral (or integrative) personal quality; 9.5% - as a component of professional activity, giving the opportunity to represent the studied phenomenon by transferring characteristics of professional activity; in 16.6 per cent as the quality of the individual, reflecting the motives and needs of communication and interaction with other people; in 20.2% - as the ability to establish a variety of social contacts, depending on the mastery of science and the art of communication, patterns and values of behavior. At the same time, related concepts (for example, communicative activity, pedagogical communication, communicative competence, culture of communication, etc.) were studied in detail. Freedom in determining the components of the structure of the phenomenon of communicative culture, we explain the artificiality of ideas about it in the mind of the researcher as a consequence of transposition (a variant of the result of generalization).
RISK APPETITE ASSESSMENT FRAMEWORK
Authors: Fedulova Iryna , Skopenko Nataliia
Published: November 2020

he adoption of any managerial decision within the company happens in the presence of risks. Against this background, it is vital to determine whether the risk is acceptable for achieving the objectives.

In the article the essence of risk appetite, risk tolerance and risk capacity is considered. Differences between risk capacity, risk appetite and risk tolerance are defined. Risk appetite reflects the level of losses that the company is willing to accept in order to achieve its strategic objectives. In contrast, risk tolerance is related to the acceptance of the outcomes of specific identified risk events and is defined as readiness for certain risk event. Risk capacity is the maximum level of risk that an organization is able to accept for achieving its business goals, taking into account the current level of resources, its capital structure and access to markets.

An important part of identifying the risk appetite for the company is a description of advantages and disadvantages of existing methods of its assessment. Quantitative and qualitative approaches to determining risk appetite are considered. In the first case, the absolute value of possible risk or its relative value is established. In this case, the risk appetite is determined depending on organizational objectives. These objectives may determine the achievement of the planned financial indicators, compliance with financial regulations and other indicators of the company. Qualitative assessment of risk appetite is used when the risk cannot be quantified. In this case, the risk appetite is presented in a descriptive way. It is important to define the risk appetite including all aspects of the enterprise activity in the context of certain strategic goals of its development.

Breaching the risk tolerance threshold should serve as a red alert for management. In such a case, it is important to reduce the risk position.
RELATIONSHIP BETWEEN THE COMPANY’S PROFESSIONAL SUCCESS AND ITS INTELLECTUAL CAPITAL EFFICIENCY MANAGMENT (by VAIC method)
Authors: Mysaka Hanna , Derun Ivan
Published: November 2020

At the current stage of economic relations development, intellectual capital becomes one of the main competitive advantages of the company. This necessitates the operative and rational management of its components in order to achieve the company’s economic and financial prosperity in conditions of a highly competitive environment and limited financing opportunities. At the same time, professional success is one of the objective non-financial displays of the company's intellectual capital effective management. The authors have proved that a quantitative measurement of companies’ professional achievements provides the ability to verify the assessing results of efficiency management of their intellectual capital. The study deals with the analysis of the adequacy of the results of Value Added Intellectual Coefficient (VAIC method) for assessing the intellectual capital efficiency, based on the indicators of companies’ public financial statements and the level of their professional success, determined on the basis of professional rating data. The authors have selected the UEFA Club Ranking as the most suitable instrument of professional performance measurement for football clubs’ comparative IC efficiency assessment. The paper contains empirical analysis results of the advantages and disadvantages of VAIC method to assess the companies’ intellectual capital management efficiency on the example of the TOP 50 UEFA Club Ranking for 2014-2018 and the football clubs’ annual reports. The authors have proved that VAIC method provides the results that are in some measure consistent with the rating of the football clubs’ professional achievements.
Muscular atrophies in craniocerebral suffering
Authors: Popov N. M.
Published: November 2020

On February 5th of this year, a patient came to our outpatient clinic with a complaint of severe headaches; these pains, which had lasted for about 2 months, at first appeared in him exclusively at night, and then did not stop during the day, although during the night they always took on a more cruel character. In the last time, an increase in headache was very often accompanied by vomiting and a feeling of goose bumps in the right extremities, in which the patient also began to suppress a clear decrease in strength, especially in the evening (during the day he was still in a state of some kind of work).
To the morphology of the terminal nervous apparatus in the muscles of voluntary movement
Authors: Polumordvinov D.
Published: November 2020

According to the views prevailing at the present time, the muscles of voluntary movement do not have independent sensitive devices, and all the manifestations of muscle sensitivity, whether this latter is expressed in the form of pain sensitivity, or in the form of muscular feeling, are explained by the presence of tendon sensory nerve endings, internum , - in a word, in connective tissue and connective tissue formations, exposed to mechanical impact from the contracting muscles.
Prof. E. Kraepelin. Psychiatry. Textbook for students and doctors. Per. from the 5th German edition. 2 part. St. Petersburg. 1898. Price 5 rubles
Authors: Vorotynskiy B. I.
Published: November 2020

