bluuebunny/crossref_metadata_2025 huggingface dataset:
Glassy cell carcinoma of cervix: A case report
Authors: Shrestha Agya , Karki Samriddhi , Chudal Deepa
Published: August 2021

Glassy cell carcinoma of the cervix is a rare subtype of adenosquamous carcinoma associated with aggressive course and poor prognosis. It is considered to originate from the subcylindrical reserve cells of the cervix and has been associated with human papillomavirus. Histologically glassy cell carcinoma is composed of nestes of large cells with ground glass cytoplasm and large vesicular nuclei with prominent nucleoli. Nuclear pleomorphism and tumor giant cells are frequently seen. Mitotic activity is brisk. Infiltration by eosinophils and plasma cells with admixture of lymphocytes is a characteristic feature. Focal squamous and glandular differentiation may be seen. The immunohistochemistry markers are positive for squamous cell carcinoma (p63, CK34) and adenocarcinoma(MUC1, MUC2, CEA).

Here we present a case of 49 year old female diagnosed as glassy cell carcinoma histologically and immunohistochemically.
Noticias del BID: Vol. 3, no. 3, abril 1976
Authors:   Inter-American Development Bank
Published: August 2021

Noticias del BID, publicación mensual que tiene por objetivo informar acerca de las actividades del Banco Interamericano de Desarrollo.
The main principles and history of the formation of cross-cultural differences based on the model of analyticity-holism by R. Nisbett and co-authors
Authors: Yudakov Konstantin
Published: August 2021

This article analyzes the main principles of the historical formation of the two poles of the mentality of the construct analyticity-holism, provides the main provisions of the concept of gen-cultural coevolution, which explains the emergence of cross-cultural differences in thinking and world perception among representatives of different cultural communities within the framework of the system-evolutionary paradigm.
The work of the United Nations to achieve gender equality and improve the status of women in the world
Authors: Abramova Alina
Published: August 2021

This article examines the main problems of women around the world. It was shown exactly how the UN tries to solve these problems throughout the existence of the organization, various UN structures that deal with the women's issue were considered, and it was also possible to study the activities of women themselves, for example, in UN peace-making operations.
Challenges in the Tourism Industry During COVID-19 Pandemic in Kosovo
Authors: Kuqi Bekë , Millaku Bedri , Dreshaj Adem , Elezaj Elvis , Karjagdiu Lirak
Published: August 2021

From March 2020 to early June 2020, Kosovo introduced various travel restriction measures for foreign nationals, including entry bans, closure of land and air border crossings, two-week quarantine, and self-isolation. From March to May, the country was almost completely blocked, where the activities of the tourism industry were strictly prohibited while businesses encountered great difficulties to operate and provide services, the number of jobseekers in the country increased significantly, precisely because of the cessation of activities, because this sector is considered to be one of the sectors that contributes the most to employment in our country, despite the fact that some of these businesses are family businesses. A significant number of employees in these sectors in our country may lose their jobs, as a result of the situation created, and this will further deepen the tourism industry, mainly due to the decline in the volume of remittances and tourism diaspora in Kosovo. While restrictive measures may have had a positive impact on curbing the spread of the virus, and preventing the escalation of the health crisis, the effect and consequences of closing the economy for months is severe for the tourism industry.
The Sustainability of Independent Palm Oil Smallholders in Multi-Tier Supply Chains in East Kalimantan Indonesia
Authors: Nashr Fakhrizal , Putri Eka Intan Kumala , Dharmawan Arya Hadi , Fauzi Akhmad
Published: August 2021

The smallholder oil palm farmers (SHFs) manage almost half of the Indonesian oil palm area, often associated with unsustainable oil palm sources. There has been limited research conducted to assess SHFs status in Indonesia. This study analyzed sustainability of existing Multi-tier Supply Chain Management through Rapfish diagnostic application with Multi-Dimensional Scaling (MDS) in oil palm mills, suppliers, and SHFs. This study found triadic typologies of MSCs in the Kutai Kartanegara District and six sustainability dimensions including economic, social, ecology, political, and institution to improve the regional strategy for sustainable palm oil plantations in the East Kalimantan Province. The closed triadic relationship in Gunung Sari and Pulau Pinang Villages has better performances on four sustainability dimensions compare to other villages. The oil palm mills could connect directly with SHFs and reduce asymmetric information and rent-seeking behavior through the traceable land ID system and enabling the Public-Private Partnership program.
Transtorno Mental Comum em Estudantes de Medicina: PBL versus Tradicional
Authors: Sales Alberone Ferreira Gondim , Vasconcelos Iara Guilhermina , Carvalho Yanka Costa , Barbosa Loeste de Arruda
Published: August 2021

Transtorno Mental Comum (TMC), prevalente entre os estudantes de medicina, evidencia a existência de fatores correlacionados aos hábitos de vida e métodos de ensino. Objetivando analisar qualitativamente esses fatores associados à prevalência do TMC nesses acadêmicos, este estudo é descritivo e exploratório, de cunho comparativo, envolvendo as duas universidades de medicina da cidade de Boa Vista (Roraima), que possuem métodos de ensino distintos: aprendizagem baseada em problemas (ABP) e tradicional. Aplicou-se o Self-Reporting Questionnaire-20, em seguida selecionou-se apenas alunos que apresentavam TMC, mediante o questionário, para participar de entrevistas semiestruturadas, por meio da Saturação de Dados e Análise de Conteúdo. Participaram 114 estudantes,  52 da UERR e 62 da UFRR, dentre os quais foram selecionados 11 da UERR e 11 da UFRR para entrevista, e foram criadas 3 categorias. Constatou-se graus elevados de TMC, independente do método, no entanto, para os acadêmicos do ensino tradicional, preponderantemente pela carga horária curricular, limitando o autocuidado e a prática de hábitos saudáveis, enquanto que para os da ABP ressalta-se as dificuldades de gestão de tempo e a concentração das demandas acadêmicas em poucos dias de ensino. Não obstante, notou-se que as atividades extracurriculares foram determinadas como fator estressor para o método tradicional, e de alívio para o ABP. Faz-se necessário intervenções em relação à saúde mental dos discentes, para ampliar o controle emocional e a qualidade de vida, tão defasada nos profissionais médicos.
Modification in Response of a Bridge Seismically Isolated with Lead Rubber Bearings Exposed to Low Temperature
Authors: ÇAVDAR Esengül , ÖZDEMİR Gökhan , KARUK Volkan
Published: August 2021

