bluuebunny/crossref_metadata_2025 huggingface dataset:
Nursing Management of Severe COVID-19 Patients Undergoing Extracorporeal Membrane Oxygenation Combined with Prone Position Ventilation
Authors: Nie Qing , Ye Aiwu , WeiW Shixiong
Published: June 2020

Acute respiratory distress syndrome (ARDS) is a serious lung injury in patients with severe coronavirus disease 2019 (COVID-19). This process often is difficult to reverse, eventually leading to the death of patients. Extracorporeal membrane oxygenation (ECMO) treatment can provide patients with cardiopulmonary function support and buy time for clinicians' treatment. However, some patients still suffer from poor oxygenation after ECMO treatment. At this time, nurses can change the patient's position to prone position to improve oxygenation level and promote sputum excretion. It is a great challenge for COVID-19 patients to change their postures while receiving ECMO treatment. This article provides suggestions for this process by reviewing our hospital's experience in treating severe COVID-19 patients.
La dimensión geopolítica del interés estatal: el Atlántico Sur Occidental y su relevancia para Argentina
Authors: Magnani Ezequiel
Published: June 2020

¿Qué factores hacen que los Estados les den relevancia geopolítica a determinados espaciosgeográficos? ¿Cuál es la importancia estratégica que la Argentina le otorga a la región del Atlántico Sur Occidental? Para responder estas interrogantes, en el presente artículo se realiza un repaso de las principales tradiciones geopolíticas para identificar aquellos factores que hacen que un determinado espacio geográfico se vuelva parte del interés de un Estado. Luego, mediante un estudio de caso cualitativo se realiza un análisis geopolítico del Atlántico Sur Occidental mediante documentos oficiales del Ministerio de Defensa y del Ministerio de Relaciones Exteriores y Culto de la Argentina. A partir de ello, se concluye que la presencia de factores geopolíticos tales como el potencial económico de la región, las disputas de soberanía allí presentes y la incertidumbre en lo que respecta tanto a la continuidad del Tratado Antártico y el Protocolo de Madrid como a la posibilidad de futuros escenarios adversos, hacen que el Estado argentino preste una considerable atención a la región delAtlántico Sur Occidental a la hora de establecer sus objetivos y prioridades en materia de defensa nacional y política exterior.
Geopolítica y Medio Ambiente: Incidencia del cambio climático y los intereses geopolíticos en el Ártico
Authors: Johanning Solís Javier , Peña Menjivar Carlos Alberto
Published: June 2020

La investigación procura indagar sobre los intereses subyacentes que giran alrededor de la zona del Ártico. Esta región ha cobrado una mayor importancia en las relaciones internacionales producto del cambio climático y el deshielo que el calentamiento global ha supuesto en la región, despertando intereses económicos, políticos y estratégicos en los principales Estados Árticos. Para comprender cuáles son los intereses de los Estados Árticos se realiza un análisis del complejo de régimen internacional que ha sido construido en el Ártico, y luego se indaga sobre las principales políticas y acciones llevadas a cabo por los principales Estados involucrados en la región. Se encuentra que el complejo de régimen internacional relacionado al Ártico es sumamente fragmentado y débil, lo que ha facilitado que los Estados persigan sus intereses de forma más abierta en la región, provocando que aumenten las tensiones entre Rusia y el resto de los  Estados, y que incluso otros actores antes no involucrados se inserten en la región, como China, provocando recelos. No obstante, se encuentra que la situación internacional actual no es propicia para una escalada en la competencia por el poder en el Ártico, al menos en un corto o mediano plazo, pero podría aumentar más adelante producto del deterioro ambiental, producto de una la lucha por la protección del ambiente ambigua y contradictoria por parte de los Estados Árticos.
INTERNATIONAL CONFERENCE „FROM BENCH TO BED: CHALLENGES IN CANCER CARE“ SCHEDULE
Authors: Chirurgija Lietuvos
Published: June 2020

DEDICATED TO 80TH ANNIVERSARY OF LITHUANIAN SOCIETY OF ONCOLOGYSEPTEMBER 20-21, 2013DRUSKININKAI
Kristaloidai ir koloidai perioperacinei skysčių terapijai: savybės ir dozavimo ypatumai
Authors: Andrijauskas Audrius , Sakavičiūtė Indrė , Ivaškevičius Juozas , Porvaneckas Narūnas , Činčikas Darius , Kvederas Giedrius
Published: June 2020

Straipsnio tikslas yra apžvelgti kristaloidų ir koloidų savybes, šių preparatų pranašumus ir trūkumus bei derinimo ypatumus perioperacinėje skysčių terapijoje.Racionali skysčių terapija gerina gydymo baigtį po didelių chirurginių intervencijų. Perioperacinei skysčių terapijai yra vartojami kristaloidų ir koloidų tirpalai bei jų deriniai. Nė viena iš tirpalų rūšių nėra pranašesnė už kitą, o nepageidaujamas poveikis labai priklauso nuo dozės. Trumpoje apžvalgoje aprašomos išskirtinės tirpalų savybės ir atsižvelgiant į naujausius mokslinius tyrimus apibūdinamos racionalaus jų dozavimo bei derinimo galimybės. Ypatingas dėmesys skiriamas naujų individualaus skysčių skyrimo metodų ir pusiau uždaros grandinės infuzinių sistemų naudojimo perspektyvoms.Reikšminiai žodžiai: skysčių terapija, kristaloidai, koloidai, perioperacinis laikotarpis, gydymo baigtisCrystalloids and colloids: aspects of their co-administration in perioperative fluid therapy
Fetal renal cysts: prenatal diagnostics and interventional treatment
Authors: Arlauskienė Audronė , Bartkutė Karolina , Laužikienė Dalia
Published: June 2020

