bluuebunny/crossref_metadata_2025 huggingface dataset:
GIÁ TRỊ TIÊN LƯỢNG BIẾN CỐ TIM MẠCH CỦA THANG ĐIỂM ZWOLLE Ở BỆNH NHÂN NHỒI MÁU CƠ TIM CẤP SAU CAN THIỆP ĐỘNG MẠCH VÀNH QUA DA
Authors: Trần Kim Sơn , Ngô Đoan Duy , Ngô Hoàng Toàn , Trần Đặng Đăng Khoa , Nguyễn Thế Phi
Published: March 2023

Mục tiêu: Nghiên cứu giá trị tiên lượng biến cố tim mạch của thang điểm Zwolle ở bệnh nhân nhồi máu cơ tim cấp sau can thiệp động mạch vành qua da. Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang trên 100 bệnh nhân nhồi máu cơ tim cấp ST chênh lên sau can thiệp động mạch vành qua da tại Bệnh viện Đa khoa Trung Ương Cần Thơ từ năm 2020-2021. Kết quả: Tỉ lệ nhóm có nguy cơ thấp theo Zwolle chiếm 52%, nhóm có nguy cơ trung bình là 48% và điểm Zwolle trung bình là 3,30 ± 1,49 điểm. Biến cố tim mạch sau 30 ngày can thiệp với ghi nhận tỉ lệ 15% trong đó tử vong chiếm 2%, suy tim/đau thắt ngực là 10%, nhồi máu cơ tim tái phát chiếm 2% và tái can thiệp/phẫu thuật là 1%. Có sự liên quan có ý nghĩa giữa phân nhóm chỉ số tiên lượng Zwolle với biến cố tim mạch chính sau 30 ngày sau khi can thiệp (p < 0,001). Điểm cắt Zwolle là 4,5 là điểm cắt tốt nhất dự báo giá trị xuất hiện biến cố tim mạch chính với độ nhạy 100%, độ đặc hiệu 98,8%, diện tích dưới đường cong AUC=0,996. Kết luận: Thang điểm Zwolle có điểm số càng cao thì nguy cơ xuất hiện biến cố tim mạch càng cao.
ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT ĐIỀU TRỊ VIÊM TAI GIỮA MẠN TÍNH TẠI BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y KHOA VINH
Authors: Nguyễn Trọng Tuấn , Tạ Trâm Anh
Published: March 2023

Mục tiêu: đánh giá kết quả phẫu thuật điều trị viêm tai giữa mạn tính tại bệnh viện trường Đại học Y khoa Vinh. Đối tượng và phương pháp nghiên cứu: gồm 145 bệnh nhân được chẩn đoán VTGMT và được phẫu thuật điều trị tại Bệnh viên Trường Đại Học Y khoa Vinh từ 01/2016 đến tháng 12/2021 sử dụng phương pháp mô tả cắt ngang từng trường hợp có can thiệp. Kết quả: tỷ lệ liền kín màng nhĩ sau 6 tháng là 82,2%. PTA trung bình trước phẫu thuật là 39,7 + 11,4dB, sau phẫu thuật là 23,3 + 10,4dB. Kết luận: 85,6% có triệu chứng chảy mủ tai. Hiệu quả Rinne trung bình trước và sau phẫu thuật là 18,5dB.
UNG THƯ BIỂU MÔ TUYẾN RUỘT PHỔI - BÁO CÁO CA BỆNH VÀ XEM XÉT TÀI LIỆU LIÊN QUAN
Authors: Cung Văn Công
Published: March 2023

Theo phân loại các khối u ngực của Tổ chức Y tế thế giới 2015, cập nhật 2021, nhóm ung thư biểu mô tuyến (UTBMT) bao gồm các dưới type: (1) UTBMT xâm nhập tối thiểu (Minimally invasive adenocarcinoma - MIA); (2) UTBMT không không chế nhầy xâm nhập (Invasive non-mucinous adenocarcinoma –INMA); (3) UTBMT nhầy xâm nhập (Invasive mucinous adenocarcinoma - IMA); (4) Ung thư biểu mô tuyến dạng keo (Colloid adenocarcinoma - CA); (5) UTBMT bào thai (Fetal adenocarcinoma - FA); (6) UTBMT ruột (Enteric-type adenocarcinoma - EA). Trong đó nhóm UTBMT ruột (Enteric-type Adenocarcinoma – EA/ hoặc Pulmonary Enteric Adenocarcinoma – PEAC) được cho là rất hiếm gặp, có độ ác tính cao, tiến triển nhanh, rất khó khăn cho vấn đề điều trị. Chẩn đoán ung thư biểu mô tuyến phổi nói chung thường dựa vào kết quả giải phẫu bệnh (GPB); Các chẩn đoán dưới type cần sự hỗ trợ của hoá mô miễn dịch (HMMD). Chúng tôi giới thiệu ca bệnh PEAC hiếm gặp với hình ảnh khá đặc biệt: khối u lớn thuỳ trên phổi trái, các khối hạch lớn xung quanh khí quản, phế quản gốc và dưới Carina; Tất cả các cấu trúc bất thường trên đều có vôi hoá bên trong. Ngoài ra còn có nhiều nốt khác (không điển hình là nốt thứ phát) phổi cùng bên và phổi đối bên. Ban đầu ca bệnh được chẩn đoán theo dõi lao phổi; Chẩn đoán xác định PEAC bằng mô bệnh học và hoá mô miễn dịch từ bệnh phẩm có được bằng kỹ thuật sinh thiết xuyên thành ngực dưới hướng dẫn cắt lớp vi tính.
Capital Social Intraorganizacional, Desempenho e Mecanismo de Gestão das Pequenas Empresas em Contexto de Crise: Proposições
Authors: Da Silva Alfredo Bruno Jorge , Hoffmann Valmir Emil
Published: March 2023

