bluuebunny/crossref_metadata_2025 huggingface dataset:
Effectiveness of pharmacopuncture by “alloplant” biomaterial in complex therapy of knee joint osteoarthritis
Authors: Urazbakhtin Ruslan K. , Kildebekova Raushaniya N. , Gilmutdinova Lira T. , Kaybyshev Vadim T. , Mirkhaydarov Ravil Sh. , Allayarova Raushaniya A.
Published: October 2020

Background. Osteoarthritis is characterized by a decrease in the quality of life, which is currently considered as the main measure of well-being of an individual and a criterion for the effectiveness of treatment and rehabilitation measures. Modern research emphasizes the need for an integrated approach to the treatment of osteoarthritis, which should include pharmacological and non-drug methods of treatment.

Aim. The purpose of the study was to evaluate the effectiveness of pharmacopuncture administration of Alloplant biomaterial by patients with osteoarthritis of the knee joint from the standpoint of influencing the immunological mechanisms of the disease.

Methods. The randomization methodology was divided into 3 groups, comparable in terms of clinical and functional characteristics. Group I patients (n = 39) have standard basic drug therapy according to the federal clinical guidelines Osteoarthritis approved by the Association of Rheumatologists of Russia (2013), with additions from 2016; in patients of group II (n = 39), in addition to drug therapy, dispersed Alloplant biomaterial was used according to the original method; group III patients (n = 39) against the background of basic drug therapy are additionally prescribed a combination of dispersed Alloplant biomaterial at biologically active points and magnetic therapy with a pulsed magnetic field.

Results. Against the background of the treatment of patients with osteoarthritis using pharmacopuncture with Alloplant biomaterial and magnetotherapy, there was a positive dynamics in clinical data with a significant decrease in pain intensity when walking and at rest, stiffness, with the restoration of immune status parameters and an improvement in the quality of life in the field of physical and psychological health . A more pronounced and lasting positive dynamics was observed in patients of group III against the background of the combined effects of pharmacopuncture with Alloplant biomaterial and magnetotherapy.

Conclusion. The Alloplant biomaterial has a positive effect in the treatment of patients with stage III osteoarthritis according to the KellgrenLawrens classification. The similarity of the mechanism of action with drugs with a structurally modifying effect on cartilage allows us to recommend pharmacopuncture with Alloplant biomaterial for widespread use in the treatment of osteoarthritis.
The drug situation in Russia and new models of drug abuse
Authors: Pozdniakova M. E
Published: October 2020

The article analyses recent serious alterations in cause-and-defect relationships characteristic to process of new wave of narcotization. The new tendencies and in drug situation in Russia are established. The new factors explaining increase of involvement into new drugs abuse are analyzed. It is demonstrated that in actual Russian conditions drug abuse in included into common social context of human life.
The justice as key principle of humanitarian model of quality management of health care system from position of sociology of medicine
Authors: Kaleva N. G , Kalev O. F
Published: October 2020

The problem of detection, measurement, evaluation and elimination of inequity and injustice related to health continues to be unresolved in all countries. The study was carried out to evaluate situation related to quality of medical care in primary health care at the regional level and to determine means of its amelioration on the basis of humanitarian model of system of quality management from positions of sociology of medicine. The materials of territorial foundation of mandatory medical insurance of the Chelyabinskaia oblast were taken as basis for analysis. The sampling consisted of 54 383 acts of expertise of quality of medical care, including 42 998 expertises of medical care provided by pediatricians and 61 860 by therapists. The design related to type of clinical audit of medical documentation of completed case in polyclinic practice. The significant differences were established concerning rate of defects of quality of medical care in oblast centers, large cities, towns ans rural regions. The phenomenon of sub-optimization of quality of medical care in towns, and rural districts during period of financing increase of health care is established. The results of study testify availability of injustice in issues of health care of population residing in unfavorable social economic conditions. To support justice related to health the concept of humanitarian model of system of management of quality from positions of sociology of medicine was developed.
Varicose disease and harmful production factors
Authors: Barabash Vladimir I. , Tskhai Valentina F. , Semichev Evgeny V. , Mayer Valentina V.
Published: October 2020

Background. Varicose disease is the most wide-spread vascular disease of the lower extremities. The form of occupation and work conditions significantly affect the cardiovascular system due to regular and unavoidable action of the human body.

Aim: to determine the influence of hazardous work conditions on the incidence of varicose veins of the lower extremities among the persons subjected to periodic medical examinations; to identify the most important factors in the development of this pathology; to propose methods for preventing the occurrence of varicose veins in the manufacturing sector with hazardous conditions. Methods. Analysis of the outpatient histories (account form No. 025 \ у-04) of employees having periodic medical examinations was performed, with 528 female and 1489 male patients in total. The analysis of the outpatient histories, as well as processing of the obtained material were accomplished using the universal statistical package of Statgraphics Plus for Windows.

Results. It has been established that hazardous work conditions, such as vibration, increase the incidence of varicose veins of the lower extremities, and the hazardous work experience plays the main role in increasing the incidence of this pathology.

