bluuebunny/crossref_metadata_2025 huggingface dataset:
Nursing patient record practice and associated factors among nurses working in North Shewa Zone public hospitals, Ethiopia
Authors: Tadese Mesfin , Endale Agizew , Asegidew Wondwosen , Tessema Saba Desta , Shiferaw Wondimeneh Shibabaw
Published: February 2024

Background

Nursing documentation is an essential component of nursing practice and has the potential to improve patient care outcomes. Poor documentation of nursing care activities among nurses has been shown to have negative impacts on healthcare quality.

Objective

To assess the nursing documentation practice and its associated factors among nurses working in the North Shewa Zone public hospitals, Ethiopia.

Method

An institution-based cross-sectional study was conducted at the North Shewa Zone public hospitals. A simple random sampling technique was used to select 421 nurses. A pretested, structured, self-administered questionnaire was used to gather the data. Data were entered into Epi Data version 3.1, and SPSS version 25 was used for further analysis. Binary logistic regressions were performed to identify the independent predictors of nursing documentation practice. Adjusted odds ratio was calculated and a p-value less than 0.05 with 95% confidence interval (CI) was considered as statistically significant.

Result

A total of 421 respondents took part, giving the survey a 100% response rate. The overall good practice of nursing care documentation was 51.1%, 95% CI (46.6, 55.8). In addition, 43.2%, 95% CI (38.5, 48.0) and 35.6%, 95% CI (30.9, 40.1), of nurses had good knowledge of and favorable attitudes toward nursing care documentation. Availability of operational standards for nursing documentation [adjusted odds ratio (AOR) = 1.76; 95% CI: 1.18, 2.64], availability of documenting sheets (AOR = 1.51; 95% CI: 1.01, 2.29), and a monitoring system (AOR = 1.61; 95% CI: 1.07, 2.41) were significantly associated with nursing care documentation practice.

Conclusion

Nearly half of nursing care was not documented. The practice of nursing care documentation was significantly influenced by the availability of operational standards, documenting sheets, and monitoring systems. To improve the documentation practice, a continuous monitoring system and access to operational standards and documenting sheets are needed.
Genomic Data: Building Blocks for Life or Abstract Art?
Authors: Horton Rachel , Lyle Kate , Weller Susie , Ballard Lisa , Lucassen Anneke
Published: February 2024

The genes found in the genetic code (genome) are sometimes called the “building blocks for life” but knowing how they impact human health can be more complicated than it sounds. This article aims to show how difficult it can be to understand how our genes can affect our health, and why it is not always easy to work out a patient’s result from genetic tests. We follow the story of Ben, whose muscles have been getting weaker for a few years. To find out why, Ben has had his genetic code sequenced, and we will walk you through a process by which his results can be analyzed. Through this activity, we will show you that analyzing patients’ genome tests is a bit like interpreting abstract art, in which different people might see and value different things.
Predicting the 90-day prognosis of stereotactic brain hemorrhage patients by multiple machine learning using radiomic features combined with clinical features
Authors: Li Jinwei , Liang Cong , Dang Junsun , Zhang Yang , Chen Hongmou , Yan Xianlei , Liu Quan
Published: February 2024

Hypertensive Intracerebral Hemorrhage (HICH) is one of the most common types of cerebral hemorrhage with a high mortality and disability rate. Currently, preoperative non-contrast computed tomography (NCCT) scanning-guided stereotactic hematoma removal has achieved good results in treating HICH, but some patients still have poor prognoses. This study collected relevant clinical and radiomic data by retrospectively collecting and analyzing 432 patients who underwent stereotactic hematoma removal for HICH from January 2017 to December 2020 at the Liuzhou Workers Hospital. The prognosis of patients after 90 days was judged by the modified Rankin Scale (mRS) scale and divided into the good prognosis group (mRS ≤ 3) and the poor prognosis group (mRS > 3). The 268 patients were randomly divided into training and test sets in the ratio of 8:2, with 214 patients in the training set and 54 patients in the test set. The least absolute shrinkage and selection operator (Lasso) was used to screen radiomics features. They were combining clinical features and radiomic features to build a joint prediction model of the nomogram. The AUCs of the clinical model for predicting different prognoses of patients undergoing stereotactic HICH were 0.957 and 0.922 in the training and test sets, respectively, while the AUCs of the radiomics model were 0.932 and 0.770, respectively, and the AUCs of the combined prediction model for building a nomogram were 0.987 and 0.932, respectively. Compared with a single clinical or radiological model, the nomogram constructed by fusing clinical variables and radiomic features could better identify the prognosis of HICH patients undergoing stereotactic hematoma removal after 90 days.
The Harmonization between Religious Freedom and the Protection of Public Health: Betwixt Self-Regulation and Law
Authors: Kastanas Ioannis E.
Published: February 2024

The enshrinement of religious freedom in a State Constitution is determined by the system of relations between the State and Religions. A particular aspect of religious freedom is freedom of worship, which was reframed due to the COVID-19 pandemic with the adoption of measures for the protection of public health. The examples of Cyprus and Greece demonstrate that the self-regulation enjoyed by religious communities may be harmonized with the need to protect public health and is directly connected to the existing system of relations between the State and Religions. The case law on the State restrictive measures regarding worship in conjunction with the measures implemented by the religious communities themselves together give rise to the general principles of harmonization between religious freedom and the protection of public health, with respect for the principle of proportionality.
Non-occlusive hydrocephalus after radiosurgery for vestibular schwannomas
Authors:   Gamma Clinic High-Precision Radiology Center (Gamma Medical Technology), Obninsk, Russia, Ilyalov S.R. , Banov S.M. ,   FSAI N.N. Burdenko National Medical Research Center for Neurosurgery, Moscow, Russia, Golanov A.V. ,   FSAI N.N. Burdenko National Medical Research Center for Neurosurgery, Moscow, Russia, Usachev D.Yu. ,   FSAI N.N. Burdenko National Medical Research Center for Neurosurgery, Moscow, Russia
Published: February 2024

