bluuebunny/crossref_metadata_2025 huggingface dataset:
Hukum Menikahi Wanita Hamil Karena Zina Menurut Pandangan Imam Syafi’i dan Diimplimentasikan di Kantor Urusan Agama Tanjung Pura
Authors: Lubis Suaib , Idrus Muhammad
Published: December 2021

This study discusses the main problem, namely about how Imam Syafi'i thought about the law of marrying pregnant women because of adultery, and how the legal consequences arising from his thoughts. The method used in collecting data is library research, while the research data is doctrinal. The approach used is the ushul fiqh approach, which is to explain the opinions and arguments of Imam Syafi'i about the law of marrying pregnant women because of adultery. With the above method, it can be seen the reasons for Imam Shafi'i in his thinking about the law of marrying a pregnant woman because of adultery. Imam Shafi'i is of the opinion that a woman who becomes pregnant as a result of an extramarital relationship can be married by anyone. Be it by men who experienced it or by men who did not impregnate her. Imam Syafi'i argues that children resulting from adultery do not have musharah with their biological father. Regarding the issue of 'iddah, Imam Shafi'i is of the opinion that pregnant women due to extramarital relations do not have an 'iddah period. This is because the purpose of 'iddah is to respect the sperm or fetus contained in the woman (which is channeled through a legal relationship). While adultery is a relationship that is unlawful and illegitimate, therefore the sperm or fetus from the result of adultery is not obligatory to be respected. For this reason, Imam Shafi'i also argues that if women who are pregnant out of wedlock have performed a valid marriage contract, then they are allowed to have biological relations without having to wait for the birth of the baby they are carrying.

Keywords: Law; Marrying a Pregnant Woman for Adultery; Imam Shafi'i's view
Faktor Ekonomi Sebagai Alasan Perceraian
Authors: Habib Muhammad
Published: December 2021

The background of this research is that based on the identification that the researchers did at the research location, it was the economic factor that was the most common cause of divorce in the household. In this case divorce is meant because economic factors are a matter of family livelihood, among them there are husbands who are not responsible for the needs of their families and do not work hard to fulfill their obligations, and there are also among husbands who are actually responsible and keep trying to provide a living, however his wife had a luxurious lifestyle so he demanded a living that her husband could not fulfill and then filed for divorce. The objectives of this research are: First, to find out the meaning of divorce. Second, to find out whether economic factors must be examined as a cause of divorce.Third, to find examples of divorce cases because of economic factors. This type of research is the process and meaning in the perspective of the subject more highlighted in qualitative research. With the results of the study: Showing that the divorce rate in the Langkat District Religious Court continues to increase. As for divorce due to economic factors is the most factor in causing divorce in the Langkat District Religious Court in 2019 as many as 1458 cases or around 80.87% of the total divorces that occurred in 2019 while the remaining 19.13% was the 12th percentage factor causes of divorce other than economic factors.

Keywords: Divorce, Economic, Factors.
Penerapan Model Pembelajaran Kooperatif Tipe Jigsaw dengan Masalah Open-Ended sebagai Upaya Meningkatkan Kreativitas Siswa
Authors: Anika Susi
Published: December 2021

This research is based on the low creativity of students and the low active activity of students in solving mathematical problems caused by the low ability of teachers to understand learning models in learning activities. Less relevance of the learning model applied by the teacher to the objectives and characteristics of mathematics. This study aims to increase students' creativity and activity in solving mathematical problems by applying the Jigsaw type cooperative learning model. This research is a Classroom Action Research conducted at SMK Negeri 2 DEPOK with the research subject being class XI Boga III with the object of research being the application of the Jigsaw type cooperative learning model with open-ended problems as an effort to increase student creativity. The results of the data analysis in the first cycle showed that the average creativity value was 67.75 or 70% of the number of students who took the test had a minimum level of creativity in the sufficient category and 30% had a creativity level below the sufficient category. In the second cycle, the average value of the creativity test was 76.94%, at least the sufficient category and 10% had the creativity level below the sufficient category. Based on the results in cycles I and II, it can be concluded that the application of Jigsaw cooperative learning can increase students' creativity and the level of student activity during learning has met the targets applied.

Keywords: Mathematics, Cooperative Learning, Jigsaw, Student Creativity
Penyuluhan Pelaksanaan Zakat Profesi oleh Kepala Keluarga
Authors: Azhar Azhar , Sidek Alang , Wahyuni Sri Wahyuni
Published: December 2021

Zakat is the third pillar of Islam, zakat is the most important worship in the Qur'an, Allah explains zakat along with explaining prayer. Zakat in terms of fiqh terms means "a certain amount of property that is required by Allah to be handed over to those who are entitled" in addition to meaning "to spend a certain amount itself. Therefore, the law of zakat is obligatory (fard) on every Muslim who has met certain conditions. Zakat is included in the category of worship (such as prayer, pilgrimage, and fasting) which has been regulated in detail based on the Qur'an and as-Sunnah, as well as a social and humanitarian charity that can develop in accordance with the development of mankind. Ibn Zaid said, "Salat and zakat are obligatory together, not separately." Then he also said "Prayer will not be accepted without zakat. Congratulations to Abu Bakr who understands this matter correctly. One of the zakat that is obligatory for Muslims is professional zakat.The purpose of this study is to find out how the professional zakat system even though in Islam does not have a level of detail, it still carries out perfect zakat. So that people who have professions can issue zakat on wealth with existing provisions.

