bluuebunny/crossref_metadata_2025 huggingface dataset:
Long-Term Benefits of Continuous Glucose Monitoring Combined with Insulin Pump Therapy
Authors: Rukhsana Zulfiqar  , Komal Abbas  , Saeeda Khan  , Kanwal Fatima  , Adnan Manzoor  , Muhammad Awais
Published: December 2024

Objective: To evaluate the long-term efficacy and safety of continuous glucose monitoring (CGM) combined with insulin pump therapy, focusing on glycemic control, patient adherence, quality of life, and reduction in diabetes-related complications. Methodology: A prospective cohort study was conducted on 100 patients with type 1 or insulin-dependent type 2 diabetes from February 2023 to July 2024 at a Tertiary Care Hospital in Karachi. Participants, aged 18–75 years, used CGM-integrated insulin pump therapy. Key metrics included HbA1c levels, time-in-range (TIR), adherence rates, and quality-of-life scores assessed at baseline and study completion. Statistical analyses were performed using SPSS, with significance set at p < 0.05. Results: The mean HbA1c level decreased to 8.14% (SD: 0.83, p = 0.003), while TIR improved to 67.90% (SD: 12.57, p = 0.001). Adherence rates were high, averaging 89.81% (SD: 5.62, p = 0.02), reflecting strong patient engagement. Quality-of-life scores also increased significantly, with a mean score of 79.74 (SD: 11.28, p = 0.015). No severe adverse events were reported, underscoring the safety of the intervention. Conclusion: CGM combined with insulin pump therapy significantly improves long-term glycemic control, adherence, and quality of life in diabetes management. These findings highlight the clinical and psychosocial benefits of integrating these technologies, particularly in achieving sustainable outcomes. Future research should explore broader population impacts, cost-effectiveness, and advanced technological integration
TO ELECTRO-HYDRAULİC PARAMETERS İN DİSTRİBUTED PUMPİNG STATİONS DESİGNİNG A CENTRALİZED CONTROL STATİON
Authors:   Azerbaijan State Oil and Industry University, CAFAROV A M , GOCHUYEVA A F ,   Azerbaijan State Oil and Industry University
Published: December 2024

Our article provides information about distributed pumping stations, interconnected systems where independent pumping and control systems are combined under a single functionality. It is widely reported that these stations are mainly equipped with pipelines, valves and various control devices that allow the product to be transported to other locations. It is also reported that distributed pumping stations have a number of invaluable benefits, such as efficient energy use, operating frequency, and reduced installation and commissioning time.
RESEARCH OF THE STRUCTURE-PROPERTY RELATIONSHIP OF POLYPROPYLENE + NANOCLAY NANOCOMPOSITES AFTER EXPOSURE TO AN ELECTRIC FIELD
Authors:   Physics Institute of the Ministry of Science and Education of Azerbaijan, SADYGOVA A R , ASILBEYLI P B ,   Physics Institute of the Ministry of Science and Education of Azerbaijan, AGHALİYEVA S T ,   Physics Institute of the Ministry of Science and Education of Azerbaijan, ISAKOV G I ,   Physics Institute of the Ministry of Science and Education of Azerbaijan, MAMEDOV N C ,   Azerbaijan State Agrarian University, Ganja, ALEKPEROV V A ,   Physics Institute of the Ministry of Science and Education of Azerbaijan
Published: December 2024

I was researched the effect of the addition of nanoclay (NG) make Dk1 on the electrical durability (τ) and electrical conductivity (ϰ) of polypropylene (PP). Depending on the amount of NG, the electrical breakdown (Ebr) decreases, ϰ increases. In order to study the molecular processes that can occur during electrical destruction, pure PP and nanocomposite were previously exposed to an electric field (ageing) and changes in electrical properties were compared with structural changes. After ageing, C=C groups formed as a result of the rupture of chemical bonds between atoms in macromolecules cause a decrease in Ebr both in PP and in the nanocomposite, and the rate of decrease in the nanocomposite depending on the ageing time (t) is lower than in PP.
PROSPECTS FOR HYDROGEN ENERGY
Authors:   Azerbaijan State Oil and Industry University, MIRZAEVA S M , ALIMATOV A R ,   Azerbaijan State Oil and Industry University
Published: December 2024

The application of hydrogen in electric power generation is related to the increase in the need for clean energy in the field of renewable energy production and power generation. The application of hydrogen in electric energy is an important step in the search for independent, clean and effective energy methods in the field of energy. The main stages of this application are the efficient production, storage and application of hydrogen in the production of electricity. The application of hydrogen in electric power combines with the possibilities for increasing clean energy production, reducing carbon emissions and strengthening innovation in the field of energy. However, there are also technical, economic and social challenges faced by this technology. High production and storage costs, infrastructure organization, etc. may limit the wider application of hydrogen in electric power. By developing innovative technologies and solving problems, hydrogen can be applied in a larger and more detailed way in the energy sector, which in turn will enable a clean, fast, and efficient change in the energy sector.
CONDİTİONS OF GAS HYDRATE FORMATİON İN MAİN GAS PİPELİNES AND METHODS OF GAS HYDRATE CONTROL
Authors:   Azerbaijan State Oil and Industry University, KARIMLI F V , GOCHUYEVA A F ,   Azerbaijan State Oil and Industry University
Published: December 2024

