bluuebunny/crossref_metadata_2025 huggingface dataset:
Formação ética de profissionais de saúde: contribuições de uma vivência interprofissional
Authors: Finkler Mirelle , Moratelli Lucas Berté , Vásquez Maria Fernanda , Verdi Marta , Bara Francisco Esteban
Published: October 2021

Pesquisa qualitativa que objetivou compreender as influências de uma vivência acadêmica interprofissional e extracurricular na formação ética de estudantes da saúde. Realizaram-se entrevistas narrativas com participantes do Programa Vivências e Estágios na Realidade no Sistema Único de Saúde (VER-SUS). As narrativas das entrevistas foram submetidas à Análise de Conteúdo Temática e analisadas à luz de teorias de educação moral. Emergiram as seguintes categorias analíticas: “intencionalidade das atividades”, “relações interpessoais e características do processo educativo” e “reflexões éticas”. Os resultados evidenciaram que os valores que fundamentaram a intencionalidade e caracterizaram as atividades foram essenciais para a reflexividade que influencia a construção de identidades morais e éticas. Apontam ainda direcionamentos à universidade comprometida não apenas com a formação profissional, mas também com a educação integral do ser humano, propondo a manutenção do VER-SUS e o estímulo para a implantação/ampliação da educação interprofissional em saúde.
Mulheres na gestão do ensino superior: adoecimento e estratégias de enfrentamento das demandas do trabalho
Authors: Trebien Valicir Melchiors , Trindade Letícia de Lima , Amestoy Simone Coelho , Corralo Vanessa , Zocche Denise Azambuja , Bordignon Maiara
Published: October 2021

Resumo Este artigo investiga o adoecimento e as estratégias de enfrentamento do sofrimento no trabalho entre mulheres em cargos de gestão no ensino superior. Para tal, foi realizado estudo de caso quali-quantitativo, do qual participaram 34 mulheres, que responderam ao questionário sociodemográfico e de Avaliação de Prazer e Sofrimento no Trabalho, além disso, destas, sete responderam a uma entrevista. Os dados quantitativos foram submetidos à análise estatística e, os qualitativos, à análise de conteúdo, com apoio no referencial teórico da Psicodinâmica do Trabalho para discussão dos dados. Na amostra, 52,9% das mulheres indicaram manifestações sintomáticas ou agravos à saúde e estabeleceram relação deles com o trabalho. As gestoras indicaram predominantemente estratégias de enfrentamento individuais, incluindo psicoterapia, uso de medicação, prática de terapias integrativas, espirituais e atividades físicas, além das pausas e de alguns recursos de enfrentamento coletivo, tais como encontro e conversa com colegas, amigos e familiares. Concluímos que são necessárias estratégias institucionais para reduzir o sofrimento e desgaste destas profissionais, prevenir o adoecimento e promover o prazer no trabalho.
Condições de trabalho e percepções de profissionais de enfermagem que atuam no enfrentamento à covid-19 no Brasil
Authors: Fernandez Michelle , Lotta Gabriela , Passos Hozana , Cavalcanti Pauline , Corrêa Marcela Garcia
Published: October 2021

Resumo Diante da importância do trabalho de Enfermagem no combate a epidemias e dos desafios impostos pela covid-19 ao exercício da profissão, o objetivo deste artigo é analisar as condições de trabalho e as percepções das profissionais de Enfermagem sobre sua atuação no contexto da pandemia de covid-19 no Brasil. Para tanto, realizamos uma pesquisa de caráter exploratório, a partir de um questionário online, aplicado entre 15 de junho e 1º de julho de 2020, respondido por 445 profissionais. Realizamos análise qualitativa, fundamentada na análise de conteúdo proposta por Bardin e Saldaña. No campo das sensações, os relatos das profissionais evidenciam medo, aumento da irritabilidade, sobrecarga de trabalho, tristeza e solidão. A pandemia da covid-19 alterou os processos de trabalho e a organização dos serviços, influenciando no dimensionamento do quantitativo de profissionais, na jornada de trabalho e na modalidade de execução, além de demandar maior vigilância quanto às medidas de prevenção e contágio. As mudanças impactaram no tempo disponibilizado para atendimento, na interação entre profissionais e usuários, e prejudicou a comunicação. A relevância do trabalho de Enfermagem junto às equipes de saúde no enfrentamento à covid-19 no Brasil reforça a necessidade de adoção de medidas eficazes de proteção e preservação da saúde física e mental dessas profissionais.
UMA HISTÓRIA ORAL EM TRÊS TEMPOS: RELAÇÕES, CONSTRUÇÕES NARRATIVAS, USOS PRÁTICOS DA MEMÓRIA
Authors: Santhiago Ricardo , Patai Daphne
Published: October 2021

