bluuebunny/crossref_metadata_2025 huggingface dataset:
Peran Suplementasi Vitamin D sebagai Terapi Tambahan pada Neuropati Diabetik: Sebuah Telaah Literatur
Authors: Wijaya Vincent Ongko , Pinzon Rizaldy Taslim , Paramitha Dessy
Published: July 2022

Pendahuluan.Neuropati diabetik merupakan salah satu komplikasi diabetes melitus dengan prevalensi hingga 50%. Penelitian terdahulu telah menunjukkan hubungan antara vitamin D terhadap regenerasi akson dan mielinisasi saraf. Beberapa studi juga telah melaporkan potensi suplementasi vitamin D sebagai terapi neuropati diabetik. Telaah literatur ini bertujuan untuk mengidentifikasi efek suplementasi vitamin D terhadap neuropati diabetik. Metode. Pencarian
literatur dilakukan di PubMed dengan mengikuti pedoman PRISMA. Artikel dipilih berdasarkan kata kunci yang tersedia, proses skrining abstrak dan ekstraksi data sesuai kriteria inklusi dan eksklusi. Setiap studi yang terpilih akan ditabulasi dan dinilai kualitasnya menggunakan rating OCEBM. Hasil. Pencarian literatur mendapatkan 4 studi prospektif suplementasi vitamin D sebagai terapi neuropati diabetik dengan total 375 pasien. Hasil analisis sistematis menunjukkan bahwa pada semua studi terdapat perbaikan signifikan luaran klinis (nyeri, pemeriksaan fisik) pada pasien neuropati diabetik di akhir studi. Selain itu, didapati pula
perbaikan parameter laboratorium berupa peningkatan kadar vitamin D dan penurunan nilai HbA1c di akhir masa studi dibandingkan dengan awal terapi.
Simpulan. Suplementasi vitamin D sebagai terapi tambahan pada pasien neuropati diabetik bermanfaat memperbaiki tingkat nyeri dan luaran klinis lainnya
termasuk parameter laboratorium.

 

Introduction Diabetic neuropathy is one of the complications of diabetes with 50% prevalence of up to 50%. A previous study shows a correlation between vitamin D with axon regeneration and nerve myelinization. There are also several reports on the potential of vitamin D supplements as a diabetic neuropathy treatment. This literature review is to identify the vitamin D supplementation effect for on diabetic neuropathy. Method. The literature search was conducted on PubMed according to PRISMA guidelines. Articles were chosen according to the available keywords. Abstract screening and data extraction were according to inclusion and exclusion criteria. Selected studies will be tabulated and assessed for quality according to the OCEBM rating criteria. Result. The literature search resulted in 4 prospective studies of vitamin D supplementation as a treatment for diabetic neuropathy with a total of 375 patients. A systematic analysis in all studies showed a significant improvement in clinical outcomes (pain, physical examination) of diabetic neuropathy patients at the end of the study. There were
also improvements in several laboratory parameters such as an increase in vitamin D levels and a decrease in HbA1c at the end of the study period compared to the beginning of the treatment. Conclusion. Vitamin D supplementation as adjunctive therapy in diabetic neuropathy patients is beneficial in improving pain levels and other clinical outcomes, including laboratory parameters.
Efek Suplementasi Vitamin D terhadap Perbaikan Klinis dan Laboratorium Pasien Penyakit Hati Kronik
Authors: Dewiastuti Marlina , Herardi Ryan
Published: July 2022

Sekitar 844 juta penduduk dunia menderita penyakit hati kronik yang dapat berkembang menjadi sirosis hati. Komplikasi penyakit hati kronik adalah keadaan malnutrisi dan defisiensi antara lain defisiensi vitamin D. Vitamin D merupakan vitamin larut dalam lemak yang disintesis di hati, sehingga penyakit hati berkaitan dengan defisiensi vitamin D, padahal vitamin D memiliki peran dalam pencegahan progresivitas penyakit hati. Beberapa penelitian mencoba suplementasi
vitamin D untuk perbaikan klinis dan laboratorium, serta mengurangi risiko kematian akibat penyakit hati. Telaah sistematis laporan kasus berbasis bukti ini tidak mendapatkan perbedaan hasil klinis antara suplementasi vitamin D dan plasebo, namun tidak ada efek samping serius pada suplementasi vitamin D. EASL menyarankan pemeriksaan kadar vitamin D dan suplementasi pada pasien dengan defisiensi vitamin D.

 

Around 844 million people worldwide have a chronic liver disease, which can progress to liver cirrhosis. Complications of chronic liver disease such as malnutrition and deficiency states, including vitamin D deficiency. Vitamin D is a fat-soluble vitamin synthesized in the liver, whereas vitamin D has a role in preventing the progression of liver disease. Several studies investigated vitamin D supplementation for clinical and laboratory improvement and reducing mortality from liver disease. This systematic review resulted in no clinical difference between vitamin D supplementation and placebo-treated subjects, but no serious side effects of vitamin D supplementation were observed.
K.H. Tubagus Ahmad Bakri Sempur’s Theological Thinking and Its Implications in Mashlahah Al-Islamiyyah Fi Ihkami Al-Tawhidiyyah
Authors: Kosasih Ade , Mahdi Sutiono , Fahrullah Tb. Ace
Published: July 2022

