bluuebunny/crossref_metadata_2025_split huggingface dataset:
eBiblio Madrid: una biblioteca de servicios digitales de lectura pública para toda la Comunidad de Madrid
Authors: Fernández-Miedes Luisa-Inmaculada 
Published: December 2020

eBiblio Madrid arranca en 2014, en el marco del proyecto de ámbito nacional eBiblio, promovido por el Ministerio de Educación, Cultura y Deporte con la colaboración de las comunidades autónomas cuya responsabilidad es la gestión y vertebración del servicio en sus territorios junto con las redes de bibliotecas públicas, en su mayoría municipales.
Durante estos seis años, eBiblio Madrid ha crecido y se ha consolidado hasta alcanzar una entidad propia de cobertura regional como servicio de lectura pública dirigido al ciudadano, con la participación de los centros bibliotecarios.
Este artículo recoge la evolución a lo largo de estos seis años de vida, con los elementos distintivos del servicio y las particularidades del mismo. Nos detenemos también en su actual realidad, así como en las estrategias puestas en marcha durante la pandemia que vivimos en los últimos meses.
ASSOCIATION BETWEEN PERIODONTITIS AND GESTATIONAL DIABETES MELLITUS
Authors: Sharjeel Muhammad , Ataullah Khurram , Ahmed Zubair , Ahmed Myra 
Published: December 2020

Objective: To evaluate association between periodontal disease and gestational diabetes mellitus.
Study Design: Case control study.
Place and Duration of Study: This study was carried out at Department of Periodontology, Fatima MemorialHospital, Lahore, from Jul 2016 to Jan 2017.
Methodology: A total of 140 patients divided into 2 groups i.e., cases & controls (70 in each group) were included the study. Periodontal examination was carried out by a WHO periodontal probe and clinical measurements of periodontal conditions including Bleeding on Probing (BOP), Probing Depth (PD) and Clinical Attachment Level (CAL) were recorded. A single periodontology resident took all the said measurements.Results: Patients ranged between 20-45 years of age. Mean age of the patients was 31.37 ± 5.07 years and 31.57 ± 4.27 years in cases and controls, respectively. In cases periodontitis was found in 52 patients (74.3%) while 37patients (52.9%) were having periodontitis in control group. There was an association between periodontal disease and gestational diabetes mellitus (GDM) (odds ratio 2.58).
Conclusion: In conclusion, periodontitis in pregnancyis found to increase the risk for gestational diabetes mellitus compared to women without periodontitis.
A COMPARISON OF INTRACAESARIAN VERSUS INTERVAL PLACEMENT OF INTRAUTERINE CONTRACEPTIVE DEVICE
Authors: Gul Uzma , Akhtar Sunarays 
Published: December 2020

Objective: To compare intracaesarian placement of intrauterine contraceptive device (IUCD) with interval placement at 6 weeks in terms of device expulsion and continued use at 6 months postpartum.
Study design: Randomized controlled trial.
Setting: Obstetrics and Gynecology Department, Combined Military Hospital Jhelum, Oct 2017 to Oct 2018.
Materials and methods: 104 pregnant women aged 20 to 40 years old, planned for an elective caesarian delivery and who opted for an IUCD were included. They were randomly divided into two equal groups using lottery method. Women were told about their assigned timing of IUCD placement well before their surgery. Group A had IUCD placed during caesarian section while group B (serving as controls) had insertion after 6 weeks. Cu-T 380 A was provided free of charge to all participants. Women were seen after 6 weeks, 3 months and 6 months. Both groups were analyzed and compared in terms of IUCD expulsion and continued use at 6 months postpartum.
Results: The device was placed in 48 women in group A and 35 women in group B (p 0.001). There was no statistically significant difference in device expulsion rates between the two groups (p 0.37). After 6 months significantly higher proportion of women in the intracaesarian group were continuing to use the IUCD as compared to the interval group (p˂0.05)
Conclusion: Intra-caesarian placement of IUCD leads to statistically significant higher continuation rates as compared to conventional interval placement with no statistically significant difference in expulsion rates.
POST-OPERATIVE HEMORRHAGE IN SEPTOPLASTY WITH AND WITHOUT NASAL PACKING A COMPARATIVE STUDY AT OTORHINOLARYNGOLOGY DEPARTMENT OF PNS SHIFA HOSPITAL, KARACHI
Authors: Wasim Muhammad Fahad , Riaz Naeem , Aslam Sohail , Bukhari Syed Muhammad Asad Shabbir , Mumtaz Humza , Husain Iqbal 
Published: December 2020

