bluuebunny/crossref_metadata_2025 huggingface dataset:
Primer Consenso Nacional Intersociedades de Inmunización del Adulto. 2023
Authors: Candia Elena , Samaniego Stela , Núñez Duilio , Guerín Rebeca , Olmedo Rocío , Pérez Lis , Rodríguez Hernán , Vicenti Cristina , Penayo Analía , Almirón Desirée , Benítez Gustavo , Lezcano Virgilio , Amarilla Elianne , Ortega Portillo Edgar , García Noemí , Giménez María Belén , Cipolla Giulia , Mongelós Jeaninne , Duarte Mercedes , Denis Rita , Andino Lidiane , Salinas Víctor , Armoa Alba , Alcaraz Perla , Mora Doris , Andrada José Daniel , León Ricardo Antonio , Ordano Félix , Rolón Roger , Echeverria Mario , Franco Olga , Irala Elena , Dávalos Liza , Marecos Alberto , Ibarrola Dahiana , Acosta Juan , Quiñonez Vicente , Martínez Marcos , Rotela Fisch Verónica , Valiente Rebull Celeste , Henegard Sofía , Guerrero Alba , Vázquez Luz , Roy Tatiana
Published: August 2023

Las vacunas previenen millones de muertes cada año y su eficacia y seguridad han sido ampliamente establecidas. En términos económicos, la vacunación es una de las intervenciones sanitarias más costo efectivas, generando un importante ahorro y crecimiento económico que supone a largo plazo. Se ha demostrado que la vacunación de adultos disminuye la morbilidad y la mortalidad asociadas a enfermedades infecciosas prevenibles, reduciendo las complicaciones y las hospitalizaciones, incluidos los ingresos a las unidades de cuidados intensivos. Hemos elaborado este documento de consenso con el objeto de diseñar un esquema de vacunación pragmático, accesible y estandarizado del adulto, según categoría de riesgo y edad, sobre la base de la evidencia disponible de vacunas accesibles y nuevas vacunas habiendo utilizado el Tercer Consenso de la Sociedad Paraguaya de Infectología del 2019 como base para las recomendaciones finales.
E-learning as a tool to impart knowledge of surgical procedures in the undergraduate medical teaching
Authors: K. Poomalar G. , S. Ilamathi , K. Nivedita , A. Bupathy , M. Jayasree
Published: August 2023

Background: E-learning is in a budding stage in developing countries. As present-day students are gadget-friendly, introducing a surgical e-learning module may create interest and help in understanding the surgeries easily. This study aimed to determine the effectiveness of E-learning in improving the knowledge component of surgical procedures for undergraduate students and to analyze students’ feedback regarding its usefulness.
Methods: This quasi-experimental study was conducted among 67 final-year MBBS students, who had completed 1 week of operation theatre (OT) posting in obstetrics and gynecology. Recording of videos for must-know surgeries in gynecology was done. Video editing and audio description of surgical steps were done. A YouTube channel was created and surgical videos were uploaded. Links to 2 surgical videos and additional teaching materials were uploaded to the college learning management system daily for 2 consecutive weeks. A telegram group was formed for posting questions daily. Pre-test and post-test were conducted and the results were analyzed.
Results: The mean marks obtained in the pre-test were 6.567±1.9 and the post-test was 15.22±2.5 (Paired t test p=0.0001). Students mentioned that combining OT posting with an e-learning module helped them to build their knowledge of surgical procedures. Telegram quizzes helped them to increase their understanding of surgeries. 34 students wanted e-learning module to be conducted on other topics also.
Conclusions: E-learning is highly effective in improving knowledge component of surgical procedures for undergraduate students. E-learning can be made more effective by adding formative assessment. Combining surgical e-learning module with operation theatre posting can enhance knowledge and understanding.
La cámara de compensación en banca libre, el caso de Antioquia en Colombia: una aproximación
Authors: Vélez Julián Mauricio
Published: August 2023

Un aspecto importante dentro del tema de la Banca Libre, tanto para los partidarios de la evolución hacia la banca central, como Goodhart, como para los teóricos convencionales de la banca libre como estructura alterna es la cámara de compensación. Se quiere describir el proceso por el cual se pudo consolidar el sistema de compensación bancaria en Colombia, 1865-1885, que fue interrumpido por la acción del periodo conocido como la regeneración de Rafael Núñez en 1885, por lo que el sistema bancario no evolucionó a un sistema de banca central, sino que este último fue impuesto posteriormente en la segunda década del siglo XX.
Latin American migrants under the US New Political Economy: Public raids cost vs private sanctuary revival
Authors: Sánchez-Bayón Antonio
Published: August 2023

This is a case study on migration management in the United States of America, according to the New Political Economy approach. Attention is paid to how Latin American immigrants are treated, given the change in public policies and their economic perception. There has been a shift from open-door immigration policies to raids and massive deportations, violating the founding principles of the United States and the key to its growth and development, since immigrants are not only a greater productive factor of work, but also bring knowledge, technologies and institutions that improve the competitiveness. Faced with this change in public powers, civil society has reacted, with a revitalization of the Sanctuary Movement. This study uses an explanatory methodology on the evolution of the academic disciplines and approaches dedicated to the research on religion-economics-migration relations, to focus its attention on the case study of the Sanctuary Movement.
Processing and Understanding Moodle Log Data and Their Temporal Dimension
Authors: Rotelli Daniela , Monreale Anna
Published: August 2023

