bluuebunny/crossref_metadata_2025 huggingface dataset:
Beyond ordinary policy change: Authoritarian policy dismantling in Brazil
Authors: Silva Michelle Morais de Sa e
Published: August 2021

From a normative perspective, policy change is seen as crucial to improving social conditions, reducing inequality, and promoting sustainability. However, what about change that implies the dismantling of previously successful policies? How can one differentiate between democratic policy change and policy dismantling? In order to shed light on these questions, this article analyzes changes occurred in Brazil since Jair Bolsonaro took office in January 2019. The paper addresses those changes from the perspective of the federal bureaucracy spread across different agencies and professional careers. The research design involved quantitative and qualitative data collected using the following methods: i) a survey with former and current federal employees; ii) semi-structured interviews with civil servants who have worked or are still working in the federal government. Research findings indicate that, in Brazil, policy dismantling is no ordinary policy change, as it has been marked by authoritarian dynamics that have disarranged the federal bureaucracy and eroded state capacity.
PROJETO DE VIDA E IDENTIDADE: ARTICULAÇÕES E IMPLICAÇÕES PARA A EDUCAÇÃO
Authors: Silva Marco Antonio Morgado , Danza Hanna Cebel
Published: August 2021

A relação entre identidade e projeto de vida tem sido assinalada tanto pelos marcos legais que definem o projeto de vida como eixo da educação básica no Brasil quanto pelos estudos sobre projeto de vida publicados no país e no exterior. Não obstante, documentos como a Base Nacional Comum Curricular e o Novo Ensino Médio não aportam fundamentos teóricos que possibilitem aos profissionais da educação conhecer como identidade e projeto de vida se constroem e se articulam, assim como compreender suas implicações pedagógicas. No plano acadêmico, por sua vez, a relação entre identidade e projeto de vida tem sido pouco tematizada de maneira explícita e sistemática. O presente artigo, de caráter teórico e inscrito na interface entre os campos da educação e da psicologia, explora as articulações entre estudos sobre projeto de vida e sobre identidade no que diz respeito à constituição, desenvolvimento e funcionamento desses construtos, bem como discute suas implicações para a educação. Para tanto, delimita o conceito de projeto de vida à perspectiva fundada pelo Centro de Estudos sobre a Adolescência da Universidade de Stanford (Estados Unidos), coordenado por William Damon, e circunscreve os processos de construção e funcionamento da identidade às abordagens de estados da identidade, identidade narrativa e identidade moral, cuja matriz comum é a obra de Erik Erikson.
Resimli Çocuk Kitaplarının Olumsuz Ögeler Açısından İncelenmesi
Authors: BAŞARAN Mehmet , ÇELİK Nuriye , GÜNGÖR AYTAR Abide
Published: August 2021

Bu araştırmanın amacı kütüphanelerin okul öncesi bölümünde bulunan resimli çocuk kitaplarını olumsuz ögeler açısından incelemektir. Araştırmada nitel desenlerden doküman analizi yöntemi kullanılmıştır. Araştırmanın materyallerini 2015-2019 yılları arasında yayımlanmış, Ankara ve Eskişehir illerindeki iki kütüphanenin okul öncesi kategorisinde sınıflandırılmış 100 resimli çocuk kitabı oluşturmaktadır. Okul öncesi öğretmenlerinin ve alan uzmanlarının görüşleri ile alanyazın taraması sonucu Resimli Çocuk Kitaplarındaki Olumsuz Ögelerin İncelenmesi Formu oluşturulmuştur. Resimli çocuk kitapları bu forma göre betimsel olarak analiz edilerek olumsuz ögelerin sıklığı saptanmıştır. Saptanan olumsuz ögelerin sıklığı şu şekildedir: Biçimsel (f:319), içerik (f:43), tema (f:36), dil ve anlatım (f:60), kahraman-karakter (f:26) ve zaman (f:27). Elde edilen bu sonuçlara göre öğretmenlerin ve ailelerin kitap seçerken daha seçici davranmaları; yayınevlerinin alanda uzman eğitimcilerin dönütleri doğrultusunda basım aşamalarına geçmeleri; yazarların ve çizerlerin okul öncesi dönem çocukların gelişim özelliklerini göz önünde bulundurarak kitaplarını yazmaları; kütüphanelerin ise yaşlara göre düzenledikleri kategorilerdeki kitapları çocukların gelişim düzeylerine ve çocuk kitaplarında bulunması gereken özelliklere göre belirlemeleri önerilmektedir.
Women on the Border between Home and Homelessness: Analysing Worker–Client Relationship
Authors: Granfelt Riitta , Turunen Saija
Published: August 2021

Housing First, as implemented in Finland, offers two housing options for people who are homeless or at risk of homelessness. In this context, permanent housing refers to a scattered‐site rental flat or a community‐based housing unit in accordance with the Housing First principle. The focus of our study was on worker–client relationship and its diverse meanings at different stages of women’s housing pathways. Our data consisted of narrative thematic interviews with nine women who lived in scattered housing and three workers of a housing unit. The narratives of the housing unit workers were related to a deep concern for the women who have the most limited choices and who do not always see the housing unit as home. The workers felt frustrated with the inconsistency of care pathways in substance abuse care, psychiatric hospital care as well as gerontological services. Women in scattered housing had received sufficient support at critical stages of their housing pathway from the public service system, which is an integral part of the Finnish Housing First model. In their cases, homelessness and problems with housing had been addressed as part of a holistic effort to improve the quality of their lives either through adult social work, child protection aftercare or psychosocial services. Getting sufficient support in a vulnerable situation in a trust‐based worker–client relationship was a unifying theme of this dataset of women. Our study also challenges the development of services from the perspective of women whose housing pathways are characterised by numerous losses and exclusions, and for whom many services remain out of reach.
“It’s about Living Like Everyone Else”: Dichotomies of Housing Support in Swedish Mental Health Care
Authors: Börjesson Ulrika , Skillmark Mikael , Bülow Pia H. , Bülow Per , Vejklint Mattias , Wilińska Monika
Published: August 2021

