bluuebunny/crossref_metadata_2025 huggingface dataset:
Delayed bleeding of femoral artery pseudoaneurysm
Authors: Choudhary Shankara Ram , Chauhan Bhanu Pratap Singh , Chaudhary Sunita , Nazir Wajid , Singh Daljit
Published: September 2022

Femoral artery pseudoaneurysm is the most common complication of femoral artery access. Since the 1990s, the most common access site for intracranial endovascular interventions has been the femoral artery. The incidence of pseudoaneurysm has been documented around 0.2%–0.5% following diagnostic procedures and up to 8% following therapeutic interventions. This study aimed to assess the rationale of observation of pseudoaneurysm and the risk therein. A 52-year-old female presented with a subarachnoid haemorrhage and basilar artery aneurysm. Endovascular coiling was done using the standard technique on the right femoral artery percutaneous access. On post-operative day, she had swelling in the right groin region with bluish discolouration of the skin. Later on, a necrotic skin patch developed. On palpation, tenderness and pulsatile mass were present. Colour Doppler and computed tomography angiography were suggestive of pseudoaneurysm. On post-operative day 24th, the patient developed sudden onset of bleeding and haematoma expansion. The patient was taken for emergency surgery with primary repair of pseudoaneurysm with bilobed skin graft for closer of skin defect. Pseudoaneurysms at the puncture site can increase during observation, can bleed and may require curative repair.
Survival outcome in patients undergoing chronic hemodialysis
Authors: Yousif Heba Ibrahim A. , El-Bastawisy Adel A. , Eldeeb Ahmed A.
Published: September 2022

Background

Several research studies aimed to explain the high mortality among hemodialysis (HD) patients. Our study aimed to describe the mortality in our Governorate (Dakahlia) and to explore its potential risk factors.

Patients and methods

This prospective (follow-up) study was conducted in four HD units on 120 patients who were followed up over the 12-month period (September 2018–August 2019). At enrollment and every 3 months, all patients were subjected to history taking, physical examination, and laboratory tests for the 12-month period or until the patient died.

Results

The 120 HD cases were 72 (60%) male patients, and 48 (40%) female patients with a median age of 46.5 years. Over 1-year follow-up, 26 (21.7%) patients died. Survival analysis with the Log-rank test shows no statistically significant difference in survival times based on examined variables (sex, diabetes, hypertension, current smoking, and Subjective Global Assessment). The results of the Cox proportional hazards model [to assess sex, age, diabetes, hypertension, current smoking, HD duration (years), and Subjective Global Assessment as predictors of 1-year mortality in HD patients] show that out of these seven predictor variables, only diabetes was a statistically significant independent predictor.

Conclusion

HD-related mortality is high in Dakahlia Governorate (21.7%). Diabetes mellitus is an independent risk factor for mortality with a hazard ratio of 2.97.
Short-term biochemical and anthropometric effects of nutritional education for serum phosphorus control in hemodialysis patients
Authors: Salem Kariem M. , Sheashaa Hussein , El-Sabakhawy Doaa H. , Amin Malak N. , Sayed-Ahmed Nagy , Nassar Mohammed K.
Published: September 2022

Background

Hyperphosphatemia is a frequently encountered and difficult-to-manage problem in hemodialysis (HD) patients and is an important risk factor for cardiovascular diseases. This study was carried out to explore the effect of nutritional education on the serum phosphorus level in HD patients.

Patients and methods

This open-label, single-center randomized controlled trial involved 100 HD patients. Patients were randomly assigned to one of two groups: the education group underwent a 12-week nutritional education program, whereas the control group received standard treatment. Nutritional education was provided by a trained renal dietitian in the form of educational sessions, brochures, audiovisual teaching aids, and patient-tailored dietary recommendations. Detailed nutritional and laboratory tests were done before randomization and 3 weeks after the end of the study.

Results

Serum phosphorus level and calcium–phosphorus product were significantly lower among the education group (P=0.02 and 0.04, respectively) with a percent reduction of serum phosphorus of -13.8 ± 21.41 after nutritional education. Nutritional education (B: -0.57, 95% confidence interval: -1.13 to -0.01, P=0.04) and the dietary protein intake (B: -0.47, 95% confidence interval: -0.94 to -0.003, P=0.04) were the predictors of serum phosphorus level at the end of the study. Three weeks after termination, BMI, waist circumference, and malnutrition inflammation score were lower (P=0.04, 0.04 and 0.02, respectively), whereas midarm muscle circumference was higher (P=0.004) among the education group.

Conclusion

Nutritional education can help in controlling the serum phosphorus level in HD patients without causing derangements in the nutritional status and should be provided in each HD unit.
Acute Ultrasonographic Changes in Lower Extremity Muscle Structure after Motor Complete Spinal Cord Injury
Authors: Jie Tay Matthew Rong
Published: September 2022

Background:

There is a lack of studies examining ultrasonographic muscle changes in patients with acute spinal cord injury (SCI).

Methods:

We recruited adults with motor complete acute SCI and performed longitudinal ultrasound measurements. The primary outcome measures were rectus femoris and medial gastrocnemius thickness and echo intensity.

Results:

This study recruited 20 patients, with a mean time to the first ultrasound measurement of 17.2 ± 2.14 days, with the second measurement done 4 weeks after the first measurement. We found that there was a mean decrease in the rectus femoris muscle thickness of 18.7% (P = 0.027), as well as a mean increase in the rectus femoris echo intensity of 13.0 a.u. (P = 0.009), although no significant differences were found for the medial gastrocnemius.

Conclusion:

This study demonstrates decreased thickness and increased echo intensity in the rectus femoris but not in the medial gastrocnemius in patients with motor complete SCI.
A Comparison of Peripheral Blood Smear Microscopy and Detection of Histidine-Rich Protein 2 in Blood in the Diagnosis of Malaria in Pregnancy
Authors: Mofon CE , Ebeigbe PN , Ijomone EE
Published: September 2022

Background:

Detection of malaria in pregnancy poses a huge challenge in Sub-Saharan Africa. Accurate diagnosis enables timely and appropriate clinical management.

