bluuebunny/crossref_metadata_2025 huggingface dataset:
The Need of Modifying Current Teaching in Pathology Practical Classes – A Study from Second Professional MBBS Student's Perspective in North India
Authors: Yadav Vandna , Shrimal Rimjhim , Kumar Vinod , Deshmukh Abhay Vilas
Published: February 2023

Background:

The main goals of teaching in second professional MBBS Pathology practical classes is to provide a framework for the description of the disease and to provide students with knowledge of the functional and structural changes in order that disease pathogenesis is well understood.

Aims:

It was a cross sectional descriptive study which aimed to find out the importance of teaching in pathology practical classes in the MBBS curriculum as well as to assess the student's perception regarding subject understanding.

Materials and Methods:

Two hundred and sixteen students of 2nd MBBS who had already completed 1st year and were about to appear in university examination in the year 2020 were included. An extensive questionnaire was prepared regarding 2nd-year pathology teaching. The feedback from students was obtained and analyzed.

Results:

About 67.5% of students found pathology practical classes more interesting than theory classes. 88% of students were confident to interpret CBC reports. Almost half (50%) did not visit the histopathology section while; only 12% and 38% of students were confident to collect blood and urine samples of the patient. About 83% and 93% of students found gross specimen and clinical charts useful in teaching. 63.88% of students suggested to increase the number of practical hours in pathology.

Conclusion:

Our study has emphasized the importance of teaching in pathology practical classes as important for better understanding in clinical subjects. As the competency-based curriculum is being starting from 2019 batch and onward, this elaborative study, especially in the practical aspects in the subject Pathology can act as a baseline to get access to the effectiveness of the new curriculum in the coming years.
Coronavirus Disease-19 Pandemic and Telework
Authors: Shrivastava Saurabh RamBihariLal , Shrivastava Prateek Saurabh
Published: February 2023

The emergence of coronavirus disease-2019 (COVID-19) pandemic has brought about a significant change in the dynamics of health and the work profile. Telework refers to the practice of working remotely with the help of different information and communication technology applications and thereby continuing the work. Although telework definitely minimized the probability to acquire the COVID-19 infection, gradually evidence emerged suggesting problems resulting because of defective design of the workplace and long duration of working hours. It is an undeniable fact that the ongoing pandemic frankly resulted in an overnight change in the work pattern of all employees. To conclude, considering the trends of the COVID-19 pandemic, telework is expected to be there, even in the postpandemic period. This calls for the need to enhance collaboration between workers and employees to enable a reduction in the incidence of physical and mental illnesses and promotion of safe and healthy behavior.
The Posthuman and Irish Antigones: Rights, Revolt, Extinction
Authors: Remoundou Natasha
Published: February 2023

Antigone’s afterlives in Ireland have always enacted critical gestures of social protest and mourning that expose the fundamental fragility of human rights caught up in the symbolic conflict between oppressors and oppressed. This paper seeks to explore the scope of rereading certain Irish figurations of Antigone – the exemplary text of European humanism – through a posthumanist lens that unveils new and radical understandings of modern injustices, legal fissures, and capitalist insinuations of an “inhuman politics” against proletarian minorities in twentieth-century Irish society in transnational contexts. The possibilities of a posthumanist theorization of Antigone at the intersection with gender, class, and human rights, reflect the connecting threads, political, aesthetic, and critical, between two texts: an early twentieth-century anonymous poem titled “The Prison Graves” dedicated to Irish human rights activist and revolutionary Roger Casement and an unpublished play-version of Antigone by Aidan C. Mathews in 1984, dedicated to René Girard. Written and produced as a critique of systematic institutional violence and neoliberal capitalist oppression during the epoch of the anti-revolutionary zeitgeist, the myth of Antigone shifts its dialectic from the nationalist nostalgia of “The Prison Graves” to the play-version of the Cold War era to reciprocate a counter-protest against the passing of the Irish Justice Bill. Antigone is reimagined as a hypochondriac resident of the slums of the proletariat and a member of a degenerate acting troupe. Her classical (mythical), aristocratic (white, European, Western) figure has become a posthuman commodity: a proletarian actor now, she performs the same role for millennia in a post-nuclear contaminated prison state in Thebes/Dublin. Peteokles is a bourgeois-turned-rebel mediary; Polyneikes is remembered as a communist terrorist who has been airbrushed from the records of the police state; a bibliophile Ismene religiously reads Aleksandr Solzhenitsyn’s The Gulag Archipelago, and the Chorus is the real state oppressor.
Five-Year Plans, Explorers, Luniks, and Socialist Humanism: Anton Sovre and His Blueprint for Classics in Slovenia
Authors: Movrin David
Published: February 2023

About a year before the pandemic struck, personal archives of Anton Sovre (1885–1963) were rediscovered, and they eventually made their way to the National and University Library in Ljubljana. During the fifties, Anton Sovre was the undisputed éminence grise of the field of classics in Slovenia and among the new sources now available to researchers is an essay on “Perspective Development of Classical Philology” from 1959. The document was written in the tradition of the Five-Year Plans, and its rhetoric is often amusing. Its content, however, was written mainly by Sovre’s best student. At that time, Kajetan Gantar (1930–2022) had already defended his PhD thesis on Homer. Due to political reasons, he was initially blocked from getting a university position. However, the situation changed somewhat during the thaw in the sixties, when he could finally get the position of lecturer, and he eventually became the leading classical scholar and translator in the country and Sovre’s successor. His proposal for the future of the discipline shows strategic thinking, which was confirmed by the decades that followed.
Ferenc Hörcher (1964), University of Public Service, Budapest
Authors: Božič Anja
Published: February 2023

