bluuebunny/crossref_metadata_2025 huggingface dataset:
Extramedullary intradural capillary hemangioma in a patient of 03 months of life: a case report
Authors: Urquizo José Luis , Basurco Alfonso , Anicama William , Torres Rocío
Published: May 2022

Introduction: Capillary hemangioma is an extremely rare endothelial cell neoplasm as an extramedullary intradural tumor. Its presentation in infants is anecdotal and only 2 cases have been previously reported in the literature. Clinical case: a 03-month-old infant with severe abrupt-onset paraparesis. Spinal magnetic resonance imaging (MRI) showed an intraspinal tumor at the T7, T8, and T9 levels, which captures contrast. A T7-T9 laminectomy and microsurgical resection of the extramedullary spinal tumor were performed. The pathology was reported as lobulated angiomatous proliferation with focal vascular thrombus, with positive immunohistochemistry for CD 31 and 34, compatible with capillary hemangioma. The neurological evolution was favorable. Post-surgical MRI and spinal angiography showed little residual tumor and hydrosyringomyelia in remission. Conclusion: Capillary hemangioma is a rare pathology in infants, this case being the 3rd case reported. Its diagnosis and surgical resection are important since most patients present an improvement in the neurological deficit after surgery. Surgical treatment avoids the risk of acute bleeding Keywords: Hemangioma, Capillary, Spinal Cord Neoplasms, Infant, Laminectomy. (Source: MeSH NLM)
Advantages of intraoperative videoangiography with fluorescein integrated to the microscope in cerebrovascular pathology. Initial experience at Dos de Mayo National Hospital
Authors: Acha José Luis , Azurín Miguel , Bellido Adriana
Published: May 2022

Introduction: Fluorescein sodium (FNa) is a fluorescent substance used to evaluate cerebral blood flow. We present our first cases of vascular microsurgery using microscope-integrated intraoperative fluorescein video angiography. We review the practical applications and benefits of this technique in vascular microsurgery. Clinical cases: A 63-year-old woman, Glasgow: 9 on admission, with subarachnoid hemorrhage (SAH) Fisher IV. A ruptured anterior communicating aneurysm was diagnosed. After stabilization in the ICU, she underwent surgery, undergoing microsurgical clipping guided by intraoperative videoangiography. The postoperative evolution was favorable. A 33-year-old man with a history of epilepsy on carbamazepine treatment. After suspension and irregular treatment 2 years ago, seizures reappear. An angiography and magnetic resonance imaging were performed, and he was diagnosed with a left posterior temporal arteriovenous malformation (AVM) close to Wernicke's area, for which he underwent surgery using tractography and videoangiography in real-time integrated into Neuronavigation. In both cases, the benefits of using the integrated microscope were observed thanks to the vascular anatomical assessment in real-time with fluorescein. Conclusion: Videoangiography with FNa allows examining afferent and efferent vessels during surgery for arteriovenous malformations, checking the persistence of flow in a microvascular anastomosis, and evaluating flow during clipping of an aneurysm. It has the advantages of being able to be repeated during surgery, allowing surrounding anatomical visualization, as well as allowing any surgical correction in real-time. Keywords: Fluorescein Angiography, Microsurgery, Aneurism, Arteriovenous Malformations (Source: MeSH NLM)
Definitive treatment of cerebral aneurysms at the Cayetano Heredia National Hospital in Lima Peru: a case series results
Authors:   Cayetano Heredia Hospital, Peru, Rojas Gonzalo , Garay Juan , Alaba Wesley , Rodriguez Cesar , Lovaton Rolando , Huamán Rélix
Published: May 2022

Objectives: Subarachnoid hemorrhage (SAH) due to rupture of a cerebral aneurysm continues to be a disease with high morbidity and mortality in our setting, despite advances in microsurgery and endovascular therapy. The objective of the present study was to determine the demography, vascular territory, and complications that occur in the perioperative management of patients with ruptured cerebral aneurysms treated at the Cayetano Heredia Hospital. Methods: An observational descriptive study of patients with cerebral aneurysm undergoing surgical and endovascular treatment was carried out in the Neurosurgery Service of the Cayetano Heredia Hospital from 2016 to 2018. The clinical records and operative reports were reviewed. Results: In a period of 30 months, definitive treatment was performed in 56 patients with a diagnosis of a ruptured cerebral aneurysm, of which 5 received endovascular treatment and 51 treatment by craniotomy and clipping. 62.5% were women, and 50% of the total were between the fifth and sixth decade of life. In more than 50% of cases, treatment was performed within 96 hours of SAH. Regarding the affected arterial territory, 15 patients (27%) had an aneurysm of the territory of the anterior communicating (AComA) and another 15 (27%) in the posterior communicating artery (PComA). Mortality was 17.8%, 70% being due to direct causes such as cerebral infarction and severe vasospasm. Conclusions: The treatment of the aneurysms was mainly by microsurgery, the aneurysms of the AComA, PComA, and middle cerebral (MCA) had a similar proportion and, in more than 50% the treatment was carried out in the first 4 days. More state support is required to increase endovascular therapy and obtain more promising results. Keywords: Intracranial Aneurysm, Microsurgery, Craniotomy, Endovascular Procedures (source: MeSH NLM)
Evacuation of intracerebral hematomas by Neuroendoscopy: results in a series of cases
Authors:   Almenara Hospital ESSALUD, FLORES JERSON
Published: May 2022

