bluuebunny/crossref_metadata_2025 huggingface dataset:
MODERNIZATION OF THE NATURAL GAS LIQUEFACTION CYCLE AT GAS DISTRIBUTION STATIONS
Authors: Vanchugov I.M. , Vatuzov S.M. , Rezanov K.S. , Shestakov R.A.
Published: June 2023

The possibility of developing the liquefied natural gas (LNG) market in the Russian Federation can be realized by increasing the projects of low-tonnage LNG production. The development of LNG production projects at gas distribution stations should be a priority, since in this case it is possible to implement various production schemes: expander, throttle or cycle with a vortex pipe. To assess the efficiency of the use of low-tonnage LNG production at gas distribution stations (GDS), the dynamics of changes in maximum and minimum pressure values  in the main gas pipeline, as well as the distribution of GDS by seasonal change in pressure drop and throughput are presented. To assess the operability and applicability of the work, a design model of the natural gas liquefaction throttle cycle was built and numerical modeling of its operation was carried out at seasonal fluctuations in pressures and GDS costs, which showed a strong dependence on these fluctuations and a low degree of natural gas liquefaction. In order to further modernize the liquefaction cycles of natural gas, modeling was carried out according to the turbo expander cycle, which also showed a dependence on seasonality, but a higher degree of liquefaction of natural gas, which during modeling reached more than 8%. The final stage was the construction of a design model of the combined technology — throttling and turbo expander cycles, as well as numerical modeling, which showed the possibility of increasing the liquefaction of natural gas at GDS to 19%, but the impact of seasonal fluctuations also remains significant. Summing up, it can be said that the work has worked out options for the transition from the throttle cycle to the throttle-expander and turbo-expander, as a result of which it was concluded that the operation of each cycle is effective, due to which it is possible to expand the LNG production network at the GDS at various input pressures, flow rates and the required degree of liquefaction of natural gas.
THE MAIN PROBLEMS IN THE CEMENTING LONG EXTENDED REACH WELLS IN CUBA
Authors: Geyker Romeu Delgado , Buchillon Carlos Daiyan Lugo
Published: June 2023

Cuba advances in the development of drilling long extended reach wells (ERD). An extended range well is defined as one that has a true horizontal deviation-vertical depth (MD/TVD) ratio of more than 2.0. This relationship is an indication of the high complexity of conducting or constructing these types of wells: the higher the ratio, the more complex the well. It is important to note that this is only a basic indicator of the difficulty of drilling and completion of the well. Most of the recently developed wells of this type are in the north-west fields of Cuba, between the provinces of Havana and Matanzas. The True Vertical Depth (TVD) is 1,500 to 2,000 meters, and the horizontal displacement is up to 8,000 meters. However, experience has shown that the quality of the cementation of the extended reach wells in Cuba does not correspond to what is required. Among the most common problems affecting the cementation work of oil wells we can find the poor condition of the well (deviation, well stability, layer of cuts, etc.); poor condition of the mud (high gel stability, high circulation or filtration losses, high solids content, loss of circulating material, incompatibility between drilling fluid and cement); loss of circulation; abnormal pressures (abnormally low pressures, high pressures, etc.). One of the most complex problems to solve by well construction is poor centralization: cement is unevenly distributed throughout the cladding, leaving the cuttings in place. The paper reveals the main problems identified in the cementing long extended reach wells in Cuba and some technological proposals for their solution.
Médecins, malades et prise en charge de l’hypertension artérielle au Maroc
Authors: TANTCHOU Josiane Carine , GRUÉNAIS Marc-Eric
Published: June 2023

Les travaux sur les systèmes de santé en Afrique ont mis en évidence la « mauvaise » qualité des relations soignants-soignés. La plupart de ces travaux a analysé les relations soignants-soignés du point de vue des patients. Dans cet article, nous adoptons une autre posture en analysant le point de vue des médecins. En prenant l’exemple des interactions qui se mettent en place dans le cadre de la prise en charge de l’hypertension artérielle, nous suggérons que la « mauvaise » qualité des relations soignants-soignés est en partie le fait de contraintes structurelles, qui privent les médecins de la possibilité d’une relation thérapeutique souhaitée suivie avec leurs patients. Or, celle-ci garantirait la « motivation », la « volonté », la « discipline » requise de la part du patient pour parvenir à une stabilisation de sa tension artérielle. Face à ces contraintes qui limitent les succès thérapeutiques et sur lesquelles il ne peut intervenir, le médecin n’a pas d’autre alternative que de « blâmer la victime » pour expliquer ses échecs. De la sorte, cet article apporte une contribution modeste aux discussions sur la nécessité d’une approche salutogénique de la santé publique qui s’attache à ce qui contribue à la santé, plutôt que sur les origines de la maladie et les facteurs de risque.
Des ateliers citoyens pour aborder le mourir en France
Authors: AURIAC-SLUSARCZYK Emmanuèle , CASTELLAN Michel , SMIRDEC Margot
Published: June 2023

