bluuebunny/crossref_metadata_2025 huggingface dataset:
The Effect of The Insecticide Hulk on Some Genetic Characteristics of The Whitefly and The Cucumber Plant That Parasitizes It
Authors: Abd Rania Ghasan , AlSugmiany Rafea Zaidan Mikhlif
Published: March 2024

Background:  Whitefly, Bemisia tabaci is one of the major injurious sucking pests in tropical and subtropical regions. The effect of the insecticide Hulk, which is used to kill the whitefly, was revealed, and its effect on some of its genes and the genes of the cucumber plant that parasitizes it, was revealed.
Materials and Methods: The current study was conducted in Kirkuk Governorate. DNA was extracted from whiteflies treated with Hulk pesticides and not treated with pesticides as a control, and DNA was also extracted from cucumber leaves treated with the Hulk pesticide and not treated with the pesticide as a control in order to compare them. detecting the specific primer of gene 28s in the whitefly Bemisia tabaci and Matk gene in the plant Cucumis sativus. Three treatments of each pesticide at three concentrations (25% a quarter lethal, 50% half lethal, 100% lethal). 
Results:  The research found that 25% of the pesticide Halk killed 20% of the insects, 50% killed 40%, and 100% killed 70% within 24 hours. Pesticide Hulk found that cucumber plant mutations in the Matk gene and gene 28s had the best insecticidal effects against whitefly Bemisa tabaci.
Conclusions: Overall, results suggest that ethanolic DNA extracts pesticide Hulk is the occurrence of mutations in the Matk gene in the plant Cucumis sativus and gene 28s in the whitefly Bemisia tabaci showed the highest insecticidal effects on whitefly Bemisa tabaci.
Hubungan Tingkat Kecemasan dengan Kualitas Tidur dalam Menyusun Skripsi pada Mahasiswa Tingkat Akhir Prodi Sarjana Keperawatan Universitas Muhammadiyah Sukabumi
Authors: Winda Lestari  , Ernawati Hamidah  , Hadi Abdillah
Published: March 2024

Background: The biggest demand from students is that during the final semester, students are required to complete their final assignments. Inhibitory problems when preparing a final assignment can cause psychological disorders, which can cause anxiety. Continuous anxiety can affect sleep quality. The less anxious you are in preparing your thesis, the better the student's sleep quality and the more anxious you are, the worse the student's sleep quality. Research Objective: to determine the relationship between anxiety levels and sleep quality in preparing final year undergraduate students' thesis in the undergraduate nursing study program at Muhammadiyah University, Sukabumi. Method: The research used was descriptive correlational with a cross sectional approach with a total sampling method. Respondents in this study were 55 people. Measurements were carried out using the Zung-Self Anxiety Rate Scale (Z-SARS) questionnaire and the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Results: Based on the results of the Chi Square statistical test, it shows a p-value of 0.010 (p-value < 0.05). Conclusion: There is a relationship between anxiety levels and sleep quality in preparing a thesis for final year students of the Bachelor of Nursing Study Program, Muhammadiyah University, Sukabumi.
Hubungan Pola Makan Dengan Kejadian Anemia Pada Ibu Hamil Di Wilayah Kerja Puskesmas Nanggeleng Kota Sukabumi
Authors: Ikkeu Nuraeni  , Dhinny Novryanthi  , Saepul Mustopa
Published: March 2024

Background: Anemia is a health problem that is often experienced by pregnant women due to poor eating patterns during pregnancy. Objective: This study aims to determine the relationship between diet and the incidence of anemia in pregnant women in the working area of the Nanggeleng Community Health Center, Sukabumi City. Method: The type of research used was correlational with 51 samples selected through cluster random sampling. Result: The results of the study showed that the majority of respondents' eating patterns were poor, namely 27 (52.9%) respondents and a small portion of respondents' eating patterns were good, namely 10 (19), 6%) respondents. In the majority of cases, paleness in respondents was due to iron deficiency, namely 27 (52.9%) respondents and a small percentage of cases of anemia in respondents were non-frail, namely 24 (47.1%) respondents. It can be seen that the consequences of the measurable test using Chi-Square can be obtained by P-Value = 0.000, meaning < 0.05. Rejected by Ho, who stated that there was a relationship between dietary patterns and the incidence of anemia in pregnant women in the Health Center Work Area. This was based on rejecting the hypothesis. Based on the results and discussions regarding the relationship between diet and morbidity rates. Conclusion: It can be concluded that the research results show that the description of examples of eating patterns at the level of anemia in pregnant women in the working area of the Nanggeleng Community Health Center, Sukabumi City, most of them have unhealthy eating patterns. The results of the research show that there is a relationship between diet and the incidence of anemia in pregnant women in the working area of the Nenggeleng Community Health Center, Sukabumi City.
DZIAŁALNOŚĆ RATOWNICZYCH ORGANIZACJI POZARZĄDOWYCH W POLSCE NA PRZYKŁADZIE TATRZAŃSKIEGO OCHOTNICZEGO POGOTOWIA RATUNKOWEGO
Authors: ŻURAWSKI Sławomir , MARJAŃSKI Andrzej , OCHYRA Patryk , CIEKANOWSKI Zbigniew
Published: March 2024

