bluuebunny/crossref_metadata_2025 huggingface dataset:
PAS DAN TRANSFORMASI POLITIK: KESESUAIAN SEBAGAI PEMBANGKANG ATAU PEMERINTAH
Authors: Syed Sopi Saiyid Radzuwan
Published: April 2022

Abstract: The hope of Islamic Malaysian Party (PAS) to be part of the ruling government was successfully take place when Alliance of Hope (PH) was overthrown by the National Alliance (PN) through a political coup on 24 Feb 2020. While being the opposition, PAS often threw various criticisms against Barisan Nasional (BN) such as hudud laws, alcohol, gambling, Malay-Islam interests, and others. Such criticism persist even though the Putrajaya administration has changed from BN to PH. For instance, PAS through the cyber troopers and a coalition of PAS-UMNO leaders have attacked PH on the issue of drunk drivers which can cause racial riots. This study is a qualitative study and reference materials that are physical and online are used as reference sources. Thus, this study found that for more than a year PAS has the authority at the federal level but their fiery promises during the opposition seems to be disappeared. There is a possibility that the promises have been overshadowed by the luxuries of life. Furthermore, the people have more respect for the greatness of PAS during the opposition despite the inconsistency of information from its leaders. Although the idea thrown by PAS during the opposition was quite difficult to accomplish, but their courage to dispute a decision is highly anticipated.

Keywords: Alliance National; Criticism; Cyber trooper; in power; Opposition 

 

Abstrak: Hasrat Parti Islam Se-Malaysia untuk menjadi sebahagian daripada kerajaan pemerintah berjaya direalisasikan apabila Pakatan Harapan (PH) ditumbangkan oleh Perikatan Nasional (PN) melalui rampasan kuasa politik pada 24 Feb 2020. Semasa PAS menjadi pembangkang, mereka sering melemparkan pelbagai kritikan terhadap Barisan Nasional (BN) seperti isu hukum hudud, arak, judi, kepentingan Melayu-Islam dan sebagainya. Kritikan sedemikian tidak berhenti walaupun pentadbiran Putrajaya telah berubah tangan daripada BN ke PH. Sebagai contoh, PAS melalui tentera siber dan gabungan pemimpin PAS-UMNO telah menyerang PH berkaitan isu pemandu mabuk sehingga boleh menimbulkan rusuhan kaum. Kajian ini merupakan kajian kualitatif dan bahan-bahan rujukan yang bersifat fizikal dan atas talian dijadikan sumber rujukan. Justeru, kajian ini mendapati bahawa sudah setahun lebih PAS berkuasa di peringkat persekutuan tetapi janji mereka yang berapi-api sewaktu pembangkang sudah hilang. Terdapat kemungkinan yang boleh menjelaskan bahawa janji tersebut telah ditelan oleh arus kemewahan hidup. Selanjutnya, rakyat lebih menghormati kehebatan PAS semasa menjadi pembangkang walaupun terdapat ketidakseragaman maklumat daripada pemimpinnya. Walaupun idea yang dilontarkan oleh PAS sewaktu pembangkang agak sukar direalisasikan, namun keberanian mereka mempertikaikan sesuatu keputusan amat dinanti-nantikan.

Kata kunci:  Perikatan Nasional; Kritikan; Tentera siber; Berkuasa; Pembangkang
ANALISIS MULTILEVEL KEPADA KESAN KEPERCAYAAN DAN KOMUNITI PEMBELAJARAN PROFESIONAL KE ATAS PENGAJARAN PENDIDIKAN ISLAM BERINTEGRASIKAN KEMAHIRAN BERFIKIR ARAS TINGGI
Authors: Dzul Haswani , Hussin Zaharah , Sulaiman Abdul Muhsien
Published: April 2022

Abstract: The issue in lack of integration of Higher Order Thinking Skills (HOTS) elements in the teaching practices of primary school Islamic Education teachers has led to the need for an understanding of the factors affecting the integration of HOTS in their teaching. This study explained the link between trust and Professional Learning Community (PLC) among groups with the integration of HOTS in the teaching of Islamic Education at the individual level. The research used a quantitative approach with a cross-sectional survey design, involving 642 Islamic Education teachers in 112 primary schools in Malaysia. The data obtained from this study analyzed using multilevel modeling by employing hierarchical linear modeling software. The findings found that PLC is a dominant predictive factor in teaching Islamic Education with integrated HOTS compared to trust. The findings of this study are expected to serve as a guide to Islamic Education teachers in the effort to integrate HOTS in their teaching and assist the administrators in sustaining PLC in schools also creating an environment of mutual trust so that the community in schools can function more productively and effectively.

Keywords: Trust; Professional Learning Community; Higher Order Thinking Skills; Islamic Education Teaching

 

Abstrak: Isu mengenai kurangnya pengintegrasian elemen Kemahiran Berfikir Aras Tinggi (KBAT) dalam amalan pengajaran guru Pendidikan Islam (GPI) sekolah rendah menyebabkan perlunya kepada pemahaman mengenai faktor yang mempengaruhi pengajaran Pendidikan Islam berintegrasikan KBAT. Kajian ini bertujuan untuk menjelaskan hubungan antara kepercayaan dan Komuniti Pembelajaran Profesional (KPP) yang berada di peringkat kumpulan dengan pengajaran Pendidikan Islam berintegrasikan KBAT di peringkat individu. Penyelidikan ini menggunakan pendekatan kuantitatif dengan reka bentuk kajian tinjauan keratan rentas melibatkan 642 orang GPI di 112 buah sekolah rendah di Malaysia. Data yang diperoleh daripada kajian ini dianalisis secara multilevel modeling menggunakan perisian HLM (hierarchical linear modeling). Dapatan kajian ini mendapati KPP merupakan faktor peramal yang dominan kepada pengajaran Pendidikan Islam berintegrasikan KBAT berbanding kepercayaan. Dapatan kajian ini diharap berupaya menjadi panduan kepada GPI dalam usaha mengintegrasikan KBAT dalam pengajaran mereka, di samping membantu pihak pentadbir dalam melestarikan KPP di sekolah serta mewujudkan persekitaran yang saling percaya agar komuniti di sekolah dapat berfungsi dengan lebih produktif dan efektif.

