bluuebunny/crossref_metadata_2025 huggingface dataset:
ANÁLISE DO PANORAMA DE VACINAÇÃO CONTRA COVID-19 NO CONTINENTE AMERICANO
Authors:   LITERACIA CIENTÍFICA EDITORA & CURSOS, Abreu Mariana Oliveira , Ribeiro Keyse Mirelle Carregosa , Ribeiro Karen Monique Carregosa , Carvalho Iara Santana Santos , Figueiredo Mariana Souto , Nepomuceno Ana Flávia Souto Figueiredo
Published: August 2022

OBJETIVO: Analisar o panorama de vacinação contra a COVID-19 na América. MATERIAIS E MÉTODOS: Estudo epidemiológico descritivo, de série temporal. A coleta de dados foi realizada no Sistema de Informações divulgados pela Organização Pan-Americana de Saúde do dia 01/01/2021 até 10/09/2021. Foram analisados o número de doses administradas em dose única, primeira e segunda dose na América. RESULTADOS E DISCUSSÃO: Até a data de 10/09/2021, na América, foram aplicadas um total de 963.290.835 doses, sendo 56,8% em primeira dose, 39,1% em segunda dose e 4,1% em dose única. No total, até o período em que o estudo foi conduzido, no continente americano, existiam 399.333.286 pessoas com o esquema vacinal completo, o que representa uma população estimada em 1.030.670.082 cidadãos, com um total de 38,7% da população com o esquema vacinal completo. CONSIDERAÇÕES FINAIS: Nota-se que, apesar do avanço na vacinação, o número de cidadãos com esquema vacinal completo no continente ainda é baixo, sendo inferior a 40% da população total. Ademais, percebe-se uma distribuição desigual de doses, que pode estar associada sobretudo a fatores sociais e econômicos.
BENEFÍCIOS DA CONSULTORIA EM ENFERMAGEM PARA O ALEITAMENTO MATERNO: UMA REVISÃO DA LITERATURA
Authors:   LITERACIA CIENTÍFICA EDITORA & CURSOS, Evangelista Brenda Pinheiro , Rolim Edlane Vieira Pessoa , Lima Taciane Raquel de Oliveira , Dias Cícero Geison Pereira , Silva Ana Paula Gomes da , Barbosa Kamylla de Aquino , Evangelista Breno Pinheiro , Silva Ilma Santos Menezes da
Published: August 2022

OBJETIVO: Analisar por meio da literatura as principais informações sobre a consultoria em amamentação do enfermeiro, bem como mostrar se existem benefícios para a amamentação. MATERIAIS E MÉTODOS: Trata-se de uma revisão bibliográfica de literatura. A coleta de dados se deu por meio do acesso à Biblioteca Virtual em Saúde (BVS): Literatura Latino-Americana em Ciências da Saúde (LILACS) e Scientific Electronic Library Online (SciELO). RESULTADOS : Diversos motivos tornam a consultoria de amamentação vantajosa tanto para a mãe quanto para o bebê. Alguns dos benefícios são: suporte personalizado e direcionado às necessidades da cliente, acompanhamento de uma amamentação, soluções práticas para a rotina da lactante; dicas de posições ideais para a amamentação e economia quanto ao uso de fórmulas. CONCLUSÃO: A partir da realização do estudo, foi possível enfatizar que a consultoria em amamentação é uma prática empreendedora que promove benefícios para a criança e para o protagonismo da enfermagem em práticas empreendedoras voltadas a educação em saúde. O estudo contribui para novas perspectivas profissionais e estratégias para incentivar a prática de amamentação.
CARACTERIZAÇÃO DAS BOLSAS DE SANGUE RETIDAS NOS HEMOCENTROS EM UM ESTADO NORDESTE BRASILEIRO
Authors:   LITERACIA CIENTÍFICA EDITORA & CURSOS, Mendes Alice Silva , Yoshioka France Keiko Nascimento
Published: August 2022

OBJETIVO: Caracterizar as bolsas de sangue retidas pelos hemocentros do estado de um estado do Nordeste brasileiro. MÉTODOS: Trata-se de um estudo descritivo com abordagem quantitativa de caráter observacional, realizado no período de 2014 a 2016. RESULTADOS E DISCUSSÃO: De 161.001 doações realizadas no período, 4,06% foram descartadas em 2014, 3,31% em 2015 e 3,29% em 2016. A infecção pelo vírus da Hepatite B (HBV)foi a mais frequente, com 45,5%, seguida da Sífilis, com 36,65%, e infecções pelo vírus da Hepatite C (HCV) com 5,63%, vírus da imunodeficiência humana (HIV) com 5,45%, doença de Chagas com 3,56% e vírus linfotrópico de células T humanas (HTLV) com 2,74%. Os indivíduos solteiros do sexo masculino, da faixa etária de 26 a 40 anos e com o segundo grau completo foram os mais soropositivos. CONCLUSÃO: Identificar a quantidade de bolsas inaptas e os motivos que a levaram a essa inaptidão, revela o reforço contínuo e necessário realizados pelos bancos de sangue quanto à prevenção desses agentes com orientações ao doador, bem como a avaliação da eficácia dos programas já existentes e implementação de novos que visem a segurança do ato de doar.
Principales usos de la evaluación de políticas públicas y programas
Authors: Yáñez Cifuentes María Teresa
Published: August 2022

