bluuebunny/crossref_metadata_2025 huggingface dataset:
GEOESTATÍSTICA E GEOPROCESSAMENTO NA TOMADA DE DECISÃO DO USO DE INSUMOS EM UMA PASTAGEM
Authors: Santos K.E.L. , Bernardi A.C.C. , Bettiol G.M. , Crestana S.
Published: September 2017

O presente trabalho objetivou aplicar os conceitos de geoestatística e geoprocessamento para a obtenção de zonas de manejo de uma área de pastagem de capim Tanzânia, em São Carlos - SP, e delimitação de unidades de manejo para aplicação de calagem e adubação, com base no melhor método de interpolação. Com os resultados de análise de solo foram realizadas análises geoestatísticas para avaliação da dependência espacial dos atributos químicos. Os mapas foram obtidos pelo método de interpolação por Krigagem Ordinária e a definição das zonas de manejo foi realizada por meio de lógica fuzzy. A partir dos mapas dos parâmetros químico do solo gerou-se o mapa de zonas de manejo resultando em cinco zonas sendo: 0,02ha (1,2% da área total) consideradas como “muito baixa” fertilidade; 0,3ha (18%) “baixa” fertilidade; 0,75ha (44%) como “média” fertilidade; 0,55ha (32%) como “alta” fertilidade e, 0,08ha (4,8%) como “muita alta” fertilidade. A comparação dos métodos de interpolação demonstrou que a Krigagem Ordinária foi a melhor metodologia para o estudo. A geoestatística e o geoprocessamento demonstraram ser técnicas que auxiliam nas decisões estratégicas e complexas em relação ao gerenciamento do sistema de produção agrícola.
PROPRIEDADES FÍSICO-HÍDRICAS DE UM LATOSSOLO ARGILOSO APÓS COMPACTAÇÃO INDUZIDA MECANICAMENTE
Authors: Amaral K.F.S. , Rosa H. A. , Giese V. , Montiel C.B. , Brondani S. T. , Secco D.
Published: September 2017

A compactação do solo é um dos principais fatores que altera a qualidade do solo e o crescimento das culturas. Objetivou-se avaliar o efeito da compactação sobre as propriedades físicas - hídricas do solo. O delineamento experimental inteiramente casualizado (DIC) foi composto por 4 tratamentos e 5 repetições (T1 - sem compactação; T2 - quatro passadas com trator; T3 - seis passadas com trator e T4 - oito passadas com trator) a compactação foi realizada no dia da coleta de dados. As amostras foram submetidas às tensões -0,033 e -0,05 MPa em câmara de pressão de Richards. Com a utilização de amostras indeformadas, foi utilizado o equipamento psicrômetro WP4-T. Os dados foram submetidos à análise de variância (ANOVA) e as médias dos tratamentos foram comparadas pelo teste Tukey a 5% de significância, pelo Software Assistat. Em relação à Porosidade total (Pt), na profundidade de 10-20 cm o tratamento T3 apresentou menores valores. Conclui-se que a quantidade de passadas de um trator, em um Latossolo argiloso, alterou as características físico-hídricas do solo, com exceção da microporosidade. A camada de 10-20 cm foi a que apresentou maiores diferenças estatísticas, com alterações nos valores de Pt, Macroporos e DTA.
Amelogenin x linked chromosome
Authors: Gupta Bhawani
Published: September 2017

The AMELX gene provides instructions for making a protein called amelogenin, which is essential for normal tooth development. Amelogenin is involved in the formation of enamel, which is the hard, white material that forms the protective outer layer of each tooth. Using molecular genetic techniques, we have shown that there is no evidence that the AMGX gene is deleted in this case of the Nance-Horan syndrome. In affected members of a Michigan kindred of Eastern European ancestry segregating X-linked amelogenesis imperfecta with a characteristic snow-capped enamel phenotype.
Clinical, hematological, and laboratory presentation of acute lymphoblastic leukemia of children in Diyala province/Eastern Iraq
Authors: Shalal Husameldeen Hameed , Mahmood Najdat Shukur , Alchalabi Muahammad Abdul Qader
Published: September 2017

Background: To show the initial presenting features the children of acute lymphoblastic leukemia presented till the diagnosis at oncology Center/ Diyala/ Iraq.Methods: A retrospective study, carried out during 2016-2017. The data include constitutional, hematological, and infiltrative features with laboratory findings registered at patient’s files until the diagnosis. Data were analyzed by Statistical Package of Social Sciences v. 20.Results: The total patients were 55, distributed into: T- cell (10.9%) and B- cell leukemia (89.1%), FAB classification include L1 (11%), L 2 (89%) and L3 (0%). Most of patients presented at 1- 10 years of age (p value= 0.000); M: F= 1.3:1 (p value= 0.345). Fever and pallor were the most common features, 81.8% (p value=0.000) and 67.3% (p value=0.010), respectively. Other features were bone pain (40%), anorexia (36.4%), fatigability (30.9%), muco-cutaneous bleeding (27.3%), hepatosplenomegaly (56.4%), lymphadenopathy (49.1%), and facial palsy (1.8%). Hemoglobin was < 8 gm/ dl in 70.9 %, white cell count was < 50×109 cells/L in 70.9 %; 12.3% has severe leukocytosis, and platelets' count was between 20- 100 × 109 cells/L in 49%. Mediastinal infiltration (7.2%), pleural effusion (1.8%), pericardial effusion (1.8%), and positive cytospin (5.4%).Conclusions: L2 subtype was the dominant subtype; this contrary to all other studies and may be related to the prognosis. Most of the initial features were general and may indicate more common illnesses, but their constellation with complete blood picture should rise the possibility of leukemia. A rare complication, pleural effusion, was detected as initial feature.
Current pattern of presentation and approach to the management of ectopic gestation in the state specialist hospital Ondo: a two-year review
Authors: Adegoke Adedokun I.
Published: September 2017

