bluuebunny/crossref_metadata_2025 huggingface dataset:
Fact-finding survey on the competencies and literacy of radiological technologists regarding radiation disasters
Authors: Arai Tomohiro , Murata Syo , Watanabe Yuichi , Ishihara Toshihiro , Fukamizu Yoshiya , Takeda Satoshi , Ebata Kiyokadzu , Watanabe Yuki , Takashima Yoshio , Kaneko Junichi
Published: December 2022

BACKGROUND:

Radiological technologists serve as risk communicators who aim to lessen patients’ anxiety about radiation exposure, in addition to performing radiological examinations.

OBJECTIVE:

We conducted a fact-finding survey on knowledge and awareness of radiation disasters among the radiological technologists to reveal their literacy and competencies regarding radiation disasters.

METHODS:

A paper questionnaire was distributed to 1,835 radiological technologists at 166 National Hospital Organization facilities in Japan. The 28-item questionnaire covered knowledge and awareness of radiation protection and radiation disasters. Radiological technologists were divided into 2 groups by regionality: areas where a nuclear power station was present/nearby (NPS areas) and non-NPS areas.

RESULTS:

Completed questionnaires were returned from 148 facilities with a facility response rate of 89.2% and from 1,391 radiological technologists with a response rate of 75.8%. There were 1,290 valid responses with a valid response rate of 70.3%. The correct answer rate for knowledge of radiation protection and radiation disasters was high in the 24 NPS areas. There were no differences in awareness of radiation disasters between NPS and non-NPS areas.

CONCLUSIONS:

Establishing a nationwide, region-independent training system can be expected to improve literacy regarding radiation disasters among radiological technologists. Willingness to assist during disasters was high among radiological technologists irrespective of area, indicating that the competencies of radiological technologists represent a competency model for radiation disaster assistance.
Diagnosis of liver trichinellosis using magnetic resonance imaging (clinical case report)
Authors: Matsiievska Anastasiia-Violetta , Bogomaz Volodymyr
Published: December 2022

the prevalence of helminthiasis in the world remains quite high and most of them in-volve the hepatobiliary system. Considering the specificity of treatment plans, timely nosological di-agnosis of liver lesions is extremely important. The amount of research on this topic is currently very

limited. The aim of the work was an identifying of MRI capability in the diagnosis of liver trichinel-losis to ensure timely recognition and differential diagnostic of the disease. Nonspecific focal changes

in the liver parenchyma were found in a 30-year-old woman without any oncological history duringultrasound examination. It is known about her trips to Asian countries several years ago. Clinical

manifestations that are specific to trichinellosis were not found in the patient. Examination of the pa-tient’s abdominal organs on magnetic resonance imaging with 3.0 T field induction (T1-WI, T2-WI,

DWI-sequences, bolus dynamic contrast enhancement) showed the presence of a sign of a “curvedtunnel” in the liver parenchyma. Serological tests that confirmed the diagnosis of trichinellosis wereperformed in Great Britain. The patient has no other clinical and laboratory signs of pathology andshe still be under clinical observation. According to the data of the literature and our observation, thesign of the “curved tunnel” on magnetic resonance imaging is a sensitive criterion for the diagnosis oftrichinellosis of the liver. In the case of clinical and diagnostic uncertainty of local changes in the liverparenchyma after basic radiological studies (sonography, computer tomography) and in the presenceof risk factors for helminthiasis, despite the high cost, it is advisable to include MRI of the liver inthe patient examination algorithm to speed up the duration and ensure the accuracy of the diagnosis.
Organization and activity of university clinics: past and present
Authors: Vozniuk Vira , Krasiuk Serhii
Published: December 2022

this article reveals certain aspects of the history of the establishment of university clin-ics in Ukraine, in particular, provides information about the existence of such health care institutions

as early as the end of the 19th century. at the Imperial Universities – Kharkiv, Novorossiysk and St.

