bluuebunny/crossref_metadata_2025 huggingface dataset:
Outcome of Percutaneous Transvenous Mitral Commisurotomy According to Age, Gender and Heart Rhythm
Authors: Dhungel Sachin , Adhikari Chandramani , Rauniyar Binaya , Prajapati Dipankar , Bogati Amrit , Limbu Dipak , Kansakar Subodh , Nepal Himanshu , Yadav Dharmanath , Rajbhandari Rajib , Maskey Arun , Malla Rabi , Sharma Deewakar
Published: March 2023

Background: Percutaneous transvenous mitral commisurotomy (PTMC) is the recommended treatment in the severe mitral stenosis with mitral valve area ≤ 1.5 sq. cm and favourable mitral valve morphology without Left atrium (LA) clot.

Methods: A retrospective study done for one year among all the patients who had undergone PTMC in 2016. Successful PTMC was defined as increase in Mitral valve area (MVA) more than or equal to 1.5 sq. cm or increase in area by more than 50% from baseline. Data was analyze using SPSS-20.

Results: Three hundred thirty sex patients with mean age 34.08 ±12.0 of which male were 97 ( 26.9 %.) and female were 239 (71.1 %). There were 225 (67%) sinus rhythm (SR) and 111 (33%) atrial fibrillation (AF). The median Pre PTMC area and Left atrial (LA) Pressure were 0.9 sq cm and 24 mmHg respectively. The overall success of PTMC was in 289 (86%). The successful outcome in age categories less than 20 years, 20-40, 40-60 and more than 60 years in order are 39 (83%), 174 (86.6%), 71 (86.6%) and 5 (83.3 %). Success for male was 84 (86.6%) and in female 205(86%). Success percentage in SR was 192 (86%) and in atrial fibrillation was 97 (87.4%).

Conclusion: The outcome of PTMC in terms of change in mitral valve area was similar to the different age categories, gender and presence and absence of atrial fibrillation.
A Case Report on Coronary Artery Perforation During Percutaneous Intervention
Authors: Hussain Asraf , Regmi Shyam Raj , Dhital Bishnu Mani , Thapa Shovit , Thapa Sagar , Murarka Rohit , Chaudhary Ramgobind , Shrestha Ashok , Shrestha Roshan , Adhikari Bishwaraj
Published: March 2023

Coronary artery perforation (CAP) is one of the most dreadful complications encountered during Percutaneous Coronary Intervention (PCI). Though being rare, the high mortality rate associated with CAP makes it one of the most important complications that should be well known to all the coronary interventionist.

The treatment modalities range from balloon tamponade, reversal of anticoagulation, coils, microbeads, pericardiocentesis, covered stents and in desperate situations, coronary artery bypass graft. We present here a case of 65 year old male with extensive anterior wall myocardial infarction who developed CAP of proximal left anterior descending artery during PCI. The case was successfully managed with covered stent.
Ut unum sint: New Areas of Spiritual and Pastoral Ecumenism
Authors: Sawa Przemysław
Published: March 2023

Care for Christian unity is part of the nature of the Church. Many years after the ecumenical movement began, signs of disappointment are appearing. The doctrinal dialogues and official meetings are still taking place, but spiritual and pastoral ecumenism is increasingly needed. It manifests itself not only in joint prayers but also in an actual exchange of spiritual gifts, pastoral inspirations and cooperation in many areas of the church and social life. New aspects of such ecumenism have appeared. They take the form of various spiritual trends going beyond the boundaries of churches and communities (prayers, music, spiritual gifts) as well as a search for sources and guidelines for spiritual life that other traditions can offer. In particular, the new shape of ecumenism may be seen in Evangelical and Pentecostal communities. Therefore, the broadly understood Catholic charismatic renewal has a special place in the work for Christian unity. People must walk together, accompany one another, be hospitable and work for the benefit of others. Only then can the Holy Spirit lead the followers of Christ to unity.
Perception of the Encyclical Ut unum sint amongst Slovak Youth
Authors: Štefaňak Ondrej
Published: March 2023

The presented sociological study emerges from the area of sociology of religion that would like to describe and explain religious reality. Its main goal is to present John Paul II’s encyclical Ut unum sint and its reception among Slovak youth. The study is divided into two parts. The introduction includes a short outline of the main reflections that appear in the encyclical Ut unum sint and some experiences connected with ecumenism in Slovakia — strongly dependent on specific people, priests or parishes. The first part presents the main tasks of Christian churches from the point of view of studied young people (e.g. charity, humanity, education or ecumenism). The second part sheds light on the possible differences between the chosen categories of the analyzed representatives of youth, particularly with regard to ecumenism. To that end independent variables were chosen: sex, place of residence, number of siblings, performance at school, attitude to religious faith, religious practices, and religious affiliation. The study is based in particular on the author’s own sociological research conducted at the beginning of the second decade of the 21st century.
Potensi Ekstrak Daun Rhizophora mucronata Sebagai Antibakteri Pada Staphylococcus aureus
Authors: Karundeng Edward Debari Bintar , Hanizar Evi , Sari Dwi Nur Rikhma
Published: March 2023

The purpose of the study was to determine the antibacterial properties of mangrove leaves on Staphylococcus aureus, and to determine the optimal antibacterial concentration of mangrove leaf extract. This research is an experimental type of research using the Diffusion and Dilution test to determine the MIC and MBC extracts. The sample is pure culture of S. aureus. The concentrations of mangrove leaf extracts were 0, 25, 50, 75 and 100 (%). The results of the data obtained were analyzed statistically using the Kruskal-Wallis statistical test. The results of this study showed a significant difference (95%) for the diameter of the clear zone of paper disk on the growth of S. aureus with a concentration of 0% (0.00 mm); 25% (11.04 mm); 50% (11.56 mm); 75% (12.95 mm); 100% (13.94 mm), where the higher the power the resulting resistor will widen. For MIC and KBM in the study using mangrove leaf extract, there were treatments with concentrations of 50, 75 and 100 (%).
Aktifitas Ekstrak Tangkai Daun Coloccasia esculanta Terhadap Staphylococcus aureus
Authors: Putri Retno Widyaqori Asyari , Sari Dwi Nur Rikhma , Hanizar Evi
Published: March 2023

