bluuebunny/crossref_metadata_2025 huggingface dataset:
Barriers to the accessibility of health insurance in elderly patients attending NCD clinic in a tertiary care hospital Trichy, Tamil Nadu: a mixed-method study
Authors: Suryawanshi Deodatt M. , Rajasehran Divya , G. Kalaipriya , A. Suguna , Mali Sandeep
Published: February 2024

Background: Health insurance schemes launched by governments have been inadequate to provide health coverage to the vulnerable elderly population. This research aimed to study the prevalence, preference, and pattern of health insurance coverage among the study participants and barriers to its accessibility.
Methods: It was a facility-based Sequential explanatory mixed-method study where patients above 60yrs attending the non-communicable disease OPD were recruited by systematic random sampling and enquired using a semi-structured questionnaire for the prevalence, preference, and pattern of health insurance. Focussed Group discussions (FGD) were later conducted to explore the barriers faced by participants in accessing health insurance.
Results: Health Insurance coverage among the study participants was 74.5%. Of the participants who had any type of health insurance, 86.7% had public health insurance. About three fourth (73.8%) of those who had health insurance were covered under the CMCHIS. Mean health insurance coverage provided was significantly higher by private health insurance (INR170897.4) as compared to both the LIC and CMCHIS (p<0.01) while premium charged was significantly higher for LIC (INR 10003.3/yr.) as compared to others (p<0.01). Institutional issues, lack of awareness, and economic dependence on children were considered as barriers to the accessibility of health insurance among elderly.
Conclusions: A dedicated universal Health Insurance Programme with higher monetary coverage and low premium involving all elderly populations may provide necessary financial risk protection and reduce out-of-pocket health expenditure.
Physical rehabilitation of the visually impaired and its implications for tactile modelling
Authors: Srivastava Namrata , Pachauria Poonam , Nitesh
Published: February 2024

The aim of this study is to investigate the effect of tactile models in improving the health of visually impaired people. The main objective of the intervention is to improve mobility, muscle strength, flexibility and physical fitness. Longitudinal study, this study was approved by the research ethics committee “Naraina Medical College and Research Centre (NMCRC)” Kanpur, Uttar Pradesh. Convenience sampling was conducted over a three-week period from December 2021 to January 2022. The physical rehabilitation of the visually impaired (PP-PVI) process includes physical assessment, language selection, design structure and visually impaired language. A longitudinal study was conducted with youth and young adults with visual impairment. They received treatment twice a week for 12 months and their quality of life was assessed before and after treatment. Quality of life was assessed using the 30-item short form health questionnaire (SF-30). Mean scores improved in all domains except the quality of life questionnaire after PP-PVI. PP-PVI has proven to be a valuable, easy-to-understand, and reliable clinical tool. This product is for people with visual impairment. Implications for Professionals: PP-PVI exercise improves many aspects of your body and performance. This plays an important role in ensuring independence for people with low vision. Physical therapy is effective in improving visual and tactile motor skills. Physical therapists can help improve the overall function and quality of life of people with these problems through targeted exercises and activities.
Effect of six-week core strengthening exercises on inspiratory muscle strength and functional capacity in patients with chronic kidney disease undergoing haemodialysis
Authors: Waghmare Priyanka D. , Das Arijit K. , Diwate Abhijit D.
Published: February 2024

This study aims to evaluate the effect of core strengthening exercises on inspiratory muscle strength and functional capacity in patients with CKD undergoing Haemodialysis. The study included 10 patients with CKD undergoing hemodialysis according to the eligibility criteria. All patients performed core strengthening exercises for 6 weeks (2 times/week). The outcome measures are assessed before and after the intervention using inspiratory muscle strength and functional capacity. We found significant improvements in inspiratory muscle strength (p=0.150) and functional capacity (p=0.004) after the core strengthening exercises. At the end of the result, we concluded that the core strengthening exercise program improves the inspiratory muscle strength and functional capacity in patients with CKD undergoing Haemodialysis.
Expert opinion on the clinical use of calcium and vitamin D supplements in osteoporosis in Indian settings
Authors: S. Manjula , M. Krishna Kumar
Published: February 2024

Background: Several clinical studies demonstrated that calcium intake decreases the risk of osteoporosis and osteoporotic fractures. However, understanding the prescription practice of calcium supplements employed in Indian contexts may help in improving patient management and developing evidence-based recommendations for optimizing the treatment. So, this study aimed to gather clinicians’ perspective regarding the use of calcium and vitamin D supplements for the management of osteoporosis in Indian settings.
Methods: The current survey involved 17 questions pertaining to current feedback, clinical observations, and clinical experience of specialists on osteoporosis management and the use of calcium and vitamin D supplements.
Results: According to 30%, 26%, 25%, and 19% of the experts, higher dietary sodium (salt) intake was generally associated with negative calcium balance and bone mineral loss, increased risk of fracture, decreased calcium excretion in the urine and decreased dietary calcium absorption. Calcium and vitamin D were recommended by 78% of the respondents for the management of osteoporosis. Approximately 72% of the respondents stated calcium aspartate anhydrous as the preferred calcium supplement to manage osteoporosis. Around 49% of the respondents reported a reduced risk of bone fractures among those who consume more calcium than the average amount. Further 48%, 30%, and 25% of the respondents indicated that calcium aspartate anhydrous have better absorption, better bioavailability, and better gastrointestinal tolerability.
Conclusions: According to the expert’s opinion, both calcium and vitamin D administration in conjunction with maintaining a balanced sodium intake were recommended for managing osteoporosis.
Evaluation of the safety, efficacy and technical advantages of spinal anesthesia in patients undergoing single lower lumbar level minimally invasive transforaminal lumbar interbody fusion, as an alternative to general anesthesia: a prospective study
Authors: Garg Rohit N. , Vaje Shweta Sonu , Kundu Soutrik , Gupta Dinesh
Published: February 2024

