bluuebunny/crossref_metadata_2025 huggingface dataset:
Patients Characteristics as Determinants of Patient Satisfaction: Modelling Satisfaction in a Transitional Economy
Authors: Dimitrievska Vera , Misoska Ana Tomovska
Published: June 2021

Introduction: This paper examines the factors and approaches the question of patients’ satisfaction in the health care delivery system in North Macedonia. Aim: The study aims to assess how key service quality dimensions relate to an important measure of performance patient satisfaction and to find the elements that are valued by patients and the reasons behind patient satisfaction or dissatisfaction. Materials and method: In this research study, the factor analysis was used to group 12 questions measuring patient satisfaction under certain extent with Promax oblique rotation using the satisfaction responses gauged by importance. We have performed a structural equation model (SEM) to determine the relationships between one or more independent variables (IVs). Results: All component measures were greater than .702 which shows strong internal reliability among components. The reliability levels for the three components were .842 for the hospital environment, .835 for admin and .702 for interaction with health care professionals. Cronbach’s Alpha test of the whole instrument was .903. Conclusions: The explanatory factor analysis (EFA) analysis identified three distinct components or factors of patient satisfaction: (i) hospital environment, (ii) medical administration and (iii) interactions with professionals or staff behaviour. These three factors obtained after exploratory factor analysis have a significant impact on patient satisfaction. This path estimates for our model provide insights into relationships among various constructs.
PENANAMAN NILAI BUDAYA DAN KARAKTER DENGAN PEMBELAJARAN IPS DALAM SISI ANTROPOLOGI
Authors: Yati Rabi
Published: June 2021

Salah satu tujuan utama pembelajaran IPS di sekolah adalah untuk membangun peserta didik menjadi warga negara yang baik, dimana salah satu cara untuk mewujudkan tujuan tersebut yaitu dengan penanaman nilai kebudayaan serta pendidikan karakter dalam diri siswa melalui pembelajaran IPS yang berkonsepkan antropologi budaya. Dengan model pembelajaran yang mengandung unsur kebudayaan, pembelajaran tersebut dapat diakukan salah satunya dengan mengintegrasikan nilai-nilai keberagaman budaya lokal ke dalam pembelajaran. Pembangunan karakter saagant diperlukan di dalam diri siswa, dimana dapat kita ketahui bahwasanya pendidikan di negara ini mengalami permasalahan menggenai peananaman karakter pada peserta didik terutama pada usia remaja. Dengan melihat urgensi mengenai penanaman nilai budaya serta karakter siswa tersebut, dibuatlah artikel ini yang membahas mengenai penanaman nilai budaya dan budi pekerti dalam pembelajaran IPS dengan prespektif yang berkonsepkan antropologi budaya. dengan menggunakan metode deskriptif kualitatif artikel ini dibuat berdasarkan fakta dalam kehidupan sosial masyarakat dengan mengacu kepada beberapa literasi dari jurnal maupun artikel penelitian terdahuhulu sehingga diperoleh hasil dan dapat ditarik kesimpulan.
Preference reversals between intertemporal choice and pricing
Authors: Kvam Peter D. , Sokratous Konstantina , Johnson Gabriela , Lin Shu Ting , Unruh Emily
Published: June 2021

Preference reversals in risky choice -- where people favor low-risk prospects in binary choice but assign higher prices to high-risk prospects -- have led to models of response processes that differentiate pricing from choice. Theories of intertemporal choice do not distinguish between response processes, assuming instead that eliciting choices or prices will lead to the same inferences about people’s preferences for delayed outcomes. Here, we show that this assumption is incorrect. Participants in a price-choice experiment showed systematic preferences for smaller-sooner (SS) over larger-later (LL) options in binary choice, but reversed this apparent preference by pricing the exact same LL options higher than the SS options. This reversal in pricing results in less impulsive behavior, suggesting that pricing frames may reduce choice impulsivity. To explain these diverging price and choice findings in a common framework, we propose a variant of a pricing model from risky choice that accommodates these effects.
What is the Relationship between Demographic Background and Test Score Submission to GRE-Optional Graduate Programs? It’s Complicated
Authors: Kell Harrison , Roohr Katrina C.
Published: June 2021

Faculty members are committed to increasing the diversity of their students attending graduate school. One strategy that has been implemented in service of this goal is making the submission of GRE test scores optional. However, almost no research has examined the relationship between student demographics and propensity to submit GRE scores. This is the first study to do so using a relatively large sample (N > 15,000). We studied two demographic categories that are underrepresented in many academic disciplines: Females and racial/ethnic minorities (Black/African American, Hispanic/Latino, Multiracial, Native American/Pacific Islander applicants). Given the prominence of international students in U.S. graduate programs we also examined their presence in pools of GRE scores and nonsubmitters. Analyses were conducted at the overall sample level for applied, admitted, and enrolled students, and also master’s and doctoral programs in five academic disciplines. International students comprised larger portions of GRE score submitters than nonsubmitters among applied, admitted, and enrolled students. Members of racial/ethnic minorities comprised a larger percentage of GRE score nonsubmitters than submitters among applied but not admitted or enrolled students. Additionally, the 95% confidence intervals for female score submitters and non-submitters overlapped. More fine-grained analyses revealed additional differences: Racial/ethnic minority applicants were less likely to submit scores to humanities master’s, and STEM doctoral, programs. International applicants were more likely to submit scores to social sciences, nursing, and STEM master’s, and humanities and STEM doctoral, programs. Confidence intervals overlapped for all other comparisons. Descriptive trends varied across demographic groups, disciplines, and degree levels. Our results suggest that GRE-optional policies are neither a panacea nor a poison for graduate program diversity and that the effects of these policies need to be considered at fine-grained levels of analysis (e.g., academic discipline, degree level).
Does the GRE General Test Predict More than Just First Year Graduate GPA?
Authors: Bridgeman Brent
Published: June 2021

