bluuebunny/crossref_metadata_2025 huggingface dataset:
Implementasi Perangkat Pembelajaran Kurikulum 2013
Authors: Salim Salim , Abubakar Sitti Rahmaniar , Nurhayati Nurhayati , Saputra Hendra Nelva
Published: March 2022

Tujuan dilakukannya penelitian ini adalah (1) untuk mendeskripsikan pelaksanaan perangkat pembelajaran kurikulum 2013 oleh guru Sekolah Dasar di Kota Kendari, (2) untuk menganalisis perbedaan implementasi perangkat pembelajaran kurikulum 2013 oleh guru Sekolah Dasar di Kota Kendari, (3) untuk mengetahui kendala-kendala guru dalam menerapkan perangkat pembelajaran kurikulum 2013 pada Sekolah Dasar di Kota Kendari. Penelitian ini menggunakan metode mixed methods yaitu penelitian yang menggabungkan penelitian kualitatif dan kuantitatif. Metode analisis data dengan mixed method menggunakan strategi eksploratoris sekuensial. Hasil penelitian ini menujukkan bahwa (1) guru-guru Sekolah Dasar di Kota Kendari sudah baik dalam melaksanakan perangkat pembelajaran berkategori cukup baik, (2) tidak terdapat perbedaan penggunaan perangkat pembelajaran kurikulum 2013 oleh guru Sekolah Dasar di Kota Kendari ditinjau dari status akreditasi sekolah, (3) Kendala yang dihadapi guru-guru Sekolah Dasar se-Kota Kendari pada umumnya terkendala terbatasnya sumber belajar/informasi, terbatasnya sarana dan prasarana, kurangnya updatenya kemampuan guru dibidang pedagogik.
Flexibility, choice, and labour law: The challenge of on-demand platforms
Authors: Katsabian Tammy , Davidov Guy
Published: March 2022

Working through platforms is a recent but fast-growing phenomenon, with obvious implications for workers’ rights. Discussions have so far focused on the status of platform-based workers, but, recently, a growing consensus is emerging by courts around the world that workers for platforms such as Uber are in fact employees. As a result, legal disputes are likely to shift, to a large extent, from status questions to working-time questions. This might seem like a very specific issue, but, in fact, it has crucial implications for the entire model of platform work, and addressing this question requires us to rethink some of the fundamental pillars of labour law, notably whether more room should be opened for flexibility and individual choice within this system. We argue that one aspect of the platform model – ‘work on demand,’ which allows workers to log into the app whenever they wish to do so – poses a difficulty. Workers should be compensated for the time they are ‘on call’ and available to work. But platforms can be expected to respond by assigning workers to pre-set shifts to avoid paying for an unknown amount of working hours, thereby dismantling the ‘on-demand’ model. Such a change would be welcomed by many employees, who will gain more security, but others can be expected to object to losing the flexibility which they value. We consider possible solutions that could allow workers to choose the ‘on-demand’ model. While rejecting the possibility of allowing employees to waive on-call compensation rights, we consider several intermediate solutions that ensure partial payments for this time or exempt employees with another full-time job. The proposed solutions are based on the understanding that more choice is preferable in labour law as long as we can protect the interests of the affected employees and eliminate the externalities that some choices might generate for other workers.
Islamic Education and Character Building in The 4.0 Industrial Revolution
Authors: Adnan Mohammad
Published: March 2022

This article describes the concept of Islamic education, in which case the emphasis is on the implementation of Islamic religious education. The implementation of Islamic religious education itself is an effort to instill the values ​​of Islamic aqeedah to every student as an effort to create a generation of Muslims who can and are able to live and believe in every truth in the teachings of Islam itself. This article uses a literature review method with content analysis design. Students are willing to practice the values ​​of Islamic teachings at any time, whenever, and wherever the teachings of Islam want to be conveyed are the problems of Islamic education should not be taken for granted so that Islamic education can compete and become educational goals that are achieved. The application of Islamic education in the industrial revolution 4.0 era is very important in developing the quality of children's potential, both in mastering science and technology as well as in terms of character, attitude and appreciation, and practice of religious teachings.
Character Education Strategy at Boarding School
Authors: Mahmud Mahmud , Hanif Muhammad , Hidayatullah Muhammad Fahmi
Published: March 2022

The purpose of this article is to describe and determine the planning, implementation, and evaluation of character education at the Qur'an Al-Qosimi Islamic Boarding School. The method in this study uses a qualitative method with the type of case study. The subjects of this study were students of the Al-Qur'an Al-Qosimi Islamic Boarding School. From the findings obtained from character education in PPQ through habituation, giving advice, exemplary, practice and giving rewards and punishments. This article produces (1) Planning that adapts the vision and mission from here, each supervisor has various strategies according to their creativity and abilities. (2) Implementation, namely training and instilling the spirit of honesty, independence, responsibility, compassion, mutual cooperation, simplicity, this can be realized by practicing habituation in everyday life, monitored, supervised, sanctioned, and rewarded, students will be stimulated to do which is even better every time you take action. (3) Evaluation of character formation cannot be carried out by administrators and caregivers alone but must involve other parties as supporters of the success of character education at PPQ so that PPQ cooperates with the pesantren community, santri guardians, and monitors every activity inside and outside the pesantren, so that makes it easier to evaluate each individual student.
What Does Current Evidence Say About Prenatal Education to Succeed Alquran Hafiz
Authors: Basir Abd. , Syahbudin Akhmad , Yahya M. Daud , Armizi Armizi , Yustiasari Liriwati Fahrina
Published: March 2022

