bluuebunny/crossref_metadata_2025 huggingface dataset:
Peculiarities of treatment of open fractures of long bones in patients with polytrauma
Authors: Bialik E. I. , Sokolov V. A. , Semenov M. N. , Evdokimova N. V.
Published: February 2022

Basing on the experience in treatment of 244 patients with concomitant injuries including 305 patients with open long bone fractures the authors suggest the tactics for the management of these patients. That tactics depends on the general condition of injured, pattern of brain and internal organs, as well as on the presence of complications. Open fractures in polytrauma are characterized by prevalence of fractures of the 2nd3rd degree by AO classification, high probability of purulent complications in fracture zones due to immunity decrease, the possibility of development of Clostridium infection. The authors conclude that the majority of patients with polytrauma require 2 steps treatment of open fractures. At the first stage primary surgical immobilization for the elimination of large displacement is performed. At the second stage immediately after wound healing osteosynthesis using blocking nails with or without reaming as well as AO plates was performed. That management tactics enabled to avoid the aggravation of patients condition at the early stage of treatment and to achieve fracture consolidation in 193 patients. Purulent complications were observed in 20.6%) of all injureds. Chronic osteomyelitis was noted only in 3.6% of patients at follow up.
Treatment of fractures of the tibial plateau by transosseous osteosynthesis according to Ilizarov
Authors: Putyatin S. M. , Shestakov D. Yu. , Golubev V. G. , Korolev A. V.
Published: February 2022

Between 1994 and 2001 eighty eight patients with intraarticular tibial plateau fractures were treated at the Traumatology clinic of the Russian Mewdical Academy of Postgraduation Education on the base of Municipal Clinical Hospital # 15. All patients were operated on by Ilizarovs transosseous osteosynthesis. Differentiated approach to the definition of the reposition type for the osteo-cartilagenous fragments and to the choice of the external fixation device assembly depending on fracture type, fragment displacement pattern, bone tissue state was realized. To fix a fracture the external fixation device with arch supports was assembled. In 9 patients knee arthroscopy was performed during operation to minimize the traumatization. To reduce the load on injured tibial plateau postoperatively 8 patients used brace-device worked out in the Clinic. Those schemes of treatment allowed to accelerate the patients rehabilitation and improve the outcomes. There were 87.5% excellent and good results, 9.1% satisfactory and 3.4% unsatisfactory ones.
The use of an external transosseous fixation device for non-united fractures and false joints of long bones after intramedullary osteosynthesis with a pin
Authors: Oganesyan O. V.
Published: February 2022

In 40 patients with 44 ununited intramedullar osteosynthesis diaphysial fractures of long bones (humerus, radius, ulna, femur, tibia) the external transosseous fixation device was applied to the bone fragments without removal of rods from bone marrow canal. In that case the rod excluded horizontal and angle mobility of fragments and the device eliminated rotation mobility and created mutual pressure offragments. Consolidation of the fracture and function restoration were achieved in 42 cases. Two patients required bone plasty.
Complex one-stage treatment of nonunion fractures, false joints and defects of long bones of the extremities complicated by osteomyelitis
Authors: Urazgildeev Z. I. , Bushuev O. M. , Roskidailo A. S. , Lyalin V. A. , Furtseva L. N. , Gorokhov T. P. , Kumar R.
Published: February 2022

The experience in complex one-step treatment of306patients with ununited fractures, pseudoarthrosis and defects of long bones as sequelae of traumatic (260 patients) and gunshot (46 patients) injuries complicated by osteomyelitis was presented. Complex treatment included radical fistulosequestrnecrectomy up to vast resection with simultaneous mono-, bi- or polyfocal osteosynthesis by pin-, rod or pin-rod external fixation devices; various types of dermatoplasty (when required); stimulation osteogenesis; general and local target antibacterial therapy; adequate postoperative drainage; correction of immune status and metabolic therapy; rehabilitation. That method enabled to decrease more than twice the rate ofpostoperative recurrent of osteomyelitic process; considerably decrease the duration and improve outcomes of treatment.
Primary prosthetics as a medical and technical rehabilitation of disabled people with amputation stumps of the lower extremities
Authors: Duvidovich B. D. , Sergeev S. V. , Puzin S. I. , Spivak B. G. , Panteleev M. I.
Published: February 2022

Primary prosthetics was performed in 320 patients ( aged 1678 years) with lower limb stumps at different level. The amputation was carried out due vascular pathology of various genesis (70% of cases), injury (25%)), frostbite sequelae, oncologic lesions and chronic osteomyelitis (5%). For the determination of the prosthesis use regimen complex examination including functional diagnosis methods was performed to all patients. Taking into account the individual peculiarities of stump and presence of concomitant pathology the primary-permanent prosthesis was made. Prosthetics results were evaluated 26 months after stump tissue atrophy development. Good results were achieved in 152 patients (67.9%)), satisfactory in 48 (21.4%)) and unsatisfactory in 24 (10.7%)) out of 224 rehospitalized patients.
New approaches to the diagnosis and surgical treatment of tunnel syndromes of the upper limb
Authors: Golubev V. G. , Krupatkin A. I. , Merkulov M. V. , Eskin N. A. , Orletsky A. K. , Bogdashevsky D. R.
Published: February 2022

