bluuebunny/crossref_metadata_2025 huggingface dataset:
Research on Liability Identification System of Road Traffic Accident
Authors: Sai Liu Sai Liu , Sai Liu Zhen-Jiang Zhang , Zhen-Jiang Zhang Zi-Hang Yu
Published: February 2022

With the rapid development of social economy and the increasing improvement of people’s living standards, car ownership is increasing exponentially, and road traffic accidents occur frequently. The identification of liability of traffic accident is an important problem in accident handling, which relates to the life and property interests of the litigants concerned. At present, the identification of liability of traffic accident basically depends on the manual judgment of law enforcement department, which is influenced by the experience and human feelings of law enforcement personnel, and has certain randomness and uncertainty. This paper proposes a traffic accident intelligent responsibility identification system based on Case-based Reasoning and D-S Evidence Theory. In the process of liability identification, Case-based Reasoning and D-S Evidence Theory are combined to analyze cases in case database. According to the case similarity, the basic probability of the litigants bearing the main liability is fused to obtain the probability interval of each litigant bearing the main liability, so as to determine the main liability person of the accident. By testing in real cases, the method proposed in this paper has achieved outstanding effect in identifying the main liability of traffic accidents.

 
“As Fire in Our Bones”: J. D. May, an Ordinary Early Twentieth-Century Methodist Preacher
Authors: May Roy H.
Published: February 2022

Essay Abstract

“As Fire in Our Bones.” J. D. May, an Ordinary Early Twentieth-Century Methodist Preacher is an examination of the life and work of early twentieth-century ordinary Methodist pastors are seldom presented. Yet ordinary pastors have been, and still are, the backbone of Methodist ministry. James DeWitt May, who pastored between 1901 and 1925, was one such ordinary minister. This article briefly traces his life and ministry but concentrates on his sermons and preaching. The purpose is to show how he, as an ordinary pastor, presented the gospel of Jesus Christ and to trace his theological framework. Insight into his life and preaching can help us understand Methodist ministry and its development at the beginning of the twentieth century.
The Critical Journey of Luke Tyerman: Methodism and Biography
Authors: Rogal Samuel J
Published: February 2022

Essay Abstract

“The Critical Journey of Luke Tyerman: Methodism and Biography” examines one of John Wesley's biographers, Luke Tyerman in order to assess and critique the way that he characterizes Wesley. Examining Tyerman, his career, and his context is helpful, if not necessary, to one's understanding of the sound and the sense of his biographies—above all, of his Methodist biographies.
An In Vitro Study to Assess the Root Canal Morphology of Human Primary Molars Using Computerised Tomography
Authors: Kaul Shalan
Published: February 2022

Background: A virtuous consideration of root canal morphology is required. Complications all through and after endodontic therapy are frequently caused by variances in the anatomy of root canals in primary teeth. The goal of present study was to determine the number and shape of root canals in primary incisors and molars, as well as the pertinency of cone beam computerised tomography (CBCT) in doing so.Material & Methods:On a total of 60 primary molars and incisors with complete root length, CBCT was used to assess the number of roots, number of canals, width of root canal at cementoenamel junction and middle-third, length and angulations of roots. The information was statistically analysed. Results:The CBCT revealed that 13 percent of mandibular incisors had bifurcation of the root canal in the middle third, while 20% of mandibular molars had two canals in the distal root. The distobuccal root canal diameter of maxillary molars and the mesiolingual canal diameter of mandibular molars were determined to be the smallest.Conclusions:Cone beam computed tomography (CBCT) is a comparatively new and effective technology that can be used in conjunction with conventional radiography to examine variations in root canal morphology in primary teeth.
Comparative Study of Arthroscopic Anterior Cruciate Ligament Reconstruction by Quadrupled Semitendinosus-Gracilis and Tripled Semitendinosus Auto Graft
Authors: Islam Md. Samiul
Published: February 2022

Background: The anterior cruciate ligament (ACL) is the most frequently disrupted ligament of the knee. Arthroscopic ACL reconstruction is one of the most common orthopaedic procedures now-a-days and has become the gold standard method of treatment in complete ACL tear. Though the choice of graft for ACL reconstruction and the methods of its fixation are matters of debate, hamstring tendon is considered as the favorable graft. Common options for the choice of graft are quadrupled semitendinosus-gracilis and tripled semitendinosus auto graft. Aim of our study is to compare the outcome of arthroscopic ACL reconstruction by quadrupled semitendinosus-gracilis and tripled semitendinosus auto graft.Material & Methods:In this prospective interventional study purposive sampling was done. Sixty patients with complete ACL tear were included in this study from May 2017 to August 2019 at NITOR, strictly considering the inclusion and exclusion criteria. Thirty of them treated with quadrupled semitendinosus-gracilis (group 1) and thirty with tripled semitendinosus (group 2) auto graft. Evaluation by Lysholm knee score was done before and after surgery. Final outcome was evaluated at 24th week post-operatively.Results:Preoperative Lysholm Knee Score was almost similar in group 1 (63.2±2.1) and in group 2 (63.1±2.5). This difference was not statistically significant (p=0.582). Postoperative Lysholm Knee Score at 24th week was slightly higher in group 1 (95.0±2.0) in comparison to group 2 (94.4±3.2). This difference was also not statistically significant (p=0.361). But excellent functional outcome was more in group 1 (80.0%) in comparison to group 2 (73.3%) whereas no poor or fair outcome was reported in group 1 but fair outcome was reported in 6.7% of patients in group 2. Overall complication rate was 6.67% with no significant intergroup difference.Conclusions:Quadrupled semitendinosus-gracilis auto graft has yielded more excellent results than tripled semitendinosus graft. But as this difference was not significant, it can be said that, both the procedure can be performed for arthroscopic reconstruction of ACL.
Adenotonsillectomy Operation in Children is Effective to Improve Otitis Media with Effusion
Authors: Hossain Bhuiyan Md. Mostafa Kamal
Published: February 2022

