bluuebunny/crossref_metadata_2025 huggingface dataset:
Effects of intravenous hydration with hypotonic saline in oligohydramnios
Authors: Senthilvel Gopika , Ramanujam Sailatha
Published: July 2024

Background: The amniotic fluid encloses and protects the fetus within the amniotic cavity in uterus. Amniotic fluid allows room for fetal growth, movement and development. The abnormal amniotic fluid either high or low volumes helps to diagnose the reduced fetal outcomes. This fluid is an important predictive tool for assessing the development of pregnancy.
Methods: The present study is done to assess the effectiveness of intravenous (IV) hypotonic saline fluid maternal hydration on oligohydramnios. This study was conducted in department of obstetrics and gynecology, CHRI for 18 months. About 30 participants of third trimester with amniotic fluid index (AFI)<8 cm with the gestational age of 34-40 weeks were included. The study was done on pregnant mothers with AFI<8 cm and gestational age of 34-40 weeks. Measurement of AFI was done for all participants. The patients received 2 liters of hypotonic saline fluid over 4 hours. AFI was measured again 24 hours after baseline measurement. Treatment with IV infusion of hypotonic saline fluid is resulted in better increase in AFI in oligohydramnios.
Results: After hypotonic saline infusion, the patient’s AFI level was 7.14±1.31 with the p=0.000*** and it was statistically significant.
Conclusions: The blood parameters and the electrolytes showed no notable changes before and after the infusion of hypotonic saline with regular antenatal visits, oligohydramnios can be detected early by clinical examination and routine ultrasonography and the proper treatment will help in preventing the complications of oligohydramnios.
Pulmonary arterio-venous malformation: a catastrophe
Authors: Sanjeevappa Pavan B. , Suresh Anugrah , Huchappa Anand S. , Siddappa Mohan
Published: July 2024

Pulmonary Arteriovenous Malformations (PAVM) are abnormal fistulous connections between a pulmonary artery and a pulmonary vein that generate a right-to-left shunt by avoiding the normal pulmonary capillary bed. We report an unusual case of a young female patient who presented to the department of Obstetrics and Gynaecology with Bleeding per vagina diagnosed as Failed intrauterine pregnancy; Unilateral pedal edema and Breathlessness. Pulmonary Thromboembolism was suspected and Computed Tomography pulmonary angiogram (CTPA) was advised for, which showed abnormal communication between dilated left main pulmonary artery and dilated tortuous superior pulmonary vein. Multiple adjacent solid and ground glass nodules were also noticed which were suggestive of initial telangiectatic state of PAVMs. Most of PAVMs are related to Hereditary Hemorrhagic Telangiectasia, whereas only 10 to 20% are isolated sporadic cases. Pregnancy has been considered as a precipitant factor for PAVMs in most of the cases, patients and pregnant women affected by PAVMs are asymptomatic, but when the clinical manifestations occur, they are often related to the right-to-left shunting and may include dyspnoea, hypoxia, and pulmonary hypertension. Moreover, presence of one or multiple PAVMs during pregnancy is associated with an increased risk of severe complications such as rupture, haemothorax, and hypovolemic shock. Hence this case reports highlights the necessity for the radiologists to think in terms of PAVM as a differential diagnosis beyond the suspicion of Pulmonary thromboembolism to look for any abnormal arteria venous communication while reporting CTPA in pregnant women with breathlessness and foresee the catastrophic complications in an already known case of PAVM during pregnancy. Also, the radiologists should identify subtle solid or ground-glass nodules adjacent to large PAVMS which are the initial telangiectatic stage of PAVMs.
A rare case of retained placenta in a young primigravida with no known risk factors; managed by manual removal of the placenta under general anaesthesia
Authors: Sah Ravi , Gaurav Amrita , Kumari Om , Yadav Kripa , Ravichandran Nevetha , Kumar Rajan , Gautam Saurabh Kumar
Published: July 2024

A retained placenta is suspected when there is failure of expulsion of the placenta even after 30 minutes of delivery of the fetus. Retained placenta is a common cause of PPH and, hence, a significant cause of maternal mortality and morbidity in developing countries. Thus, early intervention is necessary to prevent this post-delivery of the baby. We present a case of retained placenta in a young primigravida with oligohydramnios with fetal horse horseshoe-shaped kidney and a foetal echogenic bowel loop. Her clinical findings and investigations were not significant at the time of admission. She was induced with dinoprostone gel intra-cervically and delivered via vaginal route. There was failure of expulsion of the placenta even after 30 minutes of delivery of the baby. Inj. syntocin 5 units were given via the umbilical cord. In the event of this failure, the patient was shifted inside the OT, and manual removal of the placenta was done under general anaesthesia f/b evacuation retained bits of placental membranes with ovum forceps under USG guidance. Retained placenta can lead to severe PPH and its consequences in the postpartum period. Thus, it requires timely intervention to prevent PPH and reduce maternal mortality and morbidity. Cases of retained placenta can occur even in the absence of any known identified risk factors and should be managed in a tertiary care centre with OT facilities.
Functional outcome of internal fixation of tibial plateau fractures: an observational study
Authors: Chowdhury Abdulla Al Mahaj , Rahman M. Mahfuzur , Zaman Farhana , Sarker Maswood
Published: July 2024