The deinstitutionalization of psychiatric care has not only altered the living conditions for people with severe mental illness but has also greatly affected social services staff. In the Mental Health Act launched by the Swedish government in 1995, a new kind of service called ‘housing support’ and a new occupational group, ‘housing support workers,’ was introduced. However, housing support does not currently operate under any specific guidelines regarding the content of the service. This study explores housing support at local level in various municipalities of one Swedish county. The data is based on discussion with three focus groups: care managers, managers for home and community‐based support, and housing supporter workers. The perspective of institutional logics as a specific set of frames that creates a standard for what should or could be done, or alternately what cannot be questioned, is applied to analyze the constructed meaning of housing support. The meaning of housing support is constructed through three dichotomies: process and product, independence and dependence, and flexibility and structure. These dichotomies can be understood as dilemmas inherent in the work and organizing of housing support. With no clear guidelines, the levels of organizational and professional discretion create a space for local flexibility but may also contribute to tremendous differences in defining and implementing housing support. We discuss the potential consequences for housing support users implied by the identified discrepancies.
Durable Homelessness: From Negotiations to Emulation
Authors: Carlsson Stylianides Kristina , Denvall Verner , Knutagård Marcus
Published: August 2021

In recent decades, Sweden has seen extensive change in its housing policy, with emphasis shifting from “good housing for all” to marketisation and the supposed benefits of private ownership (Bengtsson, 2013; Grander, 2018). Consequently, Swedish society is now facing increasing homelessness rates, including whole new groups of social service clients due to housing shortages and people’s difficulties accessing the housing market. This article examines the complexities emerging from diverging institutional frames and points specifically to a dividing line between those who can access housing independently and those who need support from the social services. The article describes how such a categorical division/dividing line is institutionalised in the organisation of the social services’ work with homelessness and points to causes and effects of this situation. The case study is based on interviews and documents. The interviewees are staff from the municipal social services and the municipal public housing company. Our theoretical point of departure is Tilly’s (1999) “categorical inequality,” using exploitation, opportunity hoarding, emulation, and adaptation to explain how homelessness is (created and) maintained in our case study. The results show the dependency of social services on external actors and demonstrate the problematic consequences both for those referred to social services and for the practical work within them, including a requirement to stringently control clients. The results further show how it is possible for the social services to maintain collaboration with (public) housing companies at the same time as the most vulnerable clients are permanently denied housing.
Construction of Windows for Pharmacokinetic Sampling
Authors: Alam M. Iftakhar , Sultana Nigar
Published: August 2021

This paper describes a method for the construction of pharmacokinetic sampling windows so that they are around the $D$-optimum time points. Here we consider the situation where a pharmacokinetic (PK) study is accompanied by a dose-finding study in phase I clinical trial. The D-optimal criterion is often used to determine the optimal time for collecting blood samples so that they provide maximum information regarding the population PK parameters. However, collecting blood samples at the D-optimal time points is often difficult. Instead, the sampling time point chosen from a suitable time interval or window can ease the process. The proposed method is conceptually simple and considers the average value and standard deviation of D-optimal time points up to create sampling windows. Random time points can be chosen from these windows then to collect blood samples from the next cohort. The nonlinear random-effects model has been used to model the PK data. Also, we employ the continual reassessment method for dose allocation to the patients. Comparisons of the accuracy and precision for the PK parameter estimates obtained at the D-optimal and random time points are also presented. The results are convincing enough to suggest the proposed method as a useful tool for blood sample collection.
The Proteomics and Fibromyalgia: A Perspective on the Study of the Inflammatory Response in Fibromyalgia
Authors: Maldonado-García Jose Luis , Vega-Ramírez María , Pérez-Sanchez Gilberto , Becerril-Villanueva Enrique , Alvarez-Herrera Samantha , Mendieta-Cabrera Danelia , Moreno-Lafont Martha , Pavón Lenin
Published: August 2021

Fibromyalgia (FM) is a chronic, non-degenerative disease characterized by widespread and sustained pain, sleep disturbances, physical exhaustion, and cognitive difficulties. The FM pathophysiology has not been completely clarified, and several theories have been postulated, among which is the dysregulation of the inflammatory response as a mediator of the painful phenomenon. In addition, it has been reported that FM patients present a rise of IL-6 and IL-8 serum levels; this fact has clinical relevance since these inflammatory molecules induce symptoms such as pain, fatigue, hyperalgesia, and allodynia. Additionally, some studies have been carried out on the participation of leukocytes in the physiopathology of fibromyalgia; The evidence suggests that mast cells are the most relevant leukocytes in the pathophysiology of FM since they promote the release of pro-inflammatory cytokines in response to stimuli such as substance P or corticotropin-releasing hormone, which were elevated in patients. The number of FM patients is increasing year after year around the world. For this reason, it is essential to study the proteins involved in the inflammatory response in fibromyalgia. Proteomic analysis techniques such as tandem mass tag (TMT) with isobaric labeling offer a hope to find biological markers that allow the study simultaneously the participation of multiple inflammatory proteins in FM patients, allowing the identification of biomarkers. Thus, the use of isobaric tagging will allow shortly to expand the knowledge of pathophysiology in fibromyalgia, helping to identify biomarkers to improve the diagnosis of the FM disease and increase the quality of life of patients and their families.
Blended Learning in Healthcare Education
Authors: Leinster S. J. , Pereira J. H. , Down S. , Simpson A.D.
Published: August 2021

