bluuebunny/crossref_metadata_2025 huggingface dataset:
Edukasi Pola Hidup Bersih dan Sehat (PHBS) pada Anak Usia Sekolah Dasar melalui Media Permainan Berbasis Kearifan Lokal "BAREGA” di Kelurahan Marang Kota Palangka Raya
Authors: Lestarisa Trilianty , Trinovita Elsa , Toemon Angeline Novia
Published: December 2023

Clean and Healthy Living Behavior (PHBS) is an effort to create conditions for individuals, families, groups, and communities in attitudes and behavior so they can adopt a healthy life to maintain and improve their health status. Elementary school-age children often ignore the health problems they experience, so preventive and promotive efforts are needed so that they have good and correct PHBS knowledge, attitudes, and actions to prevent some health problems from occurring. Health education for children aims to familiarize them with a clean and healthy lifestyle that starts with being responsible for their health and environment. This education can be done by using learning methods adapted to the characteristics and needs of children. Therefore, the Community Service Team carries out community service activities as an effort to increase education regarding PHBS, an innovative media based on local wisdom, namely the game "BAREGA," with the primary target audience being elementary school-age children through counseling and demonstrations on a combination of puzzle games and snake's ladders with a material clean and healthy lifestyle based on local wisdom. The implementation of this activity went smoothly, all the children looked very enthusiastic, and it was hoped that it would increase public awareness, especially among children, in implementing a clean and healthy lifestyle in everyday life.
Pemanfaatan Tanaman Bambu dan Kaliandra untuk Perkuatan Lereng sebagai Upaya Mitigasi terhadap Longsor di Desa Sinarresmi Sukabumi
Authors: Zayadi Ruwaida , Andayani Sih , Indrawati Etty
Published: December 2023

The PKM program, with the theme of community empowerment in sustainable environmental management with the title "Utilization of bamboo and calliandra plants for slope reinforcement as a mitigation effort against landslides in Sinaresmi Sukabumi Village," aims to provide a solution to the housing conditions of the residents of the Traditional Village of Sinarresmi Sukabumi Village, after the occurrence of a landslide disaster in 2019 which left the slopes of the hilly area vulnerable to landslides. The methods used are Providing education, knowledge, and understanding that forms awareness of the dangers of landslides and how to prevent them with cheap, easy, and environmentally friendly methods; providing training by assisting in making retaining walls (slope reinforcement) using natural resources around residential areas, namely bamboo stems and Kaliandra plant cuttings. The result of this PkM activity is the emergence of an awareness of the Indigenous Village community about the need for landslide disaster mitigation by strengthening landslide-prone slopes with materials around the dwelling. The conclusion of the PkM is the emergence of community awareness in mitigating landslide disasters through the skills to make slope reinforcement based on nature that is cheap, easy, and has ecological value. This service activity also urges the community to preserve bamboo plants by revegetation. The advantage of this PkM is that it involves the traditional village community, uses local natural resources, and can be applied in other areas.
Pendampingan Administrasi Sekolah berbasis Digital di SMP Muhammadiyah Palangka Raya
Authors: Surawan Surawan , Mazrur Mazrur , Jennah Rodhatul
Published: December 2023

Technological developments have a significant impact, one of which is education. Activities or services in schools that were initially manual are now turning digital. Of course, this also requires preparation from various components of the school, both students and educators. This service aims to help schools with digital services. The method is a mentoring method with an approach in this service using the PAR or Participatory Action Research approach. The results of this dedication activity are: Improving quality, broadening insight, knowledge, and skills for educators and education staff at Muhammadiyah Junior School of Palangka Raya through community service activities related to school administration governance and providing strengthening the implementation of school administration governance by both lecturers and students. Produced 2 Microsoft Exel-Based School Administrative Governance Applications, the PPDB EMIS and DAPODIK Applications, and the Lahajar v.4.4 Application.
Pemberdayaan Masyarakat Desa Gadingkulon Dau Kabupaten Malang melalui Pelatihan Pembuatan Kefir untuk Meningkatkan Nilai Ekonomis Susu Sapi
Authors: Mahmudah Rif'atul , Dewi Diana Chandra , Maimunah Siti
Published: December 2023

Gadingkulon Village, Dau District, Malang Regency, is one of the villages producing cow's milk, which is quite productive. To increase the economic value of cow's milk, one way of processing it is to make it into kefir. Kefir is a fermented drink made from cow's milk using kefir seeds, which has the benefit of being a probiotic that is needed to maintain body immunity, especially during a pandemic. Training on making cow's milk kefir for a group of cow's milk farmers in Gadingkulon village can provide another alternative for processing cow's milk to produce a halal probiotic product to increase people's immunity during a pandemic while at the same time increasing the selling value of cow's milk which has the potential to increase the income of cow's milk farmers. This empowerment activity was carried out using the observation and training method with the target of PKK women in Gadingkulon Village. The information results stated that the activity participants needed to become more familiar with the terms and benefits of kefir as a probiotic drink, which helps increase body immunity. The results of the community empowerment showed that the participants could understand and practice how to make cow's milk kefir, pack it aseptically, and form a kefir community in the Gadingkulon village.
The Relationship Between Self-Esteem And Body Image In Female College
Authors: Munandar Haris , Nabilla Widya Shafa
Published: December 2023