Background: OME usually present because of the associated hearing impairment, defective speech and sometimes with a preceding history of fever and otalgia consequent on an episode of acute otitis media. Objective: The aim of the study was to evaluate adenotonsillectomy operation in children is effective to improve otitis media with effusion.Material & Methods:This was a clinical study done in the otolaryngology department of medical college for women and hospital, Uttara, Dhaka from January 2003 to December 2005 for three years. Children with 4 to 15 years of age admitted with chronic tonsillitis and enlarged adenoid having otitis media with effusion were included in the study. Statistical analysis of the results was obtained by using window-based computer software devised with Statistical Packages for Social Sciences (SPSS-22).Results:All of these patients underwent adenotonsillectomy operation and were followed up for up to six months. The overall success rate of resolution of middle ear effusion was 81% at six months post operatively.Conclusions:Our findings demonstrated that adenotonsillectomy operation is effective for the treatment of persistent otitis media with effusion due to chronic tonsillitis with enlarged adenoid.
Pattern of Tumor Lysis Syndrome in Patients with Acute Lymphoblastic Leukemia
Authors: Afrin Tanjina
Published: February 2022

Background: Prevention and treatment of tumor lysis syndrome (TLS) depends on immediate recognition of patients at risk. Therefore, we conducted this study to determine the frequency and risk factors of TLS in patients with acute lymphoblastic leukemia (ALL). Objective: The aim of the study was to observe the frequency of Tumor lysis syndrome in patients with Acute Lymphoblastic Leukemia.Material & Methods:This cross-sectional study was conducted at the department of Haematology in Bangabandhu Sheikh Mujib Medical University (BSMMU), over a period of 12 months following approval of this protocol. Total 50 patients admitted with ALL were included in this study after careful history taking, examination and appropriate investigations fulfilling inclusion and exclusion criteria, irrespective of their gender, race, ethnic group and age. Ethical issues were ensured properly. After briefing the aims and objectives and potential risk and benefits, written informed consent was taken from each subject. Interviews were done by investigator herself using separate case record form. After editing and encoding, data was analyzed by computer with the help of SPSS 24.Results:The mean age of patients was 21.24±13.83 (SD) years with majority aged less than 20 years (54%) and male gender (62%). Prevalence of TLS was found to be 26% (n=13), wherein spontaneous onset (n=8, 61.54%) and lab TLS (n=9, 69.23%) was more frequent than therapy induced TLS (n=5, 38.46%) and clinical TLS (n=4, 30.77%). The most common biochemical changes occurred within 3 days before chemotherapy and 7 days after initiation of chemotherapy among TLS patients was hyperuricemia (69.23 and 76.92% respectively) and hyperkalaemia (61.54 and 69.23% respectively) with significant differences compared to non-TLS patients (p value <0.05). Initial WBC count and serum LDH of all patients was 52.51±78.70 x109/L and 1591.53±2195.47 U/L respectively, wherein majority patients with TLS had significantly higher WBC count ≥50 x109/L (61.54%) and serum LDH ≥1000 U/L (92.31%) compared to non-TLS patients (16.22 and 21.62% respectively, p value <0.05). Multivariate analysis showed that serum LDH ≥1000 U/L was the significant independent predictors of developing TLS (OR=13.07, 95% CI: 1.93-101.23).Conclusions:TLS was commonly found in patients with ALL, wherein spontaneous onset and lab TLS was more common than therapy induced TLS and clinical TLS. However, a large multicenter study is needed to corroborate these findings.
Assessment of Effect and Safety of Beta Blockers in Hypertensive Patients
Authors: Mishra Rohit
Published: February 2022

Background: To assess effect and safety of beta blockers in hypertensive patients.Material & Methods:One hundred twelve adult patients who were diagnosed cases of hypertension of either gender were divided into 2 groups. Each group contained 56 patients. Group I received 25 mg atenolol twice daily and group II received 25 mg metoprolol tartrate twice daily. History of diabetes, kidney disease, lipid disorder, incident cardiovascular (CV) events etc. was recorded. Blood pressure (systolic and diastolic) was recorded before starting and after starting the drug therapy.Results:Age group 20-40 years had 12 in group I and 11 in group II, 41-60 years had 14 in group I and 17 in group II and >60 years had 30 in group I and 28 in group II. There were 40 males and 16 females in group I and 38 males and 18 females in group II. A significant difference in males and females within the group (P< 0.05) and non- significant intergroup difference was observed (P> 0.05). The mean SBP found to be 149.4 mm Hg in group I and 146.7 mm Hg in group II and DBP was 85.4 mm Hg in group I and 83.6 mm Hg in group II at baseline and SBP was 135.4 mm Hg in group I and 134.6 mm Hg in group II and 78.2 mm Hg in group I and 78.0 mm Hg in group II at 6 months. Diabetes mellitus was seen in 12 in group I and 19 in group II, lipid disorders 17 in group I and 28 in group II, chronic kidney disease 11 in group I and 16 in group II and CV event 2 in group I and 4 in group II. Conclusions:Both beta blockers found to be equally effective in management of patients with hypertension.
Co-Relation of Risk Factors for Surgical Site Infection in Patients Undergoing Surgery For Carcinoma of Breast
Authors: Singh N.K.
Published: February 2022

