bluuebunny/crossref_metadata_2025 huggingface dataset:
A study on correlation between laterality of placenta on mid trimester ultrasonography and perinatal outcome
Authors: Ghosh Avik , Ghosh Mrinalkanti
Published: December 2019

Background: Fetus is dependent on placenta for supply of nutrients from mother. Objective of this study was to assess the relationship between laterality of placenta by mid-trimester ultrasonography and perinatal outcome.Methods: It was a prospective observational study conducted between June 2016 to June 2017 at Burdwan Medical College, West Bengal. Participants were uncomplicated pregnant women having 18-24 weeks gestation attending antenatal clinics and admitted in ward who underwent obstetric sonography including placental localization. Women were observed till delivery. Analysis was done for site of implantation of placenta and its correlation with perinatal outcome.Results: Total of 300 women considered for the study, 195/300 (65%) had central implantation of placenta and 105/300 (35%) had lateral type of placentation. There were 4 IUFDs (1.33%); 2 (1.03) with central placenta and 2 (1.9) with lateral placenta. Among 31 (10.33%) IUGR babies 13 (6.67%) were associated with central and 18 (17.14%) with lateral placenta. Among 27 LBW babies 16 (8.21%) were related to central placenta and 11 (10.48%) were related to lateral placenta. Among 57 SNCU admissions 26 (13.33%) were related to central placenta and 31 (29.52%) were related to lateral placenta. Average birth-weight is 2.6±0.31 kg and 2.51±0.26 kg, respectively for central and lateral placenta.Conclusions: Laterally located placenta is associated with relatively poor perinatal outcome compared to central placenta with increased rates of IUGR, IUFD and LBW babies.
Incidence and determinant of eclampsia and its associated complication in tertiary care hospital of Gujarat
Authors: Banker Chirag , Mehta Latika
Published: December 2019

Background: Eclampsia is one of common cause of maternal mortality in developing country like India. It can be detected and prevented if early ANC care is properly done. Mainstay of management in case of eclampsia is early delivery to improve the prognosis in terms of reducing maternal and perinatal morbidity and mortality.Methods: This prospective study was carried out in the department of obstetrics and gynaecology, at tertiary care centre in the state of Gujarat, for a period of two years from July 2012 to June 2014. With purposive sampling method all patients admitted with complain of eclampsia is included in study. Details are taken in predesigned, pre-validated and prescribed proforma.Results: Hospital based incidence of eclampsia in our study is 1.11%. Majority of the patient were unbooked. Eclampsia is a disease of young primigravida, specifically teenage primigravida. Seventy-five percentage of eclampsia cases occurred in the antenatal period, 14% in intranatal period and 11% in the postnatal period.Conclusions: In developing countries like India still eclampsia is major problem. Good antenatal care with increased antenatal visits may help in reducing the incidence. Increased incidence among young primigravida and low socio-economic status group provides the target group for medical measures.
Accuracy and reliability of ultrasound estimation of fetal weight in women with a singleton term pregnancy
Authors: Sharma Reena , Bhoil Rohit , Dogra Poojan , Kaushal Sushruti , Sharma Ajay
Published: December 2019

Background: Prenatal estimation of birth-weight is of utmost importance to predict the mode of delivery. This is also an important parameter of antenatal care. This study was conducted to evaluate the accuracy of estimated fetal weight by ultrasound, compared with actual birth weight.Methods: This was a prospective and comparative study comprising 110 pregnant women at term. Patients who had their sonography done within 7 days from date of delivery were included. Fetal weight was estimated by Hadlock 2 formula, the software of which was preinstalled in ultrasound-machine. The estimated fetal weight was compared to the post-delivery birth-weight. The Pearson's correlation coefficient was used and the accuracy of sonographic fetal weight estimation was evaluated using mean error, mean absolute error, mean percentage error, mean absolute percentage error and proportion of estimates within 10% of actual birth weight.Results: Mean estimated and actual birth weights were 3120.8±349.4 gm and 3088.2±404.5 g respectively. There was strong positive correlation between estimated fetal weight and actual birth weight (r = 0.58, p<0.001). The mean percentage error and mean absolute percentage error of ultrasound fetal weight estimations were 1.96±11.8% and 8.7±8.2% respectively. The percentage of estimates within ±10% of the actual birth weight was found to be 67.3%. In 23% of the cases, ultrasound overestimated the birth weight. In 13% of the cases, ultrasound underestimated the birth weight.Conclusions: There was strong positive correlation between actual and sonographically estimated fetal weight. So, ultrasonography can be considered as useful tool for estimating the fetal weight for improving the perinatal outcome.
About a uni-cervical unicorn uterus case with vaginal septum
Authors: E. Mapatano Shalamba , L. Kalala Kanyinda , M. Kiminyi Kalunga , O. Nyakio Ngeleza , L. Kanku Tudiakwile , D. Mukwege Mukengere
Published: December 2019

The unicorn uterus is a common uterine malformation after septate uteri, accounting for 30 to 50% of cases. We report a case of unicorn uterus with an associated vaginal septum discovered during the obstetrical examination of a consultant surgeon for hemorrhage, and exploration of the uterus revealed a uterus during a cesarean section. Maternal-fetal rescue for placenta previa. The interest of this case is to show the double embryological mechanism involved, unilateral aplasia of the muller ducts and the lack of resorption explaining this vaginal septum.
Yolk sac count matters
Authors: Todani Ashok K. , Todani Kiralata
Published: December 2019