In the preface to the fifth (last) German edition of his manual, the author points out that in this edition his textbook has undergone significant and substantial changes, representing the last breakthrough transition from a symptomatological way of presenting a clinical study. In view of this, the author, when presenting, pays the main attention to the causes, course and outcome of mental disorders, pushing back into the background the meaning of external signs of mental illness. Since the Russian translation is delivered from the last German edition, it is likely to carry all the features of this edition, indicated by the author in the preface.
I.K.Shmukler. Children masturbation. Kiev. 1897 year
Authors: Sergeev L. A.
Published: November 2020

The author in his work, drawing attention to a serious and highly important issue of the general masturbation in children, examines the causes, symptoms, consequences and treatment of this pernicious disease.
Chronicle and mix
Authors: Vorotynsky B. I.
Published: November 2020

From reliable sources, we can report that the State Council has allocated 9 million to the Ministry of Internal Affairs for the construction of new District Hospitals for the mentally ill. This amount will go to the order of the Ministry for 1 million annually, starting from this year. As we have heard, the first hospitals will be built near Moscow, Yekaterinoslavl, Astrakhan, Tomsk and Riga.
Report of the commission on the issue of alcoholism and the fight against him
Authors: Popov N. M. , Dogel I. M. , Vorotynskiy B. I. , Levchatkin V. I.
Published: November 2020

The Society of Neuropathologists and Psychiatrists at Kazan University, having received a proposal from the chairman of the commission, which is at the Biological Section of the Society for the Protection of Public Health in St. Petersburg, to take part in the development of the issue of alcoholism and the fight against him in the environment, the Commission decided to elect for this task included prof. I. M. Dogel, prof. H. M. Popov, priv. - doc. B. I. Vorotynskiy and Dr. V. I. Levchatkin. The elected committee reviewed the program worked out by the Society for the Protection of National Health and found it possible to give its conclusions on some issues.
About auditory centers in the cortex of hemispheres
Authors: Bekhterev V. M.
Published: November 2020

The subject of research on the cortical auditory center from the number of mammals, as is known, were dogs and monkeys. The main studies of the auditory center in monkeys and dogs are studies of Ferrier'a and Munk'a. The first showed that the auditory center is placed in the first temporal gyrus in monkeys: according to Ferrier, when this gyrus is destroyed in one hemisphere, hearing is lost on the opposite side, when the same gyrus is destroyed in both hemispheres, deafness occurs in both ears. Although these observations by Ferrier were subsequently disputed, in later experiments carried out with Jeo, Ferrier reaffirms the results of his earlier studies.
Prof. Dallemagne. The will in its relations with penal responsibility. — Paris. Scientific Encyclopedia of Aide-Mémoire published under the supervision of M. Léanté, Member of the Institute
Authors: Vorotynskiy B. I.
Published: November 2020

Dr. Dallemagne, Professor of Forensic Medicine in Brussels, has long been working in the field of criminology. Known, by the way, of his recent research in this direction, published in separate editions under the title of the title: "Anatomical stigmata of crime"; "Biological and sociological stigmata of crime"; "New theory of crime"; "Physiology and pathology of will". Although the author is not a psychiatrist in his specialty, however, in his works he reveals a complete acquaintance with the new successes of psychiatry. The author should be credited with the fact that he bases all his conclusions and conclusions on the positive data of psychopathology.
Konstantin Vasilievich Voroshilov. (1842-1899)
Authors: Mislavskiy N.
Published: November 2020

Died on December 3, 1899, an honorary member of our Society, Professor K.V. Voroshilov, born on February 1, 1842.
The results of the examination of German and some French institutions for the mentally ill
Authors: Delov E.
Published: November 2020

The XIX century, marked by a colossal progress in all branches of human knowledge, as expected, did not remain without influence in cultural countries to improve the situation of keeping, treating and looking after the mentally ill. A hundred years ago, the famous French psychiatrist Pinel, who removed the chains from the mentally ill, to whom they were attached, and preached humane treatment of such patients, gave a push to this at the end of a hundred years ago. A whole series of the following psychiatrists in all civilized countries tried to put this principle into practice and develop it further; thanks to their scientific research, they raised psychiatry as a science to the respectable place that it occupies among other branches of medical knowledge. The society, awakened from the gripping of its perpetual indifference to the fate of its unfortunate fellows who got sick, as if conscious of its guilt for the deprivation that the mentally ill previously experienced in the old hospitals - prisons, begins to worry little about the result In recent years, in our country and in all civilized states, one after another, new psychiatric hospitals are growing whole palaces, where, down to the smallest details, everything is foreseen, according to the newest views, for the rational maintenance and treatment of their sick people. Hospitals such as Herzberge and Wuhlgarten near Berlin, Dziekanka near Gnezen, the famous colony for the mentally ill Alt-Scherbitz, clinics in Halle and Hedelberg, Munsigen hospitals in Switzerland and Kierling in Switzerland, with their orders and orders, amaze in them, and the achieved results in the maintenance and treatment of the mentally ill.
The essence of hysteria (To the phenomena of irradiation and antagonism between nerve centers)
Authors: Knotte Brunon
Published: November 2020