Background: Tibial plateau fractures are intra-articular fractures usually caused by high energy trauma either a valgus or varus force in combination with axial loading which affect the stability and function of weight bearing knee joint. Understanding the outcomes of surgical treatment for these fractures is crucial for both orthopaedic research and patient care. This study set out to examine the functional results of surgically managing tibial plateau fractures.
Methods: This prospective observational study took place in the Department of Orthopedic Surgery at Bangabandhu Sheikh Mujib Medical University in Dhaka, Bangladesh, from January 2020 to December 2022. The study included 37 patients with tibial plateau fractures who underwent internal fixation. Data was analyzed using tools from Microsoft Office.
Results: Among the study participants, 56.8% had an immobilization period of 1 week or less, and 32.4% were immobilized for 2-3 weeks. Complications included knee stiffness in 10.8% and malunion in 8.1% of cases. According to the Rasmussen grading system, 51.4% achieved an excellent outcome, 35.1% were categorized as good, while 8.1% and 5.4% fell into the fair and poor categories. Functional outcome was assessed by Oxford knee score is excellent 20 (54.5%), good 11 (29.7%), fair 4 (10.8%) and poor 2 (5.4%) respectively.
Conclusions: Surgical treatment of tibial plateau fractures typically yields positive results in most cases. The use of internal fixation, particularly with locking compression methods, is considered an effective approach for treating these fractures. This technique is associated with a lower risk of complications and promotes efficient healing, contributing to favourable outcomes.
Quality of life and performance status after whipples surgery: experience from Sheikh Russel National Gastroliver Institute and Hospital
Authors: Sultana Asma , Ahsan S. M. Mortaza , Alam Mohammad M. , Sarkar Beethi , Banik Sanjit K. , Mahmud Rasel , Rahman Manmunur
Published: July 2024

Background: Whipple surgery, or pancreaticoduodenectomy, is a complex surgical procedure often performed to treat pancreatic and periampullary cancers. Quality of life (QOL) and performance status are critical metrics for assessing post-operative outcomes. This study aimed to evaluate the QOL and performance status of patients after Whipple surgery in a tertiary care centre in Bangladesh.
Methods: This cross-sectional study was conducted among 64 patients who underwent Whipple surgery at the Sheikh Russel National Gastroliver Institute and Hospital, Dhaka, Bangladesh between January 2021, and January 2023. The World Health Organization Quality of Life-BREF (WHOQOL-BREF) and Eastern Cooperative Oncology Group (ECOG) performance scales were used to assess QOL and performance status, respectively. Data were analyzed using descriptive and inferential statistics.
Results: Most participants were aged between 43 and 53 years, with a mean age of 54.66 years, and were predominantly male (64.06%). Most participants rated their physical health (34.37%) and psychological state (37.50%) as "good." Most patients (57.81%) experienced uneventful post-operative recovery. About (34.37%) was "restricted in strenuous work." Chemotherapy negatively impacted physical health (r=-0.198, p=0.02).
Conclusions: The findings indicate that most patients experienced favourable outcomes in both QOL and performance status following Whipple surgery. The results underscore the importance of holistic patient care and highlight potential areas for clinical improvement and future research.
A comparative study of the effect of port-site local anaesthetic application and standard analgesics on postoperative pain management in laparoscopic cholecystectomy
Authors: Patel Parin , Agarwal Bhavdeep , Parikh Sameer
Published: July 2024

Background: Laparoscopic cholecystectomy is the gold standard for treating patients with cholelithiasis. It is a minimally invasive technique that reduces surgical trauma with small and more cosmetic incisions, reduces blood loss and is associated with fewer postoperative complications and decreased length of hospital stay. The study was done to evaluate the efficacy of the local anaesthetic infiltrated at the port sites in laparoscopic cholecystectomy, in reducing postoperative pain.
Methods: In the period from July to December 2023, fifty patients who underwent laparoscopic cholecystectomy at Sardar Vallabhbhai Patel Institute of Medical Sciences and Research, Ahmedabad were included in this prospective comparative study. Cases were divided into two groups. Patients who received bupivacaine at the port site were put in the local anaesthetic group and patients who received postoperative analgesia with NSAIDs/Opioids were put into the Standard Analgesia Group. Pain was measured by the Visual Analog Scale in all patients at the 1st, 6th, 12th, and 24th hour postoperatively.
Results: A Significant reduction in pain intensity was detected in the Bupivacaine Group compared to the patients in Standard Analgesia Group at 1st and 6th hour. On other hand, there was no difference in pain intensity at the 12th and 24th hour. There was delay in the time and total doses of rescue analgesia in the local anaesthetic group.
Conclusion: Applying local anaesthetic to the port sites after laparoscopic cholecystectomy significantly reduces postoperative pain intensity in the first 6 hours and delays the need for rescue analgesia, suggesting potential decrease in analgesic drug usage for postoperative pain management.
Cystoductojejunostomy for pseudocyst associated with chronic pancreatitis
Authors: Soori Abhijna , Pottakkat Biju , Murugesan Chandrasekar , Raja Kalayarasan , Pothugunta Sai Krishna
Published: July 2024

