bluuebunny/crossref_metadata_2025 huggingface dataset:
Detection of Extracellular Lipases and Genotypic Identification from Yeast Causing Spoilage of Some Dairy Products Produced in Gaziantep
Authors: TOKAK Semih , KILIÇ İbrahim Halil , YALÇIN Hüsniye Tansel , DURAN Tuğçe
Published: June 2019

Yeasts are usually found in high amounts in dairy
products, which show their ability to adapt to substrates rich in protein,
lipid, sugar and organic acids. A wide distribution of yeast in dairy products
is a result of proteolytic and lipolytic activities. Spoilage yeasts and molds
can grow in most processed and raw foods, where environmental conditions are
not suitable for most bacteria (low pH, low water activity, aw). Nutrients and
oxygen in food are the main factors that determine the type of fungal spoilage.
In this study, dairy products samples (yoghurt, cream, butter, curd cheese,
Antep cheese) were collected from local
markets in Gaziantep province. In our study, a total of 20 yeast strains were
isolated from dairy products and investigated for lipase activities in solid
media containing tributyrin. Twenty yeast isolates identified by
amplification and sequencing of the ITS region using ITS1 and ITS4 primers Yeasts were identified as Kluyveromyces marxianus (8 isolates), Candida intermedia (8 isolates), Pichia fermentans (2 isolates), Yarrowia lipolytica (1 isolate), Kluyveromyces lactis (1 isolate).
Efectividad del b-learning sobre rendimiento académico y retención en estudiantes en educación a distancia
Authors: Ángel Osorio Julialba , Castiblanco Sandra Liliana
Published: June 2019

En Colombia, el aumento de la deserción en Instituciones de Educación Superior justifica la necesidad de evaluar nuevas modalidades de enseñanza combinada que permitan disminuir las cifras presentadas. El propósito de la investigación fue determinar la efectividad de la implementación del blended learning (b-learning), sobre las variables: calificación promedio, calificación con más alta frecuencia, deserción estudiantil y porcentaje de aprobación, así como identificar los principales problemas y causalidades que limitan el alcance de la implementación del b-learning en un programa académico profesional, en una universidad a distancia en Colombia. La metodología implementada se aplicó para dos modalidades de educación e-learning y b-learning. Los resultados obtenidos muestran que, la calificación final promedio de los estudiantes fue superior en 20,33 puntos para el período académico donde se usó la estrategia b-learning. Se encontró que la deserción estudiantil entre los períodos académicos de estudio pasó de 12,33 % a 2,81 %; de donde se deduce que el b-learning contribuyó a mejorar la tasa de retención estudiantil. En consecuencia, se concluye que la implementación de b-learning mejora tanto el porcentaje de aprobación del curso, como la retención estudiantil, por lo que se recomienda su implementación en los cursos de educación a distancia.
El objeto del deseo en el ritual judicial: entre el discurso eficientista y el debido proceso
Authors: Solano Gómez Diana Marcela
Published: June 2019

En 2016, dos abogados demandaron ante la Corte Constitucional la Ley que reformó el proceso judicial laboral al remplazar las tradicionales formas escritas por nuevas prácticas orales. Consideraban que esta reforma imponía “una rigurosa limitación de tiempo” a diferentes etapas del proceso, vulnerando así derechos fundamentales como el debido proceso y el acceso a la administración de justicia. Si bien la Corte resolvió declararla constitucional, las críticas por parte de jueces y abogados a las nuevas dinámicas procesales continúan. En este artículo analizo dicha problemática resignificando el proceso judicial al estudiarlo, más que como un esquema técnico-normativo, como un ritual ceremonial que expresa rasgos relevantes tanto de la cultura que lo concibe como de aquella que lo práctica. Para ello, realizo un análisis comparado de los símbolos que se protegen y aprecian en ambos esquemas procesales (escrito y oral), a la luz de la operacionalización que del concepto Tótem, del psicoanálisis Freudiano, realiza el jurista Daniel Marrani. A partir de estos referentes, analizo las entrevistas y datos obtenidos en el campo para finalmente exponer como los símbolos de ambas culturas se sincretizan en las prácticas y creencias cotidianas de jueces y abogados, dando lugar a diversas perspectivas sobre los aspectos fundamentales del proceso y, por tanto, a diversos rituales judiciales al interior del mismo Palacio de Justicia.
Effect of lipid-lowering activity of the natural original enzyme preparation in the experiment
Authors: Klyueva N.N. , Okunevich I.V. , Parfenova N.S. , Belova E.V. , Ageeva E.V.
Published: June 2019

The experimental study in vivo was aimed at evaluation of hypolipidemic action of the original natural microbial enzyme preparation of cholesterol oxidase (CHO). In preliminary chronic experiments in rats, rabbits, dogs, low toxicity, good tolerability, and anti-atherosclerotic activity of the CHO preparation were established. To assess the effect of CHO under conditions of moderate, nutritional, atherogenic dyslipoproteinemia, experiments were carried out in rats, guinea pigs, and rabbits. It was shown that administration of CHO had the pronounced lipid-lowering effect in models of atherogenic dyslipoproteinemia induced in these animals.
Modified ovarian response prediction index: a novel index for ovarian response prediction in GnRH agonist cycles
Authors: Kalpana B. , Panda Soumya Ranjan
Published: June 2019

