bluuebunny/crossref_metadata_2025 huggingface dataset:
New/Old Idea of Man in Urban Religious Communities of a New Type
Authors: Ryazanova S. V.
Published: December 2023

The purpose of the article is to establish the specificities of the formation of ideas about a person within the framework of the activities of the new urban religious communities of the Kama region, namely the Intercession Monastery and the Family of God. These communities combine features of folk religiosity, new religious movements, and the so-called historical sects. Such eclecticism makes it impossible to apply to the communities the established research apparatus for new religious movements (NRMs), formed by Western (B. Wilson, D. Stone, A. Barker) and Russian (L. N. Mitrokhin, E. A. Balagushkin, I. Kanterov and others) researchers and substantiates the need for this study conducted from both a different perspective and involving new research methodology. Both communities act as a closed community, which is expressed in the territorial and communication isolation of the residents of the communal estate, the practice of internal labor duties, and the idea of the group as a family. The study is based on interviews and correspondence with former members of both communities, analysis of materials from a closed group on a social network, and recordings of classes conducted by one of the group leaders. The theoretical basis of the work was K. Dobellard’s concept of the so-called patchwork religiosity, characteristic of an individual’s attitude towards religion in modern culture. The image of a person in both communities is constructed at two levels: through making changes to the traditional Christian idea of a person and at the level of religious and near-religious activities. It has been shown that innovations related to faith include the idea of a special status of community members compared to other people, as well as provisions about their special role in the struggle to save the world. The religious activities of the groups involve conducting adjusted Christian rituals (baptism, wedding), elements of mystical experience (mental struggle with evil and enemies in the Intercession Monastery), training seminars and sermons justifying the special role of followers of the teaching in society. Social interaction within communities is built on a strict selection of monks, leader control over the behavior of group members, a system of specific penalties, including ignoring offenders, public repentance, burial alive and expulsion from the brotherhood. The study concludes that the so-called new religious movements are in reality examples of traditional religious sects observed in Russia over the centuries. Their values, behavior, and the image of the person are archaic, however they also include additional external elements of secular culture.
Assessing the Reasons for Motivation of Patients Seeking Minimally Invasive Cosmetic Procedures in Saudi Arabia
Authors: Alzahrani Layan , Alhussaini Omar , Alkhaldi Mohammed , Zubaidi Ghuzlan , Albassam Faisal , AlQout Maraam , Alkhaldi Monera , Alanazi Majed
Published: December 2023

Background: Humans have always sought self-fulfillment by improving their appearance. Cosmetic operations increased in number to fill this need. The study aimed to assess the reasons for the motivation of patients seeking minimal invasive cosmetic procedures.
Methods and material: A cross-sectional study was conducted from June to May in Saudi Arabia. The questionnaire was adapted from another study. The data was cleaned, coded, and entered using SPSS. Proportions were calculated and bivariate. Data were tested by the suitable test of significance.
Results: Out of 1026 participants, 87% were females and 13% were males. 56.8% of participants were 18-24 years old. Almost half of the participants had a major change in professional or personal life in the last year, but this was not significant with having the motivation to seek minimally invasive cosmetic procedures (P= 0.767). Out of the responders,41.7% and 21.9% think that cosmetic treatment will moderately or significantly affect their appearance. The most received cosmetic treatments were dermal filler replacement and Botox, 30.2% and 20.6% respectively. The mostly aged facial features were eyes related or around the eyes in 64.1% and neck related in 13.7%. History of prior facial cosmetic procedures was found in 11.4%. The most expected complications of Botox were bruises in 65.3%. The most expected complication of dermal filler was swelling at 69.9%.
Conclusion: Our study found that middle-aged women were the most to undergo a cosmetic procedure. Most of the responders that were treated had learned about the treatments online. Social media was most frequently used by our patients.
EVALUATION OF THE FREQUENT APPLICATIONS TO AN UNIVERSITY HOSPITAL EMERGENCY DEPARTMENT: A 1-YEAR REVIEW
Authors: KÜPÇÜK Ogün , TATLI Özgür , ÖZER Vildan , ŞİMŞEK Perihan , GÜNDÜZ Abdulkadir
Published: December 2023

Objective: Frequent use of emergency departments is an important problem that leads to decreased service quality and increased health costs in these departments. In the present study, the purpose was to analyze the demographic and clinical characteristics of “frequent users’ in applications to emergency departments.

Material and Methods: In the study, the records of patients, who were aged 18 years and older and who applied to the emergency department of a university hospital in 2016, were analyzed retrospectively. Those who applied to the emergency department between 4 and 9 times were defined as “Low ED Users’, and those who applied for 10 or more were defined as “High ED Users’.

Results: In 1 year, a total of 86.287 applications were made to the emergency department by 54.258 patients, during which 5.26% (n=2859) of those who applied to the emergency department applied 4-9 times (Low ED Users) and 0.29% (n=162) applied 10 or more times (High ED Users). Applications made by frequent users (n=16.277) constituted 18.8% of all applications in a year. The most common reason for frequent users’ admission was upper respiratory tract infections and 44.3% of the frequent user referrals were young patients who were under the age of 30. It was found that the patients in the High ED Users group underwent more examination and treatment than the Low ED Users group, and the hospitalization rates were higher in the High ED Users group (p
YOĞUN BAKIM ÜNİTESİNDEN İZOLE EDİLEN KARBAPENEM DİRENÇLİ PSEUDOMONAS VE KLEBSİELLA SUŞLARININ SEFTAZİDİM/AVİBAKTAM DUYARLILIKLARININ SAPTANMASI
Authors: TUNA Ayşegül , BULUT Hatice
Published: December 2023

Amaç: Giderek artan antibiyotik direnci ile, Pseudomonas aeruginosa ve Klebsiella spp. gibi gram negatif patojenlerin tedavisi zorlaşmakta, mortalite ve morbidite artmaktadır. Bu nedenle dirençli suşlara etkili olabilecek yeni antibiyotikler geliştirilmektedir. Seftazidim/avibaktamın serin karbapenemaz üreten Gram negatif bakterilerde etkinliği kanıtlanmıştır. Bu çalışmada yoğun bakımdaki hastalardan izole edilen karbapenem dirençli Pseudomonas aeruginosa ve Klebsiella spp. suşlarında seftazidim/avibaktam, aminoglikozid (amikasin) ve florokinolon (siprofloksasin) duyarlılığının değerlendirilmesi amaçlanmıştır.