Background: Ectopic gestation is still the leading cause of pregnancy related death in the first trimester. Not much has changed in the area of management in the developing world due to the pattern of patients’ presentation and paucity of laparoscopic facilities. The study aims to assess the current pattern of presentation and approach to the management of ectopic gestation in a secondary health facility in sub-Saharan Africa.Methods: A retrospective study was carried out to assess the current pattern of patients’ presentation and approach to management of ectopic gestation in State Specialist Hospital, Ondo, Nigeria. All the data were retrieved from the case record of patients and analysed using SPSS version 20.Result: The commonest symptoms patients presented with were abdominal pain, amenorrhoea and vaginal bleeding with figures 63 (96.92%), 47 (72.31%) and 34 (52.31%) respectively. Tubal ectopic gestation was the commonest type found in 60 (92.31%) patients and was more on the right (56.92%). Fifty-nine (90.77%) of the tubal ectopic gestations were ruptured while only one was unruptured. All the patients had exploratory laparotomy. No mortality was recorded during the period under review.Conclusion: All the patients reviewed had exploratory laparotomy mainly due to the non-availability of laparoscopy in our centre, the nature of presentation and the financial capability of the patients and their relations. These factors still remain the determinants of clinician’s choice of patients’ management in low resource settings of the world.
Effect of raja yoga meditation on glycaemic status in type 2 diabetes mellitus
Authors: Phatak Mrunal S. , Chawla Tara G. , Phatak Pallavi S.
Published: September 2017

Background: In this modern era stress is a commonly seen phenomenon. Stress affects physiological equilibrium leading to many pathologic conditions including endocrine disorders like diabetes mellitus. Physiological responses to stress including increased glucose production, glucose mobilisation and insulin resistance could partially mediate this risk. Meditation is a behavioural phenomenon which can be used to cause autonomic nervous system alterations and help in reducing stress and its effects.Methods: In this cross-sectional study 60 patients of type 2 diabetes mellitus (T2DM) were divided into 2 groups, 30 patients who are practicing Raja yoga meditation for more than 5 years and their glycemic status was compared with the glycemic status of 30 patients of T2DM who did not practice any form of yogic meditation.Results: Blood glucose level and glycated haemoglobin levels were significantly lower in yoga practitioners. Lipid profile showed significant reduction in total cholesterol and serum triglycerides.Conclusions: Thus, a better glycaemic control is achieved with regular practice of Raja yoga meditation which helps in maintaining optimal level of autonomic equilibrium at rest as well as during exposure to stress.
Role of fine needle aspiration cytology (FNAC) in the diagnosis of soft tissue tumors
Authors: Gulzar Jasmeen , Yasin Syed Besina , Khan Subuh Parvez , Bashir Naheena
Published: September 2017

Background: Soft tissue tumors constitute a large and heterogenous group of neoplasms. Benign tumors out number their malignant counterparts by a ratio of about 100:1 in hospital population. FNAC has emerged as a major outpatient procedure for the diagnosis of soft tissue tumors due to low cost of the procedure, less complications, feasibility, quick results and high therapeutic efficiency with specificity and sensitivity of approximately 95%. The diagnostic accuracy of FNAC of soft tissue tumors in distinguishing benign and malignant lesion is also very high. The objectives of this study were to study the role of FNAC in the diagnosis of soft tissue tumors and its correlation with histopathology. Also, this study aimed at studying various cytomorphological patterns of soft tissue tumors and correlating cytological grading with histopathological grading.Methods: It was a hospital based study of 5 years which included 479 patients of all age groups, clinically presenting with soft tissue swellings. FNAC was performed. Smears were stained with Papanicolaou (PAP)/May Grunwald Geimsa (MGG). The cytological details of soft tissue tumors were studied and broadly classified into benign, malignant and indeterminate and suspicious. Cytomorphological subtyping and grading of tumors on FNAC was done. The cytological findings were correlated with the histopathological results, wherever available.Results: Benign tumors comprised of 423 cases (88.3%) and malignant tumors comprised 56 cases (11.69%)only. Maximum number of cases were seen in well differentiated/lipomatous group (339 cases) followed by spindle cell category (88 cases). Histopathological correlation carried out in 136 out of 479 cases (benign:111 and malignant :25) revealed that out of 111 cases diagnosed as benign by cytology, one case was malignant (liposarcoma) and among 25 malignant cases diagnosed by cytology one case was benign (myofibroblastoma). Overall sensitivity and specificity of FNAC was 96% and 99% respectively. Comparison of cytological and histopathological grading of 24 sarcomas showed overall concordance of 75%.Conclusions: FNAC is an excellent diagnostic modality in early diagnosis of soft tissue tumors. FNAC is highly reliable and obviates surgical procedures especially in high risk patients thus facilitating initiation of appropriate therapy and saving time and manpower. It is also highly sensitive in detecting benign soft tissue tumors and highly specific for malignant soft issue tumors.
Once daily versus twice daily Linagliptin effect on glycemic levels in type 2 diabetes mellitus- an observational study
Authors: Mohammed Riyaz , Ali Mohammed Azfar
Published: September 2017