The increased adoption of online learning environments has resulted in the availability of vast amounts of educationallog data, which raises questions that could be answered by a thorough and accurate examination of students’ onlinelearning behaviours. Event logs describe something that occurred on a platform and provide multiple dimensionsthat help to characterize what actions students take, when, and where (in which course and in which part of thecourse). Temporal analysis has been shown to be relevant in learning analytics (LA) research, and capturingtime-on-task as a proxy to model learning behaviour, predict performance, and prevent drop-out has been thesubject of several studies. In Moodle, one of the most used learning management systems, while most events arelogged at their beginning, other events are recorded at their end. The duration of an event is usually calculated asthe difference between two consecutive records assuming that a log records the action’s starting time. Therefore,when an event is logged at its end, the difference between the starting and the ending event identifies their sum,not the duration of the first. Moreover, in the pursuit of a better user experience, increasingly more online learningplatforms’ functions are shifted to the client, with the unintended effect of reducing significant logs and conceivablymisinterpreting student behaviour. The purpose of this study is to present Moodle’s logging system to illustratewhere the temporal dimension of Moodle log data can be difficult to interpret and how this knowledge can be usedto improve data processing. Starting from the correct extraction of Moodle logs, we focus on factors to considerwhen preparing data for temporal dimensional analysis. Considering the significance of the correct interpretation oflog data to the LA community, we intend to initiate a discussion on this domain understanding to prevent the loss ofdata-related knowledge.
Hyponatremia: More than just an electrolyte for COVID-19 patients
Authors: DEĞER Serpil Müge , YASAR Emre , ÖZGER Hasan Selçuk , AYSERT YILDIZ Pınar , DERİCİ Ulver
Published: August 2023

AIM: Hyponatremia is the most common electrolyte disturbance among infections, especially with pneumonia. Here, we aimed to analyze the presence of hyponatremia among COVID-19 patients along with its relation to mortality.

MATERIALS and METHODS: Patients were divided into two groups COVID-19 negative and positive and also another group with pneumonia and without pneumonia for covid-19 PCR positive patients. The association between hyponatremia and in-hospital mortality from any cause was evaluated with univariate and multivariate cox regression model.

RESULTS: A total of 636 patients, a mean age of 50± 18 years, 48 % of the female with a median duration of hospitalization of 5.5 (IQR, 2,11) days were included. Of those 553 (%87) were detected COVID-19 PCR positive and 298 (47%) of those with pneumonia. The median serum sodium concentration was lower in COVID-19 PCR positive patients [134 (IQR, 130,137) mEq/L] compared to negatives [139 (IQR, 136, 140) mEq/L] (p
¿Es posible la cotidianidad en la expresión videolúdica? De la literatura fantástica del siglo XIX a las narrativas videolúdicas contemporáneas
Authors: Chico Morales José Manuel
Published: August 2023

Si un gran número de narraciones de Edgar Allan Poe o de Guy de Maupassant nos situaron ante fenómenos extraordinarios, la familiaridad de los espacios representados permitía la identificación entre los personajes y el lector.
Opción Rechazo: el rol del duopolio informativo chileno en la votación del Plebiscito Constitucional (agosto-septiembre 2022)
Authors: Spatola Iael , Buffa Cyntia , Herrera Guillermo
Published: August 2023

El presente artículo es un trabajo exploratorio a partir del análisis de la intervención de los principales medios de comunicación en el Plebiscito Constitucional de Chile.
Diseñar el Estado. La gestión pública del diseño aplicada al microtractor “Chango”
Authors: Battista Edurne , Justianovich Sergio , Olavarría Martín , David Ocampo Fernando , D´Amico Juan Pablo , Hall Marcos
Published: August 2023

El artículo propone un recorrido por los principales hitos en la gestión de diseño de un microtractor multipropósito (Chango)
Kadrovski vidiki vzpostavitve podpornega e-okolja
Authors: Kovačević Vanja , Marič Miha
Published: August 2023

Poglavje vsebuje pregled literature, ki se navezuje na vsebino projekta »Vzpostavitev podpornega e-okolja deležnikov za celovito ureditev delovnega in bivalnega okolja v času Covid-19« s poudarkom na kadrovskem področju. Podrobno smo se posvetili digitalni preobrazbi, ki je ključnega pomena za vzpostavitev podpornega e-okolja. Analizo obstoječega stanja smo izvedli na podlagi odgovorov, ki smo jih v intervjuju pridobili s strani podjetja Aparati, d. o. o., ki je naš partner pri realizaciji projekta. Vsebina vprašanj se nanaša na spremembe, ki so vplivale na področje kadrov v času pandemije covida-19. Sledi analiza rešitve, v kateri smo podrobneje predstavili rezultate raziskave. Sekundarni viri literature domačih in tujih avtorjev so bili odlično izhodišče za diskusijo. Na podlagi teoretičnih izhodišč smo skozi lastno raziskavo prišli do naših ugotovitev in podali predloge za prihodnje delo.
Izzivi in možnosti ureditve delovnega in bivalnega okolja v e-okolju na primeru podjetja Aparati, d.o.o.
Authors: Mihevc Maja , Penca Primož
Published: August 2023

Notranja oprema predstavlja velik delež naših življenj, saj smo v stiku z njo vsak dan, vse od trenutka, ko vstanemo, do takrat, ko gremo nazaj spat. Namen tega poglavja je izraziti njeno pomembnost, odvisnost in vpliv na naše okolje ter mentalno zdravje in njeno splošno uporabo, izdelavo ter načrtovanje. Skozi primer podjetja Aparati, d. o. o., njihovo delo in splošne standarde generalne notranje opreme ter dodatne točke psihične analize poskušamo dobiti boljši vpogled v njeno vrednost.
Pravni vidiki vzpostavitve podpornega e-okolja deležnikov
Authors: Prinčič Pika , Mrdaković Nenad
Published: August 2023

