bluuebunny/crossref_metadata_2025_split huggingface dataset:
Refugio de Vida Silvestre los Pantanos de Villa como socioecosistema desde una metodología socioecológica
Authors: Arana Tejada Lesly Llulina 
Published: July 2022

El Refugio de Vida Silvestre los Pantanos de Villa, reconocido por su importancia internacional o Sitio Ramsar es hábitat de aves acuáticas, presenta valores biológicos, climáticos y paisajísticos y está ubicado en el casco urbano de Lima Metropolitana. El sistema socioecológico de los Pantanos de Villa actualmente se ve afectado por factores antrópicos como la expansión urbana, presencia de industrias, botaderos, parque automotor y otros. En la presente investigación se ha aplicado el modelo Press-Pulse Dynamics (dinámica de presión-pulso [DPP]) que permite realizar evaluaciones y comparaciones de los sistemas socioecológicos por medio de la representación de vínculos y retroalimentaciones existentes entre los subsistemas sociales y biofísicos relacionado con perturbaciones, cuyas consecuencias repercuten en los servicios ecosistémicos. Como impulsor externo se ha identificado al crecimiento urbano que está acompañado de presiones como el cambio del terreno debido a la expansión urbana, actividades productivas y comerciales, la pérdida de biodiversidad y la negligente disposición de residuos sólidos, desmonte y efluentes, lo cual ha provocado efectos negativos en los valores ecológicos, así mismo, las consecuencias sociales afectan el bienestar de los propios actores sociales, llegando a alterar los servicios ecosistémicos que brindan, razón por la cual se tiene que realizar una mejor gestión para poder recuperar y conservar el hábitat ecológico.
Influencia de α-Ciclodextrina en extracción del oro para reducción de accidentes ocupacionales e impactos ambientales
Authors: Zegarra Ruiz Luis Anthony , Escalante Abanto Casimiro 
Published: July 2022

A la muestra de estudio se aplicó el método de extracción de oro con α-ciclodextrina, luego se determinó la incidencia en la reducción de accidentes ocupacionales e impactos ambientales negativos y se plantearon los problemas ¿ De qué manera la aplicación de α-ciclodextrina en la extracción de oro en mineral influye en la reducción de accidentes ocupacionales e impactos ambientales negativos?, ¿ En qué medida la realización de la matriz de identificación de peligros y evaluación de riesgos, y, calcular el porcentaje de riesgo ocupacional del método de extracción de oro con α-ciclodextrina puede generar accidentes ocupacionales? y ¿ En qué medida la realización de la matriz de identificación de aspectos y evaluación de impactos ambientales, y, calcular porcentaje del índice de riesgo ambiental del método de extracción de oro con α-ciclodextrina puede generar impactos ambientales?. El método se basó en artículos científicos Sousa et al. (2018) y Liu et al. (2013), que se modificó para su aplicación en la muestra de estudio, los resultados obtenidos de la extracción de oro presentaron una recuperación máxima de 3.9 % de oro, con un índice de riesgo ambiental y índice de riesgo ocupacional promedio de 2.
Influencia del Sistema de Gestión de Seguridad y Salud en el Trabajo (Ley N° 29783) en el incremento de la productividad en la Empresa Star Print S.A.
Authors: Carrera Abanto Yober 
Published: July 2022

El objetivo fue Determinar la Influencia del Sistema de Gestión de Seguridad y Salud en el Trabajo (SGSST) (Ley 29783) en el Incremento de la Productividad de la empresa Estar Print, se pudo apreciar al inicio que las condiciones de la SGSST no alcanzaban la conformidad de la Empresa Estar Print, además que los índices de productividad tampoco eran favorables, el estudio ha demostrado que es favorable la implementación correcta de un SGSST para mejorar la productividad, además mejora el clima laboral, puesto que al ir a asegurar las condiciones de trabajo, existe un ambiente favorable para el trabajo. El proceso ha considerado inducción, implementación y capacitación que fortaleció las capacidades, actitudes, habilidades, conocimientos y valores, generando una cultura de prevención, en seguridad y salud ocupacional. La investigación ha establecido como favorable que el SGSST favorece la seguridad y todos los procesos de un entorno o ambiente de trabajo seguro que facilitó una cultura de prevención, de seguridad, en bien de la productividad.
USO DE MEMBRANA AMNIÓTICA HUMANA DESCELULARIZADA EM ANASTOMOSES INTESTINAIS: ESTUDO EM RATOS TRATADOS COM 5-FLUOROURACIL
Authors: Ferrarin Daniel Dantas , Czeczko Nicolau Gregori , Kubrusly Luiz Fernando , Malafaia Osvaldo , Sousa Eros Luiz de , Repka João Carlos Domingues , Caron Pedro Henrique Lambach , Souza Carlos José Franco de 
Published: July 2022

