bluuebunny/crossref_metadata_2025 huggingface dataset:
Post covid lung fibrosis (PCLF) or post covid lung sequelae (PCLS) in treated case of severe COVID-19 Pneumonia case in Intensive care unit with ventilatory support and home oxygen therapy for twelve weeks
Authors: SHITAL PATIL  , NEEL TANDEL  , OMPRAKASH BHANGDIA
Published: March 2023

Lung fibrosis is final radiological outcome of COVID-19 pneumonia documented in proportionately majority of cases. Post COVID lung fibrosis is considered as worrisome radiological complication observed during early phase of pandemic. Time trends of final radiological outcome has evolved over months with or without treatment with antifibrotics and steroids. Importantly, Post covid lung fibrosis resolved more than fifty percent cases in six months and nearly in all cases after one year. In this case report we have documented PCLF in 32-year male hospitalized for severe COVID-19 illness with acute hypoxic respiratory failure secondary to ARDS (acute respiratory distress syndrome). He required high flow nasal canula oxygen supplementation with noninvasive ventilatory support for three weeks. He responded to medical treatment such as injection remdesivir, methylprednisolone and low molecular weight heparin injection. He was discharged to home with advice for home oxygen therapy and medicines such as steroids and antifibrotics Nintedanib. He required oxygen for twelve weeks. His chest imaging done at one year shown residual post covid sequel without any cardiopulmonary and exercise performance impact.
Clinical Evaluation of Eugenia Jambolana Hypoglycemic Effects in Patients Diagnosed with Type II Non-Insulin Independent Diabetes
Authors: Ahmed Zuhaib , Ansari Mashkoor Ahmed , Ali Iqra , Soomro Fiza , Kumar Gunesh , Joher Imran
Published: March 2023

Background: Type 2 diabetes mellitus is a progressive hyperglycemic ailment in which blood glucose level increases than the normal values. Eugenia jambolana has anti-hyperglycemic properties. Objective: The study aimed to evaluate the hypoglycemic effects of Eugenia jambolana in patients, suffering from type II diabetes. Study design: A control-experimental study was performed at the Department of Pharmacology, Liaquat University of Medical and Health Sciences Jamshoro for the duration of six months from February 2022 to July 2022. Material and Methods: Patients with type 2 diabetes mellitus, having fasting glucose level greater than 140mg/dl and patients having uncontrolled diabetes, despite being on the anti-diabetic drugs, were included in the study as study subjects. The control group was comprised of individuals with blood glucose levels in normal ranges and had no previous family history of diabetes mellitus. The extracts of Eungenia jambolana were administered to the study subjects as per the approved plan and after which the blood glucose levels were determined. Results: Blood glucose levels were reduced in the group of patients, who were not on any antidiabetic medication. Urinary glucose levels were also investigated and glycosuria was found to be reduced. Reduction in blood glucose was also observed in the group, which was on oral hypoglycemics and the glucose levels were dramatically reduced with high dose. Conclusion: The extract of Eungenia jambolana exhibited lowering of blood glucose levels in diabetes patients and treated diabetes mellitus. It may be used alone or in combination with other hypoglycemic drugs for the effective blood glucose reduction and treatment of the disease. Keywords: Eungenia jambolana, type 2 Diabetes Mellitus.
Efficacy of Sertraline with Aripiprazole versus Paroxetine with Aripiprazole in Patient with Major Depressive Disorder
Authors: Memon Adeel , Memon Muhammad Raza , Shaikh Ghulam Shabir , Ahmed Zuhaib , Meghwar Daim , Mahmood Fareea
Published: March 2023

Background: Major Depressive Disorder (MDD) is the most severe form of depression and can be extremely debilitating for those afflicted. Treatment for MDD typically involves the use of antidepressant medications such as selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs). However, many patients do not respond adequately to these medications, leading to the use of adjunctive treatments, such as atypical antipsychotics. The combination of SSRIs and atypical antipsychotics has been found to be more effective than monotherapy with either medication alone. Aims: The Aim of this study is to compare the efficacy of two different combinations of antidepressants and atypical antipsychotics in the treatment of MDD: sertraline with aripiprazole, and paroxetine with aripiprazole. Study design and setting: Open-label trail. This study was conducted at Sir Cowasjee Jahangir Institute of Psychiatry & Behavioral Sciences, Hyderabad, Pakistan from October 2021 to October 2022. Materials and Methods: In this research trial, a total of 48 patients were randomized to receive either sertraline (100 mg/day) plus aripiprazole (5 mg/day) or paroxetine (20 mg/day) plus aripiprazole (5 mg/day) for a period of 6 weeks. The outcome measure was assessed by the change in Hamilton Depression Rating Scale (HDRS) score from baseline to 6 weeks. Data was analyzed statistically using SPSS version 26. Results: The overall mean age of patients with MDD was 36.52 ± 9.9 years; 56% female and 46% male were reported with MDD. There was a significant reduction in HDRS scores among both groups of drugs; however, no difference was found in terms of efficacy between the two groups. Conclusion: The combination therapy of aripiprazole augmentation, with the addition of either sertraline or paroxetine, was equally effective in patients with Major Depressive Disorder. Keywords: Major depressive disorder, MDD, Sertraline, Paroxetine, Aripiprazole, Augmentation therapy.
Frequency of Hyponatremia in Patients with Chronic Kidney Disease in a Tertiary Care Hospital
Authors: Anjum Amin , Afzal Muhammad , Khan Rashid Mahmood , Maqsood Atif , Aslam Faizan , . Nida
Published: March 2023

