bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Diabetic Platelets
Authors: Suneet Kumar Verma  , Sanjay Kalra  
Published: May 2023

This communication describes the platelet morphology and physiology noted in persons with diabetes and its complications. It reviews the effects of glucose lowering drugs on platelet function, and summarizes the role of anti-platelet drugs in diabetes management.
Keywords: Anaemia, aspirin, aspirin resistance, blood, dengue, haematology, hyperglycaemia, platelet.
Colloid gastric emptying with SPECT-CT after oesophagectomy
Authors: Sana Munir Gill  , Mairah Razi  
Published: May 2023

Scintigraphic analysis of gastric motility uses the rate of gastric emptying by measuring radioactivity remaining in the stomach at pre-defined points in time. It helps to assess unresolved symptoms of functional gastrointestinal disorders such as gastroparesis. Delayed gastric emptying can occur in post-oesophagectomy patients. Squamous cell carcinoma of the esophagus is a common indication for oesophagectomy. In such patients presenting with post-prandial symptoms of bloating, nausea or vomiting, colloid scintigraphy can play a vital role in evaluation of their symptoms. We present an interesting image of a post-oesophagectomy patient with persistent gastric dilatation suspected of delayed gastric emptying
Keywords: Gastric emptying, Colloid scan, Esophagectomy, Squamous cell carcinoma
Therapeutic use of cannabinoids for the treatment of neurodegenerative disorders: a potential breakthrough
Authors: Danisha Kumar  , Taimur Faheem Usmani  , Moeez Tariq  
Published: May 2023

Respected Editor,
Marijuana, also known as cannabis, is a plant-based illicit drug notorious for its recreational purposes. However, in recent years its extracts are being extensively studied for their overall therapeutic effects. Active substances found in marijuana that interact with the endocannabinoid system are known as cannabinoids, the primary examples being 9-tetrahydrocannabinol (9-THC) and Cannabidiol (CBD). These cannabinoids ligand to receptors such as CB1 (found in CNS) and CB2 (found in immune system cells) to prevent the release of neurotransmitters and modulate immune cell migration as well as cytokine release, respectively (1). In recent years, there has been a surge of interest in the neuroprotective potential of marijuana; however, investigators could not make firm conclusions about the effectiveness of these treatments. A comprehensive review by Bahji A et al. (2022) found an evident link between cannabidiol-based products and relief from the motor as well as behavioural and psychological symptoms spanning Alzheimer's disease (AD), Huntington's disease (HD), and Parkinson's disease (PD) (2). Here we discuss the effects of marijuana and its derivatives on the treating significant neurodegenerative disorders.
Dronabinol (2.5 mg) seemed to lessen the disordered behaviours as assessed by the Cohen-Mansfield Agitation Inventory in 12 patients of AD (p=0.05) (3). Sherman et al. (2018) reported the association of cannabis administration with weight and pain management in AD patients. The adverse effects are typically well tolerated at the levels supplied, even though cannabis is linked to an increased risk of euphoria, sleepiness and psychosis (1). On the other hand, for HD, nabilone (1 or 2 mg) had a substantial therapeutic benefit in a different 10-week placebo-controlled crossover experiment as determined by the overall motor and chorea score on the Unified Huntington's Disease Rating Scale (UHDRS) (4). Available reviews revealed variable evidence suggesting the clinical benefits of cannabis in treating motor symptoms in patients with PD. A randomized trial found that compared to a placebo, giving a single dosage of 300 mg of CBD successfully decreased tremor amplitude (5).
Neurological diseases, including the neurodegenerative diseases, comprise 8.7% of the disease burden in lower- middle- income countries (such as Pakistan) (6). Currently, there is no real cure for neurodegenerative disorders, only symptomatic management, such as dopamine treatment for PD or cholinesterase inhibitors for dementia. Cannabinoids might be the lifeline all neurodegenerative disorder patients have been waiting for.
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Outcomes and Their Predictors in Post- Intensive Care Patients Admitted With Traumatic Brain Injury at Mbarara Regional Referral Hospital, Southwestern Uganda: A Retrospective Study
Authors: Atuhaire Evas , Murungi Eric , Atukwatse Joseph , Niyonzima Vallence , Namanya Joseph , Byaruhanga Chris , Kinkuhaire Betty 
Published: May 2023

