bluuebunny/crossref_metadata_2025 huggingface dataset:
Outcomes of laparoscopic single-incision caecal pole resection for low-grade appendiceal mucinous neoplasm
Authors: Kwak Han Deok
Published: September 2023

Introduction:

Low-grade appendiceal mucinous neoplasm (LAMN) is a rare disease, and its clinical course varies from an incidental finding without symptoms to pseudomyxoma peritonei. Furthermore, there are few established treatment guidelines. This study was designed to confirm the outcomes in patients diagnosed with LAMN who underwent single-incision laparoscopic caecal pole resection.

Patients and Methods:

This study was conducted on pathologically confirmed LAMNs from patients who underwent surgery at a single centre, a tertiary institution, from July 2016 to August 2022. Patients diagnosed with LAMN as a result of biopsy were included. All surgeries were performed with single-incision laparoscopic caecal pole resection by a single surgeon.

Results:

A total of 70 patients were included. The median age was 65.5 years and 36 (51.4%) patients were female. The baseline carcinoembryonic antigen (CEA) was 8.08 ng/mL (0.76–148.11). The mean maximum diameter was 29.4 mm (7–70) and calcification was seen in 22 cases on pre-operative computed tomography (CT). As a result of histological examination, all patients were marginally negative. The larger the tumour size, the higher the CEA was (P = 0.011), and it was often accompanied by calcification (P = 0.021). In addition, tumour size and CEA showed a positive partial correlation with each other (r = 0.318, P = 0.018). The overall median follow-up period was 22.7 months (2–60). One case had suspected of recurrence on CT scan performed at 33 months following the surgery, but there were no related symptoms.

Conclusion:

Single-port laparoscopic caecal pole resection without margin involvement in LAMN was safe and feasible, and showed a favourable long-term outcome.
The efficacy and feasibility of neoadjuvant immunotherapy plus chemotherapy followed by McKeown minimally invasive oesophagectomy for locally advanced oesophageal squamous cell carcinoma
Authors: Luo Rao-Jun , Li Zhi-Jun , He Zheng-Fu , Yan Pei-Jian , Wang Yun-Zheng , Xu Shao-Hua , Zhu Zi-Yi
Published: September 2023

Introduction:

In immunotherapy, antibodies are activated to block immune checkpoints, resist tumour immunosuppression, shrink tumours and prevent a recurrence. As the science behind tumour immunotherapy continuously develops and improves, neoadjuvant immunotherapy bears more prominent advantages: antigen exposure not only enhances the degree of tumour-specific T-cell response but also prolongs the duration of actions. In this study, we evaluated the efficacy and safety of McKeown minimally invasive oesophagectomy (McKeown MIO) following neoadjuvant immunotherapy combined with chemotherapy (NICT) in patients with locally advanced oesophageal cancer (OC).

Patients and Methods:

In this retrospective study, 94 patients underwent either NICT or neoadjuvant chemotherapy (NCT) followed by MIO at our institution from January 2020 to October 2022. We assessed the therapy-related adverse events and perioperative outcomes and compared them between the two groups.

Results:

After completing at least two cycles of neoadjuvant therapy, all patients underwent McKeown MIO with negative margins within 4–7 weeks. Demographic data of the two cohorts were similar. Regarding perioperative characteristics, the median intraoperative blood loss was 50 ml in the NICT group, lower than that of the NCT group (100 ml, P < 0.05). In addition, the NICT group had significantly more harvested lymph nodes than the NCT group (P < 0.05). No significant differences were found in post-operative complications. The rate of objective response rate in the NICT group was higher than that in the NCT group (88.3% vs. 58.8%). Regarding tumour regression, the number of patients with TRG Grades 1–3 in the NICT group was more than that in the NCT. Adverse events experienced by the two groups included anaemia and elevated transaminase. We found no difference in the adverse events between the two groups.

Conclusions:

This study showed the efficacy and feasibility of NICT followed by McKeown MIO in treating locally advanced OC.
Efficacy of the topical application of C1 herbal oil on superficial external wounds and split thickness skin graft donor sites for wound healing
Authors: Singhal Maneesh , Chauhan Shashank , Khanduri Shruti , Panigrahi Hemanta Kumar , Sharma Lalita , Rao Bhogavalli Chandrasekhar , Vyas Neera , Padhi Madan Mohan , Dhiman Kartar Singh , Srikanth Narayanam
Published: September 2023

BACKGROUND:

C1 herbal oil is developed by Central Council for Research in Ayurvedic Sciences, Ministry of Ayush, Government of India and is based on Local Health traditions (LHTs) for wound healing. This study is planned to assess the efficacy of C1 herbal oil on Superficial External Wounds and Split Thickness Skin Graft (STSG) donor sites for wound healing.

MATERIALS AND METHODS:

The study is a prospective, open-label, randomized, controlled, two-phased clinical trial for a duration of 28 days. Outpatients of age group 18–60 years, of either sex requiring STSG coverage of at least two strips will be recruited in Phase 1 of the study. The donor site will receive the topical application of C1 herbal oil prior to the standard dressing, whereas the normal saline will be applied on the control site. The dressings will not be changed, except when it is fully soaked with exudates or will easily fall off or show any signs of infection. Subjects with superficial external wounds will be recruited in Phase 2 of the study. The test site will receive C1 herbal oil-impregnated dressings, whereas the other group will receive saline gauze dressing, to be changed every 24 h or earlier in case of soakage or accidental removal. The duration of wound healing was the primary outcome measure. The pain during dressing change will be evaluated with a visual analog scale and wound assessment by Bates Jensen Wound Assessment Tool.

DISCUSSION:

Ayurveda herbal wound dressing may significantly reduce the time for epithelialization of wounds. It may be beneficial in decreasing healthcare costs besides including Ayurveda medicines in mainstream clinical medicine for wound care.

