bluuebunny/crossref_metadata_2025 huggingface dataset:
Late Onset Systemic Lupus Erythematosus in an Afro-Caribbean Patient: A Diagnostic Challenge
Authors:   Division of Internal Medicine, Downstate Medical Center, State University of New York, Brooklyn, USA, Odeth Barrett-Campbell , Tracian James-Goulbourne ,   Division of Internal Medicine, Downstate Medical Center, State University of New York, Brooklyn, USA, Iuliana Shapira ,   Division of Hematology and Oncology, Downstate Medical Center, State University of New York, Brooklyn, USA
Published: January 2021

Systemic Lupus Erythematosus may be missed in the elderly population as the clinical features may resemble more common conditions. Treatment remains a challenge in this group given the co-existing chronic illnesses and drug-related toxicities. Herein, we report a case of a 72-year-old Afro-Caribbean woman diagnosed with systemic lupus erythematosus after having pulmonary and renal manifestations.
A Case of Digital Ring Entrapment: A Review of Ring Removal Techniques in the Emergency Setting
Authors:   Resident Physician, Internal Medicine, University at Buffalo, USA, Gina Sparacino , Robert Ablove ,   UBMD Orthopaedics and Sports Medicine, Buffalo, NY, USA
Published: January 2021

Ring entrapment on swollen digits is frequently encountered in urgent and emergent settings. Various removal methods have been described. Special tools and techniques are required to remove rings and bands from fingers in order to prevent finger ischemia and necrosis. Non-cutting removal techniques are preferable, but when unsuccessful, cutting or destructive techniques may be necessary. Techniques are material dependent and directly related to hardness and malleability. We present a case of digital entrapment in the lug hole of a tire, extricated utilizing a Dremel tool and provide a summary of other ring removal techniques.
Massive Pulmonary Emboli Treated with Multidisciplinary Modalities against All Odds: Case Report
Authors:   Rambam Health Care Campus, Haifa, Israel, M Saban ,   The Cheryl Spencer Department of Nursing, University of Haifa, Israel, L Zaretsky ,   Rambam Health Care Campus, Haifa, Israel, Salama Rabia ,   Rambam Health Care Campus, Haifa, Israel, A Darawsha ,   Rambam Health Care Campus, Haifa, Israel,   The Cheryl Spencer Department of Nursing, University of Haifa, Israel
Published: January 2021

We present a case of an 83 years-old-male who presented to the emergency department at a tertiary hospital with cardiac arrest and was immediately transported to the resuscitation bay. He was diagnosed with respiratory failure, right heart strain and shock. At a later point, after 30 minutes of cardio-pulmonary resuscitation and hemodynamic stabilization with two vasopressors, it was decided to confirm pulmonary embolus diagnosis with CT angiography. We present a case study with positive results despite faint chances of success due to an aggressive approach to large pulmonary embolus, in part owing to multidisciplinary response team, rapid diagnosis and prompt surgical intervention.
Unusual Triggers of the Depression and Anxiety Episodes
Authors:   Psychiatric Hospital Bohnice, Czech Republic, Strunzová Věra , Honzák Radkin ,   Psychiatric Hospital Bohnice, Czech Republic,   Institute of Clinical and Experimental Medicine, Czech Republic,   Institute of General Practice, 1st Fac. Med., Charles University, Czech Republic
Published: January 2021

The authors present two cases of sparking the episodes or mental disorders by the events, which may be preventable. In the first case the cause of immediately relaps of depression was the extensive tattoo, in the second the panic attack was triggered by elevation of peroral antidiabetic metformine dose.
Neurological Decompensation of an Old Ischaemic Stroke following Infection
Authors:   Consultant Acute Physician, Worcestershire Royal Hospital, UK, Muhammad Imran Ahmad Qureshi
Published: January 2021

Early neurological deterioration is a well-established complication of an acute ischaemic stroke, however late deterioration is an uncommon finding and could be very challenging to diagnose and treat in timely manner. I report a case of an 82-year-old male who had suffered a stroke 28 years earlier and was functionally performing very well afterwards and living independently. This patient was presented to Worcestershire Hospital with signs and symptoms consistent with Urinary Tract Infection diagnosis. He was treated with Trimethoprim and his clinical condition improved significantly. While awaiting for his social rehab he suddenly developed dysphonia and dysphagia, along with mixed upper and lower motor neuron lesion signs consistent with a posterior circulation stroke. He was investigated extensively and MRI spine ruled out any spinal cord compression however MRI head revealed old infarcts in left parietal lobe, cerebellar region and thalamic area (no acute changes). Surprisingly MRI head also shown global atrophic change with significant atrophy of midbrain in comparison to the pons (Hummingbird sign) which rose suspicion of progressive supranuclear palsy. Initially patient was treated for acute stroke as per stroke team advice however patient was later reviewed by neurologist who explained that symptoms were attributed due to neurological decompensation of chronic infarcts (left parietal, thalamic, cerebellar) exacerbated by acute infection. Progressive Supranuclear Palsy was also excluded based on sudden onset of symptoms as compared to gradual onset of actual disease. His neurological symptoms improved slowly, but the dysphagia and dysphonia persisted. The risk of aspiration pre-empted the insertion of a percutaneous endoscopic gastrostomy (PEG) for feeding before he was discharged for rehabilitation.
Servicio doméstico y actividad de cuidados en el hogar: la encrucijada desde lo privado y lo público
Authors: Lebrusán Murillo Irene
Published: January 2021

