bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Range of Motion (ROM) Aktif Kaki terhadap Sensitivitas Kaki pada Pasien Diabetes Millitus Tipe II di Wilayah Kerja Puskesmas Masbagik
Authors: Purnamawati Dewi , Kresnawati Yulia Tri , Mawaddah Ely , Sentana Aan Dwi
Published: July 2022

In the era of globalization there is a shift from infectious diseases to non-communicable diseases, more and more degenerative diseases, one of which is Diabetes Millitus. DM is a metabolic disease characterized by increased blood sugar levels due to insulin secretion disorders. Hyperglycemia and metabolic disorders in DM can cause complications, one of which often occurs in DM patient is nerve damage or peripheral neuropathy so that it can cause a decrease in foot sensitivity. The purpose of this study was to determine the influence of foot active range of motion (ROM) on the sensitivity of foot in patients Diabetes Millitus type II in the working area of primary health care  Masbagik year 2021. This study is a pre-exsperimental research design with One Grup Pretest-Posttest. Approach. The sample in this study is patients with Diabetes Millitus type II in the working area of primary health care Masbagik 22 people sampel. Sampling technique using Purposive sampling. Statistical test results show that there is an effect of active foot Range Of Motion (ROM) on foot sensitivity in patients Diabetes Millitus type II with P test results, namely p value = 0.000 < a = 0.05, where the null hypothesis (H0) is rejected or the alternative hypothesis (Ha) accepted, It can be concluded that there is an effect of foot active range of motion (ROM) on the sensitivity of foot in patients Diabetes Millitus type II. Respondents are advised to always do Range Of Motion (ROM) active foot of the foot to maintain foot sensitivity. If foot sensitivity is not maintained, the roots experience impaired foot sensitivity which can cause diabetic ulcers or diabetic foot.
EDUCATION OF FILL MY PLATE COMIC ON OVERWEIGHT ELEMENTARY SCHOOL STUDENTS
Authors: Darni Joyeti , Wahyuningsih Retno , Utama Lalu Juntra
Published: July 2022

Background: In the lifestyle shift in Indonesian society, consumption patterns are high in calories, high in simple sugars, and low in fiber and not balanced with sufficient physical activity. Nutrition education can prevent the increasing prevalence of obesity and overweight. An approach to the client is needed in solving problems to change the pattern of life to be healthier and better. Students in Elementary schools tend to prefer illustration books in realistic or cartoon form. Comics have an excellent visual media function in helping to increase knowledge of balanced nutrition, and it is hoped that this will influence the behavior of balanced nutrition. The purpose is to determine the effect of providing comic education Fill My Plate on the energy of elementary school children with excess nutritional status. Methods: This quasi-experimental study involved 60 students who were divided into treatment groups by providing education on comics Fill My Plate and a control group giving education without comics Fill My Plate energy data analysis in both groups using paired t-test. Research Result: The results showed an influence between the energy before and after giving education on comics Fill My Plate in the treatment group (P = 0.000), while the control group had no effect (p = 0.897). Conclusion: Providing education using comics Fill My Plate affected reducing energy in elementary school students who have more nutritional status.
PENGARUH STRATEGI PROMOSI TERHADAP KEPUTUSAN NASABAH MEMILIH TABUNGAN SIPINTAR PADA PT. BANK PERKREDITAN RAKYAT PEMBANGUNAN KERINCI
Authors: Putra Eka , Sumanti Eva
Published: July 2022

Penelitian yang dilakukan ini bertujuan untuk menelusuri apakah pada PT. Bank Perkreditan Rakyat Pembangunan Kerinci strategi promosi dapat mempengaruhi nasabah dalam memilih menggunakan produk tabungan SIPINTAR. Untuk mendukung penelitian ini, maka diambil 80 responden yang merupakan nasabah tabungan SIPINTAR dengan metode pengambilan sampel yaitu convenience sampling. Teknik analisis data yang digunakan dalam penelitian ini yaitu analisis regresi linear sederhana dengan bantuan aplikasi IBM SPSS.26. Hasil penelitian ini menyatakan bahwa strategi promosi berpengaruh positif dan signifikan terhadap keputusan nasabah dalam memilih tabungan SIPINTAR pada PT. Bank Perkreditan Rakyat Pembangunan Kerinci dengan besaran pengaruh yaitu 47,2%.
Tren Berjilbab Kalangan Muda Muslimah Urban di Yogyakarta: Tinjauan Antropologi Islam Talal Asad
Authors: Al Jufri Muhammad Arman
Published: July 2022

This article examines the hijab trend among young urban Muslim women in Yogyakarta. This trend in practice is not only related to religious practice. This trend is also related to the existentialist aspect, namely identity as a true Muslim woman. The choice of urban Muslim women's hijab, both size, and model, is an indicator of the relationship of existentialist aspects to this trend. This research uses qualitative methods with this type of field study. To see it, the author uses the Islamic anthropology Talal Asad. Two points are outlined; first, what and how is the basis of Islamic reason (Qur'an and Hadith) when talking about hijab; second, how and to what extent discourse and social relations affect the meaning of the veiled trend. As a result, Q. 24:31 and Q. 33:59 are two verses of the Qur'an that specifically speak of this term. Both are used in legitimizing the legal status of the hijab (closing the aurat). Understanding the two verses has two tendencies, some interpret the verse in a strict sense; textual, others tend to be more adjective; non-textual. The trend of hijab among young urban Muslim women in Yogyakarta has a meaning not only limited to the problem of carrying out religious orders as stated in the Qur'an, but also related to identity status, the ideology that accompanies it, and the process of commodification.
Strategi Dakwah Dalam Membina Akhlak Remaja di Desa Bendung Air Kayu Aro
Authors: Zuhdi Ahmad , Khairul Nuzuli Ahmad , Febrianto Febrianto
Published: July 2022

