bluuebunny/crossref_metadata_2025 huggingface dataset:
LEITURA POR PRAZER E FORMAÇÃO DE BONS LEITORES NA EDUCAÇÃO INFANTIL
Authors: Pereira Cabral Catarina Conceição
Published: September 2023

Este trabalho apresenta o projeto intitulado “Leitura como fonte de prazer e expressividadena educação infantil” realizado em parceria de grupos de professores e coordenação pedagógica na Escola Municipal de Educação Básica Maria Eunice Duarte de Barros em Cuiabá - MT, voltado para o ensino infantil. Diante da ausência de projetos com o objetivo de incentivar e despertar a leitura com foco na formação de bons leitores e das consequências da forma habitual de ensino, a leitura, nesta escola apresenta-se pouco significado no cotidiano das crianças, dissociando a leitura da sua importância para o desenvolvimento intelectual, social e deleitosa que são as partes fundamentais para boa formação do leitor Assim surgiu esse projeto com a finalidade de promover a cultura da leitura, onde os professores realizaram o acompanhamento em sala de aula desde a aplicação, planejamento das aulas, organização do espaço, visando promover o prazer, alegria em ouvir histórias e aguçar o gosto pela leitura. Neste contexto, o projeto contemplou o hábito da leitura por parte dos professores e da família, promovendo acolhimento e receptividade para o pleno desenvolvimento, criação do gosto e prazer pela leitura. Alcançando resultados valorosos que podem já ser contemplados em ambiente escolar.
PERFIL DOS PACIENTES ESTOMIZADOS E AVALIAÇÃO DE LESÃO PERIESTOMAL ATENDIDOS EM UM AMBULATÓRIO
Authors: Pacheco Peterson , Dagostin Valdemira , Gulbis Karina , Zugno Paulo , da Silva Vanderson , Santiago Maria , Tessmann Magada
Published: September 2023

Objetivo: Avaliar o perfil dos pacientes estomizados e risco de lesão periestomal com todos os pacientes atendidos em um ambulatório de estomia de uma Universidade no Extremo Sul Catarinense, durante os meses de agosto a setembro de 2021. Métodos: Realizou-se uma pesquisa quantitativa, descritiva, de campo, desenvolvida nos ambulatórios de feridas de uma Universidade no Extremo Sul Catarinense. Resultados: Os dados foram computados e analisados estatisticamente em planilha excel e frequência simples dos dados. Os resultados evidenciaram que homens e mulheres têm a mesma tendência a estomias, com faixa etária em torno de 61 a 72 anos predominantemente, tendo as dermatites como principais complicações relacionadas as estomias e com ausência de lesão periestomal. Conclusões: O papel do Enfermeiro sobretudo estomaterapeuta é evidenciado atuando como promotor da saúde, agindo na prevenção e recuperação de eventuais lesões por pressão.
A SIMBOLOGIA NUMÉRICA COMO METÁFORA EXISTENCIAL: ANÁLISE SEMIÓTICA DO CONTO MOÇAMBICANO “MEIA CULPA, MEIA PRÓPRIA CULPA” DE MIA COUTO
Authors: MATOS Edinaldo Flauzino de , PENHA Katy Stéfanny de Oliveira Palha
Published: September 2023

No presente estudo intitulado: “A simbologia numérica como metáfora existencial: uma leitura semiótica do conto moçambicano “Meia culpa, meia própria culpa” de Mia Couto”, propõe-se analisar a perspectiva temática que envolve a crise existencial da personagem ‘Maria Metade’ coligada ao marido ‘Seis’. A referida pesquisa é efetivamente de cunho bibliográfico e analítico, pelo qual faremos uma inter-relação entre o objeto proposto e estudos afins ao tema em pesquisa. Nessa proposição, destaca-se autores que corroboram nessa pesquisa, tais como: Melaine Klein, Sigmund Freud, Jean Chevalier, Jean Fontanille, Gaston Bachelard e outros associados ao assunto. É concluso, a princípio, ponderar que a crise existencialista da personagem ‘Maria Metade’ tem a máxima influência da simbologia numérica interligada às questões psicanalíticas que, primeiramente, envolve a figura da mãe e, por efeito, tem a máxima presença masculina no núcleo do acontecimento trágico associado à figura do marido. Assim, a conjuntura que envolve a simbologia atrelada aos números, cuja linguagem discursiva verbal e não verbal se mostra ante uma situação, em essência, conflitiva e, por isso, se efetiva como sintoma de uma espécie de neurose que termina em tragédia, prisão e loucura.
A INFLUÊNCIA DA MICROBIOTA INTESTINAL NO DESENVOLVIMENTO DO CÂNCER COLORRETAL
Authors: Costa Sarah Camargo , Felipe Isabelly Cristina , Brasil Bettina Gerken
Published: September 2023

A microbiota intestinal é uma comunidade de micro-organismos conhecida por bactérias, fungos, arqueias e vírus que colonizam o trato gastrointestinal, principalmente o intestino grosso. Em um indivíduo saudável, os filos predominantes na microbiota são Firmicutes e Bacteroidetes. Foi desenvolvido uma revisão narrativa com o objetivo de descrever como a microbiota e alimentação podem ser fator de risco ou proteção ao câncer colorretal. Os hábitos alimentares têm uma influência significativa no ambiente intestinal, e a alimentação ocidental está fortemente associada à disbiose, caracterizada pelo desequilíbrio e acúmulo de patógenos oportunistas. Por outro lado, uma dieta equilibrada pode prevenir e afetar a progressão de câncer colorretal. A microbiota desempenha diversos papéis, desde a troca de nutrientes e indução da imunidade inata até a ativação de vias de sinalização envolvidas no desenvolvimento de condições patológicas e doenças neurodegenerativas. Estima-se que 30% a 40% dos tipos de câncer estejam relacionados à má alimentação e ao estilo de vida, o que torna o câncer uma doença em grande parte evitável. Recentemente, tem-se destacado não apenas da suscetibilidade gênica, mas também as interações entre gene e dieta.
REABILITAÇÃO CARDÍACA – COMO CHEGÁMOS AQUI?
Authors: Mendes Eugénia , Loureiro Maria , Novo André
Published: September 2023

