bluuebunny/crossref_metadata_2025 huggingface dataset:
Repercussion of palliative care on survival in patients with High-grade Glioma
Authors: Castillo-Lara Gloria Esther , Hancco-Huillca  Sonia Edith , Lara Fernández Gloria Esther , Peña-De los Santos Gabriel Andres , Leyva-Coll, Gabriela L , Loaces-Padrón Rocio Anel
Published: July 2021

Aim: To determine the influence of education in early neuro-palliative care, on the survival of patients diagnoses with high-grade glioma, to evaluate the overload associated with the care of such patients. Method: was an observational, cross-sectional, descriptive, and exploratory study in 52 patients and caregivers with High-grade glioma tumors as the pathological diagnosis, treated at the Institute of Neurology and Neurosurgery of Havana from January 2019 to January 2020. Results: The care provision system was in charge of family members in 51.9% of the patients, predominantly female in this task; 45 (86.7%), 42.2% of which maintained a labor relationship, with a mean age of 53.9 years. The Zarit test was applied in the 52 caregivers, intense overload was recorded in 33 (63.5%), mild in 10 (19.2%) and no overload in 9 (17.3%). Patients in whom their caregivers received education in palliative care at the time of HGG diagnosis had 57.1 more days of survival, unlike those who received it in the period of neurological deterioration (241.7 vs 184.6 days). Survival time was influenced by the record of caregiver burden. Conclusion: The overall survival life time was directly related to the caregiver's education in palliative care and the time it was received, early palliative care education, could influence prolonging life.
Pediatric spinal dermoids - the silent legacy of dysraphism: Diagnosis, management and prognosis – a case series with review of literature
Authors: P Bysani , S, Ganapathy , J Adesh , J Pandya , R Raykar
Published: July 2021

Paediatric spinal dermoids are a subtype of cutaneous inclusion tumours of the spine consisting of ectodermal derivatives. They are relatively rare conditions with associated with the stigmata of spinal dysraphism with possible devastating consequences. We present a case series, in which we study the clinical, radiological and surgical aspects and follow up of the tumour in the last one year. All patients presented with either para or tetraplegia with or without sensory involvement. Contrast MRI was done in all cases, of which 3 were intradural extramedullary lesions and one was intramedullary lesion. The age ranged from 1 year to 4 years. 2 cases were associated with tethering of cord, 2 cases with dermal sinus and another with dandy walker malformation. One case had infected discharging sinus with dermoid. Gross total excision of tumour was done in all cases with Neuro monitoring. All had good post operative outcome without worsening of deficits. All patients received rehabilitation. Follow up study ranged from 3 months to 11 months. No residual tumour noted in follow up MRI.
Self-reported hearing status and audiometric thresholds among college students using headphones
Authors: Shrimal Yash , Nandurkar Aparna
Published: July 2021

Purpose: The study aims to investigate headphone listening habits of college-going students and for those using headphones, correlate self-reported hearing status with average audiometric hearing thresholds. Method: Headphone listening habits and awareness of adverse effects of the same was profiled in college-going students using a questionnaire distributed through online platform. Hearing thresholds were then compared for those with and without self-report of hearing difficulty. 341 responses were obtained from students between 17 and 23 years of age. For the second part of the study, a convenience sample of 30 willing students from among these 341 was selected. Pure tone thresholds were obtained for various frequencies with a high frequency audiometer. PTA (average of 500, 1000, 2000 Hz) and HFPTA (average of 4000, 6000, 8000, 10000 Hz) were calculated for both the ears and compared for those with and without reported hearing difficulty. Results: 78% students reported headphone usage for less than 3 hours per day, while 22% reported usage for more than 3 hours per day. 77% respondents were aware that listening to loud sounds can alter hearing sensitivity, but many (54.83%) did not have awareness about the minimum safe hours of listening. There was a weak positive correlation between self-reported hearing difficulty and poor ear HFPTA (r = 0.2304). Conclusion: Majority of students used insert earphones even after knowing the adverse effect of the same. There was a weak correlation found between the self-reported hearing problems and audiometric hearing thresholds. Implication: More awareness is needed about the ill effects of headphone usage amongst the young teenage population. Proper counseling and management strategies are required for people who report difficulty in hearing.
Giant uterine leiomyoma (5 kg) with bunch of 45 fibroids: a challenging case during covid-19 pandemic
Authors: Katke Rajshree Dayanand , C Pushpa , Asrani Sonia
Published: July 2021

Leiomyomas are the most common benign tumours of the uterus, arising from the smooth muscles of the uterus but containing varying amount of fibrous tissue. These grow under the influence of oestrogen and progesterone. Fibroids undergo various types of degenerations, most common being hyaline degeneration. Most of them are asymptomatic. Large fibroids may cause pain, pressure symptoms or menstrual dysfunctions. Large fibroids are rare and require expertise to operate them to avoid blood loss, prevent inadvertent injury to ureters, bladder, bowel and the surrounding vital structures. Here we present a case of a large uterine fibroid, disguised as a retroperitoneal mass of an unknown origin, which was managed with expert surgical skills.
Modelling of white bream (Blicca bjoerkna (Linnaeus, 1758)) commercial catches by different parameters of fishing gillnets in Kyiv Reservoir
Authors:   State agency of fisheries of Ukraine, Kyiv, Lytvynenko V. , Kotovska G. ,   Institute of Fisheries of the National Academy of Agrarian Sciences, Kyiv, Buzevych O. ,   Institute of Fisheries of the National Academy of Agrarian Sciences, Kyiv, Kurhanskyi S. ,   Institute of Fisheries of the National Academy of Agrarian Sciences, Kyiv
Published: July 2021

