bluuebunny/crossref_metadata_2025_split huggingface dataset:
Primary Hyperparathyroidism: Experience from a Tertiary Care Centre in Pakistan
Authors: Fatima Tehseen , Das Bhagwan , Sattar Saadia , Islam Najmul 
Published: July 2020

Objective: To study the clinical, biochemical and radiological features and management outcomes of patients with primary hyperparathyroidism.
Methods: This retrospective study was conducted at the Aga Khan University Hospital, Karachi, Pakistan and comprised data of patients with primary hyperparathyroidism from 2008 to 2017.
Results: Out of 103 patients, 83(80.6%) were female. Overall mean age was 59.3±16.2 years. Musculoskeletal manifestations were seen in 60(58.3%) patients and renal manifestations in 28(27.2%). Ostieits fibrosa cystica was found in 04(3.88%) patients. Overall, Ultrasound neck and sestamibi scan localized the lesion in 66 (64.1%) and 77 (76.2%) patients respectively. Among 79 patients who underwent surgery, 67 (84.8%) patients had an adenoma, 05 (6.3%) had hyperplasia and 02(2.53%) patients had parathyroid carcinoma whereas histopathology was inconclusive in 5 (6.32%) out of the 79 surgically treated patients. Disease recurrence was seen in 13 out of 79(16.45%) patients who underwent surgery.
Conclusion: Primary hyperparathyroidism is associated with significant morbidity in our population. Targeted measures like improving patient awareness, routine calcium screening, vitamin D supplementation and a high index of suspicion by the clinician may help in early diagnosis of the condition and thus reduce morbidity.
doi: https://doi.org/10.12669/pjms.36.6.2572
How to cite this:Fatima T, Das B, Sattar S, Islam N. Primary Hyperparathyroidism: Experience from a Tertiary Care Centre in Pakistan. Pak J Med Sci. 2020;36(6):1199-1203. doi: https://doi.org/10.12669/pjms.36.6.2572
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Effectiveness of Pre-operative Respiratory Muscle Training versus Conventional Treatment for Improving Post operative Pulmonary Health after Coronary Artery Bypass Grafting
Authors: Sahar Wajeeha , Ajaz Noor , Haider Zulfiqar , Jalal Anjum 
Published: July 2020

Objective: To evaluate the Effectiveness of Pre-operative Respiratory Muscle Training versus Conventional Treatment for Improving post-operative pulmonary health after Coronary Artery Bypass Graft Surgery (CABG).
Methods: A Prospective Randomized clinical trial was performed on sixty patients who underwent elective CABG at Faisalabad Institute of Cardiology. At the time of admission all patients were subjected to 6-minutes’ walk test (6MWT) as baseline. The subjects were then divided into two groups. The Group-I was subjected to respiratory muscle training whereas the Group-2 received the routine preoperative care. The 6-minute walk test (6MWT) was then repeated a day before surgery (pre-operative) and before discharge (post-operatively). Duration of post-operative mechanical ventilation, oxygen therapy and hospital stay were also noted as outcome measures of this study.
Results: The pre-operative and post-operative readings showed that the patients in the interventional group performed better than the control group in their 6MWT with P-value of less than 0.05. Similarly the interventional group had shorter duration of mechanical ventilation, dependence on oxygen therapy and postoperative hospital stay as compared with the control group showing P-values below 0.05.
Conclusion: The results showed that respiratory muscle training results in improved postoperative functional capacity and reduces of hospital stay.
doi: https://doi.org/10.12669/pjms.36.6.2899
How to cite this:Sahar W, Ajaz N, Haider Z, Jalal A. Effectiveness of Pre-operative Respiratory Muscle Training versus Conventional Treatment for Improving Post operative Pulmonary Health after Coronary Artery Bypass Grafting. Pak J Med Sci. 2020;36(6):1216-1219. doi: https://doi.org/10.12669/pjms.36.6.2899
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Successful radio-frequency catheter ablation of two cases of supraventricular tachycardia via a left-sided inferior vena cava
Authors: Awan Romana Asad , Khanzada Muhammad Faisal , Mumtaz Zubair , Qadir Faisal 
Published: July 2020

