bluuebunny/crossref_metadata_2025 huggingface dataset:
The Choice of Anesthesia During Organ-Saving Operations Concerning Patients With Placenta Accreta Spectrum Disorders
Authors: Plakhotina E. N. , Belousova T. N. , Kulikov I. A. , Latyshev R. V. , Pavlyutina K. M.
Published: October 2020

Abstract Placenta accreta (PAS-disorders) is one of the most serious complications of pregnancy, associated with the risk of massive uterine bleeding, massive hemotransfusion and maternal mortality. Peripartum hysterectomy is a common treatment strategy for patients with placenta accreta. Currently, there is a clear trend of changing surgical tactics in favor of organ-saving operations, but there are no studies devoted to anesthesiological support of such operations.

The aim of the study is to substantiate an effective and safe method of anaesthesia in organ-saving operations for placenta accreta spectrum disorders.

Materia l and methods The study involved 80 patients with a diagnosis of placenta accreta spectrum disorders, confirmed intraoperatively, who underwent organ-saving operations. The patients were randomized depending on the method of anesthesia into 3 groups: general anesthesia, spinal anesthesia with planned conversion to general after fetal extraction and epidural anesthesia with planned conversion to general also after fetal extraction. The comparison of intraoperative hemodynamics, efficiency of tissue perfusion, efficiency of antinociceptive protection at the stages of surgery was performed. A comparative analysis of the volume of blood loss and blood transfusion, time of patients activation in the postoperative period, severity of pain on the first day after surgery, duration of hospital stay before discharge and comparison of the assessment of the newborn according to Apgar score at first and fifth minute after extraction.

Conclusion The study shows that the optimal method of anesthesia in organ-saving operations for placenta accreta spectrum disorders is epidural anesthesia with its planned conversion to general anesthesia with an artificial lung ventilation after fetal extraction. Such an approach to anesthesia allows to maintain stable hemodynamic profile with minimal vasopressor support, sufficient heart performance, providing effective tissue perfusion and a high level of antinociceptive protection at the intraoperative stage and reduce the volume of intraoperative blood loss and hemotransfusion. In the current study there were no differences in neonatal outcomes and duration of hospitalization depending on the method of anesthesia. The advantage of epidural anesthesia with its conversion to general anesthesia was earlier activation after surgery and lower intensity of postoperative pain syndrome.
Creation of a Dataset of MSCT-Images and Clinical Data for Acute Cerebrovascular Events
Authors: Sharifullin F. A. , Dolotova D. D. , Barmina T. G. , Petrikov S. S. , Kokov L. S. , Ramazanov G. R. , Blagosklonova Y. R. , Arkhipov I. V. , Skorobogach I. M. , Cheremushkin N. N. , Donitova V. V. , Kobrinski B. A. , Gavrilov A. V.
Published: October 2020

Background The use of neuroimaging methods is an integral part of the process of assisting patients with acute cerebrovascular events (ACVE), and computed tomography (CT) is the «gold standard» for examining this category of patients. The capabilities of the analysis of CT images may be significantly expanded with modern methods of machine learning including the application of the principles of radiomics. However, since the use of these methods requires large arrays of DICOM (Digital Imaging and Communications in Medicine)-images, their implementation into clinical practice is limited by the lack of representative sample sets. Inaddition, at present, collections (datasets) of CT images of stroke patients, that are suitable for machine learning, are practically not available in the public domain.

Aim of study Regarding the aforesaid, the aim of this work was to create a DICOM images dataset of native CT and CT-angiography of patients with different types of stroke. Material and meth ods The collection was based on the medical cases of patients hospitalized in the Regional Vascular Center of the N.V. Sklifosovsky Research Institute for Emergency Medicine. We used a previously developed specialized platform to enter clinical data on the stroke cases, to attach CT DICOMimages to each case, to contour 3D areas of interest, and to tag (label) them. A dictionary was developed for tagging, where elements describe the type of lesion, location, and vascular territory.

Results A dataset of clinical cases and images was formed in the course of the work. It included anonymous information about 220 patients, 130 of them with ischemic stroke, 40 with hemorrhagic stroke, and 50 patients without cerebrovascular disorders. Clinical data included information about type of stroke, presence of concomitant diseases and complications, length of hospital stay, methods of treatment, and outcome. The results of 370 studies of native CT and 102 studies of CT-angiography were entered for all patients. The areas of interest corresponding to direct and indirect signs of stroke were contoured and tagged by radiologists on each series of images.

Conclusion The resulting collection of images will enable the use of various methods of data analysis and machine learning in solving the most important practical problems including diagnosis of the stroke type, assessment of lesion volume, and prediction of the degree of neurological deficit.
Clinical Case of a Patient with Small Bowel Obstruction and Multiple Diospirobesoaras of the Gastrointestinal Tract
Authors: Harutyunyan A. S. , Levitsky V. D. , Kiselev V. V. , Yartsev P. A. , Vodyasov A. V. , Shavrina N. V.
Published: October 2020

