bluuebunny/crossref_metadata_2025_split huggingface dataset:
Treatment of Haemorrhoidal Disease by Laser Haemorrhoidoplasty at Dakar Preliminary Study of 21 Patients
Authors: Diop Balla , Ba Pape Abdoulaye , Diouf Ahmet , NDiaye Baba , Phiri Adamson , Sylla Cheikna 
Published: July 2022

Background:
Surgical treatment of haemorrhoidal disease by laser haemorrhoidoplasty is a minimally invasive procedure that facilitates the postoperative course. Due to less aggression on the anoderm and the anal canal mucosa, it causes less significant postoperative pain and low morbidity compared with conventional excision according to the Milligan–Morgan or Fergusson procedure. We report, through a preliminary study, our data on laser haemorrhoidoplasty and discuss the indications and results.

Materials and Methods:
This is a descriptive prospective study carried out on 21 patients operated on for haemorrhoidal disease by laser haemorrhoidoplasty with or without mucopexy.

Results:
The series was composed of 17 men and 4 women with a male/female ratio of 4.25:1. The average age was 39.6 years with a range of 27–62 years. The symptomatology was rectal bleeding in 16 cases (76%) and anal swelling in 18 cases (85.7%). These include grade 2 haemorrhoids in 2 cases (9.5%), grade 3 in 12 cases (57%), and grade 4 in 7 cases (33%). It was associated with an anal fissure in four cases (19%) and an anal fistula in three cases (14.2%). Mucopexy and laser coagulation were performed therapeutically in 13 cases (61.9%) and laser coagulation without mucopexy was performed in 8 cases (38%). The energy delivered was on average 1488 or 496 J per pile. It was associated with skin tag excision in 18 cases (85.7%), fissurectomy, sphincterotomy, anoplasty in 4 cases (19.2%), and fistulectomy for low anal fistula in 2 cases (9.5%). Piles retraction was judged sufficient in 17 patients (81%). The postoperative course was simple with no notable complaints in 16 patients (76%). Complications consisted of minimal bleeding in six cases (28%), significant bleeding in two cases with readmission, residual skin tag in six cases (28.5%), and subcutaneous fistula in two cases (9.5%). No recurrence of the symptoms of the haemorrhoidal disease was noted.

Conclusion:
Laser haemorrhoidoplasty is a minimally invasive alternative for the treatment of haemorrhoidal disease, especially for grade 2 and 3 haemorrhoids without major prolapse. Postoperative pain is minimal, and the risk of stenosis or incontinence is almost non-existent.
Sulfasalazine related nephrolithiasis in patients with rheumatoid arthritis and ankylosing spondylitis
Authors: ŞAŞAK KUZGUN Gülşah , MURAT Sadiye , ÖZKÖK Serçin , KASAPOGLU Esen 
Published: July 2022

Background Sulfasalazine (SSZ) is an anti-inflammatory and immunomodulatory drug used to treat many inflammatory diseases. Bacteria in the gut metabolize SSZ to active 5-aminosalicylic acid and inactive sulfapyridine. Sulfapyridine can crystallize in the kidney. We aimed to investigate the frequency of nephrolithiasis in patients who were diagnosed with rheumatoid arthritis (RA), ankylosing spondylitis (AS) and who received SSZ treatment retrospectively.
Material and Methods We retrospectively analyzed the files of AS and RA patients in the rheumatology outpatient clinic between 2009 and 2018. We identified patients who underwent kidney ultrasonography at least six months after initiation of SSZ. One hundred six patients and 50 healthy adults were included in the study.
Results Only eight patients (6 AS, 2 RA) had nephrolithiasis on ultrasonography, but none in the control group (p=0.046). In logistic regression analysis, no correlation was found between gender, age, vitamin D, parathyroid hormone, and urinary calcium excretion with SSZ use (p>0.05).
Conclusion Although, it is noteworthy that these patients are prone to stone formation for various reasons. Therefore, paying attention to the patient’s hydration while using these drugs may prevent such side effects.
Carta imagem do comércio livre e consumo no entorno do Parque Municipal Sagarana, Montes Claros -MG: para uma síntese conceitual dos termos: área verde, hotspot e vegetação urbana
Authors: Silva Wagner Aparecido 
Published: July 2022