Congenital venous anomalies are uncommon, incidental findings encountered during adult interventional electrophysiology procedures. Femoral venous access is conventionally used during cardiac electrophysiology studies to gain access to the heart. The chance finding of an inferior vena cava anomaly may preclude the performance of these procedures from the femoral approach. We describe two cases in which we were able to successfully perform different radiofrequency catheter ablation procedures in the presence of an unusual venous anomaly, the left-sided IVC.
doi: https://doi.org/10.12669/pjms.36.6.2947
How to cite this:Awan RA, Khanzada MF, Mumtaz Z, Qadir F. Successful radio-frequency catheter ablation of two cases of supraventricular tachycardia via a left-sided inferior vena cava. Pak J Med Sci. 2020;36(6):1402-1404. doi: https://doi.org/10.12669/pjms.36.6.2947
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Perceived strengths and challenges of the World Health Organization modified partograph among obstetric care providers in Blantyre, Malawi
Authors: Chimala Eveles , Kafulafula Ursula , Kadango Alice , Tang Jennifer H , Chodzaza Elizabeth 
Published: July 2020

Background/Aims The partograph is a tool used to monitor events during labour and was recently modified by the World Health Organization to improve intrapartum care. However, it is unknown how obstetric care providers in Malawi perceive this modified partograph. This study aimed to evaluate the perceived strengths and challenges regarding the World Health Organization's modified partograph design among obstetric care providers in Malawi. Methods For this qualitative study, data were collected from a sample of 34 obstetric care providers from two purposively-selected urban health facilities through in-depth interviews and focus group discussions. The data were subjected to thematic analysis, with the strengths and challenges of using the modified partograph designated as the two major themes. Results The participants reported that there were more challenges than strengths with utilisation of the modified partograph. Two subthemes emerged among the strengths: the partograph is comprehensive and the partograph is clear. Three subthemes emerged from the challenges: 1) unrealistic fetal monitoring intervals, 2) confusing partograph design regarding documentation of caput and moulding and 3) small font. These challenges made partograph use impractical to complete, particularly in the context of chronic understaffing of the labour ward. Conclusions Until staffing levels are improved in Malawi and other resource-limited settings, it is unlikely that the modified partograph design will significantly improve maternal or neonatal outcomes. However, some improvements can be made to the design to help facilitate its use, and more training on its use is needed to prevent confusion.
Recruitment of women to cardiac rehabilitation: uptake and outcome measures
Authors: Leslie Rosalind , May Sophie , Scordis Christopher , Swift Ian , Bradbury Sharon 
Published: July 2020

Background/Aims National Audit of Cardiac Rehabilitation reports consistently illustrate that cardiac rehabilitation programmes are failing to recruit women. Wolverhampton's cardiac rehabilitation service offers a choice of exercise localities and modalities, ladies-only classes plus a stress-management programme. The aims of this retrospective analysis were to undertake a service review to examine phase III uptake in females compared with males, and to compare outcome measures. Methods Retrospective data were analysed to examine uptake to core phase III services in males and females. Outcome measures were compared between genders. Results Uptake by females to core components of cardiac rehabilitation increased from 43% in 2015/2016 to 84% in 2017/2018. There were no significant gender differences in the outcome measures. Conclusions The percentage of female patients attending core components of phase III as a proportion of the total was comparable with those seen during phase I. Offering a choice of exercise localities and modalities, combined with psychological support increased uptake in women. Gender did not have a significant impact on outcome measures following core phase III.
Disruption of paediatric orthopaedic hospital services due to the COVID-19 pandemic in a region with minimal COVID-19 illness
Authors: Wong Fui Lin , Antoniou Georgia , Williams Nicole , Cundy Peter J. 
Published: July 2020

