bluuebunny/crossref_metadata_2025 huggingface dataset:
Identification of Candida Species Circulating in Dakar using Multiplex Nested PCR
Authors: Badiane Aida
Published: October 2021

Background: In most developing countries, laboratory identification of Fungi belonging to the genus Candida is often problematic. The germ test tube known as Blastese test, which is the most used has the limitation that it only differentiates the C. albicans complex from other Candida complexes. Not only it is important to know the involvement of other species in the occurrence of fungal infections, but also the difference in sensitivity to the azoles used in the treatment of these fungal infections makes it necessary to identify the Fungi at the species level. The objective of this study was to identify by multiplex nested PCR the Candida species isolated in the laboratory of Parasitology and Mycology of Aristide Le Dantec Hospital, Senegal. Methodology: Candida isolates were obtained from patients who were admitted to the laboratory of Parasitology and Mycology with suspected fungal infections. After identification by conventional methods, isolates were preserved in a storage medium and kept at -20°C. Species identification was performed by nested PCR. Results: A total of 42 yeast isolates were collected after culture on Sabouraud medium, among which 10 (24%) from vaginal swabs and 32 (76%) from patients suffering from superficial mycoses (skin and nails). C. albicans represented 68% and nonCandida albicans (NAC) species 32%. The distribution of the NAC species was as follows: C. parapsilosis (group I and II) 17% (8), C. tropicalis 8.5% (4), C. kefyr 4.25% (2) and C. lusitaniae 2.15% (1). Mixed infection with two species represented 17.39% of the isolates. Conclusion: This study shows that other Candida species are common in Dakar, although their identification is not routinely performed in most laboratories. Thus, it is necessary to improve the technical facilities in these diagnostic laboratories.
Hubungan Gaya Kepemimpinan Pengurus Harian dengan Loyalitas Anggota Aktif Organisasi di UK-Koperasi Mahasiswa Universitas Negeri Padang
Authors: Suteja Ari
Published: October 2021

This Study aims to see the relationship between leadership style and the loyalty of active members of the organization in the tudent Cooperative, Padang State University. This type of research is correlational research. Population on this study included 109 active members and 54 samples using the simple random sampling technique. The research instrument used a questionnaire with a Likert scale model. The result of this study was that there was siginificant relationship between the leadership style of the daily administrators and the loyalty of active members of the organization in the Student Cooperative, Padang State University.
Persepsi Mahasiswa FIP angkatan 2016 terhadap pelayanan perpustakaan FIP UNP
Authors: Octovieri Tomy , Irsyad Irsyad , Ermita Ermita , Susanti Lusi
Published: October 2021

AbstrakTujuan dari penelitian ini untuk mengetahui bagaimana persepsi mahasiswa FIP angkatan 2016 terhadap pelayanan perpustakaan FIP UNP. Populasi yang diambil sebanyak 1348 dengan sampel 137 orang diambil dari 10% populasi.Instrumen yang digunakan adalah angket berbentuk skala likert dan sudah diuji validitas dan reliabilitasnya. Teknik analisa menggunakan rumus rata-rata. Hasil dari penelitian ini adalah persepsi mahasiswa FIP angkatan 2016 terhadap pelayanan perpustakaan FIP UNP berada dalam kategori Baik.
Cardiac rehabilitation during COVID-19 pandemic – new challenges, new opportunities
Authors: Janiszewski Maciej , Mamcarz Artur
Published: October 2021

The role of comprehensive cardiac rehabilitation (CCR) is well established in the secondary prevention of cardiovascular diseases such as coronary artery disease and heart failure. Many clinical trials demonstrated effectiveness of CCR in improving exercise capacity, quality of life, and in reducing cardiovascular mortality and morbidity. However, even before the era of the COVID-19 pandemic comprehensive cardiac rehabilitation program’s implementation, especially the second phase, had many barriers. One of the main reasons for not attending in second phase of CCR was lack of transportation from patient’s home to rehabilitation centers. Additionally, in recent months COVID-19 pandemic has led to closure of many cardiac rehabilitation centres resulting in many eligible patients unable to participate in the optimisation of secondary prevention. During the coronavirus disease-2019 pandemic, hybrid telerehabilitation has become the leading solution in the cardiac rehabilitation programs. The present paper contains key information about structures, effectives and safety of hybrid telerehabilitation during the COVID-19 era.
Treatment in post-COVID syndrome – nicergoline as the therapeutic potential in reduction symptoms of COVID brain fog
Authors: Rejdak Konrad , Karbowniczek Aleksandra , Białecka Monika , Kozubski Wojciech , Kułakowska Alina , Wichniak Adam , Zajdel Paweł
Published: October 2021

