bluuebunny/crossref_metadata_2025 huggingface dataset:
The Role of Health Technologies in Multicomponent Primary Care Interventions: Systematic Review (Preprint)
Authors: Jimenez Geronimo , Matchar David , Koh Choon Huat Gerald , van der Kleij Rianne , Chavannes Niels H , Car Josip
Published: May 2020

BACKGROUND

Several countries around the world have implemented multicomponent interventions to enhance primary care, as a way of strengthening their health systems to cope with an aging chronically ill population and rising costs. Some of these efforts have included technology-based enhancements as one of the features to support the overall intervention, but their details and impacts have not been explored.

OBJECTIVE

This study aimed to identify the role of digital/health technologies within wider multifeature interventions that are aimed at enhancing primary care, and to describe their aims and stakeholders, types of technologies used, and potential impacts.

METHODS

A systematic review was performed following Cochrane guidelines. An electronic search, conducted on May 30, 2019, was supplemented with manual and grey literature searches in December 2019, to identify multicomponent interventions that included at least one technology-based enhancement. After title/abstract and full text screening, selected articles were assessed for quality based on their study design. A descriptive narrative synthesis was used for analysis and presentation of the results.

RESULTS

Of 37 articles, 14 (38%) described the inclusion of a technology-based innovation as part of their multicomponent interventions to enhance primary care. The most commonly identified technologies were the use of electronic health records, data monitoring technologies, and online portals with messaging platforms. The most common aim of these technologies was to improve continuity of care and comprehensiveness, which resulted in increased patient satisfaction, increased primary care visits compared to specialist visits, and the provision of more health prevention education and improved prescribing practices. Technologies seem also to increase costs and utilization for some parameters, such as increased consultation costs and increased number of drugs prescribed.

CONCLUSIONS

Technologies and digital health have not played a major role within comprehensive innovation efforts aimed at enhancing primary care, reflecting that these technologies have not yet reached maturity or wider acceptance as a means for improving primary care. Stronger policy and financial support, and advocacy of key stakeholders are needed to encourage the introduction of efficient technological innovations, which are backed by evidence-based research, so that digital technologies can fulfill the promise of supporting strong sustainable primary care.
Application of A Tank Model to Assess the Performance of Rotiklot Reservoir Initial Filling
Authors: Krisnayanti Denik Sri , Rizal Andi H. , Bunganaen Wilhelmus , Nait Costandji , Djalil Mangu Anang Galang Anargi
Published: May 2020

Rotiklot dam is located in Belu Regency that has the tropic climate, with very short wet season (4-5 months) and a very long dry season (7-8 months). The average monthly rainfall in December – April of approximately 300 – 500 mm/month, while in another month only ranges 30- 60 mm/month. During the rainy season, rainwater will overflow as surface water and collect in the river as a flood toward the sea. The construction of a dam is one alternative to overcome the water needs of the community during the dry season. The Rotiklot dam retains the flow of water in the Motamuru River and its reservoir can accommodate 2.9 million m3. Impounding is a process carried out once a dam has been constructed. It is a comprehensive process involving filling time and water inflow. The purpose of this study was to determine the first filling time and the inflow volume in Rotiklot Reservoir in the years of dry, low, normal and sufficient water using the Tank method. It aimed to simulate the initial filling of the reservoir.  Also, the study is expected to evaluate the most suitable Tank model, with parameters calibrated using the Genetic Algorithm optimization approach. The determination coefficient using a four series tank is 0.531 greater than the coefficient obtained from 3 series tank simulation, which was 0.506. The total inflow volume in Rotiklot Reservoir for dry, low, normal and sufficient were 1.946, 7.289, 9.699, 13.822 million m3 respectively. Based on the calculation result of the inflow volume of the year of the low water, the filling time is around three months, starting from mid-December to mid-March.
Analysis of Water-Saving Irrigation with Organic Materials at Different Percentages for Rice Cultivation
Authors: Legowo Dhinar Yoga Hanggung , Nurrochmad Fatchan , Pratiwi Endita Prima Ari
Published: May 2020

Gemolong subdistrict in Sragen Regency of Central Java, Indonesia has a rainfed rice area of 2,047.64 hectares. Water is very limited during the dry season and this usually makes farmers use costly groundwater pumps for irrigation. This means conventional method involving the continuously flooded irrigation combined with chemical fertilizers which are considered water-wasteful and hazardous to the soil is the current practice in the area. However, water saving-irrigation with the addition of organic material has been discovered to be an alternative solution to this problem. Therefore, this study aimed to determine the effect of this method on water productivity using four variations of water-saving irrigation treatment and composition of organic application as well as one control treatment involving conventional method with chemical fertilizers. Meanwhile, composted rice straw was used as organic material and applied at 20% and 40% composition. The results showed the application of organic material boosted rice production while the water-saving method increased water productivity. Applying rice straw to the soil at 20% and 40% was discovered to have increased water productivity by 15% and 19% compared to the control treatment. Moreover, the application of 20% rice straw to water-saving irrigation method saved up to 19% water and increase its productivity by 16.5% in comparison with the control treatment. However, 40% under water-saving irrigation method reduced the water productivity by 2% even though it saved up to 27% water needed for irrigation. It is, therefore, recommended that water-saving methods added with 20% organic material be implemented as alternative rice cultivation procedures during dry season and period of water scarcity.
¿Qué aportan las Tecnologías de la Información y Comunicación en la enseñanza de las ciencias?
Authors: Medina Cruz Héctor , Lagunes Domínguez Agustín , Guerra Ramos María Teresa
Published: May 2020

