bluuebunny/crossref_metadata_2025 huggingface dataset:
May-Thurner syndrome: a review
Authors: Valderrama-Treviño Alan I. , Lacayo-Valenzuela Marlon , Olivares-Cruz Sandra , Escareño Hugo Laparra , Pittaluga Ernesto Pacheco , Barrera Germ´án E. Mendoza , Iglesias-González Pablo C. , Colón José A. Barajas , Barrera-Mera Baltazar
Published: January 2024

May-Thurner syndrome (MTS) is an underdiagnosed entity and level of suspicious should be raised during evaluation of deep vein thrombosis (DVT) of the left lower limb, especially in women between the third and fifth decades of life. To correctly identify MTS, high clinical suspicion, and imaging studies such as phlebography, magnetic resonance imaging (MRI), computed tomography (CT), and intravascular ultrasound are required. In correct clinical context, CT/MRI venography can be used to facilitate early diagnosis and treatment that includes pharmaco-mechanical thrombolysis with angioplasty and stenting, both of which minimize late morbidity from post-thrombotic syndrome.
California's community-based tobacco control initiatives: a collaborative approach in the United States
Authors: Ekwebene Onyeka Chukwudalu , Ekwebene Somto Gibson
Published: January 2024

California's Community-Based Tobacco Control Initiatives target smoking incidence through collaboration. Smoking has serious health and economic consequences, stressing the need for concerted action. The California Tobacco Control Program's smoking reduction success is discussed, focusing on socioeconomic differences. A comprehensive tobacco control strategy should involve multi-sector cooperation, according to the author. The planned collaboration comprises government, private corporations, public and civil society groups, health and social service providers, practitioners, and researchers. The strategy entails building a coalition including the California Department of Health, Community Counselors, Bill and Melinda Gates Foundation, and California Medical Association. The essay discusses coalition issues but also highlights their benefits, such as program capability and awareness.
Prospective analysis of diagnosis of women with mastalgia
Authors: Kalbande Shubham S. , Ramesh K. H. , Bahiramwar Shivani V. , Chollangi Tarun , Akther M. D.  Jawed
Published: January 2024

Background: Mastalgia is a common condition in women who present to the breast clinics or to the family doctors. It is a chronic problem that affects physical and social activity, work-school activities and sexual activity, and can last years. Therefore, the present study was conducted to determine the aetiology and diagnosis of patients presenting with mastalgia.
Methods: This was a hospital based prospective observational study. Total 80 women in reproductive age group who had symptom of mastalgia alone coming to department of general surgery, were taken as study subjects. Demographic, physical and disease characteristics along with ultrasonography (USG) and mammography imaging results analyzed.
Results: In present study the average age of patients in our study was 30.93±5.44 years and the mean body mass index (BMI) was of 23.79±2.92. Among cases 20% had complains of irregular menses, 77.5% had breastfed in past and 27.5% cases had history of benign breast diseases. Among cases 57.5% cases had non-cyclical breast pain, 42.5% cyclical breast pain and 58, 72.5% had unilateral breast pain. 53.17% had mild and 10% breast pain severe pain. As per the clinical findings, 32.5% cases were diagnosed with nodularity and 6.5% abscess. Sonography findings were in agreement with the clinical findings.
Conclusions: Mastalgia is one of the common symptom in females presenting to breast clinic. Benign breast disorders were commonly associated with mastalgia. Thus, it is very essential to diagnose the risk factors and underlying pathology in mastalgia cases by early diagnosis and prompt treatment of cases.
Colo-colic intussusception in an adult: case report and review of the literature
Authors: Skalkos Elizabeth , Shamavonian Raphael , Das Atandrila , Perera Shevy
Published: January 2024

Intussusception is rare in adults and is clinically distinct to its occurrence in the paediatric population. Appreciation of these differences by general surgeons is important in guiding management in the adult population. We report the case of a 37 year old presenting with abdominal pain and per rectal bleeding who was found to have transverse colonic intussusception on computed tomography (CT). Colonoscopy and biopsy confirmed a transverse colon adenocarcinoma for which he underwent laparoscopic extended right hemicolectomy. The existing literature around adult intussusception was reviewed. Intussusception presents non-specifically and often subacutely in adults, frequently being overlooked as a diagnosis in this population. Increased use of imaging, in particular CT, have improved preoperative diagnosis. Compared to the paediatric population where intussusception is overwhelmingly idiopathic, in adults it is often due to a pathological lead point, with a significant risk of underlying malignancy. Consequently, surgery without reduction is the mainstay of management in the adult population, in comparison to hydrostatic or pneumatic reduction in the paediatric population. Intussusception is a rare presentation in the adult population. It is commonly caused by a pathologic lead point and should raise suspicion of malignancy particularly when involving the colon. As a result, within the adult population, surgery is the mainstay of management, which can safely be performed laparoscopically.
Laparoscopic Heller myotomy after multiple endoscopic injections and dilations: a case report
Authors: Mahfouz Mohammad Eid M.
Published: January 2024

Achalasia is a primary esophageal disease that affects the esophagus and lower esophageal sphincter (LES). Many medications have been used for achalasia. However, adverse reactions and a prevailing absence of potency have been reported with these therapies. The best management leads to disturbing LES with endoscopic dilation or surgically. This is a 58-year-old woman with a 25-year history of achalasia who has experienced laparoscopic Heller myotomy (LHM) with Toupet fundoplication due to persistent symptoms despite previous endoscopic interventions. The procedure successfully addressed thickened LES muscle layers and achieved positive postoperative results, with the patient's Eckardt score dropping from >9 to <3. LHM with Toupet fundoplication proved its effectiveness in managing refractory type III achalasia. Despite concerns about postoperative reflux, the procedure offered substantial relief. Ongoing research will refine the balance between invasiveness and efficacy in such conditions.
Extrahepatic cholestasis arising from congenital biliary cistern adhesion: a case report
Authors: Hariyono Dedy C. , Ibrohim Ibnu Sina , Philo Richard
Published: January 2024