The progress of the times and technology makes young adolescents absorb values from anywhere, including negative values. This has a serious impact on adolescent morals. This study wanted to see how the right da'wah strategy in fostering adolescent morals in the village of Bendung Air Kayu Aro. This research method is descriptive qualitative. Data collection is done by interview process. The results of the study show that there is success in communicating messages of moral values. This shows that the emotional, intellectual, and sensory tactics and principles used have brought positive changes to adolescents, as evidenced by the increase in the quality of adolescent worship and the increase in adolescent morale.
Problematika Komunikasi Mahasiswa dan Dosen Pada Perkuliahan Daring di Masa Pendemi
Authors: Anrial  , Yansah Savri , Mulkati
Published: July 2022

Pelasanaan perkuliah online / daring  selama pendemi Covid-19 yang sudah berjalan selama lebih kurang dua tahun sangat berpengaruh sekali terhadap proses komunikasi antara mahasiswa dan dosen, khususnya mahasiswa angkatan tahun 2019, karena proses perkuliahan ofline hanya dilakukan beberapa pertemuan di semester satu, di saat keluar intruksi pemerintah untuk melaksanakan perkuliahan daring dengan tujuan untuk mengurangi resiko penyebaran covid-19. Sesuai dengan keputusan pemerintah di atas, Institut Agama Islam Negeri Curup juga mengikuti dan melakukan proses perkuliahan secara daring dan berlaku utuk semua mahasiswa. Karena belum ada ketentuan bagaimana proses yang tepat dalam melakukan perkuliahan daring, hal ini akan berpengaruh terhadap kemampuan mahasiwa dalam memahami materi perkuliahan karena proses komunikasi antara mahasiswa dan dosen selama perkuliahan daring sering terjadi hambatan. Metode penelitian yang digunakan untuk mendapatkan data ini adalah penelitian kualitatif dengan pendekatan studi kasus, karena masalah yang di angkat adalah sebuah problema yang terjadi antara mahasiswa dan dosen selama perkuliahan daring. Dari hasil penelitian di peroleh berhubungan dengan penggunaan aplikasi yang di gunakan oleh dosen selama perkuliahan daring adalah media Whatshap sebanyak 7%, Setelah  itu menggunakan Zoom Meeting Sebanyak 2 %, Google Meet Sebanyak 1,5 % dan Clas Room sebanyak 0,5. Penggunaan media whatshap merupakan cara yang praktis yang dilakukan karena penggunaan aplikasi lain lebih banyak hambatan yang disebabkan oleh kekuatan sinyal yang berada di tempat masing-masing mahaiswa, namun penggunaan media whatshap selama perkuliahan daring, dosen kebanyakan memberikan tugas kepada mahasiwa sehingga penjelasna materi setiap mata kuliah tidak dilakukan dan mahasiswa secara mandiri hanya melaksanakan dan menyelesaikan tugas yang di berikan dosen sesuai dengan mata kuliah yang mereka ikuti.
Експлікація чинників аксіопсихологічного проєктування життєвих досягнень сучасної молоді
Authors: Гуляс Інеса Антонівна , Гоян Ігор Миколайович
Published: July 2022

Статтю присвячено емпіричному дослідженню особливостей аксіопсихологічного проєктування життєвих досягнень студентів – у майбутньому представників професії типу “людина-техніка” (n=105). Обґрунтовано важливість окресленого питання і проведено емпіричне дослідження. Визначено концепт “аксіопсихологічне проєктування життєздійснення особистості”. Зазначено, що розуміння освітянами особливостей ціннісного проєктування уможливить операціоналізацію розв’язання завдань навчально-професійної підготовки студентів у закладах вищої освіти. Метою статті є виявлення й експлікація провідних чинників життєздійснення студентської молоді старших курсів. Методи дослідження: тестування за стандартизованими анкетами, кількісне аналізування результатів описової статистики, факторний аналіз. Результати. За допомогою факторного аналізу визначено структуру персонального життєздійснення сучасної молоді. Виявлено десять факторів, серед яких F1 “Риси чоловічого ґендеру у досягненні успіху” (10.38%) і F2 “Диспозиція самоефективності” (9.62%) є ключовими предикторами цього процесу. Конкретизовано зв’язки між компонентами кожного фактора. Встановлено складники факторів, які мають негативне навантаження, що означає їхню відсутність або низький рівень розвитку, і відповідно “гальмують” процес ціннісного проєктування молодих людей, серед них: “гнучкість”, “власне саморегуляція”, “самостійність”. Висновки. З метою усунення “проблемних точок” у побудові проєктів і здійсненні задумів студентами випускних курсів, рекомендуємо звернути увагу на аспекти, пов’язані з кращим розумінням себе, усвідомленням своїх проблем, потреб і мотивів, власних переживань, виробленні позитивного ставлення до себе, розвитком упевненості в собі, формуванням адекватної самооцінки, що в підсумку, позитивно вплине на процеси саморегуляції і уможливить утілення задуманого в плані розв’язання навчально-професійних завдань, а в майбутньому – в усіх сферах життєдіяльності.
ANALYSIS OF INTERNAL SERVICE QUALITY AND OUTPATIENT PATIENT SATISFACTION WITH A RATER APPROACH (RELIABILITY, ASURANCE, TANGIBLE, EMPATHY AND RESPONSIVNESS) IN INSTALLATIONS IN ISLAMIC HOSPITAL SURABAYA
Authors: Setianto Budhi
Published: July 2022

