bluuebunny/crossref_metadata_2025 huggingface dataset:
ANALYSIS OF TUBERCULOSIS/HIV CO-INFECTION TRENDS IN UKRAINE IN 2008-2017
Authors: Stepanova Tetiana V. , Nedospasova Olga P. , Golubchykov Mykhailo V.
Published: October 2020

Introduction: According to WHO estimates for the European Region in 2017, Ukraine had the highest proportion of active tuberculosis cases co-infected with HIV – 21.6%,
with an average of 12% in the Region, and the absolute number of tuberculosis/HIV co-infection cases in Ukraine was estimated at the level of 8,000.
The aim: carry out a comprehensive analysis of the epidemical situation regarding tuberculosis/HIV co-infection in Ukraine according to selected epidemiological and clinical characteristics.
Materials and methods: The retrospective epidemiological study was based on the data from national reporting forms “Annual Active TB Report”, which was being collected by the Center for Health Statistics of the Ministry of Health of Ukraine for period 2008-2017.
Review: The incidence of newly diagnosed active tuberculosis associated with HIV in Ukraine increased by 89,4% – from 6,1 per 100,000 population in 2008 to 11,6 per 100,000 population in 2017, against the backdrop of a gradual decrease in the incidence of active tuberculosis by 36.5% over the same period. The rates of comorbidity TB/HIV increased by 2.8 times from 7.9% to 20.3%. The highest rates of incidence tuberculosis/HIV co-infection are observed in person aged 25-44, males, urban residents, and in the southern region of Ukraine.
Conclusions: The revealed tendency to increase the rate of the incidence and comorbidity of tuberculosis/HIV causes necessitates reviewing the organizational approaches to healthcare delivery for tuberculosis/HIV co-infection patients.
INTERDISCIPLINARY APPROACH TO DIAGNOSTICS OF MALOCCLUSIONS (REVIEW)
Authors: Smaglyuk Lyubov V. , Voronkova Hanna V. , Karasiunok Anna Y. , Liakhovska Anastasiia V. , Solovei Kseniia O.
Published: October 2020

Introduction: The main task of modern orthodontics is to create a balanced, morphologically stable occlusion in harmony with facial aesthetics and functional adaptation. The aim of the study is to investigate the relationship between dento-facial anomalies and somatic pathology. Materials and methods: A literary study was conducted using the Medline database and the Google Scholar database. Review: The human body is a biological system consisting of interconnected and subordinate elements. Any abnormalities in the operation of this system may lead to functional impairment in a single organ. This is fully applicable to dento-facial anomalies and deformations; their development is closely related to other diseases. Conclusions: The diagnostics, treatment tactics and prevention of dento-facial anomalies and deformations should be considered in the context of the integrity of the child’s unformed organism, the interdependence of the form and functions of its organs and systems.
HEALTHCARE-ASSOCIATED INFECTIONS IN INTENSIVE CARE UNITS
Authors: Salmanov Aidyn , Litus Viktor , Vdovychenko Sergiy , Litus Oleksandr , Davtian Lena , Ubogov Sergiy , Bisyuk Yuriy , Drozdova Anna , Vlasenko Iryna
Published: October 2020

Introduction: Healthcare-associated infections (HAIs) remain a major public health problem and patient safety threat worldwide. Scant information is available on the occurrence HAI and antimicrobial susceptibility of responsible pathogens in Ukrainian intencive care units (ICUs).
The aim: To evaluate the prevalence of HAIs and antimicrobial resistance of the responsible pathogens.
Materials and methods: The study included 642 patients and 262 samples isolated from patients with microbiologically proven HAI. The identification and antimicrobial
susceptibility of the cultures were determined, using automated microbiology analyzer. Some antimicrobial susceptibility test used Kirby — Bauer antibiotic testing. Interpretative criteria were those suggested by the Clinical and Laboratory Standards Institute.
Results: Among 642 patients, 148 HAIs were observed (23.1%). Death during hospitalization was reported in 20.1% HAI cases. Pneumonia (47.3%), blood stream infection (21.6%), and urinary tract infection (14.9) together accounted for 83.8% of all HAIs reported. Most cases of these infections were device-associated. Considering all HAI types together, Klebsiella pneumoniae were most commonly reported, accounting for 21.8% of all organisms, followed by Acinetobacter baumanni (14.3%), Pseudomonas aeruginosa (12.4%) and Escherichia coli (9.4%). 59.8% and 6.6% of Staphylococcus aureus were oxacillin and teicoplanin resistant, respectively. Third-generation cephalosporins resistancewas found in 53.8% of K.pneumoniae and 32.1% of E.coli isolates; and carbapenem resistance in 78.6% of A. baumanni and 29.3% of K. pneumoniae isolates.
Conclusions: Infection control priorities in intensive care units should include preventing nosocomial pneumonia, blood stream infection, urinary tract infection and of deviceassociated infections.
CHANGES IN THE FUNCTIONAL CONDITION OF THE MASTICATORY MUSCLES WITH INCREASED TEETH ABRASION
Authors: Pavlenko Svetlana A. , Pavlenkova Elena V. , Tkachenko Iryna M. , Sidorova Alla I. , Vodoriz Yaroslav Y. , Samoylenko Andriy V.
Published: October 2020

