bluuebunny/crossref_metadata_2025 huggingface dataset:
Clinical characteristics of hepatocellular carcinoma in patients with cirrhosis: a comparative cohort study
Authors: Kaze E , Henrion J
Published: October 2023

Background and study aims: The epidemiology of cirrhosis has changed over the last two decades. We aimed to assess whether the epidemiology and clinical presentation of hepatocellular carcinoma (HCC) occurring in cirrhosis has changed.

Patients and methods: The patients were recruited from the Cirrhosis Registry. This database included patients with cirrhosis who had attended the outpatient’ liver clinic at the Centre Hospitalier Jolimont in La Louvière, Belgium, since January 1995. We extracted data on two cohorts of patients with cirrhosis collected over an identical time period and followed up for the same duration.

Results: Cohort 1 included 504 patients enrolled from 1995 to 2005; among them, 89 patients developed HCC during the defined follow-up period (group 1). Cohort 2 included 566 patients enrolled from 2006 to 2016, among whom 73 patients developed HCC during the defined follow-up period (group 2). When patients with HCC in both groups were compared, no differences were found in the age at HCC diagnosis, the test that alerted on the presence of HCC, the extension, and the stage of the lesion at diagnosis. In the group 1, hepatitis C virus-related HCC occurred in 53% of the cases compared with 18% in the group 2 (P<0.001). Alcohol-related HCC occurred in 27% in the group 1 compared with 60% in the group 2 (P<0.001). The prevalence of metabolic dysfunction-associated steatotic liver disease-related HCC accounted for 10% in all groups.

Conclusion: The general epidemiology of HCC has not changed; however the etiology of underlying cirrhosis has changed.
Intestinal helminthic infections: a narrative review to guide the hepatogastroenterologist
Authors: Vanhooren M , Stoefs A , Van Den Broucke S , Van Esbroeck M , Demuyser T , Kindt S
Published: October 2023

Intestinal helminthic infections are not uncommon in Western Europe, mainly due to modern travel, emigration and globalization. Moreover, some helminthic infections are endemic in Western Europe and are part of the everyday clinical practice. The hepatogastroenterologist should therefore recognize and manage these patients or at least refer them to appropriate reference centers. Signs and symptoms are often unspecific or even absent. Discerning the disease at an early stage avoids expensive diagnostic testing, life-threatening complications and in some cases even further spread of the disease. This review article aims to guide the hepatogastroenterologist when suspecting a helminthic infection by addressing the most prevalent symptoms, summarizing the most probable associated helminthic entities, highlighting practical steps in diagnosis and available treatments.
An unusual cause of portal hypertension
Authors: Ferdinande K , Lamiroy T , Hoorens A , Verhelst X , Degroote H , Raevens S , Van Vlierberghe H , Geerts A
Published: October 2023

A 66-year-old male with a medical history of coronary artery disease presented with nonspecific symptoms of anorexia, lethargy and an increase in abdominal girth. He was diagnosed 3 months ago with chronic liver disease of undetermined aetiology. He did not smoke and was a social drinker till 4 months ago. He was taking tests showed progressive cholestatic liver enzymes (total bilirubin 1,09 mg/dL, AST 130 U/L, ALT 129 U/L, GGT 517 U/L and ALP 641 U/L) and a severe hypoalbuminemia. Laboratory workup made a metabolic, autoimmune, and viral aetiology of the suspected cirrhosis less probable. Urinalysis showed a rapidly progressive proteinuria in the nephrotic range accompanied by the presence of serum spike of monoclonal lambda light Furosemide, Aldactone, Pantoprazole, Acetylcysteine and Atorvastatin. He had no personal or familial history of liver diseases. Physical examination revealed a tender but distended abdomen and large ascites was present. The laboratory chain protein on electrophoresis with immunofixation. Doppler echocardiography revealed a hypertrophic cardiomyopathy based on diffuse left and right ventricular hypertrophy with relative apical sparing. A diagnostic paracentesis was undertaken and the results were consistent with portal hypertension (SAAG 1,6 g/ dL). Considering the concomitant presence of hypertrophic cardiomyopathy, nephrotic syndrome and a presentation of portal hypertension of undetermined aetiology in presence of a monoclonal IgG lambda light chain spike, a transjugular liver biopsy (figure 1 and 2) was performed with HVPG measurement consistent with significant portal hypertension (15 mmHg).
An underrecognized cause of hepatomegaly in uncontrolled type I diabetes
Authors: Ferdinande K , Decaestecker J , Seynhaeve L , Steenkiste E , De Vloo C
Published: October 2023

A 29-year-old woman with a past medical history of poorly controlled type 1 diabetes and autoimmune hypothyroidism presented to the emergency department for evaluation of abdominal pain, nausea and vomiting. The patient was a cocaine user, but she did not use alcohol and did not smoke. Her current medications included Insulin aspart, Insulin degludec, L-thyroxine and Pantoprazole. She reported no use of over-thecounter medication or herbal and dietary supplements. acute distress. The abdomen was nondistended and soft with diffusely tenderness and a smooth palpable liver 3 to 4 cm below the costal margin. Laboratory studies was significant for glucose 539 mg/dL (normal 65-110), alkaline phosphatase 153 U/L (normal 35-105), gamma-GT 44 U/L (normal <36), lactate 42,1 mg/dL (normal 4,5-19,8), arterial pH 7,32 (normal 7,35-7,45) and HbA1c 11% (4,5-6). A computed tomography (figure 1; panel A and B) and liver biopsy (figure 1; panel C and D) were performed.
Editorial
Authors: Reenaers C , De Schepper H
Published: October 2023

In this issue several important original papers as well as extensive reviews can be highlighted. The management of pelvic abscesses is usually challenging and the drainage is mandatory to avoid pelvis sepsis. Recently, minimally invasive techniques, including endoscopic ultrasound- guided transrectal drainage have been associated with a high success rates and good safety results (1). Peeters et all retrospectively analysed 17 patients with pelvic abscess and demonstrated a success rate of the technique of 100% defined by a resolution of the abscess. The full details of the technique are described in the original manuscript. In the hepatic section, since the picture of cirrhosis has changed in the last 2 decades with more metabolic dysfunction-associated steatotic liver diseases (2), Kaze et al aimed to assess whether the epidemiological and the clinical course of hepatocellular carcinoma had also changed over the last 25 years. By comparing two cohorts respectively before and after 2005 no major epidemiological changes were found except a higher rate of Alcohol-related HCC in the old cohort compared to the recent cohort. Metabolic dysfunction was similar with 10% in all groups. The review section includes three interesting.
Determinants of Negotiated Wages in the Kenyan Banking Industry
Authors: Kimathi Mark Murithi , Simiyu Edwin Jairus
Published: October 2023