Vsebina poglavja se osredotoča predvsem na pravni vidik sodelovanja podjetja z različnimi akterji v celotnem procesu prodaje in faz, ki pridejo za tem. Namen dela je preučitev posameznih pogodbenih razmerij in kaj bi bilo treba vkomponirati v vsako, da bi lahko delovalo še naprej po vseh pravilih v e-okolju. V nadaljevanju se delo osredotoči na slovensko pravno ureditev razmerij med podjetjem, kupcem in podizvajalcem in kaj so posamezne pravice in dolžnosti vsakega izmed njih. V nadaljevanju je opisana Uredba o varstvu osebnih podatkov, ki je najpomembnejši pravni akt na tem področju. Pri vzpostavitvi e-okolja je predvsem pomembno, da je podjetje pazljivo z uporabo osebnih podatkov kupcev in da to natančno uredi vnaprej. Na koncu je tudi primer pogodb, ki jih podjetje uporablja za poslovanje z dobavitelji in podizvajalci ter sedanja ureditev varstva osebnih podatkov kupca. Pomembno je, da podjetje natančno uredi način posredovanja podatkov kupca podizvajalcu in način, kako bodo ti podatki nato uporabljeni.
Lipopolysaccharide (LPS, endotoxin) of Proteus bacteria-chemical structure, serological specificity and the role in pathogenicity
Authors: Różalski Antoni
Published: August 2023

Lipopolysaccharides (LPS) of Gram-negative bacteria are composed of three regions: О-specific chain (OPS), the core oligosaccharide and lipid A. All three regions of Proteus LPS were studied. The differences in the structure of OPS serve as the basis for the serological classification of Proteus strains. The serological classification scheme of these bacteria currently consists of 76 serogroups. The structural diversity of the core region is characteristic for Proteus sp. and distinguishes this genus from other bacteria. In this paper the results of structural, immunochemical and serological studies of all three regions o f Proteus LPS, as well as a function of LPS as endotoxin and its role in the formation of urinary stones, swarming phenomenon and bacterial growth in biofilm are reported.
B-cell chronic lymphocytic leukemia-associated nuclear antigens
Authors: Rogalinska Malgorzata , Błoński Jerzy Z. , Robak Tadeusz , Kiliańska Zofia M.
Published: August 2023

One- and two-dimensional polyacrylamide gel electrophoresis were used to compare the composition of nuclear polypeptides from normal and В-cell chronic lymphocytic leukemia mononuclear cells. Against two electrophoretically-specific nuclear proteins with molecular weight of 38/39 and 44/46 kD a from leukemic cells rabbit sera were obtained. As it was analyzed by Western blot technique the available antisera recognized the 38/39 kDa antigen in 53 of the 56 (94.6%), while the 44/46 kDa in 46 of the 49 (93.9%) of examined В-CLL nuclear fraction preparations, but not in normal ones. The pi values of described leukaemia-specific antigens were determined; p38/39 had pi in the range of pH 6.55 -7.00 and p44/46 - in the range of pH 6.2-6.4.
Medical segetal flora of Central Poland
Authors: Warcholińska Aurelia Urszula
Published: August 2023

In the paper a list and general characterization of medical segetal flora of Central Poland is given. This flora consists of 300 taxa. Among the most threatened species there are 6 taxa: Adonis aestivalis, A. flam mea, Anagallis foemina, Bupleurum rotundifolium, Camelina saliva, Cuscuta europaea.
Contribution to the knowledge of Aculeata сhymenoptea) of łódzkie voivodeship
Authors: Kowalczyk Jan , Szczepko Katarzyna
Published: August 2023

The paper presents new distribution records of 135 species of nine families of Aculeata (Chrysididae, Scoliidae, Tiphiidae, Mutillidae, Sapygidae, Eumenidae, Vespidae, Sphecidae) in łódzkie voivodeship.
Variability of clutch size in Cormorant (Phalacrocorax carbo sinensis) at the Jeziorsko Reservoir (Central Poland) in 2004
Authors: Minias Piotr , Kaczmarek Krzysztof , Kleszcz Anna , Rakowski Maciej , Janiszewski Tomasz
Published: August 2023

The analysis of the clutch size variability in Cormorant (P. carbo sinensis) was based on study results in colony at the “Jeziorsko Reservoir” (central Poland) in 2004. There were used 328 broods controlled 3-5 times in the season. Number of eggs in a single clutch ranged from 1 to 7, although Cormorants mostly laid 3 to 5 eggs. Mean clutch size was 3.80 (SD = 1.0 0). The size of clutch depended on time of laying eggs and the part of colony where the nest with brood was localised. The clutch size was bigger for pairs that started laying eggs earlier and lower for birds bred in the part of colony where the number of nests and their density were low.
Conhecimento, atitudes e práticas em primeiros socorros no ambiente escolar: uma revisão integrativa
Authors: Miranda Priscila da Silva , Da Silva Liliane Faria , Cursino Emília Gallindo , Viana Izabella da Silva , Machado Maria Estela Diniz
Published: August 2023