RESUMO Este artigo resulta de um projeto que coletou entrevistas de história oral, nos anos 2010, com mulheres que já haviam se narrado três décadas antes, em outro contexto de pesquisa. Os depoimentos de uma das narradoras do projeto, Marialice, gravados em 1981, 1983 e 2015, são discutidos aqui à luz de quatro eixos. O primeiro deles, metodológico, problematiza as relações intersubjetivas estabelecidas em uma pesquisa projetada no tempo e em diálogo com o desenvolvimento da literatura de história oral entre os anos 1980 e 2010. Os demais, interpretativos, avaliam a construção sintagmática da narrativa de Marialice; os padrões narrativos mobilizados por ela em sua construção de si; e, finalmente, os usos práticos de sua própria história pessoal.
“CONTAM QUE HOUVE UMA PORÇÃO DE ENFORCADOS. E AS CAVEIRAS ESPETADAS NOS POSTES”: LITERATURA E ORALIDADE NA REVOLTA DOS ESCRAVOS DE CARRANCAS (1833)
Authors: Andrade Marcos Ferreira de
Published: October 2021

RESUMO O objetivo deste artigo consiste em discutir a relação entre história, literatura e memória, procurando demonstrar a importância das duas fontes para a construção da representação historiográfica em relação à Revolta de Carrancas (1833). A partir da análise do poema “Levante”, de Oswald de Andrade, publicado em 1925 na obra Pau Brasil, procurar-se-á estabelecer um diálogo com os resultados da pesquisa sobre a memória oral da insurreição. Levanta-se a hipótese de que o referido poema está associado à memória senhorial e coletiva da revolta, tendo esta atravessado os séculos, chegando até os dias atuais.
AS VOZES DA MEMÓRIA EMPRESARIAL: A EXPERIÊNCIA DO GRUPO GLOBO
Authors: Fiuza Silvia , Ribeiro Ana Paula Goulart
Published: October 2021

RESUMO O artigo propõe discutir a experiência de história oral realizada no âmbito das áreas de memória das empresas brasileiras, em especial no Grupo Globo. Nesse contexto, a história oral é um rico meio que permite, por meio dos elementos subjetivos da memória individual, produzir inteligibilidade sobre processos institucionais e sociais mais amplos. Destacamos três aspectos essenciais: a seletividade e o enquadramento da memória; a existência de unidades narrativas que sintetizam experiências e ajudam a compreender os acontecimentos; e a sinergia entre produções audiovisuais e narrativas de história oral.
HISTÓRIA ORAL E PATRIMÔNIO CULTURAL: PROJETO MEMÓRIA ORAL DO IPHAN ENTRE PRÁTICAS E DESAFIOS
Authors: Gervásio Flávia Klausing , Pereira Filho Hilario Figueiredo , Brandão Joseane Paiva Macedo
Published: October 2021

RESUMO O artigo aborda a trajetória do Projeto Memória Oral do Instituto do Patrimônio Histórico e Artístico Nacional em três momentos diferentes: a fase preliminar das primeiras entrevistas realizadas na década de 1980; o segundo período, entre 2007 e 2020, quando houve a incorporação da metodologia de história oral no âmbito de um projeto de pesquisa formalmente estruturado; e o atual contexto, marcado substancialmente pela pandemia da COVID-19, que trouxe novas questões teórico-metodológicas de como desenvolver o projeto de forma propositiva em um cenário de adversidades.
Phytoplankton functional groups in shallow aquatic ecosystems from the semiarid region of Brazil
Authors: Silva Klivia Rilavia Paiva da , Barbosa José Etham de Lucena , Santana Lucineide Maria , Barbosa Luciana Gomes
Published: October 2021

Abstract: Aim The study analyzed the potential use of the phytoplankton functional groups as an environmental bioindicator in aquatic ecosystems of Brazilian semiarid region. Methods Using data collected over five years of a natural lagoon and two reservoirs, we evaluate the relationship between functional groups and environmental conditions through the multivariate approach. The Q index was applied to assess ecological status in these ecosystems. Results In Panati, the temporary and natural lagoon, the partial habitat desiccation and presence of macrophytes reflected in the less nutrients concentrations and phytoplankton composition, with high biomass of coccoids Chlorophyceae, diatoms and desmids (functional groups J, MP and N, respectively). Taperoá and Soledade reservoirs presented high cyanobacteria contribution, however the biomass and contribution of cyanobacteria in Taperoá (SN, S1) were lower than in Soledade. In this reservoir, cyanobacteria were more abundant, alternating in dominance (LO, M, LM, SN, S1). According to tendencies revealed by Redundancy Analysis (RDA), the main driving abiotic factors on the phytoplankton functional groups were pH, nutrients and light availability. As expected, phytoplankton composition directly influenced the Q index result, showing mostly bad to tolerable conditions in Soledade, medium to good in Taperoá and good to excellent in Panati. Conclusions The Q index was a good tool to assess the water quality and ecological status in aquatic ecosystems from the Brazilian semiarid region, reflecting the influence of natural control mechanisms on the harmful cyanobacteria blooms in temporary ecosystems.
Moderate thermophilic chemoorganoheterotrophic bacterium in surface layer of anthropogenic grounds of industrial estate area of Al-Mafraq, Jordan
Authors: Galushko Alexander   S. , Ibryaeva Snezanna K. , Zhuravleva Anna S. , Panova Gayane G. , Jacob Jacob H.
Published: October 2021

