bluuebunny/crossref_metadata_2025 huggingface dataset:
Peningkatan Kemampuan Desain Grafis untuk Menunjang Uji Kompetensi Peserta Didik Tingkat SMK Kejuruan Multimedia
Authors: Mangkunegara Iis Setiawan , Ariyanto Arif Setia Sandi , Jayusman Hadi
Published: July 2024

Desain grafis menjadi keterampilan yang semakin penting dalam era digital saat ini, tidak hanya dalam dunia profesional tetapi juga dalam konteks pendidikan. Artikel ini membahas tentang strategi untuk meningkatkan kemampuan desain grafis siswa agar mereka lebih siap menghadapi uji kompetensi. Dengan latar belakang kebutuhan akan kemampuan desain grafis yang tinggi dan kurangnya pelatihan yang memadai untuk lulusan sekolah menengah kejuruan, solusi yang diajukan adalah mengintegrasikan pembelajaran desain grafis ke dalam kurikulum dengan fokus pada persiapan uji kompetensi. Penggunaan teknologi dan perangkat lunak desain grafis yang tepat juga diperkenalkan sebagai alat yang dapat mempercepat pembelajaran dan meningkatkan kualitas karya siswa. Pelatihan ini diselenggarakan guna membantu meningkatkan kemampuan desain grafis siswa secara signifikan, mempersiapkan mereka untuk tantangan di dunia nyata, serta memberikan alat yang kuat dalam menyampaikan ide dan informasi secara visual. Kegiatan ini terbukti berhasil, dilihat dari hasil perbandingan pre-test dan post-test yang menunjukkan peningkatan nilai yang merepresentasikan kemampuan.
Implementasi Penerangan Jalan Berbasis Panel Surya Pada Desa Tunggak Toroh Grobogan
Authors: Susilo Nugroho Agus , Mika Agustiana  , Andri Triyono  , Dhika Malita Puspita Arum  , Eko Supriyadi
Published: July 2024

Jalan merupakan sebuah infrastruktur utama penunjang kehidupan manusia. Ketika infrastruktur berupa jalan itu sudah baik, maka segala aktifitas masyarakat, mulai dari perekonomian, transportasi, hingga pemerataan pembangunan dapat terwujud pula dengan baik. Desa Tunggak, Kecamatan Toroh, Kabupaten Grobogan merupakan salah satu desa di Jawa Tengah yang infrastruktur jalannya sudah cukup memadai. Namun ada sebuah jalan yang belum memiliki penerangan maksimal di malam hari. Selain visibilitas yang tidak baik dan meningkatkan resiko kecelakaan, juga beresiko mengundang kejahatan. Karenanya, anggota KKN Universitas An Nuur 2023 membuat lampu penerangan jalan di Desa Tunggak. Lampu penerangan jalan dibuat dengan tenaga surya. Dipilihnya lampu penerangan jalan bertenaga surya ini guna memaksimalkan efisiensi daya. Metode yang digunakan dalam kegiatan tersebut adalah identifikasi, implementasi, serta capaian atau luaran kegiatan. Masyarakat Desa Tunggak sangat mengapresiasi pembuatan lampu panel surya yang dilakukan tim KKN Universitas An Nuur 2023. Aktifitas masyarakat di malam hari ketika melewati jalan yang sudah ada panel suryanya, menjadi lebih maksimal dan produktif.
Peningkatan Kemampuan Perangkat Desa Mejasem Timur dalam Tata Kelola Pembukuan dan Kearsipan Administrasi Desa
Authors: Rahmadiane Ghea Dwi , Ita  , Pamela  , Vivi  , Nurul  , Cahya  , Musfiq
Published: July 2024

The village became one of the focuses in the development of the country. This is evident from the existence of a village budget or village fund that is quite large in number. In terms of office affairs, including in the scope of the Village Office, of course, it does not escape the affairs of administration and require that the workers in the village have skills in good  accountancy and archival-management. This community service provides knowledge on good administration archival and accountancy, thus it is hoped that partners in this activity can improve the ability to take care of village office administration. The result of this activity is the increasing insight of workers about the governance of archives but some workers still complain of being less proficient in computer operation.
Pemahaman Strategi Pencegahan Fraud Dana Desa Bagi Siswa Siswi SMK Ma’arif NU Larangan Brebes
Authors: Yusri  , Rahmadiane Ghea Dwi , Nurul
Published: July 2024

The government obliged to provide financial information to village communities in the form of financial reports which aim to prevent conditions from occurring in the management of village fund allocations, so that socialization needs to be formed in terms of preventing village fund fraud because it was an effort to provide deeper knowledge about Public Sector Accounting which is at school. The objectives of this community service activity include increasing new knowledge and insight regarding village fund fraud prevention strategies for students and adding to the repertoire of knowledge, as well as being a reference for other parties who wish to carry out activities with a similar theme. The method of implementing activities in the community service program that carried out related to the discussion of problems expressed by the method of socialization and discussion. The planning to evaluation process calculated for one semester starting from March to June 2023. This service activity included 19 students of the Accounting Department at SMK Ma'arif NU Larangan Brebes. The material presented was material on Village Fund Fraud Prevention. The community service team explained the prevention of village fund fraud. Based on the results, increased knowledge and understanding of village fund fraud prevention.
Workshop Peningkatan Kompetensi Guru-Guru Bahasa Inggris Sekolah Menengah Pertama (SMP) dikota Palangka Raya
Authors: Sulistyowati  , Norhayati  , Haris Ferdiyani , Rosmiati  , Sam'ani  , Jayanti Sherly , Santoso Pakpahan Herman , Suparno  , Ichsan Mochammad
Published: July 2024