The SARS-CoV-2 virus, causing the COVID-19 (coronavirus disease 2019), bring about pandemic that made unprecedently repercussions on global health, social and economic. Over 200 million people fell ill worldwide, including about 3 million in Poland [1]. Clinical observations indicate that many patients after an acute period of the COVID-19 still report chronic symptoms/symptoms resulting from dysfunction of various organs and systems [2, 3] despite the virus RNA is no longer detected. The persistence of symptoms/symptoms 4 weeks after the onset of SARS-CoV-2 infection is called the post-COVID syndrome. The available reports on the health consequences of COVID-19 shows that the post-COVID syndrome is quite common. Majority of the observations indicate that the more severe course of SARS-CoV-2 infection (defined e.g., as the need for hospitalization in the intensive care unit or the need for passive and/or active ventilation) predisposes to post-COVID syndrome, including: increased risk of symptoms from nervous system [4–6]. These symptoms, including the neuro-COVID syndrome, may occur during acute, subacute or chronic COVID-19 phase [7]. Both, the central and peripheral nervous systems, can be affected. In the first case, it is mostly manifested by vascular incidents, brain inflammatory diseases and cognitive disorders (so-called: ‘covid brain fog’); in the second: mostly smell and taste disorders as well as various forms of neuropathy and myopathy. SARS-CoV-2 infection may also lead to the exacerbation of chronic neurological diseases and also have an impact on current treatment. All these complications need to be treated. The pandemic took the world by surprise, so new ways of treating complications are still being sought and practiced on an ongoing basis. In the neurological complications – especially in order to prevent cerebrovascular incidents and improve cognitive functioning in the course of covid brain fog – the use of nicergoline seems to be appropriate and effective.
Cataract – the landscape after the year of the pandemic
Authors: Rękas Marek
Published: October 2021

None
Patient with Parkinson’s disease and neuropathic pain – case report
Authors: Koziorowski Dariusz
Published: October 2021

Parkinson’s disease is a complex neurodegenerative process involving various structures in the nervous system. Parkinson’s disease is diagnosed mainly on the basis of clinical symptoms resulting from damage to the nigrostriatal pathway, which gives the characteristic motor symptoms. Therefore, traditional symptomatic treatment consists of administering dopamine precursor levodopa with an aromatic amino acid decarboxylase inhibitor or directly stimulating the striatal dopamine receptors. The problem of dopaminergic therapy is the limited influence on the symptoms of the disease, including pain. Central pain is one type of pain that occurs in Parkinson’s disease patients and dopaminergic therapy may be of limited value in treating it. Proper diagnosis of the problem and the application of appropriate chronic pain therapy are essential for the quality of life of patients. The author presents the case of a 65-year-old man with Parkinson’s disease and chronic pain who required modification of dopaminergic treatment and implementation of central neuropathic pain therapy.
Intermittent claudication - the meaning of pharmacological and non-pharmacological therapy in chronic treatment
Authors: Wolska Marta , Czajka Pamela , Postuła Marek
Published: October 2021

Intermittent claudication is a typical sign of peripheral vascular disease, which results from limited arterial blood flow due to atherosclerosis, appears during exercises and is relieved after a short break. Intermittent claudication often presents as a pain in the calf muscle after walking a particular distance. Physical examination, detailed interview and ankle–brachial index are key elements of the diagnostic process, which allows for diagnosis of peripheral artery disease. The treatment is dependent on multiple factors, including the dynamics of the disease and coexisting diseases. The aim of the treatment of patients with intermittent claudication is reducing the risk of cardiovascular complications and improving the quality of life. The treatment is based on a conservative therapy, especially march training. The pharmacological treatment is limited to a few medications, which are rarely used. In the advanced stage of the disease the most appropriate option seems surgery.
Realidade virtual na unidade de terapia intensiva: uma revisão integrativa
Authors: Pinheiro Patrícia Sena , Tomé Marlene Aparecida , Lustosa Lygia Paccini
Published: October 2021

Objetivo: Revisar e analisar a prática da implementação da realidade virtual nas unidades de terapia intensiva. Métodos: Revisão da literatura dos últimos 7 anos realizada a partir da pesquisa na base de Google Acadêmico, Scielo e Medline, utilizando-se os seguintes termos: realidade virtual, unidade de terapia intensiva, saúde digital, realidade virtual na UTI e realidade virtual na dor. Após a obtenção e análise de dados e a aplicação dos critérios de inclusão e análise aprofundada foram incluídos neste estudo 15 artigos científicos. Resultados: A realidade virtual se refere a experiências simuladas apresentadas intencionalmente aos sentidos do indivíduo. Na unidade de terapia intensiva atua reduzindo o estresse experimentado pelo paciente, pela família do paciente e pelos profissionais de saúde e no controle da dor. A realidade virtual é bem tolerada pelos pacientes e permite um controle satisfatório da ansiedade autorrelatada. Considerações finais: Tecnologias inovadoras como a realidade virtual tem demonstrado potencial para melhorar a reabilitação, o desconforto, dor e alterações psicológicas em pacientes tratados na unidade de terapia intensiva. No entanto é necessário ressaltar que mais estudos são necessários.
Determining Ability Levels by Using Computerized Adaptive Testing and Paper-And-Pencil Testing in the Distance Education: A Multi-Centred Real Data Study
Authors: ARSLAN Yusuf Kemal , ÇOLAK Mergül , BİLGİN Ulviye
Published: October 2021