OBJECTIVE
To compare the possibility of Post-operative hemorrhage in septoplasty with and without nasal packing among the patients operated at PNS SHIFA hospital Karachi
STUDY DESIGN: Comparative Study
SETTING: PNS SHIFA hospital Karachi
DURATION OF STUDY: Six months, 21-04-2019 to 20-10-2019
PATIENTS AND METHODS: Ninety two patients who underwent septoplasty due to deviation of nasal septum at ENT department of PNS SHIFA were included in the analysis. Patients were randomly divided into two groups. Group one did not undergo nasal packing after the surgery and group two underwent nasal packing after the surgical procedure. Chi-square was used to see the difference in post-operative hemorrhage, headache, discomfort and septal perforation between the two groups.
RESULTS
Out of 92 patients included in the final analysis 61 were male and 31 were female. Pot operative bleeding was found in three patients in group one while thirteen patients in group two had bleeding after the procedure. With Pearson chi-square test, we found that post-operative bleeding, headache and discomfort was significantly more in the patients with nasal packing after the procedure of septoplasty due to deviated nasal septum.
CONCLUSION
Nasal packing emerged as a procedure linked with more complications rather than benefits among the patients undergoing septoplasty in our study. Not only post-operative hemorrhage but also headache and discomfort were more common among the patients with nasal packing as compared to those without nasal packing. Nasal packing after septoplasty should be discouraged without any obvious indication in the patients undergoing septoplasty.
OUTCOMES OF OPEN THORACIC SURGICAL DECORTICATION IN PATIENTS WITH TUBERCULOUS EMPYEMA
Authors: Aslam Tahir , Bilal Amer , Ahmed Manzoor , Abid Mohammad , Baseer Abdul , Baloch Khurshid Ahmed , Ali Fawad 
Published: December 2020

Objective: To analyze the outcome of open surgical decortication of tuberculous empyema patients at their late presentation.
Study Design: Cross sectional study.
Place and Duration of Study: Patients (n = 128) with tuberculous empyema were subjected to decortication for one and half year starting from July 2017 to December 2018. Pre, intra, and post-operative characteristics of all patients were studied thoroughly with a 6-month follow up evaluation of the surgical outcomes.
Results: Preoperative conditions were as follows: 6.25% patient had Broncho pleural fistula, 90.9% patients were diagnosed with cough, 34.7 with night sweating, 64.2% chest pain and 79.6% chest tightness. Decortication was performed in all cases, with debridement of necrotic tissue and repair of air leaks in some patients. 70 (54.7%) patients went through right side decortication, whereas 56 (43.7%) patients went through left sided decortication and 2 (1.56%) patients had bilateral. Mortality was 2 (1.56%), 1 patient died of septicemia while 1 of pulmonary embolism. Whereas morbidity was 9 (7%), 3 patients had wound infection, 4 had incomplete lung expansion, 1 patient each had prolonged air leak and post-operative bleeding.
Conclusions: Delayed referral for surgery causes irreversible changes in the lung, and prolonged disease condition, which causes increased thickness of the pleura and injury to the underlying lung with a delayed recovery. Open decortication gives satisfactory results.
FREQUENCY AND CORRELATES OF POOR SLEEP QUALITY AMONG PATIENTS OF PARKINSON’S DISEASE
Authors: Kazmi Syed Sakhawat , Hassan Zahid , Alamgir Waseem , Hashmat Asif , Yousaf Muhammad Ali , Gilani Atifa 
Published: December 2020

