bluuebunny/crossref_metadata_2025 huggingface dataset:
Study of Stability Constant of Some Transition Metal Complexes Formed With 4-[(1R)-2-amino-1-hydroxyethyl] benzene-1, 2-diol.
Authors: Kaushik Jaishri , Bharadwaj Namita , Jaiswal Pratyush
Published: June 2022

The Simple, selective, and expeditious spectrophotometric methods have been developed for the determination of complexation of 4-[(1R)-2-amino-1-hydroxyethyl] benzene-1,2-diol with metal ions in pharmaceutical field. The method was based on complex formation between the antihypotensive drug and transition metal ions in a basic medium (pH 9.2). The colored complexes were measured at 280 nm wavelength for 4-[(1R)-2-amino-1-hydroxyethyl] benzene-1, 2-diol. The different experimental parameters affecting the development and stability of the colour were carefully studied and optimized. The stability constant of complex were calculated to be Ag(Ι)-4-[(1R)-2-amino-1-hydroxyethyl] benzene-1,2-diol is 4.34, Pd (ΙΙ)-4-[(1R)-2-amino-1-hydroxyethyl] benzene-1,2-diol is 5.75 & Cd (ΙΙ) - 4-[(1R)-2-amino-1-hydroxyethyl] benzene-1,2-diol is 3.82 by job’s continuous variation method. The stoichiometry of the complexes formed between the antihypotensive drugs and the metal ions was 1:1 M/L ratio. The proposed method was further applied to the determination of drug in pure and dosage forms. The results obtained were in good agreement with those obtained by a reference to UV–Visible Spectrophotometric method.
Mapping unknown chemicals contaminants in Swiss waters
Authors: Fenner Kathrin , Singer Heinz , Anliker Sabine , Santiago Sergio
Published: June 2022

Despite their strict environmental regulations and state-of-the-art wastewater treatment infrastructure, chemical and pharmaceutical industries in Switzerland leave a clear footprint in treated wastewater that is released into the open environment.
布農族女性居家照顧服務員工作經驗之研究
Authors: 洪宏 洪宏 , Hong Hong 姚卿騰
Published: June 2022

本研究旨在探討布農族女性居服員的工作動機、工作感受與文化照顧之經驗，為達此研究目的，研究採取質性研究半結構式訪談法針對六位布農族女性居服員進行資料的蒐集與分析。研究結果顯示薪資福利與彈性接案是布農族女性居服員主要從業動機。工作感受包括陪伴是最好的照顧，服務歷程工作滿意度高。在文化照顧經驗方面，認為文化照顧應順應部落長者生活習慣，讓原住民族照顧部落族人，對於部落長者的生活習慣較為了解，扮演與部落長者之間重要的連線基礎，能夠相互了解、溝通、有效地互動。循此，本文依研究所得結果提出幾項建議與省思：一、提升照顧工作內在動機與外在動機；二、運用原鄉的力量，打造部落文化照顧的網絡。本研究認為文化照顧與文化復振是部落推動長照的重點，期許未來有更臻完善的發展，更希冀本研究能提供原鄉發展長期照顧政策參考，以及提升長照服務人力的專業照顧形象。

 

This study aims to examine the motivations for work, job perception, and experiences of culturally sensitive care of female Bunun home care workers. In this qualitative study, semi-structured interviews were used to collect data from six female Bunun home care workers. Analysis revealed that salary, benefits, and flexible caseload are the primary motivations of work for female Bunun home care workers. Feelings in work include the perception of companionship as the best care and high job satisfaction in the process of providing services. In terms of experiences of culturally sensitive care, this study found that tribal elders’ living habits should be respected in providing culturally sensitive care. In addition, indigenous people, more aware of their living habits, can play an important role in connecting with tribal elders. Hence, care of tribal elders by indigenous people can ensure that the givers and receivers of care understand, communicate, and interact effectively with each other. Based on the findings of this study, this paper proposes several recommendations and reflections: First, internal and external motivations for care work should be improved; second, the power of indigenous tribes should be utilized to build a tribal culturally sensitive care network. This study holds that culturally sensitive care and cultural revitalization are key to the promotion of long-term care by indigenous tribes, and future improvements in these aspects are expected. Furthermore, it is also expected that this study can serve as a reference for indigenous tribes’ policy of promoting long-term care and can help to enhance the professional image of caregivers of long-term care services.

 
居服員留任傾向之研究
Authors: 詹麗珠 詹麗珠 , Chan, Li-Chu 陳怡靜 , Yi-Ching Chen 劉嘉雯
Published: June 2022

為了「在地老化」的觀點能得以實踐，長期照顧服務體系中的第一線居家照顧服務員的留任已成為當前要務。本研究從環境、組織、家庭、個人四個層面出發，探討吸引照顧服務員留任居家長照產業的相關因素。本研究以彰化縣現職居家照顧服務員為研究母體，總計發放350份問卷，有效樣本為220份，有效問卷回收率為62.86%，進行階層廻歸分析。研究結果顯示：（一）工作環境風險性會負向影響留任傾向；（二）內外在激勵會正向影響留任傾向；（三）工作家庭衝突會負向影響留任傾向；（四）利社會行為會正向影響留任傾向。最後，依據本研究之研究結果而提出管理意涵如下：降低工作環境風險性及工作家庭衝突；提升內外在激勵；招募或培養有利社會行為的員工。

 

Retention of in-home caregivers to resolve insufficient labor issues has become the primary obstacle in realizing the home care model of “Aging in Place.” This study seeks to determine the factors affecting retention of in-home caregivers by examining their working environment, organization culture, family life, and personal viewpoint. The data were collected in 2018 from home care assistants working in the long-term home care service units in Changhua County. A total of 220 valid responses were obtained from the sample of 350 participants. To test the research hypotheses, hierarchical regression analysis was adopted. The results showed that: (a) the working environment has a negative impact on the tendency to stay; (b) internal and external factors have a positive impact on the tendency to stay; (c) work-family conflict has a negative impact on the tendency to stay; and (d) prosocial behavior has a positive impact on the tendency to stay. The findings of the study provide several management implications: 1. reduce the uncertainty of the environment factor in the work area; 2. enhance the internal and external incentive satisfaction; 3. reduce work-family conflict; 4. prosocial behavior should be cultivated and encouraged during the recruitment process.