Purpose. To analyze the existing experience in quantitative and qualitative modelling of commercial fish harvesting and to develop the methodological approaches in determining the optimal catch parameters for gillnets. Methodology. An adjusted annual commercial mortality rate was used to determine the catches composition in gillnets with different mesh sizes. Findings. The proposed model was developed within the framework of the generally accepted concept of population dynamics and biomass as a result of mortality and weight growth. It showed the dependence of the size-age structure and total weight of the catch on the mesh size of the grids. Originality of the work was caused by using the mathematical model that can ensure sustainable use of nature based on the optimal parameters of shutter grids on the possibility of their effective removal of certain age groups of white bream for the first time. Practical Value: calculations performed according to this model for the white bream of the Kyiv Reservoir showed that it is optimal to use grids with a mesh step of 40-50 mm, which allow to obtain the maximum catch per unit of replenishment and ensure high population fertility. Keywords: white bream (Blicca bjoerkna Linnaeus, 1758), Kyiv reservoir, commercial catches, modelling of catch.
Invasive fish species in ichthioecosystems of Western Polissya of Ukraine
Authors:   National University of Water and Environmental Engineering, Rivne, Sondak V. , Bihun V. ,   Department of the State Agency for Land Reclamation and Fisheries of Ukraine in the Volyn region, Lуtsk, Volkochovets O. ,   National University of Water and Environmental Engineering, Rivne, Kolesnik N. ,   Institute of Fisheries of the NAAS, Kyiv, Simon M. ,   Institute of Fisheries of the NAAS, Kyiv
Published: July 2021

Purpose. To study ichthyocenoses, species composition and the current state of fish populations in water bodies of the Western Polissya of Ukraine by focusing on their changes under the effect of invasive fish species. Methodology. Ichthyological studies were carried out in natural and artificial water bodies for various purposes in the Western Polissya of Ukraine during 2007-2017. In particular, fish surveys were carried out using beach seins and gill nets with different mesh sizes in the karst lakes Svityaz and Pischane from the Shatskiy National Nature Park, channel lakes Lyubyaz and Nobel from the Pripyat River basin, right-bank tributaries of the Pripyat Rivers including Styr and Goryn Rivers, Khrinnitske reservoir from the Styr River basin, fish ponds of Bochanitsa village and Progress LLC (Goryn River basin). The material for the study were both the populations of native and invasive fish species. Findings. The results of our own studies and data of other authors highlighted the issue of the spread of invasive fish species in water bodies of the river-lake network of Western Polissya of Ukraine, presented the diagrams of the distribution of these fish in different water bodies of different origins of the above-mentioned region. Originality. The greatest threat to the abundance of aboriginal fish species in this region was found to be self-reproducing populations of the brown bullhead (Ictalurus nebulosus), Amur sleeper (Percсottus glenіi), stone moroko or topmouth gudgeon (Pseudorasbora parva), three-spined (Gasterosteus aculeatus) and nine-spined (Punguitius punguitius) sticklebacks. In particular, the composition of their gut content during the spawning period included 95% of eggs of fish species, which spawned in spring, as shown in the diagrams presented in this paper. Practical Value. The proposed measures to be carried out at the national and regional levels will help prevent the ingress of new invasions and mitigate the impact of the existing ones on the ichthyocenoses of the reservoirs of Western Polissya of Ukraine. Key words: ichthyocenoses, invasive fish species, aboriginal ichthyofauna, Western Polissya.
Problems and perspectives of artificial reproduction and conservation of the european eel (Anguilla anguilla (Linnaeus, 1758)) (a review)
Authors:   National University of Life and Environmental Sciences of Ukraine, Kyiv, Bekh V. , Kononenko I. ,   National University of Life and Environmental Sciences of Ukraine, Kyiv, Kononenko R. ,   National University of Life and Environmental Sciences of Ukraine, Kyiv
Published: July 2021

Purpose. Rearing of the European eel (Anguilla anguilla) is a promising area of aquaculture, the development of which in Ukraine and the world is constrained by several factors. Spawning, egg incubation, lack of a stable source of supply of fish seeds – these and other problems, as well as the importance of such studies form a basis for finding approaches for their solution and conducting new large-scale studies. This area attracts attention of scientists, there are certain results and achievements; however, they are still not enough to solve the problems of artificial reproduction of the European eel. Findings. The authors revised, analysed and systematized literature sources focused on the study of the European eel. As a result, it was possible to identify the main achievements and shortcomings in this area, which are promising for further study. In addition, we identified some obstacles faced by scientists and analysed available methods for their solving. Practical value. This review can be used to stimulate new studies and technological development towards industrial cultivation of eel in Ukraine, which will allow reducing the impact on natural populations of this species and stabilize its number in the natural environment. In addition, the authors of the article intend to draw attention of scientists and manufacturers to the perspectives and problems of growing and studying the European eel. Key words: European eel, glass eel, leptocephali, migration, Sargasso Sea, cultivation, fish seeds.
White bream (Blicca bjoerkna (Linnaeus, 1758)). Thematic bibliography
Authors:   Institute of Fisheries NAAS, Kyiv, Hrytsynyak Ir. , Shvets T. ,   Institute of Fisheries NAAS, Kyiv
Published: July 2021

