bluuebunny/crossref_metadata_2025 huggingface dataset:
Estrategias didácticas para estimular la competencia de indagación científica en niños del nivel inicial
Authors: Ipanaqué Gonzales Yolanda Isabel , Villanueva Quispe Wilma , Meza López Vicente , Colque Díaz Eloy
Published: March 2023

El avance del pensamiento científico y la tecnología ha ocasionado cambios de vida en la sociedad; en tal sentido, se requiere optimizar la enseñanza de las ciencias. Los estudios demuestran que las estrategias didácticas no son pertinentes en su aplicación. El objetivo de la investigación fue determinar el nivel de estimulación en la aplicación de las estrategias didácticas en la competencia de la indagación científica en el nivel inicial. El estudio fue de un enfoque cuantitativo, de tipo aplicada, con diseño pre experimental, aplicando un programa de intervención pedagógica de 14 sesiones, monitoreado a través de clases sincrónicas por la plataforma zoom, realizado en una muestra de 15 estudiantes. Los resultados demostraron mejoras en la consolidación de los aprendizajes de las ciencias. En conclusión, la aplicación de las estrategias didácticas estimula la competencia de indagación científica en niños del nivel inicial.
Gestión del Conocimiento en Organizaciones 4.0
Authors: Tasayco-Jala Abel Alejandro , Rojas-Gutiérrez William Jesús , Rouillon-Apagüeño Joahiño Ricardo Fernando
Published: March 2023

En la actualidad la Gestión del Conocimiento constituye un elemento importante en las organizaciones que se interesan por el desarrollo de las habilidades y destrezas de sus miembros, ya que esto les permite mejorar, lo que hace que esta gestión dentro de las instituciones cada vez sea más relevante. En este sentido, el objetivo es analizar la manifestación de la Gestión del Conocimiento en las organizaciones 4.0. Para ello, se realizó un estudio de naturaleza básica, de tipo cualitativo, con diseño fenomenológico y se empleó la técnica de la entrevista, esta se aplicó a 5 gerentes de organizaciones de este tipo, las cuales se analizaron a través de la triangulación en el software Atlas.ti. Los resultados obtenidos permitieron concluir que una adecuada Gestión del Conocimiento en las organizaciones 4.0 posibilita el desarrollo de sus colaboradores y por ende una mejor relevancia en el mercado.
Diseño de la infraestructura en la prestación del servicio educativo de las instituciones educativas públicas
Authors: Cadenillas Albornoz Violeta , Álvarez Contreras Carlos Demetrio , Castañeda Moreano Hoover
Published: March 2023

Se realizó un estudio bajo un diagnóstico del diseño de la infraestructura y la prestación del servicio educativo, que requiere de atención para reducir las brechas existentes en las instituciones educativas públicas. En el estudio se consideró el objetivo de establecer la incidencia de la percepción del diseño de la infraestructura en la prestación del servicio educativo de las instituciones educativas públicas. El enfoque de investigación se circunscribe en un enfoque cuantitativo, diseño no experimental y de alcance correlacional causal. La población estuvo determinada por 541 docentes de 14 instituciones educativas y mediante muestreo probabilístico se obtuvo una muestra de 225 docentes, representantes de las 14 instituciones educativas. Se aplicaron dos cuestionarios de la percepción del diseño de la infraestructura en la prestación del servicio educativo, contemplando que el Pseudo R2 de Nagelkerke fue de 0.593 y  se establece que el diseño de la infraestructura educativa incide en 59.3%  en las condiciones el servicio educativo; así mismo la dimensión optimización del diseño de infraestructura predice mejor el servicio educativo, debido a Wald= 10.115 y p= 0.001 y concluyó que existe incidencia significativa del diseño de infraestructura educativa en las condiciones del servicio educativo de las instituciones educativas públicas.
La politisation des identités régionales : perspectives ouest-européennes
Authors: Fournis Yann , Pasquier Romain
Published: March 2023

Le processus de politisation des identités régionales est une des figures marquantes de la question territoriale en Europe de l'Ouest. Cette dynamique bottom up s'incarne en particulier dans des organisations politiques - les partis régionaliste et nationaliste - dont les répertoires politiques sont structurés par la distinction ethnique et les revendications territoriales dans des États déjà existants. Ces dernières décennies, ces partis ont fortement gagné en influence au point de contraindre les élites politiques des plus grandes démocraties européennes à engager des réformes dans le sens de la décentralisation. Pour comprendre ces évolutions, la science politique dispose de différentes grilles de lecture. La première, dans la lignée des travaux pionniers de Stein Rokkan, analyse la construction et les transformations du clivage territorial. La seconde cherche à replacer la politisation des identités régionales dans le cadre plus large de la recomposition de la figure de l'État-nation.
L'action publique « par le bas » : l'approche LEADER en Europe centrale
Authors: Maurel Marie-Claude
Published: March 2023

Bottom-up public action: The LEADER approach in central Europe

A new local development model - LEADER (Links between Actions for the Development of the Rural Economy) - based on a bottom-up approach has introduced a completely new process in the formerly Communist countries of central Europe. The underway "Europeanization" process is a catalyst for transmitting this model of endogenous development, which seeks to develop the specific advantages of local areas and tap the initiatives conveyed by decentralized actors. The concept of "territorial governance" is part of this new approach to public interventions in a multilevel system. At the juncture between EU policies, national programs and bottom-up initiatives from local actors (elected officials, project leaders, etc.), an empirical approach must detect and interpret the new territorial structures involved in the changing governance of these areas. How is the model being transferred? With what effects? Empirical data are used to analyze the context wherein actors receive this EU model of local development and to assess its initial effects in terms of learning capacity.
Les sociétés rurales roumaines face à l'irruption des programmes de développement
Authors: Von Hirschhausen Béatrice
Published: March 2023