Kata kunci: Kepercayaan; Komuniti Pembelajaran Profesional; Kemahiran Berfikir Aras Tinggi; Pengajaran Pendidikan Islam
FAKTOR PENGLIBATAN WANITA DALAM FENOMENA PENYALAHGUNAAN DADAH
Authors: Abdul Latib Mohamad Fauzi , Abdullah Nur Anisa Shahira , Zaik Fauzana
Published: April 2022

Abstract: The involvement of women with symptoms of drug abuse has had a negative impact not only on the country but provided great challenges towards achieving the goal of forming a prosperous family. The involvement of women in the scene of drug abuse is not solely due to the enjoyment of the drug itself but it is driven by other factors such as managing the body and maintaining beauty. The main objective of this research is to identify the factors of women's involvement in the phenomenon of drug abuse in Malaysia. This research is a qualitative research that has been conducted at the Narcotics Addiction Rehabilitation Center (PUSPEN), Bachok, Kelantan. This study has involved in -depth interviews with 25 respondents consisting of female residents in PUSPEN, Bachok. The results obtained were analyzed manually using thematic analysis methods. The results of the study have identified that there are 11 factors to the involvement of women in the phenomenon of drug abuse. Among the factors are stress, boredom, excitement, wanting to try, challenged abstinence, the influence of friends, loneliness, beauty, being neglected and to make work.

Keywords: Drug abuse; Women; Involvement factors

 

Abstrak: Penglibatan wanita dengan gejala penyalahgunaan dadah telah memberikan kesan yang negatif bukan  sahaja kepada negara tetapi memberikan cabaran besar ke arah pencapaian matlamat pembentukan keluarga sejahtera. Penglibatan wanita ke dalam kancah penyalahgunaan dadah bukanlah semata-mata disebabkan oleh kenikmatan dadah itu sendiri tetapi ianya didorong oleh faktor lain seperti menguruskan badan dan menjaga kecantikan. Objektif utama penyelidikan ini adalah mengenal pasti faktor penglibatan wanita dalam fenomena penyalahgunaan dadah di Malaysia. Penyelidikan ini merupakan penyelidikan berbentuk kualitatif yang telah dijalankan di Pusat Pemulihan Penagihan Narkotik (PUSPEN), Bachok, Kelantan. Kajian ini telah melibatkan temu bual mendalam terhadap 25 orang responden yang terdiri daripada penghuni wanita di PUSPEN, Bachok. Hasil kajian yang diperolehi telah dianalisis secara manual dengan menggunakan kaedah analisis tematik. Hasil dapatan kajian telah mengenal pasti bahawa terdapat 11 faktor kepada penglibatan wanita dalam fenomena penyalahgunaan dadah. Antara faktor tersebut adalah tekanan, kebosanan, keseronokan, ingin mencuba, pantang dicabar, pengaruh kawan, kesunyian, kecantikan, terabai dan untuk membuat kerja.

Kata kunci: Penyalahgunaan dadah; Wanita; Faktor penglibatan
A Review of Game Theory and Multi-Criteria Decision-Making Methods with 10	Application to the Oil Production and Price
Authors: Muhammad Akram Ramadhan Ibrahim  , Jaini Nor Izzati , Ku Khalif Ku Muhammad Naim
Published: April 2022

The oil production and price issues have been discovered a long time ago, and always be a continuous problem to the globe especially during the current global threats of the coronavirus pandemic. This paper provides a literature review that involves game theory and multi-criteria decision-making (MCDM) methods with its applications to oil production and price problems. This paper identifies and analyses the use of the game theory and MCDM methods on oil production and price to compare the situation studied, to determine the model that has been used, the trend of past literature and also the details of the basic elements for the game theory framework. Therefore, the oil production and price problem using the game theory and MCDM methods are reviewed and numerous applications studied from the past works of literature are highlighted. The trend of oil production and price which used the game theory and MCDM methods based on the year 2001 till 2021 is still lacking sources from the Web of Science and Scopus databases. The main contribution of the recent study is the employment of the game theory and MCDM methods to the oil production and price problem.

Keywords: Game theory; MCDM; oil production; oil price
A Mathematical Model of Geared DC Motor Based of Overhead Crane Control System Prototype
Authors: Wan Rasyiqah Wan Hairuddin  , Yahya N. M.
Published: April 2022

Overhead crane system is largely used in the heavy industries as the main part of material handling mechanism. The overhead crane operated by the electric motor and its controller shall fulfill two major requirements which are fast response as well as accurate positioning during moving the goods from one location to another location. However, to simulate the real overhead crane system is tedious and time consuming due to the large structure and safety reasons. Thus, this project will try to simulate the performance of the prototype version of the overhead crane system that has been predicted to perform like the original one but in a small scale. In order to simulate that, a mathematical model of the geared DC motor-based of overhead crane control system prototype shall be formulated. The mathematical model is developed and tested by using Matlab/Simulink  software. The mathematical model is being tested in two conditions, without controller and with controller. To acquire the gain value of the  controller, first method of the Ziegler-Nichols method is applied. The developed model will be verified for various positions and loads. The performance of the model will be measure in terms of the time response which are rise time, peak time, percentage overshoot, and settling time as well as the steady-state error for the position accuracy. The results will confirm that a good mathematical model will give the best projection to imitate the performance of the real size of the overhead crane.