This study aimed to find scientific evidence of success for parents in preparing Hafiz Al-Quran for an excellent birth or pregnancy period. The authors believe that education in preparing hafid of the Qur'an can be done before birth. For this reason, many published reviews in the form of evidence of scientific studies have been carried out on many national and international publications that discuss the issue of prenatal education for the success of the Hafiz Al-Quran cadre. Data analysis begins with a study of data coding, in-depth evaluation, and drawing conclusions based on evidence that can answer this study question. This study relies entirely on secondary data that we searched electronically. Based on the analysis and criticism of the data, we can conclude that it is true that the study evidence states that education in producing Hafiz Qur'an cadres can also be started when the baby is still in the womb. Thus, these findings should serve as supporting data for similar studies in the future.
Non-Formal Education Management for The Residents of The Rejang Lebong Development Institution
Authors: Yanto Murni
Published: March 2022

In The Class IIA Correctional Institution Rejang Lebong in giving directions to prisoners, it provides non-formal training administration as a Package C equivalency school. In offering this instructive assistance, good administration is expected to achieve quality instructive goals. Objectives of exploration: (1) implementation of non-formal instruction program at Rejang Lebong Penitentiary, (2) obstacles faced, and efforts to conquer obstacles in Lapas Rejang Lebong. This kind of examination is a subjective exploration of graphics. Procedures vary information based on perceptions, meetings, and documentation. The results showed that the implementation of a non-formal instruction program for prisoners completed by the penitentiary had gone very well, despite the fact that it actually faced many obstacles. Prison helps PKBM "Bina Sejahtera" which is under the control of the Ministry of Education and Culture.
Microsponge Mediated Targeted Drug Delivery System for the Treatment of Fungal Infection
Authors: Mantry Shubhrajit , Momin Alim , Panhale Siddhi , Joshi Sumit , Dama Ganesh
Published: March 2022

The microsponge delivery system is a profoundly cross-connected permeable, polymeric microsphere, polymeric system comprising of permeable microspheres that can capture and delivery them into the skin throughout a significant stretch of time. This system furnishes broadened discharge with diminish disturbance, better resistance, worked on warm, physical and compound steadiness. The principal objective of any prescription transport structure is to achieve needed gathering of the medicine in blood or tissue, which is therapeutically incredible and non-noxious for a somewhat long period in this review different strategy for planning of microsponge drug delivery system are considered. Different benefits are likewise given which shows the significance of this strategy for the delivery of medication over the other medication delivery system. An ever increasing number of advancements in delivery system are being coordinated to enhance the adequacy and cost viability of the treatment. Microsponge innovation offer entanglement of fixing and is accepted to contribute towards lessen incidental effects, further developed strength, expanded style, and improved plan adaptability. Furthermore various examinations have affirmed that microsponge systems are not bothering, non-mutagenic, non-allergenic and non-harmful Microsponge delivery innovation is being utilized at present in beauty care products, over the counter, healthy skin, and sunscreen and remedy items.
Pursuing Public Health Dentistry as a Career: Motivations and Factors Influencing the Dental Students
Authors: Kandhro Rehmatullah , Memon Khalida Naz , Zaman Nimra , Talpur Nida
Published: March 2022

Introduction: A person’s career is the process and actions he or she takes to achieve lifetime goals through his or her occupation.Choosing a career is one of the most important decisions one will ever make. Dentistry yields an extensive scope of career and employment chances as a general professional and specialist Objectives: This study sought the career choices of public health dentistry by dental students and association between sociodemographic profiles of study population with reasons of choosing public health dentistry as a career. Methods: Cross sectional study conducted atInstitute of Dentistry, Liaquat University of Medical and Health Sciences Jamshoro from 1st March 2021 to 31st May 2021.Sample of 197 undergraduate students were approached using convenience sampling. Data was collected through preformed, validated paper-based survey questionnaire. Association between various socio-demographic variables and career interests of participants was sought by Chi-square tests at 0.05 (2-tailed) level of significance. Results: Around 69.54% of participants belonged to age group of 21-23 years with females accounting for 59.39%. Around 40% participants chose dentistry to please people. A large majority around 62.42% respondents stated that they find public health dentistry an interesting field. Age (p=0.08) and gender (p=0.06) of the individuals were not statistically connected with future career choice in dentistry. Conclusion: Reasons for choosing public health dentistry as a career among the surveyed dental students are mostly related to socio-demographic factors.
A Comparative Study of the Effectiveness of Anticonvulscants in the Treatment of Tinnitus
Authors: Rajguru Anagha , Ahmed Kaenat , Sravya Yarlagadda Lakshmi , Karna Samiksha
Published: March 2022