Celem niniejszego artykułu była charakterystyka działalności organizacji pozarządowych na przykładzieTatrzańskiego Ochotniczego Pogotowia Ratunkowego. Za cel obrano również określenie wpływu działalności tychże organizacji na budowanie bezpieczeństwa wewnętrznego państwa oraz poczucia bezpieczeństwa obywateli. W pierwszej części opisano organizacje pozarządowe, ich rolę dla współczesnych państw, ramy prawne, w jakich funkcjonują, oraz określono ich definicje. Kolejno wyodrębnione zostały organizacje działające jako społeczne organizacje ratownicze, przedstawiono ich charakterystykę,przykładowe podmioty, a także ich udział w zarządzaniu kryzysowym. W głównej części skupiono się na ratownictwie górskim, omawiając jego działalność, biorąc za przykład interwencje podejmowane przez Tatrzańskie Ochotnicze Pogotowie Ratunkowe w 2022 r. Główny problem przedstawiono w formie pytania: Jaki wpływ ma działalność społecznych organizacji ratunkowych na budowanie bezpieczeństwa wewnętrznego państwa oraz poczucia bezpieczeństwa obywateli? Dla tak sformułowanego problemu badawczego przyjęto następującą hipotezę badawczą: Przypadki incydentów rejestrowanych w ostatnich latach oraz efektywna działalność TOPR wobec zaistniałych incydentów jest niezbitym dowodem na wpływ tego rodzaju organizacji na poziom bezpieczeństwa wewnętrznego państwa oraz poczucia bezpieczeństwa obywateli. W celu uzyskania odpowiedzi na postawiony problem badawczy posłużono się metodami jakościowymi.W ramach badania skorzystano z najnowszych statystyk dotyczących działalności społecznych organizacji ratunkowych przedstawionych w dokumentach i raportach w latach 2018–2022, a także przeprowadzono analizę w oparciu o artykuły naukowe z ostatnich lat. Informacje pozyskane zostały również z krajowych aktów prawnych.
DIAGNOZA DZIAŁAŃ OBRONNYCH IZRAELA PRZED TERRORYSTYCZNYMI ATAKAMI RAKIETOWYMI I MOŹDZIERZOWYMI W LATACH 2001–2012
Authors: Radomyski Adam , Michalska Anna
Published: March 2024

Zagrożenie Izraela ostrzałami rakietowymi i moździerzowymi z roku na rok przybiera na sile i skali oddziaływania. Można przyjąć, że ostrzały rakietowe i moździerzowe stały się po zamachach bombowych najgroźniejszą bronią ugrupowań terrorystycznych z Palestyny i Libanu. W tych działaniach prym wiodą dwie największe organizacje terrorystyczne, tj. Hamas i Hezbollah. Wraz z rozwojem tej formy terroryzmu Izrael musiał poprawić skuteczność systemu obronnego, co przełożyło się na skuteczniejszą ochronę ludności cywilnej i obiektów infrastruktury cywilnej i wojskowej przed atakami rakietowymi i moździerzowymi. Zmiany w systemie obronnym wymagały wielu lat pracy, a ich szczególna intensywność przypadła na lata. 2006–2012. Dokonane zmiany w systemie bezpieczeństwa przyczyniły się do wykształcenia dwóch form: obrony pasywnej i aktywnej, które są nieustannie modyfikowane i udoskonalane. Celem artykułu było scharakteryzowanie obrony Izraela przed atakami rakietowymi i moździerzowymi wykonywanymi przez ugrupowania terrorystyczne w latach 2001–2012. Przedmiotowo opracowanie ma charakter praktyczny, ponieważ proces badawczy został oparty na faktach i realnych działaniach zrealizowanych przez Izrael, mających ograniczyć wielkość strat wśród ludności cywilnej. Za początek rozważań naukowych przyjęto rok 2001, w których doszło do pierwszych ostrzałów rakietowych terytorium Izraela
The Nursing Practitioner Workforce: Attitudes, Preferences and Solutions towards Aging Population with Cognitive Disorder - A Systematic Literature Review
Authors:   Kupat Holim Meuhedet, Meuhedet Heath Services, Hussein Firas Atef Abu
Published: March 2024

Objectives: The objective of this systematic review is to comprehensively evaluate screening practices for cognitive impairment in older adults, emphasizing the critical role of nurse practitioners. Methodology: a systematic literature search of the major databases, inclusive of PubMed, PsycINFO, and Cochrane library was carried out. The search was keywords centred on articles that dealt with cognitive impairment screening in older adults with mental health problems. Articles were carefully chosen according to the inclusion criteria such as only those articles which had been published during the last nine years and had undergone a peer-review process. Data extraction process involved identification of screening methods, participant characteristics, and major findings. The quality assessment made sure that the chosen literature was of good reliability, and data synthesis identified common factors such as similarities and differences between various studies. Results: The search resulted to 144 articles but after intensive screening 20 of them were included in the review. Results were reported from different healthcare settings, showing both the frequency and the effectiveness of screening tools for identifying cognitive impairment. The role of nurse practitioners was identified in the selected articles, more particularly in establishment screening systems, use tools for identification, and practice advanced roles. The synthesis revealed the role of patient-centred treatment, all-rounded approaches, and the opportunity of blending cognitive screening with routine healthcare practices.
Determinants of Non-Performing Assets and the Performance of Islamic Banks in Pakistan
Authors: Rehman Abdul , Rubab Sana , Khaliq Asma Abdul
Published: March 2024

These days non-performing assets have been essential factors in terms of the banking sector's profitability and sustainability. This study aims to weigh factors that may affect the surging level of non-performing assets in Pakistani Islamic banks. The study uses the Financing-to-deposit ratio (FTDR), Bank size, Return on assets (ROA), Inflation rate, and interest rate as the determinants of non-performing assets as banks' internal and external factors, respectively. The performance of Islamic banks is measured using Tobin’s Q ratio. Panel data from 2012 – 2022 was extracted from unconsolidated financial statements of Islamic banks and the World Bank database. Descriptive statistics, correlation, and panel least square regression analysis were used to find the relationship between non-performing assets (independent variable) and banks' performance (dependent variable). Data analysis is done through the EViews application software. The findings of this study revealed that there is a significant impact of different factors of non-performing assets on the performance of Islamic banks in Pakistan. The results of the analysis concluded that banks' performance can be increased by reducing the level of non-performing assets. The study will benefit the management of Islamic banks in considering these factors to improve their performance by controlling the level of NPAs.
Ethical Values Among Students: A Case Study of the University of Loralai
Authors: Zahir Abdul
Published: March 2024

