bluuebunny/crossref_metadata_2025 huggingface dataset:
Efeitos da dentição e grau de acabamento no peso e rendimentos de carcaça de bovinos terminados em confinamento*
Authors: Moraes Gabrielly da Rosa , Vaz Fabiano Nunes , Druzian Acácio , Cardoso Anthony Paz , Pascoal Leonir Luiz , Vaz Ricardo Zambarda
Published: September 2024

O objetivo deste trabalho foi analisar os efeitos da dentição e do grau de acabamento sobre o peso e os rendimentos de carcaça de bovinos predominantemente Aberdeen Angus, terminados em confinamento. As variáveis independentes avaliadas foram dentição e grau de acabamento. As variáveis dependentes avaliadas foram peso de carcaça fria (PCF), rendimento de fazenda (RFZ) e rendimento de frigorífico (RFG). Foram considerados os dados de 7.171 bovinos, machos castrados e fêmeas, terminados em confinamento próprio da indústria frigorífica cedente dos dados. O confinamento e o frigorífico estão localizados no Rio Grande do Sul, e os dados foram coletados durante os anos de 2020 e 2021. Esses foram submetidos às análises de interação e regressão linear. Para machos e fêmeas, as equações de regressão das variáveis dependentes em função da dentição são significativas, apresentando estimador positivo para PCF. Para RFZ a equação não foi significativa para machos, e para RFG a equação não foi significativa em fêmeas. As equações das variáveis com relação ao grau de acabamento foram significativas, apresentando estimador positivo para machos e fêmeas. O incremento na dentição aumenta o PCF tanto em machos como em fêmeas, mas diminui o RFZ em fêmeas, não se alterando nos machos. O RFG diminui nos machos com o avanço da maturidade, mas não se altera nas fêmeas. O incremento no grau de acabamento aumenta o PCF e os dois rendimentos de carcaça fria.
Conservação dos componentes arbóreos e palmeiras em praças revitalizadas de São Luís do Maranhão
Authors: Bastos Keila Diovana Oliveira , Araujo Myrella Katlhen da Cunha de , Rocha Ariadne Enes
Published: September 2024

A arborização de espaços públicos é uma forma de contato com o meio ambiente e representa importante função nos centros urbanos. Dessa forma, o objetivo do estudo foi caracterizar a arborização das praças revitalizadas do Centro de São Luís (MA). As praças avaliadas foram: Fonte do Bispo, Praça das Mercês, Praça dos Poetas, Praça João Lisboa e Largo do Carmo e Praça da Misericórdia. Foi realizado o censo florístico, que corresponde ao diagnóstico dos indivíduos da área de estudo, através do levantamento das características individuais da vegetação adulta com hábito arbóreo, incluindo palmeiras adultas com circunferência do caule a altura do peito (CAP), maior ou igual a 30 cm. Foram determinadas: localização, registrado fotográfico, altura do fuste e total, diâmetro de copa, condições sanitárias, distanciamento de edificações e rede elétrica. Como resultado, foram amostrados 48 indivíduos, distribuídos em 15 espécies e 9 famílias. Foi observada a má distribuição de espécies por praças, com predomínio de espécies exóticas plantadas (52%). No entanto, os indivíduos não apresentavam ataque de pragas e doenças (96%), não houve ocorrência de parasita na copa (88%) e os indivíduos amostrados não apresentam risco às redes elétricas e nem interferência na estrutura dos calçamentos das praças (100%). A partir dos resultados foi possível identificar a importância de ambientes arborizados bem planejados e o que de fato, eles podem representar para uma sociedade tão carente de momentos de contemplação do ambiente e de bem-estar, bem como, a importância da manutenção arbórea como objeto de melhoria de vida da população.
Turfa líquida e substratos no desenvolvimento de cultivares de alface
Authors: Lages Mariana Lobato Torres , Lima Marcus Vinicius Gonçalves , Santi Adalberto , Souza Karina Galvão de , Magalhães Márcio Osvaldo Lima , Martinez Roberto Antonio Savelli
Published: September 2024

Objetivou-se determinar a dose adequada de turfa líquida e comparar substratos no desenvolvimento de cultivares de alface. Dois experimentos foram realizados no município de Vilhena-RO. As doses de turfa líquida utilizadas foram 0, 1, 2, 3 e 4%, sendo realizadas quatro aplicações após o quinto dia de emergência, com intervalo de cinco dias. O delineamento adotado em cada experimento foi o inteiramente casualizado em esquema fatorial 2x5, sendo dois tipos de substratos (Vivatto Slim Plus® e Carolina Soil®) e cinco doses de turfa, com quatro repetições cada, para cada experimento (As cultivares foram Grands Rapids e Cinderela). Após o 25° dias da emergência de cada cultivar de alface, as mudas foram avaliadas quanto à: massa verde parte aérea (MVPA), massa verde da raiz (MVR), massa verde total (MVT), altura de plântulas (ALT), massa seca da parte aérea (MSPA), massa seca da raiz (MSR), massa seca total (MST), diâmetro do caule (DIAM), tamanho da raiz (RAIZ). A aplicação de até 1% de turfa líquida, mostrou-se superior as demais doses quando aplicadas nos substratos Carolina e Vivatto em relação à MSPA e MST. A aplicação de 1% de turfa líquida, mostrou-se superior as demais doses quando aplicada no substrato Vivatto em relação à MVPA, MVR e MVT. Conclui-se que para o cv. Grand Rapids, observou-se que os substratos Carolina e Vivatto demonstraram resultados favoráveis para as variáveis analisadas na ausência de adição de turfa líquida. No entanto, quando a turfa líquida foi incorporada, o substrato Vivatto evidenciou superioridade em relação ao substrato Carolina. Para a cv. Cinderela, foi observado que o substrato Carolina demonstrou superioridade em relação à maioria das variáveis analisadas na ausência de adição de turfa líquida. No entanto, o tamanho da raiz na cv. Cinderela foi significativamente maior quando cultivadas no substrato Vivatto. Quando adicionado turfa líquida na produção de mudas de alface das cultivares Grand Rapids e Cinderela a dose de 1% revela-se a mais eficaz em termos dos resultados obtidos para as variáveis analisadas, independentemente do substrato utilizado.
Potencial energético da madeira de Algaroba para a indústria de cerâmica no nordeste brasileiro
Authors: Medeiros Neto Pedro Nicó de , Cirilo Nauan Ribeiro Marques , Ribeiro Libânia da Silva , Silva João Gabriel Missia da , Paiva William de , Carmo Flavio Cipriano de Assis do
Published: September 2024