Background: Evaluation of the ovarian reserve is necessary to achieve an appropriate controlled ovarian stimulation (COS). This can be done by correctly predicting the ovarian response. The objective of this study was to derive a simple index by combining the above parameters which will be helpful determining ovarian response.Methods: This retrospective analysis was performed at Guru hospital, Madurai, involving 162 patients between July 2016 and July 2018. Inclusion criteria was all patients attending for their first ICSI (intracytoplasmic sperm injection) cycle between the above period, GnRH agonist protocol as the method of ovarian stimulation, no history of any previous ovarian surgery, presence of both ovaries and no evidence of any obvious endocrine disorders. We calculated MORPI values by multiplying the AMH (ng/ml) level by the number of antral follicles (2-9 mm), and the result was divided by the age (years) of the patient and the day- 3 serum FSH level.Results: At a cut-off value of 35 (AUC-0.952) for collection of ≥ 4 oocytes and 140 (AUC-0.952) for collection of ≥ 15 oocytes, MORPI was found to have optimum sensitivity and specificity under ROC curve analysis.Conclusions: MORPI is a simple, precise and cost effective index to predict a low ovarian response, the collection of >4 MII oocytes and an excessive ovarian response in infertile women. This index also has a good ability to predict the clinical pregnancy rate. This might be used to improve the cost-benefit ratio of ovarian stimulation regimens.
Key predictors of modern contraceptive use among women in marital relationship in South-West region of Nigeria
Authors: Oladosun Muyiwa , Akanbi Moses , Fasina Fagbeminiyi , Samuel Gbemisola
Published: June 2019

Background: Nigeria’s population is the seventh largest in the world and is projected to be the fourth largest by 2050. The demographic scenario is akin by persistent high fertility and low contraceptive use. This paper examined factors influencing contraceptive use among women in marital relationship in south-west region which has the highest percentage of use compared to other regions.Methods: A sub-sample of 3,784 women in marital relationship in the south-west region aged 15-49 was extracted from the 38,945 nationally representative samples of the 2013 Nigeria Demographic and Health Survey (NDHS). The dependent variable was contraceptive use, and key predictors include fertility behavior, employment, agents of modernity, and background factors. Logistics regression techniques were used in modeling the multivariate relationships.Results: Results showed that contraceptive use varied significantly by state of residence. It increased (odds = 3.6, p-value=0.000) for respondents with higher education compared to the uneducated. Also it increased (odds = 2.84, P-value=0.000) for the richest sub-group compared to the poorest/poorer category. The odds of using contraceptive increased (odds=2.20, P-value=0.000) for respondents who preferred no other child compared to their counterparts who preferred to have additional; and it decreased (odds=0.37, P-value=0.000) for those who had two or fewer children compared to those who had three or more.Conclusions: Policies and programme intervention should consider education, wealth status, and preference for additional child, and number of living children as key to increasing contraceptive uptake in the region.
The study of knowledge, attitudes and practices of husbands accompanying patients at obstetrics clinics of a tertiary care center about contraception
Authors: Sharma Manisha , Sarana Sri , Seth Atul
Published: June 2019

Background: Contraceptive practices are the main tool we have in controlling the ever increasing population. It also has a huge role in preventing sexually transmitted infections. The present study was undertaken to find the knowledge, attitudes and practices of husbands accompanying patient at obstetrics clinics of a tertiary care center about contraception.Methods: The study population was 100 husbands accompanying patients at obstetrics clinics of a tertiary care center. A simple questionnaire of 26 questions regarding knowledge, attitudes and practices regarding contraception was provided to the consenting husbands. The results were then analyzed.Results: Vast majority have adequate knowledge about male contraception (93%), vasectomy (85%) and sexually transmitted diseases (72%). Most of the husbands do not have adequate knowledge about female contraception (only 59%) and emergency contraception (only 27%). 70% of the husbands do not know about the free contraceptives provided by the Government of India. A staggering 74% do not participate in effective contraception. Also, 77% agreed that they would remain contended with a single child.Conclusions: This cross-sectional study clearly shows that husbands accompanying patients at obstetrics clinic of a tertiary care center have adequate knowledge about male contraception, vasectomy and sexually transmitted diseases. It is worth noting that most of the husbands do not have adequate knowledge about female contraception, emergency contraception and free contraceptives provided by the Government of India. Very few couples participate in effective contraception despite wanting to adopt a small family norm. This is a pointer towards the ineffectiveness of the family planning program of our country.
Prevalence of asymptomatic bacteriuria among low risk pregnant women attending antenatal care clinic in tertiary hospital: a cross sectional study
Authors: Abbas Ahmed M. , Kamel Moustafa , Abdelrahman Mohammed Z. , Youssef Ahmed A. , Youssef Mohammed A.
Published: June 2019

Background: The current study aims to identify the prevalence of asymptomatic bacteriuria among low-risk pregnant women attending the antenatal care clinic of tertiary University Hospital and to detect the most common causative organisms.Methods: A prospective cross-sectional study conducted at a tertiary University Hospital in the period between 1st November 2017 and 31st June 2018. All eligible women attending the outpatient clinic for antenatal care were approached to participate in the study. The recruited women were assessed through detailed history and clinical examination. Urine samples were taken for culture and sensitivity within two hours, in order to avoid bacterial multiplication. Urine culture and antibiotic sensitivity test were done.Results: The study included 250 women. The mean age of included women was 25.89±5.49 (18-42 years). The urine analysis results showed that 32% of cases had pus cells >5 per high power field and 10.4% of cases have protein (+). Casts were present in 0.8% of cases. RBCs >5 per high power field were present in 4.8% of cases. ASB is defined as urine culture with more than 100,000 colony forming unit; this was present in 30 cases. This indicates that the prevalence of ASB among studied cases was 12%. Enterococcus was the most prevalent organism as it was present in 36.7% among positive cases. Antibiotic sensitivity test was performed to the growing organisms indicated that teicoplanin, imipenem, cefoxitin, cefotaxime + clavulanic acid, Entrapenem, and trimethoprim + sulfamethoxazole are the most effective antibiotics against the most common organisms causing asymptomatic bacteriuria.Conclusions: The prevalence of asymptomatic bacteriuria among low-risk pregnant women is about 12%. Urine culture for asymptomatic bacteriuria should be the standard of care for evaluation of pregnant patient during antenatal care as regard presence or absence of UTI.
Two cases of Salmonella breast abscess in pregnancy: a diagnostic challenge
Authors: Parthasarathy Aishwarya , Shankar Kundavi , Anand Suresh
Published: June 2019