Biliary atresia (BA) is a progressive fibrotic obstructive condition that affects the biliary system, leads bile flow obstruction and the development of newborn jaundice. It is lethal if not treated, with a survival rate of less than 10% by the age of three. Bowel adhesions are anomalous bands of scar tissue that develop between bowel loops. The incidence rate for these bands remains uncertain. This study presents a 2-month-old infant with a progressive yellow discoloration dan diagnosed as BA. Intra operative colangiography was performed and congenital adhesions in the form of bands were discovered.
Acute cholecystitis with wild-type transthyretin systemic amyloidosis in the gallbladder: a case report
Authors: Chou Richard Yu-Cheng , Mc Clintock Colin , Oo Than-Htike , Liyanage Chandika
Published: January 2024

Amyloidosis is a rare disease involving the deposition of organised insoluble proteins in various body viscera, with the disease further classified into different subtypes. In exceedingly rare cases the literature has reported the presence of amyloid deposition in the gallbladder. We described the first documented case of wild-type transthyretin systemic amyloidosis involving the gallbladder, occurring in a 91-year-old female who presented with acute cholecystitis.
A rare case of intra-abdominal cystic lymphangioma: a case report
Authors: Parmar Kirit D. , Parikh Sameer , Soni Raj C. , Khatri Urvish
Published: January 2024

An intra-abdominal cystic lymphangioma is a rare benign tumour in adults' uncommon location, originating from lymphatic vessels. Here we present the rare case of 73 year old female presented with right upper abdominal pain, routine blood and radiological investigations done with contrast CT scan showed gastro intestinal stromal tumour over 2nd part of duodenum posteriorly, electively operated and solid cystic mass excised, histopathology showed cystic lymphangioma. The rare looking cystic mass in rare location showing gist/hydatid cyst on CT scan surgical excision showed cystic lymphangioma, where treatment is to excise the mass to prevent recurrence or complications.
Knowledge and attitude towards hypertension among female community health volunteers of Bharatpur Metropolitan: a cross-sectional study in Nepal
Authors: Adhikari Anita , Rajbanshi Manish , Phuyal Sujeeta , Aryal Richa , Neupane Dinesh Raj , Sapkota Ganesh , Banstola Sanju
Published: January 2024

Background: Hypertension is one of the major non-communicable diseases (NCDs) and becoming a serious public health problem globally. The rising burden of hypertension in Nepal requires a community-based intervention that can be provided through female community healthcare volunteers (FCHVs). Our study aimed to assess knowledge and attitudes towards the prevention of hypertension among FCHVs of Bharatpur Metropolitan (BM).
Methods: A community-based cross-sectional study was conducted and face-to-face interview was employed to recruit all the participants (n=207). Frequencies and percentages were used to describe the characteristics of the participants. An Independent t-test was used to determine the association between knowledge and attitude of hypertension with participants’ socio-demographical characteristics. All the tests were carried out at the statistically significant of p value <0.05.
Results: The majority of participants (40.6%) belonged to the age group 40 to 49 years. Education (7.7±1.5, p=0.001), religion (7.5±1.7, p=0.017,) and family history of hypertension (7.8±1.7, p=0.018) were statistically significant with the knowledge of hypertension. Similarly, education (9.6±0.9, p=0.000), and self-history of hypertension (9.5±0.7, p=0.014) of participants were statistically significant with the attitude of hypertension.
Conclusions: Despite having satisfactory knowledge and attitude on hypertension, some of the participants were unable to identify a systolic and diastolic range of blood pressure for hypertension, risk factors, and complications of hypertension. This study highlighted strengthening targeted orientation programs toward hypertension for the FCHVs to improve their knowledge and beliefs about hypertension.
Fear and depression among health care professionals: a cross-sectional study during COVID-19 pandemic in Bangladesh
Authors: Prima Sharmin H. , Jahan Israt , Atique Tanjina , Kaikobad M. N. , Ahmed M. R. , Sarker Mohammad Jahangir A. , Alam Faridul
Published: January 2024

Background: COVID-19 pandemic is a public health emergency of international concern that can result in severe mental health conditions like depression and fear in health-care professionals (HCPs).
Methods: A cross-sectional study was conducted, where 834 HCPs were self-recruited via social media. Multiple linear regression analyses were performed to identify predicting factors.
Results: Approximately one-third of the total participants were depressed (27.3%) and those with depressive symptoms had significant fear of COVID-19. Significant risk factors for depressive symptoms were being female, being married, having no children, having high risk elderly persons at home, being afraid of death due to COVID-19 and having comorbid diseases. Fear of death due to COVID-19 was the most common significant contributing factor the scales for depression model, β=0.397, for fear of COVID-19 model and β=0.478 respectively. Quality of PPE played a vital role for depression as majority of HCPs. About 65.3% of HCPs who were restless while examining a patient with flu symptoms and majority of HCPs who felt insecure about their family members.
Conclusions: Most of the HCPs faced several challenges during COVID-19 and psychological impacts of frontline HCPs were associated with interventions and rehabilitations to improve the mental health.
Pressure ulcer organs and related factors in patients hospitalized in intensive care units
Authors: Ghiami-Hoor Mehdi , Ghasemi Ahmad , Aboutalebi Ghasem , Hedayati Abdolmajid
Published: January 2024

