bluuebunny/crossref_metadata_2025 huggingface dataset:
The Post-Anesthesia Care Unit
Authors: Bohnenblust Evan R
Published: January 2021

This general overview of the postanesthesia care unit (PACU) summarizes the most current standards and guidelines for patient care and monitoring. It also details the causes and treatment of the most common complications observed in PACU, such as postoperative nausea and vomiting, hemodynamic compromise, and respiratory insufficiency. Other relevant topics such as residual neuromuscular blockade and emergence delirium are also addressed. Finally, this chapter concludes with a discussion of the development of commonly used discharge scoring systems, including a discussion of the differences between the ambulatory and inpatient surgery populations. Each of these sections discusses current trends in management as supported by the latest literature and guidelines.

This review contains 1 figure, 8 tables, and 53 references.
Key Words: Aldrete scoring, delayed awakening, emergence delirium, postanesthesia care unit, postanesthesia care unit discharge criteria, postoperative nausea and vomiting, postoperative respiratory failure, residual neuromuscular blockade, sugammadex
Airway Physiology
Authors: Tang Gilbert S
Published: January 2021

An understanding of airway physiology is important for the anesthesiologist, tasked with supporting the patient's respiratory functions which are altered in the conduct of anesthesia and surgery, or which may be abnormal due to co-existing disease. Airflow and airway resistance, lung compliance, spirometric values, flow-volume measurements, work of breathing, ventilation-perfusion matching, and oxygen-carbon dioxide transport are some of the basic principles. Clinical application of physiology allows the anesthesiologist to anticipate and manage changes that may occur when anesthetizing the patient, altering position or manipulating the airway.
This review contains 5 tables, and 25 references.
Keywords: Ohm’s law, laminar vs turbulent flow, Reynold’s number, Heliox, Bernoulli’s principle, compliance vs elasticity, Law of Laplace, spirometry, dead space, hypoxic pulmonary vasoconstriction
Minimally Invasive Surgery: Equipment and Troubleshooting
Authors: Greenberg Jacob A. , Fischer Laura E.
Published: January 2021

The field of minimally invasive surgery has evolved rapidly since the first laparoscopic appendectomies and cholecystectomies were performed nearly 30 years ago.1 Minimally invasive approaches are now widely used for gastrointestinal resection, hernia repair, antireflux surgery, bariatric surgery, and solid-organ surgery, such as hepatic, pancreatic, adrenal, and renal resections. Although the techniques and equipment needed to access, expose, and dissect vary according to the type of operation and surgeon’s preference, a basic set of equipment is essential for any laparoscopic or robotic procedure: endoscope, camera, light source, signal processing unit, video monitor, insufflator and gas supply, trocars, and surgical instruments. Understanding how to use and troubleshoot this equipment is critical for any surgeon who performs minimally invasive surgery. We review the essentials of basic laparoscopic equipment, including the mechanics of normally functioning equipment and the various types of laparoscopic trocars and instruments. We also discuss robotic equipment and the fundamental differences from laparoscopy. Minilaparoscopy and single-site equipment are briefly explained. Additionally, we discuss potential technical difficulties that surgeons may encounter while performing minimally invasive procedures and provide suggestions for troubleshooting these problems.
This review 13 figure, 2 tables, and 64 references.Key Words: Laparoscopy, Robotic Surgery, Minimally Invasive Surgery, Laparoscopic Surgery, Trocars, Surgical Energy Devices, Insufflator, Laparoscopic Instrumentation, Ergonomics, Single Site Surgery
Perioperative Antithrombotic Therapy Management and Venous Thromboembolism Prophylaxis
Authors: Chen Herbert , Lou Irene
Published: January 2021

The management of perioperative anticoagulation, antiplatelet therapy, and perioperative venous thromboembolism (VTE) prophylaxis is essentially a balancing act between patient risk factors for thrombosis and surgical risk factors for bleeding. The purpose of this review is to assist surgeons with the identification of patients at increased risk for thromboembolism when antithrombotic therapy is interrupted, patients for whom bridging anticoagulation should be considered, patients who require perioperative VTE prophylaxis, and patients at increased risk for bleeding complications and to briefly review the literature and major guidelines regarding perioperative antithrombotic therapy management and perioperative VTE prophylaxis. Figures show approaches to the management of perioperative anticoagulation, antiplatelet therapy, and VTE prophylaxis. 
This review contains 2 figures, 7 tables, and 61 references.
Keywords: Venous thromboembolism, pulmonary embolism, anticoagulation, surgery, perioperative period, prophylaxis
Principles of Cancer Treatment
Authors: Baker Samantha J. , Rose J. Bart
Published: January 2021

Surgeons often play a pivotal role in the treatment plans for cancer patients, especially when the plan of action includes resection. Locoregional therapies have the advantage of treating the tumor and its local environment while minimizing systemic effects. Other examples of local treatment include radiotherapy and chemotherapy delivered with isolation techniques. In contrast, systemic chemotherapy, systemic radiation, hormone therapy, and immunotherapy are administered throughout the body. Systemic therapy is most useful in treating disease distant to the site of origin but can be limited by systemic side effects. This chapter explores each of these treatment arms in more detail and provides examples of when such options may be deployed.
This review contains 1 figure, 2 tables, and 67 references.
Key Words: Biopsy, Cancer, Chemotherapy, Directed therapy, Hormone therapy, Immunotherapy, Lymph nodes, Proton therapy, Radiation therapy, Staging
Antipsychotics
Authors: Doroudgar Shadi , Eftekhari Elham
Published: January 2021

