bluuebunny/crossref_metadata_2025 huggingface dataset:
Familjens kris. Fem decennier av svensk familjepolitik
Authors: Lundqvist Åsa
Published: June 2022

This article analyses the history of the Swedish welfare state, with a special emphasis on the development of Swedish family policy between 1930 and 1975. It is argued that a coalition between state officials and state-appointed experts was active in the shaping and legitimising of the concept of family as well of family politics. The underlying assumption of the paper is that the concepts of the family and of family relations are constructed through the intertwining relationship between the state (exemplified through social and family politics) and social science academics, employed as experts in governmental commissions. Thus, the main object is to explore the arguments behind family policy recommendations that were put forward in governmental commission reports between the 1930’s and the mid 1970’s. This period is marked by several policy ruptures. In its early period, the main goals was to simultaneously strengthen the functionality of the nuclear family and creating equality between men and women. It was followed by a period marked by ambivalence, where the dual roles of women were highlighted at the same time as the nuclear family was made the cornerstone of family policy. In the 1960’s, elements of a gender neutral family policy emanated.
Wpływ Spalania Biomasy i Narażeń Zawodowych na Czynność płuc w Losowej Próbie Populacyjnej Mieszkańców Małopolski
Authors: Mejza Filip , Nastałek Paweł , Skucha Wojciech , Harat Rafał , Niżankowska-Mogilnicka Ewa
Published: June 2022

Wstęp: W około 20% przypadków przewlekłej obturacyjnej choroby płuc w patogenezie choroby biorą udział czynniki ryzyka inne niż palenie tytoniu. Narażenie na te czynniki i ich wpływ na czynność płuc w populacji Małopolski nie zostało dokładnie zbadane. Materiał i metody: W losowo dobranej próbie populacyjnej z 2 powiatów Małopolski, w wieku co najmniej 40 lat, zebrano za pomocą kwestionariusza szczegółowe dane dotyczące narażeń na znane i przypuszczalne czynniki ryzyka chorób układu oddechowego oraz wykonano spirometrię przed i po podaniu leku rozkurczającego oskrzela. Wyniki: Analizą objęto dane od 618 badanych; 94.8% badanych dłużej niż 6 miesięcy w życiu mieszkało w domu, w którym używano węgla do gotowania lub ogrzewania. W czasie badania aż 32.5% badanych wciąż stosowało węgiel lub drewno do gotowania i/lub ogrzewania. Średni czas używania węgla i drewna jako źródła opału przekraczał 30 lat; 67% badanych wykonywało w życiu zawód wiążący się z narażeniem na czynniki potencjalnie wpływające szkodliwie na układ oddechowy. Stwierdzono niezależny od innych czynników ryzyka wpływ pracy na roli na mniejszą wartość FEV1/FVC oraz większe ryzyko przewlekłej obturacyjnej choroby płuc. Wnioski: Znaczący odsetek mieszkańców Małopolski był narażony na spalanie węgla i drewna oraz narażenia zawodowe. W badanej populacji praca na roli wiązała się z większym ryzykiem przewlekłej obturacyjnej choroby płuc.
Status Społeczno-Ekonomiczny i Czas Trwania Objawów u Mężczyzn Chorych na Gruźlicę Leczonych w Mazowieckim Centrum Leczenia Chorób Płuc i Gruźlicy w Otwocku
Authors: Jagodziński Jacek , Zielonka Tadeusz , Błachnio Maria
Published: June 2022

Wstęp: Zapadalność na gruźlicę zależy od wielu czynników, nie tylko zdrowotnych, lecz również społeczno-ekonomicznych. Celem niniejszej pracy była ocena czasu trwania objawów choroby oraz rozległości zmian radiologicznych u mężczyzn chorych na potwierdzoną bakteriologicznie gruźlicę płuc, w powiązaniu z ich statusem społeczno-ekonomicznym. Materiał i metody: Praca miała charakter retrospektywny i była oparta na analizie dokumentacji 300 chorych hospitalizowanych w latach 2004–2006 na oddziale męskim Mazowieckiego Centrum Leczenia Chorób Płuc i Gruźlicy w Otwocku. U wszystkich badanych rozpoznanie gruźlicy potwierdzono bakteriologicznie. Oceniano czas trwania objawów przed hospitalizacją, rozległość zmian radiologicznych oraz status społeczno-ekonomiczny z uwzględnieniem miejsca zamieszkania, aktywności zawodowej, wieku i stanu cywilnego. Wyniki: Spośród prątkujących chorych hospitalizowanych na Mazowszu 74% stanowiły osoby nieaktywne zawodowo, w tym aż 57% było bezrobotnych. Liczba mieszkańców miast i wsi była zbliżona, ale aż 10% prątkujących chorych hospitalizowanych na Mazowszu to osoby bezdomne. W badanej grupie 60% mężczyzn było nieżonatych. U 63% prątkujących chorych objawy gruźlicy występowały dłużej niż 2 miesiące. Częściej zgłaszały je osoby bezrobotne (60%) i stanu wolnego (61%). Aż u 81% chorych w chwili rozpoczęcia leczenia stwierdzono rozległe zmiany radiologiczne obejmujące 3 i więcej pól płucnych. Szczególnie często obserwowano je u bezdomnych, bezrobotnych oraz u emerytów i rencistów. U 87% badanych stwierdzono prątki gruźlicy w preparacie bezpośrednim. Wnioski: Gruźlica na Mazowszu występuje szczególnie często u osób bezrobotnych oraz u emerytów i rencistów. Wśród badanych chorych stosunkowo dużo było osób bezdomnych. Zdecydowana większość prątkujących chorych na Mazowszu w chwili rozpoczęcia leczenia ma już bardzo rozległe zmiany radiologiczne, a objawy występują u nich od wielu tygodni.
Opieka nad chorymi na POChP w Danii
Authors: Lange Peter
Published: June 2022

