bluuebunny/crossref_metadata_2025 huggingface dataset:
A Review on Implications of Physiotherapy Techniques in COPD: A Review Article
Authors: Saeed Arslan , Arshad Muhammad Umer , . Wajeeha , Khalid Muhammad Usman , Shahid Amna
Published: November 2022

Aim: To provide a review on the implications of different physiotherapy techniques for improving breathing patterns, lung capacities and volumes for management of Chronic Asthma COPD patients. Methodology: It was review on physical therapy interventions and results were formatted based.All the Randomized clinical/controlled trial published in last 5 years was selected. To trace articles, article searching was executed electronically using the following search terms: “Physiotherapy interventions”, “Asthma” and Medical Subject Headings (Mesh) on the following databases: PubMed and Web of Science. Only the full text available were selected and documented as per PICOS (Population, Interventions, Comparators, Outcomes, Study designs) model and PEDro Scale. Results: 1,594 articles were traced. After the application of inclusion and exclusion criteria, only 21 studies were analysed. Out of them16 were evaluated as physiotherapy intervention for asthmatic patients. Conclusion: The results evaluated by this study suggested that physical therapy provides an extensive choice of treatment for asthma patients and all of them shown improvements in quality of life and clinical symptoms. Different protocols of physiotherapy provide a massive range of variety of rehabilitation for asthmatic patient to cope with this situation and make them under control. Keywords: COPD, physiotherapy technique, PICOS, asthma
Refractive Errors in Children of 11 to 16 Years of Age Group attending Eye OPD at Hayatabad Medical Complex Peshawar
Authors: Mohmand Naveed Ahmad , Khan Rozina Shahadat , Ullah Abid , Alam Abid
Published: November 2022

Background: Children of school age are susceptible to refractive error, which has a significant negative influence on lowering the learning capacity and educational potential. Aim: To estimate the frequency of different types of refractive erors in children, age group 11 to 16 year, visiting eye OPD H.M.C Peshawar. Study Design: Cross sectional descriptive study. Place and duration of study: Study has been conducted at Eye OPD of H.M.C Peshawar in three months duration. Methods: A total of 308 patients fulfilling the inclusion criterion were examined for Visual acuity. Distance visual acuity was measured both monocularly and binocularly by using a Snellen E chart at a distance of 6 meter. After refraction, best corrected visual acuity was assessed and recorded. Refractive status was recorded according to the criterion. Results: A total of 308 subjects were examined, out of which 73 (23%) were having Ammetropia i.e. having refractive error. Among 73 refractive error children 27 (36.98 %) were having Myopia and 24 (32.87%) were having Hyperopia and 22 (30.13%) were Astigmatic. It was found that male were more affected than females, having frequency of 63% and 36.98% respectively. Conclusion: Refractive error can no longer be ignored as a target for urgent action. The world must make every effort to meet the goals of VISION 2020. A child’s whole life may get ruined just because of uncorrected or inappropriately corrected Refractive error. There is dire need of public awareness regarding refractive errors and availability of services. The results show a great burden of refractive error patients on the hospital, so the facilities of the refractive services need to be increased. Keywords: Refractive error, visual acquity, Ammetropia, Hyperopia, Myopia
Impact of Integrated Modular Pharmacology Curriculum on Undergraduate Medical Student’s Performance
Authors: Inam Asma , Latif Muhammad Zahid , Qureshi Muhammad Atif
Published: November 2022

Background: Continuous efforts to reform health profession are being exercised around the world through change in medical curriculum. Gradual shift of medical teaching towards integration of basic and clinical subjects is a need of time. However, the impact of this change on students’ performance is yet not defined completely. Aim: To compare pharmacology final professional result status & mean score of undergraduate medical students taught by integrated and conventional curriculum. Methods: This observational, cross-sectional study was conducted on 305 undergraduate medical students of Azra Naheed Medical College. Students who were educated& assessed by two different teaching system were enrolled. Result status and exam score of Final term examination in Pharmacology subject were noted and compared. Data were analyzed using SPSS 22.Chi-square test and was applied for statistical significance, and p-value <0.05 was considered significant. Results: The study reflects that 55% of students are male while 45% are female. Our study indicates statistically significant higher passing percentage and exam score of students belonging to integrated modular system compared to conventional teaching system i.e., (98% Vs 89%) and (204.98±1.45 vs 188.04 ±2.45). Also, the curriculum design and result status were significantly associated with each other (Pearson chi square P-value 0.003). Conclusion: Undergraduate medical students performed better under integrated modular system than conventional teaching. MeSH words: Integrated modular curriculum, Traditional medical curriculum, Assessment score, medical education,
Determination of Anatomical Variation of Mental Foramen and Evaluation of Anterior Loop in Karachi Population Using CBCT
Authors: Shaikh Shaharyar H. , Ali Anwar , Sultan Daud , Iqbal Syeda Noureen , Shaikh M. Ilyas , Shaikh Saher , Kandhro Rehmatullah
Published: November 2022

