bluuebunny/crossref_metadata_2025 huggingface dataset:
İlkokul Dördüncü Sınıf Öğrencilerinin Dört İşlem ve Problem Çözme Başarıları Arasındaki İlişkinin İncelenmesi
Authors: TAYFUR Yakup Can , KALE Mustafa
Published: December 2022

Problem çözme başarısını etkileyen bazı faktörler bulunmaktadır. Bu faktörlerden biri de dört işlem başarısıdır. Bu kapsamda araştırma da ilkokul dördüncü sınıf öğrencilerinin dört işlem ve problem çözme başarısı arasındaki ilişkinin incelenmesi amaçlanmıştır. Dört işlem ve problem çözme başarısı arasındaki ilişkiyi incelemek amacıyla genel tarama modellerinden korelasyonel araştırma modeli kullanılmıştır. Araştırmanın evrenini 2020-2021 eğitim öğretim yılında Kayseri ilindeki 462 ilkokul dördüncü sınıf öğrencisi oluşturmuştur. Araştırma sonuçları sosyo-ekonomik düzeylere göre de inceleneceğinden dolayı düşük, orta ve yüksek düzeyler tabaka olarak alınıp tabakalı örnekleme yöntemi kullanılmıştır. Araştırmacı tarafından geliştirilen dört işlem başarı testi ve problem çözme başarı testi olmak üzere iki adet veri toplama aracı kullanılmıştır. Araştırmanın amacına uygun olarak dört işlem ve problem çözme başarı testlerinden elde edilen puanlar arasındaki ilişkileri incelemek için Pearson Korelasyon katsayısı hesaplanmıştır. Problem çözme başarı testi puanları ile dört işlem başarı testi puanları arasında orta düzeyde pozitif yönlü anlamlı bir ilişkinin bulunduğu ve dört işlem başarısının problem çözme başarısındaki değişimin %22’sini açıkladığı görülmüştür. Dört işlem başarısının problem çözme başarısını olumlu bir şekilde etkilediği, fakat problem çözme başarısı için tek başına yeterli olmadığı sonucuna ulaşılmıştır.
Matematik Öğretmenlerinin Görsel Akıl Yürütme Becerilerinin Pisagor Teoremi Bağlamında İncelenmesi: Garfield’ın Görsel İspatı
Authors: DEMİRCİOĞLU Handan , ARSLANTAŞ Ebru
Published: December 2022

Akıl yürütme tüm değişkenleri dikkate alarak derinlemesine düşünmektir. Akıl yürütme becerisi gelişmiş bireyler herhangi bir olay karşısında pek çok düşünce ve görüş oluşturabilir, bu düşüncelerden yola çıkarak yeni çıkarımlara, varsayımlara ve hatta sonuçlara ulaşabilirler. Bu çalışmanın amacı matematik öğretmenlerinin görsel akıl yürütme becerilerini Pisagor teoremi bağlamında incelemektir. Araştırma yedi gönüllü matematik öğretmeni ile yapılmıştır. Veriler Pisagor teoreminin sözsüz ispatı ile elde edilmiştir. Elde edilen bulgular matematik öğretmenlerinin soruyu okuma, soruyu açıklama, plan yapma, görseldeki geometrik şekilleri inceleme, görselde verilen ilişkileri açıklama, verilen matematiksel ifadeleri görsel üzerinde gösterme, kavramsal bilgi ifade etme, kavramsal bilgiyi görsele uyarlama, ispatı yapma, değerlendirme yapma gibi aşamaları izlediklerini ortaya çıkmıştır.
ЗДОРОВЬЕСБЕРЕГАЮЩИЕ ПРАКТИКИ МОЛОДЕЖИ РОСТОВСКОЙ ОБЛАСТИ (НА МАТЕРИАЛАХ ЭМПИРИЧЕСКОГО ИССЛЕДОВАНИЯ)
Authors: Зарбалиев Вадим Загиддинович
Published: December 2022

Целью исследования является анализ действий молодежи Ростовской области в отношении своего здоровья.

Теоретико-методологическая база исследования. Методологический конструкт исследования здоровьесберегающих практик выстроен с опорой на структуралистский конструктивизм П. Бурдье. Исследование проводилось методом анкетного опроса, респондентами выступили представители молодежи Ростовской области от 18 до 35 лет.

Результаты. В статье представлены результаты авторского социологического исследования, проведенного методом анкетного опроса, направленного на анализ действий молодежи Ростовской области в отношении своего здоровья. В рамках социологического исследования осуществлено выделение разделов, включающих следующие вопросы: субъективная оценка здоровья, физическая активность, здоровое питание, медицинский туризм, поведение во время болезни. Последний блок вопросов был посвящен здоровьеразрушающим практикам, где затрагивались проблемы курения и потребления алкоголя.

Более половины респондентов оценивают свое здоровье как хорошее. Опрошенные с различной частотой занимаются физической культурой и спортом. Среди причин, по которым не удается заниматься спортом, респонденты называли: отсутствие свободного времени, отсутствие мотивации, состояние здоровья, отсутствие финансовой возможности посещать спортивные залы и др. В большинстве случаев при возникновении заболевания опрошенные занимаются самолечением. Некоторые респонденты обращались к таким методам лечения, как гомеопатия, остеопатия, акупунктура и др. Лица, которые ни при каких условиях не стали бы обращаться к гомеопатии, ждут научного подтверждения и опасаются непредсказуемых побочных эффектов.