Stereotactic radiosurgery has firmly entered the arsenal of methods for treating vestibular schwannomas along with traditional surgical removal, providing high control of tumor growth and a low level of functional complications. Meanwhile, there is evidence of a possible relationship between the irradiation performed and the subsequent development of non-occlusive hydrocephalus. Purpose: to retrospectively assess the current level of development of hydrocephalus after stereotactic radiosurgery for vestibular schwannomas. Materials and methods: of 541 patients who received treatment with the Gamma Knife for unilateral vestibular schwannoma, 456 (84.3%) patients initially had no signs of non-occlusive hydrocephalus (group 1), while in 85 (15.7%) patients, MRI signs of internal non-occlusive hydrocephalus were revealed at the time of radiosurgery (group 2), of whom in 1 case VP shunting had previously been performed. In all cases, non-occlusive hydrocephalus at the time of SRS had a compensated course without clinical manifestations. Results: after radiosurgery, the development of de novo non-occlusive hydrocephalus in 7 (1.5%) patients from group 1 and its progression in 11 (12.9%) patients from group 2 were noted. The overall incidence of non-occlusive hydrocephalus after radiosurgery was 3.3%. Ventriculoperitoneal shunting was required in 3 cases in group 1 and 7 cases in group 2 due to the occurrence of neurological symptoms (1.8%). Conclusion: In some cases, radiosurgery can lead to decompensation of existing non-occlusive hydrocephalus, but it rarely occurs de novo. The asymptomatic course of non-occlusive hydrocephalus allows for SRS, as the risk of decompensation with subsequent need for VP shunting is low. Patients with non-occlusive hydrocephalus before SRS require more careful monitoring with assessment of neurological status and control MRI.
Influence of genetic factors on productive traits of firstcalf heifers
Authors:   Federal State Budgetary Educational Institution of Higher Education “Penza State Agrarian University”, Russia, Penza, Guseva T. A. , Shishkina T. V. ,   Federal State Budgetary Educational Institution of Higher Education “Penza State Agrarian University”, Russia, Penza, Naumov A. A. ,   Federal State Budgetary Educational Institution of Higher Education “Penza State Agrarian University”, Russia, Penza, Nikishova N. V. ,   Federal State Budgetary Educational Institution of Higher Education “Penza State Agrarian University”, Russia, Penza
Published: February 2024

The objects for the research were Holsteinized fi rst-calf heifers-daughters of sires with blood of 90 % or more of Holstein breed. In order to carry out the research three groups of first-calf heifers per 30 heads in each were formed. The 1st group included daughters of the sire Privelezh, the 2nd group included the daughters of the sire Alt Pilsner, and the 3rd group included the daughters of the sire Alt Tyson. The infl uence of sires on the productive traits of Holsteinized fi rst-calf heifers of Black-and-White breed was assessed under the conditions of the Petrovsky Agricultural Production Complex in the Bashmakovsky district of Penza region. It was revealed as a result of the research that the highest milk yield for 305 days of lactation was shown by the daughters of the sire Privelezh, which amounted to 9398 kg of milk and had a statistically signifi cant diff erence with the daughters of the sire Alt Pilsner – 3657 kg (Р > 0,999) and with the daughters of the sire Alt Tyson – 3542 kg (Р > 0,999). In terms of qualitative traits of milk productivity, the highest indicators were for fi rst-calf heifers of the 2nd and 3rd groups. For example, in terms of the mass fraction of fat the difference between cows of the 2nd and 1st groups was 0,16 abs.% (Р > 0,95). Diff erences were revealed between the 1st and 2nd groups by 0,04 abs.% (Р > 0,999). At the same time, due to higher milk yields animals of the 1st group exceeded their herdmates of the 2nd group in the yield of milk fat and protein by 127,92 kg (Р > 0,95) and 111,67 kg (Р > 0,999); 3rd group by 128,90 kg (Р > 0,999) and 109,08 kg (Р > 0,999), respectively. First-calf heifers of the 3rd group had the highest live weight (568,7 kg), the diff erence with their herdmates of the 1st group was 57,2 kg (Р > 0,999). Animals of the 2nd group exceeded the first group by 53,0 kg (Р > 0,999). The greatest variability in milk yield over 305 days of lactation was characterized by the 3rd group of cows (Cv=19,83 %) vice versa 17,45 and 18,92 % in the 1st and 2nd groups. First-calf heifers of the 1st group were distinguished by the greatest effi ciency and usefulness, although no significant differences were found between the groups. For example, per 1 kg of live weight, the Biological efficiency of a cow coefficient was 445,45 and the Cow biological f usefulness coefficient was 306,23.
Reproductive ability and milk productivity of mares of different genealogical lines of Argaleisky type of Transbaikal breed
Authors:   Federal State Budgetary Institution of Science “Siberian Federal Scientifi c Centre of AgroBioTechnologies of the Russian Academy of Sciences”, Russia, Chita, Bazaron B. Z. , Khamiruev T. N. ,   Federal State Budgetary Institution of Science “Siberian Federal Scientifi c Centre of AgroBioTechnologies of the Russian Academy of Sciences”, Russia, Chita, Dashinimaev S. M. ,   Federal State Budgetary Institution of Science “Siberian Federal Scientifi c Centre of AgroBioTechnologies of the Russian Academy of Sciences”, Russia, Chita, Kostomakhin N. M. ,   Federal State Budgetary Educational Institution of Higher Education “Russian State Agrarian University – Moscow Timiryazev Agricultural Academy”, Russia, Moscow
Published: February 2024