Purpose: Traumatic brain injury (TBI) is a leading cause of morbidity and mortality worldwide. TBIs are increasing in Uganda, but little is known about outcomes and their predictors in post-ICU patients. This study assessed outcomes and their predictors in post-ICU patients admitted with TBI at Mbarara Regional Referral Hospital (MRRH) in south-western Uganda.
Methodology: Retrospective study was used to review hospital records of patients admitted to the Intensive Care Unit (ICU) for MRRH with TBI. Data were entered into Excel, cleaned and exported to Stata version for analysis and presented as mean (standard deviation), median (interquartile range) and number (percent), while using the chi-square test and multinomial logistic regression as predictors for Post-ICU outcomes were used
Findings: In the study, males dominated at 73%, while 81% were of working age (15-64 years). Road traffic accidents (83%) were the most common injury mechanism, followed by physical injury at 11%. Length of stay in the Intensive Care Unit was 9 (IQR = 4–8) days, mean GCS at ICU admission and discharge was 7.7 (±2.65) and 10 (±3.27), respectively. Fifty-seven patients (63%) were discharged home; with 73% good recovery Glasgow coma Outcome Scale of hospital discharges. Post-ICU outcomes were associated with GCS at ICU discharge ( . Having moderate Glasgow Coma Scale on ICU discharge was 3.59 times higher of being discharged home than dying compared to severe GCS on ICU discharge (OR=3.59; 95%CI, 1.11 to 11.63). This study established GCS as a statistical predictor of patient outcomes at ICU discharge.
Unique Contribution to Theory, Practice and Policy: Based on the findings of this study, prevention of TBI is critical in order to reduce incidence of TBI related mortality. Policy makers to put rules that continuously teach and enforce road safety and traffic rules to all road users.
AVALIAÇÃO DA ATENÇÃO PRIMÁRIA NA PREVENÇÃO DA DOENÇA RENAL EM PACIENTES COM HIPERTENSÃO ARTERIAL SISTÊMICA E DIABETES MELLITUS: PERSPECTIVA DOS USUÁRIOS DO SISTEMA ÚNICO DE SAÚDE
Authors: De Carvalho Figueiredo Maysa , De Souza Teixeira Leticia , Andrade dos Santos Lopes Rafaela , Henriques Rocha Ribeiro Fernanda , Nogueira Cortez Eduardo , Caetano Romano Márcia Christina , Otoni Alba 
Published: May 2023

A doença renal encontra-se em linha ascendente de prevalência e a hipertensão arterial sistêmica (HAS) e o diabetes mellitus (DM) são as doenças de base que mais acometem os rins. A abordagem preventiva é a principal ação para mitigar as complicações dessa doença. Objetivo: avaliar, na perspectiva do usuário, a capacidade institucional da Atenção Primária de Saúde (APS) em atuar com a prevenção da doença renal crônica em pessoas com HAS e DM. Método: estudo transversal analítico desenvolvido em município do centro-oeste mineiro entre os anos de 2021 e 2022. Dados sociodemográficos foram coletados e foi aplicado instrumento validado para o português “Patient Assessment of Chronic Illness Care/PACIC”. Realizada análise estatística descritiva, bivariada e regressão logística multivariada. Resultados: Participaram da pesquisa 68 pacientes, sendo 44 hipertensos, 11 com DM e 25 com ambas as morbidades. Como resultados do PACIC, o valor máximo de pontuação (cinco), foi representado em três dos cinco domínios estudados: “Participação Ativa do Paciente no Tratamento”; “Modelo do Sistema de Cuidado/Modelo para a Prática” e “Resolução de Problemas/Contexto”, porém as medianas de pontuação destes mesmos domínios foram 1,7; 2,7 e 1,5 respectivamente. Já o valor mínimo de pontuação (um) foi observado em todos os cinco domínios estudados, incluindo o “Estabelecimento de Metas/Adaptação” e “Seguimento/Coordenação”, além dos já citados. Ao analisar todos os domínios simultaneamente, a mediana do PACIC geral foi de 2,0. Conclusão: na perspectiva do usuário, ocorre uma inadequada capacidade institucional da APS na abordagem preventiva da doença renal em pessoas com HAS e DM.
Do usuário da informação ao sujeito informacional: reflexões sobre pressupostos conceituais a partir de pesquisas brasileiras
Authors: Araújo Eliany Alvarenga de , Ramos Rubem Borges Teixeira 
Published: May 2023

