bluuebunny/crossref_metadata_2025 huggingface dataset:
Histopathology of patchy skin atrophy
Authors: Nefedov Valery P. , Abdrakhmanov Rasim M. , Davidov Vitaly P.
Published: December 2022

Background. Description of the pathomorphology of patchy atrophy of the skin is found in rare publications on dermatology. At the same time, we noted a surge in the number of such cases over the past 3 years.
Aim. To study the detectability of patchy skin atrophy based on the materials of histological examination of skin biopsy specimens in the Republican Dermatovenerological Dispensary for 20162021, find out the most frequent localization of the process and determine the most characteristic pathomorphological signs of patchy skin atrophy.
Material and methods. The biopsy material of the skin from 816 patients, in which red spots on the skin of the trunk, arms and legs were clinically determined (clinical diagnoses were diverse) was studied. Histological preparations of the skin of patients were stained according to the standard method with hematoxylin and eosin.
Results. For 6 years (20162021) of studying and diagnosing 194 cases of patchy skin atrophy, the same frequency of the disease in men and women was noted (ratio 1:1). In men, patchy skin atrophy was more often detected in the young age group (up to 30 years), and in women, in the older age group (after 60 years). The most common localization of patchy skin atrophy is the trunk, extensor surface of the arms and lower leg. Histological examination of the skin in patients with patchy atrophy revealed two variants: with perivasculitis in the papillary dermis and without perivasculitis. We suggested two stages in the development of the disease: the first is the erythematous stage, the second is the sclerotic stage. The most characteristic pathomorphological signs of patchy skin atrophy are described.
Conclusion. An increase in the number of diagnosed cases of patchy skin atrophy was noted, the histological signs of which are a decrease in the number of rows of cells in the Malpighian layer, the disappearance of the basal and granular layers of the epidermis.
Analysis of Recorded Morbidity, Prevalence and Hospital Mortality of Patients with Symptomatic Multiple Myeloma in the Ryazan Region for 10 Years
Authors: Bolotin Sergey G. , Zenina Mariya S. , Solov’yeva Aleksandra V. , Pristupa Alexandr S.
Published: December 2022

INTRODUCTION: Multiple myeloma (MM) is a disease whose substrate is plasma cells; it is characterized by the production of monoclonal immunoglobulin. Epidemiology of MM in Russia is insufficiently studied. Of interest is a study of dynamics of the main epidemiological parameters of multiple myeloma in the context of a poor epidemiological prognosis for oncological diseases in the Russian Federation and in the world in general.
AIM: To analyze the main epidemiological parameters of symptomatic MM in the Ryazan region for 10 years (20102019).
MATERIALS AND METHODS: A total of 343 medical records of patients with symptomatic MM were analyzed, of them 146 men (age median 65 years), 197 women (age median 64 years). The patients underwent inpatient treatment in the hematology and chemotherapy department of Ryazan Regional Clinical Hospital from 2010 to 2019. The epidemiological analysis consisted in evaluation of the parameters of the registered morbidity, prevalence and hospital mortality. The criterion for inclusion in the study was the existence of symptomatic MM in the patient. For statistical processing, Microsoft information and analytical system, Office package was used.
RESULTS: The highest amount of new cases of MM were identified in 2018 (4.19 per 100,000 population), the lowest in 2012 (1.83 per 100,000 population). In the analyzed period, the number of cases of newly diagnosed MM per year increased by 30.3%. Most patients at the time of diagnosis were in the age group of 6069 years. Morbidity with MM in the age group of 3049 years was comparable in men and women, however, among the patients 50 years women predominated. Over 10 years, the index of MM prevalence in the Ryazan region increased 1.43 times: from 6.71 to 9.6 per 100,000 population, index of hospital mortality from 1.4% to 3.3%.
CONCLUSION: The growth of the registered mortality and prevalence of MM in the Ryazan region in 20102019 was identified, which corresponds to the dynamics in other regions of the Russian Federation. Also, during the analyzed period, an increase in hospital mortality of patients with MM was observed in the region.
Congenital portosystemic shunts: surgical treatment experience
Authors: Stepanov Alexey E. , Sukhov Maksim N. , Vasilyev Kirill G. , Polyaev Yuri A. , Garbuzov Roman V. , Golenishchev Anton I. , Ashmanov Konstantin Yu. , Lyvina Irma P. , Demushkina Alice A. , Tereshina Anastasia A.
Published: December 2022

Congenital porto-caval shunts are rare and may have a different morphological structure (intra- and extrahepatic shunts, with or without portal blood flow). The main method of treating patients with this pathology is endovascular shunt occlusion. However, in some cases, this method is ineffective.
The article contains a description of six clinical examples of surgical treatment of congenital porto-systemic shunts in children. In the diagnosis of congenital portosystemic shunts, the leading role belongs to Doppler ultrasound, multislice computed tomography, and angiography. The indication for surgical treatment was the anatomical features of the shunt, which makes endovascular occlusion technically impossible. In one observation a wide Arantian duct was diagnosed, its open ligation was performed. In another case, the portal vein emptied directly into an aneurysmal dilatation, performed reconstructive plastic surgery on the vessels of the portal vein. In the next observation, a pronounced retrograde blood flow was determined along the dilated inferior mesenteric vein, blood was discharged through the sacral plexus into the internal iliac vein. The left internal iliac vein was isolated and ligated, the dysplastic inferior mesenteric vein was ligated and partially removed. In 2 patients, the portal vein flowed directly into the inferior vena cava in the area of aneurysmal expansion; an operation was performed open ligation of the shunt. In one observation, a deep hypoplasia of the intrahepatic branches of the portal vein was diagnosed, and therefore the restoration of portal blood flow after the closure of the shunt is impossible. The child was sent to decide on a liver transplant.
Each case of congenital porto-caval shunts is unique. The surgeon determines the tactics directly during the operation, depending on the morphological structure of the organs, since the preoperative examination does not always give an unambiguous idea.
Universal reposition and fixation ring for surgical treatment of acetabulum fractures: preliminary results of laboratory static tests
Authors: Kolesnik Aleksandr I. , Gavryushenko Nikolay S. , Fomin Leonid V. , Donchenko Sergey V. , Solodilov Ivan M. , Ivanov Dmitriy A. , Ovcharenko Anton V. , Surikov Vladislav V. , Tarasov Evgeniy P.
Published: December 2022