Purpose. Forming a thematic bibliographic list of publications on the morphological, ecological, physiological and biochemical characteristics of white bream (Blicca bjoerkna L.), as well as the state of its stocks in natural reservoirs. Methodology. Complete and selective methods were applied in the process of the systematic search. The bibliographic core have been formed with the publications exclusively in Ukrainian and Russian from the fund of scientific library of the Institute of Fisheries NAAS of Ukraine. Findings. A thematic list of publications with a total quantity of 62 sources covering the time interval from 1960 to 2020, and highlighting ecological characteristics of a member of Cyprinidae family, the white bream, as well as considering the state of its populations has been composed. The literary sources were arranged in alphabetical order by author or title, and described according to DSTU 8302:2015 “Information and documentation. Bibliographic reference. General principles and rules of composition”, with the amendments (code UKND 01.140.40), as well as in accordance with the requirements of APA style — international standard of references. Practical value. The list may be useful for scientists, practitioners, students, whose area of interests includes the study of physiological, biochemical, ecological and other characteristics of Cyprinids, in particular white bream (Blicca bjoerkna L.). Key words: white bream, spawning, morphological, physiological and biochemical characteristics, fishing.
El espacio y el debate sobre la identidad en El viaje sedentario (1994) de Gonzalo Celorio
Authors: Alfaro Cruz Yazmín
Published: July 2021

Este artículo tiene como propósito el estudio del espacio/tiempo en El viaje sedentario (1994) de Gonzalo Celorio, a su vez, pretende vincular estas manifestaciones espacio-temporales como parte del debate en torno a la identidad. Para ello, se tomó como base teórica la geografía literaria: los estudios de Bajtín y Ottmar Ette sobre el cronotopo y la literatura en movimiento. La investigación propone el análisis de los movimientos realizados por el protagonista a lo largo del texto y la forma en que los referentes espacio-temporales se vinculan estrechamente con el proceso de construcción de una identidad. Finalmente, queda demostrado que los espacios descritos en El viaje sedentario (1994) se encuentran relacionados con esa creciente necesidad de identificarse dentro de un colectivo, ejemplo de esto son los vestigios arquitectónicos aún conservados en la ciudad de México y que representan el devenir histórico y la identidad de un pueblo. Así, México en su totalidad se visualiza como el cronotopo del encuentro donde convergen presente y pasado y en él se acumulan capas de sentido e históricas, desde la época colonial hasta la actual.
Entonación de enunciados declarativos en el español hablado en Querétaro: una comparación entre hablantes bilingües y monolingües
Authors: Velásquez Upegui Eva Patricia
Published: July 2021

El estudio de la entonación de una variedad dialectal debe contemplar las características de los diferentes hablantes que la conforman, por esta razón, en este documento se describen los enunciados declarativos en la variedad del español en el estado de Querétaro (México), a partir de la comparación entre hablantes bilingües otomí-español y monolingües español. Se consideraron 15 participantes mujeres; cinco monolingües de Santiago de Querétaro (capital), cinco monolingües del Municipio de Amealco de Bonfil, y cinco bilingües de la localidad del Bothé, en este mismo municipio. El análisis se establece siguiendo los parámetros del Modelo Métrico Autosegmental, y en correspondencia, se integran las convenciones de etiquetaje propuestas en el sistema Sp-ToBI, desde una perspectiva cualitativa y cuantitativa. Los resultados indican que el tonema declarativo en esta variedad podría representarse como L+(¡)H* M%, con variaciones fonéticas propias que permiten diferenciar a cada grupo de hablantes.
La sensibilidad lingüística de Lorenzo Campano en su producción científico-técnica
Authors: Corveddu Mario Salvatore
Published: July 2021

El presente estudio se centra en la figura de Lorenzo Campano, autor prolífico del siglo XIX del que nada conocemos fuera de su obra compuesta por libros de diverso tipo entre los cuales destacan obras pedagógicas, cuentos, manuales científicos-técnicos y además un diccionario. Nos centraremos en su obra de carácter especializado, un manual sobre el curtido y adobo de la piel y otro sobre la producción de la cerveza, con el objetivo de analizar la concienciación lingüística del autor y su percepción de las dinámicas léxicas. A lo largo del estudio hemos analizado el paratexto y las anotaciones con las que Campano enriquece sus obras, y hemos encontrado huellas no solo de su sensibilidad al dato lingüístico, sino de su sensibilidad a los procesos de cambio léxico; estos últimos, debidos al desarrollo diatécnico del siglo XIX. La naturaleza y los contenidos de las anotaciones de Campano, por un lado, ponen en evidencia que su concienciación lingüística influenció su producción y, por otro lado, documentan algunos de los procesos de cambio sin precedentes que el léxico estaba experimentando.
El vacío de todo lo creado: tres novelas de Catalina Murillo
Authors: Rojas Margarita , Ovares Flora
Published: July 2021

Se estudian conjuntamente las tres novelas de la escritora costarricense Catalina Murillo con el objetivo de proponer una significación común. Es un ejercicio de lectura e interpretación realizado principalmente desde la perspectiva de la semiótica literaria. Se concluye que el proceso de aceptación y crecimiento individual también integra un cuestionamiento de algunos aspectos del discurso colonialista referente a la visión particular de la relación entre España y América Latina.
Antimicrobial resistance of the enteric protozoon Giardia duodenalis – A narrative review
Authors: Loderstädt Ulrike , Frickmann Hagen
Published: July 2021

Introduction

As therapy-refractory giardiasis is an emerging health issue, this review aimed at summarizing mechanisms of reduced antimicrobial susceptibility inGiardia duodenalisand strategies to overcome this problem.

