bluuebunny/crossref_metadata_2025 huggingface dataset:
Sedimentation Rate Analysis in Dock C PT. Petrokimia Gresik, Indonesia
Authors: Huda Abiyani Choirul , Laksono Rendatiyarso , Dewi Anggie V R , Harahap Rima G , Nurwati Nurwati , Rahayuningsih Siti , Putri Destyariani L , Dianiswara Anggoronadhi , Wirawan Muhammad K
Published: December 2021

Dock C is one of the supporting facilities at PT. Petrokimia Gresik which functions as loading and unloading goods from ships to land and vice versa. Another benefit of the jetty is that it can significantly increase the company's production capacity. Dock C PT. Petrokimia Gresik. In the treatment of sedimentation in port it is necessary to analyze the current pattern and sedimentation rate early, because this is the first step to predict the amount of sedimentation contained in the port in a certain period of time. Several ways can be done to minimize the rate of sedimentation, one of which is the layout of Dock C to reduce the frequency of dredging. This study compares the sedimentation volume at the existing condition jetty and two alternative jetty that occur due to currents and waves, while modeling is done using Mike 21. The results of the existing jetty modeling show the sedimentation volume for 12 months was 20641.68 m3. Whereas the sedimentation volume from alternative jetty 1 and 2 produced for 12 months was 11293.56 m3 and 7426.2 m3. Modifications to the layout of the jetty provided were able to reduce the rate of sedimentation in Dock C, with the most optimal sedimentation volume for 12 months at 13215.48 m3
KARAKTERISTIK KEPEMIMPINAN TRANSFORMASIONAL DI LEMBAGA PENDIDIKAN ISLAM TRADISIONAL DAN MODERN
Authors: Khoirunnisaa' Khoirunnisaa' , Maunah Binti
Published: December 2021

This paper aims to analyze transformational leadership characteristics in traditional and modern Islamic educational institutions by referring to four transformational features: idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration. The method used is a qualitative method with a library research approach. Inductive data analysis describes data from facts and the field associated with the theory. Sources of data used are the results of literature from books and journals. The results of the study show that the characteristics of transformational leadership in the Salaf and modern Islamic boarding schools, among others; 1) Build creative ideas through vision and mission to achieve goals, become role models, and influence subordinates through their behavior and charisma; 2) Provide inspiration and motivation through a clear vision; 3) encourage subordinates to find practical ideas in solving problems; 4) understand and appreciate subordinates based on needs and pay attention to the desire to achieve and develop.
Đào tạo nguồn nhân lực cho sân khấu truyền thống Khmer Nam bộ
Authors: Đào Hoàng Nam
Published: December 2021

Rô Băm, Dù Kê, là hai loại hình nghệ thuật sân khấu đặc sắc, độc đáo của người Khmer Nam Bộ, vốn có vị trí đặc biệt trong đời sống tinh thần của người dân Khmer vùng đất này. Hiện nay, cũng như nhiều loại hình nghệ thuật sân khấu truyền thống khác của Việt Nam, Rô Băm, Dù Kê cũng đang đứng trước nguy cơ bị mai một dần. Để hai loại hình sân khấu dân gian này đứng vững được với thời gian, giữ gìn được bản sắc dân tộc, thì việc đào tạo nguồn nhân lực có trình độ cao, có chuyên môn sâu, thật sự yêu mến, am hiểu, đủ sức để giữ gìn và phát huy vốn quý của dân tộc, là điều hết sức cần thiết. Bài viết xin đóng góp một số ý kiến bàn về việc đào tạo nguồn nhân lực cho nghệ thuật Dù Kê nói riêng, nghệ thuật sân khấu Khmer Nam Bộ nói chung.
MALİYET YÖNETİMİ BİLGİSİNİN KULLANIM DÜZEYİ VE KULLANMA AMACININ MALİYET ETKİNLİĞ ÜZERİNE ETKİSİ
Authors: BOZKURT Orhan , YAŞAR Selim
Published: December 2021

Üretim işletmelerince maliyet bilgi sistemlerinin kurulması ve kullanılması ürün maliyetlerinin hesaplanmasında gittikçe daha fazla önem kazanmıştır. Özellikle son yıllarda artan rekabet ortamında işletmeler bir taraftan birim maliyetleri daha doğru hesaplamayı hedeflerken diğer yan faaliyetlerin kontrolü ve gelecek kararların alınmasında doğru maliyet bilgilerine ihtiyaç duymaktadır. Bu çalışma işletmelerin üretim ve satış kararlarına etki eden maliyet bilgilerinin kullanıcıları tarafından nasıl elde edildiğini araştırmayı ve doğru maliyet raporlarına ulaşabilmede maliyet sisteminin sağladığı faydayı ölçmeyi hedeflemiştir. Bu amaçla üretim işletmeleri yöneticilerinin maliyet tabanlı davranışlarını ölçmek üzere anket uygulaması yapılmıştır. Elde edilen verile SPSS 23 ile analize tabi tutulmuştur. Elde edilen sonuçlara göre; işletmelerde maliyet hesaplayanlarının maliyet yönetim bilgisine sahip olmaları durumunda daha etkin bir maliyet yönetimi gösterdikleri, elde edilen güvenilir bilgiler sayesinde daha fazla bu sistemi kullanmayı düşündükleri ve bu yöntemi kullanma sonucunda bekledikleri maliyet fayda analizleri amaçlarının gerçekleştiği bilgilerine ulaşılmıştır.
Cutaneous reaction to sea urchin spines
Authors:   Pacific Northwest University, 1622 W 7th Ave Apt. 301 Spokane, WA 99204, USA., Johnston Cassidy
Published: December 2021

