bluuebunny/crossref_metadata_2025 huggingface dataset:
RETRACTED: The consequences of caring for older people at home in Qatar: exploring the stresses and joys of caregiving
Authors: Abdelmoneium Azza. O.
Published: February 2023

This article has been retracted due to disputed authorship. A retraction notice to this article was published on 12 March 2024. Please refer to the retraction notice DOI: https://doi.org/10.5339/difi.2024.retraction.11

Qatar is witnessing demographic changes, which are leading to an increase in the number of elderly people. This will put more burden on the families and increase their responsibility to take care of the old people. The aim of the research is to investigate the consequences of caring for elderly people and explore the stresses and joys of caregiving. The results of this article are derived from a qualitative descriptive study conducted in 2016. This article shows that the main source of stress for the caregivers is the absence of formal supportive policies that would help them in the caregiving process. Addressing this omission would help to alleviate some of the issues related to caregiving. The results show that stresses have caused burdens, including feeling of guilt, sadness, frustration, isolation, and loneliness. Coping strategies and the positives of caregiving included withdrawal, surrender, engaging in activity, and meditation. Despite the stresses and burdens of caregiving, caregivers found joy and positive impact from taking care of their elderly family members, but a gap in formal support needs to be filled.
NATIVE PLANT RESOURCES AND TRADITIONAL FOODS OF CHAMBA DISTRICT, HIMACHAL PRADESH FOR SUSTAINABLE FOOD SECURITY AND LIVELIHOOD.
Authors: K.Attri Pawan
Published: February 2023

The present study reports the diversity of plant resources of Chamba district of Himachal Pradesh, India for their traditional food and edible uses. The use of above ground parts like leaves, fruits and seeds and other aerial parts, stem, branch, flowers/inflorescence, was found to be higher as compare underground parts include roots, bulb and rhizome. In view of changing of food habits of local communities of Chamba district of Himachal Pradesh, a study to document the native plant resources of food importance and traditional recipes was conducted. Both cultivated and wild edible plant species were documented through scheduled interviewed with the help of respondents the questionnaires were filled up. After conducting the survey in the whole district the plant species of food importance were identified and a large number of traditional food items were enumerated. The relationship between plant species of food importance and sustainable livelihood were also discussed. It was observed that urbanization posing a threat to the plant diversity of the area as well traditional knowledge and cultural practices of the rural peoples.
Una lección por aprender
Authors: Martínez Reyes Nelson Rubén
Published: February 2023

Editorial, Una lección por aprender, No. 6, agosto 2010
Basis For Developing Digital Integrated Models for The Development of the Rural Labor Market in Labor-Sufficient Regions
Authors:   Doctor of Economic Sciences, Professor Tashkent State University of Economics, Tashkent, Uzbekistan., Rakhmatovich Kholmuminov S.
Published: February 2023

This article proposes methodological foundations for the development of digital integrated models for the development of the rural labor market in labor-surplus regions in the conditions of the functioning of a socially oriented market economy. It includes the approved main stages of digital integrated models (DIM) for breaking up the rural labor market in labor-surplus regions: defining the goal and a list of problem-optimization tasks to be solved; implementation of the choice of the type of digital economic and mathematical models; development of target complex models and testing of their consistency; collection, analysis and assessment of the reliability of the necessary information; computer approbation of the proposed DIM, a comprehensive analysis of the obtained computer results. At the same time, on the basis of the developed DIM, forecast indicators for reducing the informal employment of the rural able-bodied population of the Republic of Uzbekistan until 2025 were determined.
Improvement of Accounting Forms in Multi-Industry Farms
Authors:   Accounting department, Tashkent State University of Economics, Uzbekistan, Tursoatovich Temirov F. Tursoatovich
Published: February 2023

This article provides a developed method for Improvement of Accounting Forms in Multi-Industry Farms The proposed method helps in improving the theoretical, methodological, and practical bases at multi-industry farms.
Mutual Coupling Reduction Between MM-Wave Microstrip Antennas Using Split Rectangular Structure
Authors:   Delta Higher Institute for Engineering and Technology, Talkha , 3511, Mansoura, Egypt, Yousef Basma M. ,   Delta Higher Institute for Engineering and Technology, Talkha , 3511, Mansoura, Egypt, Arnous Reham
Published: February 2023

A novel design of metamaterial structure has been developed to reduce the mutual coupling between two microstrip patch antennas. A split rectangular structure loaded between the two microstrip patches is the method used to decrease coupling. The proposed antenna is designed to operate at a frequency of 28 GHz. This construction is suited for use with mm-wave, 5G antenna systems, and mobile applications. The connection between antennas is significantly improved. The maximum isolation achieved is 29.5 dB by etching the split rectangular structure on the ground of the proposed antenna and on a floated ground between the two patches. The distance between the two elements of the antenna, from edge to edge, is 0.4λ. The design is achieved with CST Studio software.
Garlic Candy: A Product Development Research
Authors: Banaybanay Jocelyn C
Published: February 2023