Aim: To determine the anatomical variation in mental foramen and to evaluate the anterior loop in the population of Karachi with the use of cone beam computed tomography (CBCT). Study design: Prospective Study Place and duration: The Department Of Dental And Maxillofacial Surgery, Dr. Ishrat-ul-Ibad Khan Institute of Oral Health and Sciences Dow University of Health Sciences Karachi during September 2021 to February 2022. Methodology: A group of 160 subjects were included in this study and the simple convenient sampling technique was used to obtain data for the research. CBCT images of all patients were obtained. Results: 160 CBCT scans were obtained for this study, 76 females and the remaining 84 were males. Mental foramen was present below the second premolar and between the first and the second premolars most commonly, respectively. On the right side the mental foramen was 67.5% and 68.1% on the left. The most common shape of the anterior loop was Type-I, where Anterior Loop (AL) is unnoticeable and the anatomy is Y shaped as classified by solar et al. The AL was present more commonly on the left side 65% compared to the right side which was 59.4%. No correlation was found between anterior loop presentation and incisive canal of the mandibular region according to the Shapiro Wilk normality test (P≥0.05). Conclusion: It is evident in this study that the location of the anterior loop and mental foramen is variable in our study population. Therefore it is mandated that CBCT images should be used before any invasive procedure is undertaken in the MF region. Keywords: Anatomical variation, Mental foramen, Anterior loop, Mental Nerve, Cone Beam Computed Tomography (CBCT).
Association of Infant and Young Child Feeding (IYCF) Practices With Nutritional Status of Slum Residents of Lahore
Authors: Kazmi S. M. Umar , Hussain M. Imran , Ahmed W. , Najeeb Momina , Memon A. Gul , Shah Saleh , Chaudhary F. , Mengal S. , Iqbal R.
Published: November 2022

This world which is now a changed and highly advanced version of people is really ambitious to know about calories and nutrients intakes of its people. Abnormal intake of food is that condition which is non-reversible and also has serious devastating effect on population of each group of age. But if we consider its effect on children, that is highly complicated and such as growth retardation, severe body muscle depletion and insufficiencies of necessary nutrients that results serious bodily and mental retardation for long period of time. Awkwardly, our Pakistan is the country that has to face these types of miseries related to newborn child nutrition status and health problems. These problems are increasing day by day due to inappropriate check and balance of nutrients intake of this age group by the government and also by the parents too. Survey of Pakistan that held in two thousand and eleven indicated that approximately 44% of all young child are facing growth retardation and 15% are underweight. According to this survey, 50% kids have iron deficiency and most probably 33% are facing iron deficiency related health problems. Approximately two fourth of population are facing difficulty of food shortage that lead to poor life standard and poor health. Total evaluation of this report stated that twenty tree to thirty two million inhabitants of Pakistan living in slum areas. International data (MICS (UNICEF) is conferringthat rate of early breastfeeding in Pakistan is 18%. There is a need to assess the nutritional status of children aged less than 2 years in light of IYCF practices of their mothers residing in slum areas of Lahore. Keywords: Malnutrition, infants, young child, feeding practices
Effect of Simvastatin on Hepatic Venous Portal Gradient for Maintenance of Lipid Profile of Liver Cirrhosis patients
Authors: Malik Bilal Rafique , Asghar Umair , Anwar Rehan , Hassan Syed Mehmood-Ul- , Salim Muhammad Wasim
Published: November 2022

Background: Liver cirrhosis has an essential influence on the lipid profile. Statins have well-known beneficial cardiovascular effects reducing cardiovascular events and mortality. Aim: To compare the change in hepatic venous portal gradient with or without simvastatin for maintenance of lipid profile of liver cirrhosis patients Methods: This Randomized controlled trial was done at Department of Medicine, South medical ward, Mayo hospital, Lahore from October 2021 to March 2022.patients were randomly divided in two groups. In group A, patients were given simvastatin with standard treatment. In group B, patients were given standard treatment only. Before and after 1 month of treatment, lipid profile and HVPG level were assessed again. The change in HVPG and lipid profile was calculated. Data was entered and analyzed in SPSS version 25. Results: The mean age of patients received simvastatin was 55.26 ± 13.24 years and mean age of patients in control was 53.74 ± 16.88 years. In simvastatin group, there were 82 (54.7%) males and 68(45.3%) females. In control group, there were 93 (62.0%) males and 57(38%) females. With simvastatin, the mean HVPG level was reduced from 20.11± 6.21mg/dl to 15.42±4.71 mg/dl after a month (mean change = 4.69 ± 1.50 mg/dl). While in control group, mean HVPG level was reduced from 19.28±7.61 mg/dl to 17.82± 6.52 mg/dl after a month (mean change = 1.46±1.09 mg/dl). The effect size was 23.3% with simvastatin while 7.6% without simvastatin for reduction of HVPG in cirrhotic patients. The difference was observed to be significant (p<0.05). Conclusion: Thus, addition of simvastatin is effective in controlling lipid profile of patients with liver cirrhosis. It also has beneficial role in improving condition of liver cirrhosis patients. Keywords: hepatic venous portal gradient, simvastatin, lipid profile, liver cirrhosis, LDL, HDL, total cholesterol, triglycerides
Effects of Sciatic Nerve Mobilization on Pain, Disability and Range in Patients with Lumbar Radicular Pain
Authors: . Zainab , Anwar Sahreen , Avaid Ana , Fatimah Wajeeha , Perveen Wajida , Naseem Nimra
Published: November 2022