Toward concordia: Dialogue and Poetry. – The question whether the governance and autonomy of medieval and early modern cities and the participation of their citizens in communal affairs may gesture toward a form of communal self-governance or it is yet another form of the rule of the privileged has re-emerged with new answers in recent scholarship. It was also one of the topics of the lecture series, Urban Governance and Civic Participation in Words and Stone, as part of which Prof. Ferenc Hörcher also gave a talk. Although the following interview is based primarily on Prof. Hörcher’s lecture, the discussion joyfully meandered through a number of other, fascinating topics, like the value of philosophical dialogue vis-a-vis debate, the literary figure of the flaneur, the political ideas of Dante and the philosophical potential of poetry.
Ancient Athenian Democracy, Workers’ Councils, and Leftist Criticism of Stalinist Russia
Authors: Saldutti Vittorio
Published: February 2023

“The political form at last discovered under which to work out the economic emancipation of labor.” With these words, Marx described the Paris Commune of 1871. It “was formed of the municipal councillors, chosen by universal suffrage in the various wards of the town, responsible and revocable at short term […] a working, not a parliamentary body, executive and legislative at the same time.” The political tradition of the Commune was inherited by the Russian soviets and inspired Lenin, who explained the role of those governing bodies as a “reversion to primitive democracy.” Arthur Rosenberg, professor of Ancient History at Berlin University, tried in his book Democracy and Class Struggle in the Ancient World to offer historical ground for the ideas developed by Lenin in State and Revolution and compared ancient Athenian democracy to the contemporary German and Russian councils. During the 1920s, as a communist leader and MP, Rosenberg, recalling his ideas on Athenian democracy, criticized the political degeneration of the Russian workers’ State. He stressed how Soviet Russia, in limiting the power of the councils, had suppressed the governing body of socialist direct democracy. In his work Workers’ Councils, Dutch revolutionary Anton Pannekoek renewed Rosenberg’s criticism at the end of World War II, returning to the image of ancient democratic Athens as a forerunner of the socialist councils.
Antonio Tabucchi’nin Gece, Deniz ya da Uzaklık Öyküsünde Çarpıtılmış Bellek
Authors: KURTULUŞ Yasemin
Published: February 2023

Bellek sadece bir şeyin hatırlanmasını değil, aynı zamanda unutulmasını da içeren kavramdır. Çünkü hatırlama ve unutma hep birlikte hareket eden iki olgudur. Bellek tarihe, mekâna, çeşitli sembollere göre şekillenebildiği gibi bazı travmalara göre de şekillenebilir. Travma sonrası bellek, gerçekleri, anıları çarpıtarak onların yerine sahte anılar üretir. Hafızanın bozulmasını tetikleyen travma kavramı edebiyat gibi çeşitli sanat dallarına konu olmuştur. Anıların hiçbir zaman güvenilir olmadığı, gerçeğin ve hafızanın çarpıtıldığı romanlar oldukça yaygındır. Avrupa'da özellikle İkinci Dünya Savaşı'ndan sonra yayımlanan edebî eserler, hafızanın edebiyatla olan güçlü ilişkisini gözler önüne serer. Bu çalışmada çağdaş İtalyan edebiyatının önemli isimlerinden Antonio Tabucchi’nin Angelo Nero [Kara Melek] isimli kitabında yer alan “Gece, Deniz ya da Uzaklık” öyküsünde çarpıtılmış belleğin nasıl şekillendiği incelenecektir. Bu inceleme yapılırken Fernando Pessoa ve yaşadığı dönemin hem yazar hem de eser üzerinde bıraktığı etkiye de yer verilecektir. “Gece, Deniz ya da Uzaklık”, Kasım 1969'da dört arkadaşın (Tiago, Luisa, Michel, Joana), ellili yaşlardaki şair Tadeus ile şiir hakkında sohbet ettikten sonra, siyasi polis ajanların arama ve tehditlerine maruz kaldıkları trajik bir geceyi anlatmaktadır. Portekiz'deki Salazar diktatörlüğü döneminde geçen bu korku ve şiddet dolu gece, dönemin tarihsel ve kolektif belleğine ışık tutarken hayal gücü ile kötü anıların çarpıtılmasını da okura sunar.
A Data-Driven Approach Towards the Application of Reinforcement Learning Based HVAC Control
Authors: Falk Constantin , El Ghayed Tarek , Van de Sand Ron , Reiff-Stephan Jörg
Published: February 2023

