bluuebunny/crossref_metadata_2025 huggingface dataset:
Analisis Keterkontrolan Model Penyebaran Virus Polio Tipe Vaccine-Derived Polio Virus (VDPV) dan Wild Polio Virus (WPV)
Authors: Cahyaningtias Sari , Putri Rani Kurnia
Published: May 2021

Abstract, Administering vaccines is important as an effort to eradicate polio which is spread by polio virus through physical contact from person to person and exacerbated by an unhealthy sanitation environment. Giving this vaccine does not mean without side effects, administering an oral vaccine (OPV) without proper calculation causes the person given the vaccine to be contract the virus, the truth is, vaccine contains a weakened virus. Therefore, control in administering vaccines is important to do.The polio virus is transmitted to people with weak immune systems and poor sanitation environment, called WPV (Wild Polio Virus). Another impact that is feared from giving OPV is the occurrence of Vaccine Derrived Polio Virus (VDPV), a condition in which the polio virus mutates to become malignant and gives rise to a new type of polio virus. In this study, the mathematical model of the polio virus distribution was formed into a system of non-linear dynamic equations which then carried out a control analysis of the dynamic system of distribution polio by establishing the vaccination rate as the control of the system. The results of the control analysis show that the system can be controlled with the control variables given, namely (1) the level of vaccination of vulnerable children; (2) vaccination rates of vulnerable children without vaccines.

Keywords: equilibrium point, control, vaccination level, polio type VDPV and WPV

 

Abstrak, Pemberian vaksin penting dilakukan sebagai upaya pemberantasan penyakit polio yang disebarkan oleh virus polio melalui kontak fisik  dari orang ke orang dan diperparah dengan lingkungan sanitasi yang tidak sehat. Pemberian vaksin ini bukan berarti tanpa efek samping, pemberian dosis vaksin oral (OPV) tanpa perhitungan yang tepat menyebabkan orang yang diberi vaksin dapat terjangkit virus tersebut, karena sejatinya, vaksin berisikan virus yang telah dilemahkan. Oleh sebab itu, kontrol dalam pemberian vaksin, penting untuk dilakukan. Virus polio yang menular ke orang  dengan daya tahan tubuh lemah dan lingkungan sanitasi yang buruk, disebut dengan WPV (Wild Polio Virus). Dampak lain yang dikhawatirkan dari pemberian OPV adalah terjadinya Vaccine Derrived Polio Virus (VDPV) yaitu suatu keadaan dimana virus polio bermutasi menjadi ganas dan menimbulkan virus polio tipe baru. Pada penelitian ini, model matematika dari persebaran virus polio ini dibentuk kedalam system persamaan dinamik tak linier yang kemudian dilakukan analisis keterkontrolan dari sistem dinamik persebaran polio tersebut dengan menetapkan tingkat vaksinasi sebagai control dari sistem. Hasil analisis keterkontrolan menunjukkan bahwa system dapat dikontrol dengan variabel kendali yang diberikan, yaitu (1) tingkat vaksinasi anak-anak rentan; (2) tingkat vaksinasi anak-anak rentan tanpa vaksin.

 Keywords:  titik kesetimbangan, keterkontrolan, tingkat vaksinasi, polio tipe VDPV dan WPV
Analisa Penumpang dengan Metode SARIMA (Studi Kasus: Bandar Udara Raja Haji Fisabilillah)
Authors: Astutik Yayuk Setyaning
Published: May 2021

Raja Haji Fisabilillah International Airport is an airport in Tanjungpinang and it is quite high in service levels for the flow of passengers and goods. Based on the data from Airport Quality Angkasa Pura II, the passengers growth has both decreased and increased in the last 3 (three) years. In 2015, there were 258,936 people in total and has decreased to 246,828 people in 2016 and increased again in 2017 by 351,688 people. Therefore, it is necessary to evaluate the terminal of Raja Haji Fisabilillah International Airport. The methods used are observation and forecasting using the SARIMA. The evaluation and analysis results show that the terminal of Raja Haji Fisabilillah International Airport still meets the applicable standards and passenger movements for the next year 2020 indicate that all equipment facilities for the needs of terminal passengers of Raja Haji Fisabilillah International Airport are still adequate.
Pengaruh Tarif terhadap Pemilihan Moda Transportasi Online dan Konvensional Di Kota Banyuwangi
Authors: Hardiyanti Siska Aprilia , Wari Wahyu Naris , Romadi Anggi Syahrul
Published: May 2021

Transportasi yang aman dan nyaman merupakan beberapa alasan responden untuk memilih moda transportasi yang akan digunakan untuk mencapai tempat tujuan. Hal inilah yang menjadi permasalahan di Kabupaten Banyuwangi semenjak mulai berkembangnya transportasi berbasis aplikasi online di Kabupaten Banyuwangi pada awal tahun 2017. Saat ini di banyuwangi telah ada beberapa penyedia aplikasi untuk memesan kendaraan atau transportasi online. Seperti Grap Car dan Go Car. Transportasi online dan transportasi konvensional memiliki kelebihan dan kekurangan masing-masing sehingga dapat mempengaruhi pelaku perjalanan dalam memilih moda transportasi tersebut. Tujuan dari penelitian ini adalah untuk mengetahui karakteristik pelaku perjalanan dan probabilitas pelaku perjalanan dalam memilih moda transportasi. Penelitian ini menggunakan metode stated preference, kemudian diolah dengan model logit binomial. Survei dilaksanakan dengan penyebaran kepada 100 responden. Pada selisih tarif (X1) probabilitas transportasi online 75%, probabilitas transportasi konvensional 25%. Persamaan utilitas yang didapatkan adalah Y = 1.143+0.000X1.
Implementasi Metode Improved K-Means dengan Algoritma Dbscan untuk Pengelompokan Film
Authors: Muhajir Muhammad , Sari Annisa Ayunda Permata
Published: May 2021