Перспективы исследования. В перспективе при проведении масштабного исследования возможно выявить распространенность здоровьесберегающих и здоровьеразрушающих практик молодежи Ростовской области.
МЕТАМОРФОЗЫ ВОСПИТАНИЯ В ИНФОРМАЦИОННОМ ОБЩЕСТВЕ: СОЦИАЛЬНО-ФИЛОСОФСКИЙ АНАЛИЗ
Authors: Матяш Тамара Петровна
Published: December 2022

Актуальность темы. Цели, методы, средства ориентированного на разумность процесса традиционного воспитания обнаружили слабую коррелятивность ценностям, доминирующим в информационном обществе, что не нашло широкого обсуждения в современной философской мысли.

Цель исследования состоит в рассмотрении доминирующих в информационном обществе ценностей, в обосновании неизбежности вызова с их стороны традиционному воспитательному процессу, в проектировании тактик воспитания, коррелятивных информационному обществу и его ценностям.

Методологическую базу исследования составили методы социально-философского анализа, в частности системный подход и метод социально-исторических параллелей, а также общефилософские методы интерпретации, обобщения, абстрагирования, анализа, синтеза, дедукции, индукции, сравнения.

Результаты исследования: обосновано, что цели, методы и средства процесса воспитания коррелятивны существующему в обществе отношению к ценностям разумности и спонтанности; показано, что в информационном обществе произошел окончательный выход спонтанности из-под гнета рациональности, и объяснено, почему это привело к обессмысливанию ориентированного на ценность разумности традиционного воспитания и его главных компонентов — послушания и запрета; проинтерпретированы мысли Ф. Ницше, Ортега-и-Гассета, свящ. П. Флоренского, согласно которым спонтанность (титаническое, по определению свящ. П. Флоренского) — это природа человека, источник мощи и энергии всякой его деятельности, как стихийно-разрушительной, так и разумно-созидательной; обосновано, что воспитательный процесс в ситуации доминирования спонтанного (титанического) требует разработки особой тактики перенаправления титанического к разумно-созидательной деятельности, сопряженной с деланием добра; проанализированы предложенные свящ. П. Флоренским религиозные тактики такого перенаправления; показано, что в истории советского общества успешно была реализована программа воспитания, использующая нерелигиозную тактику направления спонтанности к созидательной деятельности.

Перспективы исследования состоят в дальнейшем изучении возможных средств и методов процесса воспитания, учитывающего спонтанную составляющую человеческой сущности.
Population relationships of Oomyzus scaposus (Hymenoptera: Eulophidae) v1
Authors: not provided nedved
Published: December 2022

Comparison of COI DNA barcodes from Iranian and other populations of Oomyzus scaposus and other species of Oomyzus.
BIDMC TMC - SOP for collection of peripheral lymphatic vessels v1
Authors: not provided nkalavro
Published: December 2022

BIDMC Lymphatic TMC SOP for peripheral lymphatic vessel collection
The Relationship of Academic Motivation and Psychological Well-being in Primary School Age
Authors: Kulagina I.Y. , Kravtsova M.A.
Published: December 2022

The article presents data on the psychological well-being of primary school-age children with different types of academic motivation. The study involved 87 students of the 3rd-4th grades of Moscow secondary schools (41 boys and 46 girls). The questionnaires "Academic self-regulation" SRQ-A (modification and approbation on the Russian-language sample of T.O.Gordeeva, O.A.Sychev, M.F.Lynch), "Scale of psychological well-being of children aged 8-12 years" PWB-c (adaptation by D.V.Lubovsky, N.S.Milova), the projective technique "Unfinished sentences", allowing to identify indicators of motivation and psychological well-being (positive and negative aspects of children's lives). Positive connections of psychological well–being and components of its structure with intrinsic educational motivation, negative connections - with extrinsic academic motivation are established. It is shown that primary schoolchildren with a high level of psychological well–being are characterized by cognitive motivation, self-development motivation, awareness of the importance of educational activities for themselves, but at the same time - orientation to high academic performance. With a low level of psychological well-being in children, there is a pronounced extrinsic motivation, reflecting primarily the requirements of the teacher, a subjective perception of learning difficulties, a negative attitude to learning, preschool-type motivation with its hedonistic orientation.
Minimally invasive treatment of osteoarthritis of the hip joint by radiofrequency denervation: a clinical case
Authors: Gorokhov Mikhail A. , Zagorodniy Nikolay V. , Kuzmin Vyacheslav I. , Sharamko Taras G.
Published: December 2022

Background: At present, there is a growing trend towards osteoarthritis spreading among the population of Russia and the entire world, therefore, the search for an effective and low-traumatic method of the pain syndrome relief in coxarthrosis is an important problem of modern medicine.
Clinical case description: A clinical case of treatment of a 64-year-old patient, a working pensioner, with the complaints of severe pain in the left hip joint and a clinical picture of stage IV coxarthrosis according to the Kellgren and Lawrence classification, is presented. Previously, indications for planned joint arthroplasty were found for this patient due to the ineffectiveness of a conservative treatment. The pain syndrome was estimated as 9 points on the visual analogue scale (VAS), 32 points according to the Harris Hip Score (unsatisfactory result). Due the development of an acute concomitant disease, radiofrequency denervation of the left hip joint was performed. The patient was discharged the next day after the surgery, and a positive outcome was achieved in the form of pain reduction for a long period. VAS: 1st day 3 points, 1 month 2 points, 6 months 6 points, 12 months 7 points. The Harris Hip Score: 1 month 82 points (good result), 6 months 76 points (satisfactory result).
Conclusion: As this clinical case has shown, radiofrequency denervation is a promising alternative for patients with osteoarthritis of the hip joint, for whom total arthroplasty is contraindicated, and a conservative treatment does not give long-term positive results for severe pain syndrome.
Greater occipital nerve block in patients with primary headache and early term results
Authors: KIR Hasan Hüseyin
Published: January 2023

Purpose: Peripheral nerve blocks have long been used in headache treatment and greater occipital nerve (GON) blocks are the most frequently preferred peripheral nerve blocks in patients with headaches in the past years. In this study, the efficacy of GON blocks in patients with primary headache disorders was evaluated.

