bluuebunny/crossref_metadata_2025 huggingface dataset:
The Future of eXtended Reality in Primary and Secondary Education
Authors: Simon-Liedtke Joschua Thomas , Baraas Rigmor
Published: September 2022

eXtended Reality (XR) technology has to some degree been used in primary and secondary education. However, XR technology has not gained widespread use in public schools due to challenges related to pedagogical content, expertise, digital infrastructure, funding, and a lack of universal design. In this paper, we present the results from focus group interviews with representative stakeholders from the private and public sectors, in which we investigated their practical experiences and opinions about XR technology in Norwegian schools. We summarize the practical opportunities and challenges of using XR technology in primary and secondary education. We compare the results with a previously conducted selective and weighted literature review and extract four major future research needs to increase the practical and systemic universal design of XR technology in primary and secondary education for all.
Early Career Support for Biomedical Exchange Students with an International Mentor-to-Mentor Concept – The Biomedical Education Program (BMEP)
Authors: Marschollek Michael , Walles Thorsten , Pape Hans-Christoph , Doenst Torsten
Published: September 2022

In medicine, many international exchange opportunities exist, yet often only towards the end of the course of study. Opportunities for students to gain high-level international research experience early during the studies are rare. A good student-mentor relationship during a research stay abroad is a key factor for scientific success. The aims of this paper are to report on an international exchange and education program that has funded more than 700 students and has been carefully developed and advanced over more than 40 years, its mentor-to-mentor concept and potential success factors for building and maintain such programs. A summary of the history, the concept and the experiences of students is provided, along with a discussion of evaluation results and success factors. The Biomedical Education Program (BMEP) team has – within the last seven years of leadership by the authors – selected and funded 83 German students from different biomedical studies who went abroad for research projects. Preliminary evaluation results show a high degree of satisfaction with the program and its mentor-to-mentor concept, which we deem to be the key to success. Further factors include continued funding, determination, self-organization and assertiveness, an excellent alumni network and a meticulous selection process for both, students and hosts. Further, more detailed evaluation of survey results has to follow. Our results may support the build-up of similar exchange programs.
Pharmaceutical Feedback Loop – A Concept to Improve Prescription Safety and Data Quality
Authors: Reinecke Ines , Bathelt Franziska , Sedlmayr Martin , Kühn Andreas
Published: September 2022

Data quality is essential for utilizing real world data (RWD) in scientific context. Based on drug prescriptions in a hospital information system (HIS), algorithms performed a mapping of unstructured drug data to ATC codes. Visualization of the resulting distribution of structured to unstructured data based on ATC codes was created and used to explore a defined limitation of the current drug prescription highlighting the example of proton pump inhibitors. As a second step, a generalization of this approach was inductively created. As result we were able to identify 4 crucial steps for a feedback loop framework: The first step being the actual use of the HIS by clinician for drug prescription, second the processing of the entered unstructured and structured data and performing automatic analyses and visualization of the resulting distributions. The third step included an interdisciplinary expert evaluation of the data distribution followed by the fourth step, consisting of feedback to the stakeholders and generating actions as teaching or re-modelling of the system incorporating the actual learning process. The presented approach represents a continuously learning system based on RWD, although it is limited by analyzing the distribution of mapped unstructured text to ATC codes and therefore does not allow to analyze free text not mapped to ATC codes (false negatives). Future work will focus on the evaluation of this approach to analyze the impact on prescription data quality and the potential improvement on patient safety in general.
Data Management for Health Data Reuse: Proposal of a Standard Workflow and a R Tutorial with Jupyter Notebook
Authors: Lamer Antoine , Al Massati Sanae , Saint-Dizier Chloé , Fares Emile , Chazard Emmanuel , Fruchart Mathilde
Published: September 2022

The data collected in the clinical registries or by data reuse require some modifications in order to suit the research needs. Several common operations are frequently applied to select relevant patients across the cohort, combine data from multiple sources, add new variables if needed and create unique tables depending on the research purpose. We carried out a qualitative survey by conducting semi-structured interviews with 7 experts in data reuse and proposed a standard workflow for health data management. We implemented a R tutorial based on a synthetic data set using Jupyter Notebook for a better understanding of the data management workflow.
The Last Mile Problem and Beyond in HIT – The Role of Context-Sensitive Digital Integrators
Authors: Knudsen Casper , Villumsen Sidsel , Krejberg Lasse , Nøhr Christian
Published: September 2022

Issues of non-use of available health information technology (HIT) have been referred to as the ‘last mile problem’ impeding harnessing the full potential of HIT. We reflect upon which competencies are needed to address the last mile problem by ensuring a context-sensitive implementation. We argue that there is a need for context-sensitive digital integrators, who can navigate the realm where technological systems meet practice. This entails a situated, socio-technical, context-sensitive approach and competencies which are not easily addressed through formal training but require lifelong situated learning, as the field evolves continuously. Our ambition is to highlight the complexities of implementation and integration into local practice. This paper emphasizes the role of digital integrators in the hope of fostering further discussions on how to acknowledge and nourish these competencies in order to address and go beyond the last mile problem.
Clinical Knowledge Platform (CKP): A Collaborative Ecosystem to Share Interoperable Clinical Forms, Viewers, and Order Sets with Various EMRs
Authors: Dahlweid Michael , Rausch Dennis , Hinske Christian , Darmoni Stefan , Grosjean Julien , Santi Jonni , Marin Lise , Yasini Mobin
Published: September 2022