Los cambios sociales y demográficos propios de las sociedades actuales dan paso a la necesidad de reconfigurar el funcionamiento habitual de los cuidados: las demandas aumentan y se diversifican, mientras que disminuye la capacidad real de su cobertura por parte de las familias. Las respuestas desde el Estado ante este desequilibrio son claramente insuficientes, propias de un Estado asistencialista que desplaza la responsabilidad del cuidado al ámbito familiar y que principalmente asumen las mujeres. Ante esta tesitura, las familias recurren a la externalización de los cuidados. Como estrategia privada destaca especialmente el recurso a la contratación de servicio doméstico, que deja de asociarse a la posición social. Si bien la contratación de personas para el cuidado implica una forma de reconocer económicamente labores que nunca han sido consideradas productivas, la regulación normativa del sector es insuficiente y refleja un claro desinterés jurídico y político. Estamos ante una encrucijada de los cuidados que no encuentra solución ni desde lo privado ni desde lo público: en primer lugar, la familia no puede dar respuesta a la necesidad de cuidado. En segundo lugar, el Estado no aporta soluciones públicas suficientes. Por último, la regulación del servicio doméstico, que impone una desigualdad clara frente al resto de trabajadores del régimen general, sume a trabajadoras y por lo tanto a los demandantes de cuidado en una situación de vulnerabilidad.
Formas contemporáneas de esclavitud en el empleo doméstico
Authors: García Sedano Tania
Published: January 2021

Las trabajadoras domésticas experimentan las formas más severas de explotación y ésta hunde sus raíces en las históricas raigambres de la esclavitud, el colonialismo y otras formas de servidumbre.

En la práctica puede resultar muy difícil determinar si el trabajo doméstico constituye trabajo forzoso, servidumbre o esclavitud doméstica.

No obstante, es preciso que se diferencien éstos supuestos, servidumbre, trabajo forzoso y trata de seres humanos, de los casos de imposición de condiciones ilegales de trabajo.
Condiciones socioeconómicas en el empleo doméstico en España: estudio a través de los microdatos de la encuesta de condiciones de vida
Authors: Gómez Rufián Luis
Published: January 2021

El presente trabajo constituye la parte complementaria del doble estudio jurídico-económico que sobre el empleo doméstico en España se ha realizado para este número especial. Se aborda ahora, una vez analizado el régimen jurídico-laboral y los condicionantes personales de las trabajadoras domésticas, cuál es la traslación de esas circunstancias -caracterizadas por la inestabilidad, la precariedad, los bajos salarios, el sobreesfuerzo físico, etc.,- a la situación socioeconómica de dichas trabajadoras y, en especial, de sus hogares. Para ello, se abordan multitud de indicadores tales como la situación o no de exclusión social, de privación material así como los restantes que aporta la Encuesta de Condiciones de Vida no directamente integrados en los dos anteriores.
Trabajo doméstico y derechos colectivos. Algunas reflexiones al hilo del RD 1620/2011 y del Convenio 189 OIT
Authors: Nieto Rojas Patricia
Published: January 2021

La precariedad de muchas de las relaciones laborales que se amparan al servicio del hogar familiar dificulta la actividad sindical. partiendo de este hecho, en el presente artículo se valorarán la virtualidad de diferentes mecanismos para asegurar el ejercicio de derechos colectivos por las trabajadores domésticas, planteándose la idoneidad de atribuir esta representación ex lege a los sindicatos más representativos. en cierta medida, esta función ha sido asumida por ccoo y ugt en las diferentes mesas de diálogo social, exigiendo al gobierno la ratificación del convenio 189 oit. la ratificación de este convenio supondría un importante aliciente para una mejor protección de los derechos colectivos de las trabajadoras domésticas, pues no solo insta a los estados a adoptar medidas para asegurar que los trabajadores domésticos disfruten de la libertad sindical sino porque mandata a todos los estados a proteger el derecho de los trabajadores domésticos a constituir las organizaciones, federaciones y confederaciones que estimen convenientes.
Vol. 2, N.º 1, Jan-Jun 2021 - "Desafios da Nova Era Radiológica"
Authors: Editorial Conselho
Published: January 2021

Primeira publicação da ROENTGEN - Revista Científica das Técnicas Radiológicas no ano de 2021, com especial destaque para a temática "Desafios da Nova Era Radiológica".

Nesta publicação poderão consultar diversos artigos científicos relacionados com as diversas áreas técnicas da Radiologia, bem como ter acesso a artigos de opinião, sugestões de leitura e entrevistas com personalidades de referência da Radiologia em Portugal e no Mundo.

Pretende-se com esta publicação motivar os profissionais da Radiologia a construir um futuro melhor, mais vibrante e mais apaixonante, naquela que será inevitavelmente uma nova Era Radiológica.
صورة العراق في مجلة (Time) الأمريكية للمدة من 1/1/2014 إلى 31/12/2017
Authors: الحمداني أ.م.د. بشرى حسين , المرعبي علاء حيدر خضير
Published: January 2021