Antipsychotics are used to treat a variety of disorders. They are commonly used in the management of psychiatric symptoms of schizophrenia and bipolar disorder. However, among other uses, they also have shown efficacy in treating symptoms of autism, nausea/vomiting, and hiccups. In the case of psychiatric uses, long-term maintenance treatment is typically needed to avoid relapse of symptoms. Antipsychotic choice based on the efficacy is difficult; therefore, in many cases side-effect profile of an agent becomes relevant when deciding on a treatment regimen. Side effects of antipsychotics include extrapyramidal symptoms, metabolic adverse effects, hematologic changes, anticholinergic effects, and QTc prolongation. As clinicians, it is important to be aware of these side effects and their monitoring parameters. These can be managed by discontinuing a drug, decreasing dosage, changing the drug to a different antipsychotic, and using another drug for their treatment.
 
This review contains 5 tables and 97 references
Key Words: antipsychotics, atypical antipsychotics, clozapine, D2 receptor, extrapyramidal symptoms, FDA-approved, REMS, typical antipsychotics
Heme Oxygenase-1 Regulates Ferrous Iron and Foxo1 in Control of Hepatic Gluconeogenesis
Authors: Admin Ada , Liao Wang , Yang Wanbao , Shen Zheng , Ai Weiqi , Pan Quan , Sun Yuxiang , Guo Shaodong
Published: January 2021

The liver is a key player for maintaining
glucose homeostasis. Excessive hepatic glucose production is considered to be a
key for the onset of type 2 diabetes mellitus. The primary function of heme
oxygenase-1 (HO1) is to catalyze the degradation of heme into biliverdin,
ferrous iron, and carbon monoxide. Previous studies have demonstrated that the
degradation of heme by HO1 in the liver results in mitochondrial dysfunction
and drives insulin resistance. In this study, by overexpressing HO1 in
hepatocytes and mice, we showed that HO1 promotes gluconeogenesis in a
Foxo1-dependent manner. Importantly, HO1 overexpression increased the
generation of ferrous iron in the liver, which further activates NF-κB and phosphorylates Foxo1 at Ser273 to enhance
gluconeogenesis. We further assessed the role of HO1 in insulin-resistant L-DKO
(liver-specific knockout of IRS1 and IRS2 genes) mice, which exhibit
upregulation of HO1 in the liver and hepatic ferrous iron overload. HO1 knockdown
by shRNA or treatment of iron chelator rescued the aberrant gluconeogenesis in
L-DKO mice. In addition, we found that systemic iron overload promotes
gluconeogenesis by activating hepatic PKA→Foxo1
axis. Thus, our results demonstrate the role of HO1 in regulating hepatic iron
status and Foxo1 to control gluconeogenesis and blood glucose.
Genetic Variation in TNF-α, its Relation with Inflammatory Biomarkers and Susceptibility to Rheumatoid Arthritis
Authors: Ismail Khadiga Ahmed
Published: January 2021

Background: Tumor necrosis Factor-α (TNF-α) is encoded and controlled by TNF-α gene, which is involved in rheumatoid arthritis (RA) susceptibility. This research aimed to identify genetic variations of TNF-α (G308A) and to establish its association with inflammatory markers in Rheumatoid Arthritis predisposition. Methods: In the present study, fifty RA patients and fifty volunteers were involved and evaluated for the C-reactive protein, rheumatoid factor, and TNF-α were estimated by ELISA, Erythrocyte Sedimentation Rate (ESR) by Wintergreen method and for TNF-α-308 G>A polymorphism by polymerase chain reaction with amplification refractory mutation system (PCR-ARMS). Results: The CRP, RF, ESR and TNF-α were significantly elevated in RA patients relative to controls. The serum level TNF-α was also significantly elevated in female patients and in patients ≥50 years. Analysis of TNF-308 gene polymorphism revealed that GG genotypes were more prevalent in RA patients than in the healthy individuals and that GG genotype may be a potential factor to RA. The G allele was more common in RA than in the control. Elevated TNF-α serum levels were significantly associated the GG genotype and functional disability in RA patients. Conclusion: TNF-α promoter 308polymorphism GG genotype may be considered as a risk factor for RA and the TNF-α serum level was significantly related to the functional disability in the disease.
Attachment to God dan gratitude pada mahasiswa universitas ‘x’ Bandung
Authors: Satyawan Lisa Imelia , Kiswantomo Heliany
Published: January 2021

Abstract. This study was conducted to measure correlation between attachment to God and students’ gratitude in “X” University. Gratitude is an appreciation of individual being grateful because he has received kindness form others. Grateful people will be healthier, more enthusiastic, and optimistic. One of the factors that influences the development of gratitude is spiritual life or religiosity, which reflects human view of God, known as attachment to God. The hypothesis was there was a correlation between attachment to God and gratitude. This was a correlational research design, with 100 students of University “X” as participants. The instruments were questionnaire of gratitude and attachment to God. Data were analyzed using Chi Square. The result revealed that there was no correlation between attachment to God and gratitude. Attachment to God’s dimensions did not have any correlation with gratitude too. This study also revealed that age and gender show no relationship tendencies with gratitude. For further research, next researchers are suggested to measure correlation between gratitude and other factors.Keywords: attachment to God; dimension of attachment to God; gratitude
SOBRE AS ESTRUTURAS DE CONHECIMENTO A PRIORI EM KANT E PIAGET: UM ENSAIO
Authors: Galúcio Campos José , Carvalho Sena Daniel Richardson de
Published: January 2021