Refrigeration applications consume a significant share of total electricity demand, with a high indirect impact on global warming through greenhouse gas emissions. Modern technology can help reduce the high power consumption and optimize the cooling control. This paper presents a case study of machine-learning for controlling a commercial refrigeration system. In particular, an approach to reinforcement learning is implemented, trained and validated utilizing a model of a real chiller plant. The reinforcement-learning controller learns to operate the plant based on its interactions with the modeled environment. The validation demonstrates the functionality of the approach, saving around 7% of the energy demand of the reference control. Limitations of the approach were identified in the discretization of the real environment and further model-based simplifications and should be addressed in future research.
Modelo de cálculo de costos logísticos, mediante la representación de diagramas de flujo para las microempresas ecuatorianas
Authors: Guamán César Augusto Valladares , Morán Alexandra Elizabeth Vaca , Moreno Jenny Patricia Núñez , Sánchez María Alejandra Jácome , Briones María Carmen Muñoz
Published: February 2023

El análisis de los costos en la gestión logística es fundamental para garantizar las operaciones del negocio, disponer de información fehaciente en torno a las erogaciones establecidas en la cadena de sumisitos permite direccionar esfuerzos a la optimización logrando mayores niveles de eficiencia. El desarrollo de la presente investigación tuvo como propósito esencial el incorporar  un esquema de cálculo de costos para los procesos logísticos mediante la utilización de diagramas de flujo, aplicables a las microempresas ecuatorianas. El procedimiento consistió en identificar las actividades secuenciales que integran el proceso de preparación de pedidos con sus respectivos tiempos de ejecución y responsables. Se representó el proceso en un flujograma mediante la simbología ANSI, adicionando al formato global epígrafes que refieren al costo total. Se cuantificaron los costos logísticos por minuto, estableciendo los desembolsos generados a nivel de responsables de cada actividad, y gastos logísticos incidentes en el proceso. Se procedió a la inducción de un algoritmo básico para determinar la repetición del proceso, el costo diario y mensual. El modelo de cálculo permitió estipular un costo por proceso de 0,53 centavos de dólar correspondiente a un tiempo de duración de 10 minutos. Las repeticiones máximas del proceso por periodo fueron de 48, lo que permitió determinar un costo diario de 25,25 dólares y un costo mensual total de 505,00 dólares. Está información aportará a la inducción de parámetros de retroalimentación y optimización de costos en las microempresas ecuatorianas
Desenvolvimento de modelos de planejamento da expansão de sistemas elétricos para integração de geração fotovoltaica e veículos elétricos
Authors: Machado Moises , De Campos Mauricio , Sausen Paulo , Sperandio Mauricio
Published: February 2023

A mobilidade elétrica impõe às redes elétricas um aumento de demanda de potência, que se caracteriza por ser variável tanto no tempo quanto no espaço, associada ao carregamento das baterias. Adicionalmente, as variabilidades intrínsecas das fontes de geração renováveis, sobretudo solar, aumentam de forma expressiva as incertezas atreladas à operação dos sistemas elétricos. Desta forma, a presente pesquisa objetiva estudar os impactos da difusão de sistemas de geração fotovoltaicos (PVs) e de veículos elétricos (VEs). Para cumprir com esse propósito são empregados indicadores probabilísticos de desempenho para análise de um sistema real, utilizando técnicas de simulação de Monte Carlo. Os resultados obtidos sinalizam a degradação das condições operacionais do sistema à medida que se eleva o nível de penetração de sistemas PVs e VEs. Em especial, identificaram-se elevada probabilidade de ocorrências de sobretensões, assim como de sobrecargas em transformadores de distribuição e condutores.
Central Pontine Myelinolysis Secondary to Hyperglycemia: A Case Report
Authors:   Emergency Department, Mohamed V Military Hospital, Rabat, Faculty of Medicine and Pharmacy of Rabat, University Mohammed V Souissi, Rabat, Mohammed V University in Rabat, Morocco, MOUSSA, MhD Walid MOHAMED , OUALI, MhD Ibtissam EL ,   Radiology Department, University Hospital Ibn Sina, Rabat, Faculty of Medicine and Pharmacy of Rabat, University Mohammed V Souissi, Rabat, Mohammed V University in Rabat, Morocco, MOUSSA, MhD Aicha HOUSSEIN ,   Emergency Department, Mohamed V Military Hospital, Rabat, Faculty of Medicine and Pharmacy of Rabat, University Mohammed V Souissi, Rabat, Mohammed V University in Rabat, Morocco, DENDANE, PhD Tarek ,   Medical Intensive care Department, University Hospital Ibn Sina of Rabat, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University in Rabat, Morocco, ZEGGWAGH, PhD Amine Ali ,   Medical Intensive care Department, University Hospital Ibn Sina of Rabat, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University in Rabat, Morocco
Published: February 2023

Centropontine myelinolysis (MCP) belongs to the osmotic demyelination syndrome, and occurs especially after the rapid correction of hyponatremia. In rare cases, it is caused by states of hyperosmolarity and it can be seen in hyperglycemia. Here, we report the case of a 28-year-old diabetic patient, admitted to intensive care unit for a disorder of consciousness and seizures. The physical examination found an apyretic patient with, Glasgow of 11, with quadriparesis and high blood pressure. Laboratory investigations showed hyperglycemia and metabolic ketoacidosis with chronic renal failure, natremia was normal, lumbar puncture was also normal. The diagnosis of MCP was retained on the MRI. Insulin therapy and rehydration were started and the patient showed a clinical improvement. However, he died because of ventilator-associated pneumonia. The aim of this work is to show that MCP can occur despite the absence of an abnormality of natremia and this diagnosis should be considered in diabetic patients with neurological disorders
EL NATURALISMO LITERARIO EN LA POESÍA MEXICANA
Authors: Venegas Pérez Ricardo
Published: February 2023