L’article propose d’investiguer la conduite d’entretiens soignants-patients basés sur les principes de l’ETP en matière d’abord du mourir. La revue de littérature pointe l’exclusivité palliative, un clivage de vue sur la sédation profonde via les autorités de santé, l’impasse des comités éthiques. Les auteurs orientent sur une éthique renouant avec sa base d’embarras, en appelant à la philosophie. La méthodologie expose le cadrage d’ateliers pédagogiques sur les directives anticipées basés sur les principes originels qui régulent le dialogue en ETP : écoute des verbalisations spontanées et l’interprétation de paroles vivantes par le médecin sont centrales. Le discours produit une réciprocité d’échanges entre savoirs expérientiels et savants pour parler du mourir et l’anesthésiste-réanimateur explicite l’intérêt de sa confrontation aux 21 sujets futurs patients/ futurs mourants : les conditions d’un ajustement intersubjectif soignants-citoyens convoque l’Homme. Les expressions recensées en ateliers prouvent que la mort, loin de drainer le tabou d’irreprésentabilité avancée comme frein à la rédaction de directives anticipées, fait se coïncider la part agissante des individus. Ceci parait possible si chacun, médecin compris, accepte d’entendre autrui. Les récits des participants révèlent toutefois une inégalité sociale face à la mort.
Littératie en santé et interventions éducatives dans une université publique mauricienne
Authors: DOWLUT Sabeena , BALCOU-DEBUSSCHE Maryvette , AUTHIER David
Published: June 2023

Cette contribution interroge les conditions du développement de la littératie en santé en s’appuyant sur la mobilisation de l’éducation à la santé auprès d’étudiants d’une université à Maurice. La littératie en santé définit les capacités à accéder et comprendre des informations en santé, avec des prises de décisions. Sur notre territoire, plus d’une personne sur cinq est touchée par le diabète type 2 d’où la littératie en santé en tant qu’un pilier important pour réduire des inégalités en santé. Une démarche de la Recherche-Intervention a conduit vers la production de connaissances scientifiques et une certaine transformation. L'intervention éducative dite "nid d'apprentissage" a été proposée à un échantillon de 48 étudiants. L'objectif de cette étude était d’examiner les conditions favorisant une réflexion sur les dimensions biomédicales et psychosociales, ainsi que les apports du socioconstructivisme dans un contexte donné. Sur un plan heuristique, les résultats obtenus à partir du questionnaire multidimensionnel Health Literacy Questionnaire (HLQ) administré à 25 étudiants à deux moments distincts, avant et après les interventions, sont croisés avec des données qualitatives obtenues à partir des entretiens semi-directifs. Les résultats mettent en évidence les besoins en matière de littératie en santé des étudiants mauriciens dans diverses dimensions, ainsi que les contributions potentielles d'interventions éducatives.
Atouts et limites du "Health education impact Questionnaire"
Authors: SIRON Océane , BALCOU-DEBUSSCHE Maryvette , DEBUSSCHE Xavier
Published: June 2023

L'éducation thérapeutique du patient (ETP) est une intervention éducative et sociale qui vise à développer les connaissances, l’autonomie et le pouvoir d’agir des personnes atteintes d’une maladie chronique. Les interventions en ETP doivent prendre en compte la littératie en santé des patients, soit leur capacité à accéder aux informations, à les comprendre et à les mobiliser dans le quotidien. De nombreuses recherches ont déjà souligné certains effets positifs de l’ETP, mais du fait de la complexité et de la multidimensionnalité de l’objet, l’évaluation de l’impact des interventions éducatives continue à questionner les acteurs impliqués.
En 2020, le « Health education impact Questionnaire » (heiQ) -très peu utilisé en France, mais largement développé dans les pays anglophones-, a été mobilisé en lien avec l’hypothèse d’une possible évolution de la littératie en santé de personnes diabétiques de type 2, suite à un programme en ETP à La Réunion. Le questionnaire a été proposé à 166 patients du service de diabétologie du CHU Félix Guyon de Saint- Denis au premier jour (T1) du programme. Par la suite, ce même questionnaire a été proposé à 60 patients (parmi les 166) à la fin (T2) de l’intervention éducative.
Combinée à trois entretiens menés avec des experts en éducation thérapeutique, l’analyse des questionnaires proposés le premier jour (T1) de l’intervention éducative, puis à la fin (T2), le tout sur une période de 7 à 13 mois, permet d’identifier des effets diversifiés de l’intervention en ETP, notamment en fonction de l’âge et du sexe. Tout en pointant les atouts et les limites du questionnaire heiQ, ces analyses ouvrent sur de nouvelles perspectives en matière de recherche quantitative et qualitative.
Posibles acciones de actores público-privados hacia un desarrollo regenerativo de negocios, en escenarios futuros
Authors: Monje-Cueto Fabiola , Ruiz Ayala Johnny Davy
Published: June 2023

Este estudio tiene como objetivo contribuir al análisis de acciones multiactorales para impulsar los negocios verdes y regenerativos mientras se contribuye con las metas rezagadas de los Objetivos de Desarrollo Sostenible (ODS).Se utilizó la metodología de escenarios futuros, para desarrollar narrativas y una línea de tiempo en retrospectiva desde el 2030 al presente.Se identifican los riesgos, oportunidades y posibles acciones hacia futuros sostenibles en Bolivia como principales hallazgos, aclarando a cuál de las metas de los ODS se contribuye. Luego, se destacan acciones inmediatas, a mediano y largo plazo y recomendaciones desde la perspectiva multi-actor, lo cual implica trabajar de manera coordinada a lo largo de los siguientes años rumbo a modelos de negocios que contribuyan al desarrollo sostenible y prioricen perspectivas regenerativas, al tiempo que impulsan las metas rezagadas de los ODS como externalidades de estas acciones.
CHROMagar Malassezia Medium (CHROM) v1
Authors: Gladfelter Amy
Published: June 2023