Gereç ve Yöntemler: Eylül 2022-Haziran 2023 tarihleri arasında yoğun bakım ünitesinde yatan hastalardan izole edilen Klebsiella spp. ve Pseudomonas spp. suşlarından karbapenem dirençli olan 43 izolat çalışmaya dahil edildi. Disk diffüzyon testi ile seftazidim/avibaktam duyarlılıklarına bakıldı. European Committee on Antimicrobial Susceptibility Testing kriterlerine göre yorumlandı. İstatistiksel analiz için the statistical package for the Social Sciences version 24.0 (IBM SPSS Inc, Chicago) kullanıldı.

Bulgular: Karbapenem dirençli 33 Klebsiella spp. ve 10 Pseudomonas spp. suşunun tümünde seftazidim/avibaktam duyarlılığı saptandı. Klebsiella spp. ve Pseudomonas spp. suşlarında aminoglikozit (amikasin) direnci sırasıyla %42.4 ve %50, florokinolon (siprofloksasin) direnci ise sırasıyla %6 ve %40 olarak belirlendi.

Sonuç: Komplike üriner sistem enfeksiyonu, komplike intraabdominal enfeksiyonlar, sağlık bakımı ilişkili pnömoni ve ventilatör ilişkili pnömonilerin tedavisinde kullanımı önerilen seftazidim/avibaktamın çalışmamızda saptanan duyarlılık paterni nedeniyle karbapenemaz üreten suşlarda (metallobetalaktamazlar hariç) birincil tedavi seçeneği olması önerilmektedir.
COMPLAINT OF SPEECH DISORDER IN FAMILY PRACTICE: A RARE CASE HEMANGIOMA OF THE TONGUE
Authors: AYDEMİR Hacı Ahmet
Published: December 2023

Hemangiomas are the most common benign tumors of the head and neck region, but are rarely seen in the oral cavity. Tongue localized hemangiomas are encountered in 7.8% of cases. Depending on their size, hemangiomas located on the tongue can cause recurrent spontaneous bleeding, pain, speech and chewing disorders and shortness of breath. In this article, a case of hemangioma of the tongue characterized by speech disorder in a 7-year-old boy who presented to our family medicine outpatient clinic is presented and discussed in the light of the literature.
DETECTION OF EPSTEIN-BARR VIRUS GENOME IN PEDIATRIC PATIENTS WITH LEUKEMIA AND HODGKIN LYMPHOMA: VIRAL ETIOLOGY IN PEDIATRIC CANCERS IN TÜRKİYE
Authors: KÖKSAL Yasin , AZKUR Ahmet Kürşat , AKSOY Emel , ÖZGÜNER Habibe Meltem
Published: December 2023

Objective: Cancer is a pervasive disease characterized by its widespread occurrence and challenging treatment process. While numerous agents, including viruses, have been identified as potential causes of cancer in both adults and children, the complete pathogenesis of cancers remains incompletely elucidated. This study aimed to examine the presence of four viral agents, namely Human T-cell Lymphotropic Virus Type 1 (HTLV-1), Epstein-Barr Virus (EBV), Kaposi's Sarcoma- Associated Herpesvirus (KSHV), and Human Parvovirus B19 (HPV B19), in blood samples obtained from pediatric patients (n=64) diagnosed with B cell acute lymphoblastic leukemia (ALL), T cell ALL, Hodgkin lymphoma, and patients with relapsed leukemia and lymphoma.

Material and Methods: The whole blood samples collected from the patients during the pre-treatment and post-treatment periods underwent polymerase chain reaction (PCR) and real- time PCR to identify the presence of the viral genomes of HTLV-1, EBV, KSHV, and HPV B19. The samples that tested positive were subsequently subjected to Sanger sequencing, followed by phylogenetic analysis.

Results: Among a total of 64 samples analyzed, HTLV-1, KSHV, and HPV B19 were found to be negative. However, EBV genome was detected in six samples (9.37%) from patients with ALL and Hodgkin lymphoma, comprising both pre- treatment (n=3) and post-treatment (n=3) cases. Subsequent sequencing and alignment of the positive EBV samples with other EBV sequences deposited in GenBank revealed a high degree of similarity.

