bluuebunny/crossref_metadata_2025 huggingface dataset:
CONSUMO DE BENZODIAZEPÍNICOS E OPIOIDES NO PRIMEIRO QUADRIMESTRE DE 2020 EM UMA UNIDADE DE PRONTO ATENDIMENTO DA PARAÍBA
Authors: Moreira dos Santos Rômulo , Daniel Trajano dos Santos Raissa , Rebecka Neves Araújo Tássya , Layse Câmara de Almeida Luana , Beatriz Camêlo Luana
Published: March 2021

Objetivo: Verificar a dispensação de benzodiazepínicos e analgésicos opioides, classificando-os pelo Anatomic Therapeutic Chemical e quantificando os gastos a partir de valores base da Câmara de Regulação do Mercado de Medicamentos. Método: O estudo foi do tipo transversal, com abordagem quantitativa, desenvolvido na Unidade de Pronto Atendimento de Porte III do município de Campina Grande, durante o mês de abril de 2020. Foram consultadas as planilhas de estoque da Farmácia desse serviço de saúde de urgência e emergência, referentes ao primeiro quadrimestre do corrente ano, para verificação do consumo de benzodiazepínicos e opioides dispensados para os pacientes em atendimento na faixa temporal selecionada, sem contato algum, direto ou indireto, com estes pacientes ou suas informações pessoais. Resultados: Foram dispensados um total de 2882 apresentações farmacêuticas dos medicamentos benzodiazepínicos ou opioides, sendo estes últimos motivo de 62,3% das dispensações. Conclusão: É de grande importância a verificação do uso de medicamentos na sociedade, para melhor entender suas indicações, problemas associados e gastos para manutenção dos tratamentos. Pelo grande número de opioides dispensados em altas concentrações, seria adequada a implementação de programas de educação em saúde para os funcionários, que resultassem sempre no melhor atendimento aos usuários do serviço.

Palavras chave: Farmacoepidemiologia. Unidade de Pronto Atendimento. Medicamento de Controle Especial.
ANÁLISE EPIDEMIOLÓGICA DAS TENTATIVAS DE SUICÍDIO POR INTOXICAÇÃO EXÓGENA
Authors: Renally Cavalcante Santos de Moraes Allana , Costa e Silva Raquel , Cavalcante Santos Edenilson
Published: March 2021

O suicídio é um fenômeno complexo e multifatorial, em que a depressão, transtorno bipolar, esquizofrenia, problemas familiares e socioeconômicos, abuso de álcool e drogas podem ser fatores desencadeantes para esta ação. Objetivo: Descrever o perfil epidemiológico das tentativas de suicídio no Brasil, durante o ano de 2017. Método: Pesquisa transversal, de caráter quantitativo, qualitativo e documental, obtidos a partir dos dados notificados na plataforma Datasus (Departamento de Informática do Sistema Único de Saúde), pelo SINAN (Sistema de Informação de Agravo de Notificação) por intoxicações exógenas no país, especificamente a circunstância de tentativa de suicídio. Resultados: Entre janeiro e dezembro de 2017, foram notificados 132.843 casos de intoxicações exógenas, entre os quais, 50.759 (38,2%) corresponderam a tentativas de suicídio. Verificou-se também que o gênero feminino foi o que apresentou maiores índices de ideação suicida, com 37.099 (73,1%) dos casos relacionados, com faixa etária entre 20 a 39 anos (17.552; 47,3%), ensino fundamental incompleto (6.373; 17,3%), utilizando-se de ingesta proposital de medicamentos (29.955; 79,7%). Verificou-se também que as tentativas de suicídio podem atingir as faixas mais jovens da população estudada (10 a 14 anos) (3.111; 6,1%). Conclusão: A partir dos resultados obtidos, verificou-se que as mulheres possuem maiores chances de ideação e planejamento suicida do que os homens. Os agrotóxicos também consistem em agentes bastante utilizados, principalmente pelos homens, apesar de toda legislação vigente. Desta forma, a compreensão do perfil dos indivíduos com ideações suicidas pode subsidiar ações duradouras de promoção em saúde mental através da atenção básica e assistência psicossocial.

Palavras chave: Autoextermínio. Saúde Mental. Envenenamento.
CRITÉRIOS PARA AVALIAÇÃO DOS SERVIÇOS DE SAÚDE NA PERSPECTIVA DO USUÁRIO: UMA REVISÃO INTEGRATIVA
Authors: Fernanda Souto Nóbrega Waleska , Anne de Lima Gomes Kedma , Sofia dos Santos Andrade Lorena , Dantas Ribeiro Adyelle , Kateriny Moura de Oliveira Lopes Layrlla
Published: March 2021

Objetivo: Realizar uma revisão integrativa da literatura sobre avaliação da satisfação do usuário no Brasil e discutir os critérios utilizados. Método: A pesquisa foi realizada no Portal de Periódicos CAPES em Dezembro de 2019, através dos descritores “Avaliação dos serviços de Saúde” e “usuários” com auxílio do operador boleano “and”. Foram utilizados os filtros “somente artigos”, “tópicos public health e Brazil” e a busca foi limitada às publicações referentes aos últimos 5 anos. Após a leitura dos títulos e resumos dos artigos científicos, foram selecionados 20 artigos originais para compor a presente revisão. Resultados: A maioria dos artigos foram publicados no periódico Ciência & Saúde Coletiva e seu objetivo principal foi realizar a avaliação de serviços de saúde bucal. A maior parte dos estudos utilizaram a abordagem quantitativa através de questionários estruturados, onde buscaram avaliar a satisfação essencialmente com a estrutura física, acolhimento e tempo de espera para o atendimento e conceito geral do serviço. Entretanto a maioria dos estudos utilizam instrumentos diferentes que impossibilitam a comparação entre eles. Conclusão: As diferentes abordagens metodológicas e a falta de concordância entre os critérios avaliados impossibilitam a comparação entre os resultados das diferentes pesquisas. Salienta-se a importância do estabelecimento de um consenso entre os especialistas, culminando na validação do conceito de satisfação e de metodologias específicas para avaliação dos serviços através da visão do usuário. Palavras chave: Satisfação de usuários. Programa de saúde. Métodos. Instrumentos.
A PRÁTICA DE ATIVIDADES FÍSICAS EM IDOSOS E SUA CORRELAÇÃO COM UM ENVELHECIMENTO SAUDÁVEL
Authors: Bezerra Alves Hirisdiane , Pereira Vasconcelos Karla , Thamires Lacerda Silva Cleisla , Araújo Bezerra Kalyne , Bezerra Alves Hirisleide
Published: March 2021

