bluuebunny/crossref_metadata_2025 huggingface dataset:
The relationship of bile acid with biochemical tests in the diagnosis of intrahepatic cholestasis of pregnancy
Authors: TAŞIN Cuma , ÇİFTÇİ Revan Sabri
Published: December 2021

Intrahepatic pregnancy cholestasis (ICP) is associated with increased fetal complications. It is linked to an increased risk. Early diagnosis of this disease reduces these fetal complications. In this study, it was aimed to determine the sensitivity and specificity of biochemical tests according to cut off values. The values of 14 patients with bile acid ≥40 μmol / L diagnosed with intrahepatic cholestasis of pregnancy and 40 patients with bile acid <40 μmol / L were compared retrospectively with 60 control patients. In ICP patients, the ALT and AST values in patients with group 1 with bile acid ≥40 μmol / L and group 2 with bile acid <40 μmol / L were significantly higher than the control group (p = 0.0001 for both markers). Groups 1 and 2 with ICP patients have high sensitivity and specificity compared to the cut off value of ALT and AST. In our study, it was found that increased the risk of preterm delivery in ICP patients. Especially in cases where bile acid was ≥ 40 μmol / L, complications such as preterm delivery and low birth weight increased in proportion to the increase in bile acid. In the ICP patients, AST and especially ALT values increased in proportion to the increase in bile acid.
Characteristics of minor head trauma in toddlers
Authors: BOZAN Korkut , ALGIN Abdullah , ÖZDEMİR Serdar , ERDOĞAN Mehmet Özgür , KOYUNCU Nazmiye , KARCIOĞLU Özgür
Published: December 2021

The objective of present study is to evaluate mechanisms and causes of head trauma, factors influencing management of pediatric minor head trauma, to highlight decision making processes in diagnostic imaging as well as searching for preventive measures for head trauma. Children younger than two years of age who were admitted to emergency department in one-year study period due to minor head trauma were included to the study. To be inside or outside of house did not significantly change the incidence of falls for children younger than two years of age (p=0.096). Incidence of falls was significantly increased at living rooms (p=0.01) and bathrooms (p=0.036). Incidence of scalp hematomas was significantly higher in symptomatic patients (p=0.006). Asymptomatic admission after a minor injury was not a significant factor on decision of diagnostic imaging. A patient’s asymptomatic presentation should not be used as a criterion to rule out cerebral injuries. A lack of obvious signs and symptoms during evaluation does not exclude TBI. Existing serious symptoms should lead to a quick evaluation of patient to rule out a possible surgical emergency. Scalp hematomas are significantly associated with cerebral injury and are a predictor of brain injury. Clinicians should have a lower threshold for imaging in children<2 years of age.
Effects of Covid-19 pandemic in Turkey: Physical activity, smartphone usage, musculoskeletal system
Authors: SUNER KEKLIK Sinem , NUMANOLU AKBAS Ayse
Published: December 2021

This study aims to evaluate relationship between physical activity level, smartphone usage, back and neck health during Covid-19 pandemic. Participants between ages of 18-65 were included in study. Smartphone usage was evaluated with Smartphone Addiction Scale-Short Version, physical activity levels with short form of International Physical Activity Questionnaire. Oswestry Disability Index and Neck Bournemouth Questionnaire was used to evaluate back and neck problems. A total of 251 people (179 women, 72 men, age: 28.11±9.49 years, min-max: 18-62 years) participated in study. 134 participants (53.38%) had low physical activity levels; 35 individuals (13.94%) had sufficient physical activity levels while 82 participants (32.66%) were not physically active. A weak positive correlation was found between neck pain and total score of smartphone addiction scale, daily smartphone usage time, daily smartphone check frequency, and first check time after waking up (r=0.199, r=0.149, r=0.132, respectively). A weak negative correlation was found between neck pain and first check time after waking up (r=-0.145). As a result of study, it was observed that physical activity levels were insufficient in majority of individuals who participated in survey. The relationships we expected between physical activity level, smartphone usage characteristics, low back and neck health could not be demonstrated, only weak relationships were found between some features of smartphone use and neck health. We believe that finding solutions to increase physical activity levels of individuals during pandemic period will have both protective effects on health and will prevent problems by affecting musculoskeletal system positively.
The use of dinoprostone at third trimester in pregnant women with oligohydramnios
Authors: GÜÇLÜ Mehmet , DOKUZEYLÜL GÜNGÖR Nur , GÜRBÜZ Tuğba , YURCİ Arzu
Published: December 2021

The aim of this study was comparing the efficacy of dinoprostone administration for labour induction in pregnant women with oligohydramnios and in pregnant women with normal amniotic fluid volume at third trimester. This retrospective study included 187 pregnant women between January 2015-December 2020. Four quadrant technique was used to determine amniotic fluid index. The cases in the study were divided into two groups as Group:1(the ones with oligohydramnios) and Group:2 (the ones with normal amniotic volume) Age ,gravida, parity ,gestational week according to the last date of menstruation, Bishop score ,dilatation ,hours elapsed after the first contraction, hours elapsed after active contraction, labour entry time (hour) , time elapsed until delivery (hour) , birth weight, Apgar score 0th minute and 5th minute and their distribution between the groups showed similarity (p> 0.05). The values of amniotic fluid index (AFI) (p <0.001) and effacement (p = 0.012) were found to be significantly higher in Group 2 compared to the values of the cases in the Group 1 (p <0.05). It was found in the analysis that the findings of premature rupture of membrane (PROM), oxytocin augmentation need, tachysystole, vaginal delivery rate, caesarean delivery rate, meconium stained amnion rate, neonatal intensive care unit (NICU) need, postpartum hemorrhage, and transfusion need (p = 0.394) were similar between two groups (p> 0.05). We can state that dinoprostone can be used safely and effectively to induce labor in third trimester pregnancies both with normal AFI and oligohydramnios.
Investigation of MERS-CoV seropositivity among Umrah visitors from the Çorum Region of Turkey
Authors: GÜRESER Ayşe Semra , YAPAR Derya , AKDOĞAN Özlem , TAYLAN ÖZKAN Ayşegül , BAYKAM Nurcan
Published: December 2021

