bluuebunny/crossref_metadata_2025 huggingface dataset:
La adenopatía como clave diagnóstica para la sífilis primaria. Informe de casos / Adenopathy as diagnostic key for primary syphilis. Case reports
Authors: González Roma Laura , Werner Laura C.
Published: October 2022

Objetivo: Describir tres situaciones clínicas en las que se presentan distintas manifestaciones bucales para una misma entidad patológica. En los tres casos la sospecha diagnóstica de sífilis primaria se basó en la presencia de una adenopatía. Los estudios de laboratorio permitieron confirmar el diagnóstico de sífilis. Por su polimorfismo y variabilidad clínica en sus diferentes etapas evolutivas, la sífilis es descripta clásicamente como “la gran simuladora”. Este artículo propone que la presencia de adenomegalias características puede ser una clave para orientar el diagnóstico de la patología, lo cual no ha sido aún reportado en la literatura.
Casos clínicos: Se presentan tres casos clínicos de pacientes que acudieron a una consulta estomatológica privada y al Servicio de Estomatología del Hospital Alemán de Buenos Aires. Los tres acuden con signos y síntomas diferentes, pero compartiendo la presencia de adenopatías múltiples, en las que se destaca un elemento ganglionar más voluminoso.
Palabras clave: Chancro sifilítico, diagnóstico diferencial, estomatología, sífilis.
Pengembangan Modul Pembelajaran Berbasis Pendekatan Saintifik pada Kelas X SMK Negeri 1 Luwuk
Authors:   Pendidikan Matematika, Universitas Tompotika Luwuk, Tamagola Rendi Hadian A.
Published: October 2022

Proses Pembelajaran matematika sangat membutuhkan adanya media yang dapat digunakan sebagai perantara atau komponen sumber belajar yang dapat merangsang peserta didik untuk dapat berpikir kritis dan bersikap aktif dalam proses pembelajarannya. Dengan keterbatasan sumber belajar seperti bahan ajar atau modul pembelajaran dapat mengakibatkan ketidaktertarikan peserta didik untuk belajar sehingga berdampak pada hasil belajarnya. Sebagaimana yang terjadi di SMK Negeri 1 Luwuk Kabupaten Banggai, 69,4% peserta didik tidak memenuhi Kriteria Ketuntasan Minimal (KKM) untuk mata pelajaran Matematika. Penelitian ini bertujuan untuk memberikan modul pembelajaran berbasis pendekatan saintifik yang layak (praktis dan efektif) digunakan dalam pembelajaran matematika di SMK Negeri 1 Luwuk.Jenis penelitian ini adalah Research & Development (R & D), dengan menggunakan model 4D yang dimodifikasi menjadi3 tahap pengembangan yaitu Define, Design, dan Develop. Tahapan ini dimulai dari Penentuan dan Pendefinisian syarat-syarat pembelajaran seperti Analisis Awal-Akhir, Analisis Peserta Didik, Analisis Konsep/Tugas dan Perancangan Tujuan Pembelajaran. Selanjutnya dilakukan penyusunan produk awal berupa draf modul pembelajaran berbasis saintifik, yang kemudian divalidasi oleh ahli. Setelah proses validasi, peneliti kemudian melakukan uji coba dan perbaikan serta mengukur tingkat kelayakan (kepraktisan dan keefektifan) dari penggunaan modul berbasis pendekatan saintifik tersebut pada pembelajaran matematika.
臺灣高等技職教育之蛻變
Authors: 陳德華 陳德華 , 胡茹萍 胡茹萍
Published: October 2022

少子女化的浪潮與私立學校退場條例的立法，無一不對技職教育產生衝擊，面對當前環境，技職校院如何突破困境，調整辦學政策與方向，善用政府頂尖大學計畫、獎勵教學卓越計畫、典範科大計畫、技職教育再造計畫、高教深耕計畫等，提升技職教育創新能量，橋接產官學三方共謀教育最大利益。本書借鏡三所國立科技大學與五所私立科技大學的實務經驗，期使技職教育之發展更具前瞻性與永續性，並成為國家發展的驅動力。

主編簡介
陳德華
現職：華夏科技大學兼任講座教授、中華民國技職教育學會理事長 學歷：國立政治大學教育研究所博士 經歷：教育部政務次長、教育部常務次長、教育部參事、教育部高等教育司司長、教育部督學兼教研會執行秘書、教育部技術及職業教育司司長、國立教育資料館館長、教育部青年發展署署長、行政法人國家運動訓練中心董事長
胡茹萍
現職：立臺灣師範大學工業教育學系教授、中華民國技職教育學會秘書長 學歷：國立臺灣師範大學工業教育學系博士 經歷：教育部技術及職業教育司專員；國立臺灣師範大學技術職業教育研究中心研究發展組組長；教育部、臺北市政府、新北市政府私立學校諮詢會委員；教育部法規會、中央教師申訴評議委員會及經費分配審議委員會委員
作者
黃政傑、葛自祥、汪昭芬、龔信傑、龔娟宜、黃士偉、李益成、陳鴻雄、楊志宏、楊能舒、于第、李潔嵐、劉祖華、薛家明、廖信德、劉國偉、戴昌賢、葉蓁蓁、陳文淵、李鴻濤、盧安楚、林家羽、張雅琳、楊湘琦、陳又嘉、蔡祥吾、蔡明穎、李堅萍
iglesia del suprimido convento de San Agustín, parroquia de Santa María la Real (Badajoz)
Authors: Arevalillo García Ismael
Published: October 2022

