bluuebunny/crossref_metadata_2025 huggingface dataset:
CARACTERIZAÇÃO E QUALIDADE DE SEMENTES DE MELÃO-DE-SÃO-CAETANO (Momordica charantia L.)
Authors: Silva de Oliveira Lucas , Da Rocha Gomes Ferreira de Almeida Débora Teresa , Da Silva Ramos Robson , Nascimento de Jesus Kennedy , César Rodrigues Martins Júlio
Published: January 2024

A Momordica Charantia L., é uma cucurbitácea ruderal sem valor econômico expressivo, e que não necessita de cultivo metódico. No entanto, a exploração dessa espécie tende a aumentar devido às suas propriedades medicinais e terapêuticas direcionados ao tratamento de enfermidades. A análise de sementes é crucial no controle de qualidade e influencia diretamente as decisões tomadas. Este estudo teve como objetivo caracterizar as sementes e avaliar a emergência e desenvolvimento de plântulas de melão-de-são-caetano de dois tipos diferentes, Paraíba e Pará. O trabalho foi realizado no Laboratório Multidisciplinar e Fazenda Escola das Instituições Nova Esperança, em João Pessoa-PB. As amostras de sementes de Momordica charantia L. foram coletadas em dois Estados (Pará e Paraíba), divididas em lotes de 300 sementes cada para análise laboratorial e, posteriormente, submetidas a uma série de testes morfométricos, incluindo a medição do comprimento, largura e espessura. Além disso, foi realizado o cálculo do peso de mil sementes, a determinação do teor de umidade e realizados testes de porcentagem, emergência e determinação do Índice de Velocidade de Emergência (IVE) em campo e laboratório, além da massa seca da parte aérea e radicular. As variáveis foram submetidas a análise descritiva com médias, erro padrão, além de frequência para caracterização das sementes. Os resultados mostraram diferenças nas médias das variáveis largura e espessura das sementes, bem como no comprimento da parte aérea e radicular das plântulas emergidas em laboratório. O lote do Pará apresentou valores médios superiores ao da Paraíba, exceto no comprimento total. Os dados de campo relacionados ao comprimento da parte aérea não foram expressivos, mas os dados de massa seca, IVE e porcentagem de emergência mostraram diferenças favoráveis ao lote do Pará. Apesar das sementes serem crioulas, foi observada uma pequena variabilidade genética entre os lotes. As sementes do Pará mostraram-se superiores às da Paraíba.
ENSINO, EXTENSÃO E PESQUISA: EXPERIÊNCIAS DOCENTE DE UMA DÉCADA NA GRADUAÇÃO EM MEDICINA
Authors: Souto Silva Cleyton Cézar
Published: January 2024

As Diretrizes Curriculares Nacionais do Curso de Medicina estabelecem os princípios, os fundamentos, as metodologias e as finalidades da formação do estudante com caráter humanista, crítico, reflexivo e ética. O objetivo deste estudo é descrever a experiência docente num período de uma década de ensino em um curso de graduação em Medicina. Consiste uma pesquisa documental que reúne informações e experiências docente desenvolvidas no curso de graduação em medicina, no período de agosto de 2013 a agosto de 2023, em uma instituição de ensino superior privada localizada em João Pessoa/PB. Como fonte de dados, foram utilizadas as Diretrizes Nacionais Curriculares de Medicina, as ementas das disciplinas ministradas, o Projeto Pedagógico do Curso e o E-book desenvolvido com as experiências acadêmicas dos alunos e docentes. Foi realizada a análise documental do material e relatada as experiências exitosas a partir dos momentos teóricos de sala de aula, das vivências em visitas técnicas e das ações educativas desenvolvidas. As principais experiências exitosas foram: atividades de ensino e práticas nos componentes Integração Serviço, Ensino e Comunidade; produção de E-book com capítulos relatando a experiência de discentes e docentes, Disciplina Optativa em Práticas Integrativas e Complementares em Saúde; Projeto de Extensão em Educação Popular em Saúde; a Semana de Educação no trânsito; Projeto de Iniciação Científica em Epidemiologia do Trabalho. A construção do processo-ensino aprendizagem foi facilitado pelo processo de contato com as realidades dos serviços de saúde e das comunidades.
OFERTA E GESTÃO DE RECURSOS EM HOSPITAIS PÚBLICOS: ENFRENTAMENTO E RESOLUTIVIDADE DURANTE A PANDEMIA DA COVID-19
Authors: Santos Juberlânia do Nascimento Matias dos , Nascimento Rhennan da Silva , Mélo Emanuelle Silva de , Farias Dyego Anderson Alves de , Silva Douglas Pereira da
Published: January 2024