The Indonesian film industry continues to experience an increase seen from the number of films that appear in theaters today with a box office increase of 28 percent each year in the past four years. Internet Movie Database (IMDb) is a website that provides information about films around the world, including the people involved in it from actors, directors, writers to makeup artists and soundtracks. In this case the researcher wants to conduct research on the characteristics of the film and the factors that make a film to be included in the IMDb Top 250. The data used in this study uses scraped data from the website. The method used is a non-hierarchical clustering method, namely kmeans and Dbscan. Where the Dbscan algorithm is used to determine the optimum number of clusters then proceed by grouping data based on centroids with k-means algorithm. From the analysis it was found that the factors that could influence a film included in the IMDB Top 250 were duration, number of votes, and films directed by Rajkumar Hirani and the optimal number of clusters using Dbscan algorithm obtained six clusters. With the improved k-means algorithm, the accuracy value for the cluster results is 87.2%.
Penerapan Metode Inquiry-Based Learning Dalam Upaya Peningkatan Hasil Belajar Matematika Tentang Himpunan
Authors: Sungkono Sungkono
Published: May 2021

In mathematics learning especially in the material of assemblies in class VII-B MTs Negeri 2 Mojokerto in the 2018/2019 academic year, there are many obstacles. The lack of students' ability to understand the set material can be seen from the results of initial observations by the researcher. The subject of this research are 37 students consisting of 9 boys and 28 girls, the initial student abilities were identified as follows: (a) very good of 7 people or 18.92%; (b) either of 7 people or 18.92%; (c) sufficient of 5 people or 13.51%; (d) less of 13 people or 35.14%; and (e) very less of 5 people or 13.51%. This research applied the inquiry-based learning method to improve mathematics learning outcomes. This research was conducted with a classroom action research design with two cycles. Based on the results and discussion, it was concluded that student learning outcomes before using the inquiry-based learning method were categorized as poor with a percentage of 59.56%. After using the inquiry-based learning method in learning, there was an increase in learning outcomes in a good category, reaching 75.80% in cycle I, and an increase in cycle II reaching a percentage of 83.40%. The level of student learning success in cycle I was 80.67%, increasing to 86.13% in cycle II.
Analisis Diskriminan Terhadap Pengelompokan Mutu Pendidikan Sekolah Menengah Atas di Kabupaten Lamongan
Authors: Billah Mu’tasim , Chandra Novita Eka , Amiroch Siti
Published: May 2021

Quality of education is the educational services ability that can fill the needs or expectations, satisfaction internally and externally which includes educational inputs, processes and outputs. The purpose of this reserach is to classify the quality of high school education in Lamongan District using factor, cluster and discriminant analysis. The dominant factors of 12 education quality variables can be known from the results of factor analysis using the PCA (Principal Component Analysis) method. The grouping of 48 high schools did by cluster analysis using 5 hierarchical methods. The validity index used to determine the optimal group number of the five hierarchical methods is RMSSTD (Root Mean Square Standard Deviation). The classification accuracy testing uses discriminant analysis based on the results of factor analysis and cluster analysis. Grouping the quality of education is influenced by dominant factors such as the number of classrooms, the value of accreditation, the number of certification and non-certification teachers, the number of education staff, the ratio of students to teachers, the number of laboratory rooms that can be known from the results of factor analysis. In cluster analysis, using the Mahalanobis distance because there is multicollinearity and the smallest RMSSTD index value obtained in the Complete Linkage method with 5 clusters. So, with discriminant analysis, it can be concluded that the grouping based on factor analysis and cluster analysis is 58.3% of the 48 processed data that has been entered in the group that matches the original data.
Implementasi Fuzzy C-Means dan Possibilistik C-Means Pada Data Performance Mahasiswa
Authors: Apsari Gadis Retno , Pradana Mohammad Syaiful , Chandra Novita Eka
Published: May 2021

Students are the most important component in a university, especially private universities especially Universitas Islam Darul ‘ulum (Unisda) Lamongan. One of the most important roles of students for higher education is achievement. This study aims to determine the role of Fuzzy Clustering in classifying student performance data. The data includes GPA (Grade Point Average), ECCU (Extra-Curricular Credit Unit), attendance, and students' willingness to learn. So that groups of students who have the potential to have achievements can be identified. In this case, the grouping of student performance data uses Fuzzy Clustering by applying the Fuzzy C-Means (FCM) and Possibilistic C-Means (PCM) algorithms with the help of Matlab. In the FCM algorithm, the membership degree is updated so as to produce a minimum objective function value. Meanwhile, the PCM algorithm uses a T matrix, which shows the peculiarities of the data which are also based on minimizing the objective function.
Pemodelan Regresi Cox Proportional Hazard Pada Data Perceraian
Authors: Abidin Haykal , Chandra Novita Eka , Pradana Mohammad Syaiful
Published: May 2021