Objetivo: Analisar pressupostos conceituais sobre sujeito informacional, a partir de desenvolvimentos teóricos de pesquisas (dissertações de mestrado e teses de doutorado) brasileiras na área de Ciência da Informação, selecionadas no acervo da Biblioteca Digital de Dissertações de Teses-BDTD, no período de 1998/2021.
Método: Esta pesquisa se classifica como uma revisão de literatura sistemática em termos da coleta de dados. As etapas de organização e análise dos dados se estruturaram a partir da técnica do Discurso do Sujeito Coletivo-DSC. Esta é uma técnica de organização e análise de dados qualitativos, que tem como fundamento a teoria da Representação Social. O DSC permite que se conheça os pensamentos, representações, crenças e valores de uma coletividade sobre um determinado tema.
Resultado: As análises desenvolvidas permitem considerar que o conceito ‘usuário da informação’ já não consegue representar de forma ampla as relações entre o sujeito social, a informação e os campos sociais vivenciados na contemporaneidade. Os pressupostos conceituais analisados permitem detectar uma transformação da compreensão sobre o usuário da informação como um sujeito informacional. Tal transformação se dá no sentido em que este usuário se coloca como um sujeito ativo que, de forma concomitante, busca, acessa, recupera e usa informações e, por meio destas ações, gera e socializa suas próprias informações.
Conclusões: Desta forma, os pressupostos conceituais analisados sobre o sujeito informacional salientam que este é um sujeito sociocognitivo, que se relaciona intensamente com a informação, por meio das práticas informacionais de busca, uso, geração e socialização. Neste intenso processo de atribuição e comunicação de significados, este sujeito relaciona suas necessidades informacionais aos contextos sócio-históricos vivenciados (campos sociais), bem como recorre a variados recursos sociocognitivos, que conforme os dados analisados, seriam linguagens, identidades, memórias e valores culturais, para gerar suas práticas informacionais e, desta forma, compreender e agir sobre sua realidade imediata, mobilizando outros sujeitos e grupos sociais.
1.Oomens_onlinebijlage.xlsx
Authors: Oomens Romy 
Published: May 2023

<p>Bijlage bij Mens & Maatschappij 2023-2, artikel <em>Alles behalve country en western: een analyse van culturele omnivorisme in het Verenigd Koninkrijk: Winnaar van de Mens & Maatschappij Masterscriptieprijs 2022</em> door Romy Oomens. </p>
<p>https://doi.org/10.5117/MEM2023.2.002.OOME</p>
<p><br></p>
<p>Deze online appendix bevat de beschrijvende statistieken van alle variabelen die de auteur in het artikel heeft besproken. </p>
<p><br></p>
4.VanDoore_onlinebijlage.docx
Authors: van Doore Anne 
Published: May 2023

<p>Bijlage bij Mens & Maatschappij 2023-2, artikel <em>Werkende armen in de verzorgingsstaat: De effecten van geslacht, opleidingsniveau, beroepsstatus en leeftijd </em>door Anne van Doore. </p>
<p>https://doi.org/10.5117/MEM2023.2.005.DOOR</p>
<p> </p>
<p>In de tabellen in deze online bijlagen vindt men het aantal respondenten per land, de componentladingen van de PCA en de formules voor de berekeningen. Zie voor meer informatie het artikel.</p>
White Philanthropy
Authors: Morey Maribel 
Published: May 2023