Food plays a vital role to life by giving energy needed by the human body. But too much consumption may lead to diseases. Filipinos are known for their enjoyment of food. Almost 55% of the total population suffer from cholesterol issues and 35% of it died with hypertension. Multiple meta-analyses revealed that garlic help decrease blood pressure, and pressure-lowering impact is physiologically feasible. Garlic contains active sulfur compounds that proven to influence endothelium-relaxing and -constricting factors, resulting lower blood pressure. The study aims to formulate garlic candy in terms of ingredients, proportions, resources, and equipment. The main ingredient for this study was garlic known for lowering the high blood pressure. Other ingredients are milk, sugar, flour and artificial color to improve its appearance. The researchers perform three trials and error basis to determined which aspect of the output seeks improvement. By that they recorded the proper formulation for the garlic candy which based on the following; (1) aroma, (2) taste, (3) appearance and (4) texture. Using a developmental research, the result of the study has been recorded the following; the output has the percentage of 3.02 in terms of aroma, 3.30 in terms of taste, 3.12 in terms of appearance, 3.18 in terms of texture. After the evaluation the following are recorded; composite mean of 3.16% indicating the acceptable verbal interpretation, 6.95% for the protein, 6.77% for the total fats, 2.06% for the calcium, 18.65% for the allicin and 2.69% for the Vitamin B which are agent I lowering hypertension.
Carotid Artery Stenting for Asymptomatic Carotid Stenosis: What We Need to Know for Treatment Decision
Authors: Baek Jang-Hyun
Published: February 2023

A clinical decision on the treatment of asymptomatic carotid stenosis is challenging, unlike symptomatic carotid stenosis. Carotid artery stenting (CAS) has been recommended as an alternative to carotid endarterectomy (CEA) based on the finding that the efficacy and safety of CAS were comparable to CEA in randomized trials. However, in some countries, CAS is often performed more frequently than CEA for asymptomatic carotid stenosis. Moreover, it has been recently reported that CAS is not superior to the best medical treatment in asymptomatic carotid stenosis. Due to these recent changes, the role of CAS in asymptomatic carotid stenosis should be revisited. When determining the treatment for asymptomatic carotid stenosis, one should consider several clinical factors including stenosis degree, patient life expectancy, stroke risk by medical treatment, availability of a vascular surgeon, high risk for CEA or CAS, and insurance coverage. This review aimed to present and pragmatically organize the information that is necessary for a clinical decision on CAS in asymptomatic carotid stenosis. In conclusion, although the traditional benefit of CAS is being revisited recently, it seems too early to conclude that CAS is no longer beneficial under intense and systemic medical treatment. Instead, a treatment strategy with CAS should evolve to select eligible or medically high-risk patients more precisely.
Fallet med den muterade science fictiondeckaren
Authors: Mehrstam Christian
Published: February 2023

The Case of the Mutant Science Fiction Detective Story: Literariness and Popular Culture in Education

This article states that the main schools of pedagogy of literature are in their respective ways designed to seize upon the benefits of literariness, which is a feature that some texts are still considered to have and others are considered to lack. With the example of Henrik Örnebring’s novel Blodsmak: Ett fall för Sennja Maler (»Taste of Blood: A Case for Sennja Maler«), it is demonstrated how a book that by all reader accounts lacks literariness, can be given it by altering the reader’s expectations. It is suggested that a turn in perspectives might be beneficial: the pedagogy of literature should be considered a creative activity, in the sense that it produces texts with desirable qualities rather than discovers »existent« qualities. This would open up a range of possibilities, for instance by making genre fiction more interesting to the education system. It is contended that this turn in perspectives could be strongly supported by modern systems theory, which would also bring wider implications for comparative literature.
Att läsa Lolita på lärarutbildningen
Authors: Persson Magnus
Published: February 2023

Reading Lolita in Teacher Education

In this article an example of class room work on Vladimir Nabokov’s novel Lolita is used to discuss text selection in teacher education. My starting point is that text selection far too seldom becomes a matter of risk taking. What happens when you as a teacher deliberately choose texts that may provoke your students? What are the didactic and ethical possibilities and difficulties? My thesis is that the choice of provocative literature can function as a productive bridge between aesthetical and instrumental ways of reading. Texts which challenge core values of the school and »the myth about the goodness of literature« open up for dialogues about the what, how and why of literature instruction.
Läsningens disciplinering
Authors: Bergenmar Jenny
Published: February 2023

The Teaching of Literature and the Disciplining of Reading

The article discusses how the institutional norm of critical reading tends to rule out other ways of reading. Instead of mapping different kinds of reading practices and providing useful concepts for describing them, the teaching of literature often tends to be prescriptive and aimed at reproducing this specific way of reading, and in extension, a certain view of literature related to it. This problem is discussed in connection to Rita Felski’s »modes of textual engagements,« Michael Warner’s questioning of what qualifies as a critical reading, and Eve Kosofsky Sedgwick’s concept of »reparative reading.«
A STUDY OF EFFECTIVE USE OF MARKETING STRATEGIES TO IMPROVE THE FINANCIAL PERFORMANCE WITH REFERENCE TO DIVINE INDUSTRIAL SOLUTIONS, JAYASINGPUR
Authors:   DESHBHAKT RATNAPPA KUMBHAR COLLEGE OF COMMERCE, KULKARNI MR.PRATHAESH MOHAN , REMANE DR.GAJANAN NARAYAN
Published: February 2023