TRIAL REGISTRATION:

Clinical trials registry- India: CTRI/2017/10/010150
Mental health-related presentations to a tertiary emergency department during the COVID-19 pandemic
Authors: Lim Elijah Gin , How Ashley Ern Hui , Lee Julian Zhong Hui , Ganti Sameera , Omar Eunizar
Published: September 2023

Introduction:

The coronavirus disease 2019 (COVID-19) pandemic has caused significant mental distress in populations globally. At the frontline of the pandemic, emergency departments (EDs) are the prime setting to observe the effects of the pandemic on the mental health of the population. We aimed to describe the trend of mental health-related ED attendances at an acute hospital in Singapore before and during the various stages of the COVID-19 pandemic.

Methods:

This is a retrospective, descriptive study of patients who presented to the ED between 1 January 2019 and 31 December 2020. Patients diagnosed with mental health-related systematised nomenclature of medicine who visited the ED during this period were identified and were placed into mental health diagnosis categories for analysis. A comparison was made between patients who presented before the pandemic (2019) and during the pandemic (2020).

Results:

During the study periods, we identified 1,421 patients, of whom 27 were excluded due to non-mental health-related diagnoses, leaving 1,394 patients for analysis. There was a 36.7% increase in mental health-related ED presentations from 2019 to 2020. The proportion of higher-acuity mental health-related ED attendances and number of suicide attempts also increased.

Conclusion:

Our study described an increase in the proportion of high-acuity mental health-related ED attendances during the COVID-19 pandemic. Emergency physicians must be cognisant of the effects of the pandemic on mental health. Further research should be conducted to better equip the healthcare system for handling all aspects of the pandemic.
Kriging interpolation model: The problem of predicting the number of deaths due to COVID-19 over time in Vietnam
Authors: Cong Nhut Nguyen
Published: September 2023

The COVID-19 pandemic can be considered a human disaster, it has claimed the lives of many people. We only know the number of deaths due to COVID-19 through government statistics, but on days when there are no statistics, how do we know whether people died that day or not? This study aims to predict the number of new deaths per day due to COVID 19 in Vietnam on days when observational data is not available and predict the number of deaths in the future. The study used COVID-19 data from the World Health Organization (WHO). A total of 260 days were collected and the author processed and standardized the data. Based on available data, the author uses Kriging interpolation statistical method to build a forecast model. As a result, the author has selected a prediction model suitable for a highly reliable data set, the regression coefficient and correlation coefficient are close to 1, the error between the model’s prediction results compared to data. There are days when the prediction error is almost zero. The study has built a future forecast map of the number of new deaths per day due to COVID-19. The article concludes that applying the Kriging statistical methodis appropriate for COVID-19 data. This research opens up new research directions for related fields such as earthquakes, mining, groundwater, environment, etc.
Canine Systemic Insecticides Fluralaner and Lotilaner Induce Acute Mortality of Triatoma gerstaeckeri, North American Vector of the Chagas Disease Parasite
Authors: Busselman Rachel E. , Zecca Italo B. , Hamer Gabriel L. , Hamer Sarah A.
Published: September 2023

Chagas disease is a health concern for humans and animals across the Americas, and control options targeting the triatomine vectors of Trypanosoma cruzi, the causative agent of Chagas disease, are limited. Host-targeted interventions may be a useful and underused tool in controlling the spread of T. cruzi from vectors to hosts. Domestic dogs are known to be key bloodmeal hosts for triatomines as well as T. cruzi reservoirs and may be an effective and practical target for host-targeted insecticide deployment. We hypothesized that treating dogs with commercially available systemic insecticides (labeled for flea and tick control) would result in mortality of triatomines after consuming treated blood. We enrolled 16 privately owned dogs into five treatment groups to receive either fluralaner (Bravecto) or lotilaner (Credelio), alone or in combination with ivermectin. Blood from dogs before the initiation of treatment served as controls. Blood was collected 0, 7, 30, 45, and 90 days after the initial canine insecticide treatment and fed to 10 Triatoma gerstaeckeri nymphs through a membrane feeder, and survival was tracked daily for 7 days and weekly thereafter. All triatomines in the control and ivermectin groups survived the initial period, with no significant difference in long-term survival. In contrast, 99.7% of triatomines that fed on blood from dogs treated with either fluralaner or lotilaner died within 3 days. Although the impact of canine treatment on suppressing vector populations is unknown, fluralaner and lotilaner appear to be a compelling option for an integrated vector management approach to triatomine control.
Plague Gives Surprises in the Second Decade of the Twenty-First Century
Authors: Butler Thomas
Published: September 2023

From 2010 through 2019, the six leading countries by numbers of human plague cases reported to the WHO were, in order from highest to lowest, Madagascar, Congo, Uganda, Peru, Tanzania, and the United States. From these countries, there was a total of 4,547 cases, of whom 786 (17%) died. Top plague events were four outbreaks of primary pneumonic plague in Madagascar that affected 1,936 persons, including index cases, of whom 137 died. One of the outbreaks was caused by a streptomycin-resistant strain of Yersinia pestis. Person-to-person transmission occurred in a taxi, in households with family caregivers, at burial ceremonies and wakes for victims, and at a hospital where cases were treated. Unique clinical presentations in the United States included a dog owner who acquired pneumonic plague from his sick dog, a boy with septicemic plague who developed complications of osteomyelitis and arthritis that required surgery for bone removal and bone grafting, and a prairie dog handler who acquired bubonic plague from a bite by a sick prairie dog. Efficacy of antibiotics in a model of pneumonic plague in African green monkeys for use in bioterrorism revealed the most effective drugs to be gentamicin, ciprofloxacin, and levofloxacin. A recombinant vaccine containing Fraction 1 antigen and V antigen of Y. pestis designed for first responders during a bioterrorism attack and military personnel was tested for safety and immunogenicity but was not licensed for use by the end of the decade.
Red Ladies of Clay
Authors: Ramirez Valiente Paz
Published: September 2023

