bluuebunny/crossref_metadata_2025 huggingface dataset:
Life in the Digital World
Authors: Karadas Tolga , Dilci Tuncay , Sagbas Nuray Özge
Published: June 2023

For millions of years, mankind has made countless inventions and discoveries. These inventions are basically designed to facilitate humanity's life and serve humanity. So much so that at the cutting edge of technology, there are devices or virtual environments that can listen to people, talk to them, guide them, communicate with them, read, calculate, remember, remind, play, and do many other things on their behalf. Developments that have completely changed people's living habits have brought along many positive and negative developments. With the development of technology, the most widely used technological development is digital objects and virtual environments. Due to the existence of these objects and environments and the possibilities, diversity, and audiovisual richness they offer to people, many of them have deeply affected our perception of life and lifestyle. The basis of these effects is dependent on these devices and environments.
A SWOT Analysis of Gender Creations From Digital Games to Metaverse
Authors: Akpınar Mustafa Eren
Published: June 2023

In today's digital age, digital games point to an extremely important structure in terms of the audiences they appeal to, and the concept of metaverse, which has experienced a great increase in the speed of development in recent years, is also an area that affects digital games. Therefore, within the scope of this study, the process of digital games becoming metaverse in the near future is discussed. However, the study does not address only these two issues. Within the scope of this chapter, virtual gender creations that can be created in the context of the metaverse, together with the participation of digital games in the metaverse universe, are also examined with SWOT analysis. In addition, attention is drawn to the situations that may arise in terms of the fact that these developing technological structures can be reconfigured with virtual or meta-avatars that can be created. For this reason, within the scope of the study, it has been tried to be explained by examining how gender creations from digital games to meta-universe can affect the current situation.
The Effect of the Geometrical Parameter and Stacking Sequence on Damage Behavior of Unidirectional Carbon / Epoxy Laminate
Authors: Bellahkim Mouad , Benbouras Youssef , Maziri Aziz , Mallil El Hassan , Echaabi Jamal
Published: June 2023

In this work, an experimental test series was carried out in order to evaluate the influence of the geometry of the specimen and stacking sequence on macroscopic behavior and the failure modes. A CFRP prepreg unidirectional was used to perform the tested specimens according to ASTM D790 standard. Five main lay-up configurations have been analyzed: [0]12, [±30]3s, [±45]3s, [±80]3s, and [0/90]3s subjected to flexural loading. The macroscopic behavior was followed by an MTS machine equipped with a bending fixture. A digital microscope is used to follow the microscopic failure modes during loading. These laminates exhibit a more complex behavior due to coupling effects and the combination of different failure modes. However, the most predominant damage observed is delamination accompanied with matrix cracking. Furthermore, the present work has shown a linear behavior of [0]12, [±80]3s, [0/90]3s, and a distinctive behavior of [±45]3s and [±30]3s laminate under flexural loading due to its pseudo ductile behavior.
Application of System-Based Solar Photovoltaic Microgrid for Residential Real Estate
Authors: Gedefaye Edemialem , Lakeou Samuel , Tadiwos Tassew , Yetayew Tefera
Published: June 2023

This research explores the techno-economic potential for a predominantly renewable electricity-based microgrid serving Ethiopian residential real estate buildings, the fastest-growing sector. A stand-alone photovoltaic (PV)-Battery energy storage system (BESS)-Genset (PV-BESS-Genset) connected microgrid model, utilizing measured solar irradiation data, real-time manufacturer data for technology components, case study area daily energy consumption data, and a bottom-up approach to model demand response. The modeled system results in a $ 0.298 cost of energy (COE), reduces the 2000.34 kg/yr amount of CO2 released into the environment, and yields 1,470 kWh/yr of excess energy, which indicates that the system is the most cost-effective, ecologically friendly, and reliable, respectively. Moreover, solar PV production potential is very high onsite and can meet the onsite demand with a renewable fraction of 99.3%. However, BESS and generator production potential is substantial and provides a more balanced supply that can supply electricity when solar PV production is insufficient. These results can help to develop rules for residential real estate villages to generate their own electricity needs, distribute residential real estate's current grid energy share to other underserved areas, and lessen the issue of power outages. In an original test case, HOMER software was used to build a microgrid system based on renewable energy (RE), with the single objective of minimizing the net present cost (NPC), and MATLAB/Simulink for energy management. Thus, the system could be a benchmark for new roof-mounted solar-based technology for residential real estate buildings in Ethiopia.
Two cases of granuloma faciale showing rosettes
Authors: Sonego Benedetta , Sola Simona , Biondo Giovanni , Massone Cesare
Published: June 2023

Granuloma faciale (GF) is a rare benign chronic inflammatory dermatosis often difficult to distinguish clinically from other diseases, both inflammatory and neoplastic. Dermoscopy can be a helpful diagnostic tool and indeed several dermoscopic criteria observed in GF have been described in literature. We present two patients affected by GF in which we have observed rosettes.
Use of Extracorporeal Membrane Oxygenation and Cerebral Oximetry in a Stage 1 Norwood Repair for Hypoplastic Left Heart Syndrome
Authors: Kazi Anam A. , Tailor Kamlesh B. , Manoj MC , Mohanty Smruti Ranjan
Published: June 2023