Methods

A narrative review on antimicrobial resistance inG. duodenaliswas based upon a selective literature research.

Results

Failed therapeutic success has been observed for all standard therapies of giardiasis comprising nitroimidazoles like metronidazole or tinidazole as first line substances but also benznidazoles like albendazole and mebendazole, the nitrofuran furazolidone, the thiazolide nitazoxanide, and the aminoglycoside paromomycin. Multicausality of the resistance phenotypes has been described, with differentiated gene expression due to epigenetic and post-translational modifications playing a considerable bigger role than mutational base exchanges in the parasite DNA. Standardized resistance testing algorithms are not available and clinical evidence for salvage therapies is scarce in spite of research efforts targeting new giardicidal drugs.

Conclusion

In case of therapeutic failure of first line nitroimidazoles, salvage strategies including various options for combination therapy exist in spite of limited evidence and lacking routine diagnostic-compatible assays for antimicrobial susceptibility testing inG. duodenalis. Sufficiently powered clinical and diagnostic studies are needed to overcome both the lacking evidence regarding salvage therapy and the diagnostic neglect of antimicrobial resistance.
Self-defense of human sarcoma cells against cytolytic lymphoid cells of their host
Authors: Sinkovics Joseph G , Horvath Joseph C
Published: July 2021

Metastatic human sarcomas temporarily respond to radio-chemotherapy relapse and remain highly resistant to further combination chemotherapy as to a curative effect, including checkpoint control.
An interaction-oriented multi-agent SIR model to assess the spread of SARS-CoV-2
Authors: ALTUN Koray , ALTUNTAŞ Serkan , DERELİ Türkay
Published: July 2021

It is important to recognize that the dynamics of each country are different. Therefore, the SARS-CoV-2 (COVID-19) pandemic necessitates each country to act locally, but keep thinking globally. Governments have a responsibility to manage their limited resources optimally while struggling with this pandemic. Managing the trade-offs regarding these dynamics requires some sophisticated models. ``Agent-based simulation'' is a powerful tool to create such kind of models. Correspondingly, this study addresses the spread of COVID-19 employing an interaction-oriented multi-agent SIR (Susceptible-Infected-Recovered) model. This model is based on the scale-free networks (incorporating \(10,000\) nodes) and it runs some experimental scenarios to analyze the main effects and the interactions of ``average-node-degree'', ``initial-outbreak-size'', ``spread-chance'', ``recovery-chance'', and ``gain-resistance'' factors on ``average-duration (of the pandemic last)'', ``average-percentage of infected'', ``maximum-percentage of infected'', and ``the expected peak-time''. Obtained results from this work can assist determining the correct tactical responses of partial lockdown.
Correlation of Exercise Capacity with Functional Disability in Patients with Osteoarthritis of Knee
Authors:   Assistant Professor, Department of Physiotherapy, P.T. School and Centre, T.N.M.C, Mumbai, Maharashtra, India., Kubal Swati V. , Ghole Kshitija S. ,   Department of Physiotherapy, P.T. School and Centre, T.N.M.C, Mumbai, Maharashtra, India.
Published: July 2021

Introduction: Osteoarthritis of knee is a progressive joint disease which produces pain, inflammation and destruction of joint which in turn leads to range of motion limitation and walking disabilities. Affection in physical functioning is determined not only by just activities involving lower limb capacity but also by the activities which require use of upper extremities. Hence in this study, 6MWD and no. of rings moved in 6 minutes were taken as an outcome measures for determining the exercise capacity. KOOS is a self-administered questionnaire which was used in its cross culturally adapted format for determining the functional disability in patients. Objectives: 1. To study correlation of exercise capacity with functional disability in patients with osteoarthritis of knee. 2. To study correlation of upper limb exercise capacity with lower limb exercise capacity in patients with osteoarthritis of knee. Methods: Cross sectional, observational study including 30 patients of either gender having unilateral osteoarthritis of knee conducted in a tertiary care hospital. Results: No. of rings moved in 6 minutes and global KOOS score showed no statistically significant correlation. 6MWD and global KOOS score showed no statistically significant correlation. 6 minute walk distance and 6 minute peg board ring test showed no statistically significant correlation. Conclusion: The study suggests that there is no correlation of exercise capacity with functional disability in patients with osteoarthritis of knee. Also, there is no correlation found between upper limb exercise capacity and lower limb exercise capacity in patients with osteoarthritis of knee. KEY WORDS: Knee osteoarthritis, Knee pain, squat depth, functional disability, cardiorespiratory endurance, Knee Injury and Osteoarthritis Outcome Score, Quality of life.
Assessment of Diastasis Recti Abdominis using Dial Caliper in Overweight and Obese Adults (18 years and above) and Its Relationship with Lumbopelvic Pain: A Pilot Study
Authors:   Associate Professor, Department of Physiotherapy, P.T. School and Centre, T.N.M.C, Mumbai, Maharashtra, India., Asgaonkar Bharati D. , Khedekar Pooja P. ,   Department of Physiotherapy, P.T. School and Centre, T.N.M.C, Mumbai, Maharashtra, India.
Published: July 2021