Objetivo: O presente trabalho tem o objetivo de discutir a relação entre capital social (CS), controles formais e informais e o desempenho nas pequenas empresas em contexto de crise.Método: A presente pesquisa mira a existência de lacunas teóricas e formula proposições de pesquisa mediante a abordagem de ensaio teórico.Originalidade/Relevância: A presente pesquisa se sobressai por propor o debate e oferece aos pesquisadores da área proposições que podem ser analisadas sob diferentes perspectivas teóricas e metodológicas.Resultados: Este estudo engendrou cinco proposições de pesquisa: (i) O efeito do CS intraorganizacional no desempenho da PME é mais significativo em contexto de crise; (ii) Existe uma diferença no efeito entre as dimensões do CS intraorganizacional da PME sobre o desempenho operacional em contexto de crise; (iii) Existe um efeito do CS intraorganizacional no controle formal das PMEs em contexto de crise; (iv) Existe um efeito do CS intraorganizacional no controle informal das PMEs em contexto de crise; (v) Existe um controle dominante entre formal e informal das PMEs em contexto de crise.Contribuições Teóricas/Metodológicas: A discussão realizada permitiu a elaboração de proposições, dando um passo além da reflexão teórica. Essas proposições podem ser operacionalizadas tanto na forma de estudos qualitativos, como de estudos quantitativos dando uma contribuição aos pesquisadores (as) do tema.
Decision-making model based on identification of dangerous situations in electrical installations
Authors: Nikolsky Oleg , Faranosov Vadim , Surinsky Dmitry
Published: March 2023

The provision of anthropogenic safety is based on a comprehensive analysis of the conditions for the occurrence of an emergency situation of electrical installations of a production facility and the formation of a mechanism for making managerial decisions. One of the ways to solve this problem is the disclosure of the information mechanism of the occurrence of danger and on this basis the introduction of new information technologies, including monitoring aimed at minimizing anthropogenic risks and mitigating negative consequences (electrical injuries, fires, etc.). The idea of this work is to establish and analyze cause-and-effect relationships between the conditions of occurrence of an anthropogenic hazardous situation (APOS), possible moral losses (loss of life) and material damage, and the actions of electrical personnel aimed at making adequate decisions. Keywords: LEAKAGE CURRENTS IN ELECTRICAL INSTALLATIONS, MAN-MADE FIRES, THERMAL OVERLOAD, MAN-MACHINE SYSTEM
Multi-criteria management of anthropogenic risks hazards of electrical installations
Authors: Faranosov Vadim , Surinsky Dmitry , Nikolsky Oleg
Published: March 2023

An approach to the construction of a decision support system (DSS) is considered, including object-oriented models and software tools using ontology – a model representing a computer form of a knowledge base (BZ) in the form of semantic (information-logical) networks. With the help of these networks, the interrelationships of components of a human-machine system with different physical nature (human, electrical installation, environment) are established. At the same time, ontologies perform an integral function, providing a general conceptual basis in decision-making processes in the subject area under consideration. Keywords: MAN-MACHINE SYSTEM, MAN-MADE FIRES, LEAKAGE CURRENTS IN ELECTRICAL INSTALLATIONS, THERMAL OVERLOAD
Online measurement of highly oxygenated compounds from organic aerosol
Authors: Häkkinen Ella , Zhao Jian , Graeffe Frans , Fauré Nicolas , Krechmer Jordan E. , Worsnop Douglas , Timonen Hilkka , Ehn Mikael , Kangasluoma Juha
Published: March 2023

Abstract. Highly oxygenated compounds are important contributors to the formation and growth of atmospheric organic aerosol and thus have an impact on Earth’s radiation balance and global climate. However, knowledge of the contribution of highly oxygenated compounds to organic aerosol and their fate after condensing into the particle phase has been limited by the lack of suitable detection techniques. Here, we present a new online method for measuring highly oxygenated compounds from organic aerosol. The method includes thermal evaporation of particles in a new inlet, the vaporization inlet for aerosols (VIA), followed by identification of the evaporated highly oxygenated compounds by a nitrate chemical ionization mass spectrometer (NO3-CIMS). The method does not require sample collection, enabling highly time-resolved measurements of particulate compounds. We evaluate the performance of the method by measuring the detection limit and performing background measurements. We estimate a detection limit of below 1 ng m−3 for a single compound and below 1 µg m−3 for SOA with the sampling setup used here. These detection limits can be improved upon by optimizing the flow setup. Furthermore, we detect hundreds of particulate highly oxygenated compounds from organic aerosol generated from different precursors. Our results are consistent with previous studies showing that the volatility of organic compounds decreases with increasing m/z ratio and level of oxygenation and that organic aerosol consists of monomers and oligomeric compounds. By comparing the gas- and particle-phase compounds, we found indications of potential particle-phase reactions occurring in organic aerosol. Future work will focus both on further improving the sampling design and on better understanding the evaporation dynamics of the system, but already these initial tests show that the VIA coupled to the NO3-CIMS is a promising method for investigating the transformations and fate of the compounds after condensing into the particle phase.
A discovery of nanoscale sulfide droplets in MORB glasses: Implications for the immiscibility of sulfide melt and silicate melt
Authors: Zuo Lei , Zhang Peng , Liu Rui , Tao Dongping , Liu Xiang , Chen Genwen , Wang Kun , Tao Gang
Published: March 2023

Abstract. Sulfur forms an immiscible liquid upon saturation in magma, and sulfide droplets were commonly found in fresh mid-ocean ridge basalt (MORB) magmas. In this paper, scanning electron microscopy (SEM) determined that MORB samples were primarily fine-grained and weakly phyric, with hypocrystalline to vitreous textures. A focused ion beam cut from the MORB glasses examined by transmission electron microscopy (TEM) revealed a range of nanoscale sulfide droplets (10–15 nm), featuring rounded shapes and smooth edges. Texturally, the droplets were crystalline and homogeneous in composition. Elemental S, Na, Fe, Cu, and Ni were evenly distributed within the droplets, while the content of element Si, Al and O are less in the droplets. Previous reports have elucidated the immiscibility between sulfide and silicate melts, and the structure of the silicate melt also affects the size distribution of sulfide droplets. This is the first report on nanoscale sulfide droplets within MORB glasses, and those results indicated that nanoscale sulfide droplets were the initial phase of sulfide saturation; such insight may prove useful in understanding how siderophile and chalcophile elements behaved during sulfide crystallization. In addition, this study determined the immiscibility of sulfides and silicate melts occurred in the early nanometer stage, the immiscibility of sulfides in magmatic Ni-Cu sulfide deposits was the key to the formation of magmatic Ni-Cu sulfide deposits. Therefore, all immiscibility phenomena may occur in the nanometer stage during magma evolution.
Surface circulation in the Gulf of Thailand from remotely sensed observations: seasonal and interannual timescales
Authors: Anutaliya Arachaporn
Published: March 2023