The role of extracorporeal membrane oxygenation (ECMO) and its indications in stage I Norwood palliation are controversial. The decision to initiate ECMO and its timing remains difficult with no definitive cut-off points or evidence-based guidelines. It varies on a case-to-case basis. We report a case where the use of ECMO was beneficial after stage I Norwood palliation with severe ventricular dysfunction. The systemic-to-pulmonary artery shunt was kept open to balance the systemic and pulmonary circulations. Cerebral oximetry can be useful as an additional monitoring modality to guide management, monitor cerebral perfusion, and help detect cerebral steal.
Bilateral Primary Papillary Serous Carcinoma of the Fallopian Tube – A Rare Case Scenario
Authors: Arakeri Satish
Published: June 2023

Bilateral primary fallopian tube carcinoma is a very rare case scenario. Approximately, its incidence is 0.02% of all the gynecological malignancy. A 40-year-old female patient visited the hospital with complaints of lower abdominal pain for 3 months. Ultrasound of the pelvis shows complex bilateral adnexal lesions with ORADS score 4 – intermediate risk. The serum CA-125 is elevated. The provisional diagnosis of bilateral pyosalpinx was made. The uterus with bilateral ovaries and fallopian tubes was removed. On histopathology, thus, the final diagnosis of primary bilateral papillary serous carcinoma of the fallopian tube was made. Bilateral primary fallopian tube carcinoma is a very rare case scenario. Intraoperative frozen study is to be done to diagnose this entity. The high degree of suspicion is required to diagnose a case of bilateral fallopian tube carcinoma as it is a very rare case scenario and usually confused for pyosalpinx.
An Assessment of Understanding and Perspectives of BDS Undergraduate Students Related to Child Abuse and Neglect in an Indian Setup: A Questionnaire-Based Study
Authors: Mathur Shivani , Sultan Amina , Aggarwal Priyanka , Nangia Tanu , Juneja Akanksha
Published: June 2023

Background and Aim:

A questionnaire-based study was conducted to assess the knowledge, understanding, and perception of dental undergraduate students toward child abuse and neglect in an Indian setup.

Materials and Methods:

The data were collected through a 38-item questionnaire to investigate the self-reported knowledge, understanding, and perception in relation to child abuse among 3rd, final-year, and interns among private and government dental colleges in India. There were 1277 responses to the questionnaire.

Results:

The responses were obtained from all regions of India, including both government and private dental institutes. 10% each of all government and private institutes in India participated in this survey. It was observed that the level of knowledge and awareness of BDS students increased from BDS 3rd year through the final year and internship. The amount of awareness regarding child abuse is better among the interns. Although 50.9% of the respondents were aware of nongovernmental organizations working actively for victims of child abuse and neglect in India.

Conclusion:

There is a restricted level of knowledge and awareness regarding child abuse and neglect among BDS students, wherein BDS interns were comparatively familiar with the facts. Although the majority of dental students were aware of organizations working for child abuse victims but were still confined to approaching legally and ethically.
Cytohistological Correlation of Langerhans Cell Histiocytosis of the Spine in a Young Adult
Authors: Asotra Sarita , Sharma Sudarshan Kumar , Thakur Suresh
Published: June 2023

Langerhans cell histiocytosis (LCH) is a rare multisystem disorder with a common histopathological finding of Langerhans-type cell proliferation mixed with a milieu of inflammatory cells. Bone involvement is a common presentation occurring in children and young adults. Recent studies using cell-specific gene expression profiling suggest that LCH arises from bone marrow-derived immature myeloid dendritic cells. We present a case of solitary LCH of cervical vertebrae in a young adult with pain and numbness in the shoulder diagnosed on fine-needle aspiration and confirmed on histopathology and immunohistochemistry. It was treated with tumor resection and stabilization of the vertebrae.
Clinical and Cutaneous Profile of Patients with Systemic Sclerosis in a Tertiary Centre in South India
Authors: Kuryan Priya Sara , Peter C. V. Dincy , Pulimood Susanne Alexander , George Leni , Mathew John
Published: June 2023

Background and Aims:

Systemic sclerosis is an autoimmune disease, of which cutaneous sclerosis is a cardinal feature. Other skin manifestations include Raynaud’s phenomenon, digital ulcers, gangrene, flexion contractures, and telangiectasias. It has been noted that the clinical and antibody profile varies within ethnic groups. The objective of the study was to study the clinical profile of patients with systemic sclerosis in a tertiary center in South India and to compare to other ethnic groups.

Materials and Methods:

Thirty-five patients were recruited in the study period between February 2014 and September 2015. A record of the disease details, systemic manifestations, morphology, and distribution of the cutaneous manifestations and investigations were done by the principal investigator. The severity of cutaneous sclerosis was assessed by modified Rodnan Skin Score (mRSS)

Results:

Our study had a female preponderance with diffuse type of disease in 91% of patients. The common cutaneous presenting complaints were sclerosis (n = 35, 100%), Raynaud’s phenomenon (n = 25, 71.4%), and pigmentary disturbances (n = 33, 94.3%). Respiratory system was the most common system involved, with interstitial lung disease seen in 78.1% (n = 25). A significant association (P = 0.026) was noticed between the increase in mRSS and interstitial lung disease.

