bluuebunny/crossref_metadata_2025 huggingface dataset:
The Debats on Post-Socialism and the Politics of Knowledge in the Space of the Plural “Post’s”
Authors: Ousmanova Almira
Published: November 2020

In this article I focus on how the politics of knowledge, have being shaped in a world without socialism, can be also considered as a space of multiple “post’s”. Social researchers from the post-socialist region strive to return their countries onto the map and to identify their place in history, while applying different conceptual approaches based on different ideological premises. Meanwhile, all of these theoretical frameworks are not neutral in their relation to hegemonic discourses. Here I address the methodological nationalism, gender studies, and de-colonial discourse as the examples of “engaged knowledge”, while considering them as the most influential interpretative models among those that have become established in the post-socialist space after 1991, on the ruins of orthodox Marxism. What interests me most of all is the epistemological and political effects that they produce when they are applied to the analysis of the post-“post-socialist condition”. I argue that, depending on the interpretative optics, we might get quite different answers to such questions as whether the time has come to say “Goodbye, post-socialism!”, or to which extent the “Global East” can be considered as a useful category of analysis in the given circumstances. What I understand here by the ‘space of multiple “post’s”, is, firstly, a territory that, after the collapse of socialism, was inscribed into a new spatial constellation, but still continues to search for its place on the geopolitical map of the world and remains very sensitive to the politics of naming; secondly, I invoke it as a space of epistemological heteroglossia, that is, the one in which various ways of conceptualizing both the recent past and the actual present continue to compete with each other.
An East within “the East”? Central Asia between the “Strategic Essentialism” of Global Symbols and a “Tactical Essentialism” of National Narratives
Authors: Shelekpayev Nari , Chokobaeva Aminat
Published: November 2020

In his article “In Search of the Global East: Thinking between North and South”, Martin Müller offers a number of radical, although not new, insights on the role that post-socialist states presumably play in the modern world, as well as their perception, and the production of knowledge about themselves in these countries. This article is a response to Müller’s text and a reflection on the historiography of Central Asia, an integral part of the “Global East”. In the first part of this text, we analyze Müller’s own approach and explain why it is problematic from a historical point of view. In the second part, we focus on the production of “external” and “internal” knowledge about Central Asia and propose another paradigm labeled as “tactical essentialism”, which we believe best describes the production of historical narratives in the region at the moment. Despite the differences between the two concepts, it seems to us that “strategic” and “tactical” essentialism are essentially manifestations of the same process, namely, the attempts to oust the Soviet past from the ethos of post-socialist researchers (or replace it with other narratives).
Intelligent socio-economic status prediction system using machine learning models on Rajahmundry A.P., SES dataset
Authors:   Department of CSE, Adikavi Nannaya University, Rajahmundry, AP, India, Balasankar V
Published: November 2020

Background: Developing economic and social systems and assuring the efficiency of economic and social processes is the major task for the government of any country. Predictable machine learning (ML) models are used for analyzing data sets that allow more efficient enterprise management. Now a day, the research on Socio-Economic Status (SES) and Machine Learning (ML) is very crucial to find socio-economic inequalities, and take further actions that are preventions, protections, and suppressions. Objectives: The mainobjective of this research is to understand the Socio Economic System issues and predicting SES levels on particular area like Rajahmundry, AP, India using statistical analysis and machine learning methodologies. Methods: In this, we analyze the data that is collected from Rajahmundry (Rajamahandravaram),Andhra Pradesh, India with 48 feature attributes (dimensions), and one target four class attribute (poor, rich, middle, upper-middle ). The SES levels like poor, rich, middle, and upper-middle classes are predicted by 5 ML algorithms. Findings: In this paper, we conduct the statistical analysis of each attribute, and analyze and compare the performance accuracies using confusion matrix, performance parameter (classification accuracy, Precision,Recall, and F1) values and receive operating characteristic (ROC) under AUC values of five efficient ML algorithms like Naïve Bayes, Decision Trees (DTs), k-NN, SVM (kernel RBF) and Random Forest (RF). We observed that the RF algorithm showed better results when compared with other algorithms for the Rajahmundry AP SES dataset. The RF algorithm performs 97.82% of classification accuracy (CA) and time is taken for model construction 0.41 seconds. The next superior performed ML model is DTs with 96.67% of CA and 0.16 seconds for model construction. Novelty: Comprehensive analysis indicates that the novel AP SES Dataset with empirical statistical analysis gives the good results and predicts the SES levels with RF model is very effective. Keywords: Machine Learning; socio-economic status; Rajahmundry;household; poverty
Relationship of operating speed with pavement serviceability from the pavement condition index. Case of study: Barranquilla, Colombia
Authors:   Department of Civil and Environmental Engineering, Universidad de la Costa, Colombia., Figueroa Miguel
Published: November 2020

Objectives: The present research aims to find the relationship in the field that the road condition index has concerning its operating speed, based on the expected assumption that the worse the condition index, the lower the road operating speed will be. Methodology: The methodology used to carry out this research consisted in the estimation of the condition index (PCI) and the measurement of speeds in different road sections of the city of Barranquilla (Colombia), where a record of the surface conditions of the pavement from 0 when it was failed and 100 for pavement in excellent condition. In the case of speed recording, the plate method was used to obtain operating speeds. Then, using the UNALPCIA software, the value of the PCI of the evaluated road sections was estimated and then correlated with the operating speeds obtained in the field of those sections. Findings: The main findings obtained from the investigation consist of the effective relationship between the value of the PCI and the operating speed, having that the lower the condition index, the lower the operating speed on the road due to the presence of damage to the road pavement surface. Novelty: The study of the surface conditions of the pavement in the cities of Colombia is little studied, which leads to policies associated with the maintenance of pavement structures becoming late, given that the comfort and speed of operation allowed by these do not is appropriate, even though its structural function is still in force. Keywords: Condition index; comfort; policies; surface condition
Viral üst solunum yolu infeksiyonu geçiren çocuklarda C-Reaktif protein düzeyinin ve nötrofil/lenfosit oranının araştırılması
Authors: TURAN Tolga , AKAY Alper , KAPAR Ahmet , YILMAZ Sema
Published: November 2020

Amaç

Bu çalışmada çocukluk çağı hastalıkları içinde sık görülen viral üst solunum yolu infeksiyonlarında C-reaktif protein düzeyi ve nötrofil/lenfosit oranının tanıda anlamlı olup olamayacağını araştırmayı hedefledik.

