bluuebunny/crossref_metadata_2025 huggingface dataset:
Espécies de uso múltiplo utilizadas pela população em uma área do Cerrado mineiro: diversidade e valoração de conhecimento
Authors: Costa Thaí­s Ribeiro , Da Silva Ludmila Aglai , Ferreira Mateus de Souza , Dias Gonzaga Anne Priscila
Published: March 2021

Os novos sistemas de uso e ocupação do solo nas últimas décadas tem levado   perda de riqueza biológica no Cerrado, e modificado a cultura popular das pessoas que vivem nesse bioma. Nesse contexto, sob o enfoque da etnobotânica, o objetivo deste estudo foi avaliar o conhecimento local sobre plantas de uso múltiplo utilizadas pela população de Diamantina, MG. A avaliação foi feita por meio de entrevistas semiestruturadas, com posterior identificação das plantas indicadas pelos informantes. Foram entrevistadas 415 pessoas, sendo a maioria do sexo feminino e com idade superior a 40 anos. Foram listadas 163 espécies distribuí­das em 56 famí­lias botânicas. Do total de espécies identificadas, 59% são nativas do Cerrado e 41% são consideradas exóticas. As espécies mais citadas foram Hymenaea stygnocarpa, Fridericia platyphylla, Mentha sp., Plectranthus barbatus e Harconia speciosa. A indicação predominante foi para uso medicinal, principalmente para tratamento de afecções do aparelho respiratório. As partes mais utilizadas são as folhas e a forma de preparo mais comum das plantas são os chás. O resgate desse conhecimento popular pode propiciar elementos fundamentais para alternativas de geração de renda e para manutenção da diversidade do Cerrado.
Acoustic space partition by four Hylidae in an open habitat in Central Brazil
Authors: Braga de Lira Andréa , Duarte Alquezar Renata , Pereira Giozza Aí­da , Dos Santos Campos Emayre Rebecca , Torres Cardoso Antonio Gabriel , Albuquerque Brandão Reuber
Published: March 2021

The use and partition of the acoustic space by anuran species is of special interest for evaluating inter-specific interactions in acoustic traits. Here we evaluate the acoustic space partitioning by four species of hylidae over the course of eleven months, at the Ecological Station of Águas Emendadas - DF, central Brazil. The acoustic niche overlap among species was smaller than expected by chance, indicating a competition in the use of this resource. If competition affects the use of acoustic resouces by species, low overlap on advertisement call traits are relevant in open habitats anuran assemblies.
Taxonomic and nomenclatural notes on Zygopetalinae infraspecies (Orchidaceae)
Authors: Meneguzzo Thiago Erir Cadete
Published: March 2021

This article presents nomenclatural notes on species and infraspecies of the subtribe Zygopetalinae (Orchidaceae), specifically the genera Batemannia Lindl., Paradisanthus Rchb.f., Pescatoria Rchb.f, Promenaea Lindl., Zygopetalum Hook. and Zygosepalum Rchb.f., for which are proposed 14 new combinations, 44 new synonyms, and 62 typifications.
The image of medieval Ukraine's culture on the pages of "Chteniya v istoricheskom obshchestve Nestora Letopistsa"
Authors:   Taras Shevchenko National University of Kyiv, Kyiv, Ukraine, Adamska I. H.
Published: March 2021

The Historical Society of Nestor the Chronicler was one of the organizations in the second half of 19th – the first half of 20th century which researched the culture of Ukraine. Members of the society published their studies in various periodicals. Beginning from the year 1888 their annual journal "Chteniya v Istoricheskom obshchestve Nestora Letopistsa" appeared regularly. The purpose of this article are to identify topics from the cultural history of the 10th -16th century which were of interest for the members of the society, as well as studies published by them on the journal pages. The other purpose is to systematize interpretations of problems of cultural history raised by the members, and to define the role which was given to the medieval culture in the development of this region by the above-mentioned researchers. It was found, as a result of the study, that beginning from the second half of the 19th century the scholars increasingly turned to the topics predeceasing the Cossack period for emphasising the cultural originality of lands of Southern Ruthenia (Rus'). Researchers turned to the study of monuments of literature to discover local traditions and possible foreign influences. The identified borrowings were often interpreted that they had reflected the existing diversity of the language and culture. Yet there were also some attempts to prove a close connection with the culture of Northern Ruthenia (so called: "Great Russian" culture) on the basis of the established facts. On occasion of the 900th anniversary of the baptism of Ruthenia the researcher intensified their studies on the history of religions. The most attention was paid to the adoption of the Eastern Christianity by Eastern Slavs and the development of Orthodoxy in the area they inhabited. However, researchers were also interested in the history of the Roman Catholic Church, Judaism, Protestantism and their influence on the culture of the region. The members of the society discovered andanalysed landmarks from the Middle Ages and from the beginning of Early Modern times. Artworks from this period survived worst of all. The researchers studied sacral buildings, the interior decoration of temples, icons, as well as what were left from the secular architecture, including castles and fortifications. They also tried to identify distinctive elements of artistic development and possible foreign influences. In addition, cultural relations of Ruthenia with other countries were studied. The special attention was paid to the marriage unions, to the connection between economic and cultural interactions and to the religious factor of the relations between various states. The image of the culture of Middle Edges as an important period of Ukraine's cultural history was being created by publishing research results on the pages of the journal.
Values and identities of the regional elite
Authors:   I. F. Kuras Institute of Political and Ethnic Studies of the National Academy of Sciences of Ukraine, Bevz T. A.
Published: March 2021