Objectives: To assess the frequency of hyponatremia in patients with chronic kidney disease. Materials and Methods: The design of this study was cross sectional study design. This study was conducted in the Department of Nephrology, in a DHQ Hospital Faisalabad. Totally 179 patients who were suffering from chronic kidney disease were enrolled. A 3ml blood samples were taken from each patient and sent for the measurement of electrolytes to the hospital laboratory. A unique number will be given to each sample. All the demographic details and study results were recorded on a predesigned data collection proforma. Results: Out of total 179 patients, 105 were male and 74 were female with mean age of 40.91±12.13 years. The most common age group was 20-35 years in which 76 (42.5%), followed by 36-50 years in which 52 (29.0%) and 51 (28.5%) patients were in the age group of < 60 years. 41.9%) patients have hyponatremia while 104 (58.1%) patients do not have hyponatremia. Frequency distribution of different variables in patients with respect to Hyponatremia was done ad it was noted that P-value was not significant. Practical Implication: In human Hyponatremia develops as a result of the kidney’s inability to emit extra water, particularly in chronic kidney disease (CKD). In CKD the human kidney fails to regulate water homeostasis. The main aim of this study was to determine the frequency of hyponatremia in CKD patients. Conclusion: It is concluded that in most of the CKD patients, hyponatremia was developed. And also, hyponatremia is age dependent so in elder patients the hyponatremia prone to develop. Keywords: Hyponatremia, Chronic Kidney Disease, Frequency, Laboratory, Variables, Symptom.
Frequency of Anemia and Iron Deficiency Anemia in Patients with Helicobacter Pylori Infection: A Cross-Sectional Study
Authors: Nohario Sultan Ahmed , Siyal Bakhat Ali , Memon Muhammad Ali , Nohri Abdul Razzaque , . Sajan , Shahid Qurrat Ul Ain
Published: March 2023

Objective: To determine the frequency of anemia and iron deficiency anemia in patients with Helicobacter pylori infection. Study design: Cross-sectional study Place and Duration: Department of Medicine, Liaquat University Hospital, Hyderabad from May to November 2019 Methodology: We included a total of 140 patients with anemia, either inpatients or outpatients at Liaquat University Hospital in Hyderabad's department of medicine. We acquired demographic information, such as name, gender, and age. The study involved everyone who meets the inclusion requirement. Anemia's brief history, its duration, the colour of the stools (melena black faeces), and the ferritin level were all noted. The cubital vein of either upper arm was used to collect 10 ml of blood, which was then sent to the lab for analysis of anaemia, ID, and H. Pylori detection. A multiparameter cell counter Sysmex k 1000 hematology analyzer was used to determine the amounts of haemoglobin (Hb) and hematocrit (Hct) in the CBC (Tao electronics, Japan). Serum iron levels were evaluated using a Hitachi 917 biochemistry automated analyzer, and ferritin concentrations were determined using a Cobas e411 hormones auto-analyzer from Roche Diagnostics GmbH in Mannheim, Germany (Roche Diagnostics GmbH, Mannheim, Germany). The researcher himself entered all the data on a proforma that had been previously created. Results: Patients' average ages ranged from 40.44± 14.268 years, and their haemoglobin levels were 8.77 ± 3.14. Patients' serum ferritin levels were 10.5 ±63.21 and their BMI was 24.5 ±3.21 respectively. Of the H. pylori patients, there were 70 (50%) anaemic patients and 70 (50%) with normal Hb levels. In this study, 102 individuals (72.9%) had normal serum profiles while 38 patients (27.1%) had iron deficiency anemia. Conclusion: According to our research, treating H. pylori infection may help IDA patients who are infected with the parasite especially those who have moderate to severe anaemia. Individuals with H. pylori infection had a significant prevalence of anaemia and IDA, and both conditions were linked to patients' ages and several behavioural traits Keywords: H. pylori infection, anemia, iron deficiency anemia
Frequency of New Onset Diabetes Mellitus in Patients with Live Related Renal Transplant
Authors: Chandio Rameez , Jamro Raza Muhammad , Shoaib Muhammad , Iqbal Sajid , Rehman Ijaz Ur
Published: March 2023

Background: Kidney transplant is only the cure of end stage renal diseases. It is because it provides the maximum replacement of renal functions. New onset diabetes after transplantation is one of the serious and chronic problem of renal transplant. NODAT is reported to occur in 4%-25% of renal transplant recipients. New onset diabetes may be identified after the renal transplant at any time. Objective: The study aimed to determine the frequency of new onset of diabetes mellitus in the patients with live related renal transplant. Study design: It is a retrospective study conducted in the department of nephrology and transplantation, Pir Abdul Qadir Shah Jeelani Institute of Medical Sciences, Gambat for the duration of six months from July 2022 to December 2022. Material and Methods: There were 50 patients in PTDM group and 70 were in the non PTDM group. The anthropometric and clinical characteristics were recorded. The SPSS software was used for the analysis. The Patients were divided into two groups according to the diagnosis. Results: The average age of patients in PTDM group is 43.2 years whereas in non-PTDM group the average age is 45 years. Statistical analysis revealed that results are statistically significant with 95% CI. Most of the cases appeared during 2 weeks of transplant however, 14 patients also reported about diabetes after 2 months of transplant. Conclusion: Common metabolic disease PTDM is usually diagnosed during first 6 weeks of renal transplantation. Old age, family history of diabetes, the presence of IGF during first week of transplantation are some of the risk factors that lead to PTDM prevalence. The PTDM was observed in the 40% patients in our study. Keywords: renal functions and post-transplant diabetes mellitus.
Functional Outcome of Distal Third Tibia Fractures Treated with Minimally Invasive Plate Osteosynthesis
Authors: Nadeem Kashmir Muhammad , Ashraf Raja Adnan , Shehryar Zia Muhammad , Khan Asif
Published: March 2023