Colour and decoration were prominent features of Neolithic figurines. However, many such details and colours have faded over time, and it is only on close inspection that traces of colour are visible. This paper presents the innovative application to figurines of a technique based on the treatment of images with DStretch, a valuable tool for recovering the visualization of fainted pigments in clay figurines examined from Knossos. The method has the potential to illuminate aspects such as gender, age, status, identity or group affiliation through the study of colour in Prehistoric figurines.
transporte público urbano por ônibus no município de Belo Horizonte:
Authors: Chaves Cardoso Eleutério Sofia , Ferreira Júnior Silvio , Dias Paiva Felipe
Published: September 2023

O transporte público urbano por ônibus tem ganhado atenção no debate entre sociedade e Poder Público, na medida que os reajustes tarifários passam a onerar ainda mais os usuários. Tal contexto ressalta a importância de se analisar a evolução das principais variáveis que impactam o valor da tarifa, de maneira a avaliar se os reajustes encontrariam justificativas no crescimento dos custos do sistema, ou se os reajustes estariam mais relacionados ao possível poder de mercado das empresas participantes em estabelecer reajustes maiores que os aumentos nos custos médios do sistema. O presente artigo apresenta o estudo de caso do transporte público urbano por ônibus no município de Belo Horizonte. Os resultados indicam que os reajustes tarifários têm acompanhado o crescimento nos preços dos insumos de maior peso nos custos operacionais da frota, enquanto o número de passageiros pagantes vem reduzindo significativamente. Nesse contexto, a tendência de redução na produção quilométrica observada no período e a ausência de melhorias na qualidade dos serviços podem estar refletindo medidas de ajustes com intuito de manter a viabilidade econômica do sistema.
Sistema de proteção social e responsabilidade social:
Authors: Santos  Hossoé Heric , Santos Hossoé Hayleno
Published: September 2023

Por meio da relativização do conceito de responsabilidade social e de reflexões sobre suas interações com o sistema de proteção social brasileiro, propomos uma perspectiva diferenciada de análise da dinâmica da questão social no Brasil. Buscamos sistematizar tais interações enquanto formas de atenuação concreta e aparente da questão social, a partir das quais podemos observar novas dimensões da reformulação da percepção do papel do cidadão em nossa sociedade. Nesse percurso, expomos relações explícitas e implícitas entre o Estado Neoliberal, o Terceiro Setor e a Sociedade Civil no enfrentamento da questão social, alteradas pela difusão do conceito de responsabilidade social.
Segregação socioespacial de conjuntos habitacionais do Programa Minha Casa Minha Vida em Montes Claros/MG
Authors: Barbosa Eduardo Vinícius Pereira , Beirão Éder de Souza , Alkimim Priscila Dias
Published: September 2023

O presente artigo tem como objetivo central investigar o processo de segregação urbana de conjuntos habitacionais do Programa Minha Casa Minha Vida (PMCMV), de atendimento às famílias de baixa renda na cidade de Montes Claros/MG. Para tanto, o presente trabalho parte do questionamento a respeito de como a localização sociogeográfica destes conjuntos pode ocasionar a segregação urbana na cidade. O trabalho utiliza uma abordagem descritiva, com pesquisa bibliográfica e documental, tendo como fonte de dados a base elaborada pela Prefeitura Municipal de Montes Claros e as imagens disponibilizadas pelo Google Street View. Para a atualização e cruzamento dos dados, foi usado o Sistema de Informações Geográficas (SIG), através do software ArcGIS - Versão 10.5. Nesse sentido, os resultados obtidos indicam que as políticas públicas habitacionais, quando não observam estudos de localização intraurbana, repercutem no cotidiano pela periferização urbana, o que amplia as desigualdades sociais e ocasiona segregação socioespacial.
Influência dos fatores geológicos, geomorfológicos e fisiográficos, na dinâmica fluvial do alto curso do Rio Jequitinhonha no segmento entre Diamantina e Couto Magalhães de Minas – Minas Gerais/Brazil
Authors: Souza Bruno Teles de , Baggio Hernando , Barros Bárbara Thaíssa da Silva
Published: September 2023

A Serra do Espinhaço Meridional é composta essencialmente por litologias do Supergrupo Espinhaço, formado principalmente por rochas quartzíticas, filíticas, conglomeráticas, com predominância absoluta dos quartzitos, compondo uma cobertura rígida densamente fraturada e cisalhada. A Serra do Espinhaço é compartimentada em duas unidades geomorfológicas: os planaltos, que se encontram muito bem individualizados e, a depressão, que se diferencia por uma zona deprimida de direção NW-SE. Localizada em sua borda leste, encontra se a bacia hidrográfica do Rio Jequitinhonha, rio este, de extrema relevância para região Nordeste do estado de Minas Gerais. Estudos abordando a geomorfologia fluvial, são importantes e relevantes para entender como a dinâmica fluvial influência no comportamento hidrológico do rio. Neste trabalho, analisou-se os fatores fisiográficos do segmento fluvial do Rio Jequitinhonha abrangendo o município de Diamantina. As características fisiográficas ao longo deste segmento contribuem diretamente no seu comportamento fluvial. Características tais, como as feições geomorfológicas, aspectos geológicos e litológicos, característica climática, fitofisionomia vegetal, além, das atividades de mineração, tornam-se responsáveis por modificações na dinâmica fluvial.
CLINICAL STUDY TO EVALUATE THE EFFICACY OF VIDANGA CHURNA IN THE
MANAGEMENT OF URDHWAGA AMLAPITTA DUE TO HELICOBACTER PYLORI
Authors: Maniziia S , Gupta Om Prakash , Kalita Shyamanta , Kalita Ranjan
Published: September 2023