Background: Lumbar radicular pain is one of the leading causes of musculoskeletal disability. Variety of conventional treatment options are available. Aim: To find the effectiveness of sciatic nerve mobilization on disability and range of straight leg raise in patients with lumbar radicular pain. Study Design: Randomized control trail. Methodology: In this single blinded randomized control trial eighty patients were randomly divided in two groups. The experimental group received sciatic nerve mobilization along with routine physical therapy treatment whereas control group only received routine treatment in form of moist hot pack and back exercises. Outcomes were pain, disability and straight leg raise range measured through numeric pain rating scale, Modified Oswestry disability index MODI and inclinometer. The outcomes were assessed at baseline and at 4th and at 6th weeks of the treatment. Data was analyzed by SPSS software, version 20 as qualitative variables were expressed as mean ± SD. Paired sample t-test was applied. Results: Between groups analysis showed a significant difference in mean in both groups. Within group analysis was done using paired sample t test showed significant improvement (p <0.05) occurred in all variables in terms of pain, disability and straight leg raise range but sciatic nerve group had better improvement in terms of pain and disability as compared to conventional group. Conclusion: We concluded that sciatic nerve mobilization was an effective treatment for pain and disability in patients with lumbar radicular pain. Keywords: Lumbar Radicular Pain, Lumbar Radiculopathy, Sciatic Nerve Mobilization and Sciatic Nerve Neurodynamics.
Diagnostic Accuracy of FNAC for Detection of Malignancy in Palpable Breast Lump and its Comparison with Tru-Cut Biopsy
Authors: Noor Bashir Ahmad , Shahid Muhammad Afham , Butt Seema , Umair Afzal Muhammad , Zafar Ahmal Fawad , Ahmed Hafiz Zaheer
Published: November 2022

Breast cancer is the commonest malignancy in women worldwide and leading cause of cancer related deaths in women, almost half of these occurring in developing countries. Aim was to know the diagnostic accuracy of FNAC for detection of malignancy in palpable breast lump and its comparison with tru-cut biopsy Methodology: Six months following the publication of this report, researchers in the Surgical Department of Allied Hospital Faisalabad conducted this study. Starting on March 31st, 2019, and running all the way through September 30th, 2019. Allied Hospital Faisalabad's ethics council approved the study's summary, and patients who presented to the hospital's breast clinic with a palpable breast lump met the criteria for inclusion in the research. Across all patients, histopathology was performed on FNAC, tru-cut, and excisional biopsy specimens. H&E staining was performed on both the tru-cut biopsy and tissue specimens from later excision procedures to examine the histological characteristics of the tumor tissue. Results: In our study, out of 190 cases, frequency of malignancy on was recorded in 28.42%(n=54), the diagnostic accuracy of Tru-cut biopsy for detection of malignancy in patients with palpable breast lump taking histopathology examination after excision biopsy (HPE) as gold standard was recorded as 80.33% sensitivity, 96.12% specificity, 90.74% positive predictive value,91.18% negative predictive value and 91.05% accuracy rate, likelihood ratio was calculated as 20.72 and diagnostic accuracy of FNAC biopsy for detection of malignancy in patients with palpable breast lump taking histopathology examination after excision biopsy (HPE) as gold standard was recorded as 70.49% sensitivity, 93.80% specificity, 84.31% positive predictive value, 87.05% negative predictive value and 86.32% accuracy rate, likelihood ratio was calculated as 11.37. Conclusion: As far as diagnostic accuracy for the diagnosis of malignancy in patients with palpable breast lumps, FNAC and Tru-cut biopsy are both good, although Tru-cut biopsy is more accurate than FNAC in terms of detecting the disease. Keywords: Palpable breast lump, malignancy, diagnosis, FNAC, Tru-cut biopsy, diagnostic accuracy
Questionable Research Practices Among Dentists
Authors: Waseem Urooj , Awan Shehryar , Malik Khizar Ansar , Javed Danish , Zafar Sana , Khan Fasih Ahmad , Tariq Amina
Published: November 2022

Objective: The objective of the study is to explore the frequency of mal-practicing in terms of giving and accepting honorary authorships among dentists in private dental colleges of Lahore Method: This descriptive crossectional study was conducted to collect data from dentists working in private dental colleges of Lahore regarding plagiarism practices. Three private dental colleges were targeted from where data of 95 dentists was obtained. Data was collected using questionnaire to assess the questionable research practices. Results: Refusal on data sharing with legitimate colleagues was never practiced by majority of participants (46.1%). Addition of author(s) to a research paper who have not contributed in study was sometimes practiced by majority of participants (27.9%). Majority of participants reported that they occasionally accept honorary authorship for which you did not qualify (26.26%). Majority of participants reported that they never demanded any honorary authorship (48.41%). Refusal to give authorship to the person who had worked in the study was never practiced by majority of participants (62.11%). Majority of participants reported that they never submission without taking consent from other authors of a manuscript or grant application (65.26%). Majority of the participants reported that they never do a submission of single manuscript to more than one journals at one time (56.84%). Conclusion: Among dentist, mal-practicing in terms of collaboration and authorship is quite low as compared to in other health professional education as per literature. Keywords: Dental education, Ethical policies, Honorary authorships
Comparison of Low Dose Ketamine Versus Normal Saline in Prevention of Postoperative Shivering
Authors: Wadud Roheena , Khan Beena , Haq Imran Ul , Babar Abdullah , Farid Khayyam , Firdous Tanzeela
Published: November 2022

Background: Shaking is a frequent adverse effect of anesthesia, which may potentially exacerbate the discomfort. It is characterized by involuntary muscular contractions that can affect many muscle groups. It is extremely unpleasant and physically demanding. Objective: The purpose of this study is to examine the efficacy of Low Dose Ketamine against normal saline in preventing postoperative trembling. Study Design: Randomized Controlled Trial. Setting: Department of Anesthesiology, Khyber Teaching Hospital, Peshawar. Duration of Study: This study was conducted from 1st July 2020 to 31st December 2020. Subjects and Methods: Sixty male and female patients who volunteered for lower abdominal surgery were studied. Each block of six was shuffled before the randomization procedure began. Thirty people made up the Low Dose Ketamine group (A), and the Normal Saline group (B) (B). After 30 minutes, the Crossley and Mahajan scale was used to measure the degree to which both groups were shivering after the surgical incisions had healed. This was done so that we could gauge the accuracy of the measuring device. Results: Age range in this study was from 20 to 60 years. Efficacy was observed in 28 (93.3%) patients in group A as compare to 16 (53.3%) patients in group B (P= 0.000). Conclusion: As a consequence of this research, it appears that 0.25 mg/kg of ketamine is an effective dose for minimizing postoperative shivering after elective surgery. Keywords: Postoperative shivering, Low dose ketamine, Efficacy
Association of Lower Extremity Somatosensation Deficit with Balance and Gait in Sub-Acute Stroke Patients
Authors: Arif Sana , Shafee Iram , Riaz Nishat , Waris Isbah , Hayat Memoona
Published: November 2022

