bluuebunny/crossref_metadata_2025 huggingface dataset:
STUDY OF MORPHOLOGY OF THE ETHMOIDAL ROOF ON CT SCAN IN PATIENT WITH NASOSINUSAL SYNDROMES
Authors: Tran Thi Dieu , Dang Thanh
Published: September 2019

Background: The ethmoidal roof is the thinnest bone of the skull base. Study of morphology of the ethmoidal roof on sinus CT Scan to avoid damaging the ethmoidal roof during sinus surgery.

Objective: Describe the shape of the ethmoidal roof and some adjacent structures on computed tomography. Survey the relation between the shape of the ethmoidal roof and some adjacent structures.

Patients and methods: Including 177 patients with nasosinusal syndromes who examined and underwent sinus CT scan at Hue University of Medicine and Pharmacy.

Result: The mean hight of the lateral lamella of the cribrifom plate is 4.27 ± 1.96 mm on the right and 4.64 ± 1.92mm on the left. Keros type 1 accounted for 41.5%, type 2 accounted for 47.2% and type 3 accounted for 11.3%. Keros classification on the left was significantly higher than that on the right side. The hight of the nasal cavity was lowest in the Keros type 1 group and highest in type 3 (p=0.001). For more than 2 mm asymmetry of the hight of the lateral lamella of the cribrifom plate, the Keros 3 group showed a statistical more common when compared to the other groups (X2=15.62, p=0.004). The hight of the lateral lamella of the cribrifom plate at the ipsilateral side (deviated side) was higher than that of the contralateral side, but the difference is not statistically significant.

Conclusion: Understanding potential asymmetries and variations of the skull base contour may assist the surgeons in avoiding complications in sinus surgery.

Key words: The ethmoid roof, sinus surgery
EVALUATING EFFICIENCY OF TREATMENT MOTOR REHABILITATION AFTER ISCHEMIC STROKE WITH A COMBINATION OF&NBSP; “HUYET PHU TRUC U” DECOCTION AND&NBSP; ELECTRONIC ACUPUNCTURE
Authors: Le Ngoc Thanh , Nguyen Thi Tan , Huynh Nguyen Loc
Published: September 2019

Introduction: Stroke is still an urgent problem because of an increase in morbidity, mortality and many neurological sequelae. In Vietnam, studies using traditional medicine combined with acupuncture in the treatment of motor rehabilitation after stroke are still less compared to acupuncture studies. This study evaluates the efficacy of “Huyet phu truc u” decoction and electronic acupuncture combination therapy in motor rehabilitation in patients with hemiplegia after ischemic stroke.

Subjects and methods: 40 patients with hemiplegia after ischemic stroke, eligible for study, were treated with “Huyet phu truc u” decoction combined electronic acupuncture.

Research Methods: Longitudinal study with pre- and post-treatment follow-up.

Result: Barthel points at the end of the study increased 1.73 times, Barthel points are ranked from the average or higher 97.5%, good + fairly 55%. Muscle strength from the 2/5 or higher 100%, from the 3/5 or higher 70%.

Conclusions: The method treated with “Huyet phu truc u” decoction and electronic acupuncture combination has effected for treatment motor rehabilitation in patients with hemiplegia after ischemic stroke.

Key words: “Huyet phu truc u” decoction, “Huyet phu truc u” decoction and electronic acupuncture, The Barthel index
EVALUATING EFFICIENCY OF SCIATICA TREATMENT DUE TO DEGENERATIVE SPINE BY USING “TAM TY DECOCTION” REMEDY COMBINED WITH CATGUT-EMBEDDING OR ELECTRONIC ACUPUNCTURE
Authors: Vy Thi Thu Hien , Nguyen Thi Tan
Published: September 2019

Introduction: Sciatica is a common disease at many ages, more women than men, most commonly at working age (from 20-60 years).There are 80% of the pain is due to degenerative spine. Sciatica effects the quality of life, communication and economic damage of the patients. This study aimed to assess the therapeutic efficacy of “Tam ty decoction” remedy in combination with catgut-embedding or electronic acupuncture.

Subjectsand methods: 60 patients with primary catgut-embedding or electronic acupuncture, eligible for study, divided into 2 groups: + Group I: 30 patients, treated with “Tam ty decoction” remedy and catgut-embedding; + Group II: 30 patients, treated with “Tam ty decoction” remedy and electronic acupuncture.

Research Methods: Cross-sectional description combined with longitudinal study with pre- and post-treatment follow-up, comparison between the two groups.

Results: On the VAS Scale: Group I (“Tam ty decoction” remedy + Catgut-embedding): Good 56.7%, Rather good 36.6%, Average 6.7% and 0% poor. Group II (“Tam ty thang” remedy + electronic acupuncture): Good 53.3%, Rather good 36.7%, Average 10.0% and 0% poor.

Conclusions:“Tam ty decoction” remedy combined with catgut-embedding or electronic acupuncture has effected for the treatment of sciaticadue to degenerative spine.

Key words: Sciatica, degenerative spine, “Tam ty decoction” remedy
EVALUATE THE RESULTS OF SNORING BY ADENOTONSILLECTOMY
Authors: Le Thanh Thai , Phan Van Dung , Thai Binh
Published: September 2019

Aims: To study outcomes of snoring by adenotonsillectomy, expecting least equipments, good result, price rationalization.

Methods: Prospective, intervention. Including 49 patients treated by adenotonsillectomy. Assessment had been made after 3 months post-op.

Results: The common symtoms are snoring (100%), sniff breath (98%), sore throat (67.3%), rhinorrhea (59.2%), nasal obstruction, cough (49%). There are 49 patients with snoring, mostly over grade II (44.9%). Adenoid hypertrophy mostly is grade II and tonsil hypertrophy is grade III. After 3 months, the grade of snoring presented good or great results in (93.9%) of patients. VAS: patient’s contentment was (100%).

