bluuebunny/crossref_metadata_2025 huggingface dataset:
Accumulation of Heavy Metals (Fe, Cu, Mn, Zn, Cd, Co and Pb) in Hemiramphus archipelagicus Collette & Parin, 1978 and Hemiramphus far (Forsskål, 1775) from Ibrahim Hyderi Fish Harbor, Karachi, Pakistan
Authors: YOUSUF Farzana , BENZER Semra , AHMED Quratulan
Published: January 2022

In this study, the presence of heavy metals (Fe, Cu, Mn, Zn, Cd, Co and Pb) in the muscle tissue of Hemiramphus archipelagicus Collette & Parin, 1978 and Hemiramphus far (Forsskål, 1775) caught in the Ibrahim Hyderi Fish Harbor, Karachi, Pakistan was investigated. The concentration ranges of trace elements in muscles tissue of Hemiramphus archipelagicus and Hemiramphus far were found as follows, respectively: Fe: 19.570 - 62.140 µg g-1; Cu: 0.120 - 1.770 µg g-1; Mn: 0.001 -0.080 µg g-1; Zn: 7.230 - 36.450 µg g-1; Cd: 0.001 - 0.008 µg g-1; Co: 0.001 - 0.008 µg g-1; Pb: 0.002 - 0.080 µg g-1; Fe: 16.320 - 63.250 µg g-1; Cu: 0.130 - 1.220 µg g-1; Mn: 0.010 -0.080 µg g-1; Zn: 7.260 - 20.160 µg g-1; Cd: 0.000 - 0.008 µg g-1; Co: 0.000 - 0.001 µg g-1; Pb: 0.010 - 0.080 µg g-1. Metal concentrations in muscle tissues of Hemiramphus archipelagicus and Hemiramphus far were decreased as follows, Fe>Zn>Cu>Mn>Pb>Cd>Co. All metal accumulations in muscle tissues of Hemiramphus archipelagicus and Hemiramphus far samples collected from Ibrahim Hyderi Fish Harbor were not to be exceeding the limit and all values are under the permissible range. Therefore, it is important to continue to protect the Ibrahim Hyderi Fish Harbor against possible dangers that may increase heavy metal pollution, to ensure that the measures taken are maintained in the same way and to carry out regular controls.
Supply and marketing of small ruminants in N’djamena’s Livestock Markets, Chad
Authors: ISSA Youssouf Adam  , KOUMAKWEI Koumguecieni  , DJALAL Ardjoun Khalil  , TELLAH Madjina  , AMOTHA Romain Daiba  , LOGTENE Mopate Youssouf
Published: January 2022

The study aimed to assess the supply and marketing of small ruminants in the markets of N’Djamena city. It was carried out by random survey of 42 traders distributed in 6 small ruminant markets in N’Djamena city. The results showed that the traders were 37.21±7.74 years old. They had little education (69%) with 11 years of experience. All the small ruminant traders originated from pastoral regions where breeding represented a dominant activity. The most traded species were sheep (90.5%) and goats (9.5%). Diguel’s markets ensured the supply of animals to other markets. Animals are transported to other markets by minibuses (57.1%) and vans (33.3%), at an average price of 1,100 CFA francs per head. The expenses incurred were around 2,376 CFA francs / head / day. Average selling price was 26,577.33 ± 3,801.08 CFA francs for sheep and 19,583.33± 1,878.84 CFA francs for goats. With three (3) sheep and two (2) goats sold per day, the average net margin achieved was 7,752 CFA francs and 6,840 CFA francs for sheep and goats, respectively. The organization of stakeholders and the development of livestock market infrastructure will allow a better supply of small ruminants to the markets.
The influence of brand positioning and event marketing on brand loyalty–The mediation roles of brand identification and brand personality: The case of spectator sport
Authors: Jin-Long Chen Jin-Long Chen , Jin-Long Chen Sheng-Wen Wang
Published: January 2022

This study investigates event marketing and brand positioning that influence brand attitudinal loyalty and brand behavioral loyalty through brand identification and brand personality in the field of spectator sport. The current study is one of the first to demonstrate the relationship between brand positioning and attitudinal/behavioral loyalty in the spectator sport context. This work conducted the survey method and collected 240 effective customer samples in professional sport events in Taipei City. The findings showed that brand positioning substantially influences both brand attitudinal loyalty and brand behavioral loyalty through brand identification and brand personality. Therefore, a sports team should invest a long-term work of positioning its brand rather than just hold a short-term event.

 
Sindrome da perdita di sali e infezione da Clostridium difficile nella fibrosi cistica
Authors: Botti Matteo , Quinti Sabrina , Negri Amalia , Taccetti Giovanni , Danieli Roberto
Published: January 2022

The present article describes the case of a child with cystic fibrosis who presented with acute enterocolitis with severe dehydration subsequently to prolonged antibiotic therapy with oral ciprofloxacin. The associated hypochloraemic metabolic alkalosis led to the diagnosis of salt loss syndrome, which was resolved with i.v. normal saline infusion. The cause of enterocolitis (associated with abdominal pain, hypoproteinemia and increased c-reactive protein) was Clostridium difficile infection, successfully treated with oral vancomycin.
Vulvovaginite streptococcica
Authors: Trombetta Andrea
Published: January 2022

The paper describes the case of streptococcal vulvovaginitis with apparently rectal bleeding.
Distrofia muscolare: anche il cuore vuole la sua parte
Authors: Tonin Giovanna
Published: January 2022

The authors evaluated heart involvement in a series of 17 cases of muscular dystrophy (MD). In all cases specific ECG anomalies were present, while the echocardiography detected cardiomyopathy only in the older ones. The Authors recommend a close cardiologic follow up in all MD cases. ACE inhibitors should be started from the age of ten.
Barnevernet – relasjon, samspill og kommunikasjon
Authors: Tjelflaat Torill , Tronvoll Inger Marii
Published: January 2022