Objective: To determine the frequency of poor sleep quality among the patients of Parkinson’s disease (PD) and analyze its relationship with the socio-demographic factors.Study Design: Correlational study.
Place and Duration of Study: Pak Emirates Military Hospital Rawalpindi, from Jan 2019 to Jun 2019.
Methodology: One hundred and fifty patients of Parkinson’s disease were approached to participate in this study. Pittsburgh sleep quality index (PSQI) was the psychometric tool used to assess the study parameter for the patients. Age, gender, duration of illness, poly pharmacy and tobacco smoking were corelated with presence of poor quality of sleep among the patients of Parkinson’s disease.
Results: Out of 150 patients of Parkinson’s disease screened through Pittsburgh sleep quality index, 85 (56.7%)showed the presence of poor sleep quality while 65 (43.3%) had good sleep quality. Mean age of the patients was 66.2 ± 4.648 years. After applying the logistic regression, we found that increasing age and longer duration of illness had significant association with the presence of poor sleep quality among the patients of Parkinson disease.
Conclusion: Previously considered a pure motor disorder, Parkinsonism has a lot of other neuro-psychiatricmanifestations as well. Poor sleep quality turned out to be one of these non-motor problems associated with this chronic debilitating illness. Increasing age and longer duration of illness among these patients emerged asindependent risk factors for poor sleep quality in Parkinsonism.
IMPACT OF COVID-19 PANDEMIC ON LEARNING OF UNDERGRADUATE MEDICAL STUDENTS: A CROSS-SECTIONAL STUDY FROM KARACHI
Authors: Anwar Adina , Khan Erum , Nisar Munizha , Din Rameesha Qutub ud , Azim Syed Rubaba , Awan Tamseel Tanwir 
Published: December 2020

Objective: To assess the impact of COVID-19 pandemic on learning of undergraduate medical students ofKarachi.
Study Design: A cross-sectional, observational study.
Place and Duration of Study: Study was conducted at conducted at the different public and private medicalcolleges, Karachi, from Mar to Apr 2020.
Methodology: Google survey form based cross-sectional study conducted at the different public and privatemedical colleges, Karachi from March till April 2020. Non-probability consecutive sampling technique was used.This questionnaire consisted of 13 items which focused on the impact of COVID-19 pandemic on the learning ofundergraduate medical students from Karachi.
Results: The study was conducted on 110 undergraduate students. Out of which, majority of the participantswere from third year 45 (41%) and second year of MBBS 25 (23%). It was found that almost 71% of the undergraduate students had less likely to remember and understand material taught in online class and 60% had less likely to get answers to their queries as compared to regular classes. The results also showed that 49% of the undergraduate students were disturbed by technical issues during online classes. Furthermore, it was also found that learning of 54 out of 110 undergraduate students was always affected due to loss of clinical rotations. Strong association were also found in between online satisfaction and stressful condition due to online classes.
Conclusion: It was concluded that COVID-19 pandemic greatly affected the learning of the undergraduatemedical students and have negatively impacted their satisfaction level towards their studies.
PRESENTATION AND OUTCOMES OF AORTOFEMORAL BYPASS SURGERY IN PATIENTS WITH AORTOILIAC OCCLUSIVE DISEASE. FOUR YEARS’ EXPERIENCE AT A TERTIARY CARE HOSPITAL
Authors: Siddique Muhammad Khalid , Ahmed Waqas , Butt Khalid Pervaiz , Akhtar Khalid Ibrahim , Khalid Hamna , Khan Muhammad Tariq 
Published: December 2020