This study aims to examine the relationship between self-esteem and body image among female college students. The subjects in the study were 50 senior students who had completed their theses. Data were collected using a body image scale and a self-esteem scale. A Likert scale with four response alternatives was employed. The research data obtained were then analyzed using the Pearson Correlations product-moment correlation technique. The data analysis results indicate a very significant positive relationship between self-esteem and body image with a correlation coefficient (r) of 0.549 and a significance level (p) of 0.000. The conclusion of this study is that there is a very significant positive relationship between the self-esteem and body image of female college students. The higher the self-esteem of the students, the higher their body image, and conversely, the lower the self-esteem of the students, the lower their body image.
Ecosistema de aprendizaje abierto
Authors: Vásquez López José Jaime , Soto García Emilio Miguel , Hernández Romero Paola
Published: December 2023

Se conforma un Ecosistema de Aprendizaje Abierto como un Ambiente Digital de apoyo al quehacer académico, desarrollando una plataforma que permite la relación interpersonal, la conformación, sistematización y ubicación de materiales educativos, localización de información específica, bases de datos, recursos digitales, servicios de gestión académica, para democratizar el conocimiento y mejorar el aprendizaje significativo que gestione información de docentes, alumnos y sociedad en general para promover la colaboración académica. Nosotros iniciamos con un mapeo de los planes de estudio y sus particularidades, desarrollando un sistema de planeaciones didácticas y capacitación en recursos de aprendizaje abierto, denotando un adecuado nivel de trazabilidad, utilizando formatos abiertos y asegurando la capacidad de inter-operar con sistemas internos, asegurando la adecuada coordinación de áreas y la adopción de políticas, lineamientos y directrices de operación en la institución, pero también; la operatividad en sistemas externos, para su conexión adecuada a nivel nacional e internacional con el apoyo de metadatos, identificadores únicos y permanente para las publicaciones electrónicas, identificadores únicos y permanente para cada usuario del ecosistema; la interface debe permitir visualizar la información con indicadores y métricas que permitan identificar los avances del proyecto.
Association Between Systemic Immune- Inflammation Index and Severity of Coronary Artery Disease in Acute Myocardial Infarction Patients
Authors: Easmin Tania , Khalequzzaman Md , Ahmed Md Mohsin , Hasan Md Mehadi
Published: December 2023

Background:  Acute myocardial infarction is one of the leading causes of death across the world. Determination of severity is important in patients with acute myocardial infraction for the therapeutic decision making. Systemic immune-inflammation index (SII) has been proposed as a new prognostic marker in patients with acute MI. Several international studies have found to compare the relation between SII and severity of coronary artery disease. In these studies, they demonstrated that the SII is higher in severe CAD. In our country, no such study has been done yet to predict the severity of coronary artery disease by estimating SII in acute MI patients. Moreover, SII is cheap, easily available, non-invasive and routinely done procedure.
Objectives: This study was conducted to find out the association of SII to severity of CAD in acute MI patients.
Methods: This observational cross sectional analytical study was carried out in the Department of Cardiology, Dhaka Medical College Hospital, SSMC and Mitford Hospital and NICVD, Dhaka from March 2021 to February 2022. Patients with acute MI (STEMI and NSTEMI) were approached for this study according to inclusion and exclusion criteria. Coronary angiogram was done during index hospitalization. The severity of coronary artery disease was assessed by Vessel score and Gensini score. According to Gensini score CAD severity detected as mild to moderate (≤50) , severe (>50). Patients were divided into two groups according to Gensini score: Group A, severe CAD ( Gensini score >50) and Group B, mild to moderate CAD( Gensini score ≤50). SII calculated from admission CBC report.
Results: Among 70 patients in our study 33 (47.1%) were in the high Gensini group (Group A) and 37 (52.85%) were in low Gensini group (Group B). Mean systemic immune inflammation index was found significantly higher in group A than group B, p value 0.001. We found strong positive correlation between SII and Gensini score (r= 0.7, p= 0.001). With the increase of SII, Gensini score increases demonstrating more severe CAD. In multivariate logistic regression analysis, after adjustment of confounding, hypertension (p=0.01, OR=4.84), NLR (P=0.004, OR=1.81) and SII (P=0.011. OR=1.002) remain independent predictor of severe CAD. In ROC curve analysis, the AUC of SII for predicting severity of CAD is 0.8 with p value < 0.001, 95% CI (0.71-0.91) and SII cut off value 686 can predict severe CAD with 78% sensitivity and 76% specificity. So, from this study, it is evident that SII is directly associated with coronary artery disease severity.
Conclusion: Increased SII was associated with angiographically severe coronary artery disease in acute Myocardial Infarction patients and this association is independent of conventional cardiovascular risk factors.
Bangladesh Heart Journal 2023; 38(2): 102-109
Established and Emerging Biomarker in Chronic Heart Failure
Authors: Islam Sami Nazrul , Khan Sayeedur Rahman , Hossain Md Anwar , Alam Mohammad Khurshadul , Hasan Amanat , Sheel Bivash Kumer , Adnan Tanvir , Brishti Tanha Waheed , Khan Sharmin Tahmina
Published: December 2023