The prevalence of chronic obstructive pulmonary disease (COPD) in Denmark is among the highest in the world [...]
Psychologiczne konsekwencje przewlekłych chorób układu oddechowego. Rola personelu medycznego w ich przezwyciężaniu
Authors: Andysz Aleksandra , Merecz Dorota
Published: June 2022

Współczesna medycyna pozwala poprawiać wydolność niesprawnych organów i w znacznym stopniu uśmierzać ból fizyczny, niestety w procesie leczenia pacjentów wciąż zbyt mało miejsca poświęca się psychicznemu wymiarowi cierpienia. Tymczasem w populacji chorujących na przewlekłe choroby układu oddechowego znaczny odsetek osób doświadcza zaburzeń zdrowia psychicznego w postaci depresji i zaburzeń lękowych. Artykuł dotyczy czynników ryzyka wystąpienia problemów ze zdrowiem psychicznym, które są następstwem choroby somatycznej. Zwrócono uwagę na znaczenie poszerzania wśród lekarzy wiedzy na temat psychicznych konsekwencji przewlekłych chorób układu oddechowego, aby mogli dostrzegać symptomy pogarszania się stanu zdrowia psychicznego u pacjentów i w porę im przeciwdziałać. Wskazano także na konieczność współdziałania lekarzy ze specjalistami zajmującymi się zdrowiem psychicznym. Współpraca taka jest w wielu przypadkach warunkiem skuteczności leczenia i wpływa na poprawę jakości życia pacjentów.
Neurofibromatosis Type 1 with Interstitial Pulmonary Lesions Diagnosed in an Adult Patient. A Case Study and Literature Review
Authors: Nalepa Piotr , Wolnicka Monika
Published: June 2022

A case of a 43-year-old man with clinically diagnosed neurofibromatosis type I (NF-1, von Recklinghausen disease) was referred to a lung disease unit for investigation of worsening tolerance of physical effort and of aetiology of radiological cystic lung lesions, seen in high-resolution computed tomography (HRCT). The patient had been treated for epilepsy since childhood, and had third degree tricuspid valve incompetence, with no pulmonary hypertension detected during right heart catheterization. Interstitial pulmonary lesions were finally attributed to his primary disease, and further clinical observation is required in order to determine their dynamics. The observed deterioration in the patient’s tolerance to physical effort was connected to the accompanying respiratory tract infection with Klebsiella oxytoca and Staphylococcus aureus, in a subject with cystic lung lesions and tricuspid valve incompetence. The report describes the criteria for NF1 diagnosis and points out the controversies of coexistence of interstitial pulmonary lesions in the clinical picture of the disease.
Eozynofilowe zapalenie płuc w przebiegu zespołu larwy skórnej wędrującej—Opis przypadku
Authors: Darocha Szymon , Wawrzyńska Liliana , Oniszh Karina , Dziewulska Barbara
Published: June 2022

Zespół larwy skórnej wędrującej (LCM) jest chorobą importowaną przez podróżnych udających się do krajów strefy tropikalnej i subtropikalnej. Choroba jest następstwem przypadkowej obecności inwazyjnej postaci larwalnej nicieni, które pasożytują przeważnie u psów i kotów, w warstwie rozrodczej naskórka człowieka. Larwa wędruje od kilku milimetrów do kilku centymetrów na dobę i pozostawia pozakręcane, uniesione ponad powierzchnię skóry tunele. Zmianom skórnym często towarzyszy uporczywy świąd związany z wędrówką pasożyta. Bardzo rzadko pojawia się eozynofilia we krwi obwodowej, a jeszcze rzadziej obserwuje się powikłania narządowe. W niniejszej pracy przedstawiono przypadek LCM wywołany przez zakażenie Ancylostoma brasiliense importowane ze Sri Lanki, powikłany eozynofilowym zapaleniem płuc. Zastosowano kortykoterapię dożylną oraz leczenie miejscowe albendazolem z dobrym efektem klinicznym.
Zapalenia płuc w immunosupresji—ogólne problemy kliniczne
Authors: Radzikowska Elżbieta
Published: June 2022

Zakażenia układu oddechowego stanowią najczęstszą postać zakażeń u chorych z obniżoną odpornością [...]
Hemorrhagic Parapneumonic Effusion in a 64 Year-Old Patient as the First Symptom of Hemophilia B
Authors: Grabczak Elżbieta M. , Krenke Rafał , Jeleńska Magdalena , Komarow Iwan , Ambroziak Urszula , Fangrat Adam , Chazan Ryszarda
Published: June 2022

Hemophilia B is an inherited, X chromosome-linked disease. It is usually diagnosed in childhood, sometimes in adolescence. The commonest symptoms include spontaneous or post-traumatic bleeding into the joints and/or muscles, as well as mucosal bleeding. Respiratory symptoms are rarely reported. We present the case of a 64 year-old man in whom bloody parapneumonic effusion (hemothorax) was the first symptom of hemophilia B. The reason for prolonged activated partial thromboplastin time (APTT) found on admission has not been elucidated. Since antibiotic therapy and pleural tube thoracostomy with intrapleural streptokinase were found to be ineffective, video-assisted thoracic surgery was performed with the right lung decortication. Post-operative treatment was complicated by massive pleural bleeding requiring two subsequent thoracotomies. Additional blood tests revealed factor IX deficiency and resulted in hemophilia B being diagnosed. The presented case proves that hereditary bleeding disorders may be diagnosed even in late adulthood. Intrapleural bleeding related to pneumonia and pleural inflammation might be the first presenting symptom. Hemophilia should be considered as a potential cause of APTT prolongation, even in an elderly patient with atypical presentation. Explaining the reason for APTT prolongation before the surgical procedure could have allowed to avoid severe bleeding in the described patient.
Evaluation of TH1/TH2 Lymphocyte Balance and Lypopolysaccharide Receptor Expression in Asthma Patients
Authors: Siwiec Jan , Zaborowski Tomasz , Jankowska Olga , Wojas-Krawczyk Kamila , Krawczyk Paweł , Milanowski Janusz
Published: June 2022

