bluuebunny/crossref_metadata_2025 huggingface dataset:
Mucosite liqueinoide oral: um relato de caso e uma discussão sobre seus principais subtipos.
Authors: Morais Anne Diollina Araújo , Chaves Filipe Nobre , Silva Marcelo Bonifácio da , Oliveira Denise Hélen Imaculada Pereira de
Published: July 2023

A mucosite liquenóide oral (MLO) refere-se a um grupo de lesões da mucosa que exibem um infiltrado de células  inflamatórias linfo-histiocíticas em forma de banda no tecido conjuntivo subepitelial. A MLO é constituída por  alguns subtipos, dentre eles, o liquen plano oral (LPO) e a lesão liqueinoide oral (LLO). Com isso, o presente  estudo tem o objetivo de relatar um caso de doença liqueinoide oral e discutir seus principais subtipos. O  presente caso trata se de uma paciente do sexo feminino, 22 anos, que procurou os serviços do Ambulatório de  Estomatologia da Universidade Federal do Ceará - campus Sobral queixando se de “mancha branca na língua”.  Clinicamente, observou se placa leucoplásica, com aspecto reticular, em dorso de língua com 2,5cm de diâmetro  e presença de superfície áspera. Após biópsia incisional, histologicamente, observou se presença de epitélio  pavimentoso estratificado, com hiperortoqueratose, extensa acantose, papilomatose e granulose. Apresentando,  na camada basal, múltiplas áreas de apagamento, degeneração e desorganização e intensa exocitose. Infiltrado  inflamatório justaepitelial predominantemente linfocitário. Obtendo mucosite liqueinoide como diagnóstico  histológico. Paciente, após biópsia incisional, apresentou indícios de regressão da lesão. A paciente está sob  acompanhamento e, em caso de não regressão espontânea total da lesão, a paciente será submetida a remoção  completa da lesão. A MLO possui subtipos semelhantes clinicamente e histologicamente, porém com  prognósticos diferentes. Dessa forma, se faz necessário um processo diagnóstico clínico e patológico em todos os  casos de “pápulas brancas” na mucosa oral, a fim de alcançar o diagnóstico final de LPO ou LLO e estabelecer  um correto acompanhamento e abordagem de controle em cada caso.
Gengivoplastia e implantação de biovolume à base de polimetilmetacrilato para o reposicionamento labial e correção do sorriso gengival
Authors: Moura Alessandra Matias
Published: July 2023

Um sorriso harmônico é considerado um padrão de beleza e bem-estar, possibilita uma expressão facial que  transmite alegria, segurança e um estado de satisfação. A perfeita união da dentição, tecido gengival e lábios  compõem um sorriso em harmonia. Quando essas estruturas se encontram na proporção ideal, um sorriso  harmônico é estabelecido. A etiologia da exposição gengival excessiva pode ser resultado de um ou vários fatores  associados. Um diagnóstico correto e preciso, requer a avaliação detalhada dos tecidos moles periodontais e sua  relação com os dentes e ossos da face, assim como sua relação com os lábios. O supercrescimento maxilar pode  causar uma depressão esquelética subnasal, que permite o lábio superior se alojar no ato de sorrir  espontaneamente, dessa forma o lábio superior é retraído ao sorrir, causando uma exposição de gengiva  excessivamente. Existem diversas opções de tratamento para o sorriso gengival, que podem ser escolhidas de  acordo com cada caso, quantidade de gengiva exposta e sua etiologia. A gengivoplastia é uma cirurgia que  corrige ou elimina deformidades gengivais, traumáticas ou de desenvolvimento, sendo considerada como o  procedimento cirúrgico que proporciona o contorno gengival em espessura. Recentemente, uma nova técnica  cirúrgica para o manejo do sorriso gengival foi proposta, essa técnica consiste na implantação de biovolume à  base de polimetilmetacrilato (PMMA) que preenche a depressão subnasal, proporcionando novo suporte labial  e evitando o deslocamento excessivo do lábio superior. O objetivo do presente trabalho é apresentar um relato  de experiência que descreve uma técnica de tratamento de sorriso gengival, por meio da gengivoplastia,  associada ao reposicionamento labial com biovolume a base de PMMA, visando à personalização do sorriso. A  associação do biovolume com a gengivoplastia em casos de sorriso gengival com depressão subnasal acentuada  é uma alternativa que apresenta resultados estéticos satisfatórios.
CARCINOSSARCOMA EM BORDA LATERAL DE LÍNGUA: RELATO DE CASO
Authors: Rodrigues Clarita Brasil , Oliveira Francisco Artur Forte
Published: July 2023

O carcinossarcoma é uma lesão maligna extremamente rara na cavidade oral, embora sua ocorrência, em outras  partes do corpo, tenha sido amplamente descrita na literatura. Essa neoplasia representa uma mistura de  componentes carcinomatosos e sarcomatosos e é caracterizado pela diferenciação histológica maligna dupla de