The article focuses on values as the basis of conscious choice. Values determine the future, determine the unity, cohesion of society and self- identification. Values are produced, distributed by elites and perceived by different social groups. The regional political elite is a certain group with a kind of corporate self-consciousness, its own independent system of values, which are fixed with help of certain external attributes, a system of selecting new members. The regional political elite was the creator of values and meanings in the politics of the region and played a significant role in shaping values, ideological preferences, views and attitudes to any political events, phenomena and processes. The policy of regional identity is conditioned by the culture of regional elites, their ideas about the past and future of the region and the country. After all, historical memory is an important element of national identity. The basic factor for the regional political elite of Sumy region in the processes of actualization of regional identities was the symbolic representation of the past, first of all, the history of the region. Most representatives of the Sumy regional political elite declared the values of paternalism, cooperation and democracy as a priority. The manifestation of political identity was a set of values, principles and motivations that representatives of the regional political elite recognize as basic for their political group. The regional political elite of Sumy region was the bearer of ideas and values, which were characterized by regional identity, regional interests and values, common history. Identity markers for the regional political elite of Sumy region were Ukraine as a homeland; Sumy region as a region it manages, business center, place of residence; public holidays as mechanisms of symbolic representation; historical memory, history of the region and history of the Cossacks.
Psychovegetative status and neurological symptoms in patients with idiopathic eczema
Authors: Dubensky V. V. , Gutyansky O. G. , Dubensky Vl. V. , Gutyanskaya E. Yu. , Nekrasova Elizaveta G.
Published: March 2021

INTRODUCTION: The study included 68 patients with idiopathic hand eczema.
RESULTS: Neurological symptoms were detected in 75% of patients; the most frequently recorded symptoms were myodefans (66.1%) and radicular sensory impairment (52.9%). Disorders of the psychoemotional state of patients were manifested by signs of depression in 38.1% of patients and personal and reactive anxiety in 63.8% and 72% of patients, respectively. The prevalence of indicators of depression and reactive anxiety and personal anxiety were found in men and women, respectively. The manifestation of the psychovegetative syndrome was found in 75% of patients. Degenerative-dystrophic changes in the spine were observed in 91.1% of patients, and two or more conditions were observed in 52.9% of the examined patients. The most pronounced changes were observed in C5C7 segments of the spine, and in 57.3% of the patients, these changes were associated with the side of the inflammatory process on the skin.
CONCLUSION: The obtained data substantiate the correction of the psychovegetative syndrome and treatment of dorsopathy in hand eczema.
Current management options for rosacea: clear skin is our reality
Authors: Olisova Olga Yu. , Anpilogova E. M.
Published: March 2021

BACKGROUND: Treatment of rosacea makes enough difficulties. Review of current etiology, pathogenesis and social burden of rosacea are presented, as well as results of international studies on efficacy of brimonidine gel (Mirvaso Derm) and ivermectin creme (Soolantra) usage in erytemato-teleangiectatic and papulopustular rosacea.
AIMS: To evaluate efficacy and safety of topical ivermectin and brimonidine for the treatment of rosacea.
MATERIALS AND METODS: Results of our own experience of using these drugs in 87 rosacea patients are presented. Depending on the subtype and severity of the disease, patients with erythematotelangiectatic subtype rosacea were treated with Mirvaso Derm gel (59%), Soolantra cream, and tacrolimus ointment (41%); doxycycline 0.10.2 g twice a day and Soolantra cream (29%); and minocycline 0.050.1 g a day and Soolantra cream (37%).
Moreover, patients with papulopustular subtype rosacea were treated with the following combined therapy: doxycycline/minocycline + Mirvaso Derm gel + Soolantra cream (34%). Regardless of the severity of the process, all patients received Cetaphil Pro for redness prone skin (Cetaphil Redness Control line until 2018) as daily skin care products. The mean duration time of therapy for antibiotics was 1.52 month and topical therapy had a relatively longer duration time of therapy: from 8 to 24 months for Mirvaso Derm and 3 to 10 months for Soolantra.
RESULTS: After the therapy 43 and 55% of patients with papulopustular rosacea achieved Investigator Global Assessment (IGA) scores of 0 (clear) and 1 (almost clear), respectively; and 41% and 50% of patients with erythemato-telangiectatic rosacea achieved IGA scores 0 and 1, respectively. During the 1-year follow-up clear and almost clear skin (IGA = 01) remained in 87% of patients with papulopustular subtype rosacea and 79% of patients with erythemato-telangiectatic subtype rosacea.
CONCLUSION: Thus, based on the results, Mirvaso Derm gel and Soolantra creme have demonstrated to be very effective and safe options for rosacea treatment.
Clinical case of lupus erythematosus panniculitis
Authors: Teplyuk N. P. , Grabovskaya O. V. , Razhev Polina A.
Published: March 2021

