bluuebunny/crossref_metadata_2025 huggingface dataset:
Size distribution and sex ratio between populations of the artisanal harvested land crab Cardisoma guanhumi (Decapoda: Gecarcinidae), with the estimation of relative growth and size at sexual maturity in Puerto Rico
Authors: Quiñones-Llópiz Jesús D. , Rodríguez-Fourquet Concepción , Luppi Tomás , Farias Nahuel E.
Published: October 2021

Introduction: Knowledge of growth patterns, sex ratio, and sexual maturity are of importance to exploited populations. The land crab Cardisoma guanhumi is an artisanal and subsistence exploited species in Puerto Rico. However, the growth patterns and sexual maturity of the local populations are not known. Objectives: This study has a double objective: (1) to compare the size and sex structure between populations and (2) to model the relative growth of structures related to reproduction to estimate the average size of morphometric sexual maturity (MSM) for both males and females. Methods: A total of 2 849 specimens were captured from nine dispersed populations on the island between 2001 and 2020. Carapace width (CW) was measured as an estimator of the absolute size of all individuals, together with the propodus length (PL) in males and the abdomen width in females (AW). Differences in length structure between sexes and populations were tested by applying goodness-of-fit tests based on Kernel Density Estimators (KDE). The relative growth pattern was modeled adjusting a spline from which the maximum of its second derivative was calculated as an estimator of the MSM, and bootstrapping was used to generate confidence intervals. Results: Differences were found in size structures, between sexes, and between sites. Our estimates of morphometric sexual maturity resulted in a sexual maturity size for males between 57.9 and 79.0 mm CW, while in females, morphological maturity occurs between 43.8 to 51.5 mm CW. Conclusions: We found inter-population differences in body size that can be attributed to differences in the history of changes of land use and the exploitation biased towards larger individuals, though differences in recruitment should also be considered. Current regulations in Puerto Rico protect female crabs but not to larger male crabs. The regulation establishes that crabs smaller than 64 mm carapace width cannot be captured, leaving immature male crabs over 64 mm CW unprotected. We suggest considering different size limits depending on the sex of the crab. This will allow the full range of sizes where sexual maturity is reached to be protected, increasing the likelihood of the population’s size to increase.
Cuba Publications in the Science Citation Index Expanded: publication characteristics, institutions and journals
Authors: Monge-Nájera Julián
Published: October 2021

Introduction: In contrast with other tropical countries, Cuba has been frequently studied from the point of views of scientometrics. It has been reported that Cuban researchers often failed to cite other Cuban researchers or to collaborate with them, and that 78 % of the Cuban scientifc output is published in Cuban journals and mostly missed by Scopus and the Web of Science. Objective: In this article, we analyze article characteristics (subject, language, authorship), institutions and journals that appear in the Science Citation Index Expanded, as well as citations from the Web of Science Core Collection. Methods: We analyzed publications from Cuba, dated 1900 to 2019, that reached the index. Results: We retrieved a total of 23576 publications, mostly articles. In this database, English is the dominant language, and, over time, articles have become longer and increased the number of authors and references. Numerically, the leading institution is Universidad de La Habana. Research is strongly concentrated around medical subjects. Collaboration teams lead by foreign authors have more citations recorded by the database, where the number of Cuban articles has decreased after 2008. Conclusion: For Cuban publications that reach the Science Citation Index Expanded (under 22%), most research is applied to health subjects and productivity has decreased in the last decade.
A numerical study of chloride migration in concrete under electrochemical repair
Authors: Chen Xuandong , Zhang Qing , Ming Yang , Fu Feng , Rong Hua
Published: October 2021

Electrochemical repair (ECR) is one of the most effective methods of removing chloride from offshore engineering structures to improve their durability. The diffusion of chloride and electrochemical migration are key stages in this process. In this work, a new numerical chloride migration–diffusion model was established using the Nernst–Planck equation. The distributions of free chloride ions in concrete in the stages of free chloride diffusion and ECR were simulated and the effects of the external potential and cathode position on ECR efficiency were analysed. The results showed that ECR can effectively remove chloride ions from concrete. After 12 weeks of ECR, the chloride removal efficiency was more than 66%. With an increase in the repair time, the ECR efficiency decreased gradually. In the initial stage of ECR, the chloride concentration on the rebar surface decreased rapidly. After 4 weeks of ECR, the chloride concentration tended to stabilise. The ECR efficiency also improved with an increase in external potential increases, with the chloride concentration on the reinforcing bar surface decreasing rapidly. When cathodes are set on both sides of the concrete, the ECR time should be extended and the external potential should be increased to achieve a better repair effect.
El valor del cooperativismo en el posconflicto colombiano
Authors: Dixi Revista , Alfonso Cabrera Lizandro
Published: October 2021