O pré-natal é um conjunto de cuidados assistenciais e procedimentos clínicos para a manutenção da saúde gestacional. Sob a perspectEste estudo teve como objetivo identificar medidas de enfrentamento durante a pandemia da COVID-19 no âmbito hospitalar e demonstrar sua resolutividade frente ao controle e/ou combate da doença. Realizou-se uma Revisão Integrativa da Literatura, com busca nas bases de dados: Lilacs, Scielo e PubMed. Foram considerados como descritores controlados: “Pandemia” e “Gestão de Recursos” e como descritor não controlado: “Gestão Hospitalar”. Foi utilizada a seguinte estratégia de busca: “Gestão Hospitalar” AND “Gestão De Recursos” AND Pandemia. Para a confirmação dos critérios de elegibilidade, foi realizada uma triagem por títulos e resumos. Foi desenvolvida uma análise criteriosa de cada artigo, de forma imparcial dos dados obtidos, para a caracterização dos estudos, e discussão à luz da literatura pertinente. Foram encontrados 1079 artigos nas referidas bases de dados, dos quais apenas onze apresentaram características pertinentes para elegibilidade. Como medidas mais adotadas por gestores hospitalares, evidenciaram-se o aumento do estoque e a obrigatoriedade do uso de equipamentos de proteção individual, a contratação e a capacitação de profissionais, além do monitoramento ou triagem dos pacientes. Tais medidas constituíram-se resolutivas no combate e no controle da pandemia. Embora este tema seja recente e pouco debatido na literatura, os achados deste estudo permitem compreender o que funcionou como medida de enfrentamento da COVID-19 e poderão auxiliar em tomadas de decisão por gestores hospitalares, bem como para debates em saúde pública, a fim de auxiliar em eventos de saúde similares.
MOBILIZAÇÃO DE MAITLAND ASSOCIADA AO FORTALECIMENTO DE QUADRIL NA DOR E DISFUNÇÃO DA MARCHA EM MULHERES DE MEIA IDADE COM DOR LOMBAR CRÔNICA: UM ESTUDO DE VALIDAÇÃO
Authors: Bezerra Luênia Maria Vasconcelos de , Andrade Giceli Herculano de , Bittar Simoni Teixeira , Mélo Emanuelle Silva de , Farias Danyelle Nóbrega de , Gomes Veloso Laura de Sousa
Published: January 2024

O objetivo deste estudo é apresentar uma proposta de intervenção fisioterapêutica direcionada à dor lombar e disfunção da marcha através da associação de exercícios de fortalecimento com manipulações pelo Maitland em mulheres de meia idade. Trata-se de um estudo do tipo metodológico, de abordagem qualitativa e quase-experimental, no qual foi avaliada a aplicabilidade do protocolo de intervenção direcionado às mulheres de meia idade com quadro de lombar crônica. A população foi composta por fisioterapeutas juízes selecionados e convidados a partir do envio do e-mail. Como critério de inclusão, adotou-se formação e experiência profissional e/ou acadêmica há mais de 5 anos, devendo possuir, no mínimo, pós-graduação (nível especialização) na área de Fisioterapia em Traumato-Ortopedia ou em áreas de conhecimento afins, que avaliaram o questionário via google Forms segundo os pilares de Delors. O Software IraMuTeQ foi empregado a fim de processar os dados empíricos apreendidos, sendo aproveitadas nos Segmentos de Texto (ST) as que tiverem frequência maior que 5 e chi2>3,84 (p<0,005). Após análise do protocolo, realizada pelos Fisioterapeutas Juízes os exercícios de Side-Step, ponte bilateral e unilateral e ostra foram mantidos. Observou-se a necessidade da inclusão de exercícios que englobassem mobilidade da coluna vertebral, tais como gato manso/gato bravo, exercícios de Klapp, marcha estacionária e dinâmica, além de exercícios de fortalecimento do músculo glúteo máximo com o movimento de extensão de quadril. O protocolo, ao ser aperfeiçoado, conseguiu unificar as práticas fisioterapêuticas relacionadas as terapias manuais e a cinesioterapia. Por fim, sugere-se, como seguimento do presente estudo a aplicação do protocolo elaborado e validado por especialistas, para comprovação da sua eficácia.
REPERCUSSÕES DAS AÇÓES EDUCATIVAS NO PROGRAMA SAÚDE NA ESCOLA (PSE) PARA SAÚDE SEXUAL DOS ADOLESCENTES.
Authors: Lima Cirino Maria das Graças , Silva Paulo Emanuel , Souto Claudia Germana Virgínio de , Dias Rayane Pereira , Nogueira Wáleria Bastos de Andrade Gomes
Published: January 2024

A adolescência configura-se em um período de transição entre a infância e a vida adulta e onde se caracteriza pelos impulsos do desenvolvimento físico, mental, emocional, sexual e social, junto com as mudanças do corpo. Essa fase, chamada de puberdade, termina quando o indivíduo conclui o seu crescimento. Este estudo teve como objetivo avaliar as ações de promoção e educação desenvolvidas pela equipe de enfermagem considerando como eixo, saúde sexual do Programa Saúde na Escola. Os objetivos específicos foram: traçar o perfil sociodemográfico dos adolescentes, investigar se as ações realizadas sobre sexualidade no ambiente escolar estão sendo absorvidas por eles, e averiguar o conhecimento sobre o tema abordado. O desenvolvimento da presente análise se deu através com abordagem quantitativa que teve como instrumento a aplicação de um questionário. A pesquisa foi realizada nas Escola Municipais de Ensino Fundamental Augusto dos Anjos e Francisco Pereira da Nobrega. A população envolvida foi composta por adolescentes matriculados nestas escolas, com uma amostra de 43 alunos que realizaram a assinatura do Termo de Consentimento Livre Esclarecido-TCLE, como também um termo de Assentimento para que os pais pudessem assinar, liberando os entrevistados a participarem da atividade por serem menores de idade. Com a conclusão da pesquisa, percebeu-se que mesmo com os trabalhos realizados junto as escolas, existem questionamentos feitos pelos adolescentes em não conhecer ou saber do que se trata a palavra contraceptivos, como também o conhecimento dos preservativos feminino, mas não sabem como usar, onde mostra que educação em saúde deve rever uma forma diferenciada e simplificada para melhor entendimento aos adolescentes e jovens das redes pública e privadas de ensino. A pesquisa respeitou os aspectos éticos preconizados pela resolução CNS 466/12, do conselho Nacional de Saúde que trata da pesquisa com seres humanos e também os aspectos éticos, bem como da Resolução 564/2017 do COFEN que trata do código de ética dos profissionais de Enfermagem.
BAROQUE FEATURES OF THE IMAGE SYSTEM IN DRAMATURGY LESYA UKRAINKA
Authors:   Taras Shevchenko National University of Kyiv, Kyiv, Ukraine, Slipushko O. M. , Katyuzhynska A. O. ,   Taras Shevchenko National University of Kyiv, Kyiv, Ukraine
Published: January 2024