Este ensaio pode ser visto como uma contribuição teórica cujo objetivo é indicar as diferenças entre as estruturas de conhecimento a priori (apriorismo) nos construtivismos de Kant e Piaget. Para tanto, utilizamos como método a análise bibliográfica, tendo como texto de base a Crítica da Razão Pura e a Epistemologia Genética, mas, também, levamos em consideração textos de comentadores de Kant e de alguns e teóricos da educação. Disto resulta que: a) a concepção de estrutura a priori é diferente para ambos, para Kant elas são estáticas, para Piaget são dinâmicas e evoluem ao longo da vida; b) que não se pode reduzir um construtivismo ao outro, mesmo que somente do ponto de vista prático. Ao final, c) mostramos a luz do exposto, como o modelo pedagógico apriorístico pode ser um inconveniente se praticado literalmente conforme seus pressupostos teóricos, em especial porque minimiza o papel do professor e da escola na formação educacional.
UM POR TODOS E TODOS POR UM: RELATO DE UM PROJETO DE EXTENSÃO SOBRE PRODUÇÃO DE ESPAÇO URBANO
Authors: Oliveira Guimarães Cristiana Maria de , Alves Pereira Cláudio
Published: January 2021

O artigo analisa os resultados de um projeto de extensão realizado com alunos do 6º ano do ensino fundamental de uma escola municipal em Governador Valadares, Minas Gerais. O projeto tinha como objetivo principal mostrar aos alunos as suas possibilidades de intervir no espaço urbano, partindo da premissa de que esse é produzido histórica e socialmente pelos indivíduos que o constituem. O mote era a produção de um gibi com as aventuras de uma heroína, adolescente como os alunos envolvidos, chamada Garota Reparo, cuja missão seria salvar a cidade dos malfeitos nela realizados. Para isso, foram realizadas oficinas preparatórias e uma intervenção urbana no bairro. Apoiamo-nos nas construções teóricas sobre as utopias do direito à cidade e a educação como práxis transformadora do mundo, colocadas, respectivamente, por Henri Léfèbvre e Paulo Freire. Os resultados mostram a assunção pelos alunos das questões que envolvem o direito à cidade e ao coletivo.
ENSINO E AMAZÔNIA: A ANÁLISE DA MÚSICA “BELÉM-PARÁ-BRASIL” NO DESVELAMENTO DA COLONIALIDADE COMO CRÍTICA SOCIOAMBIENTAL
Authors: Santos Siqueira Ivone dos , Silva Fernandes Michelly da , Oliveira Raposo Elinete , Silva Freitas Nadia Magalhães da
Published: January 2021

O artigo trata da análise da música “Belém-Pará-Brasil”, da Banda Mosaico de Ravena, composta por Edmar da Rocha, com o objetivo de trazer possibilidades à discussão socioambiental crítica no âmbito escolar, precisamente no desvelamento das “marcas” da colonialidade presentes na referida canção. Recorremos à análise de conteúdo, de base temática, para desvelamento dessas marcas. A canção, aqui tida como objeto de estudo, apresenta um “desabafo” na forma de crítica socioambiental aos eventos que ainda insistem em ocorrer na Amazônia. Basicamente três categorias analíticas são apresentadas: aquelas que tratam da ocupação da Amazônia, invisibilidade dos amazônidas e o discurso desenvolvimentista, estereótipos criados sobre a Amazônia e os amazônidas e influência das culturas alienígenas na Amazônia. Tais aspectos constituem-se resultados da dominação colonial, ainda hoje presente enquanto processo de colonialismo continuado. A música em questão, quando da sua utilização em sala de aula, pode se constituir prática decolonial, com potencial pedagógico para a construção de uma outra visão da Amazônia, diferente do olhar eurocêntrico.
Pembekalan Keselamatan Kerja di Atas Kapal Fiber kepada Nelayan dalam Mendukung Operasi Penangkapan Ikan di Kabupaten Tangerang
Authors: APRILIANI IZZA MAHDIANA , Rizal Achmad , Putra Pringgo KDNY , Akbarsyah Nora , Purwangka Fiz , Mawardi Wazir , Novita Yopi
Published: January 2021

Aktivitas operasi penangkapan ikan di atas kapal merupakan salah satu kegiatan dengan tingkat resiko yang tinggi di dunia. kegiatan tersebut memiliki resiko yang dapat memberikan kerugian pada aspek materil hingga keselamatan nelayan di atas kapal. Kecelakaan kapal yang terjadi di sekitar perairan Indonesia setiap tahunnya terus mengalami peningkatan. Kecelakaan kerja yang terjadi pada kegiatan penangakapan ikan di atas kapal, terjadi pada setiap ukuran dan jenis kapal, salah satunya adalah kapal penangkap ikan yang menggunakan bahan fiber. Oleh karena itu, dibutuhkan pengetahuan dan keterampilan khusus bagi nelayan yang menggunakan kapal berbahan fibreglass dalam melakukan operasi penangkapan ikan.  Penyampaian pentingnya keselamatan kerja diatas kapal bersifat komunikasi persuasif kepada nelayan. Berdasarkan kegiatan pembekalan secara keseluruhan, baik dalam bentuk ceramah maupun diskusi keselamatan kerja di atas kapal fiber disimpulkan bahwa nelayan memahami pentingnya penyebab kecelakaan di laut. Serta adanya peningkatan skill nelayan dalam keselamatan kerja diatas kapal fiber.
PRIORITAS PENANGANAN JALAN KABUPATEN PIDIE MENGGUNAKAN METODE ANALISIS MULTI KRITERIA (AMK)
Authors: Thantawi Thantawi , Isya Muhammad , Sugiarto Sugiarto
Published: January 2021

