bluuebunny/crossref_metadata_2025_split huggingface dataset:
Vitamin and HbA1C Status in Tuberculosis Patients with Diabetes and its Association
Authors: Singh Dr. Charanpreet 
Published: March 2019

Diabetes mellitus (DM)-tuberculosis is associated with poor glycemic control in DM patients. 2. DM is the most common risk factor associated with tuberculosis (TB); TB is also the third cause of death due to non-communicable disease (NCD).
Materials and Methods: Present study was conducted in Dept. of TB and Chest Vedanta Institute of Medical sciences, Vedanta Hospital. A total of 100 patients of Type 2 DM were enrolled in the study of which 60 were male and 40 were female. Written consent was obtained from each patient to participate in the study. The study will be conducted in the patients admitted in the Department of TB and Chest in collaboration with Dept. of Biochemistry, Intensive Coronary Care Unit at Vedanta Hospital. All patients of DM with TB infection are diagnosed by clinician and admitted in our hospital for treatment. Informed consent was taken from all patients, who participated in our study and the study was approved by the college ethics committee.
Blood pressure, height, body weight, and waist and hip circumferences of each patient were measured as an anthropometric and dietary measurement. Body mass index (BMI) and ratios of waist to hip circumference was calculated. Blood pressure of each patient was measured after giving rest for at least 5 min.
Results: HbA1C levels were higher in the selected group of DM + TB patients mean value being 8.1 ± 0.56 %. There was a significant difference in Vit. B12 levels between cases (218.15 ± 35.65) and controls (355.02 ± 23.39), where serum level was low in cases compared to control group. About 13(18.88%) patients had Vit. B12 level less than 150pg/ml and 28(40.58%) were lying in the intermediate level between 150pg/ml to 350pg/ml. Serum vit.B12 levels ranged from 118pg/ml to 315pg/ml. 25(OH) D3 levels were 17.09 ± 2.15 ng/ml in study group where as in control group the levels were found to be 22.88±4.01.The BMI was higher in those suffering from DM+TB (28.13± 3.24) in comparison to normal subjects (24.89 ± 3.95).
Conclusion: Our study has showed high prevalence of TB-DM co-burden of disease in our hospital settings and TB+DM TB-DM were significantly associated with age. Also it is concluded that vitamin D is a link between PTB and DM. Vitamin D levels are lower in patients with TB with DM. This study recommends the importance of performing diabetes screening among pulmonary TB patients and further similar studies needs to be done to determine the feasibility of TB-DM co-management.
TAP Block in Children: Does Inflammation Affect on Pain Score?
Authors: B. Odgerel , O. Sergelen , L. Ganbold 
Published: March 2019

Objective: The aim of this study was to evaluate of analgesic effect of ultrasound guided transversus abdomines plane (TAP) block in children undergoing open laparotomy surgery and compare to children were used general anesthesia (GA) alone. Methods: 60 children aged 3-18 years with ASA I-III classification were randomly enrolled in this study. We divided these children in to two groups: control group (GA alone, n=31) and study group (GA+TAP block, n=29) and also divided each group in two subgroups which were with inflammation and without inflammation. All children were received GA with same techniques. Study group (TAP block group) were assigned to receive ultrasound guided block in both side of abdomen using 0.3 ml/kg of Bupivacaine 0.25%, but not more than 12 ml in each side. Hemodynamic variables such as heart rate, blood pressure were measured at baseline (T0), after induction (T1), after skin incision (T2), and end of surgery (T3), and in the recovery room or ICU, at the 2nd, 4th, 6th hours postoperatively and examined pain intensity and analgesic requirement and frequency, also correllation between inflamatory process and pain intensity were studied. Statistic analysis was made in Excel using ANOVA, descriptive analysis, correlation and regression analysis. A p-value<0.05 was considered significant. Results: There was no differencies between the two studied groups regarding demographic and clinical characteristics. Intraoperative heart rate elevation was higher in GA group with an inflammation (13.3%) and the systolic blood pressure changes was higher (4.2%) after skin incision than study group and GA group without inflammation. Level of WBC had very weak positive and statistically significant correlation with intraoperative opioid usage (GA+Inf: r=0.029, p=0.023; ТAP+Inf: r=0.18, p=0.016; GA-Inf: r=0.018, p=0.014) but there was not observed correlation in TAP-Inf group. Postopeative pain score was higher in control group and an analgesic requirement and frequency was much more. Conclusion: Transversus abdomines plane block under ultrasound guidance was easy, safe, reliable and effective analgesic in children undergoing open laparotomy surgery and TAP block is a good component of postoperative multimodal analgesia. The inflammatory process increases pain intensity and intra and postoperative analgesic requirements.
Familial Hypocalciuric Hypercalcaemia (FHH): A Case Report
Authors: Kulasegaran Tivya , Kumar Pranav 
Published: March 2019

