bluuebunny/crossref_metadata_2025 huggingface dataset:
Non-alcoholic fatty liver disease and type 2 diabetes mellitus a prospective observational study in coastal region of Andhra Pradesh
Authors: Jawaharlal Ramswarup K. , Mootha Vamsi Krishna
Published: June 2021

Background: Non alcoholic fatty liver is the most common chronic liver disease in many parts of world including India. It is strongly associated with obesity, overweight and insulin resistance. Type 2 diabetes is common condition and it regularly coexists with NAFLD. We designed to study non alcoholic fatty liver among type 2 diabetes mellitus among people of costal Andhra Pradesh and impact of this disease on metabolic profile of patients.Methods: As per selection criteria 160 patients with type 2 diabetes mellitus were enrolled for this study. A detailed history of patients was taken regarding demography of patients, duration of diabetes mellitus, drug history, alcohol consumption and symptoms of hepatic disorder.Results: Out of that 86 (53.75%) patients were diagnosed to be non alcoholic fatty liver disease. There was significant difference between with NAFLD and without NAFLD groups regarding FPG (mg/dl) (144.12±10.54 vs. 122.48±11.67) (p=0.0001). AST/ALT ratio was significantly lower in patients with NAFLD then without NAFLD groups (0.81±0.19 vs. 1.16±0.31) (p=0.0001). Alkaline phosphotase (IU/l) was significantly higher in patients with NAFLD then without NAFLD groups (157.83±47.21 vs. 134.24±32.76) (p=0.0004).Conclusions: In current study the prevalence of NAFLD was 53.75% among type 2 diabetes mellitus patients. There was female predominance in patients with NAFLD and T2DM but in non NAFLD with T2DM has male predominance. There was significant difference between with NAFLD and without NAFLD groups regarding BMI. Hepatic parameters like AST, ALT and Alkaline phosphotase was significantly higher and AST/ALT was significantly lower in patients with NAFLD then without NAFLD groups.
Role of procalcitonin in viral and bacterial meningitis
Authors: Saproo Nipun , Singh Roma
Published: June 2021

Background: Meningitis is one of the most common central nervous system infections by bacteria, virus or fungus encountered in infants and children.Early diagnosis of meningitis and differentiation of bacterial from non-bacterial/ viral meningitis tends to play an important role in the emergency management of children with suspected meningitis. While cerebrospinal fluid analysis is popular, along with biomarkers: C-reactive protein and white blood cell count, serum procalcitonin seems to offer an even better specificity.Methods: A hospital based cross-sectional-study was conducted in department of neurology in collaboration with department of pathology, Medanta, Medicity, Gurugram, for a period of one year from March 2018 to 2019. 100 children aged 4 months to 12 years, with suspected meningitis were enrolled. The study group was further subdivided into two groups, based upon their bacteriological profile: bacterial meningitis and viral meningitis.Results: For both the groups, the common clinical presentations were fever (100% and 96.88%), convulsions (58.33% and 45.31%), vomiting (25% and 43.75%), The demographic and clinical profile of the 2 groups was largely comparable. Serum PCT levels were significantly higher in bacterial meningitis group compared to non-bacterial meningitis with p<0.001. The sensitivity of serum PCT was found to be 97% and superior to CRP in terms of accuracy in identification and to assess the severity. Procalcitonin is an ideal marker with highest accuracy for bacterial infections.Conclusions: Serum PCT can act as a more sensitive and specific diagnostic tool in early differentiation of bacterial from non-bacterial meningitis in children.
Correlation of iron deficiency anaemia with glycosylated haemoglobin (HbA1c) levels in non-diabetics: an observational study
Authors: Dhapale Ajay V. , Kamble Omkar
Published: June 2021

Background: Alteration of HbA1c in other conditions such as haemolytic anaemia, pregnancy and haemoglobinopathy has raised questions about its correlation with iron stores. The aim of the study was to correlate iron deficiency anaemia with glycosylated haemoglobin levels among non-diabetics.Methods: The present study was an observational study among non-diabetic patients of iron deficiency anaemia attending our outpatient department. The study was conducted in the department of medicine of a tertiary care hospital in Maharashtra. All the non-diabetic patients more than 18 years with iron deficiency anaemia were included in the present study. Patients with acute coronary syndromes, chronic liver, chronic kidney diseases, malignancies, haemolytic anaemia, pregnancy, HIV positive with known end stage cardiopulmonary disease were excluded from the study.Results: About 86.33% of the patients had mild to moderate anaemia and 10.7% had severe anaemia in the present study. The average values of haemoglobin, serum ferritin, total iron binding capacity, mean corpuscular volume, mean corpuscular haemoglobin, and mean corpuscular haemoglobin concentration and hematocrit significantly improved after the treatment. With treatment of anaemia, glycosylated haemoglobin, fasting blood sugars and post prandial blood sugars also improved significantly when compared to baseline (p<0.001).Conclusions: The average values of haemoglobin, serum ferritin, total iron binding capacity, mean corpuscular volume, mean corpuscular haemoglobin, and mean corpuscular haemoglobin concentration and hematocrit significantly improved after the treatment. With treatment of anaemia, glycosylated haemoglobin, fasting blood sugars and post prandial blood sugars also improved significantly when compared to baseline.
Clinical manifestation and initial treatment on infectious respiratory illnesses in HIV-infected patient: a case report
Authors: Trisna Jaya Komang Septian , Suryana Ketut
Published: June 2021