A 35-year-old male returned from vacation in Hawaii where he went scuba diving and snorkeling. While snorkeling, he stepped on a sea urchin and sustained injuries to the dorsal aspect of his right foot. He began to swim back to shore when he felt significant pain and began removing visible spines when he reached shore. He saw a physician in Hawaii who removed remaining spines and started a treatment regimen of cephalexin 500 mg QID. Patient followed up 2 weeks later with his home dermatologist for persistent granuloma and was given 15-day course of oral doxycycline 50 mg BID with near full recovery within 2 weeks. Even physicians practicing inland need to be aware of coastal injuries and reactions as they can mimic other common skin tumors such as keratoacanthomas.
Where is the stent? CTA assists angiography: A case of jailed LAD
Authors:   Harbor-UCLA Medical Center Lundquist Institute, Torrance, CA, USA., Golub Ilana , Dahal Suraj ,   Harbor-UCLA Medical Center Lundquist Institute, Torrance, CA, USA., Lakshmanan Suvasini ,   Harbor-UCLA Medical Center Lundquist Institute, Torrance, CA, USA., J Budoff Matthew ,   Harbor-UCLA Medical Center Lundquist Institute, Torrance, CA, USA.
Published: December 2021

Stent malpositioning in the septal perforator is a serious procedural complication and especially prominent after main vessel stenting in coronary bifurcation lesions. This case report demonstrates Computed Tomography Angiography’s (CTA) role as a backup imaging tool, in cases where follow-up Coronary Angiogram (CAG) cannot be immediately completed. CTA also functions as a preferred imaging tool to follow up after stenting and assess for stent malpositioning. A 72-year-old female with history of hypertension and hyperlipidemia presented with dyspnea and was found to have STEMI. About a week after her three PCI’s to the Left Anterior Descending (LAD) artery, she returned to the hospital with recurrent dyspnea and V-Tach. Instead of completing a repeat catheterization, a noninvasive CTA was thought to be the next test. CTA imaging indicates that the failed stenting of the side-branch resulted in a jailed main vessel, which may induce ischemia and ventricular tachycardia (V-Tach). After the malpositioned stent finding on CTA, the patient was then referred to the Cath Lab for angiogram. CTA thus provided detailed anatomical information about the stent’s placement, which will greatly assist further management by the interventional cardiologist.
Management of sexual dysfunction following poorly healed episiotomy in a multipara in low-income setting
Authors:   Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, PMB 5025, Nnewi, Anambra State, Nigeria., Chukwubuikem Okoro Chukwuemeka , Uchenna Eleje George ,   Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, PMB 5025, Nnewi, Anambra State, Nigeria., Okanandu Udigwe Gerald ,   Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, PMB 5025, Nnewi, Anambra State, Nigeria., Kingsley Njoku Tobechi ,   Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, PMB 5025, Nnewi, Anambra State, Nigeria., Chinaza Offor Confidence ,   Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, PMB 5025, Nnewi, Anambra State, Nigeria., Michael Madunatu Chimezie ,   Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, PMB 5025, Nnewi, Anambra State, Nigeria., Chinagorom Onyejiaka Chukwudubem ,   Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, PMB 5025, Nnewi, Anambra State, Nigeria., Anaedu Onyedika Promise ,   Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, PMB 5025, Nnewi, Anambra State, Nigeria.
Published: December 2021

Background: Episiotomy describes an incision made on the perineum to widen the vaginal orifice so as to aid delivery of the baby. Though not routinely recommended, it is a common during delivery. Despite the intended positive outcomes, complications like sexual dysfunction, urinary incontinence, chronic pelvic pain, perineal infection do occur following it. When sexual dysfunction occurs as sequelae as a result of poor episiotomy repair technique or poor healing, it can affect sexual intercourse and lead to marital disharmony especially in societies that tend to lean towards patriarchy Case presentation: A 31-year-old Nigerian multiparous lady with three living children presented on account of complaints of lax introitus and lack of sexual satisfaction by the partner. She had poorly healed bilateral episiotomy scar following her last delivery. She has been practicing Kegel’s exercise with no improvement. There was associated threat to their relationship by her partner. Perineolasty and vaginoplasty was done. She had successful recovery and improvement in the quality of sex. Conclusion: This is a rare case of a woman in our clime visiting the clinic to request for perineal reconstruction following complaints by her partner and threat to their relationship. Obstetricians should pay attention to any complaint or worry following episiotomy and offer appropriate care to meet the sexuality needs of the parous following childbirth. Keywords: episiotomy; Kegel’s exercise; perineoplasty; vaginoplasty.
Effects of misinformation on COVID-19 prevention and control in Nigeria
Authors:   epartment of Mass Communication, Nnamdi Azikiwe University, Awka, Nigeria., Chinedu-Okeke Chinonye Faith , Uzochukwu Chinwe Elizabeth ,   epartment of Mass Communication, Nnamdi Azikiwe University, Awka, Nigeria., Eleje George Uchenna ,   Department of Obstetrics and Gynecology, Nnamdi Azikiwe University, Awka, Nigeria., Obi Ijeoma ,   Department of Mass Communication, Chukwuemeka Odumegwu Ojukwu University, Igbariam, Nigeria., Onwuegbuna Arinze Anthony ,   Department of Ophthalmology, Nnamdi Azikiwe University, Awka, Nigeria., Ijeoma Eleje Lydia ,   Department of Educational Foundations, Nnamdi Azikiwe University, Awka, Nigeria.
Published: December 2021

