bluuebunny/crossref_metadata_2025 huggingface dataset:
The use of electrotherapy in complex treatment programs for patients after total arthroplasty
Authors: Kolbakhova Svetlana N. , Kulchitskaya Detelina B. , Khaptagaev Timur B. , Strukov Roman N. , Koneva Elizaveta S.
Published: May 2023

BACKGROUND: Total knee arthroplasty is one of the most common surgical interventions in the world and the Russian Federation. Endoprosthetics of the knee joint occupies a leading place in the structure of surgical methods for the treatment osteoarthritis.
AIM: of the study was to scientifically substantiate the feasibility of the complex use of electrical stimulation and therapeutic exercises in patients after total knee arthroplasty.
MATERIALS AND METHODS: We examined 60 patients who were admitted 3 months after TCS and were randomized into 2 groups. In the first group, 30 subjects received electrical stimulation of the quadriceps muscles and underwent therapeutic exercises, for a course of 10 procedures. The subjects of the second group, 30 people, had only physiotherapy exercises.
RESULTS: The use of electrotherapy and physiotherapy exercises, in the complex treatment of patients after total knee arthroplasty, improves the function of joint mobility. This is confirmed by the improvement in the functional activity of the operated joint according to the KSS scale (Кnee Society Scores), the improvement in the state of microcirculation and the positive dynamics of the pain syndrome according to the VAS (Visual Analog Scale). The obtained data of the HAQ (Health Assessment Questionnaire) questionnaire testify to the expansion of the possibilities for performing most of the activities in everyday life. However, more statistically significant results were obtained in patients after a course of quadriceps electrical stimulation and therapeutic exercises compared with the use of therapeutic exercises alone.
CONCLUSION: The complex of rehabilitation of patients after total knee arthroplasty presented by us, including electrostimulation and therapeutic gymnastics, is scientifically sound, effective and can be implemented into the basic scheme of outpatient and sanatorium treatment of this category of patients.
A rare clinical case of uterine cancer with a congenital malformation of the genital organs
Authors: Borshchevskiy Victor G. , Ul’rikh Еlena A. , Zakharov Igor S. , Shmidt Andrey A. , Solomko Dmitry V. , Gadzhiev Said Z.
Published: May 2023

Endometrial cancer is one of the most common options malignant neoplasms of the female reproductive system. At the same time, in the general structure of female oncopathology, cases of this disease in patients with developmental anomalies of the genital organs are extremely rare. When studying scientific publications, only 26 described clinical cases of uterine cancer in patients with genital malformations were found. The article presents a clinical case of endometrioid carcinoma in a 75-year-old woman with a duplication of uterus. Based on clinical performance, ultrasound investigation results, magnetic-resonance imaging and histological studies of endometrial scrapings was diagnosed duplication of uterus with endometrial cancer IB (cT1вNхМ0), G2 (morphological type endometrioid carcinoma). With this pathology, surgical treatment is considered as the most effective way to fight uterine cancer, in some cases combined with other methods. Both laparotomic and laparoscopic interventions are recommended, provided that pelvic and lumbar lymph node dissection can be performed according to indications. The operation was carried out in the amount of laparotomy, B2 type modified radical hysterectomy, with C3 pelvic lymph node dissection, omentectomy. The result of the postoperative histological examination confirmed the preoperative diagnosis. The postoperative period was without specific findings. The presented rare clinical case demonstrates necessity to give careful attention to patients with a congenital malformation of the genital organs. Timely diagnosis and diagnosis verification will allow for adequate treatment, which will affect the prognosis of survival. At the same time, the prognosis is largely determined by the stage of the process, the depth of the invasive lesion, and the histological type of the tumor.
INVENTARISASI SUMBER DAYA ALAM BERBASIS MASYARAKAT DENGAN MENGGUNAKAN SMARTPHONE
Authors: Sahrina Alfi , Sumarmi Sumarmi , Irawan Listyo Yudha , Wirahayu Yuswanti Arianti , Tanjung Ardyanto , Withuda Febrian Arrya , Fitriani Dwi , Sukoco Galih Fajar
Published: May 2023

Tambakrejo Village has a unique landscape appearance. The landscape’s appearance needs to be identified to determine the potential of natural resources. The purpose of this study is to inventory the potential of natural resources using smartphones so they can be used sustainably by local communities. The method used in this study is a field survey by collecting data related to natural resources with a spatial approach. The applications used are Avenza Maps and Kobo Collect. The results showed that Tambakrejo Village has several types of landforms, including karst, coastal, old volcanic hills, and alluvial plains (fluvial). These landforms have different natural resource potentials from other landforms. The karst area has land, water, landscape, mineral, and biological resources. Alluvial plains have water and land resources. Meanwhile, in the old volcanic hills, there are forest and land resources, and the coastal areas are in the form of mangrove resources, coral reefs, and seagrass beds. These resources must be managed wisely and carefully so that their sustainability can be maintained. This is because inappropriate natural resource management can cause drought in limestone areas, flooding in alluvial plains, and land degradation in limestone and hilly areas.Desa Tambakrejo memiliki kenampakan bentang alam yang cukup unik. Kenampakan bentang alam tersebut perlu diidentifikasi untuk mengetahui potensi sumber daya alam. Tujuan penelitian ini untuk menginventarisasi potensi sumber daya alam dengan menggunakan telepon pintar agar dapat dimanfaatkan secara berkelanjutan oleh masyarakat lokal. Metode yang digunakan dalam kajian ini adalah survei lapangan dengan melakukan pendataan terkait sumber daya alam dengan pendekatan keruangan. Aplikasi yang digunakan yaitu Avenza Maps dan Kobo Collect. Hasil penelitian menunjukkan bahwa Desa Tambakrejo memiliki beberapa jenis bentuk lahan antara lain karst, kepesisiran, perbukitan vulkanik tua, dan dataran aluvial (fluvial). Bentuk lahan tersebut memiliki potensi sumber daya alam yang berbeda dengan bentuk lahan yang lain. Adapun daerah karst memiliki sumber daya lahan, air, lanskap, mineral, dan sumber daya hayati. Pada dataran aluvial memiliki sumber daya air dan lahan. Sementara pada perbukitan vulkanik tua berupa sumber daya hutan dan lahan, dan daerah kepesisiran berupa sumber daya mangrove, terumbu karang, dan padang lamun. Sumber daya tersebut harus dikelola bijaksana dan penuh kehati-hatian agar kelestariannya dapat terjaga. Hal ini dikarenakan pengelolaan sumber daya alam yang tidak sesuai dapat menyebabkan bencana kekeringan pada daerah batu gamping, banjir pada dataran aluvial, dan degradasi lahan pada daerah batu gamping dan daerah perbukitan.
KAPASITAS PERANGKAT DESA DALAM PENYELENGGARAAN ADMINISTRASI PEMERINTAHAN DESA
Authors: Untari Sri , Habibi M. Mujtaba , Shofa Abd Mu'id Aris , Fauziah Lia Nurul , Riswari Aliyah Ardhana
Published: May 2023