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Læringsmiljøet i tre 6-årsgrupper og en 1. klasse
Authors: Kilander Wenche Storaker
Published: January 2022

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Kompetanseutvikling og etterutdanning knyttet til grunnskolereformen
Authors: Germeten Sidsel
Published: January 2022

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Effect of Nd:YAG Laser Posterior Capsulotomy on Intraocular Pressure
Authors: Mehmood Faisal , Mazhar Syed Abdullah , Farooq Nesr , Zahid Sehar , Masood Hifza , Iqbal Nabeel
Published: January 2022

Aim: To determine the effect of Nd:YAG laser posterior capsulotomy on Intraocular pressure (IOP). Study design: Descriptive case series. Place and duration of study: Department of Ophthalmology Layton Rahmatulla Benevolent Trust Free Eye and Cancer Hospital Lahore Pakistan from 1st July 2018 to 30th June 2019. Methodology: Three hundred and sixty patients ranged from 40 to 85 years and both males and females were enrolled. The intraocular pressure was measured before the procedure and then at 1 hour and 1 week after the procedure using the Goldmann applanation tonometer by a consultant ophthalmologist. Results: The mean age of the patients in our study was 62.29±10.90 years that comprised of 206 (57.22%) males and 154 (42.78%) females. The mean IOP before Nd:YAG laser posterior capsulotomy was 15.40±2.71 mmHg whereas the mean IOP after Nd:YAG laser posterior capsulotomy was 19.04±3.50 mmHg. The effect of Nd:YAG laser posterior capsulotomy on IOP was recorded in 88 (24.44%) patients with raised IOP whereas a majority 272 (75.56%) patients had a normal IOP. Conclusion: The rise in IOP after Nd:YAG laser posterior capsulotomy is statistically significant and each minimum possible laser energy must be used on each patient undergoing Nd:YAG laser capsulotomy. Key words: Posterior capsular opacification, Nd:YAG laser posterior capsulotomy, Intraocular pressure
Evaluation of Diabetic Nephropathy and Associated Risk Factors in Type I and Type II Diabetic Patients at Badin, Sindh
Authors: Sadiq Ghulam , Ali Rizwan , Samad Abdul , Naseem Shehla , Zaman Shaikh Mohammad
Published: January 2022

Aim: To investigate evaluation of diabetic nephropathy and associated risk factors in type I and type II diabetic patients. Study design: Cross sectional prospective study Place and duration of study: Diabetic Clinic, Badin, 06 Months from August 2020 to January 2021 Methodology: Five hundred patients were conducted at Diabetic Clinic, Badin of Type I diabetes mellitus and Type II diabetes mellitus. Results: Twenty-five patients of Type I and 475 patients of Type II. The mean comparison of age, weight, height, body mass index, blood sugar, systolic BP, diastolic BP, HbA1c, serum creatinine, urine albumin and serum urea showed their significant value. Conclusion: Type II diabetes mellitus represent the large majority of macroalbuminuric, diabetics at risk of ESRD and diabetic nephropathy as compared to type I diabetic patient. Keywords: Diabetes mellitus, Diabetic nephropathy, Risk factors
Evaluation of Prevalence of Dyslipidemia and its Pattern in Type II Diabetic Patients in Mirpurkhas
Authors: Samad Abdul , Ghaffar Abdul , Naseem Shehla , Zaman Shaikh Mohammad , Hayee Pir Abdul , Ahmed Shakeel
Published: January 2022

Aim: To probe the existence of dyslipidemia in Type II diabetic patients at Mirpurkhas and to assess different pattern of dyslipidemia in Type II diabetic patients. Study design: Cross sectional prospective study. Place and duration of study: Two GP Clinics @ Mirpurkhas, 06 Months from 1st September 2020 to 28th February 2021. Methodology: Four hundred type II diabetic patients were registered. Complete history and physical examination done for all registered patients. The age, sex, occupation, address, family history of diabetes, addiction was recorded. Results: There were 241 (60.25%) females and 159 (39.75%) males. The prevalence of dyslipidemia in diabetic males was 58.49% and for females were 58.09%. High triglycerides and low high-density lipoprotein (HDL) were most prevalent pattern of dyslipidemia found in females and high low-density lipoprotein (LDL) followed by low high-density lipoprotein (HDL) was found in males. Overall, low HDL and high TG was most prevalent pattern found. Conclusion: Dyslipidemia is very prevalent in diabetic patients, and common patterns are hypertriglyceridemia and reduced levels of high-density lipoprotein cholesterol whereas, dyslipidemia may lead to cardiovascular abnormalities in diabetic patients. Optimal control of sugars and cholesterol can play major role in prevention of such sinister complications. Keywords: Dyslipidemia, Diabetes, Cardiovascular disorders. Prevalence
Frequency of Nail Deformities in Patients with Chronic Kidney Disease Undergoing Hemodialysis
Authors: Riaz Umar , Anwar Shahid , Rehman Abad-Ur- , Anwar Zahid , Akram Mateen , Mazhar Sobia
Published: January 2022