Introduction: Tinnitus is defined perception of an audiological sensory impulse in the absence of any external force. There are various causes considered for the pathophysiology of tinnitus but none are established. Carbamazepine is a commonly used anti-epileptic drug that functions by depressing the CNS response to excitatory stimuli. Gamma aminobutyric acid (GABA) is the major inhibitory neurotransmitter throughout the central nervous system and is also expressed in the inner ear. Piracetam is a commonly used anti-epileptic that is known to increase cerebral blood flow and perfusion. Methods: A group of 80 patients were evaluated by taking a detailed history and a subjective assessment of the tinnitus using Tinnitus Handicap Inventory Questionnaire. The patients were followed up for 3 months and were assessed with Pure Tone Audiometry both pre and post treatment to evaluate which drug is better. The patients were randomized into 3 groups and one control group. Each group consisted of 20 patients. Results: The study consisted of 46 males and 34 females. A significant difference was seen when the results of group A and C were compared with p-value 0.00512, 0.00512 and 0.0083 and U value 0, 0 and 1 showing improvement from severe to moderate, moderate to mild and mild to normal. A comparison of group A and D showed a significant change from severe to moderate, moderate to mild and mild to normal with p-value 0.00512, 0.00512 and 0.0512 respectively and U values 0, 0 and 0 respectively. Conclusions: In our study, we concluded that use of Piracetam helps in reducing tinnitus and the treatment should continue as long it persists. Thus, Piracetam and Gabapentin are effective as a modality of treatment in suppressing tinnitus according to this study. We hope that our outcomes will be helpful for patients suffering from chronic tinnitus.
COVID-19 and the Ethics of Whom to Treat First: A Utilitarian Approach
Authors: Akudolu Linus Oluchukwu , Okwuosa Ikechukwu Kenneth , Okolie Charles N. , Okoro Edward Ajanwachukwu , O. Eze Hillary
Published: March 2022

The scarcity of resources in healthcare is always a problem. The problem is worsened by rising cases of coronavirus, mounting pressure on the available limited resources. The ethical issue emanating from this situation is the problem of whom to treat first. In the midst of scarce medical resources, who shall receive medical attention first? Between an ordinary patient and victim of coronavirus, between the critical and mild victim, and between the aged and the young, who shall be treated first? The paper adopted a utilitarian approach in solving the problem. The finding is that the number of persons to benefit from treating a particular patient, duration of treatment, age and health condition of the patient, chances of recovery, and quality of life after recovery are factors to be considered in taking the ethical decision. The work is qualitative research using library materials such as journal articles, books and unpublished materials as sources of data, while hermeneutics and philosophical analysis are applied in studying them.
Sindromul Heyde. Stenoza aortică, factor de risc pentru sângerarea gastrointestinală | [Heyde syndrome. Aortic stenosis, risk factor for gastrointestinal bleeding]
Authors: Guzgan Constantin , Zara Cornelia , Rus Horațiu , Bobescu Elena
Published: March 2022

Heyde syndrome is a multisystemic condition characterized by the presence of aortic stenosis, gastrointestinal bleeding, and acquired von Willebrand syndrome. We will present the case of an 81-year-old patient, known with symptomatic severe aortic stenosis, with permanent atrial fibrillation, recurrent pleurisy, and iron deficiency anemic syndrome secondary to upper digestive bleeding corrected with blood transfusions. Evaluation by endoscopy revealed gastric angiodysplasia, so after the complete paraclinical evaluation the diagnosis of Heyde syndrome was established. Valve surgery is the gold standard in the treatment of aortic stenosis associated with Heyde syndrome, the angiodysplasia being reversible after the intervention, and the deficiency of von Willebrand factor multimers is quickly recovered with the decrease of the risk of bleeding.
Rezumat
Sindromul Heyde este o afecțiune multisistemică caracterizată prin prezența stenozei aortice, sângerărilor gastrointestinale și a sindromului von Willebrand dobândit. Vom prezenta cazul unui pacient în vârstă de 81 ani, cunoscut cu stenoză aortică severă simptomatică, cu fibrilație atrială permanentă, pleurezie recidivantă și sindrom anemic feripriv secundar hemoragiei digestive superioare, corectat inclusiv cu preparate de sânge. Evaluarea prin endoscopie a relevat angiodisplazia gastrică, astfel după evaluarea paraclinică completă s-a stabilit diagnosticul de sindrom Heyde. Chirurgia valvulară este standardul de aur în tratamentul stenozei aortice asociată cu sindrom Heyde, angiodisplazia fiind reversibilă, iar deficitul de multimeri de factor von Willebrand este rapid recuperat cu scăderea riscului de sângerare.
Contaminarea telefoanelor personalului medical și posibilitatea dezinfectării acestora | [Contamination of medical staff’s phones and the possibility of their disinfection]
Authors: Sbera Roxana , Badea Mihaela , Rogozea Liliana , Idomir Mihaela
Published: March 2022

Mobile phones have become an essential "accessory" in modern society. Their use in hospitals can increase the quality of the medical act by allowing prompt communication between departments or the rapid search for data. Several studies demonstrate the possibility of microbial contamination of phones, mostly in the medical field, especially with species of gram-positive cocci (Staphylococcus, Enterococcus, Streptococcus) and gram-negative bacilli (Escherichia coli, Pseudomonas spp., Proteus spp.) including multidrug-resistant bacterial strains (MRSA, ESBL). The implementation of disinfection protocols for phones with ethanolic solutions has significantly reduced the level of contamination.
Rezumat
Telefoanele mobile au devenit un „accesoriu” esențial în societatea modernă. Folosirea în spitale a acestora poate crește calitatea actului medical permițând o comunicare promptă între departamente sau căutarea rapidă a unor date. Numeroase studii demonstrează posibilitatea contaminării microbiene a telefoanelor mobile, cu precădere în domeniul medical, mai ales cu specii de coci gram pozitivi (Staphylococcus, Enterococcus, Streptococcus) și bacili gram negativi (Escherichia coli, Pseudomonas spp., Proteus spp.), inclusiv tulpini bacteriene multirezistente (MRSA, ESBL). Aplicarea de protocoale de dezinfecție a telefoanelor cu soluții etanolice a redus semnificativ nivelul de contaminare.
Dr Mozes Karoly (1917-2005), pionier al educației nursing, un ex-libris medical | [Dr Mozes Karoly (1917-2005), pioneer of nursing education, on a historical medical ex-libris]
Authors: David Liliana , Dumitrascu Dan L. Dumitrascu , Rogozea Liliana
Published: March 2022

