bluuebunny/crossref_metadata_2025 huggingface dataset:
Thread lifting as a modern method of non-radical face rejuvenation
Authors: Istranov A. L. , Chopikyan A. A.
Published: October 2023

Purpose of the study: The purpose of this review of scientific literature is to collect, systematize and update modern ideas about the types, methods and principles of thread lifting, taking into account the basic requirements for efficiency and safety.

In this paper, we reviewed publications presented in scientific databases: Web of Science, Scopus, PubMed, Cochran library, Medline, and PubMed Central. The keywords for searching for materials were: thread lift, thread lift history, thread lift sutures, face thread lift, polylactic threads, polydioxanone threads.

The earliest approach to the effective use of thread rejuvenation techniques was the use of non-absorbable threads based on polypropylene, which are still successfully used along with modern threads, among which a special place is occupied by absorbable threads and new modifications of non-absorbable ones, complemented by various fixing design features (notches, cones).

A large selection of threads, techniques and principles of correction allows specialists to create an individual management plan for each patient, and continuity and synergy between the sequential use of different modifications of threads allows one to prolong the results obtained and delay or refuse more radical anti-aging surgeries on the face.

At the same time, as a result of the review of the scientific literature, no published studies were found on the comparative analysis of thread and surgical methods of rejuvenation, which requires further study.
Regional pretracheal lymphotropic antibiotic therapy for pulmonary complications of COVID-19
Authors: Dzhumabaev E. S. , Dzhumabaeva S. E.
Published: October 2023

Purpose of the study: to study the pharmacokinetics of gentamicin in pretracheal lymphotropic antibiotic therapy and regional stimulation of interstitial lung lymphatic drainage.

Material and methods. Experimental studies consisted of a single administration of gentamicin to 50 mongrel white rats, both sexes, body mass 370–400 g, at a dose of 30 mg/kg: lymphotropically pretracheal, using lidase as a lymphatic drainage stimulator, and intramuscularly, followed by thoracotomy, undertaken to remove the chest cavity organs, paratracheal lymph nodes, and femoral vein puncture, for blood sampling. A dynamic determination of the concentration of gentamicin in the blood and extracted tissues was performed. In 10 mongrel rats, both sexes, body mass 440–470 g, the rate of lymphatic drainage of the lungs was studied using the Kety radionuclide method using Albumin I-131, with pretracheal administration of a non-concentrated lidase solution.

Results. Data analysis pharmacokinetics and radionuclide study of the lymph showed that the method of lymphotropic pretracheal the introduction of antibiotics and regional lymphostimulation, may have advantages over traditional methods of drug administration in the treatment of pneumonitis (interstitiopathy) at COVID-19, due to the higher and prolonged content in the tissues and the lymphatic channel of the bronchopulmonary system (p < 0,05) – the place of greatest congestion and infection, as well as lymphatic drainage of the lungs.

Conclusion. The method of lymphotropic pretracheal administration of antibiotics and regional lymphostimulation may have advantages over traditional methods of drug administration in the treatment of pulmonary complications in COVID-19.
On the issue of exoskeletal rehabilitation of shoulder periarthritis after a gunshot wound of the scapular area
Authors: Vorobyev A. A. , Barinov A. S. , Barinova E. A. , Andryushchenko F. A.
Published: October 2023

The study aimed to investigate the effectiveness and applicability of exoskeletons in the rehabilitation of  patients with scapula and shoulder joint injuries.

Purpose of a study: to demonstrate the possibilities of rehabilitating patients with gunshot injuries to the upper extremities, specifically focusing on the passive upper limb exoskeleton “EKZAR34”.

Material and methods. The study conducted an analysis of the patient's range of motion in the shoulder joint after using the exoskeleton. Clinical data and observations of a patient with mine-explosive scapula injury were used as research material.

Results. The use of the exoskeleton compensates for the lost muscle functions and increases the range of motion in the shoulder joint. This enables patients to perform actions that would otherwise require significant effort without the exoskeleton. Additionally, rehabilitation with the exoskeleton strengthens both damaged and undama- ged muscles, leading to a balanced functioning of the shoulder and upper limb muscle system.

Conclusion. Employing of exoskeletons in the rehabilitation of scapula and shoulder joint injuries is an effective and promising approach. Exoskeletons expedite muscle strengthening, restore motor activity and range of motion, and enhance treatment outcomes and patients' quality of life.
Diagnosing diabetes mellitus using machine learning techniques
Authors: Alzyoud Mazen , Alazaidah Raed , Aljaidi Mohammad , Samara Ghassan , Qasem Mais Haj , Khalid Muhammad , Al-Shanableh Najah
Published: October 2023

Diabetes Mellitus (DM) is a frequent condition in which the body's sugar levels are abnormally high for an extended length of time. It is a major cause of death with high mortality rates and the second leading cause of total years lived with disability worldwide. Its seriousness comes from its long-term complications, including nephropathy, retinopathy, and neuropathy leading to kidney failure, poor vision and blindness, and peripheral sensory loss, respectively. Such conditions are life-threatening and affect patients’ quality of life. Therefore, this paper aims to identify the most relevant features in the diagnosis of DM and identify the best classifier that can efficiently diagnose DM based on a set of relevant features. To achieve this, four different feature selection methods have been utilized. Moreover, twelve different classifiers that belong to six learning strategies have been evaluated using two datasets and several evaluation metrics such as Accuracy, Precision, Recall, F1-measure, and ROC area. The obtained results revealed that the correlation attribute evaluation method would be the best choice to handle the task of feature selection and ranking for the considered datasets, especially when considering the Accuracy metric. Furthermore, MultiClassClassifier would be the best classifier to handle Diabetes datasets, especially when considering True Positive, precision, and Recall metrics.
The role of public administration and social media educational socialization in influencing public satisfaction on population services: The mediating role of population literacy awareness
Authors: Junaidi Akhmad , Basrowi Basrowi , Sabtohadi Joko , Wibowo A.M. , Wibowo Susalit Setya , Asgar Ali , Pramono Edi Priyo , Yenti Efa
Published: October 2023