En las páginas siguientes expongo al lector una breve reseña histórica del convento San Agustín de Badajoz, su fundación, vida de la comunidad y supresión definitiva; así como todas las gestiones que se llevaron a cabo hasta que la antigua iglesia conventual se convirtió en la sede de la parroquia de Santa María la Real. El estudio, basado fundamentalmente en documentos inéditos, nos revela muchos aspectos relevantes de los que significó esta fundación agustiniana en la ciudad de Badajoz.
convento del Santo Niño de Cebú. Datos para su historia al inventario de 1735
Authors: Blanco Andrés Roberto
Published: October 2022

Este artículo contiene un estudio exhaustivo de un completo inventario del convento del Santo Niño de Cebú elaborado en 1735 por el prior agustino Juan de Albarrán. El inventario ofrece información muy interesante de las propiedades agrarias, las fincas urbanas de la ciudad de Cebú y las capellanías administradas por los agustinos del Santo Niño. Se aporta información sobre los orígenes y su evolución, con abundantes referencias a la sociedad de ese tiempo. El estudio se completa con el análisis de la evolución histórica del convento del Santo Niño de Cebú en sus primeros ciento setenta y cinco años de existencia.
Abadologio del monasterio de San Leandro de Sevilla (1748-1818)
Authors: Guijo Pérez Salvador
Published: October 2022

Con el presente trabajo damos a conocer los asientos del Abadologio del monasterio de San Leandro que abarca desde 1748 a 1818, que se encuentran en el mismo. Contiene las elecciones de las abadesas, así como partidas de nombramiento de oficios trienales de la comunidad, licencias e intimaciones entre el visitador general de conventos y la comunidad de religiosas agustinas.Transcribimos sus datos más relevantes añadiéndolos en un anexo documental y analizamos los datos que de ellos extraemos, el mundo eclesial de la época en Sevilla, la condición social, el nivel académico, el origen y la edad de elección de las religiosas en este periodo.
Catálogo de incunables de San Agustín y autores agustinos en las bibliotecas de España (1467-1500)
Authors: Lazcano González Rafael
Published: October 2022

El presente ensayo incunabulístico ofrece el elenco de libros impresos en el siglo XV de Agustín de Hipona, o a él atribuidos, y de autores pertenecientes a la Orden de San Agustín: Egidio Romano, Pablo de Venecia, Agustín Triunfo de Ancona, Ambrosio Massari de Cori, Gregorio de Rímini, Jaime Pérez de Valencia, Alfonso Vargas de Toledo, entre otros, que se conservan en las bibliotecas de España. El número de incunables impresos entre 1467 y 1500 asciende a 150, estampados mayormente en talleres tipográficos de Venecia (52), Basilea (14) y Roma (11). Los ejemplares únicos suponen el 43,3%; situándose a la cabeza la Biblioteca Nacional de Madrid con 33 incunables únicos, y a considerable distancia le siguen la Biblioteca Capitular Colombina, de Sevilla, con cinco incunables, y con cuatro las bibliotecas del Monasterio Santa María de LaVid (Burgos) y de la Universidad de Barcelona. De cada libro incunable se ofrece su identificación, características generales, ubicación y, en la mayoría de las veces, la edición digital. La información sistemática y científica hace referencia, principalmente, al aspecto externo del libro.
Vida, utopía y realidad: Memorias de Nicolás Castellanos, agustino, obispo y misionero
Authors: Hoz Veros Serafín de la
Published: October 2022

Comentario a la obra de Nicolás Castellanos Franco, Memorias. Vida, pensamiento e historia de un Obispo del Concilio Vaticano II, Editor RL. Pozuelo de Alarcón (Madrid) 2021, 381 pp., 32 pp. de fotografías.
"Memorias" de Nicolás Castellanos Franco
Authors: Lazcano González Rafael
Published: October 2022

Discurso de presentación del libro de Nicolás Castellanos Franco, Memorias. Vida, pensamiento e historia de un Obispo del Concilio Vaticano II. Editor RL. Pozuelo de Alarcón (Madrid) 2021, 381 pp., 32 pp. de fotografías. Salón de la Cámara Oficial de Comerdio e Industria de Palencia el 4 de noviembre de 2021.
Effects of L1 Inventory Size and L2 Experience on L2 Speech Perception: Evidence From Canadian English and Mandarin Learners of Korean
Authors: Ryu Na-Young
Published: October 2022

This article examines the effects of native language (L1) phoneme inventory size and second language (L2) learning experience on adult learners’ perception of L2 sounds. Perception experiments compared the Korean vowel and coda identification accuracy of 28 English- and 28 Mandarin-speaking learners differing in their amount of university-level Korean language experience. The results showed that the English-speaking learners, whose L1 has a rich vowel and coda inventory, were better at identifying both Korean vowels and coda consonants compared to the Mandarin-speaking learners, who have a relatively small L1 vowel and coda inventory. These findings suggest that learners with a larger phoneme inventory have an advantage in the perception of L2 segments. In the case of L2 experience, results from segment identification tasks were less conclusive. Learners who had more L2 experience (i.e., more experience with the Korean language at a university level) performed better only in the vowel identification task compared to learners with less L2 experience. Results also showed no significant difference between more experienced versus less experienced learners in the case of coda identification. These outcomes indicate that learners’ L2 identification accuracy is influenced by the amount of their L2 experience but the presence and degree of this effect can differ depending on the type of L2 segment regardless of L1.
Motivations and Experiences of Non-Korean Heritage Language Learners of Online Korean Language Classes at a U.S. University
Authors: Kim Hyein Amber
Published: October 2022