This historical vignette displays an ex-libris dedicated to Doctor Mozes Karoly, created by the well-known Oradea artist Karoly Roman Radvany. This artwork displays the portrait of an old man with a beard examining a skull and surrounded by books. There is the vanitas theme influence in this between-wars artwork. Doctor Mozes Karoly contributed decisively to the launching of the „sanitary school” from Oradea, Bihor County and thus he contributed to the teaching of nursing in Western Transylvania. Besides the first publication of this ex-libris, the present vignette of the history of medicine shows the role of dr. Karoly in the development of nursing in this country.
Rezumat
Această vignetă istorică prezintă un ex-libris dedicat medicului Mozes Karoly, efectuată de binecunoscutul artist plastic orădean Karoly Roman Radvany. Lucrarea de artă reprezintă portretul unui bărbat care ține în mână un craniu și este înconjurat de cărți. Se găsește tema vanitas în această lucrare de artă interbelică. Doctorul Mozes Karoly a avut contribuții decisive la inaugurarea școlii sanitare din Oradea, Bihor și prin aceasta a contribuit la învățământul de nursing din Vestul Transilvaniei. Pe lângă publicarea inedită a acestui ex-libris, această vignetă de istoria medicinei prezintă aportul dr. Karoly la dezvoltarea nursingului în țara noastră.
Abordarea investigațiilor imagistice în evaluarea afectării cardiace în contextul pandemiei COVID-19 | [The use of imaging techniques in cardiac evaluation during COVID-19 pandemic]
Authors: Ivașcu Mădălina , Bogdan Denisa A. , Enache Roxana , Găitan Andreea , Gheorghe Adrian , Rus Horațiu , Bobescu Elena
Published: March 2022

The new Coronavirus pandemic has exposed healthcare professionals to a higher risk of morbidity and mortality. In order to protect the medical personnel, the patients and also to reduce the economic burden set upon the medical systems from around the world, the imaging techniques must be applied only in situations that can improve therapeutic management. This article intends to analyze the existing recommendations in the medical journals regarding cardiac imaging techniques during this pandemic period. The article also tries to summarize the main indications of those imaging techniques as well as highlighting the protective measures taken by the medical personnel during patient care.
Rezumat
Pandemia COVID-19 a expus profesioniștii din domeniul sănătății la un risc infecțios ridicat, cu rate crescute de morbiditate și mortalitate. Pentru a proteja personalul medical, pacienții, dar și pentru a reduce povara economică cu care se confruntă sistemele de sănătate din întreaga lume, explorările imagistice trebuie limitate doar la acele investigații care pot schimba managementul terapeutic. Prezentul articol își propune să analizeze recomandările existente în prezent în publicațiile de specialitate în ceea ce privește explorările imagistice ale aparatului cardiovascular în contextul actual al pandemiei COVID-19 și să sumarizeze principalele indicații ale acestora, precum și modalitățile de protecție a pacienților și a personalului medical în timpul actului medical.
De ce personalul medical a pierdut din credibilitate | [Why the medical staff lost partial their credibility]
Authors: Rogozea Liliana
Published: March 2022

No abstract
Profilul clinico-biologic în pneumonia comunitară la copil. Studiu clinic | [Clinical and biological profile in community-acquired pneumonia in children. Clinical study]
Authors: Horga Adeline Larisa
Published: March 2022

Introduction: In community-acquired pneumonia, prolonged antibiotic therapy affects the duration of hospitalization, both of which are a challenge for researchers. Until pulmonary ultrasonography and multiplex PCR analysis become point-of-care in the diagnosis of community-acquired pneumonia, chest x-ray, C-reactive protein, and procalcitonin remains the main study parameters. Objective: Outline a clinical-biological profile in patients with acute community-acquired pneumonia hospitalized in the Pediatric Clinic Hospital of Sibiu. Discussions: The clinical-biological profile consisted of the most significant study parameters, respectively: age, exposure to smoking, previous hospitalizations, fever, duration of fever, respiratory rate, respiratory failure, leukocyte count, neutrophils and lymphocytes percentage, hemoglobin, MPV at admission, and in evolution, C-reactive protein, procalcitonin, normalization of leukocyte indices, procalcitonin, and C-reactive protein. Conclusions: The clinical-biological profile resulting from the study data facilitates the differentiation of acute community-acquired pneumonia from other lower respiratory tract diseases, leading to better case management with decreased duration of antibiotic therapy and length of hospitalization.
Rezumat
Introducere: În pneumonia comunitară antibioterapia prelungită se repercută asupra duratei de spitalizare, ambele situații reprezentând o provocare pentru cercetători. Până când ultrasonografia pulmonară și analiza PCR multiplex devin point-of-care în diagnosticul pneumoniei comunitare, radiografia pulmonară, proteina C reactivă și procalcitonina rămân principalii parametri de studiu. Obiectiv: conturarea unui profil clinico-biologic la pacienții cu pneumonie acută comunitară internați în Clinica Pediatrie Sibiu. Discuții. Profilul clinico-biologic a fost constituit din cei mai semnificativi parametri de studiu, respectiv: vârsta, expunerea la fumat, internări anterioare, febră, durata febrei, frecvența respiratorie, insuficiența respiratorie, număr leucocite, procent neutrofile, procent limfocite, hemoglobina, MPV la internare și în evoluție, proteina C reactivă, procalcitonina, normalizarea indicilor leucocitari, a procalcitoninei și a proteinei C reactive. Concluzii. Profilul clinico-biologic rezultat din datele studiului facilitează diferențierea pneumoniei acute comunitare de alte afecțiuni ale tractului respirator inferior, aceasta ducând la o mai bună manageriere a cazurilor cu scăderea duratei antibioterapiei și a duratei de spitalizare.
Importanța nivelurilor proteinei C reactive serice în COVID-19 | [The importance of serum C-reactive protein levels in COVID-19]
Authors: Costinaș Carmen-Sarah
Published: March 2022

