bluuebunny/crossref_metadata_2025 huggingface dataset:
Demographic Characteristics, Laboratory Findings, Radiological Features, and Outcomes of Patients with COVID-19: A Single-center Descriptive Study
Authors: Rajabto Wulyo , Pramita Prasna , Tadjoedin Hilman , Gaol Donnie Lumban , Hardini R.A. Sri , Tarigan Nirmala Purbasari , Chandika Vitya , Manangka Rumuat Semuel Wullul , Pyrhadistya Maria
Published: May 2023

The coronavirus disease 2019 (COVID-19) has resulted in a global crisis, affecting hundreds of millions of individuals, with Indonesia reporting a significant increase in cases in July 2021. Therefore, this study aims to describe the clinical, laboratory findings, radiological features, and outcomes of hospitalized patients with COVID-19. This retrospective study was carried out using 606 hospitalized COVID-19 patients who were admitted to the isolation ward in a Hospital in South Jakarta, Indonesia, from January 1 to April 30, 2021. The median age of the patients was 45 years, 55.6% were male, and 85.5% had non-severe diseases, with the most common presenting symptoms being fever, cough, and gastrointestinal symptoms. Patients with severe disease were significantly older (P<0.001), more likely to have hypertension (P<0.05) and diabetes (P<0.001), have an increased CRP (P<0.001), high ferritin (P<0.001), and increased d-dimer (P<0.001). Compared to patients who survived, patients who had died were older (P<0.001), had hypertension (P=0.013), increased CRP (P<0.001), high ferritin (P=0.002), and increased d-dimer (P=0.006). These results showed that older age, comorbidities, and a higher level of CRP, ferritin, and d-dimer increased the risk of severe disease and poor clinical outcomes in hospitalized COVID-19 patients.
Placental Index, Placental Characteristics, Birth Weight, and Neonatal Outcome in Pregnancies
Authors: Simanjuntak Leo , Simanjuntak Patrick Anando
Published: May 2023

BACKGROUND: Recent studies have highlighted the clinical importance of placental weight, as predictors of maternal and neonatal morbidity and mortality. The placental index is the ratio between placental weight and fetal weight. Placental index is considered as a placental efficiency indicator.

AIM: This study aimed to describe and determine correlation of placental index with pregnancy and neonatal outcome.

METHODS: This study used a cross-sectional design using primary data obtained from Mitra Sejati, Herna, and Methodist Sussana-Wesley Hospital in Medan, Indonesia, for all women with singleton term pregnancy from January to August 2020 and 200 pregnancies were included in this study.

RESULTS: Mean birthweight was 3197.47 ± 512.26 g. Mean placental weight was 583.85 ± 96.71 g. Mean placental index was 0.18 ± 0.02. There were no significant mean placental index difference in gravida, parity, neonatal gender, and umbilical cord insertion group. There was a significant positive correlation between birth weight and placental weight (r = 0.52) and a significant and progressive placental index decrease in birth weight group. There was no significant correlation between placental index and Apgar score at 1 and 5 min.

CONCLUSION: Placental index was not associated to maternal age, maternal BMI, maternal gravida and parity level, neonates gender, umbilical cord insertion, and Apgar score at 1 and 5 min. There was a significant positive moderate correlation between birth weight and placental weight, meaning an increase in birth weight will be followed by increased placental weight.
Estimating the effects of legalizing drug e-commerce
Authors: Spektor Stanislav V. , Ionkina Karina A.
Published: May 2023

With the technological development the e-commerce channel began to spread to all sectors of the economy. In 2020 with the introduction of sanitary and epidemiological restrictions because of COVID-19 pandemic, many countries lifted the ban of drug e-commerce. Such changes are interesting from the point of view of health economics, and the opening of this sales channel significantly reduces transaction costs and increases the physical availability of drugs, especially in regions with low population density. The article attempts to evaluate the effects of legalization of online sales of drugs on price level and the degree of market concentration (the concentration of the 5 largest companies is used as a proxy), and also uses new methods to estimate the effects of legalizing e-commerce on drug markets. High rates of industry and drug market concentration can lead to a noticeable decrease in the availability of goods. Legalizing e-commerce can be seen as a way to reduce market concentration by facilitating market entry for small firms. The effects of lifting the ban on remote drug sales are estimated using regression analysis on panel data, cross-country matching, and synthetic control. Empirical estimates provide an overall picture of the effects of legalizing online drug sales. After allowing remote drug sales market concentration decreases, indicating a reduction in information asymmetry and switching costs. This effect is particularly important for countries with a high proportion of ﻿pensioners, for whom the switching costs are noticeably higher ceteris paribus. Allowing distance trade, due to reducing information asymmetry, drug pricing also slows down, that is, in addition to increasing physical accessibility, opening this channel also increases economic accessibility.
CACTUS – Vegetation database of the Dutch Caribbean Islands
Authors: Janssen John , Houtepen Erik , van Proosdij André , Hennekens Stephan
Published: May 2023

The vegetation database CACTUS (registered in GIVD under SA-00-004) aims to bring together all plot-based relevés from the Dutch Caribbean Islands that are available from literature, unpublished resources, and recent field surveys. The database currently contains 2,701 vegetation descriptions. The database is used for vegetation classification, to investigate vegetation change over time, to assist in the planning of vegetation surveys, as a source for plant species distribution maps, and to inform nature conservation and policy.