O processo de envelhecimento é caracterizado por mudanças nos hábitos e estilo de vida. A taxa de inatividade física entre os idosos chega a ser de 32, 3%, o que é um grande desafio para a saúde pública. Objetivo: Nesse contexto, nota-se que há uma necessidade de estudos mais aprofundados acerca da importância da prática regular de atividade física pelo idoso. Assim a presente pesquisa visa descrever a prática de atividade física em idosos e a sua correlação com um envelhecimento saudável. Método: Trata-se de uma revisão bibliográfica integrativa, onde as bases de dados MEDLINE/PUBMED, LILACS, SCIELO, DOT LIB, livros e Revistas Eletrônicas de Saúde foram consultadas para o levantamento de artigos científicos. Como critérios de inclusão utilizou-se: Artigos sem restrição de língua, que estivessem disponíveis nas bases de dados no período de busca, além de estarem dispostos integralmente. Foram utilizados 41 artigos a fim de compor a presente revisão. Para a busca foram selecionados descritores de ciências da saúde: Envelhecimento. Promoção da saúde. Exercício físico. Saúde. Resultados: A prática regular de exercícios físicos em idosos melhora as funções orgânicas e cognitivas, garantindo maior independência pessoal, prevenindo e controlando doenças como diabetes, hipertensão, síndrome sarcopénica, depressão e demência, além de atuar na prevenção de agravos à saúde do idoso como quedas e fraturas. Conclusão: A prática regular de atividades físicas pelo idoso é de suma importância na prevenção, tratamento e redução de algumas doenças, sendo um fator que atua fortemente na qualidade de vida, promoção da saúde e envelhecimento saudável.

Palavras chave: Envelhecimento. Promoção da saúde. Exercício físico. Saúde.
ANÁLISE COMPARATIVA DO NÚMERO DE ÓBITOS POR SUICÍDIO ENTRE A CIDADE DE ARAGUAÍNA E O ESTADO DO TOCANTINS NO PERÍODO DE 2015 A 2020
Authors: Coutinho Martins Ferreira Mariana , Laryssa Ferreira da Silva Maria , da Silva Propércio Jane
Published: March 2021

Objetivo: O suicídio é um fenômeno que ocorre em todo o mundo. Estima-se que anualmente mais de 800 mil pessoas cometem suicídio no mundo, o que equivale a um suicídio a cada 40 segundos (WHO, 2019). Esse trabalho tem como objetivo analisar o perfil epidemiológico dos óbitos por suicídio no município de Araguaína de forma comparativa com o Estado do Tocantins, relacionando a prevalência do número de casos com o ano de notificação, sexo, faixa etária, raça, local de ocorrência e o tipo de lesão autoprovocada que causou o óbito. Método: Trata-se de um estudo observacional, descritivo e retrospectivo dos casos de óbitos por lesões autoprovocadas voluntariamente no município de Araguaína, de forma comparativa com o Estado do Tocantins, no período de 2015 a 2020, por meio dos dados fornecidos pelo Sistema de Informação em Mortalidade (SIM), publicados pelo DataSUS e disponíveis na página online do Ministério da Saúde. Resultados: Os resultados demostram 640 casos de óbitos por suicídio no Estado do Tocantins durante o período estudado, e no município de Araguaína 66 casos, representando apenas 10,31% do total de casos do Estado do Tocantins. O método de lesão autoprovocada mais utilizado foi o enforcamento, com predomínio do sexo masculino. Conclusão: Diante deste contexto, e por ser um grande impasse na saúde pública, é imprescindível o desenvolvimento de políticas públicas e estratégias multidisciplinares, além de conscientização da população e capacitação dos profissionais da saúde para ajudarem na identificação dos grupos de risco.

Palavras-chave: Epidemiologia. Mortalidade. Saúde mental.
Introduction
Authors: Caruana Louis
Published: March 2021

An introduction to the journal is presented in which the author cites that the issue is dedicated to the works of Jesuit philosophers, discusses Jesuits engagement in philosophy, and provides an overview of articles published within the issue.
On Buddhist and Taoist Morality
Authors: Baldwin Eric
Published: March 2021

Arthur Danto argues that all Eastern philosophies—except Confucianism—fail to accept necessary conditions on genuine morality: a robust notion of agency and that actions are praiseworthy only if performed voluntarily, in accordance with rules, and from motives based on the moral worth and well-being of others. But Danto's arguments fail: Neo-Taoism and Mohism satisfy these allegedly necessary constraints and Taoism and Buddhism both posit moral reasons that fall outside the scope of Danto's allegedly necessary conditions on genuine morality. Thus, our initial reaction, that these eastern philosophies offer genuine moral reasons for action, is sustained rather than overturned.
Morality and The Three-fold Existence of God
Authors: Armour Leslie
Published: March 2021

