bluuebunny/crossref_metadata_2025 huggingface dataset:
Työ- ja perhe-elämän hämärtyvät rajat: suomalaisten äitien työ- ja perhe-elämän rajapintojen hallinnan strategiat korona-arjessa
Authors: Salin Milla , Otonkorpi-Lehtoranta Katri , Hakovirta Mia , Kaittila Anniina
Published: December 2021

Keväällä 2020 monen lapsiperheen arki mullistui covid-19-pandemian seurauksena, kun valtaosa lapsista siirtyi kotihoitoon tai etäopetukseen. Lisäksi moni vanhempi siirtyi etätöihin. Tarkastelimme tutkimuksessamme suomalaisten äitien kokemuksia työ- ja perhe-elämän yhteensovittamisesta boundary-teorian näkökulmasta korona-arjessa. Aineistona käytimme keväällä 2020 kerättyä kyselyä lapsiperheiden kokemuksista korona-arjessa. Kysely sisälsi kvantitatiivisia kysymyksiä ja kvalitatiivisia avokysymyksiä. Analyysin toteutimme monimenetelmällisesti. Tulokset osoittivat, että valtaosa äideistä koki korona-arjen hämärtäneen työn ja perheen välistä rajapintaa. Rajapintojen hallinnan strategioissa korostuikin työ- ja perheroolien rajojen rikkoutuminen eli korona-arki hämärsi sekä tilalliset että ajalliset rajat. Äidit erosivat toisistaan siinä, millaisia strategioita heillä oli käytettävissään työn ja perheen välisten rajojen hallintaan. Eroja aiheuttivat niin työnteon paikka kuin perheessä neuvotellut käytännöt lisääntyneen hoivavastuun jakamisesta.
Unusual association between Ornithonyssus bursa (Berlese, 1888) (Mesostigmata: Macronyssidae) and Parabuteo unicinctus (Temminck, 1824) (Accipitriformes: Accipitridae) in Paraíba State, Brazil
Authors: Takatsu Júlia C. , Bassini-Silva Ricardo , De Moura Ana Paula , Batista Aksa I. V. , Dias Glenison F. , Pereira Josivania S. , Dowling Ashley P. G. , Jacinavicius Fernando
Published: December 2021

Ornithonyssus bursa (Berlese, 1888), known as the tropical fowl mite, is a hematophagous mite of domestic and wild birds. This mite can bite humans accidentally, causing “gamasoidosis,” “avian-mite dermatitis,” or “bird-mite dermatitis” in tropical and subtropical regions of the world. In Brazil, O. bursa was previously recorded parasitizing birds of the orders Charadriiformes Huxley, 1867, Columbiformes Latham, 1790, Galliformes Temminck, 1820, Passeriformes Linnaeus, 1758, Strigiformes Wagler, 1830, and Tinamiformes Huxley, 1872. Here, we provide a new association of O. bursa with Harris’s hawk, Parabuteo unicinctus (Temminck, 1824) (Accipitriformes: Accipitridae) and the first record of this mite species in the Paraíba State, Brazil.
Investigation for Endemic Bacteria in the Intestine of Common Carp (Cyprinus Carpio L.) Feeding on Various Formulated Powders Fortified Diets
Authors: Intisar Abduljabbar Shamkhi  , Nuha Hameed Sadiq  , Marwa Muzahim Mahdi Al-Doori  , Afrah Mustafa Mohammed
Published: December 2021

The study was conducted in Fish Laboratory / College of Agriculture / University of Tikrit with theaim of investigating the effect of adding powders prepared from chicken meat and fish waste (mixedand carp) and added to diets on the performance of common carp Cyprinus carpio L. and the endemicbacteria in its intestine. 70 cuffs were used with an initial weight of 240 ± 1.60 g / fish and distributedrandomly into 7 treatments (diets) at the rate of two repetitions for each treatment (5 fish per repeater)in 14 glass basins with dimensions of 30 x 40 x 30 cm. 7 experimental diets were prepared close toeach other in protein and energy content. The parameters T1 included the commercial powder, T2 thepowder prepared from raw chicken waste, T3 raw mixed fish waste powder, T4 common carp fishwaste powder, T5 the chicken meat powder fortified with 1% lactic acid. , T6 fish powder mixed withlactic acid by 1%, T7 fish powder of common carp with lactic acid by 1%, the results of the statisticalanalysis showed a significant superiority (P≤0.05) for the parameters T5 and T7 in the percentage ofprotein and no significant differences in the percentage of fat were recorded for the treatments. T3, T4,T6 and T7, the treatment T4 recorded the highest percentage of humidity. The treatments T2, T3 and T5recorded the highest rates of protein percentage in fish bodies after the end of the experiment, and therewere no significant differences for the percentage of fat in fish bodies for the treatments T1, T2 and T4and it reached (4.20, 4.20 and 4.12%), respectively. Several bacterial strains colonized in fish gut wereisolated: 10 S.aureus isolates, 12 Aeromonas hydrophilia, 5 Aeromonas S isolates, 8 E.oli bacteria, 3Pseudomonas bacteria, 5 Bacillus isolates, 7 isolates. Flavobacterium isolates.
Diagnostic Value of Mid Regional Proadrenomedullin as a Sepsis Biomarker in Pediatric Patients with Cancer-Related Chemotherapy
Authors: Joko Susanto  , Muhammad Robiul Fuadi  , Mia Ratwita Andarsini
Published: December 2021

