bluuebunny/crossref_metadata_2025 huggingface dataset:
The use of narrative research for the learning of group dynamics by professionals from Psychosocial Care Centers
Authors: Nunes Fernanda Costa , Farinha Marciana Gonçalves , Barbosa Maria Alves , Caixeta Camila Cardoso , Costa António Pedro , Silva Nathália dos Santos
Published: June 2021

ABSTRACT Objective: To analyze the results of the use of narratives in group therapy for the qualification process of professionals in the Psychosocial Care Centers on the use of group dynamics. Method: This is an action research involving 21 workers from 11 Psychosocial Care Centers in the Brazilian Central-West region. For data collection, narratives written by the participants about their work practices with therapeutic groups and theoretical discussion based on in-person workshops were used. Data were subjected to narrative analysis with the support of qualitative analysis software. Results: The category “Concerns and Questioning” showed the workers’ lack of knowledge regarding the concept of group and group dynamics, the group management challenges, and the discomfort with the frustrations experienced by the group. The category “Learning for Group Coordination” showed knowledge acquisition for group planning and functioning, and understanding of the role of the group coordinator for mental health care. Conclusion: Narrating the scenes of group care allowed participants to exercise critical reflexive thinking, recognize the theory of group dynamics, and develop skills to coordinate groups.
Children with type 1 diabetes mellitus: the experience of disease
Authors: Aguiar Gabriela Bolzan , Machado Maria Estela Diniz , Silva Liliane Faria da , Aguiar Rosane Cordeiro Burla de , Christoffel Marialda Moreira
Published: June 2021

ABSTRACT Objective: To identify the main challenges faced by children with type 1 diabetes mellitus and describe their coping strategies. Method: Qualitative study conducted with a semi-structured interview with children aged 8 to 11 with type 1 diabetes mellitus diagnosis who received care in the outpatient clinic of a university hospital in the state of Rio de Janeiro, Brazil. The results have been analyzed and categorized as per thematic analysis. Results: Five children have participated. The reports have emerged from the systematization of the qualitative data, in a process of apprehending meaning from statements of children and adolescents, which led to the category “Living with diabetes”, including two subcategories: “Challenges to disease coping” and “Family participation and support in the disease process”. Conclusion: The process of disease coping is observed to occur differently for each child. However, family participation and support, as well as communication with health professionals, are fundamental in this process.
Effect of FOCUS-PDCA procedure on improving self-care ability of patients undergoing colostomy for rectal câncer
Authors: Jin Yingai , Li Chunyu , Zhang Xian , Jin Yan , Yi Liping , Cui Jinhua
Published: June 2021

ABSTRACT Objective: To investigate the effect of the FOCUS-PDCA procedure on the self-care ability of patients undergoing colostomy for rectal cancer. Method: A nonrandomized controlled trial of 160 patients with rectal cancer undergoing colostomy. The control group received routine nursing intervention, and the observation group received the FOCUS-PDCA procedure. The self-care ability of the two groups was investigated 1 week and 1 month after surgery, and a comparative analysis was made between the groups. Results: One week after surgery, the self-care ability of rectal cancer patients with colostomy increased from 39.09 points before implementation of the FOCUS-PDCA procedure to 60.15 points after implementation; an increase of 21.06%. One month after surgery, the self-care ability increased from 61.50 points to 83.13 points after implementation of the FOCUS-PDCA procedure; an increase of 21.63%. Conclusion: Application of the FOCUS-PDCA procedure improved the self-care ability of rectal cancer patients undergoing colostomy, improved their physical and mental health, reduced colostomy complications, and improved their quality of life. The results suggest that it is worth applying FOCUS-PDCA more widely.
A inserção profissional de enfermeiros licenciados: um estudo de egressos
Authors: Clapis Maria José , Corrêa Adriana Katia , Aredes Natália Del Angelo , Lunardello Rafaela Beatriz Vigatto , Souza Maria Conceição Bernardo de Mello e
Published: June 2021

RESUMO Objetivo Analisar a inserção profissional de enfermeiros licenciados, considerando a conformação atual do trabalho na área da saúde e na formação dos trabalhadores técnicos, na perspectiva da formação de profissionais atuantes no SUS. Método Estudo quantitativo, transversal e exploratório, com análise estatística descritiva e inferencial por teste exato de Fisher, com 105 egressos de um curso de Bacharelado e Licenciatura. Aplicado questionário eletrônico. Resultados Os egressos atuam como enfermeiros (n = 59, 56,2%) e professores (n = 18, 17,1%). A área com maior absorção dos egressos foi a hospitalar (n = 37; 62,7%), o setor público (n=35; 59,3%) e a educação profissional técnica de nível médio (n = 16, 88,9%). 56 (72,7%) estavam insatisfeitos com a renda. 59 (76,6%) indicaram rendimentos incompatíveis com o trabalho. Conclusão A atuação dos egressos enfrenta problemas quanto às políticas atuais, com limites na valorização do trabalhador da saúde e da educação como bem público. Avanços na valorização da profissão do enfermeiro licenciado são necessários, considerando a relevância desse profissional no sistema de saúde e de educação e a natureza de sua práxis de educar e cuidar com potencial transformador.
Gerontotecnologia para prevenção de quedas: cuidado de enfermagem ao idoso com Parkinson
Authors: Ferreira Juliana Martins , Hammerschmidt Karina Silveira de Almeida , Heideman Ivonete Teresinha Schulter Buss , Alvarez Angela Maria , Santos Silvia Maria Azevedo dos , Fabrizzio Greici Capellari
Published: June 2021