Tema y Alcance: Demostrar el valor y papel del cooperativismo como alternativa de una verdadera paz. Metodología: Se realiza un barrido inicial frente al estado real del proceso de paz, el avance de los acuerdos firmados en Colombia y el impacto que puede tener el cooperativismo en este proceso. Características: La unión es el camino para mantener la esperanza de paz. Hallazgos: La cooperativa es el camino de visibilizar ésa Colombia que quiere progresar desde la provincia. Conclusiones: El cooperativismo,  entendido como la posibilidad de asociarse[1], de unir esfuerzos y sueños de manera organizada y comunal, se convierte en una herramienta para que esas personas que de verdad tienen la decisión de cambiar de vida y de  salir adelante  puedan aportar en esta reconstrucción del país nacional[2].Hay muchas maneras de que el cooperativismo apoye experiencias exitosas y mínimas posibilidades de fracasar.  Pues la única, la primera y la mejor manera que tuvo, tienen y tendrá el hombre de generar revoluciones, entendidas como cambio es la unión de fuerzas.
TÜRKİYE’DE COVİD-19 PANDEMİSİYLE MÜCADELE POLİTİKALARINDA GÖRÜNMEYENLER: KADINLAR
Authors: SUMBAS Ahu
Published: October 2021

Türkiye Covid-19’la mücadelede sürü bağışıklığı yerine sosyal izolasyon ve mesafe üzerine kurulu sınırlama politikasını tercih etmiştir. Bu politika tercihinin önemli bir ayağı, toplumsal cinsiyet eşitliğiyle ilgilidir. Salgınla mücadelenin acil önlem gerektiren doğası, eril bir içeriğe sahip olan politika alanının, bu süreçte toplumsal cinsiyet körü olmasına uygun bir ortam hazırlamıştır. Bu nedenle, sosyal izolasyon süreci çoğu durumda kadınları mağdur etmektedir. Bu mağduriyetleri, ev içindeki ücretsiz kadın emeği, iş ve yaşam dengesi, ekonomik etkiler ve kadına yönelik şiddet başlıkları altında ele almak mümkündür. Bu başlıklar çerçevesinde, Türkiye’nin Mart-Aralık 2020 tarihleri arasında Covid-19’la mücadeledeki politika tercihlerinin, toplumsal cinsiyet eşitsizliklerini nasıl etkilediği değerlendirilmeye çalışmaktadır.
Deep neck space infections in Adolescents
Authors: Maharaj Shivesh , Mungul Sheetal
Published: October 2021

Adolescent deep neck space infection is an important pathology that often requires hospitalization for antimicrobial therapy. The aim of the study was to identify the inciting organisms and their resistance profiles in the adolescent population of patients with deep neck space infection. We performed a single-center cross-sectional retrospective analysis of patients between 10 and 16 years of age, with deep neck space infections. From the 319 cases of deep neck space infections that presented over the study period, nine patients met the criteria to be included in the study. The mean age being 11.8 years. The microbiology of the specimens revealed mainly Staphylococcus and Streptococcus species and in some patients microscopy and culture showed no predominant bacteria. There was an overall 86% resistance of organisms to penicillin and ampicillin but most organisms were sensitive to amoxicillin-clavulanic acid Deep neck space infections in adolescents can initially be managed with amoxicillin-clavulanic acid, source control and surgical drainage if required. Culture directed therapy can be initiated after microbiology results. The spaces involved are similar to adults with 44% of patients having deep neck abscess secondary odontogenic infection. The microbiology however is similar to that of children with Streptococcus and staphylococcus species being the most predominant.
What’s new for the clinician – summaries of recently published papers (September 2021)
Authors: Yengopal Veerasamy
Published: October 2021

It is estimated that 621 million children throughout the world have untreated caries on primary teeth. 1 Early childhood caries (ECC), which affects preschool children, progresses rapidly and is associated with pain, difficulty chewing, weight loss, difficulty sleeping, altered behaviour, and a poorer quality of life for affected children and theirfamilies. Children with dental caries have greater treatmentneed, which is expensive and not readily accessible in most developing countries. In South Africa, ECC is a major public health problem with caries rates among children as high as 70% in some provinces.
Effects of Environmental Parameters on the Seasonal Distribution of Phytoplankton in the Shallow Lake Ketence, Turkey
Authors: TUNCA Hatice , KÖSE İŞGÖR Kübra , ONGUN SEVİNDİK Tuğba
Published: October 2021

The seasonal distribution of the phytoplankton and their relationship with environmental parameters of Lake Ketence was studied with monthly intervals in two stations between October 2016 and September 2017. A total of 93 taxa in 8 divisions were identified, and 11 taxa in 4 different divisions (Chlorophyta, Bacillariophyta, Euglenozoa, Miozoa) dominated the phytoplankton in different periods of the study. Main nutrients (NO3-N, NO2-N, TP, Si), some other parameters (T, EC, Secchi disk depth), and organic content of the lake had strong impacts on the distribution of phytoplankton assemblages. Although biomass values varied and indicated very good to very poor water quality during the studied period, especially the prevalence of chlorophytes such as T. minimum which prefer high nutrient and euglenoids such as E. clavata, E. rubra, P. longicauda, and T. oblonga that grew extremely well under high organic content has confirmed that Lake Ketence is eutrophic.
Emotional burn-out and the doctor’s conscience
Authors: Likhterman L. B.
Published: October 2021

Doctor is one of the most “helping” professions associated with high emotional load and responsibility which frequent‑ ly lead to psychological and physical exhaustion. This condition was named emotional burnout syndrome. This article poses the questions on causes and consequences of this condition, risk of professional crisis and necessity of counte‑ raction.
ASPECTS OF LEGAL REGULATION OF MILITARY AND DUAL-USE GOODS BLACK EXPORT
Authors: Sevostianenko D.
Published: October 2021

