bluuebunny/crossref_metadata_2025 huggingface dataset:
Depression and anxiety symptoms among people with rifampicin-resistant tuberculosis receiving in-patient care in the National Pulmonology Reference Institute in Romania
Authors: Stoichita Alexandru , Dumitrescu Andreea , Ciobanu Ana , Oancea Cristian , Petronela Fildan , Dabja Radu , Dumchev Kostyantyn , Dadu Andrei , Mahler-Boca Beatrice , Akopyan Kristina
Published: January 2021

Mental health comorbidities are common among tuberculosis patients, with higher prevalence among people with rifampicin-resistant/multidrug-resistant (RR/MDR) tuberculosis.  TB and depression share common risk factors adding to the overall disease burden. There is limited evidence about prevalence of depression and anxiety symptoms among tuberculosis patients in Romania. We assessed the prevalence of depression and anxiety symptoms and their evolution over the course of the treatment in RR/MDR-TB patients receiving in-patient care at the National Institute of Pneumonology (NIP) “Marius Nasta” in Romania during May-September 2020. We conducted a cohort study and used the Hospital Anxiety and Depression Scale (HADS) to assess the prevalence of depression and anxiety (defined as score≥ 8) symptoms at admission (baseline) and the second month of in-patient treatment (follow-up). Difference between baseline and follow-up depression and anxiety symptoms were assessed using McNemar test. Binary logistic regression was used to evaluate the association between sociodemographic and clinical characteristics with the presence of depression and anxiety symptoms at baseline. The cohort included 46 patients, 63% were male, mean age was 46 (±13.3) years. The prevalence of depression and anxiety in our cohort was 46% and 43% at baseline respectively, and 50% and 39%, at the follow-up respectively. About one third (7/25) of patients who had normal HADS depression score at baseline, had an increase above the threshold at the second month of treatment. No statistical difference in prevalence of depression or anxiety was found between the baseline and second month of treatment. Unadjusted analysis showed that odds of depression at baseline was lower in patients with education above 8th grade compared to patients with education below 8th grade (odds ratio=0.2, 95% confidence interval: 0.1,0.8, p=0.026). The study revealed high prevalence of depression and anxiety among RR/MDR-TB patients admitted to the NIP, underlining the necessity of evaluating the mental health of TB patients and linking them to appropriate care.
Critical Considerations for COVID-19 Vaccination of Refugees, Immigrants, and Migrants
Authors: Thomas Christine M. , Osterholm Michael T. , Stauffer William M.
Published: January 2021

As COVID-19 vaccines are distributed across the United States, it is essential to address the pandemic’s disproportionate impact on refugee, immigrant, and migrant (RIM) communities. Although the National Academies Press Framework for Equitable Allocation of COVID-19 Vaccine provides recommendations for an equitable vaccine campaign, implementation remains. Practical considerations for vaccine rollout include identifying and overcoming barriers to vaccination among RIM communities. To identify barriers, information regarding vaccine beliefs and practices must be incorporated into the pandemic response. To overcome barriers, effective communication, convenience of care, and community engagement are essential. Taking these actions now can improve health among RIM communities.
Validation of Compressibility Test Systems for Friction Materials
Authors:   Brake Linings Standards Committee
Published: January 2021

This SAE Recommended Practice (RP) applies to the validation process for test systems used to measure deflection (compressibility, creep, or swell and growth) of friction materials and friction material assemblies. The materials or assemblies can fit passenger cars, light trucks, and commercial vehicles equipped with hydraulic or air brake systems, using disc or drum brakes.
Toward an ethics of decolonizing allyship in climate organizing: reflections on Extinction Rebellion Vancouver
Authors:   Institute for Resources, Environment and Sustainability, University of British Columbia, James Dana ,   Centre for Sustainable Food Systems, University of British Columbia, Mack Trevor ,   Independent Activist-Scholar
Published: January 2021

Since launching in the UK in 2018, Extinction Rebellion (XR) has become a global social movement that uses mass civil disobedience to pressure governments to take immediate action on the climate crisis. While XR has shifted the conversation on climate change, it has also been critiqued for its lack of attention to privilege and oppression, and for its ‘apolitical’ approach to climate organizing. In this article, we argue that XR must develop an intersectional approach in order to address the climate crisis. In particular, we reflect on our experiences as participants in XR-Vancouver, located on unceded Indigenous territory in the settler colonial state of Canada. Settler colonialism in Canada is intertwined with the climate and ecological crises, as Canada's status as a petrostate is built on the dispossession of Indigenous Peoples through a strategy of racial extractivism. To attend to these dynamics, we build on Kyle Powys Whyte's concept of ‘decolonizing allyship’ and suggest three ethics – of relational accountability, care, and incommensurability – that settler-led movements like XR can cultivate. We conclude by inviting XR to (re)engage with a ‘politics of refusal’ that subverts the state and allows XR to collectively enact what different systems (rooted in intersectional, decolonizing allyship) could look like.
Victim, litigant, activist, messiah: the child in a time of climate change
Authors:   Associate Professor, School of Law and Justice, Southern Cross University, Rogers Nicole
Published: January 2021