Blended learning is an approach to learning that combines face-to-face instruction with e-learning experiences. It draws on the advantages of each approach while seeking to mitigate their recognised disadvantages. The Master in Oncoplastic Breast Surgery programme at UEA is aimed at advanced surgical trainees working in approved training units in the UK and internationally. It comprises a series of complex cases discussed by the students in an on-line, asynchronous discussion forum moderated by a member of faculty. Students can participate at their convenience despite varied clinical rotas and different time zones. A case-based, flipped learning course for surgical trainees was piloted. Instructional materials for each case were provided. Students joined in an asynchronous, moderated discussion forum. 64 trainees randomised into 2 groups participated. They sat a pre-test Script Concordance Test (SCT). Group A then commenced the on-line course while Group B continued with their usual hospital-based teaching. After 8 weeks, they sat the same SCT. Group B then joined the on-line course along with Group A. After week 16, they sat another SCT. Pre-test scores for both groups were the same (A 6.45; B 6.59 p=0.78). At 8 weeks Group A’s scores had improved significantly (7.96 p<0.001) while Group B’s remained unchanged (6.54). At 16 weeks the scores had equalised (A 7.13; B 7.18). The trainees self-rating of confidence in managing 8 common surgical emergencies followed a similar pattern. Our experience suggests that on-line learning that is highly interactive can add value to the usual postgraduate clinical training. We are exploring its utility in other settings such as training nurse associates, and in breast care nursing in the UK and developing countries. We have introduced 3600 filming and virtual reality in teaching practical skills and providing induction training for complex clinical environments.
Use of chronic lymphocytic leukemia-international prognostic index in patient risk stratification-single center experience
Authors: Trajkova Sanja , Cevreska Lidija , Krstevska -Balkanov Svetlana , Pivkova -Veljanovska Aleksandra , Popova-Labacevska Marija , Jovanovska Aleksandra , Ridova Nevenka , Stojanovska Simona , Panovska-Stavridis Irina
Published: August 2021

Background: Several prognostic factors have been identified to predict the outcome of patients with chronic lymphocytic leukemia (CLL). To predict the time to first treatment (TFT) we integrated the data of clinical and biological markers in CLL-International prognostic index (CLL-IPI). Aim of the study was the determination of the impact of CLL-IPI in prediction of TFS in CLL patents.Methods: The study was set up retrospectively and included 90 patients with CLL diagnosed and treated at the university clinic of hematology for a period of time from January 2012 to January 2020. We incorporated the data of Binet staging system, most adverse cytogenetic marker and mutational status of immunoglobulin heavy chain in CLL-IPI.Results: The statistical data of the 90 patients showed that the median TFS for low CLL-IPI (N=24), intermediate CLL-IPI (N=40), high risk CLL-IPI (N=17) and very high risk group (N=9) according to the CLL-IPI scoring system was 20.1, 17.6, 7.1 and 5.8 months, respectively. Multivariate analysis indicated that del 17p (p<0.008) was independent prognostic factors of TFS.Conclusions: CLL-IPI is a powerful risk stratification tool for CLL patients and this system has also provided treatment recommendations for different patient risk subgroups.
A study of peripheral neuropathy in cases of type-II diabetes mellitus patients with or without hypothyroidism
Authors: Pradhan Sonali Das , Panja Sumana , Roy Shiuli , Pradhan Saktipada , Samajdar Kaushik
Published: August 2021

Background: Type 2 diabetic patients have a higher prevalence of thyroid disorders, particularly hypothyroidism.  Peripheral neuropathy is a common and disabling complication of diabetes mellitus. Peripheral nervous system involvement in hypothyroidism is also a well-documented fact. Nerve conduction studies are generally considered to be the most sensitive and reproducible in the assessment of peripheral neuropathies. This study helped to determine the prevalence of peripheral neuropathy in diabetic hypothyroid patients as well as to compare it in diabetic patients with or without hypothyroidism. It compared the onset latency, amplitude, conduction velocity and F- wave latency of some nerves in type 2 diabetes mellitus patients with or without hypothyroidism.Methods: With RMS, EMG, EP MARK-II, nerve conduction studies are done in 30 cases (type 2 diabetes mellitus patients with hypothyroidism) and 30 controls (type 2 diabetes mellitus patients of diabetes without hypothyroidism) respectively, attending the Diabetic Clinic and Biochemistry Laboratory of North Bengal Medical College.Results: Data were treated with Unpaired t-Test. The study reveals that type 2 diabetes mellitus patients with hypothyroidism have higher prevalence of peripheral neuropathy. There is statistically significant (p<0.00) decrease in motor nerve conduction study in both right and left median nerves in diabetic patients with hypothyroidism than in diabetic patients without hypothyroidism.Conclusions: All diabetic patients should be screened for early detection of hypothyroidism as type 2 diabetic patients with hypothyroidism have higher prevalence of peripheral neuropathy. The nerve conduction study remains the most reliable, accurate, and sensitive method to evaluate peripheral nerve function.
Serum transferrin receptor-ferritin index as a marker of iron deficiency anemia in active inflammatory bowel disease patients in Indian population
Authors: Gujjarlapaudi Deepika , Veeraiah Namburu , Naveed Syed Hassan , Reddy Duvvuru Nageswara
Published: August 2021

