bluuebunny/crossref_metadata_2025 huggingface dataset:
The Role of Dexmedetomidine in the Structure of Anesthesia for Hip and Knee Arthroplastyс Surgery in Patients with Diabetes
Authors: Halushko Oleksandr , Zenkina Larysa
Published: August 2022

Hip and knee arthroplasty (HKA) is a surgical procedure when damaged parts of the joint are replaced with artificial ones that replicate the shape of a normal joint and restore its function.
Every year more than 1.5 million endoprosthetic operations are performed in the world. Replacement of a damaged joint allows patients to return to the normal life, freeing from pain and limited mobility. However, one of the common diseases that negatively affect the results of these operations is diabetes mellitus (DM).
The aim of the study: to determine the efficacy and safety of the combined multimodal low opioid anesthesia with dexmedetomidine sedation in patients with diabetes undergoing HKA surgery.
Materials and methods. The study included 45 patients who underwent HKA surgery. Patients were divided into three groups according to the scheme of anesthesia. In patients of the 1st group (n = 15) multicomponent low-flow anesthesia with artificial lung ventilation was performed, in the patients of the 2nd group (n = 15) spinal anesthesia was used, in the 3rd group (n = 15) – combined spinal – epidural anesthesia with dexmedetomidine sedation.
The groups of patients were identical in anthropometric and gender characteristics, duration of surgery and anesthesia, baseline somatic status.
Statistical analysis was performed using the IBM SPSS Statistics suite (SPSS v.16.0).
Results. The course of anesthesia in patients in all groups was satisfactory, but patients in group 3 were less likely to experience hyperdynamic reactions (tachycardia and hypotension), postoperative nausea and vomiting (PONV). Only one patient from group 3 required ondansetron for the treatment of PONV against 3 and 2 patients from groups 1 and 2, respectively (p <0.05).
Conclusions. Any of the proposed techniques can be used for anesthesia during hip and knee arthroplasty, but the best results have been obtained with combined spinal-epidural anesthesia with dexmedetomidine sedation. In addition, the use of dexmedetomidine can significantly reduce the use of opioids diring the intraoperative and postoperative period.
Blood Pressure in Patients with Arterial Hypertension and Overweight or Obesity During Office Measurement and Daily Monitoring
Authors: Potaskalova Victoriia
Published: August 2022

Arterial hypertension (AH) is one of the most common chronic diseases in the world. More than 1.5 billion people suffer from hypertension. According to official statistics, in Ukraine in 2021 more than 13 million patients with AH were registered, and annually this disease is detected in 1 million Ukrainians.
The objective: to determine the levels of blood pressure (BP) in overweighted or obese patients with AH who use antihypertensive drugs during office measurement and 24-hours monitoring of BP.
Materials and methods. The study analyzed the results of treatment of 395 overweighted or obese patients (139 women and 236 men) with essential AH. All patients received antihypertensive treatment for at least 3 months before study start. Patients were divided into five groups depending on blood pressure. The control group included 33 age-matched individuals.
During the study BP was measured in physician’s office with use of mechanical tonometer with a shoulder cuff and ambulatory 24-hours blood pressure monitoring (ABPM) was performed for all patients.
Results. The results of office blood pressure measurement and ABPM were analyzed. Normal BP was detected in 34.7% of patients with AH and high BMI. In 10.9% of patients systolic blood pressure (SBP) remains above 139 mm Hg despite of drug use, in 16.3% of patients the grade 1 AH was diagnosed, in 23.2% – grade 2, and in 14.9% – grade 3 AH was deter mined during office blood pressure measurement. It was found that men are 1.7 times more likely had uncontrolled AH comparing to women.
The further analyze of the BP data showed that office BP levels were higher then home. Target blood pressure levels were found in 87% of patients during ABPM, although in the office measurement this figure was 54%, 5% of patients could not withstand the BP monitoring during the day with an automatic device due to pain.
No difference in heart rate was determined in study patients by different types of measurement.
Conclusions. In patients with AH and high body mass index, office measurement reveals insufficient reduction of blood pressure (BP) in 35% of patients despite of antihypertensive drugs use. At the same time ABPM found target BP achievement in 87% of patients. Thus, ABPM should be performed in overweighted or obese patients with AH before making the decision to increase the antihypertensive drug dose to avoid possible undesirable BP decrease.
Aquisição da autonomia profissional nos estágios curriculares de Odontologia no SUS
Authors: Rodrigues Thiago , Cardoso Eliane Regina , Rossoni Eloá
Published: August 2022

Conforme as Diretrizes Curriculares Nacionais (DCN), a formação do cirurgião-dentista deve garantir o desenvolvimento de estágios curriculares em serviços de saúde no Sistema Único de Saúde (SUS). O objetivo deste estudo é analisar os significados das vivências nos Estágios Curriculares Supervisionados no SUS, para a aquisição de competências e habilidades relacionadas à autonomia profissional, pelos egressos do curso de Odontologia de uma universidade pública do sul do Brasil. Trata-se de um estudo de natureza descritiva com dados qualitativos e quantitativos com uma amostra composta por 152 egressos que vivenciaram os Estágios Curriculares Supervisionados entre 2012 e 2016 e responderam online a um questionário. Convidou-se uma amostra intencional destes egressos para realização de entrevistas em profundidade, totalizando 14 entrevistados. O material quantitativo foi submetido à análise descritiva e os dados qualitativos foram sistematizados e submetidos a análise de conteúdo temática. Foram construídas as seguintes unidades de análise: Inserção profissional e escolhas dos egressos e Vivências nos estágios e aquisição de autonomia profissional. Os egressos são na sua maioria mulheres, idade média de 26 anos, 23,60% estão inseridos em serviços públicos de saúde e 51,97% atuam e residem na cidade de Porto Alegre. As experiências na atenção e gestão dos serviços de saúde por meio dos estágios na graduação permitiram que os egressos desenvolvessem habilidades para aquisição de competências voltadas à autonomia profissional como expressaram a maioria dos participantes, entre elas, destacam-se as habilidades técnicas e relacionais. Conclui-se que os estágios curriculares no SUS são considerados pelos egressos muito importantes em sua formação acadêmica, profissional e pessoal.
SAÚDE MENTAL DA EQUIPE DE ENFERMAGEM NA PANDEMIA DA COVID–19
Authors: Sousa Ana Karolyne Siqueira de , Almeida Sara Guerra Carvalho de , Albuquerque Francisca Andrea Marques de , Aguiar Adriana Sousa Carvalho de , Moreira Janaina Calisto
Published: August 2022