Conclusions: The study showed that adenotonsillectomy presented good result are (93.9%) after 3 months.

Key words: snoring, snoring grade, adenoid hypertrophy, tonsil hypertrophy, adenotonsillectomy
STUDY ON THE STATUS OF LOWER GENITAL TRACT INFECTIONS AMONG MINORITY ETHNIC ADOLESCENT GIRLS IN A LUOI DISTRICT, THUA THIEN HUE PROVINCE&NBSP;
Authors: Dao Nguyen Dieu Trang , Phan Thi Bich Ngọc , Nguyen Vu Quoc Huy
Published: September 2019

Objectives: To describe the knowledges, attitudes, practices of preventing lower genital tract infections among adolescent girls in A Luoi district, Thua Thien Hue province and identify the percentage lower genital tract infections among adolescent girls.

Methods: A cross-sectional study design was conducted in A Luoi district, Thua Thien Hue province. All 960 adolescent girls between 10 – 19 years old of 8 communes in A Luoi district participated in the study.

Results: The percentage of adolescents who do not know about symptom of lower genital tract infections were 71.6%. The percentage of adolescents who know itchy symptom were 21.3%. The percentage of adolescents who do not know the factors to cause disease were 51.9%. 34.1% adolescents who know poor menstrual hygien, 31.9% know poor hygien daily. - The percentage of adolescents who do not know the methods to prevent lower genital tract infections were 42.2%. The percentage of adolescents who know to go to health center when they have symptoms were 76.1%, however still have 31% adolescents do not know how will they do when they have symptoms. The percentage of adolescents who know there is need to education for them to prevent lower genital tract infections. 87.1% adolescents use fresh water to wash and hygien daily. 98.4% adolescents do genital hygien. The percentage of lower genital tract infections in adolescents was 2.2%.

Conclusion: The knowledge of lower genital tract infection among adolescent girls are not good. The percentage of lower genital tract infections in adolescents was 2.2%.

Key words: lower genital tract infections, A Luoi district, Thua Thien Hue province
AUTISM SPECTRUM DISORDER AND ASSOCIATED FACTORS AMONG CHILDREN AGED 24-72 MONTHS IN QUANG NGAI PROVINCE
Authors: Nguyen Tan Duc , Luong Ngoc Khue , Nguyen Thanh Quang Vu , Vo Van Thang
Published: September 2019

Introduction: Autism Spectrum Disorder (ASD) is a disability developed in the young age and lasts during the lifetime. Early diagnosis and timely interventions will help improve the situation and reduce consequences caused to persons with ASD, their families and society.

Objectives:

(1) To describe the prevalence of ASD of the children aged 24 – 72 months Quang Ngai Province;
(2) To analyse some factors related to ASD of the children aged 24 – 72 months in Quang Ngai Province.

Methodology: Cross sectional research on a total sample size of 74,308 children aged 24 – 72 months in Quang Ngai Province in a period of September to December 2016; doing interview the parents or care givers on the children’s family socio-economic characteristics; all the children were screened to examine ASD signs and standards using red flag signs, Modified-Checklist for Autism in Toddlers (M-CHAT) and Childhood Autism Rating Scale (CARS). Children were finally examined and clinically diagnosed using criteria Diagnostic and Statistical Manual of Mental Disorders 5th Edition (DSM-5).

Results: 280 children aged 24 – 72 months, account for 3.8‰, were detected as ASD. Among the children with ASD, 63.57% were diagnosed severe, 36.34% diagnosed medium and slight. The boys with ASD is 3.1 times higher than girls (p<0.01). The children with ASD in urban areas is almost two times higher than those in rural areas (p<0.01). No any statistically significant association between factors of ethnicity, religion, ages of pregnant mothers or mother’s smoking habits with the children with ASD.

Conclusions: Children aged 24 – 72 months with ASD in Quang Ngai Province accounted for 3.8‰, rather similar to the ASD prevalence in other similar studies over the world. It is a need to more deeply study on some factors related to ASD among children aged 24-72 months in Quang Ngai province.

Key words: Autism Spectrum Disorder, ASD, Red flag signs, M-CHAT, CARS
EFFECTIVENESS OF THE PILOT LEAN MODEL TO IMPROVE MANAGEMENT OF TREATMENT QUALITY IN THU DUC DISTRICT HOSPITAL, HO CHI MINH CITY
Authors: Nguyen Minh Quan , Vo Van Thang , Cao Ngoc Thanh
Published: September 2019

Objectives:Assessment of the quality of health care management in Thu Duc District, Ho Chi Minh City before and after intervention by Lean model of quality management.

Methodology: The study was divided into 3 phases (2011-2017) using two phased research designs: cross-sectional descriptive study and evidence based intervention study in Thu Duc district hospital over medical staff, department’s leaders; patient records, medical records, data from the management system, medical reports, financial reports, planning programs of the departments.

Results: The results of the intervention with model was developed under the name “Lean model of quality management”, the showed an improvement in the major factors: patient safety, patientcentered, clinical efficacy, efficiency, employee orientation, governance responds promptly.

Conclusion: Lean model of quality management implemented at Thu Duc District Hospital has improved hospital quality in many aspects, can be multiplied throughout the country.

Key words: Lean model of quality management, evidence based medicine, quality healthcare, Thu Duc district hospital
CLINICAL FEATURES AND THE DEFORMITIES OF NASAL SEPTUM IN CHRONIC RHINOSINUSITIS PATIENTS
Authors: Dang Thanh , Tran Minh Trang
Published: September 2019

Objectives: To study clinical features and the deformities of nasal septal in chronic rhinosinusitis patients and the relationship between nasal septal deformities (NSDs) and chronic rhinosinusitis.

Patients and method: The research including 94 patients over 16-year-old diagnosed NSDs with nasosinusal syndromes who underwent nasal endoscopic and sinus CT scan from April 2017 to May 2018, by cross sectional descriptive study.