This community service activity, which is a form of higher education tridharma obligation, aims to increase the professionalism and competence of teachers/teachers at the Junior High School (SMP) level in the city of Palangka Raya. The material presented in this community service activity is in the form of various interactive and interesting learning methods in teaching in English and making interactive learning media with the Microsoft PowerPoint application. This service activity was carried out on Saturday, February 03, 2024 at the STMIK Palangkaraya campus hall. The target of this community service activity is the teachers/teachers of Junior High Schools (SMP) in the city of Palangka Raya. The method of this activity uses the form of presentations and training which are then followed by discussions between participants and presenters. The costs for this community service activity are fully sourced from STMIK Palangkaraya through the Research, Publication and Community Service Unit (UP3M). The results of this community service can be concluded that the activity participants gained additional knowledge to further enhance their respective professionalism and competence
Edukasi Tablet Tambah Darah (fe) dan Bahaya Anemia Serta Pemberian Asuhan Komplementer Berupa Prenatal Massage pada Ibu Hamil di Kelurahan Tewaan Kota Bitung
Authors: Tirtawati Gusti Ayu , Wahyuni  , Irmasanti  , Elfredo  , Ellen  , Martha  , Kusmiyati  , Tantri
Published: July 2024

Menurut WHO, anemia dalam kehamilan sebagai kondisi dengan kadar hemoglobin (Hb) < 11 g/dl. Anemia pada ibu hamil dapat berdampak pada janin dan meningkatkan angka kesakitan. Pemerintah Indonesia telah menetapkan program pemberian tablet tambah darah  (200 mg sulfat ferosus setara dengan 60 mg besi elemental dan 0,25 mg asam folat) dan upaya perbaikan gizi keluarga sebagai upaya dalam penanggulangan anemia pada ibu hamil.
Metode dengan melakukan survey awal, pendekatan kepada pemerintah setempat mengetahui permasalahan yang ada di lokasi dengan tujuan yaitu mendapatkan dukungan secara penuh. Sebelum memberikan edukasi dilakukan pretest untuk mengukur pengetahuan Ibu hamil tentang tablet tambah darah dan anemia dalam kehamilan  menggunakan kuesioner dengan kriteria kategori Baik, cukup dan kurang. Memberikan edukasi pada Ibu hamil tentang tablet tambah darah (fe) dengan membagikan pamphlet agar Ibu hamil memahami pentingnya mengkonsumsi tablet tambah darah sehingga terhindar dari anemia dalam kehamilan. Mengurangi nyeri punggung pada ibu hamil trimester III dengan memberikan asuhan komplementer berupa antenatal massage pada Ibu hamil sehingga kehamilan dan persalinan  aman ibu dan bayi sehat. Setelah edukasi dilakukan posttest untuk mengukur pengetahuan Ibu hamil setelah diberikan edukasi.
Hasil posttest sebagian besar mempunyai pengetahuan baik yaitu 80%, hanya 20% yang mempunyai pengetahuan baik. Setelah dilakukan edukasi sebagian besar pengetahuan Ibu Hamil menjadi baik. Sangat penting bagi ibu hamil untuk mengetahui tentang bahaya anemia dalam kehamilan dan penanganannya karena akan berdampak bagi ibu sendiri dan janinnya. Selain itu keluhan nyeri punggung pada kehamilan trimseter III, dapat diatasi dengan asuhan komplementer antenatal massage yang dapat dilakukan oleh suami atau keluarga dirumah.
Pemanfaatan Kelapa Menjadi VCO Untuk Peningkatan Kesehatan
Authors: Samodra Galih , Adita
Published: July 2024

The Rempoah village community has abundant natural resources of coconuts. The use of coconuts is still very small, where the only parts used are the fruit and coconut water. In the pharmaceutical world, coconut oil traditionally produces a by-product in the form of coconut pulp which has low economic value. Therefore, efforts are needed to create alternative soap that utilizes local resources with the same benefits. This PkM activity aims to increase community knowledge and skills regarding the use of natural resources related to coconuts in the production of making soap from oil and coconut dregs. The problem solving solution offered is a participatory approach with counseling and training methods. Indicators of achieving the objectives of this activity are increasing community knowledge and skills and the availability of soap products. The results of this activity can increase the knowledge and skills of the Rempoah Village community in producing soap made from oil and coconut dregs by utilizing natural resources through training activities.
Edukasi Literasi Digital Untuk Peningkatan Kualitas Siswa Dalam Memahami Internet of Things (IoT) dan Profesi dalam Bidang IT
Authors: Mandela Nelson , Pradana Awang , Junior Saputra , Gresia Celsia , Rizky Muhammad , Rahmat Rizal , Deswita Felisia
Published: July 2024

This community service is carried out at SMPN 14 Tarakan. This service activity aims to increase the digital literacy of junior high school students by using ICT-based learning media. This service activity has the aim of realizing that students at SMPN 14 Tarakan have basic knowledge in the field of technology, especially in the IT field. This activity is carried out in the form of socialization regarding technological advances in the current digital era which makes everyone have to adapt to these technological developments and the impact of these developments. this technology in the world of education as well as an introduction to internet of things technology, how the internet works and smart ways to use the internet, as well as an introduction to professions in the IT world. The final outcome that will be achieved from this service activity is increasing students' abilities in using computers as a tool for developing students' creativity in the world of education, apart from that, students also have literacy in the world of technology. The final outcome of this service activity is the publication of the results of this service in a service journal. This service activity is carried out in two stages, namely: The first stage is the planning and preparation stage. At this stage, an analysis of student needs is carried out as well as preparation of learning materials and methods. The second stage is the implementation stage. At this stage, students are socialized about digital literacy. This training uses ICT-based learning media, such as videos, animations and simulations.The results of this service show that the digital literacy of students at SMPN 14 Tarakan increased after attending the training. Increasing student digital literacy can be seen from Students' ability to understand the concepts and how technology works ,Students' ability to access information and resources effectively,Students' ability to analyze and evaluate information
Penyuluhan Branding Bagi Kelompok Wanita Tani Nua Luri Dalam Rangka Meningkatkan Nilai Jual Produk Hortikultura di Kelurahan Malumbi, Sumba Timur
Authors: Wadu Junaedin , Ndahawali Suryaningsih , Talakua Alfrian Carmen , Djoh Diana Andayani
Published: July 2024