Yolk sac is the first anatomical structure identified within the gestational sac at 5+ weeks and is diagnostic of intrauterine pregnancy. It is attached through the yolk stalk with the intestinal cavity of the embryo and is supplied with blood vessels that transport nutritive yolk products to the developing embryo. It provides nutritive, metabolic, endocrine, immunological and haemopoietic functions. The poor quality and early regression of a yolk sac in presence of embryonic heart beats are more specific than the large size of a yolk sac in predicting pregnancy loss. Number of yolk sac is usually indicative of amnionicity, except in select reported cases of monoamniotic twins when two yolk sacs are present. Singleton pregnancies contain only one yolk sac as a rule. We have come across a case of elderly non-diabetic primi gravida where presence of one extra yolk sac has accelerated growth of single foetus by 8 days in early first trimester. We followed it up to 16 weeks of gestation when both yolk sacs disappeared. It was concluded that two yolk sacs conferred extra mileage of growth to the foetus due to doubled yolk sac functions, and this extra growth persisted throughout.
Partially four-vessel umbilical cord: about a diagnosed case at Panzi hospital
Authors: D. Boengandi Walala , O. Nyakio Ngeleza , B. Mukanire Ntakwinja , G. Katenga Bosunga , D. Mukwege Mukengere
Published: December 2019

Umbilical cord malformations are described in the literature; and it's about the umbilical artery and the umbilical vein. There are sometimes cases of a single umbilical artery. In contrast, the number of vessels in the umbilical cord can increase by three to four. A supernumerary umbilical vein is particularly rare and is usually found in association with congenital anomalies; sometimes the supernumerary umbilical vein is associated with no malformation. We report a case of umbilical cord having a four-vessel part diagnosed at the maternity ward of Panzi Hospital, in the town of Bukavu, South Kivu, DR Congo.
Effects of maternal age, parity and hemoglobin on neonatal stature and cord blood hemoglobin: an observational study
Authors: Tiwari Namrata , Mishra Vinay
Published: January 2020

Background: There is a large body of research both in India and abroad studying the effect of maternal age, parity and haemoglobin (in third trimester) on their infant’s birth weight. The present study has been planned to evaluate these factors effects on their infant’s stature(anthropometry) and cord blood haemoglobin.Methods: Maternal background information, third trimester haemoglobin concentration, gestational age and number of children was obtained and recorded in semi-structured case proforma. 100 post-partum women and their newborns were studied in post-natal ward of a tertiary care hospital in an urban area. Maternal and neonatal data and anthropometric measurements were recorded in semi-structured case proforma.Results: Of the 100 newborns, 43% were second born, followed by 35% first born, 18% third born and only 4% were fourth born by the order of their birth. Out of the 100 studied mothers 52% were anaemic as per the WHO criteria (Hb <11 gm%). Cord blood haemoglobin values decreased significantly as the order of birth increased. The cord blood haemoglobin of normal birth weight newborns is significantly higher as compared to that of low birth weight newborns. Cord blood haemoglobin concentrations shows strong statistical significance with maternal anaemia. The birth order of the child has a prominent inverse effect on the cord blood haemoglobin values.Conclusions: There should nationwide improvement in the nutritional status of the girl child by dietary supplementations to improve the health of the generations to come. There should be proper birth spacing to prevent maternal and neonatal morbidities. Maternal anaemia needs early and aggressive treatment to minimize perinatal complications to both mother and the baby.
Coagulation profile tests as a predictor for adult trauma patients’ mortality
Authors: Fawzy Ahmed , Lolah Magdy , Saad Ibrahim Samah , Hassan Alaa Efat
Published: December 2019

Background: Coagulopathy is commonly observed in poly-traumatized patients and is a known contributor to trauma mortality. Although, the incidence of coagulopathy is strongly associated with the severity of the injury, coagulopathy itself exerts an independent factor on mortality.Methods: This is a prospective, observational study on 100 trauma patients. All patients were evaluated using the modified shock index (MSI). Coagulation profile tests including platelet count, prothrombin time (PT), partial thromboplastin time (PTT), D-dimer and fibrinogen/fibrin degradation products (FDPs) were performed for all patients on admission and at 12 hours intervals. Statistically, a logistic regression analysis was performed of coagulation profile tests to determine the incidence of trauma induced coagulopathy (TIC) and its impact on 24 hours mortality. Correlation between clinical and laboratory status was done.Results: There was a statistically significant difference between the dead and the survived patients in the coagulation profile tests and MSI. The best cut-off point of each parameter of coagulation profile tests (PLT count, PT, PTT, d-dimer, FDPs) and MSI was calculated using receiver operating characteristic curve and were <173 × 109/l, >18.7 s, >31 s, >5 mg/l, > 321.5 mg/l and 1.6 respectively. Trauma induced coagulopathy in our study was defined by more than 2 of the following: PLT <173 × 109/l, PT >18.7 s, activated partial thromboplastin time (APTT) >31 s, D-dimer >5 mg/l and FDPs>321.5 mg/l with a p value 0.001 and associated with increased mortality.Conclusions: The incidence of trauma induced coagulopathy early after trauma is high and its severity is related to the injury itself. It is independent predictor of mortality. TIC was developed with presence of more than 2 of the coagulopathy parameters.
Comparative study of oesophageal stricture balloon dilatation with and without triamcinolone 1% intralesional injection
Authors: Senajaliya Milan , Astik Hardik , Verma Nimesh , Chaudhari Vipul
Published: December 2019

