bluuebunny/crossref_metadata_2025 huggingface dataset:
Proresorptive Activity of Cytokine System, Bone Turnover and Lipoperoxidation in the Pathogenesis of Early Knee Osteoarthrosis
Authors: Belova Svetlana V. , Gladkova Ekaterina V. , Ulyanov Vladimir Yu.
Published: April 2023

Osteoarthrosis (ОА) is a condition that features inflammation and degeneration in the articular structures thus affecting the patients’ quality of life. This is a multifactor disease that involves various pathogenetic mechanisms with the imbalance of bone turnover being one of the basic; this results in the joint function impairment. There are studies proving the regulatory effect of cytokine system components on the cell functions in articular structures. Moreover, the enhancement of lipid peroxidation in a certain way contributes to the progressing of this pathology. Although these pathogenetic mechanisms have been thoroughly studied in severe clinical and radiological stages of OA, the perception of early X-ray negative presentations of articular pathologies remains controversial.
The aim of this study was to investigate the role of proresorptive in cytokine system, bone turnover, and lipid peroxidation in the pathogenesis of early knee OA.
We examined 51 patients (17 men and 34 women) with early knee OA. The control group was made up of 23 donors of both genders with no severe clinical symptoms or articular pathologies. All patients underwent ultrasound scanning, MRI and radiography of their knee joints. Bone turnover was assessed by the level of resorption (β-C-terminal telopeptides of type I collagen (β-CrossLaps)) and bone formation (bone alkaline phosphatase (BAP)) markers. Proresorptive cytokine activity was estimated by the content of tumor necrosis factor-alpha (TNF-α) and interleukin-1β (IL-1β). The intensity of lipid peroxidation was determined by the content of lipid hydroperoxides and malondialdehyde.
Our findings showed that even in early stage of knee OA the patients feature the distress of their bone turnover manifested by an increased levels of both destructive (β-CrossLaps) and osteogenetic (BAP) markers along with an increase of pro-resorptive cytokine components (TNF-α and IL-1β) in serum and enhancement of lipid peroxidation.
These data suggests that the identified changes in the markers characterizing bone turnover, lipid peroxidation and cytokine activity are promising in terms of objectifying the condition of patients with early knee OA as well as studying pathogenetic mechanisms and choosing therapeutic strategies for this pathology.
ÇOCUK HASTALARIN DİŞ HEKİMİNE BAŞVURU NEDENLERİ
Authors: ÖZDEMİR Deniz Sıla
Published: April 2023

Amaç: Bu çalışmada amacımız çocukların diş hekimine başvurusunda hangi tedavi ihtiyacı ve durumların etkili olduğunu anlamaktır.
Gereç ve Yöntemler: Bolu Abant İzzet Baysal Üniversitesi Diş Hekimliği Fakültesi Çocuk Diş Hekimliği Anabilim Dalı’na 2021 Haziran-Aralık ayları arasında başvuran ve çalışmaya katılmayı kabul eden 435 çocuk hastanın ebeveyni dahil edilmiştir. Ebeveynlere kendileri ve çocuklarının yaş ve cinsiyet bilgisi, çocuklarının tedavi ihtiyacının ne olduğu ve Covid-19 dönemi olması nedeniyle diş hekimine gelmek yerine ilaç kullanımını tercih edip etmediklerini içeren 6 soruluk bir anket uygulanmıştır. Elde edilen veriler IBM SPSS Statistics 25 programında analiz edilmiştir.
Bulgular: Çalışmaya katılan çocukların %51’i kız, %49’u erkekti. En fazla diş hekimine başvuru nedeni %72 ile restoratif diş tedavisi (dolgu tedavisi) ihtiyacı olurken en az başvuru nedeni %3 ile rutin kontrol olarak belirlendi. Restoratif diş tedavi ihtiyacı olan çocuk hastaların %33,2’sinin kanal tedavisi ihtiyacının olduğu görüldü. Ebeveynlerin %60’ı çocuğunda diş ağrısı olduğunda en kısa sürede diş hekimine başvurduklarını, %11,7’si diş hekimine başvurmak yerine ağrı kesici ya da antibiyotik kullanmayı tercih ettiklerini, %13,1’i öncelikle ilaç kullanarak ağrıyı kontrol altına almaya çalıştıklarını ancak yeterli olmadığında diş hekimine başvurduklarını bildirdi.
Sonuç: Çocuk hastaların diş hekimine başvurusunda en etkili faktör diş ağrısına neden olan tedavi ihtiyaçlarıdır. Ebeveynlerin rutin diş hekimi kontrollerinin önemi konusunda bilinçlendirilmesi çocukların ağız ve diş sağlığının korunması üzerinde etkili olacaktır.
PREVALENCE OF DENTAL ANOMALIES: CONE-BEAM COMPUTED TOMOGRAPHY STUDY
Authors: ŞEKER Çiğdem , İÇEN Murat , GEDUK Gediz
Published: April 2023

Aim: Dental anomalies are usually detected incidentally on panoramic radiographs taken during routine dental examinations. Incidentally seen anomalies could be seen more clearly in cone-beam computed tomography (CBCT) due to the limitations of two-dimensional radiographs. The aim of this study is to evaluate the localization of dental anomalies in the jaws and gender distribution in patients living in the Western Black Sea region by evaluating the CBCT images previously taken for different reasons retrospectively.
Methods: Radiographic data of 207 patients out of 1230 patients who applied to Zonguldak Bülent Ecevit University, Faculty of Dentistry Oral and Maxillofacial Radiology Department and who were requested to have CBCT imaging due to any reasons were included in the research. The distribution of anomalies in CBCT images were scanned retrospectively classified as maxillary - mandibular, unilateral - bilateral, and female-male according to gender.
Results: In our study, 105 of 207 patients with dental anomalies were female and 102 were male. An overall of 239 anomalies were detected in 207 patients. The most prevalent dental anomaly in both sexes was determined to be impacted teeth (%46). Considering the localization distribution of the anomalies, the most prevalent anomaly in both the maxilla and mandible was the impacted tooth. Considering the location of the anomalies in the jaws, and anomalies were mostly observed unilaterally (%80).
Conclusion: Impacted teeth anomalies were the most prevalent type of dental anomalies in the Turkish subpopulation. CBCT is a very useful method for the detection of dental anomalies, especially root and canal anomalies.
Exploring Lexical Errors of Indonesian EFL Students in Writing Recount Texts
Authors: Fakhrudin Muhammad Hamdan , Dzulfikri Dzulfikri , Mustofa Mutmainah
Published: April 2023