En este trabajo se discute sobre la creciente integración de las Tecnologías de la Información y Comunicación (tic) en el ámbito educativo, las grandes expectativas que han generado desde su llegada, así como sus aportaciones y potencial para una formación científica de niños y adolescentes orientada a la toma de decisiones, al pensamiento crítico y a la actuación responsable. Se comentan las diferentes iniciativas en México para integrar las tic en escuelas de educación básica y se recuperan algunos datos de la infraestructura necesaria tanto en primarias como en secundarias. Posteriormente, nos concentramos en analizar las posibilidades que las tic ofrecen en la educación; específicamente, a la educación en ciencias, asumiendo una postura socioconstructivista.
Jalur Sinyal TGF-β Berperan Dalam Self Renewal, Diferensiasi, Dan Proliferasi Stem Cell
Authors: Aisyah Riandini , Jatmiko Safari Wahyu
Published: May 2020

Keseimbangan proses seluler diperlukan untuk menjaga homeostasis suatu jaringan. Transforming Growth Factor-β (TGF-β) merupakan sitokin multifungsional yang berperan penting dalam regulasi beberapa proses seluler termasuk self renewal dan diferensiasi sel. Sifat pleiotropik TGF-β berimplikasi pada munculnya suatu proses patologis apabila terjadi deregulasi pada jalur pengaktifannya sehingga TGF-β juga berperan dalam meregulasi homeostasis . Jalur sinyal TGF-β berperan dominan pada diferensiasi sel dengan mengatur ekspresi gen-gen yang berfungsi dalam proses proliferasi sel dan perbaikan jaringan. Proses perkembangan stem cell yang meliputi self renewal dan diferensiasi sel dipengaruhi oleh faktor intrinsik yang terdiri dari epigenetik dan faktor transkripsi utama, sedangkan faktor ekstrinsik yang berpengaruh terdiri dari inhibitor dan jalur sinyal.  TGF-β  berperan dalam mengaktifkan sinyal proliferasi sel.
Hubungan Antara Tipe Kepribadian Dan Tingkat Kecemasan Dengan Prestasi Akademik Mahasiswa Program Studi Pendidikan Dokter Universitas Muhammadiyah Purwokerto
Authors: Azizy Ismi Visa , Mustikawati Irma Finurina , Ulfa Maria
Published: May 2020

Pendidikan merupakan salah satu hal yang penting bagi setiap bangsa dan untuk menopang kemajuan suatu bangsa terutama di negara Indonesia yang masih dalam taraf negara berkembang. Perkembangan manusia di Indonesia semakin menurun. Peringkat pendidikan menurut data United Nationals Educations and Scientifics Cultures Organization (UNESCO). Peringkat pendidikan dunia atau World Education Ranking yang diterbitkan Organisation for Economic Co-operation and Development (OECD) tahun 2015  Indonesia menempati peringkat  57 dari 65 negara. Terdapat beberapa faktor yang memengaruhi pendidikan yaitu faktor internal dan eksternal. Faktor internal dari mahasiswa antara lain kepribadian. Kepribadian adalah keseluruhan perilaku individu yang merupakan hasil interaksi antara fisik dan psikis. Kepribadian dapat memengaruhi kecemasan seseorang, dimana tingkat kecemasan yang tinggi dapat berdampak pada rendahnya prestasi akademik mahasiswa. Tujuan penelitian ini adalah untuk mengetahui hubungan antara tipe kepribadian dan tingkat kecemasan dengan prestasi akademik pada mahasiswa Program Studi Pendidikan Dokter Universitas Muhammadiyah Purwokerto. Penelitian ini menggunakan metode observasional analitik dengan pendekatan cross-sectional, melibatkan 145 sampel menggunakan metode total sampling. Data di analisis menggunakan analisis bivariat uji eta, uji gamma dan analisis multivariat yaitu uji regresi ordinal. Dari hasil yang didapatkan tidak terdapat hubungan antara tipe kepribadian dengan prestasi akademik dengan nilai p value 0,099 dan terdapat hubungan antara tingkat kecemasan dengan prestasi akademik dengan nilai p value 0,025. Didapatkan hasil bahwa semakin rendah tingkat kecemasan maka semakin tinggi prestasi akademik pada mahasiswa Program Studi Pendidikan Dokter Universitas Muhammadiyah Purwokerto.
The Efficacyofantiscabies Medicinetohealing Scabiesin Patient Who Received Personal Hygiene Education
Authors: Tunjungsari Feny , Tamtomo Didik , Murti Bhisma , Aulia Yusrin
Published: May 2020