Productive herd horse breeding in Transbaikal region is one of the traditional branches of animal husbandry. The problem of preserving and improving local (aboriginal) horse breeds in our country is extremely important for their eff ective economic use and maintaining the diversity of the original gene pool of farm animals. Therefore, line breeding is an important aspect of horse breeding. The purpose of the research was to study the reproductive ability and milk productivity of mares of diff erent lines of Argaley type of Transbaikal breed. Research was carried out at the APC “Plemzavod imeni Kalinina” in the Aginsky district of the Trans-Baikal Territory. The objects of the study were mares of Transbaikal breed of Argaley type of diff erent genealogical lines origin, the age of the mares was 8–9 years after 4–5 foalings. The conformation and constitutional features and live weight of mares depending on their genealogical lines origin have been presented in the article. The average fertility performance rate for mares of different lines was 93,7 %, with foaling being 98,8 %. The greatest live weight was in mares belonging to the line Argali. It exceeded the indicators of herdmates from the lines Premier, Chetkiy and Kagor by 20,0; 15,0, 10,0 kg, respectively. During 5 months of lactation, mares of the line Argali produced 1854,0 kg of milk with an average daily milk yield of 12,36 kg. Mares of the line Argali over 5 months of lactation were superior to herdmates of other lines in terms of milk yield by 459,0; 336,0 and 223,5 kg and average daily milk yield by 3,06, 2,24 and 1,49 kg, respectively. It has been established that the physicochemical composition and environmental safety of milk from mares of the different lines of Argaley type of Transbaikal breed indicate its fairly high nutritional value.
Héraldique, filiation et alliance au XIIIe siècle
Authors: Nassiet Michel
Published: February 2024

On revient ici sur les pratiques héraldiques qui faisaient suite à la succession à une seigneurie par une femme héritière ; aux XIVe-XVe siècles, elles constituaient des signes qui formaient système. Il s’agit ici de préciser quand, au XIIIe siècle, sont apparus et les signifiants, et les éléments de signification associés, leurs sèmes. Dans le premier type où, à la suite d’une alliance inégale, le patrimoine de l’épouse surpassait nettement celui du mari, il arrivait dès la fin du XIIe siècle que l’armoirie seule de l’héritière fut transmise. Dans le second, où l’alliance avait été homogame et où les deux patrimoines étaient équivalents, on a parfois conjoint, momentanément, les deux armoiries : sur le sceau, dans les années 1190, puis à l’intérieur de l’écu, en un parti porté par un homme (un cas en 1230), ou une fusion (forme en faveur vers 1250, mais ambiguë). La maison de Castille a particulièrement été inventive en la matière vers 1247. Dans la décennie 1260, les partitions d’héritières commençaient à se diffuser mais n’étaient pas transmises à la génération suivante : ce n’étaient pas encore des signes de filiation. En 1284, le parti Navarre-Champagne semble le premier à avoir été transmis. Peu après, au cours des décennies 1290-1300, une même maison a recouru à des pratiques différentes de façon cohérente, indice que dorénavant, tout leur potentiel de signification était clairement conçu : le système était cristallisé. that formed a system. The point is here to specify the period when both the signifiers and their signifying elements, appear, in the 13th century. First, by the end of the 12th century, when the wife’s patrimony clearly surpassed that of her husband’s, after an unequal alliance, then only the heiress’s coat of arms was passed down from one generation to the next. Secondly, when the alliance had been homogamic and the two patrimonies were somewhat equivalent, both coats of arms were conjoined temporarily on the seal first in the 1190s. Then the two patrimonies were marshalled within the shield, with an impalement borne by the man — there was a case in 1230 — or compounded. This last form was in favour around 1250, even if ambiguous. The House of Castille was particulary innovative in this respect around 1247. By the 1260s, the heiress’s quarterings had begun to spread but were not yet passed on to the next generation : they were not sign of descent. The Navarre-Champagne impalement seems to have been the first to have been handed down in 1284. Shortly afterwards, during the 1290-1300s, different houses used various practices in a consistent manner ; from then on, their potential system was clearly conceived as formalized.
« Dans la vieille tour d’Aigues ». Un relevé par Peiresc de l’emblématique peinte dans le château de la Tour d’Aigues (Vaucluse)
Authors: Lézaud Hélène , Lavagne Henri
Published: February 2024