Results: Main funtional symtoms are nasal obstruction 96.8%, nasal discharge 89.4%, headache 71.3% and hyposmia 42.6%. The most prevalent morphologies of nasal septal is deviation (51.0%); NSDs in area 4.5 of the nasal cavity according to Cottle are more common than area 1,2,3 (68.1%); The level of nasal septal deviation caused about two-third obstruction of the nasal cavity is most common (55.3%). There was a statistically significant relationship between the level of nasal septal deviation and the severity of chronic rhinosinusitis based on clinical features, CT scan and the sides of sinusitis: the more obstruent NSDs caused in nasal cavity, the heavier gravity of chronic rhinosinusitis had and the rate of bilateral sinusitis more increased.

Conclusion: We found the relationship between the morphology of nasal septal deformities and the severity of chronic rhinosinusitis based on clinical features, the relationship between the gravity of nasal septal deviation and the severity of chronic rhinosinusitis based on clinical features, CT scan and the sides of sinusities.

Key words: nasal septal deformities, chronic rhinosinusitis
STUDY THE CLINICAL FEATURES, SUBCLINICAL AND EVALUATE THE TREATMENT RESULTS OTITIS EXTERNA
Authors: Nguyen Tu The , Ho Manh Hung , Nguyen Canh Loc
Published: September 2019

Objective: To determine the clinical features, subclinical and to evalute the treatment results otitis externa.

Material and method: 51 patients with 53 ears were diagnosed otitis externa at Hue University of Medicine and Pharmacy. Methods: Cross sectional and propective studies.

Results: Percentage of female (52.9%), male (47.1%). The most common age group is >15 – 30 years old (41.2%). Patients have antecedent with chronic otitis media is about 15.7%. 37.3% patients had used antibiotics, 21.6% had used corticosteroid. Acute otitis externa accounted for 43.4%, chronic stage accounted for 56.6%. Itching of the ear (67.9%), earache (41.9%), fullness (22.6%). External ear canal condition: earwax (58.5%), discharge (35.8%). 13.2% of patients has eardrum perforation. Isolation of microorganisms: fungi (60.8%), bacteria (29.4%), both fungi and bacteria (9.8%). Fungal results: Aspergillus (58.1%), Candida (16.1%), non-fungal culture (16.1%). Results of bacterial identification: S. aureus (80%), P. aeruginosa (15%). In acute otitis externa, the highest rate is bacterial infection (65.3%), chronic otitis externa, the highest rate is fungi (96.7%). In acute otitis media, the pain in the ear when pushed and of the pinna when pulled is 60.9%. Itching is the most symptom in infection by fungi (56.6%), ear pain commonly associated with bacterial infection (24.5%), fullness is most commonly caused by fungi (13.2%). Bacteria S. aureus in otitis externa are most sensitive to vancomycin(100%), gentamicin (76.5%), ciprofloxacin (64.7%). The proportion of patients responding to treatment is 90.6%. In external ear inflammation, the mean time at end of symptom is 6.2 ± 2.79 days.

Conclusions: Otitis externa is a common disease, encountered at many ages and treatment has a good result.

Key words: otitis externa
Sweet cherry fruit quality by half-intensive orchard management
Authors: Thurzó Sándor , Racskó József , Dani Mária , Drén Gábor
Published: September 2019

We made our study on fruit quality in the summer of 2005 on 6 cultivars („Bigarreau Burlat”, „Germersdorfi 3”, „Germersdorfi 45”, „Katalin”, „Linda” and „Van”) in a half-intensive sweet cherry orchard in Siófok. We measured fruit diameter, fruit width, fruit height, stem length and stem weight, fruit and pit weight and total soluble solids content. There were large differences among cultivars in the datas. These differences are due to genetic fruit-characteristics, because all other conditions were the same. We harvested fruits by 3 cultivars two times to check their characteristics on two ripening phases. We examined on these cultivars all the above listed fruit quality parameters. With these data we can be informed about the role of later than optimal harvesting time and how big an effect it has on fruit quality.
The effect of the plant density for the yield of the maize hybrids
Authors: Pálovics Balázs , Sárvári Mihály
Published: September 2019

In order to enchance the yield stability of maize, the effect of plant density on yields was studied on a typical meadow soil in Hajdúböszörmény between 2002-2004. In the plant density experiment, we used the method of Béla Győrffy. The plant densities applied therefore 20 to 100 thousand plants/ha by ten thousand scale. The application of fertilizer rates for the maize hibrids in every year were N: 110 P: 90 K: 120 kg/ha. We used a manual soiling-gun in the experiment. In every year we used plant protection techniques against monocotyledonous and dicotyledonous weeds. The harvest was done by hand. The facts were read by variancie analysis and linear regression analysis. The moisture and the temperatures were extreme in 2002, 2003, 2004. We have to mention defficiery of moisture in 2003 which is shown that the hot days number increased. After evaluating our findings we can conclude that most hybrids showed a significant correlation between increased plant density and the volume of yields. On the basis of the experiments we divided the hybrids into four groups: the first group included the hybrids suitable for increased plant density with a wide range of optimal density values; the second group included hybrids, which did not require high plant density, were capable of good individual performance and tended to grow several ears; the third group included flexible corn types, which grew longer ears in favourable years, thus yielded more; and the fourth group included the hybrids, which were sensitive to increased plant density and which showed a narrow range of optimal density values. Finally, plant density determines the yield; we have to consider optimal plant density intervals as well as optimal plant density, and we also have to place a high emphasis on the use of hybrid-specific technologies.
Eksplorasi dan Penerapan Ragam Hias Batik Jawa Timur Pada Kerajinan Sulam Tangan
Authors: Larasati Pramita , Wiyancoko Dudy , Winata Gita
Published: September 2019

