bluuebunny/crossref_metadata_2025_split huggingface dataset:
English language teaching professionals' trajectories within the context of learning organisations
Authors: Price Beatrix 
Published: August 2020

AbstractEnglish as a foreign language teachers' associations (henceforth ELTAs) act as empowering platforms for English Language Teaching (ELT) professionals (Lamb, 2012), and yet the contributions of ELTA leaders have not been widely investigated in the fields of second language acquisition and language pedagogy. In order to fill this niche, a qualitative interview study explored the professional trajectories of successful teacher trainers. The paper gives an account of the motivation for continuing professional development (CPD) through the turning points in these professionals' early careers. The findings suggest that there are some similarities behind the motivating factors for CPD and the increasing participation in social spheres (Lave & Wenger, 1991) leads to professional growth. Moving from the periphery towards the centre in a Community of Practice (CoP) the participants of CoPs become knowledge providers. The results reveal that after members have reached their own plateau and can no longer grow professionally in a particular CoP, they either move on to a different, often more challenging CoP and often belong to different CoPs and even end up as the leaders of ELTAs. Limitations and further research suggestions are included at the end of the paper.
Do students take the predictions of human capital theory into account? An analysis of motives behind further studies in higher education
Authors: Fényes Hajnalka , Mohácsi Márta 
Published: August 2020

AbstractIn this paper, we seek to answer the research question as to whether students take into account the predictions of human capital theory (namely the higher wages associated with further studies) in their decision to participate in higher education. Our alternative research question is whether students can be described by Bourdieu's theory on capital conversion, that is, whether they aim to accumulate cultural and social capital during their studies, which can also be profitable for them in the future. Our research method is quantitative: we use cluster analysis to examine the motives behind further studies and employ cross tabulation and variance analysis to reveal the relationship between clusters and social background variables. We find that the wage premium associated with further studies is not the most important motive among students; it holds only minor importance even for those from a disadvantaged social background. The results suggest that students in secondary schools, especially talented but underprivileged ones, should be motivated to enter higher education by informing them about the potential wage premium they can attain if they study further. Importantly, we also find that underprivileged students may be unaware of the fact that higher education is an efficient mechanism to accumulate social and cultural capital, which then can be converted into economic capital.
Let us dream of positive pedagogy!
Authors: Attilane Ladnai Anita Szerencses 
Published: August 2020

The feeling of anxiety, boredom, and apathy is more prevalent in school than in the family or in the company of good friends (Olah, 1999). Positive psychology says that learning could be joyful and stress-free in schools. Seligman (2009) pointed out, that “well-being should be taught in school, even in three areas: to counterpoint depression, to gain life satisfaction as a means of self-development and to facilitate effective learning and creative thinking.” How these apply to the world of school? According to Olah (2004), the message of positive psychology to pedagogy is that by applying the principle of “burdening until it can be kept in flow,” education can become such a positive experience creating action, which could help to realize the process of knowledge assimilation and personal development. In this sense, education is the process of transmission of knowledge via love. This paper aims to provide a brief review research on black pedagogy (Hunyadyne et al., 2006), and point out those practices against it which proves that positive pedagogical practice could only mean positive alternative. The positive/white education is not just a dream. There are already existing good teaching practices, positive attitudes, and methods of teaching the joy of learning. The task is to find a further example and study these practices. The positive/white pedagogy as a new discipline relies on these achievements.
The relationship between the motor skills level and the severity of autism disorder in children with autism
Authors: Barrodi sedehi Ali Akbar , Ghasemi Abdollah , Kashi Ali , Azimzadeh Elham 
Published: August 2020

Background and Study Aim. This study aimed to determine the relationship between the level of fine and gross motor skills and motor proficiency with the severity of autism disorder in children with autism.
Material and Methods. 68 children with autism, ranged from 3-16 years old, were selected. Motor Assessment Battery for Children-2 (MABC-2) was used to assess fine and gross motor skills and motor proficiency. Gilliam Autism Rating Scale-2 (GARS-2) test was also used for assessing the severity of autism disorder in the participants.
Results. The obtained results from the Pearson correlation test showed that there was a significant and negative relationship between sub-scales of GARS-2 and MABC-2 tests (P<0.05). It means that decreasing the level of motor skills increases the autism severity. The results of the regression test also showed that only the total score of motor proficiency among microscales of the MABC-2 test could predict the stereotypes, social skills, communication skills, and autism severity (P<0.05).
Conclusion. The results of the current study indicated the pivotal role of motor skills growth in determining the level of autism disorder. It also emphasized on embedding motor interventions in rehabilitation programs of such people.
Posição prona em pacientes em ventilação espontânea com insuficiência respiratória por COVID-19: relato de caso
Authors: Dos Anjos Jorge Luis Motta , Santos Junior Frederico Lopes , Pires Thiago Queiroz , Rocha Gustavo Azevedo , Moreira Pedro Diogenes Freire , Durães Andre Rodrigues 
Published: August 2020