Pidie District has a district road length of 1,015 Km and is divided into 445 roads. The lack of funds makes it difficult to determine the priority of handling the road, it is necessary to examine the method of setting road priority in accordance with the needs of the community. The purpose of this study was to obtain criteria weights based on perceptions of importance between criteria using 15 stakeholder respondents and to determine the priority order of handling road infrastructure in Pidie District due to limited funding capacity in Pidie District Government using the Multi Criteria Analysis (AMK) method accessibility, regional development, economic sector development, cost aspects, environmental impact and road damage as the selection criteria. The results of this study are that road damage criteria get the highest weight, which is 0.197, then environmental impact criteria 0.190, economic development criteria 0.184, accessibility criteria for accessibility 0.152, regional development criteria 0.147 and cost aspect criteria 0.130. This can be interpreted that the aspect of road damage is a major consideration in determining the priority of road development in Pidie District but not significant to other criteria. Based on the weighting and scoring of these criteria, a sequence of priorities for road handling in Pidie District is obtained, where Jalan Bangkeh - Leupu is the first priority with a performance value of 4.152
Neck And Brain Venous Lesions In Meniere’s Disease
Authors:   GEPOS Clinic, Telese Terme, Italy, Bruno Aldo
Published: January 2021

Objectives: The authors evaluate the incidence of Chronic Cerebro-Spinal Venous Insufficiency (CCSVI) in patients with Meniere’s Disease (MD). Methods: Between April 2013 and April 2020, 622 patients with diagnosis of Meniere’s Disease were included, all were submitted to duplex ultrasound and Magnetic Resonance Angiography (MRI) with TOF 2D and 3D reconstruction and compared to a control population. Results: Chronic Cerebo-Spinal Venous Insufficiency (CCSVI) was demonstrated in 81.4% of patients with Meniere’s disease vs. 12.7% of the volunteers. Visible defects were present in 90% of the cases. There was a high correlation, round 90%, between ultrasound exam and MRI. Conclusion: Our results suggest that there is a high incidence of neck and brain veins in patients suffering of Menière's disease.
Better Exposure Definitions And Control Selections Are Needed For Chinese Famine Studies
Authors:   Columbia University, Li Chihua
Published: January 2021

Famines in human history have been widely used as natural experiments to study how early-life environments may influence adult health outcomes, including overweight/obesity, diabetes and schizophrenia.
Older Motorcyclists Not Wearing A Helmet Properly And Drunk Riding: Evidence From A Linked Dataset
Authors:   Tamkang University, Chen Wan-Hui
Published: January 2021

Motorcycles are a major means of transportation for older adults in many developing countries, and motorcycle safety is an important issue in an aging society
Can Monocyte To HDL Ratio Be A New Marker For Severity Of Obstructive Sleep Apnea Syndrome?
Authors:   Mansoura University, AM Yousef
Published: January 2021

This study aimed to investigate the relation of serum monocyte to serum HDL cholesterol ratio (MHR) with Obstructive Sleep Apnea Syndrome (OSAS). A total of 62 patients with an Apnea Hypopnea Index (AHI > 5) and excessive daytime sleepiness were included in this study as OSAS group. The individuals with (AHI<5/h) were included in the study as controls.
Comparisons Of Demographical And Sleep Architecture Between OSA Patients With Various Severities And Developing A Simple Prediction Model
Authors:   Taipei Medical University, Liu Wen-Te
Published: January 2021

Due to changes in dietary habits and demographic structure, obstructive sleep apnea with obesity and aging as risk factors has become an important public health issue. The aim of this study is to investigate the relationships between demographics features as well as sleep characteristics of patients and severity of OSA and using easily available measurements to develop a simple model for rapidly identify OSA patients.
Histologia fácil: atlas histológico para dispositivos móveis
Authors: Pereira Helder Camilo da Silva , Carvalho Lucas Rannier Ribeiro Antonino , Guerra Ricardo Romão , Miranda Márcia Verônica da Costa
Published: January 2021

É inegável a evolução dos meios de comunicações e sua utilização em todas as áreas de ensino e pesquisa. Hoje, telefones possuem infinitos recursos que atendem às variadas demandas do cotidiano de seus usuários. A rotina acadêmica incorporou a tecnologia dos smartphones como ferramenta de aprendizagem e interação entre alunos e professores. Os estudos histológicos demandam ferramentas de visualização acurada de imagens, tanto quanto a descrição de seus conceitos. O presente trabalho objetivou a construção do aplicativo “Histologia Fácil”, possibilitando ao interessado recursos de pesquisas e meios interativos de aprendizagem de fácil acesso. O aplicativo, disponível para dispositivos móveis, foi montado no formato de atlas histológico, com apresentação de imagens histológicas em três aumentos (4x, 10x e 40x), referentes a cada tecido dos sistemas orgânicos, com introdução e legenda descritiva para cada fotomicrografia. Foi utilizada como plataforma de desenvolvimento a “Fábrica de Aplicativos”, que atende às necessidades de segurança, hospedagem, interatividade, acessibilidade e gratuidade. O Histologia Fácil foi desenvolvido em parceria com o Laboratório de Computação Aplicado as Ciências Agrárias e o Laboratório de Histologia Animal, ambos da Universidade Federal da Paraíba. A ferramenta está disponível para download gratuito nos formatos Android e iOS. Este aplicativo constitui-se uma alternativa auxiliar, motivadora e de fácil acesso no processo de ensino-aprendizagem da área de Histologia.
Produção consorciada de tilápias e vegetais em sistema de aquaponia
Authors: Contini Gilvan Gonçalves , Belo Luciano Rodrigues , Branquinho Rodrigo Gomes
Published: January 2021

