bluuebunny/crossref_metadata_2025_split huggingface dataset:
Biochemical and Clinical profile of COVID-19 patients and its association with severity of the disease: A study at tertiary care centre
Authors: Rani Anita , Kumar Rohit , Choudhari Omkar Kalidasro , Bhatia Paarth 
Published: July 2023

: The Novel Corona Virus pandemic caused significant morbidity and mortality worldwide. The biochemical parameters in affected individuals can differentiate between moderate and severe COVID-19 infection. Early identification will facilitate appropriate care and reduce the mortality.: In the present study, we are exploring the possibility of association of the data of biochemical investigations done at the time of admission with COVID-19 severity in patients, as timely modulation in medical management could reduce the mortality and shorten hospital stay.: A cross sectional study including 452RT-PCR positive, moderate to severe cases of COVID-19 patients admitted to a tertiary care centre, New Delhi were enrolled in the study, in the months of June to October 2020.Biochemical profile of moderate and severe COVID 19 patients was evaluated on admission and correlated with severity of the disease.Out of 452 patients, 331 patients had moderate disease while 121 had severe disease. Total bilirubin in moderate disease was 0.6mg/dl(0.4-0.9) and 0.6mg/dl(0.4-0.8) in severe disease (p=0.780). AST was 46U/L(31-73.75) and 45 U/L(30-76) in moderate and severe disease respectively (p=0.544), while ALT was 42U/L(25-78.25) and 42U/L(26-72)(p=0.936) respectively in moderate and severe disease. The ALP was 111U/L(86.5-165.5) and 106U/L(77-157) in moderate and severe disease respectively (p=0.828). The serum urea in moderate COVID-19 patients was 32mg/dl(22-61) while 42mg/dl(22-94) in severe disease (p=0.016). The serum creatinine in moderate disease was 0.7mg/dl(0.6-1.1) while 0.8mg/dl(0.6-1.8)(p=0.143) in severe disease. The median (IQR) serum HsCRP in moderate disease was 103.2mg/L(9.7-202) and in severe disease it was 103.76mg/L(19.53-181.26)(p=0.132). The median (IQR) LDH level in moderate COVID-19 patients was 245U/L(137.25-372.25) while in severe disease it was 385U/L(278-598)(p&#60;0.001).: The serum biomarkers Urea and inflammatory marker LDH could serve as potential biomarkers to differentiate between moderate and severe COVID-19 patients.
Impact of developing and implementing nonconformance management system at clinical biochemistry laboratory section of tertiary care hospital run by Government of Gujarat, India
Authors: Rajput Ajay S. , Sodavadiya Kirankumar B. , Patel Nikunj R. , Patel Shailesh M. 
Published: July 2023

In the era of evidence based medicine, laboratories are in implied need of providing quality services to their stakeholders. Development and implementation of NMS is the most important for laboratory preparing for accreditation. The aim of the study is to supplement the knowledge and to provide guidance about development of NMS in accordance with the accreditation requirements. The study was conducted at clinical biochemistry section of NCHSLS, Gujarat, India. Total of 85 NCs retrieved from the nonconformance record for the period of Oct 2011 to Sep 2013. They were analyzed for sources. Analysis was done to know whether they belong to management or technical requirements. Frequency and percentage-wise analysis of NCs related to various procedures of total testing process was also done and RCA for some of the NCs were done using 5 why’s or Fish bone technique.Majority of NCs are related to IQC (60%), External audit (14%) and EQAS (12%).Major NCs occurred in analytical and post analytical procedures and were related to the technical requirements (87%) pertaining to laboratory equipment (35%) and quality of examination procedures (20%).Development and implementation of NMS, is very useful for identification, record and RCA of NCs. NMS, helps to identify the area of QMS in need of attention as well suggest the corrective and preventive actions. It guides, decision making for developing a robust QMS system. Moreover, correct method of RCA is important in comprehensive evaluation of cause and prevention of the NCs.
Setting up the functional pathology laboratory in a hospital attached to a medical institute: An insight from soup to nuts
Authors: Gaffoor Nidha , Shetty Archana , Muralidhar Aparna , P V Nikhil , Edupuganti Himasree , Sandhyarani Kanna , Minal Jessica , K N Bhargavi , Sandeepa Supriya 
Published: July 2023