Middle East Respiratory Syndrome Coronavirus (MERS-CoV) causes Middle East Respiratory Syndrome (MERS). Since the vast majority of cases (more than 85%) are reported from Saudi Arabia, there is a pandemic potential for pilgrimage due to Hajj or Umrah. It is reported from Turkey that more than 400 thousand people went to Saudi Arabia for umrah and 61 thousand people for Hajj in 2014. In this study it is aimed to investigate the patients who had just returned from Makkah for Umrah and who also applied to the Infectious Disease Clinics at the Hitit University Erol Olcok Training and Research Hospital for having respiratory tract symptoms. Their serologic situations have been determined by ELISA whether there is any risk in terms of performing the Hajj and Umrah, and contracting MERS-CoV. Between January 1st to the 31st of October 2015, 40 people were included in this study, which were admitted to our hospital with upper respiratory tract complaints and had previously been in Saudi Arabia for Umrah within the last 15 days. As a control group, 40 healthy people without any complaints and travel histories to risky areas were selected. Their serum samples were taken and searched by MERS-CoV IgG ELISA (Euroimmun AG, Lübeck, Germany). The results ≤0.8 were considered as negative, ≥1.1 were as positive, 0.8-1.1 were suspected. All suspected and positive results have been revaluated and confirmed. Only two (5%) individuals from the patients’ group were found as positive for the MERS-CoV IgG antibodies, but individuals from the remaining patients’ group and also all control group members were determined as negative. Travels to Saudi Arabia could be a risk for exposure to MERS-CoV. Although there is no evidence, contamination could be realized by anthropologically due to crowds.
Treatment of Alzheimer’s disease by natural products
Authors: CHOUGLE Sana , KUMAR Dinesh , KHAN Andleeb , ZEHRA Sadaf , ALİ Ahmad
Published: December 2021

Alzheimer’s disease is a neurological disorder that progressively affects the brain cells. It is sometimes accompanied with dementia and commonly seen in elderly people. It ultimately leads to impaired cognitive functions and loss of memory. Widely used drugs such as donepezil and galantamine successfully abate mild to moderate symptoms of the disease though they have profound side effects. Natural products have been a source of medicine for over thousands of years. Plant secondary metabolites such as alkaloids, flavonoids, terpenoids, etc. are major sources of such medicines. In recent times, the use of natural products to treat various diseases has gained a lot of popularity. Extensive research is being undertaken to identify and isolate various natural products that can be used to not only reduce the disease symptoms but also as a permanent cure. The review article aims to summarize the effects of various natural products and their neuroprotective mechanisms that can be helpful to cure Alzheimer’s disease.
Expanding the discussion on fibrinolytic contraindications
Authors: SÖNMEZ Ertan , ÖZDEMİR Serdar , GÜLEN Bedia , TAŞLIDERE Bahadır , ÖZCAN Ayşe Büşra
Published: December 2021

The European Resuscitation Council Guidelines recommend the administration of fibrinolytic therapy when acute pulmonary embolism is a known or suspected cause of cardiac arrest. However, contraindications that limit the use of fibrinolytics are sometimes challenged by clinicians, including head trauma in the previous three weeks. We report on the successful use of rescue fibrinolytic therapy on a patient with acute head trauma who had a cardiac arrest in the emergency department as a result of a pulmonary embolism (PE). To the best of our knowledge, this is the first case of successful fibrinolytic therapy for a patient with acute head trauma in the literature.
Ancient Metallurgical Center in Georgia
Authors:   National Agency for Cultural Heritage Preservation of Georgia, Pitskhelauri Konstantine (Kote)
Published: December 2021

Georgia is situated in Caucasia, between the Black Sea and the Caspian Sea. Its terrain is created by the Greater and the Lesser Caucasus, rivers with great volume of water flowing between them and coastal plains. The territory of the whole Caucasus and, specifically, Georgia, is one of the main communication areas linking ancient Steppe empires with Near Eastern civilizations (pl. 1), which, alongside rich natural conditions, significantly determined formation of human society from ancient times and proved favourable to its development. Formation and evolution of the human society in any corner of the earth, from the earliest times to ancient civilizations, largely depends on the geographic environment and reasonable exploitation of natural resources by humans. With its mild climate, fertile lands, flora, fauna, alpine pastures and low-lying fields, diverse natural resources, extensive river network, etc. Georgia has always provided convenient conditions for human habitation and development of economic activities. Southern slopes of the Caucasus Mountain Range and the highlands of the Lesser Caucasus are especially rich in metallogenic provinces. The present article deals with when production of different metals started here and whether it became one of the main bases for development of the society.
The Melon Short paleobotanical and historical-linguistic review
Authors:   Georgian National Museum O. Lordkipanidze Archaeological Research Institute, Chikovani Guram
Published: December 2021