Gereç ve Yöntemler

Çalışma viral üst solunum yolu infeksiyonu tanısı almış 1-18 yaş aralığındaki çocuk hastaların kayıtları retrospektif olarak incelenerek yapıldı. Tam kan sayımı sonuçlarından nötrofil ve lenfosit değerleri tespit edildi. CRP referans değeri 5 mg/dL; Nötrofil/lenfosit oranı referans aralıkları 0–1, 1–2, 2–3, 3–4, 4–5 ve >5 olarak alındı. C-reaktif protein ve nötrofil/lenfosit oranı düzeyleri korelasyon analizi yöntemi ile karşılaştırıldı.

Bulgular

Yaşları bir ay ile 18 yaş arasında değişmekte olan 100 hasta, 52 kız (%52) 48 erkek (%48) kayıt edildi. Kız çocuklarının ortalama yaşı 6,42±0,69, erkek çocuklarının ise 5,52±0,66 olarak saptandı. Ortalama CRP kız çocuklarında 29,1±6,83, erkek çocuklarında 13,52±2,29; NLO değerleri ise kız çocuklarında 3,46±0,63, erkek çocuklarının ise 3,07±0,44 olarak tespit edildi. Kız ve erkek çocuklarda CRP değerinin 5 mg/dL’ den yüksek olduğu değer en fazla 5-9 yaş aralığında görüldü. CRP değerlerine göre erkek ve kızlar arasında anlamlı bir ilişki vardı. NLO değerleri ise 1-2, 2-4 ve 10-18 yaş kız ve erkekler arasında anlamlı bir farka sahipti (p< 0,001). CRP ve NLO değerleri korelasyon analizi ile değerlendirildiğinde, zayıf düzeyde anlamlı ilişkili oldukları saptandı (r= 0,263).

Sonuç

Pediatrik yaş grubunda akut üst solunum yolu infeksiyonlarında C-reaktif protein düzeyi ve nötrofil/lenfosit oranı anlamlı derecede artmıştı. Mevcut çalışmada, erken tanı ve tedaviye yardımcı olması adına pratik, ucuz ve kolay bir metod olan C-reaktif protein düzeyi ile nötrofil/lenfosit oranı vurgulandı.
Presence and absence of carbohydrate metabolism disorders as a factor influencing development of vitamin B12 deficiency
Authors: Guseinova A. R.
Published: November 2020

Objective. To study the significance of the presence and absence of carbohydrate metabolism disorders as a factor affecting the development of vitamin B12 deficiency.

Materials and methods. The data of 206 subjects, forming two main groups were analyzed: the group of carbohydrate metabolism disorders (CMDs), which included 76 women and 71 men (n = 147); the control group, which included 33 women and 26 men (n = 59). The inclusion criteria were the following: age over 35, availability of anamnestic data on pharmacotherapy, availability of data to clarify the state of carbohydrate metabolism, availability of data on vitamin B12 and some other biochemical indices. Vitamin B12 levels 221 pmol / l were considered normal, vitamin B12 levels from 148 pmol / l to 221 pmol/l were considered borderline (or mild deficiency), and levels of 148 pmol / l or less were considered severe vitamin B12 deficiency.

Results. The group of absent carbohydrate metabolism disorders included 59 persons and the group of carbohydrate metabolism disorders (CMDs) included T2DM patients (n = 123) and individuals with prediabetes (n = 24), i.e. the total number of the examined persons in CMD group was equal to 147. The average level of vitamin B12 in the control group (n = 59) was 401.6 and 138.06 pmol / l, and in CMD group (n = 147) it was equal to 342.1 133.10 pmol/l. The differences between the groups were statistically significant (p 0.01), that suggested the significance of CMDs as a risk factor for vitamin B12 deficiency. Vitamin B12 deficiency was combined with the presence of CMDs in 32 (21.8 %) cases. In 115 cases (78.2 %), the presence of CMDs was combined with the absence of vitamin B12 deficiency. In 8 cases (13.5 %), there were no CMDs, but there was vitamin B12 deficiency. In 51 cases (86.4 %), no CMDs and vitamin B12 deficiency was noted.

