bluuebunny/crossref_metadata_2025 huggingface dataset:
Educação em saúde na atenção primária: as abordagens e estratégias contempladas nas políticas públicas de saúde
Authors: Fittipaldi Ana Lúcia de Magalhães , O’Dwyer Gisele , Henriques Patrícia
Published: June 2021

Este estudo objetiva analisar as estratégias de educação em saúde descritas na formulação das políticas públicas por meio de análise documental, tendo como referencial teórico os enfoques da educação em saúde: preventivo; da escolha informada; do desenvolvimento pessoal; radical; e da educação popular em saúde. Identificaram-se três categorias que balizaram a análise: as abordagens preventivas e com foco no indivíduo; o enfoque radical e os macrodeterminantes da saúde; e as estratégias para incentivo à autonomia e à participação popular. Verificou-se a presença dos diversos enfoques nas políticas analisadas como estratégias educativas interativas e complementares, assim como a identificação de diretrizes para o fortalecimento da autonomia e da participação popular. Mesmo com limitações, as políticas dialogam entre si propiciando ferramentas para o trabalho cotidiano. O retrocesso político atual sinaliza a necessidade de rever as estratégias de educação e os seus impactos na saúde.
Práticas corporais/atividades físicas no Programa Academia da Cidade: cuidados em saúde e discursos de usuários
Authors: Fernandes Mauro da Costa , Ferreira Neto João Leite
Published: June 2021

Neste artigo, objetiva-se investigar as práticas corporais/atividades físicas e os discursos produzidos pelos usuários do Programa Academia da Cidade em Belo Horizonte, Minas Gerais, Brasil, em sua articulação com o cuidado integral na Atenção Primária à Saúde. Realizou-se uma pesquisa qualitativa ancorada no estudo de casos múltiplos com triangulação de métodos, envolvendo observação participante e entrevistas semiestruturadas. Buscamos aproximações com a perspectiva da subjetivação em Michel Foucault. Nas duas unidades pesquisadas constatou-se a presença não apenas da forma hegemônica de produção de cuidados em saúde, representada pela noção de atividade física, mas outras que se aproximaram da noção de práticas corporais. Tal fato contribuiu para se assumir a dupla e imbricada noção atribuída às ações produtoras de cuidados em saúde como práticas corporais/atividades físicas. Ambas se constituíram legítimas na produção de subjetividades dos usuários.
Combined treatment of patients with liver colorectal cancer metastases
Authors: Kostromitsky D. N. , Dobrodeev A. Y. , Afanasyev S. G. , Tarasova A. S.
Published: June 2021

The literature review is devoted to the analysis of the main methods of treatment of patients with colorectal cancer liver metastases. The analysis of the clinical trials results over the past 10 years has been carried out. Colorectal cancer is the common malignant neoplasm. About 20% of patients have distant metastases in the diagnosing. Liver is the most frequent targeted organ, liver metastases are detected in 14,5% of patients with colorectal cancer. Despite the encouraging results of treatment of certain groups of patients with metastatic colorectal cancer, the treatment tactics for most patients is limited to palliative chemotherapy. In recent years, the survival of patients with metastatic colorectal cancer has significantly improved due to the success of systemic therapy. The median overall survival has reached for 2 years due to combination chemotherapy based on fluoropyrimidines, oxaliplatin, irinotecan in combination with monoclonal antibodies (bevacizumab, cetuximab and panitumumab). The optimal combination and sequence of using these anticancer agents in the treatment of metastatic colorectal cancer has not yet been determined. Surgery is the standard of care for this category of patients. At the same time, until nowdays there are no clear and generally accepted criteria for choosing the optimal volume of surgical intervention, prescribing first-line chemotherapy and using other methods of antitumor treatment.
Difficulties in assessing the severity of liver dysfunction for obstructive jaundice
Authors: Kabanov M. Yu. , Sementsov K. V. , Boyarinov D. Yu. , Myanzelin M. N. , Belikova M. Ya. , Alekseev V. V.
Published: June 2021

A literature review is devoted to the current classifications of liver failure that occurs in obstructive jaundice. Modern methods of diagnosis and criteria for determining the time of development and assessing the severity of this disease, model assessment and prognosis of acute liver failure are also considered. Attention is paid to assessing the severity and determining the timing of the development of liver failure in extrahepatic cholestasis. In addition, there is no common understanding of the role of liver compensatory mechanisms involved in the development of this condition. There are no generally accepted views on the surgical tactics of treatment of patients with obstructive jaundice complicated by liver failure. The limits of application of step-by-step treatment of patients with neoplastic obstructive jaundice have not been reliably determined. All these issues require further research, search for universal tools for assessing liver failure, predicting postoperative complications for choosing the optimal surgical treatment tactics.
Staged treatment of acute necrotizing pancreatitis given the configuration of pancreatic necrosis (case report)
Authors: Shefer А. V. , Belykh E. N.
Published: June 2021

A clinical observation of a successful staged treatment of a patient with severe acute pancreatitis based on early diagnosis of damage to the pancreatic duct according to CT data (configuration of pancreatic necrosis) and high level of amylase in the fluid collection is presented.
Management of Regional Natural Resources based on the Variability of Environmental and Economic Indicators
Authors: Semyachkov Aleksandr I , Gao Rong , Atamanova Elena A.
Published: June 2021

