bluuebunny/crossref_metadata_2025 huggingface dataset:
Effective Clinical Supervision in Nursing: Systematic Review
Authors: Anggeria Elis , Damanik Derma Wani
Published: September 2022

BACKGROUND: Clinical supervision is part of the leadership function to observe and evaluate the nursing care process, affecting service delivery and improving employee skills.
AIM: This systematic review was designed to evaluate effective clinical supervision in nursing.
METHODS: Databases were searched for relevant studies: Google Scholar, PUBMED, ScienceDirect, and ProQuest to study screening tools used to identify effective clinical supervision in nursing that were published within 2011-2022. Information about purpose, method, and result. The quality of the study was assessed using equipment from the Manchester Clinical Supervision Scale (MCSS). Validation and reliability were performed on all instruments. Data reliability using Cronbach's coefficient.
RESULTS: Data from retrieved studies were reviewed and tabulated according to purpose, study design, characteristics of the population, and result. Eight hundred twenty-nine identified references and 12 full-text articles were reviewed, and 8 for eligibility which has been tested and included in a systematic review, and articles have instruments with included criteria.
CONCLUSION: Limitations of effective clinical supervision of the head of the department. The organization is very important because a private hospital can work effectively if there is a healthy and supportive working environment between management and employees. Therefore, future research should focus on using clinical supervision in the health care system to identify effective supervision.
Breeding strategy of Nannothrissa stewarti Poll & Roberts 1976 (Clupeidae) in lake Mai-Ndombe, Democratic Republic of Congo
Authors: Zanga Norbert , Pwema Kianfu Victor , Mutambwe Shango , Musibono Eyul’Anki Dieudonné , Mbadu Zebe Victorine , Tembeni Makiadi John , Bekeli Mbomba Nseu , Micha Jean
Published: September 2022

Background. Clupeidae, Nannothrissa stewarti (Poll & Roberts 1976) endemic to Lake Mai-Ndombe is one of most heavily fished fish groups using practices and nets not allowed by the country's legislation. Objective of this study was to determine some aspects of reproductive biology of N. stewarti in Lake Mai-Ndombe.

Materials and methods. Fish were sampled monthly from November 2020 to October 2021 breeding parameters were determined : Gonado-somatic index (GSI), Size at first sexual maturity, Absolute fecundity and the relationship between total weight (WT) and total length.

Results. Results obtained showed that the sex ratio was in favor of females (1 : 0.8). Estimated absolute fecundity was between 227 and 4080 oocytes for females of total length between 23 and 35 mm with an average of 923 ± 664 g oocytes and a relative fecundity varying between 25115 and 155457 oocytes kg-1. Average oocyte diameter was 0.20 ± 0.14 mm. Distribution of oocyte diameters observed in the population as well as monthly variations of the Somatic Gonado Index (SGI) indicate that the species has two main clutches during the year. LT50 size at first sexual maturity is 27.6 mm for males and 25.5 mm for females.

Conclusion.N. stewarti from Lake Mai-Ndombe has multiple reproduction throughout year with however two maximum peaks at the beginning of peak rainfall (February-March and September-October).
Le co-design de technologies de eSanté : Un enchevêtrement de conversations, de tensions créatrices et d’inscriptions circulantes
Authors: Grosjean Sylvie
Published: September 2022

L’objectif de cet article est d’examiner les processus de communication qui sont au cœur du design de technologies de eSanté. Pour ce faire, nous prendrons appui sur un projet de design d’une plateforme de eSanté pour et avec les personnes vivant avec la maladie de Parkinson. À travers la présentation de « vignettes » décrivant certaines étapes du processus de design participatif (ou co-design), nous montrerons en quoi la communication est constitutive du design d’une technologie de eSanté. Nous porterons alors notre attention sur trois éléments : (a) la réduction de l’équivocité inhérente à la situation de conception et le processus de sensemaking  ; (b) l’émergence de tensions créatrices ancrées dans l’expression de la multiplicité des points de vue ; (c) la production de multiples artéfacts traduisant des valeurs dans le design.
Coopération et reliance : design et communication environnementale comme logiques de pensée et d’action au service d’enjeux complexes
Authors: Coulbaut Amélie
Published: September 2022

Intégrant design et communication environnementale dans une réflexion théorique et empirique, cet article appelle un questionnement mêlant la prise en compte des stratégies communicationnelles et de médiation mises en œuvre par les acteurs d’un Parc Naturel Régional et la manière dont la communication développée souhaite contribuer à construire un projet de société. Nous observons l’émergence de nouvelles stratégies de coopération, appuyées sur des dispositifs intégrant le faire-ensemble, les liens, le partage d’affects, de valeurs et d’actions. Le cœur des logiques de pensée et d’action dans les territoires de moyenne montagne se construit autour de la notion de liens, dans une perspective de reliance qui fonde les coopérations. Cet article s’inscrit dans l’axe 1c concernant les évolutions des modèles d’information, de communication et d’action par la pratique et 3c concernant les nouvelles stratégies des acteurs et les logiques de coopération.
Que peut le design pour la communication des entreprises de BTP ? Regard sur la relation client dans les prestations techniques
Authors: Khainnar Smail
Published: September 2022

