bluuebunny/crossref_metadata_2025 huggingface dataset:
Noticiário Teclado: o Suicídio em Pauta na Mídia Digital
Authors: ALVES Débora Victor Aragão , SANTOS Suely Emilia de Barros
Published: January 2021

The research proposed an investigation on how the comprehension of suicide is shown by narratives of blogs from the city of Garanhuns and its region. Blogs with news about this type of death were cartographed, taking the clinical cartography as a path that looks for to aim the cartographer's experience as the main way of comprehending the actors and scenery that had come to meet. The Heideggerian hermeneutic phenomenology appeared as a possible lumen for the approach related to the phenomena that were revealed. In this direction, five (5) news were selected. Four (4) are regarding to the year of 2017, and one (1) to the year of 2018. It was used the "Analítica do Sentido", from Dulce Critelli, as a method to bring the phenomena to light, as well as the comprehensive analysis, as a means to comprehend them, in a way that the methodology was taken as a path that does not look for unique truths, as conceives it as an unveilment. It was perceived through the investigation: criminalization of suicide; body exposure; spectacularization of death in contemporaneity; victimization; the look that patologizes the phenomenon and the impersonality of anouncing "another" suicide.
Daseinsanálise e a Tonalidade Afetiva do Tédio: Diálogos entre Psicologia e Filosofia
Authors: FEIJOO Ana Maria Lopez Calvo De , COSTA Paulo Victor Rodrigues Da
Published: January 2021

The aim of this article is to think, especially from the phenomenological-hermeneutic perspective, the relationship between the attunement of boredom and the daseinsanalysis. Such a thought arises explicitly with the German philosopher Martin Heidegger, making essential the relation between phenomenology and hermeneutics. From this, the possibility of a repositioning of understanding in relation to boredom arises: a solipsist interpretation is avoided and appears an historical interpretation of certain existential disorders that in the contemporary world need renewed interpretations. Philosophy emerges as a fundamental element of the dialogue in this new understanding of the phenomenon of boredom, unfortunately not yet thematized by the main authors of Daseinsanalysis.
Peaceful Warrior (2006), de Dan Millman: Perspectivas Existenciais na Contemporaneidade
Authors: MORAES Laís Duarte de , ROCHA, Lisieux D'jesus Luzia de Araújo , PONTE Berta Lúcia Neves , MARTINS José Clerton de Oliveira
Published: January 2021

This article aims to reflect on the values and existential needs that constitute the human being in the present times of hurries, exacerbated consumerism and the search for ephemeral pleasures that have been producing the sensation of existential emptiness. Such emptiness also establishes the need for the search for meaning of life. For this article, the narrative of the film Peaceful Warrior (2006) was taken as analysis material. This is a qualitative investigation, in which a bibliographic research was carried out and the Categorial Analysis was used. This process defined the film analysis units, which were coded and interpreted. The article concludes that the dedication to the development of a talent and the protagonism of the subjective experiences allow existential transformatio
Liberdade numa Perspectiva da Psicologia Fenomenológico-Existencial: Revisão Sistemática da Produção Bibliográfica dos Últimos Vinte Anos
Authors: ENDRISSI Tamara , STENZEL Lucia Marque
Published: January 2021

Freedom as a subject of study permeates discussions in the psychological sciences, especially in the phenomenological-existential approach. The purpose of this study was to understand how freedom has been studied from this perspective. For this, a systematic review of articles published in the last twenty years in Portuguese, English and Spanish was carried out. The periodical databases CAPES, PePSIC, SciELO and LILACS were consulted. There were found 954 articles that were selected according to criteria of inclusion, duplicity and availability, totaling 29 articles for analysis. Thus, the following variables were considered: year of publication, nationality, area of the journal, area of the authors, theoretical and philosophical base, general topics, form of articulation with Psychology, terms linked to freedom and the way the articles conceptualize freedom. It has been shown that freedom is treated as a fundamental characteristic of the human being in productions based on phenomenological-existential perspective, but with different approaches. The current character of the discussion about freedom was highlighted, with a greater number of productions in the last 10 years, and the predominance of Brazilian articles on the subject.
Measuring Inflow of Remittances in Six ASEAN Countries Using Macroeconomic Variables: Panel Data Analysis
Authors: Jintan Andam Rani , Nahar Faiza Husnayeni , Azizurrohman Muhammad
Published: January 2021

Tempted by the economic potential offered by other countries makes people flocked to get the opportunity to improve their economy. Evidenced by the large number of international migrants throughout the world, this figure is in line with the high total remittance flow that leads to their country of origin. Countries in ASEAN become remittance recipients with quite high growth each year, so it is interesting to study further. Using panel data from six countries in ASEAN in 2000-2016, per capita Gross Domestic Product (GDP), domestic inflation, exchange rates, age dependency ratios and financial development are included as variables that affect remittances. The analytical method used is panel data with Fixed Effect Model (FEM). The results of the panel data found that the independent variables, including GDP per capita, domestic inflation, exchange rates, age dependency ratios and financial developments had a positive and significant effect on remittance flows in ASEAN in the period of 2000-2016
Antifertility effect of curcumin, an indigenous medicine in rats
Authors: Maiti R. N. , Roy U. K. , Das Subhayan , Das A. K.
Published: January 2021