Background: Anemia is most common complication in IBD (inflammatory bowel disease). The aim of the study was to assess the sTfR-F (soluble transferrin receptor-ferritin) index as early marker of IDA (iron deficiency anaemia) in IBD.Methods: Retrospective cross sectional study has 480 cases of IBD (group I ) with controls 220 (group II), CBP, serum hsCRP, serum iron, TIBC (total iron binding capacity), sTfR, ferritin, fecal calprotectin, vitamin B12, folic acid were assessed.Results: In study I, group I was compared with group II showed (66.5%) patients had active disease and in that 65.0% of UC, 32.1% of CD and 2.9% others colitis had anemia. In study II, subgroup I 56.4% had IDA subgroup II 7.3% had ferritin between 30-100 ng/ml combi subgroup III 23.3% had ferritin>100 ng/ml (ACD, anaemia of chronic disease) subgroup IV 5.6% had vitamin B12 and folic acid deficiency excluding sTfR-F analysis. In study III, subdivided to identify IDA with sTfR-F index as group A 60.8% had sTfR-F index>2, group B 32.6% had sTfR-F index=1-2 and group C 3 (6.2%) had sTfR-F index<1. Intially diagnosed IDA was 56.4%, in addition with group A, IDA has increased by 66.5%. In study IV, in IDA, sensitivity of sTfR-F index was100%, sTfR 89% and SF 85%. Specificity of sTfR and sTfR-F index were 80.60% and SF has low specificity 73.90%. In study V, a statistical significance was seen more in female than male and in children than in adults with sTfR-F index in IDA.Conclusions: sTfR-F index as an early diagnostic marker, in differentiating IDA, ACD and combi in IBD patients.
Including matily herbal and spices mix in Indian diet may reduce complications of COVID-19 infection in the general population
Authors: Eapen John Thottukadavil
Published: August 2021

Coronavirus is a pandemic affecting the world over, cause human deaths, morbidity and causing economic loss due to frequent lockdowns. The virus mediates injury to multiple organs leading to micro- and macro vascular thrombosis. Aspirin shows promise for treatment of adult COVID-19 patients because of its anti-inflammatory properties and antithrombotic properties. We can take aspirin only under medical supervision. Against such a backdrop, there is a need to find out alternative sources of substances which act like aspirin and yet a component in the everyday diet. “Salicylic acid, the main active ingredient in aspirin, is “ubiquitously present in fruits and vegetables,” the highest concentrations are found in herbs and spices’ this drew our attention to study the role of salicylates in human nutrition. Salicylate consumption varies in different populations depending on the cuisine and methods of food preparation. Therefore, we developed a herbal mix comprising ingredients with high salicylates, to supplement it in the Indian diet. The herbal mix can be prepared in any kitchen in India. We trust adequate salicylate intake in the Indian population may reduce complications of COVID-19, in case of any infection
Brucella terminal ileitis: a rare cause of intestinal obstruction about a case
Authors: Ayala Correa Alejandro Antonio , Grande Zamora Irving Yair , Platas Galván Santos Enrique , González Rivera Oswaldo Natanael
Published: August 2021

Brucellosis is a bacterial zoonosis transmitted by contact with fluids from infected domestic animals, by consumption of unpasteurized milk products, or by inhalation of infected aerosols. Systemic infection has clinical manifestations from asymptomatic cases to those that are fatal. Focal infections occur in 30% of cases and affect any organ. Gastrointestinal manifestations are rare and unspecific. We reported the case of a patient with antithrombin III deficiency who presented with a clinical picture of abdominal pain at the emergency department, with failure of conservative treatment and with progression to acute abdomen, for which surgical treatment was offered, resolving the condition of intestinal obstruction and taking a biopsy that confirmed terminal brucella ileitis, antibiotic treatment and intestinal rest were indicated with successful results. Brucella terminal ileitis is an unusual manifestation of brucellosis. History of consumption of unpasteurized milk and derivatives and contact with livestock should be carefully examined in patients with acute abdomen in Brucella endemic countries. This will lead to a full and uncomplicated recovery from this disease.
Acute necrotizing enterocolitis due to sigmoid colon cancer: a rare entity case report
Authors: Sudiatmika Dewa Gede , Trihatmaja I. Gusti Ngurah A. Bayu , Ramayadnya Anak Agung Gede Agung Wahyu , Jayaningrum Gusti Ayu Agung Bella , Dinata Gusti Ngurah Krisna , Adiputra Pande Made Gunawan
Published: August 2021