 Keywords : Zakat, Profession, Head of the family, PNS
Peran Kiai Dalam Menyelesaikan Konflik Keluarga
Authors: Habib Muhammad , Shaleh Muhammad , Hasbi  Muhammad
Published: December 2021

An interesting phenomenon that occurs in the people of the Tanjung Pura Subdistrict, Langkat Regency, who still consider the kiai to be a highly respected and respected figure. In terms of problems that occur between husband and wife such as nusyuz and syiqaq, people still believe that by telling the kiai, they will get the best solution as an effort to resolve conflicts that occur in their families. This type of research is juridical-empirical law research (Socio-Legal Research). This research was conducted by looking for field data (field research) and library research, namely analyzing data sources on books. Data collection techniques were carried out by conducting interviews with kiai and communities in several villages in the Tanjung Pura District, Langkat Regency. The purpose of this study was to determine the role played by the kiai in resolving family conflicts in Tanjung Pura District, Langkat Regency and to find out the review of Islamic law and its legislation related to the resolution of family conflicts involving a kiai. The results of the research that have been carried out conclude that the kiai has a role in reducing family conflicts in the community in the Tanjung Pura District, Langkat Regency, including the first role of the kiai in providing good solutions to problems faced by married couples, secondly the role of the kiai in trying to reconcile husband and wife. -wife who is in disagreement, the three roles of the kiai are good protectors in an effort to resolve family conflicts. Islam gives up the freedom of settlement to reach an agreement to make peace for those who are in dispute. This is done because Islah-shulh is part of Islamic teachings to resolve a dispute or conflict peacefully. However, it is different from the laws and regulations which have their own rules in the implementation of mediation in court. In accordance with Perma No. 1 of 2016 Article 13 that to be a mediator in the mediation process must have a certificate. With regard to efforts to resolve family conflicts by involving the kiai as hakam, this is permissible. However, the role of the kiai as a mediator or hakam can only be carried out in an effort to resolve disputes that have not been submitted to court with the consent of the conflicting parties. Unless, the kiai already has a certificate as a mediator.

Keywords: kiai; mediator; Family
The Influence of Metaphorical Frames on Americans’ Adherence to COVID-19 Public Health Guidelines
Authors: Singer-Freeman Elena , Thurman Erika
Published: December 2021

Metaphors more-effectively influence people’s perceptions and behavior than normal language. The type of metaphor used is important in maximizing persuasion. Two common public health metaphors are family and war. War metaphors generally evoke more fear than family metaphors, and family metaphors generally evoke more empathy than war metaphors. The current study investigates whether family metaphors are more effective than war metaphors in promoting adherence to COVID-19 guidelines. Participants were assigned to a condition in which they read a single COVID-19-related paragraph. The paragraph included either family, war, or no metaphorical frame. All groups rated the extent to which reading the paragraph would change an average person’s adherence to a variety of public health guidelines. After reading the paragraph, participants reported their perceptions regarding the danger of COVID-19 and their feelings of unity with others to determine whether the metaphor manipulation effectively influenced fear and empathy. There was no observable effect of metaphor type on adherence to public health guidelines. Feelings of unity and fear were not higher, on average, in one group compared to another. Thus, one metaphorical condition or even the presence of a metaphor was not observed to be more effective in changing people’s adherence to public health guidelines. Additionally, the metaphors did not evoke their intended emotions, which may explain the lack of change in behavior. Future research investigating the effect of numbing on metaphor effectiveness may help explain these results and indicate whether metaphors should be used for persuasion in future public health crises.
Heat flux structure for Ornstein–Uhlenbeck particles of a one-dimensional harmonic chain
Authors:   Institute for Applied Mathematics, Far Eastern Branch, Russian Academy of Sciences, Vladivostok, Russia, Guzev M.A. , Gorbunov A.V. ,   Institute for Applied Mathematics, Far Eastern Branch, Russian Academy of Sciences, Vladivostok, Russia
Published: December 2021

A one-dimensional harmonic chain of N particles is considered, located between two thermal reservoirs (Ornstein–Uhlenbeck particles). An exact solution is constructed for the system of equations describing the dynamics of the system.
The estimates of the Schatten-Neumann norms of one class of integral operators
Authors:   Computer Centre of Far Eastern Branch RAS, Russia, Lomakina E.N. ,   Far Eastern State Transport University, Russia, Sarychev M.S. ,   Computer Centre of Far Eastern Branch RAS, Russia,   Far Eastern State Transport University, Russia
Published: December 2021

The article considers an integral operator acting from Lebesque spaces to Lorentz spaces. The conditions are found under which the compact operator belongs to the Shatten-Neumann classes.
Predictive Model of Multipath Effect Contribution to GNSS Positioning Error for GNSS-based Applications in Transport and Telecommunications
Authors: Špoljar Darko , Štajduhar Ivan , Lenac Kristijan , Filjar Renato
Published: December 2021

Global Navigation Satellite System (GNSS)-based applications rely on the quality of the GNSS position, navigation, and timing (PNT) services, accomplished through measurement and processing of satellite signals propagation characteristics in a process commonly known as satellite navigation. GNSS positioning performance is in the foundation of the quality of service of GNSS-based applications including the growing number of them in transport, traffic and Intelligent Transport Systems segments, thus a need for a common and independent approach. Here, we propose a novel method for the assessment of the contribution of a single cause to the over-all GNSS positioning error. Proposed method is demonstrated in the case of the GNSS multipath effects, resulting with the experimental predictive model of the direct multipath contribution to GNSS positioning error. The predictive models developed in this research is aimed at deployment in the GNSS positioning performance assessment for GNSS-based applications in transport and telecommunications.
Development of production technology for extruded starter compound feedsfor juvenile fish
Authors: Bektursunova M. J. , Zhiyenbayeva S. T. , Sidorova V. I. , Yanvareva N. I.
Published: December 2021

The article presents the results of developing recipes for domestic extruded starter compound feeds for zander, tilapia and Clary catfish. Technological modes of their production, as well as physical-chemical, mechanical and technological indicators of the developed compound feeds are established. The developed compound feeds are well-loose grains of dark and light brown colors, with sizes from 0,2 to 2,0 mm. Indicators of water resistance were at least 2,5 hours, crumbling no more than 1,5 %, swelling of granules 10-15 minutes, volume mass below 1000 kg/m3. The data obtained show that the developed feed meets the regulatory requirements for starting fish feeds. The introduction of the developed technology for the production of starter compound feeds at domestic enterprises of the feed industry will reduce the dependence of industrial fish farms on the import of compound feeds and thereby increase the profitability of the industry.
Analysis of dangerous factors in the life cycle of semi-finished products based on poultry broilers with the addition of soy flour
Authors: Amanova Sh. S. , Raimbaeva N. T. , Tungyshbaeva U. O.
Published: December 2021