Objective: To highlight the presentation and outcomes of Aortofemoral bypass surgery at a tertiary care hospital.
Study Design: Prospective observational study.
Place and Duration of Study: Vascular Surgery department, Combined Military Hospital Lahore, from Jan 2015to Dec 2019.
Methodology: A total of 23 patients between 50-80 years of age presenting with critical limb ischemia due toAortoiliac occlusive arterial disease type C or D of Trans-Atlantic inter Society Consensus (TASC) II classificationconfirmed on CT Angiogram, were included in the study. The clinical presentation, co-morbid illnesses, historyof smoking, obesity, post operative patency of graft, wound infection, amputation rates, and mortality weredocumented on a structured proforma. All patients were followed up at 1, 6, 12 and 24 months of surgery.Outcomes were assessed in terms of graft patency, wound infection, limb survival, amputations and mortality.Data was analyzed by SPSS version 23.0.
Results: The mean age of patients was 71.04 ± 7.29 years. Most patients presented with rest pain (56.5%). Thefrequency of smokers was 78.3% while 34.8% patients had both diabetes mellitus and ischemic heart disease.Hyperlipidemia was present in 30.4% patients. Two patients (8.7%) developed superficial surgical site infection.The limb salvage rate was 95.7% and the mortality rate was 4.3%.
Conclusion: Aortofemoral bypass surgery is a safe and highly effective treatment modality for the management of aortoiliac occlusive arterial disease in experienced hands. Limb salvage can be successfully achieved in more than 95% cases.Keywords: ,, ,, .
ROLE OF HEART RATE REDUCTION WITH IVABRADINE IN LEFT VENTRICULAR FAILURE
Authors: Batool Safia , Waris Jamal , Sajid Muhammad Usman , Nisar Shazia , Khan Imran , Mushtaq Hina 
Published: December 2020

Objective: To compare mean heart rate reduction in Ivabradine and placebo group in left ventricular failurepatients.
Study Design: Quasi experimental study.
Place and Duration of Study: Study was conducted at CMH, Kharian, from Jul 2018 to Dec 2018.
Methodology: 64 patients participated in the study. They were randomly divided into two groups of 32each. One group was given Tab Ivabradine (10 mg twice a day) while second group received a placebo for aperiod of 4 weeks. After 4 weeks each patient was evaluated and heart rate, systolic and diastolic blood pressure were recorded. Mann-whitney U test selected to compare heart rate and ages of both groups t- test used to compare systolic and diastolic blood pressure among both groups. Chi-square test used to determine the association of heart rate between two groups. A p-value ≤0.05 was considered significant.
Results: Median (IQR) heart rate was significantly lower in Ivabradine group 58.3 (4) as compared to placebo64.1(1) (p<0.01). Systolic blood pressure (132.8 ± 3.6) was significantly lower in ivabradine group as comparedto placebo group (137.1 ± 4.5) (p<0.01). Difference in diastolic blood pressure was insignificant in both groups (p=0.55). There was a significant association between heart rate of 55-60 beats per minute and ivabradine use(p<0.01).
Conclusion: Ivabradine is safe and efficative drug in reducing heart rate and systolic blood pressure for patients suffering from left ventricular failure. Early detection and management of left ventricular failure with ivabradine use leads to better prognosis of the disease.
EVALUATION OF COVID-19 PANDEMIC IN AZAD JAMMU AND KASHMIR PAKISTAN
Authors: Nazeer Qaesar , Sardar Tahir , Mashhadi Syed Fawad 
Published: December 2020

Objective: To examine mitigation measures in Azad, Jammu and Kashmir and compare their effectiveness to rest of Pakistan.
Study Design: Prospective observational study.
Place and Duration of Study: Province of Azad, Jammu and Kashmir, from Mar to Aug 2020.
Methodology: This study was conducted by Provincial Disease Surveillance Department of World HealthOrganization at Azad, Jammu and Kashmir Muzaffarabad after getting approval from Health Department.Data were collected from different hospitals of Azad Jammu and Kashmir as per a specially designedproforma.
Results: No significant variation from national averages was observed, adapting mitigation measures andlockdown were success in decreasing epidemic curve.
Conclusion: The easing of the lockdown policy resulted in widespread outbreak in the province and noncompliance with infection control best practices by members of the community, similar to rest of Pakistan.
Triple Bottom Line: Evidence from aviation sector
Authors: GUPTA ISHA , Mishra Nandita , Tandon Deepak 
Published: December 2020