The aim of this study was to analyze the diagnostic value of mid regional proadrenomedullin as a sepsisbiomarker in pediatric patients with cancer-related chemotherapy. This cross-sectional observationalstudy was located in General Hospital Dr. Soetomo Surabaya from September until December 2020.International Pediatric Sepsis Consensus Conference criteria was used to define sepsis term on 2 studygroups. Serum mid regional proadrenomedullin has been drawn from 60 subjects (41 in-ward pediatricpatients) and measured on sandwich enzyme-linked immunosorbent assay from Elabscience® HumanMid Regional Proadrenomedullin. Humareader Single Plus® was used to measure the optical density.ROC analysis was used to find out cut off value, sensitivity, specificity, positive predictive value, negativepredictive value, negative likelihood ratio, positive likelihood ratio, and accuracy, respectively. Statisticsdeclared significant if p<0.05 (95% CI). Between groups, temperature and heart rate were statisticallydifferent (p<0.001; 95% CI). The median difference of mid regional proadrenomedullin between groupswas significant (p<0.05; 95% CI). Cut off value 2,88 nmol/L, sensitivity 60.0%, specificity 56.67%,positive predictive value 58.06%, negative predictive value 58.62%, positive likelihood ratio 1.38,negative likelihood ratio 0.71 and diagnostic accuracy 59.33% was obtained while area under curvewas 0.707, respectively. Sepsis in children with cancer –related chemotherapy has not well diagnosedby serum mid regional proadrenomedullin.
Demographic Profile of Deaths Due to Drowning in and Around Vijayawada, Andhra Pradesh
Authors: K. Ravimuni  , K. Usha Rani
Published: December 2021

Drowning is a leading and preventable cause of death that has suffered an attention deficit. The WorldHealth Organization identifies data collection as a key strategy underpinning effective interventions.The circumstances leading to drowning are complex. People interact with water primarily for recreationand often interact with water due to daily life or occupational endeavours. A Significant reductionthe number of drowning deaths among young children in private swimming pools has been achievedthrough over 30 years of focused work on the epidemiology and risk factors for drowning in privateswimming pools among young children. Proposed contributory factors for drowning in rivers includea lack of barriers controlling access to water, an absence of adult supervision for young children, poorswimming skills, minimal awareness of the dangers, the consumption of alcohol, transportation onwater, a lack of safe water supply, and disasters related to flooding.
The Role of K and Ca Channels in Hydrogen Sulfide Induced Relaxation in Arteries Feeding Human Colorectal Cancer
Authors: Kamaran. H. Mohammed  , Omar A. M. Al-Habib  , Sardar H. Arif
Published: December 2021

This study was designed to find out the vasorelaxant effects of hydrogen sulfide (H2S) on arteries feedinghuman colon cancer. In addition, it also included the study of the possible roles of potassium (K+) andcalcium (Ca2+) channel types in H2S-induced relaxation in the isolated arteries. Sodium sulfide (Na2S)showed a potent dose-dependent relaxant effect on Norepinephrine (1X10-5 M) precontracted arteries.The use of different specific K+ channel blockers (BaCl2, 4-AP, GLIB, and TEA) individually indicatedH2S-induced relaxation was affected by all K channel types participated to a various extent, except Kvchannels. Both Kca2+ and Kir channels played a major role in the induced relaxation, while KATP playeda minor and non-significant role. On the other hand, Kv channel played no direct role, and the inducedresponse curve was very close to that of the control. Possible combinations of K channel blockersshowed that some produced synergistic effect to different extent, whereas others produced mild andnon-significant effect except at the highest doses used on dose-response curves. Thus, combinations of(GLIB+4-AP), (GLIB+BaCl2) and (BaCl2+TEA) caused a highly significant blocking in the inducedresponse curve, while (BaCl2 +4-AP) and (TEA+4-AP) produced a mild inhibition except at the highestdoses used in which the inhibition was significant.
The Effects of Chemicals Used For Suicide on Insect Succession, Diversity and Development: An Animal Model
Authors: Kianoush Ghiasvand  , Niloofar Soltanian  , Maryam Naghshzan  , Simin Pouladian  , Amin Hoseinpour  , Aboozar Soltani
Published: December 2021

It has proven that the presence of different chemicals can affect the succession patterns of necrophagousinsects. A comprehensive study was designed on the effects of nortriptyline, diazinon, and aluminumphosphate on arthropod’s succession and diversity on cadavers.Sixteen rabbits in two groups were used as a model in this study, 12 of them were treated with the drugsand were placed in two habitats (sun and shade) based on the study design. For each group, one cagewas considered as control. Insects were collected twice a day from the cadavers and identified.In total, 549 necrophagous insects from five families, were collected from all the carcasses. Chrysomyaalbiceps was the dominant insect on all cadavers, expect for one treated with diazinon, in which it wasdisplaced by Dermestes frischii. The highest number of insects were collected on the sixth day for allcadavers. The majority were collected from the shaded cages.Generally, the species diversity was higher for all the cadavers treated with the drugs compared to thecontrol cadavers. The results showed that the presence of diazinon in the cadaver can repel necrophagousinsects, on the contrary nortriptyline seems to attract more species/specimen.
The Higher Level of Neutrophil – Lymphocyte Ratio (NLR) and Serum Syndecan-1 Based on Timeline (First, Sixth, and Twenty-Fourth Hour) in Sepsis-Induced Acute Kidney Injury
Authors: Lila Tri Harjana  , Eddy Rahardjo  , Windhu Purnomo  , Lilik Herawati  , Nancy Margarita Rehatta
Published: December 2021