Background: In spinal anesthesia, patients experience shorter OT, quicker recovery and ambulation, better post-operative analgesia and fewer complications than general anesthesia. Minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) shows fewer complications and early ambulation than open TLIF. Our study aims to assess spinal anesthesia’s safety, efficacy and technical benefits in MIS-TLIF.
Methods: Patients unresponsive to conservative treatment for 6-8 weeks underwent MIS TLIF for lower lumbar degenerative pathologies. The demographic data, OT entry to incision time, blood loss, bandaging to exit from OT time, post anesthesia care unit (PACU) time, post-op complications, requirement of analgesia, visual analogue scale (VAS) and Oswestry disability index (ODI) scores, hospital stay, fusion rates and satisfaction scores were noted and assessed.
Results: The study included a total of 200 patients undergoing MIS-TLIF with mean age being 54.32±10.36 years; mean surgery time being 165.23±21.41 minutes; and mean blood loss being 123.56±65.14 ml. The mean OT entry to incision time was 28.91±9.63 minutes, while the mean bandaging to exit time was 7.43±4.12 minutes. The mean PACU stay was 41.35±5.78 minutes. The mean hospital stay was 3.28±1.23 days, with 97% patients showing solid radiographic fusion while 92.5% patients were fully satisfied with the surgery. VAS and ODI scores were significantly improved as compared to the pre operative status.
Conclusions: Spinal anesthesia for lower lumbar MIS-TLIF is cost effective and safe alternative to general anesthesia with lesser post operative pain and other side effects; taking into consideration proper patient selection for the same.
Tumors around the ankle: a reconstructive challenge
Authors: Shanmugam Subbiah , Vijayalakshmi G.
Published: February 2024

Tumors around the ankle can be either bone or soft tissue sarcomas. The aggressive nature of these tumors and the complex anatomy of the ankle mortice make for a challenging reconstructive ladder. We have explored four different histological tumors which required tailor made resection and reconstruction. All our patients had reasonably good functional outcomes.
Tubercular arthritis of the elbow mimicking as a neoplasm: a case report and literature review
Authors: S. Ankitha K. , J. Ramesh L. , Krishna J. B. Vadhiraj , D. Karthik
Published: February 2024

Tuberculous arthritis of the elbow joint is rare. A 38-year-old male patient presented with swelling, pain, and deformity of the elbow. The symptoms first appeared one year ago; he was clinic-radiologically evaluated and diagnosed with neoplasm. The patient underwent biopsy to confirm the diagnosis and was found to have tuberculous arthritis and was started on anti-tubercular treatment and underwent surgical debridement. Tuberculous arthritis usually presents with chronic arthritis. However, it can also present in patients with septic arthritis. If untreated, it can cause joint destruction. Hence, early diagnosis and treatment is important.
Management of infected gap non-union of the tibia with bone transport over plate
Authors: Pundkare Gopal , Mankar Pratik
Published: February 2024

Compound tibia fracture with bone loss is common presentation in Orthopaedics, treatment for which is well described in the literature. Ilizarov technique is commonly used to fill the bone defect with its different modifications which include additional stabilization with IMIL or Plate. We report a case of infected gap nonunion of proximal tibia shaft which was managed with Ilizarov technique along with a stabilizing plate. The purpose of this report is to provide an alternative mode of management for infected of tibia shaft fracture with bone defect.
A rare case of solitary exostosis of capitate
Authors: Singh Siddhartha , Singh Amarendra Bahadur , Nishani Manjunath , Verma Mohit Kumar
Published: February 2024

Exostosis arising from carpal bones is rare and only a few cases have been reported till date. A 29 years old female came to the outpatient department with a localized swelling present on the dorsum of her right wrist since the past three years. On examining the patient clinically, a well-defined protuberance was observed over the dorsal aspect of the right wrist. CT report showed bony outgrowth over the dorsum of the capitate extending beyond the carpometacarpal joint. In surgical intervention, the mass was removed from the base, which grossly had an appearance of chondral origin. The biopsy report confirmed the diagnosis of exostosis (osteochondroma). Hence, excising the exostosis surgically led to achievement of adequate motion of the patient's wrist along with the additional cosmetic correction benefit.
Allograft sterilization and processing: impact on biomechanical strength
Authors: Magadum Mahantesh , K. L. Manjunath , Chitragar Deeppak D
Published: February 2024

The allograft used for anterior cruciate ligament reconstruction (ACLR) must posses good biomechanical properties and it should have similar properties to the original tendon. During reconstruction the allograft must undergo proper sterilization and several sterilization methods have been used in the clinical practice. There are varations in the sterilization process and it has significant impact on the allograft tissue performance during ACL reconstruction. It is advisable to refrain from utilising grafts that have been exposed to radiation doses exceeding 15 kGy, as well as grafts that have undergone more than eight freeze-thaw cycles. Gamma radiation has disadvantages when compared to electron beam radiation in term of loss of mechanical strength.
USOS E REUSOS DE JAZIGOS FUNERÁRIOS NO CEMITÉRIO DA SOLEDADE, BELÉM DO PARÁ – BRASIL
Authors: Da-Gloria Pedro , Menezes Costa Diogo , Dias Bárbara Vieira , Paraense Virginia Beatriz Reis , Paixão Ana Rita Teodósio dos Santos Pinheiro da , David Bruna Magalhães , Silva Luana Rosa da , Alcantara Vitoria  da  Gama
Published: February 2024