Conclusions. Despite the presence of a statistically significant decrease in vitamin B12 levels in CMD group (342.1 133.10 pmol / l vs 401.6 and 138.06 pmol/ l; p 0.01) and a high incidence rate of vitamin B12 deficiency in CMD group (21.8 % and 13.5 %, respectively), the study results do not allow us to consider the presence of CMDs to be the risk factor for vitamin B12 deficiency.
Use of thermal imager in complex diagnosis and treatment of musculoskeletal system diseases: literature review
Authors: Vinderlikh M. E. , Schekolova N. B.
Published: November 2020

The experience of using thermal imager in diagnosis and treatment of musculoskeletal system diseases based on review of domestic and foreign literature is presented in the paper. Bibliographical method was applied. A short history of using thermovision in foreign and domestic practice is considered, the problem aspects of the offered technology are accentuated, the use of thermal imager in diagnosis and treatment of musculoskeletal system diseases is analyzed. The possible prospects for development of thermovision in domestic medical practice are determined.
Physical activity in pregnancy: literature review
Authors: Prokhorova O. V. , Olina A. A.
Published: November 2020

The paper considers modern ideas on prenatal physical activity, presents an analysis of the effects of systematic physical exercises on pregnancy, childbirth and the postpartum period, as well as on the psychological state of puerperas. The existing recommendations of the international professional communities on the issues of physical activity of pregnant women are highlighted and analyzed. The basic conditions, indications and contraindications for exercise at different gestational periods are outlined. Understanding of the benefits of adequate motor activity during pregnancy and their proper use is associated with an increase in the proportion of favorable obstetric and perinatal outcomes.
Informative significance of morphological methods for diagnosis of tumor processes
Authors: Bulatova I. A. , Paducheva S. V.
Published: November 2020

Objective. To assess the comparability of the cytological and histological studies of material of different localizations.

Materials and methods. The work is based on the analysis of results of cytological and histological studies in 48 patients examined at Perm Regional Oncological Dispensary in 2019.

Results. It was established that out of 22 mammary punctates, diagnosis of cancer was confirmed in 20 patients with coincidence validity criterion of 91 %. Out of 14 preparations of skin, 13 cases were histologically confirmed that constituted 92.8 %. When studying the lymph node punctate, one mismatch was detected. Out of 6 thyroid punctates, there were 5 confirmed ones. Percentage of false-positive cytological conclusions was on average 7 %, false-negative 1 %.

Conclusions. Comparability of cytological and histological studies according to the results of data analysis ranged from 50 to 100 % depending on localization and was on average 91.6 %.
Yemlik Kolzanın (Brassica napus L. ssp. oleifera Metzg) Farklı Ekim Zamanlarına Göre Verim, Kalite ve Besin Elementleri İçeriklerinin Değişimi
Authors: ÇAÇAN Erdal , NURSOY Hüseyin
Published: November 2020

Bu çalışma, yemlik kolzanın farklı ekim zamanlarına göre verim, kalite ve besin elementleri içerikleri açısından gösterdiği farklılıkları ortaya koymak amacıyla 2014-2015 ve 2015-2016 yıllarında Bingöl ili ekolojik koşullarında yürütülmüştür. Araştırmada Eylül ayının ikinci yarısından başlamak üzere 10 günlük aralıklarla 4 ekim zamanında ekim yapılmıştır. Verim özelliklerinden yeşil ot verimi ve kuru ot verimi, kalite özelliklerinden NDF ve NYD ile besin elementlerinden Ca ve Mg açısından Eylül ayının ikinci yarısında yapılan ekimden en yüksek değerler elde edildiği tespit edilmiştir. Ekim zamanlarının HP, ADF, SKM, P ve K açısından istatistiksel olarak bir farklılık göstermediği görülmüştür. Dolayısıyla Bingöl ve benzeri ekolojik koşullara sahip karasal bölgelerde, yemlik kolza ekiminin Eylül ayının ikinci yarısında yapılmasının verim ve kalite açısından avantajlı olduğu sonucuna varılmıştır.
Assessment of clinical and haematological profile in dengue fever
Authors: Salvi Dhairya , Moradia Dhanvi
Published: November 2020

Introduction: Series of biochemical and haematological changes occur during the course of the illness. Physicians should be aware of the most common clinical as well as clinical and biochemical presentations which are important for the clinical management of patients and thus crucial for saving a life. Therefore, this study aimed to highlight the most common clinical features and biochemical findings of dengue cases.Methods: A total of 200 cases of suspected dengue fever were included in the study. The present is the prospective cohort study; samples were selected with sampling technique. A total of 200 cases of suspected dengue fever were included in the study. The frequency of various signs and symptoms and the values of laboratory tests were compared. The results were tabulated and correlated.Results: In our series in clinical manifestations, all cases presented with fever, myalgia was found in 156 patients, headache was found in 106 patients, rashes were present in 28 patients, others clinical features are nausea, pain abdomen was seen in 42 patients, loose motion was seen in 34 patients etc. None of our patient have visual complains. Retro-orbital pain was noted in 12 patients. Bleeding manifestations in any form was seen in 78 cases.Conclusions: Dengue needs to be suspected in any patient presenting with a short duration of fever and myalgia. Bleeding tendencies should be closely watched for. When features of plasma leakage such as pedal edema, pleural effusion, ascites, are present, patient should be closely watched for and should be immediately managed.
Prevalence of scabies among school children living in urban Chidambaram and its associated risk factors: a cross sectional study
Authors: Gowtham V. , Kalyani P. , William Felix A. John
Published: November 2020

Background: Scabies is one of the common contagious human skin diseases with prevalence of 0.2 to 71.4% around the world. Though all age groups are susceptible to scabies, children are at high risk. The study objective was to find out the prevalence and associated risk factors for scabies among the school children aged 11 to 14 years in Chidambaram.Methods: This cross-sectional study was carried out among 11 to 14 years old school children between October to December 2019 in urban Chidambaram. Data was collected using a pretested semi structured questionnaire. Diagnosis of scabies was made by a trained investigator. Collected data were entered in Microsoft excel and analysed by using SPSS software version 23.Results: Prevalence of scabies was found to be 22.4%. Three variables namely; age of the student, overcrowding, type of house was found to be statistically associated with scabies.Conclusions: Modification of environmental risk factors like overcrowding, type of house, will aid in controlling the spread of scabies.
Emulsión asfáltica como alternativa de reducción de la presencia de eflorescencias en morteros de pega
Authors: Cañola Hernán , Granda-Ramírez Fidel , Arroyave-Rojas Joan
Published: November 2020