The article is devoted to the study of the dramaturgy of Lesya Ukrainka, in particular the dramatic works “Obsessed”, “Cassandra”, “Forest Song”. Particular attention is paid to the analysis of the image system, based on which the features of the artistic representation of baroque features in the interpretive models of such images as Miriam (“Obsessed”), Cassandra (“Cassandra”), Mavka (“Forest Song”). It is proved that one of the leading baroque worldview characteristics is the synthesis of medieval theocentrism with biblical dominance and renaissance anthropocentrism with humanism and the idea of freedom of will and choice. In dramatic works Lesya Ukrainka portrays strong personalities who, guided by biblical truths and faith in God, decide their own destiny according to their own beliefs. The author emphasizes that everyone has the right to their feelings and emotions, endowed with freedom of will and choice, which can be traced in the interpretive models of images. It is important to appeal to the humanistic idea of accepting people, the desire to understand their actions and feelings. A common feature of the images in Lesya Ukrainka’s dramaturgy is the freedom, in particular the will and choice, which the heroes are endowed with or which they aspire to. In the dramatic work “Obsessed”, based on the biblical plot, Lesya Ukrainka develops the image of Miriam, combining anthropocentric and theocentric characteristics. The image of the main character represents the humanistic idea of freedom, because she fights with the community and as a result makes its own choice. The idea of freedom of will and choice is represented in the image of Mavka (“Forest Song”), in whose worldview the will is understood as a natural right of the individual. In addition, symbolism as a characteristic of Baroque literature is clearly expressed in Lesya Ukrainka’s artistic conception. Analysis of the dramatic work “Cassandra” represents a symbolic interpretation of the image of the protagonist.
Research on the English Teachers Competence of Rural Junior High School in Western China from the Perspective of Blended Learning
Authors: Hu Weiwei
Published: January 2024

This research aims to explore the competence of rural junior high school English teachers in Western China under the blended learning background and provide strategies to enhance their competence. The study employed a mixed-methods approach, including surveys, interviews, and observations, to collect data from a sample of rural junior high school English teachers in Western China. The findings indicate that the competence levels of these teachers are generally low, and the challenges they face in implementing blended learning include a lack of training and resources, insufficient support from school administrators, and inadequate student motivation. Based on the findings, the study proposes several strategies to enhance the competence of rural junior high school English teachers in Western China under the blended learning background, including providing training and professional development opportunities, increasing support from school administrators, and implementing student-centered approaches to motivate students. The study concludes with recommendations for further research in this field.
The Reform and Practice of the Blend Teaching Mode with Ideological and Political Elements in the Teaching of Cold Chain Logistics Courses
Authors: Dai Huichuang , Shang Huihua , Ming Hui
Published: January 2024

With the development of economy, the demand for cold chain logistics talents is higher and higher. The traditional teaching mode has been difficult to adapt to the needs of the new era. How to effectively integrate the ideological and political elements of the curriculum, stimulate students’ learning motivation, and make full use of various resources online and offline, inside and outside the school, to improve the teaching quality, is a problem that needs to be considered and solved at present. According to the practical experience of the school in carrying out the teaching reform of the cold chain logistics course, a blend teaching mode and integrating the ideological and political aspects of the course has been constructed in various ways, including online and offline, in-school and off-campus, in-class and extracurricular. It puts forward measures such as co-construction of teaching resources in multiple ways, integration of ideological and political elements in the whole process, co-construction of educational content in multiple ways, implementation of blend teaching in multiple ways, and reform of teaching evaluation methods. Combined with concrete practice, the actual effect of the reform is analyzed and summarized.
How to Catch'em All: Designing Attractive Learning Activities for Girls in Computer Science: A Systematic Framework
Authors: Kunz Sibylle , Hess Claudia
Published: January 2024

To fight the underrepresentation of female students in Science, Technology, Engineering and Math (STEM), schools and universities should cooperate in communicating what skills and competencies are required and to what extent schools already help develop them. Universities need to communicate the necessary competencies and schools should encourage girls by an appropriate design of learning activities, exercises, and projects. They also need to emphasize the underlying competencies and how this will help in taking up STEM subjects at university, thereby raising the girls’ self-esteem and self-efficacy. The key to transporting this message is an appropriate and systematic learning activity design based on a competency-based approach and appropriate teaching methods as well as a more female-responsive scope of tasks. This paper focuses on computer science and sets up a morphological analysis of dimensions to consider when designing learning activities for computer science lessons, taking into account what kind of subjects girls are interested in and what fosters their skills and their self-efficacy in STEM.
Barriers to uptake of bilateral tubal ligation family planning method among grand-multiparous women in the Copperbelt province, Zambia
Authors: Nyashanu Mathew , Musosnda Katentemuna Cathrine , Namputa Hope , Ekpenyong Mandu Stephen , Karonga Thamary
Published: January 2024