O Cemitério da Soledade é o primeiro cemitério público de Belém, funcionando entre 1850 e 1880. Como parte de um projeto de restauro, o presente artigo objetiva investigar os padrões de uso do interior dos jazigos do cemitério a luz da arqueologia mortuária e bioarqueologia. Foram utilizadas metodologias de mapeamento, documentação fotográfica sistemática e descrição das estruturas, objetos e ossos humanos. Foram investigados 31 jazigos, representando locais de sepultamento de membros de famílias nobres de Belém. Os resultados mostram que os sepultamentos secundários, depositados em urnas de pedra, ferro e madeira, ocorreram entre 1870 e 1983. Os jazigos apresentaram deterioração de paredes, portas e teto, e violação sistemática das urnas. No interior dos jazigos foram encontrados materiais de ritualização popular e de descarte. Esses resultados indicam que o Cemitério foi ocupado e reocupado incessantemente desde sua criação, indicando uma combinação de abandono com reutilização do espaço para outros propósitos.
MATERIALIDADES DA MORTE: PRÁTICAS, SÍMBOLOS E ESPAÇOS FUNERÁRIOS EM CONTEXTOS HISTÓRICOS
Authors: Lessa Andrea
Published: February 2024

Apresentação do Dossiê.
Optimizing Air Ventilation Cooling With Earth-Water Heat Exchangers in Residential Buildings
Authors: Lapisa Remon , Jasman Jasman , Kurniawan Andre , Krismadinata Krismadinata , Fauza Fauza Anna Niska , Arwizet Arwizet , Yuvenda Dori , Waskito Waskito , Putra Nandy , Abral Hairul , Romani Zaid
Published: February 2024

This study investigated the cooling effect of an Earth Water-Air Heat Exchanger (EWAHE) device for ventilation applications. To address the lack of data on EWAHE performance in moderate climates, we measured temperature parameters (inlet-outlet, indoor-outdoor, water, and soil) continuously for three days. Air temperatures, air flowrate, light intensity are measured using a multi-channel data logger with several sensors. Results showed that the EWAHE effectively reduced indoor air temperature by an average of 7.5°C with a maximum reduction of 9.3°C, offering a promising passive cooling solution for buildings. The primary limitation of this study is that it requires open space around the building to place the device, so this method is inappropriate for building in a dense urban area. Future studies could investigate the association between ground-water cooling effect and natural ventilation without using energy for air circulation.
Sintomatología de estrés, ansiedad y depresión en grupos vulnerables en México durante la pandemia del COVID-19
Authors: Garza Sanchez Rosa Isabel , Gonzales-Tovar José , Reyna-Tejada Claudia Yudith
Published: February 2024

El objetivo de esta investigación fue identificar los niveles de estrés, ansiedad y depresión, y estrés postraumático en una muestra mexicana de personas con alguna comorbilidad, que tienen un trabajo informal o presentan alguna carencia. Se trabajó bajo una metodología cuantitativa con diseño transversal de tipo descriptivo, constituido por 1174 personas de 18 a 85 años (Media = 36.4, DT = 12.4). La muestra fue no probabilística con un 85,3 % de mujeres y un 14,7 % de hombres. Se utilizó la Escala de impacto del evento revisada (IES-R) y la escala de Estrés, Ansiedad y Depresión (DASS-21). Se encontraron niveles altos de estrés postraumático en personas que presentan alguna carencia en relación con los estados emocionales de estrés, ansiedad y depresión. Los tres grupos mostraron niveles elevados de ansiedad, teniendo mayor porcentaje el grupo que tiene alguna carencia. Estos resultados permiten visibilizar la vulnerabilidad en el estado de salud mental de la población estudiada
Tribus digitales: avances y paradojas en el empoderamiento de las madres
Authors: Muñoz Zapata Doris Elena , Gladys Rocio Ariza-Sosa Gladys Rocio
Published: February 2024

El presente artículo se ocupa de desentrañar las significaciones sobre maternidades y crianza en Colombia, de madres y profesionales de la salud participantes en grupos de Facebook y WhatsApp, respecto al empoderamiento y las implicaciones de este concepto en las vivencias de las maternidades, en perspectiva de la autonomía de las mujeres. Además, problematiza las tergiversaciones en algunos planteamientos de empoderamiento que, paradójicamente, enmascaran la dependencia de las madres. Por último, discute las posibilidades reales, así como los obstáculos que podrían constituir las interacciones en las redes sociales virtuales sobre maternidad y crianza en la construcción de autonomía de sus participantes.
Geneza wzornictwa i początki produkcji srebrnej biżuterii i galanterii w Spółdzielni Przemysłu Ludowego i Artystycznego ORNO w Warszawie (1949–1954)
Authors: Myśliński Michał
Published: February 2024

Tekst przedstawia kształtujące się na przełomie lat 40. i 50. XX wieku wzornictwo oraz produkcję srebrnej biżuterii, wytwarzanej w Spółdzielni Przemysłu Ludowego i Artystycznego ORNO, działającej w latach 1949–2003 w Warszawie. Podstawą omówienia jest tzw. Wielka Księga ORNO – rękopiśmienny katalog wyrobów, prowadzony przez prezesa spółdzielni Romualda Rochackiego w latach 1949–1954. W Księdze, która dotychczas nie stała się przedmiotem analizy, widnieją rysunki około 280 dzieł, wzbogacone informacjami o autorach, czasie zgłoszenia wzoru, produkcji, ocenach artystycznych i technicznych itp. Analiza rysunków oraz wpisanych do Księgi informacji o spółdzielni pozwala wskazać genezę wzornictwa ORNO – opartego na idei samokształcenia i doskonalenia twórczych umiejętności członków spółdzielni, a także przekazywanej im wiedzy o sztuce polskiej, poznawanej na wykładach i wycieczkach krajoznawczych. Srebrna biżuteria ORNO stanowi istotny nurt polskiego wzornictwa sztuki użytkowej po 1945 roku.
Produkcja sztuki – pracownia artysty jako „fabryka” na przykładzie warsztatu Joany Vasconcelos
Authors: Rymkiewicz Zuzanna
Published: February 2024