BACKGROUND: Several structures are widely used in the surgical treatment of long-standing fractures of the BB, such as support rings of M. Muller, BurchSchneider, rings of PROTEK (Switzerland) implanted in the BB. In traumatology practice, rings are used to strengthen fractured walls. However, these rings are not functionally designed for open reposition and fixation of columns and fractures, followed by TBS endoprosthetics with cement fixation of the components of the endoprosthesis. Recently, primary endoprosthetics of EP TBS became the trend for displaced fractures of the BB, which is considered the best option for surgical treatment of BB fractures. In the literature, no analogs of our ring were available, which provides CHP in the treatment of BB fractures.
AIM: To study the deformation properties of a repositional fixation ring with an outer diameter of 52 mm with a stiffening rib.
MATERIALS AND METHODS: A ring has been developed for the surgical treatment of acetabulum fractures (Patent for Invention No. 2692526 dated 26.06.2019 under Application No. 2018133671 dated 25.09.2018.; Bul. No. 18 dated 26.06.2019). For mechanical testing, a ring with an outer diameter of 52 mm with a stiffening rib was manufactured by sequential sintering using additive technologies by Konmet LLC (Moscow). Laboratory mechanical tests were conducted by the Testing Laboratory of Medical Devices and Materials of the FSBI NMIC TO named after N.N. Priorov (Moscow).
RESULTS: A static testing of a ring with a stiffener for compression, stretching, torsion, joint stretching, and twisting of the edges of the ring connector was performed, and its deformation properties and reaction to external loads during static tests were examined. The load corresponded to the deformation of 2 mm, kN; compression, 0.209; tension, 0.082; torsion (angle of rotation of 5 degrees, Nm), 9.422; and joint stretching with twisting of the edges of the ring connector (load corresponding to the deformation of 10 mm, kN), 0.060.
CONCLUSION: The results of the initial study of the deformation behaviors of the new ring design clearly show the elastic nature and deformation properties of the ring, which were attributed to the stiffening rib. The positive primary results of studying the deformation behaviors of the ring reinforced with a stiffening rib indicate the possibility for clinical trials and the direction of further refinement of the design..
Posterior pelvic ring injuries: classification, diagnosis, methods of treatment
Authors: Aganesov Nikolay A. , Lazarev Anatoly F. , Kuleshov Aleksandr A. , Vetrile Marchel S. , Lisyansky Igor N. , Makarov Sergey N. , Zakharin Vitaly R.
Published: December 2022

This article aimed to familiarize the reader with the features of classification, diagnosis, and treatment methods of posterior pelvic ring injuries. It presents a review of literatures from PubMed (MEDLINE) and eLibrary investigating posterior pelvic ring injuries. A total of 67 scientific papers were covered. Modern aspects of classification, diagnostics, and surgical methods of treatment of the posterior pelvic ring injuries were analyzed. However, the classification of posterior pelvic injuries remains a difficult problem. Currently, various classifications of sacral fractures have been proposed, but sacral fractures cannot be considered separately from the entire pelvic ring because it is not only a part of the spine but also of the pelvis. The gold standard diagnostic modality of a patient with suspected pelvic ring damage is computed tomography, which reduces the frequency of missed or delayed diagnosis of pelvic injuries. Spino-pelvic fixation in combination with iliosacral screws or plate (triangular osteosynthesis) is the most stable technique for the stabilization of the dorsal pelvic ring. However, the higher risks of failure of the postoperative wound and the risks of deep infection with subsequent removal of the metal fixator should be considered. In the absence of clinically significant displacement, but in the presence of pelvic ring instability, minimally invasive methods of the stabilization of the posterior pelvic ring are preferred.
Endoprosthesis replacement of the sternum handle in G1 chondrosarcoma: clinical case
Authors: Snetkov Alexandr A. , Khaspekov Dmitriy V. , Snetkov Andrei I. , Machak Gennadiy N.
Published: December 2022

BACKGROUND: Malignant neoplasms with lesions of the chest are quite rare in the sternum and range from 0.5 to 3.1% of the total number of patients with bone tumors of all localizations. In this connection, there are few publications describing the tactics of surgical treatment and methods of prosthetics of the formed defect. The present article describes a clinical case of successful application of an individual prosthesis of the manubrium of the sternum in G1 chondrosarcoma. CLINICAL CASE DESCRIPTION: to present a clinical observation of the surgical treatment of an 18-year-old patient with G1 chondrosarcoma of the manubrium of the sternum, with individual prosthetics. CONCLUSION: The use of modern 3D technologies based on the results of CT modeling allows, not only to plan the volume of necessary bone resection, but also to manufacture high-tech prostheses by using 3D printing to replace the defect with planning sufficient support capacity and function.
Epidemiology of fractures of the proximal femur in people older than 50 years: what has changed in the last 30 years?
Authors: Samarin Mikhail A. , Asi Habiballah Zaid A. , Krivova Alla V. , Rodionova Svetlana S. , Solomyannik Irina A.
Published: December 2022