Volodymyr. This form of existence of medical and diagnostic institutions with the possibility of im-proving the practical skills of students and carrying out research activities of scientists - teachers of

higher education institutions contributed to the training of highly qualified specialists and the devel-opment of science in general. The specified system of organizing the educational process correspond-ed to the principle of dual education, which provides for the combination of educational and research

activities. Started back in 1804, it is still actively promoted by the leading national higher educationinstitutions. It was found that the first university clinics were created at the medical departments of

the university and were highly specialized – surgical, therapeutic, obstetric. According to the struc-tural organization, they were subordinated to educational institutions. In the 1950s, by decision of the

USSR government, city hospitals were created on the basis of such clinics.The problem of modernization of the health care system, which arose after the collapse of the USSRand the transition of Ukraine to a new economic system of the market economy, led to the search for anoptimal model of the organization of clinical bases of medical institutions of higher education. In the 80sof the XX century. the initiated reform of higher medical education has been improved by improving thequality of professional training of future doctors, in accordance with world and pan-European standards,taking into account national priorities and features of the health care system. The Ministry of Education

and Culture of Ukraine has developed uniform approaches to educational and qualification characteris-tics and educational and professional programs at the stages of undergraduate and postgraduate training

of specialists. Programs of clinical disciplines provide for early contact with the patient, responsibilityfor clinical observations, and practical work experience. The reform of higher medical education isaimed at a gradual transition from an information-accumulating to a competency-based model of theformation of knowledge, skills and abilities of future doctors. At the beginning of the 2000s, based onour own historical experience, and having familiarized ourselves with the practice of foreign higher

educational institutions of the medical profile, it was decided to resume the activities of university clin-ics. Today, there are more than 10 educational-scientific-treatment complexes with an integrative and

corporate model of existence. The content of the article informs about their founding periods, main tasksand areas of activity, form of existence, regulatory documents, etc.
Rehabilitation activities for children with posture disorders
Authors: Homola Alona , Stashenko Natalia , Karpenko Mykola
Published: December 2022

according to the World Health Organization, 20-30% of people in the world have diseases and disorders of the musculoskeletal system, which are accompanied by: scootiness, discomfort, reduced walking amplitude and painful sensations. With scientific progress there are new perspectives, but there is another side of negative factors associated with a small-duty way of life and lack of manual activity. During the day: sitting at the table, in front of the computer, with the phone hand, violating the rule of “student position” by being in an uncomfortable position for more than 1 – 2 hours. These factors contribute to gipotonichy muscles and lead to the formation of imbalances of the spinal musculature, eventually develop degenerative-dystrophic diseases of the musculoskeletal apparatus. Analysis of skinning of early diagnostics of changes and deformations of the posture in adolescence. The problematics of the XXI century themes is not new. Analyzing scientific articles on the topic of postural disorders, one should pay attention to the fact that the main efforts are aimed at improving health and preventing diseases. This will ensure the proper level of health and reduce the incidence of diseases in the population. Objective description. This publication analyzes the results of preventive and diagnostic examinations, carried out by preadolescent patients with postural disorders in the sagittal and frontal planes.  Materials and methods. The results of prophylactic and diagnostic review were analyzed, in the city of Kiev, the Communal non-profit organization "Consultative and Diagnostic Center" of the Svyatoshinsky district, Phil 2, from May to July 2022. Participated 490 children of preadolescent age, 11 - 15 years, with impaired position in the sagittal and frontal areas. With consent of parents or guardians. The following examination methods were used: visual diagnostics, somatoscopy, manual and musculoskeletal testing, functional tests to determine the stages of positional disorders, X-ray and magnetic resonance imaging. For convenience, the documentation is formed, and the patient card is developed. The majority of the patients with impaired posture in the sagittal and frontal planes are treated by conservative methods. Conclusions. The main purpose of the preventive-diagnostic examination is to detect skeletal and muscular imbalances at the initial stage, to choose active procedures, to follow recommendations for elimination of negative body movements during the day. The child's health depends on the constant monitoring of parents and consultations of doctors. There should be cooperation of physicians, parents and children, observance of simple rules and prophylactic measures.
Justification of using a modified RME protocol with myofunctional appliances for dental crowding treatment of mixed dentition period patients with different facial skeleton growth patterns.
Authors: Krymovskyy Kyryl , Kaniura Oleksandr , Kostiuk Tetiana
Published: December 2022

