bluuebunny/crossref_metadata_2025 huggingface dataset:
Efecto de la asepsia y antisepsia con gluconato de clorhexidina al 2% versus Iodo–povidona al 10% en la prevención de colonización del catéter venoso central, en la práctica diaria en la Unidad de Cuidados Intensivos de un hospital público y docente de Guayaquil, Ecuador
Authors: Mackliff-Mera Néstor , Puga-Tejada Miguel , Torres Herrera Carlos
Published: December 2021

Introducción: un catéter venoso central está expuesto a adhesión bacteriana y colonización por parte de microorganismos de la piel en vecindad a su sitio de inserción. El hospital “Dr. Abel Gilbert Pontón” es el segundo hospital público más grande de la costa ecuatoriana. Aquí se dispone de gluconato de clorhexidina al 2% y Iodo–povidona al 10% para la asepsia y antisepsia del sitio de punción previa colocación de un catéter venoso central. Objetivo: determinar el efecto de la asepsia y antisepsia con Gluconato de clorhexidina al 2% versus Iodo–povidona al 10% en la prevención de colonización del catéter venoso central. Métodos: estudio observacional analítico, longitudinal, del tipo cohorte histórico, realizado en la unidad de cuidados intensivos del hospital “Dr. Abel Gilbert Pontón” de mayo-2013 a abril-2014. El efecto del agente antiséptico en la prevención de colonización del catéter venoso central se determinó mediante cálculo del riesgo relativo, reducción del riesgo relativo y número de pacientes que es necesario tratar. Resultados: se recuperó 786 pacientes, edad promedio 56,41 ± 16,3 años, 376 (47,8%) género femenino. En 357 (45,4%) pacientes se empleó gluconato de clorhexidina al 2%. El efecto de la antisepsia de dicho agente, en la prevención de colonización del catéter venoso central presentó un riesgo relativo de 1,012 (IC 95% 0,874 – 1,173; p=0,871), con una reducción del riesgo relativo del 1,2% y un número de pacientes que es necesario tratar de 173. Conclusión: en la práctica diaria en la unidad de cuidados intensivos del hospital “Dr. Abel Gilbert Pontón”, Gluconato del clorhexidina al 2%, en comparación con Iodo–povidona al 10%, presentó un efecto antiséptico superior en la prevención de colonización del catéter venoso central el cual no fue estadísticamente significativo. Se prefiere Gluconato de clorhexidina al 2% como agente antiséptico para tal fin, según lo recomienda la literatura actual.
Síndrome de Joubert. Reporte de un caso
Authors: Ruiz Farfán Adrián Alcides , Amaya E. Marylin , Arévalo M. Valeria , Ortega O. Mayra , Vélez Z. María
Published: December 2021

El síndrome de Joubert es una ciliopatía que se hereda en forma autosómica recesiva, estimaciones de la prevalencia oscilan entre 1/80.000 y 1/100.000 nacidos vivos. La enfermedad se presenta clínicamente con hipotonía de las extremidades, deterioro cognitivo, ataxia, taquipnea episódica, movimientos anormales del ojo, y agenesia del vermis cerebeloso. Esta última característica, junto mencionados, dan el diagnóstico para el síndrome de Joubert. Actualmente no se cuenta con un tratamiento curativo. Tiene un alto riesgo de recurrencia del 25% por lo cual se emplean métodos de detección prenatal en parejas que han tenido antecedentes de hijos con la enfermedad.
Hidranencefalia: a propósito de un caso clínico
Authors: Cervantes Eduardo , Chettino Marissa , Segarra Valeria , Torres Eduardo , Vera Ketty
Published: December 2021

La hidranencefalia es una anomalía congénita rara que se presenta en pocos casos de malformaciones del SNC. El parénquima cerebral es reemplazado por sacos membranosos con líquido cefalorraquídeo con cráneo normal. En este caso, el probando que se estudia tiene otras malformaciones asociadas y el cráneo no tiene perímetros dentro de la normalidad. Se confirma el diagnóstico con la tomografía computarizada, sin embargo no está establecida la etiología de sus malformaciones.
Enhancing Student’s Writing Ability in Paragraph Writing Through an Outline Strategy at Primary Level
Authors: Ramzan Hassan , Hafeez Muhammad
Published: December 2021

Among language skills, writing is considered the most challenging and complicated skill compared to other skills. The main objective of this research is to analyze the improvement of students' writing skills in writing paragraphs through the outline strategy. The participants in this study were 15 fifth grade students. The participants were selected through random sampling technique. The data obtained were analyzed in percentage. Pre-Test and Post-Test were used as instruments in this study. In the Pre-Test and Post-Test the required items such as writing paragraph titles, grammar, spelling and total sentences (length) of paragraphs are the same. According to the findings, in the Pre-Test the students writing paragraphs were 20.00%, 26.66%, 20.00%, 26.66% (Good), 46.66%, 20.00%, 33.33%, 33 ,33% (Average), 33.33%, 53.33%, 46.66% , 40.00% (Weak) in paragraph headings, use of proper grammar, correct spelling and number of sentences (length ) paragraphs, respectively. After the Pre-Test, the instructor taught the participants about writing paragraphs through an outline strategy for 4 weeks and then conducted a Post-Test. In this test, participants in writing paragraphs through the outline strategy were 46.66%, 53.33%, 60.00%, 53.33% (Good), 40.00%, 26.66%, 33.33%, 40 0.00% (Average), 13.33%, 20.00%, 6.66% , 6.66% (Weak) in paragraph headings, use of proper grammar, correct spelling and number of sentences (length ) paragraphs, respectively. This action-based research shows that the outline strategy can improve students' writing skills.
The Impact of Computer-based Test and Students’ Ability in Computer Self - Efficacy on Mathematics Learning Outcomes
Authors: H. Nurhikmah , Febriati Farida , Ervianti Ervianti
Published: December 2021