Background: Curcumin is an active constituent, obtained from rhizome of Curcuma longa linn, known to have broad medicinal properties, was studied for its effect on fertility in female rats. Curcumin has anti-ovulatory effect probably by its antiestrogenic activity through suppression of negative feedback of estrogen on pituitary.Methods: Inbred Charles Foster female albino rats (150-180 gm) were used for study. They were divided into different groups and treated with curcumin (25 mg/kg. and 50 mg/kg body weight) as per schedule. The antigonadotropic, antiestrogenic, anti-implantation and abortifacient effect on curcumin treated albino rats were demonstrated.Results: The results showed significant reduction in the number of implants and size of litters in curcumin treated rats compared to normal control group. The results were compared with Tamoxifen (10mg/ kg bodyweight) a known antifertility drug, which further substantiated the antifertility effects of curcumin.Conclusions: The results indicated the ways in which curcumin exerts antifertility effects and thus can play a vital role in fertility control.
Effects of injectable contraceptives on intraocular pressure among women of child bearing age
Authors: Uwagboe Precious N. , Uwagboe Charles U. , Mba Chioma R.
Published: January 2021

Background: The presence of female sex hormones has been linked to variation in intraocular pressure. Numerous studies have revealed that these hormones exert neuroprotective effect and a vascular effect on intraocular pressure regulation. This study was to determine the effect of injectable contraceptives on intraocular pressure in women of child bearing age.Methods: It was a cross-sectional study, carried out at the University of Benin Teaching Hospital involving 85 healthy Nigerian women of child bearing age (20-50 years). The women were divided into two groups 20-35 years (Mean age was 29.66±3.43) and 36-50 years (Mean age 40.66±4.41). A brief case history was conducted to gain information on their personal data, oculo-visual history and general health. Intraocular pressure (IOP) was measured at baseline and two months after injectable contraceptive.Results: There was no statistical significant difference in the IOP reading at baseline and after injectable contraceptives among women in group 20-35 (p=0.819), whereas women in group 36-50 years showed a Statistical significant difference in their IOP at baseline and after injectable contraceptives (p=0.049).Conclusions: Injectable contraceptives have significant effect on IOP of healthy women of childbearing age. Further studies involving a larger sample should be conducted over a long duration in order to achieve a better generalization of the findings on this subject matter.
Evaluating the role of kangaroo mother care on the lactation among the newborn low birth weight babies
Authors: Margekar Purnima , Parekh Premlata , Margekar Shubalaxmi
Published: January 2021

Background: A universally available and biologically sound method of care for all new-borns, but in particular for premature babies, with three components including skin-to-skin contact, exclusive breastfeeding and support to the “mother infant dyad”. The present study was done to evaluate the role of kangaroo mother care (KMC) on the lactation.Methods: A prospective case control study of KMC was conducted in a teaching institution with a tertiary level neonatal intensive care unit (NICU) over a 12-month period from August 2013 to August 2014 on 50 new-borns weighing less than 1.8 kg. In order to provide KMC, special bag or kangaroo pouch was designed to keep the baby in close contact with mother. The primary outcome variable was “breast feeding”. Mode of feeding at admission to either group was noted down. Before allocating to either group, it was assured that baby was tolerating enteral feeds & there was no regurgitation.Results: Sixty six percent of neonates in case group and eighty percent of control group were on tube feed while 30% of case group and 16% of control group were on spoon feed at the time of enrolment in study. Spoon feeding plus breast feeding was established 28% of KMC group and in 4% control group, while only breast feeding was established in 30% of KMC group and 26% of control group on discharge.Conclusions: More babies in KMC group were shifted to breast-feeding on discharge. In addition to that KMC group demonstrated more weight gain and duration of stay was shorter in them.
Role of autologous bone marrow derived stem cells and platelet rich plasma for endometrial regeneration and repair and ovarian rejuvenation
Authors: Anagani Manjula , Agrawal Prabha , Reddy Bollavaram Vikas , Mishra Prabhu Chandra
Published: January 2021

Background: Stem cells are undifferentiated cells with a potential for self- renewal and differentiation into multiple mature cell types. PRP is blood plasma that has been enriched with platelets and multiple growth factors that can stimulate cellular processes and activate multi-potent stem cells to generate new, younger tissue and new blood vessels relevant to ovarian rejuvenation and endometrial regeneration.Methods: This study was to evaluate the effectiveness of ABMDSC and PRP application in patients with thin endometrium refractory to treatment, premature ovarian failure, infertility and menopause. 37 symptomatic women between age group 18 years to 56 years were selected for ABMDSC and PRP instillation in endometrium and/ or ovaries. PRP was instilled in endometrium in 8 patients, in ovaries in 5 patients and in both endometrium and ovaries in 24 patients.Results: There was significant improvement in endometrial thickness, along with improved blood flow to both endometrium and ovaries. FSH levels decreased and ovarian volume increased. There were three confirmed pregnancies with one delivery.  Menopausal symptoms decreased in 2 patients and spontaneous resumption of menses was seen in 1 patient of POF.Conclusions: Stem cell therapy serves as a game changer with their unique properties, offering solutions for scores of women suffering from POF, poor oocyte quality, endometrial degeneration/ damage or menopausal symptoms.
Incidence and risk factors of gestational diabetes in Karnataka Institute of Medical Sciences, Hubli
Authors: G Vinaya , M. Surekha S. , Chiniwal Shivaganga
Published: January 2021

