bluuebunny/crossref_metadata_2025_split huggingface dataset:
Psychological assessment of resident doctors working in Covid-19 wards
Authors: Sheth Megha D , Gawande Sushil , Kirpekar Vivek , Bhave Sudhir , Tadke Rahul , Faye Abhijeet 
Published: August 2022

: The first laboratory‐confirmed case of the novel coronavirus (COVID‐19) was reported in India on 30 January 2020. Since then, there has been exponential growth in cases, with India now ranking second in the global burden of COVID‐19. The novel coronavirus disease (COVID-19) is the greatest burden faced by the healthcare system at present. A major part of this burden is being tackled by the resident doctors working in various teaching hospitals all over the world.This study is aimed at assessment of psychological symptoms in resident doctors posted in COVID 19 wards with respect age, gender and speciality department to which they belong. After the permission from Institutional ethics Committee, about 75 resident doctors from various specialty departments posted in COVID-19 wards were taken for study. Each participant after informed consent has been individually interviewed telephonically along with the special semi-structured proforma prepared for the study. Clinical data was collected. After application of rating scales HAM-A & HAM-D to each individual, result are obtained. The survey is completed with total 75 resident doctors working in COVID 19 wards in NKPSIMS & LMH, Nagpur. Out of total n= 75, 44 were males (58.66%), and 31 were females (41.33%). The mean age of participants being = 26.82(±SD=2) years and total 7 days of duty done in COVID-19 wards. 75(100%) resident doctors reported anxiety symptoms and 20(26.66%) resident doctors reported mild depressive symptoms. 73 (97.33%) resident doctors had mild severity of anxiety and 2(2.66%) had moderate severity of anxiety. Resident doctors belonging to various speciality departments showed differing severity of symptoms with Obstetrics and Gynaecology department having maximum instance of anxiety and depressive features and Respiratory medicine and Orthopaedics having least instance of anxiety and depressive features.Resident doctors working in COVID-19 wards are susceptible for anxiety, depressive symptoms and insomniaMild form of both anxiety and depression are both prevalent. Psychological symptoms are strongly correlated with female gender as compared to male gender. Type of specialty department also affects the tendency to develop psychological symptoms in resident doctors posted in COVID19 wards. Age or past history of psychiatric illness is not found to be significantly associated with either anxiety or depression.
Yale observational score (YOS) to detect serious bacterial infections in young febrile children
Authors: Sethy Geetanjali , Sethy Ganeswar , Pattanaik Biswajit , Panda Abinash , Purohit Prasanta 
Published: August 2022

Fever is one of the common presentation of children to paediatric emergency. Fever is defined as axillary temperature of ≥ 99.5 °F. A young febrile child without definite localizing sign of infection may develop bacteraemia and serious bacterial infection (SBI) leading to fatal outcome. Hence, an early diagnosis of SBI in a febrile child is crucial to reduce childhood mortality. Yale observation scale utilizes some simple clinical parameters to predict serious bacterial infection in young children. Hence this study is undertaken to test the utility of YOS in predicting serious bacterial infection in small children so as to investigate them in time and start treatment early to prevent complications. 150 consecutive children 1-36 months of age with axillary temperature&#62;99.5 ̊F were enrolled and YOS scoring assigned to each of them. This was followed by physical examination and extensive laboratory testing with CBC, Urine and routine microscopy, chest x-ray, CRP, blood and urine cultures. In patients with SBI, the YOS of ≤10 was observed in only 9.23% (6/65) of patients compared to 48.24% (41/85) of patients without SBI. There was a significantly high YOS i.e. &#62;10 in patients diagnosed with SBI (χ =24.26; P &#60;0.0001).Mean temperature elevation, higher values of TLC, ANC and CRP positivity results in higher YOS scoring and more chance to have serious bacterial infection. : YOS score is very useful in ruling out serious bacterial infection in 1-36 months age group at cut-off value of 12. Significantly higher scores (&#62;16) depict essentially serious bacterial infection and poorer outcome.
Histopathological spectrum of liver lesions at autopsy: A cross sectional study
Authors: Sakhare Niranjana , Hingway Snehlata 
Published: August 2022