Aims:

This study aimed to compare the accuracy of peripheral venous blood smear microscopy (PVBSM) and a rapid diagnostic test detecting histidine-rich protein 2 in the blood (RDT-HRP2) with placental histology as the control in the diagnosis of malaria in pregnancy in Nigerian women.

Materials and Methods:

This was a comparative, cross-sectional study conducted between January and July 2017. Asymptomatic pregnant women who presented to the labor ward and who gave informed consent had peripheral venous blood samples as well as placental tissue obtained following delivery. The blood samples obtained were tested for malaria parasites using PVBSM and RDT-HRP2 in blood, while the placenta was subjected to histology.

Results:

A total of 326 patients participated in the study. The prevalence of malaria in pregnancy was 13.8%, 17.8%, and 32.8% using PVBSM, RDT-HRP2, and placental histology. The sensitivity, specificity, and accuracy of PVBSM were 40.2%, 99.1%, and 79.8% and the corresponding values for RDT-HRP2 were 49.5%, 97.7%, and 81.9%. The positive predictive value was 95.6% for PVBSM and 91.4% for RDT-HRP2 and the negative predictive value was 77.2% for PVBSM and 79.9% for RDT- HRP2.

Conclusions:

The diagnostic performances of both tests were comparable; however, RDT-HRP2 had a higher sensitivity and accuracy than PVBSM for the diagnosis of malaria in pregnancy.
Predicted difficult mask ventilation in a patient with huge upper-lip mass succeeds with bag-LMA ventilation
Authors: Shamim Faisal , Siddiqui Saad A.
Published: September 2022

We present a case of adult male patient with enormous swelling of upper lip and scheduled for major head and neck cancer surgery. The mass poses significant challenge of difficult bag mask ventilation at induction of anaesthesia which we managed by bag‐LMA ventilation. This avoided hypoxia that may happen due to failed ventilation and bleeding that may occur by due to improperly fitted face mask. Airway management in such patients requires meticulous planning and consider every option.
Factors influencing therapeutic observance in diabetic subjects in the Province of Essaouira (Morocco): A cross-sectional study
Authors: Houguig Khaoula , Rkha Samia , Rayadi Mahassine , Ouzennou Nadia
Published: September 2022

BACKGROUND: Therapeutic observance remains a major problem in managing diabetic subjects, just like in other pathologies treated by medication and lifestyle modification. This study aims to determine the rate of therapeutic observance among diabetic subjects in the province of Essaouira and to identify the factors that influence it.METHODS: A cross-sectional questionnaire survey was conducted among 498 type 1 and 2 diabetic subjects, regularly being checked at different health centers in the province of Essaouira (Morocco).RESULTS: Almost a quarter of the surveyed subjects (23.3%) had poor observance. The results of the binary logistic regression model show that, in order of importance, observance is associated with six factors: Availability and access to medical treatment (Odds Ratio OR: 3 ; 95% CI confidence interval [1.78-5.03]); the side effects related to thetreatment (OR: 2.60 ; 95% CI [1.65-4.09]); the family support (OR:1.58 ; 95% CI [0.95-2.61]); duration of diabetes (OR: 0.55 ; 95% CI [0.34-0.88]); the age (OR: 0.50 ; 95% CI [0.30-0.82]); awareness level about the disease (OR: 0.43 ; 95% CI [0.21-0.90])CONCLUSION: The results of the present study have allowed us to identify several factors that can influence therapeutic observance, that prove necessary to be considered and acted upon.
The cost of suspected and confirmed bacterial meningitis cases treated at Jimma University Medical Center, Ethiopia
Authors: Chala Temesgen Kabeta , Lemma Teferi Daba , Godana Kora Tushune , Arefayine Melkamu Berhane , Abdissa Alemseged , Gudina Esayas Kebede
Published: September 2022

BACKGROUND: Infections of the central nervous system (CNS) such as meningitis or encephalitis can be caused by myriad of microorganisms and may be life-threatening. In Ethiopia, it is an important cause of premature death and disability, being the 9th most common cause of years of life lost and loss of disability adjusted life years. The objective of this study was to estimate the cost of suspected and confirmed bacterial meningitis among inpatient managed patients at JUMC.METHODS: A facility-based cross-sectional study was conducted from July 28 to September 12, 2018. A semi-structured questionnaire was used in this study. Checklists were used to collect the types of laboratory tests performed and prescribed medications. This cost of illness study was conducted from the patient perspectives. We employed a micro-costing bottom-up approach to estimate the direct cost of meningitis. The humancapital approach was used for estimating wages lost.RESULT: Among total patients admitted and treated in JUMC, higher proportions (69.8%) were suspected bacterial meningitis but have been treated as confirmed cases. Total median costs for both suspected and confirmed bacterial meningitis patients were estimated to be ETB 98,812.32 (US $ 3,593.2; IQR 1,303.0 to 5,734.0). Total median direct cost was ETB 79,248.02 (US $2,881.75; IQR 890.7 to 3,576.7). Moreover, 45.3% of the patients reported that they were either admitted or given medication at JUMC or nearby health facility before their current admissions.CONCLUSION: These findings indicate that most cases of bacterial meningitis were treated only empirically, and the cost of the treatment was high, especially for resource-limited countries like Ethiopia. To minimize the burden of meningitis and avoid unnecessary hospitalizations, the availability of diagnostic techniques is vitally important.
Evaluation of a New Smartphone Powered Low-cost Pulse Oximeter Device
Authors: Hundessa Daba Nemomssa  , Hakkins Raj
Published: September 2022