A proposta da elaboração da carta imagem representando a área de comércio livre e consumo que tem ocorrido aos domingos e feriados no Parque Municipal Sagarana, na cidade de Montes Claros -MG, possibilita aqui revisar estes conceitos importantes para o meio ambiente e desenvolvimento sustentável: hotspot, área verde e vegetação urbana. Assim, as indagações: o parque urbano designa apenas ambiente de contemplação, recreativo e preservação? Hotspots, áreas verdes e vegetação urbana, em escala espacial ínfima importam? A ação humana nestes espaços concilia sustentabilidade e consumo? são respondidas, quando o objetivo de analisar como o dinamismo ocasionado pela ação humana mapeado na carta imagem fomenta o desenvolvimento de reflexões que conduzem à reafirmação de uma sustentabilidade que concilie o lazer e o consumo à conservação. O sensoriamento remoto e o geoprocessamento possibilitaram identificar o lugar, reconhecer seus aspectos naturais, diferenciar espaços, interpretar os elementos da paisagem e suas modelagens pelo homem. A partir das visitas in loco, fotos, diálogo com os transeuntes, visitantes e comerciantes, de imagens, bases cartográficas e do mapear concretizou-se este estudo.
Coexistence of Migraine and Carpal Tunnel Syndrome
Authors: KOYUNCU Güner 
Published: July 2022

Aim: Migraine and carpal tunnel syndrome (CTS) are two common health problems that have some common features and are frequently encountered in society. Is it possible for these two tables, which have so much in common, to coexist? If so, is this association meaningful? The study was designed in order to find answers to these questions.
Method: This study was performed with a total of 345 subject as 178 patients having carpal tunnel syndrome (CTS) and 167 migraine patients. The first group was composed of those diagnosed with CTS based on the nerve conduction measurements in the electrophysiology laboratory. These patients were classified according to the international headache classification criteria and those with and without migraine were determined in the light of the data in the questionnaire. The second group, called as migraine group, comprised of those admitted to the neurology outpatient clinic and diagnosed with migraine. The study was designed as a cross-sectional and comparative study.
Results: Of the 345 patients who remained in the study after exclusion criteria, 178 were in the CTS group and 167 were in the migraine group. Although approximately 80,3% of those with CTS had migraine, only 12,6% of those diagnosed with migraine had CTS.
Conclusion and Suggestions: We consider that migraine headaches may create a predisposition to contract CTS in the future. Additional studies are needed to support this view.
Analysis of Output and Employment of Trade in India: A Case of rising Capital Intensity and Its Implications
Authors: Prakash Dipak 
Published: July 2022

Trade is by far labour-intensive sector. The sector is dominated by unorganized activities. Though, post-1990s, the share of organized sector has been rising but at slow pace. Till 2003-04, the sector has grown well as a consequence, output has risen and concomitant increase in the share of employment has been noticed. From 2003-04 onwards a significant increase in capital intensity has been noticed which increased the productivity of the sector. Therefore, contribution of the sector in employment generation has decimated, despite the fact that there was no decline in output. Rise in capital intensity is attributed to formalisation of the sector and resultant increase in investment.
ATUAÇÃO DO ENFERMEIRO FRENTE À EQUIPE DE TRANSPLANTE DE MEDULA ÓSSEA EM PACIENTE CARDIO-ONCOLÓGICO: RELATO DE CASO
Authors: Braz La Rubia Jacqueline , Melo Nascimento Renata 
Published: July 2022

Introdução: O transplante de medula óssea (TMO) atualmente vem sendo utilizado tanto para tratamento de doenças hematológicas como para doenças não hematológicas. Se constitui da substituição da medula óssea doente por uma medula óssea sadia, tendo como procedimento principal infundir através da veia do paciente células progenitoras hematopoiéticas. Relato de caso: Paciente do sexo feminino, 34 anos, admitida em 08/11/2018, portadora de Linfoma de Hodgkin (LH) de esclerose nodular (massa mediastinal de 14cm) e síndrome Wolf-Parkinson-White, diagnosticada em dezembro de 2017. História pregressa de dispneia jugular, edema de MMSS, linfonodomegalia, derrame pleural bilateral e gânglio cervical direito. Atualmente a paciente encontra-se com doença cardíaca sob controle, com o uso de Bisoprolol (2,5mg/dia) e Enalapril (10mg/dia). Fora submetida ao TMO autólogo por fonte de sangue periférico. Discussão: O enfermeiro atua desde a avaliação inicial (pré) até a realização de reuniões e consultas de enfermagem trans e pós-transplantes. Presta assistência intensiva durante todo o período do TMO, desde a condição de aplasia da medula até a presença das toxicidades e complicações relacionadas ao tratamento. Para se obter a qualidade da assistência deve-se buscar o aprimoramento contínuo executando ações que sejam cada vez mais embasadas em princípios e dados científicos. O Enfermeiro também orienta, educa e atua em pesquisas clínicas. E é nesse cenário que desenvolve sua autonomia e realiza cuidados cada vez mais complexos.