O uso energético da biomassa florestal favorece o menor consumo de combustíveis fósseis. Assim, o objetivo da pesquisa foi avaliar as características físico-químicas e energéticas da madeira e do carvão vegetal da espécie Algaroba (Prosopis juliflora). Para isso, foram coletadas toras em três classes diamétricas distintas e avaliadas sua densidade, umidade, composição química e qualidade energética. Na avaliação das características do material foi utilizado o delineamento experimental inteiramente casualizado, sendo empregado o teste de Tukey (p ≤ 0,05). A densidade básica variou de 0,60 a 0,74 g cm³. O teor de umidade inicial foi superior a 30%. A classe diamétrica 1 e 3 apresentaram os maiores valores de cinzas na madeira, 0,9% e 1,05%, respectivamente. Quanto ao rendimento em carvão vegetal, os valores variaram de 34,31% a 38,19%. De modo geral a madeira de Algaroba apresentou potencialidade energética para uso nas indústrias de cerâmicas vermelhas.
Desenvolvimento tecnológico e do conhecimento de propriedades leiteiras do Sul de Minas Gerais
Authors: Bassotto Leandro Carvalho , Putti Fernando Ferrari , Benedicto Gideon Carvalho de
Published: September 2024

A pecuária leiteira é um setor importante do agronegócio responsável por gerar riqueza e renda para agricultores de diversos portes. Diante disso, é necessário que se caracterize as propriedades leiteiras para identificar o nível de desenvolvimento tecnológico e do conhecimento do setor. O objetivo do estudo foi diagnosticar o nível de conhecimento de produtores de leite na região sul do estado de Minas Gerais sobre o grau de desenvolvimento tecnológico no setor. A pesquisa se caracteriza por ser descritiva com abordagem quantitativa, em que foram entrevistados 112 produtores de leite de oito cidades do Sul do estado de Minas Gerais. Para tanto, utilizou-se da técnica de análise de dados denominada análise de clusters, que permitiu a formação de quatro grupos de propriedades. Identificou que, embora existam produtores com elevado conhecimento e com propriedades com alto avanço tecnológico, predominam propriedades de pequeno porte com baixo grau de desenvolvimento tecnológico e produtores com pouca preocupação frente a importância do conhecimento para o desenvolvimento da atividade leiteira. Conclui-se que o grau de desenvolvimento tecnológico das propriedades leiteiras do Sul de Minas Gerais é baixo, condição que pode expor propriedades a riscos de continuidade e/ou desenvolvimento.
Tratamento de águas residuárias de bovinos com mix de microalgas para produção de biodiesel de terceira geração
Authors: Santa Rita Amanda Vieira , Mendonça Henrique Vieira de , Lomeu Alice
Published: September 2024

Na presente pesquisa, além da quantificação quantitativa e qualitativa do biodiesel produzido, também foi avaliada a capacidade do mix de microalgas na biorremediação da água residuária da bovinocultura (ARB). A separação da biomassa foi realizada por processo quimicamente assistido com adição de cloreto férrico. O sobrenadante (ARB tratada), foi verificada elevada eficiência de remoção de DQO, COT e NH4+ de 99,5, 99 e 98,6%. A biomassa seca produzida ao longo do cultivo variou entre 0,488 e 5,08 g L-1 e as concentrações lipídicas entre 11 e 14%. O ácido graxo em maior concentração na biomassa foi o palmítico (C16:0, variando entre 75,7 a 81%. O ácido linoleico (C18:3) variou entre 12,3 e 14,1%, indicando razoável estabilidade oxidativa do biodiesel. Os cálculos sobre a partir dos ácidos graxos evidenciaram número de cetano de 58,8, índice de iodo de 54,14 e estabilidade de oxidação de 7,75 h. Embora existam boas condições de uso do biodiesel produzido, é recomendado sua mistura com outros biocombustíveis que tenham maior estabilidade oxidativa. De forma geral esta é uma nova rota sustentável para produção de biocombustível com o benefício de realizar ao mesmo tempo a biorremediação da água residuária.
Validação e adesão ao uso de cartilha de exercícios domiciliares - distrofia muscular de Duchenne
Authors: Silva Gomes dos Santos Amanda , Scarpino Barboza Franco Camila , Mattiello-Sverzut Ana Claudia
Published: September 2024