AbstractSmall bowel obstruction (SBO) is 3-4% of all abdominal acute diseases. Small bowel obstruction due to bezoars is rare (2-4%), and is detected mainly in patients with predisposing risk factors: gastrointestinal motility disorders, psychiatric diseases, enzymatic insufficiency, previous bariatric surgery, diabetes mellitus and hypothyroidism complicated by gastroparesis. The leading role in the verification of small bowel obstruction in patients without surgical interventions on the abdominal organs should be given to computed tomography. According to the literature, the mortality from SBO due to bezoar may reach 30%. We present an unusual clinical case of recurrent small bowel obstruction with severe intestinal disease and septic shock induced by multiple phytobezoars and complicated with severe pseudomembranous colitis. Moreover, in our opinion, laparoscopic access can be used both for diagnostic and therapeutic purposes in patients with acute small bowel obstruction.
Clinical Cases of Wernicke Encephalopathy
Authors: Ramazanov G. R. , Kovaleva E. A. , Stepanov V. N. , Korigova H. V. , Shevchenko E. V. , Zabrodskaya Y. V. , Petrikov S. S.
Published: October 2020

Abstract This article will discuss the causes of Wernicke encephalopathy, diagnosis, treatment and clinical examples of this disease.
Efficacy of Hypertonic Saline Solution to Achieve Persistent Intraoperative Intracranial Hypotension in Endoscopic Endonasal Transsphenoidal Surgery
Authors: Kurnosov A. B. , Kutin M. A. , Sharipov O. I. , Kalinin P. L. , Fomichev D. V. , Malevanaya N. V.
Published: October 2020

Abstract. The use of endoscopic transsphenoidal access is an effective and safe method for the surgical treatment of pituitary adenomas (PA). In endoscopic transsphenoidal surgeries, there is a need to control intracranial pressure (ICP) for reposition and expansion of the tumor capsule. Currently, the main method for reducing ICP in transsphenoidal surgery is installation of an external lumbar drainage, which is associated with a number of complications.

Aim of study. To improve the results of surgical treatment of patients with hypertension using hypertonic saline solution (HSS).

Material and methods. The study included 89 patients, who were devided into two groups: Group A — control group (n=25), where the lumbar drainage was installed for invasive intraoperative measurement of the dynamics of ICP parameters at the main stages of the operation (HSS was not administered in these patients); Group B — study group (n=64), where the efficacy of non­invasive regulation of the tumor capsule position using intravenous HSS was assessed, in addition, lumbar drainage was installed in 25 patients of group B, as well as in group A, for invasive measurement of ICP (the dynamics of ICP changes at the main stages of the operation was measured), and the dynamics of changes in the electrolyte composition of the plasma during the first days after the administration of the HSS was monitored as well.

Results. In Group B, there was a more significant decrease in ICP in the course of HSS (on average by 22.49 mm Hg) compared to Group A, where the decrease in ICP was 14.23–8,46 mm Hg (from 13.62±1.36 mm Hg, p<0.05). After intravenous administration of HSS, the plasma composition changed as expected (the concentrations of Na+ and Cl­ increased on average to 150±0.71 mmol/L and 118.3±1.06 mmol/L, respectively, which slightly exceeded the average statistical norm, K + slightly decreased within the average statistical norm), during the first day there was a normalization of the above laboratory parameters .This technique was used to obtain patent No. 2669924 “A method for regulating the position of a tumor capsule in endoscopic transsphenoidal surgery of pituitary adenoma”.

Conclusion. The use of HSS is a safe non­invasive technique for expansion of the tumor capsule during operations to remove pituitary adenomas using transsphenoidal endoscopic access. It should be noted that this method is most appropriate in situations not associated with the risk of developing intraoperative liquorrhea.
Saving of Foot Support Ability in Post-traumatic Defects Using Microsurgical Tissue Autotransplantation
Authors: Vlasov A. P. , Shibayev E. Y. , Fayn A. M. , Ivanov P. A. , Kisel D. A. , Lazarev M. P. , Svetlov K. V. , Nevedrov A. V.
Published: October 2020

Background. Severe open injuries of the lower extremities in most cases are the result of high-energy trauma, because the foot and ankle are damaged as a result of automobile accidents almost in every fourth victim. According to the literature, the percentage of infectious complications after surgical debridement of open injuries of the foot is 43–67.9% and shows no tendency to decrease.

Material and methods. We performed 32 operations with the use of free revascularized grafts in patients aged from 16 to 70 years with extensive posttraumatic defects of the foot between 2010 and 2018.

Results. As a result, 30 (93.7%) out of 32 grafts provided foot support ability provided during the post-operative period. When replacing large defects (more than 80 cm2) of soft tissues supporting surface of the foot we used free musculocutaneous flap of the latissimus dorsi, fasciocutaneous flaps were used for defects of the dorsum of the foot (less than 80 cm2). Long-term results were assessed using the Foot and ankle ability Measure (FAAM) questionnaire.

Conclusion. Primary early replacement of tissue defects on the foot with free revascularized autografts is the method of choice for solving this problem, as it allows you to maintain the supporting function of the foot and is often alternative method to amputation.
Closed Abdominal Trauma with Isolated Gallbladder Injury
Authors: Grigoriev S. E. , Inozemtsev E. O. , Kondratyev S. A.
Published: October 2020

Clinical observation of closed abdominal trauma and isolated gallbladder injury is discussed. The frequency of occurrence and risk factors for the development of gallbladder injury are presented.
Sheremetev Hospital and N.V. Sklifosovsky Institute in 1916–1925 (for the 210th Anniversary of the Hospice House of Count N.P. Sheremetev in Moscow)
Authors: Petrikov S. S. , Kabanova S. A. , Bogopolsky P. M. , Goldfarb Yu. S. , Sleptsov V. I.
Published: October 2020