Objetivo: analisar os fatores estressores e de prevenção percebidos pela equipe de enfermagem durante a pandemia da COVID-19 em uma unidade hospitalar da rede pública de Fortaleza, Ceará no ano de 2021. Métodos: trata-se de uma pesquisa com abordagem qualitativa e transversal, de caráter descritivo com exposição de dados coletados em campo. Composta pelas duas categorias principais na enfermagem (quatro técnicos de enfermagem e quatro enfermeiros), os participantes responderam a um questionário semiestruturado através de uma entrevista realizada ainda no período da pandemia. Resultados: identificou-se inúmeras formas de definir o adoecimento psíquico e que houve a presença de fatores estressores no período da pandemia do COVID-19: medo, ansiedade, cenário de guerra, mortes e privações. Os participantes relataram o choro como manifestação física do sofrimento e que a pandemia interferiu na saúde mental. Por outro lado, os fatores protetivos ao adoecimento psíquico apresentados foram: o apoio da família, dos amigos e da própria equipe de trabalho, o apoio espiritual e o acompanhamento terapêutico com psicólogo. Destacaram-se ainda a organização e as estratégias de proteção no trabalho à saúde mental dos profissionais, dentre elas: a relação de trabalho na equipe, a relação pessoal com o paciente e a vacina contra a COVID-19. Considerações finais: os fatores que podem levar ao adoecimento psíquico são múltiplos e os cuidados promovidos para a proteção são mínimos à equipe de enfermagem. Diante disso, destaca-se a relevância do cuidado com a saúde mental, devido aos inúmeros riscos e a sobrecarga de trabalho na enfermagem.
A Scoping Review of Perinatal Outcomes for Canadian Individuals with Obesity 1980–2020
Authors: Ashrafi Shadan , Jevitt Cecilia M.
Published: August 2022

Background: Pre-pregnancy obesity has long been associated with a higher risk of antepartum, intrapartum, and postpartum complications, leading to classifying all patients within the WHO obese body mass index range (BMI ≥30 kg/m2) as high-risk. Excessive risk classification can lead to over-treatment and iatrogenic harm. Research supporting these increased risks comes from a variety of countries with different baseline population health and perinatal health care systems. Recent research documents that parturients with high pre-pregnancy BMI can have uncomplicated pregnancies and births. Here, the relationship between obesity and perinatal outcomes in a Canadian population is investigated using Canada as a model of a country with stable nutrition sufficiency and universal access to health care. Methods: We searched electronic databases PubMed, Ovid MEDLINE, and CINAHL for peer-reviewed articles in English that examined perinatal outcomes of singleton pregnancies in Canada between 1980 and 2020 based on pre-pregnancy obesity as the exposure of interest. Results: The search yielded 1946 results. After full-text screening, 21 articles met criteria for analysis. The impact of obesity on preterm labour, preterm birth, post-term delivery, labour induction, post-partum hemorrhage, and parturient morbidity and mortality in Canada remains inconclusive. The risk of hypertensive disorders, gestational diabetes, shoulder dystocia, and cesarean section delivery was significantly elevated as BMI increased. Operative vaginal delivery was less common in those with pre-pregnancy obesity. Conclusions: Though certain adverse perinatal outcomes are associated with increasing pre-pregnancy BMI, given the wide range of results and range of risk values, further research is required to better delineate comorbid risk factors that contribute to poorer outcomes. Nation-specific outcomes that reflect the accessibility of perinatal care and population health are a necessary baseline for the development of accurate health management guidelines.
Comparative Genomic and Phylogenetic Analysis of Forty Gentiana Chloroplast Genomes
Authors: Deng Gang , Gao Ran-Ran , Wang Wen-Ting , Wu Tian-Ze , Zhang Yong-Ping , Wang Bo , Xiang Li , Liu Xia
Published: August 2022

Background: Gentiana plants, which have great medicinal and ornamental value, are widely distributed in diverse habitats and have complex taxonomy. Here 40 Gentiana chloroplast genomes were used for comparative genomic analysis and divergence time estimation. Methods: The complete chloroplast genome of G. rhodantha was sequenced, assembled, and annotated. Comparative genomic and phylogenetic analysis were provided for variation analysis of Gentiana. Results: Gentiana species satisfy the characteristics of intra-Sect conservation and inter-Sect variation in chloroplast genome structure and IR boundaries. All Gentiana Sects can be clustered into a single one and separated from each other; however, Ser. Apteroideae and Ser. Confertifoliae in Sect. Monopodiae are more closely related to Sect. Frigida and Sect. Cruciata, respectively. Gentiana has experienced two large gene loss events; the first, the collective loss of the rps16 gene at genus formation and the second, the collective loss of the ndh gene when Ser. Ornatae and Ser. Verticillatae completed their differentiation. Comparative genomic analysis support that Sect. Stenogyne and Sect. Otophora became the independent genera Metagentiana and Kuepferia. Seven divergence hotspot regions were screened based on Pi values, and could serve as DNA-specific barcodes for Gentiana. Conclusions: This study provides a further theoretical basis for taxonomic analysis, genetic diversity, evolutionary mechanism and molecular identification in Gentiana.
Chronic Migraine: A Narrative Review on the Use of Botulinum Toxin with Clinical Indications and Future Directions
Authors: Raciti Loredana , Raciti Gianfranco , Militi David , Casella Carmela , Calabrò Rocco Salvatore
Published: August 2022