Liver is the principal site of many metabolic activities and is vulnerable to many metabolic, toxic, microbial and circulatory insults. It is frequently involved in metastatic spread of malignancies from all parts of body. This study aimed to analyze histopathological spectrum of liver diseases in autopsy cases, and correlate with the clinical findings wherever available. It was an observational study conducted over a period of 2 years on 283 autopsy cases in department of Pathology of a tertiary care teaching institute in central India. Liver specimens were included in study irrespective of age, sex and cause of death. After fixation in 10% formalin the sections from representative area were submitted for processing, Hematoxylin and Eosin-stained sections were subjected for microscopic examination. Total 283 liver autopsy cases studied showed predominance of male (68.65%). Maximum cases were in the age group of 21 to 30 years (20.14%) followed by 31 to 40 years (18.28%). Fatty change was evident in a majority (32.08%) of the cases while a remarkable (26.49%) number of cases showed changes of congestion on histological examination. Massive hepatocellular necrosis and midzonal necrosis were seen in 2 cases each. Tubercular granulomas and metastasis of adenocarcinoma were seen in 3 cases each. Histological analysis of liver is important learning objective for pathologists to study silent diseases of liver which are incidentally seen in histopathology.
Association of serum potassium levels with severity of COVID infection and requirement of invasive mechanical ventilation in COVID 19 patients
Authors: Suresh Arun , Vijay Vishnu , Tandon Ruchi 
Published: August 2022

The study was conducted to assess the prevalence of hypokalemia in COVID 19 patients and its correlation with severity of infection and requirement of invasive mechanical ventilation. This was a prospective study conducted on COVID-19 patients admitted at tertiary care centre during the study period of 6 months. Detailed history was obtained and patients were subjected to routine and special investigations. Based upon serum potassium levels, patients were categorized into three groups i.e. normokalemia (&#62;3.5 mmol/L), mild hypokalemia (3 to 3.5 mmol/L) and severe hypokalemia (&#60;3 mmol/L). The outcome of patient was noted i.e. requirement for ICU admission or invasive ventilation or mortality. The study was conducted on 100 patients with mean age of 66.6±12.5 years. Hypokalemia was present in 31% cases. Of them, 25% had mild and 6% cases had severe hypokalemia. Hypokalemia was significantly associated with shorter duration of symptoms; higher mean diastolic blood pressure; higher CURB 65 score; lymphocytopenia; raised serum ferritin, D-dimer and Trop T levels (p&#60;0.05) Hypokalemia was significantly associated with long duration of hospital stay, higher rate as well as duration of ICU admission and need for mechanical ventilation (p&#60;0.05). Hypokalemia was an independent predictor of invasive mechanical ventilation (OR- 6.74; 95% CI- 1.39-16.85; p&#60;0.01). Hypokalemia is common in COVID 19 patients among Indian population. Hypokalemia is associated with severe illness and significantly affect clinical outcome. Hypokalemia is an independent predictor of risk of mechanical ventilation after adjusting for confounding variables.
Role of TNF and Hs CRP as novel biomarkers in etiopathogenesis of depression: A case-control study
Authors: Manyal Rohit , Raghuvanshi Kapil , Agarwal Swati , Lohokare Rajeev , Sarkar Purnima Dey 
Published: August 2022

Depression is a psychiatric disorder characterized by depressed mood, loss of interest in activities and loss of energy that lasts for two weeks or more. Depression affects individual emotional and psychological well-being with low self-esteem and ultimately resulted in social isolation. Nearly half of all cases of depression remain undetected for years or inadequately controlled. TNF-α has a vital role in inflammation, cell proliferation, differentiation, apoptosis, innate and adaptive immunity and have pathological role in several diseases. Early assessment of TNF-α and hs-CRP levels in depression patients could modify the disease progression and limit co-morbidities associated with it. Therefore, we assessed the level of TNF-α and hs-CRP in our study and correlated it with the disease severity.: to study is to estimate TNF-α and hs-CRP levels in depressed patients and evaluate the relationship between the serum level of TNF- α and hs-CRP in the etiopathogenesis of depression. This study was conducted at a tertiary level post graduate teaching institute of central India. 50 newly diagnosed drug naive cases of depression of age group 18-50 years, attending Psychiatry OPD. And 50 apparently healthy controls matched for same age and sex were taken. The subjects were enrolled for the study after taking ethics committee approval and obtaining written consent. The data collected was expressed as mean ± SD and analysed by using SPSS version 20. P-value of &#60; 0.05 was accepted as statistically significant. The mean value of serum TNF-α among control group (11.209 ± 6.058 Pg/ml) which was lower as compared to case group (33.816 ± 21.581 Pg/ml). The difference among the two groups was found to be statistically significant as p value is less than 0.001. The mean Serum hs-CRP concentration was found to be higher in case group (7.524 ± 1.842 mg/l) as compare to control group (3.720 ± 1.238 mg/l). The difference among the two groups was found to be statistically significant as p value is &#60;0.05. The difference among the three groups was found to be statistically significant as p value is less than 0.001. We observed a strong association between depression and increased serum TNF-α, with raised hs-CRP. There are several researches potentiating the vital role of TNF- α and hs-CRPin depression. Large scale prospective studies are needed to establish the cause effect relationship and role of inflammatory cytokines in depression and to find newer treatment modalities like TNF-α blockers that might be helpful for consideration of new therapeutic approach Further studies are essential to detect the association. Nevertheless we found that depression might be responsible for elevated TNF-α and hs-CRP levels. We suggest screening of all the patients of depression for serum TNF-α estimation at initial OPD visit.
Evaluation of role of hematological parameters in patients with covid-19 infection: A study at tertiary care centre
Authors: Dave Neeru , Popat Vijay C. , Sheikh Shamim 
Published: August 2022