The current era of digitalization has big impact on education, the use of technology and information is not only for learning but as an evaluation tool. This development raises problems that require the completion of high-level thinking, therefore students need to prepare the ability to think and be able to develop skills. This study aims to measure the self-efficacy of computer skills on student learning outcomes and interactions in mathematics subjects. This research method used quantitative approach in Quasi Experiment Design. Total sample were 64 students. CBT was used in evaluating mathematics subjects and using a questionnaire to determine the level of self-efficacy of computer abilities towards students learning outcomes. Analysis of research data was carried out using ANOVA, to test the hypothesis using two-way ANOVA (two-way ANOVA) using the SPSS version 25.0 for windows software program. The results showed that there was CBT of mathematics subjects towards student learning outcomes with a mean score of 85 in and a mean score of 80 with a criterion of 3.03, having impact and the criteria value 2.78. The interaction between computer-based tests with self-efficacy computer capabilities had the most correlation with a positive relationship. It can be stated that there is an impact of computer-based tests and self-efficacy of computer ability and has an interaction between CBT and self-efficacy on learning outcomes.
Blended Learning in Integrated Science Learning by a WISE Approach in Homeschooling
Authors: Tryanto Agus , Sukardjo Moch , Siregar Eveline
Published: December 2021

The lack of variety of learning is carried out by Homeschooling, while Homeschooling is required to be more creative, independent, and innovative. Blended learning will be an innovative learning option and according to the character of Homeschooling. This study aims to develop blended learning in science subjects with the WISE approach in Homeschooling. The research is entitled development research (R&D). The development method uses a flipped learning model with a web-based design model with data collection using data triangulation. The instrument used to collect data is a questionnaire. The product will go through an evaluation process from experts and evaluate its feasibility and effectiveness. Expert reviews consist of reviews of media experts and learning design experts and reviews of material and language experts. The feasibility stage is carried out by one-to-one test, small group test, and field test. In comparison, the effectiveness test is carried out to summative evaluation by calculating the N-Gain score. The final result states that blended learning is feasible with an average of 3.5 on expert reviews, which is very good and effective with the calculation results of the average N-Gain 0.61 in the excellent category. So with Blended Learning, learning in Homeschooling becomes creative, innovative, and independent. The research implication is that the application of blended learning in Homeschooling will increase a pleasant learning atmosphere.
Chassis Maintenance and Vehicle Power Transfer Learning: The Effectiveness of STEM on Students' Critical Thinking Ability
Authors: Heru Nur , Wagiran Wagiran , Daryono Rihab Wit
Published: December 2021

The low critical thinking ability of students in the chassis maintenance and power transfer learning so that the required competencies are not achieved. This study aims to analyze critical thinking skills in chassis maintenance and power transfer learning which is taught using the Science, Technology, Engineering, and Mathematical (STEM) learning model and the conventional learning model. This research is a quasi-experimental type of research. The population in this study were students of class XI TKR 1 and XI TKR 2 as many as 69 students. Data collection techniques used documentation technique and test technique. The data analysis technique used descriptive analysis to know the category of students’ critical thinking skills and inferential analysis, including normality, homogeneity, and hypothesis by using a t-test to know the comparison of students’ critical thinking skills in learning chassis maintenance and power transfer which is taught using the Science, Technology, Engineering, And Mathematical (STEM) learning model and conventional learning models. This study shows that descriptive analysis obtained a Mean of 83.49 that was classified into a very high category and very effective category. The t-test proves the data. The tvalue value is 8045, and the ttable is df 67 = 2,000, so it can be decided that H0 is rejected. Ha is accepted because tvalue > ttable, so it can be concluded that the Science, Technology, Engineering, and Mathematical (STEM) learning model is effectively used to improve critical thinking skills compared to using conventional learning models.
The Effect of Internet Use on Improving Student Learning Outcomes
Authors: Prasetyo Mohammad Mulyadi , Nurhidayah Nurhidayah
Published: December 2021

Students have difficulty in learning, so that it has an impact on low learning outcomes. The low student learning outcomes can be caused by the quality of learning, one of which is the lack of learning reference sources. The purpose of this study was analyze improvement of students' Biology learning outcomes before and after the application of internet use. This type of research is a quasi-experimental design through the Nonequivalent Control Group Design. The subjects in this study were students of class IX, which in this study used two classes, namely the control class and the experimental class. Learning in the control class is the usual lecture method, while in the experimental class it is done by applying the method of using the internet. The acquisition of learning outcomes data using the learning outcomes test (pretest-posttest). The hypothesis test using covariance analysis aims to determine whether there is an effect of the independent variable on the dependent variable. The results of the data obtained indicate that the effect of using the internet can improve student learning outcomes. The results of inferential statistical analysis obtained the value of Sig.count 0.000 with = 0.05. The results of the analysis indicate that the value of Sig.count is greater than (0.000 > 0.05) so Ho is rejected and H1 is accepted. So it can be concluded that in the learning process by utilizing the internet as a complement to conventional learning can improve student learning outcomes. Thus the internet as a learning resource can improve learning outcomes.
Aprendizaje basado en proyectos como estrategia de formación profesional
Authors: Martinez Valdés Martín Gerardo
Published: December 2021