Adult necrotizing enterocolitis and non-occlusive mesenteric ischemia are rare causes of acute abdomen. Necrotising enterocolitis usually affects children and only few cases have been described in adults especially in geriatric patient. We report a rare case of acute necrotizing colitis of a 61 years old male patient. X-ray abdomen led to bowel dilatation. We performed emergency laparotomy under general anaesthesia and revealed that the dilatation of intestines and colon was caused by obstructive colitis due to sigmoid tumour. The digestive system was expanded proximally and the mucosae was seen turning black from the sigmoid colon to 80 cm proximal to the terminal ileum, from the findings we concluded that the patient was suffering from acute necrosis without significant vessel occlusion. The occlusion from the tumour may increase intraluminal pressure that affect colonic blood flow, and in closed-loop colonic obstruction without perforation, mucosal ischemia may be the primary event leading to massive colonic gangrene. Necrotising enterocolitis usually affects children and only few cases have been described in adults especially in geriatric patient. We performed complete colectomy with 90 cm resection of terminal ileum and ileostomy to remove the necrotic colon during surgery. Hartmann procedure was performed to distal part of rectum. The surgery was successful and patient was stable after the surgery.
Comparison of spinal manipulation and short-wave diathermy on patients with chronic postural low back pain, in department of physical medicine at teaching hospital, Kandy, Sri Lanka
Authors: Nisansala W. A. T. , Shashikala H. H. T. , Aluthge I. N. , Illukkumbura K. N. B. , Sukirthan S. , Jayasekara J. M. K. B.
Published: August 2021

Background: Chronic postural low back pain (CPLBP) is one of the common health problems worldwide. The aim of the study was to compare the spinal manipulation (SM) and short-wave diathermy (SWD) in patients with CPLBP in department of physical medicine at teaching hospital, Kandy, Sri Lanka.

Methods: Observational study was conducted. Patients diagnosed as CPLBP, who referred to the department of physical medicine (DPM), teaching hospital Kandy, were observed in the study (n=140). Seventy (70) patients were allocated for SWD and 70 for SM by the consultant. Two physiotherapists were routinely appointed for the treatments and SWD treatment by group 1 and SM was carried out by group 2. The two treatment sessions were continued once a week through four weeks. Outcomes were measured by numerical pain scale to compare with initial pain.

Results: Group 1, SM consisted 39 females and 31 males, group 2, SWD 40 females and 30 males. After 4 sessions, the mean value of pain reduction from initial pain was significantly high (p<0.001) in SM group than the short-wave diathermy group in both genders. (Female: 6.410 (SM) and 4.625 (SWD), Male:6.710 (SM) and 4.333 (SWD). Further the mean values showed that there was a significant pain reduction during the initial treatment session than 2nd, 3rdand final sessions in both treatment groups.

Conclusions: Pain reduction was more pronounced in the first treatment session in both methods. SM is more effective for the treatment of CPLBP irrespectively the age and gender when compare to the SWD in the study population. Therefore, SM could apply on CPLBP patients with higher effective treatment.
Novel technique of removal of broken intra-medullary nail from femur with secondary DCS plating
Authors: Mahajan Neetin Pralhad , Pande Kartik Prashant , Bagimani Pramod K.
Published: August 2021

Femoral shaft fractures are one of the commonest fractures of the lower limb which are frequently operated with intramedullary nailing which enables immediate post-operative mobilization of the patient. There could be various causes of nail breakage – some of the notable being weight bearing over the non-union of the femur shaft, or a re-trauma over the operated limb causing both the implant and the nail to be broken. There are various methods of removal of the broken implant the commonest being the use of T-reamer technique. However not always can this be used due to varied intra-operative obstacles in different cases as described in this case below. We have a 35 year old male patient who was brought to us 2 hours after an alleged history of slip and fall following which he had sustained right sided subtrochanteric femur fracture with a broken implant – intramedullary interlock nail. The patient is a previously operated case of right sided femur shaft fracture with interlocking nailing done 15 years back. The patient was operated with – broken implant removal on the right side along with a secondary DCS plating with bone grafting for the subtrochanteric femur fracture. Intra operative period was met with a certain number of challenges and difficulties in view of a 15 year old implant for removal which was successfully with removed with DCS plating done. As is obvious with the above case, it would be quite imperative to say that older the implant, more difficult it becomes for its removal.  
Open posteromedial dislocation of ankle without associated fractures
Authors: Yadlapalli Saipramod , Paparao Bezawada , Kotha Guruvardhan Kumar Venkata , Elaprolu Praveen
Published: August 2021

Dislocation of ankle without associated malleoli or talar fractures is a rare presentation. There is no established standard treatment for this condition. Most of them are treated by immediate reduction followed by immobilisation for 6-9 weeks. Majority of them recover without any complications. Here we reported a case of 33 year old man who was injured due to fall from a height, His ankle was deformed with a laceration over lateral side of ankle. Plain radiograph revealed posteromedial tibiotalar dislocation without any associated fractures. Immediate reduction and suturing was performed. At 5 months postoperative review patient was able to perform his daily routine without any instability or complaints.
A descriptive study of knowledge and attitude of diabetes mellitus and its management in rural population
Authors: L S Yashaswini
Published: August 2021

: Diabetes Mellitus (DM) is a chronic disease, requiring long term medications and frequent monitoring of blood sugars. Education is one of the key components in ensuring better treatment and control of diabetes. Good glycaemic control with frequent monitoring of blood glucose, healthy diet, and adequate physical activity can go a long way in prolonging longevity of patients with DM and also in preventing morbidity.

This study was taken up to assess the knowledge and attitude of people in Rural India towards DM.