K.H. Tubagus Ahmad Bakri (died 1975) was a cleric in Sempur Village, Plered District, Purwakarta Regency, West Java. One form of his legacy is in the form of written works known as "nuqilan" or adaptations. One of them is Mashlahah Al-`Islamiyyah Fi `Ihkami Al-Tawhidiyyah (MIFIT) which specifically reveals thoughts on theological aspects in Islam. Uncovering patterns of theological thinking and religious teachings that can be applied in the lives of rural communities. This research uses the reception method, which is a critical study of the text and revealing the meanings contained in it. It is a qualitative method in whihch every sentence contained in the text is interpreted and connected with the reality of its implementation in everyday life in order to set an example to the audience, both students and society. The philological and textological studies of MIFIT critically produced the model of theological thinking that is very Ahlussunnah-centric by revealing the arguments of the Qur'an and the Prophet's Hadith as well as several Sunni scholars from the Middle East and the Indonesian Archipelago. The implications are at the level of practice of religious teachings in life which tend to be exclusive even though they prioritize tolerance.
Presentación
Authors: León Aguinaga Pablo , Sánchez Sánchez Esther M.
Published: July 2022

Los estudios sobre el factor internacional en la modernización de España durante el franquismo y la Guerra Fría han desatendido su incidencia en un sector clave: el de las Fuerzas Armadas y la industria de la defensa. Este dosier aborda la naturaleza, dinámicas y consecuencias de las relaciones en la materia con Estados Unidos, Francia y Alemania Occidental, la formación de miles de españoles en los programas de asistencia militar norteamericanos y la evolución de la enseñanza de idiomas en el Ejército de Tierra.
Mestizaje hispano-filipino a finales del siglo xviii: los hijos del marqués de Tabuérniga
Authors: Téllez Alarcia Diego
Published: July 2022

El objetivo de este trabajo es contribuir al conocimiento del fenómeno del mestizaje hispano-filipino a finales de la Edad Moderna. Para ello se analiza un caso de estudio desconocido: los hijos del aristócrata español Fernando Bracamonte Velaz de Medrano. Gracias a la documentación investigada en archivos españoles, británicos, filipinos y latinoamericanos se ha podido reconstruir su trayectoria vital. Como resultado de ello se añade evidencia científica sólida sobre este fenómeno tan poco conocido hasta la fecha por la historiografía.
Determination of the optimal frame length of digital television broadcasting
Authors: Nosov V. I. , Ladan A. S. , Zinovie M. V.
Published: July 2022

The paper proposes a simple method for determining the optimal frame length in the DVB-T2 standard based on simple and understandable formulas based on the sequence of processing user data in the DVB-T2 standard. There should always be an integer number of FEC blocks in a T2 frame, the remaining cells that do not make up an entire FEC block will be dummy cells as a rule and represent a speed loss. As a result, the total bit rate and the depth of interleaving in the smallest details depend on the exact number of OFDM characters, and consequently, the cells in the T2 frame.
Competencia comunicativa, oral y escrita, en estudiantes de ciencias de la salud de una universidad de Bogotá D. C., Colombia
Authors: Chaparro Serrano María Fernanda
Published: July 2022

La competencia comunicativa es un eje de la formación transversal. Este es el caso de los trabajadores del ámbito de la salud, que, como seres humanos, cuentan con un contexto personal, familiar y emocional en el que interactúan. El objetivo del presente artículo es identificar el nivel de competencia comunicativa en un grupo de estudiantes de tercero y sexto semestres de un programa de instrumentación quirúrgica de Bogotá. Para ello se realizó un diseño mixto en el que se aplicaron instrumentos de evaluación de las competencias comunicativas y se observaron los dos grupos del programa. Los principales hallazgos mostraron que la competencia de los dos grupos de estudiantes del programa fue aceptable. De acuerdo con esta denominación, el nivel de desempeño se considera estándar, lo que significa que hay errores en la comprensión lectora, la escritura y la oralidad, así como en la ortografía y el uso de signos de puntuación; además, la comprensión de conceptos es parcial en la comunicación verbal, no verbal y escrita. Se concluye que es importante considerar la inclusión de actividades en el aula que promuevan el desarrollo de la competencia comunicativa oral y escrita, considerando que el personal de salud necesita hablar con el paciente y el personal, así como realizar escritos a partir de reportes e informes.
Ecologías de aprendizaje de docentes de Ingeniería y Arquitectura. Análisis de las huellas biográficas
Authors: Souto-Seijo Alba , Estévez Iris , González-Sanmamed Mercedes
Published: July 2022

La investigación en torno a los procesos de socialización nos permite comprender cómo a través de la biografía se va configurando el desarrollo personal y profesional de los docentes, así como sus concepciones y sus pautas de actuación. Este estudio se centra en el análisis de las experiencias de vida, y su objetivo es identificar las influencias previas a la inducción profesional en el ámbito universitario que han contribuido significativamente a configurar las ecologías de los docentes excelentes de Ingeniería y Arquitectura. La investigación se ha desarrollado a través de la estrategia metodológica de estudio de caso. Mediante un muestreo de casos homogéneos se han seleccionado a los cinco mejores docentes de Ingeniería y Arquitectura de la Universidade da Coruña. La entrevista en profundidad ha sido la técnica de recogida de datos elegida. El análisis de contenido realizado ha permitido identificar las influencias de aprendizaje más significativas en su trayectoria personal, académica y profesional. Los resultados revelan que la imagen del buen docente, construida a lo largo de su itinerario como estudiantes, además de algunas experiencias profesionales previas, ha impulsado significativamente la adquisición de ciertas competencias pedagógicas que forman parte de su identidad docente y de su quehacer profesional en la actualidad.
Ten-Year Review of Paediatric Endocrine Disorders at Uniosun Teaching Hospital, Osogbo, Nigeria
Authors: Oluwayemi I O , Oyedeji O A , Adeniji E O , Afolabi A A , Ayeni T O
Published: July 2022

Background: Paediatric endocrinology is a nascent subspecialty in Nigeria.Previous reports suggest a poor awareness of paediatric endocrine disorders resulting in late presentation, missed diagnosis and unnecessary death.

Objectives: The study aims to report the prevalence of paediatric endocrine disorders at UNIOSUN Teaching Hospital (UTH) and to provide essential information to enhance early presentation and management.

