bluuebunny/crossref_metadata_2025 huggingface dataset:
Investigating the Role of Situated Public Displays and Hyperlocal Content on Place-Making
Authors: Wouters Niels , Claes Sandy , Vande Moere Andrew
Published: March 2023

Our urban environments are increasingly being outfitted with various forms of digital media, such as electronic billboards, public displays and interactive lighting. While their deployment is commonly motivated by commercial and functional objectives, the impact on the urban fabric is often neglected. However, as public displays become situated in their environment and content becomes hyperlocal, they contribute to the place-making process and become a medium for local communication and information. In this article, we build upon an analysis of two recent case studies to propose four sets of design considerations for situated public displays in urban space. We argue that public displays should provide mechanisms to (1) warrant hyperlocal relevance of the messages that are communicated, (2) build a sense of trust from the surrounding community, (3) allow citizens to reflect on the meaning and functionality, and (4) elicit enriched experiences of the environment they are situated in.
Designing for Suburban Social Inclusion: A Case of Geo-Located Storytelling
Authors: Bengs Anette , Hägglund Susanne , Wiklund-Engblom Annika , Staffans Simon
Published: March 2023

This article showcases a digital solution for strengthening social inclusion and well-being of senior suburban residents of a socially diverse Finnish town. The study is framed as design research where research is conducted in order to feed into a design process. A background study was first conducted in order to identify the target group’s needs, abilities, and attitudes towards the neighbourhood. The results revealed positive attitudes towards the area and the need for relatedness, autonomy, competence, pleasure and stimulation, physical thriving and security. Following a User-Centered Design process we based our design choices on these results and developed a local geocaching solution incorporating storytelling. The aim was to encourage senior citizens to socialize, be physically active and to experience the local urban place. An interview-based evaluation with older adults (n=6) combined with an analysis of online cache log data, showed positive experiences of the solution.
Intolerância à lactose: diagnóstico clínico laboratorial e genético
Authors: Castellano Beatriz França , Sardá Carolina Maria Aumann , Izar Fernanda Prehs , Pascholatto Khadija Assis , Santos Laura Ribeiro , Gonçalves Luísa Domingos Cancela , Zella Maria Augusta Karas , Wormsbecker Liya Regina Mikami , Rossoni Andrea Maciel De Oliveira , Graf Joachim
Published: March 2023

Introduction: Lactose intolerance is a syndrome resulting from maldigestion of the disaccharide lactose due to lactase enzyme deficiency causing symptoms mainly gastrointestinal. It involves 4 main causes: congenital lactase deficiency; developmental lactase deficiency; primary lactose intolerance; and secondary lactase deficiency.
Objective: Review of the clinical presentation of lactose intolerance and the main methods available for its clinical diagnosis.
Methods: Literature review in the PubMed database, using the keywords “lactose intolerance” and “genetic test” and using the Boolean data type and. Only articles in English and published between the years 2017 and 2022 were included, totalizing 8 articles.
Results: The diagnosis of lactose intolerance is related to its type and uses the main diagnostic tests: oral lactose tolerance, genetic, expired hydrogen.
Conclusion: Regarding diagnostic methods, the expired hydrogen test is the one of choice, as it is not invasive, is easy to perform and has low cost. However, it does not dispense association with other diagnostic techniques. Genetic testing is also very usefull and its advantage is that there is no need to use the oral lactose tolerance test.
Necessidades de saúde dos adolescentes e adultos jovens com câncer
Authors: Volski Isabela Maria , De Andrade Larissa , Costa Rebecca Skalski , Volc Sáhlua Miguel , Dos Santos Zilá Ferreira Dias Gonçalves
Published: March 2023

Introduction: The population of adolescents and young adults aged between 15 and 39 years old diagnosed with cancer is known as AYA (adolescent and young adults). These patients receive treatment in pediatric and adult centers that do not meet their biological and social needs.
Objective: Identify particularities and demands for the care of cancer patients belonging to the AYA group.
Method: It is a cross-sectional quantitative study. A translated and validated questionnaire was used.
Results: Were reported 45 patients who responded to the questionnaire. Questions about maintaining a healthy diet during treatment, physical exercise and fitness, in addition to psychological counseling were considered very important; 38% had associated depression or anxiety disorder.
Conclusion: It was possible to identify the demands of the AYA population, essential for the future perspective of developing monitoring protocols with interdisciplinarity.
REALIZAÇÃO DO PROJETO “EDUCAR PARA PREVENIR” DE FORMA REMOTA
Authors: Moreira Schnaider Juliana , Regina Lopes de Araujo Gabriella , Hauer Doetzer Karin , Ferreira Dias Gonçalves dos Santos Zilá , Da Lozzo Garbelini Maria Cecilia , Nigro Marcelus Vinicius De Araujo Santos , Da Conceição Sanches Leide
Published: March 2023

Projetos de extensão têm um papel relevante na formação acadêmica, na democratização do conhecimento e na incorporação de saberes, uma vez que permitem a interação entre os estudantes e o desenvolvimento de práticas colaborativas. Nesse viés, o projeto “Educar para Prevenir” fundamenta-se em ações que envolvem a proteção da saúde humana. Este estudo teve por objetivo relatar a experiência no primeiro contato com ação para crianças e adolescentes do projeto de extensão “Educar para Prevenir”. Foi uma ação realizada em uma escola na região metropolitana de Curitiba-PR, Brasil, com estudantes de 10-18 anos, via Google Meet. Em conclusão, apesar do formato remoto, o “Educar para Prevenir” atingiu as expectativas, e viu-se que a tecnologia pode ser utilizada para novas ações. A ação proporcionou aprimoramento de habilidades pessoais e profissionais.
Perfil clínico e audiológico de pacientes submetidos a timpanostomia e inserção de tubo de ventilação.
Authors: Polanski José Fernando , Lopes Renata , Arimori Ana Larissa , Piedade Giovanna , Mizumoto Kelly , Cruz Aristides
Published: March 2023