Over time, wages in the Kenyan banking sector have increased, but not at a rate that has kept up with inflation. This has had a negative effect in that the employees in the banking sector were unable to maintain the standards they were used to. In the banking industry, the average yearly wage per employee climbed from Kes 10,424 in 1968 to Kes 2,082,067 in 2021. The period from 1972 to 1994 saw the greatest loss in the buying power of earnings for banking personnel. From highs of Kes 2,629,534 in 1972 to lows of Kes 726,178 in 1994, the real average wage per employee per year fell. Between 1994 and 2008, there was a recovery in the real annual average wage per employee. Over this time, the real average wage rose from Kes 726,178 to Kes 2,330,778. By 2021, the real average annual wage per employee had decreased to Kes 1,861,550. The purpose of this study was to identify the factors that influence union wages. With time series data for the years 1968 to 2021, a wage model was fitted, and the estimated outcomes showed that gross profit before tax, labour productivity, and the prior period wage of unionisable personnel were key factors in negotiated wages. The other factors, such as the minimum pay set by law, the number of unionised employees, the unemployment rate, the inflation rate, and the union density, had no statistically significant impact on negotiated wages. The study supports the need for developing a labour productivity measurement system that is acceptable to all participants in the banking industry. The fact that the union's strength had little bearing on determining salaries also made it clear that the union needed to find new strategies for luring members.
O MUNDO CONTEMPORÂNEO E AS DORES DO EU: UMA ABORDAGEM PSICANALÍTICA
Authors: Aquino Eliene Alves de , Lopes Francisco Wellington Rego , Silva Lilian Kecia Penha Vasconcelos , Rodrigues Rita de Cássia Claudio , Cavalcante Maria da Paz Silva
Published: October 2023

O presente artigo tem o propósito de promover uma reflexão sobre os males que afetam a maioria das pessoas na atualidade, fato constatado a partir de pesquisas realizadas e relato de queixas de diversos pacientes na Clínica Psicanalítica. Particularmente há na presente discussão um olhar mais acurado para adolescentes a partir de 12 anos de idade na sequência de vida até 60 anos de idade. Foram ressaltadas nesse contexto as maiores dores existenciais sofridas por pacientes, no cotidiano da clínica Psicanalítica, definindo o sofrimento deste público como o “EU” fragmentado dentre as diversidades das Síndromes e Transtornos entrelaçados às entranhas da atual civilização.
ACUSAÇÃO DE ALIENAÇÃO PARENTAL NO CONTEXTO EM QUE HÁ DENÚNCIA DE ABUSO INFANTIL E DISPUTA DE GUARDA
Authors: Marinho Millena Costa , Santos Valdivino Passos
Published: October 2023

O presente artigo teve como tema “acusação de alienação parental no contexto em que há denúncia de abuso infantil e disputa de guarda”. O objetivo geral da presente pesquisa foi verificar se há a utilização indevida da lei de alienação parental no processo de disputa de guarda e acusação de abuso infantil. Para atingir os objetivos propostos, utilizou-se o método qualitativo dedutivo, com uso de pesquisa bibliográfica, documental e jurisprudencial, assim como livros, internet, artigos acadêmicos, dados e legislação. O Resultado obtido foi que é possível ocorrer falha na prestação jurisdicional que pode resultar na definição de guarda a abusadores ou autores de alienação parental em função da má qualidade da apuração e deficiência estrutural no tratamento desses casos. Concluiu-se que deve, portanto, serem enfrentados pelo poder judiciário, devendo este criar uma estrutura aparelhada através de políticas envolvendo tanto o Ministério Público, quanto uma equipe multidisciplinar que apure minunciosamente os casos de disputas de guarda que envolvam acusações de abuso sexual infantil, equipe essa, formada por peritos, médicos, assistentes sociais, psicólogos, dentre outros.
Bioelectric Power Potential Analysis of Agricultural Crop Residues: A Case Study of Nigeria
Authors: Ihobhebhe Mathew , Suberu Mohammed Yekini , Audu Nasiru
Published: October 2023

Nigeria belongs to the League of Nations in the growing economies list in the world and consequently, needed more infrastructural support from different developmental sectors such as the power. Insufficient electricity generation has been a major obstacle to the expected progression in the economic development indices. On a global scale, there has been a growing quest for increasing access to sustainable energy technologies, especially from renewable energy sources. Presently, Nigeria generates over 5000 MW of electricity for a population of over 200 million people. This has created serious techno-economic constrictions in the country. The country has vast potential for renewable energy especially biomass agricultural residues, but the residues have remained largely untapped. Therefore, this study analyzed the electrical potential of biomass agricultural residues in Nigeria. It also presents the varieties of technological perspectives that can be embraced to utilize the residues for power generation in the future. The research is to encourage the use of biomass residues for renewable energy based on sustainable technological approaches. The results obtained presented that as much as approximately 30 TWh of electrical energy can be generated annually from the seven different kinds of biomass agricultural residues investigated.
NGHIÊN CỨU THỰC TRẠNG KIẾN THỨC, THÁI ĐỘ CỦA BÀ MẸ VỀ CHĂM SÓC TRẺ EM MẮC COVID-19 ĐƯỢC ĐIỀU TRỊ TẠI NHÀ Ở THÀNH PHỐ PHÚ QUỐC, TỈNH KIÊN GIANG NĂM 2022
Authors: Chi Mai Thảo , Phương Lê Hoàng
Published: October 2023

Trong đại dịch COVID-19, trẻ em chịu ảnh hưởng nặng nề cả về thể chất và tinh thần. Vai trò của các bà mẹ chăm sóc cho trẻ mắc COVID-19 rất quan trọng, đặc biệt là những trẻ được cách ly điều trị tại nhà. Do đó, việc nghiên cứu thực trạng kiến thức, thực hành của của các bà mẹ này là hết sức cần thiết.