RESUMO Objetivo: Avaliar a contribuição de gerontotecnologias no cuidado gerontológico de enfermagem ao idoso com Doença de Parkinson, visando à prevenção de quedas. Método: Pesquisa Convergente Assistencial, mediante a construção e a avaliação de gerontotecnologias focadas na prevenção de quedas em idosos com Doença de Parkinson. Realizaram-se avaliação clínica, entrevistas e oficinas com idosos, bem como análise e julgamento dos materiais desenvolvidos por dez juízes titulados em gerontologia pela Sociedade Brasileira de Geriatria e Gerontologia. Resultados: Os idosos necessitam de no mínimo seis anos de estudo para compreender a gerontotecnologia educacional desenvolvida. Os objetivos relacionados a conteúdo, compreensão do texto, ilustração, apresentação, motivação e adaptação cultural foram alcançados. Conclusão: A gerontotecnologia educacional desenvolvida tem conteúdo relevante, podendo ser utilizada pelos idosos, familiares e cuidadores, a fim de gerar esclarecimento de questões sobre a temática prevenção de quedas para os idosos com Doença de Parkinson.
El acompañamiento como método para reducir la ansiedad en embarazadas ingresadas en el tercer trimestre
Authors: Barrio-Forné Natalia , Gasch-Gallén Ángel
Published: June 2021

RESUMEN Objetivo El objetivo de este estudio fue examinar la asociación entre la ansiedad gestacional, cribada durante el tercer trimestre, y el acompañamiento durante el ingreso en el hospital. Método Se llevó a cabo un estudio observacional casos-control en el que participaron 80 grávidas, divididas en 20 casos y 60 controles, mayores de 18 años, de 28 o más semanas, sin patologías físicas y/o psíquicas diagnosticadas. Se midió la ansiedad con el instrumento STAI y se recogieron las variables seleccionadas. Se realizó un análisis descriptivo y bivariado, comparando las variables escogidas mediante Chi-Cuadrado, Kruskal Wallis y Mann-Whitney. Resultados El acompañamiento en Estado y Rasgo ( p = 0,038 en ambos) influye en la disminución de la ansiedad durante la hospitalización. Las mujeres de etnia gitana desarrollaron más ansiedad ( p = 0,019) y las primíparas obtuvieron un riesgo 4 veces mayor. Conclusión La falta de una persona de confianza durante el ingreso colabora en el aumento de los síntomas ansiosos, así como la etnia y la primiparidad, por lo que la implicación del círculo social cercano es indispensable para la prevención y/o disminución de la ansiedad en esta población.
Intervenção telefônica na prática de autocuidado com os pés em diabéticos: ensaio clínico randomizado
Authors: Silva Antonia Fabiana Rodrigues da , Moura Karine Rafaela de , Moura Tatiana Victória Carneiro , Oliveira Andressa Suelly Saturnino de , Moreira Thereza Maria Magalhães , Silva Ana Roberta Vilarouca da
Published: June 2021

RESUMO Objetivo: Avaliar o efeito de uma intervenção telefônica para a prática de autocuidado com os pés em pessoas com diabetes mellitus tipo 2. Método: Ensaio clínico randomizado com dois grupos, controle e intervenção, realizado com 102 usuários com diabetes mellitus tipo 2, vinculados a quatro Unidades Básicas de Saúde de um município do Piauí. Para o grupo intervenção, foram realizadas seis intervenções telefônicas em três meses, e o grupo controle recebeu somente o acompanhamento convencional. Para a avaliação, aplicou-se um formulário antes e após o período das intervenções. Resultados: Na análise intragrupo, ao comparar a prática de autocuidado com os pés no grupo controle, no pré e pós-teste, não houve diferença significativa (p > 0,05); já no grupo intervenção, houve aumento da prática de autocuidado em 70% dos itens, obtendo-se p < 0,001 a 0,03. Ao analisar a prática de autocuidado intergrupal após a intervenção telefônica, evidenciou-se o efeito positivo da intervenção, obtendo diferenças estatisticamente significativas em 60% dos itens, com valor de p < 0,001 a 0,031. Conclusão: A intervenção telefônica promoveu maior adesão à prática de autocuidado com os pés dos pacientes com diabetes mellitus tipo 2. Registro Brasileiro de Ensaios Clínicos: RBR-3pq5th.
Integrative Cistromic and Transcriptomic Analyses Identify CREB Target Genes in Cystic Renal Epithelial Cells
Authors: Liu Zhiheng , Liu Yunjing , Dang Lin , Geng Meijuan , Sun Yongzhan , Lu Yi , Fang Zhongze , Xiong Hui , Chen Yupeng
Published: June 2021

Significance Statement

Transcription factors (TFs) play crucial roles in kidney development and diseases by recognizing specific DNA sequences to control gene expression programs. The kidney’s cellular heterogeneity poses substantial challenges to identifying the genomic binding sites and direct target genes of TFs in vivo. We apply the cleavage under targets and release using nuclease (CUT&RUN) technique, together with transcriptomic analysis, to identify cAMP response element-binding protein (CREB) target genes in cystic epithelial cells of autosomal dominant polycystic kidney disease (ADPKD) in a mouse model. CREB binds to and activates ribosomal biogenesis genes, and inhibition of CREB retards cyst growth in the ADPKD models. CUT&RUN is a powerful method for genome-scale profiling and identifying direct targets of TFs from small numbers of specific kidney cells.