Vegetation occupies a special place on the Earth. It was easily recognized by our remote ancestors who worshipped plants and animals together with the visible world. From the biblical viewpoint about the origin of the world and living organs and resulting from further scientific conceptions, origin and evolution of plants and their special function have always been given great importance. Plants are an unconditional source of life on earth. With their development, early humans changed their ideas about and relationship with the changing environment. After the formation of convenient natural conditions, in different regions of the earth humans started developing a new form of production – land farming and cattle breeding and began creating new firm settlements. Consequently, there emerged new concepts –cultivated plants and domesticated animals - in economic activity. Improved species of plants and animals were created by means of human interference, which is why their majority have preserved only the gene and some characteristics of their wild ancestors. One of such cultivated agricultural plants is the melon with its very interesting history of evolution.
Pemberdayaan Kelompok Sadar Wisata (Pokdarwis) Tiram Tambun Dalam Pengembangan Usaha Homestay Di Desa Wisata Mentawir Kabupaten Panajam Paser Utara
Authors: Mulyani Yogiana , Rustika Ranti , Winnarko Henry , Retno Nugroho Tri
Published: December 2021

Pengelolaan Desa Wisata Mentawir Kabupaten panajam Paser Utara dilakukan oleh kelompok masyarakat yang tergabung dalam Kelompok Sadar Wisata (Pokdarwis) Tiram Tambun. Dalam pengembangan Desa Wisata Mentawir salah satu persyaratan yang harus dipenuhi adalah tersedianya sarana akomodasi atau penginapan yang memadai dalam bentuk homestay. Pokdarwis Tiram Tambun sudah mulai mengembangkan beberapa rumah tempat tinggalnya untuk bisa dijadikan homestay. Namun demikian kurangnya pengetahuan dan ketrampilan yang dimiliki tentang homestay menyebabkan tidak maksimalnya pengelolaan yang dilakukan. Oleh karenanya dalam kegiatan pengabdian masyarakat ini diberikan pelatihan dan pendampingan kepada Pokdawis Tiram Tambun tentang pengelolaan homestay. Hasil kegiatan didapatkan adanya peningkatan wawasan serta bertambahnya pengetahuan dan ketrampilan akan pengelolaan homestay yang ditunjukan dengan penambahan jumlah homestay serta adanya usaha untuk memenuhi beberapa standar kriteria homestay.
Penerapan Teknologi Mesin AC Mobil Bagi Siswa Jurusan Teknik Otomotif Di SMK Negeri 1 Losarang
Authors: Wardika  , Sunanto  , Suwandi Dedi , Sari Bunga Munengsih
Published: December 2021

Completeness praktikun learning tool in achieving competence automotive field would be a necessity that must be met. Seeing the large number of students at SMKN 1 Losarang, majoring in Automotive engineering, having practicum facilities that are still relatively minimal, with the limited practical facilities, additional practical facilities are needed in the form of car AC machine trainers to improve student competence at SMK N 1 Losarang. Increased competence by providing trainer AC Drives and conducted training and workshops and provide free test and post-test were conducted before and after the training. With the application of AC engine technology competence of students majoring in Automotive cars increased by 20.5%. This is based on comparison of the value of the free test to post-test value that has been done. PKM activity carried out has an impact enough for both students and the school's own department.
Low-temperature thermochronological constraints on the Аlpine evolution of the central parts of Sredna Gora Zone, Bulgaria
Authors: Balkanska Eleonora , Georgiev Stoyan , Kounov Alexandre , Antić Milorad , Tagami Takahiro , Sueoka Shigeru , Wijbrans Jan , Peytcheva Irena
Published: December 2021

We present the first apatite and zircon fission-track results coupled with new muscovite and biotite 40Ar/39Ar analysis on samples from the pre-Mesozoic granitic basement and the Upper Cretaceous to Danian volcano-sedimentary cover, which allowed us to reveal the Alpine thermal and tectonic evolution of the central parts of Sredna Gora Zone. Our new results disclosed the existence of several heating and cooling episodes related to distinct tectonic and magmatic events in the studied area.
Structural geological complications for tunnel construction in the Kostenets’s section of the Maritsa fault zone in Central Bulgaria
Authors: Strahilov Dian , Dimitrov Ivan
Published: December 2021

The structural geological features defining the discontinuity network in metamorphic rocks hosting railway tunnels are described. Discussion on the faults, joints, lineation and stresses found from fault population is presented. It is demonstrated that the formation of some brittle joints is related to the ductile stretching lineation. The geotechnical situation for the tunnel construction is complicated and requires reassessment of the design solutions in order to accommodate substantial lateral forces and prevent shear of the tubes.
The Effects of Perception of Particulate Matter Harmfulness on Skin Health Management Behavior
Authors: Lee Youn-Ji , Seo Seung-Hee
Published: December 2021

Particulate matter has interest of the entire nation is increasing as its severity and risk are rising every day. particulate matter further threaten human health and cause various diseases unless environmental problems are improved, raising the need for continuous research. Therefore, the purpose of this study is to strengthen the awareness of the harmfulness of particulate matter among general public, and to suggest a way to practice proper skin care by investigating the harmfulness of particulate matter perceived by modern people and analyzing skin health management behavior. As for the research method, online Google survey form was used targeting male and female in their 20s to 50s residing in Korea, and a total of 502 questionnaires were statistically processed and used for the final analysis. The results of this study are summarized as follows. examination on the relationship between the awareness of the harmfulness of particulate matter and skin health management behavior showed that there is a high positive correlation between them, and there is a positive correlation between skin health management behavior and the use of cosmetics, nutrition and exercise management, and professional skin care in the order. the examination showed that modern people’s awareness of the harmfulness of particulate matter has a significant effect on skin health management behavior. It implies that the higher the awareness of the harmfulness of particulate matter, the higher the skin health management behavior. Based on the above results, it is considered that accurate information on particulate matter and appropriate skin care methods are needed. Based on this, it is expected to greatly contribute to the promotion of public health and activation of the skin care industry in the future.
Minh triết "trồng người" của Hồ Chí Minh
Authors: Đặng Quốc Bảo , Phạm Minh Giản , Tăng Thái Thuỵ Ngân Tâm
Published: December 2021

