bluuebunny/crossref_metadata_2025 huggingface dataset:
Functional constipation in Bangladeshi children: experience of demography and probable risk factors from a tertiary care hospital
Authors: Mazumder Md. Wahiduzzaman , Sayeed Maimuna , Benzamin Md. , Chowdhury Mahfuza
Published: June 2020

Background: Constipation is a common problem throughout childhood. It is important to be fully aware of the factors involved in developing constipation in children. There are few published articles on childhood constipation in Bangladesh. In this study, our aim was to evaluate demography and probable/potential risk factors for functional constipation in Bangladeshi children.Methods: The study was carried out among 179 children from May 2018 to June 2019 in the department of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU) both indoor and outdoor basis. Children with constipation who fulfilled the ROME III criteria were evaluated for demography and probable/potential risk factors of constipation.Results: A total of 179 subjects were included in the final analysis. Among them, 54.75% were boys and 45.25% were girls. Constipation was found more in the age group above 5 years (56.42%), then in 2 to 5 years age group (33.52%) and lower in below 2 years of age (10.6%). Constipation was more among children living in urban area (55.3%) than in rural area (44.69%). Constipation was the presenting complaint in 76.54% subjects, other complaints were abdominal pain (47.49%), anorexia (24.02%), vomiting (19.56%). Diet low in fiber (72.63%) was found as the most common potential risk factor, other factors were ingestion of cow’s milk (32.96%), not having regular meals with parents (19.55%), consumption of junk foods (28.49%). Staying with grandparents (16.76%), living in hostel or madrasa / residential religious institute (5.03%), long period of academic activity, [homework (10.61%) / tutor and coaching (7.26%)], unhygienic toilet in school (6.14%) were also found to be probable associated factors in this study.Conclusions: Functional constipation was found more in boy’s and above five year age group. Low dietary fiber, consumption of cow’s milk and junk food, unwillingness to use toilets in school, long time in academic activity, were found to be potential underlying risk factors of constipation.
Neonatal hypercalcemia associated with extensive subcutaneous fat necrosis: a case report
Authors: Osman Mahmoud M. , Hamid Suzan Abdel , Kira Hussein M. , Alatar Adel Abdelsalam , Elsabagh Enas M.
Published: June 2020

Subcutaneous fat necrosis (SCFN) of the newborn is rare self-limited fat tissue inflammation that usually occurs in term or post-term newborns exposed to perinatal stress factors, such as perinatal asphyxia, meconium aspiration, neonatal sepsis, and therapeutic hypothermia. SCFN usually appears in the first few weeks of life and has a benign course with spontaneous resolution. Monitoring for complications, in particular the potentially life-threatening hypercalcemia, is crucial. In this report, we describe a male infant with extensive SCFN and neonatal hypercalcemia that went through a prolonged course.
Comparison of posterior lumbar interbody fusion and transforaminal lumbar interbody fusion in degenerative spondylosis and disc disease in a tertiary care hospital in Pimpri
Authors: Kumar Harsh Sanjay , Swamy Ajit
Published: June 2020

Background: Spinal fusion in the form of transforaminal lumbar interbody fusion (TLIF) and posterior lumbar interbody fusion (PLIF) are the two common surgical modalities for degenerative spondylosis and disc disease. The objective of the study to compare blood loss, surgical timing, post-operative medical and surgical complications in patients treated by either modality.

Methods: This was to compare prospective study of 30 patients equally divided between two modalities operated for TLIF or PLIF after conservative treatment failure.

Results: There is a statistically significant difference between the blood loss, surgical time and improvement in ODI score in two groups while percentage of post-surgical complications are higher in PLIF group compared to TLIF.

Conclusions: TLIF is associated with less post-operative surgical complications than TLIF which can be attributed to unilateral exposure of intervertebral disc space and requires lesser operative time and produces less blood loss.
A clinico-epidemiological study of various keratinization disorders
Authors: Patel Bharti K. , Selot Nilam K. , Bhuptani Neela V. , Raja Pooja R.
Published: June 2020

Background: There is a vast spectrum of disorders with basic defect in the process of keratinization. There are various associations (genetic, autoimmune and environmental) with different keratinization disorders. The aims and objectives of this study to study the epidemiology, clinical features and associations in various keratinization disorders.   

Methods: A retrospective observational study of 500 patients was done in a tertiary care center. Detailed history was taken and clinical examination was done. Investigations and skin biopsy were performed when needed.

Results: In our study of 500 cases of keratinizing disorders, there were 269 (53.8%) cases of psoriasis, 132 (26.4%) cases of  palmoplantar keratoderma, 22 (4%) cases of phrynoderma, 19 (3.8%) cases of ichthyosis, 13 (2.6%) cases of acanthosis nigricans, 11 (2.2%) cases of porokeratosis, 7 (1.4%) cases of Darier’s disease, 3 (0.6%) Cases of pityriasis rubra pilaris, 2 (0.4%) cases each of pachyonychia congenita and erythron keratoderma. The most common age group affected was 51-60 years (19.6%). Males to female ratio was 1.13:1. Chronic plaque psoriasis (43.51%) was the most common variant of psoriasis. Psoriasis vulgaris (75%) was the most common cause of erythroderma. Histopathological findings in all patients whose biopsy was taken was consistent with clinical diagnosis. Non trans gradient (97.75%) was the most common type of palmoplantar keratoderma. Ichthyosis vulgaris (47.38%) was the most common type of ichthyosis.