Ensuring reliable operation of the main gas pipeline is one of the most urgent issues of hydrocarbon transportation in the modern era. Thus, as a result of certain geological-technological and temperature environmental impacts during the operation of the main gas pipeline there are difficult to eliminate complications due to the formation of gas hydrates inside it, which in general leads to deterioration of technical and technological indicators of the pipeline. Detection of these complications by means of timely diagnostics allows to apply timely methods of their elimination, which is not always possible. This situation itself has given rise to a number of important scientific and experimental studies of the problems of reliable operation of main gas pipelines in conditions of gas hydrates manifestation. In connection with the above, the article notes the peculiarities of diagnostics of complications caused by the formation of gas hydrates in the main gas pipelines, outlined the conditions of gas hydrates formation in them and the essence of the methods used to prevent them.
The Evolution of the Open Source Program Office (OSPO): An OSPO Maturity Model Featuring Case Studies of Bloomberg, Comcast, and Porsche
Authors: Aniszczyk Chris
Published: December 2024

Produced in partnership with the TODO Group, this report provides rich insight, direction, and tools to help implement an OSPO (Open Source Program Office) or an open source initiative within corporate, academic, or public sector environments. Readers will come away with an understanding of OSPO Stages and Archetypes (or personas), which drive differentiation in OSPO behavior, all as a means to contextualize their unique path in the open source journey.

Drawing from the experiences of Bloomberg, Comcast, and Porsche, this report provides a model for end-user organizations across industries, and in different jurisdictions, to better understand the value of the OSPO, and where to get started.
The 2021 State of Open Source in Financial Services
Authors: Ellison Tosha , Carter Hilary , Hendrick Stephen , Perlow Jason , Eberhardt Colin , Drozdzewski Daniel , Aitken Andrew , Gravier Giles
Published: December 2024

The increased prevalence, importance, and value of open source is well understood and widely reported by many industry surveys and studies. However, the rate at which different industries acknowledge this shift and adapt their own business and technology practices to capitalize on open source opportunities differs considerably.

The financial services industry has been a long-time consumer of open source software. At the same time, open source software and standards development have not been activities at the core of financial services industry business models and technology strategies. Consequently, the levels of contribution to – and publishing of – open source, in software development, or in terms of allocating staff resources, are still in their infancy.

This report identifies the extent to which the financial services industry is active in open source, creating a baseline of understanding of governance, leadership, consumption, contribution, culture, and overall open source aspiration. Further, the report highlights the obstacles and challenges to improving industry-wide collaboration and concludes with a set of actionable insights for improving the state of open source in financial services.
WebAssembly (Wasm) for Legal Professionals: Exploring Current Parameters in License Compliance
Authors: Hemel Armijn
Published: December 2024

WebAssembly is a technology currently gaining traction. However, documentation for WebAssembly on the Internet primarily targets developers and focuses on how to use it, or develop for it. What is needed is documentation that looks at WebAssembly from an open source license compliance perspective.

This report, WebAssembly (Wasm) for Legal Professionals, functions as a starting point for a discussion about what open source license compliance for WebAssembly could look like and its potential for implementation in several ways. The report intends to highlight potential license compliance pitfalls and help establish a common understanding of the facts, which may present potential legal issues.
Europe Spotlight 2022: Exploring the State of European Open Source Innovation, Opportunities, and Challenges
Authors: Eberhardt Colin , Odds Graham , Dunderdale Matthew
Published: December 2024

Open source is a dominant force in the global digital economy, and as software continues to define industries, open source software plays a critical role.

While open source is a truly global phenomenon, regional dynamics are at play.

In this inaugural, geographically-focused study, the Linux Foundation and partners examine the priorities and challenges of open source specific to Europe.

World of Open Source: Europe Spotlight 2022 describes the “state of open source” across the European continent and builds a comprehensive picture by examining the current activity levels through consumption and contribution, inhibitors, motivators, and opportunities.
Software Bill of Materials (SBOM) and Cybersecurity Readiness
Authors: Hendrick Stephen
Published: December 2024

The State of Software Bill of Materials (SBOM) and Cybersecurity Readiness, produced in partnership with SPDX, OpenChain, and OpenSSF, reports on the extent of organizational SBOM readiness and adoption and its significance to improving cybersecurity throughout the open source ecosystem. The study comes on the heels of the US Administration’s Executive Order on Improving the Nation’s Cybersecurity, and the disclosure of the most recent and far-reaching log4j security vulnerability. Its timing coincides with increasing recognition across the globe of the importance of identifying software components and helping accelerate widespread implementation of cybersecurity best practices to mitigate the impact of software vulnerabilities.
Frequency of Sputum Smear Positive Tuberculosis at District Bannu Khyber Pakhtunkhwa, Pakistan
Authors: Arif Ullah  , Mehran Khan  , Amir Shah
Published: December 2024