Since its publication in 1944, many Americans have described Gunnar Myrdal’s An American Dilemma as a defining text on US race relations. Here, Maribel Morey confirms with historical evidence what many critics of the book have suspected: An American Dilemma was not commissioned, funded, or written with the goal of challenging white supremacy. Instead, Morey reveals it was commissioned by Carnegie Corporation president Frederick Keppel, and researched and written by Myrdal, with the intent of solidifying white rule over Black people in the United States. Morey details the complex global origins of An American Dilemma, illustrating its links to Carnegie Corporation’s funding of social science research meant to help white policymakers in the Anglo-American world address perceived problems in their governance of Black people. Morey also unpacks the text itself, arguing that Myrdal ultimately complemented his funder’s intentions for the project by keeping white Americans as his principal audience and guiding them towards a national policy program on Black Americans that would keep intact white domination. Because for Myrdal and Carnegie Corporation alike, international order rested on white Anglo-Americans’ continued ability to dominate effectively.
قراءة التشبيه الضمنى في ديوان الإمام الشافعي (دراسة بلاغية)
Authors: Nurkholis  
Published: May 2023

التشبيه الضمني فى ديوان الإمام الشافعى ورسالته القيمة من أبرز أنواع التشبيه ومقوماتها البلاغية السامية ، وهذا يصور على مدى امتلاكه الفكرية الحاكمة البارزة من شخصيته الحنيف، فكان الشعر فى ديوانه الشافعي الذي صاغه بالتشبيه الضمني قد تمَّ دراسته على المنهج الوصفيّ التحليليّ، وذلك بذكر المشبه والمشبه به ووجه الشبه، وذكر بعض سماتها البلاغى التي تتسم بها أشعاره. ومن أهّم نتائج البحث منها أنَّ التشبيه الضمني التى استخدمها الشافعى للوصول إلى هدفه وغايته العلمية، وذلك في إقناع المخاطب بنقل واقعيته إلى المخاطببين، فاستدل بدلائل البلاغى لصحة اقتناعه الفكرى، وقد ارشده الشافعي فى ديوانه وسيلة لتوجيه الناس وسبيلًا للتوبيخ للمخاطببين ، وقد ورد في شعره التشبيه الضمني الذي تجري دماء الصورة في أوصاله على النمط الفنِّيّ ويتراءى فيها الشافعي وهو يصبُّ ماء خياله الخصيب وترتجف أجنحته البلاغبة محلّقةً في آفاق و أبعاد التخييل للمخاطبين
Pengaruh Metode SQ3R Terhadap Penguasan Kosa Kata Bahasa Arab
Authors: Azharunnailah Hana , Rinaldi Supriadi  , Nunung Nursyamsiah  
Published: May 2023

SQ3R merupakan metode pembelajaran yang terdiri dari: Survey, Question, Read, Recite, dan Review. SQ3R kerap kali digunakan untuk membantu keterampilan membaca siswa. Menguasai kosa kata bahasa merupakan modal utama untuk mencapai aspek keterampilan kebahasaan yang mencakup keterampilan menyimak, membaca, menulis, dan berbicara siswa perlu menguasai kosa kata bahasa yang dipelajari. Penelitian yang akan dilaksanakan di MTS Al-Inayah pada kelas VIII bertujuan untuk mengetahui: pengaruh SQ3R dalam penguasaan kosa kata bahasa Arab pada siswa kelas VIII MTS Al-Inayah Bandung dan perbedaan hasil belajar siswa antara penerapan metode SQ3R dengan yang tidak menggunakan SQ3R. Penelitian ini menggunakan metode eksperimen dengan desain eksperimen semu. Dengan menggunakan skema Non-Equivalent Control Group Desaign. Dalam desain ini terbagi menjadi dua yaitu kelas kontrol dan kelas eksperimen dipilih tanpa melalui secara acak. Pengambilan data menggunakan test dan non-test. Test mencakup pre-test dan post-test untuk menentukan tinggi rendahnya penguasaan kosa kata bahasa Arab. Untuk pengumpulan data non-test menggunakan observasi dan dokumentasi. Perolehan dari penelitian ini adalah (1) metode pembelajaran SQ3R memberikan dampak terhadap penguasaan kosa kata bahasa Arab siswa kelas VIII MTS Al-Inayah dengan peningkatan sebesar 28,85 dari rata-rata 52,30 menjadi 81,15. Hal tersebut dikuatkan dengan nilai signifikansi 0,00 lebih kecil dari nilai 0,05 yang bermakna terdapat perbedaan hasil belajar kelas eksperimen dengan menggunakan SQ3R.
COMPARISON OF LAPAROSCOPIC VERSUS OPEN RIGHT HEMICOLECTOMY IN PATIENTS OF ASCENDING COLON TUMOR
Authors: Muhammad Muneeb Saqlain Bajwa  , Bilal Afsar  , Muhammad Ayaz  , Afsar Ali Bhatti  
Published: May 2023