BACKGROUND: This clinical case is interesting because of extreme rarity of lupus panniculitis in the population, as well as the possible risk of developing systemic lupus erythematosus.
CASE REPORT: The article presents a clinical observation of a rare skin disorder lupus erythematosus panniculitis and the results of a successful combined treatment of the disease with systemic glucocorticoids (prednisolone), and an antimalarial agent (hydroxychloroquine). A review of the literature on the etiology, pathogenesis, and diagnosis of lupus panniculitis has been conducted.
CONCLUSION. Early detection of lupus erythematosus panniculitis (LEP) makes systemic steroid therapy and quinoline drugs more effective in achieving remission. That is why dynamic monitoring of patients with LEP is important to identify new or progressive symptoms.
Approach to decongestion therapy in patients with acute decompensated heart failure: the echocardiography guided strategy
Authors: Karakus Alper , Uguz Berat
Published: March 2021

Goal The E / (Ea×Sa) index is an echocardiographic parameter to determine a patient’s left ventricular filling pressure. This study aims to determine the safety and efficacy of the echocardiographic E / (Ea×Sa) index guided diuretic therapy compared to urine output (conventional) guided diuretic treatment.Material and Methods In this cross-sectional study, patients with heart failure with reduced ejection fraction (HFrEF) who were hospitalized due to acute decompensation episode were consecutively allocated in a 1:1 ratio to monitoring arms. The diuretic dose, which provided 20 % reduction in the E / (Ea×Sa) index value compared to initial value, was determined as adequate dose in echocardiography guided monitoring group. The estimated glomerular filtration rate (eGFR), change in weight, NT pro-BNP level and dyspnea assessment on visual analogue scale (VAS) were analyzed at the end of the monitoring.Results Although the similar doses of diuretics were used in both groups, the patients with E / (Ea×Sa) index guided strategy had the substantial lower NT pro-BNP level within 72 hours after diuretic administration (2172 vs.2514 pg / mL, p= 0.036). VAS score on dyspnea assessment was significantly better in the patients with E / (Ea×Sa) index guided strategy (52 vs. 65; p= 0.04). And, in term of body weight loss (4.93 vs.5.21 kg, p=0.87) and e-GFR (54.58±8.6 vs. 52.65±9.1 mL / min / 1.73 m2p=0.74) in both groups are associated with similar outcomes. In both groups, there was no worsening renal function and electrolyte imbalance that required stopping or decreasing loop diuretic dosing.Conclusions The E / (Ea×Sa) index guidance might be a safe strategy for more effective diuretic response that deserves consideration for selected a subgroup of acute decomposed HFrEF patients.
Contratos inteligentes: análisis jurídico desde el marco legal español
Authors: Fetsyak Ihor
Published: March 2021

El aumento del interés alrededor del mercado de las criptomonedas y de la tecnología de cadena de bloques ha supuesto la irrupción de los contratos inteligentes. El presente trabajo tiene como objetivo el análisis jurídico de este tipo de contratos desde el marco jurídico español al fin de observar las cuestiones que plantea su existencia, las oportunidades que otorga y los problemas que pueden derivar de su existencia.
Una lección sobre la justicia como equidad de John Rawls
Authors: Martínez de Pisón Cavero José María
Published: March 2021

John Rawls es uno de los más notables y controvertidos pensadores de la segunda mitad del siglo XX. Su libro A Theory of Justice (1971) ha revitalizado la reflexión moral y política al tratar y analizar conceptos y cuestiones tan relevantes como la noción de justicia, de igualdad, de libertad, un modelo de sociedad democrática pluralista y tolerante, la desobediencia civil y la objeción de conciencia, etc. La influencia de Rawls como representante del “igualitarismo liberal” en el actual panorama del pensamiento político es, pues, considerable, sobre todo a partir de su proyecto de releer todas estas cuestiones guiado por clásicos tan renombrados como J. Locke, J. J. Rousseau e I. Kant. No debe extrañar por ello que haya sido objeto de numerosos comentarios.
Comparison of ventilation with and without positive end expiratory pressure during anesthesia for laparoscopic surgeries
Authors: Dongare Dhanashree , aundattikar Girish S , Gupta Payal
Published: March 2021

Respiratory dynamics are significantly altered during laparoscopic surgeries. Anesthesiologists should be well versed with the benefits as well as limitations of positive end expiratory pressure (PEEP) during laparoscopy. They can then judiciously use the same in different patient populations. In this study we have compared the effects of ventilation with and without PEEP of 10 cm on blood gases, airway pressures and hemodynamic parameters during laparoscopy.

60 patients, from American Society of Anesthesiologists (ASA) physical status I and II, in the age group of 18 to 60, posted for laparoscopic cholecystectomy were enrolled. They were randomized into two groups of 30 each. Group P received PEEP of 10 cm during laparoscopy and group C did not receive any PEEP. The vital parameters, arterial blood gases, and airway pressures were compared in both groups.

The oxygenation, (PaO2/FiO2 ratio) was significantly higher in PEEP group (446. 4 ± 113.32 mm of Hg) as compared to the control group (404 ± 51.4 mm of Hg) after one hour of laparoscopy (P= 0.0037). The control group had higher arterial carbon dioxide tension (42.84 ± 2.38 mm of Hg) as compared to PEEP group (41.86 ± 2.33 mm of Hg), (P < 0.001). Both the findings suggest better ventilation perfusion matching in PEEP group. There was a no significant variation in mean arterial pressure and heart rate due to PEEP in our patient population. However the peak airway pressures were significantly higher in PEEP group.