L'intégration des campagnes roumaines dans l'Union européenne se traduit par une profonde transformation des politiques rurales et par la mise en place de programmes de développement sans précédent dans le pays. Dans un premier temps, l'auteur rappelle le contexte économique et social de grande pauvreté et de désengagement de l'État qui avait prévalu jusqu'alors pour mieux souligner la nouveauté de ces politiques, financièrement bien dotées mais sollicitant l'initiative de sociétés rurales peu préparées à ce changement. Les priorités et les modalités d'intervention programmées par les plans de développement rural des périodes de préadhésion (programme SAPARD 2000-2006) et d'intégration (2007-2013) sont examinées ainsi que leurs premiers effets. L'analyse de la géographie différenciée de l'absorption des fonds européens permet de prendre la mesure des tensions entre les modèles de développement proposés et le contexte de leur application.
Skin cancer: some features of epidemiology and clinical at Hue Central Hospital and Hue University of Medicine and Pharmacy Hospital
Authors: Nguyen Thi Tra My , Le Thi Ngoc Trinh , Vo Tuong Thao Vy , Mai Thi Cam Cat , Nguyen Thi Thanh Phuong , Le Thi Thuy Nga , Mai Ba Hoang Anh
Published: March 2023

Background: Skin cancer is one of the most common cancers. Identifying some epidemiological and clinical features of patients with skin cancer helps to suspect and diagnose early. Materials and methods: 44 skin cancer patients visiting and treating at Hue Central Hospital and Hue University of Medicine and Pharmacy Hospital from May 2020 to April 2021. Results: Most of the patients were over 60 years old (68.2%), the mean age was 66.3 ± 15.7 years old; Men and women were equal; Percentages with frequent exposure to sunlight, chemicals, and artificial light were respectively 54.6%, 45.5% and 43.2%; Precancerous lesions were accounted for 43.2%; The rates of basal cell carcinoma and squamous cell carcinoma were equal (43.2%),
melanoma was lower (13.6%); Ulcers and bleeding were the most common lesions (accounting for 68.2% and 63.6%); The most common location was head - face - neck (54.5%); unique lesion was almost (88.6%); 54.6% of lesions were over 20mm in size; 31.8% having peripheral lymph nodes in clinical. There was relationship between kind of skin cancer and age; sex; kind, number and size of the lesion; peripheral lymph nodes in clinical (p<0.05). Conclusion: Skin cancer was common over 60 year-old patients, with frequent exposure to sunlight, chemicals, and artificial light; usually appearing in the head - face - neck area with ulcers and bleeding lesions.
Key words: Skin cancer, Basal Cell Carcinoma, Squamous Cell Carcinoma, Melanoma
Formulation of enteric-coated pellets containing diclofenac sodium by coating technology
Authors: Ho Hoang Nhan , Le Hoang Hao , Tran Tien , Do Nhat Huy
Published: March 2023

Background: Diclofenac sodium (DS) is a non-steroidal anti-inflammatory drug (NSAIDs) that has strong anti-inflammatory and analgesic effects, but it has many serious side effects on the gastrointestinal tract. Enteric-coated DS pellets have many advantages such as limited drug release in the stomach, with Eudragit L100 coating to help drug release in the intestines, avoiding side effects in the gastrointestinal tract. The aim of this study was to formulate enteric-coated pellets and to evaluate the physico-chemical properties of prepared pellets. Materials and methods: DS, HPMC, Eudragit L100 were used in this study. DS pellets were prepared using sugar spheres layered with DS followed by an enteric coat of Eudragit L100. Results: Prepared enteric-coated DS pellets by layering method using HPMC as a binding agent and Eudragit L100 as enteric-coated membrane to help pellets ensure the release of drug in the gastrointestinal tract. Pellets have a nice shape, the size range of 0.7-1 mm, the layering efficiency of 36.69%, the drug content of 8.84% ± 0.43% (w/w). The drug release was 3.59% after 2h in acidic environment of pH 1.2 and 84.9% after 1h in phosphate buffered saline of pH 6.8. Conclusions: Enteric-coated pellets of DS were successfully prepared by using coating technology.
Key words: diclofenac sodium, pellet, coating technology
Study on molecular subtypes and correlation between molecular subtypes and histopathological features in invasive breast cancer
Authors: Nguyen Phuong Thao Tien , Tran Anh Hung , Nguyen Van Mao , Dang Cong Thuan , Le Van Tam , Vo Thi Hanh Thao , Nguyen Phan Quynh Anh , Nguyen Pham Phuoc Toan , Marras Vincenzo , Tanda Francesco
Published: March 2023