Taxonomic references: Van Proosdij (2012) for the Leeward Islands, Axelrod (2017, 2021) for the Windward Islands, except for St. Martin (Howard 1974-1989).
Two new thomisid species (Arachnida, Araneae, Thomisidae) from China and Vietnam, with the first descriptions of the males of Borboropactus longidens Tang & Li, 2010 and Stephanopis xiangzhouica Liu, 2022
Authors: Li Cong-zheng , Yao Yan-bin , Xiao Yong-hong , Liu Ke-ke
Published: May 2023

Collections of thomisid spiders by amateur and professional arachnologists in China have led to the discovery of some interesting crab spiders (Thomisidae). Two new species in two genera of thomisid spiders are described and illustrated with photographs and SEMs: Pharta xizang Liu & Yao, sp. nov. (♀) and Stephanopis qiong Liu & Yao, sp. nov. (♀). The previously unknown males of Borboropactus longidens Tang & Li, 2010 and Stephanopis xiangzhouica Liu, 2022 were also collected and are described for the first time. The genus Borboropactus Simon, 1884 is reported for the first time from Vietnam. The new Stephanopis species is also recorded for only the second time from the Asian mainland. Distributions of all these species are mapped.
Systematic notes on three new Luthela (Mesothelae, Heptathelidae) spiders from China, with their descriptions
Authors: Wei Mian , Wang Shuqiao , Lin Yucheng
Published: May 2023

Three new segmented trapdoor spider species belonging to the family Heptathelidae Kishida, 1923, i.e., Luthela asukasp. nov. (♂♀, Sichuan), L. beijingsp. nov. (♂♀, Beijing), and L. kagamisp. nov. (♂♀, Sichuan), are described from China. Their phylogenetic position and relationships within Heptathelidae are tested and assessed using a combination available COI data downloaded from GenBank with new DNA sequences obtained in this study. The results show that the new species form a clade with eight known and one undescribed species of Luthela. High-definition illustrations of the male palps and female genitalia, diagnoses, and DNA barcodes are provided for these three new species, and their distributions are mapped.
Taxonomic notes on the head squamation of the genus Liotyphlops Peters, 1881 (Serpentes, Anomalepididae)
Authors: Santos Fidélis Júnio Marra
Published: May 2023

The only head scales which are consistent for Liotyphlops taxonomy are the rostral, prefrontal, and frontal scales. Subdivisions and nomenclature of scales posterior to the prefrontal, frontal, nasal and above supralabials two, three and four should be avoided.
L’hôpital public : vers une entreprise comme une autre ? Quels risques pour la dimension humaine et l’éthique ?
Authors: San Martino Laurence
Published: May 2023

L’hôpital connaît de profondes mutations induites par une série de réformes s’inscrivant dans le courant du New Public Management. Nous assistons alors à une financiarisation croissante de l’hôpital public (Angelé-Halgand & Garrot, 2015) avec une réelle pression à la performance. L’hôpital évolue d’une logique de moyens à une logique de résultats. Mais cette financiarisation de l’hôpital n’entraînerait-elle pas une trop forte intrusion de la sphère économique dans la sphère médicale, avec un risque de perte de valeurs, de sens et même d’éthique ? Dans cet article, basé sur les recherches récentes dans le domaine, nous mettons en évidence la focalisation sur le chiffre au détriment de la dimension humaine, aussi bien au niveau des patients que des soignants. Cela pourrait inciter même à des comportements déviants qui interrogent les valeurs publiques et l’éthique professionnelle. Cette mutation de l’hôpital « vers une entreprise comme une autre… » remet en question l’essence même de l’hôpital public.
Les déterminants de l’adoption des Progiciels de Gestion Intégrés (PGI) au sein des petites et moyennes entreprises : l’importance du facteur humain
Authors: Takoudjou Nimpa Alain , Talom Fossi Lionel Franck , Talekenze Nanfack William
Published: May 2023

Investir dans un progiciel de gestion intégré (PGI) au sein des PME relève d’une décision majeure. Cette étude met globalement en exergue les principaux facteurs qui déterminent l’adoption des PGI. Plus spécifiquement, elle montre l’importance du facteur humain dans un tel projet. Une exploration effectuée au sein de deux sociétés de différents secteurs (industriel et hôtelier), ayant chacune adopté ces systèmes, révèle que les déterminants d’adoption de ces applications reposent sur leurs caractéristiques techniques (couverture fonctionnelle, sécurité informationnelle), l’environnement relationnel du promoteur (appartenance à un groupe, relation amicale) et la taille de l’entreprise. En outre, on note que la participation et l’implication de tous les acteurs (dirigeants et agents opérationnels utilisateurs), renforcées par des moyens de communication (formels ou informels) favorisent l’acceptation d’une telle solution dès le démarrage du projet.
Un mec comme les autres ? Comment les hommes trans’ rendent le genre visible au travail
Authors: Schilt Kristen , Windish Hélène
Published: May 2023