O presente estudo objetivou validar o conteúdo e analisar a adesão aos exercícios contidos numa cartilha para crianças e adolescentes com distrofia muscular de Duchenne (DMD). Nove juízes especialistas avaliaram a cartilha usando um questionário adaptado no processo de validação de conteúdo. Quinze crianças/adolescentes com DMD e seus cuidadores reportaram sobre a qualidade do conteúdo do material e a adesão ao uso (15 e 45 dias após a entrega da cartilha). Vinte e dois aspectos abordados na validação do conteúdo receberam pontuação acima do índice aceitável. A maioria dos cuidadores responderam “concordo” ou “concordo totalmente” para todos os itens analisados referente à avaliação do material. Em curto prazo, a taxa de adesão foi 33,3% e em longo prazo de 13,3%. A cartilha revelou ser um instrumento benéfico para enriquecer o tratamento fisioterapêutico de criança e adolescentes com DMD. No entanto, foi observada uma adesão “moderada/baixa” pelos participantes.
Desafios de enfermeiros na integralidade da promoção em Estratégias de Saúde Familiar
Authors: Petter Êmilly Barcelos , Rivas Claudia Maria Ferrony , Stochero Artur Vernier , Brum Lívia Brum de , Silva Clarissa Bohrer da , Santos Naiana Oliveira dos
Published: September 2024

Objetiva-se identificar as dificuldades encontradas pelos enfermeiros de equipes da Estratégia Saúde da Família (ESF) no que tange à práxis do atributo integralidade. Trata-se de um estudo descritivo, de natureza qualitativa realizado com enfermeiros de ESF de um município da região central do Rio Grande do Sul, Brasil. Entrevistou-se individualmente 14 enfermeiros no período de agosto a outubro de 2022. A análise dos dados seguiu os passos da Análise Temática de Minayo. Após uma leitura exaustiva das entrevistas, foram desenvolvidas as seguintes categorias: Vulnerabilidade dos usuários; Falhas na gestão e integração dos serviços; e Alta demanda e sobrecarga de trabalho. A identificação das fragilidades nos serviços de saúde permite fortalecer e melhorar a qualidade do cuidado e assistência, garantindo, assim, a efetiva integralidade.
Perfil clínico e classificação de funcionalidade de pessoas com deficiência no Arquipélago do Marajó
Authors: Queiroz da Silva Karyna de Cássia , Castro Malato Bruna , Maki Omura Katia , Cavaleiro Corrêa Victor Augusto , Soares de Moraes Suellen Alessandra
Published: September 2024

Analisar o perfil clínico e a classificação de funcionalidade da população com deficiência física e/ou sensorial dos Municípios do Marajó, através do uso da Classificação Internacional de Doenças e Classificação Internacional de Funcionalidade, Incapacidade e Saúde. Pesquisa descritiva e exploratória em todos os Municípios do Marajó. Verificou-se a prevalência de deficiências do tipo adquirida após o nascimento envolvendo doenças do sistema nervoso, comprometimento da extremidade inferior e superior do corpo. A deficiência na mobilidade articular, força e tônus como funções do corpo mais afetadas e impacto nas atividades de mobilidades e autocuidados e nas relações interpessoais por profissionais da saúde e família imediata como barreira social. Dessa forma, a partir dos resultados encontrados, compreende-se a influência do contexto social, educacional, econômico e geográfico na condição clínica e no desempenho funcional de pessoas com deficiência.
Uso indiscriminado de medicamentos para emagrecer por profissionais da enfermagem no noroeste do Paraná
Authors: Cortez Agnaldo , Vieira dos Santos Cortez Daniela , Teixeira  Benatti Giovana , Correia Terezio Izabelle , Teixeira da Silva Mariana , Sayuri Nakamura de Vasconcelos Sandra
Published: September 2024

No Brasil e no mundo a automedicação é praticada para diversos problemas de saúde, e dentre esses está a obesidade. O uso desses fármacos pode causar diversos problemas de saúde, aumentando sua gravidade quando os profissionais de enfermagem, recorrem a esse recurso para emagrecer. O objetivo do estudo foi analisar a automedicação para emagrecimento entre os profissionais de enfermagem, além de identificar quais os medicamentos utilizados. Foram entrevistados 303 profissionais de enfermagem, no período 21/01/2022 à 24/04/2022, após aprovação do CEP. Dentre os profissionais que afirmaram recorrer a essa prática para fins de emagrecimento, 25% são enfermeiros e 75% técnicos de enfermagem. Os fármacos mais citados foram a sibutramina 24,62%, os fitoterápicos 21,54% e a bupropiona 18,46%. Os resultados revelam um grave problema de saúde pública dentre estes profissionais, os quais são responsáveis por cuidar e orientar a população, sendo assim é necessário a adoção de políticas públicas que visem o cuidado da enfermagem.
Uso do teleatendimento para educação em dor crônica: estudo de adequação e viabilidade
Authors: Andrade Milena , Bim Cintia Raquel , Schoefel Simão Heloisa , Franciely Lich Vier Lainy , De Andrade Melo Knaut Sibele , Baroni Marina Pegoraro , Tirotti Saragiotto Bruno
Published: September 2024