Objetivo: Analisar as evidências científicas sobre conhecimento, atitudes e práticas em primeiros socorros de professores que atuam no ambiente escolar. Método: Revisão integrativa da literatura, realizada no mês de junho e julho de 2020 nas bases Cinahal, Scopus, Pubmed, Bdenf e Lilacs. Foram incluídos artigos que retratassem a temática no período amostral de 2010 a 2020. Excluíram-se aqueles que tinham como participantes professores estagiários. Resultados: 25 artigos foram selecionados e emergiram em duas categorias: conhecimento, atitudes e práticas em primeiros socorros e ambiente escolar – estratégias para a capacitação em primeiros socorros voltada para a promoção, prevenção e agravos de acidentes. Conclusão: Constata-se que há desconhecimento sobre as ações necessárias no atendimento em primeiros socorros, o que impacta nas atitudes e práticas executadas, bem como no tratamento e prognóstico. Assim, intervenções educativas são estratégias que promovem o desenvolvimento de conhecimento, atitudes e práticas necessárias ao atendimento em primeiros socorros.
Mini-BESTest cutoff points for classifying fallers and non-fallers female older adults
Authors: Batistela Rosangela A. , Rinaldi Natalia M. , Moraes Renato
Published: August 2023

BACKGROUND: The Mini-Balance Evaluation Systems Test (Mini-BESTest) is an efficient screening tool healthcare professionals use to predict the risk of falls in older adults. However, the Mini-BESTest cutoff scores to classify fallers and non-fallers were established using men and women in the same sample. Considering the higher number and prevalence of falls in older women, it is important to know the Mini-BESTest accuracy and the cutoff score specifically for this population.
AIM: We examined the capability and accuracy of the Mini-BESTest for identifying fallers and non-fallers female older adults without neurological impairments and established the cutoff scores according to different age groups.
METHOD:Eighty-one female older adults were classified into fallers (n=40) and non-fallers (n=41) groups according to their retrospective history of falls in the last 12 months. Fallers and non-fallers were divided into three age groups according to the following ranges: 65-69 years, 70-74 years, and 75+ years. We used the receiver operating characteristic (ROC) curves to determine the relative performances of the Mini-BESTest score for classifying participants with and without a history of falls.
RESULTS: The Mini-BESTest is a good and highly accurate tool for identifying female Brazilian fallers and non-fallers. The Mini-BESTest cutoff scores established to classify fallers and non-fallers female older adults in the different age groups were 26 points for 65-69 years and 24 points for 70-74 years and 75+ years.
INTERPRETATION: The Mini-BESTest is an important tool that health professionals in clinical practice can use to estimate the risk of falls for older Brazilian women.
Morfosintaxis de la activación en el discurso en hñöhñö (otomí de Tolimán)
Authors: Hernández-Green Néstor
Published: August 2023

Este trabajo explora la asociación entre algunos modificadores de la frase nominal y el nivel de activación, relacionado con la distinción dado-nuevo. Esto se hace a partir de la aplicación de pruebas estadísticas (χ² y análisis de correspondencias) a un corpus de 26 textos escritos en lengua hñöhñö (otomí de Tolimán). Las frases nominales del corpus han sido previamente etiquetadas de acuerdo con los determinantes que contienen y el nivel de activación de su referente en el contexto discursivo. Este tipo de pruebas estadísticas no han sido aplicadas en trabajos similares sobre la activación, o bien, la definitud, en trabajos anteriores sobre este tema en lenguas otomíes. Mientras que algunos modificadores no se correlacionan con la activación (por ejemplo, marcas de número gramatical), otros modificadores tienden a ocurrir en contextos de algún nivel de activación en particular. Solo el modificador nu (analizado como una marca de definitud por algunos autores) muestra una asociación directa con referentes dados.
Atuação do MESA São Paulo durante a pandemia do Coronavírus
Authors: Doi Luana Tiharu , Ribeiro Júnior José Raimundo Sousa , Bandoni Daniel Henrique
Published: August 2023

Introdução: O Mesa Brasil é um programa social desenvolvido pelo Serviço Social do Comércio que busca reduzir o desperdício de alimentos e auxiliar no enfrentamento da fome. Objetivo: O estudo teve como objetivo compreender a sua atuação frente à pandemia de COVID-19, um período de crise humanitária, sanitária, ambiental e socioeconômica mundial. Métodos: Trata-se de um estudo transversal qualitativo que envolveu a realização de entrevistas semi-estruturadas com as Coordenadoras estadual, municipal (metrópole, litoral e interior) e do Centro de Captação e Armazenagem Mesa Brasil de São Paulo. A análise de todo o conteúdo foi do tipo temática. Resultados: Dentre as principais alterações e adaptações, estão a redução das doações, para a qual houve flexibilidade no cadastro das instituições, atendimento às famílias, desenvolvimento de campanha e cestas básicas com produtos de higiene e limpeza; aumento de doações de ultraprocessados, para o qual houve a respectiva adesão a alguns produtos não usuais. Conclusão: O programa demonstrou enorme capacidade em desenvolver medidas criativas para o novo cenário a um tempo relativamente curto, muitas das quais podem servir de inspiração para outras iniciativas. Apresentou-se ainda mais imprescindível para esse cenário de emergência, especialmente no que tange a alimentação da população vulnerabilizada dentro de um país com políticas públicas ausentes para tal.
Natureza híbrida para um território sensível
Authors: Nóbrega Carlos Augusto Moreira da
Published: August 2023