Chronic migraine belongs to the “chronic long-duration headaches”, and it is associated to high burden and significant economic impact. Treatment for both episodic (EM) and chronic migraine (CM) is based on the management of acute attacks and their prevention. For moderate/severe attacks, pharmacological therapies are triptans, dihydroergotamine nasal sprays or injections or neuroleptics, non-steroidal anti-inflammatory drugs, and corticosteroids. Chronic migraine belongs to the “chronic long-duration headaches”, and it is associated to high burden and significant economic impact. Treatment for both episodic (EM) and chronic migraine (CM) is based on the management of acute attacks and their prevention. For moderate/severe attacks, pharmacological therapies are triptans, dihydroergotamine nasal sprays or injections or neuroleptics, non-steroidal anti-inflammatory drugs, and corticosteroids. The pathophysiology of CM is characterized by an abnormal activation of the trigemino-vascular system in the meninges causing a neurogenic inflammation, which explains the use of anti-inflammatory during attacks. It seems that the objective of the preventive therapy with the botulin toxin OnaBoNT-A consists in interrupting the release of CGRP and other neuropeptides as well as the activation of C-fiber nociceptor and of the nearby A-delta fibers. The protocol for migraine treatment with OnaBoNT-A injections consists of 31–39 pericranial injection sites involving seven muscle groups bilaterally in specific areas of the head and neck, with a total dose of between 155 and 195 units, every three months. The severe adverse events reported with high doses of botulin toxin for spasticity, have not been reported for CM treated with OnabotA at the labeled dose. The established improvement with onabotulinumtoxinA treatment in CM patients had a positive impact not only in reduction monthly headache days but also in improving quality of life, with reduction in both healthcare resource utilisation (HRU) and work impairment. Aim of this review was to give an overview on the use of BoNT-A in patients with CM, giving practical advices on the clinical indications.
Capturing attention, creating a signature
Authors: Brasseur Pierre , Francony Jean-Marc
Published: August 2022

First, we will review a quick presentation of what sex camming is. Secondly, we will check the methodological setup, emphasizing the qualitative dimension. And in a third time, we will return to using the socio-numerical networks that capture the claw's attention and creation.
Kitchen ideas : feminism and technology, in Halt and Catch Fire. (historiography V:7-4)
Authors: Akmut Camille
Published: August 2022

Computer science and technology :historiography V (7 - part four)
Thúc đẩy dịch chuyển cơ cấu kinh tế tỉnh Dak Nong phù hợp với cách mạng công nghiệp lần thứ 4 (The priority development of mechanical engineer high-tech in the process of economic transformation models toward competition)
Authors: Huan Dao Duy , Tung Dao Duy
Published: August 2022

Cách mạng công nghiệp lần thứ 4 tạo ra rất nhiều cơ hội và thách thức cho tỉnh Dak Nong. Do đó tỉnh Dak Nong cần tận dụng những điểm mạnh đang có và nắm lấy cơ hội để thúc đẩy chuyển dịch cơ cấu kinh tế phù hợp.
Reassessment of innovative methods to determine the number of factors: A simulation-based comparison of Exploratory Graph Analysis and Next Eigenvalue Sufficiency Test.
Authors: Brandenburg Nils , Papenberg Martin
Published: August 2022

Next Eigenvalue Sufficiency Test (NEST; Achim, 2017) is a recently proposed method to determine the number of factors in exploratory factor analysis (EFA). NEST sequentially tests the null-hypothesis that k factors are sufficient to model correlations among observed variables. Another recent approach to detect factors is exploratory graph analysis (EGA; Golino & Epskamp, 2017), which rules the number of factors equal to the number of nonoverlapping communities in a graphical network model of observed correlations. We applied NEST and EGA to data sets under simulated factor models with known numbers of factors and scored their accuracy in retrieving this number. Specifically, we aimed to investigate the effects of cross-loadings on the performance of NEST and EGA. In the first study, we show that NEST and EGA performed less accurately in the presence of cross-loadings on two factors compared with factor models without cross-loadings: We observed that EGA was more sensitive to cross-loadings than NEST. In the second study, we compared NEST and EGA under simulated circumplex models in which variables showed cross-loadings on two factors. Study 2 magnified the differences between NEST and EGA in that NEST was generally able to detect factors in circumplex models while EGA preferred solutions that did not match the factors in circumplex models. In total, our studies indicate that the assumed correspondence between factors and nonoverlapping communities does not hold in the presence of substantial cross-loadings. We conclude that NEST is more in line with the concept of factors in factor models than EGA.
Understanding lower-risk cannabis consumption from the consumers' perspective: A rapid evidence assessment
Authors: St-Jean Renee , Dowson Mackenzie , Stefaniak Anna , Salmon Melissa , Tabri Nassim , Wood Richard , Wohl Michael Jeremy Adam
Published: August 2022