Introduction: The term “pathological abrasion” (increased abrasion) can be described as a loss of tooth hard tissue on the occlusal, oral, vestibular surfaces of teeth or in the
occlusal area. Treatment of increased abrasion of teeth is a difficult task for the practical work of a dentist. The choice of the optimal treatment plan provides the greatest likelihood
of long-term success and minimal probability of complication appearance.
The aim of our work was to study the functional activity of the masticatory muscles in the pathogenesis of the development of increased abrasion of tooth hard tissues.
Materials and methods: In order to achieve the goal of the study, an examination of patients aged between 19 and 69 years old was carried out in order to identify the number
of persons with increased abrasion of teeth. During the examination of all patients one control and one researched group were formed. The patients of the control group (30
patients aged from 18 to 60 years) which had intact dental rows with any signs of increased tooth wear. The investigated group consisted of 25 patients, aged from 18 to 60
years. Depending on the complex treatment, the patients of the second group were divided into two subgroups. Subgroup 2A - (10 patients) with increased abrasion of tooth
hard tissues with planned complex treatment of the disease without additional use of mouthguards after the end of treatment. For the patients from the 2B subgroup (15 people
with increased abrasion of tooth hard tissues) a mouthguard was prescribed after the end of the complex treatment.
In order to study some peculiarities of the muscular activity of the maxillofacial region an electromyogram was taken from all participants before treatment and repeated in a
six- and twelve-months term.
Results and conclusions: In our opinion, all manifestations of increased tooth abrasion are associated with changes in the muscular system, the motor apparatus and the
nervous activity of the body. Regarding to this, the study of the propria muscular system and the related bone system can justify the usage of one or another prevention ortreatment of the pathology. Based on the results of our research, we can conclude that the study of the functional state of the muscle complex is a fairly reliable prognostic sign in the study of such a disease as an increased tooth abrasion.
MEDICO-SOCIAL VALUE OF OSTEOARTHRITIS. SECONDARY PREVENTION AND TREATMENT OF OSTEOARTHRITIS IN COMORBIDITY WITH CHRONIC GASTRITIS
Authors: Zak Maksim Y. , Klymenko Mykola O. , Iakovenko Nataliia O. , Grischenko Genadiy V.
Published: October 2020

Introduction: Medico-social significance of osteoarthritis is due to a number of factors, one of which is associated with the need for long-term anti-inflammatory therapy,
which is associated with undesirable side effects.
The aim: Identify the features of the course of chronic gastritis in patients taking selective NSAIDs for osteoarthritis.
Materials and methods: Were examined 122 patients with osteoarthrosis, who had verified chronic gastritis in the anamnesis (50 males and 72 females), aged from 42 to
64. Control group included 40 patients with osteoarthrosis without gastroduodenal zone pathology in the anamnesis. For arthralgia relief, patients were prescribed to intake meloxicam (average dose – 12.5±1.39 mg/day) or nimesulide (average dose – 150±14.91 mg/day).
Results: It was determined that prescription of selective NSAIDs (meloxicam and nimesulide) raised the risk of NSAIDs gastropathy/dyspepsia in 2.9 times (P<0.03) in patients with chronic gastritis in the anamnesis than in patients without associated gastroduodenal zone pathology. Atrophy of gastric mucous membrane was associated with higher risks (P>0.05) of erosive gastropathy.
Conclusions: With the purpose of gastropathy prevention upon taking NSAIDs, patients with chronic gastritis in the anamnesis are recommended to undergo gastroprotective therapy.
ANALYSIS OF MORBIDITY AND CAUSES OF INFANT MORTALITY IN POLTAVA
Authors: Pluzhnikova Tetiana V. , Krasnovа Oksana I. , Kasinets Svitlana S. , Tanyanskaya Svitlana M. , Yaroshenko Natalia V. , Kolenko Iryna A.
Published: October 2020

Introduction: Providing high-quality health care to the newborn is part of the national health system. The number of healthy children in Ukraine decreases annually. One of
the main directions of development of the pediatric service is reduction of indicators of child mortality, increase of birth rate and strengthening of children’s health.
The aim: To analyze the dynamics of morbidity and causes of infant mortality in the city of Poltava.
Materials and methods: Medical and statistical - for collecting, processing and analyzing data, (descriptive and analytical statistics for determining relative indicators, absolute growth indicators), a systems approach and system analysis.
Review: According to a study in the city of Poltava, there is a negative absolute increase in the birth rate of children. In the structure of the causes of death of the child population in the first place are the diseases of the period of birth of the newborn, in the second place - congenital anomalies of development. The third place in the structure of causes of death is occupied by diseases of the central nervous system. There is a clear decrease in the incidence of hemolytic disease, anemia, cardiac disorders, intrauterine hypoxia and asphyxiation. In the structure of birth injuries in newborns occupy closed clavicle fractures, plexitis of the newborn.
Conclusions: Analysis of the incidence and causes of infant mortality in the city of Poltava suggests that in recent years there has been a decrease in fertility rates, an increase in morbidity rates. The reform should be aimed at improving the state of the pediatric service and the prevention of preterm labor.
RESULTS OF THE ULTRAMICROSCOPIC RESEARCH OF ADENOID VEGETATIONS ACCOMPANIED BY THE PATHOLOGIES OF NASAL CAVITY AND PARANASAL SINUSES IN ADULTS
Authors: Plakhtiienko Inna А. , Smiianov Yevhen V. , Smiianov Vladyslav A. , Savchenko Volodymyr V.
Published: October 2020

The aim: Grounding on the electronic microscopy of PT make conclusions about the tonsil activity in adults depending on the accompanied pathology of nose and PS.
Materials and methods: Ultramicroscopic examination of 111 patients with PT hypertrophy aged 18–55 was done. Depending on the nose and PS pathology (inflammatory, non-inflammatory) patients’ PS biopsic materials were distributed into 2 groups: 58 cases on inflammatory and 53 on non-inflammatory background. The control group consisted of 24 patients aged 18 without nose and PS pathology. The images of ultrathin PT sections were received with the help of transmission electronic microscope PEM – 125 with digital camera (SELMI, Sumy).
Results: Great variations in PT cell condition, depending on the pathology were distinguished. Features of the adenoiditis in inflammatory and non-inflammatory diseases of nose and PS were proved.
Conclusions: 1. PT ultra-microscopy in control group shows great activity of lymphocytes and high energy exchange of cells, with prevailing B-lymphocyte population.
2. The complex of PT ultra structural changes while nose and PS inflammatory diseases shows the activation of immune reaction in competent cells with T-lymphocyte increase
in patients older than 25, which witnesses chronic inflammation.
3. In group with nose and PT non-inflammatory diseases, activity of PT B-lymphocytes is unchanged accompanied by the T-lymphocytes growth, which is also characteristic
for chronic inflammation
LEVEL OF HEPCIDINE IN PATIENTS WITH ANKYLOSING SPONDYLITIS, ASSOCIATION WITH ANEMIA AND THE SEVERITY OF THE DISEASE
Authors: Shevchuk Sergii V. , Zviahina Oksana V. , Kuvikova Inna P. , Segeda Iuliia S.
Published: October 2020