Background: Pressure injuries are considered to be of important hospitalization side-effects, whereas it is projected that in the US 2.5 million patients get pressure injury treatments per year. These injuries cause a significant health burden for the patients and a seriously significant financial burden on the health-care systems around the world. The aim of this study was to investigate the prevalence of pressure ulcers and related factors.
Methods: This was a descriptive analytical study that has been done on 200 patients hospitalized on ICU. Necessary information was collected by a checklist and then analyzed by using SPSS v 22.
Results: 200 patients were selected to participate in this study which 82 of them were women. Mean age of the participants was 54.9 and mean BMI was 25±3.6. In this study, 47 pressure injury cases were reported. The most common place for pressure injuries were sacrum and foot heel. This study recognized the followings as a predicting factor for pressure injuries: higher age, higher BMI, female gender, longer hospitalization period, DM, smoking and alcohol consumption, prior infection, history of chemotherapy, history of radiotherapy, low level of position change program and using an organ facilitator like a ventilator.
Conclusions: With most of the mentioned risk factors for pressure injuries being underlying factors, it is advised that health-care strategist consider increasing education of the people and with healthier lifestyles it is possible to see less of burdens like this on the health-care system.
Dental caries and fissure sealant prevalence in first permanent molars among school boys aged 9 to 12 in Riyadh city, Kingdom of Saudi Arabia
Authors: Almajed Ibrahim M. , Alomran Ibrahim H. , Alkharji Faisal I. , Binakresh Abdulrahman I. , Almutairi Abdulhakim M. , Alhabeeb Khaled M.
Published: January 2024

Background: Dental caries is a major global public health concern. This study assessed dental caries prevalence and the use of fissure sealants on first permanent molars among Saudi Arabian boys aged 9–12 attending elementary schools to establish effective caries prevention strategies.
Methods: Cluster probability sampling was employed to select public and private male elementary schools from five distinct geographic regions in Riyadh city, KSA; 601 male students in the fourth grade (aged 9–10 years), fifth grade (aged 10–11 years), and sixth grade (aged 11–12 years) were included. Only the first permanent molars’ occlusal surfaces were evaluated. Data management was performed using Microsoft excel, statistical analyses were conducted using the statistical package for the social sciences (SPSS), and the chi-square test was utilized.
Results: The outcome demonstrated that 67.7% (n=407 children) had decayed, missing, or filled first permanent molars, indicating the presence of caries, while 32.3% (n=194) had caries-free first permanent molars. Only 6.8% (n=41) of children had received fissure sealants. At the tooth level, 37.7% (n=906) of examined teeth had decayed, and 8.1% (n=194) had fillings. The utilization rate of fissure sealants remained low at 3.9% (n=93), with 50.4% (n=1211) of first permanent molars remaining intact.
Conclusions: This cross-sectional study highlights a significant prevalence between caries and the limited utilization of fissure sealants on first permanent molars among Saudi Arabian boys, underscoring the urgent need for proactive preventative measures and educational initiatives.
Food taboo and food preference among the rural and urban lactating mothers of Paschim Medinipur district of West Bengal
Authors: Mitra Shreyosi
Published: January 2024

Background: Food taboo is a prohibition against consuming certain foods and food preference refers to the way in which people choose from among available comestibles on the basis of biological or economic perceptions including taste, value, purity, ease or difficulty of preparation, and the availability of fuel and other preparation tools.  This cultural practice can be studied from different theoretical perspectives.
Methods: For the present study total number of 948 [Hindu rural caste (347), Hindu urban caste (356), Lodha (245) rural areas] lactating mothers were chosen for collecting data regarding their socio-demographic features and the cultural practices (food taboo and food preferences during the period of lactation) followed by them. Both interview and case study method was applied for collecting data. SPSS 16.0 was used to entry and analyse the data.
Results: Reveals that hindu caste rural participants showed significantly higher preference for certain food items compared to their urban counterpart and the Lodha participants. Significantly, more number of HCR participants showed preference towards certain food items during lactation to improve the quality of breast milk. Result also shows that there were significant differences across hindu caste rural than their urban counterpart and the Lodha participants with respect to all the variables related to food taboo.
Conclusions: Cultural practices have influenced the health behaviour like breastfeeding practices of the lactating mothers.
Bacillus Calmette-Guerin lymphadenitis in children: an underdiagnosed entity
Authors: Singh Neha , Gupta Prajwala
Published: January 2024

Background: Bacillus Calmette-Guerin (BCG) lymphadenitis is a common complication after BCG vaccination. Fine needle aspiration cytology (FNAC) is a feasible and cost-effective procedure for the diagnosis and management of this entity. Awareness of this entity in cytology is important to avoid misdiagnosis, as the cytomorphologic features are very similar to tuberculosis. The present study described the clinical presentation and detailed cytomorphologic features in patients with BCG lymphadenitis.
Methods: This was a retrospective study from 2018 to 2022 involving a total of 27 patients who presented with isolated left axillary or cervical lymphadenopathy.
Results: Age at presentation ranged from 1 to 24 months. The male- to-female ratio was 2.75:1. Majority of the children had enlargement of the left axillary lymph nodes followed by cervical nodes. Cytomorphology showed the presence of dense acute and chronic inflammatory cells, epithelioid cell granulomas, multinucleated giant cells, histiocytic aggregates, reactive lymphoid cells, lymphohistiocytic clusters and calcification. Necrotic background was present in 25 (92.6%) cases. Ziehl-Neelsen staining for acid-fast bacilli was positive in 17 (62.9%) cases.
Conclusions: A high index of clinical suspicion for BCG lymphadenitis should be kept in mind for children who are recently vaccinated. Diagnosis of this entity is based primarily on clinical grounds. However, cytology and microbiological examination are encountered as part of clinical work up of lymph node swelling. FNAC in conjunction with clinical presentation is useful for diagnosis of BCG lymphadenitis and avoid an unwarranted tubercular treatment.
Uncommon Salmonella osteomyelitis in a previously healthy adult: a rare case report
Authors: Sagar Drishti
Published: January 2024