Introdução: Atualmente emerge em nosso meio aplicações mais relevantes dos derivados perinatais, por exemplo, a membrana amniótica (MA), como fonte de biomateriais para emprego em diferentes processos cicatriciais. O comprometimento anastomótico por drogas antimetabólicas como o 5-fluorouracil (5-FU) é um potencial alvo da MA. Objetivo: Avaliar os efeitos cicatriciais do uso da MA em ratos tratados com 5-FU na dose de 20 mg/kg ao 7º. dia de evolução pós-operatória quanto aos parâmetros porcentagem de colágeno tipo I (maduro), viabilidade celular, densidade microvascular e formação do tecido de granulação. Método: Utilizaram-se 32 ratos da linhagem Wistar submetidos à colotomia e colorrafia separados em 4 grupos com 8 e receberam diferentes tratamentos diariamente por via intraperitoneal até o dia do sacrifício: Solução fisiológica (C), 20 mg/kg 5-FU, 20 mg/kg 5-FU e MA, MA. Resultados: O tratamento com 20 mg/kg de 5-FU, ao 7º. dia pós-operatório induziu efeitos adversos no processo cicatricial anastomótico evidenciados pela diminuição da porcentagem de colágeno tipo I (maduro), da viabilidade celular, da densidade microvascular, da formação de crosta fibrinoleucocitária e da proliferação angiofibroblástica; o uso da MA nestas condições induziu melhora da porcentagem de colágeno tipo I (maduro). Conclusão: O tratamento com 20 mg/kg de 5-FU, ao 7º. dia pós-operatório induziu efeitos adversos no processo cicatricial anastomótico e o uso da MA nestas condições induziu melhora da porcentagem de colágeno tipo I (maduro).
Contraceptive trends in an industrial belt of central India: a study in ESIC Model hospital over three years
Authors: Mukherjee Shubhra , Bhattacharjee Somen , Sodhiya Hemlata 
Published: July 2022

Background: India was the first country to adopt a population policy and launch family planning program in 1952. Contraceptive usage has tripled in last 40 years. Although the national fertility rate has dropped significantly, the total fertility rate of MP is still at 2.0. The unmet need of contraception was evaluated at 9 % (NHFS 4), dropped down to 5.2 % in urban areas (NHFS 5, phase 1). The focus is mainly on birth limitation.Methods: The study was conducted in department of obstetrics and gynecology in ESIC Model hospital, Indore. Period of study was from January 2019 to December 2021. Study population comprised of 300 married non-pregnant women. Data was divided into three categories-traditional methods, temporary modern methods and terminal methods. Study population was divided into five groups-number of living children, religion, education, residence, income.Results: 48% of study population had two or more living children. Maximum women belonged to Hinduism (62.5%) followed by Islam (26.3%). Majority of women belonged to urban residence (55.33%). Traditional method of contraception usage was overall low (5-6.7%). The most popular method was the terminal method (69-75 %) followed by temporary method (20-23%). No male sterilization done in this period.Conclusions: Female sterilization accounts for two thirds of all contraceptive use. The usage of modern methods is limited. Male sterilization is soon going to be a thing of past. The burden of contraception still falls on women. The focus should shift from birth limitation to birth spacing.
Correlation of non-stress test with fetal outcome in term of apgar score: a prospective observation study
Authors: Jakhar Balveer , Bamaniya Archana , Sharma Anuj Kumar , Rastogi Radha , Patel Kalpesh 
Published: July 2022