Introduction: An increase in the number of asthma patients which has recently been observed depends on their place of residence and their occupation. This suggests that both external factors and genetic predispositions affect the development of the disease. The contact with bacterial lypopolysaccharide (LPS) may suppress the development of asthma among rural inhabitants. The mechanism of LPS effect most probably consists in the activation of macrophages and granulocytes by TLR4 and CD14 receptors for the production of cytokines, which affect Th1/Th2 balance. The objective of the study was the evaluation of CD14 and TLR4 expression on mononuclear cells and the analysis of Th1/Th2 balance in peripheral blood among asthma patients. Material and Methods: The study group covered 22 patients with bronchial asthma (mean age 45 ± 15), and was conducted by the method of flow cytometry with the use of fluorochrome-labelled monoclonal antibodies. CD14 and TLR expression was assessed in peripheral blood monocytes. Th1/Th2 balance was determined by the measurement of intracellular IL-2, IFN-γ, IL-4 and IL-10 expression in T-helper cells after culture with the stimulation of cytokine production. Results: A negative correlation was noted between TLR4 expression and the percentage of Th2 lymphocytes, while a positive correlation was observed between expression of TLR4 and percentage of Th1 cells. No relationship was found between CD14 expression on monocytes and the percentage of Th1 and Th2 lymphocytes. Conclusions: An increased percentage of lymphocytes with TLR4 expression is associated with the change in Th1/Th2 balance in favour of Th1 lymphocytes in asthma patients.
Influence of Neck Circumference and Body Mass Index on Obstructive Sleep Apnoea Severity in Males
Authors: Pływaczewski Robert , Bieleń Przemysław , Bednarek Michał , Jonczak Luiza , Górecka Dorota , Śliwiński Paweł
Published: June 2022

Introduction: Obesity and male gender are the main risk factors for the development of obstructive sleep apnoea (OSA); however, some epidemiological data has shown that neck circumference (NC) ≥ 43 cm is a better predictor of obstructive event frequency than body mass index (BMI). The aim of this study was to assess the relation between NC and BMI on OSA severity in males. Material and methods: The subjects completed a sleep questionnaire and Epworth sleepiness scale before the sleep study (full polysomnography or PolyMesam study). We studied 133 consecutive males with confirmed OSA (AHI/RDI > 10, Epworth score > 9 points). Chest X-ray, spirometry, arterial blood gases, ECG, blood morphology and biochemistry were performed during treatment trial with autoCPAP. Results: Subjects presented with obesity—BMI = 35.8 ± 6.1 kg/m2, NC = 46 ± 3.4 cm and severe disease—AHI/RDI = 45.3 ± 23.6. Mean age was 52.7 ± 11.3 years. The majority of subjects had NC ≥ 43 cm (116 pts, 87.2%—group 1), 17 pts (12.8%—group 2) had NC < 43 cm had 17 pts. Comparison of both groups showed significant differences only for BMI (gr. 1—36.8 ± 5.7, gr. 2—28.6 ± 3.7; p < 0.0001). Linear regression analysis revealed significant correlation between NC and AHI/RDI (R2 = 0.07, r = 0.26; p = 0.003); however, the correlation between BMI and AHI/RDI was stronger (R2 = 0.14, r = 0.37; p < 0.0001). In multiple linear regression analysis we found significant correlation between AHI/RDI and age (β = –0.31, p = 0.003) and BMI (β = 0.34, p = 0.02). Conclusions: The strongest correlation between AHI/RDI, younger age and BMI was found in males with OSA. Correlation between neck circumference and AHI/RDI was significant but less when compared to BMI.
Rola eotaksyn w patofizjologii astmy
Authors: Paplińska Magdalena , Grubek-Jaworska Hanna , Chazan Ryszarda
Published: June 2022

Astma wiąże się z napływem eozynofilów do dróg oddechowych. Eozynofile odgrywają ważną rolę w patogenezie tej choroby. Interleukina-5 jest głównym czynnikiem regulującym proliferację, dojrzewanie i dystrybucję eozynofilów, mimo że ostatnie badania sugerują, że poza IL-5 w patogenezie astmy może uczestniczyć eotaksyna. Eotaksyna jest CC chemokiną po raz pierwszy odkrytą w płynie z płukania oskrzelikowo-pęcherzykowego u świnki morskiej. Eotaksyna łączy się selektywnie z receptorem CCR3 obecnym na eozynofilach, bazofilach i mastocytach, co może wiązać się z patogenezą astmy. Jest ona wytwarzana przez komórki nabłonka płuc i jelit, pośredniczy w preferencyjnej rekrutacji eozynofilów do tych organów. Produkcję eotaksyny stymuluje IL-4, IL-13, TNF-α. Obecnie znane są trzy eotaksyny ludzkie: eotaksyna-1 (CCL11), eotaksyna- 2 (CCL24) i eotaksyna-3 (CCL26). Przypuszcza się, że ekspresja eotaksyny-3 może być następstwem prowokacji alergenowej. W badaniach na hodowlach komórkowych in vitro wykazano pewne działanie hamujące glikokortykosteroidów na produkcję eotaksyn. Danych klinicznych dotyczących wpływu leczenia kortykosteroidami na stężenie eotaksyn nie ma zbyt wiele. Receptor CCR3 bierze się pod uwagę jako cel terapeutyczny w astmie oskrzelowej.
Czynnik martwicy nowotworów alfa jako biomarker predykcyjny astmy we wczesnym dzieciństwie
Authors: Majak Paweł
Published: June 2022

Rozwój badań nad biomarkerami astmy we wczesnym dzieciństwie można uzasadnić trzema przyczynami [...]
Oficjalne wytyczne ATS/ERS/JRS/ALAT dotyczące postępowania w praktyce klinicznej: Leczenie idiopatycznego włóknienia płuc
Authors: Raghu Ganesh , Rochwerg Bram , Zhang Yuan , Cuello Garcia Carlos , Azuma Arata , Behr Juergen , Brozek Jan , Collard Harold , Cunningham William , Homma Sakae , Johkoh Takeshi , Martinez Fernando , Myers Jeffrey , Protzko Shandra , Richeldi Luca , Rind David , Selman Moisés , Theodore Arthur , Wells Athol , Hoogsteden Henk , Schünemann Holger ,   on behalf of ATS, ERS, JRS and ALAT
Published: June 2022