In this article, I identify and examine four framings of the child in regard to climate change issues, including activism and policy reform. My focus is on the extent to which children are moving beyond the category of victim and assuming a disparate role and distinctive voice in various climate discourses: as litigant, as activist and as messiah. I explore the changing role of the child as a political, legal and social phenomenon, and consider the extent to which writers of climate and other forms of fiction have anticipated and contribute to these different framings of the child.
A colonized COP: Indigenous exclusion and youth climate justice activism at the United Nations climate change negotiations
Authors:   Assistant Professor, College of Saint Benedict & Saint John's University, USA, Grosse Corrie , Mark Brigid ,   Doctoral Student, University of Colorado Boulder, USA
Published: January 2021

Youth activists around the world are demanding urgent climate action from elected leaders. The annual United Nations climate change negotiations, known as COPs, are key sites of global organizing and hope for a comprehensive approach to climate policy. Drawing on participant observation and in-depth interviews at COP25 in 2019, this research examines youth climate activists’ priorities, frustrations and hopes for creating just climate policy. Youth are disillusioned with the COP process and highlight a variety of ways through which the COP perpetuates colonial power structures that marginalize Indigenous peoples and others fighting for justice. This is intersectional exclusion – the character of exclusion experienced by people with multiple intersecting marginalized identities. We demonstrate that the space, policies and even the social movement organizing at COP25 are exclusive, necessitating new ways of negotiating, building relationships, and imagining climate solutions that centre Indigenous communities, and protect and return to them the lands on which they depend. As the youth climate justice movement grows, attending to Indigenous priorities will help it transform, rather than reinforce, the systems at the root of climate crisis and to challenge existing policymaking structures.
The right of publicity in Chinese Law? A comment on the Michael Jeffrey Jordan case and comparative analysis with the US, UK, Germany, and the Asia Pacific
Authors:   Associate Professor at KoGuan Law School, Shanghai Jiaotong University, Zhang Chenguo ,   Senior Research Fellow at the Law School, University of Bremen, Centre of European Law and Politics, Germany
Published: January 2021

In Michael Jeffery Jordan v Chinese Trademark Review and Adjudication Board, the Supreme People's Court (SPC) set a precedent for foreign companies and celebrities enforcing their rights of publicity against malicious trademark registration in China. This article introduces the legal grounds of the SPC's deliberations on Jordan's claims and responds to the critiques of most Chinese commentators in the field of civil law. Deeply influenced by German law, mainland China's legal system strictly distinguishes between personality rights and property rights. Comparative analysis with the US, Germany, Japan, and Hong Kong indicates that different legal civilizations have developed different approaches to position the right of publicity logically in their legal systems. The Jordan decision indicates that the ‘right of the name’ is a prior right provided in Article 32 of the Trademark Law of the PRC. This article contends that the ‘right of the name’ as provided in the Chinese Anti-Unfair Competition Law differs from the ‘right of the name’ articulated in Article 110 of the General Principles of Civil Law (2017). The former concerns the commercial interest and property aspects of a celebrity's name, which is fairly similar to the right of publicity, while the latter regards the personality right. The further development of the right of publicity protection relies in mainland China on a consistent judicial practice.
From the gut? Questions on Artificial Intelligence and music
Authors:   IusArtium, Koempel Florian
Published: January 2021

AI applications are manifold in the music industry, both as tools assisting composers in creating and as music generating machines. AI applications assisting composers are widely used, for example in providing drum sequences or mastering services. AI-generated music is mainly used as production music, for example in synchronizing YouTube videos. Copyright implications relate initially to the use of existing works to train the computer, and secondly to the copyright protection for AI-generated musical works or sound recordings. This article firstly looks at the copyright acts involved in the training process in the EU, UK and US as well as potentially applicable exceptions. Secondly, it addresses the copyright position of AI-generated music and in particular the legal requirement of human creativity as the basis of copyright protection for musical works. The situation for sound recordings might be different.
Development of Methodology for Vulnerability Assessment of Chemical Accident in Terrestrial Ecosystem: (2) Focusing on the Herbs
Authors: Chae Yooeun , Kim Lia , Cui Rongxue , Lee Jieun , An Youn-Joo
Published: January 2021

Objective:As the industry rapidly develops in modern society, the use of chemicals increases and people and various organism living in terrestrial environments are exposed to these chemicals in large quantities. Chemical accidents frequently occur around the world, and these accidents could cause fatal damage to the terrestrial ecosystem. When the terrestrial ecosystem is exposed to highly toxic chemicals, soil functions as well as living organisms in the terrestrial ecosystem could be severely damaged. Countermeasures against chemical accidents and chemicals are required to prevent such damage and for this purpose, systematic vulnerability assessment techniques should be developed to prepare terrestrial ecosystem management for chemical accidents. For this purpose, this study is conducted to develop chemical vulnerability assessment techniques based on biological characteristics of plants.Method:First, we selected 215 species among herb plants according to the domestic distribution and establish various vulnerability indicators that can be evaluated according to the exposure and recovery categories.Results and Discussion:As a result of vulnerability scoring for 215 herbs species, the most vulnerable species were Humulus japonicus, Linum usitatissimum, Psilotum nudum, Trigonotis peduncularis, and Lamium amplexicaule. The least vulnerable species were Miscanthus sinensis, Dactylis glomerata, Spodiopogon sibiricus, and Polygonum filiforme.Conclusions:Terrestrial ecosystem is a main stage of human activity, so there is a high risk of chemical accidents as a large amount of chemicals are used. By utilizing this terrestrial ecosystem vulnerability assessment proposed in this study, we can prioritize the vulnerability of chemicals on the terrestrial ecosystem and use this technique to manage chemical accidents and chemicals and prepare countermeasures.
A Study on the CMR Criteria for Domestic Petroleum Stream UVCB Substances
Authors: Kwon Minji , Kang Meejin , Lee Keunwon , Jung Seungho
Published: January 2021