Breast abscess in pregnancy due to Salmonella has been very rarely reported in the literature and most of the cases till now are due to unknown risk factors or in otherwise immunocompromised adults. Localized disease can occur due to bacteremia followed by seeding of bacteria at distant sites. We report two cases of breast abscess in pregnancy cause by Salmonella typhi where drainage of abscess and appropriate antibiotics helped in complete resolution.
Pelvic tuberculosis: from millets to masses
Authors: Shah Nitin H , Joshi Aditi Vivek , Mourya Sunita
Published: June 2019

An adnexal mass is a common entity in the reproductive age group. Ovarian masses form a majority of this condition. Tuberculosis is a disease commonly encountered in the Tropics and is endemic to India. Abdominopelvic affliction of this disease is common in women especially in the reproductive age groups. It may present with variety of non-specific clinical features and often poses an enormous diagnostic dilemma Author report one such case, presenting with a clinical impression of ovarian malignancy, however, was diagnosed to be a case of extensive pelvic tuberculosis on laparoscopy. Tissue biopsy was consistent with the finding of tuberculosis.
The effect of intravenous tranexamic acid on reduction of seroma after para- umbilical hernioplasty
Authors: Albatanony Ayman , Shahin Mahmoud , Fayed Asem , El Shemi Ahmed
Published: June 2019

Background: Para-umbilical hernioplasty is mostly safe but there are possible complications like seroma, wound infection and recurrence. Tranexamic acid is a synthetic derivative of the amino acid lysine that exerts an anti-fibrinolytic action through the reversible blockade of lysine binding sites on plasminogen molecules, used in the prevention and treatment of excessive bleeding both in primary and secondary care. Our study aimed to evaluate the effect of intravenous tranexamic acid injection on reduction of seroma after para-umbilical hernioplasty.Methods: We conduct a prospective controlled trial to compare the effect of intra-operative, intravenous single dose of tranexamic acid by a dose of 10 mg/kg body weight with induction of anaesthesia on the occurrence of local wound complications as seroma, wound infection in addition to time of drain removal and the amounts of drain output, by comparison between two groups.Results: Single intravenous dose of tranexamic acid with induction of anathesia reduced drain duration (P-value was 0.001), drain output in 1st day (P-value was 0.008), and drain output in 5th  day (P-value was 0.036). Adverse effects were not observed.There were no significant difference in occurence of seroma (P-value was 0.429), and wound infection (P-value was 1.00).Conclusions: Our study revealed that tranexamic acid showed significant correlation with decrease duration of drains and fewer amounts of drain volumes in first day post-operative.
Liver function and serum amylase alterations following laparoscopic and open cholecystectomy and its significance
Authors: Singh Krishna K. , Singh Dhirendra P. , Chandra Abhijeet , Alam Mahboob , Agrawal Priyanka
Published: June 2019

Background: Gall stone disease is the commonest gastro intestinal disease requiring surgical intervention, laparoscopic cholecystectomy (LC) which has replaced open cholecystectomy (OC). LC has more advantages over OC but has few drawback such as CO2 pneumoperitoneum leading to altered liver functions. The study was done with the aim to compare liver function tests in patients undergoing LC & OC and to compare these values in two groups preoperatively and postoperatively at 24 hrs, 48 hrs, 72 hrs.Methods: A total of 151 patients were admitted with cholelithiasis, out of which 72 patients underwent surgery between January 2018 to January 2019. Patients were selected by block randomization method into 2 groups containing 28 in each (Group 1- OC and Group 2- LC). SGPT, SGOT, LDH, TB, DB, IB, ALP and S. amylase were studied pre-operatively and at intervals of 24 hrs, 48 hrs, 72 hrs postoperatively. Comparison was made between both groups.Results: Pre and postoperatively stage, the level of LFT in Group 1 and Group 2 were similar except IB, which was significantly high in Group 1. At 24 hrs the difference in TB, DB, SGPT and S. amylase were statistically significant (p<0.05) between the groups. At 48 hrs difference between Group 1 and Group 2 in TB, DB, SGOT and SGPT were statistically significant (p<0.05). At 72 hrs difference between Group 1 and Group 2 in only SGPT was statistically significant (p<0.05).Conclusions: Cholecystectomy (OC and LC) lead to transient but reversible significant hepatic enzymes alterations. These alterations are self limited and return to reference values within 10 days of operation. The cause of alteration might be liver tractions, electrocoagulation’s and manipulation of duct.
Reverse sural artery fasciocutaneous flap cover for soft tissue defects in distal one third of leg, ankle and foot in a tertiary care center
Authors: M. N. Prakashkumar , T. Pramod
Published: June 2019