Até aos anos 40 todas as pessoas após um evento coronário agudo deveriam cumprir seis semanas de repouso absoluto no leito, evitando tarefas tão simples como a alimentação ou a higiene pessoal. Acreditava-se que o repouso total seria necessário para a completa cicatrização do tecido do miocárdio. É na década referida que se dão assinaláveis progressos na reabilitação cardíaca e na projeção da atividade física como componente importante na recuperação da pessoa, com a terapia da cadeira, criada por Levine. Nesta altura, o doente realizava o levante precoce para uma cadeira e os resultados eram animadores, com menor ocorrência de complicações respiratórias, sintomas depressivos e fenómenos tromboembólicos, resultando na redução da morbilidade e mortalidade após enfarte agudo do miocárdio.
PERFIL DOS DOADORES DE SANGUE EM UMA INSTITUIÇÃO HEMOTERÁPICA NO CENTRO-OESTE DO BRASIL
Authors: ABREU WF , SILVA LA , SOUSA PCG
Published: September 2023

Objetivo: Descrever o perfil dos doadores de sangue em um hospital no Centro-Oeste do Brasil com banco de sangue próprio, para se ter uma visão diagnóstica do local e possibilitar o planejamento de melhorias nos serviços. Métodos: Trata-se de um estudo descritivo, retrospectivo, de abordagem quantitativa. Foi utilizada a técnica de amostragem estratificada proporcional, com grau de confiança de 95% e margem de erro de 5%, a fim de representar e caracterizar a população do estudo, obtendo-se uma amostra de 363 doadores. Posteriormente foi realizada uma alocação proporcional nos grupos estabelecidos (doadores aptos, doadores inaptos e doadores de plaquetas por aférese). Resultados: O perfil dos doadores aptos na instituição estudada é composto por doadores casados (55,2%), sexo masculino (63,7%), com faixa etária entre 20 e 30 anos (40,4%), com sangue O RhD+ (46,7%) e A RhD+ (29,6%) mais prevalentes. Os doadores de plaquetas por aférese (50%) são solteiros, sexo feminino (81,3%), faixa etária entre 31-40 anos (43,8%). Já os doadores inaptos, 94,8% são inaptos temporários, doadores casados (53,2%), do sexo feminino (54,5%), entre 20 e 40 anos (54,6%), sendo as categorias condição de saúde e estilo de vida os motivos de inaptidão mais prevalentes. Conclusão: Existe uma hegemonia por doadores de reposição e primeira vez, mostrando a eficácia da política de solidariedade implantada na instituição, porém evidencia a baixa efetividade na fidelização destes doadores.
DESAFIOS DOS ENFERMEIROS QUE ATUAM EM CENTRO DE MATERIAL E ESTERILIZAÇÃO: REVISÃO INTEGRATIVA
Authors: Araújo Monique de Cássia Souza de , Hubner Marina Godinho , Santos Daiane Pena , Faria Letícia Dandara Paschoal de
Published: September 2023

Objetivo: Descrever os desafios encontrados por enfermeiros que atuam em Centro de Material e Esterilização e analisar as mudanças de paradigmas acerca do seu papel em uma unidade tão específica. Metodologia: Trata-se de uma revisão integrativa,utilizando as bases de dados da Biblioteca Virtual de Saúde, MEDLINE, IBECS e LILACS. Resultados: O enfermeiro que atua na Central de Material e Esterilização enfrenta inúmeros desafios, que vão desde o gerenciamento dos recursos até a organização. De acordo com o estudo, observou-se que o profissional de enfermagem necessita de atualização contínua acerca dos equipamentos da CME, bem como, a forma correta para o seu manuseio; a necessidade de reconhecimento e valorização do profissional atuante em um setor repleto de peculiaridades e a exposição contínua do profissional a riscos químicos, biológicos e ergonômicos. Conclusão: Os enfermeiros que atuam em central de material esterilizado devem aprimorar suaatuação com um olhar inovador e devem agir de forma integrada com as equipes deassistência direta.
ATENÇÃO FARMACÊUTICA AO PACIENTE ONCOLÓGICO
Authors: da Silva Ellen Rodrigues , Alves Joseane Almeida , Coelho Viviane Amaral Toledo , de Souza Carla Giselly , Nascimento Ednardo de Souza , de Araújo Luanna Botelho Souto , Machado Anna Lethicia de Oliveira , Bigatello Creonice Santos , Lopes Lívia Alves Rezende , Coelho Thomaz
Published: September 2023