Helicobacter pylori is now the most common cause of gastritis, peptic ulcer disease, gastric cancer and gastric
MALT lymphoma. Combination antibiotic therapy is advocated as its first line of treatment. But development of
resistance to antibiotics and undesirable side effects makes it very difficult for the effective management of the
condition. Therefore, this study was done to evaluate the efficacy of ayurvedic herbs in the management of
Urdhwaga Amlapitta (gastritis) cause by H. pylori. 60 patients were given the trial drug 2gm with 40ml Shunthi
Yastimadhu Kwatha (Decoction) as Anupana (Adjuvent) twice daily after food for 60 days. All the symptoms of
Amlapitta (Gastritis) like Aruchi (Anorexia), Avipaka (Indigestion), Hritkantha Daha (Heart burn), nausea vomiting, Tika Amla Udgara (Bitter and sour eructation), Udara Adhmana (Gaseous distension) Udara Shula (Abdominal pain) and Klama (Fatigue), Pathologic endoscopy finding results was found to be statistically significant
after treatment. The trial drug was found to be well-tolerated, safe and acceptable.
NASYA KARMA AS TREATMENT MODALITY FOR URDHVAJATRUGATA VIKARA
W.S.R. TO ARDHAVABHEDAKA
Authors: Bhatt Swati , Sharma Uttam Kumar , Kumar Vipin , Mohan Bhatt Lalit
Published: September 2023

People's lifestyles in the modern era have Changed as a result of industrialization, technical advancement, and
rapid urbanization. These conditions, as well as the hope of a better way of life, have increased mental strain and
stress, eventually increasing the prevalence of acute and chronic illnesses. Ardhavabhedaka is one of the chronic
illnesses that affects a large portion of the population and varies in severity. Acharyas mentioned it as Shiro-Roga
and defines it as Ardha-Mastak Vedana (Pain in one side of head). Its symptoms corelates with Migraine. Ayurveda has a range of natural medications to treat Ardhavabhedaka, but Nasa (Nose) is the closest root to alleviate
Urdhva-jatrugata Vikara. Administration of drug via Nasya Karma (Errhine therapy) affects the central neurovascular system and lowers the blood brain barrier to allow for the absorption of drugs into the brain tissues. It
may also result in better bioavailability of the drug. So, this paper is focused on exploration of Nasya Karma as an
effective and safe method of drug administration.
A PHYSIOLOGICAL STATUS OF APANA VATA IN GARBHA NISHKRAMANA (PARTURITION) – REVIEW ARTICLE
Authors: Singh Mohini , Singh Yadav Ravindra , Pandey Smriti , Kumar Verma Rahul
Published: September 2023

The aim of Ayurveda science is to keep healthy people well and heal sick people. Ayurveda, the science of life, is
based on the fundamental theory called the Tridosha theory. Tridosha is derived from the Sanskrit word’s Tri and
Dosha, which mean three vitiated factors. These three Doshas operate on a variety of scales, including the cellular, individual system, and organisational levels. Given that it begins and controls all functions, Vata has the
greatest influence on these three Doshas. It is also in charge of all kinds of movements. All Dhatus and Malas,
including Pitta and Kapha are ineffective, like a lame person. When Vata is active, it moves regarding. They were
transported away from their place by the active Vata. Vata stimulates the digestive fire, assists in the absorption of
the Dohas and the removal of the excretory products, and is the cause of pleasure and fearlessness. Vata moves
via all gross and microscopic pathways, determines how an embryo develops, and is a sign of persistent life. The
five different kinds of Vata Doshas are Prana, Udana, Samana, Vyana, and Apana. The elimination of these substances - Samirana (flatus), Sakrit (faeces), Mutra (urine), Sukra (semen), Garbha (foetus) Nishkramana and Artava (menstrual fluid) Nishkramana is significantly influenced by Apana Vata. Pregnancy is a stunning segment
of each woman’s life. Parturition is the principal occasion in a woman’s life. So, the higher information about its
idea in Ayurveda as well as in modern science may be very essential.
MANAGEMENT OF KSHINA ARTAVA WITH SPECIAL REFERENCE TO POLYCYSTIC OVARIAN DISEASE: A REVIEW
Authors: Alim Abdul , Humtsoe Yanbeni , Deka Dhiren
Published: September 2023

For the well-being of family, society and culture, woman’s health is the prime consent to be considered. Right
from birth, physiological changes and development occur but remarkably during the age of puberty. Lifestyle
changes, sedentary life, diet and stress alters the physiology of “Hypothalamus-Pituitary-Ovarian-Uterine axis”
resulting many gynaecological problems. In Ayurveda, Artava Dushti is one of the causes behind it. Among the
Asta-Artava Dusti, one of the common menstrual problems is Kshina Artava. Its clinical features are Alpartava
(oligomenorrhoea/hypomenorrhea), Yathochitakala Artava Adarshana (irregular menses or amenorrhoea) etc.1,2
Polycystic ovarian disease is an emerging psychosomatic and lifestyle disorder. Having wide spectrum of clinical
features like oligomenorrhoea, hypomenorrhea, amenorrhoea, hirsutism etc.2,3 Therefore, Polycystic ovarian disease also may be taken as one causative factor of Kshina Artava. In modern medicine, available symptomatic
treatment doesn’t correct the root cause, but it creates adverse effects like weight gain, loss of libido, headache,
mood changes, etc. and also costly. There is a strong relation between obesity, stress and Polycystic ovarian disease. The science of Yoga works at root cause of Polycystic ovarian disease i.e., Stress and Obesity. Overall review of the available data indicates That the holistic approach is inevitable for the management of such disease.
Contribution of FDI in Service Employment of India
Authors: Pal Atreyee , Ali Asgar
Published: September 2023

