bluuebunny/crossref_metadata_2025 huggingface dataset:
ESTUDIO LIQUENOQUIMICO DEL LIQUEN HYPOTRACHYNA CIRRHATA
Authors: Castro Mandujano Nino , Benites Samamé Derín , Guerrero Aquino Marco
Published: January 2024

El Perú es uno de los países más diversos del mundo, ya que contiene innumerables riquezas naturales esto es debido a una gran variedad de ecosistemas que lo hacen propicio para el desarrollo de ciertas especies entre ellas los líquenes; por ello es nuestro interés estudiar químicamente a los líquenes (liquenoquímica). En el presente trabajo se estudió el liquen Hypotrachyna cirrhata, recolectado en el distrito de Churín-Lima-Perú. Se realizaron las extracciones sucesivas fueron con metanol a partir de 150 g de muestra previamente acondicionada; los procesos de separación y purificación se realizaron mediante técnicas cromatográficas clásicas tales como Sephadex LH-20, cromatografía de columna, cromatografía en capa delgada con el fin de obtener los metabolitos secundarios puros, finalmente, elucidar sus estructuras químicas por RMN-1H. en esta investigación, a partir del extracto metanólico del liquen Hypotrachyna cirrhata fueron elucidados los compuestos: ácido protoliquesterínico, peróxido de ergosterol y 2,4- dihidroxi-3-hidroxymetil-6metilbenzaldehido.
Diagnostic Yield of Blood Cultures among Patients Admitted with Non-Focal Pyrexias
Authors: Badshah Aliena , Naseer Ahmed , Ullah Imran , Ishaq Muhammad
Published: January 2024

OBJECTIVES
To establish the diagnostic yield of blood cultures among patients admitted with non-focal pyrexias.
METHODOLOGY
This descriptive cross-sectional study was conducted in the Department of Medicine, Khyber Teaching Hospital, Peshawar, from August 2020 to April 2021. One hundred ninety-seven patients with non-focal pyrexia were recruited. Data about age, gender, presence of other illnesses like diabetes and hypertension, history of smoking and duration of fever were noted. A thorough clinical evaluation was done. Under aseptic conditions, 2 blood culture sets were taken. The final blood culture report was collected after 5 days of incubation in culture media. The culture was labelled positive if any organism was isolated from the sample. All data was entered in specially designed proforma. Patients with positive blood cultures were managed as per hospital protocols. Confidentiality of data was ensured.
RESULTSOur study shows that among 197 patients, 18(9%) had positive cultures, while 179(91%) did not yield any pathogen on blood culture. Escherichia coli was the most commonly grown organism among the positive blood cultures.
CONCLUSION
The yield of blood culture was 9% in febrile patients admitted to the medical ward of a tertiary care hospital.
Quality of Hypospadias Surgery in a High Volume Hospital: Review of Short to Medium-Term Outcomes after Snodgrass Hypospadias Repair
Authors: Haroon Naveed , Asif Muhammad , Ullah  Maryam Ikram , Khan Zakir , Rehman Shahzad Ur , Anwar Kausar , Bibi Romana
Published: January 2024

OBJECTIVES
The study aimed to review short-term and medium-term outcomes of Snodgrass repair from one-year to two-year follow-up.
METHODOLOGY
It’s a retrospective review of 114 patients (secondary data) with distal penile hypospadias without curvature who underwent Snodgrass repair performed by a single surgeon in the department of Urology, Lady Reading Hospital Peshawar from March 2021 to March 2022. Hypospadias objective score Evaluation (HOSE) was used for functional and cosmetic outcomes.
RESULTSThe mean age at the time of presentation for surgery was 3 years. The mean documented follow-up was 13 months (2-23 months). 51% (58) of patients presented with coronal hypospadias, followed by sub-coronal, distal and glanular hypospadias. Overall complication rate was 10%. Three patients developed a total breakdown of their wounds that needed further staged procedures. Meatal stenosis was noted in three patients requiring meatal dilatation, and another two came back with non-obliterative strictures. One had gentle dilatation, and the other underwent an optical urethrotomy. The rest of the four patients developed urethrocutanoeus fistulae (UCF), ultimately getting repaired 6 months postoperatively. Good cosmetic and functional results were achieved in 93% of cases (HOSE score of 14 or above).
CONCLUSION
This study shows that Snodgrass repair is the best option for mainly correcting distal penile and midshaft hypospadias and has an acceptably low complication rate with better short to medium-term outcomes.
Ultrasound Analysis of Patients with Mastalgia with and without Palpable Mass
Authors: Anjum Humaira , Iftikhar Samia , Khadim Muhammad
Published: January 2024

OBJECTIVES
To assess the clinical significance of mastalgia by investigating its association with breast lumps and the utility of diagnostic workup in cases where a palpable abnormality does not accompany mastalgia.
METHODOLOGY
This prospective cross-sectional study was conducted from May to July 2023 at the Radiology Department, Khyber Teaching Hospital, Peshawar. The sample size was 246, taking 80% prevalence of mastalgia, 5% margin of error and 95% confidence level. All females referred, after physical examination, to ultrasound breast with complaints of mastalgia were included in this study.
RESULTSAmong 246 women with a mean age of 30.9 years presented with mastalgia, 17.5% (43) had breast lump. 69.2% (170) women had BIRADS 1, while 31% (76) had BIRADS 2. None had BIRADS 3,4 or 5. 37 (15.1%) had cyclic, while 209 (85%) presented with non-cyclic mastalgia. Pathologies detected in women with lumps were abscess in 15 (34.8%), fibroadenoma in 14 (32.5%), mammary duct ectasia in 9 (20.9%), fibrocystic change in 4 (9.3%) and hematoma in 1 (2.3%) patient. Among 203 patients without palpable lump, 33 (16.3%) had positive sonographic findings, with mammary duct ectasia in 30 (91%), intramammary lymph nodes in 2 (6.1%) and fibroadenoma in 1 (3%) patient.
CONCLUSION
Sonographic findings of females with mastalgia were either normal or suggestive of benign lesions; hence, excessive use of ultrasound examinations may not be needed due to the fear of breast cancer.
Surgical Outcome of Occipitocervical Fixation for Craniocervical Instability
Authors: Amir Sohail , Ayub Shahid
Published: January 2024