Arguments about the existence of a being who is infinite and perfect involve claims about a being who must appear in all the orders and dimensions of reality. Anything else implies finitude. Ideas about goodness seem inseparable from arguments about the existence of God and Kant's claim that such arguments ultimately belong to moral theology seems plausible. The claim that we can rely on the postulates of pure practical reason is stronger than many suppose. But one must show that a being who is infinite and perfect is even possible, and any such being must be present in the physical world as well as in what Pascal called the orders of the intellect and morality (which he called the order of charity). Indeed, locating God in the various orders without creating conflicts is problematic. Such arguments are necessarily difficult and sometimes self-defeating but I argue in this paper that there is a promising path.
Faith and Conscience—The Surest of Arguments for the Existence of God
Authors: Grzesik Tadeusz
Published: March 2021

In the first part of my paper, I shall consider how Anselm of Canterbury’s so-called ontological argument has been misapprehended by those treating it as a proof for the existence of God. In the second part, I shall focus on Chapter One of the Proslogion and on the Epistola de incarnatione Verbi to show what Anselm’s real purpose was regarding the problem of the existence of God. I shall support my view by referring also to the thought of John Henry Newman and Henri de Lubac.
Ovalóides em espaço de parâmetros
Authors: Vieira Arlane Manoel Silva , Souza Mauricio Cardoso , Carvalho Otávio
Published: March 2021

A dinâmica topológica induzida por inversões geométricas no plano complexo já foi abordada e os resultados foram apresentados por Vieira et al. (2017). Posteriormente, foi verificado que, para uma coleção com três inversões, o espaço de parâmetros das medidas de Markov com suporte no atrator do sistema é um subconjunto aberto de R3 folheado por superfícies de nível compactas definidas pela entropia métrica: superfícies isentrópicas (VIEIRA et al., 2018). O objetivo deste artigo é usar a Teoria de Morse para descrever a geometria global dessas superfícies. Como funções dos níveis, provamos que a área e o diâmetro tendem a zero e que a curvatura Gaussiana é ilimitada, quando os níveis se aproximam do nível crítico (entropia máxima). Em particular, demonstramos que existe um intervalo aberto maximal de níveis para os quais as superfícies são ovalóides.
TINJAUAN PENYALAHGUNAAN DANA DESA OLEH KEPALA DESA DI WILAYAH KEPOLISIAN RESOR WAJO
Authors: Syarifuddin Syarifuddin , Renggong Ruslan , Madiong Baso
Published: March 2021

Tujuan penelitian ini adalah untuk mengetahui dan menganalisis penegakan hukum terhadap penyalahgunaan dana desa oleh kepala desa di wilayah Polres Wajo dan untuk mengetahui dan menganalisis faktor-faktor yang mempengaruhi efektivitas penegakan hukum terhadap penyalahgunaan dana desa oleh kepala desa di wilayah Polres Wajo. Tipe penelitian ini adalah penelitian deskriptif dengan pendekatan yuridis-empiris Penelitian ini dilaksanakan di Kabupaten Wajo yaitu tepatnya di Polres Wajo. Populasi dalam penelitian ini, antara lain: seluruh warga desa di Wilayah Polres Wajo. Sampel dalam penelitian ini ditentukan sebanyak 50 orang responden dengan menggunakan teknik purposive sampling Jenis data yang diperlukan dalam penelitian ini adalah data primer dan data sekunder. Metode pengumpulan data yang digunakan adalah melalui wawancara, dokumentasi dan kuesioner (angket). Analisis data menggunakan metode analisis kualitatif dan kuantitatif. Hasil Penelitian menunjukkan bahwa; Penegakan hukum terhadap penyalahgunaan dana desa oleh kepala desa di Wilayah Polres Wajo sudah dilaksanakan sesuai peraturan perundang-undangan yang berlaku. Sementara faktor substansi hukum, struktur hukum, sarana dan prasarana, budaya hukum, kesadaran hukum, dan biaya operasional berpengaruh terhadap efektifitas penegakan hukum penyalahgunaan dana desa oleh kepala desa di wilayah Polres Wajo, antara lain: substansi hukum, struktur hukum, sarana dan prasarana, budaya hukum, kesadaran hukum, dan biaya operasional.
The purpose of this study was to determine and analyze law enforcement on misuse of village funds by the village heads in Wajo Police area and to identify and analyze the factors that influence the effectiveness of law enforcement on misuse of village funds by the village heads in the Wajo Police area. This type of research is a descriptive study with a juridical-empirical approach. This research was conducted in Wajo Regency, which is precisely at Wajo Police Station. The population in this study included: all villagers in the Wajo Police Area. The samples in this study were 50 respondents determined by using purposive sampling techniques. The type of data needed in this study are primary data and secondary data. Data collection methods used were through interviews, documentation and questionnaires. Data analysis used was qualitative and quantitative analysis methods. Research shows that; Law enforcement against the misuse of village funds by the village heads in the Wajo Police Area has been carried out in accordance with applicable laws and regulations. Meanwhile the factors of legal substance, legal structure, facilities and infrastructure, legal culture, legal awareness, and operational costs affect the effectiveness of law enforcement of village fund misuse by the village heads in the Wajo Police Area, such as: legal substance, legal structure, facilities and infrastructure, legal culture, legal awareness, and operational costs.
Paracoccidiodomicosis aguda-subaguda ganglionar con eosinofilia asociada
Authors: Pineda Ruiz Juan Carlos , Montoya Bernal Angela Patricia , Correa López Herman , Cruz Tangarife Xiomara Vanessa , Campiño Martínez María Cecilia
Published: March 2021

La paracoccidiodomicosis es una micosis endémica cuyo diagnóstico inicial puede ser difícil al compartir características clínicas de enfermedades granulomatosas y neoplásicas. Aunque su forma más frecuente es la crónica presentamos el caso de un paciente joven con un cuadro agudo/subagudo con linfadenopatías, eosinofilia periférica y una serología para hepatitis C falsamente positiva. El diagnóstico fue confirmado por histopatología y cultivo de tejidos y se dio manejo con anfotericina B ante el deterioro clínico por progresión del compromiso sistémico.
PROSPECTIVE CROSS SECTIONAL STUDY OF INCIDENCE AND CORRELATION
OF DYSLIPIDEMIA IN PREDICTING OUTCOME OF PATIENTS DIAGNOSED WITH
CEREBROVASCULAR ACCIDENT AT MMCH, MADHUBANI, BIHAR
Authors: Sah Dilip Kumar , Das [Prof.] Ajay Kumar Lal , Jana Debarshi
Published: March 2021