La investigación acerca de los usos de las evaluaciones se ha convertido en objeto de estudio en sí mismo durante los últimos 50 años, dada su importancia para el mejoramiento de políticas y programas. Este interés surge al observar un uso limitado en algunos casos, distinguiéndose usos de resultados (instrumentales, conceptuales y simbólicos) y de proceso (procesuales). Este artículo explora, desde la visión de expertos españoles, cuáles son los usos de las evaluaciones de políticas públicas y programas y sus recomendaciones para fomentar una mayor utilización. Los principales hallazgos son: i) un balance mixto entre una visión optimista del grado de uso y otra, que considera que éste sería medianamente bajo; ii) la importancia de la participación de los encargados e implicados para fomentar el impacto de la evaluación; y iii) predominancia de usos de resultados instrumentales orientados a modificar y mejorar lo evaluado, seguido de usos conceptuales que amplían el conocimiento, de usos procesuales y en menor medida de usos simbólicos. El artículo sistematiza recomendaciones para fomentar un mayor uso e impacto de las evaluaciones y plantea nuevas líneas de investigación, para efectos de mejorar su impacto en la calidad y pertinencia de las políticas y programas.
Capacitación, consumo y endeudamiento
Authors: Ortiz-Paniagua Carlos , Infante Jiménez Zoe , Velázquez Herrera Esmeralda
Published: August 2022

El gobierno mexicano ha implementado desde 2008 el programa: “B002-Generación y Difusión de Información para el Consumidor”. El objetivo del presente es evaluar la incidencia sobre las decisiones de consumo y deuda de las personas que han participado en el programa en Morelia, Michoacán, México. La hipótesis que se propone es que la capacitación influye positivamente sobre las decisiones endeudamiento y control de deuda. Para comprobar esta, se aplicó análisis de prueba de medias para dos grupos (control y experimental) con tres variables (capacitación financiera, consumo -responsable e inteligente- y endeudamiento). Los resultados muestran que entre los dos grupos hay diferencias significativas en el consumo y en uno de tres componentes del endeudamiento. Se concluye que el programa ha influido positivamente en las decisiones de endeudamiento crítico o de riesgo patrimonial del grupo que recibió capacitación.
La dimensión ideacional
Authors: Galarza Shakira
Published: August 2022

Este artículo teórico busca conocer qué tipo de vínculo existe entre la dimensión ideacional y las redes de políticas. Para esto, son planteados los principales abordajes que ha tenido la dimensión ideacional en la hechura de las políticas y los procesos de políticas; enfatizando su rol en las dinámicas entre actores y en su relación con acciones, intereses y poder. Las conclusiones plantean que la dimensión ideacional determina el grado de cohesión de una red de política, en tanto son las ideas detrás los actores las que llaman al consenso y compartimento de objetivos y visiones.
La participación ciudadana en la gestión del agua y saneamiento
Authors: Cedeño Burgos Erik
Published: August 2022

El presente artículo analiza de qué manera la adopción de objetivos de participación ciudadana mejoró los controles democráticos en la gestión del agua y saneamiento, durante los gobiernos del Frente Amplio en Uruguay (2005-2020). Se sostiene que existe una relación causal entre un mayor control vertical no electoral y la formulación de una política participativa. El diseño metodológico fue un análisis cualitativo comparado, utilizando una reconstitución de procesos (process traicing), basada en el marco analítico del diseño de políticas públicas. Las evidencias encontradas, basadas en los instrumentos del Estado (Hood, 1987), revelan que la participación ciudadana mejoró los controles democráticos en la política de agua y saneamiento. Esto fue así a causa de que, a su llegada al poder, el gobierno del Frente Amplio adoptó objetivos explícitos de participación ciudadana en sus políticas públicas, lo que produjo un despliegue de los dispositivos institucionales del Estado para formular leyes, crear instancias y promulgar decretos que hicieron que distintas instituciones del Estado trabajaran en conjunto con los actores estatales y no estatales vinculados a la política sectorial.
Enfoque de derecho en Políticas de Salud Sexual y Reproductiva de países OCDE
Authors: Neira Contreras Rodrigo , Luna Pino Mourielle , Millahuinca Zavala Camila
Published: August 2022

Este estudio realiza una revisión de alcance basado en la metodología del Joanna Briggs Institute, a través de una búsqueda en sitios web de organizaciones internacionales, buscadores académicos y bases de datos gubernamentales; para observar la inclusión del enfoque de derechos humanos en las políticas de salud sexual y reproductiva, con el objetivo de identificar brechas existentes entre las expectativas y las garantías efectivamente declaradas. La búsqueda arrojó evidencia de 21 países que dan respuesta al enfoque describiendo mayoritariamente las subgarantías de acceso y calidad, parcialmente las de protección financiera y revisión continua, y mínimamente la de reparación. Se concluye que existe una heterogeneidad en la incorporación del enfoque de derechos en el diseño de las políticas: direccionado a la entrega de servicios y en menor medida a la participación social y a la reparación de vulneraciones a sus derechos.
Conselhos Municipais de Turismo e Covid-19
Authors: Silva Juliana Ferreira da , Gomes Bruno Martins Augusto , Pessali Huáscar Fialho , Souza Silvana do Rocio de , Scheuer Luciane
Published: August 2022