OBJECTIVES
To evaluate the efficacy of Occipitocervical Fixation (OCF) in patients with craniocervical instability in two tertiary care hospitals.
METHODOLOGY
This retrospective case series study was conducted at Hayatabad Medical Complex, Peshawar, from April 2017 to December 2020. A non-probability sampling technique was used, and size was calculated via online software with a 95 % confidence level and 5% margin of error. All patients with craniocervical instability were included in our study, and those having occipital bone fractures or previously operated patients with the same technique were excluded from the study. The Nurick score was used to assess neurological function pre-and postoperatively. The demographic details of the patients, clinical features, radiographic findings (pre- and postoperative), and clinical outcomes using the Nurick myelopathy grading system were noted and entered into a structured proforma. All data were entered into SPSS Version 18 and analyzed. The results were presented in tables and pictures.
RESULTSA total of 26 cases with craniocervical instability underwent OCF. The mean age of the patients was 40.5 + 1.2 SD years. There were 10 male patients and 16 female patients. The majority of patients showed improvements in myelopathic symptoms after the operation. The mean preoperative Nurick score was 3.0. At the end of follow-up after surgery, the mean Nurick score was 2.1. There was a total of 7(14.28%) cases having complications, of which 4 (8.16%) patients had wound infection, 2 (4.08%) patients had implant failure, and 1(2.04%) had vertebral artery injury. However, no postoperative neurological deficit was observed.
CONCLUSION
Occipitocervical fixation is a reasonable option to have spinal stability, achieve bone fusion and get neurological improvement. Certain conditions complicate the procedure, but experienced hands can safely handle these.
Association between Time to Thrombolysis and Left Ventricular Systolic Function in Patients with St-Elevation Myocardial Infarction: Unraveling the Relationship
Authors: Khan Zia Ullah , Haleem Nadia , Afsar Rukhshanda , Saleem Sania , Shams Saad , Ullah Wasif , Ahmad Aftab
Published: January 2024

OBJECTIVES
To determine the association between time to thrombolysis and left ventricular (LV) systolic function in patients with ST-elevation Myocardial Infarction (STEMI).
METHODOLOGY
T This descriptive case series study compared the time to thrombolysis and LV systolic function of 149 STEMI patients. LV systolic function was evaluated following thrombolysis, and data were collected and analyzed using SPSS version 21.0 software. This study was conducted at the Ayub Teaching Hospital Cardiology Department in Abbottabad from August 2022 to January 2023.
RESULTSThe study examined how LV systolic function and symptoms in STEMI patients related to when thrombolysis was administered. The 149 patients analyzed included 28 with normal LV function, 86 with mildly impaired function, 26 with moderately impaired function, and 9 with severely impaired function. In contrast to delayed thrombolysis, which was linked to higher levels of impairment, immediate thrombolysis was correlated with a higher percentage of normal LV function. The prevalence of patients with severely compromised LV function was also higher in those who received thrombolysis within 3 to 6 hours and 9 to 12 hours. LV function was correlated with the type of myocardial infarction, with varying degrees of impairment seen in AWMI and IWMI patients. Gender had no discernible effect on LV function.
CONCLUSION
Improved LV function is associated with early thrombolysis within hours of STEMI symptoms, highlighting the significance of prompt intervention and minimizing wait times for better patient outcomes.
Examining the Relationship between Severity of Thrombocytopenia and the Pattern of Malaria: A Hospital-Based Study
Authors: Saeed Javeria Rauf
Published: January 2024

OBJECTIVES
To determine the association between the severity of thrombocytopenia and the pattern of malaria.
METHODOLOGY
This descriptive cross-sectional study included 194 patients who tested positive for malarial parasites on peripheral smear examination. The study comprised smear-positive malaria cases, both males and females, who were Pakistani nationals aged between 8 and 50. Exclusion criteria were individuals with dengue, typhoid, immunocompromised status, liver disease, and pregnancy. Data were recorded for age, gender, the pattern of malaria (Plasmodium (P). vivax, P. falciparum, or mixed), and type of thrombocytopenia (mild, moderate, and severe). The association between the severity of thrombocytopenia and the pattern of malaria was determined using a chi-square test, with the analysis stratified by gender.
RESULTSThe mean age of the participants was 28.58±11.70 years, with 114 (58.76%) being male. The lowest platelet count (64,627 ± 43,062) was found in cases of falciparum malaria, while the highest mean platelet count was found in cases of vivax malaria (130,919 ± 107,723), and this difference was statistically significant (p=0.004). The most common occurrence of severe thrombocytopenia was in falciparum malaria cases (n=11, 42.31%), and the difference was statistically significant (p=0.024).
CONCLUSION
Falciparum malaria has the lowest mean platelet count and more severe thrombocytopenia than vivax and mixed type.
A Case Report Highlighting Uncommon Histopathological Finding of Papillary Thyroid Cancer within a Thyroglossal Duct Cyst
Authors: Zeb Momina
Published: January 2024