The aim: To assess the level of hepcidin in patients with AS, to determine its connection to the disease and various forms of anemia.
Materials and methods: 118 patients with ankylosing spondylitis were examined and hematological, biochemical, immunologic indicators of the general parameters of
hematopoiesis and ferrokinetics, plasma levels of CRP, IL-6 and hepcidin were determined.
Results: It was found that high levels of hepcidin are found in 25% of patients with AS, 50% are limiting and only 25% are optimal. The serum levels of hepcidin in patients
with AS are independent of the age, sex, and duration of the disease, but are closely associated with the activity (ESR, CRP, IL-6, BASDAI, and ASDAS levels) of the disease. Close
pathogenetic connection of hepcidin with the formation of anemic syndrome was established. Patients with ACD were characterized by the highest levels of hepcidin.
Conclusions: Hepcidin plays an important role in the pathogenesis of ACD in patients with AS and can be used as a diagnostic marker for differential diagnosis.
STUDYING AND ANALYZE THE FACTORS THAT AFFECT COMPLIANCE DENTIST RECOMMENDATIONS FROM PARENTS OF CHILD PATIENTS
Authors: Lyakhova Natalia A. , Filatova Valentina L. , Sheshukova Olha V. , Bilous Alevtyna М. , Nesterenko Оleg М. , Bondarenko Valerii V. , Holovanova Iryna A.
Published: October 2020

The aim: Investigate the factors that influence the tendency of parents to follow the advice of a dentist on the way to improving the dental health of their children and build
a prognostic model.
Materials and methods: Materials: we analyzed 406 questionnaires (specially created by the author), which contain the answers of parents of schoolchildren of Poltava.
Methods: questionnaires, medical and statistical, modeling.
Results: The statistical processing of the questionnaires revealed a number of factors those that affect parents’ compliance with the advice of a dentist, increasing or decreasing
the chances of it: low sanitary and hygienic awareness of parents; non-observance of hygiene rules by parents; parents do not teach the child to care for the oral cavity;opinion of
the parents that only state must take care of children’s health; the recommendations of the dentist wasn`t received; child had never visited a dentist for prevention. The operational
characteristics of the obtained prognostic model: the area under the curve is 0,762, which indicates a good predictability of the model. Sensitivity is 82,2%, specificity – 79,8%.
Conclusions: The data obtained as a result of our study and the constructed prognostic model: they indicate low sanitary and hygienic awareness of parents, paternalism of
their thinking (shifting responsibility to someone, unwillingness to take responsibility), lack of medical and hygienic knowledge, as a result of which they do not apply them
to themselves and, of course, to their children. The solution to this problem is possible only through informational and explanatory activities with the involvement of modern
methods of communication and people who have passed appropriate training.
PSYCHIATRIC DISORDERS IN THE COURSE OF MULTIPLE SCLEROSIS
Authors: Zając Magdalena , Główczyński Patryk , Badura Brzoza Karina Agnieszka
Published: October 2020

Multiple sclerosis (MS) is an inflammatory and demyelinating disease of the central nervous system of a chronic nature, most often with periods of exacerbation and remission,
mainly affecting people between 20-40 years of age, with a slight prevalence of women.
The aim of the study was to collect and analyze materials published in the literature regarding the prevalence and co-occurrence of mental disorders in patients with multiple
sclerosis. Current reports show that as many as 75% of patients with this chronic disease experience various mental disorders, and the incidence of mental diseases - including
mood disorders and anxiety disorders - is statistically higher than in the general population.
Conclusions: Depending on the literature, depressive symptoms appear in 6.94% -70.1% of patients with MS. Diagnosis of anxiety disorders affects 11.1% of patients, while
bipolar disorder affects up to 16.2%. Co-occurrence of MS with schizophrenia is estimated at 1.28%. The incidence of other psychoses is 2-4% in patients with MS. Only in the
case of schizophrenia, men with MS are more likely to develop it, while other psychiatric disorders are more common among women. Co-occurrence of mental disorders in the
course of multiple sclerosis adversely affects the treatment process and the functioning of patients and their families.
PSYCHOLOGICAL RISK FACTORS FOR CARDIOVASCULAR DISEASES
Authors: Nasiłowska-Barud Alicja , Barud Małgorzata
Published: October 2020

Introduction: Cardiovascular diseases are one of the most important causes of the morbidity and mortality in the Polish and European population, accounting for nearly
half of the causes of death. Prevention and treatment of cardiovascular diseases, especially in view of the predicted increase in mortality rate as a result of these diseases in the
aging populations is crucial.
The aim: To characterize selected psychological risk factors that predispose to the development of cardiovascular disease.
Review and disscusion: Numerous scientific studies indicate the importance of mental and psychosocial factors in the prevention, treatment and rehabilitation patients with
cardiovascular diseases. In this article the most important psychological risk factors, such as Type A and D personality, stress, depression and depressed mood, anxiety, social
support and lifestyle are presented.
Conclusions: Population-focused programs devoted to health promotion and informing the general public about the risk factors for cardiovascular diseases should mainly aim
at improving people’s lifestyle, in particular with regard to nutrition, smoking, alcohol consumption, physical activity and mental well-being.
PEOPLE WITH DISABILITIES IN THE ARTISTIC FIELD
Authors: Żuk Mariola
Published: October 2020