Familial hypocalciuric hypercalcaemia (FHH) is a rare genetic autosomal dominant disorder, with 3 variants described. An inactivating mutation in the calcium sensor receptor (CASR) gene causes the subtype 1, which represents 65% of the cases. Inactivation of Ca-sensing receptors (CaSR) can also lead to hypercalcemia associated with increased parathyroid hormone (PTH) secretion.[1]
It is characterised by causes mild asymptomatic hypercalcemia[2] and hypocalciuria with normal or elevated PTH. FHH is generally asymptomatic and treatment is not needed. Differential diagnosis with primary hyperparathyroidism (PHPT) is crucial and based on calcium-creatinine clearance ratio (CCCR), which, when under 0.02 points to the diagnosis of FHH.[3] Genetic test is necessary for confirmation.[4]
Study of Drug Utilization on Acute Poisoning Cases Treated at Tertiary Care Hospital
Authors: Todi Dr. Sreya 
Published: March 2019

Acute poisoning is common everywhere in medical emergency. Acute poisoning may be due to deliberate exposure to drugs, chemicals and natural toxins or accidental which is emergency for common medical health. The main aim of this study was to investigate the pattern of drug utilization, poisoning agents, and outcome in patients with treated acute poisoning. Material and Methods: This prospective cross sectional study was carried out in the emergency department of a tertiary care centre over a one year period. Result: During the period of 1 year total 310 Acute poisoning cases were recorded by us. Out of 310 acute poisoning cases 170(54.8%) were male where as females were 140(45.2%). The majority of cases were from age group of 20 -50 years in males whereas mean age of female patients was 37.3 years and majority of the cases were from 25-50 age group. The most common route of exposure to poisons (69.6%) was ingestion and followed by dermal exposure (in cases of venomous animal exposures) (25.8%) and inhalation (4.6%).The most common symptomatic treatments given to the patients were antimicrobials (88.7% of cases), antiemetics (82.6%% of cases), H2 blockers (72.9% of cases) and Atropine (51% of cases), pralidoxime (41.6% of cases) Proton pump inhibitors and Vasopressor agents etc respectively. The most commonly prescribed specific antidotes were Anti-snake venom (ASV) (12.9% of cases).Conclusion: In the present study, the main causes of poisoning were identified as household products in urban areas of India. Awareness about the dangers of such poisons should be the added responsibility of health and hospital authorities. Poison control center establishment in the region will also help in preventing and controlling such poisoning events.
Nasolabial Flap Tunneled Under Mandible (NLFTUM) - An Alternative to Free Flap, in T3 Tongue Reconstruction
Authors: Riju Dr. Jeyashanth , Thomas Dr. Shaji , Mathew Dr. Elizabeth , George Dr. Nebu Abraham 
Published: March 2019

Introduction : Nasolabial flap tunneled under mandible(NLFTUM) is a good option for reconstruction of any T3 lesion in the oral cavity. It is oncologically safe and gives a better functional outcome compared to other locoregional flaps. When compared to free flap it is a cost effective and time saving procedure. Methods: We present a series of our results wherein NLFTUM was used in 9 patients who presented with biopsy proven carcinoma tongue, clinically T3 lesion which was away from the mandible. Wide excision of lesion was performed with neck dissection and NLFTUM reconstruction was used in all patients, preserving mandible. All these surgeries were performed in 2017 in a 5 months window period. A total of 9 flaps were harvested. Adjuvant radiotherapy was given when indicated. Results: Reconstruction was done in 9 patients in whom 7 were men and 2 women. Mean size of the surgical specimen for which reconstruction done was 5.3 +/- 0.6cm. 89% cases had defect which reached posterior 1/3rd tongue. Reconstruction was successful in 89% of the cases. Total flap necrosis occurred in 1 patient, 2 patient had minimal necrosis in the distal end of the flap, all were managed conservatively. Oral function and swallowing were satisfactory in all these patients. Cosmetic result was comparable to the normal nasolabial flap. There was no major complication associated with the procedure, none needed any major intervention. Conclusion: NLFTUM is reliable for reconstruction of lesion with defect which is as big as 6 cm in oral cavity, especially for tongue defects, even if it extends to posterior 1/3rd. We have used this in tongue defect because of its excellent functional outcome and there is no risk of added complications.
Conventional Dacryocystorhinostomy Versus Pawar’s Implant Dacryocystorhinostomy- A Prospective Study
Authors: Chandravanshi Shivcharan Lal , Shrivastava Sunil Kumar , Shakya Devendra Kkumar , Tiwari Uma Saran 
Published: March 2019