Patient satisfaction is a subjective value to the quality of services provided. Although subjective, there is still an objective basis, especially the patient's assessment which is based on past experience, education, psychological situation at that time, and the existing reality. The type and design of this research is a descriptive observational research that analyzes the patient's assessment of the service quality of the Outpatient Installation of the Islamic Hospital in Surabaya. Judging from the time of the study, this study included a cross sectional study. The population in this study were all patients at the Islamic Hospital Surabaya Outpatient Installation from an average of January, February and March 2020. The total population in this study was 14,000 patients based on the number of visits per month. during the first Quarter, starting from January to March 2020 with the slofin formula, 113 respondents were found. The five dimensions are: (1) Responsiveness, (2) Assurance, (3) Tangible, (4) Empathy and (5) Reliable is good and exceeds the standard than expected. The average satisfaction of all respondents is 8.56 / 85.6% this is close to the standard set by SPM customer satisfaction, which is 90%. Based on the demographics and characteristics of the following respondents, respondents who have satisfaction with service quality are as follows (1) Age 36-45 (2) Gender is Female (3) who has a residence distance of > 10 Km (4) with an insurance guarantor/ Institutions (5) with master's education served in the old building using the relationship test obtained sig < 0.005 so that it can be concluded that there is a relationship between perceived service quality and patient satisfaction, the higher the service quality felt by the patient, the higher the satisfaction felt by the patient.
Benvenuto Cellini’s Bid for Membership in the Florentine Confraternity of San Giovanni Battista detta dello Scalzo
Authors: Dow Douglas N.
Published: July 2022

An unpublished notice in the records of the confraternity of San Giovanni Battista detta dello Scalzo reveals that Benvenuto Cellini initiated a bid for membership in the company in 1557. Although Cellini seems an unlikely confratello, membership in a confraternity would have proved especially attractive to him during the difficult times he faced from 1555 to 1559. Sponsored by Roberto di Filippino Lippi, Cellini shared professional and social ties with several of the company’s members, and he may have hoped that his affiliation with the confraternity would improve his position in Florence, which had deteriorated after 1555. Cellini, beset by legal troubles and convicted a second time for sodomy in 1557, did not follow through on his initial acceptance into the organization.
Toward a Catalogue of Confraternal Material in the Biblioteca Ambrosiana
Authors: Meyer Starleen K.
Published: July 2022

This article introduces my current work-in-progress towards the identification, analysis and cataloguing of written and artistic sources belonging to the Biblioteca Ambrosiana in Milan that focus on the increasingly important areas of confraternities, understood as spontaneously formed lay groups for devotion and mutual assistance, and lay charitable organizations, known in Italian as luoghi pii. I am interested in both the original material cultural objects (for example, paintings, sculptures, books, chalices, vestments, banners, flails, crosses, furniture and charity chits) and the original conceptual cultural objects (for example, lauds, music, processions and theatre pieces) that were commissioned, or purchased readymade and adapted, by Milanese confraternities and luoghi pii for use by the institutions’ members themselves or for use in their efforts dedicated to the public outside their institutions. My interest extends to things produced by others and given for various reasons to the confraternities (such as official ducal recognition documents) only insofar as they might have influenced those things produced by the confraternities for their own internal or external use. My current work also includes compiling an analytical table of all known Milanese confraternities and luoghi pii, a project obviously destined to be eternally a “work-in-progress,” but which I believe is fundamental for mentally mapping the context of in-depth studies. My contribution to the RSA 2007 Miami conference—published in Confraternitas that same year—presented the general confraternal situation in Milan to English-language readers and introduced my research in these areas.
POLÍTICAS EDUCATIVAS Y PEDAGOGÍAS EN TIEMPOS DE PANDEMIA EN ARGENTINA: SOBRE LOS COMBATES POR LO ESCOLAR
Authors: Vassiliades Alejandro
Published: July 2022

La pandemia del Covid 19 trastocó extendidamente todos los aspectos de la vida humana alrededor del mundo. Los procesos de escolarización no fueron la excepción, viendo interrumpida de manera inédita la presencialidad de estudiantes y docentes en las aulas en la mayoría de los países. Frente a este panorama común, los Estados adoptaron diversas medidas de política educativa en relación a la (dis)continuidad pedagógica en tiempos de aislamiento social, dando cuenta de diversas perspectivas en torno del cuidado de la población, el lugar que la escuela podía y debía ocupar, y qué desigualdades se debían enfrentar. Este artículo se propone ofrecer un análisis de los modos en que esas cuestiones fueron procesadas por el Estado argentino y las orientaciones político-pedagógicas que se siguieron, reconstruyendo la situación educativa previa a la pandemia que encuentra el gobierno al asumir su gestión, el lugar de lo nacional y de lo federal en sus definiciones, las modificaciones al formato escolar propuestas en ocasión de la pandemia, los modos en que los razonamientos en torno de lo escolar continuaron vigentes en las respuestas construidas y las tensiones entre lo común y las desigualdades que se desplegaron.
Topical Issues of Providing Medical Assistance to Victims of Road Transport Emergencies in the Altai Krai
Authors:   Altai State Medical University of the Ministry of Health of Russia, Barnaul, Russian Federation, Shirokostup S.V. , Zimina E.V. ,   Altai regional Center of Disaster Medicine KGBUZ “Ambulance station, Barnaul”, Barnaul, Russian Federation
Published: July 2022