Background: As the highest number of complications are associated with the distal tibia fracture it is one of the most challenging condition to treat. Minimally invasive plate osteosynthesis techniques are more feasible. As the disappointing results were obtained from the traditional techniques therefore this method was gradually evolved. Study design: It is a prospective study conducted in Pakistan Railway General Hospital, Rawalpindi for the duration of one year from January 2022 to December 2022. Material and Methods: The study comprised of 49 patients who fulfilled the inclusion criteria. Among 49 patients there were 23 males and 26 female patients. The patients that were not fulfilling the inclusion criteria were excluded from the study. Results: 40% of the patients had problem in the right leg and 60% had it in their left side. There were 24 patients that reported about fibula plating the remaining 52% had no fibula plating experienced. The mean time of surgery was 7 days ranging from 3 to 8 days. Based on the classification of fracture, 72% patients were included in the 43A category and 43B included 28% patients. Conclusion: For distal tibia fractures, minimally invasive plate osteosynthesis has better radiological and functional outcomes and is quite better than other treatment methods. The invasive method can cure these fractures with fewer complications and in a short union time. Keywords: distal tibia fractures and soft tissue.
Frequency of Ischemic Mitral Regurgitation in ST Elevation Myocardial Infarction and Its Impact on Hospital Course
Authors: Khan Nouman , Arshad Muhammad Shafique , Khan Abat , Hashmi Muhammad Omer , Rathore Taskin Ahmad Khan , Younas Nabil
Published: March 2023

Background and Aim: Ischemic mitral regurgitation (IMR) is the most prevalent complication following myocardial infarction (MI) and coronary artery disease. Acute or chronic MI can lead to IMR resulting from an abnormality in regional wall motion or dysfunction of papillary muscles in a territory with structurally normal mitral valve leaflets, coronary artery disease and chordae tendineae. The present study aimed to determine the incidence of ischemic mitral regurgitation in ST elevation myocardial infarction and its impact on hospital course. Material and Methods: This cross-sectional study was conducted on 164 myocardial infarction patients in the Department of Cardiology of Pakistan Institute Medical Sciences Hospital, Islamabad over a time period of 6 months. Institute research and ethical committee approved the study protocol. Patients with prior mitral surgery, heart failure, previous myocardial infarction, and mitral valve disorders were excluded. Demographic detail, echocardiographic parameters, and myocardial complications were recorded. Other parameters such as Killip class, in-hospital mortality, and MI territory with respect to electrocardiographic changes were recorded. Data analysis was carried out in SPSS version 26. Results: Of the total 164 MI patients, there were 114 (69.5%) male and 50 (30.5%) females. The overall mean age was 58.62±8.62 years. The incidence of IMR was 106 (64.6%), out of which the prevalence of mild, moderate, and severe MR were 86 (81.1%), 12 (11.3%), and 8 (7.6%) respectively. No significant association was found between the presence of IMR and other parameters such as diabetes, smoking, hypertension, gender, and BMI. There was a significant association between triglyceride and serum LDL-cholesterol levels with IMR presence. On comparing the IMR and no MR cases, left ventricular ejection fraction reduced but pulmonary arterial pressure increased in IMR groups. Conclusion: The present study found that the prevalence of IMR was 64.6% among MI patients and approximately half of the patients who suffer from IMR after having an AMI experience complications as a result of it. A proper treatment decision depends on assessing the severity of the MR in relation to AMI complications. Keywords: Ischemic mitral regurgitation, Myocardial infarction, ST elevation
Periodontal Treatment Needs of Smokers in Comparison to Non-Smokers: A Comparative Study
Authors: Ayub Nida , Haider Khalfan , Shakoor Asma , Amer Laiba , Aziz Salman , Yaqoob Rabeea , Butt Hira
Published: March 2023

Objective: To assess the periodontal treatment needs of smokers in comparison to non-smokers. Methodology: A Cross sectional comparative study was carried out on 100 patients, 50 smokers and 50 non-smokers, visiting Sharif Medical and Dental College, Lahore from June 2019 to July 2020. Intra-oral examination was done using the Community Periodontal Index of Treatment Needs (CPITN). Recorded data was coded, entered and analyzed using SPSS statistical Package version 23. Results: Majority of the smokers and non-smokers (100%) required oral hygiene instructions and had periodontal treatment needs (TN1). It was seen that a higher percentage of smokers (92%) required Scaling and prophylaxis and Oral hygiene instructions (TN 2) in comparison to non-smokers (36%). It was seen that 26 % smokers and none of the non-smokers required required complex treatment, scaling, prophylaxis and oral hygiene instructions (TN3). Conclusion: Majority of the smokers and non-smoke required oral hygiene instructions and had periodontal treatment needs (TN1). A higher percentage of smokers required Scaling and prophylaxis and Oral hygiene instructions (TN 2) as well as complex treatment, scaling, prophylaxis and oral hygiene instructions (TN3) in comparison to non-smokers Keywords: Periodontal treatment needs, smokers, non-smokers, Community periodontal index of treatment needs (CPITN).
In-Hospital Mortality of Patients with ST Elevation Myocardial Infarction in Diabetic Versus Non-Diabetic Patients
Authors: Khan Nouman , Arshad Muhammad Shafique , Khan Abat , Hashmi Muhammad Omer , Younas Taskin Nabil , Rathore Ahmad Khan
Published: March 2023