Background: DPP-4 is widely distributed in endothelial cells, pancreas, uterus, liver, salivary glands, lymph node, spleen, and thymus. DPP-4 regulates glucagon-like peptide (GLP)-1, and glucose-dependent insulin tropic peptide (GIP) which leads to glucose homeostasis via enhancing insulin secretion and suppression of glucagon, which results in control of post-prandial and fasting hyperglycemia.Methods: These 40 patients who were enrolled as per the inclusion criteria of receiving metformin dosage of 2 gram per day in established type 2 diabetes mellitus patients with no comorbidities. these patients were divided randomly into two groups comprising of 20 patients each, group A received linagliptin 5 mg per day in addition to metformin 1gm twice daily whereas group B received linagliptin 5 mg per day in a fixed dose (Linagliptin + metformin) of 2.5/1000 twice daily.Results: In the present observational study, the mean age in group A was 46.7±9.4 compared to 51.65±9.9 in group B, p >0.05, mean BMI in group A was 27.8±1.1 compared to 27.28±0.93 in group B p >0.05, Mean FBS in group A was 157.9±24.1 compared to 146.2±21.8 in group B p >0.05, Mean PPBS in group A was 245.8±32.7 compared to 246.2±39.3 in group B p >0.05 and Mean HbA1c in group A was 7.67±0.58 compared to 7.6±0.5 in group B p >0.05. Group A patients were initiated on once daily linagliptin, there was a significant reduction in FBS, PPBS and HbA1c at the end of 6 months p <0.001. Similarly, Group B patients who were initiated on twice daily linagliptin also showed a significant reduction in FBS, PPBS and HbA1c at the end of 6 months p <0.001.Conclusions: The addition of linagliptin to metformin treatment was effective and well tolerated in patients with type 2 diabetes. Linagliptin add-on to metformin during the early course of treatment helps in delaying the exhaustion of pancreatic islet function. Plasma concentrations of linagliptin decline in at least a biphasic manner with a long terminal half-life (>100 hours), related to the saturable binding of linagliptin to DPP-4. The prolonged elimination phase does not contribute to the accumulation of the drug. Addition of linagliptin to metformin has shown a significant reduction in FBS, PPBS and HbA1c.
Diagnostic reliability of Widal slide agglutination test for enteric fever- still a query
Authors: Yadav Kiran , Parihar Geeta , Yadav Suresh Kumar
Published: September 2017

Background: Typhoid fever is a major public health problem associated with significant morbidity and mortality in many countries. The Widal slide agglutination test is a commonly used test for diagnosing enteric fever. Limited literature is available on its diagnostic ability in comparison to the tube agglutination test. Aim of this study was carried out to evaluate the efficacy of the Widal slide agglutination test for the diagnosis of enteric fever.Methods: This cross-sectional study was done in department of microbiology in Jawahar Lal Nehru medical college and hospital, Ajmer over a period of six months from September 2013 to March 2014. A total of 640 serum samples received in the microbiology department were processed for detecting the presence of anti O and anti H agglutinins against S. typhi, S. Paratyphi A and S. Paratyphi B by slide and tube Widal agglutination tests as per standard protocols. The significant titre for O and H agglutinin, 1:160 was taken as positive.Results: Of the 154 slide Widal positive samples, 115 (18%) samples tested negative by the tube agglutination test whereas only 39 (6%) samples were positive by both slide and tube agglutination.Conclusions: Slide Widal test has high sensitivity and NPV (100%) can be used as a screening tool but due to low specificity (83.93%) any positive sample should be confirmed by tube Widal test.
Reference values for the six-minute walk test in obese Indian population
Authors: Dosi Ravi , Songara Ashwin , Joshi Prakash , Jain Arpit , Solanki Awadesh P.S.
Published: September 2017

Background: The six-minute walk test is one of the most powerful test used to measure the functional capacity in various chronic conditions such as in Obesity. There are very few reported studies on SMWT on Obese population all over the world, and there is no reference equation for SMWD. The aim of present study is to propose a Reference equation which could predict the distance walked in SMWT by obese individuals.Methods: 150 obese individuals free from any cardiorespiratory disease were randomized into 2 groups. SMWT data from group A was used to propose the reference equation and SMWD for Group B was predicted. Significance of difference between predicted and original values for group B was found.Results: Mean SMWD for Group A was 304.56 (SD= 68.28) which significantly correlated to (by using linear regression method) age (r = -0.32, p <0.001), BMI (r = -0.43, p <0.001) SpO2* (r=-0.35, p<0.001). These could explain 56% of the total variance in 6MWT. Though the difference between predicted and original values for group B wasn’t found to be statistically significant. The proposed Reference equation is:6MWT distance = (6.8) O2 saturation-(4.3) BMI-(0.6) age-170.64.Conclusions: SMWT is a simple, safe and powerful test to assess the functional status. The standardized SMWD values for Indian obese population would serve as benchmark to assess baseline functional capacity, prescribe proper and safe exercise intensity and monitor changes after rehabilitation interventions.
A study of histological changes during development of human fetal kidney in later half of gestation
Authors: Thakur Rajni , Tiwari Anjana
Published: September 2017