Methods: This is a 10-year retrospective study of all children managed for paediatric endocrine disorders at UTH from March 2010 to March 2020. Relevant data were extracted from patients' records, entered into and analyzed with SPSS.

Results: Forty (0.42%) of 9,520 new consultations at UTH paediatric specialist clinic during the study period had endocrine disorders. There were 13 males and 27 females (M:F=1:2), with ages ranging from 1 month to 15.5years and 23 (57.5%) of them were under the age of 5 years. The four most common endocrine disorders were Rickets (45%), Diabetes (15%), Thyroid disorders (15%) and disorders of puberty (12.5%). There was a progressive yearly increase in the number of paediatric endocrine cases seen. At the time of this report, 34 (85%) of the patients were alive and doing very well, 5 (12.5%) has been lost to follow up and 1 (2.5%) mortality was recorded.

Conclusion: Rickets, diabetes, thyroid disorders and disorders of puberty are the four leading paediatric endocrine disorders seen at UTH. Attrition is a notable challenge in paediatric endocrine disorders. Reasons for attrition and ways to terminate these challenges need to be identified and put into practice.

Keywords: Diabetes; Nigeria; Paediatric; Rickets; awareness; endocrine disorders.
Haematological Changes Associated with Hepatitis B Virus Infection in Individuals with and without Sickle Cell Disease
Authors: Fasola F A , Babalola O A , Odaibo G N , Odetunde A , Alamukii N A , Ajayi D , Akpa O , Brown B J , Babalola C P , Falusi A G
Published: July 2022

Background: Hepatitis B virus infection, a major public health problem that primarily affects the liver, may cause reduction in the levels of haemoglobin, haematocrit and in the extreme, could cause aplastic anaemia. The haematological characteristics could be detected with a complete blood count which could provide invaluable information for diagnosis and management of the disease.

Aim: To determine the effect of HBV infection on the blood count of individuals with sickle cell disease (SCD) and apparently normal healthy (Non-SCD).

Setting: Non-SCD participants were recruited from the community while SCD patients in steady state were recruited from SCD routine clinics.

Methods: The study was a cross - sectional study carried out on 1017 non-SCD and 1017 SCD individuals. Haematology Autoanalyzer was used to determine the complete blood count. Granulocyte-to-lymphocyte ratio (GLR), platelet to white blood cell count ratio (PWR) and platelet-to-lymphocyte ratio (PLR) were calculated. ELISA for HBsAg and HBV core antigen IgM antibodies were used to identify participants with HBV.

Results: The non- SCD individuals infected with HBV had significantly higher WBC (7.51 ± 5.8 X109/L)) compared to a WBC (6.1 ± 3.4 X109/L) in uninfected individuals (p =0.001). PWR for HBV negative (49.9±28.6) was higher than that for HBV positive participants (41.4±17.6) (p=0.034). Mean platelet volume (MPV) of 9.93 ± 1.1fl in SCD individuals with HBV was significantly higher than 8.30 ± 0.95fl in SCD individuals without HBV (p=.001).

Conclusions: PWR and MPV may be useful as surrogate marker for detection of HBV disease progression in apparently normal healthy non - SCD and SCD populations to institute prompt appropriate ancillary investigation and treatment.

Keywords: Hepatitis B virus infection; Non-sickle celldisease; blood count; haematologicalparameters; sickle cell disease.
Prevalence of Molecular Markers of Plasmodium Falciparum Resistance to Proguanil and Pyrimethamine in Children with Haemoglobin Phenotypes SS and AA in Benin City, Nigeria
Authors: Enato I G , Sadoh A E , Ibadin O M , Odunvbun M E
Published: July 2022

Background: Chemoprophylaxis against Plasmodium falciparum (Pf) is advocated in children with sickle cell anaemia (SCA). Among them, antifolates: proguanil and pyrimethamine had replaced initial chemoprophylactic drugs because of widespread resistance. In recent past, efficacy of these antifolates has also come under scrutiny due to increasing level of drug resistance. Specific point mutations on Plasmodium falciparum dihydrofolate reductase gene (pfdhfr) have been linked with resistance to proguanil and pyrimethamine and they can be used as markers in monitoring prevalence and level of resistance to the drugs.

Objectives: To determine the prevalence of molecular markers of Plasmodium falciparum resistance to proguanil and pyrimethamine in children with SCA.

Methods: A total of 146 Plasmodium falciparum isolates (71 from children with SCA and 75 from those with Haemoglobin AA: HbAA) were evaluated for point mutations and mutant haplotypes on the pfdhfr gene using nested polymerase chain reaction amplification followed by direct sequencing.

Results: The triple (S108N+N51I+C59N) mutant haplotype was present in 100.0% and 96.0% of samples from children with SCA and HbAA respectively. S108T, A16V and 1164L mutationswere not present in both groups.

Conclusion: High prevalence of triple mutant haplotype mediates significant resistance to pyrimethamine and implies that pyrimethamine resistance is fixed in the study locale. However, the absence of pfdhfr S108T and A16V mutations, which indicate specific resistance to proguanil but not to pyrimethamine, suggests that proguanil is still useful even in the face of pyrimethamine resistance. The threat of proguanil resistance is however real due to high prevalence of the triple mutant pfdhfr haplotype.

Keywords: Drug-resistance; Molecular markers; Plasmodium falciparum; Proguanil; Pyrimethamine.
Multiple Blood Transfusion may contribute to Abnormal Liver and Endocrine Functions in Adults with Sickle Cell Anaemia
Authors: Adeyeye
Published: July 2022

Background: The study evaluated the effect of multiple blood transfusions on the prevalence of iron load and its effects on organ functions in patients with sickle cell anaemia (SCA).