Introduction: Lipid abnormality has been described as one of the risk factor for ischemic stroke. However, there are limited studies comparing
stroke pattern (infarction and hemorrhage) with lipid prole of patients. Study aimed to study incidence and correlation of lipid abnormality in
cerebrovascular accident (CVA) patients.
Material And Methods: Hundred and twenty seven subjects were studied after dividing in to Cases (n=102, with CVA) and Control (n=25,
without CVA) in the Department of Medicine, Madhubani Medical College and Hospital, Madhubani, Bihar between January 2020 to December
2020. Detailed history and lipid prole was recorded for each subject. Stroke pattern was analyzed using brain CT/MRI for each patient.
Results: Most of the subjects among Cases and Control belong to the age groups of 61-85 years (45.09%) followed by 41-60 years (44%)
respectively. Among Cases, maximum patients were males (61.76%) whereas among Control, maximum patients were females (84%). Most of the
cases were smokers (53.92%). Among smokers of Case group, infarction (55%) was more common compared to hemorrhage (51%). Dyslipidemia
was more common among cases (56.86%) compared to control (28%) (p=0.009). Majority of patients (63.07%) with infarct had dyslipidemia as
compared to patients with hemorrhage (45.94%). Decreased high density lipoprotein (HDL) level (74%) was the main culprit among Cases
followed by decreased total cholesterol (64%). Out of 14 expired patients in Cases, 71.42% had dyslipidemia.
Conclusion: Decreased level of HDL was most commonly reported among ischemic compared to hemorrhagic stroke. Dyslipidemia was most
commonly reported in patients who died because of stroke.
STUDY OF LIPOPROTEIN(A) IN TYPE 2 DIABETIC SUBJECTS AND ITS
RELATIONSHIP TO DIABETIC MICROVASCULAR COMPLICATIONS AT MMCH,
MADHUBANI, BIHAR
Authors: Sah Dilip Kumar , Das Ajay Kumar Lal , Jana Debarshi
Published: March 2021

AIM: To estimate the level of serum lipoprotein (a) [Lp (a)] in type 2 diabetes mellitus patients and to determine the relationship between Lp(a) in
type 2 diabetes mellitus patients and micro-vascular complications.
METHODS: A cross sectional study was performed that enrolled 144 subjects with type 2 diabetes mellitus above the age of 25 years attending
outpatient Department of Medicine, Madhubani Medical College & Hospital, Madhubani, Bihar. Lp(a) levels were measured quantitatively in
venous samples using Turbidimetric Immunoassay in all subjects. Each patient was evaluated for micro vascular complications, namely diabetic
retinopathy, nephropathy and neuropathy. The relationship between Lp(a) levels and the micro vascular complications was assessed by univariate
analysis.
RESULTS: Mean age of cases was 53.93 ± 10.74 years with a male to female ratio of 1.3:1. Mean duration of diabetes was 9.53 ± 7.3 years.
Abnormal Lp(a) levels (≥ 30 mg/dL) were observed in 38 (26.4%) diabetic subjects. Seventy-eight (54.16%) cases had diabetic nephropathy and
signicantly higher Lp(a) levels were found among these cases [Median 28.2 mg/dL(Interquartile range; IQR 24.4-33.5) vs 19.3 mg/dL(IQR 14.7-
23.5); P< 0.05]. Retinopathy was present among 66 (45.13%) cases and peripheral neuropathy was detected among 54 (37.5%) cases. However,
Lp(a) levels were not signicantly different among those with or without retinopathy and neuropathy. Positive correlation was found between
higher Lp(a) levels and duration of diabetes (r = 0.165, P< 0.05) but not with HbA1c values (r = – 0.083).
CONCLUSION: Abnormal Lp(a) levels were found among 26.4% of diabetic subjects. Patients with diabetic nephropathy had higher Lp(a)
levels. No association was found between Lp(a) levels and diabetic retinopathy or neuropathy. Longer duration of diabetes correlated with higher
Lp(a) levels.
ROLE OF TRACE ELEMENTS (ZINC AND COPPER) IN DIAGNOSIS OF PATIENTS OF TELOGEN EFFLUVIUM
Authors: jain Chandan Mal , Sharma Ashish , Mohammad Jamil , Dashora Hemant
Published: March 2021

Background: Hair is considered as one of the most dening aspects of human appearance. Alopecia or hair loss is a common and very distressing problem that has a remarkable impact on quality of life. Telogen efuvium occurs when there is a marked increase in hairs shed each day. Women are major sufferer and found it more troublesome than men do; thus, more women seek medical attention for the condition. The effect of age is also unclear, with elderly women being reported to be more susceptible to acute Telogen efuvium (ATE) following high fever, surgical trauma, severe hemorrhage, or immense psychological stress. Material and Methods: The present study was conducted on female patients of age between 15 to 45 years attending the Dermatology Outpatient Clinic. There blood sample were tested for biochemical parameters Serum Zinc and Copper. Hairs pull test and Trichoscopic evaluation of hair loss was done by Dermatologist and considered positive when more than 10% of hair pulled out. Results: Mean age of cases was 29.50 ±7.92 and control age was 27.82±8.22, Serum Copper in cases is 105.45 ±49.95 while in control mean serum Copper is 122.28 ± 8.39. Similarly Serum Zinc in cases is 38.6±30.62 while in control is 61.97±27.70 .There is signicant difference (P=0.001) in Serum Zinc and Serum copper (p=0.032) between cases and control. Conclusion: Reduced level of serum copper and zinc in cases of Telogen efuvium found which is a sound clue for further interventional randamised control trial studies.
A STUDY OF CLINICAL CORRELATION WITH HISTOPATHOLOGICAL DIAGNOSIS OF ABNORMAL UTERINE BLEEDING AT JLNMCH, BHAGALPUR, BIHAR
Authors: Jha Archana , Kumar Satyendra , Kumari [Prof.] Usha , Jana Debarshi
Published: March 2021