Background: Tuberculosis is an infectious and serious major health problem that leads to approximately three millions deaths every year throughout the developing world. Beside an improvement in its diagnosis, it is still not possible to completely eradicate the tuberculosis in lack of better follow up procedures and good surveillance.
Objective: The aim of this study was designed to measure the Frequency of sputum smear positive tuberculosis in District Bannu, Khyber Pakhtunkhwa Pakistan.
Methods: This Cross sectional study on patients referred to DHQ Hospital, District Bannu for the purpose to measure the prevalence Khyber Pakhtunkhwa, Pakistan, from October 2020 to October 2021.There were 200 sputum sample subjected to ZN stain microscopy method for AFB. All the sputum samples were collected in sterile (wide mouth) 10 ml bottle &were homogenized and decontaminated by using 4% Sodium Hydroxide (NaOH) with equal quantity to that of sample and were mixed for 10 minutes at room temperature. The mixture was centrifuged at 3,000 rpm for 05 minutes and smears prepared, dried in air and stained with Ziehl Neelsen stain
Results: In this study, Total 200 sputum smear samples were processed for Acid fast Bacilli, Females were 115(57.5%) and males were 85(42.5%). Out of 200 samples, 57 Samples were Positive for Tuberculosis. 57/200 (28.5%). In these Positive samples females were 34/57(59.65) and males were 23/57 (40.35%).Out of 57/200 (28.5%) Tuberculosis positive patients, 15 (26.3%) were of age from 20--40 years, 20 (35.0%) were age 40--60 years, while 22 (38.5%) were age > 60 years. Out of 57/200 (28.5%) Tuberculosis patients, 40/57(70%) were in rural area while in urban area patient were 17/57 (30%).
Conclusion: This study show important frequency rate of sputum smear positive tuberculosis in district Bannu. Both groups (sex and age) influenced the frequency of tuberculosis. Females demonstrated high rate of frequency than males. Age group of 40-60 years and up to 60 years demonstrated higher frequency rate in tuberculosis. High prevalence noted in rural areas as compared to urban.
Dimensions of Wellness: A Multidimensional Concept
Authors: Nadia Zohair  , Mehvish Javed  , Manahil Rahat  , Hassan Mumtaz  , Aisha Sher  , Zohaib Raza  , Shazia Qayyum  , Shahzaib Ahmad
Published: December 2024

Objective: To assess how medical students adhere to various aspects of well-being in the context of physical, emotional, and Spiritual Wellness.
Materials & Methods: The cross-sectional questionnaire-based survey was conducted from January to December 2010, comprising randomly selected 300 male/female medical students in Riphah International University. The responses - 'no,' 'sometimes,' 'mostly' and 'yes/always' (numbered 0-4) - were analyzed in terms of frequency, proportion, and percentages by Predictive Analysis Software (PASW).
Results: Of the 300 questionnaires, 287 (95.7%) fully-completed questionnaires comprised the study universe. According to the survey, 103(35.89%) respondents were male, and 184 (64.11%) respondents were Female. Sickness and sports affect physical Wellness concerning Gender having p values 0.0159 and 0.0240. Family friends and mood swings affect emotional Wellness having p values 0.0059 and 0.00. Prayer and Spiritual Fasting involves Spiritual Wellness having p values 0.0024 and 0.0116. Tukey simultaneous comparison t-values are (df. = 858), also showing that Spiritual Wellness significantly differs from emotional Wellness and physical Wellness of respondents.
Conclusion: Medical students should be taught stress and time management techniques as part of their core curriculum to help them cope with the stress and pressures of practicing medicine. Research into gender bias in Health and Wellness needs to be expanded and improved by colleges and universities.
Frequency of Urinary Tract Infection After Cystoscopy
Authors: Asaf Alam Khan  , Mubashar Hussain Mazhar  , Bilal Habib  , Hassan Mumtaz  , Inam Malkani  , Arsalan Riaz  , Falak Naz
Published: December 2024

Objectives:  To get local evidence that can help us to determine the extent of the problem in the local setting and can alter the management protocols before undergoing cystoscopy.
Material & Methods: Descriptive case series study was conducted at Department of Urology, KRL Hospital Islamabad from December 20th 2019 to June 20th 2020. Two hundred and forty patients fulfilling selection criteria were enrolled who underwent cystoscopy by using end sheath technology under spinal anesthesia. Then patients were followed up in OPD for 3days and evaluated if they have a fever, pain in the lower abdomen, and pain during urination.
Results: There were 17(7.1%) patients with UTI and 223(92.9%) without UTI.  There was no significant association between UTI and age groups as the p-value was not significant (p-value:0.71). There was a significant association between UTI and gender as the p-value was significant (p-value:0.032). 
Conclusion: Routine antibiotic prophylaxis is not needed since even in individuals with asymptomatic bacteriuria future UTIs are uncommon and readily treated in cystoscopy of adults because of the low incidence of UTIs.
Correlation of blood Complete Performed by Hematology Analyzer with manual methods at District Bannu Khyber Pakhtunkhwa, Pakistan
Authors: Arif Ullah  , Jamil Akhtar  , Muhammad Shoaib Khan
Published: December 2024

Objective: To measure the correlation between the results of Blood Complete performed by automated Hematology Analyzer Sysmex XP-100 with the manual methods at District Bannu, Khyber Pakhtunkhwa Pakistan.
Methods: This Comparative Cross-sectional descriptive study was conducted in Samad Clinical Laboratory, District Bannu Khyber Pakhtunkhwa, Pakistan, from October 2020 to October 2021. The Selection of 50 patients was made from all those who came to Samad clinical Laboratory for Blood complete determination from District Bannu. Using Standard Operating Procedure for Phlebotomy, 3ml of venous blood sample was obtained into tri-potassium Ethylenediaine tetra-acetic acid (EDTA K3) bottle for the determination of Blood Complete using the automated and the manual methods. Patients of any Age, Sex & Area having Advised Blood Complete tests were included in this study. Those Patients which blood samples were hemolyzed during phlebotomy, during sample processing, improper mixing, poorly prepared and poorly stained slides of blood samples were excluded from this study
Results: Total 50 samples were processed. Statistically significant differences (p < 0.05) were seen between the two methods (Manual & Automated). Similarly, the mean values of platelets, Hemoglobin (HB), Total Leucocyte (TLC), White Blood Cell (WBC), and Red Blood Cells (RBC) showed statistically significant difference (p < 0.001) and correlated positively when both methods were compared.
Conclusion: It can be concluded from the present study that the results obtained from the hematology analyzer correlated well with those by the standard manual method, although the latter method provided additional diagnostic information on the blood pictures.
The Martius Flap's Effectiveness in the Repair of Vesicovaginal Fistulae
Authors: Hamid Haris , Farooq Khalid , Ali khan Israr , Khanum wazir Zubaida , Ullah Rafi , Ayub Umar , Alam Jan Mir , Ghafoor Abdul
Published: December 2024

