bluuebunny/crossref_metadata_2025_split huggingface dataset:
Curricular policies and flexibility – anathemas and beliefs
Authors: Roldão Maria do Céu 
Published: January 2022

This paper discusses some issues and concepts within the current curriculum debate in both a diachronic and international perspective. Recent curriculum changes have been mostly determined by massification of student bodies, bringing into the school system a variety of social and cultural backgrounds. From the point of view of this analysis, the concept of flexibility is critical in this discussion as it explains the long‑term change of policies from 1990 on, with respect to levels of curriculum decision, namely the articulation between national level responsible for establishing the common core, and local level responsible for adapting curriculum to micro-social contexts. The author refers to this dialectic as curriculum binomial. Contributions from both curriculum research and international macro‑policies are mobilized, in order to clarify the response in our time to the classic curriculum question; What is worth to learn – and therefore to teach – in formal educational systems, so that they may meet the needs of our time, and why? In line with this problematization, we propose an analysis of Portuguese curriculum changes after the implementation of school massification (after the 1960s) and synthesize key‑concepts in international recommendations. Finally, we discuss some implications of this process for teachers and schools.
Does Vitamin D Supplementation Reduce Cytokine Storm and Mortality in Geriatric Intensive Care Patients Diagnosed with COVID-19
Authors: BİLİR Yeliz , BİLİR Akın , SARACOĞLU Ayten , ÇİYİLTEPE Fulya , BOMBACI Elif , SARAÇOĞLU Kemal Tolga , DEMİRHAN Recep 
Published: January 2022

Introduction: Coronavirus disease progresses from an asymptomatic stage to a fatal stage characterized by a cytokine storm. Therefore, treatment should focus on enhancing the patients’immune function and preventing cytokine release syndrome. Vitamin-D deficiency is one of the factors triggering cytokine release syndrome. The present study aimed to emphasize the therapeutic effect of vitamin-D supplementation and its potential importance in reducing the disease severity in older adults in the intensive care unit after COVID-19 diagnosis.
Materials and Method: The data of 80 patients aged ≥ 65 years who followed up in intensive care clinic. The inflammatory parameters and clinical course of 40 patients whose serum 25-hydroxyvitamin-D level was below 30ng/ml and who received vitamin-D supplementation (case-group) were recorded on the fifth and tenth days of follow-upand compared with those of the other 40 patients who were hospitalized during the initial period of the pandemic and who did not receive vitamin-D supplementation (control-group).
Results: Cytokine release syndrome, has developed in the case group rarely. On the 10.day, levels of the inflammatory markers C-reactive protein, procalcitonin, D-dimer, ferritin, interleukin-6, and lactate dehydrogenase were significantly lower and the lymphocyte count was significantly higher in the case group than in the control group. On the 5.day, the interleukin-6 level was significantly lower in the case group. Weaning was performed in nine and four patients in the case and control groups, respectively. There was no significant difference in mortality rates between the groups.
Conclusion: Vitamin-D supplementation can help reduce cytokine response. Recommended prophylactically or therapeutically at all stages of coronavirus disease.
Hubungan paparan bising dengan hipertensi pada karyawan pabrik industri kabel
Authors: Andjani Nabilla Damar Sukma , Mediana Dian 
Published: January 2022