Major ecological problems encourage regional authorities to find a balance between the consumption of natural resources and the preservation of the environment. To this end, we assessed environmental management in three Russian regions (the Ural, Siberian and Far Eastern Federal Districts) in the period 1990–2018 using temporal variability analysis of ecological and economic indicators. Based on the spatial and temporal variability and time series analysis, we developed a methodology for examining the use of natural resources and occurring violations. Temporal variability of environmental and economic indicators was visualised for each type of natural resources (atmospheric, water, forest and land). Additionally, the proposed method allowed us to identify a trend towards balanced environmental management and restoration of regional natural resources over a long period. The variability of environmental and economic indicators of 27 constituent entities of the Russian Federation was analysed based on graphic material. Further, four main groups of these indicators (stable, unstable, homogeneous, and heterogeneous ones) were identified. This typology can be used to determine the leading and outsider regions in terms of the balanced environmental management, indicating its general trend (positive or negative one). Overall, satisfactory and positive environmental management dominate in the examined districts. Simultaneously, negative environmental management (predominance of resource use over their restoration) leads to the adoption of drastic measures to remedy the situation. The obtained results may be useful for developing a methodology to assess environmental and economic indicators of balanced environmental management in regions.
AN INTEGRATED APPROACH TO EXAMINE OF LABOUR PRODUCTIVITY: ACTUAL STATE AND PERSPEKTIVES OF RESEARCH
Authors:   Krasnkokamsk Metal Mesh Works, Pishchalnikov Dmitry V. , Nyrkova Yulia L. ,   Krasnkokamsk Metal Mesh Works, Rudnova Natalya A. ,   Perm State University, Sokruta Lidiya V. ,   Perm State University, Vnutskikh Alexander Yu. ,   Perm State University
Published: June 2021

The problem of low labour productivity is a «chronic» problem for Russia. At the same time, some Rus-sian enterprises increase productivity successfully implementimg to the «rational model of labor rela-tions» implementation. The authors assume that the problem of increasing labour productivity is transdis-ciplinary, and psychology of personality and social psychology should play a significant role in finding the solution to this problem. The working hypothesis of this research is that there are statistically signifi-cant differences in personality traits and professional motivation that determine the specific style of activ-ity of employees of enterprises with different labour productivity. In order to test this hypothesis the au-thors did a study in the summer–autumn of 2018 at two industrial enterprises of the Perm Krai. The study has showed that there are practically no significant differences between the personality traits of the em-ployees who work at the enterprises, and the levels of labour productivity. The only exception is the fac-tor «Openness to Experience» that makes a distinction between the employees of enterprises which might be attributed to specificity of the production processes at these two plants and also to specificity of the sample. It is possible that absence of significant differences between the personality traits of the employ-ees of these enterprises evidences that labour productivity is mainly determined by specific social ties in professional groups. So, the first version of the working hypothesis is not confirmed. It is possible that as-signment of roles and responsibilities, as well as the styles of communication and administration are the predictors of labour productivity.
Foulage test v2
Authors: Yasuda Tomohisa
Published: June 2021

The Foulage test is a test in which the stepping is recorded with the eyes open and closed by the ground contact method for 60 seconds in accordance with the metronome BPM120 by counting the sway of the center of gravity. The enlargement of the area of the still-standing object on a stabilometer means unstable directly. However, the dynamic test must divide the unstable movement to the active. The stepping of Foulage test is regulated that 120bpm tempo, upright standing with both arms set on the body-side, foot closed, toes keep touching on the plate constantly, so object can change only height of heels to rise up alternatively. Foulage is a French word for "grape trampling" in which grapes are crushed barefoot in the process of winemaking. This is because the ground contact method is different from the conventional stepping method of a march that raises the sole of the foot. In a stable stepping of a healthy person, it is considered that the left and right folds and the front-back shift are constant to some extent, and 120 steps and 60 reciprocations are added to the same locus, and an inverted V-shaped locus with a certain width. Here, the inverted V-shaped locus is close to a rectangle bent at the center, and its long side can be considered as the average moving distance (L / 120) of one step. The outer peripheral area of the inverted V-shaped locus, that is, the area A of the bent rectangle can be estimated by multiplying the length of the long side and the short side (front-back width). We defined front-back width as FT value. Our results in normal subjects showed that the height of heels enlarges the total locus length. Pearson correlation analysis revealed that FT value of healthy object plateaued under stable condition (400<L<1400). Therefore, the test should be performed within the range of heel height where the footsteps are stable in healthy subjects. In addition, we proposed the new parameters; the variance of steps is more direct parameter of stability. The plotting figure of steps and the time-graph can show the movement of a subject visually.
Using the AIS Data to enhance smart port congestion optimizing model Subtitle as needed (paper subtitle)
Authors: Et. al. Kamal Lakhmas,
Published: June 2021

Nowadays, ports are in need to maximize their incomes, and this based on the fierce competition. For this reason, all ports stakeholders should be involved to contribute in the design and the development of a policy of scheduling and priority.This project owned by the Vessel Call Service Planning Service in the port of Tanger Med as the "Tanger Med Port Authority", and it output was to report the summarized the work done and the methods behind it.The main goal is to develop a simulator model that includes all kind of operations and the operational process by choosing the appropriate KPIs that are fully reflecting the congestion transferred by port vesselsFirst, it aims to define the operating assumptions and the fundamental concepts on which our simulation model will be based and to present the data that were used for the implementation of the simulation as well as the origin of these data.Secondly, it aims to validate and calibrate the model by presenting some improvements that could be made to the simulator in order to make it more precise and more representative and to ensure automation of the processing of inputs and outputs. While towards the end we conclude with the presentation of congestion situations, the results obtained and their use in decision making.AIS data is another factor has been added to help in getting best results, this helped in vessels planification in/out predictive process while automating the use of our simulator with the AIS Data receipt from SatelliteThis part of project is in to give the smart aspect to our simulator results by using smart technology.
Penaklukan Konstantinopel tahun 1543: Upaya Turki Utsmani menyebarkan agama dan membentuk kebudayaan Islam di Eropa
Authors: Kusuma Yolan Sadewa Aditya , Ayundasari Lutfiah
Published: June 2021