Taro leaf stems have antibacterial compounds, namely tannins, flavonoids, saponins and alkaloids that have anti-bacterial effects. The purpose of this study was to determine the antibacterial ability of the taro leaf stalk extract using the Staphylococcus aureus test bacteria. This research is an experimental study with samples using pure cultures of S. aureus. The treatments in this study were taro leaf stalk extract concentrations, including 0, 25, 50, 75 and 100 (%) concentrations and used diffusion and dilution methods. The results of the study were analyzed statistically with the Kruskal-Wallis test. The results obtained showed that the diameter of the clear zone of S. aureus at various treatment concentrations was 0% (0 mm); 25% (10.98 mm); 50% (11.93 mm); 75% (13.06 mm); 100% (13.14 mm) with significant results between treatments (5%). For the determination of MIC (Minimum Inhibitory Level) and MBC (Minimum Killing Level) there is a treatment with a concentration of 100%.
Pengujian Stabilitas Antibakteri Terhadap Staphylococcus aureus Dari Eksrak Etanol Umbi Bawang Dayak (Eleutherine palmifolia (L.) Merr) Dengan Perlakuan Suhu Penyimpanan
Authors: Prayekti Endah , Prayoga Mirshall Abiedama
Published: March 2023

Bawang dayak merupakan salah satu tanaman yang biasanya digunakan sebagai obat tradisional di daerah Kalimantan. Bawang dayak diketahui mengandungan bebebrapa senayawa fitokimia seperti alkaloid, tanin, flavonoid dan glikosida yang dapat digunakan sebagai antibakteri. Penelitian ini dilakukan secara in-vitro dengan teknik kertas cakram (Kirby- Bauer) dengan menguji ekstrak umbi bawang dayak terhadap salah satu faktor fisik yaitu suhu penyimpanan. Pengujian kemampuan antibakteri dilakukan pada Staphylococcus aureus. Konsentrasi ekstrak bawang dayak yang digunakan dalam penelitian ini sebesar 40%. Suhu penyimpanan yang digunakan dalam penelitian ini adalah 4oC, 20oC, dan 40oC . Hasil penelitian menunjukkan bahwa pada suhu 4oC didapatkan diameter zona hambat dengan rata-rata 25,33 mm, pada suhu 20oC didapatkan diameter zona hambat dengan rata-rata 32,5 mm dan pada suhu 40oC didapatkan diameter zona hambat dengan rata-rata 29,83 mm. Hasil uji Kruskal Wallis didapatkan nilai signifikansi 0,00 yang berarti suhu berpengaruh terhadap stabilitas ekstrak etanol bawang dayak dalam menghambat pertumbuhan Staphylococcus aureus. Suhu penyimpanan yang paling optimal untuk menyimpan ekstrak umbi bawang dayak adalah pada suhu 20oC.
Hubungan Tingkat Pendidikan Dan Pengetahuan Ibu Tentang Penggunaan Obat Sariawan Pada Balita Dan Anak Di Desa Tumpeng Candipuro, Lumajang
Authors: Devi Prastiwi Rexa Cantika , Azizah Siti Nur , Rohman Anies , Siddiq Barru Hakam Fajar
Published: March 2023

Penelitian ini bertujuan untuk mengetahui hubungan tingkat pendidikan dengan pengetahuan ibu tentang penggunaan obat sariawan pada balita dan anak. Jenis penelitian ini adalah deskriptif dan kualitatif. Metode yang digunakan adalah cross-sectional dengan pengambilan sampel data secara accidental sampling yang dilakukan di Desa Tumpeng, Candipuro, Lumajang pada bulan Juni – Juli 2022 dengan menyebarkan kuesioner kepada 75 responden sesuai dengan kriteria inklusi. Hasil penelitian menunjukkan bahwa karakteristik responden berdasarkan pendidikan tertinggi adalah SMP dan SMA sebesar 37,3%, responden berusia 26-35 tahun sebesar 45,3%, dan pekerjaan responden sebagai ibu rumah tangga sebesar 74,7%. Berdasarkan hasil rata-rata persentase pengetahuan ibu tentang obat sariawan sebesar 68,2% dengan kategori cukup. Melalui uji bivariat tingkat pendidikan dan pengetahuan tentang cara penggunaan obat sariawan pada balita dan anak (sig = 0,078) memiliki nilai signifikansi 0,078 > 0,05. Kesimpulan yang dapat ditarik adalah tidak ada hubungan antara tingkat pendidikan dengan pengetahuan tentang cara penggunaan obat sariawan pada balita dan anak.
Između ideje i realizacije: prilog poznavanju umjetničkih djela u interijeru Zgrade društveno-političkih organizacija — Kockice
Authors: Počanić Patricia
Published: March 2023