Conclusion:

Pigmentary disturbances were higher in our population, whereas Raynaud’s phenomenon, digital ulcers, and telangiectasia were less common than in Western population. A significant association (P = 0.026) was found between mRSS and interstitial lung disease.
Study of Prevalence, Microbiologic Agents, and Bladder Management Methods of Urinary Tract Infections among Spinal Cord Injury Patients
Authors: Ashta Kuldeep , Mohan Charu , Nair Bindu T. , Arora Sumit
Published: June 2023

Background and Aim:

Spinal cord injury (SCI) patients have an increased risk of developing urinary tract infections. The method of bladder drainage influences the risk of urinary tract infection (UTI), and most persons with SCI on per urethral continuous catheterization (CC) or clean intermittent catheterization (CIC) develop urinary tract infection. Identification and treatment of severe UTI with appropriate antibiotics as early as possible is associated with better outcomes in SCI patients. The aim of this study was to determine the prevalence and causative organisms of symptomatic urinary tract infection in spinal cord injury patients with different bladder management methods.

Materials and Methods:

A total of 50 patients with SCI were followed up at a rehabilitation centre from Jan 2020 to Dec 2021 in a prospective descriptive study. The demographic status, clinical and laboratory findings of the patients with SCI were studied and the prevalence and causative organisms of symptomatic UTI in these patients with different bladder management methods were analysed.

Results:

The commonest organisms isolated were E. coli (31%), Pseudomonas (29%) and Klebsiella (21%). The organisms isolated in the UTI were most sensitive to colistin (82%), followed by 59% being sensitive to both imipenem and tigecycline. Least sensitivity was seen to Piperacillin, Ceftriaxone and Levofloxacin. Maximum UTI episodes were seen in cases with CC followed by CIC. Least UTI episodes were seen in cases where supra-pubic cystostomy was done followed by patients who were self-urinating.

Conclusion:

Symptomatic UTI in SCI patients is more prevalent in patients with CC and CIC. Such patients should be started as early as possible on antibiotics depending on the antibiotic sensitivity pattern of the organisms isolated.
Gorlin-Goltz Syndrome – A Concatenation of Six Case Reports
Authors: Marimallappa T. R. , Rao Keerthana , KR Ashok Kumar , Kumar R. Mahesh , Pal Supriyo , Jha Manisha
Published: June 2023

Rationale:

Gorlin-Goltz syndrome (GGS) has a wide range of expressivity, with a majority of cases being first diagnosed from the oral findings. Early intervention can reduce its severity.

Patient Concerns:

The primary complaints of all the patients were pain and swelling. Clinical examination with radiological and histopathological evaluation confirmed the diagnosis.

Diagnosis:

This series presents the six cases of GGS treated over a time frame of five years (2018–2022).

Treatment:

The treatments range from enucleation, chemical cauterisation and peripheral ostectomy to aggressive modalities such as resection and reconstruction.

Outcomes:

This series comprises of six patients with ages ranging from 12 to 42 years, four of which were female and two were male presenting minimal expression to highly aggressive forms and its unpredictable frequent manifestation.

Take-Away Lessons:

This emphasises the significance of long-term periodic follow-up and genetic screening for early detection, thereby reducing the intensity and aggressiveness of the disease.
Protective role of Coenzyme Q10 on ultrastructure effect of sodium fluoride on the liver of adult male albino rats
Authors: Al-Gizawy Moustafa E. , Gad-Elrab Wail M. , Abd Allatif Alaa A.A.
Published: June 2023

Background and aim

Fluoride causes liver function impairment, decrease in metabolic activities, and inhibits certain antioxidant enzymes and molecules. This study aims to clarify the possible histological alterations caused by sodium fluoride (NaF) on the liver structure and the potential protective role of Coenzyme Q10 (CoQ10) against NaF.

Materials and methods

Thirty adult albino male rats weighing about 200–250 g were equally divided into three groups. The first is the control group, the second received NaF in a dose of 10 mg/kg/day for 30 days, and the third group received CoQ10 in a dose of 10 mg/kg/day for 30 days and NaF. The rats were killed when the experiment was finished by inhalation of ether. The liver tissue samples were treated for light and electron microscopy.

Results

In NaF-treated group, the hepatocytes lost their regular configuration in liver cords that radiate from the central vein with dilated blood sinusoids separating them. Disorganization of cytoplasm was observed with destructed mitochondria and destructed rough endoplasmic reticulum. The nucleus was heterochromatic, irregular, and showed nuclear membrane deformity. The blood sinusoids were dilated and filled with red blood cells. In the protective group with CoQ10 a partial recovery occurred. The hepatocyte became nearly normal with few changes as some vaculations in the cytoplasm and dilated in blood sinusoids.

Conclusion

NaF has deteriorating effects on the liver and CoQ10 has protective effects against these changes and produced a significant improvement.
Prevalence of gastrointestinal and hepatic manifestations among Egyptian adult COVID-19-positive patients: a retrospective cohort study
Authors: Elsherif Abdelhalim A. , El-Hawary Mostafa A. , Hussein Mohammed S. , Hassan Alaa T. , Ahmed Abdelkader
Published: June 2023

Background and Aim

The outbreak of the coronavirus disease in December, 2019, started in China and has become a worldwide threat to humans. Although patients infected with coronavirus disease-2019 (COVID-19) presented predominantly by symptoms of the respiratory tract, gastrointestinal symptoms, and liver injury have also been reported.