The presence of fluid in the middle ear, a common consequence of otitis media, can lead to conductive hearing loss and, consequently, delays in the child's development. Tympanotomy and ventilation tube placement is the treatment when secretion become chronic. Objective: To evaluate the epidemiological characteristics (gender, age, diagnosis, intervention, comorbidities, clinical complaints) and audiological profile of patients who underwent tympanotomy and ventilation tube placement from January 2018 to January 2020. Methods: This is an observational, retrospective and cross-sectional study based on chart review. Results: 69 patients who underwent surgery were included. 44 patients (64%) were male and the mean age was 8 years. Otitis media with effusion was the most frequent diagnosis. At least one comorbidity was found in 63 patients, with predominance of allergic rhinitis. Most patients underwent 1 surgery only. Bilateral tube placement was found in 39 patients (57%). Amygdalectomy and/or adenoidectomy were often performed at the time of the ear surgery. Hearing loss, snoring, nasal itching, nasal obstruction and nocturnal oral breathing were the most predominant complaints. Regarding audiometry, 68% of the patients improved their hearing to normal thresholds, whereas in tympanometry 62% improved their curve. Conclusion: the most common clinical features in our sample are: male, child, otitis media with effusion, allergic rhinitis as comorbidity, with hearing loss and treated with bilateral ventilation tube placement. Audiometry and tympanometry improved after surgery in most cases.
Quantitative and molecular analysis of Pinus elliottii Engelm. at six years of age using microsatellites markers
Authors: Melchert Guilherme Ferreira , Marcolin Giovanna , Machado Renato Tadeu de Proença , Sguario Neto Luiz José , Tambarussi Evandro Vagner
Published: March 2023

There are about 126 cataloged species within the Pinus genus, and the genus is the second most common in planted forests in Brazil, covering about 1.7 million hectares. Among the species used in commercial plantations, P. elliottii is particularly important; its wood is mainly used in the furniture industry, for resin production, and in some cases in the chemical and pharmaceutical industry for its volatile derivatives. The objective of this study was to conduct a quantitative and molecular analysis of six-year-old stands of P. elliottii at two sites, one located on Fazenda Monteiro in the city of Apia´ı, and the other on Fazenda Palmeiras, Ribeirao Branco, both located in São Paulo state (SP), Brazil. Height and circumference at breast height (CBH) were analyzed. Genetic parameters were estimated, with the coefficients of genetic variation for height ranging from 2.03% to 2.62% and from 2.43% to 4.51% for CBH. At Fazenda Monteiro, the narrow-sense heritability and within progeny heritability values for height (0.23; 0.20) and CBH (0.26; 0.22) were considered medium. In Fazenda Palmeira, the values obtained for narrow-sense heritability were considered low magnitude for CBH (0.04; 0.02), while for height they were considered medium (0.09). Low magnitude values were found for heritability within progeny (0.08). Molecular analyses of heterozygosity showed low levels of heterozygosity, but with the possibility of gains. The G×E data showed that progeny F30 performed best in both environments, but a breeding program for both environments is not recommended. The analysis of quantitative and molecular characteristics facilitates and improves the accuracy of selection processes performed by breeders.
Shariah Banking Soundness in Review from RGEC and Maqashid Shariah
Authors: Yusuf Faisal  , Muhammad Nuryatno
Published: March 2023

This research looks at the health of Islamic banks in Indonesia with RGEC and Maqashid Shariah Performance. Population study this namely Sharia Commercial Banks registered with OJK from 2012 - 2019. namely Bank BNI Syariah, Bank BRI Syariah, Bank BCA Syariah, Bank Mandiri Syariah, Bank Syariah Bukopin , Bank Muamalat Indonesia, Bank Mega Syariah, and Bank Panin Dubai Syariah. This research resulted in a conclusion, namely the application of green governance results in better organizational performance. Tax administration system renewal resulted in decreased organizational performance. Tax administration system renewal can increase the influence of green governance on organizational performance for the better. This study adds an explanation of the performance of Islamic banks reviewed by Maqasid Shariah.
Estrategias Competitivas y la Gestión Comercial de la Empresa Holcim Ecuador S.A.
Authors: Alcívar Laz Marlene del Rocío , Ruíz Cedeño Angélica Beatriz
Published: March 2023

Las estrategias competitivas en la actualidad son consideradas como acciones que presentan

gran relevancia en el desarrollo de la gestión comercial, partiendo de la idea que de esto

depende el éxito de las empresas. Es fundamental que dentro del sector empresarial se

reconozcan estrategias que permitanpoder competir eficientemente, gracias a la utilización

de una estrategia pertinente que facilite el cumplimiento de las metas y objetivos propuestos

en las empresas. El presente estudio se dirige a analizar las estrategias competitivas y la

gestión comercial de la empresa Holcim Ecuador S.A. El enfoque metodológico de esta

investigación responde a una metodología de tipodescriptiva con un enfoque cuantitativo,

debido a que se trabajó en la recolección de datos necesarios para probar y validar los

resultados, para ello se llevó a cabo una encuesta, generando así una serie de resultados en

los cuales se logró demostrar la incidencia que tienen las estrategias competitivas en la

gestión comercial de la empresa Holcim Ecuador S.A. se puede concluir que las estrategias

competitivas por diferenciación y las estrategias competitivas por enfoque de bajo coste son

las empleadas en la empresa estudiada e influyen significativamente en la gestión comercial.