مستخلص
تتمثل مشكلة البحث بمعرفة صورة العراق في مجلة (Time) الأمريكية، للمدة من 1/1/2014 إلى 31/12/2017، إذ إن مجلة (Time) هي واحدة من أهم ثلاث مجلات في الولايات المتحدة الأمريكية، وهي أيضاً من أبرز المجلات الدولية العالمية، التي أدت - ومعها أغلب الصحف العالمية - على طول عقود من الزمن دوراً بارزاً في توجيه الرأي العام العالمي إزاء قضايا مهمة.
ومن أجل الوصول إلى الأهداف التي يسعى الباحث إلى تحقيقها في عرض المادة العلمية، فقد اتبع منهج المسح الوصفي التحليلي لمعرفة الموضوعات التي تتناولها المجلة بكافة أعدادها، وقد اعتمد الباحث على تحليل المضمون من خلال إستخدام الأداة المناسبة لوصف وتحليل المحتوى ودلالاته وارتباطاته المتعددة والاستدلال على الأبعاد العامة للموضوعات قيد الدراسة في هذه المجلة، وكذلك استعمل التحليل الإحصائي الذي يتم الاعتماد عليه لتبويب مختلف المعلومات المتحصل عليها وجدولتها، لدراسة تحليل مضمون مجلة (Time) (الطبعة الأمريكية)، ومن ثم الحصول على النتائج النهائية لتلك الدراسة.
وقد أظهرت نتائج الدراسة إن المجلة اهتمت بالشأن العراقي بشكل ملحوظ، وحاولت إبراز جوانب سلبية عند إظهار الصورة الذهنية للواقع العراقي لدى المتلقي، وربط الإرهاب بحالة الصراع الداخلي مناطقياً ومذهبياً وعرقياً، والتأكيد على الجذور التاريخية لهذه النزاعات، كما عمدت المجلة إلى تجسيد الواقع الطائفي بين مكونات المجتمع العراقي، إذ أكدت وجود الكراهية بين الطوائف والقوميات العراقية عن طريق تكرار نقاط الخلاف وتضخيمها بالشكل الذي يؤدي إلى ترسيخها في ذهن القارئ، وحاولت المجلة التقليل من شأن الشخصية العراقية بشكل عام ومن الشخصيات البارزة والمؤثرة في الواقع العراقي على الأخص، وأكدت المجلة عدم جاهزية الحكومة العراقية لتولي إدارة هذا البلد ومسك زمام الحكم من دون التدخل الأمريكي والتدخل المباشر في الشأن العراقي، وأعطت المجلة صور نمطية مفادها أن هناك حرباً مستمرة تقوم بها الإدارة الأمريكية ضد الإرهاب ذا الرداء الإسلامي وهي حرب إيدلوجية، كما ربطت ذلك بوجود مصادر تمويل مهمة للإرهاب، كمنابع النفط وغيرها الموجودة في مناطق مختلفة من العالم (وفي مقدمتها العراق) والتي يجب السيطرة عليها من قبل الجانب الأمريكي - حسب رؤية المجلة - لضمان عدم تدفقها واستخدامها مستقبلاً في تغذية البؤر الإرهابية في العالم.

كلمات مفتاحية: مجلة تايم، العراق، الصحافة
THE EFFECTIVENESS OF KARELA COMPARED WITH VIJAYASAR IN THE MANAGEMENT OF MADHUMEHA
Authors: Om Prakash Kalouni , Binod Kumar Singh , D.B Roka
Published: January 2021

Vijayasar (Pterocarpus marsupium) has been mentioned in Charak Samhita, as a remedy for Madhumeha (Diabetes Mellitus). A study conducted by ICMR (Indian Council of Medical Research) revealed that the hypoglycemic effects of Vijayasar are comparable to that of tolbutamide. Karela (Mormordica charantia) is another herb used in Madhumeha and it is a routinely used vegetable in Nepal. In this study we measured the effectiveness of Karela in patients of Madhumeha and compared with that of Vijayasar. A total of sixty four patients diagnosed with Madhumeha (Fasting Blood Glucose ≥126mg/dl or Post Prandial Blood Glucose≥200mg/dl) were given either Karela or Vijayasar powder two times a day for one month, along with dietary and lifestyle advices and their blood glucose levels were measured before initiating treatment and after one month of treatment. Changes in the subjective complaints of Madhumeha like Prabhutamutrata, Avilmutrata, etc. and appearance of adverse events were also evaluated. Randomization of treatment was done and dosage was titrated on the basis of glycemic control and duration of Madhumeha. The mean reductions in fasting blood glucose and post prandial blood glucose in Karela treated group are 60.83 mg/dl and 79.74 mg/dl respectively and that in Vijayasar treated. Karela is a safe and effective medicine in the management of Madhumeha and it is as effective as Vijayasar.
A new record for the mite fauna of Turkey: Molothrognathus shirazicus (Acari: Caligonellidae) and the first description of its protonymph
Authors: AKYOL Mustafa
Published: January 2021

Molothrognathus shirazicus Khanjani, Bakhshi and Khanjani, 2016 is founded for the first time from Turkey and new report to the mite fauna of Turkey. The female and protonymph specimens of the species are collected from soil and litter under Pinus brutia, P. nigra, Olea europaea, Paliurus spina-christi, Pistacia terebinthus and Verbascum sp., Afyonkarahisar, Manisa, İzmir and Antalya provinces, Turkey. Also, the protonymph stage of M. shirazicus is described for the first time in this study. A key to all known species of the genus Molothrognathus of Turkey is given.
Service Quality, Customer Experience and Commitment Affecting Customer Satisfaction in Vietnamese Hotel Industry
Authors:   Faculty of Economics, Natural Resources and Environment, Hanoi University of Natural Resources and Environment, Vietnam, Tuan Nguyen Minh
Published: January 2021

The purpose of this study was to find out about customer satisfaction at the hotels in Hanoi. The survey method was conducted to collect data on assessing the loyalty of customers in the hotels. The research results showed that the customers paid much attention to service quality, customer experience and commitment. Therefore, enterprises in the hospitality industry need to concentrate on factors affecting customer satisfaction and behaviors to maintain and develop their loyalty.
SINTESIS DAN KARAKTERISASI CANGKANG KAPSUL KERAS DARI GELATIN TULANG IKAN LELE DUMBO (CLARIAS GARIEPINUS
Authors:   Sekolah Tinggi Teknologi Industri dan Farmasi Bogor, Sumiati Triyani , Ratnasari Devi , Setiadji Ari
Published: January 2021