componentes epiteliais e mesenquimais. É uma entidade extremamente agressiva. O presente trabalho objetiva  relatar o caso de um carcinossarcoma em borda lateral direita de língua com achados imuno-histoquímicos em  conjunto com achados morfológicos. Neste relato, descrevemos o caso de uma paciente do sexo feminino de 72  anos de idade que apresentou uma massa de crescimento rápido na base lateral direita de língua. Ao exame  inicial, o diagnóstico clínico foi compatível com granuloma piogênico. Após a realização da biópsia excisional,  múltiplas secções examinadas microscopicamente (coloração de hematoxilina-eosina) evidenciaram uma  neoplasia sarcomatosa de alto grau. A análise do painel imuno-histoquímico (método streptoavidina-biotina  peroxidase) avaliou um amplo coquetel de queratinas, proteínas e marcadores celulares que foram empregados  para demonstrar a natureza epitelial e sarcomatosa da neoplasia, e obteve como conclusão diagnóstica o  carcinoma de células escamosas do tipo células fusiformes (carcinoma sarcomático ou carcinossarcoma)  infiltrativo em língua. O presente caso foi tratado, exclusivamente, com ressecção lateral direita de língua com  retirada de margem de segurança juntamente à linfadenectomia cervical direita para evitar riscos de metástases  futuras; optou-se por não realizar tratamentos adjuvantes com quimioterapia ou radioterapia devido à boa  evolução pós-cirúrgica. O presente caso não mostrou evidências de recorrência ou metástase da lesão 23 meses  após a cirurgia; no entanto, faz-se necessário um acompanhamento criterioso devido ao mau prognóstico em  muitos casos.
USO DO FLUXO DIGITAL COMPLETO EM REABILITAÇÃO ESTÉTICA - DO PLANEJAMENTO À EXECUÇÃO
Authors: Oliveira Ana Clara Fernandes de , Costa Nayala Maria de Queiroz Martins , Frota Bruna Marjorie Dias
Published: July 2023

A odontologia digital vem ganhando grande espaço no mercado devido a alta exigência estética e funcional por  parte dos pacientes, uma vez que proporciona uma maior previsibilidade do resultado final dos tratamentos  reabilitadores estéticos. Os sistemas CAD/CAM (Computer Aided Desing/Computer Aided Manufacturing)  associado ao uso de protocolos de planejamento virtual vêm demonstrando resultados superiores a odontologia  analógica. O objetivo deste trabalho tem como relatar o caso clínico de um paciente F.A.S.S., 27 anos, sexo  masculino que apresentava insatisfação da estética do sorriso, em função de grandes perdas de estrutura  dentária por cárie, além da presença de manchas brancas hipoplásicas no esmalte. Foram solicitados exames  radiográficos e planejamento de tratamentos endodônticos dos dentes com alteração pulpar e exodontia dos  elementos com indicação. Além disso, houve necessidade de realizar escavação em massa e restaurações provisórias em RIVA. Foi feito protocolo fotográfico para planejamento do caso associado ao uso do Digital  Smile Desing. Posteriormente, escaneamento intraoral das arcadas dentárias com uso do scanner (Panda) e seu  respectivo software para planejamento das alterações estéticas a serem realizadas, tais como: aumento das  incisais, recontornos, ajustes do posicionamento e inclinação dos dentes a serem reabilitados. Com isso, foi  possível melhor comunicação com o laboratório e profissional. Após isso, foi confeccionada a manufatura de  um modelo tridimensional com as alterações realizadas através de uma impressora 3d (Done 3d) que serviu de  modelo para confecção de mockup e, posteriormente, guia palatina para restaurações definitivas, permitindo  transferir o planejamento virtual para o real. Conclui-se que o crescimento da odontologia digital oferece  grandes vantagens no planejamento e nos tratamentos, como a previsibilidade, precisão nos tratamentos  propostos, redução de etapas clínicas e satisfação dos pacientes.
NEUROFIBROMATOSE TIPO II: RELATO DE CASO
Authors: Freitas Ana Bárbara Maciel de , Veras Pedro Jesse Lima , Morais Hannah Gil de Farias , Barros Joyce Magalhães de
Published: July 2023

INTRODUÇÃO: A Neurofibromatose tipo II (NF2) é uma sindrome autossômica dominante, causada pela  mutaçãodo gene NF2 no cromossomo 22, que resulta na disfunção da codificação da proteína merlina. Esta  doença pode ter uma expressões patológicas variadas, necessitando de uma atenção multidisciplinar  melhorando os resultados dos tratamentos. O diagnóstico é realizado por meio de ligações genéticas,  considerando o risco genético do histórico familiar e na análise clínico-patológica. Em média 50% pacientes  podem apresentar schwannomas cutâneos, manchas café com leite, problemas oftalmologicos e auditivos,  déficits neurológicos. RELATO DE CASO Paciente, gênero feminino, 26 anos, leucoderma, compareceu a Clínica Odontológica da Universidade Ateneu, após encaminhamento, para a diagnóstico de uma lesão na região  lingual. A paciente apresentava queixas de dor ao deglutir, hipersensibilidade nas papilas linguais e xerostomia.  Clínicamente, apresentava tumores na região escapular, dedos e na região de cabeça e na face. No exame intrabucal, foi observado papilas linguais hiperplásicas, com tamanho assimétrico e hipomolidade. Observou se, também hiperplasia gengival medicamentosa. Foi realizada a prescrição de hidratantes como dexpantanol e  lubrificantes orais e retorno com três meses para acompanhamento, porém a paciente veio à óbito por  complicações neurais. Filha da paciente citada, também é acompanhada no serviço odontológico da  Universidade Ateneu por apresentar lesão no ápice da língua, porém sem sintomatologia. Já está em invetigação  genética para diagnóstico. DISCUSSÃO: O acompanhamento de de pacientes portadores da NF2 pode miminuir  os impactos físicos e funcionais que a patologia pode causar. O tratamento consiste em solucionar sintomas que  venham a surgir e prevenindo complicações. CONCLUSÃO: A contribuição multiprofissional é importante  para garantir uma melhora na qualidade de vida desses pacientes e aumento sua sobrevida.
COMPLICAÇÕES EM IMPLANTES ZIGOMÁTICOS: CASO CLÍNICO
Authors: Almeida Andressa Thiára Amaral , Duarte Ryan Soares , Farias Alan Leandro Carvalho de , Mendes Neto João Marques
Published: July 2023