INTRODUÇÃO: A Posição Prona (PP) geralmente é utilizada em casos de Insuficiência Respiratória Aguda (IRpA) grave, em pacientes com Síndrome da Angústia Respiratória Aguda (SARA) e em ventilação mecânica invasiva, com o objetivo de melhorar a oxigenação. Entretanto, pode ser útil em casos de IRpA leve secundária ao COVID -19 reduzindo a necessidade de ventilação mecânica invasiva e as complicações associadas ao ventilador. OBJETIVO: Descrever o relato de caso do uso da posição prona (PP) em pacientes em ventilação espontânea com Insuficiência Respiratória Leve secundária ao COVID-19. MÉTODO: Trata-se de um relato de caso de um paciente com diagnóstico de COVID-19, com IRpA leve, com dispneia, tosse, hipoxemia e dessaturação, que dentre as técnicas de tratamento utilizou um protocolo de posição prona por períodos de duas horas, duas vezes ao dia, durante todo o período de internação. RESULTADOS: O paciente apresentou hipoxemia (SPO2 -94% e PO2- 62,9), associada a dispneia (Borg 6) na admissão, tendo apresentado melhora na dispneia (Borg 4) e saturação na oximetria de pulso de 96% após 24 horas de início do protocolo. Após 48 horas apresentou melhora gasométrica com valores e SPO2 e PO2 de 96,5% e 80,6 mmHg respectivamente. CONCLUSÃO: A posição prona em pacientes em ventilação espontânea, com insuficiência respiratória leve secundária ao COVID-19 é segura e pode ser utilizada como terapia adjuvante ao tratamento desse perfil de pacientes.
Bem-estar e comprometimento motor facial em pacientes com paralisia facial periférica: um estudo transversal
Authors: Dantas de Medeiros Sarah Fernanda , Da Silva Rita de Cássia Souza , De Medeiros Cirne Gabriele Natane , Cavalcante de Carvalho Ana Beatriz , Vieira Lima Núbia Maria Freire , De Azevedo Cacho Enio Walker , Cacho Roberta de Oliveira 
Published: August 2020

INTRODUÇÃO: A Paralisia Facial Periférica (PFP) é resultante da disfunção do nervo facial. A incapacidade de mover o rosto tem consequências sociais e funcionais para o paciente. OBJETIVO: Analisar a relação entre comprometimento motor facial e bem estar em pacientes com PFP. MÉTODO: Trata-se de uma pesquisa de caráter descritivo, observacional, do tipo transversal. Os critérios de elegibilidade consistiam em ter diagnóstico de paralisia facial e estar sendo atendido na clínica escola de Fisioterapia da FACISA. A amostra foi constituída por 20 pessoas com PFP. Os pacientes foram avaliados por uma ficha de avaliação sociodemográfica e pelos instrumentos: Escala de House-Brackmann (HB) e o Índice de Incapacidade Facial (IIF).Utilizou-se o coeficiente de correlação de Spearman para analisar o grau de correlação entre HB, IF e o tempo de lesão. RESULTADOS: Os participantes foram 65% do sexo feminino, a mediana da idade foi de 50,5 anos, o tempo de lesão foi de 3 a 331 dias (mediana 17,5 dias), a etiologia predominante foi idiopática 65%, e ambas hemifaces foram acometidas em igual proporção (50%). Quanto as características clínicas da PFP, o nível de comprometimento motor facial graduado pela escala de HB obteve mediana 4, o IFF-física obteve mediana 60. IFF-função social obteve mediana 38. Nas correlações entre HB, tempo de lesão e IFF, foi observado que os valores obtidos indicaram que não houve correlações estatisticamente significantes. CONCLUSÃO: Mesmo que o nível de comprometimento motor facial esteja acentuado, não houve correlação com o bem-estar dos participantes.
The impact of vitamin D3 supplementation on glycemic control in type-2 diabetes mellitus at a tertiary care hospital
Authors: Banzal Neeta , Desai Anupama 
Published: August 2020