This study aims to analyze the difference between the NLR and serum syndecan-1 level at the first,sixth, and twenty-fourth hours with the incidence of acute kidney injury (AKI) and non-AKI in sepsis.We observed thirty-one adult sepsis patients who admitted to the emergency room and ICU of Dr.Soetomo General Academic Hospital, Surabaya, Indonesia from March 30, 2020, to July 5, 2020 (fourmonth),and differentiated into two groups, AKI group (n=14) and non-AKI group (n=17). All septicpatients have been given the standard treatment based on Survival Sepsis Campaign 2018. The resultsshowed that the NLR at 1st-hours, 6th-hours, and 24th-hours in the non-AKI group were lower thanthose in the AKI group (1st: 15.9±2.6 vs 33.0±11.3; 6th: 14.2±1.8 vs 19.3±3.8; and 24th: 11.6±1.3 vs19.9±3.8) (p <0.00). Almost NLR at every groups based on serial hours were decreasing, except in theAKI group, the NLR at the 24th-hour group was higher than the NLR at 6-hour group, but still lowerthan the NLR at 1st-hours. Serum syndecan-1 levels were lower in the non-AKI group than in theAKI group, at 1st, 6th, and 24th-hours, (1st: 532.5±72.0 ng/mL vs 597.2±85.8 ng/mL; 6th: 557.6±71.6ng/mL vs 612.0±73.9 ng/mL; and 24th: 548.4±76.6 ng/mL vs 586.4±84.6 ng/mL) (p <0.05). It canbe concluded that the neutrophil-lymphocyte ratio (NLR) and serum syndecan-1 levels at 1st, 6th,and 24th hours is higher in the AKI compared to non-AKI groups in sepsis. Hence, NLR and serumsyndecan-1 have a potential biomarkers for sepsis-induced AKI.
The Potential of A Balinese Traditional Medicine Kelor Leaves (Moringa oleifera) For Male Infertility Treatment : A Mini Review
Authors: Luh Putu Widiastini  , I. G. Agung Manik Karuniadi  , I Nyoman Mangku Karmaya  , I Gede Widhiantara
Published: December 2021

Infertility is one of the causes of reproductive welfare disorders of married couples around the world.One of the causes of infertility at the molecular level is Oxidative Stress (OS) because the products ofReactive Oxygen Species (ROS), both endogenous and exogenous, exceed the levels of antioxidants inthe body. The aims of this review is to find out the potential of traditional medicinal from Bali, Indonesiawith local name Kelor (Moringa oleifera) leaves in preventing the occurrence of potential infertilityin men based on the results of research in vivo using animal trials. The method used by the writer is aliterature study.The results of this literature review found that kelor/moringa had a positive effect onsexual behavior, especially an increase in libido. In addition, it has a positive effect on spermatogenesis,the quality of spermatozoa especially increases sperm motility, sperm count/volume, germ cell count,renews endogenous antioxidant enzyme activity, reduces levels of ROS, and provides a protectiveeffect on the testes from damage. Moringa oleifera contains many free radical blocking molecules.Some phytochemical test results show that moringa contains powerful antioxidants, including alkaloids,flavonoids, saponins, triterpenoids/steroids, tannins.
The Effect of Feeding Punicum Mombasa on The Production of Total Gas, Methane and Digestion Factor in Vitro
Authors: Majid Hameed Rashid
Published: December 2021

This study was conducted in the Animal Production Department of the College of Agriculture - Baghdad University. This study included the addition of Ponicom Mombasa as a form of green roughage to the ration of concentrated ratio of 25, 50 and 75% of coarse fodder to study it is effect on the total gas production, methane gas and digestibility. The results indicated a significant decrease in the production of total gas and methane gas by 75% of coarse fodder and the rates during the period of 12, 24 and 48 hours. It also gave the best effect in the characteristic of the dry matter digestibility, the digestion of organic matter and the energy exchanged.
International Outsourcing of Quality Healthcare Through Tele-Medicine: Binding Arbitration Makes Tele-Medical Dream a Reality
Authors: Meenakshi Kalra  , Vikas Gupta
Published: December 2021

The development of communication technologies has a dramatic influence on culture. The internet, cell phones and e-mail are different domains, and if health care professionals want to join this space, they will be careful to do so. Telemedicine has medical-legal implications for aspects of identification, licensing, insurance, protection, privacy and confidentiality, as well as other risks related to online healthcare communication. The International Advisory Group of the World Health Organization (WHO), which met in Geneva in 1997, identified telemedicine as providing healthcare services, where distance is a critical factor, to health care providers, who use the information and communications technologies to exchange relevant information for the diagnosis, treatment and prevention of diseases and injuries, and to continue to do so. In the context of the COVID-19 Pandemic Lockdown, the Indian Government has authorized telemedicine legal status. The Governing board, established by the Government at a meeting of the Indian Medical Council with the Ministry of Health and Family Welfare’s approval, published a notice dated 25 March 2020 (‘Amendment’) modifying Guidelines of the Indian Medical Council 2002 on telemedicine in India. The amendment introduced ‘Telemedicine consultation’ to the law. A basic knowledge of how medical negligence compensation is calculated and adjudicated in the judicial courts of India. The paper concludes with an assessment of the rules. This paper will seek to determine whether binding arbitration is the best possible solution to resolving malpractice disputes, or whether traditional litigation, while costly, is the safest choice. To do this, the paper will examine both the advantages and the disadvantages associated with using arbitration as opposed to litigation
Factors Related to Exclusive Breastfeeding in East Java – Indonesia
Authors: Mohamad Yoto  , Hario Megatsari  , Azizah Andzar Ridwanah  , Agung Dwi Laksono
Published: December 2021

