bluuebunny/crossref_metadata_2025 huggingface dataset:
Les Caractéristiques Cliniques et Echographiques des Personnes Atteintes de Cancer du Foie à l’Hôpital Général de Référence Dr RAU/ CIRIRI de Bukavu du 20 Novembre 2015 au 11 Février 2019
Authors: Yassa Y. Pierre
Published: August 2020

Le cancer du foie est l’une des tumeurs malignes du tube digestif les plus agressives qui se développent à partir des cellules hépatiques. Il constitue la deuxième cause des décès liés aux cancers dans le monde après celui du poumon. L’objectif de notre recherche est de déterminer les caractéristiques cliniques ainsi que ceux échographiques des personnes atteintes des cancers du foie à l’Hôpital Général de Référence (HGR) Dr. RAU CIRIRI.
CURRENT SCENARIO OF COVID19 OUTBREAK IN ANDHRAPRADESH & TELANGANA
Authors: A.V.Blessy A.V.Blessy , S.A.RamyaValli S.A.RamyaValli , J.Bhargava Narendra J.Bhargava Narendra
Published: August 2020

The World Health Organization declared the 2019–2020 COVID Emerging coronaviruses are constant global public health threats to society Governments are under increased pressure to stop the outbreak of a global health emergency. In this situation, preparedness, transparency, and sharing of information are crucial. Multiple ongoing clinical trials are conducted for the development of vaccines and antivirals against CoVs. Up to date, there is no speciﬁc treatment proven effective against this COVID19. In addition, no vaccine has been licensed by the WHO to prevent MERS-CoV infection thus far.  This spillover event is pandemic and a Public Health Emergency of International Concern. Due to its emerging cases day by day there is a need for everyone to act responsibly by taking preventive measures like wearing the masks and avoiding unnecessary outings as possible. There are certain reasons not to get panic regarding a situation like We to know why at it is -  we had been identified the virus; We know how to detect-there had many tests to identify; Most cases are mild -about 81% of cases are mild and high recovery rate is seen; Symptoms are mild in young; The virus can be destroyed on the surface; Vaccines are in progress; Many drugs are effective in treating the COVID19. Voluntary reporting of the symptoms helps to prevent the spread of disease. this review details about the origin of the virus, introduction to the anatomical features and pathology, clinical manifestations, its diagnostics, treatment, preventive measures to health workers, and to public.
Eﬃcacy of Double Pop Blind TAP Block – Double-Blinded Randomized Controlled Study
Authors: Richard Simon , Goel Sharad , Mishra Akhilesh , S. Ali Imam  , Samir El Said  , Elhantery Medhat Mahmoud
Published: August 2020

Background: The transversus abdominis plane block (TAP block) in the petit triangle is being used since 2001 for analgesia by blocking      the T6 to T12 nerves, which is devoid of the sympathetic blockade and has opioid-sparing effect during and after abdominal operations.       The appropriateness and efficacy of using double pop blind transversus abdominis plane block were studied in abdominal surgeries using bupivacaine with butorphanol as additive. Subjects and Methods: A total of 78 adult patients of ASA I and II were included, who were to undergo laparoscopic cholecystectomy under general anesthesia. The control group patients received tramadol, diclofenac, and paracetamol in the perioperative period. The study group patients received TAP block by double pop blind technique after induction of anesthesia but before surgical incision as preemptive analgesia. The p-value, the mean and the confidence interval were calculated by using Student t-test with the use of online software by graphpad.com. Results: Each of the two groups had 39 patients, and none met the exclusion criteria. Patients of the study (TAP) group remained pain-free for a longer time by 439 (416 – 463) minutes more than the control (IV, Intravenous) group. Rescue analgesia in the study group was required 640 minutes after the end of the surgery, but in the control group, rescue analgesia was required earlier at 200 minutes only after the surgery. Conclusion: Double pop blind technique for TAP block is appropriate and without complications if done with carefulness as to avoid penetration of the blunted green needle beyond the fascia between the internal oblique and the transversus abdominis muscle.
Short Segment versus Long Segment Posterior Pedicle Screws Fixation for Treatment of Thoracolumbar Burst Fracture: A Comparative Prospective Study
Authors: Singh Arvind , Bali Shiv Kumar , Maji Subhajit , Ahuja Kaustubh , Moger Nagaraj  Manju , Mittal Samarth , Sarkar Bhaskar , Kandwal Pankaj
Published: August 2020