10 cm of PEEP helped in better oxygenation with no significant hemodynamic alterations, in otherwise healthy patients undergoing laparoscopic cholecystectomy.
Delayed esophageal perforation after cervical spine surgery: A lesser known devil
Authors: Wadhwa Rachna , Ganjoo Pragati , Ahluwalia Pallavi , Singh Daljit
Published: March 2021

Theanteriorapproach to the cervical spine is commonly utilized for a variety of degenerative, neoplastic, traumatic, and infectious indications. The distinctive anatomy of the anterior neck presents a unique set of hazards. We encountered a case of delayed esophageal perforation after cervical spine surgery, who presented to us forty-two days post-surgery. Although, timely detection and management of esophageal perforation has a good prognosis, associated vascular complications added on to airway management challenges. We outline the issues with diagnosis and key aspects of airway management in this patient.
Outcome assesment of acute ischemic stroke by NIHSS score
Authors: Ambresh Ayyali , Sanjeeth
Published: March 2021

In view of the long-term disabilities caused by stroke the need for an accurate early prediction of future functional abilities is paramount for setting therapeutic goals, starting early rehabilitation planning, implementing home adjustments and community support tailored to patients needs, and informing patients about their prospects and prognosis.in this study we have assessed significance of the national institute of health stroke scale (NIHSS) score on the day of admission in predicting the severity and outcome on 30 day ,in acute stroke patients. 

It is a observational prospective study, study conducted on 93 patients of stroke who were admitted in Shri B M Patil Medical College hospital who were diagnosed and admitted with acute stroke on the basis of the History, Clinical examination and proved on CT/MRI scan. Patients were selected on the basis of the inclusion and exclusion criteria. NIHSS score is noted on the day of admission and then after 30days of stroke and the patient is independent at home or requires assistance is also noted and statistically analyzed. This study was conducted between December 2017 to July 2019.

In this study, after 1 month of stroke among 3 patients who had baseline NIHSS score 1-4, all 3(100%) are independent at home, among 73 patients who had baseline NIHSS score 5-15, 47(64.4%) are independent and 26(35.6%) required assistance, among 7 patients who had score 16-20, 1(14.3%) patient was independent at home, 6(85.7%) required assistance, and among 10 patients who had score more than 20, 7(70%) died, 3(30%) required assistance and none of them are home independent. With the p value <0.001 which is statistically significant.

Baseline NIHSS score helps in predicting the outcome of the patient. Lesser the baseline score better will be the outcome.
When doom is vincible but imperceptible
Authors: Chakraborty Debabrata , Pal Sandip
Published: March 2021

An eighty-year-old gentleman without any comorbidity or significant medical illness had presented with headache of recent onset. A detail clinical evaluation and imaging (MRI of brain) ruled out secondary cause of headache. A month later, he presented to emergency with altered sensorium and quadriparesis. Repeat brain imaging revealed bilateral subdural hemorrhage requiring emergent surgery. He was back to normalcy within few days postoperatively. A confession was obtained about his daily habit of induced vomiting after drinking large amount of water (kunjala kriya).

The repeated habit of induced vomiting might have been responsible for the slowly evolving subdural hemorrhage. Interestingly, though he had significant clinical symptoms at the initial presentation, he had normal initial MRI of brain (the more sensitive imaging modality). Our case highlights the interesting neurophysiology of subdural hemorrhage and the importance of close monitoring of elderly patients of recent onset headache.
Benchmarking evaluation of five PHMB-based multi-purpose solutions and a silicone hydrogel contact lens
Authors:   Brien Holden Vision Institute, Guangzhou 510000, Guangdong Province, China, Ma Martin Ming-Leung , Tilia Daniel ,   Brien Holden Vision Institute, Sydney 2052, Australia, Thomas Varghese ,   Brien Holden Vision Institute, Sydney 2052, Australia
Published: March 2021

AIM: To evaluate and compare the clinical performance of 5 kinds of polyhexamethylene biguanide (PHMB) based multi-purpose solutions (MPS) manufactured in China when used with a commercially available silicone hydrogel contact lens in terms of solution-induced corneal staining (SICS), ocular response (corneal staining and ocular hyperemia), corneal infiltrative event (CIEs) and ocular comfort.
METHODS: This was a prospective, open label, randomized, parallel group clinical trial. Totally 162 participants (Pxs) who were at least 18y were enrolled and randomized into 5 groups of PHMB-based MPS made in China: Complete® MPS, Hydron® Aqua-shining moist, Baoshining™, Weicon® Fresh, Weicon® 2000 MPS (abbreviated as C, H, B, W, and W2). All participants wore balafilcon A contact lenses with monthly disposal (Bausch & Lomb Purevision®) in conjunction with the designated MPS on a daily wear for 3mo. Clinical visits were at baseline, 2wk, 1mo and 3mo. SICS and CIE were reported as first event incidence per 100 Px-months. Ocular response was graded on 0-4 scale in 0.5 steps (0=none, 4=severe) and ocular comfort was assessed via a numeric rating scale (1-10 in 1-point steps, 1=poor, 10=excellent). Ocular comfort and ocular response variables were analysed using linear mixed model. CIE and SICS were analysed using Fisher’s exact test and logistic regression.
RESULTS: There were 36 (22%) Pxs who dropped out. SICS incidence for each MPS were: H (26.3%), B (20.8%), W (19.4%), W2 (13.4%), C (12.8%). The SICS rate of H was significantly different to W2 (P=0.012) and C (P=0.005). There were no significant differences in ocular response, CIE incidence and ocular comfort between different MPSs (P>0.05). Pxs with SICS had significantly lower comfort during the day and at the end of than those who did not have SICS.
CONCLUSION: Differences in SICS incidence are found between MPSs but not for CIE incidence, ocular response or ocular comfort. SICS in PHMB-based MPS is found to be associated with ocular discomfort. More MPS/lens combinations should be studied in the future.
A review of optic perineuritis
Authors:   Department of Ophthalmology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan 16150, Malaysia; Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan 16150, Malaysia, Min Evelyn Tai Li , Thavaratnam Lakana Kumar ,   Department of Ophthalmology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan 16150, Malaysia; Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan 16150, Malaysia, Noor Raja Azmi Mohd ,   Department of Ophthalmology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan 16150, Malaysia; Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan 16150, Malaysia, Salmah Win Mar ,   Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan 16150, Malaysia; Department of Radiology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan 16150, Malaysia, Hitam Wan Hazabbah Wan ,   Department of Ophthalmology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan 16150, Malaysia; Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan 16150, Malaysia
Published: March 2021

