bluuebunny/crossref_metadata_2025 huggingface dataset:
Les arguments contre la calomnie (ou sa pratique) chez Marie de Gournay et Voltaire
Authors: Paré Mélanie
Published: December 2023

Un libelle est un mot venant du Xe siècle : « libel », « libele », ou « libeau », avec une définition originale de « petit livre ». Le mot se développe au XVIe siècle et acquiert son sens « diffamatoire » (Furetière). L’écriture des libelles devient une vogue au XVIIe et reste en plein essor au XVIIIe siècle : le public veut réagir et avoir un impact dans les débats soulevés par ces écrits. Deux écrivains, Marie de Gournay (1565-1645) et M. de Voltaire (1694-1778) s’inscrivent contre la calomnie. Dans cet article, nous analysons la définition du libelle ainsi que les motivations de ces deux écrivains pour dénoncer la diffamation. Surtout, nous explorons si les deux évitent calomnier, ou s’ils calomnient à leur tour malgré tout, à travers l’analyse de ce que Marie de Gournay a écrit dans Marie de Gournay : Textes relatifs à la calomnie : Textes établis, annotés et commentés par Constant Venesoen (1998) et les deux textes de Voltaire abordant le libelle : son Épître XLI (1733) et le Sentiment des citoyens (1764).
Hacer el mapa. Entre cartografías emergentes y diversidad epistémica en América Latina
Authors: Ospina Mesa César Andrés
Published: December 2023

Las prácticas cartográficas críticas y colaborativas en América Latina han sido realizadas entre movimientos sociales, grupos étnicos, activistas e investigadores por más de sesenta años. Buena parte de la producción de conocimiento sobre este tema se ha dirigido al hacer cartográfico y muy poco a su carácter epistemológico. El artículo construye una reflexión sobre cómo las prácticas cartográficas en América Latina pueden informar sobre las tensiones y posibilidades de la diversidad cartográfica y epistémica, estableciendo un diálogo con enfoques de las cartografías post-representacionales. Se concluye con la propuesta de ampliar la comprensión epistémica de la cartografía, a partir de pensar el mapa como objeto, identificando las condiciones y procesos de su emergencia, pero también, la vida social y política que el objeto adquiere en su ensamblaje y agencia con personas, materialidades, procesos sociales, políticos y culturales.
El Ártico entre las grandes teorías geopolíticas
Authors: Álvarez Miguel Madueño
Published: December 2023

En este trabajo se analiza la situación actual del Polo Norte en el tablero geopolítico global y su importancia debida a las reservas de hidrocarburos y a las vías de comunicación. Las previsiones de un deshielo a medio plazo marcadas por la estacionalidad esbozan roles ya contemplados en las grandes teorías geopolíticas expuestas por Mackinder, Mahan, Spykman, Corbett y Seversky, y abren el Ártico como un nuevo escenario de confrontación que puede alterar los equilibrios de poder. Centrándonos en un análisis de carácter comparativo y contextualizado con la situación actual, se trata de responder al papel que jugará en unos años el Polo Norte dada su posición geográfica y si, debido a su naturaleza de mar helado, puede reunir las características para convertirse en una región decisiva para la hegemonía global, todo ello teniendo en cuenta las dificultades vitales, de tránsito y explotación.
De las guerras por encargo a la guerra global
Authors: Saxe-Fernández John
Published: December 2023

Casi ochenta años después del establecimiento de la estructuración internacional levantada tras el fin de la Segunda Guerra Mundial, la intensificación de conflictos regionales en lugares críti-cos desde el punto de vista geopolítico, hoy se presenta más que nunca como amenaza para la vida. La guerra que hoy se gesta en territorio ucraniano, desatada por el incesante acoso de Esta-dos Unidos y la Organización del Tratado del Atlántico Norte (OTAN) contra Rusia, forma parte de lo que se han denominado guerras proxy o guerras por encargo insertas en la creciente irra-cionalidad estratégica de la riesgosa diplomacia de fuerza de EE UU para enfrentar su cada vez más pronunciado declive hegemónico. La apertura de frentes de guerra, en territorios como Ucra-nia o Palestina, que no son más que frentes paralelos de una única guerra global, no solo aumen-tan la probabilidad de una devastación terminal, por la irracional y omnicida búsqueda de la supremacía nuclear como parte fundamental de la “gran estrategia” estadounidense, sino que se desarrollan en medio de un colapso climático capitalogénico que ha dejado evidencias claras de que el planeta no cuenta con suficiente atmósfera para lidiar con las desastrosas consecuencias del capitalismo como sistema social
Autismo e ensino de ciências da natureza: o que está sendo produzido na pós-graduação brasileira
Authors: Borges Aline dos Anjos Davi , Ustra Sandro Rogério Vargas
Published: December 2023

Apresentamos um levantamento bibliográfico da produção em nível de pós-graduação (teses e dissertações), alocada na Biblioteca Digital do Instituto Brasileiro de Informação em Ciência e Tecnologia sobre o ensino de ciências da Natureza para estudantes com Transtorno do Espectro Autista. Utilizamos uma abordagem qualitativa para o estudo que contempla temas investigados, metodologias adotadas e principais conclusões. Foram selecionados 13 trabalhos com os seguintes descritores: Autismo; Ensino de Ciências; Ensino de Química; e Ensino de Física. Dentre os principais resultados destacamos que a maioria dos estudos adota uma abordagem qualitativa, concentrando-se na Educação Básica, com pouca investigação na Educação Superior. De maneira geral, a análise dos trabalhos possibilitou formar uma visão das produções sobre o tema, seus desafios e também contribuiu para o delineamento das principais características das pesquisas desenvolvidas.
Uma proposta de ensino de figura de linguagem para surdos
Authors: Silva Thábio de Almeida , Silva Ana Carolina Oliveira , Souza Daniela Lucindo de , Lima Fabiana Moura de , Silva Maria Rita Cardoso da , Silva Patrícia Sousa da
Published: December 2023