Materials and methods

This study was performed retrospectively at Ahmed Maher Teaching Hospital (Cairo, Egypt). The authors included 340 patients diagnosed between April 5, 2020 and August 29, 2020 with confirmed COVID-19 infection by real-time reverse transcription PCR assay using nasal and pharyngeal swabs. The authors divided the patients into group A that included 210 patients with respiratory manifestations only, group B included 108 patients with respiratory and gastrointestinal tract or hepatic manifestation, and group C included 22 patients with gastrointestinal tract or hepatic manifestations only.

Results

The most common gastrointestinal symptoms was anorexia with a total of 61 patients (17.9%) followed by diarrhea in 59 patients (17.35%). Only eight patients (2.3%) showed elevated bilirubin with either ascites (four patients) or lower limb edema (six patients). Interestingly, the number of patients needed ICU transfer was 29 (8.5%) and most of them belonged to group B (19 patients) representing 65.5% from the total number of patients admitted to the ICU.

Conclusion

Most of COVID-19 patients presented mainly with symptoms of respiratory tract, but a large number of patients presented with gastrointestinal symptoms and liver testing abnormalities. The presence of digestive symptoms and liver test dysfunction correlated with more aggressive disease.
Excimer light versus excimer light with topical prostaglandin in the treatment of facial vitiligo: a comparative study
Authors: Tawfik Khaled M. , Mohamed Refaat R. , Heipa Mayada A.I.
Published: June 2023

Background and aim

Vitiligo is a common skin-depigmentation disorder characterized by the absence of melanocytes. The mechanism and etiology of vitiligo is still unknown, so the treatment of vitiligo is challenging. There are several treatment options for vitiligo, such as topical, systemic, phototherapy, and surgical treatment. We aimed to compare between the efficacies of excimer light alone versus excimer light with topical prostaglandin (PGE) in the treatment of facial vitiligo.

Patients and methods

This is a comparative study that was carried out on 50 patients (their mean age was 29.57 years, 33 patients were females) diagnosed as facial vitiligo. Two patches of vitiligo were chosen in the same patient, one treated with topical latanoprost (—two to three drops once daily with excimer light two sessions per week for 3 months), the other patch treated with excimer light alone two sessions per week for 3 months.

Results

There was a significant reduction in vitiligo-surface area after application of excimer light with topical PGE. Also, there was a significant reduction in the vitiligo-surface area after application of excimer light alone, with no significant difference between the two methods; however, there was mild reduction in the surface area of vitiligo patches after application of excimer light with topical PGE more than after application of excimer light alone.

Conclusion

Excimer light with topical PGE can be used as an effective and safe promising topical treatment for vitiligo, especially the facial variant.
Preoperative misoprostol in reducing blood loss during myomectomy
Authors: El Maraghy Yousry O.S. , Abdallah Khaled M. , Moussa Abdallah A.
Published: June 2023

Background and aim

Uterine myomata are by far the most common benign tumors in women of fertility age. Myomectomy can be used to treat manifested uterine myomas while maintaining the ability to become pregnant. The most serious operative risk is uncontrolled intraoperative bleeding with life-threatening complications, making the procedure more dangerous than hysterectomy and necessitating the services of an experienced surgeon. Several ways are being applied to alleviate this complication. The study aim was to evaluate the role of sublingual misoprostol (prostaglandin E1, 400 μg) administered 60 min preoperatively for reducing blood loss during abdominal myomectomy.

Patients and methods

This randomized prospective controlled study was applied on 40 women with manifested uterine myomas, who were subsumed for myomectomy. Among women subsumed for abdominal myomectomy surgery, 60 min before the surgery women in the study group (n=20) were administered a single dose of sublingual misoprostol (400 μg) while those in the control group (n=20) were administered placebo.

Results

Postoperative blood loss, postoperative hemoglobin, and hospitalization time mean (252.5±170.5 ml, 10.8±1.02 g/dl, and 1.8±0.4 day, respectively) were significantly reduced (P=0.003, 0.032, and 0.004, respectively) in patients given preoperative sublingual misoprostol, and so there were consequently higher postoperative values of hemoglobin in these patients. As regards the operation time, intraoperative blood loss, and blood transfusion there was a decreased need in the study group but not statistically significant P-value (0.065, 0.077, and 0.311, respectively).

Conclusions

A single preoperative dose of sublingual misoprostol may be a simple, easily applicable, and cozy method for reducing intraoperative blood loss during abdominal myomectomy.
The role of prophylactic antibiotics in prevention of spontaneous bacterial peritonitis in compensated liver cirrhosis with upper gastrointestinal bleeding: randomized controlled, clinical trial
Authors: Abdelmohsen Ahmed S. , Hakeem Nariman G.A. , Hassan Sayed , Ashmawy Ahmed M. , Hassan Waleed A. , Abdelbaki Laila
Published: June 2023

Background and aim

Acute variceal bleeding is one of the major causes of death in cirrhotic patients.

Bacterial infection is one of the common complications with acute variceal bleeding. Using prophylactic antibiotic is controversial in Child–Pugh-A patients with acute variceal bleeding. In this respect, we aimed to assess the impact of using prophylactic antibiotic in Child-A cirrhotic patients presented with upper gastrointestinal bleeding (UGIB) in prevention of spontaneous bacterial peritonitis (SBP).

Patient and methods

From January 2021 to December 2022, we recruited 68 cirrhotic patients presented with UGIB. We divided our patients into two groups: prophylactic group (34 patients) and control group (34 patients). Clinical evaluation, laboratory investigations, and ultrasound of the abdomen all were done at baseline and followed up for 7 days during admission for signs of bacterial infection, especially SBP (NCT04711122).