The prevalence of the scabies disease in a populated area (e.g islamic boarding schools)is still high .It is possible that disease skabies are still found here because the higiene individuals from the community .Skabies disease is easily treated , but to progress , the disease remains a big problem in the specific community health .This study attempts to analyze the effectiveness of an anti skabies permethrine comparedgameksanto healing patients whohas been getting an  individuals higiene educationSamples were 40 student the Islamic boarding in the malang district the age range of 12 - 18 years taken by random. The dependent variable was cure from scabies. The independent variable included anti-scabies (Gamexan and Permethrine). The sample taken as random.Research will be tested using chi-square to analized the data.The experimental work on chi square statistically from the analysis does not obtain a significant relation ( p = 1,000 ) between the provision of treatment antiscabies gameksan and permethrine with healing on the subjects of research get education higiene individuals.Although statistically no meaning, but can be concluded that clinically better to use gameksan and permethrine, if the subject of study get education nice about education higiene individuals, there is no different effect between the provision of gameksan with permethrine.
Correlation between Diabetes Mellitus Onset with Diabetic Nephropathy Caseof the In-Patients Treated in RS Muhammadiyah Ahmad Dahlan Kediri
Authors: Kusuma Satria Candra , AG Muhammad Masykur
Published: May 2020

The average numberof diabetes mellitus patients who underwenthospitalization inRS Muhammadiyah Ahmad Dahlan Kedirireached 11.6% per month. The age rage of the patients was between 5-15 years. They usually suffered from complications such as DM nephropathy, hypertension and hyperglycemia, that this fact should be inspectedfurther. This study was intended to cover as to how significant is the correlation between diabetes mellitus onset and the caseof diabetic nephropathy suffered by patients. The design of this study was cross sectional correlative descriptive. The sample of this study was the DM in-patients with the complication of diabetic nephropathy taken using total sampling. Spearman Rank was used as the data analysis technique. This study has found that 49 (84.48%) out of 58 diabetes mellitus patients were suffered from diabetic nephropathy too. Meanwhile, according to the result of hypothesis test, the r-count value was 0.743 and the significance rate was 0.000, which mean that there was a relation between the variable of diabetes mellitus onset and variable of diabetic nephropathy case occurred to the in-patients of RS Muhammadiyah Ahmad Dahlan Kediri.
Correlation Of Using Contraception With Breast Milk Production In Breastfeeding Mothers In The Andalas Public Health Center In Padang
Authors: Rahmayanti Rini , Yolanda Yola
Published: May 2020

Indonesia is still categorized as low in 2017, only 35.73% with a target of 50%. West Sumatra Province occupies the fifth position with exclusive breastfeeding coverage of 73.6%. The percentage of babies with exclusive breastfeeding in the city of Padang in 2017 was 74.77% of the target of 80%. Andalas Puskesmas has the lowest exclusive breastfeeding coverage of 59.84%. The purpose of this study was to determine the relationship between hormonal contraceptive use and breast milk production in breastfeeding mothers in the Kubu Village in the Parak Karakah Work Area of the Andalas Padang Health Center in 2019. This type of research was analytic with a cross sectional design. The population of mothers who have babies aged 1-6 months is 268 people with a sample of 73 people. Purposive sampling technique. Analyzed univariately using a frequency distribution table and bivariate using the Chi-Square statistical test. Univariate analysis results showed there were more than half (57.5%) with insufficient milk production. More than half (67.1%) use hormonal birth control. The results of bivariate analysis have a relationship between the use of hormonal contraception with the production of breast milk (X2h> X2t). The conclusion is that there is a relationship between hormonal contraceptive use factors, and milk production. It is expected that health workers can provide counseling to nursing mothers by providing health education about efforts to increase milk production.
Fortifikasi senyawa selenium pada jamur tiram coklat (Pleurotus pulmonarius dan Pleurotus sajor-caju)
Authors: DIMAWARNITA Firda , FARAMITA Yora , TRI-PANJI .
Published: May 2020

Selenium (Se) is one of the most important micronutrients needed for human health. However, the content of Se compound in animals and plants isrelativelysmallin order to meet recommended intakes of Se. Therefore, Se fortification in food source, such as mushroom, is needed. In this study, fortification was carried out by adding sodium selenite to the growth media (the mixture of sawdust and OPEFB) of brown oyster mushrooms included Pleurotus pulmonarius and Pleurotus sajor-caju, in various concentrations of 100, 200, 300, and 400 ppm. The results showed that the highest absorption of Se in P. pulmonarius and P. sojur caju (3.51 and 2.31 %, respectively) obtained from 200 ppm sodium selenite addition. High concentrations of sodium selenite in baglog media tend to inhibit mycellium growth and the production of mushroom fruiting body. The additions of 200 ppm sodium selenite in baglog media of P. pulmonarius and P. sajor-caju were the best treatment in term of the fastest mycelium coverage in 40 and 37 days with the highest biological efficiency ratio (BER) value of 18.80 and 17.89 %, respectively.Layu Senyawa selenium (Se) merupakan salah satu mikronutrien terpenting yang harus dipenuhi kebutuhannya dalam tubuh. Akan tetapi, kandungan senyawa Se pada hewan dan tumbuhan sangat kecil untuk memenuhi kebutuhan asupan Se yang dianjurkan. Oleh karena itu, fortifikasi Se pada sumber pangan seperti pada jamur diperlukan. Dalam penelitian ini, fortifikasi dilakukan dengan menambahkan sodium selenit ke dalam media pertumbuhan (campuran serbuk gergaji dan TKKS) jamur tiram coklat, yaitu Pleurotus pulmonarius dan Pleurotus sajor-caju dengan berbagai konsentrasi,diantaranya: 100, 200, 300, dan 400 ppm. Hasil penelitian menunjukkan penyerapan Se tertinggi pada P. pulmonarius dan P. sojurcaju yaitu masing-masingsebesar 3,51 dan 2,31% diperoleh dari penambahan sodium selenit 200 ppm. Konsentrasi sodium selenit yang tinggi pada media baglog cenderung menghambat pertumbuhan miselium dan produksi tubuh buah jamur. Penambahan sodium selenit sebanyak 200 ppm pada media baglog P. pulmonarius dan P. sajor-caju merupakan perlakuan terbaik ditinjau dari waktu tercepat pertumbuhan miselium jamur menutupi media dalam baglog, yaitu masing-masing 40 dan 37 hari dengan nilai biological efficiency ratio (BER) tertinggi, yaitu 18,80 dan 17,89 % secara berurutan.
Isolation and characterization of Dehydrin promoter region from sugarcane (Saccharum officinarum L.)
Authors: MINARSIH Hayati , SUHANDONO Sonny , FUADI Anissa K , KRISTIANTI Tati , PUTRANTO Riza A , SUKMAJDAYA Deden , SUSTIPRIJITNO .
Published: May 2020