Mục tiêu: Mô tả kiến thức, thái độ về chăm sóc trẻ mắc COVID-19 được điều trị cách ly tại nhà ở Tp. Phú Quốc, tỉnh Kiên Giang năm 2022 và một số yếu tố liên quan.

Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 200 bà mẹ chăm sóc trẻ em mắc COVID-19 được điều trị tại nhà ở thành phố Phú Quốc, tỉnh Kiên Giang.

Kết quả: Tỷ lệ bà mẹ có kiến thức đúng về chăm sóc trẻ mắc COVID-19 là 84%, thái độ đúng là 78,5%. Có sự khác biệt trong kiến thức chưa đúng và thái độ chưa tốt về phòng, chống dịch COVID-19 với dân tộc (p=0,036), tình trạng kinh tế (lần lượt là p=0,042, p=0,005), trình độ học vấn (p=0,001), và nghề nghiệp (p=0,025).

Kết luận: Tỷ lệ bà mẹ có thái độ đúng về chăm sóc trẻ em mắc COVID-19 chưa cao. Y tế địa phương cần quan tâm vào những yếu tố liên quan để đưa ra những biện pháp can thiệp cho nhóm bà mẹ phù hợp nhằm nâng cao không chỉ thái độ mà còn kiến thức của họ trong tương lai.
PHẢN HỒI CỦA SINH VIÊN NGÀNH BÁC SĨ Y HỌC DỰ PHÒNG TRƯỜNG ĐẠI HỌC Y HÀ NỘI VỀ QUÁ TRÌNH HỌC LÂM SÀNG TẠI BỆNH VIỆN BẠCH MAI NĂM HỌC 2022-2023
Authors: Anh Đàm Thị Ngọc , Luyến Lê Đình , Thảo Nguyễn Thị Thanh , Thúy Lê Thị , Hòa Dương Xuân , Tân Đặng Quang
Published: October 2023

Đặt vấn đề: Học lâm sàng là một trong những học phần không thể thiếu trong chương trình đào tạo y khoa. Nhờ các kỹ năng lâm sàng mà sinh viên ngành y mới có thể lồng ghép các kiến thức của mình để ra các quyết định đúng đắn và có hiệu quả trong điều trị, chăm sóc người bệnh.

 

Mục tiêu: Mô tả phản hồi của sinh viên ngành bác sĩ Y học dự phòng Trường Đại học Y Hà Nội về quá trình học lâm sàng tại Bệnh viện Bạch Mai và một số yếu tố liên quan năm học 2022-2023. Phương pháp nghiên cứu: Mô tả cắt ngang trên 280 sinh viên bác sĩ Y học dự phòng Trường Đại học Y Hà Nội. Nghiên cứu sử dụng bộ câu hỏi tự xây dựng và thiết kế trên phần mềm REDcap, link khảo sát được gửi đến các lớp cho sinh viên tự điền phiếu.

Kết quả: 100% phản hồi của sinh viên về nội dung bài giảng và phương pháp dạy học chưa đạt đến mức “đồng ý” (4 điểm). Điểm trung bình về nội dung bài giảng dao động từ 3,67 đến 3,87 điểm. Điểm trung bình về phương pháp giảng dạy dao động từ 3,52 đến 3,74 điểm. Điểm trung bình về trách nhiệm và tác phong sư phạm của giảng viên đạt từ 3,63 đến 3,77 điểm. Về phần kiểm tra lượng giá, điểm phản hồi đạt từ 3,5 đến 3,68. Yếu tố liên quan đến tỷ lệ phản hồi tốt là sinh viên có học lực giỏi (OR = 0,28, 95% CI: 0,08-0,94).

Kết luận: Phòng đào tạo cần tăng cường trao đổi về việc quản lý vận hành chương trình với Bộ môn để đảm bảo giảng viên sắp xếp lịch giảng theo đúng thời gian giảng dạy quy định của Nhà trường.
THỰC TRẠNG VẬN HÀNH, THEO DÕI, BẢO DƯỠNG VÀ SỬA CHỮA TRANG THIẾT BỊ Y TẾ TẠI BỆNH VIỆN NỘI TIẾT TRUNG ƯƠNG NĂM 2023
Authors: Hiền Phạm Thị , Nhu Đặng Đức , Hòa Bạch Khánh , Hiệp Phan Hoàng , Dương Phan Hướng
Published: October 2023

Mục tiêu: Mô tả thực trạng vận hành, theo dõi, bảo dưỡng và sửa chữa trang thiết bị y tế tại Bệnh viện Nội tiết Trung ương.

Phương pháp: Mô tả cắt ngang có phân tích kết hợp hồi cứu số liệu.

Kết quả: 100% trang thiết bị y tế có nhật ký vận hành, sổ hướng dẫn sử dụng, tập huấn trước sử dụng, có sổ theo dõi, đảm bảo quy tắc an toàn, bảo dưỡng hàng năm; 95,5% thiết bị đang sử dụng bình thường; 90,5% thiết bị có vỏ ngoài mới; 75,2% thiết bị được sửa chữa ngay khi có báo cáo và 69,5% được sửa chữa xong sau 10 ngày.

Kết luận: Hoạt động vận hành, theo dõi, bảo dưỡng và sửa chữa trang thiết bị y tế tại Bệnh viện Nội tiết Trung ương khá tốt và đúng quy định.
PHÂN TÍCH MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN TÌNH TRẠNG NẶNG CỦA BỆNH NHIỄM KHUẨN HUYẾT Ở TRẺ SƠ SINH ĐỦ THÁNG TẠI BỆNH VIỆN NHI TRUNG ƯƠNG 2020
Authors: Trường Nguyễn Hồng , Cảnh Hoàng Đình
Published: October 2023

Mục tiêu: Phân tích và xác định một số yếu tố liên quan đến tình trạng nặng do nhiễm khuẩn huyết (NKH) ở trẻ sơ sinh đủ tháng tại Bệnh viện Nhi Trung ương năm 2020.

Phương pháp nghiên cứu: Đề tài được thiết kế bằng phương pháp nghiên cứu mô tả có phân tích loạt ca bệnh.