Background: Gestational diabetes is essentially the development of diabetes in pregnancy with a return to normal glucose tolerance after delivery. Objective of the study was to know incidence and risk factors of gestational diabetes in Karnataka Institute of Medical Sciences, Hubli.Methods: This prospective study conducted in KIMS Hubli, for a period of one year from October 2009 to November 2010, in all pregnant women attending OPD of OBG Department. The number of cases included in the study was 200.Results: Incidence of GDM was found to be 3.5% in the 200 patients studied. Patients were in the age group 18-36 yrs. There was increasing in the incidence after 25 yrs. There is gradual increase in prevalence of GCT positive case with increasing age. 60% of the patients had risk factors. Risk factors of importance were positive family history 40%, BMI>27 was 37.5%.Conclusions: Gestational diabetes mellitus can be present in patients without risk factors. Hence the need for universal screening. Glucose challenge test with 75g glucose at 2 hours is highly sensitive in detecting GDM.
An observational study of parenteral paracetamol vis a vis tramadol as labour analgesics
Authors: Viswanadh Pallavi , Subramanian Supraja , Bal Himadri
Published: January 2021

Background: Labour although a physiological process, is associated with severe, excruciating pain. The delivery of the infant into the arms of a conscious and a pain free mother is one of the most exciting and rewarding moments in medicine ……..Moir. Labour analgesia plays an important role in making the process of labour comfortable for the mother. Drugs like paracetamol and tramadol with advantages of easy availability, being inexpensive and with no special technique of administration are a boon for labour analgesia. Our study aims to evaluate the efficacy of these two drugs as labour analgesics.Methods: Sixty cases in active labour fulfilling inclusion and exclusion criteria were selected for this study. All primigravidae at term gestation with singleton pregnancy having vertex presentation with no associated obstetric/ medical/surgical risk factors in spontaneous labour were selected. There were thirty patients who received Paracetamol as labour analgesic and thirty were in the tramadol group. It was an observational study.Results: The study revealed that paracetamol had a significant analgesic effect compared to tramadol at the fourth and the fifth hour of administration. However, the overall analgesic effect of both the drugs had no statistically significant difference. Maternal side effects and neonatal distress were less with paracetamol.Conclusions: This study showed that paracetamol had a better side effect profile for both mother and neonate along with a comparable, if not better, analgesic effect vis a vis tramadol.
Perinatal outcome in abnormal placental villus proliferation and mesenchymal dysplasia
Authors: Vhatkar Ashwini V. , Bandekar Pooja K. , Kanwar Anupama , Bodhanwala Minnie
Published: January 2021

Placental mesenchymal dysplasia (PMD) is a rare vascular anomaly which is characterized by mesenchymal stem villous hyperplasia and placentomegaly. Since the modality of treatment changes it is necessary to distinguish PMD from molar pregnancy, placenta mosaicism, chorioangioma, twin pregnancy with co-existent molar pregnancy. On reviewing cases of abnormal placental villus proliferation having features of placental mesenchymal hyperplasia placentomegaly and cystic appearance of placenta in database of our hospital from 2015-2019, we reported 4 cases of abnormal placental villous proliferation. And performed systematic review of existing literature. Provisional   diagnosis of PMD was made as USG and placental morphology showed 30-60% of the placenta with cystic vesicles, placentomegaly with a normal growing fetus. PMD an uncommon vascular anomaly which resembles molar pregnancy but prognosis is different. The fetus was normal in majority of the cases. This clinical entity should be kept in mind to avoid unnecessary termination of pregnancy.
Clinical analysis of maternal and fetal outcomes in COVID-19 pregnant women undergoing cesarean section in a tertiary care center in Hyderabad, India
Authors: Agrawal Prabha , Agrawal Rahul , Jagathkar Ganshyam
Published: January 2021

The outbreak of coronavirus disease 2019(COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is spreading globally at an accelerated rate. A serious public health threat, it has caused a major impact on health care systems with a significantly high mortality and morbidity. Physiological changes and immuno-compromised state make pregnant women vulnerable during infectious disease outbreaks and hence need a more cautious approach. With this report we aim to share our experience regarding clinical characteristics, management and outcomes of 10 diagnosed COVID-19 pregnant women undergoing cesarean section at Medicover hospital, a tertiary-care center in Hyderabad, India between July to September 2020. All 10 pregnant women were referred in their third trimester with diagnosis of COVID-19. 2 out of 10 patients had severe COVID-19 and were managed in the ICU. All patients underwent emergency cesarean sections and none of the infants were infected with COVID-19. At discharge, all patients and the newborns were in a clinically stable condition. Effective management strategies incorporating integrated team approach, early cesarean section and low-threshold for mechanical ventilation has been shown to be associated with favorable outcomes for mothers diagnosed with COVID-19 and their infants. Also, the present data does not support any evidence of vertical transmission of SARS-CoV-2 virus in those manifesting during the third trimester of pregnancy.
A prospective study of clinical pattern of febrile thrombocytopenia in government general hospital, Nalgonda
Authors: Reddy Yadavendra C. , . Karunakar
Published: January 2021