This study discusses a case involving a 30-year-old male presented in ENT OPD with complaints of painless swelling in front of his neck. Papillary thyroid carcinoma originating from a thyroglossal duct cyst is an infrequent and atypical form of cancer. Typically, it remains undetected until surgical intervention and the optimal approach to its management is a subject of ongoing debate. Here, we present the case of a 30-year-old male who initially presented with a thyroglossal duct cyst but was subsequently diagnosed with papillary thyroid carcinoma. This case report focuses on suspecting having a Thyroglossal duct cyst, presented with painless swelling in front of the neck at the level of the hyoid bone. The mass moved when the tongue protruded but did not move when the patient swallowed. It exhibited a soft consistency during palpation, was not tender, movable, non-compressible, non-reducible, lacked fluctuation, and did not expand on the valsula while showing no changes in overlying skin temperature. TGD carcinoma can sometimes go undetected because it is a rare condition. When dealing with rapidly expanding neck masses in the midline, it's essential to conduct appropriate examinations, including neck imaging and fine-needle aspiration cytology. While the Sistrunk procedure is adequate for squamous carcinoma, differentiated thyroid carcinoma typically necessitates total thyroidectomy as the recommended course of action.
Reducción de la Brecha de Género en la Educación Ecuatoriana: Una mirada a la Perspectiva Coeducativa
Authors: Sabando Lara Cristóbal Colón
Published: January 2024

El artículo "Reducción de la Brecha de Género en la Educación Ecuatoriana: Una Mirada a la Perspectiva Coeducativa" se enfoca en analizar y abordar la desigualdad de género en el sistema educativo de Ecuador a través del enfoque coeducativo. La coeducación es una estrategia pedagógica que busca promover la igualdad de género y empoderar a estudiantes de todas las identidades de género. El artículo examina los desafíos y oportunidades que enfrenta Ecuador en su esfuerzo por reducir la brecha de género en la educación y destaca la importancia de una perspectiva coeducativa en este proceso. Se abordan temas como la igualdad de oportunidades, la eliminación de estereotipos de género, y la promoción de una cultura de respeto y equidad en las aulas. A través de un análisis detallado, el artículo presenta evidencia de cómo la coeducación puede contribuir a una educación más inclusiva y equitativa en Ecuador. Además, se discuten las políticas y estrategias necesarias para implementar con éxito la perspectiva coeducativa en el sistema educativo ecuatoriano. En resumen, el artículo aboga por la importancia de la coeducación como un camino hacia la reducción de la brecha de género en la educación en Ecuador, ofreciendo una visión integral de los desafíos y las posibilidades que esto implica.
Rol de Enfermería en los Servicios de Emergencias
Authors: Alcázar Marcillo Angélica Adriana
Published: January 2024

La inserción del enfermero en la atención de urgencia y emergencias a lo largo de la historia, permitió que estos profesionales cambiaran y ampliaran su rol, la mayoría de las veces, todavía relacionado exclusivamente con los aspectos asistenciales. Ante este escenario, este estudio tiene como objetivo describir el rol de enfermería en la atención de urgencia y emergencia. El presente estudio tiene un carácter descriptivo y exploratorio, realizado a través de una investigación bibliográfica. Para ello se seleccionaron 23 referencias relacionadas con el tema de estudio, publicadas en diferentes bases de datos confiables y de alto impacto. Los resultados mostraron que el rol fundamental de enfermería en la atención de Urgencia y Emergencia, supera las dimensiones del cuidado prestado directamente al paciente, ya que su práctica involucra también la gestión y formación de recursos humanos. Finalmente, destacamos que es de suma importancia que las enfermeras sean conscientes de su papel en la prestación de una atención integral y de calidad a los pacientes, que debe incluir tanto la asistencia y gestión del servicio.
Beneficios del Uso Temprano del Oxígeno de Alto Flujo como Reductor de Estancia Hospitalaria en Pacientes Menores de 2 Años con Diagnóstico de Bronquiolitis
Authors: Rodriguez Mera José Roberto , Chang Asinc Juan Gregorio , Troya Toro Miryam Paola , Barahona Moreta Cristina Isabel , Armijos Cevallos Ambar Noemi , Loor Reyes Natalia Fiorella
Published: January 2024

Introducción: La bronquiolitis se define como aquella patología respiratoria que afecta a las vías respiratorias inferiores con un número mayor de casos en pacientes menores de 1 año y que ocupa un gran porcentaje de ingresos hospitalarios. El uso del oxígeno de alto flujo (OAF) aporta un flujo de oxígeno, humidificado y caliente que ayuda a reducir la progresión de los efectos graves en aquellos pacientes con bronquiolitis, mejorando la oxigenación y eliminación del dióxido de carbono. Objetivo: Determinar el beneficio del uso de los dispositivos de alto flujo como reductor de estancia hospitalaria en pacientes menores de dos años con diagnóstico bronquiolitis. Pacientes y métodos: Se realiza un estudio observacional, descriptivo, analítico y retrospectivo de casos diagnosticados con bronquiolitis, los mismos que se han detectado en el área de emergencia del Hospital Roberto Gilbert Elizalde, en el periodo de tiempo de mayo 2022 a mayo del 2023. Resultados: En el periodo de mayo del 2022 a mayo del 2023, se encontraron 478 pacientes entre 0 y 2 años con diagnóstico de bronquiolitis, de los cuales 121 utilizaron como tratamiento OAF (25.3%), 95 fueron tomados para realiza nuestro estudio, de ellos 51 niños afectados (53.6%), 74 pacientes (77.9%) con crisis moderadas que se sometieron a la OAF, 77 de ellos usaron esta terapéutica en las primeras 10 horas de ingreso (81.05%), con una estancia hospitalaria en su mayoría entre 7 a 12 días (49.3%).
Síndrome de Burnout en el Personal Gerencial, de las Pequeñas Empresas en la Región de Delicias, del Estado de Chihuahua, México
Authors: Molina Lara Elia Angélica , Palafox Bolivar Marisol Priscila , Valles Alarcón Isela Adriana , Mata Carrasco Hermila
Published: January 2024