Umjetnička djela za interijer Zgrade društveno-političkih organizacija (tzv. Kockice) u Zagrebu građene od 1961. do 1968. predstavljaju monumentalan primjer povezivanja arhitekture, dizajna i likovne umjetnosti u kontekstu narudžbe na republičkoj razini vlasti. Na prijedlog arhitekta Ivana Vitića, uz konzultanta likovne opreme Raula Goldonija, arhitektura Kockice upotpunjena je djelima renomiranih umjetnika: Jagode Buić, Dušana Džamonje, Raula Goldonija, Stevana Luketića, Ede Murtića i Zlatka Price. Nastavljajući se na svoja dotadašnja ostvarenja, umjetnici su ostvarili djela apstraktnoga likovnog izraza, koji je vlast samo nekoliko godina prije javno i institucionalno odbacivala. Umjetnička djela u interijeru Kockice tako su predstavljala ne samo umjetničke dosege na razini pojedinih opusa umjetnika, koji su do 1968. već bili sudjelovali u realizaciji mnogih rješenja za interijere javnih ustanova, nego su u zgradi od najvišeg političkog značenja u SR Hrvatskoj, odnosno u sjedištu CK SKH-a potvrdile i službeni stav vlasti prema slobodi umjetničkog izraza, afirmirajući apstraktni likovni izraz i ideju sinteze svih umjetnosti. U radu se na temelju arhivskoga gradiva, onodobnoga tiska i dosadašnjih istraživanja pojašnjava proces narudžbe umjetničkih djela u interijeru Zgrade društveno-političkih organizacija. Također, ostvarena umjetnička djela interpretira se u kontekstu prakse opremanja interijera javnih ustanova, odnosno u kontekstu ideje o sintezi umjetnosti općenito.
Uloga digitalnih 3D modela u kontekstu muzejskog izlaganja skulpture
Authors: Krleža Palmira
Published: March 2023

U članku se raspravlja o tome kakve su razlike u doživljaju originalnih predmeta i njihovih 3D modela u muzejskom kontekstu, i to na primjerima skulpture kao specifično trodimenzionalne umjetničke forme. Započinje se općim pregledom zastupljenosti skulpture u hrvatskim muzejima i njezine popularnosti te se nastavlja pregledom prednosti i nedostataka izlaganja digitalizirane kulturne baštine u muzejima. Potom se originalne predmete i njihove 3D modele nastoji pozicionirati unutar odnosa original — kopija, i to kroz pojmove aure i autentičnosti. Cilj je rada pokazati da, iako 3D modeli jesu vrijedna pomoćna sredstva u prezentaciji muzejske baštine, doživljaj njih i originalnih predmeta nije isti te bi ih se u muzejskom kontekstu trebalo tretirati na zaseban način, kao zamjenske muzejske predmete.
Management of perinatal cervical spine injury using custom-fabricated external orthoses: design considerations, narrative literature review, and experience from the Hospital for Sick Children. Illustrative cases
Authors: Karthikeyan Vishwathsen , Breitbart Sara C. , Malhotra Armaan K. , Fung Andrea , Short Erin , Schmitz Ann , Lebel David E. , Ibrahim George M.
Published: March 2023

BACKGROUND

Cervical spine injuries in neonates are rare and no guidelines are available to inform management. The most common etiology of neonatal cervical injury is birth-related trauma. Management strategies that are routine in older children and adults are not feasible due to the unique anatomy of neonates.

OBSERVATIONS

Here, the authors present 3 cases of neonatal cervical spinal injury due to confirmed or suspected birth trauma, 2 of whom presented immediately after birth, while the other was diagnosed at 7 weeks of age. One child presented with neurological deficits due to spinal cord injury, while another had an underlying predisposition to bony injury, infantile malignant osteopetrosis. The children were treated with a custom-designed and manufactured full-body external orthoses with good clinical and radiographic outcomes. A narrative literature review further supplements this case series and highlights risk factors and the spectrum of birth-related spinal injuries reported to date.

LESSONS

The current report highlights the importance of recognizing the rare occurrence of cervical spinal injury in newborns and provides pragmatic recommendations for management of these injuries. Custom orthoses provide an alternate option for neonates who cannot be fitted in halo vests and who would outgrow traditional casts.
Durability of an endoscopic management strategy for recurrent choroid plexus carcinoma with a comprehensive molecular characterization: illustrative case
Authors: Guadix Sergio W. , Garman Tyler S. , Gundlach Carson , Pisapia David J. , Souweidane Mark M.
Published: March 2023

OBJECTIVE

Choroid plexus carcinoma (CPC) is a rare, primarily intraventricular neoplasm. Extent of resection correlates with improved outcomes but is limited due to tumor vascularity and size. Evidence on optimal surgical management and molecular drivers of recurrence remains limited. Here the authors characterize a case of multiply recurrent CPC treated with sequential endoscopic removals over 10 years and highlight its genomic properties.

OBSERVATIONS

Five years after standard treatment, a 16-year-old female presented with a distant intraventricular recurrence of CPC. Whole exome sequencing revealed NF1, PER1, and SLC12A2 mutations, FGFR3 gain, and no TP53 alterations. Repeat sequencing on recurrences 4 and 5 years later showed persistent NF1 and FGFR3 alterations. Methylation profiling was consistent with plexus tumor, subclass pediatric B. Short-term magnetic resonance imaging detected four total isolated recurrences, all treated with complete endoscopic resections at 5, 6.5, 9, and 10 years after initial diagnosis. Mean hospital stay for all recurrences was 1 day with no complications.

LESSONS

The authors describe a patient with four isolated recurrences of CPC over a decade, each treated with complete endoscopic removal, and identify unique molecular alterations that persisted without TP53 alterations. These outcomes support frequent neuroimaging to facilitate endoscopic surgical removal following early detection of CPC recurrence.
Vascular steal and associated intratumoral aneurysms in highly vascular brain tumors: illustrative case
Authors: Hong Christopher S. , Marianayagam Neelan J. , Morales-Valero Saul F. , Barak Tanyeri , Tabor Joanna K. , O’Brien Joseph , Huttner Anita , Baehring Joachim , Gunel Murat , Erson-Omay E. Zeynep , Fulbright Robert K. , Matouk Charles C. , Moliterno Jennifer
Published: March 2023

BACKGROUND

Intratumoral aneurysms in highly vascular brain tumors can complicate resection depending on their location and feasibility of proximal control. Seemingly unrelated neurological symptoms may be from vascular steal that can help alert the need for additional vascular imaging and augmenting surgical strategies.