the pathology of dental crowding in  mixed dentition period is one of the most common in orthodontic practice. Its prevalence, according to various worldwide scientific sources, reaches 77% and occurs at all stages of the formation of the dentognathic system, sometimes complicating the existing malocclusion. The purpose of our study is to create a rational treatment protocol for patients with dental crowding  according to the facial skeleton growth pattern, as well as to conduct a comparative analysis of the effectiveness of dental crowding treatment according to standard and suggested protocol. A three-year study at NMU O.O. Bogomolets Medical Center  of patients with dental crowding in mixed dentition period(164 people).A total of 328 CBCT slices before and after treatment of patients with crowded teeth were submitted to the overall analysis. The results and conclusions of treatment efficiency analysis were carried out using the proposed treatment protocol with different facial skeleton growth patterns indicate an increase in the quality of treatment of this pathology and a reduction in  treatment terms to achieve the result. The results obtained after 16 months in patients with a horizontal type of growth indicate that the effectiveness of the treatment of CG II patients reached 68.1±1.3%;after 17 months, in patients with a vertical and neutral growth patterns, the effectiveness of treatment of CG III reached 76.7±1.6%, CG I – up to 62.3±0.7%. The algorithm proposed by us allows  to shorten the treatment period by 3-4 months.
Communication as a necessary component of the educational process of future doctors and pharmacists
Authors: Hrynzovska Anastasiia
Published: December 2022

First Scientific and Practical Conference with international participation

"Communication as a necessary component of the educational process of future doctors and pharmacists"

December, 14, 2022
Medo de morrer ou… medo de viver?
Authors:   Médica Interna de Medicina Geral e Familiar, Silva Sofia da
Published: December 2022

Cuidar de um utente em fim de vida envolve, para além de uma preocupação com o sofrimento físico, cuidados com outras vertentes do sofrimento, tais como social, familiar, emocional e espiritual. À semelhança do que fazemos com os cursos de preparação para o parto e parentalidade, não será igualmente importante dar formação e apoiar pessoas em fim de vida e quem delas cuida?
Políticas de saúde prioritárias no pós-pandemia: a visão dos profissionais de saúde
Authors:   USF Valongo, Coelho Francisco Santos , Oliveira Susana Sampaio ,   Faculdade de Economia da Universidade do Porto
Published: December 2022

Objetivo: Conhecer a opinião e a perceção dos profissionais de saúde sobre o impacto da pandemia da COVID-19 na sua prática clínica e identificar as políticas de saúde que consideram ser mais prioritárias para a fase de retoma assistencial pós-pandémica. Tipo de estudo: Observacional, transversal e descritivo. População: Adultos, profissionais de saúde de qualquer área, que tenham estado no ativo durante o ano 2020. Métodos: Colheita de dados através de um questionário divulgado online em diversas plataformas durante a primeira quinzena do mês de julho de 2021. A análise estatística descritiva e inferencial foi feita em Microsoft Excel® e em GraphPad Prism®. Resultados: Dos 546 profissionais de saúde que participaram neste estudo, 93% consideraram que a pandemia da COVID-19 teve um impacto importante na sua prática clínica; destes, 65% classificaram esse impacto como elevado. Verificou-se uma diferença estatisticamente significativa para todas as dificuldades laborais sentidas antes vs durante a pandemia. Foi nos cuidados de saúde primários (CSP) que se encontrou a maior taxa de insatisfação laboral no primeiro ano de pandemia. A política de saúde considerada mais prioritária para o pós-pandemia foi a retoma dos rastreios (94,9%), seguindo-se a contratação de profissionais de saúde (94,1%) e a melhoria das remunerações (93,2%). Foram ainda consideradas prioritárias a preparação do Serviço Nacional de Saúde (SNS) para situações equiparáveis a esta pandemia, o reforço das equipas e condições dos CSP e a redução do trabalho burocrático. Por oposição, o investimento em telemedicina foi considerado como a política menos prioritária de todas as listadas, com apenas cerca de 67% dos participantes a considerarem-na relevante. Conclusões: Para os profissionais de saúde, a retoma dos rastreios é a política de saúde mais prioritária a adotar no pós-pandemia. Investir nos CSP é uma necessidade premente e a contratação de profissionais é fundamental.
Amputação de dígito em um bovino nelore por ocorrência de carcinoma – relato de caso
Authors:   Centro Universitário São Lucas, Tortora Ana Paula Custódio , Osowski Alini ,   Universidade Estadual Paulista “Júlio de Mesquita Filho”, Silva Júnior José Ivaldo de Siqueira ,   Universidade Estadual Paulista “Júlio de Mesquita Filho”, Chagas Ronaldo Santos ,   Instituto Federal de Educação, Ciência e Tecnologia de Rondônia, Silva Denilson Oliveira ,   Instituto Federal de Educação, Ciência e Tecnologia de Rondônia, Silva Ana de Paula Leite da ,   Instituto Federal de Educação, Ciência e Tecnologia de Rondônia, Pereira Elãine Lopes ,   Instituto Federal de Educação, Ciência e Tecnologia de Rondônia, Souza Ana Paula de Amorim ,   Instituto Federal de Educação, Ciência e Tecnologia de Rondônia, Nascimento Juliana Sousa Terada ,   Instituto Federal de Educação, Ciência e Tecnologia de Rondônia, Santos Tâmara Mayara de Souza ,   Instituto Federal de Educação, Ciência e Tecnologia de Rondônia, Santos Jomel Francisco dos ,   Instituto Federal de Educação, Ciência e Tecnologia de Rondônia, Campeiro Junior Luiz Donizete ,   Instituto Federal de Educação, Ciência e Tecnologia de Rondônia
Published: December 2022

