bluuebunny/crossref_metadata_2025 huggingface dataset:
Growth Factors of Life Expectancy in Modern Russia
Authors: Kossova Т. V.
Published: October 2020

The article presents some results of the author’s research to assess the impact of several socio-economic factors on life expectancy. As determinants were considered socio-economic factors, namely welfare level, housing provision and nutrition structure, characteristics of the healthcare system, lifestyle indicators, as well as factors that affect comfort and safety of living. These factors are within the scope of several social programs currently being implemented in Russia. The study is based on 2005-2016 data of the Federal State Statistics Service, as well as on information and statistical materials related to the budgets of the regions and territorial compulsory health insurance funds. Additionally, for the analysis, the author used a fixed effects panel model separately for men and women. The article presents estimates of the elasticity of life expectancy to the change of the set of factors. The article shows, in particular, to what extent an increase in healthcare expenditures leads to an increase in life expectancy. Differences in the degree of influence on the life expectancy of an increase in total expenditures on health care and positive changes in the welfare and lifestyle of the country’s population are empirically determined. At the same time, the elasticity coefficients for all the considered factors turned out to be higher in absolute value in the model for men than in the model for women. The author states that in both models the greatest dependence relationship is observed between the life expectancy dynamics and the intensity of the change in well-being characteristics, namely the value of per capita income and the total area of living quarters per inhabitant. Hence, it is concluded that identifying the degree of sensitivity of life expectancy to changes in each of the factors considered can be a useful tool in developing state policy, taking into account regional characteristics, aimed at improving the health of the population.
Intermedialidad: interrupción creativa disidente de la sexopolítica hegemónica en las prácticas artísticas de Effy Beth y Diego Casado Rubio
Authors: Lozano Ezequiel
Published: October 2020

El artículo reflexiona sobre la presencia de las relaciones intermediales en el teatro y la performance, a partir de casos de la escena artística argentina reciente. Éstos coinciden en proponer a la intermedialidad como una interrupción creativa disidente de las políticas sexuales hegemónicas. Se trata de: dos proyectos artísticos de Effy Beth del año 2012 (Pequeña Elizabeth Mati (Little Mermaid doblado al castellano) y Effy Ofrece Sexo Oral) y de una puesta en escena del año 2017 escrita y dirigida por Diego Casado Rubio (Millones de segundos).
Indigenismo imaginario: representaciones incaicas a través de la ópera y el teatro en Argentina en los años 20
Authors: Wolkowicz Vera
Published: October 2020

A comienzos de siglo XX, el boom arqueológico en el sector andino junto con la búsqueda de símbolos que pudiesen formar la identidad de los estado-nacionales en la región, produjeron una serie de representaciones culturales sobre el pasado precolonial con especial énfasis en lo incaico. Éstas se dieron en diversos ámbitos artísticos: desde las artes visuales a las artes performáticas. Una de las compañías teatrales más reconocidas fue la Misión Peruana de Arte Incaico. El éxito de esta compañía en Argentina en 1923 produjo tanto interés que, en 1926, se representaron dos óperas –Ollantay de Constantino Gaito y Corimayo de Enrique Mario Casella–, las cuales tomaron el tema incaico como representación de lo nacional.

En el presente trabajo voy a analizar los diferentes elementos artísticos en juego en las representaciones teatrales y las óperas, como también su recepción, para mostrar cómo estos dos géneros intermediales produjeron visiones diferentes sobre el indigenismo. Mientras las obras teatrales buscaban representar con “autenticidad” el pasado incaico, la óperas de Gaito y Casella hacían uso del imaginario incaico para producir una obra que pudiese ser tanto nacional como universal.
SYSTEMATIC, BIOMORPHOLOGICAL AND ENVIRONMENTAL ANALYSIS OF WILD-GROWING PLANTS OF PEREYASLAV
Authors: Довгопола Л. І.
Published: October 2020

The peculiarity of the geographical location of the Pereyaslav Region, the existence of dense river nets (the Dnieper River, the Trubizh River, the Alta River, the Supiy River, etc.) and the diversity of landscapes led to the formation of the region rich in plant species. However, the vegetation cover of the region has been significantly transformed as a result of the construction of a hydroelectric power plant on the Dnieper River and the creation of the Kaniv Reservoir. The purpose of the article is to carry out a systematic, biomorphological and ecological analysis of the composition of wild medicinal plants of the Pereyaslav region. The research was conducted during 2018-2019 years on the territory of the Pereyaslav Region. The object of the study is the flora of wild medicinal plants of the Pereyaslav Region. The study was performed by means of the route, stationary and semi-stationary methods. During the field surveys (geobotanical descriptions) of the studied territory, the flora was described, species and families of the plants were determined, their location and ecological conditions of growth, life form, etc. were noted. As a result of the critical inventory of the species composition of the Pereyaslav flora, the systematic composition of wild herbs and medicinal plants of the region was first developed (582 species), consisting of 106 families and 360 species, among which there are vascular plants (Lycopodiophyta, Equisetophyta, Polypodiophyta) – 15 species, Pinophyta – 3 species, Magnoliophyta – 567 species. The biomorphological analysis of wild herbs and medicinal plants of the Pereyaslav Region was performed and it was established that the vast majority of species belong to hemicryptophytes (316 species). It was found that in the studied territory the diversity of wild medicinal plants is represented by trees (27 species), shrubs (28 species), subshrubs (10 species), perennial herbaceous plants (387 species), biennial plants (46 species) and annual plants (84 species). It has been established that the ecological-coenotic nature of valuable species of plants in the study consists of forest (170 species), meadow (145 species), meadow-steppe (114 species), synanthropic phytocenoses consist of 95 species and wetland ecotopes – 58 species.
EFFICIENCY OF USING GALLERIA MELLONELLA L. (LEPIDOPTERA: PYRALIDAE) FOR WASTE PROCESSING OF SYNTHETIC POLYMERS
Authors: Бачинська Я. О. , Маркіна Т. Ю. , Ликова І. О. , Харченко Л. П.
Published: October 2020