Naturalism as a literary current has been associated with Émile Zola (Paris, 1840-1902), who, after publishing the saga Les Rougon Macquart, was the main promoter of the "experimental novel", a narrative seen as a sociological experiment, to the which is not interested in projecting reality, as happened with the realistic novel. On the contrary, the objective was to identify the root of social problems based on the principles of positivism: the medium, progress, in order to collaborate in their conversion and restoration.
Revisão taxonômica e filogenia de Dennstaedtia S.L. (Dennstaedtiaceae) para a América do Sul
Authors:   , Pena Nelson Túlio Lage
Published: February 2023

No presente trabalho, 13 espécies de Dennstaedtia, seis de Mucura e duas de Microlepia são reconhecidas para a América do Sul, totalizando um total de 20 espécies revisadas na tese. Destas, três táxons são propostos como novos para à ciência, e cinco novas combinações foram realizadas, principalmente relacionadas aos complexos de espécies Dennstaedtia dissecta/D. cornuta e Mucura bipinnata/M. globulifera. Foram propostas três novas espécies, a saber: Dennstaedtia aculetata sp. nov., D. andina sp. nov. e Mucura alata sp. nov. Cinco combinações novas também são propostas, a saber: Dennstaedtia concinna comb. nov., D. fluminensis comb. nov., Mucura baccifera comb.nov., M. tamandarei comb. nov. e M. tenera comb. nov. Os estudos moleculares apresentam uma nova proposta filogenética para a família Dennstaedtiaceae, com foco nas espécies brasileiras da subfamília Dennstaedtioideae. Os marcadores utilizados foram rbcL, trnL-trnF e rps4-trnS. As reconstruções filogenéticas se basearam em análises de Máxima Verossimilhança e Bayesiana. A topologia resgatou as subfamílias Dennstaedtioideae, Hypolepidoideae e Monachosoroideae como monofiléticas, apresentando elevado valor de bootstrap para os clados em nível de gênero. Os complexos de espécies, principalmente envolvendo espécies brasileiras, foram melhor compreendidos e resolvidos taxonomicamente. As espécies resgatadas da sinonímia, Dennstaedtia concinna, D. fluminensis, Mucura tamandarei e M. tenera, foram sustentadas como espécies válidas no estudo filogenético aqui apresentado. Palavras-chave: Neotropical. Polypodiales. Samambaias.
Catechol-O-Methyltransferase (COMT) Enzyme Level In Preoperative Anxiety Patients
Authors: Hamonangan Nasution Akhyar , Lelo Aznan
Published: February 2023

Background: Incidence of perioperative anxiety is very high, many preoperative patient experience anxiety . Thiamine acts as an essential nutrition funtionate as cofactor enzyme in most of mitochondria in brain. Brain is very susceptible to thiamine deficiency because its dependency on mitochondrial ATP production. Decreased ATP production result in inhibition of COMT activity. Low COMT levels indicated tendency for anxiety. The aim of this study is to determine the effect of thiamine in increasing COMT enzyme levels in patient with preoperative anxiety

Methods : A true experiment with pretest-posttest control group and double-blind design conducted at the Department of Anesthesia and Intensive Care of University of North Sumatra in August 2019. The 60 patients were analyzed which were planned for and done an elective surgery under general anesthesia. Preoperative anxiety was measured with Amsterdam Preoperative Anxiety and Information Scale (APAIS) and COMT enzyme level measured by ELISA assays.

Results : The results showed that from 64 patients had incidence of preoperative anxiety in this study was 48.3%. We found that there is significant differences in COMT enzyme levels in thiamine group compared to control (p value = 0.001). In addition, it was seen that in thiamine group had an increased COMT levels from 0.96 ng/dL to 1.78 ng/dL, while in control group there also slight increasing from 0.44 ng/dL to 0.78 ng/dL. This show that increase in COMT levels is greater in thiamine group than control group.

Conclusion : Thiamine can cause increasing COMT enzyme levels in patients scheduled for elective surgery with preoperative anxiety under general anesthesia
Use of Chest X-Ray (CXR) in Covid-19 Screening as A Modalities
Authors: Prabowo Adityo
Published: February 2023

Background: As of March 11, 2020, the number of confirmed cases in China had reached 80,955 with the death toll reaching 3,162. So far, Covid-19 tends to infect people who have comorbid diseases such as heart disease, diabetes mellitus, cancer and chronic respiratory diseases as well as people over 60 years of age. Several cases of Covid-19 have also been reported in pregnant women.

Method: Radiographic technologies and tools including chest X-Ray and Computed Tomography (CT) are applied for initial screening and the follow-up because they provide detailed diagnoses with specific pathological features for staging and treatment settings. Not infrequently cases of Covid-19 are found in pregnant women because during pregnancy women’s condition becomes very vulnerable to infection with pneumonia pathogens due to physiological changes during pregnancy that result in a decrease in the immune system. Although the clinical symptoms are the same as for non-pregnant women and there are no aggravating factors, pregnant women are prone to hypoxia.