Cet article examine la reproduction des inégalités sexuées sur le lieu de travail par le biais d’entretiens approfondis avec des hommes trans’. Avant leur transition de genre, certains ont eu une première expérience professionnelle en tant que femme, ce qui leur donne un point de vue spécifique d’ outsider within sur les avantages que les hommes en général tirent de la subordination des femmes. Ils découvrent que, en tant qu’hommes, ils reçoivent plus d’autorité, de récompenses et de respect sur le lieu de travail qu’en tant que femmes, même lorsqu’ils conservent le même emploi. Leurs expériences contribuent à éclairer la manière dont les désavantages structurels des femmes sont reproduits dans les interactions. Elles illustrent également comment le « dividende patriarcal » varie en fonction de caractéristiques telles que la race/l’ethnicité et l’apparence corporelle, car ces avantages sont moins nets pour les hommes trans’ racisés et/ou de relativement petite taille.
Carrière queer et (dés)engagements professionnels : à la recherche d’une radicalité soutenable
Authors: Caudron Alice
Published: May 2023

En anglais le terme queer signifie « bizarre », « louche » mais aussi « pédé » ou « gouine ». Cette insulte est progressivement réappropriée par les personnes visées pour en faire un étendard politique, parfois traduit en France par « transpédégouines ». Cet article propose d’interroger les liens réciproques entre carrière queer (militante et sexuelle) et carrière professionnelle, en étudiant les personnes queers comme des personnes engagées dans des trajectoires sociales dont la soutenabilité n’est pas acquise a priori. L’enquête, fondée sur une soixantaine d’entretiens biographiques, fait émerger trois pôles entre lesquels les queers enquêté·e·s se répartissent, en fonction de leurs caractéristiques sociales : « une radicalité queer coûteuse », où la primauté donnée au mode de vie queer se réalise au détriment de l’emploi ; « faire carrière en queer  », où la sphère professionnelle est envisagée comme un lieu de lutte nécessaire (santé, éducation et travail social) ; enfin « mettre à distance la communauté queer pour faire carrière », quand le mode de vie queer s’avère incompatible avec les normes du milieu professionnel.
Effectiveness of sleeper’s stretch on proprioception and range of motion in volleyball and basketball athletes with glenohumeral internal rotation deficit
Authors: Khan A. , Sharma S. , Sharma S. , Priyadarshi P. , Sharma R.K. , Awasthi S.
Published: May 2023

Glenohumeral internal rotation deficit (GIRD) is a common impairment of neuromuscular origin that affects overhead athletes. The purpose of this study was to investigate the effect of 4-week sleeper stretch program on proprioception and range of motion (ROM) in athletes clinically diagnosed with GIRD. This study was a single group crossover study design (pre-post). The athletes underwent sleeper stretching program (5 sessions/week for 4 weeks) on the affected and non-affected sides. A total of 32 male athletes (15 basketball/17 volleyball were assessed for outcome measures of internal rotation (IR), external rotation (ER), total range of motion (TROM), and proprioception in ER, IR, and TROM (eyes open and eyes closed) at baseline and at the end of intervention. The affected side ROM significantly improved from 54.53±8.90° to 77.56±4.33° and 58.27±3.33° to 81.10±3.67° for volleyball and basketball athletes, respectively (IR ROM); from 114.56±5.88° to 95.77±6.66° and 119.44±4.67° to 104.23±5.05° for volleyball and basketball athletes, respectively (ER ROM); and from 169.90±5.78° to 173.11±5.88° and 177.28±5.88° to 186.89±3.79° for volleyball and basketball athletes, respectively (TROM), after the four-week sleeper stretch exercise. The ROM changes were non-significant on the non-affected side (P>0.05). The ANOVA reading for individual sports was found to be significant: volleyball athlete IR: [P<0.05, effect size (ES)=0.63], basketball athlete IR: [P<0.05, ES=0.74], volleyball athlete ER [P<0.05, ES=0.49), basketball athlete ER [P<0.05, ES=0.38). However, there was no significant improvement in proprioception measured with both eyes open (EO) and eyes closed (EC) for the IR, ER, and TROM. This study establishes the important role of sleeper’s stretching protocol in improvement of internal rotation, external rotation, and total rotational motion of the affected side. These findings may have important clinical implications in the management of GIRD in volleyball and basketball athletes.
Grasshoppers and locusts as human foods – a comprehensive review
Authors: Siddiqui S.A. , Ghisletta M. , Yunusa B.M. , Jiddum F.A. , Saraswati Y.R. , Fernando I. , Nagdalian A.A. , Gvozdenko A.A. , Shah Mohd Asif , Lorenzo J.M. , Dar B.N.
Published: May 2023

Nutritious and sustainable food sources are much needed to compensate for the rising demand for food due to the ever-growing human population. The idea of using insects as potential future foods is getting more attention globally. The consumption of insects or entomophagy offers several advantages other than fulfilling human nutritional and energy requirements. By considering climate change and the reduction in arable land and water, entomophagy and insect farming is regarded to be more environmentally friendly than animal husbandry. Among thousands of edible insect species, grasshoppers and locusts may become viable options as novel foods. In this review, all edible grasshopper and locust species are listed along with the countries where they are consumed. The nutritional value and nutraceutical and pharmaceutical properties of some commonly consumed grasshoppers and locusts are overviewed. Lastly, factors affecting the consumer acceptance of grasshoppers and locusts as emerging foods are discussed, and steps to incorporate the insects into consumers’ tables are given. Based on this review, there are at least 120 species of edible grasshopper and locust species. They are packed with nutrients and antioxidant substances, and are widely consumed across African and Asian countries and in certain parts of America. However, the rejection of grasshoppers and locusts as foods is still prevalent among consumers in western countries due to the stigma surrounding insects. Raising the consumers’ awareness through the dissemination of the health and environmental benefits of entomophagy could be a strategic way to increase the adoption of grasshoppers and locusts as foods.
Corporate Digital Literacy Mandates
Authors: Brown Lisa R. , McCray Pamela , Neal Jeff L. , Caldwell-Serges Lisa
Published: May 2023