Background and Aim: Diabetic mellitus is an epidemic health issue causing almost twice the mortality compared to non-diabetic. Diabetes and non-diabetics with acute myocardial infarction were compared for in-hospital mortality and complications. Material and Methods: This comparative cross-sectional study was conducted on 264 successive diabetic and non-diabetic patients in the Department of Cardiology Pakistan Institute of Medical Sciences Islamabad with study duration of 6 months. All the acute myocardial infarction patients with ST-elevation were admitted and treated with thrombolytic agent such as streptokinase. Patients were categorized into two groups: 1) Diabetic patients 2). Non-diabetic patients. All the patients of either gender with age ranges from 15 years to 80 years and having chest pain for >30 minutes and <24 hours with ST-elevation were enrolled. After 60 minutes of thrombolysis, an ECG was taken to measure the baseline and the following day's ECG. SPSS version 26 was used for data analysis. Results: Out of 264 patients, there were 196 (74.2%) male and 68 (25.8%) females. Diabetic and non-diabetic group included 132 patients. Diabetic group patients had higher frequency of ST elevation in myocardial infarction than non-diabetic patients. Brady arrhythmias, post MI angina, LV failure, atrial fibrillation, and cardiogenic shock were the main complications observed in all the patients after ST Elevation MI. Diabetes patients are more likely to experience all these complications post MI angina than non-diabetics. Conclusion: The present study concluded that the prevalence of arrhythmias and left ventricular failure complications were higher in diabetic patients. Also, the mortality rate was significantly higher in diabetic patients. The non-diabetic patients had higher post MI angina than diabetic patients. It is also important to decrease the prevalence of diabetes mellitus in our population since it is a modifiable risk factor that leads to more complications following MI than non-diabetic patients. Keywords: In-hospital mortality, ST elevation, Myocardial infarction, diabetic and non-diabetic
Theoretical Calculation for Pure Epoxy and Lead by Monte Carlo
Authors: Mutlak Dhameer A. , Ruhaima Ali Abdul Kadhim , Ibrahim Israa Taha , Mohammed Ibrahim Mourad
Published: March 2023

Theoretical calculation for pure epoxy and lead by Monte Carlo code in MATLAB 14 was used in this research, Structure of these simulation can be very useful to gain a useful knowledge of different process and how these relate for each other's. The primary and the physical process which associated with gamma ray's transmission. Most interactions through matter is scattering, photoelectric effects, and pair production. Effects of a gamma ray passing and interacts with a medium are the results of multiple independent interactions. With heavier elements, a lower photovoltaic cross-section resulted in wide path length for photons. The light elements, such as epoxy, the dominant spectrum of energy transmitted for epoxy is 0.7 MeV. For epoxy, gamma rays deposited energy with the photoelectric absorption and the Compton scattering, but for driving, the dominant precipitated energies are by pair formation. The primary interactions are predominant with the epoxy medium is either by photoelectric or by Compton reaction and the probabilities interactions depending upon cross-sections. Keyword: epoxy composites, gamma irradiation, Monte Carlo
The Spanish and French Far Rights in Their Quest for a New Traditionalist Order
Authors: Cuenca Navarrete Arsenio
Published: March 2023

The French and Spanish far rights are going through a period of intense joint activity. In both countries, a renewed ideological framework is narrowing the gap between the moderate right and the extreme right, creating even more radical hybrids. Organized around diverse reactionary ideologies, mainly stemming from the European New Right school of thought and conservative Christianism, these two countries are part of a larger international coalition trying to establish a new civilizational order. These forces are targeting different social minorities, progressive movements, and, ultimately, the very principles of liberal democracy. This article provides a socio-historical analysis of the ideas that structure these radical geopolitical constructions in order to trace the continuity between the past, present, and potential future of important sectors of the far right in France, Spain, and beyond.
Nae Ionescu’s 1938 Legionary Phenomenon: A “Missing Link” between Evola and Dugin
Authors: Roberts Jason
Published: March 2023

Little has been written about the recently translated Legionary Phenomenon (Italian, 1998; English, 2022) by Romanian Legionary ideologue Nae Ionescu. Almost nothing exists in English. The present article demonstrates that the text is consciously patterned after Julius Evola’s Revolt Against the Modern World (1934) and thus constitutes an as yet unrecognized part of the corpus of fascist Integral Traditionalism. When the text was published in 1940 and republished in 1963, it was proposed as the basis for a “Legionary doctrine.” Yet its late appearance relative to important Legionary texts like Corneliu Zelea Codreanu’s Nest Leader’s Manual and For My Legionaries makes it uncertain how much influence the text might have had on the Legionary movement during the interwar period. Ultimately, the text may be most significant for its impact not on the interwar Legionary movement, but on subsequent and contemporary fascist ideologies, such as Aleksandr Dugin’s neo-Eurasianism. This article places Legionary Phenomenon in an intellectual history between Evola and Dugin, disrupting many analyses of Dugin’s neo-Eurasianism with evidence that certain ideological innovations attributed to him in fact belong to Ionescu and revealing the similarities of Dugin’s ideological output to Legionary Romanian fascism. Although these topics are not explored here, it likewise impacts the study of Ionescu’s philosophical and theological corpus, and has implications for the theory of religion of Ionescu’s student and friend, Mircea Eliade.
SEGURANÇA E INSEGURANÇA ALIMENTAR NA PANDEMIA DA COVID-19: ANÁLISE DOCUMENTAL
Authors: Ramires Danielle Verginia Lisboa , Delmonego Karine , Silva Maclovia Correa da
Published: March 2023

A situação, no Brasil e no mundo, da segurança e insegurança alimentar, aqui compreendida como uma dimensão que permite o acesso à nutrição adequada e outra que corresponde à fome, estão presentes nas discussões de políticas públicas após as guerras mundiais do século XX. Os esforços para a inserção dos países nas metas da Agenda 2030 da Organização das Nações Unidas (ONU), em especial o Objetivo número 2 – Fome zero – demandam ações de pequena e ampla escalas, desde o produtor até a chegada do alimento na mesa das pessoas. Com a Pandemia da COVID-19, a produção, consumo, circulação e distribuição de alimentos se desorganizaram. O objetivo deste texto é compreender, por meio de análise documental, qualitativa e descritiva, as dinâmicas conduzidas pelos governos e as organizações internacionais para garantir a oferta de alimentos durante o evento pandêmico. Foram selecionados dois relatórios e 39 comunicações publicadas em mídias digitais, durante o ano de 2020. Definiu-se um conjunto de três temas-foco, que conduziram a análise: relações entre a fome e a segurança alimentar e nutricional; distanciamento social; gestão socioeconômica e política. Concluiu-se que a Pandemia da COVID-19, em especial o protocolo de distanciamento social, desorganizou as rotinas familiares e comunitárias e desvelou problemas crônicos de saneamento básico, saúde pública, dentre outros. Os documentos oficiais analisados apontaram um agravamento da garantia da segurança alimentar. As desigualdades e a vulnerabilidade se acentuaram, em especial, pela falta de políticas públicas para saúde, educação e alimentação adequada.
Evaluation of desmoplasia in pancreatic and colon tumors by morphometric analysis
Authors: Coêlho Bruna Fonsêca Oliveira , Ferreira Cássia Thaís Pessoa de Albuquerque , Da Silva Filho Antônio Felix , De Lima Luiza Rayanna Amorim
Published: March 2023