The present study was conducted on the perceptions of students regarding the ethical values among students at the university level. According to a current research survey, ethical values are highly appreciated among students in the Education department. Students have a passion for care, honesty, respect and fairness among each other. It was found that students engage in academic activities, maintain university property, and share belongings. They show tolerance, apologize for mistakes, respect senior and female students, and do not cheat. They complete assignments on time, maintain cleanliness, communicate knowledge, and follow university rules. They also respect and return belongings to friends. A simple random sample technique was used for taking data from respondents. The population was students of the Education Department at the University of Loralai. Fifty respondents were taken as a sample from the Education Department of the University of Loralai. Data was collected by using a points Likert scale having options ‘Strongly Agree,’ ‘Agree,’ ‘Neutral,’ ‘Disagree,’ and ‘Strongly Disagree.’ The collected data was analyzed through simple percentages and frequency. Major findings of the study showed that there are positive effects of Ethical values among students of the University of Loralai.
Lippia gracilis Schauer (Verbenaceae): principais constituintes químicos e atividades farmacológicas
Authors: Alencar Isabelle Bruna Menezes Ferreira , Silva Willams Alves da , Araújo Katarina Maria dos Reis , Magalhães Laisa Graziely Araújo , Freire Girleny Costa , Silva João Guilherme Pereira , Vasconcelos Raquel Bastos , Meireles Maria Erivanda Castelo , Soares Igor Lima , Bandeira Mary Anne Medeiros
Published: March 2024

Objetivo: Investigar a literatura acerca de seus principais constituintes e atuais evidências do potencial farmacológico da Lippia gracilis Schauer. Método: Trata-se de uma revisão integrativa da literatura. Foram realizadas buscas nas bases eletrônicas de dados: SciElo, SciVerse Scopus, EMBASE, Web of Science, DOAJ, DataCite Commons, PubMed e LILACS. Como critérios de inclusão, considerou-se os artigos dentro do período de 15 anos (2008 a novembro de 2023) com visualização completa disponível, enquanto que, para exclusão, utilizou-se os critérios: artigos repetidos na busca, revisões e trabalhos tangenciais à pergunta norteadora ou com resultados inconsistentes. Resultados: As principais atividades farmacológicas são: cicatrizante, antioxidante, antimicrobiana, antiparasitária, anti-inflamatória, antinociceptiva e citotóxica. As folhas desta planta são normalmente preparadas por infusão ou decocção e consumidas na forma de chás. Além disso, também podem ser embebidos em álcool para uso tópico. Considerações finais: Desta forma, para melhor compreender os atributos farmacológicos desta planta, extensas pesquisas foram realizadas. O foco principal destes estudos tem sido examinar os efeitos terapêuticos do óleo essencial da planta, particularmente quando extraído das suas folhas.
Identificação fenológica da espécie Hovenia dulcis Thunberg em ambientes nativos por meio de fotos aéreas
Authors: Pyl Bruno Alexandre , Pyl Adriana Gibathe , Iurk Mariângela Ceschim , Dlugosz Fernando Luís
Published: March 2024

Entende-se como espécie invasora, aquela que supera três obstáculos, sendo eles: o limite geográfico; o êxito na sobrevivência e reprodução da espécie; e se perpetuar em áreas distintas. A Hovenia dulcis Thunberg, é considerada uma espécie exótica invasora no Brasil, a qual domina e degrada facilmente os ecossistemas nativos, sendo assim, de suma importância a avaliação e o monitoramento da espécie exótica invasora H. dulcis. Este monitoramento, tem sido facilitado com o uso do sensoriamento remoto, que se baseia principalmente em imagens obtidas por sensores ópticos multiespectrais, que ficam a bordo de satélites e em imagens coletadas por Veículos Aéreos   Não Tripulados (VANT’s). O presente trabalho tem como objetivo, avaliar o uso de fotos aéreas para a espécie H. dulcis em diferentes estágios fenológicos, com o intuito de descobrir a melhor época para a sua identificação. Assim, foi realizada a análise de fotos aéreas em diferentes meses, que contemplam os estágios fenológicos da espécie, com voos realizados com VANT, sobre a vegetação arbórea presente no Campus da UNICENTRO de Irati-PR. O processamento das fotos, foi realizado com o software Agisoft Metashape para a geração de ortomosaico RGB, e aplicação dos índices de vegetação GLI (Índice Folha Verde) e VARI (Índice Resistente à Atmosfera na Região Visível), enquanto que no software QGIS 3.26.2, foi plotado pontos para a fotointerpretação dos indivíduos de H. dulcis, com base no ortomosaico RGB. Também para a obtenção da verdade de campo, foram coletadas as coordenadas geográficas dos indivíduos desta espécie, com o auxílio de um receptor GNSS. Com esta pesquisa, foi possível obter a comprovação de que há diferença na identificação da H. dulcis nos distintos estágios fenológicos, podendo assim definir, como o período de frutificação (maio) o ideal para fazer o monitoramento da espécie por meio VANT’s.
O financiamento da educação e medidas socioeducativas em espaços de privação de liberdade, Bahia e São Paulo, 2008-2020
Authors: Januário Eduardo , Pereira Júnior Paulo Roberto Cardoso , Silva Roberto da
Published: March 2024