Salmonella osteomyelitis (OM) is more common in individuals with hemoglobinopathies like sickle cell anemia or thalassemia. The cardinal symptoms of OM such as fever, pain, and soft tissue swelling do not point towards a specific etiological agent. Since a preceding history of gastrointestinal infections is usually absent it causes a diagnostic challenge for Salmonella OM which is often overlooked causing a delay in diagnosis. In cases of fluoroquinolone resistance, third generation cephalosporins become the drug of choice. Due to absence of standardized guidelines, management is usually on a case-to-case basis. Previous studies have been focused mostly on children. Here, we present a rare case of Salmonella typhi OM in a 25-year male without any common predisposing factors.
Unveiling the role of procalcitonin in COVID-19: a literature review
Authors: Samiullah Syed , Ahmad Amber , Patni Mohamed A.
Published: January 2024

Procalcitonin (PCT), a key hormone regulating calcium homeostasis, has previously shown the potential to differentiate between bacterial and viral infections. However, when we move further into the field of COVID-19 pandemic, an unprecedented question was raised: Can PCT levels increase without bacterial co-infection in SARS-CoV-2 infection? This review systematically searched PubMed, Scopus, and Google Scholar for articles on procalcitonin (PCT) in the context of COVID-19 published from 2019 to 2023. Inclusion criteria focused on relevant articles, excluding non-English publications. Increasing PCT levels were observed in COVID-19 patients, especially in severe cases, often interpreted as evidence of bacterial co-infection. However, the role of PCT in the immune response to SARS-CoV-2 remains unclear. The proposed mechanisms suggest that SARS-CoV-2 can stimulate the production of PCT even in the absence of bacterial co-infection by modulating the interferon (IFN) pathway and reducing the regulation of monocyte function. Furthermore, PCT has implications in antibiotic management, with guidelines recommended to avoid antibiotics in patients with low serum PCT levels. Increased PCT values show associations with the severity of disease, including increased mortality, which further underlines the need for a detailed understanding of the dynamics of the PCT in COVID-19.  This review emphasizes the evolving significance of PCT in COVID-19, with elevated PCT levels emerging as a valuable prognostic indicator, aiding in disease severity assessment and management. However, the intricate dynamics of PCT in COVID-19 demand further investigation, particularly in distinguishing viral infection from bacterial co-infection.
Disability Employment Quotas: Effects of Laws and Nudges
Authors: Duryea Suzanne , Martínez Claudia , Smith Raimundo
Published: January 2024

We study the effects of a new 1% employment quota enacted in Chile in 2018 using anonymized administrative data on monthly employer-employee linkages and disability certification records. Our firm-level difference-in-difference results show a 15-20% increase in the number of people with disabilities working in eligible firms after the quota. About a third of the employment effects occur through the relabeling of existing workers as workers with disabilities, and the remainder through new hires. There are no negative effects found for the firms or other workers. We also conducted an experiment in quota-eligible firms to study if firms can be nudged to employ people with disabilities (PwD) by sending letters containing different information. We find that the pure information treatment increased the number of PwD working in the firms and that most of this impact is explained by an increase in the reclassification of incumbent workers. While not transformational for the labor market, inclusion of PwD, quotas and nudges do have an effect.
Modele rozwoju sektora usługowego małych miast w polskiej strefie przygranicznej z Niemcami i Rosją
Authors: Gwiaździńska-Goraj Marta , Jezierska-Thöle Aleksandra
Published: January 2024

Artykuł przedstawia różnice w rozwoju sektora usług w małych miastach przygranicznych wynikających z odmiennych uwarunkowań społecznych, ekonomicz-nych i prawnych. Celem badań było ukazanie dynamiki, charakteru i tempa zmian w sektorze usług w 2002 i 2010 r. na granicy z Niemcami i Rosją. Wyniki badań ujęte zostały w postaci modelu analogowego.
Ignorance-oriented instruction for future learning: Principles and practices
Authors: Tzeng Jeng-Yi
Published: January 2024

This article presents a teaching approach known as Ignorance-Oriented Instruction (IOI), which views ignorance as both the driving force and the goal of learning. IOI aims to prepare students for an uncertain future by cultivating their ability to learn by delving into their ignorance and making predictions for the unknown. Key principles underlying the practice of IOI, a course designed based on IOI, and A COPE TRAP model for formulating questions are proposed. The experiences of applying IOI in various classes show that students responded to IOI favorably, although IOI makes the course more challenging than ordinary lecture-based instruction. IOI also presents a significant challenge to instructors because some students’ questions cannot be met without preparation in advance. Overall, IOI offers a promising approach to education that can help students learn how to learn, thereby enhancing their capacity to cope with the future challenges.
INSTITUCIONALIZACIÓN DEL FOLCLOR MUSICAL: Pablo Garrido a cargo de la Dirección General de Informaciones y Cultura (DIC). Chile, 1943-1948
Authors: FRITZ KAREN ESTHER DONOSO , RODILLO IGNACIO RAMOS
Published: January 2024

Este artículo aborda la labor de la investigación folclórica desarrollada por el Departamento de Música Popular de la Dirección General de Informaciones y Cultura (DIC), entre 1944 y 1948, bajo la dirección del músico e investigador Pablo Garrido Vargas. En este estudio, se observa la confluencia de las políticas culturales del Frente Popular, que tuvo entre sus objetivos la reconfiguración de la “chilenidad”; junto con la agenda investigativa y de extensión folclórica del funcionario en cuestión. Durante la gestión de Garrido, la DIC ejecutó dos grandes proyectos que expresan dicha confluencia: la intervención estatal en la industria cultural y del espectáculo – inédito hasta ese momento – y la ampliación del canon folclórico nacional.
Prácticas evaluativas de docentes de matemática costarricenses
Authors: Díaz Gutiérrez Elizabeth
Published: January 2024