Conclusion. Hazardous work factors affect the incidence of the varicose disease of the lower extremities towards its elevation. The age, hazardous work experience and conditions associated with vibration play the major role in the increase of the disease incidence. A set of measures aimed at the prevention of varicose disease in the manufacturing sector has been suggested as a result of the study.
V.A.Petrov. - A case of fibroids. (from the Proceedings of the Physico-Medical Society in Saratov, for 1894)
Authors: Kakushkin N.
Published: October 2020

A 27-year-old peasant woman, ill for two years, complains of a growing tumor. The last one, eat the head in adulthood, belongs to the body and the bottom of the uterus, is fully mobile. Supravaginal measurement of the uterus with the appendages was done using a tourniquet.
Reckmann. - Zur Aetiologie der Inversio uteri post partum. (Zeitschr. F. Geb. und Gyn., Bd. XXXI, Hft. 2). Ethiology of postpartum uterine inversion
Authors: Khazan S. Y.
Published: October 2020

On the basis of one own observation, in which an inversion was formed without any external violence, as well as a hundred cases collected from the literature of the last years, the author comes to the conclusion that an independent inversion is not at all so reliable as it is used to think on the contrary, but that he more often than violent.
Emanuel Wittkowsky und Veit. - Ueber Endometritis in der Gravidität. (Zeitschr. F. Geb. Und Gyn., Bd. XXXII, Hft. 1). Endometritis during pregnancy
Authors: Khazan S. Y.
Published: October 2020

E. twice, in the same young multiparous, observed a miscarriage. In both cases, the decidua turned out to be strongly thickened and affected, especially on the surface, with a small celled infiltrate; but after processing them according to the Gram-Weigert method, there was a significant difference between the general deciduae. While during a miscarriage, which occurred 21/2 years ago, cocci were found in the decidua, during the last day of miscarriage, bacilli were found, which W. was even able to demonstrate in a clean wiring.
Voigt. - Fall von Kaiserschnitt nach Porro in der Schwangerschaft wegen malignen Ovarialtumors nebst Beitrag zur Pathologie des Corpus luteum. (Arch. F. Gyn., Bd. XLIX, Hft. 1). A case of surgery Porro during pregnancy due to malignant ovarian tumor and pathology of the corpus luteum
Authors: Khazan S. Y.
Published: October 2020

In a 30-year-old woman, II gravida, an ovarian tumor began to grow strongly. Thanks to the strong pains caused by her, the extreme exhaustion of the patient, and most importantly, the fact that there was no expectation for an arbitrary end of labor, since the tumor filled the pelvic cavity by itself, the ovaryotomy was started.
Fehling. - Weitere Beiträge zur Lehre von der Osteomalakie. (Arch. F. Gyn., Bd. XLVIII, Hft. 3). More to the doctrine of osteomalacia
Authors: Khazan S. Y.
Published: October 2020

Review the results of his own observations, as well as the literature of the last years, F. in the following way draws us the state of the issue of osteomalacia. Bone softening is not a disease inherent exclusively to the pelvic bones; in difficult cases, the bones of the spine, thighs, thorax, even the upper limbs and the skull are also affected. In essence, osteomalacia is an inflammatory disease: the decay of bone tissue takes over growth. What determines the dissolution of calcium salts remains unclear: the hypothesis of the presence of free acid in the tissues of the bone marrow is hardly probable.
Frh. von dem Bussche-Haddenhausen. —Die in den Jahren 1890 bis 1894 in der Frauenklinik zu Göttingen operirten Fälle von Osteomalacie. (Arch. F. Gyn., Bd. XLIX, Hft. 1). Cases of osteomalacia operated on in the Göttingen Clinic, in the period from 1890 to 1894
Authors: Khazan S. Y.
Published: October 2020

Having transferred the history of the disease 6 cases of osteomalacia, in which castration was performed (in 5 cases), resp. operation Porro (in 1 case), the author is trying to throw some light on the ethiology, pathogenesis and therapy of this suffering.
Dr. Witthauer. - Liver tumor that has reached the pelvic floor. - (S. f. Gynaec., No. 5, 1895)
Authors: Stroganov A.
Published: October 2020

A large malignant tumor of the liver, with the lower branch lying in the small pelvis.When examined per vaginam, the uterus could not be accurately identified, nor could they prove the absence of a connection between the uterus and the tumor.
Dr. W. J. Smyly. - The Treatment of uterine Haemorrhage during the last two Months of Pregnancy. (British medic. Journal '1895, Januar 12, pp. 62-65). Treatment of uterine bleeding in the last two months of pregnancy. Roh. Barnes, prof. Byers, More Madden, et al. (Ibidem). About the same
Authors: Ginzburg M.
Published: October 2020

Bleeding in women in the last two months of pregnancy often depends on the premature separation of the last (accidental), rather than on its presentation (inevitable bleeding).
Dr. Carbonelli. - Anatomical Results of Symphysiotomy. (British med. Journ., 1894, 1 / IX, p. 35). Anatomical structure of bone adhesions after pubic section
Authors: Ginzburg M.
Published: October 2020

Carbonelli examined the pelvis of a puerpera, who recovered after a symphysiotomy, but died suddenly on the 42nd day after the operation.
Dr. Pryor and others. - The Abuse of Trachelorrhaphy. (New-York Medic. Journ., 1894, 28 / VII, p. 120). Abuse of Emmet's operation
Authors: Ginzburg M.
Published: October 2020