Background / objectiveFetal genitourinary tract anomalies are the most common anomalies diagnosed antenataly. Most fetal urinary tract abnormalities are well seen with ultrasound. Punctation and aspiration of fetal cyst are usually performed if there is a risk of damage for fetal vital organs. Biochemical analysis of cyst fluid for the detection of cyst origin is being used. In cases of isolated one kidney pathology fetal outcome is good. This clinical case demonstrates diagnostics, interventional treatment and outcome of fetal renal cyst.Key words: fetus, cyst, prenatal dignostics, interventional treatment.Vaisiaus inkstų cistiniai dariniai: prenatalinė diagnostika ir intervencinis gydymas
Įvadas / tikslasVaisiaus šlapimo takų raidos ydos yra dažniausiai diagnozuojamos lyginant su kitų sistemų raidos ydomis. Pagrindinis tyrimo metodas, padedantis nustatyti vaisiaus inkstų cistas, yra vaisiaus echoskopija. Vaisiaus inkstų cistos punktuojamos, kai atsiranda kitų organų pažeidimo grėsmė. Cistos kilmei patikslinti naudojamas punktato biocheminis ištyrimas. Prognozė vaisiui būna gera, esant izoliuotai vienpusei patologijai. Šis klinikinis atvejis iliustruoja vaisiaus inkstų cistos diagnostiką, intervencinį gydymą ir baigtį.Reikšminiai žodžiai: vaisius, cistiniai dariniai, prenatalinė diagnostika, intervencinis gydymas.
Nėščiųjų ir pagimdžiusiųjų hemorojus ir išangės įplėša: paplitimas, rizikos veiksniai bei įtaka moters gyvenimo kokybei
Authors: Bužinskienė Diana , Drąsutienė Gražina , Poškus Tomas
Published: June 2020

Šio straipsnio tikslas – apžvelgti literatūrą, nagrinėjančią nėščiųjų hemorojaus ir išangės įplėšos paplitimą, priežastis, dažnį, rizikos veiksnius bei šių ligų įtaką moterų gyvenimo kokybei.Išangės ligos (hemorojus ir išangės įplėša) tiek nėštumo metu, tiek laikotarpiu po gimdymo yra dažna patologija, kuriai vis dar stinga tiek koloproktologų, tiek akušerių ginekologų dėmesio. Šiuo metu nėra tyrimų, kuriuose perspektyviuoju būdu nėštumo metu ir po gimdymo būtų vertinamas išangės ligų atsiradimas, nustatomi jų rizikos veiksniai. Labai svarbu ištirti ir įvertinti šių ligų paplitimą Lietuvoje ir rizikos veiksnius, jų ryšį su nėštumo ir gimdymo veiksniais, laiku šias ligas diagnozuoti ir gydyti bei atrasti priemonių, kaip jų išvengti, taip pagerinant moterų gyvenimo kokybę ne tik nėštumo ir gimdymo metu, bet ir laikotarpiu po gimdymo.Reikšminiai žodžiai: hemorojus, išangės įplėša, nėštumas, gimdymas, rizikos veiksniai, gyvenimo kokybė
Hemorrhoids and anal fissures during pregnancy and after childbirth: prevalence, risk factors and impact on women’s quality of lifeDiana Bužinskienė, Gražina Drąsutienė, Tomas Poškus
The aim of this study was to review the literature regarding the incidence, prevalence, risk factors of hemorrhoids and anal fissures during, before, and after pregnancy and their impact on the quality of life of women.Both hemorrhoids and anal fissures are common during and after pregnancy; however, they are frequently overlooked by both coloproctologists and gynecologists. There are no prospective cohort studies of perianal diseases during and after pregnancy with an emphasis on identifying the possible risk factors. Thus, it is important to identify the incidence and risk factors of perianal diseases in Lithuania and to find the factors of pregnancy and delivery that could be related to the occurrence or prevent the occurrence of these diseases. In this way, the possible areas of correction and intervention could be identified.Key words: hemorrhoids, anal fissure, pregnancy, delivery, risk factors, quality of life
Tiesiosios ir gaubtinės žarnos vėžys: ar įmanoma jo išvengti?
Authors: Escalante Ricardo
Published: June 2020

Colorectal cancer: is it possible to prevent it?Ricardo Escalante
Chirurgai ir akademinės chirurgijos raida Kaune 1919–1940 metais
Authors: Zykas Vytautas
Published: June 2020

Straipsnyje apžvelgiama chirurgijos raida nepriklausomoje Lietuvoje 1919–1940 metais. Pateikiami duomenys apie pirmuosius žingsnius organizuojant ir kuriant chirurgijos discipliną Aukštuosiuose kursuose ir vėlesnį jos vystymąsi universiteto Medicinos fakultete Kaune. Aprašoma iškiliausių to laikotarpio chirurgų J. Žemgulio, J. Dzirnės, H. Boito, A. Hagentorno, V. Kanaukos, V. Kuzmos, A. Maciūno, J. Čeponio, J. Jaržemsko ir kt. veikla kuriant praktinę ir akademinę chirurgiją Kaune ir Lietuvoje, aptariamas jų indėlis į mokslą, Lietuvos chirurgų draugijos organizavimą, pirmojo periodinio lietuviško žurnalo „Medicina“ steigimą. Pateikiami svarbesni faktai apie šių iškilių asmenybių visuomeninę veiklą, jų tragiškus likimus istorijos posūkiuose.

Surgeons and academic surgery in Kaunas between 1919–1940Prof. habil. dr. Vytautas Zykas

This article offers an historical overview of the development of surgery in Lithuania during the years of independence between 1919 and 1940. It describes the first steps of the creation of academic surgery and it‘s later development in the Universtity in Kaunas. The paper depicts facts about the prominent surgeons of that period – J. Žemgulys, J. Dzirnė, H. Boit, A. Hagentorn, V. Kanauka, A. Maciūnas, J. Čeponis, J. Jaržemskas and others who achieved major developments of practical and academic surgery, scientific works, organization of the Lithuanian Society of Surgeons and establishment of the first Lithuanian periodic medical journal „Medicina“. Some interesting facts about the public and social roles of those prominent personalities and the tragedy many of them lived at this turn of history are also presented.
Treatment of chronic colorectal fistula with the over-the-scope-clipping system: a case report
Authors: Aliosinas Olegas , Radziunas Gintautas , Dulskas Audrius , Samalavicius Narimantas E.
Published: June 2020