Background

Genome-wide mapping of transcription factor (TF) binding sites is essential to identify a TF’s direct target genes in kidney development and diseases. However, due to the cellular complexity of the kidney and limited numbers of a given cell type, it has been challenging to determine the binding sites of a TF in vivo. cAMP response element-binding protein (CREB) is phosphorylated and hyperactive in autosomal dominant polycystic kidney disease (ADPKD). We focus on CREB as an example to profile genomic loci bound by a TF and to identify its target genes using low numbers of specific kidney cells.

Methods

Cleavage under targets and release using nuclease (CUT&RUN) assays were performed with Dolichos biflorus agglutinin (DBA)–positive tubular epithelial cells from normal and ADPKD mouse kidneys. Pharmacologic inhibition of CREB with 666-15 and genetic inhibition with A-CREB were undertaken using ADPKD mouse models.

Results

CUT&RUN to profile genome-wide distribution of phosphorylated CREB (p-CREB) indicated correlation of p-CREB binding with active histone modifications (H3K4me3 and H3K27ac) in cystic epithelial cells. Integrative analysis with CUT&RUN and RNA-sequencing revealed CREB direct targets, including genes involved in ribosome biogenesis and protein synthesis. Pharmacologic and genetic inhibition of CREB suppressed cyst growth in ADPKD mouse models.

Conclusions

CREB promotes cystogenesis by activating ribosome biogenesis genes. CUT&RUN, coupled with transcriptomic analysis, enables interrogation of TF binding and identification of direct TF targets from a low number of specific kidney cells.
Reversing the ‘syndrome of secrecy’: Peremptory reporting obligations in cases of child abuse and neglect
Authors: Bekink Mildred
Published: June 2021

Mandatory reporting laws are a controversial mechanism that require members of particular occupations to report cases of serious child maltreatment that they encounter in the course of their work to welfare or law enforcement agencies. In April 2019 a video went viral in which a woman filmed her colleague beating toddlers at a crèche in Gauteng. The crèche was closed, and arrests were made, including of the videographer. Given extent of violence and abuse against South African children, this paper investigates whether South African law adequately provides for the liability of those compelled to report child abuse but who fail to do so, why mandated reporters fail to report abuse, and how South Africa’s mandatory reporting rules should be amended to better serve their purpose.
Использование платформы iNaturalist в образовательном процессе
Authors: Владимиров Дмитрий Романович , Айникеева Валентина Игоревна , Лаенко Анна Владимировна , Богунова Яна Дмитриевна , Спиридонова Надежда Сергеевна , Корякова Ирина Валерьевна
Published: June 2021

Цель - рассмотреть практические результаты применения электронной платформы iNaturalist в ходе прохождения дисциплин «Биогеография», «Биоразнообразие» и «Ландшафтно-экологической учебной практики». Материалы и методы. В основе социальная сети iNaturalist лежит концепция картографирования биологического разнообразия с обменом данными наблюдателей со всего мира. Важным условием включения наблюдений в научный оборот является их соответствие минимальным требованиям (дата, географические координаты места встречи, наличие авторской фотографии/серии фотографий организма или аудиозапись его голоса, нахождение в природе) и выбор свободной лицензии. Результаты и обсуждение. За время прохождения учебной практики загружены 5028 наблюдений 641 вида. Кроме широко распространенных аборигенных растений в их число попали инвазионные и редкие растения. Большую ценность представляют 22 находки видов Красной книги России и Воронежской области, в том числе 14 из новых местонахождений. Заключение. Возможности искусственного интеллекта iNaturalis и оперативность определения организмов экспертным сообществом являются преимуществом платформы. К недостаткам относятся ограничения, связанные с отображением анатомических, микроморфологических и других признаков, необходимых для точной идентификации некоторых таксонов.
Гончаров Май Васильевич (1923-1989) - кадровый военный, ученый, педагог
Authors: Рогозина Римма Евгеньевна
Published: June 2021

Статья посвящена памяти Мая Васильевича Гончарова, уроженца города Воронежа, окончившего школу в Новосибирске, артиллерийское училище - в Томске, закончившего военную службу в Прибалтийском военном округе, около 33 лет проработавшего преподавателем, заведующим кафедрой, деканом в Воронежском государственном университете и оставившего добрую память о себе в сердцах студентов, коллег, научного сообщества.
Optimization of cereal Blend (wheat and yellow maize flours (Zea maize)) enriched
with African walnut (Tetracarpidium conophorum) protein isolate for cookie making
Authors: Olapade Abiodun A. , Awofadeju Oluwayemisi F. J.
Published: June 2021