Objectives: Intracerebral (ICH) and intraventricular (IVH) hemorrhage cause severe morbidity and a high mortality rate. Intracranial hypertension and secondary injury in the perihematomal region are associated with a poor prognosis, so early surgical evacuation with minimal damage to brain tissue is essential. Endoscopic evacuation using an Endoport system is a promising technique. The objective of the study is to present the results of the endoscopic evacuation of ICH and IVH in patients operated from 2010-2019 at the Almenara Hospital in Lima-Peru. Methods: Prospective descriptive study, in a period of 10 years, 48 patients with ICH and IVH underwent endoscopic evacuation in the first 72 hours, using a transparent working channel (Endoport) designed from a 3cc syringe. Postoperative evaluation was done with tomography and neurological follow-up using the Glasgow Coma Scale. Results: Of a total of 48 cases, 30 were ICH, and 18 were IVH. The most frequent etiology was hypertension (75%), followed by an arteriovenous malformation (19%) and cerebral aneurysm (6%). The most frequent location was the basal nuclei at the putaminal level (29%) and the thalamic region (29%), followed by the subcortical region (17%) and posterior fossa (6%). The evacuation rate was 90% in ICH and 80% in IVH. There were no intraoperative complications, and the most frequent postoperative complication was in-hospital pneumonia (37%). The average time of external drainage in the IVH was 7.6 days. All patients showed improvement in the Glasgow Scale of an average of 4 points (8.8 in the preoperative period to 13.0 in the postoperative period). Overall mortality was 19% (20% in ICH and 16.7% in IVH) Conclusions: The endoscopic evacuation of an intracranial hematoma is an effective, minimally invasive, and feasible technique to carry out. A modified 3cc syringe can be used as a working channel. This provides enough space for adequate visualization of the hematoma, as well as for the control of intraoperative bleeding. Keywords: Cerebral Hemorrhage, Hematoma, Endoscopy, Syringes, Intracranial Hypertension. (source: MeSH NLM)
Intracranial Solitary Plasmacytoma: Case Report
Authors: Zumaeta Jorge , Lazón Manuel , Murga Annel
Published: May 2022

Introduction: Solitary intracranial plasmacytoma is a rare plasma cell tumor that affects the skull, meninges, and brain. Unlike multiple myeloma, it does not have systemic manifestations. Its symptoms are characterized by a progressively growing tumor that generates local pain. It does not have a pathognomonic image and can be confused with other lesions, being its diagnosis histological. The prognosis is good and the main treatment modalities are surgery and/or radiation therapy. Clinical Case: 64-year-old female patient with a clinical picture characterized by loss of strength in lower limbs and thermal rise. On examination: Patient awake, Glasgow 15 points, paraparesis 4/5, photoreactive and isochoric pupils. Imaging examinations show an extensive contrast-enhancing lesion involving cerebral meninges at the frontoparietal level bilaterally, with a moderate mass effect. A subtotal resection of the lesion is performed, with the patient presenting a good clinical evolution. The histological result was a plasma cell tumor. In the 6-month follow-up, no residual lesion was observed, maintaining outpatient control by an outpatient clinic. This case shows a rare pathology that is sometimes confused with a meningioma. Conclusion: Solitary intracranial plasmacytoma is a rare tumor that can easily be confused with other more common lesions. Its diagnosis is only made with a histological study. It has a good prognosis and can be treated by surgical resection and/or radiotherapy. Keywords: Plasmacytoma, Brain, Meninges, Neoplasms, Plasma Cell (Source: MeSH NLM)
The changes of level of knowledge, perception and behaviour of secondary school students on HIV/AIDS in Penang: Pre and post intervention
Authors: Bahrin Farhana Kamarul , Azman Azlinda
Published: May 2022

The objectives of this study is to analyze the level of knowledge, perceptions and behaviour of school adolescents on HIV/AIDS before and after the application of the HIV AIDS intervention module. This study involved 600 students aged 15, 16 and 17 years old in Penang, through three sessions involving pre-test, intervention and post-test. The results showed that there was a positive changes in the level of knowledge, perceptions and behaviours of the respondents after the intervention process was carried out using the modules. The hypothesis test for knowledge has shown that there is a change in the level of knowledge of the respondents after receiving information on HIV/AIDS (t = -46.561, sig. <0.05 and post knowledge’s mean was 13.813 is higher than pre knowledge’s mean, 8.715). In terms of behaviour, there was also a change in the negative behaviour of the respondents after information sharing interventions on HIV/AIDS (t = -8.716 and sig. <0.05 and post behavioural’s mean was 4.067, higher than the pre behavioural mean).
implementation of modified blowfish using random number generator for quantum computers
Authors: Srivastava Shipra , Tiwari Anoop , Singh Ramveer
Published: May 2022

Classical computers are quite safe from attacks by implementing traditional cryptographic techniques and algorithms but in future as quantum computers will come in full fledge, our current cryptographic algorithms will become vulnerable. In this paper authors have presented a modified blowfish scheme named as pseudo random generated blowfish encryption algorithm which can provide security to our data quantum computers also. Analysis of algorithm is done on classical computer as well as on quantum simulators (IBM qx) and result of comparison is also presented. The theoretical security measures are also discussed in this paper.
Expression of numbers in English
Authors: Salimovna Asadova Chekhrangiz , Aripovna Rustamova Shahnoza
Published: May 2022