Background: Diastasis recti abdominis is present in both gender and is associated with increasing age, activities including regular lifting of heavy weights or sit-ups, a history of midline abdominal surgery, signiﬁcant hormonal changes due to replacement therapy, menopause, congenital, chronic obstructive pulmonary disease and obesity. Studies have proven physiotherapy is beneficial in managing DRA but not many studies are done to show presence of DRA. Hence our study is a small attempt at diagnosing DRA in most vulnerable population i.e. overweight and obese population. Objective: To assess presence of diastasis recti abdominis in overweight and obese adults (18 years and above) using dial caliper. To correlate diastasis recti abdominis with lumbopelvic pain, gender and parity. Methods: 90 subjects were allocated in this study (30 overweight, 30 obese 1 and 30 obese 2). Presence of DRA was assessed using dial caliper in them and correlated with BMI. Subjects who had DRA present, their values were correlated further with Lumbopelvic pain, gender and parity. Results: Out of 90 subjects, 67 (74%) had DRA present [21 (23.3%) in overweight, 22 (24.4%) in obese 1, 24 (26.6%) in obese 2].There is no correlation of Presence of DRA with BMI. DRA has no correlation with lumbopelvic pain and gender. DRA has moderate positive correlation with parity. Conclusion: There is Presence of Diastasis Recti Abdominis in overweight, obese 1 and obese 2 adults; however, they are at equal risk of having DRA. Subjects with DRA are not more likely to have lumbopelvic pain than subjects without DRA. DRA can occur in males as well as females and multiparous females are at increased risk of developing DRA than nulliparous and primiparous. KEY WORDS: Diastasis recti abdominis, overweight, obesity, physiotherapy, lumbopelvic pain.
Job Stress in Physiotherapy Teachers During COVID-19 Pandemic: A Survey
Authors:   Intern, Dr. A. P. J. Abdul Kalam College of Physiotherapy, Pravara Institute of Medical Sciences (Deemed to be University), Loni, Rahata, Maharashtra, India., Chudiwal Ratnaprabha , Kumar Neeraj ,   Professor, Dr. A.P.J. Abdul Kalam College of physiotherapy, Pravara Institute of Medical Sciences, Loni, Rahata, Maharashtra, India.
Published: July 2021

Background: Stress can affect a person in every day of life, in work, home etc. all the jobs can cause stress in varying degree. Related to work, such as teaching and jobs can cause more stress. Teacher stress has been defined as the experience by a teacher of negative, unpleasant three emotions such as the tension, anger, and depression as a result of some aspect of their work as a teacher. Methodology: A simple random sampling of 500 participants were included all over the India, from which 211 participants responded through google forms that were created and distributed through various social media platforms. Participants were screened according to inclusion and exclusion criteria and hence 197 participants were in total included in the study. The selected participants were asked to fill the Teacher’s Stress inventory scale. Data analysis which included summarizing the collected data, analytical and logical reasoning was done. Result: Using 5 point -Likert scale, the average of 1.0-2 was 6%, the average derived 2.1-3 was 45%, similar result was obtained for the range between 3.1-4, whereas for the average 4.1-5 only 4% was observed. On comparing the cumulative results amongst males and females along with its average of 3.14 and 3.08 respectively, no significant difference was observed, since the t-test value was 0.5295. The standard deviation seen was ±0.64 and ±0.48 in males and females respectively. Conclusion: After the application of Teacher Stress Inventory- Revised Scale amongst Indian physiotherapist teachers, this study concluded that on an average, the teachers experience stress quite often amid COVID-19 Pandemic. Although there wasn’t any significant gender wise difference. KEY WORDS: Job stress, Physiotherapy Teachers, COVID-19 Pandemic.
Prevalence of Plantar Fasciitis Among Nurses at A Tertiary Care Centre in A Rural Area: A Cross Sectional Study
Authors:   BPT (Intern), Dr. A.P.J. Abdul Kalam College of Physiotherapy, Pravara Institute of Medical Sciences, Loni, Maharashtra 413736, India., Bhoir Komal Santosh , Vardhan G.D Vishnu ,   Associate Professor & HOD, Dr. A.P.J. Abdul Kalam College of Physiotherapy, Pravara Institute of Medical Sciences, Loni, Maharashtra 413736, India.
Published: July 2021

Background: The plantar fascia can further encounter a form of pathological degeneration called as plantar fasciitis that is one of the most common causes of heel pain. Plantar fasciitis is a multifactorial in origin and works as a mechanical overloading reaction to multiple instances of microtrauma. Purpose: This research will rule out the prevalence of plantar fasciitis in nurses both male and female with the help of windlass test and also make us aware about the correlation of plantar fasciitis among males and females. Methodology: A simple random sampling of 100 healthy nurses, 70 female nurses and 30 male nurses from Pravara Institute, Loni was included. The participants included were between age group of 20-50 years and were screened according to inclusion and exclusion criteria. Windlass test was performed in all the recruited participants. The test was done both in non-weightbearing (NWB) and weightbearing (WB) position. If pain was reproduced, the subject then marked the location of the pain. If pain was provoked then the test was considered positive. Result: The windlass test (weight bearing and non-weight bearing) showed that out of 100 participants 21% tested positive; out of which 17% females and 4% males responded positive in the study. Conclusion: The study concluded that female nurses are more prone to develop plantar fasciitis when compared with male nurses. KEY WORDS: Plantar fascia, Plantar fasciitis, Plantar fascia thickness, Pain, Nurses, Windlass test.
Prevalence of Kinesiophobia in Patients with Osteoarthritis Knee: A Cross Sectional Study
Authors:   BPT (Intern), Dr. A.P.J. Abdul Kalam College of Physiotherapy, Pravara Institute of Medical Sciences, Loni, Maharashtra 413736, India., Kanniappan Subha Pragathi , Vardhan G.D Vishnu ,   Associate Professor & HOD, Dr. A.P.J. Abdul Kalam College of Physiotherapy, Pravara Institute of Medical Sciences, Loni, Maharashtra 413736, India.
Published: July 2021