Hace mas de una década, en Costa Rica se realizó una reforma educativa que incluyó los Programas de Estudio de Matemática, en estos, la resolución de problemas se concibe como la punta de lanza que debe guiar la mediación pedagógica. La investigación surge por la necesidad de conocer, analizar y comprender las prácticas evaluativas de las personas docentes, a la luz del marco teórico de la propuesta curricular. Este es un estudio cualitativo, donde desde el método fenomenológico se busca un acercamiento a la realidad de las personas participantes y su accionar diario en el campo. Para la recolección de datos se acudió a personas expertas en el área, material documental, docentes de matemática y su respectivo estudiantado.
THE LANGUAGE OF PARENTING: REVEALING THE USAGE OF CONTROL ACTS IN THE PURSUIT OF HAPPYNESS
Authors: Kurniawan Kurniawan
Published: January 2024

In paternal parenting, compared to the mother, the father tends to use controlling language that provokes conversation, such as WH questions and requests for clarification. Controlling language (control acts) is an attempt to generate a change in the actions of others. Through a pragmatic approach, this qualitative study explores the strategy, pattern, and politeness of controlling language through a paternal parenting perspective. The present study used the theory of controlling language by Ervin-Tripp et al. (1990), direct or indirect speech acts by Searle (1971), and Brown and Levinson's theory of politeness (1987). The data in this study are the directive utterances in the film The Pursuit of Happyness. These data were collected through content analysis through listening and note-taking technique and analyzed using Spradley (2016). The study found 117 directive speech act data. From the data, order/command of control acts was the dominant act with 56 data. Besides, the most politeness strategy used was positive politeness. The study's finding suggests that all fathers pay more attention to parenting their children because they play a vital role in children's cognitive development. Moreover, in Indonesian society, patriarchy prevails, where fathers act as breadwinners and mothers nurture and educate children at home.
Kajian Pustaka: Mendiagnosa Kejadian Stenosis Pilorus Pada Anjing
Authors: Maranata Pieter Mbolo , Rukmini Ni Wayan Ayu , Christiani Zefanya , Sembiring Irene Cristina Br , Batan I Wayan
Published: January 2024

Penyakit stenosis pilorus atau disebut juga gastropati pilorus hipertrofik kronis merupakan kejadian menyempitnya bagian lumen pilorus yang dikarenakan penebalan pada lapisan mukosa atau lapisan otot. Tanda klinis yang muncul pada anjing yang mengalami penyakit ini adalah muntah projektil, lemas, dan dehidrasi. Pada kasus kronis sering terjadi penurunan berat badan dan muntah yang berulang. Diagnosis penyakit ini dapat dilakukan dengan menggunakan radiografi dan ultrasonografi. Salah satu hal yang menciri pada kejadian pilorus stenosis adalah ditemukannya massa radiopak dengan ukuran bervariasi pada lambung anjing yang disebut dengan tanda gravel. Pemeriksaan menggunakan ultrasonografi lebih sensitif dikarenakan dapat mengamati kontraktibilitas antrum gastrik, pengosongan gastrik, aliran transpilorik, adanya benda asing, serta mengukur ketebalan dinding gastrik. Penanganan stenosis pilorus biasanya dilakukan tindak pembedahan dengan metode piloroplasti dan piloromiotomi. Prognosis kasus ini tergantung pada penyebab yang mendasarinya, tetapi hasil operasi pada anjing dapat dikatakan baik dan tidak menimbulkan gejala muntah dan distensi abdomen pascaoperasi.
Factors of Decreasing Learning Outcome in Islamic Religious Education During Covid-19 Pandemic at State Elementary School: A Study to Psychomorical Domain
Authors: Ismail Fajri
Published: January 2024

The limited face to face learning policy implemented by the Indonesian government during the COVID-19 pandemic has received two forms of resistance: closed (practiced by teachers, parents, and students) and open (practiced by teachers). This resistance has made it difficult to resume face-to-face learning. As such, this article seeks to illustrate the public's resistance to the face to face policy and analyze the implications of this resistance in Madrasah Ibtidaiyah Islami. This article relies on data collected from online media as well as interviews with representatives of diverse elements of society.It shows that resistance has been rooted in several factors: familiarity with online learning, concern that health protocols would not be optimally implemented; and economic concerns. This article recommends conducting further research to obtain a deeper and more comprehensive understanding of the public's resistance to face to face.
Sumber dan Penggunaan Anggaran Kesehatan untuk Kegiatan Upaya Kesehatan Masyarakat (UKM) Esensial antara Puskesmas Tempel II dan Puskesmas Borobudur
Authors: Sari Nanda Kusuma , Sunarto Sunarto
Published: January 2024