OBSERVATIONS

A 29-year-old female presented with headaches and unilateral blurred vision, secondary to a large right frontal dural-based lesion with hypointense signal thought to represent calcifications. Given these latter findings and clinical suspicion for a vascular steal phenomenon to explain the blurred vision, computed tomography angiography was obtained, revealing a 4 × 2–mm intratumoral aneurysm. Diagnostic cerebral angiography confirmed this along with vascular steal by the tumor from the right ophthalmic artery. The patient underwent endovascular embolization of the intratumoral aneurysm, followed by open tumor resection in the same setting without complication, minimal blood loss, and improvement in her vision.

LESSONS

Understanding the blood supply of any tumor, but highly vascular ones in particular, and the relationship with normal vasculature is undeniably important in avoiding potentially dangerous situations and optimizing maximal safe resection. Recognition of highly vascular tumors should prompt thorough understanding of the vascular supply and relationship of intracranial vasculature with consideration of endovascular adjuncts when appropriate.
Предмет «Фізична культура» в системі цінностей учнів середніх класів і ліцеїстів
Authors: Марчик Валентина Іванівна , Козлов Віктор Васильович
Published: March 2023

В роботі досліджували зміни у ціннісному ставленні до уроків фізичної культури від учнів середніх класів до ліцеїстів. Встановлено збільшення показників значимості для вивчення предмету «Фізична культура»; рівня мотивації задовольнити потребу в русі; сприйняття уроку як «нецікавого»; про недостатнє фізичне навантаження, або його відсутність; впевненості у виконанні фізичних вправ. Авторитет вчителя фізичної культури, що зростає з підліткового віку до юнацького, займає гідне місце в системі цінностей формування особистості учнівської молоді.
Influence of Polyhalite on growth and yield of sugarcane var. Co 11015 in typic Ustropepts
Authors: GOKUL D. , KARTHIKEYAN P. K. , POONKODI P. , BABU S. , IMAS PATRICIA , PERELMAN ADI
Published: March 2023

Polyhalite is a natural mineral which contains potassium (K2O, 14%), sulphur (SO3, 48%), calcium (CaO, 17%) and magnesium (MgO, 6%). It is used as fertilizer for high value crops. Soil fertility, selection of fertilizer sources and application practices are all crucial factors in maximizing mineral nutrition during the cropping season. With an increasing demand for fertilizer, polyhalite was identified as a potassium source for crops. In view of this context, a present experimental work was conducted during 2021-22 at farmer’s field, Arachalur, Erode district, Tamil Nadu, India to study the influence of polyhalite on growth attributes, yield attributes and yield of sugarcane var. Co 11015. The experiment was conducted in sandy loam soil laid out in randomized block design with 10 treatments replicated thrice. The recommended dose of nitrogen and phosphorus was applied uniformly to all treatments. The potassium was applied in two sources, muriate of potash (MOP) and polyalite in different ratios and levels except control. The results of the field experiment revealed that sugarcane significantly responded to the application of two potassium sources and levels. The maximum values of growth attributes like plant height, number of leaves per stalk, leaf area index, leaf chlorophyll content, yield attributes and yield like, number of internodes per stalk, length of internode per millable cane, length of millable cane, diameter of millable cane, single cane weight, number of tillers per plant, number of millable cane, cane yield and sugar yield were recorded with application of RDF (NP alone) + 150% K (169.5 kg K2O/ha) as polyhalite (T8). The lowest respond was found in the treatment T1, which received RDF (NP alone).
Development and treatment of CSF fistula, post-operative headache, cerebellar ptosis in 62 patients who underwent posterior fossa cranioplasty or not following posterior fossa surgery
Authors: YALDIZ Can , TÜRK Okan , TAHMAZOĞLU Burak , ŞAHİN Ömer Faruk , BARAN Özgür , KARAOĞLU Adil Can , AMBARCIOĞLU Mehmet Akif , KAYA Mustafa , CEYLAN Davut
Published: March 2023

Objective: The approaches in posterior fossa surgery are used for accessing various tumors and vascular lesions including neuro-glial tumors, vestibular Schwannomas, inclusion tumors, meningiomas.

Materials and Methods: A total of 62 patients who underwent operation due to infra-tentorial intra-cranial mass lesion in Neuro-Surgery Clinic between 2014 and 2018 were included in the study.

Result: The study was conducted with 62 patients of whom 61.3% (n=38) were males and 38.72% (n=24) were females between 2014 and 2018. While 33.9% (n=21) of the patients underwent cranioplasty, 66.1% (n=41) did not undergo cranioplasty.

Conclusion: The preliminary study suggests that cranioplasty is useful for headache and cerebellar ectopy however insufficient for prevention of CNF fistula development.
The Resilience and Adaptation of Pastoralist Livestock Mobility in a Protracted Conflict Setting: West Darfur, Sudan
Authors: Sulieman Hussein M. , Young Helen
Published: March 2023

This paper focuses on the dynamics of pastoralist herd mobility in West Darfur State, Sudan, a region affected by persistent conflict. The paper examines the annual cycle and seasonal trajectories of mobility for camels, cattle, and sheep, comparing mobility patterns by livelihood specialisation and reviewing the mobility of multi-species herds. Using social research tools and remote sensing livestock tracking technology, the study found diverse livestock mobility patterns within the region. Conflict and insecurity have reduced the freedom and flexibility of these movements. Persistent insecurity combined with climate shocks have led to adaptations, including changes in herd species composition and owner preference, and a shift from long to short-distance mobility closer to the home area. Ultimately these changes have undermined the resilience of the pastoral system. The paper considers the implications of these changes in pastoralist mobility for humanitarian needs, building livelihood resilience and promoting peaceful integration with other users of natural resources.
Correlation between Total Cholesterol Levels and Blood Pressure in Bangetayu Adult, Semarang City
Authors: Wikandari Ririh Jatmi , Purlinda Devi Etivia , Ichsan Burhanudin
Published: March 2023