Background: Abnormal uterine bleeding in perimenopausal women accounts for about 70% of gynaecologic Outpatient Department visits. Perimenoppause, also called the menopausal transition, is the interval in which a woman's body makes a natural shift from more or less regular cycles of ovulation and menstruation toward permanent infertility, or menopause. Polymenorrhagia, intermenstrrual bleeding and metrorrhagia are other common disorders at perimenopause. Endometrial sampling is a safe and effective diagnostic step in evaluation of abnormal uterine bleeding after ruling out medical causes. The present study was aimed to review the causes of abnormal uterine bleeding in perimenopausal women establishing the correlation with clinical diagnosis and histopathological examinations. A total of 150 perimenopausal Material and Methods: women with abnormal uterine bleeding in the age group of 37-51 years for a period of 6 months were included. These women were evaluated clinically and ultrasonographically for the cause of abnormal uterine bleeding. Clinical impression and USG reports were correlated. These women underwent dilatation and curettage for endometrial sampling and specimen sent for histopathological examination. Histopathological reports were correlated with clinical diagnosis. Most of the patients with AUB were Results: between 37-41 years of age (56%). The incidence was high in parity-3 (26%) annd grand multipara (49.33%). The majority of the women were presented with menorrhagia (54.66%). Clinically, majority of the cases were diagnosed as broids 66 (44%) followed by dysfunctional uterine bleeding (DUB) 56 (37.33%). However, histopathological reports conrmed broid in 52 cases, DUB in 49, adenomyosis in 36 and polyp in 11 cases. Fibroi Discussion: ds are common nding in women with menorrhagia. Clinical, radiological and pathological evaluation correlated very well to diagnose broids and DUB. However clinically as well USG proved of little help to diagnose adenomyosis and carcinoma of cervix and endometrium. Thus, histopathological evaluation of endometrium is recommended in perimenopausal women.
A CROSS-SECTIONAL STUDY OF PREVALENCE OF RISK FACTORS FOR UTERINE
FIBROIDS AT SKMCH, MUZAFFARPUR, BIHAR
Authors: Chetna Chetna , Lata Kumari Kanak , Sinha [Prof.] Abha Rani , Jana Debarshi
Published: March 2021

Objectives: To examine the prevalence of risk factors in patients suffering from uterine broid at Obstetrics and Gynaecology Department of
SKMCH, Muzaffarpur, Bihar
Methods:Across-sectional study carried out between January 2020 to December 2020 includes patients who were diagnosed with uterine broids.
The position and number of the broids were counted and noted by the reports of Ultrasound examinations. Especially we assessed the prevalence
of risk factors for uterine broids based on the questionnaire lled by the patients. The data were processed with the statistical program SPSS 25 and
Pvalue less than 0.05 were considered to be statically signicant.
Results: A total of 137 patients was studied, the majority of subjects were below the age group of 36-50 years (63.5%) followed by 21-35 years
2
(24.08%) and 51-65 years (12.4%). The average age of the participants was 42.08 ± 8.89 years. BMI showed that women with 25 kg/m to 29.9
2 2 2
kg/m (54.74%) and ≥30 kg/m (8.75%) experienced a higher prevalence of broids (χ2 =11.55, P =0.003) than women with 18.5 kg/m to 24.9
2
kg/m (36.49%). The average body mass index (BMI) of women with broids that were detected in our study was 27.5kg/m2. Other risk factors
were not signicantly linked with uterine broids.
Conclusion: Fibroid prevalence had a signicant correlation with age and BMI. Early detection and reduced body weight may bring down the
occurrence of uterine broids.
A STUDY OF PREVALENCE OF NON ALCOHOLIC FATTY LIVER IN TYPE 2
DIABETES MELLITUS PATIENTS
Authors: Sah Dilip Kumar , Das Ajay Kumar Lal , Jana Debarshi
Published: March 2021

Background: NAFLD is commonly associated with Type 2 diabetes mellitus in clinical practice it is overlooked despite the signicant clinical
implications of NAFLD in Type 2 diabetes mellitus. This study was done to estimate the prevalence of NAFLD in diabetes mellitus.
Material and methods: This study was conducted in 150 patients with Type 2 diabetes mellitus in Department of Medicine, Madhubani Medical
College and Hospital, Madhubani, Bihar over a period of 1 year. This study was a cross sectional non interventional study.
Results: The prevalence of NAFLD was 51. 3% and the prevalence was higher among females (42.6%) and higher in patients with central obesity
and dyslipidemia.
Conclusion: Since NAFLD is a common association with diabetes mellitus and the risk of complications is higher in patients with NAFLD, early
detection is needed to adopt preventive strategies
A STUDY OF SERUM URIC ACID LEVELS IN NEWLY DIAGNOSED CASES OF
ESSENTIAL HYPERTENSION
Authors: Jain Deepak , Thomas Ajith , Gupta Rajinder Singh
Published: March 2021

