bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparison of the effectiveness of peloid therapy and kinesiotaping in patients with unilateral plantar fasciitis: A prospective, randomized controlled study
Authors: Yilmaz Ramazan , Gül Süleyman , Yilmaz Halim , Karaarslan Fatih
Published: May 2024

Objectives: This study aimed to compare the efficacy of peloid therapy and kinesiotaping for unilateral plantar fasciitis (PF).

Patients and methods: In the randomized controlled study, a total of 114 patients (89 females, 25 males; mean age: 45.1±8.3 years; range, 27 to 65 years) diagnosed with unilateral PF between January 2021 and March 2023 were randomly divided into three equal groups: the peloid group (peloid therapy and home-based exercise + heel pad), the kinesiotaping group (kinesiotaping and home-based exercise + heel pad), and the control group (home-based exercise + heel pad). Peloid therapy was performed over two weeks for a total of 10 sessions. Kinesiotaping was applied four times over two weeks. Plantar fascia, calf, and Achilles stretching exercises and foot strengthening exercises were performed, and prefabricated silicone heel insoles were used daily for six weeks. Patients were evaluated three times with clinical assessment scales for pain, the Heel Tenderness Index, and the Foot and Ankle Outcome Score before treatment, at the end of treatment, and in the first month after treatment.

Results: Statistically significant improvements were observed for all parameters at the end of treatment and in the first month after treatment compared to the baseline in every group (p<0.001). No superiority was found between the groups.

Conclusion: Peloid therapy or kinesiotaping, given as adjuncts to home-based exercise therapy and shoe insoles in patients with unilateral PF, did not result in additional benefits.
Current neuroprotective agents in stroke
Authors: Yanık Tuğra , Yanık Burcu
Published: May 2024

What is expected from neuroprotection is to inhibit neuronal death and halt or decelerate the neuronal loss to lower the mortality rates, decrease disability, and improve the quality of life following an acute ischemic stroke. Several agents were described as neuroprotective up to date; however, there is still debate which to use in the neurorehabilitation of stroke patients, in terms of both efficacy and also safety. In this review, we discuss the agents, citicoline, cerebrolysin and MLC901 (NeuroAiD II), the three agents which have started to be used frequently in neurorehabilitation clinics recently in the light of the current literature.
Carotid body tumor in a nine-year-old patient
Authors: Baris Durukan Ahmet , Alper Gurbuz Hasan
Published: May 2024

Carotid body tumors are rarely encountered pathologies in the pediatric age group but still exist in the differential diagnosis of cervical painless masses. Genetic and familial background should be studied in addition to contrast imaging studies. Complete subadventitial resection, with or without prior embolization, which is still controversial, is the mainstay of therapy. Follow-up gains importance due to its nature. Herein, we report a nine-yearold girl presented with a unilateral asymptomatic mass on the neck with a diagnosis of carotid body tumor treated surgically without embolization. We emphasize the specific aspects of the pediatric age group.
Diagnosis, treatment, and management of esophageal foreign bodies in patients with mental retardation: A retrospective study from three centers
Authors: Topaloglu Omer , Nur Kılıc Kubra , Karapolat Sami , Aydın Yener , Turkyilmaz Atila , Taslak Sengul Aysen , Eroglu Atilla , Basoglu Ahmet
Published: May 2024

Background: This study aims to assess the outcomes and prognosis of surgical interventions aimed at removing esophageal foreign bodies in patients with mental retardation.

Methods: Between January 2010 and January 2021, a total of 30 consecutive patients (20 males, 10 females; median age: 29.5 years; range, 2 to 57 years) with mental retardation who were diagnosed with esophageal foreign bodies and underwent surgical treatment were retrospectively analyzed. Age and sex of the patients, symptoms, type of the foreign body, esophageal stricture level, methods used for preoperative diagnosis, type of surgical procedure, postoperative complications, and length of hospital stay were recorded.

Results: Seventeen (56.6%) patients had a foreign body in the first narrowing, 12 (40%) in the second narrowing, and one (3.3%) in the third narrowing. A rigid esophagoscopy was performed in all cases. However, successful removal was not achieved in two (6.6%) cases, and foreign bodies were removed through cervical esophagotomy in one (3.3%) patient and through esophagotomy with right thoracotomy in one (3.3%) patient. Postoperative complications included esophagitis in seven patients (23.3%) and wound infection and pneumonia in two patients (6.6%). The median length of hospital stay after treatment was 1.09 days in patients without complications and 3.3 days in patients with complications. There was a significant correlation between the occurrence of complications and the length of hospital stay (p=0.002). The foreign body was successfully removed in all patients, and no mortality was observed.

Conclusion: Early diagnosis and emergency intervention can reduce complications, particularly considering the possibility of non-food and sharp-edged foreign bodies that pose a higher risk of damaging the digestive system, in patients with mental retardation than those without such conditions.
CRÉDITOS ADICIONAIS SUPLEMENTARES – RELAÇÃO ENTRE A PREVISÃO E A EXECUÇÃO NO ORÇAMENTO EM MUNICÍPIOS GOIANOS
Authors: Souza Alessandra Alves de , Oliveira Johnny Jorge de
Published: May 2024