Background: The objective of the study was to effect of steroids in the long term outcome of esophageal benign stricture after endoscopic balloon dilation in terms of recurrence.Methods: With purposive sampling, 50 cases were taken in these studies who were admitted with strictures at any location along the esophagus and of any size at New Civil Hospital, Surat. The indoor patients for a three year period were retrieved using a prepared case sheet proforma on the basis of the patient’s demographic profile and clinical findings. Patients had undergone endoscopic balloon dilation for esophageal benign stricture. In 25 patients endoscopic dilation was followed by submucosal injection of long-acting steroid triamcinolone and the remaining 25 patients were taken as a control.Results: All patients have normal dietary intake including solid food at the time of discharge. All patients under study were regularly followed quarterly. Overall stricture recurrence can be reduced by intralesional triamcinolone injection providing stricture length <6 cm. Stricture >6 cm required a repeated procedure or other treatment modalities, In study group duration between endoscopic dilatation sessions fell significantly over a post dilatation period of 3 to 12 months.Conclusions: In addition to endoscopic dilatation, intralesional trimicinolone injection is safe, effective and significantly decrease stricture rate and decrease endoscopic dilatation sessions.
Postoperative day 3 drain amylase versus fistula risk score: predicting clinically relevant postoperative pancreatic fistula following pancreatico-duodenectomy
Authors: Swamy Gowda Nagesh Nayakarahally , Obalanarasimhaiah Sathish , Setty Balakrishna N. , Jena Jyotirmay , Kumar Mannem Manoj
Published: December 2019

Background: Clinically relevant postoperative pancreatic fistula (CR-POPF) remains the most common cause of perioperative morbidity following pancreatico-duodenectomy (PD). Early and accurate prediction of CR-POPF can be helpful in postoperative drain management as well as stratifying patients for enhanced recovery protocol after surgery. Both fistula risk score (FRS) and postoperative drain amylase levels have been analyzed in past. However, currently there is no clear consensus regarding the ideal predictor. Present study sought to assess the utility of postoperative day 3 drain amylase (POD-3DA) level as a predictor of CR-POPF in comparison with FRS.Methods: A retrospective analysis was done on 57 patients who underwent PD at our institute between 2014 to 2018. POPF was defined and graded in accordance with ISGPF definition. Receiver operating characteristic (ROC) analysis predicted a threshold of POD3DA >486 IU/l associated with CR-POPF. Sensitivity, specificity and odds ratios with 95%CI calculated and ROC curves were plotted for POD3DA of ≥500 IU/l and FRS (negligible/low vs. moderate/ high) as predictors of CR-POPF.Results: Incidence of POPF and CR-POPF was 63% and 32% respectively. Sensitivity and specificity of POD3DA ≥500 and moderate/high FRS for predicting CR-POPF were 83%, 79% & 78%, 51% respectively. Difference between ROC area under the curve (AUC) for POD3DA ≥500 IU/l (0.868) and FRS (0.692) was significant (p=0.028). Combining FRS and POD3DA ≥500 IU/l improved specificity (87%) at the cost of sensitivity (67%). The negative predictive value of POD3DA <500 IU/l and negligible/low FRS were 91.2% and 83.3% respectively.Conclusions: POD3DA level greater than 5 times of upper normal range is more precise at predicting CR-POPF, hence clinically more reliable for drain and postoperative management.
Feckless practices of bio medical waste management: a conundrum for developing countries
Authors: Yadav Anand , Kaushal Rituja
Published: December 2019

Background: Biomedical waste poses hazard due to two principal reasons: infectivity and toxicity. 75-90% of waste produced by health care facilities is generally non risky but remaining 10-25% is regarded as hazardous with the potential for creating a variety of health problems. Biomedical waste management is an integral part of infection control practices. Virtuoso biomedical waste handling leads to a better environment for medical as well as surgical care patients.Methods: It is a descriptive forward moving study conducted to empower first year MBBS students about biomedical waste management and handling skills to enhance their expertise for future as a competent physician or surgeon and to assess their knowledge gain.Results: Out of 150 students, 131 were present. 68 were males and 63 were females. Mean age was 21.33 with standard deviation of 3.745. Mean marks obtained were 3.09±1.15 (out of 5). ANOVA statistics revealed insignificant p value denoting unambiguous pattern of knowledge gain by all the participants.Conclusions: Empowering medical undergraduates with basic medical skills at an early stage will make them more efficient for future endeavors.
A tale of spilled stones
Authors: Goja Shikha , Kushwaha Swapnil Singh
Published: December 2019