O sistema de aquaponia é pouco conhecido no Brasil, e consiste na integração dos cultivos de plantas e de peixes.  O objetivo com o presente estudo foi avaliar o crescimento de tilápias criadas com reutilização de água e a adaptação de hortaliças ao sistema de aquaponia. Foi instalado um sistema de aquaponia com a criação de tilápias conjugada com a produção de agrião (Nasturtium officinale), alface (Lactuca sativa) e cebolinha (Allium fistulosum). Estas espécies vegetais foram também cultivadas em canteiros de terra. Os vegetais foram colhidos 30 dias após o plantio, sendo obtidas medidas de massa da matéria verde e  seca. O crescimento das tilápias foi monitorado obtendo-se, semanalmente, medidas de peso e comprimento. Os resultados mostraram que a criação de peixes e o cultivo de vegetais podem ser conjugados em um único sistema, capaz de oferecer bons resultados. A aquaponia mostrou ser um ambiente mais vantajoso à produção de agrião e cebolinha, chegando a produzir mais de 75% quando comparado a canteiros de terra. Tilápias criadas em viveiros desse sistema podem alcançar taxa de crescimento diário de 0,06 cm dia-1, desde que feito o arraçoamento correto.
Effectiveness of Billig’s exercise in reducing primary dysmenorrhea among young girls
Authors: Mary Minolin T  , Sivasakthi S  , Subha E  , Suganthi S
Published: January 2021

Dysmenorrhea or agonising uterine cycle is one of the most common significant reasons for school non-attendance among young girls since it influences their scholarly presentation, school and sports exercises. Dysmenorrhea is the most well-known gynaecologic issue among youth girls, with a predominance of 60% to 93%. The examination planned for evaluating the adequacy of Billig's exercise in diminishing dysmenorrhea among young girls. A quantitative methodology with the quasi-experimental design was embraced for the investigation. Sixty young girls with age between 12-17 years were enlisted by convenient sampling. The pain was surveyed by Numerical pain rating scale from both study and control gathering, After the pretest, Billig's exercise was given to the study group on the day preceding period, day one and day two of uterine cycle, 5 — multiple times for 20 minutes every day. Following one month on next uterine cycle, Post-test was done to evaluate the degree of dysmenorrhoea among the two gatherings by utilizing the same numerical pain rating scale. The mean score of post-test pain level was 1.2 in the study group, and 2 in the control group and the determined 't' esteem was 5.03. This infers that there was a more critical distinction in the menstrual agony level after taking Billig's exercise among young girls of exploratory gathering. This examination unmistakably expresses that there is a critical impact of Billig's exercise in a decrease of agony during the monthly cycle among young girls.
Assessment of level of stress among Primigravida mother in a selected Hospital
Authors: Linda Xavier  , Swathi D  , Udhaya surya T
Published: January 2021

Stress is a complex hereditarily decided example of the reaction of the human physiology to a requesting circumstance. The component of observation shows that human pressure reactions reflect contrasts in character, just as contrasts in physical quality or general wellbeing. Pregnancy is a period of incredible changes, and numerous mothers do feel worried eventually. This is common and not in any way surprising as observing a mother need to adapt to the obligations that filled her life before she fell pregnant just as set herself up, mentally and physically for another appearance. The present study aims to assess the stress level among third trimester Primigravida mother. A quantitative descriptive research design was conducted among 60 Primigravida mothers. Convenient sampling technique was used to select samples. A semi-structured interview was used to collect demographic data, and the stress level was assessed using a stress scale. Mothers were explained about the purpose of the study and the psychological changes during pregnancy. The data were collected and analyzed. The study results show that there is a moderate to severe level of stress among the third trimester Primigravida mother. This reveals there is a need for the stress assessment among the Primigravida mother and non-pharmacological practices to reduce stress to improve fetal development and pregnancy outcome.
Effectiveness of information booklet regarding knowledge of menstrual hygiene among higher secondary school girls
Authors: KalaBarathi S  , Akshaya R
Published: January 2021

The menstrual cycle is the physiological wonder which is remarkable to females that starts with a high school. Feminine cycle is likewise appropriately called menses (or) all the more regularly a time of the month to month stream. The periods of beginning are from 9 to 16 years and end happens roughly like clockwork and keeps going for around five days feminine stream consists of blood, bodily fluid, and tissue particles. This is a cycle of a lady releasing blood and other material from the coating of the uterus at time spans one lunar month from pubescence until the menopause, besides during pregnancy. A quasi experimental design conducted among 50 people regarding knowledge assessment about menstrual hygiene. Convenient sampling technique was used to select samples. A structured questionnaire was used to collect demographic data and knowledge regarding menstrual hygiene was assessed. Booklet was given to the samples. After an hour, the knowledge was reassessed using the same structured questionnaire. The present study result states that there is a significant increase in the knowledge of the higher secondary school girls regarding menstrual hygiene at p<.05 level. This indicates that booklet teaching is an effective and easy method to improve knowledge among higher secondary school girls regarding menstrual hygiene that helps to improve the practice of menstrual hygiene.
Evaluation of single crowns using USPHS criteria during cementation - A retrospective study
Authors: Nauma Hafeez  , Nivedhitha MS  , Uma Maheswari TN
Published: January 2021