Materials and Methods: This retrospective cohort study was undertaken in April 2021 and April 2022. One hundred twenty-one patients with primary headache disorders were included. Changes in the duration and frequency of headache attacks, pain severity, and type of oral medication before and after the injection treatment during the first and third months of follow-up were evaluated.

Results: The number of headache attacks decreased from 13 to 5 and the visual analogue scale(VAS) score decreased from 9 to 5 at the end of the third month in the migraine group. Similarly, the number of headache attacks decreased from 17 to 7 and the VAS score decreased from 8 to 4 in tension-type headache (TTH) group. Improvements in all parameters were found to be statistically significant in both groups.

Conclusion: GON block is a low-cost, rapid and minimally invasive treatment, and our data support that this method can be an effective treatment option in patients with migraine and TTH who are resistant to oral medication by reducing the number, frequency and severity of headache attacks. In conclusion, GON blockade should be considered by clinicians as a primary treatment option in patients with migraine and TTH resistant to oral medication.
An extremely rare presentation of hydatid cyst disease: hepatic artery pseudoaneurysm bleeding and synchronous duodenal fistula
Authors: KURT İdris , DEMİR Neslican , CENGİZ Nazlıcan , SOYLU Ali Rıza , KULA Osman
Published: January 2023

Aims: Hydatid cyst disease is a rare cause of upper gastrointestinal bleeding. Peculiarly if it's resulted from a ruptured hepatic artery aneurysm in the hydatid cyst cavity which is fistulated into the duodenum. We here present a case of hepatic artery pseudoaneurysm due to a complicated hydatid cyst with synchronous duodenal fistula.

Case: A 45-year-old male was admitted to the emergency department with hematemesis and hematochezia. The patient had a history of a hydatid cyst of liver and a surgical procedure of lung ecinoccosis. Endoscopy revealed an unusual ulcerated lesion in the duodenum. Yellow membranes were observed in the midst and blood oozing. After unsuccessful endoscopic sclerotherapy, a Computerized Tomography (CT) was performed. CT revealed a ruptured hydatid cyst into the duodenum and bleeding from the formed hepatic artery pseudoaneurysm. Hepatic artery coil embolization was performed urgently and a percutaneous transhepatic drainage catheter was applied to maintain the bile flow. Subsequently, a 10 Fr , 10 cm plastic stent was inserted via Endoscopic Retrograde Cholangiopancreatography (ERCP). The rare complication which was observed after embolization was the hepatic abscess. Although a percutaneous catheter was inserted initially, drainage wasn’t successful. As a last option, surgical debridement was considered.

Conclusion: If a patient who presented with upper gastrointestinal bleeding with a previous history of liver hydatid cyst, cyst complications must be listed as a differential diagnosis. Besides endoscopy, contrast-enhanced CT and ЕRCP are the essential diagnostic and therapeutic approaches.
Toraks cerrahisinde postoperatif analjezide intratekal morfin: Tek merkez deneyimi
Authors: TÜRKTAN Mediha , GÜLEÇ Ersel
Published: January 2023

Amaç: Bu çalışmada kliniğimizde toraks cerrahisi uygulanan hastalarda postoperatif analjezi amaçlı intratekal morfin kullanımı ile ilgili deneyimlerimizi sunmayı amaçladık.

Gereç ve Yöntem: Bu çalışmada Ocak 2020-Haziran 2020 tarihleri arasında toraks cerrahisi geçiren ve postoperatif analjezi amaçlı intratekal morfin uygulanan toplam 18 erişkin hastanın dosyası ve anestezi formları retrospektif olarak incelendi. Grup 1;10 mcg/kg intratekal morfin, Grup 2; 7 mcg/kg intratekal morfin uygulanan grup olarak ikiye ayrıldı. Hastaların demografik verileri, uygulanan morfin dozları, anestezi ve cerrahi süreleri, intraoperatif anestezik ajan tüketimleri, postoperatif hemodinamik verileri, ağrı düzeyleri, ek analjezik ihtiyaçları ve yan etkiler incelendi.

Bulgular: Hastaların 12’sine (% 66,7) ideal vücut ağırlığına göre 10 mcg/kg, 6’sına (%33,3) 7 mcg/kg intratekal morfin uygulandığı tespit edildi. İntraoperatif anestezik ajan tüketimi Grup 1’de Grup 2’ye kıyasla daha düşük bulundu, ancak aradaki fark istatistiksel olarak anlamlı değildi. Postoperatif 12, 24 ve 48. saatlerde dinlenme sırasında bakılan ağrı düzeyleri Grup 1’de istatistiksel olarak daha düşük. Postoperatif 12, 18, 24 ve 48. saatlerde efor sırasında bakılan ağrı düzeyleri de Grup 1’de istatistiksel olarak daha düşük bulundu.