Background: Soft tissue defect management around the lower-third of the leg, ankle and dorsal feet with exposed tendons, bones and orthopaedic implants is a challenge faced by a majority of surgeons. A locally available, versatile, durable flap is the preferred option for coverage of such defects, in the absence of micro vascular surgery facility.Methods: This prospective study was conducted at Department of General Surgery, Kodagu Institute of medical sciences from March 2018 to May 2019, on 10 consecutive patients with soft tissue defects and exposed bones, tendons and joints of distal-third of leg and foot. We harvested moderate sized reverse sural artery flaps, to cover the defects. After perforator marking with Doppler, flap was planned in reverse, and procedure was performed. Factors like size of defect, flap size, width of pedicle, comorbid factors and complications following surgery were taken into account for the study.Results: A majority of flaps provided a good coverage for defects and graft was well taken in donor site in all cases. One patient had marginal flap necrosis who was elderly and diabetic, he was managed conservatively, another patient had distal flap venous congestion which settled by itself with conservative management.Conclusions: Reverse sural artery flap (RSAF) cover is versatile, reliable and safe procedure, which was efficiently used to treat patients with wounds of distal leg, and foot.
C-reactive protein as a diagnostic tool in acute appendicitis
Authors: Rathnam Usharani , Kumar K. Srivignesh , Suggaiah Lakkanna
Published: June 2019

Background: Appendicitis is inflammation of the appendix. Symptoms commonly include right lower abdominal pain, nausea, vomiting, and decreased appetite. However, approximately 40% of people do not have these typical symptoms. Severe complications of a ruptured appendix include widespread, painful inflammation of the inner lining of the abdominal wall and sepsis. The main objective is to compare C-reactive levels in diagnosis of acute appendicitis.Methods: In this study patients coming to General Surgery Department of ESIC Medical college, Rajajinagar, Bengaluru, from January 2017 to December 2017, who are diagnosed clinically as to have acute appendicitis form the source of study.Results: In the present study, maximum number of cases belongs to 21-30 year age group (22 cases) and male female ratio is 1.07:1. Most common site of pain being right iliac fossa (52 cases), vomiting as presenting complaint was seen in 51 cases, fever as a presenting complaint was present in 31 cases, Mc-Burneys point tenderness noted in 49 cases, rebound tenderness noted in 46 cases. In present series 53 patients had elevated serum CRP level (>2.5 mg/dl) which is 89% of total study group. In these patients only one patient had high serum CRP level in spite of normal appendix.Conclusions: An elevated serum CRP level supports the surgeon’s diagnosis and hence avoids chances of error in diagnosis, due to atypical presentations. Similarly a normal preoperative serum CRP level in patients with suspected acute appendicitis is most likely to be associated with a normal appendix on histo-pathological examination.
A prospective study on emergency laparoscopic or open cholecystectomy in acute cholecystitis in a tertiary care hospital
Authors: M. A. Hari Babu , G. S. R. Hareesh , Reddipogu Praneeth , Nannam Venkata Ramanaiah
Published: June 2019

Background: Gallstones are among one of the most common diseases affecting the digestive system requiring hospitalisation with a prevalence of 11% to 36%. Until 2 decades ago, patients presenting with acute cholecystitis were treated conservatively and a delayed interval cholecystectomy was performed after 6 weeks, now a days laparoscopic cholecystectomy was gaining popularity in acute cholecystitis. It cannot be said with certainty preoperatively whether the cholecystectomy is going to be easy or difficult. The aim of the study was to evaluate safety and outcomes of emergency laparoscopic or open cholecystectomy in acute cholecystitis.Methods: This is a prospective, observational, single centre study conducted in the Department of General Surgery, S.V. Medical College/ SVRRGG hospital, Tirupati, for a period of one year from the time of approval of IEC. All patients undergoing emergency laparoscopic or open cholecystectomy for acute cholecystitis and its related complications are studied for various clinical, radiological and other variables.Results: Total 100 patients who presented with acute cholecystitis and undergone cholecystectomy are studied. Age, sex, BMI, comorbities, clinical and usg criteria and intra-operative findings and post-operative complications are analysed.Conclusions: Difficult dissection in cholecystectomy can be predicted using pre-operative parameters like increasing age, male gender, multiple attacks in the past, gallbladder wall thickness >3 mm, and presence of pericholecystic fluid. Surgery performed within 72 hrs had good prognosis and few intra op complications due to good place of dissection due to inflammation.
An analysis of postoperative adverse events following laparoscopic cholecystectomy in a tertiary care hospital
Authors: Mukherjee Ramanuj , Agarwal Vaibhav , Mohanta Arup , Mukhopadhyay Gouri , Samanta Sudipta
Published: June 2019

Background: Being one of the most commonly performed surgery in the modern era, post-operative complications following laparoscopic cholecystectomy deserve special mention. Though not very life threatening, they are quite common. Considering these aspects, this study aims to identify them and possibly a potential remedy for decreasing the incidence in the future.Methods: This is a retrospective, institution-based, observational and cross-sectional analysis conducted in R.G. KAR Medical College and Hospital over 5 years on 1000 patients undergoing surgery. Here we intend to observe the adverse events following laparoscopic cholecystectomy in the post-operative period.Results: Most of the complications were seen in the age group greater than 40 years(63%) followed by the age group 30-40 years (26%).Adverse events were much more common in females (85%) followed by males (15%). The symptoms appeared mostly during 3-7 days post operatively (57%) followed by 20% within the first 6 hours. Non-specific abdominal pain (28%) was the most common adverse event followed by port-site infection in 16.5% cases.Conclusions: Proper pre-anaesthetic check-up with proper instrument handling with proper caution and before closing confirmation of proper placement of clip and no other unintentional injury anywhere can decrease the post-operative complication.
Prospective comparative study between lateral sphincterotomy and subcutaneous fissurectomy with topical 2% diltiazem gel in the treatment of chronic fissure in ano
Authors: Dey Dhrubajyoti , Pai Gopinath
Published: June 2019