The research on some aspects of legal regulation of military and dual-use goods black exports is carried out in the article. It is based on the analysis of modern views of scientists on the definition of "shadow market of military and dual-use goods", "black export of military and dual-use goods", "gray export of military and dual-use goods", as well as current legislation in relevant field. It is established that the smuggling process is not identical to the process of black export of military and dual-use goods, as the list of its items, as defined by Article 201 of the Criminal Code of Ukraine, is much smaller than the list of objects within the process investigated in the article and the inventory of which is stipulated by the state control over international transfers of military goods, approved by the Resolution of the Cabinet of Ministers of Ukraine of November 20, 2003 № 1807, as well as the Procedure for state control over international transfers of dual-use goods approved by the Cabinet of Ministers of Ukraine of January 28, 2004 № 86. The articles of the Criminal Code of Ukraine according to which actions within the process under consideration can be qualified are given, as well as the ways of improvement of the existing legislation, through modification of article 333 of the Criminal code of Ukraine that will allow to strengthen punishments for the made actions of the investigated process in the conditions of the special period state. The need for further research in the field of legal regulation of shadow markets for military and dual-use goods should be focused on gray exports, which will form a holistic picture of shadow markets for military and dual-use goods and form a single concept of their eradication.
From Interpsychological to Intrapsychological: Developing Students’ Agency
Authors: Meireles J. , Guzzo R.S.
Published: October 2021

This paper starts from the contradictions that permeate the Latin American democratic context to dis¬cuss how psychology can contribute to expanding students' agency in public schools located in vulnerable contexts marked by poverty and social exclusion. The contributions of Cultural-Historical Psychology and German Critical Psychology are articulated to substantiate the importance of building participatory spaces for human development. The authors were inserted in a public school from the year 2015 to the year 2017, holding class assemblies with primary school students. The content discussed in these meetings was re¬corded in field diaries, from which three narratives were selected for analysis. The first narrative deals with a discussion of physical education activities; the second presents a student sharing his suffering in the face of bullying as he cries in class; the third reports a discussion about the theft of a pencil. It is concluded that guided by critical perspective, psychology can contribute to the strengthening of subjects, collaborating to the expansion of their agency.
Diagnosis and clinical characteristics of children with speech delay
Authors: ÇALIŞKAN DEMİR Arzu , ÖZCAN Özlem
Published: October 2021

Purpose: This study aimed to determine the diagnoses, sociodemographic and clinical features of patients who applied to the child psychiatry outpatient clinic with speech delay, and to determine the relationship between these features and psychiatric diagnoses.

Materials and Methods: The data from 152 patients presented with speech delay were retrospectively analyzed. Demographic and clinical characteristics of the participants including; birth history, comorbidities, caregiver information, bilingualism, screen exposure, family history of speech delay, parental psychopathology and psychiatric diagnoses were examined.

Results: Of the 152 participants 78.9% (n=120) were boys and the mean age was 34.6±8.2 months. The rate of being exposed to the screen (more than one hour) was 55.9%, the presence of a family history of speech delay was 36.2%, and the presence of psychopathology was 28.9%. Of the children with speech delay, 36.2% were diagnosed with autism spectrum disorder (ASD), 27.0% with stimulus deficiency (SD), 20.4% with cognitive developmental delay (CDD) and 16.4% with language disorder (LD). Family history of speech delay was found to be higher in the groups diagnosed with ASD and SD. Chronic medical disease was higher in CDD and ASD groups and screen exposure was higher in the SD group compared to the other groups.

Conclusion: This study is important in terms of knowing the psychiatric diagnoses and rates of children with speech delay, determining the factors that may affect this condition, and taking preventive measures in the early period.
Non-dipper hipertansiyon ile presistolik dalga ve sol atriyum fonksiyonları arasındaki ilişki
Authors: YILDIZ İbrahim , GÜRBAK İsmail
Published: October 2021

Amaç: Bu çalışmanın amacı presistolik dalga (PSD) varlığı ve non-dipper hipertansiyon arasındaki ilişkiyi araştırmaktır. Ayrıca PSD oluşumuna sol atriyum fonksiyonlarındaki değişimin etkisi olup olmadığı araştırılması amaçlanmıştır.

Gereç ve Yöntem: Bu kesitsel çalışmaya 77 dipper ve 43 non-dipper hipertansiyonu olan 120 hasta dahil edildi. Dipper ve non-dipper hipertansiyon grupları, PSD varlığı ve sol atriyum fonksiyon ekokardiyografik parametreleri açısından birbirleriyle karşılaştırıldı.

Bulgular: Sol atriyum aktif boşalma fraksiyonu (SAABF) (38.6 ± 2.8’ e karşı 35.1 ± 3.3) ve PSD insidansı (%69.8’ e karşı %37.7) non-dipper hipertansiyon grubunda dipper hipertansiyon grubuna göre anlamlı olarak daha yüksekti. Yaş, miyokardiyal pik erken diyastolik hız (Em), sol atriyum minimum hacmi, SAABF (odds oranı = 1.719, 95% güven aralığı = 1.367–2.162) ve PSD (odds oranı = 7.116, 95% güven aralığı = 2.063–24.548) non-dipper hipertansiyonun bağımsız öngördürücüleri olarak bulundu. Presistolik dalgası olan ve olmayanlar içinde non-dipper hipertansiyon ve dipper hipertansiyonu olan gruplar SAABF’ sine göre karşılaştırıldığında non-dipper hipertansiyon grubunda SAABF anlamlı olarak daha yüksek izlendi.