A dor crônica é um problema de saúde pública que estimula a procura por um método eficaz de manejo da dor. Avaliar a implementação do programa online de autogerenciamento da dor crônica “EducaDor” no Sistema Único de Saúde. Trata-se de um estudo qualitativo, realizado com pesquisadores, acadêmicos de graduação, vinculados ao programa EducaDor de uma universidade pública estadual. Foi aplicado um questionário estruturado por meio de entrevista e utilizada análise temática para análise dos achados. Foram conduzidas treze entrevistas, que evidenciaram o potencial de implantação da educação em saúde proporcionado pelo programa aos usuários da atenção básica em saúde. Além disso, a forma de entrega do programa oferece a oportunidade de facilitar o acesso dos usuários aos tratamentos, reduzindo os custos para os cofres públicos. O programa EducaDor possui um potencial para implementação, auxiliando o desenvolvimento da saúde digital no sistema público de saúde brasileiro.
Endosurgical treatment of a 7-month-old child with extralobaric sequestration of the lung and tracheal bronchus
Authors: Eremin Dmitri B. , Gadzhikerimov Gadzhikerim E. , Tukhtamatov Abdumazhid A. , Demidov Alexandr A.
Published: September 2024

Lung sequestration is a developmental anomaly in the form of a separate non-functioning fragment of lung tissue that does not communicate with the bronchial tree and is supplied with blood by the aorta or arteries of the large circulatory circle.
Lung sequestration is a developmental anomaly characterized by a separate nonfunctioning fragment of lung tissue that does not communicate with the bronchial tree and is supplied with blood by the aorta or arteries of the large circulatory circle. Lung sequestration accounts for 0.15%–6.4% of all lung malformations. This study presents a clinical case of a 7-month-old girl with extralobaric lung sequestration. The patient presented with complaints of cough; noisy, rapid breathing; and a history of gastroesophageal reflux. Gastroenterological pathology was excluded at the place of residence. During physical examination, wet wheezing was heard on both lungs, and the respiratory rate was 36 per minute. Chest X-ray showed a right-sided, upper-lobe pneumonia. Community-acquired right-sided, upper-lobe pneumonia, moderate form, was diagnosed. CT scan of the chest organs with contrast revealed a congenital malformation: tracheal bronchus and extralobar lung sequestration on the right. Indications for minimally invasive intervention were formulated. After surgical treatment, thoracoscopy showed an extrapulmonary sequester in the posterior hemithorax, with a feeding vessel from the thoracic aorta. Then, sequestrectomy was performed. In the postoperative period, positive dynamics was observed against the background of antibacterial, infusion, and symptomatic therapy. The patient was discharged in satisfactory condition. In children with long-term, recurrent lung infections, without positive dynamics against the background of conservative therapy and in the presence of respiratory disorders against the background of normal body temperature and absence of signs of inflammation in blood tests, congenital malformations of the respiratory tract should be excluded. Computed tomography with contrast enhancement and subsequent 3B reconstruction is the most appropriate method for diagnosing lung sequestration. Moreover, thoracoscopic resection of a separate nonfunctioning fragment of lung tissue is an effective minimally invasive surgical treatment method.
Draft resolution of the symposium “Surgical pathology of the anterior abdominal wall in children”
Authors: Barskaya Margarita A.
Published: September 2024

The Russian Educational Symposium of Pediatric Surgeons “Surgical Diseases of the Anterior Abdominal Wall in Children” was held in Samara on April 24, 2024. After the reports were discussed, a draft resolution of the symposium was adopted. Herein, its text is presented for familiarization of a wide range of specialists with subsequent adjustment for inclusion in federal clinical guidelines.
Retos del ecosistema de emprendimiento turísticos frente a la calidad en destinos de la provincia de Manabí (Ecuador)
Authors: Garcia Santos Genesis , Bricio Valencia Belén , Mendoza Montesdeoca Iván
Published: September 2024

El presente artículo pretende evaluar cómo se encuentra el estado actual de la prestación de servicios en destinos de la zona norte de Manabí por parte de los emprendimientos, al ser la prestación de servicios un factor influyente en la percepción y satisfacción del visitante y por ende un aspecto que tiene inferencia la calidad y el índice competitivo de estos destinos. Por lo cual el objetivo de la investigación es identificar cuáles son los retos del ecosistema de emprendimientos turísticos que inciden en la calidad de los destinos locales en la provincia de Manabí; para lo cual se planteó una metodología que presenta una caracterización de las Mipymes, la revisión y selección de componentes para la elaboración de un sistema de indicadores de evaluación y el análisis estadístico descriptivo de datos tomado de fuentes primarias de información para evaluar el desempeño de los emprendimientos.
Hábitos de compras online de los consumidores de Asunción y del Departamento Central. Año 2023
Authors: Rojas Quintana Dulce María , Ferrer Dávalos Raúl Marcelo
Published: September 2024

El comercio electrónico se ha convertido en una actividad global practicada por un número cada vez más creciente de personas que interactúan en el mercado de bienes y servicios. El objetivo de este estudio fue identificar y analizar las costumbres y hábitos de compras de los consumidores de Asunción y del Departamento Central de Paraguay en relación a las compras en línea. Se utilizó un enfoque cuali-cuantitativo y se aplicó una encuesta en formato electrónico a un total de 400 participantes residentes en las zonas de influencia del estudio. Se observo que gran parte de la población analizada utiliza este método de compras y qué lo hacen de manera frecuente, aunque con una clara preferencia por ciertos tipos de productos como es el caso de los alimentos, que mayormente son adquiridos vía servicios de delivery desde tiendas locales; y también los pedidos de ropas, que generalmente son adquiridos desde tiendas internacionales, aunque también provienen en un número importante de tiendas locales que ofrecen sus productos principalmente a través de redes sociales. Los resultados más relevantes señalan que la mayoría de los participantes ya realizan compras en línea y que estarían dispuestos a repetir las compras en esa modalidad, debido a que las experiencias en general han sido positivas. Como recomendación, se expresa que las empresas locales deberían invertir mayores recursos para dotar a sus negocios de un sistema de comercio electrónico que les permita concretar transacciones en línea incluyendo el proceso de cobros con distintos medios de pago.
The Impact of Internal and External Variables on Non-performing Financing (NPF) of Islamic Banks in Indonesia
Authors: Setiawan Chandra , Purwanto Purwanto , Cakranegara Pandu Adi
Published: September 2024