This research investigates the interplay between public administration, educational socialization on social media, population literacy awareness, and public satisfaction in the context of population services. The primary objective is understanding how these variables are interconnected and their collective impact on public satisfaction. The study employs a quantitative approach, collecting data through structured questionnaires from a randomly selected sample. Data analysis involves various statistical techniques using Smart PLS, including regression and mediation analysis. The findings reveal that public administration significantly influences population literacy awareness, underscoring the role of government agencies in shaping citizen understanding of demographic policies. While it was anticipated that population literacy awareness would mediate the relationship between public administration and educational socialization on social media for public satisfaction, this mediating effect needed to be supported. However, social media use was found to influence population literacy awareness, indirectly affecting public satisfaction directly. It highlights the potential of digital platforms to enhance citizen understanding and engagement. The implications are substantial. Governments should recognize the importance of effective communication and digital engagement in fostering an informed and satisfied citizenry. Additionally, tailored communication and education initiatives are crucial for promoting public understanding and engagement, ultimately contributing to higher levels of public satisfaction. The research's novelty lies in its exploration of the complex dynamics among these variables and its focus on the role of digital platforms in enhancing population literacy awareness. However, some limitations include the potential for context-specific findings and the need for further research in diverse settings.
Effects of the Labor Inspection Authority’s regulatory tools on physician-certified sick leave and employee health in Norwegian home-care services – a cluster randomized controlled trial
Authors: Finnanger Garshol Bjørnar , Knardahl Stein , Emberland Jan Shahid , Skare Øivind , Johannessen Håkon A
Published: October 2023

OBJECTIVE: This study aimed to determine the effects of the Labor Inspection Authority’s regulatory tools on physician-certified sick leave and self-reported health outcomes among employees in municipal home-care services in Norway.

METHODS: We conducted a cluster-randomized controlled trial in the home-care service sector, and 96 eligible municipalities were randomly assigned to one of three groups: (i) labor inspection visits, based on the Labor Inspection Authority’s standard inspections; (ii) guidance-through-workshops, where participants from home-care services met with labor inspectors to receive information and discuss relevant topics; and (iii) the control group. Data on employee self-reported health (N=1669) were collected at baseline and 6 and 12 months after the interventions. Additionally, registry data (N=1202) on diagnosis specific physician-certified sick leave were collected for 18 months after the interventions.

RESULTS: We found no statistically significant effects of either intervention on self-reported health outcomes. There was, for both interventions, a pattern of decrease in days and periods of physician-certified sick leave due to musculoskeletal diagnoses and increase in days and periods of physician-certified sick leave due to psychological diagnoses, but these were not statistically significant.

CONCLUSION: Labor inspections and guidance-through-workshops had no statistically significant effect on self-reported health and physician-certified sick leave. The results should be interpreted with caution given the low response rate and subsequent attrition, and in the context of the COVID-19 pandemic. Future studies, in various industries, should further elucidate whether regulatory tools influence employee health and sick leave due to musculoskeletal and mental disorders.
The first religious-historical sources of Iskander theme
Authors:   Alisher Navoi' Tashkent state university of Uzbek language and literature, Ismoilov Ilyos
Published: October 2023

The genesis of Iskandar theme is related to the distant past, and it has a history of twenty centuries even when compared to the period of Alisher Navai (15th century). The basis of the topic is the life and work of the famous Macedonian ruler Alexander (356-323 BC). Most plot lines, characters, motives, episodes and interpretations are directly or indirect-ly connected with this core. But a group of experts and researchers who have studied the history of the issue believe that the genesis of the topic was even before the birth of Alexander. They hypothesize that a revelation (dream) in the prophetic book “Daniel” (Doniyor) in the third part of the Torah (Tanach) – “Holy Writings” (Ktuvim) – is the first prophecy about Al-exander, in which it was reported that Alexander would lay the foundation for a great empire in the future.In this article, the fragments considered as the foundations of the subject in the Torah are studied in detail, as well as the information about the history of Alexander recorded in “The First Book of the Maccabees” (2nd century BC) from the non-canonical books of the Torah is analyzed. There were researched the compatibility of the information found in these two sources with the Eastern ones, the tradition of khamsa writing, in par-ticular, the interpretations in “Khamsa” by Alisher Navai, or how they were changed in the process of transformation, as well as their causes.
“Tarjebandi Khomisa” as a product of following Alisher Navoi
Authors:   Alisher Navoi' Tashkent state university of Uzbek language and literature, Tojiboeva Ozoda
Published: October 2023

Following the creative heritage of Alisher Navai is one of the traditions that was widely extended in later periods of Uzbek literature.In particular, the literary environment in Khorezm is influenced by all the poet’s poems in lyrical genres. The role of this region is also important in the creative processing and promotion of the epic “Khamsa”. The poets of Khorezm wrote ghazels under the influence of Alisher Navai, and because of the literary influence they went along the path of Tatabbu', Tahmis and Tazmin.The work of the talented poet Awaz Otar “Tarjebandi Khomisa” was written under the influence of the epic of Alisher Navai’s “Khamsa”. Although in this work the author relied on the content of the epic “Khamsa”, the idea and formal aspects of the novel correspond to the novel by Alisher Navai. Therefore, in this article “Tarjebandi khomisa” compared with the epics and Tarjebandi of Alisher Navai “Khamsa”.
Research of Theoretical foundations of rhyming letters
Authors:   Alisher Navoi' Tashkent state university of Uzbek language and literature, Orzigul Hamroyeva
Published: October 2023

