bluuebunny/crossref_metadata_2025 huggingface dataset:
ANTI HBS TITRE;
Authors: Ashraf Nahdia , Hussain Muhammad Usman , Qamar Iqra , Ashraf Muhammad
Published: August 2021

Introduction: The doctors and paramedical staff are at high risk of developingHepatitis B, infection. Hepatitis B vaccine is mandatory for medical students prior to admissionin medical colleges. After completion of vaccination determination of anti HBS is not in practice.All over the world some people remain non responders and don’t develop adequate antibodytitre essential for protection against hepatitis B virus. This study is therefore designed to estimatethe anti HBs titre among the medical students, who have completed three doses of hepatitisB vaccine. Objectives: To determine the serum anti HBs antibodies among the outgoing finalyear MBBS students who have received complete 03 doses of hepatitis B vaccine. StudyDesign: Descriptive cross sectional study. Place and Duration: This study was conductedfrom November 2010 to December 2015 at Biochemistry department Punjab Medical College incollaboration with Nawaz Medicare Hospital Faisalabad. Material and Methods: Two hundredand fifty nine female medical (MBBS) students from outgoing classes during the period ofNovember 2010 to December 2015 were enrolled in this study. All subjects were at the ageof 22-24 years at the time of sampling. Each received 03 doses of injection Engerix B, 10mcg/0.5ml each in a schedule of 0, 01, 06 months since the last 05 years. The blood sampleswere allowed to clot and serum was separated. The anti HBs and HBsAg were determined by3rd generation ELISA method. Results: A total 259 female medical students from outgoing finalyear MBBS classes were enrolled in this study. Among these subjects 48 (18.5%) had serumanti HBs levels < 10 IU/L, 77 subjects (29.7%) have levels 10-20 IU/L, 116 subjects (44.8 %)have serum levels 21-100 IU/L, while 18 subjects (10%) have > 100 IU/L serum anti HBs levels.Conclusion: The incidence of non responders and poor responders is higher among thevaccinees in this study as compared to foreign studies after five years of Hepatitis B vaccination.
LOWER URETERIC STONES EXPULSION;
Authors: Hussain Khalid , Tarique Maria , Rehman Khan Attiq ur , Bukhari Asim , Akhter Bilal , Butt M. Khalid
Published: August 2021

Objectives: To compare Tamsulosin versus ESWL for lower ureteric stonesexpulsion. Study Design: Randomized controlled trial. Setting: Outpatient Department ofUrology at Services Hospital, Lahore. Period: January 2015 to December 2015. Material& Methods: Total 50 patients were enrolled in study. Patients were divided into 2 groups.In group A, 25 patients received daily oral treatment of 0.4mg Tamsulosin for 28 days, andin group B, 25 patients were treated with ESWL. A stone-free condition, was defined as thecomplete absence of any stone based on plain abdominal X-rays observed and during followupvisits at the time of treatment of stone was noted. Results: The mean age of the patientswere recorded as 33.20±9.23 years. There were 40(80%) males and 10(20%) females with maleto female ratio of 4:1. Out of 50 patients, 16(32%) presented with hematuria, 3(6%) had feverwhile 31(62%) appeared with no complication status. Out of 50 patients, 21(42%) presentedwith expulsion time 08-14 days in which 14(28%) were from tamsulosin group and 07(14%)were from ESWL group, similarly 19(38%) patients appeared with expulsion time of 15-28 daysin which 10(20%) were from tamsulosin group and 09(18%) were from ESWL group. Statisticallythere is insignificant difference between the groups i.e. p-value=0.28 Ns. Conclusion: Thisstudy suggests that the tamsulosin helps in the earlier clearance of stone fragments andreduces the complications as compared to ESWL.
BONE FLAPS:
Authors: Khan Atiq Ahmed , Imran Muhammad , Ahmed Syed Ijlal , Ghouri Shiraz Ahmed , Khan Alizay Rashid , Farooqi Muhammad Osama , Chandio Majid
Published: August 2021

Cranioplasty is the surgical repair of a bone deformity of the skull. Autologousbone grafts are preferred more since the cranial bone flaps will not be subject to rejection bythe host and they lower the entry of foreign materials into the body. Preservation of cranialbone flaps is done in numerous ways, namely cryopreservation after a decompressivecraniectomy, intracorporeal preservation and cranioplasty with subcutaneously preservedautologous bone grafts. The method of preserving cranial bone flaps using cryopreservationhas many advantages; it is a safe, simple and an effective method for autologous bone grafts.The cryopreservation is also associated with higher infection rates and bone resorption ascomplications when compared to intracorporeal preservation. Intracoporeal preservationtechnique has many advantages, particularly that this surgery is easy, safe and cost-effective.The duration of the operation is short. The autologous bone flaps are not subject to rejectionand there is no need for intra-operative bone shaping. Therefore on the basis of review ofliterature authors concluded that intracorporeal preservation is better than cryopreservation ofcranial bone flaps, in terms of efficacy and complications.
ATHEROSCLEROSIS;
Authors: Saldera Kausar Abbas , Ali Sanum , Ashfaq Ahsan
Published: August 2021