Background: A stroke occurs when the blood supply to part of your brain is interrupted or reduced, preventing brain tissue from getting oxygen and nutrients. There are three types of stroke ischemic stroke hemiplegic stroke and transient ischemic stroke. Objective: To determine the association of lower extremity somatosensory deficit in balance and gait in sub-acute stroke patients. Methods: Cross sectional survey was used in this study. The age group of participants was 40 to 75 years. Sample size was 204 calculated from Rao software and non-probability convenient sampling technique was used. Data was collected from Lahore General Hospital. Data was obtained from patient by applying distal proprioception test to assess the joint position sense. For the assessment of two point discrimination bolay gauge was used. The cutaneous vibration sensation was assessed through tuning fork. Soft goat hair brush was used to check the light touch pressure. For balance assessment berg balance scale and time up and go test was used. Gait was observed through Wisconsin gait index. Results: Mean value and standard deviation of age of participants were 62.99and 6.592 respectively. There was association of berg balance scale with two point discrimination test, light touch pressure and distal proprioception. There was no association between berg balance scale and vibration sense. Mean value and standard deviation of Wisconsin gait index was 23 and 4.986 respectively. Association between TUG and two point discrimination was found. There was no association of TUG with vibration sense, distal proprioception test and light touch pressure. Conclusion: This study concluded that balance was affected in sub-acute stroke patients due to the somatosensory deficit. Fall risk increased in the sub-acute stroke patient as the patients performance measured in time up and go test and berg balance scale. It was also inferred that while patients performing Wisconsin gait index scale, gait was affected in sub-acute stroke patients. Keywords: Balance, Gait, Sub-acute Stroke, fall risk, Somatosensory, Lower extremity
Prevalence of Dental Caries Among Physically Disable Students of Primary School in Lahore
Authors: Qureshi Shahzad Waheed , Naqvi Muhammad Moed Haidar , Ikram Amna Mehwish , Haidar Adeel , Kausar Rehana , Shahid Tayyaba Nayab , Tariq Amina
Published: November 2022

Objective: This study aimed to report the incidence of dental caries among deaf students of primary school in Lahore Method: This descriptive crossectional study was conducted at 2 private primary schools for deaf students in Lahore. Sample of the study was 150 students who were completely deaf. Data was collected by screening of oral health maintenance of students by two dentists. Chi Square test was used to explore the age wise difference in occurrence of dental caries among deaf students of primary school in Lahore Results: Overall incidence of dental caries is quite high among deaf students of primary school in Lahore (112(74.67%). Results of chi square test revealed no significant difference of incidence of dental caries in terms of age (X2=4.597, P=.204). Conclusion: In Lahore, incidence of dental caries among primary school deaf students is quite high which need to be address. Moreover, age has no significant effect on the incidence of dental caries among primary school deaf students. Keywords: Dental caries, Deaf students, Primary school, Oral health maintenance
Rezension von: Schäll, Ernst, Friedrich Adler. Leben und Werk
Authors: Schönhagen Benigna , Schäll Ernst
Published: November 2022

Ernst Schäll: Friedrich Adler. Leben und Werk. Federsee-Verlag Bad Buchau 2004. 136 Seiten mit zahlreichen Abbildungen, teils in Farbe. Pappband € 34,50. ISBN 3-925171-58-4
Rezension von: Mattern, Hans, Das untere Jagsttal
Authors: Wolf Reinhard , Mattern Hans
Published: November 2022

Hans Mattern: Das untere Jagsttal - Von Dörzbach bis zur Mündung. Baier-Verlag Crailsheim 2005. 222 Seiten. Pappband € 19,95. ISBN 3-929233-27-4
EFEKTIVITAS PENERAPAN SISTEM INFORMASI PENGELOLAAN KEUANGAN DAERAH (SIPKD) TERHADAP KUALITAS LAPORAN KEUANGAN PEMERINTAH DAERAH
Authors: Defitri Siska Yulia
Published: November 2022

Application of information systems at government agencies in particular, is quite an important role in producing high quality financial statements. The government is trying to realize the excellent service to the community by building information technology in the field of finance or accounting in relation to ​​financial Management, namely Financial Management Information System (SIPKD). The purpose of this study was to determine the influence of Implementation Effectiveness of Financial Management Information System (SIPKD) on the Quality of Financial Statements. This research was conducted at the regional work units (SKPD) within the City of Solok the number SKPD 41 units. The sample used in this study as many as 44 people SIPKD operator. Quantitative analysis techniques and simple regression analysis is used as a data analysis technique. The analysis showed the effectiveness of the implementation SIPKD significant effect on the quality of financial reporting in the City in Solok
Hybrid Analytic Method for Missing Data Imputation in Medical Big Data
Authors: BENHAMZA Karima , BENHAMIDA Nadjette , BOURAHDOUN Mohamed Ilyes , BOUDJAHEM Bilel
Published: November 2022