Kapsul adalah bentuk sediaan obat terbungkus cangkang kapsul keras atau lunak. Cangkang kapsul dibuat dari gelatin dengan atau tanpa zat tambahan lain. Gelatin merupakan suatu zat yang diperoleh dari hidrolisa parsial dari kulit atau tulang hewan. Sumber gelatin yang dapat digunakan sebagai bahan dasar pembentuk kapsul cangkang keras diantaranya tulang atau kulit dari sapi, babi, ikan. Ikan lele dapat digunakan sebagai bahan dasar untuk pembuatan gelatin. Penelitian ini bertujuan untuk membuat dan mengevaluasi karakteristik kapsul cangkang keras dari gelatin yang dibuat dari gelatin tulang ikan lele dumbo (Clarias garepinus). Proses pembuatan gelatin dilakukan dengan menggunakan cara asam. Hasil pengujian gelatin menunjukan nilai pH gelatin 4,85, kadar air 13,5 %, viskositas 180-190 Cps, kadar abu 3,2% dan kekuatan gel 150 g/cm2. Gelatin yang dihasilkan kemudian digunakan untuk pembuatan cangkang kapsul keras yang dibedakan menjadi 2 formula dengan memvariasikan jumlah gelatin yang digunakan (Formula I = 25 g dan formula II = 35 g gelatin). Evaluasi terhadap karakteristik cangkang kapsul yang meliputi dimensi cangkang kapsul, pengukuran volume cangkang kapsul, waktu hancur dalam air dan larutan asam, kadar air dan kerapuhan. Hasil pengujian karakteristik yang tidak memenuhi persyaratan pada formula I adalah penetapan kadar air dan kerapuhan, sedangkan pada formula II hanya pada penetapan kadar air.
AKTIVITAS EKSTRAK ETANOL KULIT BUAH NANGKA (Artocapus heterophyllus) MENGHAMBAT PERTUMBUHAN BAKTERI Escherichia coli dan Staphylococcus aureus
Authors:   Sekolah Tinggi Teknologi Industri dan Farmasi Bogor, Mariam Siti , Rahmania Lia , Sulastri Lilik
Published: January 2021

Senyawa aktif yang terkadung dalam buah nangka (Artocapus heterophyllus Lamk.) diantaranya tannin dan polifenol yang diketahui memiliki efek antibakteri. Perlu dilakukan penelitian untuk mengetahui komposisi senyawa kimia dan aktifitas antibakteri pada bakteri Staphylococcus aureus (gram positif) dan bakteri Escherichia coli (gram negative) dari limbah kulit buah nangka Ekstraksi kulit buah dengan metode maserasi menggunakan pelarut etanol 96%. Metode difusi cakram digunakan untuk menguji aktivitas antibakteri dengan 3 kelompok perlakuan (terdiri dari kelompok konsentrasi 10%, 20%, dan 30%) serta 2 kelompok kontrol (chloramphenicol base sebagai control positif dan DMSO sebagai kontrol negative). Hasil penelitian menunjukkan bahwa 3 kelompok ekstrak kulit buah nangka mempunyai aktivitas antibakteri terhadap bakteri Staphylococcus aureus dan Escherichia coli. Aktivitas tertinggi terhadap bakteri Staphylococcus aureus pada konsentrasi 30% menghasilkan nilai diameter zona hambat rata-rata sebesar 10,76 mm termasuk kategori kuat dan pada bakteri Escherichia coli menghasilkan diameter zona hambat rata-rata sebesar 7,13 mm termasuk kategori sedang. Hasil Analisis data menggunakan ANOVA menunjukkan bahwa aktivitas antibakteri ekstrak kulit buah nangka berbeda nyata pada bakteri Staphylococcus aureus dan Escherichia coli. Hasil uji lanjut dengan Uji Duncan menunjukkan ekstrak kulit buah nangka mempunyai aktivitas antibakteri lebih tinggi pada bakteri Staphylococcus aureus dibanding bakteri Escherichia coli.
INCIDENCIA DE LAS TECNOLOGIA DE LA INFORMACIÓN Y COMUNICACIÓN EN LAS ENSEÑANZAS ACADEMICAS
Authors: Toala Zambrano María Magdalena , Álava Cruzatty José Efraín , Intriago Vélez Evelyn Marcela , Bello Araujo Genny Doralisa
Published: January 2021

En el presente Artículo Científico damos a conocer el diseño, desarrollo y el proceso de enseñanza aprendizaje que están a la par con los avances en el campo del diseño instructivo y de las teorías. Las bases que tradicionalmente se han manejado desde la Tecnología Educativa, deben ser sustituidas por otras que se ajusten mejor a un nuevo paradigma centrado en el aprendizaje. Pero si bien es cierto que necesitamos nuevos fundamentos, también que el nuevo paradigma necesita incorporar la mayoría del conocimiento generado por las teorías previas de diseño instructivo, aunque este conocimiento necesite ser reestructurado sustancialmente para que pueda adaptarse a las nuevas necesidades educativas de la Unidad Educativa María Piedad del Castillo de Levi del cantón Paján. El objetivo de este Articulo tiene como finalidad diseñar un nuevo instructivo del proceso de enseñanza aprendizaje con nuevas tecnologías educativas la cual de un aporte positivo al estudiante de esta Institución Educativa la cual carece de Tecnologías de La Información y comunicación. La metodología que lleva el estudio de este tema es totalmente investigativa de la mano con los encargados de esta Respetable Institución.La Unidad Educativa María Piedad Castillo de Levi del Cantón Pajan, apunta hacia un mejor modelo de diseño instructivo, para brindarles mejores conocimientos a sus docentes como a sus estudiantes, a través de nuevas tecnologías impulsadas por los conocimientos dadas del día a día de las nuevas investigaciones que se generan en el mundo entero.
Análise do desempenho de alunos na resolução de problemas de múltiplos e divisores à luz da teoria de Vergnaud
Authors: Andrade Edislana Alves Barros , Gonçalves Marcia Cristina , Mafra José Ricardo e Souza
Published: January 2021