Background: The surgical treatment of unstable burst fracture (TLICS >4) of the thoracolumbar vertebrae remain controversial. This study is aimed to compare the short segment versus long-segment posterior fixation for thoracolumbar burst fracture.The objective of the study is to study comparison of outcome of the Short-Segment Posterior Fixation (SSPF) versus Long-Segment Posterior Fixation (LSPF) for treatment of thoracolumbar burst fracture in term of surgical, radiological, neurological and functional outcome. Subjects & Methods: In this prospective study, we included 32 patients with Burst fracture AO type A3, A4 of Thoracolumbar spine (T10-L2), who underwent posterior pedicle screw fixation for Burst fracture Thoracolumbar spine. A total of 18 of the patients underwent Short-Segment Posterior Fixation (SSPF) (Group A); group A is further divided into three subgroups A1: short-segment only(n=10), A2: short-segment with index screw(n=4) and A3: short-segment with anterior column reconstruction(n=4) with cage, Whereas 14 patients had Long-Segment Posterior Fixation (LSPF) (Group B). Surgical (duration of surgery, blood loss, complication), Clinical (Oswestry questionnaire, spinal cord independent measuring scale), radiological (percentage of anterior body height compression, kyphosis correction loss, Mc Cormack classification) and Neurological (Frankel grading) outcomes were analyzed. Results:  The operative time Group A (159.85 min  22.5) was significantly shorter than Group B (198.7  31.5).  Blood loss was significantly less in Group A (478 ml   259.3) than Group B (865ml   275.7). Kyphosis Correction loss at 6th month follow up in Group A (subgroup A1: 10.7deg  6.2, subgroup A2: 7.1deg  7.4 and subgroup A3: Subgroup A3: 6.1deg  5.2) was higher than that of group B (6.2deg 6.3). Complication (surgical site infection) occurred in Two patients in group B. There was no significant difference in terms of improvement in functional and neurological outcomes among both groups. The functional outcomes as per the SCIM and ODI score at 6th month follow up in group A: 74.7 +-22.29, 31.5+-13.73 respectively, and group B: 73.8+-26.07, 26.7+-17.9, respectively. Conclusion: Short-Segment Posterior Fixation (SSPF) is a significantly decreased duration of surgery and blood loss compare with Long-Segment Posterior Fixation (LSPF). Loss of kyphosis correction in Short-Segment Posterior Fixation (SSPF) may be decreased with index screws or anterior column reconstruction.
Fifth toe Fillet Flap for Wound Coverage of Non-Healing Ulcer of the Foot: Surgical Technique and a Case Report
Authors: Chaudhary Sunny , Bali Shivakumar A , Singh Arvind , Siddharth R K
Published: August 2020

Fillet flap is one of the options in the treatment of diabetic non-healing ulcers. The advantages of the fillet flap include the absence of donor site morbidity, excellent durability and preventing the need for more proximal amputation. A 56-year-old farmer presented to the out-patient department with complaints of a non-healing ulcer on the sole of the right foot for the past 7 months which was managed conservatively. A fifth ray partial amputation and a rotational flap of the redundant fifth finger for wound coverage were done. The wound healing was uneventful and the sutures were removed after two weeks. At the latest follow-up of 2 years, the patient was able to walk independently without pain and without any functional limitations. This case report describes the surgical technique of the lateral lesser toe fillet flap for wound closure on the plantar aspect of foot as an alternative to secondary healing or more proximal amputations.
Clinical Study on Psychiatric Morbidity in Suicide Attempters- A Observational Study
Authors: Koganti Charan Teja , Bobba Neeta Sagar
Published: August 2020

Background: Suicide is a tragic and serious preventable public health problem all over the world. It is one of the three leading causes of   death globally. Usually suicide has no single cause. It is the endpoint of an individual process, in which several cultural, social, situational, psychological, and biological factors interact. The objective of the current study is to evaluate the nature of psychiatric morbidity and it’s severity in patients who have attempted suicide, its relation to the socio-demographic and clinical variables and the particulars of the current attempt. Subjects and Methods: Fifty patients with alleged history of suicide attempt were evaluated. Tools used were Socio Economic Status Schedule, Suicide Intent Scale and Comprehensive Psychopathology Rating Scale. ICD 10-AM Symptom Check List was used to evaluate and find out psychiatric diagnosis and final diagnosis was made on the basis of ICD-10- Classification of mental and behavioral disorders, Diagnostic Criteria for Research (DCR-10). Results: Most subjects are in the age group of 18-30, married, Hindus, with a primary education, semi-skilled workers with average monthly income of more than 3000 rupees from a nuclear family of semi urban area and belong to SESS category III. Adjustment disorder with brief depressive reaction is the most common diagnosis made and the diagnosis has statistically significant relation with past attempt, recent stressors, and motive. Type of attempt, method used, venue, lethality, and medical complication of the attempt have significant relation with, substance dependence and its total duration, gender, medication history and total duration of symptoms. Suicide intent score is statistically related with gender, total duration of symptoms, family history, motive, venue and lethality. Conclusion: Significant proportions of the individuals who attempt suicide have psychiatric morbidity. Attempted suicide can be considered to be a distinct sub- group of psychiatric symptoms which is usually neglected but is the most common cause of morbidity and mortality in subjects with psychiatric disorders. Patients who attempt suicide require special attention and management by all the medical professionals.
Intestinal Bowel Wall Thickening Analysis on MDCT: A Retrospective Study
Authors: Mathew Jefrin Roy , A Parthasarathi  , BT Deepthi  , U Harsha
Published: August 2020

Background: The aim of this study was to determine the causes and establish the significance of bowel wall thickening on abdominal computed tomography. Subjects and Methods: Consecutive abdominal CT’s between January 2019 and December 2019 with findings of duodenal, jejunal, ileal and colonic ‘bowel wall thickening ‘on the formal report was reviewed retrospectively. The patients history, inpatient course & subsequent colonoscopy and /or operative findings were also reviewed. Results: Of the 88 consecutive CT abdomen’s identified, infection (26.1%) and new cancer (22.7%) were the most common causes. Bowel obstruction (12.5%) and Inflammatory Bowel Disease (10.2%) were relatively uncommon causes. Overall 40/88 (45%) & 14/88 (15%) patients underwent subsequent colonoscopy and progressed directly to surgery respectively; of these 36/40 (90%) of the former and 14/14 (100%) of the latter showed findings similar to CT. Conclusion: When thickening of the bowel is detected with CT; pattern of the thickening, accompanying findings, history of the patient and clinical features must be evaluated together to reach prompt and correct diagnosis. All cases detected with bowel wall thickening on CT abdomen should warrant a subsequent colonoscopy.
Percutaneous Endovascular Treatment of Stenosis of Dialysis Arteriovenous Fistulas
Authors: Jagadeesh Pasupuleti  , Yugandhar Samireddypalle  , Saripudi S V N P Manikanta Vijay  , Guntaka Srujana  , Amitha Vikrama KS
Published: August 2020