The development of molecular biology techniques nowadays has enabled to engineer drought tolerant sugarcane by genetic engineering to accelerate the breeding program. Dehydrin (DHN) is known to have an important role in plant response and adaptation to abiotic stresses (drought, high salinity, cold, heat, etc.). While plant tissues are subjected to drought stress (dehydration), DHN protein is accumulated to high content throughout all vegetative or generative tissues. The research aimed to isolate and characterize the DHN promoter from sugarcane that can be used as transformation material in generating drought tolerant sugarcane. Specific primers for DHN promoter amplification were designed and DHN promoter region was successfully isolated by PCR cloning method. Two putative promoter sequences were identified namely Pr-1DHNSo and Pr-2DHNSo. In silicoanalyses were carried out and cis-regulatory elements motifs that play a role in adaptation on abiotic stress as well as biotic stress including ABRE, MBS, CGTCA-motif, TGACG-motif, GARE-motif, P-box TCA-element and Box-W1 were identified. The promoter Pr-1DHNSo was then cloned into pBI121 expression vector by Overlap Extention PCR (OE-PCR) for further characterization. Functional test of the promoter construct pBI- Pr-1DHNSo was conducted through Agrobacterium transformation into sugarcane calli. GUS assay and PCR analysis showed that the DHN promoter was transformed and expressed in the sugarcane calli.
SPAD-502 and atLEAF CHL PLUS values provide good estimation of the chlorophyll content for Hevea brasiliensis Müll. Arg. Leaves
Authors: CAHYO Andi Nur , MURTI Rudi Hari , PUTRA Eka Tarwaca Susila , NURINGTYAS Tri Rini , FABRE Denis , MONTORO Pascal
Published: May 2020

Measurement of chlorophyll content using destructive methods is not efficient due to a large number of samples, cost, and time needed. Estimationof chlorophyll content by nondestructive methods using handheld chlorophyll meter may be considered to improve efficiency. This research aimed to determine the formula to convert SPAD-502 and atLEAF CHL PLUS values (relative indicator of chlorophyll content) to estimated (absolute) rubber leaves chlorophyll content. Twenty leaves of rubber plant were measured using SPAD-502 and atLEAF CHL PLUS at the same time to determine SPAD-502 and atLEAF CHL PLUS values. The measured leaves were then collected to determine the chlorophyll content using a standard laboratory procedure. Regression and correlation analyses (among 3 methods) were conducted using SAS v.9 software. The results showed that between SPAD-502 and atLEAF CHL PLUS values were closely correlated, hence both of the devices can substitute each other to estimate rubber leaf chlorophyll content. In addition, the relationship between atLEAF CHL PLUS and SPAD-502 values with actual chlorophyll content of rubber clone SP 217, PB 260, GT1, and all clones (general) were significant with high coefficient of determination (R2) as well as low Root Mean Square Error (RMSE) and Coefficient of Variation (CV). Therefore, by using formula determined in this study, both atLEAF CHL PLUS and SPAD-502 can be suggested for accurate, fast, and non-destructive estimation of chlorophyll content of rubber plant leaf.
Hip function and health-related quality of life in intramedullary and extramedullary internal fixation of trochanteric fractures
Authors: Mitkovic Milan , Milenkovic Sasa , Micic Ivan , Kostic Igor , Stojiljkovic Predrag , Mitkovic Milorad
Published: May 2020