Anastomotic leakage in colorectal surgery is an infrequent but in some cases very serious or even lethal complication. The over-the-scope-clipping (OTSC) system (Ovesco), which was originally developed to treat intestinal perforation and was tested on animals, could be the answer for the patient with such situation. We present a case of 63-year-old man suturae insuffitiency at the 40th post-operative day. The conservative treatment was long and unsuccessful. The lesion was then closed with two subsequent clips, and the patient recovered well without major interventions. The lesion showed a normal healing on the follow-up.
Ūminio komplikuoto divertikulito gydymo protokolas
Authors: Lasinskas Marius , Baušys Augustinas , Stašinskas Lukas , Sologubovas Šarūnas , Mečkovski Artur , Brimas Gintautas
Published: June 2020

TikslasAtlikus literatūros apžvalgą ir remiantis jos duomenimis pasiūlyti ūminio komplikuoto divertikulito gydymo protokolą.MetodikaNaudojant „PubMed“, „Medline“, „Embase“, „Cochrane“, „Medscape“ elektronines duomenų bazes peržiūrėta ūminio divertikulito gydymo tematikos literatūra, publikuota 2008–2013 metais. Paieškai naudoti raktiniai žodžiai: divertikulitas, perforacija, peritonitas, Hartmano operacija, pirminė anastomozė, laparoskopinis lavažas, Hinchey. Analizei atrinkti straipsniai, kuriuose pateikti duomenys remiantis atsitiktinių imčių bei lyginamųjų studijų rezultatais. Tinkamumo kriterijai buvo nustatyti prieš pradedant literatūros apžvalgą – tirta ne mažiau kaip 100 ligonių, naudojama Hinchey klasifikacija, išvados paremtos statistiškai patikimais rezultatais. Analizuojant atrinktus straipsnius nagrinėti ir jų literatūros sąraše pateikti literatūros šaltiniai, siekiant įvertinti aktualias studijas, nepasiūlytas pirminėje paieškoje.RezultataiIš viso nagrinėta 11 straipsnių. Hinchey I–II klasių ligoniams rekomenduojamas konservatyvus gydymas – antibiotikų terapija arba perkutaninis pūlinių drenavimas, kai pūlinys didesnis negu 5 cm. Hinchey III–IV klasių ligoniams indikuojamas operacinis gydymas. Lyginant storosios žarnos rezekciją su perforacijos užsiuvimu ir drenavimu, statistiškai patikimo skirtumo negauta. Lyginant storosios žarnos rezekciją su pirmine anastomoze (PA) ir Hartmano operacija (HP), gauti statistiškai patikimi rodikliai: mirštamumas – PA 9,7 %, o HP 21,95 %, reintervencijos dažnis – PA 6,6 %, HP 15,3 %, hospitalizacijos trukmė – PA grupėje 8,65, HP grupėje 15,08 dienos. Lyginant PA su laparoskopiniu pilvo ertmės lavažu (LPD), gautas statistiškai patikimas hospitalizacijos trukmės skirtumas – po LPD 8 dienos, po PA 17 dienų. Mirčių nebuvo abiejose grupėse. Po LPD 71,43 % ligonių planine tvarka atliktos laparoskopinės rezekcinės operacijos (LR), tačiau bendra hospitalizacijos trukmė po LPD ir LR buvo mažesnė už hospitalizacijos trukmę po PA.IšvadosHinchey I–II klasės divertikulitą rekomenduojame gydyti konservatyviai plataus veikimo spektro antibiotikais arba minimaliai invazyviniais gydymo metodais – perkutaniniu pūlinio drenavimu kontroliuojant procedūrą ultragarsu (UG) ar kompiuterine tomografija (KT). Esant aukštesnės klasės komplikuotam divertikulitui tikslingas chirurginis gydymas. Hinchey III klasės divertikulito gydymui indikuojamas LPD, laparoskopinis perforacijos užsiuvimas, PA, o Hinchey IV klasės komplikuotam divertikulitui gydyti – laparotomija su PA arba HP. Ateityje tikslinga atlikti atsitiktinių imčių tyrimus įvairiems ūminio komplikuoto divertikulito gydymo metodams palyginti.
Epidemiologinė lyginamoji LSMU ligoninėje Kauno klinikose gydytų nudegimų analizė: 2003–2005 m. vs. 2013–2015 m.
Authors: Grigaitė Augustina , Rainys Domantas , Pilipaitytė Loreta , Rimdeika Rytis
Published: June 2020

Background and objectives Burns are one of the most severe traumas, which traumatism has been changing over the past decades, globally and nationally. In LUHS hospital Kaunas Clinics, a study which analyses latest tendencies in burn epidemiology has not been conducted. Since 1972 LUHS Hospital Burns Center has been a national severe burns treatment center, thus our study data well represents national burns statistics. Our study aim was to analyze and compare data about burned patients who were admitted to Plastic and Reconstructive Surgery and Burns Department in LUHS Hospital Kaunas Clinics during two periods: 2003–2005 and 2013–2015. Methods This was a retrospective study. Patients from two comparison groups: treated in 2003–2005 and during 2013–2015 were divided according to age, gender, burn etiology, depth, degree, localization, hospitalization stay, surgery time (early surgery <7 days post burn/ delayed surgery >7 days post-burn). Overall data from 757 burn patients admitted during both periods were collected and analyzed. Results Statistically significantly more men suffered from burn injuries during the both periods (66.3% men, 33,7 % women). A statistically significant correlation between burn mechanism and gender was found: men are more likely to be burned by flame, women by scald. The most common burn localizations were arm, legs and head/neck/face regions. During the second period statistically significantly less arm, stomach/waist and leg region burns occurred. Flame was the most common burn cause in both periods. Hospital stay during the second period was statistically significantly shorter (26 days vs. 24 days). Deep burn number statistically significantly decreased from 79.5% to 49.3%. When comparing burn surgery tactics more early burn necrectomies (135 vs. 165) were performed sooner after the trauma (10 vs. 8 days) in 2013–2015. Conclusions Our study results match worldwide burns epidemiologic and treatment tendencies: less deep burns occur (79.5% during first period, 49.3% during the second period, p<0.05), hospital stay is getting shorter (26 days during first period and 24 days during the second, p<0.05). During 2013–2015, more early burn surgeries were performed (135 surgeries during first period vs. 165 during the second, p<0.05), which matches the worldwide burns treatment guideline. Epidemiological data from our study could help understand changes in burn injuries and to improve burn prevention strategies.
Naujas perforavusio dvylikapirštės žarnos divertikulo gydymas atliekant Roux-en-Y duodenojejunostomiją
Authors: Šileikis Audrius , Šileikytė Auksė
Published: June 2020