Pseudocyst is frequently associated with chronic pancreatitis (CP). We describe our experience of managing seven patients for pseudocyst associated with CP by bile duct preserving pancreatic head resection (BDPPHR) and cystoductojejunostomy. 88 patients were operated on for chronic pancreatitis between April 2021 till May 2023 out of which 7 patients underwent BDPPHR and cystoductojejunostomy for pseudocyst associated with CP. Key steps of surgery include meticulous dissection with exposure of the pancreatic head to tail, head excision up to the posterior capsule with laying open of the pancreatic duct till the tail and reconstruction incorporating pancreatic duct (PD) and pseudocyst to a single loop of jejunum. All seven patients were successfully treated with BDPPHR and cystoductojejunostomy. Mean operative time and mean blood loss was 478 minutes and 450 ml respectively. Mean hospital stay was 4.5 days. On follow-up at a one-year minimum, all patients had complete pain relief. In patients with pseudocyst associated with CP, surgery preferably needs to address both the pseudocyst and the underlying chronic pancreatitis to improve the quality of life. A combined anastomosis to the PD and cyst may be termed as cystoductojejunostomy.
Common paediatric surgical problems in Bangladesh: experience in tertiary care center, Dhaka, Bangladesh
Authors: Shahjahan M. , Elahi Khondaker M. , Nrjana Nusrat J. , Islam M. Kabirul
Published: July 2024

Background: There are several challenges at the global and national levels that contribute to surgery in children's health. The aim of the study was to evaluate the surgical problems in children in Dhaka Shishu Hospital-that is in Bangladesh.
Methods: This retrospective study was carried out in the department of pediatric surgery, Dhaka Shishu Hospital. A retrospective study of surgical problems in children’s in the last 10 (September 2013 to October 2023) years were done in admitted patients in the surgery department. A total of 12689 patients were participated in the study. The surgical units of this hospital contain 100 beds. So, the average total number of surgical patients are 200. This is for the first time in our country an attempt is made to present a data of surgical problems in children’s in Bangladesh in the experience of Dhaka Shishu Hospital. Statistical analyses of the results were obtained by using statistical packages for social sciences (SPSS-24).
Results: A total number of 12689 patients; aged <10 years; admitted in the surgical units of Dhaka Shishu Hospital in the last 10 years were reviewed. Male patients were 59%, female 42%. Among them 29% were of age below 1 year, 43% from 1 to 5 years and 29% were above 5 years. Gastro-intestinal disorders were the commonest problem observed-constituting 43.9% of cases, while 9.2% of children came with burn injury.
Conclusions: The management of surgical problems often requires a multidisciplinary approach and advancements in surgical techniques, anesthesia, and perioperative care have improved the surgical interventions in pediatric patients over the years.
Unravelling the vital role of maxillofacial surgeons in paediatric oral and maxillofacial surgery: a case series
Authors: Nandimath Santosh A. , G. C. Rajkumar , Patil Kshitija , M. Mala
Published: July 2024

Oral and maxillofacial surgical procedures in children necessitate special considerations due to ongoing development. Key factors include obtaining parental consent, understanding developing anatomy and dentition, potential adverse effects on growth, behavioural guidance, and comprehensive peri- and postoperative care. This paper aims to outline the key considerations and challenges in managing paediatric oral and maxillofacial conditions. It seeks to review various treatment approaches for common conditions such as temporomandibular joint (TMJ) ankylosis, odontogenic cysts, tumours, maxillofacial trauma, and infections. Case studies are presented to illustrate various conditions and their management, reflecting contemporary practices and treatment strategies. The cases demonstrate diverse management approaches for paediatric oral and maxillofacial conditions. Dentigerous cysts and aggressive ossifying fibromas were treated with surgical interventions, including enucleation and reconstruction. TMJ ankylosis was addressed through aggressive resection and joint reconstruction, followed by intensive physiotherapy. Fractures and trauma cases were managed conservatively or with specialized techniques, such as botulinum toxin injections, highlighting the necessity for individualized treatment based on the specific injury and patient condition. Managing paediatric oral and maxillofacial conditions requires a tailored approach that balances effective treatment with the preservation of growth potential. Strategies must be adapted to accommodate the dynamic nature of growth and development in children, and regular follow-up is essential for monitoring outcomes and adjusting treatment plans as needed.
Symphony of challenges-prune belly syndrome with congenital heart disease
Authors: Singh Khushboo , Rathi Alpa
Published: July 2024

Rare congenital anomaly prune belly syndrome (PBS) affects male infants. Usually characterized by anterior abdominal wall muscle aplasia, cryptorchidism, and urinary tract defects. This is a similar case of a term male baby admitted to our NICU. Cryptorchidism, anterior abdominal wall weakness, and massive bladder dilation were found. The diagnosis was made clinically and then we confirmed the diagnosis by ultrasonography which revealed massive urinary bladder dilation with bilateral hydronephrosis, and thinning of the renal cortex. On clinical evaluation murmur could be heard for which 2D echo was planned and a large arterial septal defect (Left to right shunt) was present. Treatment mainly in volves orchidopexy, anterior abdominoplasty as well as urinary tract reconstruction.
Deep neck space infections among patients attending a tertiary Ugandan hospital: clinical presentation, bacterial etiology and antimicrobial susceptibility
Authors: Nabawanga Stella , Hidour Rym , Kajumbula Henry , Namwagala Justine , Matsiko Sedrack , Muhereza Brian , Tumuhimbise Michael
Published: July 2024