This work provides information concerning the insufficiently studied period in the history of Sheremetev Hospital and Sklifosovsky Institute for Emergency Medicine in 1916–1925. The data of Russian historical and medical literature were used, some archival documents were introduced into scientific circulation, which explain the reasons for the significant reduction in the activities of the Sheremetev Hospital and the Hospice House in 1916, the closure of the hospital and the House in 1917, as well as the circumstances of the resumption of the Sheremetev Hospital in 1919, organization of the Moscow City Ambulance Station in 1919 and N.V. Sklifosovsky Institute for Emergency Medicine in 1923.
To the rhythm of the hill: Youth who reflect to build images which transform
Authors:   Corporación Universitaria Minuto de Dios, Raigoso Liliana , Alfonso-Franco Catalina ,   Corporación Universitaria Minuto de Dios
Published: October 2020

This article shows the process developed with thirty-two high school students from the Educational Institution, Luis Carlos Galán, a public school located in the commune of Cazucá, peripheral area of the municipality of Soacha, Cundinamarca, Colombia, with whom, based on the use of the Participatory Action Research —IAP— spaces for reflection were created through workshops such as brainstorming, patchwork quilt and social cartography, among others, which allowed them to recognize the surrounding conflicts in their territory, to propose possible ways of managing them through Participatory Audiovisual, and thereby generate high-intensity citizenship, that is, political subjects that influence through active participation in decision-making that impact their society.
Nota sobre los comentarios de Eberhard Crailsheim a B. Yun-Casalilla, Iberian World Empires and the Globalization of Europe 1415-1668
Authors: Yun-Casalilla Bartolomé
Published: October 2020

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La pretendida “prohibición de cese laboral” en tiempos de COVID19:
Authors: Molina Navarrete Cristóbal
Published: October 2020

En España, el artículo 2 del Real Decreto-ley 2/2020, 27 de marzo suscita un grave problema interpretativo. Aunque el Gobierno parece buscar una prohibición del despido de las personas trabajadoras por causa de la crisis derivada de la covid19, en el texto legal no queda nada claro que se trate de un despido con causa prohibida y, por lo tanto, no conllevaría la nulidad del despido, sino solo una indemnización de despido (el coste de la arbitrariedad empresarial). Los primeros pronunciamientos judiciales han asumido que sí existe esa causa de nulidad. Sin embargo, los razonamientos dador para llegar a tan conflictiva solución son extremadamente parcos y débiles, por lo que es muy probable que esas decisiones sean revocadas por las instancias judiciales superiores.En todo caso, el precio de esta legislación defectuosa es el incremento extremo de la inseguridad jurídica, en un sistema jurídico cada vez más estresado.
Reseña de “La dignidad del trabajador” (Monereo Pérez, J.L., Laborum, Murcia, 2019)
Authors: Ortiz González-Conde Francisco Miguel
Published: October 2020

Reseña bibliográfica.
Invasive Johnsongrass, a threat to native grasslands and agriculture
Authors: Klein Peter , Smith Charles Michael
Published: October 2020

Among the weedy plant species, Johnsongrass (Sorghum halepense) is one of the most destructive. Johnsongrass has invaded new habitats beyond its native Eurasian origin by outcompeting native flora and cultivated crops. The Johnsongrass habitat is expanding continuously due to clonal and self-pollinating reproduction strategy, accelerated growth and the progressing climate change. As a result, Johnsongrass has reduced native plant diversity in grasslands and inflicted economic damage to agriculture on every continent. Johnsongrass is a growing threat to crop production, as it serves as a refuge for a variety of agricultural pests and plant viral diseases. Over the past decades, herbicides extensively applied to control Johnsongrass have boosted selection pressure, resulting in the independent evolution of herbicide-resistant ecotypes across multiple locations. The apparent threat to native flora and agriculture caused by the invasive Johnsongrass is a subject to a long and ongoing research. This review provides a historical and research overview on Johnsongrass expansion, its current as well future impact particularly on North American and European grasslands and agriculture.
The Power Of Annual Cost-Of-Illness In Predicting COPD Survival At 3 Years
Authors:   National Centre For Respiratory Pharmacoeconomics And Pharmacoepidemiology, RWD Negro
Published: October 2020

Clinical signs and lung function are variably sensitive in predicting survival in COPD. 1) Specific and appropriate lung function indices contribute to predicting mortality in COPD effectively. 2) Total annual cost confirms the most sensitive predictor of mortality at three years. 3) Present data support the high predictive power of the careful functional and economic phenotyping in COPD.
The evolution of hermeneutic approach in studying cultural phenomena
Authors: Pilyak Sergey Aleksandrovich
Published: October 2020

The problem of methodology of interpretation of cultural heritage assumes special importance. Throughout several centuries, the leading method in interpretation of semiotic system has been and remains to be the hermeneutic method, which initially emerged as a pattern for interpretation of sacred texts. The interpretation of cultural values and material cultural heritage is one of the most widespread types of their development and creative comprehension. From the perspective of perception and interpretation of language, which is general sense represents any system of symbols, the key scientific vector of which is the philosophical hermeneutics. The very concept of hermeneutics is usually interpreted as the art and theory of textual interpretation. Thus in the wide sense, it emerged along with speech and writing system. Hermeneutics contributed to creation of methodology of interpretation; therefore, many of its provisions, principles, and forms of interpretation take into account the specificity of interpretation of cultural values. The historical experience demonstrates multiple examples of application of hermeneutic techniques for reaching understanding of different masses or unanimous understanding for groups of dissimilar people. Utilization of hermeneutic approaches can be observe when there comes a moment of potential disintegration of countries, territories or regions, the unification of which is advantageous. The author reviews the historical transformation of hermeneutic approach in studying cultural phenomena.
Imagination: from the image to symbol, from the symbol to text
Authors: Volkova Vera , Malakhova Nataliya , Volkov Ilia
Published: October 2020