Dvylikapirštės žarnos divertikulai yra dažniausia divertikuliozės vieta plonojoje žarnoje. Nuo 1 % iki 5 % tokių divertikulų yra simptominiai ir pasireiškia skausmu, kraujavimu, uždegimu, cholestaze, cholangitu, obstrukcija, perforacija, pankreatitu ar piktybine transformacija. Pati sudėtingiausia komplikacija yra perforacija, kuri sudaro 0,03 %. Diagnozavus dvylikapirštės žarnos divertikulo perforaciją, tradicinis gydymas buvo paprasta divertikulektomija ir dvylikapirštės žarnos užsiuvimas dviem sluoksniais su retroperitoninio tarpo drenavimu. Pastaruoju metu aprašoma vis daugiau sėkmingų konservatyvaus ir kitokio chirurginio gydymo atvejų. Mes aprašome savo patirtį, susijusią su dvylikapirštės žarnos divertikulito gydymu atliekant Roux-en-Y duodenojejunostomiją Shigeru Fujisaki metodu po nesėkmingo konservatyvaus gydymo.
Lietuvos chirurgų asociacijos suvažiavimas 2019 10 11–12 Klaipėda
Authors: Razbadauskas Artūras
Published: June 2020

Statement of purpose“Lietuvos chirurgija” (“Lithuanian Surgery”) is a peer-reviewed journal of the Association of Lithuanian Surgeons, the Lithuanian Association for Wound Care, the Lithuanian Association for Ambulatory Surgery,the Lithuanian Society of Endoscopists, the Lithuanian Society of Cardiothoracic Surgeons, the LithuanianSociety of Coloproctologists, the Lithuanian Society of Vascular Surgeons, the Lithuanian Society for MinimalInvasine Surgery, the Lithuanian Society of Neurosurgeons, the Lithuanian Society of Oncologists, the Lithuanian Society of Pathologists, the Lithuanian Society for Hand Surgery and Hand Rehabilitation, the Lithuanian Society of Traumatologists and Orthopedic Surgeons, the Lithuanian Society of Urologists,the Lithuanian Society of Paediatric Surgery, the Lithuanian Society of Maxillofacial Surgeons, the Lithuanian Society of Vertebrologists, Vilnius Surgical Society, Kaunas Region Surgical Society, Klaipėda Region SurgicalSociety, Šiauliai Region Surgical Society, Panevėžys Region Surgical Society.It has been designed to meet the needfor a rapid spreading of new and important information on the theory and practice of surgery and related sciences. The journal provides a rapid publication of original papers that contribute to knowledge in the fields of clinical surgery, experimental surgery and related sciences.The contributions are accepted in Lithuanian and English. The journal “Lietuvos chirurgija” is an officialperiodical (quarterly) scientific publication of the Lithuanian Republic. Selection of papers for publicationis based on the opinion of highly qualified reviewers who are supporters, consultants or members of the Editorial Board and the International Advisory Board.
Barrett's Esophagus and Intestinal Metaplasia of Gastric Cardia: Prevalence, Clinical, Endoscopic and Histological Features
Authors: Pascarenco Ofelia Daniela , Boeriu Alina , Mocan Simona , Pascarenco Ghenadie , Drasoveanu Silvia , Galeanu Marinela
Published: June 2020

Background & Aims: Over the past few decades, the incidence of adenocarcinomas of the gastroesophageal junction has rapidly increased. Barrett's esophagus is a risk factor for esophageal adenocarcinoma, but the role of intestinal metaplasia of the gastric cardia as a precursor in cardia-related cancer is controversial. The aims of the present study were to examine the prevalence of intestinal metaplasia in the gastroesophageal junction and to evaluate the clinical, endoscopical and histological features of patients with intestinal metaplasia in the gastric cardia and patients with Barrett's esophagus.Methods: 286 consecutive patients undergoing gastroduodenoscopy were enrolled in a prospective study. Biopsy specimens were performed in the distal esophagus, squamocolumnar junction, gastric cardia, gastric corpus and antrum.Results: We identified 44 patients (15.3%) with intestinal metaplasia in biopsies from gastric cardia and 24 patients (8.3%) with Barrett's esophagus. Cardia intestinal metaplasia was significantly associated with older age (p=0.03), with intestinal metaplasia in the antrum (p=0.017) and H. pylori infection (p<0.0001). Severe chronic cardia inflammation increased the presence of cardia intestinal metaplasia 6.2 fold (OR=6.288; p<0.0001). Patients with Barrett's esophagus were predominantly men. Barrett's esophagus presence significantly correlated with reflux symptoms(p<0.0001), endoscopic esophagitis (p<0.0001) and hiatal hernia >2 cm (p=0.002). No patient had dysplasia in the gastroesophageal region.Conclusions: Presence of intestinal metaplasia at the gastroesophageal region correlated with reflux symptoms and endoscopic signs of reflux disease in patients with Barrett's esophagus and with H.pylori infection and distal intestinal metaplasia in patients with cardia intestinal metaplasia.Abbreviations: BE- Barrett_s esophagus; CIM- cardia intestinal metaplasia; CLE- columnar lined esophagus; GEJ- gastroesophageal junction; GERD - gastroesophageal reflux disease; IM- intestinal metaplasia; LSBE- long segment Barrett's esophagus; SCJ - squamocolumnar junction; SSBE- short segment Barrett's esophagus; USSBE- ultrashort segment Barrett's esophagus.
Relationship between NT-proBNP and Cardio-Renal Dysfunction in Patients with Advanced Liver Cirrhosis
Authors: Cavasi Adriana , Cavasi Eduard , Grigorescu Mircea , Sitar-Taut Adela
Published: June 2020