The purpose of this research is modeling the Cox proportional hazard regression form on divorce data in Pelaihari sub-district, Tanah Laut district, South Kalimantan province. The source of the data comes from the Court Decision in Pelaihari District, Tanah Laut Regency, South Kalimantan. The data analysis technique uses software R with the steps, namely data description, Log-Rank test, checking proportional hazard assumptions, Cox regression model parameter estimation, backward selection with AIC, the best model parameter significance test, calculating Hazard ratio and interpretation of each predictor variable. Based on the results of the analysis and discussion, it was found that for the Log-Rank test, the variable survival time for domestic violence, forced marriage, lying and stories of disgrace differed significantly. While the model that meets the criteria after iteration up to 15 times is the 15th model with the smallest AIC value and p-value <0.05 with factors that significantly influence divorce in Pelaihari sub-district based on modeling results using Cox proportional Hazard regression. are the variables of cheating, gambling, domestic violence, forced marriage, lies, jealousy and disgrace story variables
The Vaginal Speculum: A Review of Literature Focusing On Specula Redesigns and Improvements to the Pelvic Exam
Authors: Wong Kelly , Lawton Victoria
Published: May 2021

We reviewed scientific literature relating to the vaginal speculum considering the widespread use of this tool within women’s health. Through a literature review, it is clear that the speculum is not specialized enough to be used for all populations who require the procedure. Despite the fact that the current standard of care is not sufficient for all patients, evaluations of industry solutions are not evident in the current literature, explaining physician hesitancy to adopt these new devices. Additionally, while scholarly literature exists regarding overviews of the topic, novel designs, and general improvements for speculum usage in pelvic examinations, there are noticeable gaps in the scholarship regarding frequency of scholarly output and a blatant disregard for obese populations in vaginal speculum research. More scholarly literature must be published in order to improve awareness of the vaginal speculum and pelvic examinations so that women receive the best care possible. More specifically, novel designs must be evaluated for efficacy and comfort, and more research should be conducted on the pelvic examination procedure and its use on obese patients.
Cranial MRI Findings in Predicting the Severity of Hypoxic-Ischemic Encephalopathy in Term Neonates
Authors: Çoşkun Mehmet , Kalkanlı Oğuz Han , Çolak Rüya , Alkan Özdemir Senem , Gökmen Yıldırım Tülin , Çalkavur Şebnem , Gelal Fazıl
Published: May 2021

Objective: The aim of this study is to compare magnetic resonance imaging (MRI) findings with severity of hypoxic-ischemic encephalopathy (HIE) in term neonates. Methods: Sixty-three newborns with HIE in whom cranial MRIs were performed within the first 3 weeks of life between 2016 and 2020 were included in the study. Severity of HIE was graded using Sarnat & Sarnat staging. In statistical analysis, Stage 1 was considered as mild, Stage 2 or 3 as severe HIE. The signal intensities of perirolandic cortex, posterior limb of internal capsule (PLIC), globus pallidus, and cerebrospinal tract on T1- weighted imaging (T1WI), and of perirolandic cortex, PLIC, ventrolateral thalamus, lateral edge of putamen and tegmentum on T2WI, and brain diffusion weighted imaging (DWI) findings were evaluated with consensus by two radiologists blinded to clinical findings. Gestational age, birth weight and MRI signal intensities were compared with HIE groups using t test, and Fisher-Exact test. Results: There were 31 and 32 infants with mild and severe HIE, respectively. Gestational age and birth weight were not different between mild and severe HIE groups. The number of cases with abnormal signals in PLIC and globus pallidus on T1WI, and PLIC on T2WI were significantly higher in severe HIE (p=0.022, p=0.008, and p=0.032, respectively). The presence of signal abnormality in other regions and DWI were not significantly different between HIE groups. Conclusion: Cranial MRI may play a remarkable role in determining pattern and severity of HIE. Signal abnormality in PLIC and globus pallidus may suggest severe HIE in term neonates.
Nekrobiosis Lipoidica in a Pediatric Patient
Authors: Gökçek Gözde Emel , Şaka Özge Şeyda , Çölgeçen Emine , Borlu Murat , Canöz Özlem
Published: May 2021

Necrobiosis lipoidica is a rare chronic granulomatous disease that has historically been associated with diabetes mellitus, but recently it is thought to be secondary to microangiopathic changes. We report a necrobiosis lipoidica case of a five-year-old girl with diabetes since the age of two, because it is exceptionally unusual in pediatric diabetes. Necrobiosis lipoidica should be considered in pediatric patients with slowly expanded erythematous plaques and patches. This will help protect the patient from other important diabetic microangiopathic complications, such as nepropathy and retinopathy and also malignant progression, such as squamous cell carcinoma.
Evaluation of Inhaled Nitric Oxide Use in Patients with Pediatric Acute Respiratory Distress Syndrome
Authors: Atakul Gülhan , Ceylan Gökhan , Sarı Ferhat , Saraç Sandal Özlem , Topal Sevgi , Çolak Mustafa , Karaarslan Utku , Ağın Hasan
Published: May 2021