Sonuç: PSD'nin varlığı hipertansiyonu hastalarında daha yüksek riskli olan non-dipper grubun kolayca saptanmasında fayda sağlayabilir. Bu hasta grubunda PSD' nin daha sıklıkla oluşumu diyastolik dolumu korumak için artmış sol atriyum kasılmasından bağımsızdır.
A nationwide questionnaire-based survey on practice patterns and management of chronic stable angina with a controlled release formulation of trimetazidine
Authors: Balachandran Anil , Jaganathan V. , Jhala Darshan , Sikdar Sunandan , Jhala Darshan , Sikdar Sunandan , Ahmad Absar
Published: October 2021

Background: There is lack of real-world evidence on various aspects of chronic stable angina (CSA). Hence, a questionnaire-based survey was conducted to garner real-world data about the prevalence of CSA among Indian patients; the associated comorbidities among these patients; management practices for CSA in India; and factors affecting compliance in patients with CSA with a special focus on day and night pack for trimetazidine controlled release (CR) 35 mg BD tablets.Methods: In all, 100 health care practitioners (HCPs) who each observed 15 patients with CSA in their clinical practice participated in this quantitative, cross-sectional, questionnaire-based study. The data were collected using a structured questionnaire with 30 questions grouped into 5 sections. Data were analyzed using percentages.Results: The results from the survey showed that 52.7% HCPs had observed 31-50% of angina patients with diabetes mellitus as comorbidity. As per the questionnaire survey, 77.4% HCPs preferred trimetazidine as a second-line agent when an angina patient was not responding to beta-blockers, calcium channel blockers (CCBs), and nitrates. Furthermore, 30.1% of HCPs preferred trimetazidine CR 35 mg BD as it improved exercise tolerance as well. Results from the survey reported that 65.6% HCPs agreed with the statement that day and night packs of trimetazidine tablets help in improving patient compliance and adherence to therapy.Conclusions: Trimetazidine CR 35 mg BD appears to have a safety profile suitable for various conditions and for patients with multiple comorbidities. Trimetazidine day and night packs of tablets help in improving patient compliance and adherence to therapy.
A hospital based cross sectional study on clinical, laboratory and complications profile of patients with hypertension
Authors: Medidhi Keerthana , Sabbani Abhishek
Published: October 2021

Background: Hypertension is a major risk factor for critical diseases like coronary heart disease, stroke, kidney disease etc. Hence adequate control of blood pressure is of utmost importance to prevent these complications. Objectives of the study was to study the clinical, laboratory and complication profile of patients with hypertensionMethods: A hospital based cross sectional study was carried out among 30 known cases of hypertension. Investigations/measurements like Blood pressure, body mass index, lipid profile, fasting blood sugar were done for all cases.Results: Majority belonged to age group of >60 years (56.7%). Males were more (70%) than females (30%). About 60% had hypertension for >5 years. Only 26.7% were normal weight and remaining were either overweight or obese. The 56.7% admitted that they consumed alcohol. The 76.7% were non-smokers and only 10% were tobacco chewers. The 63.3% had family history of hypertension. Diabetes was the most common co morbidity associated with hypertension in 16.7% of the cases. The 10% each had coronary heart disease, and kidney disease. Mean levels of total cholesterol was 163.93; mean level of triglyceride was 159.53; mean level of HDL was 44.4; mean level of LDL was 84.76; mean level of Fasting blood sugar was 110.66; mean Systolic blood pressure was 134.66 and mean diastolic blood pressure was 86. Majority i.e., 90% were taking treatment for hypertension regularly while only 10% were not taking it regularly Conclusions: Hypertensives were elderly and males were more affected with hypertension than females. Majority were hypertensives for more than five years. Diabetes was the most common co morbidity. Blood pressure was under control as majority were taking treatment regularly
Study of serum uric acid levels in type 2 diabetes mellitus in tertiary care hospital in south Gujarat
Authors: Panchani Mit , Dutt Neha , Dhangar Vandana , Dandge Vinod
Published: October 2021

Background: The need for early indicators of diabetic complications is essential to prevent late complications and their deleterious effects. There is a need for sensitive serum markers that are associated with diabetes and its complications. Estimation of these parameters helps in early intervention, thereby delaying the chronic complications of diabetes in the early stages. Hyperuricemia has been shown to be linked to a number of diseases and conditions including gout, hypertension, cardiovascular disease, myocardial infarction, stroke and renal disease. Uric acid has long been associated with delayed complications of diabetes mellitus. This study was conducted on 357 patients of diabetes mellitus to investigate the significance of serum uric acid levels and its correlation with it.Methods: This is an observational cross-sectional study carried out amongst 357 patients with T2DM attending out-patient department as well as indoor patients under medicine department at Surat Municipal Institute of Medical Education and Research (SMIMER) Hospital, of south Gujarat.Results: There is highly significant association seen between HbA1c (glycated hemoglobin) and uric acid levels in present study (p<0.001). There is significant association seen between fasting blood sugar (FBS) levels and uric acid levels in the study (p=0.0253).Conclusions: There is increase in uric acid levels in diabetic patients with increased levels of HbA1c. Thus, serum uric acid may serve as a potential biomarker of the deterioration of glucose metabolism.
Permanent pacemaker implantation in Ebstein anomaly with metallic tricuspid valve
Authors: Doddaka Nagabhushan , Vulli Revanth , Agstam Sourabh , Kadiyala Vikas
Published: October 2021