Los morteros de pega tienen como función integrar  mampuestos en sistemas de mampostería, sin embargo, estos elementos constantemente son afectados por lesiones derivadas de la humedad como lo son las eflorescencias que ocasionan perdida de propiedades físicas como el color, la densidad y la masa debido a la afloración superfial de sales, acumulación interna de las mismas y desprendimientos superficiales; por lo anterior en esta investigación se estudió el uso de emulsión asfáltica como reductor de esta afectación. De acuerdo con los análisis realizados, se determinó que con adiciones de 10% y 20% de emulsión asfaltica se adquiere cierto grado de repelencia al agua y con adiciones de 30% y 40% se alcanzó hidrofobicidad completa. Además, se determinó que la emulsión asfáltica reduce la afloración de eflorescencias en un 27% con 10% de emulsión, del 47% con 20% y de 100% para muestras con 30% y 40% respectivamente. Aunque el uso de los aditivos bituminosos trae ciertas ventajas frente a las propiedades físicas de los morteros, inversamente reduce propiedades mecánicas como la resistencia a la compresión.
Predicción del equilibrio vapor-líquido de la mezcla acetato de etilo-etanol usando la ecuación de estado de Peng Robinson
Authors: Gonzalez-Silva Germán , Botett-Cervantes Jesús , Prieto-Jiménez Natalia
Published: November 2020

El presente artículo tiene como propósito mostrar la predicción del equilibrio vapor-líquido de una mezcla no ideal mediante modelos termodinámicos como lo es la ecuación de Peng-Robinson para el cálculo de los coeficientes de fugacidades de los componentes en estado gaseoso, y el modelo de Van Laar para hallar los coeficientes de actividad de los componentes en estado líquido. Los resultados se validan mediante el uso del simulador comercial Aspen Plus y la herramienta online “VLE-Calc”, obteniendo resultados similares con los valores experimentales de la mezcla binaria.
An Evaluation of Transmission Dynamics of Cryptosporidium Using Molecular Methods
Authors: Mahdavi Poor Behroz , Rashedi Jalil , Asgharzadeh Mohammad , Fallah Esmaeel
Published: November 2020

The article's abstract is not available.
Establishment and Validation of Theileria annulata Sporozoite Ak-93 Infection in Laboratory-Reared Hyalomma anatolicum Tick Using In Vivo and In Vitro Assays
Authors: Afshari Asghar , Habibi Gholamreza , Abdigoudarzi Mohammad , Yazdani Fereshteh Y
Published: November 2020

Background: Tropical Theileriosis caused by Theileria annulata is a tick-borne disease which transmitted by the ix­odid tick members of the genus Hyalomma. Studies on different aspects of disease require to access infective sporozoite of parasite which produced by tick vector. This study was carried out to establish of T. annulata life cycle to achieve T. annulata infected ticks.
Methods: Laboratory rabbit and calf were used for rearing of Hyalomma anatolicum different instars. Unfed nymphs were fed on T. annulata infected calf. Clinical signs, Giemsa stained smears and Polymerase Chain Reaction (PCR) methods were used for detection of infection in blood and tick specimens. Susceptible calf was used for confirmation of sporozoites maturation and infectivity in bioassay test.
Results: Hyalomma anatolicum two and three-host strategies of life cycle was lasted 90 and 116 days respectively. The PCR confirmed T. annulata infection in blood and tick samples. Maturation of T. annulata sporozoites was confirmed in bioassy test. First clinical symptom of disease was seen earlier in the case of transmission of disease through feeding of live ticks in comparison with blood injection method.
Conclusion: Complete life cycle of T. annulata was done and confirmed by clinical signs, microscopic examination, molecular methods and bioassay test. According to published reports to date, this is the first report of establishment of H. anatolicum tick infection with T. annulata using susceptible calf under controlled conditions in Iran.
Gastrointestinal Myiasis Due to Sarcophaga argyrostoma (Diptera: Sarcophagidae) in Mashhad, Iran: a Case Report
Authors: Najjari Mohsen , Dik Bilal , Pekbey Gamze
Published: November 2020

Myiasis is infection with a fly larva, usually occurring in tropical and subtropical areas. A 32-years-old immunocom­pro­mised woman with fever, gastrointestinal pain, cramps, vomiting; and fatigue was referred to Ghaem Hospital in Mash­had in July 2018. Entomological characterisation of cephaloskeletons, posterior spiracles of the excreted larvae and gen­ital dissection of male fly were diagnosed as Sarcophaga (Liopygia) argyrostoma. Accidental intestinal myiasis caused by unplanned intake of dipterous larvae by contaminated food staff or water. Patients with immune deficiency may be more at risk for the threat of maggot’s infestation, so in such cases, hospital standard should be more in atten­tion. To best of our knowledge, S. argyrostoma has not been reported before in the indexed literature from Iran.
Effect of COVID-19 Infection on the Immune System and Risk of Developing Diabetes Complications: A Review
Authors: Derouiche Samir , Taissir Cheradid , Abdelmalek Djoumana , Achi Ikram
Published: November 2020