This issue was discussed at the annual meeting of the American Gynecological Society, May 29-31, 1894, and the majority of the members spoke out against this operation.
D-r Reinolds, Jewett et al. - The Treatment of the Face Presentation. (New-York Medic. Journ., 1894, 21 / VII, p. 88). Manual for facial breech
Authors: Ginzburg M.
Published: October 2020

Dr. Reinolds (Boston) raised this issue at the 19-year meeting of the American Gynecological Society. V. advises under ordinary conditions, that is, with anterior views and the need to accelerate labor, after the expiration of water - anesthetize the woman in labor and bend the head, with posterior views - turn on the legs; if it is impossible to turn or bend the head, forceps, even with posterior views.
Dr. Dimmock. - Quinine in Pregnancy. - (New-York Med. Journal., 1894, 14 / VII, p. 29). Appointment of quinine to pregnant women
Authors: Ginzburg M.
Published: October 2020

Dr Dimmock, who has been practicing for a long time in India, in a locality where there were many severe painful illnesses, assures that pregnant women tolerated huge doses of quinine, which did not cause them to miscarry, but on the other hand, when they miscarried, they started taking miscarriages if they miscarried.
Dr. Davenport Parry (Murrumburrah in N. S. W. in Australia). - The Absorption of Fibroid Tumors of the Uterus after abdominal Section. - (Australasian Med. Gaz., 1894, x, p. 329). Dissolution of uterine fibroids after laparotomy
Authors: Ginzburg M.
Published: October 2020

A 28-year-old woman who gave birth to 6 times was sick in January 1891, typhoid with severe intestinal bleeding in February; after which she did not recover from her health before the operation. 21 / IV 91, she first diagnosed a tumor up to 4 inches thick and the same amount above the pubis.
Prof. Thomas Ashby (Baltimore). - The influence of minor Forms of ovarian and tubal disease in the Causation of Sterility. - (American Journ. Of Obstetrics etc., 1894, VIII, p. 161-171). - Influence of minor diseases of the ovaries and tubes on the origin of infertility
Authors: Ginzburg M.
Published: October 2020

Casuistry. No. 1. 32 years old woman; She is 9 years old married, sterile, severe dysmenorrhea, anteflexia, stenosis of the cervix and prolapse of the left ovary. Expansion of the cervical canal relieved the pain by several months; resumption of them made the patient recover again. 8 / IV 91, laparotomy with the removal of the left ovary, cystically altered. The right-sided ovary and tube are normal, but in places the tube is pulled over and bent by thin false membranes. The last ones were cut, the pipe was straightened, the wound of the abdomen was sewn up. Recovery. In December 1992, the patient was resolved as a healthy child.
Dr. Stuart Nairne (Glasgow). - Resection of the Uterus for Fibroid Tumors and other Deseases. - (British Med. Journ., 1895, 12 / I, p. 70). - Resection of the uterus for the removal of fibroids and other diseases
Authors: Ginzburg M.
Published: October 2020

Case 1. 28 y., Lobular fibroids protruding from both sides of the uterus. Removal of the tumor with a part of the muscle fibers of the uterus with the opening of the cavity of the uterus, the remaining part of the uterus sewn, without drainage, recovery. Afterwards, pregnancy began, which ended in a successful resolution.
Dr. Frank А. Glasgow, (въ St.-Louis). — The Treatment of Distension of the Fallopian Tubes without Laporotomy and Removal. (New-Jork Medic. Journ., 1894, 3/xi, p. 567). Излѣченіе растяженій Фаллопіевой трубы безъ лапоротоміи и безъ вырѣзанія трубы
Authors: Ginzburg M.
Published: October 2020

1) The author tampons the uterus with gauze without anesthesia or 2) makes a rapid expansion of the cervix with tamponade with gauze, under anesthesia, or 3) the method invented by the author: insertion of sticks from the elm bark (elm) into the uterus, previously sterilized, not of this length pressed on the bottom of the uterus; a thread is tied at the end of them, through which they are removed from the uterus.
Grimsdale. - General fetal Dropsy. - (Teratologia, 1895, april, p. 131). - General dropsy of the child
Authors: Ginzburg M.
Published: October 2020

The pregnant woman had albuminuria, edema and hydramnion; in the fetus: dropsy of the abdomen and general dropsy of its decay. Labor was delayed and could only be completed after a puncture of the baby's abdomen with the release of fluid.
Catatonia
Authors: Chizh V. F.
Published: October 2020

5. Karl Barakall, Latvian, peasant farmer for 24 years, comes from a healthy family; between the family of the patient, no one suffered from mental or nervous diseases. K.B. was always healthy and nothing abnormal was suppressed to the point of real illness. In June 1893, he once came from the field before the end of the work, complained of a headache, prayed, talked about his crimes, and did not attribute to himself any crimes that were not perfect by him, but only exaggerated the meaning of really perfect ones: rarely went to scolded, etc. He was looking for a rope and at the same time said that he needed it in order to hang himself; they began to persuade him not to think about suicide and he now promised that he would not encroach on his life; he was apparently pleased with the participation of his relatives, and when they persuaded him, he was pleased and calm, hugged them, kissed them, but he himself did not speak and responded briefly but reasonably to the persistent repeated appeals to him. From that day on, he stopped working, walked aimlessly in the fields or stood motionless in one place for several hours; iml pensive vid; he ate a lot and willingly, but only when he was served; he himself did not ask for and did not seek food; was neat, did not express any awkward thoughts, treated things with care and politely with people, fulfilled all orders, none of his relatives and worked when he was ordered, but so slowly that he interfered more than was useful, why they forced him to work harder and more. He did not walk as before and not as people walk; his gait was imaginative, but always different from the usual one - he walked very slowly, sometimes swinging on the sides, sometimes very large, sometimes very small steps, then throwing his head back, then bending over like an old man, etc. His soul was like - would be in another place "," he turned into a statue. " However, when walking through the fields, he did not trample the bread and always returned home on time. One day he poured a bucket of milk on the ground; he was reproached and asked why he did it, to which he answered only: I dont know; he was told that if he did anything harmful, he would be locked up and after that he really didnt do anything worthy of blame.
About the perverted light reaction of the pupils
Authors: Bekhterev V.
Published: October 2020

