bluuebunny/crossref_metadata_2025_split huggingface dataset:
DOSSIER El exilio y sus expresiones: miradas y escrituras atravesadas por el quiebre y la reconstitución subjetiva
Authors: Avila Mariela Cecilia , Navarrete Barría Sandra 
Published: November 2024

Introducción p. 370
Mariela Cecilia Avila y Sandra Navarrete Barría

Las otras rutas del exilio latinoamericano: pensadoras en el desarraigo
Sandra Navarrete Barría p. 375

“Sobrevivencia sin casa”. Escritura y exilio en Salir (la balsa) de
Guadalupe Santa Cruz
Juan Tapia p. 396

Derrota y feminismo: dos claves interpretativas para la experiencia
cotidiana del exilio en las narrativas de mujeres chilenas en ‘Revista Hoy’
Pamela Soto García p. 411

Tango, tragedia y comedia: la Tanguedia o las formas del exilio rioplatense
en un film de Fernando “Pino” Solanas
Mariela Cecilia Avila y Juan Ignacio Arias Krause p. 247

Las narrativas exiliares de mujeres como problema epistémico:
genealogías feministas y bolsas de la ficción
Lorena González Fuentes p. 445
Pengaruh Pembiayaan Murabahah Terhadap Perkembangan Usaha Mikro Pada Bank Syariah Kota Pekanbaru
Authors: Melina Ficha , Irwandi  , Nurul Muyasaroh  
Published: November 2024

Berdasarkan hasil penelitian penulis sebelumnya, bahwa pemahaman masyarakat Kota Pekanbaru tentang produk pembiayaan murabahah dikatakan kuat dengan persentase 77.03% atau berada pada wilayah “cukup paham” dan “paham”. Ini maknanya adalah masyarakat Kota Pekanbaru memiliki pemahaman yang cukup atau paham terhadap produk pembiayaan murabahah. Dari pemahaman masyarakat terkait produk pembiayaan murabahah tersebut, penulis ingin mengetahui pengaruh pembiayaan murabahah terhadap perkembangan usaha mikro pada bank syariah yang ada di Kota Pekanbaru. Metode penelitian ini adalah penelitian deskriptif yaitu jenis penelitian yang disusun dalam rangka memberikan gambaran secara sistematis tentang informasi ilmiah yang berasal dari subjek atau objek penelitian. (1) adapun sebagai populasi dalam penelitian berjumlah 26.321 orang pelaku usaha mikro Kota Pekanbaru dan yang menjadi sampel sebanyak 100 orang. Hasil penelitian dari uji regresi linier sederhana ini menunjukkan bahwa pembiayaan murabahah berpengaruh positif dan signifikan terhadap perkembangan usaha mikro. Hal ini didukung dengan adanya bantuan pembiayaan murabahah yang dapat menambah modal usaha dan dapat mengembangkan usaha.
Evaluation of electrical substation automation operational parameters: A systematic literature review
Authors: Mgenge Mandlenkosi , Swanepoel Jan Adrian , Muvunzi Rumbidzai , Daniyan Ilesanmi Afolabi 
Published: November 2024

The need to address inadequate power supply led to the development of automation strategies to improve the efficiency of power substation. This study conducts a systematic literature on the automation of operational parameters in electrical substation. Initially, 84 articles were retrieved from online as articles and grey literature. Upon the implementation of the inclusion criteria, 31 articles were selected and reviewed due to the fact that their focus and finding match with the aim of this study. The outcome of this study indicates that one of the recent advances in the automation of power substation is the development and implementation of the International Electro-technical Commission (IEC) 61850 standard. The standard boasts of several advantages such high compatibility, interoperability, cyber security features, efficiency, reliability, scalability and centralised control. However, some of its challenges includes time synchronisation standardisation of its testing procedure as well as integration into the communication network architecture. The study may promote the reliability of electrical protection, to reduce load-shedding incidences. It may also assist utilities and other electrical energy industries to better grasp how the automation protocol utilised affects substation efficiency.
Role of computer vision and deep learning algorithms in livestock behavioural recognition: A state-of-the-art- review
Authors: Fatoki Olawuyi , Tu Chunling , Hans Robert , Bello Rotimi-Williams 
Published: November 2024