Aim: With the popularity of distance education in the current Covid-19 pandemic, the use of computerized adaptive testing is becoming increasingly important in order to determine the ability level of individuals more accurately and to analyze the exam strategies in online exams. In this study, it is aimed to compare the estimations of students' ability levels in the distance education with computerized adaptive testing and paper-pencil test.Methods: This study is a cross-sectional and methodological study which was conducted between March 2020 and December 2020. The study population consists of 4th class students which were studyingphysical education and sports teaching at Erzincan Binali Yıldırım University, Gazi University, Erciyes University and Kastamonu University Sports Sciences Faculties. In this study, analyzes were performedby using R programming language (ver. 3.6.2) and RStudio (ver. 1.2.5033) software. Number of people was 176; the number of items in the question bank was 80 (formed with 20 questions each prepared byexperts from each of 4 different fields (exercise physiology, psychomotor development, training information, exercise and nutrition)); the standard error for the computerized adaptive test stoppingcriterion was taken as <0.5. The agreement of Paper-And-Pencil Test and computerized adaptive test θ values were evaluated with the intraclass correlation coefficient. CAT estimates of individuals wereperformed with the “randomCAT” function in the catR package. The ability level of a person was obtained with computerized adaptive test application, the standard error of θ and the number of items used were presented as a result of the analysis. Maximum Fisher information criterion was used for question selection in computerized adaptive test. Maximum likelihood estimation was used for iterative approaches in the ability level estimations.Results: There was moderate agreement between the classical test score (on a 0-100 scale) and the computer-adapted test (intraclass correlation coefficient: 0.682, confidence interval 95%CI=0.594-0.765, F(175.175)=17.1; p<0.001). In this study, the ability level estimations by using the item response theory from the answers obtained from the paper-and-pencil test and the ability level estimations with thecomputer adaptive test were examined. It was seen that the agreement was at an excellent level (intraclass correlation coefficient: 0.90; 95%CI: 0.866-0.924). Also it was also found that computerized adaptive test reduced the number of addressed questions by 80% when compared to Paper-And-Pencil Test. Conclusions: The results obtained from this study show that with the application of computer-adapted testing, safe results can be obtained in a shorter time, with less number of items, and the results can bemonitored shortly after the completion of the test.
Reliability Evaluation of Kumpai Feeder Distribution System at PT. PLN (Persero) ULP Siantan
Authors: Kurniawan Ari Kurniawan , Fitriah Fitriah , Arsyad M. Iqbal
Published: October 2021

The research on reliability index of a feeder aims to evaluate the reliability level of a feeder using the Reliability Index Assessment (RIA) method. This method evaluates the reliability of a 20 kV distribution network by calculating the reliability indexes of each load point. The evaluation results show the reliability index value per section of the Kumpai Feeder at PT. PLN (Persero) ULP Siantan within one year. The SAIFI values are 0.0092; 0.0012; 12,477; 0.0596; 0.0204; 0.0470; 0.0155; 0.0728, the SAIDI values are 0.0277; 0.0042; 37,746; 0.1862; 0.0741; 0.1524; 0.0493; 0.2209, the CAIDI values are 3.0108; 3.5; 3,025; 3.1241; 3.6323; 3.2425; 3.1806; 3.0343, the MAIFI values are 0; 5,480; 0.2145; 0.0020; 0.0038; 0.0042; 0.0006; 0.0014. The calculation results show that the 20 kV distribution system at PT. PLN (Persero) ULP Siantan at the Kumpai Feeder can be categorized as unreliable. Because the SAIFI value of this feeder exceeds the standard set by PT. PLN (Persero) which are 12.477 times/customer/year and 3.2 times/customer/year, respectively. The factors affecting the reliability index of the Kumpai feeder are the number and duration of blackouts, the number of customers, and the length of the distribution system channel.
Identification of Land Adequacy for Green Open Space Development area of Tanjung Barangan on the condition of land properties in Palembang
Authors: Utami Linda , Priatna Satria Jaya , Purnama Dadang Hikmah
Published: October 2021

The city of Palembang is one of the cities that experienced rapid development and became the center of human activity. So that the expansion of the city to the periphery causes green open space reduction. The reduction of green open space inflicted the disruption of the balance between nature and human systems. Retention ponds include reduction of green open space border that serves as a drainage system so as to prevent flooding during the rainy season and maintain groundwater reserves during the dry season. This study aims to: 1) identify and evaluate the existing condition of soil properties (physical and chemical) in the green open space development area of Tanjung Barangan retention pond in plan area that will be functioned as a retention pond of Palembang City; 2) to see the relation between the physical and chemical of soil condition with the type of vegetation that will be developed in the area of green open space development plan; 3) recommend the appropriate vegetation types to be developed in the green open space development plan, retention pond area in Palembang City. This research used descriptive normative method and sampling was done by sample purposive sampling. The research was conducted in the administrative area of Palembang City, the sampling point was in the green open space development area of Tanjung Barangan retention pond in Bukit Baru Village, Ilir Barat 1 Subdistrict of Palembang City, there were 4 (four) research sample points. It can be concluded that based on the results of laboratory analysis and direct observation in the field, the condition of soil properties of green open space development plan area of Tanjung Barangan retention pond physically and chemically that was: average effective depth value belong to deep (> 100 cm); soil texture of clay loam, clay and loam; platy and granular soil structures; soil color gray, yellowish brown to black; moderate to moderately rapid soil permeability; soil pH strongly acidic N-total low to moderate; Soil P2O5 is very low; K2O is very high; and C-organic is low to very high. Based on the results of the analysis, the recommendation of vegetation type from the Minister of Public Works Regulation No. 5 of 2008 showed that The Tanjung Barangan retention ponds contain 3 (three) types of vegetation recommended namely casuarina (Casuarina equisetifolia), coconut (Cocos nucifera) and fern tree (Filicium decipiens). While there were 4 (four) types of vegetation can be recommended with the condition of the soil management by calcification using agricultural lime, such as lime tohor (CaO), calcite (CaCO3) or dolomite (CaMg (CO3)2) which is munding rubber vegetation (Ficus elastica), mangosteen (Garcinia mangostana), bungur (Lagerstroemia speciosa) and resin (Agathis loranthifolia).
Clinical features of sleep disturbances in anxiety disorders of neurotic and organic genesis.
Authors: Liashchenko Yu.V. , Yuryeva L.M.
Published: October 2021