A partir da residência artística “Baía de Guanabara”, situada na Ilha de Paquetá, no contexto do projeto “Territórios Sensíveis”, o presente artigo trata da criação de sistemas híbridos, segundo a concepção de hiperorganismos, para refletir sobre a confluência das redes orgânicas, telemáticas e sutis na arte. Apoiado numa visão ecossistêmica que integra o criar, através de processos de invenção; o cultivar, no sentido de regeneração da cultura segundo novos modos de existência; e o conectar, através do exercício de ligação e ativação de redes afetivas e telemáticas, propomos tal concepção triádica como modo de integração sensível entre natureza, tecnologia e magia.
New Normal Adaptation (NNA) Relationship with The Quality Of Life Hemodialysis Patients During The Covid-19 Pandemic At Lamongan Muhammadiyah Hospital
Authors: Mustikaria Rusulustin , Widyawati Ika Yuni , Harmayetty Harmayetty
Published: August 2023

Introduction: The quality of life of patients with Chronic Kidney Disease (CKD) who got hemodialysis had decreased along with the increasing level of the disease, which caused problems of patient productivity. During the pandemic, hemodialysis patients were at very high risk of exposure to covid-19, it was very important to implement New Normal Adaptation to reduce morbidity and mortality. The purpose of this study was to explain the relationship between New Normal Adaptation and the life quality of hemodialysis patients during the pandemic of COVID-19 at Lamongan Muhammadiyah Hospital.

Methods: This study used a correlation design, by simple random sampling technique, the population was 85 respondents. The samples were 70 respondents in the Hemodialysis room at Lamongan Muhammadiyah Hospital which was in the inclusion criteria. The data that was collected included respondent characteristics, New Normal Adaptation, and quality of life, the data collection used the Google questionnaire form, then it was analyzed using the Spearman test. 

Results: Some of the respondents were treated as new normal in the moderate category, most of the respondents had life quality in the bad category and there was a relationship between New Normal Adaptation with the life quality of hemodialysis patients, the significant value was = 0.303 and p = 0.011.

Conclusion: During the pandemic, health education activities for hemodialysis patients could use social media (Facebook, Instagram, Twitter, Whatsapp) that would increase New Normal Adaptation at home and in the hospital. So that, the quality of the patient's life would be good.
EFFECT OF MODIC CHANGE ON CLINICAL OUTCOME OF CERVICAL DISC HERNIATION PATIENTS UNDERGOING ANTERIOR CERVICAL DISCECTOMY AND FUSION
Authors: Wibowo Caesaroy Afif , Sri Andreani Utomo
Published: August 2023

Highlights                                                                                                                                     

The presence of preoperative Modic changes tends not to affect clinical outcomes after ACDF due to degenerative pathology, including disc herniation.
Preoperative Modic changes are correlated with a worse preoperative picture.

Abstract
Background:  Modic Change (MC) is a phenomenon that can be found in Magnetic Resonance Imaging (MRI) of patients with degenerative spinal diseases and in the cervical region. The effect of Modic change on the clinical outcome of postoperative patients has not been fully established. Anterior Cervical Discectomy and Fusion (ACDF) is a procedure that has become the gold standard in treating cervical disc herniation because it is able to eliminate pathological lesions and prevent the recurrence of nerve compression. Objective:  This study aimed to determine the effect of MC on the clinical outcome of patients undergoing ACDF therapy due to degenerative disc pathology, including cervical disc herniation. Material and Method: This was a systematic review using filtered literature based on PICOs. The variables examined in this study were "modic change", "ACDF", and "clinical outcome". Data were collected from three databases, which were then screened based on eligibility criteria, assessed for study quality, and reviewed using a qualitative descriptive method. Result:  A total of six articles published between 2017 and 2021 were included in this study. This study was an observational study with a retrospective cohort method. Preoperative Modic changes tend not to affect clinical outcomes after ACDF. Conclusion:  The presence of preoperative Modic changes tends not to affect clinical outcomes after ACDF due to degenerative disc pathology, including disc herniation, but remains a risk factor for postoperative disability and provides a worse preoperative picture.
MEDICATION ADHERENCE IN TYPE 2 DIABETES MELLITUS PATIENTS WITH CORONARY HEART DISEASE
Authors: Shafiero Muhammad Elsya Putera  , Sony Wibisono  , Andrianto  , Hermina Novida
Published: August 2023

Highlights                                                                                                                                     

Type 2 diabetes mellitus (T2DM) that is not appropriately handled can result in macro- or micro-complications.
Medication adherence is one of the most important efforts to do to prevent complications in chronic diseases such as T2DM.

Abstract
Background:  Diabetes medication non-adherence can aggravate the patient's condition and raise the chance of acquiring diabetes complications such as coronary heart disease. Medication adherence can help prevent micro- and macrovascular problems. Objective: This study aimed to investigate the medication adherence of type 2 diabetic patients with coronary heart disease. Material and Method: This research used a systematic literature review for the research design, with a PRISMA chart as a guideline. Researchers searched 3 databases using predefined keywords: PubMed, Google Scholar, and ScienceDirect. Result:  The search yielded 3.373 pieces of literature, and six pieces that fit the requirements were chosen. The total number of people who responded was 9.950. More men over 60 years old who have had diabetes for more than 5 years, who are taking oral medication, insulin, or combination treatment, and who are ex-smokers were shown to have characteristics of people with type 2 diabetes mellitus and coronary heart disease. Results from a systematic literature review revealed five kinds of literature with low medication adherence levels and one literature with a high medication adherence rate. Conclusion:  Medication adherence differs among type 2 diabetic patients with coronary heart disease. More research, however, has revealed that the level of medication adherence in type 2 diabetic patients with coronary heart disease remains low.
PATTERN OF RHEUMATIC DISEASES IN THE DIVISION OF RHEUMATOLOGY, DR. SOETOMO GENERAL ACADEMIC HOSPITAL, SURABAYA, INDONESIA, BETWEEN NOVEMBER 2021 AND MARCH 2022
Authors: Afifur Rafi Hilmi Aziz  , Yuliasih  , Imam Subadi
Published: August 2023

Highlights:

Rheumatic diseases, like many others, are often misdiagnosed and treated late in life, resulting in the increase of rheumatic diseases incidence.
Gender, age, level of education, and occupation all play crucial roles in the onset of rheumatic disorders.