Background: The incidence of end stage renal disease is on the rise and most of these patients are undergoing dialysis either through tunneled/non tunneled dialysis catheters or through arteriovenous fistulas. The dialysis grafts and fistulas have limited durability of about 3 years and are more prone for thrombosis and stenosis, resulting in AVF dysfunction. As the number of access sites for dialysis is limited, percutaneous endovascular management by fistuloplasty has become the accepted first line of management to increase the lifespan of these fistulas.This article discusses a series of cases of AVF dysfunction secondary to draining vein stenosis managed by percutaneous transluminal angioplasty, their outcome and short term follow up till 3 months. The aim of the study is to review the role of percutaneous endovascular management of stenosis of dialysis fistulas, its indications, safety, efficacy and short term patency. Subjects and Methods: This was a prospective observational study done in department of Radio diagnosis, Narayana medical college, Nellore. About 20 cases were performed in our institution from December 2018 to August 2019. All these cases were done in angio suite after proper dialysis through temporary catheter. Post procedure doppler was done to evaluate the improvement in flow rate of these fistulas. Results: Seventeen cases were successful with immediate restoration of optimal flow rate during dialysis. (One case developed acute thrombosis of the fistula within 24 hours post procedure, which was successfully treated by needle directed thrombolysis with good patency at three month follow up). In two cases, there was failure of the procedure as the tight stenotic segment could not be negotiated. One case had early re-stenosis of the draining vein which required repeat session of fistuloplasty within one month with occlusion of the draining vein on three month follow up. Conclusion: Fistuloplasty is a minimally invasive percutaneous procedure with established safety and efficacy to restore the normal function of dialysis fistulae/grafts. The main aim of the procedure is to restore a diameter of the draining vein adequate for optimal flow rate during dialysis. Careful patient selection is required for increasing the success rate of the procedure. Repeat sessions of angioplasty is offered for re-stenosis to increase the lifespan of fistulas. Stent placement is usually avoided except for recurrent focal stenosis in precious fistulas.
The Future of US Education
Authors: Parker Joshua
Published: August 2020

Review ofKill It to Save It: An Autopsy of Capitalism's Triumph Over Democracy. By Corey Dolgon (Bristol: Policy Press, 2018, 320pp.)The Age of American Unreason in a Culture of Lies. By Susan Jacoby (London: Vintage Books, 2018, 364pp.)
Intermedial and Transnational Hip Hop Life Writing
Authors: Balestrini Nassim
Published: August 2020

In lieu of an abstract, here is the first paragraph of this forum contribution:

The growing popularity of celebrity life writing and of memoirs which focus on the respective memoirist's specific social, professional, ethnic, or other context also spawned a large number of autobiographical publications by persons in the music industry. The field of musical autobiography is a recent development for which a niche in life-writing scholarship has only been carved out in the past decade. The growing number of autobiographical book publications as well as autobiographical self-representations in non-analog, non-printed, not primarily verbal formats raises the questions as to whether specific genres of hip-hop life writing have been evolving and as to the perspectives from which scholars should discuss them.
Um Panorama do Ensino de Estatística em Programas de Pós-graduação em Âmbito Nacional - 2013 a 2017
Authors: Machado Júnior Arthur Gonçalves , Matos Martins Cleuma Gonçalves , Silva de Almeida Talita Carvalho
Published: August 2020

Este artigo apresenta um estudo sistematizado em programas de pós-graduação stricto senso, a nível nacional, na área do ensino da matemática. Tem como objetivo identificar como se apresenta nas pesquisas o ensino da estatística na educação básica das escolas brasileiras, bem como refletir acerca da formação inicial e continuada dos professores e quais metodologias têm sido desenvolvidas em suas práticas para possibilitar a melhoria do processo de ensino-aprendizagem em estatística. Sendo assim os descritores utilizados para a busca se configuraram como sendo: práticas investigativas no ensino da estatística e formação inicial e continuada de professores para o ensino de estatística. A pesquisa foi desenvolvida com cunho qualitativo, na modalidade bibliográfica, cujos achados são tratados a partir de uma análise interpretativa fazendo uso, como aporte teórico, dos próprios autores dos trabalhos selecionados. Após análises dos trabalhos os resultados apontam para a necessidade de intensificar pesquisas acerca do ensino de estatística com investimentos mais significativos na formação inicial e continuada dos professores para desenvolverem suas práticas no espaço escolar envolvendo o objeto de conhecimento estatístico.
Medicinal & Biological Investigations of Ficus Racemosa
Authors: Mohiuddin Abdul Kader , Lia Sayra Akter
Published: August 2020

Ficus racemosa is a traditional medicinal plant found in Southeast Asia and Australia. It is commonly known as 'gular'or ‘Dumur’. Owing to the presence of β-sitosterol it decreases the blood glucose concentration. Many active constituents isolated from different parts of this plant exhibit useful pharmacological activity. The objective of this dissertation is to identify the biological activity of the roots of an indigenous medicinal plant, viz., Ficus racemosa (Family: Moraceae) and to evaluate the possible phytochemical and pharmacological profiles of the crude extracts. Some chemical and biological researches on this plant have been conducted out so far, focusing mainly on the plant's bark and root. That's why the objective of this framework is to assess the different possibilities of developing new therapeutic targets from this plant's fruit that could be crucial for the treatment of many diseases.
Faktor Penghalang Poligami: Kajian Kes Ke Atas Guru-Guru Lelaki di Daerah Kinabatangan, Sabah
Authors: Mokhtar Saifulazry , Mustafa Mohd Zaidi , Thia Kasoma , Moharam Mohd Maziz al-Hadi , Ramlie Habibah Artini
Published: August 2020