In view of the special interest of our case, we will enter here into consideration of the anatomical and physiological side of the normal light reaction and try to explain the peculiar symptom observed in the patient, which is called the perverted or paradoxical reaction of the pupils. As is known, the common oculomotor nerve innervates the muscle that lifts the upper eyelid, the four external ocular muscles: the internal, upper and lower rectus, lower oblique and two internal muscles of the eye the orbicular muscle of the pupil and the lumbar muscle, there are probably only seven muscles. The physiological conditions of the movement of the eye muscles convince us that not all of them have a separate movement. Excluding the lower oblique, which plays the role of an accessory muscle, and the orbicular muscle of the pupil, which is not rapidly contracting together with the lumbar muscle, all other muscles are so adapted to isolated movements that, it would seem, one could expect the corresponding differentiation in their nuclei.
The chronicle of the society of neuropathologists and psychiatrists at the imperial Kazan University. Protocol of the meeting of the Society on March 30
Authors: Popov N. M.
Published: October 2020

Chaired by H. M. Popov, with secretary B. I. Vorotynsky; attended by: honorary member K. A. Arnstein and acting members: N. A. Mislavskiy, D. V. Polumordvinov, D. A. Timofeev, I. Ye. Egorov, P. S. Skuridin, I. I. Naumov, V.V. Nikolaev and a few people of the outside public. The protocol of the previous session was read and approved.
Chronicle of scientific gatherings of doctors of the St. Petersburg clinic for mental and nervous diseases. Protocol of appointment on February 29, 96
Authors: Bekhterev V. M.
Published: October 2020

Chaired by V. M. Bekhterev, the.: A. F. Garlicky, doctors clinic: Rosenbach, Dobrotvorsky, Cases, Remains, Calf, Osipov Boripol, Trapeznikov, Holzinger, Zhukovsky, Blumenau, Bazilevsky, Soković, guests: Leucadia, Selegelin.

Professor V. M. Bekhterev. Forced pronunciation of words is a type of independent pain disorder.
Chronicle of scientific gatherings of doctors of the St. Petersburg clinic for mental and nervous diseases. Protocol of appointment 11/4 96 years
Authors: Bekhterev V. M.
Published: October 2020

Chairman prof. Bekhterev, attended by: Erlitskii, Rosenbakh, Ostankov, Zhukovskii, Osipov, Telyatnik, Gize, Borispolskii, Trapeznikov, Doulov, Blumenau, Dobrotvorskii.Dr. Dobrotvorskiy. Demonstration of a patient with amnesia for the entire period of mental disorder. The rapporteur introduced a patient who, upon recovery, discovered a complete loss of memory for the period from October 94 to March 96; although until August 1/2, 1995, he was considered healthy and fulfilled his official duties, however, since February 1995, he was striving for solitude. From August 95 to March 96, the patient did not say anything, was inactive and as if automatic: if he was put on his feet, he walked without obstacles until he was laid down again; if he was given a spoon in his hands, he brought it to his mouth even in the case when there was nothing in the plate. After the clarification of consciousness during recovery, March 96 was considered 94. History of moderate alcoholism; lack of heritage.
A Case of Epidemic Religious Insanity
Authors: Maevsky M. M.
Published: October 2020

In the present essay, I mean to present the characteristics of the initiator of the religious and social movement that appeared among the Muslim population of eastern Russia, the peasant of the Kazan province V. Bogutdin and some of his closest associates.
On the question of servants in psychiatric hospitals
Authors: Morozov M. S.
Published: October 2020

The question of caring for the mentally ill in the sense of this word, in the sense of leaving the lower and middle staff, always presented to me as being of paramount importance, stopped my attention almost from the very beginning of my psychiatric work as a provincial resident in one of the largest departments. Hospital efficiency strengthened me even more in the importance of good care, showing together how poorly it is in most cases in Russia and how little has been done so far for more or less satisfactory dissolution of it. Leaving the question of the average staff until another time, I find it possible to say without exaggeration that the lowest nursing staff in our Russian psychiatric institutions is the most sick place. And between the two, I would be mistaken and would meet a principled objection from someone if I said that whatever improved methods of care and treatment of mentally ill were introduced into psychiatric hospitals, no matter how well these last days were arranged, at the end of all this will still be the care staff. All our improvements run the risk of being unsuccessful, inapplicable to the task, far not as useful as one might expect, if there is not a person who is sufficiently prepared, reasonably, fit for his difficult assignment, with sufficient moral and mental qualifications of caring for which servant personnel, through get a practical application of all kinds of patient care.
To the structure of the spinal cord in sterlets
Authors: Pavlovsky S.
Published: October 2020