Background: To determine the molecular subtypes and correlation between molecular subtypes and histopathological features in breast cancer in Vietnam and Italy. Material and method: 88 patients with invasive breast carcinoma (BC) in both Hue Central Hospital and Hue University Hospital in Vietnam during 1 year from April 2016 to April 2017 as well as 235 patients from the same category of women in Sassari University Hospital, Italy during the year 2016 were collected. All patients were examined for immunohistochemistry (IHC) with four markers ER, PR, HER2, and Ki67. The immunofluorescence in situ hybridization (FISH) test was applied for cases with HER2 (2+)/ IHC. Results: Breast cancer in Vietnam had the highest Luminal B (LB) rate, at 37.5%, followed by HER2 enrich (22.7%) and triple-negative breast cancer accounting for 21.6%. Luminal A (LA) accountd for the lowest proportion (18.2%). In contrast, breast cancer in Italy has the highest rate of Luminal A (54%), LB accounted for 34.5%, triple-negative occupied 10.6% and HER2 enrichment has a very
low rate (0.9%). There was a statistically significant correlation between molecular subtypes and pathological features such as histologic grade, axillary lymph node, and stage of disease in both Vietnamese and Italian groups (p<0.005). Most breast cancers in Vietnam and Italy belong to the Luminal A with low histologic grade, early-stage disease, and no metastasis. No statistically significant association was found between molecular subtypes and tumor size in the Vietnamese breast cancer group. By contrast, this association was statistically significant with p<0.05 in Italy. Conclusion: There is a significant difference in the molecular subtypes and the correlation between molecular subtypes and histopathological features between Vietnamese and Italian breast cancers. The two more common subtypes in Vietnam are LB and HER2, while in Italy they are LA and LB. The rate of HER2 subtypes in Vietnam is much higher than in Italy
Key words: Invasive breast carcinoma, molecular subtype, Vietnam, Italy
Synthesizing Metal Oxide Semiconductors on Doped Si/SiO
2
Flexible Fiber Substrates for Wearable Gas Sensing
Authors: Niu Feng , Zhou Fugong , Wang Zhixun , Wei Lei , Hu Jie , Dong Lei , Ma Yifei , Wang Mei , Jia Suotang , Chen Xuyuan , Tong Zhaomin
Published: March 2023

Traditional metal oxide semiconductor (MOS) gas sensors have limited applications in wearable devices owing to their inflexibility and high-power consumption by substantial heat loss. To overcome these limitations, we prepared doped Si/SiO
2
flexible fibers by a thermal drawing method as substrates to fabricate MOS gas sensors. A methane (CH
4
) gas sensor was demonstrated by subsequently in situ synthesizing Co-doped ZnO nanorods on the fiber surface. The doped Si core acted as the heating source through Joule heating, which conducted heat to the sensing material with reduced heat loss; the SiO
2
cladding was an insulating substrate. The gas sensor was integrated into a miner cloth as a wearable device, and the concentration change of CH
4
was monitored in real time through different colored light-emitting diodes. Our study demonstrated the feasibility of using doped Si/SiO
2
fibers as the substrates to fabricate wearable MOS gas sensors, where the sensors have substantial advantages over tradition sensors in flexibility, heat utilization, etc.
Pengembangan Perangkat Pembelajaran Tematik SD Kelas IV
Authors: Faeza Rezi S  , Hariyandi Andriyas , Buana Wira
Published: March 2023

The thematic learning model has a scientific approach that is essentially a scientific approach where the learning process will be more meaningful if the child experiences what he is learning. The implementation of the elementary thematic learning curriculum is a tendency to return to the initial thought that students will learn better when the environment is created naturally. Teachers must place students as the center of all learning activities so that they are able to explore material and enrich their learning experiences. Thus a thematic learning tool for SD Class IV is designed as a guide for teachers and students to learn based on a thematic curriculum. This research is a type of research and development that aims to measure the validity, practicality and effectiveness of developing thematic learning devices for Class IV SD. The research and development model used is 4-D (four D Models). This model consists of 4 stages, namely define, design, develop, and disseminate. The test subjects in this development research were 5 teachers at SDN 03 Alai Padang, 2 teachers at SDN Experiment Padang and 30 students in grade IV.b at SDN 03 Alai Padang. Based on the results of the validity test conducted by the expert, the development of thematic learning tools for SD class IV obtained an overall average of 87.16% which is in the very valid criteria. The practicality test result is 93.37% which is in the very practical criteria. Furthermore, the effectiveness test can be seen from the results of student learning before (pre-test) and after (post-test) trials at 3.86% which are at an effective level for use
OPTIMIZING THE EFFICIENCY OF MEDICATED TERMINATION OF SHORT-TERM PREGNANCY
Authors: MALYUK V.V. , SHCHURKO D.M. , SHCHURKO M.I. , LATII K.V.
Published: March 2023

According to the statistics of the Ministry of Health of Ukraine, a significant number of women in Ukraine terminate their pregnancies every year: 60% of them due to unwanted pregnancy and 40% - for medical reasons. The introduction of various modern methods of contraception, unfortunately, does not lead to a decrease in the frequency of abortions, and it remains quite high in our country today. The share of medical termination of pregnancy in different regions of Ukraine is 08-1.5% of the total number of abortions. It is the quality of medical care for short-term medical abortion that should be effective, affordable, patient-oriented, fair and safe, which contributes to increasing the availability of this method.

The purpose of the study is to investigate the effectiveness of the use of desaminooxytocin during medical termination of pregnancy in order to prevent early complications associated with the delay in the expulsion of elements of the fetal egg from the uterine cavity.

Research materials and methods. 170 women with a gestation period of 4+0 - 6+6 weeks were under supervision. For termination of pregnancy, each woman received 200 μg of mifepristone once (in the presence of a doctor), and later (after 21-24 hours) transbuccally 400 μg of misoprostol. A day after the procedure, a control ultrasound was performed. In order to complete and accelerate the evacuation of the contents of the uterine cavity, demoxytocinum in a dose of 50 IU (1 tablet) was administered transbuccally 4-6 times with an interval of every 2-3 hours.

The results. After using demoxytocinum in a dose of 2-3 tablets, 18 (10.6%) women had a complete evacuation of the elements of the fetal egg, in 2 (2.2%) – it was necessary to increase the dosage to 4-5 tablets, in 3 (1.8 %) - the dose was increased to 6 tablets. No significant difference was noted in repeated and primary pregnancies, no differences were noted depending on the age of the woman and the term of pregnancy.