Right ventricular endocardial pacing is partially contraindicated in the presence of mechanical tricuspid valve. Occurrences of atrioventricular block are commonly associated in postoperative period in Ebstein anomaly repaired with mechanical tricuspid valve. Coronary sinus (CS) pacing is the preferred site in this scenario. However, the anatomical variations in Ebstein anomaly leads to difficulties in hooking the CS. With the help of real time left coronary injection enabled in understanding the anatomical orientation of CS ostium take off, leading to successful CS lead implantation.
Mucormycosis during the second wave of COVID-19 in India
Authors: Mittal Mudit , Srivastava Rakesh
Published: October 2021

Background: The so called “black fungus epidemic” struck India during the second wave of COVID-19 pandemic. Large numbers of patients were being reported, posing a challenging situation for clinicians. The treatment options were limited, and rescue surgery was mutilating, anti-fungal medicines became short of supply soon, prognosis remained poor. Objective was to understand a unifying pathophysiological picture with a framework to check this post Covid epidemic, especially in context with South-east-Asia. 

Methods: The clinical, radiological, surgical data of patients presented with symptoms of rhino-orbito-cerebral complications, collected and analyzed.

Results: 80.9% of operated patient had thrombosis of identifiable major vessels. The 76.7% patient had cerebral venous thrombosis. The 30% patient had internal carotid artery narrowing on imaging. Fungal staining was positive in 72% patient. We found level of D dimer was high in 81.3% patients and 83.9% patients had blood sugar level raised at the time of presentation.

Conclusions: Hyper thrombotic state of COVID-19 in diabetes and injudicious use of steroids predisposed susceptible patients to thromboembolic phenomena, leading to necrosis of tissue and secondary fungal infection.
Four unusual sinonasal and sinorbital lesions: a case series
Authors: Ullal Aishwarya , Ajith Arun P.
Published: October 2021

Presentations of Sino nasal lesions may be indistinguishable and therefore represent diagnostic and therapeutic dilemma due similarities of non-neoplastic and neoplastic lesions at initial presentation may lead to a significant delay in the diagnosis. This case series has been reported to through light on four different case scenarios that presented to us, their diagnosis and management. This was a case series of four unusual cases of the sinonasal and sinoorbital region that presented with symptoms of nasal obstruction, rhinnorhea, epistaxis, radiological and diagnostic nasal endoscopy was performed. Using functional endoscopic sinus surgery and lynch Howarth method the lesions were excised. As sino nasal and sinoorbital lesions present with similar clinical features accurate diagnostic procedures such as nasal endoscopy and radiological investigations, histopathological investigations play an important role in the management of the lesions.  
Nasopharyngeal mucoepidermoid carcinoma: a case report and review of its current management
Authors: Ramasamy Purushotman , Kumarasamy Vigneswaran , Letchumanan Pathma , Dalip Singh Harvinder Singh
Published: October 2021

Salivary gland tumours arising at the nasopharynx is highly infrequent. Among them the commonest is mucoepidermoid carcinoma (MEC). Reports with a larger number of patients are often from Asian countries where nasopharyngeal squamous cell carcinoma is also predominant. Although nasopharyngeal MEC (NMEC) is a disease of adults, sporadic cases amongst children have been reported. We report a case of a 32 years old man presented with complaining of intermittent epistaxis over a year. His nasal endoscopy showed friable polypoid tumour at the right choanae. Histopathology revealed a NMEC and he underwent endoscopic endonasal nasopharyngectomy with adjuvant radiotherapy. The optimal treatment for NMEC is arbitrary due to the lack of evidence. However, unlike most sinonasal malignancies, NMEC has the tendency to manifest itself early and has good response to the treatment. Therefore, in this article we describe the clinical features and justifications for the selection of treatment options including surgical and non-surgical therapies and including the role of neck dissection.
Clinical outcome of platelet rich plasma versus steroid in treatment of frozen shoulder
Authors: Juneja Johney , Jain Mahendra Prakash , Choubisa Raghvendra , Mehra A. K. , Sen Ramesh
Published: October 2021

Background: Evaluate functional outcome of use of platelet rich plasma versus steroid in frozen shoulder.

Methods: The study was conducted in Department of Orthopaedics in RNT Medical College, Udaipur. Adult patients with periarthritis shoulder (frozen shoulder or adhesive capsulitis) admitted to Trauma centre in Maharana Bhupal Government hospital attached with R.N.T. Medical College, Udaipur were included in this study after obtaining their informed, valid written consent. This is a prospective study from October 2018 to February 2020.

Results: Our study demonstrated that PRP is not inferior to CS in any of the measured parameters. Both of the groups experienced similar benefits from the injection therapies with no statistical differences detected in ROM or VAS scores at 1 week, 1 month and 3 months. No adverse effects were detected in either of the two groups.