In recent years, there has been a growing awareness of the need for in-depth teaching of English in schools, not only in written language, but also in working with numbers in this language, making them easy and quick to use. These are not only new technical means, but also new forms and methods of teaching English numbers (quantitative counters), included to a new approach to the language learning process. The main purpose of teaching foreign languages​is to form and develop the communicative culture of schoolchildren, to teach them to practice a foreign language. The task of the teacher is to create conditions for each student to practice the language, to choose teaching methods that allow each student to show their activity and creativity. The main goal of the teacher is to activate the student's cognitive activity in the process of teaching foreign languages, and through similar modern pedagogical technologies the issues of conveying the subject of numbers to the student according to the essence of the content and its effective use were considered. Some believe that learning numbers in English makes no sense.
Shock statement in the news of the British portal “walesonline”
Authors: Nematovich Boboyev Ulash
Published: May 2022

In this article is examined the actual problem of the modern media development, associated with the use of destructive technologies to increase the ratings of publications. The purpose of the article is to study the specifics of the use of shock statement in the materials of the British portal “WalesOnline” in 2021. The scientific and practical significance of the study lies in the development of scientific knowledge on this issue, the possibility of using the results of the study in dissertations and monographs, in the preparation of reports for scientific and practical conferences. The research materials are useful in the work of journalists and the editorial policy of the media. The research methodology is based on the use of special methods: linguoculturological analysis of the texts of the British portal “WalesOnline”, contextual analysis of the use of shock statement tools, the study of contextual applications of the representatives of this technology in the news.
critical study of nutritional effects based on supplements among affected pediatric patients with a focus on nutrition and health status
Authors: Dua Palak , Chanan Ritika Sharma
Published: May 2022

Aim: This research aimed to determine whether supplemental nutrition is useful to the well-being of pediatric patients or in improving their effectiveness of nutritional status and overall health. Moreover, we also examined whether nutritional supplements can be used to treat malnutrition in pediatric patients. Method: The study involved 200 children aged 5-10 years (affected pediatric patients). Before the trial began, none of the subjects had taken vitamin B6 supplement. Parameters like, height, weight, and bone density were assessed. Statistical analysis was done by IBM SPSS 25.0. Result: Treatment with the vitamin B6 supplement went well in most cases, and dosages were gradually increased to achieve the highest level of benefit for individual patients. Vitamin levels rose, indicating better adherence and absorption. Because of the dramatic rise in weight and height showed a significant (p<0.005) effect on the afflicted children. After taking vitamin supplements orally, bone density steadily increased. Conclusion: Oral vitamin B6 supplementation has a positive effect on children's nutritional and metabolic health. The result shows that for the majority of malnourished children, taking a vitamin supplement is an acceptable supplementary treatment.
Cloud based virtual library; rising of electronic resources and its implication in the library professionals
Authors: Jadhav Pallavi , Jadhav Sachin
Published: May 2022

Most recent innovative technological improvement has acquired a sensational change in each field, and library science isn't a special case for it. Data innovation has a positive effect on library and its clients are connected through data framework and administrations. The libraries now-a-days are computerized and well organized. In the cloud computing phenomenon current library system is moving towards paper less system or in the form of virtual libraries. To accumulate difficulties in the calling bookkeepers are likewise applying various stages in Library science petitioned for accomplishing economy in data dealing with. This paper outlines the essential idea of recently foster region known as distributed computing. The utilization of distributed computing in libraries and how distributed computing really functions is delineated in this correspondence.
Histopathological study of using Fetal caprine acellular dermal matrix alone and in combination with Non-thermal plasma in healing of full-thickness acute skin wounds in bucks
Authors: Mohammed Maath Salim , Salih Serwa Ibrahim
Published: May 2022

This study aimed to investigate the effect of non-thermal plasma (NTP) with Fetal caprine acellular dermal matrix (FCADM) scaffold in healing of the full-thickness acute skin wound in bucks. eighteen apparently healthy adult local breed bucks aged 1-2 years and weighing 25-30 kg were used. Each animal was subjected to creation of 4 full-thickness acute skin wounds on the shoulder region, two wounds on each side 10cm apart, the animals were divided into 3 groups, at first control group wounds were treated in routine way (cleaning the wound with normal saline every other day and dressing). The second group the wounds were treated with Fetal caprine acellular dermal matrix. The third group skin wounds were exposed to non-thermal plasma treatment with dose 6.6W/cm² for 30 sec (used probe 1cm in dimeter), then application of Fetal caprine acellular dermal matrix. The wounds were histopathologically evaluated at 3,7,21, 35 days post-operation using Hematoxylin & Eosin (H& E) and mason’s trichrome stain.
Study of antibiotic sensitivity pattern in urinary tract infection
Authors: Al-Awkally Noor Alhooda M. , Ibrahim Hamza Khalifa , Ali Maree Dokally , Muthanna Fares M. , Al-Awkally Alreda Miloud , Yousuf Aejeeliyah
Published: May 2022