This study investigates the response modification in a bridge seismically isolated with lead rubber bearings (LRBs), due to change of ambient temperature from 20oC to -30oC. Accordingly, a large-size LRB was tested after conditioned at corresponding temperatures and change in its hysteretic properties was noted. Use of analytical tool in modeling nonlinear response of the tested LRB was justified by comparing the experimentally and analytically obtained force-displacement curves. Then, verified analytical representation of LRB was employed in nonlinear response history analyses conducted to quantify the change in response of a representative LRB isolated bridge when subjected to bidirectional ground motion excitations at 20°C and -30°C. Analyses results are also employed to assess the use of property modification factor, , to change isolator properties in order to represent low temperature behavior. It is revealed that for the selected ground motion records, the average isolator force remains almost the same for both ambient temperatures. Moreover, using property modification factor will result in accurately estimated isolator displacements, but overestimated isolator forces, in an average sense.
Valgus Impacted Femoral Neck Fractures: Surgery or Non-Operative Approach?
Authors: Najafi Arvin , Tavakoli Mohsen , Zargar Danoosh , Hadavi Dorsa , Seif Ehsan , Azarsina Salman
Published: August 2021

Background: Non-operative management of valgus impacted femoral neck fracture leads to prolonged bed rest which may lead to deep vein thrombosis. The preferred method is the internal fixation because of pain control, enhanced mobilization, and better fracture healing but fails in older patients and individuals with medical comorbidities. The present study aims to assess the functional outcomes after the internal fixation or the non-operative management.
Methods: A retrospective cohort study was conducted at a Level I trauma center from January 2013 to December 2019 on all patients with valgus-impacted femoral neck fractures [Arbeitsgemeinschaft für Osteosynthesefragen/Orthopedic Trauma Association Classification (AO/OTA 31-B1)]. Overall, 81 patients were managed operatively with three partially threaded, cannulated screws in a parallel configuration and 21 patients were managed non operatively with instant mobilization, physical therapy, and partial weight-bearing protocol.
Results: 6 (28.0%) patients in the non-operative group and 3 (4.0%) cases in the operative group experienced fracture displacement (P < 0.001). 48 (59.2%) patients of the operative treatment group returned to baseline ambulatory function at 3 months, while this figure was 43.0% in the non-operative treatment group, not significantly different (P = 0.100). There was no significant difference in the mortality rates at one month and three months between the two groups (2 patients in each group, P = 0.140). 
Conclusion: The ideal treatment of valgus-impacted femoral neck fractures is still controversial. The main purpose in the treatment of hip fractures is to return the patient to functional level equal to the level he or she was before the fracture. Surgically treated patients had lower failure rates in comparison with the other group.
Rola uniwersytetów w promocji polskich miast i regionów — nowe wyzwania strategiczne
Authors: Domański Tomasz
Published: August 2021

Artykuł ma charakter przeglądowo-koncepcyjny, służy ukazaniu podstawowych wyzwań, które stają przed polskimi uniwersytetami w zakresie budowania przyszłościowej orientacji marketingowej. Celem artykułu jest uporządkowanie podstawowych wyzwań oraz dokonanie klasyfikacji działań strategicznych w odniesieniu do wybranych grup docelowych, do których adresowana jest oferta instytucji akademickich. Autor wskazuje na potrzebę nowego spojrzenia na definiowanie segmentów docelowych, oferty uniwersytetów w kontekście rosnącej konkurencji rynkowej, zmian demograficznych oraz postępującej internacjonalizacji oraz globalizacji rynku usług edukacyjnych. Specyfika polskiego rynku edukacyjnego polega na jego bardzo dużej otwartości, rozdrobnieniu i wysokim udziale szkół niepublicznych w ogólnej strukturze podmiotowej rynku. Przyszłościowe strategie marketingowe powinny uwzględniać daleko idącą dywersyfikację gamy oferowanych usług edukacyjnych oraz coraz szersze zorientowanie uniwersytetów na rynki zagraniczne.
Plany turystyczne mieszkańców miast w dobie pandemii COVID-19
Authors: Zawadka Jan , Jęczmyk Anna , Uglis Jarosław , Wojcieszak-Zbierska Monika Małgorzata
Published: August 2021

Celem opracowania jest przybliżenie planów turystycznych mieszkańców polskich miast w dobie pandemii wywołanej przez wirusa SARS-CoV-2. W badaniach posłużono się techniką ankiety internetowej. Kwestionariusz rozpowszechniony został na turystycznych grupach tematycznych, działających w serwisie Facebook. Osoby aktywne na Facebooku za pośrednictwem mediów społecznościowych przekazały swoim znajomym link do kwestionariusza ankiety. Wykorzystano tym samym metodę kuli śnieżnej, pozyskując 402 respondentów. Niespełna ¼ badanych deklarowała brak chęci wyjazdu turystycznego w 2020 r., głównie z powodu panującej pandemii i obawy przez zakażeniem koronawirusem. Zdecydowana większość badanych planowała przynajmniej jeden wyjazd turystyczny. Znaczna część z nich porzuciła jednak zamiar wyjazdów zagranicznych na rzecz wypoczynku w kraju. Respondenci deklarowali głównie chęć pobytu w hotelach i ośrodkach wypoczynkowych, jednocześnie oceniając te obiekty jako najmniej bezpieczne pod względem epidemiologicznym. Panująca pandemia był źródłem wielu obaw, ale badani znacznie bardziej martwili się podwyżkami cen niż możliwością zakażenia koronawirusem. Oczekiwano, że w obiektach noclegowych stosuje się dezynfekcję, a także przestrzega się obostrzeń w zakresie dystansu społecznego i noszenia maseczek.
Dawne i współczesne walory turystyczne ziemi zaborskiej
Authors: Palmowski Tadeusz
Published: August 2021