Laboratory physician's role by and large is confined to diagnostics and academics. Exposure on practical aspects is limited which is nevertheless essential. There is a significant gap in literature on how a four walled space is transformed into functioning laboratory.. We wish to narrate challenges and experiences faced during the process of setting up a diagnostic pathology laboratory attached to a teaching hospital in a rural geographic area. Bulk of data is the authors first-hand experience in setting up the laboratory from October 2019 to July 2021. For specifications and infrastructure related information, guidelines of national and international statutory governing bodies like National Medical Commission (NMC), National Board for Accreditation of Laboratories(NABL), Clinical and Laboratory Standards Institute(CLSI) were referred along with discussion from peers working in established laboratories. Various facets to make a laboratory fully functional were compiled and presented. A diagnostic pathology laboratory with basic subdivisions had been made functional to cater to healthcare needs of patients keeping in mind the scope for future expansion and growth. Basic fundamentals of infrastructure, manpower, consumables, vendor and data management are pertinent to even the laboratory associated medical professionals. An integrated and systematic approach with open mind for continual improvement is what it takes to face challenges and set up the diagnostics. A knowledge and hands on experience of various facets pertaining to a functional laboratory is essential to the practicing pathologists. This article provides the much-needed literature on challenges faced which can be a reference material for others undertaking a similar setting at work.
To study the effects of online teaching on eyes of school going children during COVID pandemic
Authors: Tank Gunjan , Bhagat Purvi , Prajapati Kamini , Nayi Snehal 
Published: July 2023

During COVID pandemic, with schools being closed, digital platforms are being extensively used for online teaching and learning. Children are being exposed to video display units (VDU) for prolonged durations making them susceptible to ocular problems and development of the Computer Vision Syndrome. Through this study, we attempted to study the effect of this added use of VDUs through online teaching on eyes of school going children. A Google survey of 18 questions was prepared assessing the pattern of online teaching sessions, type of devices used, use of protective accessories and presence of ocular symptoms. The form was floated on social platforms for parents of school going children. Data was collected and analysed using Microsoft Excel and percentage and p value calculated using chi square test. Out of 982 children, 494 (50.3%) had one or more ocular symptoms. Headache was found in 205(41.49%), excessive rubbing of eyes in 178 (36.03%), pain in 155 (31.37%), redness in 135 (27.32%), watering in 132 (26.72%), blurring of vision in 67 (13.56%) and changes in glass prescription in 42 (8.50%) children. We found total duration of online class and continuous use of VDUs to be statistically significant influencing factors. Online teaching learning should be cautiously conducted as the use of VDUs can affect the ocular health of the children.
Can long standing affect arches of foot: A cross-sectional study between bus conductors and bank employees
Authors: Mallashetty Nagaraj , Itagi Veeresh , Pattar Gururaj 
Published: July 2023

Arches of foot are curvatures found on the plantar surface of the human foot. The presence of these arches is a distinct feature of human feet. They are formed because of the wedge shape of bones and are supported and maintained by the intrinsic and extrinsic muscles, along with the ligaments in the sole of the foot. They are present right from the time of birth. These arches play a major role in bearing the weight of the body. They also act as shock absorbers, especially while jumping, and they provide protection to the soft tissue of the sole against pressure.The objective of present study is to know the effects of long-standing hours on height of arch of foot, by comparing arch index and arch angles of bus conductors, who stand for long hours with that of bank employees who relatively sit for long hours in their duty time. To compare the Stahelis plantar arch index between bus conductors and bank employees. To compare arch angle between bus conductors and bank employees.: Materials required for taking foot prints include ink pad, graph Sheet. Materials required for calculating stahelis arch index and arch index are measuring scale, protractor, ink pad, ink bottle, graph paper and compass. The subjects to be studied are 50 bus conductors and 50 bank employees within the age group of 35-55 years, who have been in service for a minimum period of 10 years.Measuring of plantar arch index is done by Stahelis arch index and arch angle by using footprints. A plantar graph of the weightbearing surface of the feet was taken on graph papers with ink pad with the subject standing erect with feet on the ground without any support.The mean arch index of the right feet of bus conductors and bank employees are .68 and .54 respectively, which is higher for bus conductors than bank employees. The mean arch index of the left feet of bus conductors and bank employees are .69 and .54 respectively, which is more for bus conductors than bank employees The mean arch angle of right feet of bus conductors and bank employees are 42.44 and 49.02 respectively, which is lesser for bus conductors than bankemployees, The mean arch angle of the left foot of bus conductors and bank employees are 43.52 and 48.12 respectively, which is lower for bus conductors than bank employees, by applying Mann whitney U “ P” value is found to be less than 0.05. The mean arch index is higher in bus conductors and arch angle is higher in bank employees. From the present study it is shown that long standing hours can be associated with increase in arch index and decrease in the arch angle of foot, suggesting decrease in the arch height of foot probably due to prolonged stress of standing on architecture of arches of foot.
Adherence to the Healthy Eating Index-2015 and Its Association with Depression Score in A Sample of Iranian Adolescent Girls
Authors: Mohseni-Takalloo Sahar , Salehi-Abargouei Amin , Ferns Gordon A. , Ghayour-Mobarhan Majid , Khayyatzadeh Sayyed Saeid 
Published: July 2023