Non-communicable diseases (NCDs) are the largest contributor to death in the world. The prevalence of NCDs tends to increase. Hypertension is one of the non-communicable diseases with the largest proportion in Semarang. High cholesterol levels will accumulate in  the arteries, causing the arteries to stiffen, so the heart tries hard to pump blood through these blood vessels, and can cause blood pressure to rise (hypertension). Some risk factors that can increase blood pressure, such as high salt intake, overweight or obesity, alcohol consumption, lack of physical activity, stress and smoking. Lack of physical activity can increase cholesterol levels in the body which is a risk factor for cardiovascular disease (coroner's heart disease dan stroke). Age affects the occurrence of hypertension. With age the risk of developing hypertension is greater. The purpose of the study was to determine the relationship between cholesterol and blood pressure in adults in Bangetayu, Semarang City. This study uses a cross-sectional approach. Research samples are in the community of  Bangetayu Kota Semarang. Research Tools and Materials include lanceolate, alcohol swab, cholesterol strips, digital sphygmomanometers, POCT cholesterol and capillary blood.  Research data obtained from the results of checking cholesterol levels and blood pressure. The results of this study were processed using SPSS 20 software with data analysis using Chi Square (α=5%) and presented descriptively about the relationship of cholesterol levels with blood pressure in adults. The results of statistical analysis show a p-value 0.05 which means that there is no significant relationship between variables and vice versa. The results showed that there was no relationship between blood pressure and cholesterol.
The Clinico-epidemiologic Characteristics of Iraqi Patients with Neuroendocrine Tumors and Their Response to Long Acting Octreotide
Authors: Abdulfattah Marwah K. , Al-naqqash Manwer A.
Published: March 2023

Background: The lack of studies regarding the neuroendocrine tumors (NET) is related to the rarity of these tumors .Long acting Octreotide is an established treatment for NETs by both providing symptomatic relief & inhibiting tumor growth. However, studies regarding incidence of NETs & their response to long acting Octreotide are still insufficient.Objectives: To study the clinico-pathologic characteristics of Iraqi patients with NET & their response to long acting Octreotide.Patients & methods: This is a cross-sectional observational study that was conducted in Oncology teaching hospital using patients’ follow-up records. Data recruitment included all NET patients diagnosed after October 2013.Results: During the study period (2 years) ,38 patients were recorded in Iraq/oncology teaching hospital NET Registry. Patients ` data (age, gender, site of the tumor, metastatic status as well as type of therapy applied) were collected. Twenty one (55.3 %)of the patients were males, M:F=1.2:1 , while 23 patients (60.5%) were over the age of 50 years .The gastroenteropancreatic (GEP) tract being the most common primary site followed by pelvis We found metastatic disease at presentation in 17 (44.7% ) of patients and the Liver was the most common metastatic site found in (15.8%, 6 patients). Seventeen (44.7%) patients presented with Grade 3 . Most common therapy applied in our patients included systemic chemotherapy, surgery, long acting Sandostatin & radiotherapy for palliation only according to both NCCN & ESMO guidelines. The median time of remission following Somatostatin analogue (SSA) administration was 3 months compared to 7 months in patients received other modalities of treatment (p=0.003).Conclusion: Octreotide LAR provides symptomatic response & contributes to disease stabilization & tumor regression in both functional & non functional NETs.
The prevalence of gallstone disease after sleeve gastrectomy and Roux en Y gastric bypass
Authors: Mukhtar Ramiz S. , Saloom Adil K. , AbdulJabbar Mohammed Q.
Published: March 2023

Background: Obesity (body mass index >30) is increasing worldwide with an estimated 1.7 billion people currently affected by the disease, Gallstone represent the third most common disease observed among obese patients. Moreover about 30% of the patients who are candidates for bariatric surgery either have undergone a prior cholecystectomy or are found to present gallstones at time of surgery, On the other hand, newly formed gallstones may be diagnosed in 27% to 43% of patients who have undergone bariatric surgery within a very short period of time.Objective: To determine the prevalence of gallstone disease requiring cholecystectomy after laparoscopic sleeve gastrectomy and roux en Y gastric bypass during a one year follow up and to determine the need for prophylactic cholecystectomy in these patients.Patients and methods: prospective study among patients with morbid obesity treated with laparoscopic sleeve gastrectomy and Roux- en- Y Gastric Bypass between 1st of February 2013 till 31st of July 2015 at Saint Raphael hospital and Al-Hayat private hospital, patients with negative abdominal ultrasound preoperatively, patient with at least one year follow up after surgery were included in this study, The patients were divided into two groups for comparison. Group A patients who had laparoscopic sleeve gastrectomy, and group B included the patients who underwent laparoscopic Roux en Y gastric bypass. The primary outcome measure was the formation of symptomatic gallstones or sludge with or without complications.Results: 284 patients in group A(sleeve) and 45 patients in group B(Bypass) were included in the analysis, the mean age of was 34.5 years for group A, and 191(67.3%) of the patients were women, whereas it was 41.5 years for group B and 33 (73.3%) of the patients were women, Symptomatic cholelithiasis subsequently requiring cholecystectomy occurred in 29 (10.2%) of 284 laparoscopic sleeve gastrectomy patients, and 5(11.1%) of 45 Roux en Y gastric bypass patients , symptomatic gallstone developed in a median of 7 months in group A, while the median time to developed symptomatic gallstone in group B was 8 months. No significant difference in symptomatic gallstone disease was found between the patients who underwent laparoscopic gastric bypass and those who had sleeve gastrectomyConclusions: Cholelithiasis was common in our patients before weight reduction surgery. The rate for symptomatic gallstones after surgery was not so high.. Routine prophylactic cholecystectomy should not be recommended for these patients.
Aortic root dilatation among children with unoperated Fallot tetralogy. A clinical and echocardiographic study.
Authors: Alsuwayfee Khaleel I.
Published: March 2023