LATAR BELAKANG
Hipertensi didefinisikan tekanan darah sistolik ≥ 140 mmHg atau tekanan darah diastolik ≥ 90 mmHg. RISKESDAS 2018 menunjukkan prevalensi hipertensi di Indonesia adalah 34,11%. Hipertensi merupakan risiko kesehatan umum pada pekerja yang terpapar kebisingan keras (≥ 85 dB(A)). Frekuensi, intensitas, durasi paparan, tipe bising dapat mengganggu aktivitas tubuh: sistem pendengaran dan non-pendengaran. Hipertensi merupakan penyakit multi-faktor yang dapat dipicu dari berbagai sumber seperti paparan bising. Sehingga penelitian ini dilakukan dengan tujuan untuk mengetahui hubungan paparan bising dengan hipertensi.
METODE
Penelitian ini dilakukan dengan menggunakan metode analitik observasional dengan pendekatan potong lintang yang mengikutsertakan 78 responden laki-laki dari 22-53 tahun di PT. X pabrik kabel yang beroperasi di Jawa Barat. Alat pengumpul data berupa kuesioner sosiodemografi, spyghmomanometer, microtoise, timbangan berat badan. Variabel yang diteliti adalah hipertensi, intensitas bising, tipe bising, masa kerja, usia, jumlah konsumsi rokok. Analisis data menggunakan uji chi-square dan Kolmogorov-Smirnov dengan SPSS (p<0,05).
HASIL
Didapatkan tekanan darah normal 23,1%, pre-hipertensi 39,7%, hipertensi 1 25,6%, hipertensi 2 11,5%.Intensitas bising <85 dB(A) 32,1%, ≥85 dB(A) 67,9%. Tipe bising kontinu 12,8%, intermitten 80,8%, impulsif 6,4%. Masa kerja <10 tahun 23,1%, ≥10 tahun 76,9%. Pekerja tidak merokok 35,9%, merokok 1-10 batang 24,4%, >10 batang 39,7%.
KESIMPULAN
Terdapat hubungan bermakna antara intensitas bising dan usia dengan hipertensi pada karyawan pabrik industri kabel (p=0,007; p=0,019). Tidak terdapat hubungan bermakna antara tipe bising, masa kerja, dan jumlah konsumsi rokok dengan hipertensi (p=0,281; p=0,139; p=0,257).
KATA KUNCI
Hipertensi, paparan bising, usia, intensitas bising, tipe bising
If You Build It, “They/Them” Will Come: The Misgendering of Transgender Nonbinary Athletes Is Discrimination on the Basis of Sex
Authors: Kelli Rodriguez Currie  
Published: January 2022

This article provides necessary context to adequately engage in a discussion about transgender and nonbinary individuals, including defined terms. It then provides a brief history of Title IX, articulates the requirements for compliance with the statute, and discusses its application to transgender athletes. Next, this article provides an overview of Title VII of The Civil Rights Act of 1964 and the recent statutory analysis of its prohibition on employment discrimination because of sex in Bostock v. Clayton County extends that analysis to the statutory language of Title IX, and summarizes the recent interpretation by the Department of Education applying that analysis to Title IX. The article then discusses the implications of the persistent misgendering of transgender nonbinary athletes and argues that only by allowing all athletes to compete as their true gender will the inclusive goals of Title IX be realized. The article concludes that the requirements for Title IX compliance are not inclusive of transgender nonbinary athletes and contradictory to the prohibition on discrimination on the basis of sex articulated by the statute itself. The article proposes several necessary changes to the language of those requirements for compliance and argues that the Department of Education must make changes in its interpretation toward more inclusive language to truly achieve the goals of Title IX.
Effect of therapeutic kinesio-taping in patients with shoulder impingement syndrome: A pilot study
Authors: Ahmed Zoya Khatoon Shamim , Anap Deepak B 
Published: January 2022

Kinesio-taping is widely used in sports rehabilitation for prevention and treatment of sports-related injuries. The role of Kinesio-taping has recently received renewed interest in patients with shoulder problems like shoulder impingement or rotator cuff tendinopathy.This pilot study was undertaken to check the effect of therapeutic kinesio-taping versus placebo kinesio-taping on shoulder pain, acromio-humeral distance (AHD), mobility and disability in patients with shoulder impingement syndrome.8 patients diagnosed with shoulder impingement syndrome were included in the study and they were allocated into the experimental and control group. The patients in experimental group received ultrasound therapy for 8 minutes followed by application of therapeutic kinesio-taping and in control group patients received ultrasound therapy for 8 minutes followed by application of placebo kinesio-taping. Outcome measure were pain intensity by NPRS, shoulder range of motion by goniometry, acromio-humeral distance (AHD) using ultrasonography and functional disability by SPADI assessed at baseline, immediate after taping application and 3 days post intervention. Data analyzed with Kruskal-Wallis H test and p value less than 0.05 consider as significant.Therapeutic kinesio-taping group showed significant change in AHD (p=0.04), pain.(p=0.0001), shoulder range of motion including abduction (p=0.04), internal rotation (p=0.001) and functional disability (0.04), whereas placebo kinesio-taping showed no significant improvement in outcomes. Therapeutic kinesio-taping found to be effective in increasing AHD, range of motion, decreasing pain and functional disability when compare with placebo kinesio-taping. It can be used as adjunct treatment option in patient with shoulder impingement.
Mispa count X; The first indigenous indian hematology 3-part analyzer
Authors: Vijayan Deepa K , Krishna K G Jiby , Danniel Dinimol , Shaji Ashily , Mathew Jojo , John Arun , Sukumaran Ajaikumar , Varkey Peeter K , Thomas Thushara , Thomas Riji 
Published: January 2022