Background: Breast malignancy is one of the highest ranked malignancy occurring among Indian females, overall incidence being 25 per 1, 00,000 females varying across different states. Breast cancer surgeries are one of the commonest surgeries being conducted which is considered to be a clean procedure pretending to be at lower risk of complications. However it is has been observed that patient develops surgical site infection at an increased rate approximately 19% which leads to poor quality of life, increased hospital stay and delay in commencement of adjuvant therapies. The aim is to Co-relate risk factors for surgical site infection in patients undergoing surgery for carcinoma of breast. The objective of this study was to observe the relation of surgical site infection and its associated risk factors in the patient undergoing surgery for carcinoma breast.Material & Methods:We analyzed 50 patients diagnosed with carcinoma breast and operated for the same in Teerthanker Mahaveer Medical College & Research Centre, Moradabad, Uttar Pradesh. Patients were divided into two groups, Group A who develop surgical site infection and Group B who don’t develop surgical site infection. All the predisposing factors including age, BMI, Addiction, co morbidity, Neo-adjuvant therapy, preoperative total leucocyte count were recorded. An observation was done with above mentioned risk factors and correlated with development of surgical site infection.Results:In our study we found that the risk factors associated with surgical site infection post breast cancer surgeries were age, BMI, co morbidity, Addiction and Neo-adjuvant therapy.Conclusions:Patients of Age more than 50years or who underwent Mastectomy or having associated co-morbidity with co-relation to Smoking & BMI more than 30, with Increased TLC count or who have received Neo-adjuvant chemotherapy are associated with increased risk of SSI following breast surgery which has led to increased hospital stay. There are many other studies who also concluded the relation of above factors with development of SSI post breast surgery, however further research is needed to elucidate the effect of prior manipulation and radiation therapy in development of SSI.
Correlates Between Health Seeking Behaviour and Health Status; A Cross-Sectional Study Among the Elderly Group in Nigeria
Authors: Agboola Bolaji Damilola
Published: February 2022

Background: The aim of this study was to examine the correlates between health seeking behavior and health status among the Elderly group in Osun State, Nigeria.Material & Methods:A cross-sectional study was conducted in Osun State between July-October 2020. A multistage sampling method was used to select 433 people aged 60 years and older. The participants were interviewed face-to-face using a well-structured questionnaire. Both descriptive and inferential statistics was used to analyse data. Results:Findings from the study revealed that majority (77.8%) of the respondents had poor health status. Key findings showed that majority (72.4%) of respondents had good health seeking behaviour. Furthermore, age (p<0.05), marital status (p<0.05), educational status (p<0.05) and monthly income (p<0.05) were statistically associated with the health status of the elderly people.Conclusions:An adequate understanding of health seeking behaviour and its correlates with health status especially among the elderly people is needed to improve the health care in Nigeria. Although the elderly people have a good health seeking behaviour, it does not however translate to good health status. Therefore, strategies to improve the health status including improving their financial status should be developed with adequate health literacy. Elderly people should learn the importance of regular health examinations to promote health, prevent diseases, and slow the progress of chronic diseases.
PEMANFAATAN SMARTPHONE SEBAGAI SARANA AKSESIBILITAS LAYANAN ADMINSTRASI KEPENDUDUKAN
Authors: Rafieqah Nalar Rizky  , Ananda Mahardika  , Agung Saputra
Published: February 2022

Pandemi Covid-19 telah mengajarkan kita banyak hal tentang tata kelola birokrasi. Era Covid-19 memaksa birokrasi untuk mengoptimalkan penggunaan teknologi, informasi, dan komunikasi dalam pekerjaan semua sektor pemerintahan. Hasil pelaksanaan dapat dilihat dari antusiasme masyarakat ketika pelatihan, pelayanan administrasi secara online sangat bermanfaat bagi masyarakat di Kelurahan Tanjung Selamat, khususmya STM Silaturrahmi karena selama ini masyarakat hanya tahu untuk mengurus berkas kependudukan dilakukan dengan mendatangi kantor Dinas kependudukan secara langsung (offline) dengan berbagai permasalahan yang terjadi dalam proses tersebut. Setelah pelatihan ini, masyarakat diharapkan lebih “melek” teknologi dengan memaksimalkan smartphone yang ada pada mereka. Dan masyarakat juga lebih memahami pentingnya administrasi kependudukan secara online ditengah pandemic covid-19. Selain dapat mencegah perluasan penyebaran  covid-19, administrasi kependudukan online juga dapat meminimalisir biaya dalam mengurus berkas kependudukan.
Autonomia e autoria em sala de aula com oficinas de estudo
Authors: Blanco Enrique Sergio , Silva Maria dos Remédios Lima , Andrade Larissa Liss Cardoso de , Santos Bettina Steren dos
Published: February 2022

O presente artigo descreve o uso de uma metodologia ativa de ensino e de aprendizagem em salas de aula da Educação Básica. Este trabalho propõe uma reflexão acerca da metodologia de aprendizagem ativa do tipo oficina de estudos, especificamente a partir da estratégia definida como “Aula Leve”. A metodologia utilizada neste artigo é qualitativa, de caráter exploratório e interpretativo. Conforme análises de indicadores teóricos e práticos desta experiência, professores e alunos reconhecem os benefícios para o ensino e a aprendizagem da prática de oficinas de estudos definida como “Aula Leve”. Devido às suas características, a metodologia ativa analisada contribui para o desenvolvimento da autonomia e autoria de estudantes do Ensino Fundamental e do Ensino Médio, tornando-os sujeitos ativos de sua aprendizagem.
Igualdade e diferença: reflexões no âmbito do direito educacional das pessoas com deficiência
Authors: Souza Melo Rosileide de Jesus de , Cals e Souza Alexandre Augusto
Published: February 2022