Envision an employee showing up faithfully every day for work but cognitively checked out every minute (i.e., quiet quitting). This article adapts a futurist perspective to describe the adult education pedagogy of experiential learning in juxtaposition to the limitations of behaviorist employee training incentives. The authors conceptually apply Spiral Dynamic Theory (SDT) based predictive strategies to capitalize on the assumptions of intrinsic and extrinsic motivation themes among contemporary adult workers.  The field of Adult and Continuing Education caters its teaching and learning to people who are 25 years of age and older. As employees, they bring to the corporate work environment a unique set of skills and life experiences that require pedagogical delivery that is innovative and motivating. Research shows that older adults are often technology averse. Therefore, scaffolding the employee’s use of technology and social media as expectations of the work tasks could help improve low digital literacy and increase self-efficacy. This paper offers Spiral Dynamic Theory (SDT) as an instrument for adult training and professional development design.
Toy Companies Using Unconventional Methods to Stay Relevant and Reach the Evolving Minds of the Parents and Children
Authors: Deepikaa R.
Published: May 2023

The toy market has been one of the largest markets spread across the world with many familiar brands. These well-known brands are also known for some of their iconic collaborations despite their steady positive growth. This research is dedicated to finding the need for such companies to collaborate. The collaboration of these companies varies based on the industry to which the other company belongs. This chapter presents a systematic review on the information available regarding such collaborations while keeping the statistical figures and objective responses of the customers, critics, and the company in consideration. Apart from the well-known reasons about the need to collaborate, the research also tends to focus on the light yet important aspects. Based on the research, it can be concluded that companies find the need to collaborate irrespective of their sales and revenue generated.
Serious Games as a Learning Tool
Authors: Yein Nilakshi
Published: May 2023

Learning is acquiring new knowledge, understanding, or skills through various means and is challenging to measure. Serious games (SG) have the potential to allow users to learn through interaction in motivational and engaging aspects by harnessing enhanced game simulation to teach context-specific knowledge or skills. All SG may not show improved learning; content, objectives, and evaluation processes must be recognised before and during the game's development. The chapter saw a seed of potential and feasibility of SG in learning in the context of developing countries like India. Ancient Indian logic Tetralemma can be used in the design process. Domain experts and educators must be part of the development process. Learning and evaluating the envisioned learners should be fun and challenging, with a story adapted to connect to the user's real-life environment. SG can benefit learners, and researchers can investigate empirical evidence to help design SG that incorporates learning holistically.
Effectiveness of Exergaming Interventions
Authors: Mehta Harsh , Yadav Preeti
Published: May 2023

Exergaming is a fun, engaging, and interactive form of exercise that may help older adults overcome some of the traditional exercise barriers and improve adherence by providing therapeutic applications for balance recovery and functional mobility. The goal of this systematic review is to summarise the effects of exergames on older adults' mobility and balance. Exergames, or digital games that combine exercise and gameplay, can improve youth health while also providing social and academic benefits. Playing exergames raises caloric expenditure, heart rate, and coordination. Exergame play may have psychosocial and cognitive effects such as increased self-esteem, social interaction, motivation, attention, and visual-spatial skills. In this study the literature on exergames, with a focus on physical education classes and the potential of exergames to improve students' physical health, as well as transfer effects that may benefit related physical, social, and academic outcomes.
Scope of Applique-Based Toys in Gujarat
Authors: Biswas Kakoli , Kalaiya Vibha
Published: May 2023

Toys, items used for play, are ubiquitous in India, where countless varieties are made from a wide range of materials such as wood, metal, rubber, fabric, fiber, polymer, and wood pulp. Gujarat, in particular, has a long history of cloth dolls called dhinglas and dhinglis, which are constructed from scraps of fabric known as thigdas or patchwork. Appliqué, a needlework technique in which smaller pieces of fabric are attached to a larger piece to create a picture or pattern, has been used in India since the period when Muslim women and indigenous communities such as Kathi, Mahajan, and Rabari nomads of north Gujarat produced large canopies, hangings, friezes, bullock-covers (Jhul), and tents for ox-carts with appliquéd human and animal figures. In recent times, Ahmedabad's appliqué artisans have also started making soft toys. This paper investigates the potential of Gujarati appliqué-based toys as educational toys for novel toy production, supporting India's traditional arts and crafts.
Adoption of Churn Recognition System to Predict Customer Churn
Authors: Sharma Yuvraj , Gurram Rajender , Saharan Naveen
Published: May 2023

In the cutthroat competitive arena, it is a very challenging task for any enterprise to make a balance between retaining its existing loyal customers and attracting new customers. It is a tedious task to find the right segment of active customers and understand the reason behind churn numbers. It is said that it is five times more costly to attract new customers as compared to retaining existing customers. The main aim of this chapter is to understand the customer churn application, which is one of the most useful applications of AI and ML in the customer analytics domain. Researchers further studied the most significant factors affecting customer behavior and responsible for increasing the customer churn rate. The study mainly targeted the semiconductor supply chain industry, which is one of the most complex industries and foundation of advanced technology and penetrated the walks of human life.
Big Data Analytics-Based Agro Advisory System for Crop Recommendation Using Spark Platform
Authors: Madhuri J.  , Indiramma M.
Published: May 2023