Background: Anal fissure is defined as an ulcer in the anoderm usually in the posterior midline, less frequently in the anterior midline and rarely in the lateral position of the anal canal. Different treatment modalities include non-invasive pharmacological therapies, lateral internal sphincterotomy (LIS) which is the gold standard for treatment and new therapies that include perineal support devices, Gonyautoxin injection, fissurectomy, fissurotomy, sphincterolysis, and flap procedures. Thus, aim of the study was to compare the efficacy of outcome of lateral internal sphincterotomy and subcutaneous fissurectomy with topical 2% Diltiazem gel in the treatment of chronic fissure in ano.Methods: 50 patients with chronic fissure in ano attending OPD of Department of General Surgery, KVGMCH, Sullia were randomly selected and divided into Group A (n=25): Lateral internal sphincterotomy (control group) and Group B (n=25): Subcutaneous fissurectomy + topical 2% Diltiazem Gel (test group).Results: Patients of Group B showed much less mean duration of absenteeism (2.88 weeks) compared to Group A. Comparison between Group B and Group A showed statistically significant differences in pain relief (P<0.0001), complications (p=0.03), mean duration of sitz baths (p<0.0001), absenteeism (p<0.0001) respectively.Conclusion: Hence Subcutaneous fissurectomy with topical 2% Diltiazem gel is a better surgical option for chronic fissure in ano than conventional Lateral internal sphincterotomy.
Management of giant adrenal schwannoma
Authors: Oberoi Ajit , Kataria Kamal , Prakash Om , Yadav Rajni , Goyal Ankur
Published: June 2019

Adrenal schwannoma is a rare differential of adrenal incidentaloma with scarce literature available at present. Adrenal schwannomas are usually non-secreting tumours but can very rarely secrete catecholamines. Specimen of our patient was 14 cm in diameter and weighed 900 gm which is the largest adrenal schwannoma in literature. Although it is a benign lesion but there are no standard treatment guidelines because of rarity of lesion.
Bowel infarct with mucormycosis of the intestine
Authors: Sangal Bharat , Sharma Rajeev , Joseph Molly , Chatterjee Debarghya
Published: June 2019

Gastrointestinal mucormycosis is a relatively uncommon opportunistic fungal infection. The classical presentation is that of a rhino-cerebral infection. It is a life threatening, angio-invasive condition typically affecting immunocompromised individuals. Only a handful cases of intestinal mucormycosis have been reported to date. Here, we discuss our experience regarding an adult male patient who succumbed to bowel infarction and perforation with septic shock due to intestinal mucormycosis.
A rare case of cecal actinomycosis presenting as cecal mass with appendicular perforation
Authors: Sagrule Dhiraj D. , Deshmukh Mukteshwar N. , Lanjewar Sunil M. , Chauhan Rohit
Published: June 2019

Actinomycosis of colon is an uncommon disease. It is a chronic granulomatous disease caused by Actinomyces species. The ileo-cecal region is most commonly affected, while the left side of the colon is more rarely involved. Presentation may vary from nonspecific symptoms and signs to an acute abdomen. It may mimic colonic malignancy, obstruction or perforated viscera. Preoperative diagnosis is rare and is established only in less than 10% of cases. We report a very rare case of cecal actinomycosis presenting as acute abdomen with a vague lump in right iliac fossa which was found to be appendicular perforation with cecal mass during emergency laparotomy. The final diagnosis was only found post-operatively on histopathology.
A case series on management of scar endometriosis following C-sections
Authors: Chitrambalam Tharun Ganapathy , Sekhar Sidhu , S. Jeyakumar , Panicker Koshy Mathew
Published: June 2019

Endometriosis is presence of functioning endometrial tissue outside the uterine cavity. Endometriosis can sometimes occur in a previous surgical scar. Scar endometriosis is rare and difficult to diagnose. It mostly follows obstetrical and gynecological surgeries. This condition is often confused with other surgical conditions. We are reporting 5 cases of scar endometriosis following cesarean section, some of which were misdiagnosed as stitch granuloma initially. Medical treatment was not helpful. All 5 patients required wide surgical excision of the lesion. The pathogenesis, diagnosis and treatment of this condition are being discussed.
Largest mucoepidermoid carcinoma of parotid gland in the world
Authors: Kumar Abhishek , Teggimani Vasant , Hosamani Ramesh , Chandrapattan Prathamesh , Koranne Aboli
Published: June 2019

Mucoepidermoid carcinoma (MEC) is the most common malignant neoplasm of the major salivary glands, accounting for 15.5% of all cases benign and malignant.1 It has multiple types of morphological variants and thus poses a significant challenge in diagnosis on Fine needle aspiration cytology (FNAC). The aim of this article is to report a case of MEC in a 70-years-old male patient who presented with a painless firm fluctuant swelling in left preauricular area on left cheek to Karnataka Institute of Medical Sciences, Hubli. Detailed history was noted, and the swelling was examined clinically. Radiological investigations were carried out. Fine-needle aspiration cytology was done for the lesion and report suggested tumor of the parotid gland. Total parotidectomy procedure was done. There were no intra operative complications and post operatively there was grade 4 Housemann Brackmann facial nerve palsy on left side. The weight of the tumor was 1.45 kg. The histologic picture confirmed that the tumor was MEC of parotid gland. Through this article we want to report the management of giant MEC, the largest to be reported in world literature.
Primary hepatic lymphoma mimicking hepatocellular carcinoma: case report and review of literature
Authors: Sharma Digvijoy , Gondu Gandadhar Rao , Raj Nirjhar , Gunturi Suryaramachandra Varma , Thumma Venu Madhav , Navakishore Kunduru , Reddy Jagan Mohan , Bheerappa Nagari
Published: June 2019