O objetivo deste estudo foi verificar se o limite constante para abertura de créditos adicionais suplementares autorizados na Lei Orçamentária Anual (LOA) de municípios goianos tem relação com a razão executado/previsto entre as receitas e despesas de seus respectivos orçamentos. Especificamente, busca-se entender se um município com maior disparidade entre o que é previsto e o que é executado tende a estabelecer um limite mais alto de créditos adicionais, para assim, realizar de forma mais flexível possíveis ajustes orçamentários dentro do exercício. Para isso, realizou-se um estudo descritivo, documental e quantitativo, utilizando para o tratamento dos dados coletados, a análise de covariância e correlação linear. A amostra foi composta por 21 municípios goianos, com população acima de 50.000 habitantes. A análise dos dados foi realizada a partir da verificação do coeficiente de correlação linear e covariância entre as variáveis. A partir dos dados obtidos foram analisadas a correlação entre a razão executado/previsto sobre as receitas e em seguida, a correlação entre a razão executado/fixado sobre as despesas. Os resultados demonstraram uma correlação quase nula entre as variáveis estudadas, inferindo assim, que não existe correlação relevante.
A REFORMA PROTESTANTE: O PENSAMENTO POLÍTICO DOS REFORMADORES
Authors: Carneiro Filippe Rocha
Published: May 2024

A Reforma Protestante foi um marco histórico que teve um impacto significativo na religião, política e sociedade. Este artigo busca fornecer uma compreensão abrangente desse evento, examinando seu surgimento, contexto histórico, principais ideais, dogmas e o pensamento político e social dos reformadores. O artigo está dividido em três partes para uma análise mais aprofundada. Na primeira parte, é analisado o contexto histórico da Reforma Protestante, destacando seus antecedentes e a realidade vivida na época. Na segunda parte, os principais dogmas da Reforma são estudados, com um foco especial em suas peculiaridades. Por fim, a terceira parte dedica-se à compreensão do pensamento político e social dos reformadores. Ao explorar esses aspectos da Reforma Protestante, este artigo busca fornecer uma compreensão mais detalhada deste importante evento histórico e seu impacto duradouro na religião, política e sociedade. Ao entender melhor a Reforma Protestante, podemos compreender melhor a evolução da sociedade ocidental e as influências que moldaram o mundo moderno.
COMPARAÇÃO DA SOROCONVERSÃO DOS MARCADORES IMUNOLÓGICOS IGM E IGG DE PACIENTES VIVENDO COM HIV APÓS A VACINAÇÃO E EM PACIENTES NÃO VACINADOS
Authors: Garcia Erica Rossi , Carvalho Ricardo de Souza , Ferry Fernando Raphael de Almeida
Published: May 2024

O respectivo estudo tem como principal objetivo avaliar a associação da presença de IgG Anti SARS-CoV-2 em pessoas portadoras de HIV, que receberam as diferentes vacinas voltadas para o combate à COVID-19 proporcionadas pelo Programa Nacional de Imunização (PNI). Tendo em vista a importância da realização dos testes imunocromatográficos, das análises dos prontuários, das dimensões sociopolítico econômicas e do acompanhamento dos participantes deste estudo buscou-se identificar os valores qualitativos dos anticorpos IgG e IgM específicos para SARS-CoV-2 apresentado por cada paciente após o processo de imunização. Para tanto, diante da necessidade de avaliar o impacto da pandemia da Covid-19 frente ao processo terapêutico dos pacientes portadores de HIV entende-se que este estudo proporciona um importante esclarecimento e reflexão sobre a resposta imunológica esperada diante da imunização por meio de vacinas. Em consonância com esse entendimento, metodologicamente, este estudo tem abordagem quantitativa, considerando um estudo transversal e com enfoque exploratório. A amostra examinada compreende 238 pacientes portadores de HIV. Para coleta de dados foi veiculado um questionário estruturado para obter maiores informações de cada participante do estudo. Para análise dos testes estatísticos optou-se por seguir com os modelos de regressão simples e múltiplas. Sendo assim, a análise foi realizada a partir do programa estatístico SPSS, IBM na versão 27. Ainda convém ressaltar, que o presente estudo pretende contribuir como mais uma produção científica sobre a respectiva temática e suscitar novas reflexões para estudos futuros.
DISSECÇÃO AÓRTICA DE TIPO B DE STANFORD NA ATENÇÃO PRIMÁRIA: RELATO DE CASO
Authors: Fonseca Francyelle Maria Barbosa , Montenegro Artur Areia Pereira , Melo Guilherme Aragão , Bezerra Maria Carolina Muniz , Costa Breno Borba Santos Ferreira , Lima Neto Nelson Pereira de , Carvalho Thiago Henrique de Farias
Published: May 2024

A Dissecção de Aorta emerge como uma urgência cardíaca de extrema importância e complexidade, sendo um diagnóstico diferencial crucial em casos de dor torácica e associada a uma alta taxa de mortalidade, principalmente quando não diagnosticada precocemente ou tratada de forma adequada. A rápida intervenção médica é essencial para reduzir o risco de complicações graves, como ruptura da aorta, tamponamento cardíaco e comprometimento da perfusão de órgãos vitais. Um homem de 63 anos, residente em Vila Nova - Casinhas/PE, procurou a Unidade de Saúde da Família local com queixa de dor epigástrica irradiando-se para  região dorsal associado a sonolência, astenia e episódios eméticos há 7 dias. O paciente foi encaminhado ao hospital de alta complexidade, para seguimento de confirmação diagnóstica e terapêutica. Tomografia computadorizada de tórax revelou a presença de uma dissecção de aorta tipo B, estendendo-se da aorta descendente até a região ilíaca, associada a um pequeno aneurisma na aorta torácica descendente. O paciente foi prontamente encaminhado para um centro de referência em cirurgia cardiovascular ficando internado por 45 dias, realizando aortografia + arteriografia de membro inferior esquerdo. Aproximadamente 15 dias após realizou novo procedimento cirúrgico de inguinotomia direita + aortografia de posicionamento + tratamento endovascular de dissecção de aorta torácica com implante de endoprótese + aortografia de controle, procedimento realizado sem intercorrências com seguimento ambulatorial.
Esporte para pessoas idosas em Macapá, Brasil: um estudo de caso
Authors: Vieira Costa Alisson , Silva Dias Marcela Fabiani
Published: May 2024