: Impedance technology was a revolution in the history of Hematology. Mispa Count X is the first indigenous 3-part hematology analyzer in India, which works on the principle of impedance technology. : Performance evaluation of Mispa Count X.: The analyzer produces the measurement results of 18 parameters with throughput of 60 samples per hour. Mispa Count X was compared with benchmark analyzers Coulter DxH 800 and Sysmex XN 1000 to validate its performance. : Mispa Count X exhibited a wide linearity range for WBC, RBC, platelet and hemoglobin. The carry over for WBC, RBC, PLT and Hb was estimated and found to be well within the acceptable limits. The r values (&#62; 0.90) and bias estimation of Mispa Count X on comparing with Coulter DxH 800 and Sysmex XN 1000 were acceptable, except for mid cell counts and for MPV. Mispa Count X exhibited good precision with an acceptable CV% (&#60; 10%). The primary parameters of the stored samples were stable at room temperature for 24 hours. : So we conclude our study by proving that the Mispa Count X would be an affordable-reliable alternative for Indian healthcare sector instead of expensive imported hematology analyzers.
Study of Hs Troponin I & uric acid in patients of myocardial infarction
Authors: Ahsan Farah , Talukdar Manas , Qureshi Naeem , Samreen Sumera , Kukreti Sonali 
Published: January 2022

We aimed to provide Correlation of Hs Troponin I & Uric Acid in patients of Myocardial Infarction.: 100 patients who came to cardiac emergency in Shri Mahant Indresh Hospital. Serum samples taken for Hs Troponin I and Uric Acid for patients of Myocardial Infarction and run on VITROS 5600/7600 which is based on dry chemistry. : With 100 patients of more than 40 years of age 61 were males & 39 were females. For both males & females age mean & SD was 59.8±10.77.In our study we took 100 random patients coming to cardiac emergency out of which 50 patients had raised trop I and 45 patients had raised uric acid levels. Out of those 50 patients with raised HS Trop I 25 patients had raised values for uric acid. For Hs Trop I males – 21.88±48.8 & females 1676±57.58. For uric acid for males-6.545±3.75 & for females- 6.315±1.86.Therefore Hs Trop I & uric acid were both significant when compared with age T value was 2.7001 and P value was 0.0075. Whereas when compared with sex that is male and female to both Hs Trop I and uric acid then Hs Trop I was more significant with P value 0.0001.Uric acid is an economical marker that is readily, quickly and reliably obtainable & can be one of the predictable prognostic indicator in acute Myocardial Infarction.
Association of LpPLA2 with coronary artery disease a hospital-based case control study
Authors: Menon Jaideep C , Thachathodiyil Rajesh , Nair Anugrah , Chandrasekhar Rajiv , Kumaraswamy Natarajan , Maniyal Vijayakumar , Pai Praveen G , Mathew Navine , Madhavankutty Harikrishnan S , Sekhar Saritha 
Published: January 2022