Background: More than one million hospital admissions each year are due to heart failure as the major diagnosis. One in six patients over 65 who visit a primary care facility complaining of dyspnea with exertion has undiagnosed HF. By far, the most thoroughly investigated, extensively used, and acknowledged biomarkers for heart failure are natriuretic peptides. B type natriuretic peptide (BNP) and its biologically inactive fragment N-terminal pro B-type natriuretic peptide (NT-ProBNP), which are both primarily released by the ventricles in response to stretching, have been suggested to be useful for determining the prognosis or disease severity of chronic heart failure in earlier studies. Uric acid levels rise in CHF primarily due to increased production and occasionally due to decreased excretion or both. Elevated uric acid levels are a sign of developing heart failure and cardiac dysfunction. Numerous studies have demonstrated a connection between morbidity and death in CHF and elevated serum uric acid levels2.
Objective: To find out the relationship between on admission serum uric acid level with established prognostic factors and Biomarkers such as different classes of NYHA, LVEF, NT-PROBNP, and their prognostic significance.
Methods: From April 2018 to March 2019, this study was carried out at the National Heart Foundation Hospital and Research Institute's Department of Cardiology. After considering the inclusion and exclusion criteria, 148 patients with chronic heart failure who had admission serum uric acid measurement and telephone follow-up within 30 days were included. The study patients were divided into two groups based on Serum uric acid level Group I (SUA in men<7mg/dl) (SUA in women <6mg/dl), Group II (SUA in men ≥7mg/dl), (SUA in women ≥6mg/dl) Baseline characteristics, left ventricular ejection fraction (LVEF) were then compared between the two groups.
Results: On 148 patients, the level of serum uric acid was assessed, and follow-up was done, patients with chronic heart failure were shown to have significantly higher levels of hyperuricemia, and there was a strong association between the severity of the rise in serum uric acid (SUA) and the severity of the heart failure. Elevated blood uric acid levels and ejection fraction have an antagonistic relationship. The severity of heart failure can be predicted by hyperuricemia, as evidenced by the association between patients with elevated blood UA levels and a worse New York Heart Association (NYHA) functional class. Higher uric acid levels in patients were linked to negative outcomes and a poor prognosis.
Conclusion: As with NT Pro BNP or other well-established prognostic indicators, lower uric acid levels upon admission can be utilized to predict the prognosis of CHF patients.
Bangladesh Heart Journal 2023; 38(2): 135-142
Pulmonary Embolism Successfully Treated with Tenecteplase: A case report
Authors: Shafi Masuma Jannat , Nasrin Sahela , Haq M Maksumul , Karim Md Rezaul , Siraj K Ferdoush , Naab R Tasfea
Published: December 2023

Acute pulmonary embolism is a life-threatening situation when presenting with hypotension is called high-risk (massive) pulmonary embolism (PE) which is associated with mortality, especially if there is hemodynamic instability, right ventricular dysfunction with thrombus. Thrombolytic therapy can be lifesaving and leads faster improvement in hemodynamics in patients with acute pulmonary embolism and cardiogenic shock which accelerates the resolution of thrombus, reduction of RV dilatation, mortality and recurrent PE. Only three fibrinolytic agents namely Recombinant tissue-type plasminogen activator (rtPA), Streptokinase and Urokinase have been approved in the treatment of PE. We report the case of a 64 years old Bangladeshi female with a history of immobilization due to unilateral cut injury of foot, who presented with shortness of breath and intermittent chest pain for a duration of 7 days during OPD visit. ECG showed sinus tachycardia (HR-120bpm, regular) and poor progression of R wave. Echocardiography revealed dilated RV, PA with RV dysfunction, presence of McConnell’s sign, RV apical & PA thrombus, flattened IVS, PHT, and minimal pericardial effusion, normal LV systolic function which was reported as suspected pulmonary embolism. Urgent hospitalization and CT pulmonary angiogram (CTPA) was done for confirmatory diagnosis which revealed large pulmonary thrombus in both right and left pulmonary artery. Thrombolysis with Tenecteplase (100ml) over 2 hours was started immediately along with intravenous normal saline and norepinephrine for hypotension, although, it was not recommended by the European Society of Cardiology (ESC) guideline, resulting a successful resolution of the PA thrombus and clinical improvement. She was discharged with oral anticoagulant Rivaroxaban. 
Bangladesh Heart Journal 2023; 38(2): 148-154
Design and Performance Evaluation of an Automatic Dimmable Fault-Adaptive LED Driver Circuit
Authors: Gupta Vishwanath , Basak Biswarup , Roy Biswanath
Published: December 2023

In this paper, an automatic, fault-adaptive, and dimmable LED driver circuit and LED lamp module is designed and simulated. The designed LED driver can automatically operate and dim (18–72) W LED modules assembled with unknown series-parallel combination of 3 W LED chips on universal AC input (Vrms=(90–265) V, 50/60 Hz). The unique feature of the modelled LED driver circuit is its ability to monitor and detect failure of any connected LED chip and then adapt to provide optimised light output from the LED modules under faulty conditions. The proposed LED driver circuit and LED lamp module are simulated in MATLAB Simulink environment to evaluate the electrical performance. The operation of the simulated LED driver circuit from 100 % to 30 % of rated light output and during occurrence of fault is satisfactory and in compliance with IEC61000–3–2:2014 and IEEE Standard P1789. Input power factor of the simulated LED driver ranges from 0.74 to 0.99, THD from 3.33 % to 30.63 %, and output current ripple from 4.6 % to 20 % under operation of all connected LED modules.
Analysis of the Plasma Discharge Phenomena for Ceramic Metal Halide Lamps Using Finite Element Method
Authors: Malik Pallavi , Sharma Kalpna
Published: December 2023