Este trabalho apresenta informações sobre a metodologia para o trabalho esportivo com pessoas idosas. Objetivou analisar o uso da metodologia no ensino do esporte adaptado para pessoas idosas na cidade de Macapá. O estudo se caracterizou por ser de abordagem qualitativa, com característica exploratória e do tipo estudo de caso. Foram selecionadas 50 pessoas de ambos os sexos com idade a partir de 60 anos para a composição da amostra. A pesquisa foi realizada no Projeto de Extensão Universidade da Maturidade (UMAP). A coleta dos dados se deu pela observação das aulas e com entrevista ao coordenador do projeto, além de aplicação de questionário com os participantes. Os resultados apontaram que para pessoas idosas, as aulas são satisfatórias por conta da metodologia de ensino adotada pelo professor. Já para o coordenador o trabalho com este público veio a existir devido à necessidade em se trabalhar com os mesmos e por conta da modalidade escolhida oferecer poucos riscos de lesões quando adaptada. Outro ponto forte da pesquisa foi à percepção da ludicidade presente nas aulas, já que eles não praticam esporte com finalidade de se tornarem atletas, mas pela vivência corporal. Conclui-se, portanto, que para alcançar os objetivos do ensino do esporte com pessoas idosas, deve-se priorizar o planejamento, facilitando o processo de aprendizagem, de modo à propocionar o máximo de benefícios e ao mesmo tempo previnir os riscos de lesões com este público.
Guía Esencial de Medicina Interna en el Primer Nivel de Atención Tomo 20
Authors: Sanmartin Jaramillo Pamela Alejandra , Ruiz Illapa Karla Lilibeth , Domínguez Jara María Gabriela , Mejía Moya César Santiago , Suquisupa Herrera Victoria Valentina , Leon Morocho Angelica Mariela , Tixi Guaraca Kasandra Elizabeth , Muñoz Bolaños Fabiana Nicol , Narváez Cajas José Eduardo , Tapia Granizo Vanessa Maricela , Loja Vanegas Johanna Katiuska
Published: May 2024

"Guía Esencial de Medicina Interna en el Primer Nivel de Atención Tomo 20" es la vigésima entrega de una serie que se ha consolidado como una referencia fundamental para los profesionales de la salud que operan en el primer nivel de atención. Este volumen aborda de manera exhaustiva y práctica los desafíos y las patologías más comunes que enfrentan los médicos generales y de familia en su práctica diaria.
ANALISIS PERHITUNGAN HARGA POKOK PRODUKSI DALAM PENENTUAN HARGA JUAL MAKANAN PADA UMKM RM NASI KAPAU PAK NIN
Authors: Fatimah Zahara , Lubis Arina Luthfini , Supardi Supardi
Published: May 2024

The cost of goods produced refers to the expenses incurred by a company, both directly and indirectly, during the production process to prepare goods and services for sale. This cost is calculated before determining the selling price. This study aims to understand the calculation of the cost of goods produced, its impact on the selling price, and how it influences the profit of RM Nasi Kapau Pak Nin. This research is descriptive and qualitative. Data is collected through interviews, documentation, observation, and literature study. The analysis technique involves a cost-based analysis to calculate all costs incurred from the processing of raw materials to the finished product ready for sale. The results revealed that RM Nasi Kapau Pak Nin's calculation of the Cost of Goods Manufactured (COGS) is based on estimates of raw materials, direct labor, and indirect labor only, without including factory overhead costs such as electricity and water. When determining the selling price, RM Nasi Kapau Pak Nin considers the desired profit to ensure the company's progress. The average impact of COGS on profits is relatively low, with the café-style building able to generate a net profit for the owner in the range of 22.25%–30%.
Haberin Mizahla İmtihanı: Hiciv-Parodi Haberler
Authors: Saygın Arda Umut
Published: May 2024

Post-truth çağı olarak adlandırılan günümüzde, bilgi düzensizliği olarak kavramsallaştırılan sahte haberler bireysel sosyal medya kullanıcıları ve hatta profesyonel haber kuruluşları tarafından üretilebilmektedir. Kontrol edilemeyecek düzeyde üretilen ve yayılan sahte haberler ise neyin gerçek neyin gerçek dışı olduğunu anlamayı zorlaştıran bir bilgi ekosistemine neden olmaktadır. Bu çalışma da bir bilgi düzensizliği çeşidi olan hiciv-parodi haberlere odaklanmaktadır. Çalışma, dünyadaki ve Türkiye’deki hiciv-parodi haber platformları hakkında bilgi vermekte ve bu platformlarda yer alan hiciv-parodi haber içeriklerini örneklendirmektedir. Çalışma, amaçlı örneklem metodu ile belirlenen ve Türkiye’deki profesyonel haber medyası tarafından gerçek sanılarak paylaşılan hiciv-parodi haber örneklerini göstermeyi amaçlamaktadır. Çalışma ayrıca, hiciv-parodi haberlerin profesyonel medya ve gazeteciler tarafından doğrulama mekanizmasının atlanarak gerçek kabul edilmesiyle ortaya çıkan etik problemlerin giderek azalmakta olan haber medyasına güveni daha da zedelediği iddia etmektedir.
Servicio de promoción de la salud con canes y su asociación con la calidad de vida de adultos mayores, albergue Casa de Todos – Lima 2022
Authors: Villavicencio Vinces Verushka
Published: May 2024