The purpose of the work was to evaluate the modern methods of diagnosis that determined the state of vegetative fibers, tunnel morphology, and surgical treatment of tunnel syndrome. There were 30 healthy individuals (control group) and 45 patients (16 with compression of the ulnar nerve in the zone of cubital canal, 27 with carpal canal syndrome and median nerve compression and 2 patients with Guyon canal syndrome). Clinical-roentgenologic methods, electroneuromyography (ENMG), ultrasonography, computer tomography, Lazer Doppler flowmetry (LDF), ultrasound dopplergraphy of wrist were used. The diagnosis of tunnel syndromes is based on a through clinical-roentgenologic and instrumental evaluation of the nerve trunk fibers function. Not only ENMG with assessment of the sensor and motor innervation is expedient but the evaluation of the neurogenic LDF indices stipulated by sympathic fibers as well. Auxiliary diagnostic method is ultrasonography of tunnel zone which provides information on the morphology of the canal structures, topography and general sizes of the nerves in the compression zone. All patients underwent surgical intervention for the decompression of nerve trunks. It is for the first time that the method of endoscopic dissection of the carpal ligament has been used at our clinic in 7 patients with early stages (I-II) of the disease. Endoscopic method of carpal canal syndrome treatment is an effective and lower invasive intervention that allows to restore the working ability of patients with early stages of the process in a short time.
Surgical treatment of patients with peroneal hemimelia
Authors: Popkov D. A. , Grebenyuk L. A.
Published: February 2022

Forty two cases of surgical crus lengthening in children with congenital fibular hemimelia were analysed. It was determined that relapse of foot and segment axis deformity, abnormal development of tibia distal epiphysis were frequently noted in case of preservation of fibular-cartilagi- nous band. Transcutaneous tenotomy of fibular band provided the best conditions for crus development during the process of growth. However the tenotomy prevented the recurrence of segment axis deformity only in one third of all cases, the correct position of foot was most often instable. Distraction osteosynthesis should be combined with open reposition of fibular fibrous- cartilaginous bend that improved the conditions for ankle formation and prevented the recurrence of crus and tibial deformity during the growth process. Ultrasonography is the compulsory method for the determination of surgical intervention tactics.
Surgical treatment of proximal forms of congenital ectromelia of the upper limbs in children
Authors: Shvedovchenko I. V. , Prokopovich V. S.
Published: February 2022

Three cases of the proximal form of congenital upper extremities ectromelia (two cases in 4 years and 1 case in 9 years old patient) are presented. The combination of symptoms of this rare malformation including the defects of the arm and forearm bones as well as aplasia of the radial rays of the wrist is described. Complex program for surgical treatment of ectromelia is suggested. The program includes the reconstruction of the arm length and formation of the shoulder using microsurgical transplantation of the fragment of the external border of the scapula, elimination of the forearm deformity by double-sided centering of the wrist, restoration of holding function using either the separation of one of triphalangeal fingers or transplantation of toes to the position of I radial ray. The results achieved in those three patients allowed to represent the new program as an alternative to the prosthetics.
Morphological characteristics of congenital clubhand
Authors: Prokopovich E. V. , Yaroshevskaya E. N.
Published: February 2022

The results of morphologic study of the bands dissected during the surgical interventions for congenital talipomanus are presented. Surgical material from 16 children (11 with manus vara, 5 with manus valga) was studied. The phases of cartilage metaplasia into connective tissue and subsequently into mature tendon are detected. It is suggested that congenital talipomanus can be considered as one of the variants of dyschondroplasia. The prognosis of the extremity development with the purpose of the treatment correction is given.
Analyzing the 2020 Mw 6.4 Puerto Rico Earthquake Sequence Based on the Epidemic-Type Aftershock Sequence Model
Authors: Li Yuanhui , Pu Wuchuan
Published: February 2022

On 7 January 2020, an Mw 6.4 earthquake occurred on the southwest coast of Puerto Rico, causing severe infrastructure damage and economic property losses. Accompanied with the mainshock, a large number of aftershocks occurred. For investigating the seismological activities, the earthquake sequence is fitted using the ETAS (epidemic-type aftershock sequence) model, based on a seismic catalog with 360 days in the region. The background intensity and the triggered intensity of the sequence are compared, and the variation trend of the parameters of the seismic catalog under different cut-off times are analyzed. Results show that the seismicity has been significantly enhanced during this event. Within 40 days after the mainshock, the background intensity reached the maximum value of 7.26 events/day, while the value is 0.013 events/day before the mainshock. The sequence may be clustered. Both large-magnitude earthquakes and small-magnitude earthquakes are likely to trigger secondary aftershocks. The spatial attenuation of the triggered intensity gradually becomes faster.
ABO Blood Groups and susceptibility to covid19 in African Population
Authors: SALL Abibatou , SANON Baye , DIAKHABY Mba , DRAME Assane , SAMB Diama , FORTES Louise , SECK Moussa , Faye Blaise , TOURE Awa , DIOP Saliou
Published: February 2022