Este estudo teve como propósito tornar um ambiente favorável para o aluno surdos, com o desenvolvimento de aulas adequadas, proporcionado um aprendizado teórico e prático a partir de um material visual adequado. De forma mais específica, nesse estudo, desenvolvemos quinze vídeos-teatro para expressar algumas metáforas da Língua Portuguesa comuns do nosso cotidiano. Para tanto, ressaltamos que o aluno surdo reconhece o mundo por meio de suas experiências visuais, portanto sua forma de compreender e apreender os conteúdos acadêmicos parte, predominantemente, do seu campo visual. Desta forma, desenvolvemos essa proposta em formato de vídeo-teatro, com o intuito de levar ao aluno surdo conhecimento acerca do uso da figura de linguagem, metáfora da LínguaPortuguesa, onde apresentamos duas versões em relação ao contexto da frase, uma no seu sentido literal e outra no sentido metafórico. Nossas reflexões apontam que assim como os ouvintes, o surdo consegue compreender e usar as figuras de linguagem no seu cotidiano, mas, para que isso aconteça, ele deve ter conhecimento semânticoda língua portuguesa, além da metodologia de ensino visual favorecer as técnicas e estratégias e contribuir para o entendimento pelos surdos.
Letramentos à flor da pele: Construções de sentido de uma mulher negra sobre vivências (em) e leituras (sobre) uma sociedade racista
Authors: Sabota Barbra , Moreira Karyelly Guimarães
Published: December 2023

Nosso estudo visa problematizar as construções de sentido de uma professora em formação (Licencianda em Letras Português-inglês) sobre ser/perceber-se mulher negra em uma sociedade racista e machista. As reflexões que compõem este estudo surgiram dentro de um projeto de ensino que oferecia aulas de inglês em uma universidade pública em Goiás. As aulas remotas ocorreram em junho de 2020, durante um período grave da pandemia de COVID-19, portanto de modo remoto e gratuito. Assim, a partir de uma pesquisa respaldada nos estudos pós-críticos (PARAÍSO, 2004; ST PIERRE, 2018) e tendo como base vozes de pensadoras negras como hooks (2000) e Ribeiro (2020), entre outras, problematizamos sobre racismo, feminismo negro e superação da marginalização da população negra na tentativa de promover o letramento antirracista. Os materiais empíricos – gravação das aulas, conversa roteirizada, produção textual dialogada – foram estudados de forma rizomática (DELEUZE; GUATTARI, 1995) buscando incluir as pesquisadoras e a agente no processo de construções, desconstruções e reconstruções de sentido. Concluímos o estudo, convictas da relevância da escolha de temas pertinentes à realidade dos/as alunos/as para: a promoção do engajamento na tarefa, ampliação de repertórios linguístico-político-sociais e consolidação dos letramentos críticos a partir de contextos educacionais.
Combining Theodorsen's and impulse theories to predict the lift of large-amplitude pitching foils
Authors: Viola Ignazio Maria
Published: December 2023

The prediction of the unsteady aerodynamic lift experienced by a streamlined body is critical for a wide range of applications including, for instance, the control of aerial vehicles. Closed-form analytical formulations, such as Theodorsen’s lift formula for a sinusoidally pitching plate, have been found accurate for thin aerofoils at small angles of attack. In this talk, we will show that Theodorsen’s formulation can provide an accurate prediction even for non-sinusoidal large-amplitude pitching kinematics resulting in flow separation. The model fails when the interaction between the shed leading- and trailing-edge vortices provide a significant lift contribution, which is not accounted by the model. We compute this lift contribution from the measurements of the rate of change of the impulse of the vortex pair with particle image velocimetry, and we show that it accounts for the difference between the measured and predicted total lift. We also attempt with some degree of success a semi-empirical predictive model of this lift contribution to improve Theodorsen’s model prediction for highly separated flow. Overall, the results provide new insights on the accuracy of Theodorsen’s theory, and paves the way to the development of predictive models for unsteady loads in massively separated flow.
Ung thư biểu mô tế bào vảy nguyên phát của tuyến giáp: Báo cáo một trường hợp hiếm gặp
Authors: Thuỳ Mai Thị , Thông Lưu Xuân , Hảo Dương Hoàng , Tờ Tạ Văn
Published: December 2023

Ung thư biểu mô tế bào vảy nguyên phát của tuyến giáp rất hiếm gặp, chiếm dưới 1% trong tổng số các ung thư tuyến giáp. Hiện nay, nguyên nhân và cơ chế bệnh sinh của loại u này vẫn chưa rõ ràng. Tiên lượng của típ mô học này rất xấu do u thường tái phát tại chỗ, di căn hạch và di căn xa. Việc chẩn đoán đúng rất có ý nghĩa trong điều trị và tiên lượng bệnh. Tuy nhiên, chẩn đoán nguồn gốc của u thường khó phân biệt với các ung thư biểu mô tế bào vảy từ vùng cổ xâm lấn hoặc di căn tới tuyến giáp. Ở đây, chúng tôi báo cáo một trường hợp bệnh nhân nữ, 57 tuổi, có khối u ở 2 thùy tuyến giáp và được chẩn đoán là ung thư biểu mô tế bào vảy nguyên phát tại tuyến giáp. Mục đích báo cáo nhằm cung cấp thêm thông tin lâm sàng và giải phẫu bệnh của típ mô học hiếm gặp này tại tuyến giáp.
Kết quả kiểm soát đường huyết bằng Insulin truyền tĩnh mạch ở bệnh nhân đột quỵ não nặng
Authors: Đức Hà Tấn , Thuỳ Phạm Thu , Hân Nguyễn Thị Ngọc
Published: December 2023