The analysis of works devoted to the issues of the epidemiology of fractures of the proximal femur confirms the relevance of these studies, which is associated with both the aging of the population and the increase in cases of osteoporosis and the number of fractures against this background. The review presents data on the hospitalization of patients in Russia and the CIS countries with PPBP. It is shown that selective hospitalization of patients with PPBP does not allow obtaining objective data on their prevalence, while this information is an important component of planning and organizing medical care, including at the stage of providing specialized trauma and orthopedic care. As for treatment, in Russia and the countries there is a low level of surgical and high conservative treatment using outdated techniques. This approach reduces the possibility of almost 70% of patients returning to the quality of life they had before the fracture. At the same time, monitoring the situation can be the first step in organizing organizational measures in a particular country or region to improve the detection of fractures and their treatment.
The use of the apparatus of an intelligent system with biofeedback in the evaluation of preoperative preparation of a patient with type I diastematomyelia: clinical case
Authors: Kolesov Sergey V. , Tsykunov Mikhail B. , Bagirov Samir B. , Semenduev Semen V. , Morozova Nataliia S.
Published: December 2022

BACKGROUND: Diastematomyelia is a rare congenital anomaly of the spinal cord, characterized by its cleavage in the spinal canal, which can be combined with spinal deformity. When correcting scoliotic deformity, patients with this anomaly have a high risk of developing neurological disorders due to its fixation. Therefore, its preliminary mobilization surgically is necessary. In the upcoming corrective surgery, an important role is also played by preoperative halo-traction training in combination with therapeutic physical culture.
CLINICAL CASE DESCRIPTION: A clinical case of the use of the Tergumed 3D intelligent biofeedback system in assessing the effectiveness of preoperative halo-gravity traction in combination with mobilizing therapeutic physical culture in a patient with complex spinal deformity against the background of congenital malformation (type I diastematomyelia) to prepare for surgical correction is presented.
CONCLUSION: The results of this study suggest that the combination of physical therapy and halo-traction can be effectively used for preoperative preparation of patients with rigid scoliotic deformities and spinal anomalies. It help analyze preoperative preparation in patients with congenital spinal deformities.
Idiopathic scolioosis: long-term results of treatment of patients with the method of transpedicular fixation. Retrospective longitudinal study
Authors: Zeynalov Yusif L. , Burtsev Aleksander V.
Published: December 2022

BACKGROUND: Тhe study of the treatment results of patients with idiopathic scoliosis should include both objective assessment methods, such as radiography and multispiral computed tomography, and subjective methods related to the response of the patient or his/her parents to treatment. A set of indicators will only allow an objective assessment of the long-term treatment outcomes.
AIM: To examine long-term treatment results of posterior transpedicular fixation in patients with idiopathic scoliosis of varying severity.
MATERIALS AND METHODS: Long-term treatment results by posterior transpedicular fixation were studied in 300 patients with idiopathic scoliosis of varying severity. To assess the effectiveness of treatment, clinical and radiological diagnostic methods and SRS30 and SRS22 questionnaires were used.
RESULTS: Treatment results in 1 year were studied in all patients and in 2 years in 225 patients (75%). In 150 patients (50%), the long-term treatment results was studied in 5, and in 15 of them (10%) in 1012 years. The achieved correction value was maintained with a slight loss depending on the magnitude of the initial deformity and correction achieved after the operation. The SRS22 questionnaire 2 years after treatment of grade II deformity (according to Chaklin) showed that the indicators of postoperative function and remained practically unchanged, and the scores on self-esteem, appearance, and attitude were higher (p 0.05). In grade IV deformity, the scores on the appearance and attitude of others were high without significant differences.
CONCLUSION: Dorsal correction of the spine using transpedicular implants in patients with idiopathic scoliosis allows obtaining good treatment outcomes, which was confirmed by the preservation of correction during dynamic X-ray examination and assessment using the SRS22 questionnaire.
CONTRIBITION OF MICRO-SILICA AND NANO-MONTMORILLONITE REINFORCEMENTS ON THE MECHANICAL PROPERTIES OF UV-CURABLE THERMOSET RESIN
Authors: KANDEMİR Ayse Cagil , BAYTAROĞLU Arda
Published: December 2022

UV-curable thermoset resins had been utilized in organic coating industry because of their benefits over conventional adhesives like fast curing, less energy consumption and equipment. In this article, the effects of micro and nano-scaled reinforcements on the mechanical properties of a UV-curable thermoset resin were investigated. The reinforcements are chosen to be nano-scaled Montmorillonite (MMT) and micro-scaled Silica (SiO2). The reason for this choice is that the aforementioned particles are non-toxic, low-cost and in the case of MMT; abundant in nature. According to our knowledge, there is no study on the synergistic effects of those two additives in thermoset resins.

