bluuebunny/crossref_metadata_2025_split huggingface dataset:
Contamination depth prediction in sandy soils using fuzzy rule-based expert system
Authors: Alsamia Shaymaa , Albedran Hazim , Mahmood Mohammed Sh. 
Published: September 2022

AbstractAs a result of rainfall in large quantities, the leachate generated under the municipal solid waste (MSW) is increased, which leaks to the groundwater aquifers and pollutes it. Accurate evaluation of leachate leaks levels has long been regarded as a problem in Iraq due to a lack of reliable data and costly measuring costs. This work proposes a novel fuzzy expert system to predict the pollution status of the underground water in sandy soils. The expert system consists of two subsystems; fuzzy logic system and crisp logic system. The expert system is trained using a data set developed by finite element analysis of sandy soil subjected to contamination materials.
A study of efficacy and safety of newer chemical peels for acne vulgaris grade 1 to grade 3
Authors: Padhiar Bela , Karia Umesh , Parghi Mehul , Shah Bela 
Published: September 2022

Acne is a common and complex and multifactorial skin disease that affects individuals of all ages. It commonly presents as Seborrhoea and formation of comedones, papules and pustules. Aim of our study is to evaluate various new chemical peeling agent for search of treatment which stand out with maximum efficacy and least side effect.A total 120 patients were included in our study. Grading of acne was done according to Pillsbury classification and divided into five Treatment groups: Group A: Azelaic peel (20% Azelaic acid peel) Group B: Black peel (8% Acetic acid peel) Group C: Kojic acid peel (12% kojic acid peel) Group D: Lactic acid peel (90% lactic acid peel) Group E: Mandelic acid peel (35% mandelic acid peel). Patients in each arm were subjected to respective chemical peels at an interval of 15 days for a total of 6 sessions. Last visit was done at 12th week. Evaluation done by dermatological examination for acne including counting the number of comedones, papules and pustules.Patients with improvement at the end of 12 weeks the overall reduction rate was 60.4%, 72.4%, 24.1%, 35.2% and 50.1% with Azelaic peel, Black peel, Kojic acid peel, Lactic acid peel and Mandelic acid peel respectively.Our study thus concluded that the efficacy of Black peel is highest in the treatment of acne vulgaris grade I to III in Indian patients. The resolution was also observed good with Azelaic acid and Mandelic acid while response was not up to the mark by Lactic acid and Kojic acid peel. However, immediate erythema and burning sensations were more common side effects with black peel. Though the side effects observed with these peels reduced by itself, application of emollients, mild steroids and sun screeners hastened the recovery.
Dermatosis among overweight and obese children attending a tertiary care centre - A prospective study
Authors: Shams Sana , Nair Rakhee V , Pillai Rathish T , Kallan Febin 
Published: September 2022

Obesity is a chronic disease that is increasing worldwide, both amongst adults and children. As per family health survey conducted by Ministry of Health and Family Welfare in 2022, 38% women and 36.5% of men in Kerala are overweight or obese. It can affect almost all organs, including the skin. Obesity among children is increasing in India with an overall prevalence of 8-10% (15-20% in urban population). The cutaneous manifestations can be associated both with the age of onset and duration of obesity. However, studies showing association with class of obesity and cutaneous manifestations are lacking and hence we undertook this study, to know the association in children attending a tertiary care center. This was a prospective study carried out over a period of 6 months from May 2021 to November 2021 in our centre. A total of 133 children, aged 6–16 years with BMI &#62;25 kg/ m2 were included in the study. After taking informed consent from the parents/attendants; demographic details, height and weight were recorded and systemic examination was done. A detailed cutaneous examination was performed, and all the findings were noted in a predesigned proforma. Relevant investigations were carried out, wherever deemed necessary. A total of 133 children (male/female 63.9%/ 36.1%) were included in the study with a mean age of 10.97 ± 2.72. The mean BMI of the patients was 28.43 ± 3 kg/ m. Majority of the patients (78.9%) were overweight; 17.3% had Class I obesity, 3% had Class II obesity and 0.8% had Class III obesity. The most common cutaneous changes observed in our patient group were acanthosis (62.4%), seborrheic dermatitis (47.4%), sebomelanosis (37.6%), frictional dermatitis (29.3%), striae distensae (24.8%), tinea cruris (24.8%), SD-seborrheic dermatitis(18.1%), plantar hyperkeratosis (10.5%) and achrochordon (3.8%). The incidence of acanthosis nigricans, striae, sebomelanosis, frictional dermatitis, seborrheic dermatitis, verruca, keratosis pilaris and acne were higher in children with Class II obesity while acanthosis, striae, acne, and hirsutism was more common in Class III obesity.As the prevalence of obesity is increasing among the children, the paediatricians and dermatologists should be aware of its various manifestations including the cutaneous ones to ensure their early diagnoses and treatment, which are as common as in adults, and can be a source of great physical or psychological morbidity.
Porphyria cutanea tarda: A case report
Authors: Shams Sana , Pillai Rathish T , Iqbal Mohammed , Rayammarakar Amreen 
Published: September 2022