Purpose: To compare conventional dacryocystorhinostomy (DCR) with Pawar’s intracystic implant dacryocystorhinostomy in terms of surgical technique, complications and success rate for primary acquired nasolacrimal duct obstruction (NLDO).
Materials and Methods: This is a prospective comparative, nonrandomized, clinical study. It is carried out on 50 cases of primary acquired NLDO. The 50 cases were divide into two groups; Group A consisting of 30 cases that underwent Pawar’s intracystic implant DCR whereas Group B consisting of 20 cases those operated by conventional DCR technique.
Data regarding demographic profile of patients, mode of presentation, diagnosis, intraoperative variables such as surgical duration, intra- and post-operative complications, hospital stay and causes of failure and final surgical outcome, were analyzed. Clinical success was defined as patent lacrimal system on irrigation (objective) and absence of symptoms (subjective).
Results: Out of 50 cases 40 (80%) were female and 10 cases (20%) were males. In this study, 39 (78%) cases had chronic dacryocystitis, followed by pyocele/mucocele 5 (10%), chronic dacryocystitis with lacrimal fistula 3 (6%), and previous failed DCR surgery 3 (6%).
Hemorrhage from nasal mucosa was observed in 9 cases (45%) during conventional DCR surgery and one case (3.33%) in implant DCR. Hemorrhage from angular vein occurred in 1 case (5%) during conventional DCR. Nasal mucosa was disrupted/damage in 8 cases (40%) during conventional DCR. The average operating time in convention DCR is 110.50 minutes while for Pwar’s implant DCR is 27.33 minutes. The commonest post-operative complication of Pawar’s intracystic implant DCR was obstruction of passage found in 4 cases (13.33%). Hypertrophic scar was the most common postoperative complication in 8 cases (40%) in conventional DCR. Success rate of implant DCR at 2 months follow up was 83.33% and at the end of 3 months after management of failed cases of implant DCR was 96.66%. Success rate of conventional DCR at 2 months follow up was 80% and at the end of 3 months after management of failed cases of conventional DCR was 85%.
Conclusion: The success rate of Pawar’s intracystic implant DCR is comparable with conventional DCR with additional advantages such as easy, quick, minimal intra- and post operative complication and possibility of conventional DCR in future in failed Pawar’s implant DCR.
An Integrated Intervention for the Treatment of Serious Psychosomatic Illnesses Such As Cancer
Authors: Fortuna Fabiola 
Published: March 2019

Background: The term “psychosomatic”often is improperly used: currently psychosomatic means both the set of morbid states that can create mental illness, and the psychic implications in the aetiopathogenesis of organic diseases.
Personally, I think it is more useful to focus on the question from this last point of view. I think also that the real psychosomatic disorders should also include cancer, cardiovascular diseases and multiple sclerosis.
This does not imply that the etiopathogenesis of these diseases might solely be of a psychic nature, but we should also hypothesize this possibility, along with hypothesizing the contributing factor of psychological causes.
Actually the hypothesis most credible is that the serious organic diseases such as cancer, originate from three main factors: genetic, environmental and psychic.
Methods: The N.M.P.M.P. (New Psychotherapeutic Method Psychosomatic Diseases) is a integrate method that consists in individual collogues, psychophysical relaxation techniques and group psicotherapy with analytical psychodrama created by Eugenie and Paul Lemoine.
Results: Even though it is not possible to get statisical data, the NMPMP’s results are very promising: the method are generated a significant improvement in health conditions for patients; from alleviation of chemotherapy symptoms to complete remission of the symptoms related to neoplasie.
Conclusions: The clinical experience described shows to be strategically indispensable an integrate psychological intervention for patients suffering from serious organic diseases.
Gobierno, legitimidad y movilización: aspectos de la vida electoral en tiempos insurgentes
Authors: Ducey Michael Thomas 
Published: March 2019