Conclusions. The use of demoxytocinum during medical termination of pregnancy for the purpose of prevention of early complications associated with the delay in the expulsion of elements of the fetal egg from the uterine cavity is highly effective. Efficiency in the study was 97.8%.
THE INFLUENCE OF AN INFECTIOUS AGENT ON THE DEVELOPMENT OF HYPERPLASTIC PROCESSES OF THE ENDOMETRY IN THE EARLY REPRODUCTIVE AGE
Authors: NIKITINA I.M. , MYKYTYN K.V. , GORBAN N.YЕ.
Published: March 2023

The problem of hyperplastic processes of the endometrium (HPE) in women of reproductive age is a potential cause of reduced fertility and the risk of developing oncological pathology, which has been steadily increasing in recent years, attracting the increased attention of clinicians.

The aim: to analyze the role of an infectious agent in the development of hyperplastic processes of the uterine mucosa in women of early reproductive age for the formation of risk groups for the occurrence of endometrial hyperplasia and polyps.

Materials and Methods: 90 patients in early reproductive age were examined, who were divided into groups: the main group included patients with histologically verified atypical hyperplastic pathology of the endometrium (polyps of the uterine body and atypical hyperplasia of the endometrium) (n = 60). The control group consisted of 30 healthy volunteer patients of the same age category. The patients of the main group underwent a diagnostic hysteroscopy with endometrial biopsy, material was collected from women of the control group with prior consent using Peipel-biopsy with subsequent examination of the material. Bacteriological analysis of the material from the uterine cavity included the study of aerobic and anaerobic flora using a set of selective differential diagnostic nutrient media.

Results and Discussion: Data on the role of microbial and viral factors in the development of atypical endometrial hyperplasia in women of early reproductive age are given. The structure of microbial insemination of the uterine cavity in such women has been established. Cytomegalovirus antigens in hyperplastic endometrium were found in 38.3 % of cases. The obtained data make it necessary to carry out high-quality infectious screening for the formation of risk groups regarding the occurrence of hyperplastic changes of the uterine mucosa.

Conclusions: In patients of early reproductive age with atypical hyperplasia of the endometrium, the persistence of bacterial agents in the uterine cavity in insignificant concentration was noted in all examined, viral - in 38.3 %, which reflects the significant etiological role of bacterial and viral infection, which participates in the implementation of the inflammatory process and formation of hyperplastic pathology. Pathogenetic features of bacterial-viral infection of the genital tract of patients with hyperplastic endometrial pathology determine the need for high-quality infectious screening with the formation of risk groups and subsequent etiopathogenetic treatment.
La heterogeneidad de los contextos rurales y las escuelas de jornada extendida en tiempos de pandemia: posibilidades y condicionamientos
Authors: Romero Lorena , Colignon Lorena , Rougier María Elena
Published: March 2023

El estudio tiene como propósito describir algunas particularidades de los espacios rurales en los que se localizan siete escuelas primarias de la provincia de Entre Ríos, Argentina, denominadas escuelas Nina, estas ampliaron su jornada escolar en el año 2015 y posteriormente, durante la pandemia por la covid 19, debieron resignificar la organización de sus tiempos y sus propuestas. A escala global, en 2020, los tiempos de excepcionalidad trastocaron la vida cotidiana escolar, exigiendo adecuaciones que pasaron de un modelo pedagógico centrado en la presencialidad a propuestas situadas en espacios domésticos, escenarios totalmente inéditos. A su vez, las escuelas de contextos rurales se encontraron más limitadas y/o posibilitadas por las propias condiciones regionales y locales, siendo estos aspectos los que también se abordarán en el presente escrito. El mismo, se inscribe en un Estudio Federal impulsado en 2021 por el Ministerio de Educación de la Nación Argentina. En Entre Ríos, el tema objeto de estudio fue Los saberes de las escuelas Nina, en contextos rurales, en tiempos de pandemia por Covid 19, abordado desde el enfoque metodológico cualitativo.
A menedzserkapitalizmustól a kultúrharcig: A képzőművész-szövetségek válsága a kilencvenes években
Authors: Huth Júliusz
Published: March 2023

A nyolcvanas évek elejétől a művészeti intézményrendszerben jelentős változások zajlottak le mind a hazai és a nemzetközi reprezentációban, mind pedig a gazdasági és az adminisztrációs szisztémában. Miközben egyre nagyobb ütemben zajlott a művészeti élet piaci átalakítása, a nyugati elvárásoknak megfelelni kívánó késő-kádári művészetpolitika egyre nagyobb teret adott a korábban marginálisan kezelt, nemzetközi kortárs tendenciákat követő művészeknek a hivatalos intézményekben. 1989 után ezek a folyamatok felgyorsultak, aminek eredményeképpen az újonnan kialakuló művészeti mező győztesek és vesztesek táboraira bomlott és a (Bourdieu-i kifejezéssel élve) a mezőben kialakítható és elfoglalható pozíciókért folyatott küzdelmek csataterévé változott. Doktori disszertációmban a Műcsarnok, valamint a Magyar Képző- és Iparművészek Szövetsége között zajló szalonkiállítások körüli viták szűrőjén keresztül vizsgálom a formálódó művészeti mező főbb konfliktusait. Jelen tanulmányban1 a késői Kádár-korszak képzőművészeti intézményrendszerének rövid bemutatása után az egykori Művészeti Alap utódszervezeteinek rendszerváltás utáni történtét, valamint a Szövetség és a Műcsarnok konfliktusait igyekszem felvázolni.
A mozaikcsaládokban élő gyermekek és szüleik: Attitűdök vizsgálata az újraszerveződött családok struktúrájában
Authors: Juhászné Fazekas Zsuzsanna
Published: March 2023