This being a hospital based descriptive cross sectional study, 550 Diabetics were evaluated by detailed questionnaire.

: The mean age observed was 49.6±8.6 years, 73% of patients were illiterates. Majority of patients were farmers who indulged in heavy work (55%). (11%) was aware about diabetic diet while only 5%actually followed it. Majority (86.2%) were adherent to medications, while only 15.3% were actually aware regarding consequences and complications of missing medications dosage. None of patients were having facilities for home monitoring of glucose and only 9% got their sugars checked regularly. Only, 62.5% of patients used footwear regularly. Only 21.6% patients were aware regarding importance of foot examination, while only 7.4% performed it regularly.75% did not come to hospital for regular glycemic monitoring as there was no one to accompany them.

Spreading knowledge regarding diabetes and its management in the form strict adherence to prescribed medications, diabetic diet, and regular physical activity will motivate individuals with diabetes to visit hospitals regularly. This is an important step in preventing diabetes-related complications. Awareness methodology specific for rural populations needs to be adopted
Pulmonary hydatidosis presenting as pyopneumothorax in a 15 year old male
Authors: Aurangabadkar Gaurang , Ali Saood , Jadhav Ulhas , Lanjewar Ajay
Published: August 2021

Pulmonary hydatid cyst is an exceptional cause of pyopneumothorax that should be considered in countries where hydatid disease is endemic. The documented rates of simple pneumothorax in patients with pulmonary hydatidosis ranges from 2.4-6.2%. Hydatidosis is a parasitic zoonosis of the genus Echinococcus that infects herbivores and humans in its larvae stage(hydatid) and in paediatric population, generally presents as pulmonary hydatidosis. Misdiagnosis of this condition as tubercular in origin can cause treatment and prognostic delays for the patient.

We report a case of a 15 year old male presenting with complaints of breathlessness (Grade 2 MMRC) since 3 months and dry cough, low grade fever with chills since 3 months. He had previously received AKT therapy and IV antibiotics. His blood investigations were normal. His sputum for AFB, CBNAAT was negative. His initial chest xray was suggestive of right sided hydropneumothorax. CECT Thorax revealed features suggestive of hydatid cyst in right posterobasal segment lower lobe with loculated pyopneumothorax with collapsed and consolidated right lung with mediastinal lymphadenopathy. After admission, Intercostal chest drainage tube was inserted on the right side and connected to underwater seal and pleural fluid was drained. Pleural fluid investigations revealed exudative effusion by Lights criteria, ADA was 150, culture and sensitivity revealed no growth and cytology revealed features of empyema.

The patient was started on IV Piperacillin+Tazobactam, IV Metronidazole and Tab Albendazole for 14 days along with AKT considering raised pleural fluid ADA levels as suggestive of tubercular pleural effusion. The patients hydatid serology (Echinococcus IgG Antibody ELISA- 0.88) came out to be positive which confirmed our diagnosis of hydatidosis. After repeat chest x ray, there was resolution noted in effusion and ICD tube was removed and the patient was discharged on oral antibiotics for 14 days and Tab Albendazole for 3 months.
Presentación
Authors: Susy Inés Bello Knoll
Published: August 2021

La Facultad de Diseño y Comunicación de la Universidad de Palermo en alianza estratégica con la Facultad de Derecho de la Universidad de Salamanca con fines de investigación contribuyen a la toma de conciencia de la importancia de los derechos de propiedad intelectual de los diseñadores y la necesidad de su protección a través de distintos mecanismos. Asimismo ambas instituciones refuerzan el trabajo en pos de la sostenibilidad en los distintos ámbitos del diseño.
El derecho de autor en el diseño de moda
Authors: Gozalbez Rodrigo Javier
Published: August 2021

El presente artículo propone analizar cuál es el rol que el derecho de autor tiene en el campo de la moda, indagando las características, desenvolvimiento y alcance del mismo, con el fin de comprender no solo el motivo en virtud del cual su aplicación suele ser resistida por algunos sectores que prefieren recurrir a otro tipo de derechos intelectuales para proteger el fruto del intelecto asociado a esta industria sino también para intentar demostrar las bondades de su ejercicio principalmente en favor de autores y titulares. En primer lugar se analizarán brevemente los elementos esenciales que integran el sistema de derecho de autor señalando aspectos conceptuales y prácticos. En segundo término se abordará la vinculación entre los diseños de moda y los elementos autorales. Finalmente, mediante un planteo de los puntos fuertes y débiles de la disciplina, se encarará la viabilidad del Derecho de Autor en este tipo de industria.
Reflexiones acerca de las compras públicas de diseño sostenible
Authors: Ivanega Mirian M.
Published: August 2021

El Estado tiene un importante poder de compra. Las contrataciones públicas son un gran potencial para promover y aplicar políticas públicas con objetivos sociales, ambientales, laborales y económicos. La sustentabilidad referida a esos contratos constituye una estrategia de gestión gubernamental que se enmarca en los principios constitucionales, en la medida que aquel constituye una herramienta efectiva para la satisfacción de las necesidades sociales. Por lo tanto, las contrataciones públicas sustentables deber estar dirigidas a adquirir bienes de diseño sustentable, innovadores, que sean amigables con el medio ambiente y que se ajusten a criterios de inclusión, de igualdad y de equidad social.
WATER SYSTEM OF THE RIVER IN URBAN AREAS THAT AFFECTED BY THE INFLUENCE OF THE TIDES CASE STUDY: TELUK DALAM RIVER IN BANJARMASIN
Authors: Widiastuti Endah , Noor M. Azhari , Amalia Maya
Published: August 2021