Optic perineuritis (OPN) refers to a spectrum of conditions involving pathologic inflammation of the optic nerve sheath. The classic triad of OPN consists of unilateral optic neuropathy associated with pain and/or disc oedema, but the condition often mimics other optic neuropathies, resulting in delayed diagnosis and suboptimal treatment. We performed a database search of Medline and Ovid in January 2016 for articles published in any language with the keywords ‘optic perineuritis’. Sixty articles were found, published from 1956 to 2015. Two reviewers (Tai ELM and Tevaraj JMP) performed an independent screening of abstracts. Articles of interest were subsequently examined. In this review, we highlight the salient features of OPN, with particular emphasis on the clinical differences between OPN and optic neuritis. Although the majority of cases of OPN are idiopathic, investigations are required to rule out specific infectious and inflammatory causes of secondary OPN. MRI is an invaluable component of the workup, as radiographic demonstration of peri-neural inflammation is diagnostic of OPN. Corticosteroid therapy results in dramatic and rapid reversal of the signs and symptoms, but prolonged therapy with slow tapering of oral corticosteroids may be necessary to reduce the risk of relapses.
Stenotrophomonas maltophilia
Authors: Sannathimmappa Mohan B. , Nambiar Vinod , Aravindakshan Rajeev , Al-Kasaby Nashwa M.
Published: March 2021

Objectives: Stenotrophomonas maltophilia, a Gram-negative non-fermentative bacillus, has emerged as an important nosocomial pathogen in recent years. It is intrinsically resistant to many antibiotics and has the ability to acquire antibiotic resistance by multiple mechanisms. Treating Stenotrophomonas infections, therefore, is a serious challenge for physicians. This study aimed to investigate the antibiotic susceptibility patterns and risk factors contributing to S. maltophilia infections. Methods: A retrospective cross-sectional study was conducted at Sohar Hospital in Sohar, Oman. The demographic, clinical and microbiological data of individuals from whom S. maltophilia was isolated between September 2016 and August 2019 were reviewed. Descriptive statistics were presented as frequencies and percentages. Results: A total of 41 S. maltophilia isolates from clinical specimens of 41 patients were studied. Infection occurred predominantly in males (73%) and the majority of patients (88%) were either ≤5 years old or >60 years old. All inpatients had at least one comorbidity while 50% had more than one. All inpatients were exposed to various medical interventions such as intensive care (44%), mechanical ventilation (41%), haemodialysis (25%), Foley’s catheterisation (13%) and central venous lines (6%). Most patients (81%) were in hospital longer than two weeks. The susceptibility rates of S. maltophilia to minocycline (97%), trimethoprimsulfamethoxazole (93%) and levofloxacin (92%) were high; the rate was lowest for ceftazidime (50%). Conclusion: S. maltophilia was found to be an important nosocomial opportunistic pathogen. Prolonged hospital stay and exposure to various medical interventions were key factors contributing to the development of infection. Minocycline and ceftazidime were found to be the most and least susceptible drugs, respectively.
 
KEYWORDS
Nosocomial Infection; Opportunistic Infections; Fluoroquinolones; Hemodialysis; Ventilation; Oman.
Orbital Vascular Malformation
Authors: Al-Obaidani Athari A. , Raniga Sameer , Al Hadidi Ayman , Sabt Buthaina , Al-Mujaini Abdullah
Published: March 2021

NONE
Biofertilizante como bioestimulante na germinação de feijão de porco
Authors: Monteiro Shirley Santos , Monteiro Shênia Santos , Santos Dualyson da Silva , Lima Juliana Ferreira de , Costa Jefferson Santos Alves da
Published: March 2021