Keywords: Geared DC motor, overhead crane system, first method of Ziegler-Nichols, time respond, position accuracy
Reliability and Construct Validity on Undergraduate Geriatric Questionnaire
Authors: Shalihin Mohd Shaiful Ehsan , Sobri Hidayatul Aliah , Mohd Daud Siti 'Atiqah , Ibrahim Alya
Published: April 2022

The number of elderly people in Malaysia is increasing in trend due to better healthcare services provided by the government and increased awareness of the community towards disease prevention. Therefore, the knowledge of future medical doctors towards geriatric care should be upgraded at par to fulfill the needs of the older population. As a result, their level of knowledge should be assessed, particularly in terms of the fundamental concept of geriatrics. A new, invented, reliable and valid questionnaire is needed. This study aimed to develop and validate a newly developed questionnaire to assess the knowledge of medical students in geriatrics. The 23 items consist of true-false questions and one-based answer responses based on five domains of Giant I’s geriatric, namely immobility, instability, incontinence, cognition, and iatrogenic. The sample size is calculated using a five-to-one item ratio. The questionnaires were distributed to 143 medical students. Reliability was determined using Cronbach’s alpha for internal consistency, while construct validity was assessed using factor analysis. An acceptable internal consistency was observed (Cronbach’s alpha = 0.62). Factor analysis showed two meaningful finalized components, which represent the geriatric general knowledge and the Giant I’s. According to the findings of this study, this questionnaire is a reliable and valid tool for assessing medical students' knowledge of geriatric.

Keywords: Geriatric, Reliability, Construct Validity, Undergraduate Geriatric, Questionnaire
Establishment and Optimization of Plant Growth Media for the Propagation of Mas Cotek (Ficus deltoidea Jack var. trengganuensis)
Authors: Ngah Norhayati , Wan Mohamad Zamri Wan Mohamad Syamim , Zakaria Abd Jamil , Hasan Nudin Nur Fatihah
Published: April 2022

The propagation of Mas Cotek using tissue culture techniques is time-consuming and requires specific conditions. Therefore, this study was conducted to determine the best rooting media formulation to propagate Mas Cotek under field conditions. First, the effects of plant growth media (rice husk biochar (RHB), bris soil, cocopeat (CC), peatmoss, and a mixture of 3CC: 7RHB) on plant traits were investigated. Subsequently, the optimal ratio of CC and RHB for Mas Cotek propagation was carried out. In addition, the evaluation of the traits of the Mas Cotek plant when grown with the mixture of 3CC: 7RHB enriched with different rooting-promoting materials (effective microorganism, Agromedia™, Indole-3-butyric acid (IBA), organic fertilizer, peatmoss, and seasol) was also performed. Plant growth variables measured were the total number of roots, length, plant biomass, chlorophyll content, and stem diameter. Planting media characters observed were soil pH, soil electrical conductivity, and plant growth media biomass. The results showed that Mas Cotek propagated best in the combination of 3CC:7RHB growth media added with IBA. This plant growth media has enhanced the total root, root length, plant biomass, root biomass, stem diameter and chlorophyll content of the plant seedlings. The pH of plant growth media (7.00-neutral) and electrical conductivity (0.61 mS/m) are also suitable for growing many types of plants. Findings will help farmers choose the best plant growth media to propagate their plant seedlings.

Keywords: Mas Cotek, Ficus Deltoidea, Plant Growth Media, Plant Propagation, Rooting
The Beautiful Mind : A Case Report
Authors: Nik Ahmad Shaiffudin Nik Him , Nik Mohamad Nik Arif , Jusoh Azizul Fadzli , Yahaya Rosliza , Ismawati  , Rashid Mohd Adib Aiman
Published: April 2022

Caring for a family member diagnosed with schizophrenia will not only impart a lifetime of emotional distress but also social and financial challenges. Failure to anticipate and cope with the burden of care responsibilities will add unnecessary risk to permanent injury resulting in substandard management of the patient and even death. We describe a case of successful removal of nine (9) constricting rings from the finger of both hands in a poorly taken care of an abusive relapse schizophrenia patient using an oscillating saw and ring cutter under procedural sedation combined with wrist block in the emergency department (ED). Early recognition and definitive treatment are of paramount importance to avoid irreversible ischemia and gangrene. The possible risk of negligence should be kept in mind bearing a link with depression among members caring for schizophrenia.

Keywords: Schizophrenia, Emergency Department, Negligence, Early recognition
Motivation and Retention of Workers in Faith-based Organisations: A Case Study of Child Development Centre Projects of Ankole Diocese
Authors: Tinka Kusasira Serinah , Atukunda Gershom , Atwine Johnson
Published: April 2022