Après s’être affranchi de la tutelle industrielle, l’assignant pendant longtemps à un simple processus de conception de divers produits du quotidien (voire parfois de ceux relevant de l’art : mobilier, objets d’exposition, etc.), le design est désormais, sur un plan conceptuel, dilaté et revendique une richesse en matière de métiers émergents, champs d’application, méthodes, finalités, etc. C’est dans cette optique d’ouverture du design que la présente étude vise à questionner son rôle dans l’optimisation des communications du couple « entreprise de BTP-client » dans le cadre d’une prestation technique. Cela se traduit par l’élaboration d’un modèle analytique qui conceptualise ladite prestation technique comme une « expérience » à vivre par les deux acteurs. Expérience qui est structurée par trois moments clés : avant, pendant et après les travaux. Ainsi, notre modèle a pour dessein de performer les passages entre les trois moments par les apports du design.
Revue de mode sur Instagram
Authors: Courbières Caroline
Published: September 2022

Au cœur de la sphère culturelle, la mode vestimentaire se trouve être aujourd’hui un objet de message de prédilection pour les réseaux sociaux. Il s’agit ici d’analyser l’évolution de cette information spécialisée et de sa prescription à travers les stratégies infocommunicationnelles du titre Vogue, autorité historique en matière de mode. Notre article vise à spécifier ses modalités de la médiatisation de l’information de mode mises en œuvre par l’édition française sur Instagram. En partant de l’évolution structurelle de ce média reconnu, et en observant le passage de Vogue France à Vogue Paris, l’étude sémiocommunicationnelle d’un corpus de posts et d’autres publications numériques ou imprimées de Vogue permet aussi de questionner la permanence de l’influence de ce média dans l’écosystème de la mode.
Vendre sans être une vendue
Authors: Michel Marion
Published: September 2022

La croissance de l’usage des réseaux socio-numériques rend possible de nouvelles modalités de prescription où un entrepreneur individuel, appelé « influenceur » ou « créateur de contenus » peut proposer un produit à son audience via son profil après avoir été recruté par une firme. La promotion de pratiques écologiques est concernée par cette modalité de prescription et peut être source de tensions que nous entendons discuter ici. A partir de méthodes quantitatives de scraping du web et de méthodes qualitatives, nous proposons d’étudier les modalités de la prescription écologique sur les réseaux socio-numériques. Si les créateurs de contenus mettent à distance dans leurs discours le monde marchand et insistent sur le caractère alternatif de leur activité, leurs pratiques sont issues du monde de l’entreprise et ils s’insèrent dans des relations marchandes – de coopération, de concurrence et de revendications tarifaires – avec les autres acteurs présents sur les réseaux socio-numériques.
Les effets secondaires de la crise sanitaire sur les sociabilités médiatisées des français
Authors: Figeac Julien , Favre Guillaume , Bideau Laëtitia , Rives Liza , Béliard Anne-Sophie , Joubert Léo
Published: September 2022

Cet article analyse quels dispositifs de communication les Français ont privilégiés pour rester en contact avec leurs proches durant la crise sanitaire. Sur la base de deux vagues d’une enquête par questionnaires (n = 16 224 puis n = 3 620) et d’une campagne d’entretiens (n = 30), nous montrons que l’intensification des usages observée durant cette période varie selon le genre, avec une nette démarcation des femmes, selon l’âge et le niveau d’études. Cette enquête montre également que les dispositifs les plus impliquant socialement (appels téléphoniques, SMS et appels vidéo) ont été plus importants dans les échanges avec les liens forts (parents, enfants et amis proches). Les relations avec les liens plus faibles (collègues, membres d’une association, amis d’amis, etc.) ont quant à elles été plus souvent maintenues à l’aide des dispositifs les moins impliquants socialement, comme les groupes de discussion en ligne et une forme de veille relationnelle, flottante et intermittente, instaurée à l’aide des médias sociaux.
Comment déclencher une mobilisation numérique de masse ?
Authors: Paulhet Jean-Baptiste , Mabi Clément , Flacher David
Published: September 2022

Dans l’espoir d’obtenir une visibilité accrue, les mouvements sociaux se sont emparés de l’espace public numérique. Cependant, au-delà de quelques mobilisations marquantes, leur capacité à générer des mobilisations numériques de masse reste incertaine. Dans cet article, nous proposons une analyse empirique de la mobilisation autour « L’Affaire du Siècle » sur Facebook (pétition la plus signée de l’Histoire de France) afin d’identifier des configurations susceptibles de permettre à une mobilisation numérique de rassembler au-delà de publics militants. Nous défendons l’hypothèse qu’une mobilisation numérique s’élargit lorsque son dispositif d’information et de communication parvient à adopter les codes de l’espace public numérique au sein duquel elle prend place, notamment en optimisant la circulation des contenus. Pour l’étayer, nous avons procédé à une étude de circulation du lien internet de la pétition de « L’Affaire du Siècle » sur Facebook pour comprendre les dynamiques de mobilisation au sein de cet espace. Dans ce cadre, nous établissons que le dispositif de communication de « L’Affaire du Siècle » est parvenu à mobiliser de nouveaux publics en articulant simultanément deux variables : l’appel à des leaders d’opinion en lien avec la cause et l’appel aux « affects »numériques susceptibles de faciliter la circulation des contenus. Ces deux conditions ont permis de déclencher une cascade d’information à même dépasser les contraintes de visibilité qui s’exercent dans un espace numérique comme Facebook.
ACTIGRAFIA COMO FERRAMENTA PARA AVALIAR O RITMO DO CICLO SONO VIGÍLIA DURANTE A PANDEMIA COVID-19
Authors: Belenello Jéssica Regina , Bomfim Gomes Bernardi Abikeilla Ariane , Trannin de Mello Sônia
Published: September 2022