Se analizó cómo un servicio de promoción de la salud con canes y su asociación con la mejora de la calidad de vida de adultos mayores albergados, puede ser un factor protector de la salud mental frente a la depresión considerada un problema de salud pública. Se estudió el programa “Casa de Todos” que albergó a adultos mayores rescatados de la calle o encontrados en condición de vulnerabilidad, sin familiares a cargo, situación que afectaba su salud mental. Se aplicó el Coeficiente de Pearson encontrando una relación lineal negativa de -0.4877 entre la depresión y calidad de vida. Concluyó que a mayor índice de depresión menos sensación de satisfacción y felicidad con la vida. Entonces, para combatir la depresión como factor de riesgo de la salud mental, se requeriría un factor protector que contribuya al Envejecimiento Activo, inscrito en la Política Nacional Multisectorial para las Personas Adultas Mayores al 2030 del Ministerio de la Mujer y Poblaciones Vulnerables de Perú. Esta política establece fomentar redes de apoyo sociosanitarias lo cual posibilitaría la implementación de un servicio con canes y personal no sanitario como apoyo al personal de salud. El servicio con canes otorgaría bienestar y mejoraría la calidad de vida de adultos mayores albergados. Sería replicable y sostenible mediante la acción de gobiernos regionales, locales e instituciones públicas y privadas alineado a la Estrategia y Plan de Acción sobre la Promoción de la Salud de la Organización Mundial de la Salud, la Organización Panamericana de la Salud, los Objetivos de Desarrollo Sostenible y la Ley de Salud Mental.
Participación social, derecho a la cultura y preservación de un espacio público en México: Parque de la Dignidad, Tepic, Nayarit
Authors: Montes Torres María de Lourdes , Becerra Pérez Ricardo
Published: May 2024

El presente documento analiza el desarrollo del conflicto suscitado en la ciudad de Tepic, Nayarit a raíz de la demolición de un par de estadios de fút y béis bol, en el año 2009 y cómo incidió la participación social en el conflicto. Es a partir de que el Gobernador en turno trató de vender dicho terreno que la sociedad civil convocó a reuniones, lo que provocó actos de hostigamiento de parte del gobierno estatal, situación que provocó que se comenzaran a plantar árboles en lo que se denominó el Parque de la Dignidad, el cual a la fecha continúa desatendido. Dado que actualmente este espacio sigue en la indefinición jurídica respecto a su destino, este caso será analizado desde la perspectiva metodológica de la escalera propuesta por Sherry R. Arnstein, empleando los conceptos de participación ciudadana y espacio público. Entre las recomendaciones se resalta la exigencia para que el gobierno estatal termine de construir y equipe el Parque de la Dignidad, además de incorporar como política pública el respeto y la preocupación por las áreas verdes y zonas arboladas, la sustentabilidad y el medio ambiente.
Enfoque pedagógico y social para garantizar que todos los estudiantes puedan gozar de una educación de calidad fomentando la inclusión
Authors: Agama Zapata Ligia Maribel , Velez Alonzo Tania Janneth , Aguirre Alcivar Jorge Washington , Bermello Vera Eddy Geronimo , Perez Ochoa Mercedes Italia
Published: May 2024

El enfoque pedagógico y social para garantizar que todos los estudiantes puedan gozar de una educación de calidad, fomentando la inclusión, es un tema de gran relevancia en el ámbito educativo contemporáneo. Como señala Gloria Ladson-Billings en su libro "Dreamkeepers: Successful Teachers of African American Children”, adoptar un enfoque pedagógico inclusivo implica reconocer y valorar la diversidad de los estudiantes, así como sus antecedentes culturales y experiencias de vida. Esto requiere una adaptación de las prácticas educativas para satisfacer las necesidades individuales de cada estudiante y promover su éxito académico y personal. Por otro lado, según los hallazgos de la UNESCO en el informe "Inclusive Education: The Way of the Future", la inclusión en la educación no solo se refiere a garantizar la participación de todos los estudiantes en el sistema educativo, sino también a proporcionarles un entorno de aprendizaje que sea acogedor, respetuoso y que se promueva el sentido de pertenencia. Esto implica eliminar las barreras físicas, sociales y emocionales que puedan obstaculizar el acceso y la participación de los estudiantes. Para lograr una educación inclusiva y de calidad, es esencial que los docentes reciban una formación continua en estrategias pedagógicas inclusivas y en el manejo de la diversidad en el aula. Tal como plantea Sonia Nieto en su obra "Affirming Diversity: The Sociopolitical Context of Multicultural Education", esto implica desarrollar una conciencia crítica sobre las estructuras sociales y educativas que perpetúan la exclusión y la discriminación, así como el compromiso de trabajar activamente para transformar dichas estructuras.
Los principios de contradicción y publicidad en el Código Orgánico General de Procesos y los medios tecnológicos. Una perspectiva desde la realidad ecuatoriana vigente
Authors: Ramón Armijos Rita Magaly , Chicaiza Chicaiza Edison Fabricio , García Heredia Andrés Darío
Published: May 2024