La presencia del síndrome de burnout, afecta a trabajadores del sector salud y educativo principalmente, pero también puede afectar a los empresarios y gerentes de las empresas, quienes son los que dirigen y toman las decisiones de negocios. Por ello se evaluó la presencia del síndrome de burnout en el personal gerencial de las PYMES de la región Delicias del estado de Chihuahua El enfoque fue cuantitativo. De tipo aplicada. El diseño fue no experimental, transeccional correlacional. El modo fue de campo con apoyo bibliográfico. El trabajo de investigación se realizó en la región de Delicias, entre los meses de noviembre 2021 y febrero 2022, la población de interés estuvo compuesta por empresas de 1 hasta 50 trabajadores, lo que representaban 12,596 empresas, la muestra fue con sujetos voluntarios. Los resultados obtenidos fuero que 158 personas resultaron con nivel bajo de burnout, 57 con nivel medio y 19 con nivel alto.
Enhancing awareness of cyber crime: a crucial element in confronting the challenges of hybrid warfare In Indonesia
Authors: Azzani Ihsania Karin , Adi Purwantoro Susilo , Zakky Almubarok Hikmat
Published: January 2024

The Cyber Defense Center, abbreviated as Pushansiber, is an institution responsible for carrying out the duties and functions of the Defense Strategic Installation Agency. Pushansiber has an important role in implementing governance, cooperation, operations, and ensuring cyber defense security. However, this year there has been an increase in problems related to cyber attacks, such as phishing, malware, ransomware, spam. These cyber attacks are included in the concept of hybrid warfare which is believed to be a form of conflict that involves the utilization of various elements, one of which is cyber attacks, military, political, economic, and information aspects. This causes conflict situations to be complicated and demands a comprehensive approach in terms of defense and handling, with digital literacy and cybersecurity awareness which has an important role in defense management, the need for awareness and training, simulation, and certification to strengthen cybercrime awareness in every organization. The success of other countries that have established specialized cybersecurity teams and invested in advanced technology can serve as an example for Indonesia. For Indonesia, the cooperation between National Cyber and Crypto Agency (BSSN) and the Ministry of Defense in strengthening cybersecurity capabilities is an important step to safeguard infrastructure, protect sensitive data, and reduce potential disruptions from malicious cyber activities with the aim of strengthening cybersecurity capabilities.
Extraction of Coumarin Mixture from Tamanu Oil using Food-Grade
Authors: Safrina Hapsari  , Hakun Wirawasista Aparamarta  , Nurul Jadid  , Setiyo Gunawan
Published: January 2024

Indonesia’s flora and fauna are divided into four significant ecosystems: freshwater (rivers and lakes), marine, semi-terrestrial (mangrove and riparian), and terrestrial. Tamanu (Calophyllum inophyllum) is a member of the mangrove-associated plant species belonging to the mangosteen family. It is also known as Alexandrian laurel, bintangur (Malaysia), Borneo-mahogany, polanga (India), and nyamplung (Indonesia). The tamanu seed can produce oil with a 60-75% yield. It is applicable to treat various skin problems, including eczema, psoriasis, herpes, acne, haemorrhoids, and certain allergies. It is also beneficial as an antimicrobial, anticancer, anti-HIV, anti-inflammation, and anticoagulant agent. This is because tamanu oil contains bioactive compounds named coumarin. Previous works isolated coumarins with toxic solvents and using methods that are hard to scale up. Therefore, this study aims to know the best concentration of food-grade ethanol, the number of stages, and the solvent system to extract crude coumarin mixtures from tamanu oil by batchwise solvent extraction. The free fatty acid and triglyceride removal was also studied. The initial contents of free fatty acid, coumarin mixture, and triglyceride in tamanu oil were 25.87%, 11.96%, and 51.16%, respectively. Tamanu oil was extracted simultaneously with binary solvents (n-hexane and 70%/80%/90% aqueous food-grade ethanol) and a single solvent (96% food-grade ethanol). Each fraction was analysed by Thin Layer Chromatography (TLC) and High Temperature-Gas Chromatography (HT-GC). The best result was obtained using 80% aqueous food-grade ethanol, eight extraction stages, and a binary solvent system, which produced 48.64±6.57% purity and 88.68±1.38% recovery of coumarin mixture. Moreover, it was found that the method removed 64.15% of free fatty acid and 99.96% of triglyceride from the crude tamanu oil after eight stages of batchwise extraction.
PERANAN DANA BANTUAN KELUARGA HARAPAN (PKH) DALAM MENINGKATKAN KESEAHTERAAN EKONOMI UMAT KAJIAN HUKUM EKONOMI SYARI’AH (Studi Kasus di Desa Haurpanggung Kec.Tarogong Kidul Kab. Garut)
Authors: Munir Ridwan , Anisah Anisah
Published: January 2024