The increasing demand for sustainable livestock products necessitates a re-evaluation of animal production and breeding practices. Contemporary breeding programs now integrate animal phenotypic behaviors due to their considerable influence on productivity, health, and welfare, which ultimately impact industry yield and economic outcomes. Monitoring animal behavior manually is challenging and subjective, especially in continuous or large-scale operations, as it is time-consuming and labor-intensive. Consequently, computer vision technology has attracted attention for its objectivity, non-invasiveness, and capacity for continuous monitoring. However, recognizing livestock behavior using computer vision remains difficult due to complex scenes and varying conditions, hindering its widespread adoption in the industry. Deep learning technology has emerged as a promising solution, mitigating some of these challenges and enhancing the recognition of livestock behaviors. This paper reviews recent advancements in computer vision methods for detecting behaviors in livestock such as cattle with an emphasis on behaviors critical for health, welfare, and productivity. It investigates the development of both traditional computer vision and deep learning techniques for image segmentation, identification, and behavior recognition. The review explores the development of research trends in livestock behavior recognition, focusing on improvements in reliable identification algorithms, the analysis of behaviors at different growth stages, the measurement of behavioral data, and the design of systems to evaluate welfare, health, growth, and development.
COMPARING STRESS LEVELS AMONG MEDICAL EMERGENCY UNIT WORKERS IN TEACHING HOSPITALS ACROSS LAHORE: A QUANTITATIVE ANALYSIS OF PRECISION
Authors: Fizzah Ali  , Fatima Suhaib  , Hajra Talat  , Malik Zain Ul Abideen  , Uzair Abu Bakar  , Maria Javaid  
Published: November 2024

Background: Stress is characterized as a condition of anxiety or tension spurred on by challenging circumstances. Stress is a normal human reaction that motivates us to deal with obstacles and dangers in our lives. The study aimed to investigate the levels of stress that employees in the medical emergency unit (MEU) industry face and any possible relationship between work satisfaction, and perceived stress. The objective of the study was to assess and compare the stress levels of MEU workers in different teaching hospitals in Lahore using the PSS-10 stress scale. Our research aims to examine and compare the perceived stress based on gender, profession, and marital status. Methods: The study employed a quantitative cross-sectional design to assess and compare stress levels among MEU workers in teaching hospitals across Lahore. The target population consisted of MEU workers in teaching hospitals across Lahore. The perceived stress levels were measured using the PSS-10 (Perceived Stress Scale) questionnaire, a widely accepted, validated, and reliable instrument for assessing stress perception in individuals. The data was subjected to both descriptive and inferential statistical analyses using the SPSS. Descriptive statistics, including means and standard deviations, were employed to summarize stress levels among medical emergency unit workers in different teaching hospitals. Independent t-tests and ANOVA were utilized to compare stress levels across teaching hospitals. Results: In this study involving 304 medical professionals, participants, on average, were 29.95 years old with a mean stress score of 20.99. The majority were female (62.8%), married (50.7%), and affiliated with Mayo Hospital (17.4%). Occupation-wise, 66.45% were doctors, and no significant difference in perceived stress was observed among professional categories. However, there was a significant difference in stress scores among hospitals, with FMH participants exhibiting lower stress compared to others (p<0.005). Conclusion: The study found significant differences in stress among medical emergency unit staff in teaching hospitals in Lahore. The results highlight the significance of targeted interventions and support initiatives to improve worker resilience and well-being in high-stress healthcare settings. It provides valuable information for improving stress management and preventive tactics.
IMPROVING VTE RISK ASSESSMENT IN HOSPITALISED PATIENTS IN A TERTIARY CARE HOSPITAL IN IRELAND
Authors: Muhammad Irfan Khan  , Aisling O’Brien  , Catriona O’Leary  , Virginia Silvari  , Cleona Duggan  , Susan O’Shea  
Published: November 2024

Background: The initial baseline audit showed that only 24% of patients had a documented VTE- RA, this demonstrated an urgent need to improve VTE-RA in hospitalised patients. This quality improvement project (QIP) aimed to achieve 90% compliance in completing the VTE-RA tool and embedding this process into practice. Several measures were carried out which included the development of a TP policy, VTE-RA tool, education sessions and monthly point prevalence audits incorporating Plan, Do, Study, Act (PDSA) cycles. A follow-up audit was conducted one-year post-implementation using the same methodology as the baseline. Methods: This was a single centre before-after study, using a prospective cross-sectional design for both the baseline and post-intervention studies in a tertiary referral hospital in Cork, Ireland. All adult inpatients (>18 years) were eligible for inclusion. Documented evidence of VTE-RA and a prescription of TP were recorded. Results: The follow-up audit showed significant (p <0.001) improvement in documentation of VTE-RA from 24% (244/1019) to 57% (612/1070) and the prescription of pharmacological TP increased significantly (p<0.001) from 43% (441/1019) to 67% (713/1070). This improvement in VTE-RA was highest in patients with an increased risk of thrombosis from 21.9% (n=180/819) to 61% (n=493/807). Conclusion: The introduction of a TP policy and VTE-RA tool increased compliance by 33%. However, without a dedicated multidisciplinary thrombosis team to actively implement this, the achievements to date are unsustainable and attaining 90% compliance with VTE-RA is unlikely.
TENZEL ROTATIONAL FLAP IN UPPER AND LOWER LID RECONSTRUCTION IN TERTIARY CARE HOSPITAL OF KARACHI PAKISTAN: A PROSPECTIVE INTERVENTIONAL STUDY
Authors: Ahmed Fatima , Kamil Zeeshan , Khan Muhammad Tanweer Hasan 
Published: November 2024