Purpose This study was designed to evaluate the impact of the COVID-19 pandemic on paediatric orthopaedic services in a paediatric tertiary hospital in South Australia. Methods A retrospective audit was conducted of orthopaedic activity at a major paediatric tertiary hospital with a Level 1 paediatric trauma centre, where no patients were admitted with COVID-19 illness. Orthopaedic Emergency Department (ED) presentations, outpatient clinics and hospital admissions for the period between 16 March 2020 to 26 April 2020 were studied and compared with the same period in 2019 (18 March 2019 to 28 April 2019). Chi-square tests were performed with p < 0.05 indicating statistical significance. Results In total, 621 patients presented to the ED with orthopaedic complaints during the pandemic (versus 997 in 2019). However, there was minimal change in the number of ED presentations requiring admission (110 in 2020 versus 116 in 2019). Among patients discharged directly from ED, 27.3% received hospital outpatient referral (versus 39.1% in 2019), with the remaining patients referred to community health services or discharged directly. There was a 509.8% increase in telehealth (video and phone) outpatient consultations compared to 2019 and a 60.6% decline in face-to-face appointments. There was a total of 144 orthopaedic admissions (elective and emergency) compared to 184 in 2019. Admissions for children under seven remained unchanged (32.5% reduction in children aged seven and above). Conclusion Despite an overall decline in all paediatric orthopaedic hospital activity, the number of emergency admissions for musculoskeletal conditions did not change. Elective surgery numbers for children aged under seven were also unchanged. Appropriate planning and hospital resources allocation are necessary to meet this service requirement in future pandemics. Level of evidence IV
Estimating Bark Eating Caterpillars Indarbela quadrinotata (walker) in Populus deltoides Using Ranked Set Sampling
Authors: Kumar Arvind , Chandra Girish , Kumar Sanjay 
Published: July 2020

<p>The problem of bark eating caterpillar, <em>Indarbela quadrinotata</em> infestation has been observed from variety of horticulture and forest tree species in India. The estimation of infestation of this caterpillar using conventional sampling methods was found difficult because counting the number of caterpillar in each tree is practically not feasible. Ranked set sampling (RSS) is a cost efficient method which provides improved estimators of mean and variance when actual measurement of the observations is difficult to obtain but a reasonable ranking of the units in the sample is relatively easy. In the present study, poplar, <em>Populus deltoides</em> plantation of Western Uttar Pradesh and Uttarakhand was taken for the assessment of <em>Indarbela quadrinotata</em> infestation. The RSS estimator of population mean and variance have been discussed and compared with the corresponding estimators from simple random sampling (SRS). The relative precision (RP) of RSS procedure with respect to the SRS for four different set sizes of <em>k </em>= 3, 5, 7, and 10 has been deliberated. It was seen that RP increase with the increment in <em>k</em>. The method of RSS was found suitable for the assessment of insect pest infestation.</p><p><strong>Keywords</strong><strong>: </strong><em>Indarbela quadrinotata</em>, <em>Populus deltoides</em>, simple random sampling, ranked set sample, order statistics.</p>
Application of K-Means Clustering in Mapping of Central Java Crime Area
Authors: Vulandari Retno Tri , Saptomo Wawan Laksito Yuly , Aditama Danar Wijaya 
Published: July 2020

<p>Crimes occur in many places and cause complex problems that have widespread impacts on all levels of society. Crime is related to several factors including crime index, the ratio of the number of police to the population, population density and poverty rates. In this study trying to develop an information system that is able to display and map crime-prone areas in Central Java. Based on these factors, it is used to classify regions in Central Java, namely the category of safe, quite vulnerable, vulnerable and very vulnerable. <em>K</em>-Means clustering method, is very suitable to be used in predicting and grouping which areas are included in the 4 categories. The formulation of the problem is to find out areas prone to crime in Central Java. Based on the results, there are 11 regions with safe categories, 4 areas with quite vulnerable categories, 13 regions with vulnerable categories and 6 regions with very vulnerable categories.</p><p><strong>Keywords</strong><strong> : </strong><em>K</em>-Means clustering, mapping, Central Java, criminality, crime area.</p>
Simulation and calibration of a compact millimeter-wavelength Fourier transform spectrometer
Authors: Liu Mira , Pan Zhaodi , Basu Thakur Ritoban , Meyer Stephan S. 
Published: July 2020