There is a bi-directional link between dyssomnia and psychological diseases. Sleep disorders can influence the severity of the underlying disease, complicate the process of treatment, and increase the risk of the recurrence further. Besides, there is an obvious dependence of the sleep disorder severity from the pathological anxiety. The aim of the research: to study clinical features and relationship of sleep disorders and anxiety in patients with anxiety disorders of neurotic and organic genesis. To achieve the objective, 120 patients with anxiety-depressive disorders, who were divided into 2 groups depending on the genesis of the disease were studied. The first group included patients with anxiety-depressive disorders, anxiety phobic disorder and generalized anxiety disorder. The second group included patients with emotionally labile and organic anxiety disorders. The research was done with the help of clinical-psychopathological method added with psychometric scales and with the method of statistical processing. According to the results, it was detected that the level of insomnia was reliably higher in patients with anxiety disorders of organic genesis than in the group of patients with neurotic disorders. After the analysis of the components of the pathological anxiety it was determined that the components of emotional discomfort and the assessment of the prospects of anxiety dominated in the group of neurotic genesis, but the asthenic and phobic components were more expressed in the group of patients with anxiety disorders of organic level. In addition, according to the results of the correlation analyses, it was determined the link of the degree of expression and the severity of insomnia. Understanding of the semantic character of the pathological anxiety and clinical display of sleeping disorders will give the possibility to create the relevant differential rehabilitation programs of the treatment of the patients with anxiety-depressive disorders with sleep disorders.
Features of biochemical indices and content of enzymes in the serum of syphilis patients with viral hepatites B and C in the course of treatment
Authors: Zakharov S.V. , Zakharov V.K. , Gorbuntsov V.V.
Published: October 2021

Objective – before and after the treatment to determine the functional state of the liver, serum levels of enzymes and biochemical indices in syphilis patients with viral hepatites B and C. The results of the study are based on the data from a comprehensive examination of 35 patients with syphilis alone and 127 patients with syphilis co-infected with viral hepatites B and C before and after treatment. Test methods: hepatology, rheogeopathography, enzyme content and biochemical parameters determined in the serum. According to the results of radionuclide hepatology it has been established that disorders of the functional capacity of the liver already occur in the early stages of the disease. The most significant disorders have been in the patients with the prescription of infection for more than 12 months and in the patients co-infected with viral hepatites B and C. A disorder of pigment metabolism and increased activity of trans­aminases have been revealed in early latent syphilis. In co-infection with viral hepatites B and C an increase in total bilirubin, Lactate dehydrogenase, Alanine transaminase, Aspartate aminotransferase and albumin has been revealed. Dysproteinemia has been revealed in patients with early latent syphilis co-infected with hepatitis C. Patients with early latent syphilis treated with immunomodulators tend to normalize these indices. In patients with syphilis a disorder of the functional state of the liver have been revealed already at an early stage of the disease. The most pronounced disorder of biochemical parameters and activity of liver enzymes are observed in syphilis patients with viral hepatites B and C, as well as in patients with early latent syphilis only with the prescription of the infection for more than 12 months; in such a case it is advisable to use drugs affecting the immune system.
CORRECTION: USING OF DEXMEDETOMIDINE IN TERM NEONATES WITH HYPOXIC-ISCHEMIC ENCEPHALOPATHY
Authors: Journal Medicni perspektivi Editor
Published: October 2021

Related Article:

Correction of: https://doi.org/10.26641/2307-0404.2019.2.170123
Estilos parentales y su influencia en el desarrollo de la identidad y autonomía en niños de 3 a 5 años. Propuesta taller de formación para padres y/o representantes legales
Authors: Yánez Palacios Jorge Fabián , Erazo Rosales Zully Vanessa , Ramírez Ramírez Flor Teresa , Piza Castro Narcisa Angélica
Published: October 2021

La investigación tuvo como objetivo identificar los estilos parentales y su influencia en el desarrollo de la identidad y autonomía en niños de 3 a 5 años, de la escuela particular inicial y básica Isidro López Bermeo tomando en cuenta el aporte de diferentes pedagogos como Virginia Satir, Salvador Minuchin y Vygotsky, además el presente diseño de investigación cumple con aspectos necesarios que permitirán encontrar respuestas ante la problemática existente, es por esto que se enfatiza que las técnicas a utilizadas fueron la entrevista a la directora y encuestas a los docentes y padres de familia, las mismas que fueron estructuradas con total responsabilidad y observando la problemática de primera mano, se determinó un taller de formación para padres y/o representantes legales, con el objetivo de orientar a los participantes en temas que les permitan fortalecer el desarrollo de identidad y autonomía en los niños, de tal manera que puedan lograr independencia desde temprana edad, es por esto que a través de un análisis exhaustivo, con corrientes pedagógicas, psicológicas y sociológicos, se determina la importancia que los padres logren fomentar valores, además educarlos en un clima armónico y afectivo.
Lesiones dermatológicas en pediatría por infección SARS-CoV-2
Authors: Moreira Quiroz Viviana del Rocío , Romero Tejada Cinthia Alexandra , Zambrano Zambrano María Dolores , Zambrano Zambrano María Isabel
Published: October 2021