The study aimed to examine the EFL students’ lexical errors in writing recount texts. This study employed a descriptive qualitative method involving 31 students and uses the taxonomy of James’ lexical errors in analyzing the texts. The findings revealed that there was a total of 161 lexical errors in the students’ recount writings. Likewise, it was claimed that misselection became the most frequent lexical error, with 73 errors. The next was suffix type with 35 errors and calque with 10 errors. Furthermore, the results showed that most students felt difficult to select the appropriate lexical types in writing recount texts and most of the formal errors resulted from the intralingual error. Thus, the study recommends that the teachers teach vocabulary in contexts rather than words and use English thesaurus or monolingual dictionaries to find the grammatical content, definitions, examples, spelling, or other structures. The study also recommends online lexical analyzers, drillling, and remedy as the other alternative methods of reducing lexical errors in writing.
Utilizing Grammarly in an Academic Writing Process: Higher-Education Students’ Perceived Views
Authors: Faisal Faisal , Carabella Primita Arif
Published: April 2023

This small-scale study looks into the English-Language-Education-Program (ELE) students’ perceived views on using Grammarly as an automatic grammar checker in an academic writing process. It adopted a questionnaire instrument Novianti (2020) employed in her study. The interval scale average of 73.3% indicated that most students positively perceived using Grammarly in the academic writing process. They deemed that this application could help them revise their errors in the academic writing process, improve their academic writing, and boost their confidence in academic writing. On the other hand, some students negatively perceived using Grammarly in their academic writing process due to the nature of feedback this application offers. Furthermore, this study considered that factors that might have affected both views were associated with Grammarly’s handy and practical use and non-contextual and irrelevant feedback. This study is a small-scale one, primarily investigating students’ perceptions of the use of Grammarly application in an academic writing process. Future research can expand such dimensions as students’ attitudes in using this application or the impacts of Grammarly on students’ writing anxiety. Moreover, it can investigate students’ perceptions of the use of the application in an academic writing process by employing different instruments and indicators of perception.
Students’ Perception of Using Telegram as a Medium During Online Learning
Authors: Trisnadewi Komang , Oktarina Putu Santi
Published: April 2023

The online learning policy initially set by the government gradually developed into something of interest because of its flexibility. This development brought telegram, a social media application for sharing messages, to become a medium for online learning. Several researched have been conducted but in a limited scope of discussion. This research seeks to discover students' perceptions of using telegrams as a medium during the learning process, including material, motivation, activeness, learning time, meeting, and teacher's role. This research is essential to contribute information on using technology in education. This descriptive qualitative research involves collecting and analyzing non-numerical data to understand the opinions and experiences of the 3rd-semester students at Hindu State University I Gusti Bagus Sugriwa Denpasar. An online questionnaire that already contained several questions related to the use of telegrams during online discussions was given to the students. The researchers did interviews to crosscheck and follow up on the questionnaire result. The result shows that students positively respond to using telegrams in online learning. However, some students expressed disagreements in several parts, namely motivation, interest, activeness, time of delivery, discussion of the material, and composition. To sum up, Telegrams can be a way to provide learning experiences to students in online learning
The Value of Qualitative Methods in Cross Cultural Education: A Case Study from a First Person Perspective
Authors: Searight H. Russell
Published: April 2023

This paper presents a first-person account of using qualitative research methods to address medical residency education. The results of this project have been published. However, the study's process and its educational impact on the participants have not been well-described. The purpose of this article is to describe the background and conduct of the study itself. A family medicine residency program, the setting for this project, had recently begun accepting international medical graduates (IMGs) who had lived and received medical school education outside of the United States. The author, a faculty member in the residency and a clinical psychologist, and the physician faculty observed residents as they saw patients in the family medicine residency clinic. Concern was expressed about some of the IMG resident physicians’ knowledge base and their ability to develop rapport with patients. In providing instruction in behavioral science, the author and a psychologist colleague noted that some of the IMG residents were confused by aspects of U.S. family life and the educational system. The relationship with clinical instructors and expectations of faculty also differed from the pedagogical norms in U.S. medical education. As a result, a qualitative interview project was undertaken to understand better how these IMG residents were experiencing and interpreting faculty-learner and resident physician-patient interactions. The results were beneficial in multiple ways. First, recognizing that faculty members were interested in their experiences helped develop rapport and trust between the faculty and residents. Providing the project results to the residents helped open discussion about cultural differences in medical education and patient care. For educators who may have difficulty understanding the perspective that learners bring to their education, the process described could be of potential benefit.
Optimal compression of quantum many-body time evolution operators into brickwall circuits
Authors: Tepaske Maurits S. J. , Hahn Dominik , Luitz David J.
Published: April 2023