Due to the COVID-19 pandemic, the majority of U.S. universities transitioned from face-to-face classes to remote classes after March 2020. Despite this sudden transition, the number of students taking Korean language courses online increased. Many attribute this surge in Korean language learners to the spread of Korean popular culture and the influence of Hallyu (Korean Wave). This article examines the experiences and motivations of 14 non-Korean heritage language (non-KHL) learners who took online Korean language courses at a U.S. university after March 2020, using participants’ written responses and interviews. This study’s findings suggest that a desire to connect with Korean people and culture influenced non-KHL learners to initiate Korean language learning. Results also showed that learners’ orientations and motivations were complex, as they overlapped and emerged simultaneously. Additionally, participants reported the benefits and challenges of learning Korean online, pointing out the importance of the teacher, learner autonomy, and Korean popular culture as factors that influenced their learning journeys and helped sustain their motivation of language learning. These findings suggest a need to further explore the diversity of Korean language learners, learner motivations, and how various aspects of Korean culture interplay in the process of Korean language learning.
MOTIVASI BELAJAR DALAM PEMBELAJARAN KONSTRUKTIVISTIK (Sebuah Kajian Teoretik Berdasarkan Teori Ekspektansi Vroom)
Authors: Nitbani Semuel
Published: October 2022

Salah satu teori yang lebih realistis dalam penjelasan tentang motivasi pembelajaran Konstruktivistik adalah teori Ekspektansi Vroom berdasarkan prinsip  dalam hubungan antara  keduanya. Keterkaitan ini menunjukkan  bahwa, (1)  siswa  akan termotivasi untuk membentuk kemampuan dirinya sendiri apabila terdapat determinator eksternal yang memberikan kemungkinan pencapaian hasil yang siswa inginkan. (2) Proses pembentukan kemampuan diri sendiri oleh siswa berlangsung melalui tahapan-tahapan yang memenuhi syarat, penting, dan meyakinkan,  dalam  gambaran psikologis siswa  pada rentangan nilai -1 hingga +1, yakni nilai -1  adalah siswa yakin bahwa hasil kedua tidak mungkin dicapai tanpa hasil pertama, hingga +1, yang menunjukkan bahwa siswa yakin bahwa hasil pertama penting dan memenuhi syarat untuk mencapai hasil kedua. Prinsip teori Ekspektansi ini kogruen  dengan teori  Konstruktivistik Vygoutsky dalam perspektif Scaffollding yang mempersepsi proses sebagai rangkaian hasil-hasil yang meyakinkan dan memenuhi syarat. (3) Implementasi konsep teori Ekspektansi Vroom  dalam pembelajaran  Konstruktivistik berlangsung melalui berlakunya: (a) Konsep valensi, yakni kepercayaan terhadap karakterisktik individu dan preferensi siswa dalam membentuk kemampuannya sendiri;  (b) Konsep instrumentalis, yakni keterpenuhan syarat dalam setiap tahapan pembelajaran; (c) Konsep harapan, yakni kemungkinan pencapaian hasil belajar yang disediakan guru; (d) Konsep kekuatan, yakni daya tarik siswa pada hasil-hasil pembelajaran yang diinginkannya. Motivasi belajar siswa berlaku sejalan dengan derajat kepercayaan terhadap pencapaian hasil-hasil yang diinginkan siswa. Semakin besar kemungkinan pencapaian hasil yang diinginkan maka motivasi belajar akan semakin kuat.
Erosion of calcified uterine leiomyoma into the urinary bladder: A case report
Authors: Ramirez-Caban Laura , Malekzadeh Maral , Cabrera Fernando , Suarez-Mora Adria
Published: October 2022

Introduction: Uterine leiomyomas are benign smooth muscle tumors that affect approximately 70–80% of women worldwide. Erosion of leiomyomas into surrounding tissues is a rare complication. We present a case of a postmenopausal female with uterine leiomyoma eroding into the urinary bladder.

Case Report: A 55-year-old, postmenopausal female with history of uterine fibroids previously treated with uterine artery embolization presented with recurrent bladder stones, hematuria, and pelvic pain. Pelvic magnetic resonance imaging described a 4.3 cm heterogenous mass involving the ventral uterine fundus and bladder dome concerning for malignancy. She underwent robotic-assisted total laparoscopic hysterectomy, right salpingo-oophorectomy, left salpingectomy, and partial bladder cystectomy. Pathology was significant for benign calcified leiomyoma and benign calcifications within the bladder mucosa.

Conclusion: Erosion of leiomyoma through the bladder mucosa is rare complication but should be considered in the differential diagnosis for patients presenting with hypercalciuria and recurrent bladder stones in the setting of uterine fibroids previously treated with uterine artery embolization.
Awareness of Diabetes: A cross-sectional study among the Interns of a Medical College of Kolkata
Authors: Chattopadhyay Amitabha
Published: October 2022

India is currently in the grip of an explosive epidemic of Type 2 diabetes. We already have more than 60 million people living with diabetes in India, as per latest statistics.1it is even more worrying that more than 50% of individuals with diabetes remain unaware that they have this condition.
Geriatric Health Care in India: The Upcoming Challenges
Authors: Saha Jyoti Bikash
Published: October 2022