PALAVRAS-CHAVE: enfermagem, transplante de medula óssea, insuficiência cardíaca.
Diagnostic Accuracy of Ultrasound in Detecting Hepatocellular Carcinoma Keeping Histopathology as Gold Standard
Authors: Qurat Ul Ain Arif  , Mahwish Jabeen  , Ummara Siddiqui  , Tariq Mahmood Irshad  , Muhammad Babar Khan  , Sadia Tahir  
Published: July 2022

Objective: To determine the diagnostic accuracy of USG in detecting hepatocellular carcinoma.
Methodology: A total of 70 patients with liver cirrhosis with mass and age 18-60 years of either gender were included. Nodular lesion <3 cm in size, non-specific vascular profile, poor visualization and FNA / biopsy can cause complications were excluded. All the patients were then underwent first ultrasound and then histopathology. The ultrasonography findings were recorded presence or absence of HCC and correlated with CT scan findings.
Results: In USG positive patients, 31(44.28%) (88.8%)True Negative had no hepatocellular carcinoma on histopathology (p=0.0001). Overall sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of ultrasound in detecting hepatocellular carcinoma keeping histopathology as gold standard was 88.57%, 91.43%, 91.18%, 88.89% and 90.0% respectively.
Conclusion: This study concluded that grey scale ultrasound along with Doppler ultrasound Â is a simple, non-invasive, economical, readily available imaging modality with high sensitivity and accuracy in diagnosing hepatocellular carcinoma.
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Burnout in Health Professionals in Context of Covid-19 Pandemic
Authors: Sajid Rashid  
Published: July 2022

Objective: This research study was carried out to see the severity of burnout, identify the factors leading to its origin and give recommendations for its prevention to save the health of our white army.
Methodology: This descriptive study was carried out at RMU from 16th June to 15th August 2020. A total of 50 actively working health personnel were selected by convenient sampling (non- probability). The instrument, Maslach inventory was used for scoring of burnout. It has three psychometric sub scales, Emotional Exhaustion (Total score 0-18), Depersonalization (Total score 0-18), and Personal Accomplishment (Total score 0-18). Higher the score of EE (Emotional Exhaustion) and DP (Depersonalization) more the burnout while higher the score of PA (Personal Accomplishment) less the burnout. P-value was set at 0.05. Pearson test was used for categorical data and t-test for numerical data to see the significance.
Results: Total of 50 health personnel (n=50) were included in the study. There were 52% females and 48% male health personnel. The mean age was 31Â±7.52 years. Mean working hours per week were 54Â±18.18 hours. Mild burnout was seen in 14% according to EE sub scale, in 22% according to DP subscale and in 18% according to PA sub scale. Moderate burnout was found according to EE subscale in 64% health personnel, in 54% according to DP sub scale and 60% according to PA sub scale. Overall mean scores for three sub scales of burn out were Emotional Exhaustion =11.44Â±3.11, Depersonalization = 9.24Â±3.99 and Personal Accomplishment =11.72Â±2.74. Relationship between the risk factors and mean scores of sub scales of burnout was found statistically significant.Â Â
Conclusion: Burnout was found in 58-64% of health care personnel of RMU with mild to moderate grade. This study identified female gender, young age, lengthy working hours and stressful intensive care work place as risk factors leading to development of burnout syndrome. Dimension of mental health of medical personnel is as important as the prevention and treatment aspect of a recent pandemic.
Comparison of Outcome of Bipolar Electrocautery versus Harmonic Scalpel in the Management of Third and Fourth Degree Hemorrhoids
Authors: Abdul Razaque Shaikh  , Zahid Ali Memon  , Nawaz Ali Dal  , Aijaz Ahmed  , Munawar Hussain Mangi  
Published: July 2022