Objective: Nitric oxide therapy is not routinely used in the treatment of pediatric acute respiratory distress syndrome (PARDS), but it is recommended to be used as an adjunctive therapy in some selected cases. In our study, we aimed to discuss patients with PARDS who were treated with inhaled nitric oxide (iNO) therapy. Methods: The data of patients who were hospitalized in the pediatric intensive care unit with a diagnosis of PARDS and received iNO treatment between January 2016 and January 2018 were retrospectively analyzed. Age, gender, length of stay, mortality, number of days on mechanical ventilation, use of vasoactive drugs, mortality scores, lactate levels, OI (oxygenation index), PaO2/FiO2, methemoglobin levels, iNO administration time, echocardiographic findings and underlying primary diseases were recorded. Results: It was determined that 9 patients who were followed up with the diagnosis of PARDS were given iNO treatment. Except for one patient, they were diagnosed with pneumonia developing on the basis of chronic disease and PARDS secondary to septic shock. Five patients died while receiving iNO therapy. Seven patients were ventilated with iNO in addition to conventional mechanical ventilation methods. Two patients who died were ventilated with HFOV (high frequency oscillatory ventilation). In 3 of 9 patients, inhaled nitric oxide treatment was successful. Conclusion: Although inhaled nitric oxide treatment is a known treatment used in different diseases, the level of its effect in PARDS patients continues to be investigated. We think that this treatment can be beneficial when applied in selected patients and experienced centers.
Awareness and Knowledge Of Children With Asthma Who Treated With Subkutan Immunotherapy
Authors: Akçal Ömer , Taşkırdı İlke , Özen Selime , Akay Hacı İdil , Kaya Mehmet Şirin , Toprak Kanık Esra , Karaman Sait , Bahçeci Erdem Semiha , Nacaroğlu Hikmet Tekin , Karkiner Canan Şule , Can Demet
Published: May 2021

Objective: Asthma is one of the most common chronic diseases of childhood. Many studies have shown that education positively affects asthma control and patients’ quality of life. In this study, it was aimed to measure the awareness levels of children who have been under observation for a long time and who underwent Allergen Specific Immunotherapy (AIT). Methods: Patients with asthma, asthma & allergic rhinitis and/or rhinoconjunctivitis who received subcutaneous AIT between July 2019 and December 2019 were included in our prospective case-control study. A questionnaire was applied to each patient, in which both the levels of awareness related to their disease and AIT, as well as their knowledge of the allergens and prevention measures they were sensitive to were measured. The results were examined. Age, gender, type of allergic diseases, allergen type, AIT time were evaluated statistically. Results: 82 cases (48 boys and 34 girls) were included in the study. The number of patients who know the name of the disease correctly is 68 (82.9%); The number of patients who knew allergens to be sensitive was found to be 47 (57.3%). It was observed that 15%-72% of the cases had information about asthma disease. Age, gender and diseases of the patients were not statistically different. Conclusion: In our study, it was observed that our children were highly aware of especially about sports and environmental protection methods. It is essential to raise awareness of patients and parents for increase treatment success and control the asthma.
War, Migration, and Health: The Importance of Social Work for Refugees’ Children
Authors: Eliaçık Kayı , Berksoy Emel , Bardak Şefika , Kanık Ali , İnan Aysun , Badem Meryem , Türközü Kanter Kardelen , Helcavı Mehmet , Uğur Baysal Serpil
Published: May 2021

Objective: The conflicts in the Middle East during the last decade displaced millions of people and led to a serious population movement. Many Syrians have had to leave their country and became a refugee in Turkey. Over the last decade, migration has become one of the most important social, political and public health issues in Turkey. In this study, we aimed to review pediatric refugee cases who were consulted to the Social Service at a Tertiary Hospital. Methods: A retrospective study was performed with refugees admitted to our hospital between January 2012 and December 2018. The socio-demographic data (age, sex, birthplace), medical diagnosis, the reason for the social work consultation and the classification of the social problems were recorded. Results: The number of refugee children that were detected from the medical records was 88; the median age was 10 months (IQR 60.5), and nearly half of them were female. The most frequent diagnosis of the cases obtained from the medical charts was acute respiratory system disorders. The main reason for a social work consultation was poverty. Conclusion: We concluded that professionals working with immigrant children and families should be able to access social and psychological support services. Pediatricians and pediatric societies should work to improve the sensitivity of their respective populations towards migrants and refugees.
Relationship Between Intraoperative Cerebral Desaturation and Postoperative Complications In Pediatric Patients Undergoing Congenital Heart Surgery: Prospective Cohort Study
Authors: Sahutoğlu Cengiz Han , Kocabaş Seden , Askar Fatma Zekiye
Published: May 2021

Objective: In this study, we aimed to investigate the incidence of cerebral desaturation and the possible relationship between intraoperative cerebral desaturation and postoperative complications. Methods: A prospective, observational study was performed 115 patients under 18 years of age who required open heart surgery in a university hospital. Cerebral desaturation was defined as a 25% decrease in cerebral saturation (low alarm limit) when compared with the basal value. Duration (second) was referred to the amount of time the patient stays below low alarm limit. Depth (%) was referred to gap between the patient’s cerebral regional oxygen saturation (rSO2) level and the rSO2 low alarm limit. The cerebral desaturation score was calculated using the %*seconds. The patients were divided into two groups: group 1 (desaturation score >3000 %sec) and group 2 (desaturation score ≤ 3000 %sec). The groups were compared in terms of demographic data, intraoperative and postoperative variables, postoperative complications, and duration of intensive care and hospital stays. Results: In the study, 59 patients (51.3%) were male and 28 patients (24.3%) had cyanotic heart disease. A total of 55 patients (47.8%) experienced over 3000 %sec desaturation. Postoperative complications were found to be increased in group 1 (71% vs 3.3%; χ²=57.119, p<0.001). In the multiple logistic regression analysis, desaturation score>3000 %sec (p<0.001), low body surface area (p=0.001) and prolonged cardiopulmonary bypass (p=0.006) were found to be associated with postoperative complications. Conclusion: In patients undergoing congenital heart surgery, cerebral desaturation score >3000 %sec is associated with a negative effect on patient prognosis.
PERBANDINGAN METODE SAW DAN WP PADA SISTEM PENDUKUNG KEPUTUSAN DALAM KASUS PEMILIHAN KEGIATAN EKSTRAKULIKULER
Authors: Dedek Cahyati Panjaitan, Hengki Juliansa, Robi Yanto
Published: May 2021