The marketing strategy is not just evaluating the external and internal factors, but it also needs to be implemented efficiently to develop an attractive suitable product and distribution channel, to hire an effective sales team and to generate business support for the firm. The study of 150 customers located in Kolhapur (Maharashtra) which are manufacturer and traders also who purchase Divine Industrial Solutions products. The primary data is collected through Questionnaires, Personal interview, discussions, field survey from these 150 customers and the secondary data is collected from the companies previous records, files as well as review of financial statements, balance sheets etc. for the period of three year from 2019 to 2022. The marketing strategy of an enterprise is a complete and unbeatable plan or instrument specifically designed to achieve the set of marketing objectives that will influence and finally improves the financial performance of the company. The marketing strategies is a managerial process of developing and maintaining the relationship between the changing market opportunities, as well as enhancing the financial growth and performance of the company. Marketing strategies further predetermines the choice of target market segments, positioning, marketing mix and allocation of resources. This research will provide insights into the various marketing strategies to improve the financial performance of the organization and to maintain the growth of the organization. Keywords:- Marketing Strategies, Strategic Marketing, Financial Performance.
CAD/CAM CERAMIC MATERIALS FOR INDIRECT RESTORATIONS IN DENTISTRY—A REVIEW
Authors:   DEPARTMENT OF PROSTHODONTICS AND CROWN & BRIDGE,MALABAR DENTAL COLLEGE & RESEARCH CENTRE, B PUNYA KRISHNAN , BHASKARAN SAPNA , MERRY C PAUL MEENU , K MENON SUJITH , VENUGOPALAN DEEPTHI , P M ARYASREE
Published: February 2023

The aim of this review article is to present various ceramic materials currently utilized in the field of CAD/CAM. Due to high aesthetic and functional demands of indirect restorations research on dental materials is increasing. Comparing the materials will take into account their mechanical properties, their clinical usage, their advantages and disadvantages.
INTRAORAL APPLICATION OF LOW LEVEL LASER THERAPY -A REVIEW
Authors:   DEPARTMENT OF PROSTHODONTICS AND CROWN & BRIDGE,MALABAR DENTAL COLLEGE &RESEARCH CENTRE, P M ARYASREE , BHASKARAN SAPNA , MERRY C PAUL MEENU , NINAN JUSTIN , S RAJ SRUTHY , PUNYA KRISHNAN B
Published: February 2023

Lowlevel laser therapy (LLLT) is a relatively new technique in the dental field. It is now used by many clinicians in dentistry. Among its most popular applications are the stimulation of the healing process and pain relief. This paper will discuss and review the most recent intraoral applications, its dosage, its applicability in dentistry, and the hazards connected with it are all discussed in this article so that it can be used to provide greater dental care.Low-level laser treatment (LLLT) elicits biological responses in the body by using light energy in the form of adenosine triphosphate (ATP). Pain relief, wound healing, muscle relaxation, immune system regulation, and neuron regeneration are all aided by increased cellular energy and changes in cell membrane permeability. The clinical consequences of LLLT are investigated in this article, as well as how it can be used in the dentistry area.
Role Of Volunteers Developing Social Responsibility During An Outbreak Of Epidemic Diseases
Authors: Kumaran Dr.T.
Published: February 2023

Citizens often play vital roles in helping those affected to respond and recover, and can provide invaluable assistance to official agencies. However, in most developed countries, emergency and disaster management relies largely on a workforce of professionals and, to varying degrees, volunteers affiliated with official agencies. Those who work outside of such systems have tended to be viewed as a nuisance or liability, and their efforts are often undervalued. Given increasing disaster risk worldwide due to population growth, urban development and climate change, it is likely that ‘informal’ volunteers will provide much of the additional surge capacity required to respond to more frequent emergencies and disasters in the future. There is a need for stronger advocacy for all-hazard emergency preparedness actors, plans, and processes to recognize that pandemic is one of the risks that needs to be included. Service to the natural calamity affected people is expected from the NSS volunteers. During times of floods, earthquake, storms, epidemics, famine the following should be done by the NSS volunteers.
A Study to Compare The Relation of Taste Threshold Between Type 1 and Type 2 Diabetes Mellitus
Authors:   Assistant Professor, Department of Physiology, RajaRajeswari Medical College and Hospital, Bengaluru, Karnataka, India., GS Latha
Published: February 2023

Taste disorders result from various diseases and drugs. Severe taste dysfunction leads to decreased food intake and poor nutrition. There are five established basic taste modalities, which are altered specifically, or may be affected generally. Diabetes mellitus is one of the diseases that affect taste. It is the most common endocrine-metabolic disorder affecting a large population. Two major type of diabetes are, Type 1 DM in children and adolescents and Type 2 DM in adults. Many studies have been done on alteration of taste sensation in type 1 or type 2 DM separately, mainly on four primary sensations of taste, without considering the umami taste in their study frame. Nevertheless, no comprehensive information is available on alteration of physiological taste threshold for different taste modalities, including umami taste in both type 1 and type 2 DM. Thus, the present study is undertaken with the objectives; to compare the alteration in taste threshold for five primary sensations in type 1 and type 2 DM. Materials and Methods: Investigations were carried out in thirty type 1 diabetic patients, aged between 12 to 35 years and in thirty type 2 diabetics patients aged between 40-70 years and in age and anthropometrically matched control groups of thirty, each for type 1 and type 2 diabetics separately, who were apparently healthy. Their age, health status and other personal data were obtained by comprehensive questionnaire. Statistical analysis was done using ‘Mann Whitney U test’. Results: The taste threshold for Salt and Sweet sensation significantly (p<0.05) increased in type 1 diabetics, compared to their controls. Similarly, the taste threshold for Salt and Sweet were significantly (p <0.05) increased in type 2 diabetics, compare to their controls. Furthermore, in Type 2 diabetics, taste threshold for Salt and Sweet were significantly (p<0.05) higher compared to type 1 diabetics. No difference in threshold was observed for Umami, Sour and Bitter tastes in any one of the diabetic group. Conclusion: Taste dysfunction was evident in both type 1 and type 2 diabetics and more so in type 2 diabetic patients. The increased taste threshold is specific, affecting Salt and Sweet modality mainly. Dysfunction of taste sensation should be detected in diabetics by screening. Measures to improve the food intake and supplementation for nutritional deficiencies can be given priority in diabetics.
Clinical Pathological Approach to Polyps of the Colon
Authors:   University, Faculty of Medicine, Department of General Surgery, Kars, Turkey., Kafkas Tülay Diken Allahverdi
Published: February 2023