Background: Use of Bilateral Tubal Ligation (BTL) family planning method has been met with resistance by some women owing to its clash with certain personal values in their lives. In some cases these barriers have led to unintended pregnancies, which in turn cause complications, especially in grand-multiparous women (women with many children). This qualitative study explored the barriers towards the uptake of BTL among grand-multiparous women.
Methods: The study used an exploratory qualitative methodology to explore the barriers to uptake of BTL. Semi structured interviews were utilised to collect data. Twenty-five semi-structured interviews were held with grand multiparous women who were attending clinics for family planning services. All interviews were tape-recorded and transcribed verbatim. A thematic approach underpinned by some aspects of the silences framework was utilised for data analysis.
Results: The study revealed that barriers to the uptake of BTL included desire to maintain productivity, pressure from spouses, stigmatization of family planning, safety fears and loss of self-esteem.
Conclusions: There is need to engage all stakeholders in communities to make sure that fears and doubts on the use of BTL are allayed. Furthermore there is need to roll out more health promotion and raise awareness on the importance of family planning.
Seroprevalence and factors associated with toxoplasmosis among pregnant women attending antenatal care clinic at a tertiary teaching hospital in Uganda: a cross-sectional study
Authors: Rukamba Jean de Dieu , Hakizimana Theoneste , Ishimwe Marie Pascaline Sabine , Adoch Christine Olwedo , Pius Theophilus , Baluku Asanairi , Musiime James Nabaasa
Published: January 2024

Background: Toxoplasmosis is an infection caused by a parasite called Toxoplasma gondii and is progressively increasing in pregnancy mainly with age and if left undiagnosed and untreated, can result into several adverse pregnancy outcomes. In Uganda, there is a paucity of information about toxoplasmosis in pregnancy. This study aimed to determine the seroprevalence and factors associated with toxoplasmosis among pregnant women attending antenatal care clinic at a Tertiary hospital in Uganda.
Methods: This was a cross-sectional study carried out from July 2022 to October 2022. 165 pregnant women were consecutively enrolled. Data gathered for analysis were collected using a pre-tested structured questionnaire. Blood samples were taken and test of Toxoplasma gondii specific IgG and IGM was done using EUROIMMUN ELISA test kits as instructed by manufacturer. Data was analyzed using STATA version 14.2. A bivariate and multivariate analysis were used to show the association between the dependent and independent variables considering p≤0.05 at 95% confidence interval.
Results: The overall seroprevalence of toxoplasmosis in pregnancy was 16.4%. Age >35 years old (aOR: 8.36; 95% CI: 1.809-38.71; p=0.007), having contact with cats (aOR: 3.55; 95% CI: 1.258-10.01; p=0.017), drinking untreated water (aOR=4.08; 95% CI:1.237-13.46; p=0.021) and HIV status (aOR=8.91; 95% CI: 1.419-56.03; p=0.020) were independently associated with toxoplasmosis infection.
Conclusions: The overall seroprevalence of toxoplasmosis in pregnancy was low as compared to the global seroprevalence. There is a need to educate pregnant women about the transmission routes and preventive measures of toxoplasmosis at antenatal care.
Evaluation of indication and feto-maternal outcome of caesarean section among the preterm pregnant patients in a tertiary care hospital
Authors: Meherunnesa Syeda , Akter Tahmina , Nazim Roksana , Marufa Begum Umme Aoufa , Begum Morsheda , Showkat Imran Mostofa
Published: January 2024

Background: Caesarean sections performed appropriately and following appropriate medical indications are potentially life-saving procedures. At the same time, in many settings, women are increasingly subjected to caesarean sections without any appropriate indication which may contribute to the worldwide secular trend towards higher rates of caesarean sections. The objective of this study was to find out the indications and outcome of caesarean section in preterm pregnant patient.
Methods: It was a prospective cross sectional observational study carried out department of obstetrics and gynecology, Dhaka Medical College and Shaheed Suhrawardy Medical College Hospital, Dhaka, during the period of July 2013 to December 2013.  
Results: Maximum (38%) of patients were between the age group 15-20 years. Of the 100 patients, eclampsia was highest (22%) among the list. Other common indications were APH 8%, PROM 20%, fetal distress 14%, malpresentation with cord prolapse 1%. Emergency operations were performed in majority (95%) of the mothers and elective operations in rest (5%) of the mothers. It was observed that pulmonary oedema 6%, post-partum hemorrhage 8%, wound infection 12% and   urinary tract infection was present in 5% cases.  Of the 92% had live birth, 8% had still birth and 18% died in the early neonatal period. LBW were 89% and 18% had birth asphyxia.
Conclusions: This study showed most common indications were eclampsia, pre-eclampsia. Other common indications were APH, PROM, fetal distress, malpresentation with cord prolapse etc. Electronic foetal monitoring and biochemical testing have improved the foetal assessment to a great extent.
Correlation of lipid profile of infertile men with abnormal semen parameters
Authors: Singh Lovely , Bajaj Bindu , Monika  , Rani Kumari Usha , Panwar Megha , Ranga Sunil
Published: January 2024