Bacground: Tetralogy of Fallot (TOF) is a commn congenıtal heart disease and it may be associated with aortic root dilation (ARD ) before or even years after the surgical repair. To the best knowledge this is the first study in Iraq dealing with this issue.Objectives : To dtermine the frequency of aortic root dilatation among sample of children with Fallot teralogy in Mosul-İraq and to asses its associated risk factors.Patients and methods : A total of 110 children ,54 with TOF compared to 56 normal chıldren by echocardiography for determining the frequency of aortic root dilatation among both groups. Among TOF children different factors like age and sex, size of the ventricular sptal defect (VSD) ,degree of overrıdıng of aorta over the interventricular septum, severity of the right ventricular outflow tract (RVOT) obstruction , positive family history of TOF affecting other family member , the presence of previous paliative surgery like Blalock-Taussig shunt and the use of Beta receptors blocking drugs were evaluated for its possible association with the problem.Results: Fifty four children with TOF (male :female=0.45) , mean age 67.55 ± 51.8 months and mean body surface area (BSA) 0.71± 0.47 m2 were compared to fifty six normal chıldren (male :female=0.46) , mean age 47.64 ± 39.59 months and mean BSA 0.60 ± 0.24 m2. The frequency of ARD among children with unoperated TOF was high (69 %) in the studied sample and goes with what was already known (15%-87%). Male sex , increasing patient age and severe (RVOT) obstruction with pulmonary hypoplasia were positivelly correlated with the increased risk of the development of ARD while the other factors did not show significant association.Conclusion: Aortic root dilatation should be considered seriously in children with TOF and when ever possible surgical correction should be performed after infancy.
Obsolescência programada
Authors: Grubba Leilane Serratine , Locatelli Huryel
Published: March 2023

A obsolescência programada tem por objetivo aumentar a produção e consumo de bens. Com essa premissa, o artigo visa analisar o crescimento da obsolescência programada e de que forma ela se instalou no sistema de produção e ideal de consumo da população ocidental. Para tanto, discute-se dois prontos principais: como o mercado de consumo obstaculiza o direito ao meio ambiente sadio e equilibrado e de que forma isso vem se agravando ao decorrer do tempo. Questiona-se, ademais, a possibilidade de se imaginar uma economia viável sem a obsolescência programada ou o impacto no meio ambiente. Conclui-se que é possível e viável instituir uma economia sólida e reduzir o impacto no meio ambiente sem a obsolescência programada, seguindo alguns pontos principais tratados no texto, bem como, a conscientização do consumidor. Utilizou-se do método dedutivo e a técnica de pesquisa bibliográfica.
A Law for Irreversible Thermodynamics? Synergy Increases Free Energy by Decreasing Entropy
Authors: Jaffe Klaus
Published: March 2023

Classical laws of thermodynamics apply only for reversible processes. Most processes however are irreversible and occur in open systems. That is the case of synergy that emerges from synchronized reciprocal positive feedback loops between a network of diverse actors. For this process to proceed, compatible information from different sources synchronically coordinates the actions of the actors resulting in a nonlinear increase in the useful work or potential energy the system can manage. In contrast noise is produced when incompatible information is mixed. This synergy produced from the coordination of different agents achieves non-linear gains in free energy and in information (negentropy). Free energy can be estimated by proxies such as individual autonomy of an organism, emancipation from the environment, productivity, efficiency, capacity for flexibility, self-regulation, and self-control of behavior; whereas entropy, or the lack of it, is revealed by the degree of synchronized division of ever more specialized labor, structural complexity, information, and dissipation of energy. Empirical examples that provide quantitative data for these phenomena are presented. Results show that increases in free energy density are concomitant with decreases in entropy density. This may be a rule for synergistic processes in irreversible thermodynamics, which is consilient with the first and second laws of classical thermodynamics. Under this light, biological evolution is the task of self reproducing irreversible synergistic system to discover empirically (through natural and sexual selection) types of order that increase their free energy.
From Security Provider to a Security Risk?
Authors: Sigatu Kaleab Tadesse
Published: March 2023

This paper aims to offer an overview of a unique and decade-long Ethiopian peacekeeping deployment in Abyei, where Ethiopian contingents comprise almost the entire force, where the deployment ended in an ungraceful manner because of disapproval from the government of Sudan. The paper reveals that the Tigray conflict which resulted in the desertion of the Ethiopian peacekeepers and Egyptian pressure on Sudan because of the GERD have contributed to the withdrawal of Ethiopian peacekeepers and the Ethiopia–Sudan border dispute brought a dark shadow on their relations in addition to the disruption of the peacekeeping deployment. The paper concludes that unless Ethiopia makes a progress on internal stability and reboots its relations with its neighbours, Ethiopia’s role as a peace mediator and peacekeeper in the region becomes an ignominy.
The Experience of Involved Individuals From the Implementing Challenges of Community-Based Rehabilitation in Iran: A Qualitative Study
Authors:   Department of Counseling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Khanjani Mohammad Saeed , Fallahi Bookani Najibeh ,   Department of Rehabilitation Management, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Abdi Kianoush ,   Department of Rehabilitation Management, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Published: March 2023