In 1897, the light work of P. Sollier was published under the title: "The origin and nature of hysteria". This is an extensive work in two large volumes. The entire second volume consists of 20 detailed diaries of diseases related to persons who have suffered from the most severe forms of hysteria and who have been treated by Sollier according to his special method with exceptional versus all conventional methods of treatment success. This 2nd volume has the meaning of a bunch of documents in relation to the first volume, which sets out the Sollier's own study of hysteria based on them.
About constricting pupils and accommodative centers of the cerebral cortex
Authors: Bekhterev V.
Published: November 2020

In view of the recent indications made by Dr. Piltz concerning the existence in the rabbit cortex of a special shrinking eye center in the posterior hemisphere, I think it is not superfluous to point out my long-standing studies on the excitability of the cerebral cortex in monkeys, in which I have also noted the shrinking eye centers in the vicinity of the rabbit cortex.In this regard, the corresponding instructions were made by me in 1897 in one of the scientific meetings of doctors of the clinic of mental and nervous diseases in St. Petersburg.
Report on the activities of the Society of Neuropathologists and Psychiatrists at the Imperial Kazan University for 1899
Authors: Nikolaev V. V.
Published: November 2020

Nowadays, the Society is finishing the eighth year of its existence. In the reporting year 1899, the Society had 6 scientific appointments 1 year and 5 successive ones, on which 10 messages were sent on the following topics: 1) Prof. N.M. Popov. On the question of the localization of cortical centers in a man (with a demonstration of the patient). 2) Dr. A.E. Yapishevskiy. On the issue of descending fiber systems in the posterior columns of the spinal cord (with a demonstration of drugs).
About latirism
Authors: Golzinger F. F.
Published: November 2020

Of the diseases caused by the use of food or other plant substances, latirism is one of the most interesting, in terms of the clarity of the clinical picture, the purity of the nervous phenomena and the comparative simplicity and stereotypicality of symptomatology. This disease is far from uncommon in some exotic countries, in former times and in Europe, it required quite a few sacrifices, but nowadays it is relatively rarely observed in our latitudes, for all this, many questions, especially regarding its pathogenesis and pathological anatomy, are still awaiting clarification
The state of the mentally ill in the Stepnoye general-governorships (Akmola, Semipalatinsk and Semiruchensk regions) for the period from 1893 to 1897 inclusive
Authors: Shaykevich M.
Published: November 2020

The steppe general-governorship for the most part, namely the Akmola and Semipalatinsk regions, was previously administratively part of Western Siberia, and the Semiruchensk region belonged to Turkestan. Western Siberia was made up of the provinces of Tobolsk and Tomsk. Initially, my aim was to investigate the regions of the former Western Siberia, but later I had to abandon the intended task and confine myself to the regions of the Steppe General Governorship.
N. Solovtzoff. Sur les difformites congenitales du cerveau dans leurs rapports avec l’etat des cellules nerveuses de la moel- le. Extrait de la Nouvelle iconographie de la Salpetriere 1898 г
Authors: Yanishevskiy A.
Published: November 2020

Having described three cases of congenital malformations of the central nervous system, which occurred from the internal dropsy of the brain, the author paid special attention to the cells of the anterior horns of the spinal cord.
Hanefîlerde Örf-Maslahat-İstihsan İlişkisi (Serahsî Örneği)
Authors: ORUÇ Muhammed Ferruh , DİRİK Mehmet
Published: November 2020

Fıkıh düşüncesinde maslahat, “def’i mefâsid ve celbi menâfi’” şeklinde özetlenebilecek bir prensiptir. Teamül haline gelmiş belli nitelikteki sosyal davranış biçimlerini ifade eden örf ise fıkhın çok geniş bir alanında hukuki sonucun belirlenmesinde fakîhin kendisinden faydalandığı bir kaynaktır. Fıkhi hükümlerin uygulanmasında önemli bir yeri bulunmakla birlikte örfün bulunduğu konum ve fıkhi faaliyetlerdeki rolü, diğer delil ve metotlara oranla daha geç dönemlerde müstakil olarak incelenmeye başlanmıştır. Örf ve maslahat arasındaki ilişki ise insanlar arasında örf haline gelmiş işlerin, nasslara aykırılık taşımadıkça ve taraflardan biri lehine haksız bir menfaat meydana getirmedikçe hukuk nazarında da geçerli kabul edilmesi ve buna göre hüküm verilmesi sürecinde ortaya çıkar. Bu çalışmada Serahsî’nin usûl alanındaki Temhîdü’l-fusûl fi’l-usûl ile fürû‘ alanındaki el-Mebsût adlı iki önemli eseri üzerinden istihsan, örf ve maslahat kavramları arasındaki ilişki ele alınmıştır. Böylelikle Hanefî fıkıh usulünün erken döneminde müstakil bir başlık altında incelenmeyen maslahat ve örfün, ictihadi faaliyetlerdeki konumu ve işlevi ortaya konmaya çalışılmıştır.
Can smoking have an effect on total rectum wall thickness in ulcerative colitis?
Authors: KÖKER İbrahim , KÖKER Hilal , ÜNSAL Gülbin , TEZEL Ahmet , ÜMİT Hasan , SOYLU Ali
Published: November 2020