Objectives:According to a revised version of the K-REACH, a registration grace period was granted for each recorded tonnage of toxic materials. At this time, 364 hazardous substances, such as carcinogens, mutagens, and agents that cause reproductive toxicity, were announced to be registered by 2021, even if the number of reported tonnage were low. Some petroleum stream substances were excluded from the list due to complications in identifying their compositions. Especially for petroleum UVCB substances, which have varying amounts of ingredients and contents.Methods:A list of domestic petroleum substances is made by researching petroleum substances regulated abroad. The status of domestic and foreign management of the substance was investigated and a method for determining the CMR of petroleum substances is suggested.Results and Discussion:A list of petroleum substances has been compiled. Five methods for CMR determination of petroleum substances, then the currently applicable method has been proposed.Conclusions:By preparing a list for the management of petroleum substances and criteria for CMR judgment, it is expected that even before the test data or epidemiological data of the relevant substance are secured, it can be used for safety management in advance by predicting the hazard.
Occurrence of Harmful Blue-green Algae at Algae Alert System and Water Quality Forecast System Sites in Daegu and Gyeongsangbuk-do between 2012 and 2019
Authors: Woo Chang Yeon , Yun Sang Leen , Kim Seog-ku , Lee Wontae
Published: January 2021

Objectives:We analyzed the occurrence of blue-green algae at Algae Alert System and Water Quality Forecast System sites in Daegu and Gyeonsangbuk-do between 2012 and 2019.Methods:Data from 17 sites in Daegu and Gyeonsangbuk-do were collected and reclassified to 8 Nakdong river (ND) sites and 9 water source (WS) sites. Influencing factors on the occurrence of blue-green algae were investigated.Results and Discussion:At the ND sites, blue-green algae were observed in the range of 0-495,360 cells/mL. Between 2012 and 2019, the average number of blue-green algae increased as the sites go downstream from ND-1 (Sangju weir) to ND-8 (Dalseong weir), while the number of blue-green algae was lower at the site in-between weirs than the site adjacent to weir. At the WS sites, blue-green algae were observed in the range of 0-112,000 cells/mL. The average numbers of blue-green algae in 2014, 2015 and 2017 were higher than those of other years. The dominant species of blue-green algae was Microcystis at all the sites during the summer when the water temperature was high; when the water temperature was low Aphanizomenon had higher rates of dominance. Water temperature was positively correlated with the number of blue-green algae grown, while the dissolved oxygen concentration was found to have a negative correlation with it. pH and chlorophyll-a were less correlated.Conclusions:In Daegu and Gyeongsangbuk-do, the main stream of the Nakdong river showed higher blue-green algae occurrence than the water source sites. In most cases, Microcystis was dominant species. In the main stream of Nakdong river, blue-green algae tended to occur more downstream, and the number of blue-green algae was higher at sites close to weir than sites in-between weirs. The occurrence of blue-green algae was highly related to water temperature.
A Study on the Comparative Analysis of 2-MIB Treatment Characteristics and Optimization of Process Operation in 2-types of Advanced Water Treatment Plants in the Han River Water Supply System
Authors: Park Jong-Il , Lee Young , Jang Kyoung-A , Kim Keon-Hoi , Lee Tae-Hoon , Kim Sun-Wook
Published: January 2021

Objectives:In this study, through the results of the high-concentration 2-MIB (2-Methyl Isoborneol) treatment by two different types of advanced treatment plants (Post Peroxone+GAC, UV/H2O2+GAC F/A) which intake raw water from the same water intake facility, the 2-MIB removal characteristics by oxidation process of each WTPs (Water Treatment Plants) were compared and analyzed, and optimal operation methods were derived.Methods:The 2-MIB removal rate was compared and analyzed according to each AOP (Advanced Oxidation Process) operating conditions (Post Peroxone+GAC of the G WTP and UV/H2O2+GAC F/A of the I WTP). The optimal equations of chemical injection were derived through the correlation between the operating conditions of the AOP for each WTPs and 2-MIB removal rate. By analyzing the operating characteristics of each WTPs, the cost and unit price for optimal operation were calculated according to the 2-MIB concentration of raw water and water production. Optimal operating conditions were derived through the performance of oxidation facilities and chemical injection equations of each WTPs, and economical operating plans were reviewed through linked operation of 2 WTPs.Results and Discussion:The 2-MIB removal rates for each WTPs were 70~100% for the G WTP and 50~96% for the I WTP. The operating conditions affecting the 2-MIB removal were [O3 injection×contact time], H2O2/O3 for Post Peroxone of the G WTP, and [UV dose×H2O2 injection] for UV/H2O2 of the I WTP. As a result of comparing the operating cost(electric power cost + chemical cost) of each WTPs, I WTP was 6.6~24.3 KRW/m3 higher than G WTP. It is considered to be because the H2O2 injection was 11~43 times for UV/H2O2 than Post Peroxone. Optimal operating conditions could be derived through the performance evaluation of each oxidation facilities and chemical injection equations of each WTPs. The G WTP and the I WTP are equipped with pipe line for linked operation in the water supply pipes, so the water production for each WTPs can be distributed. In the case of the same water production, it was confirmed that the unit price can be reduced when the water production ratio of the G WTP is increased. Because the decrease in cost of the I WTP is higher than the increase in cost of the G WTP.Conclusions:It was confirmed that both Post Peroxone+GAC of G WTP and UV/H2O2+GAC F/A of I WTP were effective in 2-MIB treatment. As for the operating cost, it was analyzed that UV/H2O2 had higher unit pice than Post Peroxone because of the large amount of H2O2 injection. Considering the 2-MIB removal rate and operating cost of each WTPs, it was possible to derive the optimal operating conditions for each WTPs and a linked operation plan.
Current Practices on Solar Photovoltaic Waste Management: An Overview of the Potential Risk and Regulatory Approaches of the Photovoltaic Waste
Authors: Bajagain Rishikesh , Panthi Gayatri , An Youn-Joo , Jeong Seung-Woo
Published: January 2021