Background: Depression in adolescents is one of the major public health concerns that can affect educational attainment and social relationships and impose a high economic burden on society. Previous studies have provided limited information on the relationship between a healthy diet and depression in adolescents. The present study aimed to investigate the association of Healthy Eating Index-2015 (HEI-2015) with depression scores among adolescent girls.
Methods: This cross-sectional study was conducted on 734 adolescent girls aged 12-18 years. Data on dietary intakes were collected using a valid and reliable food frequency questionnaire (FFQ), and diet quality was assessed based on HEI-2015. The Iranian validated version of Beck Depression Inventory (BDI) was used to evaluate depression. To explore the association between HEI-2015 and depression, logistic regression was used in crude and adjusted models.
Results: The prevalence of a high depression score in the study population was 33.8%. After controlling for potential confounders, girls with the highest adherence to HEI-2015 compared to those with the lowest adherence had a 37% lower prevalence of depression (OR: 0.63; 95% CI 0.40 to 1.00, Ptrend=0.03). This finding remained significant after adjustment for confounding variables (age, energy intakes, physical activity, and BMI percentile).
Conclusions: Greater adherence to HEI-2015 was associated with lower odds of depression in female adolescents. Prospective studies are necessary to confirm these results and clarify whether a causal relationship exists.
Chaya (Cnidoscolus Aconitifolius) for Enhancing Food and Nutrition Security of Arid Lands of Ethiopia
Authors: Gobena Daniel Alemu , Shewa Anbesse Girma , Abera Solomon , W/Tsadik Kebede , Neme Getachew , Mahamed Wasu 
Published: July 2023

Background: Chaya is a drought tolerant, fast growing, perennial and nutritionally rich leaf. Its nutritional values vary depending on the environment and agronomic practices.
Methods: Proximate compositions, minerals, and phytochemicals analysis of the newly introduced Chaya leaf grown at Dire Dawa (arid land), Ethiopia, were determined using official standard methods.
Results: Moisture content, protein, crude fat, crude fiber, ash, and carbohydrate were 5.63, 23.96, 8.98, 2.87, 9.05, and 49.49%, respectively. In addition, the energy content of leaf was found 374.62 kcal/100g. Mean values of each mineral such as calcium (Ca), iron (Fe), and zinc (Zn) were 253.68, 68.02, and 4.85 mg/100g, respectively. Phytochemical analysis revealed that phenols, tannin and hydrogen cyanide contents of Chaya leaf were 1916.66, 176.53, and 102.00 mg/100g, respectively.
Conclusions: Proximate composition, minerals, and phytochemicals make the plant valuable and a health promoting diet for communities settled in dry areas of the country. Therefore, Chaya has the potential to contribute to food and nutrition security, and health for the community suffering from malnutrition in drought prone areas.
Things Matter: A Posthuman Empirical Inquiry into the Actualization of Gender in an Advanced Placement Biology Classroom
Authors: Jeong Sophia , Buxton Cory 
Published: July 2023