Abstract: Objectives: This study aims to quantify collagen deposition in the desmoplasia of pancreatic and colonial tumors. Methods: Samples of colon and pancreas tumors were selected from the Hospital das Clínicas de Pernambuco and submitted to trichomy with Gomori's Trichrome. Photomicrographic analysis was performed using the integrated Panthera imaging analysis system L. Results: It was identified that 31 colon tumors and 22 pancreatic tumors presented desmoplasia with the visualization of fibrillar collagen distributed irregularly around the tumor. There was a statistically significant difference (p = 0.0031) between collagen fiber deposition in desmoplastic and non-desmoplastic pancreatic tumors, as well as for colonic tumors (p < 0.001). Conclusion: It was observed that more than half of the tumors analyzed presented desmoplasia with a difference of density of collagen fibrils statistically significant.
Use of shellfish as an aggregate in civil construction: experience report on the North Coast of Pernambuco
Authors: Mota João Manoel de Freitas , Fernandes Carlos Marques , Silva Ronaldo Faustino da
Published: March 2023

This research refers to the experience report that was based on a research project carried out by the EcoSoluções group of the IFPE/Campus Recife registered with the CNPq, substantiated by the scientific initiation (PIBIC) and extension (PIBEX) of the courses: technician in Buildings and sanitation ; degree in Civil Engineering. The objective of this work was “to report the experience with fishermen from the north coast of Pernambuco in the viable use of shellfish as aggregates for civil construction”. The method used was experimental and ethnographic. In addition, one can identify in this work, aspects that support the exercise concerning the law that formed Federal Institutes (Law 11.892/2008), such as: (i) promoting the production, development and transfer of social technologies, notably those aimed at the preservation of the environment; (ii) carry out applied research, stimulating the development of technical and technological solutions, extending their benefits to the community. Therefore, sustainability was verified in the use of this residue, considering: environmental contribution; social and economic.
SDG 6 and the challenges of the New Brasilian Sanitation Legal Framework for the Recife Metropolitan Region
Authors: Barbosa Fred Rodrigues , Cândido Karen Emily da Silva , Faustino Ana Mirela Cavalcanti , Lyra Marília Regina Costa Castro , Silva Ronaldo Faustino da , Mota João Manoel de Freitas
Published: March 2023

The 2030 Agenda brings with it an important proposal for tackling social inequalities, and it does so through the proposition of 17 Sustainable Development Goals (SDGs), among which SDG 6 stands out by addressing aspects of the availability and sustainable management of water and sanitation for all. In Brazil, compliance with such premises has as its structuring point the New Brasilian Sanitation Legal Framework (NBSLF – Brasilian Federal Law No. 14,026) which established the general conditions for the universalization of these services, highlighting the year 2033 as the limit for such configuration. The work presented here seeks to assess the challenges of meeting these goals for the specific case of the Metropolitan Region of Recife (RMR), based on data made available on platforms such as the National Sanitation Information System (SNIS), IBGE and even consultations with the program contracts signed between the state concessionaire and the municipalities of the RMR and based on them, the main assumptions considered here as challenges to the achievement of universalization are evaluated (governance; availability and conditions for raising the necessary resources; structuring of the sector's productive chain and impacts on the social life of the beneficiary population). The analyzes carried out point to very challenging aspects in all areas, either as a result of the contribution of a significant number of resources, or when considering the weaknesses of the production chain; but they also highlight the need to develop a broader environmental awareness on the part of the local population, in order to support the implementation of the universalization process outlined for access to basic sanitation.
A Case Study of Postural Imbalance with Lymphatic Congestion Which Responded to OMT
Authors: Lockhart Wesley C.
Published: March 2023

This case report covers a nonagenarian who was in otherwise good health before a significant ankle fracture that required surgery and a prolonged rehabilitation due to the trauma, surgery and colitis. She developed or exacerbated a postural imbalance due to deconditioning, unequal leg length due to immobilization, and shoulder pain due to the use of a walker. This case report also covers the osteopathic manipulative treatments used.
Diagnostic value of third generation anti-cyclic citrullinated peptide antibody (Anti-CCP3) assay in rheumatoid arthritis patients
Authors: Affan Nagwa , Khallaf Hamdy , Youssef Amira , Nada Doaa
Published: March 2023

Objective: To evaluate the efficacy of anti-CCP3 as a diagnostic marker in Egyptian early rheumatoid arthritis patients. Subjects and Methods: A total  of 60 rheumatoid arthritis patients and 30 aged and sex matched volunteers participated in the study. Basic demographic, functional and clinical data were collected alongside laboratory assessment of Anti-cyclic citrullinated peptide 3 (Anti-CCP3) by ELISA. Results: Anti-CCP3 level was significantly higher in RA patients compared to controls (p 0.001)  .At cut off value 20.65 (U/mL) and AUC 0.950, Anti-CCP 3 could significantly distinguish between  RA patients and controls (p 0.001) .The sensitivity and specificity were 83.33%, and 93.33% respectively. Also, Anti-CCP 3 levels significantly correlated with the number of swollen and tender joints (P 0.05), VAS (P 0.05), DAS-28 (P 0.05), m HAQ (P 0.001), bone erosions (P 0.001), and narrow joint space (P 0.001). Conclusion: Anti-CCP3 is a potent diagnostic as well as prognostic laboratory marker and its positivity resulted in more specific identification of RA patients. Moreover, anti-CCP3 is considered the most acceptable choice for diagnosing early rheumatoid arthritis especially sero-negative type, with 83.33% sensitivity and 93.33% specificity.
Epidemiology and clinical profile of scabies patients presenting to dermatology OPD, Hayat Abad medical complex, Peshawar
Authors: Naheed Naheed , Rehman Noor , Manan Abdul , Ziaullah Ziaullah , Afridi Irfan Ullah , Asghar Muhammad , Aziz Aamir
Published: March 2023