ABSTRAK
Kelompok wanita tani Nua Luri merupakan kelompok tani yang mengusahakan produk  hortikultura di Kelurahan Malumbi Kecamatan Kambera, di Kabupaten Sumba Timur, karena mempunyai potensi sumber  daya lahan cukup serta didukung dengan irigasi teknis yang berada pada daerah tersebut,  sehingga hal ini menjadi peluang yang baik dan perlu dimanfaatkan oleh para petani. Produk-produk hortikultura  yang diusahakan cukup beragam mulai dari sawi, kankung, bayam, tomat, jagung manis, terong dan komoditas lainnya. Namun beberapa permasalahan seperti salah satunya adalah daya saing produk hasil pertanian belum begitu baik, dimana akan dapat menyebabkan nilai jual produk hortikultura menjadi rendah. Oleh karena itu untuk meningkatkan daya saing produk hortikultura bagi  kelompok tersebut maka diperlukan strategi pemasaran yang tepat, salah satunya dengan  memberikan merek/ branding pada produk pertanian. Kegiatan ini dilaksanakan pada kelompok  Wanita Tani Nua Luri di Kelurahan Malumbi, kecamatan Kambera, Kabupaten Sumba Timur.  Metode dalam kegiatan ini adalah memberikan penyuluhan dan pelatihan pelabelan dan  penggunaan kemasan pada produk hortikultura, selanjutya dilakukan demo secara langsung  terkait pengemasan dan pelabelan pada produk. Hasil pelatihan menghasilkan logo dan nama  produk fresh farm Nua Luri. Peserta antusias dan aktif mengikuti kegitan tersebut.
Pengembangan Jaringan Internet dalam Mendukung Pembelajaran di SD Negeri 2 Kebondalem
Authors: Mustofa Dinar , Prayoga Agung , Pandega Dimas Marsus , Wirasto Anggit , Saputra Dhanar Intan Surya
Published: July 2024

Perkembangan teknologi informasi dan komunikasi yang pesat saat ini telah memberikan dampak signifikan pada berbagai aspek kehidupan manusia, termasuk dalam bidang pendidikan. SDN 2 Kebondalem, sebuah Lembaga Pendidikan Negeri di Kabupaten Banjarnegara, menghadapi keterbatasan akses internet di wilayah pedesaan tempat sekolah berada. Meskipun telah menerapkan jaringan internet, cakupannya saat ini terbatas pada bagian TU dan Ruang Guru. Keterbatasan ini menghambat guru dalam mengakses materi pembelajaran dan modul, menghambat proses pembelajaran di sekolah tersebut. Kegiatan Pengabdian pada masyarakat ini bertujuan untuk mengembangkan jaringan internet di seluruh area sekolah guna mendukung proses pembelajaran di SDN 2 Kebondalem. Perbaikan ini diharapkan dapat mempermudah pertukaran data, meningkatkan efisiensi penggunaan perangkat, serta meningkatkan kapasitas guru dan siswa melalui penerapan sistem pembelajaran daring.
Cohesion and Coherence of Sandiaga Uno’s Speech in The Event High-Level Thematic Debate on Tourism United Nation General Assembly 2022
Authors: Solvandi Yori , Raflis Raflis
Published: July 2024

This research aims to describe the relationship between the form of cohesion and the meaning of coherence in the discourse analysis of Sandiaga Uno's Speech in the High Level Thematic Debate On Tourism United Nation General Assembly 2022. The frequency of use of cohesion markers and coherence varies in their use, in The subject of this study focused on sentences in speech texts.The theoretical research used in this research is Tarigan's theory which discusses aspects of cohesion and coherence. This research is the researcher himself with based on knowledge of theories regarding aspects of cohesion and coherence. This study used qualitative descriptive method Data were collected through observation methods. Then, the data is analyzed through the method of interpretive findings with the technique of collecting data taking notes techniques.The results showed that markers of cohesion and coherence were used in the script of Sandiaga Uno's speech. Shows the element of grammatical cohesion consists of elements of reference, subtitution, ellipsis, and conjuction. Then The lexical cohesion element consists of repetition, synonymy, antonymy, collocation. From the aspect of coherence observed through contradiction, contrast, and temporal coherence.
The Symbol of Illuminati in Murder Case as Seen in Dan Brown Angels and Demons
Authors: Yusuf Feby Meuthia , Rohana Sihotang Hendro Hotni
Published: July 2024