Background: Febrile thrombocytopenia is a usual condition caused by infections such as dengue, malaria, typhoid, septicimea and certain viral infections. The present study is aimed to study the aetiology of fever with thrombocytopenia and the clinical presentation in the patients admitted in Government General Hospital.Methods: This prospective observational study was done from August 2019 to September 2019 in Government General Hospital Nalgonda. A total of 100 cases male and female admitted with febrile thrombocytopenia were studied based on inclusion and exclusion criteria. All patients were done routine investigations and ELISA test for dengue done in susceptible patients. Patients below 12 years, pregnant women and patients with previous bleeding manifestations were excluded from the study. The study was carried out in all patients fulfilling the inclusion and exclusion criteria.Results: A total of 100 patients 60 females and 40 males presented during the study period. Most of the fevers with low platelet count were viral 30 (30%), dengue 25 (25%), typhoid 20(20%), malaria 15 (15%), hepatitis 10 (10%). The patients presented with fever 25 (25%), nausea 20 (20%), headache 20 (20%) abdominal ain 15 (15%), diarrhea 10 (10%), bleeding manifestations 5 (5%), myalgia 5 (5%).Conclusions: It was observed from the study that the viral infections were predominant cause for the fevers with thrombocytopenia followed by dengue, typhoid and malaria, furthur it was observed that apart from fever nausea and headache were predominant symptoms in patients presenting with febrile thrombocytopenia. Major complications were avoided by timely admission and proper care of the patients.
A rare case of sporadic Creutzfeldt-Jakob disease in an 83 years old female
Authors: Kuotsu Medo M. , Kallupurakkal Arjun Bal , Konyak Nyamnyei , Chanu Keisham Jaya , Khruomo Vikie-o , Perumal Dinesh Kumar
Published: January 2021

Sporadic Creutzfeldt-Jakob disease is a rare invariably fatal neurodegenerative prion disease. Prion disease are associated with the conversion of alpha-helix rich cellular prion protein (PrPC) into a beta-structure rich insoluble conformer scrapie isoform (PrPSc) thought to be infectious isoform. Here we present a case of an 83 years old woman with findings of rapidly progressive dementia, cognitive disturbance, myoclonic jerks and extrapyramidal signs (cogwheel rigidity). Following a series of clinical and diagnostic (diffusion-weighted magnetic resonance imaging (MRI) brain, electroencephalogram (EEG)) examination she was diagnosed with sporadic Creutzfeldt-Jakob disease based on Centers for disease control and prevention (CDC) criteria.
Cranial polyneuropathy and triparesis due to mononeuritis multiplex in a case of scrub typhus
Authors: Das Sayonee , Islam Ramiz , Biswas Parvez Shahide , Munsi Kausik , Basu Sagar
Published: January 2021

Scrub typhus with neurological manifestations are often described. We present here unusual neurological manifestations in a patient with Scrub typhus. A 49 years old male presented with continued fever for the last 12 days along with headache and myalgia. He had left sided oculomotor nerve palsy along with palatal palsy and triparesis (except left upper limb) of lower motor neurone type. Electro-diagnostic studies showed asymmetric axonal sensorimotor neuropathies of multiple nerves in paretic limbs, suggestive of mononeuritis multiplex. Scrub typhus was diagnosed by the presence of IgM antibody in serum. He responded well with doxycycline therapy. This type of neurological presentation is extremely rare in scrub typhus and possibly has not been described earlier to the best of our knowledge.
Urban-rural differentials in nutritional status of ageing in Bangladesh
Authors: Uddin M. Taj , Akter Momduha , Hossain Mohammad Kamal , Raju Mohammad Ali , Noor M. Shah
Published: January 2021

Background: The growth rate of elderly is the fastest in most of the developing countries including Bangladesh. Nutrition plays fundamental role in maintaining good health especially in old age. This study was an attempt to assess the nutritional status of elderly and to compare it with their location.Methods: A total of 400 elderly in urban and rural area of Sunamgonj district have been interviewed through a structured questionnaire during July to September, 2019. A person aged 60 and above is included in the sample. Body mass index (BMI), mini nutritional assessment (MNA) short form, descriptive statistics, and Chi square test for association have been used for data analysis.Results: The analysis revealed that 17 percent elderly were under-weight, 66 percent were normal nutrition, 13 percent were over-weight and 4 percent were obese. The prevalence of malnutrition was found to be 40 percent. The rural elderly were at more risk of being malnourished compared to urban elderly. The mean BMI and MNA score of urban elderly were significantly different from the rural elderly.Conclusions: The findings show that more proportion of urban elderly are over-weight and obese compared to rural elderly. Therefore, measures should be taken to improve the nutrition status of elderly especially in rural area.
Assessment of knowledge and awareness regarding urinary tract infections among the university students of Bangladesh
Authors: Tabassum Fatema , V Most. Nazma , Manik Md. Imran Nur
Published: January 2021