Compared to other traditional datasets, medical data has several hidden challenges. In fact, the possibility of missing values for certain attributes presents a great dispute for data mining researchers to make correct medical decisions. In this paper, a hybrid scheme combining the k-means method and regression analysis is proposed. A combination of these two analytical methods allows to find the best distributional model of numerical data in space and helps to predict missing data. Applied to medical data (diabetes dataset), the proposed model predicts the values with a minor error rate, which is considered very satisfactory.
Constacyclic Codes Over 𝑭𝒒[𝒖] /〈𝒖𝟑 = 𝟎〉 and Their Application of Constructing Quantum Codes
Authors: HEBBACHE Zineb
Published: November 2022

Let 𝑅 = 𝐹𝑞+u𝐹𝑞+𝑢^2𝐹𝑞, 𝑢^3=0 be a finite chain ring. In this paper, we give the structure of constacyclic codes over 𝑅 and obtain self-orthogonal codes over 𝐹𝑞 by using the Gray map from 𝑅𝑛 to 𝐹𝑞^(3𝑛). As an application, we present a construction of quantum codes from the codes obtained from this class.
Burbujas en el chocolate: equivalencia teórica con otros fluidos no Newtonianos
Authors: Tolosa Ramón , Tolosa Laura , Fraudita Freddy , Hernández José
Published: November 2022

La presencia de burbujas en el interior de los fluidos con frecuencia es un fenómeno no deseado que repercute en la calidad del producto final, como es el caso del chocolate sólido, en el que las burbujas se producen durante su fabricación en estado líquido siendo necesario eliminarlas por agitación y/o vibración antes de que solidifique. La expulsión de las burbujas fuera del fluido viene determinada por las fuerzas que actúan sobre ellas, principalmente las de flotabilidad y de arrastre, ampliamente estudiadas y calculadas en fluidos Newtonianos como no Newtonianos. Debido a que se conoce que el chocolate fundido tiene un comportamiento no Newtoniano y que su naturaleza opaca impide la observación directa de las burbujas en su interior, en este trabajo se planteó como hipótesis la posibilidad de determinar las fuerzas de flotabilidad y de arrastre utilizando formulaciones matemáticas desarrolladas en la literatura con fluidos transparentes no Newtonianos, junto con datos de las observaciones de poros en superficies de fractura de muestras sólidas. Se determinó que las burbujas tienen un diámetro de (0,1 < Ø < 3) mm, y los parámetros volumen crítico Vc = 21 mm3 y a = 1 se corresponden con los valores típicos de estos fluidos reportados en la bibliografía. El cálculo de las fuerzas involucradas en la separación de las burbujas del chocolate aporta parámetros indispensables para el diseño de un equipo agitadorvibrador.
Mapeo de la presencia, tierras y territorios de los Afrodescendientes en América Latina y el Caribe
Authors:   Rights and Resources Initiative,   Process of Black Communities,   The Pontifical Universidad Javeriana’s Observatory of Ethnic and Campesino Territories
Published: November 2022

Este estudio realiza una categorización geoespacial de la presencia territorial de los Pueblos Afrodescendientes en 16 países de América Latina y el Caribe, el estado de reconocimiento de sus derechos territoriales, y muestra la superposición con áreas de importancia para los esfuerzos de mitigación y conservación del cambio climático global. El análisis cartográfico será una herramienta de incidencia para posicionar a los Pueblos Afrodescendientes como un actor crítico en los espacios de clima y biodiversidad, incluyendo la CoP27 en Egipto y la CoP15 en Canadá.
An Unusual Cause of Cerebellitis - Case Report
Authors: CH Balasubrahmanyam
Published: November 2022

In countries where tuberculosis is still very common, millions of patients are placed under Anti-tuberculous treatment, of which Isoniazid is a component. The unfortunate co-occurrence TB in end-stage renal disease patient influences the metabolism and excretion of isoniazid and increases the chances of adverse effects. We wish to present one such patient of ours on ATT who returned to our care with neurological symptoms. Both the disease of tuberculosis and its treatment are fraught with occurrence of neurological involvement and complications. Diligent neurological examination pointed towards cerebellar pathology, possibly posterior circulation stroke. Ensuing MRI brain exhibited possible features indicative of drug (Isoniazid) induced cerebellitis. Consumption of the other two drugs, metronidazole and cycloserine, was excluded. Blood and CSF examinations did not show any abnormality. INH induced cerebellitis being our most possible diagnosis, high dose pyridoxine (100mg/day) therapy was initiated. Withing a week there was significant neurological improvement, and he was eventually discharged with modified ATT. Learning from this experience we would suggest to consider cerebellitis in patients with neurological symptoms on Isoniazid therapy and institute high dose pyridoxine therapy as a preventive measure in such patients.
Combination of Products based on Hyaluronic Acid to Achieve Maximum Performance and Natural Results in the Middle Third of the Face: A Case Series
Authors: CCMS Almeida
Published: November 2022

The middle third of the face is a wide region that is directly related to facial structure, for this reason it is a region frequently treated by professionals through cosmetic interventions. In this area there are several important structures that are correlated with each other, such as bones, ligaments, muscles, fat pads, and subcutaneous tissue. In order to properly treat the upper third of the face, it is important to know the characteristics of the products that will be used, since the interaction of the product with the anatomical area where it is injected directly interferes on the results obtained. The objective of this case series is to describe possible combinations of hyaluronic acid used in the middle third of the face to obtain natural aesthetic results. Three patients had the middle third of the face treated with an individualized treatment plan, combining different products according to the results objectives of each clinical case. The clinical cases illustrated and discussed in this case series demonstrate that the combination of hyaluronic acid-based products, the knowledge of the properties and differentials of each product, as well as the use of appropriate techniques, are favorable strategies to achieve natural results in the third face medium.
Management of Physiotherapy In Brachial Plexus Injury Post Neurotization SAN To SSN : Case Report
Authors: Hijriansyah La Ode Abdul Haris
Published: November 2022

Brachial plexus injury (BPI) is an injury to the brachial plexus that can cause muscle paralysis in the upper extremities. Based on the data, the proportion of brachial plexus injuries with total lesions (C5–T1) was 54%, partial lesions (C5-6) 24%, (C5-C7) 19%, and (C8-Th1) 3%. This case report aims to present the physiotherapy management of brachial plexus injury.