El objetivo de la presente investigación fue evaluar si el aprendizaje basado en proyectos (ABPr) influye en el desarrollo de competencias de estudiantes universitarios. La investigación se desarrolló a lo largo de dos ciclos académicos con estudiantes de la ingeniería en Desarrollo de Negocios de la Universidad Tecnológica del Usumacinta (UTU), Tabasco, México, y empresas de distintos sectores productivos en un área rural. Para evaluar los resultados se diseñó un cuestionario de 12 ítems aplicado al inicio y término de las actividades de los alumnos. Entre los resultados se encontró una aceptación en la utilización del ABPr como estrategia de aplicación de saberes, en específico para realizar un diagnóstico, interpretación y establecer propuestas para la innovación de productos y servicios en un entorno empresarial. La estrategia de aprendizaje en cuestión promueve el trabajo colaborativo, el autoaprendizaje, la confianza, la responsabilidad y la integración del estudiante con un entorno profesional.
Accounting procedures digital transformation for business processes improvement
Authors:   Lviv Polytechnic National University, Yasinska Alla
Published: December 2021

The article researches the impact of the digitalization and digital transformation process on the construction of functional management systems of modern enterprises. The article materials consider new information opportunities for business models building and business processes organization. Approaches to the improvement of operational processes and their optimization are substantiated. The evidence is given that the possible way to implement digitalization in certain areas may be: the concept (strategy), staff training and education, the new technologies implementation. It is defined that the implementation of the digital transformation of the business model can take place in stages at the level of its individual elements or components. It is supposed reasonable to use a system-oriented approach to management, which is based on understanding the object of management as a whole, the need for internal and external communication links, i.e., a set of related management methods and tools in the enterprise and its structural units. System-oriented management of the digitalization process in the article is considered to involve the business processes transformation. Such processes should be based on perfect digital strategy planning. Important components are the feasibility assessment of practical digital initiatives implementation, monitoring of promising areas of action, forecasting the expected effect of digitalization and comparison of innovative initiatives. The application of a systematic approach to the management of the digitalization process is justified at certain stages, which will allow in a certain sequence and order to get the maximum effect and ensure the achievement of goals and acceptable results. The main stages of system-oriented management of the business processes digitalization process are offered, as well as the main groups of factors of influence (external and internal) on the digitalization implementation process are determined.
Preliminary study on the potential of topical anaesthesia from betel leaf and clove leaf extract
Authors: Ronal Ahmad , Astuti Fadhilah Nadya , Pratiwi Lintang , Prihastari Lisa
Published: December 2021

Introduction: Betel leaf (Piper betle Linn.) and clove leaf (Syzygium aromaticum) are Indonesian herbs which are known to cause a numb sensation. The main ingredients of betel leaf, which act as an anesthetic, are caryophyllene, eugenol, methyl eugenol, eucalyptol (1.8-cineol), linalool, α-Pinene, estragole, while cloves have local anesthetic effects through their ingredients, namely eugenol, and β-Caryophyllene. Research on the benefits of these two ingredients as topical anesthetics in Indonesia is still rare. This study was aimed to describe the potential of betel leaf and clove leaf extract as a topical anesthetic in Wistar rats. Methods: This research was a laboratory experimental research with simple randomized controlled design. The sample consisted of 6 male Wistar rats, each of which was given four treatments, namely extract with a concentration of 50%, 75%, and 100%, and topical anaesthetic benzocaine 20% as a control. Each treatment was tested using an electric stimulator and observed onset, duration of action, and depth of topical anaesthesia. The data were processed using descriptive statistics with tables and graphs. Results: Betel leaf extract with a concentration of 100% had a better mean onset, duration of work, and depth of anesthesia than the 20% benzocaine control, whereas 75% clove leaf extract had the longest duration of action compared to 20% benzocaine and 100% concentration was the topical anesthetic agent with the highest anesthetic depth. Conclusion: Based on the onset, duration of action, and depth of anesthesia, betel leaf, and clove leaf have potential as topical anesthetic agents.
Efek Perbedaan Ventilasi Mekanik Positive End Expiratory Pressure (PEEP) Low dan Moderate terhadap Rasio PaO2/FiO2 Pascabedah pada Kraniotomi Elektif
Authors:   Department of Anesthesiology and Intensive Care, Faculty of Medicine Universitas Diponegoro/Dr. Kariadi General Hospital Semarang, Indonesia, Rizk Muhammad , Harahap M. Sofyan ,   Department of Anesthesiology and Intensive Care, Faculty of Medicine Universitas Diponegoro/Dr. Kariadi General Hospital Semarang, Indonesia
Published: December 2021