The purpose of this study is to analyze the capacity of village apparatus in the management of village government administration in a case study in Boro Village, Selorejo District, Blitar Regency. This research approach is qualitative with the type of case study research. The data sources are obtained from informants, events, and documents. Data were collected by interview, observation, and documentation techniques. Data analysis was carried out with a case study recommended by Yin with pattern matchmaking. The results of the study show that the capacity of village officials in implementing village administration as seen from: (1) conceptual mastery is not optimal. This is due to the education level of the apparatus which is still low on average high school; minimal training experience, (2) technical skills are not optimal, caused by limited facilities, no wifi, not yet mastered applications, and lack of skills in using information technology in managing village government administration, (3) social skills are good, this becomes social capital valuable in village governance.Tujuan kajian ini untuk menganalisis kapasitas aparatur desa dalam manajemen administrasi pemerintahan desa studi kasus di Desa Boro, Kecamatan Selorejo Kabupaten Blitar. Pendekatan penelitian ini kualitatif dengan jenis penelitian studi kasus.Sumber data diperoleh dari informan, peristiwa dan dokumen. Data dikumpulkan dengan teknik wawancara, observasi dan dokumentasi. Analisis data dilakukan dengan studi kasus yang direkomendasi Yin dengan penjodohan pola. Hasil kajian menunjukkan hasil yaitu kapasitas aparat desa dalam pelaksanaan administrasi pemerintahan desa yang dilihat dari: (1) penguasaan konseptual belum optimal. Hal ini disebabkan oleh tingkat pendidikan aparat yang masih rendah rata2 SMA; pengalaman pelatihan yang minim, (2) keterampilan teknis belum optimal, yang disebabkan oleh terbatasnya sarana, belum ada wifi, belum dikuasainya aplikasi dan kurangnya keterampilan dalam penggunaan teknologi informasi dalam pengelolaan administrasi pemerintahan desa, (3) kecakapan sosial sudah bagus, ini menjadi modal sosial yang berharga dalam pemerintahan desa.
PELATIHAN PEMBUATAN VIDEO ANIMASI DAN PODCAST SERIES SEBAGAI VARIASI MEDIA PEMBELAJARAN DARING BAGI GURU SMP
Authors: Ratnawati Nurul , Ruja I Nyoman , Wiradimadja Agung , Bashofi Ferdinan
Published: May 2023

This study aims to broaden horizons, provide experience, and improve teacher skills in making variations of online learning media in the form of animated videos and podcasts. The implementation method has four stages, namely: 1) preparation; 2) delivery of information; 3) training and mentoring, and 4) evaluation. This research went well as indicated by the results of the questionnaire, namely 95 percent of the participants were satisfied with the preparation for the implementation of the activity; 94 percent satisfied with the implementation of the training; 90 percent satisfied with the material presented; and 92 percent were satisfied with the resource persons who provided the training. In addition to this, it is known that 80 percent of the participants have succeeded in making animated videos well.Penelitian ini bertujuan untuk memperluas wawasan, memberikan pengalaman, dan meningkatkan keterampilan guru dalam membuat variasi media pembelajaran daring berupa video animasi dan podcast. Metode pelaksanaan ada empat tahap yaitu: 1) persiapan; 2) penyampaian informasi; 3) pelatihan dan pendampingan, serta 4) evaluasi. Penelitian ini berjalan dengan baik yang ditunjukkan dengan hasil angket yaitu 95 persen peserta puas dengan persiapan pelaksanaan kegiatan; 94 persen puas dengan pelaksanaan pelatihan; 90 persen puas terhadap materi yang disajikan; dan 92 persen puas terhadap narasumber yang memberikan pelatihan. Selain hal tersebut, diketahui bahwa 80 persen peserta telah berhasil membuat video animasi dengan baik.
EFEKTIFITAS E-BOOK ENSIKLOPEDIA SERANGGA DENGAN STRATEGI MIND MAPPING UNTUK MELATIHKAN KETERAMPILAN BERPIKIR KREATIF SISWA
Authors: Cahyanti Amin Dwi , Sudibyo Elok , Rahayu Yuni Sri
Published: May 2023