INTRODUÇÃO: A reabilitação por implantes em região de zigoma é uma técnica utilizada em pacientes que  apresentam perda óssea maxilar severa e que não possuem estrutura óssea suficiente para a colocação de  implantes dentários convencionais. Embora seja considerada uma técnica segura e efetiva, existem riscos e  complicações associadas ao procedimento, como a invasão do seio maxilar. OBJETIVO: Este relato de caso  compreende o objetivo de citar uma complicação associada à técnica de implante zigomático, a invasão do seio  maxilar, e apresentar os paliativos e soluçõesadotadas para o tratamento dessa complicação. RELATO DE  CASO: A paciente M.F.T, de 65 anos, havia procurado atendimento odontológico especializado queixandose de  algia, edema, sinusite e acúmulo de secreção na narina esquerda com a suspeita de que estavam sendo causados  pelo procedimento cirúrgico de implante zigomático realizado 10 anos antes. Sendo assim, ao se realizar exames  de tomografia computadorizada concluiu-se um certo grau de invasão e o comprometimento do seio maxilar.  Foram necessárias sessões de antibioticoterapia e a remoção dos implantes a fim de sanar a problemática e  atenuar os sintomas. CONSIDERAÇÕES FINAIS: A técnica de implante zigomático pode ser uma opção eficaz  para a reabilitação oral em pacientes com perda óssea maxilar acentuada. No entanto, é importante que o  profissional esteja preparado para lidar com as possíveis complicações associadas ao procedimento, como a  invasão do seio maxilar. O diagnóstico precoce e o tratamento adequado são fundamentais para o sucesso do  procedimento.
PÊNFIGO VULGAR EM CAVIDADE ORAL: UM RELATO DE CASO
Authors: Eloy Victoria Sousa , Sousa Ana Lívia Torres de , Veloso Camille de Sousa , Turatti Eveline
Published: July 2023

Introdução: O Pênfigo Vulgar é uma doença mucocutânea rara de origem auto-imune caracterizada pela  formação de bolhas intra epiteliais. Essas lesões ocorrem devido a uma produção atípica de auto-anticorpos  contra proteínas desmossômicas, especificamente as desmogleínas 1 e 3, resultando na perda de adesão celular.  Geralmente, acomete indivíduos entre quarenta e sessenta anos de idade, sendo raro em crianças e não tem  predileção por sexo. Objetivo: Relatar o caso clínico de uma paciente com pênfigo vulgar. Relato de  caso: Paciente F.F.F., 69 anos de idade, sexo masculino, melanoderma, acompanhado de sua filha procurou  atendimento relatando estar com a bochecha e lábio inferior em “carne viva”. Após exame clínico, foram  identificadas lesões ulceradas em lábio inferior e mucosa jugal com tempo de evolução de aproximadamente 1  mês, além de lesões escamosas no rosto, colo e nas costas, com tempo de evolução de, aproximadamente, 2  semanas. Paciente já estava em acompanhamento médico onde o mesmo suspeitava de infecção bacteriana com  requisição de variados exames. O diagnóstico clínico elaborado foi de Pênfigo Vulgar e o paciente foi  submetido a biópsia incisional, que confirmou o diagnóstico. Paciente foi medicado com corticóide sistêmico  oral e encaminhado para um centro de referência em dermatologia para acompanhamento do caso em  conjunto. Atualmente o paciente apresenta melhora significativa do quadro clínico. Conclusão: O Pênfigo  Vulgar é uma doença auto-imune dermatológica com grande relevância para os cirurgiões-dentistas, já que  muitos pacientes apresentam lesões orais, sendo o dentista um profissional apto a realizar esse diagnóstico.
Resumos do VI Congresso Internacional de Odontologia do Ceará - CIOCE
Authors: VI Congresso Internacional de Odontologia do Ceará - CIOCE Resumos do
Published: July 2023

Não se aplica
Quercetina na Prevenção do Processo Erosivo de Origem Intrínseca: Estudo in Vitro
Authors: Santos Brenna Braga dos
Published: July 2023

O objetivo do presente estudo foi de avaliar a ação da QT como uma medida protetora na dentina erosivamente  desmineralizada em três dias de erosão cíclica. Blocos de dentina humana radicular foram divididos  aleatoriamente em três grupos (n = 13), de acordo com o tratamento de dentina submetida ao desafio com ácido  clorídrico: água destilada (AD), e QT 10% em aplicações de 1 minuto (QT1) e 5 minutos de aplicação de QT  (QT5). Foram realizados procedimentos cíclicos repetidos durante um período de três dias, incluindo formação  de película, erosão, tratamentos com soluções testes (AD, QT1 e QT5) e remineralização com saliva artificial.  Após a formação da película, cada bloco foi submetido a uma solução de ácido clorídrico por 60 segundos. Cada  espécime foi então lavado com água destilada e tratado com a solução de tratamento em seus respectivos tempos,  e então, os espécimes foram imersos em saliva artificial por 1 hora, realizado sob agitação a 100 rpm a 37 ° C.  Este ciclo foi repetido três vezes por dia durante três dias. A variável dependente avaliada foi o desgaste dentário,  a través do uso do perfilômetro de contato Hommel Tester T1000. A média e desvio padrão por grupo foram  calculados e os procedimentos estatísticos foram realizados utilizando o pacote estatístico SPSS 17.0 para  Windows. O teste de Kolmogorov Smirnov foi aplicado a todos os grupos para verificar a distribuição normal  dos erros. Como os valores foram rotineiramente distribuídos por todos os grupos, ANOVA e o teste de Tukey  foram usados para fins comparativos. O nível de significância foi estabelecido em 5%. Para o desgaste dental, e  houve diferença estatisticamente significante entre os grupos testados. Logo, o composto ativo interferiu na  perda do desgaste, em que QT1 e QT5 foram semelhantes entre si, e ambas estatisticamente diferente ao grupo  controle AD. A QT é uma promissora alternativa na prevenção do processo erosivo.
MULTI-DRUG RESISTANT ESCHERICHIA COLI AND THEIR SENSITIVITY TO ORAL FOSFOMYCIN IN URINARY TRACT INFECTIONS: A SINGLE-CENTER EXPERIENCE
Authors: Haider Iqbal , Sana Ullah  , Kalsoom Bibi  , Hammad Naeem  , Hamza Ali Khan  , Wazir Mohammad Khan
Published: July 2023