Artykuł jest analizą warsztatu współczesnej portugalskiej artystki Joany Vasconcelos. Najważniejszymi aspektami poruszanymi w tekście są przyjęta w atelier organizacja pracy przy wykonywaniu dzieł (struktura wieloosobowego zespołu) oraz komercyjny profil działalności artystki. Współczesny artysta często staje przed wyzwaniem przeniesienia w świat materialny swojej koncepcji – szczególnie jeśli dzieło ma dużą skalę lub zawiera elementy nietypowych materiałów czy rozwiązań, jak w przypadku Vasconcelos. Czynniki produkcyjne mogą mieć determinujący wpływ na proces twórczy i wykonawczy. Ponadto nawet gotowa praca musi mieć zapewniony odpowiedni transport, promocję, warunki przechowywania, a ostatecznie konserwację. Artystka pozostaje autorką koncepcji wszystkich swoich dzieł, mimo że powstają one bez jej bezpośredniej fizycznej ingerencji. Skala pracowni oraz zaangażowanie licznych pomocników pozwalają porównać ją do warsztatu Petera Paula Rubensa. Analogia jest trafna, również w kwestii uznania, jakie otaczało obu artystów. Rubens otrzymywał zamówienia od królewskich i książęcych rodzin, Vasconcelos wykonuje dzieła dla rodziny Rotschildów, a jej pracownie współcześnie odwiedzają celebryci i postacie popkultury. Vasconcelos zbudowała warsztat, który można porównać do fabryki ze względów organizacyjnych – podporządkowania procesu porządkowi produkcyjnemu. Takie znaczenie wyrazu jest dalekie od nazywanej w ten sam sposób przestrzeni twórczej Andy’ego Warhola. Zarówno z samym nurtem pop-artu, jak i jego czołowym przedstawicielem artystkę łączy komercyjny profil działalności – zaangażowanie we wzornictwo przemysłowe, tworzenie prac na zlecenie m.in. domów mody. Joana Vasconcelos buduje swoją markę w świecie komercji, kapitalizując swoje nazwisko, jednocześnie tworząc dzieła o krytycznym komentarzu wobec mechanizmów kapitalizmu. Nie jest to oznaką hipokryzji, a świadomości uwikłania artysty w wielorakie mechanizmy społeczno-gospodarcze. Zamiast przyjmować anarchistyczną postawę, można wykorzystać je na swoją korzyść i zbudować nazwisko, którego głos będzie znaczący.
Powstanie kolekcji współczesnej kaligrafii japońskiej w Muzeum Okręgowym w Toruniu i perspektywy jej rozwoju
Authors: Paczuska Katarzyna
Published: February 2024

Tematem artykułu jest powstanie jednej z najmłodszych kolekcji Muzeum Okręgowego w Toruniu – zbioru współczesnej kaligrafii japońskiej, w latach 2010–2022. Dzięki darowiznom przekazanym przez japońskich mistrzów kaligrafii udało się stworzyć liczącą blisko 150 obiektów kolekcję.

Wobec niemal całkowitego braku zakupów obiektów sztuki Dalekiego Wschodu do zbiorów muzeum w ostatnich dekadach, dalsze wzbogacanie kolekcji Kamienicy pod Gwiazdą bazowało na darowiznach. Najliczniejsze pochodziły od japońskich mistrzów kaligrafii. Dzięki nim udało nam się zgromadzić wyjątkowy w skali krajowej, ciekawy i różnorodny zbiór współczesnej kaligrafii japońskiej.

Od pierwszego spotkania z mistrzyniami i mistrzami japońskiej kaligrafii podczas wystawy w 2010 roku nasze kontakty cechowały się wzajemnym szacunkiem, serdecznością i zrozumieniem. Najlepszym dowodem na to jest coroczna organizacja przez Muzeum Okręgowe Toruniu wspólnie z Association for International Advancement of Calligraphy Culture (AIACC) wystaw w Toruniu oraz przyjazdy kaligrafów, którzy nie tylko dzielili się swoją wiedzą i umiejętnościami z uczestnikami warsztatów, ale także przekazywali swoje dzieła Muzeum Okręgowemu w Toruniu. Nieocenioną rolę przy organizacji wystaw i kontaktach z kaligrafami od początku odgrywa sekretarz generalny AIACC – Shinkichi Okada.

Powstanie kolekcji kaligrafii japońskiej Muzeum Okręgowego w Toruniu jest dla kustosza przykładem komfortowej sytuacji tworzenia zbioru. Poprzez regularny napływ nabytków i możliwość samodzielnego dokonywania wyboru części prac, które go dopełniają, mogliśmy stworzyć bardzo różnorodną kolekcję. Znajdują się w niej dzieła prezentujące szeroki wachlarz stylów kaligraficznych, począwszy od tradycyjnych po nowoczesne, będące na pograniczu malarstwa. Na pracach tych pojawiają się hasła, sentencje oraz poezja od wierszy Kakinomoto no Hitomaro (ur. ok. 660, zm. 707–708), po haiku Masaki Yūko, poetki urodzonej w 1952 roku. Co nie mniej ważne, zbiór ten nie jest zamknięty, gdyż współpraca ze stowarzyszeniem AIACC nadal jest kontynuowana, co daje nadzieję na pozyskanie następnych prac do naszej kolekcji.
Residual Effect of Boron on Yield, Yield Parameters and Economics of Knol-Khol (Brassica oleracea var. gongylodes L.) in Coastal Regions of Odisha
Authors: Panda Rabi Shankar , Sahoo Dipika , Jena Bandita , Tripathy Pradyumna , Das Ipsita , Nayak Rabindra Kumar , Paramjita Dipsika
Published: February 2024