O artigo pretende problematizar a política de encarceramento, denominada “cultura do crime”, a partir do financiamento das medidas socioeducativas na Fundac, no estado da Bahia e na Fundação Casa, no estado de São Paulo. A análise insere o Estado brasileiro na perspectiva teórica da crítica ao Estado tutelar, cujas principais características são a manutenção da histórica desigualdade econômica e racial, por meio do caráter ativo do Estado, qual seja, a disparidade entre a Lei e sua prática quanto à destinação orçamentária, sobretudo quando o sujeito de direito é a população negra. Para tanto, buscou-se investigar o orçamento dos respectivos Estados a dinâmica da verba destinada no período de 2008 a 2020, considerando o impacto da Resolução do Sistema Nacional de Atendimento Sócio-Educativo (SINASE) e da Resolução CNE nº 3, de 13 de maio de 2016, a qual definiu as Diretrizes Nacionais para o Atendimento Escolar de Adolescentes e Jovens em cumprimento de medidas socioeducativas.
Anemia en el embarazo como factor de riesgo en la desnutrición infantil en menores de 2 años del Cantón Tisaleo 2019-2022
Authors: Flores-Serrano Luz Veronica , Alcocer-Díaz Sirley
Published: March 2024

La anemia gestacional y en niños es uno de los problemas más importantes de salud pública en el mundo esta es una condición caracterizada por una disminución de los niveles de hemoglobina en la sangre, la presente investigación presentó como objetivo evaluar la anemia en el embarazo como factor de riesgo en la desnutrición infantil en menores de 2 años del Cantón Tisaleo 2019-2022. El diseño de la investigación fue descriptiva, retrospectiva, de corte transversal. La población fueron los niños menores de 2 años, que corresponden a 482 pacientes, de estos pacientes con diagnóstico de anemia fueron 282 pacientes menores de 2 años, como muestras se incluyeron a todos los pacientes menores de 2 años con anemia. Los resultados determinaron que 90 niños que presentan anemias sus madres presentaron esta afección en el embarazo, el total de los niños con anemia fue de 111, de los cuales el 53,15% eran del género femenino y el 46,85% al masculino, el nivel socieconómico influyó significativamente en que los niños padezcan de anemia, ya que el 17% de los niños con anemia pertenecen a familia de un nivel económico bajo.Entre los principales hallazgos se logró determinar que existe una relación significativa entre la desnutrición infantil y la anemia en el embarazo, con una significancia de 0,0. El principal factor para que el niño padezca de desnutrición infantil es que la madre haya tenido anemia durante el embarazo, ya que nace con bajo peso, la desnutrición en niños está relacionada con factores socioeconómicos.
La Responsabilidad Social dentro de la Administración Pública y su relación con los Presupuestos Participativos
Authors: Villarreal-Chiriboga Brayan Alexis , Ortiz-Tirado Paul Santiago , Valverde-Obando Adrián Alexander
Published: March 2024

El presente artículo muestra la posibilidad de anclar la responsabilidad social empresarial con las administraciones públicas y la identificación de una existencia real de este tipo de responsabilidad en el campo público, además se puede ver las similitudes que tiene la responsabilidad social de las instituciones públicas y privadas en la obtención de un buen Gobierno. El objetivo general pretende vincular la responsabilidad social pública y la participación ciudadana enfocada desde la perspectiva de los presupuestos participativos que se pueden generar en los gobiernos autónomos descentralizados del Ecuador. Los problemas y limitaciones que existen en las administraciones públicas en la búsqueda de eficiencia por medio de la aplicación de la responsabilidad social pública y los presupuestos participativos, enfatizando en las limitaciones conceptuales, operativas y de alcance que estas tienen, Además se conocerá ventajas y desventajas de los presupuestos participativos en la búsqueda del buen Gobierno y de los presupuestos participativos en la búsqueda de la responsabilidad social de las administraciones públicas.
Malaria y anemia no complicada durante la época invernal en adultos atendidos en el distrito salud 08d02
Authors: Chilán-Chilán Irma Alexandra , Armijos-Briones Fernando Marcelo , Marcillo-Carvajal Carlos Pedro
Published: March 2024

Malaria y anemia son problemas de salud pública de alcance mundial, pero su impacto puede variar según las condiciones locales, las condiciones climáticas invernales pueden influir en la transmisión de la malaria y en la gravedad de los casos, lo que podría tener consecuencias directas en la incidencia de anemia no complicada.Esta investigación se propuso analizar la relación entre la malaria y la anemia no complicada durante la temporada invernal en pacientes del Distrito de Salud 08D02 entre 2020 - 2022. Se empleó un enfoque cuantitativo mediante un estudio transversal retrospectivo. La investigación se centró en usuarios del Distrito Salud 08D02 durante la época invernal, aplicando análisis estadísticos para evaluar la relación entre la presencia de malaria y anemia no complicada. Los resultados revelaron una asociación significativa entre malaria y anemia no complicada. La tabla de contingencia muestra que los pacientes con malaria también presentaron anemia. Pruebas estadísticas, La Tabla 1 muestra datos demográficos y clínicos (n=98): mayormente hombres (55.1%), año 2021 (58.2%), unidad "Zapallo Grande" (67.3%), ocupaciones principales: estudiantes (39.8%) y agricultores (31.6%), mayoría indígena (80.6%), tratamiento ambulatorio (90.8%), diagnóstico B500 (92.9%). La Tabla 2 evidencia diferencia significativa en hemoglobina entre muestras. La Tabla 3 revela variaciones en hemoglobina por grupo étnico y unidad operativa, destacando indígenas y "Hoja Blanca". La Tabla 4 señala diferencias en la pérdida de hemoglobina entre grupos étnicos, unidades operativas y parroquias. Se concluye que existe una conexión substancial entre la malaria y anemia no complicada en adultos durante la época invernal en el Distrito 08D02. Estos hallazgos respaldan la necesidad de estrategias de intervención que aborden ambas condiciones de manera integral, destacando la importancia de un enfoque coordinado en la atención médica durante esta temporada específica.
Hirschsprung’s Disease Diagnosis: A Comparison of Calretinin and CD56 Immunohistochemistry
Authors:   M.B.Ch.B. Department of Histopathology, Rizgary Teaching Hospital, Aldeen Dalya Sabah Najm , Al-rawi Rafal Abdulrazaq ,   M.B.Ch.B, F.I.C.M.path, Ass. Prof. Department of clinical analysis, College of Pharmacy, Hawler Medical University, Erbil, Hamad Amen Kalthuma Salih ,   M.B.Ch.B, KHCMS-Iraq, Department of Histopathology, Rizgary Teaching Hospital, Erbil
Published: March 2024