Background: Prenatal period is a very crucial time for human development. It is important to know the normal developmental of human kidney for better understanding of various congenital renal conditions.Methods: This study was conducted in the department of anatomy, Pt. J. N. M. medical college Raipur, Chhattisgarh, India. The materials for study (50 fetuses of gestational age between16 week to 40 weeks from cases of abortions, stillbirth from premature and normal deliveries with apparently normal history of gestation) were obtained from the labour room of the R. N. T. district hospital Kondagaon, Chhattisgarh, India. Fetal kidneys were dissected out; histological slides were made, stained with Hematoxylin and eosin and observed under light microscope.Results: A Subcapsular nephrogenic zone was seen in all kidneys up to 36 weeks of gestational age. Differentiation of kidney into cortex and medulla was seen in all the specimens. Presence of Bowman’s space was seen in 90-95% of glomeruli and vascular pole were present in 65-70% of glomeruli, in all specimens of different gestational age. Parietal epithelial lining of Bowman’s capsule was lined by cuboidal epithelium in immature glomeruli but this showed a gradual transition to a flat variety, with the further maturation of the glomeruli. Proportion of glomeruli with many lobulations, went on increasing with increasing gestational age.Conclusions: From the above findings, it can be concluded that although formation of new glomeruli occurs up to 36 weeks of intrauterine life, differentiation and maturation continues until the last week of third trimester of gestation.
Knowledge and awareness among female patients attending cardiac outpatient department in a super speciality hospital
Authors: Sharma Sushil Kumar , Sawhney Vineeta
Published: September 2017

Background: Cardiovascular disease is the leading cause of mortality not only in males but also in females and knowledge about the disease is poor among them. Objective of the study was to assess the knowledge and awareness among female cardiac patients.Methods: This cross-sectional study was conducted in outpatient department of cardiology in a super specialty hospital of government medical college Jammu, Jammu and Kashmir, for a period of three month from 1st March to 31st May 2017. Female patients were given a questionnaire regarding socio demographic profile, knowledge and awareness were recorded and analyzed in percentage.Results: There were 216 female patients, out of which 56.9% were in age group of 41-60 years, 86.1% were housewives, 87.5% were married, 54.1% having education up to 10th standard and maximum were living in joint family and 52.7% having monthly family income above 20,000. 44.4% were suffering from hypertension. Maximum females 59.7% consider themselves as bulky, 83% have changed their eating habits, 66.6% have started work out after the onset of disease, 61%-62% were having awareness about the cardiac symptoms and 97.2% were following allopathic drug therapy.Conclusions: Overall knowledge and awareness about disease and risk factors among these females was good as these patients were already diagnosed patients and were coming for follow up. There is need of educational programme by involving primary health care workers and utilization of CVD guidelines as a better preventive strategy.
Clinical and bacteriological study of neonatal septicaemia in a tertiary care hospital
Authors: Khante Sneha V. , Raut Sharmila S.
Published: September 2017

Background: Neonatal sepsis is a clinical syndrome of bacteraemia characterized by systemic signs and symptoms in the first month of life. It is the leading causes of neonatal mortality and morbidity. Early diagnosis and treatment with appropriate antibiotics is important to improve the prognosis of neonatal sepsis. Our objectives were to study the organisms causing neonatal septicaemia, associated risk factors, to correlate CRP with blood culture and to study mortality rate in neonatal septicaemia.Methods: The study of 2 years included clinically suspected cases of neonatal septicaemia admitted in NICU. 566 blood samples were collected, processed and isolates were identified. Maternal and neonatal risk factors were studied. CRP test was done by slide agglutination test.Results: Blood culture was positive in 205 (36.22%) cases. Among the culture positive cases, 128 (62.44%) were males and 77 (37.56%) females with male to female ratio of 1.66:1. Early onset sepsis was present in 137 (66.83%) and late onset sepsis in 68 (33.17%) cases. 107 (52.20%) were low birth weight babies. The most common neonatal risk factor was prematurity 75 (36.58%) and maternal risk factor was prolonged rupture of membrane 65 (31.71%). gram negative bacilli 144 (70.24%) were found to be common cause of sepsis than gram positive cocci 61 (29.76%), Klebsiella pneumoniae 54 (26.34%) being most common pathogen. Out of 566, CRP test was positive in 244 (43.10%) cases. Mortality rate was 23.41%.Conclusions: Neonatal septicaemia is a life-threatening emergency. The study of etiological profile and CRP test plays a significant role.
Comparison of effects of dexmedetomidine and clonidine as adjuvant to bupivacaine 0.25% in ultrasound guided supraclavicular brachial plexus block
Authors: Chaudhary Usha K. , Danesh Amruth , Mahajan Monika , Kumar Sudarshan , Verma Versha , Awasthi Bhanu
Published: September 2017

Background: Ultrasound guided brachial plexus block is the preferred technique for surgeries on upper limb. Adjuvants are usually added to peripheral nerve blocks to increase their analgesic efficiency and duration. We compared analgesic effects of dexmedetomidine 1mcg/kg and clonidine 1mcg/kg as adjuvant to a low volume of bupivacaine in USG guided supraclavicular brachial plexus block.Methods: A prospective, randomized controlled, double blind study planned after permission from institutional ethics committee. Sixty ASA grade I, II patients, 18-60 years undergoing upper limb orthopedic surgery included. Group 1 (Control group) received 20 ml of 0.25% bupivacaine. Group 2 (Dexmedetomidine group) received 20ml of bupivacaine + dexmedetomidine (10 ml of 0.5% bupivacaine + 1µg/kg of dexmedetomidine, diluted with 0.9% NS to 20 ml) Group 3 (Clonidine group) received 20 ml of 0.25 bupivacaine + clonidine (10ml of 0.5% bupivacaine+1µ g/kg of clonidine, diluted with 0.9% NS to 20 ml) in USG guided supraclavicular brachial plexus block. Continuous variables analyzed with analysis of variance or Kruskal-Wallis test and categorical variables with Fisher’s exact test.Results: Pain free period was 864.90±357.16 minutes: dexmedetomidine group; 584.59±172.38 minutes: clonidine group, 431.78±138.40 minutes: control group with p< 0.001. VRS (verbal rating score) was significantly higher in control group as compared to dexmedetomidine at 4 hours but the pain scores were comparable between all the groups after 8 hours of block.Conclusions: Dexmedetomidine as an adjuvant to bupivacaine provides prolonged anaesthesia, better pain relief in early postoperative period with haemodynamically stable, calm patients compared to clonidine and control group.
A study on clinicopathological evaluation of rhinosporidiosis
Authors: Panda Prangya , Sadangi Bijaya Kumar , Jena Dhaneswari , Panda Sarita
Published: September 2017