Wprowadzenie: Niniejszy dokument uaktualnia wytyczne Amerykańskiego Towarzystwa Chorób Klatki Piersiowej (ATS)/Europejskiego Towarzystwa Pulmonologicznego (ERS)/Japońskiego Towarzystwa Pulmonologicznego (JRS)/Latynoamerykańskiego Towarzystwa Chorób Klatki Piersiowej (ALAT) dotyczące leczenia idiopatycznego włóknienia płuc. Metody: Przeprowadzono przeglądy systematyczne, a jeśli było to możliwe, metaanalizy, w celu podsumowania wszystkich dostępnych dowodów istotnych do sformułowania odpowiedzi na zadane pytania. Dowody oceniano za pomocą systemu Grading of Recommendations, Assessment, Development and Evaluation (GRADE), a następnie dyskutowano nad nimi w ramach panelu multidyscyplinarnego. Zastosowano strategie wcześniejszego określenia konfliktów interesów, a zalecenia zostały opracowane, napisane i ocenione wyłącznie przez członków paneli niezgłaszających konfliktów. Wyniki: Zalecenia przemawiające za określonymi interwencjami leczniczymi lub przeciw nim sformułowano po uwzględnieniu danych dotyczących skuteczności, znaczenia zbadanych punktów końcowych, pożądanych i niepożądanych następstw leczenia, kosztów, wykonalności, akceptowalności interwencji i równych szans dostępu do opieki zdrowotnej. Wnioski: Panel opracował i przedstawił podstawy do stworzenia zaleceń przemawiających za interwencjami leczniczymi lub przeciw nim w idiopatycznym włóknieniu płuc.
Efficacy of powered endoscopic dacryocystorhinostomy in treatment of nasolacrimal duct obstruction
Authors:   M.B.Ch.B. FICMS senior ENT Specialist, Rizgary teaching hospital, Sherwani Muhammad
Published: June 2022

Background and Objectives: To evaluate the success rate of the therapeutic effectiveness and safety of endoscopic dacryocystorhinostomy to treat obstruction of the lacrimal pathway. Methods: The study involved prospective randomized case series. Operative and postoperative data were prospectively collected on 114 patients (120 eyes) who presented to Rizgary Teaching Hospital (Erbil city – Iraq) with epiphora and obstruction of the nasolacrimal system, from February 2013 until October 2017. All patients consecutively underwent endoscopic dacryocystorhinostomy. The follow-up evaluation included system evaluation and endoscopic assessment of the newly created ostium; the follow-up was done at 1 week, 1 month, and 3 months postoperatively, and results were compared between the different groups. Results: A total of 120 cases of endoscopic dacryocystorhinostomy were performed on 114 patients. Procedure success rate was around 95.8%using powered drill and endoscopic system with minimum complication. Age group of 25-44 years (45.8%) is the higher percentage and the female gender accounts for 83.3%. No complications were recorded in78.3% of the patients, while 10% had developed granulation tissue at fistula site. Only 5%of the cases suffered from synechia and 5.7%were miscellaneous complications. No statistical significant differences were found between the surgery and age, gender, or side of operation. Conclusion: Powered endoscopic dacryocystorhinostomy is the most suitable treatment for patients at the level of the sac or in the nasolacrimal duct obstruction.
Clinical, Hematological and Immunophenotypic Profiles in Chronic Lymphocytic Leukemia in Kurdistan-Iraq
Authors:   MBChB, Senior registrar, Sulaimani Thalassemia Center, Rasheed Dashne Jamal , Jalal Sana Dlawar ,   MBChB, FRCPath, Assistant professor of hematology, Department of pathology, College of Medicine, University of Sulaimani, Yassin Ahmed Kudair ,   MBChB, FRCP, Consultant clinical hematologist, Department of Medicine, Hawler Medical University, College of Medicine
Published: June 2022

Background and objectives: Chronic lymphocytic leukemia is the accumulation of morphologically mature lymphocytes in blood and lymphatic tissues. We aimed to outline the clinico-hematological and immunophenotypic patterns of patients with chronic lymphocytic leukemia in Kurdistan-Iraq. Methods: This is a retrospective cohort study on 154 patients referred to Sulaimani Public Health Lab and Nanakaly Hospital - Hawler from January 1st 2013 to December 31st 2017 and diagnosed as chronic lymphocytic leukemia. Demographic, clinical, and laboratory data were recorded. Clinical stages and immunological scoring were determined. Results: Median patient age at diagnosis was 70 years with a range of 39-82 and a male: female ratio of 1.8:1. Thirty five patients (22.7%) were diagnosed incidentally, and 85 (55.2%) had B-symptoms at presentation. Lymphadenopathy was the most common presenting feature, seen in 84 (54.6%) patients ,while splenomegaly reported in 40 ( 26%)patients and hepatomegaly in 7(4.6) patients. Forty four (28.6%) patients had anemia at diagnosis, while 150(97.3%) patients presented with leukocytosis, and 21(13.6%) patients had thrombocytopenia. Leukemic B-cells have a specific immunophenotypic profile: CD19, CD20 weak, CD22 weak, CD5 bright, CD23+, CD79bweak, FMC7 weak/-, CD200 and weak immunoglobulin light chain restriction. The applied scoring system revealed that 112 (72.7%) patients scored four and the rest scored five out of five. Moreover, sixty five (42.2%) patients presented with advanced Rai stage and 62(40.3%) patients presented with stage C Binet system. Conclusions: Patients characteristics were not distinct from those reported elsewhere, though a higher proportion of our patients presented with an advanced clinical stage
The concentration and type of monoclonal protein and their impact on clinical severity in patients with symptomatic myeloma
Authors:   MBChB, HDH, KBMS-candidate Department of Haematology, Hiwa Cancer hospital, Sulaymaniyah, Ministry of Health, Department of MLS, Komar University of Science and Technology, Kurdistan region, Iraq, Khsohnaw Najmaddin Salih Husen , Yassin Ahmed Khudair , Mohammed Nawsherwan Sadiq ,   Department of Pathology, College of Medicine, Hawler Medical University, Erbil, Iraq
Published: June 2022