Model MADM (Multi-Attribute Decision Making) sudah banyak digunakan oleh pengambil keputusan untuk membantu penyelesaian permasalahan pengambilan keputusan. Ada begitu banyak metode yang dapat digunakan dalam model MADM seperti metode Simple Additive Weighting (SAW) dan Weighted Product (WP). Masalah dalam penelitian ini adalah bagaimana memecahkan sebuah kasus pemilihan kegiatan ekstrakulikuler di SMPN 28 Sarolangun yang menggunakan metode berbeda untuk menemukan metode yang paling relevan atau sesuai antara metode SAW dan WP. Oleh karena itu, untuk mengetahui metode yang paling relevan perlu dilakukan uji sensitivitas dengan melakukan perubahan bobot setiap kriteria dari masing-masing metode yang kemudian akan dilihat perubahan persentase dari kedua metode tersebut. Dari hasil penelitian menggunakan metode SAW nilai preferensi tertinggi 18,8 untuk alternatif satu (A1), dengan urutan alternatif yang memiliki nilai preferensi dari tinggi ke rendah yaitu A1, A3, A2, A4. Sedangkan untuk metode WP alternatif satu (A1) merupakan yang memiliki nilai preferensi tertinggi yaitu sebesar 0,301. Urutan alternatif metode WP adalah A1, A3, A2, A4. Dan hasil uji sensitivitas pada metode SAW memiliki total perubahan sebesar 8,4% dan metode WP sebesar 0,027%. Dengan demikian dapat disimpulkan bahwa metode SAW dianggap relevan dalam menyelesaikan permasalahan pemilihan kegiatan ekstrakulikuler.
HISTÓRIA E HISTORIOGRAFIA DA EDUCAÇÃO NO ESTADO DO PARANÁ: TRAJETÓRIAS E PERSPECTIVAS
Authors: Zaluski Jorge
Published: May 2021

Resenha da obra: ORLANDO, Evelyn de Almeida; MACHADO JR., Cláudio de Sá (Orgs.). História da Educação no Paraná: caminhos da pesquisa e do ensino. Porto Alegre, RS: Editora Fi, 2020.
Decanulación en Paciente Pediátrica con Enfermedad Neuromuscular: un reporte de caso
Authors: Giménez Gloria Concepción , Maidana Estefanía , Galeano Shirley , Núñez Débora , Prado Antlagic Francisco , Bach John
Published: May 2021

La enfermedad de multiminicores es un trastorno neuromuscular hereditario caracterizado por la presencia de múltiples 'cores' en biopsia muscular y características clínicas de una miopatía congénita. .El presente caso trata de una paciente de 10 años de edad, con diagnóstico de enfermedad neuromuscular multiminicores, traqueostomizada desde los 7 años de edad por destete fallido y debilidad muscular. La paciente fue derivada al Departamento de Rehabilitación Cardio-respiratoria del hospital de Clinicas de la Facultad de Ciencias Médicas de la Universidad Nacional de Asunción, presentando en su primera evaluación dependencia crónica de oxigeno (por más de 12 meses), tos débil y no funcional con flujo pico tosido e inferior a 160 L/m, insuficiencia respiratoria crónica e hipercapnia (53 mmHg de CO2ET). Durante su seguimiento en nuestro departamento fueron seguidas las pautas de Rehabilitación Respiratoria contempladas en el Proyecto de evaluación, tratamiento y seguimiento de pacientes con Enfermedades Neuromusculares, y aprobado por el Consejo Superior de la Facultad de Ciencias Médicas de la Universidad Nacional de Asunción, dichas pautas están fundamentadas en los estudios y publicaciones científicas del  Dr. John  Bach ( Rudgers University, Newart, Nueva Jersey-EEUU) y su equipo colaborador del Grupo Iberoamericano de Cuidados Respiratorios en Enfermedades Neuromusculares. Como resultado final del tratamiento y seguimiento aplicado por más de un año la paciente fue decanulada exitosamente, en un consultorio para pacientes ambulatorios, sin descompensaciones hemodinámicas, con una excelente tolerancia y sin requerimiento de internaciones hospitalarias. PALABRAS CLAVES: Enfermedad Neuromuscular, Traqueotomía, Rehabilitación Respiratoria, Decanulación, Enfermedad Multicores.
Presión de perfusión cerebral en pacientes pediátricos con traumatismo craneoencefálico grave.
Authors: Abreu Pérez Daisy , Lacerda Gallardo Angel Jesús
Published: May 2021

Introducción: La mortalidad por traumatismo craneoencefálico grave (TCE g) en el paciente pediátrico, crece de forma directamente proporcional con la severidad de la injuria inicial. Se estima entre el 1 y 7 % de menores de 18 años afectados por dicha enfermedad en el mundo. La incidencia de muerte por esta causa oscila entre 2,8 y 3,75 por cada 100 000 niños anualmente. Metodología: Se realizó un estudio descriptivo de tipo correlacional en el servicio de cuidados intensivos pediátricos del Hospital General Docente “Roberto Rodríguez” de Morón, Ciego de Ávila, Cuba, en el período entre enero de 2003 y diciembre de 2017. Se incluyeron pacientes menores de 18 años. Las intervenciones fueron monitorización continua de la presión intracraneal, a través de una ventriculostomìa al exterior y de la presión de perfusión cerebral y las varaibles presión intracraneal y presión de perfusión cerebral. Resultados: Se estudiaron 41 niños. Predominaron aquellos entre 5 y 17 años con 35 casos (85,3 %). La presión de perfusión cerebral en menores de 1 año fue >47mmhg en los dos casos estudiados, de 1-4 años >47mmhg en 2 casos y <47mmhg en 2 casos. De 5-17 años fue >de 50mmhg en 23 casos (65,7 %) y <50mmhg en 12 (34,3 %). A 28 pacientes se les realizó craniectomía descompresiva, en 17 (60,7 %) se logró controlar la presión intracraneal. La presión de perfusión cerebral >50mmhg se asoció con el grado V de la escala de resultados de Glasgow. Discusión: El control de la presión de perfusión cerebral con valores diferentes ajustados a los diferentes grupos de edades, a través de la manipulación de la presión intracraneal y la presión arterial media en el niño, mostró una adecuada relación con los resultados favorables.
Experiencia con el implante subdérmico en adolescentes en la Catedra y Servicio de Ginecología y Obstetricia
Authors: Ramos Gabriela , Segovia Raquel
Published: May 2021