In the current rapid evidence assessment, we summarize the existing research on lower-risk cannabis consumption as understood by those who consume cannabis. We identified 7111 unique articles published between 1900 and 2021 using search terms related to a) cannabis consumption, b) beliefs and behaviors, and c) positive outcomes. Twelve articles met our inclusion criteria. Three themes emerged that reflect lower-risk cannabis beliefs and behaviors (informed self-regulation, protective behavioral strategies, and the normalization of cannabis consumption) and one theme reflected motivations that undermine lower-risk cannabis consumption (e.g., using cannabis to cope). Results suggest a need for targeted lower-risk cannabis consumption research—research focused on how those who consume cannabis do so in a positive, non-problematic manner. Such research would help to inform policy and practice and, ultimately, help promote lower-risk cannabis consumption strategies.
The Self-Help Literature on Self-Compassion and on Postpartum Depression: A Word Keyness and Collocation Study
Authors: Watkins Danielle , Dykeman Cass
Published: August 2022

This study examined postpartum depression and self-compassion self-help literature by analyzing a linguistic corpus created from postpartum depression and self-compassion self-help literature. A corpus linguist program called AntConc was used for quantitative text (Anthony, 2020) to analyze keyness and collocates of the key words found in self-compassion and postpartum depression self-help literature. Results of this study show the strongest positive key word was “compassion,” the strongest negative key word was “baby,” and the words “mantra,” “website,” and “lacked” were notably the strongest collocates with the node word self-compassion in the study corpus. The words “depression” and “stress” were the strongest collocations with the node word postpartum in the reference corpus.
Not Straight Enough, nor Queer Enough: Identity Denial, Stigmatization, and Negative Affect Among Bisexual and Pansexual People
Authors: Thöni Cynthia , Eisner Léïla , Hässler Tabea
Published: August 2022

People who are attracted to multiple sexes and/or genders, such as bisexual or pansexual people, report worse mental health than people who are attracted to one sex and/or gender. One contributing factor might be the denial of their sexual orientation (i.e., identity denial). In a sample of bisexual and pansexual people (N = 610), the present preregistered study aims to identify how 1) identity denial (i.e., people questioning or threatening bisexual and pansexual identity), 2) meta-illegitimacy (i.e., bisexual and pansexual people’s beliefs that others reject their identity as a stable and legitimate identity) and 3) meta-stereotypes (i.e., bisexual and pansexual people’s beliefs about stereotypes that others hold about them) are associated with negative affect and whether anticipated rejection might mediate these processes. Further, the present study uses differences between experienced identity denial by heterosexual (Study 1a) vs. homosexual (Study 1b) people as a lens of understanding identity denial processes. Results revealed the precarious situation of bisexual and pansexual people: More frequent experiences of perceived identity denial and higher meta-illegitimacy were directly (heterosexual outgroup) and indirectly (homosexual outgroup) related to greater negative affect. When homosexual people were indicated as the outgroup, anticipated rejection held a critical role as a mediator. Differentiating between whom identity denial is coming from and how it is processed is critical for understanding identity denial processes, and for future interventions to reduce bisexual and pansexual mental health consequences. Implications and limitations are discussed.
Acoustic touch: An auditory sensing paradigm to support close reaching for people who are blind
Authors: Jin Craig , Bell Julee-anne , Deverell Lil , Gates Felicity , Gorodo Ibai , Hossain Shayikh Nadim , Lin Chin-Teng , Melencio Marx , Nguyen Minh , Nguyen Vincent , Singh Avinash Kumar , Zhu Howe
Published: August 2022

This work explores an auditory sensory augmentation paradigm we call acoustic touch, to assist people who are blind with reaching for close objects. The sensory augmentation system is constructed based on the Nreal augmented-reality glasses using a custom application running on an android phone. The system recognizes and localizes objects visually using cameras in the glasses, then renders objects as sound within a limited field-of-view, so we shall refer to the glasses as a foveated audio device. The repetition of the sound varies depending on the location of the object within the field of view of the foveated audio device. Psychophysical tests of the spatial perception of multiple objects are conducted comparing the acoustic touch paradigm with two other conditions: (1) a verbal clock face description of object locations and (2) a sequential audio presentation of the objects using Bluetooth speakers located with the objects. We report on the results of the psychophysical study with blind and blindfolded sighted participants.
The Signaling Effects of Blood Glucose and Appetitive Stimuli on Delay Discounting: A Meta-Analysis
Authors: LU Junsong
Published: August 2022

Studies have shown that people are sensitive to resource cues which signal body-energy budgets or resource availability. These signals adaptively shift their preferences when making intertemporal choices between a smaller but immediate reward and a larger but delayed alternative. Although recent research results are heterogeneous, there has been no article to date summarizing the effect of different types of resource cues on preference in intertemporal choice. Through a meta-analytic approach, we examined the putative signaling effects of two types of resource cues – blood glucose and appetitive stimuli – on delay discounting, which gauges the preference for intertemporal decision-making. We extracted 44 effect sizes from 26 articles, and these indicated that high levels of blood glucose (e.g., feeling satiated or less hungry) decrease delay discounting (d = 0.26, 95% CI [0.06, 0.46]) while exposure to appetitive stimuli increases delay discounting (d = -0.28, 95% CI [-0.51, -0.05]). In addition, the effect of blood glucose was moderated by the type of reward, showing that the signaling effect on delay discounting was stronger for food in contrast to nonfood rewards such as money. Overall, the results suggest that both internal signals and external cues about resource situations serve as forecasting signals for regulating resource budgets. Furthermore, the signaling effect is domain-specific, with its magnitude dependent on the relevance of rewards to individuals’ goals of resource acquisition and conservation.
Reporte de Caso: Perforación Intestinal por Ingesta de Imanes
Authors: Loaiza Merino Iván Patricio , Salguero Lozada Johana Monserrath , Medina Carrasco Segundo Francisco , Salazar Gallegos Dennis Santiago , Yépez Yerovi Fabián Eduardo
Published: August 2022