Desde diciembre de 2019 el mundo se ha visto afectado por una pandemia causada por el virus SARS-CoV-2, causante de la enfermedad COVID-19, conocida por su gran capacidad infecciosa y rápida transmisión. Este virus se transmite por contacto de persona a persona y a través de secreciones de personas infectadas, principalmente gotitas respiratorias. Desde el inicio de la pandemia se conoce que los niños, niñas y adolescentes tienen un menor riesgo de enfermarse y de morir por COVID-19 que otros grupos etarios. Las manifestaciones clínicas de la COVID-19 son múltiples y variadas, y son muy parecidas a las del resfriado común. Últimamente se han descrito lesiones cutáneas inespecíficas, más frecuentemente en niños y adolescentes, a veces como único síntoma clínico o en el contexto del cuadro típico de la infección. Entre las manifestaciones cutáneas registradas en pacientes con COVID-19 incluyen, exantemas urticarianos, morbiliformes, vesiculares y petequiales, así como manifestaciones vasoespásticas como livedo reticularis, lesiones isquémicas acrales y lesiones cutáneas en los dedos de los pies y manos idénticas a los sabañones. El tratamiento es sintomático, pudiendo manejarse con corticoides tópicos, antihistamínicos en el caso de prurito moderado, y antibióticos tópicos para evitar sobreinfecciones en las lesiones acroisquémicas. El enfoque general del presente trabajo es dar a conocer las principales lesiones dermatológicas ocasionadas por la infección SARS-CoV-2 en pacientes pediátricos, sus características, síntomas y tratamientos. Los resultados se obtuvieron mediante el desarrollo de una investigación de tipo bibliográfica, delimitada a una metodología de revisión, que permite concluir que aun y cuando este tipo de lesiones no representan una amenaza grave para los pacientes, se recomienda conocer la sintomatología de las mismas para así aplicar las medidas preventivas y de tratamiento que eviten posibles complicaciones.
Infecciones asociadas a catéter de diálisis peritoneal y hemodiálisis
Authors: Montalván Rodríguez María Fernanda , Castillo Mantilla Angélica Daniela , Salazar Morocho Blanca Priscila , Montaño Cabezas Katherine Daniela
Published: October 2021

La enfermedad renal crónica se diagnostica con la presencia de anormalidades estructurales o funcionales del riñón presentes durante más de 3 meses, generando implicaciones para la salud. Que son secundarias a la pérdida progresiva y sostenida de las tareas que este normalmente realiza, un trasplante de riñón funcional proporciona al paciente diabético urémico una mejor supervivencia con una rehabilitación superior que la diálisis peritoneal ambulatoria continua (DPAC) o la hemodiálisis de mantenimiento. Los catéteres venosos centrales son los que presentan mayor riesgo de bacteriemia y muerte comparado con otros accesos vasculares, el tipo de acceso vascular influye directamente en el riesgo de presentar episodios infecciosos y representa el factor de riesgo más importante en el desarrollo para bacteriemias e infecciones. El presente artículo describe y compara diferentes literaturas Infecciones asociadas a catéter de diálisis peritoneal y hemodiálisis. Para ello, se recolecta esta información de diferentes fuentes bibliográficas adquiridas de bases de datos (SCOPUS, PubMed, Biblioteca Cochrane, Google Scholar) valorando la calidad y veracidad de la información recopilada, así como la actualidad del contenido. Tanto en la diálisis peritoneal como en la hemodiálisis, se pueden generar complicaciones infecciosas, en la mayoría de la literatura, el tipo de catéter que se utilice pude ser determinante a la hora dela aparición de una infección. El empleo del catéter venoso central puede generar en la mayoría de los casos infecciones en el torrente sanguíneo, y otro tipo de complicaciones bacterianas, que tienen una alta incidencia de muerte. Las fístulas arteriovenosas, seguidas de las prótesis endovasculares, los catéteres tunelizados y los catéteres no tunelizados, son más aconsejables que el catéter venosos central. Los tratamientos de primera línea son con antibióticos y retiro del catéter para luego ser sustituido por otro luego de ser controlada la infección. Está claro que el tipo de antibiótico a empelar va a depender del tipo de bacteria y la resistencia que esta pueda tener.
Rapid, dose-dependent and efficient inactivation of surface dried SARS-CoV-2 by 254 nm UV-C irradiation
Authors: Ruetalo Natalia , Businger Ramona , Schindler Michael
Published: October 2021

Background: The COVID-19 pandemic urges for cheap, reliable, and rapid technologies for disinfection and decontamination. One frequently proposed method is ultraviolet (UV)-C irradiation. UV-C doses necessary to achieve inactivation of high-titre SARS-CoV-2 are poorly defined.

Aim: We investigated whether short exposure of SARS-CoV-2 to UV-C irradiation sufficiently reduces viral infectivity and doses necessary to achieve an at least 6-log reduction in viral titres.

Methods: Using a box and two handheld systems designed to decontaminate objects and surfaces, we evaluated the efficacy of 254 nm UV-C treatment to inactivate surface dried high-titre SARS-CoV-2.

Results: Drying for 2 hours did not have a major impact on the infectivity of SARS-CoV-2, indicating that exhaled virus in droplets or aerosols stays infectious on surfaces for at least a certain amount of time. Short exposure of high titre surface dried virus (3–5*10^6 IU/ml) with UV-C light (16 mJ/cm2) resulted in a total inactivation of SARS-CoV-2. Dose-dependency experiments revealed that 3.5 mJ/cm2 were still effective to achieve a > 6-log reduction in viral titres, whereas 1.75 mJ/cm2 lowered infectivity only by one order of magnitude.