 
Knowledge, Attitude and Practices of Cross Infection Control Protocols among Dental Students and Professionals
Authors: Qasim Sharqa , Fatima Syeda Maryam , Hassan Syeda Alizeh , Khan Nauman Rauf , Khan Amna Nauman , Rabbani Sarah
Published: June 2022

To evaluate dentists' knowledge, attitude, and practice of cross infection control protocol. The questionnaire proforma was based on 15 questions was used to check the knowledge, attitude, and practice of the standard infection control protocols among the 3rd and 4th-year students of BDS, house officers and demonstrators of College of Dentistry, Sharif Medical and Dental College, Lahore, who were active in dental health provision in a clinical setting. A total of 200 participants were enrolled in the study after convenient sampling. We found that despite good knowledge of safety protocols, implementation of these standards is lacking. Non-compliance in following standard infection control protocols is a big challenge and can increase the risk of cross-infection. Keywords: cross-infection, dental practitioners, sterilization.
A Spectrum of Descending Thoracic Aorta Diameter Measurement on Computerized Tomography: A Report of 500 Sudanese Patients
Authors: Elnour Hanan , Elzaki Amin
Published: June 2022

Background: The clinical show of illnesses including the thoracic aorta goes from countless patients who have no symptoms, having a medically imperceptible thoracic part of the Arora to victims with side effects of extreme ribcage torment because of intense aortic analysis. Objective: A retrospective study was conducted in computed tomography CT departments of three hospitals to quantify the average thoracic aorta width in the population of Sudan to compare it with international measurements. Methodology: The data collected from 500 randomly selected non-pathological patients were analyzed by the SPSS program and presented in tables and figures. Results: Results revealed that the diameter of the aorta is affected by the body length, age of the patient, and weight, except the gender which is a non-significant factor. Also, the typical size of the plunging part of the Aorta was 12.17±1.78 cm, the proximal diameter of the aorta was 2.51±0.56 cm, the focus width was 2.08±0.41 cm, and the distal breadth was 2.11±0.45 cm. The width of the aorta is very susceptible to size as well as out of the individual. Furthermore, an unusually large distinction (P=0.001) was seen between age and distant breadth of the aorta, although a small distinction (P=0.018) was obtained between the patient's level and terminal breadth of the aortic arch. Conclusion: It is reasoned that the figured tomography is assuming an extraordinary part in the estimation of the ordinary width of slipping of the thoracic aorta by giving a subtle depiction of sliding thoracic aorta breadth in a gathering of the solid Sudanese populace. Keywords: Thor Aorta, Computed tomography, Statistical analysis, Sudan
Knowledge, Attitude and Practices of Dentists Towards the Dental Treatment of Epileptic Patients
Authors: Qasim Maham , Sufiyan Ayesha , Shaukat Maryam , Rabbani Sarah , Khan Amna Nauman , Khan Nauman Rauf
Published: June 2022

The objective of this study is to investigate the level of knowledge, attitude and practices of final year students, house officers and demonstrators towards the epileptic patients visiting Sharif Medical and Dental College. A well-formed proforma was used to document the knowledge of dental health care providers regarding the dental treatment of patients with epilepsy. 170 participants were included in the study out of which 119 were male and 51 were female. Most of the respondents agree that epilepsy cannot be identified on history alone. 48.2% think that epileptic patients can be treated in-office safely. 54.7% of respondents believe. Significant improvement of dentists’ knowledge regarding epilepsy is mandatory as insufficient knowledge of dentists about epilepsy may drastically affect their treatment proficiency
Acceptance of Post Placental IUCD Among Antenatal Patients
Authors: Yasin Asma , Khan Ayesha Azhar , Baig Asma Amin , Afzal Madiha , Aziz Uzma , . Heema
Published: June 2022

Objective: To see the acceptance rate of PPIUCD among antenatal patients and compare it with international standards so that strategies to increase uptake of this contraceptive device can be devised especially for low compliance patients. Background : Post placental intrauterine contraceptive device ( PPIUCD) is the method of contraception that is effective immediately after delivery and patients don’t have to come back again from home. It is long acting, reversible, cost effective, free of systemic side effects and best for women with low compliance. Material and methods: This cross sectional observational study was carried out in outpatient department of obstetrics &gynaecology of Arif Memorial teaching hospital Lahore from January ary 2022 to March 2022. 285 pregnant patients irrespective of gestational age presenting to OPD were counselled for PPIUCD insertion after taking written informed consent. Results: Out of 285 patients counselled for PPIUCD insertion only 86 women (30%) accepted its insertion while 199 women (70%) refused for it. Majority of patients 205 (72%) were in age group 21-30 years, only 61(30%) of them accepted PPIUCD insertion and acceptance was highest (61%) in age group less than 20 years . 228 (80%) patients were literate and acceptance rate was 63% among them. Acceptance of PPIUCD was lower among multi para (22%) as compared to primipara (41%). Conclusion: Acceptance of PPIUCD in our antenatal mothers is poor. So ccounseling of antenatal women and their families will be helpful for high acceptance of PPIUCD. Keywords: PPIUCD, Contraception, acceptance
Knowledge, Attitude and Practices of Medical and Dental House Officers for the Prevention of Hepatitis B and C in the Hospital Setting
Authors: Tasleem Maira , Khawaja Maria , Manzoor Sheharbano , Khan Amna Nauman , Rabbani Sarah , Khan Nauman Rauf
Published: June 2022