Conclusions: Heredity plays an important role in keratinization disorders. Also, various comorbidities have been associated with different keratinization disorders. Hence, we need to look for these factors while evaluating the patients of keratinization disorders.
Hemorrhagic chickenpox
Authors: Suman Sonu
Published: June 2020

Chickenpox (varicella) is self-limited disease caused by Varicella-Zoster virus (VZV). Hemorrhagic manifestation is rare complication in immunocompromised patient. Here we report a case of rare form of hemorrhagic chickenpox due to chronic alcohol intake. The course of illness was very fulminant and rapid.
Acute methotrexate toxicity with severe cutaneous ulcerations in a patient of chronic plaque psoriasis
Authors: Gosavi Anil P. , Jaiswal Rahul N. , Chavan Ravindranath B. , Gaidhani Sanjay N.
Published: June 2020

Methotrexate continues to be one of the most widely used systemic immunosuppressive agents in chronic plaque psoriasis. In addition to the important well characterized adverse effects such as hepatotoxicity and myelosuppression, methotrexate may induce a number of mucocutaneous adverse events including methotrexate induced mucocutaneous ulcerations. We present a case of methotrexate induced severe cutaneous ulcerations in patient with chronic plaque psoriasis. 45 year old male known case of chronic plaque psoriasis on methotrexate therapy manifested as methotrexate toxicity leading to acute kidney injury with painful ulcerated plaques with active bleeding over previously psoriatic plaques over extremities and trunk with mucosal ulcerations responding effectively to leucovorin therapy. Dermatologists need to be alert to the possibility of cutaneous adverse events associated with methotrexate therapy especially ulcerations of psoriatic plaques. 
Eruptive xanthomas: a warning sign of future hyperlipidemia complications
Authors: Nessel Trevor A. , Kerndt Connor C. , Bills John A. , Sikorski Lynn
Published: June 2020

Eruptive xanthomas are localized lipid deposits in the skin or subcutaneous tissue that are associated with both primary and secondary hyperlipidemia. Typical presentation manifests as small yellow papules on the buttocks or extensor surfaces. Xanthomas can be diagnosed clinically with an extensive history and physical examination, however, can be confirmed via biopsy and histological findings. It is essential to identify the underlying cause of the skin lesions and take appropriate measures to prevent future hyperlipidemia-induced consequences. Here we report a 42-year-old female with eruptive xanthomas on her trunk and extremities. Previous visits to the primary care provider and emergency department resulted in diagnoses of viral exanthems. The consulted dermatologist ordered laboratory tests remarkable for extreme hypertriglyceridemia, hypercholesterolemia, and hyperglycemia. Lifestyle modification in conjunction with cholesterol and triglyceride lowering medications led to the resolution of abnormal laboratory findings and remission of eruptive xanthoma lesions.
Urticaria and its management in the context of coronavirus disease-19 (COVID-19)
Authors: Patil Anant , Godse Kiran , Godse Gauri
Published: June 2020

Ongoing pandemic of coronavirus disease-19 (COVID-19) is causing significant healthcare, social and occupational impact. COVID-19 may pose unique challenges for all healthcare specialists, including dermatologists while treating skin conditions including urticaria, a common dermatological condition. Chronic urticaria i.e. symptoms persisting for more than six weeks is a heterogenous dermatological disorder which can significantly impair the quality of life of sufferer. In this article, we discuss the potential implications of COVID-19 in relation to presentation and management of urticaria. Understanding various aspects related to COVID-19 and urticaria may help to take appropriate measures to avoid complications and improve outcomes.
Avaliação Formativa na Educação a Distância: Concepções da Equipe Multidisciplinar de um Curso de Pós-graduação em Informática na Educação (PIE)
Authors: Passos Marize Lyra Silva
Published: June 2020

A avaliação da aprendizagem é um tema que, nos dias atuais, ainda gera inquietação, principalmente quando parecem persistir concepções que produzem como resultados a classificação e a exclusão, quando o desejável é que propicie superações e aprendizagem. Na educação a distância isso não é diferente. É neste contexto que o presente artigo objetiva apresentar os resultados de uma pesquisa realizada no âmbito de um curso de pós-graduação lato sensu em Informática na Educação (PIE), ofertado pelo Instituto Federal do Espírito Santo na modalidade a Distância, que buscou traçar um paralelo entre a avaliação formativa descritas em seu referencial teórico aqui delimitado e a práxis da equipe de um curso de pós-graduação lato sensu, ofertado na modalidade a distância em uma instituição de ensino superior brasileira. Por meio de uma abordagem quantiqualitativa e uma pesquisa exploratória e documental, analisamos a concepção sobre a avaliação formativa que norteia o curso. Os dados foram coletados por meio de questionários, entrevistas, projeto pedagógico do curso, atas de reuniões e evidências obtidas a partir das salas virtuais de aprendizagem. Esses foram analisados apoiando-se na fundamentação teórica e sob a ótica da análise de conteúdos proposta por Bardin, (2011). Como resultado final foi possível verificar que a equipe do curso encontra-se alinhada com o referencial teórico sobre o tema, demonstrando que utilizam a avaliação formativa em seu cotidiano, apesar de que, em pequena escala, algumas falas que remetam à avaliação classificatória.
Palavras-chave: Educação Superior. Avaliação da aprendizagem. Aval-iação formativa. Informática na Educação.
A Influência das Condições Institucionais de Universidades Públicas para o Desenvolvimento de Competências Eletrônicas dos Professores no Ensino Superior
Authors: Barbosa Milka Alves Correia , Pinto Caroline Lins Teixeira , Cassundé Fernanda Roda de Souza Araújo
Published: June 2020

A expansão das instituições de ensino superior (IES) brasileiras, especialmente com a instalação de diversos campi nas cidades do interior do país e o avanço das tecnologias de informação e comunicação (TIC), tem impulsionado o uso da educação a distância (EaD) pelas universidades como forma de responder às novas demandas educacionais decorrentes das mudanças na nova ordem econômica mundial. Esse novo cenário de ensino-aprendizagem envolve mudança de competências e de formação do professor do ensino superior: desenvolvimento acadêmico sólido, experiência profissional e competência pedagógica. O desenvolvimento de tais competências pode ser, portanto, influenciado pelas condições institucionais das universidades nas quais os professores estão inseridos. Assim, o presente estudo buscou analisar como o desenvolvimento das competências eletrônicas dos professores do ensino superior relaciona-se com as condições do contexto organizacional das IES. Como locus para a realização do estudo de caso qualitativo optou-se pela Universidade Federal de Alagoas (UFAL). Ficou evidenciado que a maior parte da construção do perfil de e-competências dos docentes da UFAL se dá mais pela prática do dia a dia e pela necessidade dos docentes de possuir o conhecimento e a desenvoltura para lecionar na EaD, sem esperar pelas melhorias das condições apresentadas pela UFAL. Observa-se que a instituição ainda apresenta em sua gestão universitária lacunas que precisam ser revistas com vista ao desenvolvimento das e-competências de seu corpo docente para atuação na EaD.
Palavras-chave: Contexto institucional. Universidade federal. Competên-cias eletrônicas
A Singularidade Pedagógica do Ensino Híbrido
Authors: Brito Jorge Maurí­cio da Silva
Published: June 2020