Neste trabalho, pretendemos discutir algumas ideias que consideramos relevantes para a política pública inclusiva e que diz respeito à importância que questões relativas à igualdade e diferença têm adquirido para a compreensão dos processos e práticas inclusivas. Tendo como objetivo analisar como se dá as questões acerca da percepção de igualdade e diferenças no âmbito do direito das pessoas com deficiência.  O interesse em pesquisar a temática surgiu da necessidade de reconhecermos os outros como pessoas de direitos em sua igualdade e em suas diferenças. A pesquisa segue uma abordagem qualitativa de cunho bibliográfico que adotou como referencial os estudos de Santos (2015), Barros (2018) e Silva (2000). Compreender aquilo que distingue igualdade e diferença é crucial para uma sociedade mais igualitária, conforme discutiu-se neste trabalho, um estudo mais sistemático das relações e possíveis interações entre igualdade e diferença no tocante aos direitos dos sujeitos nos vários meios sociais e tempos históricos.
Políticas educacionais na Amazônia: reflexão acerca das políticas para o ensino médio da escola pública na região tocantina e Vale do Acará/PA
Authors: Kemil Fahid da Costa Kemil , Nascimento Afonso Welliton de Sousa , Cals e Souza Alexandre Augusto
Published: February 2022

O artigo busca responder como as políticas públicas de educação têm refletido sobre o Ensino Médio (EM) no município de Abaetetuba/PA? Partindo da discussão de Políticas Públicas de Educação, verificando a Lei de Diretrizes e Bases, o Plano Nacional de Educação e o Plano Estadual da Educação. Fazendo a relação com o EM a partir da bibliografia utilizada e de entrevistas realizadas com oito pessoas, sendo quadro delas professores e quatro alunos do Ensino Médio de duas escolas públicas. O objetivo desde estudo consiste em identificar o reflexo das políticas públicas educacionais, mais especificamente do EM em escolas públicas estaduais. A partir das entrevistas realizadas foi possível identificar que os alunos vêm tendo dificuldades em relacionar os conteúdos abordados em sala de aula com a realidade em que vivem. Na visão dos professores são identificados três perfis de escolas no município de Abaetetuba, as que buscam apenas aprovação em vestibulares, as que visam, além disso, o trato de conhecimentos culturais e as que apenas se preocupam em transmitir conteúdos em sua maioria descontextualizados.
Da educação fascista à educação da classe trabalhadora: um diálogo com Antônio Gramsci
Authors: Magalhães Antônia Márcia da , Santos Pedro , Santos Escolástica
Published: February 2022

O presente trabalho tem como objetivo apresentar uma discussão sobre o conceito de educação segundo o prisma fascista e na perspectiva gramsciana. Para tanto, utilizamos a metodologia de abordagem qualitativa e de procedimento bibliográfico compreendida por Gil (2002) como aquela realizada a partir de materiais já existentes como revistas, periódicos, jornais, etc. Ademais, para apropriação do material de estudo selecionado, usamos a técnica de leitura imanente de Lessa (2014) que visa impedir que nossas impressões e sensações individuais interfiram na interpretação das ideias defendidas por um determinado autor. Para a compreensão do pensamento de Antonio Gramsci sobre a educação no contexto fascista italiano, utilizamos a Técnica Análise Textual Discursiva (ATD) de Moraes (2003) que possui três etapas: unitarização, categorização e comunicação. Por fim, entendemos que a educação a partir da ótica fascista visa manter a condição de subalternidade da classe trabalhadora e preservar o status quo dos grupos historicamente privilegiados. Já uma educação comprometida com o viés revolucionário tem como horizonte a emancipação dos sujeitos subalternos a fim de que sejam capazes de construir uma outra ordem social.
O potássio atenua os efeitos do déficit hídrico em mudas de pereiro (Aspidosperma pyrifolium Mart. & Zucc.)
Authors: França George Martins , Freire Antonio Lucineudo de Oliveira , Batista Antônio Wesly , Ferreira Cheila Deisy , Ferreira Débora Raquel dos Santos
Published: February 2022

Este estudo teve como objetivo verificar os efeitos da baixa disponibilidade de água às plantas jovens de pereiro e o papel da adubação potássica na atenuação desses efeitos. Os tratamentos foram dispostos em delineamento inteiramente casualizado (DIC), distribuídos em esquema fatorial 3 x 3 sendo três níveis de água [100%cp (capacidade de pote) (controle), 50%cp (déficit moderado) e 25%cp (déficit severo)] e quatro doses de potássio (0, 50, 100 e 150 mg dm3 K), com quatro repetições. Foram avaliadas a condutância estomática (Gs), taxa de transpiração (E), fotossíntese (A), eficiência intrínseca no uso da água (A/Gs) e eficiência de carboxilação (A/Ci). Os parâmetros avaliados foram afetados negativamente pelo déficit hídrico, mas influenciados positivamente pelo potássio, com aumentos nos valores à medida que se aumentou a quantidade de KCl. As plantas mantidas em solo com umidade de 50%cp, apresentaram os melhores resultados, constituindo-se em uma possibilidade de economia de água durante a fase de produção das mudas de pereiro. Recomenda-se a adubação com 100 mg dm3 K e manutenção do substrato com 50%cp de umidade, por proporcionar maiores condutância estomática, taxa fotossintética e eficiência de carboxilação.
O segmento de distribuição de energia elétrica no Brasil: uma avaliação das crises hídricas enfrentadas em 2001 e 2021
Authors: Soares Marcos , Katarina de Medeiros Costa Hirdan
Published: February 2022