Media recipe for growth of Malassezia species.
Modified Leeming and Notman Agar v1
Authors: Gladfelter Amy
Published: June 2023

Media recipe for growth of Malassezia species.
Modified Dixon’s Agar (Heitman Lab) v1
Authors: Lab Heitman
Published: June 2023

Media recipe for growth of Malassezia species.
Art Between Fetishism and Melancholy in Adorno’s Aesthetic Theory
Authors: Benčin Rok
Published: June 2023

The article explores Adorno’s understanding of fetishism and melancholy as immanent to the artwork’s autonomous structure. In order to understand the relation between them, the Freudian understanding of fetishism and melancholy has to be considered along with the more explicit reference to the Marxist concept of commodity fetishism. Analysing the implications of Adorno’s claim that commodity fetishism is at the origin of artistic autonomy, the article shows how it should be understood not only as a materialist demystification, but also as a reaffirmation of art’s apparent self-sufficiency and its capacity to resist the commodification of society. Nevertheless —the article claims— this is only possible if art’s fetishism is dialectically opposed to its melancholy, through which art establishes a relation to the heterogeneous element of the lost object produced by its autonomous form.
Set in Stone? Mobile Practices Evolution in Later Life
Authors: Fernández-Ardèvol Mireia , Rosales Andrea , Morey Cortès Francisca
Published: June 2023

In what ways do mobile communication practices change through later life? To what extent do sociodemographic characteristics, country of residence, and well-being relate to these changing practices? To answer these questions, we used an online, longitudinal study targeting internet users aged 60 and over in six countries (Austria, Canada, Israel, the Netherlands, Spain, and Romania). The focus is on the 3,125 respondents who declared using a mobile phone in every wave (2016, 2018, and 2020). Results show an increasing usage diversification already before the Covid-19 pandemic. A latent class analysis identified three different styles of mobile practices. The most sophisticated relies on almost all the analyzed functions, while the most unsophisticated is limited to voice calls, texting (mainly SMS), and photographs to a lesser extent. Finally, a multinomial analysis provided a picture of the individual characteristics related to the usage styles in the period. The most relevant dimensions were country of residence and age, followed by internet use intensity. The country of residence is relevant to explaining usage because the telecommunications price structure determines the priority given to the mobile phone in (senior) individuals’ everyday lives. The article contributes nuanced evidence of the trajectories of digital practices in later life. At the same time, the findings support and better inform country-based policies, services, and products for more effective inclusion of the older population in today’s hyper-digitized societies.
HIV Stigma and Health
Authors:   , Jaeckel Caitlin Lorraine , Schneider Megan
Published: June 2023

Older adults living with HIV in the United States experience widespread prejudice, discrimination, and other forms of stigma. This critical review aims to address this increasing issue by integrating the literature on stigma towards older adults living with HIV in the US. This review demonstrates that HIV stigma persistently affects the physical and mental health of older adults living with HIV. HIV stigma operates at multiple levels to impact health. Better comprehension of cognitive biases hold promise for reducing stigma and its adverse health-related effects on older adults living with HIV. Additional research is needed to document the causal relationship between stigma surrounding older adults living with HIV and stigma interventions based on cognitive biases. Multilevel interventions to prevent stigma towards older adults living with HIV are warranted.
Sistemas de comunicación alternativos y aumentativos en población con parálisis cerebral
Authors: Palacios Jennifer , Dorado Meza Angie Camila , Vera Micolta Valentina , Arguello-Vélez Patricia
Published: June 2023

Antecedentes: La parálisis cerebral es una patología de origen motor, ocasionada por una lesión cerebral, que repercute significativamente en el desarrollo de la comprensión y expresión del lenguaje. Afecta notablemente la comunicación, evidenciándose en algunas ocasiones, vocabulario restringido, estructuración sintáctica escasa, habla ininteligible y una exploración del entorno totalmente reducida. Los sistemas de comunicación aumentativos y alternativos son una de las estrategias terapéuticas utilizadas por los profesionales en fonoaudiología, contribuyendo así, al desarrollo de habilidades lingüístico-comunicativas en esta población.
Objetivo: Esta investigación caracteriza, a partir de una revisión bibliográfica, los sistemas de comunicación utilizados como herramienta terapéutica para la población diagnosticada con parálisis cerebral.
Métodos:  La presente investigación se llevó a cabo mediante una revisión de la literatura, considerando artículos de las bases de datos: Google Scholar, Pubmed, Scopus y BVS. Se filtraron 266 artículos en matriz de autoría propia, luego del análisis de los criterios de elegibilidad, título y resumen, se eligieron 20 artículos.
Resultados: Los resultados se dieron con base en las variables sociodemográficas, metodológicas y temáticas de la investigación, permitiendo caracterizar y describir los sistemas de comunicación implementados por los fonoaudiólogos en el marco europeo, asiático y americano.
Conclusión: Los sistemas de comunicación empleados en los últimos 10 años por los fonoaudiólogos en la población con parálisis cerebral son en su mayoría de alta tecnología, evidenciándose la utilización de software-hardware, interfaz y dispositivos generadores de voz (SGD).
Recomendaciones para la implementación del plan de control de infecciones para reducir el riesgo de tuberculosis para visitantes y trabajadores en instituciones prestadoras de salud
Authors: Castro-Osorio Claudia Marcela , Luna-Miranda Lucy del Carmen , Espinosa-Arana Mónica , Rojas-Zúñiga Claudia Nathaly , Pacheco López Robinson , Puerto-Castro Gloria Mercedes
Published: June 2023