Abstract
Background: The epidemiology of rheumatic diseases plays an important role in the spread of rheumatic diseases worldwide. Epidemiology data of rheumatology diseases in Dr. Soetomo General Academic Hospital remains unclear as there are some problems such as rheumatic drug depletion and imperfect medical recording.  Objective: This study aimed to analyze the pattern of rheumatic diseases at the Division of Rheumatology, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.  Material and Method: This prospective descriptive study used secondary data from medical records between November 2021 and March 2022 at the Division of Rheumatology, Dr. Soetomo General Academic Hospital. The variables of this study were gender, age, occupation, education level, disease duration, and clinical manifestations. Results: Secondary data was provided by 109 patients in this study. Gender was dominated by women as much as 96 (88%), age was dominated by age groups 26-35 years and 46-55 years, each as much as 26 (23.8%), educational level was dominated by senior high school as much as 24 (22%), and employment was dominated by housewives as much as 39 (35.7%) in the Divison of Rheumatology, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Based on disease incidence, 42 patients (38.5%) had systemic lupus erythematosus, and 38 patients (34.8%) had ankylosing spondylitis. Conclusion: Rheumatology patients at Dr. Soetomo General Academic Hospital Surabaya are predominantly female, aged 26-55, with senior high school education. The diseases mostly affect housewives and have a higher frequency of systemic lupus erythematosus and ankylosing spondylitis.
On the Additive and Subtractive Representation of Even Numbers from Primes
Authors: Shehu Ali , Uka Jetmira
Published: August 2023

We demonstrate a new quantitative method to the sieve of Eratosthenes, which is an alternative to the sieve of Legendre. In this method, every element of a given set is sifted out once only, and therefore, this method is free of the Mobius function and of the parity barrier. Using this method, we prove that every sufficiently large even number is the sum of two primes, and that every even number is the difference of two primes in infinitely many ways.
Endovascular Revascularization versus Open Surgery with Prosthetic Bypass for Femoro-Popliteal Lesions in Patients with Peripheral Arterial Disease
Authors: Zenunaj Gladiol , Acciarri Pierfilippo , Baldazzi Giulia , Cosacco Alessio Mario , Gasbarro Vincenzo , Traina Luca
Published: August 2023

Aim. Atherosclerotic complex femoropopliteal lesions have traditionally been treated with bypass surgery. A prosthetic graft is used to save the vein graft for more distal revascularization or when unavailable. However, the endovascular approach has gained popularity and is offered as first-line strategy for complex lesions. This study aimed to evaluate whether endovascular procedures for complex femoropopliteal native lesions can be a first-line treatment strategy over open surgery with prosthetic bypass in patients with peripheral arterial disease (PAD). Methods. A retrospective study was conducted between 2013 and 2021 to identify patients with symptomatic PAD who required limb revascularization at the femoropopliteal segment and complex lesions (TASC II C and D). Primary endpoints were technical success, primary patency, freedom from clinically driven target lesion revascularization (cdTLR), freedom from major adverse limb and cardiovascular events (MALE and MACE), freedom from limb loss, and survival. Secondary endpoints were length of in-hospital stay, duration of the procedure, and costs. Results. We identified 185 limbs among 174 suitable candidates for comparison, wherein 105 were treated with endovascular procedure and 80 with femoral popliteal prosthetic bypass. Most patients in both groups presented with chronic limb-threatening limb ischemia, and all were ASA >3. There were more octogenarians (p = 0.02) and patients with coronary disease (p = 0.004) in the endovascular group. Median follow-up was 30 months. Technical failure rate for endovascular procedures was 4.8% vs 0% in the open group (p 0.003). Freedom from MACE was similar in both groups. The endovascular group showed superior primary patency (p<0.0001), cdTLR (p<0.0001), MALE (p<0.0001), and freedom from limb loss (p = 0.0018) at 24 months. Further analysis performed for the open above-the-knee subgroup showed that the aforementioned endpoints were similar at 12 months, and favoured the endovascular group at 24 months. Procedural time and in-hospital stay were longer in the open group (p<0.0001 and p<0.001). Finally, procedural cost was 10-fold lower in the endovascular bypass group than in the prosthetic bypass group. Conclusion. Endovascular procedures for complex femoropopliteal lesions are safe in patients at high risk for surgery and show better outcomes at 24 months than prosthetic bypasses. The latter may be considered as an alternative in cases of endovascular failure.
Comprehensive and Sustainable Recycling Process for Blended Different Types of End-of-Life Solar Panels: Leaching and Recovery of Valuable Base and Precious Metals
Authors: Kavousi Maryam , Alamdari Eskandar Keshavarz
Published: August 2023