BACKGROUND: Measurement of blood oxygen saturation is a vital part of monitoring coronavirus 2019 (COVID-19) patients. Pulse oximetry is commonly used to measure blood oxygen saturation and pulse rate for appropriate clinical intervention. But the majority of direct-to-consumer grade pulse oximeters did not pass through in-vivo testing, which results in their accuracy being questionable. Besides this, the ongoing COVID-19 pandemic exposed the limitations of the device in resource limited areas since independent monitoring is needed for COVID-19 patients. The purpose of this study was to perform an in-vivo evaluation of a newly developed smartphone powered low-cost pulse oximeter.METHODS: The new prototype of a smartphone powered pulse oximeter was evaluated against the standard pulse oximeter by taking measurements from fifteen healthy volunteers. The accuracy of measurement was evaluated by calculating the percentage error and standard deviation. A repeatability and reproducibility test were carried out using the ANOVA method.RESULTS: The average accuracy for measuring spot oxygen saturation (SPO2) and pulse rate (PR) was 99.18% with a standard deviation of 0.57 and 98.78% with a standard deviation of 0.61,respectively, when compared with the standard pulse oximeter device. The repeatability and reproducibility of SPO2 measurements were 0.28 and 0.86, respectively, which is in the acceptable range.CONCLUSION: The new prototype of smartphone powered pulse oximeter demonstrated better performance compared to the existing low-cost fingertip pulse oximeters. The device could be used for independent monitoring of COVID-19 patients at health institutions and also for home care.
Structural characterization and anti-inflammatory activity of fucoidan isolated from Ecklonia maxima stipe
Authors: Lee Hyo-Geun , Nagahawatta D. P. , Liyanage N. M. , Jayawardhana H. H. A. C. K. , Yang Fengqi , Je Jun-Geon , Kang Min-Cheol , Kim Hyun-Soo , Jeon You-Jin
Published: September 2022

Enzyme-assisted hydrolysis is frequently used as a cost-effective and efficient method to obtain functional ingredients from bioresources. This study involved the enzyme-assisted hydrolyzation and purification of fucoidan from Ecklonia maxima stipe and the investigation of its anti-inflammatory activity in lipopolysaccharide (LPS)-induced RAW 264.7 cells. Fucoidans of Viscozyme-assisted hydrolysate from E. maxima (EMSFs) harvested in Jeju, Korea. Structural and chemical characterizations were performed using fourier transform infrared spectroscopy, scanning electron microscope, and monosaccharide analysis. Among fucoidans, EMSF6 was rich in fucose and sulfate and had a similar structural character to commercial fucoidan. EMSF6 showed a strong inhibitory effect on nitric oxide generation in LPS-induced RAW 264.7 cells and significantly decreased the production of LPS-induced pro-inflammatory cytokines, including interleukin-6, interleukin-1β, and tumor necrosis factor α. The anti-inflammatory potential of EMSF6 was mediated through the downregulation of inducible nitric oxide synthase and cyclooxygenase-2 expression. Thus, fucoidans from E. maxima stipe are promising candidates for functional food products.
Ethical Consumers’ Vacation-specific Personas: Marketing Perspectives for Ethical Tourism Service Providers.
Authors:   , Sahm Steffen
Published: September 2022

The tourism industry faces increased consumer awareness and interest in social, environmental, and/or animal issues. At the same time, there is still an ample gap between consumers’ stated “ethical” concerns for other humans or the environment, and consumers’ actual behaviours, particularly in the realm of private vacations. This discrepancy in ethical concerns among tourism consumers, in particular German consumers, is accentuated by an increased heterogeneity among consumers regarding the strength, consistency and direction of ethical considerations. This research addressed the challenge of marketing ethical tourism services emanating from increased heterogeneity among ethical consumers and the need to explore their stable vacation motivations. This study investigated how the personal values of self-declared ethical consumers influenced their vacation motivations and choices across two vacations. By embedding two in-depth interviews and a diary per participant in the case study research design, the personal values relevant for ethical consumers and how they prioritised specific values in their values hierarchy were explored. Studying those differences in ethical consumers’ value hierarchies and their stability over time and across consumption domains yielded nuanced insights into heterogeneity among ethical consumers. Beyond that, those different value hierarchies built the foundation in this study to develop ethical consumer personas, i.e., archetypes of consumers with a clear profile. Those personas allow ethical tourism providers to tailor their services and communication to better accommodate the values and needs of a certain persona. In a similar vein, the developed personas in this study allow ethical tourism providers to target one or more specific personas with a similar ethical mindset as the company, its management and employees. From a theoretical perspective, this research empirically and theoretically contributes to the understanding of the stable and motivating nature of ethical consumers’ personal value hierarchies over time and across consumption domains, as well as their influence on personal encounters in the realm of tourism. This study is the first academic endeavour to research ethical consumers’ value hierarchies in the domain of tourism, and the findings identify specific values and value combinations to explain heterogeneity among ethical consumers’ vacation motivations and patterns.
Maddi Olmayanın Sürükleyici Deneyimi
Authors: ŞİRAY Başak
Published: September 2022

Bu çalışma yirminci yüzyıl avangart sanatçıları ile başlayan sanat eserinin bütünsel ve dokunsal algısının izini, kavramsal olarak Moholy-Nagy’nin film kuramında ve Benjamin’in çığır açan metni “Teknik olarak Yeniden Üretilebilirlik Çağında Sanat Yapıtı”nda arar. Mayeryalite üzerinden benzer bir izleği güncel yeni medya kuramlarında da takip eden bu makale, özellikle Mark Hansen’in insan bedeninin dijital ve gayri maddi imgeleri kavramada merkezi bir konumu olduğu iddiasına ve imgenin duygulanım yoluyla çerçevelendiği fikrine odaklanır. Makalede seçilmiş sanat işlerinde benzer bir dokunsal dönüşün kuvvetlerini araştırılır. Video ve yeni medya gibi gayri maddi sanat işleri ile genişleyen günümüz sanatında, sürükleyici deneyim ve etkileşim ile dokunsal örüntüsünün uzam ve zamanda yayılışı incelenir. Dokunsallığını yeniden düşünmeye amaçlayan bu makalede çoğunlukla dijital çalışmaların gayri maddi doğasının izleyicilerin bedenlerinde yarattığı etkiler aracılığıyla nasıl maddileştiğine bakılıp, ışık ve video yerleştirmeler gibi mekânı dokunsal olarak değiştiren işlerin materyal yönleri araştırılacaktır. Sürükleyici deneyime gönüllü izleyicinin, davet edildiği dokunsal uzam zaman devamlılığında yaratılan etkilerin ve deneyimlerin dönüştürücülüğü tartışmaya açılacaktır.
Sinemada Uyarlama Çalışmaları Açısından İstanbul Kırmızısı
Authors: BOZKURT AVCI İkbal , EKİCİ Aslı
Published: September 2022