E tanulmány a mozaikcsaládban élő gyermekek családban elfoglalt helyzetével, valamint a nem vér szerinti szülők gyermeknevelési attitűdjeinek vizsgálatával foglalkozik. A tanulmány alapját egy 2020-ben elvégzett interjús kutatás adja, amelynek keretében 40 mélyinterjút készítettünk el olyan férfiakkal és nőkkel, akik újjászerveződött családstruktúrában élnek. Négy interjú olyan felnőttekkel készült, akik gyermekként mozaikcsaládban nőttek fel. A kutatás főként a mozaikcsalád-szerkezetre, a családi kapcsolatok rendszerére, a gyermekek családban való helyzetére fókuszált. Az eredményeink azt támasztották alá, hogy a mozaikcsaládokban élő gyermekek helyzetét meghatározzák azok a folyamatok, amelyek az eredeti család felbomlásával, és az újraszerveződött család létrejöttével kapcsolatosak. Az újraszerveződött családi struktúrában a nem vér szerinti szülő (nevelőszülő) gyermekneveléssel kapcsolatos attitűdjei meghatározónak bizonyultak abban a kérdésben, hogyan tudtak a gyermekek beilleszkedni az új családszerkezetbe.
Surgical restoration of interocclusal space and maxillary sinus floor elevation for prosthetic purposes
Authors: Sugio Carolina Yoshi Campos , Garcia Amanda Aparecida Maia Neves , Alves Patrick Henry Machado , Almeida Ana Lucia Pompeia Fraga de , Porto Vinícius Carvalho , Soares Simone , Nepplenbroek Karin Hermana
Published: March 2023

Aim: To report on a surgical procedure with osteotomy in the posterior region of the maxilla and lifting of the maxillary sinus floor for the installation of implants and rehabilitation with implant-supported crowns.
Case report: A 54-year-old female patient was admitted to the dental clinic, complaining that she was dissatisfied with her smile and the missing teeth. After the clinical, radiographic, and tomographic examinations, a well as a case study of a semi-adjustable articulator, multidisciplinary planning was carried out using surgical, endodontic, periodontic, orthodontic, and prosthetic approaches. A lack of interocclusal space was observed in the posterior region of the maxilla. After osteotomy in tuberosity, maxillary sinus lift using an autogenous bone graft was performed, and three implants were installed. After the osseointegration period, provisional crowns were placed, followed by definitive metal-ceramic crowns.
Conclusion: The surgical techniques used in this clinical case made it possible to install implants in a single clinical session for prosthetic rehabilitation.
Fatores clínicos e socioeconômicos relacionados à má oclusão em adolescentes brasileiros
Authors: Battaglia Gabriela , Fonseca Emílio Prado da , Oliveira Júnior Alcir José , Meneghim Marcelo de Castro
Published: March 2023

Objetivo: Testar as associações da má oclusão (MO) com as variáveis clínicas odontológicas e socioeconômicas em adolescentes brasileiros de 15 a 19 anos.
Métodos: Trata-se de um estudo observacional transversal analítico que utilizou os dados do relatório final da Pesquisa Estadual de Saúde Bucal do ano de 2015.
Resultados: Adolescentes não brancos, com baixa escolaridade, com menor frequência de consultas ao dentista e com dentes extraídos por cárie tiveram, respectivamente, 1,32, 1,32, 2,02 e 1,63, e 1,40 vezes mais chance de apresentar MO.
Conclusão: A MO é um problema de saúde pública e sofre influência dos determinantes socioeconômicos, deste modo, deve-se garantir o acesso ao tratamento ortodôntico para aqueles que apresentem maior vulnerabilidade social e, consequentemente, maior susceptibilidade aos agravos em saúde bucal.
Pengaruh Moral dan Kapabilitas Karyawan Terhadap Komitmen Kerja Implikasinya Terhadap Organizational Citizenship Behavior pada Bank Sumut Kantor Pusat Medan
Authors: Fadjar Maulana , Matondang Abdul Rahim , Absah Yeni
Published: March 2023

Penelitian ini bertujuan untuk menguji pengaruh moral dan kapabilitas karyawan terhadap komitmen kerja serta implikasinya terhadap organizational citizenship behavior pada Bank Sumut Kantor Pusat Medan. Metode penelitian yang digunakan pada penelitian ini adalah kuantitatif. Objek penelitian adalah karyawan di Bank Sumut Kantor Pusat Medan. Dalam penelitian ini populasi adalah seluruh karyawan pada Bank Sumut Kantor Pusat Medan yang berjumlah 2.217 orang (kecuali security, office boy, dan driver). Sampel penelitian ini adalah 320 sampel. Teknik analisis yang digunakan Structural Equation Modelling (SEM). Hasil penelitian menunjukkan moral dan kabapibilitas berpengaruh terhadap komitmen kerja. Moral, kapabilitas, dan komitmen kerja berpengaruh terhadap organizational citizenship behavior. Komitmen kerja memediasi secara parsial pengaruh  moral dan kabapibilitas terhadap organizational citizenship behavior.
Analisis Kualitas Pelayanan (Servqual) dalam Meningkatkan Minat Beli Ulang Pelanggan Kafe “Selasa_Communa”, Kota Medan
Authors: Nugraha Raditiya Eka , Sinulingga Sukaria , Sembiring Meilita Tryana
Published: March 2023

Berkembang pesatnya kafe kopi di Kota Medan seiring dengan semakin meningkatnya minat kaum muda untuk konsumsi kopi mendorong berdirinya kafe “selasa_communa”. Namun, grafik penjualan sepanjang 2 tahun terakhir mengalami penurunan. Hal ini mendorong untuk dilakukan penelitian mengenai analisis Kualitas Pelayanan (ServQual) dalam meningkatkan Minat Beli Ulang. Metodologi penelitian yang digunakan adalah deskriptif kuantitatif dengan pendekatan Analisis Regresi Berganda untuk menjawab hipotesis penelitian. Populasi penelitian ini adalah seluruh pelanggan dengan total sampel penelitian sebanyak 125 orang. Hasil penelitian menemukan bahwa secara parsial Reliabilitas, Daya Tanggap, Empati dan Jaminan masing-masing variabel berpengaruh terhadap Keputusan Pembelian, sedangkan semua variabel secara simultan berpengaruh terhadap Minat Beli Ulang.
A Convolutional Neural Network Study on Depression and Eye Blink Analysis
Authors:   College of Computer Studies, Technological Institute of the Philippines, Manila, Philippines, Dadiz Bryan G. , I.Regla Alfio ,   College of Computer Studies, Technological Institute of the Philippines, Manila, Philippines
Published: March 2023