Cholecystectomies are one of the commonest surgeries done in India. Gallbladder perforation and stone spillage is common and occurs in 15 to 40% of laparoscopic and 5 to 20% of open cholecystectomy procedures. In up to a third of these cases, stones are not retrieved and complications can arise many years post-operatively. In majority of cases these lost stones either in laparoscopic or open surgery remain silent but rarely can become symptomatic and cause range of complications like intra-abdominal abscesses, empyema, abdominal wall abscesses, cutaneous sinus tract and bladder fistulas. Diagnosis can be difficult and patients may present to many specialties within medicine and surgery. We seek to present our case and on a rare complication and management of one such “lost” stone.
MacDonald versus MAGIC treatment protocols for gastric cancer: age as a decision factor
Authors: Figueiredo André , Delgado Diogo , Pais Helena Luna , De Pina Maria Filomena
Published: January 2020

Background: A multimodality approach is the standard of care in the treatment of locally advanced non-metastatic gastric cancer. However, it lacks studies that compares the adjuvant chemoradiotherapy strategy of the landmark MacDonald clinical trial with the perioperative chemotherapy strategy of the landmark MAGIC clinical trial.Methods: Retrospective study of patients with gastric cancer stage IB-III treated at a single cancer center between 2010 and 2013 with MacDonald or MAGIC treatment protocols.Results: Sixty-two patients were identified (38 patients in the MacDonald protocol and 24 in the MAGIC protocol), with a mean age of 68 years (range: 39-84). At a median follow-up of 37 months, the DFS survival at 12 and 36 months of the patients in the MacDonald protocol was 83.5% and 61.1% versus 79.2% and 49.7% in the MAGIC protocol, respectively (p=0.319). The overall survival at 12 and 36 months of the patients in the MacDonald protocol was 89.5% and 65.8% versus 83.3% and 54.2% in the MAGIC protocol, respectively (p=0.168). At multivariate analysis, the risk of death was significantly superior in older patients undergoing the MAGIC protocol (p=0.02), but not the MacDonald protocol (p=0.627). The differences in toxicity between the two protocols were not statistically different.Conclusions: This result suggest that patient age is a factor to consider when choosing between the MacDonald or MAGIC protocols. However, the limitations inherent to a retrospective study of small sample size must be accounted for.
Author’s Response to Contributors
Authors: Kerr Gaven
Published: December 2019

The text represents the author’s responses to the contributors who have addressed issues in my 2015 book, Aquinas’s Way to God: The Proof in De Ente et Essentia, published by Oxford University Press.
“Parvus error in principio magnus est in fine”: Thomas Aquinas’s Reinterpretation of the Understanding of Being and Essence as the Basis for the Discovery of the First Cause as Ipsum Esse
Authors: Maryniarczyk Andrzej
Published: December 2019

In this article, the author notes that Thomas Aquinas, in his brief work entitled De Ente et Essentia, proved that at the base of understanding the world, the human being, and God in particular, there is our understanding of being and its essence. When we make a small mistake at the beginning (parvus error in principio) in our understanding of being and its essence, it will turn to be a big one in the end (magnus in fine). And what is “at the end” of our knowledge is the discovery of the First and Ultimate Cause of all things, known as: Ipsum Esse, God, the Absolute, The Most Perfect Substance, on whom everything depends, and who depends not on anything else. These present inquiries about the proper understanding of being and its essence are aimed at formulating proof of the necessity of existence of a Being that is the First Cause, and which, existing as Ipsum Esse, is the source and reason of existence of all beings. Without these inquiries, the proof itself would be incomprehensible, and more importantly it would be a purely a priori one (i.e., ontological). Furthermore, without the existential conception of being, which Thomas first formulated, one could not discover the First Cause which, as Ipsum Esse, is the source of the existence of every being. This issue seems to have escaped the attention of the author of the book Aquinas’s Way to God. The Proof in “De Ente et Essentia.”
The Metaphysical Argument for God’s Existence
Authors: Ośko Krzysztof
Published: December 2019

In this paper, I present main theses of Aquinas Way to God: The Proof in the De Ente et Essentia by Gaven Kerr. The book in question is a contemporary interpretation and defence of Thomas Aquinas’s argument for the existence of God, based on the real distinction between the essence of the thing and its act of being. I stress the fact that Kerr underlines the metaphysical character of Thomas’s argument and the role of participation in Aquinas’s understanding of the act of being. In the last part of the article, I discuss Kerr’s interpretation of Aquinas’s argument for the real distinction between essence and an act of being, as well as Kerr’s own argument. These arguments are of particular importance since they provide metaphysical presuppositions for the argument for God’s existence considered in Kerr’s book. As for the first argument, I argue that the first part of Aquinas’s argumentation (the so-called Intellectus Essentiae Argument) pertains to the real order rather than conceptual. Concerning the second argument, I attempt to highlight the difficulties of Kerr’s understanding of Thomist esse as a principle of the existence of a thing.
When the smile is not enough: The interactive role of smiling and facial characteristics in forming judgments about trustworthiness and dominance
Authors: Olszanowski Michał , Parzuchowski Michał , Szymków Aleksandra
Published: December 2019