Sonuç: Toraks cerrahisi hastalarında uygulanan intratekal morfin güvenli bir postoperatif analjezi seçeneğidir. Bu amaçla 10 mcg/kg dozunda uygulanan intratekal morfinin 7 mcg/kg’e göre daha etkin analjezi sağladığı kanaatindeyiz.
A Felicidade, Razão da Cidade: Francesco Patrizi da Cherso
Authors: Diogo João Emanuel
Published: December 2022

In this article we seek to make known the work La Città felice by Francesco Patrizi da Cherso, in what are its fundamental lines. As this author is less known in contemporary times, the truth is that he played an important role in the development of the philosophy of nature. The work under consideration, on the other hand, develops a kind of utopia as a political analysis in the style of Aristotle. Taking inspiration from Plato, Patrizi engendered a Neoplatonic theory in an Aristotelian form.
Entre Memória e Barbárie: As Crónicas Jugoslavas de Álvaro Guerra
Authors: Nazareth Francisco
Published: December 2022

This essay produces a critical reading of the “Yugoslav Chronicles” (Crónicas Jugoslavas) written by the Portuguese writer Álvaro Guerra, taking into account the tension established between the space of the memory of a harmonic Yugoslavia and the testimony about it, confronted with the vision, in the moment of writing, of its demise in a fratricide war which is in itself an example of absurdity and barbarism. By placing Yugoslavia against the larger background of Balkan history, the author doesn’t cease to question himself about how it was possible to reinvent the ghosts of XIXth Century Nationalism (as if we were back to the Balkan wars of the beginning of the XXth century), this time mixed not only with the ambitions of the Great Powers, a constant in Modern Balkan History, but also with a new and threatening power: the capacity to mobilize populations through modern media discourse, namely television, which is able by itself to “create” facts. Organized within an assemblage of “galleries” that refer to the multiple facets of the author’s memories, our text does not have the aim of contextualizing the book within the rest of Álvaro Guerra’s literary production, but to do it taking into account the historical, anthropological and sociological spaces that his Yugoslav experience managed to highlight. Our central argument is that, within the tension between memory and barbarism, the author manages to find in the strength of his testimony a way of exorcising the drama of the catastrophe.
Nomes sufixados em -(t)óri(o), -óri(o), -tóri(a) e adjetivos sufixados em –óri(o/a) no vocabulário jurídico do Dicionário da Língua Portuguesa Contemporânea da Academia das Ciências de Lisboa
Authors: Henríquez Salido María do Carmo
Published: December 2022

This article presents some technical notes on the structure of the Dictionary, a brief information on the derivational grammar of Portuguese and Spanish, two Romance languages born from Latin, based on the etymology of the lexical units, the bases that compose them, the construction of nouns and adjectives with the suffixes –(t)óri(o), -óri(o), -(t)óri(a), -tóri(o/a), an exemplary repertoire of the legal denotative area, conclusion. An Annex is attached to the References, as a synthetic vocabulary.
Functioning Features of Liquid Crystalline Cells Doped with CoFe2O4 Nanoparticles
Authors: Kamanina N. V. , Toikka A. S. , Barnash Ya. V. , Redka D. N. , Lihkomanova S. V. , Zybtsova Yu. A. , Kyzhakov P. V. , Jovanovic Z. , Jovanovic S.
Published: December 2022

The first experimental results on the functioning of liquid crystal cells doped with CoFe2O4 nanoparticles are presented. Transmission spectra in the visible and near-infrared range, dynamic parameters of the Fredericks effect, refractive characteristics, as well as wetting angles of the mesophase sensitized surfaces have been obtained. The measured surfaces were the K8 Crown glass, the conductive ITO and the ITO treated with a surface electromagnetic wave. The experiment was performed in order to establish the prospect of using such reliefs as a novel liquid crystal composite orientator sensitized with CoFe2O4 nanoparticles. A color change of the liquid crystal matrix, its refractive coefficients alterations, and the variation of inclination angle of the sensitized liquid crystal droplets on the considered reliefs were established. The time reaction parameters and the medium relaxation parameters were measured. It was proposed that the liquid crystal composition is a kind of an immersion medium that preserves properties of the introduced nanoparticles, which expands their application scope in optoelectronics and biomedicine.
Exploring knowledge, attitudes, and barriers towards preventive measures against COVID-19 among Alnakasah population in Makkah
Authors: Hanbzaza Sarah K. , Khalifa Aisha , Sulaiman Muhjah , Kambiji Gufran , Bahakeem Reem , Alnifaee Nirmeen S. , Almisbahi Abdulaziz , Almastadi Ziyad , Alshehri Mohammed , Alharbi Abdulraheem , Harazi Mohammad , Barasheed Osamah , Alfelali Mohammad
Published: December 2022