O presente artigo pretende identificar as estratégias utilizadas pelo governo federal brasileiro para mitigar os impactos das crises hídricas do setor elétrico, em especial, no segmento distribuição de energia elétrica ocorridas no Brasil, em 2001 e 2021. Além disso, procura mapear oportunidades para aprimoramento da regulamentação. A metodologia consiste em análise qualitativa, exploratória e descritiva, baseada na revisão da legislação em vigor no país, regulamentações da ANEEL, trabalhos científicos e artigos técnicos sobre o setor de energia elétrica no Brasil. Como resultados, aponta-se que o Sistema Elétrico Brasileiro é baseado em um  modelo de produção  de energia a partir da hidroeletricidade, dessa forma, os impactos ambientais associados às mudanças climáticas no mundo e as decisões de políticas do estado Brasileiro como o abandono da construção de novas usinas hidrelétricas com reservatório de acumulação, no futuro poderão permitir o surgimento de novas crises no fornecimento de energia elétrica e/ou no atendimento da demanda de pico do sistema, assim sendo, há uma oportunidade regulatória de aprimorar as regras vigentes, de modo a preparar o Brasil para futuras crises setorias, já que nos últimos vinte anos tivemos pelo menos cinco, bem como garantir o fornecimento de energia com um menor custo.
Method of developing professional competencies future teacher for labor training
Authors: Debre Oleksii , Vakulenko Nadiia , Savchenko Anastasiia , Lysenko Larysa , Kondor Marianna , Kis Alla
Published: February 2022

The main goal of the research was to specify the features for the key competencies’ formation of teachers of labor education and technology and provide recommendations for their implementation based on the competence approach. The main method was a sociological survey among students majoring in “Labor Education and Technology”. As a result of research, the essential features which arise in the preparation of students of a specialty "Labor training and technologies" of the researched university are revealed. The differences between the competencies defined in the standard for the preparation of students majoring in “Labor Education and Technology” and the professional competencies of teachers are identified. As a result was shown that the success of the progress of forming qualified competencies is ensured by creating the following conditions: introduction of a systematic approach, implementation of a contextual approach through updating the possibilities of subjects for future qualified competence. Future teachers, according to their specialties and qualifications, stimulate the conducts and methods of their development. The practical significance of the study is to form recommendations and principles for the subject competence of students majoring in “Labor Education and Technology” taking into account their future professional needs.
Posterior decentering of the humeral head in patients with arthroscopic rotator cuff repair
Authors: Nakamura Hidehiro , Gotoh Masafumi , Honda Hirokazu , Mitsui Yasuhiro , Ohzono Hiroki , Shiba Naoto , Kume Shinichiro , Okawa Takahiro
Published: February 2022

Background: In some patients with rotator cuff tear (RCT), the axial view of magnetic resonance imaging (MRI) shows subtle posterior decentering (PD) of the humeral head from the glenoid fossa. This is considered to result from a loss of centralization that is typically produced by rotator cuff function. There are few reports on PD in RCT despite the common occurrence of posterior subluxation in degenerative joint disease. In this study, we investigated the effect of PD in arthroscopic rotator cuff repair (ARCR). Methods: We conducted a retrospective study of consecutive patients who underwent ARCR at our institute and were followed-up for at least 1 year. PD was identified as a 2 mm posterior shift of the humeral head relative to the glenoid fossa in the axial MRI view preoperatively. The tear size and fatty degeneration (FD, Goutallier classification) were also evaluated using preoperative MRI. Retears were evaluated through MRI at 1 year postoperatively. Results: We included 135 shoulders in this study. Ten instances of PD (including seven retears) were observed preoperatively. Fifteen retears (three and 12 retears in the small/medium and large/massive tear groups, respectively) were observed postoperatively. PD was significantly correlated with tear size, FD, and retear occurrence (p<0.01 each). The odds ratio for PD in retears was 33.8, which was greater than that for tear size ≥3 cm and FD grade ≥3. Conclusions: We concluded that large tear size and FD contribute to the occurrence of PD. Furthermore, PD could be a predictor of retear after ARCR.
The Design of the Benchmark Land Price Release and Management Information System Based on Webgis
Authors: Hui Kong , Lei Shi
Published: February 2022

The In this paper, on the premise of benchmark land price production data and, starting from the management and application direction of technology based on JavaScript, Java Web technology and ArcGIS for Server technology, the WebGIS system design, the MVC development mode, B/S (browser/Server) multi-tier architecture model design to achieve the collection of maps, land management, land price data query, data statistical analysis, and system integrated management and so on five big modules as one of the benchmark land price distribution and management information system.
Pharmaco-Chemical Characterisation of Polygala Javana DC., P. Chinensis L. and P. Rosmarinifolia Wight & Arn. (Polygalaceae)
Authors: Alagammal M. , Murugan M. , Mohan V.
Published: February 2022

The present study deals with the pharmaco-chemical characterisation of Polygala javana DC., P. chinensis L. and P. rosmarinifolia Wight & Arn. Since, these plant species are used as medicine for treating various ailments. Physicochemical constants (ash and extractive values) fluorescence analysis and preliminary phytochemical screening were carried out. The preliminary study will be helpful to study the active principles using modern techniques in the later part of this work.
Sharp growth conditions for boundedness of maximal function in generalized Orlicz spaces
Authors: Harjulehto Petteri , Karppinen Arttu
Published: February 2022

We study sharp growth conditions for the boundedness of the Hardy-Littlewood maximal function in the generalized Orlicz spaces. We assume that the generalized Orlicz function \(\phi(x,t)\) satisfies the standard continuity properties (A0), (A1) and (A2). We show that if the Hardy-Littlewood maximal function is bounded from the generalized Orlicz space to itself then \(\phi(x,t)/t^p\) is almost increasing for large \(t\) for some \(p>1\). Moreover we show that the Hardy-Littlewood maximal function is bounded from the generalized Orlicz space \(L^\phi(\mathbb{R}^n)\) to itself if and only if \(\phi\) is weakly equivalent to a generalized Orlicz function \(\psi\) satisfying (A0), (A1) and (A2) for which \(\psi(x,t)/t^p\) is almost increasing for all \(t>0\) and some \(p>1\).
To associate the fetal distress, IUD and IUGR observed in normal, diabetic and hypertensive pregnancies
Authors: Shams Farrah , Ali Fawad , Samoo Nawaz , Malik Faiza , Asif Uzma , Gul Alia , Saddique Aisha
Published: February 2022