The advancements in science and technology have led to the generation of colossal data in the agricultural sector as a result of which has entered the world of big data. Big data analytics is the solution to store and analyze such large amounts of data to improve productivity in agricultural practices. Hence, the purpose of this research work is to develop a big data recommendation framework that enables farmers to choose the right crops considering the location-specific parameters. The location-specific weather parameters, soil parameters crop characteristics, and demand for the agricultural product in the previous years are considered in the work. The proposed recommendation model is based on the Spark framework that accepts the soil data in real-time analyses along with weather and pricing data by applying artificial neural networks and suggesting a suitable crop for the field conditions. The chapter prioritizes developing an application useful for farmers, agriculture officers, and researchers to provide efficient crop recommendations.
Predicting Healthcare Readmissions Using Artificial Intelligence
Authors: Banga Manu
Published: May 2023

Hospital readmission systems increase the efficiency of initial treatment at hospitals. This chapter proposes a novel prediction model for identifying risk factors using machine learning techniques, and the proposed model is tested using 10-fold cross-validation for generalization and finds hidden patterns in the diagnosis, medications, lab test results, and basic characteristics of patients related to readmissions. This model predicts a statistically problem solving using searching patterns. Based on the findings of this study, for the given dataset, pruning dataset manifested the most accurate prediction of readmissions to the hospital with 94.8% accuracy for patients admitted in a year.
Adjustment of Bank Capital Ratios
Authors: Abbas Faisal
Published: May 2023

This study explores the speed of adjustment of the capital ratio, regulatory ratio, and tier-‎I ‎ratio of ‎commercial banks in China by employing the GMM framework ‎from ‎‎2006 to 2020. The empirical ‎analysis reveals that banks adjust their regulatory ratio and tier-I ‎ratio faster than the capital ratio of ‎Chinses commercial banks. The findings report that the pace of ‎regulatory ratio, a tier-I ratio of ‎well-capitalized, highly liquid, and high growth banks are faster than ‎under-capitalized, low liquid ‎and low growth commercial banks in China. In addition, the speed ‎of adjustment of regulatory ‎ratio, the tier-I ratio is faster than capital ratio during the GFC-2008 in ‎China. These ‎findings suggest ‎that the regulators may consider the heterogeneity in the speed of ‎capital adjustment ‎across ‎different bank characteristics to formulate new bank regulations; ‎particularly, when ‎assessing and ‎adjusting the specific capital requirements through Pillar II of the ‎Basel III agreement.‎
Não é só existir, mas resistir
Authors: Silva Adriena Casini da , Soares Jefferson da Costa
Published: May 2023

Criado em 1837, o Colégio Pedro II (CPII) é a primeira instituição de ensino secundário do Brasil e, atualmente, oferece educação em todos os níveis. Neste artigo, dividido em duas partes, discutimos as ameaças de municipalização e estadualização do CPII no século XX através de referenciais da história da educação e da articulação entre a análise documental de fontes encontradas no Núcleo de Documentação e Memória do Colégio Pedro II (NUDOM/CPII), jornais e a história oral. Na primeira parte, abordamos a tentativa de municipalização em 1934, em seguida, focamos nos anos 1980 e 1990, quando crises quase culminam em sua estadualização. Concluímos que o Colégio resiste por meio de ‘táticas’ (Certeau, 1994) empenhadas para a sua permanência e manutenção na esfera federal até o presente.
Facets of Gender Stereotypes Change: A Systematic Literature Review
Authors: Priyashantha K. G. , De Alwis A. C. , Welmilla I.
Published: May 2023

This systematic literature review paper highlights the definitions, dimensions, and various outcomes associated with the changing gender stereotypes. Using PRISMA article selection guidelines, Sixty articles were selected that were published during the 1970-2020 period in Scopus and LENS.ORG databases. The results found that the definition of people’s attitudes towards adopting the culturally defined social role of the opposite biological sex is ideal for being globally applied. The most used dimensions found in studies are agency and communion. Depending on the surface nature of gender stereotypes change outcomes found, only a few outcomes are favorable to the economy. There are more negative related outcomes in the family, work, and health clusters. It implies that future research needs to consider overcoming these adverse outcomes. Besides, a gap was identified in gender stereotype change in the technology landscape, and future research needs more focus on these areas. Moreover, the definitions, dimensions, and consequences synthesized in this paper provide insights to build an extended theoretical foundation for gender research in the future. This study had a limited number of articles inclusion because only two databases were selected for article retrieval.
Factors Affecting the Initial Return of Initial Public Offerings (IPOs) and IPO Underpricing in the Colombo Stock Exchange
Authors: Dias D. S. M. , Wijesinghe M. R. P. , Madhushani P. W. G.
Published: May 2023