Background: Rhinosporidiosis is a chronic granulomatous disease. Aim of the study was to do a clinicopathological evaluation of the cases of rhinosporidiosis. Study design was longitudinal.Methods: The study was undertaken in MKCG medical college. 151 cases of rhinosporidiosis were taken. Pedunculated or sessile, fleshy, polypoidal, reddish looking mass with spores on the surface were clinically diagnosed as rhinosporidiosis. Age, sex distribution, site of presentation and socioeconomic status was studied. The swellings of lacrimal sac were doughy in consistency. The conjunctival mass was excised and thermocautery applied. For the cases of lacrimal sac dacryocystectomy was done.Results: The cases were more common in male children of low socioeconomic status. Palpebral conjunctiva is the common site of involvement. History of pond bath was present in almost all the cases. History of bleeding from nose and eye was present in many cases.Conclusions: Rhinosporidiosis is a common condition of our locality. Treatment is simple by excising the growth and cauterising the site. Taking bath in pond water is supposed to be the cause of the disease. The disease can be prevented by avoiding pond bath.
Analysis of waiting time for elective surgical procedures in neurosurgery department at a tertiary care teaching hospital in NCT, India
Authors: Sardana Sapna Ramani , Gupta Shakti Kumar , Sharma D. K. , Vij Aarti , Kale S. S.
Published: September 2017

Background: Reported increases in waiting times for publicly-funded elective surgeries have intensified the need to decrease wait by healthcare providers and hence the study.Methods: Descriptive study done in neurosurgery department, to ascertain waiting times for its elective surgeries, included a retrospective analysis of admitted post-surgical patients and a prospective study using interviews with relevant stakeholders to do a process mapping.Results: Median time from decision of surgery to actual date of surgery was found to be 110.5 days. It was calculated that for optimum utilization of present available OTs, 19 extra beds are required and to address the existing load of patients waiting for their respective surgeries there is a need of 63 additional beds with 2 additional OTs functioning per day.Conclusions: The most common cause of waiting time was unavailability of vacant beds due to mismatch in demand-supply. The reason for postponement of surgery after admission was found to be lack of availability of theatre time followed by patient not being fit for surgery. Shortage of operating time was due to delayed start of operation theatre time. The study recommends improving admission process, restricting OPD time, standardized patient prioritization depending on relevant clinical criteria.
Epidemiological study of herpes zoster in a tertiary care hospital
Authors: Baghel Nekram , Awasthi Sankalp , Kumar Sweta S.
Published: September 2017

Background: Herpes Zoster, which presents as a localized, painful cutaneous eruption is a common clinical problem, caused by reactivation of latent Varicella Zoster Virus (VZV) and is usually self- limiting in healthy adults. In this era of HIV infection, HIV seropositive patients are at increased risk of severe or disseminated cutaneous or visceral involvement. Aim was to analyse the clinical pattern and epidemiological factors of Herpes Zoster and to know the HIV prevalence among patients with Herpes Zoster.Methods: A total of 110 patients with Herpes Zoster attending dermatology department at Uttar Pradesh university of medical sciences (UPUMS), Saifai, Etawah, India from a period of July 2015 to July 2017 were included in the study.Results: Out of 110 patients, 79 were males 31 were females. Age group varied from 8-80 years. Most common dermatomes involved were thoracic followed by ophthalmic division of trigeminal nerve. 33.6% of patients showed HIV seropositivity. Most commonly observed complication was post herpetic neuralgia which was encountered in 36% of the patients and most of these patients were above the age of 60 years. Post herpetic neuralgia was more commonly seen in seropositive individuals as compared to seronegative individuals.Conclusions: Disseminated zoster and multi-dermatomal involvement were encountered in immuno-compromised individuals. Post herpetic neuralgia was seen in elderly patients, especially in case of ophthalmic zoster.
Impact of standard nutrition therapy and medical nutrition therapy on the immune status i.e. complement C3 and C4 in severely acute malnourished children
Authors: Dias Bina F. , Yadav Sneha
Published: September 2017

Background: The objective of this study is to scientifically study and assess the levels of C3 and C4 in SAM children pre-and post-supplementation with MNT and SNT.Methods: In this comparative study we have analyzed C3 in 40 severely acute malnourished children pre and post medical nutrition therapy (MNT) and 35 severely acute malnourished children pre and post standard nutrition therapy (SNT) in the age group of 1 month to 3 years and C4 in 40 severely acute malnourished children pre and post medical nutrition therapy (MNT) and 35 severely acute malnourished children pre and post standard nutrition therapy (SNT) in the age group of 1 month to 3 years at LTM medical college and general hospital. C3 and C4 were analyzed by immunoturbidimetric assay method on RX Daytona analyzer.Results: The level of C3 was significantly low prior to the supplementation which increased after nutrition therapy, in both the groups. However, C4 levels decreased in both the groups. This decreased was found to be significant. The decrease of C4 in children supplemented with MNT was greater than those supplemented with SNT children.Conclusions: The values of C3 which increased after supplementation and the decreased values of C4 after supplementation were more significant in the MNT group this confirms MNT is a better therapy for curing malnutrition than that of the SNT.
Comparison of CD4 and CD8 counts and ratio in HIV negative pulmonary tuberculosis patients with normal healthy controls
Authors: Sabhapandit Debahuti , Hazarika Plabon , Phukan Anil C. , Lynrah K. G. , D. Elantamilan
Published: September 2017