Po odzyskaniu przez Polskę niepodległości wzrosło zainteresowanie Pomorzem. Mieczysław Orłowicz, znakomity polski krajoznawca kierujący w latach 1919–1923 Samodzielnym Referatem dla Spraw Turystyki w Departamencie Ogólnym Ministerstwa Robót Publicznych, w swoich licznych publikacjach, głównie przewodnikach, opisywał i popularyzował walory przyrodnicze i kulturowe wielu części naszego kraju, w tym Pomorza. Na podstawie wspomnianych opracowań w niniejszym artykule przybliżono ówczesny „klimat” części Pomorza zwanej Zaborami. Następnie zaprezentowano współczesny obraz turystyki na tym terenie. Zwrócono uwagę na walory środowiska przyrodniczego regionu i formy jego ochrony oraz atrakcje, pozwalające na aktywne uprawianie w tej części ziemi chojnickiej różnorodnych form turystyki. Uwzględniono także inwestycje w rozwój infrastruktury turystycznej, w tym rowerowej, kajakowej i żeglarskiej.
Działalność Zespołu Parków Krajobrazowych Województwa Małopolskiego w zakresie edukacji i rozwoju turystyki
Authors: Majewski Karol , Zawilińska Bernadetta
Published: August 2021

W artykule dokonano analizy działalności Zespołu Parków Krajobrazowych Województwa Małopolskiego (ZPKWM) w zakresie edukacji i rozwoju turystyki. Część empiryczna składa się z analizy działań podejmowanych przez Zespół, opracowanej na podstawie materiałów pozyskanych w dyrekcji Zespołu oraz wywiadów z pracownikami, a także prezentacji opinii mieszkańców, turystów i lokalnych władz dotyczących tej działalności, zgromadzonych w wyniku badań ankietowych. Parki krajobrazowe prowadzą ożywioną działalność edukacyjną, która jest ściśle związana z aktywnością z zakresu rozwoju turystyki. W szczególności realizują zajęcia tematyczne, głównie w szkołach oraz w terenie, prowadzą ośrodki i ścieżki dydaktyczne, serwisy internetowe i działalność wydawniczą. Funkcjonowanie parków jest popierane przez mieszkańców i turystów, choć jako instytucja są one mało znane. Deklarowane wysokie zainteresowanie udziałem w inicjatywach edukacyjnych (zwłaszcza wycieczkach) oraz poparcie ze strony lokalnych samorządów stwarzają dogodne warunki dla rozwoju analizowanych form działania Zespołu.
Rola krajoznawstwa i turystyki w integracji społecznej osób z niepełnosprawnością
Authors: Lubarska Anna
Published: August 2021

W artykule przedstawiono problem integracji społecznej osób z niepełnosprawnością w kontekście turystyki i krajoznawstwa. Opisano dotychczasowe działania, podejmowane przez środowisko akademickie w celu porządkowania oraz upowszechniania wiedzy dotyczącej tego zjawiska. Następnie omówiono pojęcia integracji i inkluzji społecznej oraz korzyści, jakie przynosi włączenie turystyki i krajoznawstwa w oba wspomniane procesy. Przedstawiono również wątpliwości i trudności związane z organizacją wspólnych wyjazdów turystycznych dla osób z niepełnosprawnością i bez niej.
Możliwości wykorzystania metod andragogiki w krajoznawstwie turystycznym
Authors: Kurek Artur
Published: August 2021

Coraz więcej osób starszych bierze udział w turystyce poznawczej, co sprawia, że organizatorzy takich wyjazdów muszą dostosować sposób prezentacji walorów turystycznych do tej grupy odbiorców. Celem artykułu jest przeniesienie doświadczeń związanych z kształceniem dorosłych na grunt krajoznawstwa turystycznego. Całość została podzielona na cztery części, w których zgodnie z zasadą od ogółu do szczegółu, zajęto się andragogiką i jej metodami, modelem właściwego zachowania przewodnika w pracy z osobami dorosłymi oraz selekcją metod właściwych dla dorosłych turystów. Artykuł kończy podsumowanie, w którym jednoznacznie wskazuje się na potrzebę wykorzystania andragogiki w krajoznawstwie.
Namuliska jaskiniowe we współczesnym krajoznawstwie polskim – społeczna znajomość zagadnienia
Authors: Krajcarz Maciej T.
Published: August 2021

Ważną rolę w krajoznawstwie turystycznym pełnią jaskinie. Niektóre z nich są chętnie odwiedzane przez turystów ze względu na ciekawą szatę naciekową, możliwość zobaczenia nietoperzy, urok podziemnych korytarzy oraz aurę tajemniczości. Z naukowego punktu widzenia szczególnie ważnym elementem jaskiń są namuliska – czyli wypełniające je serie osadów okruchowych. Mają one znaczenie dla poznania historii i prehistorii zasiedlania jaskiń i ich okolic przez ludzi, ale również dla poznania historii fauny i flory, procesów geologicznych odpowiadających za nagromadzenie osadów, oraz zmian klimatycznych. W niniejszym opracowaniu podjęto próbę ewaluacji znaczenia namulisk w krajoznawstwie jaskiniowym. Ustalono również, czy sam termin „namulisko” lub idea, którą wyraża, są znane w społeczeństwie. Następnie, w jaki sposób – jeśli w ogóle – namuliska jaskiniowe są postrzegane przez turystów i które aspekty wiedzy o namuliskach są im znane. Analizowano tę wiedzę turystów w kontekście ich ogólnego zasobu wiadomości o jaskiniach. Badania przeprowadzone zostały za pomocą anonimowych ankiet, rozprowadzanych wśród różnych grup społecznych, takich jak uczniowie, studenci, nauczyciele, turyści.
​Influence of Inorganic Nutrients and Panchagavya on Growth Attributes of Direct Seeded Rice
Authors: Kumar M. Sai , Perumal M. Sarvana , Murugan G. , Sai M. Vikram , Reddy B. Maheswara
Published: August 2021