La meta principal de la norma procesal del Código Orgánico General de Procesos, fue la de instaurar un escenario de simplificación, uniformidad y celeridad en todos los procedimientos en materia no penal, constituyéndose en el acierto legislativo que resultó positivo al fin del derecho y su representación institucional. En este contexto, la presente investigación abarca no solo en mencionar concisamente los factores positivos de la norma procesal en comento, sino en razonar sobre  la importancia de los principios procesales de publicidad y contradicción, en relación con la tecnología contemporánea, que hace posible materializar la última reforma de la norma en estudio, en el sentido de si es posible aplicarla bajo las circunstancias por la que atraviesa la realidad jurídica-social de Ecuador, y la importancia de manejar de manera estricta los ritualismos del COGEP en cuanto sus principios, utilizando todas las herramientas tecnológicas con las que es posible lograr la administración de justicia, desde la óptica ecuatoriana. Es necesario referir el uso de los métodos de investigación dogmático puro, analítico sintético y doctrinal para sustentar el enfoque de los autores de este proceso, así como la idea central del esbozo argumentativo, que intentará pergeñar la idea que se plasma en torno al exordio constante en este estudio.
Incidencia infectológica hospitalaria y su impacto en la atención de salud, hospital Básico “Dr. José Cevallos Ruíz de Yaguachi”
Authors: Guacho Bonilla Jhonatan David , Paz Sánchez Carlos Emilio , Correa Asanza Katherine , Rodríguez Díaz Carmen Dominga
Published: May 2024

La incidencia infectológica hospitalaria tiene un impacto significativo en la atención de salud en los hospitales básicos, afectando la calidad, seguridad y eficiencia de la atención médica. Abordar este problema de manera efectiva requiere un enfoque multifacético que incluya medidas preventivas, fortalecimiento de políticas de control de infecciones y promoción de una cultura de seguridad del paciente. El impacto de la incidencia infectológica no se limita solo al ámbito clínico, sino que también tiene ramificaciones económicas y sociales. El tratamiento adicional requerido para abordar las infecciones nosocomiales puede aumentar los costos de atención médica y prolongar la estancia hospitalaria de los pacientes, lo que a su vez afecta la disponibilidad de camas y recursos para otros pacientes. La percepción pública de la seguridad y calidad de la atención en los hospitales básicos puede verse comprometida, lo que socava la confianza en el sistema de salud y afecta la relación entre pacientes y proveedores de atención médica. En este contexto, es fundamental adoptar enfoques proactivos y basados en evidencia para prevenir y controlar la incidencia infectológica en los hospitales básicos, garantizando así una atención de salud segura y efectiva para todos los pacientes. La transmisión de patógenos en estas instalaciones puede ocurrir debido a múltiples factores, como la falta de higiene adecuada, la resistencia a los antibióticos y la exposición a dispositivos médicos contaminados. Este problema no solo aumenta la morbilidad y la mortalidad de los pacientes, sino que también genera una carga adicional en los recursos del sistema de salud.
Epidemiological Investigation of COVID-19 Effects in Pregnant Women and Their Infants
Authors: Durmaz Adem , Yılmaz Muammer , Güvey Huri
Published: May 2024

This study was conducted to investigate in pregnant women after being infected with SARS-CoV2 infection and whether any possible complications develop for the pregnant woman and the baby. This study was conducted on n=301 pregnant women who were registered and being followed up at the COVID-19 Home Follow-up and Monitoring Coordination (HFM) Centre. A questionnaire consisting of a Personal Information Form questioning sociodemographic characteristics and questions about the COVID-19 history of the pregnant women during their pregnancies and information about the baby after birth was administered to them by telephone. The mean age of the pregnant women was 30.21±5.34 years and n=79 (26.2%) had received COVID-19 vaccine. Preeclampsia was observed in 1.0%, miscarriage in 5.8% and stillbirth in 0.3% of the pregnant women. Two (0.7%) of the babies died after birth. 21.6% of the babies had to be hospitalised due to a health problem. 2.3% of the babies had COVID-19. 12.1% of the babies had respiratory distress and 55.0% had jaundice (32.3% in the first 24 hours). Of the jaundiced babies, n=64 (41.3%) received treatment for jaundice. 13.9% of the babies had breastfeeding problems after birth. Developmental delay was found in 3.6% of the babies. There was no increase in the risk of congenital anomalies and miscarriage rates due to COVID-19 in pregnant women, but the incidence of cardiac anomalies increased compared to other anomalies. Abortion rates were higher in vaccinated pregnant women compared to unvaccinated pregnant women.
The Connection Between Mental Performance and Sleep
Authors: Bardaş Özkan Ebru , Gürsul Cebrail
Published: May 2024

Although our understanding of sleep physiology is growing, and many of the mechanisms of sleep have been explained, studies have focused on the effect of sleep on learning and memory processes due to the increase in sleep after learning. However, it is still unclear what kind of information processing occurs in the brain during sleep and what effects of information processing-related events are transferred from wakefulness to sleep. Research on information processing during sleep suggests that sleep has a positive impact on memory function. However, it is unclear whether specific sleep stages, such as NREM and REM, are exclusively dedicated to certain types of memory, such as semantic or event memory. When evaluating the research and approaches discussed above, it can be concluded that information processing occurs during sleep. However, it is important to note the limitations of studying information processing during sleep due to the challenges of conducting research in this state.
Despite spending a third of our lives asleep, our understanding of the benefits of sleep remains limited. It is a fact that information processing occurs during sleep. It is a fact that information processing occurs during sleep. However, studies investigating this phenomenon are limited. Research on sleep, memory, and information processing can help us understand learning, consciousness, and memory processes during sleep, as well as the function of sleep neurophysiology.
ԻՆԿՐՈՒՍՏԱՑԻՈՆ ՑԻՍՏԻՏ COVID-19-ՈՎ ՀԻՎԱՆԴԻ ԴԵՊՔՈՒՄ. ԿԼԻՆԻԿԱԿԱՆ ԴԵՊՔԻ ՆԿԱՐԱԳՐՈՒԹՅՈՒՆ
Authors: Martirosyan D.A. , Muradyan A.A.
Published: May 2024