Coronary artery disease (CAD) in Asian-Indians is characterised by an earlier onset and more severe disease when compared to Western populations. It is estimated that about 20% of patients presenting with an acute coronary syndrome do not have any of the conventional risk factors for CAD. To assess the risk posed by each of the newer risk factors; alongside conventional risk factors namely diabetes, hypertension, dyslipidaemia for coronary artery disease and to compare the relative risk in a case-control design. Department of Cardiology, XXX Institute of Medical sciences (XXX). Case control study design. Cases are as any individual with coronary artery disease and controls included patients with non-coronary conditions. Dependant variable: coronary artery disease (CAD); Independent variables: Lp PLA2, Lp(a), Apo(a), Apo(b), Ratio (Apo B/Apo A); Other predictors- diabetes mellitus, hypertension, dyslipidaemia, tobacco use Categorical variables were presented as frequencies and percentages. Chi-square test and binary logistic regression analysis was used to study the comparison and association of the categorical risk factors with the disease status, respectively. Software used was SPSS version 20.0. A total of 253 participants aged between 19 and 90 years; 140 cases and 113 controls were enrolled in this study. Except for the hs-CRP level, alcohol consumption and LDL, all the other risk factors were seen significantly associated with the coronary artery disease; dyslipidaemia (10.8, 95% CI 3.29-35.37), gender- male (4.68, 95% CI 2.12-10.30), diabetes mellitus (3.3, 95% CI 1.6 -6.77), lipoprotein(a) more than 30mg% (2.34, 95% CI 1.06-5.15) and hypertension (2.48, 95% CI 1.14-5.39). Conventional risk factors namely diabetes, hypertension and dyslipdaemia showed a statistically significant association with CAD while from among the biochemical markers the association was statistically significant only for Lp(a) when compared both between cases and controls and also in cases &#60; age 50 years. The other biochemical risk factors namely Lp-PLA2, Apo(A1) and Apo(b) showed a weak degree of association with CAD. In the present study we analyse the role of inflammatory mediators of CAD (hs-CRP, Lp-PLA2), pro-thrombotic markers [Lp(a)] alongside the lipid fractions apoB, apo A and their ratio to assess which of these biochemical markers predisposed one to CAD through assessment of the relative risk.
Study of HbA1c & microalbumin in urine in patients of metabolic syndrome
Authors: Ahsan Farah , Qureshi Naeem , Samreen Sumera , Kukreti Sonali 
Published: January 2022

We aimed to provide correlation of HbA1c & Microalbumin in urine in patients of metabolic syndrome.: 100 patients coming to OPD of Medicine department in Shri Mahant Indresh Hospital. Plasma samples taken for Hba1c and urine for microalbumin and run on VITROS 5600/7600 and reported for Hba1c & microalbumin. : 51 were males and 49 were females out of 100 total patients. For males age mean & SD was 55.84±13.52 & for females was 57.56±10.08.For raised and unraised HbA1c 10.42±+9.628 & 5.066±.0.216 for raised and unraised microalbumin 412.±1133 & 11.97±7.129.When we compared both HbA1c and microalbumin in both males and females then mean and SD came out to for HbA1C for males 8.56±2.663 and females were 11.62±12.86 with t value 2.327 and p value 0.021 that states it was significant. And for micralbumin for male 391.5±1184 & for females 60.37±116.6 t value was 2.7832 and p value was 0.0059 it also states it was significant. Therefore both the parameters were significant in patients of metabolic syndrome.
Intracerebral hemorrhage during the pandemic- Learning from experience
Authors: Iype Thomas , Ramachandran Dileep , Panicker Praveen , D Sunil , Surendran Manju , Rammohan  
Published: January 2022

Worldwide stroke care was affected by COVID 19 pandemic and the majority of the literature was on ischemic stroke. Intracerebral hemorrhage (ICH) accounts for about one-fourth of strokes worldwide and has got high mortality and morbidity. We aimed to study the effect of the Pandemic on ICH outcomes and flow metrics during the first wave compared to the pre-pandemic period and how that experience was made used in managing ICH during the second wave. Ours was a single-center observational study, where consecutive patients with non-COVID spontaneous ICH aged more than 18 years who presented within 24 hours of last seen normal were included in the study. We selected the months of June, July, and August in 2021 as the second wave of the pandemic, the same months in 2020 as the first wave of the pandemic, and the same months in 2019 as the pre-pandemic period. We compared the 3-month functional outcomes, in hospital mortality and workflow metrics during the three time periods. We found poor three-month functional outcomes and higher hospital mortality during the first wave of the COVID 19 pandemic, which improved during the second wave. In-hospital time metrics measured by the door to CT time which was delayed during the first wave improved to a level better than the pre-pandemic period during the second wave. ICH volume was more during the first and second waves compared to the pre-pandemic period. Other observations of our study were younger age during the second wave and higher baseline systolic BP at admission during both pandemic waves. Our study showed that functional outcomes and flow metrics in ICH care improved during the second wave of the pandemic through crucial re-organization of hospital stroke workflows. We are sharing this experience because we may have to do further rearrangements in future as the upcoming times are challenging due to new variants emerging.
Evaluation of prescribing pattern of phosphodiesterase-5 inhibitors and assessing effectiveness of sildenafil and tadalafil in patients with erectile dysfunction
Authors: Byndoor Yatish , Sagar Tamilisetti Vidya , Kumar Sanjay 
Published: January 2022