Islamic banking financing continues to experience better growth and provides great contributions in Indonesia. This industry must innovate products and improve its performance. This research paper aims to improve the Non-Performing Financing (NPF) and efficiency model of Islamic commercial banks in Indonesia while enhancing the quality of governance in the banking industry. In this study, researchers used Data Envelopment Analysis (DEA) to process overall technical efficiency (OTE) and panel regression to establish the causal relationship between independent and dependent variables, both partially and simultaneously. Researchers also analyzed the correlational association between NPF and the efficiency of Islamic banks in Indonesia. The data used in the study were obtained from Islamic commercial banks that were consistently published by Bank Indonesia and the Bank's database. Various micro or internal banking variables were used, and external variables, such as macro variables, were found to influence NPF. The study identified internal variables like CAR and FDR and external variables like GDP and inflation of Islamic banking in Indonesia that significantly impact NPF. Furthermore, the study results suggest that the FDR variable is among the significant variables with the highest significance value. It was also found that the "bad management" and "bad luck" hypotheses were not proven in Islamic banking in Indonesia.
The role of maternal serum homocysteine level in early onset preeclampsia for prediction of severity of disease
Authors: Akter Halima , Hossain M. Tofazzel , Shabnam Shirin
Published: September 2024

Background: This study was conducted to observe the relationship between high serum homocysteine levels and preeclampsia with severe features among preeclamptic pregnant women of 20-34 weeks of gestation.
Method: This study was a hospital based a prospective cohort study and was conducted in Department of Obstetrics and Gynaecology in Dhaka Medical College. A total of 110 preeclamptic pregnant women of 20-34 weeks of gestational age were taken and data were collected after taking an informed written consent. After diagnosis of preeclampsia, I gave them some investigations like CBC, SGPT, S. Creatinine and S. Homocysteine. The patients were divided into two groups that is normal homocysteine level (Group-I) and elevated/high homocysteine level (Group-II) and then the patients were followed up by me at 2 to 4 weekly interval or more frequent if needed.
Result: Among 110 preeclamptic women, mean age of the them was 27.2±6.84 (SD) years and gestational age was 28.0±2.58 (SD) weeks when patients developed preeclampsia without severe features. Majority were nullipara (51.8%) and overweight (54.5%). The mean BMI of the preeclamptic women were 28.2±3.46 kg/m2. The median (IQR) Homocysteine level was 11.4 (6.7-16.8) μmol/l and Hyperhomocysteinemia was reported in 31.8% of pregnant women. A cut-off value of homocysteine level≥15.3 μmol/l showed sensitivity, specificity, NPV, PPV and accuracy 91.3%, 83.9%, 60%, 97.3% and 85.4%, respectively to correctly predict preeclampsia with severe features. Homocysteine level was significantly associated with preeclampsia with severe features (p<0.05) and was higher in severe preeclamptic women (91.3%). The homocysteine level was higher in patients with severe features, median-18.3 (17.6-19.4) than without severe features median 9.14 (6.68-13.5). Women with Hyperhomocysteinemia had also greater fetal complications, FGR 20%, oligohydramnios 22.9%). The relative risk ratio of development of preeclampsia with severe features was 22.5, among the preeclamptic women having S. homocysteine level ≥15.3 µmol/l.
Conclusion: The study shows that increased maternal serum homocysteine level at 20-34 weeks gestation in preeclampsia without severe features pregnant lady is a predictor of subsequent development of preeclampsia with severe features.
Maternal and fetal outcome in women experiencing first trimester vaginal bleed: a multicentric approach
Authors: Chandrakala S. , Reshmi M. Gokul
Published: September 2024

Background: Vaginal bleeding before 12 weeks of gestation is relatively common obstetric event complicating nearly 25% of all pregnant women. In this study we examined the maternal and fetal outcomes of pregnant women who experienced bleeding throughout the first trimester of their pregnancy.
Method: A multicentre prospective cohort study was carried out at the Institute of Obstetrics and Gynaecology, Egmore and Department of Obstetrics and Gynaecology, Sri Venkateshwara Medical College Hospital and Research Centre, Puducherry from June 2023 to May 2024. In a one-year period, 200 cases were chosen, with 100 pregnant women with first trimester haemorrhage and 100 women with no bleeding serving as control groups. Following informed consent, women were recruited into the study.
Results: In this study we observed maternal outcome of preterm delivery (37% vs 12%), LSCS (41% vs 14%), 2nd trimester abortion (12% vs 3%), PPROM (13% vs 2%), anaemia (32% vs 27%), PPH (25% vs 7%) and PIH (24% vs 12%) were observed significantly higher in study group than control group (p=<0.05). Regarding fetal complications Low birth weight (32% vs 8%), NICU admission (33% vs 8%), APGAR <7 (25% vs 6%), premature baby (22% vs 4%) was observed significantly higher in study group (p=<0.05)
Conclusion: We concluded from this study that during the first trimester, women with vaginal bleeding face a higher chance of undesirable pregnancy outcomes and require more care and consultation. These instances should be regarded as high-risk pregnancy and treated accordingly, or referred to better-equipped medical clinics to lessen the chance of difficulties.
Outcome of recanalization and factors affecting it: a retrospective study at tertiary care center
Authors: Jain Shah Niyati , Sharda Ritu , Agarwal Neha , Daksha Shraddha
Published: September 2024