Coronavirus disease (COVID-19) is caused by SARS-COV2 and represents the causative agent of a potentially fatal disease that is of great global public health concern. The pandemic outbreak of COVID-19 is rapidly spreading all over the world. In this review, we try to summarize studies of the relationship between the alteration of immune system during COVID-19 infection and the risk of developing diabetes complications. The data were collected by searching Science Direct, Google Scholar, PubMed, Scopus, Springer and National Center for Biotechnology Information (NCBI). The Keywords used as search terms were “COVID-19”, “SARS-COV2 induced inflammatory reaction”, “ACE2 and COVID-19 infection”, “Diabetes and Oxidative stress” and “COVID-19 induced Diabetes complication”. The risk of COVID-19 infection in patients is due to the severity of the viral infection and also to the host's immune response. The risk of infection is one of the main complications of diabetics, as it has been suggested that diabetes inhibits the immune response which contributes to infection and progression to symptoms. Also, the evidence of generation of oxygen free radicals and oxidative stress is a key process in the onset of diabetes mellitus which participate in the development of the systemic inflammatory response syndrome. In addition, chronic hyperglycemia during COVID-19 infection may increase the release of inflammatory cytokines, a high ability to bind to the virus ACE2 glycosylated, worsen the ketoacidosis and vascular complications that may explain the severity of the SARS-CoV-2 infection in diabetic patients.
The Controversies Surrounding Tocilizumab Administration Following Pathogen-Associated Molecular Pattern (PAMP) Induced by COVID-19
Authors: Gheibi Shayesteh , Najmeddin Farhad , Shahrami Bita , Sadeghi Kourosh , Mojtahedzadeh Mojtaba
Published: November 2020

A new corona virus disease (COVID-19) has affected more than 17 million people worldwide so far, and has become a global pandemic. Since there is no definitive cure for this life threatening disease, many clinical studies are in progress in this regard. Pathogen-associated molecular patterns (PAMP) prompting by coronavirus seems to generate cellular, structural, and functional derangements induced by immune dysregulation as well as many biological abnormalities including cytokine storm. The role of IL-6 in viral pneumonia and also its inhibition impact on the prevention of organ damage are still unknown.IL-6 seems to behave as a double blade evil cytokine, by playing a valuable role in cell to cell natural physiological communication. Tocilizumab, as an inhibitor of interleukin (IL)-6, may interrupt the paracrine system while causing dissemination of bacterial, fungal, and other viral infections, especially COVID-19, who are at a high-risk for development of sepsis and life-threatening superinfection.
Sensitivity of Acinetobacter baumannii and Pseudomonas aeruginosa Microorganisms to Colistin Antibiotic by MIC (E-test) in Patients Admitted to the Intensive Care Unit of Firoozgar Hospital
Authors: Jamshidi Makiani Mahin , Farasatinasab Maryam , Bemani Sam , Namdari Moghadam Hoda , Sheibani Fatemeh , Vatan Meidanshah Aida , Sadghi Afsaneh , Shahi Raziyeh
Published: November 2020

Background: Nosocomial infections are associated with increased morbidity, mortality, and medical burdens. Pseudomonas aeruginosa and Acinetobacter baumannii are not-fermentative gram-negative bacteria that considered as the most important nosocomial infection. In the current study, we have aimed to evaluate the sensitivity of Acinetobacter baumannii and Pseudomonas aeruginosa microorganisms to the colistin antibiotic.
Methods: In this descriptive cross-sectional study, patients admitted to the ICU ward of Firoozgar Hospital from July 2018 to March 2019 were evaluated, and 169 Patients infected with Acinetobacter baumannii, and Pseudomonas aeruginosa were included. Acinetobacter baumannii and Pseudomonas aeruginosa were isolated, and antibiotic sensitivity was determined by the disk diffusion method according to Clinical & Laboratory Standards Institute (CLSI) criteria. E test was also used to determine MIC-50 and MIC-90 of colistin.
Results: Acinetobacter baumannii was around 8 times more frequent than Pseudomonas aeruginosa. Colistin resistance was detected in only 4(2.4%). The mean age of patients infected by Acinetobacter baumannii was significantly higher than those infected with Pseudomonas aeruginosa. Moreover, the mean time of the hospitalization period did not show any significant differences in the different groups.
Conclusion: Our findings indicated that the majority of isolated Pseudomonas aeruginosa and Acinetobacter baumannii were sensitive to Colistin. Therefore, it could be effectively used for patients with a confirmed diagnosis of Pseudomonas aeruginosa and Acinetobacter baumannii.
Contralateral Upper Limb Weakness Following Botulinum Toxin A Injection for Poststroke Spasticity
Authors: Camões- Barbosa Alexandre , Ribeiro Inês Mendes , Medeiros Luisa
Published: November 2020

Botulinum toxin type A has been approved for spasticity management in poststroke patients. The adverse effects are generally of two types: those related to local injection; and those related to the systemic effects from spread of the toxin. Contralateral weakness after botulinum toxin A treatment is a rarely reported adverse effect. We report the case of a 33-year-old female who had been receiving regular injections of incobotulinum toxin A due to spasticity of the right limbs after a hemorrhagic stroke. A switch was made to abobotulinum toxin A with an overall conversion ratio of 1:3.83. The patient presented contralateral upper limb paresis, especially of the deltoid muscle, in the second week post-injection. The electroneuromyography showed neuromuscular block due to botulinum toxin A. She recovered completely after eight months. A switch between different formulations of botulinum toxin type A should prompt caution when carrying out unit conversions. Distant side effects may appear, including paresis in the contralateral limbs.
Hemorragia Peri-Intraventricular Grave em Prematuros: Impacto na Mortalidade e no Neurodesenvolvimento aos 24 Meses
Authors: Amaral Joana , Peixoto Sara , Faria Dolores , Resende Cristina , Taborda Adelaide
Published: November 2020