Poligami merupakan syariat Islam yang sering disalah ertikan oleh masyarakat. Ini menyebabkan poligami semakin menjadi dagang dalam kalangan umat Islam, bahkan mereka yang terlibat dengan poligami dipalit dengan pelbagai tuduhan liar yang menggambarkan kebuasan nafsu, kezaliman kepada wanita, penderaan mental kepada anak-anak, punca keruntuhan rumahtangga, pengamalan sihir dan sebagainya. Kajian ini dijalankan bertujuan untuk melihat pandangan guru-guru lelaki di daerah Kinabatangan, Sabah terhadap amalan berpoligami serta mengenal pasti faktor penghalang dalam mengaplikasi poligami dalam kehidupan. Seramai 64 orang guru lelaki yang dipilih berdasarkan kemampuan, minat dan pandangan kritikal kepada poligami serta kesediaan mereka untuk memberikan kerjasama sepenuhnya. Kajian ini telah menggunakan kaedah kualitatif dengan memfokus kepada temubual dengan responden dipilih. Dapatan kajian menunjukkan terdapat dua faktor utama yang menjadi penghalang kepada guru-guru lelaki di daerah Kinabatagan untuk melaksanakan poligami iaitu faktor dalaman dan faktor luaran. Faktor dalaman lebih mendominasi guru-guru lelaki berbanding faktor luaran. Bagi merealisasikan hasrat poligami ini, pelbagai pihak perlu memainkan peranan dalam meyakinkan lelaki khususnya untuk berpoligami agar ia diterima baik oleh masyarakat.
Perbandingan Dialek Jordan dengan Bahasa Arab Standard
Authors: Muda Nurulasyikin , Dahlan Hazmi
Published: August 2020

Jordan merupakan sebuah negara Timur Tengah yang menggunakan bahasa Arab sebagai bahasa rasmi dan menjadi pilihan kepada para pelajar Malaysia untuk menyambung pengajian dalam bidang berbagai. Namun begitu, antara masalah yang dihadapi oleh para pelajar adalah kemahiran dan pengetahuan dialek tempatan yang diperlukan dalam komunikasi harian termasuk penggunaannya di institusi pengajian dan dalam kuliah mereka. Walaupun mereka telah belajar bahasa Arab di sekolah namun ianya tidak sama dengan dialek. Kajian ini ingin melihat ciri-ciri perbezaan antara dialek dan bahasa ini yang menggunakan kaedah tinjauan deskriptif melalui frasa-frasa dari lima buah video dari YouTube. Kelima-lima video ini merupakan video yang dihasilkan oleh Qasid Institute yang merupakan sebuah institusi pengajian bahasa Arab yang menyampaikan isi kandungan video selaras dengan hasil tinjauan pengkaji sendiri selama berada di Jordan. Kajian mendapati ciri perbezaan yang terbesar antara keduanya merangkumi perbezaan kosa kata yang merupakan ciri terpenting dalam dialek. Selain itu ciri-ciri perbezaan yang lain adalah penggabungan dua perkataan menjadi satu perkataan sahaja, penukaran baris huruf, penukaran bunyi kepada bunyi yang tidak ada dalam sistem bahasa Arab standard, pemansuhan bunyi dan juga peralihan tempat baris bagi sesuatu huruf. Terdapat juga bunyi perkataan yang sama pada keduanya namun berbeza dari konteks makna. Pemahaman berkaitan sistem dialek ini sangat penting untuk persediaan mental dan motivasi pelajar dalam kehidupan harian bermasyarakat lebih-lebih lagi untuk pelajaran mereka di Jordan. Justeru, kajian ini juga diharapkan dapat memberi gambaran terhadap kepentingan menyediakan kursus pendedahan berkaitan dialek oleh pihak berwajib.
Faktor-faktor yang Mempengaruhi Pemilihan Mod Pengangkutan dalam kalangan Warga Asing di Kota Kinabalu, Sabah
Authors: Zakaria Roshimah , Mohd Noor Harifah
Published: August 2020

Perkembangan pengangkutan di Malaysia khususnya Kota Kinabalu semakin berkembang dari semasa ke semasa. Namun pertambahan bilangan warga asing turut mempengaruhi infrastruktur pengangkutan. Perkara ini menunjukkan bahawa warga asing telah menyumbang kepada peningkatan perjalanan menggunakan pelbagai mod pengangkutan dan pertumbuhan penggunaan pengangkutan awam. Oleh itu, kajian ini akan mengenal pasti faktor yang mempengaruhi penggunaan mod pengangkutan warga asing yang melibatkan pengedaran borang soal selidik kepada 150 responden menerusi kaedah persampelan bertujuan dan snowball. Data kajian dianalisis menggunakan statistik deskriptif yang menghasilkan taburan frekuensi dan peratusan serta ujian Khi-Square menggunakan alat analisis Statistical Packages for the Social Sciences (SPSS) yang melibatkan enam faktor sosioekonomi iaitu umur, jantina, status pekerjaan, pendapatan, taraf perkahwinan dan pemilikan kenderaan. Hasil kajian menunjukkan terdapat empat pembolehubah yang signifikan terhadap penggunaan mod pengangkutan iaitu jantina, status pekerjaan, pendapatan dan pemilikan kenderaan. Mod pengangkutan utama respoden adalah berjalan kaki dan penggunaan pengangkutan awam. Responden yang mempunyai pendapatan yang stabil dan pekerjaan yang tetap serta berkeluarga pula cenderung untuk menggunakan kenderaan persendirian. Pembolehubah faktor sosioekonomi ini boleh dijadikan panduan kepada Pihak Berkuasa Tempatan (PBT) dan pihak berkepentingan seperti agensi pengangkutan dalam merancang strategi sasaran penggunaan pengangkutan awam yang lebih menyeluruh pada masa akan datang khususnya di Kota Kinabalu.
Thermal	Analysis Impact for Hydrates Formation in Oil &	Gas	Pipelines
Authors: De Pippo Tommaso , Vasco Tatiana , José António
Published: August 2020