A large number of Electronic Medical Records (EMR) are currently available with a variety of features and architectures. Existing studies and frameworks presented some solutions to overcome the problem of specification and application of clinical guidelines toward the automation of their use at the point of care. However, they could not yet support thoroughly the dynamic use of medical knowledge in EMRs according to the clinical contexts and provide local application of international recommendations. This study presents the development of the Clinical Knowledge Platform (CKP): a collaborative interoperable environment to create, use, and share sets of information elements that we entitled Clinical Use Contexts (CUCs). A CUC could include medical forms, patient dashboards, and order sets that are usable in various EMRs. For this purpose, we have identified and developed three basic requirements: an interoperable, inter-mapped dictionary of concepts leaning on standard terminologies, the possibility to define relevant clinical contexts, and an interface for collaborative content production via communities of professionals. Community members work together to create and/or modify, CUCs based on different clinical contexts. These CUCs will then be uploaded to be used in clinical applications in various EMRs. With this method, each CUC is, on the one hand, specific to a clinical context and on the other hand, could be adapted to the local practice conditions and constraints. Once a CUC has been developed, it could be shared with other potential users that can consume it directly or modify it according to their needs.
The Development and Evaluation of an Anti-Phishing E-Learning Intervention for Nurses
Authors: Magdalinou Andriana , Kalokairinou Athena , Malamateniou Flora , Mantas John
Published: September 2022

Interactive games can be included in e-learning and train users to avoid web phishing. A multimodal educational intervention consisted of a serious game was developed in order to train nurses about phishing on Internet and was evaluated by experts and end users. The system was considered acceptable and can be used as an interesting learning resource for self-regulated learning. Future research will focus on evaluating the effectiveness of the educational intervention.
Jenseits des Marktliberalismus?
Authors: Abels Joscha , Bieling Hans-Jürgen
Published: September 2022

Die Aufwertung von Industrie- und Infrastrukturpolitik in der EU verdichtet sich aktuell zu einer »staatsinterventionistischen Wende«. Es kommt zur Mobilisierung zusätzlicher gemeinschaftlicher Instrumente und finanzieller Ressourcen und zum Bruch mit einigen Aspekten des marktliberalen Paradigmas, das die europäische Integration lange Zeit prägte. Wir zeigen, mit welchen polit-ökonomischen Konzeptionen sich diese Wende analysieren lässt, und stellen die These auf, dass vor allem geoökonomische Erwägungen die industrie- und infrastrukturpolitische Neuausrichtung vorantreiben und andere Gestaltungslogiken überlagern.
Internationalisierung des chinesischen Ordnungsmodells?
Authors: Hoering Uwe
Published: September 2022

Der Aufstieg Chinas fand in mehreren Phasen einer staatlich initiierten Integration in die globalisierte Weltwirtschaft statt, darunter die 2013 verkündete Belt and Road Initiative (BRI). Diese Expansion wird als Ausdruck staatlicher Allmacht und als Umsetzung eines imperialen Machtstrebens betrachtet. Damit werde zugleich Chinas erfolgreiches Entwicklungs- und Ordnungsmodell auf internationales Terrain übertragen. Doch die Bedingungen für die Umsetzung der BRI unterscheiden sich wesentlich von den Möglichkeiten des chinesischen Staates auf nationaler Ebene. Eine Analyse dieser Umsetzung und der Erfahrungen damit erlaubt Rückschlüsse auf die Internationalisierung des chinesischen Ordnungsmodells.
Speech Act of Criticism in Kurdish: A Pragmatic Study
Authors: Sulaiman Burhan Saleh
Published: September 2022

Speech acts composes a big part of language; it is one of the bases of pragmatics, it can be defined as the use of language to make things happen in the world. The aim of the study is to investigate the strategies of the speech act of criticism in Kurdish. One hundred twenty undergraduate native Kurdish speaking students were selected as a sample for the study. The students were of different majors, sexes and social classes. Discourse Completion Test (DCT) approach is adopted in collecting the data which has 10 scenarios. The test has been carried out at Salahaddin and Koya universities. After the data collection, strategies of criticizing have been classified in terms of Nguyen 2005 model. The results of the investigation show that Kurds would rather employ indirect strategies than direct strategies to give criticism.
O princípio constitucional da vedação à tributação confiscatória
Authors: Santos Adelcio Machado dos , Souza Leandro Chiarello de
Published: September 2022

O presente artigo trata do princípio constitucional que veda à União, aos Estados, ao Distrito Federal e aos Municípios o uso da tributação com efeito de confisco, conforme o inciso IV do artigo 150 da Constituição da República Federativa do Brasil, dispositivo constitucional que trata das limitações ao poder de tributar do Estado. O confisco é uma forma de intervenção estatal na propriedade particular, sendo admitida em uma única hipótese, prevista no artigo 243 da Constituição Federal, que se refere às propriedades rurais e urbanas utilizadas para o cultivo ilegal de plantas psicotrópicas ou para a exploração de trabalho escravo, as quais serão expropriadas sem retribuição ao proprietário. Mediante essa contextualização, este artigo levantou como pergunta problema: o que configura o Princípio constitucional do Princípio da Vedação ao Confisco? Com isso, teve-se como objetivo analisar o conteúdo e a extensão do referido princípio na esfera do direito tributário. Para tanto, realizou-se uma pesquisa bibliográfica, por meio da qual foi possível constatar que a Constituição da República Federal veda a utilização de tributos com efeito de confisco, que se configura na absorção da propriedade privada sem retribuição ao proprietário, porém, ainda não existe um parâmetro objetivo, mesmo na jurisprudência, delimitando a tributação confiscatória em relação a todas as espécies tributárias existentes no Sistema Tributário Nacional.
Lateral cephalometric radiograph analysis on obstructive sleep apnea patients
Authors: Mustafa Resky , Priaminiarti Menik , Iskandar Hanna Huzaima Bachtiar , Kiswanjaya Bramma
Published: September 2022