Background: Nail disorders are common in patients with chronic kidney disease on maintenance hemodialysis. Even though there are some studies regarding nail disorders in peritoneal dialysis and renal transplant patients, to the best of our knowledge, sparse local data is present on nail disorders among maintenance hemodialysis patients. Aim: To determine the frequency of nail disorders in patients with chronic kidney disease on maintenance hemodialysis. Study design: Cross-sectional study Place and duration of study: Dept of Nephrology, Sir Ganga Ram Hospital, Lahore from 1st February 2019 to 1st August 2019. Methodology: Two hundred and ninety two cases were enrolled. The nails of the patients were inspected and shot by utilizing a 10-megapixelcamera. The photos were subsequently reviewed independently by two dermatologists and one nephrologist. Results: There were 198 (67.8%) males and 94 (32.2%) females. The mean age was 47.3±12.4 years. The overall frequency of nail disorder in patients with chronic kidney disease on maintenance hemodialysis was 197(67.5%). According to nail disorders distribution, 119(40.8%) had half and half nail, while 56(19.2%) had splinter hemorrhage, 47(16.1%) had absent lunula, 16 (5.5%) had chromonychia, 15(5.1%) had Beau’s line, 19(6.5%) had melanonychia and 52(17.8%) had onycholysis. Conclusion: The frequency of nail problems in CKD patients treated by hemodialysis is 67.5%. This finding highlights the need for nail evaluation as a component of periodic examination in hemodialysis patients. Key words: Chronic kidney disease, Haemodialysis, Nail disorders.
Effects of Closed Reduction and Interlock Nailing of Femoral Shaft Fractures by Traction Table Vs Modified NA Fixator
Authors: Mahmood Tariq , Zafir Muhammad Badar ud Din , Chishti Muhammad Khalid , Ahmad Saeed , Rasool Azmat , Ahmad Tariq Mukhtar
Published: January 2022

Background: Femoral fractures are common fractures in orthopedics. Aim: To study the outcomes in patients with fracture shaft of femur, managed by close reduction and Inter Locking nail by traction table versus modified Naseer Awais fixator. Study design: Non randomized clinical study. Methodology: One hundred patients (50 in each group) were included in present study. Inter Lock femoral nailing was done in group A by TM distractor. Traction table was used in group B for the same procedure. Number of fluoroscope images per procedure, operation duration/time, contact between fracture fragments after reduction, limb rotation, limb length discrepancy, union time (radiological) and frequency of infection occurrence was noted and compared between the above said two groups. Results: Number of images per-operatively were 38.55±19.087, in group A 43.08±23.67, in group B 34.02±11.56 (P=0.017). The operative time in group A was 81.40±25.95 mins. The limb length discrepancy after surgery was 0.17±0.49 cm. The time of radiological union was 5.62±2.29 months in group A, versus 5.44±3.32 months in group B (P=0.753). Conclusion: We concluded that TM distractor group has comparable outcome with traction table group because there was no statistically significant difference in terms of operation duration/time, contact of major fracture fragments after reduction, limb length discrepancy (LLD), union (radiological), non-union and frequency of infection. However numbers of images in a procedure were less in traction table group in our study. Keywords: TM Distractor, Femoral Nail, Traction Table, Modified NA Fixator and Inter Lock Nail.
Infective Endocarditis in Children with Isolated VSD: A Single Center Study
Authors: Kazmi Tehmina , Khan Safia , Shah S. Salman A , Kazmi Uzma , Kazmi Maisam , Hyder Syed Najam
Published: January 2022

Aim: To determine the characteristics of isolated ventricular septal defect (VSD) in association with infective endocarditis (IE) among children with isolated VSD and its outcome. Method: This was cross-sectional study. Data was collected prospectively from infective endocarditis patients with isolated ventricular septal defect (VSD), admitted in pediatric cardiology ward of The Children’s hospital and Institute of Child Health, Lahore. Study period was from September 2018 till March 2021. The data was analyzed by using SPSS-26. Result: Sixty patients of ventricular septal defect (VSD) with infective endocarditis (IE), fulfilling the inclusion criteria, were included in the current study. Mostly about 60% were male. Transthoracic Echocardiography was done for all the patients. Single vegetation was found among 68.3%, rest were having multiple vegetations. seen. Approximately 57% were having small size vegetations while remaining 43% were with moderated – large vegetations. Complications were reported in only 18% of the study population. Regarding outcome majority of the patients (90%) were successfully treated with medical management alone, while only 8.3% required surgical intervention as well. Only 1 out of 60 patients included in the study was expired. Characteristic of VSD, size of vegetation, and number of vegetations have significant influence on development of complications (p = <0.05). Conclusion: Risk of complications among infective endocarditis with isolated VSD is comparatively greater with large vegetation and multiple number of vegetations as compared to single or small vegetation. Medical management is main stay of treatment while surgical intervention is usually required among infective endocarditis patients with DCSA-VSD & subaortic-VSD. Key words: Ventricular septal defect (VSD), DCSA (doubly committed sub-arterial) VSD, Infective endocarditis (IE).
Role of High VWF and Low ADAMTS-13 in Ischemic Stroke
Authors: Arshad Atiqa , Gohar M. Rizwan , Amanat Aafrinish , Alam Sadia , Waris Sadaf , Waheed Alia
Published: January 2022

Aim: To measure levels of VWF and ADAMTS-13 in patients of ischemic stroke and healthy controls. Method: Blood samples of forty five patients and forty five controls of age 30-65 years were taken from medical or neurology wards of Lahore General Hospital. VWF antigen assay was determined by Immuno-Turbidimetric method and quantitative ADAMTS-13 antigen assay was measured by ELISA. Results: The mean level of plasma VWF antigen of controls was 114.0±49.7% and mean plasma level of VWF antigen in patients was 137.0±54.3%. The mean plasma VWF antigen level was significantly elevated among patients as compared to controls (p=0.011). The mean ADAMTS-13 antigen level of controls was 151.7± 87.9 U/L and mean ADAMTS-13 antigen level of patients was 107.9±106.7 U/L. Our study also found that mean ADAMTS-13 was significantly lower in patients as compared to controls (p=0.018). Conclusion: In conclusion, Vwf and ADAMTS-13 antigen assays have an important role in pathogenesis of clot formation in patients of ischemic stroke. Keywords: Low ADAMTS, ischemic stroke, high WWF
Role of Silver Ions in Preventing Demineralisation of Human Enamel
Authors: Ghani Salvan , Hussain Talib , Bajwa Sikandar Javed , Ijaz Faiza , Khan Malik Arshman , Babar Bilal Zaman , Kabeer Shabana , Khurshid Maryam , Fayyaz Mamman
Published: January 2022