Introduction: COVID-19 is an infectious disease caused by the novel coronavirus SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2). World Health Organization declares COVID-19 a global pandemic on the 11th of March 2020. Objective: Considering that there is no successful treatment to cure the disease, it is highly important to find a way to predict the severity of the infection in order to improve healthcare strategies. Some serum biomarkers are linked to the infection and evolution of COVID-19. Discussions and conclusions: Among other biomarkers, C Reactive Protein (CRP) is useful in anticipating the poor outcome in COVID patients. For every 1 unit increase in CRP levels, the risk of developing a severe form of COVID-19 increases by 5%. Besides its predictive role, CRP guides the doctors in taking the decision of administrating dexamethasone to decrease the systemic inflammation induced by SARS-CoV-2.
 Rezumat
Introducere: COVID-19 este o boală infecțioasă cauzată de noul coronavirus SARS-CoV-2 (coronavirus producător de sindrom respirator acut sever). Organizația Mondială a Sănătății declară pandemie de COVID-19 pe 11 Martie 2020. Obiectiv: Având în vedere că nu exită un tratament curativ pentru această boală, este important să se descopere o modalitate de a prezice evoluția cu potențial sever, cu scopul de a îmbunătăți strategiile salvatoare de viață. Anumiți markeri serici se corelează cu infectarea și evoluția COVID-19. Discuții și concluzii: Printre alți biomarkeri serici, se distinge proteina C reactivă (PCR) care ajută la anticiparea evoluției nefavorabile a pacienților COVID. Pentru fiecare unitate PCR crescută, riscul de a dezvolta o formă severă crește cu 5%. Pe lângă rolul său predictiv, PCR ajută medicii să selecționeze cazurile ce ar beneficia de tratamentul cu dexametazonă, menit să combată inflamația sistemică indusă de SARS-CoV-2.
Hemoragia intraventriculară: prezentare de caz | [Intraventricular bleeding: a case presentation]
Authors: Onișor Maria Octavia , Șalvar Alexandra Antonela , Cîrlig Doinița , Grigore Carmen , Oțelea Carmen , Falup Pecurariu Oana Gabriela
Published: March 2022

Introduction: Intracranial bleeding has potentially devastating effects on the nervous and cardiovascular system which could impact the future development of the baby. With only 50% chances of discovery due to lack of signs and symptoms, routine ultrasonography of all the newborns admitted into the hospital raises the discovery rate of intracranial bleeding. Objective: We report an intraventricular bleeding case of an infant aged 1 month and 3 weeks who initially presented with fever and somnolence. Materials and methods: As a result, an infectious screening was performed in order to establish the etiology of the symptoms. Transcranial ultrasound indicated intracerebral bleeding in the right lateral ventricle, a diagnosis that changed the perspective of the work-up and management. Results and discussions: Following multiple investigations, it was established that the interaction of two risk factors became the factor that lead to the development of intracranial bleeding. Conclusions: This case presentation illustrates an unusual clinical manifestation of intracerebral bleeding which occurred in a previously healthy baby with no significant history at first glance that could indicate the etiology.
Rezumat
Introducere: Hemoragia intracerebrală poate avea efecte devastatoare asupra sistemului nervos și cardiovascular, cu consecințe importante asupra dezvoltării nou născutului. Întrucât semnele și simptomele sunt minime și doar 50% dintre cazuri sunt descoperite, ultrasonografia de rutină a tuturor nou născuților internați în spital crește șansele de diagnostic. Scop / Obiectiv: Această prezentare de caz aduce în discuție un sugar de 1 lună și 3 săptămâni care inițial s-a prezentat în serviciul nostru pentru febră și somnolență. Material și metodă: Prin urmare, a fost efectuat un screening pentru boli infecțioase în vederea stabilirii etiologiei simptomelor. Ecografia intracraniană a indicat hemoragie intracerebrală în ventriculul lateral drept, diagnostic care a schimbat planul de investigații și management. Rezultate și discuții: După multiple analize, s-a stabilit că interacțiunea dintre doi factori de risc a devenit factorul care a determinat apariția hemoragiei intracraniene Concluzii: În această prezentare este descrisă o manifestare clinică aparte a hemoragiei intracerebrale, care a apărut la un sugar eutrofic, fără un istoric semnificativ care ar putea indica etiologia.
Evaluarea prin rezonanță magnetică a teratomului ovarian matur chistic gigant – prezentare de caz | [MRI evaluation of giant mature cystic ovarian teratoma – case report]
Authors: Mărginean Claudia Raluca , Tiucă Oana Mirela , Rațiu Alexandra Mihaela
Published: March 2022