Background: Deep neck space infection (DNSI) is inflammation often with abscess collection within the potential fascial spaces in the head and neck region. There is limited data on this disease in Uganda. This study sought to determine the clinical presentation and bacterial etiology with antimicrobial susceptibility of bacterial pathogens causing DNSIs among patients at a tertiary hospital.
Methods: A cross-sectional study design was used. The study population comprised 66 patients of all age groups with DNSIs. An interviewer-administered questionnaire was filled. A pus sample was taken off for culture and sensitivity. Data was entered using Epidata, validated and transferred to Stata version 16 for analysis.
Results: The majority of patients with DNSI were males (59.1%) with a mean age of 21.6 years. Neck swelling (100%) and pain (95.5%) were the most common presentation. The study participants were divided into two major groups; 29 patients belonged to the pediatric group, while 37 patients belonged to the adult group. Odontogenic sources were the most common predisposing factor in the adult group and nonodontogenic sources for the pediatric group. In both groups, the submandibular space (48.4%) was the most common site of presentation. Staphylococcus aureus (34.5%) was the most common isolated organism in the pediatric group, and MRSA were 46.1% overall Viridans streptococci (37.8%) was most common in the adult group with no resistance to clindamycin.
Conclusions: Susceptibility pattern varied, and highlights the necessity of doing antimicrobial sensitivity for all patients.
A prospective study of management of benign neck swellings at tertiary care centre
Authors: Pomal Parth V. , Bhalodiya Neena H. , Shah Chaitry K. , Nimavat Sharvil M. , Parmar Maitri D. , Gandhi Yash A.
Published: July 2024

Background: Careful medical history and physical examination is must while evaluating neck swelling in which the patient’s age, the location, size, and duration of swelling are crucial points for diagnosis. The objectives of this study were to study the commonest cause of neck swelling in our tertiary hospital set up and to assess the common pathologies presenting as neck swellings in our region and their clinical, radiological and cytopathological correlation to understand the nature of the lesion and accuracy of the diagnostic tools in finding a definitive diagnosis and its respective management.
Methods: Total 100 patients from July 2019 to January 2021 of neck swelling were included in this prospective study. They were subjected to detailed clinical history, clinical examination, haematological and hormonal investigation, radiological and cytological investigations. Special investigations were done for some specific cases. Ultrasonography, fine needle aspiration cytology (FNAC) and histopathological examinations (HPE) were compared with each other to evaluate their accuracy as a diagnostic tool for neck swellings.  
Results: During our study we found that for accurate diagnosis and treatment combined approach based on history, clinical examination, ultrasonography, FNAC and HPE followed by surgical and/or medical management is recommended. Thyroid swellings were most common entity found in neck swelling with female dominating benign neck swellings.
Conclusions: Although medical management has its own role in management of benign neck swelling, surgical management consists of treatment of choice.
Endoscopes as an alternative to microscopes for tympanoplasty: a comparative study
Authors: Kumar Pratik , Gulia Joginder Singh , Arora Nikhil , Kumar Bhavesh , Jangra Parmod
Published: July 2024

Background: The objective of the study was to evaluate and compare the results of endoscope assisted tympanoplasty with microscope assisted tympanoplasty.
Methods: A prospective comparative study was conducted from January 2020 – September 2021 and included 60 patients of either sex in age group of 18-50 years having unilateral or bilateral inactive (mucosal) chronic otitis media with central perforation. Patients were randomly divided into 2 groups comprising of 30 patients each. Group-A (n=30) patients underwent endoscope assisted tympanoplasty while group-B (n=30) patients underwent microscope assisted tympanoplasty.  
Results: The overall graft take up rate in group-A and group-B was 93.33% and 96.67% respectively. In group-A, graft take-up was 90.90% in grade-IV perforations and 88.89% in grade-V perforations and graft take-up was 100% in grade-II and grade-III perforation. While in group-B, graft take-up was 91.67% for grade-III perforations, and 100% uptake was seen in grade-I, grade-IV and grade-V perforation. In group-A, pre-operative average air bone (AB) gap was 30.95 dB and post operatively it was 14.44 dB with an average hearing gain of 16.55dB while in group-B, the average pre-operative AB gap was 32.81dB and post-operative AB gap was 13.71dB with an average hearing gain of 19.11dB. Mean average time taken in group-A was 79.83±8.78 minutes, while in group-B it was 101.13±11.07 minutes. The average pain assessment score was 4.9 in group-A as compared to a score of 5.4 in group-B.
Conclusions: The results of endoscope assisted and microscope assisted tympanoplasty are comparable. The operating microscope and endoscope should be employed as per the patient’s requirement and surgeon’s expertise.
Eagle’s syndrome: mimicker of submandibular and temporomandibular joint pathology
Authors: Yuan Ho Yi , Zhi Han Vivian Lau , Nasyatmuddin Yahya Mohammad , Chuen Chew Shiun , Mohamad Yunos M. Razif
Published: July 2024