Kết quả: Trẻ thở máy tuyến trước có nguy cơ tử vong gấp 3,2 lần trẻ không thở máy tuyến trước, với OR, 95%CI: 3,2 (1,6 -12,9); Thở máy tại Bệnh viện Nhi Trung ương có nguy cơ tử vong cao gấp 27,7 lần nhóm không thở máy, với OR, 95%CI: 27,7 (3,5-217,8); Trẻ phải đặt catheter có nguy cơ tử vong cao gấp 21,1 lần trẻ không phải đặt catheter với OR, 95%CI: 21,1 (2,7-166,1); Nhóm trẻ nhiễm khuẩn huyết có sốc có nguy cơ tử vong cao gấp 5,1 lần trẻ nhiễm khuẩn huyết không có sốc, với OR, 95%CI:5,1(1,9 – 14); Tình trạng giảm số lượng bạch cầu có liên quan với tử vong OR, 95%CI: 4,8 (4,8 - 16,5); Trẻ có số lượng tiểu cầu < 100x109/L (giảm tiểu cầu) có nguy cơ tử vong cao gấp 4,2 lần trẻ không giảm tiểu cầu với OR, 95%CI: 4,2 (1,5 -11,7).

Kết luận: Các yếu tố liên quan đến tình trạng nặng của bệnh nhiễm khuẩn huyết ở trẻ sơ sinh đủ tháng gồm có thở máy, đặt catheter, sốc nhiễm khuẩn, tăng bạch cầu và giảm tiểu cầu.
KẾT QUẢ CHĂM SÓC BỆNH NHI NHIỄM KHUẨN HÔ HẤP DƯỚI TẠI BỆNH VIỆN NHI TRUNG ƯƠNG NĂM 2022
Authors: Ngọc Đỗ Thị Bích , Mỹ Đoàn Thị Thu , Hà Nguyễn Thị Thu , Hậu Nguyễn Thị , Huyền Đỗ Thị Thu , Trang Trần Thị , Hằng Nguyễn Vân , Hiền Phạm Thu , Hòa Vương Thị
Published: October 2023

Mục tiêu: Phân tích kết quả chăm sóc bệnh nhi nhiễm khuẩn hô hấp dưới và một số yếu tố liên quan tại trung tâm Quốc tế, Bệnh viện Nhi Trung ương.

Phương pháp: Nghiên cứu mô tả tiến cứu, định lượng kết hợp định tính trên 200 bệnh nhi mắc nhiễm khuẩn hô hấp dưới từ tháng 12/2022 đến tháng 3/2023.

Kết quả: Chăm sóc tốt của điều dưỡng chiếm tỷ lệ 90,5%; hoạt động chăm sóc của điều dưỡng thực hiện đúng và đủ bao gồm: đo dấu hiện sinh tồn (100%), thực hiện y lệnh và theo dõi đánh giá BN (99%), tiếp đón BN (95%), ghi chép HSBA (92%), chăm sóc dinh dưỡng (90,5%), làm thông thoáng đường thở, tư vấn giáo dục sức khỏe (86,5%), chăm sóc tâm lý và hỗ trợ BN vệ sinh (80%). Yếu tố liên quan đến kết quả chăm sóc tốt gồm: Tuổi của bệnh nhân ≥ 1 tuổi, trẻ sinh đủ tháng, trẻ được bú mẹ hoàn toàn trong 6 tháng đầu, trẻ được chăm sóc dinh dưỡng tốt, trẻ được chăm sóc vệ sinh tốt, thời gian điều trị trước khi vào viện ≤ 3 ngày, trẻ có thời gian nằm viện ≤ 7 ngày.

Kết luận: Kết quả chăm sóc tốt của điều dưỡng trên trẻ nhiễm khuẩn hô hấp dưới tại Trung tâm Quốc tế, Bệnh viện Nhi Trung ương đạt tỷ lệ cao, liên quan đến tuổi thai, tuổi của trẻ, chế độ nuôi con bằng sữa mẹ và chăm sóc vệ sinh của trẻ. Vì vậy với những trẻ dưới 1 tuổi, trẻ đẻ thiếu tháng, trẻ không được nuôi bằng sữa mẹ mắc nhiễm khuẩn hô hấp dưới cần đặc biệt quan tâm hơn đến hoạt động chăm sóc của điều dưỡng.
KIẾN THỨC, THỰC HÀNH AN TOÀN THỰC PHẨM CỦA NGƯỜI CHẾ BIẾN TẠI CÁC CỬA HÀNG ĂN UỐNG QUẬN ĐỐNG ĐA, HÀ NỘI NĂM 2023 VÀ MỘT SỐ YẾU TỐ LIÊN QUAN
Authors: Châu Hoàng Quý , Vinh Đào Xuân , Huy Nguyễn Duy , Bình Nguyễn Văn , Hà Nguyễn Mỹ
Published: October 2023

Mục tiêu: (1) Đánh giá kiến thức, thực hành an toàn thực phẩm của người chế biến thực phẩm tại các cửa hàng ăn uống quận Đống Đa, Hà Nội năm 2023 và (2) Phân tích một số yếu tố liên quan đến kiến thức, thực hành an toàn thực phẩm của đối tượng nghiên cứu.

Phương pháp: Thiết kế nghiên cứu mô tả cắt ngang có phân tích.

Kết quả: Kiến thức chung về ATTP chưa cao đạt 60%. Tỷ lệ thực hành an toàn thực phẩm (ATTP) đạt thấp (42,9%). Các yếu tố liên quan có ý nghĩa thống kê đến kiến thức ATTP: nhóm tuổi, trình độ học vấn, thời gian làm nghề, tập huấn kiến thức ATTP và cơ sở làm việc. Các yếu tố liên quan có ý nghĩa thống kê đến thực hành ATTP: trình độ học vấn, tập huấn kiến thức ATTP. Như vậy, kiến thức và thực hành về ATTP của người chế biến thực phẩm còn thấp.