Background SARS-CoV-2 infection is characterized by high contagiousness, morbidity and mortality which are accompanied by various biological changes, particularly hematological changes. Its association with blood groups has been revealed by several authors. Our overall goal was to find a link between ABO blood groups and COVID-19 in African population. Patients and Methods We conducted a prospective, descriptive and analytical study carried out in the epidemic treatment center and the hematology laboratory of the Dalal Jamm hospital in Dakar. All patients aged over 18 years, and tested positive for SARS-CoV-2 infection by molecular biology, were included. Clinical data was provided by attending physicians. The complete blood count was performed on NX1500 (Sysmex Japan) and blood grouping was done on the Ortho device (Ortho, Clinical Diagnostic, USA). The data were compiled using the Microsoft Excel. Statistical analyses were performed on SPSS. The confidence interval of 95% was used for the estimations and statistical tests were considered significant when the p-value was below 0.05 Results A total of 259 patients were recruited including 157 males and 102 females with a mean age of 56.71 years. The comorbidities were dominated by high blood pressure (28.46%) and diabetes (13.08%). The non-severe forms represented almost three-quarters of our population. The most common imbalances on the blood count were lymphopenia (46.49%) followed by neutrophilia (36.29%). These 2 disturbances were more marked in patients with a severe form of the infection (p <0.001). The distribution of ABO groups in our population showed a predominance of group O (49.57%) followed by groups A (28.21%), B (17.09%) and AB (5.13%) (O> A> B> AB). This same formula was found in our reference sample. However, blood group A was more represented in our population compared to that of reference with a difference at the limit of significance (p = 0.055). Regarding blood groups according to clinical forms, we found that group A had twice the risk of developing a severe form [OR =1.95; CI = 1.06-3.57; p-0.032] while the O group would be protective [OR = 0.76; CI = 0.59-0.89; p-0.02]. This trend was however lost on multivariate analysis. Conclusion Our study revealed that blood group A was linked to the severity of COVID-19 but this result remains to be confirmed with much larger sampling. Keywords: ABO blood groups; SARS-CoV-2 infection; Clinical forms
Nanotechnology in Metformin Delivery: Fasting Blood Sugar and Neutrophil-Lymphocyte Ratio of Diabetic Rat Model
Authors: Pakaya David , Demen Laurents Christovel Iban , Harun Haerani , Anwar Sarifuddin , Lintin Gabriella Bamba Ratih
Published: February 2022

Diabetes Mellitus (DM) is a chronic inflammatory disease characterized by hyperglycemia and increasing the neutrophil-lymphocyte ratio (NLR). Metformin has been widely used to treat hyperglycemia. Metformin nanoparticles can improve bioavailability and may reduce inflammation. This study aims to analyze the effectiveness of metformin nanoparticles delivery through fasting blood glucose (FGB) level and NLR in the diabetic rat model. This study used 16 white male Wistar rats, 8 weeks of age, and body weight (BW) 250-350 grams. The streptozotocin (STZ) 40 mg/kg BW were injected i.p. Rats were divided into 4 groups; K1: normal control; K2: negative control (diabetes model); K3: diabetes model treated with metformin 100mg/Kg BW; K4: diabetes model treated with nanoparticle metformin 100mg/kg BW. Blood analysis tests were conducted using the Pentra hematology analyzer. Data were analyzed using the Graphpad Prism program with the nonparametric Kruskal Wallis test. The K3 group showed a periodical decrease in FBG level from day 7 to day 28 by 122 ± 11.31 mg/dL, and the mean NLR value was 0.48 ± 0.3 x 103/uL. Group of K4 periodically decreased in FBG level, indicating that it was closer to normal than K3. The result showed that at day 28.79 ± 15.39 mg/dL, the mean NLR value slightly increased compared to the K3 group by 0.54 ± 0.3 x103/uL. The statistical tests showed a significant difference between the level of FBG (p 0.0089) but no significant difference in NLR (p 0.347). Metformin nanoparticles could decrease FBG levels and effectively reduce the NLR in the diabetic rat model.
Content management system for creating library websites
Authors: Avinash Dukare Dakshata
Published: February 2022

The library's website is seen as a communication tool, helping to create and publish information regarding its activities and services. Creating and maintaining an interactive library website requires technical knowledge, money, and time. And keeping the library website in the traditional way creates problems even for library staff with little technical skills. Content management systems (CMS) are computer software systems to organize, view and facilitate the creation of collaborative content. They consist of predefined modules and functions for managing and organizing website content. Using the content management system, library professionals can create and update the website's focus on content and don't have to worry about the layout. This document verifies the scope of the content management system for the library building website.
Publications trends in big data: A scientometric analysis
Authors: Baskaran S.
Published: February 2022

The present paper is aimed at analysing the global publications trends on big data using Web of Science database for the period 2011-2020. The database contained 45249 publications. The average number of publications per year was 4524.9. There were only 1058 publications in 2011 and a continuous growth of publication was observed during the period. The highest publication 9389 was in 2020. Authors from USA have contributed maximum number of publications compared to the other countries and India stood 11in terms of productivity in this period. Publications on big data are spread over 22 languages. The study analysed the broad features of literature on big data focusing on growth rate of publications, most prolific authors, country wise distribution of publications, highly productive institutes, language wise distribution of publications, most preferred source titles and high productivity subject areas.
Research Insights: Do People Continue Migrating to Cities for Higher Wages despite Potentially Worse Living Conditions?
Authors: Busso Matías , Herrera L. Nicolás
Published: February 2022