The use of hazardous metals like lead, cadmium in solar photovoltaics (PVs) are rapidly increasing which poses the risk to the environment due to potential release of these constituents. The main purpose of this review is to highlight the updated information on solar PV waste along with the present condition of efforts for recovery, country-wise regulatory approach or strategy on solar PV management and recycling. A brief literature review is assessed based on recently published articles and reports, which provides the readers a general overview on the solar PV waste management and regulations made by world leader countries in solar panels. This study discussed on the risk of hazardous chemical species releasing from PV modules and criteria of PV panel waste classification. Furthermore, the estimation of solar waste PV, its categorization, management approaches, country guidelines and recycling of waste PV panels, were mainly focused in this study. Apart from this, the major leaching tests carried out for waste classification and PV waste recycling in different countries are also discussed. Solar PV waste generally categorized as a general waste by the regulatory aspect, except in the EU, since PV panels in these countries are described as e-waste as stated in the Waste Electrical and Electronic Equipment (WEEE) Directive. To reinforce the recycling option, currently only Europe has mandated a strong regulatory guideline, however, other nations are preparing to set up particular system for solar panel waste management. In particular, this paper focuses on the potential risk caused by solar panels, data collection for PV waste and management approach like recycling. Besides, this review believes the basics of PV panel installation, management and recycling process which could recommend upcoming guidance for the public policymakers.
DIAGNÓSTICO DE LA GESTIÓN DE VENTAS DE VINOS DEL HOTEL SOL CAYO COCO
Authors: Ramos-Martínez Arley , García-Vergara Zenia , Ramos-López Lisandro , Guerrero-Hidalgo Raisa
Published: January 2021

El servicio del hotel Sol Cayo Coco funciona bajo el régimen de Todo Incluido, en el departamento de Alimentos y Bebidas existe una gama de productos de alta calidad y Premium que se oferta a los clientes en efectivo para satisfacer gustos más exigentes y que conforman el llamado Servicio Extracarta. Dentro este se cuenta principalmente la oferta de vinos del Restaurante Don Diego y la oferta de espirituosos y cervezas en el Lobby Bar. Se concede gran importancia a la venta de estos productos por constituir una fuente de ingresos directa dentro de la oferta gastronómica y contribuir a la eficiencia económica del hotel y a la satisfacción de los clientes. El objetivo de la presente investigación es diagnosticar la gestión de ventas de vinos dentro de los productos extracartas del restaurante especializado Don Diego. Se realizó una investigación aplicada, de campo, no experimental y transversal; para esto se emplearon métodos del nivel empírico como la observación en los puntos de venta y el análisis de documentos entre los que se encuentran los estándares de presentación y los documentos del departamento económico y el almacén; y del nivel teórico como el análisis síntesis, la inducción deducción y el histórico lógico. Se determinaron una serie de medidas para el rediseño de una carta con propuestas más atractivas con el fin de satisfacer a los clientes.

Palabras clave: vino; extracarta; servicios; ventas.
Can Credit Recipient Household Escape from Poverty?
Authors: Nuryitmawan Tegar Rismanuar
Published: January 2021

This study aims to answer whether or notfinancial distribution can play a role in development and poverty alleviation in Indonesia. Households who receive credit are treated as the analysis level and research object. Credit is an instrument to help households escaping from poverty. Some opinions believe that by being given credit, households will be able to boost their economic capacity both in terms of purchasing power or business development capacity. However, to prove this opinion as well as to answer the question, using panel data from the Indonesian Family Live Survey (IFLS) in 2007 and 2014 will attempt to estimate the effect of the probability of households receiving credit on their poverty status. The probability of a credit recipient householdwill be calculated using Propensity Score Matching so that a similarity score of household characteristics will be obtained between those who get credit and those who do not. Using Double Differences, this study will address the description of changes in household poverty status after receiving credit from financial institutions. The PSM calculations results show that there are four variables as credit recipient household’s characteristics, namely collateral ownership, the status of property ownership, history of natural disasters, and gender. Meanwhile, the estimation results on poverty status indicate that credit recipient households have a greater probability of escaping poverty than those who do not receive credit. Therefore, the anti-poverty policy through the transmission of financial institutions is relevant to be prepared. The anti-poverty policy is related to low credit interest rates through government subsidies, public fund placement with low cost of fund, increasing financial literacyand knowledge of the society, and adjusting credit approval based on regional economic conditions.
Interconnecting Issueof Government’s Regional Budget Allocation and Open Burning Behavior: Study from Indonesia
Authors: Putri Mayang Wulandari Naro
Published: January 2021