This research discusses a literary work by Dan Brown, namely a novel entitled Angels and Demons which was first published in 2000. Dan Brown is an American writer who was popular in the 2000s. Angels and Demons is a novel that tells readers about the struggle of a professor in solving an Illuminati symbol puzzle in a murder case that occurred at the Conseil Europeen pour la Recherche Nucleaire and the Vatican.This novel tells the story of a symbology professor, Robert Langdon, who tries to solve the mystery of the Illuminati symbol in a murder case committed by the Illuminati (an ancient underground fraternity group) who tried to destroy the Vatican. Where he got help from Vettra (adopted son of the murdered professor at CERN, Conseil Europeen pour la Recherche Nucleaire) who is also a researcher from the Conseil Europeen pour la Recherche Nucleaire.In analyzing the problems found, the author uses objective theory as a tool to solve problems. Through the use of this theory, the novel Angels and Demons becomes an object for analysis. To support objective theory, structural theory is used in this research. This theory is used to analyze the structures contained in the novel. This research will focus on analyzing the story in the novel. The approach used is a semiotic approach as a way to analyze the signs or symbols in the novel, and to connect the story and symbols in the novel with existing science and reality.After analyzing the novel, three main factors were found in the mystery of the Illuminati symbol. The first factor is the mystery of the emergence of the Illuminati in the case of the murder of a scientist with an Illuminati symbol stamped on his body. The second factor is the mystery of the Illuminati symbols that appeared in the murder case, and the last is about the motive for the theft and murder case that occurred among the Pope candidates who will take part in the Pope's selection at the Vatican.
MODERN BIOLOGICAL THERAPY OF PSORIASIS IN A MILITARY MEDICAL ORGANIZATION
Authors: Tarasenko G.N. , Prohorchik A.A. , Patronov I.V. , Malyarchuk T.A.
Published: July 2024

Psoriasis, one of the most common chronic skin diseases, is still a current problem in medicine. It is a systemic immune-associated recurrent dermatosis of a multifactorial nature. Modern knowledge defines psoriasis as a systemic disease which includes a complex of interdependent pathogenetic links, attaching great importance to immunological and exchange violations in an organism. Clinical manifestations of psoriasis is the most varied: from single rashes on the skin before the expressed changes of integuments, nail plates and damage to joints. The uthors presented a clinical case of successful treatment of psoriasis with the Russian-made biological drug Netakimab (Efleira) and believe that it opens new opportunities in therapy of severe forms of this disease.
COMPLEX REGULATION OF INTRACELLULAR SIGNALING PATHWAYS THROUGH A COMBINATION OF JANUS KINASE INHIBITORS, ERYTHROPOIETINS AND MELLITTINS
Authors: Volchek I.A. , Teryaev A.S.
Published: July 2024

Background. Necessary direction of modern pharmaceutical science is the regulation of intracellular signaling pathways. Currently used protein kinase inhibitors, mainly based on heterocyclic compounds, along with their high efficiency, cause a number of serious complications. Therefore, there is a need to find options for reducing the dose of these compounds while maintaining their therapeutic effect. One way to solve this problem is to create pharmaceutical compositions using substances with a synergistic effect. A necessary direction of modern pharmaceutical science is the regulation of intracellular signaling pathways. Currently used protein kinase inhibitors, mainly created on the basis of heterocyclic compounds, along with their high efficiency, cause a number of serious complications. This dictates the need to find options for reducing the dose of these compounds while maintaining their therapeutic effect. One way to solve this problem is to create pharmaceutical compositions using substances with a synergistic effect. Purpose. Evaluation of the effectiveness of pharmaceutical compositions of biologically active substances and Janus kinase inhibitors that improve bioavailability and/or have functional synergism. Materials and methods. The efficacy of compositions containing the Janus kinase inhibitors ruxolitinib and baricitinib was investigated in human cell cultures in vitro. Spontaneous and mitogen-induced synthesis of GM-CSF, IFNγ, IL-2, IL-4, IL-6, IL-8, IL-10, TNFα, and JAK1 by peripheral blood mononuclear cells of healthy donors was studied. Results. It was found that the Janus kinase inhibitors Baricitinib and Ruxolitinib significantly suppressed the synthesis of cytokines and JAK1 kinase by mononuclear cells. Moreover, in both cases, the addition of a pharmaceutical composition significantly increased the effect of the drugs and strongly inhibited the synthesis of JAK1 kinase.. The effects of erythropoietin and mellittin were nonspecific for different protein kinase inhibitors. Conclusions. The combination of Janus kinase inhibitors, erythropoietin and/or mellittin opens up the possibility of creating new pharmaceutical compositions and makes it possible to obtain a significant effect from the use of protein kinase inhibitors in lower doses, thus avoiding and neutralising many undesirable side effects.
USE OF REMOVED FLAPS OF THE NASAL CAVITY MUCOSA IN PLASTY OF PERFORATIONS OF THE NASAL SEPTUM
Authors: Kovalev M.A.
Published: July 2024

Background. Perforation of the nasal septum (NSP) is a persistent through defect in the nasal septum (NS) that results in a change in the nature of airflow and pathological communication between both the two halves of the nasal cavity. The incidence of this pathology in the population is approximately 1%. Purpose. To evaluate the effecacy of methods of using displaced nasal mucosa flapsin plastic surgery of nasal septum perforations. Materials and methods. 24 patients with symptomatic NSP, aged between 18 and 50 years, underwent surgical treatment. The patients were divided into 2 groups: group 1 included 14 patients with traumatic perforations (12 of them were postoperative NSP, 6 patients had a deviated nasal septum), group 2 included 10 patients with idiopathic NSP. The surgical tactics was to creat a displaced P. Castelnuovo flap on one side and forming a rotational flap over the edge of the NSP on the other side. In the presence of clinically significant curvature of the NSP, appropriate correction of the NSP was performed. Results. Complete intraoperative closure of the NSP was achieved in all 24 cases. In group 1, 50% used only a unilateral ethmoidal artery flap due to the inability to create a full second rotation flap. During the year of observation after surgery in group 1, there were 5 relapses (36%) of PPN in patients who underwent unilateral ethmoid artery flap closure of the NSP.. In group 2, there was 1 relapse (10%) 6 months after surgery. Conclusions. The use of a technique for closing NSP by combining overly rotated NSP and flaps placed on the ethmoidal arteries is effective in 90% for closing idiopathic NSP and in 64% for traumatic NSP. The main factor influencing the effectiveness of NSP repair is the preservation of the NSP tissues and the absence of inflammation at the edges of the the nasal septal perforation.
STYLOHYOID SYNDROME. A LITERATURE REVIEW AND CLINICAL CASE DESCRIPTION
Authors: Fetisov I.S. , Golubcov A.K. , Grachev N.S. , Sya-Tun-Chin R.B.
Published: July 2024