Objectives: One of the prominent vital needs for implementing a community-based rehabilitation (CBR) program is correct perception and we know that CBR is linked to several challenges. The current study was performed to identify the challenges of implementing a CBR program in Iran based on the perceptions of the stakeholders. Methods: This study was qualitative conventional content analysis. In total, 25 participants who were staff of the Welfare Organization at different levels, managers, and experts working in the CBR project and non-governmental organizations (NGOs) were selected according to purposive sampling. Data gathering was performed by semi-structured and in-depth interviews and continued until saturation. The interviews were performed in 2020. To test the trustworthiness of data, the Guba and Lincoln criteria (credibility, dependability, confirmability, and transferability) and MAXQDA were used for data analysis. Results: The challenges of implementing a CBR program were identified. Eight novel categories and 39 subcategories were generated as follows: neglecting the local conditions and role of provinces, poor policymaking, and planning, deviation from the main goals, lack of a comprehensive evaluation system, inefficient resource management, weakness in facilitation, ineffective communication, and the inefficiency of NGOs). Discussion: Policymakers, service providers, and managers must understand the challenges of implementing a CBR program. Also, they are expected to address to this issue. This paper showed evidence for all stakeholders. Paying attention to these challenges can lead to the program’s tremendous success and ultimately, improved service provision and quality of life for people with disabilities and their families. The results support the need for policymakers and managers in the rehabilitation sector to change their vision and address the CBR as an essential part of the rehabilitation system. Also, the collected data could help to reinforce the CBR services.
Adalet ve Kalkınma Partisi’nin 2002 Genel Seçimlerindeki AB Söylemi: Dilbilimsel Söylem Analizi
Authors: KARAKAYA Dursun , ER Mutlu
Published: March 2023

Bu çalışma Adalet ve Kalkınma Partisi’nin (AKP) 2002 genel seçimlerinde Türkiye’nin Avrupa Birliği üyeliği konusunda takındığı tavır ve oluşturduğu söylemin dilbilimsel söylem analizi yoluyla çözümlenmesi amaçlamaktadır. Çözümleme yapılırken Düsseldorf Okulu/Ekolü olarak da bilinen yöntem temel alınmıştır. Buna göre parti programı, seçim bildirgesi ve belirlenen ulusal gazetelerden elde edilen derlem; söz varlığı, metafor konsepti ve gerekçelendirme (Alm: Lexik-Metaphorik-Argumentation) boyutlarıyla ele alınmış ve incelenmiştir. Uygulalan metodoloji bakımından bu çalışma, daha çok eleştirel söylem analizi yöntemiyle incelen siyasi söylemlerin çözümlenmesinde nispeten özgün bir yaklaşım ortaya koymaktadır. Özellikle Düsseldorf Ekolü’nün geliştirdiği, yukarda belirtilen üç aşamalı inceleme modelinin Türkiye’deki politik söylem üzerine bu anlamda ilk defa uygulandığı söylenebilir. Yapılan inceleme ortaya koymuştur ki AKP, içinden geldiği Millî Görüş geleneğinin aksine Türkiye’nin AB üyeliği konusunda oldukça pozitif bir tavır içindedir ve bu tavrını hem söz varlığı hem oluşturduğu metafor konseptleri hem de sunduğu çok çeşitli argümanlarla gerekçelendirmiştir.
Development of the material and technical base of the branches of the agro-industrial complex of Russia
Authors: Pekurovsky D. A. , Kontsevaya S. Y.
Published: March 2023

Relevance. The article is devoted to the current state of the material and technical base of the agro-industrial complex. The authors noted such problems as a decrease in units of equipment, an insufficient level of integration, and a low level of innovation. Solving these problems requires the development of regional programs for lending and subsidizing agriculture, the development of clusters, consistent digitalization and the introduction of innovations.

Materials. Мonographic studies, scientific publications of domestic and foreign authors, statistical data, materials of the legislative framework.

Methods. Тhe research process used methods of theoretical generalization, synthesis, induction, deduction, complexity, concretization and extrapolation of scientific knowledge.

Results. We believe that the main tool for the development of the material and technical base of the agroindustrial complex of Russia is the development and implementation of federal and regional programs that provide grants and loans that allow creating the necessary institutional conditions.
Varietal features of the formation of the productivity of Rafael barley at different seeding rates
Authors: Levakova O. V.
Published: March 2023

Relevance. New modern varieties of grain crops created recently, including barley, require the development and refinement of varietal cultivation technology. Since there are significant differences in weather conditions, soil characteristics, and the nature of the relief on the territory of the Russian Federation, the development of technology for a specific agro-climatic zone is especially important.

Methods. The object of research is a new variety of spring barley Raphael, included in the State Register for the Central and Volga-Vyatka regions in 2022. To solve the tasks set, experiments with seeding rates with an interval of 0.5 million were laid on the experimental field. germinating grains per hectare (3,0; 3,5; 4,0; 4,5; 5,0 and 5.5 million). The studies were carried out by field and laboratory methods using appropriate techniques.

Results. A clear strong negative trend has been established, a decrease in field germination with an increase in the seeding rate (r = -0.973), which also affects the yield of the variety (r = -0.607). It was revealed that the variant with a seeding rate of 3.0 million vsx. grains per 1.0 ha formed the maximum tillering coefficient, had the highest productivity of one plant, the length of the ear and the number of grains per ear compared to other variants of the experiment, but had the lowest yield in the experiment – 5.52 t/ha. The yield of this variety was largely determined by the mass of 1000 grains (r = +0.785) and the number of plants before harvesting (r = +0.329). In the course of research, it was found that the productivity of the Raphael variety in Non-Chernozem conditions on dark gray forest soil of an average level of fertility when sowing at optimal times is significantly affected by the seeding rate and the genotype of the variety. The highest yield index over the years of research, which is the main criterion for evaluating the experience, was achieved with a seeding rate of 4.0 to 4.5 million vsx. grains per 1.0 ha – 6.28–6.57 t/ha.
Analisis Stabilitas Dinding Penahan Tanah Pada Pembangunan Jalan Inspeksi Waduk Brigif
Authors: Rifqi Aryadi Muhammad , * Yelvi
Published: March 2023