Objectives: To evaluate the impact of misinformation on COVID-19 prevention and control in Nigeria. Methods: This review adopted a documentary research method involving personal and official documents sourced from Google, PubMed, and Google Scholar databases from February 2020 to October 2020. Related information was extracted from newspapers, social media, journal articles and grey literatures. The searched areas were: COVID-19 outbreak in Nigeria, spread of misinformation on COVID-19 cases in Nigeria, updates of COVID-19 cases in Nigeria, and the effect of health misinformation on COVID-19 prevention and control. Results: Data from 31 reviewed literature shows that Social media poses a threat to public health by facilitating the widespread misinformation, especially during health crises. Social media platform (WhatsApp) was highly used in the spread of misinformation across the globe, thereby resulting in fear or tension which often kills faster than the disease itself. These experiences show that Nigeria is not just fighting against COVID-19, but also facing the battle of misinformation which can also be deadly. Conclusion: Misinformation is increasingly more sophisticated than ever and its potentials spread wider and faster in social media era resulting in fear or tension. Improved e-health literacy and dissemination of increased corrective information are highly recommended. Keywords: control; COVID-19; corona virus; misinformation; prevention.
Role of endoscopic ultrasonography in the diagnosis of dysphagia aortica
Authors:   Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran., Niknam Ramin , Sivandzadeh Gholam Reza ,   Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Published: December 2021

Dysphagia aortica is an unusual cause of dysphagia. Diagnosis of this condition is usually based on chest radiography, barium esophagogram, chest computed tomography, endoscopy, and aortography. We report a case of dysphagia aortica who was successfully diagnosed using endoscopic ultrasonography and treated with life style modification and medications. Keywords: dysphagia aortica; aortic aneurysm; endoscopic ultrasonography; endoscopy.
Sewing machine spool in cervical canal: Case report
Authors:   Department of Obstetrics and Gynaecology, UCMS and GTB hospital, New Delhi,110095, India., AG Radhika , Tyagi Natasha ,   Department of Obstetrics and Gynaecology, UCMS and GTB hospital, New Delhi,110095, India., Singh Shilpa ,   Department of Obstetrics and Gynaecology, KGMU, Lucknow, U.P., India., Agarwal Richa ,   Department of Obstetrics and Gynaecology, UCMS and GTB hospital, New Delhi,110095, India.
Published: December 2021

Background: Intentional placement or forgotten foreign bodies in the lower female genital tract have been reported. Patients may selfreport or may present with an array of symptoms including pelvic pain, vaginal discharge and vaginal bleeding. Case: Ms X, 23 years old, presented to antenatal clinic at two months pregnancy with complaints of excessive discharge per vaginum. There was no bleeding or foul smell. She did not reveal any other significant history. On internal examination, uterus was 8 weeks size, and a nodular lesion was felt in the cervical canal. Transvaginal USG confirmed intra-uterine pregnancy but also aroused the suspicion of a foreign body in the cervix. At examination in the operation theatre, the spool of sewing machine was found imbedded in cervical canal. It was gently dislodged and removed. Procedure and post-operative period were uneventful. The history was then reviewed. It came to light that the spool had been inserted in the cervical canal to expedite conception, without her knowledge when the patient was examined by an untrained birth attendant. Conclusion: Fear of infertility drives women to seek treatment from any source, as illustrated in this report. The spool inserted into the cervix was possibly to function as a “conduit” for the sperms Keywords: foreign body; cervix; pregnancy; discharge.
An obstructive tongue neurofibroma
Authors:   Department of Otorhinolaryngology and Head and Neck Surgery of Vila Nova de Gaia/Espinho Hospital Center, R Gama , M Sousa ,   Department of Otorhinolaryngology and Head and Neck Surgery of Vila Nova de Gaia/Espinho Hospital Center, F Castro ,   Department of Otorhinolaryngology and Head and Neck Surgery of Vila Nova de Gaia/Espinho Hospital Center, A Condé ,   Department of Otorhinolaryngology and Head and Neck Surgery of Vila Nova de Gaia/Espinho Hospital Center
Published: December 2021

Neurofibromatosis type 1 (NF1) is an autosomal dominant disorder characterized by multiple manifestations, including the presence of neurofibromas. These benign lesions can potentially affect every site of the body; its location in the head and neck region is not uncommon, but the oral cavity, and specially the tongue, are rarely affected. We aim to present a case of a giant recurrent neurofibroma of the tongue in a NF1 patient, conditiong obstructive symptoms, as well as to ouline its successful treatment with topical mitomycin-C as an adjuvant therapy to surgical ressection. Keywords: neurofibromatosis; neurofibroma; recurrence; airway obstruction.
A case of severe multi-system disease in a sickle cell SC patient caused by parvovirus B19 infection
Authors:   Section of Pediatric Critical Care Medicine, St. Christopher’s Hospital for Children, 160 E Erie Ave Philadelphia PA 19134, USA, Almuqamam Mohamed , Madhavarapu Swetha ,   Section of Pediatric Critical Care Medicine, St. Christopher’s Hospital for Children, 160 E Erie Ave Philadelphia PA 19134, USA, Apollonsky Nataly ,   Section of Pediatric Hematology, St. Christopher’s Hospital for Children, 160 E Erie Ave Philadelphia PA 19134, USA.
Published: December 2021

Sickle Cell Disease (SCD) is an inherited hemoglobinopathy, which results in production of abnormal hemoglobin S. HbSC disease is a variant of SCD, which shares a similar clinical complication profile to HbSS disease, but often thought to be a milder condition. In patients with SCD, Hb S in deoxygenated state undergoes polymerization, leading to hemolysis, vaso-occlusive events, and eventually end-organ damage. Among other complications in patients with SCD is increased risk of complications caused by parvovirus B19. We present a case of a 14-year-old female with HbSC disease who presented to the emergency room with complaint of abdominal pain and found to have splenic sequestration. Splenic sequestration progressed rapidly, Hemoglobin (hb) dropped to 4.6 g/dl and acute chest syndrome (ACS) developed. She was treated following the ACS protocol, received 4 units of Packed Red Blood Cells (PRBC) and subsequently underwent a single volume PRBC exchange transfusion. Considering her unusual presentation, with severe ARDS from alveolar hemorrhage requiring mechanical ventilation and multi-organ injury, several autoimmune and infectious conditions with a cytokine storm component including COVID-19 disease, were considered. Results of viral testing revealed parvovirus B19 IgM antibodies signifying an acute infection. She fully recovered with supportive care and was discharged home. Multisystem involvement simulating connective tissue disorders or malignancies with acute parvovirus B19 infection has been reported and is considered extremely rare. To our knowledge, there were no reports of pediatric patients with SC disease presenting with splenic sequestration and ACS in the setting of parvovirus B19 multisystem disease. Keywords: sickle cell disease; acute respiratory distress syndrome; acute chest syndrome; parvovirus B19.
A rare case of plasmacytoma of mandible revealing plasma cell myeloma
Authors:   Professor, Department of Oral and Maxillofacial Surgery, King George’s Medical University, Lucknow, India., Ram Hari , Gupta Sneha ,   Junior Resident, Department of Oral and Maxillofacial Surgery, King George’s Medical University, Lucknow, India., Kumar Singh Praveen ,   Junior Resident, Department of Oral and Maxillofacial Surgery, King George’s Medical University, Lucknow, India., Sharma Shivani ,   Junior Resident, Department of Oral and Maxillofacial Surgery, King George’s Medical University, Lucknow, India.
Published: December 2021