Las fallas en el entorno administrativo sonaspectos a mejorar, dado que estos generan efecto

al interior de la gestión comercial y en las estrategias diseñadas en función del desarrollo y

posicionamiento en el mercado
Gestión del Servicio y su Incidencia en el Desempeño de una Empresa de Telecomunicaciones de Manabí
Authors: Arcentales Loor Fran Rolando , Veliz Valencia Mercedes Noemí
Published: March 2023

El presente estudio se realizó bajo la premisa de analizar la gestión del servicio y su

incidencia en el desempeño de una empresa de Telecomunicaciones de la provincia de

Manabí. Se empleó una investigación de tipo descriptiva y de campo; con enfoque mixto;

donde se analizó la información de la gestión del servicio¸y datos del desempeño de la

organización; la información se obtuvo de las áreas comercial y técnica.

Las técnicas de recolección de información empleadas fueron la encuesta, la entrevista y

fuentes de información cuantitativa primarias; la encuesta se realizó a una población de 20

funcionarios de la institución, entre ellos jefes, supervisores y personal de atención, se

procesó en un formulario de google drive y los datos de las fuentes cuantitativas primarias se

procesaron en Excel a través del Cuadro de Mando Integral, se aplicó una entrevista

semiestructurada al gerente de la empresa. Estos resultados permitieron analizar la incidencia

de la gestión del servicio en el desempeño de la empresa de telecomunicaciones estudiada.

Los resultados obtenidos evidencian que debe mejorar la gestión del servicio en la institución,

en vista que, entre otros factores, no se han cumplido algunas metas yobjetivos

empresariales, observados en la revisión de los datos del primer semestre del año 2022; para

lo cual se debe mantener la estructura de las áreas completas, evitando sobrecargar al

personal, manteniéndolo motivado y capacitado, innovando en los productos y servicios

ofrecidos, con el fin de lograr una mejor experiencia del cliente y la sostenibilidad de la

compañía.
Iatrogenic Bile Duct Injury Following Cholecystectomy, Surgical Management and Outcome: A Single Center Experience
Authors:   Trainee of KBMS Digestive surgery, Department of digestive and liver surgery, Rizgari Teaching Hospital, Erbil, KRG, Iraq, Ahmed Faraidon Faiq , Kareem Tayeb Sabir ,   Professor of surgery, FIBMS, FICS, FACS, FRCS(Lon.). Director of digestive surgery in KBMS. Rizgari Teaching Hospital, Erbil, KRG, Iraq., Abdulla Karzan Seerwan ,   PDF in HPB surgery, FIBMS, MRCS. Department of digestive and liver surgery, Shoersh and Shar Teaching Hospitals, Sulaymaniyah, KRG, Iraq, Karim Qalandar Hussein ,   Consultant in GIT Surgery, MBChB, FRCS (Glasg), FACS. Department of digestive and liver surgery, Shoersh and Shar Teaching Hospitals, Sulaymaniyah, KRG, Iraq.
Published: March 2023

Background and objectives: Iatrogenic bile duct injury (IBDI) is a serious complication during cholecystectomy caused by a surgeon in apparently healthy patients and is associated with a significant rate of morbidity and a low rate of mortality. Our aim was to review the surgical repair of IBDI and post-operative outcomes regarding morbidity and mortality. Methods: We retrospectively analyzed the surgical management and outcome of biliary injuries during cholecystectomy in 52 patients diagnosed intraoperatively during cholecystectomy or referred postoperatively to Sulaymaniyah digestive and liver surgery center between May 2014 and May 2017. Results: During these three years; we managed 52 patients of which 41 patients (78.8%) were females. Forty-seven bile duct injuries happened during laparoscopic cholecystectomy and in 5 patients during open-type surgery. Eight patients were diagnosed intraoperatively the remaining 44 were diagnosed post-operatively. The most common type of injury was Strasbourg type E2 (33 patients, 63.5%). The mean age of patients was 32 years in females and 36 years in males. Roux-en- Y hepati- cojejunostomy was the surgical treatment in 47 patients (90.4%). Post-operative morbidity within three years was 34.6% and mortality was 3.8%. Patients were followed for one month on their regular visit to our center or private clinic post-operatively then followed by their irregular visits once they had complains within the period of our study. Conclusions: Hepaticojejunostomy was the best surgical procedure for repair of IBDI with less postoperative morbidity and mortality in our study, IBDI type E4 according to Strasberg classification associated with more morbidity and mortality than other types.
Risk Factors of Metabolic Syndrome in Erbil City
Authors:   Consultant General Surgeon, Lecturer, Department of Surgery, Rizgary Teaching Hospital, Erbil, Iraq, Qader Saleem Saaed
Published: March 2023

Background and objectives: Metabolic syndrome is a cluster of risk factors that happens together and acts as a pre- dictor for diabetes mellitus and cardiovascular diseases. This study was designed to identify the risk factors of metabolic syndrome in Erbil City. Methods: This is a cross-sectional study. It was performed at Consulting Surgical Clinics on patients searching for medical advice between January- August 2012 in Erbil, Kurdistan Region, Iraq. Two hundred patients were recruited and special questionnaire was designed for the study. History taking and physi- cal examination were performed by a trained clinician and nurses. Metabolic syndrome was defined according to the International Diabetes Federation. Results: Thirty-two percent were male. The mean age of participants was 42.12 years, 50% were obese, 89% were illiterate or at primary school level and 71.5% were living in urban area. 47.5% had family history of diabetes mellitus and 31.7% had family history of cardiovascular disease. According to the International Diabetes Federation classification 62 (31%) participants had metabolic syndrome. The mean age of those with metabolic syndrome was 46 years. Smoking, eating fatty food, family history of diabetes mellitus and cardiovascular disease were independent risk factors and strongly associated with metabolic syndrome while sex, civil state, education, residency and occupation were not associated with prevalence of metabolic syndrome. Conclusions: Metabolic syndrome is highly prevalent in our country. The risk factors for metabolic syndrome are smoking, eating fatty food, obesity and family history of diabetes mellitus and cardiovascular disease.
The Efficacy and Safety of Superficial Chemical Peel in the Treatment of Plane Wart
Authors:   M.B.Ch.B., KBMS Trainee, Dermatology Department, Abdulkareem Ayhan Omar , Elethawi Ali M. Dhahir ,   Assistant Professor, M. B. Ch. B, CABD, FIBMS, Consultant Dermatologist, Dermatology department / College of Medicine/ Sulaymani University
Published: March 2023