Elements of its lumen from the areas of the mucosa or submucosa are called colon polyps. Colon polyps major implications of malignancy. Multiple colorectal referrals are made for evaluation of polyp or polypoid evaluations. Detection excision is the most important step in the prevention of malignancy and histopathological evaluation of colon polyps. Colon polyps are divided into two groups as non-neoplastic and neoplastic. They include hyperplastic polyps as non-neoplastic polyps, while the majority of neoplastic polyps are adenomatous polyps. Adenomatopolyps are transitional as tubular-tubulevous-villi. The incidence is tubular (65-80%), tubulovillous (10-25%) and villous (5-15%) adenomas. This is on the right track of diagnoses. In this product, clinical disease limits are emphasized in polyps.
Large Colonic Lipoma: An Unusual Presentation and Colonoscopic Resection
Authors:   Department of Gastroenterology, University of São Paulo, Brazil., AM Bestetti
Published: February 2023

Lipomas are a very common benign neoplasm, the most common soft-tissue tumor, consisting of mature fat cells enclosed by a capsule. They are mostly superficial and located at the subcutaneous tissue of any part of the body [1]. However, they can be found at other sites, such as the central nervous system, abdominal solid organs and also in a subepithelial presentation in any part of the gastrointestinal (GI) tract [2-4].
Indonesia Post-Pandemic Outlook: Environment and Technology Role for Indonesia Development
Authors: Ramlan Fitria Wulandari , Sitompul Fachri Rizky , Fajar Ahmad , Putri Nanda Aulia , Nuha Ulin , Mustafa Ade Brian , Zahraturrahmi  , Mustaqiman Aulia Nur , Hidayatulloh Asep Muhammad , Pangestu Radityo , Septiani Nabilla Dewi , Subrata Bhaskara Anggarda Gathot , Junaid Anugrah Abdillah , Prilliadi Hilmy , Sidik Fahrudin , Hassan Fahir , Hanun Jihan Nabillah , Nur Adyanis Latonia , Mahardika Surya Bagus , Agusta Rendy Pratama , Untari Dyah Wahyu
Published: February 2023

COVID-19 has disrupted all aspects of human life. To mitigate the impact of the pandemic, several efforts have been taken, including by Indonesian scholars abroad. This book entitled Indonesia Post-Pandemic Outlook: Environment and Technology Role for Indonesia Development explores environment and technology issues and topics related to the COVID-19 pandemic and discusses post-pandemic recovery efforts in Indonesia. Comprising of 19 chapters, this book is divided into four sections. The first section, disaster and greening management development, discusses insights for a better solution in disaster prevention and development of greening management. Second, waste and pollution management development, explores options in development of waste and pollution management such as potentials uses of membrane technology, remediation of textile dyes, biochar industry, and also discussion on persistent organic pollution and microplastics. Third, food defense and security development, explores the potentials of food security and management in utilizing the potential of coastal sand marginal land resources, IoT and smart packaging, and smart food supply chain. The last part, human resource and public service development, discuses developments on management of education system, public transportation, e-government, and health information system. We hope that this book can be a valuable reference for stakeholders, policymakers, as well as society to recover from the pandemic crisis and find better solutions to benefit future generations.
The Place of Technical University of Moldova in Developing the National Intellectual Property System
Authors: Dulgheru Valeriu
Published: February 2023

In the development of human civilization, technical creativity has the predominant place. Human civilization emerged with the transformation of Homo Faber into Homo Sapiens. As evidence that our ancestors were twinned with the god of creativity is the priceless work of art and history „Thinking Pair” from Hamangia. The progress of human civilization was dictated by the technologies of stone, bronze and especially iron. The level of development of a country is determined both by the level of creativity of the society’s individuals, and also by the existence of a national system of intellectual property. Being a leader in the field of technical creativity in the last decade of the existence of the USSR (2106 inventions obtained in the period 1980-1991), the Technical University of Moldova indirectly contributed to the creation of the National Intellectual Property System, which appeared despite the background of the disintegration of the USSR in the first years of independence. An important role in this process was played by the first Director of the State Agency on Intellectual Property (AGEPI), a graduate of the Technical University of Moldova, Eugen Stascov. Unlike scientific centers, where pure research is performed, in a higher education institution technical creativity has two distinct functions: the productive function - the production of science-intensive ideas and products, and the educational function - the creative training of the young generation. Those over 5000 inventions of Technical University’s inventors and their analysis are an important resource for the young creative generation.
Comparative Analysis of Enforcement of Intellectual Property Rights at the Border in Some Balkan States
Authors: Tiganas Ion
Published: February 2023