Multiple myeloma (MM) is a malignant proliferation of plasma cells with multiple foci. Plasmacytoma is a solitary plasma cell neoplasm involving a single bone. The most commonly involved bone is vertebra. Jaw bones are rarely involved as a first bone as they have lesser hematopoietic marrow. A solitary plasmacytoma may progress to multiple myeloma within few months to year. We present a case of a swelling of mandible that on further investigations confirmed the diagnosis of multiple myeloma. We have discussed the course of treatment given and its prognosis. Keywords: multiple myeloma; plasmacytoma of jaw; bence jones Protein; abnormal plasma cells; CD138.
Bilateral parotid gland enlargement as a presenting manifestation of relapsed pediatric acute myeloid leukemia
Authors:   Department of Hematology, GCRI, Ahmedabad, Gujarat, India., Garg Akanksha , Chauhan Priyanka ,   Department of Hematology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India., Gupta Anshul ,   Department of Hematology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India., Nityanand Soniya ,   Department of Hematology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
Published: December 2021

Parotid gland involvement is a rare presentation of Acute Myeloid Leukemia (AML). We report a 10-year-old girl of acute myelomonocytic leukemia with normal cytogenetics and positivity for inversion 16, who after completion of first consolidation of the BFM 2004 AML protocol, presented with bilateral parotid gland enlargement. Bone marrow examination was suggestive of a relapse. Fine needle aspiration of the parotid gland showed presence of myeloblasts. Patient was given FLAG-IDA chemotherapy, with which the parotid swellings rapidly regressed and she achieved a remission and was planned for allogenic bone marrow transplantation. Acute myelomonocytic and monoblastic leukemias are known to be associated with tissue infiltration. However, exocrine gland involvement such as parotid enlargement is rare and is associated with a poor prognosis as was seen in our patient who despite having inversion 16 positivity had poor disease outcome. Keywords: acute myeloid leukemia; parotid gland enlargement; granulocytic sarcoma.
Therapeutic potential of ibuprofen inhalation for COVID-19 pneumonia: Report of two first cases
Authors:   Sanatorio Mayo Privado SA, Ciudad de Córdoba, Córdoba, Argentina., Ambasch Germán , Coscia Esteban ,   Sanatorio Mayo Privado SA, Ciudad de Córdoba, Córdoba, Argentina., Díaz Jorge Luis Tambini ,   Sanatorio Mayo Privado SA, Ciudad de Córdoba, Córdoba, Argentina., Bueno Germán David ,   Sanatorio Mayo Privado SA, Ciudad de Córdoba, Córdoba, Argentina., Argañarás Luis Alberto ,   Química Luar SRL, Ciudad de Córdoba, Córdoba, Argentina., Ríos Nicolás Martínez ,   Química Luar SRL, Ciudad de Córdoba, Córdoba, Argentina., Porta Daniela Josefina ,   Instituto de Investigaciones en Ciencias de la Salud, Ciudad Universitaria, Córdoba, Argentina, Beltramo Dante Miguel ,   CONICET, Santa María de Punilla, Córdoba, Argentina, García Néstor Horacio ,   Instituto de Investigaciones en Ciencias de la Salud, Ciudad Universitaria, Córdoba, Argentina
Published: December 2021

No specific and effective antiviral treatment has been approved for COVID-19 so far. Systemic corticosteroid and remdesivir have shown to decrease mortality in COVID-19 patients, but mortality still is elevated. We propose that nebulized hypertonic ibuprofen solution which has bactericidal, virucidal, mucolytic and anti-inflammatory properties to be used for COVID-19 pneumonia and prevent the classical evolution to respiratory failure and mechanical respiration. We report here the first two cases of the COVID-19 pneumonia successfully treated with nebulized hypertonic ibuprofen solution (NaIHS). Rationale of the treatment is to mitigate the local inflammation with inhaled NIH that stays in the lung and may inhibit proliferation of the virus, inflammation and successfully reverts the hypoxia observed in these clinical cases. Mild adverse events were observed. Larger and further studies are warranted to confirm the result of these cases. Keywords: hypertonic ibuprofen solution; inhalation; coronavirus disease 2019.
Hypertriglyceridemia induced pancreatitis: An increasing cause of acute pancreatitis: A district hospital experience
Authors:   Queens Hospital, Romford-London., Sanda Hnin , Mahamud Bashir ,   Trakia University, Stara Zagora- Bulgaraia., Patel Shrini Patel ,   Queens Hospital, Romford-London., Meneissy Noha ,   Queens Hospital, Romford-London., Rehmani Hassan ,   Queens Hospital, Romford-London., Elshowaya Suhier ,   Queens Hospital, Romford-London., Mlawa Gideon ,   Queens Hospital, Romford-London.
Published: December 2021