A actimetria, através de algoritmos, mostrou-se útil para análise não paramétrica dos ritmos biológicos de atividade/repouso. Verificamos o padrão de atividade e repouso (Actímetro Condor®), durante 30 dias em 5 mulheres (> 30 anos), entre julho e agosto de 2020. Aplicamos questionário sociocultural elaborado pelas autoras. Participantes A, B, C, D, E com 39, 46, 54, 55 e 61 anos, respectivamente. Todos os actogramas evidenciaram irregularidades para dormir e acordar durante a semana com aumento das horas de sono aos finais de semana. Todas referiram piora na qualidade do sono comparado com antes da pandemia. As participantes apresentaram ansiedade, em relação ao momento atual, pontuação > 8 em escala de 0 a 10. Portanto, o sono sofre influência ambiental e social. Ações que levam ao autoconhecimento e autocuidado contribuem para o reconhecimento dos primeiros sinais de alterações do sono permitindo melhor controle e acompanhamento das situações reais de conflito externo.
The Structural and Dielectric Properties of BaTi0.88Zr0.12O3 Ceramic
Authors: Ku Muhsen Ku Noor Dhaniah , Osman Rozana Aina Maulat , Idris Mohd Sobri , Muhammad Nadzri Nur Izzati , Ruiz León Domingo Arturo
Published: September 2022

The BaTi0.88Zr0.12O3 ceramic has been synthesized by using a conventional solid-state reaction method and sintered at 1450 °C in air for 3 hours. The structural and dielectric properties of the sample were investigated. It was found that the sample exhibited tetragonal structure with space group P4mm. The maximum dielectric constant, εr value was obtained at Tc (70 °C) about 2800 measured at 1 kHz. The dielectric peak was broad which might be due to the pinching effect. However, maximum εr value was quite low may be attributed by the Tc and other phase transition point might be not fully coalescence. Another phase transition temperature was vaguely observed around 30 °C to 40 °C. The dielectric properties of the sample were dominated by the grain effect with capacitance values lie within range of 10-10 to 10-9. The SEM images shows that the average grain size of the sample was quite small about 2.9087 μm. It might be due to the contribution of Zr4+ with lower grain growth rate.
Positive Temperature Coefficient Resistivity (PTCR) Effect of Ba0.8Sr0.2TiO3 Ceramic for Electronic Devices
Authors: Nasir Nadia Nasika , Osman Rozana Aina Maulat , Idris Mohd Sobri , Ku Muhsen Ku Noor Dhaniah , Poopalan Prabakaran , Ruiz León Domingo Arturo
Published: September 2022

Barium strontium titanate (BST), Ba0.8Sr0.2TiO3 ceramic prepared using conventional solid-state reaction method has achieved a single phase at 1400 °C. The Ba0.8Sr0.2TiO3 ceramic shows the highest dielectric constant and capacitance at 65°C about 4001 (10 Hz) and 2.92765 x10-9 F, respectively. The conductivity of Ba0.8Sr0.2TiO3 ceramic is in between the range of semi-insulator and insulator materials, and this composition also has exhibited the positive temperature coefficient resistivity (PTCR) properties jump of one order of magnitude from 2.06202 x 107 Ω.cm to 3.00958 x 108­ Ω.cm measured at 1 kHz.
Prevalence and predictors of squamous intraepithelial lesions in human immunodeficiency virus positive women in Sagamu, southwest Nigeria
Authors: Ogunsowo Kehinde , Akadri Adebayo , Odelola Oluwaseyi , Adefuye Peter , Shorunmu Tessie , Ebili Henry
Published: September 2022

Background: Cervical cancer is still a public health problem in many developing countries, like Nigeria. HIV infection makes HPV infections last longer, progress to squamous intraepithelial lesion of the cervix, and eventually lead to invasive cervical cancer.Objective: Find out how often squamous intraepithelial lesions (SIL) happen and what causes them in HIV-positive women in Sagamu, southwest Nigeria. Methods. A cross-sectional study was done with 165 women with HIV and 165 women without HIV. Pap smears were done on all of the people in the study. The data was looked at with IBM-SPSS Windows v. 23.Results: Both groups were about the same age and had the same number of children (P=0.194 and P=0.388, respectively). The participants’ average age (SD) was 36.8 (5.6), and the median number of children they had was 3. HIV-positive women were much more likely to have an abnormal cytology smear (24.8%) than HIV-negative women (7.3%) (2 = 18.904, P 0.001). There wasn’t a link between having HIV and the severity of cervical lesions (2 = 3.66, P = 0.162). A CD4 cell count of less than 350 cells/mm3was found to be a strong predictor of an abnormal cervical cytological smear in HIV-positive women (AOR: 25.5; CI: 8.8-73.5; P 0.001).Conclusion: In Sagamu, Nigeria, the number of HIV-positive women with SIL of the cervix was much higher than the number of HIVnegative women with SIL of the cervix. HIV-positive women, especially those with a low number of CD4 cells, need cervical smear tests more often. This will make sure that pre-invasive lesions are found and treated as soon as possible.
Association of Multidomain Assessment Outcomes With Referral for Vestibular Therapy After Concussion
Authors: Eagle Shawn R. , Mucha Anne , Trbovich Alicia , Manderino Lisa , Elbin R.J. , Collins Michael W. , Kontos Anthony P.
Published: September 2022

Context

Multiple aspects of a multidomain assessment have been validated for identifying concussion; however, researchers have yet to determine which components are related to referral for vestibular therapy.

Objective

To identify which variables from a multidomain assessment were associated with receiving a referral for vestibular therapy after a concussion.

Design

Retrospective chart review, level of evidence 3.

Patients or Other Participants

Participants (n = 331; age = 16.9 ± 7.2 years; 39.3% female) were diagnosed with a concussion per international consensus criteria by a clinical neuropsychologist after presenting to a concussion specialty clinic.