Background: In spite of availability of multiple methods of contraception, tubectomy remains most popular method of contraception in India, especially in rural population. For restoration of fertility, maximum patients prefer tubal recanalization over in vitro fertilization. Primary objective of our study was to evaluate pregnancy rate after recanalization surgery and to analyze factors affecting it.
Methods: A retrospective observational study conducted in the Department of Obstetrics and Gynecology at Amaltas Institute of Medical Science, Dewas from April 2021 to April 2023 with a one year follow up.
Results: Total 14 Patients of sterilization reversal were considered for the study. Commonest cause for reversal in our study was second marriage (57.14%). Pregnancy rate in our study was 57.14%; all were intra uterine pregnancies. Majority of the patients who got conceived belonged to the age group of 26-30 years. Patients with history of laparoscopic tubectomy had 87.5% conception rate as compared to 16% with history of open tubectomy. Maximum number of patients who conceived had interval of 3-6 years between sterilization and reversal (63.6%). Conception rate was 70% with final tubal length being more than 4 cm and 85% with isthmo-isthemic anastomosis.
Conclusions: Patients who want tubal sterilization should be counselled about alternative spacing methods of contraception. Tubectomy should be done at isthmus through laparoscopic method as it causes minimum damage to tube. Final tubal length (>4 cm) and site of anastomosis (lsthmo-isthemic) are important factors for success of a recanalization surgery.
Diagnostic comparison of hysteroscopic guided biopsy with histopathology of hysterectomy specimen in abnormal uterine bleeding
Authors: Raut Srushti S. , Babbar Kavita
Published: September 2024

Background: The objective of the study is to do diagnostic comparison of hysteroscopic guided biopsy with histopathology of hysterectomy specimen in evaluation of abnormal uterine bleeding.
Methods: An observational prospective study is conducted amongst 114 women between age of 30 years to 80 years with abnormal uterine bleeding admitted for diagnostic hysteroscopy and underwent hysterectomy for relief of symptoms at obstetrics and gynecology department, Apollo Hospital, Bilaspur, Chhattisgarh from January 2023 to July 2024 over a period of 1.5 years.
Results: Leiomyoma and adenomyosis are best diagnosed by histopathology of hysterectomy specimen. Diagnostic accuracy of hysteroscopic guided biopsy in endometrial polyp, atrophic endometrium, endometrial hyperplasia and endometrial carcinoma is equal to diagnostic accuracy of histopathology of hysterectomy specimen in evaluating abnormal uterine bleeding.
Conclusions: Hysteroscopic guided biopsy should be done in every case to find exact cause of abnormal uterine bleeding and rule out malignancy. It helps in avoiding unnecessary hysterectomy. It helps to select route of hysterectomy whether abdominal, vaginal or laparoscopic should be preferred.
A prospective cross-sectional observational study of acute pelvic pain in gynaecology
Authors: Banerjee Yajnaseni , Rambhia Kevin K.
Published: September 2024

Background: The diagnosis of acute pelvic pain is challenging and is based on clinical history, symptoms, physical examination and radiological findings. The various causes of acute pelvic pain may be gynecological, obstetrical, urological or gastrointestinal which can sometimes present with overlapping features and is difficult to diagnose. Objectives were to study the etiology of acute pelvic pain among different age groups and to study the mode of diagnosis of patients. 3)To study the mode of management.
Methods: This is a prospective non-interventional cross-sectional observational study where patients presenting with acute pelvic pain of less than 3 months duration fulfilling the criteria of the study were included and analyzed. The sample size was 210.
Results: 35.7% patients belonged to age group of 23-32 years while 13% patients belonged to age group 43 and above. 47% cases presented with acute pain for less than 10 days. 13.8% of the patients were pregnant when they presented with pain. 24% cases reported vaginal bleeding with acute pelvic pain and only 10 patients presented with fever. The 18 patients were diagnosed with ruptured tubal ectopic pregnancy and 1 patient had scar ectopic pregnancy. 22 patients had ovarian torsion. Seven patients had complex adnexal cyst and 10 had tubo-ovarian mass. 6 cases of hematometra, 2 of pyometra, 1 of bicornuate uterus with hematometra and 2 of uterine horn collection were observed. The 17 patients had no gynaecological cause of pain. The 73.8% patients had undergone surgical management for acute pelvic pain while17.6% were managed medically. In 8.1% cases medical management was followed by surgical management.
Conclusions: Ruptured tubal ectopic, ovarian torsion, ovarian cyst and pelvic inflammatory diseases were the most common causes. Detailed history, examination and radiological studies are equally important in the diagnosis of acute abdominal pain. Early diagnosis is critical to prevent significant morbidity and mortality.
Ultra-low dose oral contraceptives: a game changer in managing puberty menorrhagia-a case series
Authors: Taj Muwaffika , Gopalan Ushadevi , Ayyanar Divya
Published: September 2024