Background: Panchagavya is an organic formulation made from cow goods. The usage of fermented organic formulation with supportive beneficial microorganisms as foliar nourishment has come into the picture of modern agriculture for giving raise to good quality of non-residue protected food. Methods: A field experiment was conducted from June to October 2020 at Farmer’s field to study the Influence of Inorganic nutrients on Panchagavya on growth attributes of direct seeded Rice (BPT 5204). The experiment was laid out in a Factorial randomized block design in which factor A consists of Inorganic nutrients and Factor B consists of Panchagavya at different doses and time of applications. Factor A consists of viz., A1 100% RDF, A2 75% RDF and A3 50% RDF and Factor B consists of B1 No spraying, B2 Panchagavya 3% Spraying at 15, 30 and 45 DAS, B3 Panchagavya 3% Spraying at 10, 20, 30 and 45 DAS, B4 Panchagavya 4% Spraying at 15, 30 and 45 DAS B5 Panchagavya 4% Spraying at 10, 20, 30 and 45 DAS. Result: The results of the study revealed that the application of 100% Inorganic nutrients along with the foliar application of Panchagavya @ 4% at 4 times spraying showed the highest plant height, Number of effective tillers and leaf area index.
Vermiwash Prepared from Different Combination of Organic Sources to Improve Growth and Yield of Blackgram [Vigna mungo (L.) Hepper] for Organic Agriculture
Authors: Kumar Deepak , Massey J.X. , Sharma S.K. , Mundra S.L. , Yadav S.K.
Published: August 2021

Background: Black gram (Vigna mungo) is one of the most important pulse crops grown throughout the country. It is hardy crop and fixes nitrogen in soil. Organic black gram fetch higher price in market i.e., Rs. 175 whereas other receive Rs. 120. Vermiwash, is one among the organic manures which has high potential to increase the crop growth and yield. Thus, present study aims to evaluate the influence of vermiwash prepared from different combination of organic sources on growth and yield of black gram. Methods: The field experiment was conducted during kharif, 2018 at Organic Farming Unit, Rajasthan College of Agriculture, Udaipur, with nine treatments [T1= vermiwash from 100% cow dung, T2= vermiwash from 100% buffalo dung, T3= vermiwash from 50% cow dung + 25% dry farm waste + 25% green farm waste, T4= vermiwash from 50% buffalo dung + 25% dry farm waste + 25% green farm waste, T5= vermiwash from 90% green waste incubated with 10% cow dung, T6= vermiwash from 90% green waste incubated with 10% buffalo dung, T7= vermiwash from 90% dry waste incubated with 10% cow dung, T8= vermiwash from 90% dry waste incubated with 10% buffalo dung and T9= water spray (control)] and were replicated thrice in Randomize Block Design. Result: The result of experiment revealed that the application of vermiwash from 100% cow dung significant influence towards growth parameters and yield attributes thus achieved maximum seed yield, haulm yield and B:C ratio (2.3). On the basis of field performance, it may be concluded that the treatment T1(top dressing in two equal split application at the rate of 10% at initiation of flowering and 15 days after 1st spray) may be recommended as a better organic package of blackgram.
Essai comparatif d'efficacité des deux souches vaccinale T1/44 et T1st contre la préripneumonie contagieuse bovine
Authors: Yaya Aboubakar , Golsia R. , Hamadou B. , Amara A. , Thiaucourt François
Published: August 2021

La péripneumonie est une maladie infectieuse qui touche uniquement les bovidés et connaît actuellement une recrudescence en Afrique. Dans le passé de nombreux pays ont pu contrôler la maladie, voire l'éradiquer, grâce à une prophylaxie médicale basée sur l'utilisation de deux souches vaccinales : T1/44 et sa variante streptomycino-résistante T1sr. Des échecs récents ont pu jeter un doute sur l'identité et l'efficacité de la souche T1sr. Depuis, son identité a été confirmée. Il devenait indispensable de vérifier son efficacité dans des conditions contrôlées. Les deux souches ont été utilisées en primovaccination à la dose minimum recommandée, soit 107 mycoplasmes par dose vaccinale. La reproduction expérimentale de la maladie a été réalisée par intubation endobronchique de 40 zébus du Nord-Cameroun qui ont servi à infecter par contact des animaux vaccinés et des animaux témoins. Tous les animaux ont fait l'objet d'un suivi clinique et sérologique. La transmission de la maladie a pleinement réussi et près de 40 % des animaux témoins ont succombé à la péripneumonie. La mortalité a été inférieure chez les animaux vaccinés mais la différence est à la limite de la signification statistique (p = 0,054). Quelle que soit la souche, la protection conférée par la vaccination, calculée sur la réduction de la mortalité, avoisine 37 % seulement. Il est difficile de comparer ces résultats avec des essais anciens qui étaient pratiquement tous réalisés avec des doses vaccinales beaucoup plus élevées et qui utilisaient une souche d'épreuve isolée en Australie. Les résultats obtenus soulignent le caractère partiel de la protection conférée par la vaccination actuellement pratiquée. Ils appellent d'une part à une meilleure définition des stratégies actuelles de lutte contre la péripneumonie et d'autre part à la mise au point de vaccins plus efficaces.
Analyse du génome des isolats du virus de la peste porcine africaine au Cameroun
Authors: Ekue N.F. , Wilkinson P.J.
Published: August 2021

L'analyse de la carte de restriction enzymatique du génome du virus de la Ppa, provenant de différentes zones du Cameroun à différentes périodes, a été effectuée. Tout d'abord, elle a montré que les isolats obtenus en 1982 et 1985 n'étaient pas distinguables. Ensuite, le génome de l'isolat du virus de 1987 (CAM/87) différait des deux précédents uniquement lors de son analyse à l'aide de l'enzyme Asp718 ; le fragment variable, plus large d'environ 100 bp, se trouvait dans la région centrale (89-91 kbp) du génome, Enfin, l'Adn de l'isolat du virus de 1986 (CAM/86) différait de celui des trois autres lors de l'analyse avec quatre enzymes restrictives. La différence se trouvait dans deux fragments, l'un situé dans les derniers 10 kbp de l'extrémité droite du génome et l'autre dans sa région centrale (89-91 kbp). La variation de la longueur du fragment à l'extrémité droite était de 400 bp, celle du fragment de la région centrale de 100 bp ; les deux fragments étaient plus larges dans le génome du virus CAM/86. Bien que de légères différences aient été observées entre les génomes de ces différents isolats, ils peuvent être considérés comme appartenant à un même groupe car ils présentent une grande similitude dans la configuration de la carte de restriction enzymatique.
Pouvoir pathogène de deux isolats de virus de la peste porcine africaine chez des porcs domestiques au Cameroun
Authors: Ekue N.F. , Wilkinson P.J.
Published: August 2021