This study examined the effect of African walnut protein isolate, wheat and
yellow maize flours on the general acceptability of cookie production. In this
study, blends of African walnut protein isolate, wheat and yellow maize flours
were studied in a completely randomized design assessment of the proximate
composition. The variables were wheat flour (30-50%), yellow maize flour
(20-30%) and African walnut protein isolate (10-20%) to generate 20
composite blends. The proximate composition and functional properties of
blends and flours were determined using standard methods. Three blends of
samples 50.00 g wheat flour, 30.00 g yellow maize flour, 20.00 g African
walnut protein isolate; 45.24 g wheat flour, 28.27 g yellow maize flour, 26.48
g African walnut protein isolate and 45.24 g wheat flour, 37.79 g yellow maize
flour and 16.97 g African walnut protein isolate as assessed by the highest
protein and fiber and low fat contents, were selected from optimization results
of proximate composition for production and sensory evaluation of cookies.
The proximate composition of flours revealed that African walnut protein
isolate was significantly higher in protein than other flours. Fat in African
walnut protein isolate was the least, while crude fiber and carbohydrate
contents were not detected in African walnut protein isolate. Functional
analysis revealed that yellow maize flour had the highest value in water
absorption capacity; yellow maize flour and African walnut protein isolate had
the highest oil absorption capacity, while African walnut protein isolate scored
the least in bulk density. The sample 45.24 g wheat flour, 28.27 g yellow maize
flour and 26.48 g African walnut protein isolate had the highest protein and
ash, with the lowest fat content among the blends. However, cookie prepared
from sample 45.24 g wheat flour, 37.79 g yellow maize flour and 16.97 g
African walnut protein isolate had the best overall acceptability. However, the
study recommends the flour proportion of sample 45.24 g wheat flour, 37.79 g
yellow maize flour and 16.97 g African walnut protein isolate in cookie
production by establishing the inclusion in Nigerian food industry and as a way
of reducing or alleviate malnutrition.
Algorithm for Estimating the Laser Beam, Matrix Photo Receiver on the Background of the Gaussian Noise Using Full Sufficient Statistics of the Received Scattered Radiation
Authors: Koziratsky Yuri L. , Khilchenko Roman G. , Merkulov Ruslan E. , Koziratsky Anton A.
Published: June 2021

An algorithm for estimating the position of the laser beam by the component scattered in the atmosphere by a matrix photodetector against a background of Gaussian noise is developed. The algorithm is based on the Lehman-Scheffe theorem, which allows one to obtain effective estimates of the distribution parameters using complete sufficient statistics for reports of the observed implementation of scattered laser radiation. The obtained estimates provide the best quality of parameter estimation for any finite sample sizes and do not require additional studies
Experimental Study of the Characteristics of Band-Passed Ultra-High Frequency Filters with Increased Protective Band in the Interest of Ensuring Electromagnetic Compatibility
Authors: Berdyshev Valery P. , Zhuravlev Andrey V. , Kopylov Nikita V. , Kopylov Vladimir A. , Loy Vitaly V.
Published: June 2021

The article presents the structure of the method for the synthesis of microwave bandpass filters (BPF) on non-uniform lines, which makes it possible to select the structure and parameters of the BPF that provide the maximum length of the stop band to meet the requirements of electromagnetic compatibility (EMC) with given restrictions on the attenuation characteristics in the passband and barrier bands. and the established design and technological limitations on the drop in wave resistance and manufacturing tolerances. The results of experimental studies of the characteristics of ultrahigh-frequency bandpass filters with an increased protective band in order to ensure EMC are presented
Method of Constructing a Line Secretive Exit the Aircraft at a Given Point of the Detection Area Surveillance Radar Based on the Spectrum Analysis of the Doppler Frequency of the Received Signal
Authors: Zamaraev Valeriy V. , Kutuzov A.S. , Lyutikov Igor V. , Malcev Dmitry V.
Published: June 2021

The article noted the contradictions in the theory and practice of the subject area of the study confirming the urgency of the task of constructing the trajectory of a hidden exit the aircraft at a given point of the detection area surveillance radar based on the spectrum analysis of the Doppler frequency of the received signal, the proposed initial data (initial conditions), describes the scientific and methodological apparatus of the embodiment of the method for generating control signals to implement the synthesized method, which allows to increase the effectiveness of air and space attack
Vibration Parameters Study of Ship Structures Using Wavelet Analysis of Vibrogram
Authors: Starodubtsev Pavel A. , Dorofeev Grigory V. , Lipovetskiy Andrey O.
Published: June 2021

The study of the vibration parameters of ship structures is important for developing measures to ensure their reliable operation on ships. The commonly used analysis of vibrograms using the Continuous Fourier Transform (CFT) to accurately represent non-stationary functions in general and noise source signals in particular is unsuitable due to a number of drawbacks. The problems of spectral analysis and time-limited signal synthesis can be partially solved by switching to the Window Fourier Transform (WFT). The disadvantage of the WFT is that its calculation uses a fixed window, which cannot be adapted to the local properties of the signal. In order to get rid of this shortcoming for the analysis of vibrogram you can use wavelet transform. It also solves a number of other problems related to the processing of a noise signal. The word “wavelet” means small waves following each other (some sources have introduced the concept of “splash”). In a narrow sense, wavelets are a family of functions obtained by scaling and shifting a single, parent function. In a broad sense, wavelets are functions with frequency localization, whose average value is zero. The article shows the signs of a wavelet. Examples of the most common wavelet functions are given. The use of wavelet functions is proposed not only on the basis of time, but also frequency transformations. The implementation of the algorithm for analyzing vibration measurement data is proposed. An example of vibration measurement data and the results of their processing based on frequency wavelet analysis are given
A View of Students’ Learning Styles, Learning Activities, and Learning Outcomes in Process Diagrams
Authors: CESUR Çise , GERÇEK Cem
Published: June 2021