Conclusions: We can conclude that both PRP and MPS showed efficacy on treating frozen shoulder. The current study provides strong evidence in support of a statistically significant effect of platelet concentrates in the treatment of frozen shoulder in vivo where steroid contraindicated or refused by patient. However, inj. Methylprednisolone has sudden onset of action because of anti-inflammatory action with respect to inj. PRP, so has better result at 1 week follow up post injection. But in long term (at 3 months follow up) inj. PRP has better effect in compared to Inj. MPS.
Clinico-radiological outcome of distal radius fractures managed with closed reduction during COVID-19 pandemic
Authors: Mahajan Neetin , Mhatre Jayesh , Talukder Pritam
Published: October 2021

Background: distal radius fractures are the most common fractures of the upper extremity and account for more than 1/6 of all fractures treated in emergency department the elderly population account for 18% of all distal end radius fractures and have a significant impact on health of young adults. An optimal outcome of closed treatment of a Colle’s fracture may depend on accurate reduction and adequate immobilization.

Methods: A total 45 patients with displaced Colle’s-type fractures were subjected to treatment with closed reduction with manual manipulation. The fractures were assessed radiographically by measurement of the radial angle, dorsal tilt, and radial shortening before reduction, immediately after reduction, and at one and five weeks after reduction. Data was recorded and assessed.

Results: Anatomical outcome as per Sarmiento criteria. 66.67% patients had excellent result with no residual Deformity, 17.77% patients had good result with mild residual deformity, 8.88% of them show fair results with moderate residual deformity and 6.66 % had poor outcome.

Conclusions: Coronavirus disease 2019 (COVID-19) pandemic was burden on all including patients and medical fraternity, and considering looming threat of third wave and delta variant of virus, our study material can be used to make guidelines for optimal utilisation of orthopaedic fraternity, who have to work in COVID wards as well as trauma wards, our study shows that proper technique of fracture reduction with patient counselling and early physiotherapy can yield good results in fracture which can be managed conservatively.

 
Tuberculous sacroiliitis: a case report
Authors: Khakandaki Sarvesh , Kamashetty Nikita , Mudgall Gurusangappa , Paritekar Pranav , Upadhyay Keyur
Published: October 2021

In 1-5% of cases of the infections of the musculoskeletal system are tuberculous. The sacroiliac joint (SI) shows involvement in 3-9.7%. Here, we describe the unique case of a 19-year-old female who presented with pain in the left buttock and low backache. Three months prior, the patient was diagnosed with pulmonary tuberculosis. The patient was started on anti-tuberculosis drugs (ATT) for three months. The pain increased on weight-bearing and on squatting, and it decreased with rest. X-ray and MRI were suggestive of Sacroiliitis secondary to tuberculosis. Now, after conservative management, the patient is symptom-free with no functional limitation. This case report focuses on the importance of continued awareness for early detection and treatment of a tuberculous sacroiliac joint infection.
Prevention of pathological fracture in fibrous dysplasia of proximal femur in a 24-year-old female a rare presentation - a case report
Authors: Supe Amit , Mhatre Jayesh , Modi Nihar
Published: October 2021

Fibrous dysplasia (FD) was historically mentioned in the medical literature in 1938 by Dr. Lichtenstein and in 1942 by Dr. Lichtenstein and Jaffe. The term Jaffe-Lichtenstein syndrome is sometimes used synonymously with monostotic FD or to denote cases of polyostotic FD with café au lait spots, but no endocrine dysfunction. Our case is a 24-year-old female, housewife presented to our hospital with a complaints of right hip pain and backache with difficulty in walking of 6 months duration. She had dull aching pain which increased in intensity with the course of time, there was no radiation, but was aggravated by movements. She was managed with dynamic hip screw along with curettage of the lesion and bone graft, after 9 months of follow up, she had no pain over her hip and there was calcification over the previous lesion, our patient had a very favourable outcome.
Financiamiento de Asociaciones Público-Privadas
Authors: Simón Cristina , Castillo Paula , Carbonell Sofia , Lohbauer Rosane , Carrión Ricardo , Zapata Gracy , Montalbán Johana , Ortiz Raúl , Salinas Facundo , Cobo Francisco , Collazo Schafik , Miranda Cleyton
Published: October 2021

Los Documentos de Discusión - PPP Américas 2021 componen una serie de textos desarrollados en preparación de la X Edición del PPP Américas, el principal foro de Asociaciones Público-Privadas (APP) de América Latina y el Caribe (ALC), organizado cada dos años por el Banco Interamericano de Desarrollo (BID). Con motivo de la edición del PPP Américas 2021, se reunieron ocho grupos temáticos de expertos, profesionales, consultores y académicos involucrados directamente en la planificación, identificación, estructuración y gestión de proyectos de infraestructura mediante Asociaciones Público-Privadas (APP) en los países de la región. Los grupos, bajo la coordinación de especialistas de BID y BID Invest, revisaron los principales temas de interés y actualidad en el ámbito de las APP en infraestructura económica y social, con el objeto de intercambiar experiencias, debatir casos de éxito y lecciones aprendidas. El presente documento de discusión “Financiamiento de Asociaciones Público-Privadas”, liderado por BID Invest, recoge las principales conclusiones y recomendaciones derivadas de los debates de ese grupo temático, y pretende contribuir a la consolidación de un ambiente de intercambio de conocimiento en infraestructura y APP en la región, abordando los principales desafíos y oportunidades asociadas para el financiamiento de proyectos de APP en América Latina y el Caribe.
Estate and Land Structure of Nizhny Novgorod According to the Owners Catalog of the General Land Survey Period of the Late 18th Century
Authors: Akasheva Anna
Published: October 2021