Abstract. The Gulf of Thailand (GoT), a shallow semi-enclosed basin located in the western equatorial Pacific, undergoes much wind variabilities on both seasonal and interannual timescales that produce complex surface circulation. The local Ekman pumping modifies sea level in the northern GoT, while remote wind forcing influences sea level variability at the GoT western boundary, potentially through the coastal trapped Kelvin waves. The importance of the Ekman current on ageostrophic current is also important; the stronger influence of the Ekman current is found toward the southern part of the GoT. The GoT circulation reverses its direction seasonally following the monsoon wind reversal which is well-captured by the most dominant complex empirical orthogonal function explaining 28 % of the total circulation variance. During the monsoon transition, a strong meridional current along the western boundary that connects to the flow at the GoT southeastern entrance is observed. This implies high exchange between the GoT and the South China Sea and thus modification of the GoT water. On the interannual timescale, the GoT circulation is directly impacted by both the El Niño–Southern Oscillation (ENSO) and the Indian Ocean Dipole (IOD). Interestingly, the two climate modes have different spatial influences on the GoT circulation. The IOD dominates the interannual current along the GoT western boundary and the southern boundary of the observing domain (8∘ N), while the ENSO correlates with that in the interior. The results highlight the complex circulation pattern as being contributed by different dynamics over each region of the GoT.
The Demographic Database — History of Technical and Methodological Achievements
Authors: Vikström Pär , Larsson Maria , Engberg Elisabeth , Edvinsson Sören
Published: March 2023

The Demographic Data Base (DDB) at the Centre for Demographic and Ageing Research (CEDAR) at Umeå University has since the 1970s been building longitudinal population databases and disseminating data for research. The databases were built to serve as national research infrastructures, useful for addressing an indefinite number of research questions within a broad range of scientific fields, and open to all academic researchers who wanted to use the data. A countless number of customized datasets have been prepared and distributed to researchers in Sweden and abroad and to date, the research has resulted in more than a thousand published scientific reports, books, and articles within a broad range of academic fields. This article will focus on the development of techniques and methods used to store and structure the data at DDB from the beginning in 1973 until today. This includes digitization methods, database design and methods for linkage. The different systems developed for implementing these methods are also described and to some extent, the hardware used.
العراق ومشروعات الدفاع عن الشرق الأوسط في الصحافة المصرية 1947-1953
Authors: نزهان حمود نصيف
Published: March 2023

شكلت الصحافة عقب الحرب العالمية الثانية أداة لتبصير الشعوب العربية بشأن الدفاع عن حقوقهم وإنهاء ما تبقى من محاولات الاستعمار المستميتة لاستغلال مقدرات وثروات البلدان العربية بحجج الدفاع المشترك ضد مخاطر الشيوعية؛ لقد كانت منبرا لمقاومة المشاريع الاستعمارية الدفاعية الجديدة، وكانت الصحافة المصرية بعراقة نشأتها في مقدمة الصحافة العربية تقوم بالتصدي لتلك المشاريع الاستعمارية الدفاعية ونشر الأفكار النهضوية بين طبقات المجتمع العربي؛ فنددت بأهداف ومخاطر تلك المشروعات وضرورة رفضها بكل السبل.انطلاقا من ذلك يتناول البحث الحالي موقف العراق ومشروعات الدفاع عن الشرق الأوسط في الصحافة المصرية 1947-1953؛ وذلك من متابعة ومراقبة الصحف المصرية لموقف العراق الرسمي والشعبي لمشاريع الغرب في إقامة أحلاف دفاعية في الشرق الأوسط عمادها الرئيس مصر والعراق؛ لتحقيق مطامعها، وذلك من خلال تكوين شبكة من المعاهدات في تنظيم يربط بين هذه المجموعة من دول منطقة الشرق الأوسط والحزام الشمالي منه، وبين الدولتين الكبيرتين صاحبتي الاطماع الكبيرة في المنطقة، وقد اتخذت هذه المشاريع أسماء ومقترحات عدة ولكن أهدافها واحدة؛ وهي ما انتهت بالفشل نتيجة الرفض الشعبي والعربي والمتمثل بالدرجة الأولى في موقف مصر ومن ورائها القوى الوطنية والقومية العربية؛ الذي كان له الأثر الكبير في إفشال المشروعات الغربية الرامية آنذاك إلى ربط الوطن العربي بأحلاف عسكرية وسياسية تحقق المصالح الغربية في المنطقة، وإبقاء هذه المشاريع حبرا على ورق ومجرد أفكار لم تر النور؛ مما حدا بالولايات المتحدة وبريطانيا بالتفكير في خطط أخرى، تستبعدان منها مصر، ليستمر مخططهم نحو العراق حتى استطاعت إنشاء "حلف بغداد".
المسائل والدلالات التفسيرية والبلاغية والاحكام الفقهية المستنبطة من آيات غض البصر
Authors: سبأ علي مزهر
Published: March 2023