Background: Reconstruction of the lids is a significant challenge for ocular plastic surgeons as it requires the greatest functional and cosmetic outcomes. This study aimed to share the experience of Tenzel rotational flap in upper and lower lid reconstruction of anterior lamella at a tertiary eye care hospital of Karachi, Pakistan. Methods: 10 patients with upper and lower eyelid defects over a period of 6 months were a part of this prospective interventional clinical study. The examination on the subject was performed at tertiary care hospital of Karachi, Pakistan after ethical approval. Pre and post operation evaluation LPS (Levator palpebrae superioris) action MRD-1 (Margin Reflex Distance-1) values central vertical Palpebral Fissure Height (PFH) were recorded. Data was entered and analyzed on SPSS version 23.0. Results: For the upper eyelid the preoperative measurements of MRD-1, LPS action, central palpebral aperture were -1.6±1.63 mm, 4.33±1.21 mm and 4.33±1.33 respectively. The postoperative measurements of these parameters were 3.83±0.25 mm, 13.16±1.17 mm and 10.83±0.68 mm respectively. For the lower eyelid the Mean±SD of MRD-1, LPS action, central palpebral aperture preoperatively was 3.62±0.25 mm, 12.75±0.50 mm and 10.75±0.95 mm respectively. Postoperative values of MRD-1, LPS action, central palpebral aperture before operation were 3.83±0.25 mm, 12.75±0.50 mm and 10.75±0.95 mm respectively. The mean incision length in the upper and lower eyelid was 8.50±0.83 and 9.50±0.91 respectively. Conclusion: Tenzel rotational flap not only helps to heal the upper and lower eyelids but also there is no further requirement of additional surgery for posterior lamella. The study concluded that this technique provides both cosmetically and functionally aesthetics outcomes.
ASSESSING ORONASAL FISTULA RATES: MINIPLATE AS EXTERNAL FIXATOR VS ANTERIOR NASAL SPINE PLATING FOR PALATAL FRACTURES
Authors: Ain-us-Saba  , Muhammad Umar Farooq  , Fouzia Aslam  , Hamza Hassan Mirza  , Abdul Manan Shahid  , Muhammad Asad Javed  
Published: November 2024

Background: Palate, a midface bone, shapes the face and supports buttresses. Palatine process of maxilla and horizontal plate of palatine bone constitute it. Palatal bone is thicker anteriorly and laterally than posteriorly and centrally. Palatal fractures occur with maxillary fractures. Palatal-maxillary fractures occur 8-46.4% of the time.2,5 Palatal fractures can cause palatal ecchymosis in closed fractures and upper lip, palatal mucosa, incisor tooth loss, or occlusal disruption in displaced fractures. The objective was to determine the surgical outcome of palatal fractures with locking plates as external fixator vs. alveolar plating in terms of frequency of oronasal fistula formation. Methods: A Randomized control trial was carried out in Department of Oral and Maxillofacial surgery, Pakistan Institute of Medical Sciences, Islamabad. between 14th July, 2017 to 14th July, 2018. Lottery split patients into groups A and B. Data was collected on designed questionnaire and was entered and analyzed using SPSS v22. Chi-square was applied to check the association. Results: A total of 130 patients were enrolled in the trial based on the predefined inclusion criteria. The average age of participants in the research was 41.16 years with a standard deviation of 10.44. Of the total participants, 88 (67.7%) were male and 42 (32.3%) were female, as per the inclusion criteria. The occurrence rate of oronasal fistula development in both groups, namely palatal fractures treated with locking plates as an external fixator vs alveolar plating, was 1 (1.5%) and 7 (10.8%) respectively. This difference was found to be statistically significant with a p-value of 0.029. Conclusion: Osteosynthesis using 2.0 mm locking plates as external fixator had a lower rate of oronasal fistula than alveolar plating. Future investigations at numerous configurations are needed to determine which approach is best. such that a regular strategy will reduce infection, fistula development, and necrosis afterwards
ENDOMETRIOMA COEXISTING WITH MATURE CYSTIC TERATOMA IN A SINGLE OVARY: A RARE PRESENTATION
Authors: Fatima Shams  , Ahmed Shahroze , Mudasira Habib  , Abdul Sattar Anjum  
Published: November 2024