Primary hepatic lymphoma (PHL) is a very rare malignancy presenting with non specific symptoms leading to late diagnosis. Due to its ability to masquerade other liver tumors, misdiagnosis is common. Here we present a case of a 52 years old man who presented with an incidentally detected SOL in liver with features of atypical hepatocellular carcinoma on imaging and fine needle aspiration cytology. He underwent a left hepatectomy and the final histology was a surprise in the form of hepatic lymphoma. He underwent appropriate chemotherapy post surgery and is asymptomatic at follow up.
Managing iatrogenic tracheal injury during esophagectomy
Authors: Pegu Niju , Purkayastha Joydeep , Talukdar Abhijit , Borthakur Bibhuti , Kalita Dipjyoti , Das Gaurav , Bannoth Srinivas , Yadav Jitin , Kalita Dwipen , Singh Pritesh
Published: June 2019

Iatrogenic tracheal injuries are uncommon, but potentially lethal and associated with significant morbidity. During esophagectomy the proximity of the trachea to esophagus makes it vulnerable to injury. The reported incidence of tracheal injury during esophagectomy ranges between 1-5%. Various methods for repairing tracheal injuries have been described in the literature. Most preferred mode of repair described is the reinforcement of the primary repair with flap cover. Most common autologous flaps used are pericardium, pleura, extra thoracic muscle flaps and intercostal muscle flaps. Other described methods for repairing tracheal injuries are primary repair without buttressing, and buttressing with gatric conduit serosal patch, graft and glue.  In this study we reviewed different methods and outcome of repair described in the literature and our experienced of managing three cases.
El establecimiento del IVA en México: un problema político-económico, 1968-1980
Authors: Molina María del Ángel
Published: July 2019

El artículo pretende explicar el establecimiento del Impuesto al Valor Agregado (IVA) en México con énfasis en los problemas políticos que la federación enfrentó con los diversos actores (estados y contribuyentes) y la manera en que el escenario económico facilitó o entorpeció su imposición. Se sostiene que el conflicto alrededor de la distribución de las facultades tributarias entre la federación y los estados postergó su establecimiento hasta 1980. Sustenta también la idea de que su establecimiento se posibilitó tras la recuperación que la economía mexicana presentó en 1978 a propósito de los ingresos petroleros; y los problemas que implicaría con la iniciativa privada modifcar la imposición directa a pesar de que el escenario económico ya no era el adecuado para 1979-1980.
Poznanie, jakim dysponuje dusza oddzielona od ciała po śmierci, według bł. Jana Dunsa Szkota na podstawie analizy Ordinatio IV d. 45 (XIV 135–197)
Authors: Salamon Grzegorz Witold
Published: June 2019

Artykuł podejmuje problematykę gnozeologiczną w odniesieniu do intelektu duszy oddzielonej od ciała w rozumieniu Jana Dunsa Szkota. Tej problematyce są poświęcone cztery kwestie w Ordinatio IV d. 45. W tej konkretnej sytuacji poznawczej jest możliwe, według Doktora Subtelnego, poznanie nowych istot rzeczy (quiditates), mimo braku poznania zmysłowego. Jest to odejście od poglądu empiryzmu genetycznego i przyznanie intelektowi większych zdolności poznawczych, niż było to w koncepcji Arystotelesa. W stanie po śmierci intelekt dysponuje również pamięcią o istotach rzeczy poznanych w stanie połączenia z ciałem oraz może przypominać sobie konkretne zdarzenia i rzeczy ujęte przez zmysły w ziemskim życiu. Takie ujęcie świadczy o ciągłości poznawczej intelektu ludzkiego po śmierci, o jego niezniszczalności i o zdolności poznawczej przynajmniej takiej, jaką dysponował w stanie życia ziemskiego. Widzimy tu połączenie kwestii filozoficznych i teologicznych, które wzajemnie się przenikają i warunkują. Dla Szkota możliwe jest nie tylko przypominanie sobie przeszłości oraz nabywanie nowego poznania przez intelekt duszy oddzielonej od ciała, ale również możliwe jest dla takiego intelektu poznanie modlitw zanoszonych przez nas do zbawionych w niebie. Takie intelektualistyczne podejście świadczy o silnym wpływie myśli augustyńskiej na epistemologię Jana Dunsa Szkota.
Argument C. S. Lewisa przeciwko naturalizmowi (przeł. Anna Mazurek i Michał Buraczewski)
Authors: Van Inwagen Peter , Mazurek Anna , Buraczewski Michał
Published: June 2019

Oryginał: Peter van Inwagen, “C. S. Lewis’s Argument against Naturalism”, The Journal of Inklings Studies 1 (2011), no. 2 (October): 25–40. Przekład za zgodą Autora.

Artykuł stanowi ocenę argumentu z rozdziału trzeciego („Kardynalna trudność naturalizmu”) drugiego wydania Cudów C. S. Lewisa. Argument ten ma wykazać, iż naturalizm implikuje, że żadne z naszych przekonań nie bazuje na rozumowaniu — to „kardynalna trudność naturalizmu”, jako że w jego ramach przekonanie, które nie bazuje na rozumowaniu, będzie irracjonalne. Artykuł zamyka wniosek, że argument Lewisa nie wykazuje, jakoby naturalizm implikował, że żadne z naszych przekonań nie bazuje na rozumowaniu.
Analisis Kesalahan Berbahasa dalam Imla’ Mahasiswa IAIN ‎Salatiga
Authors: Syamsiyah Barid
Published: June 2019