In recent years, the production and consumption of poultry meat has been widely used both on the world market and on the market of Kazakhstan, one of the reasons for which is that poultry products are more accessible to consumers than animal products. With such an import structure, it can be assumed that the volume of imports of cheap chicken from abroad is a function of the income level of the population: the smaller the proportion of the population with a certain low income level, the less imports. For the effective development of poultry farming in Kazakhstan, it is necessary to overcome a number of constraining factors, one of which is the insufficient modern safety control system throughout the poultry meat production chain. The article develops a flowchart of the semifinished product production process based on poultry meat-broiler with soy flour, examines possible risks (hazards) for the development of management measures in the production of semi-finished products, identifies three control critical points for the production of semi-finished products from broiler meat with soy flour.
Standards of Practice for Occupational Therapy
Authors:   American Occupational Therapy Association
Published: December 2021

The American Occupational Therapy Association's updated Standards of Practice for Occupational Therapy outlines requirements for occupational therapists and occupational therapy assistants for the delivery of occupational therapy services. Various issues and supplements of the American Journal of Occupational Therapy contain documents that clarify and support occupational therapy practice; these documents are reviewed and updated on an ongoing basis for their applicability.
La Vérité sur la Grande Famine
Authors: Nivat Georges
Published: December 2021

Parti du film de la réalisatrice polonaise Agnieszka Holland, L’ombre de Staline, l’article est le fruit d’une relecture des articles et carnets de Gareth Jones, un intrépide jeune journaliste gallois qui, en 1931, après avoir interviewé Hitler, se met en tête d’interviewer Staline. Mais, arrivé à Moscou avec une lettre de recommandation de Lloyd George, il découvre par une collègue la grande famine en Ukraine, que le régime et presque tous les journalistes occidentaux en poste en URSS font tout pour masquer.
Les articles et carnets de Gareth révèlent des détails effarants sur cette famine organisée pour pouvoir exporter autant de grain que possible. Le journaliste se joint aux paysans affamés, et subit lui-même la famine et ses premiers effets. Il est ensuite capturé par les services spéciaux qui lui proposent un marché : Gareth Jones est libéré et peut rejoindre l’Angleterre, mais il doit alors démentir les « fausses rumeurs », sinon, six ingénieurs anglais, tout spécialement arrêtés et accusés d’espionnage, vont être condamnés.
L’article étudie l’effet du tabou stalinien relayé par la presse occidentale, après que Jones ait vainement clamé la vérité (et ait été tué en Mandchourie deux ans plus tard – probablement par vengeance). Puis, cet article montre la lente progression des études sur cet effrayant épisode d’une famine provoquée. Tout d’abord, le camouflage obstiné, mis en place par le journaliste américain et prix Pullizer en 1932, Walter Duranty, sera étudié. Ensuite, la lente avancée des connaissances sur cette période sera examinée, depuis les travaux de Boris Souvarine et son Staline (1935), jusqu’aux recherches de Robert Conquest publiées dans Harvest of Sorrow (1986), pour terminer avec le dernier ouvrage d’Anne Applebaum, Red Famine (2017), qui pose, entre autres, la question : La Grande Famine en Ukraine correspond-elle au crime de génocide ?
Aujourd’hui, le rôle de Gareth Jones est reconnu dans l’Ukraine indépendante, et sa nièce, auteur du livre Gareth Jones : The Manchukuo Incident, paru en 1999, a reçu pour lui, à titre posthume, l’Ordre du Mérite ukrainien.
Fenster erneuern.
Authors: Stiell Werner
Published: December 2021

Durch den Einbau moderner Fenster lassen sich Bestandsbauten erheblich aufwerten. Aber kaum ein Bauteil ist so häufig von Mängelrügen betroffen, wie das erneuerte Fenster.

Bei der Ausführung sind Normen und Technische Regeln nicht immer anwendbar. Oft kommt es deshalb bei der Abnahme erneuerter Fenster zum Streit zwischen Auftraggebern und Ausführenden. Aber nicht jede Abweichung der Ist- von der Sollbeschaffenheit stellt einen Mangel dar. Anhand von Ausführungsbeispielen erklärt Werner Stiell Besonderheiten und Fehlerquellen beim Fenstertausch. Er erläutert, wie Wärmebrücken, Tauwasser- und Schimmelbildung verhindert werden. Viele Details müssen fachkundig geplant werden, etwa die Abdichtung bei vorhandenen Putzschichten, der Aus- und Einbau von Fensterbänken oder der Anschluss bestehender Rollläden. Gewerkeübergreifende Arbeiten, wie Beiputz- oder Wärmedämmungsmaßnahmen, müssen koordiniert und handwerklich sauber ausgeführt werden. Zahlreiche Detailzeichnungen, Ausführungshinweise und Erläuterungen zum Technischen Regelwerk machen das Buch zu einem hilfreichen Ratgeber für Sachverständige und Ausführende.
Density, Viscosity and Ultrasonic Velocity of Polyethylene Glycol
Authors: Saxena Richa , Bhatt SC , Uniyal Manish , Nautiyal S C
Published: December 2021

Ultrasonic velocity, density, and viscosity of polyethylene glycol have been measured for the solution in water at concentration range of 0.3% to 1% at temperature 50oC. Ultrasonic velocity has been measured using ultrasonic interferometer at 1MHz frequency. By using the values of ultrasonic velocity, density, and viscosity, various acoustical parameters like adiabatic compressibility, acoustic impedance, intermolecular free length, and relaxation time have been calculated. The change in these acoustical parameters is explained in terms of solutesolvent interaction in a polymer solution.
Physical Properties of Screen-Printed Polycrystalline Cadmium Sulphide Films for
Solar Cells
Authors: Bagul Bhatu Yashwant
Published: December 2021