Background & Aims: ProBNP is a sensitive marker of cardiac dysfunction. We assessed the concentration of circulating NT-proBNP in patients with liver cirrhosis in various stages of the disease and its correlation with markers of cardiac and renal dysfunction and with markers of liver disease severity.Patients and methods: A number of 88 patients with liver cirrhosis were included in the study, divided into 3 groups: group 1 - 18 control patients without ascites; group 2 - 35 non-azotemic patients with ascites; group 3 - 35 patients with hepatorenal syndrome. The cardiac dysfunction was assessed by measuring the NT-proBNP serum levels and the QTc interval. The markers of renal dysfunction were the estimated glomerular filtration rates - formulas involving creatinine and serum cystatin C. The Child-Pugh score was used to assess the liver disease severity.Results: The median NT-proBNP serum levels significantly increased in patients with advanced liver cirrhosis (group 3: 960 fmol/ml and group 2:  660 fmol/ml) as compared to group 1 (435 fmol/ml) (p<0.05). A significant direct correlation was found between the NT-proBNP concentration and the QTc interval (r=0.540, p<0.001). The NT-proBNP levels also correlated with the Child-Pugh score (r=0.501, p<0.01), proving the link between the cardiac dysfunction and the liver disease severity. The cardio-renal interrelation is supported by the relationship between the NT-proBNP concentration and the estimated clearances.Conclusion: The high NT-proBNP levels in patients with advanced cirrhosis indicate the presence of cardiac dysfunction, which has a role in the pathogenesis of the hepatorenal syndrome.Abbreviations: DP: diastolic pressure; GFR: glomerular filtration rate; HRS: hepatorenal syndrome; MAP:mean arterial pressure; NT-proBNP: N-terminal fragment of the prohormone B-type natriuretic peptide; proBNP: prohormone brain natriuretic peptide; SBP: spontaneous bacterial peritonitis; SP: systolic pressure; TIPS: tranjugular intrahepatic portosystemic shunt.
Characterization of Focal Liver Lesions using Contrast Enhanced Ultrasound as a First Line Method: a Large Monocentric Experience
Authors: Sporea Ioan , Martie Alina , Bota Simona , Sirli Roxana , Popescu Alina , Danila Mirela
Published: June 2020

Aim: To present a large monocentric experience in the characterization of focal liver lesions (FLLs) using Contrast Enhanced Ultrasound (CEUS).Method: A retrospective study was performed in the Gastroenterology and Hepatology Department, Timisoara, including 1100 patients with 1329 FLLs evaluated between September 2009 and January 2013. A CEUS examination was considered conclusive if the FLL respected the typical enhancement pattern as described in the EFSUMB Guidelines.Results: From the 1329 FLLs, CEUS was conclusive for a specific pathology in 1102 cases (82.9%). For the differentiation of benign/malignant lesions, CEUS reached a conclusive diagnosis in 1196 (90%) cases. The percentage of conclusive CEUS examinations was significantly higher in patients without chronic liver disease as compared with those with chronic hepatopathies: 87.3% vs. 74.4% (p<0.0001).Conclusion: CEUS patterns of enhancement fell into clear cut specific diagnostic patterns in 83% of the FLLs discovered by US, and into clear cut benign versus malignant patterns in 90% of the cases. For this reason, we can strongly recommend CEUS as a first line imaging method to characterize FLLs found at US, at least in centers with a good experience in CEUS.
The epidemiology of Clostridium diffcile infection in Romania: what we know, or do not know and why?
Authors: Trifan Anca , Cojocariu Camelia , Stoica Oana , Stanciu Carol
Published: June 2020

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Fibrin-glue-sealed liver biopsy: indications, complications and results
Authors: Martín-Mateos Rosa M. , López-San Román Antonio , García-Sánchez Concepción , García-Hoz Fernando , Gil-Grande Luis A. , Gómez Elena Garrido , García-González Miguel
Published: June 2020

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Intervenciones psicológicas en el tratamiento de la ansiedad en personas con cáncer de mama: un meta-análisis
Authors: Zelaya-Rivas Susana María
Published: June 2020

Objetivo. Esta investigación busca estimar el tamaño del efecto de las intervenciones psicológicaspara el tratamiento de la ansiedad en personas con cáncer de mama. Método. Se realizó una revisión sistemática de bases de datos en línea (Dialnet, Ebsco, Latindex, PubMed, ScienceDirect, Wiley, SAGE, Scielo y Google Scholar), a través de la cual se extrajeron artículos experimentales y cuasi-experimentales relevantes para el tema de estudio. De los artículos seleccionados, se extrajeron datos de las participantes, los  tratamientos utilizados y datos pretest y postest de los grupos para el análisis. Resultados. Diecisiete artículos que cumplieron los criterios de inclusión fueron agregados en el análisis. El tamaño de efecto global de las intervenciones fue de (g = -.459). Asimismo, se realizaron análisis de sesgo y de variables continuas moderadoras.
Knowledge economy: trends in the world and analysis of Ukraine
Authors: Zelinska Нalyna , Andrusiv Uliana , Simkiv Liliia
Published: June 2020

The objective of the article is to study the regional development of Ukraine through the prism of indicators that characterize the knowledge-based economy, comparing it to other countries. It has been determined that the appearance of a new economy in the world arena is dictated by time and new trends in the world. Performed study justified that in the conditions of Ukraine, economic knowledge can be a breakthrough in the country's growth. Given the ambiguity and uneven economic development of the administrative-territorial units of Ukraine, the main destabilizing factors that hinder the successful implementation of reforms have been identified. A comparative analysis of the Ukrainian economy with that of Poland has been carried out. For this reason, the critical requirements for Ukraine’s development are economic knowledge based on science, modern technologies, improved educational system, and continues professional training of executive management personnel.
Stability evaluation of iron and vitamin A during processing and storage of fortified pasta
Authors: Sharma N. , Sharma S. , Singh B. , Kaur G.
Published: June 2020