The aims of our study are to determine the knowledge, attitude and practices of hepatitis B and C among house officers. A structured self-administered questionnaire was used to check out the knowledge, attitude, and practices towards personal protective measures taken by house officers to prevent hepatitis B and C. We used a pre-testified questionnaire used before for the examination of Hepatitis B and C. A total of 150 house officers were included in the study wa a mean age of 22.5 ± 0.082 years. Almost all the house officers 146 (97.3%) heard about hepatitis B virus infection. half of the house officers 79 (52.7%) never participated in health education program. The present study showed that house officers have good knowledge about the gravity of the disease but lacks the deep information specially regarding its transmission and preventive measures. Keywords: Hepatitis B, Hepatitis C, House officers
Hyperuricemia in Patients with Chronic Renal Failure: A Single Center Study, Pakistan
Authors: Mufti Najam Ud Din , Khan Raza Muhammad , Haseeb Abdul , Sardar Waqas , Hanan Saad , Khan Sajjad Ali
Published: June 2022

Introduction: a level of serum uric acid more than or equal to 70 mg/l (420 mol/l) in males and 60 mg/l (360 mol/l) in women is considered hyperuricemia. It has been established in many studies to be a risk factor or a factor in the progression of chronic renal disease. Recent experimental and epidemiological studies link hyperuricemia to chronic kidney disease (ckd), arterial hypertension, and cardiovascular disease, raising the issue of whether medicines are effective in the prevention of renal illness. The goal of this study is to discover whether there is a relationship between chronic renal disease and hyperuricemia. Methodology: From january 1st to december 1st, 2015, this single-center study was done at the department of nephrology at marcy teaching hospital in peshawar, pakistan (12 months). We included all chronic renal disease patients with associated hyperuricemia who were admitted to a hemodialysis unit. Results: A total of 72 individuals were included in the study. The prevalence of hyperuricemia was 15.20 percent. The average age of the patients was 35.5 years. The age group of 40 to 60 years old accounted for 54.6 percent of the total. Patients with hypertension accounted for 49% of the total, with diabetes and hypertension being linked in 11% of the cases. In 42.3 percent of patients, renal insufficiency was moderate. In more than 90% of the patients, hyperuricemia was found. Hyperuricemia was statistically linked to profession, age, hematuria, proteinuria, and hypertension. In 85 percent of patients, allopurinol was prescribed as a treatment. More than 12% of patients had an unsatisfactory course of treatment. Conclusion: Several recent investigations have shown the role of hyperuricemia in chronic renal disease. To determine its true influence on the prevention and treatment of chronic renal disease, randomised study on large sizes must be conducted. Keyword: A Single Center Study, Hyperuricemia, Chronic Renal Failure
Determination of the Incidence and Prevalence Rates of Chronic Diseases among Old age at Al-Russafa District in Baghdad City
Authors: Khudair Essra Ibrahim , Khalifa Mohammed F.
Published: June 2022

Objectives: To evaluate the incidence and prevalence rates of chronic diseases among old age at Al-Russafa District in Baghdad City. Methodology: A descriptive design, using the evaluation approach, is employed to determine of the incidence and prevalence rates of chronic diseases among old age at al-Russafa District in Baghdad City from October10th 2021 to April 2nd 2022. A non-probability, convenient sample of (672214) old age, is selected for the purpose of the study. All subjects have signed consent form to present their agreement for participation in the study. The confidentiality of the data is also safeguard and they will be securely maintained during and after conducting the study. A questionnaire is constructed for the purpose of the study through review of related literature. It is consisted of (3) main parts; old age demographic characteristics, old age chronic diseases and the incidence and the prevalence of old age chronic diseases. Content validity is determined for the study instrument through panel of experts and internal consistency reliability is obtained for the study instrument through split-half technique and the computation of Cronbach alpha correlation coefficient in a pilot study. Data are gathered through the use of the study instrument as mean of data collection and analyzed through the application of descriptive statistical data analysis and inferential statistical data analysis approaches. Results: The study results depict that old age chronic diseases are accounted for cardiovascular and chronic respiratory diseases at Al-Russafa District in Baghdad City. Males old age have been prominently at greater risk to the incidence and the prevalence of such diseases more than females at Al-Russafa District in Baghdad City. Conclusion: The study concludes that high incidence rates are accounted for chronic respiratory diseases, cardiovascular diseases, arterial hypertension, kidney diseases, diabetes mellitus and arthritis at Al-Russafa District in Baghdad City and high prevalence rates are accounted for chronic respiratory diseases, cardiovascular diseases, arterial hypertension, kidney diseases and diabetes mellitus at Al-Russafa District in Baghdad City. Recommendations: The study recommends that screening and early detection programs should be planned and implemented on regular base for the finding of such subpopulation-based health problems. Further and nation-wide research can be conducted on large scale sample size and different settings. Keywords: Determination, Incidence Rate, Prevalence Rate, Chronic Diseases, Old age
Effectiveness of an Intervention Program on Nurses’ Practices toward Neonatal Intubation Suctioning Procedure at Neonatal Intensive Care Unit
Authors: Ahmed Alaa Q. , Hattab Khatam M.
Published: June 2022