Exclusive Breast Feeding (EBF) is very crucial for the growth and development of toddlers in the future, both physically and mentally. The study aims to analyze factors related to EBF in East Java, Indonesia. The analysis material for the study was the 2017 Indonesian Nutritional Status Monitoring, a cross-sectional survey. In East Java, the study obtained 3977 toddlers using the multi-stage cluster random sampling process. The study used binary Logistic Regression tests to interpret the data. The results show for toddlers living in cities have a 0.951 times lower probability of experiencing EBF than toddlers residing in rural areas. Toddler age (in months) is one of the determinants of EBF. All categories of maternal marital status are more likely than mothers who are never married to having an EBF toddler. All maternal education levels have a better chance than mothers who have no education to have EBF children. Except for mothers in the senior high school category, which has no significant relationship with the incidence of EBF in children under five in East Java, Indonesia. The study also found toddler’s age associated with the incidence of EBF in children under five in East Java, Indonesia. Finally, the toddler boy has a probability of 0.943 times compared to the toddler girl to experience EBF in East Java in Indonesia. The study concluded that six variables were related to the incidence of EBF in East Java - Indonesia, namely residence, mother’s age, mother’s marital, mother’s education, toddler’s age, and toddler’s gender.
Characteristics and Outcome of Hospitalized Children with COVID-19: A Single Center Experience
Authors: Nabeeha N. Akram
Published: December 2021

Objectives: Are to describe the clinical, and laboratory features of patients hospitalized with COVID-19 and to compare some of these parameters between patients with and without MIS-C.Methods: A cross sectional study, undertaken over a 10 months period from 1st of march to 31 of December 2020 at child’s central teaching hospital in Baghdad city , Iraq.Results: In total, 80 children hospitalized with a diagnosis of COVID-19. The mean age of the patients was 6.05±5.1years.60% were male and 46.35% had no comorbidities . Different types of malignancies were the most common comorbidity accounting for 22.5% of the patients. A history of contact with infected person was reported in 27.5% of the patients. Chest X-ray revealed that 52.5% of the patients had normal findings. 11.25% developed multi systemic inflammatory syndrome. Only two hematological abnormalities were significant in pediatric COVID-19 cases for development of MIS-C which is elevated NLR and CRP. In this study, there were no deaths linked to COVID-19 admission..Conclusions : The majority of children admitted to the hospital with confirmed COVID-19 have a mild course and a good outcome. malignancy is the commonest comorbidity associated with COVID-19 admissions. Elevated Neutrophil: lymphocyte ratio and CRP are independently associated with development of MIS-C in pediatric COVID-19.
KEBIJAKAN KEPALA SEKOLAH TERHADAP PEMBELAJARAN DARING VIA WHATSAPP GROUP DI ERA COVID-19 (STUDI KASUS DI MI MIFTAHUL HUDA JEPARA)
Authors: Fajrin Laila
Published: December 2021

Penelitian ini bertujuan untuk mengetahui kebijakan kepala sekolah MI Miftahul Huda Jepara dalam melaksanakan pembelajaran daring via whatsapp group di era pandemi covid-19. Metode yang digunakan menggunakan pendekatan kualitatif dengan jenis penelitian studi kasus. Objek penelitian adalah MI Miftahul Huda Jepara sedangkan kepala sekolah menjadi subjek penelitian. Sumber data diperoleh melalui wawancara dan dokumentasi. Analisis data dilakukan dengan menelaah, menata data dan menemukan hasil penelitian yang dapat dilaporkan secara sistematis. Sedangkan, uji keabsahan data dilakukan dengan melakukan kredibilitas data melalui trianggulasi, memperpanjang pengamatan, pemeriksaan sejawat, depandibility dan konfermability. Hasil penelitian menunjukkan bahwa kepala sekolah MI Miftahul Huda Jepara telah memiliki kebijakan dalam pelaksanaan pembelajaran daring via whatsapp group dengan tahapan perencanaan, pelaksanaan dan evaluasi. Untuk mensukseskan kebijakan yang telah ditetapkan maka kepala sekolah berkolaborasi dengan wali kelas, guru mata pelajaran, dan wali siswa. Kebijakan kepala sekolah memiliki dampak positif dan negatif. Dampak negatif kepala sekolah disiasati dengan beberapa jalan keluar yang solutif sehingga pembelajaran daring tetap terlaksana dengan kondusif.
STUDI IMPLEMENTASI PEMBELAJARAN MODEL SISWA INKLUSI DI SDS MUTIARA HATI PONOROGO
Authors: Sari Dian Puspita , Fitriawan Fuad
Published: December 2021

Inclusive education is education for children with special needs so that they can study together with regular children in general. One school that implements inclusive education is SDS Mutiara Hati Ponorogo. Students with disabilities can study together with regular children without being discriminated against. The form of learning model applied in this school pays attention to the condition of the child. With the existence of inclusive schools, it can help children with special needs to get the same place to learn as other regular children and can bring the development of children with special needs to be better. Based on the results of the data analysis, it was concluded that (1) the learning process of inclusive students at SDS Mutiara Hati Ponorogo, namely inclusion students accompanied by a special companion teacher, learning in the same class with regular children and for the gradation is lowered, (2) the form of learning model Inclusion students who are applied at SDS Mutiara Hati Ponorogo are paying attention or adjusted to the conditions of their students by being monitored by psychologists and also the principal, and (3) the impact of implementing the learning model for inclusive students at SDS Mutiara Hati Ponorogo, namely that the development is getting up to the class the better and able to develop its potential.
A closer look at Moroccan EFL learners’ use of language learning strategies from a qualitative perspective
Authors: EL AOURI Zahra
Published: December 2021