Atualmente, no Brasil a atenção farmacêutica ao paciente oncológico tem ganhando cada vez mais espaço na oncologia. Isso ocorre devido ao aumento do número de pacientes diagnosticados com neoplasia maligna, onde, os mesmos necessitam de maiores cuidados durante o tratamento. Sendo assim, esta pesquisa objetivou demonstrar através de revisão bibliográfica, as principais atribuições do farmacêutico no atendimento farmacológico; estimular o profissional farmacêutico ao atendimento humanizado e distinguir a importância desse profissional no âmbito da oncologia. Através dos estudos observou-se que a atuação do farmacêutico especializado em oncologia auxiliou no processo de tratamento, melhorando a qualidade e reduzindo erros na farmacoterapia do paciente. A ação humanizada a esse paciente deve propiciar o surgimento de ambientes terapêuticos onde possam ser abordados sentimentos, esclarecer informações relacionadas ao tratamento, o ajudando para que se torne ativo no seu processo de cura. Assim, a atenção farmacêutica na oncologia contribui para um processo de cuidado e orientação tanto ao paciente quanto à sua família, melhorando assim a qualidade do tratamento oferecido.
INÍCIO DA VIDA ACADÊMICA: ADAPTAÇÃO FACILITADA PELO TROTE ACOLHEDOR
Authors: Marques Figueiredo Ana Maura Freitas , Durães Dayane Tabatha Santos , Sales José Wilson de Brito , Marques Chaves Renata Inez de Freitas , Sheimon Samuel , Rossi-Barbosa Luiza Augusta Rosa
Published: September 2023

O primeiro ano de faculdade é repleto de situações e momentos vividos, que são determinantes para a permanência no ensino superior e para o sucesso acadêmico. A maneira como os acadêmicos integram-se, faz com que possam aproveitar melhor as oportunidades oferecidas pela universidade.
CIÊNCIA GEOGRÁFICA COMO ARTICULADORA DA EDUCAÇÃO AMBIENTAL: CONCEITOS E REFLEXÕES À FORMAÇÃO DOCENTE
Authors: Martins Fábio César
Published: September 2023

Buscando integrar a realidade social aos conteúdos escolares, a Educação Ambiental apresenta-se como um conceito interdisciplinar, uma vez que reúne as mais variadas áreas do conhecimento, e estas quando integradas, proporcionam uma visão mais holística, que leva em consideração as propriedades de um todo e suas inter-relações. Dessa forma, sua eficácia se dá por meio de bases teóricas que viabilizem e proporcionem uma melhor compreensão da práxis, utilizando para isso informações já existentes associadas às análises in situ. Dessa forma, a Geografia apresenta-se como uma disciplina amplamente abrangente perante à demanda da Educação Ambiental, esta, elencada pelas legislações ambientais e educacionais brasileiras, deve compor o currículo escolar aplicada de modo que perpasse pelos mais variados conteúdos, sendo beneficiada por uma organização flexível do trabalho pedagógico, onde suas práticas exigem demasiada imersão no trabalho cotidiano. Assim, o presente capítulo buscou apresentar por meio de conceitos geográficos e pedagógicos, possíveis articulações entre os conhecimentos acadêmicos e saberes empíricos, que ressaltam o potencial da disciplina de Geografia na efetivação da interdisciplinaridade necessária à Educação Ambiental.
PERFIL DAS INTERNAÇÕES POR DOENÇAS DE NOTIFICAÇÃO COMPULSÓRIA EM UTI NEONATAL NOS ANOS DE 2016 A 2017
Authors: Vieira Garcia Adriano
Published: September 2023

INTRODUÇÃO: As internações em UTI Neonatal geram o perfil epidemiológico do atendimento. Assim, a notificação tem sido uma ferramenta que impulsiona a comunicação da ocorrência de determinada doença ou agravo à saúde, repassada aos órgãos responsáveis ou até mesmo aos cidadãos, na finalidade em adotar medidas de intervenções (TEIXEIRA et al., 1998). OBJETIVOS: Geral: Identificar as patologias de notificações compulsórias que ocorreram na UTIN em 2016 e 2017. Tais resultados precisam e devem ser divulgados (MARCONI; LAKATOS, 2008). RESULTADOS E DISCUSSÃO: Dentre as doenças notificáveis, houve apenas casos de sífilis registrados com um total de 36 internações em UTIN, entre os anos de 2016 e 2017 todos hospitalizados pelo Sistema Único de Saúde e casos de óbitos. Em 2016 houve um maior número de ocorrência na UTIN com 25 casos e, no ano de 2017, uma redução de diagnósticos com sífilis, apenas 11 casos. Quanto à idade gestacional dos casos de sífilis, no ano de 2016, 03 neonatos nasceram com menos de 36 semanas (8,33%), e 16 neonatos entre 37 a 40 semanas (44,44%), apenas 01 neonato ultrapassou as 41 semanas de gestação (2,87%), e neste mesmo ano, 04 dos nascimentos não tiveram seus pesos registrados no caderno de admissão (11,11%). CONCLUSÃO: O estudo mostrou que nos anos de 2016 e 2017, apenas casos de sífilis e óbitos foram indicativos de notificação compulsória na UTI neonatal. O tratamento da sífilis não depende apenas do tratamento materno, mas também do companheiro da mesma, fato que pode justificar os casos encontrados no estudo. Outro fator relaciona-se a utilização medicamentosa de penicilina, primeira escolha para o tratamento e que esteve em falta tendo sido substituída por outras escolhas medicamentosas. Já os óbitos foram por prematuridade extrema, baixo peso e sepse. Este servirá para subsidiar planejamento e ações para diminuir os casos de sífilis e taxa de óbito no município de Anápolis na UTI neonatal, bem como nas esferas Estadual e Federal do Sistema Único de Saúde.
O ARREPENDIMENTO NÃO COMPENSA O VALOR QUE DEVERIA SER DADO À VIDA
Authors: DRUMOND Maria Eduarda Hilarino
Published: September 2023