Background and Aims: Ulcerative colitis is an idiopathic, chronic inflammatory disease with a high relapse rate. Smoking contributes to the development and progression of ulcerative colitis. We determined total rectal wall thickness in patients with ulcerative colitis who had a smoking history. Materials and Methods: We included 19 patients with ulcerative colitis (ulcerative colitis group) and 19 controls (control group) and compared total rectal wall thickness among them. Total rectal wall thickness was significantly greater in the ulcerative colitis group. We also compared total rectal wall thickness between patients with and without smoking history in both groups. Results: Of the 19 patients with ulcerative colitis, 4 and 15 were females and males, respectively, with a mean age of 46.8±13.3 years. Of the 19 controls, 5 and 14 were females and males, respectively, with a mean age of 46.6±11.8 years. While 9 patients with ulcerative colitis were active, 10 were in remission. The median (interquartile range) total rectal wall thickness was significantly higher in the ulcerative colitis group (4.1 mm [3.1–4.6]) than in the control group (2.5 mm [2.0-3.7]) (p=0.003). The median total rectal wall thickness was significantly higher in patients with ulcerative colitis and a smoking history than in those without (4.6 mm [4.3-4.9] vs. 3.8 mm [2.6-4.1], respectively; p=0.025). Total rectal wall thickness did not differ according to smoking history in the control group. Conclusion: Smoking history is associated with total rectal wall thickness increase patients with ulcerative colitis on transrectal ultrasonography.
Formación profesional inmersa en la transformación digital con el fin de mejorar la calidad en la educación
Authors: Vega Rodriguez Leidy Yaneth , Botero Suaza Luz Eugenia
Published: November 2020

La utilización de las tecnologías se ha considerado un medio eficiente para el mejoramiento de la transferencia y la apropiación del conocimiento. Bajo el nuevo paradigma de la Industria 4.0, se hace necesario redireccionar el proceso de enseñanza-aprendizaje hacia una educación basada en tecnologías que contribuya con el desarrollo del pensamiento creativo y reflexivo, desde el fortalecimiento de la creatividad, innovación, autonomía, colaboración, imaginación, interactividad y emprendimiento. Como resultado de una vigilancia tecnológica del sector educativo, se analizan las tendencias tecnológicas emergentes que apoyan la enseñanza-aprendizaje y la investigación creativa, así como los desafíos más significativos a los que se enfrenta el sistema educativo, a fin de promover la transformación digital y la innovación tecnológica. La información presentada sirve como una referencia y guía de planificación de para mejorar, apoyar o ampliar la enseñanza, el aprendizaje y la investigación.
EXAMINATION OF VANADIUM EFFECT ON GENERAL MECHANICAL CHARACTERISTICS OF Bi-2223 MATERIALS VIA SEMI-EMPIRIC MODELS
Authors: SOYKAN Uğur , VALİYEVA Fidan , YILDIRIM Gürcan
Published: November 2020

In the current work, we semi-empirically investigate the load-independent Vickers hardness values of vanadium added Bi-2223 compounds in the plateau limit regions evaluated from the experimental microhardness graphics (Vickers hardness parameters versus applied indentation test loads) to determine the role of vanadium particles on the general mechanical characteristics with the aid of six mechanical modeling approaches, namely law of Meyer, proportional sample resistance, elastic/plastic deformation, modified proportional sample resistance, Hays-Kendall and indentation-induced cracking models. Throughout the study, the samples are prepared with the different molar rations varying from x=0 to 0.3 by the conventional ceramic method in the normal atmospheric pressure at the room temperature conditions. All the model findings show that the mechanical performances tend to constantly reduce with increasing the vanadium concentration level embedded in the Bi-2223 superconducting crystal system. This is in accordance to the fact that the concentration level of vanadium remarkably damages the main structural problems and permanent irreversible deformations. In this respect, it is not wrong to verify that the vanadium inclusions unstabilize the inherit durable tetragonal phase of Bi-2223 inorganic solids, resulting in the regression in the mechanical durability (resistance towards to the applied loads) in case of the applied test loads. Moreover, the models indicate that every material prepared exhibits the conventional indentation size effect (related to the formation of elastic and plastic deformations in the host crystal structures simultaneously due to the recovery of systems) but within the suppression trend. Shortly, all the semi-empiric models preferred in the present work are found to be useful descriptors to define the suitable relationship between the ion-addition mechanism in the crystal lattice and mechanical durability/performances of vanadium-added Bi-2223 materials. We should, of course, declare here that Hays–Kendall approach is gathered to be the best approach model for the load-independent Vickers hardness values in the plateau limit regions.
A prospective study on impact of patient counselling on quality of life of patients with atopic dermatitis
Authors: R. Ranjeth , Vijayasenan Resmi , S. Amritha M. , Wesley I. John
Published: November 2020