This study is determining the correlation of human blinks relating to depression. The study uses convolutional neural network for detecting blinks in a video. Using Closed Eyes in the Wild dataset the Convolution Neural Network model was trained having 99.24% in training accuracy and 0.0275 loss from epoch of 50. However, the results from validation of the model resulted 61.09% tested from two datasets that where labelled with BDI-II depression scale. The study collated the results of recorded blinks from the video datasets and it showed that there is a weak positive correlation of the recorded blinks computed as blinking rates to depression. The result showed that the r2 score was 0>3.4 thus, there is a possibility but not the highly indicator of depression.
Impacto da renda na demanda de proteína animal no Brasil: uma análise regional
Authors: Siqueira Pedro Henrique Moura , Oliveira Therys Senna de Castro , Siqueira Kennya Beatriz , Faria Weslem Rodrigues , Carvalho Glauco Rodrigues
Published: March 2023

O Brasil é um país de expressiva participação no mercado de proteínas de origem animal no mundo, um caminho que vem sendo traçado há muitos anos. Por isso, a presente pesquisa teve como objetivo avaliar o impacto da renda sobre o consumo de carnes, vísceras, pescados, aves, ovos, leite e derivados nas cinco grandes regiões do Brasil ao longo do tempo. Para tal, foram utilizados dados da Pesquisa de Orçamentos Familiares (POF), realizada pelo Instituto Brasileiro de Geografia e Estatística (IBGE) nos períodos de 2002–2003, 2008–2009 e 2017–2018, utilizando o método Mínimos Quadrados Ponderados e, como fator de ponderação, a população em cada faixa de renda. Foi constatado que todas as regiões possuem dados em comum, como a maior elasticidade média para o grupo de leites e derivados. Há, porém, diferenças em relação ao maior dispêndio de certas proteínas, como ocorre para pescados na região Norte. Nas demais regiões, o maior foi para carne de boi de primeira.
Treatment of Anconeus Epitrochlearis- Induced Cubital Tunnel Syndrome With Ultrasound-Guided Hydrodissection
Authors: Chang Chien George , Marcolina Austin , de Castro Jeimylo
Published: March 2023

BACKGROUND: Cubital tunnel syndrome is the second most common cause of peripheral nerve entrapment in the upper extremity, trailing only carpal tunnel neuropathy. While the roof of the cubital tunnel is most often formed by Osborne’s ligament, the anomalous, evolutionary remnant muscle, the anconeus epitrochlearis, has been previously identified as a potential cause of cubital tunnel syndrome. CASE REPORT: A 45-year-old female physical education coach noted bilateral upper extremity pain, numbness, paresthesias, and early onset exercise fatigue originating at the medial elbow and radiating down the ulnar nerve distribution. Sonographic evaluation showed evidence of a hypertrophic anconeus epitrochlearis in the right upper extremity causing compression of an enlarged, bifid ulnar nerve. The patient was treated with 3 separate ultrasound-guided hydrodissection injections, which resulted in complete resolution of her symptoms and a decrease in the ulnar nerve cross-sectional area on sonographic evaluation at 24-week follow-up. CONCLUSION: A hypertrophic anconeus epitrochlearis can cause cubital tunnel syndrome and ultrasound-guided hydrodissection is a potentially efficacious surgery-sparing treatment option. KEY WORDS: Cubital tunnel syndrome, hydrodissection, ulnar neuralgia, ultrasound
Spinal Cord Stimulation of the Sacral Region as a Treatment for Intractable Coccygodynia: A Case Study
Authors: Haddad Hannah Waleed , Elkersh Mohamed , Hankey Paul , Kaye Alan
Published: March 2023

BACKGROUND: Coccygodynia is a notoriously difficult condition to manage. Spinal cord stimulation (SCS) may be a promising therapeutic option for those suffering from chronic coccygeal pain. To our knowledge, there are limited reports of using SCS to target the sacral region for the treatment of intractable coccygodynia. CASE REPORT: A 50-year-old woman with refractory coccygodynia underwent permanent implantation of an SCS device following a successful SCS trial. SCS leads were inserted using a retrograde approach to target S2-S4 bilaterally. During follow-up, the patient reported > 90% improvement of coccygeal pain and her selfreported quality of life dramatically improved. CONCLUSION: This case report describes the successful use of the sacral region as a target for SCS in the management of intractable coccygodynia. SCS may be considered an effective treatment option when all other conventional methods have failed. KEY WORDS: Coccygodynia, neuromodulation, sacral nerve stimulation, spinal cord stimulation
Development of Psoas Hematoma After Lumbar Sympathetic Block in a Patient on Anticoagulants
Authors: Metzger Chad , Liu Alison , Wang Christopher , Gordin Vitaly
Published: March 2023