In the present work Cadmium sulphide (CdS) nanopowder was synthesized by chemical coprecipitation route and films were synthesized by non-vacuum based and cost feasible screen-coating route. Most favorable conditions for synthesis of good quality screen-coating films were obtained. Deposited CdS films were investigated by XRD, FESEM, EDAX, UV-vis and two probes methods for microstructural, morphological, elemental, optical and electrical properties. The XRD studies reveals that the films have polycrystalline nature showing hexagonal structure with preferred orientation of grains along (002) plane for powder & (101) plane for CdS film. The morphological analysis showed the films are homogeneous with nearly spherical clusters. Elemental analysis confirmed the existence of Cd and S elements in the films with Cd/S ratio is 0.74. The optical properties of the films were investigated through absorbance & transmittance measurement. The optical direct band gap value was found to be 2.34 eV. The electrical studies revealed the semiconducting nature of CdS films with electrical resistivity in the order of 105 Ωcm and activation energy 0.4 eV.
Acoustical Parameters of Polyvinyl Alcohol
Authors: Saxena Richa , Bhatt S C , Uniyal Manish , Nautiyal S C
Published: December 2021

Ultrasonic investigation provides a wealth of information in understanding the intermolecular interaction of solute and solvent. An attempt has been made to measure density, viscosity and ultrasonic velocity of aqueous solution of polyvinyl alcohol of molecular weight approximately 140,000 at different temperatures 35οC, 40oC, 45οC, 50oC,
55οC, 60oC, 65οC at 0.8% concentration. Ultrasonic velocity is measured using ultrasonic interferometer at 1 MHz frequency. The acoustical parameters like, adiabatic compressibility, acoustic impedance, intermolecular free length and relaxation time have been calculated at different temperatures. These parameters were used to understand the
behaviour of solute and solvent.
Evolution of Monoclinic CaAl2O4 Nanocrystallites via Chemical Route and Its Optical
Investigations
Authors: Goswami Bindiya , Rani Neelam , Ahlawat Rachna
Published: December 2021

Nanocrystalline calcium aluminate (CaAl2O4) powder is an adequate phosphor material. Calcium aluminate is a versatile member belongs to a category of alkaline earth aluminates phosphor. It has multifaceted applications in different areas such as photocatalysis, sensing, optoelectronic devices, displays, and imaging etc. In the present study, calcium aluminate has been prepared by well-known citrate sol-gel technique. X-ray diffraction (XRD) method has been used to analysis the amorphous and crystalline behavior of the prepared samples. The sample annealed at 800° indicates the monoclinic phase with enhanced intensity of the prominent diffraction peaks. By using Debye-Scherrer formula the grain size of crystalline powder is calculated ~10 nm. FTIR spectra confirmed the molecular orientation and bond structure in the prepared nanomaterial. Surface morphology and elemental composition present in prepared samples has been examined by Scanning electron microscope and energy dispersive
spectroscopy. Uv-vis spectroscopy result showed red shift in the nanopowder with thermal treatment. In material science, due to their long-lasting photo-luminescence properties in visible region these aluminates are very attractive for evolution of new generation inorganic phosphor materials.
Cáncer de endometrio: influencia del tratamiento en la calidad de vida y función sexual
Authors:   “Servicio Oncológico Hospitalario del IVSS”, Lara Ernesto , Calderaro Franco
Published: December 2021

Objective: To determine the influence of the treatment received, in the quality of life and sexual function of women survivors of endometrial cancer during the period: January 2017 - August 2019. Methods: Prospective, observational, analytical, longitudinal research, in endometrial cancer survivors, to whom the SF-12 health questionnaire and the Female Sexual Function Index were applied, to determine the quality of life and sexual health respectively, before and after treatment. Results: Patients exposed to surgery alone who perceived deterioration in their physical health after treatment was 56.5 %, while in those exposed to surgery plus adjuvant treatment was 97.4 %, in those exposed to neoadjuvant treatment plus surgery was 100.0 % as in those exposed to external radiotherapy only. No patient treated with surgery or external radiotherapy alone perceived deterioration in their mental health after treatment, while the patients undergoing surgery plus adjuvant treatment the percentage was 33.33 % and in those exposed to neoadjuvant treatment plus surgery was 12.50 %. 40 women had sexual dysfunction after treatment, 65.5 % of women undergoing surgery alone, 93.3 % of those undergoing surgery plus adjuvant treatment and 100 % of those exposed to neoadjuvant treatment plus surgery. Conclusion: The prevalence of deterioration of physical health, mental health and sexual dysfunction in women exposed to combined treatments was higher than in those exposed to surgery alone. Key words: Endometrial Cancer, Quality of Life, Sexual Function, Physical Health, Mental Health.
Efectos adversos perinatales asociados a adiposidad materna durante la gestación
Authors:   Hospital Universitario: Dr. Jesús María Casal Ramos, Hernández Héctor , Hernández Joseph , Bello Freddy
Published: December 2021

Objective: To determine perinatal adverse effects associated with maternal adiposity during pregnancy between November 2017 and October 2018, in the Obstetrics and Gynecology Service at the University Hospital: Dr. Jesús María Casal Ramos, Acarigua – Araure, Edo. Portuguesa. Methods: Descriptive, retrospective cross-sectional with a sample consisting of 115 clinical records of overweight and obese pregnant women. Results: No early adolescent primigestas were found. Among the 67 overweight and type I obese patients, women aged 26-30 years (22/32.8 % and 10/34.5 %) predominated, followed by the 21-25 group (18/26.9 % and 8/27.6 %). Patients with type II and III obesity had a more homogeneous distribution. Weight gain during pregnancy was less than 10 kg in 85 patients (73.9 %). Full-term pregnancies predominated in all groups (91 %, 82.2 %, 80% and 88.9 %). Delivery was predominantly vaginal in overweight and obese patients type I (70.1% and 51.7%), cesarean section was more frequent in typi II and III obesity (60 % and 55.6 %). The most frequent maternal complications in overweight patients were: vaginal infections (25.4 %), urinary tract infections (14.9%) and anemia (14.9 %). Among obese women there was a higher frequency of hypertensive disorder of pregnancy (24.1 %, 50 % and 55.6 % in obesity I, II and III, respectively). Among the neonatal complications, low weight and prematurity predominated. Conclusions: Overweight and obesity are factors related to maternal and perinatal adverse effects. Key words: Adiposity, Perinatal effects, Overweight.
Utilidad del recuento de plaquetas en el diagnóstico del cáncer de ovario
Authors:   Hospital Universitario de Los Andes, Díaz Colmenarez Linder Mariano , Zambrano Ramón Belkys Carolina , Omaña Carrero Daniel Alejandro , Santos Luque Manuel
Published: December 2021