Introducción: La tasa de fecundidad adolescente (15-19 años) de América Latina y el Caribe (ALC), con un valor de 73,2 por mil, se destaca por ser muy elevada, comparada con 48,9 a nivel mundial y 52,7 en los países en desarrollo. Metodología: Es un estudio observacional, descriptivo y temporalmente retrospectivo. El muestreo es no probabilístico de casos consecutivos. La población accesible son mujeres entre 12 y 19 años que aceptaron la aplicación del implante subdérmico como método anticonceptivo que acuden en el espacio Ñangareko del Servicio de Ginecología y Obstetricia, en el periodo de 1 año (2019 - 2020). Resultados: Sobre los efectos adversos del implante subdérmico, el 79,4 % no nota cambios en el patrón menstrual, sin embargo, el 17,9 % tiene spotting y el 2,7 % amenorrea. El 5,4 % reporta cefalea, el 1,3 % informa alteración del humor o ansiedad. En cuanto a la tensión mamaria estuvo presente en el 0,4 % de los casos. El 4 % reportó dolor o irritación en la zona. Discusión: El uso del implante subdérmico ha demostrado ser un método seguro, de bajo coste, que no genera molestias ni efectos secundarios que hagan desistir a las mujeres de su uso, la seguridad de este método anticonceptivo está avalada por varias investigaciones sobre sus beneficios y seguridad.
Frecuencia de abortos espontáneos en pacientes que acuden al servicio de Gineco-Obstetricia del Hospital de Clínicas
Authors: Patiño Elena , Porzio Miguel
Published: May 2021

Introducción: El aborto espontáneo, definido como la pérdida del embarazo antes de la viabilidad, es una ocurrencia común. El costo físico y emocional del aborto espontáneo recurrente puede ser alto. Además, aproximadamente solo la mitad de las mujeres que experimentan abortos espontáneos recurrentes descubrirán la causa. Metodología: Es un estudio observacional, descriptivo y temporalmente retrospectivo. El muestreo es no probabilístico de casos consecutivos. La población accesible son mujeres que tuvieron aborto espontáneo y hayan acudido al Hospital de clínicas durante julio de 2019 a julio de 2020. Resultados: Teniendo en cuenta el periodo de estudio entre julio de 2019 y julio de 2020 se registraron 2217 fichas clínicas, en esta investigación se incluyeron 262 mujeres con aborto espontáneo que representa el 11,82 % del total. En cuanto a los factores de riesgo el 98,5 % tiene al menos un factor de riesgo. Discusión: Los factores de riesgo más mencionados en las fichas clínicas fueron Aspiración manual endouterina, Legrado Uterino Instrumental y Cirugía genito urinaria. En la literatura muchos son los factores de riesgo que se menciona, como ser la edad de la paciente, el número anterior de abortos, las infecciones, desequilibrios hormonales, presencia de masas en el útero, incluso se ha estudiado componentes genéticos asociados a este fenómeno.
Match-fixing threats: Effective responses of coaches
Authors: Young Janet A.
Published: May 2021

Incidences of match-fixing impinge on the integrity of the game and undermine critical confidence required to grow the sport. This paper reviews match-fixing in light of recent media coverage and highlights the role coaches can play to strengthen the core values of true competition, fair play and sportsmanship. Several strategies for coaches to consider are proposed.
Structural constants of the internal logic of tennis
Authors: Moreno Miquel
Published: May 2021

This article discusses the factors that determine the structure of the sport of tennis based on the theories of motor action. It outlines a framework of tennis by reviewing the major theoretical contributions published and by identifying the most unique and specific elements of the game that every coach or athletic trainer needs to know when teaching the tennis concepts or planning and optimizing its training.
Kinematic differences between professionals and young players in the tennis serve
Authors: Mourtzios Christos , Athanailidis Ioannis , Kellis Eleftherios , Arvanitidou Vasileia
Published: May 2021

The aim of the present study was to measure and examine the differences in lower limb kinematics between the flat, slice and topspin serves, in the kinematic features of the lower limbs, at two different times of the service movement, maximum knee bending and point of contact of the racket with the ball, in 12 young tennis athletes, aged 12-16 years and in 12 professional players that they were playing on the main draw of Roland Garros. The results showed no significant differences in time between the three types of service in young athletes. Comparing the time of young athletes 34.56ms with the time of high level athletes with 30.67ms, the results showed that the professionals performed the service faster than the young athletes having a significant difference.
Status of Certain Anthropometric Parameters of Males of Sasaram, India and Its Variation Due to Soybean Added Diet
Authors: Pandit Dina Nath , Kumar Sunil , Singh Anirudh
Published: May 2021