Surface of oil-contaminated soil from Industrial Estate of Al-Mafraq city, Jordan, was investigated for the presence of aerobic oil-degrading moderately thermophilic bacteria. A pure culture of spore forming aerobic chemoorganogeterotrophic rod shaped bacterial isolate, designated as strain j3n, was obtained. Phylogenetic analysis of the 16S rRNA gene sequence revealed that strain j3n is closely related to gram-positive bacteria of kaustophilus thermoleovorans cluster of Geobacillus genus. Strain j3n grew aerobically with oil, hexadecane, benzoate and acetate. Growth data indicated that utilization of hexadecane but not of oil and benzoate might be under catabolite repression control. Possibility of a regulation of alkane degradation by acetate in aerobic thermophilic gram-positive bacteria of Geobacillus spp. was shown for the first time.
Modern technologies for the production of vaccines against avian infectious diseases
Authors: Rumyantsev Andrei M. , Sidorin Anton V. , Sambuk Elena V. , Padkina Marina V.
Published: October 2021

Vaccination is one of the most effective and versatile ways to prevent infectious diseases. The development of modern technologies makes it possible to obtain vaccines with desired properties. The review presents data on different types of vaccines used for the prevention of infectious diseases of birds. The advantages and disadvantages of traditional attenuated and inactivated vaccines, as well as recombinant vaccines vector, subunit, based on virus-like particles and DNA vaccines are considered. Possibilities of bacterial, yeast, baculovirus and plant systems for the expression of heterologous genes for the production of recombinant vaccines are discussed.
Socio-economic Conditions of Flood Affected People of Northern Districts in Bangladesh
Authors: Faruque Omar
Published: October 2021

In 2017, the death toll from floods sweeping in northern areas of Bangladesh has climbed above 150. In Dinajpur, Rangpur, Lalmonirhat, Kurigram and Thakurgaon more than 57.18 lakh people have been affected by flood and 6.11 lakh hectares of land damaged by floods in 32 districts Flood is an important natural disaster that deeply destroys the infrastructure and socio-economic conditions of the area. After the flood, the flood victims are feeling very unlucky. Their crops are totally destroyed. They are uncertain about their future. They do not know what would be happened in tomorrow. This study is conducted to find out the real situations of the flood victims of the said areas. The primary objective of this study is to provide a review of the socio-economic conditions of flood-affected people of northern districts in Bangladesh. To develop the paper, primary as well as secondary data is used. The quantitative, as well as qualitative analysis, is conducted for the study. Primary data is collected through a set of well-structured questionnaires. To collect the primary data, a personal survey method is used. Computerized modern technology is applied in the coding, tabulating, and processing of data. The victims are asked for their perceptions of life. It reveals that no victim is extremely pleased with their life before and after the flood, and 35% of victims were pleased before the flood, but after the flood, that rate is reduced to 8%. On the other hand, 5% of victims were extremely displeased, but after the flood that is increased to 17%. Floods have huge consequences on people, economics, and the environment. Flooding of regions used for socioeconomic activities produces a variety of negative effects. The government has various programs for food, housing, medical, and education but that is not enough. It is very little than the affected people. Providing adequate support for flood-affected people and preventing floodwaters can save the people of the river basin. It is also revealed that, by solving some problems locally, some nationally, and some internationally, it is possible to fill the lives of flood-affected people with laughter and joy.
The Effect of Pre-Class Assignment in Enhancing the Chinese National-Type School Pupils in Mastery Chinese Language
Authors: Ling Ke Bing , Chew Fong Peng
Published: October 2021

The KSSR curriculum system introduced by Malaysia's ministry of education is demanding teachers to build pupils who will have the ability to carry out the learning process independently. To build pupils with the ability to learn independently, the pre-class assignment is an implementation needed to give the learning autonomy back to pupils.  However, some of the teachers do not like students to do any pre-class assignment because they are afraid that students who have already obtained a certain level of understanding towards the learning materials would feel boring and show the signs of being not interested to listen during the in-class learning process. Thus, this study aims to study the effect of pre-class assignments in enhancing the Chinese language reading comprehension mastery level of pupils from Chinese national-type schools in order to convince more educators to start practicing the use of pre-class assignments. A group of 260 pupils from eight different schools in Kuala Lumpur was involved in this study. A quantitative approach was used in this study and tests were developed and used in this study. The result of this study showed that the implementation of pre-class assignments was effective in helping pupils to master Chinese language reading comprehension. The finding of this research showed that the pupils' performance in Chinese language reading comprehension was not affected by the language used at home and prior exposure of pupils towards pre-class assignments.
Correlation of skin epidural distance and posterior epidural space depth with age, weight, height, BMI, abdominal girth and position of the patient: A prospective randomised study
Authors: Gupta Anshu , Gupta Akhilesh , Singh Farhat , Mandhyan Rajani
Published: October 2021

Lumbar epidural block is a commonly used procedure for providing anaesthesia, post-operative analgesia in all groups of patients irrespective of age, sex, weight and height of the patients. The knowledge of posterior space is important in view of the fact that this is the space where drugs for epidural anaesthesia/ analgesia are used. The knowledge of variability of this space with physical parameters of the patient, help us in reducing the incidence of total spinal anaesthesia.

Two hundred adult patients in the age group of 20-60 years requiring subarachnoid block were chosen for the study. Using 22G Quincke spinal needle, epidural space was identified and skin epidural distance was measured. Proceeding the spinal needle further, causes needle to lie in subarachnoid space. The skin subarachnoid distance was measured. The difference between skin-subarachnoid distance and skin epidural distance denoted the posterior epidural space width. Its correlation with physical parameters was studied.