In the globalized world, foreign direct investment (FDI) is seen as one of the best viable solutions for addressing the issue of insufficient funds in developing and less developed economies. Whether these economies follow the path of Balanced Growth or Unbalanced Growth; there always remains a crunch of domestic funds that can be mitigated through the availability of funds from foreign sources. In addition to the domestically generated funds, the Indian economy has relied on foreign funds and aid, for its growth and development needs from time to time and FDI has always remained an important component in this regard. While the review of the Indian growth pattern in the post-globalization era reveals that the service sector has evolved as the major income and employment contributory sector; this article tries to examine the dynamics of FDI inflow in the service sector and its contribution towards income and employment generation in this sector. Analyses of data from various sources such as CSO, NSSO, RBI and the World Bank reveal that the Indian service sector has continued to receive the highest share of FDI during 2004–2005 and 2019–20. Although, the contribution of FDI inflow towards income growth has been satisfactory; its contribution towards employment growth has been relatively lower.
Đặc điểm và kết cục thai kỳ của thai phụ nhiễm COVID-19 nhập viện tại Bệnh viện Đa khoa Đồng Nai trong đại dịch COVID-19
Authors: Nguyễn Mạnh Hoan , Lê Cao Cường , Nguyễn Thiện Huy
Published: September 2023

Đặt vấn đề: Đại dịch COVID-19 đã và đang cướp đi rất nhiều sinh mạng ở hầu hết các quốc gia và đang là vấn nạn toàn cầu. Đặc biệt ở các thai phụ bị nhiễm COVID-19, bệnh suất và tử suất của các bà mẹ và con của họ tăng cao. Mục tiêu của nghiên cứu này là mô tả các đặc điểm dịch tễ, lâm sàng-cận lâm sàng, và kết cục thai kỳ của các thai phụ bị nhiễm COVID-19 trong đại dịch COVID-19 tại tỉnh Đồng Nai.

Đối tượng và phương pháp: Nghiên cứu tiến cứu báo cáo hàng loạt ca thực hiện tại Bệnh viện Đa khoa Đồng Nai (BVĐK ĐN), từ 09/7/2021 đến 15/10/2021. Tất cả 92 thai phụ nhiễm COVID-19 đồng ý tham gia nghiên cứu đã được khẳng định nhiễm COVID-19 bằng xét nghiệm RT-PCR và cung cấp đầy đủ thông tin trong phiếu thu thập số liệu.

 

 

 

 

 

 

 

 

 

Kết quả: Có 92 thai phụ tham gia nghiên cứu, bao gồm: 16,3% (n = 15) chưa sinh và 83,7% (n = 77) chuyển dạ sinh; 54,3% (n = 50) có triêu chứng và 45,7% (n = 42) không có triêu chứng COVID-19. Các triêu chứng COVID-19 chủ yếu là ho (74%), sốt (66%), khó thở (50%) và mệt (33%). Tỷ lệ bệnh có biến chứng là 38%, với 3 biến chứng chiếm tỷ lệ cao là viêm phổi (33,7%), suy hô hấp cấp (20,7%) và nhiễm trùng thứ phát (19,6%). Tỷ lệ thai phụ nhiễm COVID-19 sinh tại BVĐK ĐN là 2,9% (n = 77). Có sự khác biệt có ý nghĩa thống kê (p < 0,05) giữa 2 nhóm thai phụ nhiễm COVID-19, có triệu chứng và không triệu chứng, ở một số đặc điểm: lý do nhập viện, thời điểm biết nhiễm COVID-19, mức độ nhiễm COVID-19, tuổi thai, phương pháp sinh, và thay đổi cận lâm sàng. Tỷ lệ sanh non (20,8%) ở thai phụ nhiễm COVID-19 cao hơn 3,5 lần so với tỷ lệ sinh non trung bình ở khoa (5,7%). Tỷ lệ tử vong mẹ là 2,2%, cao hơn so với tỷ lệ 0% của khoa sản BVĐK ĐN năm 2020 và 10 tháng đầu năm 2021.

Kết luận: Từ 09/7/2021 đến 15/10/2021 ở các thai phụ nhiễm COVID-19 tại BVĐK Đồng Nai, nhóm có triêu chứng chiếm 54,3% và nhóm không có triệu chứng chiếm 45,7%. Có khác biệt có ý nghĩa thống kê (p < 0,05), giữa 2 nhóm này trong sự phân bố một số yếu tố ở ba đặc điểm: dịch tễ, lâm sàng- cận lâm sàng và kết cục thai kỳ.
Đánh giá tình trạng chảy máu bất thường từ tử cung dựa vào biểu đồ PBAC ở phụ nữ trong độ tuổi sinh sản và các yếu tố liên quan
Authors: Trần Doãn Tú , Hồ Minh Đạt , Lê Phước Thành , Nguyễn Công Lợi
Published: September 2023

Đặt vấn đề: Chảy máu bất thường từ tử cung là một trong những vấn đề sức khỏe ảnh hưởng đến chất lượng cuộc sống ở phụ nữ. Nghiên cứu được thực hiện nhằm đánh giá tình trạng chảy máu bất thường từ tử cung ở phụ nữ trong độ tuổi sinh sản dựa vào biểu đồ PBAC, khảo sát nguyên nhân theo hệ thống phân loại PALM-COEIN và tìm hiểu các yếu tố liên quan.

Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang, hồi cứu với 180 phụ nữ trong độ tuổi sinh sản (18 - 54 tuổi) nhập viện vì chảy máu bất thường từ tử cung tại Khoa Phụ sản, Bệnh viện Trường Đại học Y-Dược Huế và Bệnh viện Trung ương Huế từ tháng 06/2021 đến 12/2022. Tiến hành thăm khám lâm sàng, đánh giá tình trạng, mức độ chảy máu bằng biểu đồ PBAC. Dựa vào kết quả cận lâm sàng đánh giá mức độ thiếu máu. Hội chẩn để chẩn đoán nguyên nhân theo hệ thống phân loại PALM-COEIN. Tính toán và khảo sát các yếu tố liên quan đến tình trạng chảy máu bất thường từ tử cung.