Les murs de la grande salle du donjon de la Tour d’Aigues avaient été ornés au Moyen Âge d’une frise de 33 écus peints, qui avaient presque entièrement disparu lors de l’incendie du château à la Révolution. Heureusement, Peiresc avait pris soin d’en faire un relevé au début du XVIIe siècle, sous la forme de quatre planches coloriées conservées aujourd’hui à la Bibliothèque Inguimbertine de Carpentras. Ce sont ces documents, datables de 1327 environ, que nous publions, en analysant chacune des plus illustres familles provençales dont les écus donnent ici les armoiries. On peut ainsi présenter un tableau de l’aristocratie méridionale au début du XIVe siècle et de ses liens avec les représentants des grandes familles de l’Italie du sud qui sont étroitement liées à la conquête des Angevins et à l’administration des deux royaumes. L’étude de cet inédit de Peiresc permet également d’en étudier la méthode comme héraldiste. tunately Peiresc had made a painstaking record of the frieze at the beginning of the XVIIth century. This takes the form of four coloured sheets held to-day at the Bibliothèque Inguimbertine in Carpentras. These are the documents which we are publishing with an analysis of each of the prominent provençal families whose arms are shown on the shields, dating to about 1327. This makes it possible to present a picture of the aristocracy of the south of France at the beginning of the XIVth century and of their links with representatives of great families of the south of Italy, links which are closely connected to the Angevins’ conquest and administration of the two kingdoms. The study also makes possible an analysis of Peiresc’s approach to heraldry.
Recentrer la métropole pour et par ses marges
Authors: Luxembourg Corinne
Published: February 2024

Prenant acte de la production d’inégalités par le phénomène métropolitain lorsqu’il est pensé comme objet de compétition, de mise en concurrence des territoires et de domination spatiale sur les territoires de marge, cet article propose de penser la métropole depuis ses marges de façon rhizomatique en puisant dans la notion de relation une approche spatiale non hiérarchique et bicatégorisée, et d’envisager le care comme moyen de prendre soin des espaces de marges et de renouveler l’aménagement du territoire.
Regard d’une juriste sur la ville durable
Authors: Chapouton Marion
Published: February 2024

Face aux enjeux climatiques et à la nécessité de préserver la biodiversité, la ville doit devenir durable, autrement dit inclusive, écologiquement compatible et participative. Le droit, qui s''est saisi de ces préoccupations depuis les années 1990, est un des leviers de cette transformation. Toutefois, le droit de la ville durable doit encore gagner en coordination et en efficacité. Des évolutions sont nécessaires, comme améliorer la gouvernance urbaine, ouvrir les possibilités de déroger aux règles trop contraignantes, mais aussi assurer une meilleure effectivité des droits des habitants. Ainsi, le droit à la ville durable, de chaque citoyen, ne sera plus seulement une revendication politique et deviendra une réalité juridique, susceptible d’une protection juridictionnelle.
La créativité d’une architecte
Authors: Vezzoni Corinne
Published: February 2024

Presenting the construction of a high school building in a peripheral district of Marseille, the architect Corinne Vezzoni shows how she committed to preserving the characteristics of the place, while saving land, exploiting the relief and pooling the building uses between residents and students. Construction materials and techniques are climate change adapted.
Quand la société reprend le pouvoir : l'Iran face au Covid
Authors: Abbasi Naderpoor Mohammadreza
Published: February 2024

Cities and societies are increasingly facing frequent and global crises, sometimes in different ways, sometimes in similar ways. The Iranian city and society managed the Covid-19 crisis, being among the first to be exposed to it at the beginning of 2020. Against the backdrop of a loss of confidence in the authorities, this crisis exposed the flaws of a society facing global challenges, but also its ability to address changes in an urban society heavily reliant on motor vehicles for transportation.
Ville en danger, société en rupture : l’impasse des mobilités
Authors: Miossec Jean-Marie
Published: February 2024

Yesterday’s crisis in the centers was succeeded by today’s crisis in the peri-urban areas. Thus, the city loses its identity within a context where downtown areas contrast with the urban outskirts. This also takes place against the backdrop of disrupted mobilities through the way decarbonization – a necessary act – is implemented. The author advocates for multimodality and a geo-societal equity generated by a global – and not fragmented – policy, serving fellow citizens and users through a mesh plan. Otherwise, deadlocked mobility will contribute to the negation of the city and participate in its endangerment.
Beyond Fragmentation: Challenges of the World of Work in the Face of Ongoing Productive Restructuring
Authors: Tonelo Iuri
Published: February 2024

This article seeks to establish a debate about the contradiction in the current situation of the world of work: the objective force of working class, including the absolute and relative growth of the number of jobs around the world, in parallel with its fragmentation and the development of new modalities and divisions in the world of work, such as the most recent case of uberization. In this sense, it resumes the debates of “end of work”, the fragmentation in the neoliberal period, the inflection promoted in 2008, during the financial crisis, in order to develop the analysis of what we call a new productive restructuring, which has been taking place in the current period and needs to be mainly analyzed if we want to understand the trends in the world of work and its challenges.
Polish climate policy in the opinion of young Poles - a pilot survey
Authors: Paradowska Monika , Platje Joost (johannes) , Suchecka Aleksandra
Published: February 2024

As established in the Europe 2020 Strategy and the European Green Deal, combating climate change is one of the central elements of the European Union’s policy. As a member, Poland is obliged to develop and implement climate policy in order to reduce greenhouse gas emissions so climate neutrality can be achieved by 2050. In the context of low political priority for the Polish government, the study aims to identify the level of awareness, perceptions, and attitudes of young Poles towards climate change, as well as their assessment of climate policy. To achieve this aim, a non-random sampling pilot survey was conducted among young Poles in spring 2022, using an electronic questionnaire made available via social media. While the results show respondents’ awareness of and rather high interest in the threats posed by climate change, in-depth knowledge of climate change, climate policy, and its socio-economic implications is lacking. The progress in and effectiveness of climate policy in Poland is rather assessed negatively. Based on the results, key directions for future actions are suggested for the young generation to become a force in creating a more effective climate policy.
Motivations for hotels to undertake pro-ecological activities – opinions of hotel guests
Authors: Borys Tadeusz , Bugdol Marek , Puciato Daniel , Szromek Adam R. , Geryk Marcin
Published: February 2024