Background: Urinary tract infections (UTIs) are the major health problems in young population. The aim of the study is to determine the knowledge and awareness about UTI among the university students of Bangladesh.Methods: The survey carried out among 403 students of different private universities of department of Pharmacy. Data were collected using structured questionnaires containing 6 questions related to the students’ demographics and 10 questions related to the knowledge and 6 questions related awareness to UTI. Data was analyzed by the Microsoft Excel version 10.Results: Among the respondents there were 61.04% female, majority of them were unmarried (93.80%) and the average limit for age was found to be 21 years. The result showed that 76.92% of respondents correctly identified bacteria as the principle pathogens forming UTIs and 80.15% suggested antibacterial drugs for the treatment of UTIs. 60.04% showed poor knowledge on the further consequences of untreated UTIs in the long run and 51.86% don’t know the adverse effect of urinary retention. This study showed that cumulatively 77.79% respondents had positive attitude towards the measures against UTIs. Among the subjects 71.46% are against holding urine , 93.80%  thinks drinking plenty of water is good for heath, 94.79% wanted to contact the doctor when get ill.Conclusions: Short-term morbidity in terms of fever, dysuria, and lower abdominal pain (LAP) and may result in permanent scarring of the kidney may caused by UTIs. Students must be made aware of these symptoms and their causes and also aware about the prevention of UTIs to decrease the morbidity rate.
A cross sectional study of knowledge, attitude and practices regarding menstrual hygiene among ashram school adolescent girls in field practice area of tertiary health care hospital in Navi Mumbai
Authors: Gosavi Jayesh , Velankar Deepa H. , Joshi Sumedha , Wasnik Sumit , Ramaswamy Sudarshan
Published: January 2021

Background: Adolescent girls often lack knowledge regarding menstruation which may be associated with taboos and myths existing in our traditional society which has a negative implication for women’s health, particularly their menstrual hygiene. Aim of the current study is to investigate existing knowledge, attitude and practices regarding menstruation and to assess the source of information, beliefs, misconceptions and restrictions related to menstruation among adolescent school girls.Methods: The study was undertaken among all adolescent girls of 7th to 10th standard of ashram school in September 2018 to Oct 2018 by pre-designed, close ended questionnaire and the data was analysed.Results: Out of the 100 girls who had attained menarche, all participants used sanitary pads as it was provided by school. Maximum girls had positive attitude towards menstruation, 58% girls got information about menstruation from their teacher. For cleaning of genitals during menstruation 58% girls used water and soap, 7% used water and antiseptic and 35% used water only. Method of adsorbent disposal was reported as burn (51%) and burial (44%). 42% and 49% of girls were not allowed to do household activities and kitchen work respectively. 95% and 63% of girls weren’t allowed to go to temple and do sport activities respectively.Conclusions: In the study, it was observed that among the adolescent ashram school girls, the knowledge of menstruation was good and the practices were optimal for proper hygiene but superstitious beliefs and taboos affect their day to day activity during menstruation.
Determinants of minimum acceptable diet among young children in an urban slum: a community-based study
Authors: Kunhipurayil Kavita , Srivastav Manissha
Published: January 2021

Background: Child health and growth deteriorate as a result of inadequate quantities and frequencies of complementary feeding.Methods: A community-based cross-sectional study was conducted in urban field practice area of a tertiary medical college hospital among 280 children by systematic random sampling method. Children belonging to 12-23 months were included while sick child, children whose mother/guardian did not give consent were excluded.Results: The proportion of children who met the minimum dietary diversity (MDD) and minimum meal frequency (MMF) were 52.8 % (95% CI) and 52% (95% CI), respectively. Out of 280 children, 90 i.e. (32.1 %) children had achieved the recommended Minimum acceptable diet (MAD). Maternal education (Chi square value=11.2; CI 95%); socioeconomic status (Chi square value=57.4; CI 95%) were positively associated with dietary diversity. Higher percentage of male children (44.8 %) achieved minimum acceptable diet as compared to female children (20.5%); (chi square value=18.8, CI 95%). The percentage of children receiving MDD and MMF was more among children of higher socioeconomic class (p value 0.0001) and from nuclear family (p value=0.45). The birth order of the child was inversely related to the attainment of MAD. (p value=0.0001).Conclusions: Results of the study strongly suggest that poor dietary diversity and meal frequency is associated with numerous factors and their interplay is a multitude of combinations rather than a single cause.
Effect of supplementation of Purslane (Portulacaoleracea) in hypertriglyceridemic subjects
Authors: Tarkergari S. , Waghray Kavita , Gulla S.
Published: January 2021