Introduction: Mature cystic ovarian teratoma, the most frequent type of ovarian germ cell neoplasm is a pluripotent malignancy. It is composed of at least two well-differentiated germ cell layers and it usually appears during the reproductive period. Objective: The aim of this paper is to present the case of a female patient, diagnosed at the age of 63 with a giant mature teratoma, originating from the left ovary, with associated extension into the pelvic region and the mesogastrium and subsequent regional mass effect. The patient developed mild symptoms despite the tumoral size and was submitted for surgery, in order to respect the malignant process. A histopathological exam confirmed the diagnosis. Discussions: Nowadays, due to imaging progress, late diagnosis of mature ovarian cystic teratomas larger than 10 cm is unusual. Conclusions: This article raises awareness of the importance of early diagnosis and adequate imagistic approach of mature teratomas, due to their capacity, although rare, of malignant transformation.
Rezumat
Introducere: Teratomul chistic ovarian matur, cel mai frecvent tip de neoplasm germinal, este o tumoră pluripotentă. Aceasta este alcătuită din cel puțin 2 straturi celulare germinale bine diferențiate și apare de obicei în perioada reproductivă. Scop / Obiectiv: Articolul de față își propune să prezinte cazul unei paciente diagnosticate la vârsta de 63 de ani cu un teratom ovarian chistic matur gigant, cu origine în ovarul stâng, extensie spre micul bazin și mezogastru, asociind efect compresiv asupra structurilor învecinate. În ciuda dimensiunilor mult crescute, pacienta a dezvoltat simptomatologie ușoară, fiind redirecționată către operație, cu scopul de a se îndepărta procesul tumoral descris. Examenul anatomopatologic a confirmat diagnosticul. Discuții: În prezent, datorită progresului tehnicilor imagistice, diagnosticul tardiv al unor teratoame ovariene mature chistice, cu diametrul de peste 10 cm, este rar. Concluzii: Acest articol evidențiază importanța diagnosticului precoce și al unui abord imagistic adecvat al teratoamelor ovariene mature, care, deși rar, au capacitatea de transformare malignă
Aplicație pentru managementul datelor într-un spital intelligent | [Data management application in a smart hospital]
Authors: Floroian Laura
Published: March 2022

Introduction: Information technology can contribute to the modernization of the medical system through dedicated software, which will improve the quality of medical services. The main objective of the study: Development of a web and mobile application specific to a smart hospital, able to facilitate the management of patient data, based on free electronic resources (Java, JavaScript, HTML, CSS, Bootstrap, Firebase, XML, C ++). Results and discussions: The developed application allows users (patients or healthcare professionals) to authenticate, to upload medical documents, which will be registered in the various cloud databases in the Firebase platform, and can be public or private. Users are allowed, depending on their grade, to see them, and even, in some cases, to act according to certain rules. Conclusions: The system proposed in this paper is based on cloud technology, and can ensure the transmission of inter-and intra-hospital information in real-time so that each doctor can quickly receive all medical tests and other data necessary to decide on the actions to be undertaken to treat patients.
Rezumat
Introducere: Tehnologia informației poate contribui la modernizarea sistemului medical prin softuri dedicate, care să îmbunătățească calitatea serviciilor medicale. Obiectivul principal al studiului: Realizarea unei aplicații web și mobile specifice unui spital inteligent, capabilă să ușureze managementul datelor pacienților, bazată pe resurse electronice gratuite (Java, JavaScript, HTML, CSS, Bootstrap, Firebase, XML, C++). Rezultate și discuții: Aplicația dezvoltată permite utilizatorilor (pacienți sau cadre medicale) să se autentifice, să încarce documente medicale, care vor fi înregistrate în diferitele baze de date de tip cloud din platforma Firebase, putând avea caracter public sau privat. Li se permite utilizatorilor, în funcție de gradul acestora, să le vadă, și chiar, în unele situații, să acționeze conform unor anumite reguli. Concluzii: Sistemul propus în această lucrare aste bazat pe tehnologia cloud, și poate asigura o transmitere a informațiilor inter și intra spitalicești, în timp real, astfel încât fiecare medic să primească rapid toate analizele medicale și alte date necesare pentru a decide asupra acțiunilor care trebuie întreprinse pentru tratarea pacienților.
PENERAPAN PENDEKATAN CONCRETE PICTORIAL ABSTRACT (CPA) BERBANTUAN MEDIA JARKUBA APK TERHADAP KONEKSI MATEMATIS SISWA KELAS V SD 3 MAYAHAN
Authors: Imelda Ifana Falentina , Bintoro Henry Suryo , Purwaningrum Jayanti Putri
Published: March 2022

Penelitian ini dilakukan karena masih rendahnya koneksi matematis siswa kelas V sd 3 Mayahan. Penelitian ini bertujuan untuk melihat peningkatan koneksi matematis siswa menggunakan pendekatan Concrete Pictorial Abstract (CPA) dengan bantuan media Jarkuba Apk. Metode penelitian yang dilakukan yaitu penelitian deskriptif kuantitatif dengan desain Pra-Experiment One-Group Pretest-Posttest pada mata pelajaran matematika pokok bahasan jaring-jaring bangun ruang sederhana terhadap 27 siswa kelas V Sekolah Dasar 3 Mayahan. Instrumen penelitian yang digunakan adalah tes dan non tes. Berdasarkan hasil penelitian yang diperoleh dapat disimpulkan bahwa: adanya peningkatan koneksi matematis siswa sesudah mendapatkan pembelajaran dengan pendekatan CPA berbantuan media Jarkuba Apk lebih baik daripada siswa sebelum mendapatkan pembelajaran dengan pendekatan CPA.
PENGARUH EFIKASI DIRI TERHADAP HASIL BELAJAR MATEMATIKA META ANALISIS
Authors: Hartati Iis , Suciati Indah , Wahyuni Dewi Sri
Published: March 2022