SARS COV2 is the third known corona virus responsible for fatal respiratory illness in humans. The initial clinical features of the disease are quite often non-specific & not all suspected patients can be tested to exclude or confirm the disease. Abnormalities in the routine laboratory tests particularly haematological tests have the potential to indicate in a quick, practical & economical way, the need for a specific laboratory test for the diagnosis for SARS COV2. Besides these tests help in assisting the prognosis of the disease & in the optimization of its clinical monitoring. The present study was prospective & observational done in the department of pathology by observing the haematological parameters of 1000 COVID positive patients admitted in the COVID hospital of a tertiary care centre. The CBC (1000 pts), coagulation profile (250 pts), ESR (100 pts) as well as peripheral smear examination (1000 pts) was done with the collected samples. 1000 samples were receives for CBC which was run in 5 part Horiba analyzer & significantly higher values were found in TLC, Neutrophil count as well as N:L ratio, while lymphocyte values were significantly decreased. Thrombocytopenia was present in a significant number of patients & so were high ESR values. Coagulation profile was significantly deranged & so were the peripheral smear findings. Hematological abnormalities in COVID 19 are related with disease progression, severity & mortality.
Bilateral Internal iliac artery ligation: A life saving conservative management to control postpartum haemorrhage- clinical experiences
Authors: Das Subrata , Bhattacharyya Ajit R. 
Published: August 2022

It has been since long, that severe postpartum haemorrhage (PPH) was surgically treated by peripartum hysterectomy. Bilateral ligation of Internal iliac artery is an emerging technique by which we can control PPH efficiently and can conserve uterus. The aim of our study, is to estimate the effectiveness of bilateral Internal iliac artery ligation (IILA) for conservation of uterus in the management of postpartum haemorrhage and outcome on the patients.This observational study was carried out on the admitted patients in between March, 2016 and February, 2020in a hospital having a tertiary obstetric care. Internal iliac artery ligation done to control postpartum haemorrhage of hospital admitted patients, was our study subject. Collected data were analysed in mean, median, percentage and proportion as applicable by using of SPSS version 24 statistical software.In the study population, out of forty-one patients, uterine conservation was possible in thirty-six (87.8%) patients. Most commonly sixteen (39%) patients had an indication of uterine atony for Internal iliac artery ligation. Caesarean section, thirty-four (82.9%) was the most common mode of delivery and general anaesthesia was used most commonly, thirty-seven (90.2%) for Internal iliac artery ligation. Procedure related complications were e.g. relaparotomy one (2.4%), Internal iliac vein injury two (4.9%) and wound infection two (4.9%).Internal iliac artery ligation is an effective means to control PPH. It can effectively preserve reproductive potential of women by avoiding peripartum hysterectomy in many cases. Postpartum hemorrhage is a life threatening complication of child birth. Peripartum hysterectomy is the last resort to tackle such complications. Our study, confirmed that bilateral internal iliac artery ligation can be a good alternative to tackle such disaster from postpartum hemorrhage and also conserve uterus of women for future reproduction.
ПЕРСПЕКТИВИ РОЗВИТКУ УНІВЕРСИТЕТСЬКОЇ ОСВІТИ В УКРАЇНІ
Authors: Волярська Олена Станіславівна 
Published: August 2022