The instrumented microindentation test results reveal that maximum improvement on hardness (288%) was achieved by single addition of MMT thanks to the well-distributed silicate layers. Conversely, SiO2 addition diminished both strength (-51%) and modulus (-68%) drastically which is attributed to the possible poor dispersion and weak surface attraction. On the other hand, when those additives were utilized together, the property improvements namely; hardness and modulus are observed to be in between of single addition of either additive. It is suggested that SiO2 contribution does not disturb intercalated/exfoliated-MMT structure and similarly by simultaneous MMT reinforcement, quality of SiO2 dispersion is not affected. It is concluded that one benefit of these SiO2-MMT combinations over single MMT reinforcement could be related to plasticity since they result in less plasticity reduction of -22%-27% compared to MMT (-43%) with the further benefit of higher hardness improvement (+66%) than bare SiO2 addition (-51%).
Responsabilidad de los jueces, derecho jurisprudencial y legitimación del Poder Judicial en el Estado democrático
Authors: Romboli Roberto
Published: December 2022

El propósito de este trabajo es revisar el modo en que se ha venido planteando la cuestión de la responsabilidad del juez, en vista de la progresiva extensión e importancia de su papel en las democracias constitucionales contemporáneas y su indudable contribución a la creación de derecho a través de la jurisprudencia. La pregunta de partida es si esta notable extensión de la competencia del Poder Judicial debería implicar una correlativa ampliación de su responsabilidad o algún cambio en las fórmulas de exigencia de responsabilidad. Para responder a esta pregunta, la primera parte de este texto se ocupa del fenómeno de la progresiva ampliación del papel del juez; la segunda parte examina la variedad de fórmulas accionables para la exigencia de responsabilidad del juez (disciplinaria, civil, deontológica), para ofrecer, en la tercera parte, algunas reflexiones conclusivas.
El poder judicial ante el populismo y la erosión democrática. El caso de México, 2018-2021
Authors: Ríos Figueroa Julio
Published: December 2022

Existe una tensión inherente entre el populismo y el constitucionalismo que se materializa, una vez que el populismo está en el poder, en la necesidad de cooptar o al menos neutralizar el poder judicial y los órganos del sistema de justicia que tienen el papel de interpretar la constitución. El poder judicial puede resistir y contribuir a que el populismo revitalice la democracia en lugar de erosionarla. Sin embargo, las posibilidades de hacerlo dependen de su legitimidad entre la ciudadanía y de la composición partidista de los poderes ejecutivo y legislativo. Estos argumentos se ilustran a partir del análisis del caso de México, en particular el primer trienio (2018-‍2021) de la administración del presidente Andrés Manuel López Obrador y su Movimiento de Regeneración Nacional (MORENA).
The evaluation of the rgb and multispectral camera on the unmanned aerial vehicle (uav) for the machine learning classification of maize
Authors: Jurišić Mladen , Radočaj Dorijan , Plaščak Ivan , Galić Subašić Daria , Petrović Davor
Published: December 2022

U ovoj studiji istražena je klasifikacija usjeva i tla korištenjem algoritma strojnoga učenja Random Forest, temeljenoga na crveno-zeleno-plavoj (RGB) i multispektralnoj kameri integriranoj na bespilotnome zrakoplovu. Područje istraživanja obuhvaćalo je dva podskupa poljoprivredne čestice kukuruza dimenzija 10 x 10 m u blizini Koške. Najveća ukupna točnost klasifikacije postignuta je u kombinaciji rubnoga crvenog (RE), bliskoga infracrvenog (NIR) kanala i indeksa normalizirane vegetacijske razlike (NDVI) u oba podskupa, s ukupnom točnošću od 99,8 %, odnosno 91,8 %. Provedena analiza pokazala je da je RGB kamera postigla dovoljnu točnost i da je prihvatljivo rješenje za klasifikaciju tla i vegetacije. Međutim, multispektralna kamera i spektralna analiza omogućile su detaljniju analizu, prvenstveno za spektralno slična područja. Ovaj je postupak temelj i za izračun gustoće usjeva i za otkrivanje korova s pomoću bespilotnih zrakoplova. Kako bi se osigurala učinkovitost klasifikacije usjeva u praktičnoj primjeni, potrebno je dodatno uključiti klase korova u trenutačnu klasu vegetacije i podijeliti ih na klase usjeva i korova.
Carnosine – polyfunctional biologically active ingredient
Authors: Kralik Gordana , Kralik Zlata , Gvozdanović Kristina
Published: December 2022

In this paper, authors summarise studies refferering to enrichment of breast and thigh muscles with carnosine that has an important function in physiological processes. Research has shown that carnosine improves quality of chicken meat. By adding amino acids β-alanine and L-histidine in chickens’ feed, carnosine synthesizes in skeletal muscles, brain, heart muscle and olfactory receptor cells. It has been determined that the content of carnosine depends on the type of muscle (white or dark meat), broiler genotype as well as sex. Chicken meat is sensitive to oxidation processes, but lipid oxidation can be efficiently prevented by enriching meat with carnosine.
Entomopatogene gljive roda Fusarium
Authors: Grgić Slavko , Ćosić Jasenka , Sarajlić Ankica
Published: December 2022