The cognitive objective of this paper is to assess the motives driving hotel owners and managers to implement environmentally friendly actions from the perspective of hotel guests. The empirical aim of the study materialises through investigations conducted on a sample of 1317 hotel guests in four provincial cities in Poland: Warsaw, Cracow, Wroclaw, and Opole. The study encompassed guests of six hotels classified as three-star establishments. The research methodology employed herein is a diagnostic survey using a questionnaire designed by the authors of this study. The survey was conducted between June and September 2021. In the concluding section of the paper, the analysis of the research allows for the formulation of conclusions. Among these conclusions, a notable observation is the assertion that guests have a remarkably low awareness regarding the impact of hotels on the natural environment. This finding contradicts the more optimistic assessments of such awareness that are found in various works within the field of hospitality. According to the authors, this conclusion could form the basis for educational initiatives and the initiation of mechanisms, including economic ones, aimed at elevating the knowledge level in this domain, not solely among hotel guests but also, perhaps predominantly, among hotel proprietors and managers. Nevertheless, the authors of this paper are cognizant of the exploratory nature of the conducted study, which may serve as a convenient foundation for subsequent, more in-depth investigations, particularly focusing on expanding the array of applied methodologies, significantly increasing the research sample size, and considering a broader range of respondent characteristics in the research.
INTRA- AND EARLY POSTOPERATIVE RESULTS OF BIOPSY OF SIGNAL LYMPH NODE UNDER CONTROL OF ICG MAPPING IN PATIENTS WITH ENDOMETRIAL CANCER OF INITIAL STAGES
Authors: GLADCHUK I.Z. , ROZHKOVSKA N.M. , KOZHAKOV V.L. , KIRIAKOVA D.A.
Published: February 2024

Biopsy of sentinel lymph nodes (SNL) with the use of indocyanine green (ICG) as an indicator is becoming a standard method for evaluating the lymphatic reservoir in endometrial cancer in patients in the early stages.

The purpose of the study. To conduct a comparative assessment of іntra- and early postoperative results in patients with endometrial cancer of initial stages when performing systemic lymphadenectomy and ICG mapping for the detection of SLNs.

Materials and methods. The study included 98 patients (2017-2022) with morphologically verified endometrial cancer with low and mediumintermediate risks of metastasis. Removal of lymph nodes was carried out in two ways: 1)systemic lymphadenectomy (group 1); 2) ICG mapping for detection of SLN in the pelvic area (group 2).

Results. The time of the operation for 1 group is longer - (63.7 ± 14.8) min. than for the second - (36.4 ± 8.9) min. In group 1, intraoperative lesions of the obturator nerve were detected in 2 patients (4.5%), postoperative complications also were observed: lymphocysts 3 (7.5%), lymphostasis 2 (5.5%), prolonged lymphorrhea 4 (9.5%) and. There were no complications in group 2. In both groups, there were no bleedings and intraoperative injuries of the pelvic organs. In group 1, the average number of extracted LVs was 8.5±2 on each side; positive LNs were found in 3 (8%) patients, the remaining 38 (92%) were negative. Identification of the localization of LN was not carried out; since their evacuation from the abdominal cavity was carried out in a single block - 32 (80%), in 8 (20%) - fragmentary (which still does not allow identification of the position of the LN). No metastases were detected in group 2; in 40 (70 %) patients, SLN was detected on both sides, 11 (20 %) - on one side, and 6 (10 %) - not detected. In these 10% of patients, systemic lymph node dissection was performed. The most common localizations of LN are the external iliac vessels and the obturator area on both sides.

Conclusions. SLN biopsy should be used more often in early-stage endometrial cancer. The SLN technique can be used in patients with low and intermediate risk of lymphatic metastases to reduce the frequency of complications associated with systemic lymph node dissection. This technique can be used for patients with a higher risk of metastasis (in particular, average and high-average) in the presence of concomitant comorbid pathology. Its advantages are: reducing the trauma of the procedure, surgical comorbidity (lymphorrhea, lymphocysts, vascular and nerve injury), reducing the time of surgical intervention (which reduces the risk of infectious complications), reduction of blood loss, shortening of hospitalization, faster recovery, improvement of cosmetic effect and equivalence of oncological results.
Revisiting the Computation Problem
Authors: Cwik Paul , Engelhardt Lucas
Published: February 2024

In 2013, Engelhardt (2013) calculated that the combined power of the top five hundred supercomputers would take approximately 10.5 quintillion years to compute the distribution of eighty thousand heterogeneous goods among six billion consumers, posing a serious practical challenge to the implementation of computerized central planning. Allin Cottrell (2021) calls into question Engelhardt’s assertion, noting that the algorithm used by Engelhardt not only scales poorly but is not even valid for the problem Engelhardt posed. Cottrell offers an iterative algorithm that a one-petaflop machine could use to solve the distribution problem in about five minutes. We correct errors in both Engelhardt and Cottrell, and we offer a way to incorporate production into the problem. The result: modern supercomputers are still not powerful enough to solve central planning’s computation problem.
El derecho corporativo desde la perspectiva contemporánea. De la RSE a la sostenibilidad y el valor compartido
Authors: Quintanilla Ballivián Eduardo
Published: February 2024