According to statistic reports the number of disabled people in the world is still increasing. Nowadays it’s estimated that one for six citizens in European Union is disabled. New laws are established to improve the social attitude towards the sick and the disabled. The perception of people with disabilities is widely dominated by their limitations that
often take priority. Completely different social attitudes concern artists. They are admired.
The aim of the paper is to discuss the extent to which the disabled people can contribute to the culture and to reflect on the importance of art for the rehabilitation process as well as for the social integration of artists with disabilities.
The conclusion that it implies is, that the art for ages well serves the integration and rehabilitation cause.
Cuidado de enfermería perdido percibido por madres de pacientes pediátricos hospitalizados
Authors: González-Sánchez Ada Lizette , Moreno-Monsiváis María Guadalupe , Cheverría - Rivera Sofía
Published: October 2020

Introducción: El cuidado de enfermería perdido se define como el cuidado requerido por el paciente que se omite (parcial o totalmente) o se retrasa significativamente.  En la población pediátrica es relevante identificarlo dada la vulnerabilidad de los niños, quienes pueden no ser capaces de expresar o demandar la atención necesaria. Objetivo: Identificar el cuidado de enfermería perdido y su relación con las razones en función de la percepción de madres. Metodología: Estudio descriptivo correlacional. Participaron 162 madres de pacientes pediátricos de un hospital público. Los datos se recolectaron con el instrumento MISSCARE, para el análisis se utilizó estadística descriptiva e inferencial. Resultados: Los cuidados que se pierden principalmente son la planificación del alta y educación al paciente, seguido de cuidado básico como ayudar o realizar el lavado bucal y de manos (82.1%), verificar que la comida esté a una temperatura adecuada (62.1%) y acercar la comida y verificar la dieta antes de que la coman (61.1%). Los cuidados se pierden en primer orden por razones de recursos humanos. Destacó el aumento inesperado en el volumen de pacientes y/o carga de trabajo (47%) y por situaciones de urgencia que demandan mayor atención y generan poco tiempo para atender a otros pacientes (34.5%). Conclusiones: Se identificó cuidado perdido en el paciente pediátrico hospitalizado y se atribuye principalmente a razones de déficit de recursos humanos. Esta información es relevante de considerar por los gestores para fortalecer el cuidado de enfermería en la población pediátrica.
Función sensorial y dependencia en adultos mayores con enfermedad crónica
Authors: Duran-Badillo Tirso , Salazar-Barajas Martha Elba , Hernández-Cortés Perla Lizeth , Guevara-Valtier Milton Carlos , Gutiérrez-Sánchez Gustavo
Published: October 2020

Introducción: Con el envejecimiento se presentan cambios en los sentidos y en consecuencia, alteraciones en la función del gusto y olfato que influyen en la descompensación de enfermedades crónicas. Objetivo: conocer la función sensorial y su asociación con la dependencia para realizar Actividades básicas de la vida diaria e Instrumentales en adultos mayores con enfermedad crónica. Metodología: studio correlacional en una muestra de 96 participantes. Instrumentos utilizados: Carta Snellen, Audiómetro Manual, monofilamento de Semmes-Weinstein, prueba de aromas de Gustos Básicos e Índice de Barthel. El análisis estadístico implicó estadística descriptiva e inferencial, correlación de Spearman, U de Mann-Whitney. Resultados: El 71% de los participantes presentó alteración visual. 48% obtuvo audición normal en oído izquierdo y 43% oído derecho, 24% calificó con alteración táctil del pie izquierdo y 30% en pie derecho. Alteración de olfato y gusto en 77%. Presentaron dependencia en actividades Básicas (ABVD) 40%, 24 % en Instrumentadas (AIVD). Se identificó relación entre el tacto en ambos pies y agudeza auditiva con ABVD (p= <.05). La edad y AIVD (p=<.001) agudeza tacto pie izquierdo(p=<.031), auditiva(p=< .005), olfato (p=.018) y gusto (p= <.047). La dependencia en ABVD no presentó diferencia en la prueba con anteojos (U=146.000; p= <.754) y sin anteojos (U=127.500; p=.079); de igual manera en AIVD con anteojos (U=115.000; p= <.079) y sin anteojos (U=160.000; p=.202). Conclusión. A mayor función en los sentidos de tacto y oído, menor dependencia para realizar las ABVD y a mayor función del tacto, oído, olfato y gusto menor dependencia en las AIVD.
Experiencias de las adolescentes que cursan un embarazo, desde un enfoque cualitativo
Authors: Reyes-López, Silvia Vianey , Cordero-Cruz Iran Carolina , Báez-Hernández Francisco Javier , Nava Vianet
Published: October 2020

Introducción: En los últimos años el embarazo en las adolescentes se ha convertido en un alarmante problema de salud pública ya que cada año 16 millones de adolescentes entre 15 y 19 años se convierten en madres. Objetivo: Describir las experiencias de las adolescentes que cursan un embarazo, desde un enfoque cualitativo.Metodología: estudio cualitativo, descriptivo, en el que participaron nueve adolescentes embarazadas, las cuales fueron seleccionadas con muestreo por conveniencia. Se realizaron entrevistas semiestructuradas hasta la saturación de datos; la investigación se apegó a la Ley General de Salud, en materia de investigación. Resultados: Los hallazgos de los discursos de las adolescentes se estructuraron en torno a tres categorías principales: 1) factores que contribuyen al embarazo con cuatro subcategorías: mal uso de métodos anticonceptivos, cohibición para preguntar sobre métodos anticonceptivos, relaciones sexuales no planeadas y consumo de sustancias; 2) reacción ante la noticia de embarazo con dos subcategorías: reacción positiva y adversa y 3) cambios ante el embarazo, con tres subcategorías: cambios en la escuela, cambios físicos y fisiológicos y cambios en el comportamiento social. Conclusiones: Las experiencias de las adolescentes acerca de su embarazo abarcan una gama de situaciones ambivalentes. Las experiencias que enfrenta una adolescente embarazada son multidimensionales; se requiere abordaje integral y multidisciplinario.
Validity and Reliability of the Indonesia version St. George’s Respiratory Questionnaire
Authors: Nury Nusdwinuringtyas  , Gunawan Kurniadi  , Anita Ratnawati  , Peggy Sunarjo
Published: October 2020