It is a call to promote the World Health Organization's recommendation to contribute to the global "END TUBERCULSIS" strategy through advocacy, operational research, and innovation.
Respiratory Microbiome Profiles Are Associated With Distinct Inflammatory Phenotype and Lung Function in Children With Asthma
Authors: Kim YH , Park MR , Kim SY , Kim MJ , Kim KW , Sohn MH
Published: June 2023

Background: Respiratory microbiome studies have improved our understanding of the various phenotypes and endotypes in heterogeneous asthma. However, the relationship between the respiratory microbiome and clinical phenotypes in children with asthma remains unclear. We aimed to identify microbiome-driven clusters reflecting the clinical features of asthma and their dominant microbiotas in children with asthma. Methods: Induced sputum was collected from children with asthma, and microbiome profiles were generated via sequencing of the V3-V4 region of the 16S rRNA gene. Cluster analysis was performed using the partitioning around medoid clustering method. The dominant microbiota in each cluster was determined using linear discriminant effect size analysis. Each cluster was analyzed to identify associations between the dominant microbiota, clinical phenotype, and inflammatory cytokines. Results: We evaluated 83 children diagnosed with asthma. Among 4 clusters reflecting the clinical characteristics of asthma, cluster 1, dominated by the genera Haemophilus and Neisseria, demonstrated lower postbronchodilator (BD) forced expiratory volume in 1 second (FEV1)/forced vital capacity (FVC) than the other clusters and more mixed granulocytic asthma. Neisseria correlated negatively with pre-BD and post-BD FEV1/FVC. Haemophilus and Neisseria correlated positively with programmed death-ligand (PD-L) 1. Conclusion: To our knowledge, this study is the first to analyze the relationship between an unbiased microbiome-driven cluster and clinical phenotype in children with asthma. The cluster dominated by Haemophilus and Neisseria was characterized by fixed airflow obstruction and mixed granulocytic asthma, which correlated with PD-L1 levels. Thus, unbiased microbiome-driven clustering can help identify new asthma phenotypes related to endotypes in childhood asthma.
Salud y Seguridad en el Trabajo
Authors: Oviedo Correa Julietha Alexandra , Yepes Calderón Gonzalo Eduardo , Gaitán Ávila Luisa Fernanda , Castiblanco Aldana July Patricia , Velásquez Triviño Viviana Paola , Rojas Camacho Daniela Alejandra , Puerto Cortés Paula Viviana , Navarro Feria Abel José , Navarro Feria Nerly Edith , Botia Sánchez Olga María , Piñeros Fernández Mónica Patricia , Sanabria Benavidez Jeraldyne , López García Yeimy Lorena , Morales Figueroa Maritza Cristina , Perea Sandoval Julio Alberto
Published: June 2023

Work-related stress is a high-impact psychosocial risk factor and teachers are not exempt from this reality, currently in Colombia there are rules that regulate psychosocial risk, however, these rules cannot be applied to the teaching reality of the majority of students. schools and more in public schools since there are no financial or human resources to address this problem. El Salitre de Suba School is a public school located in 13 Seguridad y Salud en el trabajo the town of Suba in the City of Bogotá, currently it has 3 educational centers with 138 active teachers, who provide education to an average of 3000 students from its three branches and in its two days, the problem of work stress in this institution has not been indifferent since there have been strong cases of stress where there are currently teachers disabled by this condition and others have received disability pensions due to this cause. Given this problem and the negative impact on the physical and mental health of the teachers of Colegio El Salitre de Suba, the need arises to apply this research project in order to determine through the scale survey the sources of stress in professors (EFEP) the most relevant sources and the conditions that are generating this problem and provide alternative solutions to it. Keywords: Stress, Teachers, Sources of stressors, Factors, Psychosocial Risk.
Borderline ovarian tumors: retrospective study and literature review
Authors: Aziz Aliya B. , Sikandar Nosheen , Aziz Humaira , Chishti Uzma
Published: June 2023

Background: Borderline Ovarian tumor are epithelial tumors, diagnosed in early stage with excellent prognosis. The risk of recurrence is matter of concern.
Methods: A retrospective, cross-sectional study conducted at OBGYN department of Aga khan hospital Karachi from 2002 to 2018. 
Results: Seventy-three patients with BOT were enrolled with mean age of 40 years. Fertility sparing surgery (FSS) was performed in 35 (48%) while 38 (52%) underwent debulking surgery. Average pre-operative CA-125 IU level was 47 in FSS and 40 in debulking group. Laparotomy was the commonest surgery in both groups with 5 (14%) patients in FSS group having laparoscopy. In debulking group, 3 patients (8%) had residual disease. Majority of patients in both groups had stage 1 disease i.e., 34 (97%) and 34 (89%) respectively. Serous was the most common histological type in both groups while unilateral lesions were prevalent in the FSS group (83% vs. 68%). Recurrence was reported in 3(8.6%) patients in FSS, while 1 (2.6%) in debulking group. Mean time to recurrence was 57.13 months. Amongst the 4 recurrences, 3 patients had FSS and had unilateral tumor, ruptured capsule or surface disease. They had mucinous histology with negative cytology. One from debulking group had recurrence with bilateral tumor, serous histology and stage IIIC. Three patients (9%) conceived in FSS and had live births. The 5-year overall survival was 97.9%. 
Conclusions: BOT have a favorable prognosis. Recurrences occur late in the trajectory of disease and hence regular follow-ups are important. They are common in mucinous tumors with external capsular involvement.
Knowledge, attitudes, practices, and prevalence of nicotine pouches in Pakistan: where do we stand?
Authors: Nawaz Muhammad Talha , Hameed Ayesha Nasir , Yasin Fatima , Angez Meher , Gul Khujasta , Irfan Omar , Khan Javaid Ahmed
Published: June 2023