The COVID-19 has spread with alarming speed bringing the global economy to a stand-still. As countries have imposed tight restrictions, the aviation industry is severely hit and its revenues sorely plummeted. The study aims to analyze the impact of Covid-19 on the aviation industry. Its main purpose is to alleviate the pandemic effect by applying the Triple Bottom Line (TBL) approach. TBL mainly addresses sustainability and focuses on three dimensions: people, planet, and performance. The aviation industry can sustain its revenues by adopting disruptive and innovative strategies that can counteract pollution effect (planet scale). Furthermore, it should urgently integrate artificial intelligence and machine learning in its booking system (people scale) to compensate for ongoing travel cancellations, delay, and headcounts reduction. To regain customers’ confidence, and boost its performance, the aviation industry should apply innovative plans such as electronic waivers, free cancellation, no-fee itinerary change.
LA COMUNICACIÓN POLÍTICA
Authors: Chávez Rivera Vidal 
Published: December 2020

La Comunicación Política en los Procesos Electorales en el Perú, es un trabajo, no solo producto de la sistematización y el análisis de lo que piensan diferentes especialistas en la materia; sino además el resultado de la elaboración y aprehensión subjetiva y objetiva de la realidad en cuestión de nuestra parte. En el trabajo desarrollado se aborda aspectos sobre la intervención de los medios de comunicación en los procesos electorales a través del tiempo, particularmente en el Perú. El presente trabajo contiene: La Prensa y la Comunicación Política, Actores Políticos y Comunicación Política, la Comunicación, la Democracia y la Opinión Pública, Periodismo y Elecciones en el Perú, los Candidatos y la Promoción Política, las conclusiones y las referencias. Todos y cada uno de los temas abordados guardan relación, coherencia y secuencia entre sí, los que inciden en el escenario de la vida política, económica, social y cultural de nuestro país.
VIVIR Y VER EL PATRIMONIO
Authors: Flores Caparó Erwic , León Dantas Elisângela Concepción 
Published: December 2020

‘Vivir y Ver Patrimonio’ es un proyecto cultural concebido y desarrollado la primera capital de Brasil, que tiene como objetivo implementar la educación para el patrimonio de la ciudad de Salvador, Bahía. Por un lado, se entiende como un proceso permanente y sistemático del trabajo educativo centrado en el patrimonio cultural y, por otro, como herramienta de alfabetización cultural. El proyecto está dirigido a jóvenes de las escuelas secundarias de público y se centra en el paisaje y la arquitectura del casco antiguo de Salvador, cuyo proyecto piloto se llevó a cabo en 2013, de la Secretaría de Estado de la iniciativa Bahía Cultura, a través del Instituto Patrimonio Artístico y Cultural. Detrás de todo ello se hizo el reconocimiento y análisis de la Iglesia de Santo Antonio de la Mouraria 4, que data del siglo XVIII monumento declarado Patrimonio por el Instituto de Patrimonio Histórico y Artístico del Brasil. Bajo ese direccionamiento, se han desarrollado acciones estratégicas, lo que llevó a la experiencia de otros monumentos culturales y las artes locales, destinadas a rescatar la relación comunidad de afecto por herencia.
CARACTERÍSTICAS EPIDEMIOLÓGICAS DE ACCIDENTES LABORALES
Authors: Ugarte Martínez José Rafael , Ferro Galdos Liliana Erikha 
Published: December 2020