Background & objectives: Hirschsprung’s disease is attributable to the congenital lack of ganglion cells in the far intestine. Rectal biopsy is deemed critical for its testing. In some instances, regular techniques fail to detect it. This study aims to evaluate the testing role of calretinin and CD56 immunohistochemistry and correlate the results to routine hematoxylin & eosin stained samples. Methods: This retrospective study was conducted in Rizgary Teaching Hospital, Erbil, Kurdistan region, Iraq. Rectal biopsies and colonic resection specimens of the clinically suspected Hirschsprung’s disease patients were collected and stained with calretinin and CD56 then their findings were compared to the hematoxylin and eosin stained sections during the period between February 2016 to October 2021. Results: Fifty patients aged from 3 days to 8 years with a male-to-female ratio of 3.6:1 were examined for rectal and colonic biopsies. Forty out of 50 cases were detected as HD by H&E staining. The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy rate of calretinin were coherent with that of H&E-stained samples (100%), the likelihood ratio was 50 and the kappa test was 1, were superior to CD56 results with sensitivity (100%), specificity (90%), positive predictive value (97.5%), negative predictive value (100%), accuracy rate (98%), likelihood ratio was 27.77 and kappa test was 0.805. Conclusions: Immunohistochemical expression of calretinin is more specific and accurate than CD56 in HD diagnosis. Calretinin is a trustworthy, additional diagnostic tool for better morphological evaluation of ganglion cells and thereby assists in making a reliable diagnosis of HD.
Two years recurrence rate of ovarian and endometrial malignancies following Surgical versus clinical staging
Authors:   MBChB, KBMS/Obstetrics and Gynecology trainee, Sulaymaniyah Maternity Teaching Hospital, Sulaimani, Iraq., Rashid Dr. Shokhan Faeq , Mahmood Dr. Maryam Bakir ,   MBChB, FICOG; Assistant Professor in Medical college, Sulaimani University, Iraq., Hawramy Prof. Dr. Taher Abdullah Hussein ,   M.B.Ch.B, D.G.S, CABS, FACS, Consultant Surgeon, Sulaimani, Iraq.
Published: March 2024

Background and objectives: Gynecological cancers represent a big burden on national health institutes. Recurrences of these cancers are documented frequently that needed more efforts to prevent or reduce them. The aim of the study was to know the difference between Standard Surgical Staging and Non-Standard Surgical Staging in gynecological cancers in terms of recurrence rate. Methods: This study was a retrospective cross-sectional study conducted at the Maternity Teaching Hospital and Hiwa Hospital in Sulaymaniyah city-Kurdistan region/Iraq over two years from June 2020 to June 2022, on sample of 86 women with gynecological cancer divided into two study groups (42 women underwent standard surgical staging and 44 women underwent non-standard surgical staging). Standard surgical staging for endometrial and ovarian cancers included midline laparotomy, peritoneal washout, samples from the right and left sub-diaphragmatic surfaces, infracoloic Omentectomy, total abdominal hysterectomy & bilateral salpingo-oophorectomy, any peritoneal deposits and pelvic and para-aortic Lymphadenectomy in maternity hospital Results: The recurrence rate in women with non-standard surgical staging were 25% (p=0.009), while in women with standard surgical staging were 4.8%. 11 women with non-standard surgical staging had advanced cancer stages at recurrence compared to 2 cases with standard surgical staging. Although no significant difference in death outcome between both study groups (p=0.09), no woman who underwent standard surgical staging with recurrence died, while the death rate of women underwent non-standard surgical staging with recurrence was (63.6%) Conclusions: The standard surgical staging in women with gynecological cancer is important in the recurrence rate of these cancers.
Pap smear in Early Detection of Cervical Precancerous Lesions in Erbil
Authors:   M.B.Ch.B, Trainee at Kurdistan Higher Council of Medical Specialties, Erbil-Iraq, Muhammad Avin Wlya
Published: March 2024

Background and objectives: Cervical cancer remains common. This may be because Iraq has no cervical cancer screening or human papilloma virus vaccination program. The goal of the study is to figure out how well the Pap smear works as a way to find cervical precancerous lesions also identify the prevalence of cervical cancer among women and to identify the potential risk factors for cervical cancer. Methods: A prospective cross-sectional study conducted using closed end questionnaire tool for the purpose of data collection which started from 1st of October 2021 until 1st of September 2022. Convenient type of sampling was used in collecting data which include 470 women attending to cervical screening unit in Maternity Teaching Hospital, Erbil, Kurdistan Region /Iraq. The questionnaire composed of two main parts including the socio-demographic data of the patients such as age, gender, occupation, education level, religion, income status, age at the marriage, duration of marriage…etc. The result of pap smear and cone biopsy performed during colposcopy procedure to match the accuracy of pap smear. Results: The findings revealed that 36% of the women aged between 40-49 years, the majority (80%) of them were married at the age of 15-24 years, 30% of their marriage lasted from 4-14 years, and most (72.6%) of them were housewives. The result of sensitivity, accuracy, positive and negative predicted value was equal to 45.6%, 97.7%, 80%, 89.9% respectively. The kappa test was 0.52 which indicate agreement between screening and gold standard test is a diagnosis of cervical cancer is still colposcopy-guided biopsy, which is then staged on the basis of the clinical examination and the outcome of imaging procedures, most obtained results were statistically significant. Conclusion: Pap smear had a lower sensitivity, but a higher specificity in the current study. The most common complaint of the women was post-coital bleeding. Severe acute cervicitis was the most common finding for the Pap smear.
Factors predicted metabolic syndrome among health care workers exposed to coronavirus disease 2022 in Erbil, Iraq
Authors:   M.B.Ch.B., F.I.B.M.S, Ahmed Halgurd Fathulla ,   Assistant Professor in Internal Medicine-Director of training Kurdistan higher council for medical specialties, Consultant physician,   Rizgary Teaching Hospital, Erbil-Kurdistan region/Iraq, Sabir Hemn Khalid ,   *M.B.Ch.B., F.I.B.M.S, F.K.B.M.S-Pulmonology; Lecturer Pulmonary Medicine, Department of Medicine, College of Medicine, Hawler Medical University, Pulmonologist; Rizgary Teaching Hospital, Erbil-Kurdistan region/Iraq., Hassan Maroof Tahsin ,   M.B.Ch.B., F.I.B.M.S; Assistant Professor in Community Medicine. Deputy President of Kurdistan higher council for medical specialties, Erbil-Kurdistan region/Iraq.
Published: March 2024