O artigo analisa as consequências da Covid-19 para o funcionamento dos conselhos de políticas públicas de turismo dos municípios de Curitiba e Paranaguá durante o ano de 2020 e início de 2021. Baseado na teoria fundamentada, foram analisados dados provenientes de entrevistas com conselheiros e de normas jurídicas dos colegiados. Os resultados identificaram que os conselhos funcionam predominantemente como um fórum de comunicação de ações, que existem dificuldades com relação à responsividade e que a adesão dos conselheiros às reuniões online é caracterizada pela racionalidade limitada. Esse cenário foi intensificado pela Covid-19, principalmente em Paranaguá, enquanto o conselho de Curitiba iniciou ações para enfrentamento da pandemia e aumentou a frequência de reuniões. Conclui-se que as realidades distintas nos casos analisados têm relação com a estrutura do poder executivo de cada município. A experiência dos conselhos durante a Covid-19 é oportuna para repensar o uso da e-democracia, inclusive no contexto pós-pandemia.
Evaluación de Desempeño del Programa Pueblos Mágicos en el Estado de Michoacán, México
Authors: Vázquez Hernández Manuel
Published: August 2022

El objetivo del presente es determinar el nivel de desempeño del Programa Pueblos Mágicos en el estado de Michoacán. La metodología empleada consiste en un análisis de datos mixto, derivado de la aplicación de una entrevista semiestructurada orientada a funcionarios de la Secretaría de Turismo del estado de Michoacán (implementadores del programa), y una encuesta aplicada a ciudadanos de los Pueblos Mágicos en este Estado (receptores del programa). El procesamiento de los datos recabados permitió la estimación de números índice, con el propósito de identificar el escenario que prevalece. Los principales resultados muestran que el nivel de cumplimiento general del programa es de 68.14, ubicándose en un rango mínimo aceptable, el cual refiere algunos logros, pero insuficientes y limitados. Aún prevalecen deficiencias en su diseño e implementación para generar mejores resultados.
Actuar en la complejidad
Authors: Alcázar Sánchez Jesús Geovani , Baca del Moral Julio
Published: August 2022

En este artículo se analiza de qué manera las políticas públicas productivas repercuten en la transformación de hábitos y valores de la población campesina en los últimos 13 años (2008-2021). El estudio se encuentra basado en datos cualitativos de un estudio de caso compuesto por familias tseltales de las comunidades de Sibactel y El Pach, en el municipio de Tenejapa y la comunidad de Chilolja en San Juan Cancuc, Chiapas. Los resultados indican que las políticas públicas dependen de la interdependencia entre diferentes actores, mismos que enfrentan una serie de obstáculos como las prácticas de corrupción, conflictos de intereses, individualismo, oportunismo político y abuso de poder. Situación que ha dejado a su paso un incremento de asimetrías en la práctica de valores socio-culturales, en la economía campesina y las practica de habilidades productivas. Una vía para hacer frente a esta situación es crear un programa de política pública diferenciada para agricultores familiares con enfoque agroecológico. En conclusión, los programas de política pública y las estrategias de reproducción social campesina son dos categorías determinantes en la continuidad de la reproducción campesina, además de que motivan las diferentes formas de pensar, de actuar y de organizarse de los campesinos.
El gobierno de la infancia
Authors: Morales Retamal Camilo
Published: August 2022

Este artículo constituye una revisión de la literatura en el campo de las políticas públicas dirigidas a la niñez bajo protección del Estado a partir de investigaciones realizada en Chile, Argentina, Brasil, Uruguay y Colombia entre 2012 y 2021. Busca caracterizar e interrogar cómo las políticas de protección construyen su objeto de intervención y los supuestos desde los cuales orientan sus acciones. Se analizaron un total de 41 textos considerando los criterios y orientaciones para una revisión sistemática, buscando garantizar la elaboración de un texto transparente, claro y preciso. Para realizar el proceso de análisis de los documentos se utilizó la técnica de análisis de contenido temático. Los resultados de la revisión muestran que el campo de producción de conocimiento sobre la protección especializada está constituido por una pluralidad de enfoques teóricos y metodológicos, dando cuenta que la infancia es una construcción social e histórica que se encuentra en permanente disputa. Las políticas públicas dirigidas a la niñez no se reducen a la aplicación mecánica de un conjunto de acciones para resolver un problema social, sino que éstas son construcciones discursivas complejas que tienen efectos de verdad y de poder en la configuración de la protección de la infancia contemporánea.
Hacer visible lo invisible
Authors: Silveti Laurencia
Published: August 2022

Esta investigación analiza las experiencias de trabajo en salud pública en el primer nivel de atención durante la primera ola de la pandemia por SARS-CoV-2 en Santiago del Estero, Argentina. Con un enfoque cualitativo y situado, se recabaron y analizaron entrevistas en profundidad realizadas a diversidad de agentes de salud pública entre septiembre y noviembre de 2020. Los resultados permiten diferenciar dos grandes dimensiones: por un lado, la caracterización laboral estructural, a donde se visibiliza la feminización del trabajo en salud, situaciones de malestar naturalizadas, una base común de precarización laboral, desigualdad en la distribución de recursos y una baja coordinación de tareas y objetivos. Por otro lado, la dimensión de estrategias de trabajo y atención emergentes y la necesidad de problematizar sobre la situación laboral para generar colectivamente mejores condiciones de trabajo y de atención, ante la prevalencia de abordajes destacadamente biomédicos que resultan insuficientes. Sobre estos registros, se procura contrastar la relación entre las políticas públicas y las experiencias situadas, ampliando las nociones conceptuales en torno a los procesos de atención en salud pública y sus desafíos, desde las voces de sus agentes.
role of artistic activities in developing the academic achievement of middle school students
Authors: Alwan Salah Hassan , Hasina Muhammad Juwaid
Published: August 2022