Methodology: Sixty-seven multiply transfused SCA subjects and 58 non-multiply transfused SCA controls were investigated. Serum ferritin, insulin, growth hormone (GH), thyroid stimulating hormone (TSH), triiodothyronine (T3) and thyroxine (T4) were measured by the ELISA method while plasma alanine transaminase (ALT) was measured spectrophotometrically.

Results: The median serum ferritin level was 364.97 (142.5-579.3) ng/ml and that of ALT was 12.20 (7.4-16.7) IU/l in the subjects and were significantly higher compared with 115.31 (81.3-285.6) ng/ml and 7.74(5.9-9.9) IU/l obtained in the controls (p <0.001 in each case). TSH was significantly lower 1.45 (0.4-2.9) µIU/ml in subjects compared with 2.12 (0.7-3.6) µIU/ml obtained in the controls (p = 0.034). The mean values for T4 in the subjects was 10.19 ± 1.5 µg/dl and was significantly higher compared with that of the controls of 9.57 ± 1.5 µg/dl (p = 0.026). However, there were no significant differences in the mean values of T3, GH and Insulin between the cases and the controls. There was a strong correlation between serum ferritin level and the number of units of blood transfused in the subjects (r = 0.575, p < 0.001).

Conclusion: The study found high serum ferritin level in multiply transfused SCA patients and which also correlated with the number of blood units transfused.

Authors

O A Adeyeye 1, L Salawu 1 2
Paediatric Cardiac Anaesthesia at the Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria: The Hurdles, Struggles, and Successes
Authors: Adenekan
Published: July 2022

Background: Open-heart surgery started at the Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC) Ile-Ife, Nigeria, 5 years ago through partnership with foreign partners. This paper reviewed the difficulties facing the development of paediatric cardiac anaesthesia, the pattern, and the outcome of cases managed.

Methods: A review of the infrastructure, equipment, manpower and operational setup for open-heart surgery at OAUTHC was done. A retrospective study of all patients that were operated on from April 2016 to March 2021 was performed. Extracted data were analysed with Statistical Packages for the Social Scientists using descriptive statistics.

Results: A total of 102 patients had open-heart surgeries during the period under review by the various teams in a shared facility of the hospital's main theatre. Challenges with manpower, infrastructure, and supplies were major limitations to service delivery. Most of the patients (75.5%) were aged < 5 years. The commonest procedures performed were ventricular septal defect closure (31.4%), total correction of tetralogy of Fallot (26.5%), and atrial septal defect closure (9.8%). Fast-tracked anaesthesia was used always except where it was contraindicated. Most (76.7%) of the cases were extubated within 24 hours after surgery; the mean (SD) duration of ventilation in the ICU was 0.99 (1.2) days and the average length of ICU stay was 3 days. The overall mortality rate was 20.6%.

Conclusion: Numerous challenges confront the provision of sustainable paediatric cardiac anaesthesia services in resource-constrained settings like ours. Much can be achieved with appropriate investment in material and manpower, and partnership with experienced teams.

Authors

A T Adenekan 1, A M Owojuyigbe 1, O I Aaron 1, O O Ojo 2
Vitiligo in the City of Bukavu ( Democratic Republic of Congo)
Authors: Ngolo
Published: July 2022

Background: Vitiligo is a skin disorder characterized by selective loss of melanocytes resulting in circumscribed, depigmented macules and patches. Although it does not cause physical pain that warrants a patient to complain, its effects can be psychological, leading to stigmatization and suicidal ideation.

Patients and methods: We conducted a cross-sectional study with a descriptive aim over a period of one year and 8 months (February 1, 2019, to September 30, 2020). The patients attending the dermatology-venereology services of the University Clinics of Bukavu (CUB) and the Saint-Luc Clinic of Bukavu (CSLB) were recruited into the study. It focused on patients received in consultation for vitiligo. The diagnosis of vitiligo was made based on clinical examination and when in doubt, a skin biopsy was carried out to confirm histological diagnosis. The data were entered and analysed using Epi info3.5.1.

Results: The prevalence of vitiligo in this study was 2.0%. The mean age was 24.5 years and range from 6 months to 73 years. The age group most affected was 0 to 9 years with 41.9%. The female sex represented 61.3% and the M/F sex ratio was 1.5. Stress (12.9) and repeated trauma (6.5) were the most reported triggers. Family history was present in 29.0% of cases. Atopy (29.0%) and thyroiditis (9.7%) were the most common associated pathologies. Preferred lesion locations were the face (48.4%), external genitalia (41.9%) and extremities (22.6%). The predominant clinical form was non-segmental vitiligo (80.6%). Among the paraclinical examinations carried out, the inflammatory assessment was the most disturbed (9.7%).

Conclusion: Vitiligo is a dermatosis that can affect anyone; regardless of gender, age or race.

Authors

M Ngolo 1, P Yassa 2, B Ndayazi 3
Tramadol-Induced Acute Seizures: A Report of Three Cases
Authors: Fawale
Published: July 2022

There is a rise in substance abuse in Nigeria and prescription drugs, particularly opioid analgesics, which are increasingly becoming a target of abuse. Abuse of the opiod tramadol has the potential to precipitate seizures. We present 3 cases of tramadol-induced seizures presenting at Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife. The three patients were men, aged 22-40 years and abused other drugs including alcohol, cannabis and Rohypnol. This report illustrates the fact that tramadol abuse may be associated with acute seizures and it is reasonable to consider drug/opiod-induced seizure in every case of unexplained first episode of seizure in a young adult

Authors

M B Fawale 1, A A Adebowale 1, A O Idowu 1, S A Balogun 2, A A Sanusi 1, M A Komolafe 1
Early Experience of Laparoscopic Surgery in a Teaching Hospital in Rural Nigeria
Authors: Adumah
Published: July 2022

Introduction/background: Laparoscopic surgery is still at its budding phase in low resource countries. The reasons for this include poor financing of the health sector and lack of trained personnel. The aim of this article is to highlight our initial experiences, our challenges in setting up laparoscopic surgery in a private tertiary hospital in rural southwestern Nigeria, and to share our efforts towards alleviating these challenges.