Background: The association of raised serum uric acid levels with various cardiovascular risk factors has often led to the debate of whether raised
serum uric acid levels could be an independent risk factor in essential hypertension. Hence, the present study was conducted for assessing the
serum uric acid levels in cases of essential hypertension and comparing them with normal healthy, non-hypertensive controls. Materials &
Methods: Sixty patients visiting in the department of general medicine, MMIMSR with newly diagnosed cases of essential hypertension
[according to the Indian guidelines on Hypertension(IGH) III-2013] , fullling the inclusion criteria and after verifying the exclusion criteria
were nally taken up for the study. Sixty controls of age and sex matched were taken from the same catchment area. Results: The mean age of the
subjects of the essential hypertension group and control group was found to be 45.75 years and 47.8 years respectively. Mean systolic blood
pressure and diastolic blood pressure among the subjects of the essential hypertension group was 161.3 and 102.3 mm of Hg. Mean systolic blood
pressure and diastolic blood pressure among the subjects of the control group was 116.8 and 77.4 mm of Hg. Mean serum uric acid levels among
the subjects of the essential hypertension group and control group was found to be 6.45 mg/dL and 5.57 mg/dLrespectively. Signicant
results were obtained while comparing the mean serum uric acid levels among the subjects of the essential hypertension group and the control
group. Hyperuricemia was present in 38.33 percent of the patients (23 patients) of the essential hypertension group and 13.33 percent of the patients
(8 patients) of the control group. Signicant results were obtained while comparing the prevalence of hyperuricemia in between the two study
groups.Conclusion: An independent relationship of elevated serum uric acid levels with hypertension and indicates the signicance of
maintaining normal serum uric acid concentration to prevent hypertension.
RESPIRATORY FUNCTION IN NORMAL SINGLETON PREGNANCY, MULTIFETAL GESTATION AND POLYHYDRAMNIOS
Authors: Chetna Chetna , Lata Kumari Kanak , Sinha Abha Rani , Jana Debarshi
Published: March 2021

Background : Study of respiratory functions of four groups of women: Nonpregnant, early pregnancy, singleton pregnancy at 36 weeks and twin/polyhydramnios at 36 weeks reveal that inspiratory capacity (IC), tidal volume (TV) and expiratory reserve volume (ERV) in different group pairing have statistically signicant difference. This is very important during the assessment of pregnant mother suffering from respiratory or cardiopulmonary disorder. Objectives :This study aims to observe the additional demands placed on the maternal respiratory system in cases of advanced normal pregnancy or over distended uterus, like multifetal gestation and polyhydramnios, and whether the average Indian woman is able to cope with these respiratory changes. Methods : Around 80 women were divided into four equal groups which included non-pregnant controls, normal early pregnancy (< 20 weeks), normal singleton pregnancy at 36 weeks and multifetal gestation/polyhydramnios, underwent spirometry for static lung volume measurement. The overall comparison was done by using the Kruskal-Wallis test whereas the individual comparison by Mann-Whitney test. Final statistical computing was performed with SPSS statistical package. Results : The groups were comparable on the basis of age, height and hemoglobin levels. Comparisons of various groups show statistically signicant difference in tidal volume, inspiratory capacity and expiratory reserve volume specially in advance pregnancy with control nonpregnant mothers without signicant adverse effect on respiratory system. Conclusions : Results of the study indicate that though there are signicant respiratory functional changes, healthy women, even having twin/polyhydramnios, can tolerate this well. But this knowledge is very important to assess and to formulate management of pregnant women with respiratory or cardiopulmonary compromise.
CLINICAL PROFILE AND MRI FINDINGS IN CEREBRAL PALSY AND THEIR
CORRELATION WITH TYPE OF CEREBRAL PALSY
Authors: pandey Sarvesh , Sharma Mukti , Narula Harneet
Published: March 2021

Introduction: Cerebral palsy is well-dened as a cluster of permanent disorders of movement and posture causing activity limitations that are
attributed to non-progressive damage in developing fetal or infant brain. Aim:To study the clinical prole and MRI ndings in cerebral palsy and
their correlation with type of cerebral palsy. Material and Methods: This Hospital based prospective observational study was carried out in
Department of Paediatrics at Maharishi Markandeshwar Institute of Medical Science And Research, Mullana (Ambala), Haryana in collaboration
with Department of Radio-diagnosis, MMIMSR, Mullana (Ambala). Study was undertaken in 50 neonate, infants and children with clinical
diagnosis of Cerebral Palsy. Results: The majority of patients were delivered term (58%) followed by preterm delivery (42%). The majority of
patients had spastic quadriplegia type of cerebral palsy. Periventricular leukomalacia was the most common abnormality found on imaging.
Abnormal radiological ndings were observed in 94% cases. Conclusion: To establish an aetiology and prognosis in children with cerebral palsy
MRI neuroimaging is recommended as the initial investigation as MRI ndings closely relate to the type of CP, neurological decits and gestational
age of patients with brain insults
IMPORTANT ROLE OF TRACE ELEMENTS (MG AND ZN) IN THE SERUM OF
PATIENTS SUFFERING FROM NON-ALCOHOLIC LIVER DISEASE AND COMPARE
THEIR LEVEL WITH HEALTHY SUBJECTS OF RAJASTHAN
Authors: Vyas halini , Vyas RK , Sharma Hemlata
Published: March 2021

Liver is the largest major organ of our body. liver having a wide range of functions so, it is prone to many diseases which are very commonly seen in
India. Any disturbance of liver function that causes illness is called liver disease. It is also known as hepatic disease. It is major leading cause of
morbidity and mortality worldwide. Aim of this study was to nd out the role of Trace Elements (Mg & Zn) levels in diagnosis of Non-alcoholic
liver disease. Material and methods: 200 subjects were selected out of them 100 were selected as study group (Non-alcoholic (NALD) and 100
were selected as control group and distributed according to their age and sex. Trace elements were estimated by Atomic adsorption
spectrophotometer (AAS). Result: the serum trace elements level was decreased in non-alcoholic liver disease patients. P-value was found to be
signicant when compared with healthy subjects. (P≤0.001). Conclusion: We came to the conclusion that serum level trace elements (Mg, Zn)
activity looks specic and can be used for prognostic evolution of non-alcoholic liver disease.
‘UNVEILING THE CONCEPT OF DRY RUN IN CONTEXT OF COVID VACCINE'
Authors: Tyagi Nitin , S Dhivya. , Rani Anita , Kaur Charanjeet
Published: March 2021