Muhammad Al-Fatih, the 22-year-old leader of the Ottoman Empire, has learned a lot from the failure of his predecessors in trying to conquer Constantinople, so that when he came to power in 1451 AD Muhammad Al-Fatih immediately set his sights and was serious about conquering Constantinople, until he was conquered in 1453 AD. So that Islam successfully spread to Constantinople, Islam which has entered Constantinople over time will have an impact on local culture which was previously European Roman style, when Constantinople was conquered and Islam entered its culture Identical to the Ottoman Turkish Islamic culture. It is proven by Muhammad Al-Fatih that he immediately changed the magnificent Aya Shofia church to be converted into a mosque and changed the name of the city to Islam Bul which means Islamic city.

Muhammad Al-Fatih yang berusia 22 tahun pemimpin Kekhalifanan Turki Utsmani telah banyak belajar dari kegagalan para pendahulunya dalam usaha menaklukkan Konstantinopel, sehingga ketika berkuasa pada tahun 1451 Masehi Muhammad Al-Fatih langsung mengarahkan pandangannya dan bersungguhsungguh untuk menaklukan Konstantinopel, hingga berhasil ditaklukkan pada tahun 1453 Masehi. Sehingga Agama Islam berhasil tersebarke Konstantinopel, Agama Islam yang telah masuk didalam Konstantinopel berjalannya waktu akan berdampak pada kebudayaan setempat yang sebelumnya bergaya Romawi eropa, ketika Konstantinopel ditaklukan dan Islam masuk kebudayaannya Identik dengan kebudayaan Islam Turki Utsmani. Dibuktikan dengan Muhammad Al-Fatih langsung mengubah gereja megah Aya Shofia untuk dialihfungsikan menjadi masjid dan mengganti nama kota menjadi Islam Bul yang bearti kota Islam.
React learning: Meningkatkan Geography skill siswa Geografi Sekolah Menengah Atas di Malang
Authors: Bariroh Waldati , Handoyo Budi , Purwanto Purwanto
Published: June 2021

Penelitian ini bertujuan untuk mengetahui pengaruh model pembelajaran REACT terhadap keterampilan geografi siswa kelas X lintas minat di SMAN 9 Malang. Indikator keterampilan yang digunakan mengacu pada GENIP 2012. Penelitian ini menggunakan jenis penelitian eksperimen kuasi dengan pretest posttest control group design. Penelitian menggunakan satu kelas eksperimen dan satu kelas kontrol. Objek penelitian ini siswa kelas X IPA 3 dan X IPA 4. Instrumen yang digunakan adalah soal test yang disesuaikan dengan indikator keterampilan geografi. Hasil penelitian ini rata-rata nilai gainscore ketempilan geografi kelas eksperimen lebih besar dibanding kelas kontrol.
Konstruksi sosial: Aktivitas belajar siswa SMP Negeri 10 Malang korban school bullying pada kelas VII
Authors: Camelya Nelly Isroy , Ruja I Nyoman , Sukamto Sukamto , Eskasasnanda I Dewa Putu
Published: June 2021

This study aims to describe the characteristics of students victims of school bullying grade VII, (2) forms of school bullying, (3) social construction causes school bullying, (4) learning activities of students victims of school bullying, (5) social construction of teachers in providing social intervention and construction to school bullying. The research was conducted at SMP Negeri 10 Malang using qualitative approach with case study type research. The results showed that: first, victims of bullying in grade VII are different from students in general both physically and academically, victims of bullying have hurt their feelings and do not have many friends. Second, this form of bullying consists of physical, verbal, mental/psychological and electronic.  Third, acts of bullying cannot be released from social construction because perpetrators, spectators and teachers justify bullying occurring because of the victim's fault. Fourth, bullying can make victims have learning difficulties. Fifth, the intervention taken by the teacher is to provide material about bullying, make the classroom atmosphere comfortable and make a picture about the prohibition of bully.

Penelitian ini bertujuan untuk mendeskripsikan mengenai: (1) karakteristik siswa korban school bullying kelas VII, (2) bentuk-bentuk school bullying, (3) konstruksi sosial penyebab school bullying, (4) aktivitas belajar siswa korban school bullying, (5) konstruksi sosial guru dalam memberikan intervensi dan konstruksi sosial terhadap school bullying. Penelitian dilakukan di SMP Negeri 10 Malang dengan menggunakan pendekatan kualitatif dengan jenis penelitian studi kasus. Hasil penelitian menunjukkan bahwa: pertama, korban bullying di kelas VII berbeda dengan siswa pada umumnya baik secara fisik maupun akademik, korban bullying pernah menyakiti perasaan temannya dan tidak memiliki teman yang banyak. Kedua, bentuk bullying terdiri dari fisik, verbal, mental/psikologis dan elektronik.  Ketiga, tindakan bullying tidak dapat dilepaskan dari konstruksi sosial karena pelaku, penonton dan guru membenarkan bullying terjadi karena kesalahan korban. Keempat, bullying dapat membuat korban mengalami kesulitan belajar. Kelima, tindakan intervensi yang dilakukan guru adalah memberikan materi mengenai bullying, membuat suasana kelas nyaman dan membuat gambar tentang larangan mem-bully.
Peran Pasuruan Industrial Estate Rembang (PIER) terhadap kehidupan masyarakat (sosial-ekonomi) Desa Mojoparon Kecamatan Rembang Kabupaten Pasuruan
Authors: Amanda Yonita Yuli , Sukamto Sukamto , Towaf Siti Malikhah
Published: June 2021