Background: Osteoarthritis (OA) is one of the commonest forms of joint disease, and the knee is one of the most commonly affected joints. OA is clinically associated with pain, joint stiffness, joint deformity and swelling. Kinesiophobia is a condition in which a patient has an excessive, irritational, and debilitating fear of physical movement and activity resulting from a feeling of vulnerability to painful injury or reinjury. This study addresses the influence of biological (eg: X-ray changes) as well as severity of pain, kinesiophobia in individual physical functioning. The purpose of the study aims to know the prevalence of kinesiophobia in patients with OA knee. Methodology: A simple random sampling of 30 patients with diagnosed OA knee who visited Pravara Rural hospital (Loni) was included. The patients included were between the age group of 40 - 80 years and were screened according to inclusion and exclusion criteria. The data collection includes the application of scales (Tampa scale of Kinesiophobia-11) which includes 11 items, WOMAC (3 components), VAS to all the 30 subjects and was taken by the principal investigator. The total scores of each scale were analyzed mean and standard deviation were taken. Pearson correlation test was performed to know the correlation between each component. Result: Pearson correlation test was performed which showed a positive correlation between all the four variables i.e. stage of OA, VAS, TSK 11, WOMAC with r= 0.0312. Conclusion: The present study concluded that as there is progression in level or stage of OA there is increase in severity of pain which leads to further increase in level of kinesiophobia in individuals with OA of knee. This all components furthers leads to decrease in physical functioning in individuals with OA knee. KEY WORDS: Osteoarthritis, knee, Kinesiophobia, TSK11, WOMAC, VAS.
Effect of Low-Level Laser Therapy and Manual Exercises on Shoulder Impingement Syndrome: A Systematic Review
Authors:   Professor and Chairman of Department of Physical Therapy for Basic Sciences, Faculty of Physical Therapy, Cairo University, Egypt., Hussein El-Gendy Mohamed , Abdulla Yousra Mohamed ,   Department of Physical Therapy for Basic Sciences, Faculty of Physical Therapy, Cairo University, Egypt., Elmonaem Abdalla Ghada Abd ,   Assistant Professor, Department of Physical Therapy for Basic Sciences, Faculty of Physical Therapy, Cairo University, Egypt., Elmeligie Mohamed M. ,   Lecturer, Department of Physical Therapy for Basic Sciences, Faculty of Physical Therapy, October 6 University, Egypt.
Published: July 2021

Background: The aim of this work was to systematically review the influence of low level laser therapy and manual exercises used on the patients with shoulder impingement syndrome. Methods: Systematic review of all published studies with all research designs except expert opinions. A search was made in Pubmed, Medline, Cochrane library, PEDro and Google scholar; from the earliest date to September 2019. Intervention: Low level laser therapy and manual exercises programs performed by the physical therapist. Results: Only 4 studies met the inclusion criteria. Meta-analysis could be done and findings are presented qualitatively due to heterogeneity of the studies. There is no conflicting evidence on whether low level laser therapy and manual exercises can increase the range of movement and decrease pain, for those studies showing improvements in the range of movements. Conclusion: The current level of evidence support the effectiveness of low level laser therapy and manual exercises in patients with shoulder impingement syndrome remains. KEY WORDS: Low level laser therapy, Manual exercises, Shoulder impingement syndrome, Systematic Review.
Cigarette Smoking and Cessation Perception in Student Population in India: An E-Survey
Authors:   Professor and Head, Department of Oncology Physiotherapy, KAHER Institute of Physiotherapy, Belagavi-590010, Karnataka, India., Pattanshetty Renu B , Fernandes Lawrence Victor ,   KAHER Institute of Physiotherapy, Belagavi-590010, Karnataka, India., Nabar Saish Sachin ,   KAHER Institute of Physiotherapy, Belagavi-590010, Karnataka, India., Yadav Neha Anil ,   KAHER Institute of Physiotherapy, Belagavi-590010, Karnataka, India.
Published: July 2021

Background and objectives: Cigarette smoking is one of the major types of tobacco consumption seen worldwide. It contains the highest number of carcinogens and is associated with various forms of cancer. The early initiation of smoking is a cause of addiction and causing greater harm in younger population. Hence, this study aimed to evaluate the patterns of cigarette smoking and cessation perception in college students in India. Methods: 1009 participants between the ages of 18 to 30 years were recruited in the study. Self-designed questionnaire was prepared in the form of Google forms and links were posted on social media (including E-mails, Whatsapp, Instagram and Facebook). Results: Out of 1009 participants 54.2% (n=547) 72.22% males and 24.27% females smoked cigarettes. 68.55% smokers were between the ages of 22 to 26 years. 67.1% smoked for the first time when they were in the age group of 18 to 21 years. More than 60% were daily smokers consuming 1 to 5 cigarettes/day. 38.19 of the participants wished to stop smoking and around 62% of the participants had never made and attempt to quit. Conclusion: The present study demonstrated that more than half of Indian college students who participated in the study smoked cigarettes with the number of males being significantly higher than females. The study suggests for more tobacco prevention and cessation programs to be undertaken targeting the Indian student population leading to cancer prevention in later years of life. KEY WORDS: Cigarette Smoking, Cessation, Students.
Effluent Quality of Wet Process Coffee Processing Factories in Coffee Growing Ecological Zones in Burundi
Authors: E Bisekwa , PM Njogu , T Kufa-Obso
Published: July 2021