A resenha que, aqui, será apresentada diz respeito ao livro “Por favor, cuide da mamãe” da autora coreana Kyung-Sook Shin, publicado pela editora Intrínseca, em 2011. Ao ler as últimas linhas dessa estória interessante e comovente, o leitor perceberá que há muito a se refletir sobre a complexidade de todos os fatos apresentados em cada página do livro. A autora Shin Kyung-Sook nos envolve de tal forma em suas palavras que sentimos como se, nós mesmo, fizéssemos parte dessa narrativa emocionante.
Signatures of the Self-organized Criticality Phenomenon in Precursors of Gamma-Ray Bursts
Authors: Li Xiu-Juan , Yang Yu-Peng
Published: September 2023

Precursors provide important clues to the nature of gamma-ray burst (GRB) central engines and can be used to contain GRB physical processes. In this Letter, we study the self-organized criticality in precursors of long GRBs in the third Swift/Burst Alert Telescope catalog. We investigate the differential and cumulative size distributions of 100 precursors, including peak flux, duration, rise time, decay time, and quiescent time with the Markov Chain Monte Carlo technique. It is found that all of the distributions can be well described by power-law models and understood within the physical framework of a self-organized criticality system. In addition, we inspect the cumulative distribution functions of the size differences with a q-Gaussian function. The scale-invariance structures of precursors further strengthen our findings. Particularly, similar analyses are made in 127 main bursts. The results show that both precursors and main bursts can be attributed to a self-organized criticality system with the spatial dimension S = 3 and driven by a similar magnetically dominated process.
Counseling Supervisors' Clinical Healthcare Leadership Development
Authors: Grady John , Quisenberry William , Kitzinger Jr. Robert H.
Published: September 2023

Leadership development and clinical counseling supervision have an established position in the literature. Counseling leadership development has been researched by Chang et al. and Peters et al. while clinical counseling supervision has been explored by Bernard and Goodyear and Elswick et al. This study defined leadership as a biodirectional social influence process that features a supervisor questing for willing involvement of supervisees to realize organizational objectives while also demonstrating managerial leadership in the organization's structure. Research has focused on the convergence of these disciplines. However, a 20-year metastudy of publication characteristics in Counselor Education and Supervision found no direct category featuring on organizational leadership or business topics. This qualitative phenomenological study explored the clinical healthcare leadership development experiences of eight clinical counseling supervisors.
Corporate Financial Risk Case Study
Authors: Buhr Leeshawn
Published: September 2023

This case study begins with a company purchase card audit that brought years of unethical purchasing practices to light. The author discusses how the purchases impacted organizational culture, leadership, and employee well-being. Risk management policies are examined to determine the best methods to reduce employee fallout impacting the organization. Change management, organizational culture, and leadership theories are analyzed to mitigate the negative impact unethical leadership has on the overall health of an organization.
Diversity, Transformational Leadership, and Public Governance
Authors: Ramjit Dana-Marie
Published: September 2023

The modern public sector confronts myriad crises, which demand sound decision-making in turbulent systems. More and more contemporary problems reveal long-held systemic injustices, inequity, and the inadequacy of public policies to create genuine social change. Still, modern society considers pluralism and diversity as unimpressive and toxic. Public administration must prioritize the ethnic mosaic to contribute to practical and effective global policymaking. Transformational leadership proposes a cultural metamorphosis focusing on approach and values to achieve institutional effectiveness. This framework is relevant to contemporary public leadership as it concentrates on moral and ethical markers, dynamism in the global economy, culture as the backdrop of change, innovation through ingenuity and intellectual motivation, and optimal performance through public service inspiration. This chapter explores the potential of transformational leadership to promote diversity in the public room and build a just and impactful society.
Anthropology in Socio-Intercultural Organizations
Authors: Vargas-Hernandez José G. , Vargas-González Omar C.
Published: September 2023

This chapter begins the analysis from the assumption that the study of anthropological disciplines applied to organizations is leading to influence the organizational socio-intercultural manifestations and expressions of the anthropology in organizations. The method employed is the analytic-descriptive inducing to the reflection on the main issues related to the theoretical and empirical literature review on the topic. The study concludes that organizational socio-interculture has been influenced by both the ethnographic and quantitative methodology used by the organizational anthropology.
The Structural Change of TiO2 and Fe2O3 Using P123 Template: Review
Authors: Ulfa Maria , Pangestuti Indriyani , Poetry Shabrina Devinta
Published: September 2023

Pluronic P123 has become a potential agent for solubilizing various metal oxide precursor molecules. However, how these solubilizates affect the morphology of material remains poorly understood. In this review, the morphological transition of TiO2 and Fe2O3 induced by Pluronic P123 micelles has been comprehensively investigated. The change of TiO2 and Fe2O3 structure by P123 micelles forms micellar clusters governed by the balance of hydrophobic interaction and hydrogen bonding, which consequently leads to various micellar morphologies. The review results further show that the intensity of P123-TiO2 and and P123-Fe2O3 interaction increases with the hydrophobicity of the P123, indicating that hydrophobic interaction is more important in the TiO2 and Fe2O3 morphological transition. The transformation of the disordered morphology is more effective in the acidic pH scale range than the basic and neutral ones. Not only pH, but also seen when the reaction time not more than 4 hours with moderate temperature ranging from 300-500 °C and the ratio of P123 to Ti and Fe precursors of 1-5% (%w/w) is the optimum condition which changes the disordered morphology to a more regular one. The acidity, time reaction and temperature as the main parameter influencing the enhancement of the physical properties and morphology for the considered reaction.
Influence of Ca and Ce Additions on Microstructure and Microhardness of Squeeze-Cast AZ91 Mg Alloy
Authors: Sarania Namrata , Marodkar Ankush S. , Borkar Hemant
Published: September 2023