Results: Chest x-ray (CXR) is a radiographic projection tool that can help diagnose conditions or abnormalities in the thoracic cavity. Due to the spread of Covid-19, it is important to recognize the common Covid-19 imaging findings and the abnormal pneumonia that occurs over time on CXR results. CXR can be used to diagnose patients with acute respiratory distress as the first line of evaluation for Covid-19 patients 19.

Conclusion: CXR can be a screening modality in Covid-19 patients including pregnant women. However, it is necessary to keep in mind that the CXR examination can have an impact on the fetus. Even though the risk is small, pregnant women who will undergo a Covid-19 examination or evaluation need special attention. In addition, it is necessary to consider other examinations that can be carried out especially on pregnant women, which do not have the effect of radiation
Glycolipids as a promising ingredient in food and pharmaceutical technologies
Authors: Gerasimenko E. O. , Slobodyanik M. V. , Sonin S. A. , Popkova P. О.
Published: February 2023

The relevance of the analysis of scientific publications devoted to the study of the composition, properties, methods of preparation, areas of application, as well as the qualitative and quantitative identification of glycolipids is determined by the prospects for their use as alternative natural surfactants. Glycolipids possessing comparable surfactant properties with widely used surfactants of a petrochemical nature, and distinguished by the absence of toxicity and environmental friendliness, exhibit pronounced physiological and functional properties.Currently, there are no systematic data covering various aspects of the composition, physicochemical properties of glycolipids.The purpose of this research is to clarify the classification of glycolipids, to summarize data on the advantages and disadvantages of various industrial methods for obtaining glycolipids; systematization of data on the properties of glycolipids by application; identification of the most effective methods for the qualitative and quantitative identification of glycolipids.Particular attention is paid to the analysis of data on the possibility of isolating glycolipids from plant materials, including secondary resources of the oil and fat industry.The data presented in the review indicate that glycolipids, including those isolated from plant materials, are characterized by a high biotechnological potential for their use in the creation of pharmaceuticals, cosmetics, and functional foods.Of the known methods for the industrial production of glycolipids, currently the most common and cost-effective methods are those based on microbiological and enzymatic synthesis.Promising raw materials for the production of glycolipids are secondary products of processing of oilseeds – phosphatide emulsions and phosphatide concentrates containing up to 5% glycolipids in their composition. There are currently no methods for obtaining glycolipids from this type of raw material.Of the known methods for the qualitative and quantitative identification of glycolipids (TLC, HPTLC, HPLC, NMR), the most promising method is high-resolution NMR spectroscopy, as it is the most informative, rapid and accurate.
Detecting olive oil counterfeiting by dilution with rapse and sunflower oils according to the triacyl glyceride profile using the method of gas chromatography
Authors: Zhdanov D. D. , Butina E. A. , Dubrovskaya I. A. , Ilyinova S. A. , Shazzo A. Y.
Published: February 2023

Olive oil is a valuable food product, a source of monounsaturated fatty acids, antioxidants, including polyphenolic nature, as well as terpenes and phytosterols. The high cost, along with the demand for special dietary properties, makes olive oils an attractive target for counterfeiting, most often done by diluting olive oil with cheaper sunflower and rapeseed oils. Considering that traditional indicators of identification of vegetable oils do not allow to detect such falsification; it is relevant to search for new objective indicators and methods for identifying olive oils. The purpose of the research is to justify the use of triacylglyceride profile for identification and detection of falsification of olive oils. The objectives of the research include the selection and adaptation of an effective and affordable method for determining the triacylglyceride profile; identification of reliable markers of identification and falsification of olive oils, carried out by diluting them with sunflower or rapeseed oils; establishing dependencies that allow determining the amount of sunflower or rapeseed oil mixed with olive oil. Gas chromatography with a flame ionization detector has been used as the main research method. Based on the studies carried out, the method of gas chromatography with a flame initiation detector has been adapted for the analysis of the triacylglyceride profile of olive, sunflower and rapeseed oils, as well as their mixtures. Markers have been established that make it possible to unambiguously identify the falsification of olive oil by diluting it with sunflower or rapeseed oil. Calibration graphs and dependencies are proposed that allow you to set the amount of sunflower or rapeseed oil in a mixture with olive oil.
The possibility of using frozen table grapes in the production of functional food products
Authors: Tarasenko A. V. , Rodionova L. Y.
Published: February 2023