Graduate school programs that are considering dropping the GRE as an admissions tool often focus on claims that the test is biased and does not predict valued outcomes. This paper addresses the bias issue and provides evidence related to the prediction of valued outcomes. Two studies are included. The first study uses data from chemistry and computer engineering programs from a flagship state university and an Ivy League university to demonstrate the ability of the GRE to predict dropout. The second study shows the relationship of GRE Analytical Writing scores to writing produced as part of graduate school coursework. In both studies results that are both practically and statistically significant are presented.
Dangers of residual confounding: A cautionary tale featuring cognitive ability, socioeconomic background, and education
Authors: Sorjonen Kimmo , Falkstedt Daniel , Wallin Alma Sörberg , Melin Bo , Nilsonne Gustav
Published: June 2021

Cognitive ability and socioeconomic background (SEB) have been previously identified as determinants of achieved level of education. According to a “discrimination hypothesis”, higher cognitive ability is required from those with lower SEB in order to achieve the same level of education as those with higher SEB. Support for this hypothesis has been claimed from the observation of a positive association between SEB and achieved level of education when adjusting for cognitive ability. Here we propose a competing hypothesis that the observed association is due to residual confounding. To adjudicate between these hypotheses, we tested both on data from the 1997 National Longitudinal Survey of Youth (NLSY97, N = 8984), including a check of the logic where we switched places between predictor and outcome. We found the expected positive association between SEB and achieved level of education when adjusting for cognitive ability (predicted by both hypotheses), but we also observed a positive association between cognitive ability and SEB when adjusting for level of education (predicted only by the residual confounding hypothesis). Under the logic of the discrimination hypothesis, a contradictory interpretation emerges: higher cognitive ability is required from those with higher SEB in order to achieve the same level of education as those with lower SEB. These results highlight the potential use of reversing predictors and outcomes to test the logic of hypothesis testing, and support a residual confounding hypothesis over a discrimination hypothesis in explaining associations between SEB, cognitive ability, and educational outcome.
Associations Between 11 Parental Discipline Behaviors and Child Outcomes Across 60 Countries
Authors: Ward Kaitlin P. , Grogan-Kaylor Andrew , Ma Julie , Pace Garrett Todd , Lee Shawna J.
Published: June 2021

Objective: To test associations between 11 parental discipline behaviors and child aggression, distraction, and prosocial peer relations across low- and middle-income countries (LMICs). Study Design: Data came from the fourth (2009-2013) and fifth (2012-2017) rounds of the UNICEF Multiple Indicator Cluster Surveys (MICS). Survey responses publicly available as of July 2020 were included. Data were restricted to household respondents with focal children under 5 years. The final analytic sample included 163,345 respondents across 60 LMICs. Data were analyzed using Bayesian multilevel logistic regression. Results: Verbal reasoning (80%) and shouting (66%) were the most common parental discipline behaviors toward young children. Psychological and physical aggression were associated with higher child aggression and distraction. Verbal reasoning was associated with lower aggression (OR = 0.92, 95% CI [0.86, 0.99]) and higher prosocial peer relations (OR = 1.30, 95% CI [1.20, 1.42]). Taking away privileges was associated with higher distraction (OR = 1.09, 95% CI [1.03, 1.15] and lower prosocial peer relations (OR = 0.92, 95% CI [0.87, 0.98]). Giving the child something else to do was associated with higher distraction (OR = 1.06, 95% CI [1.01, 1.12]. Random slopes suggested statistically credible cultural variation in the associations between parenting behaviors and child socio-emotional outcomes.Conclusions: Psychological and physical aggression were disadvantageous for children’s socio-emotional development across countries. Only verbal reasoning was associated with positive child socio-emotional development. Greater emphasis should be dedicated to reducing parental use of psychological and physical aggression across cultural contexts.
Intergenerational Class Mobility in Industrial and Post-Industrial Societies: Towards a General Theory
Authors: Bukodi Erzsebet , Goldthorpe John H
Published: June 2021

A large body of often rather complex findings on intergenerational social mobility has by now come into existence but theoretical development has not kept pace. In this paper, focusing specifically on class mobility in European nations and the US, we aim, first of all, to identify the main empirical regularities that have emerged from research, making the now standard distinction between absolute and relative mobility. Next, we review existing theories of mobility, which in fact antedate a good deal of this research, and note the main shortcomings that have become evident in these theories, but also elements of them that might still be built upon. We then set out our own theory of intergenerational class mobility and seek to show how it can account for the empirical regularities previously described, while also pointing both to additional evidence that supports it and to ways in which it is open to further empirical test. Finally, we consider some more general implications of the theory and, on this basis, venture some – conditional – predictions on the future of class mobility in more advanced societies. We do not suppose that our theory is in any sense a ‘final’ one but believe that it improves our understanding of research findings in the field as they currently stand and that further research aimed at its critical evaluation would prove profitable.
Association of Glycosylated hemoglobin with Radiological severity, Systemic inflammation and Hypercoagulability in COVID -19 patients in a hospital from Central India: A Monocentric Retrospective Observational study
Authors: Gupta Prakhar , Samuel Tasha , Halani Ankitkumar , Ratre Bhupendra K
Published: June 2021