Stylohyoid syndrome is one of the causes of chronic pain in the head and neck. The cause of the appearance of the stylohyoid syndrome is hypertrophy of the styloid process. The etiology of hypertrophy of the styloid processes has not been fully studied. The linical manifestations are diverse. There are two groups of manifestations of stylohyoid syndrome, head and neck complaints and vascular disorders. A diagnosis requirescomputed tomography with 3D reconstruction. Treatment can be conservative and surgical. Surgical treatment is performed through an intraoral or transcervical approach. The author describes his own clinical observation of a 62-year-old man who was diagnosed with stylohyoid syndrome. Bilateral styloidectomy was performed using an intraoral approach. The patient was monitored for 4 months postoperatively, characterised by resolution of pain complaints.
CLINICAL CASE OF THE COMBINATION OF CONCHA BULLOSA AND MIDDLE TUNALE HYPERTROPHY
Authors: Shirokaya A.V. , Morozov I.I. , Gorbunova N.V.
Published: July 2024

Bullous middle turbinate (concha bullosa) is one of astructural variants, characterized by varying degrees of pneumatization of the middle turbinate and an incidence rate from 14% to 53%. Clinical description: a 42-year-old woman was admitted with complaints of nasal congestion, nasal breathing difficulties, and recurrent rhinosinusitis. Anterior rhinoscopy revealed a large bulla of the middle turbinate on the right, pushing the nasal septum to the left. Computed tomography of the sinuses in the right half of the nose showed that the bulla of the middle turbinate was 22x25x15 mm (Figure 2), the posterior part of the middle turbinate was hypertrophic, exceeding the size of the inferior turbinate and pushing the nasal septum to the leftEndoscopic resection of the lateral wall of the concha bullosa, partial resection of the horizontal plate of the middle turbinate, followed by lateralisation and partial resection of the posterior end of the right middle turbinate were performed under general anaesthesia. At the follow-up examination 3 months later, the patient had no complaints; during the endoscopic examination, the nasal septum was in the midline, the area of the right middle nasal meatus was wide, epithelialized, the anastomosis of the maxillary sinuses was patent. Conclusions: this clinical case is particularly interesting because of the rare combination of a large bulla of the middle turbinate and hypertrophy of the posterior part of the middle turbinate with displacement of the structures of the nasal cavity in the opposite direction.
MEDICAL REHABILITATION OF VISUALLY STRESSED LABOUR PATIENTS WITH ACCOMMODATIONAL ASTHENOPIA — HISTORICAL AND MODERN ASPECTS
Authors: Yudin V.E. , Yaroshenko V.P. , Ovechkin I.G. , Gatilov D.V. , Kosukhin E.S.
Published: July 2024

The medical rehabilitation of patients with symptoms of accommodative asthenopia working at high visual demands is an urgent public health task, since an increase in the prevalence of this condition will not only lead to more health problems, but is also a risk factor for a significant decrease in labor productivity. Historically, the development of medical rehabilitation has been carried out from single to complex effects of various physical factors on the organ of vision. Modern approaches to medical rehabilitation of patients with accommodative asthenopia are based on the methodological principles of carrying out a set of therapeutic and diagnostic measures (personalization, complexity, consistency, standardization, repeatability), the main of which is personalization connected with determining the form of asthenopia (habitual excessive stress of accommodation or asthenic form of accommodative asthenopia).
THE CONTRIBUTION OF ORGANIZATIONS SUBORDINATE TO THE MINISTRY OF SCIENCE AND HIGHER EDUCATION OF THE RUSSIAN FEDERATION TO THE ACTIVITIES OF MOBILE MEDICAL UNITS OF THE ALL-RUSSIAN DISASTER MEDICAL SERVICE
Authors: Maev E.Z. , Kataev A.S. , Kobeleva V.V. , Ryabkova K.A. , Suvorov A.S.
Published: July 2024

The article examines the issues of organizational, methodological and personnel support, formation and coordination of the work of mobile medical teams and field hospitals of the Federal Center for Disaster Medicine in the context of the activities of organizations subordinate to the Ministry of Science and Higher Education of the Russian Federation. The authors analyzed the activities of these organizations as part of the medical forces of the All-Russian Disaster Medical Service in the period from 2021 to 2023. The issues of interaction between the Ministry of Education and Science of the Russian Federation and the day-to-day management body of the All-Russian Disaster Medical Service are analyzed. The model of involvement of medical forces of the Ministry of Education and Science of Russia in the Disaster Medicine Service at the federal level is proposed.
SUPERFICIAL CANDIDIASIS IN CLINICAL PRACTICE OF DERMATOVENEROLOGISTS AND RELATED SPECIALISTS
Authors: Sokolova T.V. , Gladko V.V. , Malyarchuk A.P. , Gura O.V. , Iсhshneli N.G.
Published: July 2024