Brazil is ranking as the biggest commercial herd in the world¬¬, being the largest exporter, generating a yearly revenue for the country that exceeds US$ 5 billion in sales. Foot disorders are one of the major problems faced by producers, extensively farmed beef animals are frequently affected, nevertheless these data are not so uncovered, to that end it is reported a case of a bovine affected by a carcinoma in its right digit, on the right-back limb whose treatment was performed through a surgical procedure of digit amputation in Jaru – RO.
NEOLIBERAL POLICY TOOL: ACTIVE LABOUR MARKET POLICIES IN TURKEY AND SPAIN
Authors: FİLİZ Bilge , CEYLAN ATAMAN Berrin
Published: December 2022

Since activation policies prove their inefficiency in solving existent socio economic problems, especially after the pandemic crisis of COVID-19, alternative policies other than Active Labour Market Policies (ALMPs) have appeared on the agenda of the EU. This research traces the reasons of the ineffectiveness of activation by highlighting the perception of the beneficiaries of the ALMPs. This article builds on the fieldwork implemented in a member state (Spain) and candidate country (Turkey) of the EU through 78 semi-structured individual interviews with the participants of vocational trainings for unemployed people. Results show that the beneficiaries in both countries are aware of the fact that the activation process does not provide a solution for their socio-economic problems and they desire a decent job, rather than training.
Contributions to the fauna of Türkiye Geometridae
Authors: KOYUNCU Mürşit Ömür , GÖRMEZ Vedat , KÜTÜK Murat
Published: December 2022

The Geometridae is one of the most populous families in terms of the number of species in the order Lepidoptera. It is known to have more than 23,000 species worldwide. Geometridae species cause damage to forest trees, but it has been reported that they also cause damage to cultivated plants in studies. This research was carried out in Turkey's Central Black Sea Region (Amasya, Çorum, Ordu, Samsun, Sinop, Tokat, and Yozgat) in 2017 and 2018 years. Adult specimens of Geometridae were collected using an insect net and a light trap in the study region. Obtained specimens were prepared according to standard museum methods for butterflies and prepared genitalia structures. As a result of the study, five subfamilies (Ennominae, Geometrinae, Larentiinae, Orthostixinae, Sterrhinae), 36 genera, and 48 species were determined. Also in this paper, the examined materials and adult photographs of the species are given. This study provides new information about the zoogeographic distribution of Geometridae species identified in the research area.
Structural transition of LiBeH3 under high pressure
Authors: YAMÇIÇIER Çağatay , AL Selgin
Published: December 2022