Intubation secretion suctioning is a scientific technique carried out by intensive care nurses to keep the airway open and hence the blood oxygen saturation level within normal range. The fluid suctioning process is one of the essential procedures and priorities for nursing performance in care. Objectives: This study aimed to determine the effectiveness of an intervention program on Nurses’ practices toward neonatal intubation suctioning procedure at neonatal intensive care unit. Methodology: This is a pre-experiment design conducted on nurses working in the Intensive Care Unit at Pediatric Teaching Hospital. It started from September 30, 2021 to March 15, 2022. An observational method was adopted to collect a sample of 24 nurses to analyze the effectiveness of an intervention program on nurses' practices. A two-part checklist was developed. The validity of the instrument was determined by a committee consisting of (10) specialists from different areas. SPSS version 24.0 was used to analyze the data. Results: The results of the study showed that the neonatal intensive care unit nurses who participated in the sample numbered (24), the practices towards suctioning intubation fluids were within a low and insufficient level in the pre-test, while the post-test for all three procedures domain were within the acceptable average level. Conclusions: The study showed that there are significant differences in the impact of the program on nurses’ practices before and after implementing the program on nurses, and this indicates an improvement in the work and practices of intensive care nurses towards implementing the procedure of suctioning intubation secretion for the neonatal. Recommendation: Implementation of the interventional program for nurses’ practices and circulating to nurses in all intensive care units Designing a guidebook for the program’s steps and the steps of the procedure for withdrawing fluid from the respiratory tract of the neonatal. Keywords: Intervention Program, Nurses’ Practices, Suctioning Procedure.
Synthesis, Spectroscopic Study and Biological Activity of new Bidentate Schiff Base (4-(Dimethylamino) Benzylidene)-5-(3,4,5-Trimethoxybenzyl)-5 Pyrimidine-2,4-Diamine) and Transition Metal Mn(II), Ni(II) and Cu(II) Complexes
Authors: Kareem May Joda
Published: June 2022

The Schiff bases ligand (L1) was synthesized by condensing (2,4-diamine (Trimethoxybenzyl 3,4,5)-5 pyrimidine) and (4-dimethylamino benzaldehyde). The transition metal complexes of [Mn(L1)2Cl2], [Ni(L1)2Cl2], and [Cu (L1)2Cl2] were then produced. The ligand and its metal complexes Mn(II), Ni(II), and Cu(II) were examined by analyzing the elemental composition, the metal content, the chloride content, and the molar conductance, FT-IR, 1H-NMR, UV-Vis spectra, magnetic susceptibility, mass spectra, and thermal analysis (TGA). The results indicated that the ligand behaves as a bidentate ligand in all of the complexes produced. The [Cu (L1)2Cl2] complex is more poisonous to microorganisms. Keywords: Ligand field, Schiff bases, Mass spectra, Charge transfer (C.T).
Dependence Severity and Locus of Control Among Male Alcoholic Clients: A Correlational Study
Authors: Hasan Wuod A. , Mohammed Qahtan Q.
Published: June 2022

Background: Worldwide, Alcohol is the most generally abused substances, In Americans society, approximately 8.5 percent over 18 years old have an alcohol use disorder, in Iraq about 291in patient and 2990 outpatient male for the purpose of addiction treatment, that’s number and increased statistics about alcohol use lead us to study the possible causes and may be the way to get treatment by studying the locus of control and the dependence severity of alcohol. Aims: To assess the level of dependence severity, locus of control in male alcoholic clients. To measure the correlation among dependence with locus of control in male alcoholic clients. To find out the relationship between locus of control and client socio-demographic variables (age, education, employment and marital status) and clinical features (amount, duration, type of current admission, number of admission). Methodology: A descriptive correlational design. A non-probability, purposive Sample of (70) clients. This study started from November/2021 to march/2022. Result: the results show that 40% of alcoholic male clients with age group 30-39 years old who are urban residency 92.9%, 57.2% married, 41.4% of them are primary school, and 47.1% of them are employee, with sufficient monthly income 41.4%. With regard to duration of alcohol use 27.1% is reported 6-10 years on alcohol and 24.3% are seen among those with 1-5 years and 11-15 years duration and in relation to amount the finding refers that 47.1 of clients are consumed more than one litter per day of more than one type (42.9%). The majority of them reported they admitted to hospital spontaneously (voluntary admission) 97.1%.for first time 65.7%. Male alcoholic clients show moderate dependency on alcohol. Showing low to moderate internal locus of control and moderate to high external locus of control. Dependence severity is associated with internal and external locus of control; the internal and external locus of control are associated with monthly income. Conclusion: alcoholic male clients have a moderately dependence on alcohol, and the external locus of control are more dominant in their drinking behaviour. Keywords: dependence severity, locus of control,
Assessment of Dietary Patterns of the Adolescent Pregnant Woman
Authors: Sabty Haila Malik , Muttaleb Wisam Mashaan
Published: June 2022

Background: Adolescent pregnancy, which is detrimental to the health of mother and child, is a common public health problem worldwide. It is one of the key issues concerning the reproductive health of women not only in developing countries but also in developed countries. There is growing awareness that early childbearing has multiple consequences in terms of maternal health, child health, and the overall well-being of society. Objectives: The study aims to assess the dietary patterns of adolescent pregnant women. Methods: The descriptive study design was conducted on (100) adolescent pregnant women attending the Al-Basrah Maternity and Children Hospital in Al-Basrah Governorate which was selected purposively. The study period was extended from the 1st of February 2022 to the 4th of April 2022. The Questionnaire format developed by the researcher depends on review articles Results: This study showed that (75%) of studied adolescent pregnant women had moderate dietary patterns, (24%) of them had low dietary patterns, and only (1%) of them had high dietary. Conclusions: This study concluded by evaluating all the dietary patterns of pregnant teenage girls that the food patterns were somewhat acceptable to pregnant teenage girls. Keywords: Assessment, Dietary Patterns, Adolescent Pregnant Woman.
“Comparison of Active Release Technique and Post Isometric Relaxation in Patients with Piriformis Syndrome”
Authors: Rehman Attiq Ur , Khan Lal Gul , Khalid Maria , Mumtaz Usman , Akhtar Huma , Gondal Ayesha , Waris Sadaf
Published: June 2022