This research aims to describe the role of Pasuruan Industrial Estate Rembang (PIER) to the socioeconomic life of Mojoparon villagers in Pasuruan Regency. The approach and type of research used qualitatively descriptive. Three research conclusions were obtained as follows. First, the history of its establishment in PIER is due to the development of SIER and the development of industry in Pasuruan District phase III. Second, the problem of pier role for Mojoparon village community is divided into two, namely, indirect role and direct role. The indirect role is economic growth and increased employment opportunities. Direct role in the form of village infrastructure assistance, APAP cooperation, and PK and BK programs. Third, the impact of PIER for Mojoparon villagers is more prosperous and utilized pier industrial waste. At the same time the benefits of this research for IPS education can be used as additional insights and can foster socially sensitive, positive and skilled attitudes.

Penelitian ini bertujuan untuk mendeskripsikan peranan keberadaan Pasuruan Industrial Estate Rembang (PIER) pada kehidupan sosial ekonomi masyarakat Desa Mojoparon Kecamatan Rembang Kabupaten Pasuruan. Pendekatan dan jenis penelitian yang digunakan kualitatif deskriptif. Berdasarkan kesimpulan penelitian ini ada tiga garis besar yakni. Pertama, sejarah berdirinya di PIER merupakan pengembangan dari SIER selain itu adanya pengembangan industri di Kabupaten Pasuruan tahap III. Kedua, masalah peranan PIER bagi masyarakat Desa Mojoparon dibagi menjadi dua yaitu, peranan secara tidak langsung dan peranan secara langsung. Peranan tidak langsung yaitu pertumbuhan ekonomi dan kesempatan kerja meningkat. Peranan langsung berupa bantuan infrastruktur desa, kerjasama APAP, dan Program PK dan BK. Ketiga, dampak PIER bagi masyarakat Desa Mojoparon yaitu semakin sejahtera dan dimanfaatkannya limbah industri PIER. Sekaligus manfaat penelitian ini bagi pendidikan IPS dapat dijadikan tambahan wawasan dan dapat menumbuhkan sikap peka sosial, positif dan terampil.
Islam Kejawen: Lahirnya akulturasi Islam dengan budaya Jawa di Yogyakarta
Authors: Munna Uskuri Lailal , Ayundasari Lutfiah
Published: June 2021

Islam entered Nusantara through several routes, including trade, marriage, education, preaching, etc. Java itself is one of the regions in the archipelago where Islam is spreading. Before getting to know Islam, Javanese people had previously embraced animism and dynamism, Hinduism-Buddhism, and then entered Islam, which in the process of spreading Islam made people's lives begin to change for the better. Islam can be accepted by the Javanese people, but even though they have changed their beliefs to embrace Islam, in fact various kinds of cultures and traditions from their previous ancestors are still firmly held and carried out by the Javanese people. The conditions that occurred in the Javanese people made them feel like living by adhering to two religions, where the teachings of their ancestors and the teachings of Islam were brought together and created a new acculturation. This cultural mixing between Islam and the native culture of the Javanese people is known as Islam Kejawen, which was born in Java, one of which is Yogyakarta, Central Java.

Islam masuk ke Nusantara melalui beberapa jalur, di antaranya perdagangan, pernikahan, pendidikan, dakwah, dll. Jawa sendiri menjadi salah satu wilayah di Nusantara yang menjadi lokasi persebaran Islam. Sebelum mengenal agama Islam, masyarakat Jawa sebelumnya telah menganut kepercayaan animisme dan dinamisme, Hindu-Buddha, dan kemudian masuklah agama Islam, dimana pada proses menyebarnya Islam tersebut yang menjadikan kehidupan masyarakatnya mulai berubah ke arah yang lebih baik. Agama Islam dapat diterima oleh masyarakat Jawa, namun meskipun telah merubah kepercayaan mereka untuk menganut agama Islam, nyatanya berbagai macam kebudayaan serta tradisi dari para leluhur terdahulu masih dipegang teguh dan dilaksanakan oleh masyarakat Jawa. Kondisi yang terjadi pada masyarakat Jawa tersebut membuat mereka seperti hidup dengan menganut dua agama, dimana ajaran-ajaran dari para leluhur serta ajaran agama Islam dipertemukan dan menciptakan akulturasi baru. Percampuran budaya antara agama Islam dengan kebudayaan asli masyarakat Jawa itulah yang disebut sebagai Islam Kejawen, yang lahir di Jawa, salah satunya yaitu di Yogyakarta, Jawa Tengah.
Karakteristik dan interaksi sosial Yamaha-Vixion Club Indonesia Chapter Jombang guna mempererat solidaritas
Authors: Rahmanda Ruci , Awaliyah Siti , Sukriono Didik
Published: June 2021