Main Outcome Measure(s)

Medical chart data were extracted from the first clinical visit regarding preinjury medical history, computerized neurocognition, Post-Concussion Symptom Scale, Concussion Clinical Profiles Screen, and Vestibular Ocular Motor Screening within 16.2 ± 46.7 days of injury. We built 5 backwards logistic regression models to associate the outcomes from each of the 5 assessments with referral for vestibular therapy. A final logistic regression model was generated using variables retained in the previous 5 models as potential predictors of referral for vestibular therapy.

Results

The 5 models built from individual components of the multidomain assessment predicted referral for vestibular therapy (R2 = 0.01–0.28) with 1 to 6 statistically significant variables. The final multivariate model (R2 = 0.40) retained 9 significant variables, represented by each of the 5 multidomain assessments except neurocognition. Variables that had the strongest association with vestibular therapy referral were motor vehicle accident mechanism of injury (odds ratio [OR] = 15.45), migraine history (OR = 3.25), increased headache when concentrating (OR = 1.81), and horizontal vestibular ocular reflex (OR = 1.63).

Conclusions

We demonstrated the utility of a multidomain assessment and identified outcomes associated with a referral for vestibular therapy after a concussion.
Rectal Temperature Cooling Using 2 Cold-Water Immersion Preparation Strategies
Authors: Miller Kevin C. , Launstein Ethan D. , Glovatsky Rachel M.
Published: September 2022

Context

Cold-water immersion (CWI) is essential to treat patients with exertional heatstroke (EHS). Experts recommend that patients with EHS be immersed in water between 1.7°C and 15°C within 30 minutes of collapse. Some clinicians fill cooling tubs several hours before exercise, keep the tub in hot conditions, and then add ice in the event of an EHS emergency. No data exist on whether adding ice to water at the time of treatment is as effective as keeping water in the recommended range.

Objectives

To (1) compare the cooling rates of individuals immersed in a water bath kept at 10°C (CON) or 17°C water with 75.7 L (20 gal) of ice added to it immediately upon immersion (ICE) and (2) examine perceptual responses before, during, and after cooling.

Design

Crossover study.

Setting

Laboratory.

Patients or Other Participants

Twelve individuals (7 men, 5 women; age = 22 ± 2 years, height = 176.0 ± 12.8 cm, mass = 74.5 ± 10.6 kg).

Interventions

Participants exercised in the heat until rectal temperature was 39.5°C. They then immersed themselves in CON (initial water volume = 681 ± 7.6 L, 10.0°C ± 0.03°C) or ICE (initial water volume = 605.7 ± 7.6 L water at 17.0°C ± 0.03°C with 75.7 L ice) until rectal temperature was 38°C. Thermal sensation and environmental symptoms questionnaire (ESQ) responses were recorded before, during, and after exercise and cooling.

Main Outcome Measure(s)

Rectal temperature cooling rates, thermal sensation, ESQ responses.

Results

Participants exercised for similar durations (CON = 39.6 ± 18.2 minutes, ICE = 38.8 ± 14.3 minutes, Z11 = 0.94, P = .38) and had similar thermal sensation and ESQ scores immediately postexercise each day (P values > .05). They cooled quickly and at similar rates in both conditions (CON = 0.20°C ± 0.06°C/min, ICE = 0.21°C ± 0.12°C/min, t12 = 0.72, P = .49). Perception data were similar between conditions during and after cooling (P < .05).

Conclusions

Clinicians can cool patients with EHS quickly by adding ice to water that has warmed to above expert recommendations. Adding ice to a water bath at the time of EHS emergencies could save time, energy, and resources instead of always maintaining water bath temperatures within expert-recommended ranges.
Vector and rodent surveillance for Orientia tsutsugamushi in north India
Authors: Kaura Taruna , Kaur Jasleen , Bisht Kamlesh , Goel Shriya , Lakshmi PVM , Grover Gagandeep Singh , Mewara Abhishek , Biswal Manisha
Published: September 2022

Background & objectives: Scrub typhus or chigger borne typhus, caused by Orientia tsutsugamushi is an emerging vector-borne disease as large numbers of cases have been reported in various tropical countries. It is transmitted to humans through bites of infected chiggers (larval mites). The knowledge about the vector, its distribution, density and habitat are important so as to understand the epidemiology of scrub typhus in a given area. To control rickettsial infections, regular rodent-vector surveillance should be planned in areas where the disease transmission is occurring and it will also help to strengthen the existing entomological data related to the vector of scrub typhus in northern India.

Methods: In the present study, rodent-vector surveillance was planned for one whole year, covering both mite active and non-active seasons (October 2019-December 2020) in selected areas of Chandigarh and Punjab in north India. Rodent tissues and mites were also examined for the presence of O. tsutsugamushi by nested PCR for 56 kDa gene and real-time PCR for 47 kDa outer membrane protein gene. 18S gene PCR was performed for molecular identification of mites.

Results: In the surveillance, three types of ectoparasite, viz. mites, fleas and ticks were obtained in rodents. All mites found were of Laelapidae family. None of the pooled rodent tissue samples as well as mite samples were found positive for O. tsutsugamushi by nested PCR for rickettsial DNA.