Trong tư tưởng Hồ Chí Minh, tư tưởng về giáo dục chiếm một vị trí quan trọng, nó thể hiện sự quan tâm sâu sắc của Người đến việc giáo dục và đào tạo con người có tài có đức cho sự nghiệp phát triển nước nhà. Lời dạy của Người thể hiện qua nhiều bài viết, bài nói trong suốt cuộc đời hoạt động cách mạng. Chúng tôi thông qua lời kêu gọi ngày 13/9/1958 nêu ra một số điều cơ bản trong minh triết “trồng người” của Hồ Chí Minh, minh chứng những lời dạy, đánh giá của Người vẫn còn nguyên giá trị cho thế hệ ngày nay.
Biện pháp nâng cao hiệu quả khảo sát tình hình việc làm của sinh viên tốt nghiệp
Authors: Cao Dao Thép , Huỳnh Thị Mỹ Hồng
Published: December 2021

Tỷ lệ sinh viên tìm được việc làm sau khi tốt nghiệp là một trong những tiêu chí đánh giá chất lượng giáo dục; là một trong những tiêu chuẩn để cơ quan chức năng đánh giá và công nhận cơ sở giáo dục đạt tiêu chuẩn chất lượng giáo dục, để người học có cơ sở lựa chọn trường và nhà tuyển dụng lao động tuyển chọn nhân lực. Việc khảo sát tình hình việc làm của sinh viên tốt nghiệp trong thời gian qua chưa đạt hiệu quả cao. Bài báo này bàn về thực trạng khảo sát tình hình việc làm của sinh viên sau khi tốt nghiệp tại Trường Đại học Đồng Tháp.  Từ đó đề ra các biện pháp nhằm nâng cao hiệu quả của hoạt động, góp phần nâng cao chất lượng giáo dục của nhà trường.
Giáo dục giới tính tuổi dậy thì cho học sinh trung học cơ sở Thành phố Hà Nội thông qua các dấu hiệu thay đổi cơ thể
Authors: Trần Long Giang
Published: December 2021

Nghiên cứu có mục đích là tìm hiểu, đánh giá chính xác các đặc điểm dậy thì hoàn toàn của học sinh trung học cơ sở tại Hà Nội. Nghiên cứu được thực hiện trên nhóm đối tượng bao gồm 1.926 học sinh (942 nam và 984 nữ) có độ tuổi từ 12 đến 15 đến từ 3 trường trung học cơ sở (Dịch Vọng, Tây Sơn và Vân Hòa) thuộc 3 quận, huyện của thành phố Hà Nội. Kết quả nghiên cứu cho thấy, tuổi dậy thì hoàn toàn trung bình của nữ sớm hơn so với nam là 1 năm 2 tháng. Tuổi dậy thì hoàn toàn của học sinh trung học cơ sở thành phố Hà Nội cũng đến sớm hơn so với một số nghiên cứu khác trong nước. Từ những kết quả nghiên cứu giúp cho giáo viên đưa ra các phương pháp và định hướng giáo dục giới tính phù hợp với học sinh trung học cơ sở thành phố Hà Nội.
Phân lập và tuyển chọn vi khuẩn có khả năng phân hủy polyethylene từ đất bãi rác ở tỉnh Vĩnh Long
Authors: Nguyễn Thị Pha , Trần Thị Yến Nhi , Trần Đình Giỏi
Published: December 2021

Ứng dụng vi sinh vật phân hủy polyethylene là rất cần thiết nhằm giảm sự tích lũy polyethylene gây ô nhiễm môi trường. Nghiên cứu đã phân lập được 26 dòng vi khuẩn từ 5 mẫu đất ở bãi rác các huyện: Trà Ôn, Bình Minh và Long Hồ, tỉnh Vĩnh Long trên môi trường SM có bổ sung 20 gram agar và 1 ml hexadecane. Kết quả tuyển chọn từ 26 dòng vi khuẩn phân lập đã xác định được ba dòng (LH4, BM4 và BM5) có khả năng phân hủy polyethylene tốt nhất, trong đó dòng BM5 phân hủy tốt hơn trên cả 2 loại vật liệu polyethylene là LDPE và HDPE. Dòng vi khuẩn BM5 được giải trình tự vùng gen 16S rDNA kết hợp một số phản ứng sinh hóa xác định được thuộc chi Bacillus sp. và có quan hệ gần với loài Bacillus amyloliquefaciens.
Thực trạng và giải pháp nâng cao kỹ năng mềm cho sinh viên Trường Đại học Tài chính - Quản trị kinh doanh
Authors: Nguyễn Thị Thuý
Published: December 2021

Mục đích của bài viết đánh giá thực trạng kỹ năng mềm của sinh viên Trường Đại học Tài chính - Quản trị kinh doanh bao gồm về nhận thức, kỹ năng hiện có và hoạt động của nhà trường nhằm tăng cường kỹ năng mềm cho sinh viên. Kết quả này được thực hiện thông qua bảng hỏi với 17 câu hỏi và thu về 193 phiếu hỏi hợp lệ. Trên cơ sở đó bài viết đánh giá chỉ ra một số hạn chế và đề xuất giải pháp nhằm nâng cao kỹ năng mềm cho sinh viên của Trường.
Nghiên cứu các trạng thái electron của các cluster MnB0/-/+ bằng phương pháp tính đa cấu hình CASSCF/CASPT2
Authors: Huỳnh Bạch Phúc Hậu , Nguyễn Minh Thảo , Phan Trung Cang , Trần Quốc Trị , Trần Văn Tân
Published: December 2021