O biofertilizante surge como uma alternativa para substituição do uso de estimulante sintético por agricultores familiares em sementes de feijão de porco. Esses são utilizados em cultivares agrícolas proporcionando maior vigor das plântulas. Neste contexto, objetivou-se avaliar as concentrações de biofertilizantes como bioestimulante na germinação de feijão de porco O delineamento experimental adotado foi o inteiramente casualizado, em esquema fatorial 2 x 5, referente a dois tipos de biofertilizantes (a base de esterco bovino e a base de resíduo de frutas) e cinco concentrações de biofertilizantes (0; 25%; 50%; 75% e 100%) em imersão por 10 minutos. Avaliou-se o índice de velocidade de germinação, germinação total, comprimento de raiz primária e hipocótilo, largura e comprimento de cotilédones e matéria fresca e seca da raiz, hipocótilo e cotilédones. O uso do biofertilizante a base de resíduo de frutas estimulou o índice de velocidade de germinação, germinação, raiz primária, matéria fresca da raiz e matéria seca da raiz e hipocótilo de sementes de C. ensiformis, no entanto as concentrações não afetam as variáveis. A aplicação do biofertilizante a base de esterco bovino proporcionou incremento significativo no tamanho de hipocótilo, largura e comprimento de cotilédone e matéria fresca e seca de cotilédones, bem como as concentrações de 50 e 75% de biofertilizante bovino aplicado as sementes de C. ensiformis promoveu o acumulo da matéria fresca de cotilédones.
Germinação de sementes de Ceiba speciosa coletadas em Brejo de Altitude
Authors: Silva João Henrique Constantino Sales , Azeredo Gilvaneide Alves de , Targino Vitor Araujo , Costa Paulo Marks de Araújo
Published: March 2021

Ceiba speciosa (A. St.-Hil.) Ravenna (Malvaceae) é uma espécie arbórea nativa em florestas brasileiras, indicada na recomposição de áreas degradadas e na indústria de estofados. Com este trabalho, objetivou-se verificar substratos e temperaturas favoráveis à germinação de sementes de paineira coletadas em um remanescente florestal de Brejo de Altitude na Paraíba. O delineamento experimental utilizado foi o inteiramente casualizado, num arranjo fatorial 2 × 4, constituídos pelas combinações de duas temperaturas (25 e 30 °C) e quatro substratos (areia, vermiculita, terra e papel mata-borrão), com quatro repetições de 25 sementes cada. Foram analisadas as seguintes características: teor de água (%) das sementes, porcentagem de emergência, tempo médio de emergência, porcentagem de plântulas normais e índice de velocidade de emergência (IVE). Houve efeito significativo para a interação temperatura × substrato para todas as variáveis, exceto IVE. Os substratos vermiculita e areia sob a temperatura constante de 25 °C são recomendados para a condução de testes de germinação de sementes de Ceiba speciosa. A temperatura de 30 °C pode ser indicada quando associada ao substrato vermiculita. O substrato sobre papel mata-borrão não é indicado para a germinação de sementes dessa espécie. Sugere-se um estudo com sementes de diferentes populações dessa espécie para confirmar a influência da procedência da semente no seu desempenho germinativo quando submetidas a fatores ambientais associados, como temperaturas e substratos.
Forma e diâmetro de agregados do solo como fontes de variação na resistência tênsil
Authors: Oliveira Lucas de Sousa , Queiroz Alexandre dos Santos , Lopes Angélica da Silva , Silva Francisca Gleiciane da , Mota Jaedson Cláudio Anunciato
Published: March 2021

A qualidade do solo é fundamental para garantir a sustentabilidade dos agroecossistemas. A resistência tênsil é um dos indicadores frequentemente utilizados para o monitoramento da qualidade do solo, sendo influenciada por diversos fatores, tais como o tamanho e a forma do agregado. Nesta pesquisa, foi considerada a hipótese de que o uso de uma única forma de agregados do solo reduz a variabilidade na avaliação da qualidade estrutural dos solos. Além disso, o tamanho dos agregados influencia na determinação da resistência tênsil. Desse modo, objetivou-se avaliar a relação da resistência tênsil com o tamanho e as formas que os agregados podem assumir. Foram utilizados duas faixas de diâmetro de agregados (25-19 e 19-7,96 mm) e três formas de agregados (irregular, bases aplainadas e esférica). Os agregados com diâmetros menores (13,5 mm) apresentaram os maiores valores médios de resistência tênsil (82,73 kPa). A resistência à tração determinada nos agregados esféricos apresentou menor variabilidade. Para esses agregados, o coeficiente de variação da resistência à tração foi de 29,30 e 19,29%, para os diâmetros médios de 22 e 13,5 mm, respectivamente. Em virtude disso, a forma deve ser considerada ao avaliar a resistência à tração do agregado do solo.
A Study on Prevalence of Ocular Injuries among Workmen of Welding, Grinding and Polishing, Attending the Out Patient Department and Emergency Department of a Tertiary Care Centre
Authors: Panda Lipika , Mahapatra Prafulla Chandra , Sahoo Kamala Kanta
Published: March 2021