Eagle’s syndrome is characterized by recurrent pain in the oropharynx and face due to an elongated styloid process or calcified stylohyoid ligament. Various theories existed to explain about development of Eagle’s syndrome. Symptoms are variable and non-specific, thus making it a challenge and dilemma to recognize and diagnose it clinically, and sometimes it can be missed out. A good history taking is important to recognize the disease with proper physical examination. Radiological intervention has been an important tool to diagnose Eagle’s syndrome. A 31 years old lady with presentation of right submandibular pain for one week, radiating to right preauricular region, associated with odynophagia, trismus and reduced oral intake. She was initially misdiagnosed as submandibular sialadenitis and lymphadenitis, and later was referred to dental for temporomandibular joint arthritis. She was treated with antibiotic initially however symptoms were not improved. CT neck done and revealed elongated right styloid process. Excision of right styloid process provided complete pain relief. Even though Eagle’s syndrome is not a common disease, in cases of unexplained complain of pain over head and neck region, it should be considered as one of the differential diagnosis. Eagle’s syndrome can be managed medically by symptomatic treatment/by surgical intervention.
Retrograde peri implantitis – A case report with literature review
Authors: Vishnurao Sowmya Gujjar , Astekar Madhusudan
Published: July 2024

Retrograde implant-related peri-implantitis (RPI), the apical part of an osseointegrated implant, which maintains good bone-to-implant contact in its coronal portion, is the sole part of the implant that is affected by peri apical lesion (IPL), a primary microbial inflammatory disease. Apical radiolucency and clinical symptoms are the main factors used to diagnose RPI. In the initial weeks following implant implantation, this disease may be upshot in implant failure if it is not identified and treated promptly. RPI has been linked to numerous etiologies, such as surgical trauma and preexisting microbial disease. Furthermore, a variety of techniques have been employed to categorize RPI according to various criteria. Up until now, it has been thought that the removal of defective implants and non-surgical and surgical treatment may effectively address RPI. In addition to providing important literature, this article explains the genesis, diagnosis, prevention, and treatment approaches of implant apical lesions and provides a case of implant periapical diseases. Additionally, we describe a rare instance of RPI in a 47-year-old female patient who experienced pain at the implant site in the posterior maxillary region.
CUATRO NUEVAS ESPECIES Y UNA NUEVA VARIEDAD DE PENTACALIA (ASTERACEAE, SENECIONEAE) PARA LA FLORA DE COLOMBIA
Authors: Díaz-Piedrahita Santiago , Méndez Gina Paola
Published: July 2024

Se proponen como nuevas especies del género Pentacalia, P. retrojlexa, P. encanoana, P. odorata y P. carupana; igualmente se describe como nueva variedad P. carrikeri var. macrophylla. Las tres primeras de tales especies pertenecen al subgénero Pentacalia, en tanto que la última y la variedad se ubican en el subgénero Microchaete. En cada caso se discuten las afinidades y diferencias con las especies más cercanas.
INTRODUCCIÓN A LA TEORÍA DE LA CIENCIA EN HOBBES
Authors: Laserna Mario
Published: July 2024

Se presenta una nueva interpretación del significado epistemológico que para Hobbes tenía el paradigma geométrico-demostrativo, como se presenta principalmente en su obra Leviathan, no solamente aplicado a las ciencias políticas y sociales sino a las ciencias en general. En esta concepción, la mente opera deductivamente sobre símbolos que son nombres de imágenes de objetos. Se relaciona este aspecto del pensamiento de Hobbes con la filosofía Kantiana y los desarrollos modernos de la lógica.
ESTUDIO DE SISMICIDAD HISTÓRICA EN LA REGIÓN DE BUCARAMANGA (COLOMBIA)
Authors: De Jesús Salcedo Hurtado Elkin
Published: July 2024

A pesar de que Bucaramanga es la región sismoactiva de Colombia con mayor producción de sismos, no existen estudios de sismicidad histórica que revelen su actividad en el período preinstrumental. Con el fin de llenar ese vacío, y mediante los métodos intensivista y extensivista, se inicia con este trabajo la revisión sistemática de fuentes periódicas, con el objeto de intensi­ficar el conocimiento de los sismos catalogados, y a la vez conseguir la mayor cantidad de nuevas noticias sísmicas. Como resultado esencial de esta investigación se puede decir que hasta ahora la región de Bucaramanga no ha sido escenario de terremotos catastróficos, cuyos efectos puedan ser recordados por la población: también es importante destacar que desde 1930, y como promedio, en el transcurso de cada 5 años, ocurren por lo menos 2 sismos que son sentidos en la ciudad y que en un período de sólo 26 años, (entre 1950 y 1976). se tuvo noticia de la ocurrencia de 45 eventos sísmicos. No obstante la exhaustiva búsqueda, los resultados tienen el carácter de preliminares e impulsan a la continuación de este estudio, cuya meta fundamental es la de asignar el grado de intensidad de cada uno de los sismos.
EL GÉNERO HEBECLINIUM (ASTERACEAE, EUPATORIEAE) EN COLOMBIA
Authors: Díaz-Piedrahita Santiago , Méndez-Ramírez Gina Paola
Published: July 2024