The study raises the problem of analyzing the class structure of the city of Nizhny Novgorod according to the General Land Survey of 1784. Based on the materials of the Catalog of Owners in the citywide plan, the distribution of urban citizenship, nobility, clergy, and military is studied in comparison with the all-Russian data on the class status of the cities at the end of the 18th century. A relational database was developed for the analysis. The conclusion is made about the flourishing of merchants and philistines, who made up 80 % of the population and an extremely small number of peasants-land owners (3 %). The novelty of the study, among other things, is to establish the fact of the predominance of private small-scale land ownership, which represented 95 % of the land ownership of the city. It was found that despite the leading industrial and commercial function of Nizhny Novgorod and strong citizenship, 53 % of land plots were associated with agriculture (commercial gardening), which confirms the well-known phenomenon of “vegetable gardens in the city” in the pre-reform period.
The Urban Environment and Medieval Social Strategies
Authors: Variash Irina
Published: October 2021

The article discusses the issue of the so-called segregation norms against Muslims that emerged in the fourteenth century in Christian Law. The author analyzes source material relating to the history of the Crown of Aragon and raises the following question: is it possible to trace any connection between the urban environment and those social strategies that were applied to the infidels in the Middle Ages? Such research optics makes it possible to distinguish several types of segregation laws, some of which were a product of the urban environment and urban culture, which is substantiated by the author on the basis of the royal ordonnances, capitulae of the Valencian Cortes, Fuero of Valencia. The author discusses new legal norms that contradicted the early privileges for Muslims (12th — 13th centuries) and regulated Muslims’ appearance (a distinctive sign on clothes, a special hairstyle), their right to live together or next to Christians, their work on Sundays and Christian holidays, and also prohibited the public call to prayer. Paradoxically, these norms, being aimed at restricting the rights of the infidels (i.e. the Others), were formulated under the influence of the urban environment, in a settlement that was heterogeneous in its genesis and diverse in its nature. The Iberian-Latin civilization, which accumulated the human capital of the Muslim civilization in the course of the Reconquista, began to change its own social strategies in the management of Muslims in the fourteenth century. The experience of the cities was crucial in this process.
Reims Artisans and Merchants in the Space of the City of the 16th—18th Centuries
Authors: Kirillova Ekaterina
Published: October 2021

The social dimension of the urban everyday life of the Modern times is studied in the context of interaction and interpenetration of the professional and urban environment. The author examines such professional activities of artisans and traders in Reims, which took place outside such traditional places of work as workshops, shops, markets and fairs: trade on the streets, delivery of goods, their storage, etc. The article is also devoted to the peculiarities of the behavior of artisans and merchants in the urban environment. The author examines the activities of artisans and merchants that may have affected the safety of homeowners, first of all, regulations aimed at preventing thefts and concealing stolen goods.
Pliska of the 9th Century and Kiev of the 10th Century: the Comparison of Capitals of Krumid’s and Rurikid’s Chiefdoms
Authors: Schavelev Aleksey
Published: October 2021

The paper suggests a historical and typological comparison of the two capitals of the chiefdoms: Old Bulgarian Pliska, the center of the Krumid polity of the 9th century, and Old Russian Kiev, the center of the Rurikid polity of the 10th century. In both cases, a new center was created on the site of an existing settlement and experienced “explosive” growth, which correlates with the development of a new centralized polity and the intensification of its military expansion. Bulgarian Pliska and Russian Kiev were typical residences of leaders such as Heorot of the Danish king Hroðgar, the “wooden palace” of the ruler of the Huns Attila and other similar capitals of different “barbarian kingdoms”. For about a hundred years they remained the centers of pagan chiefdoms, but Kiev retained its “capital” status in the Christian Old Russian early state of the 11th century, but Pliska in the Christian Old Bulgarian early state of the 10th century lost it to Preslav.
Visible Past: Urban Space in Flemish Book of Hours of Isabella the Catholic
Authors: Smagar Maria
Published: October 2021

In this article, images of urban space in the Flemish illuminated books of hours of the 15th century are discussed. The main source is the miniatures of lavishly illuminated Flemish Book of Hours of Isabella the Catholic (The Cleveland Museum of Art, Ohio, the United States). With two special tables author highlights, typologizes, and analyzes the major markers of medieval and renaissance urban space (such as stone bridges, city walls, cathedrals, multi-story houses, etc.) as well as the social structure of miniatures, representing urbanscapes in Flemish Book of Hours of Isabella the Catholic.
The Norms of Roman Law and the Concept of Jurisdiction in the French Coutumiers of the 13th Century
Authors: Togoeva Olga
Published: October 2021