Background: The success of preventive measures against COVID-19 depends on the knowledge level and attitude among the public. This study aimed to assess the knowledge and adherence to preventive measures against COVID-19 among Alnakasah residents in Makkah.Methods: This is a cross-sectional study used a structured questionnaire. Data were collected from the residents of Alnakasah slum in Makkah. Responses related to the medical status, knowledge level, attitude, and barriers to preventive measures were analyzed.Results: The study indicated a low knowledge level among participants regarding the transmission mode. Fever and shortness of breath were the most common chosen symptoms with 60.8% and 34.1%, respectively. The current study also reported perceptions related to preventive measures including wearing facemasks 67.2% and vaccination 57%. The most common sources of information were family and friends 60.8%, followed by SMS and WhatsApp messages 41%.Conclusions: A relatively lower knowledge of the mode of transmission of COVID-19 was reported in the present study. However, a positive attitude toward preventive practices was exhibited in the findings. Good adherence to preventive measures was reported by the participants.
Personal factors influencing the motivation to engage in healthy life behavior: a qualitative study among Indonesian obese adult women
Authors: Rusyantia Anggun , Khomsan Ali , Kusharto Clara Meliyanti , Pratomo Hadi
Published: December 2022

Background: As a part of social cognitive theory (SCT), personal factors can be potential mediators of behavior change. Knowing what motivates adult obese women to carry out healthy life behavior can help program planners develop intervention strategies to overcome obesity. This study examined the personal factors influencing obese women's motivation to adopt healthy life behaviors.Methods: This descriptive-qualitative study was conducted from July to October 2021 in the city of Bogor, Indonesia. Participants were selected by purposive sampling from eight noncommunicable diseases (NCDs) posts (NCDs Posbindu). The data were collected using semi-structured, open-ended questions using a video conference platform. All the recorded interviews were transcribed verbatim. Thematic analysis with deductive coding (theory-driven) was used to analyse the data.Results: A total of 26 obese women aged 19-40 were interviewed within eight discussion groups. Three theory-driven codes were chosen, and four themes were created from nine clustered codes of the transcripts: “health education and promotion,” “the positive and negative impacts of eating healthy food and exercising regularly on the body and finances,” “facilitators in eating healthy food and exercising regularly,” and “barriers to eating healthy food, exercising and weight monitoring regularly”. Lack of knowledge about weight management guidance, time and resources constraint, and low self-efficacy reduce motivation to continue an activity or target behavior.Conclusions: Obese adult women need more weight-management knowledge, skills, and assistance using the concerned potential mediators. These findings could help program planners design effective health intervention strategies to achieve desired behavior change.
Utilization of health information data in Nairobi County public health facilities; lessons from the field
Authors: Njuguna Duncan C. , Muiruri Lillian , Njoroge Kezia
Published: December 2022

Background: The vital use of data and information for successful policy-making, planning, monitoring of operations, and decision-making is essential to the administration of today’s health systems. Vital health choices typically rely on political expediency, donor pressure, and rarely replicated countrywide studies that are insensitive to changes unfolding over shorter timescales because data utilization has been constrained and is inadequate.Methods: A descriptive cross-sectional research study was conducted where quantitative technique was used for a minimum of 216 respondents. The results were presented in form of tables and charts.Results: The results show that access to routine data (p=0.0001), having a working computer (p=0.023), having access to the internet (p=0.030), having a high level of education (p=0.025), the gender of the health worker (p=0.010), the cadre (p=0.001), participating in data discussion forums (p=0.013), receiving training on data use (p=0.036), collecting data (p=0.041), analysing data (p=0.032), and data management (p=0.007) were substantially correlated with the use of health information data.Conclusions: The level of education, gender of the health worker, cadre, involvement in data discussion forums, training on data utilization, data collection, data analysis, data management, overall levels of competency, access to routine data, access to functional computer and access to internet significantly influenced the utilization of health information data.
Effects of devolution on healthcare system performance in Machakos County Level 5 Hospital, Kenya
Authors: Mutua Christine M. , Mosinya Jackline N. , Kariuki John G.
Published: December 2022

Background: Globally, there has been a trend of devolving services from the National governments to local governments in order to enhance efficiency, effectiveness, equity, responsiveness, and community participation at the grass root levels. This study evaluated the effects of devolution on healthcare system performance in Machakos Level 5 Hospital in Machakos County. Specifically, it evaluated the effects of devolution on healthcare systems performance on healthcare infrastructure, workforce adequacy and workforce satisfaction.Methods: Descriptive cross-sectional study design was used, with mixed methods of data collection of data collection (quantitative and qualitative).Results: The analyzed results revealed that healthcare infrastructure, workforce adequacy and workforce satisfaction improved post devolution period to a great extent. From the inferential statistics analysis, there was a significant improvement in all the three objectives post devolution i.e., p<0.05.Conclusions: Devolution of healthcare system improved the performance of Machakos County Level 5 Hospital. Recommendations were made to roll out the UHC program countrywide, equip all departments, employ more staff, enforce the referral system, similar study be conducted in other county referral hospitals, and similar study be conducted with a focus on other healthcare building blocks.
A study on occupational safety and health among workers at a tertiary care hospital at south India
Authors: K. Minikumary C. , Pillai Jawahar S. K. , Mondal Ramkrishna
Published: December 2022