IPR enforcement system at the border, implemented by some Balkan states, is largely similar. At the same time, the analyzed legislation took over the border protection model valid in the EU. The unification of the rules of the Balkan states and their harmonization with EU legislation, represent strong signals to rightholders and dispel the misperception that the Balkan region is ”irreparably” affected by the counterfeiting. Moreover, the recent actions of the customs authorities in Albania, Bosnia and Herzegovina, Kosovo, Montenegro, North Macedonia, Serbia and the Republic of Moldova confirm openness and interest in fighting against IPR infringements in this region.
Formation of Entrepreneurial Skills and Protection of Intellectual Property
Authors: Inglis Iulia
Published: February 2023

Entrepreneurial skills are defined as the ability to act on opportunities and ideas, to create socioeconomic value for customers and make a profit. Entrepreneurial skills training can be done in any situation: from school curriculum to workplace innovation, from community initiatives to applied learning within universities. Being creative or innovative is a relevant skill for business planning and management. Innovation determines the creation of intellectual property objects, and innovative entrepreneurs must know how to identify intellectual property objects, determine the limits of rights, correctly apply the principles underlying the protection of IP rights, showing a negative attitude towards counterfeiting and piracy actions.
Economic Evaluation of Laparoscopic/Classic Surgical Interventions in the Emergency Surgical Service
Authors: Malacinschi-Codreanu Tatiana
Published: February 2023

This paper reports the method of assessing the quality of the acute abdomen (AA) treatment through the lens of cost-effectiveness analysis (CEA) of surgical interventions. The secondary economic study in which the economic evaluation method of acute abdomen treatment was developed took place in the Institute of Emergency Medicine. The method was implemented in the Endoscopy Department of the Institute of Emergency Medicine to analyze the efficiency of laparoscopic methods in ensuring the quality of the emergency surgical service. ECA is cheap, easy to implement, compared to other economic methods, when social benefits and costs are difficult to monetize. The developed method had an important clinical and economic effect in the evaluation of the quality of acute abdomen treatment in the emergency surgery service with decisional impact for the promotion of laparoscopic curative-diagnostic methods in acute abdomen management.
Formation of Patriotic Consciousness of Students of the MIA Academy “Stefan cel Mare” Through the Prism of Military Traditions
Authors: Chirita Olga
Published: February 2023

The end of the 20th century - the beginning of the 21st century is marked by a global information revolution, the product of which is the intensive embodiment of the idea of an interdependent and interconnected world or globalization. Globalization as a global process affects all spheres of public life: economy, science, culture, education, etc. An essential way of preserving the national identity of the people in the context of globalization is the formation of patriotic feelings among young students as a person’s conscious desire to act in accordance with his value orientations. One of the most effective ways of patriotic education of students of the MIA Police Academy „Stefan cel Mare” of the Republic of Moldova is the formation of patriotic consciousness on the basis of military traditions. Tradition carries on its time-tested experience, which allowed previous generations or other social groups to achieve certain progress in the past, a result which was fixed in people’s minds as something positive.
Shoulder Abduction While Using the Bougie: A Common Mistake
Authors: Horky John , Pirotte Andrew , Wilson Bailee
Published: February 2023

Case Presentation: A 72-year-old female presented to the emergency department (ED) with exacerbation of chronic obstructive pulmonary disease and congestive heart failure. The patient required intubation for airway protection and hypercapnic respiratory failure. The ED team used a video laryngoscope, Macintosh 3 blade and bougie as the endotracheal tube delivery device. Despite a grade 2a Cormack-Lehane airway view, the bougie repeatedly missed left posterolateral to the airway. During these missed attempts, the emergency medicine (EM) resident’s shoulder was noted to be abducted. The EM resident then readjusted his technique by adducting the shoulder. which allowed the tip of the bougie to pass the vocal cords resulting in successful intubation.

Discussion: The bougie is a useful endotracheal tube delivery device when used properly. Optimal body mechanics and device orientation are critical to successful use. Shoulder abduction while using the bougie is a frequent mistake, which can lead to left posterolateral malposition in relation to the glottis/airway. In this brief review our goal is to aid the intubating clinician in optimal use of the bougie, yielding more successful endotracheal tube passage.
Emergency Department Treatment Provides Immediate and Durable Relief Following Vaccine Injury: A Case Report
Authors: Rowh Adam , Rowh Marta , Goodman Mark
Published: February 2023

Introduction: Intramuscular administration of vaccines into the deltoid muscle is the recommended route for most vaccines in adults. Ectopic injection into the subdeltoid/subacromial bursa can produce an inflammatory bursitis that is associated with significant long-term morbidity.

Case Report: We describe a novel approach to treatment of this condition: ultrasound-guided administration of dexamethasone by the emergency physician within six hours of vaccine administration. This approach resulted in complete and durable long-term resolution of symptoms with no functional impairment.