Background and objectives: Treatment of plane warts is problematic, methods such as cryotherapy and cauterization is associated with high recurrence rate beside the risk of scar, pain and high cost. The aim of this study is to assess the effectiveness and safety of salicylic acid 30% superficial chemical peels in comparison with glycolic acid 70% solution in treatment of Plane wart. Methods: Sixty patients with plane wart were included in this comparative therapeutic trial. The patients have been divided randomly in two groups, group-A (30patients); have been treated by 30% salicylic acid solution while group-B (30 patients); have been treated by glycolic acid 70% solution. The full therapeutic session was six (6) and the solution was applied fortnightly. The response to the treatment was assessed every 2 weeks by counting the number of lesions. Results: After completion of the 6 sessions there was a significant decrease in the number of the warts in group A patients compared to group B, group-A; mean number of lesions before treatment was 43.9± 30.78 and after treatment was 15.6± 7.9 while in group B; mean number of lesions before treatment was 38.0 ±33.0 and after treatment, it was 17.85 ± 20.32. There was statistically a significant reduction in number of lesions in group A. Conclusions: Salicylic acid 30% solution can be more successful and safely used for the treatment of plane wart than glycolic acid 70% solution by the dermatologist. Salicylic acid 30% solution in comparison with glycolic acid 70% solution can induce more rapid response and fewer side effects.
Significance of B-catenin Immunohistochemical Expression in Colorectal Carcinoma
Authors:   Department of Histopathology, Rizgary Teaching Hospital, Erbil., Abdulrahman Zilan Aziz , Ismael Ava Tahir ,   Department of Clinical Analysis, College of Pharmacy, Hawler Medical University, Erbil., Jalal Jalal Ali ,   Department of Pathology, College of Medicine, Hawler Medical University, Erbil, Alnuaimy Wahda Muhammed Taib ,   Department of Pathology, College of Medicine, University of Mosul
Published: March 2023

Background and objectives: Colorectal cancer is the third leading cause of cancer death worldwide and B- catenin has a role in the development of colorectal cancer. The objective of this study was to investigate the B-catenin expression of colorectal carcinoma and assess its correlation with some clinicopathological parameters in Erbil, Kurdistan of Iraq. Methods: Retrospective study of 100 patients with colorectal cancer collected between January 2015 and January 2017. Clinicopathological parameters were investigated in relation to nuclear and cytoplasmic B-catenin expression. Results: In 100 specimens of colorectal carcinomas was found to be nuclear (21.6%) and cytoplasm (66.1%). B-catenin was expressed more frequently in patients? 50 years (67.9%), and more commonly in females (60.7%). Left side colon was more frequently affected (85.7%) than the right side (14.3%) with a signifi- cant correlation. Well to moderately differentiated tumors showed higher intensity (89.3%) than poorly differentiated cases (10.7%). Non-mucinous tumors (92.9%) stained more intensely than mucinous tumor (7.1%). 52% of tumor cells were grade I, 37% grade II and 11% grade III. The result of association for B-catenin combined nuclear and cyto- plasmic with intensity of nuclear staining was highly significant. Higher staining intensity is observed in patients with positive nodal status (60.7%) and stage III-IV (60.7%) than those of stage I-II (39.3%). Conlision: B-catenin was studied in 100 specimens of colorectal cancers, with nuclear staining observed in (21.6%) and cytoplasmic reactivity in (66.1%). Significance was found between intensity of immunoexpression and cellular localization of B-catenin, as well as with clinical parameters of increasing age, female gender, and left sided colonic tumors on another hand
IDH1(R132H) Immunoexpression in Glioma
Authors:   Department of Histopathology, Rizgary Teaching Hospital, Erbil., Omer Nyan Saeed , Jalal Jalal Ali ,   Department of Pathology, College of Medicine, HMU, Erbil., Ismael Ava Tahir ,   Department of Clinical Analysis, College of Pharmacy, HMU, Erbil
Published: March 2023