Partiendo de las valiosas observaciones de Virginia Guedea sobre las elecciones insurgentes convocadas por José María Morelos en 1813, esta investigación, basada en información proveniente del Archivo General de la Nación y de colecciones impresas de fuentes primarias, indaga sobre la función de los comicios en las regiones rurales del país controladas por las fuerzas rebeldes. En vez de discutir los temas de política nacional asociados con la formación del Congreso de Chilpancingo, el artículo centra su atención en la experiencia electoral en los pueblos del territorio insurgente. Las elecciones permitieron a los mandos medios y bajos de la rebelión fortalecer su posición ante la sociedad local haciendo evidente a las poblaciones su autoridad y valiéndose de los eventos para establecer su legitimidad como gobernantes. También sirvieron como actos públicos de adhesión al movimiento y una oportunidad para movilizar a los habitantes a su favor. Además de la cuestión de movilización social, el estudio explora el lenguaje de los actores y los aspectos ritualistas de los comicios para examinar la mentalidad de los insurgentes. Por este medio, podemos mejor entender como éstos concebían el papel de los elementos corporativos en el proyecto de construir un gobierno nacional de forma republicana y representativa desde las bases comunitarias del país. El artículo concluye que de una manera orgánica los revolucionarios aprovecharon las tradiciones coloniales enraizadas en las Repúblicas de indios para crear una visión novedosa de la relación entre la sociedad y el gobierno.
Geologists of Russian origin in Latin America
Authors: Tchoumatchenco Platon , Riccardi Alberto C. , Durand Delga Michel , Alonso Ricardo , Wiasemsky Michel , Boltovskoy Demetrio , Charrier Reynaldo , Minina Elena 
Published: March 2019

We describe here the life and career of geologists who beyond their nationality (Russian, Ukrainian, Tatar, German, etc.), were born on the territory of the Russian Empire, the Soviet Union or the Russian Federation and their descendants that became geologists, all of whom lived and worked in Latin-American countries (where Spanish and Portuguese languages prevail).We include also geologists from USSR who worked temporary in some countries of Latin America and left contributions to geology in form of publications.
The implications of the impact of the recreational use of forest mining ponds on benthic invertebrates with special emphasis on gastropods
Authors: Spyra Aneta , Strzelec Małgorzata 
Published: March 2019

AbstractThe relationships between the distribution and diversity patterns of benthic invertebrates in forest ponds used for different recreational activities were examined in this study. The study was based on sampling of benthic invertebrates, plant coverage, physical and chemical analysis of water samples and multivariate species analysis. Mining ponds varied in their solution chemistry and plant cover, with those used for recreation having significantly lower invertebrate occurrences (755 ind. m−2) compared to ponds with no recreational use (2629 ind. m−2). Statistically significant differences were also observed in the density of Oligochaeta, Hirudinea, Coleoptera, Trichoptera and Diptera between the two types of ponds. Overall, gastropods were more diverse and abundant in ponds not used for recreation. This appeared to relate strongly to plant cover, since cover was greatly reduced in recreational ponds, although plant diversity was enhanced. Density and diversity of benthic invertebrates was also observed to differ in relation to the kind of recreational use involved (recreational angling, swimming, power boating) although this was not quantified. The occurrence of freshwater snails primarily depended on the Ca concentration, the conductivity of the water and plant cover, but recreational disturbance appeared to reduce abundance where it occurred and was related to a reduction in overall plant cover.
Institutions, trust and the high level of innovativeness in the Scandinavian countries
Authors: Misiura Gabriela , Rozkwitalska Małgorzata 
Published: March 2019