In this study, AZ91 alloy was used as the base material and calcium and cerium were added as alloying elements. Microstructural analysis through optical microscope (OM) and field emission scanning electron microscope (FESEM) revealed that AZ91 base alloy contains α-Mg matrix and β-Mg17Al12 interdendritic network. The inclusion of individual calcium and cerium resulted in a more homogeneous distribution of the interdendritic network in the AZ91-1wt.% Ca and AZ91-1wt.% Ce alloy. The secondary phase (Mg17Al12) was refined in the microstructure as a result of Ca and Ce addition where Ce addition forms a new rod-like phase that is recognized as Al11Ce3 and Ca addition forms a skeleton like structure of Mg17Al12 and Al2Ca. Due to the formation of new Al2Ca and Al11Ce3 intermetallics, the volume fraction of β-Mg17Al12 was more suppressed with Ca and Ce alloy additions. The grain size determined from Electron Backscatter Diffraction (EBSD) maps indicate the reduction in average grain size with individual Ca and Ce additions. The addition of these elements was found to improve the hardness of AZ91 alloy. Overall, the results of this study demonstrate the potential for using Calcium and Cerium as alloying elements in AZ91 alloy to improve its mechanical properties by modifying its microstructure.
Montmorillonite/Tripolyphosphate Crosslinked Chitosan Nanocomposites for Eco-Friendly Agricultural Applications
Authors: Siriphannon Punnama , Rungkron Suthida , Soetsom Sunisa , Sukyee Suriya
Published: September 2023

Natural montmorillonite (MMT) was facilely impregnated with a mixed solution of protonated chitosan (CS) and KNO3, which was then subsequently impregnated with sodium tripolyphosphate (TPP) to ionically crosslink with chitosan, resulting in the MMT/xCS-20KNO3-TPP nanocomposites. The initial content of chitosan to MMT was varied from 2.5, 5 and 10 wt%, and while the TPP:chitosan weight ratio was kept at 1:5. The K+ and NO3- ions interacted ionically and were entrapped in the MMT basal spacing and the free volume of TPP crosslinked chitosan of the MMT/xCS-20KNO3-TPP nanocomposites. These nanocomposites were able to successfully prolong the K+ and NO3- releases, in which the cumulative released values (%R) ranging from 21 – 26 % for K+ and 0.37 – 0.65 % for NO3-. The presence of protonated amine in the chitosan played the dominant effect on the release profile of NO3- ion more than that of the K+ ion. The higher the chitosan content employed in the impregnation method, the more crosslinked chitosan structure in the MMT/xCS-20KNO3-TPP nanocomposites, resulting in decreased K+ and NO3- releases at each pre-determined soaking duration. The MMT/xCS-20KNO3-TPP nanocomposites have been considered as a promising choice for environmentally friendly fertilizers.
An Evaluation on the Mechanical and Conductive Performance of Electrically Conductive Film Adhesives with Glass Fabric Carriers
Authors: Zhang Weiyu , Zhao Yuan , Liu Zhongwei , Cheng Stone
Published: September 2023

Conductive assembly film adhesives are extensively

employed in medical, telecom, aerospace, and defense systems.

Glass fabric cloth is frequently utilized as the carrier in many film

adhesives to enhance handling and processability during electronic

device assembly. Furthermore, practical applications have

shown that film adhesives with glass fabric carriers can bond

adherends with severely mismatched coefficients of thermal expansion.

However, the impact of embedding glass fabric on the

overall performance of assembly films has not been systematically

investigated. To address this gap in knowledge, a study was conducted

to compare the performance of electrically conductive film

adhesives with and without the glass fabric carriers. The study

focused on the mechanical performance of the film adhesives,

including lap shear strength, tensile modulus, and the ability to

manage applications with mismatched coefficients of thermal

expansion. Additionally, the study assessed the impact of the carrier

on the electrical and thermal conductivity of the film adhesives.

Overall, this integrated assessment provides insights into

the effectiveness of the glass fabric carrier on the performance of

film adhesives.
Attitudes and understanding of complementary and alternative medicine in cancer care: An exploratory study of patients' perspectives in Karachi, Pakistan
Authors: Imam Shahlla , Aijaz Muneeba , Iffat Wajiha , Jamshed Shazia Qasim , Ismail Nahlah Elkudssiah , Paneerselvam Ganesh Sritheran , Goh Khang Wen , Ming Long Chiau , Sadia Halima , Azhar Iqbal
Published: September 2023

Objective:

To evaluate the prevalence and types of complementary and alternative medicine (CAM) modalities among patients with cancer in Karachi, Pakistan.

Methods:

This descriptive cross-sectional study was conducted from March 2021 to December 2021. Five hundred patients with cancer were invited to participate in the study. Electronic databases, namely, Google scholar, Publons, EMBASE, PubMed, Chinese National Knowledge Infrastructure Database, and ResearchGate was used for questionnaire designed. The self-administered survey included questions on demographic characteristics, education level, socio-economic conditions and information about CAM therapies, prevalence, effectiveness, and common CAM modalities. Statistical analysis was conducted using SPSS software version 22.

Results:

Out of the 500 invited patients, 433 (86.6%) successfully completed and returned the questionnaires. In contrast to patients who were with younger, highly educated, professionally active, higher income, and had advanced cancer, time since diagnosis, type of treatment, cancer types and family history are significantly associated with CAM use. The results showed that 59.8% of the participants were acquainted with complementary and/or alternative medicine and considered safe owing to its natural ingredients. The prevalence of CAM usage among cancer patients was 40.9% and the most widely used CAM modality was herbal medicine (27.7%) and dietary supplements (28.8%). Patients used CAM as a complementary therapy to improve the morphological parameter (28.2%), strengthen the immune system (6.8%), and to decrease the side effects of conventional treatment (18.1%). Most of the respondents get the information regarding CAM therapy from the electronic media (43.2%) and the family members (48%) rather than healthcare personnel.