The problem of waste processing of synthetic polymers makes scientific society look for biodestructors that can digest them. Recently there have appeared some studies that claimed that caterpillars Galleria mellonella L. can influence the integrity of synthetic polymers. In terms of evolution, this species is related to beehives and can digest bee wax. The capability of this insect to digest polyethylene is still under issue. During the research, it was analyzed how the addition of polyethylene to the artificial nutrient medium affects the biological parameters of Pyralidae when cultured in the laboratory. It was shown that adding polyethylene to the standard nutrient medium in proportions of 1/4 та 1/3 does not influence the biological parameters of the species. The viability of caterpillars and chrysalides stays within the control framework. Adding polyethylene to the artificial nutrient medium in proportions of 1/2 leads to 23% lower viability during the pupa phase. The viability of chrysalides was within control framework and their individual fertility did not differ significantly. When the artificial nutrient medium contained 3/4 of polyethylene, the viability of chrysalides decreased significantly by 61%. Increasing the quantity of polyethylene in the artificial nutrient medium led to the extinguished viability which means polyethylene cannot be digested (processed). In this case, the experiment showed a delay in the development and the population reproduction was impossible. In addition to that, the individual fertility of females decreased 6 times if compared to the control group. The development phase under the conditions when the artificial nutrient medium contained ½ of polyethylene was 30 days longer than the development phase of the control group. The sex correlation in this research was 44 % of females and 56 % of males on average. As the results demonstrated the decrease of biological parameters of Galleria mellonella species when using polyethylene, we can assert that caterpillars do not digest polyethylene but in their digestive system, they have enzymes or bacteria that can influence the integrity of polyethylene.
PECULIARITIES OF SEASONAL CHANGES IN THE TAXONOMIC STRUCTURE AND NUMBER OF TURUN BEETLE (COLEOPTERA, CARABIDAE) HERPETOBIA IN URBAN CENOSES OF KHARKIV
Authors: Ніколенко Н. Ю. , Пучков О. В.
Published: October 2020

A total of 99 species from 35 genera of Carabidae have been registered in the urban cenoses of Kharkiv. The eudominants were Harpalus affinis Schrank, 1781, H. griseus Panzer, 1797, H. rufipes De Geer, 1774. The dominants included 17 species: Notiophilus biguttatus Fabricius, 1779, N. germinyi Fauvel, 1863, Сarabus nemoralis O.Müller, 1764, Broscus cephalotes Linnaeus, 1758, Asaphidion flavipes Linnaeus, 1761, Poecilus versicolor Sturm, 1824, Pterostichus melanarius Illiger, 1798, Calathus ambiguus Paykull, 1790, C. fuscipes Goeze, 1777, Amara apricaria Paykull, 1790, A. bifrons Gyllenhal, 1810, Harpalus distinguendus Duftschmid, 1812, H. modestus Dejean, 1829, H. smaragdinus Duftschmid, 1812, H. tardus Panzer, 1797, H. xanthopus winkleri Schauberger, 1923, Panagaeus bipustulatus Fabricius, 1775. Other species are registered as rare. The total number of species was higher at household plots (46) and in the city outskirts (41 species). Fewer species are registered in cities parks, the Forest Park, and the plots of the center (33–35 species). The maximum number of species (for all cenoses) is observed in May (from 45 to 56 species depending on the year). In June and the first half of July, the species diversity decreases (to 40–42), and in August, 14– 39 species were registered. In September, a total of 25–27 species were recorded, and in the first half of October only 4–14 species. The maximum dynamic density was registered at the household plots and in the city outskirts (0.13–0.73 specimen / 1 trap-day), the minimum density of carabids was observed in the Forest Park and the plantings in the center of the city (0.03–0.06 specimen / 1 trap-day). The increase in the number of carabids began from the second half of April to mid-May, with a peak at the end of the latter month or in the first decade of June. The decline of carabids population density was registered in late June – early July, mainly in the parks. In the household plots, the plots of the center and in the city outskirts, the maximal density was registered in July – August, mainly due to increased activity of species of the genus Harpalus. In September, the density of carabids decreased sharply, and from the last decade of September until the first half of October, single individuals were observed. When comparing the seasonal changes of the sex index and the dynamic density of the dominant species (for example, C. nemoralis), the maximum population density was observed 10–20 days earlier than the maximal level of sex index.
¿Una nueva protección social para un nuevo desarrollismo? Políticas sociales en la Argentina posneoliberal
Authors: Pérez Pablo Ernesto , Brown Brenda
Published: October 2020

El presente estudio busca analizar los cambios y continuidades en las políticas sociales en relación con las características que asume el modelo de desarrollo adoptado en la región (neodesarrollismo). Entendemos que la nueva modalidad de desarrollo –que recupera algunos de los preceptos del estructuralismo latinoamericano pero también incorpora pautas propias del modelo liberal prevaleciente en los noventa- posee su correlato en la transformación del modelo de protección social.Una de las hipótesis centrales de nuestra investigación es que los sistemas de protección social se encuentran fuertemente vinculados con la dinámica de acumulación de capital y el modelo de desarrollo económico implementados. En Argentina, la crisis de la Convertibilidad y su salida generaron un proceso de significativos cambios en las políticas públicas. Junto con el abandono de políticas neoliberales y la mayor intervención del estado aparecen nuevas propuestas de protección social. No obstante, mientras algunas de las políticas implementadas suponen un cambio respecto del periodo anterior, otras parecen mostrar una línea de continuidad.
El crecimiento es una vocación, una responsabilidad y un trabajo de equipo
Authors: Amigo Adriana Célide
Published: October 2020