This paper presents the simulation and calibration of a Fourier transform spectrometer (FTS) developed to measure the spectrum of radiation sources between 50 GHz and 330 GHz, such as the cosmic microwave background. The recorded signal is modified from the ideal by properties of the interferometer and the detection system. We have developed a ray-trace-based simulation with which we can model these effects. The model can be verified with measurements and used to understand the instrument’s systematic effects and to design new optimized configurations. The optimization comprises parameters of the design, such as large étendu, maximal spectral resolution, compact size, operational simplicity, and light weight, that conflict and need to be balanced. The numerical simulation consists of two parts: time-stream signal analysis and a ray-trace-based simulation that includes polarization and path length calculations and can account for the effects of beam loss and change of focus as the delay-generating mirror travels on its path. The simulation can study the coherence level and frequency resolution of the FTS instrument. While not exercised in this study, the simulation also can be used to study the effect of mirror figure and polarizer non-idealities, walk-off rays in the beam due to the large étendu, as well as misalignment of optical elements. We then present the comparison between simulations of a spectrally unresolved source and measurements by the FTS.
Feminismo, trabalho e cuidados
Authors: Ferreira Jorgetânia da Silva 
Published: July 2020

O presente artigo faz um balanço dos feminismos no contexto atual, com destaque para a experiência brasileira. Aborda a importância de pensar um feminismo que dialogue com os saberes acumulados pelas mulheres e que considere a intersecção de gênero, classe, raça, geração, deficiências. Defende a centralidade do debate acerca do trabalho doméstico e cuidados e a necessidade de um feminismo para as maiorias.
PALAVRAS CHAVE: Feminismo. Mulheres. Trabalho Doméstico. Cuidados.
Canoa em dois tempos
Authors: Gonzalez Marcela Rohsbacker , Piedade Acácio 
Published: July 2020

O artigo tem como objetivo relacionar a composição Canoa em dois tempos (1982) de Kilza Setti (1932) com as características musicais caiçaras apresentadas na pesquisa de doutoramento da compositora (1985), e evidenciar seu engajamento no processo de resgate cultural caiçara.
PALAVRAS-CHAVE: Kilza Setti. Canoa em dois tempos. Música Caiçara.
A elaboração do passado pela escrita
Authors: Prado Priscila Finger do , Moraes Letícia Freire de 
Published: July 2020

Linda Hutcheon (1991) elaborou o conceito de metaficção historiográfica, o qual apresenta uma problematização da história por meio da reapresentação do passado pelas verdades plurais que negam uma verdade única e incontestável. No romance Half of a Yellow Sun (2006), da escritora nigeriana Chimamanda Ngozi Adichie, é possível perceber, na forma como está estruturado, várias perspectivas para um mesmo acontecimento histórico, a partir das mudanças de foco narrativo. Tal construção fornece ao leitor uma reflexão sobre o perigo da criação de estereótipos pela crença em uma única história sobre determinado lugar, pessoa ou circunstância. Diante da reflexão tecida sobre a relação entre a ideia crítica e a organização do romance por várias vozes, pretende-se analisar a voz de um personagem desse romance em particular que desenvolve, no decorrer da narrativa, uma necessidade de se apropriar da história e de construí-la pela sua perspectiva, usando, para isso, a escrita. Pretende-se elaborar essa análise pela perspectiva dos estudos de Gagnebin (2006) sobre a tarefa histórica de conservação da memória pela necessidade da escrita como forma de elaboração do passado.
PALAVRAS-CHAVE: O Perigo de uma História Única. Elaborar o Passado. Memória e Escrita.
Pensamento social regional e a questão de gênero na obra de Anita Moser
Authors: Negherbon Caroline Laíza , Butzke Luciana 
Published: July 2020

O presente estudo abordou vida e obra da socióloga catarinense Anita Moser que pesquisou as condições de trabalho das mulheres camponesas que migraram para a indústria têxtil na cidade de Rodeio (SC) de 1970. Seu livro, A nova submissão, mostra, a partir de narrativas femininas, como o discurso de independência feminina pelo trabalho na indústria cede lugar à uma inserção social subordinada pela produção e consumo.
PALAVRAS-CHAVE: : Pensamento Social. Desenvolvimento. Gênero. Vale do Itajaí. Anita Moser.
A importância dada aos estudos genealógicos e às biografias familiares na Campanha Eugenista brasileira nas primeiras décadas do século XX
Authors: Oliveira William Vaz de 
Published: July 2020