A pesar de los altos niveles de urbanización, persisten los incentivos económicos para migrar de las zonas rurales a zonas urbanas. Además de la brecha salarial urbana-rural esperada, tanto la probabilidad de encontrar un empleo formal como el costo más alto de la vivienda urbana también tienen una gran importancia. La brecha salarial urbana-rural es mayor para las personas con niveles educativos más altos y es mayor entre los hombres que entre las mujeres. La brecha salarial urbana-rural es más pequeña cuando la ciudad está más cerca de su zona geográfica rural de influencia, en las ciudades mejor preparadas para absorber los flujos migratorios, y en las zonas rurales con una mayor proporción de jóvenes (que tienden a ser más móviles).
A Strategy to Strengthen and Enhance the Telecommunication Network in Sri Lanka by Using Concepts of Graph Theory and Linear Programming Models
Authors: Dilpriya T A H , Lanel G H J , Vidanage B V N C
Published: February 2022

The telecommunication sector in Sri Lanka is one of the most dynamic sectors, contributing significantly, both directly and indirectly, to investment, employment, productivity, and overall economic growth. According to the transformation of the telecommunication network of Sri Lanka, this study proposes a structure to increase the average upload and download speeds by using some concepts in pure Mathematics. The research design has aligned into two categories as interpretation and optimization. They established by using the concept of Graph Theory and linear programming models respective. We forecast the public switched telephone network (PSTN) model for the local network. Then we ranked carrier systems of Sri Lanka according to their services without violating privacy. Next, we created the minimum traffic flow, local model, based on the traffic flows. Then we proposed cable systems around Sri Lanka. After that, we calculated the required signal towers for the uniform coverage by considering the population density. Linear programming models had generated to optimize the traffic flows. We could obtain six hundred twenty-five linear programming models due to different coefficients in each case. So, we have separated those models into three sectors: low, moderate, and high. Three examples had discussed by considering them. The solutions had evaluated by using the PHP Simplex calculator.
Comparison of Blade and Needle Tenotomy for Treatment of Residual Equinus in Idiopathic Clubfoot.
Authors: Ikechukwu Okwesili C , Ugochukwu Enweani N , Onyekachukwu Enweani O , Damian Ogbu C
Published: February 2022

Background: Tenotomy for residual equinus is commonly required in the management idiopathic club. The need to reduce complication and cost has made the advancement from mini open to needle tenotomy. This is even more pertinent in low- and middle-income country where clubfoot is more common. The study compared the outcome of needle and blade tenotomy for management of idiopathic club foot.

Patients and Methods: it is a prospective randomized study of patient requiring tenotomy for residual equinus from July 2015 to June 2020 at a tertiary Orthopediccenter.

Results:A tenotomy rate of 60 percent was noted. It involves thirty-one patients with forty-three feet were include in the study. The mean follow up was 27,1 months.  There was no significant difference in the outcome of equinus correction. Three patients had relapse of deformity, two in the blade group and one in the needle group. All were resolved by further manipulation.

Conclusion: Needle tenotomy offers similar outcome to blade tenotomy. It is less expensive and more acceptable to those scared of the surgical blade.
A brief survey on the legislation applied to floods and inundations in medium-sized municipalities in the state of Rio de Janeiro - Brazil
Authors: Silva Vinicius Vanderley Miguel da , Umbelino Luis Felipe , Junior Jader Lugon , Costa Bruno Barzellay Ferreira da
Published: February 2022

This work aims to carry out a survey on municipal legislation and other legal management instruments, related to the control and mitigation of urban floods and inundations in medium-sized municipalities in the state of Rio de Janeiro. In this context, 22 municipalities in the range between 100 and 500 thousand inhabitants were surveyed. Among the results obtained, it was found that only 13 municipalities had specific municipal legislation to mitigate the effects of inundations and urban floods. Approximately 59% of the analyzed municipalities had municipal legislation oriented to the local reality. There is a need to increase public policies and government incentives for the expansion of legal provisions in the municipalities analyzed.
Avaliação da técnica de biorremediação na atenuação de um óleo proveniente da Bacia de Campos/RJ
Authors: Alves Alexsandro da Silva , Dos Santos Angélica da Cunha
Published: February 2022

Diversas atividades petrolíferas são realizadas na Bacia de Campos/RJ, o que traz como consequência riscos de acidentes ambientais em decorrência de vazamento e/ou contaminação de óleo no meio ambiente. A pesquisa teve por finalidade avaliar o emprego da técnica de biorremediação na atenuação de um óleo dessa região. Realizou-se, em laboratório, uma simulação da biorremediação em unidades contendo fertilizante NPK com componentes das frações saturados e aromáticos do petróleo. O monitoramento da biodegradação foi realizado após 7 dias por meio da Cromatografia Gasosa acoplada ao Espectrômetro de Massa (CG/EM). Foi possível constatar que o estimulante NPK favoreceu a biodegradação, se comparado com os dados coletados das amostras sem a utilização do fertilizante. Os compostos aromáticos exerceram uma influência negativa na biodegradação dos compostos saturados em virtude da sua complexidade, toxicidade e estabilidade.
Uma revisão bibliográfica de medidas de eficiência energética em edifícios
Authors: Pereira Soares Pessanha Soares Mariáh , Germano Peixoto Lanna , Gomes Rodrigues Rílden , Antônio Cruz Moreira Marcos , Pinedo Quinto Junior Luiz , De Paulo Santos de Oliveira Vicente
Published: February 2022