Objectives: This review article is aimed to investigate changes in anatomical factors in Obstructive Sleep Apnea (OSA) patients through means of a cephalometric radiograph, which covers relation and size.
Review: This literature review used online databases (PubMed and Scopus) discussing obstructive sleep apnea (OSA) in adults aged 18-80 years, using cephalometric analysis, and several keywords such as “obstructive sleep apnea and cephalometry” were employed to do the literature search. The search was limited to full-text articles written in English and published during the 2011-2021 period. Articles were selected by complying with literature review guidelines.
Conclusion: Dentists can detect OSA early through lateral radiograph, which is originally an early screening tool, by paying attention to patients’ position during exposure, irradiation condition (kV, mA and Sec) and patient position in OSA diagnosis in regards to hard and soft tissue being evaluated. The specific craniofacial morphological variable could be a reliable parameter in determining the existence of OSA.
Artificial intelligence based on Convolutional Neural Network for detecting dental caries on bitewing and periapical radiographs
Authors: Roosanty Amelia , Widyaningrum Rini , Diba Silviana Farrah
Published: September 2022

Objectives: This narrative review is written to describe the accuracy of caries detection and find out the clinical implications and future prospects of using Convolutional Neural Network (CNN) to determine radio-diagnosis of dental caries in bitewing and periapical radiographs.
Review: The databases used for literature searching in this narrative review were PubMed, Google Scholar, and Science Direct. The inclusion criteria were original article, case report, and textbook written in English and Bahasa Indonesia, published within 2011-2021. The exclusion criteria were articles that the full text could not be accessed, research article that did not provide the methods used, and duplication articles. In this narrative review, a total of 33 literatures consisting of 30 articles and three textbooks reviewed, including four original articles on CNN for caries detection.
Conclusion: Results of the review reveal that GoogLeNet produces the best detection compared to Fully Convolutional Network (FCN) and U-Net for caries detection in bitewing and periapical radiographs. Nonetheless, the positive predictive value (PPV), recall, negative predictive value (NPV), specificity, F1-score, and accuracy values in these architectures indicate good performance. The differences of each CNN’s performances to detect caries are determined by the number of trained datasets, the architecture’s layers, and the complexity of the CNN architectures. The conclusion of this review is CNN can be used as an alternative to detect caries, increasing the diagnostic accuracy and time efficiency as well as preventing errors due to dentist fatigue. Yet the CNN is not able to substitute the expertise of a radiologist. Therefore, it is need to be revalidated by the radiologist to avoid diagnostic errors.
Distribution of dense bone island in the jaw based on the classification of radiopaque areas and their location on panoramic radiographs
Authors: Savitri Yunita , Astuti Eha Renwi , Nurrachman Aga Satria , Mulyani Sri Wigati Mardi , Putri Dina Karimah , Zainiyyah Diana Lilik , Majidah Hilda
Published: September 2022

Objectives: This study is aimed to find out the distribution of DBI in the jaw based on the classification of radiopaque areas and their location using panoramic radiographs at RSKGMP Universitas Airlangga Surabaya.
Materials and Methods: This research was a descriptive observational study with total sampling method. The study used secondary data from panoramic radiographs at the RSKGMP Airlangga University Surabaya during 2018–2021, which had a DBI appearance, and analyzed them based on the classification of radiopaque areas and locations. The results of the analysis are then presented in the form of tables and pie charts.
Results: Classification of DBI based on radiopaque areas was found in type 5 separate (47.81%), type 4 apical (29.82%), type 3 apical and interradicular (17.54%), type 1 interradicular (3.07%), and the least in type 2 interradicular and separate (1.75%). The most common locations of the lesions were in the premolar region (42.54%), the molar region (27.63%), the canine region (12.28%), the canine-premolar region (8.33%), the premolar-molar region (6.58%), and the least common location in the incisor and incisor-canine regions (1,32%).
Conclusion: Classification of DBI based on the most common radiopaque area was found to be type 5 separate, with the most lesion locations in the premolar region. While the least classification was found in type 2 interradicular and separate, the incisive and incisive-canine regions had the fewest lesion locations.
Analysis of the panoramic radiographic density of the mandibular bone in the elderly due to increased cortisol levels
Authors: Rachmawati Noor , Firman Ria Noerianingsih , Epsilawati Lusi , Damayanti Merry Annisa
Published: September 2022

Objectives: Mandibular bone is generally formed by intramembranous ossification. Bone density mandible can be assessed from the trabecular pattern. In the elderly, the hormone cortisol affects bone formation through bone resorption by blocking calcium.  The purpose of this study was to determine the correlation of cortisol levels to mandibular bone density in elderly women and men.
Materials and Methods: This study was an analytic survey, where the population was determined from secondary patient data in the form of 31 panoramic radiographs and 31 laboratory results of cortisol examination, the research sample was divided into two groups. The bone density of the mandible was assessed from the trabeculae of the neck condyles region of the right and left. Density assessment using the ImageJ software program on panoramic radiographs was an examination that is often done in dentistry.
Results: This study showed that the lowest density was in the group of women over 60 years. The results of the t-test with the independent sample obtained a p-value of > 0.05, which indicated there is no significant difference. The negative correlation value indicated that the relationship that occurs is opposite, p-value <0.05 which indicated the lower bone density, the higher cortisol level.
Conclusion: Based on the results of the study, there was a correlation that with the increasing age of both women and men there was an increase in cortisol levels and a decrease in mandibular density.
Virtual tourism in the post-pandemic reality: Economic-financial flows
Authors: Fernández Calvo Víctor , Rühl Alexander , Kubus Renata
Published: September 2022