The rise in the number of elderly in India has invited the attention of medical professional towards the medical and health need of elderly. With genetic, social, environmental, dietary and disease profile differences from their western contemporaries, Indian elderly demand a slightly different approach to their medical and health problems.
RMNCH+A: A Strategic Approach to Reproductive, Maternal, Newborn, Child and Adolescent Health in India: A New Initiative in Health Care Delivery System
Authors: Nag Kaushik , Patra Manas
Published: October 2022

Mother & child health care remained at the core of health care delivery system in India since independence. India is the first country to launch a National Family Planning  Program 1952 which focused mostly on population control. After almost 25 years ofoperation, it was revealed that population control goals cannot be attained in isolation, without ensuring health and well-being ofmothers and children. The â€˜welfareâ€™ concept was introduced in the National Family Welfare Programmelaunched in 1977.Inyear 1992, Child Survival and Safe Motherhood (CSSM) Programme was launched, where all MCH interventions, solong running vertically, were brought under single umbrella.Following the International Conference on Population Development(ICPD) held at Cairo in1994, Reproductive and Child Health(RCH) approach was adopted in India in 1997. RCH approachintegrated all existing MCH interventions with two additional components of adolescent health and management of RTIs& STIs.
Awareness Regarding Cervical Cancer and Preventive Practices Among Rural Married Women of Kancheepuram District, Tamil Nadu
Authors: Mani Geetha , Annadurai Kalaivani , Danasekaran Raja
Published: October 2022

Introduction: Cervical cancer is the commonest malignancy among Indian women causing high mortality and considerable socioeconomic burden. In developing countries like India primary and secondary prevention in the form of risk reduction and screening for precancerous lesions respectively offers the best hope for control of the disease. The success of preventive strategies depends on awareness and utilization of the services by the women. Objectives: To assess the awareness regarding cervical cancer and preventive practices related to cervical cancer among rural women in a selected area of Tamil Nadu. Materials and methods: This was a descriptive, cross-sectional study conducted among 100 women attending a rural health centre, in Kancheepuram district, Tamil Nadu between May and July 2012, using a semi-structured schedule. Results:Among the 100 participants, 74% were aware of the term cervical cancer. This awareness was positively associated with higher levels of education, socioeconomic status and occupational status (p< 0.05). Awareness about symptoms (29.7%), risk factors (1.35%), Pap smear (14.9%), other screening methods (13.5%) and treatment (4%) was low. None of the participants were aware of human papilloma virus (HPV) vaccine and none had undergone screening or immunisation with HPV. Conclusion: The awareness about cervical cancer and utilization of screening services was very low among the participants. This emphasises the need for integrating extensive awareness building measures in cancer control programmes. A multi-pronged approach is essential to cover women belonging to various socioeconomic subgroups. Key words: Awareness; cervical cancer; cervical cancer screening; human papilloma virus vaccine; Pap smear.
Clinical Trial â€“ An Introduction to Essential Prerequisites
Authors: Paul Bobby , Saha Indranil , Kumar Sanjay , Ghose Gautam
Published: October 2022

In todayâ€™s global scientific era, clinical trials are the mainstay for bringing newer and better drugs to market and it has become an indispensable part of the drug discovery process to ensure safety and efficacy of any new drug. According to the Associated Chambers of Commerce and Industry, India is set to grab clinical trials business valued at approximately US$ 1 billion by 2010, up from US$ 200 million last year, making the subcontinent one of the worldâ€™s preferred destinations for clinical trials. Drug companies are drawn to India for several reasons, including a techniÂ¬cally competent workforce, patient availability, low costs and a friendly drug-control system which is good news for Indian economy. On the contrary, the booming clinical trial industry is raising concerns because of lack of regulations regarding trials by private drug companies, uneven application of protocol for informed consent and proper ethical review 1.This article tries to give a general overview regarding different steps and criteria of conduction of clinical trials.
Polio free India: Challenges Ahead
Authors: Sarkar Amitabha
Published: October 2022

India, which once had the highest number of polio cases in the world, has achieved 3 years without any case of wild polio virus.The last poliovirus was detected in Howrah district of West Bengal with date of onset 13th January 2011. Environmental sampling reaffirms progress, as no wild poliovirus has been detected in sewage samples after week 45 of 2010. Data from the entire country for the period 2008-2012 has been reviewed by the South-East Asia Regional certification commission for polio eradication (SEA-RCCPE). The RCCPE has concluded that there is no circulating poliovirus in India, and the AFP Surveillance system is capable of rapidly detecting any importation. India along with 10 other countries of South east Asian region will be declared as the 4th Polio free WHO region at the end of March 2014 (3 out of 6 WHO Regions have already been certified â€œPolio Freeâ€-American region in September 1994, Western Pacific region in October 2000 and European region in June 2002).
Vitamin D Deficiency â€“ The Modern Epidemic
Authors: Bagchi Subrata
Published: October 2022

Researchers have analyzed data on vitamin D status on adult population in USA and found Vit D deficiency or insufficiency in 50-78%1. In United Kingdom 90% of adult population had low vitamin D2. It is extremely common in Sunny Middle East because people cover their body with clothes. The causes of vitamin D deficiency are â€“ modern life style, Sun phobia because of skin cancer, wrinkles, aging spots; obesity, medical illness e.g. mal-absorption, liver & kidney disease; medications e.g. phenytoin, phenobarbital, steroid. Natural vitamin has two forms, vitamin D3 (cholecaciferol) and vitamin D2 (ergocalciferol). Vitamin D3 is superior to vitamin D2.Vitamin D affects every system in human body. It plays a vital role in health of muscle and bones, normal functioning of immune system, controls growth of normal and cancerous cells, prevention & treatment of type 2 diabetes, prevention of heart disease, kidney disease & heart failure, prevention of coronary artery disease, treatment of psoriasis, prevention of dental problems and prevention & treatment of depression3 In people with Vit D deficiency the parathyroid glands produce more than normal amount of PTH, which cause excessive dissolving of calcium from bone leading to bone aches and pain. Vitamin D deficiency is a major cause of osteoporosis. There is a direct correlation between Vit D level and bone mineral density. Post menopausal women with osteoporosis had low level of Vit D. Steroids antagonize effects of Vit D.
Socio-biological determinants of contraceptive practice in a district of West Bengal, India: An appraisal
Authors: Baur Baijayanti , Haldar Anima , Naskar Subhrajyoti , Roy Samir kumar
Published: October 2022