Abstrak. Perkembangan teknologi yang semakin maju, mempengaruhi proses pembelajaran yang mengaplikasikan perkembangan teknologi dan melatihkan keterampilan yang dibutuhkan di abad 21 yaitu keterampilan berpikir berpikir kreatif. E-book yang dikembangkan dengan strategi mind mapping, dilengkapi berbagai fitur yang dapat mendukung kreativitas siswa. Penelitian ini bertujuan untuk menghasilkan e-book ensiklopedia serangga dengan strategi mind mapping untuk melatihkan keterampilan berpikir kreatif kelas X SMA Negeri yang dinyatakan efektif. Keefektifan e-book ensiklopedia serangga ditinjau dari hasil belajar , keterampilan membuat mind mapping dan respon siswa. Metode yang digunakan adalah metode penelitian dan pengembangan (R&D) yang dimodifikasi dan dilakukan di Pascasarjana Sains Unesa pada bulan Juni 2020 – Februari 2021. Teknik pengambilan data melalui validasi, observasi, angket dan tes. Teknik analisis data dilakukan secara kuantitatif. Berdasarkan hasil penelitian diperoleh rata-rata skor hasil belajar siswa sebesar 82,60% dan nilai N gain sebesar 0,50 kategori sedang. Skor rata-rata keterampilan siswa membuat mind mapping sebesar 79 dengan kategori tinggi. Dan ditinjau berdasarkan keterampilan membuat mind mapping dengan rata-rata 79 kategori baik dan berdasarkan respon siswa (dengan hasil 99,46% merespon positif).Abstract. The development of increasingly advanced technology affects the learning process that applies technological developments and trains the skills needed in the 21st century, namely creative thinking skills. The e-book, which was developed with a mind mapping strategy, is equipped with various features that can support student creativity. This study aims to produce an insect encyclopedia e-book with a mind mapping strategy to practice creative thinking skills for class X SMA Negeri, which was declared effective. The effectiveness of the insect encyclopedia e-book in terms of learning outcomes, mind mapping skills and student responses. The method used is a modified research and development (R & D) method and was carried out at the Unesa Science Postgraduate in June 2020 - February 2021. The data collection technique was through validation, observation, questionnaires and tests. The data analysis technique was carried out quantitatively. Based on the results of the study, the average score of student learning outcomes was 82.60% and the N gain value was 0.50 in the medium category. The average score of students' mind mapping skills was 79 in the high category. And reviewed based on the skills of doing mind mapping with an average of 79 good categories and based on student responses (with the result of 99.46% responding positively).
PENYAJIAN KEANEKARAGAMAN MAKROZOOBENTOS DI SUNGAI BEREMBANG DALAM MEDIA PEMBELAJARAN ENSIKLOPEDIA PADA SUBMATERI INVERTEBRATA KELAS X SMA
Authors: Pristalika Yunike , Tenriawaru Andi Besse , Candramila Wolly
Published: May 2023

Abstrak. The development of printed media in the form of an encyclopedia was carried out in this study to become a learning solution in schools that still have less IT facilities. Sub material of Invertebrate is one of the materials that is considered difficult because it contains a lot of material and unfamiliar terms, while the lesson hours are few. The inclusion of macro-zoo-benthos diversity in the encyclopedia media for use in schools located close to the aquatic ecosystem is believed to be able to provide more rich concepts for teachers to teach to their students. The success of developing the encyclopedia media as obtained in this study is expected to be able to answer the above problems while at the same time providing a variety of media for the school.Abstract. The development of printed media in the form of an encyclopedia was carried out in this study to become a learning solution in schools that still have less IT facilities. Sub material of Invertebrate is one of the materials that is considered difficult because it contains a lot of material and unfamiliar terms, while the lesson hours are few. The inclusion of macro-zoo-benthos diversity in the encyclopedia media for use in schools located close to the aquatic ecosystem is believed to be able to provide more rich concepts for teachers to teach to their students. The success of developing the encyclopedia media as obtained in this study is expected to be able to answer the above problems while at the same time providing a variety of media for the school.
KARAKTERISTIK MATERI PEMBELAJARAN SISTEM REPRODUKSI MANUSIA
Authors: Laksmi Monika Lintang , Prayitno Baskoro Adi , Indrowati Meti
Published: May 2023

Abstrak. Artikel merupakan kajian literatur yang membahas mengenai karakterisktik sistem reproduksi manusia sebagai materi pembelajaran. Materi sistem reproduksi manusia seringkali dianggap tabu untuk diajarkan, terutama di Indonesia. Tujuan dari kajian literatur pada artikel ini adalah menganalisis karakteristik materi sistem reproduksi manusia, media pembelajaran pada sistem reproduksi manusia, keterkaitan antara guru dengan pembelajaran sistem reproduksi manusia, asesmen untuk menilai pemahaman siswa terhadap materi sistem reproduksi manusia, dan cara pemberdayaan pembelajaran sistem reproduksi manusia. Metode yang digunakan adalah pengkajian tentang literatur yang berkaitan dengan karakteristik materi sistem reproduksi manusia, literatur yang dikaji berasal dari tahun 2010 hingga 2022 yang berasal dari jurnal bertaraf nasional dan internasional. Hasil pengkajian literatur adalah diperlukan pemberdayaan dengan inovasi pada bahan ajar dan bentuk penilaian yang digunakan dalam materi sistem reproduksi manusia.Abstract. The article is a literature review that discusses the characteristics of the human reproductive system as a learning material. The material of the human reproductive system is often considered taboo to teach, especially in Indonesia. The purpose of the literature review in this article is to analyze the material characteristics of the human reproductive system, learning media in the human reproductive system, the relationship between teachers and human reproductive system learning, assessments to assess students' understanding of human reproductive system material, and how to empower human reproductive system learning. The method used is an assessment of literature related to the material characteristics of the human reproductive system, the literature studied is from 2010 to 2022 from national and international journals. The result of the literature review is that empowerment is needed with innovations in teaching materials and forms of assessment used in the material of the human reproductive system.
Una primera aproximación epidemiológica de la migraña en población general paraguaya: frecuencia y factores asociados
Authors: Torales Julio , Torres-Romero Anthon Daniel , Vázquez-Pavón Abel Adrián , Albertini-Weiler Inés , Britos-Rolón Ámbar María , Vallejos-Fleitas Claudia Belén , Almirón-Santacruz José , O’Higgins Marcelo , Velázquez-Blanco Miguel Ángel , Caycho-Rodríguez Tomás , Castaldelli-Maia João Mauricio , Ventriglio Antonio , Barrios Iván
Published: May 2023