Dalam Islam bantuan sosial merupakan bantuan sosial untuk membantu semua umat, dan adanya anjuran saling tolong menolong pada kebaikan karena dari bantuan yang diberikan baik dalam bentuk kebutuhan pokok yang dibutuhkan masyarakat yaitu sembako, uang tunai, dan pendidikan serta pelayanan kesehatan. Sehingga.
Masalah yang diteliti dalam penelitian ini adalah: 1). Bagaimana Peranan dana bantuan Program Keluarga Harapan (PKH) Terhadap Peningkatan Kesejahteraan Perekonomian Umat di Desa Haurpanggung Garut?, (2). Apakah Penyaluran dana bantuan program keluarga harapan (PKH) di Desa  Haurpanggung Sesuai Dengan Hukum Ekonomi Syari’ah?
Tujuan penelitian adalah: 1). Untuk menganalisis apakah Peranan dana bantuan Program Keluarga Harapan (PKH) Terhadap Peningkatan Kesejahteraan Perekonomian Umat di Desa Haurpanggung Garut?, (2). Apakah Penyaluran dana bantuan program keluarga harapan (PKH) di Desa  Haurpanggung Sesuai Dengan Hukum Ekonomi Syari’ah?
Metode Penelitian yang dgunakan adalah“penelitian kuantitatif dan penelitian kepustakaan (Library Research). Penelitian ini bersifat penelitian kuantitatif yaitu penelitian yang menggunakan metode survei untuk mengambil data dari populasi yang besar.
Hasil penelitian bahwa Peranan Dana Bantuan Program Keluarga Harapan dapat meningkatkan Kesejahteraan Ekonomi Umat di Desa Hurpanggung Kec. Tarogong Kidul Kab. Garut dan program PKH ini telah berhasil meningkatkan perekonomian masyarakat di Desa Haurpanggung tersebut, dan ini sesuai dengan prinsip Hukum Ekonomi Syariah.
Kata kunci : Dana, PKH,Hukum Ekonomi Syari’ah, Kesejahteraan Ekonomi Umat.
Subacute right ventricular perforation from a passive fixation pacemaker lead - a multidisciplinary diagnostic and management work-up
Authors: Vasilev S. , Ivanova S. , Keltchev A.
Published: January 2024

Cardiac implantable electronic devices (CIEDs) implantation procedure has a complication rate of 5-6% according to most studies. Lead perforation is a possible and serious adverse event which can present with a spectrum of symptoms from asymptomatic to sudden death. Diagnostic tools in case of suspected lead perforation are X-ray, transthoracic echocardiography, pacemaker interrogation and computed tomography with the last one being the gold standard. Lead extraction could be done endovascularly or surgically. Transvenous removal is a possible option for active ﬁ xation leads, while removal of passive ﬁ xation leads is preferably done surgically, because of the bulky tip of the lead, which could damage the heart chambers and the vessels. In this article, we present a case of a massive ventricular perforation from a passive ﬁ xation lead, further complicated by a cardiac tamponade. Surgical removal was the treatment of choice with subsequent implantation of a permanent dual-chamber pacemaker. 
Assessment of the effect of catheter ablation on quality of life and predictors of improvement in patients with atrial fibrillation
Authors: Dzhinsov K. , Georgieva E. , Traykov V. , Bardarska L. , Boychev D. , Balabanski T.
Published: January 2024

Introduction: Over the last decades the rate and rhythm control options available for patients with atrial ﬁ brillation (AF) have been aimed at improving arrhythmia symptoms and quality of life (QoL). In terms of rhythm control catheter ablation has become a valid treatment option. Since it is an invasive and relatively costly procedure generally performed with the aim of symptom control, obtaining information on the degree to which QoL is affected by the intervention is of great importance. The aim of the present study was to assess the effect of pulmonary vein isolation (PVI) on the QoL of patients with AF and to determine the factors of greatest inﬂ uence on the change in QoL. Material and methods: This was a multicenter prospective cohort study involving patients with atrial ﬁ brillation who underwent radiofrequency PVI. Standardized questionnaires and scores were used to assess QoL before the procedure and at the end of the follow-up period. Results: The study included 131 patients at mean age of 59 ± 9.27 years, 75.6% (n=99) were men. The patients were followed for a mean of 39.7 ± 13.3 months. At the end of the follow-up period, we observed a signiﬁ cant improvement (p < 0.001) in all domains of quality of life compared to baseline. Through multivariate regression analysis, left ventricular ejection fraction (p = 0.047), mitral regurgitation (p < 0.0001), body mass index (p = 0.002) and recurrences within the ﬁ rst 3 months following PVI (p = 0.009) were found to be independent predictors of the change in QoL before and after ablation. Conclusion: Catheter ablation of atrial ﬁ brillation results in improvement of QoL in patients with AF. Left ventricular ejection fraction, functional mitral regurgitation, body mass index and recurrences within the ﬁ rst 3 months following PVI are important predictors of change in QoL after radiofrequency ablation. They are to be considered when choosing therapeutic strategy and deﬁ ning the individual approach to each AF patient.
Structured Examination of the Scrotum and Penis
Authors: Reitman David S. , Orionzi Bako , Acholonu Chidimma J.
Published: January 2024

Primary care pediatricians, family practitioners, and primary care advanced practice clinicians frequently need to examine male adolescent genitalia as part of a comprehensive physical examination. Although this part of the examination may be uncomfortable for clinicians, taking a structured approach to the examination can mitigate clinicians' apprehension as well as enhance their ability to use this evaluation to identify potential pathology for the patient. Familiarity with the male genitourinary examination will also allow clinicians to definitively identify medical urgencies and emergencies for timely intervention. This review will provide the clinician with a structured approach to the male genitourinary examination while highlighting common pathology that may be encountered during the examination.