Este trabalho tem como objetivo principal demonstrar a singularidade pedagógica do ensino híbrido, considerando-se as respectivas discussões teóricas, conforme registradas na literatura. Além disso, como se trata da construção de opções teóricas e metodológicas para a construção de uma pedagogia que seja peculiar apenas ao ensino híbrido, que lhe faça distinto tanto do ensino presencial quanto do ensino à distância, então, o método de pesquisa adotado foi o de revisão bibliográfica. A justificativa que motivou a nossa pesquisa foi a constatação das inúmeras controvérsias envolvendo o tema, ao ponto de não haver unanimidade sobre o que é ensino hibrido, e o que não é. Ao final, esta pesquisa nos permitiu deduzir que o que distingue o ensino híbrido é a sua pedagogia, que faz convergir o ambiente presencial ao virtual de maneira indissociável, a partir de ações pedagógicas que, para serem finalizadas, necessitam de atividades nesses dois ambientes.
Palavras-Chave: Ensino. Híbrido. Singularidade. Pedagógica.
PIOJOS (INSECTA: PHTHIRAPTERA) PARÁSITOS DE LA FOCHA ANDINA FULICA ARDESIACA (GRUIFORMES: RALLIDAE) EN LA LAGUNA DE COLTA, ECUADOR
Authors: Cruz Gabriela , Enríquez Sandra , Luzuriaga Nivia
Published: June 2020

Los piojos de aves se caracterizan por ser parásitos obligados a su hospedador, es decir que cumplen su ciclo biológico en el cuerpo del mismo. Este estudio tuvo como objetivo conocer la diversidad, prevalencia, abundancia e intensidad de infestación de piojos asociados a la Focha Andina Fulica ardesiaca en la laguna de Colta, provincia de Chimborazo, Ecuador. Se capturaron 16 individuos de F. ardesiaca, los cuales fueron examinados manualmente para extraer los ectoparásitos. Se identificaron tres especies de piojos: Rallicola advenus, Pseudomonopon pilosum y Fulicoffula longipila. Se determinó un porcentaje de prevalencia del 62,5% para todas las aves muestreadas. Rallicola advenus fue el parásito con mayor frecuencia, estuvo presente en el 100% de las aves infectadas con respecto a las otras dos especies de piojos. Se determinó que una hembra y un macho tuvieron infestación múltiple por las tres especies, y dos machos presentaron infestación doble por P. pilosum y R. advenus. Nuestros resultados muestran similitud con las descripciones de piojos en otras especies de Fulica de Sudamérica, Norte América y Europa.Palabras clave: Diversidad, Fulica ardesiaca, Laguna de Colta, piojos, Phthiraptera. Lice (Insecta: Phthiraptera) of the Andean Coot Fulica ardesiaca (Gruiformes: Rallidae) at Colta lake, EcuadorAbstractLice of wild birds are parasites which depend on their hosts to complete their life cycle. This research was aimed to document the diversity, prevalence, abundance and intensity of lice infection in the Andean Coot Fulica ardesiaca in Colta lake, Chimborazo province, Ecuador. Sixteen individuals of F. ardesiaca were captured and manually examined to collect ectoparasites. We identified three species of lice: Rallicola advenus, Pseudomonopon pilosum and Fulicoffula longipila. The percentage of prevalence was 62.5% for all birds sampled. Rallicola advenus was the most frequent lice species, being present in 100% of the infested birds. We found multiple-species infestation in one male and one female, and two males were infected by two lice species, P. pilosum and R. advenus. Our findings are equivalent with genus-level descriptions of lice load in coots in South America, North America and Europe.Keywords: Colta lake, diversity, Fulica ardesiaca, lice, Phthiraptera.
Memorias de la VI Reunión Ecuatoriana de Ornitología
Authors: Freile Juan , Guevara Esteban , Cisneros-Heredia Diego , Amigo Xavier , Santander Tatiana
Published: June 2020

Presentamos las memorias de la VI Reunión Ecuatoriana de Ornitología (VI REO), desarrollada en Arenillas, en 1-5 Agosto 2018. La VI REO contó con cinco charlas magistrales, un simposio sobre anillamiento de aves en Ecuador, 40 presentaciones orales y pósters, un conversatorio sobre la situación actual del aviturismo en el país, un taller de escritura científica, un taller de diseño y análisis de investigaciones de campo, un taller de validación de la lista roja del Ecuador y un taller de fotografía de aves. Además, se realizó un curso de anillamiento posterior a la VI REO. Contó con casi 160 participantes, entre expositores y asistentes.
REGISTRO INUSUAL DE LA GARZA CUCHARÓN COCHLEARIUS COCHLEARIUS (PELECANIFORMES: ARDEIDAE) EN EL OCCIDENTE DEL ECUADOR
Authors: Carrasco Camacho Luis Enrique
Published: June 2020