Mature cystic teratomas, commonly known as dermoid cysts, are prevalent benign ovarian tumors that originate from germ cells and mature into diverse tissue types. They are usually asymptomatic but can lead to complications like torsion, rupture, or malignant transformation. Endometriosis is a condition in which endometrial tissue grows outside the uterus and it is commonly associated with pelvic pain and infertility. We report a case of a 27-year-old woman who presented with a history of lower abdominal pain and dysmenorrhea. Initial ultrasonography revealed a complex cyst in the left ovary which, on a later Magnetic Resonance Imaging (MRI) scan, proved to be two distinct cystic lesions within the same ovary. Subsequently, a laparatomy and ovarian resection was done, and histopathologic examination confirmed the coexistence of a mature cystic teratoma and an endometrioma in the left ovary. This case report highlights the unique occurence of these two conditions simultaneously, the challenges of differentiating these coexisting conditions and emphasizes the importance of utilizing multiple imaging modalities to achieve an accurate pre-operative diagnosis.
THE CLINICAL MANIFESTATIONS OF SCABIES IN PATIENTS PRESENTING TO DERMATOLOGY OUTPATIENTS DEPARTMENT AT AYUB TEACHING HOSPITAL, ABBOTTABAD
Authors: Arshad Pirzada Durreshaehwar , Abdullah Sumaira , Maria Syed  , Zarar Bin Jamil  , Muhammad Khubaib Ullah  
Published: November 2024

Background: Scabies is a significant skin problem in the developing countries due to its increased incidence, complications and financial implications. The aim of this study is to highlight the endemicity of scabies in our population and its clinical manifestations including various complications. The study was conducted to determine the frequency and clinical manifestations of scabies in patients presented to dermatology outpatient department (opd), Ayub teaching hospital, Abbottabad. Methods: This cross-sectional study was conducted on 1404 patients suspected to have scabies. The demographic and clinical features of scabies presentation was recorded on a questionnaire by interview. The skin scrapings were observed under microscope after preparing 10% KOH mount. Results: During the study period, out of 1404 patients, 339 patients with scabies were identified, with frequency 24.14%. The mean age calculated was 21.18 years. The frequency of scabies was 56% (190) in males while 44% (149) in females. All studied patients had pruritis (male =190. female =149). 89.1% had papules, 39.8% had excoriations on their bodies, 15.6% had impetiginization, 12.7% had eczema and only 3.2% of total had blisters. It was observed that complications like impetigo, eczema, blisters were more in patients living in unfavorable conditions. Conclusion: The results of the study showed that scabies is a common skin infestation in our population. It is recommended that awareness programs be implemented at primary healthcare level so that necessary measures can be taken to control this preventable and communicable disease.
SAFE ZONE OF JOINT LINE ELEVATION FOR THE TREATMENT OF KNEE FLEXION CONTRACTURE PREVENTING MID-FLEXION INSTABILITY IN TOTAL KNEE REPLACEMENT
Authors: Abbas Nauman , Khattak Sabir , Faheem Muhammad Umer , Shah Naeem Ahmed , Aziz Amer , Khan Latif 
Published: November 2024