Background and objectives: Multiple Myeloma is a clonal plasma cell proliferation in the bone marrow that produces abnormal monoclonal proteins in serum and /or urine that leads to end-organ damage. We aimed to evaluate concentration, type of monoclonal protein, and their impact on the severity of symptomatic multiple myeloma patients. Methods: The study was conducted on 124 patients with symptomatic myeloma who were registered in the three centers in Kurdistan-Iraq from January–June 2019. Out of the 74 were males, and 50 were females. Demographic details, laboratory investigations, imaging study were reviewed, and informed consent was obtained for all patients; smoldering myeloma was excluded. Results: The most prevalent subtypes were IgG followed by IgA (61.3%, 18.5% respectively), whereas free light chain and non-secretory myeloma forming the rest, 12.1% and 6.45% for each subtype. There is a statistically positive association found between the concentration of monoclonal protein and the level of hemoglobin, ß2-microglobulin, and lactic acid dehydrogenase. There is no association for the concentration of monoclonal protein with each of calcium, albumin, creatinine, and erythrocyte sedimentation rate. Conclusions: We found a higher percentage of IgG/Kappa, high rates of non-secretory myeloma, low rates of light chain myeloma and younger age at presentation in comparison to western reports. The association between monoclonal protein concentration and some parameter of prognostic value in patients studied underscores its relevance to severity of disease in our locality.
The effect of intranasal steroid in the treatment of allergic rhinitis with and without oral antihistamine (comparative study)
Authors:   M.B.Ch.B. KBMS trainee. Rizgary Teaching Hospital, Piro Salar Majeed , Yaseen Moyeser Abdulrahman ,   M.B.Ch.B. F.I.B.M.S. Assistant professor, Hawler Medical University, College of Medicine, Department of otolaryngology
Published: June 2022

Backgrounds & objectives: Numerous studies have investigated the efficacies of steroid nasal sprays for adults with allergic rhinitis. However, research on their effectiveness in combination with oral antihistamines is limited. This study compared the efficacies of a steroid nasal spray (mometasone furoate) with an oral antihistamine (desloratadine tablet) in the treatment of allergic rhinitis. Methods: A randomized clinical trial was conducted on 120 patients diagnosed with allergic rhinitis. The patients who attended the outpatient department at Rizgary Teaching Hospital in Erbil city were examined for clinical features of allergic rhinitis. Patients with moderate-severe and/or persistent symptoms were included in this study. In this study, 120 patients with allergic rhinitis were randomly assigned to receive mometasone furoate nasal spray alone (control group) and a combination of mometasone nasal spray and oral desloratadine (experimental group). Results: This study showed a statistically significant effect of combination therapy in comparison with intranasal steroids alone. The effect of the combination therapy was more apparent among patients with moderate-severe persistent symptoms. The score was 11.05 in patients who received the combination therapy compared with 7.85 among patients who received single therapy. Conclusions: This study showed that the efficacy of mometasone nasal spray in combination with antihistamine was higher than single steroid nasal sprays therapy
THE GASTRODIPLOMACY: INDONESIA’S CULINAIRY PUBLICITY IN THE NETHERLANDS
Authors: Marsha Huwaidaa
Published: June 2022

Indonesia has a different diplomatic relationship with the Netherlands, based on post-colonialism resulting in thick cultural acculturation and close bilateral relations. The various events have become an accumulation of ties between the two countries, thus harming the Dutch people's perception of Indonesia and vice versa. Therefore, Indonesia launched a public diplomacy program through gastro diplomacy. Gastro diplomacy was chosen as the object of research because of Indonesian cuisine's progressive potential, which has been selected as a positive impact on bilateral relations and as a medium for promoting Indonesia in the Netherlands. The researcher will use the qualitative method in this study. The research procedure carried out gave descriptive data results whose results were examined through speech or writing from the behavior of the observed person. The purpose of this research analysis is to describe the implementation of Indonesian gastro diplomacy in the Netherlands through the embassy program, explain gastro diplomacy in general, and identify opportunities for Indonesia to take advantage of culinary arts as an instrument of public diplomacy
SIRTU PROCESSING AREA MAPPING USING UAV TECHNOLOGY, PT. CIPTA JAYA MULIA, JAYAWIJAYA REGENCY, PAPUA PROVINCE
Authors: Wakerkwa Wahyu O. , Birawaputra Indra
Published: June 2022

PT. Cipta Jaya Mulia, as a company that has a mining business scope, seeks to increase its production activities. One strategy applied to plan additional areas of gravel processing locations is mapping using drone technology. Mapping using drones can shorten the time of mapping, where this mapping lasts for 80 minutes covering the area mapped by 5 ha with the altitude of flying drones 50 meters above ground level. Drones produce raster data in the form of photos (jpg files) of 1448 photos. The data is then processed using the Agisoft Photoscan software. The unified photos can then be reprocessed in other mapping software like ArcGIS, Global Mapper, and AutoCAD. The mapping results will be used to plan the addition of the gravel processing area of PT. Jaya Jaya Mulia.
CRUSHER FACTORY DESIGN AT PT. X SPECIAL REGION OF YOGYAKARTA
Authors: Nur Muhammad Arifin , Setyowati Indah , Cahyadi Tedy Agung , Sudaryanto  , Titisariwati Indun
Published: June 2022