From 11.03.2020, the World Health Organization declared the Coronavirus disease (COVID-19) caused by a new type of coronavirus (SARS CoV-2) as a global pandemic.
Coronaviruses are single-stranded RNA viruses divided into four main classes: A, B, C, and D. SARS CoV-2 is an RNA beta-coronavirus. The most common complication of the disease is bilateral viral pneumonia. COVID-19 is multisystemic in nature and can cause damage to almost any human organ. The organs of the urinary system are no exception. SARS-CoV-2 has a specific three-dimensional protein structure characterized by a strong binding to the angiotensin-converting enzyme 2 (ACE2) receptor. Under these conditions, ACE2-producing human organs can act as target cells for SARS-CoV-2. A clinical observation of the development of encrusted cystitis in a COVID-19 patient is presented. The clinical course and treatment of this disease are described in details. The data on the possible mechanism of development of encrusted cystitis in this category of patients are presented. In our opinion, incrusted cystitis can be considered as a complication of the new coronavirus infection. Its pathogenetic basis is probably the affinity of SARS CоV-2 to ACE-2 receptors in the urothelium. Taking into account the above mentioned, there is the need to work further on these problems and the need for a multidisciplinary approach to the diagnosis and treatment of patients with this issue.
ՎԻՍՑԵՐԱԼ ԾԱՆՐ ԼԵՅՇՄԱՆԻՈԶ ԵՎ ՀՂԻՈՒԹՅՈՒՆ (ԿԼԻՆԻԿԱԿԱՆ ԴԵՊՔ)
Authors: Abrahamyan R.A. , Abrahamyan S.H. , Avagyan T.G. , Abrahamyan L.R. , Ghardyan G.K.
Published: May 2024

Visceral leishmaniasis during pregnancy is rare both worldwide and in Armenia, and it deserves special attention due to little information available about the features of this infection during gestation as well as the real possibility of vertical transmission of the disease. According to the data obtained from the international literature, the prognosis of visceral leishmaniasis in combination with pregnancy is unfavorable.
We describe a clinical case of visceral leishmaniasis associated with pregnancy, which, despite its severe course, ended with complete recovery of the mother and the fetus.
ВОЗРАСТНЫЕ ИЗМЕНЕНИЯ В ИММУННОЙ СИСТЕМЕ ПРИ СТАРЕНИИ ОРГАНИЗМА
Authors: Movsisyan M.R.
Published: May 2024

Due to global demographic changes, there is a need for a thorough study of the mechanisms underlying the phenomenon of aging of the immune system.
As we age, the immune system goes through a gradual process of decline known as immunosenescence. This process affects the composition and functions of all parts of the immune system - organs, cells and cytokines. Immunosenescence is a multifaceted and gradually developing process that reflects a long path of restructuring in the immune system throughout a person’s life.
This review examines the details of immunosenescence and sheds light on age-related changes in the immune system, with an emphasis on changes in the adaptive immune system.
Age-related changes in the immune system, including thymic involution, changes in B cell lineage, and decreased immune response to vaccination, contribute to increased susceptibility to infections and age-related diseases. Understanding the mechanisms underlying immunosenescence is critical to develop targeted interventions to support healthy aging and improve vaccine effectiveness in older adults.
ՏՐԻԽՈՄՈՆԱՍ ՎԱԳԻՆԱԼԻՍ ՎԻՐՈՒՍԻ (TVV) ԱԶԴԵՑՈՒԹՅՈՒՆԸ ԿԱՆԱՆՑ ՄԻԶԱՍԵՌԱԿԱՆ ՏՐԻԽՈՄՈՆԻԱԶԻ ՎՐԱ
Authors: Ghardyan G.K.
Published: May 2024

Trichomoniasis is considered as the second most frequent sexually transmitted infections and the second most common cause of lower genital tract infection worldwide. Because Trichomoniasis is highly prevalent in sexually active populations, it is now gaining greater recognition as an important source of reproductive morbidity and is clearly associated with significant public health problems. Certain socio-demographic and behavioral risk factors may assist in predicting the infection. A majority of women with trichomoniasis are asymptomatic; these patients would thus escape detection and treatment under syndromic management recommendations. In recent years, many advances have been made in the epidemiology, diagnosis, and treatment of trichomoniasis. A major achievement was the discovery of trichomonas vaginalis virus (TVV) infection of trichomonads. So far, there have been four dsRNA viruses identified. The study of these viruses opens a large and wide field regarding their role in the clinical course and complications of trichomoniasis, especially from the point of view of obstetric complications and gynecological oncology.
ՑԻՆԿԻ ԱՆԲԱՎԱՐԱՐՈՒԹՅՈՒՆԸ ՈՐՊԵՍ ՀԱՆՐԱՅԻՆ ԱՌՈՂՋՈՒԹՅԱՆ ԱՐԴԻ ԽՆԴԻՐ
Authors: Kotanyan A.H. , Arustamyan M.A. , Avetisyan L.R.
Published: May 2024