The study was about motivation and retention of workers in faith-based organisations: a case study of child development centre projects of Ankole Diocese. It was guided by the following objectives; to establish the influence of promotion on employee retention in faith-based organizations of Ankole Diocese Child Development Centre Projects, to examine the influence of Salary increment on employee retention in faith-based organizations of Ankole Diocese Child Development Centre Projects in  reducing employee turnover and to establish the effect of recognition on employee retention in faith-based organizations  in  Ankole Diocese Child Development Centre Projects. A cross-section design was adopted for this study to determine the frequency of occurrences of the phenomenon and discover whether or not if there is a relationship that exists between the variables. The target population of this study comprised Child development officers, Project directors, Project overseers, Partnership facilitators, LDP graduates, and Centre guides of Ankole Diocese. The study employed questionnaire and interviewing. The study findings revealed that there is a positive strong relationship between promotions on employee retention; there is a positive strong relationship between salary increment influences employee retention; a positive relationship between recognition and employee retention in faith-based organisations. Therefore; the study recommended that employee promotion does play a very significant role in retaining employees at work places; the human resource management department should carry out its career management policy and make relevant changes so as to take into considerations the many factors that individuals may require at the Ankole Diocese Child Development Centre Project. Finally; there should be good management in faith-based organizations with the human resource department so as to ensure that the working conditions specifically in line with working hours, cleanliness of environment and work instruments are put in place
Comparative Analysis of International and Russian Standards Covering Radiation Protection Instrumentation
Authors: Shumov Sergey , Nurlybaev Kubeysin , Coy Natal'ya
Published: April 2022

The article provides brief information on organizations whose field of activity is the development of international standards. Using specific examples, the authors show the advantages of the approach to the standardization of radiation protection devices that exists in the international IEC and ISO standards in comparison with this approach in the Russian national standards and standards of the organization. The comparison is carried out in the following three aspects: terminology; requirements for technical characteristics; the relationship between these requirements, the associated test methods and the criteria for passing the test.
Experience in the Use of Portable Gamma Cameras (Gammavisors) in Decommissioning and Remediation of Nuclear Facilities
Authors: Ivanov Oleg , Kovalev Vladimir , Stepanov Aleksey , Stepanov Vyacheslav , Stepanov Evgeniy
Published: April 2022

The experience of using various portable gamma cameras during decommissioning and remediation of nuclear facilities at the NRC Kurchatov Institute is summarized. Typical examples of the use of cameras are given, directions for improving their functionality are proposed, prospects for the method of obtaining gamma images and possible new applications of portable gamma cameras are considered.
New Algorithm for Upgrading of Portal Radiation Monitors with Plastic Detectors. Part 4. Improvement of Algorithm by Using of Collimators
Authors: Stavrov Andrey
Published: April 2022

The way of improving of new algorithm by using additional lead collimators is discussed in the fourth part of the article. The results of calculations and direct measurements of collimators of different sizes for two variants of algorithm with four and six energy windows are presented in the paper. It is shown that using of lead collimators increases efficiency of algorithm and provides detection of radioactive sources less activity.
Instrumentation and Methodological Support of Radioactive Release Monitoring from the Mayak PA Nuclear Fuel Cycle Facilities
Authors: Murashova Ekaterina , Kulishov Yuriy , Tarasenko Anton , Anufrieva Alena
Published: April 2022

Data on instrumentation and methodological support of radioactive release monitoring are summarized. Flow charts of continuous and periodical (analytical) gas release monitoring are described. Methods used at the Mayak PA for monitoring of the air medium activity in process ducts, room active ventilation systems and gas release sources are summarized.
Surgical management options in lung cancer with malignant pleural disease
Authors: Аrseniev Аndrey , Nefedov Andrey , Novikov Sergey , Barchuk Anton , Tarkov Sergey , Kanaev Sergey , Kostitsyn Kirill , Nefedova Alina , Gagua Ketevan , Aristidov Nikolay
Published: April 2022

This review discusses surgical management options, both radical and palliative surgical management for malignant pleural disease in lung cancer. No current clinical guideline recommends their routine implementation. Nevertheless, radical surgical management is used to improve the long-term results for patients with malignant pleural disease. The observational data suggest the effectiveness is not apparent, which is also associated with the patients’ heterogeneity and surgical methods. Most experts agree that it is impossible to draw well-grounded conclusions about the feasibility, efficacy, safety and optimal scope for surgical interventions in lung cancer patients with malignant pleural diseases. They advocate further research and randomised trials, considering the expected potential of using modern multidisciplinary approaches. When determining the tactics of malignant pleural disease management, an individual approach is required. It is crucial to consider the most significant prognostic and predictive factors: laterality, tumour spread (distant and regional metastases), sex, age, comorbidities, morphology, the presence of driver mutations, and the risk of postoperative complications. Personalisation of methods for managing malignant pleural disease in lung cancer is a promising area of modern oncology. However, many aspects of approaches to solving this problem remain unclear and require further research.
Radiation-induced ischemic heart disease
Authors: Potiyevskaya Vera , Альберт Ахобеков  , Khmelevsky Evgenii , Kononova Elena
Published: April 2022

Radiation therapy is a widely used treatment for malignant neoplasms of the chest. Radiation-related cardiovascular disease is associated with significant morbidity and mortality. This review discusses the diagnosis and treatment of radiation-induced coronary artery disease. The most common indications for radiotherapy to the mediastinal region are Hodgkin's lymphoma and breast cancer. Hodgkin's lymphoma is one of the most common forms of malignant neoplasms in young people, with an estimated incidence of 3 per 100 000 population and a 10-year survival rate of more than 80%. The incidence of radiation-induced coronary heart disease is about 60% among survivors with Hodgkin's lymphoma 40 years after radiation therapy, and the risk of coronary heart disease and myocardial infarction is 3.2 and 2 times higher, respectively, compared to the general population.
Breast cancer is the most common form of malignant neoplasm among women. In 2017, a meta-analysis was published evaluating the effect of radiation therapy for breast cancer on the risk of coronary heart disease and cardiac death. Radiation therapy for breast cancer was associated with an increase in the absolute risk of 76.4 (95% CI 36.8–130.5) cases of coronary heart disease and 125.5 (95% CI 98.8–157.9) cases cardiac death per 100 000 person-years. The risk began to increase during the first decade for death from coronary heart disease and from the second decade for overall death from cardiovascular disease. There is a time lag between exposure to radiation therapy and the development of coronary artery disease. In survivors of Hodgkin's lymphoma, the average time to develop coronary artery disease can range from 2 to 40 years, and in patients with breast cancer, about 9–10 years. Risk factors for radiation-induced coronary artery disease include age at the time of radiation therapy, total radiation dose, amount of tissue exposed, and lack of cardiac shielding techniques.
Polymerase chain reaction (PCR) as an effective screening method for detecting translocations involving NTRK genes in non-small cell lung cancer
Authors: Romanko Alexandr , Preobrazhenskaya Elena , Mitiushkina Natalia , Tiurin Vladislav , Mulkidzhan Rimma , Krivosheeva Elena , Imyanitov Evgeny
Published: April 2022