La Garza Cucharón Cochlearius cochlearius es una ave rara que habita en riberas de cuerpos de agua desde México hasta Argentina. En Ecuador es un ave rara y localista que se distribuye principalmente en la región amazónica. Al occidente existen registros históricos documentados en las provincias de Esmeraldas (1901) y Los Ríos (1931). Aquí se presenta una nueva observación, con evidencia fotográfica, de una pareja y un juvenil en el sector de la bananera Elba, provincia de Los Ríos, el 19 de septiembre de 2015. La presencia de un juvenil sugiere que la especie se está reproduciendo localmente y que podría ser residente en el área, pero sus hábitos nocturnos la hacen difícil de localizar. Este reporte constituye el redescubrimiento de la especie después de 84 años del último registro evidenciado de la especie en el occidente del Ecuador.
FIRST RECORDS OF KOEPCKE'S SCREECH-OWL MEGASCOPS KOEPCKEAE (AVES: STRIGIDAE) IN ECUADOR
Authors: Ordóñez-Delgado Leonardo , Freile Juan
Published: June 2020

El recientemente descrito Autillo de Koepcke Megascops koepckeae se había registrado, hasta hace poco, únicamente en el norte y centro de los Andes de Perú. Presentamos los primeros registros de M. koepckeae en Ecuador, provenientes de la ciudad de Loja. Estos registros amplían su área de distribución conocida en al menos 90 km al norte del registro más septentrional de Perú, y proporcionan nuevos elementos sobre la elección de hábitat de la especie y su distribución espacial en relación con el Autillo Peruano M. roboratus.
Nefronía lobar aguda derecha secundaria a apendicitis aguda no perforada: reporte de caso
Authors: Wilches-Cuadros María Angélica , Roca-López Stefania , Sosa Luis Miguel
Published: June 2020

La apendicitis aguda en pediatría ocurre generalmente en escolares y adolescentes, siendo su principal complicación el absceso intraabdominal. Por su parte, la nefronía lobar aguda es una infección localizada del parénquima renal, de la cual no existen casos reportados de ésta como secundaria a apendicitis no perforada. Se presenta el caso de unapreadolescente, quien seis días después de una apendicectomía consulta por dolor abdominal, vómito y fiebre. Ingresa con signos de respuesta inflamatoria sistémica, por lo que se inicia terapia antibiótica, y luego de tres días sin mejoría clínica, se realiza un ecografía abdominal que evidencia una lesión renal derecha sugestiva de nefronía lobar aguda y un absceso hepático del segmento VI y VII. Se inicia terapia antibiótica de amplio espectro con adecuada respuesta clínica. La nefronía lobar aguda debe tenerse en cuenta entre las complicaciones de la apendicitis, dado su comportamiento agresivo, rápida progresión a sepsis y frecuente asociación a cicatrices renales. MÉD.UIS.2019;32(1):33-7
Neumomediastino espontáneo idiopático. Primer caso pediátrico en Colombia
Authors: Archila – Diaz Jessica Natalia , Walteros – Cárdenas Jenifer , Mora – Bautista Víctor Manuel
Published: June 2020

El neumomediastino espontáneo idiopático es la presencia de aire en el mediastino, sin ninguna causa aparente, siendo descrito en 1939 por el Dr. Hamman. Se atribuye a una fuga dinámica de aire desde los alvéolos a través del intersticio de personas jóvenes (efecto Macklin). La clínica no es específica, pero el dolor torácico agudo retroesternal y la tos, son los síntomas más orientativos; los signos más específicos son los crépitos precordiales (signo de Hamman) y el enfisema subcutáneo. La radiografía de tórax es suficiente para el diagnóstico, aunque otras técnicas de imagen sirven para evaluar causas secundarias. El tratamiento es reposo, analgésicos y, opcionalmente, oxígeno suplementario. Se presenta el caso de un niño en edad escolar con neumomediastino espontáneo sin ningún desencadenante identificable, siendo el primer caso pediátrico colombiano reportado de esta variante. MÉD.UIS.2019;32(2):47-52
Organizacja systemu opieki nad seniorami wyzwaniem dla samorządów lokalnych
Authors: Richert-Kaźmierska Anita
Published: June 2020

Znaczna część aktywności podejmowanych w ramach polityki senioralnej, także na poziomie lokalnym, koncentruje się na społecznej (fizycznej i edukacyjnej) aktywizacji seniorów. Rosnąca liczba coraz starszych seniorów, z ograniczoną samodzielnością, mieszkających samotnie w jednoosobowych gospodarstwach domowych, z daleka od swoich rodzin, będzie wymuszać reorientację priorytetów tej polityki w taki sposób, aby rozwijać działania na rzecz zapewnienia osobom starszym wsparcia i opieki socjalno‑bytowej (w miejscu ich zamieszkania i w wyspecjalizowanych instytucjach). Wyniki badań realizowanych przez wiele ośrodków potwierdzają, że system opieki nad seniorami z ograniczeniami samodzielności, bazujący głównie na wsparciu ze strony członków rodziny, nie ma perspektyw. Znalezienie dobrego rozwiązania w nowych uwarunkowaniach będzie jednak niezwykle trudne – przede wszystkim ze względu na preferencje samych seniorów (chęć spędzenia starości we własnym domu, w znanym otoczeniu), uwarunkowania społeczne i relacje rodzinne (singularyzacja starości, rozluźnianie się więzi rodzinnych i społecznych, przenoszenie relacji towarzyskich w sferę wirtualną, niedostępną dla wielu seniorów), warunki panujące na rynku pracy (deficyt kadr w systemie opieki) oraz sytuację ekonomiczną w państwie (konieczność racjonalizowania rosnących wydatków publicznych związanych ze świadczeniem usług zdrowotnych i opiekuńczych). Celem artykułu jest przedstawienie wybranych aspektów związanych z organizacją systemu opieki nad seniorami w perspektywie lokalnej. W ograniczonych ramach opracowania przedstawiono wyniki analizy literatury z zakresu organizacji systemu opieki nad seniorami w Polsce, omówiono wyniki wywiadu przeprowadzonego wśród seniorów jednej z pomorskich gmin, dotyczące między innymi dostępności opieki ze strony najbliższych członków rodziny, a także zaprezentowano koncepcję organizacji lokalnego systemu opieki nad seniorami.
HEMORRHOIDS IN THE PEDIATRIC POPULATION: CLINICAL MANIFESTATIONS, DIAGNOSTICS AND TREATMENT
Authors: Aung P. S. , Kholostova V. V.
Published: June 2020