Conclusions:

Participants used CAM modalities along with the conventional health care practices. Further multicentre studies should be conducted to provide information regarding the usage of CAM therapies and their eventual benefits in patients with cancer.
Type 2 reaction associated sensorineural hearing loss in a drug resistant lepromatous leprosy patient: A case report
Authors: Pawar Harpreet Singh , Singh Itu , Sagar Harish Kumar
Published: September 2023

Rationale:

Leprosy, a chronic granulomatous disease often present clinically as erythema nodosum leprosum, a type 2 reaction. The involvement of cochlear part of audiovestibular system is a rarity.

Patient concerns:

A 26-year-old male patient with lepromatous leprosy developed bilateral sensorineural hearing loss (SNHL) during type 2 reactional episode.

Diagnosis:

Recurrent erythema nodosum leprosum in rifampicin-resistant lepromatous leprosy.

Interventions:

Corticosteroids and second-line multidrug therapy.

Outcomes:

The patient improved significantly and was further referred for management of psychosocial impact due to sensorineural hearing loss.

Lessons:

The hearing impairment is a rare complication of type 2 reaction. Any patient with suspected cranial nerve involvement should essentially be screened by tuning fork tests for early detection of hearing impairment and offer timely intervention as required. All high bacteriological index cases should be investigated for antimicrobial resistance in high endemic areas.
“If They Don’t Ask, We Don’t Share” – A Qualitative Study on Barriers and Facilitators to Discussing Mental Health with Obstetric Care Providers in Urban Anganwadis among Pregnant Women in India
Authors: Shanbhag Vandita , Chandra Prabha , Desai Geetha , Bagadia Ashlesha , Dref Martin Le , Bhat Shweta
Published: September 2023

Background:

Perinatal period is considered a high risk period for developing mental health problems. Screening for mental health problems is not routine in obstetric care settings in low and middle income countries. This qualitative study among low-income urban pregnant women in India aimed to understand the facilitators and barriers for discussing mental health problems with their obstetric health-care providers.

Materials and Methods:

Two focus group discussions with six pregnant women in each group were conducted using a semi structured interview guide. The transcribed data were translated to English and were analyzed and key themes were identified using a thematic analysis approach.

Results:

Participants had inadequate knowledge about the impact of maternal mental health problems on pregnancy, fetus and infant. The common barriers to discussing mental health problems were families normalizing mental stress, fear that family conflicts being revealed, stigma about being labeled mentally ill, lack of privacy in clinics and obstetric health-care providers being too busy. Women reported that being specifically asked about mental health problems as part of care and a sensitive attitude of the health-care providers encouraged them to discuss their concerns.

Conclusion:

This study identified more barriers than facilitators in discussing about mental health among pregnant women and the need for sensitive screening for mental health problems. To enhance screening and support for maternal mental health problems, it is necessary to increase awareness about the importance of mental health in the perinatal period among women and families. In addition, training obstetric health-care providers in sensitive screening for mental health problems, ensuring privacy in clinics and reducing stigma related to perinatal mental health problems.
Removing Barriers to Emergency Medicine Point-of-Care Ultrasound: Illustrated by a Roadmap for Emergency Medicine Point-of-Care Ultrasound Expansion in India
Authors: Smith Mike , Krishnan S. Vimal , Leamon Andrew , Galwankar Sagar , Sinha Tej Prakash , Kumar Vijaya Arun , Laere Jeffrey V. , Gallien John , Bhoi Sanjeev
Published: September 2023

Point-of-care ultrasound (PoCUS) has a potentially vital role to play in emergency medicine (EM), whether it be in high-, medium-, or low-resourced settings. However, numerous barriers are present which impede EM PoCUS implementation nationally and globally: (i) lack of a national practice guideline or scope of practice for EM PoCUS, (ii) resistance from non-PoCUS users of ultrasound imaging (USI) and lack of awareness from those who undertake parallel or post-EM patient care, and (iii) heterogeneous pattern of resources available in different institutes and settings. When combined with the Indian Preconception and Prenatal Diagnostic Techniques (PCPNDT) Act, this has led to the majority of India’s 1.4 billion citizens being unable to access EM PoCUS. In order to address these barriers (globally as well as with specific application to India), this article outlines the three core principles of EM PoCUS: (i) the remit of the EM PoCUS USI must be well defined a priori, (ii) the standard of EM PoCUS USI must be the same as that of non-PoCUS users of USI, and (iii) the imaging performed should align with subsequent clinical decision-making and resource availability. These principles are contextualized using an integrated PoCUS framework approach which is designed to provide a robust foundation for consolidation and expansion across different PoCUS specialisms and health-care settings. Thus, a range of mechanisms (from optimization of clinical practice through to PoCUS educational reform) are presented to address such barriers. For India, these are combined with specific mechanisms to address the PCPNDT Act, to provide the basis for influencing national legislation and instigating an addendum to the Act. By mapping to the recent Lancet Commission publication on transforming access to diagnostics, this provides a global and cross-discipline perspective for the recommendations.
Effectiveness of a multimodal intervention in promoting physical activity among sedentary elderly population in socially and economically constrained settings - A quasi-experimental study
Authors: Vasudevan Jyothi , Chellamuthu Lalithambigai , Swarnalatha RS , Ramanathan Meena
Published: September 2023

ABSTRACT

Introduction:

Aging is becoming a major challenge for policymakers. Regular exercise helps keep elderly people mobile, enhances physical and mental abilities, and to some extent delays the effects of chronic illnesses.