Background: The objectives of antepartum fetal surveillance are to prevent fetal death and avoidance of unnecessary intervention. This study using NST as a tool for routine antepartum fetal surveillance is we will be trying to catch up those fetuses who might be at risk in womb and provide prompt intervention in otherwise considered normal pregnancies without any obvious high-risk factor thus giving the best outcome in mothers.Methods: The objective of this study was to evaluate the correlation of the non-stress test with fetal outcome in pregnancies from 37-42 weeks of gestation. This was a prospective observational study at RNT Medical college Udaipur (Rajasthan) from November 2021 to March 2022. This study included 100 normal pregnant mothers from 37 weeks to 42 weeks who were subjected to NST.Results: The parameters of poor fetal outcome like apgar score <7 at 5 minutes had increased incidences in the non-reactive group.Conclusions: This study suggests that the NST was found to be a good predictor of the healthy foetus even in normal pregnancies between 37-42 weeks of gestation and the probability of an adverse outcome such as poor Apgar score increases with a non-reactive strip.
Short term effects of antenatal maternal betamethasone administration on CTG
Authors: T. Jayanthy , Raman Ragvi , Anjanappa Sanvithi 
Published: July 2022

Background: Antenatal administration of corticosteroids to pregnant women has proven to enhance lung maturation, prevent respiratory distress syndrome and provide neuroprotection to the foetus. When betamethasone is given antenatally, it has been observed to transiently reduce fetal movements and fetal heart rate variability; which are often used as indicators of fetal wellbeing. Aim and objectives of the present study was planned to assess the short-term effects of antenatal betamethasone administration on fetal heart rate and its variability by visual interpretation of CTGMethods: A total of 30 women between gestational age of 28 weeks to 36 weeks 6 days with singleton pregnancy requiring maternal betamethasone administration were enrolled and the first CTG was taken. First dose of injection betamethasone 12 mg i.v. was administered and second CTG was taken 6 hours later and both the CTGs were compared.Results: After 1st dose of antenatal betamethasone, 90% of the cases had changes in fetal heart rate on CTG. In 53.3% cases, the baseline fetal heart rate was reduced while in 46.7% there was no change. There was reduced fetal heart rate variability in 56.7% cases while 23.3% cases had increased variability and rest 20% had no observable change. 73.3% study patients delivered and 26.6% study patients continued pregnancy. Among those who delivered, 20% neonates required neonatal ventilator support and 10% required oxygen support. All neonates were eventually discharged.Conclusions: Maternal betamethasone administration can cause changes in fetal heart rate and variability on CTG. Hence, other fetal parameters have to be considered before concluding fetal distress as these changes maybe transient. In our study, though CTG changes were seen in 90% cases, only 20% cases required neonatal ventilator support.
Evaluation of liver function test abnormalities in patients having COVID-19 according to severity of disease
Authors: Waheed Ayesha , Nawaz Rizwana , Riaz Marryam , Ahmad Bilal , Faisal Shahrukh , Zafar Shamail 
Published: July 2022

Background: COVID-19 infection affects all major organs of body in addition to lungs. Damage done to liver varies from being hepatocellular, obstructive or mix pattern. The aim of the study was to evaluate abnormalities of LFTs, in COVID-19 patients according to disease severity in our population.Methods: A cross sectional study, conducted at GTTH and Surgimed Hospital Lahore, on 100 patients who presented with COVID-19 in between October 2020 and September 2021. According to Symptoms, patients were marked as having mild, moderate or severe disease. Bilirubin, Albumin, ALP, ALT, AST, GGT, LDH and prothrombin time were checked at admission and subsequently. Data was analyzed using SPSS v23. Laboratory values were computed in each severity category and SD values, odds ratio, 95% confidence intervals were studied in logistic regression models. P value<0.05 were considered statistically significant.Results: Among studied patients, 66% were male, 34% were female, mean age of 44.68±9.36 and range of 29-68 years. 29% were with mild disease, 40% with moderate disease, and 21% with severe disease level. 80% cases with rural background had moderate/severe disease levels while only 14.3% cases with severe levels were from urban areas. Only direct bilirubin showed a statistical significance with p value<0.05 in all severity groups. Other LFT’s didn’t show any significance between different severity groups.Conclusions: Among Liver function markers only bilirubin was related to COVID-19 disease and proportional to severity of disease.
Quality of life in adult patients with post-surgical oncological problems to an abdominoperineal resection
Authors: Valdez Hamilton Miranda , Miranda Torres Diana Cecilia , Gonzalez Luis Pablo Milla , Dávila Jessica Esmeralda Medina , Salgado Fernando Bahena 
Published: July 2022