Pasta holds greater potential for improving the nutritional status of the population and its fortification with micronutrients like iron and vitamin A could be an effective strategy to provide the essential nutrients in the diet. This study quantified the losses of two different micronutrients (iron and vitamin A) in fortified pasta post-processing and during storage for 4 months. Chemical salts of iron, namely, ferric sodium ethylene diamine tetra-acetic acid (NaFeEDTA) and ferrous sulphate (FeSO4), were added to pasta formulation at 4,5,6 mg/100g and 6,7,8 mg/100g respectively, whereas for vitamin A, retinyl acetate (RA) was added at 700, 800 and 900 µg/100g. After processing, the prepared pasta with both iron salts showed retention of 94–95% for iron and 90–92% of vitamin A activity. Iron and vitamin A-fortified pasta with maximum retention during processing and exhibiting optimum colour attributes and sensory score were stored alone and in combination (NaFeEDTA and RA) at 25 and 40 °C in laminates (aluminium laminates) and polypropylene packets for a period of 4 months and evaluated for changes in their iron and vitamin A contents. An overall retention of 93–95% of the iron and 56–62 % of vitamin A was observed after 4 months considering losses during processing and storage. Variations in temperature had a non-significant effect on the stability of iron, whereas for vitamin A a loss of 33–37% was noted for pasta stored at accelerated temperature of 40 °C. Among the two packaging materials used, laminates retained more of iron and vitamin A activity than polypropylene. No difference in retention rates was observed for iron and vitamin A when fortified alone or in combination.
A defesa da família no debate do Plano Nacional de Educação (PNE): os evangélicos e a demonização do gênero
Authors: Coelho Fernanda Marina Feitosa , Dias Tainah Biela
Published: June 2020

O discurso da ideologia de gênero ganhou notoriedade no Brasil no contexto das discussões que envolveram o Plano Nacional de Educação. Neste contexto, a participação de lideranças religiosas, dentre estas, evangélicos e católicos provenientes de segmentos conservadores, exerceu grande papel na exclusão dos termos “identidade de gênero” e “orientação sexual” na Lei nº 13.005/2014 que aprovou o PNE 2014-2024. Sabendo que o discurso religioso se concentrou amplamente na defesa da “família tradicional”, o presente artigo discorre sobre a forma que a exclusão dos termos “identidade de gênero” e “orientação sexual” ocorreu no documento final do PNE., Para tanto, analisaremos os discursos invocados por duas figuras evangélicas que consideramos centrais à discussão: o deputado e pastor evangélicos Marco Feliciano (PSC-SP), protagonista da Frente Parlamentar Evangélica (FPE) no combate à ideologia de gênero, e o pastor Silas Malafaia, importante liderança evangélica no cenário midiático, ambos opositores da chamada ideologia de gênero e defensores ferrenhos da família tradicional. Argumentamos, ainda, como este discurso busca a reprodução e a perpetuação das assimetrias de gênero existentes na sociedade, bem como da heterossexualidade como única forma de legítima de expressar a sexualidade, desconsiderando uma diversidade de novos arranjos familiares que tem proliferado no seio da sociedade contemporânea e todas as expressões sexuais e de gênero que destoam dos padrões cisheteronormativos que existem e convivem na sociedade brasileira. Consideramos que a tentativa de imposição de um discurso que se baseia em referências religiosas tradicionais e conservadoras traz à tona novos desafios à laicidade do Estado brasileiro e às vidas que não se conformam aos estes padrões normativos.
Empoderamento, interseccionalidade e feminismo negro
Authors: Moreira Priscila Neves
Published: June 2020

Resenha do livro de Joice Berth.
Tanggung Jawab Kantor Pertanahan terhadap Terbitnya Sertifikat Ganda (Studi Kasus Putusan Kasasi MA No. 162 K/TUN/2012)
Authors: Malaka Zuman
Published: June 2020

Tulisan ini akan mengkaji dan menganalisis tanggung jawab hukum dari Kantor Pertanahan, dengan memfokuskan pada studi kasus pada Putusan Kasasi MA No. 162 K/TUN/2012. Dalam akhir tulisan ini disimpulkan, bahwa: (1) adanya putusan ini menunjukkan bahwa penyelesaian sengketa tanah bisa melalui media Peradilan Tata Usaha Negara, (2) isi putusan yang berupa perintah kepada Kepala Kantor Pertanahan Kendari untuk mencabut dan mencoret dari buku tanah merupakan bentuk tanggung jawab Pejabat TUN atas Keputusan TUN yang diterbitkannya, yang merupakan bentuk dari tanggung jawab administrasi Negara yang bersifat institusional, (3) jika ditemukan maladministrasi maka dapat diajukan pertanggungjawaban pidana yang bersifat personal, dan (3) begitu juga jika ditemukan kerugian pada pihak penggugat maka bisa diajukan gugatan perdata terhadap Pejabat Tata Usaha Negara, yang pertanggungjawabnnya bisa berisfat institusinal atau personal, dengan memperhatikan apakah ada maladminsitrasi apa tidak
Tanggung Gugat Pejabat Pembuat Akta Tanah Terhadap Prinsip Kehati-Hatian Dalam Pembuatan Akta Jual Beli
Authors: Pratama Moh Bafarirahman
Published: June 2020

Akta Kuasa Jual lahir berdasarkan persoalan hutang piutang yang tertuang dalam Akta Pengakuan Hutang, yang di satu sisi mengandung tanggung jawab Notaris dalam melakukan prinsip kehatian-hatian dalam mengukur legitimasi untuk melakukan peralihan atas jaminan sertifikat yang dilakukan atas nama kreditur sebagai jaminan debitur untuk memperoleh piutang. Akta pengakuan hutang ini dikuatkan oleh perjanjian hutang piutang yang telah disepakati para pihak, yang bisa diikuti Akta Kuasa Jual sebagai jaminan terhadap pengembalian hutang jika debitur wanprestasi. Di akhir tulisan ini disimpulkan bahwa: (1) pengakuan hutang dengan jaminan hak atas tanah dapat dilakukan dengan kuasa menjual berdasarkan Akta Pengakuan Hutang dengan jaminan hak atas tanah, dan ini tidak bertentangan dengan perunndang-undangan, dan (2) Tanggung Jawab Notaris selaku pejabat umum pembuat akta otentik melekat tanggung gugat keperdataan apabila melakukan kesalahan dalam menjalankan jabatannya, dengan memperhatikan aspek pembuatan melanggar hukum atau wanprestasi.
Pidana Qisas dalam Prespektif Penologi
Authors: Mubarok Nafi
Published: June 2020