Kết quả: Độ tuổi trung bình trong nghiên cứu là 41,9 ± 6,3 (tuổi). Có 56,1% bệnh nhân được chẩn đoán thiếu máu; trong đó, thiếu máu mức độ nặng chiếm tỷ lệ 7,2%. U xơ tử cung (UXTC) và quá sản nội mạc tử cung (NMTC)/ung thư NMTC là những nguyên nhân chủ yếu với tỷ lệ lần lượt là 51,1% và 38,9% và cũng có điểm PBAC cao nhất với giá trị trung vị lần lượt là 498,0 (KTC 95%: 336,0 - 750,0) và 529,0 (KTC 95%: 289,0 - 884,3). Tại điểm cắt tối ưu là 590, giá trị của PBAC trong tiên lượng thiếu máu mức độ nặng là: độ nhạy 86,7%, độ đặc hiệu 63,6%, AUC = 0,745 (KTC 95%: 0,675 - 0,807), p = 0,0001. Điểm PBAC > 590 có mối liên quan với tình trạng rong kinh và thiếu máu nặng (p < 0,05).

Kết luận: Biểu đồ PBAC có thể ứng dụng trong thực hành lâm sàng giúp đánh giá mức độ chảy máu bất thường từ tử cung, có giá trị tiên lượng mức độ thiếu máu nặng.
Tỷ lệ các loại nhau tiền đạo và một số yếu tố nguy cơ tại Bệnh viện Phụ sản thành phố Cần Thơ năm 2019 - 2021
Authors: Lâm Đức Tâm , Lý Thị Mỹ Tiên , Phạm Đắc Lộc
Published: September 2023

Đặt vấn đề: Nhau tiền đạo là một cấp cứu sản khoa, có thể gây ra nhiều biến chứng nguy hiểm cho mẹ và con. Một trường hợp thai phụ bị nhau tiền đạo chảy máu nhiều mà không cấp cứu kịp có thể gây tử vong mẹ. Nguyên nhân sinh ra nhau tiền đạo cho đến nay vẫn chưa được biết đến đầy đủ. Tuy nhiên, tần suất nhau tiền đạo đang tăng lên ở thai phụ có tiền sử đẻ nhiều lần, mổ lấy thai, bóc nhân xơ tử cung… Nghiên cứu được thực hiện nhằm khảo sát tình hình và một số yếu tố nguy cơ ở thai phụ bị nhau tiền đạo để có những khuyến nghị phục vụ công tác chẩn đoán, điều trị bệnh ở địa phương và khu vực lân cận.

Mục tiêu nghiên cứu: Mô tả tỷ lệ nhau tiền đạo và một số yếu tố liên quan đến nhau tiền đạo tại Bệnh viện Phụ sản thành phố Cần Thơ giai đoạn 2019 - 2021.

Đối tượng và phương pháp nghiên cứu: Thiết kế cắt ngang mô tả có phân tích được thực hiện trên 103 trường hợp nhau tiền đạo trong 1400 thai phụ nhập viện sinh tại Bệnh viện Phụ sản thành phố Cần Thơ giai đoạn 2019 - 2021.

Kết quả: Tỷ lệ nhau tiền đaọ chung là 7,36%; trong đó: có 60,2% thai phụ bị nhau tiền đạo trung tâm, nhau bám mép là 19,42%; nhau tiền đạo bán trung tâm chiếm 16,5% và nhau bám thấp 3,88%. Tỷ lệ nhau tiền đạo cài răng lược chiếm 20/103 (19,4%), trong đó, nhau cài răng lược loại Increta là 11,6%. Liên quan đến nhau tiền đạo: có tiền sử nạo phá thai và tiền sử viêm nhiễm tử cung chiếm 11,6% và 1,9% với OR = 4,3; 95%CI = 2,14 - 8,45 và OR = 25,7; 95%CI = 2,27 - 289,56. Số lần sinh con rạ chiếm 32,0% với OR = 3,9; 95%CI = 2,47 - 6,15; p < 0,05. Đa thai, tử cung dị dạng, tiền sử đẻ có kiểm soát tử cung, tiền sử nhau tiền đạo lần lượt là 3,9%; 1,9%; 1,0%; 1,9%. Tử cung có sẹo mổ cũ với 36,9% với OR = 1,9; 95%CI= 1,26 - 2,94. Đặt dụng cụ tử cung là 2,9% với OR = 7,7; 95%CI = 1,81 - 33,1. Viêm nhiễm tử cung, tiền sử đặt dụng cụ tử cung hoặc có tiền sử nạo buồng tử cung, nhau tiền đạo nhiều lần làm tăng nguy cơ bị nhau tiền đạo.

Kết luận: Tỷ lệ nhau tiền đạo chung tăng; tăng tỷ lệ các thể nhau tiền đạo-nhau cài răng lược và có thái độ tiếp cận đúng với các sản phụ có các yếu tố nguy cơ gây nhau tiền đạo.
Ideal Tenant Mix Composition Based On Consumer Preference Weighting Method In Travoy Hub Commercial Area
Authors: Oloan Joseph Mervin , Hadisumarto Aswin D. Hadisumarto
Published: September 2023

The success of marketing activities and financial success in a commercial area or shopping center is influenced by several factors, one of which is the tenant mix factor. The process of analyzing the composition of the tenant mix using the consumer preference weighting method can make it easier for developers to know exactly the types of tenants expected and needed by potential consumers. The research object in this study is Travoy Hub, a commercial area that is being developed by PT Jasamarga Related Business. Specifically, there are three main parameters that can describe the tenant mix model effectively, namely the tenant preference category (Preferred Main Tenant Category), the tenant order category (Ranking of Main Tenant Category Preference), and the tenant product purchasing tendency category (Likelihood of Supporting Preferred Tenants). The aim of this research is to explain the logic of the research methodology as well as the preferences of potential consumers regarding tenant plans that will operate in the commercial area in question, using the example of a commercial area in the East Jakarta area.
Analysis of Marketing and Operational Planning in a Container Villa Rental Company
Authors: Ahembang Ahembang , Rahmad Tanti Yanuar , Indradewa Rhian , Dhafi Iskandar Muhammad
Published: September 2023