Respiratory illnesses are common complication during the evolution of the disease in HIV-infected patients, mainly of infectious aetiology. Pneumocystis Pneumonia (PCP) is currently the most frequent cause of pulmonary infections in HIV patients, followed by bacterial pneumonia and TB. In this case report involves a 28 years-old male patient with HIV infection presented to the hospital with progressive dyspnoea, fever, non-productive cough and weight loss. Physical examination showed a decreased of oxygen saturation, oral thrush, and respiratory crackles in both lungs. The results of chest x-ray examination suggested a picture of pneumonia. The sputum was examined with Xpert MTB-RIF Assay and the results were negative. This patient was treated with cotrimoxazole in 2 double-strength (DS) tablets three times daily, dual therapy antibiotics combination with a beta-lactam and macrolide, oral fluconazole, also adjuvant corticosteroid of methylprednisolone. This initial treatment based on drug of choice for infectious respiratory illnesses in HIV-infected patient.
A case of emphysematous pyelonephritis presenting as leg pain- a multi disciplinary approach
Authors: Varghese Ashin , Balagopal Anuroop , Wilson Arun
Published: June 2021

Emphysematous pyelonephritis is a rare and severe infection of the kidney, which is characterized by necrotising changes in the renal parenchyma and accumulation of gas in the peri-renal tissue. The causative organism is usually a gas forming gram negative bacteria. We present a case of 65 years old gentleman presenting with leg pain, little lower urinary tract symptoms of fever, referred to our hospital with a renal mass requiring nephrectomy. He was subsequently diagnosed as EPN, requiring aggressive antibiotic therapy, haemodialysis, fasciotomy and surgical debridement. This case highlights the timely interventions required by multiple specialities and aggressive management including surgical intervention essential for an acceptable recovery. We have also tried to understand the pathophysiology of the disease and why it responds poorly to treatment.
Hepatocellular carcinoma with extrahepatic adrenal metastasis: an atypical case report
Authors: Paul Diptajit , Singh Baljit , Dhankhar Rakesh , Kaushal Vivek
Published: June 2021

Hepatocellular carcinoma with extrahepatic metastasis are a threat to public health worldwide. Lung, bones and abdominal lymph nodes are the major sites of metastasis from liver primary, adrenal metastasis being a less common site. Here we present an old male presented with upper abdominal pain diagnosed as advanced, unresectable hepatocellular carcinoma with right adrenal metastasis. Patient was treated with multi-kinase inhibitor sorafenib and outcome was acceptable with good patient compliance.
Broad ligament hematoma after normal vaginal delivery: a rare case scenario
Authors: Adow Mequanent T. , Gechu Nebso G. , Eshete Dereje T. , Siraneh Amanu G.
Published: June 2021

Broad ligament hematoma is a very rare complication following normal vaginal delivery. This article reports broad ligament hematoma following normal vaginal delivery in a 25 years old para 2 still birth 1 woman after 3 hours of delivery. Based on clinical and transabdominal ultrasound examination broad ligament hematoma was diagnosed. She was on conservative management for 36 hours after confirming the diagnosis. Later, she developed symptoms of anemia and transabdominal ultrasound showed expanding hematoma and minimal hemoperitoneum. Surgical intervention decided and total hysterectomy was performed.
Lockdown 1.0 mishaps in Bangalore: an observational study on head and neck injuries
Authors: S. G. Smitha , Hanumaiah Suhasini , Sheeja Arunima
Published: June 2021

Background: The government of India imposed a nationwide lockdown from 24 March to 14 April 2020, to contain the highly contagious corona virus. The aim of the study was to reflect upon the psychosocial impact of lockdown 1.0 on the population in terms of assaults, self-inflicted injuries and road traffic accidents during the 21 days of lockdown.

Methods: This was a prospective observational study done in KIMS hospital and research centre during nation-wide lockdown 1.0 i.e. from 24 March to 14 April 2020. Patients who visited emergency medicine department with history of assault, self-inflicted injuries, road traffic accidents sustaining injuries to ear, nose, neck and other regions of the face were included in the study.

Results: A total of 32 patients who sustained injuries in the head and neck region during the 21-day lockdown period and came to our institution were included. Out of the 32 injuries, 6 injuries were to the ear, 12 to nose,5 to the neck region and 9 to other facial regions. There were 18 assault cases causing head and neck injuries,3 were self-inflicted wounds and rest were injuries due to road traffic accidents.

Conclusions: Several problems emerged following the forced quarantine to combat COVID-19. These inexorable circumstances which are beyond normal experience, lead to stress, anxiety and a feeling of helplessness in all. There is a need to ameliorate people’s access to mental health support services geared towards providing measures for developing healthy coping mechanisms during such crisis.
Spectrum of clinical characteristics of chronic suppurative otitis media unsafe type: a retrospective study from a tertiary care teaching hospital in Central India
Authors: Hansdah Rashmi , Sachdeva Kavita
Published: June 2021

Background: Chronic suppurative otitis media (CSOM)-unsafe type or atticoantral disease or chronic otitis media-squamosal type is a commonly encountered bone eroding disease of the middle ear whose complications can be potentially fatal.

Methods: Retrospective analysis of 80 patients who underwent mastoid exploration in the department of otolaryngology and head and neck surgery, NSCBMCH, Jabalpur between June 2016 and May 2017.

Results: Unsafe CSOM is commoner in young males of 16-30-year age group. Foul smelling, scanty, purulent ear discharge was the commonest symptom (97.5%). Attic perforation was the most consistent otoscopic finding (47.5% cases). 15% of our patients had central perforations. Conductive hearing loss was most common (62%) followed by mixed hearing loss (23%) and sensorineural hearing loss (11%). Commonest complication encountered was mastoiditis (27 cases). Mastoidectomy with tympanoplasty was done in almost all cases (97.5%). Attic (96.2%), additus (90%), and antrum (86.2%) were commonly involved by disease process. Incus was found to be most susceptible to erosion (88.5%) while stapes was most resistant (36.25%).