Background:Contraceptive practice is said to be associated with socio-economic status, education & many other factors prevailed in the areas. Population stabilization and reduction of population growth are the basic aims behind contraceptive practices. Objectives: To assess current status of contraceptive practice among eligible couples & determine its social correlates. Material & Methods: A community based cross- sectional study was carried out in Paschim Midnapur district of West Bengal in 2009. Multistage random sampling method was followed. Total 16 areas were selected for study purpose and from each area 125 married women were interviewed to cover 2000 eligible couples. Results: 67.4% contraceptive prevalence rate and 62.6% couple protection rate were observed in the study with a finding that contraceptive use directly proportional with literacy status and social class. The contribution of tubectomy was highest (61.9%) in couple protection. Area wise variation (46% to 76%) in couple protection rate also detected. Conclusion: Strengthening of Behavior change Communication Campaign needed for awareness generation in promotion of spacing methods.
Effect of Maternal Factors on Low Birth Weight Baby in a Medical College of Kolkata
Authors: Sain Sonali , Mukhopadhyay Prianka , Saha Tushar Kanti , Chattopadhyay Amitabha , Dey Indira , Mandal Nirmal Kumar
Published: October 2022

Background: Low birth weight is a major determinant of mortality, morbidity and disability in infancy and childhood and also has a long-term impact on health outcomes in adult life. Objectives: The present study was undertaken with the objectives of assessment of occurrence of low birth weight babies delivered in NRS Medical College & Hospital and to find out the role of different sociodemographic and pregnancy related factors influencing low birth weight. Method:  A descriptive, observational study was conducted in the postnatal ward of the Hospital. All mothers who delivered during the study period were interviewed and relevant record was reviewed. Results: 38% of the babies had low birth weight. Proportion of teenage mothers were higher in case of low birth weight babies compared to the mothers of normal birth weight babies ( 27.7% Vs 17% ). 72.3% of the LBW babies were from family with per capita income < Rs 3000/- compared to 37.7% normal birth weight babies. 67.7% of mothers of low birth weight babies had last child birth within 3years compared to 33% of normal babies. 10.7% of the mothers of LBW babies had <3 ANC visits compared to 1.8% in other group. 22.6% of the mothers consumed <100 Folifer tablets  and 23.1% smoked tobacco during the antenatal period who delivered LBW babies compared to 1.8% and 2.8% respectively in their counterparts. Conclusion: Magnitude of low birth weight is still high and various unfavourable socio-demographic, antenatal and obstetric factors increased the risk of delivering low birth weight baby.
Abnormal Lipoprotein as a Determinant of Increased Blood Pressure: a Community Based Study in Rural Nagpur
Authors: Kumar Sanjay , Ray Deepanjan , Ferdows Sk. Samim , Ghose Gautam , Durge P. M.
Published: October 2022

Introduction: Hypertension is a modern epidemic. Dyslipidemia with hypertension increase cardiovascular morbidity by many folds. Abnormal lipoprotein profile itself associated with raised blood pressure. The study was conducted to find out the proportion of dyslipidemia and any association between the different components of blood lipids with hypertension. Methodology: It was a cross sectional study conducted in rural area of Nagpur among 574 adult subjects. Biochemical investigation was undertaken among 110 subsample and statistical tests were conducted with the help of SPSS software, version 19.0. Results: Prevalence of hypertension and dyslipidemia was 17.9% and 83.63% respectively. Positive correlation was found between SBP and Cholesterol, LDL-C. Conclusion: Regular screening for blood pressure and lipoprotein profile in community and adequate management will have beneficial role in prevention of development of early cardiovascular disorders in population.
Ebola virus disease: A Global threat
Authors: Haldar Anima
Published: October 2022

Till 2013 occurrence of the diseases was restricted in Africa. In 2014 the cases also occurred in Europe and America. One Indian person died in Liberia due to Ebola Virus infection. At this moment the disease Ebola is not present in Asia but the Asians are at risk of acquiring the disease at any moment. Health department & health personnelâ€™s of all Asian countries are quite worried about occurrence of disease due to high case fatality rate. Ebola virus disease (EVD) was first identified in 1976 in an area of Sudan (now part of South Sudan), and in Zaire (now the Democratic Republic of the Congo). The disease typically occurs in outbreaks in tropical regions of sub-Saharan Africa.[1]Through 2013, the World Health Organization reported a total of 1,716 cases in 24 outbreaks[1]. The largest outbreak to date is the ongoing epidemic in West Africa, which is centered in Guinea, Sierra Leone and Liberia. As of 11 November 2014, this outbreak has 14,413 reported cases resulting in 5,504 deaths[1].
A Child with Chronic Severe Malnutrition in a Tribal Village of Maharashtraâ€“ A Case Study
Authors: Pol ChieSujata S. , Shelke Pallavi S. , Vora Deepika P. , Chaturvedi Ramesh M.
Published: October 2022