Đạt được kiểm soát đường huyết là một trong những yếu tố tác động đến kết cục ở bệnh nhân đột quỵ não. Nghiên cứu can thiệp thực hiện tại khoa Đột quỵ, Bệnh viện Đa khoa Trung ương Cần Thơ với 19 bệnh nhân tăng đường huyết dai dẳng được kiểm soát bằng insulin truyền tĩnh mạch theo phác đồ của đơn vị Cleveland và đánh giá kết quả kiểm soát đường huyết. Trung vị nồng độ đường huyết đạt được trước và sau kiểm soát là 281 mg/dL (tứ phân vị: 231 - 317) và 168 mg/dL (tứ phân vị: 156 - 175) với biến thiên đường huyết không quá lớn. Tỷ lệ đạt mục tiêu là 78,9%, có một trường hợp xảy ra hạ đường huyết. Tỷ lệ tử vong chung là 63,2%. Tỷ lệ đạt được đường huyết mục tiêu cao và xảy ra hạ đường huyết thấp khi áp dụng phác đồ này. Tuy nhiên, tỷ lệ tử vong ở bệnh nhân đột quỵ não nặng vẫn tương đối lớn.
Morphology and function of the perforation (keyhole) in Pygopidae (Terebratulida, Brachiopoda)
Authors: Vörös Attila
Published: December 2023

For examination of their internal features, 14 specimens of Pygope and Antinomia from the Bakony Mts. were sectioned longitudinally and transversely. The perforation of the dorsal valve continues in a long tube which joins a short collar of the ventral valve. In slightly opened shells a narrow gap appears between the collar and the tube. The posterior part of the gap is near the rim of the ventral collar. In the new model of the feeding mechanism of pygopides this feature involves that the exhalant jet passed directly over the ventral entrance of the tube. The propulsion of the exhalant jet might generate a low-pressure regime in the tube. An advantage of this process is increasing circulation through the mantle cavities of the lateral lobes, by the sucking effect of the low-pressure regime. The pygopide might lift itself from the mud by contracting the adjustor muscles of its pedicle. The underlying unconsolidated mud is stirred up and the fine grained organic-rich material may be sucked into the low-pressure area of the tube. Then this suspended matter might be ejected off the tube and the food might be recycled by the inhalant currents. With 14 figures and one table.
Literacy and Liberation in Baby Halder’s A Life Less Ordinary
Authors: Himanshu Kumar
Published: December 2023

Autobiographical narratives offer a platform for marginalised voices to express their experiences. A Life Less Ordinary, translated into English in 2006, portrays the life experiences of Baby Halder and sheds light on the experiences of Dalit women. Born into a poverty-stricken family, Halder is forced into marriage and motherhood — a reflection of the expectations imposed on women in her community. The title of the memoir underlines the remarkable journey of a marginalised woman who is anything but ordinary. Due to adverse circumstances, Halder was compelled to leave her home and venture out in search of employment. Becoming a domestic worker helped her earn a living. Her book takes us on a turbulent journey from a childhood in a broken family to being forced into marriage at the tender age of twelve, enduring an abusive husband, and ultimately defying societal norms by leaving him and starting work outside her household. According to Ranajit Guha’s definition of the subaltern, Baby Halder embodies three “attributes of subordination”: gender, caste, and poverty. Halder’s wish to fill the gap left in her formal education motivated her to read and write her life story. This paper explores how literacy opens up opportunities for knowledge, self-discovery, and critical thinking, enabling her to question and challenge the norms that once defined her life. It showcases how education can bring about transformation in the life of a marginalised woman striving for personal and social liberation.
Traumatic air myelogram
Authors: Krishna M Ravi , Phaneendra KS , Kola Venkat
Published: December 2023

We present the case of a 60-year-old male patient admitted to our intensive care unit after a high-velocity car accident. On-site clinical examination revealed normal consciousness with no focal deficits. Chest X–Ray was suggestive of right pneumothorax with pneumomediastinum and extensive subcutaneous emphysema. CT scan revealed right pneumothorax, pneumomediastinum, extensive subcutaneous emphysema and extradural pneumorachis. A right tube thoracostomy was done and the patient was placed on High flow nasal cannula at 40 lpm and 100% FiO2. There was a gradual resolution of pneumothorax and all the extra-alveolar air including pneumorachis by the 7th day. The patient was discharged in a clinically stable condition. Keywords: Pneumothorax, Pneumomediastinum, Pneumorachis
Fostering the National Interest: Utilizing Hungarian State Property in the Jiu Valley to Build a Modern Coal Industry
Authors: Glont Anca
Published: December 2023