Background: Male’s inability to impregnate a fertile female is referred as male factor infertility. It accounts for 40-50% of infertile couples and affects almost 7% of all men. Male comorbidities and conditions, which negatively affect men’s health, have been repeatedly associated with impaired reproductive functioning. Cholesterol is the main substrate for steroid synthesis and it plays crucial role in formation of sperm plasma membrane and thus in spermatogenesis, highlighting the role of serum lipids in male fecundity. Purpose of the study is to evaluate correlation lipid profile of male partners with abnormal semen parameters in infertile couples.
Methods: A cross sectional study was carried out in the infertility clinic of a tertiary care hospital for over 18 months and 151 infertile men with abnormal semen parameters (as per WHO 2010 criteria) were enrolled. Evaluation of lipid profile was done and its relationship with abnormal semen parameters was analyzed.
Results: Significant positive correlation was seen between LDL and Triglyceride with sperm concentration and total sperm count. However, significant negative correlation was seen between Triglyceride and sperm motility and TMSC. Total and progressive motility was found to be significantly associated with total cholesterol (p<0.05). Infertile men having higher total cholesterol were found to have better total and progressive motility compared to men with less total cholesterol.
Conclusions: Our findings demonstrated that lipid profile has significant correlation with semen parameters, specifically sperm concentration, count and motility.
Correlation between vitamin D levels in third trimester and postpartum hemorrhage
Authors: H. N. Poornima , V. Nayanashree , H. L. Premalatha , Doreswamy Nirmala
Published: January 2024

Background: The aim of this study was to assess the correlation between antenatal vitamin D levels and postpartum hemorrhage.
Methods: An analytical study was conducted among 385 term pregnant women admitted at Hassan institute of Medical Sciences and who went in spontaneous onset of labour or induced labour. Basic demographic details were noted. Vitamin D levels were assessed on admission in these patients prior to childbirth. Incidence of postpartum haemorrhage among these patients after delivery were noted and analysed.
Results: Vitamin D levels were deficient in 225 (58.5%) antenatal women in the study. The overall rates of atonic postpartum haemorrhage were higher in vitamin D deficient women that is 19 (54.2%) when compared to woman having normal vitamin D levels.
Conclusions: Our results suggest that vitamin D deficiency is highly prevalent among pregnant woman and is a risk factor for atonic postpartum hemorrhage. Hence antenatal supplementation of vitamin D could help prevent vitamin D deficiency and uterine atony.
Serum placental growth factor levels and uterine artery pulsatility index at 11-13+6 weeks gestation as early predictors of pre-eclampsia: prospective observational study
Authors: Bohra Deepika , N. Sinchana , M. S. Sujatha
Published: January 2024

Background: To detect serum placental growth factor levels and uterine artery doppler pulsatility index for predicting pre-eclampsia and assess their association with the severity of pre-eclampsia.
Methods: A prospective observational study involving 160 antenatal women, from 11-13+6 weeks gestation attending antenatal clinic at tertiary care center during study period of 18 months. Serum placental growth factor levels and uterine artery doppler mean pulsatility index measured and patients were followed upto delivery and observed for the development of pre-eclampsia and its severity.
Results: Placental growth factor value cut-off was 40.33pg/ml with the sensitivity of 97.5 % and specificity was 98.3%. For the pulsatility index value of 1.85, the sensitivity was found to be 74.4% and specificity was found to be 92.5%. Mean serum placental growth factor levels for pre-eclampsia patients was 25.09pg/ml and for normotensive patients mean level was 65.05pg/ml. Mean uterine artery doppler pulsatlity index for pre-eclampsia patients was 2.02 and for normotensive patients was 1.39. Mean PI value increased with increasing severity of preeclampsia.
Conclusions: Early recognition of women will help initiation of prophylactic measures and enhanced surveillance. First trimester uterine artery doppler with serum placental growth factor together with maternal characteristics can be used as a reliable screening test for preeclampsia prediction and to reduce feto-maternal morbidity.
Sentinel lymph node biopsy in early-stage endometrium cancer using methylene blue dye
Authors: Govindan Mannar Mannan , Srinivasan Ayyappan , Pai Ajit
Published: January 2024

Background: The nodal evaluation of early-stage carcinoma endometrium has evolved rapidly, with various methods and dyes explored for sentinel lymph node biopsy (SLNB). Our study specifically aims to investigate the utilization of 1% methylene blue in SLNB for carcinoma endometrium at our center.
Methods: In our prospective study of 105 patients with early-stage CA endometrium in our center between June 2021 and August 2022, we used 1% methyl blue dye for SLNB identification. We followed each patient for a minimum of 6 months. We documented demographic characteristics, SLNB features, and postoperative outcomes.
Results: Out of 105 patients,94 patients (93%) of the study population belong to clinical FIGO stage IA disease.82 patients (81%) had biopsy specimens that showed endometrioid variant grade 1, followed by grade 2 in 13 patients (12.9%). 82 patients (81.2%) had unilateral SLNB visualisation 48 patients( 47.5%) had bilateral visualization of nodes. 19 patients (18.8%) of the study population had negative visualization of nodes on both sides. The average number of sentinel nodes retrieved was 2 nodes in 48 patients (45.5%), with a false negative rate of 4%.
Conclusion: In our study, using a 1% methylene blue dye for an SLNB in Ca endometrium showed less than 50% success in visualizing both sides. Therefore, we do not recommend using it as a standard method. However, in resource-limited settings where indocyanine green (ICG) and radiocolloid are not available, considering methylene blue as an alternative is a viable option provided the SLNB algorithm is followed.
Primary cyclical menouria: a rare presentation
Authors: Padore Ishaan Sachin , Tambe Sanjaykumar G.
Published: January 2024

Congenital vesicouterine fistula is a rare condition usually seen in association with malformations of the genitourinary tract. We report the case of a 42 yar old nulligravida with complaints of cyclical passage of blood in the urine (menouria) with severe dymenorrhoea.  Physical examination revealed well developed breasts and pubic hair with a normal patent vagina but no communication between the vagina and uterus. Cystoscopy revealed the presence of a fistulous tract in the supraishtmic part between the uterus and the bladder. A hysterectomy and uterovesical fistulectomy repair were done which offered symptomatic relief to patient.
Breaking barriers: the evolution of portable colposcopes in cervical health
Authors: Gupta Sumedha , Mishra Archana , Shamsunder Saritha
Published: January 2024