Arabica coffee is cultivated by smallholders for commercial purposes, and it is commonly processed using wet Coffee Processing Technology. Burundi has more than 250 Coffee Processing factories which discharge their effluents to water bodies. The goal of this study was to determine the levels of physicochemical parameters in wastewater from Coffee Processing Technology factories in major coffee growing ecological zones in Burundi. Wastewater samples were collected from 19 sites representing private, public and cooperative owned coffee processing stations. Physicochemical analyses were determined in-situ field and laboratory conditions using standard procedures. Results indicate that the wastewater does not meet Burundi Effluent Discharge standards for Total Suspended solids, Chemical Oxygen Demand, Biochemical Oxygen Demand, pH. The data revealed that the wet coffee processing pollutes the environment in terms of pH, Total Suspended solids, Chemical Oxygen Demand, Biochemical Oxygen Demand. There is need to install quality polishing technologies to treat the water before disposal.
On the Use of Iron Chloride and Starch for Clarification in Drinking Water Treatment
Authors: CEP Gomes , HA Oliveira , AC Azevedo , J Rubio
Published: July 2021

In drinking water treatment plants, chemical reagents are employed to aggregate and remove suspended particles. However, not all reagents are eco-friendly and exists concerns over environmental, economic, and health issues. This study shows features of the sustainability of commercial coagulants/flocculants and presents experimental research on floc characterization and settling of dispersed solids with a combination of Ferric Chloride (FeCl3 ) and gelatinized starch. Bench studies were conducted using kaolin suspensions and results were validated with raw water collected from a river (Rio dos Sinos, Brazil). Flocculation indexes, floc structure, and residual turbidities were compared with Polyaluminum Chloride (PAC), as a reference. All techniques showed that the combination of FeCl3 and starch formed well-structured, larger, and more settleable flocs than those produced with PAC. Superficial loadings, in a continuous separation tank (2 to 4 m.h-1) were studied with and without lamellae. Best results were obtained with 15 mg.L-1 Fe3+ and 10 mg.L-1 starch, with a velocity gradient, G, of 60 s-1 in the slow mixing and with 60° inclined lamellae spaced 1.3 cm apart. Best conditions were applied to the clarification of the raw water and again, due to the rapid settling of flocs with FeCl3 and starch, better results were obtained compared to PAC. A turbidity reduction of 94% and a residual value of 2.5 NTU with superficial loadings of 3 m.h-1 were obtained. Results were discussed in terms of interfacial and operating parameters and a promising potential for the combination of FeCl3 with starch for solid/liquid separation was envisaged.
Predicting the Resilience of the Health Care System to New Arrivals: The Case of the Public Health System of Turkey
Authors: IC Ozen , B Tuncay
Published: July 2021

Purpose/Objectives: Since the start of the Syrian war, a significant population has moved out of the Syrian Republic into its neighborhood environs. Turkey has had a significant effect on its health system and society, as a significant new number has entered the Turkish society, increasingly using the Turkish healthcare system. Our aim is not only to numerically identify the size of the effect to the Turkish system, but to identify the domestic resources that allow the Turkish healthcare system and society to build up resilience against the significant health demand shock. The main objectives of this study is 1) To understand whether there is a complementarity between the earlier efforts in the Turkish health system and the current capabilities that is necessary to meet the Syrian Populations Health Needs. 2) To understand if the newly revamped Turkish Primary Healthcare System Provide a crucial buffer for the negative congestion effects that could have been caused by such a significant and relatively unhealthy refugee population being integrated into the health system, at a relatively rapid pace.
Intra-operative Radiation Therapy versus Whole Breast External Beam Radiotherapy: A Comparison of Patient-Reported Outcomes
Authors: Leatherman Jordan , Nicholas Christina , Cusick Therese , Cooke Ellen , Ablah Elizabeth , Okut Hayrettin , Hunt Diane
Published: July 2021

Introduction. This project sought to compare patient-reported outcomes between patients who received intra-operative radiation therapy (IORT) and those who qualified for IORT but received whole-breast external beam radiation therapy (EBRT) following breast-conserving surgery (BCS).
Methods. Three scales from the BREAST-Q Breast Cancer BCT Module Version 2.0 questionnaire were used to collect patient-reported outcomes regarding post-operative physical well-being of the chest, post-operative satisfaction with breast cosmesis and post-operative adverse effects of radiation.
Results. Patients who received EBRT travelled farther on average than patients who received IORT to complete treatment. Respondents who received IORT reported better physical well-being of the chest than those who received EBRT. Regression reveals that the respondent’s age was the determining factor in the difference between IORT and EBRT post-operative physical well-being scores, where younger patients report poorer well-being. There was no difference in patient-reported outcomes regarding post-operative satisfaction with breast cosmesis or adverse effects of radiation.
Conclusions. This study suggests that patients who received IORT report better physical well-being of the chest than patients who received EBRT. There appears to be a relationship between age and physical well-being of chest. This study suggests that there is no difference in patient-reported outcomes concerning post-operative satisfaction with breast cosmesis or post-operative adverse effects of radiation between patients who received IORT and those who received EBRT.
A Pilot and Feasibility Study to Evaluate Small and Large Bite Fascial Closure Techniques
Authors: Gates Clint , Berg Gina M , Vincent Kyle , Acuna David , Ali Kamran
Published: July 2021