Background: Nicotine pouches (NPs) are a relatively new type of oral smokeless tobacco-free nicotine product which are considered an alternative nicotine delivery system to help quit smoking. There is little information available about the safety and composition of NPs, and yet they are being widely endorsed by various influential institutions. Our study aimed to assess knowledge, attitude, and practices (KAP) regarding NPs among the Pakistani population.
Methods: A large cross-sectional study was conducted using an anonymous online survey. The survey included questions regarding demographics, and KAP of NPs. Descriptive, univariate and multivariate analyses were performed to establish any relationship between the exposure variables (sociodemographic factors) and the outcome variables (KAP scores).
Results: A total of 1749 participants were included in the final analysis. The mean age of the respondents was 20.6 years. The overall mean score of knowledge and attitude was 3.0 and 4.75 respectively. Around 40.0% of participants had adequate knowledge while 50.6% had a negative attitude towards NPs. Overall, 17.2% of the respondents reported using NPs. Results showed that there was no difference in cigarettes used before and after the start of nicotine pouches (median=3, IQR=2-6).
Conclusions: NPs are being marketed in Pakistan at a rapid rate despite very little information about their adverse effects. Our study demonstrates scanty knowledge of NP in the Pakistani population, and advocates education about harmful effects of NP. Larger interventional studies are needed to investigate potential adverse effects of NP consumption which can aid in the regulation and marketing of this product.
Prevalence of visual disturbances among medical undergraduate students of a tertiary care teaching hospital in South Kerala
Authors: V. S. Aparna , John Kevin A. , Anvar Rithima
Published: June 2023

Background: Uncorrected errors of refraction are the leading cause of moderate to severe visual impairment. This study helps to determine the risk factors and prevalence of refractive error among medical students and to evaluate the uncorrected visual acuity among them. Aim was to study the prevalence and risk factors of visual disturbances among    medical undergraduate students.
Methods: A cross sectional study was conducted among 200 undergraduate medical students. Data on socio-demographic characteristics, type of refractive errors, risk factors for refractive errors and frequency of eye examinations were collected through questionnaires. Uncorrected visual acuity was detected using Snellens chart and near vision was tested using jaeger’s chart. Appropriate statistical tests were applied and data was analysed using statistical package for the social sciences (SPSS) version 21.
Results: Out of the total 200 study participants, majority were females (61.5%), mean age of the study participants was 21.51±1.33, 11.5% were examined for the first time through this study, 51% were suffering from some sort of visual disturbance among which 80% were having myopia, 50% of the study participants spent more than two hours per day reading books, 72.5% had habit of reading in dim light. Uncorrected visual acuity was seen among 22% of the study subjects and 15% with positive family history of refractive errors showed uncorrected visual acuity.
Conclusions: This study was an effort to identify the risk factors and determine the prevalence of refractive errors, 22% of subjects had uncorrected visual acuity; myopia was the common refractive error observed among the study participants followed by hypermetropia and astigmatism.
Determinants of malnutrition among the tea garden workers of Darjeeling district in 2021: an ordinal regression analysis
Authors: Mandal Diptojyoti , Bhattacherjee Sharmistha , Biswas Asit Kumar , Samanta Sampriti
Published: June 2023

Background: Due to increasing lifestyle changes and poverty, double burden of malnutrition is becoming more and more severe, especially in the underserved areas like tea gardens. Food security is also a major issue not only in underdeveloped countries but also in developing countries like India. The study aims to estimate the prevalence of malnutrition among the tea garden workers and to find out the associated factors with malnutrition among the tea garden workers of Darjeeling district.
Methods: 200 people were selected from 10 tea gardens of Darjeeling district by cluster sampling method. They were interviewed using a structured questionnaire to find out the associated factors with malnutrition. Weight and height was measured using standard measuring tools and then BMI was calculated. To find out the determinants of nutritional status, an ordinal regression analysis was done with the help of SPSS software.
Results: The prevalence of under nutrition and obesity was 25% and 20.5% respectively. The ordinal regression model showed that the odds of higher BMI was found with increasing age, male gender, being a permanent garden employee and higher educational status. Household food insecurity increased the odds of undernutrition, as individuals from food secure households had significantly higher odds of getting higher BMI.
Conclusions: Nutritional status is closely associated with socio-economic and demographical variables and household food security. To ensure the health and nutrition of the tea garden workers, a more comprehensive strategy to addressing socio-demographic issues and household food security is required.
Effectiveness of educational intervention on KAP of food handlers and barriers to implementation of food safety: a cross sectional comparative study
Authors: Sinha Shubhralok , Sandhu Navneet Kaur
Published: June 2023