The purpose of this study was to investigate and document the conditions in which gender was actualized in a high school Advanced Placement biology classroom. The authors of this study begin with the assumption that equitable and inclusive science instruction should not reinforce or condition students into thinking about themselves as single beings with fixed identities. Rather, science instruction should support a view that students are changing beings who can become other.
We also draw on scholars of new materialisms to examine how things matter in the actualization of students’ gender. Our study traces how gender followed unpredictable lines of flight and shows what gender could become. Using these theories to explain our findings we offer a new concept for the science classroom, students’ subjectivities-in-motion.
Diagnostic des Facteurs de Developpement du Marche de l’Assurance Vie au Cameroun
Authors: Gildas Boris Dudjo Yen , Djimtabe Djimodoum Ndolede 
Published: July 2023

L’objectif de ce travail est d’examiner la contribution de l’assurance-vie, en tant que facteur de sécurité sociale au Cameroun. Le marché de l’assurance-vie en Afrique subsaharienne et particulièrement dans la zone CIMA/FANAF est nettement inférieur à la moyenne du marché mondial (L’Afrique en représente 1,1% (marchés vie et non vie), la plus grande part étant représentée par l’Amérique avec 44,2%, devançant l’Europe (28,0%) et l’Asie-Pacifique émergente 13,5% (FANAF, 2023). Le faible développement du marché de l’assurance-vie peut s’expliquer par des caractéristiques d’ordre socioculturelles et économiques des populations. L’assurance-vie vise deux finalités, la prévoyance et/ou l’épargne. Elle apparaît ainsi comme une technique efficace de protection sociale. Nous avons utilisé la méthode de recherche qualitative (MRQ) basée sur une étude de Cas. Les données proviennent des entretiens semi-directifs menés au sein d’une entreprise d’assurance au Cameroun. À la suite d’une démarche interprétative des verbatims, les principaux résultats montrent que la nature de l’environnement, le contexte économique et les caractéristiques du marché de l’assurance-vie influencent significativement le niveau de développement du secteur des assurances au Cameroun. À l’issue de ce travail, nous recommandons à Prudential Beneficial Life Insurance de réadapter ses produits, augmenter son capital humain, s’adapter à l’évolution des consommateurs et investir dans le numérique.

The objective of this work is to examine the contribution of life insurance as a factor of social security in Cameroon. The life insurance market in sub-Saharan Africa and particularly in the CIMA/FANAF zone is significantly lower than the world market average (Africa represents 1.1% (of life and non-life markets), the largest share being represented by America with 44.2%, ahead of Europe (28.0%) and emerging Asia-Pacific 13.5% (FANAF, 2023). can be explained by the socio-cultural and economic characteristics of populations. Life insurance has two purposes, provident insurance and/or savings. It thus appears to be an effective technique of social protection. We have used the method of qualitative research (MRQ) based on a case study. The data comes from semi-structured interviews conducted within an insurance company in Cameroon. Following an interpretative approach of the verbatims, the main results show that the nature of the environment, the economic context, and the characteristics of the life insurance market significantly influence the level of development of the insurance sector in Cameroon. At the end of this work, we recommend that Prudential Beneficial Life Insurance readapt its products, increase its human capital, adapt to changing consumers, and invest in digital technology.
Menaces pour la Durabilité du Cacao Ivoirien : La Boucle de Méagui à l’Epreuve d’une Pression Anthropique et d’un Système Agricole Alternatif
Authors: Kouassi Koffi Moïse 
Published: July 2023

Le département de Méagui dans le Sud-Ouest ivoirien figure comme l’un des derniers fronts de production de cacao en Côte d’Ivoire avec 50% de la production nationale de cacao (OIPR, 2015). Depuis 1970, la pression sur la forêt s’est accrue avec un taux important de migration et des pratiques culturales extensives. L’objectif vise à mettre en évidence les facteurs anthropiques sur les performances actuelles des systèmes de production cacaoyère. L’étude a privilégié la démarche qualitative à visée compréhensive des pratiques culturales. La revue documentaire, l’entretien et l’observation directe ont été mobilisés pour la collecte de données. Il ressort des analyses des données que la menace parasitaire impulsée par le régime climatique couplée aux pratiques agricoles traditionnelles participent à rendre vulnérables des producteurs, qui sont déjà confrontés à une baisse de la productivité des plantations cacaoyères. La conversion de la cacaoyère en plantation d’hévéa s’avère comme des stratégies d’adaptation chez certains planteurs. Ces différents facteurs se présentent comme une menace pour la survie et la durabilité du cacao ivoirien.