People often assess other people’s personality traits merely based on their emotional expression or the physical features of their faces. In this paper we review the evidence of biases when formulating judgments of trustworthiness and confidence from two types of facial characteristics. One line of evidence documents the influence of emotional expressions representing an individual’s motivational state and reflecting agents’ intentions. People’s judgment about the trustworthiness or attractiveness of others largely depends on the emotions expressed. The second line of evidence describes how facial appearance (e.g., cues of physical strength or resemblance to one’s own face) affects the inferences of personality traits. The two experiments described in this paper investi-gated the interplay between these two factors (i.e., facial features and emotional expression) and their combined influence on social judgments. We hypothesized and tested how both facial features conveying trustworthiness (vs. dominance) and a smiling (vs. neutral) expression influence judgments of trustworthiness and confidence (Study 1). We also tested the influence of facial resemblance in an interaction with a smiling individual when forming judgments (Study 2). We found that relatively static facial features conveying trust had more impact on judgments of trustworthiness than emotional expressions, yet emotional expressions seem to be more impactful for judgments of dominance. The results of both studies are discussed from a sociocognitive perspective.
Repair of DNA alkylation damage.
Authors: Bouziane M , Miao F , Ye N , Holmquist G , Chyzak G , O'Connor T R
Published: January 2020

Alkylation damage of DNA is one of the major types of insults which cells must repair to remain viable. One way alkylation damaged ring nitrogens are repaired is via the Base Excision Repair (BER) pathway. Examination of mutants in both BER and Nucleotide Excision Repair show that there is actually an overlap of repair by these two pathways for the removal of cytotoxic lesions in Escherichia coli. The enzymes removing damaged bases in the first step in the BER pathway are DNA glycosylases. The coding sequences for a number of methylpurine-DNA glycosylases (MPG proteins) were cloned, and a comparison of the amino-acid sequences shows that there are some similarities between these proteins, but nonetheless, compared to other DNA glycosylases, MPG proteins are more divergent. MPG proteins have been purified to homogeneity and used to identify their substrates ranging from methylating agents to deamination products to oxidatively damaged bases. The ligation-mediated polymerase chain reaction has been used to study the formation of alkylation damage, and its repair in mammalian cells. We have studied DNA damage in the PGK1 gene for a series of DNA alkylating agents including N-methyl-N'-nitro-N-nitrosoguanidine, Mechlorethamine, and Chlorambucil and shown that the damage observed in the PGK1 (phosphoglycerate kinase 1) gene depends on the alkylating agent used. This report reviews the literature on the MPG proteins, DNA glycosylases removing 3-methyladenine, and the use of these enzymes to detect DNA damage at the nucleotide level.
Conformational flexibility and ligand binding properties of ovine β-lactoglobulin
Authors: Loch Joanna , Bonarek Piotr , Lewiński Krzysztof
Published: December 2019

Ovine β‑lactoglobulin was characterized by spectroscopic (CD), calorimetric (ITC) and X-ray structural studies. The structure of ovine β‑lactoglobulin complex with decanol showed that tight packing of molecules in the crystalline phase enforces a distortion of protein flexible loops resulting in the formation of an asymmetric dimer. The loops surrounding β-barrel in ovine lactoglobulin possessed the same conformational flexibility as observed previously in other lactoglobulins and the change of their conformation regulates the access to the binding pocket. The structure of asymmetric dimer revealed a new region in β-barrel where ligand polar group can be located. These findings indicated protein adaptability to ligand dimensions and inter- and intramolecular interactions in the crystalline phase. Calorimetric and crystallographic studies provided the experimental evidence that ovine lactoglobulin is able to bind aliphatic ligands. Thermodynamic parameters of sodium dodecyl sulfate binding determined by ITC at pH 7.5 had Ka, ΔH, TΔS and ΔG values similar to those observed for bovine and caprine protein indicating the same mechanism of ligand binding.
Language as a Barrier to Health Care for Oromo Speaking Patients in Hospitals: A Case Study on Jimma and Wollega Public Hospitals
Authors: Wakuma Chimdi , Teresa Eba
Published: January 2020

A language concordance between doctors and their patients is very important to exchanging information, expressing emotion, instructing patients, and providing health education. But when they are mutually unintelligible because they don’t have common language between them, language has become to be a barrier rather than serving at the arena they need it. When language is a barrier, it can interfere with wrong scheduling appointments, hinder the compilation of an accurate medical history, or block understanding of a health provider’s instructions and so on and so forth. The aim of this study is to explore language as a barrier to health care for Afaan Oromoo speaking patients in Jimma University Specialized Hospital and Wollaga University Referral Hospital. The study was a qualitative research method and data were collected from patients, patients’ family/guardian, and health serves providers through interview method. Focus group discussion was conducted with health service providers and the hospital managements. The findings of the study has revealed that there is no common language between much patients and their health serves providers and/or no professional interpreters between them as well and therefore, the patients and their family or guardians were exposed to delaying treatment, compromising their well-being, leaving the hospital without getting medication being disappointed, and losing their life where the situation is to the worst. It is advisable that if hospitals consider establishing a centralized program and committee with executive level to coordinate services relating to language as a part of the organization’s commitment to language sensitive health care. It is better if financial incentives are created to promote, develop and maintain accessibility to qualified health serves and professional interpreters.
Pyoderma Gangrenosum Triggered by Acute Ischemia of Lower Extremity: A Case Report
Authors: KALENDER Mehmet , UĞUR Oğuz , GÖKMENGİL Hayat , KARACA Okay Güven , EREN KARANİS Meryem İlkay
Published: December 2019