The  Oil  &  Gas  industry  has  grown  and  new  discoveries  and  technologies  have  risen  in  order  to  accommodate  the  dynamics   of  such  industry.  With  investments  ranging  billions  of  US  Dollars  is  mandatory  to  create  measures  to  avoid  pressure  vs   temperature  related  issues  during  the  extraction,  transportation  and  of  the  crude  in  order  to  minimize  losses  and  maximize   the  profit  (Borsani,  2001).  Hydrates  in  oil&  gas  pipelines  poses  a  very  big  issue  to  the  industry.  Hydrates  are  normally  formed   when  the  adequate  conditions  (gas,  water,  compatible  pressures  and  temperature  ranges)  are  present.  They  are  in  the   market  several  methodologies  to  prevent  the  evolution  or  emerging  of  hydrates.  An  adequate  thermal  study  during  the   design  of  the  pipeline  and  its  insulation  layers,  constitutes  a  greater  value  on  the  path  to  avoid  hydrates  formation  during   the  pipeline  operating  life.  On  This  paper  the  study  is  dedicated  on  the  impact  of  thermal  analysis  in  one  of  the  pipelines   operating  in  one  of  the  Angolans  Offshore  fields.  COSMOS  Geostar  is  the  tool  used  for  the  investigation.  The  study  was   conducted  in  a  pipeline  considering  the  thermal  conduction  through  a  normal  pipe  section  and  the  thermal  conduction   through  a  field  joint.  This  project  has  proven  the  efficiency  of  COSMOS  in  assisting  on  the  determination  of  a  proper  type,   nature  and  size  of  insulation  to  be  applied  in  a  certain  piping  system  for  crude  oil  production  and/or  transport.
OS EFEITOS DO MICROAGULHAMENTO E LED VERMELHO NO REJUVENESCIMENTO FACIAL
Authors: Leite Eliane , Giendruczak da SILVA Vanessa
Published: August 2020

Introdução: Terapias minimamente invasivas vêm ganhando espaço no rejuvenescimento facial, neste sentido, a fisioterapia dermatofuncional busca o desenvolvimento de técnicas que contribuam com tal procura. Dentre elas, destacam-se o microagulhamento e os Diodos Emissores de Luz (LEDs). Objetivos: Avaliar os efeitos do microagulhamento de forma isolada, bem como seus efeitos de maneira combinada ao LED vermelho no rejuvenescimento facial de mulheres saudáveis. Métodos: Trata-se de um ensaio clínico randomizado cegado, composto por 16 mulheres com idades entre 35 e 60 anos, com sinais de envelhecimento cutâneo, randomizadas em dois grupos: grupo I (GI), microagulhamento isolado e grupo II (GII), microagulhamento combinado ao LED vermelho. O protocolo foi realizado com intervalo mensal, totalizando duas aplicações. Avaliaram-se as características faciais sobre a qualidade da pele como hidratação, brilho, firmeza, dentre outras, a mensuração de medidas da face em centímetros e a classificação do envelhecimento segundo Glogau, através de um protocolo de avaliação facial. Imagens fotográficas, a partir de uma escala de cinco pontos, e o nível de satisfação das voluntárias e de um avaliador cegado utilizando a Global Aesthetic Improvement Scale (GAIS). Resultados: Após a perda amostral de duas voluntárias, finalizaram o estudo 14 participantes, com média de idade entre 47,1± 6,0, com uma classificação de envelhecimento homogênea, sendo 64% Glogau III. Houve melhora na percepção subjetiva da qualidade da pele em ambos os grupos para hidratação, firmeza e uniformidade da cor (p<0,05), observamos diminuição das medidas da face, com diferença estatisticamente significativa para todas medidas analisadas somente do lado direito (p<0,05) em ambos os grupos. GII apresentou melhores resultados que o GI na GAIS (p<0,05) de acordo com o avaliador cegado. Conclusão: O microagulhamento minimamente invasivo isolado, assim como em combinação ao LED vermelho, apresentaram efeitos positivos em diversos aspectos do rejuvenescimento facial na população estudada.

 

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Clinical Efficacy of Ayurvedic formulations, Kanakasava and Trivrit Churna, in the Management of Bronchial Asthma
Authors: Doddamani Shashidhar H , Maheswar Thugutla , Sharma Bhuvnesh Kumar , Venkateshwarlu Gaddam , Sharma Bhagwan Sahay , Khanduri Shruti , Bhatnagar Anu , Lal Meena Hari Mohan , Singh Sobaran , Mahajon Bidhan , Rana Rakesh , Singhal Richa , Srikanth Narayanam
Published: August 2020

Background:

Bronchial asthma is a respiratory disorder characterized by chronic airway inflammation and airway hyperresponsiveness leading to symptoms such as wheezing, cough, and dyspnea. While exploring Ayurveda classics, the disease Tamaka Shwasa mentioned in Ayurveda is comparable to the symptomatology of bronchial asthma.

Objectives:

To assess the clinical efficacy and safety of Kanakasava and Trivrit Churna in the management of bronchial asthma.