Aim: To determine the changes in Ca2+ release before and after the application of Riva Star, AgNO3 and to analyse the changes in surface roughness of the samples. Methods: The Riva Star, AgNO3 were used to measure their effects on the demineralisation processes of the windowed human enamel in 50ml pH4.0 acetic solution under 370C. The sound human enamel samples were sliced and varnished using nail polish and 5mm2 was left on the surface of enamel sample in order to make windowed-type enamel. The demineralised enamel samples were treated by these agents after 4hours of demineralisation, and later put back into the same acetic acid solutions for further 4hours of demineralisation to detect the changes. Results: The results demonstrated that Riva Star (SDF/KI) treatment exerted the inhibition ability in demineralisation remarkably. However, when the silver nitrate was applied alone, it slightly accelerated the demineralisation firstly and then followed a straight line. The treatment of silver nitrate alone also caused black staining. Reducing agent such as potassium iodide following the treatment of silver nitrate can inhibit the demineralisation instantly without causing the initial acceleration in demineralisation and the final black staining. Conclusions: Riva Star (SDF/KI) is an effective demineralisation inhibition agent for up to 48 hours following the topical application. The potassium iodide application following the treatment of silver nitrate can not only accelerate the inhibition performance, but also effectively avoid black staining. Keywords: Silver ions, Demineralization, Caries, Riva Star, SDF, Surface roughness
Comparison of Maitland Mobilization and Mulligan Mobilization with movement on pain and hand function in patients having post Colle’s Fracture Stiffness
Authors: Javaid Maham , Anwar Sahreen , Uzair Asghar Muhammad , Perveen Wajida , Akhtar Junaid , Mustafa Zeeshan , Amin Fatima
Published: January 2022

Background: Post-surgical rehabilitation of Colle’s fracture requires manual and exercise therapy to restore normal hand function. Aim: To compare the effectiveness of Maitland mobilization and Mulligan’s mobilization with movement on hand function and pain after Colle’s fracture. Study Design: Non randomized clinical study. Methodology: Study was conducted after ethical approval, at physiotherapy department Mayo hospital Lahore in 2019-20. Sample of 60 patients estimated by epitool, was divided into three equal groups (A, B & C). Subjects were screened on the basis of predefined eligibility criteria. All three groups received the respective therapy along with baseline treatment on alternate days for 4 weeks. Pre and post treatment and follow up assessments included VAS, patient rated wrist evaluation questionnaire and wrist ranges of motion with goniometer. Results: Mean age of participants was 45.38±6.58 years. No significant measures were found in any of the outcome measure between Maitland and Mulligan mobilization (p<0.05). Statistically significant improvement was found in all groups. Conclusion: We concluded that that the Mulligan mobilization with movement was effective to reduce pain and improve hand function in management after Colle’s fracture. Keywords: Colle’s Fracture, Post Fracture Stiffness, Radius Fracture, Mobilization and Mulligan’s Mobilization
Positive Predictive Value of Contrast Enhanced- Fluid Attenuated Inversion Recovery (CE -Flair) MRI in Diagnosing Meningitis
Authors: Wabasa Nasma , Maria Delima , Naseem Kamran , Mujahid Naima , Faheem Arshad , Aslam Sumaira
Published: January 2022

Aim: PPV of contrast enhanced fluid - attenuated inversion recovery (CE -FLAIR) MRI for diagnosis of meningitis considering CSF as gold standard Study Design: It is a cross-sectional study Setting & duration: Radiology department,, BVH, Bahawalpur 01-01- 2019 to 30- 06- 2019 Methods: A total of 130 patients having signs & symptoms of meningitis for last 72 hours with age group 15-50 years were included. MRI was performed on a 1.5 tesla MR System. The MRI protocol included the T1W SE sequence, the T2W SE sequence, the T1W sequence wit h FS, the FLAIR sequence. The CE-FLAIR, T1W sequences wit h MT and FS were obtained after administration of intravenous gadobutrol in a dose of 0.1mmo l/kg body weight. After this, lumbar puncture was done and CSF was sent to the laboratory for analysis. CE -FLAIR MRI findings were correlated with CSF report. Results: All the patients were subjected first to CE-FLAIR MRI. CE-FLAIR MRI supported the diagnosis of meningitis in 80 (61.5%) patients. CSF confir med meningitis in 71 (true positive) cases where as 09 (False Positive) had no meningitis on CSF. PPV of CE -FLAIR MRI in diagnosis of meningitis was 88.8%. Conclusion: PPV of CE -FLAIR MRI in diagnosing meningitis is quit e high. Keywords: Meningitis, CE -FLAIR MRI
“TODO EL AMOR Y TODA LA FURIA”. APROXIMACIONES CULTURALES A LA EXPERIENCIA POLÍTICA DE MONTONEROS Y EL PARTIDO REVOLUCIONARIO DE LOS TRABAJADORES-EJÉRCITO REVOLUCIONARIO DEL PUEBLO EN LA ARGENTINA DE LOS AÑOS SETENTA
Authors: Ruiz Cabello Olga
Published: January 2022

Este artículo se aproxima a la experiencia de dos organizaciones políticas argentinas que en los años setenta abrazaron la violencia como principal estrategia de lucha para conquistar el socialismo: Montoneros y el Partido Revolucionario de los Trabajadores- Ejército Revolucionario del Pueblo. Se analizan los repertorios emocionales desplegados por ambas organizaciones, tanto para movilizar acciones políticas como para configurar formas de gestión emocional entre sus militantes.
Years of Life Lost due to accidents and injuries in Iran: A trend of five years (2014–2018)
Authors: Heidari Alireza , Javad Kabir Mohammad , Khatirnamani Zahra , Jafari Nahid , Gholami Masoumeh , Reza Honarvar Mohammad , Lotfi Mansoureh
Published: January 2022