Scabies is a Contiguous skin disease characterized by generalized itching of skin. It is caused by skin infestation with Sarcoptesscabiei Vor hominis. Patients present with itching and many other cutaneous complications. Objective: - Objective of this study was to find epidemiology and clinical profile of scabies patients presenting to skin OPD, Hayat Abad Medical Complex (HMC), and Peshawar. Methods - This non-interventional, cross-sectionalStudy was carried out in Dermatology OPD of HM, Peshawar from 15 Oct 2022 to 15 January 2023.Permission was taken from Hospital Ethical Committee, HMC, Peshawar.867 patients of scabies wereenrolled. Diagnosis was done on basis of history and clinical examination. Their age, gender, economic class, personal hygiene, family history of scabies, address, area of body involvement and type of cutaneous presentation were recorded in predesigned performa. Results: - Out of 867 patients 472(54%) were males and 395 (46%) were female.Most cases were in age groups 5-19 years i.e. 338 (39%) with highest ratio of patients from poor socio-economic group 511(59%) and majority 643 (74.2%) having poor personal hygiene. Family history was positive in 737(85%) and we received maximum cases from 15 Dec - 15 January.
ҚАЗІРГІ АЙТЫСТЫҢ ТАҚЫРЫПТЫҚ-ИДЕЯЛЫҚ ЖӘНЕ ЖАНРЛЫҚ ЕРЕКШЕЛІКТЕРІ
Authors: Сейітжанов З.Н. , Мекебаева Л.A. , Нуртазина А.О.
Published: March 2023

Мақалада қазақ халқының фольклорлық мұрасының жанрларының бірі – ақындар айтысы туралы айтылады. Басты назарға тәуелсіздік алғаннан кейінгі ақындардың айтысы алынған. Мысалы, Д. Кәпұлы, А. Әлтаев, С. Құсанбаев, Қ. Мақсұтов бұрынғы айтыстармен салыстырыла зерттеледі. Ерекшеліктері, айырмашылығы мен ұқсастықтары жан-жақты талданады. Қазіргі айтыстар қоғамдық, тәуелсіздік, әлеуметтік, экономикалық, тіл, саяси, жер мәселелерінің батыл көрсетілуімен ерекшеленеді. Айтыс күні бүгін даму үстінде келе жатқан жанр. Өйткені ол көпшіліктің көз алдында өтеді. Бір адам ақын ретінде, әнші ретінде, композитр ретінде де көрінеді. Ақынның өзін-өзі ұстауын, ақындығын, мимикасын халық көріп отырады. Сондықтан көпшілік ұйып тыңдайды және нағыз шындықты айтқан ақындар көпшіліктен қолдау табады. Тіпті кейбіреулері айтысты тыңдап отырып жаттап та алуы мүмкін. Демек айтыс – халықтың руханияты ретінде даму үстіндегі жанр. Бұрынғы айтыс өнерінде ақпарат құралдарының міндетін атқарған. Қоғамдық идеологияның қалыптасуына айтарлықтай әсер еткен және қазақ халқының өмірінен, тариханан бөліп қарауға болмайды. Айтыс арқылы халықтың өткендегі тарихынан бүгінгі өмірді пайымдауға болады. Тәуелсіз кезеңдегі айтыстарда экология мәселесі, тозған жер, тартылған су, ластанған ауа тақырыптары жиі көтеріліп отырды. Дін мәселесі де көтеріліп, халықты жамандықтан сақтануға үндеген. Бұл проблема көп ақындардың айтысынан орын алған. Ақындар айтыс үстінде қандай ауыр сөздер айтса да оларға ерік берілген, кешіріммен қаралған. Сол ерекшелік бүгінгі күндері де аңғарылып отырады. Айтыс қоғамның табысын да, кемшілігін де көрсететін синкретті жанр. Демек, біздің атадан балаға мұра болыр келе жатқан өнер. Ол қазақ халқының мәдени өміріндегі мән-маңызы жоғары жанр болып есептеледі. Дәлел-дәйекпен ел намысын көтеретін өміршең жанр.
ТВОРЧЕСТВО АСЕТА НАЙМАНБАЕВА: ВОСТОЧНЫЕ ТРАДИЦИИ И БРОДЯЧИЕ СЮЖЕТЫ
Authors: Омаров Б.
Published: March 2023

В данной статье рассматриваются вопросы применения и трансформации восточных сюжетов в произведениях видного представителя казахской поэзии Асета Найманбаева. Особое внимание в исследовании уделяется всестороннему анализу трансформации известного сюжета из литературного памятника «Тотынама», созданного в Индии в средние века, в дастан «Рассказ о трёх сыновьях». Автор статьи также описывает первоначальный вариант этого сюжета и показывает, как этот сюжет менялся с течением времени.

Целью исследовании является определение древних литературных источников, послуживших основой поэтических произведений Асета, а также уделяется внимание преемственности творчества акына с литературой других народов. Произведения поэта, основанные на восточных мотивах, и древние сюжеты известных литературных памятников анализируются историко-типологическом методом в сравнении. Обращается внимание на то, как определённый сюжет преобразуется Асетом Найманбаевым и другими акынами, выявляются сходства и различия их произведений.

 В исследовании также анализируется характерные приёмы переработки акыном бродячих сюжетов. Сделан ряд выводов о мастерстве акына, осуществившего литературную обработку восточных сюжетов, адаптировавшего эти сюжеты к характеру казахского народа и создавшего в итоге новые произведения.