Se presenta una revisión del género Hebeclinium, del cual están representadas en Colombia quince especies, doce de ellas endémicas y tres nuevas. Se ilustran todas las especies y se adiciona una clave actualizada para la determinación de las mismas.
Improving the brand identity of time-honored Chinese brand through visual innovative design
Authors: Fan Xinying , Ismail Adzrool Idzwan bin
Published: July 2024

The purpose of this study is to explore the role of visual innovation design in brand identity with time-honored Chinese brands. Traditional design and innovative design are two inherent attributes of visual design for time-honored Chinese brands. Different visual design approaches have varying effects on brand identity, thus necessitating research on the impact of brand visual design on brand identity. This paper employs quantitative research by conducting a survey among 566 consumers from different age groups. The empirical results indicate that the traditional design of time-honored Chinese brands does not significantly influence brand identity, whereas innovative design does impact brand identity for these brands. This study highlights the importance for time-honored Chinese brands to pay attention to the role of innovative visual design in responding to changing consumer demands and addressing the issue of brand aging. Only by doing so can they effectively manage their brands and achieve long-term development. Therefore, it is recommended that brand managers or relevant departments of time-honored Chinese brands utilize innovative visual designs with elements of tradition during brand promotion to attract more consumers and achieve sustainable growth. This study also promoted the in-depth development of research on consumer culture, corporate culture, and brand cultural heritage management.
Nexus between financial stability and earning management in company competitiveness
Authors: Utami Elok Sri , Amelia Tiara
Published: July 2024

This research investigates financial stability with earnings management practices in the normal economic time dimension, the COVID-19 crisis period, and the recovery period, as a form of competitiveness. Earnings management (EM) in research is classified into high, medium, and low, and financial stability is divided into non-financial distress, gray zone and financial distress. We classify Earnings management (EM) into high, medium, and low and further categorize financial stability into non-financial distress, gray zone, and financial distress. The purposive sampling method generates a total of 141 manufacturing sector companies listed on the Indonesia Stock Exchange for the 2018-2022 period. The study employed the cross-tab method for analyzing the relationship between financial stability and earnings management. The classification of financial stability was measured using the Altman Z-score category, while the measurement of earnings management was measured using the DeAngelo model and the Modified Jones Model. The results show that there is a relationship between financial stability and earnings management, where non-financial distress companies and gray zone ones perform negative (high) earnings management, presumably because they have greater opportunities to carry out the accounting numbers of companies that are financially distressed. During non-crisis or normal times, companies classified as non-financial distress, gray zone, and financial distress engage in positive earnings management, especially non-financial distress companies.
Environmental pollution and renewal energy consumption in Vietnam
Authors: Ngoc Minh Ngo , Ngoc Thuc Nguyen , Huu Khanh Vo , Xuan Giang Pham , Phuc Chan Tran Hoa
Published: July 2024

The purpose of this paper is to find out the perusable empirical evidence on the nexus between environmental pollution and various factors on renewable energy consumption in the case of Vietnam. In Vietnam, being aware of the potential and role of renewable energy in economic development as well as environmental protection, the government affirms that renewable energy development does not only focus on expanding the scale and increasing the proportion of renewable energy sources in the total primary energy supply, contributing to decreasing environmental pollution. This research delves into the application of the autoregressive distributed lag (ARDL) methodology to examine the effects of environmental pollution and various factors on renewable energy consumption in Vietnam from 1995 to 2019. The findings suggest that globalization and population growth have a positive impact on advancing renewable energy consumption, whereas financial development does not have a significant long-term effect. Specifically, the two variables mentioned contribute to the increase in renewable energy consumption. Furthermore, the study reveals that increasing CO2 emissions and financial development are associated with a decrease in renewable energy consumption. Consequently, the paper offers policy recommendations aimed at facilitating the transition to a renewable energy-based economy in Vietnam in the near future.
Single Nucleotide Polymorphisms: A Deep Consideration of Protein Sequence Variation
Authors: Sarnaghi Majid Marzban , Farzad Deniz , Darbroud Reza Gholikhani , Gholinejad Zafar
Published: July 2024

Introduction: Human genome consists of the three billion base pairs that has about one percent of genetic variation from one person to another، which determines physical، psychological، and susceptibility to diseases. Among the types of genetic diversity, single nucleotide polymorphisms are one of the most important genetic differences between two people. Single nucleotide polymorphism variation is located in the promoter region, exons، introns، untranslated regions and other Deoxyribonucleic acid (DNA) regions. While variation in the exon region can change susceptibility to diseases depending on whether it changes the protein structure or affects translation kinetics. Diversity in the promoter region can affect the interaction of genetic and epigenetic elements. Also، variation in the promoter region can affect the DNA methylation status. Polymorphic variation in the intron region can affect Messenger Ribonucleic acid splicing and the function of cis-regulatory elements. Polymorphic variation in the 5' Untranslated region، region causes a change in translation efficiency,، while a change in the 3' Untranslated region binds micro Ribonucleic acids to their position then affects the effects. In some cases، variations in Transfer Ribonucleic acid (tRNA) and Ribosomal ribonucleic acid (rRNA) affect the function of these regulatory cis elements.
Conclusion: From a clinical point of view, a deep knowledge of this type of genetic variation can help the treatment process, manage patients and understand the prognosis based on these SNPs. Private or personalized medicine is also fundamentally based on genetic diversity. In this article, it was reviewed the types of single nucleotide genetic variation and presented examples of types of cancer, neurological and immunological diseases.
Comparative Evaluation of Severity of Periodontitis in Patients with and without Dyssomnias
Authors: Yaghini Jaber , Naghsh Narges , Naghdi Badi Reyhane
Published: July 2024