Conclusions: Unsafe CSOM presenting late warrant prompt diagnosis and surgical intervention. Unusual presentation like retropharyngeal abscess and trismus should raise suspicion of complicated unsafe CSOM in patients with history of otorrhoea. Canal wall down mastoidectomy with rehabilitation of hearing is the surgery of choice in patients who are unlikely to follow up regularly.
Capsular dissection technique for reducing recurrent laryngeal neuropraxia and temporary hypoparathyroidism after thyroidectomy: a single center experience
Authors: Sahni Dimple , Kaur Rajwant , Kaur Gagandeep , Aggarwal Sangeeta , Bhagat Sanjeev
Published: June 2021

Background: Foreign bodies in aerodigestive tract is common, frequent, and sometime life threatening emergency for otorhinolaryngologists mainly in the paediatric group. The aims of the present study was to find the incidence of foreign bodies, in relation to demographic factors, type and sites of foreign bodies its clinical presentations and its management.

Methods: A prospective study was conducted on 100 cases coming to the ear, nose and throat (ENT) emergency and outpatient department (OPD). After thorough history, clinical examination, routine blood and urine investigations and urine done. Radiological examination was done to visualize the radio-opaque foreign body, and if the foreign body was not radio-opaque then computed tomography (CT) scan was done.  

Results: Incidence of foreign was 67% in male than 33% in female. Mostly foreign bodies were in nose (49%), followed by oesophageal (31%), abdominal (14%), and bronchus (6%) respectively. 33% were totally asymptomatic, 25% with mucupurulent discharge from nose, dysphagia (16%), nasal obstruction (15%), and odynophagia (11%) respectively. Most of the foreign bodies were inorganic in nature, coin (42%), pearls (8.16%), and battery (6.45%). Among organic foreign bodies peanut was most common (33.33%), grains (10%). All foreign bodies were removed successfully with minimal morbidity and zero mortality.

Conclusions: Present study suggested incidence was very common among male children, in rural background, with common asymptomatic presentation. With high index of suspicion, and proper and timely intervention all 100 cases were managed successfully. But still educating the parents about keeping such things away from kids prevent these incident.
A comparative study of temporalis fascia versus tragal perichondrium graft in myringoplasty
Authors: Jose Arun A. , Venkataramanujam Nirmal C. , Karthikeyan Padmanabhan , Kaipuzha Ramiya R. , Pulimoottil Davis Thomas
Published: June 2021

Background: This study aimed to compare the efficacy of temporalis fascia and tragal perichondrium grafts in myringoplasty and to assess the hearing improvement following surgery.

Methods: This was a clinical prospective study involving 50 patients of chronic suppurative otitis media inactive mucosal disease who were assigned to two groups. Group I was temporalis fascia group and group II was tragal perichondrium group and subsequently underwent myringoplasty. Patients were followed up at 3 and 6 months.

Results: There was a preponderance of ear disease among children, with a male to female ratio of 1:1.63. Preoperative dry ear for 1-6 months was associated with 82.9% success rate (group I 76.5%, group II 87.5%). Patients with cellular mastoids were associated with 100% success rate.

Conclusions: In this study we found that patients with cellular mastoids and dry ear for 1-6 months were associated with higher success rates. The study also revealed that in terms of hearing gain postoperatively, the temporalis fascia graft fared slightly better than the tragal perichondrium graft. Tragal perichondrium and temporalis fascia grafts appear to have almost similar graft take rates.
Durian seed an uncommon foreign body impaction: a case report
Authors: Anuar Khairullah
Published: June 2021

Durian is known as the king of fruits. Its seed is an uncommon foreign body impaction on the larynx. A 23-year-old male alleged that durian seed stuck in the throat while eating. He was having difficulty breathing with bouts of coughing. He had a failed Heimlich manoeuvre and rushed to emergency department and subsequently the seed expelled after bouts of violent coughing. Flexible nasopharyngolaryngoscopy was done and showed the arytenoids was swollen, erythematous laryngeal surface of the epiglottis, inflamed inner surface of right anterior and left true chords, ventricles and the false chords. Close observation with intravenous dexamethasone and intravenous antibiotic is paramount in managing the patient. Durian seed impaction on the larynx is rare. This case report showed the function of the larynx as the protective or the watch dog for any foreign body. The endoscopic findings highly suggestive the lodgement of the foreign body on the laryngeal inlet and the appropriate treatment is important in managing such cases.
Does patellar tilt affect the outcome of total knee arthroplasty? a retrospective study
Authors: Chinnyyan Gnanavel , Narayanan Sukesh A. , Thomas Appu Benny , Varughese Jacob
Published: June 2021

Background: Patellofemoral joint management during total knee replacement remains a controversial topic among knee surgeons. The purpose of this study is to evaluate the influence of resurfaced patellar component tilt on the functional outcome of total knee arthroplasty.

Methods: This is a retrospective study reviewing all the patients who underwent total knee arthroplasty in our institution, operated by a single surgeon using a single implant design.

Results: A total of 48 patients and 82 knees were enrolled into this study. Patients were evaluated by Oxford knee score, knee society score, Melbourne patellar score, anteroposterior, lateral, and Merchant’s view radiographs. The patellar tilt was divided into three grades according the measurement obtained from knee radiographs.