Background: With an estimated 600 million cases of foodborne illnesses annually, unsafe food is a threat to human health and economies globally. World Health Organization (WHO) emphasizes that the future of food safety is to transform knowledge into action for people and communities. Hence, this study was undertaken to evaluate the effectiveness of an educational intervention package on Knowledge, Attitude and Practice (KAP) of food handlers and to evaluate the barriers to implementation of food safety.
Methods: This was an educational intervention before and after comparison study. All food handlers employed in food establishments located in the premises of a tertiary care hospital were included in the study. The educational intervention comprised of interactive lectures and documentaries. The responses of the participants were recorded on pre-validated questionnaires and KAP scores were calculated before and after the educational intervention. Chi square test and paired t-test were used to assess statistical significance.
Results: The mean age of food handlers was 38+2 years. Majority were educated up to 12th standard. There was a significant improvement in the KAP scores pre- and post- intervention. Among the barriers recognised in ensuring food safety, the most common were manpower management and absence of basic amenities for hand washing.
Conclusions: The study concludes that while educational intervention has a significant role in improving the KAP of food handlers, a holistic approach in prevention of food borne illnesses should include active participation from the stakeholders and clientele besides providing periodic training to the food handlers.
Perception of medical college students towards online learning amid COVID-19 pandemic
Authors: Patil Jyoti M. , Dixit Umesh R.
Published: June 2023

Background: The nationwide lockdown restrictions to control the spread of COVID-19 impacted all aspects of life and inevitably, medical education was also affected. All medical colleges were forced to suspend face-to-face teaching and adopt online teaching. This study aimed to assess the perception of undergraduate medical students towards online learning which was adopted amid COVID-19 pandemic and to determine the perceived barriers and merits of online learning.
Methods: This cross-sectional study was conducted among undergraduate medical students of a private medical college in Dharwad. A pre-designed and pre-tested proforma (Google Form) was shared via WhatsApp group. Data obtained was analysed using SPSS version 20.0.
Results: A total of 201 undergraduate medical students participated in the study of which 51.2% were male and 48.8% female. The mean age of study participants was 20.3±1.02 years. Majority (71.1%) of the students used mobile phones to attend online classes. Majority (82.7%) of the students preferred face-to-face teaching over online teaching. 79% students perceived that online teaching was not as effective as face-to-face teaching and 86.1% were not able to learn clinical skills through online learning. Poor internet connectivity, family distraction, inability to meet friends, lack of co-curricular activities, and difficulty in concentration were barriers to online learning.
Conclusions: The present study found that, students had negative perception towards online learning. It is important that medical schools and educators know the barriers and advantages of online learning, and come out with solutions to make online learning more acceptable to the students.
Analysis of the markets for intellectual goods and services dynamics development in Russian regions
Authors:   Saratov State University, Tugusheva Rysimya R. , Ogurtsova Еlena V. ,   Saratov State University, Firsova Anna A. ,   Saratov State University
Published: June 2023

Introduction. The development of science and technology in recent decades, the active introduction of innovations and ongoing technological changes have significantly influenced economic processes and led to the emergence of a post-industrial economic system with a predominance of the Quaternary knowledge-intensive sector of the economy. Theoretical analysis. The development of intellectual activity and the expansion of the intellectual production sphere change the quality of the economic system itself. In modern economy, the development of markets for intellectual goods and services leads to qualitative changes in traditional sectors of the economy, which makes it important to study their development dynamics. Еmpirical analysis. Based on empirical data from 85 Russian regions for 2014–2021, an integral indicator of the development level of regional markets for intellectual goods and services was calculated using nine indicators that characterize the most large-scale knowledge-intensive sectors of knowledge generation in regional economies: educational services, innovations and information technologies. Results. The dynamics of the development of regional markets for intellectual goods and services as a whole is determined, and the unevenness of their development and a high degree of differentiation are revealed. The “disconnection” of regions with a high level of development of knowledge-intensive sectors from each other hinders the formation of an even innovation space and the spread of a high-tech way of life, the effective transfer of knowledge, technology, information and economic growth in general. Conclusion. The results of the study can be used to analyze changes in the educational services market, when conducting research on the innovative and informational development of regions, predicting qualitative and quantitative trends in the development of markets for intellectual goods and services.
The curse genre of ’Kargys’ in the Kazakh language: Is the belief in the magical power of the word still preserved?
Authors:   Margulan Pavlodar Pedagogical University, Temirgazina Zifa K. , Abzuldinova Gulsum K. ,   Margulan Pavlodar Pedagogical University, Sagyntaeva Zhulduz K. ,   Margulan Pavlodar Pedagogical University
Published: June 2023

The speech genre of curse analyzed in the article belongs to the most ancient genres of oral communication in Kazakh culture. It is based on belief in the magical function of the word, in the ability to bring harm and evil to the cursed with the help of magical powers. Kargys is a pattern, its stable verbal formulas are preserved in the linguistic consciousness of the modern native speakers, despite the fact that the archaic foundations of the pattern may not be fully understood by them. The aim of the article is to analyze the aspects of the propositional structure of the genre of curse in the Kazakh language, to typologize the nature of harm and evil inflicted on the addressee, to identify some cultural, linguistic and pragmatic features of the speech genre. For example, for the feasibility and strength of the influence of the kargys, the status of the one who curses and the one who is cursed is important – the age, the family, the social status. The objectification of the verbal predicate in the kargys is significant and fundamental, even the contracted forms preserve it. The actants in the structure of the proposition of curse are optional; their elimination is carried out on various semantic and pragmatic grounds. The Kazakh language provides formulas for counteracting the destructive genre of curse, including the formula for depriving the force of the curse and the formula for returning it to the one who curses.
Arthroscopy & Arthrocentesis of the Tm Joint: in Relation of Pain & Functional Management: A Comparative Study
Authors:   Ex Senior Resident, Dept. of Dentistry, SSMC, Rewa, M.P. India 486001, Mishra Santosh
Published: June 2023