After the 1867 Ausgleich, the Kingdom of Hungary sought to foster coal extraction to fuel the growing needs of transport and industrialization. In developing the rich deposits of the Jiu Valley in Transylvania, the state did not wait for private, profit-driven development. Instead, the ministries in Budapest both developed state-operated mines in the region and supported private companies’ efforts, shifting the relative importance of each over the following four decades as the situation required. The ministries worked with private corporations to design model “company towns” and provided consistent support for their upkeep—demonstrating the extensive nature of state influence at the local level. The Jiu coal mines as a case study reflect that the Hungarian state saw property not simply in economic terms but as part of a wider framework of the modernization of the country, including its society. Royal Hungary’s property regime was one that provided legal recognition of the right to private property, but at the same time one in which the state frequently intervened to ensure economic development that served its perceived interests.
Negotiating Demons of the Mind: Psychological Distress, Social Apathy and Victimhood in Tagore’s The Garden (Malancha)
Authors: Banerjee Argha Kumar
Published: December 2023

Though Tagore does not specify Neerja’s illness in his novella, The Garden, readers are made aware of its terminal nature following her surgery and the loss of her child. As the novella progresses, what draws the readers’ attention is not Neerja’s physical ill health but the “unreasonable torment” plaguing her mind. Tagore’s depiction of her distressful mental suffering and its corresponding psychological repercussions—chronic anxiety, low self-esteem, guilt, depression, and obsessional jealousy—tend to preoccupy the central focus of the narrative. In the early twentieth century, the general awareness of mental health issues was still at a formative stage in colonial Bengal. In the absence of requisite palliative care and appropriate treatment of Neerja’s underlying psychological distress, she remains a hapless victim of her tragic circumstances. Undertaking a close psychoanalytic exploration of the text, this analysis argues that through his keen observation and a meticulously detailed portrayal of his female protagonist’s predicament, Tagore represents the helpless despair endured by mentally challenged victims of his time.
A New Language for a New Perception: A Study of the Influence of Chinese Poetry on the Composition of Spring and All
Authors: Bochettaz Olivier
Published: December 2023

This essay highlights the numerous evidences of Chinese influences on Williams’s poetry, and particularly on the composition of Spring and All. What was it in Chinese poetry that could help Williams accomplish his poetic modernization which Pound was urging him to perform? In which ways and to which extent did Williams use Chinese poetic forms and concepts to compose his modernist masterpiece? As a continuation of the research of Wai-Lim Yip and Zhaoming Qian, two of the very few scholars who have focused their attention on this topic, this essay asks how much of what is seen by Western critics as poetic innovations by Williams can actually be seen as appropriations or derivations from Chinese language and poetics. It highlights that many of the poetic devices used in Spring and All, Williams’s breakthrough volume as a modernist, are actually either borrowed from traditional Chinese poetics, or result from the fusion of the English language with ideogramic linguistic concepts.
Validez de constructo de una escala de percepción de la calidad de atención en consulta externa, primer nivel de atención del sistema público, municipios de La Paz y El Alto: Enfoque intercultural
Authors: Alejo-Pocoma Jimmy Leonardo , Arias-Uriona Ana Maria
Published: December 2023

Objetivo: Determinar la validez de constructo de una escala de percepción de la calidad de atención en consulta externa en el primer nivel de atención del sistema público. Método: Se trata de un estudio de tipo cuantitativo, diseño de validación de instrumento documental, realizado durante diciembre 2022 y enero 2023, en 2 municipio el Alto y La Paz, se contó con la participación de 205 personas mayores de 18 años de ambos sexos participantes por de muestro accidental, por sujetos disponibles. La aplicación del instrumento se realizó en los ambientes de los Centros de Salud. Se evaluó la consistencia interna con alfa de Cronbach y Omega. Se realizó el análisis factorial confirmatorio con un método de factorización de ejes principales, se calcularon los índices de ajuste para el modelo, medidas de ajuste absoluto, de ajuste incremental y las medidas de ajuste de Parsimonia. Se realizó todos los procedimientos estadísticos con ayuda del programa SPSSv26, AMOS v24 y JASP v16. Resultados: Se evidenció que tamaño muestral pertinente y que la matriz de covariaciones soporta el análisis factorial KMO de 0,904 Bartlett 0,001, que indica un l. Se procedió, entonces, a realizarse dicho análisis con el método de extracción de factorización de ejes principales y rotación varimax logrando dos dimensiones y 10 items, 6 para el primer factor y 4 para el segundo. La fiabilidad del instrumento por dimensión fue aceptable y bueno (>0,6). Se lograron dos modelos para realizar el ajuste, las medidas de ajuste con chi2 significativo y el RMSEA mayor a 0,05. Las medidas de ajuste incremental óptimos CFI = 0,95; NFI = 0,92, y TLI (NNFI)= 0,93. las medidas de ajuste de Parsimonia aceptables. Conclusiones: Las evidencias de validez del instrumento con 2 factores resultaron con un buen ajuste y parsimonia, presentando índices de confiabilidad aceptables y consistentes con los reportados por otros estudios tiene validez de contenido adecuado con una fiabilidad aceptable.
ПРИМЕНЕНИЕ ГЛАУКОНИТА В ПРОЦЕССЕ ДЕМЕТАЛЛИЗАЦИИ ФЛОТАЦИОННЫХ СТОКОВ
Authors: Сираканян М.А. , Котикян С.Ю. , Вардересян Г.Ц.
Published: December 2023