Interpretation & conclusion: In the present study, we did not get any evidence of carriage of O. tsutsugamushi in either mites or rodents collected and sampled in selected regions in Chandigarh and Punjab. We need to strengthen the entomological surveillance over a broader region and increase the frequency of trapping rodents to increase clarity on vector-reservoir dynamics in this geographical region.
Edifications on Indirect IgM ELISA and Immunofluorescence assay (IFA) of scrub typhus in humans and erudition of Orientia tsutsugamushi in the vector of cohabiting rodents
Authors: Patil Shubham , Patil Archana , Chaudhari Sandip , Shinde Shilpshri , Kolte Sunil , Khan Waqar , Kurkure Nitin
Published: September 2022

Scrub typhus is a vector-borne disease caused by Orientia tsutsugamushi, propagated into humans by the bite of infected mite belonging to genus Leptotrombodium. The present study was conducted in the Nagpur region of central India aiming towards a survey of cohabiting rodents and their potential vectors for the presence of Orientia tsutsugamushi by PCR method. The study also emphasizes serological diagnosis of the disease by employing indirect IgM ELISA and IFA amongst the human cases of pyrexia of unknown origin. Indirect IgM ELISA recorded 39.69% (31/92) seropositive patients, further processing of ELISA positive samples for IFA revealed 67.74 % (21/31) positivity for Boryong, Gilliam, Karp, and Kato serotypes. A total of 50 rodents were trapped from the cohabit areas of the patients. Three different types of rodents were identified; among which, Rattus bandicoot was highest. From these rodents, 164 vectors viz mites, lice, and fleas were collected. The highest chiggar index was recorded for Ornithonyssus biscotti mites (3.4). This study prompts a detailed analysis of different species of rodents and vectors in the said endemic region.
Molecular epidemiology of Japanese encephalitis in pigs and risk factors associated with causing Japanese encephalitis in pigs of Lakhimpur, the first case reported in the district of North East India
Authors: Rajkhowa U , Barua AG , Malakar D
Published: September 2022

Background & objectives: Japanese encephalitis (JE) is a major public health problem in India. The first outbreaks of JE have been reported from the North-eastern regions of Assam, particularly from the Lakhimpur district of Assam between July–August 1989. In Assam every year many people died due to JE. This study was performed to investigate the molecular epidemiology of JE in pigs in Lakhimpur district of Assam and the risk factors associated with causing Japanese encephalitis in pigs. This study will help to map out the endemic regions and to know where and when to apply the most control strategies towards the prevention and control of the disease.

Methods: A total of 342 serum samples from pigs were collected from 10 organized and 20 unorganized farms from 9 blocks and recorded to age, sex and breed and tested by RT-PCR. Pig farms and the surrounding environment were studied for assessment of farm-level risk factors responsible for JEV infection in pigs.

Results: Out of 342 samples tested for detection of the E gene of JEV, 14 samples were found to be positive with a prevalence rate of 4.09%. Age, sex and breed-wise higher cases were found in at the age group above 12 months, sex wise female and breed-wise local pigs. Pig farms less than 500 meters from risk factors like rice field, stagnant water source, wild bird exposure to farm and mosquito exposure at farm/ bite to pigs, found to be more numbers of JE cases.

Interpretation & conclusion: Molecular epidemiology of JE in pigs, and humans; positive at Lakhimpur recommend the need for uninterrupted surveillance of this virus in pigs specially those areas where pig population is more and all risk factors are present.
Transverse Colon Diverticulitis
Authors: Siva Sangeetha , Shivaram H. V. , Alur Sunilkumar B. , Macwan Preetej
Published: September 2022

Diverticula are small mucosal herniations protruding through the intestinal layers and smooth muscle along the natural openings created by the vasa recta or nutrient vessels in the wall of the colon. Diverticulitis of the transverse colon is a rare disorder which is often confused with other conditions and presents a challenge in diagnosis. We, here, report a case of transverse colon diverticulitis with mesocolic abscess treated surgically. This report increases awareness of this unusual condition.
Dermoscopy and Clinicopathology Features in Diagnosing Paucibacillary Leprosy
Authors: Rusmawardiana R , Nursyarifah Nyimas , Argentina Fifa , Pamudji Raden
Published: September 2022

A wide variety of leprosy clinical manifestations poses an early diagnostic challenge. Currently, various diagnostic modalities have been developed to optimize the definite diagnostic of leprae. Leprosy diagnosis was established based on the presence of either hypopigmented or reddish skin lesions accompanied with loss of sensation, peripheral nerve involvement, and a positive skin-slit smear (SSS) test result for acid-fast bacilli. Resemblance of leprosy skin lesions to excessively many other differential diagnoses, unclear nerve involvement, and negative results of SSS in paucibacillary (PB) leprosy become a diagnostic veil to clinicians. Furthermore, an additional modality for PB leprosy is needed as an important way to prevent misdiagnoses and complications of leprosy. Commonly, a biopsy or polymerase chain reaction examination is performed to exclude other similarly presenting diseases. Dermoscopy examination, the noninvasive technique that allows a better examination to visualize skin lesions, along with clinicopathology features of skin lesions can help to establish the diagnosis of PB leprosy.
Multifocal Cutaneous Tuberculosis Coexisting with Pulmonary Tuberculosis
Authors: Mannava Anjali Srikanth , Wesley Garapati Chris Alex , Ganguly Satyaki , Jaykar Kranti Chandan
Published: September 2022

Tuberculosis (TB) is caused by Mycobacterium tuberculosis and it can affect multiple organ systems. Cutaneous TB, a less common type of extrapulmonary TB can coexist with TB of other organs. Here, we describe a case of multifocal cutaneous TB suggestive of two different morphological types with concomitant miliary pulmonary TB.
Cytokines Dynamics in a Wistar Rat Model Infected with Mycobacterium Tuberculosis Strain H37Rv
Authors: Singh Bobby , Wasita Brian , Reviono Reviono
Published: September 2022

Background:

The immunology characteristics of the rat model of tuberculosis (TB) infection are still unclear. This study aimed to evaluate the dynamics of pathology and cytokines in a rat model infected with Mycobacterium TB (MTB).