Background and objectives: Gliomas are the most common type of primary brain tumors. They result from accumu-- lation of multiple genetic alterations. Isocitrate dehydrogenase 1 mutations are detected in gliomas. This study aimed to assess IDH1 immunoexpression in different types of gliomas and to correlate the results with patient’s age, gender, tumor site, tumor type and grade. Methods:During the period from January 2015 –January 2017, 97 cases of gliomas were collected from Rizgary Teaching Hospital and private laboratories in Erbil city. Typing and grading of tumors were done according to World Health Organization classification of brain tumors 2007.Immunohistochemical staining was done for IDH1 using monoclonal Antibody IDH1R132. Results: Out of 97 cases of gliomas; 16 were grade I, 27 were grade II, 10 were anaplastic gliomas grade III and 44 cases were glioblastomas; grade IV. Positive IDH1 immunoex- pression was observed in 36 (37.1%) cases of gliomas. The highest prevalence of IDH1 was found in the age group 30-44 years (52.8%), in supratentorial tumors (44.3%) and in grade II and III astrocytoma (72.2% and 75%).Highly significant correlation was found between Isocitrate dehydrogenase 1 expression and age of the patients, tumor type and grade while a significant correlation was found between Isocitrate dehydrogenase 1 expression and tumor site. Conclusions:Our study concluded that Isocitrate dehydrogenase 1 is 36 (37.1%) expressed in gliomas and it is sig- nificantly associated with patient’s age, tumor site, histological type and grade, thus it may act as a good diagnostic and prognostic marker for gliomas.
The Presentation, Predisposing Factors and Outcome of Erb’s Palsy in Duhok City
Authors:   Duhok Training Center, Zebary Saad Mahmood ,   Paediatric, Abdulrrahman Khalid Nawaf ,   College of Medicine; University of Duhok
Published: March 2023

Background and objectives:Neonatal brachial plexus palsy is a common birth injury. Although spontaneous recov- ery is expected to occur in most of affected newborns, some might be severely handicapped. The objectives of this research were to study the predisposing factors and injury outcome of Erbs’ palsy in neonates. Methods: All infantsdiagnosed with Erbs’ palsy and managed at a rehabilitation center in Duhok city were included in the study during the period September, 2016 to August, 2017. The data collected were sex, birth weight, the affected upper limb, referral time, the residential area, delivery place, delivery type, presence of cephalopelvic disproportion or protracted (prolonged) labor and the mother height and were compared with a control group of term neonates. Results: The total number of patients were 53; 30 males (56.6%) and 23 females (43.4%). The mean birth weight of patients was 3975 (± 453) grams, and that of the control group was 3421 (±602) grams. The right side was affected in 35 (66%) and left side in 18 (34%) of cases. In 44 (83%) of case, the delivery was vaginal and in 9 (17%) cases through cesarean section. Shoulder dystocia was present in 26 (49%) and cephalopelvic disproportion in 14 (26.4%) of cases. Good functional recovery was seen in 44 (83%) of patients within six months of physiotherapy. Conclusions: Shoulder dys- tocia, large birth weight of 4 kg or more and cephalopelvic disproportion were the major risk factors.
Causes of Cerebral Palsy in Sulaimani
Authors:   M.B.Ch.B Pediatrics/Sulaimani teaching hospital, Ahmed Omar Ala , Salih Aso Faeq ,   Assistant professor of pediatrics-college of Medicine- University of Sulaimani
Published: March 2023

Background and objectives:Cerebral palsy is a common neurodevelopmental condition encountered by pediatricians The condition may present itself in many different clinical spectra. The etiological and risk factors are many and an awareness of the interplay of multiple factors in the causation of cerebral palsy is crucial. The aim of the study is to evaluate the risk factors of cerebral palsy in Sulaimani city. A better understanding of the etiology of cerebral palsy is necessary for preventive strategies and treatments to be developed. Methods:This is a retrospective case control study including 100 cerebral palsy patients; data were taken from the records of rehabilitation center in Sulaimani city from 1st Jan 2017 up to 1st- Sep 2017and 100 control group of the same age admitted in our hospital. Results: One hundred cases of CP (52% male) and (48% female) were collected ,their mean age was 1.64 years and standard deviation (.52262) ,the risk factors of the cerebral palsy were birth asphyxia , prematurity , unknown cause ,and jaun- dice were (31 % , 26 %, 17%, 11% ,) respectively. There was a significant difference between control and cerebral palsy groups regarding (birth asphyxia, prematurity, pregnancy induced hypertension and jaundice). Conclusions: Birth asphyxia was identified as a major cause of cerebral palsy in Sulaimani city according to our study followed by prematurity as a second risk factor of cerebral palsy.
Prescription System, Administration of Drug and Medication Dispensing Errors in Treatment Process of Inpatients of Teaching Hospitals in Erbil City
Authors:   Assistant lecturer, Medical Microbiology, KBMS, Kawther Ronia Shawkat , Anwer Esra Tariq ,   Assistant lecturer, Pharmaceutics, Faculty of Pharmacy, Tishk International University
Published: March 2023

Background and objectives: Prescription and medication dispensing errors can cause a significant threat to patients’ safety. This study aimed to evaluate the prescription errors and inpatients’ medication dispensing errors in the treatment processes in teaching hospitals in Erbil city. Methods: This is a case study that investigating 3145 inpatient records in Rizgary and Hawler teaching Hospitals. The study was done in the period between April 1st 2017 and November 30th, 2017. Medical, surgical, and neurological patients` records were included. Infants, children and maternal records were excluded from the study. Results: According to the categorizing medication errors Algorithm Index, (67%) of errors considered non harmful including spelling (6%), using drug brand names (6%), absence of doctor signature (16%), absence of pharmacist signature (5%), absence of nurse signature (3%), absence of follow up by doctors (2%), patients education before discharge (5%), drug recording on the drug chart by nurse (8%), drug availability16%. Also, 33% of them recorded as harmful; which involved (drug dosing instruction missing, dose interval (6%), contraindication (7%), drug-drug interactions (5%), non- laboratory monitoring (2%), sensitivity test of drug (4%), alternative drug (1%), adverse effects (2%), and laboratory monitoring (3%). Conclusions: Medication errors of Rizgary Teaching Hospital are common. The contraindication, absence of doctors’ signature, drug unavailability, wrong dose, using brand names, lacks of drug recording on the drug chart by nurse, absence of nurse signature are the main medical errors. There was lack of collaboration between doctor, clinical pharmacist and nurses in the hospital.
Bismuth Iodoform Paraffin Paste [bipp] Wick versus Topical Levofloxacin Drops in Rapid Drying of Wet Ear in Tubotympainic Chronic Suppurative Otitis Media
Authors:   Ass. Professor, College of Medicine/ Hawler Medical University, Consultant Otolaryngologists, Rizgary Teaching Hospital., Al Jaff Said Mustafa Said
Published: March 2023