Micronutrient deficiencies are of growing public health concern. Microelements, found in trace amounts in the body, play a very important role in the regulation of basic vital functions, and in all cases when they are introduced into the body through water and food in insufficient amounts, they can cause serious health problems. On the other hand, the features of the modern diet, wrong food habits, refined food, low-calorie food, as well as various ecological and social problems, including urbanization, land desertification and erosion, create favorable conditions for the disturbance of the status of microelements in the body and the deepening of possible negative consequences.
Zinc is an essential trace element necessary for all living organisms. It is of great importance in the synthesis of proteins, nucleic acids and is included as a cofactor in more than 200 enzymes at all levels of metabolism. Zinc deficiency (ZnD) is associated with impaired enzyme activity, compromised immunity, allergic reactions, retardation of physical development, impairs cognition and mental health disorders. In addition, zinc exhibits antioxidant and anti-inflammatory properties, which highlights the importance of this element in chronic diseases.
ZnD is one of the leading causes of child mortality worldwide. Any change in zinc homeostasis and a decrease in its content in the body can lead to immune dysfunction in children, as well as a delay in mental, physical and sexual maturation. There is also an assumption that zinc deficiency in the fetus has a certain role in the development of pathological processes in adults.
ZnD is much more common in low-income and middle-income countries. It is considered one of the most common micronutrient deficiencies in the world and is associated with a high burden of disease in these countries. However, in a number of countries of Western Europe, zinc deficiency is also significant and according to some data, ZnD prevalence was 31.3% in healthy children aged 1–3 years.
Deficiency of microelements, particularly zinc, among the population is usually related not only to inadequate food intake, poor diet quality, but also with low zinc content in the soil. According to a number of studies, zinc deficiency is the most common of the essential elements worldwide, because huge areas of land are low in zinc and therefore deficient in zinc in the main cereal crops: rice, maize and wheat.
The richest food sources of zinc include meat, fish, and seafood. Eggs and dairy products also contain zinc. Beans, nuts, and whole grains contain zinc, but the bioavailability of zinc from these foods is lower than that from animal foods. Fruits and vegetables contain very little zinc.
Implementasi Konsep Green Economy Terhadap Pengelolaan Taman Wisata Alam Wira Garden Kota Bandar Lampung, Sebagai Upaya Mewujudkan Pembangunan Ekonomi Yang Berkelanjutan
Authors: Diogsha Hr , Noviarita Heni
Published: May 2024

Lampung sebagai salah satu provinsi di indonesia yang terkenal akan keindahan pariwisatanya, salah satunya taman wisata alam wira garden di provinsi lampung, wira garden terkenal dengan kerjernihan airnya, Lambat laun semakin banyaknya pengunjung, sehingga menaiknya volume sampah dikarenakan kurangnya kesadaran masyarakat dan pengunjung dalam pengelolaan sampah dengan baik. Oleh karena itulah, peneliti tertarik untuk meneliti studi kasus. Jenis penelitian yang diambil ialah deskriptif kualitatif dengan menggunakan fenomenology approach dan pendekatan studi kasus serta Penelitian ini menggunakan data sekunder melalui kajian Pustaka dari berbagai buku, jurnal penelitian, dan literatur lain yang berhubungan dengan penelitian. bertujuan untuk membuat deskripsi, gambaran yang sistematis, fakta dan akurat mengenai sifat serta hubungan antar fenomena yang diselidiki. Kegiatan implementasi Green Economy dengan konsep 3R (Reduse, Reuse, Recycle) Diharapkan kegiatan ini bisa menjadi salah satu alternatif dalam pelestarian lingkungan khususnya pariwisata untuk meningkatkan perekonomian dan pembangunan yang berkelanjutan.
Supernumerary Puncta: An Uncommon Underdiagnosed Cause of Unilateral Epiphora
Authors: Klukas Erin M. , Shenouda-Awad Nancy , Desai Harsida
Published: May 2024

Introduction

The presence of multiple eyelid puncta is known as supernumerary puncta. The presence of supernumerary puncta is caused by lacrimal outflow dysgenesis and can result in unilateral epiphora. Although an infrequent diagnosis, supernumerary puncta should be considered in the differential diagnosis of unilateral epiphora to allow for the correct management of patient’s symptoms.

Case Report

A 74-year-old white male presented with a chief complaint of unilateral epiphora of his right eye. The presence of two puncta on the inferior lid margin of one eye was noted. Further evaluation with anterior segment optical coherence tomography (OCT) revealed that both puncta were functional. Occlusion of the accessory punctum and use of artificial tears four times a day was the treatment which led to the resolution of his symptoms.

Conclusion

Through a careful examination and assessment, the root cause of epiphora can be determined, and the appropriate management can be pursued. Although not exceptionally rare, supernumerary puncta may be present and cause epiphora through lacrimal outflow dysgenesis. Supernumerary puncta can be identified easily with careful slit lamp examination. Probing of the punctum and anterior segment OCT can be used to identify the accessory punctum and determine its functionality.
Lo stato di automazione del processo civile e delle procedure concorsuali nell’interazione tra parti pubbliche e private
Authors: Altieri Attilio
Published: May 2024

Il contributo si propone di indagare i meccanismi di automazione nel processo civile nelle procedure concorsuali, attraverso l'analisi della normativa di riferimento sia del processo telematico che del Codice della crisi d’impresa e dell’insolvenza. A tal fine, si prenderà in considerazione il grado di automazione dei procedimenti, evidenziandone le criticità e le funzioni non ancora implementate; si procederà ad una comparazione con i sistemi processuali di Germania, Francia e Spagna; si tratteggeranno le conclusioni in vista di prospettive future utili ad una maggiore armonizzazione tra procedimenti giurisdizionali e tecnologia.
Rischi identitari per la persona minore d’età nell’ambiente digitale
Authors: Senigaglia Roberto
Published: May 2024