Este trabalho propôs-se fazer uma análise e inferência a partir da produção de registros sinalizados pelos alunos e suas representações com base em seus esquemas conceituais informados, no que diz respeito à resolução das atividades propostas envolvendo o conteúdo de múltiplos e divisores. Utilizando a Teoria dos Campos Conceituais de Gerard Vergnaud, interpretaram-se as respostas e, consequentemente, as dificuldades observadas na resolução. O estudo foi realizado na cidade de Paraíso do Tocantins, na escola Instituto Presbiteriano Vale do Tocantins, com estudantes do 6° ano do ensino fundamental. Trata-se de uma pesquisa de abordagem qualitativa, do tipo exploratória e documental, em que se objetivou delinear um cenário de investigação capaz de fornecer subsídios de respostas através da resolução de questões propostas aos alunos, visando a discussão de informações pertinentes, através do principal instrumento utilizado: uma atividade composta por cinco questões de ensino. Como resultado, constatou-se que a análise das resoluções é uma estratégia eficiente, porque permite compreender as dificuldades que os alunos enfrentam diante de um conteúdo ou conceito matemático.
Penegakkan Yurisdiksi International Criminal Court atas Kejahatan Agresi Pasca Kampala Amendments Diadopsi dalam Rome Statute
Authors: Irham Apripari
Published: January 2021

Until the entry into force of the Rome Statute, the definition of the crime of aggression was not also found in it. This leaves the International Criminal Court (ICC) without jurisdiction over crimes of aggression. The absence of ICC jurisdiction over crimes of aggression has resulted in military aggression that has not been processed by the ICC during the time when the proxy war / cold war was initiated. This means that the violation of delicto jus gentium juice is allowed even after the ICC has been established. This study aims: (1) to identify and identify the definition, limitations, and jurisdiction of the ICC for crimes of aggression; and (2) to determine the enforcement of ICC jurisdiction over crimes of aggression after the Kampala Amendments were adopted into the Rome Statute. The research method uses a type of normative research with a statutory approach and a historical approach. The results show that the ICC's definition, limitations, and jurisdiction over the crime of aggression have existed in the Rome Statute since Kampala Amendments were adopted into the Rome Statute. However, until now the enforcement of the ICC's jurisdiction over crimes of aggression has not been carried out concretely.
Male and Female Trajectories of Social Isolation in Russia from 1994 To 2017
Authors:   Institute of Internal and Preventive Medicine, Branch of Institute of Cytology and Genetics RAS, Novosibirsk, Russian Federation, Gafarov Valery V , DO Panov ,   Institute of Internal and Preventive Medicine, Branch of Institute of Cytology and Genetics RAS, Novosibirsk, Russian Federation, EA Gromova ,   Institute of Internal and Preventive Medicine, Branch of Institute of Cytology and Genetics RAS, Novosibirsk, Russian Federation, EA Krymov ,   Collaborative laboratory of Cardiovascular Diseases Epidemiology, Novosibirsk, Russian Federation, IV Gagulin ,   Collaborative laboratory of Cardiovascular Diseases Epidemiology, Novosibirsk, Russian Federation, AV Gafarova ,   Institute of Internal and Preventive Medicine, Branch of Institute of Cytology and Genetics RAS, Novosibirsk, Russian Federation
Published: January 2021

Purpose: To determine gender differences in trends of social support levels in an open population aged 25-64 years over long-term period - 23 years in Russia / Siberia (Novosibirsk). Methods: Within the framework of the screening in 1994-95 under the WHO MONICA-psychosocial (MOPSY) program (n = 1527, 43% males, mean age 44.85 ± 0.4 years), in 2003-2005 under the international project HAPIEE (n=1650, 34,9% males, mean age 54,25±0,2 years), in 2013-2016 (n=975, 43,8% males, mean age 34,5±0,4 years) and 2016-2017 гг.( n=663, 41,3% years 51,95±0,32 years) within the framework of the budgetary theme No. АААА-А17-117112850280-2, random representative samples of men and women in one of districts in Novosibirsk were examined. Social support is assessed using the Berkman-Syme scale. The index of close contacts (ICC) and social networks (SNI) was assessed. Results: In 1994, a high prevalence of a low level of close contacts was established in an open population of 25-64 years, more pronounced among men compared with women (62% vs 56.8%). In 2003 and 2013, there was a trend towards a decrease in the frequency of the low close contact index to 46-50%, although the ICC levels did not differ by gender. In 2017, on the contrary, women were 14.4% more likely to show a lack of close contacts compared to men, especially in the 45-54 age group, where the low ICC rate exceeded the 1994 level. The prevalence of low SNI in an open population of 25-64 years in 1994 was similar for men and women and was 77%. In 2003-2005, women in older age groups showed a slight increase in the frequency of low SNI levels up to 80.1%. By 2013, a downward trend in the frequency of low SNI among young age groups of both sexes was established, but this trend turned out to be unstable, and after a short period of time the SNI indicators returned to the 1994 levels. Conclusion: In the period 1994-2005, a high level of social isolation among men and women was determined in the open population. By 2017, the clear trend in the increase in the level of social interactions changed to a negative side, especially among women in the 45-54 age group.
Impact of Heart Failure Focused Follow-Up Care at the “Heart Success Clinic” on 30-Day Readmission Rates in Patients with Congestive Heart Failure
Authors:   Department of Cardiology, Advent Health Sebring, Sebring, Florida, USA, Bhandare Deepti
Published: January 2021

Nearly 6.2 million people in the United states are affected by heart failure, it is predicted that this number will rise to 8.5 million by 2030 Significant effort has been made to prevent heart failure and its exacerbations. The Hospital Readmission Reduction Program (HRRP), a Medicaare based program, was established to link payment to quality of care. Payment is reduced to hospitals when patients are readmitted within 30 days for heart failure The “Heart Success Clinic” is an outpatient clinic started to improve patient outcomes and reduce readmission rates. Patients are provided with heart failure focused visits which includes detailed medication reviews, diet modification, weight loss, disease education, etc. During the six months prior to the opening of the clinic, the readmission rate was 15.27% at AdventHealth Sebring hospital which is a community-based hospital. Data was collected on the patients who attended the “Heart Success Clinic” for six months. Zero patients from the clinic were readmitted, bringing the readmission rate down from 15.27% to 0%. This pilot study gives promising initial results. Further studies can be conducted over a longer period time as to gather more patients. Overall, the study demonstrates that there is value in providing heart failure focused follow up visits in improving patient outcomes and readmission rates.
COVID-19, Cardiological Issues & Health Education
Authors:   Beijing Normal University, Mastnak Wolfgang
Published: January 2021