This research aims to analyze whether people’s perception, living area such as rural/urban, and regional budget proportion for the environment at province level influence open burning behavior of a household in Indonesia. Using household-leveldata in 2017from the National Socioeconomic Survey of Indonesia and adding control factors such as socio-demographic characteristics, a logit regression method is conducted. The result reveals that burning behaviorperception has an important role in open burning thrash decisions and people living in rural areas tend to do open burning trash compared to those who are living in urban areas. Furthermore, provinces with higher proportion budgets for environmental facilities tend to have fewer open burning cases done by households compared to provinces with lower proportion budgets for environment. The findings suggest that government should improve waste policies atregional and municipallevelto reduce open burning trash behavior of households.
The Relationship Between Charge Nurses and Clinical Nurses' Perceptions of Patient Safety Culture and Leadership Practices
Authors: YILMAZ Ayşegül , DUYGULU Sergül
Published: January 2021

Background: A patient safety culture needs to be developed for quality and safe care in health care institutions. Executive nurses having transformational leadership behavior have an important effect on establishing a patient safety culture in hospitals. Objectives: The aim of this study is to reveal transformational leadership practices of unit charge nurses from their own perspective and the perspective of staff nurses they work with, to determine the patient safety culture perceptions of unit charge nurses and staff nurses, and to examine the relationship between transformational leadership practices and patient safety culture. Methods: This descriptive, relationship-seeking and cross-sectional study was conducted between March and June 2014 in four hospitals in Konya province. The sample of the study consisted of 70 unit charge nurses and 357 staff nurses working with these unit charge nurses. Participation rate in the study is 84.5%. Data were collected by using the Demographic Data Form, Leadership Practices Inventory and Patient Safety Culture Hospital Questionnaire. Means, t test, percentages, standard deviation and Spearman's tests were used in the analysis of the data. Results: According to the evaluations of the unit charge nurses and staff nurses; it was found that the unit charge nurses' averages scores for prodding others into action, encouraging others and questioning the process sub-dimension and total leadership practice were significantly higher than those of the staff nurses. Patient Safety Culture perceptions of unit charge nurses are higher than service nurses. According to the findings obtained from the study, there is a positive relationship between nurses' transformational leadership practices and patient safety culture. Conclusion: In the study, it has been shown that there is a positive relationship between nurses' transformational leadership practices and patient safety culture. In order to create a positive patient safety culture in the units of charge nurses, it is necessary to develop the unit charge nurses' transformational leadership practices.
LGBTİQ+ Mültecilerde Sağlık Gereksinimleri
Authors: BEYCAN EKİTLİ Gizem , ÖZTÜRK TURGUT Emel , DÖNMEZ Ayşegül
Published: January 2021

Çatışmaların sıklıkla saldırganlığa döndüğü durumlarda, en ağır kayıplar öncelikli olarak kadınlar ve çocuklar gibi desteklenmeye gereksinimi olan gruplarda yaşanmaktayken, LGBTİQ+ nüfus da bu incinebilir grupların arasında yer almaktadır. Toplumun ‘normal’ kabul ettiği sınırlar dışında kalan diğer gruplar gibi LGBTİQ+’lar da temel hakları için mücadele etmekteyken, yaşamın devamlılığının tehdit altında olduğu savaş ve mültecilik koşulları altında yaşanabilecek riskler gittikçe güçlenmektedir. Bugün yaklaşık dört milyona yakın Suriyeli savaş mağduru mülteciye kapılarını açan Türkiye, mültecilere sığınma ve can güvenliği desteği veren önemli bir ülke rolünü sürdürmesinin yanında LGBTİQ+ nüfusun haklarına yönelik bu mücadelenin önemli bir ortağı kabul edilebilir. Hemşireler, sağlık hizmeti sunumunun ön saflarında yer alıyor olmaları ve hizmetin planlanması ve yürütülmesinde uygulayıcı, eğitici ve savunucu kimlikleri ile bu mücadelede kilit bir role sahiptirler. Bu derlemede savaş nedeniyle ülkelerinden ayrılmak zorunda kalmış LGBTİQ+ mültecilerin fiziksel ve psikososyal bir yaklaşımla sağlık bakım gereksinimlerinin değerlendirilmesi amaçlanmıştır. Türkiye’deki Suriyeli LGBTİQ+’lar penceresinden, mülteci LGBTİQ+’ların genel sağlık gereksinimlerine ışık tutulması planlanmış, sağlık ekibinin öncelikli gücü olan hemşirelik disiplini uygulamalarına yönelik öneriler sunulmuştur.
Assessment of the Diﬀerent Modalities of Treatment in Paediatric Cerebral Palsy Patients
Authors: Gaurang Dilip Kumar Pabani  , Mehta Rajeshri Rajendra , Shah Pramod Chandulal
Published: January 2021