Uzrokujući direktne ili indirektne štete i prenoseći biljne bolesti, kukci stvaraju višestruke gubitke u poljoprivrednoj proizvodnji, što se očituje smanjenom kvalitetom i prinosom usjeva. Uz primjenu kemijskih insekticida, koji su najčešći u konvencionalnoj poljoprivredi, nastoje se pronaći odgovarajući alternativni načini suzbijanja štetnika koji su okolišno prihvatljivi. Jedan je od takvih načina biološka kontrola kukaca entomopatogenim gljivama, za koje je utvrđena iznimno visoka učinkovitost u suzbijanju mnogih vrsta kukaca. Cilj rada bio je navesti mogućnosti suzbijanja kukaca entomopatogenim gljivama roda Fusarium te prikazati njihov potencijal primjene, od tretiranja sjemena, tretiranja kukaca do tretiranja skladišta. Brojne vrste roda Fusarium pokazale su visoku učinkovitost suzbijanja kukaca u svim fazama njihovog razvoja te su pogodne za daljnja istraživanja.
The changes in the blood’s acid-base balance of the lacaune sheep during different lactation stages
Authors: Antunović Zvonko , Mioč Boro , Klir Šalavardić Željka , Širić Ivan , Držaić Valentino , Šerić Vatroslav , Mandić Sanja , Novoselec Josip
Published: December 2022

The aim of the present study was to determine the acid-base balance in the blood of the Lacaune sheep during different lactation stages. Thirty lactating Lacaune sheep were involved in the research, and were monitored in the early (day 60), medium (day 120), and late lactation stages (day 180). The following parameters were determined in the blood plasma: pH, partial pressure of carbon dioxide – pCO2, partial pressure of oxygen – pO2, total pressure of carbon dioxide – tCO2, oxygen saturation – sO2, actual base excess Cbase – B, standard base excess Cbase – Ecf and electrolytes (Na+, K+, Ca2+, Cl- and HCO3- – bicarbonate), while total proteins – TP and albumin ALB were determined in the serum. Also, strong ion difference - SID, z value, anion gap - AG, weak anions, and cations - ATOTtp and ATOTalb, strong ion gap - SIG, unmeasured anions – XA and globulin concentrations were calculated. A significant effect of the lactation stage on most of the acid-base parameters in the blood of the Lacaune sheep was determined, except for pCO2, Cl-, z values and the SID. A significant increase of pO2, sO2, ATOTtp, ATOTalb, AG, SIGalb, SIGtp, XA, Na+, total proteins and albumins, as well as the decreased concentrations of K+ and Ca2+, were determined in the blood of the Lacaune sheep during lactation. During the medium stage of lactation, significant changes were determined in most of the acid-base parameters in the blood of the Lacaune sheep when compared to the other stages. A lactation stage may significantly affect the acid-base balance parameters in the blood of the Lacaune sheep, although the calculations of SIG, base excess (BE), and unmeasured anion (XA) values should also be included for the obtainment of a more comprehensive picture of the acid-base balance.
Biochemical and hematological parameters and body condition score of holstein cows under different welfare conditions
Authors: Đud Dalibor , Gantner Vesna , Đidara Mislav , Pavlić Martina , Šperanda Marcela
Published: December 2022

Dobrobit životinja predstavlja procjenu stanja životinja kojima reagiraju na podražaje iz okoline. Precizna procjena dobrobiti podrazumijeva multidisciplinaran pristup, a suvremen evaluacijski protokol uključuje mjerenja na životinjama i mjerenja koja uključuju smještaj, hranidbu i upravljanje farmom. Svrha ovoga istraživanja bila je odrediti varijabilnost biokemijskih i hematoloških pokazatelja, kao i tjelesnu kondiciju, s obzirom na različite bodovne razrede dobrobiti. Istraživanje je provedeno na 145 krava holsteinske pasmine, nasumično odabranih na šest komercijalnih farma mliječnih krava. Kontrolni popis procjene dobrobiti mliječnih krava sastojao se od 70 pitanja prema protokolu CReNBA. Biokemijski pokazatelji u krvi i mliječnoj plazmi određeni su automatskim kemijskim analizatorom Beckman Coulter AU400 (Beckman Coulter, SRNj). Dobiveni rezultati ukazuju da niže koncentracije albumina, triglicerida, željeza i kalcija u krvi imaju krave na lošije ocijenjenim farmama s obzirom na menadžment farme i infrastrukturu. S obzirom na pokazatelje infrastrukturnih karakteristika farme, menađmenta i ukupnu ocjenu farme, koncentracija albumina u mliječnom serumu bila je veća (P<0.05)u krava s lošijom ocjenom. Sedimentacija eritrocita bila je brža na lošije ocijenjenim farmama s obzirom na infrastrukturu farme i ukupnu ocjenu dobrobiti.
Towards Optimization of Patients’ Turnaround Time using Bluetooth Low Energy Based Solutions
Authors: Muthu Arumugam Ganes Raj , Muthaiyah Saravanan , Zaw Thein Oak Kyaw
Published: December 2022

Smart Healthcare can use the Internet of Things (IoT) to broaden the reach of digital healthcare by collecting patient data remotely using sensors. This can reduce Patient Turnaround Time (PTAT) and enable high-quality care to be provided. PTAT is the length of time from when a patient arrives at the hospital until they are allowed to return home. Malaysia's Ministry of Health claimed in 2016 that healthcare at government hospitals continues to encounter issues in providing high-quality care to patients, particularly in terms of the PTAT of patients who receive treatment versus those who are sent home without treatment. In this paper, we propose a Bluetooth Low Energy-based solution that optimizes PTAT using low calibrated transmission power, allowing hospitals to enable Real-time Patient Localization and Patient Movement Monitoring. The RSSI value is used to calculate the distance between a wearable device and the Access Points (AP) situated throughout the facility. When a patient passes an AP, data such as the wearable device name and RSSI value are taken and saved in a database, to determine the patient's location. A proof of concept was conducted using three AP points and 8 wearable devices to gauge distance measurement.
History of Reshaping Australian Telecommunications
Authors: Brett Judith
Published: December 2022