The article is devoted to the research in the field of the use of frozen grapes in the production of functional products. The main tasks are to substantiate the technological significance of frozen table grapes for the development of recipes for functional products and to investigate the influence of negative temperatures on the change in the quality indicators of raw materials. The objects of the research are 5 table varieties of grapes grown on plantations of the peasant farm of the Dinskoy district of Krasnodar. At the Department of Technology of Storage and Processing of Crop Products of the Kuban State Agrarian University named after I.T. Trubilin, experimental studies of the qualitative characteristics of fresh grapes have been carried out in order to study and confirm the prospects for using frozen grapes for the production of functional products. To perform the research, standard physicochemical and organoleptic methods of analysis, generally accepted in the food industry, have been used. The grape berry is a source of nutrients that the body needs to maintain a full and active lifestyle when consumed fresh: anthocyanins, pectins, vitamins and minerals.The disadvantage of replenishing these nutrients is the short period of consumption of fresh grapes. To study the technological qualities of grapes, varieties with different ripening periods have been studied.Freezing as a preservation method allows these products to be consumed throughout the year. The methods of physical and chemical analysis have been used to determine the indicators of the biochemical composition of fresh and defrost grapes, confirming their biological and nutritional value. It has been established that shock freezing of grapes with subsequent defrosting allows preserving biologically valuable components of the chemical composition of the objects under study, which makes it possible to develop healthy food products from frozen table grapes.
EXPERIÊNCIAS E ESTRATÉGIAS DE ENFRENTAMENTO DE FAMILIARES COM CRIANÇAS EM CUIDADOS PALIATIVOS PEDIÁTRICOS: UMA REVISÃO DE LITERATURA
Authors: Dos Santos Mazini Gabrielly , Domingos da Silva Maria Zilda , Capolis de Castro Nathalia , Silva Garcia Natália , Gonçalves Oliveira Nadia Karolina , Ataide Gonçalves Gabriela , Aparecida Gomes Soares Rayane , Silva Lima Jussara
Published: February 2023

Na pediatria os Cuidados Paliativos visam prevenir, identificar e tratar crianças que sofrem com doenças crônicas, progressivas e avançadas. O objetivo do estudo é evidenciar as experiências e estratégias de enfrentamento utilizadas pelos familiares de crianças e adolescentes em cuidados paliativos. Trata-se de uma revisão integrativa da literatura. As principais bases de dados utilizadas foram Web of Science, Scientific Electronic Library Online (SciELO), PubMed, Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) e Scopus. Usando como palavras chaves para a busca os descritores “Palliative Care”, “Child”, “Family” e o operador booleano AND. Foram selecionados 12 artigos científicos, escritos em português, inglês e espanhol no período de 2017 a 2022. A partir da análise e discussão dos artigos selecionados para esse estudo ficou evidente que o processo de cuidar de crianças e adolescentes gravemente enfermos que estão sob cuidados paliativos é permeado pelas dimensões pessoal, familiar, profissional, organizacional e sistêmica. Quando se trata de uma criança com uma doença ameaçadora da vida é um desafio tanto para os pais quanto para os profissionais de saúde, pelo fato de que o evento ocorre controverso ao “roteiro” da existência humana.
A IMPORTÂNCIA DO NUTRICIONISTA PARA A PROMOÇÃO DA SAÚDE NA ATENÇÃO BÁSICA: UMA REVISÃO INTEGRATIVA
Authors: Pereira de Oliveira Taiane , Pereira Teixeira Fernanda
Published: February 2023

O nutricionista é um profissional que atua na promoção, prevenção e reabilitação da saúde, mediante as práticas alimentares saudáveis. No contexto da Saúde Pública no Brasil, a Atenção Básica é um local de extrema importância para a atuação do nutricionista, visto que a Atenção Primária à Saúde proporciona o contato direto da população aos serviços do SUS. O estudo teve como objetivo analisar a inserção e a atuação do nutricionista no desenvolvimento de ações que promovam saúde e qualidade de vida dos usuários da Atenção Primária à Saúde. Para isso, realizou-se uma revisão integrativa da literatura, no qual os artigos passaram pela seleção e análise crítica para a construção do presente estudo. Mediante os critérios de inclusão e exclusão, obteve o total de 12 artigos que atenderam as exigências e a temática abordada. Pode-se concluir que é necessário haver mais valorização do nutricionista, sendo importante a sua inclusão na equipe multiprofissional na Atenção Básica, visto que, cada vez mais é fundamental o desenvolvimento de programas de Educação Alimentar e Nutricional, no qual o nutricionista é o profissional mais qualificado para promover tais ações.
Exploring Perception and Role of Nurses during COVID-19 Pandemic: Experiences of Frontline Workers in East Java, Indonesia
Authors: Noviana Ulva , Hasinuddin M. , Suhron M. , Endah Sumarti
Published: February 2023

Introduction: Humanity is increasingly faced with the constant threat of natural and man-made disasters. Nurses need to have preparedness because they are at the forefront of disaster management. However, few studies have explored the perception of nurses during the COVID-19 pandemic in Indonesia. This study explored nurses’ perceptions in caring for patients with COVID-19. Methods: The study used a qualitative approach at two referral hospitals for COVID-19 in East Java, Indonesia, from June 10 to 30, 2021. Twenty-five nurses who worked closely with COVID-19 patients were recruited through convenience sampling. They underwent a face-to-face interview, through an online platform, using semi-structured interview. The data were analyzed thematically. The NVivo version 12 was used to organize data to improve analysis. Results: Three main themes emerged from the analysis including 1) lack of preparation in facing a pandemic situation, 2) ready to face all the tremendous challenges–fighting with nurse duties, and 3) working together as a transdisciplinary team. Conclusion: The study showed that during caring for patients with COVID-19, nurses perceived the lack of PPE, unstable working emotions, burning shift schedule, and working collaboration. Enhancing the role of nurses to deal with any pandemic or microbiological attack needs to be highlighted.
The Relationship Between Knowledge and Attitudes of Malaysian Undergraduate Students Towards Dementia
Authors: Hussein Siti Zuhaida , Ismail Azera Hasra , Zulkefle Muhammad Fidaus , Azhar Ahmad Nur Iman , Mahiran Nurmahirah
Published: February 2023