Introduction. Few randomized controlled studies have been conducted comparing a small to large fascial bite technique, yet recommendations have been made to standardize small bite closures.  However, large scale randomized controlled trials require considerable effort and may benefit from a pilot study.
Methods. This multi-center randomized controlled pilot study of adult patients undergoing median laparotomy incision investigated the feasibility of studying the outcomes between small and large surgical closure techniques.
Results. Fifty of 100 planned patients consented, 32 patients completed surgery and 19 patients completed the one-year ultrasound.  Enrollment was 2.7 versus 8 patients per month pre/post addition of study coordinator.  Clinical results are summarized for feasibility demonstration purposes, but not analyzed for hypothesis testing.  The total cost of the pilot study was $19,152.50 and took 22 months from first surgery to final one-year ultrasound. 
Conclusions. This feasibility assessment demonstrates the complexity of planning a large scale randomized trial evaluating small and large bite surgical closure technique.  To expand this pilot study to a full scaled sample size study would require dedicated personnel and large grant funding.
Commemorative and Anniversary Philosophical Medals as a Visual Aid and Philosophical Source
Authors: Kruglov Alexey
Published: July 2021

The paper demonstrates the significance of commemorative and anniversary philosophical medals that are seen as a special visual aid for problematic issues in the history of philosophy specification. The author puts forward the thesis that such medals can clarify the perception of philosophical doctrine and the context of philosophical doctrine consideration at a particular time. So, they greatly assist as an additional historical and philosophical source, but they can hardly be helpful with the interpretation of either various aspects of a philosophical doctrine or a particular statement of a particular philosopher. The rationale for the thesis presents the analysis of four philosophical medals: the medal commemorating the foundation of the alethophile society (1740), A. Abramsonʼs medal in honor of I. Kantʼs sixtieth anniversary (1784), A. Abramsonʼs medal for the death of I. Kant (1804), A.L. Heldʼs medals in honor of the sixtieth anniversary of G.W.F. Hegel (1830). If the first three medals contribute to a better understanding of the philosophical traits of the German Enlightenment, the reasons for appealing to Horace's words “sapere aude”, Kant's peculiarity as an Enlightenmentist, philosophical meaning of the Kantian Copernican Revolution and the transformation of the perception of the “Critique of Pure Reason” in the late 18th century, expectations regarding the fourth medal has proved misplaced. It cannot clarify the Hegelian phrase about reason as a rose on the cross of modernity and reconciliation with reality. In addition, in the course of clarifying the meaning of the four aforementioned medals, the author also turns to the commemorative medal of Chr. Wolff by J. Dassier (c. 1733), the medal for the return of Chr. Wolff to Halle by J.Chr. Koch (1740) and the medal for Kantʼs death by F.W. Loos (1804).
Carlism Berween Liberalism and Right-Wing Conservatism. The Case of Juan III (1861–1868)
Authors: Vasilenko Yuri
Published: July 2021

The article is dedicated to Juan III (1822–1887), the Carlist pretender to the Spanish throne in 1861-1868, who opposed himself to the Carlist «mainstream» by expanding the ideological framework of this movement to the left up to liberalism. As a liberal, Juan III becomes an exponent of the trend (left-wing bias within Carlist conservatism) which originates from Carlist general R. Maroto Yserns` activities who signed in 1839 the peace of Vergara with the Isabelites and expresses in Carlos VI`s attempts to find an agreement between the two branches of the Spanish Bourbons in the form of a dynastic marriage with Isabel II. The article analyzes the failures of Juan III as a political practitioner who sought to combine in his activities the desire to integrate himself into the New — liberal-bourgeois — Order (but for that it was necessary to find agreement with the liberal-conservative wing of the «moderados» on the right and the progressives on the left) and to remain at the head of the Carlist «mainstream» which stood on the positions of right-wing conservatism. To identify the contradictions between such incompatible intentions, Juan III's views are contrasted with — the second wife of Carlos V — Maria Teresa, Princess de Beira`s ideas who expressed the interests of the Carlist «mainstream» on the eve of the liberal-bourgeois revolution of 1868-1974 and the third Carlist war. It is shown that the figure of Juan III — for all its irrelevance in the socio-political conditions of Spain in the XIX century — becomes a kind of herald for the modern leaders of Carlism (traditionalist and liberal conservative ones) who live and act separately from the currently marginal “right-wing faction” of Carlism which still stands on the positions of right-wing conservatism.
Rapport sur les destruction opérées par le vandalisme et sur les moyens de le réprimer
Authors: Gregoire Henri
Published: July 2021

Translation of: Grégoire, H. 2012. “Rapport sur les destruction opérées par le vandalisme et sur les moyens de le réprimer” [in French]. In L’abbé Grépoire et la naissance du patrimoine national, ed. by J. Boulad-Ayoud, 37–65. Quebec: Presses universitaires de Laval.
Famine, Affluence, and Morality
Authors: Singer Peter
Published: July 2021

Translation of: Singer, P. 1972. “Famine, Affluence, and Morality.” Philosophy & Public Affairs 1 (3): 229–243. (Philosophy & Public Affairs © 1972 Wiley).