LiBeH3 has been considered as a solid-state hydrogen storage material. This study investigated Pnma orthorhombic phase of LiBeH3 under pressure. Ab initio constant pressure molecular dynamic simulation under pressure was adopted. The results depicted a phase transition from Pnma orthorhombic phase to P21/m monoclinic phase at 270 GPa simulation pressure. The stability of each phase was examined using elastic constants. Based on the well-known Born stability criteria, both phases showed mechanical stability. Several moduli have been computed via elastic constants. The B/G ratios, Cauchy pressures and Poisson’s ratios investigation revealed that LiBeH3 is brittle at Pnma phase whereas it is ductile at P21/m phase. The electronic band structures and partial and total density of states of phases were also obtained. A 2.058 eV band gap was seen for Pnma phase, and 3 eV band gap was seen for P21/m phase.
Attachment of Idarubicin to Glutaraldehyde-coated Magnetic Nanoparticle and Investigation of its Effect in HL-60 Cell Line
Authors: ULUSAL Hasan , ULUSAL Fatma , BOZDAYI Mehmet Akif , GÜZEL Bilgehan , TAYSI Seyithan , TARAKÇIOĞLU Mehmet
Published: December 2022

Idarubicin is a chemotherapeutic drug frequently used to treat breast cancer and acute leukemia. This study aimed to immobilize idarubicin on glutaraldehyde (GA)-coated magnetic nanoparticles (MNP-GA) to prepare a drug with high stability and low toxicity. We prefreed MNPS because of their easy synthesis, low cost, and non-toxicity. In the study, magnetite (Fe3O4) nanoparticles were prepared, coated with glutaraldehyde, characterization processes were performed with Fourier transform infrared spectroscopy (FT-IR), X-ray diffraction pattern (XRD), and Conventional transmission electron microscopy (C-TEM) methods, and idarubicin (IDA) was bound. The cytotoxic effects of idarubicin-bound MNP-GA and free idarubicin on HL-60 cell lines were determined by MTT and ATP tests, and IC50 values were calculated. Flow cytometry was used to evaluate apoptosis status, and the expression of MDR1, Puma, NOXA, BAX, Survivin, and BCL-2 genes were measured by the polymerase chain reaction (PCR). It was found that the IC50 decreased between 5 and 7 times with the use of MNP. In PCR tests, the expressions of apoptotic genes increased, while the expressions of MDR1 and anti-apoptotic genes were decreased in the use of MNP. Apoptosis was found to be increased in flow cytometry measurements. The use of MNP systems has reduced drug resistance since it provides controlled release of the drug and prevents its exit from the cell due to its structure.
Hydrogen production via water electrolysis on an active electrocatalyst rGONi nanocomposite
Authors: BALUN KAYAN Didem
Published: December 2022

The development of inexpensive and effective electrocatalyses are all-important for hydrogen production from water electrolysis. In this study, a facile design of a reduced graphene oxide (rGO) based electrocatalyst decorated with nickel nanoparticles is described. The voltammetric results and the hydrogen evolution reaction (HER) kinetics showed that the as-prepared nanocomposite is an effective and stable electrocatalyst for hydrogen production with a small Tafel slope of 152 mVdec-1 and long-term continuous durability (over 24 h) in 0.5 M H2SO4 solution. Also, the enhanced HER activity was confirmed by characterization results with the porous/greater electroactive surface area. The remarkable increase in electrocatalytic activity was due to the surface roughness and the synergetic chemical coupling effects between rGO and Ni nanoparticles.
Professional entrance exam in English curriculum: for Kyiv National Linguistic University applicants. Specialty: 014 secondary education Specialization: 014.021 the English language and literature Educational and professional curriculum: teaching Europ
Authors: Melnik Alla , Ribakova Katerina , Tron Tetiana
Published: December 2022