Urinary tract infection (UTI) is one of the principal causes of infection worldwide. This study aimed to determine the etiological bacterial pathogens of the UTI and to determine the antibiotic sensitivity pattern of pathogens isolated. Urine samples were tested in the microbiology department of Tobruk Medical Center, Tobruk, Libya from January 2021 to December 2021. The resulted diameters of inhibition zones around the antibiotic discs were measured to the nearest whole mm and interpreted according to protocols standardized for the assay of antibiotic compounds as guided by the National Committee for Clinical Laboratory Standards.  Out of 1372 patients, isolates were detected in 171 (12.4%) specimens. Out of these, 137 (77.40%) were female and 40 (22.60%) were male. The prevalence of uropathogens isolated from patients was E. coli, followed by Klebsiella spp and Proteus spp. In the In Vitro Antibiotic Sensitivity Pattern of Uropathogens, it was seen that E. coli and Klebsiella spp were highly sensitive to Gentamycin, Nitrofurantoin, and Septrin. At the same time, E. coli and Klebsiella spp were highly resistant to chloramphenicol and augmentin.
hormonal study of the effect of sesame oil in female albino rats whose ovaries had been removed
Authors: Al-Akaishi Ali Hussein Kadhim , Al-Bazi Sinaa' Jabbori Mohammed , Al-Obaidi Rasha Abdul-Ameer Jawad
Published: May 2022

This study was conducted to investigate the physiological effect of sesame seed oil (Sesamum indicum) in the case of oral treatment on post-menopause and the occurrence of surgical menopause as a result of the removal of the ovaries, by studying the changes in some hormones in the blood serum of adult female albino rats (Albino Rats). as 15 adult rats about three months old, with weights ranging from 160-180 g were used. The animals were randomly divided into three groups with five animals for each group. The first group represented the negative control, which was normal without removal of the ovaries, and the second represented the positive control that was removed The ovaries were completely removed, and the third group completely removed the ovaries and treated them orally with sesame oil at a concentration of 4 ml/ kg of body weight per day for 30 days. The results of laboratory tests for serum samples of the completely removed ovaries group compared to the negative control group showed a significant decrease (P<0.05) in the levels of estrogen and progesterone, while an insignificant increase )P (0.05<in prolactin levels was observed, and significant (P<0.05) for follicle-stimulating hormone (FSH) and luteal stimulating hormone (LH).
Implementation of animation digital literacy culture-based English teaching and the use of virtual learning environment (VLE) at SMAN 1 Blahbatuh
Authors: Werdistira I Wayan Astu , Prayoga I Gede Putu Adhitya , Suryasa I Wayan , Suwartama I Made
Published: May 2022

SMAN 1 Blahbatuh is one of public schools in Bali that has complete and adequate facilities to support teaching and learning activities. The school also has experienced and supportive teachers who are experts on their field. However, during observation found that some teachers do not familiar with state-of-the-art technology for teaching and learning activities. That case leads to ineffective online lesson where the teachers are expected to use various technology in order to support the lessons. This is a challenge faced by SMAN 1 Blahbatuh in implementing online learning on this pandemic situation. To overcome this problem, training related to the implementing “Animation” Digital Literacy culture-based as an online learning media had been carried out. This training implements “Animation” Digital Literacy through Culture-Based English Teaching. In addition, a training on the use of Virtual Learning Environment (VLE) in online teaching was also carried out, to further maximize the use of online media in the lessons. The training was held for two days involving 11 teachers to take part into it. In this training, they were given a workshop to create 'animated' media that aims to attract students' interest in learning and improve their literacy.
Prevención de la Triada Atópica
Authors: Miranda Vilma Mercedes
Published: May 2022

La dermatitis atópica (DA) se ha convertido en un problema de salud en nuestro medio debido al aumento de su prevalencia, la alteración de la calidad de vida, los gastos que ocasiona y su implicación en la progresión a otras enfermedades atópicas. Además no tiene una cura definitiva, por lo que sería interesante la aplicación de medidas preventivas. Entendemos por prevención primaria el conjunto de actuaciones orientadas a evitar la aparición de una enfermedad, mientras que la prevención secundaria hace referencia a proporcionar un diagnóstico y tratamiento precoz que permita disminuir la morbilidad y/o mortalidad. En el primer caso trataría- mos de disminuir la incidencia de la DA, y en el segundo gravedad y complicaciones.
Osteopetrosis autosómica dominante benigna: Reporte de caso
Authors: Diaz Ochoa Lindsay , González Pieri Manuel
Published: May 2022

La osteopetrosis es una enfermedad infrecuente, se caracteriza por el incremento de la densidad ósea observada en las radiografías, resultado de anormalidades en la diferenciación y función de los osteoclastos que les incapacita para la resorción ósea y cartilaginosa, formándose huesos más densos, pero más frágiles. Objetivo: describir la Osteopetrosis Autosómica Dominante mostrando nuestra experiencia el método de tratamiento. Con un amplio conocimiento de esta patología, los hallazgos radiográficos característicos y los manejos tera- péuticos adecuados podremos lograr un diagnóstico precoz certero y una mejor sobrevida de los pacientes. Reporte de caso: Paciente femenina de 13 años, con historia de fracturas espontáneas a repetición en los antebrazos principalmente, la madre niega antecedentes de trauma; asimismo refiere observar retraso en el crecimiento de la paciente, por lo cual acude al hospital regional de occidente, Quetzaltenango, Guatemala, para evaluación. Se le realizan radiografías en proyección anteroposterior (AP) y lateral de cráneo, de extremidades superiores e inferiores y de columna dorsal evidenciando en las radiografías de cráneo aumento de la densidad ósea y aumento de grosor de la misma, en la columna dorsal se observó aumento de la esclerosis a nivel de las placas terminales superiores e inferiores de los cuerpos vertebrales, dando la típica apariencia de “vertebra en sándwich”, signo patognomónico de esta enfermedad. La paciente recibió tratamiento con prednisolona, vitamina D y calcio en dosis de acuerdo a las medidas antropométricas de la paciente y control médico por año para evaluar estado clínico.
La Ética en la formación de la Calidad Profesional del Contador Público
Authors: Ramírez Gálvez José Roberto
Published: May 2022