Background: Portulacaoleraca (Purslane) has several health benefits. It is listed by the world health organisation as one of the most used medicinal plants and it has been given the term 'global panacea'. Many studies have demonstrated various pharmacological effects of this plant including hypoglycaemic, hypocholesterolemic, hypotriglyceridemic and antioxidant effects.Methods: A new product was developed using dried Portulacaoleraca leaves which was similar to spice powder/ chutney powder/karampodi and is used in South India as a food adjunct. The new product developed was used for supplementation studies for 90 days (3 months) among hyper triglyceridemic subjects after receiving a written informed consent. Biochemical parameters like lipid profile, i.e., total cholesterol, low density lipoprotein cholesterol, triglycerides, high density lipoprotein cholesterol, very low density lipoprotein cholesterol, kidney function test, liver function test were assessed. Baseline information, their medical history and 24 hr dietary recall was elicited from the subjects through a pretested schedule.Results: The results have shown that the triglyceride levels were significantly decreased. Total cholesterol and its fractions in the test groups showed significant decrease from pre- supplementation to during-supplementation and were stable at post-supplementation period.Conclusions: Our results indicated that the spice powder was rich in polyunsaturated fatty acids had a strong hypotriglyceridemic effect.
Assessment of health seeking behaviour among fishermen community in Puducherry
Authors: Neethiselvan Rajarajeswari , S. Gayathri , P. Shanmughapriya
Published: January 2021

Background: Fishermen community are involved in dangerous and complex profession and have diverse and untold constrains like work overtime in sea- nightshifts and late- night return from sea which worsen their morbid conditions.  Objectives were to explore the health seeking behaviour and challenges faced by the fishermen community to utilize the health care facility in Puducherry.Methods: A community based cross-sectional study was conducted among 102 individuals in the selected villages of fishermen community in Puducherry based on convenient sampling during September 2019 to November 2019.Results: Majority 63 (62.4%) utilized government hospitals for various illness. Nearly one-third of people 35 (34.5%) visited private hospital for their ailments and another 4 (3.9%) preferred pharmacies for their illness. More than half of the study participants working as an active fisherman 59 (57.8%) had approached health care facility during their illness (p<0.037). Around 54 (52.9%) subjects belonged to lower middle class visited health facility during their illness (p<0.046). Free of cost, 24×7 services, and easy accessibility, were reported as the commonest reason for choosing public health facility. Doctors availability, less time consumption and quality of medical care were the reasons for preferring private practitioners.Conclusions: Strengthening of public health care services near the fishermen community area is required to promote their health seeking behaviour. Also, special focus to be given for appropriate transport facility and arranging specialized healthcare professionals for this community.
Risk assesment and management of exposure of health care workers to COVID-19 in a tertiary care hospital of South Gujarat
Authors: Bhatt Krishnakant N. , Gamit Amit , Patel Ashish , Gohel Kalpesh , Pujari Shiv , Agrawal Siddhant , Chauhan Keshvi
Published: January 2021

Background: The COVID-19 outbreak affected 215 countries worldwide and was declared global COVID-19 pandemic on 11th March 2020 by WHO. Healthcare workers (HCWs) in India are faced with an incredibly high number of patients per worker and because of high infectivity of COVID-19, having higher chances of getting COVID-19 infection. The objective of the study was the risk categorization of HCWs and provide recommendation for HCWs exposed to COVID-19 based on risk categorization.Methods: After obtaining informed and valid consent from HCWs based on standard WHO questionnaire HCW, who were exposed to COVID-19 were identified and categorised in to high risk and low risk health worker. Those who were at high risk of getting COVID-19 were advised quarantine for 14 days and rt pcr for Covid-19.Results: Out of 200 participants, 51% were male and 49% were female with the majority of them being in the age group of 18-28 (40%). Out of 200, 190 (95%) were exposed to COVID-19. Majority of HCWs who were having high risk of getting COVID-19 infection were young between age group of 18-28 (66,39.7%, p :0.091), male (91,59.6%, p<0.001), doctors (119, 80.9%, p<0.001).Conclusions: Young male doctors were more prone to get COVID-19 infection. It is important to protect HCWs from getting COVID-19 infections by taking various fundamental preventive measures like wearing proper PPE kits and adherence to strict hand hygiene.
Risk factors associated with peripheral neuropathy among diabetic individuals: a case control study
Authors: Kingston Christa , J. Aravindan , Walsalam Srikumar
Published: January 2021

Background: Diabetic neuropathy is one among the most common complication in diabetes mellitus. Diabetic peripheral neuropathy hinders the quality of life causing morbidity and mortality. The purpose of this study was to find the risk factors associated with diabetic neuropathy.Methods: This case control study involved 100 diabetic patients attending the Dohnavur fellowship hospital, Dohnavur from October 2019 to March 2020. Sociodemographic profile and diabetic characteristics of the study group were obtained and analysed. Diagnosis of Diabetic Neuropathy was done by using the diagnostic method proposed by American Diabetic Association.Results: Of the total study population with mean age 59.43 years, 63% had family history of diabetes. Almost 70% had poor diabetic control. Statistically significant relationships were found between neuropathy and duration of diabetes, glycaemic control, history of hypertension, monofilament test and pinprick sensation.Conclusions: In this study, glycemic control, dyslipidemia and hypertension were modifiable risk factors for diabetic neuropathy. Early interventional programs to sensitize diabetics on these factors could improve the quality of life of Diabetic patients.
Adverse drug reactions among new sputum positive pulmonary tuberculosis patients on daily treatment regimen: a prospective study from Haryana, India
Authors: Manjula Chalamcharla M. , Majra J. P.
Published: January 2021