The article is devoted to the analysis of the earliest North French collections of customary law of the 13th century: the “Coutume de Touraine-Anjou”, the “Usage d’Orlenois”, the “Conseil à un ami” of Pierre de Fontaines and the “Livre de jostice et de plet”. These codes practically did not attract the attention of modern researchers, but they differ in one curious feature: they have an impressive number of borrowings from the Roman law, or rather from the legislation of Justinian (483—565). The main task of the article was an attempt to understand what purpose these inserts served, how the authors and the compilers of the coutumiers worked with this material and, finally, what relation the Roman legal norms had to the territory to which the customary law of a particular area of the French Kingdom applied. According to the author of the article, the references to Roman law appeared in the texts of the Northern French coutumiers precisely because these latter were compiled during the grandiose judicial transformations of Louis IX the Saint and served primarily to settle the relations of the crown with local lords in the sphere of jurisdiction. The norms of the Roman law not only filled in the gaps in the knowledge of the lawyers of the 13th century regarding local legal customs, they also turned out to be extremely useful in order to build a clear “vertical of power” in the French Kingdom, which was entering the era of genuine centralization.
Notas para un primer paso en la hoja de ruta de la modernización del aparato estatal
Authors: Pando Diego
Published: October 2021

El Plan de Modernización del Estado plantea una serie de acciones hacia un sistema de gestión pública dirigido más claramente a satisfacer las demandas de los ciudadanos. A pesar de su relevancia para alcanzar este objetivo, la profesionalización del empleo público está a la zaga del resto de los compromisos existentes. Para llenar esta brecha se recomienda promover la profesionalización de la gestión pública de alto nivel.
Doctrinas, normas y figuras jurídicas para el despojo del patrimonio nacional
Authors: Cholvis Jorge Fransisco
Published: October 2021

Los decretos 29 y 231 dictados en meses recientespor el Poder Ejecutivo Nacional disponen laprórroga de jurisdicción y la renuncia a la defensade inmunidad soberana en beneficio de tribunalesde Nueva York, Londres y la Confederación Suiza,en futuras emisiones de deuda externa, y afecta losrecursos del Estado nacional como garantía delcumplimiento de los convenios que se celebren aesos efectos. El artículo elabora una visión críticade esas normas y destaca el carácter nocivo de losmismos, en una perspectiva de desarrollo, derechoshumanos y justicia social.
Los desafíos de una nueva ciudadanía pampeana. Consecuencias de la implementación de la Asignación Universal por Hijo (2009-2015).
Authors: Currá Nahuel
Published: October 2021

En los últimos años el gobierno argentino implementópolíticas sociales que lograron disminuirsustancialmente los niveles de pobreza e indigencia;al mismo tiempo persisten fuertes debates sobresi estas políticas han modificado o no la estructurapreexistente de protección social. Como unaporte a esas discusiones el presente artículo buscaidentificar si la implementación de la AsignaciónUniversal por Hijo (AUH) ha contribuido a regenerarel esquema de protección social asociadoal modelo de seguro social vigente duranteel formato institucional conocido como “EstadoBenefactor”, reconfigurando una nueva ciudadaníasocial que aquí denominamos pampeana, basándonosen el concepto de ciudadanía plebeya de CarlosFranco. En primer lugar se repasarán debates y discusionessobre el concepto de ciudadanía, luegoabordaremos brevemente cómo se manifestaron enArgentina los modelos de protección social y losprocesos de ciudadanización. En tercer lugar nosabocaremos en las características de la AUH y trataremos de fundamentar la tesis que sostiene que laAUH generó las condiciones para la emergencia deuna nueva ciudadanía que denominamos pampeana.Finalmente se presentan los resultados del trabajoy se esbozan posibles líneas de acción para generarpolíticas públicas que garanticen niveles de protecciónsocial más amplis.
El proceso de construcción de las necesidades en las políticas habitacionales. Un modelo teórico - metodológico para su análisis desde una perspectiva interpretativa
Authors: Romagnoli Venettia
Published: October 2021

El trabajo que aquí se presenta fue desarrollado enel marco de la tesis doctoral recientemente finalizada,denominada “¿Qué vivienda necesitan lospobres? Un estudio sobre la configuración de lasnecesidades en las políticas habitacionales vigentesa partir del caso del AMGR (Chaco, Argentina)”,que se dedicó a analizar el proceso de configuraciónde las necesidades habitacionales en laspolíticas públicas, para identificar sus diferentesmomentos, los actores involucrados, sus intereses,roles, estrategias e incidencia en la politización, interpretacióne implementación de dichas necesidades.Este artículo se dedica al desarrollo del modeloteórico - metodológico construido para el análisisdel fenómeno mencionado.
APPLICATION OF PYROLYSIS GAS AS A FUEL FOR GAS TURBINE ENGINES FOR ELECTRICITY GENERATION
Authors: Obodovskyi Ivan , Morozov Viacheslav
Published: October 2021

Purpose: The purpose of this article is to show the opportunities of application of the pyrolysis gas as a fuel for gas turbine power plants based on decommissioned gas turbine engines, including those from aircraft – either turboprop or turboshaft, or both, and also those used on ground vehicles such as tanks and marine engines as well. Methods: The article describes the technology of pyrolysis of different materials for obtaining pyrolysis gas and its further application as a fuel for internal combustion engines was developed in the end of XIX century and was successfully applied for automobile, marine and railway locomotive piston engines till the mid ХХ century when large oil reservoirs were discovered all around the World. Results: the current research not only proves that there exists an economic benefit of application of pyrolysis technology even at nowadays, but also an ecological one, allowing getting rid of garbage Discussion: The proposed examples of successful pyrolysis technology application can be a good basis for further research of transferring modern engines to the pyrolysis gas fuels.