A 23-year-old man with a medical diagnosis of brachial plexus injury. Previously the patient fell from the bathroom and suffered a blow to the shoulder and fractures in the proximal 1/3 of the ulna & radial. The patient received the first medical treatment for fracture with ORIF (plate and screw), while the shoulder injury received medical treatment after 6 months. The medical procedure is SAN to SSN neurotization surgery.

The physiotherapy program provided include ROM exercise, strengthening, stretching, and release. The results of the evaluation for 3 times of therapy showed that there was a change in passive ROM, pain, edema and spasm in the shoulder region. there has been no change in muscle strength and sensory function. In addition, in the wrist and elbow region there is an increase in muscle strength.

The process of nerve recovery takes a long time, so there have not been many changes that have occurred in the patient. The process of nerve growth only occurs at 1 mm / day. Physiotherapy program given for 3 days postoperative conditions only  aim to reduce problems such as muscle spasm, edema, postoperative pain, muscle tightness, and prevent potential problems that will occur.

The physiotherapy program given can reduce secondary problems that occur in the condition 3 days after brachial plexus injury.
DESCRIPTION OF KNOWLEDGE OF PREGNANT WOMEN IN TRIMESTER III ABOUT THE IMPACT OF FATIMAH GRASS CONSUMPTION IN THE MARIANA CLINIC, MEDAN CITY IN 2021
Authors: Harefa Hasnita Treesna Sandi , Paninsari Debora , Nasution Rahma Yani , Harahap Linda Mala Sari , Damaiyanti Putri
Published: November 2022

Fatimah grass (labisa pumila) in anastatica Greek or commonly referred to as the root of Fatimah or siti Fatimah, Fatimah's kancip which comes from the Arabian peninsula. Herbal remedies are considered safe because they come from natural products and have fewer side effects. Fatimah grass (Anastatica Hierochuntica) soaking water or commonly known as Rose Jericho is used as a medicine during pregnancy, especially before delivery, which is believed to be able to launch labor, reduce postpartum bleeding and treat the postpartum period. The researchers conducted a study with the aim of knowing the Knowledge Description of Third trimester Pregnant Women about the Impact of Fatimah Grass at the Mariana Clinic in 2021. The population in this study was 30 people. From the results of research based on age (20-29) about 53.3%, age (30-39) 40%, age (40-49) 6.6%, the majority of respondents have high school education / equivalent as many as 17 people (56.6% ), while the minority of respondents had junior high school education as many as 4 people (13,3%). The majority of respondents worked as housewives as many as 19 people (63.3%), while the minority of respondents worked as civil servants as many as 3 people (10%). Based on the conclusion, it can be concluded that the Knowledge Description of Third Trimester Pregnant Women About the Impact of Grass Consumption Fatimah is mostly less knowledgeable as many as 14 people (46.6 %), while the minority of respondents are knowledgeable enough as many as 7 people (23.3%).
The Relationship between Patient Satisfaction and Mother's Class Service with the Success of Exclusive Breastfeeding at the Perlayuan Public Health Center, Pulo Padang, Kec. North Rantau Kab. Labuhan Batu 2022
Authors: Ginting Astaria
Published: November 2022

Mother's education level and mother's knowledge are important factors to support the success of exclusive breastfeeding in infants, because the higher a person's education level, the easier it is to receive information so that the more knowledge they have. On the other hand, a lack of education will hinder the development of a person's attitude towards the values ??introduced. The purpose of the relationship between patient satisfaction and maternal class services with the success of exclusive breastfeeding at the Perlayuan Public Health Center, Pulo Padang, Kec. North Rantau Kab. Labuhan Batu Year 2022. This type of research is analytic. The results showed that there was a relationship between age and participation in the class of pregnant women (p = 0.008), there was a relationship between work and participation in the class of pregnant women (p = 0.000), there was a relationship between knowledge and participation in the class of pregnant women (p = 0.000). It is recommended for pregnant women to take the time to attend counseling organized by health workers at the puskesmas about classes for pregnant women so that they can increase knowledge, attitudes and pregnant women about the benefits of doing classes for pregnant women
LOWER PALEOCENE DEEP-WATER AGGLUTINATED FORAMINIFERA FROM THE CONTESSA HIGHWAY SECTION (UMBRIA-MARCHE BASIN, ITALY): TAXONOMY, STRATIGRAPHIC DISTRIBUTION AND ASSEMBLAGE TURNOVER ACROSS THE CRETACEOUS/PALEOGENE BOUNDARY
Authors: HIKMAHTIAR SYOUMA , KAMINSKI MICHAEL A. , CETEAN CLAUDIA G.
Published: November 2022