Objective: To compare the outcome of bipolar electrocautery versus harmonic scalpel in the management of third degree hemorrhoids.
Methodology: This is a comparative study performed at Different Private Clinics of Karachi from the duration of January 2020 to June 2020. Patients with symptomatic grade III hemorrhoids and grade IV hemorrhoids were randomly divided into two groups. . Either group had 64 patients. One group underwent hemorrhoidectomy using bipolar electrocautery (Group A), other group underwent hemorrhoidectomy using harmonic scalpel hemorrhoidectomy (Group B).
Results: The total number of patients was 128 with 64 in either group. The mean operating time in group A was 22 Â± 4.7 minutes, while that in group B was 35 Â± 2.2 minutes. The mean duration of hospital stay among group A was 1.7 Â± 0.5 days while among group B patients was 2.1 Â± 1.2 days. Mean VAS score for pain at first post-operative day in group A patients was 7 Â± 0.6 days while mean VAS score for pain among group B patients was 8.5 Â± .2 days.
Conclusion: Our study concludes that harmonic scalpel hemorrhoidectomy offers better post-operative patient satisfaction score as compared to bipolar diathermy. No significant difference in hospital stay was found. The number of patients with post-operative urinary retention were more in harmonic scalpel group while in diathermy group, more patients had post-operative hemorrhage.
Efficacy of Intra Articular Steroid Injection and Platelet Rich Plasma in Patients with Osteoarthrithis
Authors: Muhammad Sufyan Khan  , Tayyeba Khursheed  , Muhammad Sharif  , Wajahat Aziz  , Uzma Rashid  , Shazia Zammurrad  
Published: July 2022

Objective: To compare the efficacy of intra-articular steroid injection and Platelet rich plasma in patients with Osteoarthrithis.
Methodology: A randomized controlled trail study was conducted at Rheumatology Division of the Department of Medicine, Pakistan Institute of Medical Sciences, Islamabad after the acceptance of synopsis from Â . A total of 122 adult patients with unilateral or bilateral osteoarthritis of knee and were randomized into two treatment groups. In Group I, patients received intra-articular steroid injections and in Group II, patients received platelet rich plasma (PRP). WOMAC score was calculated at baseline and was subsequently assessed after 06 weeks and 3 months.
Results: Age and gender distribution and mean WOMAC and VAS scores were similar in both groups at baseline (p>0.05). Â At six weeks, mean WOMAC score in steroid group was 32.1 Â± 24.1 and it was 24.9 Â± 21.3 in PRP group (P=0.084).Â Mean VAS in steroid group was 4.5 Â± 2.5 and it was 3.9 Â± 2.6 in PRP group (P=0.0.158).Â At three months, mean WOMAC score in steroid group was 39.1 Â± 24.3 SD and it was 27.1 Â± 21.9 SD in PRP group (P=0.005).Â At three months, mean VAS in steroid group was 5.6 Â± 2.6 and it was 4.1 Â± 2.7 in PRP group (P=0.003).Â
Conclusions: The study outcomes were better in patients treated with PRP as compared to intra-articular steroid injection. Mean WMOAC and VAS scores were significantly lower after three months in PRP group as compared to steroid group.
ANÁLISE DA PRODUÇÃO DE CAFÉ ORGÂNICO NO BRASIL ATRAVÉS DA TEORIA DA ECOLOGIA POPULACIONAL
Authors: Marcomini Gilson Rogério 
Published: July 2022

A produção de café orgânico destaca-se como uma importante forma de diferenciação do produto no mercado, pois esse sistema produtivo busca harmonizar o uso dos recursos naturais, como também a consciência em oferecer ao mercado consumidor um produto livre de contaminações por resíduos químicos, provenientes principalmente, do uso de agroquímicos e fertilizantes industriais. A teoria da ecologia populacional é uma abordagem relacionada ao estudo das organizações e que postula que as organizações atuam como sendo seres biológicos, pelo qual, o ambiente institucional promove a seleção das organizações. Esse estudo buscou identificar como a produção de café orgânico no Brasil pode ser analisada através da ótica da teoria da ecologia populacional. Os resultados demonstraram que existem produtores que conseguem sucesso financeiros com a produção de café orgânico e outros que sairão da atividade, com resultados financeiros ruins. Os bons resultados de alguns produtores são provenientes da utilização de diferenciação do produto, seja pela qualidade do produto ou pela característica de produção orgânica, que aufere melhores preços de venda do produto final.
Work and Family Lives of Women Entrepreneurs in the Pandemic Process
Authors: ZEYTÜNLÜ Güler , YAZGAN Çağdaş Ümit 
Published: July 2022