Background: Rice-vegetable is one of the remunerative and profitable cropping system in Odisha to be grown in kharif and rabi season respectively. From GPS based soil survey and analysis by AICRP on Micronutrient, OUAT, Bhubaneswar, it was observed that boron deficiency was widespread in soils of Odisha (8-79%) and is a major constraint in light texture sandy loam soils under vegetable production. Growing of a shallow rooted crop like rice as direct crop followed by a deep-rooted vegetable crop can utilize leached Boron efficiently from subsoil thereby benefitting both rice and vegetable. Farmers in coastal Odisha generally grow knol-khol after rice and apply B frequently to both rice and knol-khol. Boron is one of the essential micronutrients required for the normal growth of knol-khol and plays an important role in yield of quality knobs. Till now no proper method and dose of boron is standardized for long term rice based vegetable cropping system regarding whether application of small dose every year is suitable or bulk quantity once or application in alternate years. Methods: A field experiment was conducted at E bock of Central Research Station, under AICRP on Micronutrient, O.U.A.T, Bhubaneswar to standardize the dose and frequency of boron application for rice-knol khol cropping system where boron is applied to first crop and knol-khol gets residual boron. In the present investigation residual effect of different graded doses of boron and its frequency of application on growth, yield, quality, post-harvest shelf life and economics of knol-khol for the year 2018-19 was studied. The experiment was laid out in a Factorial Randomized Block Design with three replications and four different doses of boron (0.5 kg ha-1, 1.0 kg ha-1, 1.5 kg ha-1 and 2.0 kg ha-1) at three different frequencies (application of boron once, alternate year and every year) were applied. Result: The maximum values of growth attributing parameters were recorded with residual effect of boron @ 1.5 kg ha-1 in every year application. Highest yield and yield attributing characters such as diameter of knob (8.70 cm), length of knob (6.53 cm) and total knob yield (224.72 q ha-1) were recorded with residual effect of boron @ 1.5 kg ha-1 in every year application. Highest B: C ratio of (2.27) was observed with residual effect of boron applied @ 1.5 kg ha-1 in every year application.
Anaesthetic Evaluation of Various Combinations of Xylazine, Ketamine and Tiletamine-zolazepam in Dogs
Authors: . Sulekha , Kandpal Manjul , Singh Shivani
Published: February 2024

Background: Tiletamine-zolazepam is a combination of dissociative anaesthetic with benzodiazepine agent. It is an injectable anaesthetic agent which is either used alone or in combination with other anaesthetic drugs. The objective of this study is to evaluate the anaesthetic effects of tiletamine-zolazepam alone and in combination with xylazine and xylazine-ketamine in dogs. Methods: Eighteen dogs irrespective of age, breed, sex and body weight (requiring various surgical corrections) were randomly divided into three groups viz., A, B and C. Atropine sulphate (0.025mg/kg SC) was administered in all the groups followed by tiletamine-zolazepam (till effect IV) in group A, xylazine (0.5 mg/kg IM) and tiletamine-zolazepam (till effect IV) in group B and xylazine (0.5 mg/kg IM), ketamine (2.5 mg/kg IV) and tiletamine-zolazepam (till effect IV) in group C. A gap of 10 minutes was kept between administration of each drug. The efficacy of the anaesthesia was evaluated by observing clinico-physiological parameters i.e. induction dose, induction time, duration of anaesthesia, sternal recumbency time, complete recovery time, jaw relaxation score, pedal reflex score, palpebral reflex score (PLR), heart rate (HR), respiration rate (RR), rectal temperature, capillary refill time (CRT), systolic arterial pressure, diastolic arterial pressure, mean arterial pressure and haemoglobin oxygen saturation. These clinico-physiological parameters were evaluated at different time intervals i.e. 0, 10, 15, 25, 35, 45, 60, 75, 90 and 105 minutes. Result: The induction dose of tiletamine-zolazepam observed in group A, B and C were 6.5, 5.5 and 4.0 mg/kg body weight, respectively on intravenous administration. Analgesia and muscle relaxation was observed slightly better in group C in comparison to group A and B. Heart rate increased and respiration rate decreased post induction in all three groups. Tiletamine-zolazepam with its fast and smooth induction, intermediate duration of action, excellent muscle relaxation and good compatibility with xylazine and ketamine, was found to be an effective general anaesthetic either alone or in combination. Group C with xylazine, ketamine and tiletamine-zolazepam combination required significantly lower induction dose and provided longer duration of anaesthesia in comparison to group A and B.Combining xylazine and xylazine-ketamine as pre-medicants at sub-anaesthetic doses reduced the induction dose of tiletamine-zolazepam, provided longer duration of anaesthesia, good muscle relaxation and stable physiological parameters.
Bakteri Saluran Pernapasan yang Teridentifikasipada Lumba-Lumba Hidung Botol Indo-Pasifik (Tursiops aduncus) di Bali Exotic Marine Park
Authors: Putri Agil Adi , Adnyana Ida Bagus Windia , Mahatmi Hapsari
Published: February 2024

Penelitian mengenai bakteri pada saluran pernapasan lumba-lumba hidungbotol indo-pasifk (Tursiops aduncus) di Indonesia masih belum banyak dilaporkan, termasuk pada populasi lumba-lumba yang ditangkarkan secara ex-situ. Ini adalah penelitian yang bertujuan untuk mengisolasi dan mengudentifikasi bakteri-bakteri yang terdapat pada saluran pernapasan bagian atas T. aduncus di penangkaran lumb-lumba di Bali (Bali Exotic Marine Park) yang bisa dijadikan bukti ilmiah dan salah satu data dasar. Pada saluran pernapasan bagian atas T. aduncus terdapat bakteri-bakteri yang diduga sebagai flora normal yang pada kondisi tertentu dapat menjadi patogen pada T. aduncus. Spesimen penelitian berupa swab mukosa saluran pernapasan diambil langsung dari lubang sembur (blowhole) sembilan sampel T. aduncus dengan delapan ekor jantan dan seekor betina. Spesimen yang diperiksa berjumlah 27 spesimen. Spesimen tersebut kemudian diisolasi dan diidentifikasi dengan metode streakplate. Isolasi diawali dengan membiakkan sampel pada media Nutrient Agar, diinkubasi, kemudian dilanjutkan dengan menginkubasi kembali menggunakan media Mac Conkey Agar dan Sheep Blood Agar. Isolasi bakteri berhasil mendapatkan 32 isolat, 11 di antaranya adalah non specific growth. Bakteri yang teridentifikasi terdiri atas dua bakteri Gram positif (Staphylococcus sp., dan Bacillus sp.) dan empat bakteri Gram negatif (Klebsiella sp., Erdwardsiella sp., Enterobactersp., dan Eschericia coli). Simpulan penelitian ini adalah terdapat sejumlah bakteri pada saluran napas lumba-lumba hidung botol indo-pasifik.
Penentuan Lama Simpan Semen Ayam Onagadori dengan Pengencer Kuning Telur dan Air Kelapa Wulung pada Suhu Ruang
Authors: Wiranata I Made Krisna , Bebas Wayan , Sukernayasa I Wayan
Published: February 2024