Artistic activities are considered one of the most prominent types of visual arts through which artistic expression is practiced, whether it is intellectual expression or the expression of feelings and feelings. From an emotional and psychological point of view, psychological researchers have also been interested in the field of adolescent arts, for what it contains of psychological facts and indications that reflect their motives, struggles and hidden desires in an unconscious and transcendent manner. Which artistic activities carry for their direct impact on adolescent students and know the impact of these activities on academic achievement through a scale built by the researcher for this purpose. This study found the following: 1) There are differences in the motivation for academic achievement and in favor of the post-test. 2) Technical activities can develop the motivation for academic achievement and make positive change in this field, and this is confirmed by the current study through its findings.
Role of the silymarin on the prolactin gene expression in the pituitary, estrogen and progesterone hormones of western rats during lactation
Authors: Jawad Doaa Hashim , Albazi Wefak Jbori , Mahmood H. B
Published: August 2022

Objective: To see how dose of Silymarin aqueous extracts affected prolactin hormone gene expression in pituitary glands and Androgen hormone in serum samples of female experimental rats throughout nursing. Methods: 24 adult healthy, Two sets of pregnant rats were created (12 each group) and treated as follows for ten days postnatal. G 1 were intubated orally distal water serving as control while, G 2 were intubated orally Silymarin (200 mg\kg\day). Results: The findings show that Silymarin had a strong influence on mRNA–PRL expression in pituitary glands, with a rise in Estrogen and a decline in Progesterone levels. Conclusion: The focus of this study mention a new evidence of the role of Silymarin on the prolactin gene expression for increasing the milk production and level of estrogen & progesterone hormones.
Detection of eimeria species in domestic goat with both microscopic and molecular methods in Al-Diwaniyah Province
Authors: Khader Wafaa Hussein Abdel , Jarad Noor Idan
Published: August 2022

The aim of this study which conducted in Al-Diwaniyah province during the period from October (2021) to April (2022) was to determine the prevalence of Eimeria infection in goat and study the effect of some epidemiological factor such as sex ,age and months on the infection rates addition to that and molecular identification of Eimeria. Two hundred and ten fecal sample were collected, from goat in four different regions in Al-Diwaniyah province included (Al-Shamiya, Al-Sunyih, Ghamas and Al-Mohanawih) at one visit per a week for each regions. The results of microscopic examination showed that 169(80.48%) of goat were infected.  According to morphological study, eight Eimeria species were recorded which include E. arloingi, E. alijevi, E. ninakohlyakimovae, E. christenseni, E. jolchijevi, E. hirci, E. caprovina and E. caprina. The results showed that, Eimeria arloingi were recorded at highest rate (22.86%), while E. caprina was observed at lowest rate (3.33%). Significant (P<0.01) differences was found between prevalence of infections according to Eimeria species. Out of 120 fecal sample were collected from goat female and 90 fecal samples were collected from male which examined as Eimeria species, the results showed that, 99(82.5%) females  and 70(77.78%) males were confirmed to be infected.
study of healthcare utilization and perception of adequacy of healthcare by elderly in the rural population of coastal Karnataka
Authors: Jithin Daniel J , Alva Avin B R , Answar Remiza Rayikal
Published: August 2022

Background: Over the years, urbanization has led to change in the economic structure, diminishing societal values, weakening the importance of elders in the family. As a consequence of which the older generation is caught between the decline in traditional values and absence to adequate health, care and social security. This study puts in an effort to find the healthcare utilization and perception of adequacy of healthcare in the rural population of coastal Karnataka. Aims and Objectives: To study the healthcare utilization and perception of adequacy of healthcare by elderly in the rural population of coastal Karnataka. Materials and Methods: Study design: This was a community based cross sectional study. Study period: The study was conducted over a period of one year, from June 2021 to Nov 2021. Study area: The study was conducted in neighbouring villages utilizing the health services of Rural field practice area, Department of Community Medicine. Results: 89.8% of the elderly subjects didn’t have any difficulties in utilizing health care services. Conclusion: Subjects residing close to Govt. PHC expressed that there were adequate facilities at their preferred health centers.
Deep learning-based alzheimer disease detection techniques
Authors: Pradhan Nilanjana , Sagar Shrdhha , Singh Ajay Shankar
Published: August 2022

Alzheimer disease (AD) is one of the most common degenerative illnesses of the elderly worldwide. It is a progressive neurological condition that impairs cognitive memory. As a result, Alzheimer's sufferers struggle to recall daily activities, recollect family members, and solve logical problems. Medication which reduces the creation of proteins, block data communication between brain neurons and it can also delay the course of Alzheimer's disease. Mild Cognitive Impairment (MCI) seems to be a common disorder that does not usually progress to Alzheimer's. It is difficult to find patients with modest cognitive decline who may acquire Alzheimer's. As a result, creating deep learning-based disease detection techniques to assist clinicians in detecting prospective Alzheimer's patients is crucial. The performance comparison of the Imaging, Electronic Health Record (EHR), and Single nucleotide polymorphisms (SNP) datasets is evaluated using the metrics Accuracy, Sensitivity, Specificity, and Multi Area. Different mistakes are added under the curves for gradient calculation.
Evaluation of fetal cerebral blood flow perfusion using power doppler ultrasound angiography (3D-PDA) in growth-restricted fetuses
Authors: Elgarhy Ismail Mohamed Talat , El-Hamed Sedek Abd El-Monsef Abd , Abo-Rehab Ali Abo-Rehab Ali
Published: August 2022