Conclusions: A higher degree of patella tilt (more than 10 degree) is associated with poor outcome following total knee arthroplasty. Melbourne patella score is more sensitive than knee society score and Oxford score in assessing the effect of patella tilt on the outcome of total knee arthroplasty.
Evaluation of transtrochanteric rotational osteotomy for avascular necrosis of hip: a case series
Authors: Ragase Ashish Kumar , Dubey Anuranjan
Published: June 2021

Osteonecrosis, also referred to as avascular necrosis (AVN), aseptic necrosis and ischemic necrosis, is not a specific disease but rather a condition in which a circumscribed area of bone becomes necrotic as a result of a loss of its blood supply. The femoral head is the site most often affected and its frequent cause is a displaced fracture through the femoral neck. This is a case-series study that has been done on 9 patients (10 hips) with clinical and radiological evidence of osteonecrosis of head of femur. After treatment patients were followed clinically and radiographically at 1 to 3 months intervals during first year after the operation and at 3 to 6 months intervals thereafter. Out of 9 study subjects, 7 (77.7%) were male and 2 (22.2%) were female. Mean age was 40±7.5. Among 7 (70%) hips, canulated cancellous screws were used and dynamic hip screw were used in 3 (30%) hips. Majority of the cases, 4 (40%) had more than 2 mm of progressive collapse of transported intact area in their latest follow up. Transtrochanteric rotational osteotomy procedure is valuable and needs to be tried by new genre of orthopedician as it helps in clinical improvement of patient and might also delay the necessity for total hip arthroplasty.
Medial patellofemoral ligament reconstruction for patellofemoral instability: a new surgical technique
Authors: K. S. Shreekantha , Usman Mohammed , Malik Deepak , Aseem Mahammad , Mulla Mohammad Gous
Published: June 2021

The purpose of this study was to present new surgical technique for MPFL reconstruction. We also describe its functional outcome, complications, and the advantages of the procedure. This study is a prospective analysis of collected data during the period of august 2018 to January 2020. Ten cases of patients with recurrent symptomatic patellar instability and who underwent isolated MPFL reconstruction were included in the study. Kujala scoring and lysholm scoring was done to assess the functional outcome at follow-up. Post-operative dislocation and apprehension were recorded in each case along with any complication. Pre-operative Kujala score was 36.80 which improved to 89.80 postoperatively at the time follow-up. Pre-operative lysholm score was 36.80 which improved to 92.70 postoperatively at the time follow-up. The improvement in Kujala score and Lysholm score was found to be highly significant (p<0.01). We have done a simple technique where MPFL is reconstructed anatomically to restore kinematics and stability. Consistent good results with early rehabilitation can be obtained using the described technique.
Role of undenatured collagen type II and Aflapin combination in the management of osteoarthritis: a review
Authors: Jain Karun , Mehra Apurv A. , Mehta Kapil D. , Dsouza Lyndon L. , Kumar Ratna
Published: June 2021

Osteoarthritis (OA) is the most common joint disease affecting millions worldwide. Osteoarthritis typically affects the knees, hands, hips, and feet. It is characterized by complex pathologic changes in cartilage which haven’t been fully elucidated yet. However, recent research has shown the involvement of two contributing pathways namely the mechanical and the immune pathways which interlink to cause cartilage destruction. Patients with OA on current treatment options still inevitably progress to a more severe stage becoming candidates for total joint replacement. The cornerstones of OA management in the early stage include exercises, weight loss, education—complemented by topical or oral nonsteroidal anti-inflammatory drugs (NSAIDs) and nutraceuticals like Undenatured type II collagen and Aflapin. Both Undenatured type II collagen and Aflapin offer great promise in OA management by targeting both the immune and mechanical pathways respectively. Undenatured type II collagen works by oral tolerization turning off the immune response in the inflammatory damage (T cell response) against endogenous Type II collagen in the cartilage thus reducing joint inflammation and degradation and stimulates anti-inflammatory cytokine release. Aflapin inhibits 5-LOX and exerts anti-inflammatory action thus providing symptomatic relief of pain and inflammation. This review focusses on the role of mechanical and immune pathways in the pathogenesis of OA and the impact of the combination of Undenatured type-II collagen and Aflapin in targeting these pathways thus improving the clinical outcomes.
Guía de Proyectos de Sistemas de Información de Administración Financiera (SIAF): aspectos estratégicos, funcionales, tecnológicos y de gobernanza para diseñar e implantar nuevas plataformas para los sistemas de la gestión financiera pública
Authors: Pimenta Carlos , Seco Antonio
Published: June 2021

Los Sistemas de Información de Administración Financiera (SIAF) son fundamentales para la estabilidad económica y para lograr una mayor eficiencia y transparencia fiscal, con una importancia creciente de disponerse de un sistema completo e integral en su cobertura funcional, y que cuente con arquitectura y tecnologías flexibles y modulares, sin perder eficiencia y eficacia. Esta Guía de Proyectos SIAF detalla aspectos estratégicos, organizacionales, funcionales, tecnológicos y operativos para la implantación exitosa de un SIAF. La Guía fue estructurada en 14 capítulos autocontenidos, que pueden ser consultados individualmente y que abordan todos los aspectos significativos del diseño, implementación y operación de un SIAF, profundizando y proponiendo alternativas en los temas considerados críticos. Son tratados temas como el diseño y organización de la gobernanza del proyecto, gestión e indicadores, marco legal, arreglos institucionales, creación de capacidad institucional, modelo conceptual, procesos del gasto público, modelos de datos y requisitos del sistema, análisis de alternativas para decidir entre implantar un nuevo sistema o reformar el actual, seguridad de la información, contratación de hardware, software y servicios; puesta en marcha del sistema, modelos de gestión para la operación del sistema, y el uso de nuevas tecnologías emergentes como computación en nube, inteligencia artificial, automatización robótica de procesos, blockchain, dinero móvil, y tecnologías de visualización de datos.
Talking with My Daughter About Archives
Authors: Loyer Jessie , Loyer Darrell
Published: June 2021