Introduction. Hemorrhoids in childhood is a rare disease. That is why one can find only few works on this problem. Material and methods. 56 children with diagnosed hemorrhoids aged 4-18 were taken into the study. They had various clinical manifestations of the disease: perianal protrusion (76.4%), bleeding (82.3%), pain syndrome (71.5%). 51 patient (91.1%) had external hemorrhoids; 3 children (5.3%) - internal; 2 children (3.6%) - combined. Patients, by their clinical course, were distributed as follows: acute hemorrhoids - 33 children (58.9%), chronic one - 23 (41.1%). Ultrasound examination and sigmoidoscopy were used for diagnostics. Different curative techniques followed the developed curative algorithm: conservative therapy and surgery (open surgery and with the LigaSure apparatus) as well as sclerotherapy. Results. The most effective technique, having better cosmetic and clinical outcomes, was hemorrhoidectomy. Conservative treatment (more than 80%) can be a method of choice at early stages of the disease and at younger age groups. Outcomes after sclerotherapy are comparable with outcomes of conservative and surgical treatment. Sclerotherapy is recommended at the internal stages of hemorrhoids and in case of any contraindications to surgical treatment.
SPECIFIC MOMENTS IN THE DIAGNOSTICS OF UTERINE ADNEXA TORSION IN A 15-YEAR OLD GIRL
Authors: Adamyan L. V. , Sibirskaya E. V. , Sharkov S. M. , Fayzulin A. K. , Vechernina A. V.
Published: June 2020

Currently, differential diagnostics and treatment of uterine adnexal torsion (UAT) in girls is not completely solved and is not an easy one because surgical and gynecological pathologies often intersect with each other. That is why, girls with abdominal pain are to be consulted by a gynecologist. The case discussed in the article demonstrates the problem with differential diagnostics in girls with “acute abdomen”. UAT differential diagnostics is not easy because this pathology has no clear clinical picture what complicates putting a correct diagnosis. UAT in girls is an acute pathology which has to be differentiated from the volume tumor-like formations in the ovaries, a frequent complication of which is an incomplete torsion of tumor leg or ovarian tumor which then leads to complete uterine adnexa torsion. Differential diagnostics should be done with other surgical pathologies such as acute appendicitis, omentum infiltration. Their clinical picture is characterized by a certain complex of symptoms which develops specific changes during the progress of the inflammatory process; this picture also depends on the anatomical peculiarities. Uterine adnexa torsion is met in 15-25% of girls with abdominal pain syndrome. The aim of this work is to demonstrate preventive measures so as to avoid possible diagnostic errors and complications associated with them in girls with abdominal pain syndrome.
SUCCESSFUL TREATMENT OF INJURIED SPLEEN COMPLICATED BY A GIANT POST-TRAUMATIC CYST
Authors: Rumyantseva G. N. , Volkov S. I. , Yusufov A. A. , Kazakov A. N. , Brevdo Yu. F. , Trukhachev S. V. , Svetlov V. V. , Guskova O. N.
Published: June 2020

In case of blunt abdominal injuries in children, the spleen is involved most often. The organ-sparing tactics - if there are specific indications is a priority in managing spleen injuries. Post-traumatic cysts is the most frequent complication of non-surgical treatment of the spleen. How to treat such cysts is still a disputable issue.
LAPAROSCOPIC HEMINEPHRECTOMY IN CHILDREN (A REVIEW)
Authors: Kozlov Yu. Yu. , Rasputin A. A. , Kovalkov K. A. , Baradieva P. G. , Ochirov Ch. B. , Kapuller V. M.
Published: June 2020

The laparoscopic technique for the treatment of duplex kidney anomaly became popular thanks to the efforts of G. Jordan and B. Winslow, who in 1993 successfully performed the world’s first laparoscopic heminephrectomy in a child. This operation has made its way into the world of surgical methods that have great potential for improving postoperative patient recovery and cosmetics, asserting the progress of pediatric endourology. Since the first report of laparoscopic heminephrectomy, a minimally invasive approach has gained popularity, and in some advanced surgical centers it has completely replaced open surgery in the treatment of urinary tract abnormalities. To date, there are several studies that demonstrate the safety and feasibility of laparoscopic heminephrectomy in children; nevertheless, the use of such an approach in the pediatric population is limited. Other endosurgical techniques for treating duplex kidney anomaly include retroperitoneoscopy, single-port laparoscopy and robotic surgery. The choice of endosurgical heminephrectomy technology is determined in accordance with the patient’s age, possession of technical capabilities and personal experience of the surgeon. In the literature, there is still a relative lack of evidence of the safety and effectiveness of endosurgical operations designed to remove the affected kidney segment in children. The purpose of the scientific review is to analyze the results of laparoscopic heminephrectomy in children and present its strengths and weaknesses, based on data that exist today in modern scientific literature.
A SURGICAL TACTICS IN THE INJURY OF TRACHEA AND BRONCHI IN CHILDREN
Authors: Ponomarev V. I. , Pisklakov A. V. , Lysov A. V. , Vysotsky V. V.
Published: June 2020