The anthropometric parameters are regarded as sensitive indicators. The core elements of anthropometric parameters are bodyweight, height and body mass index. To assess certain anthropometric features of males of Sasaram in respect to the standards and the variations in these features due to 60 days feeding of soybean added diet was the purpose of the work. Experimental studies indicate that soybean added diet might facilitate loss of bodyweight. All subjects were observed for anthropometric measurements after feeding of routine diet and soybean added diet. The average bodyweight was 63.65±8.97kg of volunteers aged 20-59 years with a height of 162.0+6.0cm in controlled condition among 2127 males. The average height of volunteers of 162.0+6.0cm was found less than the present standard of the Bihar, India as well as the world. On the other hand, the average of body mass index was 24.88±3.01 kg/m2 among the volunteers of the above age group and was found less than the present standard of the world but more than the standard of India. Consumption of soybean added diet was related to a moderately significant decreased weight (p<0.01) and body mass index. The study helps in establishing the anthropometric features of people of this area in comparison to the standard of the state and the country.

Key words: Bodyweight, Body mass index, Males, Sasaram, Soybean diet.
Quantification Series of Procalcitonin Decides the Conceivable Bacterial Infection among Vital Organs
Authors: S Cinthiaha , SMH Fahima Sheerin , S Divya
Published: May 2021

Sepsis is the occurrence of infection in association with the systemic inflammatory response syndrome (SIRS). Bacterial sepsis is one of the major illnesses that shows severe symptoms which leads to organ dysfunction. Procalcitonin (PCT) the precursor of the hormone calcitonin shows a huge impact on the diagnosis of sepsis caused by the bacterial infection. Many studies have also insisted the importance of PCT as a biomarker for sepsis. As early diagnosis is the key factor to overcome the difficulties of the sepsis, PCT acts a prominent diagnostic tool to acquire the desired results. This study focused on the role of PCT in correlation with supporting parameters of the vital organs such as renal markers, liver enzymes and pancreatic enzymes to reduce the organ dysfunction and its complications.

Keywords: Sepsis, procalcitonin, renal markers, liver enzymes, pancreatic enzymes.
Interactive pedagogical strategies in Health Education: "Think-Pairs-Share" and Collective Construction
Authors: Rua Marilia , Netto Maia Luciana , Campinos Rodrigues Sandra , Silva Marta
Published: May 2021

Introduction: Health Education in Sexual and Reproductive Health, appear in the practice of nursing students, as a form of health promotion in young people. The development of these skills is essential during nursing degree. Aims: As part of preparation of clinical practice, in Primary Health Care, a seminar was held - Dating without Risks-, with the purpose of promoting knowledge on Sexual and Reproductive Health, developing active health education strategies and promoting reflection on sexuality in young people. Methodology: We used pedagogical strategies, transferable to a Health Education session: Think-Pairs-Share; Fill in with post-it and Collective Construction. We asked about the importance of Health Education and the approach to sexuality in young people, risk behaviours in dating and a collective construction of an "Affections Alphabet". Results: The seminar exceeded the student’s expectations. The strategies used appear to be easily transferable to Health Education sessions in clinical practice context, providing more interaction between the group, promoting greater openness in approaching the theme.
Contribution of Family Nurses to the Success of Breastfeeding
Authors: Costa Diana , Rua Marilia
Published: May 2021

Introduction: Breast milk is extremely important for maternal and child health bringing indisputable benefits to mother, family and society. Health professionals, including nurses, play a key role in promoting and supporting breastfeeding with all their technical-scientific knowledge and proximity to the population. Aims: Understand the mothers' perspective regarding the contribution of health professionals to the success of breastfeeding. Methodology: Qualitative study with a phenomenological approach. Semi-structured interviews were conducted with 13 women from a Family Health Unit in a Primary care setting who were mothers between December 2016 and December 2017. A content analysis of the data was performed with the support of web-based data analysis (webQDA) software. Results: The intervention of the family nurse in the context of pregnancy surveillance and child health consultations is distinguished, as well as in home visitation. The intervention of midwives in pre-natal courses and post-natal breastfeeding consultations also demonstrated to be relevant for breastfeeding success. Conclusion: As recommended by the World Health Organization and United Nations International Children's Emergency Fund, an effort is being made by health professionals, including nurses and midwives, for support of mothers and families in the decision, establishment and maintenance of the breastfeeding process, contributing positively to its success and establishing a follow-up to woman and family throughout the pregnancy-puerperal cycle.
Modified Raktamokshna as Chinese cupping therapy in acute pain management of Lumbar spondylosis - A Rare Case Report
Authors: Rai Madhuri , Dudhamal Tukaram
Published: May 2021

Due to vitiation of vata spine will assume the shape of bamboo with limited or absent Chalaguna of Vata. This condition can be correlated with acute lumbar canal stenois. Raktamokshana is recommended in Ayurveda for such type of crippling disorder. In this case report a male patient of 54 years having sever low back pain which radiating in to both legs since 1 year, painful restricted movement of lumbar joint, patient was unable to walk for prolong distance since 4 months consulted to Ayurveda  shalya OPD. He had taken allopathic pain killer and finally orthopedic surgeon suggested for surgery. In this case study patient was managed with raktamokshana by wet type of Chinese cupping therapy in 2 sittings at 15 days interval. After first sitting of cupping 50% pain relief was found and after second sitting patient was able to walk without pain in lumbar region.
Factors associated with wound healing outcome among Diabetic Foot patients- A cross sectional Study
Authors: Jayalakshmi M , Thenmozhi P
Published: May 2021