La migraña es uno de los trastornos neurológicos más frecuentes, con una prevalencia y una morbilidad elevadas. Está asociada a varios factores de riesgo, tanto biológicos como psicológicos, desencadenantes y comorbilidades. Este fue un estudio descriptivo, de asociación cruzada, no probabilístico, de casos consecutivos. Los participantes fueron reclutados a través de una encuesta en línea en octubre de 2022. Se midieron variables demográficas, datos del estado de salud y hábitos. Se realizó tamizaje de migraña a través del cuestionario ALCOI-95 y tamizaje de adicción a Internet a través de la subescala de adicción a Internet del Cuestionario MULTICAGE CAD-4. Se encuestó a 846 sujetos, de los cuales el 70,9 % eran mujeres y la media de edad fue de 28,62 años. El 14,5 % cumplía con criterios diagnósticos de migraña (5,2 % migraña con aura y 9,3 % migraña sin aura). El 63,8 % cumplía con criterios de tamizaje para adicción a Internet. Se encontró asociación entre el sexo femenino y migraña (p<0,001). En cuanto al estado de salud, el 21,39 % tenía diagnóstico de ansiedad, el 8,98 % de depresión, el 7,92 % de hipertensión arterial y el 2,36 % tenía diabetes mellitus. Se encontró asociación entre presentar depresión o ansiedad y migraña (p<0,001). Podemos concluir que la frecuencia de migraña es de más del 14 % en población general paraguaya, afecta principalmente a personas de alrededor de 30 años de edad y está asociada significativamente al hecho de ser mujer y de tener un trastorno mental.
Aplicación de la Telemática en el monitoreo remoto de Bancos de Muestras Biológicas. Estudio Preliminar
Authors: Rivas Ronald , Grossling Benicio , Galván Pedro
Published: May 2023

Las serotecas son espacios destinados para el resguardo de Muestras Biológicas (MB) de procesos diagnósticos y científicos. El Instituto de Investigaciones en Ciencias de la Salud (IICS) cuenta con ocho congeladores de Ultra Baja Temperatura (UBT) distribuidos en dos serotecas. El sistema de monitoreo diseñado se evaluó durante cuatro meses, mientras registraba y enviaba alertas de tres UBT instalados en una de las serotecas y de su temperatura ambiente. Se recabó información de los usuarios respecto al rango de las temperaturas de cada UBT, tipo de MB almacenadas y su criterio de conservación. Se emplearon controladores de temperatura con sensores PT 100 conectados a un convertidor RS485/Ethernet en cada congelador. El sistema monitoreó, registró y alertó vía correo electrónico a los usuarios y técnicos biomédicos sobre los incidentes por temperaturas fuera del rango y falla de comunicación. En total se registraron 25 incidentes, 17 referentes al tiempo de apertura de puerta, 5 por temperatura elevada del ambiente y 3 por problemas en la conexión de red. La aplicación de la telemática fue determinante para monitorear en tiempo real las temperaturas de los congeladores UBT y del ambiente para garantizar que la cadena de frío no se vea afectada. De esta forma se cuenta con una herramienta que notifica a los usuarios de serotecas y biobancos los incidentes eléctricos o eventos que afecten el rango de temperatura necesario para la preservación de los materiales biológicos, permitiéndoles realizar una intervención oportuna y así garantizar la correcta preservación de las MB.
Pleural plaques and pleural changes among lung cancer patients exposed to asbestos
Authors: Icksan Aziza Ghanie , Widharisastra Canti , Suraya Anna , Ferstl Martina
Published: May 2023

BackgroundIndonesia is one of the world's largest asbestos importing countries. While asbestos is the main contributor to work-related lung cancer, studies or reports regarding the CT findings of asbestos-related lung cancer have been limited in the country. The objective of this study was to compare CT findings of the size of the tumor and pleural and lung parenchymal changes between lung cancer patients exposed to asbestosis and those not exposed.
MethodsThis cross-sectional study involved 96 lung cancer patients consisting of 48 subjects who had been exposed to asbestos and 48 who had not been exposed. They underwent thoracic CT scans at the Radiology Department of Persahabatan Hospital. Asbestos exposure was determined using interviews that followed a protocol similar to that of a previous study about asbestos-related lung cancer. Senior radiologists investigated the existence of pleural and parenchymal changes. An independent T- test and chi-square test to compare CT scan features between the two groups.
ResultsThe mean age was 57.75 ± 8.56 years in the asbestos-exposed group and 58.56 ± 7.99 years in the unexposed group. The proportion of tumor sizes of more than five cm, pleural plaques, and subpleural dot-like or branching opacities were significantly higher among asbestos-exposed subjects compared to the non-exposed group (p = 0.044;p=0.37;p=0.041, respectively).
ConclusionsAsbestos exposure is significantly related to the size of the tumor and the existence of pleural plaques and asbestosis. These findings may help further management of lung cancer patients and the policy of asbestos use in Indonesia.
Determinants of coronary heart disease among adults: a case-control study
Authors: Sudikno Sudikno , Driyah Srilaning , Pradono Julianty
Published: May 2023