Methodology: A retrospective analysis of all patient who had laparoscopic surgery between January 2019 and December 2020 at the Surgery Department of Babcock University Teaching Hospital, Ilisan, Ogun State was carried out. Their sociodemographic, preoperative and intraoperative data along with postoperative records were subjected to descriptive analysis.

Results: During the period, 19 patients had laparoscopic procedures: 12(63.2%) males and 7 (36.8%) females with age ranging from 4 to 63years. The most common indication for laparoscopic surgery was appendicitis, representing 84.2% of the procedures. Most of the procedures were done on emergency basis (63.1%) while 36.9% were elective procedures. All the procedures were therapeutic though in 21.1% we started with diagnostic intent but intra-operatively we proceed to therapeutic procedure following confirmation of the diagnosis. The duration of the procedures ranged from 40 minutes to 107 minutes with a mean duration of 74.8±19 minutes. No intra or post operative complications were recorded in this cohort of patients. The mean duration of hospital stay was 2 days.

Conclusion: Laparoscopic surgery is safe and feasible in low resource setting. We recommend that centers embarking on laparoscopic surgeries should start with diagnostic procedures and gradually incorporate therapeutic procedures as they improve in proficiency.

Author

C C Adumah 1, A O Mosanya 1, O F Salami 2, O K Apata 1, I O Ogundele 1, E C Onuoha 1
Violencia hacia la mujer durante la pandemia por COVID-19: escenario de América del Sur
Authors: Valenzuela Carvajal Karla , Venegas Florencia , Sandoval Olate Valentina , Soto Salazar Carolina
Published: July 2022

Objetivos: El presente estudio tiene como objetivo desarrollar un catastro sobre violencia contra la mujer en los países latinoamericanos, que incluya tanto indicadores sobre los niveles de violencia en pandemia, como las estrategias implementadas por los gobiernos para abordarla. Metodología: Se incluyó información de Argentina, Bolivia, Chile, Paraguay, Perú, Uruguay, Colombia y Ecuador. Se consideraron variables cualitativas y cuantitativas por país. Los niveles de violencia contra la mujer se midieron a través de la cantidad de femicidios, denuncias por violencia doméstica y llamadas a líneas de apoyo. Las estrategias abordadas por país se sintetizaron de forma cualitativa. Se utilizaron como fuentes de información policías nacionales, fscalías de gobierno y prensa, priorizando fuentes ofciales de los países. La información recolectada de cada variable fue registrada en una planilla, y luego se realizó una comparación por país entre el periodo marzo a junio de 2019 y mismo periodo del 2020. Resultados: Se obtuvo información para el total de las variables seleccionadas, con excepción de las cifras de llamadas a líneas de apoyo para mujeres víctimas de violencia. Durante la pandemia, se evidencia un aumento de los llamados para solicitar orientación por violencia contra la mujer en todos los países estudiados con datos al respecto, con aumentos registrados de hasta un 150%, y una disminución de las denuncias de violencia intrafamiliar en la gran mayoría de los países, exceptuando Perú y Paraguay. También, se observó una disminución de las cifras de femicidio en todos los países en estudio, según la defnición de cada país. En cuanto a las estrategias, la mayoría de los países adoptaron medidas centradas en las acciones específcas o directas hacia la mujer. Conclusiones: Este estudio muestra un aumento de las expresiones de violencia hacia la mujer durante la pandemia, grafcado por el aumento de las llamadas telefónicas a líneas de apoyo, a pesar de que se observa una disminución de las denuncias por violencia doméstica en algunos países, atribuibles a las medidas de aislamiento social. Frente a esto, es urgente incluir la perspectiva de género en el abordaje sanitario y generar estrategias coordinadas y efectivas para prevenir y disminuir los efectos de la violencia. Por otro lado, el estudio evidencia la necesidad de contar con un registro único confable y actualizado por país, que permita monitorizar la situación comparativamente y generar estrategias coordinadas.
Trato social a sobrevivientes de campos de concentración alemanes en la Europa de postguerra y el síndrome de KZ
Authors: Riquelme U. Horacio
Published: July 2022

Este artículo enfoca experiencias límites de prisioneros en campos de concentración alemanes [KZ] y sus efectos psicosociales en base a las preguntas centrales: 1.- ¿Son ellas asequibles a la comprensión de personas de otros ambitos y otros tiempos? y ¿Cuan específco es el síndrome del campo de concentración [SCC]? 2.- ¿Cuales han sido las respuestas sociales y psicoterapéuticas a las diversas formas de aparición (temprana, media y tardía) del síndrome en los diversos países? y 3.- ¿Cual fue el trato social a sobrevivientes de campos de concentración alemanes en los diversos países de la Europa de postguerra? Introduce al micro mundo del KZ en sus condiciones existenciales, presentando experiencias documentadas en Alemania Occidental, Francia, Hungría, Noruega y Polonia. Realiza un estudio comparativo acerca del trato a los afectados por la situación límite del campo de concentración nacionalsocialista. Su interés de conocimiento es reactualizar la percepción de los efectos patológicos del KZ en el contexto europeo y así ayudar a comprender la situación actual en otros confnes incluyendo a América Latina y a crear instrumentos clínicos de abordaje y políticas de salud pública enfocadas al dano provocado por la acción represiva de gobiernos autoritarios.
¿Las creencias y el uso de la medicina alternativa y complementaria afectan la decisión de consultar la medicina científca? Estudio de las variables socioculturales en la comuna de Paihuano
Authors: Seguel Felipe , Cruz Pia , Seguel Natalia , González Diego
Published: July 2022