Conclusion: Our findings suggest that EBV may be one of the viral agents implicated in pediatric cancer cases involving leukemia and Hodgkin lymphoma. Therefore, it is recommended to consider testing for the presence of EBV genome in these patient populations within the context of Türkiye. This information contributes to a better understanding of the viral etiology underlying pediatric cancers, enabling the development of targeted diagnostic and therapeutic strategies in the future.
Instrumentos legais para a gestão e o planejamento territorial de Roraima: Legislação Federal e Estadual
Authors: Martins Cintia de Castro Garcia , Santos Francisco Pinto dos , Pinheiro Ronald Brasil
Published: December 2023

A gestão do território é um processo que envolve o planejamento e a tomada de decisão sobre o uso da terra e de seus recursos, considerando as suas características, potencialidades e restrições, bem como a vocação do território e da população residente. Um processo indispensável ao considerar que o território está submetido a uma ampla e intensa ocupação que coloca em conflito os interesses econômicos e as relações entre a sociedade e os grupos sociais, bem como o uso dos serviços ecossistêmicos. Diante desse cenário complexo, é que os autores planejaram escrever o presente livro, considerando experiências que somam mais de 20 anos de atuação na área, no intuito de trazer mais clareza à tomada de decisão, incentivar a pesquisa científica em escalas adequadas as peculiaridades do estado de Roraima e formando por meio do conhecimento, uma perspectiva de responsabilidade socioambiental no que tange a ocupação territorial, conforme a vocação e demanda da sociedade.
THE ROLE OF SCHWANN CELLS IN THE PATHOLOGY OF THE HUMAN APPENDIX IN CHILDREN
Authors:   Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Malaysia, M. KAPITONOVA , I.B. BROHI ,   Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Malaysia, S. GUPALO ,   Saint James School of Medicine, Valley, Anguilla, A.V. SMIRNOV ,   3 Volgograd State Medical University, Volgograd, Russian Federation, V.S. PETRENYUK ,   Municipal Clinical Emergency Hospital № 7, Volgograd, Russian Federation, A. AHMAD ,   Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Malaysia
Published: December 2023

Objective: To compare the immunohistochemical (IHC) characteristics of appendices removed from children with acute appendicitis and chronic pain syndrome (CP) in the right lower quadrant of the abdomen (RLQA), as well as to define clinical and morphological correlations. Methods: The structure of fifty-one appendices of children aged 5-14 years who underwent appendectomy for chronic appendicitis/CP in the RLQA (24 patients, Group 1) and acute appendicitis (27 patients, Group 2) was assessed. Image analysis of histological sections stained with hematoxylin-eosin and immunohistochemically for S100 protein and proliferating cell nuclear antigen (PCNA) was performed. Results: Image analysis showed the presence of a significantly higher volume density (VD) and numerical density (ND) (p0.05) of immunoreactive cells when stained for S100 protein, as well as the ND of intramural ganglia (p0.05) against the background of minimal histological changes in the wall of the appendix in patients of Group 1 compared to Group 2. On the contrary, the ND of PCNA-immunoreactive cells was significantly higher in patients of Group 2 against the background of pronounced inflammatory changes in the appendix (p0.01). In the biopsy samples of the Group 1 patients, a significantly higher ND of the lymphoid nodule germinal centers was also noted (p0.05), while the ND of tingible body macrophages was higher in Group 2 patients (p0.001). These results demonstrate differences in neuroimmune parameters in the appendices in the two described nosologic groups and indicate the possible role of the appendiceal neural component as a prerequisite for developing CP in the RLQA in children. Keywords: Appendix, Schwann cell, S100 protein, PCNA, appendicitis, chronic abdominal syndrome.
PROLONGED BRACHIAL PLEXUS BLOCKADE FOR UPPER LIMB SURGERY
Authors:   Derzhavin Tambov State University, Medical Institute, Tambov, Russian Federation, O.N. YAMSHCHIKOV ,   City Clinical Hospital of Kotovsk, Kotovsk, Russian Federation, A.P. MARCHENKO ,   Derzhavin Tambov State University, Medical Institute, Tambov, Russian Federation,   City Clinical Hospital of Kotovsk, Kotovsk, Russian Federation, S.A. EMELYANOV ,   Derzhavin Tambov State University, Medical Institute, Tambov, Russian Federation,   City Clinical Hospital of Kotovsk, Kotovsk, Russian Federation, O.D. IVANOVA ,   I.S. Dolgushin City Clinical Hospital № 3, Tambov, Russian Federation, R.A. MARCHENKO ,   National Medical Research Center for High Medical Technologies – Central Military Clinical Hospital named after A.A. Vishnevsky, village Novyy, Moscow region, Russian Federation, S.A. IGNATOVA ,   Derzhavin Tambov State University, Medical Institute, Tambov, Russian Federation
Published: December 2023

This article overviews the various prolonged plexus block (PB) methods. It discusses the indications and contraindications for this technique and the professional skills and equipment needed. The article also describes different approaches to a brachial plexus block (BPB): interscalene, supraclavicular, infraclavicular, and axillary. The article presents the rationale for using PB, its advantages and possible complications, and outlines the basic principles for its safe performance. Knowledge of anatomical and topographic landmarks, ultrasound navigation, and neurostimulation are utilized to determine needle position. Neurostimulation should be used to ensure the needle is placed correctly to achieve a muscle response with a current of 0.3-0.5 mA. A muscle response with a current of 0.2 mA occurs only when the needle tip is positioned intraneurally, which is unacceptable when performing plexus and nerve conduction blocks. This technique can provide prolonged anesthesia and postoperative pain relief by correctly and safely blocking nerve plexuses and trunks. It is an ideal option for anaesthesiologic support during surgical interventions and treating postoperative pain. This approach has many advantages and does not have the disadvantages associated with other types of local and general anesthesia. In this literature review, we used databases such as eLIBRARY, PubMed, and Google Scholar to search for articles related to regional anesthesia, specifically, BPB. We narrowed our search by using keywords including ultrasound navigation, neurostimulation, and catheter-based techniques. Keywords: Brachial plexus, regional anesthesia, prolonged plexus block, ultrasound navigation, neurostimulation, catheter-based techniques.
A PILOT STUDY EXAMINING THE BODY COMPOSITION OF THE POPULATION OF THE REPUBLIC OF TAJIKISTAN USING BIOELECTRICAL IMPEDANCE ANALYSIS
Authors:   Department of General Surgery № 1 named by Prof. A.N. Kakhkhorov, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan, M.K. GULOV , S.M. ABDULLOZODA ,   Department of General Surgery № 1 named by Prof. A.N. Kakhkhorov, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan, G.M. USMANOVA ,   Department of Epidemiology named by Prof. Kh.K. Rafiev, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
Published: December 2023