Sulam merupakan salah satu kerajinan yang telah ada di Indonesia sejak dulu kala. Biasanya kerajinan sulam diaplikasikan pada berbagai barang keperluan adat seperti pelaminan pernikahan, penutup hantaran hingga digunakan sebagai penghias busana yang dikenakan. Kerajinan sulam di Indonesia banyak berkembang di pulau Sumatera dan Kalimantan. Namun, karna tingkat kesulitan dan lamanya waktu pembuatan kerajinan sulam khas Indonesia memiliki harga jual yang cukup tinggi. Hal ini menyebabkan kerajinan sulam di Indonesia kalah pamor dengan kriya tekstil lainnya seperti batik dan songket. Padahal kerajinan sulam ini memiliki potensi yang sangat besar untuk dikembangkan. Saat ini mulai bermunculan berbagai UKM yang mengangkat kerajinan sulam tangan. Salah satunya yang berada di Jember Jawa Timur. Para pengrajin sulam di daerah ini memiliki kemampuan sulam yang mumpuni, namun sayangnya dari segi kemampuan desain mereka masih kurang. Para pelaku UKM ini kebanyakan belum mengangkat potensi daerah yang ada di sekitar mereka. Sehingga hasil kerajinan sulam mereka masih cenderung seragam dan tidak memiliki ciri khas yang menonjol satu sama lain. Melalui penelitian ini, diharapkan para pelaku UKM nantinya mampu mengembangkan hasil desain sulaman mereka dengan menggunakan pengembangan dari ragam hias yang terdapat di batik Jawa Timur. Sehingga mereka dapat mengembangkan produk mereka ke pangsa pasar yang lebih luas.
Changing the dynamic characteristics of the track to reduce noise emissions - numerical study
Authors: Brzeziński Karol , Michalczyk Rafał
Published: September 2019

The paper presents the concept and preliminary results of numerical study of
changes in the rail track dynamic characteristics. Change of the characteristics is introduced in
order to reduce noise emissions. The theoretical relationship between the studied track
dynamic characteristics (TDR - Track Decay Rate) and noise was briefly explained, and then
the methodology of FEM modelling for the standard test simulation was described. Four mass
modification variants and two rail types (49E1 and 60E1 profiles) were analyzed. Numerical
study show correlation between the railroad track mass increase and its dynamic
characteristics and thus the noise emission. It turns out that the obtained effect may cause
reduction of noise emission in some frequencies, and increase in others.
Simulation of geometric pattern of surface flaws in railway rails
Authors: Lesiak Piotr , Podsiadło Rafał
Published: September 2019

The paper presents selected models of geometric patterns of surface flaws in
railway rails. The simulation based on Bezier's splines has been carried out using UM Loco
simulation software. It allows for the simulation of the rail profile with pattern flaws. These
flaws have been used to simulate dynamic interaction between the vehicle and the track for
the freight carriage moving with different speeds. The impact of the flaw dimensions on the
contact forces have been analyzed
Criteria for choosing the location of investment projects for building new
or modernizing existing intermodal terminals to be co-financed in the future EU
financial perspective
Authors: Kruk Robert , Piwowar Beata , Brona Przemysław , Ochociński Krzysztof
Published: September 2019

The article presents information on intermodal transport in Poland. Particular
attention is paid to the point infrastructure dedicated to such transport. The locations of
construction of new intermodal terminals along with the criteria for their selection have been
proposed.
La Enfermedad Periodontal como riesgo de la enfermedad sistemática
Authors: Cardenas Perdomo Diego Alexander , Muñoz Macías Nicolle Valeria , Solorzano Intriago Juan Salvador
Published: September 2019

Recibido: 23 de abril de 2019Aprobado: 24 de mayo de 2019La cavidad oral que hospeda numerosas poblaciones bacterianas también podría participar como un territorio de origen para la difusión de microorganismos patógenos a diferentes sitios del cuerpo, particularmente en huéspedes inmunocomprometidos, pacientes, ancianos o personas desfavorecidas. El presente artículo de revisión sobre publicaciones recientes que han investigado el por qué los pacientes con enfermedades periodontales estén más propensos a la endotoxemia metabólica, inflamación, obesidad, diabetes tipo 2 y otras complicaciones sistémicas vinculadas, concluyendo que las enfermedades periodontales podrían ser un factor de riesgo potencial para una amplia gama de enfermedades clínicas. Importantes enfermedades sistémicas Por consiguiente, Los mecanismos por los cuales ocurre este daño bidireccional se están explorando con una visión concéntrica para desarrollar estrategias que puedan prevenir o controlar las complicaciones de estas dolencias. Este artículo intenta resumir e hipotetizar los diversos mecanismos que sugieren una cierta conexión entre las dos situaciones crónicas prevalentes.
Salud bucal en paciente con prótesis total
Authors: Carrasco Sierra Miguel , Sandoval Pedaya Sandra , Arteaga Espinoza Shirley Ximena
Published: September 2019

Recibido: 25 de abril de 2019Aprobado: 26 de mayo de 2019El objetivo de este artículo es realizar una revisión bibliográfica a la luz de la evidencia actual de la salud bucal y el estado de los implantes orales en de pacientes con prótesis dental total. Considerando que el edentulismo es una desventaja que afecta la calidad de vida y la nutrición. La pérdida de dientes conduce a un deterioro funcional a nivel del sistema orofacial, lo que interfiere significativamente con la masticación, la deglución y el habla, así como con disfunción de la articulación temporomandibular, trastornos de la relación intermaxilar y fisionomía facial. La rehabilitación oral ideal de pacientes desdentados puede requerir la instalación de implantes endóseos para soportar una prótesis fija o removible. Se han demostrado buenos resultados clínicos a largo plazo en este grupo de pacientes, particularmente en casos en los que el tratamiento prostodóntico convencional ha fallado o es inaceptable para el paciente. Por otra parte, estudios indican que la terapia de implante oral puede considerarse como el tratamiento de elección en pacientes de edad avanzada, incluso cuando la higiene oral no es óptima.
Marketing odontológico del futuro
Authors: Rodríguez Anchundia Laura Beatriz , Delgado Delgado Carlos Alberto , Figueroa Suárez Juan Alberto
Published: September 2019