الحمد لله رب العالمين، الذي أنعم علينا بنعمه العظيمة وشرع لنا أفضل الشرائع، وأفضل الصلاة وأتم التسليم على المبعوث رحمةً للعالمين، محمدٍ الهادي الأمين.أما بعد:ان الآيات القرآنية تحمل موضوعات شرعت لخدمة البشرية سواء كانت عقائدية أم خلقية أم حكمية، وغض البصر شمل هذه الجوانب الثلاث، عقائدية من خلال التزام بطاعة ما ثبت بنص التشريع في اتباع الأوامر واجتناب النواهي، واخلاقية لأننا أمة كرمها الله بالخيرية على الامم وجعل نبيها قدوة حسنة لامته فكان تحريمه واباحته بناء على ضوابط شرعية تحقيق لمبدأ التعايش في جلب المصالح ودرء المفاسد، وتحريمه لان مفسدته أعظم من اباحته تبعا ً للجانب الاحكام التي تدور مع عللها، لذا كان هذا البحث يتضمن هذه الجوانب الثلاثة.فكان البحث يتطرق الى مبحثين وكل مبحث الى ثلاثة مطالب وخاتمة ثم مصادر والمراجع ... والله والى التوفيق.
Requirements Needed for the Improvement of English Listening-Speaking Courses in Iraq
Authors: Rana Abid Thyab
Published: March 2023

English language students and learners, of a non-native mother-tongue, and especially in Iraq, do not practice communicating in English sufficiently. Students of English language and literature in Iraqi educational systems interact very little in English. Also, this is a similar case found to be present in educational systems in Iraq, whether in schools or upper educational systems, such as colleges and universities. As an English language teacher in Iraq for many years, it has been found that English students are exposed very little to speaking practices in English. There is insufficient second/foreign language exposure to native English communication, whether through the lack of interaction with native speakers or the lack of exposure to native language communication through tapes and materials. It is the aim of this paper, to give certain suggestions, reached through experience and study of teaching/learning methods and advice, which should lead to better English language teaching/learning. Certain points have been suggested, which involve requirements and needs of better English language teaching/learning, specifically in Iraq. As an English teacher, specifically as a teacher of speaking and listening courses, and as an English language student, in and outside of Iraq, certain conclusions have been reached for better and more efficiency in English classrooms. Results include the need of a more appliance of the communicative approach and more emphasis on native language exposure and skills. Through experience also, it has been reached that English language students, in Iraq, in general, are incapable to communicate proficiently in English. Thus, a second aim is to show how this leads to a gap in English as a second/foreign language learning and teaching and, therefore, suggestions have been listed and discussed in order to help learners of English language reach better competence of English and improve their second/foreign language capabilities and skills, especially their speaking and listening skills.
المشترك اللفظي عند ابن فرحون (ت: ٧٦٩ هـ) في كتابه: العدة في إعراب العمدة
Authors: دعاء هاتف مكطوف  , علي مطر جرو
Published: March 2023

لا يخفى على الباحث أهمية المشرك اللفظي في الدرس الدلالي، لذا تناولناها عن العالم ابن فرحون في كتابه العدة الذي اعرب فيه الاحاديث النبوية الشريفة المجموعة في كتاب العمدة، تكمن أهمية كتاب العدة أنه خامس الكتب التي صنفت في إعراب الحديث النبوي، فقد صنف العلماء واكثروا في إعراب القرآن ولم يتجه إلا قلة منهم إلى إعراب الحديث النبوي، فكان كتاب العدة هو المصنف الخامس في هذه المجال، ورغم كونه يختص بالمسائل النحوية إلا أنه لا يخلو من المسائل الدلالية، وقد جمعنا بعض المصطلحات التي أصابها مشترك لفظي في هذه الكتاب.
بناء الجملة الاسمية المجردة في خواتيم السور القرآنية
Authors: سنور نجم الدين محمد  , عدنان خالد فضل
Published: March 2023

تسعى هذه الدراسة الى الكشف عن بناء الجملة الاسمية المجردة في خواتيم السور القرآنية، والبحث في تراكيبها وصورها، وأثر ذلك على دلالتها، فناقش البحث أنواع المبتدأ في تركيب تلك الجمل، وكذلك أنواع الخبر وما تتميز به تلك الجمل في السياق القرآني المعجز، بين الاسم الصريح، والضمير، والاسم الموصول، واسم الاشارة، وألفاظ العموم وغيرها، وكذلك تنوع فتناول صور المبتدأ التي وردت في تلك الخواتيم والتي تنوعت صور الخبر بين الاسم المفرد والجملة وشبه الجملة، فضلا عن تعدد الاخبار وتنوعها في الجملة الواحدة، وكان المنهج المتبع في دراسة الجملة الاسمية المجردة في الخواتيم القرآنية هو المنهج الوصفي التحليلي، وختمت الدراسة بأبرز النتائج التي توصلت إليها.
La fotografía: “una peste sin nombre” . La “imagen-huella” en la narrativa de Álvaro Bisama
Authors: González González Daniuska
Published: March 2023

El presente artículo pretende aproximarse a las novelas Estrellas muertas (2010), Ruido (2012) y El brujo (2016) del escritor chileno Álvaro Bisama para evidenciar la presencia de una “imagen-huella” (Didi-Huberman, 2004) como residualidad visual de un tiempo político marcado por la violencia, en una operación que, aunque logra reproducir el acontecimiento, no permite su cierre. Para conseguirlo, el autor recurre a diferentes estrategias de representación, como la metáfora, la distorsión, la fragmentariedad, los encuadres difusos, borrosos o manchados y la imagen fotográfica como una enfermedad. Con los textos bisamianos se pondrán a dialogar planteamientos teóricos de Georges Didi-Huberman, ya mencionado, Nelly Richard y Joan Fontcuberta sobre la imagen y sus usos, y de Michel Wieviorka acerca de la violencia política.
AVALIAÇÃO EM MASSA DE IMÓVEIS RURAIS UTILIZANDO REGRESSÃO GEOGRAFICAMENTE PONDERADA
Authors: Uberti Marlene Salete , Antunes Mauro Antonio Homem , Debiasi Paula
Published: March 2023