Metal halide (MH) lamps comes under the category of high intensity discharge (HID) lamps, which involves high intensity thermal plasma discharge phenomenon. In this paper we have considered ceramic MH lamps. The plasma discharge in MH lamps is different from other plasma discharge by the velocity of all the discharge obeys Maxwellian distribution, the excited energy states are occupied by Boltzmann distribution, and composition of the plasma can be derived from local chemical equilibrium. This paper explores the temperature distribution and the immediate effects towards the life of MH lamp.
The temperature profile for the MH lamp is numerically investigated using WELSIM 2.0, considering the lamp plasma model mathematical equations. Since electrode plays a significant role, influencing MH lamp life, it becomes imperative to understand the electrodes. In this context, the energy balance equation is taken into consideration. The equations are solved using finite element method. The necessary boundary condition for solution of the equation is the plasma boundary layer for the cathode heat conduction. The analysis provides the temperature distribution inside the lamp for different electrode geometry. The solutions to the equations have been pictorially investigated for the lamp starting phenomena and E/N ratio. For HID lamps in general, the improvements in HID technology are all linked to the performance of the arc tube, and within that tube, the chemical reaction, the pressure, and the temperature of the reaction. Another feature in the case of MH lamps that is worth mentioning in the determination of lamp life is the ratio between electric field to gas number density.
From the above, we can draw the following conclusion that the radiation transport mechanism of the HID lamps plays a pivotal role apart from other parameters influencing the lifetime of HID lamps. The paper envisages all these aspects using PDEs, the solutions of which provide an insightful understanding of the phenomena substantially.
Economic Variables as an Early Warning Sign for Monitoring Construction Cost Indices – “An Empirical Study on Egypt”
Authors: Eldesoky Mohamed Abdel Latif Elsayed , Elwany Hamdy , Raghab Mohamed A. , Hemeida Fahd A.
Published: December 2023

The construction industry plays a crucial role in any nation's economic growth and prosperity through the implementation of the SDGs. Researchers reveal that the 17 SDGs are directly dependent by 17% and indirectly reliant by 27% on the construction industry's activities. In addition, the construction projects, whatever their type or components, continue for several years, during which many price changes and sharp economic fluctuations occur, whether at the local or international level, reflected in overall economic performance and the construction industry's health, leading to the project's cost changes and a shortage in the allocated budgets. Due to the difficulties this industry faces in reaching these goals, including the Egypt Vision 2030, we chose to look into these effects by using the ENR methodology to develop an explanatory construction cost indices model in Egypt similar to models used in other countries while making appropriate changes for the Egyptian markets. To illustrate the relationship between these selected economic variables and construction costs in Egypt and to act as an early warning sign to quantify, track, and predict the construction cost movements and trends in Egypt's construction sectors through a reliable model. A mixed research methodology consisted of semi-structured interviews with 15 industry experts and an empirical study covering 1990 through 2020 for selected local and international economic variables. We concluded that national and international economic variables significantly impacted as explanatory and predictive variables in Egypt's construction industry's cost indices; these variables are as follows: gross domestic product (GDP), consumer price index (CPI), USD to EGP exchange rate ($), inflation rate, lending rate, money supply, and unemployment rate, as well as international crude oil prices, gold prices, and copper prices. Nevertheless, further investigation is required with more economic variables across various construction industry sectors over various time intervals and different time series statistical and econometric modeling techniques.
Post-Cardiac Injury Syndrome In A Polytraumatized Patient With Aortic Intervention, Case Report And Literature Review
Authors: Hernández-Meza Juan Samuel , Monsalve-Sanchez Juan Diego , Sierra-Peña Julian Alfonso , Lemus-Barrios Gustavo Alexis
Published: December 2023

Post-cardiac injury syndrome is a type of inflammatory pericardial syndrome that occurs when there is some degree of direct or indirect injury to the pericardium or myocardium, and can occur in patients with acute myocardial infarction, trauma associated with cardiothoracic surgery and accidental or iatrogenic trauma associated with percutaneous coronary intervention. Its definition includes the terms postinfarction pericarditis, post traumatic pericarditis, and postpericardiotomy syndrome. Its pathogenesis is explained by an autoimmune response and a pleuropericardial inflammatory state triggered by tissue injury in the absence of infections or other etiologies. We present the case of a 31-year-old male patient who developed post-traumatic pericarditis secondary to chest trauma who had an adequate response to management with acetylsalicylic acid and did not develop complications.
Outcome of Membranous Pulmonary Valve Atresia with Intact Ventricular Septum Treated by Cardiac Catheterization in a Developing Country
Authors: AL-Ammouri Iyad , Nimer Abdullah , Naser Suzan , Yousef Reda , Abu Hani Mohamed , Abu Fadaleh Mohammad , Karasneh Sahar
Published: December 2023

Background: Pulmonary atresia with intact ventricular septum is a cyanotic heart disease with variable morphological features depending on the degree of right ventricular and tricuspid valve hypoplasia. Currently, the standard management for plate-like, membranous pulmonary atresia includes pulmonary valve perforation using radiofrequency wire and pulmonary valve dilation, with or without ductus arteriosus stenting. Radiofrequency wires are expensive and not available in many developing countries. We report our experience with perforation of the pulmonary valve using coronary wires followed by balloon dilation, with or without ductus arteriosus stenting. Methods: This is a retrospective review of patients with pulmonary atresia and intact ventricular septum who underwent initial percutaneous treatment at our institution between 2012 and 2020. Patients were followed till March 2022. We describe the baseline anatomy, procedure success and complications, and outcome. Results: Fifteen patients were treated during the study period. Pulmonary valve perforation using soft end of a hydrophilic-tip coronary wire was successful in 14 patients (93%). Ductus arteriosus stenting was performed in 10 patients. There was one post-procedure mortality due to neonatal sepsis. By the last follow up at median age of 34 months (21-100), twelve patients had 2-ventricular circulation, One with 1.5-ventricle circulation, and one with univentricular circulation. Conclusions: Perforation of atretic pulmonary valve using soft end of hydrophilic-tip coronary wire for patients with membranous pulmonary atresia and intact ventricular septum is highly successful. Most patients will end up with 2-ventricular circulation.
The Stenting of Aneurysm of the Anterior Interventricular Artery (AIV) in A Case Report From Mali
Authors: M Toure , M Dagnogo , M Doumbia , K Djiguiba , AW Terra , Ho Ba , M Konate , D Fofana , AA Diall , B Diarra , M Sow , S Daffe , CA Thiam , A Keita , M Coulibaly , A Sangare , B Diarra , M Diakite , SM Coulibaly , H Sankare , Mb Diarra , M MentaI
Published: December 2023