Results

The infections that we encountered were SBP (three cases in the prophylaxis group and seven cases in the control group) and pneumonia (one case in the control group). There was no statistically significant difference between the two groups regarding the incidence of ascitic fluid infection (8.8 vs. 20.6%, P=0.15). There was insignificant difference between both groups as regards hospital stay, blood transfusion, admission to the ICU, and mortality.

Conclusion

Cirrhotic patients with Child class A who presented with UGIB and received antibiotic prophylaxis did not get benefit regarding the incidence of bacterial infections, mortality, or frequency of admission to the ICU.
Endometrial Osseous Metaplasia: An Hysteroscopic Incidental Finding – An Overview
Authors: Damiani Gianluca Raffaello , Gennaro Daniele Di , Malvasi Antonio , Vimercati Antonella , Loizzi Vera , Gaetani Maria , Fonzo Tommaso Di , Dellino Miriam , Cazzato Gerardo , Cicinelli Ettore , Trojano Giuseppe
Published: June 2023

Endometrial osseous metaplasia (EOM) is an uncommon clinical entity with the presence of bone in the endometrium which requires clinical and therapeutic framework. It is also described by various other names such as endometrial ossification, ectopic intrauterine bone, and heterotopic intrauterine bone. Ossification could have various locations as the cervix the ovary, and the vagina. This overview highlights the attention on the actual pivotal points of EOM.
Hepatocellular carcinoma: A clinicopathological and immunohistochemical study of 116 cases from a tertiary care hospital in Southern India
Authors: Hui Monalisa , Uppin Shantveer G. , Uppin Megha S. , Madhav T. Venu , Varma G. Surya Ramachandra , Paul Tara Roshni , Bheerappa N.
Published: June 2023

Background:

Diagnosis of hepatocellular carcinoma (HCC) is difficult on morphology alone in poorly differentiated tumors and metastatic carcinomas. Appropriate immunohistochemical markers are required for definite diagnosis. In this article, we have analyzed the histopathological and immunohistochemical features of HCC and elucidate the best possible immunohistochemistry (IHC) marker combination by comparing the sensitivity of various markers in different grades of tumor.

Methods:

A total of 116 consecutive cases were analyzed retrospectively. The hematoxylin and eosin stained sections were reviewed in all the cases. IHC was done using hepatocellular specific antigen (HSA), arginase-1, glypican-3, and polyclonal carcinoembryonic antigen (pCEA). The sensitivity of various immunohistochemical markers individually as well as in combination for different tumor grades was determined.

Results:

Histologically, the predominant subtype comprised of classic variant (109,93.9%) followed by combined hepatocellular and cholangiocarcinoma (4,3.4%) and fibrolamellar variant (3,2.6%). Trabecular pattern was the most common histological pattern. On grading, 65,56.03% were moderately differentiated, 34,29.31% well differentiated, and17, 14.65% poorly differentiated. HSA and polyclonal-CEA showed higher sensitivity than arginase-1 and glypican-3 in well and moderately differentiated tumors. In contrast arginase-1 and glypican-3 showed better sensitivity in poorly differentiated HCC. The overall sensitivity increased to greater than 90% if HSA/polyclonal-CEA is combined with either arginase-1/glypican-3 irrespective of tumor grade.

Conclusion:

Majority of the tumors were classic variants and moderately differentiated. HSA along with either arginase-1 or glypican-3 is the best combination of immunomarker for identification of hepatocellular differentiation irrespective of tumor grade.
Comparison of Psychiatric Morbidities among Pupils in Traditional Almajiri and Almajiri-Integrated Model Schools in Sokoto Metropolis, Northwest Nigeria
Authors: Abubakar Ahmad , Habib Zahradden G. , Gudaji Mustapha I.
Published: June 2023

Context:

Almajiri pupils are a form of street children, belonging to children on the street. Streetism is associated with a lot of physical and social stress.

Aim:

This study examined the prevalence of psychiatric morbidity and sociodemographic factors among pupils in traditional Almajiri (Tsangaya) and Almajiri Integrated Model Schools (AIMS) in Sokoto metropolis, northwest Nigeria.

Methods and Materials:

Pupils within the ages of 6–17 years participated in this cross-sectional comparative study. Through a multistage sampling technique, 96 pupils from each of Tsangaya and AIMS were selected as an equal sample. The Kiddies Schedule for Affective Disorders and Schizophrenia, Present and Lifetime (K-SADS-PL), and sociodemographic variables were assessed. The Statistical Package for Social Science version 21 software for windows was used to analyze the data.

Results:

We studied 192 all male pupils, whose mean age and standard deviations were 13.01 ± 2.30 and 12.91 ± 2.15 years in Tsangaya and AIMS, respectively. Overall, the prevalence of psychiatric morbidities was 27.6%, in a proportion of 67.9% to 32.1% in Tsangaya and AIMS, respectively. The common psychiatric disorders in this study were depression, enuresis, and posttraumatic stress disorder.