Las características epidemiológicas de los accidentes laborales en el hospital Antonio Lorena, tiene por objeto determinar si la edad, tiempo de servicios, grupo ocupacional y grado de instrucción tienen relación con la forma de producción de los accidentes laborales ocurridos durante las horas de trabajo entre los años 2010 y 2014. Actualmente no se dispone de información en el hospital sobre los accidentes en sus trabajadores. Se revisaron 91 formatos de accidentes laborales en la unidad de epidemiología del hospital. Se llenó la ficha de recolección de datos, luego se pusieron los datos al programa Excel y SPSS 20. Es un estudio no experimental, transversal, retrospectivo y correlacional. El promedio de la edad de los trabajadores accidentados es de 37,44 años de una total de 712 trabajadores, el tiempo de servicios promedio es de 9,41 años de trabajo y el grupo de trabajadores con menos de 5 años de servicio fueron los más lesionados con 54 casos. El grupo ocupacional más afectado fueron las enfermeras con 31 accidentados. La forma de los accidentes con mayor frecuencia fueron los pinchazos con el 67% de los casos. En cuanto al nivel de correlación se usó el test de Spearman, debido a que el test de Kolmogorov Smirnov resulto no significativo para normalidad (2,697 p<0,001). Se observó mediana correlación entre edad del trabajador, tiempo de servicios con la forma del accidente laboral (rho= –0,516 p<0,001 y rho= –0,490 p<0,001), ninguna correlación entre el nivel de educación del trabajador y la forma del accidente laboral (rho= –0,086 p=0,420).
EL INCA GARCILASO DE LA VEGA, SÍMBOLO AUTÉNTICO DE PERUANIDAD
Authors: Samanez Paz Carmén Irma 
Published: December 2020

El Inca Garcilaso de la Vega es el prosista más destacado de las letras hispanoamericanas de la Colonia, el primer escritor mestizo y precursor del Indigenismo en la literatura peruana. Con su pluma magistral y dotes de historiador recreó diferentes aspectos del antiguo Perú, siempre con un espíritu integrador, capaz de fusionar a indios, mestizos y criollos. Su madre y sus parientes maternos se encargaron de enseñarle el quechua. Le hicieron conocer mediante historias maravillosas toda la grandeza del Imperio de los Incas. Así por sus ojos de niño inquieto, pasaron los sucesos guerreros, las costumbres y tradiciones imperiales del Tahuantinsuyo, que evocará con nostalgia en su creación literaria. Su obra los Comentarios reales fue escrita con plena identificación peruanista, contiene los ricos archivos de la historia peruana, siendo el monumento más noble que Garcilaso pudo erigir a la memoria de sus antepasados, uniendo su vocación de historiador y alma de poeta. Así, los Comentarios reales constituye la expresión más perfecta del mestizaje étnico y cultural porque representa la síntesis de dos mundos diferentes: incaico y español, dando una imagen del Imperio Incaico y primeros años de Conquista con estilo elegante y vigoroso, lleno de sensibilidad e imaginación. Los Comentarios reales es la expresión sincera del afecto que sintió por sus antepasados los incas y motivo de tributo a su raza indígena materna. En esta obra perfila la exacta dimensión del nuevo Perú y asoma la naciente conciencia nacional, razón por la cual los estudiosos consideran a Garcilaso el primer escritor de nuestra historia que pretende reivindicar las glorias del Tahuantinsuyo, llegando a ser un auténtico símbolo de la peruanidad, capaz de entregarnos páginas llenas de evocación y melancolía por el antiguo Perú. El conocimiento y compresión de su obra nos acerca a Garcilaso, peruano de corazón y cronista mestizo que nos llena de orgullo. Su mensaje resulta trascendental para todos por su peruanismo y dimensión universal. Los Comentarios reales es una obra trabajada con tenacidad y constancia que reclama una lectura cuidadosa por la variedad de sus enfoques, la brillantez y originalidad de su estilo y la hondura interpretativa del Perú en tiempos remotos. Fue el más grande escritor del período Colonial, no solo fue un cronista, un comentarista de crónicas ajenas, sino un historiador interesado por todos los aspectos de la vida humana, capaz de examinar la realidad desde diferentes ángulos, hecho que hace de su producción literaria una verdadera joya artística e histórica.