Background: To assess the effects of injection of citicoline in combination with physiotherapy versus physiotherapy alone, to advance the functional outcome in paediatric patients with cerebral palsy. Subjects & Methods: A total of 150 paediatric patients diagnosed with cerebral palsy were incorporated into the study. The average age of the patient included in the study was found to be 36 months. All the patients enrolled in the study were referred to the paediatric neurological department. Results: The mean age of the patient was 36 10 months. Out of the 150 total patients, 60% were boys and 40% were girls. When the percentage of improvement was compared between the groups, the study group was established to be statistically significant. (P = 0.02). Conclusion: Citicoline is efficient and secure in the treatment of gross motor function combination with physiotherapy in patients with cerebral palsy. Physical therapy is frequently the first move in managing cerebral palsy.
Study of Clinical Proﬁle of Neonatal Seizures in Level III NICU
Authors: P. Anil Kumar  , V. Ramgopal Rao
Published: January 2021

Background: During the neonatal age, seizures are the most distinctive sign of neurological disease. Convulsive symptoms are the most promi- nent forms of neonatal neurological disorders. The goal of this research was to have a better view of the epidemiology, etiology, incidence, forms and mortality of neonatal seizures in our hospital. This research was undertaken to evaluate the prevalence, forms of neonatal seizures, etiology, occurrence period and correlation with etiology, and to establish the mortality correlated with neonatal seizures. For research the etiology and its etiological connection, the occurrence of neonatal seizures. Subjects and Methods: A comprehensive history was collected for the antenatal, natal, postnatal and family history. Age of initiation, form, duration and amount of seizures, consciousness before and after the seizures were taken. Comprehensive neonate examination was performed after detailed history. Relevant investigations were carried out depending upon clinical presentation. Results: In our analysis of 200 neonatal seizures, 194 had one of the four classically identified neonatal seizures. Multifocal clonic seizures were among the most common type of seizures 36% (72 cases) followed by subtle 27% (54 cases), GTS 26% (52 cases), Myoclonic 7% (15 cases), mixed type of seizures 3% (6 cases) and focal clonic seizures 1% (2 cases). Conclusion: Because neonatal seizures are most frequently due to birth asphyxia, better antenatal and perinatal care reduces birth asphyxia and if mothers are identified as high-risk. The impact of neonatal seizures is thereby minimized. Subtle seizures are the most frequent form of psychiatric seizure; thus, close monitoring of newborns at risk is important.
Clinical Proﬁle and Outcome of Patients with Severe Acute Pancreatitis
Authors: Sehgal Rishabh , Singh Inder Pal , Mittal Jyotisterna
Published: January 2021

Background: Acute pancreatitis (AP) is an acute inflammatory condition of the pancreas leading to pancreatic autodigestion. The present study was conducted to study the clinical profile and outcome of patients with severe acute pancreatitis. Subjects & Methods: The study was conducted on 40 patients of acute pancreatitis. Clinical profile including history, examination findings, etiology of pancreatitis, clinical severity (according to Modified Marshall Score, BISAP score, APACHE II, HAPS score, SOFA score) was recorded. Results: Severe Acute Pancreatitis (SAP) among patients. Majority of the patients i.e. 22 (55%) had alcohol consumption as etiological factor causing SAP followed by biliary 10 (25%) & idiopathic 5 (12.5%). Hypertriglyceridemia and drug-induced (herbal medication) pancreatitis was present in 1 (2.5%) patient each. Out of all 1 (2.5%), patients had a history of both alcohol consumption and the presence of gallstone as an etiological factor. 22 patients (55%) out of 40 patients only conservative management was used while 18(45%) patients underwent USG guided percutaneous drainage was done. Out of these 18 patients, 3(7.5%) patients required Laparoscopic Necrosectomy & 2(5%) patients required open necrosectomy in addition to ultrasound-guided PCD. Patients who improved had a mean BISAP SCORE of 2.15   0.54, Modified Marshall score of 3.65    1.44, APACHE II score of 9.77  4.45, SOFA score 5.54  2.49, RANSON’s score 3.85   1.80 and HAP score of 0.65   0.63. Conclusion: Most common   etiology of severe acute pancreatitis is alcohol followed by biliary etiology. Out of severity scores (BISAP, APACHE-II, SOFA, HAPS), only BISAP score ≥3 is predictive of poor outcome in patients with severe acute pancreatitis.
A Rare Case Report of ‘Fetus in Fetu’ in a One Year Eight Month Old Child
Authors: Mandal Manas Mukul , Shaw Rohit , Mukhopadhyay Narendranath , Saha Sumon Kumar
Published: January 2021

Fetus in fetu is a very unusual pathology in which a deformed underdeveloped fetus is found inside the body of another child. It is an uncommon abnormality and thought to be a result of abnormal embryogenesis in the case of diamniotic monochorionic pregnancy. Most commonly presents as a palpable mass in the abdomen. Imaging modalities can reveal the presence of bony elements within the mass cavity like vertebral bodies, long bones, and even underdeveloped organ systems. It should be differentiated from mature or well-organized teratoma & other causes of infantile abdominal masses like Nephroblastoma, Neuroblastoma, Hydronephrosis & malignant germ cell tumors in undescended testis. Surgery is the mainstay of treatment. To date around two hundred cases have been reported worldwide.
Assessment of Bacteriological Quality of Drinking Water from Households of Sarvodaya Nagar, Lucknow, Uttar Pradesh, India
Authors: Srivastava Shilpi , Kashyap Saurabh , Rawat Ashish
Published: January 2021