The first 1000 days of a childâ€™s life are important for his/her long-term physical, mental and emotional development especially from a nutritional perspective. Inadequate nutrition during this phase can have severely negative consequences like impaired intellectual development.1General under-nutrition is more prevalent amongst rural children, scheduled castes and tribes, and amongst children with illiterate mothers. The contributing factors among these children are household food insecurity and intra-household food distribution, poor diets, inadequate preventative and curative health services and insufficient knowledge of care and infant feeding practices.
A Qualitative Assessment of Current Perception of Different Social Groups about Leprosy in High & Low Prevalent Districts of West Bengal
Authors: Mandal N.K. , Saha G.
Published: October 2022

Background: A KAP study on leprosy among leprosy patients, family members, community & service providers was conducted in both high & low prevalent district of West Bengal. As a part of the study, to corroborate its finding, a qualitative assessment on perceptions of different social groups about leprosy in the study area was undertaken. Objectives: To assess perception & attitude of different social groups about leprosy. Materials & Methods: 26 FGDs in high prevalent and 72 FGD in low prevalent districts of West Bengal were arranged with different social groups like health workers, ASHA, panchayer members, NGO repepresentatives etc. Total 274 persons in high prevalent districts & 780 persons in low prevalent districts, representing different social groups of the locality participated in the discussion. Results: Most of the panchayet representatives & villagers had poor knowledge & adverse attitudes & stigma towards leprosy, whereas ASHA workers were found to have inadequate knowledge about the disease. Conclusion: Community involvement, reorientation & adequate training of front line workers, proven IEC are required to address the problem.
A Study on Overweight & Obesity and its Risk Factors among Undergraduate Students of a Medical College in Kolkata
Authors: Adhikari Anurag , Dey Indira , Mandal N K
Published: October 2022

Background: Overweight and obesity are recognized as an "escalating epidemic" affecting both developed and developing countries. Medical students working under stress and adopting more sedentary life style, are likely to be the victims of obesity. Objectives: To find out prevalence of overweight & obesity and associated risk factors among medical students in Kolkata. Materials & Methods: A cross-sectional observational study was carried out among undergraduate students of NRS Medical College, Kolkata with a sample siza-150. Results: 18% students were overweight and 2% obese. Mean height & weight of boys were higher significantly than that of girls. 20.7% boys & 17.2% girls were either overweight or obese. 24% boys and only 7% girls have the habit of addition to smoking and or alcohol. 26.7% students, about 23% male & 33% female, not used to perform any exercises. 24% students have family history of obesity. Of them 27.8% developed overweight. No association of overweight with factors like family history, physical exercise, addiction, food habit or stress factor could be statistically established. Conclusion: Prevalence of overweight among medical students trend to be high. Promotion to adopt healthy lifestyles is urgently required.
Breastfeeding Week Celebrations at ESI Hospitals
Authors: Pisudde PM , Ahmad Shamshad , Prasad Ramkesh , Yadav Ashish , Rekha Dutt
Published: October 2022

In August 2014, the Department of Community Medicine celebrated breastfeeding week in our hospital(ESIC hospital, Joka) and field practice area (ESI hospital budge budge) which is our Urban health training centre in southern part of Kolkata. The theme for this year is â€œBreastfeeding: A Winning Goal for Life!â€ The theme for this year's World Breastfeeding Week asserts the importance of increasing and sustaining the Protection, Promotion and Support of Breastfeeding for achieving the Millenium Development Goals (MDGs) and improving child survival and nutrition in the Post 2015 development agenda of sustainable development goals.1To begin with, we referred to National Family Health Survey-3 data and tried to find out the status of breastfeeding practices in our areas. We found that percentage of children who received breastfeeding in one hour was just 23.7%.2 . District level health survey shows that percentage of children who received breastfeeding in one hour is 38.5% only while that the Mothers who received any antenatal check-up is 96.1% 3 This signifies poor implementation of breastfeeding policies in health care facilities and also signifies the missed opportunity to health educate the mother and her relatives about importance of exclusive breastfeeding. In the settings, where the ANC check up is high, the staff of healthcare facilities should ensure education of the mothers regarding exclusive breastfeeding, positioning, and attachment of infant to the breast while providing the ANC care and same should be continued after delivery. To achieve this, staff of the health care facility should be educated and trained in the importance of exclusive breastfeeding, positioning, and attachment of breast. Hence, as a part of breastfeeding week celebrations, we decided to conduct one-day workshop for the staff nurse working in maternity and paediatric wards and OPD of the ESIC hospital Joka and ESI hospital budge budge. We used this time to explain how important is exclusive breastfeeding and how does it influences neonatal mortality by decreasing it six times if exclusive breastfeeding is given.4 We showed how the mother can position the child and attach the child to the breast. We used an Integrated Management of Neonatal and Childhood Illness (IMNCI) guidelines, which is recommended under National Rural Health Mission (NRHM). We could offer these skills-based training to 44 staff nurse of two hospital and 4 ward ayaa from ESI budge budge hospital. We used photographs, Power Point presentations and videos. We also emphasized the importance of breastfeeding week and its theme. We also emphasize on stopping or discontinuation of use of infant milk substitute, feeding bottles and infant foods which is also stated by government of India, in 1992 (IMS act) as provided by Ministry of Health and Family Welfare (MoHFW), India. Faculty of Community Medicine department, of which one is trained in IMNCI strategy, conducted the sessions.
Perceptions And Attitudes of Postgraduate Students towards Thesis Work in A Medical College in Delhi.
Authors: Behera Shyambhavee , Cherian Vinu , Rajoura O P , Bhasin S K
Published: October 2022