Mean skin epidural distance was 4.30 ±0.57 in lateral position and 4.05 ± 0.57 in sitting position, the difference being statistically significant. (P= 0.002). There was positive correlation between skin epidural distance with weight, BMI and abdominal girth of the patient. Mean posterior epidural space depth was 0.468+14 cm in lateral position and 0.459+0.14 cm in sitting position, the difference being statistically insignificant. There was a positive correlation between posterior epidural space depth and height of the patient.

The skin epidural distance varies with weight, BMI, abdominal girth and position of the patient. The posterior epidural space depth varies with the height of the patients.
Use of priming principle in the induction dose requirement of propofol and its hemodynamic stability- A cross sectional study
Authors: Kumar P Ramesh , Suganya S , Mohanhariraj A , Jothianand P , Shankar R
Published: October 2021

In anesthesia propofol induction is administered at a dose of 2mg/kg as a single bolus and when given at this dose the commonest problem faced by the anesthetist is the sudden drop in the blood pressure, as the hypotensive effect of propofol is proportional to the dose and rate of administration.

To study the effect of auto co-induction (priming principle) in the requirement of induction dose of propofol and the resulting hemodynamic parameters.

A prospective randomized double blinded study was conducted for a period of one year in the department of anesthesia at a government medical college hospital in TamilNadu. A total of 60 patients were selected for our study and were randomly allocated into two groups of 30 each. Group A is the study group (priming) and group B is the control group (non-priming group). In the priming group, three minutes after premedication the co induction agent was administered (25% of the calculated dose of propofol) and two minutes later the patient received propofol at a rate of 30mg/10 sec until loss of vocalization was achieved. The hemodynamic parameters along with the total dose requirement of propofol and BIS values were monitored at regular intervals after induction.

The mean total dose of propofol required among the priming group patients was 78.2 mg compared to the total dose requirement in the non-priming group which was 92.5 mg and the mean difference was found to be statistically significant. A statistically significant fall in the heart rate and blood pressure was observed at 1 min and 3 mins after induction in non priming group compared to priming group.

By applying priming principle the induction dose of propofol was reduced by 14.25% with a good hemodynamic stability.
Comparative analysis of caudal ropivacaine with clonidine vs ropivacaine alone with regards to hemodynamic changes, analgesic potency and side effects in children
Authors: Vangani Mahendra , Soni Deepak
Published: October 2021

Pain management is an essential component of care provided by pediatric anaesthesiologists. That specially holds true due to inability of this group of patients to report their overall experience of surgical procedures like adults. Caudal analgesia is one of the most popular regional anaesthetic techniques employed in children undergoing surgery for lower abdominal, urological, and lower limb operations. Of all the major advantages that this technique has, there is one major disadvantage of short duration of anesthesia. In children it is observed that combination of ropivacaine and clonidine administered caudally has shown to prolong the effects of analgesia. The present clinical study is therefore undertaken to compare caudal ropivacaine with clonidine and ropivacaine alone with regards to hemodynamic changes, analgesic potency and side effects in children.

This study included 60 children of the age group 5-10 years ASA grade I and II, of either sex, coming for various elective infra-umbilical surgical procedures who were divided into two groups each comprising of 30 subjects. Group A received plain 0.20% Ropivacaine (1ml/kg) and Group B received 0.20%Ropivacaine (1ml/kg) with clonidine 1µg/kg and the effects were analysed on various parameters.

In our study, we chose 0.20% ropivacaine which provides better quality of analgesia and clonidine 1.0μg/kg which prolongs the duration of analgesia significantly while avoiding the side effects like excessive sedation and bradycardia associated with higher doses. Other hemodynamic parameters did not differ significantly in both the groups.
Subclavian vein catheterization: Comparative evaluation of supraclavicular versus infraclavicular approach in oncology patients
Authors: Bodkhe Amit , Purohit Avanti , Pitale Chitra , Bhirud Hemant
Published: October 2021

The subclavian vein is the preferred site for central venous catheter insertion because of its several advantages. Infraclavicular is the commonly used approach while supraclavicular is less popular approach for catheterizing the subclavian vein.

The aim of the study was to compare supraclavicular and infraclavicular approach of subclavian vein catheterization in terms of number of attempts, success rate, access time for catheterization and to record the complications associated with the procedure.

In this study, 120 patients of inclusion criteria were placed either in group supraclavicular (SC) or group infraclavicular (IC) for subclavian vein catheterization using modified Seldinger technique under general or local anaesthesia.

Chi square test was used to compare success rate and independent T test for access time of catheterization between two groups.

First attempt success rate in group SC was 81.66% and in group IC was 66.66%. But overall success rate was 93.33% in group SC, whereas it was 90% in group IC. This was not statistically significant with p value of 0.5. Time taken for successful catheterization was 252.98 ± 76.27 seconds in group SC and 314.98 ± 121.28 seconds in group IC. This was statistically significant with p value of 0.001.

Right brachiocephalic vein tear was the only complication in entire study which occurred in group IC.