Background and Objective: Elective craniotomy is associated with high incidence of postoperative pulmonary complications (PPC, 25%) and mortality (10%). We determined to study the effect of Positive End Expiratory Pressure (PEEP) 5 cmH2O and 8 cmH2O to postoperative PaO2 / FiO2 ratio (PF ratio) in elective craniotomy. Subject and Methods: This randomized clinical trial was at a university hospital in Indonesia. Fifty two elective craniotomy patients (ages 17–55 years, surgical duration> 4 hours, normal lung) were randomized into 2 intervention groups: perioperative mechanical ventilation with low PEEP (5 cmH2O) or moderate PEEP (8 cmH2O). The hypothesis of this study is that the ratio of PaO2 / FiO2 in the moderate PEEP group is higher than low PEEP. Blood gas analysis was performed 24 hours post induction. Results: This study did not show a significant difference in the PaO2/FiO2 ratio between the low PEEP and moderate PEEP groups. The PaO2 / FiO2 ratios of the low PEEP and moderate PEEP groups were respectively: at 24 hours post induction, 429.34 ± 72.25 mmHg and 458.59 ± 71.11mmHg (p = 0.147). Conclusions: Comparison of low PEEP and moderate PEEP in perioperative mechanical ventilation did not result in a significant difference in the value of the PaO2/FiO2 ratio at 24 hours post induction
Las familias ante la encrucijada de la alfabetización mediática e informacional
Authors: Romero Rodrigo Mercedes , Gabarda Méndez Cristina , Cívico Ariza Andrea , Cuevas Monzonís Nuria
Published: December 2021

En la actualidad hiperconectada en la que vivimos, agentes como la escuela, la familia y los medios de comunicación continúan teniendo un papel muy relevante como responsables de la socialización de los menores. Las investigaciones hasta el momento han dado más cabida a las fricciones que ocurren entre estas dos realidades que al trabajo de cooperación que deben realizar para alcanzar un bien común. No obstante, tanto las familias como las escuelas deben ejercer una responsabilidad coordinada y coherente entre las mismas. Partiendo de esta realidad, este estudio analizará el papel de la familia como agente promotor para desarrollar el juicio crítico de los infantes en el contexto de la sociedad de la información. En este sentido, el objetivo de este estudio es ofrecer una serie de propuestas orientadas a las familias respecto a la educación activa de los menores en consonancia con los cinco ejes que propone la UNESCO para la educación mediática e informacional.
Assessment of Social Functioning among Adolescent School Children in Manipur: A Cross-sectional Study
Authors:   Post-graduate Trainee, Department of Community Medicine, Jawaharlal Nehru Institute of Medical Sciences, Imphal, Manipur, India, Erora Konjengbam
Published: December 2021

Background: Globally 10-20% of adolescents experience mental health disorders. The greater part of disease being subclinical, identification has been a big challenge. Social functioning impairment is a sensitive indicator of underlying mental disorder. It forms a baseline for early identification of mental disorders. Objectives: The study plans to assess the social functioning skill and its associated factors among adolescent school children. Methods: The study was conducted among 3200 school-going adolescents studying in class 9th to 12th attending government and private schools located in Imphal-East and Bishnupur districts of Manipur recruited by stratified random sampling technique. The Child and Adolescent Social and Adaptive Functioning Scale (CASAFS), a validated tool consisting of 24 items designed to measure psychosocial functioning, was used. Descriptive and analytical statistics were generated taking p < 0.05 as level of significance. Results: A total of 25 schools were sampled with females constituting 52.3%. Overall 21.8% had good social adaptive functioning skills whereas 29.6% showed poor skills. Around 36.3% showed poor performance in ‘peer relationship domain’ and 27.1% showed poor performance in ‘self-care/ home domain’. Socio-demographic variables such as age, gender, number of siblings, and education of parents were found to be significantly associated with having ‘good social adaptive functioning skill’(p < 0.05). Conclusion: A significant proportion of adolescents face psychosocial issues in their day to day life. Improving social skills will be an effective intervention to reduce mental disorders.
A Survey on Mental Wellbeing among Indian Population during Lockdown-2 of COVID-19 Pandemic
Authors:   Assistant Professor, PG Department of Kriya Sharir, CBPACS, Under Govt. of NCT Delhi, New Delhi, India, Roushan Rakesh
Published: December 2021

Introduction: COVID-19 emerged as a global pandemic and its disastrous effects have been felt all over the world. In India, people faced two phases of lockdown. The Government imposed several restrictions on the residents which increased temporary unemployment for many workers. The pandemic has caused a serious impact on the mental health of the people. This survey was done on the verge of lockdown-2, by using DASS-42 scale questionnaire. The aim of this present study was to access the effect of lockdown-2 on mental wellbeing in the Indian population. Methods: It was a study conducted during the second wave of COVID-19 via an online survey using DASS-42 scale questionnaire in the Google Forms bilingually. The outcome of the questionnaire was the assessment of the degree of depression, anxiety, and stress on Likert scale. Results: 170 individuals participated in this study. All participants experienced stress, anxiety and depression during lockdown. The results revealed that the lockdown affects psychological health of people. There was no association between men and women in terms of the degree of depression, anxiety, and stress on Likert scale. Conclusion: During the second lockdown in India due to the COVID-19 pandemic, the residents suffered from a moderate level of depression, moderate level of stress, and mild level of anxiety. It is also evident that different age groups have experienced a psychological impact of the pandemic. The outbreak of this pandemic indicates the need to pay greater attention to mental health to prevent and diminish the psychological outcomes of the pandemic.
Decortication, thoracic omentalization, and pericardiectomy for treatment of severe fibrosing pleuritis in a cat
Authors: Sack Danny , Hyndman Philip , Milligan Melissa , Spector Daniel
Published: December 2021

CASE DESCRIPTION

A 5-year-old spayed female domestic shorthair cat was evaluated because of an acute onset of dyspnea and open-mouthed breathing.