Objectives:

To evaluate the effectiveness of a multimodal intervention to increase physical activity levels among sedentary elderly living in socially and economically constrained settings.

Materials and Methods:

A quasi-experimental study was conducted in selected old age homes in Puducherry, South India in 2022 for 3 months. Individuals aged ≥60 years, both genders residing in selected old-age homes were included through convenience sampling. The sample size was 36 subjects per arm [three arms namely E1, E2 (intervention arms), and C (control arm)]. Baseline data collection on physical activity was collected using a semi-structured questionnaire in all three arms. The intervention arms (E1 and E2) received a multimodal intervention to promote physical activity. In addition, E1 arms were instructed to perform exercises with an “exercise partner” and to maintain a daily log. At the end of 8 weeks, follow-up data collection was done using the same questionnaire in all three arms. Data entry was done by MS Excel 2010 and analysis using SPSS version 21.

Results:

The mean (SD) of the days of physical activity per week and time of physical activity per day before and after the intervention among E1 and E2 were compared using paired t-tests. The difference between pre- and post-intervention was found to be statistically significant, that is, P value <0.05 in both the groups, thereby proving the effectiveness of the intervention. The difference between the three groups was found to be statistically significant, that is, P value <0.05.

Conclusion:

This multimodal intervention is found to be effective in increasing the physical activity of the participants in the interventional arms. Furthermore, having an exercise partner was found to be beneficial in ensuring motivation and compliance to carry out physical activity among the elderly living in socially and economically constrained settings.
A study on the multidisciplinary diagnostic approach of leprosy: Can we prevent the recrudescence in the post-elimination Indian scenario?
Authors: Mukherjee Mala , Ghatak Dhimoyee , Bhunia Deblina , Das Dipmala , Sinha Ranwir K. , Kumar Nikhil , Roy Asitava Deb
Published: September 2023

ABSTRACT

Introduction:

Leprosy also widely known by the name Hansen’s disease is a chronic disease caused by Mycobacterium leprae affecting mankind with various clinico-pathological forms. It remained a major public health issue due to associated case load, morbidity and stigma attached to it. India declared elimination of leprosy in the year 2005. However, it is surprising to see that in some parts of the country, the prevalence is still significant. The objective of the study is to describe the spectrum of histopathological profile of leprosy and compare its correlation with clinical diagnosis in this post elimination era.

Methods:

A 24-months prospective study was conducted with clinically diagnosed leprosy cases in a tertiary care hospital in eastern India. Lesions were graded and the histopathological slides along with its bacteriological index (BI) on slit skin smears where possible was reviewed and analyzed. Agreement of histopathological finding with clinical finding was established.

Results:

A total of 220 cases were included in the study. On histopathology, borderline category was the most frequently reported with borderline tuberculoid the most common subtype. Most common clinical feature was hypopigmented plaque, followed by erythematous skin lesions, nodules, macules etc. Bacteriological index was studied in 192 slit skin smears. Moderate agreement between clinical and histopathological diagnosis with kappa measure of inter-rater agreement as 0.457 was noted.

Conclusion:

Clinico-histopathological correlation is pivotal in the accurate diagnosis of leprosy to prevent, treat, and control the resurgence of the disease in the post-elimination era.
Aetiology, clinical profile and management outcome of pneumothorax patients: A prospective study from Central India
Authors: Joshi Priyanka , Sahu Gaurav , Pawar Kamendra Singh , Gupta Vikas
Published: September 2023

ABSTRACT

Background:

Pneumothorax (PT) is defined as the presence of air in the pleural cavity. Primary spontaneous pneumothorax (PSP) arises in an otherwise healthy person without any underlying lung disease. PSP occurs in people aged 20 to 30 years, with a peak incidence in the early twenties. The recurrence rate in spontaneous PT patients is approximately 10%–20%. In the present study, 50 cases of spontaneous PT were undertaken with an aim to analyse aetiology, clinical profile and management outcome of PT patients.

Materials and Methods:

The present study was conducted for a period of 12 months, among 50 patients presenting with unilateral PT. The therapeutic interventions were indicated when there was a loss of volume of lungs of 32% or more, and this loss of volume was calculated using Collins method. The association between the side of PT, smoking status and size of PT were found using the Chi-square test, and the association between variables were considered significant if the P value was <0.05.

Results:

In the present study, the male patients were 92.0% and only 8.0% of patients were females. The further history-taking of patients had shown that the mode of onset of PT was sudden in 72.0% of patients. Although the success rate of Intracth procedure was lower in comparison with the intercoastal drainage (ICD) procedure, the complication rate of Intracath was lower when compared with extensive subcutaneous.

Conclusion:

PSP is less common than secondary spontaneous PT. Smoking is an independent risk factor for PT, and it delays its resorbtion.
A study on prevalence and risk factors of depression among adolescent girls studying in government and private schools—A comparative study
Authors: Alex Preethi , Cynthia D Sharon , Kanagalakshmi V
Published: September 2023

ABSTRACT

Background:

The prevalence of depression among school-going adolescent girls in India is about 40%. Adolescent girls attending private and government-run schools in South India have vastly different sociodemographic backgrounds and school environments. Assessing the associated risk factors for depression will help in designing appropriate preventive strategies.

Objective:

To evaluate the prevalence of depression among school-going adolescent girls and the associated risk factors among government and private school students.

Methods:

The cross-sectional comparative study was conducted in two private and two government-run schools in Tamil Nadu. A semi-structured questionnaire and 11-item Kutcher Adolescent Depression Scale were administered to female students belonging to grades eight, nine, and ten. Differences in the prevalence of depression and the familial, social, and behavioral risk factors between private and government school students were measured and analyzed.