Sinema, başlangıcından günümüze kadar öykü, roman, tiyatro vb. gibi birçok kaynaktan yararlanmaktadır. Özellikle romanlardan yapılan uyarlamaların sinemanın gelişiminde önemli bir yeri olduğu görülmektedir. Bu çalışmada, Ferzan Özpetek’in ‘İstanbul Kırmızısı’ (2019) filmi ve aynı adlı romanı uyarlama çalışmalarındaki kuramsal yaklaşımlar doğrultusunda ele alınmaktadır. Çalışmanın amacı, kaynak metin olan romanın filme nasıl aktarıldığını, aralarındaki benzerlikleri ve farklılıkları ortaya koymaktır. Film amaçlı örneklem yöntemi ile seçilmiştir. Bu filmin seçilme nedeni hem filmin yönetmeninin hem de romanın yazarının aynı kişi olmasıdır. Çalışmada film ve filmin kaynak metni olan roman; karakterler, olay örgüsü, tema, zamansal ve mekânsal değişimler ile oryantalizm açısından metinlerarasılık yaklaşımına göre değerlendirilmiştir. Çalışmanın sonucunda her iki metinde de temalar süreklilik göstermekte iken, temaların taşıyıcısı olan olay örgüsü ve karakterlerin farklılık gösterdiği tespit edilmiştir. Mekan olarak her iki metin de İstanbul’da geçmektedir. Fakat filmde ve romanda İstanbul’un içindeki mikro bölgeler farklılaşmaktadır. İncelenen roman ve film arasında üç yıllık bir zaman farkı olduğu görülmektedir.
PENERAPAN METODE DEMONSTRASI BERBANTUAN VIDEO PEMBELAJARAN UNTUK MENINGKATKAN PRESTASI BELAJAR PERMAINAN BOLA VOLI PADA SISWA DI SMP NEGERI 1 SELEMADEG
Authors: Wardana I Dewa Made Oka
Published: September 2022

Penelitian ini mengkaji masalah rendahnya prestasi belajar permainan bola voli pada siswa kelas VII A tahun pelajaran 2019/2020. Berdasarkan hasil observasi awal ditemukan bahwa siswa kelas VII A SMP Negeri 1 Selemadeg membutuhkan pembelajaran yang kreatif dan inovatif guna mengoptimalkan prestasi belajarnya di sekolah. Berdasarkan uraian tersebut maka perlu diterapkannya suatu metode pembelajaran yang dapat membuat siswa lebih aktif dalam mengikuti pembelajaran, dalam hal ini penulis menerapkan model pembelajaran demontrasi berbantuan video pembelajaran. Penelitian ini merupakan Penelitian Tindakan Kelas (PTK), yang dilaksanakan di SMP Negeri 1 Selemadeg. Penelitian dilakukan pada siswa kelas VII A pada semester Ganjil tahun ajaran 2019/2020. Jumlah siswa yang diberi tindakan sebanyak 28 orang yang terdiri dari 14 orang putra dan 14 orang putri. Penelitian ini dilaksanakan dalam dua siklus yang tiap siklusnya terdiri atas perencanaan, pelaksanaan tindakan, observasi, dan refleksi. Metode pengumpulan data dilakukan dengan metode observasi (pengamatan) dan tes. Data penelitian dianalisis secara deskriptif dengan pendekatan persentase. Data penelitian menunjukkan bahwa prestasi belajar teknik dasar servis bawah dalam permainan bola voli meningkat melalui implementasi metode demonstrasi berbantuan video pembelajaran pada siswa kelas VII A SMP Negeri 1 Selemadeg tahun pelajaran 2019/2020. Ini dapat dilihat dari ketuntasan prestasi belajar teknik dasar servis bawah bola voli siklus I mencapai 64,3% secara klasikal dan pada siklus II ketuntasan belajar secara klasikal adalah 85,7 %. Untuk itu disarankan kepada guru Pendidikan Olahraga dan Kesehataan untuk menjadikan metode ini sebagai alternatif dalam pembelajaran Pendidikan Olahraga dan Kesehataan khususnya pada materi pembelajaran teknik dasar servis bawah bola voli
SURFACE MODIFICATION OF THE TITANIUM ALLOY VT22 BY HIGH CURRENT PULSED ELECTRON BEAM
Authors: Donets S.Ye. , Lytvynenko V.V. , Lonin Yu.F. , Ponomarev A.G. , Startsev O.A. , Uvarov V.T.
Published: September 2022

The industrial Titanium VT22 alloy was irradiated using the high-current pulsed electron beam (HCEB). HCEB method is an effective method to test the materials under extreme volumetric thermo-mechanical and irradiation conditions. The intense electron irradiation resulted in evolution of microstructural composition. It was found that formation of the β-phase, whereas nonirradiated material consists α+β-phases. The corresponding temperature field and mechanical displacement fields were calculated using the finite-element thermoelastic model.
Empleo del audiovisual para el estudio comparativo de la obra literaria
Authors: Arrocha Rodríguez Olaysi , Gómez Casola Kenia , Acosta Moré Iliana
Published: September 2022