Abstract
The aim of this study was to show the relationship between the level of the confidence indicator and the innovation of the economies of individual Scandinavian countries in the context of the new institutional economy (NEI). Literature studies and analysis of available results of social research indicate the importance of formal and informal institutions in Denmark, Sweden, Norway and Finland in making these countries world leaders in innovation.
CORPO, POLÍTICA E TECNOLOGIZAÇÃO: UM ESTUDO DA REPRESENTAÇÃO DE DILMA ROUSSEFF NO CONTEXTO DA MÍDIA
Authors: Gomes Maria Carmen Aires 
Published: March 2019

Neste trabalho, com fundamentação teórica da análise crítica do discurso, analisa-se a forma como a mídia impressa de informação geral semanal representa a então Ministra Dilma Rousseff. Para tanto, tomaremos como ponto de partida o conceito de tecnologização do discurso, conforme discutido por Fairclough (1997, 2001). Para este autor, a tecnologizaçào discursiva se refere à reformulação das práticas discursivas de organizações e instituições sociais de acordo com estratégias e objetivos específicos.
O DISCURSO DAS MARCHINHAS CARNAVALESCAS E AS RELAÇÕES DE GÊNERO NO RIO DE JANEIRO (1930-1940)
Authors: Ericeira Ronald 
Published: March 2019

O artigo entrelaça estudos de gênero e músicas de carnaval. Concebe-se conceito de gênero como uma construção agenciada no mundo social. Discute-se como os compositores de marchinhas carnavalescas utilizavam essa prática discursiva para abordar as relações de gênero. Recorrendo às reflexões de Bakhtin sobre linguagem e sociedade, estabelece-se uma relação entre o contexto do Rio de Janeirodos, anos 1930 e 1940, e as mensagens sociais contidas nas marchinhas. Os resultados foram aprensentados por meio de categorias temáticas e campos semânticos, os quais identificaram nas composições de Lamartine Babo, João de Barro e Ari Barroso, diferentes visões sobre as mulheres cariocas no período histórico investigado.
O outro (do) lado da fronteira: identidade kaiowá e território indígena
Authors: Guerra Vania Maria Lescano 
Published: March 2019

Esta pesquisa problematiza o processo identitário dos indígenas guarani kaiowá, a partir do texto do livro didático intitulado "Kaiowá: um povo que caminha", utilizado como recurso pedagógico. Trata-se de uma oportunidade para refletir sobre a história e a cultura kaiowá, por ocasião da "Semana dos Povos Indígenas", ocorrida de 14 a 20 de abril de 2013. A fundamentação teórica transdisciplinar desta pesquisa, com base na perspectiva discursivo-desconstrutivista, traz estudos de Coracini (2007), Deleuze (1992), Foucault (1992) e Bhabha (1998) a partir da alteridade, da desnaturalização dos estereótipos, do estudo das condições dos povos indígenas de Mato Grosso do Sul e a iminente destruição do espaço (u)tópico de nascimento desses povos.
Gigantes da internet e práticas fiscais desleais
Authors: Ayrault Ludovic 
Published: March 2019

Propósito – O artigo analisa o problema das práticas fiscais desleais de planejamento tributário das grandes corporações da Internet no que se refere às diversas formas de evitar o cumprimento de normas jurídicas tributárias nacionais. Ele analisa dois tipos de brechas fiscais: nexo de relação fiscal e base territorial tributária. Diante da avaliação dos dois conjuntos de problemas, o artigo oferece respostas para o seu enfrentamento.
Metodologia – O artigo analisa o problema com base na legislação tributária francesa, em contraste com fontes internacionais da OCDE – Organização para Cooperação e Desenvolvimento Econômico – e de outros países, como Estados Unidos da América e Irlanda. Além da apreciação jurídica, são analisados relatórios e casos.
Resultados – No que se refere às falhas de legislação, mostra-se a “relação territorial” e o “preço de transferência” como os principais elementos para o debate sobre a elisão fiscal. Em relação às formas de enfrentamento de práticas desleais, encontram-se a luta contra jurisdições fiscais complacentes bem como a exigência de transparência sobre as empresas, com obrigações de informação.
Implicações práticas – Permite-se esclarecer, assim, o comportamento fiscal adotado pelas empresas gigantes da Internet, bem como as possíveis formas de enfrentamento dessas práticas desleais, com base no contexto europeu.
Originalidade – A originalidade se dá justamente em problematizar o comportamento fiscal de grandes corporações da Internet e elucidar os meios possíveis para tentar coibir as práticas desleais.