Las variables socioculturales y creencias específicas de cada persona dan una validez contextual y relativa del saber, por tanto, son elementos influyentes en relación al concepto de salud física o mental. Se realizó un estudio descriptivo de corte transversal, con el objetivo de conocer la influencia de los factores socioculturales en la consulta de la medicina científica en la comuna de Paihuano, aplicando una encuesta que recogió información sobre las características sociodemográficas, uso de terapia alternativa y complementaria (MAC) y creencias en mayores de 15 a os. El 74.7% de los encuestados respondió que el uso de MAC no afecta la decisión de consultar la medicina científica, el 71.9% contestó que sus creencias no afectan la decisión de consultar la medicina científica y un 75.5% re ere que la medicina científica y la MAC son complementarias. Al realizar el análisis de varianza respecto de las variables mencionadas, estratificadas por edad, religión,  educación y percepción de salud nos dan una probabilidad de 0.984, 0.998, 0.994 y 0.996 respectivamente con un valor crítico de F de Fisher que no se cumple en ninguno de los casos, lo que sugiere que las creencias y el uso de MAC no afectan la decisión de consultar la medicina científica en la comuna de Paihuano.
Experiential Media and Transforming Storytelling: a Theoretical Analysis
Authors:   Rutgers University, Pavlik John V.
Published: July 2022

Journalism and media content rests on a foundation of storytelling. Shaping this storytelling is the quality of the medium of content delivery and the nature of public engagement. With the development of digital, networked media, the audience’s role is transforming to be more of an active user who experiences stories as a participant rather than as a passive receiver of content. This article proposes a new model of experiential media based on six primary qualities of the digital environment. These qualities are 1) interactivity, 2) immersion, 3) multisensory presentation, 4) algorithmic and data-driven, 5) first-person perspective, and 6) a natural user interface. Augmented reality and virtual reality are among the most-widely discussed experiential media forms, but others include, for instance, advanced ultra-high-definition video. Experiential media bring implications for the nature, production, impact and the future of mediated storytelling.
Didactic strategy to increase knowledge of the clinical method in genetics
Authors: Morales Peralta Estela , Álvarez Fornaris Miguel Alfonso , Lardoeyt Ferrer Roberto
Published: July 2022

Introduction: the current challenges of Clinical Genetics include the integration into medical practice of the fundamental tools that constitute the diagnostic process, with the basic knowledge of the specialty. However, in training professionals, there is a tendency to prioritize the application of technology. Objective: to increase the knowledge that supports the application of the clinical method in residents of Clinical Genetics.Methods: a quasi-experimental study of longitudinal strategy, educational intervention type (before and after design) was carried out with 25 resident physicians of Clinical Genetics, who gave their consent to participate. Two equivalent instruments were applied, validated by expert criteria, which consisted of five forced choice questions, true and false type, where knowledge necessary for the diagnosis related to Medelian inheritance, congenital defects, molecular genetics, dysmorphic signs and diagnostic tools were explored. Mac Nemar's Chi-square was applied for dichotomous nominal qualitative variables in related or paired samples with a significance level of 0,05, in order to demonstrate the impact of the intervention on each of the evaluated topics. The educational intervention consisted of an interactive talk. Results: it was found that with the educational intervention the knowledge related to dysmorphic signs and diagnostic tools increased statistically significantly. Conclusion: the educational intervention raised the level of knowledge on the subject of dysmorphic signs, as well as on diagnostic tools
AELI® KINETEST and Bioneuroemotion applied to multiple sclerosis, a case report
Authors: Valdés Izquierdo Libertad E , Herrera Wainshtok Ana Claribel , Varela Rodríguez Lidia Ahymé
Published: July 2022

Introduction: multiple sclerosis (MS) is an inflammatory and demyelinating disease of the central nervous system that mainly affects young adults. The clinical course of MS is markedly variable; its clinical manifestation is also very heterogeneous in symptoms and signs. Therefore, health professionals, in addition to individualized pharmacological treatment, are approaching new integrative approaches by taking into account other aspects of the individual. AELI® KINETEST and Bioneuroemotion offer another approach to MS treatment.
Case report: 36-year-old male patient with a history of MS diagnosed 4 years ago, symptomatic since one year before. He came for consultation with pain in the Achilles tendon and difficulty in maintaining the standing position for extended hours. Among the procedures used, time line protocol, transgenerational analysis and AELI® KINETEST protocol were performed, achieving symptomatic relief with imaging correlation.
Conclusions: in this patient with a diagnosis of MS, program conflict with the help of muscle testing is required with satisfactory evolution
AELI® KINETEST vinculated to the clinical method
Authors: Valdés Izquierdo Libertad E. , Varela Rodríguez Lidia Ahymé , Herrera Wainshtok Ana Claribel
Published: July 2022

Introduction: kinesiology is a system that attempts to evaluate numerous aspects of structural, chemical and mental health through manual muscle testing combined with other standard diagnostic methods. AELI® is a methodology that synthesizes, with its own protocol, scientifically proven methods using the arm reflex muscle test as the main tool, thus complementing the clinical record that is performed in conventional medicine by applying the clinical method, allowing prevention, diagnosis and treatment of the human being in its interrelationship with people, animals and plants, and habitat in general.
Objective: to describe the contribution of AELI® KINETEST teaching to the clinical method.
Development: the clinical method consists of 5 stages: Formulation of the problem, search for information, formulation of the hypothesis, contrast and verification of the diagnosis, organized steps that every attending physician applies in the search for the diagnosis in each of his patients. By means of the application of AELI® KINETEST, all the stages of the clinical method are favored, of which in the Clinical Propedeutics and Medical Semiology subject, the first three have protagonism, through the contribution in the information in the anamnesis both proximate and remote and the physical examination in the clinical file, allowing the analysis of the patient from the biopsychosocial point of view, recognizing the fair role that emotions deserve in the life of a human being
Tahapan Perkembangan Obyek Wisata di Hutan Lindung dalam Program Pemberdayaan Masyarakat
Authors: Astika Widiyanti  , Dwita Hadi Rahmi
Published: July 2022