Cấu trúc hình học và cấu trúc electron của cluster MnB0/−/+ được nghiên cứu bằng phương pháp tính đa cấu hình CASPT2. Đường cong thế năng của các trạng thái electron được xây dựng. Các kết quả tính được như cấu hình electron, độ dài liên kết, tần số dao động điều hòa, năng lượng tương đối, ái lực electron và năng lượng ion hóa của các cluster được báo cáo. Các kết quả tính được cho thấy hàm sóng của các trạng thái electron của các cluster  MnB0/−/+có tính chất đa cấu hình rất mạnh.
Impact on clinical outcome of segmental vs diffuse parenchymal thinning in infants with prenatal urinary tract dilation
Authors:   Division of Diagnostic Radiology, Department of Radiology, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand, Satonkiatngam Siriluck , Mahayosnond Atchara ,   Division of Diagnostic Radiology, Department of Radiology, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand
Published: December 2021

Objective: To determine the difference in renal function and rate of surgical intervention between neonates with diffuse and segmental parenchymal thinning. Materials and Methods: First postnatal ultrasonography images of neonates with prenatal urinary tract dilation were evaluated and measurements taken. Neonates with parenchymal thinning were categorised into segmental and diffuse parenchymal thinning groups using the medullary to intermedullary ratio. A statistical correlation of differential renal function and rate of surgical intervention between the two groups was calculated and evaluated using an independent t-test and Kaplan-Meier curve with Log-rank test, respectively. Results: Of the 20 neonates, 10 had segmental parenchymal thinning, while the other 10 had diffuse parenchymal thinning. Mean differential renal function was 49.3% in the segmental parenchymal thinning group compared to 45.8% in the diffuse group (p = 0.400). Five patients (50%) from the segmental parenchymal thinning group underwent pyeloplasty in comparison to seven patients (70%) from the diffuse group (p = 0.430) Conclusion: There were no significant differences in renal function or rate of surgical intervention between neonates with segmental parenchymal thinning and diffuse parenchymal thinning. Neonates with segmental parenchymal thinning need to be monitored as closely as those with diffuse parenchymal thinning for early detection of renal deterioration and to identify potential need for surgical intervention.
The Incidental prostatic adenocarcinoma and transitional cell carcinoma involvement of the prostate gland in patients undergoing radical cystoprostatectomy for bladder cancer treatment in Rajavithi Hospital
Authors:   Division of Urology, Department of Surgery, Rajavithi Hospital, Bangkok, Thailand, Promwattanapan Weerawut , Wongwattanasatien Nattapong ,   Division of Urology, Department of Surgery, Rajavithi Hospital, Bangkok, Thailand
Published: December 2021

Objective: To determine the incidence of incidental prostatic adenocarcinoma and transitional cell carcinoma (TCC) involvement of the prostate gland in patients undergoing radical cystoprostatectomy in Rajavithi Hospital, Secondly, to assess the possible influence of the patient factors and bladder cancer on the pathological findings of the prostate gland. Materials and Methods: We retrospectively reviewed 169 male patients who had undergone radical cystoprostatectomy for bladder cancer between April 2013 and August 2019. Pathologic findings of the prostate gland and urothelial cancer in the prostate gland were catalogued. Information including age, body mass index (BMI), underlying disease, glomerular filtration rate (GFR), pathologic stage, and grade was collected and analyzed to determine any correlations. Results: Incidental prostatic adenocarcinoma and TCC involvement of the prostate gland were found in 15 patients (8.9%) and 29 patients (17.2%), respectively. There were no correlations between patient demographics and pathological findings of the prostate gland. Conclusion: Although the incidence of incidental prostatic adenocarcinoma and TCC involvement of the prostate gland in our research is low, the screening of every candidate for prostate sparing cystectomy with a digital rectal examination, prostate-specific antigen, and transurethral biopsy of the prostatic urethra and bladder neck prior to surgery are recommended.
Fibras vegetales de uso artesanal
Authors:   Instituto Forestal (Chile), Palma Martínez Juana , García Ortega Marta , Pilquinao Bernardo , Chung Guin-po Patricio , Molina Rademacher Eduardo
Published: December 2021

Para el Instituto Forestal es importante investigar sobre el estado del arte y las especies proveedoras de PFNM de importancia para Pueblos Indígenas a nivel nacional, considerando los tres ámbitos de la sustentabilidad y metodologías participativas que involucran a los recolectores y recolectoras. A través del programa “Productos Forestales no Madereros (PFNM) vinculados a pueblos indígenas”, pretende levantar, sistematizar y difundir el conocimiento que las diferentes etnias de nuestro país, poseen acerca del uso de las plantas y hongos que se desarrollan en las diferentes formaciones vegetales. Con este nuevo programa se pretende enriquecer el conocimiento en materia de PFNM vinculando el conocimiento etnobotánico y el conocimiento tradicional de quienes conviven con estos organismos con el conocimiento técnico de quienes investigan el uso y manejo de los recursos naturales.
HUBUNGAN KADAR GULA DARAH SEWAKTU DENGAN PROSES PENYEMBUHAN LUKA PADA PASIEN POST SECTIO CAESAREA DI RSU IPI MEDAN
Authors: Siregar Sarmaida
Published: December 2021

Abstrak

 