BACKGROUND We wanted to estimate the incidence and prevalence of ocular injuries among occupational workers in welding and grinding industry treated in a tertiary care hospital, determine the major types of ocular morbidities in welding and grinding workers and identify the vulnerable age groups suffering from ocular injuries due to welding and grinding. METHODS This hospital based cross-sectional study was carried out among 712 patients having ocular injuries only for occupational workers doing welding, grinding or polishing work. The study period was from 01 / 01 / 2018 to 30 / 06 / 2018. The study was conducted in the Department of Ophthalmology, Hi-Tech Medical College and Hospital. All patients were assessed for demographic distribution, detailed ocular evaluation and a questionnaire related to awareness about the injuries and safety measures taken during the work. RESULTS During the period of study, 712 patients who had ocular injuries due to welding and grinding work were included in the study. The mean age was 33.87 years with a standard deviation (SD) of 9.86. There were no female workers who reported such injuries. Most injuries were corneal foreign body (63.90 %), conjunctival foreign body (2.81 %), conjunctivitis due to fumes (11.94 %), laceration (8.71 %) and keratoconjunctivitis (12.64 %). CONCLUSIONS To complement standard epidemiological research, the narrative accident text offers useful evidence. Staff conducting a welding job or working with local welders should be qualified to recognise possible dangers and appropriate protective equipment should be used to prevent eye injury. KEYWORDS Ocular Injuries, Welding & Grinding Work, Risk Factor for Eye Injuries
The Effect of Implementation Intention on Improving Physical Activity Level and Cardiovascular Fitness in Patients with Type 2 Diabetes: A Randomized Control Study
Authors: Abdolkarimi Mahdi , Morowatisharifabad Mohammadali , Asadpour Mohammad
Published: March 2021

Objective: Regular physical activity (PA) is one of the most effective recommendations to prevent diabetic complications. However, the reported level of PA is low in this group. This study evaluates intervention based on the implementation intention (II) theory, to improve the level of PA and the health of patients with diabetes.
Materials and Methods: This randomized control study was conducted on 124 patients with type 2 diabetic. The participants were randomly assigned in to two groups. PA level was measured by using International Physical Activity Questionnaire (IPAQ). The Rockport test was used in order to measure Maximal oxygen consumption volume (vo2max). In the intervention group, Individuals were asked to identify details of the behavior of PA and their own strategies for removing the barriers of exercise. Post-tests took place 3 month later. Normal distributed data were analyzed using two independent and paired sample T-test. Wilcoxon, Mann-Whitney tests were used to compare PA level.
Results: The results showed that although the median level of PA after the intervention (396) had increased. This difference was not statistically significant (P-value= 0.12). Also, after three months vo2max score (19.91) was not significantly different from before (P-value= 0.30).
Conclusion: Intervention based on II had no significant effect on level of PA in patients with type 2 diabetes. Using multiple methods, as well as incorporating it with motivating interventions should be investigated to increase the level of PA in this group
Retinal Microvascular Response to Short-Term Exposure to Particulate Matters As an Indicator of Cardiovascular Effects in Work Environments
Authors: Aminaei Fatemeh , Zare Sakhvidi Mohammad Javad , Mihanpour Hamideh , Moghaddasi Mojtaba , Shafieizadeh Bafghi Mahdiyeh
Published: March 2021

Introduction: According to the literature, Central Retinal Arteriolar Equivalent (CRAE), Central Retinal Venular Equivalent (CRVE), and Artemio Venule Ratio (AVR) are three important markers in determining the changes of retinal artery. These markers are employed as an indicator of cardiovascular effects in workers. This study aimed to evaluate the changes in retinal micro vascular responses in workers exposed to short-term exposure to particulate matters caused by occupational processes using CRAE, CRVE, and AVR markers.
Materials and Methods: In this study, 96 workers exposed to job-related pollution in a tile and ceramic company were investigated. Fundus photos of these people were analyzed via ARIA software using the related protocols. The data were investigated employing Kolmogorov–Smirnov and Mann-Whitney tests as well as the correlation and regression tests.
Results: No significant difference was observed in the ocular parameters of smokers and non-smokers. Cardiovascular parameters had no significant correlation with CRAE and CRVE as well as breathable and inhalable dust; however, these parameters had a direct and significant correlation with AVR, PM10, and PM2.5 particles.
Conclusion: The results did not show any changes in the retinal artery in workers who were exposed to job-related pollution. Moreover, no significant relationship was found between retinal artery changes and cardiovascular parameters. However, more large-scale studies are needed to clarify the relationship of particulate air pollutants with CRAE, CRVE, and AVR changes.
Effect Of Combination Of Kegel's Exercise And Bladder Training In Reducing Urine Inncontinency Episodes In Elderly In Persahabatan Hospital, Jakarta
Authors: Sumedi . , Philip Koshy , Hafizurrachman Muhammad
Published: March 2021

The aging process is defined by the change in the behavior of organisms according to age, which typically results in a decrease in the ability to survive and take care of themselves. This deterioration can, in humans, be influenced by biological, psychological, social, functional and spiritual factors. Urinary incontinence is a condition that typically affects the elderly, and has a huge impact on the daily lives of sufferers. This study considers the effect of a combination of Kegel’s exercises and bladder training in decreasing episodes of urinary incontinence in the elderly. This study uses a Quasi-experimental design with a Pretest-Posttest with Control Group design. The results demonstrate that there are significant differences in the average frequency of urination, hold time and frequency of urinary incontinence between the first and second measurements in the treatment group (each value p=0.0001). The combination of Kegel’s exercise and bladder training is proven to decrease the episode of urinary incontinence in the elderly.
 