Methods:

Sixty male Wistar rats were divided into four groups, namely the control group (without MTB infection) and the MTB -induced group (observations at week-3, week-6, and week-12 postinfection). Granuloma formation was analyzed by histology procedure. Analysis of the levels of tumor necrosis factor-a (TNF-α), interleukin-6 (IL-6), IL-17, IL-2, IL-4, and IL-12 was performed using an enzyme-linked immunosorbent assay technique.

Results:

The number and size of the ganulomas increased proportionally between weeks 6 and 12 postinfection. Several cytokines, namely IL-6, IL-17, IL-2, IL-4, and IL-12 significantly increased in the 6th week compared to the 3rd week after infection (P < 0.05). These cytokines decreased significantly at the 12th week compared to the 6th week (P < 0.05). TNF-α was found to be stable at the third and 6th weeks and then decreased at the twelfth postinfection week. For IL-12, the longer the infection time, the higher the level.

Conclusions:

It was concluded that there was a typical pattern of TB infection in Wistar rats, namely certain cytokines that peaked at week 6 of infection. Thus, TB infection in rats can be a model for early-phase TB study.
Relationship between Oral Health Status and Oral Health-Related Quality of Life among Patients with Temporomandibular Disorders in Bengaluru City
Authors: Pawar Pallavi , Puranik Manjunath P. , Shanbhag Namita
Published: September 2022

Background:

Most of the oral diseases have consequences that can affect the quality of life (QoL). Temporomandibular disorders (TMDs) constitute a series of clinical problems that affect muscles of mastication, the temporomandibular joint, along with their associated structures. The perception and feelings of these patients regarding their oral health are often ignored.

Objective:

The aim is to assess the relationship between oral health status and oral health-related QoL (OHRQoL) in participants with TMD compared to the Non-TMD group.

Materials and Methods:

A cross-sectional comparative study was conducted among 320 participants (TMD 160 and Non-TMD 160 participants, respectively) in various hospitals of Bengaluru city. The Oral Health Impact Profile for TMDs (OHIP) questionnaire was administered for evaluating the OHRQoL. Oral health status was assessed using World Health Organization Oral Health Assessment Form for Adults, 2013. Chi-square tests, Pearson's correlation tests, and one-way ANOVA were applied for statistical analysis. The value of P < 0.05 was considered statistically significant.

Results:

TMD patients exhibited worse OHIP-TMDs scores when compared to the Non-TMD group (63.2 ± 3.78 vs. 2.15 ± 3.21). The mean Decayed, Missing, and Filled Teeth (P < 0.001), gingival bleeding (P < 0.001), pockets P < 0.001), and loss of attachment (P = 0.677) was significantly higher in the TMD group when compared to the non-TMD group. TMDs negatively affected the OHRQoL in the TMD group when compared to the non-TMD group.

Conclusions:

OHRQoL and oral health status are found to be poor among the TMD group when compared to the non-TMD group. There was a relationship between OHRQoL and oral health status among the TMD group and non-TMD group.
COVID-19 Outbreak
Authors: Bharath C. , Lakshmi K. Priya , Lakshmi S. Venkata , Saravanan N.
Published: September 2022

Background:

Dental care settings have the risk of COVID-19 infection due to the aerosols generated during procedures, handling of sharps, and proximity of the dentist to the patient's oropharyngeal region.

Materials and Methods:

This descriptive cross-sectional online survey among undergraduate and postgraduate dental students studying in a tertiary care hospital employed a convenient snowball sampling technique. The survey instrument consisted of pretested and prevalidated questionnaire comprising demographic characteristics, 14 items on knowledge domain, 6 items on attitude domain, and 4 items on practice domain modified from a previously published questionnaire on COVID-19.

Statistical Analysis:

Statistical analysis was done using SPSS version 20.0 to perform the Chi-square test, MannWhitney, KruskalWallis, Spearman's correlation, and linear regression analysis.

Results:

The study population comprised 79 (28.9%) males and 194 (71.1%) females, with approximately 53% belonging to the age group of <20 years. Based on our results, the majority of the general population had inadequate (42.1%) knowledge about the disease with a mean knowledge score was 22.82 ± 1.98.

Conclusion:

This study showed that the dental students had an inadequate level of knowledge and negative attitude in their outlook on overcoming the COVID-19 pandemic. Various health education programs are necessary, particularly targeting students with lower knowledge regarding COVID-19 are essential for encouraging adequate knowledge, positive attitude, and maintain safe dental practices.
Factors Associated with Women's Autonomy Regarding Dental Health Care Utilization in Bengaluru - A Cross Sectional Study
Authors: Aparna B. K. , Yashoda R. , Puranik Manjunath P.
Published: September 2022

Background:

Preventive dental care benefits people of all ages and genders' oral health. Among many conceptual implications, autonomy suggests the power to alter one's fate and environment, among other things. Little is known about women's autonomy and factors influencing dental health-care utilization in India. This study was designed to assess knowledge, attitude, and oral hygiene practices and its association with women's autonomy and dental care utilization.

Materials and Methods:

A cross-sectional study was conducted among 400 women aged 18 years or older in Bengaluru Urban District. Questionnaires were employed to assess women's autonomy, knowledge, attitude, oral hygiene practices, and dental care service utilization. Descriptive statistics and bivariate and regression analyses were carried out. The P < 0.05 was considered statistically significant.

Results:

More than half of the women (61.3%) had a high level of autonomy. Women with a high level of autonomy had more knowledge, a more positive attitude, and better dental hygiene habits. Autonomy, knowledge, and attitude were all significant independent predictors of women's use of dental care services.