Deep-water agglutinated foraminifera (DWAF) are investigated from the lower Paleocene of the Contessa Highway Paleocene (CHP) section in the Umbria-Marche Basin in Italy. In the lowermost part of the Paleocene corresponding to the P0–Pα interval and lowermost P1 planktonic foraminifera zones, a total of 46 species of DWAF are identified. A comparison with the uppermost Maastrichtian DWAF assemblages documented by Cetean (2009) results in a combined total of 94 DWAF species over the Cretaceous/Paleogene boundary interval at Contessa Highway. Of these, 49 species are listed as extinction taxa, nine are survivor taxa, 19 are Lazarus taxa, and 17 taxa display first occurrences in the Paleocene. The record of DWAF in the Contessa Highway Paleocene section displays a moderate decrease in diversity across the K/Pg boundary, followed by a gradual recovery in the first meter of the Paleocene. The lower Paleocene record is characterized by blooms of opportunistic species belonging to the genera Reophax, Subreophax, Repmanina, and Spiroplectinella. The K/Pg boundary interval records a major change in the proportions of DWAF morphogroups, from a suspension-feeding community in the Maastrichtian to one dominated by epifaunal detritivores in the lower Paleocene, reflecting a fundamental change in marine primary productivity following the bolide impact.
COMPARISON OF OUTCOME WITH OR WITHOUT ASPIRIN IN PATIENTS UNDERGOING CORONARY ARTERY BYPASS SURGERY
Authors: IQBAL H , KHALID W , INAM T , AAMIR M
Published: November 2022

Preoperative use of aspirin in coronary artery bypass graft surgery (CABG) might rely more on surgeon’s preference rather than on evidence-based approach. Conflicting guidelines and lack of reliable recommendations make ambiguous the preoperative aspirin administration before elective CABG. This study was conducted to compare the outcome with or without aspirin in patients undergoing coronary artery bypass surgery. The aim of the study was to compare the outcome with or without aspirin in patients undergoing coronary artery bypass surgery. This Randomized controlled trial was conducted at the Department of Cardiac Surgery, AFIC/ NIHD, Rawalpindi from 11th Dec 2018 to 10th June 2019. One hundred and fifty patients fulfilling inclusion criteria underwent through CABG were divided into two groups. In group A, 75 patients continued aspirin, while in group B, aspirin was stopped 5 days before surgery. Patient’s demographic features, comorbid conditions, Postoperative bleeding, perioperative MI and need for blood transfusion were noted. The mean age and BMI of patients were 61.41 ± 3.09 and 63.96 ± 7.64 years and 28.98 ± 2.46 and 32.61 ± 1.98 Kg/m2 in group A and B, respectively. Male to female ratios were 3.41:1 and 4.35:1 in group A and B, respectively.  Diabetes and hypertension were seen in 67(89.34%) and 59(78.67%) patients and 69(90.67%) and 70(93.34%) patients in group A and B, respectively. Perioperative MI and blood transfusion were statistically significant among both groups (5.34% vs. 9.34% patients; p=0.0001 and 5.34% vs. 1.34%; p=0.0003). Mean postoperative bleeding was 401.39 ± 121.04 and 389.21 ± 101.13 ml/24 hr. in group A and B, respectively. The continuation of aspirin therapy in patients undergoing elective CABG reduces perioperative MI, increases quantity of postoperative bleeding and need for blood transfusion. There is a significant difference in outcome with or without aspirin in patients undergoing coronary artery bypass surgery.
Online Media: Why Use It? To What Benefit? An Examination of Online Communication Within National Olympic Committees
Authors: REZZAG HEBLA Mehdi , RAHAL Farah
Published: November 2022

Relationship development is indispensable to sports organizations that are now using online media with increasing interest in building and maintaining relationships with the online publics. Most studies examining online communication are based on content analyses of organizations’ social media profiles. At the same time, only scarce literature approaches the phenomenon from an organizational perspective in that scholars try to assess the degree of online media adoption, these studies are limited by the sample typology thus limiting the generality of their findings. This study investigates online media usage purposes in 17 National Olympic Committees (NOCs) and their perceived outcomes through a qualitative approach. Respondents identified various usage purposes like information dissemination, centrality, and control over the narrative, organization, and stakeholder promotion. The most prominent outcomes of such usage are constituency knowledge, stakeholder relations, engagement enhancement and raising awareness of issues. Implications for practitioners and research recommendations were also discussed.
AÇÕES DOCENTES EM AULAS DE QUÍMICA: UM OLHAR PARA AS REGÊNCIAS DESENVOLVIDAS NO ESTÁGIO SUPERVISIONADO
Authors: De Souza Assai Natany Dayani , De Mello Arruda Sergio , Dias Broietti Fabiele Cristiane
Published: November 2022

O presente estudo busca identificar e categorizar as ações docentes manifestadas por licenciandos de Química em regências desenvolvidas no Estágio Supervisionado. Para tanto, utilizou-se como fonte de coleta de dados gravações em vídeo e áudio de três blocos de aulas ministradas pelos estagiários em momentos distintos do Estágio, os quais foram analisados mediante os pressupostos da Análise Textual Discursiva. A identificação das microações dos estagiários nortearam a categorização das ações para cada aula. Para os blocos de aulas identificados como Inicial, Intermediário e Final foram identificadas 13, 20 e 14 ações distintas, respectivamente. Assim, apresentamos o conjunto de ações representativas de aulas de Química com as seguintes características: i) expositiva com a utilização de materiais do cotidiano; ii) expositiva com experimentação e estudo de caso: e; iii) expositiva com utilização de jogo Quiz. Além disso, evidenciou-se que as aulas analisadas possuem 3 conjuntos de ações distintas: ações comuns (aulas expositivas), ações do contexto do estágio e ações relacionadas a estratégia didática utilizada. Tais resultados tornam pertinente considerar a especificidade de cada disciplina/área do conhecimento, tangenciando possíveis associações à modificação de estratégias ou opções do próprio docente. No que se refere ao Estágio, o crescente número de ações praticadas pelos licenciandos, a variação de estratégias e a incorporação de ações de forma autônoma e recorrente no decorrer das regências, reiteram a importância desse componente curricular no desenvolvimento de competências e habilidades associadas ao trabalho docente
O USO DO GEOGEBRA PARA A INTERPRETAÇÃO GEOMÉTRICA DE FUNÇÕES APLICADAS AO ESTUDO DAS PROGRESSÕES ARITMÉTICAS E GEOMÉTRICAS
Authors: Dias Ferreira Arnaldo , Régis Vieira Alves Francisco , Costa dos Santos Maria José
Published: November 2022