Background: Atopic dermatitis is an acute, sub-acute or chronic relapsing skin disorder characterized by intense itching, pruritus and oozing. It adversely affects the routine activities of patients for which effective treatment is to be provided along with proper counselling. The aim of the current study was to evaluate the impact of patient counselling on quality of life (QoL).Methods: A prospective study was conducted in 108 patients recruited from the Department of Dermatology for a period of 6 months. A written informed consent was taken. Out of the 108 patients, 54 patients received tacrolimus and the remaining received corticosteroids. The collected data was analysed and presented. Data was collected by using a suitably designed proforma. Dermatology life quality index (DLQI) was used for assessing QoL. Patients were counselled regarding the disease, drugs and lifestyle modifications using patient information leaflet (PIL).Results: The current study found that patient counselling was effective for both the groups with a p value <0.05. The effect of disease in quality of life improved from severe to mild in both groups (prior to counselling QoL mean value of 2.93±0.61 shifted to 1.18±0.71 post counselling). In the tacrolimus group, QoL mean value of 2.81±0.61 shifted to 0.98±0.71 after counselling. In the corticosteroids group, a shift from a mean QoL value of 3.05±0.59 to a mean of 1.38±0.65 was observed post counselling.Conclusions: The provision of effective counselling was found to have a profound impact on improving patient’s quality of life. A transition from severe effects of the disease to milder effects of the disease on quality of life was observed.
Adverse drug reactions or events in children with assessment of causality and severity: a retrospective analysis from Bhavnagar
Authors: Gohil Jayendra R. , Sarwade Aniket B. , Chauhan Hardik R. , Jasani Jay R. , Gujrati Hinal R.
Published: November 2020

Background: Objective was to study the occurrence of adverse drug reactions in pediatric age group in a tertiary care hospital setting.Methods: A retrospective study was undertaken to analyze adverse drug events in pediatrics wards of a tertiary care hospital. Any event marked as ‘suspected adverse drug reaction’ was included in the study and ADR forms were analyzed for causality and severity. Other parameters like age and sex, class of drug, types of ADR, commonly involved systems and polypharmacy were studied.Results: Total 74 cases of admitted patients (13 deaths: 11 infants, 6 neonates) with severe ADR were studied of whom 39% were females. Antimicrobials were the commonest drug class (54%) with Skin most commonly involved. 77% cases were of probable category according to Naranjo’s scale of causality assessment. 11% cases were prescribed polypharmacy.Conclusions: Antibiotics were the class of drug causing maximum ADRs. The commonest system involved was skin. Redness, itching & rashes were the common symptoms. Antimicrobials should be used judiciously. Polypharmacy should be avoided. ADR reporting should be strengthened. Extra vigilance is required for infants and neonate’s prescriptions.
Self-medicated, satranidazole induced fixed drug eruption: a case report
Authors: Malathi Divyashanthi Chellathambi , Bommasani Anusha , Priyadharsini Raman Palanisami
Published: November 2020

Fixed drug eruption (FDE) is described as the development of one or more annular or oval erythematous patches as a result of systemic exposure to a drug; these reactions normally resolve with hyperpigmentation and may recur at the same site with re-exposure to the drug. Repeated exposure to the offending drug may cause new lesions to develop in addition to lighting up the older hyperpigmented lesions. Here we present an interesting case of satranidazole induced FDE with a past history of FDE to the same drug 5 months back. Since the eruption occurred in the same site on re-exposure to the same drug, a diagnosis of FDE was made and causality assessment by Naranjo adverse drug reaction probability scale showed a certain relationship between the cutaneous adverse reaction and the offending drug
Knowledge, perceptions and safety practices of COVID-19 infection among healthcare workers in a tertiary health institution, Southwest, Nigeria
Authors: Ahmed Abdul Mumin K. , Ojo Omobola Y. , Imhonopi Gloria B. , Oladeji Funmilayo O. , Oyesola Olurotimi A. , Alausa Olanipekun K.
Published: November 2020