Результаты данного научной статьи могут быть использованы в ходе изучения и продвижения наследия Асета Найманбаева
ҚАЗАҚ ОЙШЫЛ-АҚЫНДАРЫ ШЫҒАРМАЛАРЫНДА ИМАН ШАРТТАРЫНЫҢ КӨРКЕМ БЕЙНЕЛЕНУІ (ХІХ-ХХ ғасыр басы)
Authors: Таджиев Х.Х. , Қыдыр Т.Е.
Published: March 2023

2021 жыл Түркі мемлекеттерінің өзара ынтымақтастығы мен бірлігінің жаңа сатыға көтерілген кезеңі болды. Әсіресе, Қазақстан Республикасының тұңғыш президенті, Елбасы Н.Ә.Назарбаев осы идеялардың ұйытқысы болып отыр. Түркі халықтарын жан-жақты тану жолында жүзеге асырылып отырған түрлі жобалар қатарында гуманитарлық ғылымдар саласындағы іргелі зерттеулердің мәні жоғары. Әсіресе, түркі халықтары тарихындағы ХІХ ғасыр мен ХХ ғасыр басында жазылған әдеби жәдігерлердің генезисіне терең талдау жасап, тақырыптық-идеялық ерекшелігін ашып көрсету, сондай-ақ қоғамда түркі халықтарының бірлігі жолындағы қызметін ашып қарастырудың маңызы зор. Мақалада ХІХ ғасыр мен ХХ ғасыр басында қазақ-өзбек халықтары әдебиетінде адамзатқа таухид сенімін қалыптастыруды мақсат еткен, келешек ұрпағы үшін рухани мұра қалдыруды көздеген Ыбырай, Абай, Шәкәрім, Шәді, Сидқи, Ғиёсий сынды ойшыл-ақындар шығармаларындағы иман шарттарының көркем бейнеленуі жайлы салыстырмалы талдау жүргізіледі.
АБАЙ ПОЭЗИЯСЫНДАҒЫ ӘЙЕЛДЕР БЕЙНЕСІ: АБАЙҒА ДЕЙІНГІ КӨРКЕМДІК КӨЗҚАРАСТАРҒА САЛЫСТЫРМАЛЫ ТАЛДАУ
Authors: Жұматаева A.Н.
Published: March 2023

Мақалада Абай поэзиясындағы қазақ әйелдерінің көркем бейнесі жан-жақты қарастырылады. Ақын сомдаған әйелдер бейнесінің типологиялық ерекшеліктерін айқындау мақсатында Абайға дейінгі авторлық ауыз әдебиеті өкілдері мен әнші-ақындар шығармашылығындағы әйел кейіпкерлер жайлы моральдық-психологиялық мазмұндағы өлеңдерге шолу жасалып, олардың көркемдік-эстетикалық, мазмұндық-идеялық функциялары айқындалады. Кемеңгер ақын Абайдың әйелдер бейнесін берудегі көркемдік шеберлігі Бұқар, Ақтамберді, Шәлгез, Шал ақын сынды жыраулар мен сал-серілер поэзиясының белді өкілі, Абайдың замандасы Ақан серінің әйел образын жасаудағы өзіндік ұстанымдарымен, ақындық дәстүрлерімен салыстырмалы талданады. Жалпы Абай лирикасындағы әйел бейнелерінің соншалықты күрделі, мейлінше көп қырлы екендігіне назар аударылады.

Негізінен ұлттық поэзиядағы қазақ әйелдерінің бейнесі жайындағы көркемдік көзқарастар эволюциясын саралай келе, Абайға дейінгі әдеби шығармашылық дискурста контрасты қасиеттерге ие әйелдер бейнесінің үстемдік құрғанына көз жеткіземіз. Яғни, жыраулар мен әнші-ақындар шығармаларындағы әйелдер көбінесе жақсы-жаман әйел сипатындағы бинарлық оппозиция, сондай-ақ, сыртқы тән сұлулығы тұрғысынан суреттелді. Ал Абай қаламынан туған қазақ әйелдерінің бейнесінде олардың сыртқы портреті, мінез-құлық нормалары, киім киісі мен жүріс-тұрысынан бастап, психологиялық, эмоциялық көңіл-күйі мен ішкі рухани жан дүниесіне дейінгі тұтас әлемі ашылады. Абай қазақ әйелдерінің бойындағы ақыл, талант, мінез, сыртқы сұлулық пен ішкі дүниесінің үйлесімін қатар суреттей отырып, өз өмірін жаңаша құруға ұмтылатын, ерік-жігері мықты, этикалық, эстетикалық жағынан мінсіз әйел типтерінің галереясын жасады. Осындай идеал бейнелермен қатар Абай мінез-құлқы мен іс-әрекеттері жағынан ұнамсыз әйелдердің образдарын да реалистікпен бейнеледі.

Сондай-ақ, мақалада Абай поэзиясындағы әйелдер бейнесі суреттелетін шығармалар сыртқы тән сұлулығын жырлайтын өлеңдері және олардың ішкі көңіл-күй толғаныстарын, сезім күйлерін ашып, психологиялық портретін көрсететін лирикалары мен мінез-құлық ерекшеліктерін, әдеп-ақлақтарын сипаттайтын туындылары болып шартты түрде үш топқа жіктеліп, әр тақырыптық топқа сай өлеңдер іріктелді. Сонымен қатар дәстүрлі әйел бейнесінің Абай шығармаларында ана, сүйген жар, дос, сұлу қыз, отанасы, махаббат музасы ретіндегі терең де күрделі, жұмбақ бейнеге айналу процесі нақты мәтіндер арқылы сараланды.