Nota Editorial
Importancia del desarrollo de competencias para el ejercicio del profesional en ciencias económicas en un contexto VICA
Authors: Oviedo Raúl Ricardo , Gaibazzi María Florencia , Leda Ayelén Cecilia , Racca Adriana Patricia , Siegenthaler Bárbara Edith , Suñer María Natalia
Published: October 2020

Este artículo resalta la importancia del desarrollo de competencias profesionales para el desempeño en un contexto caracterizado como volátil, incierto, complejo y ambiguo (VICA). Se sintetizan los resultados de un esfuerzo de cuatro años de trabajo en equipo, analizando la problemática desde cuatro perspectivas: alumnos, docentes, graduados y empresarios. Las competencias profesionales evaluadas son ordenadas en función de la importancia promedio atribuida, para luego analizar una a una su relevancia particular.
Neurociencias: de la teoría a la práctica. Experiencia ampliada en pymes rosarinas
Authors: Albano Sergio , Oviedo Raúl Ricardo , Santero Mariel Sonia , Sassone Mirna , Martín Silvia , Russo Fabio
Published: October 2020

Se exponen los resultados obtenidos durante el cuarto año de investigación acerca de las herramientas brindadas por la Neurociencia orientadas a lograr una gestión de Capital Humano más eficiente en Pymes de Rosario y obtener así mejoras en su rendimiento en general.En el transcurso del año, se realizaron entrevistas al personal que ocupa los mandos medios y un focus group con parte del personal operativo.Los datos obtenidos en estas actividades permitieron llegar a conclusiones y diagnósticos a partir de los cuales se proponen distintas alternativas de solución a los problemas detectados, con el objetivo planteado inicialmente de lograr la motivación y potenciar el desempeño del personal en las empresas relevadas.Se siguió trabajando con un enfoque cualitativo para darle continuidad a los relevamientos de los años precedentes.
Consejo Federal de Inversiones, sus primeros años (1959-1965)
Authors: Flores Roberto Dante
Published: October 2020

Este artículo se propone comprobar si el Consejo Federal de Inversiones, un organismo interprovincial argentino, avanzó en su finalidad fundacional de lograr un desarrollo basado en la descentralización económica. Focalizado en el debate sobre la importancia de los organismos locales para el desarrollo regional, analizará los primeros planes de trabajos públicos del Consejo. Luego indicará el orden de prioridades de las tareas realizadas en cada provincia. Por último, establecerá si hubo continuidad en la ejecución de los convenios de obras públicas con gobiernos provinciales de distinto signo político al poder ejecutivo nacional.
La renovación del peronismo en Neuquén. Tensiones, conflictos y ruptura: la JDP, 1983-1989
Authors: Favaro Orietta
Published: October 2020

El objetivo del artículo es analizar la corriente interna de renovación peronista dentro del PJ en Neuquén durante la transición democrática, que provocó tensiones, conflictos y la ruptura en el entramado, con la conformación de un partido que intentó presentarse –sin éxito– como otro peronismo provincial: Justicia, Democracia y Participación (JDP,1986). La propuesta se enmarca en el contexto nacional-regional tanto político como sindical hacia los años ochenta y en el sistema político local en el que predominaba el MPN, un partido que nació como neoperonista (1963), le disputó –con éxito– al Frejuli la representación del peronismo (1973) y se convirtió en entramado provincial en los ochenta. El trabajo se realiza a partir del cruce entre la historiografía nacional-local, el diario de mayor tirada regional, revistas locales y algunos testimonios de la época.
Entre la escuela y la prensa. Primeras experiencias de organización sindical docente en Mendoza (1919)
Authors: Latorre Carabelli Matías
Published: October 2020

El siguiente trabajo propone analizar en perspectiva de género y clase, los orígenes de la Agrupación IDEA y su relación con la primera organización sindical del magisterio, Maestros Unidos, durante los meses de abril y mayo de 1919 en la provincia de Mendoza. Se analizan los objetivos fundacionales de ambas organizaciones y su ingreso en la Federación Obrera Provincial local y en la Federación Obrera Regional Argentina (IX Congreso) a nivel nacional. También se pretende dar cuenta de las transformaciones en el proceso de identificación de las maestras mujeres en conflicto, mediante un análisis cualitativo del modo en que lo femenino se hace presente discursivamente en la revista cultural-gremial IDEA, en los inicios del largo conflicto que mantuvo el magisterio mendocino con el gobierno durante 1919.
Programa para el fortalecimiento de la autoestima en jugadoras de fútbol adolescentes
Authors: Odor Hurtado Elmi José , Portugal de la Cuerda Pilar , Salado García Paula , Sanz Gómez Olga
Published: October 2020