Frente a las limitaciones en la globalización, tanto en su incapacidad de resolver los graves problemas de inequidad en el mundo como en sus consecuencias medioambientales, y considerando el rol esencial que juegan las sociedades anónimas o las “corporaciones” como factor esencial en la diversificación del capital, la multiplicación de las inversiones y el desarrollo de los mercados, este artículo analiza el origen y la naturaleza de las normas relativas al derecho corporativo y su tratamiento regulatorio en diferentes etapas, para concluir en las principales tendencias de la gestión de las empresas, que en aplicación de los principios de protección ambiental, social y de buen gobierno corporativo, devienen en un vehículo principal para el desarrollo sostenible de las economías contemporáneas.
Design of An Agricultural Extension Schedule Management System
Authors: Soedarto Teguh , Aditiawan Firza Prima , Putra Adzanil Rachmadhi
Published: February 2024

Based on the strategic plan of the Ministry of Agriculture for 2015-2019, development in the agricultural sector will refer to the Agriculture for Development Paradigm which positions the agricultural sector as a driver of balanced and comprehensive development transformation including demographic, economic, intersectoral, spatial, institutional and development governance. With such great potential, the Pasuruan Regency Food and Agriculture Security Service has problems in the availability of human resources in quantity, especially agricultural instructors. For this reason, there is a need for a system that can optimize existing human resources. The system development method used is the waterfall method, the waterfall method is a method that works sequentially, the development of the agricultural extension schedule management system has been going well. So that it can help the work management process of agricultural instructors in distributing agricultural extension at the village level. This agricultural extension schedule management system is implemented using a MySQL database and the PHP programming language. This system is easy to use so it helps related parties in schedule management and recording extension activities.
Prototype Of DPO Search Information System (People Search List) On CCTV Cameras Using Face Recognition
Authors: Anugraha Tri Reski , Dedy Atmajaya  , Lilis Nur Hayati  , Anugraha Nurhajar
Published: February 2024

The efficiency aspect of the housing security sector is the main consideration in creating information technology in a CCTV security development, because so far CCTV has not guaranteed maximum housing security, because CCTV can only record not analyze. This makes CCTV only a recording device for the point of occurrence, so this activity is less effective considering CCTV cannot analyze the face of a person who has committed a DPO action. So on that basis, researchers are developing existing technologies with facial recognition systems using the face recognition method for housing security. This method works by detecting a person's facial features. The face recognition apps provide information to the authorities by notifying the notification on the user's smartphone (security guard). So face recognition apps have been applied to the Green Cakra Housing, to help security guards monitor the entrance and exit of guests in the housing. This system can recognize the face of DPOs by obtaining a percentage of the assessment as much as agreeing that the application is effective enough.
TWO YEARS DESCRIPTIVE STUDY OF MACULAR HOLE PATIENTS OPERATED IN DR. KARIADI GENERAL HOSPITAL, SEMARANG
Authors: Partomuan Andreas Tigor
Published: February 2024

Introduction and Objective: Macular hole (MH) is vitreomacular interface disorder that could cause visual impairment.  Clinical characteristics of MH are important for predicting MH treatment outcomes. This study purpose was to describe MH patients’ characteristics and postoperative outcomes in Dr. Kariadi Hospital.
 
Method: A retrospective study held on January 2021–December 2022 utilizing patients’ medical records. Preoperative data: sex, age, symptoms, duration of symptoms, origin, preoperative visual acuity (VA), modified Gass classification stage, macular hole index (MHI), and hole forming factor (HFF) were obtained. Postoperative outcomes data: postoperative VA and anatomical closure were also collected.
 
Result: 20(20 eyes) patients were obtained, with 14(70%) female, 12(60%) aged >60 years old, 13(65%) metamorphopsia, 12(60%) central visual loss, 10(50%) preoperative VA 6/24-6/60, 10(50%) duration of symptoms <3 months, and 16(80%) idiopathic origin. OCT (Optical Coherence Tomography) findings revealed base diameter mean was 780,7 um(+ SD 312). 13 patients (65%) stage 3 of MH, 12(60%) MHI <0,5, 12(60%) HFF > 0,9. All patients underwent MH surgery procedures. Postoperative examination showed 10 patients(50%) with VA 6/6-6/20. 11(100%;p<0,001) with preoperative VA>6/60, 10(100%;p<0,001) with duration of symptoms <3 months, 8(100%;p=0,012) with MHI > 0,5, and 11(100%;p<0,001) with HFF > 0,9 (p<0,001) had improved visual acuity and anatomical closure. It also revealed 17(85%) had anatomical closure.
 