Kết luận, khuyến nghị: Cần tăng cường tổ chức các buổi tập huấn kiến thức về ATTP cho những người tham gia chế biến thực phẩm trên địa bàn quận Đống Đa.
KẾT QUẢ PHẪU THUẬT NỘI SOI CẮT TỬ CUNG HOÀN TOÀN ĐIỀU TRỊ U XƠ TỬ CUNG TẠI BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN
Authors: Thảo Đồng Thị , Bình Nguyễn Thị , Hải Nguyễn Xuân
Published: October 2023

Mục tiêu: Mô tả đặc điểm lâm sàng, cận lâm sàng và kết quả phẫu thuật nội soi cắt tử cung hoàn toàn điều trị u xơ tử cung tại Bệnh viện Trung ương Thái Nguyên.

Đối tượng và phương pháp nghiên cứu: Đây là một nghiên cứu hồi cứu trên 60 bệnh nhân được điều trị cắt tử cung hoàn toàn qua nội soi tại Bệnh viện Trung ương Thái Nguyên từ 01/01/2021 - 31/12/2022.

Kết quả: Độ tuổi trung bình của các đối tượng này là 48,67 ± 5,098 tuổi. Chủ yếu đã có đủ 2 con (58,3%). Lý do vào viện thường gặp nhất là đau hạ vị và rối loạn kinh nguyệt với tỉ lệ lần lượt là 80,0% và 55%. Kích thước tử cung qua khám lâm sàng chủ yếu to bằng tử cung có thai 8 – 12 tuần chiếm 70,0%. Lượng máu mất trung bình trong mổ là 170,08 ± 67,57 ml. Xử trí phần phụ trong mổ chủ yếu là cắt cả 2 bên phần phụ chiếm 66,7%. Thời gian trung tiện sau mổ ≤ 24 giờ là chủ yếu với tỉ lệ 95,0%. Thời gian điều trị hẫu phẫu trung bình là 7,68 ± 2,111 ngày.

Kết luận: Phẫu thuật cắt tử cung qua nội soi hiện nay là phương pháp có nhiều ưu điểm hơn so với phương pháp cắt tử cung cổ điển.
IDENTIFICATION OF TOPOLOGICALLY CHARACTERISTIC MUSCULOSKELETAL PAIN OCCURRENCE AMONG YOUNG FEMALE ATHLETES
Authors: Miletić Alen , Kezić Ana , Delaš Kalinski Sunčica
Published: October 2023

The purpose of this study was to identify pain occurrence among young female athletes in aesthetic sports by defining the proportions of pain status of fourteen body regions. Three groups of young female athletes (artistic gymnasts, rhythmic gymnasts and contemporary dancers) were analysed and compared. The sample consisted of overall 99 competitive athletes. Using the “Self-estimated functional inability because of pain” (SEFIP) questionnaire, athletes were asked to assess their current pain status in 14 body regions on a 5-point scale, with 0 being no pain and 4 being pain so severe that they are unable to practice. According to the Wilk’s test there was a significant multivariate effect (F= 4.60; p<0.001) between artistic gymnasts, rhythmic gymnasts and compulsory dancers in training experience and body status. The most common locations for incidence of pain on the total sample of subjects were in the lower back (44%), knees (35%) and ankles/feet (31%). Artistic gymnasts mostly report pain in the ankles/feet (51.43%), and lower (37.14%) and upper back (34.29%). Rhythmic gymnasts of the same age mostly report pain in lower back area (46.42%), knees (42.86%) shins, ankles and feet (28.57%)¸ while dancers experience pain mostly in lower back (50%), upper back (44%) and knees (38.89%). According to the results of the Chi-square test, artistic gymnasts reported significantly higher pain incidence in ankles/feet region (p<0.01). Early detection of even low intensity pain, accompanied with the adjustment of training load and usage of appropriate safety requirements, can prevent the occurrence of injuries among young athletes.
THE BALANCE BEAM AS AN ARTISTIC GYMNASTICS APPARATUS FOR WOMEN: FROM ORIGIN TO CONSOLIDATION
Authors: Oliveira Mauricio Santos , Stella Silva de Souza Anna , Ramires Costa Andrize , Nunomura Myrian
Published: October 2023

This article seeks to increase the understanding of the historical development of Artistic Gymnastics and, mostly, the women’s participation in this sport. Therefore, through historical research, we analyzed the genesis and the inclusion of balance beam apparatus at the core of this gymnastics discipline. The delimitation of the period ranged from 1896 Olympic Games until the years between 1952 and 1964, which are known by the stabilization of the competitive characteristics of Women's Artistic Gymnastics. We observed that in the beginning, as well as in sport in general, women were excluded from this cultural experience. However, throughout history, we observed that the balance beam became a protagonist of the Artistic Gymnastics becoming a stage for reinforcing as much as to confront what women could or could not do in this gymnastics discipline.
URINARY INCONTINENCE AMONG WOMEN AFTER MULTIPLE PREGNANCIES
Authors:   Isra Institute of Rehabilitation Sciences (IIRS), Isra University Islamabad, Aftab Anam , Osama Muhammad ,   Foundation University Institute of Rehabilitation Sciences. Islamabad, Ali Faisal ,   Step to Learn (NGO), Bhutta Abdul Hasseb ,   Isra Institute of Rehabilitation Sciences, Isra University Islamabad. Pakistan
Published: October 2023

Objective: The purpose of the current study was to look into the occurrence of symptoms of Stress and Urge Urinary Incontinence among women following multiple pregnancies, and the association of gravidity and age with severity of urinary incontinence. Study Design: Cross Sectional Survey. Study Setting: Al-Nafees Hospital, Islamabad. Methodology: Women aged 20-40 years of age with multiple pregnancies were included in the study, whereas females with urinary incontinence with cause other than pregnancy or delivery were excluded. Non probability convenience sampling was used. “MESA Urinary Incontinence Questionnaire: was used as an outcome measurement tool. Results: A total of 129 participants were included in the study. The mean age of participants was 30.68±5.03 years. Gravidity was 2 for 37.2% (n=48) participants and >2 for 62.8% (n=81) participants. Among participants 55.8% (n=72) women had vaginal and 44.2% (n=57) had caesarian deliveries. A non significant positive correlation was found between gravida and stress incontinence (p>0.05), however a positive significant correlation was observed between gravida and urge incontinence (p=0.05). Similarly a non significant correlation was found between age and stress incontinence (p>0.05), however a positive significant correlation was observed between age and urge incontinence (p<0.05). No significant differences were observed based on mode of delivery in terms of stress incontinence and urge incontinence (p<0.05). Conclusion: Urinary Incontinence is common among women postpartum and urge incontinence is associated with age and gravidity. Mode of delivery has no significant difference in terms of severity of urinary incontinence. Keywords: Urinary incontinence, stress incontinence, urge incontinence, postpartum, gravida, vaginal delivery, caesarian section.
KNOWLEDGE, ATTITUDE, PRACTICE AND ANXIETY OF HEALTH CARE PROFESSIONALS PERTAINING TO THE OUTBREAK OF COVID -19
Authors:   Physical Therapy Department, Holy Family Hospital Rawalpindi Pakistan, Umar Muhammad , Salman Muhammad ,   Rawal Institute of Rehabiitation Sciences, Maryam Misbah ,   Benazir Bhutto Hosital Rawalpindi, Pakistan, Rashid Hiba ,   Rawalpindi Medical University, Rawalpindi Pakistan, Rehman Muhammad Laiq ur ,   Rawal Insititute of Rehabilitation Sciences
Published: October 2023