Global calls for cervical cancer elimination prompt urgent focus on low-income countries where screening challenges persist. While high-income nations utilize advanced methods like human papillomavirus (HPV) testing and colposcopy, many low-resource settings rely on cost-effective approaches like visual assessment with acetic acid (VIA) performed on the same day as screening and treatment. This review explores the feasibility of implementing improved visual assessment methods in low and middle-income countries (LMICs), considering challenges posed by systemic factors. Emphasizing the vital role of visual inspection, particularly in high-income countries where colposcopy guides biopsies and treatment decisions, the article advocates for tailored screening pathways. Unlike extensive multi-step processes in high-income countries, LMICs face limitations in clinic visits, making simple VIA crucial. The article evaluates the potential of cervical imaging devices for low-resource settings, aiming to enhance cervical cancer screening in line with global elimination goals.
Obstetric perinatal outcomes in COVID-19-positive pregnant women
Authors: Begum Kazi Nazma , Akther Farjana , Bushra Sumaiya
Published: January 2024

Background: In December 2019, a novel coronavirus disease (COVID-19) emerged in Wuhan, China, with an incredible infection rate. The vertical transmission of COVID-19 is uncertain. Pregnant females are considered a high‑risk group for the prevention and control of various communicable diseases. This study aimed to assess the obstetric perinatal outcomes in Covid-19 positive pregnant women.
Methods: This was a descriptive cross-sectional study and was conducted in the department of Obstetrics and Gynaecology, Mugda Medical College, Dhaka, Bangladesh from 26 March 2021 to 21 July 2022. A total of 94 pregnant women diagnosed as COVID-19 patients by RT-PCR tests were enrolled in this study as the study subjects purposively. Data were analysed by using MS Office tools.
Results: In the study, 23% of participants experienced lower abdominal pain as a pregnancy symptom, with 11%, 4%, and 9% reporting premature rupture of membranes, decreased fetal movement, and antepartum haemorrhage, respectively. Among the participants, 45% had vaginal deliveries, 15% had assisted vaginal deliveries, and 40% underwent lower uterine caesarean sections. Notably, 11% required ICU admission. The study recorded maternal and neonatal mortality rates of 2% and 4%, respectively, and 9% of babies needed incubation. The average APGAR score (5 minutes) was 6.8±0.2, and the mean birth weight was 2.5±0.3.
Conclusions: Lower abdominal pain and premature rupture of membranes (PROM) may be considered some major pregnancy symptoms for COVID-19-positive pregnant women. For such cases, proper facilities for LUCS, ICU and incubation are needed.
Las vacunas en el 2024 para los niños y adolescentes en México, perspectivas futuras
Authors: Aguilar Ituarte Felipe
Published: January 2024

Las vacunas en el 2024 para los niños y adolescentes en México, perspectivas futuras
Orientação argumentativa, referenciação e interatividade em tuítes sobre o Projeto de Lei (PL) 2630
Authors: Lima Isabel Muniz , Catelão Evandro de Melo , Pinto Rosalice
Published: January 2024

Ataques de ódio, desinformação, fake news são apenas algumas maneiras que alguns usuários das redes digitais têm utilizado para atingir determinados objetivos, como influenciar grandes grupos quanto a determinadas tomadas de decisão. No Brasil, um caso marcante ocorreu nas eleições de 2022, talvez mobilizado por modelos de ação observados em outros países, que acabaram por culminar na elaboração do Projeto da Lei – Liberdade, Responsabilidade e Transparência na Internet (PL 2630). Nesses limites, neste estudo, propomos refletir sobre o uso de estratégias textuais tecnolinguageiras acionadas na construção da orientação argumentativa com um corpus composto de tuítes publicados no perfil @tvsenado no dia da votação do PL. Teoricamente, baseamos o estudo em aportes teóricos da Linguística Textual (LT), da Teoria da Argumentação no Discurso (TAD) e da Análise do Discurso Digital, nomeadamente a partir de algumas categorias de análises desenvolvidas por Cavalcante et al. (2022), Rabatel (2009, 2023), Amossy (2017; 2018) e Paveau (2021). Resultados obtidos permitiram identificar o uso de recursos tecnolinguageiros como mobilizadores de arenas discursivas polêmicas ou usados como fonte de interatividade e referenciação.
Trabalhos de pesquisa
Authors: Eixo Controle Social e Participação Popular - resumo simples Associação Brasileira da Rede UNIDA -
Published: January 2024

Para ver o arquivo completo, acesse o seguinte link: http://historico.redeunida.org.br/congresso2016/v-2-n-1suplem-2016/at_download/file
Using Artificial Intelligence (AI) to create language exam questions: A case study
Authors: Kic-Drgas Joanna , Kılıçkaya Ferit
Published: January 2024

This paper investigates how artificial intelligence (AI) can be used to generate classroom foreign language tests and aims at determining challenges and opportunities during item creation. The study benefited from a case study, a form of qualitative research, using data from a single subject to examine the issue of generating classroom assessment items using an AI system in its natural environment. The findings revealed that using AI posed several opportunities and challenges for the participant. The analysis of the comments indicated three significant opportunities/benefits of using AI: practicality, customization, efficiency, and four challenges: readability, validity, lack of data for other languages, and ownership.
Variables comunes en la explicación de rentabilidad y liquidez en sectores del mercado brasileño
Authors: Vazquez Carrazana Xiomara Esther , Miranda Gilberto José , Silva de Almeida Neirilaine
Published: January 2024