The porphyria's are a rare group of metabolic disorders produced by acquired or hereditary deficiency of the enzyme UROD, fifth enzyme in the chain of production of the heme group, which results in an accumulation of photosensitive by products, such as uroporphyrinogen, which leads to the fragility and blistering of sun-exposed skin. Porphyria can manifest with neurovisceral and/or cutaneous symptoms, depending on the defective enzyme. Prevalence of porphyria's varies, from 1 in 500 to 1 in 50,000 people worldwide. PCT, the most common.A 59-year-old Indian man presented with multiple non healing ulcers on dorsum of right hand and scalp associated with photosensitivity and reddish discoloration of urine, and surrounding depigmentation with scarring. He was diagnosed as having PCT after clinical investigation and was treated symptomatically.PCT is the most common of the seven porphyrin metabolism disorders. The misdiagnosis and mismanagement of this disease can have a significant impact on a patient's life and does management of PCT in our case is focused on the signs and symptoms and findings.
Socio-demographic characteristics of poisoning cases admitted in a tertiary care level hospital of Amravati district of Maharashtra, India
Authors: Wasnik Vinod , Jawarkar Ajay , Rathod Himani , Chavan Manisha 
Published: September 2022

Poisoning is an important health hazard and one of the leading causes of mortality and morbidity worldwide The incidence of poisoning cases is increasing steadily with each passing year. Burden of poisoning is high but less authentic data is available on it as hospital records, population surveys and data registered by governmental authorities. With this background, present study is conducted to determine various socio –demographic factors responsible for poisoning in patients.It was an observational study, carried out in District Civil Hospital. All patients admitted with history of poisoning or suspected poisoning in District Civil Hospital who attended in casualty, ICU and ward during study period were included in study. Written informed consent was taken from the cases or relatives. Information was collected from his/her accompanying family members if condition of the case was found to be unfavorable to respond to questions. Majority of the cases were in the age group of 15-44 years (81.52%), Majority of poisoning cases 60.23% were married. The commonest poison to which cases were exposed was an organophosphorus compound which was seen in 61.36%) cases. The most common cause for consuming poison was found to be domestic 324 (45.70%). Presentstudy showed that poisoning was commonly seen in the working age group. Males consumed/exposed to poison more as compared to females. Married males were affected more. Most commonly consumed/exposed poison was organophosphorus compounds.
A study to assess the effectiveness of structured teaching programme on attitude regarding breast self-examination among adolescent girls in selected school of Indore M.P.
Authors: Thakur Manjula , Thakur Reena 
Published: September 2022