OBJETIVO: proponer guías de observación para el estudio comparativo de la obra literaria a través de medios audiovisuales que propicien un estudio más comprensivo y motivador. MÉTODO: la investigación se desarrolló en la carrera de Español - Literatura de la Facultad de Ciencias Sociales y Humanísticas de la Universidad de Ciego de Ávila, Cuba, se toma como muestra a 78 estudiantes, es no probabilística de tipo intencional. Se utilizaron diferentes tipos de métodos y técnicas como el analítico-sintético, el inductivo-deductivo, el histórico – lógico, así como la observación, entrevistas, encuestas y el método estadístico. RESULTADOS: la investigación demostró que con el empleo de los medios audiovisuales y de una correcta guía de observación los estudiantes se motivan y comprenden mejor la obra literaria, saben reconocer las partes de una obra dramática como el conflicto, los personajes, la acción y el ambiente dramáticos. CONCLUSIÓN: el medio audiovisual utilizado permitió comparar y analizar la obra dramática teniendo en cuenta los indicadores establecidos para ello y se logró mayor motivación de los estudiantes por las obras literarias.
Bienestar subjetivo e indicadores de depresión en estudiantes universitarios
Authors: Orantes Loy Katherin Jasmin , Ujpán Ordóñez Viviana Raquel , González Aguilar Donald Wylman
Published: September 2022

OBJETIVO: la educación superior tiene un nivel de exigencia que puede impactar en el bienestar de los estudiantes. Por esto se buscó determinar la asociación entre bienestar subjetivo y depresión en estudiantes universitarios. MÉTODO: a través de un método cuantitativo no experimental con corte transversal, aplicado a una muestra de 871 estudiantes universitarios. Se utilizó el índice de bienestar subjetivo (WHO-5) y el Cuestionario de salud del paciente-9 (PHQ-9). RESULTADOS: la media de edad es de 25.30 (DS = 3.63), siendo 551 (63.30 %) mujeres.  La razón de posibilidades (OR) para un indicador bajo o moderado de depresión es de 12.43 IC 95 % (8.3107 – 18.614) afectando al bienestar subjetivo. La varianza explicada es de 28.50 % (Nagelkerke R²), siendo significativo el modelo (p < .001). CONCLUSIÓN: esto sugiere que, a mayores niveles de bienestar subjetivo, hay menos posibilidades del desarrollo de síntomas depresivos.
Does Obestatin Level Change in Endometrial Pathologies? A Case-Control Study in A Tertiary Care Hospital
Authors: MEMUR Tuba , CENGAVER Nagihan , TAPKAN Canan , İBANOĞLU Müjde Can , SALMAN ÖZGÜ Burçin , GÜNGÖR Tayfun
Published: September 2022

Background: The rising incidence of endometrial cancer has been associated with increases in obesity and physical inactivity. We investigated the clinical significance of serum obestatin levels in women with endometrial cancer, endometrial hyperplasia, and age-matched healthy controls.

Material and Methods: The present study was a case-control study conducted at a single center between May 2014 and July 2015. The medical records of 90 patients with a final histopathologic diagnosis after therapeutic curettage for abnormal uterine bleeding were reviewed and categorized by diagnosis. The study population included women with adenocarcinoma of the endometrium (n= 33), hyperplasia of the endometrium (n= 27), and proliferative endometrium (n=30) according to histopathological diagnosis. The women with proliferative endometrium formed the control group.

Results: Endometrial cancer was diagnosed in 33 (36.6%) of the patients who presented to our clinic for abnormal uterine bleeding. In the group with endometrial cancer, the mean age was 55.2 ± 8.6 years. There were no differences in obestatin levels between groups (p > 0.05). In the ROC curve analysis, the area under the curve value was 0.574, and obestatin did not prove to be a significant marker for cancer prediction in the population involved in the study.

Conclusion: This study did not demonstrate a clear association between circulating levels of obestatin and endometrial pathologies.
İlk Trimesterde Bradikardik Olan Fetuslar Terme Ulaşıyor Mu?
Authors: YILMAZ ERGANİ Seval , AKDAŞ REİS Yıldız , ÇELİK Susam , İBANOĞLU Müjde Can , AYTEKİN Okan , ALTAY Metin , MOLLAMAHMUTOĞLU Leyla , İSKENDER Cantekin
Published: September 2022

Amaç: İlk trimesterde bradikardi saptanan fetüslerin kontrol grubu ile kıyaslanarak obstetrik ve perinatal sonuçlarının değerlendirilmesi amaçlanmıştır.

Gereç ve Yöntem: Retrospektif kohort dizayn edilen bu çalışmayla hastanemizde takip ve tedavisi yapılmış ilk trimesterde bradikardi tespit edilen 58 gebe ve 276 normal gebe kontrol grubu olarak alınarak çalışmaya dahil edildi. Her hasta için fetal kalp hızı, yaş, parite, abortus sayısı, gebelik haftası, vücut kitle indeksi (VKİ), yardımcı üreme teknikleri kullanılıp kullanılmadığı, 11-14 hafta arası ölçülen nukal translusensi (NT) değeri, gebeliğin nasıl sonuçlandığı, doğum haftası, doğum şekli, yenidoğan yoğun bakım ünitesinde kaç gün yatış olduğu, fetal cinsiyet not alındı ve bu iki grubun perinatal sonuçları karşılaştırıldı.

Bulgular: Ortalama yaş bradikardik grupta 27.8 ± 6.1 olup, kontrol grubunda 28.2±6.0 idi. İlk trimester NT ortalaması bradikardik grupta 1.56 ± 0.61 olup, kontrol grubunda 1.26 ± 0.34 ölçüldü. Bradikardik grubun NT’si istatistiksel olarak anlamlı düzeyde kontrol grubundan daha fazla idi (p
Gebeliğin Birinci ve İkinci Trimesterinde Görülen Vajinal Kanama ile Kötü Obstetrik Sonuçlar Arasındaki İlişki
Authors: AKDAŞ REİS Yıldız , AKAY Arife , ŞAHİN Büşra , YILMAZ ERGANİ Seval , ERKAYA Salim
Published: September 2022

Amaç: Abortus imminens 20.gestasyonel haftadan önce servikal değişiklikler olmaksızın vajinal kanama görülmesi olarak tanımlanır ve gebelik sonuçlarını etkileyen bir klinik durumdur. Çalışmamızın amacı abortus imminensin (Aİ) gebeliğin birinci veya ikinci trimesterinde izlenmesinin obstetrik sonuçlara etkisini araştırmaktır.