BACKGROUND: Lumbar sympathetic blocks (LSB) play an important role in the therapeutic management of patients who suffer from neuropathic pain conditions such as complex regional pain syndrome (CRPS). LSB is a generally safe and well-tolerated procedure, however rare complications may occur. While case reports of iliopsoas hematomas related to bleeding disorders, surgical interventions, and trauma are well reported in the literature, similar complications after LSB have not been reported. CASE REPORT: Development of an 18 x 6.1-cm hematoma in the left iliopsoas muscle after a fluoroscopically-guided LSB in an anticoagulated patient despite following recommended periprocedural anticoagulation management guidelines resulted in pain, impaired mobility, and likely femoral neuropathy. CONCLUSION: Pain management physicians should be aware that hematomas are a possible complication of LSB and should weigh the risks and benefits of holding anticoagulation therapy in patients undergoing such procedures. KEY WORDS: Anticoagulation, complex regional pain syndrome, hematoma, lumbar sympathetic block, lumbar sympathetic block complications
Three Cases of Intractable Chronic Hand Pain Successfully Treated With Pulsed Radiofrequency Guided by Ultrasound and Sensory Nerve Stimulation Test
Authors: Jinno Maho , Shibata Yasuyuki , Nishiwaki Kimitoshi
Published: March 2023

Background: Pulsed radiofrequency (PRF) is widely used as a safe and effective method against chronic pain. However, the detailed description showing a reliable effect on intractable chronic peripheral neuralgia is not clear. Case Report: We experienced 3 cases of chronic intractable peripheral neuralgia, in which long-term pain relief of 2 months was obtained. This relief was achieved by performing PRF at a position (target point) where the sensory nerve stimulation from the needle tip coincided with the painful area. Conclusions: This report suggests that a nerve block at the target point may be important in PRF for peripheral nerves. From our experience, there was a dermatome-like distribution map of the skin in the peripheral nerves, and it was presumed that PRF was effective at the target point. Key words: Pulsed radiofrequency, peripheral nerve, chronic pain, sensory test, target point, dermatome
Minimally Invasive Peripheral Neuromodulation for Postamputation Stump Neuroma: A Case Report
Authors: Bailey David , Brandon Cameron , Daggubati Lekhaj , Rizk Elias
Published: March 2023

BACKGROUND: Postamputation neuromas are a significant cause of pain and suffering in amputees. In patients who are nonresponsive to medical therapy, open surgery is often required but has limited efficacy. CASE REPORT: Here we present a case of the successful use of percutaneous peripheral nerve stimulation in a 77-year-old man with a postamputation neuroma that was refractory to medical therapy. He had significant pain reduction allowing a return to his daily activities. CONCLUSION: This case report demonstrates that peripheral nerve stimulation may reduce pain in patients with postamputation neuroma. Percutaneous peripheral nerve stimulation is a promising treatment to reduce pain and improve patient function without irreversible manipulation. KEY WORDS: Case report, neuromodulation, peripheral nerve stimulation, postamputation pain, stump neuroma
КОГНИТИВНОЕ, СЕМАНТИЧЕСКОЕ И ПРАГМАТИЧЕСКОЕ ВЛИЯНИЕ УЗБЕКСКОГО ЯЗЫКА НА РУССКИЙ ЯЗЫК
Authors: POPOV Dmitry
Published: March 2023

Цель данной работы заключается в изучении влияния узбекского языка на русский и выявлении изменений, произошедших в русской языковой картине мира под влиянием узбекского языка. Основное содержание исследования составляет анализ речевых единиц, употребляемых в русском языке и появившихся под влиянием узбекского языка. В статье рассмотрены конкретные примеры употребления узбекских слов в произведениях художественной литературы и в разговорной речи. При проведении исследования применены методы наблюдения, обобщения и сравнительного анализа. На основе изучения когнитивного, семантического и прагматического влияния узбекского языка на русский язык и языковое сознание русских установлено, что узбекский язык оказывает влияние на языковую картину мира людей, проживающих в узбекской среде, и у которых русский язык является родным языком. Заимствованные узбекские слова занимают определенное место в лексическом фонде русского языка. Автору удалось обновить проблематику взаимодействия и взаимовлияния узбекского и русского языков; по итогам исследования автором сделан вывод о том, что сосуществование в пределах одного государства носителей узбекского и русского языков оказало когнитивное, семантическое и прагматическое воздействие на русскую языковую картину мира.
ADABIY TILDAGI LEKSIK BO‘SHLIQLARNI TO‘LDIRISHDA TARIXIY SO‘ZLARDAN FOYDALANISH
Authors: KHASANOV Abdumannon
Published: March 2023

Maqolada til leksikasidagi bo‘shliqlarni tarixiy so‘zlar bilan to‘ldirish masalalasi tahlil qilingan. Leksik bo‘shliqlarni to‘ldirish imkoniyatiga ega bo‘lgan so‘zlarni tarixiy manbalardan izlab topish va bugungi kundagi muayyan ahamiyatli tushunchani nomlash uchun safarbar etish tilshunoslikning muhim vazifalaridan biri. Chunonchi, tilni asrlar osha barqaror leksik fond bilan saqlanib qolishi diaxron va sinxron leksika mushtarakligiga va muntazamligiga bog‘liq. Ushbu maqola orqali o‘zbek adabiy tili leksikasini ichki manbalar bilan boyitish masalalarini o‘rganishga va mazkur jarayonda tarixiy so‘zlarni til leksikasida qayta faollashtirish muammolariga e’tibor qaratilgan. Tarixiy davrda qo‘llanilgan ayrim so‘zlarning bugungi kunda o‘z ifodachisi bo‘lmagan tushunchalar — leksik bo‘shliqlarni nomlash imkoniyatlari xususida ayrim mulohazalar bildirilgan. Tarixiy davrda qo‘llanilgan va bugungi kunda qo‘llanilishdan to‘xtagan ayrim so‘zlarning arxaiklashishi va bunga sabab bo‘luvchi omillar haqida ham ba’zi fikrlar yuritilgan. Tadqiqotning maqsadi sifatida bunday so‘zlarni bugungi so‘zlashuv jarayonlarida ham ommalashtirish va shu orqali ularni til leksikasida qayta faollashtirish haqida muhim tavsiyalar berilgan. Tahlilga tortilgan so‘zlarning lisoniy va ijtimoiy ahamiyatini tavsiflash orqali ularning bugungi kundagi lingvistik ahamiyati ko‘rsatilgan. Semantik tahlil va qiyoslash usuli orqali mazkur so‘zlarning leksik bo‘shliqlarni to‘ldirishdagi imtiyozli jihatlari tavsiflanib, ularni adabiy tilning me’yoriy lug‘atlariga kiritish uchun tavsiyalar ishlab chiqilgan. Bunday tarixiy so‘zlarni til leksikasida qayta faollashtirishning milliy va amaliy ahamiyati ta’kidlangan.
A CLINICORADIOLOGICAL STUDY TO EVALUATE CONCOMITANT INJURIES IN ANTERIOR CRUCIATE LIGAMENT INJURED PATIENTS
Authors: N. G Harikrishnan , Das Hemjit , M Unnimaya , Pandey Devesh
Published: March 2023