Breast self-examination enables a women or girls to detect changes in her breasts. The examination should be done each month soon after the menstrual period ends as normal physiological changes that they confuse results occur in the premenstrual period. This method of self-examination is useful in the early detection of breast cancer.This study made use of an evaluative approach with one group pretest and post-test design. The sample for the study sample comprised of 60 adolescent girls. A disproportionate purposive sampling technique was used to select 60 adolescent girls. The tool and STP were validated by 7 experts. Pre testing and reliability of the tool was established prior to pilot study. Pilot study was conducted among ten adolescent girls. this gave basis for the invigilator to conduct the actual study .the actual study was conducted among 60 adolescent girls .following the pretest, STP Was administered and post test was conducted seven days after the administration of STP. The obtained data was analyzed in terms of the objectives and hypothesis using descriptive.The mean pretest knowledge score was 12.50 ± 3.26, while in the posttest it was 23.20 ± 2.49. The difference was found to be statistically significant (p&#60;0.05), showing a higher mean knowledge score in the posttest. Thus, the intervention was very helpful in improving the mean posttest knowledge score. The mean pretest attitude score was 52.78 ± 8.35, while in the posttest it was 67.78 ± 4.36. The difference was found to be statistically significant (p&#60;0.05), showing a higher mean attitude score in the posttest.The finding of the present study were analyzed and discussed with the finding of the similar studies confirmed that STP was effective in attitude regarding breast self- examination among adolescent girls.
Influence of endothelial nitric oxide syntase gene polymorphism on prognosis in patients after coronary bypass grafting
Authors: Magamadov I. S. , Skorodumova E. A. , Kostenko V. A. , Pivovarova L. P. , Ariskina O. B. , Siverina А. V. , Skorodumova E. G. 
Published: September 2022

Background. Development of personalized medicine and study of the genetic basis of cardiovascular diseases are promising areas in modern cardiology.Objective. To evaluate effect of NOS3 gene polymorphism on the prognosis in patients undergoing coronary artery bypass grafting (CABG).Design and methods. The study included 60 patients with stable coronary heart disease (CAD) and multivessel coronary disease according to the SYNTAX I score > 23. The first group included 39 patients — carriers of the 786CC and 786TC genotypes, the second — 21 patients with the 786TT genotype of the NOS3 gene. We accessed the severity of the systemic inflammatory response (SIR) in the postoperative period, the dynamics of changes in the ejection fraction (EF) of the left ventricle, as well as clinical data during 12 months after CABG.Results. The presence of heterozygous and homozygous variants (TC/CC) of the NOS3 gene is associated with a more pronounced and prolonged SIR in the postoperative period. The chances of developing symptoms of acute decompensation of chronic heart failure (CHF) within 12 months after CABG were significantly 4 higher in the group of carriers of TC/CC genotypes.Conclusions. In patients with CAD and carriage of the 786TC/786CC genotypes of the NOS3 gene undergoing CABG, there is a more pronounced and prolonged SIR in the postoperative period, as well as an increased risk of acute decompensation of CHF within 12 months after CABG.
The relationship between morphometric characteristics of venous drainages of arteriovenous malformations of the brain and types of clinical course
Authors: Mamonov N. A. , Rozhchenko L. V. , Goroschenko S. A. , Samochernykh K. A. 
Published: September 2022

Background. Arteriovenous malformations of the brain are a rare vascular pathology. Many studies focus on the features of venous drainage of arteriovenous malformations. The angioarchitectural and hemodynamic features of the venous component of arteriovenous malformations can influence on the patient management.Objective. To evaluate the relationship between the features of venous drainage of arteriovenous malformations of the brain and the types of clinical course. Design and methods. Survey included 61 adult patients of the neurosurgical department № 3 of the Polenov RNSI with arteriovenous malformations of the brain of supratentorial localization. Demographic and morphometric characteristics, as well as features of venous drainage of arteriovenous malformations, were assessed. Groups of patients were distinguished according to the type of the course of the disease.Results. The dependence of the hemorrhagic type of course on such factors as drainage exclusively into the deep vein system, as well as the presence of a combination of macrofistula with venous lacunae. The epileptic type was more typical for patients with superficial localization of the arteriovenous malformation. The torpid type of course had no distinctive features.Conclusion. Drainage exclusively into the deep vein system and the presence of a combination of macrofistula and venous lacunae is characteristic of the hemorrhagic type of course. The epileptic type of course was characterized by superficial localization of the malformation.
Evaluation of the profile of circulating extracellular vesicles of different cell origin and their activity in patients with postthromboembolic syndrome
Authors: Zolotova E. A. , Simakova M. A. , Melnichnikova O. S. , Sirotkina O. V. , Zhilenkova Yu. I. , Moiseeva O. M. , Vavilova T. V. 
Published: September 2022