Cuando hablamos de ética profesional en la labor diaria del Contador Público de cara a fortalecer la labor de las empresas como un reto a desempeñar un trabajo con calidad, eficiencia y eficacia nos referimos a que el Contador Público, debe actuar con mucha beligerancia y apego a las normas y principios éticos de la profesión, lo que conlleva a tener un comportamiento  ajustado al código de ética de la profesión. 

De igual manera el Contador Público producto de su vasta experiencia en el campo de la contabilidad, finanzas, desempeña una labor de asesor, consultor que le desarrolla su competencia profesional de la contabilidad y las finanzas para obtener mejores resultados de entendimiento entre la entidad y su ética profesional al servicio de quienes le requieren con apego a las normas y procedimientos establecidas en cada entidad donde se desenvuelve. El Contador Público en el desarrollo de su labor profesional debe de cumplir con las normas establecidas por la Federación Internacional de Contadores (IFAC), la cual establece que en el desarrollo de la profesión se debe aceptar su responsabilidad hacia el interés público que demanda la sociedad en este caso las empresas, de acuerdo a sus requerimientos y según sus variadas actividades. El Contador Público para desarrollar mejor su labor debe de capacitarse y adquirir conocimientos constantes que le permitan desempeñarse en el campo de la contabilidad con mejor preparación, con experiencia profesional y valores de formación.
Criterios de Centor modificados por MacIsaac y su eficacia diagnóstica y terapéutica en faringoamigdalitis aguda en niños, Revisión sistemática
Authors: Pineda Gea Fernanda , López Fitoria Virginia Lucia , Bermúdez Haydalina , Castillo José Joaquín
Published: May 2022

Introducción y objetivo: La faringoamigdalitis aguda de etiología bacteriana requiere tratamiento antibiótico, los criterios de Centor modificados por McIsaac son una herramienta de predicción clínica útil para identificar a los pacientes con faringoamigdalitis bacteriana cuya etiología es causada por Estreptococo β-Hemolítico del Grupo A. El objetivo de esta revisión fue sintetizar la evidencia médica disponible y accesible sobre la eficacia terapéutica de los criterios de Centor modificados por MacIsaac y utilizados para el diagnóstico e inicio de tratamiento antibiótico en faringoamigdalitis aguda en niños.

 

Diseño metodológico: Se realizó una revisión sistemática en la base de datos MEDILINE a través del metabuscador PUBMED, utilizando los siguientes tesauros en la estrategia de búsqueda “preescolares” AND “Diagnóstico” AND “Faringitis” OR “amigdalitis”. Se emplearon como criterios de inclusión artículos científicos publicados entre 2005-2020, sin restricción de idiomas, con diseño metodológico analítico transversal, cohorte. Los siguientes criterios de exclusión: estudio duplicados y publicados fuera del periodo de estudio y búsqueda, estudios con deficiente calidad metodológica tras aplicar la herramienta STROBE (STrengthening the Reporting of OBservational studies in Epidemiology).

Resultados Se incluyeron 9 artículos, los cuales cumplieron con más de diez ítems contenidos en la herramienta STROBE. La evidencia incluida en dos investigaciones menciona la importancia de la utilización de estos criterios como filtro para diferenciar a los pacientes con faringoamigdalitis bacteriana de la vírica, haciendo hincapié en su utilidad para fundamentar la prescripción antibiótica en los pacientes. Cinco artículos mencionan que deben utilizarse de manera complementaria con pruebas paraclínicas para confirmar el diagnóstico certero de infección estreptocócica. Dos investigaciones demostraron que la anamnesis y exploración son importantes para el diagnóstico, pero no suficientes, evidenciando que los pacientes pediátricos que cumplían tres o más criterios tienen aproximadamente dos veces más riesgo de infección estreptocócica.

 

Conclusiones: La probabilidad de tener una infección estreptocócica aumenta a medida que se cumplen los criterios de Centor modificados por MacIsaac por lo que el clínico debe consignar en el expediente un examen orofaríngeo exhaustivo para evaluar la presencia o ausencia de estos criterios, los cuales debe complementar con las pruebas paraclínicas para un diagnóstico certero.
Dificultades en la Culminación de Tesis Doctorales: Voces del Estudiantado
Authors: Noé René Antonio
Published: May 2022

Este artículo refleja los resultados del estudio conducido con estudiantes de doctorado sobre las dificultades que enfrentadas durante la escritura de su tesis doctoral. Tiene como propósito conocer, desde la perspectiva del estudiantado, las dificultades que enfrentan a lo largo de este proceso. Es un estudio cualitativo que emplea un cuestionario de preguntas abiertas como herramienta para la recogida de información. Existe evidencia para sostener que la mayor dificultad que enfrentan es articular familia, trabajo y tesis y que el empleo es determinante para el sustento de la familia y pago de estudios resultando más fácil abandonar la tesis.
Perinatal Prognostic Factors for Congenital Diaphragmatic Hernia: A Korean Single-Center Study
Authors: Jeon Sungrok , Jeong Mun Hui , Jeong Seong Hee , Park Su Jeong , Lee Narae , Bae Mi-Hye , Park Kyung-Hee , Byun Shin-Yun , Kim Soo-Hong , Cho Yong-Hoon , Kim Choongrak , Han Young Mi
Published: May 2022