Background: Fetal growth restriction is a common complication of pregnancy and, in severe cases, is associated with elevated rates of perinatal mortality, neonatal morbidity, and poor neurodevelopmental outcomes. Aim of the work: The main purpose of our study was to explore the potential of 3D Power Doppler Angiography to evaluate the cerebral circulation in growth restricted fetuses in pregnant women. Patients and Methods: This was a prospective cohort study; the study including 100 patients were recruited in this study and divided in to two groups, group (A) High risk group including 50 pregnant patients with IUGR and  hypertension of pregnancy and group (B) control group including 50 pregnant without risk factors, The study was conducted in Al Azhar university hospital. Results: The mother age in high risk group ranged from 23 to 38 years with mean ±SD= 30.24± 5.15 years while the in control group the mother age ranged from 22 to 38 years with mean ±SD= 29.74± 4.59 years with no statistical significant difference between the two groups.
Effect of yogic practices on physical and physiological variables among adolescent school boys
Authors: Sabapathy K. Ratna , Elangovan R.
Published: August 2022

The purpose of the random group experimental study was to find out the effect of yogic practices on Physical and Physiological variables among Adolescent School Boys. 30 Adolescent Boys were selected from Chennai, between the age group of 14 and 19 years and they were divided into two groups I, and II with 15 subjects each.  It was hypothesized that there would be significant differences among the Adolescent School Boys on Physical and Physiological variables. Preliminary test was taken for two Groups on Physical and Physiological variables before the start of the training program. Group I subjects were given Yogic practices for 45 minutes, 6 days a week  for a total period of eight weeks. Group II (Control Group) were in active rest. After the experimental period, the two groups were retested again on the same selected dependent variable. Analysis of co-variance (ANCOVA) was used to find out the significant differences between the experimental group and the control group. The test of significance was fixed at 0.05 level of confidence.
Review on skin cancer using machine learning
Authors: Shikha Shikha , Gayathri N.
Published: August 2022

Today, cancer is a deadly disease caused by a division that is unable to govern the abnormal cells in the human body. As a result, malignant cells grow rapidly and can invade and destroy nearby structures as well as spread to distant locations, ultimately leading to death. All live cells at all levels of the human body can be affected by cancer, regardless of gender. Skin cancer is on the rise these days as skin cells multiply and unrepaired DNA damage to those cells causes mutations. It has been established that basal cell, squamous, and melanomas are all separate types of skin cancer. Skin cancers of the melanoma and non-melanoma varieties are the most frequent. Melanocytes, the cells that produce the skin's colour, are malignant and capable of spreading to whole body. Additionally, it has the potential to spread throughout the body, posing a serious health risk or even resulting in death.
Comparison between gender and vaccination status on psychological states during peak period of total serious and critical cases of COVID-19 pandemic in developing countries
Authors: Hooi Lim Boon , Siong Chin Ngien , Camarador Rhene A , Khoa Pham Thanh Anh , Sumartiningsih Sri
Published: August 2022

At large, all of the studies that have examined the psychological disorders during the COVID-19 PANDEMIC have reported that the affected individuals. Different psychological distresses like, anxiety, trauma, depression, anger, panic, and some other mental illness are some of the common mental illnesses widely seen in Pandemic situations. Some studies have shown that compared to their female’s counterparts, risk perception for COVID-19 PANDEMIC are higher in males. While others showed that females reported higher levels of risk as a concern than do males. the primary aim of this study was to assess and compare the psychological states - felt Stressed and perceived risk between gender and vaccination status during the peak period of total serious and critical cases of COVID-19 PANDEMIC as reported by Worldometer in developing countries. Current study was an online-based survey questionnaire with “Google form” served to the targeted samples for data collection.  A total of 709 respondents' data was collected throughout this period. The COVID‑19 Pandemic Mental Health Questionnaire (CoPaQ) was employed in this study.
Potential use of low-cost herbs against contaminated water for health issues
Authors: Chandel Shikha Rangra , Jaiswal Ashish , Simpy Simpy , Thakur Shriyanshu
Published: August 2022

The main objective of this study is to identify the most suitable herbal plants for removing contaminants to reduce the use of chemicals for water contamination. The microbial studies were performed in the contaminated kitchen and household wastewater treated (with various medicinal plants, i.e., Azardichta Indica, Ocimum tenuiflorum, and Pinus roxburghii) using the serial dilution method. Aqueous extracts of the dried powdered plant material were used directly to treat the collected water samples. We examined that the enumeration of bacterial load in the treated water was reduced as compared to contaminated water. Enumeration of Bacterial load in the kitchen wastewater were ranging from 80x104 to 17x1010, However, the Cfu (colony forming unit) in treated kitchen water with Ocimum tenuiflorum were ranging from 13x103 to 2x1010. Bacterial load in the household sewage wastewater were ranging from 105 x 107 to 19 x 1010. However, the Cfu in treated household sewage wastewater with Pinus roxburghii were ranging from 75 x 104 to 4 x 1010. We found that Ocimum tenuiflorum was more effective against kitchen runoff compared to other selected medicinal plants.
Clinical features and management of the hydatid cyst of the liver
Authors: Mallick Sworupa Nanda , Patro Santosh Kumar , Mahapatra Swapna , Nayak Sanjit Kumar , Amitav Suvendu
Published: August 2022

Introduction: In India, hydatid cysts of the liver are a serious yet untreated public health issue. Aim: To assess the sociodemographic traits, clinical manifestations, and treatment of individuals with liver hydatid cysts in a developing nation. Materials and methods: This retrospective study was conducted in Department of General Surgery, MKCG Medical College and Hospital, Berhampur over a period of 24 months from July 2019- June 2021. 23 individuals who were diagnosed with a liver hydatid cyst based on clinical symptoms, imaging tests, or serology underwent a retrospective, descriptive analysis. The data was evaluated and statistically analysed using IBM® SPSS® 23.0, for Windows®, to bring out the results of the study. Results: The patients' average age was 36, with the age range of 25 to 45 being the most frequently afflicted (10, 43.47%).The majority of the patients were female (56.5%). The most frequent symptoms were abdominal pain (21, 91.3%) and palpable liver (7, 30.4 %).The two main imaging tests utilised to make a diagnosis were computed tomography and abdominal ultrasonography. The most common type of cystic lesion was unilocular and anechoic.
Comparative study between using of radio frequency ablation and endovenous laser ablation in the treatment of primary lower limb varicose veins
Authors: Ewida Ashraf Mohamed , Hammoda Mohamed Ibrahim , El-Saied Ibrahima Ahmed Ibrahim
Published: August 2022