Introduction/Objective. There are extramedullary and intramedullary methods of trochanteric fractures? internal fixation with implants having a lag screw. The objective of this study was to examine the difference in impact of these fixation types on final hip function and health-related quality of life. Method. There were 75 patients treated for a trochanteric fracture, using self-dynamisable internal fixator (SIF group), as an extramedullary method, or gamma nail (GN group), as an intramedullary method. These patients were called for the evaluation of Harris Hip Score (HHS) and SF-12 questionnaire at least two years after surgery. The SF-12 questionnaire has dual expression ? physical component score (PCS) and mental component score (MCS). Results. There were no significant differences between the SIF group and the GN group regarding HHS, PCS, and MCS. Positive correlation was confirmed between HHS, PCS, and MCS, with the strongest relation between HHS and PCS. Negative correlation was confirmed between age and HHS. Conclusion. There was no difference in final hip function and health-related quality of life between SIF and GN methods in trochanteric fractures treatment (p > 0.05). These parameters of outcome were confirmed to have positive interrelation (p < 0.05). Both submuscular presence of extramedullary implant with dimensions of SIF and the need for bone reaming in cephalomedullary fixation were considered not to have significant impact in HHS and SF-12 scores after trochanteric fractures treatment by internal fixation.
Review of Associations Between Type 2 Diabetes and Cancer
Authors: Bonagiri Pranay R. , Shubrook Jay H.
Published: May 2020

Debate is ongoing regarding the relationship between type 2 diabetes and cancer, and the pathways linking the two are incompletely understood. Some posit that the relationship hinges on a common predisposing factor such as obesity, insulin resistance, or chronic inflammation that increases the risk of cancer independently. Others speculate that diabetes acts as an independent risk factor for cancer because of other molecular pathways and interactions. Additionally, antidiabetic medications have been associated with changes in cancer risk. This review presents a summary of the latest studies and data concerning the relationships among type 2 diabetes, antidiabetic medications, cancer risk, and cancer prognosis.
Prediabetes Deserves More Attention: A Review
Authors: Lawal Yakubu , Bello Fatima , Kaoje Yazid Suleiman
Published: May 2020

Evidence increasingly demonstrates that prediabetes is a toxic state, as well as a risk factor for diabetes, and is associated with pathophysiological changes in several tissues and organs. Unfortunately, use of available evidence-based treatments for prediabetes is low. This review seeks to explain why prediabetes must be viewed and treated as a serious pathological entity in its own right. It offers an overview of the pathophysiology and complications of prediabetes and describes how this condition can be reversed if all treatment avenues are deployed early in its course.
Folkevalgt og politisk leder
Authors: Røiseland Asbjørn , Vabo Signy Irene , Sørensen Eva , Torfing Jacob
Published: May 2020

This chapter introduces the book. In the first part, we discuss different meanings of “political leadership”, arguing that political leadership should be understood as three interrelated functions: Identifying problems, give direction and mobilizing support. After discussing important theoretical trends in political leadership research, the chapter sums up relevant former Norwegian research in the field. In the latter part, the chapter introduces four paradoxes that will structure the book. The four paradoxes are related to “conflict”, “administration”, “openness” and “democracy”. The latter part also explains the empirical strategy, and why we have chosen to compare Norwegian and Danish local governments. In a brief and subsequent chapter, we point to some interesting similarities and differences between Norway and Denmark.
Impact of Corona Virus on The Life Status of Kurdish People Living in Kurdistan Region of Iraq
Authors: M. Azize Pary , H. Sadiq Chia , Luqman Othman Lavin
Published: May 2020

The novel coronavirus (COVID-19) is currently one of the most common causing concerns in the medical community. The aim of this study is to carry out the effect of coronavirus on life status among Kurdish people in Kurdistan region. An online form (questionnaire) was used to collect the data among the researchers’ social media users, especially Facebook as the main platform. 643 participated in the study and filled out the form; however, 510 forms were accepted in terms of a statistical point of view. All statistical computations are enhanced using statistical method (SPSS 21). The data was coded, tabulated, and presented in a descriptive form. The finding shows that the majority of gender respondents were female aged mostly between 15-25 years old, majority were employed, 92.7%,   living in Sulaimani city, which was the highest rate among all locations. 50% of the participants identified that coronavirus was a threatening disease which was the highest. Followed by 22% who identified the disease as fatal. Social distancing and handwashing were the top choices for self-protection against the disease.  Family Connection and Relaxation were the two positive aspects of the virus, however, communication with others and safety. Were the two negative aspects of the virus stated by the respondents. 26.1% of respondents were distracted themselves from stress by connecting with loved ones through social media followed by reading. There is a significant positive statistical correlation between (Corona Virus and life status) which is (0.846) and that the significant value is (0.000). This illustrates that only 71.6% of factors affect (life status) in (Corona Virus). As a way of conclusion, coronavirus has had a significant impact on the people’s life status.
Tension Viscerothorax in a Patient with Missed Traumatic Diaphragmatic Hernia. A Case Report.
Authors: Butana Herbert , Laurance Ntawunga , Rubanguka Desire , Sibomana Isaie
Published: May 2020

Background: Diaphragmatic hernias occurring post trauma are a challenge to diagnose early especially when they follow blunt trauma. Many of those diagnosed early occur in penetrating thoraco-abdominal trauma which necessitates emergency exploration where the diagnosis is picked. Rarity of traumatic diaphragmatic hernia coupled with poor sensitivity of easily available imaging modalities makes it a big challenge to pick up this potentially fatal pathology.

Case presentation: We present a rare case of tension viscerothorax in a young man who had presented to the emergency department at a provincial hospital of Rwanda three days before the second consultation where the chest x-ray was interpreted as normal and later as a pneumothorax before the diagnosis and treatment of tension viscerothorax could be made.