Conclusions:

Women's autonomy was found to influence knowledge, attitude, and oral hygiene practices which in turn are associated with dental health-care service utilization.
The outcome of local excision of large rectal polyps by transanal endoscopic microsurgery
Authors: Shaltiel Tali , Gingold-Belfer Rachel , Kirshtein Boris , Issa Nidal
Published: September 2022

Introduction:

Local excision of large rectal polyps can be an alternative for radical rectal resection with total mesorectal excision. We aim to report the functional and oncological outcomes of transanal endoscopic microsurgery (TEM) for patients with large rectal polyps.

Methods:

All demographic and clinical data of patients who underwent TEM for rectal polyp of 5 cm or more at the Hasharon Hospital from 2005 to 2018 were retrospectively reviewed.

Results:

Twenty-eight patients were included. The mean age was 66 years. The mean polyp size was 6.2 cm (range: 5–8.5 cm) with a mean distance of 8.3 cm from the anal verge. Peritoneal entry during TEM was observed in five patients and additional laparoscopy after the completion of the TEM was performed in four patients. There were no major perioperative complications. Seven patients had minor complications. Final pathology revealed T1 carcinoma in five patients and T2 carcinoma in three patients. Re-TEM was performed in one patient with involved margins with adenoma. After a median follow-up of 64 months, one patient had local recurrence.

Conclusion:

TEM is an acceptable technique for the treatment of large polyps with minor complications and a reasonable recurrence rate. TEM may be considered regardless of the size of the rectal polyp.
Obesity: A risk factor for postoperative complications in laparoscopic surgery for colorectal cancer
Authors: Ramadan Bilal , Dahboul Houssam , Mouawad Christian , Aoun Rany , Kassar Serge , Kassouf Elia , Chakhtoura Ghassan , Noun Roger , Osseis Michael
Published: September 2022

Background:

The prevalence of obesity in the Eastern Mediterranean is increasing significantly up to 20.8% in 2016. Therefore, a higher percentage of colorectal cancer (CRC) patients are expected to be obese. Laparoscopic colorectal cancer surgery (LCRCS) is regarded as a safe and feasible procedure as laparoscopic approach is becoming the gold standard in CRC surgery, especially in the early stages of disease. However, LCRCS is correlated with a higher risk of short-term post-operative complications in obese patients (body mass index [BMI] ≥30 Kg/m2) than in patients with BMI <30 Kg/m2. This study aims to evaluate the impact of obesity on short-term post-operative complications in patients undergoing LCRCS.

Materials and Methods:

A retrospective study was conducted. Clinical data of case and control patients were extracted from medical records. These patients underwent LCRCS between January 2018 and June 2021 at Hôtel-Dieu de France Hospital, Beirut-Lebanon. Patients were divided into two groups: obese and non-obese. BMI ≥30 Kg/m2 was used to define obese patients. Post-operative complications in the 30 days following surgery were the primary outcome. The severity of post-operative complications was evaluated using the Clavien–Dindo score. Chi-square test was used to evaluate the statistical correlation between collected variables.

Results:

We identified 107 patients who underwent LCRCS during this study period at our institution. Among the patients, 23 were obese (21.49%). At 30 days post-operative, 26 patients were reported to having at least one complication. Non-significant differences were found between the two groups regarding the early post-operative complications rate (obese 26.1% and non-obese 23.8% with P = 0.821). Obesity was not demonstrated as a stratification risk by severity of the early post-operative complications (P = 0.92).

Conclusion:

Obesity, which was defined as BMI ≥30 Kg/m2, was not a risk factor for early post-operative complications as well as a stratification risk by severity of post-operative complications in LCRCS.
Curvature criterion for vanishing of group cohomology
Authors: Grinbaum-Reizis Zohar , Oppenheim Izhar
Published: September 2022

We introduce a new geometric criterion for vanishing of cohomology for BN-pair groups. In particular, this new criterion yields a sharp vanishing of cohomology result for all BN-pair groups acting on non-thin affine buildings.
Multiparameter quantum groups at roots of unity
Authors: García Gastón Andrés , Gavarini Fabio
Published: September 2022

We address the study of multiparameter quantum groups (MpQGs) at roots of unity, namely quantum universal enveloping algebras

U_\mathbf{q}(\mathfrak{g})

depending on a matrix of parameters

\mathbf{q}=(q_{ij})_{i,j\in I}

. This is performed via the construction of quantum root vectors and suitable “integral forms” of

U_\mathbf{q}(\mathfrak{g})

, a
restricted
one—generated by quantum divided powers and quantum binomial coefficients—and an
unrestricted
one—where quantum root vectors are suitably renormalized. The specializations at roots of unity of either form are the “MpQGs at roots of unity” we look for. In particular, we study special subalgebras and quotients of our MpQGs at roots of unity—namely, the multiparameter version of small quantum groups—and suitable associated quantum Frobenius morphisms, that link the MpQGs at roots of 1 with MpQGs at 1, the latter being classical Hopf algebras bearing a well precise Poisson-geometrical content.