Coronary aneurysm is defined by a coronary dilatation to more than 1.5 times the diameter of the artery concerned. It is a rare condition with an overall prevalence ranging from 0.2 to 6% with a male predominance. The two main causes are inflammatory diseases and atheromatous etiology. The two main causes are inflammatory diseases and atheromatous etiology. We report the case of a 60-year-old hypertensive patient admitted to the cardiology department for constrictive chest pain. He was admitted to the KT ward where coronary angiography showed an anterior interventricular artery (IVA) aneurysm successfully treated with a covered stent.
The Double Sequential Actions of the Angiotensin II Receptor Blockers and Mineralocorticoid Receptor Antagonists Therapy on the Renin Angiotensin Aldosterone System Produce a Better Reduction of Both Blood Pressure and Central Haemodynamic Parameters and Can Prevent the Appearance of the Atrial Fibrillation
Authors: Paterno Marchioli Carlos Alberto
Published: December 2023

Hypertension is a complex, multifactorial disease that has a significant positive association with adverse cardiovascular outcomes, such as myocardial infarction, stroke, kidney disease, and death. Research studies on hypertension have, so far, generally focused on vascular resistance and small arteries. The development of hypertension is usually accompanied by arterial structural remodelling, such as large artery stiffness, and increased both central systolic blood pressure and pulse pressure. Also, is well-established that hypertension is an important risk factor for atrial fibrillation. The goal of antihypertensive therapy is to prevent cardiovascular complications. Therefore, treatment with combination of antihypertensive agents acting on multiple targets is necessary for successful in the majority of patients. New therapeutics models are necessary to reduce both arterial stiffness and volume cardiovascular to ameliorate the stress of the arterial-ventricular-atrial dynamic coupling and the abnormal pulsatile system. The objective of the study was to assess the levels reached on both the systolic and diastolic blood pressure, and the central haemodynamic parameters into each one of the three groups of patients during the angiotensin II receptor blockers therapy alone, associated with hydrochlorothiazide or mineralocorticoid receptor antagonists, and observing the presence of episodes of atrial fibrillation during 24-hour Holter monitoring. The results suggest that the latter association of sequential double blockade on the renin angiotensin aldosterone system achieves the best haemodynamic conditions to avoid or reduce the presence of brief phases of atrial fibrillation on hypertensive patients with normal kidney function.
Diagnostic and Therapeutic Challenges of NON-ST-Elevation Myocardial Infarction in Sub-Saharian Africa
Authors: Simon Antoine SARR , Joseph Salvador MINGOU , Aliou SEYE , Fatou AW , Youssou DIOUF , Khadimu Rassoul DIOP , Ndiaye Malick , Serigne Mor BEYE , Alioune Alassane NGAIDE , Malick BODIAN , Mouhamadou Bamba NDIAYE , Alassane MBAYE , Adama KANE , Maboury DIAO , Abdoul KANE
Published: December 2023

Introduction: Non-ST-elevation myocardial infarction (NonSTEMI) is most often associated with a non-occlusive coronary lesion. However, mortality remains high. The aim of this study was to evaluate the diagnostic and evolutionary aspects of patients presenting with NonSTEMI. Patients and methods: This was a descriptive cross-sectional study conducted from January 01, 2021 to June 31, 2021 in the cardiology department of Aristide Le Dantec Hospital It included all patients hospitalized for NonSTEMI in the study period. The data studied were clinical, paraclinical, therapeutic and evolutionary. Results: A total of 52 patients were included. Mean age was 60.69 years, with extremes of 32 and 86 years. The most common risk factors were hypertension (58.85%), diabetes (34.62%) and smoking (30.7%). Chest pain was the main symptom (73.1%). On physical examination, signs of heart failure were noted in 19.2% of cases. Troponinemia was positive in 94.2% of patients. Repolarization disorders occurred most frequently in the lateral territory (55.4%). ST-segment depression was most common (75%). Doppler echocardiography revealed segmental kinetic disorders in 22 patients (42.3%). Coronary angiography was performed in 36 patients. Significant lesions were found in 63.8% of cases, most often tri-truncular (56.5%). Fourteen patients underwent angioplasty. In-hospital mortality was 3.8%. Conclusion: NonSTEMI is a frequent clinical form of acute coronary syndrome, occurring most often in high-risk patients. It is the expression of coronary lesions that are often severe.
Giant Chorioangioma with Oligohydramnion: A Case Report
Authors: Abdo Muhidin , Yusuf Lukman
Published: December 2023