Introduction: Sleep disorders can affect on different organs and increase the risk of cardiovascular disease, diabetes, depression, immunity disorders and decrease the bone density. Periodontitis includes inflammation of periodontium because of increased or decreased response of the host immunity to predisposing factors (it can be in presence of systemic diseases). The aim of this study was to evaluate the relationship between sleep disorders and periodontal diseases.
Methods: In this analytic-cross sectional study, 60 individuals clinically healthy that referring to Department of Periodontology of Isfahan Dental School at year 2018-19 categorized into 2 groups: with or without dyssomnias (with PSQI questionnaire). In this study, Sillness and Loe plaque index, Loe and Sillness gingival index and calculus index were investigated. Similarly assessed demographic factors, personal health behaviors and relation between the severity of periodontitis and dyssomnia and were assessed. Data analyzed by SPSS statistics 16 software using independent T-test, Mann-Whitney, Pearson and multinominal regression.
Results: Severity of periodontitis had a significant relationship with age, BMI (Body Mass Index), calculus index, frequency of flossing and brushing as well as score of PSQI questionnaire (p<0.5). By controlling age, gender, mass and plaque index, there was a significant relationship between dyssomnias and severity of periodontal disease in the patients with moderate periodontitis (P>0.001) and severe periodontitis (P=0.006), but in the case of mild periodontitis, the relationship was close to the significant level (p=0.087).
Conclusion: It seems that dyssomnias is in relation to severity of periodontitis; therefore sleep hygiene may help controlling periodontal diseases. However more studies are needed in this field.
Speculative Realism for Philosophical Millennials
Authors: Podoroga B.V.
Published: July 2024

In this article I discuss the prospective generation of philosophers born in the mid-80s and early 90s of the last century. I associate it with the newest philosophical movement, “speculative realism.” The main thesis of this article: the named generation of philosophers, with the help of the anti-correlationist thesis of speculative realism, is trying to update the ontology of difference associated with French theory and neo-Marxism. I also compare the sociological concept of the millennial generation with the specified generation of philosophers who popularize speculative realism.
To Clarify the Notions of “Concept” and “Conceptology” (Reader’s Hint)
Authors: Baturin Yu.M.
Published: July 2024

The “concept” as a basis for the construction of the science “conceptology” is studied. The question of the concept structure, the language of its description and the possibility of using mathematics for this purpose is discussed. Conceptology is considered as a scientific understanding of political reality in interrelation with social and natural reality. The characteristics of the spaces related to the mentioned types of reality and peculiarities of their conjugation in the concept structure are analyzed. The reasons for the ineffectiveness of mathematical modeling of social processes in the era of 1970s and the chances of success of modern researchers are analyzed. It is concluded that it is possible to develop the science of politics to a level comparable in its rigor, clarity and accuracy of forecasting with physics or mathematics.
Presentación
Authors: Torres Cazorla María Isabel
Published: July 2024

El medio ambiente y su protección suponen un reto mundial para el que, además, la Unión Europea precisa de herramientas que permitan realizar una eficaz gestión, tendente a alcanzar un objetivo delineado hace ya décadas, y que encuentra su punto de conexión con iniciativas más genéricas como One Health o Global Health, dimensionadas en el Plan de Acción de la Unión Europea: Contaminación cero para el aire, el agua y el suelo (adoptado en 2021). Teniendo presente esta línea de actuación, varias de las contribuciones de este número se centran en temas cruciales de actualidad y de gran preocupación para la Unión Europea. El reto que suponen los conflictos armados, también para el medio ambiente, se pone de relieve en el caso paradigmático que se vive en Ucrania, tras los acontecimientos acontecidos desde febrero de 2022, con la invasión por parte de Rusia. Las consecuencias de dicha guerra se han hecho patentes en la Unión Europea, prácticamente en todos los ámbitos, de los que no escapan la seguridad, la energía y también el medio ambiente, conformando un eje de materias conexas indisolublemente unidas. También, al hilo de los cambios necesarios que los objetivos a medio-largo plazo pretenden alcanzarse en la Unión Europea, la necesaria reevaluación y modernización de Directivas relacionadas con el medio ambiente es una realidad. El caso test de la regulación de la calidad de las aguas de baño en la Unión Europea constituye un ejemplo, que por nimio que pudiera parecer, alcanza enormes dimensiones de importancia económica y de salud, en este contexto regional europeo. Con el Convenio de Aarhus (sobre acceso a la información, participación del público en la toma de decisiones y acceso a la justicia en materia de medio ambiente) como telón de fondo y la idea de justicia climática, el rol de la Unión Europea en este escenario será igualmente objeto de atención. Todo ello, al hilo del Proyecto de Investigación MESESA, del que es Investigadora Principal la persona que suscribe estas líneas, resultado de las contribuciones de algunos de sus miembros y que conforman, entre otros trabajos, el presente volumen de Cuadernos Europeos.
La protección del medio ambiente en situaciones de conflicto armado: implicaciones para la Unión Europea a raíz de la guerra de Ucrania
Authors: Bautista-Hernáez Andrés
Published: July 2024