Results:

The prevalence of depression among our study population is 23.8%. An adolescent girl studying in a private school has a 4.67 times higher chance of being depressed as compared to her counterpart in a government school. Stress due to higher academic expectations, peer pressure, disagreement with friends, excess smartphone usage, and family discord are associated factors in private school students, and family discord and chronic illness among family members were associated risk factors for depression in government school students.

Conclusion:

There is a wide disparity in the prevalence of depression and associated factors among private and government school-going adolescent girls. The intervention program for depression has to be addressed differently according to the type of school.
A study to assess the severity and risk of COVID-19 breakthrough infection in admitted SARS-CoV-2 vaccinated individual
Authors: Dhoble Shital , Atram Devishri , Jiwane Niwrutti , Naitam Anil
Published: September 2023

ABSTRACT

Background:

No vaccine is 100% effective in prevention of infection. The possibility of breakthrough infection of SARS-CoV-2 also cannot be ruled out. So, our study aimed to find out severity and risk of breakthrough infection and find association between epidemiological factors associated with it.

Methodology:

A retrospective cross-sectional study was conducted on 148 admitted SARS-CoV-2 vaccinated individual from May 2021 to January 2022 by universal sampling method. A data was collected in the form of socio-demographic, Covid vaccine, clinical details, and outcome of admitted patients. An appropriate statistical test was applied.

Results:

Out of the total 148 vaccinated individuals, 66 (44.59%) belongs to 30–59 years of age group and maximum, i.e. 95 (64.19%) were males. 64.86% patients were vaccinated with both doses and 98 (66.26%) individuals were mild cases. Only 8 (5.40%) cases were re-infected with Covid-19 infection. 70.27% individual were comorbid. Out of 148 vaccinated individuals, only 11 (7.43%) individuals were died and among those 7 (63.636%) were comorbid.

Conclusion:

Despite being vaccinated, small percentage of people are still getting infected, requires hospitalization, and die because of COVID-19. As far as pandemic continues, continuous genome sequencing and tracking of SARS-CoV-2 is essential and strategies regarding vaccination should be adjusted accordingly.
Operating procedures of moxibustion technology
Authors: Wang Yali , Tang Ling , Haiyan E. , Wei Yongchun , Jiang Jing , Dong Yuxia
Published: September 2023

Moxibustion therapy is a treatment and health-care method that originated from China. It is a kind of therapy for preventing and treating diseases by stimulating meridians and acupoints using heat to regulate the viscera and enhance immunity. This article introduces the definition and mechanism of moxibustion technology, clinical operation technics, and precautions of moxibustion in practice, and demonstrates plenty of iconic cases of application of moxibustion in the treatment of insomnia, dysmenorrhea, urinary retention, knee arthritis, chronic eczema, etc., so as to provide a reference for the wide application of moxibustion technology.
Technical operation specification for pricking–cupping therapy
Authors: Li Jiaji , Xu Jingjin , Zhang Jing , Tang Ling , Chen Hong , Li Ye
Published: September 2023

Pricking–cupping therapy is a Traditional Chinese Medicine (TCM) nursing technology that can adjust the viscera of the human body, make the meridians smooth, and Yin and Yang balanced mainly by means of relieving heat and detoxification, harmonizing Qi and blood, promoting blood circulation and removing blood stasis, dredging meridians and activating collaterals, reducing swelling and pain, purging heat and calming shock, clearing heat, and opening orifices. Pricking–cupping therapy has a long history and wide application. After thousands of years of development, it has made great progress. They are widely used to treat lumbar disc herniation, herpes zoster, acute arthritis, migraine, and other diseases in China. Through the clinical practice and theoretical exploration of physicians of past dynasties, the therapeutic mechanism and application scope of pricking–cupping therapy have been greatly enriched. Modern TCM practitioners have conducted in-depth researches on the operation norms of the therapy on the basis of the ancients, hoping to grasp the essence of the disease more accurately and make the rational use of the operation technology of the therapy.
Herbs and management of hypertension: Claims, criticism, and challenges
Authors: Adeola Oluwakemi Elizabeth , Akpor Oluwaseyi Abiodun , Akpor Oghenerobor Benjamin , Adamolekun Modupe Motunrayo , Adewale Olusola Bolaji
Published: September 2023

Hypertension (HTN) is one of the most common chronic diseases affecting over 30% of the adult population globally, with a growing incidence rate. This article aims to identify the commonly used herbs for HTN treatment and examine their claims, criticisms, and challenges. It further aims to provide useful recommendations regarding the use of herbs for HTN treatment. HTN complications, such as coronary heart disease, stroke, peripheral vascular disease, vision impairment, and renal failure can result in morbidity and mortality. The high cost of conventional medications, which sometimes may not even be available or easily accessible with their unfavorable side effects as well as taking more than one pill per day, has led hypertensive patients, particularly those in rural areas, to explore alternative treatments such as herbal therapies. It is crucial to determine the different modes of action, doses, safety, and efficacy of herbal remedies used in combination with conventional medications to improve treatment adherence and enhance patient outcomes.
Rete middle cerebral artery presenting with a ruptured aneurysm
Authors: Singh DK , Shankar D , Yadav K , Kaif M
Published: September 2023

The developmental anomaly of the middle cerebral artery (MCA) is a rare occurrence. Rete MCA, also known as “unfused,” “twig-like,” and aplastic MCA, is an even rarer anomaly. These immature rete vessels are prone to flow-related aneurysms which rupture themselves presenting with intraparenchymal hematoma. We here with present a case of rete MCA with a ruptured aneurysm and discuss its pathophysiology and management.