Purpose: This study aimed to identify prognostic factors based on treatment outcomes for congenital diaphragmatic hernia (CDH) at a single-center and to identify factors that may improve these outcomes.Methods: Thirty-five neonates diagnosed with CDH between January 2011 and December 2021 were retrospectively analyzed. Pre- and postnatal factors were correlated and analyzed with postnatal clinical outcomes to determine the prognostic factors. Highest oxygenation index (OI) within 24 hours of birth was also calculated. Treatment strategy and outcome analysis of published literatures were also performed.Results: Overall survival rate of this cohort was 60%. Four patients were unable to undergo anesthesia and/or surgery. Three patients who commenced extracorporeal membrane oxygenation (ECMO) post-surgery were non-survivors. Compared to the survivor group, the non-survivor group had a significantly higher occurrence of pneumothorax on the first day, need for high-frequency ventilator and inhaled nitric oxide use, and high OI within the first 24 hours. The non-survivor group showed an early trend towards the surgery timing and a greater number of patch closures. Area under the receiver operating characteristic curve was 0.878 with a sensitivity of 76.2% and specificity of 92.9% at an OI cutoff value of 7.75.Conclusion: OI within 24 hours is a valuable predictor of survival. It is expected that the application of ECMO based on OI monitoring may help improve the opportunity for surgical repair, as well as the prognosis of CDH patients.
Do partial glenohumeral degenerative changes in patients undergoing arthroscopic rotator cuff repair influence clinical outcomes?
Authors: Al-Tawil Karam , Casey Joseph , Thayaparan Prashant , Tavakkolizadeh Adel , Sinha Joydeep , Colegate-Stone Toby
Published: May 2022

Background: The prognostic factors for patients with full-thickness rotator cuff tears (RCTs) include tear size, muscle atrophy and fatty infiltration. However, the influence of early coexisting degenerative changes on RCT outcomes is unappreciated. The purpose of this study was to calculate the impact that pre-existing partial glenohumeral cartilaginous changes have on patients undergoing arthroscopic RCT repair.Methods: A study of 54 patients undergoing arthroscopic RCT repair was undertaken. The presence of co-existing patches of glenohumeral degenerative cartilaginous changes and RCT size was recorded at surgery. Pre- and postoperative outcomes were assessed using traditional (Oxford Shoulder Score [OSS], 5-level EuroQol-5D [EQ-5D-5L] questionnaire and EuroQol visual analog scale [EQ-VAS]) and patient-centric re-formatted prisms. Outcomes were assessed as an entire dataset, and sub-group analysis was performed according to the grade of co-existing arthritis and tear size.Results: Significant improvements (p<0.05) in clinical outcomes were recognized when assessed using either the traditional or reformatted prisms (average % improvements in OSS, EQ-5D-5L and EQ-VAS were 47%, 33% and 43%, respectively; average improvements in pain, function, and psychological well-being were 48%, 33% and, 29%, respectively). Positive gain was noted in all sub-groups of arthritic grading and tear size.Conclusions: Good clinical outcomes can be achieved following RCT repair even in the presence of local partial degenerative cartilage changes and advancing tear size. These benefits are patient-centered but require RCT repairability.
The Local Supporting Approaches Scaling up the Capacity of Reconstruction in Nepal
Authors: Chongbang Nirmal
Published: May 2022

Disaster reflects a multi-fold impact on vulnerable communities such as children, women, and people living with disabilities. The study identifies the multiplier impact of hazard induce disasters, Covid019 pandemic, and regular strikes into poor and marginalized communities. Tried to be unmasking the effectiveness of local support initiatives as social recovery support from the neighbor, communities, non-state actors, and the state. The paper brings out how the social support, and protection practices can scale up its cost in disaster recovery initiates in disaster-affected communities in Gandaki province, Nepal.

An online (google) based survey form was developed, and distributed to potential frontline workers, NGO staff, INGO staff, and UN staff based on their project area. Respondents were randomly divided into two groups (local support, and external support) and asked for their supporting practices while the disaster has occurred at the local level, and responses were analyzed at the explanatory level through the regression.

While testing the hypothesis that local social support leads to higher resilience capacity in the disaster-affected household with compare to external support, which results showed that local level support was better with comparing of external support during disaster response and recovery.            Study results suggested that household, neighbor, and local community support was quick, applicable, and easier to adopt than a comparison of external supporters. Based on the study, further development intervention should be centered on the capacity to strengthen local households, neighborhoods, community-based organizations, and local states rather than expecting external support. The study paper explores the local supporting practices on reconstruction and recovery, which is the novelty approaches in local supporting engagement on speedy recovery initiatives in Nepal.
Vigdis Hjorth, Eredità
Authors: Turri Francesca
Published: May 2022

Vigdis Hjorth, Eredità (Roma, Fazi Editore, 2020, 373 pp. ISBN 9788893254595)

di Francesca Turri
Gioia Angeletti, Nation, Community, Self: Female Voices in Scottish Theatre from the late Sixties to the Present
Authors: Caterino Anna
Published: May 2022