Near term quantum computers suffer from a degree of decoherence which is prohibitive for high fidelity simulations with deep circuits. An economical use of circuit depth is therefore paramount. For digital quantum simulation of quantum many-body systems, real time evolution is typically achieved by a Trotter decomposition of the time evolution operator into circuits consisting only of two qubit gates. To match the geometry of the physical system and the CNOT connectivity of the quantum processor, additional SWAP gates are needed. We show that optimal fidelity, beyond what is achievable by simple Trotter decompositions for a fixed gate count, can be obtained by compiling the evolution operator into optimal brickwall circuits for the S=1/2S=1/2 quantum Heisenberg model on chains and ladders, when mapped to one dimensional quantum processors without the need of additional SWAP gates.
SURGICAL OUTCOMES IN PATIENTS WITH PSEUDOEXFOLIATION UNDERGOING SMALL INCISION CATARACT SURGERY
Authors:   Assistant Professor of Ophthalmology, Government Regional Eye Hospital, Visakhapatnam, AP., Manga Venkat Ch , Beaulah Pushpa Perika ,   Consultant Ophthalmologist, Aarogyavaram Eye Hospital, Sompeta, Srikakulam, AP., Rama Chandra Murthy M. Sri ,   Associate Professor of Ophthalmology, Gayathri Vidya Parishad Medical College, Visakhapatnam, AP.
Published: April 2023

Aim of the study: To study the intraoperative and postoperative complications in patients with Pseudoexfoliation undergoing small incision cataract surgery. Methods: 50 eyes of 50 patients with Pseudoexfoliation undergoing SICS for senile cataract with Pseudoexfoliation in one or both eyes were included in the study, Study done at a tertiary eye care centre. All patients with glaucoma, including known pseudoexfoliation glaucoma and increased IOP, traumatic cataract, Previous history of trauma, intraocular surgeries, systemic conditions predisposing to subluxation of Lens, Uveitis, Posterior segment pathology were excluded Outcomes including visual acuity and complications if any were noted. Results: 74% of the population had insufficient pupillary dilatation. 36% had difficulty in capsulorrhexis,16 % had difficulty in nucleus delivery, 22% had zonular dialysis, 18 % had PCR. 8% of the cases were left aphakic Conclusion:Pseudoexfoliation is associated with significant complications intra and post operatively. Thorough preoperative evaluation and planning with anticipation of these risks during surgery can help us avert these conditions.
A PROSPECTIVE STUDY OF CHOICE OF ANAESTHESIA IN TYMPANOPLASTY SURGERY
Authors:   PG Resident, Department OF Ent, Index Medical College Hospital & Research Center, Indore, Madhya Pradesh., Narang Shivam , Kumar Dheeraj ,   Senior Resident, Department OF Pharmacology, GMC, Patiala, Punjab., Nayak Rajat ,   PG Resident, Department OF Anesthesiology, Index Medical College Hospital & Research Center, Indore., Jain Meenal ,   PG Resident, Department OF Anesthesiology, Index Medical College Hospital & Research Center, Indore.
Published: April 2023

Tympanoplasty can be performed under either general anaesthesia or local anesthesia and sedation and can be well tolerated by the patient with minimal discomfort.A total of 100 patients were selected divided into groups of 50 each. Patients in group one who underwent tympanoplasty with local anesthesia and while in second group underwent tympanoplasty with general anesthesia. Data was analysed using SPSS (Statistical Package for Social Sciences) 21.0 version, IBM, Chicago. Comparison of categorical variables was done using Chi-square test. P value <0.5 was considered statistically significant. The choice of anesthesia completely depends on surgeon in terms of his/her comfort and ease of performing surgery. For an anaesthetist it depends on patient compliance for which a good patient selection, pre-operative explanation and the use of appropriate sedation are the important factors for local anaesthesia ear procedures to be acceptable to patients.
STUDY ON ETIOLOGICAL PROFILE OF PATIENTS WITH PAPILLOEDEMA
Authors:   Postgraduate, Department of Ophthalmology, Government Regional Eye Hospital, Visakhapatnam, Andhra Pradesh, India., Ravipati Akhila , Viswabharathi P. ,   Assistant Professor, Department of Ophthalmology, Government Regional Eye Hospital, Visakhapatnam, Andhra Pradesh, India., Bhaskar Sai Channa ,   Postgraduate, Department of Ophthalmology, Government Regional Eye Hospital, Visakhapatnam, Andhra Pradesh, India.
Published: April 2023

Aims and objectives : To study the aetiological pattern in Papilledema,To study the involvement of 6th cranial Nerve in Papilledema, To study the visual acuity pattern in papilledema,To study the visual field pattern in papilledema. Materials and Methods: This observational study was conducted at andhra Medical College ,vizag for a period of 4 months from feb 2022 to may 2022 .After taking informed consent of 15 Patients with papilledema who were referred from various departments in KGH were examined thoroughly as per proforma. We included patients with papilledema on ophthalmoscopic examination admitted in department of medicine . We excluded patients with optic disc swelling due to other cause that do not involve raised intracranial pressure, and Patient with head injury.All subjects were subjected to routine and special investigation to ascertain the Etiological Proportion of papilledema.In this study patients included on the basis of fundus examination done by slit lamp examination with 78D, and graded according to frisen scale of papilledema . Patients who had papilledema undergoes to evaluation of history, general examination and investigational work up. Then all patient had neuroimaging to detect intracranial pathology and lumbar puncture done in those patient who have no contraindication. Results:Among 15 cases majority were Females(60%),majorly are of 3rd & 4th decade,vision improving to 6/6 with correction (90%),mri showed space occupying lesions(53.3%),associated with 6th nerve palsy in (44.4%),visual fields showed enlarged blind spot in most of the cases(47%). Conclusion:in our study most common etiological factor is space occupying lesion.not all papilledema are associated with 6th nerve palsy.not all papilledemas have visual field defects.
BREAST LYMPHOMA
Authors:   Faculty of Medecine and Pharmacy of Fez, Sidi Mohammed Ben-Abdellah University, Morocco., Benjaafar M. Hamza Marrakchi ,   Radiotherapy Department, Oncology Hospital, CHU Hassan II Fez., Soussy Kaoutar ,   Faculty of Medecine and Pharmacy of Fez, Sidi Mohammed Ben-Abdellah University, Morocco.,   Radiotherapy Department, Oncology Hospital, CHU Hassan II Fez., Yacoubi Khebiza Sara ,   Faculty of Medecine and Pharmacy of Fez, Sidi Mohammed Ben-Abdellah University, Morocco.,   Gyneco-Obstetrics Department 2, CHU Hassan II Fez., Abdelilah Melhouf M. ,   Faculty of Medecine and Pharmacy of Fez, Sidi Mohammed Ben-Abdellah University, Morocco.,   Gyneco-Obstetrics Department 2, CHU Hassan II Fez., Alami Zineb ,   Faculty of Medecine and Pharmacy of Fez, Sidi Mohammed Ben-Abdellah University, Morocco.,   Radiotherapy Department, Oncology Hospital, CHU Hassan II Fez., Bouhafa Touria ,   Faculty of Medecine and Pharmacy of Fez, Sidi Mohammed Ben-Abdellah University, Morocco.,   Radiotherapy Department, Oncology Hospital, CHU Hassan II Fez.
Published: April 2023