CLINICAL FINDINGS

Thoracic radiography revealed pleural effusion and signs consistent with restrictive pleuritis, and results of preoperative CT were consistent with diffuse, severe restrictive pleuritis, bilateral pleural effusion, and pulmonary atelectasis. Thoracocentesis yielded a red, turbid fluid that was identified as chylous effusion with chronic inflammation.

TREATMENT AND OUTCOME

Exploratory thoracotomy revealed diffuse, severe fibrous adhesions between the mediastinum, heart, lung lobes, and thoracic wall, with a thick fibrous capsule enveloping all lung lobes. Surgical treatment consisted of complete pleural decortication, pericardiectomy, and thoracic omentalization. The cat remained hospitalized for 6 days, receiving oxygen supplementation, multimodal analgesia, and supportive care. Long-term home care consisted of prednisolone administration, rutin supplementation, and provision of a low-fat diet. At recheck examinations 3-, 7-, and 20-weeks postoperatively, the cat remained tachypneic, but was otherwise clinically normal without dyspnea or respiratory distress. Follow-up thoracic radiography revealed improved pulmonary expansion, decreased pleural effusion, and resolved pneumothorax.

CLINICAL RELEVANCE

Surgical management of fibrosing pleuritis secondary to idiopathic chylothorax in cats has historically resulted in poor outcomes. This report details the first successful use of complete decortication in the surgical management of severe fibrosing pleuritis in a cat.
ИНТЕРПОЛ — МЕЖДУНАРОДНАЯ ОРГАНИЗАЦИЯ КРИМИНАЛЬНОЙ ПОЛИЦИИ
Authors: Филатов В. П.
Published: December 2021

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СУД РЕКУПЕРАТОРОВ ПО РИМСКОМУ ПРАВУ
Authors: Кудряшов С. М.
Published: December 2021

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Scoping Response System Management and Alcohol’s Harm to Others in Lower Middle- Income Countries: A Review Essay
Authors:   University Of Colombo, Hettige Siri
Published: December 2021

Research on harms to others from alcohol abuse remained confined to a few developed countries until recent times. Yet, this situation changed in the last decade when such research expanded into many low and middle -income countries in Asia and elsewhere.
Demonstration and Evlauation of Enset Corm (Ensete venrticosum) Based Oxen Fattening in Kachabira and Lemu Districts, Southern Ethiopia
Authors:   Adami Tulu Agriculutrual Research Centre, Ziway, Gemiyo Deribe
Published: December 2021

A study was conducted to demonstrate and evaluate effects of enset corm (root) supplementation for oxen fed on locally available forage sources under farmer’s management at Kachabira and Lemu districts, southern Ethiopia. 3 kg concentrate mixtures were prepared from wheat bran (86.5%), noug cake (Gizotia abisynnica) 13% and salt (1%) were offered for all animals across farmers. Enset corm offered based on body weight, 1.5-2 kg (0.5-1%) DM basis was offered per head per day as supplements and farmers were considered as replicates. The results indicated that on average, the overall weight change is 81.1 kg per head over the fattening period, 90 days. Oxen supplemented with enset corm gained higher (p<0.05) weight at Kachabira
Quality of Telehealth Services in Delivery of Paediatric Surgical Care in Australia: A Systematic Literature Review
Authors:   Royal Darwin Hospital, De Costa Josephine
Published: December 2021

Telehealth services are commonly used in many aspects of medicine to improve access to medical care for populations in rural and remote regions, and can and do play an important role in ensuring equitable access to paediatric surgery in Australia’s more rural and remote areas.
In vitro Evaluationof the Antimi- crobial Activity of a Topical Skin Preparation Containing 0.1% Polyhexanide vs a Topical Skin Prepa-ration Containing 1% Silver Sulfadiazine
Authors:   Farmaceutici Damor S.p.A, Maglione Barbara
Published: December 2021

Aim: The effective in vitro antibacterial activity on Staphylococcus aureus (S.aureus), Pseudomonas aeruginosa (P.aeruginosa), Klebsiella pneumoniae (K.pneumoniae),Escherichia coli (E.Coli) and the combination of S.aureus and K. pneumonia of a topical cream based on 0.1% polyhexanidewas compared to a topical cream based on 1% silver sulfadiazine.A topical cream containing 0,1% gentamicin was used as a positive control and a white blank topical cream was used as negative control. Materials and Methods: The in vitro antibacterial activities were determined by agar well-diffusion assay. Two-way Analysis of Variance (ANOVA) was used to test, by calculation of P-values, for significant antiseptic activity in bacteria treated with 0.1% polyhexanide topical cream compared to 1% silver sulfadiazine and to the negative and positive controls. Results: Among the derivatives tested, all the active topical creams analyzed were able to reduce microbial strains. The topical cream based on 0.1% polyhexanide showed a significantly higher antibacterial efficacy in comparison to the topical cream based on 1% silver sulfadiazine on S. aureus and K. pneumonia and on the combination of S. aureus and K. pneumoniae,while no significant difference was detected between the antibacterial activity of the two topical creams against P. aeruginosa and E. coli. Conclusion: These results provide a further insight into the antibacterial activity of polyhexanide and its non-inferiority compared to silver sulfadiazine towards certain bacterial strains (P. aeruginosa and E. coli) and superiority towards other (S. aureus and K. pneumoniae)and support the use of 0.1% Polyhexanide topical preparation for the treatment of wounds that are infected or at risk of infection.
Microneedle Radiofrequency Combined with Human Fibroblast Conditioned Media for Acne Scars and Skin Rejuvenation
Authors:   Iora Dermatology Clinic, Edwin Tanihaha
Published: December 2021