У статті досліджено сучасний стан та перспективи розвитку університетської освіти в Україні. Визначено перспективи розвитку вищої освіти в Україні: перепрофілювання організації освітнього процесу в закладах вищої освіти, упровадження змішаного навчання студентів, а також підвищення кваліфікації науково-педагогічних працівників щодо використання інформаційних ресурсів для підготовки навчальних занять зі студентами. Доведено, що на рівні закладів вищої освіти необхідно розширити автономію для впровадження освітніх інновацій з надання освітніх послуг не тільки студентам, а й всім категоріям дорослого населення.
МЕТОД ПРОЕКТНОЇ ДІЯЛЬНОСТІ НА ЗАНЯТТЯХ ХІМІЇ
Authors: Ковальчук Наталія 
Published: August 2022

У статті розглянуто теоретичні основи та особливості організації проектних технологій в навчально-виховному процесі на заняттях хімії, здійснено аналіз впровадження проектної діяльності у навчальному закладі.
УДОСКОНАЛЕННЯ АНАЛІЗУ ГРОШОВИХ КОШТІВ ТА ЇХ ПОТОКІВ
Authors: Лазарєва Галина Робертівна , Філімонова Світлана Володимирівна 
Published: August 2022

У статті розглянуті питання щодо узгодження визначення сутності грошових коштів та їх потоків і досліджено шляхи оптимізації грошових потоків у процесі управління ними. Запропоновано загальну схему організації та методики комплексного аналізу грошових потоків на ріні підприємства.
ТЕКСТ ЗА ФАХОМ В СИСТЕМІ РОБОТИ З ПІДГОТОВКИ ІНОЗЕМНИХ ЗДОБУВАЧІВ ВИЩОЇ ОСВІТИ ДО ЗАНЯТЬ В ЗАКЛАДАХ ВИЩОЇ ОСВІТИ
Authors: Савенко Тетяна Дмитрівна , Савенко Олександр Михайлович , Грицай Світлана Юріївна 
Published: August 2022

При навчанні іноземних громадян в українських закладах вищої освіти велика увага приділяється вивченню текстів за фахом. Здобувачі вищої освіти повинні вміти робити висновок при побудові тексту - міркування, відзначати актуальність піднятих автором проблем при читанні тексту і тощо. Однак необхідно підкреслити, що при роботі над текстом мова йде не тільки про систематизацію та узагальнення знайомого матеріалу, але і його якісне поглиблення і розширення.
ВИКОРИСТАННЯ ІННОВАЦІЙНИХ ТЕХНОЛОГІЙ ДЛЯ ПІДГОТОВКИ ФАХІВЦІВ У СФЕРІ БУХГАЛТЕРСЬКОГО ОБЛІКУ
Authors: Чук Олена 
Published: August 2022

У статті розглядаються шляхи удосконалення освітнього процесу здобувачів вищої освіти у сфері бухгалтерського обліку, з використанням інноваційних технологій.
РОЛЬ САМОСТІЙНОЇ РОБОТИ ПІД ЧАС ДИСТАНЦІЙНОЇ ОСВІТИ
Authors: Верголяс Олександр , Верголяс Майя 
Published: August 2022

Дистанційне навчання стало необхідним з кінця 2019 року в результаті загальнодержавного карантину щодо запобігання стрімкому поширенню гострої респіраторної хвороби COVID-19. І набуло широкого поширення у багатьох країнах світу, зокрема в Україні та з кожним роком його популярність стрімко зростає. Самостійна робота це форма організації навчального процесу, при якій заплановані завдання виконуються студентом самостійно в навчальній аудиторії або поза нею, під методичним керівництвом викладача, але без його безпосередньої участі. Така робота студентів сприяє поглибленню й розширенню знань, посиленню інтересу до пізнавальної діяльності, формуванню творчої особистості майбутнього спеціаліста, здатного до постійного самовдосконалення та самоосвіти впродовж життя. Студентам, що навчаються за змішаною формою навчання з використанням дистанційних методів, необхідна сильна мотивація, оскільки більшість матеріалу доводиться освоюватися самостійно. Це вимагає достатньої сили волі, самодисципліни, самоорганізованості, відповідальності та самоконтролю. Особливого значення набуває така форма спілкування як дискусія. Під час дискусії студенти навчаються доброзичливо комунікувати один з одним та висловлювати свої думки не боячись критики та осуду, як викладача, так студентів групи. Завдання, як і виконують студенти під час самостійної роботи поглиблюють знання та вміння отримані під час лекційних та практичних занять, а відтак сприяють більш глобальному мисленню.
HR ANALYTICS – EMPOWERING ORGANIZATIONS
Authors: Kuriakose Ansho 
Published: August 2022