Introduction. Tracheal and bronchial injuries in children are not at the last place in the trauma incidence structure . It is an urgent issue for both adult and pediatric surgeons. Purpose. To show ways for obtaining good outcomes in patients with trachea and bronchi rupture. Material and methods. The researchers analyzed outcomes of surgical treatment of 19 patients with trachea and bronchi ruptures. The patients had surgeries at various intervals after the injury: from few hours to 10 days. X-ray and tracheobronchoscopy examinations were made. On the first day after the injury, a radical surgery was performed to restore the airway patency. Late surgical interventions ended with pulmonectomy or lobectomy. At the final stage of the trial, early and long-term results were analyzed. Results. The radical surgical treatment consisting of thoracotomy and complete restoration of anatomical integrity and airway patency had 16 children of various age on the first day after their injury . Surgery lasted for 85 ± 15 min. There were no any complications during the surgery. At the early period of observation after the surgery, a ventilation failure of degree I was seen in 3 patients. Two years later, compensated stenosis of the bronchus without signs of ventilation failure was seen in one child. Three children were operated on in 10 days after their injury. Organ-sparing surgeries were performed in them (lobectomy and pulmonectomy). These surgeries lasted for 130 ± 15 min. At the early postoperative period, all three patients had ventilation failure of degree II. In 2 years, two children developed a persistent deformation of the chest, two children were disabled. Conclusion. A successful treatment of children with lower airways injury may be expected if the radical assistance is provided by a thoracic surgeon and shortly after the injury.
LIVER BIOPSY IN CHILDRENS WITH CHRONIC LIVER PATHOLOGIES. CLINICAL OBSERVATIONS
Authors: Khrolenko P. V. , D'yakonova E. Yu. , Surkov A. N. , Dvoryakovsky I. V. , Kulikov K. A.
Published: June 2020

Chronic liver diseases in children are characterized by a progressive course and lead to fibrotic changes in the organ up to cirrhotic transformation. Therapy effectiveness and patient’s quality of life depend on timely verified diagnosis and stage of the process. Morphological examination of hepatobiopsies remains a key issue in the diagnostics of histopathological changes in the liver; however, biopsy sampling is associated with a risk of complications and does not exclude insufficiently informative biopsies. This article discusses three clinical cases of patients in whom a personalized choice of the way of biopsy sampling allowed to avoid life-threatening complications and to obtain the most informative biopsy material.
LYMPHANGIOMA OF THE SMALL INTESTINE MESENTERY WITH ACUTE ABDOMINAL SYNDROME IN A 5 Y.O. CHILD
Authors: Pashkin K. P. , Ivanov A. N. , Ivanova I. S.
Published: June 2020

The article describes a clinical case of mesenteric lymphangioma in the small intestine in a 5-year-old child who had an acute abdominal syndrome. The lymphangioma was removed. The postoperative period was uneventful. Patient’s condition was satisfactory within the next 6-months of follow-up; there were no any complaints either.
SHUNT-ASSOCIATED INTRA-ABDOMINAL METASTASING OF ATYPICAL TERATOID-RHABDOID BRAIN TUMOR
Authors: Olkhova L. V. , Zheludkova O. G. , Popov V. E. , Basalai T. V. , Kislyakov A. N. , Skobeev D. A. , Kim L. A.
Published: June 2020

A clinical case of intra-abdominal metastases of atypical teratoid-rhabdoid brain tumor because of ventriculoperitoneal shunt in a 1 y.o. child is presented. The child was hospitalized with a clinical picture of hypertension-hydrocephalic syndrome, right-sided hemiparesis. By neuroimaging findings, there was a massive tumor of the left lateral ventricle invading into the third, fourth, right lateral ventricles, Silvius aqueduct, metastases in the brain. An open biopsy of the tumor and external ventricular drainage were made. An atypical teratoid-rhabdoid brain tumor was verified histologically. Later, a ventriculoperitoneal shunt (VPS) was implanted. Chemotherapy was performed by ATRO-2006 protocol, though there was a simultaneous marked growth of the residual tumor. Nonprogressive survival period was 8 months. In 10 months after the initial diagnosis, during proton radiation with parallel Vincristine, intra-abdominal metastases were revealed. One month later, the child died. The authors have made a literature review on VPS-associated intra-abdominal metastases of malignant CNS neoplasms, the pathology which leads to an extremely unfavorable prognosis of the disease.
WAGE KERAMAT SEBAGAI TRADISI KOMUNAL SPIRITUAL JAWA
Authors: Hanifah Muna Roidatul
Published: June 2020

Tradisi komunal berbasis spiritual bukanlah hal yang baru dikenal. Teori ini telah lama dicetuskan oleh seorang Sosiolog bernama Emile Durkheim. Adapun bagaimana ritual ini dilakukan, setiap wilayah dengan tiap komunitasnya memiliki cara yang berbeda-beda. Salah satunya ritual komunal berbasis spiritual yang rutin dilaksanakan di wilayah lereng Gunung Kelud. Tradisi ini diberi nama Wage Keramat. Secara teknis, Wage Keramat hampir sama pelaksanaannya dengan Sedekah Bumi pada umumnya, namun selalu terdapat perbedaan ruh yang menjiwai para pelaksananya. Wage Keramat diselenggarakan sebagai wujud rasa syukur atas segala Rahmat dan Rezeki yang telah bumi berikan, juga sebagai satu tradisi antisipasif terhadap satu sumpah yang pernah diucapkan dalam legenda masyarakat setempat. Perlu kiranya membahas Wage Keramat melalui kacamata budaya, sosiologi serta antropologi. Perlu dikaji bagaimana korelasi wujud dari apa yang diucapkan oleh Emile Durkheim puluhan tahun yang lalu dengan realitas tradisi yang masih ada sampai saat ini

Kata kunci ; wage keramat, tradisi, totemisme

 

 
On the Interconnection and Interaction of Economic, Industrial and Scientific-technological Policies
Authors: Kryukov Valery A.
Published: June 2020

Article analyzes specific features of economic, industrial and science-technological policies interaction in nowadays Russia. In Russia during industrialization years unique industrial and science-technological potential has been formed. Many industrial enterprises and unified industrial-technological complexes have been destroyed as outcome of shock-type economic transition towards market economy in the 1990-th. That is whymainly enterprises positioned at the initial stages of the value chains and are able to operate successfully due to export of minerals or low processed raw materials. At the same time basic industrial structure as of the economics as of the industrial system is still determined by decisions taken during industrial era. Modernization of such assets precludes purpose oriented industrial policy based upon procedures of cooperation of state, science and business. Value chains revitalization at the new level requires as of purpose oriented economic policy as of production development in cohesion with the local demand improvement. Within this process projects have to be embeded into policy’s actions and and cooperation of all involved parties at the local level.
Cyberbullying Victimization dan Kesehatan Mental pada Remaja
Authors: Ningrum Fifyn Srimulya , Amna Zaujatul
Published: June 2020