Salah satu reaksi social terhadap kejahatan adalah menjatuhkan pidana pada pelaku yang diiringi dengan terus merubah dan menyempurnakan pidana jenis apa yang harus dijatuhkan dengan melihat tujuan dari penjatuhan tersebut, yang merupakan obyek studi dari penologi. Di sisi lain, dalam kajian fiqh jinayah dikenal qisas. Tulisan ini hadir dalam rangka memaparkan dan menganalisis pidana qisas, dengan focus kajian dalam prespektif penoligi. Kesimpulannya dari tulisan ini adalah: pertama, minimal ada lima teori dari penology, yaitu (1) retribution, (2) deterrence, (3) rehabilitation, (4) incapacitation, dan (5) restoration. Kedua, qisas adalah menjatuhkan hukuman kepada pelaku sesuai dengan perbuatannya, yang berdasarkan QS. Al-Baqaarah (2): 178-179 dan QS. al-Maâ€™idah (4): 45. Ketiga, qisas dalam penjatuhannya telah mencakup lima teori pemidanaan sebagaimana dalam penology, yaitu: retribution, deterence, reformation, incapacitation, dan restoration.
Penerapan Sanksi Pidana Bagi Notaris Pelaku Penggelapan Pajak Jual Beli Tanah (Studi Kasus Putusan Nomor: 300/Pid.B/2015/PN.Dps.)
Authors: Hartati Henny
Published: June 2020

Pada dekade belakangan ini, banyak oknum Notaris yang terlibat permasalahan hukum. Salah satunya kasus penyalahgunaan kepercayaan, berupa menggunakan uang pembayaran pajak jual-beli tanah yang dititipkan oleh klien kepada Notaris, sebagaimana dalam Putusan PN Denpasar Nomor: 300/Pid.B/2015/PN.Dps. tertanggal 04 Agustus 2015, bahwa Notaris dinyatakan sebagai terdakwa tindak pidana penggelapan. Tujuan tulisan ini untuk menganalisis: (1) kewenangan Notaris menerima dan membayarkan uang pajak jual beli tanah, yaitu PPh dan BPHTB, ke kas negara; dan (2) sanksi pidana terhadap Notaris tersebut. Hasil tulisan ini menyimpulkan: pertama, bahwa kewenangan Notaris dalam menerima dan membayarkan uang pajak jual beli tanah, yang berupa PPh dan BPHTB, ke kas negara tidak diatur dalam perundang-undangan yang berlaku. Namun Notaris mempunyai kewenangan jika para penghadap (klien) memberikan kuasa kepadanya. Kedua, bahwa Notaris yang melakukan tindak pidana penggelapan pajak jual beli tanah telah memenuhi rumusan Pasal 372 KUHP, sehingga dijatuhi sanksi pidana penjara 6 bulan. Namun pidana ini tidak perlu dijalani oleh Terdakwa, kecuali jika dalam masa 10 bulan terdapat Putusan Hakim yang telah berkekuatan hukum tetap bahwa terdakwa melakukan suatu tindak pidana.
Kekuatan Hukum Sertifikat Hak Atas Tanah Dikaitkan Dengan Kepastian Hukum Dalam Pendaftaran Tanah
Authors: Wardhani Shinta Novi
Published: June 2020

This paper is to examine two matters, firstly, the legal power of the land title certificate is related to legal certainty in land registration, and, secondly, legal remedies undertaken to ensure legal certainty in land affairs. At the end of this paper, it is concluded that: first, the legal power of the land title certificate is a guarantee of legal certainty from the certificate as a proof of ownership which is strong, provided that it is not proven otherwise by others who feel entitled and have evidence to prove it. And, secondly, the efforts to be taken to guarantee legal certainty in the land sector carried out by the Government-in this case the Ministry of Agrarian Affairs and Spatial-, are issuing land title certificates based on three principles, namely: (1) the principle of certainty law, (2) the principles of accuracy, and (3) the principle of security, for the sake of the enforcement of legal force and legal certainty of issued certificates.
Tindak Pidana Kekerasan di Desa Duduk Sampeyan dalam Perspektif Hukum Pidana Islam
Authors: Sutomo Budi
Published: June 2020

The criminal acts that often happen in people's lives are related to a violent crime, one of which occurred in Duduk Sampean Gresik, which has the court decision. This paper aims to analyze the decision of the Gresik district court regarding the violent crime that occurred in Duduk Sampean. This paper concludes three things in this research, namely: (1) the three individuals are Muslims and they are mukallaf who are responsible for their jari>mah (Illegal act or ommission), their action is classified as jari>mah tawa>fuq so that each one is only responsible for their owns actions; (2) the imprisonment imposed by the Gresik District Court is classified as a ta'zi>r sentence which falls under the authority of ulil amri or the government even though it has been freed from the qis}a>s punishment and diyah  for getting forgiveness; and (3) the restitution received by the victim constitutes the realization of the legal liability of the offender for obtaining forgiveness.
Penyelenggaraan Klinik Pengobatan Alternatif dalam Tinjuan Undang-undang Perlindungan Konsumen
Authors: Arifah Fadiatul
Published: June 2020

Health is a basic right of the people of Indonesia, as stated in Article 28 (h) of the 1945 Constitution. In practice, efforts to improve the well-being in the health sector are not only exercised in modern ways but also with alternative medicine efforts, by using various kinds of unconventional treatment, both medical and treatment products. This paper aims to find out the pattern of legal relations between the parties in the operation of alternative medical clinics without permission. it is found that the establishment of illegal clinics is against the law No. 8 of 1999, thus subject to administrative sanctions in the form of payment up to Rp. 200,000,000.00 (two hundred million rupiah). Furthermore, the trade law has occurred since the consumer decides to seek alternative treatment so that both parties must exercise their respective rights and obligations. It is suggested that consumers should be vigilant in consulting alternative medicine, and it would be better for the Health administrator to conduct surveillance on alternative medicine businesses.
Sanksi Tindak Pidana Korupsi oleh Pegawai Negeri dalam Prespektif Fiqih Jinayah
Authors: Hidayah Yuli Rohmatul
Published: June 2020