Conclusion: Viscerothorax is an elusive diagnosis which when missed can complicate to strangulation of hernia contents or tension viscerothorax which carry a high mortality.
Association of Lower Lumbar Facet Joint Osteoarthritis With Demographic Factors And Intervertebral Disc Degeneration In Patients With Low Back Pain
Authors: Al-Tameemi Haider , Majid Farah Hikmet
Published: May 2020

Background: Facet joint osteoarthritis (FJO) is an important element of lumbosacral degenerative disease. However, its association with other possible risk factors is still controversial. This study was conducted to investigate the association of FJO with risk factors and with presence of lumbar intervertebral disc degeneration (IVDD).

Patient and method: Lumbosacral magnetic resonance imaging (MRI) examinations of 100 patients (36 male and 64 female) with low back pain (LBP) were reviewed in this cross-sectional retrospective study for the presence of FJO. The overall prevalence of FJO as well as the number of levels affected was correlated with the age, gender, body weight, height, BMI, female parity. FJO was also correlated with presence of corresponding IVDD.

Results: Overall prevalence of FJO was 23%. The prevalence of FJO was significantly associated with advancing age (p=0.018). Females were more affected than males but without statistical significance (p value = 0.79). Similarly, FJO were more frequent in women with advanced multiparity but the association was statistically not significant (p value 0.1) there was statistically significant association between BMI and number of levels affected by FJO (p value 0.037).  IVDD was significantly associated with higher prevalence of FJO especially at L3/4 and L4/5 levels (p values P<0.0001 and 0.04 respectively).

Conclusion: Age was the single most important factor significantly associated with both overall higher prevalence of FJO and higher number of involved levels. BMI was statistically associated with increasing number of level affected. IVDD was significantly associated with presence of FJO at L3/4 & L4/5 levels.
Liver Abscess Caused by Citrobacter Freundii Secondary to Cholecysto-antral Fistula: A Case Report
Authors: Hajri Amal , Lafkih Oussama , Erguibi Driss , El Jai Saad Rifki , Boufettal Rachid , Chehab Farid
Published: May 2020

Liver abscesses secondary to bilio-enteric fistulas are rare and therefore unknown to the attending physician. In this report, we present a bilio-enteric communication, between the gallbladder; which was macro lithiasic; and the stomach revealed by an upper digestive hemorrhage in a septic context in a 34 year old man. A pyogenic bacterial liver abscess developed because of the fistula without biliary obstruction. The patient was treated surgically with disconnection of the fistula and drainage of the abscess. The liver abscess is probably due to the contamination of the bile by the cholecysto-gastric fistula. The germ isolated was a citrobacter freundii which is rarely involved in liver abscesses.
The Therapeutic Potential of Glutathione Supplement: A Review of Clinical Trials
Authors: Hunaiti Abdelrahim Ahmad
Published: May 2020

Glutathione (GSH) is a tripeptide (γ-glutamyl cysteinyl glycine) involved in a variety of biological processes indispensable to sustain life and the most abundant free radical scavenger synthesized endogenously in humans. There are adverse health consequences from glutathione deficiency. The present mini –review aims to provide an extensive overview to glutathione supplement therapeutic effects in human subjects.
Mammogram: Association of Music with Anxiety among Malaysian Woman – A Systematic Review.
Authors: Ruslizam Nur Fatin , Ab Malek Nur Nadiah Fatihah , Zain Norhayati Mohd , Che Nut Nur Anis Izzati , Norsuddin Norhashimah Mohd , Suhaimi Siti Aishah Abdullah , Dahari Munirah Ahmad , Hasan Nur Amalina
Published: May 2020

Mammography is one of the screening tool that using x-ray dose to detect breast cancer at early stage for women older than 40 years old. By performing mammography screening annually, it can decrease mortality from breast cancer. Pain and anxiety often a hindrance to the rate of intake of mammography screening among the women. A systematic review was conducted to know the association of music with anxiety and pain on patients during mammography screening. Review identification was performed through a database search on MEDLINE and CINAHL, and 2 qualified studies were selected. The keyword used is “music therapy”, “anxiety”, ‘pain”, and “mammography”. A total of 2 articles showed the use of music among women who undergoing mammography screening. The previous studies showed that the use of music can decrease level of pain and anxiety among women during mammography screening. Thus, applying music during the screening should be implemented to encourage women for annual mammography screening.
Endoscopic Sleeve Gastrectomy Conversion to Roux-en-Y Gastric Bypass
Authors: Cimpean Sorin , Marie-Therese Marechal , Cadiere Benjamin , Cadiere Guy-Bernard
Published: May 2020

Endoscopic Sleeve Gastroplasty (ESG) is a restrictive endoscopic bariatric procedure that provides a reduction of the gastric volume and an alteration of the gastric motility. The volume of the stomach is reduced by approximately 70% through plication of the greater curvature of the stomach using an endoscopic suturing device. In case of failure, the surgical conversion is possible. We present a case of a patient with previous ESG with insufficient weight loss and gastro-oesophageal reflux. We performed a conversion to Roux-en-Y Gastric Bypass with satisfactory results.
COMMUNITY UNDERSTANDING OF CORUPPTION OF CRIMINAL MEASURES (Study Case in Malang)
Authors: Cahyani Tinuk Dwi
Published: May 2020