The modern era is seeing an incline in dental health issues namely dental caries, missing teeth, etc. causing an increased use of prosthetics to replace the function of such teeth or provide esthetics. This has led to various studies in this field to improve the quality and lifespan of the crowns. An important aspect of this is to consider the cementation process and luting material used, which are crucial in determining the result. A retrospective study was done on patients reporting to Saveetha Dental College and Hospitals. A sample size of 1055 was obtained and data tabulated using the Excel sheet. SPSS software was used to analyze the data statistically. Chi-square test was done to evaluate the association between tooth type and cement used, USPHS scores for adaptation, colour match, marginal discoloration and surface roughness. The study revealed that GIC was the most common luting material used which was statistically significant and lower molars were the most involved sites for cementation. The most common USPHS score for adaptation, marginal discoloration and surface roughness for all types of tooth was Score 0. For color match, the most common USPHS score was Score 1.
Impact of Resistance Exercise On Hand Grip: An Experimental study
Authors: Bhuvaneshwari G  , Nithya Manogaran
Published: January 2021

Sarcopenia is a significant medical issue related with aging, characterized as loss of bulk and capacity. It is a condition portrayed by loss of skeletal bulk and quality, with a danger of antagonistic results, for example, handicap, improvement of delicacy, low quality of life and death. Its etiology is still inadequately comprehended. Opposition preparing intercession is sheltered and compelling for checking sarcopenia. Resistance exercise (RE) programs improve muscle anabolism, bulk and muscle quality. The present study aims to assess the impact of resistance exercise on hand grip among the elderly population with sarcopenia. A quasi experimental research design with non-randomized control research design was conducted among 30 elderly population in Arrakonam among which 15 were chosen for the experimental group and 15 were chosen as the control group. A purposive sampling technique was used to select samples. Structured questionnaires were used to collect demographic data and BMI and hand grip was assessed. The resistance exercises were taught to the elderly population and they were asked to perform the exercise every day for one week. After a week, the BMI and hand grip was re-assessed. The studies thus indicates that the experimental group had a reduction in the hand grip and increase in the BMI value after resistance exercise and is also an effective method to prevent further complications that can be caused due to sarcopenia.
Prevalence and treatment for cheilitis - A retrospective study
Authors: Hemashree J  , Manjari Chaudhary
Published: January 2021

Cheilitis also known as cracked lips is nothing but the inflammation of the lip causing dryness or peeling away of the skin. Aim of this study is to evaluate the prevalence and treatment for cheilitis among patients visiting Saveetha Dental College. Online database was used for retrieval of data. Case sheets of 86, 000 patients were reviewed among which 50 patients were recruited for the study who had cheilitis. Data such as age, gender and appropriate treatment given for the patient was noted. All the data collected was entered in Microsoft Excel Sheet. Statistical analysis was done. Rate of prevalence of cheilitis according to this study is 0.05%. Prevalence of cheilitis was most common among the age group of 36 - 45 years of age (24%). Females were mostly affected (26%). Clotrimazole mouth point (50%) was the most common treatment given for cheilitis. No statistical significance (p > 0.05) for the age and treatment options. Within the limits of this study females of the age group 36 - 45 years of age had the highest prevalence of cheilitis. Clotrimazole topical application was the most common followed by vitamin V12 complex for treatment of cheilitis.
Antibacterial effects of soft denture reline resin containing natural extract
Authors: Yu-Ri Choi  , Min-Kyung Kang
Published: January 2021

Candida albicans (C. Albicans) is one of the bacteria that reside in the oral cavity, and the ones living in medical and commercial denture resins, commonly cause diseases. Therefore, this study was conducted to confirm the antibacterial activity of C. Albicans using a denture base resin containing peony extract with antibacterial properties. Contact angle measurements and color change measurements were performed to confirm the physical change of the material added with the antibacterial agent to the denture reline resin. As a result of the antibacterial test, the experimental group exhibited antibacterial activity against C. Albicans. Compared to the optical density results, the results of the experimental group showed a significant difference. As a result of Fluorescent images showing (confocal laser microscope), the control group showed a lot of live bacteria, and no bacteria appeared in the experimental group. All group  did not show any physical changes. As a result of the contact angle measurement, the surface of the experimental group was changed to hydrophilic. In addition, there was no change in the color of the denture reline resin containing peony extract. In conclusion, it was confirmed that the peony extract contained antibacterial activity of the denture resin, and further studies should be conducted on various bacteria for denture base resin disinfection.
Effect of Beans Therapy on Ureteric Calculi Pain: An Interventional Study
Authors: KalaBarathi S  , Anita Jaslin I
Published: January 2021

Kidney stones are affidavit of minerals as a gem solidification of natural components, mostly found in the kidney calyces and pelvis. The quantitative research approach with one group pretest and post test design was used in this study with 60 patients with ureteric calculi. The demographic data was collected by structured questionnaire and the intensity of the pain due to ureteric calculi was assessed by Numeric pain rating scale. Beans therapy was given, i.e., the patients were advised to take boiled beans water 5 times a day. The results revealed that in the pretest, 40(66.67%) had moderate pain, 15(25%) had severe pain and 5(8.33%) had mild pain whereas after the administration of beans therapy, 40(66.66%) had mild pain, 19(31.67%) had moderate pain and only one (1.67%) had no pain. The findings show that the mean score of pain intensity among patients with ureteric calculi was 5.38±1.53 and the post-test mean score was 2.85±1.34. The calculated paired ‘t’ test value of t = 26.265 was found to be statistically significant at p<0.001. The study findings revealed that most of the samples were relieved of pain due to ureteric calculi which infers that beans therapy administered to the patients enhanced the removal of small kidney stones which ultimately resulted in the reduction of pain among patients with ureteric calculi.
Patient Safety in Selected Healthcare Facilities in Caraga Region: An Aiken Model Approach
Authors: Rapunzelle Sunshine V. Baban  , Bella P. Magnaye
Published: January 2021