Background. The detection of translocations involving genes of the NTRK family in patients with non-small cell lung cancer (NSCLC) is a serious technical challenge. This is due to the presence of a large number of partner genes, breakpoints in them, and the presence of alternative splicing in the NTRK genes themselves.
The aim of this work was to develop an effective method for diagnosing NTRK translocations, as well as to analyze the frequency and spectrum of these rearrangements in NSCLC.
Materials and methods. We have developed a combined NTRK translocation search method based on a reverse transcription PCR reaction. The method consists of 2 stages: primary PCR with analysis of unbalanced expression of NTRK genes and a series of variant-specific PCRs to identify frequent variants of rearrangements.
Results. In a sample of 5102 patients with NSCLC, 9 cases of unbalanced expression of one of the NTRK genes were found. Using variant-specific PCR, the presence of rearrangements was confirmed in 2 of these 9 NSCLC. The rest of the samples demonstrating the phenomenon of unbalanced expression were analyzed by high-throughput next generation RNA sequencing (NGS), as a result of which 4 more NTRK translocations were found. Thus, a total of 6 rearrangements were identified with the participation of genes of the NTRK family (6/5102, 0.12%): SQSTM1ex5/NTRK1ex9, TPM3ex8/NTRK1ex10, CD74ex6/NTRK1ex10, FAM118Bex8/NTRK1ex9, SQSTM1ex4/NTRK2ex14, ETV6ex5/NTRK3ex15. The FAM118B/NTRK1 translocation has not been previously described in the literature.
Conclusion. The combination of 2 different PCR tests seems to be an adequate approach for diagnosing rearrangements involving the NTRK1, NTRK2, NTRK3 genes. Systematic screening for unbalanced expression of NTRK genes makes it possible to identify new variants of clinically significant translocations in NSCLC.
Transanal total mesorectal excision oncological results
Authors: Kazieva Lyudmila , Chernyshov Stanislav , Alimova Yuliya , Rybakov Evgeny
Published: April 2022

Relevance. Transanal total mesorectal is a new surgical technique of rectal cancer treatment.
Purpose of research. To evaluate transanal total mesorectal excision oncological results.
Materials and methods. 66 patients with rectal cancer I–IV stage were included.
Results. Median follow-up was 42.9±22.8 (1–83.7) months. Progression of the disease was in 13 (19.7%) cases. Local recurrence rate was 5 (7.6%) with mean time to recurrence 14.2±11.3 (5–32.3) months. Distant metastasis was diagnosed in 10 (15.2%) cases, mean time when they were diagnosed was 15.04±12.09 (3.5–37.5) months. Combination of local recurrences and distant metastasis was in 2 (3%) cases. Seven (10.6%) patients died. Mean life expectancy was 27.3±17.2 (8.0–50.2) months. Five (7.5%) patients died because of progression of oncological disease. Mean life expectancy was 34.11±15.5 (15.5–50.2) months. Six-year local recurrence free, disease free and overall survival was 77, 87 и 84%, respectively. No risk factors of local recurrence were found.
Conclusion. Transanal total mesorectal excision oncological results are сomparable with conventional surgery, though further trials are necessary.
The strategy of surgical treatment of patients with tumor diseases of the pancreatoduodenal zone
Authors: Sigua Badri Badri , Zemlyanoy Vyasheslav , Gulyaev Alexey , Tsikoridze Malkhaz , Евгений Захаров
Published: April 2022

Aims. To improve the results of surgical treatment of patients with tumor diseases of the pancreatoduodenal zone.
Materials and methods. The cohort study included 94 patients with tumor diseases of the pancreatoduodenal zone who underwent pancreatoduodenal resection in 2014–2019. All patients belonged to the category of resectable and borderline resectable. Two groups of patients were formed. II (comparison group) — patients who received treatment in 2014–2017 (n=49). In this group of patients, the risk of developing postoperative pancreatic fistula was not calculated and the choice of the technique for the formation of pancreatoenteroanastomosis was carried out depending on the preferences of the operating surgeon. I (main group) — patients who were treated in 2018–2019 (n=45). In this group of patients, the choice of the technique for the formation of pancreatoenteroanastomosis was carried out in accordance with the developed algorithm, depending on the risk of postoperative pancreatic fistula development, and also, according to indications, a new method of reservoir terminolateral pancreatojejunostomy was used. A comparative analysis revealed the representativeness of the studied groups in terms of the main parameters (gender, age, comorbidity index, anesthetic risk, the presence of obstructive jaundice, tumor localization, stage of the disease).
Results. The use of the developed algorithm led to a significant decrease in the incidence of postoperative complications from 73.4 to 37.8% (p<0.01), postoperative pancreatic fistulas from 28.6 to 6.6% (p<0.05), postoperative pancreatitis from 32.6 to 11.1% (p<0.05) and arrosive bleeding from the intervention area from 18.3 to 2.2% (p<0.05).
Conclusions. The use of a differentiated algorithm for choosing the formation method made it possible to improve the immediate results of surgical treatment of patients suffering from tumor diseases of the pancreatoduodenal zone.
Stereotactic body radiotherapy of prostate cancer: influence of intrafraction motion of prostate on final dose distribution
Authors: Николай Ильин  , Melnik Yulia , Novikov Sergey , Ponomareva Olga , Novikov Roman , Gotovchikova Maria , Merezhko Yuriy , Kanaev Sergey
Published: April 2022