Background: COVID-19 is currently the most common cause of morbidity and mortality worldwide. Diabetes is also one of the most common causes of morbidity and associated complications. Identification of prognostic markers like glycated hemoglobin can help early categorization of patients and their better management.
Aims and Objectives: To determine if Glycated Hemoglobin (HbA1c) levels are associated with radiological severity of COVID -19 disease, thereby predict prognosis in COVID -19 patients. Its association with D dimer andIL-6 was also evaluated to assess hypercoagulability and systemic inflammation in these patients.
Materials and Methods: A monocentric retrospective observational study was conducted during admission period from August 1, 2020- October 31, 2020. HbA1c levels of 188 patients who tested positive for COVID-19 in a dedicated COVID-19 tertiary care center (L.N. Medical college and J.K. Hospital, Bhopal) were determined. They were divided into 2 groups: A (HbA1c level ≤6.5 %), B (HbA1c level >6.5 %). Severity of disease in terms of lung involvement in HRCT Chest was recorded. Their SpO2 and oxygen requirement at admission was also recorded. Among laboratory investigations, D dimer, IL6 Levels were obtained.
Results: Out of 188 COVID-19 positive patients included in our study, there were 132 men, 56 women. Median age of patients was 66 years. Mean HbA1c level was 7.2%. Of these, 87 had normal HBA1C and 101 had raised HBA1C >6.5%. Oxygen was required in 58 patients with raised HbA1c (RR of 2.782, p value<0.0001), of which 42 patients had severe lung involvement (RR of 2.498, p value=0.0003). 20 (22.9%) patients with normal HbA1c required oxygen on admission, out of which 11 (12.6%) patients had severe lung involvement. Those who had higher HbA1c levels, had higher chances of severe lung involvement (>50%) in radiological evaluation (RR 2.783, p-value 0.0003, Positive Likelihood ratio: 2.78, 95% CI: 1.60 to 4.83, 85% specificity).Significant increase in D dimer was seen in 77 (76.2%) patients with raised HbA1c compared to 40 patients (45.9%) with normal HbA1c(RR-1.6582, p-value 0.0001). No significant relation between HbA1c levels with IL-6 was found.
Conclusion: Patients with raised HBA1C contracting COVID-19 have more severe inflammation and greater lung involvement, higher chances of oxygen requirement and are associated with higher risk of hypercoagulability. HbA1C will not only help identify hyperglycemia but also help assess severity of disease (both clinically and radiologically), systemic inflammation, hypercoagulability, thereby helps in predicting prognosis, managing patients and hasten recovery.
Port site infection by Mycobacterium fortuitum after laparoscopic hysterectomy and its management– A case report
Authors: Farook Abdulrazack , Kannan Iyanar , Gunasekaran N , Premalatha E , Dineshraj R
Published: June 2021

In the department of gynaecology vaginal hysterectomy and laparoscopic hysterectomy are popular methods of surgery. They involve less amount of blood loss, with short hospital stay. In recent times, laparoscopic hysterectomy is done commonly. Forty-two-year female was admitted in surgery ward, Tagore Medical College and Hospital, with pain in abdomen at the laparoscopic site and lower abdomen. Pus discharge through the port site, left loin for the last 3 months. The microbiological examination of the pus showed the presence of Mycobacterium fortuitum. After identification of atypical mycobacterium, the patient was administrated with amikacin injection for 3 months and clarithromycin and ofloxacin tablet for one year. Patient was discharged and was advised to come for periodical review.
Porencephaly and intraparenchymal hyperacute infarct due to bilateral anterior cerebral artery embolism in adult: A rare case
Authors: Suryamin Ricky , Sudjono Subagia Santosa
Published: June 2021

Porencephaly is a very unique rare neurological disease identified by the presence of single or multiple cerebrospinal fluid (CSF) cyst inside the brain matter. This is an intra-cranial cyst that rarely occurs in adults. The diagnosis depends on a well-defined CSF fluid space-occupying lesion (SOL) that communicates with the ventricles on a CT scan or MRI of the brain. Cerebral damage during labor or as unknown trauma during infancy can present with porencephaly much later in life. This might be the aftermath of trauma, ischemic, infection or bleeding in the postnatal life. These cysts may be mild enough to show any symptoms or severe enough to cause mental and physical disability. Here we present a case of a 76-year-old female attended in the emergency department with loss of strength in her right arm, four days ago. Porencephaly in adult is a rare neurological disease case. In this case, porencephaly caused by stroke ischemic 4 years ago due to anterior carotid artery embolism.
Role of clinical predictors in determining the need for mechanical ventilation in patients with acute stroke and their outcome- A Prospective observational study
Authors: Dar Maqsood Ahmad , Bhat Eijaz Ahmad , Mir Muzzafer M
Published: June 2021