Recibido: 23 de mayo de 2019Aprobado: 02 de junio de 2019En los últimos dos años, ha habido una explosión en el panorama del marketing digital. Es justo decir que tendrías que haber estado viviendo en una cueva para no ver los desarrollos que se han hecho en esta área. Estos desarrollos han impactado masivamente en el sector dental, más de lo que puede pensar al principio. El siguiente artículo de revisión se plantea hacer una reseña de la forma en que los posibles nuevos pacientes pueden encontrarlo ha avanzado con los cambios en la forma en que la optimización de motores de búsqueda (SEO) clasifica su sitio web. Los avances en la publicidad en línea, particularmente en Facebook en los últimos doce meses, significan que ahora es más fácil interactuar con audiencias más grandes. Junto con eso, el uso de un sofisticado software de gestión de relaciones con el cliente (CRM) significa que ahora es más fácil comunicarse con sus pacientes, ya sean sus pacientes existentes, pacientes inactivos o aquellos posibles pacientes a los que desea ingresar.
Síndrome de Arteria Mesentérica Superior o Síndrome de Wilkie. Caso Clínico
Authors: Mogollón Guzmán Edisson Andrés , Brito Vizuete Manuel Alejandro , Sarmiento Álvarez Miguel Mateo , Estrada Cherres Johanna Paulina
Published: September 2019

Recibido: 10 de mayo de 2019Aprobado: 08 de junio de 2019 El síndrome de Wilkie es una enfermedad que se caracteriza por una compresión extrínseca de la tercera porción del duodeno por la arteria mesentérica superior y la aorta. Es de evolución gradual produciendo síntomas obstructivos intestinales altos a largo plazo. El método diagnóstico de elección es la TAC siendo la más efectiva y menos invasiva. El tratamiento de elección al no existir una buena respuesta con el tratamiento conservador, es quirúrgico por medio de una duodenoyeyunostomia aliviando síntomas duodenales y gástricos. El artículo presenta un caso del Síndrome de Arteria Mesentérica Superior que se desarrolla en una mujer de 45 años de edad. La paciente presenta un cuadro clínico de dolor cólico en epigastrio, náuseas y vómitos por varias ocasiones, pérdida de peso de aproximadamente 10 Kg, endoscopia digestiva alta, se concluye como pseudo obstrucción intestinal. La Tomografía de abdomen sugiere pinzamiento aortomesenterico del ángulo de Treitz (Síndrome de Wilkie). La paciente no mejora al manejo conservador, por lo que se realiza duodenoyeyuno anastomosis en Y de Roux y se da de alta a los 4 días de la intervención con buena tolerancia oral y a los controles se evidencia ganancia de peso. Transito esofagogastricoduodenal no revela áreas de estenosis o dilatación. Se concluye que el síndrome de Wilkie es una patología infrecuente de baja incidencia, por lo cual es subdiagnosticada, aunque su clínica no es fácil de diferenciar ya que puede confundirse con varias patologías por lo que su diagnóstico se lo realiza tardíamente, siendo la herramienta diagnostica más útil la TAC. Entre las técnicas quirúrgicas de elección, la más apropiada vendría a ser la duodenoyeyunostomia con una mayor tasa de éxito y menor complicaciones.
El comportamiento disruptivo: Un desafío en aulas de Enfermería
Authors: Rezabala Villao Jesús Yubagni , Loor Cedeño Gema Dayana , Moreno Cobos María de los Ángeles , Sornoza Pin Alba Amarilis
Published: September 2019

Recibido: 15 de abril de 2019Aprobado: 08 de junio de 2019La presente investigación se desarrolló con el objetivo  de analizar el comportamiento disruptivo un desafío en aulas de enfermería en la universidad Laica Eloy Alfaro de Manabí en el período 2017-2018. Metodológicamente se trabajó con un tipo de investigación descriptiva, con una muestra poblacional de  242 estudiantes y 12 profesores para un total de 254 sujetos a quienes se les aplicó un instrumento de 20 ítems. Entre las principales conclusiones se tiene que los docentes de la carrera de enfermería de la Universidad Laica Eloy Alfaro de Manabí, apliquen las políticas establecidas por la universidad, para disminuir el comportamiento inadecuado en los estudiantes, en complemento de fortalecer la comunicación con los estudiantes de la carrera de enfermería, teniendo en cuenta el: saber aprender, saber ser, saber hacer, para que los estudiantes mejoren su comportamiento y generen aprendizaje.
Análisis de dos agentes remineralizantes en lesiones incipientes de caries mediante AFM
Authors: Moya Fernández Anthony Efraín , Moya Silva Tamara Jacqueline , Zambrano Gutiérrez María Isabel
Published: September 2019

Recibido: 25 de abril de 2019Aprobado: 5 de junio de 2019La caries dental si se trata oportunamente en sus estadios primarios puede ser detenida y limitada con terapias preventivas que favorecen la remineralización. Objetivo: Evaluar la remineralización de lesiones incipientes de caries (mancha blanca) a partir de la aplicación de dos agentes remineralizantes. Materiales y métodos: Se realizó un estudio in - vitro con muestras de esmalte dental divididas en 2 grupos, Grupo A (n = 15) y Grupo B (n = 15), se generó desmineralización con una solución de ácido láctico y saliva artificial, para la remineralización al Grupo A se le aplicó el vidrio bioactivo Fosfosilicato de calcio y sodio fluorado (BAGF), al Grupo B se le aplicó el Fosfopéptido Caseína -  fosfato de calcio amorfo fluorado (CPP-ACPF), este procedimiento se lo realizó por 10 días, Resultados: En el Grupo A se obtuvieron valores de 1.967 nm, 33.128 nm y 5.964 nm respectivamente, en el Grupo B los valores fueron de 2.296 nm, 34.335 nm y 13,611 nm, mediante la prueba estadística t de Student se obtuvo un p-valor = 0.108 > 0.05 para esmalte sano y un p-valor = 0.193 > 0.05 para esmalte desmineralizado, lo que indica que no existió una diferencia estadística significativa entre los valores de esmalte sano y desmineralizado de los dos grupos; sin embargo para esmalte remineralizado indicó una gran diferencia entre los valores de remineralización de ambos grupos. Conclusión: Los agentes remineralizantes fosfosilicato de calcio y sodio fluorado (BAGF) y caseína - fosfato de calcio amorfo fluorado (CPP - ACPF) remineralizan el esmalte dental desmineralizado, siendo más efectivo el vidrio bioactivo (BAGF).
EVALUATION POSITIONS OF CREDIT UNIONS IN THE WORLD MARKET OF FINANCIAL SERVICES
Authors: Ruska Ruslana
Published: September 2019