Background: The COVID -19 pandemic is highly dangerous with its rapid rate of spread and death rate all over the world; it has caused a lot of stress and anxiety in the public as well as in healthcare professionals. Objective: To find out knowledge, attitude, practice and anxiety of different health care professionals towards COVID-19. Methods: A cross sectional Survey was conducted on n=429 healthcare professionals including doctors, nurses, physical therapists and technicians(laboratory technicians, imaging technicians, OT staff )among different hospitals of Rawalpindi during the month of May to December, 2020. Data was collected through non probability convenient sampling. To find the knowledge, attitude, practice and anxiety, a self-structured questionnaire was administered after content validity from two experts. The data was analyzed and interpreted using SPSS ver 21. Results: The mean age of the health care professional was 30.30±8.82 years. The mean score of the knowledge of all health care professionals was 11.13±1.16 showing good knowledge about the disease, its spread and preventive measures. There was negative 7.57±1.83 attitude with significant difference (p=0.001) among the healthcare professionals. The mean score (8.51±0.84) of practice regarding COVID-19 was good and anxiety was high 56.85±9.93, showing higher levels of stress among all health care professionals. There was no significant difference (p≥0.05) among knowledge, practice and anxiety level, but significant difference (p<0.001) was observed among healthcare professional regarding the attitude towards COVID-19. Conclusion: The knowledge and practice regarding COVID19 among different health care providers found to be good. However; there is a difference in attitude of health care professionals that was shown to be negative. Anxiety remained unaffected from change in knowledge, attitude and practice. However knowledge, attitude and practice affect each other. Keywords: Anxiety, Attitude, Corona, COVID-19, Health Care Professionals, KAP, Knowledge
PSYCHOMETRIC ANALYSIS OF URDU VERSION OF SHOULDER PAIN AND DISABILITY INDEX: A RELIABILITY AND VALIDITY STUDY
Authors:   Helping Hand Institute of Rehabilitation Sciences, Mansehra. Pakistan, Ullah Keramat , Bhutta Nimra Ilyas ,   Helping Hand Institute of Rehabilitation Sciences, Mansehra. Pakistan, Bhutta Abdul Haseeb ,   Helping Hand Institute of Rehabilitation Sciences, Mansehra. Pakistan
Published: October 2023

Background: Shoulder-related pain leads to disability due to the impairment of functional movements of the shoulder and affects the quality of life. Realizing the importance of cultural adaptation and validation, Shoulder Pain and Disability Index (SPADI) is need to be translated and validated in the Urdu language. Objective: to determine the validity and evaluate the reliability of the Urdu version of the Shoulder pain and disability index (SPADI-U) in the Urdu-speaking population with shoulder pathologies in Pakistan. Methodology: The SPADI-U was administered to 135 respondents; of which 105 were subjects with shoulder pathology and the remaining 30 were healthy individuals for determination of its discriminant (Construct) validity. Visual analogue scale (VAS) and active range of motion were used to evaluate its convergent (construct) and criterion validity, respectively. It’s internal and intra-rater reliability was also evaluated and a retest was conducted after 2-3 days of first administration and was completed by 50 patients. The data were analysed in SPSS version 21. Results: Cronbach’s alpha value for SPADI-U was 0.920, and intraclass coefficient (ICC, 95% CI)) value ranged between 0.700 and 0.938 for individual items. High values of 0.935 (0.887-0.963) for a total SPADI score were observed. The Pearson’s correlation coefficient showed moderately negative correlation (range r= -0.457 to -0.683) with SPADI-U indicating its acceptable criterion validity. Whereas, the high positive correlation of VAS with SPADI; for pain (r=0.871, 0.910, 0.891) and disability (r= 0.877, 0.915 and 0.813), showing good convergent validity. Mann-Whitney U-test was used for discriminant validity with significant difference (p<0.05) between the groups. No floor and ceiling effect was found. Conclusion: SPADI-U is valid and reliable tool for use in Urdu speaking individuals. Key words: Psychometrics, reliability and validity, shoulder, SPADI-U, Urdu version
EFFECTS OF PROLONGATION OF SPEECH AND SYLLABLE TIME SPEECH ON REDUCTION OF SEVERITY OF STUTTERING IN STUTTERING PATIENTS
Authors:   National Institute of Rehabilitation Medicine, Islamabad Pakistan, Khan Nasir , Imran Muhammad ,   Government Special Education Centre Rawalpindi Pakistan, Shah Kashif Ali ,   Pakistan Air Force Hospital Islamabad & GMT (Pvt) Ltd Pakistan, Saeed Aarsa ,   Government Special Education Centre Rawalpindi Pakistan, Haroon Ramsha ,   Shifa Tameer e Millat University Islamabad Pakistan, Kiani Humaira Shamim ,   Faculty of Rehabilitation & Allied Health Sciences, Riphah International University Islamabad. Pakistan
Published: October 2023