Introduction: Providing care for vulnerable people, including older adults with dementia, that is safe and efficient is a significant factor in improving their health. This study aims to determine the knowledge and attitudes of undergraduate nursing students regarding dementia in older adults. Methods: This is a cross-sectional study conducted among 126 undergraduate students at a Malaysian university using purposive sampling. The respondents’ knowledge of dementia was measured using the Alzheimer’s Disease Knowledge Scale (ADKS), and their attitudes towards dementia were measured using the Adolescent Attitudes towards Dementia. The scale of P<0.05 was statistically significant, and the data was analyzed using the Statistical Package for the Social Sciences (SPSS) Statistics 26.0 for Windows. Results: The results showed that 78.6% of undergraduate nursing students had higher knowledge of dementia than 92.9% had positive attitudes toward dementia. There is a significant relationship between years of study and knowledge of dementia among UKM nursing students (χ2= 14.93, p = 0.001). Conclusion: Most undergraduate students have higher knowledge of and positive attitudes towards dementia. A better understanding of the disease process improves the quality of life for people with dementia and their caregivers. Longitudinal and comparative studies were suggested for further research.
Public’s Preferences for Community Pharmacy Attributes and Their Perceptions Towards Pharmacist-led Minor Ailment Services in Malaysia
Authors: Selvaraj Amutha , Appalasamy Jamuna Rani
Published: February 2023

Introduction: The prospect of public accessing community pharmacies for minor ailment advice or treatment highly depends on the pharmacy attributes and their staff. This study aimed to investigate the extent to which community pharmacies are used as a source of minor illness management and the public’s relative preferences for pharmacy features. Methods: A cross-sectional survey among the public in Malaysia was carried out between August and December 2020. The validated self-administered questionnaires were distributed at several pharmacies and shared via email, Whatsapp group, and Facebook. Results: A total of 141 from 153 public respondents completed the survey. From the descriptive and inferential analysis, it was found that about a third of the public goes to a pharmacy for advice or treatment for minor illnesses. The vast majority of respondents had positive perceptions that community pharmacists are knowledgeable and qualified to offer advice or treatment for minor diseases. A significant positive relationship was observed between pharmacy characteristics’ scores and pharmacy staff and pharmacy services’ scores (p<0.001). The increase in pharmacy staff score significantly increased the pharmacy services’ score (p<0.001). Conclusion: The implications of the public acknowledging specific attributes were crucial in further supporting community pharmacists’ services, especially in the private practice setting.
Hordeum vulgare (Barley grass) Scavenge Free Radical and Inhibits Formation of Advanced Glycation End Products Formation
Authors: Nematiasgarabad Pershia , AP Anamalay Kirtani , Xiu Qing Chong , Chan Hor Kuan , Okechukwu Patrick Nwabueze
Published: February 2023

Introduction: Advanced glycation end products (AGEs) formation is due to glycation of lipids, proteins, and nucleic acids. AGEs play a vital role in Diabetes Mellitus (DM) and cardiovascular complications and is enhanced by oxidative stress. Hordeum vulgare (Barley Grass) is a cereal plant of grass family poaceae and has been reported to exhibit antidiabetic and antioxidant characteristics and prevention of cardiovascular disease. Current experiment focused on the evaluation of antioxidant and anti-advanced glycation end products formation effect of Hordeum vulgare water extract. Methods: Free radical scavenging ability of Hordeum vulgare water extract, was evaluated using DPPH, nitric oxide, hydrogen peroxide, lipid peroxidation, FRAP and metal ion chelating. Total phenolic content of Hordeum vulgare was also analysed. In-vitro antiglycation activity was done using BSA-MGO, BSA-Glu. Phytochemical screening was performed to detect the presence of flavonoids, saponins, tannins, steroids and terpenoids. Results: The results showed Hordeum vulgare water extract ameliorated the formation of AGE and scavenge free radical from DPPH, Nitric oxide, hydrogen peroxide, Lipid peroxidation, FRAP and Metal ion chelating. Phytochemicals such as saponins, tannins, flavonoids, steroids and terpenoids were detected in Hordeum vulgare water extract. Conclusion: Hordeum vulgare water extract reveals antiglycation and free scavenging properties.
The Invisible Struggles: A Qualitative Study in Understanding Mothers’ Perceptions and Experiences in Nurturing Small for Gestational Age Infants
Authors: Ahmad Norain , Sutan Rosnah , Mohd Tamil Azmi , Hajib Noriah
Published: February 2023