Objective: The study sought to determine the efficacy of the Martius flap in treating difficult VVF (Vesicovaginal fistula) greater than 2.5 cm in size.
Study design: A descriptive case series
Place and duration of study: From January 2018 to December 2020, this study was conducted in the department of urology at Khalifa Gulnawaz Teaching Hospital in Bannu.
Methodology: The patients' case records were evaluated. Following a vaginal examination to establish leakage, all patients had cystoscopy to determine the fistulae, location, and tissue scarring. All patients had a CT urogram and cystogram, as well as a urine c/s. A modified Martius flap repair was carried out. They were released on the second surgical day and were monitored for three months.
Results: Ninety individuals had vesicovaginal fistulas repaired using a modified Martius flap. The patients' average age was 35 years. Obstruction of labor was the most common etiological cause in 70 (77.7%) of the patients, followed by gynecological procedures in 16 (17.7%). Twenty patients (22.22% of the total) underwent surgery to treat recurrent fistula formation. After surgery, 7 (7.7%) patients exhibited stress incontinence and were treated conservatively with pelvic floor exercises. Three (3.3%) women had vaginal bleeding, and two (2.2%) had labial wound infections. Recurrence occurred in two (2.2%) of the patients.
Conclusion: The modified Martius flap is a successful therapeutic method for vesicovaginal fistula with fewer complications and great aesthetic results.
Frequency of Obesity and its Co-Morbidities in General Surgery Department Capital Hospital Islamabad
Authors: Muhammad Naeem Taj  , Israr Ahmed  , Yasmin Iqbal  , Zakia Akbar  , Ajab Khan Afridi  , Shazia Riaz
Published: December 2024

Objective: To assess the prevalence of obesity and to investigate obesity-related disorders.
Methodology: This cross sectional study was conducted in surgical unit CDA Hospital, 06 months from 20-04-2020 to 20-10-2020. A random and Performa based study was conducted from 20th April 2020 to 20th Oct 2020 on 300 patientsAll this information was recorded on a predesigned Performa. Data was analyzed using SPSS-20.
Results: Total of 300 patients with in duration of 06months was selected in General Surgery Department Capital Hospital Islamabad. The age of the patient varied from 07 to 87 years having mean value of 46.02. There were 180(60%) females and 120(40%) males. The minimum height for the patient was 3.8 feet and maximum was 6.3 feet having mean of 5.2 feet. The weight of the patient varied from 22kg to 180kg with mean value of 74.39kg. Body mass index (BMI) range from 15.8kg/m2 to 80kg/m2 having mean value of 28.2kg/m2. Percentage of obesity related co-morbidities were found to be higher in hypertensive and least with Ischemic heart disease.
Conclusion: Obesity is a growing health problem. It is Health hazard. Patients with higher BMI categories had a higher incidence of Co-morbidities. Based on the study result, it is recommended that weight, height and Body Mass Index should be assessed regularly to prevent obesity and its comorbidities.
Key Words: Body Mass Index (BMI), Obesity, Frequency.
DISTRIBUTION OF CATARACT BY AGE GROUPS, SEX, RESIDENCY AND LITERALITY IN POPULATION OF DISTRICT DERA ISMAIL KHAN
Authors: Noman Nargis , Orakzai Tahir Orakzai , Zafar Danish , Khan Adnan
Published: December 2024

Background: Cataract is an age related condition in which lens of the eye becomes opaque leading to visual disability. It is one of the principal causes of preventable blindness and visual impairments worldwide which is responsible for nearly half (47.8% or 17.7 million) of the population worldwide.
Objective: Our study is to assess the distribution of cataract in older adults, gender, literality and residency of cataract patient in district Dera Ismail Khan, Pakistan.
Materials and Methods: The descriptive cross-sectional study was conducted in the department of Community Medicine, Gomal Medical College DIK from May 1, 2022 to May 30, 2022. Data was collected from the file/card number of the patients who underwent proper eye examination for the cataract disease. According to Raosoft SPSS sample size calculator for the said population with confidence interval of 95%, margin of error 5% and response rate of 50%, our sample size should not be lower than 385. Demographic variable including in our research project is gender, age groups and resident (as rural or urban)in population of DI Khan.
Results: Out of a sample of 408 patients with cataract, the distribution was higher for patients above 50 than 50 or below and higher for female than male patients. Unilateral were more than bilateral cataracts .The distribution of cataract was higher in the periphery than the city patients.
Conclusion: Cataract is still one of the challenges as public health issue worldwide. Timely diagnosis and proper management can definitely alter the disease outcome and can decreases the burden of disables on the society. Prevalence of disease increases with aging especially after age of 50. Knowledge about the disease distribution, health care planers can plan for future prioritization of resources accordingly.
Changing Trends of Uterine Rupture Cases Over Three Decades
Authors: Zeb Laila , Zeb Salma , Yasmeen Sumaira
Published: December 2024