Օдним из перспективных направлений проблемы очистки сточных вод, сօдержащих тяжелые металлы, является использование экологически безопасных сорбентов природного происхождения, в частности глинистых материалов, обладающих селективными сорбционными свойствами. С учетом фактора экологической технологической выгоды исследованы сорбционные свойства глауконита (зеленой глины), расположенного в Гарнийском районе РА, и возможность его применения в процессе обессоливания флотационных стоков, образующихся при переработке Техутского медно-молибденового минерала. Изучение закономерностей сорбции глауконита проведено по результатам сорбционных исследований ионов железа и молибдена, присутствующих во флотационных водах.
Анализ экспериментальных результатов показал, что эффективность сорбции ионов железа и молибдена из смесей с различным и равным их содержанием с 2 г глауконита снижается в зависимости от определенного количественного соотношения. Это явление можно объяснить, скорее всего, ионообменной способностью глауконита. Минералогический состав флотационной воды в основном содержит ионы металлов Cu, Fe, Zn, Ca, Mo, Mg. Установлено, что поскольку в процессе ионного обмена могут участвовать и другие компоненты, присутствующие в смеси, поэтому исследование сорбционной емкости в случае использования глауконита большей массы может обеспечить высокую эффективность сорбции этих ионов в смеси.
Изучены закономерности сорбции и десорбции металлов в статических условиях для определения оптимальных условий процесса, исследован глауконит как сорбент в процессе извлечения ионов металлов (железа, молибдена) из производственных стоков. Регенерация глауконита, насыщенного ионами железа (III) и молибдена (VI), была проведена в динамических условиях. Предложена технологическая схема деметаллизации флотационных стоков. Показано, что, при необходимости, предлагаемая технологическая схема может быть применена и в технологии деметаллизации флотационных стоков, образующихся в различных процессах обогащения руд.
ПРИМЕНЕНИЕ ДВУХСТАДИЙНОГО МЕТОДА ДЛЯ ОЧИСТКИ РУДНИЧНЫХ СТОЧНЫХ ВОД ШАУМЯНСКОГО МЕСТОРОЖДЕНИЯ АРМЕНИИ
Authors: Товмасян Д.Л. , Леманова С.А. , Алексанян А.Р.
Published: December 2023

Динамично протекающие изменения законодательных требований в Республике Армения в сфере охраны окружающей среды и необходимость соответствия требованиям международных стандартов заставляют добывающие компании изыскивать более эффективные и доступные методы очистки рудничных сточных вод. Подземные рудничные сточные воды представляют собой стоки, поступающие в горные выработки из подземных водоносных горизонтов и поверхностных вод месторождений по добыче руды. Рудничные воды отличаются большим разнообразием химического состава. Их повторное использование или сброс в природные водоемы без предварительной очистки не представляется возможным. На практике для очистки рудничных вод применяются методы отстаивания, осветления, фильтрации, адсорбции и др. Часто используются комбинированные методы очистки. В настоящей статье рассматривается двухстадийный метод очистки рудничных вод Шаумянского месторождения Республики Армения от взвешенных частиц и тяжелых металлов. Использование двухстадийного метода очистки рудничных вод обеспечивает эффективность очистки от взвешенных частиц до 99%, от меди - 50...87%, от цинка - 35...84%, от железа - 20...74%, от кадмия - 3...20%. Результаты исследований показали, что метод очистки эффективен для удаления взвешенных частиц, меди, цинка и железа. Данный метод может быть использован в качестве очистки оборотной системы водоснабжения и не требует поддержания определенной температуры сточной воды.
Effects of Inspiratory Muscle Training with and without Resistance Training on Functional Capacity and Quality of Life in Patients with Phase II Cardiac Rehabilitation
Authors: Ashfaq Maham , Ain Qurat Ul , Tariq Mohsana , Batool Misdaq , Faisal Sidra , Ghaffar Tamjeed , Fatima Zara
Published: December 2023

Background: Inspiratory muscle preparing is a protected mediation in early postoperative period which cause enhancements in utilitarian limit and respiratory muscle strength might lead patients to take part in exercises of everyday living. Objective: The objective of study was to determine the effects of Inspiratory muscle training with and without resistance training on Functional capacity and quality of life in patients with phase II cardiac rehabilitation. Methods: It was randomized controlled trial. Data was collected from Dr. Zia ul Rehman Heart Center, Chiniot. 20 subjects Aged between 40-60 years were randomized in this study design. Cardiac Patients, Undergoing Cardiac surgery Patients, Patients undergoing CABG at least 3 weeks prior and Presently non-smokers were included in the study. Clinical course without complications during hospital stay was scored on Glittre-ADL test and Minnesota living with heart failure questionnaire before and after end of treatment session. Upper and lower limb resistance training was performed for 20 minutes, with 3 sets of 10 repetitions. Results: Independent sample t-test was applied to compare pre-treatment and post-treatment Minnesota Living with Heart Failure Questionnaire here was statistically significant difference between two groups with P < 0.05. Comparison of Glittre-ADL test within each treatment group applied paired sample t-test which showed statistically important variation for both groups (P< 0.05) with greater difference seen in group Inspiratory Muscle Training with Resistance Training. Comparison of MLHFQ within each treatment group applied paired sample t-test which showed statistically important variation for both groups (P< 0.05) with greater difference seen in group Inspiratory Muscle Training with Resistance Training. Practical Implication: it was shown that CABG patients whose personal satisfaction, uneasiness, and sorrow were undeniably diminished subsequent to taking part in inspiratory muscle preparing. Conclusion: Inspiratory muscle training with resistance training is more effective on functional capacity and quality of life in patients with phase II cardiac rehabilitation. Keywords: Inspiratory Muscle Training, Resistance training, Functional capacity, Cardiac rehabilitation.
Frequency of Various Congenital Anomalies and Associated Maternal Risk Factors, an Experience at Tertiary Care Hospital
Authors: Aslam Javaria , Khurshid Sadaf , Rehman Sheeba , Zafar Shahnilah , Aslam Iram , Gulbaz Sara
Published: December 2023