En este trabajo fin de máster se diseña y desarrolla una propuesta de intervención a través de un programa específico llamado 4Adelante, constituido por diferentes talleres y actividades, cuyo objetivo es la mejora de los niveles de autoestima en niñas adolescentes, de 10 a 15 años, jugadoras de fútbol en medio rural (Pozoblanco, Córdoba). El trabajo de investigación se centra en la autoestima, la importancia de trabajar su potenciación y en el entorno de niñas jugadoras de fútbol, que son cuestionadas en ocasiones por la práctica de este deporte y esto hace que puedan poner en duda su continuidad en el mismo. El propósito de este proyecto es el diseño de un programa de talleres y actividades que les haga trabajar y fortalecer la autoestima en el colectivo mencionado, con el fin de equiparar sus oportunidades y que puedan sentirse empoderadas a la hora de tomar sus decisiones, tanto a nivel deportivo como a nivel personal.
Adaptive neuromodulation in the treatment of spasticity
Authors: Barassi Giovanni , Giannuzzo Giuseppe , De Santis Romano , Dragonetti Antonella
Published: October 2020

This research has the purpose to evaluate the immediate effects on spasticity of lower limbs of a single session of two different therapeutic approaches in patients affected by cerebral palsy.
A total of 30 patients, with an age between and 10-40 years old and affected by cerebral palsy associated to spastic para/tetra paresis, were recruited and equally and randomly divided into 3 groups: group A has was treated with hydrokinesitherapy (HKT). Group B was treated with adaptive electro neuromodulation (ENM). Group C underwent a sham approach respecting the operative procedure of Group B with the device not operating.
All patients were evaluated, before (T0) and after (T1) the single session of treatment, through myometric evaluation of muscular rheological parameters.
The analysis of results underlined that both HKT and ENM resulted effective in reducing muscu-lar hypertone associated to spasticity, while in Group C no significant results were detected.
We can affirm that both ENM and HKT approach can be good alternatives for the treatment of spasticity in patients affected by cerebral palsy.
Development of pasty food products based on muscle tissues of giant grenadier and horse mackerel
Authors: Ignatova T. A. , Rodina T. V. , Strokova N. G. , Semikova N. V.
Published: October 2020

Malnutrition problems are acute in all countries and are common to all socio-economic groups. Improper nutrition is the cause of cardiovascular diseases, diabetes, gout, osteoporosis, obesity and other non-infectious (nutritional) diseases. Aquatic bioresources, especially underutilized fishing objects, are sources of a number of irreplaceable nutrients, which makes them useful for creating functional and specialized foods. So stuffing on the basis of muscle tissue makrouruz and mackerel is a promising raw material for the production of pasty food products. Based on regulatory documents and methodological recommendations in the field of specialized, functional and therapeutic nutrition, a scientifically-based selection of functional food ingredients was carried out to create a pasty food product — pate. As a result of the simulation, seven formulations of pâtés were developed on the basis of the minced meat of makruirs and scad. Developed pates for a number of indicators correspond to the products recommended as therapeutic nutrition in hospitals.
Hydrology-hydrochemical researches of the Caspian Sea in July-August 2019
Authors: Torgunova N. I. , Arzhanova N. V. , Hursanov A. S. , L’vova O. A.
Published: October 2020

Comprehensive research information on hydrology-hydrochemical structure of the Middle Caspian Sea in July-August 2019 on board of R/V “Issledovatel’ Kaspiya” is presented in the article. Data on dissolved oxygen, hydrogen sulfide, basic nutrients (ammonium, nitrite and nitrate nitrogen; mineral phosphorus) and dissolved organic carbon were obtained in four quasi-latitudinal sections using the probing complex SBE19 plus Sea Bird, equipped with a series of sensors and twelve Niskin bathometers. It is shown, that the distribution patterns of determined elements and vertical structure correspond to average annual values of the summer season. Despite the sea level decline, the thickness of hydrogen sulfide layer of the Caspian Sea hasn’t decreased.
Results of oceanological monitoring in the northwestern part of the Sea of Japan 2018
Authors: Djakov B. S.
Published: October 2020

In this work, based on the data on the sea surface temperature, deep-sea oceanographic observations, we studied the thermohaline and dynamic conditions of the Southern Primorye and open waters of the northwestern part of the Sea of Japan in the spring and summer of 2018. The features of the oceanological structure were revealed, and state and water conditions were estimated. Anticyclonic eddies were observed in the open waters of the northwestern part of the Sea of Japan. In the water circulation, its main components are shown, the roles of the Primorsky and West Sakhalin currents are highlighted. The concept of the structure and nature of the Primorsky Current has been expanded. It is shown that in the vertical structure of the waters of Peter the Great Bay (April) and the western part of the Tatar Strait (June) there existed the near-bottom and subsurface cold layers. In the waters of southern Primorye in May, these layers were not observed. Based on the meridional displacement of the vortex structures and the criterion for assessing the thermal regime of the waters of the northwestern part of the Sea of Japan — the average temperature of the subsurface layer 50–200 m — it was established that in the year under study the thermal regime of the sea was classified as warm.
Política monetaria y tasas de interés: Experiencia reciente para el caso de México
Authors: Díaz de León Alejandro , Greenham Laura
Published: October 2020

El propósito de este trabajo es analizar la efectividad de la política monetaria para afectar la estructura de tasas de interés. En primer lugar, se presentan las variaciones en la estructura de tasas de interés en fechas posteriores a cambios en la postura de política monetaria durante 1998, 1999 y los primeros cuatro meses de 2000. No obstante, debido a que las tasas de interés reaccionan ante diversos factores y acontecimientos, no se puede atribuir su comportamiento exclusivamente a las decisiones de política monetaria. Por ello, es necesario descomponer el efecto de un cambio en la política monetaria en dos componentes, uno de “reacción” y otro “activo”. Es decir, se pretende analizar si después de una restricción monetaria, el aumento en las tasas de interés se debe exclusivamente al movimiento en la variable de política monetaria (política monetaria “activa”), o si su comportamiento responde a eventos previamente descontados por el mercado (política monetaria de “reacción”). Utilizando la técnica econométrica de vectores autorregresivos se presenta evidencia que sustenta el hecho de que en los últimos años, la política monetaria en México ha tenido un componente “activo”
MANAGEMENT OF AORTIC ROOT ABSCESS DUE TO VALVE ENDOCARDITIS: A FORMIDABLE SURGICAL CHALLENGE
Authors: Radhakrishnan Pradeep Kumar , Ambat Gayathri Ananyajyothi , Nazer Nihas , Nazer Y A
Published: October 2020