Latar Belakang: Penggunaan Dana Alokasi Khusus (DAK) bidang kesehatan dan Bantuan Operasional Kesehatan (BOK) telah dijelaskan dalam peraturan Menteri kesehatan dimana sumber dana puskesmas berasal dari alokasi 5% Anggaran Pendapatan dan Belanja Negara (APBN), 10% Anggaran Pendapatan dan Belanja Daerah dan pendapatan puskesmas. Perbedaaan aturan dan keadaan setiap daerah membuat kemungkinan realisasi dan penggunaan dana puskesmas berbeda.Tujuan: Mengetahui gambaran perbandingan sumber dan penggunaan dana dalam menjalalankan kegiatan Upaya Kesehatan Masyarakat (UKM) Esensial di Puskesmas Tempel II dan Puskesmas Borobudur. Metode: Penelitian dilakukan dengan metode kualitatif dengan pendekatan studi kasus. Data didapatkan dengan melihat dokumen pemasukan dan pengeluaran dana puskesmas serta laporan kegiatan puskesmas. Dokumen kemudian dianalisis dan dihitung presentasi pengalokasiannya. Selain itu, pengumpulan data juga didukung dengan menggali informasi data dari narasumber di puskesmas. Hal ini dilakukan dengan wawancara mendalam kepada narasumber.Hasil: Sumber dana puskesmas Tempel II berasal dari dana Bantuan Operasional Kesehatan (BOK), Subsidi Operasional Puskesmas (SOP), dan dana Badan Layanan Umum Daerah (BLUD). Sumber dana puskesmas Borobudur hanya berasal dari dana BOK dan BLUD. Penggunaan dana paling besar di Puskesmas Tempel II dialokasikan untuk kegiatan promosi kesehatan sedangkan penggunaan dana paling besar di Puskesmas Borobudur dialokasikan untuk kegiatan Kesehatan Ibu dan Anak (KIA).Kesimpulan: Terdapat perbedaan antara Puskesmas Tempel II Kabupaten Sleman dengan Puskesmas Borobudur Kabupaten Magelang dalam hal penerimaan sumber dana, mekanisme penerimaan dana, regulasi penggunaan dana berdasarkan Surat Keputusan Kepala Dinas Kesehatan, alasan dalam pengalokasian dana, tingkat keberhasilan kegiatan, dan hambatan yang dialami puskesmas dalam melaksanakan kegiatan puskesmas.
Perbandingan Implementasi Kebijakan Anggaran dalam Pelaksanaan Standar Pelayanan Minimal Bidang Kesehatan di Puskesmas Gamping 1 dan Puskesmas Salaman 1
Authors: Zulfa Farhah Lya , Sunarto
Published: January 2024

Latar Belakang: Kesehatan merupakan suatu kebutuhan pokok manusia yang harus dipenuhi. Kebijakan anggaran yang diturunkan oleh pemerintah diterima dengan jumlah berbeda antar daerah. Perbedaan tersebut disesuaikan dengan keadaan daerah masing-masing dan berpengaruh terhadap pelaksanaan program SPM di fasilitas kesehatan. Anggaran kesehatan dapat menjadi faktor pendukung maupun faktor penyulit dalam pelaksanaan SPM Bidang Kesehatan.Tujuan: Mengetahui perbandingan implementasi kebijakan anggaran dalam pelaksanaan SPM (Standar Pelayanan Minimal) bidang kesehatan di Puskesmas Gamping 1 dan Puskesmas Salaman 1.Metode: Penelitian dilakukan dengan metode kualitatif pendekatan studi kasus dengan cara mengumpulkan dokumen dan dilakukan wawancara mendalam.Hasil: Pelaksanaan kebijakan perencanaan dan penganggaran pelaksanaan SPM di Puskesmas Gamping 1 dan Puskesmas Salaman 1 sesuai Permenkes Nomor 7 Tahun 2014. Puskesmas Gamping 1 berpedoman pada Permenkes Nomor 43 Tahun 2016 dalam pedoman SPM sedangkan Puskesmas Salaman 1 Permenkes No. 741 Tahun 2008 dan Permenkes Nomor 43 Tahun 2016. Terdapat perbedaan sumber pendapatan yaitu pendapatan murni puskesmas, BOK dan SOP sedangkan Puskesmas Salaman 1 BOK dan BLUD. Sebagian pendapatan digunakan untuk kegiatan SPM. Dalam pelaksanaanya tidak terdapat masalah dalam pendanaan program kegiatan SPM. Tidak tercapainya indikator SPM tidak hanya dipengaruhi oleh faktor anggaran melainkan kurangnya SDM (Sumber Daya Manusia).Kesimpulan: Pelaksanaan implementasi kebijakan anggaran di Puskesmas Gamping 1 dan Puskesmas Salaman 1 mengacu Permenkes Nomor 7/2014. Faktor anggaran tidak menjadi faktor penghambat dalam pelaksanaan SPM walaupun terdapat perbedaan pendapatan.
Pneumonia COVID-19 pada Anak dengan Penyakit Jantung Bawaan Asianotik: Sebuah Laporan Kasus
Authors: Az Zahra Afifah , Pratama Yanasta Yudo , Febrina Lestari Ade , Tyas Humaera Elphananing , Dewi Sitoresmi Ayuningtyas Raden Rara , Choironi Emi Azmi
Published: January 2024