In this session, we will allow ourselves to report the observations made in the laboratory and the highly respected teacher, prof. N.A.Mislavsky, on the structure of the spinal cord in sterlets.Our communication will be reduced, mainly, to the description of: 1) neuroglia cells, 2) ependyma cells and 3) nerve cells with the help of the substance. We will not touch upon the literature on this issue, since we consider our observations to be incomplete. Let's just say a few words about the methods that we used in our research.
Chronicle and mix
Authors: Vorotynsky B. I.
Published: October 2020

- The Ministry of Internal Affairs for the Medical Department is included in the State Council with a presentation on borrowing from the capital of public funds the amounts necessary for the construction of District Hospitals for the mentally ill. These sums will also be used to build the District Hospital in Vilnius, designed for the provinces of the north-western region.
The chronicle of the society of neuropathologists and psychiatrists at the imperial Kazan University. Protocol of the appointment of September 28
Authors: Popov N. M.
Published: October 2020

Chaired by N. M. Popov, under secretary B. I. Vorotynsky; honorary members were present: K. A. Arnshtein and I. M. Dogel; acting members: K. V. Voroshilov, N. A. Mislavsky, V. I. Levchatkin, I. I. Naumov, G. A. Klyachkin, M. M. Maevsky, V. V. Nikolaev, N. A. Tolmachev and about 50 people in the audience.
On split r-Jacobsthal quaternions
Authors: Bród Dorota
Published: October 2020

In this paper we introduce a one-parameter generalization of the split Jacobsthal quaternions, namely the split r-Jacobsthal quaternions. We give a generating function, Binet formula for these numbers. Moreover, we obtain some identities, among others Catalan, Cassini identities and convolution identity for the split r-Jacobsthal quaternions.
On the complex q-Appell polynomials
Authors: Ernst Thomas
Published: October 2020

The purpose of this article is to generalize the ring of \(q\)-Appell polynomials to the complex case. The formulas for \(q\)-Appell polynomials thus appear again, with similar names, in a purely symmetric way. Since these complex \(q\)-Appell polynomials are also \(q\)-complex analytic functions, we are able to give a first example of the \(q\)-Cauchy-Riemann equations. Similarly, in the spirit of Kim and Ryoo, we can define \(q\)-complex Bernoulli and Euler polynomials. Previously, in order to obtain the \(q\)-Appell polynomial, we would make a \(q\)-addition of the corresponding \(q\)-Appell number with \(x\). This is now replaced by a \(q\)-addition of the corresponding \(q\)-Appell number with two infinite function sequences \(C_{\nu,q}(x,y)\) and \(S_{\nu,q}(x,y)\) for the real and imaginary part of a new so-called \(q\)-complex number appearing in the generating function. Finally, we can prove \(q\)-analogues of the Cauchy-Riemann equations.
Remarks on retracting balls on spherical caps in \(c_{0}\), \(c\), \(l^{\infty }\) spaces
Authors: Goebel Kazimierz
Published: October 2020

For any infinite dimensional Banach space there exists a lipschitzian retraction of the closed unit ball B onto the unit sphere S. Lipschitz constants for such retractions are, in general, only roughly estimated. The paper is illustrative. It contains remarks, illustrations and estimates concerning optimal retractions onto spherical caps for sequence spaces with the uniform norm.
A study to evaluate the pattern of microorganisms causing early post-operative wound infection in patients undergoing orthopaedic surgery with implant for closed fracture or disease in medical college and hospital, Kolkata
Authors: Mukherjee Subhankar , Mukherjee Jayanta , Kumar Sanjay , Misra Subarna , Bhatta Ranajit , Sengupta Manideepa
Published: October 2020

Background: For all orthopaedic surgical procedures with implant, infection at the operative site has always been recognized as a potential complication. The present study was done to evaluate the pattern of causative microorganisms in post-operative infection after orthopaedic surgery with implant in Medical College and Hospital, Kolkata.

Methods: This study was Institution based cross-sectional observational case study. Patients population were selected from the patients, who were admitted or came for follow up in the Department of Orthopaedics, who had undergone surgery with implant for close fracture and disease and developed early (<3 months) post-operative wound infection The samples were collected and were sent to the Department of Microbiology, Medical College & Hospital, Kolkata for isolation and identification of the microorganisms and their antimicrobial susceptibility were done.

Results: Maximum infections were detected and wound swabs were sent for culture in 2nd week of surgery followed by 3rd week. Only 10% (8 cases) had infection beyond 8 weeks. Plates with screws were used in 37 cases (46%) and nails in 15 cases (19%). It was been seen that infection in case of hip prosthesis were significant that is 8% (6 cases) which included four cases of hemiarthroplasty and two cases of total hip arthroplasty.

Conclusions: The data suggests that there is preponderance of Gram- negative infections in operated orthopaedic patients, but Staphylococcus aureus predominates the infectious agents as the sole pathogen. Klebsiella species and pseudomonas species are second and third most common pathogens respectively.
Hip arthroplasty - study correlating intra operative stable range of motion with postoperative functional activity
Authors: Singhi Tushar , Kapoor Udit , Rao Ashith
Published: October 2020

Background: Squatting and sitting cross-legged is a part of lifestyle both for employment and for daily ablutions. When these activities can be allowed after hip arthroplasty is not documented. The aim of this study is to identify if patients having good intra-operative stability with the posterior approach, can start high flexion activities early.