Background and objectives: Topical ear drops have been the mainstay in the medical management of actively dis- charging chronic suppurative otitis media with central perforation. Bismuth Iodoform Paraffin Paste has been used over the past 30 years for various clinical purposes on skin and mucosa without any serious local or systemic ad- verse effects. The aim of this study was to evaluate if Bismuth Iodoform Paraffin Paste can be used topically in the treatment of chronic superlative otitis media–tub tympanic disease and to compare it with Levofloxacin ear drops. Methods:Prospective comparative study was done in academic tertiary medical center and private clinic fromMarch 2014 to March 2016. Sixty patients with chronic suppurative otitis media tub tympanic type were ran- domized into 2 groups. One group (30 patients) received Bismuth Iodoform Paraffin Paste wick after meticu- lous aural toilet by suction clearance and dry mopping with or without using microscope accordingly, while the other group (30 patients) received topical Levofloxacin ear drops. Results: Clinical improvement at the end of fourth day study was 90% in the BIPP group and 67% in the levoxacin group, and was 97%, 93% in BIPP, Levofloxacin group respectively, at the end of 10 day. The most commonly isolated organism was Pseu- domonas aeruginosa. Conclusion: The results show that clinically, topical Bismuth Iodoform Paraffin Paste is more effective than topical levoxacin in this short time, besides; there is the benefit of low cost of therapy.
JUNTAS SOLDADAS DE AÇO HY 80 USADOS EM CASCOS DE SUBMARINOS
Authors: Souza Mauro Carlos Lopes , Ramon Thiago Augusto , Marinho Junior Antônio , Monine Vladimir Ivanovitch , Tapanes Neyda de la Caridad Om
Published: March 2023

Nesse trabalho, para o aço HY 80, de alta resistência, utilizado pela Marinha brasileira nos cascos de submarinos, foram feitas avaliações das propriedades mecânicas, caracterização microestrutural e avaliação das tensões residuais por difração de raios-X das juntas soldadas pelo processo de fusão com eletrodo revestido. Foram confeccionadas duas chapas de aço HY 80 com dimensões de 850 mm x 150 mm x 24 mm, as quais, antes da soldagem, foram pré-aquecidas. Os parâmetros de soldagem exigem um grande controle, pois, a energia envolvida no processo pode acarretar distorções e defeitos na junta soldada. Essas chapas passaram por um tratamento térmico de alívio de tensões a 600°C e revenido a 650°C. Na primeira etapa do estudo foi realizada a caracterização da solda através dos ensaios de tração, impacto Charpy, microdureza e microscopia ótica, e a posteriori, foi realizada a avaliação das tensões residuais. Essas contribuem significativamente para o processo de degradação por fadiga e corrosão sob tensão. Os resultados obtidos comprovaram que o aço HY80 está de acordo com os requisitos exigidos pelas normas militares internacionais como as MIL-S-16216K, MIL-STD 22D e MIL-STD-1621K SH, para confecção de estruturas que são submetidas as mais diversas solicitações de esforços mecânicos como, por exemplo os cascos de submarino e estruturas offshore.
HUBUNGAN SUHU MAKANAN DAN CARA PENYAJIAN MAKANAN DENGAN TINGKAT KEPUASAN MAKANAN DI CATERING BETTY KARANGANYAR
Authors: Marfuah Dewi , Noviyanti Retno Dewi , Khotimah Febrian Nurul
Published: March 2023

Faktor yang mempengaruhi sisa makanan meliputi faktor internal (selera makan, kebiasaan makanan dan jenis kelamin) dan faktor eksternal (cita rasa, meliputi : bumbu makanan serta tekstur dan bentuk makanan dan penampilan makanan, meliputi: warna makanan, cara  penyajian makanan, besar porsi makanan, keempukan makanan dan suhu makanan). Cara penyajian makanan merupakan faktor yang perlu mendapat perhatian dalam mempertahankan penampilan dari makanan yang disajikan. Penyajian makanan berkaitan dengan peralatan yang digunakan, serta sikap petugas yang menyajikan makanan termasuk kebersihan peralatan makanan maupun kebersihan petugas yang menyajikan makanan. Selain cara penyajian makanan, suhu makanan juga merupakan faktor yang perlu mendapat perhatian dalam mempertahankan penampilan dari makanan yang disajikan. Penurunan suhu makanan dapat terjadi, salah satunya disebabkan oleh sistem distribusi makanan. Penelitian ini menggunakan desain penelitian observasional analitik dengan pendekatan Cross Sectional. Sampel dalam penelitian ini adalah anggota Polsek Karanganyar sebanyak 30 orang. Dari hasil penelitian didapatkan bahwa Ada hubungan suhu makanan dengan tingkat kepuasaan makanan di Catering Betty Karanganyar  (p= 0,032). Ada hubungan cara penyajian makanan dengan tingkat kepuasaan makanan di Catering Betty Karanganyar (p = 0,017).
Helsepersonell eller selger?
Authors: Moezzi Melody , Hofmann Bjørn
Published: March 2023

Hovedbudskap

Utviklingen i markedet for tannlegetjenester øker faren for at pasienter blir sett på som kunder og tannlegetjenestene som varer.

Det kan føre til at tannlegeprofesjonen beveger seg bort fra sin tradisjonelle rolle som helseprofesjonell og til å bli selgere.