[
Pediatr Ann
. 2024;53(1):e5–e9.]
Modeling and analysis of Cystic Echinococcosis epidemic model with health education
Authors: Cui Qianqian , Zhang Qiang , Hu Zengyun
Published: January 2024

The prevention and control of the spread of Cystic Echinococcosis is an important public health issue. Health education has been supported by many governments because it can increase public awareness of echinococcosis, promote the development of personal hygiene habits, and subsequently reduce the transmission of echinococcosis. In this paper, a dynamic model of echinococcosis is used to integrate all aspects of health education. Theoretical analysis and numerical model fitting were used to quantitatively analysed by the impact of health education on the spread of echinococcosis. Theoretical findings indicate that the basic reproduction number is crucial in determining the prevalence of echinococcosis within a given geographical area. The parameters of the model were estimated and fitted by using data from the Ningxia Hui Autonomous Region in China, and the sensitivity of the basic reproduction number was analysed by using the partial rank correlation coefficient method. These findings illustrate that all aspects of health education demonstrate a negative correlation with the basic reproduction number, suggesting the effectiveness of health education in reducing the basic reproduction number and mitigating the transmission of echinococcosis, which is consistent with reality. Particularly, the basic reproduction number showed a strong negative correlation with the burial rate of infected livestock ($ b $) and the incidence of infected livestock viscera that is not fed to dogs ($ q $). This paper further analyzes the implementation plan for canine deworming rates and sheep immunity rates, as well as the transmission of infected hosts over time under different parameters $ b $ and $ q $. According to the findings, emphasizing the management of infected livestock in health education has the potential to significantly reduce the risk of echinococcosis transmission. This study will provide scientific support for the creation of higher quality health education initiatives.
DOVER BRONZE AGE BOAT: THE BOAT, THE REPLICA, THE LEGACY
Authors: Holt C
Published: January 2024

Hailed as one of the greatest archaeological discoveries of the 20th century, the Dover Bronze Age boat is one of the oldest sea-going boats in the world.
Thirty years after its discovery, it is important to remember its incredible but little-known story. This paper will summarise over two decades of fascinating international research and experimentation. It will also document first-hand discussions with key members of the team that made the replica. I will also reflect on first-hand experience of maintaining and operating the replica boat, as well as being responsible for the conservation of both the original boat and decision making for the long-term future of the replica.
This discussion will be broken down into three main sections: “the Boat”, “the Replica” and “the Legacy.”
Imaging in hepatopulmonary syndrome- case report. A multicenter approach during the coronavirus pandemic
Authors: Ahmmed Afsara Anisa , Kulshrestha Randeep
Published: January 2024

A 60-year-old lady with alcoholic liver disease developed central cyanosis and orthodeoxia. A technetium-99m macro-aggregated albumin lung perfusion scan and contrast echocardiogram were performed. A 13% right to left shunt was calculated from the macro-aggregated albumin scan. There were more bubbles in the left heart than the right at the end of the contrast echocardiogram. Hepatopulmonary syndrome was therefore diagnosed. The patient had a liver transplant five days after these investigations. Further discussion about hepatopulmonary syndrome will be provided.
Normally, macro-aggregated albumin scans are performed in few centers, however as this was at the height of the coronavirus pandemic, the scan needed to be performed locally to reduce the chance of the patient getting coronavirus. Local radiographers were remotely instructed on conducting the macro-aggregated albumin scan by a larger center to provide a timely and important investigation in a logistically difficult scenario.
L’ici et l’ailleurs : les paysages d’Hamlet
Authors: Drouet Pascale
Published: January 2024

L’Hamlet de Shakespeare est une tragédie dans laquelle l’espace semble se replier sur lui-même. Si l’ici du Danemark se réduit à un univers carcéral, est-ce dans un ailleurs qu’il faut rechercher le déploiement d’un paysage ? Cet article commence par montrer que l’ici, qui s’est paradoxalement transformé en terre d’exil pour Hamlet, est figuré par des métaphores d’enferment, par une absence de profondeur de champ, par des espace « haptiques » et non « optiques » (Deleuze et Guattari). Il s’intéresse ensuite aux paysages mentaux de l’ailleurs générés soit par la mémoire (de l’avant Réforme), soit par l’imaginaire (de l’au-delà), afin de voir comment sont évoqués en filigrane, d’une part, les vestiges de lieux de culte catholiques (sanctuaire de Notre Dame de Walsingham ; fresque de danse macabre), d’autre part, la cartographie de l’effroi suscitée par « [t]he undiscovered country from whose bourn / No traveller returns » (3.1.78-79).
Lieux interdits. Topiques du féminisme chez Mary Wollstonecraft
Authors: Zimpfer Nathalie
Published: January 2024

Cet article propose une lecture du périple scandinave de Mary Wollstonecraft, raconté dans ses Letters Written During a Short Residence in Sweden, Norway, and Denmark (1796), dans une perspective politico‑phénoménologique. Le texte est ici analysé moins comme récit de voyage que comme autoportrait, participant à la construction par Wollstonecraft d’une identité transgressive. Wollstonecraft procède à la métaphorisation des préoccupations centrales à tout récit de voyage, soit les questions de lieu et de mouvement, pour mieux mettre en avant un refus résolu du partage du sensible (Rancière). Moins ostensiblement politique que les deux Vindications, Short Residence témoigne pourtant du même refus des limites imposées aux femmes et affirme sa spécificité en établissant un lien entre lieux symboliques et lieux physiques.
Shifting Geographies and Literary Space in Pierre d'Avity’s The Estates, Empires, & Principallities of the World (1615)
Authors: Matei-Chesnoiu Monica
Published: January 2024