Diabetic foot ulcer (DFU) has been identified as the leading reason for hospitalization among patients with diabetes. Patients with diabetes are at greater risk of complications, the most important of them are diabetic neuropathy and peripheral vascular disorders leading to the development of foot ulcers. The problem is generally faced and as well is considered as one among the most common complications of diabetes that affect millions of people all over the world. The current study, aimed to document the clinical profile and healing outcome of diabetic foot ulcer management which may become guidance for further improvement in wound management among diabetic foot ulcer patients. Cross sectional descriptive study was conducted over one-year period of time. A total of 246 Diabetic patients with a foot ulcer of Grade 1 to 3 participated in the study. Patients with higher grade ulcers of Grade 4 and 5 were excluded from the study. Final data analysis of 160 patients was done using SPSS version 20. The prevalence of Grade 2 and 3 ulcers were observed 54.37% and 31.8 % while Grade 1 ulcer was observed 13.75%. No risk factors were found to be significantly associated with diabetic foot ulcer. Wound was healed well in 50 % and partially healed in 21 % of the participants. Wound remains unchanged in 3 % of study participants, while 8% of participants underwent toe amputation. Foot ulceration is a preventable in many diabetic patients with adequate education, routine foot care and attention to foot wear.
Observational Data Related to the Largest Galaxies of the Universe: What they Tell?
Authors: Harutyunian H. A.
Published: May 2021

The physical mechanism of interaction between dark energy and ordinary baryonic matter is used to show that Ambartsumian's cosmogonic paradigm on the galaxy formation gets new support. This mechanism is considered to compare the cD galaxies observational properties with the model predictions in the framework of the suggested paradigm.
Harmful effects of electromagnetic field on different tissues: a review
Authors:   İzmir Bozyaka Education And Research Hospital, Ișil Ahmet Murat , Erden Burak ,   Izmir Katip Celebi University, Ongel Kurtulus ,   Izmir Katip Celebi University
Published: May 2021

Studies about the potential eff ects of the electromagnetic fi eld on the human body are increasing day by day. In this study; new investigations on this fi eld were tried to be explained by the help of literature. It is shown in many studies that electromagnetic waves as well as the electromagnetic field that is given out by some of the equipment we use, create negative eff ects on biological systems of humans. Moreover; it had concluded that there are roles of molecular pathways such as oxidative stress on electromagnetic fi eld induced diseases. Th ese eff ects are the short term eff ects and long term eff ects. Preventitive measures should be high priority and risks should be minimized.
Pure embryonal carcinoma of the testis in an adult male patient: case report
Authors:   University of Uşak, Kucuk Sirin , Kucuk Izzet Goker ,   Izmir Katip Celebi University, Mizrak Bulent ,   University of Uşak, Ongel Kurtulus ,   Izmir Katip Celebi University
Published: May 2021

As a case presentation, the present paper aims to present a patient with pure embryonal carcinoma, which is rarely seen, together with the relevant literature. Th e case is a 36-year-old male patient, who applied to the clinic with complaints of pain and swelling in the left testis. In the scrotal doppler ultrasonography, hypoechoic solid lesion contoured to the lobule almost fi lling the left testis and having the size of 25x60 mm were observed. Histopathological and immunohistochemical analysis of the this case was diagnosed with pure embryonal carcinoma. All the patients with complaint of pain-free mass in testis should be investigated. Although the pure embryonal carcinoma is rarely seen, it is one of the tumors that can be clinically and histopathologically confused with other testis tumors and should be considered for the patients applying to the clinic with complaints of pain-free mass in testis.
Fish consumption among the population of the Republic of Moldova
Authors:   Nicolae Testemitanu State University of Medicine and Pharmacy, Țurcanu Gheorghii , Dupouy Eleonora ,   Food and Agriculture Organization of the United Nations, Bahnarel Ion ,   Nicolae Testemitanu State University of Medicine and Pharmacy
Published: May 2021

Very little is currently known about the consumption of different fish species at the national level. Elucidation of this subject would be useful for assessing the risk of exposure of the population to methyl mercury, polychlorinated biphenyls, dioxins and assessing nutritional benefi ts such as protein, amino acids, fats, vitamins, minerals, phosphorus, iodine intake. This is a descriptive study, with the application of the indirect method of data collection. The identifi cation of fi sh species and the quantifi cation of consumption at national level was performed using FishStatJ v4.00.9 soft ware. Data per species (annual series) for the period 2005-2017, tons per year, were converted into grams per day per capita. The inedible component was excluded by applying conversion factors. During the analyzed period, 26 species of fish were consumed. The application of conversion factors decreased the average consumption by 34.7% in relation to gross amount. In the period 2005-2017 there was a trend of increasing fish consumption from 17.8 g/day (2005) to 23.6 g/day (2017). On average per capita was consumed 19.68 g/day, 97.3% out of the average consumption are: herring/sardines – 6.46 g/day (32.8%), carp – 4.14 g/day (21.0%), unspecifi ed species – 3.09 g/day (15.7%), mackerel – 1.61 g/day (8.17%), hake – 1.10 g/day (5.6%), putasu – 0.953 g/day (4.84%), salmon – 0.824 g/day (4.19%), cod – 0.745 g/day (3.78%), polack – 0.22 g/ day (1.14%), tuna – 0.09 g/day (0.47%). Fish consumption for the period 2005-2017 has a continuous growth trend. The population of the Republic of Moldova consumes 26 diff erent fi sh species, the most consumed are herring/sardines and carp with a share of 32.8% and 21.0% respectively. However, 15.7% remains uncertain due to non-identifi cation of species.