Background: It has been estimated that at least one billion people worldwide have vitamin D3 deficiency. Type 2 diabetes mellitus has consistently been shown to be prevalent in individuals with vitamin D3 deficiency. This study focuses on exploring if there is any association between vitamin D3 deficiency, type 2 diabetes mellitus and glycemic control, by measuring HbA1c levels, after vitamin D3 supplementation.Methods: 77 patients with confirmed type II diabetes mellitus were enrolled during the study. Pre and post treatment (after 3 month) laboratory investigations - FBS, PPBS, HbA1c and serum vitamin D3 levels were done in all the patients. Patients were classified into two groups. Group 1 - vitamin D3 < 30 ng/ml (n=41) and group 2 - vitamin D3 ≥30 ng/ml (n=36). Group 1 was given 60,000 IU of calcitriol sachet weekly for 8 weeks followed by 60,000 IU once a month. No vitamin D3 supplementation was given to group 2.Results: Vitamin D3 supplementation in group 1, has resulted in number of patients with control on HbA1c (< 7%) increased from 8 to 17 (a more than 100% increase). Number of patients with control on FBS (<130 mg/dl) increased from 14 to 23 (64% increase). Conclusions: There is a positive association between vitamin D3 status and glycemic control in type 2 diabetic mellitus patients. Vitamin D3 supplementation in deficient group has resulted in significant reduction in HbA1c level (p<0.001).
An overview of carbapenem, its resistance and therapeutic options for infections caused by carbapenem resistant bacteria
Authors: Nepal Hari P. , Paudel Rama 
Published: August 2020

Carbapenems are beta-lactam drugs that have broadest spectrum of activity. They are commonly used as the drugs of last resort to treat complicated bacterial infections. They bind to penicillin binding proteins (PBPs) and inhibit cell wall synthesis in bacteria. Important members that are in clinical use include doripenem, ertapenem, imipenem, and meropenem. Unlike other members, imipenem is hydrolyzed significantly by renal dehydropeptidase; therefore, it is administered together with an inhibitor of renal dehydropeptidase, cilastatin. Carbapenems are usually administered intravenously due to their low oral bioavailability. Most common side effects of these drugs include nausea, vomiting, diarrhea, skin rashes, and reactions at the infusion sites. Increasing resistance to these antibiotics is being reported throughout the world and is posing a threat to public health. Primary mechanisms of carbapenem resistance include expulsion of drug and inactivation of the drug by production of carbapenemases which may not only hydrolyze carbapenem, but also cephalosporin, penicillin, and aztreonam. Resistance especially among Gram negative bacteria is of much concern since there are only limited therapeutic options available for infections caused by carbapenem resistant Gram-negative bacterial pathogens. Commonly used drugs to treat such infections include polymyxins, fosfomycin and tigecycline.
Factors influencing motivation in alcohol dependence syndrome patients in a tertiary care hospital of Assam
Authors: Ghosh Prosenjit , Barman Prakash , Bhattacharjee Ankur 
Published: August 2020

Background: The aim of this study is to study the change in motivation in patients with alcohol dependence syndrome (ADS).Design: 50 consecutive patients admitted for the treatment of ADS in a tertiary care hospital were evaluated. It was a cross sectional observational study.Methods: The study was done in a tertiary care hospital in the in-patient department of psychiatry. Structured performa for sociodemographic details. Psychiatric morbidity was assessed by structured clinical interview according to ICD10. SAD-Q (severity of alcohol dependence questionnaire) to assess severity of alcohol dependence. The assessment of motivation was done using the University of Rhode Island change assessment scale at baseline and after 10 days of admission. Data was evaluated keeping the aims and objectives in mind with appropriate statistical method using Statistical package social software (SPSS) version 21 and descriptive statistics was used. Chi square and Fisher exact test were used to assess the significance.Results: A total 64% were in pre-contemplation, 30% in contemplation and 6% were in action stage of motivation at baseline assessment. A significant change was seen in the levels of motivation towards contemplation and action stage after a brief hospital stay of 10 days. Motivation to change had a significant association with education and severity of alcohol dependence.Conclusions: Pharmacological and non-pharmacological treatment during a short hospital stay results in improvement in readiness for change in patients of alcohol dependence syndrome.
Snake bite induced delayed hypopituitarism: a rare case report
Authors: Bhowmick Niladri , Mukhopadhyay Jotideb , Kar Soumyadip , Das Amrita 
Published: August 2020