Background: Stuttering is an organic process utterance condition. This utterance condition is broken by prolongation of sounds and repetitions of part words and phrases. Speech constitution strategies facilitate the client to use a new way of oral communication in stutters. Objective: to determine the effects of prolongation of speech and syllable time speech on reduction of severity of stuttering in stuttering patients. Methods This Randomized clinical trial study design was conducted in National Institute of Rehabilitation Medicine Islamabad. A total of n=30 participants of both gender having developmental stuttering with age between 20-30 years were included in the study through purposive sampling. The n=30 participants were randomly divided in to Group A received prolonged speech protocol (PSP) and Group B received syllable time speech protocol. The data was collected using the Scale of rating severity of stuttering (SRSS) at baseline, after 6th weeks and after 12th weeks of training. The data was analyzed through SPSS-21. Results The mean age of the study participants was 22±2.05 years. The median number of sibling was 4(2), birth order 2.5(2) and age of onset was 4(1) years. With-in group analysis showed that the group received prolong speech protocol {F=25.24(2), p<0.001} and syllable time speech protocol {F=29.52(2), p<0.001}, both were significantly improved from the baseline to the end of 12th week of intervention as well as at each level of assessment. While comparing the groups, there was significantly large mean difference (MD) of SRSS in group received syllable time speech protocol (2.53±.83 ver 1.73±.59, p=0.005, Cohen’s d=0.72) as compared to group received prolong speech protocol. Conclusion It is concluded that Syllable time speech was effective in reducing severity of stuttering and improving fluency in stutterers. . Key words: Stuttering, stammering, fluency shaping therapy, speech therapy.
Effectiveness of group therapy versus individual therapy in acquisition of pre-linguistic skills in children with expressive language disorders
Authors:   Well Being Clinic G 8 Markaz, Islamabad Pakistan, Akbar Ruqaiya Faiz , Kiyani Humaira Shamim ,   Faculty of Rehabilitation & Allied Health Sciences, Riphah International University Islamabad Pakistan, Saqulain Ghulam ,   Department of  Otorhinolaryngology. Capital Hospital PGMI, SZABMU Islamabad, Pakistan
Published: October 2023

Background: Children with expressive language difficulties may find it difficult to communicate effectively. To encourage the development of prelinguistic skills and improve overall language development, early intervention is essential. Objective: To determine the effectiveness of group therapy as compared to individual therapy in the acquisition of pre-linguistic skills in children with expressive language disorders. Methods: A experimental study was conducted at special education centers of Rawalpindi & Islamabad, from August 2015 to January 2016. A total of n=17 children with expressive language disorders of either gender with ages between 4-7 years were recruited through a nonprobability convenient sampling technique, with Group A (Individual Therapy) including n=7 kids and Group B (Group therapy) n=10 kids. The outcome measures were Eye contact, attention span, turn-taking, and imitation skills, noted before therapy and after completing 20 sessions post-therapy (after 7 weeks). Statistical analysis was done using SPSS 20. An Independent t-test was utilized to see any difference between groups. Results: The study included 10(58.82%) males and 7(41.18%) females with most 9(52.94%) being 6 to 7 years of age. Post therapy results revealed significantly better results for group therapy versus individual therapy (11.0±1.24 vs 8.28±1.11) for eye-contact (p=0.000); (11.0±0.94 vs 7.8±1.34) attention span (p=0.000); (11.4±0.69 vs 8.0±0.81) turn taking (p=0.000); and (10.6±1.34 vs 8.4±0.97) for imitation skills (p=002). Conclusion: The study concludes that group therapy is significantly more effective than individual therapy for improving pre-linguistic skills including eye contact, attention span, turn-taking, and imitation skills in 4 to 7 years old kids with expressive language disorders. Keywords: Language, Expressive language disorder, Pre-linguistic skills, Group therapy, Individual therapy
Translation, adaptation, and validation of caregiver difficulties scale in Urdu
Authors:   Department of Psychology, International Islamic University Islamabad, Pakistan, Waqar Saima , Mushtaq Rabia ,   Department of Psychology, International Islamic University Islamabad, Pakistan
Published: October 2023

Background: Even though there are extensive, studies carried out to assess the caregiver burden among caregivers of Cerebral Palsy children through different scales. Caregiver Difficulties scale (CDS) is designed for the specific population of CP’s Caregivers. So this scale is translated in Urdu to use on the parents of CP children in Pakistan. Objective: To translate, adapt and validate the Caregiver Difficulties Scale into Urdu. Method: There Descriptive Study was conducted on n=40 caregivers of Cerebral Palsy children. Males & Females (Specifically fathers & mothers) age ranged 30 to 60 from Rehabilitation Institute took part in the study. Caregiver difficulties scale (CDS) was used along with a demographic Performa for data collection. Results: The caregiver difficulties scale is a reliable measure to assess the caregiver burden among caregivers of CP Children (Cronbach α=0.91). The significant correlation value ranges from r=0.88 (Urdu to Urdu) to r=0.83 (English to English) which shows that Urdu version has conceptual equivalence and cross-language validity. Conclusion: The translation and adaptation of the Caregiver Difficulties Scale (CDS) in Urdu is reliable and valid for the assessment of caregiver giver difficulties in caregivers of cerebral palsy children Keywords: cerebral palsy; caregivers; care giver burden
Is ReLU Adversarially Robust?
Authors: Sooksatra Korn , Hamerly Greg , Rivas Pablo
Published: October 2023

The efficacy of deep learning models has been called into question by the presence of adversarial examples. Addressing the vulnerability of deep learning models to adversarial examples is crucial for ensuring their continued development and deployment. In this work, we focus on the role of rectified linear unit (ReLU) activation functions in the generation of adversarial examples. ReLU functions are commonly used in deep learning models because they facilitate the training process. However, our empirical analysis demonstrates that ReLU functions are not robust against adversarial examples. We propose a modified version of the ReLU function, which improves robustness against adversarial examples. Our results are supported by an experiment, which confirms the effectiveness of our proposed modification. Additionally, we demonstrate that applying adversarial training to our customized model further enhances its robustness compared to a general model.
Integrating Philosophy with Children into the Social Studies Courses
Authors: TUNCEL Gül
Published: October 2023