Conclusions: SARS-CoV-2 is rapidly inactivated by relatively low doses of UV-C irradiation and the relationship between UV-C dose and log-viral titre reduction of surface residing SARS-CoV-2 is nonlinear. Our findings emphasize that it is necessary to assure sufficient and complete exposure of all relevant areas by integrated UV-C doses of at least 3.5 mJ/cm2 at 254 nm. Altogether, UV-C treatment is an effective non-chemical option to decontaminate surfaces from high-titre infectious SARS-CoV-2.
THE MOZAIC EFFECT ON THE IMPROVEMENT OF FINE MOTOR SKILLS OF 3-4 YEARS OLD CHILDREN IN INTEGRATED HEALTH CARE CENTER, THE WORKING AREA OF PUBLIC HEALTH CENTER WAENA JAYAPURA CITY.
Authors: Romauli Suryati
Published: October 2021

The Child development speed is unique; it varies due to the child’s nature and its stimulants. Lack of stimulants will affect late fine motoric development of children. Data from the Waena Health Center inform, 190 toddlers have impaired fine motor development.

This research objective was to determine the effect of mosaic techniques on the enhancement of fine motor skills in children aged 3-4 years in Integrated Health Care Waena area, Jayapura City. A quantitative descriptive research was done with Two Group Pretest-Postest Group Design.

The results before the mosaic technique showed in intervention group, had dubious fine motor skills (55.6%) and 16.6% deviant. Whereas in the control group had dubious fine motor skills (83.3%) and 5.6% deviant. After using mosaic technique the intervention group had fine motor skills (77.8%) and small part doubted (22.2%).

The average score after improving fine motor skills in the intervention group was 8, while the control group was 7.1 with independent t-test statistical test at a significance value of 95% ( = 0.05) obtained p-value 0.042 or p <α (0.05), thus there is an effect of mosaic techniques on improving fine motor skills of children at the Integrated Health Care Waena area, Jayapura City.

Keyword: Mozaik Technique, Fine motor skill, children age 3-4 tahun
Beyaz Baş Lahana Hatlarının Morfolojik Özellikleri Üzerine Turnip Mosaic Virus (TuMV)’nin Etkilerinin Belirlenmesi
Authors: CANSIZ Nuran , ŞEVİK Mehmet Ali
Published: October 2021

Turnip mosaic virus (TuMV), dünya çapında Brassica grubu sebze türlerinde en önemli viral etmenlerden biridir. TuMV’nin beyaz baş lahana (Brassica oleracea var. capitata sub. var. alba) bitkisinin gelişimi ve morfolojik parametreleri (bitki boyu, bitki eni, dış yaprak genişliği, dış yaprak uzunluğu, yaprak sap genişliği, baş ağırlığı, baş çapı, baş yüksekliği, koçan uzunluğu ve koçan genişliği) üzerine etkilerinin belirlenmesi amacıyla arazi koşullarında denemeler yürütülmüştür. Bu araştırmada, 21 farklı beyaz baş lahana hattına ait bitkilerin TuMV'ye karşı reaksiyonları incelenmiştir. Lahana bitkilerine mekanik inokulasyon yöntemiyle virüs inokule edilmiş ve belirli aralıklarla ELISA yöntemiyle bitkilerdeki virüs varlığı incelenmiştir. Bitkilerde oluşan belirtiler vejetasyon sonuna kadar takip edilmiş ve hasat zamanı bitkilerde morfolojik ölçümler yapılmıştır. Bu ölçümler istatistik analize tabi tutulmuş, hatlar kendi aralarında ve kontrolleriyle kıyaslanmıştır. Lahana bitkilerinde yoğun bir şekilde mozaik, kabarcıklı mozaik, yapraklarda kıvrılma, şekil bozuklukları, nekrotik ve klorotik lekeler, gelişme geriliği belirtileri görülmüştür. Toplam 17 hatta ait bitkiler virüsten şiddetli şekilde etkilenirken, 4 hat (YBB35, W13, HB5-2, YBB37) hafif şekilde etkilenmiştir. Lahana bitkilerinde bazı morfolojik parametrelere virüsün etkisi değerlendirildiğinde kontrole kıyasla; bitki boyunda %32.1, bitki eninde %46.1, dış yaprak genişliği %34, dış yaprak boyunda %40.2, yaprak sap genişliğinde %22.4, baş ağırlığında %68.1, baş çapında %32.1, baş yüksekliğinde %23.4, koçan uzunluğunda %31.9, koçan genişliğinde %21.3 oranında azalmalar olduğu tespit edilmiştir.
Segéd-egészségőrök működése az Alapellátás-fejlesztési Modellprogram praxisközösségeiben
Authors: Kósa Karolina , Katona Cintia , Papp Magor , Sándor János , Fürjes Gergő , Bíró Klára , Ádány Róza
Published: October 2021