The aim of the research was: – to elaborate organizational and methodical bases of medical evacuation for the population of the Altai region in cases of traffic accidents including emergency situations, in conditions of healthcare optimization, namely, under the process of merging of the territorial center for disaster medicine with the emergency medical aid station; – to determine starting points for further development of the Emergency Medicine Service of the Altai Krai. Materials and research methods. The statistical data of registration and reporting form no.55 “Information on the Activity of Healthcare Institution (Medical Formation) which took part in liquidation of medical and sanitary consequences of emergencies” of Altai Krai Disaster Medicine Service approved by the Order of the Ministry of Healthcare and Social Development of Russia dated February 3, 2005, no.112, and official statistical data of Altai Krai State Road Safety Department were analyzed. The sample included statistical data for 2019-2021. The study used a set of analytical and statistical methods, which made it possible to process and to analyze the data obtained, to assess the system of medical care and to develop a set of measures to improve the medical evacuation system in Altai Krai using the data about victims of traffic accidents, to predict the duration of their treatment and rehabilitation. The statistical data were processed by means of Statistica 10.0 program complex with the calculation of intensive indices, mean representativeness error (±m) and significance of differences by Fisher’s method. Results of the study and their analysis. The results of the analysis of organizational and methodological bases of medical evacuation of the population of Altai Krai in road traffic accidents in the conditions of optimization of healthcare in 2019-2021 are presented. The prospects for further development of the regional Disaster Medicine Service, directions of interdepartmental planning and conducting of special tactical exercises, which are one of the basic tools ensuring readiness of managers and personnel of territorial medical institutions for actions on liquidation of consequences of traffic accidents and emergencies, were determined. The necessity of training the population and interested persons in rendering first aid, which is carried out within the framework of the work of the training center of disaster medicine, has been substantiated.
Realization of the Concept of the Russian Citizens Federal Military Service Training System for the Period till 2020 on Regional Level
Authors:   Orenburg State Medical University of the Ministry of Health of the Russian Federation, Orenburg, Russian Federation, Kuzmin S.A. , Grigorieva L.K. ,   Orenburg State Medical University of the Ministry of Health of the Russian Federation, Orenburg, Russian Federation
Published: July 2022

The aim of the study is to analyze the results of work of draft commissions of the Orenburg region on the implementation of the Concept of the federal system of preparation of citizens of the Russian Federation for military service for the period up to 2020 in 2011-2020. Materials and research methods. Materials of the study — accounting and reporting documents of the department of preparation and enlistment of citizens for military service and of the center of military-medical examination of the military commissariat of Orenburg oblast. Results of the study and their analysis. In Orenburg oblast, the main provisions of the Concept’s forecast indicators have been fulfilled. Notwithstanding a drop in the total number of citizens of conscription age, qualitative changes took place in the structure of their contingent: the indicators of fitness for military service depending on health condition became higher, mainly due to growing number of citizens of fitness category “A” and, to a lesser extent, due to growing number of citizens of fitness category “B”. Timely examination of conscripts in the period between call-ups sharply reduced the number of citizens requiring additional examination during call-ups. Optimization of the timing of examinations and timely expert decisions on the fitness for military service of citizens of this category were of great practical importance.
Edema-Like Lesions: According to Magnetic Resonance Imaging of the Knee Joint in Highly Qualified Athletes
Authors:   State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency, Moscow, Russian Federation, Velichko M.N. , Belyakova A.M. ,   State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency, Moscow, Russian Federation, Terskov A.Yu. ,   State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency, Moscow, Russian Federation, Umnikov A.S. ,   State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency, Moscow, Russian Federation
Published: July 2022

The aim of the study is to substantiate the relevance of the problem of edematous changes in knee joint bones in highly qualified athletes. Materials and research methods. Materials of the study — relevant literature on edema-like magnetic resonance changes of knee joint bones in highly qualified athletes. Results of the study and their analysis. Magnetic resonance imaging plays a key role in the differential diagnosis of edema-like bone injuries. It is important to correlate magnetic resonance imaging findings with anamnestic history. In athletes, the peculiarities of diagnosis and treatment of edema-like bone conditions are related to the need to take into account athlete-specific conditions, such as the “athlete’s triad”, and to comply with anti-doping legislation. It is concluded that it is fundamental to treat the underlying disease that caused the local metabolic disorder in the bone, while techniques aimed at local reduction of the pressure in the bone and at bone metabolism improvement can be used as a supplement. An important factor is the ability of bone tissue to self-repair, which should be taken into account when choosing a treatment method.
Treatment of Patients with Concomitant Trauma to the Organs of Several Cavities and to the Musculoskeletal System
Authors:   Kabardino-Balkarian State University named after Kh.M. Berbekov, Nalchik, Russian Federation, Miziev I.A. , Baksanov Kh.D. ,   Kabardino-Balkarian State University named after Kh.M. Berbekov, Nalchik, Russian Federation, Akhkubekov R.A. ,   Kabardino-Balkarian State University named after Kh.M. Berbekov, Nalchik, Russian Federation, Dabagov O.Yu. ,   Kabardino-Balkarian State University named after Kh.M. Berbekov, Nalchik, Russian Federation, Ivanova Z.O. ,   Kabardino-Balkarian State University named after Kh.M. Berbekov, Nalchik, Russian Federation, Kuchmezova F.А. ,   Kabardino-Balkarian State University named after Kh.M. Berbekov, Nalchik, Russian Federation
Published: July 2022