Abdominoperineal Resection is a method which has been used as the gold standard for the curative treatment of distal rectal cancer. Because it is classified as a radical and invasive surgery, we have considered the importance of assessing the long-term quality of life in patients which is its best alternative, in turn the degree of psychological impact for which patients could study. Among the factors that could contribute to the performance of the procedure are: that they are in a high-advanced stage, male sex, narrow pelvis, advanced age, and the alteration of the function of the preoperative sphincter to avoid postoperative incontinence. It is important to mention that unfortunately some of these risk factors are independent of a mto the post-surgical oncological prognosis. Incontinence, genitourinary function, pain,dysfunction xual, unpleasant odor and leaks, selflimitations in social activities and even repercussions on body image, reaching depressive symptoms and varying levels of anxiety, andthese complications are what we focus on because it represents aserious problem in the quality of life of the patient undergoing abdominoperineal resection.
Association between multimorbidity and quality of life among older adults in community-dwelling of Uttar Pradesh, India
Authors: . Himanshu , Arokiasamy P. , Selvamani Y. 
Published: July 2022

Background: Increasing longevity with the coexistence of chronic multimorbidity makes the elderly population vulnerable to functional limitation, disability and more frequent hospitalization, resulting deterioration in the quality of life (QoL). The present study examines the association between chronic multimorbidity and QoL among the older population in Varanasi, India.Methods: A cross-sectional data of 500 individuals in the Varanasi district of Uttar Pradesh, India aged 50+ years were collected using a multistage simple random sampling procedure from November 2017 to May 2018. Multimorbidity variable was generated using eight self-reported chronic conditions. WHOQOL-BREF was utilised to assess the QoL of the study participants. Descriptive analysis was performed to assess the mean QoL score pattern, whereas multivariate linear regression analysis examines the association between multimorbidity and QoL.Results: The mean age of respondents was 64 [±10.7] years, and 49% were female. Eighteen percent of study participants had multimorbidity (2+). The mean QoL score was 70, which decreased with age and was found higher among males (73). Multivariable regression analysis shows that demographic and lifestyle risk factors are significantly associated with QoL. Elderly with multimorbidity (β=-4.42; 95% CI=-7.18: -1.66) and physical inactivity (β=-4.65; 95% CI=-6.9: -2.3) was significantly associated with reduced QoL.Conclusions: Multimorbidity along with demographic and lifestyle factors are significantly associated with QoL. Healthcare programmes need to focus multimorbidity while promoting healthy and risk-free lifestyle to control modifiable risk factors. For their day-to-day needs, government assistance is necessary for the most economically dependent older population.
The efficacy of intravitreal dexamethasone implant for branch retinal vein occlusion related macular edema
Authors: Pandey Latika , Phogat Jitender , Dahiya Monika , Verma Ritesh , P. Arjun , Dhull V. K. 
Published: July 2022

Background: To study the efficacy of intravitreal injection of dexamethasone implant on central macular thickness in patients with BRVO.Methods: A prospective, longitudinal and interventional study was conducted on 30 patients of BRVO presenting to our OPD over a period of one year. Thorough history and detailed ocular examination was done. All cases included in this study received intravitreal injection of dexamethasone implant and were followed up at the first, third and sixth month post-injection to record any change in BCVA, CMT and IOP.Results: In this study, the mean age of patients was 60.67±7.02 years with a M:F ratio of 1:2. Maximum patients (46.6%) were of 61-70 years age group. A significant change from baseline was observed in BCVA and CMT at 1, 3 and 6 months post injection. BCVA significantly improved at 6th month (0.46±0.20 log MAR) compared to the mean BCVA at 3rd month (0.39±0.15 log MAR) (p<0.001). At the 6th month follow up, the mean CMT (338.33±77.91 µm) (p<0.001) was significantly lower compared to the baseline value (536.23±114.56 µm) (p<0.001) but got significantly increased compared to the mean CMT at third month (p<0.001). IOP values were significantly higher at 1 month (p<0.001) and 3 months (p<0.001) compared to the baseline value. Conclusions: Dexamethasone implant 0.7 mg is beneficial in the improvement of BCVA and treatment of macular edema due to BRVO. However, any beneficial effect on visual acuity and macular edema on OCT seen initially, starts weaning off after 3 months.
Role of hemithyroid preservation in total laryngectomy for laryngeal/hypopharyngeal malignancy
Authors: Premachandran Architha Menon , Ramaswamy Balakrishnan , Devaraja K. , Pujary Kailesh , Nayak Dipak Ranjan 
Published: July 2022