This article is dedicated to conceptualization of the subject field of imagination. Imagination stops being a byproduct of the creative process. It is defined as the ability to exceed boundaries of creative process in mental combinations of the aspects of knowledge and being, sensation and reason. Research methodology is substantiated by the complementarity and intersection of different discourses on imagination on the basis of dialectics as an ancient mode of thought. Imagination is determined from the perspective of ontoepistemology and accumulation of structural-organizational attachments into image. The unity of being and knowledge (ontoepistemology) manifests in segmentation of the image and derivation of structural generalizations, all of which allow determining multiple meanings of the objects discovered by means of visualization and symbolization. Being correlate of the symbol, image is visualized, and reveals the meanings of human life. Symbol saturates image with the content. Image has power over people and their mind by not complying with the rules. Imagination is a method for reconstructing cognitive process. It is perceived as an instrument for comparing, uniting, and coordination of diverse elements of cognition. Imagination mentalizes the image, helps to comprehend it through a number of transitions, inside which takes place integration of segments of the image into a symbol. Then, through generalization of the image (symbols, words, meanings), its form turns into a text, read by the mind, for example, a rhizome that removes contradistinction of internal and external, subjective and objective. Mentalization of the image, symbolization of its segments and their translation into in the text takes place by integration of structural attachments into the image. The author suggests that this conceptual construct allows determining the role of imagination among other representations of human sciences.
Geocultural branding of the city: “Verkhokamskaya Manor”
Authors: Dianov Sergei Aleksandrovich , Dianova Yuliya Viktorovna
Published: October 2020

This article gives a perspective on geocultural potential of the city of Vereshchagino of Perm Region, which is appropriate to use for implementation of creative scenarios in development of modern urban environment. The object of this research is the urban cultural landscape, while the subject is a promising brand image “Verkhokamskaya Manor”. In 2023, the city, which in the popular scientific publishers received a name of the “Western Gates of Ural”, would celebrate the 125th anniversary. The article analyzes the problems typical to a provincial city, such demographic, communal, and sociocultural. It is suggested to introduce a progressive color palette into the visual image of urban environment. Special attention is given to historical and cultural aspects of the development of phenomenon of asceticism on the Vereshchagin land. The main conclusion lies in the thesis that Vereshchagino has a unique chance to become a comfortable city for living, a spot for the people who maintain and restore socio-historical uniqueness of economic structure of the country though active ascetic practices. This author's initiative is based on the theory and methodology of geocultural branding of cities and territories (D. N. Zamyatin). The described brand image “Verkhokamskaya Manor” includes visible and hidden meanings of creativity and asceticism, which manifest as mental basis in the author's strategy model of geocultural branding of the city of Vereshchagino.
“Sacred Theology” of Nicholas of Cusa in the portraits and altar paintings of the artists of the Early Netherlandish painting
Authors: Zabrodina Elena Al'bertovna
Published: October 2020

The subject of this research is the processes that unfolded in the spiritual sphere of the Netherlandish society of the XV century, which can be assessed by the treatises of the prominent philosopher and figure of the Catholic Church Nicholas of Cusa (1401-1464), as well as by the images, scenes, artistic techniques used by Netherlandish artists of that time such brothers van Eyck, Rogier van Weyden, Hans Memling, Petrus Christus, Hieronymus Bosch, Robert Kampin, and others. Main attention is given to the comparison of the views of Nicholas of Cusa, as well as the manner and ideological program that can be seen in the work of the XV century artists. The scientific novelty consists in demonstration of just how the views of Nicholas of Cusa correlate to the worldview of the people of the XV century – transitional period from the Medieval Era to the Modern Age. Perceptions of the Netherlanders of that time of the world and people’s place within it, of divine predestination and everyday life are reflected in the orders for a new type of altar compositions and portraits. The conducted analysis uses specific examples to reveal the theme of commonness of the worldview in the examined chronological period. Comparison of the paintings and thoughts of Nicholas of Cusa demonstrate the commonness of views that reflect the transformational era in the history of art.
The peculiarities of development of culturology in Russia and China
Authors: Tun Dan'Dan'
Published: October 2020

The subject of this research is the peculiarities of development of culturology in Russia and China. Based on comparative analysis of the studies dedicated to history, religion, language and mentality of both countries, the author reveals the key characteristics of cultural peculiarities of Russia and Chin. The interest towards this topic is substantiated by the existing cross-cultural contacts between Russia and China at various levels, as well as the factors and role of contiguity of different cultures in the period of globalization and cultural integration. The goal of this research consists in comparative analysis of the peculiarities of development of Chinese and Russian culturology. The author determines the peculiarities of development of the Russian and Chinese cultures, which allows forecasting the future and potential of both. The conclusion  is substantiated that Russian culture bears the traits characteristic to Western civilizations, while Chinese culture is typically Eastern. It is established that the peculiarities of development of culturology in Russia are closely related to education, and thus are of integrative nature (a combination of philosophical, sociological and psychological positions). The specifics of culturology in China is reflected in the fact that it is based on the ideas of Marxism, Neo-Confucianism and axiology. The conducted research contains the scientific novelty, since many scholars justifiably place emphasis on the cross-cultural dialogues. Namely these processes contribute to deepening the existing knowledge on peculiarities of Russian and Chinese cultures.
ANALISI FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN IBU HAMIL MENGKOMSUMSI TABLET FE DI PUSKESMAS PEKABATA KABUPATEN POLEWALI MANDAR PROPINSI SULAWESI BARAT
Authors: Aprilia Asri , Permana Irfan
Published: October 2020