Objectives: To compare the adiponectin/leptin ratio and intima media thicknessbetween normal and atherosclerotic individuals. To find out the association of A/L ratio withIMT in atherosclerotic patients. Study Design: Comparative cross sectional study. Placeand Duration of Study: This study was conducted at department of Physiology, BMSI incollaboration with Radiology department, Jinnah Postgraduate Medical Centre Karachi, from16th December 2014 to 15th December 2015. Methodology: 160 subjects having Dopplerultrasound of neck were selected on the basis of pre-determined criteria. They were grouped incases i.e. atherosclerotic group (80 subjects) and control i.e. healthy group (80 subjects). Age> 20 years, both genders, patients for ultrasound Doppler for neck region irrespective of theirprovisional diagnosis, patients suffering from co-morbid conditions like diabetes, hypertension,chronic kidney disease, chronic liver disease, asthma and COPD and Healthy individuals(Controls) were included in this study. Patients who fail to gave consent and patients whoseultrasound findings were not up to the mark required for diagnosis were excluded from thisstudy. Results: Out of 160 patients in this study in control Male: Female ratio was 1:1.1 whilein cases, Male: Female ratio = 1:1. Majority (53.1%) of cases had age >50 years {41(51.25%)in controls and 44(55%) in cases}. Mean ages in two groups (controls and cases) were49.39+12.30 years and 53.31+10.09 years respectively (p = 0.029).44 (22.5%) patients weresmoker and 116 (72.5%) were non-smoker. In control group, 13 (16.3%) were smokers whereasin cases 31 (38.8%) were smokers (p = 0.002). Mean triglyceride levels were statistically highin atherosclerotic subjects as compared to healthy individuals (138.31+62.65 mg/dl and125.73+46.17 mg/dl respectively; p=0.024). Mean IMT of both right and left carotid arteriesexamined via carotid Doppler ultrasound were statistically high in atherosclerotic individuals ascompared to healthy subjects {(Right carotid; 0.83+0.23 mm and 0.63+0.16 mm respectively;p=0.022) (Left carotid; 0.85+0.25 mm and 0.64+0.16 mm respectively; p=0.004)}. MeanLeptin levels were statistically high in atherosclerotic individuals as compared to healthysubjects (332.32+555.31 ng/ml and 254.55+224.66 ng/ml respectively; p=0.001). However,the difference in Adiponectin levels was insignificant (7.93+4.80 μg/ml and 9.45+4.73 μg/mlrespectively; p=0.343). Conclusion: We conclude that plasma levels of Adiponectin and Leptinare significantly higher in atherosclerotic than normal individuals.
PERIPHERAL LYMPH GLANDS;
Authors: Farooq Muhammad Shahid , Qamar Samina , Anjum Muhammad Rashid , Altaf Rabia , Farooq Muhammad Azhar
Published: August 2021

Background: Enlarged lymph glands almost always represent a local or systemicdisease that may be benign or malignant. We see many patients including the referred onesin our OPD clinic and subsequently do the excision of quite a big proportion of the enlargedglands especially the cervical glands. Study Design: Descriptive study. Setting: Retrospectby reviewing the operative and histopathology department of King Edward Medical University.Period: April 2016 to April 2017. Methods: We will analyse the record of 121 patients who hadperipheral lymph gland enlargement and presented to us. Results: Ours results show that themean age of our patients was 25.03±18.06 years. We found that 40% of our patients had adefinitive diagnosis from the histopathology of excised lymph nodes while 35.5% of the patientshad reactive hyperplasia and 25% of the patients had inconclusive results and we were unableto help them. Conclusion: Our results conclude that the lymph nodes are a very good source ofgetting the diagnosis especially the cervical lymph nodes with a diagnostic yield of 76.4% andwe may need to have a more robust criteria for excising the peripheral lymph glands in order toimprove the diagnostic yield from 40%.
HAEMATURIA;
Authors: Hassan Irfana , Durrani Abdul Baqi , Karim Alishba
Published: August 2021

Introduction: Urine analysis was the first laboratory test performed in medicineand has been used for several thousand years. Today it continues to be a powerful tool inobtaining crucial information for diagnostic purposes in medicine.1 Aims and Objectives:To estimate the source of bleeding by erythrocyte morphology on PCM, in patients withhaematuria. Study Design: Descriptive. Setting: The Nephrology and Urology out Patients.Period: 2014 to 2015. Methods: Urinary samples were collected from 100 random patientswho presented with haematuria. Samples were examined by face contrast microscope.UrineRBCs were identified as isomorphic and dysmorphic, proportion was taken, >20% of eithercells were used for localizing the source of bleeding. Later on, finding was furtherconfirmed byultra sound or other investigations like renal Biopsies and cell cytology. Result: In our studywe found that not only the correct bleeding site can be located with a high specificity, but alsoadditional findings can be looked for with a little background knowledge of patient’s medicalhistory. Conclusion: Phase contrast microscopy should be used by the clinicians for gatheringthe primitive information in the patients with haematuria.
IRRATIONAL DRUG USE;
Authors: Mahmood Zahid , Mengal Muhammad Hanif , Saleem Sheraz , Rashid Haroon-ur- , Maheen Safirah
Published: August 2021

Objectives: To evaluate drug prescribing practices at Medical Unit, ICU andNephrology Unit, using WHO prescribing indicators, in order to promote rational drug use.Study Design: A retrospective cross sectional study. Place and Duration of Study: BolanMedical Complex Hospital Quetta, Pakistan, from July to December 2015. Methodology: Drugprescribing trends in 218 prescriptions were scrutinized thoroughly. Data was collected bywell-trained pharmacy personals by using prescriptions and prescription registration booksof patients. Descriptive statistics were calculated on SPSS version 16.0. Results: The averagenumber of drugs prescribed per prescription were 4.11 whereas, WHO recommends that itshould be 2.00 or less. Alternatively, percentage of drugs prescribed by generic name and froman essential drug list were 14.73% and 78.35% while, in accordance with WHO it must be 100%and 70% correspondingly. On the other hand, percentage of encounters having antibiotics orinjections prescribed were 18.33% and 32.79% but according to WHO it should be20% or lessand 10%respectively. Nevertheless, proper diagnosis was stated in 89.44% of prescriptionsand 72.11% prescriptions had complete relevance between treatment and diagnosis. Alongwith, appropriate drug dosage and their administration was instituted in 65.16% of prescriptionsand 73.21% of prescriptions had accurate duration of therapy. Conclusion: The prescribingpatterns in Bolan Medical Complex Hospital Quetta reflect the practice of polypharmacy, whichis more of an irrational type in contrast to WHO recommendations. Thus, there is an urge tobring about some interventions to improve the pharmacotherapy.
HEPATITIS C VIRUS;
Authors: Jamali Ghulam Mustafa , Jamali Anwar Ali , Shaikh Habibullah
Published: August 2021