Background: Stroke is the third leading cause of death in developed countries and the leading cause of long term disability. As the mortality during initial few days depends upon the compression of vital organs in brain stem due to raised intracranial tension and possible herniation, treatment for impending or early herniation requires intubation and mechanical ventilation and up to 10% of patients with acute stroke need mechanical ventilation due to different reasons.
Aims and Objective: The aim of the study was to find the role of clinical predictors in determining the need for mechanical ventilation in patients with acute stroke and their outcome.
Materials and Methods: This prospective observational cohort study was conducted from September 2017 to march 2019 of patients with acute stroke admitted either through OPD or Emergency/ Triage of Max super specialty hospital, Saket, New Delhi. Patients with acute Stroke defined as the presence of sudden onset of focal neurological deficit and admitted within 24 h of onset of symptoms with Age ≥18 years were included in the study. Patients already on ventilator support at the time of admission were excluded.
Results: A total of 165 patients met the inclusion and exclusion criteria and were enrolled for the study. Out of 165 patients included in the study 43 (26.06 %) were put on the mechanical ventilation due to various reasons. Multivariate analysis of statistically significant and most clinically important variables showed the overall predictor accuracy of requirement of mechanical ventilation of 81.2% if the patients had loss of consciousness at the time of onset ( OR = 0.076) and Glasgow Coma Scale (GCS) motor score of ≤ 5 ( OR= 0.000). About 58.62% (17/29) patients who were put on ventilator support were found to have favorable outcome Modified Rankin Scale (MRS score ≤ 2) at discharge compared to 6.90% (2/29) before ventilation.
Conclusion: We concluded that loss of consciousness at onset, GCS motor score ≤ 5 (OR= 0.000) were associated with overall predictor accuracy of 81.2% in determining the need for mechanical ventilation. We found overall in-hospital mortality rate of 9.1% whereas mortality rate in patients on mechanical ventilation was 32.55%.
A study to evaluate the efficacy of instillation of ropivacaine with tramadol through surgical drains for post-operative analgesia in patients undergoing mastectomy
Authors: Yadav Tarun , Golhar Mayuri , Johar Sanjay , Malhotra Naveen , Gupta Rajni
Published: June 2021

Background: Post mastectomy pain is common and distressing complication seen in large number of women following mastectomy. Variety of modalities have been proposed to combat post mastectomy pain but are associated with disadvantages so simple technique like local infiltration though surgical drains avoid unnecessary complications and provide good analgesia to a standard general anesthetic opioid based technique.
Aims and Objectives: To evaluate the efficacy of instillation of ropivacaine with tramadol through surgical drains for postoperative analgesia in patients undergoing mastectomy with respect to pain score, duration of analgesia and need for rescue analgesia.
Materials and Methods: Seventy-five female patients aged between 30-70 years belonging to ASA physical status I & II scheduled for mastectomy with axillary clearance were enrolled in the study. Patient were randomly allocated into three groups of 25 each. Group I- 40ml saline was instilled through the surgical drain, group II- 40ml 0.25% ropivacaine was instilled through the surgical drain and group III- 40ml 0.25% ropivacaine with 100mg tramadol was instilled through the surgical drain. Pain score was assessed using VAS (0-10) at rest and at movement and hemodynamic monitoring like pulse rate, noninvasive BP, respiratory rate was recorded immediately after the surgery, every hourly up to 4hours, then four hourly for the next 24hours. Patient satisfaction regarding pain relief was assessed at 24hours post operatively.
Results: VAS at rest was clinically and statistically significantly lower in group II and III at 1,3,4,8,12 and 16 hours postoperatively(p<0.05) as compared to group I however was comparable in between groups II and III. Similarly, VAS at movement was clinically and statistically significantly lower in group II and III at 1,3,4,8,12 and 16 hours postoperatively(p<0.05) as compared to group I but comparable in between groups II and III. Patient satisfaction when compared was statistically more significant in group II and III as compared to group I but comparable in between group II and III.
Conclusion: Instillation of ropivacaine or ropivacaine with tramadol through surgical drain is safe, effective and inexpensive technique for post-operative analgesia. It provides good relief of pain, prolonged analgesia, decreases analgesic requirement and increase patient’s satisfaction. However, addition of tramadol to ropivacaine serves no added advantage when compared to ropivacaine alone.
Distribution of age, gender and body weight in AMI patients in a tertiary care center of Eastern India
Authors: Khatua Tanushri , Mandal Tanima , Saha Mita , Majumder Biswajit
Published: June 2021

Background: The leading cause of death in the world is coronary heart disease (CHD). In India, CHD manifests almost a decade earlier than in Western countries. Gender differences play an important role in the pathophysiology of AMI. Body weight and family history are claimed to be the indicators of relative risk of mortality.
Aims and Objective: To look for the age and gender distribution pattern in patients with recent diagnosed AMI and to find out the association of some of the risk factors like BMI, family history.
Materials and Methods: A descriptive study was conducted in a tertiary care hospital with 50 recent diagnosed AMI patients of either sex as cases after considering the inclusion and exclusion criteria. The biochemical parameters were measured by validated methods.
Results: On statistical analysis, 58% of total AMI cases occurred before 50 years of age; out of which 18% belong to 31 - 40 years, 40% belong to 41- 50 years. Out of total 50 AMI cases, 60% is male and 40% is female. Obesity seen in 14% cases and 56% is overweight; 16% having positive family history.
Conclusion: The study indicates a trend of early age onset AMI. Increased body weight and positive family history can be the risk predictors. It is suggested that younger age males and premenopausal women should not be ignored regarding the risk of MI. Further studies are required for verification.
Nutritional anaemia in children in post supplementation era: A cross sectional study
Authors: Kumar Rajesh , Singh Manoj Kumar , Singh Vineet Kumar , Kumar Pankaj , Singh Sheo Pratap , Agrwal Renu , Dr Chandrakanta
Published: June 2021