Mediante o aumento da demanda energética aliado ao crescimento populacional e econômico, o estudo sobre eficiência energética constitui uma importante ferramenta para a estruturação de um futuro sustentável, tanto para as questões econômicas quanto para as questões ambientais. Dessa forma, o presente artigo possui como objetivo realizar um levantamento bibliográfico acerca do tema Eficiência Energética em Edifícios com vistas à compreensão da produção acadêmica relacionada ao tema. Foi utilizada como instrumento da pesquisa a base de dados Web of Science e as palavras-chave pesquisadas “EFICIÊNCIA ENERGÉTICA” e “EDIFICAÇÕES” ou “EDIFÍCIOS”, de forma conjugada, utilizando-se o operador booleano “AND”. Observou-se, mediante a pesquisa, uma maior predominância do estudo de técnicas passivas de eficiência energética, quando comparadas às técnicas ativas, com 74,1% e 8,6% de estudos, respectivamente. Além disso, há uma desigualdade no número de estudos nos diferentes estados e regiões do Brasil. Mediante o exposto, as análises permitiram observar um panorama do que vem sendo avaliado no que se refere à eficiência energética em edifícios, sendo possível destacar alguns pontos importantes para a elaboração de trabalhos futuros.
THEINTERFAITH HARMONY IN ACEH PROVINCE (The Analysis of the Strategies, Roles of FKUB, and Barriers)
Authors: AR Nurdin , Yusnaini Siti , Widyanto Anton , Walidin Warul , Sulaiman Sulaiman
Published: February 2022

This research focuses on three aspects: the strategies, the roles of the Interfaith Harmony Forum (Forum Kerukunan Antar Umat Beragama-FKUB), and the obstacles in establishing interfaith harmony in Aceh province. This study employed a qualitative approach, with 79 research subjects consisting of the chair and members of FKUB in three districts and cities and the FKUB of Aceh province, religious leaders, and the community. The research subjects were selected by purposive sampling, and the data were analyzed using a descriptive approach. The research results found that the interfaith harmony in the province of Aceh is well and peacefully established. There are five strategies for realizing harmony: tolerance, equality, cooperation, mutual respect, and communication. This study also revealed that FKUB has carried out its role optimally in creating interfaith harmony in Aceh. However, it experiences some obstacles due to sociological, internal, and external factors. Despite the challenges, overall, FKUB in Aceh province can overcome the obstacles.
Eventos de vida en la infancia y su relación con el trastorno de estrés postraumático en adultos en Lima Metropolitana.
Authors: Portella Christian , Mayo-Arpi Diana , Valladares-Lujan Nathanael , Saavedra Javier E.
Published: February 2022

Objetivos: Determinar la relación entre los eventos de vida en la infancia y el trastorno de estrés postraumático (TEPT) en la población adulta de Lima Metropolitana. Materiales y métodos: Se realizó un análisis secundario del Estudio Epidemiológico de Salud Mental de Lima Metropolitana 2 012, que utilizó los instrumentos de la versión breve y modificada del Egna Minen av Bardoms Uppfostran (EMBU), cuestionario de eventos adversos tempranos y Mini Entrevista Neuropsiquiátrica Internacional (MINI), versión española. Resultados: Aquellos que recibieron una crianza más permisiva para con actividades no permitidas a sus hermanos(as) presentaron una relación estadísticamente significativa con el TEPT (OR 1,70, IC 95% 1,09-2,65, p=0,019, al igual que eventos vitales tales como haber sido objeto o haber sufrido de chantajes, manipulaciones o humillaciones (OR 6,22, IC 95% 4,11-9,42, p<0,001). Conclusiones: Existe alguna relación entre estilo parental de crianza permisiva (“Le permitían hacer cosas que a sus hermanos(as) no les permitían”) y experiencias de eventos adversos (“Mientras crecía fue objeto (o sufrió) de chantajes, manipulaciones o humillaciones en forma frecuente”) en la infancia, con el TEPT en habitantes adultos de Lima Metropolitana.
Análisis del funcionamiento y rol de los Grupos de Acogimiento en la atención de la salud mental comunitaria. Lima, Perú, 2019.
Authors: Castillo-Martell Humberto , Aguirre-Castañeda Hugo , Carbone-Campoverde Fernando , Valverde-Aliaga Rocio , Sepúlveda-Jara Rafael , Fernandez-Liria Alberto
Published: February 2022

Objetivo: Analizar el funcionamiento y discutir el rol de un modelo participativo de formulación diagnóstica y terapéutica denominado Grupos de Acogimiento (GDA), implementados en un Centro de Salud Mental Comunitario (CSMC) en Perú. Material y métodos: La investigación se basó en la observación participante de expertos en salud mental comunitaria, salud pública, ciencias de la comunicación y ciencias sociales, en un total de 24 sesiones de GDA realizadas en el CSMC Nancy Reyes de Chorrillos, Lima, Perú, durante los años 2018-2019. Resultados: Los GDA están estructurados en fases que siguen un proceso lógico de formulación de diagnósticos y planes de manejo que, al llevarse a cabo de forma concurrente con la participación de profesionales de diferentes disciplinas y dirigido a un pequeño grupo de usuarios, permite que tanto los diagnósticos como los planes tengan un carácter más integral. Se va generando un ambiente de confianza que permite que las personas compartan experiencias de sufrimiento e intimidad en niveles que con frecuencia superan los expresados en ámbitos de la tradicional relación profesional- usuario. El diálogo interdisciplinario es permanente y los usuarios alternan roles de analizados y analizantes, dando señales de un empoderamiento progresivo. Conclusiones: Los GDA operacionalizan los principios fundamentales de la salud mental comunitaria, son una herramienta valiosa para la expansión del Modelo de Cuidado Integral como eje de la política pública de salud en el Perú, diluyen las barreras comunicacionales propias de la relación profesional-usuario y acortan las distancias sociales de los participantes, posibilitando mejores alianzas terapéuticas y de cuidado.
Impacto de las revistas de psiquiatría y salud mental editadas en español.
Authors: Vega-Dienstmaier Johann M.
Published: February 2022