Polymorbidity is a major concern in medicine and public health, and recent developments have given evidence of alarming interactions between COVID-19 and cardiovascular diseases. For decades cardiology has been promoting preventative measures and highlighted the importance of risk factors, healthy life styles, physical exercise and stress-management. By contrast, COVID-19 measures have been dominated by social isolation, quarantine and intensive care and thus given rise to the question how to strengthen the immune system of the general population. Moreover, pathological sequelae of COVID-19 measures and political conflicts became a heterogeneously discussed topic. In this context, Beijing Normal University (BNU) is about to issue a comprehensive health education programme that includes cardiovascular and immunological perspectives. The programme is based on translational studies replacing ‘bedside’ with ‘school bank’. It involves educational sciences, evidence based medicine, differential and clinical psychology, cultural anthropology and public health. The present article outlines the programme’s framework, which is based on systemic meta-syntheses of preventative medicine and particularly focuses on educational and sustainable transfer that addresses the entire younger generation. Similar to rehabilitation, long-term adherence is a main issue, which involves individual preference of health-promoting measures, and cardiovascular fitness, improvement of the immune system, avoidance of obesity and stress, body awareness and knowledge of one’s own risk profile are cornerstones. Educational and preventive interventions comprise a broad spectrum of models such as dance therapy, creative martial arts or vocal therapies. Implementation within the Chinese school and public health system is targeted.
Tirofiban-Induced Severe Thrombocytopenia Post-Drug Eluting Balloon Coronary Intervention: A Case Report
Authors:   Al Kuwait Hospital, Dubai, Ministry of Health and Prevention, UAE, Bin Naeem Kashif
Published: January 2021

Background: Glycoprotein IIb/IIIa inhibitors have been reported to cause thrombocytopenia, however, only few case reports exist regarding tirofiban. We report a rare case of tirofiban-induced severe thrombocytopenia and its management. Case Presentation: We present a 51-year-old male who underwent coronary angioplasty with drug eluting balloon for exertional angina. The platelet count dropped from 230 x 109 /L (before angiogram) to 3.8 x 109 /L within 24 hours of intravenous tirofiban infusion without active bleeding. We transfused 4 units of platelets, continued aspirin and clopidogrel and monitored in coronary care unit. Gradually the platelet count improved with no evidence of bleeding, ischemic or thrombotic events. Conclusion: The case highlights the awareness for the dramatic and profound tirofiban-induced thrombocytopenia that may pose a challenge to manage.
Late Follow-Up of Persistent Truncus Arteriosus, after one-Stage Repair, With Right Ventricular Remodeling
Authors:   Cardiovascular Division, Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil, Maluf Miguel
Published: January 2021

We report long-term outcome after one-stage, surgical repair, in a two months- old girl with Persistent Truncus Arteriosus type I, II. The operation was carried out with the remodeling of the right ventricle, using a swine bicuspid pulmonary prosthesis. Twenty-six years later, the patient is in excellent clinical condition, CF I (NYHA), with normal peripheral oxygen saturation. Recent invasive and not invasive imaging show: absence of intracardiac shunt and growing of the right ventricle outlet tract and discrete double lesion of the pulmonary valve. The pulmonary flow directed uniformly for both lungs. In selected cases, the long- term prognosis of patients with truncus arteriosus, undergoing early surgical repair, avoiding the use of valved conduit, makes for an excellent evolution, without new interventions. Endovascular procedures, now well standardized, for the implantation of a pulmonary valve stent, through a catheter, will allow an effective approach, in the presence of late obstructions, in patients who have undergone right ventricular remodeling, without the use of valved conduits.
Hypertension, Exercises, Physical Therapy and Type 2 Diabetes Mellitus Elderly
Authors:   Aster in Health Rehabilitation, Professor, Faculdade de Educaçao Física, Faculdade Única, Ipatinga, MG, Brasil, Maria de Farias Vanderléia , Santos-Filho Sebastião David ,   Doctor in Health Sciences, Fisioterapeuta, FANEC/ UNIP, Natal, RN, Brasil,   Doctor in Health Sciences, Biofísico, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
Published: January 2021

Objective: As the cardiovascular disease produced by the association of the hypertension and type 2 diabetes mellitus in elderly people is a worldwide disturb of the actually, this work was done by a research at the PubMed database. Background: The cardiovascular characteristics expressed the quality of life meliorate, the risk factors that occurs, the use of non-invasive cardiovascular tests, the diabetes prevention programs, and the new physical therapies. Material and methods: The research was done through of the use of the key-words: hypertension and cardiovascular diseases and diabetes and elderly and therapy, and exercise in PubMed database. Results: It was founded 36 publications about this theme and put all together to find characteristics that are bellowed to these cardiovascular diseases. Conclusion: This new short review not pretends to fulfil the theme but it was to show ways of successful treatments.
Initiation of Antenatal Care and Number of Antenatal Visit among the Pregnant Women of Savar, Dhaka
Authors:   Lecturer, Department of Anatomy, GSVMC, Savar, Bangladesh, Shadia Shamima Nasrin , Afrin Sadia ,   Medical Officer, Thalassemia Hospital and Institute, Savar, Bangladesh, Yoshimura Ken ,   MPH Candidate, School of Tropical Medicine and Global Health, Nagasaki University Japan, Hossain Moazzem ,   Chairman, Institute of Allergy and Clinical Immunology of Bangladesh
Published: January 2021