Background: Accidents and injuries are known around the world as the leading cause of disability and mortality. Objective: This study aimed to investigate the epidemiology of deaths due to accidents and injuries and years of life lost due to it. Methods: The method used in this research is the documentary method analysis. The study population was all deaths recorded in the Statistics and Performance Analysis Unit of Golestan University of Medical Sciences during the years 2014–2018. Results: During the years 2014 to 2018, more than 4318 deaths due to accidents occurred in Golestan province, of which 76.3% were related to men and 23.7% were related to women. There were about 99,531 years of life lost due to premature death during the study period, with the proportion of men (75,737 years, 16 per 1,000) higher than women (23,794 years, 5.1 per 1,000). Conclusion: Promoting knowledge and education, especially in the younger age group, interventions to solve accident-prone areas, adopting policies to reduce traffic accidents and lack of easy access to pesticides, teaching safety principles are also recommended.
Recommendations to improve young and novice driver safety in the State of Qatar
Authors: Consunji Rafael , Alinier Guillaume , Fathi Abeid Aisha , Murray Lynda M. , Fildes Brian
Published: January 2022

Introduction: Young driver behavior and safety are key concerns in Qatar, where they are disproportionately represented amongst road victims and fatalities. This paper summarizes the proceedings of a workshop, entitled “Enhancing the Safety of Young and Novice Drivers in Qatar”, held as a pre-conference workshop of the 24th World Congress of the International Traffic Medicine Association (ITMA) in Doha, Qatar. Methods: A guided discussion was conducted amongst a selected multi-sectoral group of 50 stakeholders, representing Law Enforcement, Health, Society and Education, Transport, and Road Safety. Each group discussed the best evidence and local realities of young driver safety in the State of Qatar. Using a modified Delphi approach, key areas were identified and prioritized; consensus recommendations were obtained and summarized. Results: Based on the stakeholders’ discussions a list of twelve key recommendations has been developed and its elements have been classified in order of priority. These recommendations are supported by relevant published evidence as well as expert opinion and have been shared with the relevant authorities to inform future policies. Conclusions: This article summarizes the workshop presentations and the twelve key recommendations that arose from the discussions and put them forward to the concerned authorities. It should be emphasized that the concerned authorities concerned need to take action on at least the top three recommendations (GDL, improved police enforcement, and improved licensing and training), but also to prioritize all other recommendations that can be easily addressed such as improved roads and auditing and risk-based insurance.
Survival outcomes of emergency thoracotomy in severely injured patients performed by a general surgeon at a rural university hospital in Thailand
Authors: Tullavardhana Thawatchai
Published: January 2022

Background: Emergency thoracotomy is a potentially life-saving maneuver for trauma patients in extremis. Since trauma scenarios, in rural locations, usually occur with a high incidence of a severe injury that leads to hemorrhagic shock or cardiopulmonary arrest. The objective of this study was to analyze the experience in emergency thoracotomy performed by a general surgeon in a rural area in Thailand. Methods: This retrospective study was conducted by analyzing the patient records including demographics, mechanisms of injuries, specific organ injury, surgical approach, life-saving surgical procedure, and postoperative outcome for all patients who underwent emergency thoracotomy in the Department of Surgery, Srinakharinwirot University hospital between January 2010 and December 2020. Results: Twelve patients underwent emergency thoracotomy within 1 hour after arrival and were equally divided between blunt and penetrating injuries with 6 (50%). A mean patient age of 34.8 ± 15.2 years (range 16–55), mean systolic blood pressure on arrival was 65.8 ± 35.2 mmHg (range 0–100 mmHg), and the mean injury severity score (ISS) was 54.6 ± 25.2 (range 26–75). Profound hemorrhagic shock is a major indication for emergency thoracotomy. The overall survival rate was 41.7% (5/12 patients) without survivors from cardiac injuries. Four patients (66.7%) in the penetrating and 1 patient (16.7%) in the blunt intrathoracic injury group were survived and discharged from the hospital. Conclusion: Emergency thoracotomy offers a chance for survival at 41.7% for trauma patients who present with extremes in this study. Rapid decision-making, good operative technique, and adequate patient selection are crucial for reasonable outcomes.
Western Atlantic invasion of sun corals: incongruence between morphology and genetic delimitation among morphotypes in the genus Tubastraea
Authors: Bastos Nathália , Calazans Sávio H , Altvater Luciana , Neves Elizabeth G , Trujillo Alexa L , Sharp William C , Hoffman Eric A , Coutinho Ricardo
Published: January 2022

The scleractinian corals of the genus Tubastraea Lesson, 1830 are currently globally dispersed and even so still present a confused taxonomy due to the overlap of morphological characters between the species. In this study, we investigate Tubastraea species previously found in the western Atlantic, based on the molecular marker (ITS gene) and morphology, to determine the accuracy of their descriptions. We identified three morphotypes from Brazil which were genetically delimited into two species: Tubastraea coccinea (Morphotypes I and II) and Tubastraea sp. (Morphotype III). Although morphotype I has morphological patterns of Tubastraea aurea (Quoy & Gaimard, 1833) there was no molecular divergence to support the species differentiation and continue to be recognized as a morphological variant of T. coccinea. The third morphotype is both morphologically and genetically distinct from T. coccinea and is also not representative of the species Tubastraea tagusensis Wells, 1982 despite earlier descriptions describing T. tagusensis in Brazil. Morphotype III exhibited distinct morphological characteristics among the other morphotypes, mainly due to greater polyp projection. In addition, it has fusions between septa, a characteristic that differentiates it from T. tagusensis. Nevertheless, molecular phylogenetic analyses showed that Brazilian Tubastraea fell into two well-supported monophyletic clades, and samples collected in the United States overlapped in both clades. Florida samples exhibited fewer morphotypes and showed greater genetic diversity, presenting haplotypes in four other internal clades. This study highlights the need for an integrative approach to conduct a deeper species delimitation of Tubastraea, essential for managing bioinvasion events by sun corals.
Creating a successful wildlife education program for public schools
Authors: Sykes Debbie
Published: January 2022