Objective: Evaluation of a pilot study results examining bioelectrical impedance analysis (BIA) of body composition of the population of the Republic of Tajikistan. Methods: The body composition of 1304 individuals was studied using bioimpedance measurements. The study included 718 women (55.1%) and 586 men (44.9%) with an average age of 41.1±13.6 years. The following variables were measured: fat mass (FM, kg), percent body fat (PBF, %), fat-free mass (FFM, kg), body cell mass (BCM, %), percent body cell mass (PBCM, %), skeletal muscle mass (SMM, kg), percentage of SMM (PSMM, %), total body water (TBW, kg), extracellular fluid (ECF, kg), bone mineral content (BMC, kg), basal metabolic rate (BMR, kcal/day) and mass-specific metabolic rate (msBMR, kcal/m2 /day). In addition to examining patients, we determined their body mass index (BMI) and waist-to-hip ratio (WHR) using the Adolphe Quetelet formula. Results: The average FM for all study subjects was 22.5±12.04 kg. Women displayed 24.2% more FM than men – 24.6±12.0 kg and 19.8±11.6 kg, respectively (p 0.001). LM in all subjects averaged 44.9±4.7 kg, in men and women – 46.3±3.6 kg and 44.0±4.3 kg, respectively (p 0.05). As a result, men had a higher BMR than women – 1735.5±102.1 kcal/day and 918.9±57.2 kcal/day, respectively (p 0.001). There were no significant gender differences in msBMR: for men and women, the average was 853.7±30.8 and 846.4±33.3 kcal/m2/day, respectively (p 0.05). There were also no gender differences in BMC for men and women: the average was 2.1±0.2 and 2.1±0.2 kg, respectively (p 0.05). The results showed positive significant (p 0.05) linear relationships between BMI categories and WHR (r=0.182), FM (r=0.933), PBF (r=0.855), FFM (r=0.262), BCM (r=0.159), TBW (r=0.259), ECF (r=0.440), BMC (r=0.522), BMR (r=0.161), and negative linear relationship – with PBCM (r= -0.042), SMM (r= -0.121), PSMM (r= -0.605) and msBMR (r=-0.521).Conclusion: BIA is a highly effective method for assessing body composition, allowing for accurate determination of fat and lean mass, total body fluid, and basal metabolic rates. The differences in the above indicators varied based on gender, age, and body weight of the examined cohort. Using bioimpedance instead of anthropometry provides a more accurate assessment of obesity. Keywords: Electrical impedance measurement, bioimpedance analysis, overweight, obesity, fat mass
Menata Diskusi Ruang Publik Online sebagai Sarana Penyebaran Konten Inspiratif Edukatif
Authors: Rahayu Eni Kusti , Setiawan Joe Harrianto , Rivan Muhammad Wanadli , Limarandani Ni Putu
Published: December 2023

The Youtube channel Bincang Online Inspiratif (BIONS) Series presents educational content as an online public discussion space for enthusiasts. This study discusses the strategy of the BIONS Youtube account in disseminating these inspirational contents. The theory used is Peter Pringle's program strategy management to create and improve program quality and broadcast strategies to produce optimal impact. The research approach is qualitative with a case study method. The research findings are that online talk shows are planned through creative strategies starting from pre-production, production, and post-production to achieve broadcast success. The pre-production stage is an area to determine the theme, sources, and shooting layout before stepping into the production stage using zoom and YouTube live streaming. The next step is post-production, which is the core of dissemination, including editing, evaluation and marketing publications. To get viewers and account subscribers, it is done by distributing flyers on Instagram, WA groups, and various other supporting communication facilities, as well as making luckydraw as an effort to attract new viewers and maintain audience loyalty.
Tantangan Komunikasi Pemasaran Terpadu Industri Perhotelan di Era Digital
Authors: Ramli Alif Sioux , Kristiyono Jokhanan
Published: December 2023

Pandemi covid-19 menyebabkan roda perekonomian akomodasi perhotelan sempat terhenti, hingga 1.504 hotel di seluruh Indonesia terpaksa tutup. Situasi tersebut membuat akomodasi perhotelan harus berinovasi, dengan cara merancang strategi pemulihan sampai tiba di masa pasca pandemi covid-19. Strategi pemulihan yang tepat untuk dikembangkan adalah strategi pemasaran, guna meningkatkan motivasi dan dapat mengembangkan perusahaan. Bauran Komunikasi Pemasaran adalah salah satu strategi pemasaran yang kerap digunakan oleh perusahaan.Dalam penelitian ini peneliti membahas tentang “Strategi Bauran Pemasaran Pada Akomodasi Perhotelan Pasca Pandemi Covid-19 (Studi Kasus: Pada Hotel Kokoon Surabaya)” dengan tujuan untuk mengetahui dan mendeskripsikan strategi bauran komunikasi pemasaran 4P yaitu Product, Price, Promotion, and Place yang dilakukan oleh Hotel Kokoon Surabaya pasca pandemi covid-19. Penelitian ini menggunakan metode studi kasus dengan pendekatan kualitatif deskriptif, untuk dapat mendeskripsikan hasil penelitian secara sistematis, faktual, dan akurat. Hasil penelitian ini menyatakan bahwa Hotel Kokoon Surabaya telah memanfaatkan strategi bauran komunikasi pemasaran 4P (Product, Price, Promotion, and Place) selama masa pasca pandemi covid-19. Namun, dari ke empat elemen tersebut hanya satu elemen saja yang semua atributnya digunakan yaitu elemen Promotion. Sementara ke tiga elemen lainnya, hanya digunakan sebagai elemen pendukung.
The Effect of Reading Intensity on Perception of SARA Issues Frame News Tolikara Papua on July 17, 2015
Authors: Hidayat Rizki , Siahaan Flora Meliana , Irwandy Deddy
Published: December 2023