Background: There is an equivocal contention that Tuberculosis may be a cause of non-HIV-associated CD4+ T cell lymphopenia. In HIV negative patients, CD4+ and CD8+ T cell count suppression has been associated with TB infection. Prediction of HIV coinfection in newly diagnosed pulmonary TB patients with negative HIV status by estimation of CD4, CD8 count and CD4:CD8 ratio.Methods: Newly diagnosed pulmonary TB patients comprising of 30 numbers with negative HIV status were subjected for estimation of CD4, CD8 counts and ratio for prediction of HIV coinfection. Equal number of healthy controls was also included in the study for comparison of the values.Results: Significantly lower CD4 and CD8 counts among pulmonary TB infected HIV negative patients as compared with healthy controls was found. The CD4:CD8 ratio was normal when compared with healthy controls.Conclusions: The present study highlights the importance of estimation of CD4+ and CD8+ T cell counts and ratio in newly diagnosed pulmonary TB patients with negative HIV status. Prediction ability in combination with early detection and appropriate management play major role in evading emergence of drug resistance among the HIV-TB coinfected patients.
Spontaneous regression of pulmonary herniation in 3 days: rare case report
Authors: Serin Halilibrahim , Arda Niyazi Kemal
Published: September 2017

Pulmonary herniation can be defined as protrusion of pulmonary tissue and pleura from an abnormal opening at thoracic wall, diaphragm or mediastinum. Herniation is mainly localized at thoracic, cervical and diaphragmatic regions. Congenital herniation generally occurs as a result of costal agenesis/hypogenesis or absence of intercostal muscles. It is striking that up to 30% of acquired cases occur spontaneously. It is mostly seen in patients with weakness of thoracic wall or in case of acute increase in intrathoracic pressure such as severe coughs. Blunt or penetrating traumas resulting in rib fracture or separation of costal joint cause traumatic pulmonary herniation. In our case a 45-years old female presented to emergency department with height from fall and pain at right flank. On chest radiograph, there was rib fracture at higher level on right hemithorax. No marked pneumothorax was observed. On thorax CT scan, displaced rib fracture at right upper ribs, small amount of hemithorax and parenchymal contusion were observed but no pneumothorax was seen. In addition, right hemithorax, interruption at anterolateral thoracic wall at the level of lateral segment of middle lobe and pulmonary herniation (6x3 cm in size) at the same level were observed. Routine biochemical tests were normal in the patient. During 3-days follow-up, the pain at right flank relieved gradually. Such a large pulmonary hernia is usually treated surgically. However, as we have seen in our case, spontaneous regression can be seen unexpectedly.
Haemoperitoneum: a rare consequence of medial migration of K wire
Authors: Bibekananda Mahapatra Bibekananda , Deolekar Sandesh , Murali Sridevi , Chheda Karna , Khan Naseem
Published: September 2017

Upper femoral corrective osteotomy with K wire stabilization has been recognized as a common method in the treatment of tuberculosis of hip in the field of orthopedics surgery. But here we report an unusual surgical complication due to penetration by an implant through a bone with osteomyelitis due to tuberculosis, the case of a 20-year-old male who presented with Hemoperitoneum, a general surgical complication which occurred due to the rupture of a retro-peritoneal hematoma formed by the intra-pelvic medial migration of the K wire.
A case of rocky mountain spotted fever without eschar as a cause of pyrexia with multiple organ failure
Authors: Mahto Subodh K. , Gupta Pulin K. , Sareen Sahil , Balakrishnaa Arjun M. , Suman Sumit K.
Published: September 2017

Rocky mountain spotted fever (RMSF) is a rickettsia disease frequently reported from North America and Europe and transmitted by tick bite. This disease is very rare in India and other parts of South East Asia. Fever with rash and thrombocytopenia are the hallmark clinical presentations of viral hemorrhagic fever but other diseases like malaria, typhoid, Leptospira and rickettsia diseases should also be considered in differential diagnosis. Knowledge of geographical distribution, evidence of exposure to the vector and a high degree of clinical suspicion of rickettsia diseases are very important for early differentiation from other diseases to prevent lethal complications and institute initial treatment. We report a rare case of rocky mountain spotted fever (RMSF) from New Delhi, which was confirmed by specific indirect immunofluorescence assay (IIF).
O cenário de EAD institucionalizada: uma análise do Curso de Licenciatura em Letras do Instituto Federal da Paraíba
Authors: Formiga Girlene Marques , Inácio Francilda Araújo
Published: September 2017

This article presents a reflection on the experience of the Federal Institute of Paraíba that set itself a new educational culture, through the adoption of educational and technological resources from distance education, establishing the Modern Languages Degree course, the first course in the Distance Education modality fomented by the institution without any resources from funding agencies. Besides understanding the implementation process of this course in IFPB, this article examines it, considering the Licensure supply scenario in the Federal Professional Education Network, addressing perspectives of teacher education in IFPB. Methodologically, making use of a case study, we chose the qualitative research because of its greater understanding of specificity and the context of the object of study that requested, in addition to document analysis, through legal provisions, bibliographic review about the issues discussed. Results indicated that although the Languages Degree course still presents some weaknesses in its process of consolidation, IFPB emerges as a pioneer in the creation of an institutionalization model of distance education as well as an educational policy that focuses on an incessant search for a high quality teacher training.
Sistema para pré-ajustagem de ferramentas, utilizando processamento de imagens, aplicado a um centro de usinagem CNC
Authors: Silva Rafael Franklin Alves , Diniz Laurivan Da Silva , Nóbrega Luiz Henrique Melo Silva , Da Silva Verílton Nunes , Silva João Bosco De Aquino
Published: September 2017