In 2021 and 2022 720 patients with pain in the temporo-mandibular joint area were examined and treated. The authors describe their therapeutic protocol. Sixty-two patients were not relieved by conservative nonsurgical therapy and were treated by arthroscopy or arthrocentesis. In both groups the differences in functional result and in pain control were analysed. Results show that both arthroscopy and lavage are useful in improving function and diminishing pain. Arthroscopy shows better results for functional treatment whereas arthrocentesis and arthroscopy show similar results in pain control.
A numerical study on the wave loading on offshore structures of different cross-sectional geometries under the action of regular waves
Authors: Vargas Guilherme Fuhrmeister , Scapin Bruno Alvarez
Published: June 2023

Coastal engineering and maritime hydraulics have experienced significant development over the years with the construction of bridges, oil exploration platforms, and ports, highlighting the importance of studying and quantifying the efforts resulting from wave loads on these structures. The present work aims to identify how a variation in the geometry of the cross-section, along the wave climate, can modify the magnitude of the wave loadings experienced by the structure. The open-source computational code OpenFOAM v. 4.1 was applied in the considered cases, along with the OlaFlow extension, considering the application of a structured mesh, the VOF (Volume of Fluid) methodology for representing the free surface, and the turbulence modeling according to Reynolds averaged equations (RANS). The results demonstrated that the shape of the cross-section plays an important role in the efforts experienced by the structure, and this influence is directly related to a characteristic length, whose intensification causes an increase in the magnitude of the experienced horizontal force. Likewise, by defining important dimensionless parameters, it was possible to obtain approximate expressions to determine the maximum wave force on the structures. The results and analyses carried out demonstrated that the force value calculated according to this approximation methodology is quite adequate, presenting relative errors smaller than 11,00%, corresponding to a relevant simplified approach for the determination of the maximum wave loads experienced by the structures, which can be important for proper design and analysis.
El lenguaje como determinante de la contabilidad en su percepción como ciencia social
Authors: Tutalcha Delgado Ángela , Montenegro Jiménez Karla , Chamorro González Candy
Published: June 2023

En el proceso evolutivo de la humanidad siempre ha estado presente el lenguaje, así mismo su participación ha sido determinante para las reflexiones desde la contabilidad, que en su amplia historia ha generado cuestionamientos sobre el carácter epistémico. Esta investigación pretende interiorizar el lenguaje como un elemento determinante de la contabilidad para su percepción como ciencia social. Para ello, su paradigma es cualitativo de carácter descriptivo, bajo un método inductivo y mediante la utilización de técnicas de revisión documental y la aplicación de entrevistas semiestructuradas a investigadores expertos en la temática. Los resultados indican que la relación entre contabilidad y lenguaje depende de la perspectiva ontológica y ortodoxa, lo que ha provocado el desarrollo de múltiples debates. Respecto a los componentes relevantes de la relación se destacan tres: 1) el proceso comunicativo; 2) la perspectiva cognitivista, y 3) la pedagogía, sustentados y ligados a otros elementos que actúan en forma combinada, y permiten trabajar en sincronía para cumplir con el objetivo informativo enlazado a un acto reflexivo.
Jak chronić i popularyzować dziedzictwo kulturowe? Na przykładzie projektów starodrucznych i rękopiśmiennych Biblioteki Uniwersytetu Łódzkiego w latach 2020–2022
Authors: Strzelecka Maria , Sulejewicz-Nowicka Monika
Published: June 2023

Artykuł omawia działania podjęte w latach 2020–2022 przez Bibliotekę UŁ w ramach projektów obejmujących zbiory starodruczne z pierwszej połowy XVII wieku i rękopiśmienne z XV–XVIII wieku. Prezentuje kolejne etapy projektów, służące ochronie i popularyzacji zbiorów, a wśród nich: wybór kolekcji, opracowanie, konserwację, digitalizację, działania popularyzatorskie i promocyjne. Jest próbą odpowiedzi na pytanie o miejsce i rolę dziedzictwa kulturowego w przestrzeni rzeczywistej i wirtualnej biblioteki, w społeczności akademickiej, lokalnej i międzynarodowej.
Alterations in Biochemical Markers of Liver and Kidney Function and Oxidative Stress Indices on Sub-acute Exposure of Meloxicam in Albino Rats
Authors: Wasnik Snehal , Gautam Vidhi , Mishra Prateek , Sharma Rajesh , Jain Sachin , Gond Vijay K.
Published: June 2023