Objectives: The plan of this current research was in the direction for towards theassessment of the existing ELISA (Enzyme Linked Immunosorbant Assay) method throughantibodies testing for identification of hepatitis C virus disease by comparing their outcome withthe Real Time polymerase chain reaction analysis. Setting: Peoples Medical College HospitalNawabshah. Period: December 2015 to December 2016. Methods: In this current research 100blood samples were analyzed due to the presence of anti-HCV antibodies by 3rd-generationenzyme-linked immunosorbent assay testing. All the specimens were 100% positive. Polymerasechain reaction test was performed according to the laboratory directions in anti- hepatitis C virusantibodies positive patients to validate the diagnosis of hepatitis C virus infectivity. Results: Thisresearch shows that, the entire results were positive by Enzyme Linked Immunosorbant Assaytesting. As compared with polymerase chain reaction the of Enzyme Linked ImmunosorbantAssay in this research the screening test for anti hepatitis C virus - antibodies is about 2%false positive. Out of the 100 samples 98 cases are positive by Real Time polymerase chainreaction analysis while only 02 cases report are negative (2%). Conclusion: The proportion ofhepatitis C virus infectivity was 100% by 3rd-generation enzyme-linked immunosorbent assaytesting, 98% by Real Time polymerase chain reaction analysis. As in our research the hepatitisC virus –Ribonucleic acid is present in 98% cases who are the Anti- hepatitis C virus antibodiespositive patients, it can be suggested that Anti-HCV antibodies detection by third generationELISA technique in routine procedure is sufficient to determine HCV infection.
CORONARY ARTERY BYPASS GRAFTING;
Authors: Faisal Rizwan , Anwar Attia , Sharif Asifa
Published: August 2021

Objectives: To evaluate effect of vancomycin in producing nephrotoxicityand oxidative stress in patients undergoing coronary artery bypass grafting. Study designand technique: Cross-sectional study, convenient sampling. Setting: Faisalabad institute ofcardiology, Faisalabad, Pakistan. Period: 09 months. Material and Methods: Total 50 patientswho were undergoing coronory artery bypass grafting were enrolled in the study based onconvenience sampling after taking consent. Participants received a single dose of vancomycin(15mg/kg) before coronory artery bypass grafting and then twice a day after surgery for fivedays. Blood was collected at day 0, 4 and 7 and checked for serum creatinine, blood urea, bloodurea nitrogen, catalase, melondialdehyde, total oxidant status and total antioxidant capacityin order to determine vancomycin induced nephrotoxicity and oxidative stress. Results: Thelevels of serum creatinine, blood urea and blood urea nitrogen were significantly high at day 4and 7 as compare to day 0 with p-value 0.001.Serum catalase was significantly decreased atday 4 and 7 as compare to day 0 with p-value 0.001 while the level of serum melondialdehydewas increased significantly at day 4 and 7 in comparison with day 0 with p-value 0.01. Totalantioxidant capacity was significantly decreased while total oxidant status was increased at day4 and 7 in comparison with day 0 with p-value 0.001 each.
MELASMA;
Authors: Akhunzada Wajid Ali , Luqman Naima , Luqman Asima , Khalid Muhammad , Jam Sultana
Published: August 2021

Introduction: Melasma is an acquired, chronic, recurrent symmetricalhypermelanosis which is characterized by brown patches of variable darkness on sun exposedareas of the body primarily on the face.1,2 Melasma is more common in Asians and in peoplewho live in locations that receive high intensity UV radiation.3,4 Melasma is a skin disease thatsignificantly affects social and emotional wellbeing of the patients as well as their Quality of Life(QoL). Objectives: To find out the impact of melasmaon quality of life of the patients. StudyDesign: It is a descriptive study and the sample (patients), were selected through convenientsampling. Place and Duration of study: The study was conducted in the department ofpsychiatry & Dermatology department of Bahawal Vicortoria Hospital, Bahawalpur from July toDecember 2016. Material and Methods: Hundred patients having melasma including 11 malesand 89 females from both departments were included in the study. Two questionnaires wereapplied for measuring target variables, these were (i) Dermatology Life Quality Index to assessthe effect of melasma on quality of life (DLQI) and (ii) Melasma Area Severity Index (MASI) todetermine the severity of melasma. Results: The study included 100 patients of which 89 werefemales while 11 were males. Mean age of the patients was 27+6. Regarding the educationalstatus of patients, the majority (36%) were graduates and 16% had a Masters degree. Of thesepatients, 53% were unmarried while 47% were married. Mean DLQI was slightly higher forfemale patients (13.48) as compared to male patients (12.82). Mean MASI was also higherin females (15.26) as compared to males which was (14.39). Conclusions: Melasma causessignificant negative impact on quality of life especially in women.
HIP FRACTURE
Authors: Shaikh Abdul Malik , Shahwani Muhammad Bakhsh , Ishaq Mohammad
Published: August 2021