Antenatal care (ANC) is a care given to pregnant women to timely identify and mitigate pregnancy related problems that can harm mother and/or fetus. Most of the Bangladeshi women present late for ANC. This study aims to determine the time of ANC initiation and the number of visit for ANC among pregnant women attending Filaria & General Hospital between January 2016 and December 2018. The study population had adequate knowledge regarding ANC except for pregnant women who had visited minimum number for ANC. Among 1761 study population, 1268 (72%) had registered for ANC, and 493(28%) had not registered. Out of 1268, 651 (51.34%) had their first ANC within the recommended time (before or at three months), and 617(48.66%) started late initiation of their ANC care. Here, 649 (51.18%) of the study population received more than three visits for ANC.
The impact of a gluten-free diet on the growth pattern of Saudi children with celiac disease
Authors: Omar Ibrahim Saadah
Published: January 2021

Objective: To describe the growth pattern of children with celiac disease (CD) after introduction of a gluten-free diet (GFD).
Methods: In this retrospective, children 2–16 years old with biopsy-proven CD in 2015–2018 were included in the study conducted at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Serial measurements of height-for-age z-score (HAZ) and weight-for-age z-score (WAZ), were recorded at 0, 4, 8, 12, and 16 months. Data on insulin-like growth hormone-1 (IGF-1) and insulin-like growth factor binding protein-3 (IGFBP-3) obtained at diagnosis and during follow-up were retrieved. Clinical, demographic, and laboratory data were extracted from patients' medical files.
Results: The median age for the patients was 8.9 years (range, 2.4–16 years). Males constituted 53.2%. The mean WAZ at diagnosis was -2.8±1.9 and the mean HAZ was -3±0.99. Trend analysis indicated a significant time effect for WAZ (p<0.001) and for HAZ (p<0.001). The mean IGF-1 was 133.4±96.8 ng/ml and the mean IGFBP-3 was 3174±1081 ng/ml. There was significant increase in the secretion of IGF-1 (p=0.01) and IGFBP-3 (p=0.004) during the first 8 months of a GFD.
Conclusion: The administration of a GFD for Saudi children with CD normalizes their growth parameters within 16 months of follow-up and improves the endogenous secretion of growth factors.
Keywords: Celiac disease, growth, child, Continuous...
Comparison of Different Doses of Petroleum Ether Extracts of Sphaeranthus indicus Linn Against Dutasteride on Testosterone and PSA in Murine Model of Benign Prostatic Hyperplasia
Authors: Aslam Bisma Fatima
Published: January 2021

Introduction: Benign Prostatic Hyperplasia (BPH) is the most common health problem of male elderly population resulting in lower urinary tract symptoms (LUTS), characterized by frequency, urgency, hesitancy, nocturia, dysuria and incomplete voiding.

Aims & Objectives: To compare the different doses of petroleum ether extracts of Sphaeranthus indicus Linn (SiP) against Dutasteride, on hormonal parameters (serum testosterone and PSA) in testosterone induced BPH in albino mice.

Place and Duration of study: This experimental study was conducted at the Animal House of PGMI, Lahore for 6 months.

Material & Methods: Thirty-six healthy adult male mice, divided into 6 groups, were administered testosterone, different doses of petroleum ether extract SiL extracts (SIP) and dutasteride. Animals in group 1, taken as control, were given 0.1ml corn oil daily subcutaneously for 28 days. The animals in the remaining 5 groups (# 2-6) were given 3 mg/kg body weight testosterone dissolved in corn oil subcutaneously for 28 days, to induce BPH. The animals in group 3 were given 20 mg/kg/day Dutasteride orally for 28 days. Animals in groups 4-6 were given 25,50mg and 75mg/ kg body weight petroleum ether extract (SIP) orally for 28 days. Blood samples were drawn on day 0, 14 and 28 for the estimation of serum testosterone and serum PSA, by ELISA technique. Data was analyzed using SPSS Version 20.0. Comparison (between groups at baseline, day14 and day 28)was done by using one-way ANOVA and Post Hoc Tukey’s test

Results: Decrease in PSA level and increase in serum testosterone supports the alpha reductase inhibiting activity of SiP, in a dose dependent manner, in testosterone induced BPH. SI petroleum ether extract 75mg/kg exhibited efficacy similar to that of dutasteride.

Conclusion: Sphaeranthus indicus Linn (SiP) has shown efficacy equal to that of dutasteride in attenuating the testosterone induced BPH, in albino mice.
Vitaindító javaslatok a román–magyar viszony rövid távú javítása és hosszú távú fejlesztése kapcsán: a kisebbségi törvény aktualitása és egyéb problémák
Authors: Veress Emőd
Published: January 2021

The aim of the discussion paper is to assess the current state of Romanian−Hungarian relations in Transylvania, the causes of the problems and possible ways to improve interethnic links. The proposals include legal and non-legal solutions. From a Hungarian point of view, is not possible to circumvent the redesign of the dialogue; it is necessary to be able to explain why the goal is to achieve consociational democracy. In this context, it is also necessary to write a short programe document in Romanian outlining the ideal model of coexistence. The legal instrument for moving forward still seems to be the Minority Act provided for in the Constitution but never adopted. In this regard, Romania is in a situation of anti-constitutionality due to omission. Resolving the problem of language use in the judiciary is also a key issue. The establishment of training centres in Cluj-Napoca and Iași within the framework of the National Institute of Magistracy in the short term may be a step forward to tackle the under-representation in the judiciary, while consociational democracy is the solution in the long term for this issue as well. The topic of cultural autonomy, which already exists in certain elements, is also open and may lead to progress, and this must be resolved within the framework of the Minority Act.
PENERAPAN USABILITY TESTING UNTUK PENGUKURAN KUALITAS SISTEM ENTERPRISE RESOURCE PLANNING (ERP) (STUDI KASUS: PT. TITIS SEMPURNAH PRABUMULIH)
Authors: Sari Ulpa Permata , Megawaty Megawaty
Published: January 2021

Titis Sempurna is a company engaged in oil and gas, which has implemented an ERP (Enterprise Resources Planning) system. website-based which means the system can be used where I am and anytime, but website-based ERP systems have weaknesses, the possibility of the system being hacked by hackers because everyone can find out the address of the ERP system in PT.Titis Sempurna.This certainly can lead to concerns of users of ERP systems that include parts of accounting, purchase, warehouse, and human resource development (HRD), because the system cannot be guaranteed security. other than that the ERP system is also too complex and difficult for users to understand as in the purchase user often experiences constraints when the user wants to import PO data. This happens because the use, implementation and integration of the ERP system is difficult to apply in a company and therefore the need for usability testing to measure the quality of the ERP system is done so that the level of usability or usability of the system is expected and later the results of this research are expected later can provide usability or system usability which includes Learnability, Efficiency, Memorability, Errors, and Satisfaction ERP systems for the future.