Credit unions have been functioning on the financial market of Ukraine for more than twenty years, and necessity of their existence is still questionable. Imperfect system which controls credit unions in our country often leads to distorted activity. Investigating the uniqueness of the world credit unions and basic principles of their activity stipulated the necessity of a completely new approach to the evaluation of credit unions positions in the world market of financial services. Due to the analysis of penetration it is educed that credit unions embrace a substantial financial market share on different world continents. A cluster analysis revealed that credit unions with the similar functions belong to the same cluster. After investigation of management monitoring systems of credit unions in different countries it has been established that these systems are rather «ex»/ «post» indicators of the present credit unions problems. Relations between regulators and credit unions are of different types. «Three Bucket Approach» methodology for credit unions and theoretical aspects of the methodology, which involves reserve formation on loans and its application have been considered.
MONITORING OF EUROINTEGRATION OF UKRAINE IN THE TOURISM SPHERE
Authors: Zayachkovska Halyna
Published: September 2019

The basic indicators of tourism development in Ukraine are analyzed and identified its problems. Established, that the tourism industry in Ukraine is rapidly developing, below the global average, is due to annexation of Crimea and the Russian military aggression in the east, the low efficiency of the public administration and low level of government spending in tourism. It is shown the main directions of cooperation of Member States under the Association Agreement between Ukraine and the EU in Part «Tourism», concerning for the exchange of information, sustainable tourism development, promotion and development of tourism products and markets, training specialists and others. Defined priorities of the Action Plan for the implementation of the Association Agreement in the field of tourism in the 2014–2017: amending the Law of Ukraine «On Tourism», project the Strategy for Development of Tourism and Resorts 2025, harmonization of national standards with the International Organization for Standardization. A monitoring of the implementation of measures for the integration of Ukraine into the EU tourism sphere for 2014 – early 2017 in the following directions are conducted: legislation, strategy of the development of tourism and resorts, licensing, standardization and certification, visa liberalization, cooperation in tourism. Emphasized, that one of the main challenges of European integration of countries in the tourism sector should develop regulations to attract foreign investment, improving government funding, harmonization of qualification requirements and standards of higher education for training in tourism.
Frase Nomina Bahasa Gorontalo
Authors: Usman Alfian
Published: September 2019

The objectives of the study are toidentify the form of  noun phrase inGorontalo language and to analyze the normaland abnormal mapping of noun phrasein Gorontalo language by using tagmemic analysis. The results of the study showthat (1) noun phrases in Gorontalo language consist of (a) N = +Det +H:n; (b) N= +H:n +Mod:n; (c) N = +H:n +Mod:adj; (d) N = +H:n +Mod:v;(4) N = +H:n +Mod:adv; (e) N = +H:n +Qn:qn; (f) N = +H:n +Det:det;(g) Nco = +H1:N/n +C:c (wau) +H2:N/n and Nco= +H1:N +C:c (woli/wole/wolilei/wolemei) +H2:n; (h) N =+H:n +Mod:RA; (i) N = +H:n +Id:rel.Cl; (2) In normal mapping nounphrase fills the subject, object, and complement slot. Abnormal mapping consistsof layering, back-looping and level skipping. In layering, noun phrase filledby noun phrase, adjectival phrase, numeral phrase and relator axis phrase(locational and temporal) as direct element; in back-looping noun phrase isfilled by relative clause as direct element; in level skipping noun phrase isfilled by bound morpheme (possesive marker) as direct element.Keywords:Noun Phrase, Gorontalo Language, Tagmemic Analysis
Ungkapan Bermakna Budaya Dalam Upacara Meminang Gadis Etnik Galela Di Kokota Jaya
Authors: Galela Dolfina
Published: September 2019

Language and culture have a very close relationship and can not be separated. Indonesia has a variety of very interesting customs, as well as ethnic Galela in Kokota Jaya, North Halmahera in North Maluku province has a variety diariskan customs of the ancestors. One was at the event to woo the girl who is a manifestation of cultural values in the society. In the event there is a form to woo this girl lingual and lexical meaning phrases that have cultural significance. There is also the cultural meanings of verbal and nonverbal expression. This research may be necessary for people to know clearly the meaning of expressions of both verbal and nonverbal ceremonial woo the girl. This study aims to identify and analyze the forms of expression of cultural meanings contained in verbal and nonverbal expression on her proposed marriage ceremony in Kokota Jaya ethnic Galela.Based on the results and discussion can be concluded that there is a form limgual and lexical meaning in the ceremony there was to woo the girl. And there is a meaningful verbal and nonverbal expressions of culture in a ceremony to woo the girl. It is recommended that conducted an exhaustive review of her proposed marriage ceremonies. For Galela ethnic communities in Kokota Jaya especially the younger generation is expected to begin to learn and understand the use of regional languages become heritage.Keywords: Expression, Cultural, and Galela Ethnic
TRADISI MINAHASA TERKAIT DENGAN MAKANAN TRADISIONAL
Authors: Pamantung Rina Palisuan
Published: September 2019