Conclusion: This outcome is superior to that described for usual care, and the approach is well-suited to emergency physicians.
A Rare Malposition of a Left Internal Jugular Central Venous Catheter into the Left Internal Mammary Vein
Authors: Koziatek Christian , Idowu Damilola , White Richard
Published: February 2023

Case Presentation: We describe a case of left internal jugular central venous access with rare malpositioning into the internal mammary vein. Despite various confirmatory measures at the time of placement including ultrasonography of the internal jugular vein, as well as blood gas analysis consistent with venous blood by oxygen saturation and good venous flow in all three ports of the catheter, subsequent imaging confirmed misplacement into the internal mammary vein.

Discussion: Central venous access is a frequently used procedure by emergency physicians for a variety of indications. Emergency physicians must be facile with both the technical process of central venous catheter placement, as well as possible pitfalls and complications of the procedure. Common complications, such as bleeding, pneumothorax, arterial injury, infection, and hematomas, are usually well known; less frequently encountered is malposition of the catheter despite seemingly appropriate placement.
Acute Intracranial Subdural Hematoma Masquerading as a Postpartum Headache: A Case Report
Authors: Tondt Julie , Counselman Francis , Bono Michael
Published: February 2023

Introduction: An acute subdural hematoma is a collection of blood in the space between the dural and arachnoid membranes overlying the brain. Head trauma is the most common cause. Less frequently, low cerebrospinal fluid pressure, due to a spontaneous or iatrogenic cerebrospinal fluid leak can result in a subdural hematoma.

Case Report: We discuss the case of a 26-year-old woman who presented with a frontal headache following epidural anesthesia for vaginal delivery. The differential diagnosis included spinal headache, postpartum hypercoagulability, dural sinus thrombosis, and intracranial hemorrhage or mass. Her vital signs and physical examination were normal. A computed tomography of the brain revealed an acute subdural hematoma along the left frontal cerebral hemisphere, without midline shift or mass effect. A blood patch was placed with complete resolution of her symptoms.

Conclusion: This case illustrates an unusual case of an acute subdural hematoma in the postpartum period following epidural anesthesia for labor pain management. It was thought to be caused by intracranial hypotension following epidural anesthesia and a cerebrospinal fluid leak.
Association of Left Ventricular Systolic Function with Diagonal Branch Flow in Patients with First Anterior ST-Elevation Myocardial Infarction Treated with Primary Angioplasty
Authors: Raadi Mehrdad , Javanshir Elnaz , Salehi Rezvaniyeh , Separham Ahmad
Published: February 2023

Background: There are few studies about the impact of diagonal branch blood flow on echocardiographic findings in patients with first acute anterior myocardial infarction undergoing primary angioplasty. Objectives: We aimed to compare left ventricular systolic function measures in patients with first acute anterior ST-segment elevation myocardial infarction (STEMI) treated with primary angioplasty based on diagonal branch blood flow after the procedure. Methods: This study was a single-center study that enrolled patients with their first acute anterior STEMI treated with primary angioplasty in our center between October 2020 and March 2021. Patients were divided into two groups: The patients with final thrombolysis in myocardial infarction (TIMI) flow III in diagonal (sufficient diagonal flow) and patients with final TIMI flow less than III in diagonal (insufficient diagonal flow) after the procedure. The left ventricular Wall-Motion Score Index (WMSI) and left ventricular ejection fraction (LVEF) were compared between the two groups. Results: A total of 107 patients with first anterior STEMI treated with primary PCI were enrolled in the present study, of which 13 patients (12.1%) had insufficient diagonal flow after primary coronary angioplasty. The LVEF was lower in patients with insufficient diagonal flow (32.92 ± 7.29% vs. 39 ± 8.68%, P = 0.018). Also, this group had higher LV WMSI (1.68 ± 0.28 vs. 1.49 ± 0.26, P = 0.029). Conclusions: The present study showed that in patients with first acute anterior STEMI undergoing primary angioplasty, insufficient diagonal branch flow after the procedure was associated with worse left ventricular systolic function and higher LV WMSI.
Alveolar lymphangioma diagnosed in a white Irish neonate: a previously unreported finding
Authors: McCarra Charlotte , FitzGerald Kirsten
Published: February 2023

Historically, alveolar lymphangiomas have been reported exclusively in the oral cavities of black infants.

To the author’s knowledge this is the first report of alveolar lymphangioma in a white Irish neonate. The paper presents multiple alveolar lymphangiomas found in the oral cavity of a white Irish neonate in a Dublin children’s hospital. The child’s medical background, differential diagnosis, management options and outcome are discussed.
Luchas éticas y políticas en enfermería brasileña: análisis de videos de YouTube
Authors: Dos Santos Bezerril Manacés , Gonçalves da Costa Maria Eduarda , De Araujo Lima Freire Vanessa , Belmiro Andrade Fernanda , Barreto Tavares Chiavone Flávia , Pereira Santos Viviane Euzébia
Published: February 2023

Las luchas y movimientos de la enfermería brasileña son una constante y, además del reconocimiento y la apreciación de la profesión, la consolidación de la autonomía de la profesión en los diversos campos de actividad, así como la promoción de avances, como los manifiestos que culminaron en la Ley Nº 7.498/86, que regula la práctica profesional de la enfermería, estandariza la prescripción y la consulta de enfermería, define las categorías y establece las asignaciones correspondientes [Fragmento de texto].
La importancia de la perspectiva cultural enfermera a la hora de ofrecer consejos de introducción de alimentación complementaria en niños
Authors: Viedma Sánchez Silvia , Esperón Gaitán Silvia
Published: February 2023