Scientific texts generally use visual presentations (graphs, diagrams, photos, tables, etc.) to help learners to learn a subject. Diagrams are the effective learning tools containing long headings, explanatory labels, arrows and coding in colours Process diagrams are used more commonly in course books. This paper aims to determine the learning activities and learning styles students use in learning through process diagrams and to analyse the effects of learning activities and learning styles on learning achievement. 23 prospective teachers were included in the research. Santa Barbara Learning Style Questionnaire, eye tracking technique, think aloud protocol and Remembering and Effect Evaluation Form were applied to the participants for data collection. It was found through analyses that the participants used such learning activities as giving meaning to process arrows and self-questioning more frequently. It was also found that the participants who spent more time in fixation time main achieved more success in learning.
Survival of patients with bilateral renal cell cancer after nephro-preserving surgery
Authors: Ashyrova F. S. , Kalpinskiy A. S. , Vorobyev N. V. , Kaprin A. D.
Published: June 2021

This article presents a systematic literature review to assess the survival outcomes of patients with bilateral renal cell carcinoma who underwent nephro-preserving surgery. Patients with bilateral renal neoplastic lesions represent a rare subpopulation, numbering, according to different authors, from 2 to 6 % of the total RCC group. Despite the increase in the number of cases of bilateral RCC, the number of works devoted to the study of the features of surgical intervention, prognosis factors, treatment outcomes and survival of this cohort of patients is limited, and a number of important questions regarding this problem remain unresolved. Currently, the only effective method of treating bilateral renal cancer is nephro-preserving surgery in the volume of bilateral renal resection / nephrectomy with resection of the contralateral kidney in case of synchronous lesion or resection of a single kidney in case of metachronous lesion. This strategy avoids or reduces the risk of developing renal failure and its consequences after surgery. Conclusion. Nephro-preserving surgery for bilateral renal cell carcinoma is the only effective method to achieve satisfactory oncological results with a low incidence of complications.
An International Virtual Workshop on Global Seismology and Tectonics (IVWGST-2020)
Authors: Baruah Santanu , Dey Chandan , Borthakur Prachurjya , Narahari Sastry G. , Michael Andrew J.
Published: June 2021

An International Virtual Workshop on Global Seismology and Tectonics (IVWGST-2020) was organized by the Geoscience and Technology Division of Council of Scientific and Industrial Research—North East Institute of Science and Technology, Jorhat, India from 14 to 25 September 2020. This workshop predominantly catered to undergraduate, postgraduate, and Ph.D. students, scientists, and academicians from across the globe. The primary motive of IVWGST-2020 was to inspire the participating students, perturbed by the unprecedented situation brought about by the COVID-19 pandemic, with quality lecture sessions, so as to lift their spirits. The virtual workshop served as a conduit for the students and researchers to directly interact with several pioneers and prominent geoscience researchers from around the world. Lectures, via Microsoft Teams, were given by 15 eminent speakers from diverse geoscience forums and institutions, and were attended by more than 1000 participants, mostly students and researchers, from 30 different countries. This report briefly summarizes the agenda, describes our experiences hosting the virtual workshop, and documents the challenges faced.
A Compact Program for 3D Passive Seismic Source-Location Imaging
Authors: Chen Yangkang , Saad Omar M. , Bai Min , Liu Xingye , Fomel Sergey
Published: June 2021

Microseismic source-location imaging is important for inferring the dynamic status of reservoirs during hydraulic fracturing. The accuracy and resolution of the located microseismic sources are closely related to the imaging technique. We present an open-source program for high-fidelity and high-resolution 3D microseismic source-location imaging. The presented code is compact in the sense that all required subroutines are included in one single C program, based on which seismic wavefields can be propagated either forward during a synthetic test or backward during a real time-reversal imaging process. The compact C program is accompanied by a Python script known as the SConstruct file in the Madagascar open-source platform to compile and run the C program. The velocity model and recorded microseismic data can be input using the Python script. This compact program is useful for educational purposes and for future algorithm development. We introduce the basics of the imaging method used in the presented package and present one representative synthetic example and a field data example. The results show that the presented program can be reliably used to locate source locations using a passive seismic dataset.
Ultrasound guided percutaneous biopsy of omentum: a safest technique to detect the causes of omental thickening
Authors: Iqbal Junaid , Al-Qamari Nauman , Sattar Amjad , Rashid Sadia
Published: June 2021

Background: The objective of our study was to determine the diagnostic value and safety of ultrasound guided percutaneous biopsy of omental thickening.Methods: We prospectively analyzed 60 patients who underwent USG-guided omental biopsies in our institute from January 2016 to December 2016.Results: Total 60 patients were included in our study. There were 40 (66.7%) female and 20 (33.3%) male patients. There were total 36 (60%) malignant cases, 20 (33.3%) chronic inflammation suggestive of TB while 4 (6.7%) were chronic peritoneal infection. Out of 36 malignant cases, majority 24 (66.7%) had ovarian cancer, 8 (22.2%) had endometrium cancer and 4 (11.1%) had large bowel cancer. Repeat biopsies were performed only in 4 (6.7%) cases.Conclusions: Ultrasound-guided percutaneous biopsy of omentum is less expensive, safe and effective method with a high diagnostic accuracy.
Suspected immune mediated response to COVID-19 vaccine: two individual case reports
Authors: Bhimani Sagar R. , Gupta Sapna D. , Patel Kamlesh P. , Malhotra Supriya D.
Published: June 2021