Objective: To determine frequency of congenital anomalies in children and associated risk factors of mothers. Setting: Department of obstetrics and gynecology Rai Medical College Sargodha. Study design: Descriptive observational study. Duration: July 2022 to December 2022. Methodology: All babies with congenital anomalies born within study duration and their mothers were included in this study. Anomalies of neonates were evaluated after proper clinical evaluation by a neonatologist. A questionnaire was designed to evaluate maternal risk factors. All collected data was analyzed using SPSS version 20. Results: Total 1900 babies delivered during this study period and out of them congenital anomalies were found in 31 (1.6%) cases. Most common anomaly was hydrocephalus in 10(32.2%) and meningomyelocele in 6(19.3%) cases. Most common maternal risk factor was consanguineous marriage in 15(48.3%) cases. Most commonly mothers with the age of 19-30 years were having babies with congenital anomalies. Practical Implication: This study helps us to understand the importance of avoiding consanguineous marriages, screening of high risk cases using various diagnostic techniques like ultrasonography during 16-20 weeks, use of folic acid supplements and in case of detecting congenital anomalies option of selective termination of pregnancy can be offered to the parents. Proper awareness of the parents and their counselling after birth of a baby with anomaly can prevent its recurrence in their future pregnancies Conclusion: Most common congenital anomaly reported in this study was hydrocapahlus followed by meningocele and most common maternal risk factor associated with these anomalies was consanguineous marriage. Keywords: Congenital anomaly, consanguineous marriage, Maternal risk factor, Neural tube defects
Association Between Physical Activity and the Incidence of Knee Osteoarthritis Among Elderly Individuals- a Cross Sectional Study
Authors: Iftikhar Nimra , Mustafa Yasir , Nasrullah Zainab , Anwar Aqsa , Shahzad Khurram , Kaleem Muhammad , Hashim Adnan , Ejaz Asad
Published: December 2023

Background: Physical activity has been linked to a number of health benefits, including a decreased chance of developing long-term conditions like diabetes, heart disease, and obesity. However, there has been some concern that some exercise types, particularly those that involve high impact or repetitive movements, may increase the risk of knee osteoarthritis (OA) in older people. Methodology: This study was conducted using a cross-sectional design to explore the connection between physical activity and knee osteoarthritis in elderly individuals. The participants were carefully chosen from community centers, senior centers, and healthcare facilities, and all were 65 years old or above. We made sure to use reliable methods such as the SF 36 Questionnaire and KOOS for Osteoarthritis to assess their physical activity levels. Results: This study involved 152 patients with knee osteoarthritis, with 39.5% being males and 60.5% females. The mean age was 70±3 years. The severity of knee problems was extreme in 24.3%, moderate in 49.3%, and no knee problems in 26.3%. Health status was poor in 28.9%, moderate in 46.7%, and good in 24.3%. There is a statistically significant association between health status and osteoarthritis as shown by the chi-square test with a p-value of 0.00, which is less than 0.05. Practical Implication: The results of this study have significant ramifications for public health initiatives that support weight control and physical activity promotion as ways to shield the elderly population from knee osteoarthritis. Conclusion: The study concludes that regular physical activity and maintaining a healthy weight can decrease the risk of knee osteoarthritis among elderly individuals. The implications of these findings suggest that public health policies should focus on promoting physical activity and weight management in preventing knee osteoarthritis in the elderly population. Keywords: physical activity, knee osteoarthritis, elderly individuals, incidence, association, prevention strategies.
Transpedicular Screw Fixation of Traumatic Thoracolumbar Spine Fracture Open Versus Percutaneous Technique
Authors: Arif Jawad Jan , Shahid Subhan , Afzal Tanveer , Abubakar Muhammad , Irfan Ali
Published: December 2023

Objective: To determine meantime to return to work of patients with traumatic thoracolumbar spine fracture managed with open versus percutaneous trans-pedicular screw fixation. Materials and methods: A randomized controlled trial conducted in a joint venture of orthopedic and neurosurgeons in a private hospital of Lahore. Study was completed in six months duration from July to December 2022. 80 patients having traumatic thoracolumbar spine fractures presenting to the study hospital and falling in inclusion criteria were enrolled into this study. Two groups made containing equal number of patients in each (n=40). One group underwent open transpedicular screw fixation and other group underwent percutaneous trans-pedicular screw fixation. Monthly follow up was done and the time taken return to work (TTRW) was noted. Results: Mean age of the patients was 34.62 years. There were 40(50%) male and 40(50%) female patients in the study group (n=80). Mean time taken return to work after the surgery was 3.1±0.61 months in group-A (percutaneous screw fixation) versus 5.2±0.84 months in group-B (open screw fixation). The difference in two groups regarding TTRW was significant (p<0.005). Male and female patients showed significant difference in TTRW within group-A (p=0.021) while no significance difference found in TTRW among male and female patients within group-B (p=0.18). Duration of the procedure had significant impact on TTRW (p=0.001). Practical Implication: Percutaneous technique has been proved to be safer, quicker and minimal invasive method that should replace open technique. It is recommended to conduct comparative randomized controlled trials on larger study groups to obtain more data regarding outcomes of percutaneous versus open technique. This study helps us to understand comparatively safety, efficacy and feasibility of both techniques so that better treatment option may be used in such patients for better outcomes. Conclusion: We concluded that time taken return to work was shorter in the patients treated by percutaneous technique of transpedicular screw fixation versus those patients treated by open technique. Percutaneous technique has shorter duration of the procedure, less morbidity, early recovery and more effective. Keywords: Transpedicular screw fixation, Thoracolumbar spine fracture, Spinal cord injury, Time taken return to work
Family Screening of Thalassemic Patients and Effectiveness of Education in Providing Knowledge about Prevention of Thalassemia
Authors: Iqbal Rameez , . Sidrah , Akhtar Asfahan , Memon Kiran , Khan Muhammad Rahil , Anique Muhammad , Aamir Kiran , , Ramzan Aamir
Published: December 2023