The work aims to analyse how virtual tourism viability is achieved in face of post- pandemic reality stemming from financial economic flows for companies in the sector. The analysis is based on surveys from organisations such as MCI Spain and EventoPlus as well as information obtained from ten professional congresses on health, research as well as corporate topics. Five of these are face-to-face (pre-pandemic), four are virtual and one is hybrid (post-pandemic). The results show that virtual events viability is mainly achieved by sustainability, security, audio-visual elements, and types of event formats. The main conclusion is that the post-pandemic reality demands from congress tourism the creation of new, smart and sustainable ideas to improve the overall satisfaction of value chain participants.
The Effect of Macroeconomic Indicators on Non-Performing Loans: The Case of Balkan Countries
Authors: Krasniqi-Pervetica Agnesa , Ahmeti Skender
Published: September 2022

This paper investigates the impact of macroeconomic indicators on non-performing loans at commercial banks in the Balkans. In this research, we calculated how the macroeconomic indicators mentioned below affect non-performing loans and how strong this relationship is. The study of this problem is crucial because the Balkan countries experience economic trends reflected in macroeconomic indicators. In this study, the OLS model was used to examine the relationship between macroeconomic factors and non-performing loans in the study period from 2006 to 2020. We used correlation, regression, and co-integration methods. Non-performing loans (NPLs) were the dependent variable, and the independent variables were gross domestic product (GDP), government debt to GDP ratio, unemployment, and inflation. According to the linear regression model, GDP and inflation negatively impacted non-performing loans, while government debt to GDP ratio and unemployment had a positive effect.
Comparative Studies of Innovative Method of Convective Drying of Bast Crops
Authors:   Center for Bast Fiber Crops, Novikov E.V. , Altukhova I.N. ,   Center for Bast Fiber Crops, Koroleva E.N. ,   Center for Bast Fiber Crops, Bezbabchenko A.V. ,   Center for Bast Fiber Crops
Published: September 2022

A scheme of a new universal method of drying bast crops is presented. Experimental installation is described, comparative studies of two energy-saving methods of convective drying on various bast crops are carried out when analyzing the time of the drying process of flax, hemp, short fiber and cottonin trusts.
RIRS and Laser Lithotripsy for Kidney Stone Treatment: Can We Make it Affordable?
Authors: Kabir Md Jahangir
Published: September 2022

Abstract not available
Bangladesh J. Urol. 2021; 24(2): 116-117
Distribution of Type Specific Human Papilloma Virus DNA Among Women of Cervical Cancer in a Tertiary Level Hospital
Authors: Kundu Gopa , Khatun Sabera , Akter Shirin , Banik Chandan Kumar , Mahmud Tasfia , Amatullah Mehriban , Khanom Afroza
Published: September 2022

Background: Infection with high-risk human papilloma virus (HPV) has been recognised as a causal factor for development of cervical pre-cancerous and cancerous lesions. So far more than 150 types of HPV are identified. Their distribution varies from country to country, also from region to region. Background knowledge about the distribution of HPV genotypes in invasive cervical cancer is crucial to guide the introduction of prophylactic vaccines.
Objective: The study was aimed to assess the distribution of type specific human papilloma Virus DNA among cervical cancer patients.
Methods: The study was a cross sectional, observational and single centred one. It was carried out in the department of gynaecological oncology, of Bangabandhu Sheikh Mujib Medical University (BSMMU). Purposive sampling was done according to the availability of patients.
Results: HPV type 16 was detected in 35 cases (76.1%) followed by type 18 in 4 (8.7%) cases of cervical carcinoma. HPV 39, 56 and 68 were also detected, each was in 1 case (2.2 %). It was to be also found that 1 co-infection (2.2%) with HPV 33+35. HPV 16 was detected in 79.4 % of squamous cell carcinoma and in 70.0% of adenocarcinomas. HPV 18 was detected in 5.9 % of squamous cell carcinoma and 20.0% of adenocarcinomas. HPV 39 was detected in one case of small cell carcinoma (100.0%). One case of HPV 68 (2.9%) and one coinfection with HPV 33+35 (2.9 %) were found in squamous cell carcinoma. One case of HPV 56 (10.0%) was detected in adenocarcinoma of cervix. HPV DNA was not found in 3 cases of squamous cell carcinoma of cervix.
Conclusion: The distribution of HPV infection among Bangladesh women is similar to other regions of Asia. However, type specific patterns are different. The study findings will guide the formulation of HPV vaccination policies in Bangladesh, impact of vaccination programmes, to predict the efficacy of cost effective prophylactic vaccine, introduction of newer generation vaccine and finally prevention of cervical carcinoma in the country.
Bangladesh Med Res Counc Bull 2022; 48(1): 48-55
A Patient of Limb-girdle Muscular Dystrophy Type 1B Presenting with Heart Failure and Cardiac Conduction Defects: A Case Report
Authors: Chowdhury Abdul Wadud , Uddin Nasir , Khalequzzaman Md , Sarkar Mahfuze , Sina Hashmi , Mahfuzul Haque Abu Taher Md , Haque Azizul
Published: September 2022