Introdução: A hemorragia peri-intraventricular grave tem sido associada a maior mortalidade e sequelas do neurodesenvolvimento.Mantém-se controverso o impacto da hemorragia peri-intraventricular isolada, sem lesão da substância branca. O objetivo deste trabalho foi avaliar a influência da hemorragia peri-intraventricular grave, associada ou não a leucomalácia peri-ventricular quística, na mortalidade e no neurodesenvolvimento aos 24 meses.Material e Métodos: Estudo de coorte retrospetiva que incluiu os recém-nascidos com hemorragia peri-intraventricular grave, internados numa maternidade de apoio perinatal diferenciado, entre 2006 e 2015, e dois controlos com a mesma idade gestacional, internados logo a seguir ao caso, sem hemorragia peri-intraventricular. A avaliação do neurodesenvolvimento, aos 24 meses, foi realizada em 99 crianças, com recurso à escala The Schedule of Growing Skills Scale II em 52 e à escala de desenvolvimento mental de Ruth Griffiths em 47 crianças. Considerou-se défice grave do neurodesenvolvimento: paralisia cerebral, atraso do desenvolvimento psicomotor, surdez com necessidade de prótese auditiva ou cegueira.Resultados: Foram incluídos 41 recém-nascidos com hemorragia peri-intraventricular grave e 82 controlos. Ocorreram 23 óbitos, 16 (39,0%) nas hemorragias peri-intraventricular graves e sete (8,5%) nos controlos (OR 7,6; IC 95% 2,6 - 20,4; p < 0,001). Verificou-se défice grave do neurodesenvolvimento em sete (30,4%) no grupo de hemorragia peri-intraventricular graves e um (1,3%) no grupo de controlos (OR 32; IC 95% 3,7 - 281; p < 0,001). Na análise individualizada, a mortalidade foi superior quer nas hemorragia peri-intraventricular grau III com leucomalácia peri-ventricular quística associada (OR 4,4 IC 95% 1,3 - 14,2; p = 0,015), quer na hemorragia peri-intraventricular grau IV (OR 12; IC 95% 3,5 - 41,2; p < 0,001), em relação aos controlos. Verificaram-se também diferenças no défice grave do neurodesenvolvimento em relação aos controlos (1,3%) na hemorragia peri-intraventricular grau III com leucomalácia peri-ventricular quística associada (75,0%, p < 0,001) e na hemorragia peri-intraventricular grau IV (50,0%, p < 0,001).Discussão: Este estudo evidenciou maior taxa de mortalidade e de alterações graves do neurodesenvolvimento nos prematuros com hemorragia peri-intraventricular grave. A análise dos grupos estratificados por idade gestacional e a abordagem separada dos vários tipos de hemorragia peri-intraventricular, permitiu evidenciar as complicações associadas à hemorragia peri-intraventriculargrau IV e grau III, associada ou não a leucomalácia peri-ventricular quística.Conclusão: Os recém-nascidos com hemorragia peri-intraventricular de grau IV ou grau III com leucomalácia peri-ventricular quística associaram-se a maior mortalidade e sequelas graves do neurodesenvolvimento.
Correlation of Estimated Creatinine Clearance and Glomerular Filtration Rate in Very Elderly Patients and Antibiotic Prescribing Errors: Cohort Study
Authors: Silva Manuel Alberto , Dias Gustavo , Cardoso Teresa
Published: November 2020

Introduction: Determination of renal function is particularly important when prescribing antibiotics to elderly patients. This study aims to determine the correlation between estimated creatinine clearance and the estimated glomerular filtration rate, for a hospitalized population of very elderly patients, and to audit antibiotic prescribing errors.Material and Methods: Retrospective cohort study of all patients ≥ 80 years hospitalized with antibiotic. Creatinine clearance was calculated using Cockcroft-Gault equation and estimated glomerular filtration rate by Modification of Diet in Renal Disease Study and Chronic Kidney Disease Epidemiology Collaboration equations. Dosing errors were determined through adjustment of daily define dose to renal function.Results: The study included 589 patients. The correlation of Cockcroft-Gault with Modification of Diet in Renal Disease and Chronic Kidney Disease Epidemiology Collaboration was r = 0.98 and 0.96 for the minimum serum creatinine, and 0.97 and 0.93 for the maximum serum creatinine. Based on Cockcroft-Gault, there were errors in the daily defined dose in 45% in the minimum serum creatinine, and 52% in the maximum serum creatinine day. There was a discrepancy in the recording of errors of 14% to 16% when Cockcroft-Gault was compared with Modification of Diet in Renal Disease and Chronic Kidney Disease Epidemiology Collaboration.Discussion: There was a good correlation of Cockcroft-Gault with the estimated glomerular filtration rate by Modification of Diet in Renal Disease or Chronic Kidney Disease Epidemiology Collaboration. Regardless of the equation used to estimate renal function there was a high rate of antibiotic dosing errors documented in this population.Conclusion: This study supports the maintenance of the Cockcroft-Gault equation for drug dosing in the very elderly population. Further studies are needed to investigate underlying causes of prescribing errors.
Doença de Creutzfeldt-Jakob: Apresentação Atípica de uma Doença Muito Rara
Authors: Oliveira Renato , Dias Marta , Marques Inês Brás
Published: November 2020