Hypertriglyceridemia is becoming an increasing causative factor of acute pancreatitis. HTG is characterised by the presence of serum triglyceride greater than 1.7 mmol/l (>150 mg/dL). HTG induced acute pancreatitis is associated with high morbidity and mortality and if not treated timely
Burned-out testicular tumor: Two case reports
Authors:   Oncology Department, Hospital de Clínicas Dr. Manuel Quintela, Montevideo, Uruguay., C Castillo , N Camejo ,   Oncology Department, Hospital de Clínicas Dr. Manuel Quintela, Montevideo, Uruguay., D Centurion ,   Pathology Department, Hospital de Clinicas Dr. Manuel Quintela, Montevideo, Uruguay., J Carzoglio ,   Pathology Department, Hospital de Clinicas Dr. Manuel Quintela, Montevideo, Uruguay., R Cepellini ,   Urology Department, Hospital de Clínicas, Dr. Manuel Quintela, Montevideo, Uruguay., G Krygier ,   Oncology Department, Hospital de Clínicas Dr. Manuel Quintela, Montevideo, Uruguay.
Published: December 2021

Spontaneous regression of a testicular tumor or burned-out testicular tumor is a rare phenomenon in patients with testicular germ cell tumors. The condition is characterized by tumor metastases, suspicious findings of the testicular tumor on ultrasound imaging, and partial or total histological regression of the primary testicular tumor after orchiectomy without treatment. Clinically, patients present with a disseminated tumor with symptoms related to the metastatic site without a palpable testicular tumor. Patients may also present with elevated levels of tumor biomarkers, depending on the histology. The etiopathogenesis of this phenomenon remains unclear and may involve immunologic factors as well as necrosis due to tumor growth beyond the available blood supply. We report here two clinical cases of patients treated at our center, both presenting with symptoms caused by retroperitoneal lymph node dissemination but different histologiesas well as a different clinical course. Keywords: germ cell tumor; testicular cancer; spontaneous regression.
Diagnosis of atypical mass-forming chronic pancreatitis mimicking pancreatic carcinoma: A case report
Authors:   Department of Gastroenterology, Xiangya Hospital of Central South University, Changsha 410008, Hunan Province, China., Wang Han-Yue , Huang Hao-Su ,   Department of Gastroenterology, Xiangya Hospital of Central South University, Changsha 410008, Hunan Province, China., Wang Meng ,   Department of Gastroenterology, Xiangya Hospital of Central South University, Changsha 410008, Hunan Province, China., Peng Jie ,   Department of Gastroenterology, Xiangya Hospital of Central South University, Changsha 410008, Hunan Province, China.
Published: December 2021

Background: Mass-Forming Chronic Pancreatitis (MFCP) is rare. Moreover, atypical MFCP is difficult to differentiate from Pancreatic Carcinoma (PC) in clinical manifestations, laboratory, and imaging examinations. Diagnosis could be supported by the pathological findings of focal inflammatory fibrosis without evidence of tumor in the pancreas. Case summary: A 52-year-old man had acute pancreatitis twice over 7 months. Amylase and lipase levels were three times higher than the normal range without any clinical symptoms. At the 6th month, the patient lost 15 kg of weight, and abdominal ultrasonography revealed pancreatic head space occupied. All the findings in multimodal imaging including computed tomography image, Magnetic Resonance (MR) imaging with MR cholangiopancreatography, and 18F-FDG positron emission tomography/computed tomography showed an irregular nodule with low density, low signal, and low echo in the head of the pancreas, which were lower than those in the normal pancreatic tissue. The proximal main pancreatic duct was truncated and stenosed, and the distal duct was dilated. Subsequently, he developed progressive painless jaundice, and the specific tumor marker levels were increased. Most of these manifestations were suggestive of the pancreatic malignant tumor; however, multiple specimen pathological findings obtained from laparotomy and endoscopic ultrasonography-guided fine-needle aspiration revealed focal chronic inflammation, fibrosis, and necrosis. Conclusion: This report describes a case of atypical MFCP mimicking PC at clinical presentation and laboratory findings, especially in multimodal imaging. However, the combination of atypical multimodal imaging features, which support MFCP rather than PC, and endoscopic ultrasonography-guided fine-needle aspiration are useful for improving the diagnostic rate of atypical MFCP and avoiding unnecessary surgery.
Covid-19’un İnovasyon ve İhracat Üzerine Etkisi
Authors: PERKER Burçak , KARAMAN Arzu
Published: December 2021

İnovasyon, hizmet, sanayi, bilgi teknolojileri, tarım, finans sektörü gibi farklı alanlarda kullanılan ve her geçen gün önemi artan bir kavram haline gelmiştir. Günümüzde rekabet küreselleşmenin etkisi ile birlikte uluslararası düzeye taşınmıştır. Rekabetin artışı işletmelerin ve ülkelerin birbirleriyle etkileşimine sebep olmaktadır. Bu sayede işletmeler küresel pazarlara açılmaktadır. Bu doğrultuda inovasyonun ülkeler ve işletmeler açısından önemi büyüktür. İnovasyon ile ihracat performansı arasında bir ilişki söz konusudur. Literatüre bakıldığında bu ilişki ele alınırken Ar-Ge harcamalarını ve patents sayısını temel alan çalışmalara rastlanmaktadır. Fakat Küresel İnovasyon Karnesine bakıldığında farklı belirleyici değişkenlerin yer aldığı görülmektedir. Çalışmanın ana amacı, Türkiye’de Covid 19 sonrası İnovasyon ve İhracat’ın geldiği noktayı ihracat göstergeleri ve Küresel İnovasyon endeksi kapsamında ele alarak incelemektir.
Meningkatkan Daya Saing UMKM di Era New Normal Melalui Pendekatan Analytic Network Process (ANP)
Authors: Firmansyah Irman , Dermawan Wildan Dwi , Munawar Andri Helmi , Rahmani Dede Arif
Published: December 2021