Objective: To evaluate the usefulness of the platelet count and CA-125 in the discrimination between malignant and bening ovarian tumors at the Hospital Universitario de Los Andes, in a period of 5 years. Methods: Retrospective observational research. 419 patient medical stories coded as ovarian tumors were reviewed. The definitive pathology report was used as the gold standard test. Multiple statistical parameters of diagnostic performance were calculated from 2x2 tables and receiver operating characteristic (ROC) curves were plotted. Results: The mean platelet count: with invasive malignant ovarian tumors was 386/nl (CI 95 % 362-409), in benign tumors it 243/nl (CI 95 % 235-251) and in borderline tumors 237/nl (CI 95 % 198-276). Although the area under the curve receiver operating characteristic was higher for platelet count compared to CA125 levels (0.880 vs 0.790) this difference was not statistically significant. Among the mucinous tumors, the malignant ones did not present an elevated CA-125, but an elevated platelet count. Highest PPV of the platelet count was 95.6 % for > 350 / nl in postmenopausal women and 100 % for > 400/nl (p <0.001). Conclusion: The platelet count seems to have a similar utility to CA-125 to discriminate malignant from benign tumors and could improve diagnostic performance when both preoperative values are combined. Keywords: Platelets, Thrombocytosis, Ovary, Tumor, Cancer, CA-125, Diagnostic accuracy, Menopause.
Técnicas quirúrgicas en cesárea segmentaria. Revisión de evidencias
Authors:   Universidad Central de Venezuela, Guariglia Doménico
Published: December 2021

Aim: To know which have been the variations of the Pfannenstiel-Kerr technique and how they have influenced maternal morbidity and mortality. Methods: An electronic search was carried out in PubMed, Medline and Cochrane, of works in English and Spanish languages, regardless of the country of origin, preferably randomized and controlled between 2010 and 2020, on variations in the original surgical technique, with emphasis on the differences between the PfannenstielKerr and Miglav-Ladash techniques. Results: The more importants variations regarding morbidity and mortality were: 1. Preferring the transverse skin incision, especially the Joel Cohen type; 2. Lateral blunt dissection of the subcutaneous and cranio-caudal aponeurosis, after its incision; 3. Digital and lateral separation of the rectus abdominis muscles; 4. Digitally and laterally prolong the hysterotomy; 5. Uterine incision closure, without externalizing the uterus, in one or two suture planes, indifferently; 6. Do not suture the visceral and parietal peritoneum or approach the rectus abdominis; 7. Closure of the subcutaneous to separate points, if the thickness is greater than 2 cm. Conclusions: Modifications to the original technique achieved a statistically significant decrease in operative time, the number of sutures, the requirement for analgesics, blood loss, febrile morbidity, as well as operative wound infection and hospital stay. Keywords: Cesarean section, Surgical technique, Pfannenstiel-Kerr, Misgav-Ladach.
Coriocarcinoma gestacional primario de cuello uterino. Presentación de un caso
Authors:   Servicio Oncológico Hospitalario. Caracas, Venezuela., García Viviana , Calderaro Di Ruggiero Franco , Hoegl Jorge , Quintero Carlos , Freytez Johatson
Published: December 2021

Choriocarcinoma represents a type of malignant tumor of gestational trophoblastic disease. It can develop after a molar pregnancy, miscarriage, normal or ectopic pregnancy. Generally its seat site is the uterine body; infrequent places such as the cervix have been described. We report the case of a 37-year-old patient is reported, VI gestations IV deliveries I cesarean section I molar pregnancy, with abnormal uterine bleeding, which is referred to the Hospital Oncology Service. On gynecological examination, an exophytic mass is observed in the cervix. A biopsy was taken that reported: Gestational choriocarcinoma and plasma levels of β-hCG were verified: 13805 IU / L. A total abdominal hysterectomy was performed with preservation of the ovaries. It was concluded as stage I of the International Federation of Gynecology and Obstetrics and 8, according to the score of the World Health Organization (ST I: 8), for which adjuvant was indicated. Currently no evidence of disease. Keywords: Choriocarcinoma, gestational trophoblastic disease, cervix.
Púrpura trombocitopénica idiopática en el embarazo: a propósito de un caso
Authors:   Hospital Universitario San Rafael Tunja. Universidad Pedagógica y Tecnológica de Colombia, López-López Claudia Milena , Gerena-Pallares Luis Carlos
Published: December 2021

Idiopathic purple thrombocytopenia is a hemorrhagic pathology, characterized by a decrease in the platelet count during pregnancy, mediated by cells and anti-platelet antibodies, causing the premature destruction of platelets by the reticuloendothelial system, which during pregnancy could lead to a commitment to maternal fetal wellbeing in severe stages. This pathology occurs in 1 out of every 1,000 to 10,000 pregnancies, and corresponds to 3% of thrombocytopenic pregnancies. The goal of management is to maintain platelet counts within safe ranges, recommending starting harmacological management when a platelet count lower than 10,000 / uL is found at any time during pregnancy or 30,000 / uL in the second or third trimester. The case presented corresponds to a 40-yearold woman in the first trimester of pregnancy with a history of chronic idiopathic purple thrombocytopenic, with severe thrombocytopenia at the time of admission to the Hospital. Keywords: Idiopathic thrombocytopenic purpura. Pregnancy. Blood platlets.
Embarazo a término en útero bicorne con cuerno rudimentario no comunicante. Reporte de un caso
Authors:   Hospital Central “Dr. Urquinaona”. Maracaibo. Estado Zulia., Rondón-Tapia Martha , Reyna-Villasmil Eduardo , Torres-Cepeda Duly
Published: December 2021