Materials and methods:

A prospective, open-label multicentric, single-arm study was carried out in three peripheral institutes of Central Council for Research in Ayurvedic Sciences (CCRAS). A total 210 participants diagnosed with bronchial asthma (Tamaka Shwasa) and fulfilling the inclusion criteria were enrolled. Each participant was administered with Kanakasava 20 mL twice daily with equal amount of water after meals and Trivrit Churna 3 g once at bed time with lukewarm water for 12 weeks. Follow-up for additional 2 weeks without any medication after the completion of the trial was done. Parameters such as changes in peak expiratory flow rate (PEFR) and forced expiratory volume in one second (FEV1%), Asthma Control Questionnaire Score, and St George's Respiratory Questionnaire (SGRQ-C) were assessed. The statistical analysis (paired t-test) was done to find out the efficacy of the trial drugs before and after intervention.

Results:

Statistically significant changes were found in PEFR and FEV1 values: PEFR value had improved from 357.637 (107.56) to 394.708 (108.36), and FEV1 value improved from 84.25 (5.45) to 89.48 (10.74) at the end of follow-up. Similarly significant changes were found in Asthma Control Questionnaire (p value < 0.001) and all the four domains of St. George Respiratory Questionnaire when compared to the baseline data.

Conclusion:

Kanakasava and Trivrit Churna were found to be effective in providing symptomatic relief to the patients with bronchial asthma.
Vaidyasaramu (Siddhavaidyasaramu/Navanatha Siddha Saramu) of Rayasam Peraya
Authors: Prasad Goli Penchala , Pammi Satyanarayana S , Maheshwar Thugutla , Srikanth Narayanam
Published: August 2020

Background:

Rayasam Peraya's Vaidyasaramu is a valuable Ayurvedic text written in Telugu verses. It is a popular Ayurvedic text with simple and unique formulations. In the old Andhra region, the Siddha tradition was very popular. Nagarjuna and other Siddha physicians, belonging to this place, influenced Ayurvedic scholars of this region, and they became well versed in using mercury, poisons, and other metals, minerals, gems, etc., in purified and incinerated form along with herbal drugs. The present text represents such Ayurvedic tradition mingled with the Siddha tradition.

Aim:

To highlight the content of Rayasam Peraya's Vaidyasaramu and draw the attention of scientific fraternity for further research and utilization of its unique formulations.

Review results:

Unique formulations with clinical significance are highlighted in this paper. Tiktakoshataila, Hanumantataila, Angarakataila, Kadalikandaghrita, Ramasitadi Churna, Ashvattadi Churna, Hayavati Churna, Vamanadi Churna, etc. are some examples. Certain variations in disease descriptions in comparison to popular Ayurvedic texts are also highlighted.

Conclusion:

This text comprises the author's formulations and compilation of certain popular Ayurvedic texts. This medical text described in Telugu Chhandas verses is our pride to show that we had our beautiful past which is forwarded to the future with intensified fragrance. Research on unique formulations may give leads to clinical studies.

Clinical significance:

The text describes purification and incineration of many metals, mercury, gems, poisonous substances, and their usage in various diseases. Medically, it is an important text because of unique, simple, and useful formulations with clinical significance. Certain disease descriptions like the types of diseases mentioned in this text are different in comparison to popular classical Ayurvedic texts like Brihatrayi and Laghutrayi. Further study may reveal new diseases in comparison to disease descriptions of contemporary medical sciences.
Randomized Placebo-controlled Double-blind Clinical Trial on the Efficacy of AYUSHMANAS in the Management of Smritidaurbalya (Cognitive Deficit)
Authors: Ramana GV , Singh Renu , Chincholikar Mukesh B , Rana Rakesh , Rao BCS , Srikanth Narayanam
Published: August 2020

Background:

According to modern medicine, individuals whose general intellectual functioning is significantly below average and concurrently having deficits in adaptive behavior are considered to be having cognitive deficit. It may be congenital or caused by factors such as brain injuries, neurological disorders, or mental illness. In Ayurveda, the condition can be correlated with Manasamandata. Various terms are used in the classics like Buddhimandyata, Jadata, Smritidaurbalya, etc., to denote impairment of intellectual functions. The current medications for cognitive deficit in modern medicine are not entirely satisfactory, so many patients seek alternative treatment for its management. Thus, there is a definite need to scientifically assess some of alternative treatment modalities.

Objective:

To assess the efficacy and safety of a coded Ayurvedic drug-AYUSHMANAS-in children suffering from cognitive deficit.

Materials and methods:

This is a prospective, randomized, double-blind, two-arm placebo-controlled clinical study. A total of 150 participants (75 in each arm) suffering with cognitive deficit will be included in line with inclusion and exclusion criteria. The participants of trial group will be administered with AYUSHMANAS (250 mg × 2 tablets) while in control group Placebo (250 mg × 2 tablets) will be administered twice daily after food for 180 days. A total of seven visits will be scheduled for each participant: first visit at screening day 0, 30th day, 60th day, 90th day, 120th day, 150th day, and 180th day. The outcomes intended from the study include observing changes in Binet Kamat test of intelligence (BKT) and mini-mental state examination (MMSE) and a modified MMSE (mMMSE) scores apart from assessing safety of the intervention. Observation of therapeutic and safety endpoint outcomes will be undertaken.

Discussion:

This clinical protocol is designed for exploring a better clinical outcome with good safety profile in the management of cognitive deficit in children. If found effective, the selected drug can be listed in the management protocol of cognitive deficit at clinical practice level in terms of better efficacy, safety, and cost-effective intervention. The selected drug may also lead to better understanding and management of cognition related problems.

Trial registration:

CTRI/2019/07/020324
Clinical Evaluation of Sukumara Ghritam and Brahmi Churnam in the Management of Menopausal Syndrome
Authors: Devi Kancherla Prameela , Ota Sarada , Pitta Srinivas , Rana Rakesh , Singha Richa , Sharma Bhagwan Sahay , Khanduri Shruti , Kumar Adarsh , Maheshwar Thugutla , Srikanth Narayanam
Published: August 2020

Introduction:

Menopause (Rajonivritti) is one of the most significant events in a woman's life and brings a lot of physiological changes that affect the life of a woman permanently. Ayurveda consider it as a normal physiological process and hence have not included it as a gynecological disorder.