The initial public offering is an important milestone for a company; however, this can be also turned into a reason which causes great wealth loss as well. The purpose of this study is to identify the factors affecting IPO initial return and examine the level of underpricing that prevails in the Colombo Stock Exchange (CSE). The study considers 68 IPOs from 2006 to 2018. The selected factors for the study are ASPI Return, Sector Price/Earnings ratio, Age, Earnings Per Share, Debt Ratio, Net Asset Value, Return on Asset, Price/Earnings Ratio, Debt/Equity Ratio, Offer Price, and Over Subscription Rate. Multiple regression results reveal that ASPI return and over-subscription rate are positively influenced by market-adjusted initial return (MAIR) and offer price is negatively affected. Underpricing analysis revealed that the MAIR and the prevailing level of underpricing is raw initial return equal to 14% and market-adjusted return is 18%. The beverage, food, and tobacco sector, Banking, Finance, and Insurance sector, and diversified holding sector are identified as highly underpriced sectors of CSE. It is recommended that Investors must consider capital market variables and IPO variables for IPO investment decisions regardless of the financial indicators of the company.
Anaesthetic Management in A Case of Temporomandibular Joint Ankylosis Using A Newer Bronchoscope-Ambu Ascope
Authors: Priya . , Dulara Suresh Chandra , Naveen G.
Published: May 2023

We are presenting a case report of anaesthetic management in a case of temporomandibular joint (TMJ) ankylosis with an intraprocedural finding of choanal atresia in a 17yr old male posted for elective lateral gap arthroplasty. Anticipated difficult airway in TMJ ankylosis patients has always made the surgeon to be cautious during airway management, adding on problem like choanal atresia made the intubation even more difficult. Hence, reporting the management of such difficulties with different approach, in which serial dilatation of nostrils using nasogastric tubes and nasal airway, then endotracheal tube was passed through one nostril and bronchoscope through other nostril.
Ultrasonographic Evaluation of Internal Jugular Vein for The Prediction of Post-Spinal Hypotension in Orthopedic Surgeries
Authors: Nofal Waleed Hamed , Sabek Eman Ahmed Shawky , Hussien Noha Sayed , Wasfy Sanaa Farag
Published: May 2023

Background: Relative hypovolemia may predispose to severe or prolonged hypotension after spinal anesthesia in patients undergoing orthopedic surgeries. Empirical administration of fluid preload is time consuming, costly and might lead to volume overload, especially in elderly patients. Therefore, predicting post spinal hypotension is of great importance to reserve fluid infusion for susceptible patients. Ultrasonographic evaluation of the internal jugular vein (IJV) diameter has been used to estimate intravascular volume in the ICU. Therefore, we investigated the efficacy of sonographic measurements of the internal jugular vein parameters for predicting post spinal hypotension in patients undergoing orthopedic surgeries.
Methodology: The study was conducted on 62 patients scheduled for orthopedic surgeries. Sonographic measurements of IJV diameter and cross-sectional area were recorded at supine and Trendelenburg position before spinal anaesthesia. Blood pressure was monitored for 15 minutes for all patients and hypotension was documented.
Results: Twenty-eight patients (45.2%) developed hypotension. The rate of increase in the diameter and cross-sectional area of the IJV with the change in patient’s posture was significantly higher in hypotensive patients. According to ROC curves analysis, a rate of increase of 12.36% in IJV diameter, and a rate of increase of 25.55% in IJV cross sectional area showed moderate specificity and sensitivity in the prediction of spinal hypotension.
Conclusion: Preoperative sonographic measurements of the internal jugular vein diameter and crosssectional area at supine and Trendelenburg position can predict the occurrence of post-spinal hypotension.
Black Water Fever Complicated by Acute Kidney Injury: A Case Report
Authors: Wijayasinghe Sasika , Ulluvisheva Namal , Mallawaarachchi Roshana , Dharmabandu Ruwani , Palliyaguruge Gimhani
Published: May 2023

Black water fever, also called malarial haemoglobinuria occurs exclusively with Plasmodium falciparum infection and is characterized by intravascular haemolysis with severe anaemia and intermittent passage of black coloured urine. It frequently leads to acute kidney injury (AKI) with increased morbidity and mortality. Although Sri Lanka has achieved remarkable success in eliminating malaria since 2016, still Sri Lanka gets malarial cases via overseas visitors from African countries and India. Here we report a case of black water fever complicated by AKI with a brief account of its pathophysiology.
Interactive Medical Education: Anaesthesia, Critical Care and Emergency Medicine Teaching at Peradeniya
Authors: Wijethilake Tharanga , Pinto Vasanthi , Samarasinghe Senani
Published: May 2023

No abstract available
Prone ventilation in Critical care: Decade since PROSEVA
Authors: Ratnayake Ashani , Pinto Vasanthi
Published: May 2023

No abstract available
Sandor Ferenczi’s concept of the dialogue of unconsciouses: a clinical example
Authors: Knight Zelda G.
Published: May 2023