El objetivo del presente estudio es revelar variables comunes a la explicación de la rentabilidad y la liquidez en diferentes sectores de la economía brasileña. El análisis empírico para cumplir el objetivo planteado fue realizado con base en las informaciones de los dos sectores en los cuales se estructura la economía brasileña: sector consumo cíclico y sector consumo no cíclico, cuyas empresas están listadas en la plataforma B3, bolsa de valores de Brasil. El estudio utilizó 674 observaciones de los indicadores objeto de estudio en el período 2010-2021. Fue utilizada la metodología cuantitativa por medio de la regresión con datos en panel no balanceado. Los principales resultados mostraron correlación positiva, puntos comunes e interconexión entre rentabilidad y liquidez en los dos sectores. Se observaron, sin embargo, diferencias entre los dos sectores en algunas de las variables que explican la rentabilidad y la liquidez, lo que se considera que está relacionado con particularidades del comportamiento de los indicadores en cada sector. De forma general, se observó que, independientemente de las respuestas encontradas a los elementos teóricos revisados, los modelos también reflejaron comportamientos y conductas de estos sectores. Una de las principales limitaciones y lagunas dejadas por este estudio es no diferenciar el análisis por grupo de empresas utilizando un ranking por resultados de rentabilidad o liquidez.
Una aproximación al proceso de internacionalización de las empresas turísticas
Authors: Arteaga Ortiz Jesús , Peña Miranda David Daniel , Fernández del Hoyo Alfonso P.
Published: January 2024

El objetivo principal de la presente investigación es comprender y pronosticar con mayor precisión la dinámica de la internacionalización en el sector turístico, partiendo de los efectos de dos grandes factores que influyen en los flujos de IED (Inversión Extranjera Directa), como son la distancia cultural y la distancia psíquica, así como de la aplicación de una de las teorías más utilizadas en este campo: el modelo de Uppsala. Bajo este marco teórico, se explica cómo las empresas turísticas optan por invertir en determinadas geografías antes que en otras. Si bien existen numerosos estudios en el ámbito de la internacionalización sobre la distancia cultural, la distancia psíquica y el modelo de Uppsala, la novedad de este trabajo radica en su enfoque integrador que amalgama estos tres elementos conceptuales en su análisis del sector turístico, lo que aporta un mayor conocimiento de los patrones de comportamiento de este sector de gran relevancia mundial. Concretamente, se han realizado análisis estadísticos sobre los datos de los flujos de ied turística de los últimos 25 años en España. Los resultados sugieren que la industria turística sigue el modelo de internacionalización de Uppsala. Por ello, se desplaza gradualmente de los países con baja distancia psíquica a los de mayor distancia a medida que se adquiere experiencia. Así, mediante la identificación de los niveles de distancia psíquica de los países turísticos emergentes, los estrategas deberían ser capaces de predecir hacia dónde se dirigirá la IED en los próximos años.
A cooperação brasileira com a Guiné- Bissau de 2003 até 2021
Authors: Freitas Gorga Eduardo , Ziebell de Oliveira Guilherme
Published: January 2024

Este trabalho debate os impactos das relações bilaterais entre o Brasil e a Guiné-Bissau, sobre os crimes transnacionais que circulam na área do Atlântico Sul. A partir de 2003, o governo brasileiro procurou reaproximar as suas interações institucionais com o continente africano. Ainda no início da terceira década do século XXI, o crime organizado internacional persiste, contribuindo para a insegurança nas áreas fronteiriças do entorno estratégico dos países supracitados. Nesse contexto, o objetivo deste artigo é apresentar a cooperação entre ambas as nações para o combate ao tráfico na rota proposta, entre 2003 e 2021, por meio da capacitação dos agentes e do fortalecimento institucional guineense. Com uma abordagem qualitativa e tendo como procedimento de pesquisa a revisão bibliográfica, foram reveladas as ações do Brasil junto à Guiné-Bissau, cujo protagonismo cabe à Agência Brasileira de Cooperação, a fim de mitigar os tráficos de drogas, armas e pessoas. Nota-se que o Estado africano pode contar com o governo brasileiro para o intento de superar os problemas impostos pela insegurança, decorrentes particularmente do narcotráfico. Por conseguinte, possivelmente há contribuições para a redução das vulnerabilidades no eixo em estudo, o que fortalece essa cooperação Sul-Sul.
The Value of Coronary Computed Tomography Angiography in Patients with a High Calcium Score
Authors: Moradi Maryam , Salamatizadeh Abbas Ali , Talebi Vahid , Karami Mehdi , Farghadani Maryam , Tarrahi Mohammad Javad , Khosravi Alireza
Published: January 2024

Background: We aimed to assess the agreement between coronary computed tomography angiography (CCTA) and invasive coronary angiography (ICA) to determine whether patients with a high coronary artery calcium score (CS) would benefit from CCTA.
Methods: This cross-sectional study was conducted on patients suspected of having coronary artery disease. The patients underwent calcium scoring. The total CS and the number of calcified foci were determined. The calcium score index (CSI) was defined, and coronary arteries were evaluated by CCTA. ICA was performed, and reports of ICA were extracted. All the abovementioned variables were compared. For data analysis, the κ coefficient and the ROC curve were used.
Results: The study population consisted of 195 patients: 124 men (63.6%) and 71 women (36.4%). The median (IQR) value of CS was 529 (229-1042), ranging from 17 to 4717. In all 195 patients, the concordance between the final impression of CCTA and ICA was 90.2%, while the number and type of involved territories were similar at 57.9%. The highest agreement was seen in the left main and right coronary arteries, whereas the lowest agreement was detected in the left anterior descending and the left circumflex artery. The patients were categorized into different CS groups, and in those with a high CS (>1000), the agreement between CCTA and ICA concerning final impression and involved territories was similar to the whole group of patients.
Conclusion: CCTA in patients with a high CS, even exceeding 1000, remains beneficial as the noninvasive available method
The phenomenon of border in biography and works of Alma Maximiliane Karlin
Authors: Bodrova A.G.
Published: January 2024