Une étude a été réalisée pour mettre en évidence les liens pathologiques pouvant exister entre deux types de virus de la peste porcine africaine isolés au Cameroun et identifiés par les codes CAM/88 et CAM/86. Cette étude a permis de montrer que les deux isolats provoquaient les mêmes signes cliniques, des lésions caractéristiques et la présence du virus (virus titres ?) chez les porcs infectés. Les signes cliniques étaient les suivants : fièvre, observée dès 3 à 6 jours après l'inoculation, perte d'appétit, apathie, troubles de la coordination des membres postérieurs, frissons, diarrhée. Les autres symptômes observés étaient une dyspnée et des boiteries. Congestion pulmonaire, hémorragie rénale et présence de ganglions lymphatiques dans les viscères étaient les lésions les plus courantes chez tous les animaux. La comparaison des moyennes des taux d'infestation virale dans les organes des porcs infectés par les deux isolats n'a révélé aucune différence significative (p suppp 0.01). La variation de la moyenne du taux d'infestation virale dans les organes ne dépendait pas du type de virus, il n'y avait donc pas d'interaction significative entre les organes et les isolats (p suppp 0.01). Enfin, la moyenne générale du taux d'infestation virale dans les organes des animaux n'était pas significativement différente (p suppp 0.01) selon le type de virus, mais ces taux variaient significativement d'un organe à l'autre (p infff 0.01).
Phosphates naturels et alimentation du bétail en zone sahélienne. II. Influence sur la survie, la production laitière et la reproduction du zébu Gobra
Authors: Fall Safietou T. , Diop M. , Sawadogo G. , Doucoure A.
Published: August 2021

Pour évaluer l'impact des phosphates naturels sur la survie et la reproduction du zébu Gobra, des essais ont été menés à Dahra au Sénégal, dans la zone sylvopastorale, de janvier 1991 à novembre 1994. Quatre lots de 15 génisses de race Gobra ont été entretenus sur pâturages permanents au Crz de Dahra. Les compléments minéraux distribués étaient composés de 50 g de phosphate de Taiba pour le lot 1, de 100 g de phosphate tricalcique de Lam-Lam (Thiès) pour le lot 2 et de 65 g de poudre d'os pour le lot 3. Le lot 4 témoin ne recevait aucun supplément. Les minéraux ont été distribués tous les jours en saison sèche (huit à neuf mois sur douze) pendant quatre années consécutives. Les mesures effectuées ont concerné la consommation quotidienne des minéraux, le contrôle pondéral et l'enregistrement des mortalités, naissances, saillies et gestations. Un contrôle laitier hebdomadaire a été fait sur les animaux en lactation. Le suivi de l'état de santé du troupeau a été effectué par des examens cliniques mensuels et le suivi quotidien des animaux malades. Les résultats mettent en évidence une innocuité des phosphates testés. Aucun signe d'intoxication au fluor n'a été noté. Une nette efficacité zootechnique des phosphates naturels a été observée. Comparée au lot témoin, la mortalité a été réduite de 50 et 85 % respectivement au sein des lots « poudre d'os » et « phosphate de Thiès ». En novembre 1994 et respectivement pour les lots 1, 2, 3 et 4, le taux de conception était de 25, 53, 57 et 40 %, l'intervalle entre les vêlages de 633, 654, 621 et 704 j et le poids à la naissance de 23,5, 26, 23,9 et 23,8 kg. Ces paramètres ont été améliorés par la supplémentation minérale qui a eu aussi une influence significative (p infff 0,01) sur la production laitière. Ces résultats suggèrent l'utilisation généralisée en milieu traditionnel du phosphate de Taiba et du phosphate tricalcique de Lam-Lam (Thiès), aux doses quotidiennes respectives de 50 g et 100 g en distribution continue pendant la saison sèche (huit à neuf mois sur douze).
Ingestibilité et digestibilité chez le mouton des foins de cinq graminées tropicales
Authors: Kaboré Zoungrana Chantal , Toguyeni Aboubacar , Sana Youssoufou
Published: August 2021

Cinq graminées fourragères tropicales, deux pérennes (Andropogon gayanus Kunth. et Panicum anabaptistum Steud.) et trois annuelles (Pennisetum pedicellatum Trin., Brachiaria lata Schum. et Andropogon pseudapricus Stapf.), ont été exploitées à divers stades phénologiques se situant entre les stades tallage et paille. Les quantités de matière sèche (MS) volontairement ingérées par le mouton Djallonké de 23 foins de ces graminées ont varié de 108 à 26 g/kg de poids métabolique, selon l’espèce et le stade phénologique. Ces foins se sont caractérisés par des teneurs en matières azotées totales (MAT) faibles (131 à 8 g/kg MS). Les teneurs en matières azotées digestibles (MAD) des rations composées de ces foins, distribués seuls ou complémentés avec des sources azotées (tourteau de coton, fanes de légumineuses), étaient positivement et étroitement liées (r = 0,996 ; écart type résiduel (ETR) = 2,61 ; n = 36) aux teneurs en MAT ingérées. La diminution de la digestibilité de la matière organique (dMO) au cours du cycle (0,21 point/jour) a entraîné une diminution d’ingestion de 1,6 g de matière sèche par kilogramme de poids métabolique et par point de dMO. Cette dMO a été très dépendante des teneurs en parois non digérées (NDFnd) de ces foins (r = 0,979 ; ETR = 2,15 ; n = 23), et la fraction soluble S (1 000 - NDF) a eu une digestibilité réelle de l’ordre de 100 p. 100.
Foyer d'infection à Trypanosoma vivax chez un troupeau de bovins laitiers dans le Pantanal, au Brésil
Authors: Silva R.A.M.S. , Ramirez L. , Souza S.S. , Ortiz A.G. , Pereira S.R. , Davila A.M.R.
Published: August 2021

Dans cette étude est rapporté pour la première fois un foyer de trypanosomose dû à Trypanosoma vivax chez des bovins laitiers au Pantanal de Nabileque, Brésil. Les animaux ont présenté des muqueuses pâles, de l’ophtalmie, un affaiblissement progressif, une nette dégradation de l’état général, ainsi que de l’inappétence et une tendance à l’avortement au cours des trois derniers mois de gravidité. Les résultats les plus importants des analyses hématologiques et biochimiques du sang ont été : une leucopénie, une anémie hypochrome macrocytaire et un niveau élevé des lipides totaux dans le sérum.
Contact Dermatitis in Tertiary Hospital: A 2-year Retrospective Study
Authors: Ginting Efenina , Damayanti Damayanti , Fetarayani Deasy , Hidayati Afif Nurul
Published: August 2021