Background: Daily regimen anti-tuberculosis treatment was adopted by Revised National Tuberculosis Control Programme (RNTCP) as a step to achieve tuberculosis elimination by 2025 in India. The change was implemented prior to completion of pilot study, which necessitated this study to note the self-reported Adverse Drug Reactions (ADRs).Methods: A prospective study with concurrent sampling design was carried on from June 2018 to June 2020 in the state of Haryana, India. Pre-tested semi-structured schedule was used to collect data based on RNTCP outcome definitions through two monthly (four visits) home visits. Mean±standard deviation, percentage, proportion and chi-square test was used. The p-value of <0.05 was considered as statistically significant.Results: Amongst 122 study participants 74 (60.7%) were males and 48 (39.3%) were females with mean age of 39.4±18.9 years. Majority were urban residents 87 (71.3%) and 35 (28.7%) rural residents. There were 25 (20.5%) tobacco smokers, nine (7.4%) alcohol consumers, and three (2.5%) smokeless tobacco users. Forty-five participants had ADRs and 54 ADR events had occurred, but none required change in treatment regimen. Sixteen (13.1%) reported loss of appetite followed by 10 (8.2%), flu-like symptoms, eight (6.6%) nausea, seven (5.7%) pain in joints, three (2.5%) abdomen pain, three (2.5%) headache, two (1.6%) itching and rash, one (0.8%) burning in hands and feet and one (0.8%) giddiness. Daily regimen ADR cases (36.9%) and events (44.3%) when comparatively higher than intermittent regimen (25.6%).Conclusions: The ADRs cases and events had occurred in higher proportion but were mild and hence did not require any regimen change.
Common drugs causing allergy in patients attending a tertiary care centre in South Kerala
Authors: N. Shameem , M. K. Krishna Kumar
Published: January 2021

Background: Drugs play an important part in the wellbeing of human life. Adverse drug reactions are also a part of drug administration. Adverse drug reactions mainly manifest in the form of skin lesions such as urticaria or maculo-papular rash. Drug allergy is a common clinical problem and its assessment is important for appropriate management of the condition. Diagnosis of drug allergy relies on a careful history and in some instance’s allergy testing may be required.  Aim was to determine the common drugs causing allergy.Methods: After obtaining informed written consent, data was entered in a schedule and an intradermal test was done in the volar aspect of the patient’s forearm with the selected list of twenty-four drugs.Results: The maximum number of study subjects showed positive reactions were for ampicillin, paracetamol, diclofenac and ketorolac.Conclusions: The drugs which are commonly used by the medical practitioners were found to be more allergic to the study subjects.
New age issues in medical ethics - time to address
Authors: Yadav Juhi , Gupta Shalini
Published: January 2021

Medical technology advancements and understanding along with constricted resources in provision of care to the needed, has arised ethical dilemmas. These are associated with the necessity of making decisions dependent on conflicting priorities, in the absence of established polices about the choice of the decision maker and the guiding principles checklist. Varying values and ethical models conflict current code of medical ethics making it inadequate. This article summarises key issues in contemporary medical ethics and a special note of medical negligence.
Revisiting the tuberculosis and leprosy sanatorium era: for the post COVID healthcare in India
Authors: Sood Abhilash , Singh Mitasha , Rani Seema
Published: January 2021

Leprosy and tuberculosis (TB) are ancient diseases. These have been referred to in the Vedas and Ayurvedic Samhitas too. As no chemotherapy was effective against these diseases till middle of the 20th century, the main line of treatment was good food, open air and dry climate. Open air sanatoriums were formed for treatment and isolation of TB patients. The first sanatorium was founded in 1906 in Tiluania, near Ajmer, followed by one in Almora two years later. In 1909, the first non-missionary sanatorium was built near Shimla. Similarly, social stigma was the reason for creation of leprosy sanatoriums. First leprosy sanatorium was opened in 1925 at The school of tropical medicine, Calcutta and in 1955 the first research centre; The Lady Willingdon leprosy sanatorium, Chingleput (presently central leprosy teaching and research institute). These centers also contributed to knowledge of natural history of the disease and treatment. Subsequently many sanatoriums were set up at geographical locations which were at outskirts of cities, or at hilly terrains.1 One of the major reasons of setting up these sanatoria was to isolate the patients and prevent spread of disease further, in absence of medicines. Later on, many other infectious disease hospitals were also opened up, to cater to patients suffering from other infectious diseases.
Las políticas hacia la inversión extranjera directa
Authors: García Pablo M. , López Andrés , Ons, Álvaro Álvaro
Published: January 2021

La economía global registró en las últimas décadas un importante crecimiento de la inversión extranjera directa (IED). Habitualmente se espera que esos flujos de inversión sirvan para impulsar el potencial crecimiento de los países receptores. La IED tiene el potencial de crear empleos, contribuir a diversificar las exportaciones y transformar la estructura productiva. Lo hasta aquí expuesto hace pensar que la IED genera impactos positivos en el crecimiento y desarrollo de los países receptores, en función de lo cual diversos gobiernos implementaron políticas para atraerla, ya sea con la reducción de las barreras a la inversión extranjera, la generación de programas de promoción de inversiones y/o la implementación de un amplio menú de incentivos. La IED podría contribuir al desarrollo, pero en forma condicionada a las características de la economía huésped, incluidos sus niveles de calidad institucional, disponibilidad y calidad del capital humano, profundidad de los sistemas financieros locales, infraestructura, estructuras de mercado, patrones de especialización y capacidades tecnológicas. Al mismo tiempo, el impacto de la IED sobre la economía receptora no es indiferente respecto del tipo de IED que se trate.
Research Insights: Do Bank Officers Favor Male over Female Loan Applicants?
Authors: Montoya Ana María , Parrado Eric , Solís Alex , Undurraga Raimundo
Published: January 2021