Currently we are concerned when witnessing the news about Operation CatchingHands (OTT) or the action of the regional head. As for the case in East Java alone,there were 13 regional heads affected by the KPT OTT. In 2018 yesterday the KPKconducted OTT, as many as 30 times OTT and 20 of them involved regional heads(Kompas, 2/28/2019). Regarding the Eradication of Corruption, Indonesia actually has had regulations since 1971, through Law Number 3 of 1971 concerning Eradication of Corruption. Subsequently in 1999, Law Number 31 of 1999 concerning the Eradication of Corruption Acts became the main rule regarding law enforcement in eradicating corruption in Indonesia, which was later revised through Law Number 20 of 2001 in several articles. Based on the background above, the formulation of the problem in this study is: What is the community's understanding of corruption especially in the city of Malang? The type of data used are primary data, secondary data and tertiary data. Primary data were obtained from interviews with people in Malang who were not legal experts. Whereas Secondary Data is obtained from various sources or legal materials such as Law Number 31 of 1999 Concerning Corruption and other Regulations relating to corruption. While tertiary material is obtained from various corruption cases that occur in the city of Malang. Data is processed based on qualitative analysis. Where the researcher uses secondary legal material sources, namely by examining the elements of criminal acts of corruption, especially in Law Number 31 of 1999 concerning Eradication of Corruption, is it in accordance with the applicable regulations. The process of analyzing the data first is to examine the results of interviews with the community in Malang, then analyzed using Law Number 31 of 1999 Concerning Eradication of Corruption, is it in accordance with the applicable regulations. the results of the study the authors get field data that illustrates that in fact there are already a lot of general public especially in the poor city of Lowokwaru  sub-district who understand about criminal acts of corruption, but about 16% of the people there are less understanding of corruption, they just know the meaning corruption without knowing how and what they have to do if that happens or they know even they fear their security is threatened when showing their active role against corruption.
Using State-Equity Reform to Improve Latinx Student Transfer
Authors: Felix Eric R.
Published: May 2020

This article focuses on Latinx transfer inequity and the role of state policy in addressing barriers faced trying to move from community college to four-year institutions. A recently passed initiative in California, known as the Student Equity Policy, offers community colleges the opportunity to address transfer barriers for racial/ethnic students through institutional planning. One of the largest challenges facing California Community Colleges are the persistent inequitable rates of transfer for Latinx students, the largest ethnic group in the system. Using critical policy analysis, I examined a subset of 33 Hispanic-serving community colleges to understand how they leveraged the policy to address the transfer barriers facing Latinx students. By examining equity plans, this study finds that although Latinx students are identified as facing disproportionate levels of inequity; the policy, planning process, and funding resources were left as unexploited opportunities to address Latinx students’ specific equity gaps.
On Existence and Uniqueness of an Integrable Solution for a Fractional Volterra Integral Equation on ð‘¹+
Authors: Ghaffoori Faez N.
Published: May 2020

In this paper, by using the Banach fixed point theorem, we prove the existence and uniqueness theorem of a fractional Volterra integral equation in the space of Lebesgue integrable ð¿1(ð‘…+) on unbounded interval [0,âˆž).
Generalized Higher Derivations on Î“M-Modules
Authors: Mahmood Auday Hekmat , Nayef Mahdi Saleh , Salih Salah Mehdi
Published: May 2020

The concepts of generalized higher derivations, Jordan generalized higher derivations, and Jordan generalized triple higher derivations on Î“-ring M into Î“M-modules X are presented. We prove that every Jordan generalized higher derivation of Î“-ring M into 2-torsion free Î“M-module X, such that aÎ±bÎ²c=aÎ²bÎ±c, for all a, b, c ïƒŽM and Î±,Î²ïƒŽÎ“, is Jordan generalized triple higher derivation of M into X.
Evaluation of genetic variability between yellow vein mosaic disease resistant gamma-irradiated okra mutant and parent
Authors: Surendran Sanoop , Udayan Punnakkal Sreedharan
Published: May 2020

Okra (Abelmoschus esculentus L. Moench) is a member of the Malvaceae family. It has been cultivated as one of the most important fruit vegetables in various tropical countries. In okra, the Yellow Vein Mosaic Disease (YVMD) is caused by more than ten different viruses and the widespread incidence of disease transmitted by the vector Bemisia tabaci (Genn.) has highly affected the successful cultivation and production of the crop. Mutation breeding using radiations is one of the promising methods to get disease resistant elite cultivars of various crops. In this study, attempts were made to evaluate the genetic variability of gamma-ray irradiated mutant of okra. Four ISSR primers generated 26 amplified fragments. Of the 26 fragments, the lowest number of fragments (5) was produced by the primer ISSR12. Between the parent (P) and mutant (M4; mutant from fourth-generation) varieties of okra, primer ISSR07, primer ISSR16 and primer ISSR21 produced two monomorphic bands and three polymorphic bands (60% polymorphism) whereas primer ISSR12 produced one monomorphic band and three polymorphic bands (75% polymorphism). The mean percentage of polymorphism generated by four primers was 63.75%. Although the level of polymorphism exhibited by different primers varied from intermediate (60%) to high (75%), all primers could distinguish parent and gamma-irradiated mutant varieties of okra.
Detection and identification of public health important pathogens present in fruit salads sold on Lagos State University campus
Authors: Ogunware Adedayo Emmanuel , Esther Odubiyi Opeyemi , Adedigba Pelumi Abimbola , Adekoya Adesewa Adeyinka
Published: May 2020