Pembangunan jalan inspeksi yang berada di Waduk Brigif berpapasan langsung oleh Kali Krukut. Untuk mendapatkan trase jalan yang aman dan nyaman terhadap kelongsoroan maka dilakukan rancangn ulang badan jalan agar menghasilkan nilai faktor keamanan (Fk) ≥ 1,25 dan FK ≥ 1,10 jika gempa diperhitungkan. Kondisi lereng dihitung saat kondisi High Water Level (HWL) dan Low Water Level (LWL) dengan masing – masing perhitungan lereng asli dan dengan gempa. Analisis ini dilakukan dengan cara perhitungan manual dan software GeoStudio 2012 sub program SLOPE/W, kedua perhitungan menggunakan metode Simplified Bishop Method. Hasil analisis FK lereng kondisi HWL tanpa pengaruh gempa sebesar 3,20 untuk perhitungan manual dan 2,48 untuk SLOPE/W. Hasil analisis FK lereng kondisi HWL dengan pengaruh gempa sebesar 1,88 untuk perhitungan manual dan 1,72 untuk SLOPE/W. Hasil analisis FK lereng kondisi LWL tanpa pengaruh gempa 3,13 untuk perhitungan manual dan 2,58 untuk SLOPE/W. Kemudian hasil analisis FK lereng kondisi LWL dengan pengaruh gempa sebesar 2,20 untuk perhitungan manual dan 1,79 untuk SLOPE/W. Dari seluruh analisis menunjukkan bahwa kondisi lereng stabil. Dibutuhkannya dinding penahan tanah pada lereng untuk mencegah gerusan air. Digunakan dinding penahan tanah bronjong. Didapatkan nilai stabilitas dinding terhadap guling sebesar 4,25 ≥ 2, terhadap geser  sebesar 1,59 ≥ 1,5 dan terhadap daya dukung tanah sebesar 825,31 kN/m ≥ 378 kN/m. Dari analisis stabilitas dinding penahan tanah ditunjukkan dinding penahan tanah bronjong mampu menahan guling, geser dan daya dukung tanah.
MESIN PENGERING GABAH MODEL BAK MENGGUNAKAN BAHAN BAKAR LPG
Authors: Yulianto Rudy , Kardi Su , Udin Faqih , Rusli Meika Syahbana , Mustofa K. Dianta
Published: March 2023

Conventional drying relies on sunlight has a number of drawbacks. In terms of productivity, drying takes a long time, for example: two until three days for sunny day or four to five days for cloudy weather. Design of a combined gas-fueled rice drying machine (Liquefied Petroleum Gas) as an alternative in drying rice does not depend on weather conditions, in both rainy and dry season. This drying machine uses a hot air distribute in pipe that have functions to remove water evaporation from the dried materials. The circulation of hot air in the room is very important to produce drainage in the drying chamber. Heat circulation in the drying chamber can take place naturally or forcibly using a fan into the extruder tube. Centrifugal blower has functions to suck or dispose hot air in a room. Heater drum of dry air functions as a drying device where hot steam is placed into the drum.  The furnace has functions as a device for heating. From this study it can be concluded that the humidity in the drying chamber is 0.1875 kg water/kg air, the mass of drying air is 26.4915 kg, the requirement of fuel during the drying process is 3 kg of fuel, the time required for drying is 5.1623 - 11.6023 hours, the drying temperature of rice is 40oC, 45oC, and 50oC. The thickness of rice pile are 100 mm and 200 mm, mass of dried rice 50 kg and 100 kg, and efficiency of rice drying is 52.67% - 58.41%.
ЕКОНОМІЧНА ОЦІНКА ТА ЕФЕКТИВНІСТЬ МЕДИЧНИХ ТЕХНОЛОГІЙ У ЗАКЛАДАХ ОХОРОНИ ЗДОРОВ’Я УКРАЇНИ
Authors: Грищук Сергій , Кільніцька Олена , Яремова Марина
Published: March 2023

У статті уточнено сутність медичних технологій, окреслено базові компоненти оцінки медичних технологій та виокремлено види їх ефективності у закладах охорони здоров’я. Здійснена порівняльна характеристика використання методів ниркозамісної терапії в Україні та світі. Проведена грошова оцінка усіх видів діалізу у закладах охорони здоров’я України у цінах 2022 р. Доповнено методичні підходи до оцінки медичних технологій та визначено рівень економічної ефективності лікування хронічної хвороби нирок термінальної стадії у підприємствах охорони здоров’я шляхом гемодіалізу. Обґрунтовано, що трансплантація нирки є економічно доцільною медичною технологією проведення ниркової замісної терапії з урахуванням показників тривалості та якості життя. Доведено необхідність застосування методів оцінки економічної ефективності медичних технологій на національному та госпітальному рівнях.
ВІТЧИЗНЯНЕ ПІДПРИЄМНИЦТВО В УМОВАХ ВОЄННОГО СТАНУ: ОСНОВНІ ТЕНДЕНЦІЇ ТА МЕТОДИ ПІДТРИМКИ
Authors: Мурована Тетяна
Published: March 2023

Стаття присвячена дослідженню основних тенденцій та методів підтримки вітчизняного підприємництва в умовах воєнного стану. Встановлено, що сектор підприємництва України вразливий до воєнних подій: за результатами 2022 року майже 20% суб’єктів підприємництва припинили свою діяльність, але більшість підприємств продовжують шукати методи адаптації до нових обставин, залучають резерви для підтримки своєї життєдіяльності, проводять трансформацію чи релокацію своїх об’єктів, ресурсів, виробничих потужностей. Досліджено стан підприємництва, ключові зміни в організації бізнес-сектору, що мали місце в результаті введення воєнного стану; узагальнено вплив воєнних подій на динаміку діяльності підприємств. Проаналізовано підтримку, реалізовану урядом України, зокрема в контексті додаткового фінансування господарюючих суб’єктів та попередження їх масового банкрутства.