Sectio caesarea dilakukan untuk mengeluarkan satu atau lebih bayi dari rahim ibu. Salah satu faktor yang mempengaruhi penyembuhan luka yaitu kadar gula darah yang dapat menghambat leukosit melakukan fagositosis sehingga rentan terhadap infeksi oleh karena itu jika mengalami luka akan sulit sembuh. Rumusan masalah penelitian adalah bagaimana hubungan kadar gula darah sewaktu dengan proses penyembuhan luka pada pasien post sectio caesarea. Tujuan penelitian untuk menguji hubungan kadar gula darah sewaktu dengan proses penyembuhan luka pada pasien post sectio caesarea. Jenis penelitian adalah korelasi dengan pendekatan cross sectional yang dilaksanakan di RSU IPI Medan. Sampel penelitian seluruh ibu post sectio caesarea tiga hari sebesar 77 orang. Alat pengumpulan data menggunakan lembar observasi kadar gula darah  dan lembar observasi penyembuhan luka. Uji yang digunakan adalah chi-square. Hasil penelitian menunjukkan Ada hubungan yang signifikan antara kadar gula darah normal dengan penyembuhan luka sectio caesarea (p value < 0,05) dengan Rasio Prevalensi (RP) = 12,1 artinya kadar gula darah yang hiperglikemi pada ibu post sectio caesarea mempunyai risiko 12,1 kali ibu mengalami infeksi pada luka operasi dibandingkan dengan kadar gula darah yang normal. Disarankan kepada ibu post sectio caesarea lebih aktif dalam mencari informasi tentang cara mengontrol kadar gula darah yang baik agar mendukung proses penyembuhan luka untuk mencegah infeksi pada pasien post sectio caesarea.
HUBUNGAN LAYANAN ASUHAN KEPERAWATAN OLEH PERAWAT PELAKSANA DENGAN KEPUASAN PASIEN DI RUANG RAWAT INAP SAKURA RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA MEDAN
Authors: Ritonga Imelda Liana , David Muhammad
Published: December 2021

Pengukuran kepuasan pelanggan merupakan elemen penting dalam menyediakan pelayanan yang lebih baik, lebih efisien dan lebih efektif.Apabila pelanggan merasa tidak puas terhadap suatu pelayanan yang disediakan, makapelayanan tersebut dapat dipastikan tidak efektif dan tidak efisien.Hal ini terutama sangat penting bagi pelayananpublik. Penyelenggaraan pelayanan kepada masyarakat sebagai mana yang dilakukan Rumah Sakit Imelda Pekerja Indonesia Medan,perlu mendapatkan perhatian, khususnya dalam kualitas pelayanan agar sesuai dengan kebutuhan dan harapanmasyarakat. Penelitian ini memfokuskan pada mutu pelayanan keperawatan dan kepuasan pasien di Instlasi RawatInap Ruang Sakura Rumah Sakit Imelda Pekerja Indonesia Medan. Penelitian ini bertujuan untuk  mengetahui  Layanan Asuhan Keperawatan Oleh Perawat Pelaksana Dengan Kepuasan Pasien Di Ruang Rawat Inap Sakura Rumah Sakit Umum Imelda Pekerja Indonesia Medan. Penelitian ini menggunakan jenis penelitian deskriftip korelasi dengan pendekatan cross sectional, sedangkananalisis data yang digunakan adalah uji statistik korelasi Roh Spearman.Populasi dalam penelitian ini adalah pasienyang dirawat di Instalasi Rawat Inap  ruang sakura RSU IPI Medan yaitu 31 pasien yang dirawat inap. Adapun jumlah sampel 31 responden dengan cara pengambilan sampel Purposive Sampling. Hasil penelitian didapatkan bahwa mutu pelayanan keperawatan di Intalasi rawat Inap RSU IPI kategori Baik adalah 20 responden (64,5 %), kategori cukup 6 responden (19,4 %) dan kategori kurang sebanyak 5 orang (16,1 %). Kesimpulanya adalah Ada hubungan ( r = 0,615 )   antara mutupelayanan keperawatan dengan kepuasan pasien, dimana semakin tinggi mutu pelayanan keperawatan maka semakintinggi pula kepuasan pasien.
STUDI LITERATUR: PENGARUH TERAPI PIJAT REFLEKSI KAKI TERHADAP KUALITAS TIDUR LANJUT USIA
Authors: Nissa Chaerun , Prima Ashar , Hamid Wada Fauziah , Astuti Puji , Batubara Salamah T
Published: December 2021

WHO states that Indonesia's population is the fourth largest population after China, India, and the United States. According to the 2013 World Health Statistics data, the population of China is 1.35 billion, India is 1.24 billion, the United States 313 million, and Indonesia is in fourth place with 242 million WHO population predicts that by 2020 the estimated number of Indonesia's elderly will be around 80,000,000. Cases of insomnia in the elderly are higher than in other age groups, which is 12–39%. One therapy that can overcome sleep disorders in the elderly is foot reflexology massage therapy. This literature review aims to determine the effect of foot reflexology massage in the elderly who experience sleep disorders. The design in this scientific paper is a literature review search using an electronic data base that is google scholar and pubmed. The keywords used in the search are elderly, foot reflexology, sleep of quality. The inclusion criteria used in the article are full text accessible in English and Indonesian, the year of the journal used is limited to the last ten years. The results found 1 article from Google Scholar and 2 articles from PubMed discussing the effectiveness of foot reflexology massage on improving sleep quality in the elderly. Literature review results from the three articles show that foot reflexology is effective in improving sleep quality in the elderly.
PENILAIAN RISIKO KELUARGA TERKAIT COVID-19 MENGGUNAKAN APLIKASI ASSESMENT KELUARGA INARISK
Authors: Amila Amila , Hutajulu Johansen , Sembiring Evarina , Tobing Jon Carlos
Published: December 2021