There are many ways to organize and execute a wildlife education program. While there are numerous resources for wildlife rehabilitators on public education, there are few that include school-aged children. A successful approach to wildlife education in the public school classroom takes into consideration developmental characteristics for preschool through high school students, teaching styles, and matches programs with state standards. English language learners and students of schools in lower income areas require special considerations.
Fun for the wild child: enrichment in wildlife rehabilitation
Authors: Barron Heather W.
Published: January 2022

Enrichment is loosely defined as a dynamic process for enhancing an animalenvironment within the context of the animals’ behavioral biology and naturalhistory. This article will explore how to reduce stress in wildlife in a rehabilitativesetting, including the benefits of enrichment (on a both a cognitive andphysiologic level), variable types of enrichment with practical examples, andhow this can be easily and inexpensively incorporated into any operation.
Application of Approximate Bayesian Computational for estimate parameter and selection model in dynamic of HIV
Authors: Cardoso Ronaldo Santos , Macêdo Gergemir Negrão , Viegas Bruno Marques , Macêdo Emanuel Negrão , Estumano Diego Cardoso
Published: January 2022

A aplicação de técnicas bayesianas está se tornando comum na bioengenharia, pois é comum inferir estimativas sobre parâmetros e variáveis de estado que não podem ser medidas. Este trabalho tem como objetivo aplicar a técnica de aproximação bayesiana computacional para estimar parâmetros e selecionar modelos simultaneamente em modelos que descrevem a dinâmica de células importantes representando a doença de HIV. Três modelos dinâmicos diferentes foram utilizados para realizar a verificação do algoritmo, uma vez que a técnica foi utilizada em medidas sintéticas. Verificou-se que a técnica é robusta o suficiente para estimar e selecionar simultaneamente os modelos estudados e desta forma mostrou ser uma técnica promissora para esse objetivo.
As múltiplas conexões entre escrita e imagem
Authors: Fontes Maria Aparecida
Published: January 2022

In this article, I propose a critical-analytical reading of the relations between writing and images and their multiple connections, supported by the review of mimetic and semiological conceptual references that enabled the identification of the moment of annulment of the veto to the imaginary. The rupture with traditional mimetic procedures contributed to the almost complete dissolution of the limits between writing and image, triggering multiple connections between them in times of globalization, hybridization, and hypertexts.
Literatura na rede ou literatura como rede? Simbiose e mediação na ciberliteratura portuguesa
Authors: Torres Rui , Ministro Bruno
Published: January 2022

The aim of this article is to identify and describe two distinct ways of using the network with regard to literature: as a means of dissemination, considered weak use, enabling archives, databases and other electronic publishing systems, that is, literature on the network; and as a means of production, considered a strong use, motivating emerging genres, human-machine symbiosis and mechanisms of cyberliterary production, that is, literature as a network. Starting from the presentation of examples of strong use linked to Portuguese production, we hope to clarify how the tension between book and screen, paper and light, fixity and variability arises in these two different modes of use in a radically different way: the network as an object of use in the literature that adapts to it; the network as an object use in the literature that adopts it.
A geografia mítica e real do Atlântico, na visão de Leonardo Torriani
Authors: Azevedo e Silva José Manuel
Published: January 2022

In 1584, King Philip II of Portugal invited the Italian militar architect Leonardo Torriani to reorganize the defensive system of the Canary Islands, threatened by English and French privateers and pirates. Torriani remained there until 1593. King Philip II did not limit himself to fulfilling his royal duties. Based on direct observation and on all kinds of written and oral information, he left us the manuscript 314 of the Reserve Section of the General Library of the University of Coimbra, an important documental source of historical, geographical, cartographic, artistic and linguistic nature, illustrated with the most beautiful watercolors.
As implicações do ensino durante a pandemia
Authors: Pedroso de Andrade Aparecida de Lourdes , André Ana Paula , Alves Pedro
Published: January 2022

The present work is based on observations and experiences of the authors, professors and a bibliographical survey on the topic addressed, in order to collaborate with discussions on teaching and the use of technologies during the period of the world pandemic caused by Covid-19, witch is reverberated in a transnational dimension, affecting the global scenario. The years 2020/2021 were characterized by different feelings arising from the pandemic situation. Adequacy and security protocols were created to prevent the spread of the virus. Amidst this, structural crises were being projected with greater intensity and affected the economic system, health, interpersonal relationships, education and all other aspects of human existence. More specifically, in the educational field, teachers and students needed to adapt to the moment of replacement of on-site classes by the new configuration classes and hybrid teaching. The literature points out that technologies expand the possibilities of teaching and learning, considering that the subjects in their daily lives are linked to the different perspectives of their use and also because they provide the student with a relationship that goes beyond passivity, when used with specific pedagogical objectives. However, remote or hybrid education does not replace teacher-student interaction and its relationships. Considering that the pandemic process highlighted the social weaknesses of all nations, the need for greater investments in education is highlighted, with equipment and training for students and teachers to be able to concretely promote significant learning from the use of technologies.
Endocarditis in the Emergency Department: A POCUS Case Series
Authors: DeAngelis John
Published: January 2022