Objective: To identify the carriers in the families of Beta Thalassemia patients and to determine the effectiveness of education about the prevention of thalassemia. Methods: The Observational - Cross-Sectional study was carried out in 6 months from 01-09-2021 to 31-03-2022 on a sample of 73 thalassemia patients and their families, after taking informed written consent. This study was conducted via non-probability, convenient sampling and was carried out at the Department of Pathology & Diagnostic and Research Laboratory - LUMHS Hyderabad/Jamshoro. The data was analyzed via SPSS 21.0 Results: The mean age of patients was found to be 17.34 + 7.32 years. 52% of participants were males with mean age of 15.23 + 9.67 years and 48% participants were females with mean age of 13.48 + 5.7 years. Most of the patients were having fortnightly blood transfusion i.e. 42.8% followed by 32.9% patients with monthly transfusion. Bi-monthly transfusion were found to be least reported. Consanguineous marriage among parents was found in 87.70% of patients. Hb electrophoresis pattern among siblings of thalassemia patients showed 4.1% occurrence of thalassemia major and 32.8% occurrence of thalassemia minor while 63% patients were found to be having normal electrophoresis pattern. The mean hemoglobin was found to be 09.23 + 3.65 mg/dl among siblings of thalassemia patients with 63.86 + 8.41 mg/dl mean MCV. Conclusion: The study found out that the around 2/3rd of the families were having positive history of thalassemia with around 1/4th of the patients had history of blood transfusion. The educational session was found to effective in improving the knowledge regarding the thalassemia. Keywords: Thalassemia, carriers, family history, effectiveness of educational awareness
Comparison of Handgrip Strength among Diabetes Mellitus with and without Cervical Radiculopathy
Authors: Mushtaq Fayza , Farooq Mirza M , Gulzar Khusboo , Islam Farooq , Asgher Shahrayar , Kalsoom Fatima
Published: December 2023

Background: Patients with Diabetes Mellitus type 2 have reported to be more disabled in self-care tasks and other daily living activities because of many hand complications. There is reduction in grip strength in diabetic population. The purpose of this study was to compare hand grip strength among diabetes mellitus with and without cervical radiculopathy. A dynamometer can be used to swiftly and precisely measure the link between diabetic patient’s hand grip strength and their blood sugar levels. Objective(s): The study's objective was to evaluate the comparison of hand grip strength among diabetes mellitus with and without cervical radiculopathy. Methodology: A Cross-sectional study was carried among 385 diabetic patients with and without cervical radiculopathy from age 35-75. Data collected from two hospitals of Gujrat City. The study was completed June 2022 to October 2022 within 4 months by non-probability convenient sampling. Both genders were included. Instruments used in this study were handheld dynamometer. We were start to measure handgrip strength in both dominant and non-dominant hand of diabetic patients with and without cervical radiculopathy. Result was analyzed by SPSS version 24; mean and standard deviation were calculated for quantitative variables whereas frequency and percentages were used for qualitative variables. Results: The results had been obtained from 385 diabetic patients (50.6%) were females and (49.4%) were males. In our study the data was collected on the bases of age, gender, socioeconomic status, area and dominancy of hand. 61(32.28%) diabetic patients with cervical radiculopathy hand grip strength are more effected as compared to those without cervical radiculopathy that were 15(7.94%) and there (P<0.001) which indicates it is statistically significant. Practical Implication: The study suggests that fewer patients were diagnosed with cervical radiculopathy in diabetic patients and more patients were without cervical radiculopathy. Conclusion(s): This study concluded that the hand grip strength of patients with cervical radiculopathy prone to diabetes was affected highly as compared to those of which were not diagnosed with cervical radiculopathy but with diabetes. Although our study suggests that less patients were diagnosed with cervical radiculopathy in diabetic patients and more patients were without cervical radiculopathy, our study also proves that diabetic patients are also likely to develop neuropathies in later ages. Keywords: Hand grip strength, Handheld Dynamometer, Cervical Radiculopathy, Diabetes Mellitus
Association Between Gluteus Medius Strength and Gait Instability among University Students with BMI
Authors: John Nayab , Ali Alina , Gulzar Khushboo , Arbab Hurayra
Published: December 2023