Zat besi adalah zat  utama yang diperlukan tubuh dalam pembentukan darah, Kekurangan zat besi dapat menyebabkan anemia. Anemia lebih sering dijumpai dalam kehamilan. Berdasarkan suatu penelitian menunjukkan bahwa angka kematian ibu yang tinggi berhubungan erat dengan anemia yang dideritanya ketika hamil. Oleh karena itu, selama kehamilan di harapkan agar mengkonsumsi makanan yang mengandung zat besi dan konsumsi tablet Fe untuk memenuhi kecukupam zat besi selama kehamilan.Penilitian dilaksanakan di Puskesmas Puskesmas Pekabata Kabupaten Polewali Mandar Propinsi Sulawesi Barat. Selama 30 hari, dengan menggunakan jenis penelitian observasi dengan pendekatan cross sectional study. Tehnik pengambilan sampel menggunakan purporsive sampling dengan jumlah sampel 25 orang ibu hamilHasil penelitian dengan uji statistik diperoleh bahwa informasi kesehatan berhubungan dengan konsumsi tablet Fe dengan nilai p (0,021) < 0,05, efek samping berhubungan dengan kepatuhan ibu hamil dengan nilai p (0,017) < 0,05, dukungan keluarga berhubungan dengan kepatuhan ibu hamil p (0,021) < 0,05, dan akses Yankes tidak berhubungan dengan kepatuhan ibu hamil p (0,058) < 0,05.Disarankan Bagi ibu hamil sebagai bahan informasi dalam hal konsumsi tablet zat besi untuk lebih meningkatkan kesehatan ibu hamil sendiri dan janinnya dan Perlunya penyuluhan kesehatan kepada ibu hamil dan keluarganya yang berkesinambungan tentang pemberian tablet zat besi.
KETERCAPAIAN TRANFUSI PADA PASIEN TALASEMIA MAYOR DI RUMAH SAKIT UMUM DAERAH CIAMIS TAHUN 2018
Authors: Rohimah Siti , Puspasari Fitriani
Published: October 2020

Talasemia merupakan penyakit kelainan darah yang menyebabkan penderitanya mengalami anemia dan menimbulkan gejala cepat lelah, lemas dan sesak napas. Salah satu intervensi mengatasi anemia adalah transfuse berkelajutan. Penelitian memiliki tujuan melihat ketercapaian transfusi darah pada penserta thalasemia di Rumah Sakit Umum Daerah Ciamis Tahun 2018.Metode penelitian ini menggunakan Deskriptif dengan jumlah populasi dan sampel sebanyak 65 kegiatan atau orang. Hasil penelitian baik tahap persiapan maupun tahap kerja memperlihatkan 46 subjek penelitian yang dijadikan sampel (71%) mencapai standar prosedur kerja transfuse, dan 19 subjek penelitian yang dijadikan sampel (29%0 tidak mencapai standar prosedur kerja transfusemengingat penting nya intervensi transfuse yang berkelanjutan perlu dicari penyebab ketidaktercapaian pelaksanaan transfuse pada anak thalassemia, untuk meningkatkan kualitas layanan kesehatan.
HUBUNGAN PENGETAHUAN TENTANG MENOPAUSE DENGAN KECEMASAN PADA WANITA PREMENOPAUSE DI KELURAHAN KERTASARI KECAMATAN CIAMIS KABUPATEN CIAMIS
Authors: Wibowo Daniel Akbar , Nadhilah Syifa
Published: October 2020

Menopause merupakan tahap akhir masa reproduksi seorang wanita. Wanita yang akan memasuki menopause akan mengalami masalah fisik dan psikis, apabila hal tersebut tidak ditangani dengan baik maka akan menimbulkan kecemasan, sehingga diperlukan adanya suatu pengetahuan yang cukup. Tujuan penelitian iniuntuk mengetahui hubungan pengetahuan tentang menopause dengan kecemasan pada wanita premenopause di Kelurahan Kertasari Kecamatan Ciamis Kabupaten Ciamis. Jenis penelitian ini adalah kuantitatif dengan desain cross sectional. Sampel dalam penelitian ini berjumlah 91 reponden yaitu wanita berusia 45-55 tahun yang akan memasuki menopause. Metode pengambilan sampel yang digunakanadalah probability sampling. Pengumpulan data menggunakan kuesioner Hamilton Rating Sale for Anxiety (HRS. A) dan kuesioner tingkat pengetahuan. Analisa data menggunakan uji Sperman Rank pada α>0,5. Hasil penelitian menunjukan tingkat pengetahuan dengan kategoro kurang sebanyak (36,8%)mengalami kecemasan sedang, pengetahuan cukup (35,5%) mengalami kecemasan ringan dan kecemasan sedang, sedangkan berpengetahuan baik (51,2%) mengalami kecemasan sedang. Hasil analisis data diperoleh p-value yaitu sebesar p0,211 (>0,05) secara statistik menyatakan bahwa tidak ada hubungan yang signifikan antara pengetahuan tentang menopause dengan kecemasan pada wanita premenopause di kelurahan kertasari kecamatan ciamis kabupaten ciamis. Petugas kesehatan hendaknya lebih meningkatkan promosi kesehatan kepada perempuan usia menopause tentang pengetahuan menopause untuk meningkatkan pengetahuan menopause agar siap dalam menghadapi masalah psikologi.
Malpositioned Lines and Tubes on Chest Radiograph – A Concise Pictorial Review
Authors: Sakthivel Muthu Kumar , Bosemani Thangavijayan , Bacchus Leon , Pamuklar Ertan
Published: October 2020