Aortic root abscess results when uncontrolled infective endocarditis causes aneurysm of one of the sinuses of Valsalva that is in free communication with the aortic root above the valve cusps. The risk factors for aortic root abscess in endocarditis are bicuspid aortic valve, aortic valve regurgitation, degenerative aortic stenosis and patients with multi valvular disease. In general terms, prognosis is better if surgery is undertaken early, before cardiac tissue destruction and deterioration in the overall condition of the patient increase the hazards of intervention.
PHARMACOINVASIVE VERSUS THROMBOLYSIS IN STEMI COHORT – OUTCOMES FROM A TERTIARY CARE CENTRE OF NORTH INDIA
Authors: Sharma Richa , Jain Ajeet , Singh Praveen , Shah Bhushan
Published: October 2020

STEMI is an event where transmural myocardial ischemia induces myocardial necrosis. PI strategy is a promising strategy in the management of STEMI. It is prospective registry study conducted in Cardiology Department, KGMU between January-June 2016 to know 30 day outcome of thrombolysis alone or thrombolysis followed by PCI in north India.At 30 day follow up, patients undergoing PI strategy,complained less of angina and dyspnea compared to thrombolysis arm.
APPROACH TOWARDS DEVELOPING AN ALGORITHM FOR GAP NONUNION
Authors: Maji Nirjhar
Published: October 2020

Back ground and objectives The treatment of Gap or Defect non-union presents a formidable challenge to Orthopaedic surgeons. Not only a union but also good functional outcome is the target of modern-day Orthopaedics. The objective of this study is to consider knowledge of all treatment modalities, time frame, and functional results of long bone defects and develop an algorithm. Summary The study is designed as retrospective, prospective observational study. It is conducted in tertiary care hospital (MIOT Hospitals, Chennai). Initial evaluation of all cases were done by Maurizio Catagni’s Classification. Type of surgeries, time spent in hospital, union time were calculated. Patients were followed up for a period of 1year. Patients with average defect size of 6.29cm on an average underwent 4.47 procedures and for an overall time of 17.8 weeks with around 83.80 % of individuals were able to return to their preinjury activity level. Analysis of all data was done and algorithm developed.
ASSESSMENT OF COMMISSURAL MORPHOLOGY BY 2-DIMENSIONALAND 3- DIMENSIONAL ECHOCARDIOGRAPHY TO PREDICT THE IMMEDIATE OUTCOME OF PERCUTANEOUS TRANSVENOUS MITRAL COMMISSUROTOMY IN PATIENTS WITH RHEUMATIC MITRAL STENOSIS
Authors: Kashyap Jeet Ram , Goswami Kewal Chand , Yadav Rakesh , Karthikeyan Ganesan , Parakh Neeraj , Bahl Vinay Kumar , Kashyap Rashmi , Reddy Sreenivas , Kumar Suraj , K. Raghavendra Rao
Published: October 2020

OBJECTIVE
To find various commissural morphologic predictors of immediate outcome of percutaneous transvenous mitral commissurotomy by two and three dimensional echocardiography.
METHODS
Design: Cross sectional study
Setting: Teratiry care hospital
Participants: Symptomatic patients with severe rheumatic mitral stenosis aged more than 12 years without any contraindications for the procedure.
Intervention: 2D and 3D echocardiographic evaluation of commissural morphology was done by measuring commissural thickness score, commissural fusion score, commissural calcification and intercommissural distance.
End point: Predictors of successful procedure.
RESULTS
Sixty-five patients were screened. Ten were excluded because of (commissural calcification 5, > moderate mitral regurgitation 2, thrombus in left atrium 2 and emergency procedure in a pregnant lady 1). Fifty five patients (29 (53%) men and 26 (47%) women), mean age 30.58 ± 9.27 were studied. The procedure was successful in 47 (86%) patients. The following parameters predicted the success; lower commissural fusion score by 3D echo 1.5 (0.5 – 2.0) vs. 2.0 (0.5 -2.0); p ≤ 0.002, higher intercommissural distance by 2D echo 19.0 (12.5 – 21.5) vs. 16.5 (12.0 – 18.5); p ≤ 0.009, lesser commissural thickness score 3D echo 5.0 (0.4 – 10.2) vs. 8.8 (3.9 – 10.0); p ≤ 0.028 as well as by 2D echo 5.1 (1.7 - 9.8) vs 8.5 (4.3 - 9.7); p < 0.037. Commissural thickness score by 2D echo was the best predictor of outcome (r=0.509, P<0.0001).
CONCLUSIONS
Comissural morphology is an important independent predictor of immediate outcome of percutaneous transvenous mitral commissurotomy.
EFFECT OF HOME-BASED SHOULDER EXERCISE PROGRAM ON UPPER LIMB FUNCTIONS AND QUALITY OF LIFE FOLLOWING SURGERY IN WOMEN WITH BREAST CANCER.
Authors: Thakkar Jinal D. , Dave Dhruv P.
Published: October 2020