Background: Nutritional anemia is still the primary cause of anemia despite of various nutritional programmes in developing countries.
Aims and Objective: The present study was planned to asses Iron, Folate, and Vitamin B12 deficiency anaemia in developing countries.
Materials and Methods: This cross-sectional study was conducted at a tertiary care centre in Agra in collaboration with Institute of Genomics and Integrative Biology, New Delhi. Admitted children of age 6 months to 14 years having signs and symptoms of anaemia were included in the study. Sample size calculated was 157. All the cases were subjected to CBC, GBP, serum iron, ferritin, folate and vitamin B12 level estimation.
Results: Out of 672 children, 157 children with clinical feature of anaemia were enrolled in the study. Among these 157 children, 52.87% were male. Percent proportion of anaemia was highest among toddlers (27.39%) and lowest in adolescent (10.83%). The maximum cases were of urban area (65.6%) and middle socioeconomic status (47.13%). Most of the children were undernourished/underweight (60.4%). Mean iron level was significantly low in female children, children of rural areas, low socioeconomic status and malnutrition/underweight. Mixed iron, folate and B12 deficiency was found in 48.41%, 30.57% and 22.93% cases respectively. In 24.20% cases no deficiencies were found and were classified as anaemia due to some unspecified causes.
Conclusion: Nutritional deficiency anaemia is contributing to a large proportion of anaemic patients. More intensified programmes are needed especially for female children, children of rural areas, low socioeconomic status and malnutrition/underweight.
Kerosene Oil Pneumonitis
Authors: Singh Ranjan Kumar
Published: June 2021

Radiographic abnormalities in the lungs are very common in an individual positive for HIV antibodies. Majority of lesions are of infective or neoplastic in origin. We present a case of chemical pneumonitis following regurgitation of kerosene oil in a patient positive for human immunodeficiency virus (HIV) antibodies. Chemical pneumonitis is diagnosed with a characteristic clinical history of regurgitation of fluid and gravity-dependent infiltration in the lung on chest x-ray. Another condition arising from the aspiration of the fluid/chemical is negative-pressure pulmonary oedema which results from laryngeal spasm following regurgitation of fluid. Chest radiography, however, distinguishes it from chemical pneumonitis. Bilateral infiltration is seen in the former, while lesion at dependent portion of right lung is seen in the latter condition.
Enumeration of freshwater algae in Godawari area, Lalitpur district, central Nepal
Authors: Dhakal S. , Rai S. K. , Pathak M. L.
Published: June 2021

Not Available
Peri-operative fluid management during neurosurgical procedures
Authors: Bersot Carlos Darcy , Linhares Rafael , Barbosa Carolina Araujo , Pereira Jose Eduardo
Published: June 2021

The management of fluids and electrolytes in neurosurgical patients aims to reduce the risk of cerebral oedema, reduce ICP and at the same time maintain haemodynamic stability and cerebral perfusion. Neurosurgical patients commonly receive diuretics (mannitol and furosemide), developing complications such as bleeding and diabetes insipidus. These patients may require large volumes of intravenous fluids and even blood transfusions for volume resuscitation, treatment of cerebral vasospasm, correction of preoperative dehydration or maintenance of haemodynamic stability. Goal-oriented therapy is recommended in neurological patients, with the aim of maintaining circulating volume and tolerating the changes induced by anaesthesia (vasodilation and myocardial depression).
Predictors of surgical outcome among patients with spontaneous supratentorial intracerebral hemorrhage: A prospective single institutional study
Authors: Lamichhane Somraj , Devbhandari Ruchi , Tripathee Sabin , Chapagain Manisha
Published: June 2021

Introduction: Intracerebral hemorrhage (ICH) is a potentially devastating neurologic emergency with long-term functional independence achieved in only limited patients with good prognostic factors. The objective of this study is toidentify the predictors of functional outcome in terms of modified Rankin Scale (mRS) following craniotomy and evacuation of spontaneous supratentorial ICH.

 

Methodology: It is a prospective study of forty patients conducted at the College of Medical Sciences (CMS) from May 2019 to April 2020 with three months follow-up. Patients of spontaneous supratentorial ICH with features of raised ICP and deteriorating GCS underwent surgical evacuation. The various predictors of outcome like Glasgow Coma Score (GCS) and pupillary inequality at presentation, age, location of hematoma, clot volume, comorbidities, intra-ventricular extension and involvement of dominant hemisphere were documented and compared with outcome in terms of modified Rankin Scale (mRS).

 

Results: The mortality rate at three months was 25% (32% in deep seated and 13.3% in lobar ICH) and higher in patients with poor GCS and pupillary inequality at presentation, volume >100 ml, intra-ventricular extension and patients undergoing decompressive craniectomy. Twenty patients (50%) had a favorable outcome (mRS 1-3) at follow-up, while 20 (50%) had a poor outcome (mRS 4-6). Unfavorable outcome was significantly higher among deep seated hematoma, age>70 years, poor GCS and pupillary inequality at presentation, clot volume >100ml, pre-existing co-morbidity, patients undergoing decompressive craniectomy and involvement of dominant hemisphere.