The aim of the study was to improve the results of treatment of patients with severe combined trauma of the organs of several cavities (skull, thoracic and abdominal cavities, retroperitoneal space) and of the musculoskeletal system. Materials and research methods. The study involved 72 patients treated between 2013 and 2017 in a Level I trauma center established at the Republican Clinical Hospital of the Ministry of Health of the Kabardino-Balkarian Republic. The Injury Severity Score (ISS) index was used to determine the severity of injury; “department of military field surgery, condition, admission” scale was used to assess the state of the injured. Results of the study and their analysis. Analysis of the findings showed the following: in severe combined injuries the main causes of death are: shock, cerebral edema and dislocation, posttraumatic pneumonia, multiple organ failure, acute respiratory failure, pulmonary embolism and DIC syndrome. The most satisfactory treatment outcomes can be achieved only with the use of a care tactic based on the principles of staged surgical treatment “Damage control”. The time frame and the sequence of surgical treatment of injuries depend on their severity, degree of life threatening and prevailing injury.
Accuracy of autonomic symptoms in detection of severe cardiac autonomic neuropathy
Authors: Haq Tahniyah , Ahmed Tofail , Latif Zafar A , Ayub Tohfa E , Sayeed Mohammad A , Ashrafuzzaman Sheikh M
Published: July 2022

Autonomic neuropathy is a troublesome complication of diabetes mellitus often is not addressed by the physicians. The aim was to see the accuracy of autonomic symptoms in the detection of severe cardiac autonomic neuropathy (CAN). This study was done in BIRDEM in 62 adult patients with type 2 diabetes mellitus and cardiac autonomic neuropathy. Cardiac autonomic neuropathy was detected clinically by heart rate and blood pressure change to maneuvers such as deep breathing, valsalva and standing. Eight symptoms of autonomic neuropathy, namely exercise intolerance, dizziness, dysphagia, abdominal bloating, constipa- tion, diarrhea, gustatory sweating and impotence were tested. In this study, impotence was the most common symptom (58%). There was no difference in the frequency of autonomic symptoms between severe and non-severe cardiac autonomic neuropathy. Taking clinical tests as gold standard, gustatory sweating had the highest specificity (96%) and constipation had the highest sensitivity (54.05%) in detection of severe cardiac autonomic neuropathy. Sensitivity increased to 78.37 when a constellation of symptoms were tested. Autonomic symptoms are common in patients with type 2 diabetes and cardiac autonomic neuropathy. Collection of symptoms was associated with a high sensitivity for detection of severe cardiac autonomic neuropathy.
BSMMU J 2022; 15(1): 11-15
Patterns of post endoscopic retrograde cholangiopancreatography (ERCP) complications- experience from an university hospital
Authors: Habib Md Rehan , Ahmed Farid , Islam Md Sarower , Saha Subarna , Ishaque SM , Ahmed Dewan Saifuddin
Published: July 2022

In the treatment of common bile duct stones and palliative decompression of malignant strictures, endoscopic retrograde cholangiopancreatography (ERCP) is the gold standard. However, there are still concerns about procedure-related complications and patient discom- fort. To evaluate the pattern of the post ERCP complications. This prospective observational study was conducted at the Department of Gastroenterology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka from February 2017 to October 2017. A total of one hundred patients who were eligible for ERCP were included in this study but five patients were excluded due to cannulation failure. Clinical examination , biochemical, and radiological investigation were performed before and after ERCP to assess the complication that occurred. The majority of patients in this study were under the age of 50, with a mean age of 49.74 }14.07 years between the ages of 18 and 80 years. Males (54.7%) were predominant than female (45.3%) and male to female ratio was 1.21:1. The most common diagnosis was choledocholithiasis (58.9%) followed by proximal cholangiocarcinoma (13.7%), Carcinoma-gallbladder with biliary infiltration (8.4%), Distal cholangiocarcinoma (6.3%), Chronic calcific pancreatitis and Periampullary carcinoma each (3.2%), Suspected SOD & Chronic pancreatitis each (2.1%) and Worm in CBD and benign biliary stricture each (1.1%). In this study, the overall post-ERCP complication rate was 12.6% with pancreatitis accounting for 9.4%, bleeding accounting for 2.1%, and cholangitis accounting for 2.1%. From the study data it can be concluded that pancreatitis is the most frequent Post-ERCP complication.
BSMMU J 2022; 15(1): 50-53
In Search of Sustainable Development: A Critical Analysis of the Modern Moscow Experience
Authors: Kudryavtseva Olga V. , Khovavko Irina Yu.
Published: July 2022

The uncontrolled growth of large cities leads to environmental degradation. A decrease in the quality of life and a negative reaction of the population to the changes take place. The externality theory is chosen by the authors as a methodological approach to explore urban conflicts, since it allows identifying and assessing the real economic costs of decisions made by city authorities. Comparison of the provisions of the concept of sustainable urbanism and the actual state of Moscow allowed the authors to draw a conclusion about the anti-sustainable development trend of this city. Sustainable urbanism sees a high quality urban environment characterized by ecological and social health as the main feature of a modern city. Moscow does not comply with these principles, which is proved by numerous conflicts with residents. The tools for urban planning optimization are proposed. The fair concession method and the formation of a true utility function are proposed as objective criteria in the process of urban planning. That allows us to prevent and / or resolve some types of urban conflicts.
Governance Reform Is Needed to Save the People
Authors: Kossov Vladimir V.
Published: July 2022