Subclavian vein catheterization via supraclavicular approach was a faster approach than infraclavicular, whereas both were comparable in terms of success rate.
Effect of intrathecal buprenorphine on the haemodynamic response in patients undergoing laparoscopic appendicectomy under general anaesthesia
Authors: Palayil Azim
Published: October 2021

: Combined regional and general anaesthesia for laparoscopic appendicectomy offers better intraoperative haemodynamic stability. Buprenorphine is a long acting opioid which can be administered intrathecally and provides excellent analgesia intraoperatively and post operatively while allowing early ambulation without prolonged motor block. The study aimed to compare the haemodynamic response during laparoscopic appendicectomy using combined general anaesthesia with intrathecal buprenorphine and general anaesthesia alone.

In this observational study 80 patients who underwent laparoscopic appendicectomy were divided into two groups of 40 each by random sampling. The patients in the GA group received general anaesthesia whereas patients in the GA+SAB group received intrathecal buprenorphine along with general anaesthesia. The heart rate, systolic and diastolic blood pressures and SpOwere noted after induction of general anaesthesia, immediately after endotracheal intubation, after creating pneumoperitonium and post extubation. Student’s t test was used for comparing the haemodynamic variables

There were no statistically significant differences between GA and GA+SAB group in the heart rate, systolic and diastolic blood pressure after pneumoperitonium was created.

When compared to general anaesthesia alone, addition of intrathecal burenorphine provides little advantage in preventing stress response during laparoscopic appendicectomy.
To study the effect of fentanyl and tramadol as an adjuvant to ropivacaine in supraclavicular brachial plexus block
Authors: Khanday Shoiab Bashir , Shah Areeba Noor , Khanday Naseer Bashir , Khanday Asma Bashir
Published: October 2021

Brachial plexus block is used in our clinical practice as an alternative to general anaesthesia for upper limb surgeries. Peripheral administration of an opioid agonist can theoretically inhibit the propagation of action potentials or the release of excitatory transmitters in primary afferent fibres, but contrasting results have been reported in the clinical setting.

To compare the time of onset of supraclavicular block between the two groups. To compare duration and quality of analgesia between the two groups. Time to achieve complete block between the two groups. Frequency of rescue analgesia doses required in the two groups. To assess any side effects.

Seventy patients of either sex aged 20-60 years, belonging to ASA physical status I or II undergoing upper-arm surgery were recruited for this study. The patients were randomly allocated into 2 groups of 35 patients each. Patients were given 0.5% Ropivacaine 30ml + tramadol 50mg [1ml]. Patients were given 0.5% Ropivacaine 30ml + fentanyl 50mcg [1ml].

Mean onset of motor block in Group RT was 11.3 minutes while as it was 15.4 minutes in Group RF. Mean onset of sensory block in Group RT was 10.6 minutes while as it was 11.1 minutes in Group RF. Mean interoperative VAS score of Group RT and Group RF at 5 minute was 5.09 and 6.14, at 10 minutes it was 2.49 and 4.06 in both the study groups. Mean duration of analgesia in hours in Group RT was 14.7 and in Group RF it was 8.6. Rescue analgesia of two doses was needed in 19 patients in Group RT, while as 3 doses were needed in 24 (68%) patients in Group RF. When postoperative complications were compared in two study groups it was observed that nausea was seen in 5 (14.3%) patients in Group RT and 2 (5.7%) patients in RF. Vomiting was seen in 3 (8.6%) patients in Group RT and 1 (2.9%) patients in Group RF, respectively.

In conclusion, tramadol when used as adjuvant with local anaesthetic in peripheral nerve block provides better surgical anaesthesia and analgesia. Therefore, its use should be promoted for routine addition to local anaesthetics in peripheral nerve blocks.
Anaesthesia management of pregnant patient with uncorrected middle aortic syndrome (MAS) for caesarean section
Authors: Chodankar Ninad , Kharwadkar Madhuri
Published: October 2021

Middle aortic syndrome is a rare congenital disease which involves segmental or diffuse narrowing of the abdominal and/or distal descending thoracic aorta. It may remain largely undetected in childhood and can present itself as gestational hypertension during pregnancy. Upper extremity hypertension is difficult to control during pregnancy. Excessive blood pressure lowering may result in hypotension distal to the obstruction and uterine hypoperfusion.

It offers considerable challenge to Anaesthesiologist regarding choice of anaesthesia – Regional verses General Anaesthesia. Both having its own advantages and disadvantages in such patient.

We describe a 29 years, primigravida with Middle aortic syndrome, diagnosed during first trimester. Patient was admitted with severe hypertension in upper extremity at 39 weeks. Caesarean delivery was carried out under General Anaesthesia. During perioperative period, Intravenous Nitroglycerine and Labetalol were used to maintain hemodynamic stability. Patient was shifted to ICU on ventilator. She had uneventful course in ICU and recovery was good.