Professional exam in English for applicants to study in the specialty 014 Secondary education, specialization 014.021 English language and literature, educational and professional program Teaching European languages on the basis of combined technologies (English and another Western European language) (hereinafter referred to as the Professional Exam) is a form of entrance examination for admission on the basis of the obtained bachelor's degree, which provides for the verification of scientific, theoretical and practical training of applicants for admission to Kyiv National Linguistic University for the second (master's) level of higher education.The professional exam aims to determine the level of knowledge and skills of applicants in the main aspects of the practical English language course, a number of theoretical disciplines of the linguistic cycle, as well as their level of proficiency in written language of different functional styles, which determines their readiness to obtain a master's degree.
Clinical predictors of hypoxemia in patients of acute lower respiratory tract infections: A hospital-based study
Authors: Arora Mansi , Rai Preeti Lata , Prasad Prem Lochan
Published: December 2022

Aim: The aim of this study was to study clinical predictors of hypoxemia in patients of acute lower respiratory infections in children.
Materials and Methods: An observational prospective study was conducted for 8 months in the General Pediatric Ward and Pediatric Intensive Care Unit of Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, a tertiary care hospital in Rohilkhand region. This is a hospital-based study. All children admitted with acute lower respiratory tract infections between the age group of 1 month to 59 months of age and diagnosed with pneumonia and bronchiolitis were enrolled and oxygen saturation of patients was recorded and compared with arterial blood gas.
Results: A total of 40 patients were enrolled in the study. More than 90% cases of pneumonia and bronchiolitis presented with difficulty in breathing followed by rapid breathing as the next most common symptom. The least common symptom was noisy breathing and pain in abdomen. The most common signs observed were tachypnea which was present in 100% cases of mild, moderate, and severe hypoxemia. Tachypnea (91%), pallor (89%) and nasal flaring (84%), crepitations (added sounds), and subcostal retractions had better sensitivity for detecting hypoxemia.
Conclusion: It was observed that a combination of clinical signs and symptoms can be used to predict hypoxemia when facilities of pulse oximetry and arterial blood gas analysis are not available, especially in low-resource settings.
Effect of oral nutrition supplement on growth in preschool children – a systems physiology-based in silico analysis
Authors: V Hari Nishanthi , Chheda Ekta , Gurumaani Siranjeevi , Gangwar Vani , Saxena Abha , Lomore Karan , Marathe Madhavi , Rahul Preethi , Kareenhalli Venkatesh
Published: December 2022

Introduction: Optimum nutrition is the cornerstone of child growth and development. Childhood is a period of rapid growth and development. Children of preschool age have higher nutritional needs and are often at risk of nutrient deficiencies. Objective: The present study was designed to evaluate the effect of an oral nutritional supplement (ONS) on growth parameters in a representative population. Methods: We used the systems-biology-based mathematical model for child growth to analyze the effect of ONS on growth in a representative in silico population of preschool children. The analysis included changes in average growth velocities of weight, height, muscle mass, fat mass, fat-free mass, and bone mass. We used meta-data analysis for evaluating the absorption of micronutrients present in the ONS that affects growth in preschool children. Results: The results of the analysis showed one serving of ONS in milk/day improved the weight gain velocity by 1.7 times in preschool children. The linear growth was 1.04 times higher than the control. The absorption of micronutrients such as iron, vitamin K, calcium, and magnesium was higher in the ONS group. Conclusions: This study indicates that the ONS containing macro and micronutrients, docosahexaenoic acid (DHA), and prebiotics can potentiate growth and development in preschool children. It provides micronutrients that can be readily absorbed which are essential for other vital functions in the body.
Early life antibiotic exposure and inflammatory bowel disease
Authors: Agrawal Rashmi , Agrawal Amit , Jacson Janice
Published: December 2022