Nas avaliações em massa de imóveis tradicionalmente são utilizados os modelos clássicos de regressão linear (MCRL), entretanto tem-se verificado a necessidade de modelar os dados espacialmente. Os valores dos imóveis nas áreas rurais também são afetados pela localização geográfica, porém a modelagem dos efeitos geográficos, vem sendo utilizada principalmente nas avaliações de áreas urbanas. O objetivo deste artigo é a utilização de modelos de regressão geograficamente ponderadas - RGP em uma amostra de imóveis rurais para a elaboração da Planta de Valores Genéricos (PVG) para uma área da Região Norte Fluminense – RJ. A metodologia proposta é aplicar a RGP, avaliar seu ajuste e desempenho com relação ao MCRL e produzir a PVG por meio do interpolador Kernel. A amostra contou com 113 observações e 25 amostras de verificação. O desempenho da superfície de valores obtida foi analisado através Mediana das Razões, Coeficiente de Dispersão - COD e Diferencial Relativo ao Preço - PRD e comparados com os valores de referência recomendados pela IAAO (International Association of Assessing Officers). O modelo RGP foi superior ao MCRL em todos os critérios analisados e pode-se concluir que a RGP deixou a modelagem mais ajustada e, portanto, foi superior a modelo clássico de regressão. Quanto ao uso da Geoestatística para interpolar os valores e gerar a PVG, o Kernel se mostrou apropriado, pois gerou uma superfície detalhada, possibilitando a geração de valores entre os vizinhos, considerando-se que dificilmente se obtém dados na coleta em campo para toda a área estudada, principalmente em áreas rurais.

Palavras-chave: Avaliação em Massa, Regressão Geograficamente Ponderada, Kernel, Imóveis Rurais, GWR
A Case Study of Onychomycosis Caused by Aspergillus Fumigatus
Authors: Kumar Gupta Pradeep , Ranjan Sachin
Published: March 2023

Onychomycosis is known as a nail fungal infection brought on by dermatophytes, yeast, and non-dermatophyte mold. According to epidemiological investigations, Aspergillus fumigatus has been identified as an egregious fungal cause of toenail onychomycosis. Here, we present a case of A. fumigatus-related multiple toenail infections in a 47-year-old woman in good health. The causing agent was determined to be A. fumigatus based on the culture's macroscopic and microscopic features.

Keywords: Aspergillus fumigatus, toenail & Onychomycosis
Trimethoprim - Sulfamethoxazole Induced Sweet Syndrome: A Case Report
Authors: Johns Riya
Published: March 2023

Sweet syndrome (SS) also called as acute febrile neutrophilic dermatosis, is a rare inflammatory infectious skin reaction characterized clinically by tender, erythematous papules or plaque commonly appearing on the upper limbs, trunk, and head and neck. It is usually accompanied by fever and an elevation in the erythrocyte sedimentation rate (ESR), C- reactive protein. SS is classically triggered by infections, inflammatory bowel disease, pregnancy, malignancy or due to the administration of an associated drugs. Drug induce sweet syndrome (DISS) an uncommon subtype of SS. Drugs like antiepileptics like carbamazepine, diazepam, antibiotics like trimethoprim-sulfamethoxazole (TMP-SMX), minocycline, nitrofurantoin, norfloxacin, ofloxacin, contraceptives, non-steroidal anti-inflammatory drugs (NSAIDS) (celecoxib and diclofenac) and granulocyte – colony stimulating factor are the most common culprit. In this case, the patient was presented with oedematous and pustular eruption of nose with a rapid extension to the face, neck, upper trunk and the limbs which developed after taking TMP-SMX for 10 days accompanied with fever (42ºC) and cough. Laboratory test disclosed elevated WBC with notable increase in polymorphonuclear cells ,elevation of ESR (96mm/h), C-reactive protein (85ng/l, normal <5) and α-2-globulin (10g/l, normal <8). All these presentations clearly indicated that the patient is having DISS as per Walker and Cohen criteria for SS. TMP-SMX was discontinued upon which the lesions started to disappear. Clinical pharmacist must be more aware about the usage of TMP-SMX especially in immune compromised patients.

Keywords: Drug induced sweet syndrome, Trimethoprim-sulfamethoxazole, Neutrophilic infiltration, Corticosteroids, oedematous papules,
AM Band of Brothers
Authors: Reyes Soledad
Published: March 2023

This essay analyzes the komentaristas (commentators) and their daily programs on AM radio. These people have played a most active role in the nation’s political discourse. They can be politicians (active or former) who use radio to either increase their electoral stock or continue their public service. The nature of radio programming is also analyzed, as well as the various audiences of radio programs through the years. This essay concludes that the emergence of more programs in more radio stations is a welcome development. The same holds true for increased audience participation due to emergence of new technologies like texting. However, in the interaction between komentarista and listener either through phone or text messages, the discussion has generally displayed the audience’s visceral and unmediated rather than critical and reflective response to basic issues.
Bench Underwear Ads and the Male Body
Authors: Cañete Reuben
Published: March 2023

The essay problematizes the representation of the Male Body in contemporary Philippine urban culture as simplistic index of sexual relations based on residual notions of patriarchy complicated by hegemony heterosexism and emergent homoeroticism, as exemplified by the Bench underwear billboard ads for men between 2003-2004. This representation is said to be derived from the industrialized mode of image consumption produced in the global capitalist fashion industry that fails to negate the states of its diffracted audience as empowered consumers in either hetrosexist, feminine, or queer modalities. Its massified production and display nonetheless question the nature of Philippine sexual culture as homogenous and uncomplicated and reveals relations of power embedded in an eroticized display of male embodiment.
Use of Time and Wong Kar-wai
Authors: Espinosa Shirlita
Published: March 2023

Wong Kar-wai’s films are analyzed and assessed according to their use of narrative film and how much of Time is appropriated and valorized in order to show its importance to Hong Kong as site of transnational capital exchange. This, in turn, is comparatively read against the background of Philippine cinema’s increasing use of social realism in films that implicate the country’s status as a neocolonial state and the people’s continuing struggle for greater opportunities. This essay argues that the use of editing and camera techniques and their implicative notion of time, speed, and progress are heavily anchored on the vicissitudes of a filmmaker’s economic and political “time.”
Fragments of the Past: Towards a History of the Philippine Press
Authors: Jose Ricardo
Published: March 2023