SARS-CoV-2, the virus that causes coronavirus disease 19 (COVID-19), has spread rapidly around the world. Researchers have been working round the clock to develop effective vaccines, which people started receiving in December 2020. Therefore, careful follow-up and surveillance studies for continued vaccine safety monitoring will be needed to ascertain the potential risks of such adverse events or disease. Here, we present two individual cases of pancreatitis and typhilitis following COVID 19 vaccination. In the first case of a 38 years old male patient developed pancreatitis after 4 days of COVID 19 vaccination and in second case, of a 60 years old female patient developing typhilitis after just one day after vaccination. All possible causes of this occurrence were ruled out. Two main factors suggest a possible link to the vaccine, the chronology of the events and the incongruent immune response to the vaccine component. It is not possible to establish a direct causal relation between vaccination and adverse event following immunization; however, this report can be used to alert practitioners to this possibility of adverse event following immunization after COVID-19 vaccine.
Haematological abnormalities and pharmacotherapy in severe acute respiratory syndrome corona virus 2
Authors: Raghute Latesh B. , Dudhgaonkar Sujata , Uike Pravin S. , Jaiswal Kavita M.
Published: June 2021

The first case of SARS-CoV-2 (severe acute respiratory syndrome corona virus 2) was reported in Wuhan, China at the end of year 2019. It shows flu-like symptoms, but anosmia, fatigue, persistent cough and loss of appetite, that collectively might spot individuals with COVID-19. The aim of writing this review was to gather the information about blood abnormalities and pharmacotherapy for COVID-19 as a resource for healthcare professionals. A blood workup as well as continuous tracking hematological changes could divulge the risks of disease progression. The indirect indicators such as C-reactive protein (CRP), D-dimer, albumin, ferritin and LDH levels which are used as markers to estimate the severity of COVID-19 infection and prognosis. The most common hematological findings include lymphocytopenia, neutrophilia, eosinopenia, mild thrombocytopenia and less frequently, thrombocytosis. Clinical management includes prophylactic and therapeutic measures. Supportive care including supplemental oxygen and mechanical ventilatory support as and when indicated. Several class of drugs like anti-malarial, anti-viral, anti-inflammatory drugs are being used for the treatment and prevention of COVID-19. The target for development of most of the vaccine for COVID-19 is S protein of the corona virus. Various vaccines available for use across the globe are COVAX, Covishield, Moderna, Johnson and Johnson, Sputnik V, Novavax, Sinopharm, SinoVac. Serial monitoring of hematological manifestations is recommended and the treating doctor should stay vigilant and consider proper screening. The therapeutic intention is to decrease viral load and pharmacological thrombo-prophylaxis in high risk patients.
A case series of efavirenz induced gynaecomastia
Authors: Teli Balakrishna , Biradar Sneha , S. Sheshan V.
Published: June 2021

The prognosis of HIV infection has significantly changed following the introduction of highly active anti-retroviral therapy by reducing AIDS related morbidity and mortality. At the same time, HAART is documented for its side effects. Gynaecomastia is a less documented side effect of a commonly used ART drug efavirenz. There are only few case reports of HAART-induced gynaecomastia in resource limited settings. Initially gynaecomastia related to HAART in HIV patients was thought due to lipodystrophy and was termed as pseudogynaecomastia. Later, few case reports of efavirenz related gynaecomastia were published after ruling out other causes of gynaecomastia. All other causes of gynaecomastia were ruled out in our patients too. The incidence of gynaecomastia is increasing in men with HIV on HAART therapy, proper identification and management will promote better drug adherence. The present study presented a series of two cases that developed ultrasound confirmed gynaecomastia following efavirenz containing HAART.
Chronic rhinosinusitis: medical versus surgical management
Authors: Patel Seema , Rekhade Tanvi S. , Pawar Rameshwar T. , Nitnaware Ashok Z.
Published: June 2021

Background: Management protocols of chronic rhinosinusitis (CRS) recommend initial treatment with maximal medical therapy with surgery reserved for refractory cases. Literature comparing the effectiveness of these two treatment modalities is limited. The purpose of this study was to compare the outcome of medical and surgical management for CRS.

Methods: This was a prospective cohort study. Patients registered for the study were diagnosed as CRS based on history, clinical examination and investigation findings. All patients were initially subjected to medical management for 3 weeks and refractory cases were then subjected to surgical intervention. Subjective and objective improvements assessed with SNOT-22 score and Lund-Kennedy (LK) score respectively were analysed statistically.

Results: Out of the 100 patients registered for the study, 37% had nasal polyposis while 63% were without polyposis. When subjective and objective improvements were compared between groups receiving medical management alone and those receiving combined management, the difference was not found to be statistically significant (p<0.05).

Conclusions: Although the decision regarding treatment modality to be used in CRS should depend on individual case, all cases can be subjected to a maximal medical therapy initially while reserving surgery for cases which do not improve.
Epistaxis: a retrospective clinical study
Authors: . Shaweta , Sharma Rajnish , Sharma Nisha
Published: June 2021

Background: Epistaxis is one of the common emergencies in otorhinolaryngology. The aims and objectives of present work were to study incidence of epistaxis, etiological factors responsible for epistaxis and management of epistaxis.