Background: Limb-girdle muscular dystrophy type 1B (LGMD1B) are characterised by cardiac dysrhythmias, late-onset cardiomyopathy, slowly progressive skeletal myopathy and contractures of the neck, elbows and ankles. The causative mutation is in lamin A/C gene (autosomal dominant LGMD1B).
Objective: To assess the clinical outcome of a patient of limb-girdle muscular dystrophy type 1B with heart failure and cardiac conduction defects.
The case: We report a case of 47-yr-old male with proximal muscle weakness who presented with repeated exertional dyspnea and repeated presyncope. ECG revealed junctional bradycardia. Echocardiography revealed global wall motion abnormality with EF 48%. EMG showed myopathic pattern. Next genome sequencing showed that the patient has a missense mutation in exon 4 region of LMNA gene (c.G662A/p.Arg221His). Cardiac involvement is very common in this disease which includes AV block, bradycardia, atrial tachycardia, atrial fibrillation and ventricular dysrhythmia causing sudden death. Our patient presented with symptomatic junctional bradycardia which necessitates implantation of permanent pacemaker.
Conclusion: Cardiologists should be aware of these unusual genetic diseases with conduction defects, especially in young adults.
Bangladesh Med Res Counc Bull 2022; 48(1): 76-80
Effect of Different Levels of Nitrogen (N) And Phosphorus (P) Fertilizer on Growth and Yield of Lettuce in Coastal Zone of Bangladesh
Authors: Akter Sumaiya , Briste Preangka Saha , Rabbani Mohammad Golam , Shamsunnahar - , Hoshain Shohrab
Published: September 2022

The experiment was conducted at the Agriculture Field laboratory of Noakhali Science and Technology University, Noakhali, Bangladesh during the period from December 2020 to February 2021 to observe the effect of different levels of nitrogen (N) and phosphorus (P) fertilizer on growth and yield of lettuce. The experiment comprised of two factors. Two inorganic fertilizers like different level of nitrogen and phosphorus viz; nitrogen-control 0 kgha-1 (N0), 100 kgha-1 (Nı), 150 kgha-1 (N2) and 200 kgha-1 (N3) and phosphorus-control 0 kgha-1 (P0), 50 kgha-1 (P1), 62.5 kgha-1 (P2) and 75 kgha-1 (P3). The experiment was laid out in Randomized Complete Block Design (RCBD) with three replications. Application of different levels of nitrogen and phosphorus significantly influenced the plant height, leaves number plant-1, leaf area, fresh leaf yield plant-1, gross yield, and dry matter content of lettuce. The maximum plant height, leaves number plant-1, leaf area, fresh leaf yield plant-1, gross yield and dry matter content were obtained with the application of 200 kg N ha-1. On the other hand, with the application of 75 kg P ha-1 the maximum plant height, leaves number plant-1, leaf area, fresh leaf yield plant-1, gross yield and dry matter content were found. In case of different treatment interaction, N3P3 (200 kg N ha-1 + 75 kg P ha-1) produced the highest gross yield (32.2 tha-1) and the lowest gross yield (16.11 tha-1) found from control treatment.

Vol. 9, No. 2, August 2022: 125-134
Prevalence of Ecto and Endo Parasitic Infections Among Bapard Cattle Farm and Gopalganj District of Bangladesh
Authors: Mustafa Md Murshed Hasan , Islam Md Rafiul , Rahman Md Mukhlesur , Talukder Md Hasanuzzaman
Published: September 2022

Surveillance was conducted to investigate the ecto-and endo-parasitic (gastrointestinal) infections of bapard cattle farm from July 2020 to June 2021 at the Laboratories of BAPARD and Department of Parasitology, BAU. In the study area, a total number of 600 fecal samples and 250 ectoparasites were collected and investigated. Fecal samples were examined by direct smear method followed by McMaster counting technique under microscope. The overall prevalence of endoparasitic (gastrointestinal) infections was 67.5% and ectoparasitic infection was 56%. Prevalence of endoparasite was more frequent in rainy season (52.35%) followed by summer (26.91%) and winter season (20.74%) whereas prevalence of ectoparasite was more prevalent in summer (34.00%) followed by rainy (12.00%) and winter (8.00%) season. Among the endoparasitic infections,high prevalence of Paramphistomum spp. (20.00%) was found in rainy season whereas Haemonchus spp. (11.67%) and Toxocara spp. (10.83%) were higher in summer season. In cattle, prevalence of Paramphistomum spp. (24.00%) and Haemonchus spp. (15.00%) was higher in adult cattle whereas prevalence of Toxocara spp. (25.00%) and coccidian parasitic infection (17.5%) was higher in calf than adult animal. The overall prevalence of ectoparasite was 56% and tick infestation was highest prevalent (20.00%) followed by lice (16.00%), mange (12.00%) and maggot infestations (8.00%). High humidity (above 70%) and temperature provoke high endo and ectoparasitic infections among cattle populations indicate reduced farm productivity and profitability in the study area. Therefore, training of the cattle farmers on the knowledge and appropriate implementation and use of anthelmintic will help to reduce the morbidity of ecto and endoparasitic infections among cattle populations.

Vol. 9, No. 2, August 2022: 145-152
HIPOTIROIDISMO CONGENITO
Authors: Ticona Rendón Manuel , Ticona Paniagua Carlos , Llosa Rodríguez Cristina
Published: September 2022

Se presenta un caso de recién nacido varón con diagnóstico de hipotiroidismo congénito con diferentes características clínicas de esta patología, tales como fascies abotagada e inexpresiva, hipoactividad, hipotonía muscular, piel seca, macroglosia, fontanelas amplias, hernia umbilical, macrosómico de 4,800 g., nace por cesárea en el Hospital Hipólito Unanue de Tacna, de una madre de 41 años, multípara, sin antecedentes patológicos y sin ninguna patología durante el embarazo. Con evolución tórpida, con problemas en la alimentación, succión lenta, retardo en la eliminación de meconio e ictericia prolongada. Se da de alta a los 8 días en aparente buen estado general y con tratamiento con levotiroxina e indicando tratamiento de por vida y controles permanentes.
PREVALENCIA DE CARIES DE BIBERÓN EN NIÑOS DE 2 Y 3 AÑOS DEL CPM BOLOGNESI - TACNA 2003
Authors: Centeno San Roman Gilberto , Dante Enriquez Wilber
Published: September 2022

La caries dental, como enfermedad irreversible y de etiología multifactorial, que afecta al órgano dentario, tiene patrones específicos, como la caries de biberón o síndrome del biberón y que es la primera clase de caries dental que aparece en el ser humano y que su no intercepción conlleva a la propensión a desarrollar caries subsecuente.