The economic crises that hit Indonesia for a long time were caused by corruption. Corruption itself was the result of the absence of integrated control. Corruption is a crime, it is an abuse of authority. It has been known that the perpetrators are state officials who have "authority", and recognized as Civil Servants. This research aims to determine and analyze the philosophical aim of punishments for perpetrators of corruption by Civil Servants in Islamic law tradition. The results of the study are that: firstly, the corruption in Islamic law can be drawn from the words ghulu>l and rishwah as well as from the verses of the qor'an including QS. al-Baqarah (2) 188, al-Mut}affifi>n (83) 1-2, and al-A'ra>f (7) 33. Secondly, that the sanctions contained in Law No.20 of 2001 Article 8 already felt appropriate and fair, if viewed in terms of the minimum and maximum sentence.
Impelementasi Perda Pemberantasan Pelacuran di Kabupaten Lamongan
Authors: Sugianto Slamet
Published: June 2020

Prostitution evolves along with the progress of civilization, although the fact that prostitution has certainly harmed people's lives. In legal terms, the problem of prostitution in Indonesia has not been fully regulated in the Criminal Code. To fill this legal vacuum, the local government of Lamongan regency issued regulation number 10 of 2004 which essentially regulates the prohibition of prostitution, adultery, or indecent acts. The article is the result of field research in Lamongan District on the Implementation of Perda No. 10 of 2004 concerning the Eradication of Prostitution in Lamongan District. At the end of this article, the conclusion is that the implementation of regulation No. 10 of 2004 concerning the prohibition of prostitution turned out to be less effective. Also, the media of resolving prostitution conflict can be completed through the court whereas the sanctions can be given in the form of a one-month prison sentence. Besides, the enforcement can also be done directly by Satpol PP (PPNS investigators) who work together with social services by assisting prostitutes affected by arrests.
Sejarah Hukum Lingkungan di Indonesia
Authors: Mubarok Nafi'
Published: June 2020

In conjunction with the development of contemporary Islamic law in Muslim countries, the question that frequently arises is about the formalization of Islamic law (taqnin). In Indonesia, the aspirations of Islamic Law's codification, particularly concerning its implementation crystallized into three forms; (1) formal (2) substantive, and (3) essential. One of the experts of Islamic law in Indonesia who concerned about the development of Islamic law was Sjechul Hadi Permono. This paper aims to explain the significance of Sjechul Hadi Permono's Legal Thought about Zakat. According to Sjechul Hadi Permono, the discourse on the people's welfare that is the burden of the state will always become a hot topic. Unfortunately,  this problem has nerver been investigated based on the Islamic conception of welfare and the idea of Islam as an instrument of refom in society. This is a formula Sjechul Hadi tries to offer that zakat if properly managed will offer a solution to the welfare problem.
Peran Lembaga Kepolisian dalam Perspektif Fiqh Siyasah
Authors: Pangestuti Diah Sari
Published: June 2020

Looking at the crime statistic, it shows the continuous increase of crime either in number and quality. Even more varied and creative. Therefore, in order to produce internal security and to maintain the wellbeing of the people, a special institution is needed to handle it, namely the Police Agency. By using normative legal research and combining it with an analytical approach in order to analyze the data descriptively and inductively, this study tries to determine the role of the Police agency based on Fiqh Siyasah. It is concluded that: firstly, in Indonesian, there is a Police Agency that is a state instrument that plays a role in maintaining public order and security, enforcing the law, providing protection and services to the public. Secondly, in Islamic Law, there is the Muhtasib Institution, which has a supervisory and controlling body. Thirdly, that the Police in Islamic and Indonesian Law has almost the same duties that are as law enforcement to maintain security and public order. However, because of the law in Islam covers both mu'amalah and 'ubudiyyah aspects, so the scope of police responsibility in Islam is broader.
Tradisi Suwuk dalam Tinjauan Sains Modern
Authors: Zuhdi Dh Achmad
Published: June 2020

For Javanese, one way to cure the sick is to do suwuk (jampi). Suwuk tradition, namely healing by reciting mantras (certain readings) that are blown on the crown of the patient and sometimes also use water media, especially for some modern Muslims, was initially seen as a healing practice that contains elements of shirk because it was considered not in accordance with the principles of Islamic aq?dah. Today, this view begins to change after a normative source has been found from a number of traditions that allow ruqyah that works similar to suwuk. It was also strengthened by the results of experiments and the findings of a number of scientists about the effect of certain readings and the wonders of water. This article will explain the tradition of suwuk which is the same as ruqyah, then elaborate normative sources of the Qur’?n and the H{ad?th which legalize it and the view of modern science that supports it, so that its existence is still relevant to modernity.
Pergulatan Perumusan Bermazhab secara Qawl? dan Manhaj? dalam Bah{th al-Mas?’il pada Muktamar Nahdlatul Ulama Ke-33
Authors: Riza Achmad Kemal
Published: June 2020

Bah}th al-mas?’il is a forum in which traditionalist Muslims of Nahdlatul Ulama get their fatwas. Nahdlatul Ulama practices taql?d and therefore madhhab in its fatwa by relying upon opinions of especially Sh?fi‘? jurists. Since 1992, some forward-minded people within Nahdlatul Ulama introduced the use of madhhab manhaj? through istinbat} method in addition of madhhab qawl?. However, the co-existence of these two methods creates everlasting polarization within Nahdlatul Ulama. There once division of application, though, in which manhaj? was employed in mawd}?‘?yah cases and qawl? was practiced in w?qi‘?yah cases, but it did not last long. The National Congress of Nahdlatul Ulama in 2015, when istinb?t} of madhhab manhaj? was discussed once again, unveiled fierce debates between supporters of the two methods. The East Java Branch of Nahdlatul Ulama, which are fervent supporters of qawl?, insists on its sole employment in fatwa. All their bah}th al-mas?’il w?qi‘?yahs after the 2015 Congress use qawl?. However, manhaj? start to appear in their bah}th al-mas?’il mawd}?‘?yah, especially in cases where various approaches should be deployed, such as fatwa on Islam Nusantara.