Artikel ini berupaya untuk mengeksplorasi karakteristik dan interaksi sosial yang terjadi pada komunitas motor yamaha vixion club Indonesia chapter Jombang. Pendekatan deskriptif kualitatif digunakan sebagai metode penelitian. Sumber data menggunakan purposive sampling. Teknik pengumpulan data dilakukan dengan observasi, wawancara, dokumentasi dan penggabungan ketiganya. Hasil penelitian menunjukkan bahwa karakteristik dan interaksi sosial yang terjadi pada yamaha vixion club Indonesia chapter Jombang terjalin dengan baik antar anggotanya hal ini ditunjang oleh beberapa kegiatan-kegiatan yang dapat membuat kedekatan antar anggotanya dapat terbentuk. Namun tetap diingat bahwa segala sesuatu pasti ada sisi positif dan juga sisi negatifnya. Bahkan tak jarang muncul hambatan-hambatan yang dapat memicu terjadinya konflik dan kesenjangan antar anggota. Tetapi selalu ada solusi untuk membuat keputusan yang terbaik sehingga tiap-tiap anggota dapat menjaga rasa solidaritasnya.
O AQUÍFERO FRATURADO CRISTALINO EM UM SETOR DO AGRESTE PARAIBANO.
Authors: Oliveira Lucas Emanuel , Medeiros Lucas Aguiar , Stein Paula
Published: June 2021

No Estado da Paraíba, excetuando-se a região litorânea, predomina o clima semiárido e os tipos litológicos mais comuns são rochas ígneas e metamórficas, o que de um modo geral, conjuntamente, limita o armazenamento de água subterrânea. O presente trabalho teve como objetivo avaliar os aspectos que influenciam a presença de águas no aquífero fraturado em um setor do Agreste Paraibano, que se destaca do contexto regional de escassez, e desempenha um papel importante no suprimento local de água, sobretudo nos períodos de estiagem prolongada. Foram avaliados 180 poços em 9 municípios, captando águas do aquífero fraturado Cristalino, a partir da base de dados do SIAGAS (Sistema de Informações de Águas Subterrâneas) da CPRM (Serviço Geológico do Brasil). Os dados litológicos, de vazão e de salinidade das águas se integraram às informações de chuvas, cobertura vegetal e topografia. Na porção central da área, entre os municípios de Alagoa Nova, Areia e Pilões, a maior produtividade dos poços é acompanhada por águas predominantemente doces. Esse cenário possivelmente decorre da maior incidência de chuvas no setor e da presença de um manto de intemperismo mais espesso, associado a presença das rochas sedimentares da Formação Serra dos Martins, ambos sobrejacentes às rochas cristalinas do aquífero fraturado.
Effect of maternal dexamethasone administration on daily fetal movement count and its correlation with Doppler studies and cardiotocography
Authors: Ali Mohamed A. , Bayoumy Hassan A. , Elshabrawy Ahmed S.
Published: June 2021

Background: Decreased fetal movements is a frequent reason for unplanned consultations through the third trimester ranging between 4% and 16% in various populations it is often a sign of fetal compromise and associated with severe outcomes such as fetal growth restriction, preterm birth and fetal death therefore it is important to question the effect of maternal dexamethasone administration for fetal well-being and its relation on decreased fetal movement which is detected by Doppler studies and cardiotocography. Methods: The current study was performed on 220 pregnant women with gestational age between 28-34 weeks who received antenatal dexamethasone at Ain Shams university hospitals.Results: Regarding fetal movements, there was significant decrease in fetal movement at the 24th hour (Day 2) after 1st and 2nd doses of dexamethasone then re-increased at 48th hour and 72nd hour but still significantly lower than baseline.Conclusions: Administration of dexamethasone had no harmful effects on the fetuses or the mothers, except for a transient decrease of fetal movements in only after 24 hours of the first dose.
Outcome after total knee arthroplasty with or without patellar resurfacing
Authors: Siddiqui M. Shahbaz , Parsurampuriya Vivek Kumar , Kumar Neeraj , Kumar Sumedh
Published: June 2021

Background: Patellar resurfacing in total knee arthroplasty has had its defenders and detractors. There seems to be a great difference in patellar resurfacing between countries and patellar resurfacing is still controversial. Some surgeons resurface the patella routinely, others not at all, and a third group prefers selective resurfacing. Therefore, in this prospective and randomised study, we compared the outcome after total knee arthroplasty with or without patellar resurfacing.

Methods: In this study 50 cases (100 knees) were selected and each case was followed up for 2 years. In each case, one knee was operated by TKA with patellar resurfacing and the other by TKA with patellar non-resurfacing. Patients were followed-up for a period of 2 years and clinical and functional outcome of both knees was measured and compared by the help of knee society score (KSS) and VAS score.

Results: There was statistically significant difference between the patellar resurfacing and non-resurfacing group with regard to knee society score, pain score and visual analogue score (VAS), with the patellar resurfacing having better scores. There was no significant difference in the functional scores between the 2 groups. Range of motion was complication rate was comparable in both the groups. However, there was no case of reoperation nor was there any complication related to the patellar implant. 