This essay examines the English translation by Edward Grimestone of Pierre d’Avity’s The Estates, Empires, & Principallities of the World (1615), in relation to the French original, entitled Les Estats, Empires, et Principautez du Monde (1614), in order to show the interpenetration and contamination of geographic discourse in French and English. The argument is based on the notion of “literary space”—as in Maurice Blanchot's L'espace littéraire (1955)—which is the space developing "violently" (Blanchot 29) during the mutual contestation between the power of saying (“pouvoir de dire”) and the power of hearing (“pouvoir d’entendre”). D’Avity's geographic and cultural treatise is a metatext, combining human geography (sociology, history, religion, arts and literature) with economic geography, as well as demography and ethnography, as texts cross-polinate with other classical and early modern historical and geographic discourses. Literary space in d’Avity’s treatise is closely related to word, text, and image, so the French original and the English translation work like shifting and overlapping tectonic plaques, which interpenetrate with each other. Whereas the English version focuses pragmatically on European culture and its avatars, adding or omitting several places, according to the translator’s experience, the treatise in French offers a hugely comprehensive view of the world’s geographic space through the territories and the peoples it evokes. The treatise is inscribed in the niche of emerging seventeenth-century literary geography discourses, and the fact that its popularity has not survived for too long after this period is not a result of the text’s shortcomings, but of the competitive development of geographic and ethnographic knowledge.
Por que ler (esses) “clássicos”?
Authors: Teixeira Carla Costa , Cunha Raissa Romano
Published: January 2024

Este artigo objetiva discutir a formação obrigatória ofertada nos Programas de Pós-graduação de Antropologia (PPGA) via o mapeamento documental dos “clássicos” indicados nas disciplinas obrigatórias teóricas do mestrado. O escopo da pesquisa reuniu o levantamento de dois mil e oitenta e dois títulos indicados em Clássicos I e II na UnB ao longo dos anos de 1972-2019, e novecentos títulos que compõem as ementas de disciplinas correlatas em vinte PPGA no Brasil. Ao analisar esse conjunto de dados visamos contribuir para o debate em torno da formação dos/as antropólogos/as brasileiros/as por meio de uma atenção especial aos documentos, nos quais a noção de clássico assume materialidade ao longo das décadas a partir de obras e autores. Em que pesem as crescentes disputas – em nosso país e alhures – em torno de quais autores e obras devem ou não constar na formação obrigatória, o processo de mapeamento documental evidenciou regularidades institucionalizadas nas inclusões e exclusões de autores e obras nos diversos PPGA em nosso país. Desta perspectiva, buscamos, por um lado, avançar na compreensão do contexto em que tal debate tem se dado mais recentemente; por outro, refletir sobre o uso das metáforas de “linhagens”, “ancestrais” e “pais fundadores” para pensar laços intelectuais e teóricos considerados centrais ao campo disciplinar e à formação antropológica dos neófitos. Por fim, esboçamos algumas possibilidades interpretativas considerando a relevância da experiência de ensino da antropologia.
Inculturação e lutas ambientais: Igreja Católica, esfera pública e preservacionismo antropocêntrico no Brasil
Authors: Rufino Marcos Pereira
Published: January 2024

O artigo investiga a crescente aproximação entre Igreja Católica e ambientalismo no Brasil e procura demonstrar – por meio de uma leitura antropológica das Campanhas da Fraternidade que tematizam questões relativas à sustentabilidade e crise ambiental – como o episcopado nacional tem se esforçado em reinventar a teologia da inculturação como um sistema que incorpora, entre outros elementos, também o “mundo natural”. Sugere-se a hipótese de que a Igreja tem produzido uma narrativa simbólica que articula os elementos fundamentais de sua concepção teológica sobre a Criação ao conjunto de representações sociais que conhecemos por ecologia. Essa narrativa ecoteológica promove uma nova perspectiva de leitura dos textos bíblicos que procura recriar as relações entre cristianismo e “natureza”, projetando em um passado distante as origens de um certo ativismo ambientalista católico. Mesmo que marcada por categorias antropocêntricas, essa nova narrativa apostólica procura afirmar, a favor da Igreja Católica e suas pastorais, um lugar de destaque na esfera pública entre os demais agentes e instituições relevantes nas lutas ambientais do presente.
Inculturation and environmental struggles: Catholic Church, public sphere and anthropocentric preservationism in Brazil
Authors: Rufino Marcos Pereira
Published: January 2024

The article investigates the growing convergence between the Catholic Church and environmentalism in Brazil, aiming to demonstrate – through an anthropological reading of the Fraternity Campaigns that address sustainability and environmental crisis issues – how the national episcopate has been striving to reinvent the theology of inculturation as a system that incorporates, among other elements, the “natural world” as well. The hypothesis is suggested that the Church has been producing a symbolic narrative that articulates the fundamental elements of its theological conception of Creation with the set of social representations we know as ecology. This ecotheological narrative promotes a new perspective for interpreting biblical texts, seeking to recreate the relationships between Christianity and “nature” by projecting the origins of a certain Catholic environmental activism into a distant past. Despite being marked by anthropocentric categories, this new apostolic narrative seeks to assert, in favor of the Catholic Church and its pastoral work, a prominent position in the public sphere among the other relevant agents and institutions involved in present-day environmental struggles.
De um lado, sobrecarga de trabalho; de outro, falta de concentração: a relação entre docentes e estudantes de escola pública e privada de Porto Alegre durante o ensino remoto emergencial na pandemia de Covid-19
Authors: Peres Fabíola de Carvalho Leite , Oliven Ruben George
Published: January 2024