A review of John Doyle’s, Crossed Lines: Disruption, Politics and Reshaping Australian Telecommunications, published by Australian Scholarly Publishing, 2022.
Meta-Mortgaging: Islamic Law Review on Marhūn Issues
Authors: Muhammadi Fauzan , Putranti Deslaely , Praja Chrisna Bagus Edhita , Yudha Alda Kartika
Published: December 2022

To this date, technology has seen massive development and, it influences the economic field. The emergence of the metaverse has become an inevitable part of this progress. It serves as a digital world, wherein everyone is able carry out a vast array of activities, including economic transactions. The emergence of digital assets, that has encouraged serious discussion, is inseparable from Islamic law. One of these digital assets is the Non-Fungible Token (NFT). This digital asset is the focus of this study, specifically on for its posibility to become material guarantees. This article employs a qualitative study and presented descriptively through the perspective of Islamic law. The result of this study is that the pledged-object (marhūn) has certain primary conditions for it to be functional, namely: it is a property, it has value, it can be traded, its asset value is clearly known, and it is actually owned by the guarantor (rāhin). The concept of marhūn as a valuable object ultimately answers that NFT is included in the marhūn category. However, since NFTs do not stand alone if the transaction currency used in the metaverse is cryptocurrencies, al-rahn transactions using NFTs become less favourable considering Cyrptocurrency is deemed to be haram.
Prevalence of paediatric maxillo-facial trauma in India: a single centre, 5-year retrospective study
Authors: Jamwal Tamanna , Singh Vikas K. , Tiwari Ruchika , Thanvi Gaurang , Choudhary Mahima , Gupta Rahul
Published: December 2022

Background: Trauma is one of the most common reasons of fatalities worldwide. A study on the prevalence is important to know about the common causes of trauma. Such studies and data boost the campaigning on prevention and increasing awareness against trauma.Methods: Traumatised patients who reported to the emergency or casualty department of Mahatma Gandhi hospital, Sitapura, Jaipur or out-patient department of department of oral and maxillofacial surgery of Mahatma Gandhi Dental college and hospital, Sitapura, Jaipur between January 2017 and December 2021 were selected for this study. The hospital records of patients were retrospectively analysed for age, gender, etiology of trauma, distribution of fracture in facial structure and among maxilla and mandible, treatment procedures patients underwent in different age groups.Results: 371 traumatic patients were analysed for paediatric maxillofacial trauma. The commonly affected age group were found to be 13-16 years, with road traffic accidents being the most common etiology leading to mandible green stick fracture with dentoalveolar and Lefort II fracture in majority of cases. The frequent treatment option was found to be either conservative management, circummandibular wiring, splinting or Open Reduction and Internal Fixation according to age groups.Conclusions: The facial injury pattern is influenced by growth and age of patient. The effect and the management of trauma depend on the age of child. Road traffic accident are the most common cause of trauma and mandible bone is the most frequently fractured bone with dentoalveolar fracture during facial injuries. A clear male predilection has also been observed.
Evaluation of the pediatric airway: a review
Authors: Swain Santosh Kumar
Published: December 2022

The airway in the pediatric age group is a complex structure that extends from the external nares to the junction of the larynx and trachea. The airway of pediatric patients has significant anatomical and physiological differences compared to the adult age group. The difficult airway in children is an important contributor to both morbidity and mortality of the patient. The symptoms and signs of pediatric patients with respiratory distress depend on the site and severity of the obstruction. It is essential to evaluate and localize the site and etiology of the obstruction of the pediatric airway. Pediatric otolaryngologists and anesthetists must have a strategy for managing the predicted difficult pediatric airway. Flexible nasopharyngolaryngoscopy is the gold standard method for predicting or knowing the difficult airway in children. The majority of pediatric patients who have difficult airways are identified preoperatively. Knowledge of the airway differences between the pediatric and adult ages will help clinicians anticipate and troubleshoot difficulties that may happen. This review article aims to discuss the evaluation of the pediatric airway including its anatomy and physiology of the airway, proper history taking, clinical examination, and investigations.
Oral ingestion of foreign body in neonates and infants: a clinical review
Authors: Sahoo Loknath , Rath Aditi Ava , Swain Santosh Kumar , Das Saumya Ranjan , Pani Santosh Kumar , Baliarsingh Prasenjit
Published: December 2022

Foreign body (FB) ingestion in adult and children population is not uncommon but accidental. Same is rare in neonates and infants. Many of the FBs ingestion go unnoticed or unexpressed if baby is preverbal. Most of the foreign bodies pass spontaneously per anal. Only the larger size or sharp FBs get stuck in places of gastro intestinal tract and presents the patient in emergency department. Similarly corrosive and toxic FBs also invite immediate attention. Literature on the clinical aspects of the foreign body ingestion among neonates and infants was searched electronically through PubMed and individual study. Relevant articles were reviewed thoroughly and summarized. Instances of foreign body ingestion (FBI) in neonate and adult are in ascending trend over last several years. Imaging and identification of radiolucent FBs become challenging for surgeons. Conservative treatment for spontaneous evacuation, endoscopic retrieval and surgical removal are the modalities for FBI management.
Walking transmutes the individual health system: diseases
Authors: Garg Ram Kumar , Sharma Bhartendra
Published: December 2022