Introduction: Small for gestational age (SGA) infants have been linked to poor growth trends and nutritional status. SGA infants that do not reach their full growth potential must be supervised by a multidisciplinary medical team. Parents devote more time, energy, and money for raising of the SGA infants. The objective of this present study is to explore the perceptions and the experiences of the mother in nurturing the small for gestational age infants in their first year of life. Method: A qualitative exploratory descriptive study via in-depth interview was conducted in the primary health clinics in urban areas in Malaysia to explore the mothers’ perceptions and experiences in SGA infant’s care. 13 SGA infant’s mothers participated in the study after the children achieved the age of one year old. Thematic analysis was conducted using software ATLAS.ti version 8. Results: The average mothers’ age in this study were 33 years old, majority was Malay ethnicity. Only one mother was a housewife and others were working mother. Four out of 13 SGA infants were born prematurely. This study found that homogenous experiences throughout the pregnancy and baby nurturing phase, perceptions on husband involvement and external supports in infant care, infant health status and health services provided, were highlighted as important contributor to infant survival. Conclusion:
The importance of monitoring SGA infant growth and nutritional status have been highlighted. Maternal psychological support needs to be enhanced to ease the burden in SGA infant care. Targeted program intervention for family and community social support during postnatal and empowering mothers in nurturing their infants are crucial.
Changing Undergraduate Medical Students’ Perception of Online Learning and Assessment During the Covid-19 Pandemic: a One Year Follow-up Study
Authors: Lim Su-Yin , Lim Yin Sear , Phyu Khine Pwint , Lwin Tint , Bhargava Prabal
Published: February 2023

Introduction: Like most educational institutions, our medical school transitioned to online learning during the COVID-19 pandemic in March 2020. An initial survey of 192 undergraduate medical students conducted in June 2020 revealed a low acceptance of online assessments, lack of work-readiness, perception of online discussions as being inferior to face-to-face, and prevalent anxiety. Following this, we implemented pedagogic changes to encourage independent learning, improve patient contact, and increase social interactions between students. Methods: A follow-up study was conducted 12 months later in the same student population, excluding those who had graduated. The same 14-item anonymized survey questionnaire was administered, and comparisons were made between the follow-up and initial responses. Results: At follow-up, 45.6% of participants felt that online assessments can adequately and fairly assess students’ performance compared to the initial study (26.2%, p = 0.002). Participants at follow-up were generally more agreeable that discussion using an online learning platform was as effective as face-to-face learning compared to before (p = 0.017). Subgroup analysis showed that this was only true for Year 2 – 4 students. Year 5 students perceived online learning as less effective then face-to-face, reported lower confidence in their ability to apply their knowledge, and an increased in anxiety compared to before. Conclusion: While perception of online learning and assessment had improved at follow-up, the ramifications from restrictions to medical education over the past two years are now being felt most severely by the current final year students, emphasizing the importance of anticipating and addressing these concerns much earlier.
The Health and Wellness Benefits of Traditional Postnatal Practice (TPC) on Postnatal Mothers: A Systematic Review
Authors: Sator Patricia , Mamat Rohani , Syed Abdul Rahim Syed Sharizman , Kim Geok-Chan , Saimon Rosalia , A/P Darsin Singh Sukhbeer Kaur , Sawatan Waidah
Published: February 2023

Introduction: Postnatal is a transition process for the mother back to her non-pregnancy state and involves the changes in hormones level. During the postnatal period, many health issues need to be addressed for both mother and newborn. One of the upsetting health issues for the mother due to the increasing trend is postnatal depression and if it is not identified and treated early, it may cause further complicated problems not only to the mother but also to the baby, family, and local community. With this issue, the Ministry of Health Malaysia has taken a few initiatives to encourage the postnatal mother to also practice the non-medical approaches or traditional postnatal care (TPC) as a self-care for the prevention of postnatal depression. Aim: To systematically identify and review studies examining the influence of TPC on postnatal mothers. Design & Data Sources: A systematic search strategy on the research trend for the period between the years 2013 to 2020 through the Scopus database, Science Direct, and PubMed database. Methods: This review has identified 7 journal articles based on the preferred reporting items for the systematic reviews (PRISMA) framework. Results: There are many methods of TPC, such as traditional postnatal body massage, herbal consumption, herbal bath, body steaming, and body wrapping based on own culture and beliefs. Besides the TPC preparation and techniques, some studies also describe the effects of TPC on a mother’s health and wellness. Conclusion: TPC shows encouraging health trends, and it helps to enhance the well-being and good health of postpartum mothers.
A Narrative Review of Alveolar Bone Analysis and CBCT Classification related to Immediate Implant Placement in The Anterior Maxilla
Authors: Kamar Affendi Nur Hafizah , Babiker Jumanah , Mohd Yusof Mohd Yusmiaidil Putera
Published: February 2023

Immediate implant placement into fresh extraction sockets has gained a lot of attention in implant dentistry. Besides proper risk assessment, the evaluation of tooth anatomy aids the clinicians to select the finest treatment protocol. Cone Beam Computed Tomography (CBCT) imaging was frequently used for alveolar bone analysis prior to tooth extraction in immediate implant placement. As an ideal position is required to prevent a buccally tilted implant or too palatal implant placement, various authors have proposed the treatment guidelines for immediate implant placement in the anterior maxilla. Although insightful, the previous classification was lacking anatomic variant and key anatomical features of alveolar bone and tooth angulation. Furthermore, there is no standardization method of measuring the specific degree of tooth angulation in CBCT scans that could possibly be used in clinical setting for appropriate treatment protocol. Thus, it is essential for the clinician to have adequate knowledge on the role of facial alveolar bone, palatal alveolar bone and tooth angulation related to immediate implant before selecting the appropriate treatment guidelines based on the classification reviewed. In this review, the previous quantitative measurements were categorized, and the previous classification was listed for the sake of familiarity by the dental practitioner with the major updates on implant placement strategy, patient selection and to reduce the rate of surgical complications.