Philosophy with children aims to teach children to think for themselves and make informed choices. The objective here is to develop children's reasoning skills by enabling them to reflect on thinking while discussing concepts that are important to them. This study examines the act of philosophical thinking, the importance of children doing philosophy, and the implementation of philosophy in schools, especially its integration into the Social Studies course. This study also explains the benefits of philosophy with children for students and teachers and the facilitating effect of these benefits on the realisation of the objectives of the Social Studies course through sample applications. While some case studies were discussed with the students and sections of philosophical questioning were presented, a few of them were merely given as case studies. Thus, we believe that integrating children and philosophy with the Social Studies course will be effective in terms of the learning outcomes that students need.
Efektivitas Metode Index Card Match Dalam Meningkatkan Pemahaman Belajar Siswa Pada Mata Pelajaran Pendidikan Agama Islam (PAI) Di SMP Tahfidz Qur’an Al-Fatih Bengkalis
Authors: Santri Bella , Aufa Muis Muhammad
Published: October 2023

The researcher discusses the Index Card Match Method (looking for pairs of cards) which is a fun learning method used to repeat material previously provided. This type of research is field research with a quantitative approach, namely a research method based on the philosophy of positivism. Data collection uses a questionnaire, observation and interviews. After the data was collected, the researcher used the prodact moment formula in order to find out alternative success scores for learning using the index card match method. From the percentage results, the recapitulation of the results of the questionnaire respondents answered the effectiveness of the lecture method in increasing students' learning understanding in Islamic Religious Education (PAI) subjects. has a less good and less high value, because the alternative answers yes are fewer than the alternative no, the percentage result is 44.65. While the research results from the recapitulation of the questionnaire regarding the index card match method in increasing students' learning understanding in the subject of Islamic Religious Education has a value of 89%. This is included in the very good criteria, which means that H0 is rejected, thus the Alternative Hypothesis (Ha) is accepted
Pemahaman Masyarakat Tentang Ritual Budaya Mandi Safar (Studi Kasus Masyarakat Desa Teluk Lecah Kecamatan Rupat Kabupaten Bengkalis)
Authors: Marsela Revi , Rozita Rozita , Norani Norani
Published: October 2023

This study aims to determine the process of carrying out the safar bathing ritual and the understanding of the people of Teluk Lecah Village, Rupat District, Bengkalis Regency about the Safar Bathing Cultural Ritual. This study used a qualitative descriptive method by observing interviews with the people of Teluk Lecah Village, and also using literature study by taking material from published books and journals. Safar Bathing Ritual is one of the ancestral heritage which is considered to be able to resist accidents, natural disasters, and disease outbreaks
Urgensi Asbabun Nuzul dalam Mengatasi Pemahaman Takfiri: Kajian Ayat-ayat Takfir dalam Al-Qur'an
Authors: Syahputra Andri , Agustiar Agustiar
Published: October 2023

Asbab al-nuzul is a study in the science of the Qur'an that contains the reason for the descent of a verse in the Qur'an. A verse cannot be understood correctly unless it is understood by understanding the principle of the descent of the verse. So by reviewing in terms of asbab nuzul a verse will provide an explanation of the law. One verse that is often debated is related to takfir which affects the understanding of takfirism by some groups. This starts from understanding textuality in takfir verses without looking at the contextuality of the verse and its asbab an-nuzul. So how important is the knowledge of asbab an-nuzul in interpreting takfir verses in the Qur'an. The purpose of this study is to find out how the correct understanding of takfir verses in the Qur'an actually is. The research method used is qualitative research that is descriptive analysis using literature review. The results of this study answer that knowing asbab an-nuzul ayat al-Qur'an can be a solution to overcome takfirism
Nilai – Nilai Tradisi Turun Tanah Perspektif Masyarakat Di Desa Pangkalan Nyirih Kecamatan Rupat Kabupaten Bengkalis
Authors: Firnando Rizky , Zahara Siti
Published: October 2023

This article discusses the values of inherited traditions from the perspective of the people in Pangkalan Nyirih Village, Rupat. This tradition is one of the customs that is still adhered to and preserved from generation to generation by the people of the village. This study used a qualitative descriptive method using data collection techniques in the form of interviews, observation, and documentation. The results of the study show that the tradition of descending to the ground is carried out by children aged 7-9 months or more to introduce them to nature (land) as a foothold. In addition, this tradition also contains a religious meaning which teaches that humans were created from soil and will return to it. In this tradition there are values such as hospitality, religious, and social. These values strengthen brotherhood, ask God for blessings and health, and promote cooperation and mutual cooperation in society. This article concludes that the tradition of descending from the ground has important values in shaping cultural identity and strengthening social relations in the people of Pangkalan Nyirih Village. The advice given is the need to maintain and preserve this tradition so that it can continue to be a valuable part of the cultural heritage of the local community
Strategi Pengembangan Manajemen Peserta Didik Dalam Meningkatkan Mutu Pendidikan Di MTs Dar El Fathrizk Pekanbaru
Authors: Pradinata Putra Vebri , Algusyair Parisyi , Nurhayuni Nurhayuni , Afandi Muslim
Published: October 2023

Education is a very important need for every human being. The existence of an educational institution is no exception for students who will fill the institution with their various potentials, talents and interests. Students are raw materials that must be processed into intellectual beings who are able to compete in today's era, so that the purpose of education will be achieved by forming the character of students who are good, have good morals so that they can be accepted in society. In an educational institution, of course they have their own ways and strategies for improving school quality. This article discusses how schools improve the quality of education through student management by training students in various activity agendas, developing students' interests and talents and how strategies are in accepting new students
Supervisi Humas dan Ketatausahaan Pendidikan
Authors: Musdhalifa Dhea , Syaifudin Muhammad
Published: October 2023

ABSTRACT

The educational process is an interaction process that is carried out where the process aims to improve or add to the knowledge possessed by students. In addition, the educational process also aims to provide personality values ​​to students as well as life skills that are possible to have. To achieve this educational goal, the school cannot be separated from its relationship with the community. In a simple relationship can be interpreted as a process of communication. Or in other words a process of conveying news from one person to another. The community here can be in the form of parents, students, agencies or organizations in the community. Meanwhile, educational officials can be in the form of school principals, teachers, and staff related to the school. It can be concluded that the relationship between the school (educational apparatus) and the community is based on cooperation, not one-sided, but a reciprocal relationship in order to achieve the expected educational goals. Administration is a part of the school that functions as a support for teaching and learning activities so that they run smoothly according to what has been planned and can be achieved as desired. With the development of the era that is now better known as the era of globalization, administrative functions must be improved. Administration is important because administration can help and facilitate other subsystems such as student affairs, curriculum, personnel administration, and others