Background. Chronic thromboembolic pulmonary hypertension (CTEPH) and chronic thromboembolic disease (CTEP) are manifestations of post-thromboembolic syndrome in patients with pulmonary embolism. Extracellular vesicles (EVs) are involved in the pathogenesis of these diseases due to the activation of the hemostasis system.Objective. Evaluation of the relative amount of EVs and their coagulation activity using the thrombin generation test in CTEP and CTEPH patients. Design and methods. The study included 21 patients: the CTEP group (n = 7) and the CTEPH group (n = 14); and 11 healthy donors. EVs were isolated with the Exo-FACS kit and analyzed by flow cytometry using fluorescently labeled antibodies. The activity of the microparticles was assessed in a thrombin generation test using a trigger reagent without the addition of TF using a plate fluorimeter.Results. The relative content of EVs of platelet and endothelial origin was increased in CTEPH and CTEP groups. The level of platelet EVs correlates with the levels of CRP and D-dimer. LT and ttPeak were significantly increased in patients with CTEPH.Conclusion. An increase in the level of platelet and endothelial EVs in patients with CTEPH and CTEP indicates the contribution of microvesiculation to the formation of post-thromboembolic syndrome. The activity of thrombin generation decrease under the action of TF-EVs could be a result of TF consumption in endothelial dysfunction, or prolonged activation of procoagulant pathways.
Reasons for late diagnosis of pulmonary echinococcosis in a non-endemic area
Authors: Krylova I. A. , Levitsky S. N. , Shabalina I. A. , Semenova A. V. , Turabov I. A. 
Published: September 2022

Background. Diagnosis, treatment, prevention of echinococcosis remain relevant tasks for most Russian regions. One of the key problems is the diagnosis of this disease in non-endemic regions.Objective. To describe a clinical case of cystic echinococcosis of the lungs.Materials and methods. A multislice computed tomography of the chest with contrast enhancement, serological diagnosis and histological examination and subsequent surgical treatment of a 6-year-old patient were performed.Results. A case of cystic echinococcosis of the lungs in a 6-year-old boy is presented. Echinococcosis was diagnosed at the stage of a large diameter cyst during chest X-ray to exclude pneumonia. Surgical treatment was performed. The decrease in titers of antiparasitic antibodies in dynamics after the operation allowed to conclude that the patient had recovered. The presented clinical case demonstrates a typical error in the diagnosis of pulmonary echinococcosis. Cystic echinococcosis is a rare pathology in the Arkhangelsk region (up to 4 per year). This situation leads to late diagnosis of this helminthiasis. The main mistake in the diagnosis was the lack of alertness in relation to echinococcosis and, as a result, the establishment of an incorrect diagnosis — pneumonia.Conclusions. The use of multislice computed tomography of the chest with contrast enhancement, serological diagnosis and histological examination in combination allows you to accurately establish the diagnosis of echinococcosis of the lungs.
A DUPLA CRISE
Authors: Lanza Líria Maria Bettiol , Piovani Luan Prado 
Published: September 2022

O presente artigo busca examinar como diversos países que constituem a comunidade latino-americana reagiram ao contexto de crise sanitária, com enfoque direcionado ao tratamento dado para os indivíduos em mobilidade. Para responder às questões centrais levantadas pelo artigo e apontar quais foram os impactos e conflitos gerados pela pandemia, serão examinadas matérias jornalísticas que tratam da realidade dos países examinados. Buscando compreender a posição dos próprios jornalistas, o artigo utiliza as contribuições da análise do discurso. Foi possível inferir, a partir dos dados, que, embora os países tenham adotado a perspectiva dos Direitos Humanos, ainda convivem aspectos da segurança nacional, que são reforçados no contexto pandêmico, com o crescente discurso de ódio e repúdio à presença dos migrantes.
A INCLUSÃO DIGITAL NAS IFES NORDESTINAS
Authors: Gomes Lucélia Maria Lima da Silva , Duarte Kamilla Alves , Silva Andreza Freire da , Moura Danielle Marinho Barros da Silva 
Published: September 2022