Primary breast lymphoma is a very rare histological entity of breast cancer. The Clinical and radiological aspects do not present any particular specificities. Diagnosis is often delayed. The treatment is mainly based on chemotherapy. We report the case of a patient with high grade malignant non-Hodgkin lymphoma. The symptomatology was made of breast swelling. The remote extension assessment was negative. The patient received 6 courses of type R mini CHOP chemotherapy followed by three-dimensional radiotherapy with a dose of 30 Gy in 15 fractions for 3 weeks. An echo mammography in between treatment showed: a partial response at 50%. Controle PET CT scan performed 3 weeks after the last cure having objectified: Complete disappearance of the active subcutaneous nodule at the level of the QSE of the right breast. Breast localisation of lymphoma is very rare. His prognosis was considerably improved due to a multidisciplinary approach.
REGULATION OF NON-PHYSICAL SEXUAL VIOLENCE IN INDONESIA (ANALYSIS OF LAW NUMBER 12 OF 2022 CONCERNING SEXUAL VIOLENCE)
Authors:   Faculty of Law, University of Lampung, Bandar Lampung, Indonesia., Raisa Monica Dona , Susanti Emilia ,   Faculty of Law, University of Lampung, Bandar Lampung, Indonesia., Rizky Husin Budi ,   Faculty of Law, University of Lampung, Bandar Lampung, Indonesia., Agung Saputra Rodhi ,   Faculty of Law, University of Lampung, Bandar Lampung, Indonesia.
Published: April 2023

This study is to examine the Effectiveness of Non-Physical Sexual Violence Regulation in Indonesia to prevent, protect, recover and empower victims and foster public understanding and awareness to eliminate sexual violence, this is because many cases of harassment occur. The problem to be discussed in this study is how effective is the regulation of non-physical sexual violence in Indonesia. The research method used is a normative research method with a statute approach and analyzed using content analysis.
CLINICAL PROFILE AND BIOCHEMICAL PARAMETERS IN PATIENTS WITH ALCOHOL DEPENDENCE SYNDROME ATTENDING TERTIARY HOSPITAL, IMPHAL
Authors:   MBBS, PGT, Dept of Psychiatry, RIMS, Imphal., Singh Rahul , Gojendra Singh S. ,   MD, Head & Associate Professor, Dept of Psychiatry, RIMS, Imphal., Carol Arambam ,   MBBS, PGT, Dept of Psychiatry, RIMS, Imphal., Muivah Aworshim ,   MBBS, PGT, Dept of Psychiatry, RIMS, Imphal.
Published: April 2023

Context:Alcoholism is characterized by development of dependence and withdrawal. The liver enzymes, especially GGT and MCV have beenwidelyusedaspotentialmarkers to quantify severity. Aims:To study clinical profile and biochemical parameters in patients with alcohol dependence syndrome attending tertiary hospital of Imphal. Settings and Design:Department of Psychiatry, RIMS, Imphal, it was a cross sectional study. Methods and Material:180 participants diagnosed with alcohol dependence syndromeas per ICD-10 criteria were included. Data obtained was recorded in semi-structured pro-forma. Statistical analysis used: IBM SPSS version 21 Results: Most patients had tremulousness (89%), and were oriented (75%). Most had tachycardia (79.4%). AST was raised in 92.8% of patients with mean value of198.05 IU/L, and ALT was raised in 89.4% of patients with mean value of 98.53IU/L. GGT was high in 93.9% of patients with mean value of 638.87IU/L. MCV was normal in most of the patients having mean value of 97.3 fl. Conclusions: Most participants diagnosed with alcohol dependence syndrome in this study had withdrawal symptoms in form of tremulousness and tachycardia, liver enzymes were significantly high in most of them. MCV was normal for most of the patients.
KRAMERS RULE AS A SCREENING TEST TO ASSESS NEONATAL HYPERBILIRUBINEMIA
Authors: Shendarkar Apoorva , Sonkawade Naresh , Deshmukh Isha , A. Kinikar Aarti
Published: April 2023