In the tourism and housing industry, the container villa rental business is gaining popularity as a unique and innovative residential alternative. This business offers a different stay experience by providing comfortable and stylish container villas. The purpose of this research is to analyze marketing and operational planning in the container villa rental company PT Nahe Unggul Lestari. This research uses a qualitative approach with a case study as its research method. Data will be collected through interviews with company managers and related staff, as well as direct observation of operational processes and marketing promotions. The data that has been collected will be analyzed qualitatively using a thematic approach. The results show that marketing and operational planning in the villa container rental company has been carried out in a systematic and structured manner. This marketing and operational planning team is responsible for ensuring that the company has effective marketing and operational strategies to achieve its goals. The marketing and operational planning process at the villa container rental company is carried out by taking into account factors such as company needs, market needs, and the company's ability to pay.
Financial Planning Strategy of "Container Villa Rental Company in the Mountains" in Indonesia
Authors: Makaronna Sinulingga Edward , Rahmad Tanti Yanuar , Indradewa Rhian , Iskandar Muhammad Dhafi
Published: September 2023

The development of the tourism industry in Indonesia has presented new business opportunities, including in the field of container villa rental in mountainous areas. This business promises attractive potential, but is also faced with various challenges related to proper financial planning. This research aims to analyze and understand the financial planning strategies adopted by container villa rental companies in Indonesia's mountainous regions. This research uses a qualitative approach with a case study method. The data in this study was collected through in-depth interviews with relevant parties in the container villa rental company, including financial management and other decision makers. In addition, data is also collected through document studies, namely financial reports, budgets, and company business plans. The collected data will be analyzed with a qualitative approach. The results show that financial planning for container villa rental companies in the mountains in Indonesia needs to be done systematically and structured. Financial planning in villa container rental companies in the mountains includes financial goals and objectives, financial planning elements, financial projections, investment feasibility analysis, and financial performance analysis.
Dynamics Of Investment Regulation: A Legal Review Of Law No. 25 Of 2007 On Investment In Indonesia In Overcoming The "Investment Ghost"
Authors: Nurmal Ireina Rahayanti
Published: September 2023

Investment is one of the important factors in economic growth. Through investment, a country can obtain the capital and technology needed to develop its economy. Indonesia is one of the countries that has great potential to attract foreign investment. However, Indonesia also has a number of challenges in attracting investment, one of which is the "investment ghost". This study aims to provide an overview of how investment regulations in Indonesia have changed and evolved in an effort to overcome the "investment ghost". This study utilizes a qualitative research method. Data is collected through a literature study of various laws and regulations, scientific literature, and related documents. The data that has been collected is then analyzed using three stages, namely data reduction, data presentation and conclusion drawing. The results show that in overcoming investment ghosts, the government overcomes these problems with Law No. 25/2007 on Investment (UUPM). The UUPM adopts the principles of transparency, ease of doing business, and fair business competition. The UUPM also gives greater authority to local governments in organizing investment affairs, which is expected to speed up the investment licensing process and improve coordination between the central government and local governments. Therefore, the UUPM has succeeded in creating a more conducive and attractive investment climate for investors.
The Effect Of Motivation And Compensation On Employee Performance Mediated By Organizational Citizenship Behavior (Study On Sinergia Group Indonesia)
Authors: Khabibulloh Mukhammad Nur , Khuzaini Khuzaini , Suwitho Suwitho
Published: September 2023

This research was conducted aiming to determine the effect of motivation and compensation on employee performance mediated by organizational citizenship behavior at Sinergia Group Indonesia. This research was conducted because it saw the phenomenon of declining employee performance at Sinergia Group Indonesia. Employee performance can be influenced by factors such as personal factors, leadership factors, team factors, system factors, contextual/situational factors. The sampling method used is saturated sampling, because the entire population is used as a sample. This study used a sample of 40 people, using multiple linear regression techniques, path analysis and causal steps. The conclusions of this study are (1) the variable of motivation has a positive and significant effect on organizational citizenship behavior, (2) the variable of compensation has a positive and insignificant effect on organizational citizenship behavior, (3) motivation has a negative and insignificant effect on employee performance, (4) compensation variables have a positive and insignificant effect on employee performance, (5) organizational citizenship behavior variables have a positive and significant effect on employee performance, (6) organizational citizenship behavior variables are able to fully mediate the influence between motivational variables on employee performance, (7) organizational citizenship variables behavior is able to fully mediate the influence between compensation variables on employee performance.
Grammar and Vocabulary Skills in Relation to the Maritime Students’ Speaking Abilities
Authors:   Misamis University, Ozamiz City, Philippines, S. Hangad Jeshler Vohn , Clarin Analyn S. ,   Misamis University, Ozamiz City, Philippines
Published: September 2023

English proficiency is an important component of a thriving and modern society. This study explored the levels of grammar and vocabulary skills in relation to the speaking abilities of maritime students. This study was conducted in one of the higher education institutions in Ozamiz City. The descriptive-correlational research design was used. One hundred twenty students served as the respondents of the study. They were chosen through stratified random sampling. The researcher-made tests used in gathering the data were the Grammar Skills Test, Vocabulary Skills Test, and Speaking Abilities Test. In addition, Frequency, Percentage, Mean and Standard Deviation, and Pearson Product-Moment Correlation Coefficient were used in analysing the data gathered. The results revealed that the levels of the students' grammar skills and speaking abilities were very satisfactory. On the other hand, the students' vocabulary skills were satisfactory. Furthermore, the students’ grammar and vocabulary skills do not correlate with each other. The study concludes that the students have performed well in grammar, are good at vocabulary, and are proficient in speaking. In addition, their grammar and vocabulary skills do not greatly impact how they deliver their speaking abilities. It is recommended that the teachers develop learning strategies to improve their proficiency and promote the development of grammar, vocabulary, and speaking abilities.
El arte indígena, un lenguaje por aprender
Authors: Gomez Landeo Angel , Vivas Hurtado Selnich
Published: September 2023

PRESENTACIÓN

Es un gran honor para mí, mencionar la importancia y la lectura de este libro, fruto de una investigación profunda, así como de la articulación de los conocimientos artísticos de diversos lugares y épocas.