Background: Uterine rupture is associated with significant maternal and neonatal morbidity and mortality.
Objective: The study described the causes of uterine ruptures concerning maternal morbidity and fetal outcomes. Causes of ruptured cases from the same setting were compared between the years 2001, 2011, and 2021.
Materials and Methods: A cross-sectional study was conducted at the Department of Obstetrics and Gynecology, Lady Reading Hospital (LRH), Peshawar. Forty-three women who had been diagnosed with uterine rupture were included in the study. Information on age, parity, causes of rupture, surgical management, maternal morbidity, and outcome of the fetus, was recorded on a predesigned proforma. Repair procedures, STAH (subtotal abdominal hysterectomy), and internal iliac artery ligation were performed as per requirements.
Results: Sixty two 62.8% of women fell in the 35 years and above age group. Mostly (62.8%) were grand multigravida. The commonest cause of uterine rupture was mishandled labor by traditional birth attendants (44.2%) and followed closely by scar dehiscence (37.2%). The commonest procedure (58%) was STAH. Eighty one percent81.4% of women had no complications. Sixty seven percent (67.4%) of fetuses died due to complications and 32.6% survived. Causes ‘mishandled by untrained attendants' (44.2%) and ‘previous C-section scar’ (37.2%) were recorded with increased percentages in 2021. More cases of direct trauma (8%) and obstructed labor (32%) were reported in the year 2001, as compared to other years.
Conclusion: The percentage of rupture of the uterus was lower (0.56%) in 2021, as compared to 2001 and 2011. The negligence of traditional delivery attendants contributed significantly to the mismanagement, resulting in morbidity and mortality in women and their fetuses. Complications should be checked if healthcare professionals scrupulously follow established standards and surgical procedures are conducted by a competent physician
Potential Effect of Nigella Sativa Tablets on Fatty Liver Disease in Rats
Authors: Rahim Haroon , Khan Shahzeb , Ghani Akhtar , Amin Fazli , Amin Fazli , Jan Naeem Ullah , Khan Noshed
Published: December 2024

Objective: This prospective study was conducted to explore the effects of crushed seeds of Nigella savita dietary supplementation on fatty liver disease in rats.
Materials and Methods: This study was conducted on 16-18 months male Sprague dawley rats weighing 150-170 gm. Animals were randomly assigned into three (03) groups; Group-I served as (Control group, C) received standard diet; Group-II served as (Liver Fatty group, F) that received diets having high % age of fructose (60% fructose w/w), Group-III (Fatty liver/Nigella sativa F/NS), fed fructose diet along with Nigella sativa tablets (1.6g/kg diet) to get daily intake of Nigella sativa at rate 170 mg/kg body weight. The daily food intake and weekly body weight of the animals were recorded. After receiving respective drugs for 06 weeks following parameters such as Therapy; Body Mass index (BMI Body weight final), total cholesterol,  liver weight, LDL-C, HDL-C, vLDL-C, serum glucose, Adiponectin, bilirubin, insulin, AST, ALT and TNF-, were measured. HOMA-R calculation was used to determine insulin resistance. Furthermore, kidneys, livers and brains histopathalogical examination was also taken out.
Results: The weight of visceral body fat increased significantly in group II (F group) compared to group I (C group), but it dropped significantly in group III (F/NS group) compared to group II (F group). The serum level of glucose, HOMA-R, bilirubin, LDL-c, TNF-, vLDL-c, AST, ALT and insulin level significantly increased in both F and F/NS groups and a significant decrease in serum adeponectin level occurred as compared to C group. However, the serum levels of adeponectin increased in the F/NS group compared to the F group, and there was a substantial drop in glucose insulin, total cholesterol, HOMA-R, TNF-, LDL-c, vLDL-c, AST, ALT, and bilirubin. Histopathological examination of F group indicates vascular congestion in kidney and liver, renal tubular necrosis, hepatocytes and localized cerebral haemorrhage while the histology appearance in the F/NS group was nearly normal.
Conclusion: Animals receiving crushed tablets of Nigella sativa along with fructose diet produced significant attenuation in level of total cholesterol, serum glucose, insulin, TNF-α, LDL-c, HOMA-R, AST, bilirubin and ALT and a significant rise in adiponectin level in fatty liver disease in old tested animals.
Elective Surgery Patients Satisfaction towards Perioperative Service and its Associated Factors at Amhara region comprehensive Specialized Hospitals of Ethiopia
Authors: Derso Yabibal Asfaw , Getachew Desalegn , Adisu Molalign  Aligaz , Adu Aynalem
Published: December 2024

Abstract
Background: Patient satisfaction is considered one of the desired outcomes of health care and is directly related to the utilization of health services. Satisfaction with care is vital in determining whether a person seeks medical advice, complies with treatment, and maintains a continuing relationship with health care providers.
Objective: The aim of this study was to assess elective surgery patient satisfaction with perioperative service and its associated factors at comprehensive specialized hospitals in the Amhara region, Ethiopia.
Material and Methods: A cross-sectional study design was used from April 15 to May 15, 2023 on a sample of 383 elective surgery patients using systematic random sampling technique. Data was collected using structured quationary and Data was analyzed by SPSS version 25.
Results: The questionnaire was administered to a total of 383 elective surgery patients of which 64% were male, about 23.2%, 62.4% were from the rural residence, and 53.5% of the study subjects had paid for treatment. Overall, elective surgery patients' satisfaction with perioperative service was 62.1%. According to our findings, payment status for treatment (p=0.001), patient residence (p=0.00), Educational status (p=0.000), operated on the agreed date and time (p= 0.000), and expectation of service (P=0.017) were all found to be statistically significant predictors of elective surgery patient satisfaction with perioperative service.
Conclusion: Compared to others previous studies, the overall prevalence of elective surgery patients satisfied with perioperative service was good. Elective surgery patient satisfaction with perioperative service was significantly influenced by patient residence, operated on agreed date and time, payment status for treatment, patient expectations for service, and the patient's educational level.
Causes of Primary Versus Secondary Infertility in Women Undergoing Diagnostic Laparoscopy
Authors: Hussain Shahzadi Saima , Raees Mehnaz
Published: December 2024