Objectives: To determine the frequency of Escherichia coli (E. Coli) with multi-drug resistance and sensitivity to oral Fosfomycin in urinary tract infections in a public sector hospital of Peshawar Pakistan.
Material and Methods: A descriptive cross-sectional study with a convenient consecutive sampling technique at the Department of Medicine Khyber Teaching Hospital Peshawar. A total of 179 patients were recruited in the current study. Detailed history and examination were carried out followed by routine baseline investigations. Under rigorous aseptic settings, two clean midstream urine samples from patients exhibiting symptoms of a urinary tract infection were collected. These samples were then promptly transferred to the hospital laboratory for routine evaluation and E.Coli inoculation on culture media. Once E.Coli was detected, it was tested for antibiotic sensitivity and resistance against the antibiotics mentioned. The multi-drug resistant (MDR) strains were isolated and their sensitivity was checked against oral fosfomycin. All the variables of data were recorded in SPSS version 20. Descriptive and inferential statistics will be utilized to elaborate study findings.  
Results: The mean age in this study was 37 years with a standard deviation was ±11.27.Seventy-three (41%) patients were males and 106 (59%) patients were females. One hundred and eleven (62%) patients had multidrug-resistant E.Coli among which oral Fosfomycin was sensitive in 108(97%) patients and was resistant in 3(3%) patients presenting with urinary tract infection.
Conclusion: The multidrug-resistant E. coli strains are common in our setup. However, oral fosfomycin has documented sensitivity against these MDR strains of E. coli in the majority of UTI cases. 
Keywords: Multidrug-resistant Escherichia coli, Drug Sensitivity, Fosfomycin, urinary tract infection
MICROBIOLOGIC SPECTRA AND THEIR ANTIBIOTIC SUSCEPTIBILITY PATTERNS IN TYPE 2 DIABETIC PATIENTS WITH URINARY TRACT INFECTIONS (UTIs) – A HOSPITAL BASED STUDY
Authors: Badshah Aliena , Khan Arooba , Khan Wazir Muhammad , Zaman Rabia , Khan Zahid Ullah , Haider Iqbal
Published: July 2023

Objectives: To determine the microbiologic spectra and their antibiotic susceptibility patterns in type 2 diabetic patients with UTIs
Materials and Methods: This descriptive cross-sectional study was conducted in the Department of Medicine, Khyber Teaching Hospital, Peshawar from 1st July 2021 to 31st December 2021. Type II Diabetic patients with urinary tract infections were recruited in the study. Their urine culture for sensitivities was carried out. The frequency of positive urine culture was stratified among age and gender to see the effect modifications. Antibiotic sensitivity and resistance patterns were stratified among male and female diabetic patients.
Results: Out of 150 patients, 125 were females and 25 were males. 27 patients (24.3%) had positive urine cultures, out of whom 19 (70.4%) were females, and 8 (29.6%) were males. The most common organism found in females was E.coli (42%). Among male patients with positive urine cultures, E.coli was the most common organism isolated in 5 (62.51%). Cefixime had the highest resistance, with 21(77.8%) of 25 culture-positive patients resistant to it. All the patients with positive urine cultures were sensitive to piperacillin/tazobactam, Meropenem, Doripenem, Cefepime, Aztreonam, and Tigecycline.
Conclusion: Diabetic females are more prone to UTIs with an increased prevalence of positive urine cultures as compared to diabetic men. The most common isolate was E.coli. The highest antimicrobial resistance was reported for Cefixime. All patients were sensitive to Meropenem, Tazobactam/Piperacillin, Aztreonam, Tigecycline, Doripenem, and Cefepime.
Key Words: Antibiotic susceptibility; Diabetes mellitus; urine culture and sensitivity
THE DIAGNOSTIC UTILITY OF MEAN PLATELET VOLUME (MPV) IN PATIENTS WITH EARLY NEONATAL SEPSIS
Authors: Idrees Muhammad , Rehman Manzoor Ur , Amir Sabahat , Khan Muhammad  Ihtesham , Waqas Muhammad , Rahman Inayat Ur
Published: July 2023