La ingesta de cuerpos extraños es una causa frecuente en niños, los mismos que en la mayoría de las ocasiones son expulsados con las heces, es poco frecuente la perforación intestinal en pacientes pediátricos, la perforación es una complicación poco frecuente pero que requiere un diagnóstico precoz y oportuno para la resolución quirúrgica adecuada de la misma y evitar complicaciones mayores posteriores ya que pueden poner en peligro la vida estos pacientes. Objetivo: Describir un caso de perforación de asas intestinales por cuerpos extraños (imanes), realizar diagnóstico oportuno para un tratamiento quirúrgico adecuado. Material y métodos: Estudio descriptivo, retrospectivo, presentación y análisis de caso clínico previo consentimiento informado de los padres. Resultados: Se describe un caso de un manejo quirúrgico oportuno por perforación de asas de intestino delgado por cuerpos extraños (imanes). Se trata de un paciente pediátrico de 6 años sin antecedentes clínicos ni quirúrgicos de importancia, no describe alergias, acude por presentar dolor abdominal de 2 días de evolución en epigastrio y posteriormente se generaliza en todo el abdomen, se acompaña de vómito de contenido alimentario por varias ocasiones. A la exploración física se encuentra el abdomen tenso con signos de irritación peritoneal y con el reporte ecográfico de líquido libre en cavidad se decide realizar laparoscopia diagnóstica misma que se realiza conversión a laparotomía exploratoria y rafia intestinal por lo hallazgos con una evolución posquirúrgica mediata favorable. Realizar un diagnóstico adecuado y un manejo oportuno en un paciente con abdomen agudo da como resulta una cirugía exitosa.
Embarazo molar en mujer mayor de 50 años: a propósito de un caso
Authors: Belalcazar Yajaira
Published: August 2022

Introducción: La mola hidatiforme completa que es parte de la enfermedad trofoblástica gestacional se caracteriza por la presencia de vellosidades coriales hidrópicas con ausencia de embrión o feto, y se debe a una alteración genética durante la concepción. Se presenta generalmente en edades extremas, muy asociada a la edad mayor de 45 años.
Objetivo: Describir un caso clínico de mola hidatiforme en mujer mayor de 50 años.
Materiales y métodos: Estudio descriptivo retrospectivo, presentación de caso clínico. La paciente fue tratada quirúrgicamente con histerectomía abdominal.
Resultados: Se presenta el caso de un embarazo molar en una paciente de 52 años, el mismo que se resuelve mediante histerectomía abdominal, con reporte histopatológico de mola hidatiforme completa.
Conclusiones: el embarazo molar es una patología frecuente en edades extremas, considerada como una alteración genética durante la fecundación. La resolución del embarazo molar puede ser mediante evacuación uterina, sin embargo considerando la edad materna, paridad y otros factores de riesgo que incrementan la posibilidad de malignidad, puede realizarse una histerectomía para el tratamiento de esta patología. El seguimiento posterior se realiza mediante cuantificación seriada de la fracción beta de la hormona gonadotropina coriónica humana, lo cual se considera básico en el manejo de la enfermedad trofoblástica.
Variación de niveles de glicemia perioperatoria en pacientes no diabéticas sometidas a cirugía gineco obstétrica
Authors: Andrade Navas Gabriela , Martínez Pérez Alejandro , Tintín Siguenza Miguel
Published: August 2022

Introducción: Se desconoce la variabilidad de la glicemia de pacientes no diabéticas en cirugía tanto obstétrica como ginecológica.
Objetivo: Determinar la variación de niveles de glicemia perioperatoria en pacientes no diabéticas sometidas a cirugía gineco-obstétrica, ya que es una variable de química sanguínea de suma importancia en mujeres de edad fértil o en estado de gestación que podría verse modificada por el tipo de anestesia utilizada y trauma quirúrgico.
Material y métodos: Se realizó un estudio observacional descriptivo transversal, desde junio de 2019 a marzo de 2020. La población se conformó por pacientes no diabéticas sometidos a procedimientos de anestesia tanto general balanceada como neuroaxial; la muestra es representativa y aleatoria. Para el cálculo de la muestra se tuvieron en cuenta los siguientes requisitos: la prevalencia de hiperglucemia en no diabéticos 30%, nivel de confianza del 95%. (273 pacientes), Los datos se transcribieron de la historia clínica a los formularios respectivos y fuente directa de los pacientes, los cuales fueron analizados con el sistema SPSS 25.0. En el análisis de datos se utilizaron tablas simples, medidas de tendencia central, de posición, y de dispersión. Para el análisis de la variación de glicemia se utilizó la prueba de Kruskall Wallis para variables no paramétricas. La diferencia de medianas y p < 0.05 para establecer asociación.
Resultados: La anestesia general y neuroaxial se asocia con un incremento significativo de los valores de glicemia preoperatoria tanto para valores intra y posoperatorios. El grupo de edad más frecuente se encuentra entre 18 y 37 años con el 55,3%. La cirugía abierta es la que se realiza con mayor frecuencia con el 74.7%, el 63.7% de las pacientes intervenidas presenta sobrepeso.
Conclusiones: La anestesia general y neuroaxial se asocian con un incremento de la glicemia intra y posoperatoria respecto a los valores basales, no existen diferencias significativas entre ellas.
On the Uniqueness of Reserving Pythagorean Orthogonality in Terms of Non-zero Linear Operators
Authors: Ojha Bhuwan Prasad
Published: August 2022