Methods: A retrospective study (February 2019 to March 2020) of patients admitted in department of otorhinolaryngology with complaint of nasal bleeding was done. The study was conducted on 96 patients for the incidence, age and sex relation, etiological factors, clinical findings and treatment methods for epistaxis.

Results: Out of the total 96 cases of epistaxis, 58.3% were males and 41.6% were females. Most of the patients were over 40 years of age. The maximum, 19 (19.79%) were in the age group of 51-60 years and minimum, 2 (2.08%) were in the age group of 90-100 years. In the study of 96 cases, common group in this series was of cardiovascular causes (hypertension, arteriosclerosis, on antiplatelet drugs), 59 cases (61.45%), out of 59 cases, 9 patients were on antiplatelet drugs followed by idiopathic cases 13 (13.54%), trauma 12 (12.5%), 7 cases (7.29%) blood dyscrasias, spur with DNS 3 (3.12%), infection 1 (1.04%), alcoholic liver disease 1 (1.04%). Out of 96 cases, 92 cases (95.8%) responded to nonsurgical methods.

Conclusions: Epistaxis can be seen in any age. Hypertension, trauma and coagulopathy were the most common etiological factors. Anterior nasal packing was the most common treatment method applied to these patients.
Primary total knee replacement using dished polyethylene with resected posterior cruciate ligament
Authors: Kumar Mohan M. , Pai Satvik N. , Vanchi Pravin K. , Ravi Raghav , Nath Syam
Published: June 2021

Background: The choice between preserving, sacrificing or substituting the posterior cruciate ligament (PCL) is always a controversial topic in total knee replacement (TKR). Dished polyethylene insert with PCL resection enables correction of the commonly present fixed flexion and varus deformities. Additionally, the risk of premature wear of polyethylene is less because of the confirming articular geometry between the femoral and tibial component.

Methods: This is a retrospective study in which we studied 120 knees in 95 consecutive patients undergoing primary TKR by the senior author at our institute. We used TKR system with dished metal backed polyethylene tibial component. PCL resection was performed in all cases. Pre-operative and post-operative functional assessment were done using knee society clinical scores and Western Ontario and McMaster universities osteoarthritis index (WOMAC). All radiographs were assessed using the knee society Roentgenographic scoring system (KSRES). Statistical analysis was performed using paired student t tests. Survivorship was determined using Kaplan-Meier survivorship curves.

Results: Mean follow-up was 8 years. Range of motion increased from 75 degrees to 110 degrees.  The knee society pain score increased from 30 to 94. The knee society function score increased from 35 to 75. WOMAC score increased in terms of pain, stiffness and physical function.

Conclusions: We conclude that deep dish bearing is a viable option in presence of deficient PCL and provides adequate stability and functional outcome. We need a larger sample size, multicentre trial and longer follow-up to see for complication rate, revision rate and survival.
Supracondylar humerus fracture in children: K wire pinning with minimal sterile technique
Authors: H. R. Girish , . Mahendranath , Malik Deepak , N. Gowthama Pradhban
Published: June 2021

A minimal sterile technique to assess the outcome of K wire pinning of Supracondylar fracture of humerus in children. A prospective case series between 2018 to 2020 was conducted on 10 supracondylar fracture of humerus operated at a tertiary care centre. Gartland type 2 and 3 were included and all the patients were treated with minimal sterile K-wire pinning technique. After 18 weeks follow up with mean age of 7.3 years, all patients were found to have excellent results. In our study no patients received antibiotic except in one patient where 5 days of oral antibiotic cefixime was given. Less complications, reduced time of surgery of average 24.3 minutes, reduction in cost factor and patient compliance was better. Supracondylar fracture of humerus can be fixed by K-wire fixation with minimal sterile technique either by cross pinning or lateral pinning which has same outcome as sterile technique and minimal sterile technique is cost effective and time sparing.
Informed Consent in Orthopaedic cases
Authors: Pai Satvik N.
Published: June 2021

Informed consent is an exercise to provide patients with adequate information before undergoing a medical procedure.  Orthopaedic surgeons need to be aware of all aspects of informed consent and also certain modifications it requires as per the diagnosis/procedure planned.  Extensive literature was reviewed regarding informed consent in orthopaedic cases. Medico-legal verdicts relating to orthopaedic cases where the informed consent played a vital part were analysed in detail. Specific orthopaedic cases and the common complications occurring after them were also analysed.