This study aims to explain the effect of the intensity of reading news at metrotvnews.com on the attitude of the reader, to clarify the attitude of the reader toward reader perception about the news of Tolikara, Papua 17 Juli 2015. One of the factors that influence the credibility of the media is the intensity of journalists in reporting news. The effect of uncertainty of the news will make ambiguity of public perception. Data were obtained from 100 populations, using the nonprobability sampling technique model of purposive sampling. The results showed that the intensity of reading news on Metrotvnews.com had an effect of 0.327 or 32.7% on reader attitudes. The reader's perspective affects the reader's perception of the Tolikara news frame by 0.546 or 54.6%. Readers' attitudes modulate the impact of news intensity on readers' perceptions by 0.375, or 37.5%. This study concludes that cyber media still have an impact on agenda setting against the reader. Proved there is a significant relationship between the intensity of reading news and reader attitude to reader perception, it can be said that the longer individuals are exposed to an issue, so people will be affected by the agenda setting. Therefore, the media in covering the news must be impartial (covering both sides) and the principle of neutrality in the preparation of news.
Diagnosis dan Penatalaksanaan Penyakit Meniere
Authors: Akbar Opi , Rosalinda Rossy
Published: December 2023

ABSTRACT

Background: Meniere's disease is the third leading cause of vertigo after Benign Paroxysmal Positional Vertigo and vestibular neuritis.  Meniere's disease is also known as endolymphatic hydrops. Acute symptoms of Meniere's disease are characterized by triad of vertigo, tinnitus and hearing loss. This disease is a challenge for ENT specialist in making a diagnosis and determining the right and optimal management. Objective: Provides knowledge about the diagnosis and management of Meniere's disease, so that it can be handled appropriately. Literature Review: Meniere's disease is an inner ear disorder characterized by spontaneous vertigo attacks, fluctuating low-tone sensorineural hearing loss, aural fullness and tinnitus. The most consistent finding and still being used as the basic mechanism of Meniere's disease to date is the discovery of endolymphatic hydrops. Diagnostic tests to diagnose Meniere's disease include audiometry, glycerol test, caloric test and electrocochleography. Meniere's disease can significantly affect quality of life and generally managed with dietary modifications such as a low-salt diet, medical therapy such as diuretics and surgery such as intratimpani injection and endolymphatic sac surgery. Conclusion: Meniere's disease is characterized by a triad of vertigo symptoms, low-tone sensorineural hearing loss and tinnitus. Making the diagnosis requires a detailed history with a complete audiology and vestibular examination. The management of Meniere's disease consists of dietary modifications, medical therapy and surgery.

Keywords: meniere’s disease, endolymphatic hydrops, diuretics, intratimpani injection, endolymphatic sac surgery
Rhinitis Gustatori
Authors: Riyanti Nelviza
Published: December 2023

Pendahuluan: Rinitis gustatori adalah bagian dari rinitis non alergi yang ditandai dengan sindrom hipersekresi hidung akibat makanan, yang ditandai dengan onset akut seperti hidung berair berlebihan yang terjadi segera setelah konsumsi makanan panas dan atau pedas. Tujuan : Mengetahui dan memahami diagnosis dan tatalaksana rinitis gustatori. Tinjauan Pustaka : Rinitis gustatori berkaitan dengan capsaicin yaitu zat yang menyengat pada cabai, saus tabasco, lobak dan lada hitam yang merangsang saraf sensorik aferen di mulut dan mukosa orofaring sehingga memicu terjadinya rinore gustatori. Saat ini tidak ada standar untuk pemeriksaan objektif guna mendiagnosis rinitis gustatori tetapi skin prick test dan food challenge test dapat dilakukan untuk menyingkirkan rinitis alergi. Penatalaksanaan yang tepat untuk kasus rinitis gustatori membutuhkan penelitian lebih lanjut guna membuktikan pemberian obat kombinasi Ipratropium Bromida dan kortikosteroid intranasal lebih efektif daripada pemberian obat tunggal atau tidak. Kesimpulan : Sampai saat ini masih belum ditemukan diagnosis untuk menentukan rinitis gustatori, namun untuk membedakan dengan rinitis alergi dapat dilakukan skin prick test dan food challenge test. Penatalaksaan yang tepat dan efektif terhadap rinitis gustatori juga masih perlu dilakukan penelitian lebih lanjut.
Kata kunci : Rinitis gustatori, rinore, capsaicin
Gambaran Klinis dan Terapi Pasien Karsinoma Laring di Departemen THT-KL RSUP Dr. M. Djamil Padang Periode 2017-2021
Authors: Putri Rahmi Novira , Rahman Sukri , Ilmiawati Cimi
Published: December 2023