Objetivo: Describir el impacto de las revistas sobre psiquiatría y salud mental editadas en español. Material y Métodos: Se identificaron las revistas sobre psiquiatría y salud mental publicadas en castellano, incluidas en Scopus, Google Académico y Scielo. Cada revista fue evaluada en base a los siguientes indicadores de impacto: CiteScore mejorado (Scopus); índice h5 y mediana h5 (Google Académico); y factor de impacto basado en 3 años e índice de inmediatez (SciELO). Resultados: Las revistas con mayor impacto fueron de España (v.g. Psicothema y Revista de Psiquiatría y Salud Mental), Colombia (v.g. Revista Latinoamericana de Psicología y Revista Colombiana de Psiquiatría), Chile (v.g. Terapia Psicológica y Psicoperspectivas) y México (v.g. Salud Mental y Revista Mexicana de Psicología). En Perú las revistas más relevantes fueron Revista de Psicología y Revista de Neuro-Psiquiatría. Conclusiones: Dentro de las revistas internacionales de psiquiatría y salud mental que aceptan artículos en español, las de mayor impacto fueron publicaciones de España, con Psicothema, como la más destacada.
Azathioptrine in Refractory Tolosa-Hunt Syndrome: Two Case Report
Authors: Sudibyo Devi Ariani , Ardhi Mohammad Saiful
Published: February 2022

Introduction: Tolosa-Hunt syndrome (THS) is an inflammatory disease with painful ophthalmoplegia and unilateral periorbital headache as detailed by the International Classification of Headache Disorders, 3rd edition (ICHD-3). Azathioprine has been suggested as a second-line treatment in refractory THS when oral corticosteroid only gives a partial response. Case: Two cases of THS, 45-year-old and 41-year-old women with unilateral headache, drooping of the left upper eyelid, and diplopia. They presented with complete ophthalmoplegia and ophthalmic division of trigeminal nerve disturbance. Magnetic resonance imaging (MRI) showed thickening of the left cavernous sinus, suggesting THS, while the other was normal. Corticosteroid (prednisone 1-1,5 mg/day) was given orally for the first two weeks, and according to the Numeric Pain Rating Scale (NPRS), pain intensity was reduced from severe to moderate. As a second-line treatment, azathioprine (2 mg/kg/day) was given afterward, with a significant reduction in pain intensity and remission of ophthalmoplegia within seven days. Azathioprine was used as an immunosuppressive agent and was continued for another three months without any deterioration in neurological deficits. The levels of complement 3, 4 (C3, C4), and C-reactive protein (CRP) were normal in both patients, with a slight increase in erythrocyte sedimentation rate (ESR) and equivocal values on antinuclear antibody (ANA) results. Other differentials of THS were eliminated from history-taking, physical examination, and proper investigations. Conclusion: Azathioprine as a second-line treatment can be used instead of an oral corticosteroid for refractory cases of THS with fewer side effects. Complete remission of ophthalmoplegia and a significant reduction in pain intensity was obtained.
Vestibular Disorder Approach Base on International Classification of Vestibular Disorder
Authors: Pikatan Orlando , Sumada I Ketut , Wiratmi Ni Ketut Candra , Yuliani Desie
Published: February 2022

Vestibular symptoms are symptoms that interfere with daily activities. Diagnosing these symptoms often relies on radiologic examinations that lead to a false negative. Proper clinical approach and study showed higher accuracy than radiologic examination on vestibular disease. These clinical approaches are based on time, triggers, and targeted analysis. The new vestibular symptoms will be classified into acute vestibular syndrome, episodic vestibular syndrome, and chronic vestibular syndrome. An acute vestibular syndrome is a vestibular symptom that lasts for days up to weeks. The episodic vestibular syndrome is vestibular symptoms that periodically appear. The chronic vestibular syndrome is a vestibular symptom that appears from months to years. Diagnosing vestibular symptoms must be precisely made. The proper termination is the best way to facilitate doctors in communicating with each other. Using this classification is a precise and easy way to detect vestibular etiology.  This review is made for clinicians to determine and differentiate the etiology of the vestibular syndrome and gives information in uniforming nomenclature of vestibular symptoms.
Cerebral Sinus Venous Thrombosis in Systemic Lupus Erythematosus
Authors: Riswandi Asep , Pinto Desti Ramadhoni  , Nova Kurniati  , Faisal Raden Muhammad
Published: February 2022