Magyarországon 2013-2017 között Alapellátás-fejlesztési Modellprogram működött, melynek célja az egészségügyi alapellátás szolgáltatásainak bővítése, és a lakosság, különösen annak hátrányos helyzetű csoportjai egészségi állapotának javítása volt. A Modellprogramban a családorvosok mellett más szakmákat képviselő munkatársak, valamint úgynevezett segéd-egészségőrök is dolgoztak négy praxisközösségben, amelyek hátrányos helyzetű kistérségekben jöttek létre. A segéd-egészségőrök alkalmazásának célja a helyi lakosság ellátáshoz segítése, vagyis döntően egészségügyi mediáció volt. A jelen kutatás célja a Modellprogram 47 hónapja során foglalkoztatott segéd-egészségőrök működésének vizsgálata volt, alkalmazásuk és munkavégzésük kvantitatív jellemzői alapján, amelyek a Modellprogramot irányító programirodának szolgáltatott jelentésekből származtak. A Program futamideje alatt összesen 58 segéd-egészségőr alkalmazására került sor, akik többsége fiatal-középkorú, gyermekes anya volt, döntően legfeljebb szakiskolai végzettséggel, változó időtartamú alkalmazásban és heti munkaidővel. A praxisközösségekben tevékenykedő segéd-egészségőrök munkájának összehasonlításához különféle mutatókat hoztunk létre, amelyek az ellátottak létszámára, valamint az új szolgáltatásként kínált egészségi állapotfelmérés és közösségi egészségfejlesztési programok résztvevői létszámára vetítették a mediátori munkaórákat. Az egy ellátandó személyre jutó segéd-egészségőr munkapercek száma a Borsodnádasdi PK-ban 2,45-szeres volt a Berettyóújfalui PK-éhoz képest. A négy praxisközösség segéd-egészségőreinek munkaidő-hatékonysága némileg eltért egymástól. A vizsgált mutatókat együttesen tekintve a segédegészségőrök munkaidő-kihasználásának mértéke az ellátottak elérésére a Berettyóújfalui PK-ban volt a legnagyobb, és a Hevesi PK-ban a legkisebb. Az Alapellátás-fejlesztési Modellprogram világviszonylatban is elsőként foglalkoztatott az egészségügyi alapellátásban az ellátást végző csapat teljes jogú tagjaiként mediátori feladatokat ellátó segéd-egészségőröket tartós alkalmazásban. A segéd-egészségőrök vagy mediátorok fontos szereplői lehetnek az egészségügyi alapellátásnak, akik közvetítve az alapellátási szakemberek és a lakosság minden csoportja közt, hatékonyabbá teszik a szakemberek tevékenységét, különösen a leghátrányosabb helyzetű településeken és népességcsoportokban.
Image Steganography Based on Wavelet Transform and Histogram Modification
Authors: Jamel Enas Muzaffer
Published: October 2021

Recently, digital communication has become a critical necessity and so the Internet has become the most used medium and most efficient for digital communication. At the same time, data transmitted through the Internet are becoming more vulnerable. Therefore, the issue of maintaining secrecy of data is very important, especially if the data is personal or confidential. Steganography has provided a reliable method for solving such problems. Steganography is an effective technique in secret communication in digital worlds where data sharing and transfer is increasing through the Internet, emails and other ways. The main challenges of steganography methods are the undetectability and the imperceptibility of confidential data. This paper presents a steganography method in frequency domain. Haar Wavelet Transform is applied for decomposition of gray level cover image into four sub-bands. The secret image is hidden in the high frequency HH sub-band after applying the histogram modification followed by scrambling process. A Histogram modification is adopted, to scale the secret image to normalize its values, that manipulates the secret image from bright image to dark. Thus the secret image becomes invisible so it can be hidden in the high frequency sub-band.  Scrambling the positions can be for rows then columns, which will give strong security of the hiding process. The experimental results demonstrate the proposed method has achieved superior performance in terms of quantifiable measurement (PSNR and correlation) and in terms of visual quality. The proposed method propositions good imperceptible results and good response for against the various image attacks.
Effect of Composition and Dielectric Properties for (YBCO) Superconductor Compound in Different Preparation Methods
Authors: Haider Haider M.J. , Jasim Kareem A.
Published: October 2021

The superconductor compound (YBa2Cu2.8Zn0.2O7+δ) is prepared by solid state reaction (SSR), Sol-gel (SG) and laser Pulse deposition (PLD) methods. We used the X-ray diffraction technique, which shows an orthorhombic crystalline system for all the samples, and increase in the high-phase (Y-123) and decrease in low-phase and vary in proportion according to the method of preparation with the emergence of some impurities. The behavior of the samples in terms of electrical resistance and critical temperature was investigated all samples showed superconducting behavior. The properties of the dielectric (real dielectric constant, imaginary dielectric constant, loss tangent, alternating electrical conductivity) were studied as a function of frequency and range (50 Hz-1MHz) at room temperature. The results are demonstrate the apparent change in the dielectric properties by using the method of preparation of laser pulse deposition PLD at the expense of other methods, Microscopic images of the samples were examined at very high magnitudes through the scanning electron microscopy (SEM). In addition to using the titration method to determine the proportion of oxygen.
Study of Nuclear Properties of High Purity Germanium
Authors: Abbood Noor Mohammed , Ebrahiem Sameera Ahmed
Published: October 2021

In the current study, the observations depended on some nuclear properties of Germanium isotopes that are used for multiple purposes by studying transverse sections when interacting with charged particles such as alpha and proton particles and their interaction with gamma rays of conjugal isotopes relative to the stability of the nucleus with other nuclei. By calculating the cross sections of the  (α, )   ,  (γ,x)0-NN-1, (γ,2n)  , (α,p)  reactions of  isotope. Nuclear reactions in the newer global libraries (EXFOR, ENDF, JEF, JEFF, GENDL) have been published to identify appropriate energies in calculating the inverse nuclear reactions of the ground State.
METHODOLOGICAL TOOLS FOR THE IMPLEMENTATION OF INFORMATION TECHNOLOGY FOR EXPERT ASSESSMENT OF THE QUALITY OF HEAVY AUTOMOBILE EQUIPMENT IN THE PROCESS OF ITS EXPLOITATION
Authors: Rudnytskyi Volodymyr , Hadi Amineh
Published: October 2021