Candidiasis of the skin and/or mucous membranes is an important interdisciplinary problem. The etiological factor is conditionally pathogenic representatives of the microbiocenosis of human skin. Their activation under the influence of many exo- and endogenous factors, among which medications play a significant role, leads to clinical manifestations on the skin. The purpose of the study is to examine the features of the course of superficial candidiasis in clinical outpatient practice and to analyze the shortcomings in the choice of diagnostic methods and treatment tactics. The article is based on the examination and treatment of 113 patients with superficial candidiasis and a retrospective analysis of 251 outpatient records of patients with atopic dermatitis. The diagnosis of candidiasis of the skin and/or mucous membranes was confirmed clinically and laboratory. The diagnostic errors are systematized and combined into 7 groups. The illustrations of the clinical cases are presented.
TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT IS A NEW STANDARD FOR TREATMENT OF CHYLUS ASCITES ASSOCIATED WITH LIVER CIRRHOSIS
Authors: Karpova R.V. , Zubritsky V.F. , Molodova P.M. , Vasalatiy I.M. , Neustroev F.S.
Published: July 2024

The article describes a clinical case of treatment of refractory chylous ascites using TIPS in a patient with cirrhosis of the liver who underwent 2 operations disconnecting the portacaval system: ligation of the varicose veins and the Patziora operation (division of the portal and azygos veins). As a result of the treatment, the patient was discharged from the hospital in satisfactory condition; during a further 7 months of outpatient observation, there were no relapses of chylous ascites or other signs of free fluid accumulation in the abdominal cavity. The proposed treatment method is particularly important because chylous ascites is a rare complication of liver cirrhosis, with a mortality rate of 40–70%. The question of the optimal treatment tactic remains relevant. The general initial approach to treatment is the administration of diuretics and correction of the patient's diet: reducing salt and fat intake; if ineffective, laparocentesis is used. Since CA's aetiopathogenesis is based on portal hypertension syndrome, the operations of choice have become various options for porto-caval shunting or uncoupling operations for decompensation of portal hypertension, such as the Patziora operation. Still, the safest and most reliable approach is transjugular intrahepatic portosystemic shunting.
Prevalence of Functional Gastrointestinal System Disorders Associated with Abdominal Pain in 6th, 7th and 8th Grade Students of Izmit Primary Schools
Authors: TOPTAŞ Mehmet
Published: July 2024

Purpose: This study is intended to determine the prevalence of functional gastrointestinal disorders associated with abdominal pain and the symptoms pertinent to these diseases in 6th, 7th, and 8th grade students in Izmit primary schools. Subject and Method: A total of 998 participants consisting of 6th-7th-8th grade students from five primary schools in Izmit were included in the study. The Roma III questionnaire, which questions the symptoms of functional gastrointestinal disorders, and a questionnaire revealing their sociodemographic characteristics were conducted on the participants. Results: In our study, 9.3% of 998 adolescents with a mean age of 13.03 years had at least one functional gastrointestinal disorder (FGD) associated with abdominal pain. The most commonly detected disorders were abdominal migraine (4.8%) and Irritable Bowel Syndrome IBS (3.9%), respectively. Functional dyspepsia (FD) turned out in 2.6%, while FGD associated with Abdominal Pain (FAPS) revealed in 0.8% and Functional Abdominal Pain (FAP) in 2.2%. Conclusion: Symptoms related to functional gastrointestinal disorders are frequently encountered in 10-15 year old students. This situation reduces their quality of life, and in turn their school attendance and may cause a decrease in their school success. Screening and treatment of these symptoms is of great importance in the primary step. The conduct of the Roma III questionnaire, which we adapted to Turkish, to patients with gastrointestinal complaints may facilitate the work of physicians.
Paraplegia and Pregnancy: A Rare Case of Autonomic Dysreflexia
Authors: Saad Khairoun , Chakib Touih , Hounaida Mahfoud , Samia Tligui , Nezha Oudghiri , Rajae Tachinante
Published: July 2024

Paraplegia involves the loss of motor and sensory functions in the trunk, lower limbs, and pelvic organs. While primarily traumatic, paraplegia can also stem from medical conditions. Women with spinal cord injury (SCI) can still conceive, but pregnancy carries unique risks, particularly autonomic hyperreflexia (AHR), a serious condition due to disrupted hypothalamic control over spinal reflexes. AHR, occurring in about 85% of pregnant women with SCI at or above the sixth thoracic vertebra, manifests as severe hypertension, headache, and cardiac arrhythmia, and can cause significant maternal-fetal morbidity. Pregnancy in women with SCI sees a 25% higher complication rate, including urinary tract infections, pressure ulcers, impaired pulmonary function, anemia, and venous thromboembolism. Urinary complications are common; regular monitoring and self-catheterization are recommended. Vaginal delivery is preferred unless AHR necessitates a cesarean section. Neuraxial analgesia is advised to reduce spasticity and prevent AHR during labor. Postpartum, local anesthetics should be extended to prevent AHR, ensuring better outcomes for both mother and child.
Mediterranean Spotted Fever: Epidemiological, Clinical, Paraclinical, and Evolutionary Aspects: About 12 Cases
Authors: Danaoui Khadija , Fargani Rania El , Driss Wiame Ait , Idalene Malika , Tassi Noura
Published: July 2024

Mediterranean spotted fever (MSF) is a disease caused by an obligate intracellular bacterium: Rickettsia conorii, which infects humans through a vector (the brown dog tick). The first case of this infection was reported in Tunis in 1910 [1], and the characteristic inoculation lesion of the infection, or "black spot," was subsequently described in 1925 in Marseille. In 1930, the role of the brown dog tick Rhipicephalus sanguineus in transmitting the disease was discovered [2], and the causal bacterium, R. conorii, was identified [2]. Through this retrospective study, we present an analysis of all patients treated for rickettsiosis between 2008 and 2022 at the infectious diseases department of CHU Mohamed VI in Marrakech, addressing epidemiological, clinical, paraclinical, and evolutionary aspects. Diagnosis should prompt immediate treatment with doxycycline to prevent any progression of the disease to severe forms, especially in patients with comorbidities.
Wilson’s Disease in Children (About 52 Cases): Diagnostic and Therapeutic Difficulties
Authors: Afif A. , Kadraoui R. , Lagrine M. , Elqadiry R. , Nassih H. , Bourrahouat A. , Sab I. Ait
Published: July 2024