Saat ini dunia sedang dilanda pandemi Covid-19 yaitu suatu penyakit menular yang disebabkan oleh virus corona baru. Huta Marubun I adalah wilayah yang memiliki resiko terpapar Covid-19. Tujuan penelitian ini untuk mengetahui gambaran penilaian resiko keluarga terkait Covid-19 menggunakan aplikasi asessment Keluarga Inarisk di Huta Marubun I Nagori Marubun Jaya.  Tools penilaian risiko ini dikelola oleh Gugus Tugas Percepatan Penanganan Covid-19 sebagai bentuk informasi resmi ke masyarakat terkait dengan pandemi COVID-19. Jenis penelitian ini adalah deskriptif. Populasi penelitian adalah 130 Kepala Keluarga Huta Marubun I  dan  sampel penelitian berjumlah 33 kepala Keluarga yang diambil menggunakan tehnik simple random sampling. Penilaian resiko keluarga terdiri dari Resiko Rendah jika skor jawaban responden 35-42, Resiko Sedang jika skor jawaban responden 28-34 dan Resiko Tinggi jika skor jawaban responden 21-27 digunakan. Di Huta Marubun I terdapat 14 Kepala keluarga memiliki resiko rendah, 19 kepala keluarga resiko sedang dan tidak ada satupun keluarga memiliki resiko tinggi. Keluarga tetap juga memiliki resiko terpapar Covid-19, oleh karena itu disarankan untuk tetap menjalankan protokol kesehatan untuk memutus rantai penyebaran covid 19. Rekomendasi yang diberikan oleh aplikasi inaRisk untuk Keluarga adalah sebaiknya tinggal dirumah, menggunakan masker pada saat berkumpul dengan orang lain dan menerapkan pola hidup bersih dan sehat.
PELATIHAN PPGD PADA KINERJA PERAWAT DI IGD DAN ICU RSUD AHMAD YANI METRO
Authors: Heru Supriyatno  , Prahmawati Pira , Benitius A.S Pilipus
Published: December 2021

One of nurses in the hospital is handling emergency cases. The minimum ability of emergency nurse services in Indonesia based on the Ministry of Helath’s work guidelines is to open and clear the airway, clean pulmonary ventilation and oxygenation (breathing), provide cardiopulmonary resuscitation, provide bleeding and bandage a splint. Not all emergency services have valid certificates. Not all emergency services have valid certificate, whereas in the IGD Key Performance Indicator (KPI) standard, all emergency service providers must have a valid certificate (ATLS/BTLS/ACLS/PPGD). This makes the quality of the health personnel who work, especially emergency nurses, less maintained, so that not all customers are satisfied, even though in the IGD KPI standard 100% of customers must be satisfied with the services provided. The nurse’s performance can be seen from the indicators of patient mortality and the ability to handle life saving cases from patients. The purposes of this study was to expalin the relationship between PPGD training and the performance of nurses in the IGD and ICU at RSUD Ahmad Yani Metro. The research design used is the cross sectiona approach and the results of the Chi Square test obtained a P – Value of 0.004, meaning that there is the relations between PPGD training program and the nurse’s performance with an OR value of 13.571.
Desertification, environmental, climatic change and role of trees, shrubs and green areas
Authors: Sami Ali Metwally  , Bedour Helmy Abou-Leila
Published: December 2021

Background: Desertification exacerbated and raised by climate change and represents one of the greatest environmental challenges of our times. Also, Desertification and climate change are an old phenomenon has not been a threat to life people, in the past so as to provide the natural ecological balance back then, but because of the range of the factors, we will recall it. The desertification and climate changes has started to worsen and its negative effects have increased at all levels, Economic, social and development. Trees, woody shrubs and ornamental plants represent an ever-important group in that they are the raw source for many important industries such as the manufacture of wood, food and medicine, health care (alternative medicine) and as windbreaks, and they play an important role in improving the environment, especially in light of the current climate changes. Main body: During recent years, the interest in planting woody trees and ornamental plants has increased, and its role has remained confined to a narrow range. It's important and fundamental role as a primary locomotive in combating desertification, sand encroachment and sand dunes, resisting successive climate changes, improving the environment and protecting it from pollution, as well as its prominent role in addressing the big problems that result from The movement of sand dunes and their threat to industrial and residential facilities, roads, farms,.... etc. Conclusion: The role of plants, trees, green areas are combating desertification and climate change, these trees does not depend on protecting farms only, but extending them to protecting urban communities and new cities from sand, which may lead to completely covering homes and establishments, but also to destroy the entire infrastructure (roads, tunnels, electricity, irrigation lines, railways ... It also plays a role in protecting the beaches and coastal areas from the high waves.
Teaching Competencies of Pre-Service Spanish Language Teachers through the ECO method
Authors: Inés Lucas-Oliva , Jesús García-Jiménez , Juan-Jesús Torres-Gordillo
Published: December 2021

Developing the teaching competencies of pre-service Spanish Language and Literature teachers is one of the current demands in higher education. A teaching-learning experience has been developed through the ECO method (Explore, Create, Offer), which is an innovative methodology inspired by Human Centred Design, Design Thinking, and challenge-based learning. The aim of the study was twofold: a) to check whether pre-service teachers perceive that their teaching competencies have improved after this experience; b) to find out the relationships between their perception of the different competencies and certain socio-demographic characteristics. A Likert-type questionnaire on teaching competencies before and after the experience was conducted. 92 participants took part in the pre-test and 66 in the post-test. The results show an improvement in the perception of their competencies at the end of the experience and high levels of motivation throughout the course. These improvements occurred regardless of socio-demographic characteristics such as age or educational background. It is concluded that the ECO method favours the acquisition of competencies, fosters motivation, and offers equal learning opportunities, thus fulfilling the democratising function of the university.
Comparison of Ultrasonography with other Imaging Modalities for Detection of Adnexal Torosion: A Systematic Review
Authors: Shakeel Kiran , Murrium Syeda Khadija-Tul-Sughra , Yaseen Maria , Iqbal Alia , Yaseen Sara , Qayyum Saad
Published: December 2021