The use of CNC machine tools is widespread in machining companies, because these machines provide a high productive capacity and, additionally, meet the levels of accuracy and precision required by customers. Although CNC technology has a good productivity, some factors have a negative influence on this characteristic, such as the setup time of these machines. Amongst the efforts devoted to reducing unproductive time during the preparation of the machine, it is possible to highlight the development of tools presetting systems, providing a reduction in the unproductive time. Thus, this paper presents the development of a system for measuring tools used in a CNC machining. Using image processing techniques, the previously mentioned system aims to measure the length of the tools that are housed on machine magazine. The results showed the advantages of the proposed system which compared to manual presetting, shows a reduction of 68% in the presetting time of five tools used.
Synthesis and Characterization of TNTs/Polyaniline Composite as Photocatalyst Degradation of Rhodamin B by Visible Light
Authors: Setyani Atik , Wahyuni Sri , Priatmoko Sigit , Wibowo Emas Agus Prastyo , Amin Nur
Published: September 2017

The purpose of this research is to study the effect of the amount of aniline on their photocatalytic activity. Nano TiO2 was synthesized using sol-gel method with TiPP precursor. XRD characterization results showed that nano TiO2 with calcination temperature of 450 °C had size of 13.8 nm with high crystalline. The diffraction peaks of nano TiO2 at 2θ are 24.45°; 37.075°; 47.26° and 53.18°. Nano TiO2 was then synthesized with hydrothermal treatment 24 h of 140 °C to produce TNTs. The results of XRD analysis shows anatase phase with field (004) and (200). The morphology of TNTs begins to form at the calcinations temperature of 600 °C with textural coefficient value of 0.998 3 . Synthesis of composite TNTs/PANI (polyaniline) was done by in situ polymerization technique of aniline which was already contained nano TiO2. The molar ratio of aniline and APS in the synthesis of a composite is 1:1.5 with the addition of aniline of 15 %; 20 % and 25 % (w/w %). Characterization using FTIR showed the stretching vibration of the C=N in wavelength of 1 600 cm–1 to mark the formation of quinonoid compounds of polyaniline. The test of the rhodamine B degradation gave the best results on the 25 % TNTs/PANI composite, with the degradation percentage of 58.73 %. The characterization results using dr-uv proved that the decrease of energy gap in the TNTs/PANI composite which as evidenced with Kubelka-Munk calculation equation that was 25 % TNTs/PANI amounting to 3.19 eV and TNTs at 3.24 eV.
Somatic Embryo from Basal Leaf Segments of Vanda tricolor Lindl. var. pallida
Authors: Hardjo Popy Hartatie , Savitri Wina Dian
Published: September 2017

Somatic embryogenesis is one of techniques in plant micropropagation. The induction of somatic embryogenesis through callus phase was done on Vanda tricolor Lindl. var. pallida. This study aimed to find out the effect of naphtalene acetic acid (NAA) and benzyl amino purine (BAP) in inducing somatic embryogenesis via callus on the basal leaf segments of Vanda tricolor Lindl. var. pallida. The half-strength of Murashige and Skoog (½ MS) medium with 1 % sucrose, incorporated with (0.02 mg · L–1and 0.05 mg · L–1) NAA and also 0.01 mg · L–1 BAP were used in this experiment. The best medium for embryogenic callus formation and proliferation was 0.05 mg · L–1 NAA in combination with 0.01 mg · L–1 BAP. The formation of somatic embryos occurred 30 d after the calluses were cultured on to ½ MS without the addition of plant growth regulator and subsequently formed shoots.
The Features of Martensite Transformation in the (TiNiMo)Nb Alloys Under Loading
Authors: Marchenko E.S. , Baigonakova G.A. , Chernysheva A.L. , Kolomiets L.A. , Zheravin A.A. , Klopotov A.A. , Gunther V.E.
Published: September 2017

Researches of multiplecomponent (TiNiMo)Nb alloys with 0.5, 1 and 1.5 at.% Nb. Experimental dependences of strain accumulation and recovery at multiple SME have showed a hysteresis behavior in all the studying alloys at temperature changing. A growth of hysteresis characteristics with an increase in Nb content was established. The quantities microanalysis let to identify the following structure of (TiNiMo)Nb: matrix on the base of intermetallic compound В2 – TiNi; eutectic, NiTiNb and Ti2Ni phases. In the study of structure revealed that NiTiNb particles are local obstacles that cause the increase of hysteresis width.
Distinctive Features of the Phase Composition of Porous TiNi-based Alloys Obtained by Reaction and Diffusion Sintering
Authors: Artyukhova N.V. , Yasenchuk Yu.F. , Almaeva K.V. , Garin A.S. , Novikov V.A. , Gunther V.E.
Published: September 2017

The present article is concerned with questions of reaction and diffusion sintering of porous shape-memory TiNi-based alloys. The comparative analysis of structural features of the porous alloys obtained by diffusion sintering of TiNi powder and reaction sintering of Ti and Ni powders was conducted. It is observed that the main feature of structure of the porous alloys is related to fraction of the TiNi phase which occupies about 90 vol.% at diffusion sintering, and 20÷50 % of the total volume of multiphase alloy for reaction sintering. The mechanisms of the structure formation on the solid phase and liquid phase sintering stages of these methods were considered. The role of Ti2Ni phase during sintering was disclosed. The Ti2Ni phase not only provides the necessary quality of sintering, activates recrystallization processes for diffusion sintering, modifies the phase composition of the sintered specimen for reaction sintering, but also participates in the formation of the TiNi phase, increasing its fraction.
Cleft Palate Surgery with the Removal of Ent Pathology
Authors: Radkevich А.А. , Vakhrushev S.G. , Gantimurov A.A. , Gunther V.E.
Published: September 2017