Food is regarded as important aspects of indigenous culture of Minahasa when viewed from various Minahasa cultural relics that still survive today. In addition, specific Minahasan traditional food is associated with social behavior which is very typical for a particular event in the culture, but still rarely written scientifically, especially in the field of linguistics.Empirical evidence shows that there is an ambiguity (overlap) on the appearance of the name of  typical food   between  the party menu which still contains the original culture of Minahasa like Endo wangko 'holy day'  or "Pengucapan" with a menu of food   that are commercialized as the name of the food  as a restaurant menu, inn  or hotel, and vendor menu. In other words,  the typical Minahasa food and beverage as a genuine  Minahasan  culture still appear on the religious function of culture, whereas on the other hand, Minahasan traditional food  has appeared on the restaurant menu as a regular menu. The main problem in this study can be formulated as “How does the naming system of  food  that appears in Minahasa cultural traditions based on  myths or folklore that have symbols and myths value and meaningful functioning as a cultural concept of  Minahasa?”. The conclusion is the concept of Minahasan culture especially  Minahasan traditional food is a dynamic transformation that can be observed in Minahasan culture through the Minahasan traditional food  naming system linulut vs non-linulut established or determined by a series of meaning components at the taxonomic hierarchy.Keywords: minahasan traditional food, Minahasan culture.
PENERAPAN FILTER AKTIF SEBAGAI CARA MENAIKKAN NILAI FAKTOR DAYA PADA PENGGUNAAN BEBAN NON LINIER
Authors: Setiawan Edy , Anindita Galih , Syahid Achmad , Rachman Isa
Published: September 2019

Terdapat beberapa sisi negatif dari penggunaan motor induksi , yaitu timbulnya harmonisa yang dapat mengurangi kualitas daya listrik. Selain motor listrik, penggunaan Lampu konvensional atau lampu menggunakan ballast trafo juga turut ambil bagian menjadi penyebab turunnya kualitas daya. Penelitian bertujuan mengembangan solusi yang mampu mengurangi gangguan kegagalan fungsi atau degradasi peralatan dan perangkat yang lebih sensitif dan kerugian tambahan berupa pemanasan berlebih yang menyebabkan pengurangan umur rata-rata peralatan, minimalisasi terjadinya penurunan power faktor dan timbulnya harmonisa pada pemanfaatan energi listrik. Metode yang digunakan adalah eksperimen. Untuk beban non linier seperti lampu TL menyebabkan penurunan nilai faktor daya, beda fasa tegangan dan arusnya sebesar 69,8°, untuk beban linier lampu pijar beda fasa tegangan dan arus 0°. Untuk lampu TL nilai faktor daya terukur 0.34, lampu pijar 1.0 dan lampu Led tidak ada besaran nilai faktor daya yang terukur. Effisiensi untuk beban lampu TL 0.24%. Karena permasalahan itu, paper ini menampilkan rancangan Filter aktif Pararel yang secara prinsip akan menginjeksikan arus kompensasi yang besarnya sama dengan arus distorsi pengaruh harmonisa.
Pengaruh Konsep Diri Dan Perhatian Orang Tua Terhadap Motivasi Berprestasi Dan Hasil Belajar Fisika SMAN Di Kabupaten Dompu
Authors: Fathurrahman Fathurrahman
Published: September 2019

Penelitian ini merupakan penelitian “expost-facto” bertujuan untuk mengetahui pengaruh: i) konsep diri dan perhatian orang tua terhadap hasil belajar fisika dan motivasi berprestasi peserta didik kelas XI SMA di Kabupaten Dompu; dan ii) motivasi berprestasi terhadap hasil belajar fisika peserta didik kelas XI SMA di KabupatenDompu. Populasi dalam penelitian ini adalah seluruh peserta didik kelas XI IPA SMAN di Kabupaten Dompu dengan jumlah 915 orang. Metode pengambilan sampel yang digunakan adalah cluster sampling. Teknik pengambilan sampel yakni teknik slovin dengan jumlah  278 orang. Proses pengumpulan data  menggunakan kuesioner dan tes hasil belajar fisika. Data hasil penelitian dianalis dengan menggunakan metode analisis Structural equation modeling (SEM) dengan teknik Analysis of Moment Structures (AMOS).  menggunakan analisis deskriptif dan inferensial, analisis faktor dan verifikasi model structural AMOS. Hasil penelitian menunjukan bahwa model persamaan structural yang menggambarkan pengaruh konsep diri, perhatian orang tua, motivasi berprestasi, dan hasil belajar fisika dapat diterima. Melalui model tersebut dapat disimpulkan bahwa: i) konsep diri dan perhatian orang tua tidak signifikan pengaruhnya terhadap hasil belajar fisika dan motivasi berprestasi peserta  didik kelas XI SMA di Kabupaten Dompu; dan ii) motivasi berprestasi berpengaruh langsung positif terhadap hasil belajar fisika fisika peserta didikkelas XI SMA di Kabupaten Dompu.
Pengembangan Sistem Informasi Akademik Sekolah Menengah Kejuruan Se-Kab. Sorong Papua Barat
Authors: Wulandari Novita
Published: September 2019