Subject matter. Justification of the choice of a model range of heavy vehicles when organizing purchases in the framework of large-scale infrastructure projects. Goal. Increasing the efficiency of the process of determining the model range of heavy automobile equipment, in terms of its operation, at the stage of initiating large-scale infrastructure projects, by creating a special methodological approach, and on its basis - an appropriate information technology for decision support. Tasks. To develop a complex fuzzy model for assessing the quality of heavy automobile equipment during its operation. To propose a method for collective expert assessment of the quality of heavy automobile equipment during its operation. To develop an applied information technology to support decision-making on the formation of a model range of purchased heavy vehicles. Methods. System analysis – in the development of a comprehensive model of the quality of heavy automotive equipment; fuzzy mathematics – to ensure the process of fuzzy assessment by experts of the quality of heavy automobile equipment during its operation; expertology – when creating a method for forming a generalized quality assessment by means of collective expert assessment; software engineering – when creating applied information technology for collective expert assessment of the quality of heavy automobile equipment. Results. An approach to the creation of a number of applied information technologies for complex expert assessment of the quality of operation of a wide class of vehicles using the example of heavy automobile equipment. Conclusions. A comprehensive model has been developed for assessing the quality of heavy automobile equipment, at the stage of its operation, using the principles and approaches that are generally accepted in system analysis. The method of presentation and further implementation of a complex quality assessment model by means of fuzzy mathematics, which makes it possible to increase the efficiency of expert assessment, is described. A method for forming a team of experts is proposed, which implements the selection of an expert from several applicants, while taking into account the communication capabilities of individual members of the team of experts. The applied information technology for complex assessment of the quality of heavy automobile equipment in the aspect of its operation is described, in order to justify the choice of a model range for the acquisition of this equipment in the implementation of large-scale infrastructure projects.
Evaluation of the drought resistance of pea (Pisum sativum L.) from the VIR collection
Authors: Semenova E. V. , Kosareva I. A.
Published: October 2021

Background. As a result of global warming, climate change is now taking place, increasing the frequency and duration of droughts. Therefore, the development of new varieties with an increased drought resistance and adaptation to certain environmental conditions is of primary importance. The aim of this work was to modify the express method of drought resistance evaluation in peas at an early stage of plant growth and development, and to apply this method to test 50 accessions from the VIR global collection.

Materials and methods. Drought resistance studies involved garden pea accessions of different eco-geographic origin, which had been previously characterized in field tests in conditions of the Krasnodar Territory in 2017-2019. The roll-ups protocol was used for evaluating early drought resistance in the accessions. The stress intensity was modified by varying the concentration of sucrose in the solution used for growing of pea seedlings. To select an appropriate concentration, an osmotic pressure of 0.5 and 0.7 MPa was applied. As a result, the osmotic pressure of 0.5 MPa was chosen. The diagnostic criterion of the method is the radicle length index (RLI), that is, the ratio of the average radicle length of seedlings against a provocative background to the control values.

Results. The osmotically active solution led to significant reduction in the radicle length of pea seedlings. The studied accessions exhibited considerable genetic variability for early drought tolerance, the RLI value varied from 0.28 to 0.88. Sources of high drought resistance during the period of seedling growth have been identified. The correlation analysis showed the absence of a reliable relationship between the RLI and the crop structure indicators (correlation coefficients from r = +0.17 to r = -0.24).

Conclusion. By using the method of determining the relative drought tolerance at early stages of pea accessions development, one highly resistant (k-9333 from Morocco) and 10 resistant accessions (k-1495, k-9372, k-9401, k-9418, k-9733, k-9909, k-9934, k-9938, k-10072, and k-10116.) have been identified.
Use of Blockchain Technology for Electronic Prescriptions
Authors: Seaberg Ryan W. , Seaberg Tyler R. , Seaberg David C.
Published: October 2021

Objective: Distributed ledger technology can be used as a transparent, shareable ledger, that can record transactions between two parties efficiently and in a more secure, verifiable, and permanent way than the current electronic prescribing systems. We studied the use of a distributed ledger electronic prescribing programme, Prescription Abuse Greatly Reduced (PAGR) Prescriptions, to examine the effect of blockchain on provider prescribing efficiency at three family medicine clinics.
Design: The PAGR was installed side-by-side to the electronic health record at three family medicine practice clinics in middle Tennessee. A prospective, convenience sample of patients at all three clinics was used for analysis. Trained observers were used in each clinic to document the side-by-side use of current prescribing practice versus the use of the PAGR electronic prescribing system by the individual providers.
The primary outcome was total time to write the prescription. Secondary metrics included compliance with checking the state’s Physician Drug Monitoring Program (PDMP.) , accuracy of medicine reconciliation, use of patient’s eligibility on insurance, prescription benefits, and change in prescription caused by benefits analysis or drug-interactions. Provider satisfaction was measure on a 4-point Likert scale.
Data were analysed using two-tailed, paired Student T-tests with alpha set at 0.05. A sample size of 107 patients was calculated to have a power of 80% to detect a 50% change in the prescription writing time.
Results: The primary outcome of total prescription writing time was 171 ± 41 sec for current prescribing practice versus 63 ± 15 sec for the PAGR system (p = 0.0006). All providers were extremely satisfied with the use of the PAGR programme.
Conclusion: Use of the PAGR electronic prescription programme significantly saved a mean of 1 min 48 sec per written prescription at the three Family Medicine Clinics. The PAGR also provided accurate medicine reconciliation and complete PDMP checks for controlled substance prescriptions. The patient real-time benefits check and drug-drug and allergy-drug reviews resulted in the provider changing the prescription 28% of the time, enhancing safety and out-of-pocket patient expenses. Future enhancements include expanding the insurance benefits analysis and developing provider notifications when patients are non-compliant with filling their prescriptions.