Background and objective: There have been a recent concern about life style and stress exposure among health care workers during corona virus infection pandemic. This study aimed to investigate the lifestyle of the staff working in public hospitals in Erbil city during the years of 2021-2022. Methods: This is a survey involving data of the available hospital staff from 1st of January 2021 to 1st of April 2022. The hospital staff were including the reception staff, logistic staff, doctors and medical assistances working at the hospitals during the COVID-19 pandemic. In this study, 313 hospital staff are taken conveniently from the working hospitals. Demographic data and laboratory investigations were taken from all the participants. Results: During COVID19 metabolic syndrome was high among staffs. Females shown to have higher prevalence of metabolic syndrome (28.9%) than males (12%). Have a car (19.9%), living in rural area (21.7%) primary education (33.3%) have highest prevalence of metabolic syndrome. Furthermore, regarding the occupation of staffs, operation assistants have highest prevalence of metabolic syndrome (37.2%) followed by reception staff (28.6%) and pharmacists (25%). Association with male sex (p value<0.001), marriage (p value=0.01) with metabolic syndrome was statistically significant. Conclusions: During COVID19 pandemic metabolic syndrome was common among staffs. Aging, sex, education, occupation, smoking, fatty diet, marriage, family history of diabetes and cardiac disease are the main risk factors for metabolic syndrome. People with these risk factors should be assessed for metabolic syndrome and educated about the risks and possible consequences in the future.
Incidence of hypoglycemia among patients with type 2 diabetes who fasted during Ramadan
Authors:   M.B.Ch.B., FRCP (Edinburgh), MRCP (London), FKBMS, Endo Diploma (UK), Assistant professor of endocrinology and diabetes, College of Medicine, University of Duhok, Qasim Bayar Ahmed , Ahmed Mazyar Jabbar ,   MBChB, FIBMS, HDE, Endocrinologist, Kurdistan board of medical specialties, Hawler., Mohammed Ayad Ahmad ,   MBChB, FIBMS General Surgeon, Department of Surgery, College of Medicine, University of Duhok.
Published: March 2024

Background and Objectives: Fasting causes a major change in the dietary habits including the frequency, the timing, and the patterns which will result in a major change in the metabolic response of the body. Physicians should advise the patients about the complications of diabetes mellitus during fasting especially hypoglycemia, the aim of this study is to determine the relation between fasting Ramadan in type 2 diabetes and hypoglycemia risk. Methods: This is a cross-sectional prospective study, which included 304 Muslim patients with type 2 diabetes mellitus who are receiving oral hypoglycemic agents as management were included in this study, while those on insulin were excluded. These patients had decided to fast Ramadan during 2019 in two cities, 122 patients were from Duhok city and 183 patients from Erbil city, Kurdistan region of Iraq. All patients’ body mass index recorded and a blood sample was taken to measure HbA1c and lipid profile. Results: Most patients had no attacks of hypoglycemia (86.20%), while 13.80% had one or more hypoglycemic attacks. The attacks of hypoglycemia confirmed clinically and biochemically that is by checking random blood sugar. There was no significant correlation between the hypoglycemic attacks and the variables studied in this article, such as the duration of diabetes, oral hypoglycemic agents, however, there was significant relation between hypoglycemic attacks and days of fasting in Ramadan and ready to break fasting (P value of 0.026 and 0.008 respectively). Conclusion: There was no association between fasting Ramadan and development of hypoglycemic attacks, however physicians must warn patients about the possible risk of hypoglycemia during fasting and it’s the patient’s own decision to continue fasting or not.
Correlation of High Sensitive C-Reactive Protein with the Extent of Coronary Atherosclerotic Disease
Authors:   MB.Ch.B, MSc cardiology, High diploma candidate in interventional cardiology, College of Medicine, Hawler Medical University, Anwer Saud Sherwan
Published: March 2024

Background and objectives: The inflammatory process of the intima of coronary vessels is significant in the atherosclerotic process. We aimed to evaluate the role of high sensitive C-reactive protein in diagnosing and prognosis of ischemic heart disease and atherosclerosis. Methods: From 2021-2022, we randomly enrolled 100 patients referred to surgical specialty hospital/ cardiac center in Erbil City (Jan 2021- Jan 2022) for angiography complaining of a chronic coronary syndrome. Blood sampling was taken to measure (high sensitive C-reactive protein). Coronary artery angiography was done, and the extent of atherosclerosis was measured using the Syntax score and clinical syntax score using the calculator from internet site www.syntaxscore.org. Results: We enrolled 58 males and 42 females; 39% of patients had Diabetes mellitus, 49% had hypertension, 41% were smoker, 18% with peripheral arterial disease, 8% had chronic obstructive disease, and 3% with left primary illness. The study showed a highly significant linear correlation between high sensitive C-reactive protein and syntax score of 15±10.52 and clinical syntax score 26.68±12.17. Conclusion: The study concluded that a high sensitive C-reactive protein level is a reliable method to independently predict coronary artery disease in ischemic heart disease patients and the extent of severity; these results were not affected by sex category and other risk factors like diabetes mellitus, hypertension, or smoking.
O IMPACTO DAS REDES SOCIAIS NA SÍNDROME DE TOURETTE: UMA REVISÃO SISTEMÁTICA
Authors: Novaes Maria Eduarda Dib , Novaes João Victor Dib
Published: March 2024