Pendahuluan: Karsinoma laring adalah suatu tumor ganas yang berasal dari sel epitel laring. Faktor risiko utama yang berperan dalam perkembangan penyakit karsinoma laring adalah merokok dan alkohol. Penelitian ini bertujuan untuk mengetahui gambaran klinis dan terapi pasien karsinoma laring di departemen THT-KL RSUP Dr. M. Djamil Padang periode 2017-2021. Desain penelitian ini adalah deskriptif retrospektif yang menggunakan data rekam medis pasien karsinoma laring dengan teknik pengambilan sampel yaitu total sampling yang berjumlah 41 orang. Data pasien kemudian diolah dan ditampilkan dalam bentuk tabel distribusi frekuensi. Penelitian ini mendapatkan hasil bahwa kasus pasien karsinoma laring terbanyak terjadi pada tahun 2017 dan 2018 (31,7%), rerata usia 64 tahun dengan kelompok usia terbanyak 51-60 tahun dan 61-70 tahun (31,7%), lebih banyak pada laki-laki (97,6%), dan mayoritas faktor risiko merokok (95,1%) namun tidak memiliki tiwayat alkohol (92,7%). Keluhan utama tersering suara serak (51,2%). Gejala klinis yang muncul terdiri dari suara serak (73,2%), sesak nafas (65,9%), batuk (56,1%), dan sulit menelan (43,9%). Lokasi paling banyak ditemukan glotis (73,2%), stadium yang sering ditemukan stadium IVA (57,9%), dan tipe histopatologi terbanyak karsinoma sel skuamosa (100%). Jenis terapi yang paling sering diberikan kemoterapi (46,3%). Dapat disimpulkan bahwa pasien karsinoma laring memiliki faktor risiko yang umum dan karakteristik klinik yang tipikal serta sebagian besar datang dalam stadium lanjut. Oleh karena itu diperlukan upaya promotif dan preventif yang lebih agresif terhadap penyakit ini
Yo cuido, tú cuidas, ¿él cuida? Reflexiones en torno a la desigualdad de género y la organización social del cuidado
Authors:   Universidad Nacional del Sur, Bahía Blanca, Argentina, Wagon María E.
Published: December 2023

In recent decades, the issue of care has been gaining an increasingly relevant place on the agendas of feminist debates and struggles. The pandemic decreed by the spread of the SARS CoV-2 virus revealed both the importance and the unequal distribution of reproductive work. In this paper, we will focus on reflecting on the concept of care from a gender perspective with the aim of deepening the importance of care work in our societies. Through this prism, we will analyze its scope; its relevance in today’s societies; the social organization of care, with special emphasis on the unequal distribution of work; the need to implement public policies aimed at guaranteeing the right to care, be cared for and self-care; and the notion of the care society, a key category in the agenda for sustainable development in the countries of the region.
Clinico-mycological profile of dermatophytosis in a tertiary care hospital in North-Eastern India
Authors: Paul Debopriya , Marak Anita , Thappa Devinder Mohan , Verma Shikha , Lamba Reena , Chhangte Mary Zothanpuii , Lyngdoh Valerie
Published: December 2023

Objectives:

While studies from different parts of India do show an increasing trend and change in the pattern of dermatophytosis, the same cannot be said about Northeast India. This study was therefore undertaken to identify the clinical and mycological profile of dermatophytosis in a tertiary care hospital in North-Eastern India. Furthermore, this study will help to identify the various risk factors and study the impact of comorbidities on the disease pattern.

Material and Methods:

All diagnosed cases of dermatophytosis (either KOH mount or culture positive or both) were included in the study. Data collection was done in the preformed pro forma, which included demographic and clinical variables, presence of risk factors, and comorbidities.

Results:

A total of 111 diagnosed cases of dermatophytosis were included in our study with ages ranging from 3 to 73 years and a mean age of 32.8 years. In adults, the majority belonged to 21–30 years (34.2%) while the pediatric population comprised 8.1%. KOH mount positivity was seen in 90.1%, and culture positivity was seen in 87.4%. History of topical steroid use was present in 69.4% of patients while 62.2% had unhygienic practices, and 9% had immune-compromised status. Combined infection (27.9%) was the most common clinical type followed by tinea cruris (24.3%), tinea corporis (22.5%), and onychomycosis (14.4%). Trichophyton rubrum was found to be the most common isolate.

Conclusion:

Our study revealed that combined infection (27.9%), tinea cruris (24.3%), and tinea corporis (22.5%) continue to be the three most common presentations clinically while onychomycosis (14.4%) has become less frequent of a presentation. Interestingly, our study revealed that it was the most frequent manifestation in patients with comorbidities (38.46%). T. rubrum and Trichophyton mentagrophytes were the predominant species that were isolated.
Causes and prevalence of prenatal and neonatal mortality in the District Dera Ismail Khan, Khyber Pakhtunkhwa, Pakistan
Authors: Khan Muhammad Ashraf
Published: December 2023

Objectives:

Perinatal mortality is among the key health, prosperity, and economic status indicators. This retrospective study determines the causes of prenatal (stillbirth) and neonatal mortality during July–December 2021 and their yearly prevalence during 2013–2021 in the Women and Children’s Hospital in the district Dera Ismail Khan.

Materials and Methods:

The data were extracted from the admission registers maintained by the said hospital and were found not in organized and consolidated form. A month-wise organized/consolidated report for each cause of mortality was prepared.