Background: Gluteus Medius muscle plays an important role in stabilizing the pelvis during gait. Individuals with obesity may experience weakness in gluteus Medius and gait instability. However, it is still unclear whether the musculature of a person with obesity can compensate for these changes. Objective: To evaluate the comparison of gluteus medius strength and gait instability from university students with different BMI Methodology: This cross-sectional study was conducted. The study was completed June 2022 to October 2022 according to the rules and regulations set by the ethical committee of University Of Lahore, Gujrat campus by selecting 385 patients who cleared the inclusion and exclusion criteria. Both male and female university students were included. In this study the strength of gluteus medius was checked by using with Manual Muscle Testing Grading System (MMT). The Grading Scale Range from 0 to 5, gait instability was checked from the Gait analysis Questionnaire. Results: The results of current study shows that age of participants were 23.06±2.49, gender of participants were 1.30±0.46. BMI class * Manual Muscle Testing (Left) Cross tabulation shows that the normal (BMI Score >18.5 to 25) was 0 fair, 8 good and normal were 218, while Over Weight (BMI Score >25 to 30) were 2 fair, 11 good and 111 normal whereas Obese (BMI Score>30) got 3 fair, 15 Good and 17 Normal manual muscle testing scoring while (Right) side shows that normal (BMI Score >18.5 to 25) have 0 fair, 16 good and normal were 210, while Over Weight (BMI Score >25 to 30) have 3 fair, 21 good and 100 normal whereas Obese (BMI Score>30) got 6 fair, 9 Good and 20 Normal manual muscle testing scoring. Gait when walking through a narrow space have 373(10.2%), problems walking when getting on the lift 372(10.2%), problems walking when entering a revolving door was 374(10.2%), problem walking in crowded places 366(10.0%). Practical Implication: Scientific evidence, muscle strength is inversely and independently associated with all-cause mortality. Some authors even recommend the use of an algorithm to remove the dependence on body size and to more appropriately compare the strength of the hip muscles across individuals since it cannot be concluded that the force is directly proportional to body weight. Conclusion: There was significant correlation between BMI class and quadriceps strength. Participants with higher BMI shows less quadriceps strength than people with lesser BMI. Increased body mass, in absence of other obesity-related comorbidities, may have minimum impact on gait instability and in turn fall risk. Keywords: Gluteus, Medius, Gait Instability, BMI, muscle testing
Utilização da plataforma YouTube como ferramenta didática metodológica no ensino de Geografia
Authors: Filho Julio , Fernandes Maria
Published: December 2023

Contexto: O objetivo central deste artigo é realizar uma abordagem sobre a utilização do YouTube como ferramenta didática e metodológica no ensino de Geografia, enfatizando os seus desafios e possibilidades. Devido ao aumento gradativo da utilização do YouTube como fonte de informação e entretenimento ao longo dos últimos anos, e a necessidade constante de utilizar metodologias diversas em sala de aula que auxiliem no processo de ensino-aprendizado, viu-se a possibilidade de se utilizar esta plataforma como uma ferramenta didática metodológica no ensino de Geografia. No entanto, a sua utilização demanda um preparo do professor para que se evite que esta ferramenta prejudique o processo de ensino e aprendizado nas salas de aula. Metodologia: A pesquisa foi realizada através da leitura e análise de artigos e livros, buscando obter uma discussão fundamentada em trabalhos de autores que são referência nas áreas de ensino de Geografia e da utilização das Tecnologias da Informação e Comunicação (TIC’s) no ensino. Considerações: A utilização do YouTube como ferramenta didática e metodológica no ensino de Geografia apresenta desafios e possibilidades. É importante que os professores estejam preparados para utilizar essa plataforma de forma adequada, evitando prejudicar o processo de ensino e aprendizado nas salas de aula. A adoção de metodologias diversificadas e a conscientização sobre o potencial educativo do YouTube podem contribuir para um ensino mais dinâmico e atrativo, promovendo uma melhor compreensão dos conteúdos por parte dos alunos.
Projeto integrador: uma proposta interdisciplinar para a promoção da integração curricular da Educação Profissional e Tecnológica
Authors: Lima Jeorge Venancio Santos de , Cavalcanti Ricardo Jorge de Sousa
Published: December 2023

Este artigo trata-se de uma reflexão acerca do Projeto Integrador como uma proposta interdisciplinar, que tem como objetivo central promover uma reflexão sobre a integração curricular na Educação Profissional e Tecnológica (EPT) por meio da integração dos componentes curriculares da formação geral e da formação profissional. Nesse contexto, a discussão apresenta uma reflexão sobre currículo e currículo integrado na perspectiva da integração curricular. Os resultados dessa análise apontaram para a possibilidade de desenvolver práticas interdisciplinares por meio de Projetos Integradores que promovam a integração curricular na EPT de forma a promover a formação omnilateral dos sujeitos com saberes necessários às transformações sociais. Nessa esteira, apoiamo-nos nas contribuições teóricas de Zabala (1998); Proença (2018); Braga et al.(2017); Araújo, Frigotto e Ramos (2015); Lopes e Macedo (2011); Machado (2005); Fernandes (2014); Medeiros, Gariba e Júnior(2006).
Ensino aprendizagem em língua inglesa na Escola Izaura do Espírito Santo Pantoja – Oeiras do Pará-PA
Authors: Tenório Jobson Carlos do Carmo , Domingues Andrea Silva
Published: December 2023

O presente artigo teve como objetivo verificar se há ausência de políticas educacionais especificas às comunidades tradicionais, no caso os ribeirinhos, e como esse acontecimento afeta o processo de ensino aprendizagem em Língua Inglesa na cidade de Oeiras- Pará. Metodologicamente trata-se de uma pesquisa qualitativa do qual buscamos para sua base teórica, realizar levantamento bibliográfico, reunindo autores que discorrem acerca das variáveis pertinentes a Educação do Campo; e nas ações de pesquisa adotamos a realização de entrevistas semi estruturadas. A investigação resultou em dados que demonstram que os professores tem desenvolvido o ensino de Língua Inglesa a partir do currículo oculto dos educandos, pois, eles têm promovido um ensino que busca trazer as complexidades dos seus alunados para dentro da escola, cuja lógica se articula com as necessidades da/na escola do campo e suas realidades.