This study aims to describe and analyze errors in the use of imla principles through a case study on students who learn Arabic at IAIN Salatiga, especially the imla’ subject. This study used a qualitative approach by including numbers as the reinforcement in drawing conclusions. The method used to collect data in this study included documentation, observation, and interviews. Whereas in analyzing the data, researchers used the Rusydi Ahmad Tha'imah’s method which included three steps of analysis, namely identification of errors (ta'rīf al-khatha'), description and classification of errors (tausīf al-khata') and interpretation and explanation of errors (tafsīr al-khatha'). The results of this study indicate that among the causes of errors, being one of them is due to linguistic factors namely writing rules and non-linguistic factors, as the students come from different schools or the level of ability of the students, in which students come from madrasa schools and public schools.
A REVITALIZAÇÃO COMO CATALISADOR DE TRANSFORMAÇÃO - UM CONCEITO APLICADO A ESPAÇOS DO MUNICIPIO DE PATO BRANCO – PR
Authors: Ruaro tavares Raiana ralita , Santos Gilson Ditzel
Published: July 2019

O presente artigo tem o intuito de colaborar no debate em relação a importância da revitalização urbana para transformação de espaços. Por meio de pressupostos teóricos, relacionando a importância da revitalização e do comportamento e percepção humana neste processo de transformações.  Diante disso, apresentam-se dois casos de revitalização urbana, O largo da Liberdade e a Praça Presidente Vargas, ambos localizados no Município de Pato Branco – PR. Além da apresentação de estudo de caso, a metodologia aplicada, consiste também em um questionário com uma amostra de 19 estudantes. A finalidade deste consiste em verificar de que forma esses espaços revitalizados são utilizados e como a percepção do usuário pode vir a influenciar sobre os mesmos. A coleta de dados foi mediante questionário com respostas fechadas. Os resultados apontam a importância da revitalização de um espaço urbano visando aprimorar o uso deste e a relevância para os usuários das cidades, além disso, demonstram a necessidade de critérios de segurança e manutenção como condições de uso. A finalidade deste trabalho teve como permissa demonstrar a importância da revitalização como possibilidade de desenvolvimento local, evidenciando a relevância do protagonista principal destes espaços, ou seja, o usuário.
Hacı Abdullah Petricî ve Risâle Fî Reddi’r-Revâfız ve İsbâti Temâmiyyeti Kur’ân-ı ‘Azîmi’ş-Şân Adlı Risâlesinde Kur’ân’ın Tahrif Edildiği İddialarına Karşı Eleştirileri
Authors: BULUT Halil İbrahim
Published: June 2019

XIX. Yüzyıl Batılı Devletlerin askeri, iktisadi ve kültürel
istilalarının zirveye ulaştığı bir dönem olarak bilinir. Müslüman düşünürler,
Batı karşısındaki mağlubiyete çözümler ararken kültürel sahada da ciddi
mücadele ortaya koydular. Bu mücadele, özellikle Hıristiyan âlemi ile komşu
olan Balkanlar’da daha yoğun bir şekilde gerçekleşti. Kendisi de Balkanlar’dan
olan Hacı Abdullah Petricî, Hıristiyan dünyasının Müslüman coğrafyasına hücum
ettiği bir dönemde- Hıristiyanlık eleştirileri ile meşhur olmuş bir Osmanlı
âlimidir. O, Tevrat ve İncillerin tahrif edildiğine dair Arapça ve Osmanlıca
risâleler yazmanın yanı sıra Kur’an’ın korunmuşluğunu ispat etmek üzere de eser
kaleme almıştır. Ona göre önceki kitapların orijinal metninin korunamadığını
izah etmek kadar Kur’an’ın her türlü tahrif ve tebdilden korunmuş olduğunu
açıklamak da en az bu kadar önemlidir. Petricî, Kur’an’ın korunmuşluğunu bizzat
Kur’an’dan hareketle açıklamış, konuyla alakalı aklî ve tarihî deliller ortaya
koymuştur. Bu makalede, ilim dünyasının ilk defa haberdar olacağı Risâle fî
Reddi’r-Revâfız ve İsbâti Temâmiyyeti Kur’ân-ı ‘Azîmi’ş-Şân adlı risalesi
bağlamında Petricî’nin konuyla alakalı görüşleri ortaya konulmuş ve söz konusu
risâle latinize edilip neşredilmiştir.
Muhammed B. Kerrâm ve Taraftarlarına Ait Eserlerin Genel Bir Tahlili
Authors: DURGUTİ Abdylkader
Published: June 2019

Kerrâmiyye mezhebinin birinci el yazılı kaynakları günümüze ulaşmamıştır.
Buna karşın Muhammed b. Kerrâm’ın sadece isim olarak bildiğimiz bazı
eserlerinde ise içerikle alakalı sınırlı bilgiler vardır. Bu çalışmada,
Muhammed b. Kerrâm hakkında tabakât ve makâlât eserlerindeki kırıntı kabilinden
dağınık bilgileri bir araya getirip eserleri hakkında bir çerçeve oluşturmaya
çalıştık. Kerrâmiyye mezhebi mensupları diğer mezheplerde olduğu gibi kendi
fikirlerini savunmak amacıyla çeşitli konularda pek çok eser yazmışlardır.
Ancak tarih boyunca muhalifler tarafından Kerrâmiyye mezhebinin marjinal bir mezhep ilan edilmesi onlar
tarafından ortaya konulan literatürün tarihin arka planına itilmesine neden
olmuştur. Dolayısıyla bu çalışmanın amacı, Muhammed b. Kerrâm’ın
eserleri hakkında ayrıntılı bilgi vermek ve Kerrâmiyye mezhebinin kaynaklarını
tanıtmaktır.
Wastewater Treatment of Iron(III) Ions with Residual Biomass of Microalgae Сhlorella Sorokiniana
Authors: Smyatskaya Yu.A. , Fazullina A.A. , Politaeva N.A. , Chusov A.N. , Bezborodov A.A.
Published: July 2019