Nell’ambiente digitale è particolarmente a rischio l’esclusività dell’educazione della persona minorenne riconosciuta dalla Costituzione e dalle Convenzioni internazionali anzitutto in capo ai genitori. Si rende quindi necessaria l’istituzione di strumenti tecnologici che tutelino il ruolo dei genitori, tra cui i Parental Control System. Questi strumenti vanno comunque differenziati in ragione della capacità di discernimento del figlio minorenne.
Prinsip dan Alat Evaluasi Dalam Pembelajaran Ilmu Pengetahuan Sosial
Authors: Mahdalena Ena Desta Sri , Putri Salwa , Kurnia Budi
Published: May 2024

Pendidikan Ilmu Pengetahuan Sosial (IPS) berperan penting dalam membentuk pemahaman peserta didik tentang dinamika masyarakat, sejarah, geografi, ekonomi, dan kebijakan publik. Pengembangan keterampilan literasi sosial dan pemikiran kritis melalui pembelajaran IPS menjadi kunci keberhasilan dalam membentuk generasi yang cerdas dan terinformasi. Dalam rangka memastikan efektivitas pembelajaran IPS, evaluasi menjadi unsur yang tak terpisahkan, memastikan pencapaian tujuan pembelajaran dan kemajuan peserta didik. Artikel jurnal ini bertujuan untuk membahas dan menguraikan prinsip-prinsip evaluasi yang mendasari pembelajaran IPS, sekaligus mengeksplorasi berbagai alat evaluasi yang dapat digunakan untuk mengukur pemahaman dan keterampilan peserta didik dalam ranah IPS. Penelitian ini diharapkan dapat memberikan panduan praktis bagi para pendidik dan peneliti dalam merancang, mengimplementasikan, dan mengevaluasi pembelajaran IPS di berbagai tingkatan pendidikan. Metode Penelitian Dalam penelitian ini, pendekatan penelitian yang digunakan adalah pendekatan kualitatif dengan jenis penelitian menggunakan kajian secara teori terhadap sumber sumber yang relevan . Data bersumber dari pustaka yang berupa artikel jurnal, dokumen pemerintah, dan artikel ilmiah lain tentang evaluasi pembelajaran. Beberapa tahapan penelitian yang dilaksanakan antara lain: (a) mengidentifikasi pustaka dan data sekunder yang terkait dengan fokus penelitian (b) melakukan seleksi pustaka utama (c) melakukan ekstraksi dan analisis data dan (d) merumuskan serta menginterpretasi hasil analisis. Sumber data utama dalam penelitian ini dapat dilihat pada Metode Studi Pustaka ini difokuskan pada dua tinjauan, yakni Tinjauan Teoritis dan Tinjauan Empiris.
Dampak Ruang Guru Dalam Menyelesaikan Permasalahan Belajar
Authors: Gilang Gilang
Published: May 2024

Penelitian ini bertujuan untuk menilai efektivitas ruang guru dalam menyelesaikan permasalahan belajar di era evolusi industri 4.0. Istilah industri 4.0 berasal dari sebuah proyek yang diprakarsai oleh pemerintah Jerman untuk mempromosikan komputerisasi manufaktur, Industri 4.0 merupakan industri yang menggabungkan teknologi otomatisasi dengan teknologi cyber. Ini merupakan tren otomatisasi dan pertukaran data dalam teknologi manufaktur, internet untuk segalanya atau Internet of Things. Industri 4.0 merupakan penggabungan teknologi fisik dan digital analatik (kecerdasan buatan) lebih tepatnya teknologi.
The Effect of the Increase in Population on the Unemployment Rate in Central Sulawesi Province Period 2018-2020
Authors: Salsabila Alya , Azaria Naura Sultania , Desmawan Deris
Published: May 2024

The manufacture of the journal is intended to meet one of the task of economic development courses with the lecturer Deris Desmawan, SE, M.Si. This study attempts to test the relationship between increase in the number of people with unemployment in central sulawesi province 2018-2020 a period of years. This research using secondary data, data sourced from BPS (Badan Pusat Statistik) , and research before discuss on a subject of same. In this research using two variables in this research of improved the population and unemployment, Technique the analysis used is using the regression equation is and the descriptive statistics. Research findings show that the variable an increase in the population of the against the number of unemployment have ties a correlation in which very strong and in line. The results can be seen from significance and testing shows the testing of hypotheses satisfactory results positive and significant
The Influence of Leadership, Motivation and Incentives on Employee Performance PT. Karya Teknik Utama
Authors: Maizar Maizar , Persada Indra Nara , Nabella Septa Diana
Published: May 2024

This study aims to determine the effect of leadership, motivation, and intensive on employee performance at pt karya teknik utama. The sampling technique in this study is a census, the entire population makes a sample of 72 people. Research instruments interviews and questionnaires. Data analysis using multiple regression tests, t tests, and f tests with spss version 23. The research results are as follows:  Leadership has a significant effect on the performance of employees of pt karya teknik utama with a t-count value for the leadership variable of 9.745 greater than the t-table of 1.662 and a significance value of 0.000 less than 0.05. Motivation has an effect and is significant on the performance of employees of pt karya teknik utama with a t-count value for the motivation variable of 3.353 greater than the t-table 1.662 and a significance value of 0.012 less than 0.05. Incentives have no effect and are insignificant to the performance of employees of pt karya teknik utama with a t-count value for incentives of 1.295 smaller than the t-table 1.662 and a significance value of 0.136 greater than 0.05. Leadership, motivation and incentives together have a significant effect on the performance of employees of pt karya teknik utama with an f-count value of 120,116 greater than the f-table of 2,48 and a significance level of 0.000 less than 0.05.