Purpose: To determine impact of various planning tumour volume (PTV) margins on final dose distribution in patients with maximal intrafraction prostate displacement.
Materials: We analyzed data of 15 prostate cancer patients with maximal (значения) prostate intrafraction displacement registered during stereotactic body radiotherapy (SBRT) — 5 fractions of 7.25 Gy. Prostate displacement was determined by cone beam CT that was performed before and after each fraction. Modeling of dose distribution considering prostate displacement was performed for every fraction by isocenter shift. Final dose distribution was calculated as the sum of all fractions and was evaluated for PTV with various margins: 5-5-5-3, 3-3-3-1, 5-5-5 and cropped rectum.
Results: The dosimetric impact of maximal intrafraction prostate motion was minimal for target coverage even for PTV with minimal margins (3 in all directions and 1 mm — posterior): CTV V100% varied from 97.5 to 100%. Prostate displacement reduced the dose to the rectum in all but minimal doses were detected for PTV 3-3-3-1: average D2cc — 31.87 Gy (28.41–34.05). For PTV 3-3-3-1 average bladder V100% volume slightly increased from 3.67 (SBRT plan) to 4.87 cc (simulation of intrafraction prostate displacement).
Conclusions: The dosimetric impact of maximal intrafraction prostate motion was minimal for target coverage and doses in rectum and bladder even for PTV with minimal (3-3-3-1) margins.
The role of cytomorphological studies in screening cervical cancer in the Republic of Tajikistan
Authors: Abdugaffarova Nilufar , Umarova Saida , Juraev Alim
Published: April 2022

Introduction. Currently, in developed countries, virological screening is used as the main screening tool, and the Papanicolaou cytological control service is used as an auxiliary one. For countries with limited financial resources, WHO has recommended various options for an imaging screening strategy called «screening, diagnosis and treatment».
Aim. The choice of the optimal model for the use of cytological studies, economically justified for our country, against the background of the expanding population-based visual screening of cervical cancer.
Material and methods. The data of official statistics and the results of the pilot design of the WHO screening and treatment strategy in the Kushoniyon district of the Khatlon region and B. Gafurov district of the Sughd region were used.
Results. As this study has shown, over the past decades in the Republic of Tajikistan, cytological screening for cervical cancer has fallen into complete decline and in recent years provides only 4.73% of women of reproductive age. Cytological examinations of cervical smears in the country are performed only as an additional test in cases of suspected cervical intraepithelial neoplasia. Due to the existing economic problems in the country, since 2016, the visual screening recommended by WHO for countries with limited resources has been introduced in a pilot way. The first results of the pilot implementation of visual screening have shown its high efficiency at a low economic cost. However, the question of the role of cytological studies against the background of coverage of the population with visual screening remains unclear. The economic feasibility and scale of the reorganization of cytomorphological support for cervical cancer screening in the Republic of Tajikistan was confirmed.
Conclusions. In the conditions of the Republic of Tajikistan, as a result of the widespread coverage of the population with visual screening, Papanicolaou cytological studies will serve as an auxiliary tool and can be reorganized on the basis of the Republican Cancer Research Center and its regional and interdistrict divisions.
Review of the genera Elaphinis and Parelaphinis (Coleoptera: Scarabaeidae: Cetoniinae) with description of three new species from South Africa
Authors: Perissinotto Renzo
Published: April 2022

The cetoniine genera Elaphinis Burmeister, 1842 and Parelaphinis Marais & Holm, 1989 are reviewed in the light of substantial new material that has become available recently. A new species, E. matatiele sp. nov., in the previously monotypic subgenus Elaphinis s. str. and closely related to E. (E.) cinereonebulosa (De Geer, 1778), is described from the southern Drakensberg area near Matatiele (Eastern Cape, South Africa). Within Parelaphinis, two new species, P. umtamvuna sp. nov. and P. drakensbergica sp. nov. are described and compared with P. moesta (Gory & Percheron, 1833) – hitherto the only member of the genus. The former is a mid- to lowland dweller, currently known only from the KwaZulu-Natal side of the Umtamvuna River valley (South Africa). The latter is a montane species apparently distributed across the eastern portion of the Drakensberg Escarpment, from the north-eastern Free State (South Africa) to eSwatini (formerly Swaziland). A review of the enigmatic species E. (Micrelaphinis) pumila Boheman, 1857, also presumably originating from the same broader region, reveals that only five specimens, three of which belong to the type series, are currently still traceable to accessible collections, while no further specimens have been found since the 19th century. It is here established that the type series collected by Wahlberg during the period 1838–1845 most likely originated from the Orange River valley, either in the Eastern Cape, Free State or Lesotho. As this area has been extensively transformed by agricultural and mining activities, as well as human settlements, it is hypothesized that the species may already be extinct. All the species analysed in detail are illustrated, and dichotomic keys to all species of both genera are provided to facilitate their identification.
Valor diagnóstico de indicadores antropométricos para sobrepeso y obesidad
Authors: Quiroga-Torres Elizabeth , Delgado-López Verónica , Ramos-Padilla Patricio
Published: April 2022