The bicorne uterus with a rudimentary non-communicating horn may be associated with gynecological and obstetric complications such as infertility, endometriosis, hematometra, urinary tract abnormalities, abortions, and preterm deliveries. Excision of the rudimentary horn should be done outside of pregnancy, with followup during pregnancy, looking for complications. We present the case of a 40-year-old patient, who presented abdominal pain and vaginal bleeding, with a full-term pregnancy in a rudimentary non-communicating horn of a bicorne uterus. Physical examination showed abdominal distention and loss of uterine contour and no fetal parts were palpated. The provisional diagnosis of rupture of the uterus was made. Emergency laparotomy revealed a dead and deformed fetus, 37 weeks old, in a bicorne uterus with a broken rudimentary non-communicating horn, along with an acretic placenta. Extraction of the gestational sac, fetus and placenta and subtotal hysterectomy with conservation of the left annex were performed. Keywords: Rudimentary horn not communicating, Bicornuate uterus, Term pregnancy
GIÁ TRỊ CỦA PHƯƠNG PHÁP CHỤP CỘNG HƯỞNG TỪ BẠCH MẠCH QUA HẠCH BẸN TRONG CHẨN ĐOÁN RÒ ỐNG NGỰC
Authors: Nguyễn Khánh Chi Trần , Ngọc Cương Nguyễn , Tuấn Linh Lê , Hồng Cảnh Phạm
Published: December 2021

Mục tiêu: So sánh giá trị của phương pháp chụp cộng hưởng từ bạch mạch qua hạch bẹn trong chẩn đoán rò ống ngực so với chụp bạch mạch số hóa xóa nền. Đối tượng và phương pháp: Nghiên cứu mô tả hồi cứu 25 bệnh nhân được chẩn đoán rò dịch dưỡng chấp (18 nữ, 7 nam; 21 bệnh nhân sau chấn thương, 4 bệnh nhân không do chấn thương) được chụp cộng hưởng từ và số hóa xóa nền đường bạch huyết qua hạch bẹn tại Bệnh viện Đại học Y Hà Nội từ tháng 6 năm 2019 đến tháng 8 năm 2021. Kết quả: Vị trí tổn thương ống ngực thường gặp là đoạn cổ với 12/25 bệnh nhân (48%) và đoạn ngực với 10/25 bệnh nhân (40%). Hình thái tổn thương ống ngực dạng thoát thuốc gặp nhiều nhất 18/25 bệnh nhân (72%). Với hình thái tổn thương nhánh bên, cộng hưởng từ (CHT) so với chụp số hóa xóa nền (DSA) có độ nhạy 60%, độ đặc hiệu 100%, giá trị dự đoán dương tính 100%, giá trị dự đoán âm tính 91%. Về khả năng phát hiện đường rò, CHT so với DSA có độ nhạy 91.7%, độ đặc hiệu 100%, giá trị dự đoán dương tính 100%, giá trị dự đoán âm tính 33.3%. Kết luận: Chụp cộng hưởng từ bạch mạch qua hạch bẹn hai bên là kỹ thuật có nhiều ưu điểm so với các phương pháp chụp hình hệ bạch mạch trước đây, có độ nhạy và độ đặc hiệu cao trong phát hiện rò ống ngực.
SỰ HÀI LÒNG VỚI CÔNG VIỆC CỦA ĐIỀU DƯỠNG VÀ MỘT SỐ YẾU TỐ ẢNH HƯỞNG TẠI BỆNH VIỆN ĐA KHOA TRUNG TÂM TIỀN GIANG NĂM 2019
Authors: Ngọc Bảo Châu Nguyễn , Thị Hằng Lê , CS Và
Published: December 2021

Nghiên cứu “Sự hài lòng với công việc của điều dưỡng và một số yếu tố ảnh hưởng tại Bệnh viện Đa khoa Trung tâm Tiền Giang năm 2019” được thực hiện từ tháng 3/2019 đến tháng 9/2019, bằng phương pháp nghiên cứu mô tả cắt ngang kết hợp phân tích định lượng và định tính, phát vấn 257 điều dưỡng đang làm việc tại các khoa phòng của Bệnh viện Đa khoa Trung tâm Tiền Giang, đồng thời tiến hành phỏng vấn sâu một số lãnh đạo Bệnh viện và các khoa phòngvới 2 mục tiêu: (1) Mô tả sự hài lòng với công việc của điều dưỡng tại Bệnh viện Đa khoa Trung tâm Tiền Giang năm 2019; (2) Phân tích một số yếu tố ảnh hưởng đến sự hài lòng với công việc của điều dưỡng tại Bệnh viện Đa khoa Trung tâm Tiền Giang năm 2019. Kết quả nghiên cứu cho thấy: điểm trung bình hài lòng về môi trường làm việc là 3,35/5 (thang điểm 5) chiếm tỉ lệ 67%; điểm trung bình hài lòng chung với lãnh đạo trực tiếp, đồng nghiệp là 3,71 (thang điểm 5), chiếm tỉ lệ 74,2%; điểm trung bìnhhài lòng chung với quy chế nội bộ, tiền lương, phúc lợi là 3,48 (thang điểm 5), chiếm tỉ lệ 69,6%. Điểm trung bìnhhài lòng chung với công việc, cơ hội học tập và thăng tiến là 3,55 (thang điểm 5), chiếm tỉ lệ 71%. Một số yếu tố ảnh hưởng tiêu cực đến sự hài lòng với công việc của điều dưỡng như: cơ sở vật chất cũ xuống cấp, trang bị bảo hộ lao động như khẩu trang còn thiếu, lương còn thấp, áp lực công việc lớn nhưng chưa được quan tâm của lãnh đạo khoa phòng, một số bệnh nhân thiếu tôn trọng và hợp tác với điều dưỡng... Nghiên cứu chỉ ra, lãnh đạo cần quan tâm và đối xử bình đẳng với điều dưỡng, tạo nguồn kinh phí chi trả tiền lương và phụ cấp tương xứng với cống hiến của điều dưỡng do bệnh viện tự chi hoàn toàn và phân công công việc phù hợp với vị trí của từng điều dưỡng. Đối với đội ngũ điều dưỡng cần rèn luyện, trau dồi, học tập nâng cao trình độ chuyên môn, nghiệp vụ, cập nhật kiến thức mới và thực hành tốt y đức.
LIÊN QUAN GIỮA SÓNG TIỀN TÂM THU THẤT TRÁI VỚI CHỨC NĂNG TÂM TRƯƠNG THẤT TRÁI TRÊN SIÊU ÂM TIM Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TYP 2
Authors: Thị Mai Sao Lê , Thị Hồng Thi Phạm
Published: December 2021