Introduction: St. George’s Respiratory Questionnaire (SGRQ) is a measuring tool to assess the quality of life of people with chronic obstructive pulmonary disease or various respiratory disorders. This study aimed to assess whether The Indonesian version of SGRQ was valid and reliable for subjects with chronic obstructive pulmonary disease (COPD).
Methods: The Indonesian version of SGRQ was analyzed using a correlation test between SGRQ and sixminute walk distance (6 MWD) for validity. The reliability test was done using the test re-test reliability test by Spearman’s rank correlation, and Cronbach’s alpha for internal consistency.
Results: Twenty-two patients eligible COPD patients were included in this study. There is a correlation between SGRQ’s component and 6MWD on activity (r= 0.49), impact (r= -0.58) and total SGRQ (r=-0.56). The SGRQ re-measurement test shows a strong correlation on the symptom (r = 0.76), activity (r = 0.58), impact (r = 0.51), total (r=0.58) and Wilcoxon test result shows there were no significantdifferences among subscales except total value p = 0.049. High internal Cronbach’s alpha consistency was approximately 0.73 to 0.86.
Conclusion: The Activities and Impacts of Indonesian version of SGRQ component provides a picture of the validity to functional capacity. The Indonesia version of SGRQ is also proven to have good repeatability with high internal consistency.
Post Surgical Neglected Idiopathic Triple Curve Scoliosis with Neuromuscular and Respiratory Disorders
Authors: Rahmatika  , Rudy Handoyo  , Tanti Ajoe Kesoema
Published: October 2020

Introduction: About 75-85% of cases of scoliosis are idiopathic, with unknown cause whose ratio between men and women is 1: 8. In severe scoliosis, many disorders may occur such as muscle imbalance, pain, muscle weakness, degenerative joint disease, decreased cardiovascular capacity, and neurological disorders.Case Presentation: We reported a 14-year-old boy patient post posterior instrumentation and fusion surgery e.c neglected idiopathic triple curve scoliosis with neuromuscular complications such as weakness in upper and lower limbs causing disruption in hand functions and ambulation disorders, and respiration disorders such as shortness of breath, especially when walking in long-distance or running.The rehabilitation program consisting of exercise in the pool, fine motor exercise, activity of daily living (ADL) exercise, chest expansion exercise, and orthotic administration, which aims to support therecovery of patients to full function as early as possible.Conclusion: After 2 months, the patient showed slight improvement in functional, ambulation, and hand function due to non-routine exercise at the hospital.
Covid-19 y los ODS de salud: Tres oportunidades para el día después.
Authors: Fanjul Gonzalo
Published: October 2020

Como en algunas otras ocasiones de nuestra historia, el shock colectivo de la pandemia COVID-19 abre temporalmente la oportunidad de cuestionar el statu quo y promover transformaciones que hagan nuestras sociedades más justas, sostenibles y seguras. De nosotros depende la posibilidad de identificar esas oportunidades y convertirlas en reformas que permanezcan en el tiempo. La respuesta a la pandemia del coronavirus puede ser una forma eficaz de acelerar voluntades colectivas y procesos que en circunstancias normales hubiesen languidecido en el tiempo. La salud global constituye un ejemplo particularmente relevante de esas oportunidades. La tragedia ha puesto de manifiesto la necesidad de invertir en un sistema internacional de salud sólido, mejor gobernado e intensamente cooperativo. Y eso es exactamente lo que pretenden los ODS directa o indirectamente relacionados con la salud. Este artículo describe tres ámbitos concretos en los que la Agenda 2030 contribuye de manera crítica a la respuesta a la pandemia y podría reforzar la agenda del desarrollo sostenible mucho más allá de esta crisis: extender la cobertura sanitaria universal como mecanismo básico de protección frente a la pandemia; poner el modelo de innovación farmacéutica y acceso a medicamentos al servicio de todos; y convertir la inversión en salud en la mejor estrategia para prevenir la próxima crisis de este tipo.
¿INFLUYEN EL CLIMA Y LA CONTAMINACIÓN ATMOSFÉRICA EN LA TRANSMISIÓN E INCIDENCIA DE LA NUEVA ENFERMEDAD COVID19?
Authors: Linares Cristina , Sánchez-Martínez Gerardo , Díaz Julio
Published: October 2020