Objective:
To determine the diagnostic utility of mean platelet volume in patients presenting with early neonatal sepsis.
Materials and methods:
This validation study was conducted in the Department of the Pediatrics ward, Khyber Teaching Hospital, Peshawar. After seeking parental consent, a brief history of Neonatal Sepsis and co-morbidities was obtained. The patient's clinical record was reviewed for the presence of any of the conditions indicated in the exclusion criteria for this study. A questionnaire about the patient’s demographics, disease duration, and treatment records was compiled. Samples were taken and examined of such newborns with consent from the patient's guardians (n=322). 4 ml venous blood was collected from each subject. 2 ml was used for blood culture, and 2 ml was used for Mean Platelet Volume estimation each at hours 0, 24, and 48. Data was collected and analyzed using the SPPS 24.
Results:
A total of 322 newborns (154 males, 168 females) were enrolled. The Sepsis group as diagnosed by blood culture, had 201 cases while the control group had 121 participants. There was a significant difference (p-value less than 0.05) between the two groups for Mean Platelet Volume. The values for sensitivity, specificity, and negative and positive predictive values as compared to blood culture as the gold standard were 77.58, 55.31, 50.00, and 81.08 percent, respectively.
Conclusion:
The mean platelet volume has high diagnostic utility in patients with neonatal sepsis.
PERCEPTION OF FOURTH-YEAR MEDICAL STUDENTS REGARDING THEIR EDUCATIONAL ENVIRONMENT IN THE PEDIATRIC UNIT OF KHYBER TEACHING HOSPITAL
Authors: Munir Arshia , Amir Sabahat , Ahmad Farooq , Mehboob Usman , Muhammed Aqeel
Published: July 2023

Objectives: The study aimed to assess the students’ perception of the educational environment in the pediatric unit of Khyber teaching hospital using Dundee Ready Educational Environment Measures (DREEM).
Material and Methods: This cross-sectional, questionnaire-based study was conducted at the Department of Child Health Khyber Teaching Hospital Peshawar, Pakistan, from May to November 2019. The sample size included 220 students fourth-year students. The study instrument was the DREEM questionnaire, which has 50 items that assess five do­mains. There are 50 items with 5 subscales and the maximum score is 200.  Descriptive statistics were used to calculate the mean and standard deviation of the DREEM and the five domains
Results: Of the 220 Students, 100 completed the questionnaire, resulting in a response rate of 45%. The total DREEM score was 113.14/200 (56.57%). The results showed that student’s perception of their learning environment was 27.31/48 (56.89%), the perception of teachers was 25.45/44 (57.84%), self-perception of their academics was 18.97/32 (59.28%), their perception of the atmosphere was 27.7/48 (57.7%), and social self-perception was 13.7/28 (48.96%).
Conclusion: The study found that the atmosphere in the pediatric ward of Khyber Teaching Hospital was perceived positively by the students. However, the total DREEM score and points in the subdomains did not fall in the excellent category and remained one step below the highest rank. Therefore, there is room for improvement in the educational climate at the pediatric ward of Khyber Teaching Hospital.
Keywords: Dundee Ready Educational Environment Measures (DREEM), educational environment measures.
EFFICACY AND SAFETY OFFOLEYS CATHETER FOR UTERINE TAMPONADE IN THE MANAGEMENT OF POSTPARTUM HEMORRHAGE AT A TERTIARY CARE CENTRE IN PESHAWAR
Authors: Bukhari Naila , Mazhar Tayaba
Published: July 2023

Objective: To determine the efficacy and safety of Foley’s catheter for uterine tamponade in the management of postpartum hemorrhage due to uterine atony.
Material and methods: This observational study was conducted in the tertiary care hospital i.e. Department of Obstetrics and Gynecology Khyber Teaching Hospital Peshawar. A hundred patients with non-traumatic post-partum hemorrhage were enrolled from January 2021 to 31st July 2022. After the failure of medical therapy, Foleys catheter was placed in the intrauterine cavity for twenty-four hours to achieve uterine tamponade to stop bleeding in patients with postpartum hemorrhage. All the variables including vital signs and the amount of blood collected in the bag attached to the Foley’s catheter were noted and entered into a proforma. The main outcome measures were success rate in controlling hemorrhage, the time required to stop bleeding, and subsequent morbidity and technical difficulties. The average time taken to control bleeding was four minutes. Data were analyzed by SPSS 23.
Results: The age of the patients ranged from 20-36 yearshile gestational age and parity were noted to be 37-39 weeks and 1-6 respectively. Foleys catheter for uterine tamponade was found successful in 98% of our patients who had uterine atony. Bleeding was stopped in 98 patients with this procedure. The Foleys catheter used was of 16 Fr size which is commonly available in our labor room setup. The total amount of fluid filled in the Foleys catheter was 240ml. The mean amount of time for which the catheter was in situ was 12.5 hours. Three patients had infective morbidity.
Conclusion: The use of Foley’s catheter for uterine tamponade in the management of postpartum hemorrhage is a highly successful procedure.
Key Words: Postpartum hemorrhage. Foleys catheter, uterine balloon tamponade.
THE DIAGNOSIS OF TUBERCULOUS MENINGITIS BY DETECTION OF MYCOBACTERIUM TUBERCULOSIS DNA IN CEREBROSPINAL FLUID USING PCR TECHNIQUE
Authors: Nizzam Uddin  , Abbas Ghulam , Zar Adnan , Nabi Asif
Published: July 2023