Teluk Dalam River is one of the small rivers lays in Banjarmasin. However, when the tides occur, some places such as houses and roads that located around the riverbanks still run into puddles and water system that still need to regulated again. This final project discusses about the water system in urban area that affected by the tides.The method used is the field research in the form of geometrical data every 50 meters conducted along the river, tidal data for 15 days and speed river data. Geometrical data that used is the geometrical data every 100 meters, then that data were input in Autocad Landekstop 2009 to get cross sections and long sections of the river. The tidal data were analyzed through Admiralty method and Worldtides application that will get the results of tidal harmonic constants such as number of Formzahl, MSL, MHHWS, etc. Then the tidal analysis results with the highest elevation MHHWS to be input on river sectional in Autocad. So, we will get cross and long sections of the river that run into tidal water run off and will get a safe levee elevation plans. Digitization of Teluk Dalam river watershed also conducted to determine the land use in the watershed of the river Teluk Dalam.  The Results of the research showed Teluk Dalam River length is 3.55 km, The number of stations that were flooded due to tidal as many as 3 for admiralty method and 16 for worldtides of the total 35 stations, with the water level varied. And for the water system need to clean up the river, raising the riverbanks, and management of  water buildings in Teluk Dalam River.   .Key Words :     Teluk Dalam River, Water Sytem, Channel Cross Section, Tides, Worldtides
THE ANALYSIS OF HORIZONTAL DRAIN DESIGN IN SOFT SOIL REINCFORCEMENT
Authors: Firmansyah Hafiz , Ma'ruf M. Afief
Published: August 2021

To help the process of consolidation of the soil, On the port access road Trisakti using Prefabricated Vertical Drain (PVD) materials. Of the work (PVD) thing to note is the horizontal drainage, because it was feared the absence of Horizontal Drain work item function of PVD become non-optimal even it might does not work, so the necessary design analysis of Horizontal Drain that can be used on the project. Analysis of Horizontal Drain design is intended to get the Horizontal Drain design alternatives the most optimal based on quality, cost and time.The methods used in the analysis of the design of Horizontal Drain this is a soft soil improvement method using PVD with attention to soil degradation and the planning of the heap.In the design of the installation of PVD method using static, obtained the degree of consolidation of 90% takes 9.33 months. The calculation of Horizontal Drain in the discharge value must be in flush in one horizontal drain line is  (minimum permeability). From the results of the analysis there is some material horizontal drain of qualified (in terms of time, cost and quality of workmanship) then get : Rough sand (10.93, Rp. 24.050.000.000,-, and 9.4 months), Fine sand (16.24, Rp-16,835,000,000.0, and 9.4 months), PHD (Horizontal Prefabricated Drain) (74.01, Rp-13,101,140,000.0, and 5.6 months) so that it can be concluded that the material PHD (Horizontal Prefabricated Drain) the most efficient in terms of quality, cost, and time. Keywords: Consolidation, Degrees of consolidation, Horizontal Drain, Preloading, Prefabricated Vertical Drain (PVD), Prefabricated Horizontal Drain (PHD).
DESIGN OF COMPOSITE GIRDER STRUCTURE BRIDGE OF SELUANG-1 RIVER PT LIFERE AGRO KAPUAS, KAPUAS DISTRICT
Authors: Fauzi A. Rizki , Markawie Markawie
Published: August 2021

The bridge at the Seluang-1 river is located around the palm oil plantation land owned by PT Lifere Agro Kapuas, Kapuas Regency, Central Kalimantan. In this Seluang-1 river, a bridge is planned to be built to facilitate the mobilization of palm oil plantation crops and other matters as well as transportation in the PT Lifere Agro Kapuas area because before there was a bridge the transportation traffic was cut off by the river so it had to circle quite a long way. The bridge is designed as a bridge with composite girder structure type.          The methodology in the design of loading uses the SNI 1725-2016 concerning on the Loading Standards for Bridges and SNI 2833-2016 concerning on the Earthquake Resilience Planning Standards for Bridges. For methodology in designing concrete structures refer to SNI 2847-2013 concerning Structural Concrete Requirements for Buildings and methodology in designing steel structures refers to SNI 1729-2015 concerning Specifications for Structural Steel Buildings. The material used for abutment uses reinforced concrete material. The methodology in calculating the bearing capacity of the foundation uses the method by Mayerhof and also the method by Kazuto Nakazawa, while the methodology in calculating the lateral bearing capacity uses the Broms method, with the efficiency of the pile using a graph by O’Neill.          From the results of topographic measurements taken a bridge design with a span of 30 m with a total bridge width of 7 m. The slab design is 25 cm thick with the compressive strenght of concrete is fc’ 30 MPa (K-350). The steel girder beam used WF Profile 1350.800.100.130 and the diaphragm beam used WF Profile 250.125.6.9 with BJ55 steel quality (fy 410 MPa). Whereas in the lower structure, the abutment designed with a height of 350 cm, a width of 320 cm and a length of 850 cm, was used with compressive strenght of concrete is fc’ 30 MPa (K-350). In the foundation used Spun Pile type piles with a diameter of 60 cm with a depth of 30 m piling as much as 8 piles on one abutment. Obtained Qallow = 116,37 tons > Qload = 114,69 tons so that the foundation is declared safe. The planned budget for the construction of a bridge on the Seluang-1 river is Rp 8.990.566.000,00.-
ROAD PERFORMANCE ANALYSIS WITH MEDIAN AND WITHOUT MEDIAN ON THE ROAD OF A.YANI SATUI
Authors: Herwandy Abdy
Published: August 2021