Even though the advantages of regular physical activity (PA) are widely acknowledged, the majority of people fall short of the suggested levels of activity. The world health organization (WHO) lays emphasis on workplace PA promotion as a critical intervention setting to improve the health and well-being of the working population. Given the significance of well-being in work environments, it is worthwhile to investigate the literature's evidence of effectiveness. The purpose of this systematic study is to evaluate how well walking promotes overall improvement in well-being. Your general health can be enhanced or maintained by walking. Just 30 minutes of exercise every day can enhance cardiovascular health, reduce excess body fat, and strengthen bones while also enhancing muscle endurance and strength. It can also lessen your risk of developing conditions like heart disease, type 2 diabetes, osteoporosis, and various cancers. Walking is a cost-free fitness option that doesn't call for any specialised gear or prior experience. Additionally, walking enhances brain function and helps older people have larger brains.
Study of pattern of superficial dermatophytic infection in paediatric patients in tertiary health care centre
Authors: Sharma Girraj , Goyal Sapna , Gupta Vijay , Varshney Ajitesh P. , Gupta Narendra
Published: December 2022

Background: It is difficult to ascertain reliably the overall incidence and prevalence of the various cutaneous infections in different parts of the world because studies of one region of the country may not be a true representation of the overall disease pattern of that country; furthermore, incidence and prevalence figures may only be representative of the population sampling, which may have associated risk factors for infection. Most of the studies done in this field are dealt with adults or with a specific clinical form of dermatophytosis. Only few surveys were performed in pediatric age group.Methods: It is an observational type of study. The present study was conducted in Department of Dermatology, Rajshree Medical & Research Institute, Bareilly, from 1st march 2021 to 28th February 2022.Results: Majority of the study population belonged to 11-15 years (48.7%) followed by 15-18 years (24.1%). The most commonly affected sites were Groin (47.2%) followed by trunk (29.9%), buttocks (29.1%), and upper limbs (24.0%). The predominant lesion type was Plaque (43.5%). The most common lesion feature found in most of the study group was discoloration (94.1%). The most common diagnosis was T. corporis (29.1%) followed by T. corporis + T. cruris (28.3%), T. cruris (22.4%).Conclusions: Total 237 patients of superficial dermatophytosis were included in the study, out of which mean age was 9.16±4.241 with female predominance (52.3%). Common presenting complaints were itching (95.3%), affected site was groin (47.2%) and annular plaque was predominant type of lesion. The most common made in our study was T. Cruris (47.2%).
Cognitive impairment in diabetes mellitus: an exploratory study
Authors: Chaudhary Sameer
Published: December 2022

Background: Present study was conducted to estimate the prevalence and evaluate predictors of cognitive function impairment in patients with type 2 diabetes mellitus.Methods: This prevalence study was conducted over one year at a tertiary care teaching hospital in central India. Known cases of type 2 diabetes mellitus of more than one year of duration of illness were considered eligible. Patients with past history of head injury, seizure episode, stroke, chronic kidney disease, those taking antidepressant/antipsychotic treatment and those with pre-existing dementia were excluded. Mini-mental state examination was employed for estimation of the cognitive function. Clinical history, examination and biochemical findings were also evaluated.Results: In all, total 332 patients with mean age of 61.33±11.33 years were studied. Two hundred patients (60.24%) were below 60 years, and 132 patients (39.76%) were over 60 years of age. Two hundred sixteen patients (65.06%) were males, and 116 (34.96%) were females. The mean duration of diabetes mellitus (DM) was 10.17±4.81 years. The mean MMSE score was 22.69±5.26 and 81 (24.4%) patients were observed to have cognitive impairment. The difference in cognitive function between those below 60 years and above 60 years was statistically significant (p=0.0214). Duration of illness was also a significant factor (p=0.0394). But gender was not observed to affect the cognitive function significantly (p=0.2497).Conclusions: Cognitive impairment is common amongst diabetics and is directly related to age and duration of diabetes amongst them; while gender does not influence the cognitive function amongst diabetics.
Phenytoin induced Lyell’s syndrome: a case report
Authors: Sivasamy Manoj , R. Shreenidhi , M. K. Nishaanth , M. Jagadeesan , S. Prasanna Karthik
Published: December 2022

Lyell’s syndrome commonly known as Stevens–Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) is a type of severe allergic reactions affecting the skin and mucous membranes. If surface area of the body (BSA) involvement is less than 10% which is called as SJS and TEN is defined as epidermal detachment >30% of the total body surface area while both SJS and TEN can have involvement of mucosa. BSA with 10–30%, there is overlapping of SJS and TEN. We report a rare, life-threatening case of Lyell’s syndrome who presented lesions involving 30% of BSA after the oral intake of phenytoin and she was successfully treated with high-dose steroids and supportive care.
Oto-neurological manifestation in post COVID-19 patients: a randomized prospective observational study
Authors: Singh Ram Siya , Singh Sivendra Pratap , Keshri Sankalp , Prakash Anand
Published: December 2022

Background: The corona virus disease (COVID-19) is caused by severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) and is characterized by symptoms of the lower respiratory tract involvement, such as fever, cough, dyspnea, and chest heaviness. Sensorineural hearing loss (SNHL) is most frequent audio-vestibular symptom described, occurring alone or in association with tinnitus and vertigo.