Background: neonatal jaundice is a frequently encountered condition in the postnatal ward. If not treated properly, it can lead to permanent neurological sequelae. The gold standard investigation for diagnosis is total serum bilirubin (TSB)level. Transcutaneous bilirubinometers and visual assessment of cephalo-caudal progression of yellowish discoloration of neonatal skin by Kramers rule are commonly used non-invasive methods to predict jaundice. If correctly applied, these methods can help in minimising the number of blood samples to be drawn for TSB testing. Aims/Objectives:1. To assess the reliability of Kramers rule in predicting TSB in healthy neonates admitted in postnatal ward. 2. To assess theusefulness of Kramers rule in deciding which neonates require testing of TSB levels. Methods: This is a cross sectional study conducted on 100 healthy neonates admitted in the post-natal ward of a tertiary care hospital. Data was collected in pre-designed case record sheets. Sensitivity and specificity of Kramers rule in correct prediction of serum bilirubin was identified by using true and false outcomes. Results:The mean age at which neonates were examined was at 72 hours of life. 41% of the neonates were male and 59% were female.79% of the total babies were born via normal vaginal delivery and 21% via caesarean section.The sensitivity of Kramers rule in predicting serum bilirubin levels was 83.33% with a specificity of 54.55% (P value 0.015). Conclusion: Kramers rule is a fairly reliable method for predicting serum bilirubin levels and can help in avoiding unnecessary blood testing in neonates, especially in resource limited settings where such facilities might not be available.
STUDY OF HEMATOLOGICAL PARAMETERS IN PATIENTS WITH NON-HEMATOLOGICAL MALIGNANCIES AND THEIR CORRELATION WITH STAGE OF THE DISEASE
Authors:   Assistant Professor of Pathology, Govt. Karur Medical College, Karur., Davasumani MD D. , Sujatha MD J. ,   Professor of Pathology, Govt. Mohan Kumaramangalam Medical College, Salem.
Published: April 2023

Background: The incidence of various non-hematological malignancies is on the rise due to increasing awareness and effective screening programmes. An abnormal hematological parameters like anemia, leucocytosis, thrombocytosis may be the first manifestation in patients with non-hematological malignancies. The present study was conducted to detect the hematological abnormalities in patients with non-hematological malignancies and correlate these parameters with the stage of the disease. Materials And Methods: 100 cases of non-hematological malignancies were randomly seleted. Their blood samples were collected and examined. Observation And Results: Out of 100 patients, most of them were in the age group of 51-70years. among them 53% were males and 47% were females. Anemia was detected in 78%, leucocytosis was detected in 42% and thrombocytosis was found in 26% of patients. The incidence(93.1%) and severity(72.4%) of anemia increases with the advancing stage of the disease. The incidence of leucocytosis(51.7%) and thrombocytosis(44.8%) also increases with the advancing stage of the disease. Conclusion: The present study showed a definite association of hematological abnormalities like anemia, leucocytosis and thrombocytosis in patients with various non-hematological malignancies. These parameters increases with the advancing stage of the disease. Hence early detection and proper intervention can help in better patient outcome and improvement in quality of life.
VERSATILITY OF PERFORATOR-BASED PROPELLER FLAP IN RECONSTRUCTION OF VOLAR ASPECT OF DISTAL FOREARM, DISTAL LEG & ANKLE DEFECTS - A RETROSPECTIVE ANALYSIS
Authors: Kumar Giri Sanjay , Kumar Choudhury Arun , Kanungo Aparna , Kumar Mishra Jiten , Sahoo Sanjukta
Published: April 2023

Background: The use of regional flaps based on perforator arteries is generating more interest in limb reconstruction surgery. The surgical approach allows for the restoration of soft tissue lesions using neighboring homologous tissues without the need for microvascular anastomosis. The aim of the study was to evaluate the clinical results of local perforator flaps in the treatment of complex lower limb and upper limb defects. Materials and Methods:Fourteen patients (six upper limb and eight lower limb defects) underwent reconstruction using perforator-based flaps which were studied retrospectively during a three-year period. Donor sites were examined thoroughly and flaps selection was done using a handheld manual Doppler mapping preoperatively, to locate the perforator vessels and their flow. Thereby, perforator-based propeller flaps were raised and used for defect coverage based on their maximum arc of rotation. Results:Postoperatively, all the flaps included in the study survived. Partial flap necrosis and venous congestion in the flap were reported in two patients following intervention. Donor site morbidity was minimal without any loss of function. Most of the patients were satisfied with the aesthetic outcome. Conclusion:Perforator flaps using hand held Doppler are the most yielding, simple and safe flaps for the Reconstructive Surgeons. The need for the complicated microsurgical procedures can be avoided with the use of such locoregional propeller flaps which providedbetter aesthetic results with minimal donor site morbidity.
IMPACT OF DONOR MILK ON CLINICAL PARAMETRES STUDIED AMONG VERY LOW BIRTH INFANTS OF AN NICU OF A TERTIARY TEACHING HOSPITAL
Authors: Garg Shatakshi , Chakraborty Pallav , Deshmukh Isha , Tikhe Isha , Kinikar Aarti , Valvi Chhaya
Published: April 2023

Background: Low birth infants account for 27% of total live births in India. India has a large burden of very low birth weight (VLBW) babies, i.e. those who are <1500 g, account for about 5% of all live births(1) and their nutritional rehabilitation is major concern.But every infant is unable to benefit from mothers milk because of maternal illness, death or lactation failure. This is when donors milk help for these VLBW infants who are unable to get their own mothers milk. Hence, understanding the impact of donor milk on various clinical parameters affecting a VLBWinfant is important. Aim: To study impact of donor milk on various parameters studied among VLBWinfants of an NICU of a tertiary teaching hospital. Methods: Ours is a retrospective comparative study over a period of 10 months in an NICU of a tertiary teaching hospital. 119 infants were enrolled. The data was collected from case records of these infants. Appropriate test of significance was applied to get the results. Results: In our study, the average length of NICU stay was 5.1 days lesser and overall weight centiles on dischargefor donor milk given babies was higherthan those who were not given donor milk. There was a significant association between administration of donor milk lack of caffeine administration(p=0.042).There was no significant association of donors milk with RDS(p=0.08), duration of mechanical ventilation for >96 hours(p=0.58), bronchopulmonary dysplasia(p=0.55), inotropes administration(p=0.11),IVH(p=0.5029) and sepsis(p=0.68). Conclusion: By seeing the beneficial effects of donor milk on weight and overall hospitalization duration, promoting milk donation in postnatal wards and establishment of community human milk banks we can improve quality of health care and nutrition to VLBW babies and thus decrease infant mortality rate.
A BIOQUÍMICA POR TRÁS DA COVID-19: DESENVOLVIMENTO E APLICAÇÃO DE WEBQUEST DIRECIONADA AO ENSINO REMOTO EMERGENCIAL
Authors: Silva Noeli , Sotério Carolina , Canduri Fernanda , Queiroz Salete
Published: April 2023