 

Conclusion: Surgical evacuation of spontaneous supratentorial ICH is associated with high mortality in patients with poor GCS and pupillary inequality at presentation, and large clot volume with intraventricular extension. However, young patients with good pre-morbid status, moderate volume of hematoma, not involving dominant hemisphere and moderate to good GCS have good functional outcome.
A rare case of chickenpox induced myoclonus
Authors: Mathur Navgeet , Mathur Medha , Verma Anjana
Published: June 2021

In presence of abnormal neurological features, infective etiology should be kept as one of the differential diagnoses. This case report was about 38 years old male patient who presented with fever with blister-like rashes in centripetal distribution over the body and myoclonus. CSF examination showed the presence of varicella-zoster Ig M antibodies. Diagnosis of chickenpox induced myoclonus was made. Appropriate treatment recovered the patient completely. This case report highlighted the clinical spectrum of chickenpox as well as the possible pathogenesis and diagnostic, therapeutic approach of this uncommon entity.
Dreaming New Worlds: Katz and Kerr in the 1970s
Authors: Kerr Mary , Newton Alistair
Published: June 2021

Cet article porte sur l’amitié et la relation de travail du metteur en scène Stephen Katz et de la scénographe Mary Kerr, qui ont créé ensemble neuf productions novatrices entre 1970 et 1976. Une brève entrée en matière présente les trajectoires professionnelles de Katz et Kerr, deux célèbres artistes de théâtre au Canada, tout en situant Katz dans le contexte d’artistes dont la vie a été écourtée par le SIDA. Ce préambule est suivi d’un entretien avec Kerr sur les aspects uniques de la synergie créative qu’elle partageait avec Katz, de même que les spécificités d’une collaboration qui remonte à l’époque où les deux artistes étudiaient à l’University of Toronto. Kerr parle de la première expérience professionnelle de l’équipe au Tarragon Theatre de Toronto, de même que des expériences vécues plus tard dans des théâtres à plus grande échelle comme le Vancouver Playhouse et le festival Shaw. Elle reflète ensuite sur la relation de collaboration/travail idéale entre artistes œuvrant à la mise en scène et à la scénographie, sur la formation des artistes en théâtre et sur la myriade d’effets qu’ont eus sur son travail avec Katz le milieu culturel expérimental et le radicalisme de la fin des années 1960 et du début des années 1970.
HACKING E INFILTRAÇÃO POLICIAIS EM RESPOSTA AO USO DE CRIPTOGRAFIA POR ORGANIZAÇÕES CRIMINOSAS
Authors: Ferreira Caio Porto
Published: June 2021

O crime organizado atualmente navega por águas tranquilas quando o assunto é segurança em suas comunicações. Amparados pela recalcitrância das Big Techs, os envolvidos em atividades criminosas usufruem de aplicativos de comunicação com tecnologia de criptografia, para organizar e expandir suas atividades no Brasil e no mundo. Neste ínterim, órgãos responsáveis pela investigação criminal se esforçam para desenvolver e aplicar novas tecnologias para obtenção de prova, que comumente são consideradas invasivas ou ilegais, não por afrontar direitos e garantias fundamentais, mas sobretudo pela falta de conhecimento de certos segmentos da sociedade acerca da importância da atividade de inteligência para proteção e promoção de Estados democráticos e livres.
Polyuria after Renal Transplantation: A Case Report and Review of Literature
Authors: Arudchelvam Joel , Samarasinghe Neranga , Arudchelvam Joel , Ranaweera Ruwan , Priatharshan Mariathas
Published: June 2021

Polyuria is defined as a urine output (UOP) of more than 3 litres per day in adults or 2 l/m2/day in children. Polyuria is common following live donor kidney transplantation (LDKT). This case report and review describes a 32-year-old male with chronic kidney disease who underwent LDKT. The donor was his brother. He had polyuria in the postoperative period with the maximum urine flow rate of 3700 ml/hr and the first 24-hour urine output of 42 litres. He was managed with intravenous crystalloid solutions guided by the central venous pressure and the mean arterial pressure. Electrolytes were replaced with potassium chloride, calcium gluconate and magnesium sulfate. He made an uneventful recovery. The Polyuria improved without any pharmacological interventions. Therefore, guided fluid and electrolyte administration is the key to the successful management of post-transplant polyuria.
A ALQUIMIA E OS CAMINHOS PERCORRIDOS PARA A INCORPORAÇÃO DA QUÍMICA COMO CIÊNCIA MODERNA
Authors: Lombarde Washington , Michellan Kiouranis Neide Maria
Published: June 2021

O presente trabalho se dedica a um episódio da História da Química, a Alquimia, à qual não é dada a devida atenção por educadores no meio acadêmico, visto que, muitas vezes, professores e alunos desconhecem os caminhos que levaram à origem da Química. Diante desse contexto, o presente trabalho tem como objetivo apresentar a História da Alquimia desde sua origem em Alexandria, seu desenvolvimento em contextos variados em diversos lugares no mundo até o seu rompimento com os trabalhos de Robert Boyle. A Alquimia trouxe inúmeras contribuições para a incorporação da Química como Ciência Moderna, tais como o desenvolvimento de técnicas e instrumentos, além da descoberta de substâncias utilizadas até os dias atuais. Através da historiografia, buscou recontar brevemente os aspectos históricos do conhecimento alquímico, por meio da utilização de fontes secundárias (trabalhos de autores contemporâneos). Para tanto, foram consideradas duas abordagens historiográficas: a internalista e a externalista, a fim de compreender o contexto no qual esse conhecimento se desenvolveu. Diante da historiografia realizada, percebe-se a escassez de material especializado acerca do assunto, o que, por sua vez, dificulta a elaboração de materiais mais aprofundados. Daí a necessidade de desenvolver pesquisas que abordem a Alquimia atrelada a aspectos históricos e filosóficos da Ciência.
UMA ABORDAGEM DE TÓPICOS DA MECÂNICA ROTACIONAL USANDO PROBLEMATIZAÇÃO MEDIADA POR ATIVIDADES DIDÁTICAS CONSTRUTIVISTAS
Authors: Ariel Samudio Perez Carlos , Zolet Busatto Cassiano , Teresinha Werner da Rosa Cleci
Published: June 2021