<p class="abstract"><strong>Background:</strong> Thyroid gland invasion in advanced laryngeal/hypopharyngeal malignancy is not uncommon. The preservation of the contralateral lobe of thyroid and associated parathyroid glands with its blood supply, in suitable patients, can be beneficial in reducing the incidence of both hypothyroidism and hypoparathyroidism. The aim of the study was to assess the functionality of the contralateral preserved hemi-thyroid gland with its parathyroid glands, during total laryngectomy with or without partial/total pharyngectomy (TL/TLP), with or without post-operative radiation therapy.</p><p class="abstract"><strong>Methods:</strong> A retrospective study of patients with advanced laryngeal or hypopharyngeal malignancy who underwent TL/TLP with contralateral hemi-thyroid and parathyroid gland preservation, between January 2012 and May 2019 were included in this study. Pre-operative thyroid/parathyroid function was assessed by estimation of blood levels of T3, T4, TSH and calcium. The same were evaluated at 1week and 6 weeks following surgery and 4 weeks following radiotherapy. </p><p class="abstract"><strong>Results:</strong> 72.7% patients developed hypothyroidism and only 22.7% developed hypocalcemia following surgery alone at the end of 6 weeks post-surgery. 60% developed hypothyroidism and 10% had hypocalcemia in the group of patients who underwent surgery followed by radiotherapy.</p><p class="abstract"><strong>Conclusions:</strong> Preservation of contralateral hemi-thyroid with parathyroid glands, significantly reduces the incidence of hypoparathyroidism in patients undergoing TL/TLP. Though incidence of hypothyroidism in such cases is still high, reduced dose of thyroid hormone supplementation was achieved. Post-operative radiotherapy did not significantly alter the thyroid and parathyroid function in such cases.</p><p class="abstract"> </p>
A rare case of primary carcinoma of gallbladder as a cause of Krukenberg tumors in both ovaries
Authors: Dubey Roopak , Sen Kamal Kumar , Mishra Aparajita 
Published: July 2022

Gallbladder cancer is frequently transmitted to the liver and other gastrointestinal organs through direct extension. Ovarian metastases of biliary origin are quite uncommon.We report a rare case having Krukenberg tumours in both ovaries, an uncommon metastatic location of biliary cancer. A thorough analysis of the proposed tactics was carried out after a thorough critical review. The final diagnosis was made using a combination of radiology, histology, and serum markers.In the case of gallbladder cancer, the presence of a Krukenberg tumour should be examined.
Epidemiology, clinical profile, management and outcome in patients of post covid mucormycosis at a tertiary care center in eastern UP
Authors: Jhunjhunwala Aditi , Kumar Ram 
Published: July 2022

The second wave of covid 19 in our country has seen rhino orbital cerebral mucormycosis reach an epidemic level. It is an opportunistic fungal infection with high morbidity and mortality. This study aimed to determine the patient’s demographics, risk factors, symptoms and signs, treatment and the outcome at our tertiary care centre. In this retrospective observational study the case records of 43 patients with biopsy/culture proven invasive rhino-orbital mucormycosis who were admitted in the post covid phase between May 2021 and July 2021 were reviewed. : Mean age was 52.4 years with 65.11% of patients being male. 83.7% belonged to the rural background. 37 (86.05%) had history of diabetes while 25 (58.15%) used steroids and only 13 (30.23%) patients needed oxygen. Only 3 (6.97%) had RBS below 200mg/dl with 2 patient showing HbA1C level below 6.4. All patients had proptosis and ptosis while only 28 had chemosis and 26 had loss of vision. Chemosis showed significant association in our study with HbA1c with significant p value of 0.000126. and loss of vision showed a significant association with steroid use (p value 0.03) and oxygen requirement (p value 0.008). All the patients had involvement of orbit. Treatment included IV liposomal amphotericin B in all patients, Retrobulbar amphotericin B and endoscopic orbital debulking in. Significant improvement was seen in patients with stage &#62;3b with Retrobulbar amphotericin B and orbital debulking. Patients with rhino orbital mucormycosis can be managed with orbital debulking with perilesional, intralesional and Retrobulbar amphotericin B with IV amphotericin B and functional endoscopic sinus surgery to avoid distressing surgery like exenteration.