Background: In addition to rectum, ascending colon and caecum can also develop cancer. Right hemicolectomy is the operation of choice for later two. Laparoscopic right hemicolectomy is reported to have advantages of minimal invasive surgery, but some contradictory results were found. So the purpose of this study is the quest of truth.
Objective: To compare the outcome of Laparoscopic and Open Right Hemicolectomy in patients of ascending colon tumors.
Methods: This randomized Controlled Trial was conducted at Surgical Unit II, LGH, Lahore for 12 months from 2020-2021. Then 90 patients (45 in each group) were enrolled based on inclusion criteria. In group A, laparoscopic and in group B, open method was performed. Duration of surgery, hospital stay, wound complications and anastomotic leakage were noted. Data was recorded on proforma and analyzed in SPSS Vr. 25.0. Both groups were compared for duration of surgery and hospital stay by using independent samples t-test and for wound complication and anastomotic leakage by using chi-square test. P-value<0.05 was taken as significant.
Results: The mean age of patients was 52.31±13.30 yrs in laparoscopic and 51.18±10.74 years in open surgery. In laparoscopy group, male:female ratio was 1:1 and in open surgery group it was 1:2. In laparoscopy mean duration of surgery was 125.18±19.66 minutes while in open group it was 134.20±25.07 minutes. (p-value >0.05). In laparoscopy mean duration of hospital stay was 6.47±1.24 days and in open surgery it was 7.96±1.35 days (p-value <0.05). In laparoscopy group, wound complication occurred in 4 (8.9%) patients and in open surgery group, wound complication occurred in 7 (15.6%) patients (p-value >0.05). In laparoscopy group no anastomotic leak occurred i.e. 0 (0.0%) patients, but in open surgery group, anastomotic leak occurred in 3 (6.7%) patients (p-value >0.05). In laparoscopy group, pain was mild in 41 (91.1%) cases while moderate in 4 (8.9%) cases and no patients had severe or excruciating pain. In open surgery group, pain was mild in 32 (71.1%) cases while moderate in 10 (22.2%) cases and 3 (6.7%) patients had severe pain but no patient had excruciating pain. The difference was significant (p-value <0.05).
Conclusion: Thus laparoscopic method has advantages in terms of reduced hospital stay, less postoperative pain, wound complications and anastomotic leakage after surgery as compared to open surgical method.
Key words: Laparoscopic surgery, Open surgery, Right Hemicolectomy, ascending colon tumor, anastomotic leak, wound complication, stapling device.
FUNCTIONAL OUTCOMES OF DISTAL RADIUS FRACTURES MANAGED WITH 2.7MM VARIABLE ANGLE VOLAR LOCKING COMPRESSION PLATES
Authors: Hidayatullah  , Hassan Udin Hassan  , Tariq Muhammad , Anwar Brig Adnan 
Published: May 2023