Objective: To compare the effects of active release technique and post isometric relaxation on pain intensity, hip internal rotation and functional disability in patients with piriformis syndrome. Methodology: A randomized clinical trial extending from September 2020 to January 2021 was conducted at Shifa International Hospital, Islamabad. Thirty patients were included in the study using purposive sampling and were randomized through sealed envelope method. All patients were evaluated using visual analogue scale, goniometer and lower extremity functional scale. A self-structured questionnaire was designed for data collection. Two sessions per week were given for three consecutive weeks and a follow up after one month. Data was taken at baseline, after three weeks and after one month follow up. Data was analyzed using SPSS-20. Results: 30 patients were treated with mean age of 41.30±4.99. 17 females and 13 males were treated. Group A (active release technique) and Group B (post isometric relaxation) showed significant improvement within groups (P<0.05) in all outcome measures (VAS, Goniometer and LEFS). Intra group analysis after one month follow up showed no statistically significant difference in VAS and Goniometer (P>0.05). However, active release technique was found to be more effective in improving functional disability than post isometric relaxation (P<0.05). Conclusion: Inter group analysis showed that ART and PIR are equally effective in improving pain, hip internal rotation and functional disability. Intra group analysis showed that ART compared to PIR is more effective in improving functional disability in piriformis syndrome. Keywords: Active Release Technique, Lower Extremity Function Scale, Post Isometric Relaxation, Range of Motion, Visual Analogue Scale.
Management and Outcome of Liver Trauma in Jinnah Hospital Lahore
Authors: Majeed Sehrish , Ali Zain Ul Abideen , Hamid Tahir , Usman Amir , Usman Javeria , Abbas Fahad , Ali Mansab
Published: June 2022

Background: Liver injury is the most commonly encountered trauma among all abdominal traumas. It is associated with high morbidity and mortality. The choice of treatment for such injury depends on the type as well as severity of injury. Objective: To determine the outcome in terms of (success and complications) of managing liver trauma either conservatively or with operative management. Methodology: 62 patients with liver trauma (blunt or penetrating) who presented in the surgical emergency department of Jinnah Hospital, Lahore were enrolled in the study. Detailed history, clinical examination and radiological examination of all patients were carried out using CT scan. Depending on the grade of injury and type of trauma patients were managed either conservatively or by operating them. Success of treatment and its outcomes were noted down. Results: The results revealed that the mean age of the patients was 40.1±11.74, mean diastolic blood pressure was 62.34±14.36, mean systolic blood pressure was 105.2±11.41, mean pulse rate was 92.37±19.06, mean respiratory rate was 19.8±5.353 and mean number of fresh frozen plasma (FFPs) infused were 2.8±0.81. Conservative management was carried out in 42 (67.7%) patients and operative management was carried out in 20 (32.3%). Out of these, conservative management was successful in 35 (56.5%) patients and operative management was successful in 18 (29%) patients. Common complications seen were intra-abdominal sepsis in 24.2%, bile leakage 14.5%, recurrent hemorrhage 6.5%, coagulopathy 3.2% and death 4.8%. Conclusion: Conservative management of liver trauma is highly successful and is associated with less complications and unless needed must be adapted and operative management should only be carried out in patients who have injury to liver of such an extent that cannot be managed conservatively. Keywords: Liver injury, Blunt trauma, Penetrating trauma, Conservative management, Outcome
Risk of Hepatotoxicity in Leflunomide Vs Methotrexate in Treatment of Rheumatoid Arthritis
Authors: Riaz Saima , Mahmud Tafazzul E Haque , Rasheed Aflak , Akhtar Adnan Wajih , Javed Asad , Javaid Umair
Published: June 2022

Objective: To compare the hepatotoxicity in Leflunomide vs Methotrexate in rheumatoid arthritis patients. Study design: Cross sectional study. Place and duration of study: Study was conducted from Jun 2021 to Mar 2022 at Department of Rheumatology and immunology Sheikh Zayed Hospital Lahore. Methodology: Inclusion criteria were any patient aged between 18-70 years males and females. Patients who were diagnosed with RA according to ACR criteria 2010. Exclusion criteria were pregnancy, Known case of hepatitis B or C, patients having known hypersensitivity to DMARDS. Group A (MTX) of 150 patients received 20 mg/week of MTX and Group B (LEF) of 150 patients received 20mg/day of LEF. The collected data was analyzed on (SPSS) version 24.0. Results: 40 patients were excluded from study. Mean age of patients in Group A (MTX) was 52.73±9.34 years and in Group B (LEF) it was 51.15 + 9.79 years. 44 patients (33.8%) of group A which were given MTX developed GI symptoms while 22 patients (16.9%) of group B who were given LEF developed GI symptoms. Similarly hepatotoxicity was seen in 15 patients (11.5%) of MTX group while 27 patients (20.8%) of LEF group developed hepatotoxicity which was statistically significant (p = 0.04). 5 patients (3.8%) of LEF developed liver fibrosis. Conclusion: We conclude that most LEF with rapid onset of action is quicker in reducing symptoms of RA patients and is associated with high degree of hepatotoxicity with low liver fibrosis when compared with MTX. Keywords: Hepatotoxicity, LEF, MTX, Rheumatoid arthritis
Management of Symptomatic Inguinal Hernia Under Local Anesthesia in Covid Pandemic Our Experience
Authors: Ali Zain Ul Abideen , Hamid Tahir , Usman Amir , Majeed Sehrish , Usman Javeria , Abbas Fahad , Ali Mansab
Published: June 2022