THE BIOCHEMISTRY BEHIND COVID-19: WEBQUEST DEVELOPMENT AND APPLICATION FOR EMERGENCY REMOTE TEACHING. WebQuests are inquiry-oriented activities structured in such a way that almost all resources used come from the web. The present study aims to investigate to what extent a WebQuest focusing on Biochemistry and COVID-19 can be used as an instructive tool to enhance undergraduate students’ media and information literacy (MIL). Students’ opinions on the use of the WebQuest were also discussed. The WebQuest was implemented in a BSc in Physical and Biomolecular Sciences course in the context of the COVID-19 pandemic. Based on the results of this study, the WebQuest has improved the MIL competence of students and motivated them towards learning Biochemistry.
Desafíos actuales de la educación católica en materia de sexualidad
Authors: Duran Cristina
Published: April 2023

Este texto reflexiona sobre los actuales desafíos de la educación católica en materia de sexualidad, para ello se presentan los elementos centrales del Magisterio de la Iglesia. Posteriormente, se exponen algunos desafió concretos y sus orientaciones en materia de educación sexual como: la madurez personal, la progresiva educación sexual, el cuidado de la vida interior de la persona, el reconocimiento de cuerpo, la educación en las diversas expresiones del amor y finalmente se trata el desafío ante las nuevas legislaciones.
Civic Engagement and Its Relationship with Parental Civic Socialization of Adolescents in Addis Ababa
Authors: Belay Azmeraw , Tefera Belay
Published: April 2023

Background:

This study examined the levels of civic engagement of adolescents and its relationship with parental civic socialization.

Methods:

The research employed both quantitative research design and qualitative method. Participants were 960 school adolescents aged 15 to 19 years (Mean age was 17.7, 53.5% female) drawn from secondary schools in Addis Ababa, Ethiopia.

Results:

The findings suggested that the majority of adolescents tended to fall within moderate to high levels of civic engagement and a quarter falling in the bottom quartile. Mobilizing adolescents and other young people to help the most deprived, promoting awareness on their rights, volunteering, monitoring delivery of social services, and participating in public discussion on community matters were found to be the most common types of civic engagements of adolescents. While significant positive relationship was found between parental civic socialization and adolescents’ civic engagements, sex differences were noted in civic engagements, in favor of males. ANOVA also revealed significant main (across levels of civic socialization and sex) and interaction effects. High parental civic socialization had higher effect on male adolescents than female. Interviewed adolescents also confirmed that civic socialization and support they went through in their life has contributed to their enhanced or low civic engagements at large.

Conclusion:

Implications for family, school and community interventions were drawn.
Design and Optimization of PI Controller for Multiple-output Wireless
Electric Vehicle Charger
Authors: Patel Sandesh , Yadav Shekhar , Tiwari Nitesh
Published: April 2023

This paper focuses on designing and modeling multiple-output wireless chargers for electric
vehicles (EVs). This paper uses a closed loop buck converter to obtain variable output dc voltage
of a wireless electric vehicle charger (WEVC). For designing a closed-loop buck converter, a PI
controller is used. The tuning of a PI controller for a nonlinear system is a typical task; therefore, in
the paper, three optimization techniques such as Krill Herd Optimization (KHO), Harris Hawks Optimization
(HHO), and Sparrow Search Optimization (SSO) utilized to find the optimum value of a
PI gain parameters (Kp and Ki).

Background:

Wired charging system is famous but contains problems like unkempt wires and protection
concerns in a damp environment. Then a solution to this problem is a wireless charger because
it does not contain any exposed wires. Hence it is convenient for charging and intrepid transmission
of power in antagonistic environmental conditions. A wireless charger can be used in unmanned
electric vehicles.

Objective:

The objective of this study is to develop a wireless electric vehicle charger at the variable
output voltage. The performance analysis by different optimization techniques such as SSO, KHO,
and HHO for variable reference output voltage.

Methods:

Three optimization techniques are used, such as SSO, KHO, and HHO, for obtaining
smooth output dc voltage, reducing harmonics, and improving power transfer capability.

Results:

SSO gives better results for the variable output voltage of the wireless charger.

Conclusion:

Wireless charger is designed at a variable reference output voltage and SSO-optimized
PI-gain parameters of the charger and provides better performance than other optimization techniques,
such as HHO and KHO.
Tomato Flu! Is it Really Dangerous?
Authors: Reddy Pallerla Naveen , Wal Pranay , Dave Vivek
Published: April 2023

In the modern era, the spread of new diseases makes humans panic in everyday life. Instead of
panicking, proper prevention and awareness of the disease are required. Tomato flu is one of the emerging
diseases in India, caused by the coxsackie virus; this disease has led many people to panic. In this article,
the Tomato flu is explained in detail, along with its treatment and prevention.
Analisis Kerentanan Sosial Kabupaten Penajam Paser Utara Terhadap Bencana Kekeringan
Authors: Mustofa Umar , Nugroho Rizky Arif , Zammi Noor Zam
Published: April 2023