Introduction Infectious endocarditis remains a difficult to diagnose entity in the emergency department. This is partially due to vague and non-specific presenting symptoms but also because the Major Duke criteria [1,2] are difficult to achieve in the timeframe of the standard emergency department visit. This can lead to diagnostic uncertainty and delay in treatment. Point of Care Ultrasound (POCUS) has grown significantly in the emergency setting and is now readily available in most departments [3]. Utilizing POCUS in this difficult subset of patients can successfully identify endocarditis earlier and lead to improved treatment times. Cases Each of the three cases in this report demonstrate an episode of care in which the patient presented with non-specific symptoms. In two, endocarditis was suspected, while in the third case there was significant distraction to make the diagnosis very difficult. In each case, POCUS was applied successfully confirming the diagnosis of endocarditis when added to the minor Duke criteria already present. This led to a confirmation of diagnosis up to 12 hours before formal confirmation during the patients’ admissions. Conclusion While this specific indication for POCUS is currently outside the core utilization in the ED, and significant limitations remain: i.e. unknown sensitivity, this series demonstrates that POCUS provides value in the work up of suspected endocarditis by confirming the diagnosis earlier. This series suggests that further research into the sensitivity of POCUS for endocarditis in the ED may be warranted.
Procesos de tradicionalización en el corrido de "Valentín de la Sierra": del texto noticiero al novelesco
Authors: Morales Prado Wendy Lucía
Published: January 2022

Se analizan los procesos de tradicionalización en nueve versiones del corrido cristero de “Valentín de la Sierra”. A partir de datos históricos que permiten ubicar algunas partes del corrido como noticieras, se destaca su transformación hacia lo novelesco mediante el análisis del desarrollo de sus secuencias narrativas.
ʾIʿdād al-Kitāb al-Taʿlīmiy li Tanmiyah Mahārah al-Kalām ladā Ṭullab al-Ṣaff al-Thālith (al-Qism al-Dīniy li al-Banīn) bi al-Madrasah al-Thānawiyyah al-ʾŪlā bi Paciran Lamongan Jawa al-Sharqiyyah
Authors: Rohhani Imam , Farid Farid
Published: January 2022

Penelitian yang dilakukan di Madrasah Aliyah (MA) Muhammadiyah 01 Paciran Lamongan ini berbicara tentang pengembangan buku pembelajaran untuk meningkatkan keterampilan berbicara. Buku yang dikembangkan tersebut merupakan solusi dari problematika pembelajaran yang dihadapi guru dan para siswa di sekolah tersebut yaitu tidak adanya buku pembelajaran yang cocok dan sesuai dalam pengajaran materi Hiwar (Conversation). Tujuan dari penelitian ini adalah: (1) Untuk mengetahui keistimewaan dari buku pembelajaran ini dalam meningkatkan kemampuan berbicara siswa. (2) Untuk mengetahui sejauh mana efektivitas penggunaan buku pembelajaran ini dalam meningkatkan keterampilan berbicara siswa Kelas III (Agama Putra) di MA Muhammadiyah 01 Paciran Lamongan Jawa Timur. Jenis penelitian yang digunakan dalam penelitian ini adalah Research and Development (R&D). Adapun pendekatan yang digunakan oleh peneliti dalam penelitian ini adalah pendekatan kuantitatif dan kualitatif. Sedangkan instrumen yang digunakan dalam penelitian ini adalah tes, angket, wawancara, dan dokumentasi. Adapun hasil penelitian ini adalah: (1) Buku pembelajaran telah selesai dikembangkan untuk meningkatkan kemampuan berbicara siswa Kelas III (Agama Putra) di MA Muhammadiyah 01 Paciran Lamongan. Keistimewaan dari buku ini adalah kandungan isinya yang mencakup percakapan, ungkapan, susunan kata, dan latihan-latihan yang berkaitan dengan keterampilan berbicara. Selain itu, yang menjadi kelebihan buku ini adalah berbagai pengetahuan dan istilah-istilah modern yang sering digunakan di zaman ini. (2) Penggunaan buku pembelajaran yang dikembangkan oleh peneliti efektif untuk meningkatkan kemampuan berbicara siswa Kelas III (Agama Putra) di MA Muhammadiyah 01 Paciran Lamongan. Hal ini berdasarkan hasil yang didapat peneliti setelah menganalisa data dari nilai tes, yang mana nilai rata-rata siswa ketika pre-test adalah 53,6 dan ketika post-test adalah 74,75. Ini menunjukkan adanya peningkatan dalam kemampuan berbicara siswa setelah penggunaan buku pembelajaran. Hal ini dikuatkan pula oleh nilai test t yang diperoleh, yang mana nilai t hasil (t0) lebih besar dari nilai t tabel (tt) baik di taraf signifikasi 5% atau 1% dan nilai tersebut adalah 2,13 < 7,53 > 2,95. Begitu pula nilai dari angket dan interview mendukung semua yang telah disebutkan di atas.
Bayān ʿan al-Mukhaṣṣiṣāt al-Muttaṣilah
Authors: Wardhana Windro Saputro Oscar
Published: January 2022