Gereç ve Yöntem: Bu retrospektif çalışmaya Ocak 2017 ve Aralık 2019 yılları arasında erken gebelik servisine Aİ nedeniyle yatışı olan 831 tekil gebelik dahil edildi. Aİ tanısını aldığı gestasyonel haftaya göre olgular 1. ve 2. trimester (Grup 1 ve Grup 2) olmak üzere ikiye ayrılarak obstetrik sonuçlar karşılaştırıldı.

Bulgular: Toplam 831 olgunun 622’si (%75,8) grup 1’e ve 209’u (%25,2) grup 2’ye ait idi. Grup 1’dekilerin %51,1’inde ve grup 2’dekilerin %44,2’sinde hematom mevcuttu (p=0,075). Gebeliğin sonlandığı gestasyonel hafta grup 2’dekilerde daha uzundu (33,04±8,8 karşın 28,14±13,94, p
THE CONTRIBUTION OF SPECIALISTS IN FORENSIC MEDICINE AND MEDICAL EXPERTISE IN HEALTH SERVICE
Authors: Franco Trunckle Yuri
Published: September 2022

Introduction: With the growing demand for judicial medical expertise due to litigations involving allegations of damages associated with health care and the known ignorance of social security issues by health teams, this paper aims to discuss the usefulness of the specialist in Legal Medicine and Medical Expertise in health services as a consultant on these issues. Material and Method: non-systematic literary review on the themes of “medical error”, social security medical expertise, medical law and legal medicine and medical expertise. Results: no studies were found discussing the usefulness of the specialist in question working in health services, having found studies related to the theme and some repercussions of litigation involving health. Conclusion: the specialist in Forensic Medicine and Medical Expertise for being the link between medical knowledge and the law has technical competence to act in an interdisciplinary way in health services with regard to ethical and legal issues in these services.
Conocimientos y Actitudes en Soporte Vital Básico para Pacientes Pediátricos con Paro Cardíaco, de la población general de Cuenca Ecuador, 2021
Authors: Verdugo Andrés , Ríos Franklin
Published: September 2022

A pesar de que el paro cardíaco en niños y lactantes es una situación grave que requiere de un manejo inmediato, la mayoría de las personas no tiene los suficientes conocimientos y habilidades para manejarlo. No se necesita ser un médico o paramédico para ayudar en estas circunstancias, cualquier persona podría formar parte de la atención de un niño o lactante con paro cardíaco. El objetivo de este artículo nos permite determinar y evaluar los conocimientos y actitudes que poseen las personas no relacionadas con el campo de la salud, sobre Soporte Vital Básico en pacientes pediátricos. El estudio fue realizado en las 15 parroquias de la zona urbana del cantón Cuenca-Ecuador durante el periodo 2021, en donde la atención oportuna a personas que presentan una situación de paro cardíaco con técnicas de reanimación cardiopulmonar y protocolos de reanimación son necesarios hasta que la víctima pueda recibir atención médica. La Metodología empleada da cuenta de un estudio descriptivo en base a fuentes secundarias de otras investigaciones realizadas en ambientes a nivel nacional como en el Hospital Isidro Ayora de la ciudad de Loja, sobre conocimientos adquiridos en reanimación básica pediátrica RCP y a nivel internacional estudios realizados en un centro educativo en España en conocimientos sobre SVB. El estudio sobre conocimientos, prácticas y actitudes en Soporte Vital Básico de Pacientes Pediátricos con paro cardíaco se basa en la aplicación de fuentes primarias con técnicas de recolección de datos como es el cuestionario con preguntas estructuradas en donde se aplicó a 384 personas en edades comprendidas entre los 18 a 64 años en escala de Likert, utilizando un muestro estratificado con un intervalo de confianza del 95%, muy válido en este tipo de estudio y preguntas sociodemográficas (edad, género, lugar de procedencia, nivel de instrucción) Con respecto a los Resultados se aplicaron el efecto suelo-techo utilizando el programa Excel, en cuanto a las actitudes más del 50% de los participantes presentan una buena actitud frente al SVBP, con respecto a los conocimientos y prácticas se determinó que de las 9 preguntas planteadas solamente 2 superaron el 50%, es decir, los conocimientos y prácticas en SVBP son inferiores al 45%
O que pensam os professores de Matemática sobre o livro didático
Authors: Silva Daniel Fernandes da
Published: September 2022

O livro didático é um dos recursos pedagógicos mais utilizados no processo de ensino e aprendizagem no contexto escolar brasileiro, inclusive tendo um programa específico instituído por meio de política pública há mais de vinte anos: o Programa Nacional do Livro e do Material Didático (PNLD). Nesse campo de disputa, estão os professores da Educação Básica que fazem parte do processo de escolha do material que chega (ou deveria chegar) nas escolas. Nesse sentido, a presente pesquisa tem como objetivo analisar as percepções dos professores de Matemática sobre o processo de escolha do livro didático e a sua utilização em sala de aula, inclusive durante o ensino remoto, modalidade motivada e condicionada no país por causa da crise pandêmica. Para tanto, essa pesquisa com característica qualitativa descritiva (GIL, 2002), utilizou para coleta de dados questionários que foram aplicados a um grupo de 21 professores de Matemática das redes estadual e municipal de uma cidade do interior do Rio Grande do Sul, atuantes na Educação Básica. Os resultados mostram que os professores se reconhecem como agentes essenciais no processo de escolha do material didático, assumindo essa responsabilidade e requerendo maior espaço e liberdade nessa seleção, pois o livro didático ainda é um recurso muito utilizado pelos docentes.
EFFECTIVENESS OF STRUCTURED TEACHING PROGRAMME ON SELF INSULIN ADMINISTRATION TECHNIQUE AMONG PATIENTS WITH DIABETES MELLITUS IN SELECTED HOSPITALS AT TIRUNELVELI
Authors: S Mrs. Vanitha. , kaur Dr. Paramjit
Published: September 2022