There is no doubt that Sandor Ferenczi is one of the principal giants in the early development of psychoanalysis. While much of his work has not been given the credit it deserves, in recent times there has been a revival of his concepts and way of doing analysis as a route to understanding relational work today. One of Sandor Ferenczi’s unique psychoanalytical concepts is the dialogue of unconsciouses. This concept is defined as the process when patient and analyst connect to each other, and a psychic process begins to form between the two unconsciouses. This idea of a dialogue between the two unconsciouses arose from his novel experiments with mutual analysis and advocating for a new kind of relationship. He further described the dialogue of the unconsciouses as a way of being with the patient and that if this dialogue is investigated within the therapy, in service of understanding the patient’s life experiences and transference, the potential for change and transformation is possible. In this context, Ferenczi assumed that if careful and focused attention is paid to the dialogue of the unconsciouses, it could reveal for the patient unknown aspects about himself but also unknown aspects about his analyst. In this way, the patient may know more about the analyst than the analyst knows. The clinical implication is that the dialogue of the unconsciouses invites both participants to authentically engage with each other in a way that something new about self-other could potentially arise that was previously unconscious but emerged from within the interplay of both unconsciouses. While not much has been developed in recent years on the topic of the dialogue of the unconsciouses, especially with the use of clinical examples, this paper’s main contribution is to i) acknowledge the work of Ferenczi by revisiting this concept, ii) discussing the clinical implications of the concept so that the potential for the client’s personal development is brought into focus, as well as iii) presenting a clinical example to illustrate the concept because such examples are few.
Healthy lifestyle interventions for childhood and adolescent cancer survivors: a systematic review and meta-analysis
Authors: Kang Kyung-Ah , Han Suk Jung , Chun Jiyoung , Kim Hyun-Yong , Oh Yerin , Yoon Heejin
Published: May 2023

Purpose: This study investigated the effects of healthy lifestyle interventions (HLSIs) on health-related quality of life (HR-QoL) in childhood and adolescent cancer survivors (CACS).Methods: Major databases were searched for English-language original articles published between January 1, 2000 and May 2, 2021. Randomized controlled trials (RCTs) and non-RCTs were included. Quality was assessed using the revised Cochrane risk-of-bias tool, and a meta-analysis was conducted using RevMan 5.3 software.Results: Nineteen studies were included. Significant effects on HR-QoL were found for interventions using a multi-modal approach (exercise and education) (d=-0.46; 95% confidence interval [CI]=-0.84 to -0.07, p=.02), lasting not less than 6 months (d=-0.72; 95% CI=-1.15 to -0.29, p=.0010), and using a group approach (d=-0.46; 95% CI=-0.85 to -0.06, p=.02). Self-efficacy showed significant effects when HLSIs provided health education only (d=-0.55; 95% CI=-0.92 to -0.18; p=.003), lasted for less than 6 months (d=-0.40; 95% CI=-0.69 to -0.11, p=.006), and were conducted individually (d=-0.55; 95% CI=-0.92 to -0.18, p=.003). The physical outcomes (physical activity, fatigue, exercise capacity-VO2, exercise capacity-upper body, body mass index) revealed no statistical significance.Conclusion: Areas of HLSIs for CACS requiring further study were identified, and needs and directions of research for holistic health management were suggested.
Development of a virtual reality program in South Korea for the measurement of vital signs in children: a methodological study
Authors: Park Sun Nam , Hwang Hye Young , Koo Hyun Young
Published: May 2023

Purpose: We developed a virtual reality (VR) program for use in pediatric nursing practicums to help nursing students learn to measure vital signs in children.Methods: The analysis, design, development, implementation, and evaluation model was employed between July 2021 and December 2021 at a university in South Korea. In the analysis phase, in-depth interviews were conducted with four nursing students, two nursing school graduates, and four experts. The topic and contents of the VR program were settled in the design phase. The VR program was developed and subsequently used and evaluated by 20 nursing students and four experts.Results: The contents of the VR program for pediatric nursing practicums included the measurement of vital signs in a newborn baby and a young child, as well as an evaluation system. The mean score for the nursing students' satisfaction with practice was 4.02 out of 5 points. The mean scores for overall satisfaction with the VR program were 4.15 and 4.79 out of 5 points for nursing students and experts, respectively.Conclusion: The VR program developed in this study allows nursing students to practice measuring vital signs in children, thus improving the students' clinical performance in pediatric nursing.
Table of Contents Vol 28 (2022)
Authors: Office Editorial
Published: May 2023

No abstract available.
Air Regurgitation through the Nasolacrimal Duct in a Patient on Bi-Level Positive Airway Pressure Therapy
Authors: Paul Akhil , Mathew Susana , Thomas Bindu
Published: May 2023

Positive airway pressure therapy is usually a well tolerated mode of treatment used for managing patients with various diseases where either oxygenation or ventilation is compromised. Air regurgitation through the naso lacrimal duct (NLD) is a rare complication of positive airway pressure therapy. There are multiple valves in the nasolacrimal duct to prevent the retrograde airflow from the nasal cavity to the lacrimal sac, under normal physiological conditions. Failure of this multi level valve system will lead to the retrograde air flow from the nasal cavity to reach the lacrimal puncta via the nasolacrimal duct. Valve insufficiency by birth or due to a prior procedure done at this region could be the underlying cause for this complication. In this case report, we discuss about the appearance of air regurgitation in a patient with chronic obstructive pulmonary disease on bi-level positive airway pressure (BiPAP) therapy and we also discuss on the causes for this complication and the various treatment modalities to manage this condition.
Correlation of Short Form 36 Health Survey with Other Relevant Clinical Scores in Patients with Degenerative Lumbar Spinal Stenosis
Authors: Gupta Siddharth , Bansal Tungish , Kashyap Abhishek , Sural Sumit , Kumar Vishal
Published: May 2023

Study Design:

Observational study.