Saving the people is a natural strategy for an extinction country. It is characterized by an increase (decrease) in the population – ​the scale of the saving the people and life expectancy for newborns (LE) – ​the quality of saving the people. Three ideas determine the intent of the article. The first is the need for an experiment to evaluate various measures for the revival of natural population growth on the example of a small number of cities. It is extremely important to simultaneously check the options for such measures in order to select the best one. The second is the need to prevent another imminent stop in the growth of life expectancy. The stagnation of the life expectancy dynamics in 1960–1980, observed in the world, only in the USSR and the former socialist countries led to a change in the social system – ​governance reform is designed to eliminate the tendency of life expectancy to stagnation. The third idea is to treat entrepreneurs as breadwinners. Using the data of 94 countries for 2019 as an example, a relationship between life expectancy and the factors determining was revealed: GDP per capita at purchasing power parity of currencies (material factor of life expectancy) with eight country ratings – ​non-material factors of life expectancy. It is shown that GDP per capita and the rule of law rating best explain the differences between countries in terms of life expectancy. The success of the reforms is associated with the share of economically independent citizens in the electorate, which is declining in Russia. The inevitable decline in revenues from the export of hydrocarbons requires their replacement by the export of other goods. However, such products have yet to be created, which requires a significant increase in the number of entrepreneurs involved.
Efektivitas Virtual Reality (VR) dalam Peningkatan Kualitas Hidup Lansia
Authors: Maulani Zulviana Nurahma , Aryanti Khofifah , Lestari Novi Arsita Puji , Silitonga Parulian Geofany , Cahyaningsih Rossa Berlian , Sunari Tia Bella , Pradana Anung Ahadi
Published: July 2022

Pertumbuhan penduduk lanjut usia (lansia) diprediksi akan mengalami peningkatan cepat di masa yang akan datang terutama pada negara-negara berkembang termasuk Indonesia. Jumlah lansia yang semakin meningkat setiap tahunnya dapat meningkatkan angka ketergantungan terhadap kelompok produktif menjadi bertambah khususnya pada lansia yang mengalami gangguan kognitif dan motorik. Penggunaan alat pendukung pada lansia dapat menjadi salah satu metode yang tepat dalam mencegah ketergantungan serta meningkatkan kualitas hidup lansia. Virtual Reality (VR) diketahui menjadi salah satu alat pendukung yang memiliki potensi untuk membantu dan memberikan dampak positif pada lansia dengan gangguan kognitif dan motorik. Metode penelusuran dalam artikel ini menggunakan telaah literatur sederhana dengan menggunakan beberapa database dan website pencarian meliputi PubMed, Google Scholar, ACM Dl digital library, dan ScienceDirect. Hasil analisis dari 11 artikel terpilih menyatakan bahwa penggunaan VR dapat membantu peningkatan fungsi kognitif dan fungsi motorik serta mampu mengurangi resiko jatuh pada lansia sehingga pada akhirnya memiliki efek positif pada kualitas hidup lansia. Mengingat tingginya biaya yang dibutuhkan dalam penerapan teknologi VR, penggunaan alat pendukung ini dapat menjadi salah satu program yang dapat dipergunakan dalam penatalaksanaan asuhan oleh tenaga kesehatan dalam beberapa waktu ke depan.
Repurposing quinine for severe COVID-19 – A preliminary study
Authors: Bright Bisi , Remak William , Kolakowsky-Hayner Stephanie A , Ali Wael , Fajimi Niyi , Adesope Toyin , Tairu Suzanne , Sobande Patrick , Falayi Seun , Itodo Ewaoche S
Published: July 2022

LiveWell Initiative LWI, a self funded nonprofit social enterprise (www.livewellng.org) has, for 5 years, supervised MPH and DrPH Practicums for the Harvard T. H. Chan School of Public Health, Harvard University, Boston USA. It also supervises PhD thesis at University of Helsinki, Finland. The organization has repurposed quinine for use in moderate to severe coronavirus disease (COVID-19) by compiling three sets of STUDY PROTOCOLS in response to the COVID-19 RESPONSE with a goal to arriving at a practical and affordable solution to the pandemic. The protocols underwent debates and hypothesis testing among physicians, researchers, pharmacists and virologists. The protocols, still undergoing random Physician–Patient Trials at the discretion of prescribing clinicians and clinical researchers, are as recommended in a compilation of recent findings by LiveWell Initiative LWI on COVID-19. It is a study protocol designed to ‘evolve’ as a solution to COVID-19 response. The protocols strongly suggest the use of quinine for COVID-19 treatment in moderate to advanced disease, recommending intravenous infusion of quinine for critical care in COVID-19. The sample size in a preliminary study, though small, points at quinine for severe COVID-19. Further studies are recommended but the result of this preliminary study is significant. The preliminary results were positive, and were posted online even as the concurrent study continues. The 4-aminoquinolines have the same characteristic effects on the coronavirus, and quinine is the potential COVID-19 eradication tool. In conclusion, quinine is impactful with positive outcomes for severe or advanced COVID-19 especially after the cytokine storm, with 5-7 days total recovery after the onset of the cytokine storm. Due to small preliminary sample size with 100% positive outcome, a full study should be commissioned to establish and quantify the impact of quinine on thousands in a population. This will help to prevent further morbidity in COVID-19 and the cytokine storm will be greatly overcome.
A Randomized Study of Complementary Supportive Medicine With Aloe Arborescens Vs Aloe Plus Myrrh In Metastatic Solid Tumor Patients Who Did Not Respond To The Standard Anticancer Therapies
Authors: Messina Giusy , Scarpa Serenella , Rovelli Franco , Colciago Massimo , Merli, Nicoletta , Lissoni Paolo
Published: July 2022