To associate the fetal distress, IUD and IUGR observed in normal, diabetic and hypertensive pregnancies. Study Design: Cross sectional study with non probability purposive sampling was done. Place and Duration of Study: Institute Basic Medical Sciences, Dow university of Health Sciences, Karachi, from 2011-2013. Method: Cross sectional study with non probability purposive sampling was done.The patients were identified and selected through OPDs of two different hospitals in public and private sector. A total of 150 patients were selected, on the basis of history and clinical examination they were divided into three groups, Control (A), Diabetic (B), and Hypertensive (C), each having 50 individuals. Ultrasound and cardiac tocography (CTG) for all patients was carried out. The newborn was examined most of the time by a doctor from pediatric ward and, apgar scoring recorded at 1st min, 5th min and 10th min of birth. The data was entered and analyzed on SPSS version 16.0. Mean ± standard deviations was computed for the quantitative variables like Apgar score, by using ANOVA. P-value was determined at 95%confidence interval and <0.05 taken as significant. Qualitative variables such as fetal distress, IUGR and IUD were presented by frequencies and percentages Results:Fetal distress was highest 46% in hypertensive group(p-0.005). IUGR was seen highest 6% in hypertensives(p-0.005).  IUD was observed 10% in diabetic group (p-0.005). Results found by ultrasound scans were 92 % normal in control group, 68 % in hypertensive and 54 % in diabetic group.Mean Apgar score of baby in 1 minute was same in all the three groups. Conclusion:It is confirmed by this study that there are more no of cases with poor outcome of pregnancy in diabetic and hypertensive as compared to control group.
Factors leading to delayed presentation among patients presenting with ST-elevation Myocardial Infarction in Emergency Department of a tertiary care hospital.
Authors: Zameer Imran , Baig Adnan , Ahmed Zubair , Qayyum Junaid , Amir Asad , Rauf Saima , Ashraf Butt Adam Umair , Khan Muhammad Sarfraz , Malik Abdur Rehman , Khalid Areeb
Published: February 2022

The duration between the onset of myocardial infarction and first intervention plays a pivotal role in saving the life of the patients. Objective: To determine the frequency of various pre-hospital factors causing delay among patients presenting with STEMI in the emergency department of a teaching hospital. Methods: This is a descriptive observational study conducted at the Cardiology Department, Rawalpindi Institute of Cardiology (RIC), Rawalpindi from March to August 2019. A total of 142 patients presenting with ST-elevation myocardial infarction (STEMI) to the Emergency Department (ED) of RIC were enrolled. Electrocardiograms (ECGs) were reviewed for confirmation of STEMI and find the type of MI. Echo-cardiography was done to find out the ejection fraction (EF) of the left ventricle. Type of reperfusion therapy either thrombolytic therapy or primary percutaneous coronary intervention (PCI), time of symptom onset, and time of presentation in ED of RIC were noted.  Patients were divided into four major groups depending upon the possible factors for delayed presentation: 1) Misinterpretation of symptoms, 2) Ignorance Of reporting urgently or waiting for symptoms to resolve, 3) Transportation problem and 4) First presentational facility where thrombolytic unavailable. Data were analyzed using the Statistical Package for Social Sciences (SPSS) v.23.0 (IBM, Armonk, U.S.). Results: The mean age was 53.2(SD=15.5). Out of 142 patients, most of them were males 130(91.5%). In our study, the majority 46.5% had a primary level of education.  Transportation problems were the main reason for delayed presentation accounting for 45(34.5%), followed by misinterpretation of symptoms 40(28.2%), patients first presented at a facility where thrombolytic therapy was unavailable 27(19%) and patients were either ignorant of reporting urgently to a hospital or they waited for symptoms to resolve 26(18.3%). There was a significant difference in point of the first consultation, MI type, and time duration of delayed presentation among groups (P<.05). Conclusion: Transportation problems and misinterpretation of symptoms are the main reasons for the delay in getting reperfusion treatment for ST-elevation MI. Providing better primary care facilities available to rural areas as well as targeted awareness campaigns will greatly help in this regard.
Effect of diabetes mellitus and glycemic control on the prognosis of invasive bladder cancer
Authors: Ghous Muhammad Haroon , Hafeez Muhammad , Afzal Sikander , Malik Shahid Mahmud , Arooj Mahwish , Ramzan Hafiza Sobia
Published: February 2022

A patient's prognosis for cancer treatment is thought to be affected by their presence of diabetes mellitus (DM). Epidemiological studies show that type 2 diabetes raises the risk of a wide range of cancers, including colorectal, breast, endometrial, and hepatocellular carcinoma. Findings for bladder cancer were hard to comprehend and thus no proof has been presented. Objectives: Invasive bladder cancer prognosis will be examined in this study in relation to diabetes and glycemic control. Methodology of the study: Researcher performed this cross-sectional study between January 2011 and January 2021 at Galway Hospital, Ireland and University Lahore Teaching Hospital in Lahore, Pakistan. The data was collected from 136 bladder cancer patients during the period of these five years. The data was collected with the permission of ethical committee of hospitals. Patients with last two years of DM were include in this study. Results: The study was completed by 136 patients. Their mean age was 53.2 ± 8.4 years (range: 36-61 years). There were more males than females (60% vs. 40%). Table 1 provides an overview of their clinical and demographic data. Conclusion: Diabetes mellitus is a metabolic condition that affects all main bodily systems, although it is not linked to the advancement of bladder cancer, according to the findings. However, poor glycemic management is linked to a greater recurrence rate. In patients with DM and invasive bladder cancer, glycemic management should be one of the therapy aims.
Coprevalence of COVID-19 and Dengue fever in Pakistan
Authors: Naeem Usra , Mujtaba Babar , Ikram Atif , Naeem Manzoor Ahmad , Badar Syeda Asfara , Naeem Aisha
Published: February 2022