Due to advancements in the intervention of breast cancer among women such as the combined use of surgical intervention, Many Patients consequently experience debilitating effects, especially surgical side upper limb function impairments and QOL impairments. Home based exercise program and their effectiveness in context to Indian population is still questionable. 66 patients based on inclusion and exclusion criteria were selected from the HCG Cancer Centre Science City Road, Sola, Ahmedabad. Patients were equally divided into two groups based on randomization Group A (n=33) and Group B (n=33). Patients in Group A (Experimental Group) received intervention protocol and written prescription through Printed pamphlet along with usual care. Patients in Group B (Control Group) received usual care along with physiotherapy advice. Duration of treatment was 4 weeks. Outcome Measures were Shoulder Pain and Disability Index Scale and EORTC QOL –BR23. Both the groups showed improvement in upper limb functions and quality of life (p<0.05).Between groups analysis showed that experimental group demonstrated statistically as well as clinically more significant improvement in upper limb functions and quality of life. Thus the study concluded that Home Based Exercises have a good efficacy and should be recommended during the immediate recovery period following surgery.
SURVIVALAND PROGNOSTIC FACTORS FOR GLIOBLASTOMA MULTIFORME: A RETROSPECTIVE SINGLE INSTITUTIONAL STUDY
Authors: Gill Maneet , Srivastava Chinmaya , Agarwal Sudhanshu , Gautam Lokesh
Published: October 2020

OBJECTIVE
The purpose of the present retrospective analysis was to present and discuss clinical features (Patient specific and tumour specific) and various prognostic factors that predict the survival of the patients with Glioblastoma multiforme (GBM) and to compare the results with pre-existing literature.
MATERIALS &METHODS
A single institutional data of 221 patients of GBM was reviewed from 2014 to 2018. Data regarding patients’ factor,tumour factor and survival analysis were collected and based on the above factor’s survival outcome was calculated.
RESULTS
A total of 221 patients were analysed. 197 patients underwent resection and 24 patients underwent biopsy (Open or stereotactic). Patients had a mean age of 56.5 years at the time of diagnosis. Median survival in patients < 50 years was 9.21 months and > 50 years was 4.56 months. The overall survival was 4.27% for the entire cohort at the end of two years.
CONCLUSION
In patients with GBM overall survival and prognosis remains dismal.Standard treatment includes resection followed bychemo-radiation which has improved the overall survivaloutcome. However, the prognosis continues to remains poor.
EPIDEMIOLOGICAL STUDY OF PERIORBITAL HYPERMELANOSIS
Authors: Ahuja Sonal Khade , Deshmukh Ashish , Aiholli Sanmitra , Kulkarni Omkar
Published: October 2020

Background: Periorbital hypermelanosis also called dark circles form the major percentage of dermatology consultations. Importance of these disorders is growing as they cause easy visible cosmetic disfigurement and significant psychosocial consequences.
Aims: To assess the patients of POH disorders for demographic, etiological and clinical profile.
Methods: This prospective hospital-based clinical study, conducted in a tertiary medical center over a period of two years, involved 200 patients with POH disorders, assessed using detailed history taking and clinical examination for demographic, etiological and clinical data. Data is statistically described in frequencies (number of cases) and percentages(%) .
Results: Majority of patients were in age group 18-40 years. Females dominated the study with a number of 169 (84.5%) , only 31 (15.5%) were males. Most of the patients belonged to Grade 2 (53%), grade 3 was seen in 27% patients followed by grade 1 (16.5% ) and grade 4 (3.5% ) POH. Family history was positive in 81.5% patients.
POH was observed mostly in housewives 93 (46.5%) and patients with indoor occupation 69 (34.5%) and less commonly in patients with outdoor occupation 29 (14.5%). Almost all cases of POH gave history of exacerbation following sun exposure.
Not a single patient showed hepatic, renal complaints, hypothyroidism or ecchymosis. Majority of patients (86.5%) had altered Sleeping habits. Alcohol and smoking did not have a significant co-relation with POH.
It was found that only five percent females on oral contraceptives developed POH and there was no change in Pigmentation of POH in relation to menstrual cycle in any of the females.
Limitations: The quantitative assessment of melanin by specialized instrument ( mexameter) could not be done because of lack of resources.
A COMPARATIVE EVALUATION OF SINGLE DOSE TRANSDERMAL PATCH OF DICLOFENAC VERSUS KETOPROFEN FOR POST OPERATIVE ANALGESIA IN ABDOMINAL HYSRETECTOMY.
Authors: Panchal Gaurav , Sojitra Bhavna , Shah Divyang
Published: October 2020

Introduction:
Transdermal patch is very simple and painless method for providing postoperative analgesia. The aim of the study was to compare the efficacy and safety of transdermal patch of ketoprofen in comparion to diclofenac for post operative analgesia. It is randomized observational study.
Method:
Thirty six patients of 18 to 60 years were randomly allocated to receive either ketoprofen or diclofenac transdermal patch at the end of surgery under spinal anaethesia. Stastical analyasis used, data were analysed using statistical package for social sciences version 15.0 and open EPI software version 2.3. The primary end point is VAS score and total requirement of rescue analgesic first 24 hours of surgery. The secondary end points are time to rescue analgesic and adverse effects like nausea and vomiting.
Conclusion:
Single dose transdermal patch of Ketoprofen provided better post operative analgesia as compared to diclofenac sodium patch in abdominal hysterectomy (infraumblical surgeries) and less number of patients required rescue analgesia in ketoprofen group.
COMPARATIVE EVALUATION OF RETENTION AND FRACTURE RESISTANCE OF ENDODONTICALLY TREATED TEETH REINFORCED WITH THREE DIFFERENT POSTS SYSTEMS: AN IN VITRO STUDY
Authors: Choudhary Deebah
Published: October 2020