Espera-se que o ensino de Física contribua com a formação dos estudantes, proporcionando-lhes conhecimentos que lhes permita a interpretação de fatos, fenômenos naturais e processos tecnológicos. Entretanto, pesquisas tem mostrado que o seu ensino tem se caracterizado pelo uso de estratégias pedagógicas que privilegiam a memorização e reprodução dos conteúdos. No campo da mecânica rotacional, por exemplo, percebe-se que a abordagem didática utilizada pela maioria dos livros didáticos, pouco está relacionada com situações cotidianas. Diante desse contexto o presente trabalho descreve uma pesquisa desenvolvida com o intuito de avaliar como uma sequência didática fundamentada em pressupostos construtivistas e num ensino por problematização, auxiliada por recursos digitais e atividades experimentais, contribui para o estudo de conteúdos da mecânica rotacional. A proposta foi aplicada a uma turma de professores de Física em formação inicial. A pesquisa é de natureza qualitativa e participante e utilizou instrumentos de avaliação o diário de bordo e questionários pré e pós-teste. Esses materiais permitiram fazer reflexões que sugerem que: o uso das problematizações colabora na identificação dos conhecimentos prévios e na condução dos alunos para a tomada de consciência da necessidade de aquisição de um novo conhecimento; os recursos digitais e as atividades experimentais destacam-se no sentido de auxiliar na aproximação com situações cotidianas e na compreensão de conceitos abstratos.
LICENCIATURA EM FÍSICA: FATORES INFLUENCIADORES QUANTO AO INGRESSO NESTA FORMAÇÃO ACADÊMICA
Authors: Gonçalves Marcelino Ariel , Bernardes Rocha Filho João , Denardin Oliveira Luciano
Published: June 2021

A constatação do baixo número de graduandos em licenciatura em física no Brasil motivou esta pesquisa, que se propôs a buscar respostas para a seguinte questão: quais são os fatores que influenciam o quadro em questão, que resulta em que apenas uma pequena parcela de universitários siga a formação docente em física? Foi adotada como metodologia de análise de dados a Análise Textual Discursiva (ATD) aplicada às respostas a um questionário contendo perguntas abertas e fechadas. Os quinze participantes são estudantes de graduação em licenciatura em física de uma universidade comunitária do Rio Grande do Sul, com ingresso nos anos de 2011 a 2018. Concluiu-se que os principais fatores são o interesse intrínseco dos participantes no que se refere aos conteúdos estudados nessa ciência, a aptidão cognitiva para aprendizagem dos mesmos conteúdos, e certa concepção de mundo relacionada à educação e à ciência.
UTILIZAÇÃO DO ROBÔ CUBETTO EM UM PROCESSO DE FORMAÇÃO DOCENTE PARA PROFESSORES DA EDUCAÇÃO BÁSICA NA ÁREA DA ROBÓTICA EDUCACIONAL
Authors: Segatto Rodrigo , Canabarro Teixeira Adriano
Published: June 2021

Cada vez mais, o avanço tecnológico do mundo moderno vem estreitando as relações entre a educação e as novas tecnologias, inserindo-as em sala de aula, seja com o professor ou com o aluno, contribuindo assim, para o processo de ensino e aprendizagem na construção do conhecimento. Neste cenário, a robótica é uma das tecnologias emergentes, composta por uma versatilidade capaz de proporcionar a interdisciplinaridade e tornar os estudantes agentes ativos em seu aprendizado. Nessa perspectiva, o objetivo deste trabalho foi apresentar o processo de elaboração de um produto educacional (sequência didática), desenvolvido a partir de uma formação docente para professores da educação básica na área de robótica educacional, a qual utilizou o Robô Cubetto e seus blocos de código programáveis em um processo de formação continuada de professores através da realização de oficinas de capacitação. Assim, na perspectiva desse trabalho, entendeu-se que a formação docente realizada permitiu aos professores a apropriação da tecnologia robótica apresentada, de maneira estes perceberam uma ferramenta multidisciplinar, capaz de atrair a atenção dos alunos nas idades iniciais e motivá-los a resolver problemas complexos, possibilitando um fazer educacional diferenciado através de uma prática pedagógica incentivadora.
TRENDS OF CHANGE IN ENERGY AND PROTEIN VALUE OF CORN SILAGE IN THE RE-PUBLIC OF TATARSTAN
Authors:   Tatar Research Institute of Agriculture, Federal Research Center, Kazan Scientific Center of the Russian Academy of Sciences, Krupin E.O. , Shakirov Sh.K. ,   Tatar Research Institute of Agriculture, Federal Research Center, Kazan Scientific Center of the Russian Academy of Sciences, Kazeeva N.A. ,   Tatar Research Institute of Agriculture, Federal Research Center, Kazan Scientific Center of the Russian Academy of Sciences
Published: June 2021