Background: Varicose veins are a frequent vascular issue. Radiofrequency ablation (RFA) and Endo-venous laser ablation (EVLA) are endo-venous treatments for varicose veins. Endo-venous therapy demonstrated superior outcomes than standard high ligation and stripping in terms of pain, quality of life, healing, and recurrence. The RFA and ELA surpass vein stripping in morbidity, outcome, and neovascularization (recurrence), which is attributed for greater recurrence rates. Aim: We aim to compare between using of radio frequency ablation and endo-venous laser ablation in the treatment of primary lower limb varicose veins as regard to complications, treatment failure,recurrence. Methods: This prospective randomized controlled study was conducted in the vascular surgery department at Al-Azhar university hospitals (Al-Hussein and Sayed Galal), in the period from September 2020 to June 2022 (20 months). The study included 50 patients, males were 22(44%) while females were 28(56%), Presented by primary varicose veins. Results: In EVLA group Recanalization of short-segment occlusion was done in 4 patients, Recanalization of long-segment occlusion was done in 2 patients and recurrent varicose veins happened in 5 patients.
role of critical care ultrasonography in acute respiratory distress
Authors: Shahba Hossam Hassan , Al-Habbaa Ahmed Mohammed Salah El-Din Ahmed , Alashkar Ahmed Mohammed , Ali Ewis Ahmed Mohammed , El mancy Ismail Mohamed , Kabil Ahmed E. , Ghamry Esam Mohammed , Badr Gamal Ali
Published: August 2022

Introduction: Acute Respiratory Distress and/or Failure (ARF), is a common and serious presentation of patients admitted to intensive care unit (ICU) and traditional diagnosis has a low accuracy except CT chest which may inappropriate to all patient. Bedside ultrasound (US) is now emerging as a valuable tool in dynamic assessment of lungs, heart, vessels and hemodynamic status. Aim of the work: Our aim in this study was to evaluate the diagnostic utility of combined cardiac and thoracic critical care ultrasonography in identifying causes of Acute Respiratory Distress and/or Failure in the early course of critical illness. Patients and method: This prospective observational study was conducted on adult patient admitted to Medical Intensive Care Unit (MICU), Department of Internal medicine, Al Hussein university hospital, Al Azhar University. All included patients underwent bedside CPUS including lung ultrasound (US) and transthoracic echocardiography plus targeted venous US by single investigator, blinded to clinical data. The US diagnosis of ARF etiology was shared with treating intensivist. Initial clinicaldiagnosis (ICD) of each patient were compared with post US clinical diagnosis.
In-vitro anti-lithiatic activity study of Meyna laxiflora seeds and Tectona grandis bark
Authors: Deore Sunita S. , Zalte Amar G. , Gulecha Vishal S. , Deore Sumit R. , Jha Pravin K. , Kulkarni Abhijeet S.
Published: August 2022

This study involves the evaluation of Meyna laxiflora seeds and Tectona grandis bark for antiurolithatic activity. Homogeneous precipitation method was used for In-vitro anti-lithiatic activity on generated calcium oxalate crystals. Extracts were compared with synthetic drug Spironolactone, polyherbal formulation Cystone, other extracts and furosemide. Extracts like aqueous extract, pet ether extract, chloroform extract, methanol extract and aqueous extract were used for study at different concentrations.
Reforms in higher education in India
Authors: Sharma Anjana , Prakash Achanta Ravi , Nehru R. S. S.
Published: August 2022

The world is transforming quickly, with it, the requirement for universal access to top-notch higher education. The present shift toward higher quality is the most effective way of developing and maximizing our country's vast talent pool. The new National Education Policy is being created to address the challenges of making every higher education institution a reputable and best institution for higher education. It is in shambles, and there is a lack of emphasis on cognitive skill development and learning outcomes. Higher education helps to shape a nation that is enlightened, socially conscious, ethical, knowledgeable, and skilled in devising and implementing effective solutions to its problems. The proposed reforms in India's Higher Education System, regulatory structure, and teaching pedagogy are analysed in this paper. The expenditures of various countries on education, including SAARC and BRICS, were also compared to their respective GDPs.
Investigation of the relationship between butyrylcholinesterase, lipoic acid synthetase and glutathione peroxidase activities in sera of diabetes mellitus type 2 patients
Authors: Alkfaji Sabreen Saleh Jaber , Yasser Al-Zamely Oda Mizil
Published: August 2022