Pyoderma gangrenosum is a very rare condition of unclear etiology with an estimated incidence of 3 to 10 cases per million people per year. We report a case of pyoderma gangrenosum triggered by acute ischemia of lower extremity without a prior history. Seventy-seven years old female patient was admitted to the emergency department with necrosis on the anterior side of her left limb. Digital subtraction arteriography revealed total occlusion of the left common femoral artery for which thrombectomy under local anesthesia was performed successfully. The necrotic area was debrided and biopsies were obtained. Pathological examination revealed pyoderma gangrenosum and steroid treatment was began. The patient was discharged on the 10th postoperative day with prednisone 48 mg per day for the following 30 days. During the management of ischemic peripheral artery disease patients with persistent skin findings, pyoderma gangrenosum should be in the list of differential diagnoses.
Rhetoric as a Tool for Studying Our Thoughts: What is Téchne Rhetoriké?
Authors: Lichański Jakub Zdzisław
Published: January 2020

Rhetoric is not only a methodology of the humanities. It is the most important of the sciences the ancient thinkers left us. It defines not only the methods of argumentation from uncertain premises, and not only is it a theory of text, but most of all it is a tool for organising our thoughts and preparing texts, the aim of which is to convince, but in a way which ensures knowledge and not opinion (Kant). However, the language that we use often fails us. Both Plato and Aristotle warned us about this. At the same time, they developed the foundations for téchne rhetoriké, the systemic shape of which we owe to Quintilian. Rhetoric, as posited by its ancient as well as contemporary researchers, is not a lexicon of gimmicks (Volkmann). It is rather an analogue of logic (Volkmann). As Wilhelm Windelband said: “thanks to grammar and rhetoric we have learnt the correct rules of thinking.” The author discusses not only the history of the studies of rhetoric, but also of language, mainly referring to the traditions of the Vienna Circle (Der Wiener Kreis). Though the achievements of contemporary linguistics and the contemporary studies on the philosophical foundations of linguistic studies are considered, the perspectives defined by Immanuel Kant and the researchers from the Vienna Circle are dominant. The aim of this study was not only to reiterate Windelband’s thesis, but also to verify it more comprehensively.
Interpreting Texts in Various Discourses
Authors: Habrajska Grażyna
Published: January 2020

Within the communication-based approach, discourse is an area of meanings, which are formed through the interpretation of texts. Those meanings remain in our memory and are active as per communicational needs. The meanings forming a discourse constitute a particular basis for reference, i.e. its own logic. Therefore, one must learn how to participate in specific discourses. In considering the general purpose of communication and the special base of reference of meaning, we identified such discourses as: academic, official, journalistic, and artistic, which one could narrow down to more specific sub-discourses. The texts created within a discourse or sub-discourse may take both verbal and visual forms. Each discourse introduces different rules of interpretation, which a participant must learn. Discourses develop and exist within their own interpretative fields. Participation in a discourse both expands and improves its interpretative field. When a person does not participate in a discourse, they drop out of the discourse altogether. It is worth remembering that people possess various levels of the readiness to participate in specific discourses.
Effect of In Ovo Ornithine-á-Ketoglutarate Feeding on Early Body Weight and Pectoral Muscle Development of Chicks
Authors: FENG Haonan , LI Zhenyang , QI Cai , WANG Xiaohong , QIAO Bingke , WANG Kerong , TANG Xue , LIU Anfang
Published: December 2019

This study investigated the effects of in ovo ornithine-á-ketoglutarate feeding on body weight and pectoral muscle development of chicks. On day 18 of incubation, 198 hatching eggs were randomly divided into three treatment groups each with three replicates of 22 eggs each. The treatment groups consisted of a non-injected control group and two treatments with 1 ml of saline each, containing either 0.2% (treatment group I) or 0.4% ornithine-á-ketoglutarate (treatment group II). The chicks were fed after hatching for seven days. Hatchability was reduced due to in ovo feeding of 0.4% ornithine-á-ketoglutarate. However, in ovo feeding of different levels of ornithine-á-ketoglutarate increased the daily gain, the body weight, the diameter and cross-sectional area of the pectoral muscle fibers, the cross-sectional area of the pectoral muscle fiber bundles, the proportion of proliferating cells in the pectoral muscle. It is concluded that, in ovo ornithine-á-ketoglutarate feeding can promote early growth and development of pectoral muscles in chicks.
Respiratory Metabolism, Energy Utilization and Biochemical Responses of Juvenile Common Cuttlefish (Sepiella maindroni) to Hypoxia
Authors: Qian S J , Zhang Y , Wang K , Yin F , Song W W
Published: December 2019

To evaluate respiratory metabolism, energy utilization and enzymatic responses in common Chinese cuttlefish (Sepiella maindroni) to hypoxia, juvenile Chinese cuttlefish (26.66 ± 2.52 g) were exposed to a 1.4-L airtight respiration chamber until suffocation for 83.4 min. The results showed that dissolved oxygen (DO) was mainly consumed in the closed chamber and the rates of oxygen consumption and ammonia excretion decreased significantly with decreasing DO content. The suffocation point for the cuttlefish was 1.16 ± 0.10 mg·L-1. The O:N ratio increased significantly with decreasing DO content. The TP content in the hemolymph at 83.4 min was significantly lower than that at other time points; however, the highest GLU content was noted at 83.4 min, the highest AST and ALP activities occurred at 60 min and 83.4 min, respectively. These results indicated that although hypoxia inhibits respiratory metabolism, the cuttlefish demonstrated a capacity for energy mobilization under hypoxic conditions.
Heparin Binding Proteins of Black Bengal Buck Semen and Their Correlation with Sperm Characters and Freezability
Authors: Karunakaran M , Gajare Vivek C , Mandal Ajoy , Mondal Mohan , Das S K , Rai S , Ghosh M K
Published: December 2019