Este artigo tem como objetivo principal analisar a importância dada aos estudos genealógicos, aos estudos sobre pedigree humano, às biografias familiares, às leis da hereditariedade e controle genético das populações, nos discursos e práticas eugenistas desenvolvidos no Brasil nas primeiras décadas do século XX.
PALAVRAS-CHAVE: Eugenia Hereditariedade. Genealogia. População.
Ser mulher na velhice
Authors: Ribeiro Aline , Cristina Régia 
Published: July 2020

Este artigo tem como objetivo problematizar sentidos culturalmente hegemônicos acerca da menopausa, refletindo sobre sua relação com transformações corporais associadas ao envelhecimento feminino, a partir de narrativas elaboradas por um grupo de mulheres de classe média, da faixa etária dos 50 a 71 anos de idade.
PALAVRAS-CHAVE: Menopausa. Envelhecimento Feminino. Gênero. Saúde da Mulher.
O discurso gerencialista e as práticas discursivas das mulheres executivas
Authors: Pellizari Kelly 
Published: July 2020

Este artigo visa analisar as práticas discursivas das mulheres executivas, estabelecendo as relações entre elas e o discurso do gerencialismo. Os resultados da análise indicam que as práticas discursivas das mulheres executivas mais se aproximam do que se distanciam do modelo gerencialista de gestão, uma vez que reforçam a ideologia gerencialista dominante.
PALAVRAS-CHAVE: Mulheres Executivas. Discurso Gerencialista; Gerencialismo e Práticas Discursivas.
Antiguos y bárbaros. Política e historia
Authors: Roldan Dario 
Published: July 2020

El texto examina la asociación entre reflexión política e interpretación histórica en dos grandes publicistas liberales de la Restauración (1814–1830). Momento relevante puesto que, en esos años, se renovó la concepción de la Historia y se reformuló la reflexión política como consecuencia del impacto que produjo el «ciclo revolucionario» (1770–1815). El artículo pone en paralelo dos universos históricos y políticos diferentes: el primero, propuesto por Constant, inspirado en el anacronismo del mundo de los Antiguos, que formuló oponiendo la libertad de los antiguos con la de los modernos, para asociar la soberanía popular con laslibertades individuales; el segundo, propuesto por Guizot, que retomó una novedosa interpretación de la historia europea, haciendo abstracción del mundo clásico con el propósito de compatibilizar el gobierno representativo, cuyo origen identificó con el sufragio capacitario, inspirado, a la vez, en la crítica de la soberanía popular asociando una lectura de las prácticas de las asambleas germánicas con la impugnación a Rousseau.
The Mechanism of International Legal Support of Effective Management of Indigenous Peoples in the Northern Territories
Authors: AVDEEV Vadim Avdeevich , ROZENKO Stanislav Vasilyevich , FEDULOV Igor Nikolaevich , OSPICHEV Igor Mikhailovich , FROLOVA Elena Vyacheslavovna , STEPANOVA Elena Evgenievna 
Published: July 2020

The article examines the key directions to improve the effectiveness of legal means to protect the interests of the North’s indigenous minorities in the context of globalization. Attention is paid to the improvement of legal instruments for regulating public relations related to small indigenous minorities of the North. Special attention is focused on the correlation between international legal bases, national legislation and regional acts.
Close attention is paid to the role and place of small indigenous minorities in Russian Federation state policy. The state and legal transformations taking place in the context of globalization are modelling a new level of social relations and give rise to special interest in improving their traditional way of life.
The scientific rationale for new conceptual approaches is predetermined by the specificities of indigenous peoples’ social development. In this regard, the main areas of national policy applicable to the country’s indigenous population as a whole and to individual regions where they live in the twenty-first century require modernization. Preservation and development of ethnic groups requires the solution of modern problems through public authorities and self-government.
The article analyzes the priority directions of state and legal policy, goals and objectives that meet the interests to protect the rights of small indigenous peoples.
At present, it is necessary that the focus of legal policy should be directed at proclaiming and ensuring the rights of indigenous peoples, preserving their unique way of life, promoting life support in the changed conditions of the cultural and natural environment and protecting them from the negative influence of post-industrial society.