La COVID-19 y las limitaciones de movilidad para tratar de contener su propagación, han supuesto una disminución drástica en cuanto a las emisiones de contaminantes y CO2. En el primer caso, esta bajada en los niveles de inmisión de los principales contaminantes urbanos conlleva un descenso de la mortalidad atribuible a la contaminación atmosférica. No ha sido así en el caso de las emisiones de CO2, ya que, aunque han disminuido cerca de un 8%, no es suficiente para que se observen repercusiones en el contexto de la crisis climática. Por otro lado, las medidas de distanciamiento social pueden tener efectos contraproducentes en otros sistemas de prevención articulados dentro del contexto de los efectos del cambio climático, como ocurre frente a las olas de calor.
Por otra parte, no hay una evidencia clara de que otros factores ambientales como la temperatura, la humedad o la radiación UV puedan incidir en la propagación del nuevo virus o en la ralentización de su transmisibilidad, teniendo un peso poco significativo en relación a las medidas implementadas en salud pública para la contención del virus. Por el contrario, la contaminación atmosférica a nivel local sí que parece ser un factor que puede agravar la enfermedad y aumentar su letalidad. Su posible relación en la propagación del virus está aún por demostrar.
Por último, destacar que la evidencia científica en relación al comportamiento del SARS-CoV-2 (el virus causante de la enfermedad COVID-19) con factores ambientales es muy limitada y en muchos casos está basada en estudios de carácter ecológico que no permiten inferir causalidad. Por tanto, es necesario realizar investigaciones en mayor profundidad, con otro tipo de diseños epidemiológicos, con series de datos más extensas y que permitan el control de factores de confusión hasta ahora no considerados que ayuden a tener un conocimiento científico más riguroso en cuanto al comportamiento y difusión de la COVID-19.
PENGARUH TENAGA KERJA DAN BAHAN BAKU TERHADAP PRODUKSI TAHU PADA PABRIK PENGOLAHAN TAHU DI TIMBANG GALUNG PEMATANGSIANTAR
Authors: Tarigan Vitryani
Published: October 2020

Tujuan dari penelitian ini adalah untuk mengetahui dan menganalisa apakah tenaga kerja dan bahan baku mempunyai pengaruh terhadap produksi tahu pada pabrik pengolahan tahu di Timbang Galung Pematangsiantar. Jumlah sampel adalah 30 orang karyawan yang telah ditentukan. Hipotesis dalam penelitian ini adalah “ Diduga tenaga kerja dan bahan baku berpengaruh positif dan signifikan terhadap produksi tahu. Metode analisa data yang digunakan yaitu analisis kuantitatif dengan menggunakan uji validitas, uji reliabilitas, uji asumsi klasik, analisis regresi linier berganda dan uji perbedaan rata  -  rata. Hasil penelitian (uji t) menunjukkan nilai t hitung 7,759 > 2,042 dan nilai signifikansi 0,00 < 0,05, hal ini berarti bahwa harapan karyawan pada tenaga kerja sangat tinggi terhadap perusahaan. Hasil penelitian (uji t) menunjukkan nilai t hitung 7,023 > 2,042 dan nilai signifikansi 0,00 < 0,05, hal ini berarti bahwa harapan karyawan pada bahan baku juga sangat tinggi terhadap perusahaan. Hasil penelitian (uji F) menunjukkan nilai F hitung 62,613 > 3,14 dan nilai signifikansi 0,00 < 0,05. Pengaruh tenaga kerja dan bahan baku secara bersama - sama terhadap produksi tahu adalah positif yang kuat dan signifikan. Jadi perusahaan perlu memperhatikan dan mempertahankan produksi yang sudah dimiliki pada saat ini. Hasil analisa data regresi linier berganda Y = 27,257 + 0,270 X1 + 0,768 X2 menunjukkan nilai konstanta sebesar 27,257 dan koefisien determinasi (R²) diperoleh nilai Adjusted R Square sebesar 0,700. Artinya besarnya biaya produksi dipengaruhi biaya tenaga kerja dan bahan baku sebesar 70,0%, sedangkan sisanya yaitu 30,0 %, dipengaruhi oleh variabel lain yang tidak dimasukkan atau tidak dibahas dalam penelitian ini.

Kata Kunci : Tenaga kerja, Bahan baku, dan Produksi
Demarcation of migration regions in the context of changes of the main functions of migration (on example of the South Bohemian region)
Authors: Čekal Jiří
Published: October 2020

The importance of the de-concentrative function of migration processes rises in Czechia lately, especially in connection with suburbanization development. Thus, a projection of this trend to methodology of demarcation of migration regions comes forward. The main objective of this contribution is a comparison of results of migration regionalization of the model area of the South Bohemian region, which was realized by two methods. The first one reflects traditional basic functions of migration (concentrative and integrative), the second one respects the above-mentioned newer deconcentrative tendencies of migration flows.
Unspecified Project
Authors: Douglas Carl , Hedges Susan , Patel Rafik , Tapuni Nooroa
Published: October 2020

Working from a comparison between two teaching spaces used by the Spatial Design program at Auckland University of Technology (AUT), this article discusses the idea of ‘technical teaching.’ It describes how the authors have consciously sought to build a pedagogy around the teaching of digital media. Central to this pedagogy is the idea that learning to design is about producing a space of practice. This space is not merely the room in which practice occurs, but the space of possibility available to the designer. This space is not infinite or universal but relates specifically to a repertoire of actions (which links it in turn to the possibilities of the sites where it manifests). We offer an overview of four technical courses and describe the rationale for their structure and relationship to studio teaching. By counteracting predispositions toward completeness, finality, and linearity, these courses teach students how to prolong the design process, to stretch it out and keep it in motion. The computer lab and teaching studio are ‘practised places’ in de Certeau’s terms, construction sites for an improvisational space of practice.
BENEFÍCIOS DA ASSOCIAÇÃO DA FISIOTERAPIA PÓS OPERATÓRIA IMEDIATA COM A UTILIZAÇÃO DA HASTEINTRAMEDULAR BLOQUEADA EM PACIENTES COM FRATURA DOS OSSOS DA PERNA
Authors: Ferreira Pereira Rawally Rennan , Quirino da Silva Filho João Luiz
Published: October 2020