IntroductionResearch forms the backbone of rapidly evolving world of medical sciences. In the existing medical curriculum, every student pursuing MD/MS Degree has to conduct a research study and submit a write up in the form of thesis as an essential requirement to earn the degree of Masters of Medicine/Surgery. There is thus a need to identify perceptions, attitudes, motivational factors and barriers among these postgraduate studentsin carrying out their thesis work in medical colleges.Materials and MethodsThis was cross sectional study, conducted in a Medical College of Delhi, in February 2017 among 247 MD/MS post-graduate students. Self-administered questionnaire was used to assess perceptions, attitudes, motivating factors and barriers towards doing thesis work.ResultsAlmost 70% postgraduate were motivated towards doing their thesis work but still, 62.8% perceived that thesis should be made optional. Major motivating factors included support from the supervisors, satisfaction towards career aspiration and advancement in the current field. Major barriers included unavailability of samples, difficulty in following up patients, lack of internet access in the department and lack of time.ConclusionEven with knowledge regarding the importance of research in the field of medicine, barriers outnumbered the motivations towards conducting thesis work. Overcoming these barriers in various forms will help enable a greater number of students to pursue research.
Determinants for Utilization of Post-Partum Intra-Uterine Contraceptive Device: A Cross-Sectional Study
Authors: Kotwani Priya , Patwardhan Vaibhav , Saha Somen
Published: October 2022

Background: India ranks second in terms of population in the world. Sehore district of Madhya Pradesh has total fertility rate more than or equal to 3.0 and is a Mission ParivarVikas district.Objectives:This study assesses the level of satisfaction amongst the acceptors of Post-Partum Intra Uterine Contraceptive Device (PPIUCD), identify the reasons for removal of PPIUCD, assesses the quality of PPIUCD related counselling given to Antenatal women.Methods: A cross-sectional study was conducted between February to July 2018. The sample included 255 beneficiaries of PPIUCD. Only those women who got PPIUCD inserted before six months were part of the study. In addition, 30 counselling session were assessed to evaluate the quality of counselling.Results: Higher acceptance for PPIUCD was seen among primiparous, expulsion was reported in 10.98% of the cases, abdominal pain was a complaint in 12.94% and bleeding in 21.96% of the women. Majority stated bleeding issues as the reason for removal. Gaps observed during counselling werefailure to offer basket of choices, non-involvement of partner or family member emphasizing the advantages and failure to inform about the limitations and side effects of PPIUCD.Conclusion: Government is taking many efforts in bringing down the TFR. With such low expulsion rates, PPIUCD can be the solution for the countries facing population crises. It can help bring down the high maternal and neonatal mortality.Acceptance for PPIUCD can be improved by counselling the women during antenatal period through dedicated family planning counsellors.
Role And Barriers of Using Zinc And ORS Combined in Diarrheal Diseases among Under Five Children: A Narrative Review
Authors: Bala Sudha , Kunduru CS , PM Pisudde , Pandve HT
Published: October 2022

India has the highest burden of diarrhea among under-five children globally. In 2004, UNICEF and WHO revised recommendations to include zinc in ORS as a treatment for diarrhea. This narrative review illustrates on therole and effects of Zinc with ORS in diarrheal diseases and also barriers associated with their usage among under-five children. This paper highlights both promising areas and gaps that need to be addressed through future research. Zinc supplementation along with ORS has shown a substantial decline in children experiencing recurrent diarrhea, suggesting that zinc is an important factor in preventing and controlling diarrhea.
mHealth: A Newer Perspective in Healthcare through Mobile Technology
Authors: Danasekaran Raja , Raja TK , Kumar M Buvnesh
Published: October 2022

The rapid spread of mobile technologies as well as advancements in their innovative applications to address the health issues has resulted in the development of a new field in healthcare known as mHealth. As of now close to 5 billion mobile phone subscriptions are in the world, with 85% of the worldâ€™s population are being covered by a commercial wireless signal. 1 The growing sophistication of these mobile networks which offer very high speeds of data transmission are transforming the way health services and information are accessed, delivered, and managed.2
Work Ability And Health Status of Security Personnel â€“ Time to Wake up from Sleep!
Authors: Surekha A , Suguna A
Published: October 2022

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Morbidities among People Living Close to Bio-Medical Waste Incinerator: a Study in a Rural Area of Himachal Pradesh, India
Authors: Raina Sunil Kumar , Chauhan Raman , Kumar Parveen , Sharma Sushant , Bajwa Harshvardhan , Sharma Shailja , Kumar Dinesh
Published: October 2022

Introduction: Current study was planned to assess the difference in prevalence for common adverse health events among people living close and distant to biomedical management incinerator (BMWI) in district Kangra, Himachal Pradesh.Methodology: A case-control study design was chosen to assess the association of BMWI and health events. People living close (Case) and distant (Control) to BMWI were assessed for common health problems related to gastrointestinal, respiratory, skin, and eye. Data collection was carried out by using structured interviewer administered questionnaire by trained medical professionals i.e. residents and interns.Results: Total 1479 people were surveyed of which 735 were cases and rest 734 were controls . Distribution of variables related to demographic and socio-economic status observed to similar across case and control villages. Odds Ratio (OR) observed to be 5.53 (3.18-9.63) in case villages for all types of morbidities and for respiratory (4.04; 1.81-9.04), skin (6.27; 2.26-17.36), and eye (11.12; 4.41-32.74) related problems.Conclusion: People living proximal to BMWI observed with high risk for adverse health events related to respiratory, skin, and eye. Establishment of surveillance system with biochemical assessments is required to establish causal effect of BMWI on population health.
Perceptions and Behaviour towards Environment among High School Students in Kancheepuram District, Tamil Nadu: a Cross-sectional Study
Authors: Mani Geetha , Vivekanandan Ajithkumar
Published: October 2022