Pakistan is facing an epidemic of dengue fever amidst COVID-19 outbreak which is a serious public health concern. This article provides an overview of factors that could have led to an unexpectedly higher number of Dengue fever cases in Pakistan this year, such as, insufficient preventive measures to control Dengue at the national and domestic level, lack of surveillance system for the spread and control of the disease, and the lack of awareness among the general population regarding the possible outbreak of the disease. This situation has challenged the overburdened healthcare system of the developing country, which was still recovering from the immense pressure of COVID-19. This study also highlights the challenges faced by physicians regarding the diagnosis and treatment of patients who are coinfected with COVID-19 and Dengue fever. Early detection and accurate diagnosis are crucial for the management of patients with either of the disease. Authors have suggested a few measures that may help in improving the management and prognosis of patients coinfected with COVID-19 and Dengue fever. Additionally, we have also proposed a few strategies, that, if adapted at the national level may help in controlling the spread of Dengue fever in the future. For example, policies should be devised by the government for the implementation of preventive measures at the domestic level which was in practice before the outbreak of COVID-19.
Reforming Medical Education in Pakistan through strengthening Departments of Medical Education
Authors: Shakoor Abdul , Bangash Sadia , Hussain Sadam
Published: February 2022

Early medical education departments, notably in the United States, were well-known for their origins as medical education research institutions. Objectives: According to this study, Pakistan's medical education may be improved by creating new departments of medical education and training. Methods: The Punjab Health Department conducted this cross-sectional survey from August 2021 to November 2021. Participation in the research was open to people from all areas of life. The study included all the city's medical schools that were approved by the PMDC and situated inside the city's boundaries. Responses were from medical college faculty members who had been solicited to participate in the survey, such as department chairmen. Results: In the study, 200 people are participating, and their data was acquired from that group. Every single person who has been nominated for the position was interviewed. Students' assessments (72.2 %) came in second, followed by faculty development (70.7 %), curriculum development (70.7 %), and educational research (66.6 %). Conclusion: For the last argument, it is claimed that DMEs with a long history of success can play a key role in strengthening medical education. Policy, governance, and regulatory challenges should be addressed by the Ministry of Planning and Development, and medical universities in Pakistan, as well as technical capabilities in these areas at medical and dental schools across Pakistan
POLJOPRIVREDNA ISTRAŽIVANJA BRDSKIH I DOLINSKIH LIVADA I PAŠNJAKA GORSKOG KOTARA
Authors: Batinica Dane
Published: February 2022

Da bismo mogli pravilno ocijeniti karakter i gospodarsku vrijednost livada i pašnjaka, te izvršiti njihovo bonitiranje, moramo proučiti ne samo njihov današnji sastav, već provesti i analizu njihovog postanka i stvoriti zaključke o budućem njihovom razvitku pod uticajem ekoloških faktora u području u i kojem se razvijaju. Svi ovi elementi obuhvaćeni su fitocenološkim istraživanjima.

Kvalitet travnog pokrivača livada i pašnjaka određen je glavnim vrstama trava i leguminoza koje se na njima javljaju, te njihovim brojnim odnosom. Ovaj odnos može često da bude poremećen neracionalnim načinom korišćenja livade ili pašnjaka, na pr. pretjeranom ispašom, što dovodi do procesa regresije u sastavu biljnih zajednica, kao i do degradacije samog zemljišta. Pojava jednoličnih tipova livada ili pašnjaka na kojima prevladavaju rezistentne biljne vrste, koje stoka uglavnom ne jede, ili pak razvijanje pustih kamenjara i goleti, krajnje su posljedice u ovom nizu procesa.
SEROLOŠKA ISPITIVANJA ŠARKE ŠLJIVE
Authors: Pobegajlo Ignjat
Published: February 2022

Viroze voćaka, izuzev nekolicine viroza roda Prunus (uglavnom viroza bresaka), slabo su proučene. Različne hloroze, slabo cvetanje, sterilnost, opadanje plodova, razne pegavosti (mozaik), kržljanje i slične pojave obično se pripisuju raznim spoljašnjim uzrocima (osobinama zemljišta, klimatskimprilikama, sortnim odlikama i dr.). Međutim, dublja ispitivanja u mnogim od ovih slučajeva pokazuju da su u pitanju virusna oboljenja. Nasuprot ovome, viroze drugog kulturnog bilja (krompira, duvana, paradajza i dr.) vrlo su dobro proučene i još se dalje detaljnije i svestrano proučavaju.Virozama, pak, voćaka, tek se u poslednje vreme posvećuje malo veća pažnja, Poslednjih desetak i nešto više godina pojavilo se nekoliko radova o virozama voćaka kod nas, a još ranije u suseđnoj Bugarskoj, kao i u inostranstvu. Radovi bugarskih stručnjaka treba da nas naročito interesuju,pošto je Bugarska naš najbliži sused, a klimatske i poljoprivredne prilike Jugoslavije i Bugarske veoma su slične. Ipak broj radova i podaci o virozama voćaka mnogo zaostaju iza podataka o drugim virozama bilja. Ovo dolazi usled toga što je eksperimentalno proučavanje virusnih oboljenja voćakadugotrajno, jer su voćke dugogodišnje biljke i što se virus u njima sporije širi i često docnije ispoljava nego kod zeljastih biljaka. Voćke se teško gaje u staklarama i, uopšte uzev, celokupni rad oko njih skuplji je i komplikovaniji.
IZNALAŽENJE KRITIČNOG PRESJEKA PROSTO POLOŽENIH NOSAČA
Authors: Tartalja Bruno
Published: February 2022

Kod mostova, kranskih staza i sličnih konstrukcija opterećenih, pored stalnog, još i raznolikim pokretnim teretima, postoje neiscrpne mogućnosti raznih kombinacija opterećenja koja u krajnjem slučaju, u kritičnom presjeku, daju maksimalnu veličinu momenta savijanja.