Aunque la política medioambiental de la Unión Europea se consagrase en los tratados hace décadas, no ha sido hasta los últimos años en que la Unión Europea ha afrontado con seriedad y logros esta materia, constituyéndose en verdadero baluarte de la protección del medio ambiente, incluido el cambio climático. El medio ambiente está indisolublemente asociado a la cuestión de seguridad nacional e internacional. Esto ha sido ejemplificado con el conflicto bélico entre Rusia y Ucrania de 2021. También ha supuesto una serie de amenazas y oportunidades a la seguridad medioambiental y energética europea y ha evidenciado su impacto en la acción exterior de la Unión. Este trabajo analiza dichas amenazas y las repuestas ofrecidas para reflexionar sobre el verdadero efecto del conflicto en la Unión Europea.
Recibido: 06 mayo 2024 Aceptado: 06 junio 2024
El sesgado desarrollo del convenio de Aarhus en la Unión Europea. ¿Justicia para el medioambiente?
Authors: Spada Jiménez Andrea
Published: July 2024

Con el presente trabajo se cuestiona la existencia de una adecuada tutela judicial efectiva en materia de medioambiente con base en el desarrollo del Convenio de Aarhus, el cual no resulta armonioso por parte de los Estados Miembros. El trabajo se dispone a través de un planteamiento reflexivo sobre la existencia de un proceso óptimo ante la carencia de regulación del acceso a la justicia en la materia.
Recibido: 03 mayo 2024 Aceptado: 04 julio 2024
The Impact of Political Absenteeism on the Constitutional Legitimation of Government in Russia
Authors: Russkikh Evgeny E. ,   Founder of Siberian Legal College Limited Liability Company, Lawyer
Published: July 2024

The article examines the actual problem of many democratic countries of the world, expressed in the growing level of political absenteeism. Statistical data on the results of elections of various levels of government in recent years are analyzed, and general trends and patterns of the electoral process in modern Russia are revealed. It is declared that the refusal of the country's population to participate in elections can simultaneously act both as an inert approval of the activities of government bodies and consent to their decisions, and as a form of protest and extreme discontent, which together can affect the constitutional delegitimization of elected bodies.
Control over Resolutions and Activities of Executive Government Authorities in Arbitration Proceedings
Authors: Mukhtarova Oksana S. ,   Assistant Judge of the Commercial Court of the Moscow Region
Published: July 2024

Analyzes the role of arbitration courts in regulating relations between the executive branch and business entities. The review covers the current problems faced by entrepreneurs when defending their rights in arbitration proceedings, and suggests ways to improve the existing system. Attention is focused on the need to adapt legislation and judicial practice to new economic and technological conditions. The importance of alternative dispute resolution methods, such as mediation, to reduce the burden on the judicial system. The need to optimize the procedure of consideration of court cases is emphasized, including by improving the qualifications of judges and developing new methodological approaches to their resolution.
Preservasi naskah kuno (manuskrip) Kalimantan Selatan (studi kasus pada Dinas Perpustakaan dan Kearsipan Provinsi dan Museum Lambung Mangkurat Kalimantan Selatan)
Authors: Rahmawati Laila , Wahdah Siti
Published: July 2024

Preservasi naskah kuno adalah kunci dalam memelihara warisan budaya dan pengetahuan manusia. Namun, banyak naskah kuno di DISPERSIP dan Museum Lambung Mangkurat, Kalimantan Selatan, belum mendapat perhatian yang memadai. Penelitian menggunakan pendekatan kualitatif dengan teknik pengumpulan data melalui observasi, wawancara mendalam, dan dokumentasi di DISPERSIP dan Museum Lambung Mangkurat. Subjek penelitian adalah naskah kuno, dengan data berupa identitas responden, gambaran upaya preservasi, hambatan, dan solusi. Data dianalisis melalui proses data reduction, data display, dan conclusion drawing/verification secara interaktif dan berkelanjutan. Analisis kualitatif dilakukan hingga data mencapai kejenuhan. Preservasi naskah kuno dilakukan melalui perlakuan fisik dan digitalisasi isi. Kendala utama adalah kurangnya anggaran dan sumber daya manusia. Solusi yang diusulkan adalah kerjasama dengan pihak lain, seperti ANRI dan Universitas Indonesia, serta peningkatan anggaran dan pelatihan pegawai. Penelitian ini menggarisbawahi pentingnya preservasi naskah kuno di DISPERSIP dan Museum Lambung Mangkurat. Dengan bekerjasama dan peningkatan anggaran, upaya preservasi ini dapat ditingkatkan untuk menjaga warisan budaya Kalimantan Selatan. Disarankan juga untuk membuat katalog manual dan digital untuk meningkatkan kesadaran masyarakat tentang khazanah manuskrip.