Conclusion:

Tsangaya pupils experience more psychiatric morbidity compared to their counterparts in AIMS. Neurotic disorders were found to be more prevalent among them. More AIMS should be created to reduce the prevalence of psychiatric morbidity among the vulnerable children in Tsangaya.
Correlation between Skeletal Manifestations of Sickle Cell Disease (SCD) and Transcranial Doppler Imaging Velocities
Authors: Aloboudi Abdullah S. , Al Hammad Abdullah , AlFaraj Jaffar S. , Al Hussain Ali
Published: June 2023

Context:

Sickle cell disease (SCD), a genetic disorder, is a debilitating illness. Among the different complications of SCD, cerebrovascular complication results in stroke in pediatric population. The cause of stroke in those patients is attributed to vasculopathy, stenosis, or vaso-occlusion of distal internal carotid arteries. Another body system that is commonly affected is the musculoskeletal system. Both skeletal manifestations and vasculopathy in Circle of Willis in SCD are known consequences of the same underlying pathology.

Aim:

This study was conducted to assess the correlation between osseous findings and vasculopathy of Circle of Willis.

Settings and Design:

It was a chart review study conducted during December 2021 to January 2022. Children suffering from SCD were the study population.

Materials and Methods:

The sampling was done by using convenience purposive sampling technique. The data were collected as observations using picture archiving and communication system and then entered Excel spreadsheet.

Statistical Analysis Used:

The data were analyzed using SPSS, Version 28. The descriptive statistics including frequencies and percentages for the skeletal manifestations and transcranial Doppler imaging (TCDI) readings were calculated. To assess the association between skeletal manifestations and TCDI, a Chi-square test of independence was performed.

Results:

The findings showed that abnormal TCDI readings exhibited higher frequency on abnormal skeletal manifestations as compared to normal TCDI readings.

Conclusion:

The study showed that an osseous manifestation of disease was associated with vasculopathy of Circle of Willis vasculature. Therefore, osseous manifestations of SCD can be associated with the chance of stroke among the children since it is associated with the vasculopathy of Circle of Willis.
Global research trend on yoga and Yagya intervention on mental illness: A Bibliometric attributes of five decades (1972–2021)
Authors: Gupta Anuradha , Om Acharya Rohit , Verma Rupam , Vashisht Akshay , Bhatt Medha , Dabas Anurag , Gowda Paran , Arya Vedpriya
Published: June 2023

Background:

People have practiced yoga and yagya (Homam or Agnihotra) as essential religious practices in India to maintain the environment, health, and wellness from time immemorial.

Aim:

The current bibliometric study was conducted to identify the published scientific data on the efficacy of yoga and Yagya on mental illness during the study period (1972–2021).

Materials and Methods:

A research query was generated and Scientometric data was collected from the “dimentions.ai” online database, resulting in a total of 8802 published research papers associated with the study. The obtained dataset was analyzed using the Preferred Reporting Items for Systematic Reviews and Meta-analyses to evaluate the effect of yoga and yagya on mental illness.

Results:

The results indicated that most of the prolific authors are from highly productive institutions, with Harvard University on the top. The United States of America contributed the most in publications among countries, wherein author Shirley Telles published the most research paper related to yoga research.

Conclusion:

The current study shows that research related to yoga on mental health has a huge number of publications, but the research related to the efficacy of yagya need more attention of the scientific research. The outcome of this study can be utilized to identify the potential bibliometric endpoints with special emphasis on yoga and yagya on mental health.
Radius of comparison and mean topological dimension: -actions
Authors: Niu Zhuang
Published: June 2023

Consider a minimal-free topological dynamical system
$(X, \mathbb Z^d)$
. It is shown that the radius of comparison of the crossed product C*-algebra
$\mathrm {C}(X) \rtimes \mathbb Z^d$
is at most half the mean topological dimension of
$(X, \mathbb Z^d)$
. As a consequence, the C*-algebra
$\mathrm {C}(X) \rtimes \mathbb Z^d$
is classified by the Elliott invariant if the mean dimension of
$(X, \mathbb Z^d)$
is zero.
Can We Win the Battle against Windmills?
Authors: Safronov Eduard E.
Published: June 2023

Book review: Bruns, A. (2023). Are Filter Bubbles Real? HSE Publishing House.
DIGITAL TUNING BASED WHEELCHAIR MOVEMENTS CONTROL FOR PHYSICALLY CHALLENGED PERSON
Authors: Karthik Kumar T.V  , Dhanush Prabhu.S  , Ashwin Kumar.R  , Hari Prasath.M  , Dr. P.Sivakumar
Published: June 2023

This paper describes the design of a smart, motorized, voice controlled wheelchair using embedded system. Proposed design supports voice activation system for physically differently abled persons incorporating manual operation. This paper represents the “Voice-controlled Wheel chair” for the physically differently abled person where the voice command controls the movements of the wheelchair. The voice command is given through a cellular device having Bluetooth and the command is transferred and converted to string by the BT Voice Control for Arduino and is transferred to the Bluetooth Module SR-04connected to the Arduino board for the control of the Wheelchair. For example, when the user says “Go” then chair will move in forward direction and when he says “Back”, then the chair will move in backward direction and similarly “Left”, “Right” for rotating it in left and right directions respectively and “Stop” for making it stop. This system was designed and developed to save cost, time and energy of the patient. Ultrasonic sensor is also made a part of the design and it helps to detect obstacles lying ahead in the way of the wheelchair that can hinder the passage of the wheelchair.
Impacto de afectividad y habilidades resilientes en la salud mental de adolescentes: fin del confinamiento
Authors: Morales Rodríguez Marisol , Díaz Barajas Damaris , Solis Gámez Lizbeth Alejandra
Published: June 2023