The Philippine press has a very rich history. A thorough history of the Philippine press, however, has not yet been written. This essay examines what has so far been written, and how these articles and studies have developed through time. Some detailed studies of specific periods, newspapers or journalists have appeared, but there are others that have not been written about. What have thus been written are fragments of a proud past, a past which still has to be written. Gaps are pointed out, and a preliminary bibliography presented to aid prospective researchers and writers.
The Colonial Past in the Postcolonial Present: Eddie Romero’s Cavalry Command
Authors: Hawkins Michael
Published: March 2023

In late 1963, Calvary Command, a fictional filmic account of the U.S. Army’s successful pacification of a Philippine village during the Philippine-American War, beamed across movie screens in the United States. Made through the interdependent efforts of an American film studio, a Filipino director and crew, and a cast of both American and Filipino performers, Calvary Command was one of many co-produced films made in this decade. This paper examines Calvary Command in relation to other contemporaneous accounts of the American colonial period, considering its distinct accounting of this history as a function of the production process itself and the subjectivities of its director, Eddie Romero.
The Liberative Role of Discourse in Articulating Women’s Issues and Concerns in Filipino Melodramatic Films from 1990 to 2000
Authors: Santiago Arminda
Published: March 2023

This article explores the liberative capacity of discourse to enable and empower marginalized sectors to have a voice and space in the discursive space of media. Discourse is a site of struggle and should be understood in the context of power where ideological assumptions are often hidden in language since it pertains to language as text, speech, and the image. Through a study of six contemporary melodramatic films by Filipino women film directors, this article surfaces the value of discourse in articulating once-muted women’s issues and concerns through its enabling power in finding a space and giving a voice and image in the dominant sphere where women can emerge from their marginalized state.
The Videostyle of Philippine Senatorial Candidates in the 2004 Elections
Authors: Choa Kane Errol
Published: March 2023

The study explores the videostyle of senatorial candidates in the Philippines during the 2004 national elections through content analysis of their televised political spot ads and by using Hall’s culture context theory and Hofstede’s individualism/collectivism dimension of cultural differences as indicators. Results indicate that Filipino senatorial candidates followed cultural expectations and exhibited high-context communication characteristics in their ads. The candidates associate themselves with demographic groups and highlight their personal characteristics to depict an image of “patron” who is approachable and reliable. These conform to what voters look for in candidates as indicated in past studies. The candidates tend to use image ads, adopt a rapport style in communicating, avoid negative attacks, smile more often, and wear casual clothes to show that they are like ordinary people. But there are characteristics that did not conform to the expected high-context communication such as the use of symbols that was only present in less than half of the total ads and the immediate appearance of the candidates and their names in the first portions of their ads. Results also show that spot ads of winning candidates showed more characteristics of collectivism and high-context communication than losing candidates.
Career Anchors of Filipino Workers: Implications for Organizational Communication
Authors: Moya Monik , Oliveros Jurise Athena , Reyes Mariane Genelou , Sumaylo April May , Temporal Ervin Nil
Published: March 2023

Guided by Super’s (1990) theory and Schein’s (1978) model and using data from the 2000 World Values Survey, this study examines whether or not Filipino workers with different demographic and work profiles vary significantly in their career considerations. Based on the results of the bivariate analyses, education and work classification appear to have stronger impact on the amount of importance the respondents placed on different career anchors, as compared to other demographic and work profile variables.
Hoca Ahmet Yesevî ve Onun Eğitim Sisteminin Temeli
Authors: ERGESHOV Ermamat , YEGENOV Nurali
Published: March 2023

İnsanoğlu geçmiş dönemlerde olduğu gibi günümüzde de birçok alanda kendisini krize sürükleyen sorunlarla karşı karşıya kalmıştır. Çözülmesi olağan görülen sorunlarla başa çıkmak görüldüğü gibi kolay olmayabilir, ancak insanlığı rahatlığa kavuşturabilecek ortamın sağlanması mümkündür. Yapılması gereken en önemli şey – tarihin değil de hataların tekerrür edebileceğinin – farkına varmaktır. Dolayısıyla Yüce Türk Müslüman milletinin seçkin âlimlerinin yolundan gitmek ve onların sistematik eğitim felsefesini oluşturan görüşlerinden kendi şahsına ilişkin bilgi edinmek ve hayatı daha da yaşanır duruma getirmeye çalışmak, her insanın hem bireysel hem de toplumsal görev ve sorumluluğudur. Demek ki, Hz. Peygamberimizin varislerinin arasında önemli yeri olan âlimlerin, kendi dönemi içerisindeki krizlerin çözülmesinde izledikleri metotlardan, insanlık için ideal olanı bulma tecrübesinden, faydalanmanın yararı vardır. Böylelikle genelde insanlık, özelde ise Müslümanlık için ideal olanı tekrar canlandırmak, eğitim-öğretim alanına uyarlamak, ahlaki prensipleri güçlendirerek hayatın felsefi temellerini genişletmekle, geliştirmek mümkün olabilecektir. Bu çerçevede hazırlanan bu makale, Hoca Ahmet Yesevî’nin kaleme aldığı Dîvân-ı Hikmet adlı eseri göz önünde bulundurularak yazılmıştır. Ayrıca onun, milliyetimizin temelini oluşturan “dil” ve “din” konusundaki yaklaşımı, İslam Dinini anlatma ve öğretme gayreti, Müslümanlığın özellikle Türk milletlerinin hayatına neşredilmesinde kullandığı eğitim-öğretim usulü ve kullanmış olduğu bütün metotların felsefi temellendirilmesi hakkında bilgi verilmiştir.
THE EFFECT OF H. PYLORI PROTEINS JHP 0290 (FL) AND JHP 0290 ON HOST CELL BEHAVIOR
Authors: Idrees Muhammad , Waqas Mohammad , Rahman Inayat U , Ihtesham Muhammad , Khan Muhammad Tariq Masood , Azeem Rashid
Published: March 2023