Puberty menorrhagia, characterized by excessive menstrual bleeding during adolescence, often results from an immature hypothalamic-pituitary-ovarian axis. Effective management is crucial, yet compliance with traditional combined oral contraceptives (COCs) is often low due to side effects like nausea and breakthrough bleeding. This case series investigates the use of ultra-low dose COCs (ULDCOCs) containing 15µg ethinyl oestradiol and 60µg gestodene in five adolescents aged 13-16 years with puberty menorrhagia. The patients presented with prolonged bleeding, irregular cycles, and underlying conditions like polycystic ovarian syndrome (PCOS) and hypothyroidism. Treatment with ULDCOCs resulted in significant improvements: menstrual bleeding reduced, Pictorial Blood Assessment Chart (PBAC) scores dropped from a mean of 103 to 40, and haemoglobin levels improved. Common side effects included mild nausea, breast tenderness, and occasional breakthrough bleeding, which decreased over time. This series suggests that ULDCOCs provide effective cycle regulation and symptom relief with a favourable safety profile in adolescents with puberty menorrhagia. The reduced estrogen content offers fewer side effects while maintaining efficacy. Larger studies are warranted to confirm these findings and establish ULDCOCs as a standard treatment for adolescence-related menstrual disorders.
Steroid cell tumour-a rare ovarian tumour: a case report
Authors: Balathil Ranjana , Pulpra Ajitha , Vethavayal Rabiyabi , Praveen Ani
Published: September 2024

Steroid cell tumours of the ovary are sex cord stromal tumours which are rare, of all ovarian tumours. Case: Here we present a case of 35-year-old lady who presented to us with complaints of amenorrhoea. With thorough history taking, diagnostic workup and postoperative histopathological evaluation found to have a rare kind of ovarian tumor steroid cell tumor.
A case of acute abdomen-ruptured ovarian cysts
Authors: Gundluri Poojashree , Gopalan Ushadevi , Ravi Sowmiya
Published: September 2024

Ovarian cyst rupture can lead to a spectrum of clinical presentations, from mild symptoms to life-threatening emergencies. This case report discusses a 26-year-old female who presented with lower abdominal distension and intermittent pain after a spontaneous incomplete abortion. Initial ultrasound revealed a large right adnexal cyst managed conservatively. During hospitalization, the patient developed acute abdominal pain with hypotension and tachycardia, prompting emergency laparotomy. Intraoperatively, a ruptured ovarian cyst with hemoperitoneum was identified and managed surgically. The case underscores the need for prompt differentiation between ovarian torsion and cyst rupture and highlights the role of surgical intervention in severe cases.
Agreement between AST from minute colony (8-10h growth) and mature colony (16-18h/overnight incubation)
Authors: Sastry Apurba S , Padhy Sonali , Priyadarshi Ketan , Dhandapani Sarumathi , Punnen Stessy Ann
Published: September 2024

Sepsis is a medical emergency where a successful patient outcome depends on early and appropriate antibiotic treatment. This study was conducted to evaluate agreement between antimicrobial susceptibility testing (AST) from minute colonies that can reduce the AST-TAT by as much as 8-10h as compared to the CLSI recommended protocol of performing AST from an overnight (16-18h) growth of mature colony.

In the present study, mDD results from minute colony (8-10h growth) were compared to the rDD results mature colony (16-18h/overnight incubation) CA and various types of errors were evaluated.

237 pathogens and 1597 organism-antibiotic combinations were evaluated, there was a CA of 93.30% which was extremely satisfactory and categorical disagreement was found only in 4.56% of organism-antibiotic combinations, which were mainly mE (4.56%) with nil VME (0%) and ME (0%).

We have found that minute colony (8-10h) AST is in agreement with reference mature colony (16-18h) AST, shortening TAT by (8-10h) earlier than the conventional reference method which is very helpful in treatment of sepsis patients.
Innovation as the Driver of Change: Japan’s Cutting-Edge Solutions for Global Water and Sanitation Challenges
Authors: Maeda Chinatsu , Sasaki Keisuke , Basani Marcello
Published: September 2024

To date, the adoption of Japanese expertise and innovative solutions in the Latin American and Caribbean (LAC) has been limited, partly due to information gaps. The lack of consolidated sources of information on this topic is an additional barrier to adoption, as the sources of this valuable information in Japan are dispersed among public and private entities. Therefore, collecting information, analyzing and selecting innovations considered most beneficial and applicable for the LAC region, and making such information available to water and sanitation operators and sector institutions will narrow the information gap and promote innovation in the sector. This study also highlights the role of innovation as the driver of change in the Japanese water and sanitation sector. This report begins by outlining the approach and methodology to select innovations. Subsequently, it delves into the background of the W&S sector in Japan, covering eight topics: safe and sustainable potable water, city-wide inclusive sanitation (CWIS), asset management, resilience to disasters, integrated water resources management and green infrastructure, carbon neutrality, public awareness, and co-creation for an innovation ecosystem. The top innovations identified within each topic are detailed, leading to the conclusions that summarize the findings of the study.
Fortalecimiento de trayectorias educativas: los centros socioeducativos y comunitarios en barrios populares de la provincia de Buenos Aires
Authors: Sabaté Félix , Vinacur Tamara
Published: September 2024

El presente documento detalla la implementación del Programa para la Promoción y Fortalecimiento de Centros Socioeducativos y Comunitarios en barrios populares en la provincia de Buenos Aires, llevado adelante con el apoyo del BID. Los Centros Socioeducativos y Comunitarios buscan brindar apoyo integral a niños, niñas, adolescentes y jóvenes, considerando el contexto socioeconómico y educativo de los barrios populares. El programa se enfoca en reducir la desigualdad educativa, promover la inclusión y fomentar el desarrollo integral de los participantes.
FS 3.7 ahondando en las tarifas de abastecimiento de agua en Latinoamérica
Authors: Pérez Urdiales María , Libra Jesse Madden , Cunial Santiago , López-Ruiz Samara , Naspolini Giovanna
Published: September 2024