 
Material Development of Mutual Cooperation in Akidah ‎Akhlak Subject (Study on Berinjam tradition in ‎ SDN Kuala Jelai)‎
Authors: Alimaturraiyah Alimaturraiyah , Wahab Wahab
Published: June 2021

This study discusses the development of Berinjam material in Akidah Akhlak subject. It is expected that the importance of mutual cooperation material in Akidah Akhlak subject drives students to apply commendable behavior in their daily lives both to themselves and to others. The purpose of this study is to develop teaching materials in the form of lesson plans on the basis of local wisdom. This study used a qualitative method by explaining the development of mutual cooperation material in Akidah Akhlak subject. Based on the findings, Berinjam is a form of sense of helping each other and the community performs its duties properly in accordance with habits and traditions and is carried out jointly. Material development must also refer to the 2013 curriculum. In the matter of mutual cooperation, SD / MI is contained in aspects of morality. The material from Berinjam is intended to make everyone becomes educated in the sense of thinking, listening and be righteous. Berinjam material which is contextualized in mutual cooperation material seizes to shape smart and educated students. In addition, efforts to bring students closer to the peculiarities of the local culture in their homes will not work well if teachers cannot convey it properly. Therefore, teachers must have an adequate understanding of the local cultural values, in addition to their ability to develop the subject matter must be accompanied by contextual so that learning can be achieved. Thus, Berinjam material must be developed through internalization by helping, cooperating and respecting each other.
Mobilizing and Activating Haíɫzaqvḷa (Heiltsuk Language) and Culture Through a Community-University Partnership
Authors: Carpenter Jennifer , Chase Bridget , Chung Benjamin , Humchitt Robyn , Turin Mark
Published: June 2021

The sharing of existing linguistic resources through online platforms has become an increasingly important aspect in revitalization projects for Indigenous languages. This contribution addresses the urgency of such work through the lens of a partnership in support of one language, Haíɫzaqvḷa (Heiltsuk), a critically endangered Wakashan language spoken in and around the traditional Heiltsuk territory of Bella Bella, British Columbia. Alongside immediate community needs for language preservation and reclamation—informed and guided by Heiltsuk values and goals—lie important ethical and practical questions about how best to activate historic recordings of Elders and knowledge holders who have now passed. Our partnership was explicitly structured around the objective of helping to mobilize the large body of existing languagedocumentation and revitalization materials created in and by the community to support broader community access through digital technologies. Working within the fast-changing digital environment requires agility in order to respond to time-sensitive goals and the strategic needs of the community. Ensuring that such work is grounded in respectful collaboration requires ongoing care, consultation and consideration. The digital landscape is still a new and exciting space, and the opportunities to use online tools and technologies in service of language revitalization are ever increasing. We believe that the strategies, approaches and modest successes of the Heiltsuk Language and Culture Mobilization Partnership may be informative for other community-based language reclamation projects. We hope that outlining ourexperiences and being transparent about the challenges such partnerships face may help others engaged in this urgent and timely work.
The Smoke Signals Radio Show Archive Project
Authors: Rothbauer Paulette , Hadley Amy , Harrington Marni , Hill Heather , Mendizabal Serena , Pawlick-Potts Danica , Smoke Dan , Smoke Mary Lou
Published: June 2021

In this multimedia report we introduce our ongoing collaborative archival project to organize, describe, and provide access to digitized audio files from the long-running Indigenous radio broadcast called Smoke Signals, produced and hosted by Indigenous activists, community leaders, educators, and Elders Dan Smoke and Mary Lou Smoke.
Tribesourcing Southwest Films
Authors: Dollman Melissa , Sorrell Rhiannon , Jenkins Jennifer L.
Published: June 2021

As a work in progress, the Tribesourcing Southwest Film Project seeks to decolonize midcentury US educational films about the Native peoples of the Southwestern United States by recording counter-narrations from cultural insiders. These films originate from the American Indian Film Gallery, a collection awarded to the University of Arizona (UA) in 2011. Made in the mid-twentieth century for the US K–12 educational and television markets, these 16 mm Kodachrome films reflect mainstream cultural attitudes of the day. The fully saturated-color visual narratives are for the most part quite remarkable, although the male "voice of God" narration often pronounces meaning that is inaccurate or disrespectful. At this historical distance, many of these films have come to be understood by both Native community insiders and outside scholars as documentation of cultural practices and lifeways—and, indeed, languages—that are receding as practitioners and speakers pass on. The Tribesourcingfilm.com project seeks to rebalance the historical record through collaborative digital intervention, intentionally shifting emphasis from external perceptions of Native peoples to the voices, knowledges, and languages of the peoples represented in the films by participatory recording of new narrations for the films. Native narrators record new narrations for the films, actively decolonizing this collection and performing information redress through the merger of vintage visuals and new audio.
Indigenous Knowledge Systems in Environmental Governance in Canada
Authors: McGregor Deborah
Published: June 2021

This contribution addresses key issues around the application of Indigenous knowledge in contexts where such knowledge is neither generated nor held (academy, industry, governments, etc.). Effective models for the ethical incorporation of Indigenous knowledge into environmental governance in Canada have remained elusive despite decades of attempts. The predominant research paradigm of “incorporating” Indigenous knowledge into environmental governance is one of extraction by the external interests who seek to include specific aspects of such knowledge in their undertakings. This approach continues to fail because Indigenous knowledge exists as an integral component of Indigenous Knowledge Systems (IKS). It is often hollow and potentially damaging to consider any knowledge without understanding the societal systems and peoples that produced it. Indigenous knowledge is not just “knowledge” (a noun) but a way of life, something that must be lived (a verb) in order to be understood.  Indigenous knowledge is inseparable from the people who hold and live this knowledge. Although government policy and legislation have evolved in attempts to treat Indigenous knowledge more holistically, the overriding paradigm of extraction remains essentially unchanged.  Even the most recent frameworks will meet with limited success as a result. Appropriate and effective inclusion of Indigenous knowledge requires recognition of the systems that support it, which in turn necessitates support for Indigenous self-determination.