The road that is located in the City of Satui is a road that connects cities that are large in the South Kalimantan, the road is often used by mining trucks. From these conditions, there will be a high movement of people, goods, and services. For this reason, it is necessary to conduct a review to determine the performance of the road.The location in this study is on A.Yani Street, City of Satui, South Kalimantan. On this road, there is a part of the road that has a median and does not have a median. Data collected from the results of traffic surveys are primary data which includes geometric data, traffic volume data, and traffic speed data. Secondary data which includes an overview of the study area. The data obtained are then grouped according to the composition of the vehicle. Then the data is made into hourly traffic data to get volume, speed, and density. The data obtained was analyzed to obtain capacity, the appropriate relationship model, and performance changes between roads.The results of data analysis on A.Yani Street, City of Satui are the maximum volumes obtained on the road with a median of 468,75 amp/hour while those on the road without the median are 421,51 amp/hour. The maximum density obtained on the road with a median of 133,67 SMP/km while on the road without a median of 55,86 SMP/km. The maximum speed obtained on the road without the median is 129,2 km/hour while the road with the median maximum speed is 60,87 km/hour. The corresponding equation for A.Yani Street, the City of Satui on the road with the median is the Underwood model, y =   61,161e-0,048x with the R-value of 0,90675 while the road without the median is the Greenberg model, y = -20,41ln(x) + 82,208 with an R-value of 0,90161.
HYDROLOGICAL ASPECT OF BATANG ALAI WEIR WATERSHED DUE TO LAND USE CHANGES INTO MINING AREAS
Authors: Nur Achmad Surian , Noor M. Azhari
Published: August 2021

The policy of the Ministry of Energy and Mineral Resources that provides permits for mining production activities for PT. MCM in the Batang Alai River area has an impact on the hydrology of the area. This study will discuss the changes in land use in the Batang Alai River area, Batang Alai Timur District, Hulu Sungai Tengah to the aspects of high flow and low flow hydrology.          The research method used is manual calculation with rational methods for high flow hydrology and calculations using the ArcSWAT 2012.10.1.18 for low flow hydrology. The data needed in the processing are rainfall data, DEM data, daily discharge data, climatology data, land use data, land use change data, and Batang Alai watershed data.          The results of the study were that the ratio of peak discharge of land use was changed to the mining area and land use was not converted into a mining area for high flow hydrology calculations. There is an increase in plan flood discharge in the Batang Alai River if there is a change in land use into a mining area, the design flood discharge always increases in each period. Whereas for low flow hydrology is the comparison between the daily use of land use converted into a mining area and land use is not converted into a mining area, then the daily discharge results are calculated for the availability of water. The results of low-flow hydrological modeling are categorized as good and have high influence based on the Nash-Sutcliffe efficiency value grouping and the coefficient of determination, and water availability decreases if land use is converted into a mining area.
Cold Dark Matter: Bose-Einstein Condensation of Gluons in Anti-de Sitter Space Time
Authors: Cohen-Tannoudji Gilles , Gazeau Jean-Pierre
Published: August 2021

In the same way as the realization of some of the famous gedanken experiments imagined by the founding fathers of quantum mechanics has recently led to the current renewal of the interpretation of quantum physics, it seems that the most recent progresses of observational astrophysics can be interpreted as the realization of some cosmological gedanken experiments such as the removal from the universe of the whole visible matter or the cosmic time travel leading to a new cosmological standard model. This standard model involves two dark components of the universe, dark energy and dark matter. Whereas dark energy is usually associated with the cosmological constant, we propose to explain dark matter as a pure QCD effect, namely a gluon Bose Einstein condensate, following the transition from the quark gluon plasma phase to the colorless hadronic phase. Our approach not only allows us to assume a ratio Dark/Visible equal to 11/2 but also provides gluons and (anti-)quarks with an extra mass of vibrational nature. Such an interpretation would comfort the idea that, apart from the violation of the matter/antimatter symmetry satisfying the Sakharov’s conditions, the reconciliation of particle physics and cosmology needs not the recourse to any ad hoc fields, particles or hidden variables.
On a Skew t–discrete Gamma Alternative to the Normal-Poisson Model for Clustered Count Outcomes
Authors: Tovissodé Chénangnon Frédéric , Glèlè Kakaï Romain Lucas
Published: August 2021

The normal and Poisson distribution assumptions in the normal-Poisson mixed effects regression model are often too restrictive for many real count data. Several works have independently relaxed the Poisson conditional distribution assumption for counts or the normal distribution assumption for random effects. This work couples some recent advances in these two regards to develop a skew t–discrete gamma regression model in which the count outcomes have full dispersion flexibility and random effets can be skewed and heavy tailed. Inference in the model is achieved by maximum likelihood using pseudo-adaptive Gaussian quadature. The use of the proposal is demonstrated on a popular owl sibling negotiation data. It appears that, for this example, the proposed approach outperforms models based on normal random effects and the Poisson or negative binomial count distribution.