Background: Acne vulgaris is one of the most common dermatology problems in the world. Acne scar can cause stress for sufferers. Microneedle Radiofrequency (MR) clinically has an effectiveness treating acne, acne scars and skin aging. MR acting as electrodes and directly deliver radiofrequency energy deep into the skin to induce new collagen production, dermal thickening and re epitelization. Cases: Seventeen patients (12 acne scar and 5 aging patients, 25-50 years old, Fitzpatrick skin type III-IV) with acne scars and aging skin who received three sessions of microneedle radiofrequency treatment for 2 months at 3 weeks intervalper session. Discussion: We use Goodman and Baron’s Global Acne Scarring System to assess the improvement of acne scars. It showed that by qualitative grading system from 12 patients (grade 3 and grade 4 acne scars), 58% patients showed 2 grade improvement, 33% showed1 grade improvement and 8.3% showed 3 grade improvement. Quantitative assessment showed that 58,3% of the patients had moderate improvement, 25% had good improvement and 16,6% had very good improvement. Global Aesthetic Improvement Scale (GAIS) are used to assess the improvement in skin texture, wrinkles graded by physician. It showed 60 % patients has 51 to 75% improvement and 40% patients has 26 to 50% improvement.
Omental Infarction: Unusual Complication after Laparoscopic Proctocolectomy
Authors:   Wayne State University School Of Medicine, D Shahait Awni
Published: December 2021

Omental Infarction is an under-explored origin of acute abdominal pain and has uncertain etiology. Because of its low incidence and nonspecific presentation, it can be difficult to diagnose. However, the increasing use of CT scans in patient evaluation has unveiled this phenomenon. We present the first case of postoperative omental infarction after laparoscopic proctocolectomy with end ileostomy in a 71-year-old male patient, who was successfully treated by removal of the infarct.
Autonomy and Capacity in Transitional Age Youth (TAY) with Serious Mental Illness: Challenges in Mental Health - A Case Report
Authors:   Yale School Of Medicine, Van Deusen Timothy
Published: December 2021

Objective: An admission to a medical or psychiatric inpatient unit is a difficult time during a Transitional Age Youth (TAY)’s life. While some patients recognize the need for their admission, severely ill patients lack insight into their illnessand require involuntary hospitalization, which may impactthe patient’s quality of care, patient-doctor relationship and raise legal and ethical questions to patient’s autonomy, capacity, and their wishes. Methods: Describe the legal and ethical challenges of TAY with serious mental illness and multiple physical illnesses; illustrated by a clinical case. Results: TAYis affected by legal issues involved with treatment in this population, including a patient’s right to refuse treatment, involuntary commitment versus court-ordered treatment, advance directives, health care proxies, and confidentiality. Conclusions: It is critical to recognize the ethical and legal issues encountered by TAY with serious mental illness. Understanding these matters will improvethe provider’s care and enhance their ability to advocate for patients’ rights.
Association of Ageism and Empathy in Young Adults
Authors:   Southeastern Louisiana University, Diez Larsen Keri
Published: December 2021

The purpose of this study was to examine the association between empathy and ageism among undergraduate students. A cross-sectional survey of undergraduate students was conducted at a midsize university in the Southeastern region of the United States.
Dependence of Cognitive and Mental Development in Children with Autism Spectrum Disorder on Thyroid Dysfunction and Cortisol Imbalance
Authors:   Miraculum Medical Center, Maximova Alexandra Alexandrovna
Published: December 2021

Causal relationships and statistically proven correlations have been established between hypothyroidism and / or cortisol imbalance and negative behaviors and violations of mental and cognitive development in children with autism spectrum disorder. Also, correcting hormonal disorders led to a decrease in negative behaviors and noticeable improvements in mental states and cognitive functions. Successful therapeutic strategies are proposed for all types of hormonal disorders considered.
Adult Health Behaviors Associated with Chronic Kidney Disease: 2003-2006 NHANES Data
Authors:   New York Univeristy Rory Meyers College Of Nursing, New York, United States, Clark-Cutaia Maya N
Published: December 2021

The study objective was to explore the distribution of healthy behaviors across the Chronic Kidney Disease (CKD) spectrum using a national sample.
Evaluation of the Empiric Treatment of Peritoneal Dialysis-Related Peritonitis
Authors:   Department Of Pharmaceutical Sciences, Vancouver General Hospital,, Cheng Elaine
Published: December 2021

Peritonitis is a serious complication of Peritoneal Dialysis (PD). At our hospital, PD- related peritonitis is treated empirically with intraperitoneal cefazolin plus ceftazidime.
The Impact of Preeclampsia on Work-Related Psychosocial Aspects and Need for Recovery
Authors:   Radboud University Medical Center, HEC Muijsers
Published: December 2021

Women with a history of preeclampsia and/or Hemolysis Elevated Liver enzymes Low Platelets (HELLP) syndrome report impaired cognitive functioning, such as concentration problems and decreased memory function. The presence of subjective cognitive impairment, depressive symptoms and cognitive deficits may affect working abilities.
A Review of Oncologist’s Knowledge and Awareness Regarding Fertility Preservation
Authors:   American University Of Beirut Medical Center, Ghazeeri Ghina
Published: December 2021