Wilson's disease is an autosomal recessive inherited metabolic disease. It is characterized by toxic accumulation of copper in the body, mainly in the liver, central nervous system, and cornea. The aim of this work was to report our service's experience regarding the diagnostic, therapeutic, and evolutionary management of Wilson's disease. We conducted a descriptive and analytical retrospective study at the Pediatric B department of the Mohammed VI University Hospital Center in Marrakech over a period of 13years. Fifty-two cases of Wilson's disease were identified, with of which the average age at diagnosis was 10 years with extremes varying between 5 and 15 years. A male predominance of 54% was found, with a sex ratio of 1.15. Consanguinity was present in 32 cases. Clinical signs at admission were predominantly cholestatic jaundice in 38% of patients. Neurological signs, within an extrapyramidal syndrome, were found in 18 patients. Kayser-Fleisher rings were found in 35 children. Five patients were diagnosed through family screening. Biologically, a decrease in prothrombin levels at the time of diagnosis was found in 46 patients with cytolysis in 50 cases. Serum ceruloplasmin level was lowered in 46 patients, serum copper level was decreased in 41 patients, and urinary copper excretion was increased in 49 patients. Hemolytic anemia was found in 14 patients. Abdominal ultrasound revealed signs of portal hypertension on cirrhotic liver in 26 patients. Genetic testing was performed in 12 patients, revealing six different homozygous mutations in the ATP7B gene, except for 2 patients in whom no mutations were detected. Regarding treatment, D-Penicillamine is the cornerstone of Wilson's disease treatment, initiated in all patients along with adjunctive therapy and a low-copper diet, except for patients diagnosed through screening who were directly started on zinc acetate.
Neonatal Mortality: Experience of Pediatric Emergency Department
Authors: Dahni R. , Moussaoui S. El , Lahmini W. , Bourrous M.
Published: July 2024

Introduction: Neonatal mortality is a global health problem that has been at the heart of World Health Organization (WHO) programs for more than 30 years. In Morocco, it represents a real scourge and remains high despite the efforts made by the Ministry of Health. We conducted this study to assess the prevalence of neonatal mortality, determine its causes and risk factors, and propose preventive measures to reduce this rate. Methods: This was a retrospective descriptive and analytical study conducted over a period of four and a half years, from January 2016 to June 2020, in the Pediatric Emergency Department of the Centre Hospitalier Universitaire Mohamed VI in Marrakech. Results: We recorded 268 deaths, representing a neonatal mortality rate of 18.3%, with a preponderance of early neonatal deaths (73.9%). The sex ratio was 1.45 in favor of males. Mean age at death was 6.5 days. 70% of pregnancies were poorly attended, medical deliveries accounted for 86% in our serie, and 90.5% of deliveries were vaginal. The majority of deaths occurred in parturients aged between 20 and 29 years (57.3%), and 28.5% of deaths occurred in primiparous women. The prematurity rate was 49.2%, and 58% of the newborns who died had a low birth weight. Prematurity was the leading cause of neonatal mortality (49.2%), followed by neonatal infection (38.5%) and perinatal asphyxia (12.3%). Conclusion: Effective management of pregnancy and the newborn in the first week of life should improve neonatal prognosis.
Use of Different Haematological Parameter as a Predictor of Complicated Appendicitis
Authors: Hosain Dr. Md. Yeakub , Hossain Dr. Md. Jakir , Azad Dr. Md. Mahbub , Reza Dr. Shahin , Kabir Dr. Mohmmad Shahin
Published: July 2024

Background: Acute appendicitis is the most common indication for emergency abdominal surgery. The diagnosis of appendicitis depends on the subjective criteria of clinical examination. However, distinguishing acute complicated appendicitis and uncomplicated is often difficult especially in the elderly population that usually not clinically specific unless it has developed into generalized peritonitis. Between the complicated and uncomplicated should be distinguished because of different surgical approaches. Haematological parameters are needed that would lead to early diagnosis. These tests are not only cheaper, but also feasible and available in peripheral hospitals compared to other supports such as USG, CT scan. Aims: To evaluate the predictive value of different haematological parameter in the diagnosis of acute complicated appendicitis. Methods: This prospective observational study was conducted in the Department of Surgery, Dhaka Medical College & Hospital over a period of one year. The patients who were admitted as suspected case of acute appendicitis are enrolled in this study. Data were collected in a pre-designed data collection sheet including particulars of the patients, detailed history, clinical examination, pre-existing co-morbidities and relevant investigations. Results: The mean age was found 27.66±10.62 years and 30.73±13.16 years in complicated and uncomplicated appendectomy. No significant difference of age between complicated and uncomplicated appendicectomy. Male patients were significantly higher in in complicated appendicitis group (p<0.05). Among 170 patients, 77 were found complicated appendicitis and 93 were uncomplicated appendicitis. There were statistically significant differences between the groups in WBC, NEU, LYM, NLR, CRP. The cut-off values of NLR, WBC, and NEU were 4.57, 15150x109/L, and 77.5x109/L, respectively for complicated appendicitis. The cut off value of CRP, platelet count was 4.50 mg/dl and 235.0 for complicated .........
Glucose Triglyceride Index as A Predictor of Coronary Artery Severity Assessed with Syntax Score in Acute Coronary Syndrome Patients
Authors: Islam Dr. Shah Md. Nahid Aktarul , Uddin Prof. Syed Nasir , Ahmed Prof. Mohsin , Khan Dr. Sayeedur Rahman , Islam Dr. Md. Shariful , Zahan Dr. Akter
Published: July 2024