This paper is concerned with the connection between reserving Birkhoff-James orthogonality and the new particular case of the Carlsson orthogonality concerning non-zero linear operators in a complete normed linear space. The purpose of this article is to find the interrelation between reserving Pytharegorean and Birkhoff-James orthogonality. It is proved that if a non-zero linear operator reserves Pythagorean orthogonality, then it also reserves Birkhoff ’s orthogonality. It has also been proved that the unique property of orthogonality concerning the reserving Pythagorean orthogonality.
Role of the American College Of Radiology –Thyroid Imaging Reporting and Data System (ACR TI-RADS) in Differentiating Benign and Malignant Thyroid Nodules
Authors: Lalchan Subita , Sharma Prakash , Ghartimagar Dilasma , KC Subash , Gyawali Merina , Poudel Aseem , Dahal Rojaj
Published: August 2022

Introduction: Thyroid nodule is commonly detected while performing an ultrasound of the neck. American College of Radiology, Thyroid imaging reporting and data system (ACR-TIRADS) is a classification used to characterize thyroid nodules based on ultrasound findings. The objective of this study is to evaluate the role of ACR-TIRADS classification in differentiating benign and malignant thyroid nodules.

Methods: This is a prospective study conducted at Manipal Teaching Hospital. A total of 70 patients presenting to our radiology department for fine needle aspiration cytology (FNAC) of thyroid nodule were enrolled in the study. Thyroid nodules were grouped as 1- 5 according to the ACR-TIRADS. The ACR-TIRADS findings were correlated with FNAC and or biopsy findings as available. Subsequently; sensitivity, specificity, accuracy, positive predictive value and negative predictive value of ACR-TIRADS in differentiating benign from malignant nodules were assessed.

 Results: Mean age of patients in our study was 52.16 years (18-89 years). Male patients were 11 (15.7 %) and female were 59 (84.30 %). According to Ultrasonography; 1.4% of thyroid nodules were labelled as ACR-TIRADS 1; 21.4% as ACR-TIRADS 2; 32.85% as ACR- TIRADS 3; 28.6 % as ACR-TIRADS 4 and 15.7 % as ACR-TIRADS 5. ROC curve analysis showed AUC of 0.78 (95% CI). ACR-TRIADS had sensitivity, specificity, positive predictive value, negative predictive value, diagnostic accuracy of 87.5%, 68.5 %, 45.16 %, 94.87 %, 72.86 % respectively.

Conclusion: ACR- TIRADS has high sensitivity and accuracy in differentiating benign and malignant thyroid nodules.
Systematic Review – Knowledge, Attitudes and Practices of Healthcare Workers in Reporting Adverse Drug Reactions in Sub-Saharan Africa for Pharmacovigilance
Authors: Kunene Khontile Nobuhle , Teo Shyh  Poh
Published: August 2022

Introduction: This study aims to assess intra and interobserver reliability of transorbital ultrasound. To review the knowledge, attitude and practices of health care workers, including doctors, nurses, pharmacists and health officers in reporting adverse drug reactions (ADRs) for pharmacovigilance in sub-Saharan Africa

Methods: PubMed, Google Scholar and Trip databases were used to identify papers relevant for the review. Search results were narrowed down through a manual review of titles and abstracts based on inclusion criteria.

Results: There were 35 articles included in this review. It was found that generally, healthcare workers had inadequate knowledge regarding reporting of ADRs and pharmacovigilance. While private practice doctors have heard of pharmacovigilance and could define ADRs correctly, more than half did not know how or where to report them. The majority of healthcare workers had positive attitudes toward reporting ADRs. However, there was unwillingness in some settings due to concerns that it reflected poor clinical care on their part. All the studies identified consistently underreporting of ADRs admitted by healthcare workers.

Conclusion: While HCWs have positive attitudes regarding ADR reporting, there were significant knowledge deficits, particularly regarding how to report ADRs. This contributes to the under-reporting of ADRs, which may have implications for drug safety surveillance.
Aplikasi Media Pembelajaran Alat Musik Gitar Berbasis Android Menggunakan Metode SDLC
Authors: Saputra Rio , Ahmadi Dani , Prastiyo Ryan , Hermawan Rizky , Maulana Andry
Published: August 2022

Nowadays, people's interest in playing the guitar is increasing. Playing the guitar can further enhance personal branding in today's digital era, many of the general public are suddenly famous for playing musical instruments such as the guitar. However, the ability to learn guitar instruments has constraints such as time and funds that are not small to attend guitar school, so many people choose to self-taught independently. However, self-study is not easy. Therefore, the author tries to do a study with the aim of making an Android-Based Guitar Musical Instrument Learning Media Application as an alternative way of learning guitar independently that can be used independently so that it can be used anywhere and anytime. By applying the SDLC (System Development Life Cycle) method, which is a method that describes the information system development life cycle. So that the application is divided into several levels that are tailored to the user. At each level there is material in the form of learning videos that can be listened to for an explanation. Based on the results of the Black Box testing carried out, the application that was built is functioning well, the input and output results are according to the results of the application. So the author can conclude that the Android-Based Guitar Musical Instrument Learning Media Application is very helpful for someone to learn guitar independently and effectively without having to spend money to attend music school.
Hadron research with AMBER at CERN
Authors: Friedrich Jan
Published: August 2022