In a kitchen table discussion, a Métis genealogist and his Cree-Métis librarian daughter talk about the ways Indigenous people navigate archives, oral history, and research; discuss the inaccuracies that exist in records relating to Indigenous people; and consider the ways that records can supplement oral history about Métis culture.
What Do Non-Psychiatric Doctors of Andhra Pradesh Think about Psychiatrists, Psychiatric Medications and Mental Illness? A Cross-Sectional Study
Authors: Godasi Ganga Raju , Donthu Raj Kiran , Mohammed Abdul Salaam , Pasam Ravi Shankar , Yalamanchili Raja Anirudh
Published: June 2021

BACKGROUND Mental and behavioural disorders are prevalent in all societies. The stigma and poor attitude towards mental illness and those with mental illness is well known. Similarly, there also exists poor opinions about psychiatrists and psychiatric medications among people. Non psychiatric doctors act as a bridge between the psychiatrists and mentally ill people. This study was conducted to evaluate the attitudes of non-psychiatric doctors towards psychiatrists, psychiatric medications, and mental illness. METHODS The study design was cross sectional, conducted in a town of Andhra Pradesh. A structured proforma was used to capture the sociodemographic details and to measure attitudes towards psychiatrists and psychiatric medications. We used a questionnaire used by Zieger et al. Similarly, to measure the attitudes towards mental illness, belief towards mental illness (BTMI) used by Hirai and Clum was used. The data was analysed using R language, and results obtained were tabulated and discussed. Data was analysed using non parametric tests. RESULTS There were no significant negative attitudes of non-psychiatrists towards psychiatrists and mental illness. But we found significant negative attitudes expressed by medical specialists (P = 0.035) and those in academic settings (P = 0.020) towards psychiatric medications. On comparing the other demographic details there were no significant negative attitudes towards psychiatric medications. CONCLUSIONS Previous studies have found negative attitudes among non-psychiatrists towards psychiatry, psychiatrists and mental illness. But our study found that there are positive attitudes expressed by non-psychiatric doctors towards psychiatrists and mental illness which is a good sign. We believe this is a changing trend towards positive side when compared to past studies. Future studies should be longitudinal and to keep in focus the new curriculum changes. KEYWORDS Attitudes of Health Personnel, Psychiatry, Mental Disorders
О ВЛИЯНИИ НЕОПРЕДЕЛЕННОСТИ МАТЕРИАЛЬНО-ПРАВОВОГО СТАТУСА САМОЗАНЯТОГО НА НЕОПРЕДЕЛЕННОСТЬ ЕГО ПРОЦЕССУАЛЬНОГО СТАТУСА
Authors: Мариетта Шапсугова
Published: June 2021

С принятием Федерального закона «О проведении эксперимента по установлению специального налогового режима “Налог на профессиональный доход” в городе федерального значения Москве, в Московской и Калужской областях, а также в Республике Татарстан (Татарстан) (далее — закон о налоге на профессиональный доход) от 27.11.2018 № 422-ФЗ» термин «самозанятый» стал употребляться для обозначения физических лиц — плательщиков налога на профессиональный доход.
Особенности сахароснижающей фармакотерапии у пациентов с SARS-CoV-2 (COVID-19)
Authors: Кухнина Л.С. , Сахарова К.В. , Елина Д.А.
Published: June 2021

Количество пациентов с сахарным диабетом неуклонно растет с каждым годом. В период пандемии COVID-19 люди с диабетов подвергаются большей опасности поскольку возникают сложности с составлением лечения от коронавирусной инфекции и СД.(1) Были выявленные некоторые комбинации препаратов, которые при совместном использовании теряют свои положительные свойства. При фармакотерапии сахарного диабета с коронавирусной инфекцией стоит учитывать совместимость лекарственных препаратов.
Профилактика воспалительных осложнений после удаления нижних зубов мудрости с помощью фаготерапии
Authors: Олейник Н.А. , Козенко Т.Е.
Published: June 2021

Возникновению местных осложнений гнойно-воспалительного генеза способствует ряд факторов, среди которых ведущее значение имеет эндогенная микробная контаминация зоны операции. К сожалению, местное действие противомикробных препаратов весьма ограниченно вследствие вероятной резистентности микробной флоры, выраженного посттравматического воспаления в зоне операции, формирования микробной биоплёнки. В связи с чем, нами ведутся поиски приемлемых препаратов из числа уже известных и применяемых в других отраслях медицинской деятельности.
Георадарный мониторинг на Васильковском карьере АО «Altyntau Kokshetau»
Authors: Кубайдуллина У.А. , Старостина О.В. , Долгоносов В.Н.
Published: June 2021

В статье представлены результаты георадарного мониторинга состояния прибортового массива на Васильковском карьере.
Влияние сроков сева на показатели структуры урожая ярового ячменя
Authors: Моисеев С.А. , Рябкин Е.А. , Каргин В.И. , Камалихин В.Е.
Published: June 2021

Сроки сева при возделывании ярового ячменя имеют огромное влияние на качество урожая ярового ячменя. Они в первую очередь зависят от климатических особенностей зоны возделывания, поэтому к выбору сроков сева необходимо относиться очень серьёзно. Посев должен проводиться только в почву, которая достигла состояния физической спелости. Только в этом состоянии в почве активно развиваются почвенные организмы и создаются все условия для полноценного формирования урожая.
Две вероятностные задачи математических олимпиад
Authors: Залукаева О.В.
Published: June 2021