Penelitian ini bertujuan merumuskan strategi bagi UMKM di Priangan Timur dalam beradaptasi di kondisi new normal saat ini maupun dalam jangka panjang. Penelitian menggunakan metode kualitatif dan kuantitatif dengan pendekatan Analytic Network Process kepada akademisi, praktisi, peneliti, dan regulator. Hasil penelitian menunjukkan dua masalah utama daya saing UMKM, yaitu dari sisi internal terkait tingkat kemampuan yang rendah dalam penggunaan teknologi dan dari sisi eksternal terkait daya beli masyarakat yang menurun. UMKM perlu mengoptimalkan penggunaan internet dalam melakukan pemasaran dan bekerja sama dengan penyedia aplikasi pemasaran online. Diperlukan juga komitmen dan kolaborasi yang baik antara pemerintah, akademisi, lembaga keuangan, dan perusahaan teknologi informasi untuk meningkatkan daya saing UMKM.
Pregnancy’s Relationship With Diabetes and Induced Hypertension: A Mini-Review
Authors: Saha Ishita , Das Mahashweta
Published: December 2021

It is pointed out in many articles that induced hypertension and gestational diabetes are well linked to pregnancy, but this relationship is not well determined. The report focuses on the pregnancy’s relationship with diabetes and induced hypertension. It is found herein that mean pregnancy is directly related with glucose levels (GLUC) (P=0.07), age (P<0.01), BMI (P=0.07), Diabetic Women (DW) status (P=0.01), interaction effect of Triceps SkinFold Thickness (TSFT) and age (TSFT × Age) (P<0.01), while it is inversely related with GLUC × Age (P=0.02), TSFT × BMI (P<0.01), Insulin (INSU) (P=0.06) and Diabetes Pedigree Function (DPDF) (P=0.03). Variance of pregnancy is directly related with GLUC (P=0.07), Diastolic Blood Pressure (DBP) (P=0.04), GLUC × TSFT (P<0.01), DBP × TSFT (P<0.01), DPDF (P=0.01), INSU × BMI (P=0.15), while it is inversely related with GLUC × DBP (P=0.01), TSFT (P<0.01), TSFT × DPDF (P=0.03), INSU (P=0.07). It is easily interpreted that pregnancy’s mean is well connected to diabetic parameters such as INSU and GLUC levels, history of DW, DPDF, BMI, GLUC × Age, while its variance is connected to diabetic and hypertension parameters such as GLUC, DPDF, DBP, GLUC × TSFT, DBP × TSFT, INSU × BMI, GLUC × DBP, TSFT × DPDF, INSU. Moreover, it is derived that a diabetic female has a higher chance to be pregnant than a normal woman.
دعوى تعديل الحنفية للقاعدة الأصولية لتناسب الفروع المتعارضة : دراسة أصولية نقدية
Authors: مأمون مجلي أبو جابر
Published: December 2021

دعوى تعديل الحنفية للقاعدة الأصولية لتناسب الفروع المتعارضة : دراسة أصولية نقدية

 

This study is dealing with the issue of mending the original base “ osouliah” by the Hanafiah so that it can suit the opposite “figh branches.

As a result, some strange bases have appeared to them.

Some contemporaneous scientists have supported this issue and I couldn’t find any former scientist who may have talked about it.

The supporters of this issue have given some evidence to support their Issues.

This study have proved its fault.

Amazingly , the “Malikans “and “ hanbals” took the same route in abstracting their origins.

However , modern scientists have seized this issue on the “Hanafiah" only without evidence.

The matter that led to this study to investigate its.

Correctness and explain the in It
CLINICAL AND ELECTROPHYSIOLOGICAL INDICATORS OF ACUTE AND EARLY RECOVERY PERIODS OF CEREBRAL STROKE
Authors: Митрохин Д.А. , Ибрагимов М.М. , Симбинова А.Н. , Буйракулова Н.Ш. , Харченко В.В. , Байдилдаев А.А. , Рубанов И.Г.
Published: December 2021

В остром и раннем восстановительном периодах церебрального инсульта взаимосвязь между биоэлектрической активностью головного мозга и клинической картиной заболевания представляют значительный научный и практический интерес. В данной статье, представлены результаты исследования клинико-неврологических и электроэнцефалографических показателей, в остром и раннем восстановительном периодах церебрального инсульта, 67 больных в возрасте от 43 до 78 лет. Показано, что у больных в остром и раннем восстановительном периодах церебрального инсульта на фоне двигательных и речевых расстройств, наблюдались легкие и умеренные когнитивные нарушения, а также тревожно-депрессивные проявления. Головная боль, соответствующая критериям головной боли напряжения отмечалась у 61,1% больных. Биоэлектрическая активность головного мозга характеризовалась выраженной дельта и тета активностью, а также единичными острыми волнами, спайками, преимущественно в пораженном полушарии головного мозга, межполушарной асимметрией, повышением мощности спектров в сторону преобладания медленных волн. Показатели индекса когерентности по всем отведениям были снижены, что свидетельствует о нарушении функциональных межполушарных взаимосвязей. Более значительное повышение индекса когерентности в дельта и тета диапазонах у пациентов, перенесших геморрагический инсульт, может указывать на более грубые межполушарные нарушения, в сравнении с ишемическим инсультом.