Just like armed forces mock drills, dry run is a dummy process that helps the government in assessing how ready we are for the COVID-19
immunization at the national level. India had approved two COVID-19 vaccines namely, Oxford-AstraZeneca's Covishield manufactured by the
Serum Institute of India and Bharat Biotech's Covaxin. The main objective of the dry run for COVID-19 vaccine introduction was to assess
operational feasibility in the use of Co-WIN application in the eld environment, to test the linkages between planning and implementation and to
identify the challenges and guideway forward prior to actual implementation of the immunization drive.
CHOREA GRAVIDARUM: A RARE CASE REPORT
Authors: Viswanadh Aswini , Singh Sujata , V Vinnisa N.
Published: March 2021

Chorea gravidarum is the term given to chorea occurring during pregnancy. Here, we report a case of 24 year old primigravida at gestational age 38
weeks 3days ,without any signicant past & family history who presented with chorea gravidarum for the rst time in third trimester. On detailed
evaluation no etiology was identied. On follow up in postpartum period, her choreiform movements have reduced in intensity, but is still
persisting pointing towards an idiopathic origin.
CHARACTERISATION AND ANTIFUNGAL SUSCEPTIBILITY PATTERNS OF
CANDIDA SPECIES ISOLATED IN TERTIARY CARE HOSPITAL IN NORTH INDIA.
Authors: Sharma Meenakshi , BL Chaudhary
Published: March 2021

Candida is usually considered a commensal with the potential to cause opportunistic infections ranging from supercial mucosal infections to lifethreatening invasive infections. This study was aimed to determine antifungal susceptibility patterns of Candida species isolated from various
clinical specimens from a tertiary care hospital. Isolation and identic Material and Methods: ation of Candida species were done by
morphological examination, pseudohyphae, and chlamydospore production on cornmeal agar, germ tube test, and HiCrome Candida differential
agar. The antifungal susceptibility of Candida strains was performed by the disk diffusion method as per the CLSI M44-A2 protocol. A Result:
total of 96 Candida species were isolated from various clinical specimens. The isolation rate was more in the older age group and female
patients(52%). Most frequently isolated from urine 41.67% followed by sputum 19.79%, Blood 16.67%, and least from vaginal swab 2.08%. Four
species of Candida were isolated among them Candida albicans was most common 59.37% followed by Candida prapsilosis and Candida krusei
15.62%, and Candida tropicalis 9.37%. In antifungal susceptibility testing, Itraconazole was the most sensitive drug and Fluconazole was the least
sensitive one with only 58.33% susceptibility among individual species.
Concussion: Urinary tract infection was common due to Candida albicans, and Itraconazole was the most susceptible drug.
Learning by Teaching, with Application to Neural Architecture Search
Authors: Sheth Parth , Jiang Yueyu , Xie Pengtao
Published: March 2021

Learning by teaching is a broadly used methodology in human learning and shows great effectiveness in improving learning outcome: a learner deepens his/her understanding of a topic by teaching this topic to others. We are interested in investigating whether this powerful learning technique can be borrowed from humans to improve the learning abilities of machines. We propose a novel machine learning approach called learning by teaching (LBT). In our approach, the teacher creates a pseudo-labeled dataset and uses it to train a student model. Based on how the student performs on the validation dataset, the teacher re-learns its model and re-teaches the student until the student achieves great validation performance. We propose a multi-level optimization framework to formulate LBT which involves three learning stages: teacher learns; teacher teaches student; teacher and student validate themselves. We develop an efficient algorithm to solve the LBT problem. We apply our approach to neural architecture search on CIFAR-100, CIFAR-10, and ImageNet, where the results demonstrate the effectiveness of our method.
Analytical Expressions for Voltage Controller Coefficients to Attain Desired Values of Total Harmonic Distortion and DC Link Voltage Undershoot in Power Factor Correction Rectifiers
Authors: Kuperman Alon
Published: March 2021

The paper reveals analytical expressions linking the coefficients of PI controller, typically employed as voltage loop compensator of power factor correction rectifiers (PFCR), with two major performance merits (namely, total harmonic distortion (THD) of grid-side current and DC-link voltage deviation upon sudden load increase) and DC link capacitance to rated power ratio. The proposed methodology allows to concretize the commonly used "8–10Hz crossover frequency, 45 degree–70 degree phase margin" rule-of-thumb, typically utilized in application notes of commercial PFC controllers. Relations between voltage loop gain crossover frequency and phase margin as well as settling time of DC-link voltage response to a step load increase to the above mentioned performance merits are also derived in the paper. Provided design guidelines allow to precisely achieve desired values of the two mentioned performance merits and indicate the feasible range of possible DC link capacitance values. Proposed quantitative design guidelines are well-supported by experiments.
Penalty of Semi-Intentional Killing Offence according to the Egyptian and Algerian Penal Law: An Evaluative Study from the Islamic Viewpoint
Authors: Abdu-Allah Gameel Muhammad Gabr Al-Said
Published: March 2021