Introduction:The world today encounters a wide range of environmental challenges such as climate change, water shortages, air pollution and loss of biodiversity. Technological advancements and resultant human activities through the years have caused significant disruption of environmental sustainability. Apart from collaborative efforts involving all stakeholders, individual environmental literacy and appropriate behaviour is the need of the hour. Considering the significant paucity of environmental surveys in the last decade, this study was planned to identify perceptions and behaviour towards environment among high school students in Kancheepuram district, Tamil Nadu.Materials and MethodsThis was a cross-sectional study conducted among students of classes 11 and 12, as part of an environmental education programme for school children between November and December 2018. A pretested, semi-structured questionnaire was used to assess perceived awareness and attitudes on selected environmental issues and extent of environment-friendly behaviour among individuals and their families.ResultsThe results revealed that students had better awareness about local environmental issues such as water scarcity and air pollution, while awareness on broader issues like global warming and nuclear waste was inadequate. The majority opinion was that most of these issues were bound to worsen in future. Consistent positive behaviour was observed in environmental activities which involved low cost, fewer restrictions and tangible benefits.ConclusionStudents imbibe opinions and practices from their families. Hence their perceptions and behaviour could be reflective of the community they belong. Targeted information with field-based environmental conservation activities is imperative to inculcate positive perceptions and behaviour among students. Students being best ambassadors of health could instil the same in their families, improving the environmental literacy of the communities.
Self-empowerment Boosts Confidence: Assessing Experience of Martial Arts Workshop among Undergraduate Students in North Bengal Medical College
Authors: Ghosh Nilanjana , Sengupta Sandip , Biswas Jagadish , Chowdhury Ananya
Published: October 2022

Introduction: Martial arts has remained an age old tradition of boosting confidence and increasing self esteem. Apart from self defence it is a well known sports which requires skill, Revised curriculum in foundation course for undergraduate medical students has incorporated it as an integral part of learning. Objective: Hence a daylong workshop was planned in North Bengal Medical College to assess outcome among students primarily Methods: Experts of the field were invited and they held a hands on workshop teaching them basic skills apart from enlightening the theoretical aspect and importance. 84 female students could be studied using questionnaire. A pre-test and post-test assessment was done on few relevant issues. Dean of student affairs was interviewed in depth for his experience on the issue. Results: 63.5% students opined they benefitted. A significant difference was noted in responses of fears faced and confidence to face the world. It would empower women more and inspire them to be self-reliant was opined by the Dean. Students and trainers were satisfied with the experience and placed demand for further workshop of similar kind or provision of regular coaching class. Conclusion: The study concluded that martial arts training are empowering and help in increasing self confidence. It should be made an integral part of learning and incorporated judiciously in the curriculum.
Entrevista a Rocío Faúndez
Authors: García Benítez Katia
Published: October 2022

Entrevista realizada por Katia García B., académica del Departamento de Trabajo Social. Facultad de Ciencias Sociales. Universidad Alberto Hurtado. Rocío Faúndez, Trabajadora Social de la Pontificia Universidad Católica de Chile, Magíster en Estudios Sociales y Políticos Latinoamericanos de la Universidad Alberto Hurtado y Máster en Ciencias Políticas y Sociales de la Universidad Pompeu Fabra de Barcelona. Su experiencia laboral está relacionada con niñez y adolescencia, género y diversidad, inclusión en educación superior, política migratoria y participación, desde un enfoque de derechos. Fue coordinadora del área de Estudios del Programa de Acceso Inclusivo, Equidad y Permanencia (PAIEP) de la Vicerrectoría Académica de la Universidad de Santiago. Directora social de la Fundación Todo Mejora donde lideraba la colaboración programática con otras entidades de la sociedad civil, la academia, organismos internacionales y reparticiones del Estado. Fue parte del área de estudios de la Secretaría Ejecutiva del Consejo Nacional de Infancia, donde participó de la elaboración de la Política Nacional de Niñez y Adolescencia 2015-2025. Ejerció como académica en la Universidad Alberto Hurtado durante diez años. Actualmente desempeña el cargo de subsecretaria de la Niñez, del Ministerio de Desarrollo Social y Familia. Entrevista realizada el 5 de julio del presente
Customer capital impact on competitive advantage
Authors: Waheed Shams Yousif , Ahmed Hamid Ali
Published: October 2022

This research aims to understand customer capital in its dimensions (customer retention, customer satisfaction, customer loyalty, develop customer relations) and its impact on achieving competitive advantage in its dimensions (cost, quality, flexibility, delivery) in high-class hotels in Baghdad. The study used the descriptive analytical method, and the study population consisted of general managers, assistant general managers, department managers, and the administrative staff working in the high-class hotels in Baghdad, their number reached (187), and the data was collected from (118) individuals who were selected by the non-probability sampling method (intentional sampling). The data was processed by the two statistical programs (SPSS V.25, AMOS V.25) using descriptive and inferential statistics methods to achieve the study’s objectives and test its hypotheses.