A wide variety of cardiothoracic support devices are used in intensive care units and few of these devices are increasingly being utilized in outpatient settings as well. A meticulous assessment of these lines and tubes by the interpreting radiologist is cardinal since malpositioned lines and tubes can significantly impact the functioning of these devices and may result in potential complications affecting the clinical outcomes. The purpose of this article is to illustrate the normal positioning and malpositioning of the routinely used support lines and tubes identified on chest radiographs.
On the State and Stability of Fuel Cell Catalyst Inks
Authors: Bapat Shalmali , Giehl Christopher , Kohsakowski Sebastian , Peinecke Volker , Schäffler Michael , Segets Doris
Published: October 2020

Catalyst layers (CL) as an active component of the catalyst coated membrane (CCM) form the heart of proton electrolyte membrane fuel cells (PEMFC). For optimum performance of the fuel cell, obtaining suitable structural and functional characteristics for the CL is crucial. Direct tuning of the microstructure and morphology of the CL is non-trivial; hence catalyst inks as catalyst layer precursors need to be modulated, which are then applied onto a membrane, to form the CCM. Obtaining favorable dispersion characteristics forms an important prerequisite in engineering catalyst inks for large scale manufacturing. In order to facilitate a knowledge-based approach for developing fuel cell inks, this work introduces new tools and methods to study both the dispersion state and stability characteristics, simultaneously. Catalyst inks were prepared using different processing methods which include stirring and ultrasonication. The proposed tools are used to characterize and elucidate the effects of the processing method. Structural characterization of the dispersed particles and their assemblages was carried out by means of transmission electron microscopy. Analytical centrifugation (AC) was used to study the state and stability of inks. Herein, we introduce new concepts, S score and stability trajectory, for a time-resolved assessment of inks in their native state using AC. The findings were validated and rationalized using transmittograms as a direct visualization technique. The flowability of inks was investigated by rheological measurements. It was found that probe sonication only up to an optimum amplitude leads to a highly stable colloidal ink.
COVID-19: Pandemic, People and Panacea
Authors: Anjali Katkar  , Waqar M. Naqvi
Published: October 2020

The World Health Organization (WHO) declared the COVID-19 as pandemic on March 11 2020. Since then, there is a lot of unfolding of information daily, which is necessary to study to decide the course of action to contain the disease. Even after seven to eight months after the pandemic of COVID-19 struck, most of the details are still unravelling. Yet another news of possible re-infection somewhat shocked the global community and concerns raised over the current strategy. Besides, the misinformation is spreading like wildfire and adding to the woes of authorities and administration. The testing strategy also needs a relook, as the RT-PCR test missed some positive cases. The mortality rate is also on a downfall, even as cases are increasing rapidly. We are taking the stalk of these factors in this paper and analyse the possible challenges and solutions. Research is still ongoing, and there is a lot to unfold. Scientists have drawn behavioural pattern from previous outbreaks of Severe Acute Respiratory Syndrome (SARS) and Middle Eastern Respiratory Syndrome (MERS) though both of them were much less severe in spread and mortality rate. Beside vaccines is still far from our sight prevention seems to be the only feasible option to avoid the spread. The psychological impact on health professionals and other front-line workers is must study as these are the important arsenals to fight the exponentially growing pandemic. Proper analysis of the trends emerging from the pandemic is necessary. The daily advancements in the field of COVID-19 related departments are necessary to be verified with proper empirical data and pieces of evidence.
Behaviour and perception of hand hygiene practice among dental students- A cross-sectional study
Authors: Danisca U  , Yuvaraj Babu K  , Gayathri R
Published: October 2020

Hand hygiene is the act of cleaning one’s hands to remove oil, grease, microorganisms (or) other unwanted substances. Hand hygiene is considered as a primary practice which is used to reduce the risk and spread of infections to some extent. Washing hands with soap and water are considered the best way to remove germs. It helps in preventing diarrhea and uncomfortable intestinal diseases and reduces bacterial content on our hands. Health care professionals use alcohol-based hand disinfectant to prevent healthcare-associated infections and transmission of pathogens. Another widely used standard precautionary measure is wearing protective gloves. The main aim of this study is to assess the knowledge of hand hygiene practice of dental students. The present study is a cross-sectional study conducted among 100 dental students. The questionnaire consisted of 15 questions which were circulated among dental students through an online survey link. The questions were read carefully, and the answers were marked accordingly. The data was then collected and statistically analyzed. 93% of the participants think that hand hygiene is really necessary for day to day life. 88% of the participants think that maintaining proper hand hygiene helps us to be free from infections. The present-day dental students have very good knowledge about hand hygiene practice.
Short-Time Compensation: An Alternative to Layoffs during COVID-19
Authors: Krolikowski Pawel M. , Weixel Anna
Published: October 2020