A Síndrome de Tourette (ST), descrita pela primeira vez no ano de 1885, é uma doença do âmbito neuropsiquiátrico que possui como principais características o acometimento do individuo por tiques motores e vocais, além de poder ter associação com outras patologias psiquiátricas.  Com a pandemia da COVID-19 e o consequente crescimento das redes sociais, diversos distúrbios de Saúde Mental apareceram e se intensificaram, tanto pelo isolamento, quanto pela intensa e massiva quantidade de informação veiculada nos ambientes virtuais. Em detrimento disso, surge uma importante demanda de discussão sobre o bem-estar psicossocial e o impacto das redes sociais no mesmo.
IMPLEMENTACIÓN Y EVALUACIÓN DE UN AMBIENTE VIRTUAL DE APRENDIZAJE EN BLOG PARA EL MEJORAMIENTO DEL CONOCIMIENTO TEÓRICO Y PRÁCTICO DEL VOLEIBOL EN ESTUDIANTES DE GRADO SÉPTIMO
Authors: Juan Salvador Lozano Torres
Published: March 2024

El presente artículo académico surge a raíz de una investigación cuyo objetivo principal es desarrollar, implementar y evaluar un ambiente virtual de aprendizaje (AVA) alojado en un blog, con el propósito de mejorar el conocimiento teórico y técnico del voleibol en estudiantes de grado séptimo. A partir de la necesidad de plantear alternativas ante la enseñanza tradicional, la cual en muchos casos no logra abarcar todos los aspectos necesarios para un aprendizaje completo y enriquecedor mediante una metodología investigativa con enfoque cualitativo. Los resultados preliminares revelan que el AVA propuesto puede constituir una herramienta efectiva para mejorar el entendimiento y la habilidad técnica del voleibol en los estudiantes de grado séptimo. Se observa un aumento en la participación y el compromiso con el aprendizaje, lo que sugiere que este ambiente educativo enriquecedor logra involucrar e interesar a los estudiantes de manera significativa. En conclusión, este estudio contribuye al campo de la educación al explorar y demostrar el potencial de los ambientes virtuales de aprendizaje como una opción viable y beneficiosa para mejorar el proceso de enseñanza y aprendizaje en el voleibol y, posiblemente, en otros contextos educativos. Se espera que los resultados finales de la evaluación del AVA sean de utilidad para docentes, instituciones educativas y diseñadores de materiales didácticos.
INTRODUCCIÓN GENERAL
Authors: Areces Arsenio J. , Cano Mercedes , Valdés-Iglesias Olga , Agramonte Francisco Vicente Rodríguez
Published: March 2024

La información brindada al lector en esta compilación de resultados constituyó el fruto del trabajo realizado durante más de 10 años, el cual se inició a comienzos de la última década del siglo XX. Fue llevado a cabo por un equipo multidisciplinario de investigadores y se realizó a diferentes escalas y con múltiples objetivos. Dicho equipo dispuso además de la participación de numerosos técnicos y estudiantes.
Peces dulceacuícolas endémicos del estado Puebla, México
Authors: Aviña Juan Ricardo Cruz , Contreras Daniela Ramos , Álvarez-González Carlos Alfonso , Güizado-Rodríguez Martha Anahí , Díaz-Larrea Jhoana , Cabrera Rubén , Quintana Fernando Utrera
Published: March 2024

La determinación o delimitación de las especies es el primer paso hacia la comprensión básica de la biología y ecología de la ictiofauna. Las claves para la identificación de los peces de México; a donde corresponde el estado de Puebla, confrontan los especímenes a la mano, con alternativas opuestas para la toma de decisiones. En las locaciones donde se verifican actividades humanas el crecimiento económico está condicionado por la destrucción de los hábitats. Esto es hoy día también una dicotomía pues por un lado se halla el ecologismo a ultranza, y por otro “el crecimiento económico”. Debido a los procesos de colmatación de los cuerpos de aguas, la contaminación o pesca excesiva se han diezmado las poblaciones naturales poniendo a los peces, frente a múltiples amenazas, muchas de las cuales han sentado las bases de su extensión. El censo de la ictiofauna endémica de Puebla es un precedente que muestra la riqueza de este recurso frente a los desafíos recientes del desarrollo económico.
ENTREVISTA MOTIVACIONAL
Authors: Dornellas Leonardo Hosken , Afonso Marcelo Pellizzaro Dias
Published: March 2024

No século XX foram alcançados feitos notáveis na cura de doenças, o que levou a um aumento significativo da expectativa de vida da população. No entanto, atualmente o mundo sofre com uma pandemia de doenças crônicas, como as doenças cardiovasculares, obesidade, hipertensão arterial sistêmica, diabetes e doenças psiquiátricas, as quais têm intrínseca relação com o estilo de vida da população. Dessa maneira, estratégias pautadas em evidências que ajudem a população a adquirir um estilo de vida mais saudável são fundamentais
ATIVIDADE FÍSICA
Authors: Ferreira Ana Laura Henriques Araújo , Neves Milene Garcia , Penna Leandro
Published: March 2024

Atualmente, sabe-se que a atividade física tem efeitos benéficos para saúde, uma vez que está envolvida na liberação de hormônios, como a endorfina e a serotonina, que promovem melhora do humor e sensação de bem-estar, além disso, a atividade física atua no aumento do condicionamento físico e respiratório e no gasto calórico. Entretanto, apesar de uma parcela da população ter ciência desses benefícios, muitos não conseguem vivenciar na prática a experiência de se exercitar, por diversos motivos, sejam estes físicos, sociais ou psicológicos. Logo, é de grande importância propiciar aos estudantes de medicina e médicos oportunidades de formação para que estes possam intervir para que seus pacientes sejam mais fisicamente ativos, considerando as mais recentes evidências sobre o tema
MANEJO DO ESTRESSE
Authors: Vieira Priscila , Santos Filipe Malta dos
Published: March 2024