Conclusions: Patellar resurfacing in TKA leads to less post-operative persisting knee pain, and also leads to better outcome in terms of walking without pain, using stairs without pain and rest pain as compared to TKA without patellar resurfacing.
Incidence of and Factors Associated with New-Onset Insomnia Among Lebanese Hospitalised Patients
Authors: Sakr Nour , Hallit Souheil , Mattar Hanna
Published: June 2021

Objectives: This study aimed to determine the incidence and post-discharge resolution of new-onset insomnia in hospitalised patients with no previous history of insomnia, as well as to define major correlates of in-hospital insomnia. Methods: This prospective observational study was conducted between November 2019 and January 2020 at a tertiary care centre in Lebanon. All hospitalised patients >18 years of age with no history of insomnia were screened for new-onset insomnia using the Insomnia Severity Index (ISI) scale. Subsequently, patients were re-assessed two weeks after discharge to determine insomnia resolution. Results: A total of 75 patients were included in the study. Of these, nine (12%) had no insomnia, 34 (45.3%) had subthreshold insomnia, 22 (29.3%) had moderate insomnia and 10 (13.3%) had severe insomnia. The mean ISI score was 14.95 ± 6.05, with 88% of patients having ISI scores of >7 (95% confidence interval: 0.822–0.965). The frequency of new-onset insomnia was significantly higher among patients who shared a room compared to those in single-bed rooms (95.7% versus 75%; P = 0.011). Other factors were not found to be associated with new-onset insomnia, including the administration of medications known to cause insomnia, in-hospital sedative use, overnight oxygen, cardiac monitoring and self-reported nocturnal toilet use. Overall, insomnia resolution occurred in 78.7% of patients two weeks after discharge. Conclusion: There was a high incidence of acute new-onset insomnia among hospitalised patients at a tertiary centre in Lebanon. Additional research is recommended to further examine inhospital sleep disturbance factors and to seek convenient solutions to limit insomnia.

Keywords: Sleep Wake Disorders; Insomnia; Hospitalization; Incidence; Risk Factors; Lebanon.
Effect of an Educational Support Programme on Caregiver Burden Among the Family Members of Patients Undergoing Coronary Artery Bypass Graft Surgery
Authors: Dalirirad Helen , Seyedfatemi Naima , Najafi Tahereh
Published: June 2021

Objectives: The family caregivers of patients undergoing coronary artery bypass graft (CABG) surgery experience considerable physical and emotional distress. This study aimed to investigate the effect of an educational support programme on caregiver burden among the family caregivers of patients undergoing CABG surgery in Iran. Methods: This non-randomised controlled clinical trial was conducted from January to April 2017 at a cardiovascular centre in Tehran, Iran. A total of 80 family caregivers of patients undergoing CABG surgery were sequentially selected and non-randomly assigned to intervention and control groups. The control group received routine care, whereas the intervention group received additional education sessions at baseline, prior to surgery, the day after surgery and before discharge. Caregiver burden was compared at baseline and six weeks post-discharge using the Persian-language versions of the Caregiver Burden Inventory (CBI) and Katz Index of Independence in Activities of Daily Living (IADL). Results: A significant difference was observed between family caregivers in the control and intervention groups with regards to pre-post differences in mean CBI scores (+1.67 ± 19.23 versus +17.45 ± 9.83; P <0.001), with an effect size of −1.14. In addition, there was a significant increase in mean post-discharge IADL scores among CABG patients in the intervention group compared to the control group (4.42 ± 1.05 versus 3.07 ± 1.09; P <0.001). Conclusion: An educational support programme significantly reduced caregiver burden among the family members of patients undergoing CABG surgery in Iran. As such, in addition to routine care, healthcare providers should provide educational support to this population to help mitigate caregiver burden.

Keywords: Caregiver Burden; Coronary Artery Bypass Surgery; Patient Education as Topic; Caregivers; Education; Quality of Life; Controlled Clinical Trial; Iran.
Delays in Presentation by Patients with ST Elevation Myocardial Infarction
Authors: Almashari Suhaib , Al-Malki Yasir , Al-Riyami Adil , Nadar Sunil K
Published: June 2021

Objectives: To assess causes of delay for presentation with ST elevation myocardial infarction (STEMI) at our institution. Methods: We included patients with a STEMI that were taken up for primary angioplasty, who had presented from Jan 2017 to December 2019 to the emergency department at Sultan Qaboos university hospital, Muscat. Results: 101 patients (Mean age 54.8+10.8 years; 80 (79.2%) male) were included. The median (IQR) pain to door time was 60 (30-120) minutes.  66 (66%) patients arrived within 90 minutes. All except one arrived by privately arranged transport. Feeling that the pain was not important (60%) or not cardiac (22%) were the main reasons for delay. Being diabetic was the only patient factor that predicted delay. Conclusion: A high proportion of patients presenting to our institution with a STEMI arrived within recommended times. However more public education is required to improve awareness about the importance of early evaluation of chest pain.

Keywords: Acute myocardial infarction; prehospital delay
Impact of the Technological Transformation in Employment and Export on Economic Growth in Turkey and the EU Countries in an Information Economy Projection: Dynamic Panel Data Analysis
Authors: KARAKUŞ Mustafa , ÖZEN ATABEY Aslı
Published: June 2021

The technological transformation experienced during the transition to the knowledge economy has made it necessary to increase the employment of R&D personnel and the export of high-tech products for countries that want to gain competitive advantage. This study was conducted to investigate the impact of the share of R&D personnel and researchers and the ratio of high-tech exports on economic growth in Turkey and 27 EU countries for the years 2007-2019. The results of the research using the Dynamic Panel Data Analysis method; It shows that the number of R&D personnel and researchers and high technology exports have a positive effect on economic growth, and the number of R&D personnel and researchers has a greater effect on growth.
Occurrence of Pesticide Residues in Freshwater and Estuarine Fishes of Thamirabarani River
Authors: Durairaj Manimekalai , Arasan Srinivasan , Pandurengan Padmavathy , Paulraj Jawahar , George Rosalind
Published: June 2021