The study aims at  evaluating  the penalty of  semi- intentional killing felony in the Egyptian and Algerian criminal law following the Islamic Law (Shari'a). The  study used the descriptive, evalutive and analytical  methodology  to  reach the topic in question. To meet the theoretical significance of the study, much data has been collected to give a comprehensive picture about the topic under examination. As for the practical significance of the study, it helps the juridical power to reconsider and phrase the legal materials of the semi-intentional killing penalty based on the Islamic law. The study has come to the conclusions that the Islamic Law (Shari'a) imposes a compensation (blood-money) to be given to the deceased family and an act of expiation as a  penalty against those who proved committed of intentional killing felony. However, the Egyptian Penal Law imposes hard labor/imprisonment as an alternative penalty against this felony. On the other hand, the Algerian Criminal law  imposes imprisonment as an alternative penalty to this felony. Consequently, the penalties prescribed by both Egyptian and Algerian Laws contradict with what Islamic Law (Shari'a) necessitates. The  study  recommended  that  the Egyptian and the Algerian Criminal laws to activate the Islamic law represented by the compensation (blood-money) and act of expiation as a penalty to this crime.
Preparing the Arabic Language Teacher for Non-Native Speakers, Following the Experience of the Arabic Language Institute at the International University of Africa
Authors: Wagi Alla Muna Yousif Mohamed
Published: March 2021

The study aims to examine the reality of preparing the Arabic language teacher for non-native speakers by presenting the experience of the Arabic Language Institute at the International University of Africa. Thus, it addresses the following questions: How is it possible to invest the long scientific experiences in proposal and experiment preperations to qualify Arabic language teachers for non-native speakers? What is the reality of preparing an Arabic language teacher at the Institute? How did the Arabic Language Institute process teacher preparation? What are the problems facing the preparation of the Arabic language teachers and the most important training mechanisms used in that Institute?What problems faced the implementation of the experiment of preparing an Arabic language teacher at the language Institute? To present the experiment, the study used the descriptive method. The study is important for program planners of higher education studies, course designers, and for people interested in teaching strategies and teacher training. It also provides Arabic language teachers for non-native speakers to diploma institutions. The study has found that the university experiment is distinguished as it adopts the practical track to form the cumulative experience that helps to solve teacher preparation problems.
Digital Citizenship and its Relationship to the Level of Health Awareness of Corona Virus (Covid-19) among a Sample of Palestinian University Students
Authors: Assaf Mahmoud Abdel-Majeed
Published: March 2021

The study aims to identify the degree of appreciation for the level of digital citizenship of a sample of Palestinian university students in the governorates of Gaza, and its relationship to the level of health awareness about the emerging coronavirus (covid-19). To achieve the objectives of the study, the researcher followed a descriptive approach by applying two questionnaires; the first, which consists of 30 items, was used  to measure the level of digital citizenship.  The second, which consists of 19 items, was used to measure the level of health awareness. Both questionnaires  were applied on a sample of 367 students who were electronically selected using the manner simple randomness. Results have shown that the degree of appreciation for the level of digital citizenship was high with a relative weight of 76.08%. Besides, the level of health awareness of coronavirus was high with a relative weight of 81.83%. Additionally, it has been found that there is a direct relationship with a statistical significance between the degree of sample appreciation of the level of digital citizenship, and the degree of  its evaluation of the level of health awareness of coronavirus, where the correlation coefficient was 0.468. Moreover, there has been shown that there are no statistically significant differences between the mean scores of the individuals appreciation of the level of health awareness of coronavirus (Covid-19) due to the gender variable. That is; the level of digital citizenship was in favor of females.The study recommended that e-university platforms should include health awareness messages for preventive purposes
СВС — перспективная технология получения чистых материалов
Authors: Лорян В. Э. , Закоржевский В. В. , Прокудина В. К. , Игнатьева Т. И.
Published: March 2021

Рассматриваются технологические приемы, применяемые в СВС-процессах для создания оптимальных условий при получении порошков, спечённых материалов и керамических изделий. Эти приемы основываются на предварительном изучении закономерностей горения в каждой индивидуальной системе «твёрдое-твёрдое», «твёрдое-газ» и др. и направлены на управление условиями и параметрами горения, а именно: скоростью и температурой горения, фильтрацией газообразного компонента и полнотой превращения. Приводится сравнение СВС-продуктов с аналогами, полученными другими способами, показано, что СВС-продукты отличаются более высокой химической и фазовой чистотой и меньшим содержанием примесей, что объясняется значительным тепловыделением в процессе горения, способствующим самоочистке от летучих примесей.
Углеродные ультрадисперсные частицы из древесины бамбука для модифицирования полимерных композитов
Authors: Вишняков Л. Р. , Вишнякова Е. Л. , Хуэн До Дык
Published: March 2021

Рассмотрены особенности получения углеродных ультрадисперсных частиц в процессах пиролиза и карбонизации древесины бамбука. Установлено влияние размола (аттрирования) стружки бамбука и обработки катализаторами на электросопротивление продукта. Приведена методика измерения электросопротивления наноструктурных частиц углерода. Показано, что модифицирование полимерного диэлектрического связующего ультрадисперсными частицами углерода, полученного из древесины бамбука, увеличивает его электропроводность и может быть использовано в композитах с полимерной матрицей.
Analítica académica: nuevas herramientas aplicadas a la educación
Authors: Contreras Bravo Leonardo Emiro , Rodríguez Molano José Ignacio , Fuentes López Héctor Javier
Published: March 2021

La analítica de datos es un campo nuevo que ha permeado la educación superior mediante la incursión de herramientas matemáticas, la estadística, la minería de datos y el aprendizaje automático. Inicialmente se presenta una fundamentación teórica relacionada con la analítica aplicada a la educación, analítica académica y sus enfoques. Posteriormente se plantea una metodología  cuyo propósito es la revisión referencial de los últimos cinco años referente al campo de la analítica en educación y especialmente en lo que concierne a la analítica académica, con el fin de identificar aspectos relativos al crecimiento de este enfoque y sus campos de aplicación, enfocados a la educación superior. Los resultados muestran  que los investigadores se han enfocado en los últimos años a trabajar en el desarrollo de modelos que permitan comprender aspectos de la vida académica del estudiante, docentes e instituciones (rendimiento académico,  tasa de deserción y tasa de graduación en su respectivo orden) que permitan la elaboración y toma de decisiones acertadas.