Background: Health care burden has increased since the pandemic of Covid-19 has emerged. The healthcare resources are limited currently and majority surgeries have been postponed because of the current pandemic. Therefore, the main concern of carrying out any surgery at current point is mainly in those patients that are landing in emergency. Symptomatic inguinal hernia being a common presentation in emergency can be dealt by applying local anesthesia. Objective: To evaluate the outcome (in terms of efficacy and safety) of local anesthesia for managing symptomatic inguinal hernia in a tertiary care hospital during current Covid-19 pandemic. Methodology: It was a descriptive study.60 males were enrolled with inguinal hernia of age 30-60 years. IV line was secured and local anesthesia was administered under aseptic measures. Lichtenstein repair, a mesh technique was applied in all patients for treating the inguinal hernia. Patients were evaluated postoperatively after 2 hours and 6 hours for any complications. Results: Mean age of the patients was 38.2±10.542, Mean time to eat was 3.85 ±3.138. Mean time to ambulate was 4.37 ±2.51. Mean pain score was 5.78± 2.131 postoperatively and after 6 hours it was 2.24 ±0.84. Indirect hernia was present in 74% patients whereas direct hernia was present in 26%. 6.67% patients had nausea/vomiting, 3.3% developed hematoma and 1.67% had wound infection. Conclusion: Local anesthesia is effective in all patients who have to undergo inguinal hernia surgery, in terms of efficacy and safety. Keywords: Inguinal hernia, Local anesthesia, Covid-19 pandemic.
Overcoming Thresholds and the Mysterious Travels of Literary Influence: Why National Canons Cannot Be Projected onto the Big Canvas
Authors: Thomsen Mads Rosendahl
Published: June 2022

World literature studies has to navigate between idealism and realism: the idealism of creating a broader and more inclusive understanding of the world’s literature, and the realism of how literature circulates and has to overcome many thresholds to change canonization. The increased recognition of how translation is a necessary part of world literature has done much to lay the grounds for an increased engagement with literature in non-European languages. I propose that an understanding of key patterns in the international circulation of literary works can provide a better critique of the imbalances of canonization, and the inspiration for the inclusion of neglected works in the future.
Rezension von: Gräter, Carlheinz, Hohenloher Raritäten
Authors: Blümcke Martin , Gräter Carlheinz
Published: June 2022

Carlheinz Gräter: Hohenloher Raritäten. Geschichte und Geschichten. Silberburg-Verlag Tübingen 2010. 160 Seiten mit 77, teils farbigen Abbildungen. Pappband € 17,90. ISBN 978-3-87407-901-3
Rezension von: Königliches statistisch-topographisches Bureau (Hrsg.), Beschreibung des Oberamts Nürtingen ...
Authors: Setzler Wilfried , Württemberg. Statistisch-Topographisches Bureau
Published: June 2022

Beschreibung des Oberamts Nürtingen. Herausgegeben vom Königlichen statistisch-topographischen Bureau. Reprint der Ausgabe von 1848 bei Adalbert Gregor Schmidt Verlag Schlaitdorf 2009. 243 Seiten mit einer Abbildung, mehreren Karten und Tabellen. Hardcover € 29,70.Beschreibung des Oberamts Esslingen. Herausgegeben vom Königlichen statistisch-topographischen Bureau. Reprint der Ausgabe von 1845 bei Adalbert Gregor Schmidt Verlag Schlaitdorf 2010. 251 Seiten mit zwei Abbildungen, mehreren Karten und Tabellen. Hardcover € 29,70.
Rezension von: Schöntag, Wilfried, Kommunale Siegel und Wappen in Südwestdeutschland
Authors: Setzler Wilfried , Schöntag Wilfried
Published: June 2022

Wilfried Schöntag: Kommunale Siegel und Wappen in Südwestdeutschland. Ihre Bildersprache vom 12. bis zum 20. Jahrhundert. (Schriften zur südwestdeutschen Landeskunde, Band 68). Jan Thorbecke Verlag Ostfildern 2010. 336 Seiten mit rund 200 meist farbigen Abbildungen. Hardcover € 39,90. ISBN 978-3-7995-5266-0
A atuação do poder judiciário na instrução processual como garantia do direito das partes a uma lide justa: reflexos na pandemia
Authors: Araújo Gisele Amaral Moura de , Araújo Diego Moura de
Published: June 2022

O presente artigo visa apontar a visão lusófona quanto aos poderes instrutórios do juiz no processo civil, provando que o impulso oficial frente aos meios de provas, mais especificamente na inspeção judicial, em nada prejudica as partes, tampouco a imparcialidade do magistrado. Ao contrário do que muitos pensam, o impulso oficial é de extrema importância para a busca da justa composição do litígio, principalmente quando ainda existem dúvidas a serem sanadas pelo julgador. Para isso, será utilizado o método hipotético-dedutivo com o fim de se formular hipóteses para se chegar à conclusão de que os poderes instrutórios não afetam a imparcialidade do magistrado. Ao fim, será demonstrado que a pandemia não alterou o trabalho dos Tribunais que tiveram que se adequar à nova realidade para continuar realizando a atividade jurisdicional.
Las acciones de la Organización de las Naciones Unidas contra la pandemia de COVID-19
Authors: Silva Júnior Dinaldo Barbosa da
Published: June 2022