As fraturas são lesões traumáticas provenientes de carga de alta energia, tendo como principal causa acidentes automobilísticos. Pode levar a óbito, incapacidades temporárias e/ou permanentes. Dentre as fraturas de membros inferiores a tíbia é um dos ossos longos mais acometidos, já a fíbula, por fazer parte do segmento perna, pode concomitantemente lesionar. Nesse contexto, o tratamento cirúrgico mais indicado é a haste intramedular bloqueada. A qual apresenta estabilidade, minimiza complicações e diminui o tempo de internação. Entretanto, a literatura atual demonstra que a intervenção fisioterapêutica impacta de maneira significativa para a descarga de peso precoce. Fato este que permitirá aos indivíduos deambular precocemente. O estudo teve como objetivo discutir o quanto a técnica de fixação com a haste intramedular bloqueada associada à fisioterapia pós-cirúrgica imediata é benéfica ao paciente. Trata-se de uma revisão bibliográfica mediante a busca eletrônica de artigos indexados nas bases de dados da biblioteca virtual em saúde. Foram selecionados artigos publicados entre 2008 a 2019 a partir de palavras-chave relacionadas ao assunto principal e ao foco requerido no estudo: “Fisioterapia”, “Haste Intramedular”, “Fratura”, através da consulta nos descritores em ciências da saúde-DeSC. Observou-se o acidente em vias públicas como mais comum relacionado à fratura e o sexo masculino na sua maioria. O uso da haste intramedular associada à sioterapia no pós-imediato em pacientes com fratura dos ossos da perna previne possíveis complicações, permite descarga de peso precoce e consequentemente diminui o tempo de realização para a deambulação.
The Maximum Number of Cliques in Hypergraphs without Large Matchings
Authors: Liu Erica L.L. , Wang Jian
Published: October 2020

Let $[n]$ denote the set $\{1, 2, \ldots, n\}$ and $\mathcal{F}^{(r)}_{n,k,a}$ be an $r$-uniform hypergraph on the vertex set $[n]$ with edge set consisting of all the $r$-element subsets of $[n]$ that contains at least $a$ vertices in $[ak+a-1]$. For $n\geq 2rk$, Frankl proved that $\mathcal{F}^{(r)}_{n,k,1}$ maximizes the number of edges in $r$-uniform hypergraphs on $n$ vertices with the matching number at most $k$. Huang, Loh and Sudakov considered a multicolored version of the Erd\H{o}s matching conjecture, and provided a sufficient condition on the number of edges for a multicolored hypergraph to contain a rainbow matching of size $k$. In this paper, we show that $\mathcal{F}^{(r)}_{n,k,a}$ maximizes the number of $s$-cliques in $r$-uniform hypergraphs on $n$ vertices with the matching number at most $k$ for sufficiently large $n$, where $a=\lfloor \frac{s-r}{k} \rfloor+1$. We also obtain a condition on the number of $s$-clques for a multicolored $r$-uniform hypergraph to contain a rainbow matching of size $k$, which reduces to the condition of Huang, Loh and Sudakov when $s=r$.
Pele branca, máscaras negras em 'O esplendor de Portugal' de António Lobo Antunes
Authors: Levécot Agnès
Published: October 2020

As máscaras trazidas da África que acompanham o percurso de Carlos, retornado de Angola, não escondem mas, pelo contrário, revelam: depois de terem perdido, nas mãos dos colonos, o seu poder simbólico tradicional, apenas servem para acusar a origem mestiça da personagem principal e ganham, sob a pena de António Lobo Antunes, a força de um símbolo ideológico que denuncia o fracasso da “grandeza” colonial enfaticamente proclamada pelo regime salazarista.
'Esse cabelo em Luanda, Lisboa, Paraíso': Djaimilia Pereira de Almeida e a experiência do desenraizamento na tentativa de integração
Authors: Lima Norma Sueli Rosa
Published: October 2020

O artigo tem por objetivo perceber como os romances Esse cabelo: a tragicomédia de um cabelo crespo que cruza fronteiras, e Luanda, Lisboa, Paraíso, de Djaimilia Pereira de Almeida, tematizam a experiência do preconceito racial em Portugal na década de 1980, após a independência de Angola e do término da ditadura salazarista. Através da escrita autoficcional, do seu livro de estreia, e da ficcional de sua segunda publicação, será observado de que forma a intertextualidade realizada pela autora, entre os seus dois livros e com outras obras, se processou na tematização das perdas de utopias, que culminarão na revisão de discursos políticos que foram processados em Portugal e na África.
Apresentação
Authors: Firmino Santos Cristina , Pinto Madalena Vaz
Published: October 2020

Apresentação à Convergência Lusíada 43.
OCTOBER 21, DAY OF THE STATE LANGUAGE – UZBEK LANGUAGE. CONNECTING NATION MEDIUM
Authors:   Candidate of Philological Sciences, Acting Associate Professor, Department of World Literature,  Faculty of Foreign Philology,  National University of Uzbekistan named after Mirzo Ulugbek, Yakubov Sodirjon Bakievich
Published: October 2020

The Law "On the State Language of the Republic of Uzbekistan" was adopted and the Uzbek language gained a legal basis. The law is an important factor that reflects the spirituality, psyche and dignity of the Uzbek nation, that is, the status of the language has been legally strengthened. In his speech on the occasion of the thirtieth anniversary of the official status of the Uzbek language, President of the Republic of Uzbekistan Shavkat Mirziyoyev said that "the Uzbek language has emerged as a powerful force uniting our people and mobilizing our society for great goals ...
The Pecularities Of Automatic Headlights
Authors:   PhD In Technical Sciences Andijan Machine-Building Institute, Uzbekistan, Alijanov Donyorbek Dilshodovich , Axmadaliyev Utkirbek Akramjonovich ,   Senior Teacher Andijan Machine-Building Institute, Uzbekistan
Published: October 2020

Today, the types of vehicles and their functions are increasing, creating favorable conditions for humans. Sensors play an important role in performing functions such as driving, tracking, traffic regulation. The main function of sensors is to receive incoming information and transmit it to other forms of data. For example, we can take photoelectric sensors. Photoelectric sensors receive incoming light current and transmit information in the form of electrical voltage.
Tecnologias no Ensino Superior: uso do GeoGebra mobile como ferramenta didática
Authors: Ramos Maria do Socorro Ferreira , Lavor Otávio Paulino
Published: October 2020