La alimentación complementaria (AC) se define por la introducción de alimentos líquidos, semilíquidos o sólidos diferentes a la lactancia materna o leche de fórmula en el niño, para satisfacer las necesidades adecuadamente a partir de una determinada edad. La Organización Mundial de la Salud (OMS) entre otras sociedades recomiendan la introducción de la AC a partir de los 6 meses de edad, siempre que sean seguros y adecuados nutricionalmente [Fragmento de texto].
La leche por bandera en Granada. Evolución de las nodrizas desde la plaza de las pasiegas hasta el banco de leche del hospital materno infantil de Granada
Authors: Martín García María Isabel , Cortecero González José Luis , Aragón Romero Paula , Romero Ortega Griselda
Published: February 2023

Cuando pensamos en nodriza, las dos palabras que se vienen a la cabeza son leche materna y altruismo. Dos vocablos que han estado ligados a ellas y que hoy, en el siglo XXI, aún continúan.  Las primeras nodrizas hicieron de esto una forma de trabajo, no estaba remunerado y para la clase alta era una forma de librarse del cuidado y crianza de sus hijos. Para las nodrizas supuso la incorporación al mundo laboral [Fragmento de texto].
Entre la magia y la sanación. Las primeras enfermeras de Montoro
Authors: Calero Mercado Natividad
Published: February 2023

Durante siglos las mujeres han sido las encargadas de sanar y cuidar de la salud de las comunidades. Ellas fueron las primeras médicas en la historia de Occidente. Se desempeñaron como enfermeras, farmacéuticas, comadronas, alquimistas, químicas y consejeras. Hacían abortos, cultivaban hierbas medicinales, transmitían sus conocimientos y experiencias de unas a otras y de generación en generación. Visitaban a los enfermos en sus casas y viajaban de pueblo en pueblo [Fragmetno de texto].
En el saber indígena las plantas son una fuente de enseñanza
Authors: Narby Jeremy
Published: February 2023

Creció en Montreal (Quebec) y en Suiza, y más tarde estudió Historia en la Universidad de Kent y se doctoró en Antropología en la Universidad de Stanford. Ha vivido durante años con los indígenas asháninca de la Amazonia peruana, estudiando su relación con la selva y apoyando su combate contra la masacre ecológica en marcha. En sus libros, Narby examina la relación y los posibles puentes entre el chamanismo y la ciencia, especialmente desde el punto de vista de la biología molecular. Autor de La serpiente cósmica, Intelligence in Nature, Shamans Through Time y Plant Teachers: Ayahuasca, Tobacco, and the Pursuit of Knowledge.
Reflexión: Entretejiendo los cuidados enfermeros, la historia y la cultura en Uruguay
Authors: Umpierre Graciela , Acosta Cecilia
Published: February 2023

En el curso de la evolución de la humanidad, las tradiciones culturales y el cuidado se han extendido desde la experiencia transmitida de generación en generación por las mujeres, atribuida gradualmente a los hombres; heredando un fuerte enlace conectado a la moral y a la religión. Para luego desarrollarlos como cuidados enfermeros en la construcción de la profesión de enfermería [Fragmento de texto].
Montemor-o-Novo, el terreiro del menino João Cidade
Authors: Lopes Subtil Carlos Louzada
Published: February 2023

El ponente introduce la época en que Juan de Dios vivió en el Alentejo, uno de los periodos de transición más significativos de la historia de la humanidad, cuando se produce el paso de la Edad Media a la modernidad, un momento de reforma y renacimiento de los ideales clásicos. Seguidamente, describe el contexto religioso-sanitario y social de la época y las incertidumbres sobre el origen de Juan de Dios y su salida de la casa de sus padres a la edad de 8 años. Finalmente muestra cómo Juan de Dios sigue en la memoria y aún está presente en el Portugal del siglo XXI.
Granada será tu cruz y escenario de tu reforma hospitalaria
Authors: Benavides Francisco
Published: February 2023

La ciudad de Granada está impregnada de la figura y obra de San Juan de Dios, pues fue donde llevó a cabo su renovada obra hospitalaria, donde pasó la última etapa de su vida, donde afrontó las mayores dificultades, pero también donde alcanzó el más alto reconocimiento. Hoy existe un itinerario juandediano en la ciudad que recorre el centro histórico para descubrir los múltiples emplazamientos donde su figura dejó huella y que la tradición ha llevado hasta nosotros. Por todo ello, según el director de la Casa de los Pisa, que fue donde el santo falleció, Granada es un lugar con un fuerte componente didáctico para conocer lo que este personaje aportó a la enfermería y a las profesiones relacionadas con la salud.
Homenaje filatélico y documental a la matrona Teresa Rodríguez Braza (1928-2017)
Authors: Herrera Rodríguez Francisco
Published: February 2023

Teresa Rodríguez Braza nació en Sanlúcar de Barrameda en 1928. Realizó el Bachillerato en Cádiz (1945-1948). A principio de los años cincuenta obtuvo los títulos de Practicante y Matrona en la Facultad de Medicina de Cádiz, influida por sus tías Teresa, Luisa y María, que también ejercieron esta profesión. Realizaba la asistencia a los partos en las casas, con escasos recursos, circunstancias que eran superadas por su vocación y su profesionalidad, en una época en que la pobreza estaba muy presente [Fragmento de texto].
La Hospitalidad-Enfermería de San Juan de Dios
Authors: Eseverri Chaverri Cecilio
Published: February 2023