A key point in the discussion, often at the core of our strategy, is that every MpQG is actually a

2

-cocycle deformation of the algebra structure of (a lift of) the “canonical” one-parameter quantum group by Jimbo–Lusztig, so that we can often rely on already established results available for the latter. On the other hand, depending on the chosen multiparameter

\mathbf{q}

, our quantum groups yield (through the choice of integral forms and their specializations) different semiclassical structures, namely different Lie coalgebra structures and Poisson structures on the Lie algebra and algebraic group underlying the canonical one-parameter quantum group.
Using Evidence-Based Pedagogical Approaches to Pivot from In-Person to Online Training in a D43 Program during the COVID-19 Pandemic
Authors: Mbugi Erasto V. , Hawkins Claudia A. , Hirschhorn Lisa R. , Kaaya Sylvia , Christian Elizabeth N. , Anaeli Amani , Balandya Emmanuel , Moshiro Candida , Drane Denise L.
Published: September 2022

The COVID-19 pandemic caused significant disruption to medical education globally. Fogarty International Center (FIC) training programs, designed to strengthen research capacity in low- and middle-income countries (LMICs), through partnerships between United States and LMIC institutions were particularly vulnerable to COVID-19 disruptions. We adapted short-term training for our FIC HIV Patient-Centered Outcomes Research program in Tanzania to the virtual environment using synchronous, asynchronous, and blended approaches and a variety of teaching pedagogies. We evaluated the acceptability and effectiveness of the new trainings among trainees and facilitators using a mixed-methods approach. Ninety percent of trainees and Muhimbili University of Health and Allied Sciences (MUHAS) facilitators agreed that the virtual training methods used were effective. Trainees reported high levels of satisfaction with the technology, group work, and relevance to their research. More than 50% of trainees and MUHAS facilitators agreed that learning in the virtual environment was as effective as, or more effective than, traditional in-person learning. However, they desired more interaction, opportunities to ask U.S. facilitators questions, and choices about topics for online versus in-person trainings. Two-thirds of U.S. facilitators agreed that the virtual delivery method was an effective way for participants to learn the material, although they also rated interaction less favorably. Virtual training incorporating pedagogical best practices of blended learning and traditional teaching online was a feasible, acceptable, and effective way of conducting research training to junior scientists during COVID-19. Virtual learning could become an integral part of post-pandemic training with some adaptation to improve interactions.
Dinamik Mikroakışkan Hücre Kültürü Platformlarında Difüzyon-Konveksiyon Proseslerinin Hesaplamalı Akışkanlar Dinamiği Modellemesi
Authors: YILDIZ OZTURK Ece
Published: September 2022

Mikroakışkan tabanlı biyokimyasal analizler, hücre ve doku mühendisliğindeki son gelişmeler, mikroakışkan sistemler içinde uzaysal-zamansal olarak kütle transferinin kontrol edilmesine dayanmaktadır. Mikroakışkan sistemler ile hücresel mikroçevrenin kontrol edilmesi ve doku benzeri yapıların taklit edilmesinin yanısıra, yüksek verimli analizlerin gerçekleştirilmesinde de oldukça kullanışlı araçlardır. Bu sistemler biyoaktif moleküllerin, nütrientlerin, büyüme faktörlerinin ve diğer hücresel regülatör moleküllerin konsantrasyon gradientlerinin zamana ve konuma bağlı olarak kontrol etme potansiyeline sahiptir. Bu nedenle mikrosistemlerde biyomoleküllerin taşınım olaylarının modellenmesi, mikroakışkan platformların tasarımını ve kantitatif biyolojik analizleri kolaylaştıran değerli ve kullanışlı bir analitik araçtır. Geliştirilen analitik model mikroakışkan sistem tasarımına rehberlik ettiğinden; maliyetli ve zaman alıcı deneyler minimuma indirilebilmekte; tasarım süreci verimliliği ve etkinliği arttırılabilmektedir.

Çalışma kapsamında ilaç taşınım uygulamalarına yönelik tek kanallı mikroakışkan platformda biyomoleküllerin difüzyon ve konveksiyon proseslerine vurgu yaparak kütle transferi profilini gösteren analitik bir model oluşturulmuştur. Mikroakışkan hücre kültürü sistemlerinin hücresel fizyolojik ortamların akış dinamiğini taklit edebilmesi için pulsatil laminar sıvı akışını sağlayabilen peristaltik pompa ile sistem kurulmuştur. Dinamik akış koşulları altında hücreler üzerine etki eden biyomekanik kuvvetlerin (akış hızı, konsantrasyon, basınç dağılımı ve kayma gerilimi) etkisini sayısal olarak incelemek için COMSOL Multiphysics sonlu elemanlar yazılımı kullanılarak mikroakışkan sistemin sayısal simülasyonu yapılmıştır. Mikroakışkan sistemde hücreler minimum kayma gerilimine maruz bırakılırken, kanal uzunluğu boyunca konsantrasyon profilinin korunduğu gösterilmiştir. Akış hızının arttırılmasıyla mikro kanal boyunca çözünen konsantrasyon dağılımı değiştirilebilmektedir ve bu da hücreler üzerindeki kayma gerilimini arttırmaktadır. Simülasyonu yapılan mikroakışkan analitik modelin, hücre kültürü, biyolojik analizler ve ilaç taşıyıcı sistemler için kullanılacak mikroakışkan platformların geliştirilmesinde sistem tasarımı ve parametre seçimi için temel olarak kullanılabileceği düşünülmüştür.
Linie
Authors:   Universitatea de Arte din Târgu Mureș, Blaga Raluca
Published: September 2022

This present article revisits after thirteen years Theodor-Cristian Popescu’s performance, "Krum". Produced by Târgu Mureș National Theatre, the performance was included that time in National Theatre Festival’s selection, but it’s presence in Bucharest generated a vocal choir contesting its theatrical value. The author of this article was among those objectors. After more than a decade, the performance has for the author of this article a different quality. Its virtues are the subject of this present paper.
Rolul improvizației prin dans pentru studentul actor
Authors:   Universitatea de Arte din Târgu Mureș, Olar Cristina-Maria
Published: September 2022

This study presents some of the choreography teacher’s work with student actors in the Art of Body Expression course. An important part of the study consisted in describing the exercises proposed throughout the two semesters, the ways of working, the objectives and the results obtained. We will investigate the importance of dance and movement for the student actor by deconstructing the types of sensorial improvisation.