PT. X is one of the companies engaged in andesite mining and crushing. Currently, the PT X crusher factory produces 233.3 tons/day of andesite with 2 crusher units, with a demand of 200 - 300 tons/day. The production is expected to be 468.8 tons/day if the third crusher has been built. However, market demand increased to 1100 tons/day. Therefore PT X plans to build a new crusher plant in a new location because the current location is insufficient if added to any other crusher unit. In the construction of a new crusher plant, a crusher plant design is needed to obtain what tools are needed to obtain the desired production target and to determine the setting of the crusher. The problem that occurs is that a new crusher plant design is needed for the production of 800 tons/day on the condition that the product size of -20 + 10 mm is the largest percentage of the whole, more than 28%. In designing a new crusher plant, some data is needed including material size distribution in the stockyard, effective working time, efficiency of each deck screen, and the location of the establishment of a new crusher plant.
Transposição do Velho Chico
Authors: Borges Gabriela Helena , Pereira da Silva Maria Letícia , Oliveira Santos Giselle , Pereira Farias Renata , de Barros Santos Suely Emilia , Da Silva Gomes Wanessa , De Oliveira Gomes Marques da Cunha Clarissa , Monteiro Costa André
Published: June 2022

O artigo de pesquisa foi desenvolvido a partir da experiência de extensionistas no programa “TransVERgente” que conta com uma equipe multi e interdisciplinar, com o intuito de viabilizar espaços de cuidado a partir de ações de prevenção e promoção em saúde voltadas para a população impactada pela transposição do rio São Francisco em Sertânia/PE. Dessa maneira, a partir de experiências neste território, nosso objetivo é identificar discursos de poder que em nome da lógica desenvolvimentista violentam o modo de vida da população residente nas comunidades. A metodologia utilizada para caminhar nesses espaços foi a Cartografia Clínica, portanto, o trabalho analisa fontes documentais constituídas por propagandas divulgadas por órgãos governamentais e compara esses documentos com a realidade circunscrita nos diários de bordo das extensionistas, que presenciaram as narrativas sobre os impactos da obra. Os resultados desse programa foram ações traçadas coletivamente em coparticipação com a comunidade, apresentadas por imagens que mostram as atividades feitas. Diante disso, as principais considerações são referentes à lógica desenvolvimentista que parte de um lugar de poder e que usa do discurso em nome do “desenvolvimento” para violar direitos humanos, sociais, territoriais e de saúde da população residente nos entornos da transposição.
Melhores Artigos da II Semana Científica do Agreste Pernambucano
Authors: Monteiro Santos Hígor Ricardo
Published: June 2022

Editorial do Número Especial II Semana Científica do Agreste Pernambucano
Gårder fra bronse- og jernalder. Foreløpige resultater fra Dobbeltspor Dilling.
Authors: Ødegaard Marie , Winther Torgeir , Gjerpe Lars Erik , Hellan Jan Kristian
Published: June 2022

I løpet av sesongen 2017 har vi på Dilling-pro- sjektet avdekket og undersøkt 46 bygninger fordelt på fire husområder innenfor ca. 26 daa, hvorav 37 er treskipet, tre er toskipet og syv er firestolperskonstruksjoner. I tillegg har vi funnet spor av én mulig brønn, åtte ovner, 16 graver og 156 kokegroper. I 2018 skal vi fortsette østover på denne store lokaliteten og etter planen avdekke et område på om lag 30 daa. I tillegg skal vi grave tre mindre lokaliteter med bosetningsspor anslagvis fra eldre bronsealder og opp til romertid/folkevandringstid, samt en mulig gravrøys. Vesentlig blir å forsøke å få svar på spørsmål knyttet til antall hus og samtidighet, kontinuitet og endring og forholdet mellom gravfelt, bosetning og sosial status. Vi håper å kunne belyse sentrale spørsmål om gårdsboset- ningen, hustyper og byggeskikk på Østlandet og i et større perspektiv innenfor Skandinavia, og om variasjoner innenfor byggeskikk har nedfelt seg i ulike økonomiske og sosiale forhold over tid. Bredden og omfanget av undersøkelsen vil følgelig kunne gi vesentlig ny kunnskap om jordbrukssamfunnets sosiale landskap.
Midlertidige ansettelser i arkeologien – sett fra kulturhistorisk museum
Authors: Kallhovd Karl , Groseth Lars
Published: June 2022

Debatt
Åpen debatt om midlertidig ansettelser i norsk arkeologi Norsk arkeologmøte 4. november 2011, Kristiansand
Authors: Frydenberg Hilde
Published: June 2022

Debatt
Midlertidige ansettelser i arkeologien
Authors: Sørum Geir , Gundersen Sigrid Mannsåker
Published: June 2022

Debatt
Et liv på knærne – om midlertidige tilsettinger i norsk arkeologi
Authors: Østmo Mari Arentz
Published: June 2022

Debatt
Profil Pasien Gagal Jantung pada Usia Lanjut di Rsup Dr. M. Djamil Padang Tahun 2018-2020
Authors: Sherly Ulfa , Sjaaf Fidiariani , Puspita Dian
Published: June 2022

Introduction: Acute heart failure is the most common cause in hospitalized patients aged over 65 years and is associated with a high mortality rate. The prevalence of ARF will increase in elderly patients, due to the increase in the elderly population in developed and developing countries, which is increasing rapidly due to increased life expectancy. Acute heart failure is a clinical syndrome characterized by characteristic symptoms such as shortness of breath, swelling of the ankles and fatigue followed by clinical signs such as increased jugular venous pressure, pulmonary rales and peripheral edema caused by structural and functional abnormalities of the heart. Aims: To determine the profile of acute heart failure in the elderly at Dr. M. Djamil Padang 2018-2020. Methods: The type of research used in this study is a descriptive study using a cross sectional design with a retrospective approach using secondary data obtained from medical records. Univariate data analysis with SPSS version 16.0. program. Results: Based on the results of the study, it was found that the majority of patients with acute heart failure were elderly at Dr. M, Djamil Padang in 2018-2020 are 60-74 years old or (45.6%), the most gender is male, namely 35 patients or (61.4%), the most acute etiology is acute coronary syndrome, which is 32 patients or (56.1%) , the hemodynamic profile of acute heart failure was warm and wet type, namely 45 patients or (78.9%), diuretic therapy was 52 people or (91.2%), inotropic therapy was 11 people or (19.3%), vasopressor therapy was 1 person or ( 1.8%), vasodilator therapy as many as 32 people or 56.1%). Conclusion: The most age was 60-74 years, the most sex were male, the most acute etiology was acute coronary syndrome, the most hemodynamic profile was warm and wet, the most used diuretic therapy, less than half used inotropes, very few used vasopressors, half used vasodilators.
The Relationship of Body Mass Index In Third Trimester of Pregnancy With Low Back Pain Incidence
Authors: Henky Jefri , Efriza  , Aprillia
Published: June 2022