Penelitian ini bertujuan untuk mengetahui hubungan antara cyberbullying victimization dengan kesehatan mental pada remaja. Sampel penelitian sebanyak 209 partisipan (102 laki-laki dan 107 perempuan) dengan rentang usia 16-18 tahun yang dipilih menggunakan purposive sampling. Hasil penelitian menunjukkan bahwa ada hubungan negatif yang signifikan antara cyberbullying victimization dan kesehatan mental pada remaja. Hasil penelitian juga menunjukkan bahwa remaja yang memiliki pengalaman lebih rendah sebagai korban cyberbullying memiliki kesehatan mental yang positif. Sebaliknya, remaja yang memiliki pengalaman lebih tinggi sebagai korban cyberbullying memiliki kesehatan mental yang negatif. Kesimpulannya, hasil menunjukkan bahwa korban cyberbullying di media sosial dikaitkan dengan kesehatan mental pada remaja, baik berdampak positif maupun negatif.The aim of the study was to determine the relationship between cyberbullying victimization and mental health in adolescents. A total of 209 adolescents, consisting of 102 males and 107 females, with age ranges 16-18 years, were selected using purposive sampling technique as research participants. The result has shown that there was a negative significant correlation between cyberbullying victimization and mental health in adolescents. The result also showed that adolescent with less experience as cyberbullying victim would have positive mental health while adolescent with more experience as cyberbullying victim have negative mental health. In conclusion, this result showed that a cyber-victim on social media was associated with mental health, whether it's a positive effect or negative affect.
Impact of The Community Eligibility Provision of the Healthy, Hunger-Free Kids Act on Student Nutrition, Behavior, and Academic Outcomes: 2011–2019
Authors: Hecht Amelie A. , Pollack Porter Keshia M. , Turner Lindsey
Published: June 2020

The Community Eligibility Provision (CEP) allows high-poverty schools participating in US Department of Agriculture meal programs to offer universal free breakfast and lunch. Authorized as part of the Healthy, Hunger-Free Kids Act of 2010, CEP became available to eligible schools nationwide in 2014.

Emerging evidence suggests that schools that provide universal free meals experience positive impacts on student nutrition, behavior, and academic performance. In particular, schools benefit from increased meal participation rates. There is mixed evidence of impacts on test scores and attendance, and limited but promising results showing improvements in weight outcomes, on-time grade promotion rates, disciplinary referrals, and food security.

In this article, we summarize the growing evidence base and suggest policy approaches to increase the use of CEP by eligible schools.
PENCUCIAN DAN SERAPAN HARA LADA PERDU (Piper nigrum L.) PADA BERBAGAI TINGKAT DAN FREKUENSI PEMBERIAN AIR
Authors: WAHID PASRIL , SYAKIR M. , HERMANTO HERMANTO , SURMAINI E. , PITONO J.
Published: June 2020

ABSTRAK
Tujuan penelitian ini untuk mengetahui pengaruh pemberian hara
pada berbagai tingkat dan frekuensi pemberian air terhadap pertumbuhan
dan produksi lada perdu. Penelitian dilakukan di rumah atap Instalasi
Penelitian Cimanggu, Balai Penelitian Tanaman Rempah dan Obat, tahun
1996-1998. Penelitian dilakukan dengan menggunakan pot drum 40 liter.
Penelitian menggunakan rancangan acak kelompok berukuran 6
tanaman/petak yang diulang 3 kali. Terdapat 2 faktor yang diuji yaitu
kombinasi dari tingkat dan frekuensi pemberian air dan faktor kedua
adalah takaran hara NPK Mg 12-12-17-2. Hasil penelitian menunjukkan
bahwa pemberian air 21 mm/2 hari, setara dengan curah hujan 3.780 mm
per tahun dengan pemberian pupuk 400 g NPKMg 12-12-17-2 per
tanaman per tahun menghasilkan pertumbuhan terbaik dan produksi
tertinggi yaitu 42,7 g/tanaman pada produksi tahun pertama dan 171,2
g/tanaman pada tahun produksi kedua. Ini berarti dengan jarak tanam
1,25 x 1,25 m telah mampu dicapai hasil lebih dari 1,09 ton/ha. Tingkat
pencucian hara makro tertinggi terjadi pada perlakuan pemberian air 21
mm/2hari dengan agihan pemupukan 600g/tanaman/tahun.
Kata kunci : Lada perdu, Piper nigrum L., pemupukan, pemberian air,
produksi

ABSTRACT
Nutrient leaching and intake in bushy pepper (Piper
nigrum L.) at different rates and frequency of watering
The objective of the research was to find out the effect of
fertilizing at different rates and frequency of watering on the growth and
yield of bushy pepper. The research was done at a shading house of
Cimanggu Experimental Farm, Indonesian Spices and Medicinal Crops
Research Institute in 1996 – 1998. Bushy pepper was planted in a
container of 40 litre in Cimanggu Instalation. The research used a
randomized block design with 3 replication, 6 plants/ plot. There were
two factors studied in the research i.e. the combination of the rate and
frequency of watering, and the rate of NPK Mg 12-12-7-2. The results
showed that watering at 21 ml in 2 days, equals to 3780 mm rainfall, with
the application of 400 g NPK Mg 12-12-17-2 per plant gave the best
growth performance and the highest yield of pepper 42.7 g/vine at the 1 st
year and 171.2 g/vine at the 2 nd year. It means that at the plant spacing of
1.25 x 1.25 m the plants can produce 1.09 tones/ha. The highest nutrient
leached happened at the treatment of watering of 21 mm/2days with
fertilizer application 600 g/vine.
Key words: Bushy pepper, Piper nigrum L., fertilizing, watering,
growth, production
PENGARUH PEMUPUKAN TERHADAP PERTUMBUHAN DAN PRODUKSI JAMBU METE DI LOMBOK
Authors: DARAS USMAN , PITONO J.
Published: June 2020