The science of classical rhyme as a separate independent science was studied separately in the treatises as a component of poetics. In all the treatises on poetics, the theory of the science of rhyme is presented under separate sections, along with such sciences as literary types and genres, artistic arts, aruz weight. In classical literature, the types of rhyme are studied according to several aspects.It should be noted separately that the perfect use of these types according to different aspects of rhyme determined the perfection of stanzas. The composition of these rhyme types is related to the participation of rhyming letters. In the article, the theoretical foundations of rhyming letters in treatises on poetics are studied in a comparative form.
Tác động của cam kết với tổ chức đến hiệu quả công việc tại doanh nghiệp Việt Nam
Authors: Vững Lưu Minh , On Cao Văn
Published: October 2023

Nghiên cứu này tìm hiểu cam kết với tổ chức thông qua các yếu tố khác tác động đến hiệu quả công việc tại doanh nghiệp Việt Nam. Sử dụng phương pháp nghiên cứu định lượng, kỹ thuật mô hình cấu trúc tuyến tính bình phương nhỏ nhất từng phần (PLS-SEM) với cỡ mẫu là 303 nhân viên làm việc tại TPHCM. Trên nền lý thuyết sự phù hợp giữa con người và tổ chức (P-O), lý thuyết tài sản nhân viên (EE). Cam kết với tổ chức tác động mạnh đến hợp đồng tâm và yếu tới duy trì nhân viên, đồng thời hai yếu tố này có tác động đến hiệu quả công việc của nhân viên, trong đó sự tác động của hợp đồng tâm lý là mạnh hơn so với duy trì nhân viên. Hơn nữa, hai giới tính (nam, nữ) và quy mô doanh nghiệp (doanh nghiệp lớn, doanh nghiệp SME) không có sự khác biệt có ý nghĩa thông kê đối với hiệu quả công việc của nhân viên. Tại bối cảnh doanh nghiệp Việt Nam có ít nghiên cứu về chủ đề này, do vậy nghiên cứu đã góp phần nhỏ bổ sung vào khoảng trống nghiên cứu. Tuy nhiên, nghiên cứu có một số hạn chế như mới khảo sát các doanh nghiệp Việt Nam tại TPHCM
PENERAPAN DATA MINING DALAM MENGANALISA DATA PENJUALAN UNTUK MENDAPATKAN POLA REKOMENDASI PENJUALAN MENGGUNAKAN ALGORITMA APRIORI PADA MINI MARKET DELI SAUDARA PERBAUNGAN
Authors: Agustina Nurlaila , Syahril Muhammad , Sobirin Sobirin
Published: October 2023

Pertumbuhan mini market sedang berkembang pesat hampir di setiap kotaMaupun kabupaten sudah berdiri mini market. Mini market adalah sebuah toko retail yang bergerak dibidang perdagangan barang atau kebutuhan rumah tangga, sama halnya seperti mini market yang lainnya, dengan persaingan yang semangkin ketat, Mini market Deli Saudara sering mengalami kenaikan atau penurunan omset penjualan. Maka dengan mencari analisa data penjualan terhadap barang yang terjual pada mini market deli saudara perbaungan. Untuk menyelesaikan permasalahan yang ada maka salah satu cara yang dapat dilakukan untuk memcari pola rekomendasi penjualan barang yang ada di Mini Market Deli Saudara Perbaungan adalah dengan menggunakan teknik data mining. Adapaun teknik yang digunakan dalam hal ini adalah Algoritma Apriori. Apriori adalah aturan yang menyatakan asosiasi antara beberapa atribut untuk menemukan aturan satu kombinasi item atau lebih. Hasil dari penelitian ini adalah, kombinasi item barang yang memiliki keterkaitan yang diolah dengan teknik data mining menggunakan algoritma apriori dapat membantu pemilik Mini Market Deli Saudara Perbaungan dalam mengambil keputusan untuk menentukan perencanaan strategi promosi penjualan dan strategi pemasaran produk berdasarkan data penjualan pada Mini Market Deli Saudara Perbaungan.
¿Todos los Caminos Llevan a la Nueva Gestión Pública?: tres Argumentos sobre las Reformas Administrativas en los Países en Desarrollo Transición
Authors: Dussauge Laguna Mauricio I.
Published: October 2023

La utilidad y pertinencia que las propuestas de la Nueva Gestión Pública (NGP) pueden tener en los países en desarrollo/transición han sido ampliamente debatidas. En particular, tres argumentos centrales han cruzado la literatura especializada. El primero, que podría denominarse de reforma por "etapas", sugiere construir una estructura burocrática à la Weber antes de intentar reformas neogerenciales. El segundo, que podría llamarse reforma por "saltos", implica lo contrario: la posibilidad de implementar la ngpgp incluso si no se ha construido antes una administración pública "tradicional". El tercero, finalmente, propone la posibilidad de concretar reformas administrativas por medio de una "combinación informada", es decir mezclando elementos de distintos modelos o paradigmas. Este ensayo busca analizar las tres líneas argumentativas mencionadas, para mostrar que cada una contiene afirmaciones atinadas y atendibles, pero también premisas discutibles y hasta equivocadas.
El discurso de política pública presidencial: Los casos de salud y educación durante los gobiernos de la Concertación (1990-2009)
Authors: López Miguel Ángel , Vilchez Ulises , Miranda Nicolás
Published: October 2023