Pengelolaan wanawisata di Resort Pengelolaam Hutan (RPH) Mangunan mengalami perkembangan yang pesat sejak dilakukan dibuka secara resmi pada Januari 2017. Perkembangan yang pesat tersebut belum terjadi secara merata pada semua obyek wisata di RPH Mangunan, sehingga perlu diketahui tahapan perkembangan pada setiap obyek wisata sebagai dasar untuk merumuskan strategi pengelolaan yang tepat sesuai dengan kondisi pada masing-masing obyek wisata. Penelitian ini bertujuan untuk menyajikan tahapan perkembangan yang telah dicapai oleh kesepuluh obyek wisata yang ada di RPH Mangunan sampai dengan tahun 2021 serta menganalis faktor yang menyebabkan terjadinya perbedaan perkembangan pada kesepuluh obyek wisata tersebut. Data dikumpulkan melalui observasi lapangan, wawancara, dan kuisioner untuk kemudian dianalisis dengan metode campuran. Hasil penelitian menemukan bahwa tahapan perkembangan pada kesepuluh obyek wisata di RPH Mangunan berbeda-beda. Adanya perbedaan tahapan perkembangan tersebut disebabkan oleh faktor ketersedian dan kondisi daya tarik, aksesibilitas, ketersediaan dan kondisi fasilitas wisata, kualitas SDM pengelola, keharmonisan organisasi pengelola, motivasi ekonomi pengelola, inovasi yang dilakukan pengelola, jumlah wisatawan, motivasi wisatawan, promosi, dan kerjasama dengan pihak lain. Hasil penelitian ini menunjukan bahwa pengembangan obyek wisata di RPH Mangunan memerlukan dukungan dari berbagai pihak terutama obyek wisata yang berada pada tahap decline agar tujuan dari pemberdayaan masyarakat dapat dicapai.
Intersetorialidade e qualidades humanas na educação do século XXI
Authors: Ramos Mozart Neves , Ponti Mayra Antonelli , Narita Felipe Ziotti
Published: July 2022

Mozart Neves Ramos realizou doutorado em Química na UNICAMP e pós-doutorado na Escola Politécnica de Milão (Itália). Foi professor e reitor (1996-2003) da UFPE e secretário de educação de Pernambuco (2003-2006). É autor dos livros Educação brasileira: uma agenda inadiável (2015), Educação sustentável (2006), A urgência da educação (2011) e Sem educação não haverá futuro (2019). Titular da Cátedra Sérgio Henrique Ferreira do Instituto de Estudos Avançados da USP. Foi agraciado com as comendas Personalidade das Artes, Ciências e Letras da França (2006), Educador Internacional do Ano – IBC Cambridge (2005) e a Ordem do Mérito da República Italiana (2002). As perguntas foram organizadas por Mayra Antonelli Ponti e Felipe Ziotti Narita. A entrevista foi realizada presencialmente, no IEA-USP, de modo que decidimos manter a oralidade da fala. A transcrição do material foi feita por Gabrielle Linares Ribeiro Luiz.
The Effect of Range of Motion Exercise to Improve Muscle Strength on Physical Mobility Barriers in Osteoarthritis Patient
Authors: Ihwansyah Ulif , Adriani Prasanti , Puji Putranti Dwi
Published: July 2022

Objective: To determine the effect of ROM activity therapy to increase muscle strength on physical mobility barriers in osteoarthritis cases.
Methods: This case study uses descriptive methods to describe assessment, data analysis, nursing plans, interventions, implementation, evaluation by describing cases and using a nursing process approach so that it focuses on one of the important problems of osteoarthritis. Assessment is done by history taking and observation. Nursing diagnoses are determined by NANDA, while nursing plans are adjusted to interventions in the Nursing Intervention Classification (NIC), implementation is carried out according to nursing care plans that have been prepared, and nursing evaluations are documented using the SOAP model.
Results: The results of the evaluation were carried out within a period of 3 days, the intervention given with range of motion activity therapy had an effect in increasing lower extremity muscle strength. The patient cannot move freely and has difficulty carrying out activities, for that the authors design an intervention especially to increase muscle strength and after implementation the patient can perform optimal movements.
Conclusion: It was concluded that the effect of ROM activity therapy to increase muscle strength on physical mobility barriers in cases of osteoarthritis. It can be seen from the results of the research evaluation that range of motion exercises before and after can have a major influence in increasing muscle strength.
The Correlation of Dietary Habit with Incidence of Gastritis
Authors: Fitriani Ade , Silvia Nurislami Ajeng , Lismayanti Lilis , Hidayat Nur
Published: July 2022

Objective: The purpose of this study was to determine the relationship between diet and the incidence of gastritis in adolescents at Madrasah Aliyah Negeri 2 Ciamis (MAN 2 Ciamis), Ciamis Regency, West Java.
Method: The research desain used in this study is an analytical survey, to find the relationship between diet and the incidence of gastritis in adolescents, it is carried out with a cross sectional approach. The population used in this study were all teenagers consisting of class X students with a total population of 62 people. The total sample used is 56 people. The sampling technique used is purposive sampling, which is the sampling of data sources with the consideration of 56 respondents. To find the relationship between the two variables, the SPSS TEST was used to obtain the results of the chi-square test with a 95% confidence level and presented in the form of tables and narratives.
Result: In this study, as many as (67.9%) adolescents with poor dietary habits experienced more gastritis than those who did not experience gastritis (32.1%) and The results of the non-parametric chi square test showed a large number of values = 0.000 < 0.05 which stated that there was a significant relationship between diet and the incidence of gastritis in adolescents.
Conclusion: There is relationship between dietary habits and the incidence of gastritis in adolescents at MAN 2 CIAMIS.
Implementation of Chest Physiotherapy in Children with Tuberculosis to Manage Ineffective Airway Clearance
Authors: Khikmatul Aeni Nita , Murniati
Published: July 2022