This paper explores from a qualitative perspective the use of language learning strategies by Moroccan university EFL science students. Actually, it is part of a larger mixed method design research; however, the focus in this paper is just on the qualitative part so that a deep analysis of the informants’ introspections on their language learning process is provided. The aim of this study is to delve deeply in students’ use of language learning strategies and their motivation for learning English and how it relates to their strategy use. To collect data, 60 university students randomly drawn from six science-oriented majors participated in a semi-structured interview which focused on their motivation and their use of language learning strategies to learn English. Then, the interviews were first categorized in themes to have a clear picture of the informants’ use of the different language learning strategies and the different types of their motivation to learn English, and second these themes were analyzed using the content analysis method. The results demonstrate that students use a variety of language learning strategies in different degrees and they exhibit different types of motivation to learn English. This study yields a number of implications both for pedagogical purposes and for further research.
The effect of storytelling assisted by pop-up media to improve language development skills and attitude of opinion
Authors: KUSTIAWAN Usep , YAFIE Evania
Published: December 2021

This study aims to find out the effect of storytelling assisted by pop-up media to improve language skills and attitude of opinion in children aged 5-6 years. This study uses a quantitative pre-experimental research design with one group pre-test-post-test design without a control class. This research is conducted in TK Laboratorium UM, Malang City; with the population of the students of Class B. The data analysis used in this study includes normality test, homogeneity test, and hypothesis test. According to research and data analysis that has been carried out and the results obtained in this study, it can be concluded that there is a significant effect between storytelling assisted by pop-up media to improve language skills and the attitude of opinion in early childhood.
Efficacy of communication-based interventions on physicians and patients’ outcome: A meta-analysis of randomised controlled trials
Authors:   Faculty of Psychology and Educational Sciences, University of Bucharest, Romania, ADAM Andreea Raluca , GOLU Florinda Tinela ,   Faculty of Psychology and Educational Sciences, University of Bucharest, Romania
Published: December 2021

Communication-based intervention on physicians are strongly linked to patient health improvement. We proceeded examine the efficiency of these programs interventions for relevant outcomes in patients life, along with study quality, publication bias and potential moderators. For this meta-analysis, we searched 2 databases, including: Web of Science and PubMed, using a comprehensive search strategy to identify the efficacy of the physician interventions on patient’s outcome studies in the literature, published from inception of 1965. Studies reporting means of health-related outcome in patients were included in the analyses. Studies quality was assessed with risk of bias tool. Meta-regression was used to explore heterogeneity of the year of published studies moderator and subgroup analysis was used to explore the medical specialty moderator. Of the 3,470 studies initially identified, 14 were eligible for inclusion. These studies had a large diversity of program interventions. The mean effect size representing the impact of communication intervention on patients physical and psychological health was not significant. The only significant mean effect was represented by psychological outcome. Significant associations were found between year of studies and general medicine specialization. In conclusion the impact of physicians’ intervention in not efficient on patients’ communication and medical outcome but it improves psychological health
Aldolase A and carbonic anhydrase III, two new candidate biomarkers versus acknowledged parameters in the context of crushing syndrome
Authors:   “Prof. Dr. Dimitrie Gerota” Emergency Hospital, Bucharest, Romania, CREANGĂ Iulian Constantin ,   Department of Biochemistry, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania, RIPSZKY TOTAN Alexandra ,   Department of Biochemistry, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania, MIRICESCU Daniela ,   Department of Biochemistry, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania, STĂNESCU-SPÎNU Iulia-Ioana ,   Department of Biochemistry, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania, GREABU Maria ,   Department of Biochemistry, Faculty of Dental Medicine, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Published: December 2021

Introduction. Crushing syndrome can affect all structures of a limb and can cause unique or complex injuries. The clinical picture of the injuries is nonspecific and extremely varied, and is not characteristic of the mechanism that generated it. The aim of our study was to correlate the changes of ALD A (aldolase A) and CAIII (carbonic anhydrase III) in the appearance and evolution of the crushing syndrome. Material and methods. The present study included 22 patients with crushing syndrome. The control group consisted of 20 healthy subjects. IL-6 (interleukin-6), CK (creatine kinase), ALD A and CAIII blood levels were determined simultaneously from all the participants to the study. Statistical analysis was performed using IBM SPSS Statistics 25 and Microsoft Office Excel / Word 2013. Results. Our results showed significantly increased levels of ALD A, CAIII, IL-6 and CK in patients with crushing syndrome. However, no statistically significant correlations could be found between the studied biomarkers. Discussions. So far, in the medical literature, very few studies focused on the correlation between the occurrence of crushing syndrome and changes in ALD A and CA III levels. Conclusions. Our study showed that ALD A and CAIII may become important biomarkers for the rapid diagnosis of crushing syndrome in the future.
Electrical injuries in adult patients – 3 years overview
Authors:   Clinic of Plastic Surgery, Aesthetic and Reconstructive Microsurgery, Clinical Emergency Hospital, Bucharest, Romania, GROSU-BULARDA Andreea , ANDREI Mihaela-Cristina ,   Clinic of Plastic Surgery, Aesthetic and Reconstructive Microsurgery, Clinical Emergency Hospital, Bucharest, Romania,   “Carol Davila“ University of Medicine and Pharmacy, Bucharest, Romania, FRUNZĂ Adrian ,   Clinic of Plastic Surgery, Aesthetic and Reconstructive Microsurgery, Clinical Emergency Hospital, Bucharest, Romania,   “Carol Davila“ University of Medicine and Pharmacy, Bucharest, Romania, HODEA Florin-Vlad ,   Clinic of Plastic Surgery, Aesthetic and Reconstructive Microsurgery, Clinical Emergency Hospital, Bucharest, Romania, GRAMA Sabina ,   Clinic of Plastic Surgery, Aesthetic and Reconstructive Microsurgery, Clinical Emergency Hospital, Bucharest, Romania, LASCĂR Ioan ,   Clinic of Plastic Surgery, Aesthetic and Reconstructive Microsurgery, Clinical Emergency Hospital, Bucharest, Romania,   “Carol Davila“ University of Medicine and Pharmacy, Bucharest, Romania, TEODOREANU Răzvan Nicolae ,   Clinic of Plastic Surgery, Aesthetic and Reconstructive Microsurgery, Clinical Emergency Hospital, Bucharest, Romania,   “Carol Davila“ University of Medicine and Pharmacy, Bucharest, Romania
Published: December 2021