Background: Globally, COVID-19 is a topic of concern among the populace and especially with the health care workers. Recent report by NCDC showed that globally as at August 2020, the world had witnessed 17,396,943 cases with 675,060 deaths presenting a case fatality rate of 3.89%. This study assessed the knowledge, perception and safety practices of COVID-19 infection among healthcare workers.Methods: It was a descriptive cross-sectional study. Both qualitative and quantitative methods were used. 410 participants drawn across most units in the hospital. Data analysis was done using SPSS software version 20. Responses were summarized using percentages, and frequencies. Test of association done using chi-square, and level of significance set at 5% (p<0.05).Results: This study found mean population 39.23±9.87 years with modal of 30-39years. All 410 (100.0%) respondents heard about COVID-19 pandemic but further knowledge rating showed 347 (84.6%) had good knowledge. Perception was high at all thematic areas, 275 (67.1%) affirmed that COVID-19 infection was fatal. About 273 (66.6%) strongly agreed that PPE must be worn, similarly, 299 (72.9%) strongly agreed that use of facemask was important for infection prevention strategy. However, observational checklist gave varied opinion on availability and use of PPEs.Conclusions: This study identified a significant gap in information source, knowledge levels especially among lower cadre staff, discrepancies in perceptions of COVID-19 and unavailability of PPEs. There is a need by the government and hospitals management to ensure regular training of all cadres of staff and regular provision of PPEs for the healthcare workers.
Sexual dysfunction among married multiple sclerosis patients in Kingdom of Saudi Arabia 2020
Authors: Alqahtani Zina Ali , Mushari Bayan Yahya , Alsulayyim Rahaf Saeed , Al-Qahtani Nouf Mohammed , Alzailaie Ameerah Khaled , Al-Hasher Sara Khalid , Abumsmar Lamya Ali , Gohman Raghad Salem , Yahya Dhay Mohammed , Almozher Hajar Alhussain , Al-Hayaza Shahad Hassan
Published: November 2020

Background: Multiple sclerosis (MS) is a chronic inflammatory demyelinating disorder of the central nervous system characterized by episodic and progressive neurologic dysfunction resulting from inflammatory and autoimmune reactions. Sexual dysfunction (SD) is a common disorder in both male and female patients complaining of multiple sclerosis (MS).Methods: A descriptive cross-sectional study was conducted including patients with MS attending Arfa MS Society in Saudi Arabia. Data were collected from participants using electronic pre-structured questionnaire. The questionnaire was uploaded online using social media platforms. Multiple sclerosis intimacy and sexuality questionnaire (MSISQ-19) was used to assess sexual dysfunction. Patient health questionnaire (PHQ-9) was used to assess patient’s psychological health and depression.Results: The study included 303 patients with multiple sclerosis whose ages ranged from 20 to 62 years old with mean age of 34.7±8.2 years old. About 75.6% took a long time to reach orgasm. Feeling sexual pleasure was reported by 73.3% of the patients and 70% reported that they had less interest or less desire for sexual activity. In general, the patients score regarding primary sexual dysfunction was 13.7 out of 25 (54.8%), 24.4 out of 45 for secondary sexual dysfunction (45.2%), and 12.6% out of 25 for tertiary sexual dysfunction (50.3%).Conclusions: In conclusion, the study revealed that sexual dysfunction in multiple sclerosis patients is not a simple process. MS was associated with high sexual dysfunction with other psychological disorders affecting male and female patients equally regardless age and educational level.
Obesity and depression, an analytical study among adults attending primary care clinics in Bahrain
Authors: Ali Afaf A. M. , Alalwan Naseem F. , Ali Mona A. M. , Alsayyad Adel S.
Published: November 2020

Background: Both depression and obesity are widely spread problems with major public health implications. Obesity is a major risk factor for several chronic diseases. However, its consequences on mental health is less certain. This study explore the association between obesity and depression among adults in Bahrain.Methods: A cross sectional study was conducted among adults ≥18 years attending general practice in four primary care health centers that have been selected randomly from the four governorate in Bahrain. Self-filled questionnaire that includes demographic information, depression scale and other behavioral and clinical factors were used as the study tool. Weight and height were measured for each participant and BMI was used to assess obesity. Depression was assessed using beck depression inventory scale, with a score of more than 16 to indicate clinical depression.Results: The prevalence of depression is 16% while the prevalence of obesity is 42% among adults in the study. The prevalence of depression among underweight, normal weight, overweight and obese adults are almost the same (around 16%). Analysis using Chi Square test and regression analysis test showed no significant association between obesity and depression.Conclusions: The present study did not confirm any relationship between obesity and depression among adults attending primary care clinics in Bahrain.
Fear of COVID-19 among pregnant women in Pakistan: a cross-sectional study
Authors: Nausheen Sidrah , Bhamani Shelia , Makhdoom Areeba , Sheikh Lumaan
Published: November 2020