Penelitian ini untuk mengetahui pengaruh efikasi diri terhadap hasil belajar matematika. Jenis penelitian yang digunakan adalah meta analisis. Data diperoleh dari skripsi, artikel dan jurnal nasional dengan kriteria yang telah ditentukan. Penelitian dilakukan pada jenjang pendidikan SD, SMP dan SMA. Dalam mencari informasi yang berkaitan dengan efikasi diri dan hasil belajar pada penelitian meta analisis yakni mencari nilai N (sampel), r (korelasi), t, dan F dari masing-masing penelitian. Berdasarkan penelusuran, 10 studi memenuhi kriteria yang ditentukan. Analisis data menggunakan pendekatan efek acak. Perangkat lunak yang digunakan dalam analisis adalah JASP. 0.13. 1.0. Hasil analisis menunjukkan nilai Q dengan p-value <0,01; τ² atau τ> 0; dan I² (%) mendekati 100% sampel yang digunakan memenuhi asumsi heterogenitas. Nilai Kendal τ dengan p-value> 0,05, dan nilai Z dengan p-value> 0,05 maka dapat disimpulkan bahwa tidak terdapat bias publikasi. Hasil analisis menunjukkan bahwa terdapat pengaruh yang positif dan signifikan antara efikasi diri dengan hasil belajar matematika. Ukuran efek sumary yang dihasilkan adalah 0,08 pada kategori sedang. Nilai ukuran efek ringkasan berada pada interval -0,78 hingga 0,97. Hasil penelitian ini menunjukkan adanya pengaruh efikasi diri dan hasil belajar matematika.
Office-based management of Bartholin cysts and abscesses: a comparison of three surgical methods
Authors: ERDOĞAN Gökçen , ŞİMŞİR Coşkun
Published: March 2022

Aim: In the present study, we aimed to compare the effectiveness of incision + drainage alone, marsupialization, and incision + drainage followed by silver nitrate application for the office management of Bartholin cysts/abscesses.

Material and Method: A total of 128 women who presented to our clinic, diagnosed with Bartholin cysts/abscesses and underwent Bartholin gland sparing office-based surgery were included in this retrospective study. Patients’ demographic data, laterality and size of the cyst, surgical method performed, operational time, presence of recurrence, and treatment method of recurrent cysts/abscesses were recorded. Patients were divided into three group according to the operation they have undergone as incision + drainage alone, incision + drainage followed by silver nitrate, marsupialization.

Results: The mean cyst diameter was found as 3.00±1.05 cm. Eighteen (14.1%) patients developed recurrence. Of all patients, 37.5% underwent incision + drainage alone, 8.6% incision + drainage followed by silver nitrate application and 62.5% marsupialization. The mean operational time was significantly longer in the marsupialization group compared to incision + drainage alone and incision + drainage followed by silver nitrate groups (both, p
Tranexamic acid in knee arthroplasty: the effect of preoperative intravenous administration of together with postoperative intravenous maintenance and periarticular administration on bleeding, transfusion, and hospitalization time – a retrospective cohort study
Authors: BASILGAN Seçkin , POLAT Abdulkadir , BUYUKKUSCU Mehmet Ozbey , DİNÇEL Yaşar Mahsut , YAĞMURLU Fırat
Published: March 2022

Objective: To compare patients who received preoperative intravenous (IV) plus postoperative maintenance IV tranexamic acid (TXA) therapy and perioperative periarticular TXA to those who did not receive TXA during total knee arthroplasty (TKA) in terms of blood loss, transfusion requirements, and length of hospital stay.

Material and Method: Data from 194 patients who underwent TKA between 2016 and 2019 were reviewed. A total of 106 patients were included. Twenty-one patients were male, and 95 were female. The patients were divided into three groups: Group 1 (n=37) that did not receive perioperative TXA, Group 2 (n=35) that received preoperative IV and postoperative maintenance TXA therapy, and Group 3 (n=34) that received preoperative IV and perioperative periarticular TXA. The groups were similar regarding demographic data. Statistical comparisons between the groups were made concerning the decrease in hemoglobin levels on postoperative days 1 and 3, the need for transfusion, and the length of hospital stay.

Results: The mean decrease in hemoglobin on the postoperative first and third days were 1.69(±1.13) and 2.94(±1.14)g/dl, in Group 1, 1.41(±0.99) and 2.44(±1.28)g/dl, in Group 2, and 1.24(±0.83) and 2.21(±0.84)g/dl in Group 3 respectively. The statistical comparison of the hemoglobin decrease revealed a significant difference between Groups 1 and 3 on the postoperative first day(p
Is there any difference between shaving versus clipping versus depilatory gel of hair removal for skin preparation before surgery in respect of wound infection?
Authors: TURHAN Veysel Barış , TOPCU Ramazan , YILDIZ Alp
Published: March 2022

Aim: Postoperative wound infection is still the most developing complication after surgery and globally responsible for almost %25 hospitalizations requiring complications after surgery. Several significant parameters to minimize Surgical Site Infection (SSI) evaluated and published in many articles, reviews, and guidelines. We aim to investigate the SSI outcomes of 3 different hair removal procedures before surgery, including skin preparation, in this original research article.