We discuss the costs and benefits of short-time compensation (STC), an unemployment insurance program that allows workers with temporarily reduced hours to receive some unemployment insurance benefits. We describe the provisions for STC in the Middle Class Tax Relief and Job Creation Act of 2012 and the 2020 Coronavirus Aid, Relief, and Economic Security (CARES) Act and report the utilization of STC before and after these acts. The number of states with STC programs has remained unchanged at 27 since the beginning of the pandemic, but STC utilization has recently risen to unprecedented levels, driven largely by increases in Michigan and Washington. However, these increases are small relative to increases in Germany’s popular Kurzarbeit program, suggesting that the United States’ STC program may still have scope for expansion.
Computing spatial distribution of tube and louvre luminaires efficiency from their description
Authors: DENIEL Jean-Marc
Published: October 2020

Lighting computation requires photometry data that are not always available. Lacking photometry data limits lighting study to in situ measurement, luminaire measurement or use of similar luminaire photometry. This is not satisfactory, neither for convenience nor cost and accuracy reasons. Fitting the spatial distribution of luminaire efficiency to their description would allow lighting computations in this kind of situation. An efficiency spatial distribution model is proposed for grid and louvre tube luminaires, taking optic width, louvre between-axis and gloss as parameters. It is constructed over 12 measured efficiency spatial distributions and the corresponding luminaire descriptors. Even if optic and louvre gloss cannot be differentiated, this model fits to measurements and allows for computed irradiance close to experiments within −5% to +19%. In addition, luminaire descriptors can freely vary inside their experimental range and even be extrapolated.
UTILIDAD DE LA CISTERNOGRAFÍA RADIOISOTÓPICA HÍBRIDA SPECT/CT 99MTC-O4--DTPA Y RMN EN EL DIAGNÓSTICO DE UN CASO DE HIPOTENSIÓN INTRACRANEAL ESPONTÁNEA: REVISIÓN DEL TEMA
Authors:   HOSPITAL NACIONAL CARLOS ALBERTO SEGUÍN ESCOBEDO - ESSALUD, CÁRDENAS ABARCA CARLOS
Published: October 2020

Spontaneous intracranial hypotension (HIE) is an uncommon cause of secondary orthostatic headache, characterized by a decreased pressure and volume of cerebrospinal fluid (CSF), where dural quality and mechanical factors such as vertebral osteophytes play an important role, that after minimal trauma allow CSF leakage. We present the case of a 56-year-old male patient, who presented with severe postural headache, with a history of mild trauma at the level of the low thoracic spine with CSF pressure at the lower limit of normality, in whom radioisotopic SPECT/CT cisternography, provided the definitive diagnosis and exact anatomical location of the CSF leak, guiding treatment. A review of the pathophysiology, clinical presentation, diagnosis and treatment of HIE is carried out, emphasizing the diagnostic aid modalities, where hybrid imaging in nuclear medicine with SPECT/CT equipment allows a definitive diagnosis and management of HIE.
EXPERIENCE OF TURKESTAN PEOPLES ON IRRIGATION STRUCTURES IN THE INTERPRETATION OF THE RUSSIAN EAST ORGANIZERS
Authors:   Termez State University of the Republic of Uzbekistan, Fayzullaeva Mavlyuda , Yormatov Fakhriddin
Published: October 2020

The article is devoted to history of irrigation systems development used in the mountainous regions of Eastern Bukhara on the basis of historical facts cited by D.N.Logofet
ACTIONS TOWARDS NATIONAL SELF-AWARENESS IN UZBEKISTAN DURING THE YEARS OF RECONSTRUCTION
Authors:   RUz ÀSInstitute of History, Jurayev Utkir
Published: October 2020

The article describes the material and spiritual life situation in Uzbekistan during the years of reconstruction, the issues put forward by mammals and intellectuals on the way of national self-awareness
ANALYSIS ON THE PROBLEM OF QUANTITY AND REGIONAL LOCATION UZBEKS IN AFGHANISTAN
Authors:   Termez branch of Tashkent State Agrarian University of the Republic of Uzbekistan, Norkuchkarov Khushvaqt
Published: October 2020

The article describes the number and regional location of Uzbeks in Afghanistan from the second half of the 19th century to the present, immigration in Central Asia and the influence of socio-political processes in the country are revealed using various sources: Internet data, scientific literature, archives, official online newspapers, periodicals and magazines that present data, reports of various statistical organizations, a comparative analysis of the opinions of official representatives, cause differences between them andtheir reasons
SILVER DIRHAMS OF SAMANIDS AS A HISTORICAL SOURCE
Authors:   Institute of Archaeological research of the Academy of Sciences of the Republic of Uzbekistan, Khojamov Sanat
Published: October 2020

The Samanid state has a special place in the history of monetary circulation in Central Asia, reflecting the political and economic situation of that period. The article draws attention to the importance of expanding the initial base when evaluating monetary circulation and properties in Movarounnahr in the VIII-X centuries. It highlights the prospects for using local data to determine the role and place of Central Asia in the international economy of the Middle Ages
SIGNIFICANCE OF SPIRITUAL HERITAGE IN STUDY HISTORY OF MEDICINE
Authors:   Uzbekistan State University of World Languages, Valieva Zaynab
Published: October 2020

This article highlights the work and work of scientists of ancient Turkistan in the field of health care, as well as their recommendations, which are also relevant in medicine today.
Miradas feministas sobre el cuento y el álbum en el siglo XXI
Authors: Luengo Gascón Elvira
Published: October 2020

Editorial
Una niña con dudas y una suerte de margaritas
Authors: Villamuza Manso Noemí
Published: October 2020