ABSTRAK
Penelitian dilakukan untuk mengetahui pengaruh dosis dan
komposisi pupuk NPK terhadap pertumbuhan dan produksi jambu mete
yang ditanam pada tanah regosol cokelat-kelabu di Desa Loloan,
Kecamatan Bayan, Lombok Barat, dari tahun 1997 sampai 2000. Faktor
yang diuji adalah: (1) komposisi NPK, 2 macam (1:1:1, dan 1:1:2); dan (2)
dosis pupuk, 4 taraf (500, 750, 1000 dan 1500 g/pohon/tahun). Perlakuan
disusun dalam rancangan acak kelompok dengan 4 ulangan dan ukuran
petak 4 pohon. Hasil penelitian menunjukkan bahwa tanaman jambu mete
cukup responsif terhadap pemupukan. Pemberian pupuk menaikkan
kandungan hara N, P dan K daun. Dosis pupuk yang cukup memadai untuk
menunjang pertumbuhan dan produksi jambu mete adalah 500, 750, dan
1000 g NPK/pohon/tahun dengan komposisi pupuk NPK 1:1:2, masing-
masing untuk umur tanaman 5, 6, dan 7 tahun. Pupuk tersebut diberikan
dalam 2 kali agihan, yaitu 50% pada awal musim hujan, dan 50% lagi
menjelang akhir musim hujan.
Kata kunci : Jambu  mete,  Anacardium  occidentale,  pemupukan,
pertumbuhan, produksi, Nusa Tenggara Barat
ABSTRACT
Effect of fertilizer application on the growth and yield of
cashew in Lombok
A field study was conducted on cashew trees grown at grayish-
brown regosol soil located at Loloan, Bayan, West Lombok, from 1997 to
2000. The objectives of the study were to examine the effect of NPK
fertilizer and its composition on growth and yield of cashew. Treatments
examined were: (1) composition of NPK (1:1:1, and 1:1:2); and (2)
fertilizer dosage (500, 750, 1000 and 1500 g NPK/tree/year). The
treatments were arranged in a randomized block design with 4 replications
and plot size of 4 plants. Research results showed that the application of
fertilizers significantly affected the growth and yield of cashew. The
content of N, P and K in cashew leaves improved as the fertilizer dosage
increased. Appropriate amounts of NPK were 500, 750 and 1000 g
NPK/tree/year with composition of 1:1:2 for cashew trees of 5, 6 and 7
years old, respectively. The fertilizers were applied twice a year (50% in
the beginning of rainy season, and 50% in the end of rainy season).
Key words : Cashew, Anacardium occidentale, fertilizer application,
growth, yield, West Nusa Tenggara
DIVERSITAS GENETIK TUJUH AKSESI PLASMA NUTFAH PINANG (Areca catechu L.) ASAL PULAU SUMATERA
Authors: MIFTAHORRACHMAN MIFTAHORRACHMAN
Published: June 2020

ABSTRAK
Analisis jarak genetik dilakukan terhadap tujuh populasi pinang
(Areca catechu L.), yaitu Sumut-1, Sumut-2, Sumbar-1, Sumbar-2,
Sumbar-3, Bengkulu-1 dan Bengkulu-2 hasil eksplorasi pada tahun 1994
dan telah dikoleksi di kebun koleksi plasma nutfah palma Kayuwatu,
Sulawesi Utara. Tujuan analisis adalah untuk mengetahui seberapa besar
jarak  genetik  antara  ke  tujuh  aksesi  pinang  sekaligus  untuk
mengelompokkan ketujuh aksesi tersebut. Analisis menggunakan Uji
Statistik D 2 dari Mahalanobis, sedangkan untuk pengelompokan populasi
menggunakan metode Tocher yang dikemukakan oleh RAO dalam SINGH
dan CHAUDARY. Hasil analisis menunjukkan bahwa ketujuh aksesi
pinang membentuk 4 kelompok yaitu, kelompok I terdiri dari aksesi
Sumbar-1 dan Sumut-1; kelompok II terdiri dari 3 aksesi yaitu Sumbar-3,
Sumut-2 dan Bengkulu-1; kelompok III dan kelompok IV masing-masing
hanya terdapat satu aksesi yaitu Sumbar-2 dan Bengkulu-2. Jarak genetik
paling jauh adalah antara kelompok I dan II dengan nilai D 2 = 1263.137.
Sementara jarak genetik antar kelompok terdekat adalah antara kelompok I
dan III dengan nilai D 2 = 108.587. Penyumbang terbesar terjadinya
pengelompokan tersebut adalah karakter jumlah bekas daun.
Kata kunci : Pinang, Areca catechu L., populasi, jarak genetik, Sulawesi
Utara
ABSTRACT
Genetic diversity of seven arecanut (Areca catechu L.)
accessions from Sumatera Island
Genetic divergence analysis has been done on seven arecanut
(Areca catechu L.) populations, i.e, Sumut-1, Sumut-2, Sumbar-1,
Sumbar-2, Sumbar-3, Bengkulu-1, and Bengkulu-2 explorated in 1994 and
had been collected in Kayuwatu Experimental Garden, North Sulawesi.
The purpose of the analysis was to know how far the genetic distance
among the seven accessions of the arecanut. The analysis used D 2 statistics
of Mahalanobis, while to cluster the population used Tocher Method by
Rao. The result showed that there are four groups among the seven
accessions of arecanut. Group I consisted of Sumbar-1 and Sumut-1, group
II consisted of Sumbar-3, Sumut-2, and Bengkulu-1, and both of group III
and group IV consisted of one accession, namely Sumbar-2 and Bengkulu-
2 respectively. The largest genetic distance occurred between group I and
group II (D 2 = 1263.137) while the smallest genetic distance occurred
between group I and group III (D 2 = 108.587). Number of leaf scars was
the largest contribution of the grouping.
Key words : Arecanut, Areca catehcu L., population, genetic distance,
North Sulawesi