Objectives: To compare mean pain score between skin traction versus withoutskin traction in cases presenting with hip fracture. Study Design: Multi-randomized controlledstudy. Setting: Department of Orthopaedics, Chandka Medical College Hospital Larkana andQazi Hussain Ahmad Medical Complex, Nowshera. Period: 1st October 2016 to 31st March2017. Materials and Methods: A total of 100 cases (50 in two groups) between 18-60 years ofage including both genders presenting with unilateral femur fracture within 72 hours of injurywere enrolled in this study. They were divided in two groups i.e. study and control group, studygroup was allotted to the cases undergoing traction while control was those without using skintraction. Intramuscular diclofenac sodium injection (75 gm) was used in all participants andfollowed up for two tablets of paracetamol (500 mg) on 8 hourly basis. Visual analogue scaleto record pain score, 0 was no pain and 10 was the severe pain, it was recorded at 24 hoursof application of traction and second measurement was recorded just few minutes before thesurgery is done. Results: In this study, mean age was calculated as 48.74+9.12 years, agerange was 18-60 years. Male participants were in majority by calculating 64% (n=32) in Studyand 58% (n=29) in control group while female cases were 36% (n=18) in cases and 42%(n=21) in control group. Mean pain score at 24 hours of traction in study and control group wasrecorded as 4.60+0.70 in study group and 5.30+0.82 in control group (P = 0.0553), showsa significant difference. Conclusion: Mean pain score is significantly reduced during first 24hours of application of skin traction as compared to those without it in cases with hip fractures,however, it has no significant effect on pain after 24 hours of application.
CERBRAL MALARIA
Authors: Durrani Muhammad Rasheed Khan , Shafi Tahreem , Ali Zinnia , Iqbal Muhammad Danial
Published: August 2021

Cerebral malaria is a disease entity which we commonly come across and that itshould be suspected in every patient with impairment of conscious level and high spiking feverespecially with no history of trauma. Early treatment is crucial and can be lifesaving. There aretwo treatment option in which one is conventional Quinine Dihydrochloride and other artmisinininfusion. Objectives: To study the outcomes of Quinine dihydrochloride and artemisininpractice in patients with cerebral malaria in terms of acceptance and response. Study Design:Descriptive cohort study. Place and Duration of Study: Department of Medicine, Unit. II,Jinnah Postgraduate Medical Centre (JPMC), Karachi from January1st2015 to December 31st,2015. Methodology: A total of 78 patients fulfilled the inclusion criteria of Glasgow Coma scale(GCS) were of less than 6 for more than 6 hours Defervescence time were 2 to 3 hours afterstart of treatment Strength of our study is that patients traditional prompt response, with comamulti-organ dysfunction tends to recover and discharge in 4 days. Result: There were total of78 patient. Out of them 32 (41.0%) were positive for Malaria with 29 (37.1%) were positive forPlasmodium Falciparum and 3 were having Plasmodium Vivax .all were offered treatment with57 (73.0%) were given Quinine infusion and 21 (26.94%) were treated with artemisinin infusion.Cure rate was 44 (56.4%) with 46 (58.9%) in quinine group and 14 (17.9%) artemisinin group and(19.2%) and 07 (8.9%) respectively making total mortality of 18 (23.0%). There were 9 (11.5%)patients who left against the medical advice. Average age was 26 ±, majority were male. Inaddition laboratory derangements like alanine amino transferases (ALT), bilirubin, creatinine,electrolytes as potassium and arterial blood gases(ABGs) were also considered. It has beenestimated that recovery time of patients was maximum of 72 hours (time of discharge) for bothartimisinin and Quinine dihydrochloride. Late responders were also observed. Occasionallypersistent of treatment is needed with no fear of drugs resistance. Conclusion: Quinine infusionis generally safe and effective conventional treatment option, whose benefits and acceptance iswell known and we are also documenting this.
CHRONIC VIRAL HEPATITIS
Authors: Shaikh Habibullah , Shaikh Yasmin , Jamal Anwar Ali
Published: August 2021

Objectives: To examine the serum insulin level in viral hepatitis B and C patientsat different stages of disease. Study Design: Observational study. Period: Twelve months.Setting: Biochemistry Department BMSI, JPMC Karachi. Methods: The diagnosed patientsfor hepatitis B and C virus infection with and without cirrhosis were included. Patients wereselected after diagnosis of the disease by ELISA method. Subjects diagnosed as negativewere enrolled as controls in the study. Serum insulin estimation was done by ELISA and bloodglucose by Hexokinase method, prothrombin time by one stage (coagulation) method and liverenzymes were assayed was by enzymatic (Kinetic) method. For paired and correlation dataanalysis, SPSS 10.0 version for windows was used. For all comparisons, upto 0.05 P value wasconsidered significant. Results: The insulin, fasting blood glucose and albumin mean values ascompared to control were found significant statistically (P<0.05). However in all groups AST andALT mean values found statistically highly significant (P<0.01), which indicates liver damageprogression with consequent increase in serum insulin levels in these patients. Conclusion:Tests for early analysis of serum insulin levels should be performed in those cases that arediagnosed as hepatitis B or C positive, along with liver function tests, to reduce the increasedrate of morbidity and mortality in co-morbid condition.
TOOTH EXTRACTION
Authors: Najam Zahida , Khan Rehmat Ullah , Tariq Anum , Ahmed Usman , Aslam Ayesha
Published: August 2021