Ayam onagadori atau ayam ekor panjang merupakan ayam yang berasal dari negara Jepang. Ayam ini termasuk ayam hias terancam punah dengan memiliki karakter pada ekornya yang dapat mencapai 10 meter. Tujuan dari penelitian ini untuk mengetahui pengaruh lama simpan semen dengan pengenceran air kelapa wulung (Cocos rubecens) dan kuning telur yang disimpan pada suhu ruang terhadap motilitas, abnormalitas, dan viabilitas spermatozoa. Penelitian ini menggunakan Rancangan Acak Lengkap (RAL) dengan tujuh kelompok perlakuan yakni lama penyimpanan yaitu, 0 menit, 30 menit, 60 menit, 90 menit, 120 menit, 150 menit dan 180 menit. Teknik penampungan semen ayam dengan memijat punggung ayam (massage). Pemeriksaan semen yang dilakukan dengan mikroskopis dan makroskopis. Selanjutnya untuk pemeriksaan viabilitas dan abnormalitas spermatozoa dilakukan dengan metode pewarnaan eosin negrosin. Sejalan dengan lamanya penyimpanan semen ayam onagadorimengalami penurunan motilitas dan viabilitas spermatozoa tapi terjadi peningkatan abnormalitas. Semen ayam onagadori ini dengan pengenceran air kelapa wulung dan kuning telur hingga menit ke-120 layak digunakan untuk inseminasi buatan.
Laporan Kasus: Penanganan Feline Chronic Gingivostomatitis dengan Terapi Penyiangan (Scaling) Gigi Menggunakan Ultrasonic Scaler pada Kucing Kampung
Authors: Anindya Ainaya Luthfi , Widyastuti Sri Kayati , Batan I Wayan
Published: February 2024

Feline Chronic Gingivostomatitis (FCGS) merupakan penyakit yang menimbulkan peradangan dan menyebabkan rasa nyeri pada rongga mulut kucing. Penyakit ini ditandai dengan peradangan mulut berkepanjangan dan dapat berlangsung berbulan-bulan hingga bertahun-tahun. Laporan ini bertujuan membahas FCGS pada kucing kampong/lokal, berjenis kelamin jantan, berumur tujuh tahun, dan bobot badan 4,5 kg. Kucing diperiksa di Laboratorium Ilmu Penyakit Dalam, Fakultas Kedokteran Hewan, Universitas Udayana. Kucing mengalami hipersalivasi disertai dengan penumpukan saliva di area mulut, disfagia, dan bau busuk tercium dari mulut. Pada rongga mulut ditemukan plak menempel pada gigi premolar, serta peradangan dan ulkus pada gusi, mukosa alveolar, lipatan palatoglosus (fauces), dan permukaan lidah. Pada pemeriksaan sitologi ulas mulut kucing ditemukan adanya bakteri Gram negatif berbentuk basil pendek. Berdasarkan anamnesis, pemeriksaan fisik, pemeriksaan sitologi ulas mulut, kucing didiagnosis mengalami Feline Chronic Gingivostomatitis. Penanganan yang dilakukan berupa terapi simptomatis dan pembersihan plak gigi melalui penyiangan(scaling). Kucing diberikan antibiotik dan antiradang berupa amoxicillin 10 mg/kg BB (PO) dua kali sehari selama tujuh hari, dan dexamethasone 0,125 mg/kg BB (PO) sekali sehari selama tiga hari. Setelah terapi oral selama tujuh hari, dilakukan pembersihan plak melalui terapi penyiangan(scaling) gigi menggunakan ultrasonicscaler. Hasil dari observasi selama tujuh hari setelah penanganan, terjadi perubahan pada gigi yang ditandai dengan tidak adanya hipersalivasi, peningkatan nafsu makan, bobot badan, dan berkurangnya peradangan pada mukosa gingiva. Namun sayangnya, area palatoglosal masih mengalami peradangan. Pengobatan yang diberikan terhadap FCGS bersifat simptomatis, tidak secara kausatif. Pada pengobatan ini peradangan pada rongga mulut membaik tetapi karena penyebab pasti dari penyakit ini masih belum diketahui, maka ada kemungkinan gejala kambuh kembali.
Gıda Sektöründe Yalın Tedarik Zinciri Yönetimi ile Tedarik Zinciri Yönetimi Arasında Performans Değerlendirmesi
Authors: ZENGİN Zeynep Helin , BAYARÇELİK Ebru Beyza , APAK Sinan
Published: February 2024

Gıda üretimi, topraktan toplanan ham maddelerin işlenmesi ile başlar. Kaynakların verimli kullanılması, üretilen gıdaların paketlenmesinde ve dağıtımında en önemli husus, verimliliği artırmak ve hataları en aza indirmektir. Bu, yalnızca tedarik zinciri yönetimi sürecine yalın ilkelerin uygulanmasıyla elde edilebilir. Bu çalışmanın temel amacı, öncelikle Yalın Tedarik Zinciri Yönetimi söz konusu olduğunda dikkate alınması gereken kesin uygulamaları ve ilkeleri tanımlamaktır. İkincisi, yalın tedarik zinciri yönetimi ilkeleri ile gıda sektörüne dayalı tedarik zinciri yönetimi performansı farklarını ve ilişkilerini ortaya koymaktır. Yalın Tedarik Zinciri Yönetiminin sistematik olarak uygulanmasının arka planı ve sonuçları ile tedarik zinciri yönetimi performans değerlendirmesi hakkında çok fazla çalışma yoktur. Bu nedenle yalın tedarik zinciri yönetimi ve tedarik zinciri yönetimi ilkelerinin performansı nasıl etkilediğini göstermek çok önemlidir ve makalenin temel amacı da budur.