Pregnant Patient with uncorrected Middle aortic syndrome for Caesarean Section require suitable anaesthesia technique along with good blood pressure management leading to early recovery and reduction in complications.
Above knee amputation in a geriatric patient with severe ICMP and DM2: A case report
Authors: Singh Aparna , Sharma Kush , Gupta Lalit
Published: October 2021

Geriatric patients with cardiac dysfunction are always a nightmare for anaesthetist in terms of successful intraoperative and postoperative management. We are presenting a case of 68-year-old male patient admitted in surgical emergency with rapidly progressive wet gangrene of right leg. He was a diagnosed case of severe Ischemic cardiomyopathy (ICMP) and Diabetes mellitus type 2 (DM-2) since last 10 years on medications. However, he was non-compliant with medications and had developed severe limitation in the functional status with metabolic equivalents <4 (METs<4) and complaints of chest pain even on minimal exertion. In view of the rapidly progressive wet gangrene and risk of sepsis leading to high possibility of morbidity and mortality, an urgent above knee amputation was planned. However due to the risks associated with general anaesthesia and central neuraxial blockade, an safe anesthesia plan was formulated and implemented utilising only the lower limb blocks to achieve a safe conduct of anaesthesia.
Salivary diagnostic biomarker for periodontal disease - A review
Authors: Prasanth T , Manandhar Sumita , T S Satisha , Kumar Pramod
Published: October 2021

Periodontitis is chronic inflammation of the periodontium caused by persistent bacterial infection affecting the connective tissue attachment and supporting bone around the teeth. As the ability to reconstruct the periodontium is limited after alveolar bone loss, early diagnosis and intervention should be paramount goals of periodontal treatment preventing future disease’s progression. Saliva is a physiologic fluid that contains complex mixture of substances as well as inflammatory biomarkers associated with periodontitis. Conventional clinical criteria are often insufficient for determining sites of active disease, for monitoring the response to therapy, or for measuring the degree of susceptibility to future disease progression. Therefore, the use of saliva has provided a substantial addition to the diagnostic armamentarium as an investigative tool for disease processes. With the current technological advances, together with point-of-care detection systems, salivary analysis will be valued much more highly in the near future. Even though saliva is easy to manipulate with low-cost storage, careful attention must be directed to limit variation in specimen integrity. This review focuses on the biomarkers in saliva that appears to be promising in the future for periodontal diagnosis, as well as some contemporary diagnostic tests available.
Neutral zone technique: An aid of the prosthodontist- A case series
Authors: Rajdey Soumya , Parashar Harsh , Rani Sapna , Poduval Soorya
Published: October 2021

The area where the outward forces from the tongue and the inward forces from the lips and cheeks are nullified during the functional movements is referred to as the neutral zone. Therefore, the incorporation of neutral cone technique serves as an alternative approach in the fabrication of lower complete dentures specifically in ridges which are highly atrophic. The technique aims to construct a denture that is shaped by muscle function and is in harmony with the surrounding oral structures. It is rarely used because of the extra clinical step involved and some clinicians may find the detection of neutral zone difficult. This article describes a technique for improving the stability of mandibular complete denture for patients who have a resorbed mandibular residual ridge.

This neutral zone impression technique is a useful technique when providing mandibular complete denture. It’s use can overcome some of the denture stability difficulties caused in some patients with a more powerful oral musculature, or in patients who have poor or altered neuromuscular control.
Oral health disparities in the time of COVID-19: An indication for focus on public health care strengthening and preventive care
Authors: Singh Oberoi Sukhvinder , Grover Shibani , Sachdeva Shabina
Published: October 2021

The COVID-19 has impacted the health service delivery especially, the public health care system which is already overburdened. The dental health care carries the huge risk of infection due to the generation of the aerosols, through high-speed airotor. This has led to a big toll on the delivery of the dental services at global level. Even when the oral health care services are getting opened, there is still lot of dilemmas in the mind of oral health professionals in provision of the services. This crisis has given us a chance for addressing the issues of relevance affecting the oral health care services and failures of the health care system. It is time to rethink our priorities and strengthen the over-all integrity of the health care system. These calls for higher focus upon the oral care prevention strategies can be amalgamated as part of the public health care system along with strengthening of public health care.
Financial analysis by return on equity (ROE) and return on asset (ROA)-A comparative study of HUL and ITC
Authors: Panigrahi Ashok Kumar , Vachhani Kushal
Published: October 2021

The financial performance of the top two companies of the FMCG sector HUL and ITC are analyzed in this research paper by using the two most popular financial tools of analysis i.e., ROE and ROA. Similar to the DuPont method, components of Return on Equity (ROE) and Return on Asset (ROA) are segregated to do the analysis of financial performance and to accomplish the objective. To calculate ROE and ROA, ratios such as net profit ratio (NPR), total asset turnover ratio (TATR), and equity multiplier (EQM) will be used. It is observed that the use of financial leverage was mainly responsible for the whole decrease in return on equity (ROE). In terms of return on equity, we found that the Asset Turnover Ratio increases somewhat, while in the case of ITC, the ratio either remains the same or slightly decreases in value. As a result, HUL's total asset turnover ratio (TATR) is greater than that of ITC, suggesting that HUL is more efficient in its asset use. We were able to demonstrate statistically, via the use of the One-way Anova test, that there is a significant meaningful association among the ratios.
COVID-19 Lockdown and work life balance
Authors: Jain Pooja , Rawat U. S.
Published: October 2021