The recent advances in the clinical application of the complementary medicine to cancer therapy have shown that some plants may potentially exert an antitumor activity due to the action of specific antitumor molecules, rather than a simple palliative effects. Then, the aim of the complementary medicine would have to be not only the improvement of the quality of life, but also the increase in the survival time. Alone and Myrrh represent some of the potential antitumor plants. On these bases, a randomized study was planned with Aloe arborescens solution alone or with Aloe arborescens plus Myrrh solution (60 to 40%) in patients with metastatic solid tumours, which did not respond to the conventional anticancer therapies. Both agents were orally given at 10 ml twice/day. The study included 60 consecutive patients suffering from different solid tumour histotypes. Both therapies induced a disease control (DC) and the percentage of DC obtained in patients concomitant treated with Aloe plus Myrrh was significantly higher than that achieved in patients treated with Aloe alone. These preliminary results justify further clinical studies with potential antitumor plants to achieve a control of the neoplastic growth rather than a simple improvement in the clinical status of patients.
A rare case of undulatory rhythmic lingual myoclonus in a patient with intracranial hemorrhage and diffuse pontine lesion
Authors: Zachariadi Chara , Alexandratou Ioanna , Katsaros Vasileios , Gatzonis Stylianos
Published: July 2022

We describe a 35-year-old man, who suffered a severe intraventricular hemorrhage and was admitted to the intensive care unit of our tertiary clinic. Two weeks after the incident, while in ICU, a neurological examination revealed persistent, undulating, rhythmic, myoclonic tongue movements. The diagnostic evaluation via CT scan, MRI and EEGs elicited a diffuse brainstem lesion as well as multiple corpus callosum lesions as a considerable underlying etiology. This case presentation attempts to update the current investigation of the rare phenomenon of lingual myoclonus.
Atuação do profissional Enfermeiro em Unidades de Urgência e Emergência
Authors: Souza Mayara Rodrigues Gonçalves de , Souza Lorena Giovanna dos Santos , Lima Nataly Torres de , Oliveira Maria Theresa Melo , Silva Maria Alícia Vieira da , Araújo Larissa Maria Padilha Silva de , Tavares Vitória Gabrielly da Silva , Nascimento Kelly Cristina do , Lima Tereza Natália Bezerra de , Barbosa Maria do Socorro Alecio
Published: July 2022

Com o surgimento dos novos problemas de saúde, elevou-se a busca por atendimentos e internações em serviços de urgência e emergência, onde os enfermeiros vivenciam diariamente inúmeros casos de situações que carecem de atenção, cuidado e rapidez durante a prestação da assistência. Portanto, este estudo teve por objetivo evidenciar a atuação do profissional enfermeiro atuante em unidade de urgência e emergência. Trata-se de uma revisão sistemática da literatura, com abordagem qualitativa, através de busca nas bases de dados “Medical Literature Analysis and Retrieval System Online” e “Base de Dados de Enfermagem na Biblioteca Virtual em Saúde”, com uso dos Descritores em Ciências da Saúde em associação ao operador booleano “AND”, pesquisando da seguinte forma: “Papel AND Enfermeiro AND Urgência AND Emergência”. No estudo foi levado em consideração a percepção dos próprios enfermeiros, entende-se que os papéis envolvem a minimização do tempo de espera dos usuários com o atendimento oportuno e baseado nas carências, dando prioridade para os que encontram-se em pior estado, a tomada de decisões com segurança, autonomia, conhecimento e rapidez, sempre buscando satisfação dos pacientes. Conclui-se que o enfermeiro geralmente assume o papel de um líder dentro das unidades de urgência e emergência. Atuando desde a recepção do usuário, com o acolhimento e a escuta qualificada, atua na parte prática-assistencial, realizando as funções exclusivas da sua categoria, mas também auxilia durante os cuidados dos outros profissionais, além de atuar enquanto gestor, organizando o setor, a equipe e toda a logística que envolve o setor de urgência e emergência.
Self-Assessment of Digital Competence for Educators: a Brazilian Study with University Professors
Authors: Santo Eniel do Espírito , Dias-Trindade Sara , Reis Rafaela Santos dos
Published: July 2022

Educators' digital competence is essential for the promotion of teaching strategies concatenated with the digital society's demands. The aim of this study is to analyze the digital competence of 39 university professors in Santo Amaro, Bahia State, Brazil, pointing out formation paths for development of educational practices able to promote learning in digital environments. It is configured as an exploratory and descriptive research, with a quantitative approach, using the self-assessment scale from Digital Competence of Educators (DigCompEdu). Out of the 39 responding university teachers, 18 were of the female gender (46.2%) and 21 male gender (53.8%), with ages varying between 25 and 62 years. The results related to the different scopes revealed a mean value (44 points) that locates the participating educators in level B1 (integrator), close to level B2 (which begins with 48 points). The professors surveyed revealed gaps at the digital competence related with the role of the online reflective practice; application of digital technologies in the teaching and learning process and assessment practices with the support of digital technologies; indicating the need for continuing professor education in order to mitigate the evidenced gaps.
Qualidade física e química do solo em sistema de plantio direto cultivado com hortaliças – Uma revisão
Authors: Chaveiro Amauri Chaveiro e , Bonini Carolina dos Santos Batista , Freitas Pâmela Gomes Nakada , Reis Dhara Cristina de Souza , Oliveira Juliana Megumi Kanashiro de , Souza Jose Augusto Liberato de , Hidalgo Gabriel Ferraresi , Oliveira Alan Bordim de
Published: July 2022