The sorption properties of the residual biomass of microalgae Chlorella sorokiniana, which is formed after the extraction of lipids, were investigated. Residual biomass is waste and is used for wastewater treatment from iron(III) ions. Microstructural studies of Chlorella sorokiniana microalgae and residual biomass after lipid extraction were carried out. The purification of model wastewater from iron(III) ions under static conditions has been studied, the purification efficiency and adsorption capacity of the residual biomass of Chlorella sorokiniana have been calculated. A model filter was created, where residual biomass of Chlorella sorokiniana was used as a filtering load and sorption processes were studied under dynamic conditions. The efficiency of purification of model wastewater from iron(III) ions has been calculated and a comparative analysis of the effectiveness of purification under static and dynamic conditions has been carried out. A method for the disposal of spent sorbents as an additional fuel is proposed. The specific heat of combustion (q = 20,674 kJ/kg) of the spent sorbents from the residual biomass of microalgae Chlorella sorokiniana, the value of which is not inferior to traditional energy sources, was determined experimentally.
The Use of Technogenic Waste to Clean the Flue Gases of Thermal Devices from Harmful Substances
Authors: Pogodaev A.M. , Shimansky A.F. , Storozhev Yu.I. , Kazantsev Ya.V. , Zlobin V.S.
Published: July 2019

The thermodynamics of the process of calcium sulfate decomposition is considered. An adsorbent for cleaning flue gases from sulfur dioxide in the form of sludge from alumina production is proposed. Conducted semi-industrial experiments on cleaning the flue gases of small thermal power plants and boiler houses from sulfur dioxide using a laboratory installation. Established high (more than 90%) the effectiveness of the proposed adsorbent. The unique possibility of flue gas cleaning from nitrogen oxides of thermal devices using lignite fuel is revealed. A scheme of sequential flue gas cleaning in a suspended and fixed bed of the adsorbent is proposed.
Diagnostic Reasoning and Physiotherapy Treatment for A 65 Years Old Female with Left Sided Frozen Shoulder
Authors: Habibur Rahman Mohammad
Published: July 2019

Introduction: Frozen shoulder is a self-limiting condition that affects daily activities. Early diagnosis and treatment is essential for better prognosis. Accurate diagnosis largely depends on reasoning skills of physiotherapy practitioners.

Methods: Case study.

Intervention: In this case, pattern recognition was used as diagnostic reasoning and posterior to anterior and caudal mobilization techniques to decrease pain and improve range of motion. Beside, theraband was to strengthen muscle strength of shoulder as well.

Results: After application of 12 sessions of treatment, patient showed improvement in pain at VAS by 5 cm, improvement in passive ROMs by 20°, 10° and 25° in consequently in abduction, medial rotation and lateral rotation, improvement in SPDI by 42% and muscle power improved by Grade I in abductors, medical rotators and lateral rotators.

Conclusion: Reasoning process helps physiotherapist for correct diagnosis and application of evidence based physiotherapy intervention showed significant improvements in symptoms after frozen shoulder.
Influence of L-Tryptophan and Melatonin on Germination of Onion and Leek Seeds at Different Temperatures
Authors: HANCI Fatih , ÇINGI Mehmet , AKINCI Hakan
Published: June 2019

In this study, the effects of pre-sowing L-Tryptophan and Melatonin treatments on germination of onion and leek seeds under different temperature conditions were investigated. Seeds were treated with 125, 250, 375 ppm L-Tryptophan and 5, 10, 25 uM Melatonin for 24 hours, then subjected to germination tests at optimum (21 ˚C) chilling stress (7 ˚C) and hot temperature (35˚C) conditions. Treated with distilled water seeds were considered as controls. Treatment of onion seeds with 125 ppm L-tryptophan had a significantly positive effect on final germination ratio at 7˚C while in leek seeds, the 5 µM concentration of melatonin had a significant effect on the germination index at the same temperature. In both Allium species, hormone treatments had no effect on mean germination time. These values decreased depending on the increase in temperature. The extreme level of high temperature burned certain percent of seedlings, while at low temperature, seedlings were not harmed by cold domination.
DESCARTE INADEQUADO DE MEDICAMENTOS VENCIDOS OU EM DESUSO
Authors: Dos Santos Rosele Clairete , Frizon Nivania Salete
Published: July 2019

O descarte domiciliar de medicamentos pode estar relacionado à falta de informação do consumidor, sendo importante pensar no destino final destes fármacos. Os medicamentos contêm substâncias que não se degradam naturalmente, podendo ocasionar a contaminação do solo e, consequentemente, dos lençóis freáticos, atingindo animais, vegetação e o homem. Assim, os objetivos deste projeto foram: discutir a gravidade de problemas socioambientais associados ao descarte indevido de medicamentos, sensibilizar a população sobre os efeitos e/ou consequências relacionados ao acondicionamento e descarte inadequado de medicamentos, coletar e destinar o material, buscando esclarecer dúvidas sobre os possíveis riscos ao meio ambiente e ao homem. Foram aplicados questionários semiestruturados, sendo que 658 pessoas responderam o questionário. A faixa etária dos que responderam o questionário ficou entre 15 e mais de 50 anos, sendo destes, 70% do sexo feminino. Dos entrevistados, aproximadamente 65% responderam que costumam descartar os medicamentos no lixo comum, 60% afirmaram que costumam se automedicar e a maioria (60%) afirmou que nunca recebeu orientações sobre como deveria descartar os medicamentos. Com base nos dados, percebeu-se que a falta de informação é um dos principais fatores que contribuem para o descarte incorreto de fármacos.