This study aimed to determine the nursing organizational factors and patient safety in selected healthcare facilities in the Philippines. It utilized quantitative approach of research specifically descriptive correlational research design. The inclusion criteria of the entire population were composed mainly of 455 nurses employed among the five selected healthcare facilities in Caraga Region, Philippines within a period of 1 year and above offering inpatient and outpatient healthcare services. Results revealed that there was a positive response on organizational factors such as nursing foundations for quality care, nurse participation in hospital affairs, nurse manager leadership, ability and support and collegial nurse-physician relationships. Patient Safety with regards to supervisor/manager, wok area/unit, frequency of events reported, and communications, patient safety grade, hospital and number of events reported were positively performed and practiced. The patient safety practices were directly affected by the organizational factors being tested.
Management of critical injuries by determination and resolution during outdoor sports
Authors: Ramesh TV  , Raghava  , Sravanathi P  , Ravikanth P
Published: January 2021

Sports cooperation during youth, youthfulness and adulthood years is critical in physical perseverance and endurance. The enthusiastic, physical as well as mental enhancement associated to athletic undertakings might act as an incredible benefit in following days. Instead of whether it has to cluster the activity by requesting exertion consolidated of divergent properties and capabilities group or psychological robustness predicted for the individual competition, up gradation in the daily advantages of character. On other dimension, several undertakings of athletic are injury danger that might bring huge extensive results. As per, modifying the dangers and benefits is best course regularly for placing on sensible selections regarding the cooperation of athletic. The target of this survey is to recognize the accessible exploration with respect to the danger factors and ordinarily happening wounds in different games and their anticipation and the board. It absolutely is a magnificent apparatus to keep the body truly fit. Generally imperative, the advantages of Sports are numerous to such an extent that books can be composed. Sports have an enormous beneficial outcome on both the brain and body. A great many individuals everywhere on the world are attached to sports and games. Game keeps us fit, makes us solid, more composed, better focused.
PENERAPAN EKOLOGI ARSITEKTUR PADA BANGUNAN AEON MALL DAN BINTARO JAYA XCHANGE
Authors: Baskara Muhammad Farras , Sari Yeptadian
Published: January 2021

Pusat perbelanjaan adalah tempat untuk beraktivitas secara bebas mulai dari bercanda, berbincang dan tempat untuk menyediakan kebutuhan sehari-hari. Pencahayaan alami berfungsi untuk mendapatkan pencahayaan dari cahaya matahari dan berguna bagi kesehatan serta penghematan energi. pusat perbelanjaan ini menerapkan system senyum untuk kehidupan yang berarti harus berdampak positif untuk masyarakat dan lingkungan. Pusat perbelanjaan menjadi bagian dari strategi untuk perkembangan kota dan sarana penunjang kebutuhan sehari-hari. Metode yang digunakan adalah metode deskriptif kualitatif karena penelitian ini berisikan tentang fakta, akurat dengan menggunakan narasi untuk menjelaskan gambar. Penerapan yang akan digunakan yaitu aspek tapak bangunan, aspek sirkulasi dan aksesbilitas, aspek material dan aspek fasad bangunan
PENYUSUNAN SIMTRABA (SISTEM INFORMASI MANAJEMEN TATA RUANG DAN TATA BANGUNAN) DPUPR KABUPATEN BENGKULU TENGAH
Authors: Agustomi Endri , Prabowo Dedy Agung , Agustiawan Eki
Published: January 2021

Giving citizens access to information from government and non-government institutions is one form of public information disclosure. Openness of public information that has been considered difficult to reach by the public is expected to help build openness between the community and government and non-government institutions in the future. In practice, obtaining the latest, accurate and complete data requires public information disclosure. In planning and development, up-to-date data is needed, especially building and land data that can support its implementation. Therefore the Dinas Pekerjaan Umum dan Penataan Ruang (DPUPR) Bengkulu Tengah Regency responsible for building management needs to conduct building data collection activities so that the availability of information regarding building data can be met. So in terms of spatial planning and building layout so that it is faster and more effective in identifying specific problems concerning the relationship of data between one and the other that are built connected by describing the characteristics of spatial planning openly, it requires an application of Spatial Management and Building Management Information Systems or abbreviated as SIMTRABA
USЕ OF ЕDUCATIONAL PHOTOGRAPHS IN TEACHING PHYSICS IN SECONDARY SCHOOL
Authors:   Plovdiv University Paisij Hilendarski, Plovdiv, Petrova Hristina
Published: January 2021