Conclusion: The most common characteristics found in MH patients were female sex, age >60 years old, and disorder of idiopathic origin. Preoperative VA, duration of symptoms <3 months before surgery, MHI > 0,5, and HFF > 0,9 were positive prognostic factors for better postoperative functional and anatomical outcomes.
EVALUATION OF PHARMACOLOGICAL ACTIVITIES OF PIPER BETLE L. EXTRACT ON BACTERIAL CONJUNCTIVITIS MODEL OF WISTAR RAT CAUSED BY STREPTOCOCCUS PNEUMONIAE
Authors: Pratama Yudhi , Aldy Fithria
Published: February 2024

Introduction: Conjunctivitis is an eye infection accounted as the third leading ophthalmology cases after cataract and glaucoma globally, with Streptococcus pneumoniae as the main causes in children. Several studies had indicated that Piper betle L. extract inhibited Streptococcus pneumoniae growth. Methods: This study was an analytical study with true experimental design and pre-test-post-test control group. Streptococcus pneumoniae colony growth media was analyzed using Mueller Hinton agar.  Streptococcus pneumoniae colony was calculated using Total Plate Count methods. Results: Sample of this study involved 30 male wistar rat aged 4 – 9 minggu. Kruskal Wallis test reveald a significant differences of Streptococcus pneumoniae colony based on the treatment group (p=0,023). Subsequent test using Posthoc revealed that there was a significant differences in Streptococcus pneumoniae colony between placebo group and group using 25% (p = 0,039) and 30% (p=0,006) piper betle. Test results also revealed that no significant difference was found between placebo group and groups using 20% piper betle (p=0,159) and ofloxacin (p=1,000). Conclusion: There was a significant difference in Streptococcus pneumoniae colony among placebo group and piper betle eyedrops 25 % and 30 % group. However, significant result among placebo group and piper betle L. 20 % and ofloxacin group were absent. Keywords: Bacterial conjungtivitis, Streptococcus pneumoniae, Piper betle L.
INVESTIGATING THE INTERPLAY: UNRAVELLING THE IL-6 CONNECTION AND INTRAVENOUS METHYLPREDNISOLONE’S IMPACT ON RECTUS MUSCLE IN THYROID EYE DISEASE
Authors: Fajar Rangga Athallah , Supartoto Agus , Utomo Purjanto Tepo , Dibyasakti Banu Aji , Darajati Irene Titin
Published: February 2024

Introduction & Objective: Intravenous corticosteroid has been used in management of Thyroid Eye Diseases (TED). Many previous studies have shown the therapeutic benefits of corticosteroid therapy. Recently, the efficacy of high-dose intravenous corticosteroid pulse therapy has been reported. Recent studies have highlighted the potential role of interleukin-6 (IL-6) in the pathogenesis of TED. However, the correlation between IL-6 levels and the effects of IVMP on rectus muscles in patients with TED remains unclear. This study aims to investigate the correlation between IL-6 levels and the effects of IVMP on rectus muscles in patients with TED
Methods : Retrospective analysis were used in the data collection of patients with active Thyroid Eye Disease who undergone high-dose intravenous methylprednisolone pulse therapy (500mg per week for 6 successive weeks) at Sardjito General Hospital between January 2022 and December 2022. Data on the Level of IL-6 were obtained at the start of treatment, and quantitative computed tomography (CT) of the orbit and were performed before and after treatments. Demographics data were presented in tables and graphs.
Results : This study included 62 eyes of 31 patients (61,3% female) with mean age of 37.8±13.47 years old. There was significant inverse correlation in levels of IL-6 and ?SR (P=0.037) which implies a reduced effect of IVMP on SR. However, other statistical analyses on different rectus muscle groups bare no statistical significance.
Conclusion : The use of IL-6 as a single predictor of responsiveness of the treatment of high dose intravenous methylprednisolone is not endorsed by the result of this study.  However, further studies with better established level of IL-6 both pre and post treatment, and more inclusive parameters are needed to better provide better understanding on the role of IL-6.
INTRAVENOUS METHYLPREDNISOLONE EFFECTS ON RECTUS MUSCLES IN THYROID EYE DISEASE
Authors: Murtadha Milzan , Supartoto Agus , Utomo Purjanto Tepo , Dibyasakti Banu Aji , Darajati Irene Titin
Published: February 2024

Introduction & Objective:
Intravenous methylprednisolone has been used in management of Thyroid Eye Diseases (TED) which was an autoimmune inflammatory disease of the orbital tissues and the eyes. Previous study has shown benefits of intravenous methylprednisolone therapy on TED but there was need of quantitative measure to assess the effect of intravenous methylprednisolone therapy on extraocular rectus muscles. This study aimed to report the effect of high-dose intravenous methylprednisolone pulse therapy on inferior, medial, superior, and lateral rectus muscles and providing data distribution of active TED before and after therapy.
Methods:
Retrospective analyses were used in the data collection of patients with active Thyroid Eye Disease (TED) underwent high-dose intravenous methylprednisolone pulse therapy regiment 500mg every week for six consecutive weeks at Sardjito Eye Centre between January 2022 and December 2022. Ophthalmological investigation and quantitative computed tomography (CT) scan of the orbit were performed before and after methylprednisolone pulse therapy and demographics data were presented in tables and graphs.
Results:
This study included 62 eyes of 31 patients (61,3% female) with mean age of 37.8±13.47 years old. The mean thickness of Superior Rectus (SR) muscle before therapy were 4.12±2.20 mm and significantly decreased to 3.70±1.54 mm post therapy. There was no significant difference in delta mean Inferior Rectus (?IR) -0.18±1.69 (p=0.381), Medial Rectus (?MR) -0.34±1.68 (p=0.116), and Lateral Rectus (?LR) -0.33±1.94 (p=0.188)
Conclusion:  
The treatment of Thyroid Eye Disease (TED) with high dose intravenous corticosteroid is safe and effective in reducing extraocular muscle tissue thickness with minimal side effects.
Keywords:
Thyroid Eye Disease, Extraocular Muscle, Intravenous Methylprednisolone Therapy.
COMPARISON OF SITA STANDARD 24-2 WITH SITA FASTER 24-2C PROGRAM ON HUMPHREY FIELD ANALYZER IN ASSESSING VISUAL FIELD DEFECTS OF GLAUCOMA PATIENTS
Authors: Rianti Nuzul , Satari Karmelita , Prahasta Andika , Rifada R. Maula , Umbara Sonie
Published: February 2024