The article presents the cleft palate elimination technology, which includes a cross-sectional intervention in ENT organs (bypass of the tympanic cavity, segmental or total adenotomy, etc.) with the restoration of the anatomy of the vomer and the reconstruction of the hard palate with a super-elastic low-profile implant based on nickelid titanium. The article describes the advantages of the developed method in comparison with the ones previously used.
Elimination of Mandibular Defects in Patients with Malignant Neoplasms Using the Poprus TiNi-alloys
Authors: Radkevich А.А. , Gantimurov A.A. , Gunther V.E.
Published: September 2017

The article presents the clinical observation of 16 patients with malignant neoplasms of the lower jaw. All the patients underwent resection of the mandible with the substitution for the flaws with endoprostheses of porous NiTi. In 10 cases a course of preoperative radiotherapy in a dose of 42-44 gr. was conducted. The results of surgical treatment showed high efficiency of the technology.
Nickel-Titanium Shape Memory Alloy in Reconstructive Osteosynthesis in Patients With Zygomatico-Orbital Complex Fractures
Authors: Petruk P.S. , Medvedev Yu.A. , Show Yi Zhang , Volkova V.A.
Published: September 2017

At the Department of Maxillofacial Surgery I.M. Sechenov First Moscow State Medical University 120 patients with zygomatico-orbital complex fractures were treated during the period from 2011 to 2015. Different methods of the osteosynthesis are presented and discussed. Successful application experience of superelastic nickelid titanium mesh and porous nickelid titanium implants for the lower orbital wall reconstruction was reviewed.
Results of Subantral Augmentation with Application of Implants with Permeable Porosity
Authors: Tazin I.D. , Tazin D.I. , Shakirov M.N.
Published: September 2017

The method of open antral augmentation with the application of dental implants with permeable porosity in a high grade atrophy of the maxilla alveolar process is rather promising and effective. It results in considerable improvement of orthopedic treatment of patients with tooth line defects. A considerable contact area of the porous permeable dental implant with the bone makes it possible to use 9-11 mm-long implants for prosthetics in the maxilla lateral region.
3-D Incubator Principle in Nikelid-Titanium Porous Plates Hemostasis
Authors: Parfirieva E.M. , Ivchenko A.O. , Ivchenko O.A. , Gavrilin E.V. , Chirev A.I. , Savel'ev I.O. , Savel'ev I.O. , Gunther V.E.
Published: September 2017

Biological liquids (blood particularly) imbibe 3-D construction of nikelid-titan porous plates easily. Clot formation takes place in large porous volume, its retraction by fibrin fibers forming and then maturation of connective tissue all together additionally fix the implant in bleeding zone.
TiNi Fixed Dentures with a Ceramic Coating
Authors: Starosvetsky S.I. , Zvigintsev M.A. , Vasilieva A.P. , Yefremov V.A. , Khabas T.A. , Klimova V.V. , Gunther V.E.
Published: September 2017

The work presents the study of a ceramic material that would provide a satisfactory bond of the commercially available ceramics to Titanid alloy. Polished sections of Titanid alloy and ceramics supplied by various manufacturers were examined.  The desired intermediate opaquer layer was fabricated from the following raw ingredients: potassium feldspar originating from Krasnoyarsk deposit and chemically pure barium oxide BaO, sodium carbonate Na2CO3, zinc oxide ZnO, hydroxyapatite Ca5(PO4)3(OH), and titanium oxide TiO2. The adhesion strength of Triceram dental ceramic to Titanid alloy with the use of the transitional ceramic opaquer appeared to be fairly high and ranged from 35 to 45 MPa.
Operative Trearment Unoperative Chronic and Massive Rotator Cuff Tendon Rupture of the Shoulder
Authors: V.A. Lanshakov
Published: September 2017

In clinic of traumatology and orthopedics GBOU DPO NGIUV was treated 125 patients with tendon rupture rotators of the shoulder joint, in which treatment was used as the classic methods of surgical treatment, and we have developed approaches and methods of surgical treatment with the use of sutures and staples of nickelid titanium allowing to bring the number of positive outcomes to 84.8%.
Reconstruction of Postoperative Calvarial and Skull Base byTiNi-based Implants in Cancer Patients
Authors: Novikov V.A. , Sirkashev V.A. , Gunther V.E. , Ryabova A.I. , Choinzonov E.Ts. , Shtin V.I. , Gribova O.G. , Surkova P.V. , Yasenchuk Yu.F. , Vasilev R.V.
Published: September 2017

At the Cancer Research Institute together with the Research Institute of Medical Materials and Tomsk State University, various types of implants from titanium nickelid (TiNi) were developed for the reconstruction of skull bone defects. Between 2000 and 2015, a total of 43 patients with malignant and benign calvarial and skull base tumors were treated. All patients underwent surgery alone or in combination with other treatment modalities. Fifty surgeries with primary reconstruction of calvarial and skull base defects using individually fabricated TiNi implants were performed. Our techniques for the reconstruction of postoperative skull bone defects appeared to be highly effective: restoration of supporting structures was achieved in 100% of cases, stability in 96% of patients, integrity and barrier function in 90% of cases. The TiNi implants have high mechanical strength and biocompatibility. No cases of fragmentation and rejection of the implants were registered.