This experiment was conducted to study the electrophoretic characters of heparin binding proteins (HBP) of Black Bengal buck semen and their correlation with sperm characters and cryo-survivability. Semen ejaculates (n=20/buck) were collected from nine bucks and in vitro sperm characters were evaluated at collection, after equilibration and after freeze - thawing. HBP were isolated through heparin column and discontinuous Sodium Dodecyl Sulphate Polyacrylamide Gel Electrophoresis (SDS-PAGE) was performed to assess molecular weight. Significant difference (plessthan0.01) were observed among the bucks in sperm characters and freezability. Eight protein bands of 17 to 180 kDa in seminal plasma and 7 bands in sperm were found. 180 -136 kDa HBP of seminal plasma and 134-101 kDa HBP of sperm had showed high correlation with in vitro sperm characters. Further studies on identification of these proteins and their correlation with in vivo pregnancy are needed to find their role as marker for buck selection.
The role of leadership in a STEM teachers professional development programme
Authors: Da Costa Maria Cristina Oliveira , Domingos Antonio Manuel Dias
Published: January 2020

The international academic community recommends the integration of Science, Technology, Engineering and Mathematics (STEM) education in order to better prepare students to face the increasing challenges of our real world. However, literature diagnoses difficulties related to the implementation of STEM integrated tasks by the teachers in school, related to the need of having enough specialised knowledge to achieve this goal. Teachers are the key to any process of a pedagogical intervention. In this regard, there is the need to promote their professional development, which raises the following question: What strategies of a professional development programme (PDP) provide teachers with motivation and confidence to innovate their practices? This paper discusses the role of leadership as an important strategy to promote the efficacy of a STEM PDP. With a qualitative methodology and an interpretative approach, a primary school teacher case study is presented. The teacher was able to develop STEM integrated tasks in the context of a collaborative network involving the teamÂ´s project leader, the school leaders and the training centre leader.

Keywords: Collaboration, leadership, primary school, professional development, STEM.
Managing ICT solutions for training and evaluation of C++ programming skills in e-learning ecosystem
Authors: Markoska Ramona
Published: January 2020

Ð set of functional upgrades to the existing e-learning ecosystem for the C++ programming language, which provides a solution where students can use their own computers during training and practical exams, is presented in this article. The ICT solutions applied in this case offer a supervised and protected the online environment, where each student has their own working account. The rights and privileges for accessing and using various software services are customised according to the educational tasks (training or exam). Depending on the purpose, the described software solutions are realised as web services for education and training and network services for collection and evaluation of the studentsâ€™ solutions during the practical exam. During the training, web services are used, and each account has its own folder, in which the solutions are stored, and if necessary, those can be opened, modified, tested and shared for collaboration or evaluation in an integrated C++ compiler. During practical exams, network services installed on Raspberry Pi are used, and for security reasons, there is no online access. Ready student solutions according to defined test cases are placed on the server. The principle of evaluation consists in comparing the solutions of each student separately with the pre-designed solutions set in the system for the same test cases. The e-learning ecosystem is developed and upgraded by managing various ICT open source solutions described in this work.

Keywords: E-learning ecosystem, C++ programming, Raspberry Pi.
â€œSink or swim?â€ Equal educational opportunities for children from a different cultural background in the EU
Authors: Stankova Iva , Venterova Lenka
Published: January 2020

The joint education of children, pupils and students from a different cultural background within mainstream education is one of the Czech Ministry of Education, Youth and Sportsâ€™ priorities. Laws in force guarantee childrenâ€™s right to so-called support measures, which help to overcome their disadvantages. In our research survey, our objective is to chart the improvement in conditions promoting equal opportunities in the education of children from a different cultural background. The primary documents analysed were legislative and curricular documents, programmes and projects at a national and European level. We have modelled the entire topic on the example of supporting children from a different cultural background; children of foreigners, or children with a different mother tongue who live in the Czech Republic, and on the example of supporting Czech children living in EU countries, visiting European schools which provide a multilingual and multicultural education.

Keywords: Pupils from a different cultural background, legislative documents, different mother tongue, European School.
On growing closer versus becoming more distant in the teacher' pupil relationship
Authors: Matusu Renata
Published: January 2020

Many studies on classroom aspects related to teaching suggest that the classroom climate, and especially the teacher' student relationship, can greatly determine the quality of teaching in many ways. This study is focused on the narrower perspective of the teacher ' pupil relationship, namely the concept known as teacher immediacy. The text starts with an overview of current knowledge about immediacy and the issue of teacher misbehaviour at State schools of compulsory education, which are directly involved in shaping the classroom climate. Subsequently, the results of a study aimed at detecting behaviour that reduces perceived closeness are presented. Narrative interviews were conducted with several former pupils of compulsory school attendance. The data obtained from the interviews were analysed and various modes of teacher's behaviour that violated the trust or sympathy in the teacher' pupil relationship were identified. They include verbal and non-verbal forms of suspicion, underestimation of pupils' abilities, reduced interest in the pupil or teaching, hostility of the teacher and others. The context of trust and the perceived closeness of the pupil to the teacher are discussed as well as other forms of non-immediacy and teacher misbehaviour from a neutral perspective.
Keywords: Misbehaviour, pupil, relationship, school classroom, teacher immediacy.
Emotional and positive intelligence as precursors of the individual's quality of life
Authors: Nosenko Eleonora , Arshava Iryna , Kutovyy Kostiantyn , Arshava Inna , Kornienko Victoria
Published: January 2020