Introduction: The extraction of permanent teeth for orthodonticreasons has been a hot topic of debate in the past and continues to be of interesteven today. There is a considerable controversy concerning extraction as a treatmentadjunct which sometimes reaches to the intensity of sacred beliefs. Objective: Theaim of this study was to report the frequency of tooth extraction and its pattern inPakistani orthodontic patients. Study Design: Descriptive cross-sectional. Setting: ArmedForces Institute of Dentistry (AFID), Rawalpindi. Period: 1st July 2012 to 30th June 2014. Material& Methods: The study sample consisted of 489 patients reporting to the orthodonticdepartment at AFID. Patients between the age of 7 – 21 years were selected. Patientsbeing treated with the extraction of permanent teeth (excluding third molars) wereincluded in this study. Data was analyzed using SPSS version 24. Descriptive statisticswere calculated. Results: A total of 296 patients did not require any extraction. Theremaining 193 patients required and experienced extraction of permanent teeth aspart of their orthodontic treatment plan resulting in an over-all extraction frequencyof 39.5%. Most of the extracted teeth were first premolars especially from the upperarch. Association of extraction status (extraction vs non-extraction) with gender wasfound to be statistically insignificant (p = 0.393). Conclusion: There is a moderatefrequency of extraction in the orthodontic patients with less than half of the totalpatients requiring extraction as part of their treatment.
Hallazgos histopatológicos y malignidad de masas suprarrenales en un centro de patología y citología en Bucaramanga, Santander entre 2007 y 2019
Authors: Parra-Serrano Gustavo Adolfo , Torres-Langhammer Maria Paula , Castillo-Díaz Ana María , García-Ardila María Emma , Serrano-Gómez Sergio
Published: August 2021

Introducción. Las masas encontradas en la glándula suprarrenal pueden clasificarse de acuerdo con su origen, comportamiento, localización, función y forma de diagnóstico. En Colombia no existen datos suficientes que describan la frecuencia y las principales características histopatológicas de dichas lesiones. El objetivo del presente manuscrito es describir los principales hallazgos histopatológicos y la malignidad de las masas suprarrenales en un centro médico especializado en patología de Bucaramanga, Santander. Metodología. Estudio descriptivo y retrospectivo. Se revisaron patologías de pacientes de todas las edades con alteraciones histopatológicas en la glándula suprarrenal, en un centro médico de Bucaramanga, Santander. Resultados. Se revisaron 79 patologías suprarrenales de las cuales 39 presentaron lesión a nivel de la glándula suprarrenal, la lesión más frecuente encontrada fue la metástasis (28.2%), y la localización de lesión más frecuente se evidenció en la glándula derecha (62.1%). Conclusión. Es fundamental que se realicen estudios prospectivos que permitan obtener datos epidemiológicos con el fin de generar datos locales.
El mundo en efervescencia
Authors: Roher Mauricio
Published: August 2021

Esta obra, de tendencia abstracta, la concibo como un intento por plasmar lo vertiginoso en que el presente ocurre y los cambios del mundo suceden.

Me detengo, y reflexiono que ante la pandemia nunca los ciudadanos de la urbe nos habíamos visto inmersos en una misma circunstancia así de compleja, en una misma “moda” obligatoria, la de tener que confinarse y usar una prenda sobre la boca y la nariz para no situarse en riesgo, ni arriesgar la salud de los demás, entre otras vastas precauciones.

Luego viene a mi mente y fluye una de las sensaciones ilusorias que deseo representar con mayor ahínco en esta pintura, y que es precisamente “el vértigo”, esa agitación interna que causa el estado de la incertidumbre; ese momento en que percibimos de pronto que lo externo está rotando y desplazándose alrededor de uno en el espacio mientras ocurre la oscilación e inestabilidad que ha traído la actualidad. Así, desde el imaginario colectivo aparece en el ángulo inferior de la pintura una ciudad ubicada en cualquier latitud del mundo, viviendo ese instante de efervescencia que viene aparejado de todo aquello que se mueve y que busca regresar a su equilibrio.

En ese orden, con círculos, trazos sinuosos y el uso de colores primarios, dejo también que la obra me sorprenda mientras la realizo desde lo que algunos llaman “el accidente controlado”. Es entonces que trato de representar por encima de esa ciudad azul y mediante una suerte de niebla, humo o algún tipo de “quintaesencia”, las consecuencias inesperadas que se desatan por haber ocurrido la actividad intensa que hay detrás del ritmo acelerado que como humanidad llevábamos en el planeta, pero que ahora busca encontrar su lugar en una atmósfera ya no caótica, sino un resquicio para poder disiparse. La esperanza de que hallaremos un remanso a las secuelas desatadas por un virus con el que aún seguimos lidiando como una sola especie.
Gênero e política: igualdade de gênero e diversidade sexual na crise da democracia
Authors: Biroli Flávia
Published: August 2021

“A questão que atravessa tudo que faço são as disputas em torno do próprio sentido da democracia”. Assim, a pesquisadora Flávia Biroli compreende sua trajetória na ciência. Em entrevista à Reciis, comenta sobre suas pesquisas que perpassaram a interface comunicação e política e seus estudos mais recentes sobre gênero e democracia. Biroli discute o que denomina de neoconservadorismo, que se dá por alianças de diferentes atores conservadores de escala transnacional as quais atuam contra as agendas de igualdade de gênero e diversidade sexual. Tais ações se utilizam da dimensão moral e de valores tradicionais ‘de família’ como justificativas para a promoção de processos de erosão da democracia. Em relação aos feminismos, entende que, tanto na expressão acadêmica quanto na expressão política, o diagnóstico interseccional das opressões de gênero é central para a compreensão e para solidariedades sociais e resistências políticas. Em contexto de pandemia, Biroli discorre sobre seus efeitos nas mulheres, mais responsabilizadas pelas práticas do cuidado. Para a pesquisadora, pensar nos modos de organização social que levam em conta relações de dependência e vulnerabilidade é também pensar na constituição de uma sociedade mais justa e sustentável. Flávia Biroli é professora associada do Instituto de Ciência Política da Universidade de Brasília (UnB).
Urinary Incontinence During Pregnancy And Determination Of The Factors Affecting It
Authors: ÇITAK Gizem , DEMİRTÜRK Funda
Published: August 2021

Introduction: This study was conducted to determine the prevalence of urinary incontinence in pregnancy and the factors affecting it.