Gıda sektörü düşünülerek yürütülen çalışma, yalın tedarik zinciri yönetimi ile tedarik zinciri yönetimi arasındaki temel performans göstergelerini ölçmek üzerine planlanmıştır. Çalışmada ilk olarak gıda tedarik zinciri yönetimi ve gıda yalın tedarik zinciri yönetimindeki temel performans ölçütleri belirlenmiştir ve literatür araştırması ile birleştirilmiştir. Daha sonra nihai puanı elde etmek ve her boyut için performans indeksini hesaplamak üzere DEMATEL yöntemi uygulanmıştır.
Chimia montmorilonitului intercalat. Proprietăți de suprafață. Modele fizico-chimice
Authors: Rusu Vasile
Published: February 2024

Monografia cuprinde cercetări fizico-chimice a montmorilonitului intercalat cu oligomeri, incluzând condițiile de sinteză a adsorbanților intercalați, dirijarea proprietăților de suprafață, inclusiv acidității lor, caracteristicilor sorbțional-structurale, stabilității termice și eficienței catalitice. S-a atras o atenție deosebită asupra modului de delimitare a caracteristicilor electrice a straturilor duble în proximitatea suprafețelor bazale și laterale ale montmorilonitului. S-au estimat caracteristicile stratului compact - potențialul Stern, energia de adsorbție specifică chimică, densitatea de sarcini, constantei dielectrice în stratul compact, capacității electrice și grosimii stratului. Monografia este adresată cercetătorilor, studenților, masteranzilor și doctoranzilor din domeniul chimiei fizice.
Empty nose syndrome
Authors: Go Beatrice , Deane Emily , Friedman Oren
Published: February 2024

Empty nose syndrome (ENS) is an iatrogenic condition that results from traumatic injury, often overresection, of the turbinates during sinonasal surgery. The underlying etiology is not entirely understood but is thought to have multifactorial contributions including alterations in the native nasal airway anatomy, abnormal mucosal and neural healing, and decreased trigeminal sensitivity, among other possibilities and contributors. Patients typically present with an intense fixation on their sensations of nasal obstruction and congestion despite an anatomically patent airway on examination. Because many patients with ENS have been shown to have significant psychiatric comorbidities, multidisciplinary specialist care including psychiatry and pain services is essential. Diagnosis is often difficult due to the variability of presentation and severity of symptoms, but standard assessments exist including the empty nose syndrome 6-item questionnaire (ENS6Q) and cotton test. Patients can be initially managed with conservative measures through humidification, moisturization, and psychiatric testing/referral. Procedural approaches to improve the nasal airway include submucosal implantation of temporary, semi-permanent, and permanent materials. A realistic and empathetic approach to patient communication is necessary in order to help manage patients with ENS, and all plastic surgeons performing septorhinoplasty should be aware of the risk and treatment options of the disease.
Integrasi Computational Thinking dalam Pengembangan Media Pembelajaran melalui Konstruktivisme
Authors: Yuliana Rosa , Hakim Lukman El , Aziz Tian Abdul
Published: February 2024

Abstrak

Tujuan dari penelitian ini adalah untuk mengetahui bagaimana pengembagan media pembelajaran berbasis computational thinking melalui konstruktivisme. Proses pengembangan media pembelajaran ini sangat dibutuhkan bagi pendidik dalam menyampaikan pesan atau materi dalam proses pembelajaran agar terasa lebih menarik dan tidak membosankan bagi peserta didik. Metode yang digunakan dalam penelitian ini adalah SLR ( Systematic Literature Review). Peneliti menggumpulkan berbagai artikal atau jurnal nasional yang terkait dengan tema yang dibahas. Dari hasil penelitian ini diperoleh dua hal yang terpenting dalam pengembangan media pembelajaran matematika yang pertama adalah konten materi pembelajaran dari media tersebut yang kedua adalah terkait dengan penyajian visualisai dari media tersebut baik dari tampilan, audio dan tulisan dari media pembelajaran tersebut. Konstruktivisme semua pengetahuan dapat dikonstruksikan (dibangun) untuk meningkatkan pengetahuannya melalui pengalaman atau proses evaluasi pembelajaran sebelumnya. Berdasarkan analisis data yang dapat disimpulkan bahwa penggunaan media pembelajaran sangatlah penting dalam proses pembelajaran matematika di kelas. Dengan penggunaan media pembelajaran matematika berbasis computational thinking melalui konstruktivisme sebagai media pembelajaran peserta didik mampu menciptakan suasana proses pembelajaran yang menarik dan membangun suasan baru dalam aktivitas proses pembelajaran matematika.
Aprendizagem de línguas em contexto acadêmico mediado por tecnologias digitais: limites e possibilidades da ferramenta Quizlet para a sala de aula invertida
Authors: Aquino Marceli Cherchiglia , Oliveira Paulo Sampaio Xavier de
Published: February 2024

Discute-se aqui o potencial da abordagem de sala de aula invertida (SAI), mediado por tecnologias digitais, para o ensino-aprendizagem de línguas adicionais. Considerando as possibilidades de ensino que envolvam práticas síncronas e assíncronas, a SAI inverte as ações didáticas que ocorrem dentro e fora da sala de aula (Schneiders, 2013). As ferramentas e os ambientes virtuais permitem realizar parte do trabalho didático de maneira assíncrona, possibilitando que nos encontros síncronos (presencial ou online) se priorizem o aprofundamento do conteúdo e uma reflexão crítica acerca do processo individual de aprendizagem (Ofugi, 2016). Tendo em vista as possibilidades de participação na pós-pandemia, sugerimos que a ferramenta Quizlet oferece recursos interessantes para o trabalho assíncrono na abordagem SAI.
Os tabus de decência na variação corno e chifrudo, eufemizados e disfemizados, na fala cearense, a partir de dados do ALiB
Authors: Alves de Lavor Cassio Murilio , Viana Rakel Beserra de Macêdo , Araújo Aluiza Alves de
Published: February 2024