El siguiente texto tiene como objetivo analizar las principales acciones de la Organización de las Naciones Unidas (ONU) con su representación de la Organización Mundial de la Salud (OMS), frente al escenario de la PandemiaCOVID-19. Las acciones se desarrollaron desde la alerta de los cambios alcanzados en el COVID-19, o sea, a partir de unas incidencias de casos por el virus popularmente conocido como Coronavirus – que en el inicio fue nombrado temporalmente como 2019-nCoV – en Wuhan, provincia de Hubei, en la República Popular China el 31 de diciembre del 2019. La Organización Mundial de la Salud declara que el brote por el nuevo coronavirus (2019-nCov), constituye una emergencia de salud pública de importancia internacional a propuesta del Comité de Emergencia de Emergencia de la OMS en el 30 de enero del 2020, denominándolo oficialmente con el nombre de SARS-CoV-2 el 11 de febrero del 2020. La declaración de categoría de Pandemia fue realizada el 11 de marzo del 2020 donde también se definieron las actividades para el enfrentamiento a lo largo del año 2020 y las proyecciones para el año 2021.
Doença de Alzheimer:
Authors: Negrão Glauco Nonose , Schupchek Claudia Kamilla Scneider , Schumanski Graziele
Published: June 2022

Estudos que caracterizam os aspectos socioeconômicos dos cuidadores de pacientes com Doença de Alzheimer (DA) é um fator de importância crescente em um contexto de envelhecimento populacional e vulnerabilidade social. Nesta pesquisa buscou-se traçar um perfil socioeconômico dos 42 cuidadores de pacientes com a doença de Alzheimer, associados à conforme AEPAPA - Associação de Estudos, Pesquisas e Auxílio aos Portadores de Alzheimer, cidade de Guarapuava, PR. Para caracterizar o perfil socioepidemiológico da DA no município foi efetuada consulta a 253 casos notificados, entre 2010 a 2021, pelo Departamento de Gerenciamento de Sistema de Informação em Saúde – DGSIS, da Secretaria Municipal de Saúde de Guarapuava, PR, sendo 158 casos femininos (62,45%) e faixa etária predominante de 80 a 99 anos, com 134 casos (53,96%). Quanto aos cuidadores, a maioria é do sexo feminino (81%) com idade entre 40 a 59 anos (65%). Quanto ao grau de parentesco são cônjuges (28%), filhos (54,80%) e netos (7,10%). Os/As cuidadores/as familiares deverão ser objeto de políticas e programas de saúde pública municipais, em parceria com demais setores da sociedade.
Pandemia da Covid-19:
Authors: Mendonça Rayanne Santos de Almeida , Silva Gilcileide Rodrigues da
Published: June 2022

O presente artigo faz parte da pesquisa desenvolvida no Programa Institucional de Bolsas de Iniciação Científica (PIBIC) da Universidade Federal de Alagoas (UFAL). A finalidade consistiu em analisar a nova ordem territorial no contexto da pandemia do Coronavírus (Sars-cov-2) que causa a covid-19. A análise partiu de levantamento dos Decretos publicados em Diários Oficiais disponíveis em portais informativos sobre a covid-19, nos sites dos estados nordestinos do Brasil. Foram analisados aproximadamente cerca de 492 decretos publicados pelos noves estados, com intuito de compreender as medidas preventivas adotadas para evitar o contágio do vírus, bem como, conhecer como cada estado buscou soluções para combater essa crise na saúde pública, que reflete nos campos socioeconômico e político. Os dados disponíveis permitiram classificar e selecionar as medidas com base no distanciamento social, obrigatoriedade do uso da máscara, restrições e fechamentos de estabelecimentos e áreas de lazer, criações de comitês, grupo de estudos e planejamento para saber os impactos em âmbito estadual e regional.
Análise de fluxo das notificações de casos de dengue pelos estabelecimentos de saúde do Plano Piloto no Distrito Federal, Brasil
Authors: Freire Krishna Mara Rodrigues , Leite Gabriel Bueno Leite , Heusi Gilson Panagiotis Heusi , Ramalho Walter , Gurgel Helen
Published: June 2022

A dengue tem impacto significativo no sistema de saúde, desde a vigilância epidemiológica até questões de acesso ao serviço. O objetivo do estudo é analisar, por meio das notificações de dengue, o fluxo entre o local de residência aos estabelecimentos de saúde da Região Administrativa (RA) Plano Piloto do Distrito Federal no período de 2010 a 2019. Utilizou-se os casos autóctones do banco de dados do SINAN-DF, agregados segundo a RA de residência e a de notificação, obtidos por meio do cruzamento dos dados com o Cadastro Nacional de Estabelecimentos de Saúde. Os resultados mostraram que mais da metade das notificações foram de não-residentes da RA Plano Piloto e o estabelecimento que mais notificou foi público. Entretanto, ao analisar o conjunto, a maior parte dessas notificações foram feitas por estabelecimentos privados. Os estabelecimentos do Plano Piloto atenderam pacientes de todas as RAs, com destaque para RA Guará. As análises ressaltaram um importante desequilíbrio na distribuição dos estabelecimentos de saúde, a qual pode estar associada a forma que Brasília foi planejada, com a centralização do Plano Piloto. Além disso, o tipo de estabelecimento que mais notificou foi hospital e não a atenção primária como preconiza o protocolo de controle da dengue.
Verticalização Urbana: Um novo formato de cidade moderna nos séculos XX e XXI – Um estudo de caso sobre Campina Grande/PB (1960-2012)
Authors: Cardoso de Souza Felipe
Published: June 2022