Background: Studies pertaining to the presence of OCP residues in the freshwater and marine ûshes caught from the Thamirabarani river basin region are not available to analyze the extent of bioaccumulation to assess their safety for human consumption. Hence, this study was undertaken as a maiden work to examine the OCP residues in the fishes collected from ûve sites spanning from the source to mouth region of the Thamirabarani river system, along with other related niches to examine the effect of environment pollution. Methods: Pesticides from fish muscle and their organs were extracted as per AOAC 2007.01 using QuEChERS method. A Gas Chromatograph model Perkin Elmer - equipped with Ni Electron Capture Detector of activity 15 MCi was used for the analysis. A volume of 1.0µl of the extracts was injected. The operating conditions were capillary column Elite-5 capillary column, 60m x 0.25mm, 1.00µm temperature programme: 70ºC (2 min) to 180ºC (I min) 25ºC/min to 300ºC 5ºC/min, Injection temperature: 270ºC, Detector temperature: 300ºC, Carrier gas: Nitrogen at 1.0 mL/min, Make up gas: Nitrogen at 29 mL/min. Result: Among fishes, rohu accumulated maximum of 0.4014 to 0.605 ug/kg of DDT in station IV and V respectively. Dhananjayan and Muralidharan (2010) reported OCPs in 156 fishes sample from Kaveri river. The average concentration of DDT ranged between 0 and 0.605 ug/kg. Bhuvaneshwari and Babu rajendran (2012) also reported 2.8 ug/g of DDT in fishes from Kaveri river. The low occurrence of DDT in the presence study is mainly due to their rapid degradation with living organisms.
Accelerated Ageing Mediated Seed Longevity Prediction and Assessment of Seed Deterioration Pattern through 2D-Gel Electrophoresis in Chickpea (Cicer arietinum L.)
Authors: Patil Shivasharanappa S. , Sajjan Ashok S. , Biradarpatil N.K. , Krishnaraj P.U. , Katageri I.S.
Published: June 2021

Background: Accelerated ageing is a method to assess seed storage performance by exposing the seeds to higher temperature and relative humidity to make seeds lose its vigour and viability quickly. The seed physiological parameters are then compared with the natural ageing to derive certain conclusions. But, the molecular pattern of seed deterioration under accelerated ageing varies compared to that of natural ageing. Methods: Chickpea, seed lots of variety JG-11 and Annigeri-1 were subjected to natural ageing in cloth bag with nine per cent initial seed moisture under ambient conditions. Simultaneously, representative sample of same seed lot were also aged at 41oC and 95±2% humidity up to 120 hours. Result: Both the ageing methods had significant negative effect on seed physiological and biochemical quality parameters. The germination potential of seeds tested after 48 hours of accelerated ageing (83.5%) was equal 10 months of natural ageing (85%) in JG-11, while also in Annigeri-1, 48 hours of accelerated ageing (78%) was nearly equal to 10 months of natural ageing (80%). The protein expression analyzed through 2D-PAGE at similar germination potential brought out by two independent ageing methods showed higher protein down regulation ratio (3.4) in accelerated ageing than in natural ageing (3.2) unveiling its rapidity in the seed deterioration process. Therefore, accelerated ageing can be used for predicting chickpea seed longevity.
Advancing Rehabilitation Counseling Professional Identity in Australia
Authors: McLennan Vanette , Buys Nicholas , Matthews Lynda R. , Randall Christine , Millington Michael , Crocker Ruth
Published: June 2021

Purpose

The past few decades have witnessed significant growth in the disability sector and the rehabilitation counseling profession has responded by broadening its scope of practice to serve a range of people who experience illness, injury, and social disadvantage. Despite the sector's growth and the profession's flexible response to it, the rehabilitation counseling profession in Australia continues to face challenges in relation to its professional identity. The purpose of this article is to identify these challenges and present solutions by reviewing literature and professionalization responses in Australia and the United States.

Method

In this article, we examine ways of transcending the professional identity challenges faced by the Australian rehabilitation counseling community. This is achieved firstly by defining the characteristics of professions and their application to rehabilitation counseling and second, by suggesting possible actions to advance the profession.

Results

The necessary responses identified include the need for stronger professional governance, further development of the evidence base, and strict professional membership regulations. These goals will require the input of professional bodies and members, universities, rehabilitation regulators, employers, people with disabilities, and their families.

Conclusions

Rehabilitation counseling is a valued allied health and human service profession in the Australian work injury and disability sectors. By drawing on the experience of the profession in the United States, the authors have identified issues and solutions to facilitate the sustainability and advancement of rehabilitation counseling in Australia.
Deep infiltrating endometriosis with bowel involvement. Literature review
Authors:   Prof. V. F. Voino-Yasenetsky Krasnoyarsk State Medical University, Tskhay V.B. , Khudyakov A ,   Private clinic «GTK- Krefeld», Terjung A ,   Private clinic «GTK- Krefeld», Polstianoy A.M. ,   Federal Siberian Research Clinical Centre FMBA of Russia, Westernhagen M ,   Private clinic «GTK- Krefeld», Avazashvili Z ,   Helios Medical Center Krefeld, Füllers U ,   Private clinic «GTK- Krefeld», Friedrich M ,   Helios Medical Center Krefeld, Polstianay A.Ju. ,   Federal Siberian Research Clinical Centre FMBA of Russia
Published: June 2021