Aim: To compare the retention and fracture resistance of three different pre-fabricated posts systems in endodontically treated anterior tooth.
Materials and Methods: Root canal treatment was performed for all the 90 samples used in the study. After the completion of obturation, post space preparation was done accompanied by post cementation. The samples were divided into three groups depending on the post cemented (Stainless Steel, Glass fiber and Ceramic post). The samples were first evaluated for retention with a help of a three-jaw chuck, which grasped the post and tried to pull it out. The force required to dislodge each post was recorded in Newtons. To evaluate the fracture resistance, the samples were subjected to compressive loads at an angle. The load required was then recorded in Newtons.
Results: The mean retention values for Stainless Steel post were significantly greater than those for Glass fiber post and Ceramic post. The mean retention values of glass-fiber post and ceramic post were not statistically different. The fracture load of the post system, it was revealed that highest mean value was seen in Stainless Steel post and was significant than ceramic post and glass-fiber post.
Conclusion: Within the limitation of this study, it can be concluded that the pre-fabricated stainless steel post exhibits a significantly higher fracture resistance and also the retention was more as compared to Glass fiber post and Ceramic post.
UTILIZAÇÃO DO MICROSCÓPIOS OPERATÓRIOS NA ENDODONTIA
Authors:   , Zabeu Lucas , Ferreira Felipe Potgornik
Published: October 2020

The operating microscope is of paramount importance for the endodontist to develop his work with a higher quality and safety to achieve the success of a treatment to be developed, being able to help him in several clinical cases that may arise during the day-to-day of care, from its magnification (providing a greater amount of details that would normally go unnoticed by the human eye) and from its coaxial lighting (capable of eliminating shadows in the region to be worked), which can be used from the moment of diagnosis until its completion and complications, such as fractures of instruments that need to be removed
Cuantificación de anticuerpos de superficie contra hepatitis B con esquema de vacunación incompleto
Authors: Linares Portillo Karina Lissett , Espinoza Andrea , Sagastume Linda , Sandoval Kevin , Espina María , Paz Sofía
Published: October 2020

La Hepatitis B constituye un problema de salud pública a nivel mundial, la principal forma de prevención es la vacunación, aunque la eficacia de la vacuna está bien establecida, produciendo tasas de inmunización del 95% o más, la persistencia de inmunidad a largo plazo y con esquemas de vacunación incompletos sigue siendo poco conocida. Esto nos indujo a analizar, la situación de inmunidad frente a la Hepatitis B, en un grupo de doctores y estudiantes de Medicina del Hospital Modular de Chiquimula con un esquema de vacunación incompleto y vacunados hace tres años o más. El tipo de estudio es descriptivo de corte transversal, realizado entre los meses de julio a septiembre de 2019, teniendo una muestra de 23 casos, los instrumentos utilizados para recolectar y registrar información son encuesta y prueba Anti-HBs. A través de este estudio se determinó que de los 23 casos incluidos en el estudio; el 91.30%( >11 UI/ML) mostraron una respuesta inmunológica efectiva contra hepatitis B, mientras que el 8.7%(<9 UI/ML) muestra lo contrario y necesitan un refuerzo de la vacuna. De los participantes con 1-2 dosis de vacuna (15 personas), 4 muestran niveles óptimos de Anticuerpos,10 personas muestran niveles adecuados, mientras que 1 persona obtuvo resultado negativo. Se determinó que 60.87% de los participantes correspondía al género femenino, de los cuales 56.52% presentan niveles de anticuerpos adecuados, y 4.35% obtuvo resultado de anticuerpos negativos (<9 UI/ML). El 39.13% correspondía al género masculino, de los cuales 34.78% presentan valores de anticuerpos adecuados, y 4.35 % presenta anticuerpos negativos.
Depresión y ansiedad en estudiantes de medicina
Authors: Ordóñez Galeano Rosa Angélica
Published: October 2020

La depresión y la ansiedad son trastornos psiquiátricos de alta prevalencia en el mundo entre el 5% y 50%. En el contexto del proceso enseñanza-aprendizaje, la salud mental puede determinar en buena medida el desempeño académico y social de los estudiantes. El objetivo es determinar la presencia de depresión y ansiedad en estudiantes de la carrera de Médico y Cirujano del Centro Universitario de Oriente. Es un estudio descriptivo transversal sobre nivel de depresión y ansiedad según Inventario de Beck, en el período de marzo-abril del año 2020. Utilizando una muestra de 359 estudiantes, recolectando la información a través de la boleta de recolección de datos autoaplicada. Se estableció predominó la ansiedad leve con un 68% (13) y la depresión leve con un 66%. (29). En los estudiantes que cursaban con depresión más ansiedad predominó la ansiedad severa con un 41% (119)  y la depresión moderada con un 57% (165), encontrándose la mayoría de los estudiantes entre los  16-20 años con un 58%. En la investigación se observó que el sexo predominante fue el femenino con 65. El 11% de los encuestados admitieron ser fumadores y el 31% refirió consumir con frecuencia bebidas alcohólicas. Evidenciando que el 58% de los estudiantes repitió al menos un grado académico.
Caracterización clínica, epidemiológica y radiológica de pacientes con fractura de extremo distal de radio
Authors: Rossal Aragón Juan Enrique
Published: October 2020