Introduction: The anterior cruciate ligament (ACL) is a major stabilizer of the knee and so it is constantly injured . Purpose of this study was to
evaluate concomitant injuries associated with ACL tear with respect to age, sex and duration since injury. This is a Materials and Methods:
hospital based cross-sectional study conducted in 70 ACL injured patients of age group 19-50 years. Clinical tests to detect ACL and other soft
tissue injuries of knee joint were carried out and positive ndings are further evaluated and conrmed with MRI. 64.29% cases of ACL Results:
injury were associated with other concomitant soft tissue injuries. The most common concomitant injury was medial meniscus tear which was
associated with 45.71% cases and second commonest was lateral meniscus injury accounting for 37.14% cases. The prevelance of medial meniscus
injury increases with increasing duration since trauma and this association was found to be statistically signicant . Concomitant injuries were
more frequent in patients who presented late after trauma and in older age groups and these associations were found to be statistically signicant.
Conclusion: The high prevalence of concomitant injuries to the ACL found in this study points to the necessity for further investigation of injury to
adjacent soft tissues in ACL injured patients so that more appropriate therapeutic practices can be implemented before and after the surgery
TREATMENT OF PROXIMAL HUMERUS FRACTURES USING PHILOS PLATE: A RETROSPECTIVE REVIEW OF RECORDS IN A TERTIARY CENTER IN NEPAL
Authors: Shah Jitendra , Mishra Dipendra , Bahadur Gurung Yam , Chaudhary Pashupati
Published: March 2023

Introduction Treatment of proximal humerus fractures always holds a dilemma for the treating surgeon. Many treatment options are available for
its management. This retrospective review of records aimed to assess the functional outcome of proximal humerus fractures treated with Proximal
Humerus Internal Locking System (PHILOS) plating. Fifty-three consecutive patie Material and Methods nts were treated with PHILOS plating
between August 2019 to August 2021. Adults 18-65 years with displaced closed fracture proximal humerus (displacement >1 cm and varus
angulation of >45) who underwent xation with PHILOS plate were included in this study. Severely comminuted fractures, open fractures and
valgus impacted fractures were excluded from the study. Patients with additional injuries to ipsilateral limb and other systems were also excluded.
Neer's scoring system was recorded for visit at 3,6 and 12 weeks The average Results age was 54.3±5.8 years. As per the Neers classication
system, there were 6 (11.32%) 1-part, 19 (35.85%) 2-part, 17 (32.085) and 11 (20.75%) 3 and 4-part fracture respectively. Average surgical
duration was 94±10.2 minutes. Radiological union was seen at 12±4.6 weeks. There were 2 (3.77%) cases of varus collapse. Three (5.66%) cases
had screw back out, which was later revised and had a favorable outcome. As per the Neer's scoring system, 7 (13.21%) cases had excellent results,
37 (69.81%) had satisfactory, 6 (11.32%) had unsatisfactory while 3 (05.66%) cases had poor outcomes. PHILOS plating has a good Conclusion
functional outcome. However, proper patient selection, thorough knowledge of the anatomy and biomechanical principles are the pre-requisites for
a successful surgery.
STUDY OF FACTORS RESPONSIBLE FOR DIFFICULT LAPAROSCOPIC CHOLECYSTECTOMY
Authors: Dagla Rajan , Bansal Neelesh , Singh Sandeep
Published: March 2023

Introduction: Cholecystectomy remains the most effective treatment for gallbladder disease when symptomatic. Since the introduction of
laparoscopic cholecystectomy, this approach has replaced the traditional open cholecystectomy. Laparoscopic Cholecystectomy was rst reported
in Germany (1985) and France (1987). Although not immediately universally adopted, laparoscopic cholecystectomy has revolutionized
minimally invasive surgery. Now Laparoscopic cholecystectomy has rapidly become the procedure of choice for gallbladder disease patients and is
currently the most commonly performed major abdominal procedure worldwide. Aims: The aim of this study is to assess the preoperative and
intraoperative predictors of difcult laparoscopic cholecystectomy. Materials and method: This Study was conducted for one and a half year at
Department of General Surgery, AIMSR, Bathinda. 100 patients were included in this study. Result: The study showed that, most of the patients
had no Conversion to open [93 (93.0%)] it was statistically signicant (p< .00001.). (Z=12.1622) and we also found that, higher number of patients
had POD2 Drain removal [60 (60.0%)] it was statistically signicant (p< .00001.). (Z=5.0064). Conclusion: In this study, most of the patients had
E Lap cholecystectomy. However, D Lap cholecystectomy followed by VD Lap cholecystectomy and lower number of patients had Conversion to
open which was statistically signicant