Background: The emergence of COVID-19 and its pandemic nature has exacerbated fears worldwide. Pregnant women are considered a vulnerable group during the COVID-19 pandemic because the physiological changes make them more susceptible to infections. Pregnant women are found expressing much of the fear related to their course of pregnancy, the in-utero transmission of the disease, and questions related to infection control in healthcare settings. Hence, the purpose of this paper was to explore the fears faced by pregnant women related to COVID.Methods: It was a cross-sectional survey among 201 pregnant women attending antenatal clinics of Aga Khan University Hospital. The survey tool contains demographic variables and a 7-item scale of “Fear in COVID” which is pre tested in the Iranian population. The survey form was made on google drive and sent to pregnant females on WhatsApp.Results: 201 pregnant women mostly belonging to middle and low socioeconomic class were enrolled. The majority (80%) of women were less than 30 years of age. Only 26 (12.9%) were primigravids, remaining were multigravidas of a different order of pregnancy. 60% of our study population showed high fear scores (27-35) from coronavirus whereas another 30% had moderate fear. No association of study variables was found with fear scores.Conclusions: We found a high level of fear of COVID-19 among the pregnant population with a higher level of anxiety and stress related symptoms. The amount of fear and stress is independent of the trimester or order of pregnancy.
The effect of cryotherapy on the reduction of pain levels in gout arthritis patients in Jambi city
Authors: Novrika Bri , Akhriansyah Mareta
Published: November 2020

Background: Gouty arthritis is a disease caused by metabolic disorders with an increase in uric acid concentration which causes local joint pain. The management of gouty arthritis with pharmacological therapy usually uses several conventional drugs. The high prevalence of chronic pain experienced by sufferers has made the patient undergo non-pharmacological therapy with cold compresses (cryotherapy) to be more appropriate for joints with signs of inflammation such as redness and swelling that occur in patients with rheumatoid arthritis. Ice (ice packs) and ice water in the treatment of injuries and treatment modalities commonly used in the management of pain and injuries.Methods: This study used a quasi-experiment design with a two-group pre-test and post-test design approach. This study was conducted on patients with gout arthritis at PSTW Budi Luhur Jambi city with 16 respondent and control groups respectively. Data analysis in this study used univariate and bivariate using the independent t-test.Results: The results showed the average decreased levels of pain in patients with gouty arthritis in the control group without treatment pretest 3:50 whereas for the average posttest 3:19 and the average value decreased levels of pain in patients with gouty arthritis in the intervention group before performed cryotherapy 3:38 while for the average after treatment is 1.38, the statistical test p value is 0.000Conclusions: The influence cryotherapy to decrease rate gout arthritis pain in patients PSTW Budi Luhur in the city of Jambi.
Effect of spherical rigid gas permeable lens on correction of corneal astigmatism
Authors: Rathor Jogendra Kumar , Memon Usman , Jethva Jignesh
Published: November 2020

Background: Objectives were to study an effect of spherical RGP (rigid gas permeable) contact lens in correcting high corneal astigmatism more than 3 diopter.Methods: Total 48 eyes with corneal astigmatism greater than 3.00 diopter were included in study. At the first visit, routine preliminary examination, parameter assessment and subjective refraction has been carried out followed by patient counselling for RGP lens wear. Based on the corneal parameters considering keratometry as well as corneal topography, RGP lens trial was done. Post adaptation period, lens fitting analysis was done by understanding Fluorescein pattern with slit lamp and over refraction was done. Final lens has been ordered on this basis with understanding of tear lens formed, lens performance on cornea and edge width minimal of 0.80 mm to 1.00 mm. Patients were assessed at an interval of every two months from a date of lens dispensing.Results: The spherical RGP lens did correct the corneal astigmatism of more than 3D by formation of tear lens between cornea and lens. Vision improved by 2 to 3 lines compared to the spectacle correction without compromising corneal integrity at the central or peripheral cornea. Keratoconic eye showed significant vision improvement without the use of toric lens.Conclusions: Astigmatic eyes showed significant improvement in acuity with spherical RGP lens without compromising corneal integrity.
Demographic profile of subjects undergoing sphenoidotomy for sphenoid sinusitis, in a tertiary care centre of Punjab- analysis of 75 subjects
Authors: Munjal Manish , Sethi Suneet , Chowdhary Anurag , Munjal Shubham , Sood Ananya , Thind Amrita , Walia Rishabh
Published: November 2020