Este artículo usa el marco teórico, y la metodología, del policy agenda de Baumgartner y Jones, para estudiar los discursos del 21 de mayo de los presidentes de la Concertación con el objeto de determinar la importancia, los cambios y la continuidad que las áreas de salud y educación poseen en la agenda pública.
Innovación en las organizaciones y servicios públicos: ¿El eslabón perdido? Bases para la transición hacia un modelo de innovación abierta y colaborativa
Authors: Ramírez-Alujas Álvaro V.
Published: October 2023

Junto con debatir el concepto, aplicación y desarrollo de la innovación en el sector público, el artículo propone una agenda de transformación de las organizaciones públicas hacia un modelo de gobernanza colaborativa en el marco de las iniciativas de gobierno abierto. Se argumenta que este cambio de paradigma permitiría la configuración de servicios públicos 2.0 que, entendidos como plataformas abiertas para la acción colectiva, promuevan una real y activa participación e involucramiento de los ciudadanos en la gestión estatal.
Entre la resistencia y la política: innovación social y desarrollo comunitario en la Región Metropolitana de Buenos Aires
Authors: Michelini Juan José
Published: October 2023

El artículo explora el potencial de los nuevos movimientos sociales urbanos para la construcción de modelos alternativos de desarrollo urbano. Se analizan las dinámicas socio-institucionales asociadas a un proyecto de construcción colectiva de viviendas sociales impulsado por el Movimiento de Trabajadores Comunitarios (MTC) en la ciudad de Luján, localizada en la tercera corona metropolitana de Buenos Aires. Nuestros resultados revelan el carácter socialmente innovador de las estrategias implementadas y la necesidad de favorecer nuevas racionalidades de gobernanza que permitan la consolidación y escalamiento de ese tipo de iniciativas.
La fraternidad, una exigencia para la política pública de protección, asistencia, atención y reparación integral a las víctimas del conflicto armado interno colombiano
Authors: Baquero Javier Andrés , Barero Yuly Natalia , García Yuri Andrea
Published: October 2023

El análisis que se presenta a continuación permite reconocer a la fraternidad como un principio rector de la gestión de las políticas públicas, así como aportar en nuevos caminos y perspectivas teóricas de esta disciplina. En este sentido, se busca observar cómo la política pública de víctimas en Bogotá es determinada por un arreglo institucional denominado fraternidad, el cual se encuentra constituido por un conjunto de instituciones formales e informales que pueden o no estar presentes en la gestión de esta política. Con base en este análisis, se pretende identificar el conjunto de valores que dan forma a las decisiones y comportamientos de sus miembros, determinando si algunas de estas instituciones posibilitan o no, un proceso de acción pública exitosa y virtuosa.
Análisis de las políticas participativas para el desarrollo en la provincia de Mendoza, Argentina y el Estado de México: un estudio comparado a nivel subnacional
Authors: Guardamagna María Melina , Gómez Carmona Yesika Guadalupe
Published: October 2023

En el presente trabajo nos proponemos, a través de un estudio comparado, contribuir a la discusión teórico-metodológica en torno al diseño, imple¬mentación y evaluación de políticas participativas orientadas al desarrollo en la provincia de Mendoza, Argentina, y el Estado de México, México. Para ello discutiremos críticamente cómo ha sido la instrumentación de la participación ciudadana en el nivel subnacional, a partir de la definición de un conjunto de dimensiones y criterios para evaluar su legitimidad y cali¬dad. Esto nos permitirá avanzar en la contrastación de nuestros supuestos de investigación que indican que la falta de rigurosidad metodológica y de capacidades estatales, la inadecuación de los marcos jurídicos-normativos, las dificultades relacionadas al acceso a la información, la característica consultiva de los mecanismos, y la falta de voluntad política influyen en la posibilidad de garantizar un involucramiento real, plural, equitativo y sostenido en el tiempo de la ciudadanía.
Populismo, retrocesos democráticos y administraciones públicas: la experiencia de México durante la primera mitad del gobierno de Andrés Manuel López Obrador
Authors: Dussauge Laguna Mauricio I. , Aguilar Arévalo Marcela Rubí
Published: October 2023

A partir de las discusiones contemporáneas sobre populismo y retrocesos democráticos, analizamos las características del estilo de gobierno del actual presidente de México, Andrés Manuel López Obrador, y la forma en que sus decisiones políticas y administrativas están afectando las estructuras or¬ganizacionales, los valores y el funcionamiento de la administración pública federal mexicana. Con base en un análisis de diversas fuentes de informa¬ción sobre los actos del gobierno de López Obrador durante sus primeros tres años (2018-2021), argumentamos que su estilo populista está teniendo consecuencias negativas importantes tanto para el sistema democrático del país, como para el aparato administrativo del Estado mexicano.
Estado de Derecho, Sistema Judicial y COVID-19: una ventana de oportunidad para el sistema judicial en Paraguay
Authors: Riera Pastore Francisco Javier , Silvera Guardales Christian Jesús
Published: October 2023

La pandemia del COVID-19 y las subsiguientes medidas de confinamiento han provocado la interrupción temporal de la mayoría de servicios brindados por los sistemas de justicia. Para continuar con sus actividades, estas instituciones han hecho uso de las Tecnologías de la Información y de las Comunicaciones (TICs). A partir del enfoque de corrientes múltiples, desarrollado por John Kingdon (1984), se analiza la concurrencia de tres corrientes: (i) la interrupción temporal del acceso a la justicia; (ii) las acciones de las autoridades del sistema judicial paraguayo durante el primer año de pandemia; y (iii) las tecnologías implementadas por los juzgados

en Paraguay. Para ello se empleó una metodología cualitativa, a través de la revisión de fuentes secundarias y entrevistas semiestructuradas a actores clave del ámbito jurídico nacional e internacional.