BackgroundAccording to recent World Health Organization data, coronary heart disease (CHD) remains the leading cause of death worldwide. Although the risk factors of this disease are well known, the strength of these factors varies in different populations. The aim of the study was to assess the determinants of CHD in Indonesian adults aged 25 years and over.
MethodsA case–control study was carried out involving 592 subjects aged 25 years and over (444 controls and 148 cases). Participants were interviewed using validated questionnaires. Physical examinations and supporting examinations were conducted. The Chi square test, Fisher’s exact test, and independent t test were used to analyze the data. To determine independent predictors of CHD, the odds ratio (OR) was determined via the multiple logistic regressions test.
ResultsThe CHD subjects (case group) showed higher blood sugar and systolic pressure than non-CHD subjects (controls), with mean fasting blood sugar of 92.53±27.05 mg/dL vs 88.29 ±23.43 mg/dL (p=0.038), 2-hour postprandial blood sugar of 133.15±65.09 mg/dL vs 120.87±44.60 mg/dL (p=0.000), and systolic blood pressure of 89±27.62 mmHg vs 129.98±10.58 mmHg (p=0.002). The logistic regression analysis in the case group showed that higher education (college) had a 2.32-fold greater effect (95% CI. 1.01-5.35) on CHD incidence compared to the control group.
ConclusionsThis study has demonstrated that the most frequent risk factor for CVD in adults aged 25 years and over is higher education. Control and prevention of CHD need to be done with regular control of blood sugar levels and blood pressure to stabilize them within normal limits.
Headache in healthcare workers related to personal protective equipment use in COVID-19 referral hospital
Authors: Sri Wijayanti Ida Ayu , Mahadewi Ni Putu Ayu Putri , Sudira Putu Gede , Tini Kumara , Susilawathi Ni Made , Adnyana I Made Oka
Published: May 2023

BackgroundStudies show that wearing personal protective equipment (PPE) for long periods of time can lead to discomfort such as headaches, which could affect the performance of healthcare workers. The aim of this study was to determine the prevalence and risk factors of headaches related to PPE in healthcare workers at a COVID-19 referral hospital.
MethodsA cross-sectional study was conducted involving 174 healthcare workers in a COVID-19 referral hospital in Bali. We conducted interviews using a questionnaire that consisted of three main parts: characteristics of the subjects, PPE usage, and PPE-associated headaches. A multiple logistic regression was used to analyze the data.
ResultsThe analysis results showed that the PPE-associated headaches had a prevalence of 63.8% and were gradual in onset, pressure-like in quality (46%), and mild in intensity (80.1%). PPE level III-associated headache was the most common type. The majority of the participants had headaches up to 6 hours after using the protective gear, but improving within 15-30 minutes of removal and/or after pharmacotherapy. A Chi-squared analysis showed a statistically significant association between duration of PPE use, working units, and PPE levels (p<0.05). A logistic regression analysis found a significant relationship between PPE level and headache occurrence (OR=4.826;95%CI: 2.433-9.572; p<0.001).
ConclusionThe frequency of PPE-associated headache was high and the PPE level was a risk factor of headache among healthcare workers. Better strategies are needed to reduce the duration of PPE exposure so that the work performance and quality of life of healthcare workers are not significantly affected.
Influence of interspecies interactions on biomass and extracellular polymeric substances of bacterial biofilms
Authors: Schettini Alava Mercedes Baltazara , Maddela Naga Raju
Published: May 2023

BackgroundStudies with emphasis on pure and mixed-species biofilms are of significant importance in understanding biofilm formation mechanisms during microbial infections. This research aims to evaluate pure- and dual-species biofilms of Escherichia coli (code A), Staphylococcus aureus (code B), Klebsiella pneumoniae (code C) and Pseudomonas aeruginosa (code D) pathogenic bacterial species and their production of biofilm exopolysaccharides at laboratory scale.
MethodsBiofilm biomass (A595) of pure- and dual-species cultures was determined by means of a microtiter plate assay in triplicate using a microplate photometer (Fisher Scientific, type-357). Extracellular polymeric substances (EPS) and soluble microbial products (SMP) were extracted from the biofilm cells (pure- and dual-species cultures) using the alkaline-heat extraction method. Dry weights (g/L) of EPS and SMP were determined by drying the samples at 105 °C for 8 hours.
ResultsKlebsiella pneumoniae biofilm biomass accounted for a 28-72% greater biofilm biomass than the other bacteria. Experimental values of dual-species biofilm biomasses were in the range of 6% to 30% over theoretical values. The experimental value of one dual-species (bacteria B + D) biofilm biomass was 30% higher than its expected value. Decrease or increase in the dual-species biofilm biomass of either bacteria A+C or bacteria B+C combinations was totally dependent on the cell density of bacteria C.
Conclusions Biofilm biomass of pure-species cultures was totally species-dependent, and the biofilm biomass of four species was in the following order: bacteria C > D > A > B. Relation between biofilm biomasses and SMP or EPS was inconsistent.
The Customer Perceived Orientation Effect on Perceived Value and Customer Satisfaction and Its Influence on Customer Trust
Authors: Halimatussakdiah Halimatussakdiah , Suryani Irma , Zuhra Syarifah Evi
Published: May 2023