Methods: In this retrospective study, all hip arthroplasty patients done from 2013-2017 were considered for inclusion. Patients were evaluated for intra-operative stable range of motion and patients who were stable were encouraged to do cross-legged sitting from 2 weeks after surgery and squatting from 6 weeks after surgery. The follow-up visits were at 6-weeks, 3-months and 1-year after surgery. Parameters assessed were Harris hip score, short form survey-12 (SF-12) score, limb length discrepancy, range of motion and ability to sit cross-legged and squat. All the patients were again called for a follow-up visit and the parameters were reassessed.

Results: Sixty patients were included in the study. Mean follow-up was 2 years 3 months. Mean Harris hip score and SF-12 showed improvement from 64.8 and 19.5 at 3 months to 88.3 and 37.8 respectively at last follow-up. At the end of 3 months, 85% patients could sit cross-legged and 50% could squat. At one year, the corresponding figures were 85% and 70%.

Conclusions: If intra-operative range of motion testing is satisfactory, early initiation of high flexion hip activities is safe.
Surgical management of idiopathic congenital talipes equinovarus by Carroll twin incision
Authors: Reddy K. Vijaya Bhaskar , Lavudi Narsimha
Published: October 2020

Background: Surgery for congenital idiopathic clubfoot has a number of complications in the postoperative period such as delayed wound healing, gaping, infection, and recurrence of the deformity. The aim of this study is to evaluate the results of primary correction of clubfoot by modified Carroll’s double incision technique.

Methods: It is a prospective interventional for a period of 2 years 5 months. 56 foot of which 21 pts have bilateral deformity and 14 pts with unilateral deformity. Patients of 3 months to 2 years age with idiopathic clubfoot, who did not respond to initial Ponseti casting; and were planned for Carroll double incision technique of surgery were included in this study.

Results: In total 56 foot of which male are 23 and female children are 12 in number with male: female ratio of 1.9:1, showing male predominance, 21 pts have bilateral deformity and 14 pts with unilateral deformities. The mean change in radiographic parameters achieved by correction is as postoperative mean talocalcaneal index achieved was 42.60 (Normal range >40°). The postoperative mean anteroposterior talo-calcaneal angle was 26.20 (Normal range 300 to 550). The Postoperative mean lateral talo-calcaneal angle was 24.40 (normal 200 to 400). Final outcome is 81% is good, 14 fair and 5% has poor outcome.

Conclusion: Exposure and release by Carroll’s twin incision is good, no tension in sutures, especially medical incision at the time of wound closure.
Comparative analysis between dynamic hip screw with trochanteric stabilisation plate and dynamic hip screw alone in the management of unstable intertrochanteric femur fractures
Authors: Anand Rajeev , Dwivedi Amit , Sharma Anupinder
Published: October 2020

Background: Intertrochanteric fractures of the femur are difficult to manage because of the complex patterns they present with. A dynamic hip screw (DHS) and a DHS supplemented with a trochanteric stabilisation plate (TSP) are among a variety of fixation methods used in the management of such injuries. We compared the efficacy of DHS with TSP to DHS alone in the treatment of unstable intertrochanteric femur fractures.

Methods: 30 patients of intertrochanteric femur fractures (mean age 72 years) were included in the study, 14 were treated using DHS with TSP while 16 were treated using DHS alone, they were followed up till 16 weeks and the progress was recorded according to the parameters in the Salvati and Wilson score.

Results: 14 patients were treated using DHS with TSP, 11 of them had excellent Salvati and Wilson scores, 3 patients recorded good scores, 11 patients were able to walk with no pain while 3 needed aids for walking due to pain, normal function was restored in 12 patients while very little restriction was seen in 2 patients

Of the16 patients treated using DHS alone, 10 had excellent scores, 6 recorded a good score, 10 patients walked with no pain while 6 needed aids for walking due to pain, normal function was re-stored in 11 patients, very little restriction was seen in 4 patients while 1 patient had restricted nor-mal activity.

Conclusions: DHS with TSP appears to provide better fixation and functional outcome in unstable inter trochanteric fractures over DHS alone.
Operative fixation of type IV-VI acromioclavicular joint separation: an internal splint technique
Authors: Ganguli Ritwik
Published: October 2020

Treatment of acromioclavicular (AC) joint separation is controversial. Rockwood type I, II, III AC joint injuries generally treated conservatively. In the literature there is various treatment options described for treating type IV - VI injuries with good and poor outcome but no single gold standard method. Rockwood type IV - VI AC joint separation treated with internal splint technique by passing Merselene tape through drill hole at lateral end clavicle, passing it under coracoid process and tied it after reducing vertical displacement of AC joint. Simultaneously horizontal displacement corrected and Merselene tape passed through drill hole of acromian process and tied. Endobuttn supports Merselene tape at superior aspect of clavicle. This study was conducted between April 2015 to March 2019 in KPC Medical College and hospital, Kolkata after taking ethical committee permission. 20 patients undergo surgical fixation of type IV-VI AC joint separation within 3 weeks of injury. Outcome of clinical and radiological parameter assessment was at 6, 12, 24 weeks. Male female ratio was 7:3. Mean age 38.2 years, abduction was less than 100 degree in 2 patients at 6 months follow up due to inadequate compliance to physiotherapy. Other patients develop full Range of motion (ROM) and power of shoulder muscle 5/5. No cosmetic deformity except one painful scar. No postoperative displacement in alignment in Anteroposterior (AP) and axillary lateral view. This technique of interal spilint construct reduces need for rigid implant and biological procedure for acute AC joint dislocation though having excellent fixation strength, good reduction in both coronal and sagittal plane for proper healing of AC and Coracoclavicular (CC) ligaments.
Synovial chondromatosis: a rare cause of knee pain and swelling
Authors: Bhowmik Raja , Reddy Narasimha , Srinivasan N.
Published: October 2020