Background : Low Back Pain is pain in the lower back which is a sign of disorder that causes a state of discomfort in performing daily activities and is felt in the anatomical area, especially in the fifth lumbal and sacral area. Low Back Pain will increase as gestational ages. This discomfort begins between the fifth and seventh months of pregnancy. Purpose : To find the relationship between body mass index in the third trimester of pregnancy with Low Back Pain incidence. Method : This research is an observational analytical research with cross-sectional approach. The population of this research is pregnant women in the third trimester who visited poly Obstetrics and Gynecology Hermina Padang Hospital with 77 samples by using consecutive sampling technique. Data analysis uses univariate and bivariate analysis with data processing using the computerized SPSS 23.0 version. Results : The most age were 26-35 years which is 44 people (57,1%), the most likely respondents were those who did not work which is 48 people (62,3%), and the most respondents gestational age is > 36 weeks that is 40 people (51,9 %). The average body weight of the respondent is 65.8277 kg with a minimum body weight 51.51 kg and maximum 80.40 kg. The average height of respondent is 157.99 cm with a minimum height 148 cm and maximum 170 cm. The majority of respondents with an overweight body mass index were 50 people (64,9%), the highest level of LBP pain is 2 (a little pain) which is 26 people (33,8%), with respondents experienced LBP of 61 people (79,2%). Based on the bivariate analysis, it is known that there is a relationship between body mass index in the third trimester of pregnancy with Low Back Pain incidence (p=0.022). Conclusion : The third trimester of pregnant women, the most age is early adulthood (26-35 yars), with the most work is not working, and the most gestational age >36 weeks. The average body weight of the respondent is 65.8277 kg and the average height of the respondent is 157.99cm, the most body mass index is overweight, the highest level of LBP pain is 2 (a little pain), and in the third trimester pregnant women experience the most LBP incidence is yes and there is a relationship between body mass index in the third trimester of pregnancy with low back pain incidence.
BỆNH MORGELLONS
Authors: Khang Trần Hậu
Published: June 2022

Năm 1674, trong bức thư gửi một người bạn (a letter to a friend), Sir Thomas Browne, một thầy thuốc người Anh đã mô tả một hiện tượng kì lạ chưa từng gặp bao giờ: đó là các vật thể giống như sợi lông, sợi thủy tinh mọc lên từ dưới da vùng lưng một bệnh nhân người Pháp. Theo tiếng địa phương, ông đặt tên cho  hiện tượng này là “ The Morgellons” (Laugnedos Region)

Năm 2001, một bà mẹ ở Mỹ tên là Mary Leitao phát hiện con trai mình có những biểu hiện chưa từng gặp trong các y văn thế giới. Trên thương tổn da của cháu bé có các vật thể sợi có màu sắc (trắng, xanh, đen) mọc lên từ dưới da hay trong da. Nghiên cứu “A letter to a friend” của Sir Thomas Browne, bà đặt tên hiện tượng này của con trai bà là bệnh “Morgellons”.

Năm 2002, Mary Leitao thành lập hội nghiên cứu bệnh Morgellons ( Morgellons Research Foundation) nhằm tập hợp các nhà khoa học nghiên cứu bản chất của hiện tượng kì lạ này.

Năm 2012 CDC Hoa Kì nghiên cứu trên 115 người có biểu hiện bệnh giống bệnh Morgellons và đưa ra nhưng kết luận vô cùng lý thú về căn bệnh này. Các nhà khoa học cho rằng Morgellons có liên quan đến rối loạn tâm lý và là một thể của bệnh “ảo giác” ký sinh trùng ( delusional parasitosis)
Tinjauan Psikologis Humanistik dalam Pedagogik Spiritual
Authors: Marwah Siti Shafa , Abdussalam Aam
Published: June 2022

This article has a main focus in examining the humanistic content, the verses of the Koran which have humanist educational values, and their development in spiritual pedagogical practices. This research is in the form of a descriptive narrative with a literature study method, which shows the results of the research consisting, about Humanistic Psychological theories, Spiritual Pedagogics with studies some verses about Spiritual Pedagogics, and the last this article talk about the implications of these verse in the development of PAI learning. The obligation to recover psychological learners is very convincing for all educators without exception. Education will have a better quality, when educators carry out their duties as instructors, mentors, facilitators, and motivators, as exemplified by the Prophet Muhammad. in educating all Muslims to this day. This article implied that human have fluctuating level of faith, so it takes continuous contextual learning in every moment, and the important thing is teacher must have high optimism, if wanted spiritual of student strengthen up.
Penerapan Model Pembelajaran Student Teams Achievement Divisions (STAD) dalam Meningkatkan Hasil Belajar IPA Peserta Didik SMP
Authors: Rofina Andi , Rugaiyah Andi
Published: June 2022