Keywords: Kegel’s Exercise, Bladder Training, Urine Inncontinency
The effect of Pursed Lips Breathing Exercises on the Oxygen Saturation Levels of Patients with Chronic Obstructive Pulmonary Disease in Persahabatan Hospital, Jakarta
Authors: Sumedi . , Philip Koshy , Hafizurrachman Muhammad
Published: March 2021

Patients with chronic obstructive pulmonary disease can face increased resistance of airflow, air trapping, and lung hyperinflation. This condition can also cause decreased lung ventilation functions. Using a pursed lips breathing exercise can strengthen respiratory muscles that can improve oxygen saturation by maintaining airflow to bronchus and its branches and alveolus which then can prevent collapse in bronchiolus. The purpose of the study was to identify the effect of pursed lips breathing exercises on the oxygen saturation levels in patients with chronic obstructive lung disease in Persahabatan hospital, Jakarta. The design was quasi experimental, with a control group pre-post test design. A random sampling technique was used in the study. The exercise was provided to the intervention group for six days. The findings showed that the lung ventilation function is significantly different between preand post-intervention for both groups (p=0.00). Further, the average lung ventilation function in the intervention group is significantly different from that of the control group after intervention (p=0.012). In addition, while there is a significant relationship between subject age and the increase of the lung ventilation score (p=0.001), there was no relationship between height and the increase of oxygen saturation (p=0.091) and no significant relationship between sex and the increase of oxygen saturation (p=0.346). Based on these findings, the pursed lips breathing exercise is recommended to patients with chronic obstructive lung disease in order to improve the level of oxygen saturation.
 
Keywords: Oxygen saturation, Pursed lips breathing exercise, Chronic Obstructive Pulmonary Disease.
The Role of Teacher Educational Training Programs in Reducing the Risk of Bullying in the Integrated Islamic Elementary School in Bengkulu
Authors: Husni . , Asmawati .
Published: March 2021

There is, according to the Indonesia Child Protection Commission, a problem with bullying in the top level of public schools. Bullying is an act of violence which is done intentionally or unintentionally by a person or group of people who have the power or desire to commit violence to others. This study seeks to determine the effect of education training for teachers on reducing the risk of bullying in an integrated Islamic elementary school in Bengkulu city. It was a quasi-experimental pre-post test with the control group. The sample was 50 teachers (intervention and control groups), using a consecutive sampling technique, with data collected via a questionnaire to measure each teacher’s knowledge and skill. Data were analyzed using Wilcoxon and Man Whitney test for group teachers. The Wilcoxon statistical test of ρ value = 0.010 (ρ <0.05). Mann Whitney test of knowledge and skills with a value of ρ = 0.0001 (ρ <0.05). There were differences in teachers’ knowledge and skill before and after training. There were differences in knowledge and skill between the intervention and the control groups of teachers. However, this study could identify no significant difference in the risk of student bullying score after the teachers implemented their new knowledge for at least two weeks.
 
Keywords: training, bullying, elementary school
The Relationship Between Self Care and Quality of Life Among Coronary Heart Disease Patient After Receiving Percutaneous Coronary Intervention: A Systematic Review
Authors: Herdiman . , Harsono Heri
Published: March 2021

Coronary Heart Disease is a chronic disease with the highest morbidity and mortality rates in the world. Management is needed in the form of self-care management as a core element for CHD patients in order to improve the quality of life. Until now, there has been no comprehensive summary regarding self-care and quality of life for CHD patients with stents attached. This study aims to summarize research studies that link self-care and QOL in CHD patients after receiving Percutaneous coronary intervention. Systematic review using three databases (PubMed, ScienDirect, Google Scholar) for previous studies published in the last 10 years (2010–2020). The Joana Bright Institute format and PRISMA guidelines were used to assess the quality of studies and assist in the selection of articles. Data was extracted and summarized by the author using data extraction tools from JBI. Five articles from 2,729 studies were included. The results show inconsistency, namely three studies have a significant relationship and two studies have an insignificant relationship. All questionnaire domains used in the five articles state that the self-care domain of smoking cessation and exercise are correlated with the QOL domain of physical function, body pain, vitality, mental health, symptom domains and satisfaction. Only three articles reported the strength of the relationship (r = 0.117–0.64) and two articles didn’t report the strength of the relationship. By knowing self-care and QOL of CHD patients after receiving PCI, it’s hoped that the hospital can better understand and provide promotive/preventive education related to self-care management so that the patient’s QOL increases significantly.
 
Keywords: Self-care, quality of life, Coronary Heart Disease, Percutaneous Coronary Intervention, Systematic Review
Description of Cognitive Function in Diabetes Mellitus: A Literature Review
Authors: Puspasari Susy , Andrianto Endar
Published: March 2021

Cognitive decline in diabetes mellitus is not fully understood, though is generally ascribed to blood sugar levels exceeding normal (hyperglycemia), hypoglycemia conditions and insulin resistance. Cognitive function consists of aspects of memory, attention, executive function, perception, language, and psychomotor functions which affect the decline in cognitive function, especially in people with Diabetes Mellitus. This study aims to summarize the results of research on cognitive function in people with Diabetes Mellitus. The research method used was a literature review with an assessment using JBI critical appraisal tools. Articles were sourced via the PubMed database and Google Scholar using the search term ‘Cognitive Function AND Diabetes Mellitus’. The inclusion criteria were studies with quantitative design, full text, a population comprised of patients with Diabetes Mellitus, written in Indonesian or English. Six articles were reviewed, all the results state that patients with Diabetes Mellitus experienced a decrease in cognitive function, especially in the Executive Function, Visuospatial, and the Memory Domains.
 
Keywords: Cognitive function, Diabetes mellitus, Literature review