Background: Occupational safety and health (OSH) is important for moral, legal and financial reasons for any organization. Aims of the OSH programs include encouragement of a safe and healthy work environment. This study aimed to study the occupational safety and health among healthcare workers at a tertiary care hospital.Methods: The cross-sectional descriptive type of study in a tertiary care hospital at south India. In this cross-sectional descriptive study, 120 health care workers were subjected to a pre-tested questionnaire. Along with questionnaire and interview method, inspection round and review of Incident register with 32 case reports were used as secondary source of data. Simple statistical methods were used to analyse the data.Results: Risk assessment shows out of physical hazards (n=120) 21% Musculoskeletal disorder followed by 13% burns and 10% strain due to uncomfortable posture. Chemical hazards identified were 8% dust, 7% chemical inhalation and 6% sterilization gases. Biological hazards were 12% needle stick injury, 11% splash and 5% sharp injury (n=120). Equipment hazards reported more among nurses. Among psychosocial hazards shift duty stress was highest (17%). Incident register showed slips/falls (28%), equipment hazards (23%) and needle stick injury (19%) as most common hazards (n=32).Conclusions: The percentage of occupational hazards in the study setting was less compared to national and international standards available. Risk assessment should be done periodically and periodic training and awareness programs for hospital employees directly influences on the quality of patient care.
Impact of health education-based intervention on community’s awareness on dengue and its prevention in Chidambaram during COVID-19 pandemic
Authors: N. Rama Swathika , T.K. Senthil Murugan
Published: December 2022

Background: Dengue fever is a global public health issue. It is acknowledged that vast, repeated, intense, and persistent health education programs for community mobilization are essential to achieving the aforementioned goals. The main objective of the study was to increase the dengue-related awareness and behavioral change through health education-based intervention among the selected urban communities in Chidambaram.Methods: A quasi experimental, community-based interventional study conducted among 150 residents of urban area of Annamalai Nagar, Chidambaram district consisting of both males and females of age groups between 18-75 years who were selected using stratified random sampling technique. Data was collected using semi structured questionnaire before and after intervention using flipchart, entered in Microsoft Excel and analysed using SPSS software. Descriptive and analytical statistics were applied.Results: Most of the study participants (32.7%) were in the age group of 30-39 years. More women (68.7%) participated in the survey among which 50.7% were educated up to secondary and higher secondary class. On comparing the results of mean values of knowledge, attitude and practice between pre-test and post-test, reflected significant improvement upon after health education by flipchart intervention. It was found very highly significant (p<0.001) between mean knowledge scores and significant (p<0.05) between mean practice scores.Conclusions: Health education could contribute to changes in perceptions, social capital, and a healthy house condition. It is very important to increase the awareness and participation of the community in controlling dengue prevalence.
Differences between ceramic and porcelain laminate veneers
Authors: Alfaer Ali Salem , Alfwais Ryan Hussien , Al Haider Yousef Masoud , Alghmdi Raghad Abdullah , Qasim Ammar Adel , Alkahtani Dhuha Ayedh , Alsaeed Sakinah Ali , Alqahtani Nawal Ali , Alalyani Amal Saleh , Alqhtani Omar Ali , Yankesar Rawan Ahmad
Published: December 2022

In dental care, treating anterior dentition esthetically has always been difficult. Numerous restorative solutions, including resin composites, all-ceramic crowns, and ceramic veneers, become accessible with the advancement of dental materials. In such situations, practitioners and patients should pick the most appropriate option to enhance oral health and aesthetic outcomes. Any substance made of non-metallic inorganic matter and fired at an elevated temperature is referred to as ceramics (pyrochemical process). Ceramics called glass ceramics are those that commence in a glassy phase and later devitrify to a partly or wholly crystalline form. Dental ceramics that most closely optically resemble the characteristics of real teeth are primarily glassy materials, which are derived primarily from triaxial porcelain compositions of feldspar, quartz, and kaolin. Glass-ceramics possess much more toughness and strength than porcelain but are also less translucent. Tougher and more durable ceramics, primarily yttrium stabilized tetragonal zirconia polycrystals, have been developed recently (Y-TZP). Due to its limited translucency, Y-TZP presents a major drawback. A significant amount of current tooth structure must be removed in order to allow for a porcelain veneer that is wide enough to overlay an opaque zirconia base and replicate the optical characteristics of the surrounding natural teeth. Ceramic restoration effectiveness, in the end, relies on the material choice, production process, and restoration strategy.
Types and characteristics of gingival enlargements
Authors: Bamani Mervat Said , Al Malki Nadiyah Hassan , Alghamdi Zohair Masood , Alghamdi Somaya Abdulkarim , Alotaibi Amr Omair , Kamel Amr Mohammed , Alnasser Faten Abdullah , Alhazmi Maryam Sabeh , Faloudah Ahlam Mohammed Saeed , Alsharif Ruba Mohammed , Al Hazmi Amira Mohsen
Published: December 2022

One of the common symptoms of gingival disorders is gingival hypertrophy. However, the practitioner finds it difficult to diagnose these entities because of their diverse manifestations. According to their etiology and pathogenesis, site, volume, severity, etc., they can be grouped. A differential diagnosis can be made using the available information and clinical experience. The practitioner then provides a definitive diagnosis or a diagnosis of elimination following a thorough examination. The care of these lesions and the control of their recurrence entirely rely on an accurate diagnosis, so it is crucial. Further, a proper diagnosis of these enlargements may save the patient's life or at the very least initiate therapy early and enhance their quality of life in situations when gingival enlargement (GE) may be the first indicator of possibly deadly systemic disorders.  When making a differential diagnosis of local (isolated, discrete, regional) or widespread GE, one can maintain a broad perspective by being conscious of the presence of typical and uncommon GE forms.
Cervical cancer and human papilloma virus vaccination: gap and barriers
Authors: Garg Ram Kumar , Sharma Bhartendra
Published: December 2022