The recently approved NA66/AMBER experiment (Apparatus for Meson and Baryon Experimental Research) at the CERN Super Proton Synchrotron pursues a broad research program in quantum chromodynamics. It ranges in its first phase from a precision measurement of the proton radius with a 100 GeV muon beam to investigating the quark-gluon structure of mesons in Drell-Yan processes. In a second phase, radio-frequency separated kaon beams will allow to extend such investigations to the strangeness sector.
UM PANORAMA SOBRE O ENSINO DE FÍSICA NO INTERIOR DO AMAZONAS
Authors: Wendell Torres Lima et al.
Published: August 2022

O ensino de Física norteia o nosso dia a dia. No entanto, nem sempre os discentes conseguem relacionar o que é estudado na escola com seu cotidiano. O objetivo deste artigo é apresentar a perspectiva dos discentes em relação ao ensino de Física no interior do Amazonas e as possibilidades para contribuir com esse cenário. A pesquisa foi realizada com 287 discentes de uma escola pública no interior do Amazonas e apresentou abordagem qualitativa e quantitativa, descritiva e exploratória. Detectou-se que os discentes apresentam muita dificuldade nos conceitos físicos e aplicações, pouca motivação no aprendizado e dificuldade em relacionar a teoria com a prática.
Caracterização do consumo de carnes no município de Maués, Amazonas
Authors: Taciana de Melo Fernandes Silva
Published: August 2022

Human beings are classified as omnivores, that is, they can acquire proteins from plants and animals and their derivatives. A long time ago when primitive humans had not developed agricultural techniques, they needed to hunt animals and look for fruits in the forest, with time they developed the necessary techniques to grow plants and raise animals. From the moment they started raising animals, they opened up a range of options for meat consumption, such as beef, pork and poultry. Thus, this work aimed to characterize meat consumption in the municipality of Maués, Amazonas, during the year 2021. Descriptive research was carried out, through a cross-sectional survey, through the application of structured questionnaire in order to obtain information about the profile and consumption habits of meat. From this survey, it can be observed that the main consumers and/or buyers are women aged from 18 to 25 years, who receive up to a minimum wage, due to their financial conditions, they choose meat with the lowest prices, consuming more meat. of poultry, fish and cattle during the week.
Retratos de comunidades de carroceiros do sul do Brasil
Authors: Bertagnolli Rodrigues Angélica , De Menezes Teixeira1 Elisa , Dantas de Araujo Giovana , Da Silveira Jéssica , Jung Kremer Carolina , Oliveira Rodrigues Rogério
Published: August 2022

Technological developments have made motor vehicles for cargo transportation available to human beings, but animal-powered vehicles are still found circulating in urban areas. The use of horse-drawn wagons for cargo transport guarantees the survival of populations in urban areas and little is known about the reality of this population. In this sense, the aim of this study was to portray the profile of the wagon drivers in a municipality from metropolitan region of Rio Grande do Sul, Brazil. Informations were obtained by interviews conduct during home visits. Thirty-eight drivers were interviewed, of which 84.86% were male with an average age of 38 years and about 60% did not complete elementary school. Cargo transportation was the main source of income for 57.8% of respondents, in 63.15% the income was below a minimum monthly wage and 28.4% was related to working from 5 to 7 days per week. It has been found that the reality of car drivers is verified in other communities of Brazilian urban centers and is marked by low incomes, excessive working hours and little information on the health of horses.
Esporotricose canina: Relato de caso
Authors: Mendes Fátima , SINHORINI Juliana Anaya , CORTEZ Tamara Leite
Published: August 2022

Sporotrichosis is a fungal zoonosis that can affect several species of animals. The present report refers to a 1-year-old female Shih-tzu dog, domiciled, who presented nasal swelling with depigmentation, serosanguineous secretion, sneezing and inspiratory dyspnea. After ruling out the suspicion of neoplasia by histopathology, which showed a result compatible with mild lymphoplasmacytic rhinitis, the patient was referred for consultation with an immunologist. To carry out a differential diagnosis, he went to the São Paulo Zoonoses Surveillance Division, where material was collected from the nostrils using a swab for fungal culture, positive for Sporothrix spp. The dog had no history of contact with animals with sporotrichosis, and the main suspicion of infection was through the soil of a potted plant, located in the residence. Treatment was performed with Itraconazole 10 mg/kg SID for 11 weeks, and continued for another 10 weeks after complete remission of the lesion. After 2 weeks of antifungal suspension, the animal returned with increased nasal volume and dyspnea, requiring resumption of treatment with itraconazole, with total remission of the lesion after 12 weeks. Veterinarians must be aware of the epidemiological context of the region and incorporate sporotrichosis into their routine as a differential diagnosis in cases in which the patient presents skin lesions and follow the patient after treatment is discontinued to assess recurrence.
Mandibulectomia bilateral em cão portador de plasmocitoma extramedular oral: Relato de caso
Authors: Da Silva Botelho Sabrina , BATISTA ADRIANA
Published: August 2022

Extramedullary plasmacytoma is a benign neoplasm with low probability of metastasis, where its composition is almost exclusively formed by plasma cells. In dogs it is mainly located on the skin, in the oral cavity and in the digestive tract. Its conclusive diagnosis is made through histopathological examination. This paper reports a case of a five-year-old male, mixed breed, who developed an ulcerated mass, of firm consistency, red in color, in the rostral region of the mandible, measuring about two and a half centimeters in diameter, involving the lower incisors and adjacent incisors, where there was already displacement of the tooth pieces. The treatment performed was a bilateral rostral mandibulectomy surgical procedure. The withdrawal presented a safety margin, not requiring the use of chemotherapy. Follow-up was requested every six months.
Pendampingan Pembuatan Perencanaan Bisnis Dan Pengembangan Usaha Kecil Di Kelurahan Cijengkol Bekasi
Authors: Untari Dhian Tyas , Rianto M Richo
Published: August 2022