El objetivo fue identificar el valor predictivo de la afectividad y emociones, así como de habilidades resilientes sobre algunos indicadores de salud mental en adolescentes escolarizados al término del confinamiento por COVID 19. Basado en una metodología cuantitativa, diseño no experimental, alcance descriptivo-correlacional. Participaron 508 adolescentes de diversas instituciones educativas de Morelia, Michoacán México; se utilizó el Cuestionario de Salud General de Goldberg, Escala de Desesperanza de Beck, Escala de Resiliencia de Connor-Davidson y un cuestionario estructurado. Los datos se analizaron con análisis de frecuencias, Coeficiente de correlación de Pearson y Regresión lineal. Los hallazgos destacan la existencia de afectaciones en la salud mental de los adolescentes, predominando los niveles medio-altos en bienestar y funcionamiento social. Las emociones reportadas con mayor frecuencia fueron tristeza, estrés y enojo; existen correlaciones positivas entre salud mental y desesperanza, y correlaciones negativas entre salud mental y resiliencia. Tanto la desesperanza y las emociones negativas como la resiliencia en sentido inverso predicen la salud mental. Se concluye que los adolescentes muestran afectaciones en su salud mental, principalmente en el sentimiento de bienestar relacionado con afectos. La desesperanza, tristeza, estrés y enojo como factores de riesgo y la resiliencia como factor protector son indicadores que predicen la salud mental, por lo cual se concluye que lo acontecido por la pandemia ha mermado la vida afectiva de los adolescentes y por lo tanto su salud mental.
Caracterizando la informalidad laboral en América Latina. Un Análisis de su persistencia
Authors: Guzmán Sanhueza Daniela
Published: June 2023

El artículo presenta un análisis integral, interconectado, dinámico y multidimensional de las particularidades y subdimensiones de la permanencia de informalidad laboral en la región, describiendo los efectos que genera y estableciendo la conexión entre ésta y la desigualdad. A través de la metodología secundaria de revisión sistematizada de la literatura técnica y científica se identifican las variables sociales que se encuentran asociadas de manera más frecuente a la informalidad laboral, que son: género, edad, pertenencia al mundo rural y condición étnico-racial. Cada una de estas variables por si misma representa un indicador de vulnerabilidad laboral y combinadas entre sí potencian su efecto precarizador, aplicándose el principio de discriminación interseccional edad-ruralidad-etnia. Así también, se establece que las estrategias para hacer frente a la informalidad laboral más recurrentes son la capacitación y el incentivo al emprendimiento. Se concluye que las respuestas desde las políticas públicas se insertan dentro de políticas laborales neoliberales que poco cambian el panorama. Se propone avanzar en medidas específicas diferenciadas por sector productivo, aplicando la perspectiva de género y el enfoque de la interseccionalidad para contener la informalidad y desprecarizarla. Se propone superar el binomio formalidad e informalidad y cambiarlo a precario y no precario.
Minería: salud en riesgo y pobreza en Fresnillo, Zacatecas
Authors: Ramírez-Herrera Mariana , Flores de la Torre Juan Armando , Rodríguez Gutiérrez Eduardo , Gutiérrez Mauricio Alicia Monserrath
Published: June 2023

La minería ha demostrado ser una actividad altamente contaminante que afecta tanto a ecosistemas como a poblaciones humanas. El presente estudio tiene como objetivo ofrecer una aproximación a los efectos de los metales pesados en la salud humana, presentar evidencia sobre esta contaminación en espacios agrícolas, así como destacar la escasa relación que existe entre la minería como actividad económica y el bienestar producido sobre las comunidades donde se asienta. Para ello se utiliza una metodología mixta integrada por una revisión bibliográfica sobre los efectos contaminantes de la minería, se procesan y analizan datos abiertos e información acerca de las condiciones socioeconómicas de las poblaciones mineras y, finalmente, se realiza un estudio de suelo y agua consistente en un muestreo, procesamiento y detección de metales pesados. Todo ello permite evidenciar a la minería como un lastre en materia de salud y pobreza en aquellos lugares donde se establece, tal es el caso de las comunidades aledañas a las minas en Fresnillo, Zacatecas, donde las condiciones de pobreza no sólo no han sido superadas, sino que se han profundizado y, donde además se pone en riesgo la salud de la población como consecuencia de la contaminación ambiental por metales pesados.
Vulnerabilidade médica no ambiente hospitalar e ambulatorial – uma visão geral
Authors: Tavares Thiago de Mello , De Lemos Gabriel Soares , Kuminek Régis , Magnani Mirela Hoffmann , Nascimento Isabela de Oliveira
Published: June 2023