 

En el presente trabajo de Investigación se determinó la prevalencia de caries de biberón en niños de 2 y 3 años de los PIET y PRONOEI del CPM Bolognesi en el año 2003. Es una Investigación Descriptiva No Experimental Seccional y se realizó en una población de 331 niños examinados, de los cuales se seleccionó 219 niños de 2 y 3 años que cumplieron criterios incluyentes.

 

Los resultados hallados demuestran una elevada prevalencia de caries de biberón en niños de 2 y 3 años, con un Índice ceo de 7.8. Respecto el índice CeoD tiene un valor de 7.8, de un total de 4102 dientes examinados en 219 niños de 2y 3 años y cuyo porcentaje de dientes afectados es del 39.1%. Asimismo, el índice CEOS es de 7.8, de un total de 17882 superficies examinados en 219 niños de 2 y 3 niños, con un 42.8% de superficies afectados.
FACTORES DE RIESGO ASOCIADOS A SEPSIS CLINICA NEONATAL. HOSPITAL HIPOLITO UNANUE DE TACNA 1993-2002
Authors: Portugues Carlos Alberto , Ticona Rendón Manuel , Huanco Apaza Diana
Published: September 2022

La sepsis neonatal constituye una de las principales causas de morbimortalidad en los recién nacidos. La incidencia a nivel mundial varía entre I — 10 x 1000 recién nacidos vivos. Con un diagnóstico precoz y un tratamiento adecuado es posible que las tasas de mortalidad y letalidad disminuyan considerablemente. Es por ello que el enfoque de esta patología deberá ser preventivo y dirigido a los factores de riesgo.

 

Identificar la frecuencia, mortalidad y los factores de riesgo asociados a sepsis clínica neonatal en el Hospital Hipólito Unanue de Tacna, durante el período comprendido desde enero de 1993 hasta diciembre del 2002.

 

El estudio es de tipo retrospectivo de casos y controles. Los CASOS estuvieron conformados por los recién nacidos vivos que presentaron el diagnóstico de sepsis clínica neonatal y el grupo CONTROL estuvo conformado por los recién nacidos vivos que no presentaron este diagnóstico. Los datos fueron analizados en la tabla de doble entrada o de 2 x 2, en el programa estadístico Epi Info, encontrándose el Odss Ratio con intervalos de confianza al 95 %, valor del P, chi cuadrado y riesgo atribuible poblacional.

 

Durante el período de 1993 —2002 hubieron 26,873 recién nacidos vivos, de los cuales 76 presentaron el diagnóstico de sepsis clínica neonatal y 21 neonatos fallecieron con este diagnóstico. Esto nos lleva a una frecuencia de 0.28 %, una mortalidad de 0.78 x 1000 recién nacidos vivos y una letalidad del 27.63 %. Se encontró que de los factores maternos la corioamnionitis fue el de mayor riesgo con un OR = 52.24, seguido de la Eclampsia OR = 18.98, de los factores neonatales, los prematuros de 20-27 semanas de gestación presentaron un 01? = 42.95, los prematuros de 28 — 31 semanas de gestación un OR = 28.80, recién nacidos con pesos al nacer de 500 — 999 gramos OR = 33.33, con pesos entre ¡000— 1499 gramos un OR = 30.96. Los neonatos que presentaron depresión severa al minuto OR = 14.87. También encontramos que los recién nacidos que necesitaron reanimación con tubo endotraqueal presentaron un OR = 17.51 y recién nacidos que presentaron membrana hialina como enfermedad asociada un OR = 13.32. En todos los casos se encontró un valor del P menor a 0.05 y el Chi cuadrado con un valor mayor a 3.84, además de grados de confiabilidad al 95 % con intervalos de confianza que no incluían la unidad, lo que le da significancia estadística a los resultados obtenidos.
REALIZACIÓN Y EVALUACIÓN DE LA TÉCNICA QUIRÚRGICA PARA EL REMODELADO DEL REBORDE ALVEOLAR RESIDUAL EN EL SECTOR ANTEROSUPERIOR CON TEJIDO BLANDO MEDIANTE COLGAJO PLEGADO
Authors: Allasi Tejada Eliseo Gustavo
Published: September 2022

El hueso alveolar residual nos va a ocasionar una retracción mucogingival vertical y horizontal, que será resaltante en el sector anterosuperior del maxilar, ante este problema, la rehabilitación con prótesis fija en casos en los que el defecto de la cresta alveolar no sea corregido quirúrgicamente se va asociar a varios problemas, siendo el más resaltante el problema estético, además de problemas funcionales como: impactación de alimentos, fonético y deglución. Conllevando a la inconformidad del paciente como del profesional por el resultado del tratamiento protésico.

 

Es así que desarrollamos el remodelado del reborde alveolar residual con tejido blando mediante la técnica de colgajo plegado. Se formaron dos grupos: grupo experimental (se realizó la intervención quirúrgica) y grupo control (sólo se le registró y observó); cada grupo está conformado por 10 pacientes. Al grupo experimental, después de la operación quirúrgica, se les observó por un período de 45 días registrando el volumen del reborde alveolar en el proceso de la cicatrización, culminado este lapso se le instaló el póntico. Los resultados dieron la clasificación de bueno (según parámetros establecidos en el presente trabajo) en un 80% del total del grupo experimental, siendo el 20% restante como regular Del grupo control se obtuvo como malo el 100%; existiendo una diferencia significativa entre ambos grupos (p= 0,005; probabilidad de error).
MORBILIDAD Y MORTALIDAD POR SINDROME HEMOLITICO UREMICO
Authors: Tasayco G. Hugo , Bellido A. Luz
Published: September 2022

Se revisaron 40 historias clínicas de pacientes con diagnóstico de insuficiencia renal aguda (IRA) que necesitaron algún método dialítico, en el periodo comprendido entre enero 1994 y diciembre del 2003, en el Hospital Hl Daniel Alcides Carrión EsSalud de Tacna.