Objective: This case study aims to describe the nursing care process and analyze the administration of chest physiotherapy to treat ineffective airway clearance in children diagnosed with tuberculosis.
Method: This research is a case study research using random sampling technique for the sampling process. The samples used were children diagnosed with tuberculosis, being hospitalized, and experiencing ineffective airway clearance. The study was conducted in March 2022. Data collection used a nursing assessment format for children, a physical examination format, and an interview guide format. The nursing care process is carried out from the initial stage of assessment to evaluation.
Result: The main complaint expressed was a fever that went up and down, often felt nauseated, coughed up phlegm that was difficult to expel. The data findings showed wheezing, cyanotic skin color, and an increase in respiratory rate and pulse. The patient experiences ineffective airway clearance. Effective chest and cough physiotherapy interventions were given for 3 days during the treatment period and showed that the results of walking clearance were not effectively resolved. This condition is seen from the phlegm that has come out, there are no additional breath sounds, the respiratory rate and pulse are within normal limits.
Conclusion: The provision of effective chest physiotherapy and coughing interventions proved to be able to overcome ineffective airway clearance. Research recommendations to be able to combine alternative non-pharmacological techniques in overcoming ineffective airway clearance in children, especially with tuberculosis.
Kitabo Verin ê Hikayeyanê Zazaki Cer Hard Cor Asmen Ser yo Etud
Authors: DAĞILMA İbrahim , AVCI Elif
Published: July 2022

Hikâye, modern türler içinde sayılır ve ‘olmuş veya olması mümkün olan olayları edebi bir üslupla kısa anlatmak’ olarak tanımlanır. Günümüzde hikâye olarak bilinen kısa olay anlatılı bu tür, klasik dönemlerde ‘destan, menkıbe, kıssa, rivayet, menkıbe ve mesele’ gibi isimlerle bilinen olay anlatılı türlerin devamıdır. Modern edebiyatlarda ilk örneklerin verilmesinde hikâye, etkili bir tür olmuştur. Modern Zaza edebiyatta da ilk örnekler çoğunlukla hikâye şeklinde kaleme alınmıştır. Zaza edebiyatı siyasi baskılar ve toplumsal nedenlere bağlı ilk örneklerini geç bir tarihte verir. Zaza edebiyatında ilk hikâye örneği 1963’te Roja Newe adlı gazetede yayımlanan Macera î Silêmonî Gince adlı hikâyedir. 1979’tan itibaren belirgin olmaya başlayan bu edebiyatta diasporadaki kişilerin gayreti önemlidir. Bu dönemde dergiler, modern Zaza edebiyatının oluşum, ilerleme, bilinme ve vitrine çıkmasında önemli bir rol üstlenir. Tirej, Çıra, Hevi, Kormışkan, Ayre, Piya, Vate, Şewçıla ve Vir gibi dergiler bu bağlamda akla gelen birkaç dergidir. Modern Zaza edebiyatında şiir, hikâye, roman, tiyatro, deneme, anı, biyografi ve mizah gibi modern türlerde 1990’dan bu yana 30 yıl gibi kısa bir sürede 200’den fazla eser yazılmıştır. Bu eserler içinde hikâye kitabları önemli bir yer tutmaktadır. Zazaca olarak yazılan ilk hikâye kitabı Kemal Astare’nin Cer Hard Cor Asmen adlı kitabıdır. Bu çalışmada bu hikâye kitabı inceleme yöntemiyle ele alınacaktır.
Çolig dı Kulturê Zewac u Veyveyi
Authors: BOR Abdulkerim
Published: July 2022

Özet
İhmal edilen kültürler yavaş yavaş değişir ve bir süre sonra ortadan kalkar. Bu çalışmada Bingöl’de yaşayan Zazaların evlilik ve düğün adet/geleneği nasıl olmakta ve hangi aşamalardan geçmektedir, bunu gözler önüne sermek amaçlanmıştır. Çeşitli kısıtlama, standart alfabe sorunu ve Zazaca’nın okullarda formal bir öğretiminin olmayışı nedeniyle; bu dil ve kültüre ait yazılı eserlerin mevcudu arzulanan düzeyde değildir. Küreselleşmenin de etkisiyle Zazaların gelenek ve görenekleri unutulmakta ve yeni nesillere bu kültürel sermaye aktarılamamaktadır.

Çalışmada öncelikle on soru çerçevesinde Bingöl’deki evlilik ve düğün kültürü tanıtılmaya çalışılmıştır. Evlilik zamanı, aşık olma, söz alma, kız kaçırma, kız isteme, başlık parası, nişan, çeyiz, kına gecesi, nikah kıyma ve düğün gecesi gibi konular hakkında açıklayıcı bilgiler verilmiştir.

Daha sonra evlilik ve düğün terminolojisiyle ilgili bazı sözcükler açıklanarak izah edilmeye çalışılmıştır. Evlilik kültürüyle ilgili bazı önemli terimler ve düğün esnasında yepılagelen bazı ritüeller açıklanmıştır. Bu adetler yer yer değişse de halen köysel ve kentsel yaşamda varlığını sürdürmektedir. Son olarak ise akrabalık terminolojisinden bahs edilmiştir. Çünkü evlilik sonrası kız tarafı ve erkek tarafı arasında bir akrabalık ilişkisi oluşmaktadır. Burada amaç oluşan bu akrabalık ilişkisiyle meydana gelen terminolojiyi kavramaktır.