Introduction: Cerebral sinus venous thrombosis (CSVT) is a major cause of stroke in young patients. The incidence of CSVT ranging from 1-12 cases per 1 million adults per year. Autoimmune diseases such as Systemic Lupus Erythematosus (SLE) can cause CSVT. The incidence of CSVT involvement in SLE is 1%. It is characterized by thrombosis in the sinuses and veins, which causes various symptoms, such as headache, seizures, motor weakness, and decreased consciousness. Cases: We report a case of a 20-year-old woman with SLE who complained of seizures accompanied by weakness on both sides of the body and a history of headaches. There is an increase in D-dimer, with positive ANA and anti-ds-DNA tests. A non-contrast CT scan of the head showed a lobar venous infarct with hyperdense lesions, a head non-contrast MRI/MRV revealed a dural sinus thrombosis with a deep cortical/subcortical venous infarct, no bleeding was seen. Patients were given Fondaparinux sodium therapy for 5 days, followed by Warfarin sodium for 3-12 months with a target INR   of 2.0-3.0, and control SLE by administering immunosuppressants gave better outcomes for patients. Conclusion: The diagnosis of CSVT in this patient was based on clinical suspicion and imaging confirmation, and elevation of D-dimer. Non-contrast CT of the head as an initial examination often shows normal imaging. Still, there is also an image of a hyperdense lesion that usually causes an incorrect diagnosis, resulting in delays in therapy. Anticoagulation in CSVT should still be given even if there is bleeding.
Effect of Anticoagulants or Antiplatelets Administration on Mortality Case in COVID-19 Patients with Acute Ischemic Stroke: A Systematic Review and Meta-Analysis
Authors: Tasya Galuh Anis , Rahman Farhan Haidar Fazlur , Rahmawati Vita Kusuma
Published: February 2022

Acute ischemic stroke (AIS) is a life-threatening complication of COVID-19. This study aims to compare anticoagulant or antiplatelet administration on mortality cases in patients with COVID-19 and AIS. To know the mortality rate in COVID-19 patients with AIS after anticoagulants or antiplatelets therapies. We searched PubMed, ScienceDirect, and Google Scholar for a retrospective cohort study of anticoagulant or antiplatelet effects on mortality cases in COVID-19 and AIS patients. The retrospective cohort was screened using our eligibility criteria, and quality was assessed using the Newcastle Ottawa Scale. Heterogeneity was assessed using the I2 test, and publication bias was evaluated using a funnel plot. All analyses were performed using Review Manager 5.4. Seven retrospective cohort studies involving 58 patients (38 of whom received anticoagulant therapy) met the inclusion criteria. Our combined analysis showed that anticoagulation versus antiplatelet therapy in COVID-19 patients with AIS on the forest plot chart did not significantly affect mortality (OR: 0.9 95% CI 0.42-1.91 I2=0 %). The study showed no significant difference in the incidence of death between anticoagulants or antiplatelet agents to COVID-19 patients with AIS.
Using DNA Metabarcoding to Identify Floral Visitation by Pollinators
Authors: Lowe Abigail , Jones Laura , Witter Lucy , Creer Simon , de Vere Natasha
Published: February 2022

The identification of floral visitation by pollinators provides an opportunity to improve our understanding of the fine-scale ecological interactions between plants and pollinators, contributing to biodiversity conservation and promoting ecosystem health. In this review we outline the various methods which can be used to identify floral visitation, providing a comparison between molecular and non-molecular methods. We review the literature covering the ways in which DNA metabarcoding has been used to answer ecological questions relating to plant use by pollinators and discuss the findings of this research. We present detailed methodological considerations for each step of the metabarcoding workflow, from sampling through to amplification and finally bioinformatic analysis. Detailed guidance is provided to researchers for utilization of these techniques, emphasizing the importance of standardization of methods and improving the reliability of results. Future opportunities and directions of using molecular methods to analyze plant-pollinator interactions are then discussed.
Correlation Between Engagement and Quality of Life at Work in Brazilian Nursing Professionals at the Beginning of the Covid-19 Pandemic
Authors: Carvalho Taisa Moitinho de , Lourenção Luciano Garcia , Pinto Maria Helena , Viana Renata Andrea Pietro Pereira , Moreira Ana Maria Batista da Silva Gonçalves , Mello Leticia Pepineli de , Matos Carla Graziela Carvalho , Beccaria Lucia Marinilza , Amendola Cristina Prata , Oliveira Amanda Maria Ribas Rosa de , Assoni Maria Aurélia da Silveira , Chubaci Eliana Fazuoli , Lima Luciana de Souza , Galisteu Katia Jaira , Ximenes Neto Franciso Rosemiro Guimarães , Sasaki Natalia Sperli Geraldes Marin dos Santos , Santos Maria de Lourdes Sperli Geraldes , Oliveira Jacqueline Flores de , Cunha Carlos Leonardo Figueiredo , Borges Flávio Adriano , Cunha Juliana Lima da
Published: February 2022

The aim of the study is to investigate the correlation between engagement and quality of life at work in nursing professionals, from a public hospital in the interior of the state of São Paulo, Brazil, at the beginning of the Covid-19 pandemic. We conducted a cross-sectional, descriptive, and correlational study, with nursing professionals between December 2020 and January 2021. We used the Brazilian versions of the Utrecht Work Engagement Scale and the Walton Model scale. The results showed that nursing professionals presented high scores for absorption (4.9) very high scores for vigor (5.2), dedication (5.6), and an overall score (5.2) for engagement. Most nursing professionals scored intermediate levels for fair and adequate compensation (51.9%) satisfactory levels for the other domains, and achieved the highest for social relevance (76.5%), for quality of life. Professionals with satisfactory levels of quality of life tended to have higher levels of engagement at work. Professionals were strongly engaged and satisfied with their quality of life at work at the beginning of the Covid-19 pandemic.
Pendampingan Belajar Blended Learning dengan Model Flipped Classroom Dimasa Pandemi Untuk Siswa Sekolah Dasar
Authors: Utaminingtyas Siwi , Evitasari Atika Dwi
Published: February 2022