В статье приведено подробное решение двух задач по теории вероятностей из Открытых международных студенческих интернет олимпиад по математике. Приведенный материал может служить основой для проведения занятия по подготовке к участию в олимпиадах различного уровня.
Avaliação do conhecimento dos graduandos em odontologia sobre emergências médicas: uma revisão integrativa
Authors: Palmeira Júlia Tavares , Goes Vitor Nascimento , Silva Yunes Araújo , Silva Ismael Lima , De Alencar Layla Beatriz Barroso , Rolim Ana Karina Almeida
Published: June 2021

Esta é uma revisão integrativa que considerou o período de início de 2015 a início de 2020, realizada em meados de 2020, com o objetivo de revisar as produções acerca do conhecimento de acadêmicos em odontologia frente a situações emergenciais. Elegeu-se as bases de dados PubMed, Medline e Scielo utilizando descritores, de forma isolada ou combinada: emergências médicas, cirurgiões-dentistas e emergências em odontologia. Foram incluídos 11 artigos originais, dos quais nove afirmaram que os graduandos não se sentem confiantes e/ou possuem domínio teórico-prático sobre emergências e apenas dois afirmaram o contrário. Este estudo mostra um número reduzido de produções relacionadas à avaliação do conhecimento dos graduandos em odontologia sobre emergências médicas. Tal fato evidencia o quanto a temática ainda é pouco abordada na formação e prática do cirurgião-dentista.
The Paradoxical Effects of Uncertainty: A perspective of South Africa’s Risk Adjusted Strategy on COVID-19
Authors: Makokoane Jeremiah Kau
Published: June 2021

The emergence of the coronavirus SARS-CoV-2 which causes the COVID-19 disease was on 11 March 2020 declared a public health pandemic by the World Health Organization since it threatens human life and livelihood. Covid-19 which originates from China has stretched across nations globally from the end of 2019. In administering public policy of affected countries each government has adopted a counter strategy of containing this biological outbreak. The consequential effects are restricted movements on socio-economic activities. Thus, this paper provides theory development of a cross-disciplinary study drawing upon insights from literature on uncertainty and disaster risk management that is integrated with system theory, adaptive systems and practices as well as decision-making philosophy. That provides a basis for exploration of international perspectives on disaster risk reduction methods to combat the Covid-19 pandemic. Following, this paper explains the formulation of the South Africa’s Risk Adjusted Strategy. The collected scientific data and associated information enable risk analysis experts and key stakeholders to empower political decision-making in strategy execution. The anticipated strategic interventions are to alleviate a debilitating socio-economic situation by public policy and adaptation strategies towards a return to socio-economic normalcy. However, the potential paradoxical effects of COVID-19 are expected to create an ambivalent attitude to strategic interventions and decision-making by authorities. Thus, this paper seeks to explore the theoretical and practical ramifications of the systemic change and adaptable disaster risk strategy of South Africa within the context of disaster risk management and under extraordinary situations of uncertainty during the COVID-19 pandemic.
Cocoa Markets and Value Chains: Dynamics and Challenges For Sao Tome and Principe Organic Smallholders
Authors: Prazeres Ibrahim , Lucas Maria Raquel , Marta-Costa Ana
Published: June 2021

Cocoa is one of the main goods in the world agricultural trade markets, occupying the third position in exports. The paper introduces the cocoa value chain worldwide, its asymmetries, and the supply and value chain specific to the São Tomé and Principe (STP) organic cocoa. It aims to understand this value chain’s internal and external tensions and analyse its potential to be inserted in the international markets. The study uses panel data analysis from the FAOSTAT database. The tensions mentioned are due to the asymmetries of international markets and those regarding the production of organic cocoa in STP. At the level of STP and, despite measures to support organic production as a valuable alternative to the country’s development strategy, imbalances in the value chain persist that compromise the livelihoods of small producers responsible for most of production exported and the sustainability of the ecosystem.
الموازنات الأدبية فى مؤلفات آدم عبد الله الإلوري (دراسة تحليلية نقدية) AL-MUWAZANAT AL-ADABIYYAH FI MUALFAT ADAM ABDULLAH AL-ILORI (DIRASAH TAHLILIYYAH NAQDIYYAH)
Authors: Gbodofu Khalil Mohammad Usman
Published: June 2021

تتناول هذه الدراسة الجهود التي قام بها آدم عبد الله الإلوري نحو الموازنات الأدبية التي تعتبر عن مهمة في النقد الأدبي العربي. وأستهلها بلمحة تعريفية عن نشأة عبد الله الإلوري وأعماله الفنية وغير الفنية، ثم أسلط الضوء على المنهج انتهجه في عملية الموازنة، وتم تقسيم موازناته من ناحية التطبيق إلى ثلاثة أقسام. الأول: الموازنة فيما انفرد به كل واحد أو طرف عن غيره، الثاني: الموازنة فيما كان طرف يفوق طرفا آخر، ويرجحه في المستوى العلمي والأدبي، الثالث: الموازنة فيما يتساوى فيه الطرفان أو الاثنان، بحيث لا يستطيع أحدهما أن يدّعي المفاضلة أو الترجيح. وفي هذا العمل نستشهد بالأمثلة الملائمة مع ربط هذا الاستشهاد بالمراجع والمصادر الخارجية والداخلية. والله يوفقنا إلى الصواب.This paper aims to study the ideas employed by Adam Abdullah Al-Iloriy in carrying out the literary criticism themes in Arabic. Detailed biography of the author with his literary and scientific works was documented while light was shed into his works which are sub-divided into three; a) wreath self-balancing; b) literary works competition whereby the scientific and literary proofs were cited; and c) literary balancing between two or more literature. This study established appropriate examples to prove the works capability for international recognition as the art of literary balancing is concerned.
GUS DUR’S MULTICULTURAL DA’WAH AND ITS RELEVANCE TO MODERN SOCIETY
Authors: Ihsani A. Fikri Amiruddin , Febriyanti Novi , Syakuuroo S.K Abdan
Published: June 2021