A randomized study in Chile found that otherwise equivalent loan requests from women are 18.3 percent less likely to be approved than those from men, largely due to gender-biased officers, particularly males. Median forgone profits associated with applications rejected due to gender discrimination amount to US$1,785 or 23 percent of the median loan size. Considering only discriminated applications from applicants aged 25 to 35 years for amounts between US$1,500 and US$13,500, the forgone profits at the industry level amount to US$5.8 million per year, which is equivalent to 4 percent of the annual labor cost for all loan officers in the Chilean banking system.
THE INFLUENCE OF VOLUNTEER ACTIVITIES ON THE SOCIALIZATION OF CHILDREN FROM ORPHANAGES BY MEANS OF ART
Authors: Berezhnaya M.S. , Mikhailina E.V.
Published: January 2021

Purpose of Study: The study is aimed at substantiating theoretically and methodologically the influence of volunteer activities on the socialization of children from orphanages using art and socio-cultural rehabilitation.

Methodology:The study is divided into three stages, during which different methods of analysis and information collection are used. At the first stage, a preliminary analysis of secondary data from open sources is carried out. At the second stage, an analysis of the primary information received from the orphanage staff from semi-structured interviews and questionnaires developed by the authors of the study is carried out. At the third stage, conversations with children, as well as the observation during their activities and questionnaires for both the children and the volunteers, are carried out and projective methods are used.

Main Findings: The study has revealed a significant role and influence that volunteers and their artistic and creative activities with children have on the process of socialization of children through art. Several practical recommendations have also been developed for organizing the selection of volunteers to work in orphanages and to organize, accompany and support volunteer activities there.

Applications of this study: The results of the study can be used in pedagogical activities in the process of organization of leisure and extracurricular activities as additional education, both in orphanages for children with special needs and in educational institutions during the implementation of inclusive education. Besides, the results of the study can be used in the process of organization of psychological assistance and/or corrective work with children with special needs to help them socialize successfully through art.

The novelty of the study: The theoretical and methodological substantiation of the positive influence of volunteer activities on the socialization of children from orphanages by means of art and socio-cultural rehabilitation. It was carried out with the help of questionnaires and surveys developed by the authors of the study, analysis and assessment of the degree of volunteers’ influence on the process of socialization of children with special needs, with identifying the main requirements for volunteers, practical recommendations for psychological support and support of volunteers and their work with children with special needs in orphanages.
MODEL OF HOSPITAL INFORMATION SYSTEM ACCEPTANCE IN HOSPITALS OWNED BY THE SOCIAL SECURITY ORGANIZATION
Authors: Abolhassan Pourhosseini Seyed , Reza Kasraei Ahmad , Sohrabi Tahmorth
Published: January 2021

Purpose: The purpose of this study is to provide a model of hospital information system acceptance owned by the Social Security Organization.

Methodology: This study was performed Cross-sectional – applied and descriptively and analytically. This study had two stages. The study population was in the first stage (qualitative), information technology experts in the Social Security Organization (6 people) and the second stage (quantitative), users of the hospital information system in medical centres owned by the Social Security Organization (375 people). The first stage of this study was based on interviews with IT experts. The second stage of the study was based on the results of interviews with experts using the design of a researcher-made questionnaire. The validity of the questionnaire was measured by using the opinion of experts in the field of information technology and health information technology and by calculating the CVR index. Cronbach's alpha coefficient (0.941) was used to assess the reliability of the questionnaire. The questionnaire consisted of 12 axis and 46 questions with a five-point Likert scale with a score of 5-1. The interviews were analyzed qualitatively (content analysis) and the questionnaires were analyzed descriptively, analytically (correlation) and structural equation method is done with the help of SPSS software.

Main Findings: Evaluation of direct relationships between model factors and hypotheses showed that the relationships between habit with intent to use, intention to use with actual use, increase motivation to use, increase management support, meet user expectations in achieving the expected performance of the system, value the cost to the system and the social impact of co-workers significantly increases the intention to use the system. Also, the coefficient of determination R2 for the target variables, which is the intention of use and actual use, were equal to 0.774 and 0.448, respectively. The goodness of fit (GoF) was equal to 0.671. The study of the effect of demographic factors on the target variables (intention to use and actual use) showed that none of the demographic variables has a significant effect on the intention to use and actual use. By considering these factors, the managers of the Social Security Organization can increase the rate of HIS admission in the hospitals and clinics of this organization.

Application of Study: One of the technologies used in the healthcare sector is the hospital information system. It is less developed than other information systems that use information technology and apply quality standards for customer satisfaction. The IT acceptance model is one of the most valid models available that examines the acceptance factors of technology at different levels, including the individual level.

Novelty/Originality:  The novelty of this research is giving a model of clinic data framework acknowledgement claimed by the Social Security Organization.