Chorioangioma or chorangioma is the most common non-trophoblastic benign and angiomatous vascular tumor of the placenta with a prevalence rate of 0.6-1%. It was first described by Clark in 1798. The smaller types of less than 4-5cm occurring in less than 1:10,000 pregnancies tend to be asymptomatic and clinically not significant while larger chorioangiomas found in over 1:16,000 births could manifest with adverse maternal, fetal and neonatal outcomes. The tumor related manifestations in this case report encompass a multitude of features that displayed a placental mass of 8.5 x 8.6cm, oligohydramnion, intrauterine growth restriction, poor biophysical profile and a preterm breech that culminated in an emergency cesarean delivery. The intent of the article is to create awareness of the possible pathology among practitioners, raise a high index of vigilance and establish early diagnosis, prognosticate and enhance the concept of birth preparedness and complication readiness.
Enabling the ‘Breastfeeding-Work Dyad’ and Understanding the Contextual Pentad of Productive Work, Reproductive Work, Reproductive Health, Reproductive Rights and Reproductive Politics: The Tantalizing Microcosmic Perspectives Encapsulated with Some Imaginatively Innovative Interventions
Authors: EREGIE Charles Osayande
Published: December 2023

This ‘Invited Narrative Review’ seeks to explore how best to ‘Enable Breastfeeding-Work Dyad’ extrapolated from conceptualizing the ‘Contextual Pentad Components’ which have been disposed to reflect ‘Optimality begetting Optimality’ and situate with ‘Logical Sequential Flow’ re: ‘Optimal Productive Work’ flows from ‘Optimal Reproductive Work’ which itself flows from ‘Optimal Reproductive Health’ ultimately flowing from ‘Optimal Reproductive Rights’ also flowing from, and encapsulated and facilitated by, ‘Optimal Reproductive Politics’. ‘Optimal Infant and Young Child Feeding’ is reportedly a ‘Programmatic Fulcrum’ of ‘Optimal Reproductive Work’. The Treatise is replete with ‘Tantalizing Teasers’ to stimulate and invite further ‘Contextual Conversational Surfing’. The ‘Thrust’ of the Narrative Review: ‘Enabling the Breastfeeding-Work Dyad’ mirrors the ‘2023 World Breastfeeding Week Theme’ which is ‘Enabling Breastfeeding: Making a Difference for Working Parents’. Some ‘Imaginatively Innovative Initiatives/ Interventions’ are ventilated to whet the appetite. ‘Breastfeeding’ is a ‘Low-cost High-impact Strategy’ to achieve ‘Optimal Reproductive Work’ for engendering ‘Optimal Productive Work’.
A Comparison of the Immediate Effects of Chiropractic Thoracic High-Velocity Low-Amplitude Manipulation Applied Supine and Prone on the Autonomic Nervous System
Authors: Aygün Yasemin , Genç Hazal , Pehlivanoğlu Berkay Eren
Published: December 2023

Thoracic manipulation is one of the spinal manipulative treatment methods frequently used by clinicians. However, when carrying out this task, several methods could be preferred. This study aimed to compare the immediate effects of supine and prone thoracic high-velocity-low-amplitude chiropractic manipulations on the autonomic nervous system. The study included 62 healthy and volunteer participants aged 18-45 years. Participants were randomly assigned to supine and prone manipulation groups. Both groups, heart rate variability data were obtained with the Elite HRV CorSense device for 1 minute before the application, systolic and diastolic blood pressures were measured, pulse and saturation values were recorded. After the measurement, supine chiropractic manipulation was applied to the mid-thoracic region and the same measurements were repeated. Heart rate variability data were analyzed with Elite HRV application, pulse rate, saturation, systolic and diastolic blood pressure values were recorded, and the results were statistically evaluated. In the intra-group comparison, LF/HF ratio increased in the prone group (p=0.025). When the difference between the groups was analyzed, the change in LF/HF ratio was found to be statistically significant between the two groups (p=0.008). The effect of prone application on the autonomic nervous system was found to be higher than supine application. This study revealed that prone and supine thoracic chiropractic HVLA application was effective on OSS in healthy individuals and that the efficiency of prone manipulation was significantly higher.
Kamu Yönteminin Kitlesel İnsan Hareketliliklerine Reaksiyonu: 1989 Bulgaristan Kitlesel Göç Hareketi
Authors: Çalışır Eyüp , Sağıroğlu Ali Zafer , Karakaş Mehmet
Published: December 2023

Her göç olgusu kendine has özellikler taşır. Bu açıdan göç hareketliliklerine, göçü karşılayan toplumların ve devletlerin reaksiyonları farklı farklıdır. Göç yönetimlerinin nasıl farklılaştığını anlamak için kamu yönetimlerinin tepkilerini anlamak önemlidir. Bu nedenle, Türkiye’nin son yıllarda aldığı büyük göç hareketliliklerini açıklamak ve anlamak için geçmişte meydana gelen benzer hareketlilikler karşısında verilen tepkileri incelemek değerlidir. Bu çalışmanın amacı; 1989 yılında Bulgaristan’da iktidara gelen hükümetin Türk ve Müslüman halka karşı baskıcı asimilasyon politikalarının artması sonucu Türkiye’ye zorla göç ettirilen göçmenlere yönelik Türk kamu yönetiminin gösterdiği reaksiyon ve izlediği politikaları derinlikli ve arşiv belgelerine dayalı verilerle ortaya koymak ve analiz etmektir. Çalışma, nitel araştırma yöntemlerine dayalı olarak kamu yönetimi arşivlerinden elde edilen belgelerin ve döneme tanıklık eden kamu görevlileriyle yüz yüze yapılan mülakatların analizine dayanmaktadır. Bulgaristan’dan göç etmeye zorlanan zorunlu göçmenler Türkiye Cumhuriyeti tarihi boyunca Anadolu’ya yönelik meydana gelen kitlesel göç akınları içinde özel bir yere sahiptir. Büyük oranda ortak bir soy birlikteliği düşüncesi üzerine kurulu ve “soydaş göçü” olarak isimlendirilen Bulgaristan zorunlu göçü, Türkiye’nin siyasal ve toplumsal hayatında önemli dönüm noktalarından biri olarak kabul edilmektedir. Çalışmanın ortaya koyduğu sonuçlar Bulgaristan’dan gelen kitlesel göç akınına verilen kamu tepkisinden sonraki dönemlerde gerçekleşecek kitlesel göç akınlarına dair önemli deneyimler edinildiğini göstermektedir.
Plattform för analys av förmågan att hantera händelser med avseende på ett förändrat klimat (PAKT)
Authors: Waldemarsson Martin , Andersson Granberg Tobias , Grönbäck Anna-Maria , Johansson Magnus
Published: December 2023