Utviklingen kan undergrave samfunnskontrakten og bryter med sentrale prinsipper, normer og verdier i normativ etikk.

Utviklingen kan få betydelige konsekvenser for tannlegeprofesjonen i årene som kommer. Det er derfor klokt å reflektere grundig over dette.
Oppfølging etter kirurgisk frilegging av retinerte maxillære hjørnetenner i Den offentlige tannhelsetjenesten i Akershus
Authors: Mavric-Memija Amina , Kårestedt Henrik , Stuge Marianne Jentoft , Olsen-Bergem Heming
Published: March 2023

Hovedpunkter

Allmenntannleger i DOT, i samarbeid med spesialister i kjeveortopedi, utøver god behandling ved aktiv fremføring av retinerte overkjeve hjørnetenner.

Det er lite forekomst av komplikasjoner og høy grad av pasienttilfredshet.

Det er viktig med god og tilpasset peroperativ smertekontroll ved kirurgisk frilegging.

Det anbefales tidlig diagnostikk av displassering av overkjeve hjørnetenner og vurdering av interceptiv ekstraksjon av melkehjørnetann fra 10 års alder i samråd med kjeveortoped.

Tidlig henvisning til kjeveortoped er viktig når en avvikende erupsjonsretning på hjørnetannen er til stede.
Algunas notas jurídicas sobre la infraestructura verde a la luz de la Estrategia Nacional de Infraestructura Verde y de la conectividad y restauración ecológicas
Authors: Rando Burgos Esther
Published: March 2023

Con fecha 27 de octubre de 2020 ha sido aprobada por el Consejo de Ministros, la Estrategia Nacional de Infraestructura Verde y de la Conectividad y Restauración Ecológicas, una herramienta de planificación presentada como fundamental para identificar, conservar y recuperar los ecosistemas dañados de todo el territorio español y su conexión entre sí. Esta figura tiene su sustento jurídico en la Ley de Patrimonio Natural y de la Biodiversidad, en su redacción dada por la modificación operada por la Ley 33/2015, de 21 de septiembre, que la incorpora ex novo dentro de los instrumentos para el conocimiento y la planificación del patrimonio natural y de la biodiversidad.
La consistencia del contenido de las contribuciones determinadas a nivel nacional del Acuerdo de París con los Objetivos de Desarrollo Sostenible
Authors: Rodríguez Redondo Antonio Jesús
Published: March 2023

Es indiscutible la estrecha relación que guarda el Acuerdo de París de 2015 con el objetivo de desarrollo sostenible número trece, “adoptar medidas urgentes para combatir el cambio climático y sus efectos”. Esta relación, si hablamos de ella desde el punto de vista de la “acción”, podemos incidir en la importancia que tiene la técnica de las Contribuciones Determinadas a Nivel Nacional, pues los compromisos adquiridos por los Estados Partes en el tratado han de conseguirse a través de una serie de acciones a nivel nacional.

El presente trabajo pretende hacer una reflexión sobre la necesidad de una consistencia en la implementación tanto del Acuerdo de París como de la Agenda 2030. En este sentido, se va a realizar un análisis sobre los efectos negativos que, en el cumplimiento de ambos instrumentos jurídicos, pueden producirse si su implementación se realiza de una manera fragmentada y, por lo tanto, sin tener en cuenta las vinculaciones que los objetivos de desarrollo sostenible tienen entre sí y, éstos, con la técnica de las Contribuciones Determinadas a Nivel Nacional, en el marco del Acuerdo de París.
Un nuevo urbanismo para Europa: los fondos europeos de recuperación y su proyección en el futuro de las ciudades
Authors: Rastrollo Suárez Juan José , Ferraro Agustín E.
Published: March 2023

El instrumento Europeo de Recuperación supone un esfuerzo sin precedentes para impulsar la recuperación económica tras la crisis sanitaria de 2020. Además de fomentar una Unión Europea más ecológica, digital y resiliente, los fondos persiguen financiar proyectos de colaboración público-privada en torno a una serie de pilares. Algunos especialmente vinculados al urbanismo, como los de transición ecológica, crecimiento inteligente, sostenible e integrador o cohesión social y territorial. En la primera parte de este estudio, analizamos la evolución del urbanismo en Europa desde la aprobación de la Carta del Suelo del Consejo de Europa de 1972. Después, examinamos posibles ámbitos en los que poder impulsar proyectos urbanos en ejecución de los fondos europeos, en conexión con la nueva Carta de Leipzig y la Agenda Territorial Europa 2030, que persiguen fomentar una ciudad más justa, verde y productiva.
PENERAPAN USER CENTERED DESIGN (UCD) PADA WIREFRAME DESAIN USER INTERFACE DAN USER EXPERIENCE APLIKASI SINOPSIS FILM
Authors: Hartawan Muhammad Syarif
Published: March 2023

The purpose of this research is as a prototype for the application of User Centered Design in the development of User Interface Design and User Experience on the Film Synopsis android application. In developing android applications, the design of the User Interface (UI) and User Experience (UX) is a very important initial stage in using the application. This UI/UX will provide a user experience in using and interacting with this android application. In this article, we explain how UI/UX is designed in Film Synopsis using a User Centered Design (UCD) approach. At UCD there are 4 (four) stages in the UI/UX approach, namely analysis, design, evaluation, and implementation. Users will be involved in evaluating the designs that are made, so that the designs that are formed (made) can be improved for the convenience of users or android application users
PEMBATASAN AKSES SECARA FISIK DENGAN SISTEM FINGERPRINT DOORLOCK MENGGUNAKAN MICROCONTROLLER ARDUINO UNO R3
Authors: Arifin Wais , Fitriansyah Ahmad , Setiadi Dedi
Published: March 2023