A doença de Creutzfeldt-Jakob, manifesta-se habitualmente como demência rapidamente progressiva. Apresentamos um caso de um doente de 59 anos com quadro súbito de parésia facial central e disartria, seguindo-se mioclonias no hemicorpo esquerdo. A ressonância magnética crânio-encefálica inicial mostrava hipersinal T2 e difusão no caudado e putamen direitos e líquido cérebro-raquidiano com hiperproteinorraquia. A investigação para causas autoimunes, infecciosas e paraneoplásicas foi negativa. Verificou-se um agravamento progressivo nos meses seguintes para hemiplegia esquerda, disfagia, incontinência urinaria e posterior mutismo acinético. A ressonância magnética crânio-encefálica mostrou evolução para restrição à difusão dos gânglios da base bilateralmente e múltiplas áreas corticais; A eletroencefalografia mostrou atividade periódica e proteína Tau no líquido cérebro-raquidiano elevada. A análise genética revelou mutação c.598G > A. O falecimento ocorreu após quatro meses de doença. Reportamos um caso de doença de Creutzfeldt-Jakob familiar associada a mutação da proteína priónica, com apresentação clínica e radiológica atípicas, nomeadamente sinais focais com instalação súbita, ausência de defeito cognitivo significativo e alterações imagiológicas unilaterais. Na evolução, a clínica e imagem tornaram-se características, permitindo o diagnóstico.
Reminder: Cardiovascular Patients Also Benefit from Influenza Vaccine
Authors: Alves Mariana , Froes Filipe , Caldeira Daniel
Published: November 2020

N/a.
Encefalomielite Aguda Disseminada Após Imunização Contra o Vírus do Papiloma Humano
Authors: Ferreira Daniel , Almeida Mariana , Nogueira-Silva Luís , Araújo Rui , Abreu Pedro
Published: November 2020

N/a.
Viscoelastic Tests in the Evaluation of Haemostasis Disturbances in SARS-CoV2 Infection
Authors: Rodrigues Anabela , Seara Sevivas Teresa , Leal Pereira Carla , Caiado André , Robalo Nunes António
Published: November 2020

COVID-19 associated coagulopathy is a dysfunction of severe SARS-CoV-2 infection, characterized by significantly increased fibrinogen, D-dimer and C reactive protein and normal to near-normal prothrombin time, activated partial thromboplastin time and platelet count. Hypercoagulopathy and hypofibrinolysis coexist and are detected by viscoelastic tests. These features, when associated with immobilization and intrinsic risk factors (age, obesity, comorbidities, drugs) of the patient, can trigger thromboembolic events, despite thromboprophylaxis. The lungs are the first and most severely damaged organ. To date, most patients have exhibited hypercoagulability on viscoelastic tests not detected by standard coagulation tests. A high rate of thrombotic events was reported, suggesting that it should be considered as a cause of clinical deterioration in intensive care and potentially other clinical settings. In advanced stage, COVID-19 associated coagulopathy, fibrinogen and platelet count can decrease significantly, depending on the severity of clinical status resembling consumptive coagulopathy. In this stage, bleeding events can occur, especially if the patient is under extracorporeal membrane oxygenation (ECMO). Viscoelastic tests are very useful tools to assess hypercoagulability and hypofibrinolysis (not detectable by standard coagulation tests) in critically ill SARS-CoV-2 patients with COVID-19 associated coagulopathy and look like very promising tools for anticoagulation management. However, further research needs to be carried out to determine whether abnormal viscoelastic tests alone or in combination with other clinical or laboratory findings can identify patients at increased thrombotic risk. Clinical trials to evaluate hypercoagulability using viscoelastic tests and the need for personalized dosage of anticoagulation in SARS-CoV-2 patientsare quickly emerging.
Perdidos no Processo de Transição: Entre a Psiquiatria da Infância e Adolescência e a Psiquiatria de Adultos
Authors: Fernandes Raquel , Costa Carolina , Martins Marina , Salgado José
Published: November 2020

N/a.
PIBIC TECNOLOGIAS DIGITAIS DA INFORMAÇÃO E COMUNICAÇÃO (TDIC) E ENSINO DE HISTÓRIA POR MEIO DO PROINFO EM ARAGUAÍNA – TO
Authors: Vas Braz Batista , Machado Brendo Oliveira
Published: November 2020

No Brasil as novas ferramentas tecnológicas, especialmente as digitais, começaram a aparecer aos poucos nas escolas públicas, a partir do Programa Nacional de Informática na Educação – ProInfo. Criado pelo Ministério da Educação, em 1997, e atualizado em 2007, como Programa Nacional de Tecnologia Educacional, é voltado para inserção de recursos tecnológicos nas escolas públicas do país, como computadores, laboratórios de informática, recursos digitais e capacitação dos docentes. Este artigo analisa algumas informações, gerais e específicas, sobre o Programa Nacional de Tecnologia Educacional, no norte do Brasil, tomando por amostragem de até 06 (seis)  escolas públicas de Araguaína - TO,  visando problematizar a utilização de novas tecnologias digitais da informação e comunicação enquanto equipamentos e ferramentas didáticas-pedagógicas no ambiente escolar, no ensino de História, a partir do ProInfo. Para isso, foi aplicado questionário com perguntas objetivas abertas para os professores da disciplina de História referentes a disponibilidade e aos usos das novas tecnologias digitais na educação, pesquisa documental e análise de literatura relacionada a esse estudo. As respostas apresentam as ferramentas digitais utilizadas pelos professores em sala de aula e os recursos tecnológicos disponíveis nas escolas, em conexão com o ProInfo.