Hypopituitarism following snake bite induced AKI and dialysis is an uncommon complication. Often the presentation is delayed and Can present with a myriad of features. We present a case of a 27 year old male patient, with past history of snake bite and acute kidney injury (AKI) requiring dialysis and which subsequently resolved, presenting to us with fatigability and weakness, absence of secondary sexual character and poor academic performance. On examination, the patient had pale white and coarse skin. Hoarseness of voice was present. There was proximal upper and lower limb muscle weakness present with pseudo myotonia on examination. There was loss of axillary and pubic hair with low testicular volume. Routine reports suggested mildly elevated creatinine with severely elevated Triglyceride levels. Creatine phosphokinase (CPK) was raised. Hormonal profile revealed low free thyroxine (FT4) and serum 8 a.m. Cortisol but an inadequate increase in thyroid stimulating hormone (TSH) and adrenocorticotropic hormone (ACTH) levels were suggestive of central hypopituitarism. Luteinizing hormone (LH), follicle-stimulating hormone (FSH), Insulin-like growth factor 1 (IGF-1) levels were reduced. Neuroimaging revealed empty sella suggestive of pituitary apoplexy. The above were suggestive of delayed hypopituitarism following post snake bite dialysis mediated pituitary apoplexy. In all cases of snake bite, a common occurrence in our country the possibility of hypopituitarism should be kept in mind and the hormonal profile followed up closely along with the renal parameters.
Frequency of nutritional rickets, its clinicobiochemical profile and its relationship to the lower respiratory tract infections in indoor patients from 2 to 60 months of age
Authors: Thakur Bhagat Ram , Kumar Pancham 
Published: August 2020

Background: Frequency of nutritional rickets, its clinicobiochemical profile and its relationship to the lower respiratory tract infections in indoor patients from 2 to 60 months of age.Methods: Children aged 2 to 60 months admitted for the first time were included in the study and divided into two groups i.e. with and without clinical signs of rickets. Disease profile was studied in both groups. Incidence of lower respiratory tract infection was compared between two groups. Children with clinicoradiological signs of rickets were also investigated for biochemical abnormalities.Results: During the one year study period a total of 393 children were admitted, 65 were found to have rickets constituted as study group and 328 were without rickets were included the controls. Rickets incidence was 16.5% of which majority (74.6%) were males and most rachitic children (64.6%) were below six months of age. Acute lower respiratory tract infection (64.6%) was commonest in study group and acute gastroenteritis (24.4%) in the controls. The rate of ALRTI was nearly three times in study group. Frontal bossing (67.7%) was most common sign of rickets and increased alkaline phosphatase (93.8%) was the commonest biochemical abnormality.Conclusions: Nutritional rickets, a multifactorial disease, is easily preventable. The present study has revealed the high incidence of rickets i. e., 16.5% and also show the strong statistically significant association of nutritional rickets with acute lower respiratory tract infections.
Detection of fetal malnutrition and its associated maternal factors in a rural setting
Authors: Janardhan Alok M. , Alok Sandhya , Janardhan Leelavathi 
Published: August 2020