Research aims: The purpose of this research is to examine the impact of customer-perceived orientation (CPO) on customer-perceived value (CPV) and customer satisfaction (CS) and its influence on customer trust (CT) in Islamic banks.Design/Methodology/Approach: The study employed a quantitative research design with a descriptive survey. Data from 270 Islamic bank customers were analyzed using Structural Equation Modeling Analysis of Moment Structure (SEM-AMOS).Research findings: Based on the findings, CPO significantly affected CPV and CS. Furthermore, CS and CPV also had a significant impact on CT.Theoretical contribution/originality: The study strengthens the body of knowledge on customer perceived orientation, perceived value, satisfaction, and trust.Practitioner/Policy implication: The research highlights the significance of the investigated variables and guides policymakers and scholars.Research limitation/Implication: Several limitations could be identified. Firstly, primary data were collected cross-sectionally so that future studies can apply longitudinal research to understand investigated variables better. Secondly, the small sample size of 270 consumers may not be recommended to generalize a vast population. For future research, it is suggested that the proposed model be validated with a larger sample size.
Tourist Loyalty to Halal Tourism in Indonesia: The Role of Services Quality, Satisfaction, and Experience Quality
Authors: Rahayu Sri , Candera Mister
Published: May 2023

Research aims: This study aims to develop an original model of halal tourism by considering the service quality variable and its effect on tourist loyalty with satisfaction as a mediator variable and experience quality consisting of halal food, halal facilities and services, and people at the destination as moderator variables.Design/Methodology/Approach: This study adopts an empirical approach. Data were collected using questionnaire distributed to respondents that were selected through purposive sampling based on their previous visits to halal destinations in Indonesia. A total of 440 questionnaire responses were subjected to quantitative analysis using the Structural Equation Modeling.Research findings: Our study findings indicated that services quality was one of the factors with positive, significant impacts (direct and indirect) on tourist loyalty. In addition, experience quality seemed to strengthen this impact.Theoretical Contribution/Originality: This research offered a novel insight that that the satisfaction and loyalty of tourists visiting halal tourism can be increased through improving experience quality.Practitioners/Policy Implications: This research is expected to be a reference and consideration for halal tourism business actors in their efforts to increase visitor satisfaction where major coniderations should be put on halal accommodation and halal services. Visitor experience is an important factor to increase the number of visitors to halal tourism.Research Limitations/Implications: The large sample size relatively complicated the timely data collection.
Intravascular hemolysis in phenol poisoning: An unforeseen and rare complication
Authors: Sharma Archi , Saikia Giorgi
Published: May 2023

The black phenyl is a powerful germ killer used for homes, hospitals, which is easily accessible and can be consumed with the intention of self harm. Cases of intravascular hemolysis through inhalation or spillage has been reported, but intravascular hemolysis following ingestion is rarely reported. A 25 year old previously healthy male presented after alleged ingestion of black phenyl and was asymptomatic at presentation. By day 4, he developed fever, icterus, tachycardia, fatigue and dark brown urine. Labs were Hgb 3.6g/dl, platelet count 2.75 lakhs/ul, creatinine 1.1mg/ dI, AST 244U/L, ALT 69U/L, Total Bilirubin 4.65g/dl (Indirect 3.35) PT 14.6, INR 1.23. By Day 6, urine color darkened, suggestive of ongoing hemolysis with LDH level of 3614 U/L. Over the full hospital stay, urine output was maintained, and he didn't develop acute kidney injury. By Day 9, patient's symptoms improved & he was discharged on day 12. These compounds interfere with oxidative phosphorylation in cells, making red blood cells losing osmotic equilibrium. This metabolic handicap may lead to premature red blood cell lysis. Though asymptomatic at presentation, patient developed serious intravascular hemolysis and hemoglobinuria by day 4. This suggests the need for admission of asymptomatic patients, constant monitoring and to anticipate toxic potentials of the compound. The dearth of enough literature on this rare complication made us report this first case from North East India.
Coumarins of genus Ferula L. (Apiaceae Lindl.)
Authors: Khosnutdinova T.S. , Gemejiyeva N.G. , Karzhaubekova Zh.Zh. , Sultanova N.A.
Published: May 2023

The biologically active coumarins from Ferula L. species of the family Apiaceae Lindl. for the period 1970 to 2022 have been reviewed. The phytochemical investigation of different parts of Ferula L., including gum resin, leaves, fruits, seeds, roots, rhizomes, and resins led to the separation of different types of coumarins. Nearly 185 coumarins were isolated from 35 species of Ferula L. growing in different countries. Coumarins are represented mainly by umbelliferone (7-O-hydroxycoumarin) derivatives substituted in the C-7 position of aglycone, furanocoumarins and metabolites have terpene fragments, esters and glycosides. Umbelliferon is found as a taxon for the genus Ferula L. Some «unusual» metabolites have a furan fragment attached to the pyrone ring. Coumarins are of the psoralen type, containing a furan ring in the C-6 and C-7 positions of the primary skeleton. The rare coumarins with terpene fragments (hemiterpene, monoterpen, sesquiterpene) were reported. The biological activities of some extracts and individual metabolites such as antiinflammatory, cytotoxicity, antibacterial, antileishmanial, antiviral, antigenotoxic, antitumor, anticoagulant, antioxidant, antimycobacterial, inhibition a-glucosidase, antileishmanial were found.
Impact investing in action: A framework for sustainability
Authors: Kumar Sunil Chenichery Thazhath , Chotia Varun , Soni Swati , Khandelwal Vinay
Published: May 2023

The Sustainable Development Goals (SDGs) are a set of goals designed to be a “blueprint to achieve a better and more sustainable future for all.” Despite being meticulous about achieving the SDGs, India’s overall SDG score is 61.9 out of 100. While multiple models and frameworks have been developed, a new concept that has gained currency is impact investing. Content analysis of academic journal articles was employed to analyze the terminology, definition, and similarities and differences in the use of the term impact investing. Impact investing helps to benefit society and the environment without the need to sacrifice financial returns. It attempts to address the global challenges of access to energy, potable water, basic hygiene, nutrition, health, and education by exploring innovative commercial solutions. The degree of sustainability achieved through impact investing depends upon the efficiency of the multidisciplinary team formed to conduct the due diligence to achieve the social and financial goals by paying equal attention to risk, value addition, impact, and investor expectations. This study builds a case for India, suggesting the execution strategy of impact investing as an answer to India’s sustainability conundrum.
Iglesia católica y poder político en el siglo XX
Authors: Klaiber Jeffrey L.
Published: May 2023