Diabetes mellitus, a global public health problem, is now growing as an epidemic in both developed and developing countries. Health care professionals need to recognize the magnitude and seriousness of this disease and act as a catalyst in providing care to those individuals with diabetes. Insulin administration requires more importance because its improper use may not produce the expected result in the individual.
EFFECT OF JASMINE OIL MASSAGE ON LABOUR PAIN AMONG PRIMI GRAVIDA MOTHERS
Authors: Cherian Mrs. Simi , thomas Mrs. Rekha
Published: September 2022

A quasi experimental study was conducted to evaluate the effect of jasmine oil massage on labour pain among primi gravida mothers in a selected hospital at Pathanamthitta district. The objectives of the study were to assess pain perception score of labour pain among primi gravida mothers in experimental and control group, to evaluate the effect of jasmine oil massage in experimental group, to find out the association between pre-test score of labour pain among primi gravida mothers and selected socio demographic variables in experimental and control group.
Faktor Penyebab Anak Putus Sekolah Menjadi Pekerja Anak di Desa Segati Kecamatan Langgam Kabupaten Pelalawan
Authors: Putri Desi Rahma , Wilson Wilson , Alvi Ria Rizkia
Published: September 2022

This study aims to determine the factors that cause school dropouts to become child laborers in Segati Village, Langgam District, Pelalawan Regency. This study uses a descriptive qualitative approach. There were 5 informants in this study. Collecting data using documentation, observation and interviews. The results of this study indicate that the factors that cause children to drop out of school are more dominant in internal factors, namely factors that come from within themselves, although there are also external factors, namely the encouragement of parents to work.
Prediksi Kualitas Kopi Dengan Algoritma Random Forest Melalui Pendekatan Data Science
Authors: Ciptady Kalvintirta , Harahap Mawaddah , Jonvin Jonvin , Ndruru Yonata , Ibadurrahman Ibadurrahman
Published: September 2022

Perusahaan yang bergerak dibidang produksi kopi, selalu mementingkan kualitas kopi untuk menghasilkan produk yang dapat bersaing dengan kompetitor lainnya

. Adapun sistem yang dapat dibangun untuk mengatasi permasalahan tersebut yaitu berupa prediksi dalam menentukan kualitas kopi. Data kopi yang digunakan pada penelitian ini didapatkan dari Coffee Quality Institute. Data ini memiliki 44 kolom atau variabel dengan jumlah data sebanyak 1339 data. Tahapan yang dilakukan dengan pendekatan data science dengan algoritma random forest terdiri dari proses pengumpulan data, preprocessing, pengumpulan data, split data, pemrosesan dengan algoritma Random Forest yang menghasilkan hasil prediksi, hingga yang terakhir adalah proses evaluasi performa algoritma Random Forest dalam memprediksi kualitas kopi.

Variabel dependen yang diprediksi pada penelitian ini secara berurutan dari kualitas terbaik hingga terburuk antara lain adalah kualitas kopi Specialty Grade, Premium, Exchange, dan Below Standard. Kualitas kopi premium adalah hasil prediksi paling baik dengan hasil actual 135. Jumlah data yang cukup untuk memastikan algoritma random forest dapat memprediksi dengan cukup baik dengan akurasi yang mencapai 79% masih memiliki ruang untuk perkembangan sehingga bisa mendekati 100%. Kurang optimalnya nilai akurasi pada penelitian ini dapat diakibatkan oleh kurangnya variabel independen yang digunakan. Penelitian ini hanya menggunakan 8 variabel dari 43 variabel yang tersedia. Sehingga masih terdapat variabel yang berpotensi dapat meningkatkan akurasi. Tidak dilakukannya penyetelan parameter Random Forest yang tersedia untuk meningkatkan akurasi.
The Effects of Work-from-Home Policies on the Morale of Business Process Outsourcing Employees
Authors: Barilli Luan Joe Carlo , Cablao Apple Tricia , Delfin King Ferdinand , Sarol Michelle Anne , Morales Sheryl
Published: September 2022

Due to the COVID-19, remote and hybrid working adaptation has become a phenomenon in the Philippines. It became more prevalent during the pandemic, forcing a new work system adaptation. Offering flexibility as the main solution for distance and health safety, most employees were sent to work from home. Their morale is affected by several issues, including their environment, lack of communication and engagement, and work-life balance. This further includes the struggles experienced from equipment ownership and network issues that effect the performance and productivity of employees. The BPO industry is characterized by high demand and frequent changes, it depends on the needs, current state of the community, or new company policies that may be implemented. This study attempts to determine how remote working in Business Process Outsourcing (BPO) organizations affects corporate management and employees in the long run when it comes to performance, productivity, overall health, balance, and the obstacles and elements that can impact their overall morale. This study also aims to provide a different perspective about company-related work systems, highlighting various changes in handling employees and accomplishing work in the new century
SENTIMENT ANALYSIS of CUSTOMER REVIEW in ONLINE FOOD DELIVERY INDUSTRY
Authors: ŞAHİNBAŞ Kevser , AVCI Arda
Published: September 2022

During the COVID-19 crisis, the fact that customers prefer to have foods delivery to their door instead of going in a restaurant has fueled the growing of Online Food Delivery (OFD). Nearly all restaurants like UberEats and DoorDash coming online and bringing OFD on board, online platform user reviews of a company's performance have grown in importance as a source of data. OFD organizations give great importance on collecting complaints from customer feedback and using data effectively to identify fields of development to increase customer satisfaction. Online reviews remain important during the COVID-19 pandemic as they help customers make safe food decisions. It is one of the basic needs of company managers to get customer opinions about the products and services provided by companies and to develop products and services. This work uses a Natural Language Processing (NLP) based approach. Sentiment Analysis is an area of study that uses user-shared emotions on websites and social networking sites to discover meaningful information. It is helpful to categorize emotions as positive, negative, or neutral using this type of analysis. We have performed experimentations using three modes i.e. Unigram, Bigram, and Trigram. The findings indicate that the main issues with the OFD company are primarily related to food delivery issues, and both organizations generally experience the same issues. The proposed method can be used as a guide for catering companies to evaluate customer satisfaction and complaints and develop marketing strategies to o acquire new customers and increase their market share.
MPLEMENTASI PERATURAN PEMERINTAH REPUBLIK INDONESIA NOMOR 20 TAHUN 2021 TENTANG PENERTIBAN KAWASAN DAN TANAH TERLANTAR DI PROVINSI SUMATERA SELATAN
Authors: Pratama M. Yoga Jusri
Published: September 2022