Peristiwa berkurangnya curah hujan pada suatu wilayah dalam sebuah periode tertentu sehingga menyebabkan kekurangan air untuk berbagai kegiatan biasanya disebut sebagai kekeringan. Kekeringan merupakan bencana yang berdampak cukup serius di Indonesia sebab terjadi penurunan curah hujan dalam periode waktu yang lama akibat kejadian El Nino atau ENSO (El Nino Southern Oscillation). Kalimantan Timur merupakan salah satu provinsi di Indonesia yang mengalami penurunan curah hujan akibat perubahan iklim. Kabupaten Penajam Paser Utara merupakan kabupaten di wilayah Provinsi Kalimantan Timur yang mengalami penurunan curah hujan dari tahun 2013 hingga 2016 dengan jumlah curah hujan hanya mencapai 61,71mm/tahun dari tahun-tahun sebelumnya 716,9 mm/tahun. Maka dari itu, perlu diketahui tingkat kerentanan sosial Kabupaten Penajam Paser Utara terhadap bencana kekeringan. Analisis data kerentanan masyarakat dilakukan dengan memperhitungkan data sosial masyarakat sesuai dengan variabel penelitian yang telah ditentukan dan hasilnya adalah indek kerentanan sosial di Kabupaten Penajam Paser Utara berada pada angka 0,41 yang berati berada tingkat kerentanan menengah.
Time series forecasting of solid waste generation in selected states in Malaysia
Authors: Nasir Noryanti , Shariff S. Sarifah Radiah , Januri Siti Sarah , Zulkipli Faridah , Yasin Zaitul Anna Melisa Md
Published: April 2023

This study aims to forecast Malaysian solid waste generation by identifying the state's landfill capacity to facilitate solid waste generated in the next two years. The solid waste management system depends extremely on landfill capacity. Due to the increased amount of solid waste generation, the authority is required to manage landfill utilization appropriately in selected regions, where landfill capacity was fully utilized. An accurate prediction of solid waste generation is required for the authority plan for landfill management. This paper provides the forecasting values for the seven states in Malaysia. The ARMA and ARIMA models are used to determine the best model for forecasting solid waste generation values. The results show that the ARIMA (2, 1, 1) model works best in Johor, Negeri Sembilan, and Wilayah Persekutuan Kuala Lumpur, while the ARIMA (1, 1, 2) model works best in Kedah and Perlis. Furthermore, the ARMA (1, 1) model is best for Pahang, and the ARMA (2, 1) model is best for Melaka. The ARIMA (3, 1, 1) model is the best for forecasting solid waste generation across all states. The findings are consistent with previous literature, which stated that solid waste generation would increase in one of Malaysia's districts over the next two years. They did not, however, consider the landfill's capacity to handle solid waste generation. These findings shed light on the potential volume of solid waste generated in the coming years, allowing authorized agencies to plan landfill capacity in Malaysia for environmental sustainability.
A versenyzési kedv vizsgálata hazai utánpótlás teniszezőknél 2011-2020 között
Authors: Dékány Marcell , Pelva Gábor , Kopper Bence , Ökrös Csaba
Published: April 2023

Ezen tanulmány célja a hazai utánpótlás tenisz elmúlt 10 évének mennyiségi és minőségi állapotának bemutatása. A tenisz sportágban résztvevő gyermekek létszámának növelése a nemzetközileg elfogadott „Play and Stay” kampány elsődleges célja. A módosított eszközök használata és a kisebb méretű pályák lehetőséget biztosítanak a játék elsajátítására széles körben. Vizsgálatunkban 25 női (életkor: 43,2±12,1), és 73 férfi (életkor: 41,3±12,6), a magyar utánpótlás nevelésben aktívan résztvevő szakember vett részt, akik közül 89-en rendelkeznek alap (21 fő), közép (36 fő), vagy felsőfokú (32 fő) szakmai képzettséggel. Kérdőívünk alapját a Nemzetközi Tenisz Szövetség (ITF) 2017-ben kiadott kérdései adták, mely felmérésben Magyarország nem vett részt. A kérdéseinkre online, anonim módon adott válaszokat leíró statisztika segítségével elemeztük ki. Az eredmények összegzése után elmondhatjuk, hogy a „Play and Stay” program hatékonyságáról a hazai szakmát képviselő teniszedzők pozitívan vélekednek, az edzők „Play and Stay” programmal kapcsolatos tudásának szintje pedig megegyezik a külföldi szakemberek jártasságával. A versenyzéssel kapcsolatos mennyiségi tényezők vizsgálatára a Magyar Tenisz Szövetség hivatalos ranglistáit elemeztük 2011 és 2020 között, mely számadatok megmutatták, hogy hónapról hónapra a különböző korosztályokban hány játékos rendelkezik pontszámmal, amit hazai egyéni és páros, valamint nemzetközi versenyeken szerezhettek. Ezen adatokat összegezve következtethetünk arra, hogy hány aktív versenyzője van az adott korosztálynak, hányan indulnak rendszeresen versenyeken. Az eredmények azt mutatják, hogy a vizsgált időszakban nőtt a 10 éven aluliak száma, de csökkenő tendenciát mutat a versenyeken országosan induló korosztályos játékosok létszáma. A két vizsgálat eredményeit összegezve a hazai „Play and Stay” utánpótlás teniszprogram egyértelmű sikerességét állapítottuk meg mind az edzők, mind pedig a játékosok körében.
Az áldozatsegítés (áldozatvédelem) és a sport tantárgy oktatásának bevezetése: a sportszakember-képzéssel összefüggő tapasztalatok és szemlélet
Authors: Szekeres Diána
Published: April 2023