Sin duda los autores, Ángel Héctor Gómez Landeo y Selnich Vivas Hurtado, se han acercado de una manera mi-nuciosa y muy atenta a las manifestaciones de los seres humanos con sentido de pertenencia a diversas culturas, y han sabido plasmar de manera tan significativa sus valores artísticos que nos conducen a cada la cultura.

Los seres humanos tenemos muchas coincidencias y al acercarnos unos a otros, nos damos cuenta que realmente nuestros valores nos van haciendo tan semejantes como las mismas obras de arte.

Doy gracias por estos dos autores y me felicito por leer estas páginas escritas con mucha dedicación y cariño hacia lo nuestro, lo peruano.

Tener en nuestras manos este libro será para nosotras y nosotros ingresar a un mundo mágico, algo conocido qui- zás, más con urgente necesidad de internalizarlo porque estas hojas nos llevan a vivir el contraste así como la simili- tud. Es una grata sorpresa leer una y otra vez, así como cuando persiste en nuestras manos y el corazón, las coloridas imágenes que resaltan esta obra.

Gracias por el esfuerzo, por las horas, días y noches dedicados a este, nuestro libro importante.

Las manifestaciones literarias son también parte de su locuaz escrito.

Desde la Universidad Nacional de Ucayali y la Universidad de Antioquia, siempre, los aportes son y serán los ecos resonantes para el Perú, Latinoamérica toda y por qué no el mundo, que siempre con mucha avidez necesita enriquecerse.

Esperamos que no sea uno de los primeros libros y que la saga continúe creando proyectos con los mismos docentes y / o alumnos.

Mis felicitaciones Ángel y Selnich

Con afecto desde la Literatura y el Arte.

 

Rosa Gonzales
LITERATURA INDÍGENA AMAZÓNICA
Authors: Gomez Landeo Angel , Huamán Almirón Abraham E.
Published: September 2023

PRESENTACIÓN

 Literatura Indígena Amazónica del Perú propone un estudio más sistemático de la vasta producción oral y escrita de las culturas vivas de nuestro país. A partir de los genuinos representantes como de los que con su llegada a estos bosques han aprendido a leer la naturaleza en su vinculación armoniosa con los seres míticos que dan vitalidad a la tradición oral para luego consolidarla en una creación literaria hecha en su propia lengua y en el castellano, la lengua occidental más próxima que tenemos, como para que los oídos más sensibles escuchen a dos voces el pensamiento lírico y narrativo de sus creadores.

El libro es un aporte metodológico y muy útil para la investigación literaria, en particular para las asignaturas de Literatura Amazónica, materias de interculturalidad y de lenguas amazónicas, por que tiene la finalidad de seguir indagando nuestras raíces ancestrales que muestran un continuum a través de la creación literaria escrita. Consideramos que los escritos que se presentan en este breve trabajo guardan la creación homérica de sus autores y estamos seguros que en el tiempo se les unirán nuevas generaciones en busca de lograr la plenitud de su universo literario.

 

Abraham E. Huamán Almirón

Ángel Héctor Gómez Landeo
MI PUEBLO VERDE
Authors: Gomez Landeo Angel , Quispe Cutipa Walter Arturo , Huamán Gómez Edwin
Published: September 2023

Presentación

 

La producción literaria en la región Ucayali, sin duda, va cada vez en aumento no solo en cantidad sino también en ca- lidad. Más aun tratándose de reconocidos estudiosos y críticos de la literatura amazónica y nacional.

Ángel Héctor Gómez Landeo, coautor del libro Literatura amazónica peruana (2006), autor de Reflexiones sobre lite- ratura peruana y amazónica (2010), cofundador de la Revista Internacional de Literatura y de Investigación Científica Kolpa (2009), ponente en eventos nacionales e internacionales y do- cente universitario. Suma de experiencias vivenciales y profe- sionales que hacen de él un escritor de valía que se ve reflejado en Mi pueblo verde, obra dedicada a la literatura y que contie- ne ensayos, artículos, análisis de mitos y leyendas del pueblo shipibo-konibo bajo el enfoque proppiano, textos amazónicos para la comprensión lectora e incorpora nuevas plumas a for- mar parte del mundo literario en “A manera de colofón”.

Walter Arturo Quispe Cutipa, joven docente universitario que hace gala de un buen uso de las letras castellanas en ar- tículos como “Los dolores de muela del sector estatal” (Kolpa No.2-2009) o en “Un acercamiento a la literatura infantil”, cuyo mayor aporte está en la creación de su cuento “Un ángel desco- nocido”, ambos escritos involucrados en el presente libro.

Gómez Landeo y Quispe Cutipa, en Mi pueblo verde, basa- dos en su trayectoria como docentes de aulas de educación bá- sica y superior, forman conceptos propios de literatura peruana y amazónica, literatura indígena, sociedad, interculturalidad, y realizan una propuesta de textos narrativos y poéticos para su lectura concienzuda y reflexiva, principalmente, en los jóvenes estudiantes de educación básica regular.

Ambos escritores están acompañados por una joven pro- mesa que anteriormente ha incursionado en el arte de la pala- bra, Edwin Huamán Gómez, como coautor del libro Divinidades del bosque.

Esta obra también deja espacios para el goce estético de creaciones juveniles tanto en la prosa como en la lírica, como es el caso de de los estudiantes de la Universidad Nacional Inter- cultural de la Amazonía y de la Universidad Nacional de Ucaya- li. Por ello la trascendencia de los autores por creer en lo propio, pero también en los nuevos valores que obviamente están en la juventud que se forje en el tiempo como nuevos premios nóbe- les, más humanos y más cercanos a nuestra patria.

Abraham E. Huamán Almirón