Gioia Angeletti, Nation, Community, Self: Female Voices in Scottish Theatre from the late Sixties to the Present (Milano, Mimesis International, 2018, 250 pp. ISBN 978-886-977-134-7) by Anna Caterino
Segnalazioni/Informes/Rapports/Reports
Authors: Monegato Emanuele
Published: May 2022

Benedetta Baldi, Il linguaggio del potere. Comunicazione politica e società, Roma, Carocci editore, 2021, 208 pp. ISBN 978-88-290-0542-0

Sara Soncini, Le metamorfosi di Sarah Kane: “4.48 Psychosis” sulle scene italiane, Pisa, Pisa University Press, 2020, 150 pp. ISBN 9788833393735

Franco Marucci, Shakespeare, Milano, LED Edizioni Universitarie, 2021, 208 pp. ISBN 978-88-7916-980-6

Silvia Antosa e Trinis Messina Fajardo, William Shakespeare e Miguel de Cervantes: i pilastri della modernità, Bologna, CLUEB, 2018, 192 pp. ISBN 9788849155693

Gianfranca Balestra, Riflessi del “Grande Gatsby”: traduzione, cinema, teatro, musica, Roma, Artemide, 2019, 224 pp. ISBN 9788875753184
Fad Diet vs. Balanced Diet in Adults Living in Islamabad
Authors:   Department of Computer Sciences - IBADAT International University Islamabad,  44000, Pakistan, Habib Raja ,   Department of Dietetics and Nutritional Sciences - IBADAT International University Islamabad,  44000, Pakistan,   Department of Management Sciences - IBADAT International University Islamabad,  44000, Pakistan;Department of Mathematics and Statistics, Central South University Changsha, Hunan, China, Touqir Asra , Sajjad Irsa
Published: May 2022

Adults have a variety of experiences with social pressure to have low weight. Thus, there is a desire to lose weight with a variety of efforts, such as fad diets. This type of diet can lead to insufficient intake of nutrients in the body and increase the risk of health problems in the long run. The research aimed to analyze fad diets, BMI, and activity levels of adults in Islamabad. The research design was cross-sectional in 50 adults aged 19–58 years who were selected by simple random sampling. The data of fad diets used in the questionnaire, BMI data using the calculation of the last body weight and height, and activity level were measured using food frequency questionnaire. Data analysis used the chi-square test. The results of this research showed that most respondents implement fad diets (56%), had normal BMI (60%), had fairly activity levels (32%), while overweight BMI (34%), and obese (4%) of BMI, and had moderate and inactive activity level (26%). There was an insignificant (p =.085) correlation between fad diets and age (r = -.232), and in addition, there was an insignificant correlation (p =.171) between fad diets and BMI (r =.013). It is concluded that the adults who implemented fad diets and below normal tended to not have activity levels of BMI because of improper food selection and psychological factors. Adults are expected to be able to conduct weight loss with the assistance of a nutritionist or in accordance with balanced nutrition guidelines.
An Approach for Devising Stenography Application Using Cross Modal Attention
Authors:   Rajalakshmi Engineering College, Panimalar Institute of Technology,India, M Shanthalakshmi ,   Rajalakshmi Engineering College, Panimalar Institute of Technology,India,   Rajalakshmi Engineering College, Panimalar Institute of Technology,India,   Rajalakshmi Engineering College, Panimalar Institute of Technology,India,   Rajalakshmi Engineering College, Panimalar Institute of Technology,India,   Rajalakshmi Engineering College, Panimalar Institute of Technology,India, .. Susmita , S LincyJemina , P Raashmi , Shalin Mannuru , jananeee.v jananeee
Published: May 2022

This paper focuses on providing a solution to the direct conversion of speech to shorthand. Since shorthand is not understood by many but is used for writing quick transcripts, a product is developed that converts the speech to its appropriate Gregg shorthand. A website that will be used as a front end, will use a speech-to-text API to record the speech in real-time. The converted text will then be fed into a text-to-image retrieval model that derives its corresponding Gregg shorthand for the text. The text will then be displayed to the user in real-time. By achieving this, the model reduces the need to depend upon stenographers for transcribing scripts. The resulting model achieves a good result.
Resistance Induction by Salicylic Acid Formulation in Cassava Plant against Fusarium solani
Authors: Saengchan Chanon , Phansak Piyaporn , Thumanu Kanjana , Siriwong Supatcharee , Thanh Toan Le , Sangpueak Rungthip , Thepbandit Wannaporn , Papathoti Narendra Kumar , Buensanteai Natthiya
Published: May 2022