Las tarifas y subsidios al suministro de agua y saneamiento juegan un papel fundamental para el cumplimiento de metas del Objetivo de Desarrollo Sostenible (ODS) 6 para lograr el acceso universal, seguro y equitativo a los servicios de agua (meta 6.1) y saneamiento (meta 6.2). Por ello, el equipo de conocimiento de la División de Agua y Saneamiento del Banco Interamericano de Desarrollo (BID) ha realizado el primer análisis exhaustivo describiendo estos instrumentos de política económica en el sector para una muestra de 12 países de América Latina. Esta hoja informativa se centra en las tarifas de agua en la región.
Christian criticism of pagan religious and magical practices in Etymologiae of Isidore of Seville – an outline
Authors: Stodulska Irmina Weronika
Published: September 2024

Etymologiae was Isidore of Seville’s most well-known work. This volume included a number of issues that reflected ancient knowledge adjusted to the changing realities of then contemporary world. The terms defined there were grouped in twenty books, which in turn were divided into chapters. Definitions of individual magical professions were included in Book VIII The Church and sects in chapter nine (Magicians). One could find there explanations of terms such as: magicians, necromancers, hydromancers, divini, incantatores, harioli, astrologers, sortilegi, salisatores, haruspices, augurs or pythonissae. Isidore believed that magical professions had one thing in common: they were all related to the work of demons. The main research problem of this article has been formulated as follows: to what degree can one talk about a coherent and consistent Christian critique of pagan religious and magical practices in Isidore’s Etymologiae? The aim of this article is to present Christian critique of pagan religious and magical practices in the Sevillian’s most famous work. The following methods are applied in this work: historical investigation, comparison and philosophical analysis.
The Renaissance Conceptions of Human Dignity
Authors: Czerkawski Jan , Frydrych Joanna
Published: September 2024

This translation is based on “Renesansowe koncepcje godności człowieka,” Roczniki Filozoficzne 35, no. 1 (1987): 251–81, with the Publisher’s permission.
Spinoza on Envy and the Problem of Intolerance
Authors: Green Keith
Published: September 2024

In this paper, I examine Spinoza’s account of envy (invidia) with specific attention to his consistent remarks about envy in the context of “superstition”—how “superstition” amplifies envy as an affect, that along with fear and ambition, motivates intolerance. Spinoza counterposes his methodological commitment to view the affects, on a “geometric” model, to Aristotelian and scholastic accounts, and to Descartes’ Passions of the Soul. But they inform his account of the relationship between envy, esteem (gloria), pride (superbia), self-depreciation (abjection), and ambition (ambitio). Spinoza argues that that envy just is a form of hate, it encompasses both sadness at another’s good, but joy at others’ misfortune, and he regards it as evil, even though he refuses to describe it as a vice. Within his methodological framework, it is a consciousness of weakness with an idea of others’ good as the cause. This accounts for its amplification by “superstition”, and its role in motivating ambition and intolerance. I focus, in particular, on the implications of Spinoza’s discussion for tolerance of moral disagreement and difference.
Moral Perfection and Freedom in the Philosophy of Anthony Ashley Cooper, Third Earl of Shaftesbury
Authors: Grzeliński Adam
Published: September 2024

In the article, I analyze the significance of moral disposition and freedom concepts in the philosophy of Anthony Ashley Cooper, 3rd Earl of Shaftesbury (1671–1713), and their connection to the issues of personal identity and aesthetic experience. I point out that personal identity and freedom are not inherently given to a person but rather the goal of personality development. In this way, I compliment the interpretation presented by Laurent Jaffro and Ruth Boeker, indicating that the moral rigour characteristic of the Stoic stance is mitigated in Shaftesbury’s view by the belief in the sympathy that connects people and the importance he attaches to the experience of beauty. Shaftesbury thus understands freedom as the result of self-improvement and internal teleological determination of the person, as well as political freedom, which is the outcome of free public debate. The postulate of social and political liberty links Shaftesbury with freethinkers such as John Toland and Anthony Collins.
Management with the Quality Control System in the Hotel Industry in Macedonia
Authors: Mitreva Elizabeta , Sazdova Julijana , Gjorshevski Hristijan
Published: September 2024

The hotel service product is defined as a chain of mutually related services created to satisfy different needs and demands of the consumers who are primary and are connected with their temporary residence outside their home. The chain of these services is inside a certain place which is technically and technologically defined as well as defined in terms of its organization, process and staff. Services are provided in a definite time and their quality is influenced by numerous subjects such as majority of different suppliers, employees and hotel guests as end users of these services. In that context the quality of the hotel service is observed as the sum of the overall processes leading to a certain result. Each link in that chain of operation reflects the final outcome and the users’ attitude to the service and the level of quality. Quality assurance in hotels is related not only to the employees but also to the machines, technology of the production process etc. Therefore, control is necessary to assess the stability and ability of business processes.
This paper presents research findings regarding the approach to quality control in the hotel industry in Macedonia and the ability of managers to build up a good quality system, as well as the directions they need to go to promote business processes, products / services. The research determined the "age", that is, the development of the hotel facilities on one of the pillars of the house of quality that refers to the quality control system.