Este artigo analisa como a cidade de Campina Grande/PB, cidade de porte médio do Nordeste, recepcionou a experiência da verticalização urbana enquanto um novo formato de cidade moderna nos séculos XX e XXI, focalizando os interesses políticos e econômicos inseridos neste processo, que transformou exponencialmente a paisagem da cidade. A partir da pesquisa, foi possível perceber como este processo modificou a cidade e a inseriu nos moldes de cidade moderna contemporânea.
Territorialização dos serviços de saúde pública no município de Delmiro Gouveia – Alagoas/Brasil
Authors: OLIVEIRA JOSÉ FÁBIO , Rodrigues da Silva Gilcileide
Published: June 2022

A pesquisa em fase de desenvolvimento do Programa de Pós-Graduação em Geografia faz um estudo sobre a territorialização da saúde pública no município de Delmiro Gouveia/AL e a acessibilidade da população aos serviços de saúde. Desta forma, a finalidade consiste em mapear as unidades de saúde básica em Delmiro Gouveia, analisando os profissionais e as especialidades que a compõem, a partir de subsídios teóricos da geografia da saúde para entender como a população tem acesso ao atendimento de saúde pública. Os serviços de saúde pública do município estão distribuídos de maneira desigual, quando fazemos uma comparação entre as diversas áreas do município. A consequência é a falta de acesso das pessoas aos serviços, o que leva a pesquisa a contribuir para um estudo de desenvolvimento sustentável dos serviços públicos básicos. Nesse sentido, é importante entender como se dá o acesso da população ao sistema único de saúde (SUS), que ferramentas a prefeitura utiliza para ampliar os serviços, quais profissionais são utilizados para atender a população. Essas são algumas questões que precisam ser respondidas para identificação das ferramentas de intervenção de domínio público municipal, capazes de possibilitar aos habitantes acesso a um atendimento de qualidade de acordo com a necessidade médica.
contribuição geográfica para consolidação do turismo como alternativa de desenvolvimento do município de Areia
Authors: Francisco Eva Maria
Published: June 2022

Essa pesquisa teve o objetivo de realizar o mapeamento das potencialidades turísticas do município de Areia – PB e sua participação no cenário de desenvolvimento regional da região geográfica imediata de Campina Grande. Ao que tange a abordagem metodológica utilizada, constitui-se de uma pesquisa de caráter bibliográfico, através do levantamento de pesquisas anteriores acerca do objeto de estudo, como também, foram realizadas a coleta de informações através de entidades envolvidas no turismo local. Foram identificados diversos espaços turísticos no município de Areia, sendo em sua grande maioria, ambientes que evidenciam aspectos históricos e culturais. Após a identificação de tais potencialidades, foram elaborados dois roteiros turísticos de modo hipotético, nos quais, um evidencia a ideia de resgate histórico do  município de Areia através do espaço, e o segundo intensifica o turismo ecológico, especificamente, na comunidade Chã de Jardim. Para o mapeamento dos trajetos fornecidos a partir dos roteiros, foi utilizada a ferramenta “My Maps”, que está vinculada ao Google Maps. Como resultados, observou-se que o município detém uma estrutura adequada para a prática de atividades turísticas. , tornando em vulgar o quanto o setor pode contribuir para o desenvolvimento econômico local.
Acanthaster plancias a Potential Source of Protein and Amino Acids for Fish Feed Ingredients
Authors: Safir Muhammad , Serdiati Novalina , Mansyur Kasim
Published: June 2022

Acanthaster planci becomes a pest for coral reef ecosystems if its presence is excessive. Knowing the nutrient and amino acid content of Acanthaster planci as fish feed ingredients is the goal of this study. The test sample was taken in the waters of Tolo Bay, Process that was dried for 5 days and then ground until smooth. Samples were taken and analyzed for their nutrient and amino acid content. A duplo test was performed for each sample. The results showed that the nutrient content of Acanthaster planci flour included crude protein, crude fat extract without nitrogen and ash, respectively, at 28.58, 8.79, 2.94, and 45.56%. In addition, Acanthaster planci contains high essential amino acids including leucine, valine, isoleucine, methionine, and tryptophan respectively at 29888.85, 16142.82, 14805.09, 3272.04 and 2267.67 mg/kg dry weight. High protein and essential amino acids indicate Acanthaster planci flour has potential as fish feed ingredients.
Knowledge, Attitudes and Practices towards the Risk of Open Defecation among the Inhabitants of Rural area
Authors: Elamin Mohamed Osman , Rahimtallah Aida Zaid Ali Hatim , Natto Hatim A.
Published: June 2022

Open defecation defined as defecated in fields, bushes, bodies of water or open spaces. Open defecation is the last recourse for those without any form of sanitation, who must endure the daily indignity of defecating in open. In the year 2016, about 12 percent of the global population, practiced open defecation. The situation is even worse in the sub-Saharan African countries including Sudan. The practice of (OD) peaks 44.5% of the population in Abu Haraz, Sudan. This cross-sectional descriptive community-based study was conducted in Abu Haraz, with the aim to assess the knowledge, attitude, and practices towards the risk of open defecation. 397 respondents were selected by using multi stage sampling techniques. The data were collected by using standardized questionnaire and observation checklist and the collected data were analyzed by SPSS computer program and Ã·2 test is used to show the association between the independent and dependent variable. The findings were presented in text, figures and Tables. Study findings revealed that (79.8%) of the respondents know that open defecation causes diseases, pollute water, affect women health and dignity and expose girl to sexual molestation. Study findings revealed that (17.4%) of respondents beliefs that open defecation is part of their daily routine. Findings also revealed that (47.9%) of respondents practicing open defecation, 10.1% of them leave the feces without burying, 15.9% of respondents use soil for cleanliness after defecating. The findings revealed that poverty was the major influencing factor for latrine owning among the households with (Ã·2=58.826; P<.05). (37.3%) of respondents said that type of soil influences latrine owning.