Cervical cancer, which is mostly caused by infection with the human papillomavirus (HPV), is the second most common malignancy in women worldwide and the main illness affecting Indian women. It has been demonstrated that many developing countries lack basic information and health-seeking behaviours, necessitating the need for an effective awareness and immunization programme. For public health, the HPV vaccine is essential. For all females who can afford it, the Indian Academy of Paediatrics Committee on Immunization (IAPCOI) suggests administering the HPV vaccine. Females as young as 9 years old and those who have not received all recommended vaccinations between the ages of 13 and 26 can receive vaccinations. Cervical cancer can be prevented in a number of ways, however vaccination is currently the most effective strategy. The most effective means of preventing cervical cancer include HPV vaccination and routine cervical screening. Before beginning this chemoprophylaxis against cervical cancer, parents and caregivers of the child must receive education regarding HPV vaccine. In order to mobilise the scientific, public health, and civil society communities to adopt the vaccination policy, gaps and challenges to HPV vaccination access and delivery must be addressed.
Analysis of Electrodiagnostic Recovery after Carpal Tunnel Release: A Retrospective Study
Authors: Peo Hyungsun , Lee Jun Gyu , Kim Yoonhee , Kim Don-Kyu , Shin Hyun Iee , Kim Du Hwan
Published: December 2022

Objective: We investigated the factors affecting electrodiagnostic (EDX) parameters after carpal tunnel release (CTR).Methods: Thirty-nine cases with clinically diagnosed carpal tunnel syndrome who received CTR and EDX studies before and after CTR were enrolled in this study. We analyzed EDX parameters such as distal onset latency and the amplitude of median compound motor action potentials (CMAPs) and sensory nerve action potentials (SNAPs).Results: Among 39 cases, 24 (61.5%) showed improvement of at least 1 grade, based on Bland’s scale, after CTR. Follow-up EDX studies were performed 6 to 36 months after CTR. Improvement on Bland’s scale was shown in 50% of patients who received follow-up EDX studies at 6 and 12 months after CTR and in all patients who received follow-up at 24 and 36 months. The EDX parameters showed significant recovery. Younger patients showed greater recovery of SNAP amplitude (p = 0.021, r = -0.369) after CTR. The preoperative severe group showed greater recovery of CMAP (both amplitude and latency) than the non-severe group (p = 0.011 and p = 0.038, respectively).Conclusion: We confirmed the effectiveness of CTR through EDX studies. Age and preoperative EDX severity can affect the recovery of EDX parameters after CTR.
Immune-Mediated Necrotizing Myopathy: A Review for Clinicians
Authors: Lee Jong-Mok
Published: December 2022

Immune-mediated necrotizing myopathy (IMNM) is a group of inflammatory myopathies showing necrotic and regenerating fibers without noteworthy inflammatory cell infiltration on pathology. The pathologic findings are different from those of dermatomyositis or sporadic inclusion body myositis. Furthermore, the discovery of myositis-specific antibodies in patients with IMNM, such as anti-signal recognition particle or anti-3-hydroxy-3-methylglutaryl-CoA reductase antibodies, has enabled us to expand our knowledge of IMNM. However, the phenotype and pathological findings of IMNM are unremarkable; therefore, it is difficult to diagnose, and IMNM has been relatively unrecognized. In this review, we introduce the clinical features, diagnosis, pathomechanism, and treatment of IMNM for clinicians.
Postoperative Lumbar Plexopathy Secondary to Retroperitoneal Liposarcoma: A Case Report
Authors: Kim Kyungmin , Uhm Kyeong Eun
Published: December 2022

Liposarcoma is a rare malignancy that usually originates in the extremities or the retroperitoneum. The lumbar plexus, a complex neural network formed by divisions of the first four lumbar roots, penetrates the psoas muscle before it exits the pelvis. Owing to their anatomical proximity, neoplasms in the vicinity of the psoas muscle may involve the lumbar plexus. We report a case of postoperative lumbar plexopathy involving the posterior divisions of the lumbar plexus, following the resection of a recurrent retroperitoneal liposarcoma located in the dorsal aspect of the psoas muscle. A 50-year-old man visited a rehabilitation clinic for an evaluation of proximal weakness of the unilateral lower extremity after resection of a recurrent liposarcoma of the left psoas muscle. Physical examination showed weakness of left hip flexion and knee extension accompanied by sensory loss in the left anteromedial thigh and the medial lower leg. An electrophysiological study revealed left lumbar plexopathy with selective involvement of the posterior divisions of the lumbar plexus. The patient could walk independently without a walking aid on level surfaces while he underwent exercise therapy. A comprehensive evaluation, including a physical examination, the use of imaging modalities such as computed tomography for anatomical characterization, and electrophysiological studies, is important for accurate diagnosis.
MPZ-, GDAP1-, and NEFL-Related Charcot-Marie-Tooth Disease with Diverse Clinical and Electrophysiological Phenotypes
Authors: Kim Hye Jin , Kwon Hye Mi , Kim Sang Beom , Chung Ki Wha , Choi Byung-Ok
Published: December 2022