This research aims to understand and interpret the changes in the working and family lives of women entrepreneurs working in SMEs during the pandemic process. The research was designed with a phenomenological pattern by using qualitative research methods. The participants consisted of 14 women entrepreneurs selected by using purposeful and snowball sampling techniques among women entrepreneurs who received KOSGEB support in Ankara. Data were obtained through semi-structured interviews.
It has been revealed that the most important change in the working life of women entrepreneurs during the pandemic process is the decrease in incomes and increase in expenses. The decrease in business capacity has led women entrepreneurs to exhibit pessimistic attitudes towards working life. It is possible to collect other changes in working life under the categories of decrease in the number of customers, decrease in the number of employees, change in working hours, inability to save, consuming existing savings, working from home, benefiting from social media opportunities in working life.
Although some of the women entrepreneurs stated that the pandemic was functional in terms of increasing the interaction of family members, strengthening ties and providing the opportunity to rest, it is understood that the domestic workload of women entrepreneurs increased significantly in parallel with the negativities in their working life. There has been an increase in the use of domestic labor by women entrepreneurs such as care, cleaning, nutrition, and support for education. In this context, it can be claimed that the tendency of women entrepreneurs to stay away from work and withdraw to home life is getting stronger. As a result, the pandemic process has had a knock-on effect on the working and family lives of women entrepreneurs, and has had interrelated negative consequences that can be described as double disadvantage.
Diferencias entre la renta básica universal y el trabajo garantizado: ¿pueden ser compatibles?
Authors: Garzón Espinosa Eduardo 
Published: July 2022

La renta básica universal y el trabajo garantizado son dos propuestas de política que, partiendo de concepciones filosóficas distintas, comparten un mismo objetivo central: acabar con la pobreza extrema garantizando la existencia material de toda la ciudadanía. No obstante, los medios para alcanzar dicho objetivo son sustancialmente diferentes, lo que sin duda se debe a una distinta concepción de cómo el Estado debe intervenir en la sociedad. La renta básica universal, que garantiza un ingreso a todo el mundo sin excepción, sitúa el foco en la libertad de los ciudadanos, quienes, gracias a la prestación económica reconocida universalmente, podrían desarrollar sus vidas de forma autónoma sin depender económicamente de quienes tienen más medios y recursos. En cambio, el trabajo garantizado, que asegura un empleo digno a todo el mundo, sitúa el foco en las ventajas sociales y económicas del pleno empleo y del trabajo organizado colectivamente. No es esta la única diferencia entre ambas medidas. Con este artículo se pretende resumir las diferencias más importantes atendiendo a la literatura existente, lo cual resulta necesario y crucial para analizar de qué manera podrían ser compatibles, que es el objetivo final del trabajo.
Role of vector in transmission of viral hemorrhagic fever
Authors: Resen Doaa Sabri , Abbas Suhad Mohammed Ali , Kadhem Esraa Jawad , Hujeel Marwa Saleem 
Published: July 2022

Viral hemorrhagic fever is considered from zoonotic diseases which infect both human and animal, it is transmitted via vector (mosquito, tick) according to type of viral hemorrhagic fever, such as dengue fever and yellow fever are transmitted by bite of mosquito, but CCHF is transmitted by bite of tick, the viruses belong to four families include Arenaviridae, Bunyaviridae, Flaviviridae, and Filoviridae, can also be transmitted from human to human by direct contact with blood and body fluids. In severe cases of disease may be lead to threatening human life due to malfunction in immune system and failure in kidney and other organs. While in animal that cause in economic losses. To reduce severity of disease by control of vector and should be use vaccine to prevent disease.
Sleep quality in elderly patients diagnosed with osteoarthritis at orthopedic outpatient clinic
Authors: Ali Sara Salah Eldeen Galal , Shafik Sahar Ahmad , Elkotb Zainab Gazar , Mahmoud Mayada Taha 
Published: July 2022

Background: Elderly patients have osteoarthritis pain who suffering from sleep latency, difficulty maintaining sleep, sleep fregmentation and early morning are all symptoms of poor sleep. Aim: This study aims to assess sleep quality in elderly patients diagnosed with osteoarthritis. Study Design: : A descriptive research design was used for conducted this study. Setting: The study was conducted at the orthopedic outpatient clinic of Fayoum General Hospital. Sample: A purposive sample was used in this study and included 169 of elderly patients diagnosed with osteoarthritis (demographic characteristics, past and present medical history and patients’ knowledge about osteoarthritis). Tool II: Two standardize tools; Part I- Pittsburgh Sleep Quality Index to assess sleep quality. Part II- The Visual Analog Pain Scale to assess pain severity. Results: the presenting study showed that, (90.9%) of patients with osteoarthritis were found to have poor sleep quality, 80% had unsatisfactory knowledge, 92.9% of females were having poor sleep more than men. 60 % of patients had severe pain (VAS > 7). 55.7% of patients had sleep latency, 59.2% had short sleep duration. Statistically significant relation between total knowledge, sleep quality and pain with p value (p=0.001*).