O ensino remoto emergencial, observado de 2020 a 2021 durante a pandemia de Covid-19, sob a perspectiva de estudantes e educadores de uma escola pública e uma escola privada de Porto Alegre/RS, além de saberes situados, reverbera questionamentos para fora deste marco temporal extraordinário. A pesquisa etnográfica, realizada em duas etapas principais - entrevistas com equipes pedagógicas e observações participantes de aulas síncronas - identificou fatores que, até a pandemia, não estavam no centro das reflexões acerca da desigualdade educacional (tecnológicos, familiares, emocionais e de infraestrutura doméstica), além de comportamentos, personalidades, linguagens e referências culturais diferentes de acordo com a classe social e o gênero do estudante. Do ponto de vista dos profissionais educacionais, à realidade dura das educadoras da instituição pública (acúmulo de disciplinas, extensa carga horária de trabalho e triplas jornadas) se somaram descobertas sobre o relacionamento professor-aluno e escolhas metodológicas online.
On the one hand, excessive workload; on the other, lack of concentration: the relationship between teachers and students from private and public school in Porto Alegre, Brazil, in emergency remote teaching during the COVID-19 pandemic
Authors: Peres Fabíola de Carvalho Leite , Oliven Ruben George
Published: January 2024

Emergency remote teaching observed from 2020 to 2021, during the COVID-19 pandemic, reverberates questions beyond this extraordinary time frame when seen from the perspective of students and educators of a state school and a private school in Porto Alegre/RS, and additional situated knowledge. The ethnographic research, conducted in two main stages – interviews with teaching teams and participant observations of synchronous classes –, identified factors that until the pandemic were not at the center of reflections on educational inequality (technological, family, emotional, and domestic infrastructure), together with different behaviors, personalities, languages, and cultural references depending on the student’s social class and gender. From the point of view of educational professionals, the harsh reality of educators in public institutions (accumulation of subjects, extensive workload, and triple shifts) was compounded by discoveries concerning the teacher-student relationship and online methodological choices.
Corpo-comunidade e consenso: o estatuto da palavra em uma assembleia zapatista
Authors: Maciel Lucas da Costa
Published: January 2024

Partindo das relações descritas por Paoli entre palavra, consenso e comunidade no contexto das assembleias comunitárias tseltal, o interesse deste artigo é redescrever o quê cria a palavra zapatista e quais relações ela encaminha. Para isso, se detalhará uma perspectiva etnográfica a respeito da materialidade da palavra. Este exercício percorrerá a potência desta última em termos de dois relatos de criação: o Popol Vuh dos maias ki’che’ e La historia del aire de la noche, do Velho Antônio, dado a conhecer em um dos comunicados do Exército Zapatista de Liberação Nacional. A partir daí, esmiuçaremos o modo em que a noção de pessoa tsotsil se compatibiliza a uma filosofia política ameríndia, constituindo o impulso de fundo da autonomia zapatista. Corpo-comunidade é o conceito que usaremos para descrever o efeito do consenso e que guiará a etnografia das assembleias tsotsil e zapatistas.
I santi degli altri. Devozione, mutamento e rituali tra i singalesi cattolici a Messina
Authors: Cordova Giovanni
Published: January 2024

In questo articolo esamino il mutamento, innescato dall’esperienza della mobilità transnazionale, cui riti e pratiche devozionali attivati dai singalesi cattolici nella città di Messina vanno incontro mediante l’inclusione di figure sante conosciute e introdotte nei repertori devozionali in seguito alla migrazione. Da questa prospettiva, i processi di costruzione della santità alla base di tali costellazioni rituali, utili per una riflessione sulla vernacolarizzazione del discorso religioso nei terreni post-coloniali della Chiesa “multiculturale” in Occidente, verranno analizzati nell’interazione che li lega ai rapporti di potere ecclesiali, all’esperienza quotidiana del sacro e alle traiettorie esistenziali-biografiche degli attori religiosi. I singalesi cattolici di nazionalità srilankese residenti nella città di Messina costituiscono una presenza ormai pienamente radicata nel paesaggio migratorio locale e negli anni hanno progressivamente istituzionalizzato la loro appartenenza religiosa a partire da relazioni stabili (ma soggette a continua negoziazione) con la diocesi messinese. Attingendo a un lavoro di ricerca etnografico realizzato negli ultimi due anni e focalizzato sui processi di home-making perseguiti in migrazione attraverso pratiche e attività di tipo rituale, prendo in considerazione due esempi di pratiche rituali incentrate su figure sante incontrate e conosciute nell’esperienza della mobilità (come Sant’Elia) o verso le quali la devozione non è consolidata nei contesti di provenienza in Sri Lanka, essendo invece alimentata dalla Chiesa messinese (come San Giacomo), comprendendole all’interno del contesto complessivo delle relazioni sociali e politiche entro le quali maturano repertori culturali e idiomi devozionali.
Méditerranéïté et romanité en Tunisie : l’inquiétante étrangeté d’un patrimoine
Authors: Saidi Habib
Published: January 2024

Cet article explore la relation complexe et en constante évolution entre la Tunisie et son héritage méditerranéen à travers le prisme de la promotion touristique. Il scrute un double récit promotionnel. L'un est explicite, orienté vers l'extérieur, visant à renforcer les liens géopolitiques avec l'Europe et à répondre aux attentes des touristes occidentaux. L'autre, plus subtil, se concentre sur des considérations historiques, politiques et socioculturelles. Après avoir survolé l'exploitation coloniale de l'héritage romain, l'article se penche sur l'ère postcoloniale, où le régime d'Habib Bourguiba a utilisé le tourisme comme levier de modernisation et de rapprochement avec l'Europe, redéfinissant ainsi la position géopolitique de la Tunisie. Le régime de Ben Ali a mis l'accent sur la "réconciliation" entre le passé et le présent, accordant une importance accrue à Carthage. L'ère post-révolutionnaire évolue subtilement vers la promotion de l'héritage punique du pays. Cet article met en lumière l'interaction entre la position méditerranéenne de la Tunisie, le tourisme, et ses héritages antiques à l’épreuve des enjeux géopolitiques en Méditerranée.