Materials and Methods: A total of 300 pregnant women were included. Subjects were examined in terms of physical and sociodemographic characteristics as well as chronic illness status, prenatal and gestational drug use, pelvic trauma and surgical history, chronic cough and smoking, presence of constipation, contraceptive use, obstetric history and urinary incontinence before and during pregnancy. The Sandvik index was used to determine the severity of incontinence in cases having incontinence and the King’s Health Questionnaire was used to assess the quality of life of the incontinent.

Results: It was determined that 173 women (%57.7) had urinary incontinence during their pregnancy; and found that having urinary incontinence prior to pregnancy, use of anti-hypertensive in pregnancy, trimester, disuri and fullness sensation of bladder before and during pregnancy and difficulty in urination during pregnancy were the factors affecting incontinence in pregnancy (p0.05).

Conclusion: Urinary incontinence in pregnancy is affected by neither advanced physical stresses in the current pregnancy nor by the previous obstetric history; but non-mechanical factors such as the maternal genetic structure and/or hormonal and physiological changes are thought to play role in urinary incontinence development.

*Presented As The Oral Paper İn The 4th International 5th National Midwifery Congress, master’s thesis
Effect of intraperitoneal and systemic sirolimus administration on postoperative peritoneal adhesions in rats
Authors: İNAL Abdullah , SAYDAM Mehmet
Published: August 2021

Purpose: Consequences and complications due to postsurgical adhesions remain to be substantially high. Perilous complications such as inadvertent enterotomy during reopening of abdomen or bowel obstruction may cause not only morbidity but also mortality. Immunosuppressive drugs seem to have a positive effect on postoperative adhesion prevention. Sirolimus is a carbocyclic, lactone-lactam macrolide antibiotic with immunosuppressive, antitumoral, and antifungal properties. Currently sirolimus has clinical usage in posttransplantation immunosuppression and in coronary and peripheral artery vascular stents on routine basis with a relatively low adverse effect profile. We aimed to define and compare systemic and intraperitoneal effect of sirolimus on postoperative peritoneal adhesions.

Methods: Three groups of rats for intraperitoneal sirolimus, systemic sirolimus, and control group have been constituted. A peritoneal adhesion model created on each rat. On postoperative 7. day all rats were surgically explored and evaluated with a macroscopic adhesion scoring system.

Results: After macroscopic evaluation scores assessed, there were statistically significant difference between three groups (intraperitoneal sirolimus, oral-systemic sirolimus and control). There was statistically significant difference between intraperitoneal sirolimus and control groups.

Conclusion: This study showed that in a rat model intraperitoneal sirolimus administration has significant effect on postoperative adhesion prevention.
Economic Assessment of Options for Prospective Development of Production Subsystem of Export-Oriented Coal Companies
Authors: Kuzmina A.O. , Karpenko N.V. , Popov S.M. , Rozhkov A.A.
Published: August 2021

The authors review the challenges and trends of the Russian coal exports and describe fields that are potentially attractive for exports in the new coal mining centers in the East of Russia. A conclusion is made that the only option available for the Russian coal industry in the eastern parts of the country is the export-oriented sustainable development in conditions when the global coal trade is shifting towards the Asia-Pacific region. Scientific and methodological support for the implementation of investment projects of Russian coal companies has been developed for the new economic conditions. The economic and mathematical model is proposed to assess the options of perspective development of production subsystem of an export-oriented coal company, which helps to define the parameters of a rational option to develop the coal sector including the volumes of annual expenses of investors to obtain the highest revenue from coal export.
Prospects for development of Vietnam underwater springs
Authors: Kirichenko Yu.V. , Ngo  Quy Tran Thien
Published: August 2021

The issues of the relevance of exploration and development of seabed deposits are considered. The article provides information on the history and composition of studies of solid mineral deposits carried out in the South China Sea by scientists of the Democratic Republic of Vietnam. The oceanographic and geological characteristics of the Pacific coast of Vietnam, its shelf and continental slope are given. The conditions that form placer deposits in the exclusive economic zone of Vietnam are given, and their brief description is given. Examples of various placers in the shelf zone, their features are given, and schematic diagrams of occurrence are given. The dependence of the littoral width on the height of the tidal wave and the angle of inclination of the shelf is analyzed. Proposals are given on the possibility of developing alluvial deposits in the littoral zone using dry drilling equipment, the advantages and disadvantages of this technology are stated. The features of the influence of climatic conditions of the Pacific coast of Vietnam on the use of hydromechanized technologies in the development of underwater placers are noted. Emphasis is placed on maintaining the ecological balance in the fields of development and the continuation of further research in the South China Sea.
On Miner's Location in Underground Mines
Authors: Novikov A.V. , Panevnikov K.V. , Pisarev I.V.
Published: August 2021