El campo conceptual de nuestra Enfermería, será, ha de ser, por tanto, sinónimo de trabajo intelectual, estructural y técnico-sanitario-especializado, determinado, conseguido: por el conjunto de profesionales participantes en el empeño: por la voluntad puesta en ampliar y enriquecer el trabajo profesional originario; por las nuevas adquisiciones conseguidas como fruto de una correcta laboriosidad, colaboración, investigación, mejoras aplicadas a nuestra operatividad profesional mediante una respetuosa y sistematizada técnica [continuar leyendo en el PDF].
reflexão sobre práticas violentas no processo de escolarização de surdos oralizados usuários de aparelho auditivo de amplificação sonora
Authors: Braga Débora Brizon , Pylro Simone Chabudee
Published: February 2023

O fenômeno bullying é uma subespécie de violência entre pares, complexo e multidimensional. Dentre os tipos específicos de violência, destaca-se neste estudo a violência praticada contra a pessoa deficiente, em contexto escolar, como uma das possibilidades a dificuldade da sociedade lidar com os diferentes. Assim como outros estudantes, os surdos são sujeitos passíveis de sofrerem bullying. Dessa forma, a presente pesquisa tem como objetivo geral verificar se o fenômeno bullying fez ou faz parte do cotidiano escolar de adolescentes surdos oralizados e usuários de aparelho auditivo de amplificação sonora individual, pacientes de um Serviço de Saúde Auditiva do Espírito Santo- ES. A amostra era composta de adolescentes com idades entre 12 e 18 anos. Estes responderam um formulário desenvolvido no Google Forms, composto por 40 questões, 1 aberta e 39 fechadas, organizadas em 3 sessões. Após a coleta, no que se refere aos aspectos quantitativos, os dados foram analisados por meio do software Statistical Package for Social Science (SPSS) versão 25 para Windows. A análise qualitativa foi encaminhada a partir dos três temas apresentados no formulário de coleta de dados. Estudos sobre a incidência de bullying indicam uma alta prevalência desse fenômeno em contexto escolar, porém, essa tendência não foi verificada no presente trabalho cuja amostra contemplou estudantes surdos. Acredita-se que a baixa incidência de bullying junto a amostra investigada pode ser devido ao número relativamente baixo de participantes surdos que aceitaram participar da pesquisa. Quando a prática de bullying foi mencionada, as formas de agressão mais frequentes foram a verbal, seguida da física e material, psicológica e o cyberbullying.
A Study of Congenitally Missing Permanent Teeth in Wonju Severance Christian Hospital
Authors: Na Chaehyun , Kim Jihun
Published: February 2023

Congenitally missing teeth are one of the most prevalent dental anomalies in the oral cavity. In this study, the prevalence, distribution, and symmetry of congenitally missing permanent teeth among 1,865 patients aged 7 to 15 years who visited the Pediatric Dentistry Department of Wonju Severance Christian Hospital from March 2011 to May 2021 and took panoramic radiographs were investigated and analyzed. Most of the patients had one or two congenitally missing teeth, mainly in the second premolars and lateral incisors. Congenitally missing teeth occurred more in the mandible than in the maxilla, and there was no significant difference in prevalence between the left and right sides. Congenitally missing teeth tend to occur symmetrically on the left and right sides and in the maxilla and mandible, depending on the tooth. Early oral examination and radiological examination are required to prevent complications due to congenitally missing teeth, and appropriate interdisciplinary treatment is required.
Surface Roughness and Cariogenic Microbial Adhesion after Polishing of Smart Chromatic Technology-based Composite Resin
Authors: Kim Haesong , Lee Juhyun , Kim Haeni , Park Howon
Published: February 2023

This study compared the surface roughness and microbial adhesion characteristics of Omnichroma, a novel composite resin developed using “smart chromatic technology”, with those of two other conventional composite resins with different filler compositions. A total of 144 specimens were fabricated using 3 types of composite resins: Omnichroma (nano-spherical), Filtek Z350XT (nanofill), and Tetric N-Ceram (nanohybrid) and, divided into 3 groups of 48. Finishing was performed using tungsten carbide burs. Specimens were then divided into 3 subgroups using different polishing methods: Control, SofLex, and PoGo. Surface roughness was analyzed quantitatively and qualitatively using an atomic force microscope and a scanning electron microscope. Microbial adhesion was assessed by culturing Streptococcus mutans on the specimens for 24 hours and then measuring colony-forming units attached to the upper surface. The surface roughness (Ra) of Omnichroma was 0.123 μm after finishing, and it exhibited a smooth surface compared to the other resins. However, after polishing, there were no significant differences in the surface roughness between the three composite groups, regardless of the polishing methods. The surfaces of the Control subgroups were significantly rougher than those of the SofLex subgroups in all 3 composite groups. However, except for Tetric N-Ceram, there were no significant differences between the Control and PoGo subgroups in the other composite groups. Microbial adhesion assessment showed no significant differences between any of the 3 composite resin subgroups; however, Omnichroma exhibited higher microbial adhesion than the other two composites. No significant correlation was observed between surface roughness and microbial adhesion.