Fusarium root rot caused by the soil-borne fungus Fusarium solani is one of the most important fungal diseases of cassava in Thailand, resulting in high yield losses of more than 80%. This study aimed to investigate if the exogenous application of salicylic acid formulations (Zacha) can induce resistance in cassava against Fusarium root rot and observe the biochemical changes in induced cassava leaf tissues through synchrotron radiation based on Fourier-transform infrared (SR-FTIR) microspectroscopy. We demonstrated that the application of Zacha11 prototype formulations could induce resistance against Fusarium root rot in cassava. The in vitro experimental results showed that Zacha11 prototype formulations inhibited the growth of F. solani at approximately 34.83%. Furthermore, a significant reduction in the disease severity of Fusarium root rot disease at 60 days after challenge inoculation was observed in cassava plants treated with Zacha11 at a concentration of 500 ppm (9.0%). Population densities of F. solani were determined at 7 days after inoculation. Treatment of the Zacha11 at a concentration of 500 ppm resulted in reduced populations compared with the distilled water control and differences among treatment means at each assay date. Moreover, the SR-FTIR spectral changes of Zacha11-treated epidermal tissues of leaves had higher integral areas of lipids, lignins, and pectins (1,770-1,700/cm), amide I (1,700-1,600/cm), amide II (1,600-1,500/cm), hemicellulose, lignin (1,300-1,200/cm), and cellulose (1,155/cm). Therefore, alteration in defensive carbohydrates, lipids, and proteins contributed to generate barriers against Fusarium invasion in cassava roots, leading to lower the root rot disease severity.
Detection and Quantification of Fusarium oxysporum f. sp. niveum Race 1 in Plants and Soil by Real-time PCR
Authors: Zhong Xin , Yang Yang , Zhao Jing , Gong Binbin , Li Jingrui , Wu Xiaolei , Gao Hongbo , Lü Guiyun
Published: May 2022

Fusarium wilt caused by Fusarium oxysporum f. sp. niveum (Fon) is the most serious soil-borne disease in the world and has become the main limiting factor of watermelon production. Reliable and quick detection and quantification of Fon are essential in the early stages of infection for control of watermelon Fusarium wilt. Traditional detection and identification tests are laborious and cannot efficiently quantify Fon isolates. In this work, a real-time polymerase chain reaction (PCR) assay has been described to accurately identify and quantify Fon in watermelon plants and soil. The FONRT-18 specific primer set which was designed based on identified specific sequence amplified a specific 172 bp band from Fon and no amplification from the other formae speciales of Fusarium oxysporum tested. The detection limits with primers were 1.26 pg/µl genomic DNA of Fon, 0.2 pg/ng total plant DNA in inoculated plant, and 50 conidia/g soil. The PCR assay could also evaluate the relationships between the disease index and Fon DNA quantity in watermelon plants and soil. The assay was further used to estimate the Fon content in soil after disinfection with CaCN2. The real-time PCR method is rapid, accurate and reliable for monitoring and quantification analysis of Fon in watermelon plants and soil. It can be applied to the study of disease diagnosis, plant-pathogen interactions, and effective management.
The role of palliative care nurse practitioner in promoting end-of-life care in residential care facilities
Authors: Roberts Lisa , Leung Kelvin CY , Peisah Carmelle
Published: May 2022

Background and objective: The neglect of older people at the end of life in residential care documented in the Australian Royal Commission into Aged Care and Quality and Safety mandates urgent solutions to improve care. This integrative literature review aimed to explore the potential role of the palliative care nurse practitioner (PC-NP) in promoting quality end of life in residential care.Methods: Databases Medline, Emcare, PsychINFO and CINAHL were searched from January 2010 to April 2022. Full text of primary articles meeting inclusion criteria encompassing residents living in residential care settings, the role of the PC-NP in supporting quality dying were obtained and independently screened to determine final studies for review. Findings were thematically analysed. Two reviewers independently extracted data and assessed level of evidence and quality ratings for both quantitative and qualitative studies.Results: Of 12 articles meeting eligibility criteria, four specifically focused on the PC-NP or the palliative care nurse in residential care, seven examined the generic nurse practitioner role, and one the aged care nurse role in supporting palliative care. Themes common to all roles including positive patient outcomes, advance care planning, hospital avoidance, staff education and enhanced communication with families. Themes specific to the PC-NP included meeting end-of-life needs, end-of-life prescribing, and enhancing the role of the General Practitioner.Conclusions: Although reflected in only a handful of studies, this integrative review has provided preliminary insights into potential contributions of the PC-NP to quality end-of-life care for residential care residents.
Características da comunicação científica em projetos de pesquisa nas áreas de informação no Brasil
Authors: Fernandes Henrique Denes Hilgenberg , Filho Jayme Leiro Vilan
Published: May 2022

Objetivo: Descrever os padrões de comunicação científica das áreas de informação no Brasil, a partir de informações dos projetos de pesquisa desenvolvidos entre 2005 e 2019, constantes da Plataforma Lattes. Metodologia: Abordagem metodológica quantitativa e estudo bibliométrico com análise estatística descritiva. Foram usados, como fonte de informação, os projetos de pesquisa da Plataforma Lattes, extraídos pelo script Lattes. Uma amostra de 266 projetos foi estudada e as publicações relacionadas foram obtidas pela análise dos currículos em formato XML. Resultados: O estudo mostrou os canais mais utilizados para publicação e foram identificadas a duração dos projetos e os prazos para a publicação de trabalhos completos e resumidos, artigos de periódicos, capítulos de livros, livros, dissertações e teses. Conclusões: O estudo demonstrou que o canal mais utilizado pelos pesquisadores são os trabalhos completos, seguido pelos artigos de periódicos e que a produção bibliográfica se concentra nos quatro anos iniciais do projeto, com o pico de produção no segundo ano. Observou-se, também, que os projetos que envolvem a pós-graduação respondem por mais de dois terços de todas as publicações avaliadas. Nota-se, ainda, que nos projetos mais recentes, o volume de artigos de periódicos publicados supera o de trabalhos completos e o número de dissertações aumenta expressivamente.