Objectives:

To investigate the correlation of Short Form Health Survey (SF-36) score with various relevant clinical scoring systems, in patients with degenerative lumbar spinal stenosis (LSS).

Materials and Methods:

Eighty-two patients aged more than 40 years with clinicoradiological features suggestive of degenerative LSS were enrolled. All patients completed 10 clinical scoring questionnaires, which included SF-36, Oswestry Disability Index, Swiss Spinal Stenosis (SSS) Questionnaire, Quebec Pain Disability, Visual Analog Scale (VAS) (back pain), Modified Japanese Orthopaedic Association (mJOA), Pain Disability Index (PDI), Self-paced Walking Test (SPWT), VAS (leg pain), and Neurogenic Claudication Outcome Score. A comparison of 8 health concepts of SF-36 and health change was done with other 9 clinical scores and they were statistically analyzed and correlated.

Results:

The mean age was 53.02 years and included 51 females (62.2%) and 31 (37.8%) males. Out of 8 health concepts, 3 of them, pain, emotional well-being, and energy/fatigue, showed a statistically significant moderate correlation with 6 clinical scores (SSS, QPD, VAS back pain, mJOA, PDI, and SPWT) (P < 0.05, r > 0.3). The mJOA scale showed a moderate negative correlation with 4 other components also namely, role limitations due to physical health, role limitations due to emotional problems, social functioning, physical functioning as well as health change (P < 0.05, r > 0.3). Role limitations due to physical health had a moderate negative correlation with QPD scale also (P < 0.05, r > 0.3).

Conclusions:

Pain, emotional well-being, and energy/fatigue showed a moderate correlation with maximum number of scores and mJOA scale had a moderate negative correlation with 7 out of 8 components of SF-36 as well as Health change.
Percutaneous Hypodermic Needling Technique versus Monofilament Suture Repair of Partial Finger Amputation Injuries – A Comparative Study
Authors: Pradhan Ujjawal , Sharma Nobin Kumar , Sinha Kushagra , Rai Jowas Dayal , Baliga Sunil
Published: May 2023

Context:

Partial finger amputations are commonly encountered in the emergency room and are often inadequately treated.

Aims:

The aim of this study was to compare and evaluate the results of wound debridement, followed by primary wound closure with multiple percutaneous hypodermic needles versus closure with monofilament nonabsorbable sutures.

Settings and Design:

Comparative prospective study on the management of partial amputations of fingers was conducted in patients between 18 and 60 years at a tertiary care center.

Subjects and Methods:

We compared two different techniques of management of fingertip injuries. Group A comprised percutaneous hypodermic needling. Group B included suture technique using monofilament nonabsorbable suture. Patients not willing to participate, crush injuries, injuries involving more than 80% of digit circumference and digital arterial injury, complete amputation, and finger injuries with polytrauma were excluded from the study.

Statistical Analysis Used:

Data were analyzed using SPSS version 21.

Results:

The right hand (dominant side) was involved more commonly in both groups. Secondary procedures, infection rate, healing time, and the cost of the procedure from primary procedure to complete healing of the digit/s were all higher in Group B. Final appearance of the digit(s) based on skin color was better in Group A.

Conclusion:

Percutaneous hypodermic needling technique is a simple, novel technique which provides a better result in comparison to suture technique in terms of the requirement for secondary procedures, wound healing time, infection rate, cost of the overall procedure, and the final appearance of the digit on complete healing.
Retrospective Analysis of Efficacy of the National Emergency X-Radiography Utilization Study Low-Risk Criteria and the Canadian Cervical Spine Rules for Cervical Spine Trauma
Authors: Pawan Kumar K. M. , Madhuchandra P. , Santhosh G. Sunil
Published: May 2023

Background:

With increasing road traffic accidents, cervical spine injuries are a major health hazard in the developed as well as the developing world. Over the years, the National Emergency X-radiography Utilization Study (NEXUS) low-risk criteria and the Canadian cervical spine rules (CCRs) have acted as primary guidelines in emergency departments around the world to decide on the need for cervical spine X-ray in emergency settings. The aim of this study was to retrospectively analyze the efficiency of both the NEXUS low-risk criteria and CCR in confirming positive cervical spine injuries in emergency department settings.

Aims and Objectives:

The aim was to retrospectively analyze the efficiency of both the NEXUS low-risk criteria and CCR in confirming positive cervical spine injuries.

Methods:

A retrospective study involving 631 patients for 4 years aged above 18 years, who underwent a cervical spine X-ray from June 2018 to June 2022, were included in the study. From the eligible case records, the data pertaining to the NEXUS low-risk criteria and CCR were recorded. Along with this, the final diagnosis regarding the cervical spine injury, confirmed by subsequent computed tomography (CT) scan or magnetic resonance imaging (MRI), was also recorded.

Results:

The NEXUS low-risk criteria and CCR were met in 92.7% and 98.6% of the patients, respectively. The cervical spine X-rays were normal in 87.8% of the patients, fractures were recorded in 9.5% of the patients, and in 2.7% of the patients, doubtful lesions were present, which needed additional investigations in the form of CT scan or MRI or both.

Conclusion:

Both the Nexus and CCR guidelines act as a good guiding light in deciding about the need for the cervical spine X-ray in the emergency setup. Both guidelines are effective in ruling out cervical spine injuries in the majority of cases.