Antes de ser quien soy ahora he sido niña, y es ahí en la infancia, donde viven los monstruos. “Las niñas no protestan, no molestan, no ambicionan, no contradicen, las niñas respetan, ayudan”.Y ellas se conforman. Hablo de mí y de lo que fue mi alimento subconsciente. Soy la mayor de cuatro hermanas y el dar ejemplo y condescender me lo tomé muy en serio. Jugar quedó en un segundo plano porque había que ser responsable...Ilustrar es la forma que he elegido para comunicarme, porque ahora juego mientras trabajo todo lo que no jugué de pequeña. El ochenta por ciento de mi trabajo está dirigido a niñas y niños, pero también dibujo para rescatar mi propia niñez, aquel tiempo entre nubes y soles, en el que crecí. Hoy en día, una gran parte de las niñas (la mayoría de las afortunadas niñas de Occidente) crecen compartiendo fútbol en el colegio, protestan abiertamente en el aula ante sus compañeros y creo que miran al futuro con más ambición que las niñas de hace treinta o cuarenta años. Aunque sigue habiendo mucho por hacer y aunque arrastramos tanto peso patriarcal, hay muchas conciencias despiertas entre estudiantes, educadores y autores. Trato de conseguir que los varones se acerquen a figuras femeninas inspiradoras, facilitar que los niños expresen sus emociones y que valoren a sus compañeras desde que comienzan su vida escolar Y yo propongo ofrecer a las niñas y a las mujeres jóvenes herramientas literarias y plásticas que les hagan sentirse capaces de alcanzar aquello que quieran ser. Palabras clave: infancia, inseguridad, sensibilidad, valor, creatividad, fuerza, ejemplo, madre
Hermenéutica y feminismo: la versión del original
Authors: Millán Muñío Mª Ángeles
Published: October 2020

La infancia constituye un tiempo privilegiado para construir la sexualidad, y las lecturas y las imágenes adquiridas en esa época forman la primera capa del palimpsesto de nuestra identidad de género. Los cuentos infantiles son medios discursivos que pueden ser siempre transformados y adaptados en función de la ideología que rija la sociedad en cada momento y que llega a gobernar el original y su versión. En este sentido, la epistemología feminista se presenta como una herramienta indispensable de reflexión a propósito de las categorías binarias de masculinidad y feminidad que atraviesan todo el orden social.Palabras clave: Original/versión, cuentos infantiles, diferencia sexual, identidad, masculinidad/feminidad.
La construcción de un pensamiento crítico acerca de los roles de género a través de la literatura infantil. Análisis de un proceso de investigación-acción con niños y niñas de 5 años
Authors: Sanjuán Álvarez Marta , Ballarín Artigas María
Published: October 2020

Este trabajo describe un diseño de intervención e investigación en un aula de 3. º de Educación Infantil, dirigido a estimular el pensamiento crítico en torno a los roles de género. El diseño incluye un cuestionario previo para conocer las creencias iniciales de los participantes y varias sesiones de lectura y conversación literaria. Las obras seleccionadas representan distintas posiciones ideológicas y tratamientos literarios de los personajes masculinos y femeninos, y abarcan un lapso temporal muy amplio, con la finalidad de promover la comparación y la reflexión desde una perspectiva social evolutiva. Los resultados muestran que los niños y niñas de Educación Infantil ya tienen unas ideas de género estereotipadas. Sin embargo, la discusión y el análisis guiado de las obras literarias les han llevado a cuestionar sus estereotipos, lo que confirma el valor de la literatura infantil en la construcción de la identidad individual y social, la percepción crítica de la realidad y el desarrollo de esquemas éticos reflexivos desde la primera infancia, siempre que se estimule una recepción lectora crítica. Palabras clave: literatura infantil y roles de género, literatura y construcción de la identidad, respuestas lectoras, conversación literaria, literatura en Educación Infantil
Fortune des "Voyages de Gulliver" dans l'édition pour la jeunesse en France
Authors: Connan-Pintado Christiane
Published: October 2020

La notoriété des œuvres patrimoniales a pour effet secondaire leur diffusion sous des formes plus accessibles, en particulier lorsqu’elles sont destinées aux enfants. Tel est le destin du roman de Jonathan Swift dont le personnage a largement éclipsé l’auteur. L’article s’intéresse à la réception française des Voyages de Gulliver dans le cadre de l’édition pour la jeunesse. Traduit dès le début du XVIIIe siècle, le roman est abrégé, sa trame est simplifiée, souvent réduite au premier voyage, et les audaces de son propos sont édulcorées. De plus, il est proposé sous les formes les plus variées, à tous les niveaux de la légitimité, du roman illustré à la BD et au manga. On se propose de parcourir les étapes de cette diffusion en s’attachant à certains éditeurs et à un corpus de reformulations textuelles et iconographiques remarquables.Mots clés: Voyages de Gulliver, éditition pour la jeunesse, adaptation, légitimité, texte/image.
La reactualización del cuento maravilloso en la literatura infantil y juvenil de Rosa Montero
Authors: Villar Secanella Eva María
Published: October 2020

En este artículo se analizan las estrechas relaciones que mantiene la trilogía de Rosa Montero: Lasbarbaridades de Bárbara, El viaje fantástico de Bárbara y Bárbara contra el Doctor Colmillos conel cuento maravilloso tradicional y las estrategias de reactualización que lleva a cabo la escritora enla búsqueda de complicidad entre el discurso narrativo y un lector en formación. Se incluye una brevepropuesta didáctica para jóvenes lectores aprovechando aspectos relacionados con el potencial que nosofrece el cuento y con el principal objetivo de desarrollar el hábito lector y la competencia literaria.Palabras clave: cuento maravilloso, competencia literaria, hábito lector, lector en formación,didáctica.