Background: Contact dermatitis (CD) is a skin inflammatory caused by allergen or irritant that generates public health impact. CD is classified into two types, based on its etiological perspective, namely allergic contact dermatitis (ACD) due to a hypersensitivity type IV reaction and irritant contact dermatitis (ICD), which is a non-immunological reaction. Purpose: To determine the profile of CD patients at Dermatology and Venereology Outpatients Unit of Dr. Soetomo General Academic Hospital Surabaya in January 2018 – December 2019. Methods: A retrospective study by observation and recording data. The results of the data recap were then processed using Microsoft Excel to obtain conclusions.  Result: The results obtained were ACD (61.9%) and ICD (38.1%), aged 26-45 years (32.7%), female (79.3%). The most frequent occupation was housewives (25.3%), followed by private employees (24.5%). The most suspected causative substance was cosmetic (47.7%). The most common skin disease history was food allergy (11%), followed by drug allergy (2.8%), and atopic dermatitis (2.3%). The most frequent manifestation was acute (69.8%), with the most clinical presentation was erythematous macules (35%). Most therapies were given in combination (73.6%), with antihistamines (61%) and topical corticosteroids (49.2%) were the most prescription drug. Conclusion: ACD was more common than ICD, mostly in a female, dominated in the 26-45 years old. Housewife was the most occupational. Cosmetic was the most suspected causative substance. Food allergy was the most skin disease history. Acute was the most frequent manifestation. Erythematous macules were the most clinical presentation. Antihistamine and corticosteroid are the most common drug in combination therapy.
Toplum Ruh Sağlığı Merkezinden Faydalanan Hastaların Sosyodemografik ve Klinik Özellikleri
Authors: BACIK YAMAN Gözde , ATAY İnci
Published: August 2021

Amaç: Bu çalışmada Isparta Toplum Ruh Sağlığı Merkezine kayıtlı hastaların sosyodemografik verilerinin, klinik özelliklerinin ve merkeze uyumlarının incelenmesi amaçlanmıştır.

Gereç ve yöntem: Toplum Ruh Sağlığı Merkezine açıldığı 2013 yılından beri kayıt olmuş 294 hasta çalışmaya dahil edildi. Kayıtlı hastaların dosyaları incelenerek sosyodemografik özelliklerine, tanılarına, suisid girişim öykülerine, ev ziyareti alıp almadıklarına ve merkeze düzenli gelme durumlarına bakıldı.

Bulgular: Hastaların %41,2’si kadın, %58,2’si erkektir ve çoğu bekar olup(%44,2), en fazla hasta sayısı 35-44 yaş grubundadır(%31,3). Hanedeki ilk çocuklarda ruhsal hastalığın daha fazla oranda(%28,2) görüldüğü ve kendi gelir durumlarına bakıldığında çoğunluğun ya gelirinin olmadığı yada engelli maaşı aldığı anlaşıldı. Hastaların %61,6’sının birinci derece akrabalarında psikiyatrik hastalık öyküsünün olmadığı, olanlar içinde ise en fazla oranda(%18) kardeşlerinde hastalık olduğu, %7,5’inin hayatında 1 kez suisid girişiminde bulunduğu, %2’sinin ise 2 ve daha fazla kez suisid girişiminde bulunduğu tespit edildi. Hastaların çoğunluğunun(%52,4) en az 1 kez mobil ev ziyareti aldığı ve % 2,1’sinin merkeze düzenli geldiği görüldü.

Sonuç: Ülkemizde 2008 yılından itibaren toplum ruh sağlığı merkezleri kurulmaya başlanmıştır. Kurulan ekip tarafından ev ziyaretleri yoluyla hizmetlerin hastanın ayağına gidiyor olması ruh sağlığı hizmeti alamayan hastaların tespit edilmesi ve hastaların bu hizmetlerden faydalanmalarının sağlanması açısından önemlidir. Bu sayede hastalara psikososyal destek hizmetlerinin verilmesi, merkezlere düzenli geliş oranlarının arttırılması ile hastalığın alevlenme ve yatış oranlarının azaltılması sağlanabilmektedir. Toplum Ruh Sağlığı Merkezleri ile ilgili çalışmaların artması, deneyimlerin paylaşılması ve hastaların uyumlarının arttırılması ile bu merkezlerin verimliliğinin daha da arttırılabileceği düşünmekteyiz.
Diferansiye Tiroid Kanserli Hastalarda Preoperatif Nötrofil / Lenfosit Oranının Boyun Ultrasonografisi ve Patolojik Bulgularla İlişkisi
Authors: DUYMUŞ Mehmet Esat
Published: August 2021

Amaç: Nötrofil lenfosit oranı (NLO) da oksidatif stresin ve sistemik enflamasyonun güçlü bir belirtecidir. Bu çalışma ile; diferansiye tiroid kanseri tanısı ile opere olan hastaların patolojik bulgularının ve ultrasonda (USG) saptanan lenf nodu özelliklerinin preoperatif dönemde bakılan NLO ile karşılaştırılması amaçlanmıştır. Materyal–Metot: 2012-2020 yılları arasında Hatay Devlet Hastanesi Genel Cerrahi Kliniği’nde diferansiye tiroid kanseri tanısı ile opere olan hastaların demogrofik özellikleri, preoperatif boyun USG’si ve patoloji sonuçları kayıt edildi. NLO; preoperatif rutin kan testlerindeki nötrofil sayısının lenfosit sayısına bölünmesiyle hesaplandı. Receiver Operating Curve (ROC) analizi ile NLO için cut-off değeri hesaplanarak diğer parametreler ile karşılaştırıldı. Bulgular: Çalışmamıza 105 hasta dahil edilmiştir. %71,4’ü kadındır. Yaş ortalaması 47,9 ± 14,1’dur. %63,8’ inin preoperatif yapılan boyun USG’ de lenf nodu tespit edilmedi. Ameliyat sonrası %94,3’ ü papiller karsinom tanısı aldı. %30,5’inde tümör çapı 2-4 cm (T2)’ di. %74,3’ünde metastatik lenf nodu saptanmadı (N0). %63,8’ inde kapsül invazyonu yoktu. %90,5’ inde cerrahi sınırlar negatifdi. %38,6’ sı multifokal ve %23,8’ i ise bilateral yerleşimliydi. NLO için cut-off 2,16 olarak hesaplandı. Tiroid kanserlerinde NLO; erkek cinsiyette (p=0,027), USG’de lenf nodu metastazı şüphesi olanlarda (p=0,001) ve patolojide lenf nodu metastazı saptananlarda (p
Sezaryen ameliyatlarındaki spinal anestezi uygulamalarında, enjeksiyon hızının, hipotansiyon ve efedrin dozları üzerine etkileri
Authors: AYDIN GÜZEY Nihan , UYAR TÜRKYILMAZ Havva Esra
Published: August 2021