Abstract
Background: Infertility is defined as failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse,. This study was planned to compare the frequency of different causes of infertility undergoing diagnostic laparoscopy and chromopertubation.
Objective: To compare the frequency of different causes of infertility in women with primary and secondary infertility undergoing diagnostic laparoscopy
Material and Methods: This study was a five-year retrospective observational study conducted in Lady Reading Hospital from January 2017 to December 2021. Data record of all patients who underwent diagnostic laparoscopy and chromopertubation for infertility was retrieved. Basic demographic features like age, type of infertility (primary or secondary) and duration of infertility were noted in all patients. During the procedure, any abnormal features of the uterus, ovaries, and fallopian tubes including patency, uterosacral ligaments, Pouch of Douglas, and any adhesions or endometriosis were also noted. Findings were recorded on proforma.IBM SPSS Version 22.0 was used for data analysis
Results: In this study, we got a record of 1945 patients, n=1427 (71.9%) patients had primary infertility while n=518 (26.1 %) had secondary infertility, mean age was 29.73± 4.37. Regarding causes of infertility, abnormal findings in fallopian tubes were more common in patients with secondary infertility (31.46% versus 23.05% of cases of primary infertility),an ovarian abnormality was observed in 16.88% in primary versus 22.58 in secondary infertility, endometriosis was seen in 27.99% of cases of secondary infertility in comparison to 22.42% in primary infertility, fibroid uterus was noted in 11.5% of primary infertility and 8.5 % of cases of secondary infertility.
Conclusion: Tubal pathology and endometriosis are the most frequent abnormalities found in patients with secondary infertility, and uterine abnormalities are more common in patients with primary infertility.
Reverse Posterior Interosseous Artery Flap for Hand Defects
Authors: Jan Asad Ullah , Khan Sajjad , Khan Abdullah , Anwar Jahandad , Tulmunataha Sidra
Published: December 2024

Abstract
Background: Soft tissue defects in hand needs an early reconstructive procedure that is single stage and well vascularized for best functional outcomes. Usually flap coverage is required for joints, exposed bones and long tendons. When local flaps are inadequate for the required defects, regional flaps are used.
Objective: The study was designed to evaluate the outcome of reverse posterior interosseous artery flap for hand soft tissue defects.
Material and Methods: This is a retrospective chart review of patients from 2013 to 2019 at National Orthopedic Hospital at Bahawalpur and was compiled at DHQTH, Bannu in 2023. During this time, 45 cases of posterior interosseous artery flap meeting the inclusion criteria were included in this study.
Results: In 34 cases the defect was due to crush, in 6 blast injury and in 5 thermal injury. Male to female ratio was 9:1. The defect was mostly on dorsum of hand and first web space. In all the cases, split thickness skin graft was used to cover the donor site. Three (7 %) patients had superficial flap necrosis at the distal most part, for which debridement and skin grafting was done.
Conclusion: Reverse posterior interosseous artery flap is an excellent source of skin coverage of dorsal hand and 1st web space.
Comparison of Maternal Complications of Emergency vs Elective Caesarean Section for Placenta Previa
Authors: Haq Wagma , Qazi Qudsia , Khan Noman , Khan Hassaan , Saima Shahzadi
Published: December 2024

Background: Placenta previa, being an obstetric emergency, is managed via either emergency or elective cesarean section depending upon clinical presentation of women. Multiple maternal and neonatal complications are associated with cesarean section varying with type of cesarean section.
Objective:  The study was designed to evaluate maternal complications of emergency vs elective cesarean section for placenta previa.
Material and Methods: This cohort study was conducted in Gynecology and Obstetrics Department, Lady Reading Hospital Peshawar after obtaining ethical approval from the Institutional Review Board in January 2024 till required sample size achieved April 2024. About 95 women with singleton pregnancy undergoing cesarean section (emergency or elective Cesarean section for placenta previa, with any maternal age included. Women were divided into two groups, emergency cesarean section (group 1) and elective cesarean (group 2).Maternal complications including post-partum hemorrhage (PPH),need for blood transfusion, post-operative fever and wound infection were recorded.
Results: The study showed mean age of 29.1±6.2 and 29.6±6.4 years for Group 1 and Group 2 respectively.  Statistically significant differences were found between emergency cesarean and elective cesarean section groups with respect to postpartum hemorrhage (47.9% vs 17% (P = 0.01), need for blood transfusion 91.6% vs 17% (P = 0.000),and postoperative fever (47.9% vs 12.7% (P = 0.001), while non significant difference observed for wound infection (4.1% vs 2.1% P=0.19).
Conclusion: Many maternal complications like postpartum hemorrhage, blood transfusion and postoperative fever were significantly higher in emergency cesarean compared to elective cesarean group for placenta previa.
LA PROTESTA SOCIAL EN COLOMBIA:
Authors: Mendieta David
Published: December 2024