Preguntas de investigación

• ¿Cómo se generó una ventana de oportunidad para el sistema judicial paraguayo en el contexto de pandemia?

• ¿Cuál fue el rol de las TICs frente a la interrupción temporal del acceso a la justicia en Paraguay?
Postpolítica y Managerialismo: el surgimiento de una nueva arena pública
Authors: Varela Barrios Edgar , Tello Castrillón Carlos
Published: October 2023

El Management ha invadido la esfera política en nuestros tiempos postmodernos y no se limita a ser una forma dominante de gestión en las empresas y los negocios. El Management se configura como un sistema de prácticas cuya ideología expansiva no reconoce su carácter político. Este sistema no es deliberativo ni democrático y, en su lugar, prioriza las jerarquías y los derechos de propiedad y de gestión. La actual hegemonía del Management invade la vida social y organizacional de la gente, la esfera de lo político y

la misma vida íntima. En este contexto ha surgido la post política como un fenómeno que subraya los antagonismos y las exclusiones, y se caracteriza por su rechazo al consenso y a los acuerdos contractuales entre las esferas de la sociedad. En este escenario, el poder gubernativo refuerza su poder con tecnologías inéditas de consenso o de mayorías vía fake news o posttruth.
Trastorno límite de personalidad: diagnóstico estructural de personalidad de un caso clínico
Authors: Narváez Martínez Abril De Las Rosas , Menudo Monterrey Laura , Amador Jiménez Dustin Ezequiel
Published: October 2023

El Trastorno Límite de Personalidad (TLP) es un trastorno mental severo, incapacitante y heterogéneo caracterizado por una marcada impulsividad y la inestabilidad de las relaciones interpersonales, autoimagen y afectos, inicia en la adolescencia o en edad adulta temprana. Se presenta un caso clínico de TLP con diseño de estudio de caso único (n=1), observacional, de corte transversal y con alcance descriptivo. La participante es una joven de 19 años, soltera y sin hijos, estudiante universitaria y supervisora en un centro de llamadas, a quien se le aplicó la Entrevista Estructural de la Personalidad, el Inventario Multifásico de Personalidad de Minnesota (MMPI-2), el Cuestionario de Screening McLean (MSI-BPD), el Cuestionario sobre la Salud del Paciente (PHQ-9), el Test de Relaciones Objetales (TRO) y el Test de la Persona Bajo la Lluvia. El análisis de información se hizo mediante la triangulación de los resultados de los diferentes instrumentos, además se contrastaron los principales hallazgos con las teorías que explican el TLP desde un enfoque psicodinámico relacional. Los resultados reflejan que la evaluada presenta síntomas característicos del TLP como pobre autoimagen, identidad difusa, juicio ético empobrecido, un patrón de relaciones interpersonales inestables y conflictivas, inestabilidad emocional, inseguridad de separación, impulsividad, asunción de riesgos y hostilidad; además se identifica una comorbilidad con el Trastorno Depresivo Mayor al presentar síntomas como estado de ánimo deprimido, anhedonia, poca energía, sentimientos de inutilidad, pensamientos de muerte recurrentes y problemas con la alimentación y de sueño. La sintomatología que presenta la paciente genera un importante malestar psicológico con riesgo suicida.
Fortaleciendo la vocación productiva desde el programa nacional secundaria a distancia en el campo. Comunidad de Isiquí, Estelí, Nicaragua
Authors: Pinell Tórrez Jorge Manuel , Lanuza Ferrufino Onell Egberto
Published: October 2023

En el año 2022 se dio apertura al Programa Nacional de Vocación Productiva para el Trabajo y la Vida, dirigido a estudiantes de Secundaria a Distancia en el Campo (SADC), a través de cursos especializados con temáticas relacionadas al aprovechamiento de la diversidad agroecológica en la comunidad, la producción de cultivos de granos básicos y hortalizas, así como, la cría y manejo reproductivo del ganado mayor y menor. El Objetivo de este estudio estuvo dirigido a analizar los aportes que el Programa de Vocación Productiva brinda a la construcción de conocimientos sobre tecnologías agropecuarias, que propicien la innovación y el emprendimiento como aporte a la mejora de la producción agropecuaria y, por ende, a las condiciones de vida de las familias y al desarrollo de las comunidades rurales de Nicaragua. Se llevó a cabo una investigación de enfoque cualitativo, que permitió analizar las experiencias y valoraciones de los estudiantes, docentes y facilitadores que participaron en el Programa de Vocación Productiva, acompañada de revisión bibliográfica sobre la temática. Se realizó en la Secundaria a Distancia en el Campo de la comunidad de Isiquí, del municipio de Estelí. Para la recolección de la información se aplicaron técnicas como la observación, la entrevista y el análisis de contenido. El Programa Nacional de Vocación Productiva aporta conocimientos y habilidades en los estudiantes de la secundaria a distancia en el campo (SADC), en la producción agropecuaria, permitiendo que identifiquen las actividades en el campo como opciones para la obtención de ingresos que aporte a la economía familiar, al desarrollo comunitario, la seguridad alimentaria y nutricional, el arraigo comunitario y la conservación de la identidad cultural; así mismo, este programa contribuye en el estudiante de forma que le facilite las herramientas para plantear posibles soluciones a problemáticas que identifican en su diario vivir.
OPTIMISASI DOSIS DAN KUALITAS CITRA PADA PEMERIKSAAN PULMONARY ARTERY CATHETER (PAC) DAN PERCUTANEUS CORONARY INTERVENTION (PCI) SEBAGAI UPAYA PROTEKSI RADIASI PASIEN DI CATHLAB RSUP ADAM MALIK MEDAN
Authors:   Departemen Radiologi, Rumah Sakit Umum Pusat Adam Malik, Medan, Indonesia, Damanik Martua , Simanjuntak Josepa , Karo-Karo Gembira , Artiyanti Artiyanti
Published: October 2023