To ensure industrial and mining safety the established safety rules for coal mines envisage the use of a number of complexes and systems, combined into multifunctional safety systems. These automated systems provide for people to be involved in the management of technological processes. The purpose of this paper is to assess how the coal mine safety requirements are aligned with other regulatory documents as they apply to modern safety systems in coal mines. To achieve this goal, the personnel location (positioning) and emergency alert systems in coal mine workings are analyzed for compliance with the requirements of the national standard for multifunctional safety systems in coal mines. It is shown that the current requirements for positioning systems are met by systems that have high accuracy in determining the location coordinates of people. It is suggested that positioning systems of the zonal type should be either upgraded to increase the number of readout devices to bring them up to the requirements of safety regulations in coal mines or replaced.
Promising Applications of Additive-Manufactured (3D-printed) Electrochemical Sensors for Forensic Chemistry
Authors: Castro Sílvia , Rocha Raquel , João Afonso , Richter Eduardo , Munoz Rodrigo
Published: August 2021

Additive-manufacturing is one of the major pillars of the new industrial revolution and the three-dimensional (3D) printing technology has been highlighted in this scenario. Among the many areas benefited by 3D-printing, the development of electrochemical sensors has appeared in evidence in the last years. One potential application of 3D-printed electrochemical sensors is devoted to forensic chemistry, which demands for portable analytical methods that can provide on-site measurements and thus bring a relevant information in loco. In this context, this review highlights the recent contribution of 3D-printing technology on the development of electrochemical sensors with great promises for on-site analysis in “real-world” forensic scenarios. From the detection of trace explosives, gunshot residues, illicit drugs and chemical threats, to the measurement of adulterants in food and fuels, we show the wide range of applications that 3D-printed electrochemical sensors have been proposed and future demands that can be addressed by such a powerful, affordable, and accessible tool.
Inter-rater reliability of Böhler and Gissane angles in different calcaneal fracture according to the Essex-Lopresti and Sanders classifications
Authors: Barroco Rui dos Santos , Miranda Bruno Rodrigues de , Fernandes Herbert Amantéa , Pessoa Gregory Bittar , Nishikawa Danilo Ryuko Cândido , Oliveira Leticia Zaccaria Prates de , De Freitas Álvaro Diego Pupa , Almeida Caio Ivo de
Published: August 2021

Objective: To evaluate the inter-rater reliability and intra-class correlation coefficients (ICC) of Böhler’s angle and the critical angle of Gissane in calcaneal fractures, stratified by severity and by the Essex-Lopresti and Sanders classifications. Methods: Retrospective study of radiographs obtained from 97 patients: 67 with calcaneal fractures and 30 with normal lateral radiographs (used as a control group). Böhler’s angle and the angle of Gissane were measured by six raters: two orthopedic surgery residents, two musculoskeletal radiologists, a foot and ankle surgery fellow, and a senior consultant in foot surgery. Statistical analysis of inter-rater reliability was performed for the two angles, in the sample overall and stratified by the different radiographic and CT subtypes of calcaneal fractures. Results: For the angle of Gissane, the ICC was at best 0.400 (95% CI: 0.250 to 0.581) for normal radiographs, with poor agreement across all classifications and severity stratifications. For Böhler’s angle, the ICC values indicated weak to moderate agreement, with the best reproducibility obtained for the overall sample (0.740; 95% CI: 0.673 to 0.801). In Sanders type 1 fractures, the ICC was 0.704 (95% CI: 0.397 to 0.940), and in Sanders type 2 fractures, 0.762 (95% CI: 0.634 to 0.870). Conclusion: Böhler’s angle is more reproducible than the critical angle of Gissane, with greater inter-rater reliability among fractures deemed less severe on the Sanders classification, although the overall ICC ranged from weak to moderate at best. Level of Evidence III; Case Control Study; Diagnostic Studies.
Mobilization protocol and early postoperative weight-bearing in transyndesmal ankle fractures
Authors: Yearson Diego , Melendez Ignacio , Anain Federico , Siniscalchi Santiago , Drago Juan
Published: August 2021

Objective: To disseminate a rehabilitation protocol with early mobilization and ambulation, with no external supports, reducing the time until full weight-bearing and providing greater postoperative comfort. Methods: We prospectively assessed a series of 68 patients, with level of evidence IV, mean age of 33.3 years. We performed open reduction with ankle lateral approach (Kocher) and internal fixation with an interfragmentary compression screw and a one-third locked tubular plate for neutralization. All patients were subjected to a rehabilitation protocol with early mobilization and weight-bearing. Results: No fracture displacements were observed on the postoperative radiographic controls, neither loosening nor ruptures of implants. There was no need to change rehabilitation guidelines either due to pain or to other subjective limitation. Conclusion: We can state that early joint mobilization and controlled progressive support, with appropriate osteosynthesis, resulting in an early return to everyday activities, both work and sports ones. Level of Evidence IV; Therapeutic Studies; Case Series.
Minimally invasive chevron/akin osteotomy: radiographic outcomes
Authors: Carvalho Kepler Alencar Mendes de , Torrico Fernando Garnica , Oliveira David Satiro Borges Pereira de , Baptista André Donato
Published: August 2021

Objective: To evaluate radiographic outcomes in patients undergoing minimally invasive Chevron/Akin osteotomy (MICA) for hallux valgus correction. Methods: We have treated 31 patients (40 feet). Preoperative and postoperative hallux metatarsophalangeal angles (hallux valgus angles, HVA), intermetatarsal angles (IMA) between the first and second metatarsals, and distal metatarsal articular angles (DMAA) were followed up for 12 months. Results: The mean age of the patients was 53.2 years. Mean preoperative HVA, IMA, and DMAA values were 28.85°, 15.38°, and 14.35°, respectively. The mean postoperative angles measured after 1 year were 10.60°, 7.95°, and 7.48°. Improvements in HVA, IMA, and DMAA values showed statistical relevance. There were no losses in angular parameters during follow-up. Conclusion: The radiographic outcomes in patients undergoing MICA osteotomy for hallux valgus correction followed up for 12 months showed significant improvements and no recurrence of the deformity. Our results suggest that this technique is effective for correcting hallux valgus. Level of Evidence III; Therapeutic Studies; Comparative Retrospective Study.
Selected Compositions
Authors: Hewitt James
Published: August 2021