Kod prosto položenih nosača obično se kritički presjek iznalazi bilo na osnovi Winklerovog kriterija sa pojedinačnim silama koje zamjenjuju učinak točkova vozila — bilo po Ing. Karigu, koji pored ovih sila koje pretstavljaju vozila uzima i jednoliko opterećenje ispred i iza vozila, kao zamjenu za ljudsku navalu, Međutim ni kod jednog od ova dva kriterija ne uzima se u obzir utjecaj od stalnog opterećenja tj. od vlastite težine konstrukcije i gornjeg stroja mosta.

Pošto je stalno opterećenje u normalnim slučajevima simetrično, kritički presjek neopterećenih mostova i sličnih konstrukcija nalazi se u sredini nosača, ali se on pri nesimetričnom pokretnom opterećenju stvarno nalazi u polovici otstojanja između rezultante svih tereta koji djeluju na nosač i najbližeg joj težeg tereta.

Međutim, stalno opterećenje mnogih konstrukcija, a naročito armirano-betonskih mostova, pretstavlja pretežni dio cjelokupnog opterećenja te se ne bi smio zanemariti njegov neposredni uticaj, naročito zbog toga što se usljed ovog kritični presjek približava ka sredini raspona.

Udovoljavanje ovom zahtjevu cilj je ove rasprave u kojoj se iznosi način na koji se prilikom  određivanja -kritičnog presjeka prosto položenih nosača uzima u obzir kako simetrično, jednoliko stalno opterećenje tako i nesimetrično pokretni tereti.

Za drumske mostove pretpostavlja se, pri teme, da je zadnji točak vozila teži od prednjega, te se u daljnim izvodima uzima, prilikom kombinovanja stalnog sa raznim mogućnostima pokretnog opterećenja, da se kritični presjek redovno nalazi ispod težeg točka vozila.
SUNČANE ZRAKE I NESPECIFIČNE REAKCIJE KOD TUBERKULINIZACIJE GOVEDA
Authors: Boko Frano
Published: February 2022

O ulozi sunčanih zraka kod nespeciličnih tuberkulinskih reakcija, u raspoloživoj literaturi nismo našli posebnih podatka, Podaci se uglavnom odnose na djelovanje sunčanih zraka na kožu čovjeka, iz čega su izvedeni analogni zakljucci u pogledu kože životinja. Međutim, koža pojedinih vrsta domaćih životinja niti je jednaka po svojoj debljini i finijoj građi, niti po svom pokrivaču, te se bitno razlikuje od kože čovjeka.

Kod promjena koje nastaju na koži djelovanjem ultravioletnih sunčanih zraka (ultravioletni eritem), Lewis (cit. 17) navodi da učestvuju dvije materije: a) u koži preformirane H-supstanca. koje su nosilac eritemne reakcije i b) fotohemijskim putem iz kožnog histidina nastali histamin. Po Gangerot-u (9)uz eritem se mogu pojaviti krvarenja i lokani edemi. Kod osjetljivih individua sunčana svjetlost može na zračenom području izazvati urtikariju, prurigo ili solarni ekcem. Primarni eritem je kalorične naravi i nastaje pod uplivom crvenih i infracrvenih zraka, koje lokalnim termičkim draženjem dovode eflektorno do vasodilatacije. Sekundarni eritem je aktimične naravi i nastaje djelovanjem plavih, ljubičastih, a najviše ultravioletnih sunčanih zraka, koje razaraju proteine u koži i dovode do stvaranja jedne intermedijarne supstance, koja po svom djelovanju sasvim identična sa histaminom.
PRILOG PROUČAVANJU RADNOG PROCESA U GOVEDARSTVU NA PLANINSKOM GOSPODARSTVU "GVOZNO"
Authors: Pancer Oton
Published: February 2022

Fakultetsko planinsko ogledno dobro Gvozno obuhvata površinu od 882 ha. Od toga 120 ha su livade na Gvozno-polju, na nadmorskoj visini od 1400 m, nekih 80 ha livade na obližnjim padinama planine Treskavice, a ostalo su slabo produktivni pašnjaci koji sežu i do 1900 m nadmorske visine ove planine. Saobraćajne su mu veze loše. Od dobra do ceste Sarajevo—Kalinovik vodi put kojim se od vozila kreću samo primitivna potpuno drvena kola; pošta je daleko, a nema ni telefona. Svi proizvodni uvjeti upućuju dobro na gotovo isključivo stočnu proizvodnju.
ISKORIŠĆAVANJE NAŠIH ŠUMA U PROŠLOSTI ZA PROIZVODNJU PEPELJIKE (POTAŠE)
Authors: Begović Branislav
Published: February 2022

Iskorišćavanje šuma u, cilju proizvodnje pepela vršeno je od davnina u našim krajevima. U doba kada je privreda u svojoj osnovi imala naturalni karakter i bazirala na primitivnoj tehnici proizvodnje, nije se ni opseg iskorišćavanja šuma uopšte mogao ispoljavati u jačoj meri. I proizvodnja pepela je zbog toga bila kroz duži vremenski period ograničena na domaću, odnosno unutrašnju, potrošnju. Pepeo se upotrebljavao u domaćinstvima i sapundžiskom obrtu za proizvodnju sapuna a u metalurgiskom obrtu kao depurgens pri topljenju obojenih metala i kao pomoćno sredstvo pri proizvodnji, odnosno kaljenju, čelika. Proizvodnju i prodaju pepela obavljalo je domaće, većinom seosko stanovništvo. Ona je, dakle, nosila isključivo lokalno obilježje.