The radiation exposure a patient receives during diagnosis and treatment cannot be fully avoided. However, it is crucial to optimize the radiation dose to ensure it is only as much as needed. The purpose of this study is to minimize the patient's radiation exposure during interventions and produce optimal image quality. To accomplish this, dose optimization and image quality were evaluated during PAC and PCI procedures in the Cathlab room at Adam Malik Hospital using Philips Allura Xper FD20. The study was retrospective, using patient dose audits from January 2020 to February 2023, with 250 PACs and 139 PCI mature patients. The median dose value (Q2) was compared to the National diagnostic reference level (NDRL) third quartile (Q3) value to determine optimal patient dose levels. We used a 28 cm PMMA phantom and a 2 cm imaging quality in-house phantom to represent the patient and a solid-state detector to measure surface dose. Medical physicists, radiographers, cardiologists, and nurses worked together in optimization cycles to ensure dose levels were kept to a minimum. Image quality was assessed by calculating the signal difference-to-noise ratio (SDNR), and images were recorded in DICOM format and analyzed using Image J software. Entrance Surface Air Kerma (ESAK) values were recorded to calculate Figure of Merit (FOM) values for each change in physical parameters. The study showed that the distance between the image detector and the object significantly affects the patient's dose. A distance of 14 cm resulted in a higher dose than a distance of 2 cm. The SDNR value varied with the object image distance (OID) factor, and increasing the object's distance to the image detector did not increase the SDNR value. Setting the OID spacing to a minimum is recommended for PAC and PCI procedures to minimize the patient's radiation exposure. The FOM values were affected by both the ESAK and SDNR values. Keywords: Dose Optimization, Image Quality, objek to image distance (OID), Pulmonary Artery Catheter, Percutaneous Coronary Intervention, Cathlab.
ANALISIS KORELASI ANTARA NILAI DEVIATION INDEX DAN ENTRANCE SURFACE AIR KERMA (ESAK) DALAM UPAYA OPTIMISASI DOSIS RADIASI PASIEN DI MANDAYA ROYAL HOSPITAL PURI
Authors:   Mandaya Royal Hospital Puri, Tangerang, Banten, Indonesia, Rahman Herdani , Harjanto Joko
Published: October 2023

Chest radiograph examination is the most common diagnostic radiology procedure. Therefore, optimization is required regarding chest examination, both in terms of image quality and the radiation dose received by the patient. This study discusses the relationship between the deviation index and the patient's radiation dose produced. The deviation index is a parameter that can determine whether the resulting image is underexposed or overexposed. This study's varied parameter is the exposure index target (EI_T). The study observed 100 patients, with 50 patients having an EI_T of 400 and 50 having an EI_T of 250. Based on the research findings, varying the EI_T parameter resulted in an average deviation index value of 1.86 ± 0.16 (for EI_T 400) and 2.18 ± 0.133 (for EI_T 250).Meanwhile, the Entrance Surface Air Kerma (ESAK) value calculation was done manually as the Si-INTAN account is currently undergoing maintenance. The resulting ESAK values from the study were 0.318 mGy ± 0.027 (for EI_T 400) and 0.296 mGy ± 0.020 (for EI_T 250). Based on the research findings, it can be concluded that the deviation index value remains an effective tool for measuring the quality of images produced during the optimization process of patient radiation dose. Keywords: exposure index, deviation index, ESAK, DRL, Si-INTAN
PEMANTAUAN DOSIS RADIASI PADA CT SCAN UNTUK MENGETAHUI PERSENTASE POTENSI KANKER DI RSUD DR. MOH SALEH PROBOLINGGO
Authors:   RSUD dr Mohammad Saleh Kota Probolinggo, Jawa Timur, Indonesia, Aprilia Hariyani Dita
Published: October 2023

CT Scan is a diagnostic tool that helps identify body disorders without surgery. It works by using X-ray radiation to create images of the body. However, X-rays can be harmful to the human body. This study aims to determine the amount of radiation exposure associated with a CT scan and the potential cancer risk from this exposure. The study analyzed 1396 scans, including 1046 scans of the head, 128 scans of the thorax, and 221 scans of the abdomen, using contrast and non-contrast techniques. The effective dose was calculated by multiplying the Dose Length Product (DLP) by the organ weight factor. The study found that the abdomen had the highest average effective dose of radiation exposure, at 18.78 mSv, followed by the thorax at 5.72 mSv and the head at 2.20 mSv. The study also found a positive, strong, and significant relationship (p=0.000) between effective dose and the potential risk of cancer, with a ratio of 0.9966. The highest risk of cancer was associated with exposure in the abdomen, at 0.094%. The effective dose information can help patients, healthcare workers, and families understand the potential risks associated with CT scans and can be used as a tool for education. Keywords: CT Scan, DLP, effective dose, radiation risk, cancer potential.
PENDEKATAN ALGORITMA UNTUK EVALUASI DOSIS RADIASI DENGAN TLD-900 BARC PADA PENGUKURAN RADIASI ENERGI RENDAH
Authors:   RSUP Fatmawati, Jakarta, Indonesia, Muhammad Fajri Ghifari , Bunawas Bunawas , Nadia Adhisti Firli
Published: October 2023