Amparados nos pressupostos teórico-metodológicos da Sociolinguística Variacionista (Weinreinch; Labov; Herzog, 2006; Labov, 2008), investigamos o uso do tabu linguístico corno no estado do Ceará, a partir de dados do ALiB. Objetivamos identificar a variante mais produtiva e analisar o papel dos fatores extralinguísticos e linguísticos sobre a realização da variante corno na amostra analisada, bem como investigar se esses fatores condicionam uma fala eufemizada na comunidade estudada. Testamos os fatores linguísticos recurso linguístico e nº de variantes faladas, e os fatores extralinguísticos sexo, faixa etária e localidade. O GoldVarb X selecionou a variável nº de variantes faladas como relevantes para a variante corno e para o uso de eufemísticos, e a variável sexo como relevante apenas para o uso de eufemísticos. Concluímos que a variante corno, 61,30%, é mais frequente que chifrudo, 38,70%, e que as comunidades pesquisadas não fazem uso de recurso linguístico para eufemizar a fala (33,30%), preferindo disfemizar (66,70%).
Usos da construção causal ‘por conta de X’ no português brasileiro
Authors: Rosario Ivo da Costa do , Oliveira Bruno Araujo de
Published: February 2024

Este trabalho tem como principal objetivo investigar as propriedades da construção causal por conta de X no português brasileiro, à luz da Linguística Funcional Centrada no Uso (cf. Rosário, 2022b; Rosário; Oliveira, 2016; Rosário; Oliveira; Lopes, 2022). Para alcançar esse objetivo, examinou-se uma amostra de dados provenientes de textos publicados por portais de notícias no período entre 2012 e 2019. Analisaram-se aspectos relacionados à forma e ao significado. Os resultados da pesquisa evidenciaram a existência de duas microconstruções causais especificadas pelo conector por conta de: uma de natureza intraoracional (em que por conta de encabeça um sintagma preposicional causal) e outra de natureza interoracional (em que por conta de desempenha papel de conector oracional, sinalizador de relação causal entre orações). Ao longo do trabalho, também são tecidas algumas comparações entre o uso de por conta de e por causa de, tendo em vista que este último é comumente reconhecido como um conector mais prototípico no domínio da causalidade.
Systematic Review and Meta-Analysis of the Diagnostic Accuracy of Machine Learning and Deep Learning Models to Detect Malaria: A Protocol
Authors: Eshetu Tegegne , Taddese Asefa Adimasu , Tamir Mebratu , Abere Aberham , Mekonnen Gebeyaw Getnet , Gessese Abebe Tesfaye , Deress Teshiwal
Published: February 2024

Background: Malaria continues to be a serious public health problem, particularly in tropical and subtropical nations, with an estimated 247 million malaria cases and 619,000 malaria deaths worldwide. Despite early and accurate diagnosis being essential for limiting public health challenges, existing conventional diagnostic techniques face many overwhelming challenges. However, recent advances in machine learning and deep learning models have shown promising results in overcoming the challenges of malaria diagnosis. Therefore, this study aims to conduct a systematic review and meta-analysis to synthesize the existing literature and evaluate the overall performance and reliability of machine learning and deep learning models.
Methods: A systematic literature search will be conducted to identify all relevant studies from electronic databases including PubMed, Medline, Embase, Cochrane Library, Web of Science, Scopus, Google Scholar and Science Direct until November 15, 2023. Study selection will be rigorously carried out independently using the established eligibility criteria and strictly following the PRISMA guidelines. Then two authors will extract data files from a full-text article using a predefined extraction checklist. The methodological qualities of the included studies will be assessed using the QUADAS-2 tool. Pooled estimates of key diagnostic performance measures will be calculated, and the synthesis outcomes will be presented using forest plots. Random effects models will be used to account for the expected variation among studies. The presence of heterogeneity among studies will be assessed using the I² statistic. If significant heterogeneity is observed, we will explore the source of heterogeneity using subgroup analyses meta-regression, and sensitivity analysis. Discussion: The rigorous meta-analysis approach used will ensure a robust knowledge synthesis from the extracted data files. The result of the study will provide empirical evidence for policymakers, researchers, and other stakeholders who would like to use the data to establish the appropriate strategy.
Systematic review registration: This review protocol has been submitted to PROSPERO for registration.
Phage predation accelerates the spread of plasmid-encoded antibiotic resistance
Authors: Johnson David , Ruan Chujin , Ramoneda Josep , Kan Anton , Rudge Timothy , Wang Gang
Published: February 2024

The use of predatory phage to control microbial proliferation is generally assumed to not contribute to the spread of antibiotic resistance. However, this assumption does not consider the effect of phage predation on the spatial organization of different microbial populations. Here, we show that phage predation can increase the spread of plasmid-encoded antibiotic resistance during surface-associated microbial growth by reshaping spatial organization. Using two strains of the bacterium Escherichia coli, we demonstrate that phage predation slows the spatial demixing of the strains. This increases the number of cell-cell contacts and the extent of conjugation-mediated plasmid transfer between them. The underlying mechanism is that phage predation shifts the location of fastest growth from the biomass periphery to the interior where cells are densely packed and highly rotationally ordered. This creates straighter interfaces between the strains that are less likely to coalesce, consequently slowing spatial demixing and enhancing plasmid transfer. Our results have implications for the design and application of phage therapy and reveal a mechanism for how microbial functions that are deleterious to human and environmental health can proliferate in the absence of positive selection.