Background: The objectives of study were to analyse and compare the methods for detection of fetal malnutrition and to study the maternal factors associated with fetal malnutrition in babies born in rural hospitals.Methods: Periodic prospective cross-sectional case-control questionnaire-based study. Nursing home and Hospital based in rural population from January 2017-March 2018. There were 350 term newborns born in Shrinivasa Nursing Home, and Crawford General Hospital, Sakleshpur, were selected consecutively. Inclusion criteria: live, singleton term neonates. Exclusion criteria: Preterms, post-terms, those with congenital malformation, multiple gestations, cephalhematoma, subgaleal bleed. Anthropometry, fetal malnutrition assessed using clinical assessment of nutrition (CAN) score, Ponderal and Kanawati indices between 24–48 hours of birth. Newborns with fetal malnutrition (cases), and well-nourished babies (controls) assessed for maternal risk factors using standardised questionnaire from mothers.Results: CAN score identified 185 (52.9%) as malnourished and 165 (47.1%) as normal; Ponderal index classified 170(48.6%) as malnourished and 180 (51.4%) normal. Kanawati index grouped 151 (43.1%) as malnourished. Maternal factors: age (91.7% among <20 yr mothers-malnourished, 25% among >35 yrs), socioeconomic status (status 3, 4 had 57.2%, 66.7% malnourishment), improper antenatal care(80.7% irregulars; 38.5% among regulars), primiparity (60%;against 38.3% among multipara), pre-eclampsia (78.7%; 41.3% in normotensives), anemia (55.4%), weight gain (83.2% in <10 kg; 33.33% in >10 kg), stature (73.5% in <145 cm; 39.7% in >145 cm), medical illness (55.81%).Conclusions: CAN score is simple, systematic, clinical method of identifying malnutrition; statistically superior as screening tool. Maternal factors: improper antenatal checkups, primiparity, pre-eclampsia, medical illness, inadequate weight gain, short stature had significant association with fetal malnutrition. Maternal age, socioeconomic status, anemia not statistically significant.
HUMANIZAÇÃO DA ASSISTÊNCIA DE ENFERMAGEM EM UNIDADE DE TERAPIA INTENSIVA NEONATAL
Authors: Leite Pamela Iasmine Amorim Garcia , Pereira Fabricio da Gama , Demarchi Rafael Fernandes , Hattori Thalise Yuri , Nascimento Vagner Ferreira do , Terças-Trettel Ana Claudia Pereira 
Published: August 2020

Objetivo: compreender a humanização da assistência de enfermagem em Unidade de Terapia Intensiva Neonatal (UTIN) de hospital privado mato-grossense. Métodos:estudo de caráter descritivo, exploratório e qualitativo. A coleta de dados realizada em 2016 com Enfermeiros que atuam na UTIN, com análise de conteúdo. Resultados:Os profissionais demonstram conhecimento sobre a humanização, compreendendo a mesma como um processo vivencial, que é adquirido por intermédio da experiência da prática clínica sob um viés afetivo e da própria ciência da enfermagem. Destacou-se a importância da prática na prestação do cuidado de enfermagem ao neonato, devendo a atenção humanizada ser estendida à família, buscando fortalecer os vínculos do binômio mãe-filho. Conclusão:Percebeu-se uma preocupação dos profissionais, em relação a importância do envolvimento familiar no processo de humanização, que perpassa pela confiança mútua até o processo de empoderamento gerado nos pais pela equipe, devido ao estímulo da participação nos cuidados com o recém nascido.
Growth regulator and microfertilizers on Sage (Salvia officinalis L.) and Greater Burdock (Arctium lappa L.): effectiveness of complex application
Authors: Kovalev N. I. , Pushkina G. P. 
Published: August 2020

Relevance.Meeting the needs of the pharmaceutical industry with domestic medicinal raw materials is relevant. Methods.The aim of the study is to determine the effectiveness application by growth regulator, organomineral and microfertilizers on Sage (Salvia officinalis L.) and Greater Burdock (Arctium lappa L.) in conditions of Non-chernozem zone of the Russian Federation. The experimental part of the work was performed in Institute of Medicinal and Aromatic Plants in 2010-2011 and 2016-2017 by field experiments. On burdock we tested fertilizer Siliplant (0.5 l / ha): the first treatment was in the rosette phase, the second - after 20 days. On sage studied binary mixture of organomineral fertilizer EcoFys (1 l / ha) with fertilizer Zitovit (0.5 l / ha; applied in phase regrowth of plants) with following foliar application by complex microfertilizers Siliplant (0.5 l / ha) and growth regulator Zircon (40 ml / ha). The solution consumption is 300 l / ha.Results. The effectiveness of chelated form micro-fertilizers and organomineral fertilizers applied on various medicinal plants was shown. It has been established, that complex application by EcoFys+Zitovit (I treatment) and microfertilizer Siliplant with growth regulator Zircon (II treatment) can increase the productivity of Sage: yield of grass raised by 23%, roots by 40%. Similar results were obtained on the Greater Burdock culture – treatment of plants with microfertilizer Siliplant allowed to increase the yield of roots by 28%, leaves-by 24%.