Endometriosis is a prevalent disease in females of the childbearing age. It may be accompanied by bowel involvement. In such cases, the most frequently observed lesion locations are the rectum and the rectosigmoid with the occurrence rate of 3-37 %. Treatment of severe forms of deep infiltrating endometriosis with bowel wall involvement is one of the most challenging problems of modern gynaecology. Apart from general intra- and postoperative risks (haemorrhage, infection, direct damage to the organs) or bowel and bladder dysfunction, one of the most severe complications is the development of anastomotic leaks. This article presents a review of literatures dated 2010-2020 searched for in PubMed and Google Scholar databases and devoted to operative treatment of patients with deep infi ltrating endometriosis. We made an emphasis on the effi cacy of the multidisciplinary approach to operative treatment of patients with deep infiltrating endometriosis and bowel involvement. Multidisciplinary laparoscopic treatment has become a standard of medical aid in deep infiltrating endometriosis. Depending on the size of endometrial lesion and the location of bowel involvement, complete removal of the infiltrate or bowel resection is performed in cooperation with an experienced colorectal surgeon. The operative tactics in laparoscopic endometriosis resection, including bowel resection, may provide advantages for both the patients and the healthcare system. The optimal model is to be chosen drawing on the basis of the maximum benefit for the patient.
Application of full proteomic analysis of blood cells, plasma and urine for differential diagnosis
Authors:   Krasnoyarsk Scientific Center of the SB RAS, Glazyrin Yu.E. , Veprintsev D.V. ,   Krasnoyarsk Scientific Center of the SB RAS, Berezovski M.V. ,   University of Ottawa
Published: June 2021

The paper considers a methodology for creating concepts for new non-invasive diff erential diagnostic systems based on proteomic profi ling of blood cells, plasma and urine. In this case, the relative quantitative information about all proteins found in the samples is used simultaneously. In the presented examples, using machine learning methods, it became possible to separate groups of patients with diabetic nephropathy and glomerulonephritis according to proteomic data of blood plasma, and to separate patients with hypertensive nephropathy from these groups using proteomic data of urine. With the help of regression analysis, it was possible to construct a linear model capable of assessing the moment of the need to initiate therapy in the future for patients at an early stage of chronic lymphocytic leukemia
Self-Efficacy of Micro Businesses in Facing the COVID-19 Pandemic in Blitar District
Authors: Yuwono Tri Indah
Published: June 2021

This study aims to determine the dynamics and self-efficacy factors of micro businesses in dealing with theCOVID-19 pandemic in Blitar District. The method used is qualitative with a case study approach. The subjectsin this study were micro entrepreneurs in Blitar District. Data collection method is done by using the interviewmethod. The data analysis technique used in this research is content analysis. Based on research results. SubjectI is optimistic and has the confidence to overcome the problems of his business amid the COVID-19 pandemic.In addition, subject I has a lot of innovations or ideas that are applied so that the business can continue tosurvive in the midst of a pandemic. Factors influencing the self-efficacy of subject I are environmental support,past experience, physiological and psychological factors, motivation, and gratitude to God. In subject II did nothave a sense of confidence and tended to be pessimistic in dealing with the COVID-19 pandemic, Subject II feltthat he had no idea and a way out to continue his business in the midst of a COVID-19 pandemic, the factorsaffecting subject II's self-efficacy were almost the same as subject I namely environmental support, pastexperience, physiological and psychological factors, motivation, and gratitude to God. The findings of this studyare that there are some similarities in positive factors that affect self-efficacy between the two subjects butprovide different outputs of self-efficacy.
SOCİAL AND POLİTİCAL (THE OTHERS) EXCLUSİONS WİTHİN THE POST-YUGOSLAV ETHNONATİONAL İNSTİTUTİONALİZATİON İN BOSNİA AND HERZEGOVİNA
Authors: HADŽİĆ Faruk
Published: June 2021

The paper analyzes the concepts, causes, and normative solutions of social and political exclusions in Bosnia and Herzegovina within post-Yugoslavia's ethnonationalism paradigm and the Dayton Constitution. War, post-war neoliberalism produced economic destitution and social exclusions. Along with the clerical, ethnonationalism showed diligence as the primary determinant of patriotism, advocating the ideology of exclusion. The radicalization of certain groups became acceptable, as they would stand for homogenous countries. Lack of efficient form with a professional and robust government capable of making autonomous reforms in the economy and social spheres influences phenomena. B&H's imposed ethnopolitical concept of "constituent peoples" rigidly removes the civic order, the citizen ideal, rights, and freedoms, decreasing political collectivism. The Dayton patterned ethnic-religious exclusivism and the unconstitutional "hybrid" identities. By ethnoreligious criteria, three groups of citizens are given the right to make decisions, generating political representation issues for the "Others." Although they do not represent a homogeneous group, they have the right to recognize their human rights. With a revised notion (national minorities, non-nationals, Bosnians), "Others" would be given the right to be represented in all state institutions, thus eliminating discrimination. Participation in the state's formation would reduce their unconstitutionality - decision-making process. The true expression of national freedom lies in the richness of human nature instead of the violent rigidity of ethnonationalism reserve. Overcoming sociopolitical exclusions and the economic necessity by systemic institutional transformation and EU political integration is demanding. "Two schools under one roof" model negates emancipation's educational process proclaiming systemic exclusion and ethnoreligious discrimination, amplifying security stalemate. Social status and stigma of trafficking-exploitation victims in sociolegal frameworks have substantial victimization dynamics consequences. More critical insight should be recognized as feminist theoretically significant to studying the phenomenon.