Lafal-lafal dalam Bahasa Arab, khususnya dalam atau teks agama baik itu di dalam ayat-ayat al-Qur’an maupun teks hadis, masing-masing memiliki bentuk dan arah tersendiri yang menuntun/menunjuk pada maknanya yang dikenal dengan dilālah. Para ulama ʾUṣūl Fiqh semenjak dikenalnya ilmu ini, telah memberikan perhatian yang sangat besar terhadap bentuk-bentuk petunjuk/dilālah tersebut. Di antara bentuk-bentuk petunjuk/ dilālah yang senantiasa dibahas adalah bentuk umum dan khusus atau dikenal dengan istilah takhṣīṣ al-ʿĀm yaitu penjelasan bahwa yang dimaksud dari sebuah lafal yang bersifat umum adalah bukan seluruhnya, namun sebagian dari keumuman lafal tersebut. Syarat bolehnya suatu takhṣīṣ/pengkhususan adalah adanya petunjuk yang jelas yang dikenal dengan istilah dalīl mukhaṣṣiṣ. Mukhaṣṣiṣ terbagi menjadi 2 jenis jika dilihat dari keterkaitannya dengan teks kalimat: yaitu mukhaṣṣiṣ munfaṣilah (terpisah) dan mukhaṣṣiṣ muttaṣilah (tersambung). Mukhaṣṣiṣ muttaṣilah adalah suatu petunjuk yang tidak berdiri sendiri namun dia terkait dengan teks kalimat dan merupakan bagian darinya. Ada banyak bentuk mukhaṣṣiṣ muttaṣilah yang disebutkan oleh para ulama, namun seluruhnya terangkum dalam 5 bentuk yaitu : Istithnāʾ (pengecualian), Sharṭ (syarat), Ṣifah (sifat), Ghāyah (batas), Badal (pengganti). Makalah ini akan menjelaskan tentang masing-masing bentuk mukhaṣṣiṣ muttaṣilah baik secara definisi, perangkat dan hukum-hukum yang terkait dengannya.
Kafa travması ile başvuran epidural hematom hastalarının epidemiyolojik açıdan incelenmesi
Authors: Kıyak Veysel
Published: January 2022

Kafa travmaları, mortalite ve morbiditenin önemli bir sebebi olmasının yanı sıra, engellenebilir olmaları yönüyle de ele alınması gerekli olan bir sorundur. Ülkemizde de dünyadaki verilere benzer şekilde, sanayileşmenin artması ve bunun sonucunda trafik kazaları, iş kazalarının (yüksekten düşme gibi) kafa travmalarının en sık görülen sebepleri olarak karşımıza çıktığı görülmektedir. Bu çalışmada kafa travması ile başvuran ve epidural hematom saptanan hastalar epidemiyolojik açıdan incelenmiştir.
A proof of Hall's conjecture on length of ray images under starlike mappings of order α
Authors: Hästö Peter , Ponnusamy Saminathan
Published: January 2022

Assume that \(f\) lies in the class of starlike functions of order \(\alpha\in[0,1)\), that is, which are regular and univalent for \(|z|<1\) and such that

Re\(\left(\frac{zf'(z)}{f(z)}\right)>\alpha\) for \(|z|<1.\)

In this paper we show that for each \(\alpha\in[0,1)\), the following sharp inequality holds:

\(|f(re^{i\theta})|^{-1}\int_{0}^{r}|f'(ue^{i\theta})|\,du\leq\frac{\Gamma(\frac{1}{2})\Gamma(2-\alpha)}{\Gamma(\frac{3}{2}-\alpha)}\) for every \(r<1\) and \(\theta\).

This settles the conjecture of Hall (1980) positively.
Organisational-tactical peculiarities of using public representatives in the
course of presentation for voice or speech recognition
Authors: Kyrychenko Oleh , Khrystov Oleksandr
Published: January 2022

The article has identified the main organizational, tactical and legal issues of using members of the public during the presentation for recognition by voice or speech, including phonogram.
The authors have concluded that the most effective in terms of organizational implementation of this investigative (search) action, in terms of involvement of mutes, experts, witnesses, there is always lack of cooperation with NGOs, volunteers, representatives of labor collectives and cultural community.
They have developed and proposed algorithms for using members of the public as: 1) persons who are presented together with the suspect as «mutes» for identification by «live» voice; 2) persons who perform the role of a source for the creation of audio samples of the voice (when recognizing by phonogram); 3)professionals to create audio samples of the voice (when recognizing by phonogram); 4) professionals to establish possible changes in the voice of the person to be identified; 5) witnesses involved in order to certify the correctness and objectivity of the recording of the content, course and results of the presentation for recognition by voice or speech.
For this purpose typical investigative situations that arise in the case of the use of members of the public during the presentation for identification by voice and speech have been identified, in particular:
1. In the use of members of the public as persons who are presented together with the suspect as «extras» for identification by a «live» voice, typical investigative situations include: 1) discrepancy between the characteristics of the voice (volume, intelligibility of speech, timbre, gender of the person, etc.) of colleagues or persons who are in «close access» and the characteristics of the person’s voice presented for identification; 2) refusal of colleagues or persons who are in «close access» to participate in this investigative (search) action as a mute, etc.; 3) the investigator’s inability to determine the characteristics of mutes’ voices at the stage of preparation for the investigative (search) action.
2. When using members of the public as persons who act as a source for the creation of audio samples of the voice (when recognizing by phonogram), the authors have identified the following typical investigative situations: 1) the sound of the created phonogram (signal) does not correspond to «living» voices, or is perceived differently; 2) the number of pronounced words and phrases or their sequence is insufficient for recognition by the recognizing person, etc.
3. When using members of the public as specialists to create audio samples of the voice (when recognizing by phonogram), the following tactical situations may arise: 1) lack of opportunity to involve an expert; 2) conducting an investigative (search) action in remote settlements.
O Papel das Experiências E Das Redes De Sociabilidade Na Construção De Narrativas Nas Empresas
Authors: Redondo Casimiro
Published: January 2022

Este artigo busca conhecer o papel das experiências e redes de sociabilidade nas narrativas nacionais de um grupo de empresários e executivos pertencentes a diversas associações empresariais de Lima. Essas percepções, representações e experiências foram desenvolvidas no marco da tese "Análise do discurso sobre a sociedade peruana nas principais associações empresariais de Lima". Assim, a pesquisa surge da necessidade de estudar os setores mais privilegiados da sociedade peruana a partir da antropologia, pois ajuda a compreender como se exerce o poder na América Latina.