Work life balance has been a global issue for decades. Literature has revealed that the women have been constantly with it and which is a reality too, having so many reasons and consequences behind it but during this pandemic covid-19 lockdown which compelled everyone to work from home it became a challenge for women as well as for men to make a balance between work and life. As simple as if you are doing work sitting at home so there will be some expectations and duties which are the demand of this time only due to the pandemic specially when no one can go out. Some little eyes will be looking for your concern, some elderly hands will be raising for your help irrespective of you are a male or a female along with it to focus on work has become a big challenge during this time of uncertainty when the question of job security and job stability automatically stands in front of you in such an unimaginable situation which was never ever thought. Then what would be the response and strategy to make a balance between work and life? To know about it a study was conducted which was not merely for women as well as for men to. For the study, an online survey was conducted with the help of structured questionnaire. As it was impossible to go for door to door survey during this lock down. For this purpose 55 male and females were selected randomly as respondents.
Therapeutic Effect of Camel Milk in Children with Autism: Its Impact on Serum Levels of Vasoactive Intestinal Peptide
Authors: Mostafa Gehan Ahmed , Bjørklund Geir , Ayadhi Laila Al-
Published: October 2021

Background: Camel milk (CAM) regulates the inflammatory process, apoptotic pathways and oxidative stress. Thus, it is a therapeutic possibility for many autoimmune disorders, including autism. Vasoactive intestinal peptide (VIP) is an anti-inflammatory peptide that facilitates the immune regulatory functions by recruiting regulatory T cells to induce immune tolerance and prevent the occurrence of autoimmunity. This study aimed to investigate the effect of CAM consumption on both serum VIP levels and the severity of autism assessed by measuring the Childhood Autism Rating Scale (CARS).
Mehods: Sixty-five autistic children, aged between 3-12 years, were studied. Forty-seven patients received 500 mL of CAM (either raw "24 patients" or boiled "23 patients") in their regular daily diet for two weeks. Eighteen patients received 500 mL of cow milk for two weeks. For all patients, CARS and serum VIP levels were assessed before and after milk consumption.
Results: Although there was a decrease in CARS scores in patients who received raw CAM, this decrease was non-significant (P=0.070). Serum VIP levels were increased in patients who consumed CAM, either raw (P=0.076) or boiled (P=0.065), but this increase was non-significant.
 Conclusions: CAM consumption for 2 weeks neither significantly decreased the severity of autism nor increased serum anti-inflammatory VIP levels. The lack of a significant response to CAM in this study may be attributable to the short duration of CAM consumption. Further studies are required to investigate the effect of CAM consumption for a longer duration on serum VIP levels and the severity of autism.
Lithological models of reservoir rocks for upper cretaceous deposits in East Caucasian Region
Authors: Sivalneva Оlga V. , Rakhmatullina Aysylu S. , Postnikov Аlexander V. , Postnikova Olga V. , Zueva Оlga А. , Idrisova Elizaveta K. , Poshibaev Vladimir V.
Published: October 2021

The article describes the results of lithological and petrophysical investigations that would be a base for characterization of reservoir rocks in Upper Cretaceous deposits. These investigations include thin sections description, SEM and NMR analysis. As found that three main factors have constrained final quality of reservoir rocks: 1) depositional settings favorable for coccoliths and chalk sedimentation; 2) late diagenesis changes – compaction and recrystallization degree; 3) fracture intensity.
Analysis of change in the physico-chemical properties of oils depending on the depth and features of deep oils
Authors: Yashchenko Irina G. , Krupitsky Vladimir V. , Polishchuk Yury M.
Published: October 2021

The article is devoted to the urgent problem of studying the features of the properties of poorly studied oils at great depths (more than 4,500 m), the need for development of which is caused by a reduction in oil production in traditional oil producing provinces. A study was made of changes in the physicochemical properties and occurrence conditions of oils depending on the depth, which made it possible to clarify the quantitative patterns of changes in the physicochemical properties of oils at different depths and to reveal features of the properties of poorly studied deep-seated oils. The studies used information on 21067 oil samples from 167 oil-bearing basins of the world, obtained from the database on the physicochemical properties of oils. It has been shown that in different oil-bearing basins the density and viscosity of oils decreases with depth. The content of sulfur, resins and asphaltenes also decreases with depth, and the content of light fractions and oil gas increases. The paraffin content increases to a depth of 3-4 km, and then decreases with increasing depth. The features of the physicochemical properties of deep-seated oils have been established, which are manifested in a decrease in the density and viscosity of oils, in a decrease in the content of sulfur and asphalt-resinous substances, and in an increase in the content of light fractions and oil gas. The results of geological modeling of changes in the stress state of rocks associated with the displacement of the foundation blocks due to tectonic processes are considered. It has been shown that at the edges of the downing tectonic blocks at the boundary of the sedimentary cover and the basement, zones of minimum pressure (decompression zones) are formed. The lightest hydrocarbons migrate along the faults into the decompression zones, forming deep-seated hydrocarbon deposits, what can serve as a justification for the features of the properties of deep-seated oils established in the work.
Passive seismic data processing methods to identify contrast intrasalt interlayers in the geological section of the Astrakhan Arch
Authors: Biryaltsev Evgeny V. , Vikhoreva Alexandra A. , Zakharchuk Vasily A. , Komarov Alexey Yu. , Pykhalov Viktor V. , Tinakin Oleg V.
Published: October 2021