Diabetes mellitus type 2 is the world's most common chronic metabolic disease it’s characterized by an increased level of blood glucose without changes in insulin liberation in the first stage. The goal of this study was to see the relationship between glutathione peroxide (GPX) activity, butyrylcholinesterase (BuchE) concentration, fasting blood glucose (FBG), and Lipoic acid synthetase (LIAS) concentration in sera of type 2 diabetes patients, and as biomarkers for illness progression monitoring and prediction. ELISA kits were used to assess all biomarkers in this study. In this study, FBG and HbA1c levels in patients are significantly higher (P > 0.05) than in the control group. The activity levels of Gpx were lower in diabetic patients (46.5 ±11.81U/ml) than in healthy controls (59.72 ±17.2 U/ml) (p<0.001). The Concentration of Butyrylcholinesterase (BuChE) in control was 13.127(14.158-12.219) pg/ml whereas, its Concentration in patients group significantly increased (p<0.001) to 15.787(14.278-17.657) pg/ml. whereas lipoic acid synthetase (LIAS) concentration in the control was insignificantly increased to 11.66(13.38-10.19) pg/ml than in patients   8.77(6.57-10.04) pg/ml (P= 0.824).
Comparative study between standard pyocyanin and extracted pyocyanin and synergistic with antibiotics against multidrug bacteria isolated from different clinical samples
Authors: Dhairh Sabreen H. , Al-Azawi Ibtisam H.
Published: August 2022

Background: Multidrug Resistance forms in Gram positive and Gram negative bacteria are difficult to treat, and medications to be taken with caution may be unsuccessful. The emergence  of  treat MDR Gram-negative and Gram-positive Infections bacterial is still a major issue. Aims: The goal of this study is reliable  develop new agents or new treatment methods that are capable of overcoming drug resistance in these organisms. Methods:  536(85.3%) samples from out and inpatients who admitted to  Al  Diwaniyah Teaching Hospital in Diwaniyah city  were collected from various site of infection , 92 (46%) Pseudomonas aeruginosa  were investigated by a qualified consulting doctor. After cultivation in special media (MacConkey agar and Nutrient agar) to detect , Pseudomonas aeruginosa  , the samples were identified using the Vitec 2 compact system, Pyocyanin was extracted by standard methods from  Pseudomonas aeruginosa Principal antimicrobial compounds present in pyocyanin were identified by HPLC . Other pathogenic bacteria obtained  for exposure to Pyocyanin like Escherichia coli , K. pneumoniae ,  S. aureus from laboratories  These diagnosis was confirmed by  Vitek 2 system .  Serratia marcescens and Proteus mirabilis  obtained from sputum  patients with co- infection Covid 19.
relationship between effective communication and interprofessional collaboration for patient safety culture in hospitals of Maldives
Authors: Selna Aishath , Othman Zulhabri , Tham Jacquline , Yoosuf Adam Khaleel
Published: August 2022

Introduction: Interprofessional collaboration (IPC) has become vital components of well-functioning healthcare organizations and building collaborative work among health care professionals (HCPs) has shown an improvement in patient care and safety outcomes. Nurses have been described as the bridge between HCPs for patient safety by building interactive relationships, through the process of effective communication and understanding. The general aim of this study is to assess nurses’ perceptions regarding effective communication for interprofessional collaboration, and how it affects patient safety culture (PSC) in hospitals Maldives. Methodology: A cross sectional institutions-based study was conducted among nurses working in different departments of two hospitals in Central Male ‘area, in Maldives. A Simple random sampling technique was used with 292 participants. Results: 292 questionnaires (84.3%) out of 363 were turned in. The findings from the multiple regression shows that the resultant values were statistically significant for the dimensions: Communication and Interprofessional Collaboration, R2 = 0.039, F (2, 303) = 6.108, (p < 0.015) for Patient Safety Culture.
Non surgical homepathic treatment of kidney stones: A review of north western India
Authors: Sharma Bhasker
Published: August 2022

When treating the vast majority of patients, urolithiasis, also known as nephrolithiasis, is still the main issue that needs to be addressed. Urolithiasis is also known as nephrolithiasis. According to estimates, there are three to four times as many men as women who suffer from this condition. Around the age of 70, the likelihood of developing kidney stones increases to about 12% for men, whereas it is only 5% for women. Diet and environment are just two of the variables that may contribute to kidney stone development. Kidney stones are a serious health issue that affects a lot of developed nations. Right now, the difficult problem that needs to be solved is how to lessen the severe symptoms of acute passage.
Cadmium and cobalt pollution and their effect on behavior in children and adolescents and its social dimensions
Authors: Guzara Sajid H. , Hassna Huda Mujbel Abdul , Alhaideri Amer Fadhil
Published: August 2022

Karbala provides, theoretical assistance for Cadmium and Cobalt  pollution prevention, by determining blood, levels and identifying relevant risk, factors among adolescents. Blood Cd and Co levels determine by Graphite Furnace .Atomic Absorb, piton Spectrometry (GFAAS) ) result. Methods blood samples were taken from both males and females. A total of 100 subjects (average age of 13-17 years, 8 females, and 92 males) were included. The arithmetic means Cadmium concentration were patients their number 50 and control also 50 Mean ± SE( 25.38± 0.92 ),( 11.88± 0.89) resp. while Samples Patients and control (T=10.55)In addition to Cobalt concentration were patients their number patients and control Mean ±SE(64.00 ± 3.1),( 30.71± 2.27) resp. and value(T=8.69) Conclusions”. The levels of Cadmium and Cobalt in the” blood of adolescents 13 to 17 years in Karbala governorate were higher than in other areas due to leaving schools” and working in different” professions at an early “age and living in unhealthy families.
Attenuation of hemodynamic responses to endotracheal intubation
Authors: Mishra Neha , Singh Rituraj , Puri Ashish , Rajput Ankita
Published: August 2022