Results:

A total of 508 cases of both prenatal and neonatal mortality in the nursery ward indicated hypoxic-ischemic encephalopathy (HIE) showed overall 39.8% mortality in the study area, followed by premature (15.4%), senile prostatic enlargement (10%), low birth weight revealed (9.3%), birth asphyxia (5.3%), neonatal jaundice (4.5%), respiratory distress syndrome (4.3%), non-nutritive sucking (3.5%), congenital heart defects (2.4%), meconium aspiration syndrome (1.8%), and the remaining cases each contributed to ≤0.6% of overall mortality. The isolation ward contributed (48.5%), followed by the labor room (42.4%), the nutrition ward (6.1%), and the Gynae wards (3%) of all 33 cases. The overall highest mortality occurred in 2019 (15.4%) and lowest in 2013 (6.8%). The remaining years showed each <10% mortality. Neonatal mortality was mostly higher than prenatal mortality during 2013–2021 and highest (85.8%) in 2013 and the lowest (19%) in 2014. The highest and lowest prenatal mortality was 81% (2014) and 14.2% (2013), respectively.

Conclusion:

HIE caused about 40% of perinatal mortality. Neonatal mortality showed higher prevalence than prenatal mortality except in 2014.
Homoeopathic management of essential hypertension: A narrative review
Authors: Sonny Ranjit
Published: December 2023

Objectives:

Hypertension (HTN) or elevated blood pressure is a serious medical condition that significantly increases the risk of heart, brain, kidney, and other diseases. HTN in an adult is said to be present when clinical systolic and diastolic blood pressure exceed 140 mm and 90 mm of hg, respectively. An estimated 1.28 billion people aged 30–79 years have HTN worldwide, most (two-thirds) living in low- and middle-income countries (World Health Organization). Homoeopathy can be useful in managing HTN and its complications, for which a proper knowledge of treatment modalities available in homoeopathy is essential.

Materials and Methods:

An intensive search of articles, publications, and writings, both online and offline, dealing with the management of essential HTN through homoeopathy was conducted between November 2021 to January 2022. Databases such as Google Scholar, PubMed, ScienceDirect, and various other published books, literature, and anecdotes in homoeopathy were explored, collecting data on the role of homoeopathy in essential HTN. Emphasis was on words such as homoeopathy, HTN, and blood pressure.

Results:

Management of essential HTN through homoeopathy can be broadly divided into two categories. First, drugs or medicines given in homoeopathic literature, such as Materia Medicas and Repertories, whose choice of administration in HTN depends on the classical methods of prescription, and secondly, drugs or medicines obtained from research outcomes on HTN.

Conclusion:

In homoeopathic therapeutics, many medicines are available and used in cases of essential HTN. Recently, research activities targeted toward managing HTN through homoeopathy have increased, and data have been generated. Even then, the available data till now are not sufficient in bringing homoeopathy equivalent or near to the conventional system of medicine in managing HTN demands; in turn, more research works in homoeopathy with statistical rigour.
Understanding the scope of Homoeopathy along with a multidisciplinary integrated approach for holistic management of epilepsy with co-morbidity in children: Case studies
Authors: Dikshit Mrunalika Dhaval , Parikh Hema Mihir
Published: December 2023

Epilepsy is a complex neurological disorder that affects the patient’s mental and physical development as well as their functioning, especially in children. It also presents with mental and/or physical co-morbidities/disabilities. This manuscript describes the importance of an individualised multidisciplinary integrated approach, including homoeopathy, for the holistic management of epileptic children through two illustrative cases. The team included homoeopaths, paediatricians, paediatric neurologists, physiotherapists, and psychologists in both cases. We aimed to demonstrate the scope of the homoeopathic individualised approach for managing epilepsy and its role in improving the quality of life of patients and caretakers. Both cases involved detailed case-taking, including homoeopathic and clinical perspectives. A multidisciplinary integrated approach enabled a comprehensive clinical diagnosis. An individualised approach was used to form a totality and perform repertorisation to select the most appropriate remedy and potency. Follow-up criteria enabled us to measure the progress. The homoeopathic individualised approach resulted in considerable relief in seizures and a reduction in allopathic medication available only in 1st case. and relief in seizures in both the cases. The functioning of the patient and their quality of life improved considerably in both cases as well. Homoeopathic individualised approach, along with the integrated system, helps in the relief/cure of epileptic episodes, enables a reduction in the use of antiepileptic drugs, and improves associated co-morbidities. Through this approach, holistic care is possible and improves the quality of life of the child and the parents.
Seminar report: National seminar on psychology and homoeopathy, 2nd October 2023, Mumbai, India
Authors: Sarvagod Harshla Chandrakant
Published: December 2023

The National Seminar on Psychology and Homoeopathy was held at the Mayor’s Hall, Mumbai on the 2nd October 2023. The release of the book ‘Foundations of Psychology and Homoeopathy’ was done after the seminar. The seminar had delegates from all around the country. The speakers spoke on the role of psychology in Hahnemannian thought, its role in repertory, and clinical practice.
The concept of family as a key concept of the artistic world of K. G. Karnyshev
Authors: Shagdarova Т. V. , Khromykh O. P.
Published: December 2023