The recent quantum leaps in various management modalities in oncology have led to unanticipated survival rates. This has constituted a plea for amelioration in the quality of life of cancer patients of reproductive age, at the core of which is Fertility Preservation (FP).
How to Interpret Semen Analysis Results: What every Gynecologist and General Practitioners Should Know
Authors:   Andrology Laboratory Services Inc, RS Jeyendran
Published: December 2021

Infertility is defined as the inability to conceive after at least one year of regular, unprotected sexual intercourse [1] and affects one out of eight couples of reproductive age in the United States. Estimates suggest that a significant percentage of such cases result from defective semen quality in the male [2].
Telomeres Length Change in Peripheral Blood Lymphocytes of Psychotic Patients with Schizophrenia
Authors:   Russian Academy Of Sciences Institute Of Higher Nervous Activity And Neurophysiology, Yurevich Arkhipov Andrey
Published: December 2021

In patients with schizophrenia life expectancy is shorter compared to the general population and the main causes of early mortality are somatic diseases. Schizophrenia is a complex disorder with a high risk of inheritance and is increasingly recognized as a systemic disorder, presumably having a common genetic basis with various somatic disorders. Modern research methods allow us to discover the mechanisms of etiology, pathogenesis and outcome of diseases. Changing the length of telomeres in the cells of organisms reflects the processes of development and degradation of cells, as well as the stages of its life cycle. The reduction in Telomere Length (TL) is considered one of the biological markers associated with age and can be accelerated by comorbid conditions in schizophrenia.
Acknowledging Sex Differences in In vivo Experiments: Dilemma
Authors:   Medical Faculty Safarik’s University, Svorc Pavol
Published: December 2021

The role of the Autonomic Nervous System (ANS) and its organ-specific functions are largely elucidated. Heart Rate Variability (HRV) analysis is a popular tool for the assessment of autonomic cardiac control. Heart rate and its changes are a sensitive indicator of ANS function, therefore cardiovascular autonomic regulation is considered to be the most reliable indicator of ANS activity and status. HRV refers to beat to beat variation in the heart rate that quantifies the interplay between sympathetic and parasympathetic activity of the ANS. Although patterns of HRV hold considerable promise for clarifying issues in clinical applications,
Dermal Irritation Study of Pankajakasthuri Orthoherb Cream/Thermagel, a Potent Polyherbal Anti-inflammatory and Analgesic Formulation for Topical Application in Healthy New Zealand White Rabbits
Authors:   Pankajakasthuri Ayurveda Medical College Campus, S Sasidharan
Published: December 2021

Pankajakasthuri orthoherb cream/thermagel is a polyherbal topical medication formulated for managing inflammation and pain. The objective of the present study was to evaluate the skin irritation potential of Pankajakasthuri orthoherb cream/thermagel on a single and repeated application in New Zealand white rabbits. The rabbits were dermally exposed with Pankajakasthuri orthoherb cream/thermagel and the appearance of each application site at 1 h, 24 h, 48 h, 72 h, 7th day and 14th day was recorded. The dermal reactions (erythema and edema) were evaluated according to the skin reactions scoring system. Pankajakasthuri orthoherb
The pattern of systemic inflammation index in normotensive non-dipper and dipper hypertensive patients
Authors: Emlek Nadir , Aydin Cihan
Published: December 2021

Objective: Continuous inflammation at the level of the vascular endothelium plays an important role in the formation of hypertension. Diurnal blood pressure (BP) variation also is a risk factor for hypertensive target organ damage. This study planned to evaluate these inflammation processes in normotensive and hypertensive patients.

Methods: This study is observational cross-sectional cohort in-design. 151 patients with a prediagnosis of hypertension included. The patients were divided into three groups (group 1: dipper normotensive, group 2: non-dipper normotensive, group 3: dipper-hypertensive) based on the results of ambulatory blood pressure monitoring. The groups were compared in terms of systemic inflammation index (SII; platelet count×neutrophil count/lymphocyte count), neutrophil to lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR) and other inflammation processes.

Results: There was a significant difference between the three groups in terms of mean platelet volume (MPV) and red blood cell distribution width (RDW) levels (p=0.001 and p<0.001, respectively). A statistically significant difference was found between the groups in terms of NLR, PLR, systemic inflammation index, lymphocyte-monocyte ratio (LMR). In subgroup analysis, NLR and systemic inflammation index were similar in group 2 and group 3, but higher than in group 1 in both groups. LMR was similar in group 2 and group 3 but lower than in group 1. In subgroup analysis PLR levels were similar in group 2 and group 3 but higher than group 1 in both groups.

Conclusion: This study showed that normotensive non-dipper patients had inflammation as much as dipper hypertensive patients according to measurement of MPV, RDW systemic inflammation index, PLR, NLR levels.
Hydrogeological Conditions of Qazaniyah Sub-basin in Diyala / Iraq
Authors: Muhsin Zahraa. M. , Al-Kubaisi Qusai .Y.
Published: December 2021

The study area is located in the eastern part of the Diyala Governorate close to the Iraqi-Iranian border. This study was set to investigate the hydrogeological calculations of northeast of Qazaniyah wells where the groundwater moves in directions of from the northeastern parts towards the southwestern par, that is, the same direction of the topography and the same direction of the tendency of the layers t. The study‘s region is characterized by visible geological layers or those that can be penetrated to a reasonable depth by wells which are sedimentary rocks deposited in continental or semi-continental conditions in the bays. From the study of the hydraulic properties of the two hydrogeological and exemplary systems, the values of transmissivity, permeability and storage coefficient are ranged between 1.94- 5.73 m2/day, 1.02- 3.92 m/day and1.40 x 10-5- 2.62 x 10-4, respectively. While the estimated value of transmissivities, which are obtained from specific capacity, ranged between 6.27- 8.62 m2/day. This variance in the values indicates the broad differences in the values Lithology of aquifers, which seems to be influenced by the strength and the number of fractures and joints.
Prácticas de crianza de las familias españolas durante el periodo de confinamiento por coronavirus
Authors: Valverde Montesino Susana , Martín Martín Margarita Carmen , Solbes Canales Irene
Published: December 2021