Charcot-Marie-Tooth disease (CMT) is a spectrum of clinically and genetically heterogeneous peripheral neuropathies. CMT can be classified into demyelinating, intermediate, or axonal neuropathy based on clinical, histopathological, and electrophysiological findings. Approximately 140 genes have been reported to be associated with CMT. Mutations in the myelin protein zero (MPZ), ganglioside-induced differentiation related protein 1 (GDAP1), and neurofilament light-chain polypeptide gene (NEFL) genes have been reported to cause all three types of CMT, which is noteworthy because most CMT-related genes cause a single type of neuropathy (either demyelinating or axonal). In contrast, it remains unclear why these genes cause several types of CMT. CMT is presently incurable; however, ongoing attempts to treat CMT with various drugs and dietary supplements have increased the importance of an exact genetic diagnosis for precision medicine. Therefore, it is important to identify the causative mutations and compare the associated clinical characteristics. Taken together, a comparison of causative mutations and clinical features of patients with MPZ, GDAP1, and NEFL mutations will be the first step in understanding how different types of CMT are caused, and will enable a molecular genetic diagnosis. In this review, we describe the clinical, electrophysiological, and genetic characteristics of MPZ-, GDAP1-, and NEFL-related CMT.
Identifying potential community barriers for accessing health care services context to health for all in rural-tribal geographical setting in India: A systematic review
Authors: Kumar Dinesh , Singh Taranand , Vaiyam Poonam , Banjare Pooja , Saini Sandhya
Published: December 2022

This review article focuses on community barriers among tribes living in different parts of rural regions in India and placed to find out the possible resolution/passion. The access to health care services has a very low coverage in rural region of the country especially in tribal communities. A systematic search was covered since last two decades from 2000 to 2020 of articles were extracted from Google Scholar, PubMed, Science Direct, JSTOR, WHO portal, Research Gate, Census 2011, etc. The health indicators of tribes were originated alarming status quo as widely held malnourished and sufferer from different disease and illness. Findings towards accessing quality health care services revealed that difficult geographical situation, communication in own language, financial constraint, low level of education, illiteracy, approaching traditional medicine and ancient culture as community barriers were remained constant. Low level of education, strong cultural believes and traditional culture norms are the strongest community barriers reflected their self-decision-making for not accessing the modern health care facility. An approach as creating effective awareness in harmonic way could be useful for bridging the gaps by involving existing medical resources and staffs, which can play a critical role in reducing the barriers. Thus, review findings suggest the need for implementing awareness programs can divert towards quality health care and thereby can “connect the unconnected” to stay healthy.
Weight reduction of the backhoe arm of a backhoe loader
Authors: ÖZCAN Fazıl Anıl , DÜZGÜN Mesut
Published: December 2022

Today, backhoe loader machines are widely used in different areas such as the construction industry, mining industry, arrangement of agricultural areas, maintenance and repair activities in settlements. One of the most important reasons why the usage areas of these machines are so wide is that they have a design that includes both excavation and loading capabilities. With different attachments attached to both the backhoe and loader mechanisms, backhoe loader machines can have a wide variety of operating capabilities. In this study, weight reduction of the backhoe arm of a backhoe loader is carried out. The results obtained from the analyzes made on the existing design gave direction to the weight reduction process. While creating alternative models within the scope of the weight reduction process, the structures of the connection points of the mechanisms, their positions and the distances between these connection points were kept constant, allowing all alternative designs to be mounted on the machine without the need to make any changes on the existing machine. With this weight reduction study, it is aimed to reduce the weight and fuel consumption of the machine as well as to increase the operating efficiency of the machine. Structural analyzes were made on the optimum structure obtained, and it was examined whether the new model was suitable for working conditions in terms of strength. The current design and the optimized design are compared in terms of strength and operating performance.
To the End of History
Authors: Volynskii Andrei
Published: December 2022

More than 30 years have passed since the article and then the monograph by Francis Fukuyama about the end of history were published. The author repeatedly pointed out the incorrect interpretation of the main ideas expressed in the book. Fukuyama subsequently insisted that the end of history, understood as reaching the final point in the evolution of society through the spread of liberal democracy on a global scale, was articulated by him as a goal of development, and not as an already achieved result. The discourse around the idea of the end of history, thus, was formed partly against the author’s will. The idea lived its own life. Trends of the last few years have actualized a new wave of discussions about the end of history, but now — “The End of the End of History”. The processes of deglobalization, the strengthening of authoritarian political regimes and their influence on the world agenda, the victory of populist forces in elections in Western countries — all this is perceived by Fukuyama's critics as a sign of the end of the end of history. We believe that the conclusion about the end of the end of history is hasty. The authors developing this thesis build their arguments around criticism of the West. Accordingly, the end of history, understood as the total spread of Western-style democracy, was provoked by the West itself. At some points, such an approach will lead to correct results, but it must be borne in mind that we find ourselves in the trap of Orientalism, believing that the dominant right to interpret democratic discourse belongs to the West and depends on the West. A more relevant analytical framework could be the thesis that the characteristic of modernity is not the end of the end of history, but the erosion of the former dominance of the West in the discourse regarding the interpretations of liberalism in economics and democracy in politics.
Review of: From Europe’s East to the Middle East Israel’s Russian and Polish Lineages Philadelphia: University of Pennsylvania Press, 2021
Authors: Lokshin Alexander
Published: December 2022

The review considers a collective monograph by several historians from Israel, the USA, Japan, Poland, and Hungary. The book focuses on the analysis of the mutual influence of various political, cultural, and religious processes that took place in the Jewish communities, public sentiments, and the policy of the authorities in Poland, the Russian Empire, and the Soviet Union from the beginning of the 19th to the end of the 20th centuries on the development of Zionism and the Jewish community in Palestine and the socio-political and religious life of the state of Israel, on the one hand, and the Jewish community and the State of Israel on the Jews of the Diaspora in the same countries on the other hand. It is this approach that opens up new perspectives for a better understanding of the ideology of Zionism and various aspects of the life of modern Israel.