 

Se seleccionaron las 14 que tenían el diagnóstico de síndrome hemolítico urémico (SHU) y se dividieron en SHU D+ típico y SHU 6 atípico en relación con la presencia o ausencia de diarreas como pródromo para determinar sus características generales. El 100% de los enfermos eran SHU D+ y menores de 3 años de edad.

 

La duración de los síntomas prodrómicos fue menor de 10 días de evolución, siendo el hallazgo más frecuente la diarrea con sangre. El 78% del total de pacientes estudiados habían recibido Trimetropin sulfametoxazol como tratamiento antibiótico para las diarreas. El SHU D+ tuvo una mortalidad del 7%.
ESTUDIO CLINICO DE LA RELACION DEL OVERJET ACENTUADO CON LAS FRACTURAS CORONARIAS DE DIENTES ENTERO-SUPERIORES PERMANENTES EN ESCOLARES DE 11 Y 12 AÑOS. COLEGIO NACIONAL "FEDERICO BARRETO" - TACNA 2002
Authors: Calla Enriquez Wilber Dante
Published: September 2022

En el presente trabajo de investigación se realizó un estudio clínico de la relación del overjet acentuado con las fracturas coronarias de dientes antero-superiores permanentes en escolares de 11 y 12 años del Colegio Nacional Federico Barreto-Tacna 2002. Es una investigación descriptiva-relacional con un diseño No Experimental Transversal, que se realizó en una población escolar, de las cuales se tomó una muestra intencional o intacta de 71 escolares con overjet acentuado.

 

Las observaciones clínicas obtenidas han permitido encontrar que el 29,6% de escolares con overjet acentuado han sufrido fractura coronaria.

 

La fractura coronaria con mayor frecuencia que se encontró fue en escolares con overjet leve con un 36,1%. Se encontró una mayor frecuencia de fracturas coronarias en el sexo femenino con 32,1% y una incidencia mayor de trauma dental con overjet acentuado leve para ambos sexos.

 

A su vez se pudo verificar que los incisivos centrales superiores fueron las piezas dentarías que mayor frecuencia presentaron fractura coronaria con un 81%y en mayor incidencia el incisivo central superior permanente derecho.

 

Respecto al tejido dentario que más fue comprometido en las fracturas coronarias, fue el esmalte con 95,2%.

 

Finalmente comprobando las frecuencias clínicas observadas con la formulación hipotética, se concluye que la hipótesis a resultado comprobada, dado que ella habla a favor de la influencia del overjet acentuado en las fracturas coronarias de dientes antero-superiores permanentes.
ESTUDIO DE LA ACTIVIDAD ANTIMICROBIANA IN VITRO DEL ACEITE ESENCIAL DE MINTHOSTACHIS MOLLIS MUÑA SOBRE BACTERIAS ENTEROPATOGENAS AISLADAS DE PACIENTES CON INFECCION GASTROINTESTINAL
Authors: Centeno San Roman Gilberto , Revoredo Loli Gladys , Flores Robert , Manzanares Chacón Sandra , Campos Haro Alerjandro , Salazar Suclle Tommy
Published: September 2022

El Presente trabajo de investigación realizado con el objeto de validar el uso tradicional como antimicrobiano de la especie de Minthostachys mollis llamada comúnmente muna, planta que crece en las alturas del Departamento de Tacna —Candarave. Se realizó el estudio evaluando la actividad antimicrobiana del Aceite Esencial de Minthostachys mollis y el screenig (extracto etanolico) empleando el método de diluciones en medio líquido utilizando una bacteria microbiana integrada por 2 bacterias Gram (-). Mediante el método de excavación placa cultivo se determinó la CMI. Los resultados obtenidos corroboran el uso tradicional de la especie de Minthostachys mollis mufla con actividad antimicrobiana y su posible utilización en la elaboración de fito-fármacos.
INDICE DE CPOD DE LAS GESTANTES DEL C. S. METROPOLITANO MINSA DE ENERO A JULIO 2003
Authors: Valdivia Silva Carlos , Zárate Pinto Giovanni , Garcia Pango Carlos
Published: September 2022

El presente estudio tiene como finalidad determinar, Qué tan alta es esta incidencia en la jurisdicción del Centro de Salud Metropolitano que representa porcentualmente a las gestantes de la Región. Teniendo en cuenta que las gestantes, ha sido el grupo humano que ha sufrido las más altas incidencias de caries al nivel de muchas comunidades.

 

Para ello utilizamos instrumentos debidamente validados a través de la aplicación del índice de caries (CPO) en las gestantes que acuden al CS Metropolitano, durante los meses de enero a Julio del 2003.

 

Realizando un estudio descriptivo, transversal retrospectivo. Tomando como muestra al 100% de las gestantes examinadas en el servicio de Odontología del CS Metropolitano, que acuden entre enero a Julio del 2003.

 

Finalmente podemos concluir que el mejor índice de CPOD es el del grupo de 20 a 25 años de edad; que tiene el más bajo (CPOD =12.61).