En este breve ensayo me propongo analizar la relación entre la Iglesia Católica y el poder político en el Perú durante el siglo xx. Por «poder político» entiendo el conjunto de fuerzas -los poderes del Estado, el ejército, los grupos de poder económico, etcétera- que influyen en todas las decisiones políticas importantes. Por lo tanto, «poder político» se refiere a una realidad más grande que el Estado en sí. Por su parte, la Iglesia también fue - y es- un actor «político» en el sentido general de la palabra, pero no de la misma manera que los otros protagonistas. El poder de la Iglesia, desde la época colonial hasta hoy, consiste en legitimar al orden establecido de grupos o de individuos. Hasta hace muy poco la Iglesia fue la única institución que gozaba de la confianza y de la estima de la mayoría de los peruanos, y por lo tanto, su aprobación o no aprobación del orden establecido fue considerada importante. Vamos a dividir el tema en cuatro etapas: repliegue y recomposición de fuerzas, 1855-1930; el laicado militante, 1930-1955; la Iglesia moderna, 1955-1988; y el viraje conservador, 1988- ?
Libertad religiosa, violencia y derechos humanos en el Perú de fines del siglo XX
Authors: Armas Asín Fernando
Published: May 2023

Lo nuevo al fin del milenio es que el antiguo carácter monorreligioso del Perú se está quebrando --comparado con inicios o mediados de siglo-- a diferentes niveles sociales. Los barrios y suburbios de las ciudades, tanto como los pueblos alejados en la zona andina o en la . ceja de selva, se están así transformando en un activo espacio religioso. Esta diversidad, que hasta hace apenas treinta años solo se expresaba en los protestantismos históricos, las iglesias de migrantes, etcétera, en sectores socioeconómicos fundamentalmente medios y altos, desborda hoy esos presupuestos. Trasciende los marcos del cristianismo y se expresa en múltiples experiencias religiosas. Su aparición (o revitalización según los casos), más que un síntoma de «invasión de sectas», debe analizarse en conjunción con otros procesos innovadores que en las últimas décadas envuelven a nuestra sociedad. ¿cómo hemós llegado a este escenario plural? Es una pregunta que debemos empezar a hacernos, no ya deteniéndonos en perspectivas descriptivas, sino además desentrañando los desarrollos sociohistóricos habidos.
El proyecto Mil Fraseologismos en el Español de Lima
Authors: Alcocer Martínez Augusto
Published: May 2023

Dos propósitos guían el presente trabajo. En primer término, dar cuenta a la comunidad científica acerca del proyecto en marcha Mil Fraseologismos en el Español de Lima, que incluirá frases fijas (sin considerar refranes), como locuciones, frases hechas, colocaciones habituales, dicta (dichos), citas (ya vulgarizadas) y aun construcciones biverbales (compuestas) corrientes en la variedad capitalina. En segundo término, nos parece oportuno ofrecer un cuadro general y explicación muy resumida de la actividad que han desarrollado los diccionaristas peruanos en el tópico de la fraseología.
La Academia Norteamericana de la Lengua Española y sus funciones
Authors: Chang-Rodríguez Eugenio
Published: May 2023

Con mucho gusto he aceptado la invitación a escribir este artículo en homenaje a Luis Jaime Cisneros, Director de la Academia Peruana de la Lengua, amigo y colega, por más de tres decenios. Durante esos años, nos hemos carteado y participado en sesiones académicas y eventos culturales en las Américas y Europa. Con esta contribución espero corresponder, en parte, a las múltiples atenciones que me ha brindado este miembro Correspondiente de la Academia Norteamericana de la Lengua Española, como lo hizo al presentarme en el Congreso de la República del Perú cuando ofrecí mi charla sobre la «Lengua y literatura de los hispanos en los Estados Unidos de América» el miércoles 4 de octubre de 2000.
Variedad de tradiciones discursivas en Orígenes del español de Menéndez Pidal
Authors: Garatea Grau Carlos
Published: May 2023

La primera edición de Orígenes del español, publicada por Menéndez Pidal en 1926, ofreció a la comunidad científica un innovador estudio sobre los oscuros siglos X y XI de la historia del español, que pronto se convirtió en obligado punto de referencia para quienes se interesan en la diacronía de esta lengua. Con el respaldo de un impresionante dominio de textos antiguos, don Ramón expuso una serie de procesos lingüísticos, en marcha o ya concluidos, que configuraron los rasgos principales del dialecto que, siglos más tarde, habría de integrar la base de una lengua nacional. El interés científico e histórico de Menéndez Pidal no se agotó en la ordenación cronológica y descriptiva de hechos lingüísticos, sino que lo llevó a acompañar sus descripciones y hallazgos con un conjunto de reflexiones teóricas, apoyadas generalmente en una interpretación previa de los indicios de la oralidad en la escritura de sus fuentes, durante un período coincidente con el acceso del romance al discurso escrito. Tal perspectiva de trabajo supone distintos aspectos metodológicos y conceptuales en el tratamiento e interpretación de los textos, cuya trascendencia para los estudios de orientación diacrónica es conocida desde la obra de Friedrich Diez y el polémico Prefacio de Hermann Osthoff y Karl Brugmann, por mencionar solo tres nombres.
El idioma analítico de John Wilkins: una lectura desde la morfología
Authors: Velásquez Héctor
Published: May 2023