Objective: This study was designed to investigate the effect of H. Pylori proteins JHP 0290 (FL) and JHP 0290 on host cell response.
Materials and Methods: This study was conducted at Khyber Teaching Hospital (KTH), Peshawar from April 2021 to September 2021. H. Pylori genomic DNA (J99 and 26695), pET expression system plasmid (PET21a, 22b & 28b+), kanamycin 50µg/ml and ampicillin 100µg/ml, LB agar plates and LB media, Talon@IMAC resin column were used for studying H. pylori proteins. Genes coding for these proteins were successively cloned into PET21a, PET22b, and PET28b+ expression vectors but no expression was seen with different concentrations of IPTG in BL21(DE3) culture, and expression was prolonged for 4hrs.
Results: Only JHP0290 (FL) & JHP0290 (-17a.a) were successively cloned in PET28b+ and expression was induced by using 100µM IPTG in E.coli strain (BL21DE3). Restriction analysis showed the size of JHP0290 (FL & -17a.a) at approximately 550bp and protein size was analyzed on SDS-page which was 20Kda approximately. JHP0290FL protein was found in pellets while JHP0290 (-17a.a) protein was found in pellets & supernatant before being applied to Talon cell through resin column to get purified protein. The study showed a clear band of JHP0290 (FL) on SDS-page with imidazole eluted fraction pooled, while a faint band with a distinct band of JHP0290 (-17a.a) was also seen on SDS-page.
Conclusion: These changes are indicative of altered host cell response induced by H.pylori protein JHP0290 suggesting its possible involvement in the development and severity of the disease.
Keywords: H.pylori proteins, virulence factor, host cell response, genomic DNA, pathogenicity
DETERMINATION OF IMMUNIZATION STATUS AND INVOLVED CHALLENGES AMONG HOSPITALIZED CHILDREN
Authors: Karim Rahida , Afridi Dr. Jahanzeb Khan , Ali Akhtar , Jan Rizwanullah , Zaman Muhammad Batoor , Amjad Afnan
Published: March 2023

OBJECTIVE
To determine the immunization status and its involved challenges among hospitalized children.
 Material and Methods
This cross-sectional study was conducted in the pediatrics department of Hayatabad Medical Complex Peshawar from February 2017 to September 2017. All children less than 5 years admitted via the outpatient department were included in the study. Their guardians were explained the purpose of the study and informed consent was obtained. A complete medical record of each individual including name, age, gender, detailed history, and examination was recorded in a predesigned Proforma. It also included details of immunization (fully immunized, partially immunized, or not immunized at all), Parental education (less than Primary and above Primary), socioeconomic status (poor, middle, and upper middle), and residential status (urban/rural).
RESULTS:
A total of 497 children were included in the study, out of which 422 were males (85%).   A total of 419 (84.30%) were completely immunized, 65 (13.07%) were partially immunized and only 13 (02.61%) were not immunized. Among 84.30% of children who were completely immunized, their parents had an education status above primary schools. Thirty-six percent of fully immunized children belonged to poor socioeconomic status. Two third of the participants belonged to an urban community.
CONCLUSIONS:
Ninety-seven percent of study participants were found to be completely/partially immunized. Most of the parents of immunized children had education status beyond primary school and were of upper and middle socioeconomic background. Most of them belonged to urban areas of the province.
OUTCOMES OF WHIPPLE PROCEDURE FOR PANCREATIC CANCER: INITIAL EXPERIENCE FROM A PUBLIC-SECTOR HOSPITAL OF PAKISTAN
Authors: Haider Syed Ali , Wardah Jabeen  , Raza Haider  , Amsa Zafar  , Syeda Sarah Kazmi
Published: March 2023

Objectives: The objective of this study was to review the outcomes of PD at our institution.
Material and methods: From 1st January 2017 to 31st December 2019, patients who underwent PD for pancreatic cancer at Dr. Ruth K.M. Pfau Civil Hospital Karachi complying with the criteria were chosen for this retrospective cross-sectional study utilizing convenient sampling. Ages, gender, site of the disease, histopathology, operative findings, pancreatic reconstruction techniques, postoperative complications including SSI, intra-abdominal collections, chyle leaks, anastomotic leaks, and their management and 30-day mortality were recorded and analyzed.
Results: The mean age of patients was 57±13.62 years. The male-to-female ratio was 2.1:1. Jaundice was the most common symptom patients encountered. Surgical site infection (SSI) was the leading postoperative complication. Metastasis to distant sites or locoregional recurrence evolved in 32.7% of patients. The 30-day mortality after surgery was 17.07%. 27 patients (65.9%) of the patients are alive and disease free and 14 patients (34.1%) expired due to recurrence.
Conclusion: Pancreaticoduodenectomy is a complex procedure. However, with recent advancements, it has evolved into a safer procedure with significantly better surgical outcomes. Large-scale studies for identifying factors priming in poor outcomes along with stage-based and age-based comparisons are recommended.
Keywords: Whipple procedure, Pancreatogastrostomy, Pancreatojejunostomy, outcome, Survival
THE DIAGNOSTIC ACCURACY OF H. PYLORI CULTURE AND RAPID UREASE TEST IN THE DIAGNOSIS OF H.PYLORI INFECTION KEEPING HISTOPATHOLOGY AS THE GOLD STANDARD
Authors: Ali Momena , Nadeem Saima , Gul Amina , Waseem Hafsah , Ihsanullah  , Qudrat Asma
Published: March 2023