This research aimed to describe and identify the concept of Gus Dur's multicultural da’wah, the efforts and relevance to modern society. It used qualitative research methods with a descriptive approach. The data were collected through observation and documentation. The findings suggested three main concepts of Gus Dur's multicultural da'wah: Gus Dur's central values, his Islamic ideas, and his struggle for the indigenization of Islam. The da'wah covered three domains: cognitive, affective and psychomotor. The domains were then framed into various activities, such as lectures/speeches, writings, forums, and social actions. Besides, it affirmed the need of wisdom that da'wah is relevant to the conditions of modern society. The relevance of da’wah can lead to the effective and efficient interaction process.Penelitian ini membahas mengenai dakwah multikultural Gus Dur dan relevansinya bagi masyarakat modern. Adapun tujuan dari penelitian ini adalah untuk mendeskripsikan, dan mengenali konsep dakwah multikultural Gus Dur, upaya-upaya dakwah multikultural Gus Dur dan relevansinya bagi masyarakat modern. Penelitian ini menggunakan metode penelitian kualitatif dengan pendekatan deskriptif. Teknik pengumpulan data yang digunakan adalah obeservasi dan dokumentasi. Hasilnya menunjukkan bahwa dakwah multikultural Gus Dur mengacu pada tiga konsep utama, yakni nilai-nilai utama, gagasan keislaman, dan perjuangan pribumisasi Islam Gus Dur. Upaya-upaya dakwah multikultural Gus Dur ini mencakup tiga ranah, yakni ranah kognitif, afektif, dan psikomotorik. Upaya-upaya melalui tiga ranah tersebut kemudian dibingkai dalam berbagai kegiatan seperti ceramah/pidato, menulis, forum diskusi, dan aksi-aksi sosial. Dengan demikian, dibutuhkan kearifan agar dakwah relevan dengan kondisi masyarakat modern, sehingga pelaku dan penerima dakwah tersebut bisa memberi makna yang sama. Dalam hal ini, apa yang diidentifikasi oleh masyarakat modern bisa memasuki proses interaksi yang efektif dan efisien.
FAMILY-BASED CORRUPTION PREVENTION THROUGH PESANTREN VALUES
Authors: Arifin Samsul , Baharun Mokhammad , Saputra Rahmat
Published: June 2021

Pesantren (Islamic boarding school) has a great potential for family-based corruption prevention. This study aims to determine the values of pesantren and portraits of sakinah family personalities in the texts of “Zadu Az-Zaujayn” and “Syair Madura” in relation to the prevention of corruption. It uses an ethnographic-hermeneutic qualitative approach. The research concludes that the value of pesantren associated with the prevention of corruption lies in the expression "Mondhuk entar ngabdi bhen ngaji (the intention of going to pesantren is to learn and to serve)" and “Mon ngecok jerum e pondok mon mole ka romana ngecok jheren (if you steal a needle in pesantren, you will steal a horse once you get back home)". Through the values, students are accustomed to serving people and being careful of taking others’ belongings. Meanwhile, the values of sakinah family within the text are wara’ (being cautious and able to self-control), zuhud (living a simple life and prioritizing others’ need), and patient (being tender and dare to face difficulties); qona'ah (accepting life as it is), ridha (accepting the provisions of God); and self-presentation. This research is vital to develop to achieve sakinah families free of corruption.Pondok pesantren memiliki potensi besar dalam mencegah korupsi berbasis keluarga. Penelitian ini bertujuan untuk memaparkan nilai-nilai pesantren dan potret kepribadian keluarga sakinah dalam teks kitab “Zadu Az-Zaujayn” dan “Syair Madura” terkait pencegahan korupsi. Metode penelitian menggunakan pendekatan kualitatif tipe etnografi-hermeneutik.  Hasil penelitian: nilai-nilai pesantren yang terkait dengan pencegahan korupsi yaitu  “Mondhuk entar ngabdi dan ngaji (mondok untuk mengabdi dan mengaji)”. Santri juga menghindari ngecok (mencuri):“Mon ngecok jerum e pondok mon mole ka romana ngecok jheren, (kalau mencuri sebuah jarum di pondok, pulangnya akan mencuri seekor kuda)”. Dengan kedua nilai tersebut, santri akan terbiasa melayani orang lain dan menjauhi mengambil hak milik orang lain. Sedang kepribadian pasangan suami-istri sakinah yaitu mampu mengendalikan diri: yaitu wara’ (hati-hati dan mampu mengendalikan diri), zuhud (hidup sederhana dan lebih mementingkan kepentingan orang lain), dan sabar (lapang dada dan berani menghadapi kesulitan-kesulitan); penerimaan hidup apa adanya: qona’ah (menerima kenyataan yang ada), ridha (ketenangan hati menerima ketentuan-ketentuan dari Allah); dan presentasi diri. Penelitian ini penting untuk dikembangkan, agar tercipta keluarga sakinah yang bebas dari korupsi.
SUNAN KALIJAGA’S DA'WAH STRATEGY IN SULUK LINGLUNG AND ITS IMPLICATION TO INDONESIAN RADICALISM MOVEMENT
Authors: Muslih Mohammad , Rohman Abdul , Ahmad Ahmad , Saifullah Ahmad
Published: June 2021