Objective: To determine the frequency of positive mycobacterial PCR technique in cerebrospinal fluid (CSF) in patients with suspected tuberculous meningitis.
Materials and methods: A cross-sectional study was conducted in the Department of Medicine Khyber Teaching Peshawar KPK from June 2020 to June 2021 over patients above the age of 15 years having clinical suspicion of tuberculous meningitis with cerebrospinal fluid showing raised protein, increased lymphocytes, and low CSF sugar levels. After performing a lumbar puncture 2.5 ccs of CSF was collected in a special bottle and sent to the laboratory for detection of Mycobacterial Tuberculosis (MTB) DNA. Data were analyzed by SPSS version 26. Results were displayed in tables and graphs.
Results: Out of the total 100 patients, 49 (49%) were male and 51 (51%) were female. The mean age of the patients was 47.16±16.5 years (16- 82 years). The mean CSF cell count was 626/ cm3, the CSF protein level was 188.5±87 gram/dl and the mean CSF glucose level was 46±10 mg/dl ranging from 30 to 66 mg/dl. Mycobacterial PCR was positive for mycobacterium DNA in 70% of patients and negative in 30% of patients. MTB PCR in cerebrospinal fluid showed a strong correlation with CSF protein levels (p-value <0.000)
Conclusion: Due to the high prevalence of positive PCR for the detection of MTB, every patient with a lymphocytic predominant picture of CSF examination and high protein should undergo MTB PCR testing for Mycobacterium tuberculosis.
KEYWORDS
Mycobacterium tuberculosis, meningitis, polymerase chain reaction, cerebrospinal fluid
A STUDY OF AUTHORITARIAN PARENTING STYLE AND AGGRESSION AMONG ADOLESCENTS
Authors: ARZEEN SAIMA , ARZEEN NAEEMA , Shah Syed mubashar
Published: July 2023

Objective: To examine   the link of authoritarian parenting style and aggression among adolescents.

Material and Methods: Data was collected from institutes (high school and intermediate colleges) located in Peshawar, Islamabad, and Rawalpindi. For the study, Parenting Authority Questionnaire (PAQ) and Buss and Perry Aggression Questionnaire (BPAQ) were used.  For current study the sample (N=200) of boys (n=98) and girls (n=102).

Results: The study findings indicated that both variables (authoritarian parenting style and aggression) significantly correlated in desirable direction (r =.23**). However, results showed the non-significant gender differences on both variables of the study.

Conclusion: Findings highlighted that dominating, harsh and controlling parenting style (authoritarian) stimulated aggressive acts or behavior in youth which promoted more extreme cases in Pakistani society.
FREQUENCY OF THE AGENESIS OF PALMARIS LONGUS AND FLEXOR DIGITORUM SUPERFICIALIS TENDONS AMONG INDIVIDUALS
Authors: Rafique Nazish , Rafique Anum , Bilal Hafsa Bint , Nawaz Izzah , Ali Mohabbat
Published: July 2023

Objective: To find out the frequency of hereditary absence of palmaris longus and flexor digitorum superficialis tendons among individuals visiting physiotherapy clinics of 2 hospitals in Pakistan.
Methods: This cross-sectional study was conducted in Government hospitals in twin cities (Islamabad and Rawalpindi), Pakistan from September 2018 to March 2019. For examination, a standardized clinical Schaeffer's test and three additional tests were used for the assessment of palmaris longus (PL), and a standardized simple, and the modified test was used for flexor digitorum superficialis (FDS). Data were analyzed by using SPSS 23.
Results: Out of 619 individuals, 51.7% were men and 48.3% women were examined. The mean age of males was 33.4 years ± 14.5 and of females 35.9 years ± 13.4. Palmaris longus muscle was absent in 49.3% of participants with bilateral absence being more common. Unilateral absence of the PL muscle was found to be more in the left hand. Its absence in the left hand was found more common in females than in males (11.7% females, 9.1% males). This research showed agenesis of PL is gender dependent. (p< 0.05), and no association was found among the standard FDS and PL tendon test, that is r (617) =0.046, p= 0.249.
Conclusion(s): The absence of palmaris longus muscle is more frequently found in women and in the left hand. Agenesis of FDS is rare in individuals and has no association with agenesis of palmaris longus.
Keywords: Association, agenesis, humans, muscle, population.
Principles and methods of a historical town study, preservation and developing in the context of cultural landscape approach
Authors: Vedenin Yu. A.
Published: July 2023

Application of cultural and landscape approach ensures better opportunities for explorers and designers to control the development of historic towns and the formation on their territories of sustainable system for protection of cultural and natural heritage. The following principles form the basic notion of historical and cultural town landscape: the townscape is functionally set up in the process of interaction between men and nature; there is a close interrelation between material and non-material components of the townscape; the important role of the spatial and visual relations in the townscape and its position in the historical and cyclic time should be taken into consideration. The concept of the historic town in the context of the cultural and landscape approach requires consideration of such characteristics as authenticity, integrity, historical representativeness and actuality. The necessity of the formation of cultural and landscape essential frame and its significant role in the preservation of historic town as a holistic and diversified cultural townscape.
Late bronze age standart at Shirakavan
Authors: Piliposyan A. S.
Published: July 2023

In 1978, near the village of Shirakavan, Shirak region of the Republic of Armenia, among the burial complexes of the Late Bronze and Iron Age, was opened and examined burial No. 17. According to the specialists, it was oriented from north to south, had a ground chamber 1.70 x 0.80 x 1.20 m, and equipped with two floor slabs. In the cell, the skeleton lay on its right side in a bent position, with its head to the north. Near his right hand was a massive bronze standard, and in the left - a bronze bowl. In the southeastern corner of the chamber, was discovered a bronze cauldron, containing the bones of cattle and a black-polished vessel.