För att kunna hantera framtida klimatrelaterade händelser behöver samhällets beredskap anpassas och sannolikt utökas. Kunskapsläget över vilken förmåga som behövs för att hantera risker i ett förändrat klimat behöver sammanställas och framtida behov behöver jämföras mot nuvarande beredskapsnivåer för att identifiera lämpliga åtgärder. En analys behöver göras kring eventuella brister, utifrån vilken åtgärder sedan kan prioriteras och vidtas avseende olika delar i förmågan att hantera händelser, bland annat avseende tillhandahållande av statliga förstärkningsresurser. Denna studie analyserar vilken systematik som kan vara aktuell för att möjliggöra sådana analyser och utredningar.
Studiens övergripande syfte är att ge förslag kring hur bedömningar kan göras om framtidens behov av statliga förstärkningsresurser i syfte att möta framtidens klimatrelaterade risker. Detta inkluderar en sammanställning av kunskapsläget kring risker och scenarion avseende framtida naturhändelser utifrån ett klimat-förändringsperspektiv, med information om var mer kunskap kan hittas. Det inkluderar också att titta på metoder för att dels analysera behov av förmåga på olika nivåer att hantera de klimatrelaterade riskerna och dels hur dimensionering av förmåga kan göras för att möta behovet.
Studien består av två delar. I del 1 ges en sammanställning av kunskapsläget om riskbilder och scenarion i Sverige vad gäller framtida naturhändelser utifrån ett klimatförändringsperspektiv och tidsperioden fram till ca år 2100. I del 2 presenteras initialt ett konceptuellt ramverk för kartläggning av beredskap uppdelat i fyra huvud-domäner: Behov, Resurs, Styrning och Beroenden. Baserat på ramverket presenteras därefter en metodik för att analysera samhällets förmåga att hantera framtida händelser i ett förändrat klimat. För att kunna identifiera en lämplig framtida beredskapsnivå, behöver samhällets förmåga att hantera händelser gentemot en framtida riskbild analyseras. Del 2 fokuserar på hur relevanta myndigheter ska kunna gå tillväga för att göra en sådan analys som slutligen kan utgöra beslutsunderlag avseende framtida beredskap. Avslutningsvis ges ett exempel på hur metoden kan användas där händelsen skogsbrand, av omfattningen att nationella förstärkningsresurser i form av MSBs upphandlade helikoptrar och flygplan för skogsbrandbekämpning kan bli aktuella att nyttja, utgör själva händelsen.
Civila insatspersoner kan bidra till säkerhet och trygghet i freds- och krigstid
Authors: Boqvist Jesper
Published: December 2023

Ett robust samhälle måste kunna hantera alla hot från krigshandlingar till när det brinner eller vid en olycka eller sjukdomsfall. Det säkra samhället är också det hållbara samhället. Därför är ett utvecklat system med CIP ett utmärkt exempel på hur vi skulle kunna skapa säkerhet för människor genom att ha beredskap och förmåga lokalt så att vi i såväl krig som fred tillsammans kan förebygga och hantera konsekvenser av olyckor och följder av krigshandlingar.
Brandskyddsföreningen som har en rikstäckande organisation med restvärdeledare samt är kopplad till tjugo lokala Brandskyddsföreningar har nu ambitionen att ta ett nationellt initiativ för att skapa ett fungerande och rikstäckande nätverk med CIP. Säkerhetsläget i vår omvärld påkallar behovet av att stärka det civila försvarets förmåga och CIP skulle kunna utgöra en del av det. Samhället visar också ett stort engagemang i frivillighet.
CIP har med god framgång etablerats på flera orter i landet genom initiativ från främst räddningstjänster och lokala brandskyddsföreningar.
Kommunal räddningstjänst har idag utmaningar att rekrytera räddningstjänstpersonal i beredskap. CIP skulle kunna utgöra en kompetensförsörjnings- och rekryteringsgrund för detta. Pandemin har också visat på sårbarheter i samhällets förmåga att stötta utsatta med nödvändigt stöd i krissituationer. CIP skulle kunna stärka även denna förmåga.
Brandskyddsföreningen planerar att driva utvecklingen av CIP i föreningsform och svara för såväl nationell som lokal samordning. Genom att organisera eldsjälarna och locka till sig de som vill göra nytta är ambitionen att CIP växer i hela landet.
En central del för att etablera CIP är att utbilda och fortbilda de frivilliga som vill engagera sig. Brandskyddsföreningen har stor erfarenhet av kvalitetssäkrad utbildning och kommer ta fram ett utbildningskoncept för CIP. Genom centralt IT-stöd finns tillgång till kompetensdatabas i krig och fred samt uppföljning och lärande av insatser.
Att vara en CIP bygger på frivillighet men Brandskyddsföreningen arbetar i nära samarbete med försäkringsbolagen och kan genom partnerskap ta fram utrustning och lämpliga försäkringslösningar.
Brandskyddsföreningen arbetar nu med att etablera en organisation och att i partnerskap med flera aktörer bygga upp CIP i större skala.
Full SPEED ahead
Authors: Lidestam Björn , Weibull Kajsa , Prytz Erik
Published: December 2023