Background: The study was performed to study the alterations in biochemical markers of liver and kidney function and oxidative stress indices on sub-acute exposure of meloxicam in albino rats. Methods: The study was performed in three groups of rats, consisting six rats in each group. The rats of group I were served as control. However, rats of group II, III were treated with meloxicam @ 0.2 mg/kg b.wt. meloxicam @ 0.6 mg/kg b.wt. respectively. Result: Meloxicam administration induced oxidative stress in rats as indicated by significant decrease in concentration of catalase, superoxide dismutase and reduced glutathione in blood as compared to control. However, lipid peroxidation was significantly enhanced as indicated by increased level of MDA in blood as compared to control. Meloxicam altered the functions of liver and kidney as indicated by the alteration in the biochemical markers of liver and kidney function. Meloxicam significantly enhanced the concentration of biochemical markers of liver function viz. ALT, AST, GGT, ALP, albumin and bilirubin as compared to control. The concentration of biochemical markers of kidney function viz. BUN and creatinine was significantly enhanced after meloxicam administration as compared to control.
A Comparative Study of Conventional Suture and Stapler Anastomosis for Gastro-intestinal Surgery in Dogs
Authors: Gokulakrishnan M. , . Ramya , Ali Mohamed
Published: June 2023

Background: Gastro-intestinal anastomosis is mostly performed to correct the gastro-intestinal surgical disorders like gastro-intestinal obstruction, abdominal trauma, perforated bowel, intussusception and intestinal neoplasia etc. In early periods conventional intestinal anastomosis was followed which evolved into a seromuscular pattern of suture technique in recent years. Stapled anastomosis have a higher tensile strength than sutured anastomosis, since they heal by primary intention with minimal inflammation. Taking above facts into consideration, this study was undertaken to compare the conventional suture with stapler anastomosis of gastro-intestinal surgery in dogs. Methods: Clinical cases of dogs which were reported to Small Animal Out-Patient (Surgery Unit) of Madras Veterinary Teaching Hospital, Chennai, with the symptoms of gastro-intestinal obstruction due to multifactorial causes formed the study material that were randomly divided into two groups of 6 dogs each. Group I Cases were treated with conventional suture, Group II were treated with gastrointestional anastomosis staplers. Plain and contrast radiography, ultrasonography, intestional anastomosis time, resumption of oral feeding, matrix metalloproteinase were performed. Result: Stapler technique was found to be superior, accurate and most effective than the conventional technique in terms of anastomotic constructing time, less bowel manipulation, tissue trauma, anaesthetic exposure, risk of peritoneal contamination, early resumption of gastro-intestinal motility and oral feeding, rapid healing at the anastomotic site and reduced hospital stay. Moreover the procedure was easy to perform and simple.
Fa’aaliyyah Tathbiiq al-Wasaail al-Sam’iyyah al-Syafahiyyah li Tarqiyyah Mahaarah al-Kalam lada Thullaab Madrasah As’ad al-Mutawassithah al-Islaamiyyah bi Madinah Jambi
Authors: Yurman Arnindio Maulidika , Islam Badrul , Bahruddin Uril
Published: June 2023

ملخص البحث الوسائل التعليمية دور مهم في تحقيق أهداف التعليمية، لكن يواجه المعلمين والطلاب المشكلات في تطبيق الوسائل التعليمية بسبب محتديات ألات. أما هدف هذا البحث فلمعرفة فعالية تطبيق الوسائل السمعية والشفهية لترقية مهارة الكلام لدى طلاب مدرسة أسعد المتوسطة الإسلامية بمدينة جامبي. أما مدخل هذ البحث كمي بنوع الإحصائية الموضوعية، والطريقة المستخدمة في جمع البيانات بتعداد السكان، والعينة والاستبيان وتم تحليل البيانات عن طريق معامل فاي Koefisien Phi باختبار العشوائي، واختبار التجانس، واختبار الحالة الطبيعية. اما نتائج هذا البحث يدل أن بيانات البحث على أعلى درجة في الفصل التجريبي 100 وكانت أقل درجة 50 بمتوسط 72.93 بينما حصلت فئة التحكم على أعلى درجة 88 وأقل درجة 44 بمتوسط 63.79. بناءً على الحسابات باستخدام اختبار t الذي تم الحصول عليه  = 3,25 وعلى مستوى كبير تم الحصول عليه 5٪  = 2,40 وعلى مستوى دلالة 1٪  على هذا النحو 2,40 3,25 3,00 لذا Haتلقى، هذا يعني أن هناك اختلافًا كبيرًا بين مهارات الكلام للطلاب الذين يستخدمون الوسائل السمعية الشفهية وأولئك الذين لا يستخدمون الوسائل السمعية الشفهية. وخلاصة هذا البحث تدل أن وسائل السمعية الشفهية ضرورية في ترقية مهارة اللغة خصوصا مهارة الكلام.الكلمات المفتاحية: وسائل، السمعية والشفهية، مهارة الكلام اللغة العربية.
Plant-Based Flocculants: Alternative Materials to Synthetic Polymers for Sludge Dewatering
Authors: Ben Rebah Faouzi
Published: June 2023

The use of conventional organic or inorganic synthetic chemicals in sludge dewatering process is currently leading to new concerns. Worrying issues are related to the pollution of the environment and the risks for human heath caused by the generation of large quantity of sludge containing residual metal ions and toxic residual organic monomers. Plants such as okra, cactus, moringa and aloe showed their ability in enhancing sludge dewaterability. Interestingly, the utilization of plant-based materials produce nontoxic and biodegradable sludge, and represent a sustainable strategy to substitute chemicals in sludge processing.