Masalah-masalah yang terjadi dalam  kebijakan penertiban  kawasan dan  tanah terlantar di Provinsi Sumatera Selatan mengacu pada Peraturan Pemerintah Republik Indonesia Nomor 20 Tahun 2021 terlihat bahwa semua yang telah dikemukakan berkaitan dengan masalah dalam formulasi kebijakan penertiban  kawasan dan tanah terlantar sebagai suatu hal yang sangat spesifik. Tanah Telantar adalah tanah hak, tanah Hak Pengelolaan, dan tanah yang diperoleh berdasarkan Dasar Penguasaan Atas Tanah, yang sengaja tidak diusahakan, tidak dipergunakan, tidak dimanfaatkan, dan/atau tidak dipelihara  marak  dikuasai oleh oknum-oknum aparat pemerintah maupun masyarakat. Oleh karena itu dibutuhkan peraturan penertiban  kawasan dan  tanah terlantar di  Provinsi Sumatera Selatan. Hasil penelitian menunjukkan bahwa formulasi kebijakan penertiban tanah terlantar  di Provinsi Sumatera Selatan belum sepenuhnya memenuhi kriteria fleksibilitas, kriteria kebijakan, niat baik para pembuat kebijakan, rasionalitas, partisipasi, efisiensi, dan penetapan dan kemampuan menyesuaikan diri.   Pendayagunaan tanah terlantar  harus memenuhi pula kriteria formulasi kebijakan yang menyeluruh (komprehensif), sehingga kebijakan penertiban tanah terlantar tidak memberikan lagi kesempatan untuk berbagai pihak yang memanfaatkan adanya  kekosongan dalam proses implementasinya.
La afectividad, empatía y amor compasivo y su relación con los motivos de conflicto en la pareja: un estudio cuantitativo en la Ciudad de México
Authors: Flórez Nicole , Sánchez Aragón Rozzana
Published: September 2022

Los objetivos del presente estudio fueron: identificar la relación entre el amor compasivo (AC), empatía y afectividad con los motivos del conflicto y explorar las diferencias en la empatía, afectividad y motivos de conflicto en personas con puntuaciones altas y bajas en AC, a través de un enfoque cuantitativo transversal en una muestra no probabilística por conveniencia de 202 parejas de 18 a 64 años de la Ciudad de México. Se aplicaron instrumentos con una sólida consistencia interna que medían AC, empatía, afectividad y motivos del conflicto en la pareja. Para el análisis de datos, primero se realizó una prueba de Spearman y posteriormente una U de Mann-Whitney. Se encontró que el AC, la empatía y afectividad correlacionan negativamente con los motivos de conflicto. Igualmente, existen diferencias en las personas que experimentan mayor o menor AC. Estos hallazgos evidencian la influencia positiva que tienen las variables citadas en los motivos de conflicto; además, ponen de manifiesto que anteponer las necesidades de la pareja y realizar pequeños sacrificios aporta beneficios para las relaciones, pero también puede generar desacuerdos.
Evaluación de programa de prevención e intervención en violencia en el noviazgo en adolescentes
Authors: Saldívar Hernández Gabriela J. , Rivera Guevara Blanca Edith , Moreno Reyes Areli , Trejo Arizmendi Jonathan Giovanni
Published: September 2022

En este estudio se evalúan los cambios producidos en las áreas del conocimiento, las actitudes y habilidades de los participantes de un programa de prevención e intervención en violencia en el noviazgo. Se planteó un diseño cuasiexperimental (pretest-postest) con grupo control (n=66) y grupo experimental (n=47). La muestra total fue de 113 participantes con edades entre los 12 y 13 años y una media de edad de 12.5 años (DE= .55) en una escuela secundaria pública de la Ciudad de México. Para medir pretest-postest se utilizaron escalas que miden violencia en el noviazgo, sexismo, acoso escolar (bullying), autoestima y conductas prosociales. No se encontraron diferencias significativas en el pretest-postest entre el grupo control y el experimental en las escalas de violencia en el noviazgo y de sexismo. En el grupo experimental se encontraron diferencias significativas en el pretest-postest en las escalas de autoestima y bullying. Se sugiere replicar el “Programa de prevención e intervención en violencia en el noviazgo” ya que presenta una estructura metodológica que podría generar cambios actitudinales y de conocimiento en los adolescentes.
Trabalho, militância e repressão no Recife: Júlia Santiago entre o DOPS e a fábrica (1933-1956)
Authors: Nunes Guilherme Machado
Published: September 2022

O objetivo deste artigo é discutir as relações entre militância operária e repressão no Recife através da trajetória de Júlia Santiago da Conceição (1917-1988). Durante o período democrático (1945-1964), Pernambuco presenciou uma série de movimentos políticos e sociais, e, como resultado dessa efervescência, surgiriam, por exemplo, parlamentares comunistas, a eleição de Miguel Arraes como governador pela Frente do Recife e as Ligas Camponesas de Francisco Julião. Júlia Santiago, no entanto, foi constantemente perseguida por seus patrões e presa pela polícia recifense em função de suas atividades sindicais e sua militância comunista. Apesar de estar no radar das autoridades – da fábrica e do Estado – desde, pelo menos, 1933, foi justamente depois do Estado Novo que ela passou a ser mais vigiada e presa com frequência. Reconstituindo parte de sua trajetória, a partir do princípio da variação da escala de análise, pretende-se compreender como militância e repressão no local de trabalho poderiam coexistir na capital pernambucana, independente do regime vigente.