Sunan Kalijaga was known as a creative da’i in spreading da'wah. One of the media for his da’wah is a literary work entitled Suluk Linglung. In the Suluk Linglung manuscript, two da’wah strategies had been employed by Sunan Kalijaga, both of which were expected to be relevant if applied in Indonesia today, considering the many issues of radicalism. This research is a literature review. Data were collected by using documentation method through a research on Suluk Linglung. Therefore, to dissect the contents of the manuscript, the author uses qualitative research methods and Gadamer's hermeneutic approach. Finally, it suggested that Sunan Kalijaga used two da'wah strategies, Sufistic da'wah strategy and multicultural da’wah strategy. It is expected that the use of the strategies in the current da’wah can dismiss the radicalism movement. Therefore, it brings out the principle of da’wah that is gentle, friendly, and nurturing to people, or da'wah rahmatan li-l 'alamin.Sunan Kalijaga dikenal sebagai seorang da’i yang kreatif dalam menyebarkan dakwah. Salah satu media dakwah beliau adalah melalui karya sastra yang berjudul Suluk Linglung. Dalam manuskrip Suluk Linglung tercermin dua strategi dakwah yang pernah dilakukan oleh Sunan Kalijaga, yang keduanya itu diharapkan akan relevan jika diterapkan di Indonesia pada zaman sekarang meninjau banyak sekali isu radikalisme. Penelitian ini berjenis kajian kepustakaan. Metode pengumpulan data menggunakan metode dokumentasi melalui penelitian manuskrip Suluk Linglung. Oleh karenanya, agar dapat membedah isi manuskrip Suluk Linglung, penulis menggunakan metode penelitian kualitatif dan menggunakan pendekatan hermeneutika Gadamer.  Adapun untuk teknik analisa data menggunakan teknik analisis isi. Akhirnya, setelah melakukan penelitian lebih lanjut peneliti mendapatkan hasil bahwasanya dalam manuskrip Suluk Linglung, Sunan Kalijaga menggunakan dua strategi dakwah yang meliputi strategi dakwah sufistik dan strategi dakwah multikultural. Jika dua strategi dakwah tersebut diterapkan pada zaman sekarang, maka diharapkan akan berimplikasi terhadap gerakan radikalisme yakni menepis gerakan radikalisme. Sehingga, akan memunculkan prinsip dakwah yang lembut, ramah, dan mengayomi kepada mad’u atau dapat disebut sebagai dakwah rahmatan li-l ‘alamin.
The effect of budgetary goal clarity and budget evaluation on performance accountability of local government
Authors: Alawia Mutia Tsalitsa , Rahman Aulia Fuad , Prastiwi Arum
Published: June 2021

This research aims to empirically assess the influence of the budgetary goal clarity and budget evaluation on agency performance accountability. This study was conducted on Local Goverment Organization (OPD) of Blitar Regency. The unit of analysis is 113 employees whose work are related to composing of agency performance accountability. The data was analyzed using SEM-PLS in Smart PLS 3. The results showed that budgetary goal clarity and budget evaluation has positive influence on agency performance accountability. The implementation of budgetary goal clarity and budget evaluation will help agencies in making decisions in relation to achieving accountability for agency performance.
Ductility of simply supported rubberized concrete beams
Authors: Kamal Ahmed Youssef
Published: June 2021

Dispose of waste rubberized tires become a dangerous problem around the world, represented a big serious risk to the sur-rounded environment. Many studies show that over 1000 million tires reach their expired date yearly and this figure is anticipated to be 5000 million tires by reaching 2030. A minor part of them is employed as recycled materials and the residual amount is stockpiled or buried. This paper aimed to successfully utilize the vast amounts of tire rubber waste existing currently in landfills. This paper represents a practical investigation of the ductility performance of the reinforced rubberized concrete beams. Thirteen reinforced concrete beams simply supported, with waste rubber tires mixtures vary from 0 to 8 percentage as aggregates replacements, were tested by mid-span load. Therefore, to examine the ductility performance of reinforced rubberized concrete beams, three sets of samples were made. In the first group, coarse aggregates in the concrete mix were replaced by different percentages of the waste rubber partials, while for the second group, crumb rubber was replaced for the fine aggregates, and for the third one, a mix of waste and crumbed rubber were replaced for both types of aggregates. Experimental results of rubberized specimens were also compared with that of the reference beam (without rubber replacement), the comparison results declare that concrete contains rubber particles is less ductile than conventional concrete.
THE IMPACT OF RELIGIOSITY AND KNOWLEDGE ON THE INTENTION OF YOUNG MUSLIM GENERATION TOWARD HALAL TOURISM IN INDONESIA
Authors: Sudarsono Heri , Shidiqie Jannahar Saddam Ash , Tumewang Yunice Karina
Published: June 2021

Purpose – One purpose of this study is to investigate the determinants of young Muslim tourist generation's interest to recommend and visit halal tourist attraction. Design – The interest of young Muslim tourist generation to recommend and visit Halal attractions is influenced by knowledge (KNO), religiosity (REG), perceived behavioral control (PBC), subjective norms (SN) and attitudes (ATT). Methodology – The respondents are the young Muslim generation living in 27 provinces in Indonesia and were selected using the purposive sampling method. The use of purposive sampling method is to support this research where information is obtained from specific target groups. Approach – It was found that in the intention of local Muslim tourists to select and recommend halal tourist destinations, several factors influence their intention such as knowledge, religiosity, perceived behavioral control, subjective norms and attitudes. Moreover, knowledge and religiosity influence tourists' attitude to visit halal tourist destinations. Originality of the research – This study contributes to behavioral theory and extends the application of the theory of Planned Behavior (TPB) in the context of halal tourist studies.