Na busca por uma participação ativa dos discentes no processo de ensino e aprendizagem, alternativas são propostas e podem considerar recursos tecnológicos como aliados na apropriação adequada de conhecimentos.  Então, é proposto uma intervenção didática auxiliada pelo aplicativo GeoGebra Mobile em duas e três dimensões como ação facilitadora e motivadora no ensino e aprendizagem de integrais duplas e triplas durante as aulas de cálculo diferencial e integral.  Com o uso do aplicativo, os discentes foram capazes de interagir com as interfaces gráficas e fazer as interpretações das atividades solicitadas, bem como desenvolver resoluções satisfatórias para os problemas propostos em avaliação de aprendizagem, o que mostra que as tecnologias móveis podem ser consideradas como agentes facilitadores no ensino de integrais múltiplas.
Palavras-chave: Tecnologia móvel. Interação. Ensino e aprendizagem. Integrais.
Evaluation of Growth Parameters of Rice (Oryza sativa L.) under Lateritic Soil of Jharkhand in Response to Silicon Sources and Levels
Authors: Vaishya Neeraj Kumar , Shahi Sanjay Kumar , Kumar Vipin , Sharma Pramod Kumar
Published: October 2020

Numbers of silicon (Si) sources have been reported in terms of their effec-tiveness to improve rice growth and yield. Moreover, it is very critical to un-derstand the efficiency of different silicon sources and their levels for satis-factory plant uptake and its performances in various types of soils. In this point of view, field experiments were conducted during kharif season of 2017-18 and 2018-19 to assess the effect of different silicon sources and levels on growth parameters of rice (Oryza sativa L.) under lateritic soil of Jharkhand, India. Silica was applied at the rate of 0, 50 and 100 kg Si ha−1 through Calcium Silicate, Fly Ash and Paddy Straw. The results indicated that the growth parameters were significantly affected by the sources and levels of Silicon. Application of calcium silicate @ 150 kg Si ha-1 was found most effective followed by Paddy Straw @ 150 kg Si ha-1 followed by Fly Ash @ 150 kg Si ha-1 compared to control (RDF). The highest growth parameters were found with calcium silicate @ 150 kg Si ha-1 in combination with RDF. Accordingly different treatments could be arranged in the order T4>T10>T7>T3>T9> T6>T2>T8>T5>T1. Si application at the level 150 kg Si ha-1 along with RDF would help in the sustainable production of rice in the later-itic soil of Jharkhand.
Molecular characterization of bacterial and fungal endophytes associated with Vanda testacea, an orchid of Kodagu forest (Western Ghats), India
Authors: S Darsha , M Jayashankar
Published: October 2020

Western Ghats is considered as one of the most important biogeographic zones of India and also major tropical evergreen-forested region that possesses enormous biodiversity. Challenging biodiversity due to decreasing forests and thereby related habitat loss triggered us to give a hand on conservation of microbial diversity in such regions. Vanda testacea a vulnerable epiphytic orchid from Kodagu, is in the heart of Western Ghats which was used for endophyte isolation and characterization in the current study. From leaves of V. testacea fungal and bacterial strains were isolated. Further, by using molecular methods, the genomic DNA of isolated strains was extracted. The ITS region from fungi and 16S rDNA from bacteria were amplified by PCR, and then sequenced. Nucleotide sequences were compared with the known sequences available in NCBI database. Sequence similarity matrix were prepared with closely related species and phylogenetic tree was also generated for homology comparison. Identity of isolated strains was established as two different endophytic fungi, Cladosporium perangustum and Pestalotiopsis maculans and two different strains of Bacillus pumilus upto its genotypic level from the epiphytic orchid, V. testacea. Studies related to endophyte from orchids and identifying them by comparing its sequence are meagre. However, further rigorous trials are necessary to identify diversified endophytes from the epiphytic vulnerable orchid plant habitat and so as to make strategies for biodiversity conservation of Western Ghats, one of the hottest biodiversity hotspots of the World.
Protective effects of vitamin E on aluminium chloride-induced liver and kidney damage in rats
Authors: Lablack Monya , Hamadouche Nadia Ait , Tahari Fatima Zohra , Salah Samia , Hetraf Ibtisam , Kharoubi Omar
Published: October 2020

Aluminium is present in many manufactured foods and medicines and is also used in water purification. It is known that aluminium causes oxidative stress. Therefore, the present study was undertaken to determine the effectiveness of vitamin E (VE) in modulating the toxicity of aluminium chloride (AlCl3) on biochemical parameters, antioxidant enzymes and lipid peroxidation in serum and different organs (liver and kidney) of male Wistar rats. 24 rats (150-180g) were divided into four groups of six animals each : control ; Al was administered intraperitoneally (50 mg/kg/bw, one times a week) ; VE was given orally at a daily dose (100 mg/kg/bw) and Al+VE group. The experiment during for 90 days. AlCl3 caused a decreased in body weight consumption along with increased in the absolute and relative liver and kidney weights. TBARS level was increased, and the enzymes activities of CAT and SOD were decreased in liver and kidney of rats treated with AlCl3. While, TBARS was decreased and the antioxidant enzymes were increased in rats treated with VE. The hepatic and renal damage induced by Al was evidenced by a increase in the levels of serum AST, ALT, LDH, ALP, γGT, glucose, urea, creatinine and bilirubin, while total protein and albumin were decreased due to AlCl3 administration. These parameters indicated the extent of oxidative damage in liver and kidney, thus confirming the histology results in these organs. It can be concluded in this study that presence of VE effectively atte-nuated AlCl3 induced hepatotoxicity and nephrotoxicity in rats. It has benefi-cial influences and protective effect against AlCl3 toxicity.