Berdasarkan PP 17, 2007 pasal 49; "Manajemen unit pendidikan di tingkat dasar dan menengah menerapkan manajemen berbasis sekolah seperti yang ditunjukkan oleh kebebasan, kemitraan, partisipasi, keterbukaan, dan akuntabilitas". Upaya sekolah untuk mencapai sekolah terbuka dan terukur (manajemen akuntabilitas) salah satunya adalah dengan pemutakhiran teknologi di bidang manajemen sekolah dalam hal ini penerapan Sistem Informasi Akademik sehingga diharapkan aliran informasi dapat didistribusikan secara cepat dan akurat dan sinergis dalam pengambilan keputusan. Tetapi sebenarnya penerapan Sistem Informasi Akademik (SIA) di sekolah cenderung hanya sekedar tren saja, sistem yang digunakan tidak sesuai dengan kebutuhan atau tepat tetapi sulit digunakan. Akibatnya SIA di sekolah menjadi tidak berguna. Tujuan penelitian ini adalah untuk memperoleh analisis kebutuhan sistem informasi akademik akademik SMK yang akurat sehingga dapat menghasilkan standar sekolah SIA berstandar seragam. Metode penelitian yang digunakan adalah kuantitatif dengan mengumpulkan data di lapangan secara langsung melalui observasi, wawancara dan kuesioner. Hasil pengolahan data digunakan sebagai alat untuk menggambarkan hasil penelitian dan menjadi acuan publikasi pengembangan standar sistem informasi akademik SMK se-Kab.Sorong.
Pengembangan Sistem Informasi Penjadwalan Mata Kuliah Berbasis Web Di Fakultas Teknik Universitas Negeri Makassar
Authors: Ramadhani Indri Anugrah
Published: September 2019

Penelitian ini bertujuan untuk (1) mengetahui tahapan-tahapan pengembangan sistem informasi penjadwalan mata kuliah berbasis web di Fakultas Teknik Universitas Negeri Makassar (2) mengetahui apakah pengembangan sistem informasi penjadwalan mata kuliah berbasis web valid, praktis, dan efektif. Penelitian menggunakan metode pengembangan SDLC (Sistem Development Life Cycle) dengan model pengembangan prototype yang teridiri dari empat tahap yaitu: (a) analisis kebutuhan, (b) perancangan, (c) evaluasi prototype, (d) produk akhir. Sistem informasi penjadwalan mata kuliah yang dikembangkan telah divalidasi oleh dua orang ahli dengan mengalami revisi sehingga didapatkan hasil yang layak digunakan. Uji coba dilakukan dengan melibatkan 35 orang subjek. Setelah dilakukan validasi, hasil penelitian menunjukkan bahwa sistem informasi penjadwalan mata kuliah berbasis web yang dikembangkan dinyatakan valid. Sistem informasi penjadwalan mata kuliah dikatakan praktis karena hasil dari analisis kepraktisan berada pada kategori sangat praktis, dan sistem informasi penjadwalan mata kuliah dikatakan efektif karena hasil dari analisis keefektifan berada pada kategori sangat efektif.
Implementasi Manajemen Berbasis Sekolah (MBS) Dalam Meningkatkan Kompetensi Profesional Guru Di Sd Katolik 143 Bhaktyarsa Maumere
Authors: Lawotan Yohanes Ehe
Published: September 2019

Penelitian ini bertujuan untuk mengetahui kompetensi profesional guru melalui implementasi Manajemen Berbasis Sekolah (MBS) di SD Katolik 143 Bhaktyarsa Maumere. Pendekatan yang digunakan dalam penelitian ini adalah kualitatif dengan jenis penelitian deskriptif. Subjek dari penelitian ini adalah kepala sekolah dan guru SD Katolik 143 Bhaktyarsa Maumere berjumlah 7 orang dipilih dengan menggunakan teknik purpossive sampling. Teknik pengumpulan data dengan menggunakan observasi, wawancara dan dokumentasi. Data hasil penelitian diolah dengan mereduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian ini menunjukan bahwa kepala sekolah melakukan diskusi dalam pengambilan kebijakan yang akan diterapkan oleh sekolah, kepala sekolah melakukan evaluasi dengan memeriksa perangkat pembelajaran, kehadiran guru, prestasi belajar siswa dan keaktifan guru dalam kegiatan pelatihan (diklat), seminar, workshop, dan bimtek untuk menambah wawasan guru dalam meningkatkan kompetensi profesionalnya melalui pelaksanaan Manajemen Berbasis Sekolah (MBS). Kepala sekolah melakukan supervisi administrasi pembelajaran, administrasi kelas, mengevaluasi hasil supervisi, dan menindaklanjuti hasil supervisi. Prestasi kelulusan siswa setiap tahunnya mencapai 100% lulus. Ini membuktikan bahwa siswa memiliki peningkatan pada hasil belajar dan dengan demikian terlihat peningkatan kompetensi profesional guru melalui implementasi Manajemen Berbasis Sekolah (MBS).
The bacterial profile and sensitivity patterns of isolates from medical equipment and surfaces in the Children’s emergency room of a Nigerian hospital
Authors: Ndu Ikenna Kingsley , Asinobi Isaac Nwabueze , Ekwochi Uchenna , Nduagubam Obinna Chukwuebuka , Amadi Ogechukwu Francesca , Okeke Ifeyinwa Bernadette , Iheji Chukwunonso Chigozie , Onu Ngozi Nancy
Published: September 2019

Objective:  Nosocomial infections are those acquired in hospitals or healthcare service units that first appear 48 hours or more after admission or within 30 days after discharge following in-patient care. Knowledge of the bacterial profile and sensitivity patterns of any hospital environment is a key factor in infection control and good antibiotic stewardship.

Material and Methods: This hospital-based cross-sectional study was conducted in the Children’s Emergency Room (CHER) of Enugu State University Teaching Hospital, Enugu, Nigeria.  Samples for culture were collected from equipment and hospital surfaces. Antimicrobial susceptibility testing was determined for each isolate by the Agar diffusion method using Standard Nutrient Agar 1 discs.

Results: Bacterial growth was observed in 83 (70.3%) specimens. Staphylococcus aureus (53.4%) was the most common isolate cultured followed by Coagulase-negative Staphylococcus (18.8%), then Escherichia coli (13.9%). Among Staphylococcus aureus isolates, 25.9% were MRSA. Ampicillin resistance of the gram negatives was high. All the Gram-negative isolates were susceptible to Ciprofloxacin and Ceftriaxone.

Conclusion: Staphylococcus aureus, Coagulase-negative Staphylococcus, and Escherichia coli were the commonest isolates. More efforts are needed to ensure improved hygiene standards in order to reduce the burden of nosocomial infections.