Background: In the current scenario, the urbanization is happening at a faster pace and the economy is not able to match at par with urbanization, this In turn is causing problems of unavailability of safe and potable water along with proper sewage system, despecially in urban slums. As a result of the scenario many urban slums are still using poor quality pit latrines and even drawing water from nearby wells, water taps which are not complying with government norms. Space is also a big problem which is being faced by these slums, due to which there is a lack of enough spaces in the houses and nearby areas, therby causing overcrowding. Due to overcrowding, the space between houses, pit latrines, wells, taps and water bodies has decreased and thus the potential of contamination of water bodies by fecal microorganisms has increased drastically. Given the above knowledge, a study is much needed to estimate the presumptive and differential coliform count of water samples from the urban slum area in Lucknow. Subjects & Methods: A cross-sectional survey was conducted during the period of January to June 2019. Samples were collected from all the taps, hand pumps that were currently in use, along with potable water stored in households of Sarvodaya Nagar (an urban slum area), Lucknow and were processed in the Microbiology department of IIMS&R, Lucknow. Results: A total of 53(63%) samples were taken from Public supply, out of which 36(67. 9%) were found unsatisfactory and 17(32.0%) were intermediate, were found to be contaminated with Pseudomonas sp., E.coli, Thermotolerent E.coli, Klebsiella Spp. Citrobacter, Enterococcus and Pseudornonas Spp., E.coli, Thermotolerent E.coli, Klebsiella respectively. In the study more than half of the samples were taken from the Public water supply. Out of these about seventy percent were unsatisfactory and were found to be contaminated with Pseudomonas. Conclusion: The proper sanitation, regular treatment, supervision of water sources, arid regular bacteriological assessment of all water sources for drinking should be planned and conducted.
A Study to Assess the Neurocognitive Proﬁle of Patients with OCD and Depression
Authors: Reddy Musuku Srikanth
Published: January 2021

Background: The present study was conducted to assess the neurocognitive profile of patients with OCD and depression. Subjects & Methods: It comprised of patients of OCD (42) and depression (42) of both genders. An equal number of healthy control was also recruited. VAIS and performance tests of intelligence (BSS) were recorded. Results: Group I had 22 males and 20 females, group II had 18 males and 24 females and group III had 21 males and 21 females. The value for VAIS and performance tests of intelligence (BSS) parameters such as information were 94.2, 96.4 and 98.3 in all groups respectively, digit span was 103.4, 102.5 and 105.6 in all groups respectively, arithmetic was 95.8, 96.2 and 8.4 in all groups respectively, comprehension was 102.4, 104.5 and 107.3 in all groups respectively, verbal quotient was 105.2 in group I, 103.6 in group II and 10.6.7 in group III respectively. Block design was 9.12, 10.2 and 10.4 in all groups respectively, pass along test was 9.4, 9.8 and 10.2 in all groups respectively and the performance quotient was 102.2, 103.5 and 10.5.7 in all groups respectively. The difference was non-significant (P> 0.05). Conclusion: Neuropsychological/cognitive parameters in patients with OCD, depression and healthy control were comparables.
Computed Tomography Angiography Evaluation of Peripheral Arterial Disease and Correlation with Colour Doppler
Authors: M. Balaji Vara Prasad  , Srinadh Boppana  , Mounika Reddy  , Nainika Juvvadi  , Rajeshwari  , Radhika
Published: January 2021

Background: Peripheral Arterial Disease Is a Major Problem Among the Population of Those 55 Years and Older. MDCT is a Non-Invasive Method of Visualization of Vascular System. It Affords More Widespread Vascular Screening, Allowing Diagnosis to be Made at an Early Stage. The objective is to Assess the Role of Multidetector Computed Tomography Angiography in Peripheral Arterial Disease of Lower Extremities. Subjects & Methods: A Prospective Study of 35 Patients with Signs and Symptoms of PVD, Were Subjected to Colour Doppler Ultrasonography and MDCT Examination Between a Period of 1st August 2018 to 31st May 2019. Results: Our Study Shows a Very Good Sensitivity, Specificity, PPV, NPV and Accuracy of Doppler in Assessing the Soft Plaque (82%, 100%, 100%, 97%, 97% Respectively) & in Evaluation of Stenosis Like <50% Stenosis (100%, 99%, 85%, 100% & 99% Respectively), 50-99% Stenosis (100%, 99%, 96%. 100% & 99.8% Respectively), & Occlusion (84%, 100%. 100%, 98% & 98% Respectively). The Only Parameter Which Showed Poor Result Was in Evaluation of Calcified Plaque. Conclusion: Our Study Shows that Both Colour Doppler & MDCT Can Be Complimentary in Lower Limb Arterial Disease Evaluation.
Structural Abnormalities on MRI in Cases with Epilepsy
Authors: Kaushik Gaurav , Madan Manmohan
Published: January 2021