En el año 2021 en Colombia se llevarán a cabo las protestas sociales más multitudinarias de su historia y el protagonismo jugado por los jóvenes fue determinante. El objetivo de este escrito es determinar ¿cuál ha sido el papel jugado por los tres poderes públicos a la hora de garantizar el derecho a la protesta social en Colombia? Con el uso de una metodología analítico-descriptiva se pudo concluir que mientras el poder judicial con la Corte Constitucional, la Corte Suprema de Justicia y el Consejo de Estado con sus decisiones han buscado garantizar el derecho de reunión y movilización social, los poderes ejecutivo y legislativo y los órganos de control dan señales de ir en contravía de la salvaguarda de este derecho.
A UTILIZAÇÃO DA INTELIGÊNCIA ARTIFICIAL NO DIREITO PENAL E SEUS REFLEXOS NAS GARANTIAS E DIREITOS FUNDAMENTAIS
Authors: Piló Xenofontes Curvelo , Brasil Deilton Ribeiro
Published: December 2024

O presente artigo tem como objetivo analisar a aplicação da Inteligência Artificial (IA) no Direito Penal e no processo penal, discutindo as potenciais influências positivas e negativas da utilização de novas tecnologias pelo Poder Judiciário na seara penal. Dada a quantidade de ferramentas atualmente gestadas, tanto pelos governos quanto pela iniciativa privada, optou-se por uma análise do tipo panorâmica, demonstrando inicialmente uma espécie de cenário como também a dinâmica do processo penal. O problema central tratado neste trabalho é a expansão da intervenção estatal no processo penal, no qual se lida com liberdades individuais, o que se reflete na restrição de garantias processuais, atingindo diretamente a dignidade da pessoa humana, mesmo que se argumente pela necessidade de uma paridade entre acusação e defesa. Utiliza-se, para o desenvolvimento do estudo, o método hipotético dedutivo, em uma análise sistemática do ordenamento jurídico brasileiro, por meio do procedimento metodológico da pesquisa bibliográfica e estudo de casos concretos sobre a utilização de máquinas com inteligência artificial no processo penal, articulando literatura situada entre a tecnologia e o direito. Conclui-se não pela necessidade de expandir, mas de limitar, em praticamente todos os aspectos, a utilização de máquinas com inteligência artificial e a disseminação de seus potenciais usos no Direito Penal.
MAGISTRADO GESTOR ESTRATÉGICO DE UNIDADES JUDICIÁRIAS
Authors: Ribeiro Adriano da Silva
Published: December 2024

Com a elaboração deste artigo, com a utilização do método dedutivo, base na pesquisa bibliográfica e exploratória, espera-se contribuir para a discussão e reflexão sobre o aperfeiçoamento da prestação jurisdicional, exercida por Magistrado, com perfil de Gestor Judicial Estratégico. Evidencia-se, assim, que o emprego dos modelos de administração, organização, gestão, planejamento estratégico e liderança, extraídos da Ciência da Administração e, portanto, aplicados na estrutura administrativa e judicial, afeta positivamente, além de evidenciar e viabilizar a aplicação do princípio da eficiência. Constata-se que o juiz não está somente para julgar, mas para gerenciar, liderar e melhorar a atuação administrativa, com a finalidade de a função jurisdicional ser mais eficiente.
NECROPOLÍTICA E A (RE)LEITURA DA CRÔNICA “MINEIRINHO”, DE CLARICE LISPECTOR
Authors: Souto Gisleule Maria Menezes , Souto Luana Mathias
Published: December 2024

O presente artigo disserta sobre o estar do ser negro no Brasil, após a abolição da escravatura, o preconceito e a invisibilidade. O racismo fornece o sentido para que a desigualdade e a violência ganhem espaço, possibilitem que a relação amigo/inimigo seja estabelecida e que a violência bélica do Estado dirija-se sempre para algumas pessoas. O texto apresenta a metáfora presente na história de “Mineirinho”, narrada na crônica de Clarice Lispector, com a necropolítica, a partir de pesquisa bibliográfica, cujos dados necessários são extraídos da crônica, de artigos científicos, revistas especializadas, entre outras fontes.
VIOLÊNCIA POLÍTICA DE GÊNERO E A PROMESSA INCUMPRIDA DE DEMOCRACIA SUBSTANCIAL:
Authors: Lôbo Edilene , Mendieta David , Aguiar Daiane Moura de
Published: December 2024

Este artigo problematiza a violência política de gênero, expondo a promessa incumprida do Estado constitucional, alquebrada pela perpetuação das estruturas patriarcais, reforçadas pelo racismo. Trata-se de reflexão sobre o Brasil e a Colômbia, modelos culturais similares na América Latina, examinando a legislação que reserva cotas para o registro de candidaturas femininas e o desafio imposto ao sistema de justiça no combate à fraude dessas regras. O alcance e a efetivação da ação afirmativa, a prova da fraude e as consequências da sua constatação são os temas que se colocam ao debate, filtrados pelo paradigma de Estado Democrático de Direito.
OS ACORDOS NO PROCESSO PENAL À LUZ DO DIREITO COMPARADO
Authors: Sarkis Jamilla Monteiro
Published: December 2024

Este artigo promove, a partir do direito comparado, imersão histórica e processual sobre os institutos, culturas jurídicas, legislações e precedentes jurisprudenciais que deram origem à prática de acordos no processo penal. Além disso, analisa as razões pelas quais a prática do consenso tem triunfado em seu local de origem, a fim de projetar suas possíveis repercussões no cenário jurídico pátrio.
OUVIDORIAS PÚBLICAS:
Authors: Gambogi Luís Carlos Balbino
Published: December 2024