Emotional intelligence, conceptualised as the individual's ability to control one's own emotions and maintain positive relations with other people in the course of the interpersonal interaction, is by now universally recognised as a dynamic personality trait that can be purposefully developed and is likely to predict the quality of life. The new phenomenon, identified recently “ positive intelligence “ is also hypothesized to be predictive of the quality of life. We have conducted an exploratory study with the Ukrainian language speaking, on 60 subjects (graduate specialists with higher education) using this phenomenon alongside with emotional intelligence quotient. Two groups of subjects, which differed on the quality of life, appeared to differ on the Emotional and Positive intelligence, while there were no differences between them, as was expected, on the cognitive intelligence. The results open up new vistas for investigating the role of different forms of intelligence for enhancing the individuals' quality of life.
Keywords: Intelligence, cognitive, emotional, positive, quality of life.
HALKLA İLİŞKİLER ARACI OLARAK AMASYA YEREL GAZETELERİNİN WEB SİTELERİ VE SOSYAL MEDYA HESAPLARININ KULLANIMI ÜZERİNE BİR ARAŞTIRMA
Authors: ÇALIŞIR Gülsüm
Published: December 2019

Dün, “yazılı ve görsel basın” başlığı altında gazete, radyo ve
televizyon medya hizmeti sunmaktaydı. Bugün ise yaşanan teknolojik gelişimler
sayesinde mobil iletişim, internet tabanlı medya ve sosyal medya ortamlarından
oluşan “yeni medya” varlığını göstermiştir. Kurwell’in ifade ettiği üzere,
insanlar cebinde taşıyabileceği bir teknolojiye sahip olmaktadır. Geleneksel
bir araç olan gazeteler ve bu gazetelerin yeni medya platformlarını kullanımı,
çalışmanın konusuna karşılık gelmektedir. Bu yönde Amasya’nın 8 yerel gazetesinin (Taşova Gazetesi, Yeşilirmak
Gazetesi, Amasya Objektif, Pusula Gazetesi, Amasya Kent Gazetesi, Suluovanın
Sesi Gazetesi, Amasya Yorum Gazetesi, Gümüşhacıköy Haber Gazetesi) web sitelerini ve sosyal medya hesaplarını, halkla
ilişkiler bağlamında incelemek ise araştırmanın amacını oluşturmaktadır. Bu
amaca ulaşmak için başvurulan içerik
analizine göre yapılan değerlendirme sonucunda
geleneksel kitle iletişim araçlarından farklı olarak yeni medya ortamlarında
karşılıklı etkileşim, paylaşım ve görüş bildirme durumunun ön plana çıktığı
görülmüştür. Ayrıca adı geçen yerel gazetelerin medyayı kullanım amacına
ilişkin elde edilen bulguların, konuya dair literatürde yer bulan araştırmaları
destekler yönde olması, çalışmanın önemini ortaya koymaktadır.
Girişimsel radyoloji bölümünde lokal anestezi ile işlem yapılan hastaların ağrı ve anksiyete (endişe) durumlarının belirlenmesi
Authors: ÖZTAŞ Bediye , İYİGÜN Emine
Published: December 2019

Amaç: Bu çalışmanın amacı; çok çeşitli hasta profiline sahip olan girişimsel radyoloji bölümünde lokal anestezi ile işlem yapılan hastaların işlem öncesi ve sonrasında ağrı ve anksiyete durumlarının belirlenmesidir.

Gereç ve Yöntem: Araştırma; yarı deneysel olarak planlanmıştır. Araştırmada örneklem seçimine gidilmemiş olup belirtilen tarihler arasında araştırmaya dahil olma kriterlerine uyan ve araştırmaya katılmayı kabul eden 100 hasta araştırmanın örneklemini oluşturmuştur. Hastaların ağrı ve anksiyete durumlarını belirlemek için birden ona kadar numaralanmış Visüel Analog Skala (VAS) kullanılmıştır. Verilerin değerlendirilmesinde frekans dağılımları, Kruskall Wallis, Mann Whitney U, Pearson Korelasyon testleri kullanılmıştır.

Bulgular: İşlem öncesinde hastaların; %78’si ağrı beklentisini, %71’i ise anksiyete seviyesini VAS’a göre 4 ve üzeri puan vererek ifade etmişlerdir. İşlem sonrasında hastaların; %37’si ağrısını, %38’i anksiyetesini VAS’a göre 4 ve üzeri puan vererek ifade etmişlerdir. Girişimsel radyoloji bölümünde nonvasküler işlem yapılan hastaların işlem öncesi ve işlem sonrası anksiyete puanları vasküler işlem yapılan hastalara göre istatistiksel olarak daha yüksek bulunmuştur (p