Introdução: Risco de adquirir doenças, insalubridade no meio hospitalar, estresses causados pela pressão imposta pelo paciente e pela sociedade são algumas questões que nos trazem à tona a vulnerabilidade em que o médico é exposto durante o exercício da sua profissão. A vulnerabilidade do médico poderá ser de várias ordens, visto à posição de fragilidade que está exposto em seu cotidiano e principalmente a auto- cobrança. Ainda, o tema abordado mostra o quanto os médicos estão expostos e trabalhando sob pressão, acarretando problemas em sua vida como a depressão, ansiedade, distúrbios do sono, alteração de humor, entre outras doenças, o que faz com que muitas vezes para manter o controle emocional, recorram aos medicamentos e/ou uso de bebidas alcoólicas para amenizar a situação vivida. É sabido que alguns pacientes quando procuram atendimento médico esperam a cura e depositam toda carga e esperança no esculápio, e novamente o profissional se encontra em situação delicada, onde está vulnerável a cobrança que não depende exclusivamente do seu empenho, o que causa exaustão afetando a qualidade de vida e até mesmo os relacionamentos pessoais. Objetivo: Revisar a literatura disponível a respeito das situações que evidenciam a vulnerabilidade do médico no ambiente hospitalar, afim de expor possíveis causas e consequências, afim de colaborar para construir relações equilibradas no ambiente de trabalho ambulatorial e hospitalar. Métodos: Sendo uma revisão integrativa da literatura, de caráter exploratório e descritivo. Os dados foram extraídos a partir das plataformas digitais:  Biblioteca Virtual em Saúde (BVS), Google Acadêmico e Pubmed. Para o cruzamento de dados foram utilizados os descritores: Vulnerabilidade médica, saúde hospitalar, depressão médica, ansiedade médica. Todos os artigos encontrados foram submetidos à leitura minuciosa e aplicados aos critérios de seleção. Resultados: Há estudos indicando que doenças psiquiátricas em médicos, são relacionadas ao histórico psiquiátrico da família e a experiência de vida. Conclusão: Os profissionais da saúde sofrem devido os sentimentos de culpa, muitas vezes por fracassar e estar presentes na existência de uma onipotência, combinado a auto- cobrança, há o surgimento de quadros de ansiedade, depressão, e algumas vezes ideações suicidas.
Recidiva em um paciente com granuloma piogênico – relato de caso
Authors: Pereira Malvina de Souza , De Albuquerque Marcone Natágoras Alves , Pontanegra Romero Samarcos Mendes
Published: June 2023

O granuloma piogênico consiste em uma hiperplasia inflamatória da pele e da mucosa oral, possui etiologia multifatorial e está frequentemente associado a um fator reacional, como, microtraumas, agressões repetitivas, além da possibilidade de existir correlação com distúrbios hormonais; geralmente os granulomas piogênicos são encontrados em região anterior da gengiva da maxila, podendo também acometer outras regiões, como, lábios, palato, mucosa jugal e língua. O propósito deste trabalho é demonstrar o caso clínico de uma paciente que apresentou recidiva dessa lesão, na região vestibular da maxila, lesão esta diagnosticada através de exame histopatológico como sendo granuloma piogênico; com o intuito de debater os aspectos clínicos mais relevantes dessa lesão com base da literatura científica relevante.
Relationship between omitting breakfast and late eating with obesity and metabolic disorders: a review focusing on chrononutrition
Authors: Almeida Gabriel da Silva , De Souza Manoela Oliveira , Pereira Leonardo Matthew Ribeiro Nunes
Published: June 2023

Current literature has accumulated evidence on the effect of circadian cycle dysregulation on metabolic disorders and obesity. Several factors can cause chronodisruption; however, increasing attention has been given to the temporal pattern of meals. Objective: To review the evidence on the relationship between skipping breakfast and late eating and obesity and metabolic disorders. Methods: This narrative review whose searches were conducted in August 2022 in the electronic databases of the National Library of Medicine (PubMed) and the Virtual Health Library (VHL). Inclusion criteria were: (1) original articles; (2) published in English and/or Portuguese; (3) keywords in the title, abstract, or subject; and (4) published in the last 20 years (2002-2022). The exclusion criteria were: (1) review articles; (2) not available in full; (3) off-topic; and (4) studies with children and/or adolescents. Results: Thirteen articles met the inclusion criteria. In both cohort and cross-sectional studies, as well as in randomized clinical trials, an unfavorable association was observed between skipping breakfast and late eating and metabolic disturbances and obesity. Conclusion: Evidence to date shows that mealtime has a significant influence on energy metabolism and metabolic disorders. The application of chrononutritional knowledge can be an important tool for the prevention and control of metabolic diseases associated with overweight and obesity.
Exploring Social Representations of Mersin as a Place and Türkiye With the Cognitive Mapping Method/ Bilişsel Haritalama Yöntemiyle Bir Yer Olarak Mersin ve Türkiye'nin Sosyal Temsillerini Keşfetme
Authors: MEHMETOĞLU Ezgi
Published: June 2023

The representation of place is studied by many different disciplines, such as geography, urban planning, and sociology. Studies on the representation of place share the idea that the representation of place consists of geographical, social, and cultural elements. This study was carried out to examine the representations of Mersin University students regarding Mersin and Türkiye, and their behavioral practices in Mersin. In the study, social and cognitive representations were reached through cognitive mapping. For the purpose of the study, the sample of the study consists of 130 students studying at Mersin University. One of the main differences in these representations is that the representations of Türkiye and Mersin are independent and unrelated to each other. The most important finding is that; Mersin University, important urban spaces, and neighboring countries are almost never included in the cognitive maps of university students. Social and political criticisms against Mersin and Türkiye were frequently seen on the maps. In the maps of the participants, it was determined that the use of place practices differed according to gender. Compared to men, women's place usage practices and place usage diversity are quite limited. In the study, the perceptions of Mersin University students about Mersin were discussed from the perspective of environmental psychology in light of the findings.