SEZARYEN AMELİYATLARINDAKİ SPİNAL ANESTEZİ UYGULAMALARINDA, ENJEKSİYON HIZININ, HİPOTANSİYON VE EFEDRİN DOZLARI ÜZERİNE ETKİLERİ

ÖZET

AMAÇ

Gebelerde spinal anestezinin hipotansiyon etkisinden kaçınmak için çeşitli yöntemler kullanılmaktadır. Biz de çalışmamızda, sezaryen operasyonlarındaki hız faktörünün hemodinamiye etkisini değerlendirmek amacıyla, spinal anestezi girişimlerinde, 30 ve 60 saniyelik enjeksiyon hızlarının, maternal hipotansiyon, kullanılan efedrin dozları, motor ve duyusal blok açısından farklılık gösterip göstermediğini araştırmayı hedefledik.

GEREÇ VE YÖNTEM

Gerekli izin ve onamlar alındıktan sonra, spinal anestezi altında sezaryen operasyonu geçirecek, ASA I- II, 100 hasta, randomize olarak iki gruba ayrıldı. Grup I’e, 2 ml % 0.5 hiperbarik bupivakain 30 saniye içinde verilirken, Grup II ’ye 60 saniye içinde enjekte edildi. Hastaların motor ve duyusal blok(T10) başlama zamanları, hemodinamik verileri ve kullanılan efedrin miktarları not edildi.

BULGULAR

Gruplar arasında motor blok başlama zamanı (p=0.00) ve T10 duyusal blok düzeyine ulaşma zamanı(T10) (p=0.047) açısından istatistiksel olarak anlamlı fark vardır. Grup II ’de motor ve duyusal blok başlama zamanı(T10) anlamlı olarak daha geçtir. Gruplar arasında bromaj skorları açısından fark bulunamamıştır. Toplam ve ilk 10 dakikadaki efedrin tüketimi açısından gruplar arasında anlamlı fark bulunamamıştır. Kaydedilen arteriyal kan basıncı verileri açısından anlamlı bir farklılık bulunamamıştır.

SONUÇ

Sezaryen amaçlı spinal anestezi uygulamalarında, 30 ve 60 saniyelik enjeksiyon hızlarını karşılaştırdığımız çalışmamızda, ilaç veriliş hızını iki katına çıkarmanın, hemodinamik verilerde ve

efedrin ihtiyacında bir farklılık yaratmadığını gördük. Bu konuda, farklı değişkenlerin kullanıldığı, daha geniş kapsamlı çalışmalara ihtiyaç duyulduğu kanısındayız.

Anahtar Kelimeler: Sezaryen, enjeksiyon hızı, hipotansiyon, efedrin
İntrauterin fetal ölüm nedeniyle ölü doğum gerçekleştiren gebe kadınlarda antenatal tarama testi parametrelerinin fetal ölüm üzerine olan prediktivitesinin değerlendirilmesi
Authors: EROL Seyit Ahmet , ALTINBOĞA Orhan , TANACAN Atakan , ÇAĞLAR Ali , USTUN Yaprak , ÖZGÜ-ERDİNÇ A. Seval
Published: August 2021

Amaç: Çalışmamızda intrauterin fetal ölüm nedeniyle ölü doğum gerçekleştirmiş gebe kadınlara ait antenatal tarama testi parametrelerinin retrospektif incelenerek maternal yaş ve doğum haftalarına göre fetal ölüm üzerine olan prediktivitesinin değerlendirilmesi amaçlandı. Gereç ve yöntemler: Bu retrospektif kohort çalışmaya, 1 Ocak 2017-15 Haziran 2019 tarihleri arasında Sağlık Bilimleri Üniversitesi, Ankara Dr. Zekai Tahir Burak Kadın Sağlığı Eğitim ve Araştırma Hastanesi’nde 20. gebelik haftası ve üzerinde intrauterin fetal ölüm nedeniyle ölü doğum gerçekleştirmiş olan toplam 394 gebe kadın dahil edildi. Hastalara ait demografik özellikler, doğum karakteristikleri ve antenatal tarama testi (ikili, üçlü test) parametreleri (nukal saydamlık [NT], serbest beta insan koryonik gonadotropin [β-hCG], gebelikle ilişkili plazma protein-A [PAPP-A], hCG, ankonjuge östriol [uE3], serum alfa fetoprotein [ΑFP] ortalamanın katları [MoM] değerleri) 35 yaş altı ve üstü ile 20-34. ve 34 üzeri gebelik haftalarına göre ayrı ayrı gruplar şeklinde karşılaştırıldı. Ayrıca antenatal tarama test parametrelerinin doğum haftası ile korelasyonu değerlendirildi. Verilerin analizi SPSS 26.0 istatistik paket programı kullanılarak yapıldı. İstatistiksel analizlerde Kolmogorov-Smirnov, Mann-Whitney U ve Pearson Ki-Kare testleri kullanıldı. Korelasyon analizi Spearman testi ile yapıldı. p
Evaluation of anxiety levels and satisfaction rates in patients who underwent laparoscopic cholecystectomy with video consent
Authors: DÖNDER Yunus , TOPUZ Ömer , KARAGÖZ EREN Saliha , AZAR Ramazan , ERTAN Tamer , SEVİM Yusuf
Published: August 2021

Aim

It is thought that explaining the video of the surgery to be applied to the patient by the surgeon performing the operation will reduce anxiety and increase satisfaction. In this study, it was aimed to compare the anxiety and satisfaction rates between the video and verbal consent groups.