Objective: About 15 to 17 % of all fractures presenting to emergency department constitutes the distal radius fracture. Intra-articular fracture of distal radius remains one of the most challenging fractures to be reduced over decades for orthopedic surgeons. Objective is to demonstrate the functional outcomes of 2.7mm variable angle volar locking compression plate using Mayo’s wrist score in distal radius fracture.
Methodology: A Quasi experimental study was conducted in the Department of Orthopedics & Trauma, CMH Rawalpindi from 20th October 2020 to 19th April 2021. A total of 120 patients with distal radius fracture AO Classification A1 C2 C3, 19 to 69 years of age of both genders were included. Outcome of 2.7mm Variable angle Volar Locking Compression Plates using Mayo’s wrist score was calculated. Data was entered in SPSS version 25. Descriptive analysis was done for age. Gender and mayo wrist scoring criteria were presented as frequencies and percentages. To analyze association of the outcome with age and gender chi-square test was applied.
Results: Mean age in the study was 40.34 ± 8.01 years. Majority of the patients 71 (59.17%) were between 19 to 40 years of age. Out of 120 patients, 82 (68.33%) were males and 38 (31.67%). 51 (42.50%) patients had excellent functional outcome, 47 (29.17%) had good outcome, 13 (10.83%) had fair outcome and 09 (7.50%) had poor outcome.
Conclusion: The functional outcomes of 2.7mm volar locking compression plate using Mayo’s wrist score in distal radius fracture is very good.
EFFECT OF OCIMUM BASILICUM IN PREVENTION OF MURINE CYCLOPHOSPHAMIDE INDUCED VASCULAR CONGESTION OF OVARIAN MEDULLA
Authors: Saba Saleem  , Amjad Saba , Sibgha Fatima  , Noor Ijaz  , Kanwal Sharif  , Sitwat Amna  
Published: May 2023

Cyclophosphamide is one of the alkylating chemotherapeutic drug used in cancer patients that exhibits antifertility effects on female gonads. Ocimum Basilicum is a natural herb rich in polyphenols and is known to improve fertility. Objective: To determine the role of a natural herb, Ocimum basilicum extract, as a protective agent against cyclophosphamide induced congestion in ovarian medulla.
Methods: 45 adult female albino rats were divided in control group A, experimental groups B and C each having 15 rats. Group A rats received single dose of 150 mg/kg normal saline intraperitoneally on 8th day of experiment, while group B was given single intraperitoneal dose of 150 mg/kg cyclophosphamide at day 8 of experiment. Group C rats were pretreated with methanolic basil (Ocimum basilicum) seeds extract for 7 days followed by single intraperitoneal dose of 150 mg/kg cyclophosphamide at day 8 of experiment. All the rats were dissected 48 hours after the last dose.
Results: Cyclophosphamide caused congestion of blood vessels in ovarian medulla in group B and C. Congestion of ovarian medulla in group B when compared with control group A was highly significant with p-value <0.001. When observed in experimental group C, there was slight improvement in congestion of blood vessels. When compared with the group B, the difference was not significant having p-value 0.229. Conclusion: The results of the present study proved that basil seeds showed slight improvement in vascular congestion in ovarian medulla, when used with Cyclophosphamide as a preventive agent.
ASSOCIATION BETWEEN IRON DEFICIENCY ANEMIA AND FIRST EPISODE OF FEBRILE SEIZURES IN CHILDREN AGED 6-59 MONTHS
Authors: Zafar Fauzia , Ijaz Samar Fatima , Sultan Muhammad Ashraf 
Published: May 2023

Background: Febrile seizures are one of the most common types of seizure in children, affecting 2% to 5% of all neurologically healthy infants and children. Since fever can exacerbate the symptoms resulting from anemia, relationship between iron deficiency anemia and febrile seizure can be the main cause.
Objective: To determine the relationship between 1st episode of febrile seizures in iron deficient children aged from six months to five years.
Methods: This case control study was performed in Pediatrics department of King Edward Medical College in the duration of six months from January 2014 to June 2014. Two hundred and fifty patients of either sex, aged between 6-60 months, with first episode of febrile seizures were enrolled by non-probability convenient sampling. After obtaining demographic and clinical data, 125 children served as cases (Fever with seizures) while 125 children served as control (Fever with seizures). Hb, MCV, and MCHC, serum ferritin level of both cases and control was determined. Data was analyzed using SPSS 20. Odds ratio was found to find out the significant association between iron deficiency anemia and seizures episode in both groups. An odds ratio >1 was considered as significant.
Results: Iron deficiency anemia was present in 80(32%). Out of 125(50%), 34(27%) cases and 46(36.8%) controls have normal iron levels. There were 91(72.8%) of cases and 79(63.2%) of control who had low levels of iron in blood. The odds-ratio came out to be 1.55.
Conclusion: Considerable association was found of febrile convulsions in iron deficient growing age children. This predicts anemia as an important predictor of fever fit.