Electrocutions are a particular type of trauma, usually affecting young active people, leading to high morbidity and mortality rates in extensive injured patients. Those patients require complex, multidisciplinary treatment in specialized burn centers. We conducted a three-year retrospective study in the Burn Unit of the Clinical Emergency Hospital Bucharest, Romania, aiming to identify different factors that characterize electrical injuries, with the goal to improve our clinical practice, in order to decrease overall complications, the morbidity and mortality rates and obtain an optimal functional prognosis for those severely injured patients. Patient-related and injury-related parameters were analyzed, and particularities observed in our burn unit were noted. A clear understanding of the physiopathology of those injuries and their complications is essential for providing an optimal therapeutic strategy. Rapid initiation of systemic supportive measures, accurate diagnostic and an adequate surgical treatment, correctly conducted, are essential for improving the vital and functional prognostic of patients who suffer electric injuries.
The management of a patient with multiple infarcts with different etiologies
Authors:   “Carol Davila“ University of Medicine and Pharmacy, Bucharest, Romania, LĂCRARU Andreea Elena ,   “Bagdasar-Arseni“ Emergency Clinical Hospital, Bucharest, Romania, ANDREI Cătălina Liliana ,   “Carol Davila“ University of Medicine and Pharmacy, Bucharest, Romania,   “Bagdasar-Arseni“ Emergency Clinical Hospital, Bucharest, Romania, CATANĂ Andreea ,   “Carol Davila“ University of Medicine and Pharmacy, Bucharest, Romania,   “Bagdasar-Arseni“ Emergency Clinical Hospital, Bucharest, Romania, SINESCU Crina Julieta ,   “Carol Davila“ University of Medicine and Pharmacy, Bucharest, Romania,   “Bagdasar-Arseni“ Emergency Clinical Hospital, Bucharest, Romania
Published: December 2021

72 yo male, presents for abdominal pain and motor deficiency of the left upper limb. Clinical examination reveal severe general condition, left brachial hemiparesis, right arm blood pressure (BP) 240/120 mmHg, left arm BP 210/100 mmHg, heart rate (HR) 110 bpm, arrhythmic, abdominal pain at superficial palpation, without other abnormalities. Biological: negative hs troponin I, positive D-dimers, positive CRP, GFR 38 ml/min/m2, potassium 2.97 mmol/l. ECG: Atrial fibrillation. Abdominal ultrasound: abdominal dilated aorta, dissection flap. Abdominal and pelvic CT scan: right renal infarction, multiple splenic infarction, abdominal aortic aneurysm with dissection. Underwent interventional treatment of the abdominal aortic dissection (EVAR). Particularity of the case: concomitant diagnosis of multiple infarction with different etiologies, for which therapeutic decision was challenging.
The role of topic vaginal products as part of the therapeutic strategy in uterine cervix lesions
Authors:   Department of Obstetrics and Gynecology, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania, BACALBASA Nicolae ,   Department of Visceral Surgery, Center of Excellence in Translational Medicine, “Fundeni” Clinical Institute, Bucharest, Romania, BALESCU Irina ,   Department of Visceral surgery, ”Ponderas” Academic Hospital, Bucharest, Romania, ALOUL Adnan Ad ,   Department of Surgery, Ramnicu Sarat County Hospital, Buzau, Romania,   Department of Surgery, “Titu Maiorescu“ University, Bucharest, Romania, BOHILTEA Roxana ,   Department of Obstetrics and Gynecology, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania,   Department of Obstetrics and Gynecology, University Emergency Hospital, Bucharest, Romania, SOCEA Bogdan ,   Department of Surgery, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania,   Department of Surgery, ”Sf. Pantelimon” Clinical Emergency Hospital, Bucharest, Romania, URSUT Bogdan ,   Department of Surgery, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania,   Department of Surgery, ”Agrippa Ionescu” Clinical Emergency Hospital, Bucharest, Romania, FILIPESCU Alexandru ,   Department of Obstetrics and Gynecology, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania,   Department of Obstetrics and Gynecology, ”Elias” Emergency Hospital, Bucharest, Romania
Published: December 2021

It has been widely demonstrated so far that lactobacilli represent probably the most important microorganisms which are developed at the level of the vaginal cavity and which are responsible for the maintenance of an adequate environment and pH at this level. Once the number of these microorganisms decrease the pH value increase leading to the apparition of a basic medium, which favors the development of certain microorganisms such as human papilloma virus. Meanwhile it is widely known that the presence of this virus is associated with an increased risk of developing premalignant and even malignant conditions. The aim of the current paper is to investigate the correlation between the vaginal pH, the risk of human papilloma virus infection and, in the meantime, to explore the possible benefits of local application of Cerviron, a topic, vaginal product which seems to significantly influence the risk of cervical lesions development.
Pulmonary rehabilitation in patients with interstitial lung disease associated with rheumatoid arthritis or connective tissue disease: From mechanisms to practice
Authors:   Department of Rheumatology, “Iuliu Hațieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania, RUSU Ioana , DAMIAN Laura ,   Department of Rheumatology, Center for Rare Autoimmune and Autoinflammatory Diseases, Emergency Clinical County Hospital Cluj, Cluj-Napoca, Romania,   CMI Reumatologie Dr. Damian, Cluj-Napoca, Romania, VAIDA VOEVOD Daisy Ana-Maria ,   Department of Rheumatology, “Iuliu Hațieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania, VULTURAR Romana ,   Department of Molecular Sciences, “Iuliu Hațieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania, MUNTEAN Laura ,   Department of Rheumatology, “Iuliu Hațieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania,   Department of Rheumatology, Center for Rare Autoimmune and Autoinflammatory Diseases, Emergency Clinical County Hospital Cluj, Cluj-Napoca, Romania, REDNIC Simona ,   Department of Rheumatology, “Iuliu Hațieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania,   Department of Rheumatology, Center for Rare Autoimmune and Autoinflammatory Diseases, Emergency Clinical County Hospital Cluj, Cluj-Napoca, Romania
Published: December 2021