Palavras-chave: Tecnologias Digitais, ProInfo, Ensino de História.
Volatilidad en los precios de los cereales bá sicos y su impacto en la seguridad alimentaria. México, 1995-2018
Authors: Granados Sánchez María Del Rosario , Galán Figueroa Javier , Leos Rodríguez Juan Antonio
Published: November 2020

Este documento analiza cómo la volatilidad en los precios de los granos básicos, arroz, maíz y trigo, influyen sobre la seguridad alimentaria. Para esto, se estudió el mercado de estos productos mediante los modelos de varianza condicional heterocedástica: simétricos y asimétricos. Entre los resultados, se encontró evidencia que, ante un escenario internacional volátil, los precios de granos básicos a nivel doméstico se elevarán, repercutiendo de manera negativa a toda la cadena de transformación mediante el incremento en los precios finales de los productos procesados. A nivel social, este escenario genera un efecto restricción sobre la población al reducir el acceso de los alimentos a menor precio.
Características sociales de presos por delitos de drogas en el estado de Sonora
Authors: Piña Osuna Francisco Manuel
Published: November 2020

El objetivo de este artículo es describir las características sociales de una muestra de sujetos que participaron en el tráfico de drogas en el estado de Sonora, México. Por medio de una metodología basada en estadística descriptiva, y a partir de nueva base de datos que surge del estudio de 371 expedientes de personas presas por delitos contra la salud en el estado de Sonora, México. Los hallazgos muestran que el mayor porcentaje se caracteriza por relacionarse con actividades de venta y trasporte, provenir de contextos urbanos, tener un nivel educativo básico, desempeñarse en empleos informales y sin un salario fijo, tener antecedentes penales y de consumo de drogas. A pesar de limitaciones como la dificultad de generalizar los datos a muestras no recluidas y a otros contextos, se concluye que las actividades con drogas se ligan a condiciones sociales deficientes, situación que ocupa de revertirse en favor de una prevención del delito efectiva.
La Aporofobia en el contexto de la sociedad peruana: una revisión
Authors: Pozo Enciso Rosmery Sabina , Arbieto Mamani Oscar
Published: November 2020

La investigación comienza teorizando sobre aporofobia, concepto aprobado por la Real Academia Española para referirse a la fobia a los pobres. Se revisaron documentos e informes de organismos nacionales e internacionales para caracterizar, analizar y conceptualizar la aporofobia, definiendo la relación entre la pobreza y la discriminación en Perú. Se realizó análisis estadístico descriptivo para visualizar las tendencias de los indicadores de la discriminación y la pobreza. Además, se aplicó análisis de correlación utilizando el coeficiente R de Pearson con significancia de 0,05. Se observó correlación muy fuerte y positiva entre la discriminación y la pobreza, sin embargo, la complejidad del concepto llevó a concluir que se observa tendencia a discriminación cultural étnica y auto-discriminación racial.
Espacios de violencia, espacios del habitar
Authors: Romero Contreras Arturo
Published: November 2020

En este texto buscamos mostrar la necesidad de reconsiderar el espacio como categoría fundamental para evaluar lo común y la violencia que actualmente se ejerce contra éste. La consideración sobre el espacio surge históricamente del análisis filosófico del lenguaje en el siglo XX. A partir de ahí, sin embargo, se perfila un pensamiento más general sobre la estructura y, de ahí, sobre la espacialidad, que debe alcanzar la misma dignidad filosófica que el tiempo. Sobre esta base, se avanza sobre la estructura a la que apunta lo común, leído primero desde el pensamiento, luego desde el lenguaje, y finalmente a partir del espacio. Avanzamos la tesis de que el ser exige un espacio común, pensable a partir de una topología. Sentadas las bases de este espacio, se ofrecen algunas claves para pensar el espacio común contemporáneo y las violencias que hoy nos conciernen.
CUTANEOUS ERUPTION IN COVID-19 IN TWO CASES: SIDE EFFECTS DRUGS OR VIRAL MANIFESTATION?
Authors:   Pediatric A Department, University Hospital Med VI, Marrakesh, Morocco., Lagrine Mariam , El. Fakiri Karima ,   Pediatric A Department, University Hospital Med VI, Marrakesh, Morocco., Rada Nourredine ,   Pediatric A Department, University Hospital Med VI, Marrakesh, Morocco., Draiss Ghizlane ,   Pediatric A Department, University Hospital Med VI, Marrakesh, Morocco., Bouskraoui Mohammed ,   Pediatric A Department, University Hospital Med VI, Marrakesh, Morocco., Amal Said ,   Dermatology Department, University Hospital Med VI, Marrakesh, Morocco.
Published: November 2020

It has been documented that COVID-19 can induce a significant systemic inflammatory response, potentially attending organ injury. The integumentary system may be similarly affected. The cutaneous manifestations in COVID-19 are largely unknown but case reports and studies will aid further understanding the association of COVID-19 disease progression and dermatological manifestations. Here we report two cases of patients, Hospitalized in pediatric department of Center hospital university of Mohamed VI, Marrakesh, Morocco presenting cutaneous eruptions after SARS-CoV-2 infection treated with chloroquine and azithromycin and literature review.
ROBUST CHANNEL ENCODING FOR MMTC NODE IN 5G (NR)
Authors:   ABES Institute of Technology, Ghaziabad, India., Sharma Vipin , Pandey Krishna ,   UIET, Kurukshetra University, Kurukshetra, Haryana, India., Patel Rachit ,   ABES Institute of Technology, Ghaziabad, India., Kumar Gaur Kamal ,   Indo German Tool Rom, Ahmedabad, Gujrat, India.
Published: November 2020

The paper is focused on robust channel encoding for Massive machine type communication (mMTC) communication in 5G (NR). The performance evaluation of channel encoding is obtained at 5G New Radio (NR) PHY. The results show that reliable bit error rate (BER) against the poor channel condition or random fluctuated channel applied. Channel encoding algorithm as a forward error correction code (FEC) is applied on packet to packet basis to improve the BER performance against inter symbol interference. The concept of adaptation of code rate is valuable to reduce the payload effect and provide optimum solution between BER and throughput. Adaptive code rate selection is based on impact of earlier transmitted packet bit using feedback indicator.