Synovial chondromatosis (SC) is a rare, benign, metaplastic, monoarticular disorder of synovial membrane and bursae of large joints. It commonly affects the large joints such as the knee, hips, wrist, ankle and shoulder. Here we report a case of SC of right knee in a 60-year-old female presenting with chief complaints of pain, swelling, restriction of movement in right knee for 1 year after a fall at home. X-ray of right knee revealed multiple calcified loose bodies. The final diagnosis was established by correlating radiologic findings with the histopathology of the excised specimen. Patient was successfully treated by open partial synovectomy of knee using anterior approaches in a single step procedure.
Effect of intralesional injection of autologous platelet rich plasma in patterned hair loss
Authors: Rai Priyam Bhaskar , Khushwaha Pragya
Published: October 2020

Background: Regenerative effects of platelet-rich plasma’s (PRP) are utilized in treating various dermatological conditions. The present study compared the efficacy of intradermal autologous PRP in various grades of patterned hair loss with topical minoxidil and finasteride.

Methods: Patients with patterned hair loss were randomized to receive either minoxidil 5% in (male), 2% in (female) and finasteride 1 mg (only in male) or PRP in addition to the above treatment. A total of 6 sittings were given to PRP group patients at interval of 21 days each over a total period of 4 months. All patients were followed up for the first time after 21 days of initiating the treatment and then after four months of starting the treatment.

Results: Baseline demographic and clinical characteristics were similar in both the treatment groups. When assessed at the second follow up, hair wash test, hair pull test, V/T ratio, yellow dot test, mean hair diameter and global photographic assessment were favourable in significantly higher proportion of patients in the PRP group as compared to non-PRP group. Five non-PRP patients (6.7%) perceived no change in hair fall as compared to none in the PRP group. None of the cases reported increase in hair fall. Adverse effects reported (itching, erectile dysfunction, decreased libido and dizziness) were similarly distributed among the patients in both the treatment groups.

Conclusions: Minoxidil and finasteride form the backbone of patterned hair loss treatment; adding PRP can achieve clinically better results with minimal side effects.
Langerhans cell histiocytosis in an infant: a case report from North-East India
Authors: Bachaspatimayum Romita , Yaku Kago
Published: October 2020

Langerhans cell histiocytosis (LCH) is a rare disorder of reticuloendothelial system characterized by uncontrolled proliferation and accumulation of CD1a and CD207 dendritic cells (DCs). 3-4 cases per million occur annually in children under 15 years of age, with a male:female ratio of 2:1 and peak incidence in infants aged 1 to 2 years. Report a case of LCH in a month-old female infant with skin lesions for 2-3 weeks. Skin biopsy was suggestive of LCH and it was confirmed with immunohistochemistry markers that were positive for S100, CD1A and negative for CD68.

 
Aplasia cutis congenita with fetus papyraceus: an uncommon case report
Authors: Ittigi Vivekananda , Anto Aparna
Published: October 2020

Aplasia cutis congenita is a condition characterized by congenital absence of all skin layers in a localized or widespread area. Frieden's classification recognized a rare subtype, type V, that is associated with multiple gestations in which there is the in-utero demise of a twin with resultant fetus papyraceus or mummification. A twin pregnancy was complicated by in-utero death of one twin at 5 months. On full term birth of the other twin with fetus papyraceus large defects in the skin of knees were noted bilaterally. Conservative management with topical antibiotics and emollients helped in complete re-epithelialization in few months. As the use of reproductive technologies increase the incidence of multiple gestation and associated conditions are expected to increase. This type is clinically unique in that it is characterized by stellate lesions in a symmetrical distribution over the trunk and extremities, differing from other subtypes, which are typically localized to scalp (70%-85% of cases) or extremities. Management ranges from conservative to surgical grafts.
Expert consensus on defining sensitive skin and role of cosmeceuticals: an Indian perspective
Authors: Kohli Malvika , Pant Hema , Dixit Rasya , Parthasaradhi Anchala
Published: October 2020

In clinical practice, the ‘sensitive skin’ phenomenon, encompassing a wide range of signs and symptoms, is majorly a self-diagnosed condition. Various articles have given perspective on the heterogeneous concept of sensitive skin in varied ways. Cosmeceuticals, commonly used for sensitive skin, contain biologically active ingredients that deliver multifunctional skin benefits. Since no guidelines have been formulated for the use of cosmeceutical products in the management of sensitive skin, an individualized skin care regimen is usually adopted. Also, cosmeceutical products have been demonstrated to play a crucial role as add-on therapy in the management of dermatological disorders. However, there exists uncertainty about sensitive skin manifestation and well-defined use of cosmeceuticals for sensitive skin. This paper provides a consensus clinical viewpoint of expert clinicians, which will help clear the pathway for effective identification and management of sensitive skin using cosmeceuticals.
Metaheurísticas y resolución de problemas complejos
Authors: Maldonado Carlos Eduardo
Published: October 2020