Obesity is defined by an excess of fat mass, however, there are other anthropometric indicators that can be useful for the diagnosis of overweight or obesity; Objetive. To determine the diagnostic accuracy of the body mass index (BMI), waist circumference (WC) and body shape index (ABSI) for the diagnosis of overweight or obesity in an adult population of Ecuador. Materials and methods. An observational cross-sectional study was carried out in which 253 subjects aged between 20 and 60 years participated. Weight, height, waist circumference and percentage body fat (PBF) were measured. The PBF was correlated with BMI, WC and ABSI and the sensitivity and specificity of these indicators were established for the diagnosis of overweight or obesity with ROC curves. Results. The PBF was lower in men than in women (30.09 vs 41.87), ABSI and CC were higher in men than in women (0.079 vs 0.075) and (99.76 vs 91.25) respectively. A strong positive correlation (≥0.75) was found between % body fat and BMI and WC. On the ROC curve, the area under the highest curve is observed for BMI (0.949), while the lowest area is observed for ABSI (0.395). Conclusion. The BMI is the indicator with the highest diagnostic precision of overweight or obesity. ABSI would not be a useful indicator in the diagnosis of overweight or obesity.
Referencias de índice de masa corporal. Precisión diagnóstica con área grasa braquial en escolares argentinos
Authors: Lomaglio Delia Beatriz , Marrodán Serrano María Dolores , Dipierri José Edgardo , Alfaro Emma Laura , Bejarano Ignacio Felipe , Cesani María Florencia , Dahinten Silvia Lucrecia , Garraza Mariela , Menecier Natalia , Navazo Bárbara , Quintero Fabián Aníbal , Román Estela María , Torres María Fernanda , Zonta María Lorena
Published: April 2022

The body mass index (BMI) is an effective tool to detect weight overload in children and adolescents, associated with body adiposity. Objective. To analyze the concordance, sensitivity and specificity of three international BMI/age references (WHO, IOTF and CDC) to diagnose excess weight and to know their diagnostic accuracy to identify excess adiposity in relation to the brachial fat area (BFA) in Argentine child-youth population. Materials and methods. A multicenter, descriptive- comparative and cross-sectional study was carried out between 2003 and 2008 in 22.658 Argentine children and adolescents between aged 4 to 13 years. From the weight, height, arm circumference and tricipital fold, BMI and BFA were calculated. The concordance, sensitivity, and specificity of BMI / age references (WHO, IOTF, CDC,) were analyzed and the diagnostic precision (ROC curves) to identify excess adiposity, from the BFA, as well as the optimal cut-off point (OCP). Results. The three references had good agreement, the highest sensitivity corresponded to WHO and the highest specificity to IOTF. The area under the curve (AUC) was greater in Z-BMI/IOTF in men and in Z-BMI/WHO in women. The OCPs showed discrepancies, being higher with WHO. Conclusion. The three references show similar diagnostic accuracy to detect high caloric reserve, but with cut-off points for Z-BMI scores less than 2 Z scores. This is relevant for the identification of excess adiposity in populations in relation to the implementation of public policies for the prevention of chronic non-communicable diseases.
Lifestyle, psychological well-being, and body mass index of indigenous women
Authors: Campos-Uscanga Yolanda , Morales-Ortiz Abigahid Vianey , Argüelles-Nava Vianey Guadalupe , Moreno Cortes María Luisa , Ramírez-Chang Luis Amado , Cazorla-Santiago Biaani´do , Luzanía-Valerio Manuel Salvador
Published: April 2022

Lifestyle, psychological well-being, and body mass index of indigenous women. Introduction. Obesity is more common in women and has also been found to be present in indigenous populations. During university studies, obesity-related lifestyles are in the process of consolidation, and although this is known, research is limited to addressing physical activity and diet, ignoring other lifestyle components, such as life appreciation. Additionally, there is a need to corroborate whether psychological well-being contributes to excess weight in indigenous women. Objective. To determine whether there is an association between lifestyle, psychological well-being, and body mass index (BMI) in indigenous women. Materials and methods. A cross-sectional study was conducted among 110 female Zapotec university students in Juchitán, Oaxaca, Mexico. The Psychological Well-Being Scale, the Healthy Lifestyle Scale for University Students, and a questionnaire about personal data were used. Body weight and height were measured to calculate BMI. Results. There was a negative correlation between BMI, self-acceptance (r = -0.33; p < 0.01), and life appreciation (r = -0.22; p < 0.05). Positive correlations were found between lifestyle and psychological well-being dimensions, with the strongest correlations being observed between life appreciation and purpose in life (r = 0.55) and self-acceptance (r = 0.48). The multivariable models determined that life appreciation and self-acceptance are associated with BMI. Conclusion. Life appreciation and self-acceptance are predictors of BMI and are even more strongly associated than exercise and nutrition behaviors.
Infarto agudo de miocardio en paciente como forma de embolismo paradójico en paciente con foramen oval permeable: a propósito de un caso.
Authors: Simón Paracuellos Teresa , Alonso Ventura Vanesa , Juez Jiménez Ángela , López Ramón Marta , Gomollón García Juan Pablo
Published: April 2022