The article examines the problem of processing microseismic noise (MN) to identify and evaluate occurrence depth of contrasting geological objects – intersalt interlayers with a potentially high formation pressure. If it is impossible to use artificial wave sources, statistic processing of passive seismic data becomes critical. Due to the accumulation of power spectral density (PSD) during a long-term recording of MN the deterministic medium effect on a random signal spectrum is identified. PSD modulation when the surface or the bottom of the layered medium is exposed to white noise is expressed in terms of the Green’s function (GF) of a wave equation. Relevant GF variations corresponding to the layers form the basis for accumulated PSD approximation, and indicate the depth and contrast of the target features.
On the Diversity of Microfossils in the Bazhenov Horizon of Western Siberia (Late Jurassic–Early Cretaceous)
Authors: Amon Edward O. , Vishnevskaya Valentina S. , Gatovsky Yury A. , Zhegallo Elena A.
Published: October 2021

Paleontological remains from the Bazhenovo Horizon of Western Siberia (Tithonian–Berriasian) are represented by macro- and microfossils. The Horizon had a marine genesis and the basis of ecosystem of this paleobasin composed of pelagic organisms-producers (phytoplankton: prasinophytes, coccolithophorids, dinoflagellates, as well as brown algae) and consumers (zooplankton: radiolarians, invertebrate larvae, crustaceans; and nekton: pelagic bony fish, ammonites, belemnites, paleosquids-teutids and marine dinosaurs; and, in addition, benthic bivalves, foraminifera, and ostracods). Among microfossils, radiolarians are the leading importance, phytoplankton (dinoflagellates, coccolithophorids) and microbenthos (foraminifera, sponge spicules) are less common. Radiolarians, dinoflagellates, coccolithophorids, and foraminifera are used for biostratigraphic subdividing of sections and their correlation, and, in addition, together with sponge spicules, for reconstruction the paleoenvironments. In literature, a several paper indicated the presence of other siliceous microfossils in paleobiota of the Bazhenovo paleosea – diatoms, silicoflagellates, and acantharians. The article summarized data on radiolaria, coccolithophorids, dinophyta and critically reviewed reports of other microobjects. It is shown that the information about diatoms, silicoflagellates and acantharians from Bazhenovo Horizon and Bazhenovo Formation is probably unreliable.
An inorganic origin of the “oil-source” rocks carbon substance
Authors: Marakushev Sergey A. , Belonogova Olga V.
Published: October 2021

On the basis of an inorganic concept of the petroleum origin, the phase relationships of crystalline kerogens of black shales and liquid oil at the physicochemical conditions of a typical geobarotherm on the Texas Gulf Coast are considered. At the conditions of the carbon dioxide (CO2) high fluid pressure, the process of oil transformation into kerogens of varying degrees of “maturity” (retrograde metamorphism) takes place with decreasing temperature and hydrogen pressure. Kerogen generation in black shale rocks occurs by the sequential transition through metastable equilibria of liquid oil and crystalline kerogens (phase “freezing” of oil). The upward migration of hydrocarbons (HC) of oil fluids, clearly recorded in the processes of oil deposit replenishment in oil fields, shifts the oil ↔ kerogen equilibrium towards the formation of kerogen. In addition, with decreasing of the hydrogen chemical potential as a result of the process of high-temperature carboxylation and low-temperature hydration of oil hydrocarbons, the “mature” and “immature” kerogens are formed, respectively.
The phase relationships of crystalline black shale kerogens and liquid oil under hypothetical conditions of high fluid pressure of the HC generated in the regime of geodynamic compression of silicate shells of the Earth in the result of the deep alkaline magmatism development. It is substantiated that a falling of hydrogen pressure in rising HC fluids will lead to the transformation of fluid hydrocarbons into liquid oil, and as the HC fluids rise to the surface, the HC ↔oil ↔ kerogen equilibrium will shift towards the formation of oil and kerogen.
It is round that both in the geodynamic regime of compression and in the regime of expansion of the mantle and crust, carboxylation and hydration are the main geochemical pathways for the transformation of oil hydrocarbons into kerogen and, therefore, the most powerful geological mechanism for the black shale formations.
PERAN KEPALA SEKOLAH TERHADAP MANAJEMEN GURU BIMBINGAN DAN KONSELING DI MASA PANDEMI
Authors: Yekti Endah Pambudi  , Siti Nur Khofifah Amini
Published: October 2021

Kepala Sekolah mempunyai peran yang penting di dalam Sekolah. Tujuan penelitian ini adalah mengetahui pentingnya peran Kepala Sekolah terhadap Manajemen Guru Bimbingan dan Konseling di masa pandemi.  Jenis penelitian menggunakan kualitatif deskriptif. Teknik pengambilan sumber data menggunakan purposive sampling. Teknik Pengumpulan data menggunakan observasi, wawancara dan dokumentasi. analisis data yaitu data reduction, data display, dan conclusion drawing/verification. Hasil penelitian ini Kepala Sekolah sesuai perannya memonitoring kinerja Guru Bimbingan dan Konseling serta membantu keterlaksanaan layanan Bimbingan dan Konseling dengan baik dengan cara menyediakan fasilitas yang mempermudah Guru Bimbingan dan Konseling baik berupa finansial ataupun media serta siswa dipermudah dengan pemberian kuota internet agar bisa mendapat layanan Bimbingan dan Konseling dengan baik.