Introducción.  La situación de pandemia mundial asociada al coronavirus ha supuesto, entre otras medidas, el confinamiento de las familias españolas en casa durante varias semanas, sin colegio ni contacto con nadie ajeno al núcleo familiar. Los estudios realizados a nivel mundial indican que este tipo de medidas y el contexto de crisis podrían acarrear consecuencias psicológicas negativas para la salud mental de los niños y sus familias, las cuales podrían ser mitigadas con la aplicación de pautas de crianza cercanas a un modelo de parentalidad positiva.  
Método. 336 madres y padres de niños de entre 2 y 8 años de edad respondieron a un cuestionario sobre principios de crianza (Parenting Pentagon Model) durante el confinamiento. Los resultados fueron analizados a nivel descriptivo para toda la muestra, considerando también las variables sociodemográficas familiares que modularon las prácticas parentales aplicadas.
Resultados. Según la opinión de las familias, las prácticas de crianza durante el periodo de confinamiento se acercan mayoritariamente a lo indicado en el modelo de parentalidad positiva. Los principios de crianza más comunes entre las familias son aquellos relacionados con el amor incondicional, seguido de la promoción de independencia y el establecimiento de normas. Se observaron ligeras diferencias relacionadas con el sexo del progenitor, del niño, la edad de los hijos, de los padres y los niveles educativos alcanzados por los progenitores.  
Discusión y conclusiones. Los padres dieron gran importancia al amor incondicional por encima de otros aspectos de la crianza durante el confinamiento, aunque en todos los principios obtuvieron puntuaciones elevadas, lo que podría indicar una percepción positiva sobre sus prácticas parentales durante el confinamiento, cercana a lo recomendado por los expertos. Se sugiere profundizar en el estudio de las prácticas familiares aplicadas en periodos de crisis y estrés como la actual pandemia, con el fin de diseñar estrategias preventivas y de intervención que proporcionen todos los apoyos necesarios y garanticen la salud mental de los niños.
Experimental study on the ability of different biogas level dual fuel spark ignition engine: Emission mitigation, performance, and combustion analysis
Authors: Simsek Suleyman , Uslu Samet , Simsek Hatice
Published: December 2021

The major aim of the research is to investigate the ability of biogas as an alternative fuel for gasoline-powered Spark Ignition (SI) engine. In this study, biogas/gasoline fuel mixtures containing different ratios of biogas, gasoline, and biogas were tested in an SI engine with an increased compression ratio at different engine loads and constant engine speed. According to the comparison with gasoline, the utilization of biogas generally decreased the Brake Thermal Efficiency (BTE), while the Brake Specific Fuel Consumption (BSFC) rose. The lowest BTE and the highest BSFC were obtained with 100% biogas. Compared to gasoline, a decrease of 16.04% and an increase of 75.52% were observed, respectively. On the other hand, the use of biogas has improved all emissions. The best emission values were obtained with 100% biogas. Compared to gasoline, Carbon monoxide (CO), HydroCarbon (HC), and Nitrogen Oxide (NOx) emissions decreased by 56.42%, 63%, and 48.96%, respectively. Finally, according to the results of the combustion analysis, the peak pressures were reduced with the utilization of biogas, and the position of the peak pressure shifted by 2° to 3° Crank Angle (CA). Compared to gasoline, the lowest pressure was obtained with 100% biogas, resulting in a reduction of approximately 24.69%.
Optical and microwave observation of forest restoration after abnormal fires
Authors: Dmitriev A.V. , Chimitdorzhiev T.N. , Dagurov P.N. , Kirbizhekova I.I.
Published: December 2021

The paper discusses the possibility of a forest undergrowth detecting with help of polarimetric decompositions and time series analysis of ALOS-2/PALSAR-2 and Sentinel-1 radar images. The presented results show principal possibility of confidently identifying the growth of forest stands.
Detection of spring wheat plants affected by powdery mildew using hyperspectral survey data
Authors: Gurova T.A. , Dubrovskaja O.A. , Elkin O.V. , Maximov L.V. , Pestunov I.A. , Altukhov V.G.
Published: December 2021

In laboratory experiments, spectral characteristics of three varieties of Siberian selection spring wheat affected under field conditions by powdery mildew (Blumeria graminis (DC.) Speer) were obtained using hyperspectral camera. The variety specificity of the reflectivity of wheat leaves affected by powdery mildew with the same severity has been established. A change in the leaves reflectivity depending on the severity was revealed. The most informative spectral indicator (index) for the powdery mildew detection has been determined.
A web application for visualization, analysis, and processing of agricultural monitoring spatial-temporal data
Authors: Pushkarev A.A. , Yakubailik O.E.
Published: December 2021

The paper discusses some features of the client and server implementation of a web application for visualization, analysis, and processing of spatial-temporal data using the react JavaScript library and the organization of a software infrastructure for convenient development using the Redux library. Architectural solutions for building the system are presented. Further development plans are described.