Background: Adnexal Torsion (AT), serious emergency of gynecology, frequently shows among nonspecific signs prominent to late analysis. Aim: To compare the test accuracy of Ultrasound, Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) for diagnosis of adnexal torsion. Methodology: We observed google scholar as well as Radiographics key till Dec 2019. Assortment standards studies report upon Imaging Modality accuracy (index test) within paediatric and adult females alleged of adnexal torsion matched by clinical analysis or usual clinical or radiological follow up duration till symptoms firmness (reference standard). Results: We mark off 3836 references, comprised 18 Studies (1654 females, 665-cases), as well as comprised 15 into meta analyses, ultrasound pooled-sensitivity (n =12, 1187 females) was 0.79 (95% CI= 0.63 to 0.92) as well as specificity was 0.76 (95% CI= 0.54 to 0.93), by means of positive as well as negative probability fractions 4.35 (95% CI= 2.03 to 9.32) and 0.29 (95% CI= 0.13 to 0.66), correspondingly. By Doppler Ultrasound (n=7, 845 females) produced alike and specificity (0.88, 95% CI= 0.72 to 1.00) and sensitivity (0.80, 95% CI= 0.67 to 0.93). For magnetic resonance imaging (n=3, 99 females), pooled-sensitivity was 0.81 (95% CI=0.63 to 0.91) as well as specificity was 0.91 (95% CI= 0.80 to 0.96). Meta-analysis for Computed Tomography was impossible by 2 case control-studies as well as one cohort-study (n=3, 232 females). Its range of sensitivity was 0.74 to 0.95 as well as specificity 0.80 to 0.90. Conclusions: As a first line analytic examination for alleged AT, ultrasound has good performance. Increment in quantity of AT cases needs precise, rapid, as well as correct analytic extent. It has been utmost popular method as allied with further Imaging Modalities. MRI might compromise better specificity for investigating intricate morphology of ovary, nonetheless further proof is wanted. Beside with medical doubt as well as approximations. This study will offer sufficient appreciated evidence to understand sonographic markers impact during OT analysis precisely. Keywords: Adnexa, Computed Tomography, Doppler, Magnetic Resonance Imaging, Meta-analysis, Ovary, Test Accuracy,
Disease Spectrum of Cervical Lymphadenopathy in adults
Authors: Amin Butt Rabia , Rathore Zonaira , Sarwar Afia , Azam Faiza , Waqar Khan Faria , Nisar Maryam
Published: December 2021

Aim: To determine the frequency of different diseases resulting in cervical lymphadenopathy in specimens of patients presenting in tertiary care hospital. Methodology: It was a cross sectional study conducted at the histopathology section of the pathology department of Services Institute of Medical Sciences/Services Hospital Lahore. The study was approved by the ethical committee of the institution. The study was completed in six months.100 cases fulfilling the inclusion criteria were registered. Inclusion criteria included patients above 16 years of age, patients from both sexes, unilateral or bilateral irrespective of duration. Lymph nodes less than 1cm were not included in the study. Informed consent was taken. Both FNAC and Biopsy were used as diagnostic tools. All the data was analysed with SPSS version 11. Results: During a period of six months, a total of 100 cases of cervical lymphadenopathy were studied. These included 75 benign and 25 malignant cases. Out of benign cases 53% were diagnosed as tuberculous lymphadenitis. About 81.3% were in the age range of 16-25 years and 18.7% were in the age range of 26-35 years. 22% cases were diagnosed as reactive lymphadenitis. About 54.54% of these patients were in the age range of 16-25 years and 45.46% were in the age range of 26-35 years. The highest frequency among malignant lesions consisted of Non-Hodgkin lymphoma 16% followed by Hodgkin lymphoma 5% and metastatic disease 4%.The age range of malignant lesions was in the range of 36-78 years. Conclusion: Our study concludes that cervical lymphadenopathy is the common clinical presentation in our setup and tuberculosis is the commonest cause. Keywords: Hodgkin lymphoma, Non-Hodgkin lymphoma, Fine needle aspiration cytology
Assessment of Antibiotic Prescription Pattern Using who Prescribing Indicators and Aware Categorization of Antibiotics
Authors: Mushtaq Sidra , Javed Fatima , Fatimah Mufakhara , Sohail Jafar Zaeem , Zaidi Syeda Tahira , Firdous Asia , Fatima Ajaz
Published: December 2021

Background: Medicines play a crucial role in the healthcare delivery of a hospital. The appropriate use of medicines gives us assessment of the quality of health services being provided in a particular region. Aim: To evaluate the prescribing practices and antibiotic utilization patterns so that the extent of irrational use can be assessed by comparing them with published ideal values set by WHO. Study design: Retrospective, cross-sectional study. Place and duration of study: Teaching Hospital of Faisalabad: Independent University Hospital (IUH), from Jan 2018 to June/July 2018. Methodology: 200 cases were selected through systematic random sampling from medicine/surgery wards and pharmacy registers. The standard World Health Organization prescribing indicators and AWaRe categorization of antibiotics were used to assess the prescribing practices of physicians/surgeons. Published ideal standards for each of the indicators were compared with study findings to identify extent of irrational drug use. Results: Most of the facility indicators were met with. The Drug and Therapeutic Committee (DTC) was functional. The Standard treatment guideline booklets (STGs) and Essential Drugs List (EDL) of the hospital were available. 88% of the key drugs listed in EDL were available in stock. The expenditure on antibiotics compared to total medicines was 17%. Regarding prescribing indicators: the average number of drugs prescribed per encounter was 6 (optimal value 1.6–1.8). Average no of antibiotic per prescription amounted to almost 1 (0.925). % prescriptions with an antibiotic amounted to 72% (optimal value 20-26.8%).72% antibiotics were prescribed from the EDL formulary of the hospital (optimal value 100%). Conclusion: Regarding compliance with prescribing indicators and AWaRe categorization of antibiotics by WHO, significant deviation was observed. Education and training of physicians according to WHO parameters is required to ensure rational prescribing. Keywords: Prescription pattern, WHO Prescribing Indicators, AWaRe Categorization