La fractura de radio es la principal de las fracturas del antebrazo en los pacientes que consultan a los servicios de emergencia principalmente por accidentes o caídas. Se tuvo como objetivo caracterizar clínica, epidemiológica y radiológicamente a los pacientes con fractura de extremo distal de radio ingresados en el servicio de traumatología del Hospital Nacional de Chiquimula siendo un estudio descriptivo retrospectivo en donde se revisaron expedientes de 246 pacientes que fueron ingresados durante el periodo de enero de 2015 a diciembre de 2019 en el servicio de traumatología del hospital Nacional de Chiquimula. Se determinó que la edad de 23-32 años predominó en un 35%. El sexo masculino muestra diferencia con un 73% en comparación con el sexo femenino. 75% de los casos no tuvo ningún antecedente de fractura previa. Se observó que la mayoría de casos provienen de zona urbana con un 65%. Un 75% se fracturó de lunes a viernes con un 46% en horario de noche. La causa principal por la que ocurren las fracturas fue accidentes en motocicleta en un 44%. Así mismo, el miembro superior derecho fue el más afectado en un 86% y el tratamiento brindado fue quirúrgico en un 53%. Se determinó que la situación de la fractura fue de tipo alineada con el 76%. De las fracturas completas, la fractura transversal fue más frecuente en un 35% y de la clasificación de Fernández, la fractura tipo I con un 47% del total de casos estudiados fue la más observada.
La Independencia Judicial en Guatemala en la Elección de Magistrados de Corte Suprema de Justicia, Corte de Apelaciones y de Tribunales de Igual Categoría
Authors: García González Emma Lucrecia
Published: October 2020

El enfoque sustancial de este artículo radica en establecer el proceso de elección de Magistrados de la Corte Suprema de Justicia, Cortes de Apelaciones y de Tribunales de igual categoría, por medio de las Comisiones de Postulación y el Congreso de la República de Guatemala, en donde se pone de manifiesto la Independencia Judicial, en cuanto a su ejercicio, por medio de un estudio jurisprudencial, jurídico y de realidad nacional, sobre el tema: “La Independencia Judicial en Guatemala en la elección de Magistrados de Corte Suprema de Justicia, Corte de Apelaciones y de Tribunales de Igual Categoría”. El problema planteado es ¿Existen factores que interfieren en la Independencia Judicial en la elección de Magistrados de Corte Suprema de Justicia, Corte de Apelaciones y de Tribunales de igual categoría? La hipótesis de trabajo es “Existen factores políticos que limitan e inciden en el ejercicio de la Independencia Judicial en Guatemala en la elección de Magistrados, en virtud que no se privilegia la capacidad, experiencia e idoneidad del operador de justicia en su Carrera Judicial”. Este estudio se realiza desde la perspectiva de la realidad nacional, específicamente en la elección de Cortes 2019-2024, recurriendo a procedimientos que permiten alcanzar los objetivos planteados, utilizando técnicas bibliográficas para recopilar escritos por autores nacionales e internacionales, y así conocer los factores que limitan la Independencia Judicial, para verificar las falencias del procedimiento desde las Comisiones de Postulación hasta la elección realizada por el Congreso de la República de Guatemala.
El fenómeno del Coronavirus y el Biodesarrollo: sus consecuencias y oportunidades
Authors: Castillo López Nancy Carolina
Published: October 2020

La búsqueda de un desarrollo que promocione la vida debería de ser la meta de cada uno de los Estados modernos.  Actualmente, los sistemas económicos y políticas de desarrollo apuntan únicamente a un crecimiento desmedido de la economía que no prioriza la vida, en toda la extensión de la palabra.  Una crisis originada por la proliferación del Covid-19, un virus altamente infeccioso, tiene al mundo paralizado cuestionándose sobre las estrategias necesarias para proteger la vida, sin embargo, es necesario detenerse a pensar si el ritmo vertiginoso de relaciones que sosteníamos hasta la fecha exalta la vida o la destruye.  Las lecciones que obtengamos de este fenómeno marcarán la diferencia.
La utilidad de los modelos epidemiológicos para analizar la enfermedad COVID-19 en Guatemala
Authors: Alvarado González René Estuardo
Published: October 2020

El interés en estudiar el comportramiento de las enfermedades infecciosas que tienden a convertirse en epidemias y ponen en riesgo en la vida de personas, la estabilidad de las economías y los modelos de vida de las sociedades ha llevado a científicos de todo el mundo a fijar su atención en la adaptación de modelos matemáticos para estudiar el fenómeno del nuevo coronavirus SARS-Cov-2, descubierto en China a finales del año 2019 y causante de la pandemia global COVID-19, que comparte carácterísticas genéticas con su predecesor mas cercano, pero con una tasa de propagación mucho mas alta, ya que a la presenta fecha, los indicadores reportan mas de 1.6 millones de personas infectadas y mas de 100,000 muertos a nivel global.  Se aborda la importancia de la modelación matemática para estimar escenarios del comportamiento de la exposición e infección de las personas a esta enfermedad, considerando el modelo epidemiológico SEIR como adaptable a la naturaleza de la pandemia COVID-19, el cual se basa principalmente en el “número reproductivo básico”, para el cual se han generado estudios de referencia que permiten estimarlo para fines analíticos. Como parámetros para las ecuaciones que fundamentan el modelo, se han consultado estudios de referencia y publicaciones internacionales, con lo que se llega a demostrar la importancia de las medidas de prevención y contensión basadas en el distanciamiento social, así como la validez del modelo como herramienta útil para estimar el impacto de las estrategias a nivel de sociedad y país.