A inclusão digital faz parte das dez áreas apontadas pelo Programa Nacional de Assistência Estudantil. Este termo apareceu com mais frequência nos sites das Instituições Federais de Educação Superior durante a pandemia do novo coronavírus. Este artigo busca refletir sobre as ações de inclusão digital desenvolvidas pelas universidades e institutos federais de educação, antes e após a pandemia da COVID-19, mormente pelos setores da assistência estudantil. Foi realizado um levantamento nos sites das 26 instituições federais de educação da Região Nordeste, no período de setembro de 2020 a janeiro de 2021. Os resultados apontaram que a pandemia impulsionou o desenvolvimento de ações de inclusão digital, pouco desenvolvidas antes desse período. Destaca, ainda, a necessidade de avanços, por parte das instituições, na ampliação do repertório dos estudantes para estudo em ambiente virtual.
EFEITO DA RENÚNCIA FISCAL NA FORMAÇÃO DO FUNDO PÚBLICO PIAUIENSE - 2015 A 2018
Authors: Saiki Tatiana Maria Almeida , Alencar Júnior Osmar Gomes de 
Published: September 2022

O artigo tem como objetivo analisar os efeitos da política fiscal de renúncias tributárias na formação do fundo público do Estado do Piauí no quadriênio 2015-2018. Para tanto, realiza uma pesquisa documental nos sítios eletrônicos da Secretaria da Fazenda do Estado do Piauí e da Secretaria de Planejamento do Estado do Piauí. Os dados foram extraídos dos Balanços Gerais do Estado, das Leis de Diretrizes Orçamentárias e dos anexos das Leis Orçamentárias Anuais do referido período, além de informações requeridas nas Ouvidorias da SEFAZ-PI, e TCE-PI e Ouvidoria Geral do Estado do Piauí (OGE-PI), com base na Lei de acesso à informação (LAI). Conclui que em 04 anos houve um montante de mais de R$ 2 bilhões de renúncias, reduzindo a quantidade de receitas e a possibilidade de financiamento de forma autônoma das políticas públicas, em especial das políticas sociais do Estado do Piauí.
A RELAÇÃO ENTRE CUIDADOS E MEDIAÇÕES
Authors: Monteiro Maria Gabryelle de Souza Lima , Souza Neta Marta Batista de , Silva José Eduardo 
Published: September 2022

Objetivou-se refletir de forma sistemática a produção científica em meio acadêmico e profissional sobre a alienação parental, estabelecendo a relação de cuidar e mediar diante da dissolução familiar no contexto de separação e divórcio. Utilizando-se da metodologia do tipo pesquisa bibliográfica com a representatividade do estado da arte e análise de variância no contexto longitudinal, utilizando-se do recorte temporal o corpus da pesquisa no período de 2017 a 2021. A temática Alienação Parental tem apresentado diferentes pontos de vista na área multidisciplinar, perpassando pela área do direito civil, ciências jurídicas e mesmo psicologia, observando as abordagens é possível perceber a preocupação em comum sob os cuidados com as crianças e adolescentes. Ressalta-se a importância de acompanhamento multidisciplinar durante o processo de investigação e pós diagnóstico, considerando toda instituição familiar. Neste sentido enseja a mediação como possibilidade para minimização de danos, bem como erradicar possíveis agravos psicológicos, psíquicas, emocionais, sociais entre outros fatores do convívio humano. Conclui-se a inexistência de estudos que confirmem a mediação e cuidados como parte integrante de todo o processo de AP por equipe profissional multidisciplinar diante da dissolução familiar.
Pop’Deleuze
Authors: ZORDAN PAOLA 
Published: September 2022

É possível filosofar de um modo popular? Para compor o que se entende por popular procura-se responder essas questões partindo de uma maneira coloquial de se trabalhar: consultas ao verbete. A fim de definir o popular em suas articulações e desarticulações com a filosofia, segue-se a perspectiva da Diferença de Gilles Deleuze. Mostrar o que vem a ser a pop’philosophie implica considerar as atuais configurações da sociedade de controle colocadas no livro Império de Hardt e Negri. Numa breve retomada dos pressupostos críticos se coloca o problema da banalidade contemporânea imiscuída aos conceitos filosóficos e sua relação com os devires e os modos de resistência expressos na multidão. Compreende-se, então, que é na afirmação dos simulacros que se resiste. Resistir é criar, produzir uma filosofia que devém em arte, para um povo de não-filósofos que necessita pensar.