Through his many activities as composer, publisher, performer, and conductor, James Hewitt was a major force in the concert and theater life of New York and Boston from 1795 until 1820. This volume presents a sampling of his compositions, beginning with nineteen secular songs, all for voice and keyboard, followed by two sacred songs for a cappella voices in open score. Also included are ten works for solo keyboard: four marches, a waltz, a medley, a theme and variations, two sonatas, and a battle piece.
Piano Concerto in B-flat
Authors: Steffan Joseph Anton
Published: August 2021

With the exception of Mozart, Steffan was the most advanced composer of keyboard concertos in late eighteenth-century Vienna. His stylistic individuality, which appeared early in his pioneering sonatas, emerges with striking effect in the late concertos, of which this work (for solo piano, strings, and horns) is an outstanding example.
Piano Concerto, Opus 113
Authors: Hummel Johann Nepomuk
Published: August 2021

The Piano Concerto in A-flat Major, op. 113, was composed in 1827. This edition presents the first full-score publication of this little-known late work by Hummel, one of the most popular composers of early-nineteenth-century Europe. Opus 113 was one of his last major compositions and can be considered one of the landmarks of late Viennese classicism.
Complete Madrigals 2
Authors: Gabrieli Andrea
Published: August 2021

This volume includes all twenty-four of Andrea Gabrieli's four-voice madrigals, most of which are drawn from manuscript sources, and his seven greghesche for four, five, and seven voices, which were published in 1564.
SUMBANGSIH PERANGKAT LUNAK DALAM MANAJEMEN PROYEK PERANGKAT LUNAK
Authors: Amrozi Yusuf , Ahdi Moh Wafiyul , Aziz Kamal Abdul
Published: August 2021

Pengerjaan suatu proyek bisa dikatakan berhasil apabila pelaksanaan dan pengendalian yang sangat bagus agar terhindar dari kegagalan suatu proyek. Dengan adanya perkembangan perangkat lunak pada bidang manajemen proyek, kini para manajer proyek dapat memanfaatkan hal tersebut untuk menyelesaikan suatu proyek dengan lancar. Manfaat yang dapat dirasakan dalam penggunaan perangkat lunak untuk membantu pengerjaan proyek adalah meningkatnya kualitas perencanaan, pelaksanaan dan pengendalian suatu proyek. Tujuan dari  jurnal ini adalah untuk  menggali lebih dalam mengenai sebesar apa sumbangsih dari perangkat lunak terhadap pelaksanaan manajemen proyek. Kesimpulan yang bisa didapat adalah bahwa perangkat lunak memiliki kemudahan dalam akses dan manfaat dalam pelaksanaan manajemen proyek sehingga pelaksanaan proyek menjadi lancar tanpa adanya kegagalan.
Differential expression of protein phosphatase 1 regulatory subunit 3C in human epithelial ovarian cancer.
Authors: Mamoor Shahan
Published: August 2021

Epithelial ovarian cancer (EOC) is the most lethal gynecologic cancer (1). We performed discovery of genes associated with epithelial ovarian cancer and of the high-grade serous ovarian cancer (HGSC) subtype, using published microarray data (2, 3) to compare global gene expression profiles of normal ovary or fallopian tube with that of primary tumors from women diagnosed with epithelial ovarian cancer or HGSC. We identified the gene encoding protein phosphatase 1 regulatory subunit 3C, PPP1R3C, as among the genes whose expression was most different in epithelial ovarian cancer as compared to the normal fallopian tube. PPP1R3C expression was significantly lower in high-grade serous ovarian tumors relative to normal fallopian tube. PPP1R3C expression correlated with overall survival in patients with ovarian cancer. These data indicate that expression of PPP1R3C is perturbed in epithelial ovarian cancers broadly and in ovarian cancers of the HGSC subtype. PPP1R3C may be relevant to pathways underlying ovarian cancer initiation (transformation) or progression.
Stability Analysis and Harvesting Effort Predator Prey Populations Model Holling Type III with Maximum Profit
Authors: D. Didiharyono
Published: August 2021

In this paper discussed stability analysis and harvesting effort at second predator prey populations model Holling type III with maximum profit. The step this research is to determine the equilibrium point, linearize the model, stability analysis of the equilibrium point, and numerical simulation. Result shows that obtained an interior point T𝐸2∗(𝑁1∗,𝑁2∗) that asymptotic stable based on Hurwitz stability test then obtained maximum profit from exploitation harvesting effort of second predator prey populations. This second populations will always exist, even though exploited with harvesting effort done by humans. Harvesting effort of second predator-prey populations given maximum profit (𝜋𝑚𝑎𝑥) that occur on critical points of surface profit function
Status prawny sędziego w Zjednoczonym Królestwie Wielkiej Brytanii i Irlandii Północnej
Authors: Moulin-Stozek Maria
Published: August 2021

W Wielkiej Brytanii społeczeństwo ma zaufanie do systemu sądownictwa, jak i do sędziów. Korupcja w sądownictwie, w przeszłości będąca zjawiskiem powszechnym, obecnie nie jest problemem brytyjskiego wymiaru sprawiedliwości. Na sądownictwo w Wielkiej Brytanii wciąż jednak ma silny wpływ jego historia. Odnosi się to zarówno do struktury sądów, jak i do problemów społeczno-politycznych, z jakimi zmaga się wymiar sprawiedliwości.