The purpose of the work was to assess the dynamics of energy and protein nutritional value of corn silage harvested from vegetable raw materials on the territory of the Republic of Tatarstan. The results of a retrospective analysis of the dynamics of metabolic energy, net energy of lactation, digestible protein in dry matter of 560 samples of corn silage taken in various agro-climatic zones of the Republic of Tatarstan in the period from 1993 to 2018 are presented. The research was car-ried out in the department of agrobiological research of the Tatar Scientific Research Institute of Agriculture, FRC Kazan Scientific Center, Russian Academy of Sciences. It was found that the con-tent of metabolic energy and net energy of lactation did not change during the study period. The long-term average value was 9.87 MJ / kg and 1.44 MJ / kg, respectively. Revealed the dynamics of increasing the content of digestible protein. The long-term average value of this indicator was 61.19 g / kg, which is 32.21 % higher than the norm.
STRUCTURE OF THE BIRD MORBIDITY IN INDUSTRIAL GOOSE BREEDING
Authors:   FSBEI HE ", Bakanova E.O. ,   Kazan State Academy of Veterinary Medicine them. N.E. Bauman "
Published: June 2021

The article presents the results of studying the structure of poultry morbidity in industrial goose-breeding enterprises: LLC "Poultry farm Kimovskaya" of the Republic of Mari El, LLC "Vurnarets" and OJSC "Brood poultry farm" Urmarskaya "of the Chuvash Republic. All three goose-breeding enterprises during the analyzed period of time were epizootologi-cally safe farms for infectious and invasive poultry diseases. It has been shown that the largest per-centage of diseases of non-infectious etiology in geese are metabolic diseases – up to 94.6 % and of the digestive system – up to 63.3 %, a high proportion of diseases of the egg production system – up to 40.2 %, which is due to the absence of veterinary treatment of poultry preventive measures against these diseases, and the low level of avitaminosis is explained by the active use of vitamin preparations in poultry farms. Most of the diseases occur in young animals: from 76.6 to 97.0 %, among broodstock the incidence in different years ranged from 3 to 23.4 %. Adjustment of thera-peutic and prophylactic treatment schemes for poultry, introduction of modern veterinary drugs can significantly reduce the incidence of non-communicable diseases in geese.
STUDY OF THE EFFECT OF BIOLOGICALLY ACTIVE SUBSTANCES ON THE REPRO-DUCTION OF THE TRANSPLANTED CELL CULTURE LINE
Authors:   FSBSI ", Plotnikova E.M. ,   Federal Center for Toxicological, Radiation and Biological Safety", Nesterova I.A. ,   FSBSI "Federal Center for Toxicological, Radiation and Biological Safety", Churina Z.G. ,   FSBEI HE "Kazan State Academy of Veterinary Medicine them. N.E. Bauman ", Saifullin A.S. ,   FSBSI "Federal Center for Toxicological, Radiation and Biological Safety", Karimullina I.G. ,   FSBSI "Federal Center for Toxicological, Radiation and Biological Safety", Kalimullin F.Kh. ,   FSBSI "Federal Center for Toxicological, Radiation and Biological Safety"
Published: June 2021

The present study was carried out with take into account the high biological activity of bi-opolymers, in particular chitin and chitosan for animal cell cultures in vivo and in vitro. The aim of the study was investigating the effect of apiphytoextract on the growth and reproduction of trans-planted Taurus-1 cell lines after their recriopreservation for long-term storage in the liquid nitrogen. The use of apiphytoextract as part of the culture medium in the cultivation of hydrated cell lines allowed the use of the method of cell recriopreservation for reproduction of viruses, which are used for vaccine production.
MYCOLOGICAL ASSESSMENT OF WINTER WHEAT FROM AREAS OF THE RE-PUBLIC OF TATARSTAN
Authors:   FSBSI ", Potekhina R.M. ,   Federal Center for Toxicological, Radiation and Biological Safety", Larina Yu.V. ,   FSBEI HE "Kazan State Academy of Veterinary Medicine them. N.E. Bauman ", Malaniev A.V. ,   FSBSI "Federal Center for Toxicological, Radiation and Biological Safety", Tarasova E.Yu. ,   FSBSI "Federal Center for Toxicological, Radiation and Biological Safety"
Published: June 2021

Mycological analysis showed that fungi of the genus Fusarium – 33 %, Penicillium – 17 %, Aspergillus – 10 %, Alternaria – 13 %, Trichoderma – 11 %, Mucor – 12 %, yeast fungi – 6 % were most distinguished. The importance in the symbiotic habitat of filamentous fungi depends on the presence of pH, salts, and mineral fertilizers in the soil. In the Vekhneuslonskiy district, loamy soil predominates, the sprouts of winter wheat growing along the roads were distinguished by a weak root system and single seedlings (soil pH – 7,15±0,7). In the Kaibitskiy Buinskiy districts (in the chernozem soil) – wheat germs were strong, the fibrous root system was strengthened, the pH of the soil in the Kaibitskiy region was 6,35±0,4, in Buinskiy – 6,63±0,8. In mycological analysis, the highest indicator of the total number of fungi (TPG) was recorded in the Verkhneuslonsky region – 19,6х103±0,12 to 25,1х103±0,11, mainly fungi of the genus Fusarium were isolated. In the Kaibitsky district, the HPG was: (12,8х103±0,14 to 20,1х103±0,08) fungi of the genus Aspergillus, Fusarium were isolated. In the Buinsky district, the TPG was: (11,4х103±0,14 to 22,2х103±0,10), the fungi Rhizopus spp, Trichoderma spp. Fusarium. There was a correlation between the indicators of TPG and pH: the more acidic the environment, the less TPG. The growth and development of moldy fungi is not affected by the content of nitrates in the soil, so the content of nitrates in soil samples from the Verkhneuslonsky district was 2,8±0,006, Kaibitsky – 3,2±0,011 to 5,60±0,018, Buinsky 3,10±0,010 to 3,2±0,012.