El texto de Borges que sirve de punto de partida para estas breves reflexiones forma parte del libro Otras inquisiciones, de 1952. Suele considerárselo como un ensayo, pero es conveniente reparar en el hecho de que dicho texto no tiene necesariamente el sentido habitual que se le otorga a aquel término. En efecto, dentro de la obra de Borges, los escritos no directamente poéticos o narrativos se agrupan bajo el rótulo de ensayo, más bien por comodidad frente a la ausencia de un término más preciso (tal vez el que el propio autor escogió, inquisiciones, es un buen candidato a serlo) y no porque hayan sido producidos con una intención meramente divulgadora o expositiva.
La teoría literaria ante el siglo XXI
Authors: Garrido Gallardo Miguel Ángel
Published: May 2023

La teoría literaria del siglo XXI comenzará lógicamente por la herencia del siglo XX, como la de este empezó por la del XIX, y así sucesivamente. Dicha la perogrullada, me apresuraré a señalar que hay un lugar del siglo XX donde considero que empieza la historia que es preciso contar. Se trata del mundo cultural de Francia (de París) en los felices sesenta, antes de que la capitalidad cultural, tras las otras capitalidades, se desplazara inequívocamente de París a Nueva York.
El estilo historiográfico de los Comentarios Reales de los Incas
Authors: Guerra Caminiti, Estrella
Published: May 2023

Sobre el estilo historiográfico en el que fueron escritos los Comentarios Reales de los Incas no se ha escrito mucho. Tenemos solo algunas breves acotaciones hechas por estudiosos garcilacistas hace ya varios años. Uno de ellos es Luis Arocena, quien en su obra El Inca Garcilaso y el humanismo renacentista solo apunta una de las características estilísticas de la obra del Inca: «El alinear vocablos por parejas», ya sea por sinonimia o por antítesis. Señala, apoyándose en Menéndez Pidal y su estudio de la prosa de Fray Antonio de Guevara, que esta es una de las características de la prosa del siglo XVI
Las herramientas del censor : índices y edictos de libros prohibidos en el Santo Oficio peruano (1570-1754)
Authors: Guibovich Pérez Pedro
Published: May 2023

En su viaje desde la península al Perú, los primeros inquisidores llevaron consigo, como parte de su equipaje, un nutrido conjunto de documentos. Entre estos se incluían reales cédulas, provisiones y cartas dirigidas al virrey, oidores, obispos y otras autoridades locales por medio de las cuales el Rey y el Consejo de la Suprema y General Inquisición les informaban del establecimiento del tribunal del Santo Oficio en el virreinato peruano, de sus atribuciones, e invocaban su apoyo a la nueva institución. Otros documentos eran de carácter institucional, tales como instrucciones impresas y manuscritas, y detallaban los procedimientos a seguir para poner en marcha la maquinaria inquisitorial. Finalmente, a todo este variado elenco documental se sumaban tres piezas: dos catálogos o índices de libros prohibidos y una copia manuscrita del edicto de la Fe.2 Inmersos en el matalotaje de los inquisidores, cruzaron sin riesgo el Atlántico. Aunque de pequeño formato y reducida extensión, ellos habían de inaugurar una de las tareas centrales de la Inquisición: la censura de libros.
Problemática del receptor en Juan de Espinosa Medrano
Authors: Hopkins Rodríguez Eduardo
Published: May 2023

A partir de la observación de un conjunto de autores del período colonial que he examinado en un trabajo pendiente de publicación, es posible considerar que la relación con el receptor en la época se establece bajo los criterios que a continuación procedemos a presentar. El contexto cultural en la Colonia constituye un medio difícil y agresivo, en el cual, pese a la influencia de amistades prestigiosas, el escritor se ve compelido a adoptar una actitud de precaución, que muchas veces constituye una autodefensa. En tales circunstancias, conceptos como el de lector y el de lectura presentan un campo de interés específico. Las alusiones al lector ocupan una serie de considerandos, mediante los cuales suele dividirse al receptor en lector común y lector erudito. A su vez, el lector erudito se bifurca en críticos positivos y críticos destructivos. Por su parte, la lectura es asumida como un acto de enjuiciamiento crítico que debe ser planteado tomando como base la objetividad, la imparcialidad, la prudencia, la moderación y el respeto. Se espera que la actividad crítica sea el estudio atento y prolijo de la obra en busca de lo provechoso, lo útil. Adicionalmente, un postulado frecuente es el que indica que dicho estudio deberá estar encaminado a identificar los aspectos peculiares de la configuración de la obra, no interesando las deficiencias, particularmente, sino los éxitos. En suma, se propone que el lector crítico no debe constituirse como un obstáculo que inhiba la producción de la obra o que desvirtúe la comprensión del texto.
Borges : entre la conjetura y el relato
Authors: Huárag Álvarez Eduardo
Published: May 2023

Borges se inició en la poesía y el ensayo. Sus primeros escritos revelaron algunas de sus preocupaciones que luego serían casi constantes en toda su obra. En 1932 publicó Discusiones y, en 1936, Historia de la eternidad. Su extraordinaria erudición le permitiría indagar en teorías religiosas y filosóficas sin dejar de lado sus inquietudes estéticas. Ya para entonces, Borges no compartiría la idea de que la literatura debía ser realista y reflejar los problemas lacerantes de la sociedad. Recordemos que, entre 1920 y 1940, en la narrativa latinoamericana predomina el realismo regionalista y agrario. Frente a ello, la narrativa de los escritores del Río de La Plata se orientó hacia la temática de hechos extraordinarios o fantásticos, tal vez siguiendo la vertiente iniciada por Quiroga, ese extraordinario escritor que gustaba de los temas psicológicos y misteriosos. Borges, y después Cortázar, explorarían una modalidad narrativa en la que se debía tomar distancia de la realidad, sumergirse en el imaginario y la conjetura, y dejar abierta la posibilidad simbólica del argumento