Interstitial lung diseases are a large group of lung conditions characterized by inflammation and fibrosis. Interstitial lung disease in connective tissue diseases and rheumatoid arthritis is a severe complication of these pathologies. Apart from the pharmacological treatment, exercise training could help reduce breathing difficulties and increase physical strength, lower the burden of disease, help improving self-esteem and fight against depression and anxiety. Exercise training can be done either alone, or enhanced by auxiliary methods like oxygen administration, neuromuscular electrical stimulation or improving the strength of respiratory muscles. Possible associated lung diseases should be always taken into account. Even if exercise training is generally considered safe for this category of patients, there are also risks like exercise-induced hypoxemia, arrhythmia or pulmonary hypertension. Exercise training in this setting should be performed by dedicated physiotherapists after specialist prescription and under surveillance in a safe environment.
Bioethical aspects in type I neurofibromatosis
Authors:   Faculty of Medicine and Pharmacy, University of Oradea, Romania, Petchesi Codruța Diana , Ciavoi Gabriela ,   Faculty of Medicine and Pharmacy, University of Oradea, Romania, Jurca Claudia ,   Faculty of Medicine and Pharmacy, University of Oradea, Romania,   Bihor Regional Center for Medical Genetics, ”Dr. Gavril Curteanu” Clinical Municipal Hospital, Oradea, Romania, Vulturar Romana ,   Department of Molecular Sciences, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania,   Cognitive Neuroscience Laboratory, Babes-Bolyai University, Cluj Napoca, Romania, Bembea Marius ,   Faculty of Medicine and Pharmacy, University of Oradea, Romania,   Bihor Regional Center for Medical Genetics, ”Dr. Gavril Curteanu” Clinical Municipal Hospital, Oradea, Romania
Published: December 2021

Type I neurofibromatosis is one of the most common monogenic disorders, being caused by abnormalities of the neurofibromin gene on chromosome 17. About half of the cases are inherited, respecting the autosomal dominant inheritance criteria, the rest are de novo cases. The clinical manifestations are multisystemic and are progressively installed, presenting inter- and intra-familial variability of clinical expression. The hereditary nature, impaired quality of life and lethal potential identify numerous and various ethical dilemmas in the diagnosis, monitoring and treatment of neurofibromatosis type 1. Variable expressiveness and multisystemic clinical manifestations determine the unpredictable evolutionary character, associating bio-ethical dilemmas necessary to be managed in the clinical context of the disease. As a clinical applicability, we conclude that some of these problems could be avoided by informing and educating affected families about the disease, by increasing confidence in specialized services and by using molecular techniques in order to know as accurately as possible the genotype-phenotype correlation.
Monogenetic osteoporosis: Does the risk of fall matter?
Authors:   “Carol Davila“ University of Medicine and Pharmacy, Bucharest, Romania, Dumitrascu Mihai Cristian ,   University Emergency Hospital, Bucharest, Romania, Becheru Diana Elena ,   “C.I. Parhon“ National Institute of Endocrinology, Bucharest, Romania, Dumitrascu Anda ,   “C.I. Parhon“ National Institute of Endocrinology, Bucharest, Romania, Petrova Eugenia ,   “Carol Davila“ University of Medicine and Pharmacy, Bucharest, Romania,   “C.I. Parhon“ National Institute of Endocrinology, Bucharest, Romania, Voicu Gabriela ,   “C.I. Parhon“ National Institute of Endocrinology, Bucharest, Romania, Ghemigian Adina ,   “Carol Davila“ University of Medicine and Pharmacy, Bucharest, Romania,   “C.I. Parhon“ National Institute of Endocrinology, Bucharest, Romania, Popescu Mihaela ,   Craiova University of Medicine and Pharmacy, Craiova, Romania, Carsote Mara ,   “Carol Davila“ University of Medicine and Pharmacy, Bucharest, Romania,   “C.I. Parhon“ National Institute of Endocrinology, Bucharest, Romania, Sandru Florica ,   “Carol Davila“ University of Medicine and Pharmacy, Bucharest, Romania,   “Elias“ Emergency Hospital, Bucharest, Romania
Published: December 2021