A total of fifteen pre-packaged fruit salad samples containing pineapple, water melon, pawpaw and cucumber sold in the Lagos State University, Ojo Campus was analyzed using culture techniques for its microbial qualities. Five bacteria genera isolates obtained are Bacillus spp, Staphylococcus aureus, Pseudomonas spp, Escherichia coli, Streptococcus and the three fungi genera isolates are Aspergillus species, Penicillium species, and Saccharomyces cerevisiae. Escherichia coli had the highest frequency of (40%) followed by Streptococcus with (20%), Staphylococcus, Bacillus, Pseudomonas has the same frequency of (13%). The total viable count was in the range of 1.6 × 105 cfu/g to 5.65 × 105 cfu/g while the total coliform count ranged from 1.0 × 105 to 3.3 × 105 cfu/g. The fungal count ranged from 1.5 × 105 to 3.4 × 105 cfu/g. This study revealed that fruit salads in the studied area needs proper sanitation practice during processing in order to avoid risks associated with the consumption of contaminated fruits for the consumers.
Demographic Responses to Political Transformation in Africa
Authors: Adekunle Ibrahim Ayoade , Tella Sheriffdeen Adewale , Adelowokan Oluwaseyi A. Adedayo
Published: May 2020

Gender inequality in Africa remains ambiguous because of the steep challenges of women empowerment and development. Little has been done on the influence of equitable governance on women’s empowerment in Africa. Besides, previous empirical studies are limited to studying the influence of democracy on gender equality in education and fail to offergeneralisable conclusions. These mixedresults have motivated us to evaluate the relationshipbetween a shift in political regime and different measures of women’s empowerment in selected Africa countries. Data on indices of women empowerment and political transformation from 1980 through 2017 were analysed using the Pooled Mean Group Panel estimation procedure. It is expected that demographic responses should influence transformation in the political arena in Africa. Therefore, the African government, through legislative and executive domains, should demonstrate a sincere transformational plan for the inclusion of women at all levels.
Relationship between tourism and Sustainable Development Goals in Africa: Circular Economy as a future bet
Authors: Rodríguez-Antón José Miguel
Published: May 2020

No one has the slightest doubt about the enormous potential that the African continent has as a tourist destination. The diversity of cultures, the great biodiversity that it possesses, the multiple artistic manifestations that it offers and the beauty of the seas that surround it are key pieces in continuing to promote its capacity as a tourist attraction, which is approximately 60 million tourists per year who generate seven percent of exports and employment. However, in order for Africa to take off, it is necessary that a number of conditions related to security, health, education, eradication of poverty, reduction of inequalities, peace and justice and quality of its waters, among others, are intimately related to the Sustainable Development Goals defined in the 2030 Agenda. In this context, we maintain that the implementation of the Circular Economy in Africa will be a key tool in this process of improving the sustainability of this continent in its three aspects, economic, social and environmental, and raising its level of tourism competitiveness.
Use of information technologies as a factor of the quality of life in the Republic of Bashkortostan
Authors: Fatkullina Gulshat Rashitovna , Karimov Aibulat Galimyanovich
Published: May 2020

This article is dedicated to studying the consumption of Internet in Russia. The author analyzes the dynamics of consumption of global network by regions of the Russian Federation. Special attention is paid to the use of Internet by population of the Republic of Bashkortostan. Comparative analysis is conducted to the situation in Bashkortostan overall, as well as urban and rural areas in particular. Attention is also focused on the correlation between two indicators: “Use of the Internet” and “Assessment by households of their financial situation”. The conclusions are structured on the analysis of relevant Russian and foreign publications covering the topic of the use of Internet, as well as statistical data for the period from 2010 to 2018 (based on the materials of the Russian Federal State Statistics Service and Bashkortostan Regional Statistics Service). The conducted research allowed determining the connection between the use of Internet and assessment by the households of their financial wellbeing. The acquired data can be used in forecasting of economic situation in the region, as well as carry applied relevance for commercial organizations, for the more efficient interaction with the consumers and improvement of goods and services.
Metaphorical modeling of migration: on the material of the U. S. mass media
Authors: Polonskaya Olesya Yur'evna
Published: May 2020

This article is dedicated to examination of metaphorical peculiarities of representation of migration in the U. S. press. The object of this research is the metaphorical perception of migrants and migration in mass media language of the United States. The subject is the metaphorical models structuring the concept sphere of “migration” in mass media language of the United States. The goal of this work consists in analysis of the peculiarities of metaphorical modeling of migration in the U. S. political media discourse. The relevance is defined by insufficient coverage of metaphorical perception of the migration processes by modern mass media of the United States. The research is based on the cognitive approach, according to which metaphor is a fundamental phenomenon in perception of the surrounding environment. Study of the linguistic material and description of metaphorical model allowed determining the attitude towards migrants at the current stage of development of the U. S. society. The analysis of conceptual metaphors was conducted via continuous sampling from digital versions of the well-known newspapers “The New York Times”, “USA Today” and “The Wall Street Journal”. The author highlights the three main groups of metaphors: signifying natural phenomena and disasters; military; and goods-commodity.