Mục tiêu: Tìm hiểu mối liên quan giữa sóng tiền tâm thu (TTT) thất trái với một số thông số chức năng tâm trương (CNTTr) thất trái trên siêu âm tim ở bệnh nhân (BN) đái tháo đường (ĐTĐ) typ 2. Đối tượng và phương pháp: Nghiên cứu mô tả, cắt ngang trên 60 BN ĐTĐ typ 2 và 30 người nhóm chứng tại khoa Nội tiết và Viện Tim mạch Bệnh viện Bạch Mai từ tháng 8/2020 đến tháng 8/2021. Các thông số nghiên cứu (NC) trên siêu âm tim: vận tốc và thời gian sóng TTT đo tại đường ra thất trái, kích thước và chức năng tâm trương thất trái, chỉ số Tei thất trái. Kết quả: Tỷ lệ sóng TTT thất trái là 90% ở nhóm ĐTĐ, 93,3% ở nhóm chứng (p:0,600). Có 35% (21BN) trong nhóm ĐTĐ có rối loạn CNTTr thất trái, trong đó 81% (17BN) là rối loạn CNTTr độ I, 19% (4BN) là rối loạn CNTTr độ II. Có 6,7% (2BN) trong nhóm chứng có rôi loạn CNTTr thất trái (độ I). Đường kính thất trái tâm trương và thể tích thất trái tâm trương ở nhóm không có sóng TTT lớn hơn so với nhóm có sóng TTT (p<0,05).  Vận tốc sóng tiền tâm thu ở đường ra thất trái  tương quan đồng biến với vận tốc sóng A qua van 2 lá (rho = 0,413, p < 0,001), tương quan nghịch biến với tỉ lệ E/A (rho = -0,244, p = 0,027), tương quan đồng biến với chỉ số Tei thất trái (rho = 0,345, p<0,005).
ĐÁNH GIÁ KẾT QUẢ PHỤC HỒI CHỨC NĂNG KHỚP GỐI SAU PHẪU THUẬT NỘI SOI GỠ DÍNH
Authors: Thu Hằng Lương , Văn Minh Phạm
Published: December 2021

Cứng khớp gối là một biến chứng phức tạp tiềm ẩn sau mỗi phẫu thuật hoặc chấn thương khớp gối. Có nhiều phương pháp điều trị biến chứng này trong đó phẫu thuật nội soi gỡ dính đang ngày càng được ưa chuộng. Nhiều nghiên cứu trên thế giới và Việt Nam đều chỉ ra rằng bệnh nhân cần một chương trình phục hồi chức năng toàn diện sau phẫu thuật nội soi gỡ dính khớp gối. Vì vậy chúng tôi tiến hành nghiên cứu nhằm mục tiêu: (1) Đánh giá kết quả phục hồi chức năng vận động khớp gối sau phẫu thuật nội soi gỡ dính. (2) Tìm hiểu một số yếu tố ảnh hưởng tới khả năng phục hồi chức năng vận động khớp gối sau phẫu thuật nội soi gỡ dính khớp gối. Đối tượng: 25 bệnh nhân được chẩn đoán cứng khớp gối sau chấn thương đã phẫu thuật nội soi gỡ dính tại Bệnh viện Hữu nghị Việt Đức từ tháng 9/2020 đến tháng 7/2021. Phương pháp: tiến cứu, đánh giá trước và sau can thiệp, không có nhóm chứng. Kết quả: Tai nạn giao thông là nguyên nhân hàng đầu gây chấn thương ban đầu (76%). Gãy xương khác ngoài xương đùi và đứt dây chằng là 2 tổn thương thường gặp nhất, 52% bệnh nhân trong 2 nhóm trên có tổn thương phối hợp. Nhóm BN cứng gối sau phẫu thuật (23 BN) nhiều hơn nhóm điều trị bảo tồn (2 BN), tổn thương nội khớp (gãy xương nội khớp 40%, tổn thương phần mềm 60%) nhiều hơn tổn thương ngoại khớp (16%). Tầm vận động trung bình sau tập phục hồi chức năng 8 tuần (118,92± 14,06 độ) tăng 56 độ so với trước mổ (62,2±26,38 độ). Tỉ lệ bệnh nhân đạt kết quả phục hồi chức năng rất tốt tăng rõ rệt từ 8% (trước phẫu thuật) lên 92% và không có bệnh nhân loại trung bình và kém sau 8 tuần điều trị. Nhóm tổn thương ngoại khớp có điểm HSS trung bình sau điều trị cao nhất (95,5±3,11). Nhóm gãy xương khác có điểm HSS trung bình sau điều trị cao nhất (93,62±4,72). 52% bệnh nhân được phẫu thuật gỡ dính sau chấn thương 3-6 tháng và không có sự khác biệt có ý nghĩa thống kê trong kết quả điều trị giữa các nhóm thời gian phẫu thuật gỡ dính. Kết luận: Phẫu thuật nội soi gỡ dính khớp gối kết hợp với một chương trình phục hồi chức năng toàn diện đem lại hiệu quả lớn trong gia tăng tầm vận động và cải thiện chức năng khớp gối. Một số yếu tố có ảnh hưởng đến kết quả phục hồi chức năng khớp gối là chấn thương ban đầu gây tổn thương nội khớp hay ngoại khớp, chấn thương gây xơ dính nội khớp hay ngoại khớp, điều trị chấn thương bằng phẫu thuật hay bảo tồn, thời gian phẫu thuật nội soi là yếu tố cần nghiên cứu thêm.
ĐÁNH GIÁ HIỆU QUẢ CỦA PHƯƠNG PHÁP ĐỐT SÓNG CAO TẦN TRONG ĐIỀU TRỊ UNG THƯ BIỂU MÔ TẾ BÀO GAN
Authors: Thị Hiểu Nguyễn , Lê Lâm Ngô , Văn Giang Bùi
Published: December 2021