Objective: The aim of this study was to determine the diagnostic accuracy of biopsy-based tests in the detection of Helicobacter Pylori infections keeping histopathology as a gold standard.
Materials and Methods: This validation study was conducted from August 2018 to February 2019 at Khyber medical college, pathology department, Peshawar, and comprised biopsy samples of 87 patients obtained via endoscopy which was done at the gastrointestinal endoscopy department, Hayatabad medical complex (HMC). Patients with a history of prior antibiotics and PPIs were excluded from the study. Rapid urease test (RUT) and culture of gastroduodenal biopsies were validated against the histopathological examination of gastroduodenal mucosa.
Results: Out of 87 patients, 57.47% (50/87) were male and 42.52% (37/87) were female patients with an age range of 18 -80 years and a mean age of 45 years. Endoscopic findings showed 64.36% (56/87) of patients with gastritis, duodenitis with 6.89% (6/87), peptic and duodenal ulcers with 22.98% (20/87), erosion with 4.59% (4/87) and adenocarcinoma of stomach with 2.29% (2/87). The sensitivity and specificity of culture were 45.45% and 90.7% respectively, while positive and negative predictive values were 62.5% and 83% respectively. The sensitivity and specificity of the rapid urease test (RUT) were 81.81% and 90% while positive and negative predictive values were 90% and 94% respectively.
Conclusion: The sensitivity and specificity of the rapid urease test were 82 and 90% respectively, while that of culture was 45 and 91% respectively.
Keys Words: Helicobacter Pylori, Gastritis, Rapid urease test, Adenocarcinoma
PATTERN OF ANEMIA IN DIABETIC PATIENTS PRESENTING TO PRIVATE SECTOR`S TERTIARY CARE HOSPITALS IN PESHAWAR
Authors: Gul Ambreen , Nisar Umarah , Rahman Safia , Ullah Zahoor , Furqan Muhammad , Haq Momina
Published: March 2023

Objective: To determine the frequency and type of anemia based on MCV in diabetic patients.
Materials and Methods: A Retrospective descriptive study, done at Peshawar Medical College, Peshawar, and its affiliated teaching hospitals from January 2016 to August 2018. It was a Laboratory and Medical OPD record-based study of 450 diabetic patients presenting to these teaching hospitals.
Results:  Among 450 diabetic patients, 283(63%) were having anemia (Hb less than 13.5 g/dl in males and 11.5 g/dl in females).  Among those who had anemia, 102(36%) had microcytic hypochromic, 176(62%) had normochromic normocytic and 6(2%) had macrocytic anemia on the basis of the mean corpuscular volume of more than 80, 80-95 and 95 fl respectively.
Conclusion:   More than 60 % of diabetic patients presented with anemia predominantly suffering from normocytic and normochromic anemia.
KEYWORDS: Anemia, Diabetes, hemoglobin, MCV, Normocytic and Normochromic anemia.
OVERWEIGHT, OBESITY AND ITS ASSOCIATED RISK FACTORS AMONG SCHOOL GOING CHILDREN OF PESHAWAR, KHYBER PAKHTUNKHWA, PAKISTAN
Authors: Syed Ghyasuddin  , Ali Waqar , Khalil Kashif Ur Rehman
Published: March 2023

Objective:
To compare the overweight and obesity status and associated factors among children of government and private schools in district Peshawar.
Materials and Methods:
A cross-sectional analytical study was conducted from February 2020 to October 2022.A sample size of 300 school-going children between ages 6-15 years from 30 different schools of Peshawar using a multistage sampling technique. The data were gathered on a structured questionnaire. SPSS version 24 was used for data analysis.
Results:
The mean age of the children ranged from 15.64 ± 0.48 S.D. 125(41.7%) of the children were from Government schools and 175(58.3%) were from Private Schools. Among 3oo study participants 16(53%) were males and 139(46%) were females. overweight and obesity among government and private school children were 9(36.0%),7 (33.3%) and 16 (64.0%), and 14 (66.7%) respectively(p-value=0.01). Among the Overweight and obese groups respectively there was a positive relationship between the consumption of eggs(r=0.165, p = 0.004), and fried food (r=0.180,  p = 0.002). The Duration of Outdoor Sports was inversely related to overweight and obesity (r=0-.333**, P = 0.000).
Conclusion:
Comparison between overweight and obesity among both groups shows significant differences due to the mandatory lifestyles of private school children. Both obesity and overweight had an inverse relation with the intensity and duration of physical activities. Effective strategies targeting overweight and obese children are required to make them healthy.
Keywords:
Obesity, BMI, Children
THE ORAL HEALTH RELATED HABITS, KNOWLEDGE, AND FREQUENCY OF USE OF DENTAL FLOSS AMONG UNDERGRADUATE DENTAL STUDENTS OF A PUBLIC HEALTH SECTOR UNIVERSITY IN KARACHI, PAKISTAN
Authors: Shah Hina , Ahmed Sanaa , Talha Sadaf , Irshad Mariam , Fatima Aruba , Nisar Nazish
Published: March 2023

Objectives: To assess the gap between knowledge of interdental cleaning aids and the usage of dental floss among dental students.
Materials and Methods: A cross-sectional study was undertaken at the Jinnah Sindh Medical University, Sindh Institute of Oral Health Sciences, Karachi, Pakistan, between March to May 2022. Using select statistics electronic software, a sample size of 172 was estimated, however, we included 200 participants in the study considering an expected drop-out rate of 15%. A structured questionnaire was designed to collect data from undergraduate dental students. All data were entered and analyzed using SPSS version 26. Percentages and frequencies were calculated to assess the knowledge and implementation of that knowledge among undergraduate dental students. In Association between the year of study and the use of dental floss, a chi-square test was used. A p-value of < 0.05 was set as the cut-off for statistical significance.
 
Results: A total of 200 participants were included with 24.5%males and 75.5%females. There was a significant association of interdental cleaning aid awareness with gender (p=0.007). Only a small percentage of females knew that waterjets and rubber tips were interdental cleaning aids while the majority of the respondents irrespective of gender knew that dental floss is interdental cleaning aid. Dental floss usage was significantly higher in the female population than in males (18.37% vs. 50.33%; p=0.019).
Conclusion: Our study concluded that while the majority of dental students had knowledge that dental floss should be a routine habit, they themselves were not practicing it. Moreover, about 30% of the study population claimed that they only brushed once a day only. The use of dental floss was significantly more frequent in female dental students.
Keywords: interdental cleaning, dental floss, oral health hygiene, dental plaque