Tujuan kegiatan Pengadsian Masyarakat ini adalah untuk; mengedukasi masyarakat kelurahan Cijengkol tentang prosedur pengajuan kredit pengembangan modal (Restari, 2020), mengedukasi masyarakat kelurahan Cijengkol tentang pembuatan perencanaan bisnis yang merupakan salah satu syarat pengajuan kredit dan mendampingi pengusaha kecil yang ingin mengembangkan usahanya dalam pencarian modal usaha atau modal pengembangan usaha (Pakpahan, 2020). Kegiatan dilakukan dengan memberikan pelatihan secara daring dan pendampingan secara offline pada masyarakat Cijengkol. Kegiatan pendampingan merupakan sebuah rangkaian kegiatan yang berkelanjutan, masyarakat berharap kegiatan serupa dapat dilakukan secara intensif agar dapat memberikan manfaat yang lebih nyata
Peran Program RW Siaga Dalam Meminimalisir Pandemi Covid-19 Di Kampung Lebak Kantin Kelurahan Sempur: Pemahaman Komunikasi Penyuluhan Dalam Implementasi Pada Program Pemerintah
Authors: Soelistyowati Dinar
Published: August 2022

Tujuan dari pelaksanaan kegiatan Pengabdian Kepada Masyarakat ini adalah memberikan penyuluhan kepada masyarakat untuk meningkatkan pemahaman terhadap manfaat adanya RW Siaga yang ada di setiap daerah khususnya pada lingkup kelurahan Sempur, Bogor.Penyuluhan ini menekankan pentingnya efektivitas komunikasi dalam pelaksanaan program-program RW Siaga yang harus dijalankan oleh masyarakat guna meminimalisir peningkatan kasus Covid-19 di setiap daerah.Untuk mencapai masyarakat yang tangguh dalam menghadapi bencana, maka diperlukan factor pendukung, yaitu modal sosial.Modal social merupakan salah satu faktor yang penting dalam membangun masyarakat yang tangguh, dimana hal tersebut merupakan suatu kemampuan perseorangan dalam hubungannya dengan orang lain pada suatu komunitas yang berlandaskan norma dan saling percaya untuk mencapai tujuan Bersama. Untuk itu maka pemerintah berinisiatif menciptakan RW Siaga disetiap daerah agar masyarakat lebih tertib dalam melaksanakan Prokes. Kegiatan penyuluhan ini telah dilaksanakan pada bulan Agustus 2021, melalui webinar.
PELATIHAN DAN PENDAMPINGAN PENINGKATAN KINERJA USAHA BERBASIS STRATEGI DAN IT PADA PELAKU UMKM HASIL OLAHAN LAUT DI DESA LABUAN PANDEGLANG - BANTEN
Authors: Rianto Muhammad Richo , Woestho Choiroel
Published: August 2022

Tujuan pengabdian kepada masyarakat ini adalah untuk memberikan edukasi, pelatihan dan pendampingan dalam meningkatkan kinerja usaha berbasis strategi dan IT pada pelaku UMKM hasil olahan laut di desa labuan banten. Pelatihan ini fokus pada penyelesaian masalah produk yang tidak memiliki Branding, packaging, tidak higenis, tidak memiliki strategi penjualan serta pemasaran yang masih tradisional dan rata rata penjualan yang rendah. Solusi berupa pelatihan dan pendampingan dalam strategi Branding dan packaging serta pemanfaatan digital marketing menjadi alternatif penyelesaian masalah dalam jangka pendek untuk meningkatkan kinerja para pelaku UMKM hasil olahan laut di desa Labuan. Harapan setelah kegiatan ini dilakukan para pelaku dapat memiliki Branding yang kuat, packaging yang baik serta jangkauan pembeli yang luas dan pada akhirnya secara langsung dapat meningkatkan penjualan dan secara tidak langsung membantu perekonomian daerah dan keluarga.
One more new species of the genus Acanthochitona (Mollusca: Polyplacophora) from the Spratly Islands
Authors: Sirenko B.I. , Tai-Tu N.
Published: August 2022

We describe a new species of the genus Acanthochitona Bergenhayn, 1930 from a group of small chitons inhabiting shallow waters of the South China Sea and near the Ryukyu Islands. The new species differs from others in this group in the presence of slightly flattened dorsal corpuscles with a narrow crest apically.
Features of the Hellenistic culture of ancient Sudan
Authors: Kormysheva E. E.
Published: August 2022

The article examines the main features and specificity of the formation of the Hellenistic culture in ancient Sudan. To assess the nature of the Hellenistic influence on the culture of Meroe, the author analyzes the characteristic features of the region's architecture, reliefs of temple complexes, painting and decoration of walls, items of minor art, jewelry, which had been obtained during archaeological excavations. The author explores the ways of penetration of Greek culture directly and through Egypt, as a result of which the Hellenistic culture of Meroe becomes the result of the syncretisation of Hellenistic Egypt and local forms. The borrowing had a specific nature, most of the Hellenistic elements were re-interpreted, transplanted into the Meroe and adapted to the local culture. The processes of transformation of images created through the syncretization of Egyptian Hellenistic images with local culture gave rise to a special form of Sudanese Hellenism, in which the Meroitic reading is traced in the concept, form and style. Such processes of combining local features with images that came from Egypt were typical for the entire history of contacts between these two Nile civilizations, the nature of the interaction as a whole was subjected to uniform laws, giving rise to a unique form of Hellenism in Meroe.