Мақала «Абай поэзиясындағы қазақ әйелдерінің рухани әлемі (гендерлік поэтика негізінде)» атты докторлық диссертация аясында дайындалды.
ӘБДІҒАЛИ САРИЕВ ӨЛЕҢДЕРІНІҢ ТАҚЫРЫПТЫҚ, ЖАНРЛЫҚ ЕРЕКШЕЛІКТЕРІ
Authors: Оралбек А. , Қосан С.Қ. , Рақыш Ж.С.
Published: March 2023

Ұлтымыздың ХІХ ғасырдағы әдебиетінің шынайы көрінісі, ел тәуелсіздігі жолындағы өзекті арқауы, ұлы мүддесі  патшалық Ресейдің тұсында да, Советтік саясат кезеңінде де өз деңгейінде ашылмай, айтылмай келген еді. Бірқатар ақындардың шығармашылығы кеңестік идеология тасасында өз бағасын ала алмай келді. Көркем әдебиет пен қоғамдық-әлеуметтік құбылыстардың сабақтастығы, сонымен қатар ұлттық әдебиеттің ақтаңдақ беттері тұңғыш рет ғылыми түрде негізделіп, басты сипаттары мен заңдылықтары дәйектелді. Ақындар мұрасы қайта қаралып, архивтерде шаң басып жатқан деректер назарға алынды, жаңа көзқарас тұрғысынан бағаланды.

Өткен ғасырдағы халық ақындары шығармашылығының халқымыздың рухани өмірінде алатын орны туралы айтылып та, жазылып та келді. Алайда кеңестік тәртіптің кесірінен әдебиетіміз тек біржақты көрініс алып, көбінде саяси көзқарастардың ығында кетті. Еліміздің әр түкпіріндегі кейбір халық ақындары мен олардың шығармашылығы танымал тұлғалардың тасасында қалып қойғандықтан, олар туралы іргелі зерттеулер жүргізіліп, еңбектері ғылыим айналымға түсті деп айта алмаймыз. Дәл осындай халық ақындарының бірі және бірегейі Әбдіғали Сариев.

Мақалада халық ақыны Әбдіғали Сариевтың шығармаларының тақырыбының әр алуандылығы мен жанрлық ерекшеліктері сөз болады.
DEVELOPMENT OF DIGITAL PAINTING IN KAZAKHSTAN
Authors: Kobzhanova S.Z. , Аidarova М.S.
Published: March 2023

Аbstract. The article considers the digital art of Kazakhstan as a potential heritage and a dynamically developing direction of contemporary art, as well as a basis for the popularization of ethnic symbols. The specifics of digital art are investigated, the terminological categories used to characterize it are identified, and the methods of applying this type of contemporary art are analyzed. The article defines the specific expressive means by which digital artworks are created; the novelty of visual techniques of creating works in digital format is emphasized, and attention is focused on the specifics of approaches to their analysis, which cannot rely on generally accepted aesthetic categories, having its conceptual base. The origins of the formation in the global and domestic context of this type of art are analyzed, and the main stages of development are identified. The course of development of digital fine art in the historical and scientific context is systematized, and the peculiarities of technology are revealed. The historical prerequisites for the emergence of the digital form of contemporary art in Kazakhstan are studied and the ways of its development in the years of independence are outlined. The research also includes the collection of factual material at the current stage of the state of digital art, interviewing young artists. In the course of this study, it was concluded that the digital art of Kazakhstan is now rapidly developing on a par with the whole world, this gives impetus to the opening of special educational institutions, the formation of communities, and further popularization of symbols of ethnic identity through digital painting.
Cover Art: “Dance of the Bumblebee”
Authors: Li Alexander
Published: March 2023

Bumblebees and other pollinators play a vital role in the ecosystem. This particular bumblebee was photographed flying away from a California poppy with a healthy orange pollen sac. The motion of the wings shows the flexibility of the wings and highlights the effect of the rolling camera shutter.
Household Troubles: Japanese Women’s Conceptions of Self (1603–1868)
Authors: Gibson Miya
Published: March 2023

This paper examines how Japanese women’s conceptions of self were shaped by the stem family structure during the Tokugawa period (1603–1868). Stem families, also identified by historians with the Japanese term for “house,” ie, were diverse structures of kinship and economic support. They typically—though not always—consisted of a male household head, multiple generations, and a single heir. In most cases, the stem model was cyclical, ensuring that household headship and assets would be passed down. The Tokugawa period represented a unique historical shift; whereas previously only the samurai class adhered to the ie structure, during the Tokugawa period, households of all classes generally adopted this form of family organization. The ie was important because it delineated certain roles and expectations for different status groups. For women in particular, this role was often complex, contradictory, and open-ended. Two normative characteristics of Tokugawa-era families were filial piety and collective possession. These two values particularly shaped the roles and expectations of household women. Using Noriko Sugano’s research on the Official Records of Filial Piety (1801) and Amy Stanley’s Fashioning the Family: A Temple, a Daughter and a Wardrobe (2019), this paper asserts that women were encouraged to think about their identity in terms of membership within a larger group.
Magic and Identity in Anglophone and Hispanaphone Caribbean Literature
Authors: Salgado Kayley
Published: March 2023

In the late 19th and early 20th centuries, literature in the Caribbean underwent a period of significant development. The word “Caribbean” encompasses such a vast cultural, locational, and linguistic span that it is difficult to make generalizations about trends in the literature produced during this period. As a result, the contrast between Hispanophone and Anglophone Caribbean literature has not been thoroughly investigated. In this essay, I will compare and contrast themes from “Viaje a la Semilla” by Cuban author Alejo Carpentier, “Do Angels Wear Brassieres?” by Jamaican author Olive Senior, and “Pressure Drop” by Jamaican author Oku Onuora. I will also briefly discuss works by Afro-Cuban author Nicolás Guillén and Saint Lucian Derek Walcott. Aspects of these works—such as intended audience, political and social influences, and linguistic form—are investigated. Additionally, Caribbean literature is analyzed through the lens of magical realism. The throughline of this study is whether thematically metaphysical questions of belonging which have been attributed to Caribbean literature by previous scholars are maintained in both linguistic traditions. The import of this literature to explore and maintain cultural byways in the face of a diasporic experience is emphasized.