Accurate radiation dose evaluation for radiation workers is crucial to determine the radiation dose received from exposure. Using passive dosimeters such as TLD-900 can assist in monitoring and controlling radiation exposure by evaluating accumulated dose readings over a specific period. Due to its utilization in diverse radiation fields, the dose evaluation method should be able to differentiate the energy range employed. Energy dependence can pose a challenge in reading the received dose, particularly in the case of low-energy X-ray usage. Therefore, this study aims to develop an algorithm for individual equivalent dose evaluation Hp(10) in low-energy (<20 KeV) usage. The data will be obtained from the Nuclear Agency of Malaysia's Secondary Standard Dosimetry Laboratory (SSDL), including various ISO narrow series X-ray sources and several radioactive sources such as Cs-137, Co-60, Sr-90, Kr-85, and Pm-147. The evaluation method will involve a trumpet curve and ANSI bias plot, enabling an assessment of the performance of the developed algorithm. Ultimately, the algorithm will be used for long-term dose evaluation intercomparisons in low-dose reviews. The low-energy energy evaluation algorithm for equivalent doses has successfully been conducted. The algorithm performs very well in distinguishing energy types using the parameter r12. In contrast, the low-energy dose evaluation algorithm encounters difficulties due to the low-energy characteristics in energy deposition, which are similar for each element D. Keywords: Algorithm,radiation dose evaluation, TLD, Low Energy.
OPTIMALISASI PENGECEKAN APRON PB MENGGUNAKAN CT SCAN UNTUK MEMINIMALKAN WAKTU DAN PAPARAN YANG DITERIMA PADA SAAT EVALUASI KUALITAS APRON PB
Authors:   MRCCC Siloam Hospital Semanggit, Jakarta, Indonesia, Naqiyyun M. Dlorifun , Hutahaean Desi
Published: October 2023

Ensuring radiation protection for workers, patient companions, or even patients is crucial, and Pb aprons serve as personal protective equipment from radiation hazards. However, the quality of the Pb apron needs to be evaluated periodically. Traditionally, the evaluation process involves X-ray fluoroscopy and conventional X-rays, indirectly exposing workers to potential radiation hazards. To minimize this risk, optimization of checking Pb aprons using a CT Scan is necessary. CT Scan requires only 1-1.5 minutes to limit one apron unit, and the radiation exposure workers receive is around 0.11 – 0.41 µSv/hour. This is significantly shorter and safer than the time required for X-ray fluoroscopy or general radiography modalities. Keywords: Apron Pb, CT Scan, apron evaluation, time exposure, radiation exposure.
BEST PRACTICE PERAN TIM PETUGAS PROTEKSI RADIASI (PPR) DALAM IMPLEMENTASI KESELAMATAN RADIASI DI MANDAYA ROYAL HOSPITAL PURI
Authors:   Mandaya Royal Hospital Puri, Tangerang, Banten, Indonesia, Rahman Herdani , Harjanto Joko , Nicholaus Mawar Rheiner , Sutrisno Adi , Ilmi Haekal
Published: October 2023

Utilizing ionizing radiation sources at Mandaya Royal Hospital Puri requires strict implementation of radiation protection measures. The principles of radiation protection must be applied meticulously, considering the potential effects. The hospital has a team of radiation protection officers (RPO) comprising radiographers and medical physicists responsible for ensuring radiation safety and implementing radiation protection measures. The RPO team has conducted various radiation protection activities between January and July 2023, including monitoring radiation worker doses, optimizing patient radiation doses, conducting internal and external quality control, checking radiation protection equipment, monitoring supporting equipment related to radiation safety, socializing radiation protection across all hospital departments, and testing room radiation exposure. The RPO team has been executing their 2023 program, adhering to the best practices. The hospital management plays a crucial role in carrying out radiation protection activities, and their support and commitment are vital to the practical and sustainable implementation of the RPO team's activities. Keywords: Radiation protection officers (RPO), radiation safety culture, radiation dose, radiation protection.
INCIDENCE OF SHOULDER-TIP PAIN IN LAP. CHOLECYSTECTOMY NORMAL VERSUS LOW-PRESSURE PNEUMOPERITONEUM
Authors: NAEEMI MF
Published: October 2023

Open cholecystectomy can lead to several post-operative complications. However, with the advent of minimal access surgery, these complications have decreased to a large extent. Nowadays, laparoscopic cholecystectomy is considered the gold standard for cholelithiasis. Similar to other surgeries, some post-operative complications are linked to laparoscopic surgery. One such complication is shoulder-tip pain. This study aimed to compare the intensity of post-op shoulder-tip pain after laparoscopic cholecystectomy at low pressure (10mmHg or less than 10mmHg) and standard pressure (12-14mmHg). Two groups of 30 patients each were made in this prospective randomized study. Group A patients underwent low-pressure pneumoperitoneum cholecystectomy (10mmHg or less than 10mmHg), while group B underwent standard-pressure pneumoperitoneum cholecystectomy (12-15mmHg). According to the verbal pain intensity score, post-op shoulder-tip pain was reduced in Group A compared to Group B at 6, 12, and 24 postoperative hours. This study showed that using low-pressure pneumoperitoneum in laparoscopic cholecystectomy reduces the intensity of post-operative shoulder pain and the need for analgesia.
ROLE OF PHYSICAL ACTIVITY IN THE PREVENTION AND MANAGEMENT OF NON-ALCOHOLIC FATTY LIVER DISEASE
Authors: SHAH MA , KHAN AA , NOOR . , AHMAD S
Published: October 2023