The department of Méagui in the south-west of Côte d'Ivoire is one of the last frontiers of cocoa production in Côte d'Ivoire with 50% of national cocoa production (OIPR, 2015). Since 1970, the pressure on the forest has increased with a high rate of migration and extensive farming practices. The objective aims to highlight the anthropogenic factors on the current performance of cocoa production systems. The study favored the qualitative approach aimed at understanding cultural practices. Documentary review, interview, and observation were used for data collection. It emerges from the analysis of the data that the parasitic threat driven by the climatic regime coupled with traditional agricultural practices contributes to making producers vulnerable, who are already faced with a drop in the productivity of cocoa plantations. The conversion of the cocoa plantation into a rubber plantation is proving to be an adaptation strategy for some planters. These different factors present themselves as a threat to the survival and sustainability of Ivorian cocoa.
Insecurite dans les Points de Transfert d’Argent Mobile Money a Abidjan
Authors: Akadje Mathieu A. , Azi Wilfred J. 
Published: July 2023

Cet article s’est proposé d’étudier l’insécurité dans l’activité du mobile money. Pour la collecte des données, l’observation directe, l’étude documentaire, le questionnaire et l’entretien ont été nécessaires. L’analyse mixte des données recueillies, conduite auprès de 100 individus, a montré que la criminalité est une réalité malgré les actions des forces de sécurité. Aussi, la crainte et la peur ressentis par les citoyens développent un sentiment d’insécurité. Au regard des possibilités de réduire le chômage, d’accompagner les jeunes dans l’entrepreneuriat que prône le gouvernement et l’inclusion financière que ces services offrent, il est important de lutter efficacement contre ce phénomène.

This article has proposed to study the insecurity in the mobile money business. For data collection, the direct observation, the documentary study, the questionnaire and the interview were necessary. The mixed analysis of the data collected, conducted with 100 individuals, showed that crime is a reality despite the actions of the security forces. Also, the fear and fear felt by citizens develop a feeling of insecurity. In view of the possibilities of reducing unemployment, supporting young people in entrepreneurship that the government advocates and the financial inclusion that these services offer, it is important to fight effectively against this phenomenon.
The Impact of the COVID-19 Lockdown Restrictions on Physical Activity Levels in European Adolescents: A Systematic Review and Meta-Analysis
Authors: O’Brien Tanya , Lynch Aileen 
Published: July 2023

Aim: To evaluate how the COVID-19 public health lockdown restrictions impacted the physical activity levels of European adolescents aged 10-19. Methodology: Databases searched included CINAHL Complete, Medline, APA PsycInfo, AMED, EMBASE, SPORTDiscus, Web of Science, and Cochrane Library. Search terms comprised database-specific synonyms of “Physical Activity” AND “COVID-19” AND “Adolescents”. Included studies compared continuous, quantitative pre-COVID and during-COVID physical activity measurements of healthy adolescents aged 10-19 living in the European Union. The references of relevant systematic reviews were hand-searched for pertinent studies. Included studies were independently appraised using the Newcastle Ottawa Scale for Cohort Studies followed by meta-analysis. Findings: Database search retrieved 1397 studies, with three further studies discovered through hand searches. After removing duplicates, 898 articles were independently screened in Covidence by two reviewers, resulting in five included studies. Quality Assessment ratings were ‘poor’ (4/5) or ‘fair’ (1/5). Random effects meta-analysis demonstrated a significant decline in European adolescent physical activity levels, with a Standard Mean Difference of 0.44 (95% CI, 0.03, 0.84; P=0.005, 4 studies, n=2286). When analyzed by gender, a non-significant trend of decreased physical activity was found in both boys (0.43, 95% CI, -0.07, 0.93; P=0.09, 3 studies, n=1030) and girls (0.25, 95% CI, -0.33, 0.84; P=0.40, 3 studies, n=1017). Conclusion: Though overall study quality was poor due to pandemic restrictions, these results indicate that the COVID-19 lockdowns may have significantly negatively impacted already-poor adolescent physical activity levels. This research demonstrates the importance of interventions to encourage physical activity participation in this demographic.