This prospective randomized study was designed to evaluate the efficacy of intravenous clonidine, esmolol, lidocaine and placebo in suppressing the hemodynamic changes during endotracheal intubation. A total of one hundred and twenty patients belonging to ASA 1 and 2 were randomly divided into four groups. Patients in group A received clonidine 2 mcg/kg, in group B received Esmolol 1mg/kg, in group C received lidocaine 1.5 mg/kg and in group D received normal saline two minutes prior to induction. Patients in group A showed the maximum attenuation of both heart rate and blood pressure following endotracheal intubation. Patients in group B showed a significant attenuation of heart rate as effective as group A but attenuation of blood pressure (though effective than groups C and D) was not as effective as group A. Patients in group C showed no significant difference from group P in attenuating circulatory responses and both lignocaine and placebo were ineffective. All the patients were recovered well from anesthesia and none of them developed complications like severe Bradycardia (HR< 50/min) or profound hypotension (SBP<80mmHg).
Diagnosis of skin diseases based on deep learning and machine learning approach
Authors: Poornima Galiveeti , Sakkari Deepak S.
Published: August 2022

Skin Diseases have become one of the most frequent diseases in the world; apart from their physical effects, they are rapidly expanding to cover a bigger region and have a psychological impact on patients. Diagnosing skin diseases takes a high degree of knowledge and is objective to the dermatologist. Presented an overview of Deep-Learning algorithms and their usage in skin disease diagnostics. Begin with a short overview of skin diseases and image collecting techniques in dermatology, followed by a list of publicly accessible Skin-Datasets for algorithm training and testing are discussed.  Next examine the research including deep learning algorithms for skin disease detection from many perspectives according to the particular objectives as an essential element of this paper. The main objective of this paper is to present a comprehensive and simplify analysis of contemporary deep learning-based skin disease diagnostic research. By considering the growing popularity of deep learning, there are still several challenges to overcome as well as chances to explore in the future. This study found that the diagnostic accuracy of image processing techniques was inconsistent, but the accuracy of deep Learning and Machine Learning algorithms was high, with a 99.04 % accuracy rate.
Assessment of troponin I level in patients with acute myocardial infarction and its impact on clinical outcome
Authors: Koureti Govind , Jain Ashish Kumar , Jain Parul , Jain Anubhuti , Patidar Madhvika , Batham Prerna Raje
Published: August 2022

Introduction: Coronary Artery disease is one of the major causes of Mortatlity I the world that included Myocardial ischemia and infarction. Cardiac toponins are (troponin- I and Troponin -T) the markers of myocardial ischemia and they are the sign of Myocardial damage. They can provide important diagnostic and prognostic information. Aim : In the present study the correlation of clinical presentation, complication and outcome with reference of different level (mild, moderate and severe) of elevated troponin enzyme level was studied. Material and method: 100 patientspresented with acute myocardial infarct ion were studied for clinical presentation (hemodynamics, heart failure, mechanical complication, angina, shock) and ICCU stay and total hospital stay, recurrent angina, heart failure, re-infarct, morbidity and mortality was recorded. Their cardiac troponin- I level was measured and corelated accordingly in group 1 (mild elevation: cTnIlevel baseline (0.004) totentimes), group 2 (moderate elevation: cTnIlevel ten times to hundredtimes) and group 3 (severe elevation: cTnIlevel morethan hundredtimes). RESULTS: Significantly greater number of patients with recurrent angina were having severely elevated Troponin-I level. Relocation of patient in ICCU was more with patient with severely elevated level. Severity of cardiac failure and Troponin-I levels were found to be significantly associated with each other.
Virtual reality on level of pain during Venipuncture among preschool children
Authors: Mathivathani R. , Anitha J. , Dhanalakshmi G.
Published: August 2022

Hospitalization is stressful condition for children of all age groups. Venipuncture is one of the common painful procedures performed in hospital. Inserting intravenous catheter is one of the most painful and frequent acts for children in hospitals, most children express this method as the most stressful and violent course of treatment. The present study attempts to assess  the effectiveness of virtual reality on pain during venipuncture among preschool age children at selected hospital in Chennai. METHODOLOGY The research design used in this study was experimental post test only design and it was conducted in the paediatric general ward at Aiswarya hospital, Chennai. Samples were selected based on sample selection criteria, 60 samples were selected with lottery method with 30 experimental and 30 control group.  The gadget virtual reality was administered for the experimental group, and the control group routine hospital care during the venipuncture the level of pain was assessed by using FLACC scale. RESULTS The findings revealed, The mean score value of level of pain for control group was 6.47 with standard deviation of 0.78 (3.17 ± 0.27) and the experimental group was 3.30 with 1.29 (3.30 ± 1.29) .
Association between maternal high body mass index and obstetrical outcome
Authors: Kumar Rajat N. , Fadadu Sayuj
Published: August 2022

Background and Aim: Maternal overweight, obesity, and morbid obesity are already known to be associated with adverse obstetric and neonatal outcomes. There is also increased risk of fetal macrosomia, unexplained fetal death, respiratory distress and neonatal intensive care unit admissions. Hence the aim of the present study was to estimate the effect of BMI in overweight, obese, pregnant women in compared with normal (BMI) pregnant women regarding the Obstetric performance. Material and Methods: This is a prospective study which will be done over a period of 24 months on singleton term pregnant women in the Department of Obstetrics and Gynaecology, Hospital and Research Centre. The study included 300 women, of which 100 of them had a BMI of underweight, 100 of them had a normal BMI, 100 of them had BMI of overweight and obese category. The antenatal, intrapartum, postpartum and neonatal assessment was done for each BMI category and statistical analysis is done using Chi square test. Results: Of the 300 study women, 182 were primiparas and 118 were multiparas. Out of the 182 primiparas of them 51were overweight and obese, 65 were underweight and 66 had normal BMI.