Introduction: Many treatable anatomical abnormalities of the brain can cause seizures. The present study was done to determine the role of MRI for evaluation of patients with epilepsy. Subjects and Methods: Patients who presented to our hospital with history of epilepsy. i.e two or more episodes of unproved seizures 24 hours apart, underwent MRI study to assess for abnormalities. Patients of either gender and all age groups who were referred to our department for MRI study were included. Results: Generalized tonic clonic seizures were present in 86% of the population and rest had partial seizures. Using MRI, we arrived at a diagnosis as a cause of seizure in 51.3% of the patients and rest of     the 48.7% had a normal MRI study. The most common pathology detected on MRI was infarct with gliosis (24.7%). Less common pathology detected were neurocysticercosis (6.7%), brain atrophy (5.3%), tuberculoma (3.3%), venous thrombosis (2.7%), developmental malformations (2.7%), glioma (1.3%), cavernoma (1.3%), tuberous sclerosis (1.3%), meningioma (0.7%), cerebral abscess (0.7%) and Sturge Weber syndrome (0.7%). Abnormality on MRI was not significantly associated with gender or type of seizure. MR abnormality was observed maximum in patients between 1 to 30 years (30 out of 70 patients i.e. 42.8%) while all the elderly cases showed abnormal MRI, with infract with gliosis being the most common finding. Conclusions : MR imaging should be the first investigation of choice in epileptic syndrome, cerebrovascular disease with seizure, developmental cortical malformations, and vascular malformations.
Plain X-Ray and MRI Evaluation of Painful Hip Joint
Authors: Ali S. Althaf , Dwara Manojna Devi
Published: January 2021

Background: Hip joint pain is a frequent problem in current practice and can be due to different causes since the investigations are invariably used to diagnose the source of the injury. The primary examination is accompanied by MRI, which is a valuable instrument in hip disease evaluation since it requires a detailed study of articular cartilage, epiphysis, joint fluids, bone marrow and extra-articular soft tissue which may be impaired by hip disease. Subjects and Methods: In a total of 60 individuals who had hip joint pain and subsequently had plain radiographs accompanied by the hip joint MRI was studied in a prospective cross-sectional analysis. The data is interpreted and the results of basic X-rays are compared to the MRI. Results: Of the 70 cases the males (67%) are commonly affected than females (33%). The majority of the patients fall under the age group of 31-40 years (28.33%). In our study, we find the commonest pathology for the hip joint pain is AVN of femoral  head 20 cases (28.57%), followed by joint effusion 15 cases (21.42%), Osteoarthritis 13 cases (18.57%), TB hip 10 cases (14.28%), Perthes 4 cases (5.71%), DDH 4 cases (5.71%) and metastatic disease 4 cases (5.71%). Of the twenty AVN cases, only 6 (30%) are found on a plain x-ray whereas all 20 (100%) are detected on MRI. Similarly, out of 15 cases diagnosed as joint effusion, only 5cases (33.33%) are detected on plain radiograph, but all the 12 cases (100%) are detected on MRI. The remaining 100% pathologies are observed on X-ray and MRI; moreover, MRI helps to improve the identification of articular cartilage, epiphysis, and additional soft tissue articular anomalies. Conclusion: MRI is a better way to identify joint effusion and synovial proliferation. Unlike standard x-rays. In proven cases with clear radiography such as Perthe’s and metastatic disease, Hip MRI helps to enhance disease staging, clinical implication, and soft tissue expansion.
Assess the Role of Sonography and MRI in Diagnosing Ovarian Masses
Authors: G. Mahender Reddy  , M. L. Ravindernath  , S.Snehaja Reddy
Published: January 2021

Background: In order to conduct appropriate surgical treatments, the characterization of ovarian lesions is of considerable significance and can affect patient care. A multidisciplinary approach based on physical assessment, laboratory tests and imaging techniques includes adequate measurement of the adnexal masses. The aim is to assess the role of Sonography and MR in diagnosing ovarian masses, to study imaging characteristics of ovarian masses on USG and Doppler in correlating these findings with MR features. Subjects and Methods: The present study was carried out in the department of radiodiagnosis to determine the efficacy of sonography and MRI in the diagnosis of ovarian masses. The study group comprised 50 patients with clinically suspected ovarian masses and imaging was carried out on all patients with ovarian masses and imaging was carried out on all patients with ovarian masses. All the masses were evaluated on sonography based on the Sassone scoring system. Morphological analysis was performed for each mass based on wall thickness, inner wall structure, septal structure and echogenicity of mass. The color flow was carried out, subsequently; MRI was carried out for each patient. Radiological diagnosis was confirmed after surgery on histopathological examination. Results: The majority of the patients were in the age group of 31-40 years. The most common symptoms noted were pain in the abdomen. The most common clinical finding was a palpable mass. The application of Sassone sonomorphologic score >9 was identified in 8 masses, out of which 7 were malignant and 1 was a benign lesion. The colour flow was detected in 38 out of 50 masses. The presence of flow, type of flow, vessel arrangement, morphology and location were noted and on pulsed Doppler the RI and PI values were calculated. Out of 8 malignant cases, 5 were diagnosed as malignant according to the Caruso score. The overall sensitivity 100 %, specificity is 97.6% and diagnostic accuracy is 98% of MRI which is higher than that of ultrasound and CDS. Conclusion: We conclude that MRI is a superior diagnostic modality in establishing the diagnosis of ovarian masses.