Det pågående projektet SPEED (Swedish Project for Efficient Emergency Driving) presenteras. Syftet är att i samverkan med ambulansverksamheter och övriga blåljusslag utveckla simulatorbaserad träning, speciellt i syfte att träna upp blivande blåljusförare i att hantera risksituationer i trafiken under stresspåslag. Simulatormetodiken möjliggör (1) att detta kan göras utan de fysiska risker som finns i verklig trafik; (2) att risksituationerna kan styras så att det säkerställs att alla blivande utryckningsförare exponeras för dem; (3) att risksituationerna kan repeteras; och (4) att föraren kan få omedelbar och tydlig återkoppling för att lära av sina egna misstag. Studiens experimentgrupp ska få träna på ett urval med specifika risksituationer för utryckningskörning, medan kontrollgruppen får motsvarande träning i simulator, fast endast med likadana trafiksituationer som ingår i träning för personbilskörkort. Skillnaden mellan specifik träning för utryckningskörning och personbilskörning mäts med ett simulatorscenario där dels ett antal av liknande, men ej identiska, trafiksituationer som ingått i träningen ingår, dels ett antal kritiska trafiksituationer som inte ingått i tidigare träning. Projektet genomförs i samverkan med simulatorföretagen Skillster och Tenstar, som ska implementera resultat och lärdomar i sina produkter.
Selection of rural villages for volunteer training in emergency response
Authors: Matinrad Niki , Andersson Granberg Tobias
Published: December 2023

Many rural areas in Sweden are sparsely populated and coverage from emergency services is weak. However, with the help of the professional emergency services (e.g., fire and rescue services) some civilians (called volunteers hereon) in these areas receive training in CPR, first aid, and required actions when a person first arrives at a fire, traffic accident, or drowning incident. In case of an emergency, simultaneously with the dispatch of emergency services, these volunteers are alerted through an SMS, or via an app, on their mobile phones. The trained volunteers are primarily assumed to provide help in the vicinity of their living areas (i.e., their own villages). However, depending on the location of the villages compared to their neighboring villages, it might be possible for these volunteers to provide help to their neighboring villages as well. As the professional emergency resources have limited budget, equipment, and manpower, it is impossible to include all villages and small population centers in the volunteer initiative. Thus, it is important to select the areas that gives most benefit for the response system. Nevertheless, the problem of selecting how many and which villages or population areas to train and equip is not always trivial.
In this study, we use optimization and propose an integer linear programming model to determine the number and location of population areas/villages that should be included in the volunteer initiative for emergency response, given a certain budget, so that the best possible emergency response coverage is achieved.
Ansvarstema: Särskilt om arbetsmiljöansvar vid frivilligas och ideellas deltagande i räddningsinsatser i glesbygden
Authors: Holm Anders , Åslund Åsa
Published: December 2023

Anta att en räddningsledare finner att en person, vilken som helst, eller att en civil insatsperson, CIP, påbörjat en räddningsinsats i väntan på att räddningstjänsten ska anlända. Anta vidare att räddningsledaren i denna situation uppmanar personen eller CIPen att fortsätta den påbörjade insatsen.Den kort redogjorda situationen ovan är en faktiskt existerande situation runt om i landet, och öppnar upp för flera olika rättsligt relevanta frågor i samband med en räddningsinsats. En av dessa frågor avser vem som har arbetsmiljöansvaret i den uppkomna situationen.I den föreliggande studien fokuseras på ansvarsbegreppet som sådant, på de rättsliga reglerna om arbetsmiljöansvar och på de rättsliga förutsättningarna för arbetsmiljöansvar i de nya samverkansformer för räddningsinsatser, som inkluderar frivilliga och ideella aktörers deltagande. Fokus i studien är i den senare delen riktat mot vem som ansvarar för vilken del av arbetsmiljöansvaret, gentemot vem. Därvid diskuteras de påföljder som kan aktualiseras. Skadestånd, som redan har studerats i Några ansvarsfrågor avseende aktörer, i synnerhet frivilliga, som deltar i räddningsinsatser, utgör därvid en påföljd, men är det en påföljd som är relevant i arbetsmiljösammanhang?När frivilliga och ideella aktörer agerar i en räddningsinsats, innebär det en brytning mot både tidigare organisering av räddningsinsatser och tankar om organiseringen av räddningsinsatser. De nya samverkansformerna avseende räddningsinsatser utmanar rådande reglering. Detta gäller inte minst regleringen av ansvarsfrågor av vitt skilda slag. En fråga som därvid pockar på uppmärksamhet är, i vilken mån det förekommer rättsliga regleringar som i allt för hög grad begränsar möjligheterna till att utveckla de framväxande frivillighetsinitiativen.