O objetivo desta revisão é fornecer uma visão holística sobre a qualidade química e física de solos em sistemas de cultivo plantio direto, para entender os principais benefícios que as práticas causam aos solos. É importante mencionar que as práticas conservacionistas (rotação e sucessão de culturas, por exemplo) vem se expandindo a cada ano mostrando que pode ser uma prática de fácil adoção e que a mesma pode ser integrada em diversas culturas e pode ser replicada a nível comercial, contribuindo assim para a adoção do sistema de plantio direto na palha. A relação C/N da cultura escolhida para a rotação/sucessão é a responsável pelas taxas de liberação de nutrientes e de degradação da palhada. Sendo assim, a diversidade de plantas é quem garante a melhor relação de rotação/sucessão de culturas, trazendo benefícios físicos e químicos ao solo para a alta produtividade das culturas. A cobertura de solo produzida por essas plantas, garantem a consolidação do plantio direto, protegendo o solo da erosão causada pelo escoamento superficial da água das chuvas, durante a safra e entressafra. Espera-se que a adoção do sistema de plantio direto das culturas resulte em melhorias significativas na qualidade do solo, contribuindo para o desenvolvimento social, ambiental e financeira das propriedades rurais, tornando o sistema altamente aceito pelos produtores de alimentos.
Qualidade de hambúrguer misto com alecrim como substituto de antioxidante sintético: caracterização físico-química
Authors: Araújo Marcela Rios de , Costa Érika Silva , Costa Julio Cezar Nunes da , Morais Elaine Carvalho de , Rodrigues Erika Cristina , Picanço Nágela Farias Magave , Faria Peter Bitencourt , Faria Jorge Luiz Brito de , Villa Ricardo Dalla , Faria Rozilaine Aparecida Pelegrine Gomes de
Published: July 2022

O objetivo deste estudo foi elaborar um hambúrguer misto com alecrim como substituto dos antioxidantes sintéticos e avaliar as características físico-químicas e de oxidação durante 120 dias de armazenamento. Os hambúrgueres foram preparados usando cortes de carne e filés de peito de frango em um delineamento inteiramente casualizado. Foi considerado como tratamento a substituição (massa substituinte/massa produto) do antioxidante sintético por alecrim. A qualidade do hambúrguer foi avaliada a partir dos parâmetros físico-químicos de oxidação pelo método TBARS, parâmetros de cor (L*, a*, b*), e pH dos hambúrgueres armazenados por 30, 45, 60, 90 e 120 dias. Os compostos cânfora, 1,8-cineole e α-pineno foram os majoritários no óleo essencial identificado pela espectroscopia GC/MS e Espectroscopia RAMAN. Na análise da atividade antioxidante total, o óleo essencial apresentou menor atividade (38%) que o extrato hidroalcoólico (93,8%), ambos para concentrações de 100µg/mL. Aos 30 dias de armazenamento, não houve diferença de luminosidade entre os tratamentos (p>0,05), indicando que a adição da erva aromática não influenciou este parâmetro. A quantificação do conteúdo de dialdeído malônico (mg de MDA/kg de amostra) indicou que os tratamentos que utilizavam erva aromática fresca ou seca apresentaram valores mais baixos (p<0,05) dos compostos da oxidação, sendo estatisticamente iguais ao tratamento com eritorbato de sódio. A adição de alecrim no produto de carne, tanto na forma de erva fresca quanto de erva seca, no nível apresentado substitui o antioxidante eritorbato de sódio, contribuindo assim para o fornecimento de um produto livre de aditivo sintético.
Application of mid-infrared vibrational spectroscopy with Fourier transform (FTIR) in quality evaluation in commercial coffees
Authors: Fontes Vitória , Pereira Douglas Cubas , Lyra Lucas Ferreira , Sakane Kumiko Koibuchi
Published: July 2022

Currently, Brazil is the largest exporter and producer of coffee in the world, and it is the second most consumed beverage in the world, only behind water. In the years 2019 and 2020 it is estimated that the world consumption of coffee was 168.84 million bags of 60 kg, Brazil consumed 20 million bags of coffee, the second-largest consumer in the world, only behind the United States with 25 million bags. The techniques such as infrared spectroscopy has been applied in the food industry, as it is a fast, easy technique, without the need for reagents, free from polluting processes, and capable of analyzing the simultaneous composition of the constituents. The present study aims to analyze the changes in the chemical constituents of Brazilian commercial coffees as a function of shelf life through Fourier transformed infrared spectroscopy (FT-IR) associated with chemometric methods. The experiments were carried out within the expiration date, 6 months, and a year after the expiration date. Spectra were obtained in the range from 4000 to 500 cm-1. The studies of Principal Component Analysis (PCA) and Hierarchical Cluster Analysis (HCA) were made as discrimination methods. The areas in the region from 2970 to 2830 cm-1 and 1765 to 1720 cm-1 were calculated to analyze the alteration as a function over time. The results suggest that these bands in coffee are sensitive over time and to the storage conditions, promoting changes in aroma and flavor.