Background: The demographic profile of patients with Sphenoiditis undergoing surgical intervention, in the state of Punjab was studied. The emphasis was on the age, gender and clinical presentation in this prospective study.Methods: There were 75 patients of  sphenoethmoidal recess pathology with sphenoditis, who were selected from the Rhinology clinics of Otorhinolaryngology and head Neck services of  Dayanand Medical College and Hospital  Ludhiana , in a period one and a half years (November 2002 to October 2004). All patients were taken up for Functional endoscopic sinus surgery of the sphenoid  sinus surgery with sphenoidotomy.Results: The age range of subjects with sphenoiditis was between 12 years to 70 years. The mean age was 38.13 years. The maximum number of patients were in 19-30 years age group and the minimum in 31-40 years age group. Males outnumbered the females by a ratio of 1.7:1. The most common was posterior nasal drip (69.33% cases) behind the Eustachian tube and the least common complaint was diplopia (5.33% cases. Ocular involvement was observed in 32%. The right eye was more frequently involved (17.33%) as compared to the left (12%).Conclusions: Patients with Sphenoid sinusitis were seen in the broad age range from 19 to 30 years with a male predominance. Posterior nasal discharge behind the Eustachian tube, rather than the typical occipital ache was the primary complaint .Right sided eye involvement with ptosis and lateral rectus palsy were commonly noted.
Puerperal sepsis and maternal outcome in developing countries: an observational study
Authors: Kumar Naina , Yadav Ashu
Published: November 2020

Background: Puerperal sepsis is a major cause of maternal morbidity, mortality. Present study was conducted to know burden of severe puerperal sepsis, risk factors, maternal outcome.  Methods: Present observational cohort study was conducted in the Obstetrics and Gynecology department of rural tertiary center of Northern India over eight months (1st January-31st July 2018). All women who had delivered or aborted in an institution or those referred from outside within 42 days of delivery/abortion having clinical features, investigations suggestive of puerperal sepsis were enrolled. Socio-demographic factors, clinical features, examination findings, investigations, details of antecedent pregnancy, complications, risk factors, and maternal outcome were recorded. Statistical analysis was done using SPSS version 22 software.Results: A total of 66 cases with severe puerperal sepsis were observed during the study period of which 55 (83.3%) were referred from outside. The most common mode of delivery in antecedent pregnancy was vaginal (42.4%) followed by cesarean section (33.3%) and one (1.5%) forceps delivery. There were 15 (22.7%) post-abortal cases. Maternal anemia was found to be significantly linked with sepsis and adverse maternal outcome (p<0.05). Most common presenting features were fever (100%), tachycardia (100%), breathlessness (100%), malodourous vaginal discharge (100%), abdominal distention (53.0%), scar infection (16.7%), vaginal or rectal bleeding (16.7%), peritonitis (27.3%), septic shock (12.1%). A total of 38 (57.6%) cases required surgical intervention with seven (10.6%) developing multiorgan failure and 15 (22.7%) succumbed to death.Conclusions: Though puerperal sepsis is a preventable condition, it continues to be one of the major causes of maternal morbidity, mortality.
Quality of life among people living with HIV/AIDS in tertiary care centre of Himachal Pradesh
Authors: . Sunita , Dhadwal D. S. , Gupta Anmol , Mahajan Anjali , Barall Deepesh
Published: November 2020

Background: The world health organization (WHO) has defined quality of life as an individual’s perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns. The objective of study was to assess the quality of life among people living with HIV/AIDS by comparison of mean scores of their quality of life in physical, psychological, social and environmental domain.Methods: This cross-sectional study was conducted among PLWHA on ART during 2016-17. Data were collected using WHOQOLHIV‑BREF scale and mean±SD of score was calculated. The difference in mean scores of various domains were analysed using ANOVA test. All variables with p<0.2 on univariate analysis were included in multivariate linear regression model.Results: The total score of QOL was 61.71±9.43. The scores of QOL was highest in physical and lowest in environmental domains with 69.55±12.27 and 57.14±10.61 respectively. 71.25% patients rated their QOL good and only 10% were dissatisfied with their health. Currently ill status was the most associated factor under all except social domain. Males with higher education or living with their spouse had significantly better QOL scores.Conclusions: Being a male, educated, employed in the government sector, belonging to general caste category and living with their married spouse were the factors for their better QOL in comparison to their counterparts. Along with ART, other factors should be taken into consideration to improve QOL of PLWHA.
Senna Makki and the COVID-19 pandemic: a reflection from Pakistan
Authors: Kumar Sahil , Naeem Ramsha , Radhawi Anum Syed Tauqir , Mahmood Syed Uzair , Batool Zehra , Naqi Syed Roshaan Ahmed
Published: November 2020

The outbreak of the novel coronavirus (SARS-CoV-2) since December 2019 has created an unprecedented state. As it is a new variant of a virus treatment options are not only limited but require painstaking trials to confirm their effectiveness. Due to the lack of awareness in many developing countries people have started using herbal medications, used for various other diseases, to combat COVID-19. Misleading information on social media regarding “Senna Makki” has gone viral in Pakistan. However, consumption of Senna Makki is not advised as a treatment option for COVID-19 due to its many harmful associated side-effects. Although its use in other diseases is evident, trials to confirm its effectiveness against COVID-19 need to be prioritized as the public has started consuming Senna Makki in high doses and without monitored prescription.