O estresse, conforme informações trazidas pelo Ministério da Saúde 3 , consiste em uma reação natural do nosso organismo ativado sempre que vivenciamos situações de perigo ou ameaça. Logo, ele nem sempre será negativo, na verdade consiste em um estímulo que nos coloca em estado de alerta, e pode provocar alterações físicas e emocionais que nos impulsionam a alguma ação. No nosso dia a dia convivemos com inúmeras fontes estressoras, incluindo fontes internas, em que o estímulo estressor vem de dentro de nós, e fontes externas, em que o estímulo estressor vem de fora
40 años de democracia. El desarrollo como promesa y condición
Authors: Fiszbein Martín , Kulfas Matías , Cimoli Mario
Published: March 2024

Mesa de cierre en el marco de las IX Jornadas de Historia de la Industria, los Servicios y el Desarrollo, realizada el viernes 11 de agosto de 2023 en la Facultad de Ciencias Económicas de la Universidad de Buenos Aires.
Contreras, Manuel. El surgimiento de la ingeniería en Bolivia. Formación y ejercicio de la profesión, 1900-1964. Plural Editores, 2022. 293 pp.
Authors: Nasra Tomás
Published: March 2024

Reseña de El surgimiento de la ingeniería en Bolivia. Formación y ejercicio de la profesión, 1900-1964 de Manuel Contreras.
¿El desarrollo es un sueño eterno? Mariano Grondona ante la crisis de 2001 y los años kirchneristas
Authors: Schuttenberg Mauricio , Vicente Martín
Published: March 2024

El presente artículo analiza la producción intelectual de la última etapa de la trayectoria del periodista y ensayista Mariano Grondona, que comprende la crisis del 2001, los años del kirchnerismo y finaliza con su retiro paulatino, concretado en 2016. El trabajo se concentra en los libros que el autor editó en el período seleccionado, que reformulaban sus intervenciones como columnista, para dar cuenta de los giros argumentales de su pensamiento en esos años. El eje argumental de Grondona se desplazó desde su propuesta de un “posli­beralismo”, que había construido en la década de 1990, a una perspectiva sumamente crítica de los gobiernos de Néstor y Cristina Kirchner, que lo llevó a revisitar las tesis decadentistas que expusiera antes de la transición democrática y a reformular la cuestión del desarrollo, una propuesta central de su trayectoria en tándem con la mirada ordenancista.
Innovaciones globales, especialización productiva y comercial
Authors: Dulcich Federico , Benchimol Pablo
Published: March 2024

Al inaugurar su planta productiva de Zárate en 1997, Toyota se convirtió en una de las últimas automo­trices globales en instalar una planta en la Argentina. Veinticinco años después, Toyota lidera la producción, ventas internas y exportaciones de vehículos en el país. El objetivo del presente trabajo es analizar las particularidades del caso Toyota en Argentina, de manera de identificar los factores explicativos de su singular trayectoria productiva y comercial. Los atributos estudiados para identificar los rasgos diferenciales de Toyota serán la trayectoria de los grupos automotrices a nivel global, la especialización productiva y de comercio exterior de las automotrices en la Argentina, la utilización de plataformas comunes en la producción del país, la orientación exportadora de la pro­ducción, la incidencia de las exportaciones extrarregionales, y el desarrollo de proveedores locales, entre otras. Esto permitirá identificar los factores extrapolables que podrían mejorar la trayectoria del resto de la industria automotriz en Argentina (y visibilizar las limitaciones que representan los factores no extrapolables en dicho proceso), así como esbozar el rol de la política pública en dicho desarrollo.
ANÁLISIS DE RIESGO EN SISTEMAS GANADEROS DEL SUR DE BUENOS AIRES, ARGENTINA
Authors: Torres Carbonell Carlos , Milanesi Gastón , Chimeno Patricia , Fronti Javier Garcia , Saldungaray María C. , Adúriz Miguel A. , Piñeiro Verónica , Lauric Andrea , De Leo Gerónimo , Scoponi Liliana
Published: March 2024

La tecnología permite modificar los resultados medios y su dispersión en los sistemas agropecuarios. El objetivo de este estudio fue realizar un análisis comparativo de los niveles de riesgo de la empresa ganadera del sistema modal de la región de Bahía Blanca y el modelo tecnificado desarrollado en la Unidad de producción demostrativa en el Establecimiento “El Trébol” del INTA Bahía Blanca que ha incorporado tecnologías de forrajeras tolerantes a sequía y reducción de lactancia en el rodeo de vacas de cría. En función de la interacción de las distribuciones de probabilidad históricas de la producción de cada modelo, los precios de venta de la hacienda y los costos unitarios se estimó el impacto probabilístico sobre la función de beneficio de ambos sistemas a través Marketed Asset Disclaimer por simulación Montecarlo con 10.000 iteraciones. Se observó una probabilidad de alcanzar resultados negativos en el sistema modal y el sistema tecnificado respectivamente de 38,95 y 3,77%, y superiores a este nivel en un 61,05 y 96,23%. Las tecnologías evaluadas integradas en el sistema ganadero permitieron alcanzar en régimen de bajas precipitaciones una mayor eficiencia, estabilidad productiva, resultado económico y significativamente menores riesgos. En modelos productivos tecnificados como el Sistema “El Trébol” se observó un 69,7% menos de probabilidades de obtener resultados económicos menores al valor crítico de referencia del arrendamiento zonal 21.751$ ha-1 (25 kg Indice Novillo ha-1) y un 452,6% más de probabilidades de alcanzar resultados superiores a dicho nivel.