Material and Method

The study was planned as a prospective randomized. The patients were divided into two groups as video consent and verbal consent. The surgical procedure and possible complications were explained to the video consent group by watching the surgery video. Verbal information was given to the other group as routinely. The Amsterdam anxiety scale was applied to the patients on the morning of the surgery and their anxiety levels were measured. Postoperative visual analog scale 3., 8. Pain levels were measured at and 24 hours. Satisfaction score questionnaire was applied to both groups in the postoperative 1st month.

Results

53 patients participated in the study. 13 patients were excluded from the study. Sixteen (40%) of the 40 patients included in the study were male. The Amsterdam anxiety scale score was significantly lower in the video informed group than in the verbally informed group (p 0.05). When each group was compared within itself, it was observed that the pain was less at the 24th hour (
ERKEK MEME KANSERİNDE KLİNİK VE PATOLOJİK ÖZELLİKLER: 16 OLGUNUN İNCELENMESİ
Authors: DİZEN Hayrettin , KARAYİĞİT Ahmet , ÖZDEMİR Dursun Burak , ÖZDEMİR Ümit , KARAKAYA İhsan Burak , PEKER CENGİZ Betül , ULAŞ Murat , ÜNAL Bülent
Published: August 2021

Amaç: Erkeklerde meme kanseri görülme sıklığı yaklaşık %1’in altında olup oldukça nadirdir. Kadınlardan farklı olarak yaşla birlikte görülme sıklığı artmaktadır. Erkeklerde meme karsinomunun klinikopatolojik özelliklerini, cerrahi ve rekonstrüktif tekniklerini, adjuvan tedavilerini ve klinik sonuçlarını değerlendirmeyi amaçladık

Materyal ve Metod: Ocak 2010- ağustos 2020 tarihleri arasında Eskişehir Osmangazi Üniversitesi Genel Cerrahi Kliniğinde ve Eskişehir Yunus Emre Devlet Hastanesi Genel Cerrahi Bölümünde tedavi edilmiş meme kanseri hastaları retrospektif olarak incelendi.

Bulgular: 16 erkek meme kanseri olgusuna rastlandı. Hastaların klinik, patolojik, adjuvan tedavi, nüks ve sağ kalımlarına ait özellikler kayıt edildi. Ortanca yaş 62 idi. En sık prezentasyon şekli sağ memede retroareolar (%62) bölgede ele gelen kitleydi (%68). Hormon reseptör pozitif (%75-95) ve grade 2 (%62) yaygın görülen özellikti. Küratif cerrahi 15 hastaya yapıldı, 1 hasta metastatik olması nedeniyle palyatif tuvalet mastektomi yapıldı. En yaygın cerrahi işlem olarak modifiye radikal mastektomi (MRM) (%88) yapıldı. Bir hastaya muskülokütanöz flep ile rekonstrüksiyon yapıldı. Ortanca takip süresi 53 aydı. Takip süresince 3 hastada (%19) lokal nüks görülürken 6 hasta (%38) kaybedilmiştir. Bunlardan 4 hastanın (%25) kansere bağlı öldüğü kaydedildi.

Sonuç: Erkeklerde meme kanseri nadir görüldüğü, jinekomasti gibi benign hastalıklarla karışabildiği ve erkeklerde meme kanserinin görülmediği algısı yüzünden geç fark edilir. Bu nedenle de tanı konduğunda sıklıkla ileri evrede karşılaşılabilmekte, lokal nüks ve mortalite oranları daha yüksek gözlenmektedir. Bu durum, erkeklerin dikkatini çekmeyi ve bu hastalığın prevalansı ve risk faktörleri konusunda bilinçlenmeyi gerektirir.
STABILISASI TANAH LEMPUNG DENGAN PENAMBAHAN SERABUT KELAPA PADA PENGUJIAN KUAT GESER LANGSUNG (DIRECT SHEAR TEST)
Authors: Setiawan Galih Yuda , Yani M. Ikhwan , Hendri Okrobianus
Published: August 2021

Clay is ground that has some properties bad that can interfere with the strength of a building construction so that the construction that can experience damage physically are not able to be predicted. Bad Character by soil clay are relatively large, high plasticity, and strong low shear value. With the development of soil mechanics, various soil improvement methods can be used to solve this situation. An alternative that can be used as a soil stabilizer is coconut fiber. Selection of coconut fibers as mixed material because coconut fibers can add strong sliding soil, material that is easy to pass water. The purpose of this study is to determine the effect of adding coconut fiber on the value of clay stabilizers.. The research method used is field survey and sempel retrieval method is with laboratory analysis approach, where strong shear testing is carried out three times with variations of coconut fiber as much as 0.5%, 1% and 1.5% with coconut fiber length of 3 cm and 5 cm. From the test results the largest increase in the addition of coconut fiber with a percentage of 1.5% of the length of coconut fibers 3 cm and 5 cm in clay increased the angle of shear of the soil (ø) by 170 and 280, cohesion (c) of 0.2387 kg/cm2 and 0.2383 kg/cm2, shear strength (τ) of 0.281 kg/cm2 and 0.312 kg/cm2, or it can be said that the addition of 1.5% coconut fiber will increase the strong value of shear by 47.3% and 63.46%.
ANALISIS NILAI KEPADATAN LAPANGAN DENGAN SAND CONE TEST (STUDI KASUS: JALAN YOS SUDARSO KOTA PALANGKA RAYA)
Authors: Vingnesia Vingnesia , Sarie Fatma , Gandi Suradji
Published: August 2021

Soil compaction is required so that the embankment is strong and balanced with structural and non-structural loads. One of the efforts to handle soil with low bearing capacity is to change the subgrade using soil that is considered good. Therefore, an attempt was made to estimate the density of the soil in the field by conducting a sand cone test on the selected embankment material on the Yos Sudarso road work, Palangka Raya City. The sample used in this study came from Hampangen Village, Kasongan Baru Village, Katingan Hilir District, Katingan Regency, Central Kalimantan Province. The results of tests carried out on laboratory density testing and sand cone testing on Yos Sudarso Street, Palangka Raya City can be ascertained that the density obtained from dry soil density γdry = 1.29 g/cm3, maximum dry density γd lab = 1.35 g/cm3 γdr / γd lab x100 = Dr. So the approved density is Dr = 95.86%.