Physical objects, phenomena, laws and theories are studied in high school physics. They can be presented through various visual aids such as experiments, diagrams, graphics, photographs, videos and more. Our focus is on educational photographs as a means of visualizing physical objects and phenomena. Educational photographs’ merits are presented. They can be used in all types of physics lessons. For example, lessons for new knowledge or solving problems, laboratory or seminar lesson. Important didactic functions that they perform are considered such as illustrating of physical objects, technical application of studied laws and phenomena, solving problems during the lesson or for independent work and creating problematic situations. The emphasis is on the so-called photo tasks, which solution can be realized with the help of an interactive whiteboard. The use of digital photography in physical educational experiment is also considered. A model of the activity of the teacher and the students in conducting physics laboratory work is proposed. A methodology for using digital photography in physics demonstration experiment is presented.
CAMP DAILY ROUTINE OF UKRAINIAN PROFESSORS-HUMANITARIANS: BAMLAG
Authors: Bon Oleksandr
Published: January 2021

The Ukrainian humanitarian intellectuals became the object of the totalitarian regime repressions at the end of 1920–1930s. Ordinary social conditions of cultural life centers changed drastically. Even harsher conditions waited for the repressed humanitarian intellectuals — the conditions of Stalin’s GULAG prisons, concentration camps, and an exile. The survival strategies at GULAG’s extreme conditions had many differences and yet had common features. The subject matter of this article is an daily routine of the Ukrainian humanitarian intellectuals in 1930s. The objective of this research is to reflect upon the everyday life of well-known Ukrainian scientists, professorshumanitarians Stephan Taranushenko, Vasyl Dubriovskyi, Dmytro Gordieiev, and Vsevolod Zummer, who
at different times were connected to Kyiv and its scientific environment. They met at BAMLAG (Urulha, Svobodniy) — where they were constructing the Baukal-Amur highway and two ways of Transsyb. Social transformations in the concentration camp had a sweeping character. But the Ukrainian humanitarians worked hard, under the psychological and ideological pressure, to the extent possible were doing art as well. The humanitarians of those days were forced to show their loyalty to the totalitarian regime. The sources for this paper are not only Vasyl Dubrovskyi’s memorials of concentration camp but also the documents and memoirs of Ivan Chystyakov, who at that time was a commander of BAMLAG security division. It was reflected how the prisoners were forced to a more productive work. The camp administration used food and the early release conditions to achieve that. The conclusion was the next — the Ukrainian professors managed to survive and left BAMLAG before the date due.
El papel depresor del pH durante la flotación sin colector de mineral de galena
Authors: Reyes Martín , Reyes Domínguez Ivan Alejandro , Flores Guerrero Mizraim Uriel , Barrientos Hernández Francisco Raúl , Pérez Labra Miguel , Juárez Tapia Julio Cesar
Published: January 2021

La recuperación del mineral de galena (PbS) durante la flotación sin colector, desciende con el incremento del pH y con la disminución del potencial de pulpa Eh (mV) referido al electrodo estándar de hidrogeno. La depresión del PbS, durante la flotación, se atribuye al estado superficial que adquiere en ambientes alcalinos, caracterizada por FTIR, el cual consiste de intensas bandas de enlace de especies covalentes tales como; el ion sulfato libre con una longitud de onda en 1097 cm-1, sulfo óxidos S = O en 1400 cm-1, indicando la oxidación del azufre de la última capa atómica y ion hidroxilo OH- en 1638 cm-1, se forman, además, débiles bandas de absorción de los enlaces Pb – O. Mientras que cuando la recuperación de galena es óptima 75 % w/w, el azufre de la superficie se combina con el metal formando sulfatos coordinados de manera monodentada con tres bandas de absorción, así como enlaces Pb - OH del hidróxido de plomo Pb(OH)2 y enlaces Pb – O, del PbO2.
Selección de un material para su posible aplicación en el diseño de una estructura
Authors: Lira Hernández Iván Alonso , Ramírez Ramírez Rodrigo
Published: January 2021

La selección de materiales está directamente relacionada con el diseño, estas dos áreas de conocimiento son fundamentales para el desarrollo de productos, uno de los primeros pasos a llevar a cabo es definir mediante argumentos cuantitativos cuál es el mejor material a utilizar y en segundo lugar cuál es la geometría más conveniente a emplear, esto se hace generalmente cuando se tiene la libertad de elegir, ya que en algunos casos se tienen ciertas restricciones o de material o en cuanto a la geometría se refiere, además de que muchas veces también se tienen limitantes por la manufactura, por lo que para poder definir el material y la geometría se hicieron las comparaciones pertinentes a través de las fórmulas y la realización de los cálculos correspondientes para conocer las ventajas o desventajas que hay al momento de variar los parámetros antes señalados. 

 

Después de efectuar los análisis matemáticos, se modeló la estructura en 3D a través de un software de CAD, con el propósito de verificar o corroborar los cálculos mediante el método de elemento finito, mejor conocido como FEM, por sus siglas en inglés, para poder comparar lo generado mediante fórmulas y lo determinado por la simulación. Por lo que la presente investigación tiene como propósito principal poder ayudar en la mejor toma de decisiones en lo que refiere al proceso de selección de material y diseño de la geometría más conveniente para emplearse como estructura.
La huella ecológica, un indicador de sustentabilidad
Authors: Sánchez-Martinez Diana V.
Published: January 2021

La huella ecológica es una herramienta comúnmente empleada en temas de sustentabilidad para evaluar el impacto que ocasionan las actividades humanas al ambiente por actividades cotidianas como el transporte, industria, alimentación, etc. Fue creada para conocer el impacto que genera cada individuo conforme a la demanda de recursos naturales con los que vive y el desecho de contaminantes que emite en un área determinada. En diversos casos se sobrepasa la cantidad de recursos que empleamos para subsistir por lo que es necesario concientizar en la disminución del impacto ambiental que generamos día a día.