 The parallels of the artifacts discovered during excavations (especially bronze finds) at one time allowed specialists to date the complex to the 14th-12th centuries BC. Numerous new finds from closed burial complexes of that period make it possible to revise the dating of burial No. 17 from Shirakavan, and to attribute it to the 15th-14th centuries BC. Among the materials from the burial, a bronze standard with a sculptural compositional group stands out. It has an anchor-shaped base, on both sides of which one volumetric figurine of a bird is fixed. In the center of the base, is vertically attached a square massive handle. The latter, upward, turns into twobranched protrusions, on each of which are attached figurines of a man (mythical hero-hunter) and a lion. The total height of the standard is 24 cm. A detailed study of the composition of the bronze standard from Shirakavan necropolis (burial No. 17) allows us to assert that he presents a mature armed man (hero - hunter) and a tamed lion standing on a two-branched pedestal.
Ceremonies and rituals, associated with the cult of water (on the example of ancient and medieval Tajikistan)
Authors: Mukimov R. S. , Mamadzhanova S. M.
Published: July 2023

The article provides information about the ceremonies and rituals associated with the cult of water, preserved until recently in Khujand. The special attitude of our region residents to water originated due to natural and climatic conditions, the nature of people 's work activities. The cult of water, the veneration of water came to us since time immemorial, the times of the sacred "Avesta", in the form of numerous "holy waters" found everywhere throughout Central Asia. Many Tajik rituals and beliefs were associated with the cult of water, the same with the residents of Khujand.
Cultural heritage as a driver of a small historical town development (on the example of Sarlat-la-Canéda, southwestern France)
Authors: Maksakovskiy N. V. , Maksakovskaya N. S.
Published: July 2023

The article attempts a comprehensive geographical analysis of the development of tourism in Sarlat-la-Canéda, a small historical city located in southwestern France (a promising UNESCO World Heritage Site). With a population of 10 thousand people, it annually receives over 2 million tourists. The geographical location of the site and its transport accessibility were described, the main advantages of the city itself and its environs were briefly described, and the system of internal tourist arrangement was studied. It was concluded, that the tourist flow to Sarla la Caneda is formed not only due to cultural heritage objects (cultural tourism itself), it increases significantly due to the attraction of tourists to local fairs, festivals, etc. (event tourism) and thanks to local specialties (gastronomic and wine tourism), as well as taking into account the recreational potential of nearby settlements, with native and cultural landscapes.
Estates of the Moscow region: conservation and actualization practice
Authors: Shovskaya V. О.
Published: July 2023

The article discusses the main trends in the practice of preserving and adapting the estate heritage of the Moscow region. Some problems of private investment in cultural heritage are discussed. The author gives examples of modern successful projects for the actualization of estate complexes and the importance of participation of some public organizations and private initiatives in the preservation of estates. Virtual reconstruction of cultural heritage objects can be considered today as a modern form of actualization, especially in the case of partly or completely destroyed monuments.
Cultural heritage in educational programs of the department of museology of the Russian state humanitarian university: theory, practice, prospects
Authors: Stefko M. S.
Published: July 2023

The article discusses the main stages and content of educational programs of the Department of Museology of the RSUH. The combination of theoretical, historical and practical components is the basis for training future specialists in the field of studying and preserving of cultural heritage. This approach goes back to the classical training programs for museum specialists, but also allows us to consider current problems at the level of modern scientific knowledge and practices.
Cultural Heritage: Actual Problems of Research and Preservation
Authors: Polyakova M. A.
Published: July 2023

"Cultural heritage" as a key category of the field of heritage preservation is widely considered in the article. The important methodological significance of this concept is emphasized. The problem of studying and preserving intangible monuments is highlighted, as well as the Russian experience is analyzed. The role of the territorial method in the study and preservation of cultural heritage, which is in demand in foreign and Russian practice, is discussed. Particular attention is paid to the problem of authenticity in the restoration and reconstruction of cultural heritage sites, which is currently relevant and controversial in the theory and practice of heritage preservation.
The embodied cultural landscape phenomenon in the construction of regional identity (on the example of the Staritsky vernacular district)
Authors: Voronova S. A.
Published: July 2023

The Tver Region is a fractional polycentric space, saturated with historical and historical-geographical meanings, primarily as a set of many local identities rooted deep in history. The polycentric structure of the Tver region, the weakness of the administrative center are the reasons for the special processes of spatial self-organization of society - the formation of vernacular areas that exist as part of folk culture. As a vernacular area, the Upper Volga region is distinguished by a number of researchers. The Staritsky Upper Volga region, whose history has been developing for ten centuries, is a unique historical, cultural, architectural and natural complex. The Staritsky district, where the necessary historical prerequisites for the manifestation of the local level of territorial self-consciousness have developed, falls into the zone of influence of the Moscow agglomeration, since it is close to Moscow from the point of view of transport and geography. The more serious becomes the need to include the Staritsky Region in the zone of Tver influence through a consolidating strategy for the formation of an integral Tver identity. The interests of stabilizing the Tver regional identity, in this case, turned out to be above historical authenticity and embodied the cultural landscape of the field of the Battle of Bortenev in the territory of the Staritsky Region, relying on intangible cultural heritage, and not yet confirming its authenticity archaeologically. A distinctive military-historical landscape with information signs and objects of material culture has emerged, contributing to the consolidation and formation of the Tver regional identity around the image of Mikhail Tversky and the Battle of Bortenevo.
Problems and opportunities for preserving cultural heritage sites: from the practice of the Feodorovsky Convent of the Pereslavl diocese
Authors: Yamoldinova (Noviciate Natalia ) N.
Published: July 2023

The article is devoted to the problems of preserving the architectural ensembles of monasteries, which are objects of cultural heritage, when using them by conventual communities. The material of the article provides a comparative overview of the historical and modern practice of preserving and developing the Feodorovsky Convent's architectural ensemble, identifies main problems and conflicts, that arise at the intersection of state regulations for the preservation of cultural heritage sites and economic realities in which the monastery is forced to operate as a user. Based on the experience of the Feodorovsky Convent, an overview of series of practical solutions is proposed to help improve the efficiency of interaction between the state, society and the user in order to preserve cultural heritage sites.
Creation of the St. Luka's museum in Pereslavl-Zalesskiy as a factor in the development of the cultural heritage of the city and the introduction of education programs for young people
Authors: Kalikinskaya E. I.
Published: July 2023

The St. Luke's Center of the Theodorovsky Monastery of Pereslavl, organized on the basis of the former Pereslavl Zemsky Hospital, becomes the focus of the social, social and cultural life of the city. It is planned to develop it in several different directions.