PT.Titis Sempurna adalah perusahaan yang bergerak dibidang minyak dan gas, yang telah menerapkan sistem ERP (Enterprise Resources Planning). berbasis website yang artinya sistem dapat digunakan dimana saya dan kapan saja akan tetapi sistem ERP berbasis website memiliki kelemahan salasatunya memungkinan sistem dapat di retas oleh hacker karna setiap orang dapat mengetahui alamat dari sistem ERP yang ada di PT.Titis Sempurna.hal ini tentu dapat menimbulkan kekhawatiran dari pengguna sistem ERP yang meliputi bagian dari accounting, purchase, warehouse, dan human resource development (HRD), karna sistem tidak bisa dijamin keamanannya. selain itu sistem ERP juga terlalu kompleks dan sulit untuk dipahami user seperti pada bagian purchase user sering mengalami kendala salasatunya ialah pada saat user ingin mengimputkan data PO. Hal ini terjadi karna penggunaan, pengimplementasian dan pengintegrasian dari sistem ERP sulit untuk di terapkan disebuah prusahaan maka dari itu perlu dilakukannya penerpan usability testing untuk mengukur kualitas sistem ERP hal ini dilakukan agar diketahui tingkat usability atau kebergunaan dari sistem tersebut dan diharapkan nantinya hasil dari penelitian ini dapat memberikan kebergunaan atau usability sistem yang meliputi Learnability, Efficiency, Memorability, Errors, dan Satisfaction sistem ERP untuk kedepannya.
IMPLEMENTASI CHATBOT UNTUK MENDUKUNG SISTEM INFORMASI PADA RUMAH SAKIT MUHAMADIYAH PALEMBANG
Authors: Eldi Eldi , Syaputra Hadi
Published: January 2021

Communication technology has now experienced very rapid development and is increasingly sophisticated. With the existence of a web-based information system, now it can not only be used as a medium for long distance conversations and sending short messages. With this web information system, it can be used to access the internet faster and can also be used as a medium of information that is always updated. The rapid development of information technology lately has entered almost all areas of life, this is indicated by the large number of computer users, both for corporate or business interests, to matters of entertainment, education and health. Muhammadiyah Rs Palembang is one of the health service institutions that organizes complete individual health services that provide inpatient, outpatient and emergency services. The development of a chatbot information system at Rs Muhammadiyah Palembang was carried out to make it easier for patients to find out about Rs. Service information such as the number of available patient rooms. The process of developing the chatbot information system uses the Unified Process (UP) method. With the availability of faster information, it is hoped that it will make it easier for patients to find out about services at Muahmmadiyah Hospital Palembang.

Teknologi komunikasi kini telah mengalami perkembangan yang sangat pesat dan semakin canggih. Dengan adanya sistem informasi berbasis web , sekarang tidak hanya dapat digunakan sebagai media untuk berbicara jarak jauh dan mengirim pesan singkat. Dengan adanya sistem informasi web ini dapat dimanfaatkan untuk mengakses internet lebih cepat dan juga dapat digunakan sebagai media informasi yang selalu update. Perkembangan teknologi informasi yang pesat belakangan ini telah memasuki hampir semua bidang kehidupan, hal ini ditandai dengan banyaknya pengguna komputer, baik untuk kepentingan perusahaan atau bisnis sampai kepada hal-hal yang bersifat hiburan, pendidikan dan kesehata. Rs Muhammadiyah palembang adalah salah satu institusi pelayanan kesehatan yang menyelenggarakan pelayanan kesehatan perorangan secara paripurna yang menyediakan pelayanan rawat inap, rawat jalan dan gawat darurat. Pembuatan Sistem informasi chatbot di Rs Muhammadiyah Palembang dilakukan untuk mempermudah pasien mengetahui tentang informasi pelyanan Rs.Seperti Jumlah kamar Pasien yang tersedia. Proses pembangunan system informasi chatbot ini menggunakan metode Unified Process (UP).  Dengan adanya informasi yang lebih cepat nantinya di harap kan dapat mempermudah pasien dalam mengetahui layanan pada Rs Muahmmadiyah Palembang.
Estudio Cinemático de los Saltos Ornamentales en trampolín: Una Visión Hacia lo Corporal
Authors: Uribe Natasha
Published: January 2021

This research consisted of analyzing the biomechanical characteristics involved in each phase of a series of ornamental jumps on the three-meter springboard. For this, video recordings were made of nine (9) male youth athletes who participated in the XVII Junior World Cup of Ornamental Jumping, Aachen, Germany. For the collection and analysis of the data in three dimensions, two Panasonic cameras were placed between 90 ° and 120 °. 21 anatomical points and two trampoline points were digitized. Subsequently, the kinematic variables were quantified and analyzed with the computerized motion analysis software "Hu-m-an" v. 5.0. It was concluded that the projection characteristics are fundamental for the achievement of the flight phase and entry into the water, obtaining results similar to those registered in international investigations. The projection angle average the 80°. Deficiencies were found in the flight phase to define and group the body, affecting aesthetics and body, in the same way at the time of entering the water an over-effort of the upper body was appreciated due to the passivity of the lower body, which caused an entry hyperextension leaving the lower limbs delayed and displacing water during entry.