A matemática do ensino médio presente nos livros didáticos deixa lacunas em relação ao desenvolvimento de alguns conteúdos, principalmente os relacionados às Progressões. O objetivo desse trabalho é apresentar uma situação didática com o uso do software GeoGebra na interpretação geométrica das Progressões Aritméticas e Geométricas, possibilitando a visualização matemática a partir dos gráficos gerados. A metodologia de pesquisa adotada foi a Engenharia Didática, associada ao método de Descartes. Como resultados, constatou-se que a situação didática vivenciada com os professores, possibilitou a visualização simultânea dos gráficos referentes às progressões aritmética e geométrica, assim também como o reconhecimento da necessidade da mesma para a compreensão do conteúdo apresentado. Concluiu-se que esse estudo fomenta uma discussão sobre a importância da utilização de ferramentas digitais como o software GeoGebra, para abordar conteúdos de matemática pouco explorados pelos livros didáticos, possibilitando ampliação de sua utilização nas práticas docentes com a interpolação aritmética e geométrica
UM CONSTRUCTO ANDRAGÓGICO PARA AVALIAÇÃO DO PENSAMENTO COMPUTACIONAL NO ADULTO
Authors: Cordenonzi Walkiria Helena , Del Pino José Claudio
Published: November 2022

Atualmente, muitos cidadãos têm acesso à internet e aos dispositivos móveis, como celulares, por exemplo, e os utilizam para executarem suas tarefas tanto particulares, quanto laborais. Estas mudanças compeliram os sujeitos a serem alfabetizados digitalmente. Porém, estes conhecimentos já não estão sendo suficientes, uma vez que os mesmos são encorajados a produzir tecnologia, ao invés de somente consumir da mesma, a fim de satisfazer o mercado laboral enquanto profissional, independente da sua área de atuação. Para um sujeito se tornar um agente produtor de tecnologia, preconiza-se que este desenvolva habilidades, pelo menos, de resolução de problemas, mais precisamente o Pensamento Computacional (PC) - habilidade desejável para cidadãos do século XXI. Este trabalho teve como objetivo compreender e analisar o desenvolvimento do PC nos sujeitos adultos e para isso propõe um método de avaliação do processo de ensino e aprendizagem de Pensamento Computacional. A partir do constructo andragógico inovador, embasado na Teoria da Aprendizagem Significativa e na Andragogia, no qual foram definidos um Modelo de Referência de Pensamento Computacional, o planejamento de um curso e um modelo de avaliação, obtém-se a classificação do sujeito como Alfabetizado em Código, Pensador Computacional Desplugado ou nenhum deles
Anticoagulant Usage After Anterior Cruciate Ligament Reconstruction Is Associated With Increased Rate of Manipulation Under Anesthesia
Authors: Gu Alex , Agarwal Amil R. , Malahias Michael-Alexander , Wessel Lauren E. , Richardson Shawn S. , McDaniel Lea , Knapp Brock , Mathur Abhay , Doerre Teresa , Sculco Peter K. , Rodeo Scott A. , Kaar Scott G.
Published: November 2022

Background:

Arthrofibrosis after anterior cruciate ligament reconstruction (ACLR) is a notable but uncommon complication of ACLR. To improve range of motion after ACLR, aggressive physical therapy, arthroscopic/open lysis of adhesions, and revision surgery are currently used. Manipulation under anesthesia (MUA) is also a reasonable choice for an appropriate subset of patients with inadequate range of motion after ACLR. Recently, the correlation between anticoagulant usage and arthrofibrosis after total knee arthroplasty has become an area of interest. The purpose of this study was to determine whether anticoagulant use has a similar effect on the incidence of MUA after ACLR.

Methods:

The Mariner data set of the PearlDiver database was used to conduct this retrospective cohort study. Patients with an isolated ACLR were identified by using Current Procedural Terminology codes. Patients were then stratified by MUA within 2 years of ACLR, and the use of postoperative anticoagulation was identified. In addition, patient demographics, medical comorbidities, and timing of ACLR were recorded. Univariate and multivariable analyses were used to model independent risk factors for MUA.

Results:

We identified 216,147 patients who underwent isolated ACLR. Of these patients, 3,494 (1.62%) underwent MUA within 2 years. Patients who were on anticoagulants after ACLR were more likely to require an MUA (odds ratio [OR]: 2.181; P < 0.001), specifically low-molecular-weight heparin (OR: 2.651; P < 0.001), warfarin (OR: 1.529; P < 0.001), and direct factor Xa inhibitors (OR: 1.957; P < 0.001).

Discussion:

In conclusion, arthrofibrosis after ACLR is associated with the use of preoperative or postoperative thromboprophylaxis. Healthcare providers should be aware of increased stiffness among these patients and treat them aggressively.