Objective:

To evaluate the clinical efficacy and safety of Sukumara Ghritam and Brahmi Churnam in the management of menopausal syndrome in women.

Materials and methods:

This trial was a single-center, single arm study conducted on 49 women aged between 40 years and 55 years having amenorrhea ≥12 months; Kupperman menopausal index score ≥15; follicle-stimulating hormone (FSH) level ≥20 IU/L; and endometrial thickness ≤5 mm. Ayurvedic classical formulations, Sukumara Ghritam (6 g) 1 hour before food and Brahmi Churnam (3 g) after food were administered orally twice a day with lukewarm water for 84 days, and subsequent 28 days follow-up was without intervention. Outcome, i.e., changes in the score of menopause rating scale (MRS) and improvement in the quality of life using menopause-specific quality of life (MENQOL) questionnaire, were assessed at baseline, 84th day, and 112th day. Paired sample t test was used to compare mean change from baseline to 84th day and 112th day. p value < 0.05 was considered significant.

Results:

The results reveal that the effect of therapy in decreasing MRS total score was statistically significant (p value < 0.001). The mean score at the baseline was 7.14 (7.47), at 84th day 4.55 (2.67), and 3.33 (2.53) at 112th day (follow-up period without trial interventions). The improvements in MENQOL in four domains, namely, vasomotor, psychosocial, sexual, and physical, were also significant (p value < 0.001) at 84th day and 112th day in comparison to the baseline. All the safety laboratory parameters such as liver and renal function tests remained within the normal limits throughout the trial period, and no adverse events/adverse drug reaction were reported.

Conclusion:

Sukumara Ghritam and Brahmi Churnam are found to be safe and effective in the management of menopausal syndrome.
A parametric analysis on PEFCs for high-temperature applications
Authors: Administrator System , Bojko Filip , Gemisis Giorge , Mitchell James , Parker Christopher
Published: August 2020

Polymer Electrolyte Fuel Cells (PEFCs) are an increasingly significant facet of modern renewable energy and transportation, providing an electrochemical method of energy generation with high power density, thermal properties, and efficiency. PEFCs tend to increase in efficiency as temperature increases but detrimental effects begin to occur, including membrane degradation and dehydration. These effects are unfavourable in the design of optimised fuel cells as they can result in reduced efficiency and lifetime. Current PEFCs are in a state where they are commercially viable but have a very limited temperature operation region (<80°C). This meta-study analysis presents research around expanding the operational temperatures of PEFCs through a parametric analysis of active cell area, phosphonic acid content, and organic/inorganic fillers. This analysis finds an increase in proton conductivity for PEFCs at higher temperature by using phosphonic acid functionalised membranes with maximised degree of phosphonation (up to 1.5 DP). It was also found that using ionic liquid functionalised carbon materials as fillers was an effective strategy to enhance the proton conductivity of PEFCs in a higher temperature environment while also providing increased thermal stability of the membrane. Additionally, higher thermal efficiency and power density may be achieved by increasing temperature and humidity to maximise proton conductivity towards theoretical maxima dictated by the active cell area, which was found to peak at 36 cm2.
Impact of aerosols and turbulence on cloud droplet growth: an in-cloud seeding case study using a parcel–DNS (direct numerical simulation) approach
Authors: Chen Sisi , Xue Lulin , Yau Man-Kong
Published: August 2020

Abstract. This paper investigates the relative importance of turbulence and
aerosol effects on the broadening of the droplet size distribution
(DSD) during the early stage of cloud and raindrop formation. A
parcel–DNS (direct numerical simulation) hybrid approach is developed
to seamlessly simulate the evolution of cloud droplets in an ascending
cloud parcel. The results show that turbulence and cloud condensation nuclei (CCN) hygroscopicity
are key to the efficient formation of large droplets. The ultragiant
aerosols can quickly form embryonic drizzle drops and thus determine
the onset time of autoconversion. However, due to their scarcity in
natural clouds, their contribution to the total mass of drizzle drops
is insignificant. In the meantime, turbulence sustains the formation
of large droplets by effectively accelerating the collisions of small
droplets. The DSD broadening through turbulent collisions is
significant and therefore yields a higher autoconversion rate compared
to that in a nonturbulent case. It is argued that the level of
autoconversion is heavily determined by turbulence intensity. This
paper also presents an in-cloud seeding scenario designed to
scrutinize the effect of aerosols in terms of number concentration and
size. It is found that seeding more aerosols leads to higher
competition for water vapor, reduces the mean droplet radius, and
therefore slows down the autoconversion rate. On the other hand,
increasing the seeding particle size can buffer such a negative
feedback. Despite the fact that the autoconversion rate is prominently altered
by turbulence and seeding, bulk variables such as liquid water content
(LWC) stays nearly identical among all cases. Additionally, the lowest
autoconversion rate is not co-located with the smallest mean droplet
radius. The finding indicates that the traditional Kessler-type or
Sundqvist-type autoconversion parameterizations, which depend on the
LWC or mean radius, cannot capture the drizzle formation
process very well. Properties related to the width or the shape of the DSD are
also needed, suggesting that the scheme of Berry and Reinhardt (1974) is
conceptually better. It is also suggested that a turbulence-dependent
relative-dispersion parameter should be considered.
Rapid abiotic transformation of marine dissolved organic material to particulate organic material in surface and deep waters
Authors: Valdes Villaverde Paola , Almeda Jauregui Cesar , Maske Helmut
Published: August 2020