 

Según el trimestre en que la gestante acudió a consulta, el índice más alto corresponde al grupo de madres que acudieron en el segundo trimestre de embarazo mayores de 30 años, con un 17.80; más alto que el promedio general que es de 14.40. El más bajo es el de las madres que acudieron el primer trimestre y corresponde al grupo etáreo de 20 a 25 años de edad, marcando una clara diferencia.

 

En lo relacionado a la higiene oral, el índice más alto corresponde al grupo que ocasionalmente se higienizaba del tercer grupo etáreo (31 a más años) con un índice CPOD de 16.64.

 

Frente a esto recomendamos: Trabajar en forma preventiva en los centros Universitarios e Institutos Superiores. No sólo en colegios. Tal vez las preocupaciones y estados psicológicos de las madres solteras influyan en el cuidado de la cavidad bucal durante el embarazo, es por ello menester trabajar en forma progresiva en estas madres a través de charlas educativas tanto por el Psicólogo como por el Odontólogo en las sesiones de psicoprofilaxis. Urge un replanteamiento de las actividades preventivas para bajar el alto índice de caries en gestantes.
PERICORONARITIS DE TERCER MOLAR RETENIDO
Authors: Aldana Cáceres Alejandro
Published: September 2022

El caso que se presenta a continuación corresponde a una paciente de 16 años que acude al C:S: La esperanza acompañada de sus dos progenitores por una tumefacción en el hemimaxilar izquierdo tanto superior como inferior. Antes de llegar al servicio de Odontología la paciente visita diferentes profesionales de medicina y odontología, teniendo por ende diferentes apreciaciones diagnósticas e indicaciones.
PILDORA DEL DIA SIGUIENTE
Authors: Somocurcio Zúñiga Bladimiro
Published: September 2022

Cada vez que se discuta un problema que vincule estrechamente a la Iglesia en nuestro país, el debate superará ampliamente consideraciones científicas y sociales. La anticoncepción oral de emergencia no ha sido la excepción y las discusiones sobre su aplicabilidad hacen recordar antiguos enfrentamientos por la implantación de programas de Paternidad Responsable. Cabe recordar que la anticoncepción oral de emergencia Me aprobada el 13 de julio de 2001 mediante Resolución Ministerial 399-2001 del Sector Salud, en tal medida, los puntos de desencuentro en cuanto a su aplicación saltan a la vista.
EFECTO DEL CHACCO VS. TRATAMIENTO CONVENCIONAL CON SUCRALFATO E HIDRÓXIDO DE ALUMINIO EN LAS LESIONES GÁSTRICAS DE RATAS INDUCIDAS CON ÁCIDO ACETIL SALICÍLICO
Authors: Cervantes Zegarra Juan Carlos , López Claros Jorge , Carrillo Meléndez Víctor Miguel , Somocurcio Núñez del Prado Emma Tatiana , Ancalli Calizaya Felix , Ucharico Coaquira Richard
Published: September 2022

Objetivo: Determinar si el Chacco posee propiedades contra el daño a la mucosa gástrica en ratas. Material y métodos: Se utilizaron 41 Ratas albinas, se les administró Ácido Acetil Salid lico (AAS) y se indujo lesiones gástricas de cuarto grado según la escala Coleman. Luego se los dividió en cinco grupos: Grupo Ase les administró agua destilada; al grupo B se administró la concentración de Chacco (dosis simple) y grupo C Chacco (dosis doble); al grupo D se administró Sucralfato y al grupo E administró Hidróxido de Aluminio. Posteriormente se evaluaron las mucosas gástricas según la escala de Colman para lesiones macroscópicas y escala de Lacy e Ito para lesiones microscópicas. Resultados: Los grupos que recibieron Chacco, Hidróxido de Aluminio y Sucralfato presentaron lesiones macroscópicas < 1 según Coleman, y lesiones microscópicas =O según Lacy e Ro. El grupo placebo presentó daño macroscópico =3 daño microscópico =3. Conclusiones: El Chacco posee propiedades contra el daño inducido por AAS en la mucosa gástrica de ratas albinas. El Chacco posee efectos similares al sucralfato, pero inferiores al hidróxido de aluminio.
COMPLICACIONES POST-EXODONCIA MÁS FRECUENTES EN PACIENTES DE LA CLÍNICA ODONTOLÓGICA DE LA UNIVERSIDAD NACIONAL JORGE BASADRE GROHMANN
Authors: Peñaloza de la Torre Ulises Massino
Published: September 2022

Introducción: Lamentablemente en nuestro medio carente de medidas de prevención y recursos que no alcanzan para cubrir las necesidades ínfimas de la atención odontológica, los pacientes, muchas veces acuden a consulta, cuando sus afecciones dentarias solo se resuelven con la exodoncia. Esto sumado a que no regresan a su control postquirúrgico y muchas veces no los hay, desconociéndose de esta manera las complicaciones postquirúrgicas "minúsculas". Por lo tanto, el presente estudio trata de encontrar cuales son las complicaciones post-exodoncia más frecuentes. El actual trabajo de investigación es prospectivo, descriptivo y transversal; constó en la recolección de información de 140 exodoncias entre simples y complejas de dientes permanentes, mediante un control postquirúrgico (a las 24 horas, 3,7 y 15 dias); que sirvieron para registrar las complicaciones post-exodoncia. Observándose que el más alto porcentaje de complicaciones se presentó a los 3 dias de la exodoncia, en segundo lugar, a las 24 horas. Conclusión: Realizada la investigación se concluyó que la complicación post-exodoncia mas frecuente fue la osteítis alveolar, las exodoncias complejas superan en casi el triple en frecuencia de complicaciones a las exodoncias simples; el sexo femenino, las exodoncias de dientes multirradiculares y realizadas en el maxilar inferior tuvieron una mayor presencia de complicaciones.