Material and Method: 314 patients enrolled in this study were males aged 18 and 65, admitted to the outpatient clinic with unilateral inguinal hernia, and were eligible for Lichtenstein tension-free open hernia repair using mesh.

Results: Wound infection has occurred in 6 patients from Group-1 (4.83%), 8 patients on Group-2 (7.92%), 4 patients on Group-3 (4.49%). There are no statistically significant between Group1 and Group-3 (p>0.05) when the wound infection rates of Group-2 statistically significantly higher than Group-1 and Group-3 (p
Can anti-IgE and anti-IL-5 monoclonal antibodies be protective against household transmission of SARS-CoV-2?
Authors: ATAYIK Emel , AYTEKİN Gökhan
Published: March 2022

Coronavirus disease 2019 (COVID-19) is the general term used for pneumonia caused by acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Keeping the infected individuals in quarantine is very effective in preventing the spread of the disease but isolation and quarantine period increase the risk of household transmission. By December 2020, the rate of household transmission of SARS-CoV-2 has reached up to 85%. Both omalizumab and mepolizumab are used for the treatment of severe persistent asthma. In addition, omalizumab also has an indication for use in chronic urticaria. Both medications have been shown to have some antiviral effects. So, we aimed to discuss potential protective effects of these agents against household transmission of SARS-CoV-2 by reporting six different patients who remained uninfected despite PCR (Polymerase Chain Reaction) (+) SARS-CoV-2 individuals at home and were being treated with monoclonal antibodies.
Evaluation of the efficiency of treatment in girls with central precocious puberty/rapidly progressive puberty via ultrasonography
Authors: FİDAN Nurdan , KENDİRCİ Havva Nur Peltek
Published: March 2022

Introduction: Central precocious puberty (CPP) is defined as the development of secondary sexual characteristics in girls before the age of 8 years due to the activation of the hypothalamus-pituitary-gonadal (HPG) axis, and long-acting GnRH analogues (GnRHa) are used in its standard treatment. The gold standard method for evaluating the efficiency of treatment is to demonstrate the suppression of the LH response with the GnRH stimulation test. Pelvic ultrasonography (US) is an easily accessible, safe, free of ionizing radiation and non-invasive imaging method, which is used for the evaluation of internal genital organs, monitoring of sexual development, and excluding ovarian mass. This study aimed to evaluate the effect of GnRHa treatment on internal genital organs and to determine the role of pelvic ultrasonography in treatment follow-up.

Material and Method: Between January 2017 and May 2021, 50 girls who were started on GnRHa treatment due to the diagnosis of CPP or rapidly progressing puberty were followed up, and who underwent pelvic US imaging at the beginning of treatment and in the 1st year of treatment were included in the study. The clinical and sonographic findings were compared before and after the treatment.

Results: Of the 50 patients in the study, 52% (n=26) were being followed up with CPP, and 48% (n=24) with rapidly progressive puberty. In the first year of GnRHa treatment, while the suppression of the HPG axis was detected in 82% (n=41) of the cases with the GnRHa test, there was no suppression in 18% (n=9). A decrease in ovarian volume was observed in 73.2% (n=30) of 41 patients with suppression of the HPG axis, a decrease in uterine volume in 65.9% (n=27), and a decrease in uterine anterior-posterior size in 61% (n=25). While endometrial thickness could be measured in 64% (n=32) of the cases before treatment, measurable endometrial thickness was detected in only 6% (n=3) of the cases in the 1st year of treatment.

Conclusion: We detected in this study that GnRHa treatment in girls with a diagnosis of CPP/rapid puberty caused a significant regression in ovarian and uterus dimensions and endometrial echo selectability. Our results, in line with the literature, support that pelvic ultrasonography is an appropriate modality for monitoring the suppression of the HPG axis during CPP treatment and may reduce the need for repeated GnRH stimulation tests.
Comparison of prone position effectiveness with percentage of injured lung area in awake non - intubated COVID-19 patients
Authors: GÜRSOY Canan , ORAL TAPAN Özge , DOĞAN Emrah , TOGAN Turhan , DEMİRBİLEK Semra
Published: March 2022

Aim: Prone position plays a key role in the treatment of both non-intubated and intubated patients because COVID-19 associated respiratory failure is gas exchange abnormalities based on shunt and dead-space ventilation. In this study, we aimed to compare the effect of prone position applied in awake non-intubated COVID-19 patients with percentage of injured lung area.

Material and Method: 65 patients with awake, non-intubated were included in this prospective, single-center study. Percentage of injured lung area was calculated using chest computer tomography taken during diagnosis of patients. The prone position cycle was applied as 6 hours prone, 4-6 hours supine position.

Results: The mean of percentage of injured lung area was 25.16±13.81. When percentage of injured lung area groups were compared with the 0th, 6th, 24th and 48th hour SpO2/FIO2 ratio and respiratory frequency; while the SpO2/FIO2 ratio increased in all hours with prone position in the 0-10% and 10-30% groups, a decrease was observed in the SpO2/FIO2 ratio over time in the ≥ 30% group.

Conclusions: The prone position is a safe and effective application that causes improvement in SpO2/FIO2 ratio and RR in awake non-intubated COVID-19 patients with less damage to the lung. However, it should be kept in mind that as the damage to the lung increases, the expected recovery might not be possible.