In the acute and early recovery periods of cerebral stroke, the correlation between bioelectrical activity of the brain and the clinical picture of the disease is of considerable scientific and practical interest. This article presents the results of a study of clinical, neurological and electroencephalographic parameters, in the acute and early recovery periods of cerebral stroke, in 67 patients aged from 43 to 78. Mild and moderate cognitive impairment as well as anxiety and depressive manifestations were shown among patients in the acute and early recovery periods of cerebral stroke amid the motor and speech disorders. Headache meeting the criteria of tension headache was reported among 61,1% of patients. The bioelectrical activity of the brain was characterised by marked delta and theta activity as well as single sharp waves, commissures mainly in the affected cerebral hemisphere, interhemispheric asymmetry and by increase in the spectrum power towards the predominance of slow waves. The coherence index scores were decreased on all directions, indicating impaired functional interhemispheric connectivity. A greater increase in coherence index in the delta and theta bands among haemorrhagic stroke patients may indicate more severe interhemispheric disturbances compared to ischaemic stroke.
DIFFUSE IDIOPATHIC SKELETAL HYPEROSTOSIS OF THE CERVICAL SPINE - DIAGNOSIS, TREATMENT
Authors: Алиев М.А. , Мирзабаев М.Ж. , Аглаков Б.М. , Мустафинов Д.Б. , Алматов М.С. , Ташкеева М.Ж.
Published: December 2021

Диффузный идиопатический скелетный гиперостоз - системное состояние, характеризующееся наличием по меньшей мере трех костных мостиков в переднебоковом отделе позвоночника. Распространенность заболевания составляет 2,9% - 42,0%. Важным компонентом для диагностики гиперостоза было наличие костного нароста в передней части смежных позвонков. Дебют диффузного идиопатического скелетного гиперостоза протекает бессимптомно, в результате чего заболевание обнаруживается как случайное открытие во время рентгенологического обследования других заболеваний. Клинически значимым симптомом гиперостоза в шейном отделе является дисфагия и обструкция дыхательных путей. В результате костного нароста, расположенного кпереди от тел позвонков в шейном отделе позвоночника, трахея и пищевод смещаются, что приводит к дисфагии и обструкции дыхательных путей, что является главным диагностическим критерием и показанием к оперативному лечению.

Diffuse idiopathic skeletal hyperostosis is a systemic condition characterized by the presence of at least three bone bridges in the anterolateral spine. The prevalence of the disease is 2.9% - 42.0%. An important component for the diagnosis of hyperostosis was the presence of a bone growth in the anterior part of the adjacent vertebrae. The onset of diffuse idiopathic skeletal hyperostosis is asymptomatic, as a result of which the disease is detected as an accidental discovery during X-ray examination of other diseases. A clinically significant symptom of cervical hyperostosis is dysphagia and airway obstruction. As a result of the bone growth located anteriorly from the vertebral bodies in the cervical spine, the trachea and esophagus are displaced, which leads to dysphagia and airway obstruction, which is the main diagnostic criterion and indication for surgical treatment.
VITAMIN D3 IN BREAST CANCER PREVENTION: MYTH OR REALITY (literature review)
Authors: Таракова Б.К. , Култаев А.С. , Есентаева С.Е. , Жакенова Ж.К.
Published: December 2021

В 2018 году в Республике Казахстан было зарегистрировано 4648 новых случая рака молочной железы (РМЖ). Результаты: О взаимосвязи уровня витамина Д3 и риска развития РМЖ свидетельствуют результаты достаточного числа исследований. Женщины с высоким содержанием витамина Д в рационе питания имеют меньший риск развития РМЖ. Положительное противоопухолевое действие витамина Д3 связано с двумя основными механизмами: антипролиферативным эффектом, ингибирующим ростом клеток путем подавления сигналов, стимулирующих рост рецепторов, которые имеются в ткани молочной железы, и проапоптотическим эффектом, способствующим естественной гибели клеток молочной железы. Заключение: Накопленные к настоящему времени данные о роли витамина Д3 в организме человека, взаимосвязи его уровня с развитием и течением онкологической патологии позволяют предположить, что коррекция недостаточного уровня витамина Д3 может быть перспективным направлением в профилактике и комплексном лечении онкологических заболеваний.

Introduction: In 2018, 4648 new cases of breast cancer (BC) were registered in the Republic of Kazakhstan. Results: The relationship between the level of vitamin D3 and the risk of developing breast cancer is evidenced by the results of a sufficient number of studies. Women with a high vitamin D diet have a lower risk of developing breast cancer. The positive antitumor effect of vitamin D3 is associated with two main mechanisms: the antiproliferative effect, which inhibits cell growth by suppressing signals that stimulate the growth of receptors present in the breast tissue, and the proapoptotic effect, which promotes the natural death of breast cells. Conclusion: The data accumulated to date on the role of vitamin D3 in the human body, the relationship of its level with the development and course of oncological pathology suggests that the correction of insufficient levels of vitamin D3 may be a promising direction in the prevention and complex treatment of cancer.
TERMINATION OF PREGNANCY: TRENDS OF THE LAST DECADE
Authors: Абдужабарова Ш.А. , Оспангалиева С.М. , Жаналиева Ж.Р. , Джамаева Г.А. , Толепбергенов Г.К.
Published: December 2021

В нашу работу вошли 2 исследования (380 пациенток), которые получали препараты прогестерона перорально или вагинально. Представлена современная классификация. Освещены вопросы этиологии и патогенеза данного осложнения, критерии диагностики, а также стандарты терапии и возможности профилактики. Также проведен обзор пяти больших исследований, включивших 980 пациенток. Авторы провели скрининг тысяч публикаций по нескольким критериям и только пять публикаций соответствовали необходимым критериям качества.

Our work included 2 studies (380 patients) who received progesterone preparations orally or vaginally. The modern classification is presented. The issues of the etiology and pathogenesis of this complication, the diagnostic criteria, as well as the standards of therapy and the possibilities of prevention are highlighted. We also reviewed five large studies involving 980 patients. The authors screened thousands of publications against several criteria, and only five publications met the required quality criteria.
TRANSIENT ISCHEMIC ATTACKS: DIFFERENTIAL DIAGNOSIS, TREATMENT, PREVENTION (Literature review)
Authors: Нуржанова Р.Б. , Жакенова Г.Ж. , Сраилова К.Б. , Шерияздан Ж.С. , Ташманова А.Б. , Раимкулов Б.Н.
Published: December 2021

В данной статье представлен обзор литературы по транзиторным ишемическим атакам с учетом современных исследований: диагностика, симптомы и синдромы данного заболевания, дифференциальный диагноз с обоснованием дополнительных методов исследования, лечение, профилактика.