The concepts that are understood as structural units of human consciousness that store a set of knowledge, primarily about the phenomena of the surrounding world that have accompanied a person since ancient times and are part of the national culture, are of the greatest interest for modern humanitarian research. That is, it is a multicomponent mental entity, which is the result of reflecting the real world in a person's consciousness in the context of ethno- and socio-cultural specifics. The aim of the work is to study the features of the artistic embodiment of the primary concept of family in the prose of K. G. Karnyshev. The aim of the work is to study the features of the artistic embodiment of the primary concept of family in the prose of K. G. Karnyshev. Achieving this goal involves solving the following tasks: 1) consideration of the concept of "concept" in the humanities; 2) study of the implementation of the concept of family in the Russian literature of the 20th century; 3) definition of the components of the basic concept of family; 4) study of the conceptualization of family relations in the prose of K. Karnyshev; 5) analysis of the central secondary concept of the house; 6) identification of the features of the embodiment of the secondary concept of the genus. Procedure and methods. The paper uses problem-thematic (analysis of the themes and issues of the writer's works, taking into account the peculiarities of their worldview), historical and literary (the study of the writer's creativity in the context of the historical process), conceptual and cultural methods. Results. The analysis showed that the "Family" in K. G. Karnyshev's prose is the basis of human life, it is in the family that the system of values and life attitudes is determined. Considering interpersonal relationships in the family, the author speaks bitterly about the loss of a kindred spiritual connection between close people. Frames are being erased, stereotypes are being destroyed – the traditional concept of family is being destroyed. But for K. Karnyshev, it is still the family that is a necessary condition for the formation of a person's personality; moral foundations are laid in the family. Research implications. The work of K. Karnyshev provides rich material for studying the history, culture and life of the region. The themes and problems that the author solves in his works remain relevant and interesting, since literature is a reflection of life.
E. P. Shestakov-Erchimen as a literary critic
Authors: Grigoryeva L. P.
Published: December 2023

The article studies the literary and critical works by Egor Shestakov – Erchimen (1927–1996), a major and authoritative critic in the Yakut literature of the 1960s – 90s. His opinion was of great importance in the literary process of that period. The article reveals the problems, the genre originality of his works, the principles that the critic adhered to, as well as the methods and techniques of critical analysis of a work of art (the critic's tools). As a result, based on the analysis, the following was revealed: the main problematic issues of literary and critical articles and research works by Erchimen are the issues of evaluating the literary heritage of the classics of Yakut literature; controversial issues of the history of Yakut literature and criticism; issues of the critic's skill and the quality of critical analysis of a work of art. The Erchimen's literary and critical works represent the whole range of major genres of criticism: a review, article (review, problematic and polemical), literary portrait (anniversary article and a literary portrait per se and essay); his critical analysis methods include retelling, quoting, comparison, analogy, and a direct statement.
Plots and motifs of legends about Taas Ullungakh in folklore and literature: on the question of continued folklore traditions in the literature
Authors: Romanovа L. N.
Published: December 2023

The relevance of the research is due to the need to study the specifics of the interaction of folklore and literature from the point of view of the continuity of oral literature traditions and their artistic interpretation and transformation in Yakut literature. The problems of functioning and interpretation in the structure of the literary text of the folklore narrative are still poorly studied. Meanwhile, folk legends and legends are one of the important genre- and plot-forming components of Yakut literature. A comparison of plots and motifs of legends in folklore narratives and literary works is considered in the context of the interaction of two poetic systems: oral (recorded in written “book form”) and literary. The novelty of the research lies in the fact that for the first time in Yakut literary studies, the process of forming a plot-motif complex in folk legends about a separate mythological hero in various versions from different sources and its functioning in modern Yakut literature is considered. The purpose of the study is to identify the features of the formation of a plot–motif complex about Taas Ullungakh in folklore studies and the specifics of its artistic interpretation in various genres of Yakut literature of the second half of the twentieth and early twenty-first centuries. (in historical novel, drama poems and poem). Research objectives: 1) comparison and typology of the plot-motif complex in folk legends about Taas Ullungakh in the folklore and ethnographic works of G. V. Ksenofontov, A. E. Kulakovsky, D. I. Dyachkovsky-Sehen Bolo; 2) identification of the features of the functioning and transformation of the plot-motif complex that has developed in mytho-folklore texts, in the drama poems "The Valley of Keryaya" and the poem "Tygyn and Taas Ullungakh" by I. M. Gogolev – Kyndyl, the historical novel "Tygyn Darkhan" by V. S. Yakovlev – Dalan, in the "little" poem "Taas Ullungakh" by N. I. Kharlampieva. The study uses a source analysis of the origin of the main plots and motifs in the legends about Tygyn's son Taas Ullungakh (Muos Uola) and their comparative analysis in literary works of the twentieth century.  The comparison of the plots and motifs of legends in folklore narrative and literary work is considered in the context of the interaction of two poetic systems: oral (recorded in written "book form) and literary. This approach will allow you to detect some common properties of the artistic structure of both systems.
Features of the olonkho "Duguya Bege" (towards the formulation of a comprehensive study)
Authors: Satanar M. T.
Published: December 2023

In the context of the introduction of post–non-classical paradigms in the study of oral folk art, it seems timely to turn to one of the brightest examples of folk art of the northern local tradition - the text of olonkho "Duguya Bege", highly appreciated at one time from a scholarly point of view by folklorists S. I. Bolo, V. M. Nikiforov, historian A. P. Okladnikov. The novelty of this study lies in an attempt to identify the ways of further research of the text of this peculiar olonkho, as well as the map of the epic universe attached to it, containing valuable information about historical, ethnographic, toponymic and hydronymic facts. The purpose of this article is to highlight the features of the linguistic fabric, structure, semantics, semiotics of the olonkho "Duguya Bege" and to identify the vector of a comprehensive discussion of problems in its research. The work implements a historical approach, uses methods of review, hermeneutics, generalization, structural and functional analyses. The author dwells on the description of the structural organization, some semantic features, the specifics of the image system, the saturation of the sign system, the originality of the linguistic fabric, the variety of applications of artistic and visual means, genre relationships in the studied olonkho. It is reported that the observation of elements of sarcasm, humor and other forms of comic in the text may indicate the former existence and development of national satire in the Oymyakon tradition. The author comes to the conclusion about the need for a comprehensive study of the text and the epic map of the olonkho world model "Duguya Bege" from the perspective of knowledge and methods of other sciences – history, ethnography, linguistics, geography, semiotics, mythology, which indicates the prospects for further work with this multilevel and multidimensional epic text.