Anak sebagai salah satu populasi beresiko tinggi terinfeksi COVID-19. Kasus rawat inap COVID-19 pada anak di Indonesia terus meningkat dan lebih besar persentasenya dibanding negara lain. Anak-anak dengan penyakit komorbid dapat memperparah gejala COVID-19 hingga menyebabkan kematian. Tujuan penulisan artikel ini adalah untuk melaporkan kasus Pneumonia COVID-19 disertai dengan Penyakit Jantung Bawaan (PJB) asianotik untuk mendiskusikan kemungkinan diagnosis banding lain sebagai pemahaman dalam melakukan pengelolaan pasien dengan lebih optimal. Anak perempuan 13 tahun 6 bulan dirujuk ke Rumah Sakit Akademik Universitas Gadjah Mada dengan keluhan utama sesak napas sejak 3 hari sebelum masuk rumah sakit, disertai nyeri perut, mual, muntah, dan berat badan susah naik beberapa bulan ini. Pasien memiliki gangguan jantung PJB asianotik ASD secundum dan VSD subaortic berdasarkan hasil echocardiography. Pemeriksaan fisik ditemukan penurunan saturasi, murmur holosistolik, dan nyeri tekan abdomen regio kanan dan kiri. Selama perawatan sesak semakin bertambah. Selama perawatan ditemukan leukositosis, neutrofilia, peningkatan NLR test, peningkatan PPT, penurunan APTT, hiponatremia, hipoksemia, hipoksia, alkalosis respiratorik, dan tes PCR positif Covid-19. Gambaran rontgen dada menunjukkan pneumonia dextra dan kardiomegali. Pasien dipasang ventilator mekanik selama perawatan di ruang isolasi PICU. Setelah 2 hari perawatan pasien mengalami henti jantung hingga meninggal. Anak dengan komorbid dan peningkatan CRP yang terinfeksi COVID-19 menyebabkan gejala yang berat dan serius. Telah dilaporkan seorang anak perempuan 13 tahun 6 bulan yang meninggal karena COVID-19. Meskipun pandemik COVID-19 sudah mereda, perlu meningkatkan kewaspadaan yang tinggi terhadap virus maupun bakteri lain terutama bagi populasi yang rentan terinfeksi.
A Systematic Umbrella Review on Computational Thinking Assessment in Higher Education
Authors: Zhang Xiaoling , Aivaloglou Fenia , Specht Marcus
Published: January 2024

Computational Thinking (CT) is considered a core 21st century digital skill. The aspect of assessment is crucial and knowing what, who, when, how, and where to assess is important for assessment design. In this study, we conducted an umbrella review to gain insights regarding CT assessment in higher education. In total, we analyzed 11 reviews, focusing on: (1) bibliographical and methodological characteristics of the reviews; (2) aspects relevant of assessment design, including a) assessed constructs, b) applied assessment methodologies, and c) assessment contexts. Our findings suggest an increased attention on this topic. However, hardly any reviews reasoned the selection of their review methodology, and most of the reviews did not thoroughly examine existing reviews. Regarding assessment design aspects, most reviews did not confine their scope to higher education; however, findings on interventions and educational settings show commonalities. We identified 120 unique assessed constructs and around 10 types of assessment methods. Though a combined use of distinct assessment methods is suggested in reviews, guidelines for appropriate assessment design are yet to be constructed. Based on the findings, we argue that it is necessary to explore different combinations of assessment design in various contexts to construct assessment guidelines.
Elevating Sustainability in Design: Advancing State-If-the-Art Food Drying Methods to Optimize Efficiency, Preserve Nutritional Value, and Minimize Waste in Contemporary Food Production
Authors: Okechukwu-Ezike Ngozika Chinonyerem , Johnson Nnadikwe , Gabriel Salas Balseca , Pooja, Parmar
Published: January 2024

Drying foods plays a crucial role in the realm of food production, enabling exploration of new ingredients and innovation in product development. Over the years, there have been significant advancements in pretreatments, procedures, equipment, and quality standards associated with this process. Recent research has demonstrated the potential of cutting-edge drying technologies including microwave or ultrasound aided drying, high electric field drying, heat pump drying, and refractance window drying. These technologies have shown promise in enhancing drying efficiency and effectiveness, while simultaneously preserving the overall quality of the end product need for broader dissemination and implementation of these technologies in the business sector. By leveraging these advanced drying technologies, businesses will not only improve the sustainability of their food production processes but also enhance their overall profitability. This study aims to bridge the gap between research and practice by highlighting the practical viability and benefits of these contemporary drying technologies in the context of food sustainability. By adopting these innovative approaches, businesses can contribute to a more sustainable food system while also gaining a competitive edge in the market.
A neurofeedback intervention program to improve teachers’ mental ‎well-‎being
Authors: Passig David , Rubin Osnat , Barry Ilana
Published: January 2024

Most of the educational interventions proposed so far in the field of mental well-being in education ‎usually address just students. In this study, we focused on teachers as the Covid-19 pandemic reiterated ‎the importance of their mental well-being during demanding times. We investigated whether ‎neurofeedback (NF) training can increase optimism, self-esteem, life satisfaction, and the ability to ‎cope with stressful events, reflecting on the research literature that emphasizes these four factors, ‎which affect the ability to be confident in dealing with uncertainty and distress. ‎

Forty teachers aged 35-55 participated in the study. The test group took part in 12 NF training sessions, ‎and the control group was not treated. Our findings indicate that compared to the control group, ‎measures of optimism, self-esteem, life satisfaction, and coping with stressful events improved ‎significantly in the test group.‎

To the best of our knowledge, this is the first attempt to test a mental welfare intervention program for ‎teachers through NF. This study responded to a call to develop teacher intervention programs using ‎physiological measurement and technological innovations to improve their mental health and allow ‎them to cope better with stressful teaching conditions.
LA RELIGIOSIDAD EN LA SECCIÓN FEMENINA
Authors: SEGORBE HERENCIA Carmen
Published: January 2024

Tras la Contienda Civil y la victoria de los sublevados contra la II República, el Estado surgido intentaría imponer sus valores tradicionales, sobre todo a las mujeres, contando para ello con los programas de la Sección Femenina (SF), formación que, si bien se integraba en el Estado franquista, no se parecía en absoluto a ninguna otra sección del Movimiento, tanto por su estilo de vida independiente, impensable para el resto del colectivo femenino de la época, como por su forma de entender la religiosidad  que, aun siendo tradicional, la manera participativa en la misma fomentaba un incipiente espíritu crítico anticipándose al Concilio Vaticano II , así como a los cambios que más tarde acaecerían, presentando una cierta ``modernidad´´ tampoco nada usual en esta coyuntura
HURTADO DE MOLINA DELGADO, Julián (Coord.): El Sexenio Democrático en Córdoba, 1868-1873, Ayto. de Córdoba/Delegación de Cultura e Instituto Español de Ciencias Histórico-Jurídicas, Córdoba, 2022, 131 págs
Authors: Vadillo Muñoz Julián
Published: January 2024