Background: Cardiovascular diseases (CVDs) are a major public health issue around the world. The TyG index has been identified as a credible alternative marker of insulin resistance (IR), which may explain its relationship to CVD. Aim of the Study: The aim of our study was to assess the angiographic severity of coronary artery disease in patients by the SYNTAX score. Methods: This cross-sectional observational study was conducted in the department of Cardiology, National Institute of Cardiovascular Diseases and Hospital (NICVD), Dhaka, Bangladesh, from September 2021 to August 2022. The study included 200 patients. All acquired data was entered into a Microsoft Excel Work Sheet and analyzed using descriptive statistics in SPSS 24.0. Results: The mean age (in years) for Group 1 was 60.20±4.65 (SD) years, and that for Group 2 was 63.03±6.16 (SD) years. Patients with a high TyG index (OR - 5.27, 95% CI (1.71-16.19)) had a significantly 5.27 times higher chance of having intermediate to high SYNTAX scores than patients with a low TyG index. Male patients had 1.39 times more chances of having intermediate to high SYNTAX scores (≥23) than female patients. High TyG index had significantly 4.81 times higher chances of having intermediate to high SYNTAX score (≥23) than the patients with low TyG index. TyG index and SYNTAX score was significantly positively correlated (r=+0.626, p<0.001) for NSTEMI Patients. Conclusion: This study found that the high TyG index had a significant positive association with intermediate to high SYNTAX scores, which indicates disease severity.
C-E Translation Process Analysis of Chapter VI in the Book on Chinese Drum Culture in CEA Framework
Authors: Yizhuo Guo , Lingzhu Ji
Published: July 2024

Translation is a process of conveying information, promoting the dissemination of an author’s thoughts in other countries. Chinese drums play an important role in Chinese culture. It has been widely used in various traditional and religious celebration and also in warfare to command armies. The translation of Chapter VI from the book On Chinese Drum Culture facilitates the target readers’ understanding of the significant role of drums in ancient Chinese military affairs. Based on the translation practice, the student translator utilizes the framework of “Comprehension, Expression and Adaptation” proposed by Professor Li Changshuan from Beijing Foreign Studies University to discuss the challenges the translator encountered in comprehending the source text, conveying its meaning and adapting the language, along with corresponding solutions.
Acute Pancreatitis and Diabetes Mellitus—A Relation
Authors: Batta Dr. Anil
Published: July 2024

Diabetes following acute pancreatitis (AP) is becoming increasingly recognized. It is unclear what subtype of diabetes mellitus (DM) occurs; however, type 3c diabetes mellitus (T3cDM) is gaining increasing recognition. Type 3c diabetes (also known as pancreatogenesis diabetes) is diabetes that comes secondary to pancreatic diseases, involving the exocrine and digestive functions of the pancreas. It also occurs following surgical removal of the pancreas. Around 5–10% of cases of diabetes in the Western world are related to pancreatic diseases. Chronic pancreatitis is most often the cause. Diabetes can also develop as a direct consequence of other diseases, including diseases of the exocrine pancreas. Historically, diabetes due to diseases of the exocrine pancreas was described as pancreatogenic or pancreatogenous diabetes mellitus, but recent literature refers to it as type 3c diabetes. It is important to note that type 3c diabetes is not a single entity; it occurs because of a variety of exocrine pancreatic diseases with varying mechanisms of hyperglycaemia. It has been observed that some patients have transient hyperglycaemia following AP episode with a subset developing persistent impaired glucose metabolism; however, the exact timeline is not well defined. The data on risk factors for developing DM after AP is limited and mixed; however, it is likely that severity of AP may impact the propensity to develop DM. The endocrine and exocrine pancreas are closely linked, and studies have found significant overlap in dysfunction of both after AP. Finally, there are some data to suggest that diabetes predisposes patients to structural changes in the pancreas and increased risk of developing AP.
The Correlation of HbA1c with Serum Electrolytes among Type 2 Diabetic Patients in Atbara, River Nile State, Sudan
Authors: Seed Khalda Sid Ahmed M. , Noor Sufian Khalid M. , Mahjaf Ghanem Mohammed , Hamad Mosab Nouraldein Mohammed
Published: July 2024

Background: Diabetes mellitus in Sudan is a growing health problem that is associated with poor glycemic control in all socio-economic classes. This is a study that was conducted in Naserldeen Karamalla diabetic center located at Atabara River Nile state. Aims: The study aimed to evaluate the relationship between glycated hemoglobin (HbA1c) and serum electrolytes in type 2 diabetic patients. Methods: The present study was a Cross-sectional, descriptive hospital-based study. A total of 500 type 2 diabetics with ages ranging from 15 to 87 years volunteered to participate in this study. The glycated hemoglobin (HbA1c), and serum electrolyte & were measured with standard procedure. The statistical analysis was done by using SPSS version 20. Results: The mean HbA1c was 10.8±6.6 %. (96.6%) of the patients who had poor glycemic control (HbA1c >60.5) the mean Mg, Ca, Na, K, and Cl was 2.06±0.68, 9.1 ±3.7, 140.9 ±7.0, 3.9 ±0.41 and101.04 ±7.7 respectively. In this study, the correlation between Mg+2 and HbA1c was statistically insignificant (P. value =0.765) and between Ca 2+ and HbA1c was statistically insignificant (P. value = 0.586). Insignificant correlation between Na+ and HbA1c P value = 0.283). An inverse relation between HbA1C and K+ (P. value = 0.020). Conclusion: HbA1c and serum potassium were negatively correlated while sodium, calcium, magnesium, and chloride had an insignificant correlation.