Saat ini dunia tengah menghadapi masalah global yang harus dihadapi bersama, yaitu pandemi covid-19. Kegiatan dan proses pembelajaran dikemas secara online (daring) dari tingkat sekolah dasar hingga perguruan tinggi. Perubahan penyampaian pembelajaran secara daring menyebabkan munculnya berbagai permasalahan, misalnya keterbatasan internet, kurang tersedianya HP/ komputer, dan masalah terbesarnya adalah tidak tersampainya materi pembelajaran ke peserta didik secara utuh. Untuk itu, kami mendukung upaya Pemerintah yang selalu mengupayakan dan mencari solusi agar kegiatan pembelajaran dapat berlangsung dengan baik selama pandemi, yaitu dengan melakukan kegiatan pengabdian pada masyarakat, tepatnya pada siswa Sekolah Dasar, dengan memadukan pembelajaran daring dengan tatap muka yang disebut dengan Blended Learning model flipped classroom. Pengabdian kami laksanakan secara bertahap melalui metode ceramah, pemodelan, tanya jawab, diskusi, dan praktik. Bapak Ibu guru terlibat aktif dalam diskusi, mempraktekkan cara pengelolaan pembelajaran dengan blanded learning model flipped classroom dan menerapkan di kelas. Berdasarkan hasil wawancara dan pengamatan di kelas secara tatap maya, terlihat sekali perbedaan sebelum menerapkan model blanded learning. Peserta didik lebih termotivasi dalam belajar; peserta didik lebih leluasa dalam mengkaji sebuah materi pembelajaran secara mandiri; terhindarnya salah persepsi dalam memahami materi pembelajaran, karena di bagian akhir pembelajaran/ refleksi guru dan peserta didik melakukan diskusi secara tatap maya untuk membahas materi pembelajaran lebih dalam.
Strengthening Online Learning for Kindergarten Students Through Android Application “Quiver-3D Coloring Augmented Reality”
Authors: Fuada Syifaul , Sari Dian Permata , Fujiyanti Vina , Triyulia Fifi
Published: February 2022

The implementation of the distance learning during study from home is not optimal especially in the use of learning media to support activities, causing student interest in learning to decline. This condition is experienced by one of the Kindergartens in Bekasi Regency, i.e., Taman Kanak-kanak Islam Terpadu (TKIT) Az-Zachra. In response to this, innovative learning media is needed to foster children’s learning motivation. Therefore, we carry out a program to strengthen online learning using the android-based application as a learning tool for TKIT Az-Zachra’s students, i.e., Quiver-3D Coloring, which is an Augmented Reality-based learning media. This online learning strengthening activity aims to utilize AR-based learning media on children’s learning motivation. The method used in implementing this program is the provision of instructional videos using the Quiver-3D Coloring application through the WhatsApp Group medium. The program target was 36 students and held on one day only (December 3, 2020). The activity results showed that the utilization of Quiver-3D Coloring application could increase student motivation and made learning more interactive.
The Challenges of Application of The Hybrid Learning Model in Geography Learning During The Covid-19 Pandemic
Authors: Prihadi Singgih , Sajidan Sajidan , Siswandari Siswandari , Sugiyanto Sugiyanto
Published: February 2022

Since the beginning of 2020, the COVID-19 pandemic has occurred, Indonesia has implemented distance learning. Higher education also conducts learning with a hybrid learning model. The hybrid learning model applied is of the full type, meaning that it is carried out fully online. Geography learning that is carried out online is still trying to equip students to increase spatial citizenship skills. This study seeks to find out how the challenges of implementing the hybrid learning model in geography learning in the geography education study program are FKIP UNS. The method used in this research is descriptive qualitative. The research subjects were second semester students, geography education study program FKIP UNS. The data collection techniques used were interviews, observations and FGD. The result of this research is that geography learning, which is carried out using a hybrid learning model, can effectively achieve mastery of students spatial citizenship skills. The hybrid learning model that is applied must be combined with other platforms such as Zoom Meeting, Moodle, WhatsApp and Open Course Ware.
Profile of Community Understanding and Literacy About Disaster Risk Mitigation: The Responses of Java South Coast Community Against Megathrust Earthquake and Tsunami Prediction
Authors: Rizki Iqbal Ainur , Bintoro Handoko , Nisa' Khoirun , Rahman Prima , Realita Arie , Deta Utama Alan
Published: February 2022

Widiyantoro et al., as Institut Teknologi Bandung (ITB) scientists, predict the worst possibility that in the south of Java Island, a megathrust earthquake with a maximum magnitude of up to 9.1 on the Richter scale and a tsunami of up to 20 meters. So understanding and literacy about mitigation of the megathrust earthquake and tsunami need to be improved so that the South Coast of Java Island (Pansela) community has prepared for these disasters. This study aims to analyze the understanding and literacy of the Pansela community of the earthquake and tsunami disaster against the predictions made by ITB scientists. This study uses a qualitative descriptive method with a total of 57 community respondents living in Pansela. The study results show that most communities believe in this prediction and have fewer mitigation efforts against this disaster. However, the respondents still did not know the specifics of the megathrust earthquake. They considered an earthquake in the south of Java Island related to the megathrust earthquake. Therefore, it is necessary to increase community understanding and literacy regarding mitigation efforts against megathrust earthquakes and tsunami.