Background: In osteoarthritic knee, flexion deformity is caused by synovial inflammation, posterior femoral and tibial osteophytes tenting onto the capsule, ligamentous contracture and hamstring shortening. This study aimed to evaluate the safe zone of joint line elevation for the treatment of flexion knee contracture preventing mid-flexion instability in total knee replacement. Methods 51 knees with varus osteoarthritis undergoing TKA were evaluated. 39 knees with flexion contracture < 15°and 12 knees with flexion contracture >15°. 2-mm joint line elevation was performed in just 4 knees with >15° flexion contracture. The extension and flexion gaps were measured with traditional spacer block. Stability in coronal plane (varus & valgus stress) was assessed at 0,30,60 & 90 degrees. Sampling Technique was non probability consecutive. SPSS 23 was used for statistical analysis. Results: The study comprises 51 patients undergoing total knee replacement (TKA) for osteoarthritis, with a notable gender distribution (84.3% women, 15.7% men) and a mean age of 60.24±8.54 years. Of these, 41.2% had both knees affected, and joint elevation was performed in 23.5% with flexion contracture >15°. No instability was found in cases with joint line elevation. Flexion contracture analysis revealed asymmetry across sides, yet no statistically significant differences. Detailed comparisons show variability in flexion contracture and range of motion, emphasizing the complexity of side-specific outcomes. The study underscores the importance of tailored evaluation and intervention for flexion contracture >15° to optimize postoperative results. Conclusions This study has shown that in patients with varus osteoarthritis of the knee and flexion contracture > 15°, a 2-mm joint line elevation is safe to treat knee flexion contracture and is not associated with mid-flexion laxity. Level of evidence IV Cross sectional study.
FORENSIC EVALUATION OF DEATHS DUE TO ACUTE ALCOHOL POISONING IN HYDERABAD
Authors: Qamar Zaman Phull  , Lubna Riaz  , Shahla Imran  , Sadia Abdul Qayyum  , Muzna Hameed Dar  , Hanozia Shah  
Published: November 2024

Background: Acute alcohol poisoning, particularly from methanol ingestion, remains a critical public health issue worldwide. In regions where illicit alcohol production thrives, methanol poisoning cases are prevalent, posing severe risks of mortality and long-term morbidity. Aim and objective was to analyze the forensic profiles of deaths due to acute methanol poisoning in Hyderabad, identifying the main causes and contributing factors to fatalities associated with methanol intoxication. Methods: This retrospective descriptive cross-sectional study reviewed 198 autopsy records from a hospital in Hyderabad, focusing on cases identified as methanol intoxication deaths. The study analyzed demographic data, autopsy findings, and toxicological reports. Results: A total of 198 fatalities were recorded, with a significant male predominance (91.9%). The age range of the deceased was 21 to 58 years, with a notable concentration in the 31-40 years age group. High blood methanol concentrations were observed with many cases exceeding the lethal threshold. Autopsy findings highlighted the severe impacts of methanol on the brain, heart, and lungs. Conclusion: The study underscores the grave impact of methanol poisoning in the Hyderabad region, with a high rate of fatalities, particularly among young to middle-aged men. It calls for stricter regulation of alcohol production, increased public awareness, and improved medical recognition and treatment of methanol poisoning.
PREOPERATIVE DENOSUMAB AND FEASIBILITY OF LESS MORBID SURGERY IN CAMPANACCI STAGE 3 GIANT CELL TUMOUR OF BONE
Authors: Rasheed Muhammad Asif , Amin Muhammad Suhail , Muhammad Sohaib Nadeem  , Chaudhry Muhammad Nadeem , Areej Fatima  
Published: November 2024

Background: Giant cell tumour of bone (GCTB) is a rare, locally aggressive benign bone tumour with slight female sex predilection and affecting young adults 20-40 years of age. World health organization (WHO) has recently categorized GCTB as an intermediate malignant tumour. GCTB is known to be driven pathologically via expression of pro-osteoclastic signals by stromal cells. This is mediated precisely via the expression of RANKL by stromal cells acting in an autocrine fashion on RANK receptor-positive osteoclast-like giant cells and their precursors. While the treatment is primarily surgical, we hypothesized that preoperative denosumab therapy facilitates conversion to a less morbid procedure in an aggressive campanacci grade 3 GCTB, otherwise amenable to joint resection and reconstruction/arthrodesis. Methods: A prospective, single arm, interventional study was conducted in Orthopaedics and radiation oncology department of combined military hospital (CMH) Rawalpindi. The duration of study was 36 months. Patients were recruited by purposive sampling technique as per inclusion/exclusion criteria. Denosumab was administered as preoperative adjuvant therapy for 3 months. Pain was assessed utilizing Brief Pain Inventory -Short Form (BPI-SF) and functional status was assessed as per Musculoskeletal tumour society score at baseline and 12 weeks after commencement of denosumab therapy. The intent of surgery pre and post denosumab therapy was ascertained. Results: Total of 23 patients were a part of this study. Mean pain scores and MSTS scores prior to and after denosumab were statistically significant with p-value <0.01. Pre-denusomab, there was inclination towards resection arthroplasty as the treatment procedure (56.5%). After denusomab therapy, intralesional curettage was choice of procedure with intent executed for 78.3% of cases. Conclusion: Denosumab has potential role for giant cell tumour of bone, it makes a less morbid surgery technically feasible. However, recurrence needs to be probed in long term follow up studies.