This study aims to produce a prototype tool that can be used as a limitation of access to employee workspaces as part of improving internal control. The current problem, PT. Trijaya Global Marindo is a company engaged in sea transportation services. Every day many applicants or ship crews come to the office, so that many people pass in and out of the room, especially between the main door/office living room and the employee's room door, which currently has no security access installed. This causes someone other than the employee to leave the employee's room freely. The absence of these access restrictions can increase vulnerability to stealing goods or company data by outsiders. The method that will be used in this research is the Research & Development (R&D) method with data collection using field studies by observing the traffic of people at PT. Trijaya Global Marindo and analyzed the determinants of the installation point of the access restriction prototype. The results of the study were a prototype of an automatic door locking system using a fingerprint sensor FPM10A and Arduino Uno R3 which had passed the test using 20 fingerprint samples from 10 employees. After the prototype has succeeded in reading the recorded fingerprint, the door can be opened, for fingerprints that have not been recorded, the door remains locked
Invitroanti-Staphylococcus aureusactivity of the methanol extract from Mitrephora thoreliiPierre’s branches and leavesin Lam Dong Province, Viet Nam
Authors: Quynh Chi Duong Ha , Hai Phuc Hoang , Duc Hoa Ngo , Kim Diep Tran , Nha Hoa Phan
Published: March 2023

We demonstrated that the methanol extract of Mitrephora thoreliiPierre's branches and leavesin Lam Dong, Vietnam is anti-Staphylococcus aureusstrain (Sta1) of Phenikaa University, Hanoi, Viet Nam and Staphylococcus aureusATCC 29213strain(Sta2) from Thermo Fisher Scientific, USA. Invitro anti-Sta1 and Sta2 activity of the methanol extract of Mitrephora thoreliiPierre's branches and leaves were not significantly different. With a rise in extract content, the inhibitory zone's created diameter grew as well. The extract content of 100 mg/mL demonstrated the greatest antibacterial activity with a 25 mm inhibition zone diameter against Sta1 and 24mm inhibition zone diameter against Sta2. Bacteria were not resistant to the extract at concentrations of 20; 80 and 100 mg/mL after 48, 72, and 96 hours. The lowest inhibitory concentration (MIC) was between 312.5 and 625 μg/mL. The minimum bactericidal concentration was found to be 1.25mg/mL.
A Study to Evaluate the Validity of Diabetic Ulcer Severity Score in Predicting Outcome of patients with Diabetic Foot Ulcer
Authors: Elanchezhian M. , Kesavalingam K.
Published: March 2023

Aim: To evaluate the validity of Diabetic Ulcer Severity Score in predicting the outcome of patients with Diabetic Foot Ulcer

Methods: The materials used in the study consisted of 150 patients with Diabetic Foot Ulcer were admitted in department of General Surgery in Government Mohan Kumaramangalam Medical College and Hospital, Salem during January 2021 and October 2022.

Results: Most of the diabetic ulcers were scored with DUSS Score of 2 and 1. Almost 80 out of 150 people had amputations in this study. Amputations were more common in patients with DUSS score 4 followed by 3. Major amputations were common in diabetic ulcers with DUSS score 4 and no patients with score 0 and 1 had major amputation. Minor amputations were more common in diabetic ulcers  with DUSS score of 2. The probability of healing without amputation with score 0 was 100% and decreases to 17.3%% with score 3 and 0% with score 4.

Conclusion: DUSS scoring system delivers an easy diagnostic tool for assessing need for surgery and expectation of probability of healing/amputation by combining four clinically assessable wound based parameters. This is a simple and easy scoring system which does not need  advanced investigations and can be easily followed.
The impact of the Coronavirus (COVID-19) on the menstrual cycle and mental health of young Georgian women
Authors: Asanidze Elene , Kristesashvili Jenaro , Tchagiashvili Nunu , Kakhniashvili Tamar , Asanidze Aleksandre
Published: March 2023

The Coronavirus (COVID19) damages various systems and organs and can directly affect the reproductive system. Coronavirus infection affects not only physical health but also causes a significant threat to mental health. Objective of the study was to investigate the impact of the coronavirus infection and vaccination against coronavirus infection on the menstrual cycle and mental health of young Georgian women and establish the relationship between them. Methods: A cross-sectional study was conducted by administering online questionnaires to young women (18-25 years) in Georgia. Through questionnaires, we determined the characteristics of the menstrual cycle, the psychological state of the participants before being infected with the coronavirus, in the period 3-6 months after the infection and after the vaccination against the coronavirus infection. Results: 48.2 % of participants reported significant changes in their menstrual cycle after the coronavirus infection. Participants' mean menstrual cycle length significantly increased after 3 months of coronavirus infection, p<0.05. Participants' mean menstrual cycle length before, and 6 months after the coronavirus infection did not differ significantly. Duration of menstruation before the pandemic was significantly shorter than after 3 and 6 months of infection, p<0.05. The prevalence of premenstrual symptoms components and dysmenorrhea was significantly increased after 3 and 6 months of the coronavirus infection, p<0.05. Changes in the menstrual cycle within 3 months after vaccination were found in 58.8% of cases, the severity of which significantly decreased 6 months after vaccination, p<0.001. Women noted a significant increase in low mood, poor concentration, anxiety, poor sleep, loneliness after COVID-19 and vaccination, p<0.05 Conclusions: Coronavirus infection causes significant changes of the menstrual cycle and mental health in Georgian young women. The study indicated a link between the COVID-19 pandemic-induced anxiety, stress, depression, and menstrual cycle irregularity. Keywords: COVID-19; coronavirus infection, menstrual cycle; depression; stress.