Introduction: Periodical perimetry examination to detect and determine the rate of glaucoma progression continues to be a challenging task, because it depends on many factors. Besides, there is now a paradigm shift which central visual field defects occur earlier. SITA Standard (SS) 24-2 is the clinical standard for glaucoma examination, but there were studies reporting on the prevalence of central visual field defects not detected. SITA Faster (SFR) 24-2C was developed to address current shortcomings, but the performance has yet to be formally and independently assessed.
Objective: To compare the global indices (Mean Deviation, Pattern Standard Deviation, Visual Field Index) and test duration between SS 24-2 and SFR 24-2C program.
Methods: This is an analytical observational study with a cross-sectional design. Subjects aged >18 years who diagnosed with glaucoma and whose visual fields unaffected by other condition besides glaucoma were included. All subjects underwent testing of both programs.
Results: This study was conducted in 94 eyes of 66 patients. Comparison of global indices and test duration between the two programs was carried out by the Wilcoxon test. The mean results of MD and PSD global indices were not significantly different, however there was a difference in the mean VFI of 1.5% between the two programs. The test duration of SFR 24-2C was 55.03% faster.
Conclusion: There was no significant difference in the MD and PSD global indices, but there was a significant difference in the VFI, as well as the test duration between the two programs.
SURGERY OUTCOMES OF GLAUCOMA DRAINAGE DEVICE IMPLANTATION IN REFRACTORY GLAUCOMA PATIENTS AT SARDJITO GENERAL HOSPITAL
Authors: Saputra Yuandani , Jati Krisna Dwi Purnomo , Gani Tatang Talka , Ekantini Retno
Published: February 2024

Introduction: Glaucoma drainage device (GDD) implantation was an effective surgical procedure in treating uncontrolled intraocular pressure (IOP) of glaucoma patients in certain complicated conditions. GDD implants were classified into valved and non-valved in which its surgical outcomes in different types of device and various etiologies were not similar. This study aimed to evaluate the surgery outcomes of GDD implantation in patients with refractory glaucoma at Sardjito General Hospital.
 
Methods: All 12 eyes of 11 patient’s medical records who underwent GDD implantation during 2022 at Sardjito General Hospital was reviewed. Baseline data include age, gender, eye laterality, type of glaucoma, IOP and visual acuity. The IOP and visual acuity (LogMAR) were measured at week 1, month 1, 2 and 3. Type of GDD implants, postoperative glaucoma medications, complications and need for further glaucoma surgery were documented.
 
Results: The mean IOP at baseline was 44 ± 14.2 mmHg with 3.4 ± 0.6 glaucoma medications. It decreased after surgery into 19.1 ± 11.2 mmHg (p=0.003) at 3 months follow up with 0.7 ± 1.7 (p=0.002) glaucoma medications. The mean initial visual acuity was 1.9 ± 0.6 and changed insignificantly to 1.7 ± 0.8 (p=0.624) at last follow up. Six eyes (50%) were implanted with valved implant. The most common early postoperative complications were recurrent high IOP (4 eyes, 33.3%) associated to ripcord of non-valved implant (p=0.025). Five eyes (41.7%) needed additional surgery related to non-valved implant type (p=0.003).
 
Conclusion: GDD implantation especially valved type appears to be safe and effective surgical option in treating refractory glaucoma patients
 
Keywords: Glaucoma drainage device, refractory glaucoma, glaucoma surgery, intraocular pressure
QUALITY OF LIFE AFTER CATARACT SURGERY IN PATIENTS WITH AGE-RELATED MACULAR DEGENERATION: A LITERATURE REVIEW
Authors: Syahruzad Rosa , Widyawati Syska , Wildan Arief
Published: February 2024

Objective: Age-related macular degeneration (AMD) is a common ocular disease that affects millions of people worldwide. Cataract surgery is one of the most performed surgical procedures in the world and is effective to improve visual function and quality of life (QOL) in individuals with cataracts. Both cataract and AMD are conditions that occur in late age. However, the presence of AMD may complicate the postoperative outcomes and quality of life (QOL) of these patients. This review aims to examine the impact of cataract surgery on the QOL of patients with AMD. Methods: A search of the literature was conducted using electronic databases. Studies were included if they evaluated QOL outcomes in patients with AMD who underwent cataract surgery. Result: The results of the review suggest that cataract surgery can improve visual acuity and QOL in patients with AMD. However, the degree of improvement is influenced by the severity of AMD. Patients with mild to moderate AMD tended to have greater improvements in QOL and visual acuity compared to those with advanced AMD. Incidentally, it is still cost effective to perform cataract surgery in patients with advanced AMD. Conclusion: Overall, cataract surgery is found to be able to improve QOL and visual acuity in patients with AMD. Nevertheless, individual characteristics including severity of AMD must be considered to optimize the outcomes. Further research, particularly with longer follow up times, is needed to determine the long-term effects of cataract surgery on QOL in patients with AMD.