The production of photovoltaic modules is increasing to reduce greenhouse gas emissions. However, this results in a significant amount of waste at the end of their lifespan. Therefore, recycling these solar panels is important for environmental and economic reasons. However, collecting and separating Crystalline silicon, Cadmium Telluride, and Copper indium gallium selenide panels can be challenging, especially in underdeveloped countries. The innovation of this work is to develop a process to recycle all solar panel waste. The dissolution of all metals is studied through the leaching process as the main step of the flowchart. In the first step of leaching, silver can be recovered 98% by 0.5 nitric acid. Then, the second and third step involves the use of glycine for base metals dissolution, followed by the leaching of valuable metals with hydrochloric acid. The effect of parameters such as initial pH, acid concentration, solid/liquid ratio, and Hydrogen peroxide concentration are studied. The results show that Cu, Pb, Sn, Zn, Cd, In, Ga, and Se can be recovered until about 100% under optimal conditions. The optimal conditions for the dissolution of Cu, Zn, and Cd were the glycine concentration of 0.5 M, Temperature of 25 ˚C, the solid/liquid ratio of 10 gr/l, and 1% of Hydrogen peroxide. The optimized glycine concentration for the leaching of lead and tin was 1.5M. Indium and gallium were recovered to 100% by the use of 5M Hydrochloric acid, S/L=10gr/l, and T=45 ˚C. Separation of selenium and tellurium occurred by 0.5 M HCl at a temperature of 60 ˚C. Additionally, for the first time, a general outlook for the recycling of various end-of-life solar panels is suggested.
The Dynamic Interplay Between Gut Health and Dietary Options: A Systematic Review
Authors: Patil Abhinandan , Singh Neha , Pawar Nita
Published: August 2023

Recent years have seen an explosion of interest in the topic of gut health and food, revealing a complex interplay that affects many facets of human health beyond just digestion. This in-depth overview investigates crucial aspects of this connection, illuminating issues including the effects of processed meals, the advantages of fermented foods, individualized diets, and the harmonious relationship between gut bacteria and dietary components. In this article, we'll take a look at how processed foods affect your digestive system, and how their convenience might backfire by upsetting your body's delicate microbial balance. The effects of these diets have been studied, and the results suggest that there may be disruptions in microbial diversity, inflammation, and metabolic health. Instead, fermented foods are explored as potential allies in the fight for gut health. These foods' high probiotic content not only improves digestion and nutrition absorption, but may also have an effect on one's state of mind. There is growing evidence that eating fermented foods can help you maintain a healthy and robust gut microbiome. Recognizing that everyone has a different gut microbiota composition, the idea of individualized nutrition has come to the forefront. One novel strategy for improving digestive health is to provide nutritional advice based on a person's unique microbial profile. This paper looks at how microbiome testing can be combined with professional advice to create food programs that feed specific bacteria communities, improving both diversity and health. In conclusion, this review emphasizes the reciprocal interaction between dietary choices and the gut microbiota, and the significant impact that gut health has on numerous aspects of human health. The more we learn about the complexities of this interplay, the more we can take a holistic approach to nutrition, one that respects the uniqueness of each person's gut microbiome and encourages healthy eating habits. By taking a more all-encompassing view, we are reminded of the critical function of the gut microbiota in determining our health and of the significance of fostering this nuanced symbiotic connection.
Oxidative and Color Stability of Beef Meat from Steers Finished on Pasture or Concentrate during Retail Display
Authors: TEREVINTO ALEJANDRA , CABRERA MARIA CRISTINA , ZACCARI FERNANDA , SAADOUN ALI
Published: August 2023

Beef meat production in Uruguay is based on pasture or concentrate feeding systems, leading to differences in meat quality. The objective of this study was to compare the oxidative and color stability during refrigerated retail display of beef meat from these two systems. For this, ten Aberdeen Angus steers were reared and fed on pasture and other ten were finished on a concentrate diet. After slaughter, the Semimembranosus muscle was cut into slices and put in a refrigerated showcase for 3, 6, and 9 days simulating commercial conditions. The β-carotene, α-tocopherol, and fatty acid content were determined before the display, and the lipid and protein oxidation, color parameters, and heme iron content were determined before and during the display. Meat from steers fed pasture had a lower content of intramuscular fat, monounsaturated fatty acids, n-6/n-3 ratio, lipid and protein oxidation, L* and a* values, and a higher content of linolenic acid, DHA, total n-3, β-carotene, and α-tocopherol. In conclusion, meat from pasture-fed steers was more stable during the retail display, which can probably be explained by a higher content of antioxidant compounds, such as β-carotene and α-tocopherol, and presented a healthier fatty acid profile.
The Impact of Limited Motor Experience on Action Possibility in People with Spinal Muscle Atrophy
Authors: Heirani Moghaddam Sarvenaz , Sen Dilara , Carson Megan , Mackowiak Robert , Markley Rachel , Manson Gerome
Published: August 2023