A Testnevelési Egyetemen 2019-ben életre hívott tárgy kurzusának gyakorlati megközelítése saját és alkalmazott esetpéldák segítségével valósul meg. A hallgatók számára a megfelelő kompetenciák, készségek kialakításának az a célja, hogy az áldozatokat azonosítani tudják és így részükre egyfajta iránymutatást tudjanak adni a szolgáltató rendszerhez történő hozzáférés segítségével. A rendelkezésre álló szolgáltatások megismertetésével segítő, támogató „védőháló”. szemlélet alakítható ki. A szerző górcső alá helyezi a tárgy tartalmát, jelenléti és online oktatói-oktatási tapasztalatait is. A feldolgozott témakörök jelenléti, illetve online színtéren keresztül történő rendhagyó megközelítése az érzékenyítést és attitűdformálást is lehetővé teszi. Érdemes lenne akár más képzési formákban történő bevezetése is a gyakorlati tapasztalatok, a hallgatói visszacsatolások tükrében, a képzési-kimeneti követelményekkel összefüggésben.
O Trabalho Docente no Contexto das Escolas Cidadãs da Paraíba
Authors: Silva Hedgard Rodrigues da , Oliveira Dalila Andrade
Published: April 2023

O artigo contribui com a compreensão do trabalho docente no contexto da atual política educacional para o Ensino Médio em tempo integral. O objetivo é expor a política educacional adotada no estado da Paraíba e refletir sobre seu processo de implantação, o modelo pedagógico e administrativo das escolas e as políticas de privatização em seu contexto. A metodologia baseou-se na análise de dados empíricos, coletados por meio de pesquisa de tipo survey e realização de grupos focais com professores que trabalham em escolas de Ensino Médio em tempo integral. Os dados foram analisados a partir das categorias: carga de trabalho, avaliação docente, relação com a gestão escolar, autonomia docente e remuneração e carreira. A discussão teórica destacou o processo de reestruturação da profissão docente, ensejado por novos modos de regulação, que com a Nova Gestão Pública e determinados instrumentos da ação pública difundiram-se em âmbito internacional, configurando uma agenda global para a educação. Os resultados apontam que o Programa de Educação Integral para o Ensino Médio converge com a agenda em âmbito internacional para educação, marcado por mecanismos de privatização da educação, com políticas de responsabilização e premiação, estando a profissionalidade docente impactada pela sobrecarga de trabalho, ampliação e cobranças de materiais pedagógicos e administrativos, instabilidade na escola, relativa perda de autonomia e insatisfação com a remuneração e o plano de carreira.

Palavras-chave: programa de educação integral; trabalho docente; política educacional; ensino médio
O Projeto de Educação em Tempo Integral no Estado do Amazonas como garantia do Direito à Educação
Authors: Oliveira Angela Maria Gonçalves de , Franco Zilda Gláucia Elias
Published: April 2023

Este trabalho discute o Projeto de Educação em Tempo Integral implantado no Amazonas. A educação em tempo integral é uma política educacional implantada no Brasil em 1950, servindo de exemplo para a criação de outros programas a exemplo do Centro Elementar de Brasília e o Centro Integrado de Educação Pública – CIEP no Rio de Janeiro, dentre outros. Objetiva analisar os dois projetos implantados no estado, 2008 e 2011, com garantia do direito à educação como desenvolvimento humano. Como metodologias foi feita a análise documental dos projetos analisando-os à luz dos teóricos que discutem o direito à educação. Os resultados nos mostram que, mesmo reconhecendo a importância da educação em tempo integral como garantia do direito à educação como desenvolvimento humano, o projeto ainda caminha numa perspectiva neoliberal incompatível com o que determina o art. 205 da Constituição Federal no que tange ao desenvolvimento pleno da pessoa humana.
A Dimensão Afetiva na Formação Integrada da Educação Profissional
Authors: Lima Claudia , Feldens Dinamara
Published: April 2023

O debate sobre a Educação Integral tem sido cada vez mais recorrente entre as pesquisas e produções científicas em educação. No ensino profissional, no entanto, ainda é um tema que merece análises mais ampliadas, sobretudo, no que diz respeito à compreensão da dimensão afetiva. Neste artigo propomos entender a importância dos afetos na (re)construção do princípio da integralidade do Ensino Médio, que não se dá fora do entendimento da concepção de homem, do lugar que ele ocupa na natureza e das suas relações, sobretudo, com o conhecimento. No campo metodológico optamos pela produção de dados a partir da investigação qualitativa, utilizando da análise documental e da revisão bibliográfica. O texto busca aproximações com a teoria dos afetos espinosana e se ampara nas recentes reformas da educação nacional para dialogar com formação integrada. As discussões realizadas indicam contradições na política educacional que ameaçam a continuidade desta forma de ensino, mas, também, apontam para fragilidades antigas na compreensão acerca da dimensão afetiva, dificultando a ampliação do princípio da integralidade na Educação Profissional.
O Ensino Médio Integrado ao Técnico
Authors: Ferreira Ana Claudia , Pereira Maria de Fátima Rodrigues
Published: April 2023

Essa revisão sistemática tem por objetivo caracterizar a integração no Ensino Médio Integrado (EMI) brasileiro, por intermédio da metassíntese de pesquisas de pós-graduação stricto sensu sobre o tema. A busca pelos estudos para análise se deu no Banco de Teses e Dissertações da Capes, entre os meses de julho e setembro de 2020, resultando em um conjunto formado por 79 trabalhos, após ter sido averiguada a pertinência aos critérios de inclusão e exclusão em 200 registros. Os resultados dessa análise elucidam a integração como uma perspectiva em construção, no âmbito das ofertas de EMI constantes nas pesquisas selecionadas. Enquanto possibilidade, a integração afirmada nos estudos confirma o alcance da almejada formação integral emancipadora. Contudo, carrega em si a marca da contradição de não se afastar das exigências impostas pelo capital na luta de classes. Conclui-se, assim, pela defesa da integração como o caminho para a transformação.

Palavras-chave: integração entre ramos de ensino; integração formação profissional-educação geral; integração na formação profissional.