No todos los problemas son complejos. Las metaheurísticas son herramientas adecuadas para la resolución de problemas complejos, lo cual implica, de entrada, poder identificar la naturaleza de los mismos. Este artículo presenta y discute las metaheurísticas como una de las metodologías específicas en el estudio de los fenómenos de complejidad creciente y defiende la idea de que su función es la de resolver problemas complejos. Para ello se recorren cuatro pasos, así: en primer lugar, se identifica la naturaleza de los problemas, en segundo término, se elabora una presentación sumaria de las metaheurísticas; posteriormente, se introduce una visión de los temas de optimización; finalmente, se discute la teoría de la complejidad computacional con la intención de precisar que son las ciencias de la complejidad. Al final se extraen algunas conclusiones.
Recruitment and Selection
Authors: Liang Jiawen
Published: October 2020

With the deepening of economic globalization, the essential competition between enterprises is the competition of talents. And how to attract and retain competitive talents has become the key of the survival and development of enterprises. Recruitment is an important way for an enterprise to obtain excellent human resources. Only by acquiring and cultivating the appropriate human resources of the enterprise firstly, and then adopting scientific methods, can the goal of organization be achieved to the maximum extent. Thus, it can be seen easily that the success or failure of recruitment affect the efficiency of enterprise operation and even the survival and development of the enterprise. This article tries to analyze the characteristics of recruitment.
Discussion on Test and Detection Technology of Building Engineering Materials
Authors: Tang Nan
Published: October 2020

The quality of building materials is one of the key factors in building engineering, which has a very significant impact on the overall construction quality of building engineering. Combined with the actual needs of current construction projects and the constantly updated and developed new building materials and technologies, the inspection of construction materials also needs to be strengthened and improved. In this paper, the possible problems and the original problems of material testing in construction engineering will be discussed, aiming at providing some theoretical reference for material testing in construction engineering.
Discussion on Remote Sensing Monitoring of Agrometeorological Disasters
Authors: Wen Litian
Published: October 2020

The continuous development of modern society and economy puts forward higher requirements for agricultural production in China. Traditional monitoring technology can no longer meet the needs of agrometeorological disaster monitoring. Scientific application of remote sensing monitoring technology has extremely important value, which can effectively improve the detection effect, make it more accurate and real-time, and then promote China’s modern agricultural production. This article analyzes the application value of remote sensing monitoring technology. Based on this, it comprehensively explores the specific situation of monitoring different disasters by remote sensing monitoring technology in the agricultural production process.
Environmental Aspects of Using Space Solar Power Plants to Create Information in Orbit
Authors: Shcheglov G.A.
Published: October 2020

Considered a proposal to combat global warming, which consists in placing the creation of information in near-earth space. It is shown that instead of a space solar power plant that transmits energy to terrestrial consumers, it is more profitable to organize an orbital territorial-production complex, in which a new information and communications energy production cycle is implemented: the energy received from the Sun is used on site to create and store valuable information, and instead of an unused technology of wireless energy transmission to Earth, using a well-functioning space communication technology. Using the simplest mathematical model, it was demonstrated that the profitability of orbital information must be considered taking into account the anthropogenic impact on the climate of ground data centers. The dependence of the profitability of an information orbital product in comparison with a ground-based analogue on the cost of emission quotas for waste heat and greenhouse gases is discussed.
The Effect of a Magnetic Field and Low-Intensity Laser Irradiation on the Destructive Activity of Filamentous Fungi During their Growth on a Number of Industrial Products
Authors: Smirnov V.F. , Makarov I.O. , Klyuev D.A. , Smirnova O.N. , Anikina N.A. , Shishkin A.Yu.
Published: October 2020

An assessment of the impact of low-intensity laser irradiation (LILI) and magnetic field (MF) on the biodegradation of a number of industrial products: wood fiberboard (WFB) and polyester caused by filamentous fungi is presented. It has been established that the magnetic field is capable of causing intensive destruction of wood fiberboard and polyester by fungi Alternaria alternata, Aspergillus niger, then the destructive process of WFB in the case of Penicillium cyclopium remained at the control level, and in the case of polyester it slowed down. The action of LILI, on the contrary, increased the destructive activity of Penicillium cyclopium in variants with WFB, and for polyester in the fungi Alternaria alternata, Aspergillus niger. Differences in the change in the resistance of products to fungi under the action of LILI and MF can be associated with both the physiological and biochemical characteristics of fungi and the aging process of polymers under the influence of the studied physical factors.
Migrants to the Post-Deportation Territories of the Volga Region, North Caucasus and Crimea in the 1940s: Ethnic Appearance and Social Portrait
Authors: Kononirenko Viktoriya A.
Published: October 2020

The article analyzes the ethnic appearance and social portrait of immigrants to the post-deportation territories of the Volga region, the North Caucasus and the Crimea in the 1940s. It is proved that mostly Russians and Ukrainians moved to the settlements that were deserted after deportation. The conclusion is made about the successful adaptation of the majority of immigrants to new living conditions.