Recensión del libro HURTADO DE MOLINA DELGADO, Julián (Coord.): El Sexenio Democrático en Córdoba, 1868-1873, Ayto. de Córdoba/Delegación de Cultura e Instituto Español de Ciencias Histórico-Jurídicas, Córdoba, 2022
LA ADMINISTRACIÓN DESLEAL EN LA CODIFICACIÓN PENAL ESPAÑOLA
Authors: Gálvez Jiménez Aixa
Published: January 2024

En el presente artículo se hace un recorrido histórico por la codificación penal española tomando como referencia la criminalización de la administración desleal. Para ello, se analiza de forma exhaustiva el tratamiento que han tenido en la legislación penal las conductas consistentes en administrar deslealmente un patrimonio ajeno. El estudio del contenido de la normativa penal –proyectada y aprobada– más relevante desde el año 1822 relacionada con este tipo de comportamientos, nos permitirá aumentar los conocimientos respecto al actual delito de administración desleal genérico (artículo 252) incluido en el Código Penal Español
CRÓNICA DE UN CONGRESO ORGANIZADO POR LA REAL ACADEMIA DE CÓRDOBA (10-11 NOVIEMBRE 2023): «EL ARZOBISPO DE SANTA FE, VIRREY DE NUEVA GRANADA Y OBISPO DE CÓRDOBA DON ANTONIO CABALLERO Y GÓNGORA (PRIEGO 1723-CÓRDOBA 1796), Y SU ÉPOCA»
Authors: Peláez del Rosal Manuel
Published: January 2024

Crónica de Congreso
Estudio de caso de Red (2022): Análisis sobre las referencias e influencias asiáticas de la película
Authors: Almoguera Fernández Augusto
Published: January 2024

La película Red en palabras de su directora Domee Shi, pretende honrar la cultura asiática mediante la combinación de estilos de animación occidentales y orientales con clara inspiración en el anime clásico de los años 90 y principios de los 2000.

Con el objetivo de analizar la representación asiática en la película, se van a analizar las referencias e inspiraciones que convierten a Red en una de las películas con una animación más diferente dentro del estudio. Llegando a la conclusión de que en los últimos años Disney ha decidido apostar por historias protagonizadas por personajes más diversos y visibilizar otro tipo de realidades, siendo la película Red uno de sus ejemplos más claros. Es la primera película de Disney/Pixar escrita, producida y dirigida por mujeres y también la primera cinta de la compañía que se centra en los cambios que experimenta una adolescente, hablando con naturalidad de temas como la menstruación, la pubertad o los padres sobre protectores.
José Chaupis Torres El Califa en su laberinto: esperanza y tragedia del régimen pierolista (1879-1881)
Authors: Saravia Javier
Published: January 2024

El libro es una compilación de artículos del historiador José Chaupis, sobre uno de los personajes más polémicos de la historia política peruana, Nicolás de Piérola, El Califa. Amado y odiado por la historiografía, es un personaje del que se ha escrito mucho respecto de su personalidad, su labor como funcionario de gobierno, su gestión presidencial y su accionarantes, durante y después de la Guerra del Pacífico. No obstante ello, la  valoración de su accionar dentro de la política peruana aún está en ciernes. Un sector informado de la historiografía política nacional lo considera como un protopopulista (Steve Stern) o populista a secas (Jorge Basadre, Jeffrey Klaiber, Alejandro Salinas), por la fuerte presencia de un liderazgocarismático y el gran apoyo popular que tuvo antes de la existencia de los partidos de masas en los primeros años del siglo XX.
Leonardo Caparrós, Un desconocido perfecto Lima, Punto de Narrativa, 2010
Authors: Ñaupari Héctor
Published: January 2024

Con Un desconocido perfecto, podemos afirmar sin ambages que Leonardo Caparrós se instala en el reino trepidante de la novela para, esperamos, no salir de ella jamás. Como a Aquilonia, el reino más arrogante de la Era Hiboria, Caparrós llega a la novela «con el cabello oscuro y lamirada adusta, con la espada en la mano (un ladrón, un saqueador, un matador implacable), lleno de hondas melancolías y alegrías estruendosas, para hollar los enjoyados tronos de la tierra (con sus toscas sandalias)», tal como se expresa en sus Las crónicas nemedias Robert Howard del cimerio que reinará sobre ella, muchos años después, con turbulencia y tormento.
La ancestralidad en el género y lenguaje literarios en Changó, el gran putas y Sortilégio II
Authors: Lima Santos Denilson
Published: January 2024

En este ensayo planteamos el texto literario como unespacio de reescritura de las tradiciones yorubas y bantúescomo fuerza motriz creadora de un discurso literario. Lasvoces africanas en las Américas aparecen recuperadas enun modelo estético diferente al hegemónico. Como ejemplode eso, se propone describir las obras Sortilégio II: mistérionegro de Zumbi redivivo (1979), de Abdias do Nascimento(1914–2011), y Changó, el gran putas (1983), de Manuel ZapataOlivella (1920–2004). Los autores de estas obras, comointelectuales, se posicionan como insurrectos, como conscientesde las voces heterogéneas que habitan el mundoafrolatino y ponen esas voces como parte de la estética desus textos. Así, los intelectuales afrolatinos proponen unaescritura de la ancestralidad afro con propósitos estéticos ypolíticos en la tradición literaria latinoamericana.