We introduce an adult male case report with a history of osteogenesis imperfecta related fractures without specific medication against osteoporosis until the age of 50 years; however, within the first year he was offered anti-osteoporotic medication, he suffered a fall and a consecutive fracture was registered despite improved of bone mineral density parameters at DXA (dual-energy x-ray absorptiometry), proving the importance of life style intervention to minimize the dramatic impact on bone fragility due to a genetic condition. Despite the fact that the risk of fracture on a subject with a genetic condition that directly impacts the bone status represents a game changer, the everyday circumstantial situations that cause an increased risk of fall represent strong players that need to be taken into consideration as part of patients’ education.
Therapeutic principles in upper limb trauma
Authors:   Clinic of Plastic Surgery, Aesthetic and Reconstructive Microsurgery, Clinical Emergency Hospital, Bucharest, Romania, Grosu-Bularda Andreea , Hodea Florin-Vlad ,   Clinic of Plastic Surgery, Aesthetic and Reconstructive Microsurgery, Clinical Emergency Hospital, Bucharest, Romania, Cojocaru Liviu-Petre ,   Clinic of Plastic Surgery, Aesthetic and Reconstructive Microsurgery, Clinical Emergency Hospital, Bucharest, Romania, Stoian Alexandru ,   Clinic of Plastic Surgery, Aesthetic and Reconstructive Microsurgery, Clinical Emergency Hospital, Bucharest, Romania, Lita Flavia-Francesca ,   Clinic of Plastic Surgery, Aesthetic and Reconstructive Microsurgery, Clinical Emergency Hospital, Bucharest, Romania, Popescu Serban Arghir ,   Clinic of Plastic Surgery, Aesthetic and Reconstructive Microsurgery, Clinical Emergency Hospital, Bucharest, Romania,   “Carol Davila“ University of Medicine and Pharmacy, Bucharest, Romania, Lascar Ioan ,   Clinic of Plastic Surgery, Aesthetic and Reconstructive Microsurgery, Clinical Emergency Hospital, Bucharest, Romania,   “Carol Davila“ University of Medicine and Pharmacy, Bucharest, Romania, Teodoreanu Razvan ,   Clinic of Plastic Surgery, Aesthetic and Reconstructive Microsurgery, Clinical Emergency Hospital, Bucharest, Romania,   “Carol Davila“ University of Medicine and Pharmacy, Bucharest, Romania
Published: December 2021

Upper limb trauma cases vary from simple to high energy impactful injuries, with different etiologies; situations which frequently require unique, demanding and challenging endeavors in order to obtain the most favorable outcome. Experience, good decision-making and knowledge of functional goals are mandatory in order to elaborate a therapeutic plan and execute it accordingly. Although cases differ in nature and prognosis, respecting a set of therapeutic principles whilst dealing with either simple or complex cases, will enhance patient outcome and give the surgeon the confidence to tackle any kind of upper limb trauma. After clearing out vital threat, the emergency surgery represents the first threshold in achieving and restoring normal function and biomechanics, mostly in young and labor active patients, with the mindset to salvage as much tissue as possible, with a thorough debridement and step-by-step approach to different types of tissues. Secondary surgery and reconstructive surgery can be planned timely, with prior discussion with both the therapist and the patient in order to enhance patient’s upper limb function and aesthetic and ensure social reintegration.
Conexões na paisagem – A arborização urbana como infra-estrutura bioconectora
Authors: Coelho Ana Maria Antunes , Fernandes Sidney Carneiro de Mendonça , Nagano Wellington Tohoru
Published: December 2021

Apresentamos o grande espaço público urbano, representado pelas ruas da cidade, como potencial para dar suporte a uma infraestrutura de vegetação, que permite a continuidade e conexão dos maciços verdes existentes, com capacidade para amenizar o clima, reduzir a poluição ambiental, melhorar a qualidade do ar e trazer a riqueza da diversidade da fauna e flora para junto dos usuários da cidade, de forma a enriquecer o cotidiano urbano. As vantagens se encontram em aproveitar uma estrutura urbana existente de modo a incrementar as iniciativas referentes à arborização urbana dos vários agentes, pensar global para implantar local, incentivar o conhecimento das relações ecossistêmicas nas áreas urbanas e proporcionar qualidade ambiental para a cidade como um todo.
Narrativas para uma Cidade Floresta
Authors: Dietzsch Anna  Julia , Octavio Pereira Lopes de Faria e Silva Luis , Mattos Paulla , Carvalho Dias Sabrina
Published: December 2021

Artigo com depoimentos de lideranças indígenas a participantes do Grupo de Trabalho e Pesquisa (GTP) Arquiteturas Tradicionais (que opera no âmbito da Plataforma Arquitetura e Biosfera, acolhida pela Associação Escola da Cidade), coletados na perspectiva de compreender formas de ressignificar o contato dos povos originários com a Cultura ocidental, valorizando saberes que serão importantes no imprescindível processo de regeneração que urge para o planeta. Defende-se aqui a ideia de uma Cidade Floresta, na qual a ação humana está em harmonia com ciclos naturais, com o ser humano na posição de cultivador e guardião, algo que ecoa e amplifica a maneira tradicional de vida das Culturas indígenas e vai ao encontro da intenção de uma condição regenerativa para a ação antrópica como um todo. Nas entrevistas buscou-se entender a relação dos entrevistados, como representantes de seus povos, com seus territórios e formas de construir, como insumos para a atividade do arquiteto e urbanista. As entrevistas foram transcritas, editadas por participantes do GTP e submetidas aos depoentes para revisões. Também foram objeto de algumas reflexões preliminares, a serem aprofundadas oportunamente.
Átinsás
Authors: Macêdo Velame Fábio
Published: December 2021

O presente trabalho trata da relação entre natureza e arquitetura no âmbito dos terreiros de Candomblé no Recôncavo Baiano, entre as cidades de Cachoeira e São Félix. Nesses lugares não há dicotomia entre o natural x artificial, mas uma imbricação no sagrado. As árvores sagradas tornam-se arquiteturas, natureza que compõe e cria uma arquitetura afro- brasileira particular, e a arquitetura torna-se natureza sacralizada, fazendo parte da mata ritual. Estando as árvores ali, sempre a abrir e fechar as festas. Os terreiros de Cachoeira e São Félix têm nas árvores sagradas que nascem dentro e furam os telhados dos barracões, Ilê Orixá e Casa de Caboclos um aspecto espacial simbólico que os diferenciam, que lhes atribui particularidade, peculiaridade, singularidade, que lhes é próprio. As árvores sagradas fundam, geram, organizam, e regem as arquiteturas dos terreiros de Candomblé de Cachoeira e São Félix.