This study aims to analyze efforts to improve science learning outcomes of mechanical energy materials through cooperative learning of Student Team Achievement Division (STAD) model in class VIII students of SMP Negeri 2 Liliriaja, Soppeng Regency. This research is a classroom action research using a qualitative approach, the researcher acts as a teacher who works to collect and analyze data. The results showed that the cooperative learning of STAD model in learning science of mechanical energy material was carried out through seven stages, namely preparation of learning, presentation of material, study in groups, examination of group learning outcomes, working on individual tests, examination tests, and group awards. In the first learning cycle, learning completeness criteria do not meet the performance indicators. After going through the second learning cycle, students are more active in learning participation, students are more enthusiastic in group discussions and class discussions, student understanding increases in answering tests verbally and in writing, increase student responses to learning, and also increases learning achievement. Because learning objectives have been achieved, the learning is considered successful and it was concluded that the cooperative learning of Student Team Achievement Division (STAD) model can improve students' science learning outcomes in class VIII of SMP Negeri 2 Liliriaja, Soppeng Regency
The Influence of Self-Concept on Deviant Behaviuor in the Students of Ternate State Islamic Institute
Authors: Asnawi Nur Rahmah , Alang Sattu , Rahman Ulfiani , Marjuni Marjuni , Agus Agus
Published: June 2022

The purpose of this study was to analyze the influence of self-concept on deviant behaviour in the students of Ternate State Islamic Institute. The scope was limited to three problems, they were: 1) Self-concept of students of Ternate State Islamic Institute. 2) The deviant behaviour of students of the Ternate State Islamic Institute. 3) The significance level of self-concept influence on student’s deviant behaviour at the Ternate State Islamic Institute. This type of research was field research with a survey approach and psychological sampling technique by using a sampling quota of 77 people. The research instruments were questionnaire and documentation. The analysis techniques were descriptive and inferential statistical techniques. The results showed that: 1) the students’ self-concept of Ternate State Islamic Institute was in the medium category, it was 57%. 2) The students’ deviant behaviour of Ternate State Islamic Institute was in a low category, it was 8%. Self-concept has a significant effect on deviant behaviour among students of Ternate State Islamic Institute which was14.5%.
Evaluasi Model CIPP pada Program Studi Al-Qur’an Intensif (SAINS) Universitas Negeri Makassar
Authors: Asdar Muh. , Munir Munir
Published: June 2022

The main problem in this research is the evaluation of the Intensive Al-Qur'an Study (SAINS) program at UNM using the CIPP evaluation model. This study employs a qualitative research approach in evaluating the SAINS program at UNM using the CIPP evaluation model. The data sources of this research are information from members of the drafting panels of the SAINS-UNM program as well as information from the implemented documents of the SAINS program. Furthermore, the data collection methods used were interviews and documentation. Data processing and analysis techniques used in this research were three stages: data reduction, data presentation, and data conclusions drawing. The results of this study indicate that from its contextual aspect, the SAINS program at UNM has been done because 4 main reasons: to assist the lecturers of Islamic religion, to improve students’ ability in reading the Qur'an, to eradicate the illiterate of students of the Quran, and to maintain the spirit of reading the Quran among the students. In terms of its inputs, it is apparent that some improvements in particular areas are needed, particularly in planning and conducting curriculum development, tutor recruitment aspect, participants’ attendance, and financial planning and facility. In terms of its process, it was suggested that the program has been well conducted where all the previously planned activities were successfully accomplished. Finally, in terms of its product, it reveals that for those students who participated in the SAINS program, there is an increase in their ability to read the Quran.
Perspektif Fazlur Rahman tentang Modernisasi Pendidikan Islam
Authors: Suryadi Ahmad , Salahuddin Salahuddin
Published: June 2022

This study discusses Fazlur Rahman's thoughts which are focused on: (1) the concept of modernization of Islamic education; (2) the variety of modernization of Islamic education; and (3) the implications of his thought on Islamic education in the modern era. This type of research is library research using a philosophical and historical approach. The primary data sources in this study were books written directly by Fazlur Rahman, as well as books relevant to the discussion, while the secondary data in this study were relevant literature materials produced by other thinkers who discussed Fazlur Rahman. The method of data collection in this study used the documentation method and then analyzed using. content analysis techniques. The results show that the concept of modernization of Islamic education according to Fazlur Rahman is that education is the starting point for reform. Any reform model in Islam will never happen without the involvement of education in it. Furthermore, according to Fazlur Rahman, education should be held by prioritizing the freedom of students, because without creative nature, it is difficult for students to develop. The variety of modernization of Islamic education initiated by Fazlur Rahman includes five aspects: educational objectives, education system, educators, students, and educational facilities. The implication of this research is that the modernization of Islamic education leads to the importance of democratizing Islamic education by respecting human potential.
A LIBERDADE EM NIETZSCHE
Authors: Freire Francisco
Published: June 2022

Este artigo visa a delinear o conceito nietzschiano de liberdade, relevando o motivo fundamental e o princípio normativo da autotranscendência imanente. Os textos de Nietzsche sobre o tema têm caráter assistemático e aporético. Visando à coerência do discurso nietzschiano, os intérpretes tendem a mitigar ou negar o fatalismo ou a liberdade. No entanto, a liberdade e o fatalismo são caracterizados por Nietzsche como faces de uma mesma moeda. O presente artigo pretende dissolver os pseudoparadoxos, mas não simula a eliminação da ambivalência e da tensão aporética, inerentes ao pensamento nietzschiano. Diante das forças cegas e potencialmente destrutivas do fatalismo, o indivíduo é autoconstrangido pela consciência: “deves tornar-te quem tu és”. O imperativo revela-se ao indivíduo como lei de autodefesa e necessidade mais pessoal frente à ameaça existencial. O que se é não é anterior à liberdade, que coincide com o autoconhecimento e a autocriação.
Zur strafrechtlichen Bewertung der Sterbehilfe de lege lata und de lege ferenda
Authors: Schäfer Fabian
Published: June 2022

Criminal law does not adequately reflect current and future interests in the context of euthanasia and restricts the fundamental right to self-determined termination of life in a paternalistic manner. A reform of the criminal law regulations on euthanasia is not only necessary since the Federal Constitutional Court declared the businesslike assistance of suicide according to § 217 a.F. StGB unconstitutional on 26 February 2020. Based on a constitutional and legal-philosophical examination, this paper presents a reform proposal that focuses on the autonomy of the individual and includes the partial decriminalisation of killing on demand according to § 216 StGB.