Abstract. Marine particulate organic matter (POM) supports the vertical transport of organics in the oceans, and the ecology of microbes and filter feeders. POM is collected on GFF filters and quantified as particulate organic carbon (POC) and nitrogen (PON). The filtrate contains dissolved organic matter (DOM) that partly is abiotically converted into POM and can be collected on GFF filters. We filtered seawater from cultures and the pelagic ocean, after the initial sample filtration yielding the conventional POC/PON sample (POM1), we refiltered the filtrate yielding POM2, refiltering its filtrate we obtained POM3 and so on till POMi. Refiltered POM tended to the same concentration independent of the sample depth and even after a few refiltrations, independent of the original particulate organic load. POM2/POMi for surface water ( 1000 m) was > 1.0. We considered adsorption of DOM and bacteria that had passed through the first filter but concluded that these could not explain the high POM concentration in the filtrates. We suggest that POM in filtrates represent gels formed due to hydraulic stress during filtration. The ratio of POM2/POMi will partly depend on environmental conditions like turbulent energy. We suggest that the increase of POM2/POMi with depth is related to the lower in situ turbulent energy at greater depth. We discuss aspects of POM methodology, including problems with acidification of samples, and the wider ecological implications of our results.
Community Corrections Under the Principal Sources of Sentencing Decisions in China: The Challenges in Sentencing Practice
Authors: Yang Xue
Published: August 2020

This article provides an overview of community corrections under the principal sources of sentencing decisions in China. It finds some disparities between the initial design and the actual rules on sentencing, which reflect some deep and abiding underlying issues of the penal system. In turn, these restrict further expansion of community corrections.
A Changing and Multi-scalar EU Borderscape: The Expansion of Asylum and the Normalisation of the Deportation of EU and EFTA Citizens
Authors: Brandariz José A , Fernández-Bessa Cristina
Published: August 2020

The sorting of individuals is one critical function performed by migration law. These legal regulations are based on dichotomies, such as separating irregular migrants from regular migrants. However, through the multi-scalar management of human mobility, the conflicting coexistence of national and supranational interests decentres these legal binaries. Therefore, migration law devices sort newcomers in a more complex way, giving shape to multilayered and unstable hierarchies of otherness. Using Spain as a case study on migration control changes, this paper addresses the role that migration law enforcement institutions play in cementing and eroding these legal categories. First, it analyses the consequences of the so-called ‘migration crisis’ in enlarging a European asylum system that, until recently, seemingly rests on few countries. Second, it examines the increasing normalisation of the forced return of European Union (EU) (and European Free Trade Association [EFTA]) nationals, which undermine a critical prerogative of the EU citizenship status.
Beyond Vulnerability: Syrian Refugees in Urban Spaces in Turkey
Authors: Santana de Andrade Glenda
Published: August 2020

Since 2011, 5.6 million people have fled Syria due to ongoing conflict. In Turkey alone, 3.6 million Syrians are confronted with a series of constraints once in the host country. This paper analyses, within the context of urban exile in Turkey, the different experiences and survival strategies of Syrians who are modulated by particular relations of race, class and gender. It aims to explain how refugees manage to create their own visibility in this new space full of limitations, and further explores how their newfound participation in these urban areas can deconstruct dominant representations of refugees, who are otherwise seen as threats or as voiceless victims. In all, this paper aims to go beyond the vulnerability of refugees, without neglecting the violence they endure. To do so, the study was conducted using a series of semi-structured interviews, complemented by an ethnological approach.

oach.
“GOSTO DE FLOR”
Authors: Haderchpek Robson Carlos
Published: August 2020

O presente artigo busca analisar a construção dramatúrgica do espetáculo “Gosto de Flor” do Arkhétypos Grupo de Teatro, trazendo para o foco da discussão o conceito de mitologia pessoal e o trabalho de composição a partir de imagens. O referido trabalho foi concebido com base no jogo da construção poética, metodologia desenvolvida pela diretora, bailarina e pesquisadora Lara Rodrigues Machado e teve como ponto de partida uma investigação sobre o amor na perspectiva do universo masculino.
PERFORMAR A PRÓTESE
Authors: Nóbrega Ronildo Júnior Ferreira
Published: August 2020

O artigo propõe uma discussão acerca dos usos da prótese no espetáculo P.P.P (PositionParallèle au Plancher) (2008), da Compagnie Non Nova. Para tanto, considera-se aemergência cênico-performativa de um corpo prostético que, ao agir no limiar entre acarne e o plástico, o orgânico e o inorgânico, esgarça os processos de incorporaçãoprostética e seus efeitos na modulação do gênero. Sendo assim, na medida em queconcretiza um penoso plano de despossessão da masculinidade, argumenta-se que PhiaMénard, ao mesmo tempo encenadora e performer do espetáculo, inscreve uma imagemdo gênero como dispositivo biopolítico, imposto numa complexa rede de relaçõeseconômicas, políticas e sociais.
TRANSPERFORMANCE COLETIVA
Authors: Martins Ricardo Marinelli , Guarato Rafael
Published: August 2020

Resumo: Este texto é a apresentação de uma proposta atrevida: a de pensar em uma sociedade pós-gênero, em formas de compartilhamento da existência menos categorizadoras, tendo a arte da performance como recurso. Partindo desta premissa e das teorizações propostas por Judith Butler (performatividade de gênero) e de Jacques Rancière a respeito da construção de ficções e de uma “partilha do sensível”, analisou-se a transperformance Coletiva, que são performances de grupo baseadas no processo de construção-experimentação poética da imagem trans. E o objetivo? Tocar fogo no gênero. Na identidade. Na caixinha na qual nunca coubemos.