This article provides a review of the literature on transient ischemic attacks, taking into account modern research: diagnosis, symptoms and syndromes of this disease, differential diagnosis with substantiation of additional research methods, treatment, prevention.
ASSESSMENT OF RESIDUAL EFFECTS AND CONSEQUENCES OF COVID-19 IN ELDERLY AND SENILE PEOPLE IN SHYMKENT
Authors: Абуова Г.Н. , Айтмуратова Г.А. , Полукчи Т.В. , Бердалиева Ф.А. , Утепбергенова Г.А.
Published: December 2021

Первые случаи COVID-19 в Казахстане начали регистрироваться в марте 2020г. и на середину июля по официальным данным было уже зарегистрировано почти 60 тысяч случаев, в том числе 373 летальных (0,6%). Понимание истинного бремени заболевания является важным для усиления системы общественного здравоохранения и своевременного корректирования карантинных и смягчающих мер в современном мире. Название инфекции COVID-19 появилось благодаря англоязычной аббревиатуре «Coronavirus Disease 2019». Большая часть пациентов с COVID-19 полностью выздоравливает. Однако, у части из них остаются остаточные явления - одышка при легкой физической нагрузке, легкий кашель, боли и дискомфорт в области лопаток, ухудшение показателей функции сердца, отсутствие обоняния и вкуса, снижение зрения, повышенная утомляемость, бессонница, нарушение менструального цикла, выпадение волос, депрессивное состояние. Остаточные явления в значительной степени снижают качество жизни пациентов, особенно у лиц пожилого и старческого возраста, переболевших COVID-19, мешая вести прежний образ жизни, ухудшая работоспособность и способность выдерживать психоэмоциональные нагрузки. В данной статье проведена оценка остаточных явлений и последствий COVID-19 у лиц пожилого и старческого возраста г. Шымкент.

The first cases of COVID-19 in Kazakhstan began to be registered in March 2020. and by mid-July, according to official data, almost 60 thousand cases were already registered, including 373 fatal (0.6%). Understanding the true burden of the disease is important for strengthening the public health system and timely correction of quarantine and mitigation measures in the modern world. The name of the COVID-19 infection appeared due to the English-language abbreviation «Coronavirus Disease 2019». Most of the patients with COVID-19 fully recover. However, some of them have residual phenomena-shortness of breath with light physical exertion, a slight cough, pain and discomfort in the shoulder blades, deterioration of heart function, lack of smell and taste, decreased vision, increased fatigue, insomnia, menstrual cycle disorders, hair loss, depression. Residual phenomena significantly reduce the quality of life of patients, especially in elderly and senile people who have had COVID-19, preventing them from leading a previous lifestyle, impairing their performance and ability to withstand psychoemotional loads. This article evaluates the residual effects and consequences of COVID-19 in elderly and senile people in Shymkent.
POSSIBILITIES OF COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF PNEUMONIA ASSOCIATED WITH COVID-19
Authors: Ахмульдинова А.Н. , Касымбекова Г.Д. , Дауыт Д.Н. , Калыев Ж.А.
Published: December 2021

Актуальность проблемы быстрой и точной диагностики пневмонии, ассоциированной с covid-19, в период присвоения коронавирусной инфекции (covid-19) статуса пандемии, безусловно бесспорна. Своевременная диагностика влияет на прогноз заболевания. Цель оценить возможности КТ при выявлении пневмонии, ассоциированной с covid-19 и уточнения стадии развития пневмонии. Материал и методы. Исследования проводились на мультиспиральном компьютерном томографе SOMATOM Difinition AS (Siemens). В исследования включены пациенты, прошедшие КТ грудной полости с 01.06.2020. по 31.08.2020. из базы Центральной Городской Клинической Больницы (ЦГКБ) г.Алматы. Результаты КТ оценивали визуальным методом. Визуальную оценку осуществляли с использованием трехплоскостной реформации изображений, что позволяло определить локализацию, контуры, протяженность измененных участков легочной ткани. Результаты. По данным проведенных обследований у большинства пациентов были выявлены признаки воспалительных изменений в легких, которые оценивались рентгенологами нашей клиники с учетом уже известных на тот момент специфических паттернов, характерных для пневмонии, ассоциированной с covid-19. По результатам КТ органов грудной клетки при дифференциальной диагностике пневмонии, ассоциированной с covid-19 от другой легочной патологии. Специфичность составила 88%. Заключение. КТ органов грудной полости является высокоспецифичным методом исследования при диагностике пневмонии, ассоциированной с covid-19.

The urgency of the problem of rapid and accurate diagnosis of pneumonia associated with covid-19 during the assignment of coronavirus infection (covid-19) pandemic status is certainly indisputable. Timely diagnosis affects the prognosis of the disease. The aim is to evaluate the possibilities of CT in detecting pneumonia associated with covid-19 and to clarify the stage of development of pneumonia. Material and methods. The studies were carried out on a multispiral computed tomograph SOMATOM Difinition AS (Siemens). The study included patients who underwent CT of the thoracic cavity from 01.06.2020. to 31.08.2020. from the base of the Central City Clinical Hospital (CGKB) in Almaty. CT results were evaluated by visual method. Visual assessment was carried out using a three-plane image reformation, which made it possible to determine the localization, contours, and extent of the altered areas of lung tissue. Results. According to the conducted examinations, most patients showed signs of inflammatory changes in the lungs, which were evaluated by radiologists of our clinic taking into account the specific patterns already known at that time, characteristic of pneumonia associated with covid-19. According to the results of CT of the chest organs in the differential diagnosis of pneumonia associated with covid-19 from other pulmonary pathology. The specificity was 88%. Conclusion. CT of the thoracic cavity is a highly specific method of investigation in the diagnosis of pneumonia associated with covid-19.