Non-alcoholic Hepatic Steatosis (NAFLD) is a major global cause of chronic liver disease. Its prevalence increases with the rise in metabolic syndrome components, primarily obesity and insulin resistance. The etiology of NAFLD is multifactorial, and recent studies suggest a "multiple hit" hypothesis that includes a combination of genetic, metabolic, and environmental factors. Lifestyle habits, including physical activity, play a significant role in its management. This study investigated the relationship between physical activity levels and the prevalence and severity of NAFLD in adults. A cross-sectional approach was used with a total of 250 participants. The participants were evenly divided into two groups: those diagnosed with NAFLD (n=125) and control subjects without NAFLD (n=125). Stratification was carefully executed to ensure equivalence in age, gender, and main co-morbidities to eliminate potential confounding variables. Among the 250 participants, with 125 individuals each in the NAFLD and control groups, no significant differences in age, BMI, or prevalence of co-morbidities such as diabetes and hypertension were observed. However, hepatic biochemical markers exhibited substantial differences between groups. ALT levels averaged 67.3 23.7 U/L for NAFLD participants compared to 24.2 ± 10.8 U/L in controls (p < 0.001); AST levels were at 54.8 ± 19.6 U/L for NAFLD versus 23.4 ± 8.9 U/L for controls (p < 0.001); GGT showed 89.2 ± 32.5 U/L in NAFLD individuals contrasting with 29.5 ± 13.4 U/L in controls (p < 0.001). Furthermore, the FIB-4 index was higher in the NAFLD cohort (2.4 ± 0.6) than in controls (1.3 ± 0.4; p < 0.001), and serum Albumin levels in NAFLD participants were 3.8 ± 0.5 g/dL, notably lower than the control's 4.5 ± 0.3 g/dL (p < 0.001). The study concludes that physical activity is inversely associated with the prevalence and severity of NAFLD. Regular physical activity may be a key strategy in preventing and managing NAFLD.
Predicting the geographical distribution of Impatiens parasitica (Balsaminaceae), an epiphytic species endemic to the Southern Western Ghats, India
Authors: Ashok Reshma , Varghese Anto , Antony Ignatius
Published: October 2023

Impatiens parasitica Bedd. is an epiphytic balsam, endemic to the southern Western Ghats of India. Maximum entropy distribution modelling (MaxEnt) was used for predicting the potential habitat suitability for this species. The Area Under the receiver operating characteristics Curve (AUC) value for training and test (0.95 and 0.817) is higher than 0.8, hence the model can be accepted. Jackknife test illustrates that temperature seasonality is the most contributing variable and Terrain Ruggedness Index (TRI) is the least contributed variable. The model predicted high suitability in the evergreen and semi-evergreen forests of the southern Western Ghats.
Crop load management in high density apple plantation
Authors: SHARMA Shivani , VERMA Pramod , SHARMA Naveen C.
Published: October 2023

Aim of study: To optimize the best thinning method and elucidate its effect on fruit size, quality, yield and return bloom in apple under high density plantation in sub-temperate zone of India.
Area of study: Dr. Yashwant Singh Parmar University of Horticulture and Forestry, Nauni, Solan, Himachal Pradesh, India.
Material and methods: The experiment consisted of 30 combinations of 10 thinning (chemical and manual) treatments (T1: 10 mg L-1 NAA; T2: 20 mg L-1 NAA; T3: 100 mg L-1 BA; T4: 200 mg L-1 BA; T5: 100 mg L-1 Metamitron; T6: 200 mg L-1 Metamitron; T7: crop load of 4 fruits cm-2 TCSA; T8: crop load of 6 fruits cm-2 TCSA; T9: crop load of 8 fruits cm-2 TCSA and T10: control - no thinning) and 3 cultivars treatments (‘Jeromine’, ‘Redlum Gala’ and ‘Super Chief’), replicated five times over three growing seasons (2020 to 2022).
Main results: The highest return bloom, fruit size, red skin color (RSC), sugars content, and anthocyanin content were produced due to manual thinning while maintaining a crop load of 4-6 fruits cm-2 TCSA (trunk cross sectional area). ‘Jeromine’ cultivar produced fruits with better yields, productivity, and RSC. ‘Redlum Gala’ had fruits with a better extent of thinning, return bloom, and sugar content. The extent of thinning showed a significant positive correlation with return bloom, fruit quality and physicochemical parameters, and growth in apples under high-density plantations.
Research highlights: A possible threshold for optimal fruit quality and consistent return bloom is around 4-6 fruits cm-2 TCSA in apple under high density plantation in India.
The Stylistic Features of A Portrait of the Artist as a Young Man from the Perspective of Corpus Stylistics
Authors: Zhang Yueyang
Published: October 2023

A Portrait of the Artist as a Young Man was Irish writer James Joyces first published novel. The novel tells the story of the protagonist Stephen grow from a little child to an artist. Although Joyce uses third-person narration in the novel, he describes the surrounding society from Stephens point of view everywhere. When Stephen grew up, his thoughts gradually matured, and he gradually changed from obedience to rebellion. The stylistic features of the novel also changed a lot in this process. Corpus stylistics is a scientific stylistic research method which combines qualitative research with quantitative research. With the support of corpus stylistics, the author studies and analyzes the stylistic changes in the novels during Stephens childhood, adolescence and youth, and explains the causes of the corresponding characteristics. Through profound analysis, the author finally draws the conclusion: With the growth of the protagonist, the vocabulary of the novel becomes increasingly difficult and rich, the use of sentence grammar gradually becomes mature, and the difficulty of the text gradually increases. The style of the novel is closely related to the growth of the characters and the theme of each stage.