Methods: This study was conducted in COVID-19 tertiary care center Prayagraj. COVID-19 positive patients who were included in moderate to severe category were taken up for the study and data was collected from 1st June 2021 to 1st July 2022 for audiological assessment and presence of equilibrium disorder. All patients were investigated on basis of closed ended questionnaire.

Results: Out of 1000 patients incidence of ear heaviness was found in 3.3%., decreased hearing in 0.9%., tinnitus in 1.9%., equilibrium in 0.4% and migraine in 0.4%, which was higher as compared to the normal population but not significant.

Conclusions: SARS-CoV-2 infection may cause thrombosis in audiovestibular artery and may alter the blood flow in cochlea and vestibule and cause otoneurological manifestation.

 
Analysis of hearing improvement by various ossiculoplasty materials (autologous versus prostheses) in chronic otitis media patients
Authors: Faiz Syed M. , Bhargava Anuja , Srivastava Saurabh , Gupta Rajeev K. , Parveen Mariyam , Bhatt Kriti , Singh Abhijeet
Published: December 2022

Background: The main purpose of surgery in cases of chronic otitis media is to eradicate the infection and restore the middle ear hearing function. Both intact tympanic membrane and ossicular chain are essential for the restoration of hearing in these cases. The world of material science has provided otologists with array of biomaterials for middle ear reconstruction. The use of ossicular graft material in ossicular chain reconstruction has significantly improved hearing results after surgeries for chronic otitis media.

Methods: The study involved a total of 50 patients presenting with dry tympanic membrane perforation with ossicular disruption and air-bone gap (ABG) of >25 from July 2014 to December 2019. The patients were randomly allotted into two groups and they underwent tympanomastoidectomy with ossiculoplasty, in one group homologous incus was used as ossiculoplasty material and in the second group Teflon TORP/PORP was used as ossiculoplasty material.

Results: The present study concluded that there was no inter-group difference in post-operative hearing outcome however the two groups individually noted significant post-operative improvement in hearing.

Conclusions: In present study postoperative hearing improvement was similar in both groups. Although numerous approaches to ossicular reconstruction have been proven to be successful, no single technique has received universal acceptance.
Nasal lobular capillary hemangioma: etiologic factors
Authors: Lemos Ricardo Costa S. , Fonseca Rui
Published: December 2022

Nasal lobular capillary hemangioma (LCH) is a rare and benign vascular tumor of unknown etiology, often associated with hormonal factors and a history of trauma. In this case series we present twelve cases of nasal LCH diagnosed on patients treated at the Hospital da Senhora da Oliveira from January 2010 and December 2019. Of the 12 patients, 66, 7% were males. The most common clinical presentation was epistaxis (75%) followed by nasal obstruction (50%). In 75% of patients the most commonly affected area was the nasal septum. Regarding proposed contributing factors, nasal trauma was the most prevalent (33%), followed by the use of oral contraceptives (25%) and pregnancy (8.3%). Endoscopic sinus surgery was performed in all patients, with complete excision of the lesion, and no post-operative complications were observed. Nasal LCH should be considered in the differential diagnosis of nasal vascular lesions associated with unilateral epistaxis and nasal obstruction. Complete surgical resection should be the treatment of choice, since it’s associated with lower risk of recurrence.
Type I posterior glottic stenosis: an endoscopic approach
Authors: Azevedo Sara R. , Pinto Ana N. , Coutinho Miguel B. , Meireles Luís
Published: December 2022

Type I posterior glottic stenosis (PGS) is a rare and challenging entity that is defined by the presence of a posterior glottic scar band separate from interarytenoid mucosa. This case reports a child who developed PGS-I secondary to prolonged intubation submitted to an endoscopic approach. 11-year-old boy presented with a 4 years complaint of stridor triggered by physical efforts and sleep. He had an history of mechanical ventilation with entubation for a thirty day period. On indirect laryngoscopy it was observed a complete adduction and incomplete abduction of vocal folds. He underwent a diagnostic laryngotracheoscopy, where it was possible to observe and confirm the diagonis of a PGS type I. A suspension microlaryngoscopy was performed and the interarytenoid band tissue was sectioned and dilatation of this area with a balloon was done. Endotracheal intubation is the primary cause of PGS in children. Different surgical interventions have been described, from open to endoscopic techniques. A careful preoperative assessment helps achieve better outcomes.

 
Polymorphous low-grade adenocarcinoma: a report of two cases
Authors: Rappoport Daniel A. , Avayú Tania , Burgoa Antonio A. , Gac Patricio J. , Rodríguez Francisco J. , Vásquez Loreto A. , Parada Vivian A.
Published: December 2022

Polymorphous low-grade adenocarcinoma (PLGA) is an infrequent type of malignant epithelial tumor that occurs almost exclusively in minor salivary glands. It commonly presents in women between the sixth and eighth decade of life, usually as an asymptomatic mass of long evolution and slow growth in the oral cavity but can erode and infiltrate adjacent bone. We present 2 case reports and review the literature on the subject. One case presented with a growing mass that developed over the course of 12 years, incorrectly diagnosed in the first incisional biopsy as a benign tumor. The second case presented as a recurring PLGA 19 years after the first, which appeared at an unusually young age. Both cases were managed with the treatment of choice: surgery with wide excision margins. Although prophylactic neck dissection is not the rule, it was part of the postoperative treatment in both cases, along with life-long follow-ups to find recurrences at early stages. A high level of suspicion and knowledge regarding its presentation are essential for correct diagnosis and management.