O presente trabalho analisa, por uma visão crítica, o papel das ouvidorias públicas, nas democracias, e sua relação com o poder político, nos diferentes modelos de estamento no Brasil, adotando como marco teórico as reflexões trazidas por Raymundo Faoro, em seus estudos sobre a questão, e, também, a tecnocracia. Demonstra-se que, no Estado brasileiro, por um lado, ainda impera o patrimonialismo, cujo traço essencial consiste em tratar a res publica como res privata; por outro lado, entranha-se nos poderes a tecnoburocracia, que deixa o cidadão, titular da soberania, cada vez mais impotente, uma vez que assume o poder do Estado e preserva seu arranjo institucional anacrônico herdado do patrimonialismo. Nesse cenário, a relevância do estudo consiste em demonstrar o importante papel exercido pelas ouvidorias públicas, como instrumentos de aperfeiçoamento das democracias e veículos de seu permanente aprimoramento, funcionando como suas sentinelas. Para o presente estudo, utilizou-se a pesquisa bibliográfica e o método dedutivo, partindo-se de uma perspectiva histórico-evolutiva para uma concepção analítica atualizada acerca do ponto controvertido. Por fim, como procedimento técnico, a análise da temática, teórica e interpretativa, explicando os contornos atuais da questão destacada.
RECONHECIMENTO FACIAL POR INTELIGÊNCIA ARTIFICIAL E PRINCÍPIO DA INOCÊNCIA
Authors: Machado Gabriela Mendes , Barros Vinícius Diniz Monteiro de
Published: December 2024

No presente artigo, intenta-se estabelecer pontos comuns entre o reconhecimento facial feito por inteligência artificial para fins de policiamento preditivo e o reconhecimento de pessoas utilizado como meio de prova no Código de Processo Penal. O reconhecimento facial por inteligência artificial, apesar de uma pretensa imparcialidade científica, acaba por reproduzir os vícios do reconhecimento realizado por pessoas, porque necessita de um padrão para ser reproduzido, indutivamente. Então, são trabalhados os problemas do reconhecimento facial por inteligência artificial de ordem normativa e epistemológica. Trabalham-se, ainda, outras implicações do reconhecimento facial algorítmico, como a privacidade e o princípio da inocência constitucionalmente projetado e ainda não implantado. Por fim, o presente estudo apresenta a forma como o reconhecimento facial algorítmico vem sendo tratado no Brasil e em outros países do mundo.
PARÂMETROS PARA O CONTROLE DE FATOS E PROGNOSES LEGISLATIVOS PELO TRIBUNAL CONSTITUCIONAL
Authors: Sampaio José Adércio Leite , Assis Christiane Costa
Published: December 2024

O presente artigo tem como objetivo analisar o controle de fatos e prognoses legislativos pelo Tribunal Constitucional, a partir da ideia de Constituição como reserva de justiça institucionalizada. No trabalho, adotaram-se o método indutivo e as técnicas de pesquisa bibliográfica e documental sobre o tema. Inicialmente são apresentadas considerações sobre as interações constitucionais entre a segurança jurídica e a justiça. Em seguida, realiza-se breve análise da legitimidade do Tribunal Constitucional para o controle de constitucionalidade. Após, são apresentadas discussões sobre os parâmetros para o controle de fatos e prognoses pela Corte Constitucional. Como conclusão, aponta-se que o controle realizado pelo Tribunal Constitucional deve considerar os desdobramentos da reserva de justiça constitucionalmente estabelecida.
A SUPREMACIA DO INTERESSE PÚBLICO VERSUS A SUA INTEGRAÇÃO HARMÔNICA COM O DIREITO PRIVADO E COM OS DIREITOS-GARANTIAS-PRINCÍPIOS FUNDAMENTAIS INSERIDOS NA CONSTITUIÇÃO BRASILEIRA
Authors: Trigueiro Marcelo da Cruz , Santos Rubens José dos
Published: December 2024

O texto produzido buscou discorrer acerca do “Interesse” Público e a sua integração com o Direito Privado e os Direitos Fundamentais inseridos na Constituição Federal de 1988, por meio de uma análise jurídico-normativa. Desse modo, o presente artigo justifica-se e mostra-se relevante por discorrer a respeito do complexo desafio do Estado em harmonizar os interesses públicos com os direitos fundamentais e os direitos individuais, visando à satisfação das necessidades sociais de forma eficiente, sem incorrer em injustiças. É claro que a complexidade do tema não pode ser esgotada em um artigo e, longe disso, é a pretensão deste, mas a análise exposta ao longo do texto permitirá concluir que a defesa do “Interesse” Público se faz com a efetiva implementação dos Direitos-Garantias-Princípios Fundamentais inseridos na Constituição brasileira e para tal, é imprescindível a aplicação do princípio da ponderação sempre que houver embate entre o Direito Público e o Direito Privado.
A NEGOCIAÇÃO COMO ETAPA PROCESSUAL CIVIL PARA A CONSTRUÇÃO DE SOLUÇÃO JURÍDICA DIALOGADA
Authors: Anjos Rafael Maas dos , Anjos Rodrigo Maas dos
Published: December 2024

Vivemos tempos de crise do sistema de justiça, sendo necessário reconhecer a morosidade e o exagero burocrático, em meio ao cada vez maior volume de conflitos transformados em demandas, com índices de baixa resolutividade, contribuindo para uma flagrante desarmonia social em cenários de polarização, de fake news, de decisões não efetivas, de sentimento de impunidade e desrespeito à lei. Nesse contexto, é preciso repensar o papel do processo civil como instrumento capaz de fomentar e permitir espaços democráticos de solução de litígios, numa dinâmica de cooperação entre os diversos atores em um sistema de justiça multiportas. Como alternativa de solução jurídica dialogada, apresentar alternativas negociais pode ofertar bons métodos para não só entregar tutela jurisdicional adequada, mas também para alcançar de forma efetiva a pacificação social. Esse é o propósito do presente texto.