Mục tiêu: Đánh giá hiệu quả của phương pháp đốt sóng cao tần trong điều trị ung thư biểu mô tế bào gan tại Bệnh viện K3. Đối tượng và phương pháp: Nghiên cứu thực hiện trên 71 bệnh nhân chẩn đoán xác định ung thư biểu mô tế bào gan được điều trị bằng sóng cao tần (Radio ablation frequency - RFA) có kết hợp hoặc không kết hợp với nút mạch hóa chất (Transcatheter arterial chemoebolizatiom- TACE), trong thời gian thực hiện từ tháng 3/2020- tháng 5/2021. Tiến hành được đánh giá hiệu quả của phương pháp điều trị dựa trên các đặc điểm hình ảnh cùng xét nghiệm AFP trước và sau điều trị, trong thời gian thực hiện từ tháng 3/2020-tháng 5/2021. Kết quả: Bệnh nhân trong nghiên cứu có tuổi trung bình 59,39 tuổi; tỉ lệ nam/nữ: 80.3%/19.7%; tỉ lệ mắc bệnh viêm gan B: 93%; viêm gan C: 11,3%. Tính chất u: Vị trí u chủ yếu ở hạ phân thùy (HPT) V và VI; 86% có xơ gan; 51% có kết hợp TACE. Hiệu quả của phương pháp: tỉ lệ điều trị thành công 80,3%; thời gian tái phát trung bình 10,58 tháng; Tỉ lệ tái phát gần là 12,3%; tái phát xa 10,6%. Tỷ lệ AFP sau điều trị/trước điều trị 19.3%/80.7%. Biến chứng sau RFA tỉ lệ xuất hiện huyết khối tĩnh mạch cửa mới1,8%; Tỉ lệ gặp abcess là 2,8%; u gan vỡ: 1,4%. Kết luận: RFA là phương pháp điều trị triệt căn, cho hiệu quả điều trị HCC (Hepatocellular carcinoma) tốt, tuy nhiên cần phải theo dõi sát sau điều trị phát hiện tái phát sớm và có hướng điều trị tiếp hợp lý với từng trường hợp.
Harnessing the Power of Stories for Rural Sustainability: Reflections on Community-Based Research on the Great Northern Peninsula of Newfoundland
Authors: Lowery Brennan , Cranston Joan , Lavers Carolyn , May Richard , Pilgrim Renee , Simmonds Joan
Published: December 2021

Stories have the power to shape understanding of community sustainability. Yet in places on the periphery of capitalist systems, such as rural and resource-based regions, this power can be used to impose top–down narratives on to local residents. Academic research often reinforces these processes by telling damage-centric narratives that portray communities as depleted and broken, which perpetuates power imbalances between academia and community members, while disempowering local voices. This article explores the potential of storytelling as a means for local actors to challenge top–down notions of rural sustainability, drawing on a community-based research initiative on the Great Northern Peninsula (GNP) of Newfoundland. Five of the authors are community change-makers and one is an academic researcher. We challenge deficiencies-based narratives told about rural Newfoundland and Labrador, in which the GNP is often characterised by a narrow set of socio-economic indicators that overlook the region’s many tangible and intangible assets. Grounded in a participatory asset mapping and storytelling process, a ‘deep story’ of regional sustainability based on community members’ voices contrasts narratives of decline with stories of hope, and shares community renewal initiatives told by the dynamic individuals leading them. This article contributes to regional development efforts on the GNP, scholarship on sustainability in rural and remote communities, and efforts to realise alternative forms of university-community engagement that centre community members’ voices and support self-determination.
When Consensus Falters, We Co-create: Attending to Power in a Practitioner/Scholar Partnership to Amplify Newcomer Belonging
Authors: Fábos Anita H. , Mortley Craig , Ramirez Hilda , Saltsman Adam
Published: December 2021

This article interrogates the politics of belonging in scholar–practitioner collaborations by analysing and reflecting upon a group project that advocated for a more equitable approach to newcomer belonging and integration in an urban setting in the United States. The structure of our collaboration revealed unaddressed and unspoken dynamics that collectively reinforced boundaries and hierarchies in our group, despite a level of intentionality around democratic praxis among the community-engaged scholars who initially brought participants together. The article asks: How can we work towards a notion of belonging if we haven’t worked out an equitable approach within our own group where everyone, including newcomers, feels like they belong? The article relies on a methodology of critical reflexive dialogue between the four co-authors – two scholars and two practitioners – to analyse and reflect on the ways that power imbalances are bound up in questions of belonging and representation.
Igreja dos Remédios de Feira de Santana - mosaico e patrimônio: relato de experiência da oficina da jornada virtual da UEFS
Authors: França Gabriele Alexandre de , Queiroz Lilian Quelle Santos de
Published: December 2021

Este relato objetiva apresentar uma atividade desenvolvida na Jornada Virtual da Universidade de Feira de Santana, Bahia. Foi realizada uma oficina intitulada Igreja dos Remédios de Feira de Santana – Mosaico e Patrimônio, aberta para toda a comunidade.  A oficina proporcionou disseminação do conhecimento sobre os embrechados da torre sineira da Capela Nossa Senhora dos Remédios, além de reflexões sobre a preservação deste ornamento, patrimônio que remete aos mosaicos, com formas padronizadas, geométricas e harmônicas.  Ainda, a oficina promoveu uma vivência de produção artística do mosaico picassiette, reutilizando louças quebradas.