Several factors may affect identification and treatment of erectile dysfunction by health care providers, this study evaluates prescribing pattern of PDE-5 inhibitors and assess effectiveness of Sildenafil and Tadalafil in patients with erectile dysfunction.This is a descriptive and observational study, observed participants without providing any interventions, after fulfilling inclusion and exclusion criteria, patients were enrolled into study and informed written consent was obtained from all patients, data was obtained from medical records, analysed descriptively. International Index of Erectile Function (IIEF) Questionnaire is used in assessment of erectile dysfunction and treatment outcomes.In our study, 80% of patients were prescribed with phosphodiesterase inhibitors and 20% received nutritional supplements. 80 percent of drugs were prescribed under generic name, subjects treated with Sildenafil/Tadalafil were found to be associated with higher mean scores for questions of International Index of Erectile Function (IIEF). Tadalafil scored high in terms of sexual desire domain.PDE5 inhibitors represent major first-line oral therapy option for men with erectile dysfunction, shift of market from brand to generic products allows more freedom of choice, although multiple reports suggest general equivalency of four major PDE5 inhibitors, tadalafil suggested to be preferable.
Characteristics of temperament and susceptibility to hypnosis
Authors: Gierlotka Zbigniew , Dębski Paweł 
Published: January 2022

WstępCelem pracy była analiza związków pomiędzy podatnością na hipnozę a cechami temperamentu, takimi jak: żwawość, perseweratywność, wrażliwość sensoryczna, reaktywność emocjonalna, wytrzymałość i aktywność.Materiał i metodyW badaniach wykorzystano Skalę Wyobraźni Twórczej (SWT) Wilson i Barbera oraz Formalną Charakterystykę Zachowania – Kwestionariusz Temperamentu (FCZ-KT). Badaniem zostały objęte osoby z jednego z liceów ogólnokształcących. Analizie statystycznej poddano wyniki 120 osób (89 kobiet i 31 mężczyzn) w wieku 17–19 lat.WynikiZ analizy korelacji wynika, że wrażliwość sensoryczna koreluje istotnie z podatnością na hipnozę. Na podstawie charakterystyki rozkładu zmiennej hipnoza oraz testu t-Studenta stwierdzono, że różnice między kobietami i mężczyznami są nieistotne statystycznie pod względem podatności na hipnozę. Na podstawie analizy regresji (zmienne temperamentalne a hipnoza) zaobserwowano, że w zasadzie tylko jedna zmienna daje możliwość predykcji podatności na hipnozę – wrażliwość sensoryczna (p = 0,003). Wykonano również analizę dyskryminacyjną; na podstawie zmiennych temperamentalnych można poprawnie zaklasyfikować 68% przypadków różniących się zmienną hipnoza (grupy skrajne).WnioskiStwierdzono, że wrażliwość sensoryczna koreluje istotnie z podatnością na hipnozę. Podobnie, spośród cech temperamentalnych jedynie wrażliwość sensoryczna jest jej predyktorem. Nie stwierdzono różnic w zakresie podatności na hipnozę w zależności od płci.
AMMI and GGE Biplot Analysis for Stability of Yield in Mid-early Pigeonpea [Cajanus cajan (L.) Millspaugh] Genotypes
Authors: Rao P. Jagan Mohan , Sandhyakishore N. , Sandeep S. , Neelima G. , Saritha A. , Rao P. Madhukar , Das D. Mohan , Lingaiah N. 
Published: January 2022

Background: The genotype × environment interaction greatly influences the success of breeding and in multi-location trials complicates the identification of superior genotypes for a single location, due to magnitude of genotype by location interaction are often greater than genotype by year interaction. This necessitates genotype evaluation in multi environments trials in the advanced stages of selection. Methods: Nine elite pigeonpea genotypes of mid-early duration were evaluated in six diverse locations in randomized complete block design with three replications during kharif, 2019 to ascertain the stable genotypes, environments discrimination and genotype by environment crossovers using AMMI and GGE biplot stability models. Result: The results in the present investigation revealed that first two principal components explained 73.4% of variation interaction, while, 80.50% in GGE biplot. Both the models identified WRGE-126 (G6) as stable performer with high yield (1733 kg ha-1) and among the locations Tandur (E1) measured as the ideal environment. Whereas, the environments, Adilabad (E3) and Warangal (E4) were observed representative with better discriminating ability.