Previous studies have found that individuals with limited motor capabilities due to acquired neurological injury (e.g., spinal cord injury and stroke) can make accurate action possibility judgements for neurologically healthy individuals. Previous studies have shown that people with limited motor capabilities may rely on previous motor experience (i.e., pre-injury) when making action possibility judgments for others. In the present study, we examined whether having severely limited previous motor experience from birth, as a consequence of spinal muscle atrophy (SMA), alters the action possibility judgments made for neurologically healthy individuals. Participants with SMA and Neurologically Healthy (NH) sex- and age-matched controls performed a perceptual-motor judgment task using the Fitts’s law paradigm (see Fitts, 1954). Participants observed apparent motion videos of reciprocal aiming movements with varying indices of difficulty (ID, see: Manson et al., 2014). For each movement, participants predicted the shortest movement time (MT) at which a neurologically healthy young adult could perform the task while maintaining accuracy. Between-group comparisons revealed that participants with SMA predicted significantly longer MTs compared to controls. Regression analyses revealed that predicted MTs of both NH and SMA participants exhibited a Fitts’s law relationship (i.e., the predicted MTs significantly increased as movement difficulty increased). A supplementary analysis on the SMA group revealed no differences in predicted MTs between the participants with some and no motor function as assessed by the SMA health index. Overall, these results provide evidence that participants with SMA who have limited or no motor experience may make more conservative action possibility judgments for others. Critically, our finding that the pattern of action possibility judgements (e.g., the slopes of the regression lines) were not different between SMA and NH groups provides evidence that limited previous motor experience may not completely impair action possibility judgements.
Characterization of Extreme Rainfall and River Discharge over the Senegal River Basin from 1982 to 2021
Authors: Ndiaye Assane , Mbaye Mamadou Lamine , Arnault Joël , Camara Moctar , Lawin Agnidé Emmanuel
Published: August 2023

This study aims to assess trends and significant changes in precipitation and river flow in the Senegal River basin and its upper basin over the period 1982-2021. Eight hydroclimate indicators, namely maximum river discharge (QMAX), standardized flow index, mean daily rainfall intensity index (SDII), maximum 5-day consecutive precipitation (RX5DAY), annual precipitation exceeding the 95th percentile (R95p), annual precipitation exceeding the 99th percentile (R99P), annual flows exceeding the 95th percentile (Q95p), and annual flows exceeding the 99th percentile (Q95p) were considered.. The modified Mann-Kendall test (MMK) was used to analyze trends in extremes while standard normal homogeneity and Pettit’s tests were employed to detect potential breakpoints in these trends. The results indicated an irregular precipitation pattern, with high values of extreme precipitation indices (R95p, R99p, SDII, and RX5DAY) in the southern part, while the northern part exhibits lower values. Inter-annual analysis revealed a significant increase in extreme precipitation events between 1982 and 2021, with a notable breakpoint around the years 2006 and 2007. This breakpoint marks a transition to a much wetter period starting from 2008. Regarding extreme flows, a significant increase was observed between 1982 and 2021. This study provides insights into past hydrological extremes in the study area and can serve as a basis for future research in this field.
Pediatric Hyperglycemic Hyperosmolar Syndrome: A Comprehensive Approach to Diagnosis, Management, and Complications Utilizing Novel Summarizing Acronyms
Authors: Zahran Naser Amin , Jadidi Shaheen
Published: August 2023

This paper focuses on hyperglycemic hyperosmolar syndrome (HHS), a unique hyperglycemic state requiring divergent diagnosis and treatment approaches from diabetic ketoacidosis (DKA), despite some shared characteristics. We introduce the mnemonic DI-FF-ER-EN-CE-S to encapsulate unique HHS management and complications. 'DI' emphasizes the need to delay and reduce initial insulin therapy until serum glucose decline is managed by fluid resuscitation alone. 'FF' and 'ER' stress the importance of fluid and electrolyte replacement due to severe dehydration and imbalances. 'EN' denotes the potential for encephalopathy and the requirement for a controlled serum osmolality reduction. 'CE' indicates that cerebral edema is rare but necessitates aggressive fluid therapy. 'S' signifies systemic multiorgan failure. We categorize the associated risks into three mnemonic groups: the 3Rs (renal failure, respiratory distress, rhabdomyolysis), the 3Hs (heart failure, hypercoagulation, hyperthermia), and AP (arrhythmias, pancreatitis) to facilitate awareness and screening of HHS.
Differences in Central and Peripheral Choroidal Thickness Among the Subtypes of Age-Related Macular Degeneration
Authors: Fukuda Yosuke , Notomi Shoji , Shiose Satomi , Kano Kumiko , Hashimoto Sawako , Fujiwara Kohta , Akiyama Masato , Ishikawa Keijiro , Hisatomi Toshio , Sonoda Koh-Hei
Published: August 2023

Age-related macular degeneration (AMD) causes visual impairment in individuals >50 years of age. However, no study has investigated AMD using ultra-wide-field swept-source optical co-herence tomography (UWF SS-OCT). We aimed to evaluate central and peripheral choroidal thickness using UWF SS-OCT and compare AMD subtypes. We included 75 eyes of patients with typical AMD (tAMD), 56 with polypoidal choroidal vasculopathy (PCV), 29 with pachychoroid neovasculopathy (PNV), and 12 with retinal angiomatous proliferation (RAP). To compare cho-roidal thicknesses in the central and peripheral choroids, we established subfields of <3 mm, <9 mm, and 9–18 mm from the fovea. PNV patients were significantly younger than those with tAMD (P=0.01). The choroidal thicknesses of PNV were significantly greater than that of tAMD in all subfields (P<0.01) and choroidal thickness significantly correlated with age and axial length in all subfields (P<0.05). Even after adjusting for age and axial length, the choroidal thickness in PNV was significantly greater than that in tAMD (P<0.05). In addition, the ratio of the posterior < 9 mm to peripheral 9–18 mm choroidal thickness in PNV was significantly greater than that in tAMD (P<0.01). A thickened choroid in PNV was more pronounced in the posterior choroid than in the periphery.