The purpose of the article is to study the phenomenon of border in works of Alma Maximiliane Karlin (1889–1950), a German-speaking writer with a hybrid national identity. She was born in Austria-Hungary in a family with Slovenian roots, and later became a citizen of the Kingdom of Serbs, Croats and Slovenes, and then Yugoslavia. The study material are the travelogues “The Odyssey of a Lonely Woman” and “The Spell of the South Seas”, created in 1930s, and other autobiographical works of the writer: “Alone: My childhood and Youth” (published in 2010 in Slovenian, in 2018 a shortened version was published in German) and “My Lost Poplars: Memories of the Second World War” (published in 2007 in Slovene). In her writings, Karlin often speaks about the issue of borders (primarily between states, nations, and civilizations). This fact is due to Karlin’s biographical experience related to her personal choice – she went on a world tour, which was reflected in her work, where important place is occupied by travelogues and fictions, which action takes place in exotic countries. Historical changes also made the writer think about the problems of the nation and its borders. In the texts of Karlin the theme of national and racial identity often arises. The writer herself reflects on her national identity and writes that she has no homeland. One can speak about the mobility of boundaries at the reception level of Karlin’s works. What is the national literature Karlin does belong to? Karlin’s nomadism manifested itself both in the biography and in her works, the phenomenon of women’s travel correlates with the trespassing. The work of the traveling writer is transnational in nature, which makes it possible to problematize the concept of national literature and its borders.
“On the ice of Dante’s hell the author of manga draws a huge catfish instead of Lucifer”
Authors: Magera J.А. , Maksimova Е.S.
Published: January 2024

Julia Magera is a scholar in the field of Japanese culture studies, a researcher at the Institute for Oriental and Classical Studies, the organizer of the international conference “The World of Comics”, the editor–in-chief of the website “Mangalectory”. In this issue of P&I dedicated to comics culture, Julia Magera talks about tanuki werewolves and Mickey Mouse, the city of Neo-Tokyo and “munyashki”, about the manga faculty in Kyoto and the course “Cool Japan” at the HSE. Interview by Ekaterina Maksimova.
“Personal drama defined by history”: Philip Roth’s artistic method in “American pastoral”
Authors: Vikhrova K.A.
Published: January 2024

The article analyzes the implementation of Philip Roth’s (1933–2018) artistic method in the novel “American Pastoral”, which connects the historical events with a personal family drama and problematizes the Jewish identity in diaspora. The analysis shows that several key events from the history of the United States (the second half of the 20th century) were used as a conceptual basis for narrative structure and for the set of characters. World War II, the Vietnam War, which Roth had not previously discussed in a comprehensive manner, the 1967 Newark riots, and the Watergate scandal turn out to be not a panoramic background, but a dynamic force. References to the events help the narrator – Nathan Zuckerman, Roth’s alter ego – form a non-linear plot: the large-scale events are to center each part of the novel and determine the nature of the period and the characters. The protagonist of the novel is Seymour “The Swede” Levov, an entrepreneur, a veteran of World War II, the embodiment of the American dream, symbolizing good old America during the times of economic growth. Seymour's pastoral life is destroyed by the inevitability of historical process that intrudes the family idyll: a terrorist attack committed by Seymour's daughter Meredith in support of the Vietnamese people “returns the war” to Lyndon Johnson and breaks the family ties. Attempts to find the root of evil retrospectively lead Seymour and Zuckerman to the idea of the cruelty of American history and the atomic nature of society. The ongoing dialogue between Jewish and American cultures is represented by the images of Seymour and Merry as both, individualized and collective images, actors of history who (re)shape the American dream.
Effet de rapport E/C sur le comportement rhéologique et physico-mécanique de Béton à Haute Performance élaboré à base de pouzzolane naturelle
Authors: Guemidi Ismahene , Taleb Hosni Abderrahmane , Abdelaziz Yazid
Published: January 2024

Les bétons à hautes performances (BHP) sont des bétons qui présentent des résistances mécaniques élevées (> 60 MPa) et une micro texture très dense (faible porosité), qui empêche la pénétration des agents agressifs. Dans  le  contexte  de  ce travail  une  étude  expérimentale  a  été  faite  à  fin  d’élaborer  un  béton   BHP  à  base  des matériaux  locaux  disponible  dans  la  région  de  Béchar,  dont  le  but  de  réduire  le  cout  de BHP. Le   deuxième objectif de ce travail est  de voir l’influence du rapport E/C (0.3, 0.35, 0.4) sur le comportement rhéologique et  physico-mécanique (la maniabilité, porosité, résistances à la compression, résistance à la flexion, l’absorption d’eau  et la masse volumique) de BHP élaboré à base de pouzzolane naturelle de la région de Boukais (Bechar), et voir aussi l’effet de la pouzzolane naturelle qui a utilisé comme une substitution partielle dans le ciment portland (10% et 20%) sur le comportement physico-mécanique de BHP.