The world of business is fast evolving and as the famous Heraclitus saying goes “Change is the only constant in life” which applies to all Organizations, adapting to the new and consistently re-inventing becomes the life line for survival.
The era we live is one marked by highly competitive corporates who influence the day of every living being in one way or other through the products/services they offer. These Organizations, most of them have a global scale of operations are on a constant vigil regarding their internal mechanisms and is on the lookout for grabbing the best opportunities. The HR Department traditionally considered as a support function has itself in the last decades evolved into a Business Partner role aligning with the Objectives of the Organization. This paradigm shift brings a lot of stress on the Human Resource Management system, who is the vital facilitator in driving the organizations transitions smoothly. The major factors which accentuate the same are diminishing boundaries of trades between nations, increased competition, growing interdependence of the world’s economies, etc. To accommodate for more accuracy in decision making, being a strategic Partner ,HR function has to rely on evidence .Human Resource Analytics (HR Analytics) being a data driven approach is a vital tool in this regard for the Organizations.
The objective of this paper is to study the importance of Human Resource Analytics in managing the human resource of the organizations and whether it provides a competitive edge. In addition, the exploratory research made gave insights into the competitive edge derived by the organizations and its impact on Business Goals, increasing interest shown by many organizations in HR Analytics and the various methods used by them as evidence based approach for making strategic decisions which in turn has helped them in achieving the set Business Goals.
ПІДВИЩЕННЯ РІВНЯ ВИКЛАДАННЯ МАТЕМАТИКИ В УМОВАХ ДИСТАНЦІЙНОГО НАВЧАННЯ
Authors: Олійник Олег Петрович , Олійник Світлана Володимирівна 
Published: August 2022

Вивчення математики в закладах освіти є основним інструментом, за допомогою якого формується аналітичне, логічне та критичне мислення у майбутніх спеціалістів, який забезпечує вироблення таких навичок, як: аналітичне мислення і пошук інновацій, комплексне вирішення проблем, критичне мислення та аналіз, моніторинг та контроль, вміння аргументувати та інші.
Виділено комплекс рекомендацій для підвищення рівня викладання математики в умовах дистанційного навчання..Акцентовано увагу на необхідності неперервного моніторингу системи освіти стосовно її відповідності до потреб суспільства і викликів динамічного світу та новітніх технологій.
Interaction of Ideology and Institutions in Treating Violent Men
Authors: Jansson Peter M. , Saxonberg Steven 
Published: August 2022

Since Sweden has a reputation for having a pragmatic, technocratic
approach to solving social problems, the question arises as to why the
country uses different methods at the national and the local level for
treating violent men. If studies show that one method is superior to
others, we would expect both levels of government to use similar
treatment methods. Despite the emphasis on pragmatic solutions,
ideology plays an important role, as the Swedish government in recent
decades has largely accepted the New Public Management approach to
governance. However, because of differences in institutional
arrangements, it becomes logically appropriate for the national level to
utilize a different type of therapy (Cognitive Behavioral Therapy) than
the local level (Psycho Dynamic Therapy among others). Thus, a
combination of an ideological shift to New Public Management and
institutional differences can explain the differences in therapeutic
approaches, rather than reliance on scientific studies.
Cancer Care Access in Chile’s Vulnerable Populations During the COVID-19 Pandemic
Authors: Cuadrado Cristóbal , Vidal Francisca , Pacheco Jorge , Flores-Alvarado Sandra 
Published: August 2022

Objectives. To examine the COVID-19 pandemic’s impact on cancer care access in Chile, analyzing differential effects by insurance type, gender, and age. Methods. We conducted a quasi-experimental study using interrupted time series analysis. We used multiple data sources for a broad evaluation of cancer-related health care utilization from January 2017 to December 2020. We fit negative binomial models by population groups for a range of services and diagnoses. Results. A sharp drop in oncology health care utilization in March was followed by a slow, incomplete recovery over 2020. Cumulative cancer-related services, diagnostic confirmations, and sick leaves were reduced by one third in 2020; the decrease was more pronounced among women and the publicly insured. Early diagnosis was missed in 5132 persons with 4 common cancers. Conclusions. The pandemic stressed the Chilean health system, decreasing access to essential services, with a profound impact on cancer care. Oncology service reductions preceded large-scale lockdowns and supply-side disruptions. Importantly, not all population groups were equally affected, with patterns suggesting that gender and socioeconomic inequalities were exacerbated. (Am J Public Health. 2022;112(S6):S591–S601. https://doi.org/10.2105/AJPH.2021.306587 )