El foramen oval permeable (FOP) es un remanente de la circulación embriológica presente en el 25% de la población adulta que puede causar shunt intracardíaco y producir embolismos paradójicos. La presentación clínica como infarto agudo de miocardio es poco frecuente, debiendo sospecharse esta entidad en pacientes con baja carga de factores de riesgo cardiovascular tras descartar otras fuentes embolígenas. La decisión de cierre percutáneo debe individualizarse según cada caso.
Estenosis tricuspídea relacionada a catéter endocavitario. Una complicación poco frecuente.
Authors: Salinas Nina Leticia , Killinger Gisela , Segovia Araceli , Ledesma Marisol , Rodríguez Correa Carlos
Published: April 2022

Se presenta el caso de un paciente joven, asintomático, portador de marcapasos definitivo desde hace 17 años. En estudio ecográfico de control se observa estenosis tricuspídea significativa e insuficiencia moderada. Se constata válvula tricúspide con afectación orgánica de sus valvas, secundaria a contacto directo con bucle de cable de marcapasos.
Diagnóstico de quiste hidatídico cardíaco mediante imagen multimodalidad
Authors: Ordoñez Pastor Ana , Ramírez Bastista José , Rodríguez Hernandez Lizandro , Gutiérrez Fernández Alejandro , Azcárate Agüero Pedro María
Published: April 2022

Presentamos un caso de hidatidosis cardiaca en el que la imagen multimodalidad mediante ecocardiografía, tomografía cardiaca y resonancia magnética cardiaca fue fundamental para el diagnóstico. El ecocardiograma suele ser la técnica inicial por su disponibilidad. La tomografía (TC) y la resonancia magnética cardiaca (RMC) permiten una caracterización de las lesiones y determinar su relación con otras estructuras anatómicas definiendo los límites quirúrgicos. La afectación cardiaca por este parásito es poco frecuente pero puede ser grave. El diagnóstico y tratamiento precoz son esenciales para evitar complicaciones letales.
Cierre percutáneo de fuga paralvular severa en paciente postoperado de miectomia septal y cambio valvular mitral guiado por ecocardiograma transesofágico: una alternativa a la reoperación
Authors: Rios López Stefany Hiday , Machain Leyva Cyntia Zulema , Méndez Bizarrón Blanca Esthela , Peralta Figueroa Cristina Isabel
Published: April 2022

La fuga paravalvular (FPV) ocurre en 7-17% de casos de reemplazo de válvula mitral y 5-10% de reemplazo de válvula aórtica y puede ser asociado con síntomas discapacitantes relacionados a falla cardiaca o hemólisis. La reoperación para reparación de FPV es asociada con significativa mortalidad y morbilidad. En el presente reporte se expone la utilidad del ecocardiograma transesofágico (ETE) para la caracterización de FPV así como para dirigir el cierre percutáneo en los pacientes que resultan candidatos al tratamiento intervencionista.
Procedimiento de Ross en paciente con síndrome de Noonan
Authors: Iglesias Iván , Cabrera Carolina
Published: April 2022

El procedimiento de Ross consiste en reemplazar la válvula aórtica usando la válvula pulmonar del mismo paciente, y reemplazar la válvula pulmonar nativa con un homoinjerto criopreservado . Ofrece ventajas para pacientes jóvenes que re­quieren un reemplazo valvular aórtico. Se presenta el caso de un paciente de 25 años sometido a esta cirugía y las ventajas y bondades del eco transesofágico en la evaluación intraoperatoria del procedimiento.
Fístula coronaria como hallazgo incidental, en contexto de infarto agudo de miocardio
Authors: Fuentes Molina Edgar Eduardo , Chavarría Víquez Jorge , Vallecillo Torres Alejandro , Salas Segura Juliana , Marín Barboza Lorenzo
Published: April 2022

Las fístulas de las arterias coronarias constituyen una malformación vascular poco común. Debido a que la mayoría de los pacientes permanecen asintomáticos, aproximadamente la mitad de los casos pueden ser indetectables desde el punto de vista clínico. Reportamos el caso de un hombre de 61 años con una fístula del tronco coronario izquierdo a la vena cava superior, detectada incidentalmente, en el contexto de un infarto agudo de miocardio.
Pseudoaneurisma ventricular izquierdo incidental tras un infarto de miocardio
Authors: Vázquez García Raquel , Matajira Chia Tatiana Mallely , Muñoz Pousa Isabel , Pazos López Pablo
Published: April 2022

Presentamos un varón de 61 años que acude al servicio de urgencias por hematemesis. De forma incidental se detecta un pseudoaneurisma en la pared lateral del ventrículo izquierdo, consecuencia de un infarto de tiempo de evolución indeterminado. Las diferentes técnicas de imagen permitieron definir las características del pseudoaneurisma para establecer el mejor plan terapéutico.

La importancia de este caso radica en que los hallazgos incidentales en las diferentes técnicas de imagen tienen relevancia en el pronóstico del paciente. Así mismo, se plantea la posible asociación entre la hematemesis y una gastritis por estrés secundaria al evento isquémico agudo.
Pseudoaneurisma y fístula aortocavitaria como complicaciones de endocarditis protésica tardía
Authors: Ezpeleta Sobrevía Isabel , Cerdán Ferreira Luis , Alonso Ventura Vanesa , Juez Jiménez Ángela , Lapuente González Pilar
Published: April 2022

La endocarditis infecciosa es una enfermedad asociada a una elevada mortalidad y complicaciones graves. La extensión perivalvular de la endocarditis infecciosa se asocia con peor pronóstico y afecta más frecuentemente a válvulas protésicas. El diagnóstico por imagen es fundamental para poder identificar estas complicaciones y establecer la mejor estrategia terapéutica, combinando, habitualmente, tratamiento antibiótico endovenoso y cirugía.