The versatility of the personality of St. Luke Voino-Yasenetsky opens up many opportunities to create a center of attraction for the interests of the youth audience in the city and beyond its chapels. The main mission of the Center is to continue the good deeds that St. Luke did during his earthly life: medical care and care for the disadvantaged, raising children in Orthodoxy and service to the Fatherland, preaching Christ and pastoral care of spiritual children. In 2021, a traveling exhibition dedicated to the biography of the great saint and scientist was organized within the framework of the Mission-Doctor project and a tour of the play "The Victories of St. Luke", in which disabled children and members of their families participated.
Ulus Juchi Tatars in light of historical sources
Authors: Fakhrutdinov B. R.
Published: July 2023

The relevance of this article is due to the fact that the principles of intercultural and interethnic interaction are increasingly being approved, the need for a scientific understanding of the issues of ethnogenesis and ethnic history of the peoples of Russia, including the Tatar people, is being updated. In this regard, the analysis of the rich experience of a comprehensive study on the ethnic history of the Tatar people becomes important. The problem of ethnogenesis of the Tatars is devoted to a whole layer of scientific and popular science literature, primarily  in  domestic  historical  literature.  Historians,  linguists,  ethnologists,  archaeologists have carried out a tremendous research work, that reflects wide palette of views on the ethnic history of the Tatar people. This article is devoted to the study of the ethnonym "Tatars" in historical literature in the light of the analysis of historical sources. Various hypotheses of the origin of  the ethnonym "Tatars"  are given. The article analyzes  medieval sources (Orkhon-Yenisei runik, Chinese sources, Arab-Persian historical literature, notes of Western European travelers, Russian annals) on the problem of the origin of the ethnonym "Tatars", the place and role of Tatars in the ethnopolitical history of Ulus Juchi.
Training in the field of cultural heritage and tourism in the Republic of Tatarstan
Authors: Valeev R. M. , Valeeva-Khakimova R. R.
Published: July 2023

This article deals with the experience of the Institute of International Relations of KFU in training personnel in the field of cultural heritage and tourism, examines main features of curricula,  its  scientific  and  applied  components,  innovation  in  the  educational  process  and  its uniqueness. It analyzes the current key areas with high demand for graduates of these specialties and its reasons, as well as the main spheres and organizations of employment of alumni.
Cultural and geographical approach to study literary journeys
Authors: Vedenin Yu. A.
Published: July 2023

This article regards a literary journey as a representation of the diversity of the world, perceived by a person in the process of his physical or virtual movement in geographical space, conveyed in literary form. One of the most important grounds for the typology of literary journeys is the idea of  relationship between real and fictional subjects and objects included by the writer in his narrative. According to the relationship between reality and fiction, literary journey is divided into four main types: real travel in the real world; composed (invented) journey in the real world; a fictional (invented) journey in a quasi-real world;  a fictionalized journey through a fantasy world. Literary journeys differ in their volume, nature and variety of information contained in them - from travel diaries, which indicate the time and place of stay on the route, the nature of the activity is fixed, a brief description of natural and cultural landscapes, cities and villages is given to literary works, which present author's interpretation of information about real and fictional objects, events, characters that the author or his characters have to deal with during the journey. Among the most important characteristics that can be taken into account when developing a typology of literary travels, a special place is occupied by temporal parameters: the duration of travel, its position in historical time and its relationship with time cycles – natural and social. Literary journeys cover a wide variety of spaces – from outer space to small local territories, which, it would seem, cannot be correlated with our idea of travel. Literary travels can become the basis for identifying new cultural heritage sites. All of these concepts can be used when considering literary travels. In fact, each literary journey is characterized by a certain route, uses various types of roads, paths, other territories and water areas that provide the possibility of movement, and becomes one of the components of the historical path.
Historical city in the cultural landscape of the future in mid-19th century domestic concepts
Authors: Ivanova I. G.
Published: July 2023

The article examines the concepts of the historical city in the aspect of their relationship  with  the  hypothetical  future  cultural  landscape  in  the  works of N.V. Gogol, V.F. Odoevsky, V.G. Belinsky, A.S. Khomyakov, V.A. Sollogub, N.I. Nadezhdin, M.S. Volkov, etc. The author considers the period of 1830-50 in Russia as the time of the emergence of new ideas about the historical phenomenon of the city and methods of its study and tries to trace the evolution of ideas about the nature of the relationship between the historical city and the new architectural environment in this period: from the declaration of the free use of architectural forms of the past, regardless of geographical and historical context, to attempts of a dialogue based on the appeal to the national and regional heritage of the past and awareness of the importance of the historical city as a unique and irreplaceable type of cultural heritage, inextricably linked with the cultural and natural landscape.
History of scientific study of the Shah Fazil architectural complex
Authors: Tiyan J. , Imankulov Dz. Dz.
Published: July 2023

The article for the first time analyzes stages of study the Shah Fazil architectural complex, from the first references by medieval authors to the beginning of the 21st century. A complex history of the emergence of the complex and connection with historical and cultural processes in Kyrgyzstan and Central Asia as a whole is traced.