Inflammatory bowel disease (IBD) is known to affect millions of people worldwide and is primarily caused due to abnormal due to abnormal immune responses to intestinal microbes. IBD is primarily categorized under two main types – ulcerative colitis and Crohn’s disease. Although the cause of IBD is still an unsolved puzzle, its development can be attributed to the presence of various risk factors including antibiotic use. The intestinal immune system is the point of genesis of IBD and anything that creates an imbalance can trigger IBD. Alterations in the gut microbiota can lead to reduced microbial populations and lead a chronic inflammation state. Antibiotics may influence microbial maturity and can hamper the formation of a strong immune system. This makes an individual vulnerable to the threat of infections and subsequent development of a chronic inflammation state. Studies have implicated that the use of antibiotics during pregnancy, antepartum, and among neonates is associated with the development of IBD. Adequate development of the microbial niche takes place within the first 2 years of life and extensive administration of antibiotics during this period can pose a significant risk for the development of IBD. Animal studies have also documented the role of in utero antibiotic exposure during the antepartum period and the subsequent risk of developing IBD in the offspring. This review summarizes the role of antibiotic exposure during pregnancy and infancy in the development of IBD.
Subacute invasive pulmonary aspergillosis misdiagnosed as tuberculosis in a Nigerian man: A case report
Authors: Ekeng Bassey E , Akpu Bernard B , Ahaneku Chidimma A , Udoh Ubong A , Ita Okokon I , Elem David E , Okorafor Linda N , Monjol Bernard E , Njoku Chibueze H , Oladele Rita O
Published: December 2022

Subacute invasive pulmonary aspergillosis is a form of chronic pulmonary aspergillosis (CPA) with rapid progression. The clinical features of CPA mimic tuberculosis (TB) and may lead to delayed and/or misdiagnosis. We report a 39-year-old Nigerian previously managed in a peripheral hospital as a case of TB despite negative Gene-X pert results with no resolution of symptoms. Chest X-ray and computer tomography findings were suggestive of CPA and galactomannan assay positive. Symptoms resolved 2 months into itraconazole treatment. There is a dire need to drive awareness of CPA among clinicians, especially in our primary and secondary healthcare facilities where the knowledge base and expertise in the management of fungal infections is still at a rudimentary level or perhaps not available at all.
Inversão uterina não puerperal por leiomioma parido: relato de caso
Authors: Nascimento Luciana Garcia do , Carvalho Benedito Dias de , Molisani Julia Terra , Gato Fábio Luiz da Silva
Published: December 2022

A Inversão Uterina Não-Puerperal (IUNP), embora rara, é uma emergência ginecológica com risco de óbito devido à perda sanguínea, devendo, portanto, ser prontamente reconhecida e tratada. Ela pode decorrer devido a leiomiomas submucosos pediculados que, após necrose ou degeneração do pedículo, estimulam o processo inflamatório do endométrio, culminando em contrações que expelem o tumor pelo canal vaginal, recebendo, assim, o nome de leiomioma parido. Neste contexto, visa-se responder: quais os procedimentos devem ser realizados e qual o melhor tratamento para os casos de Inversão Uterina Não-Puerperal? Desta forma, objetivou-se descrever o desfecho clínico e ginecológico de uma mulher com IUNP causada por leiomioma parido em uma maternidade do extremo norte do Brasil. Trata-se de um estudo descritivo do tipo relato de caso, a partir de dados de uma mulher diagnosticada com inversão uterina secundária a leiomioma parido. A pesquisa foi realizada na cidade de Macapá, capital do Amapá. As coletas de dados ocorreram no Hospital da Mulher Mãe Luzia, por meio de prontuário e questionário aplicado à participante. Realizou-se análise descritiva, por meio de tabelas de frequência, medidas numéricas e registros fotográficos da condição. Foram verificadas as condições sociodemográficas, clínicas, ginecológicas e resultados de exames de imagens e laboratoriais. Como resultados, descreveu-se a situação clínica e ginecológica de um caso raro de inversão uterina causado por leiomioma parido. A paciente, 49 anos, multípara, sem comorbidades, foi admitida em serviço de emergência por hemorragia transvaginal profusa e sinais de hipovolemia. Constatou-se inversão uterina por leiomioma, parte da massa foi seccionada via vaginal e prosseguiu-se com intervenção cirúrgica através de histerectomia total. Por fim, concluiu-se que a inversão uterina não puerperal é uma emergência ginecológica rara. Contudo, exige do profissional de saúde decisões clínicas desafiadoras e a demora na sua identificação e tratamento podem acarretar consequências fatais à paciente, devido a quadros hemorrágicos. O tratamento consiste em medidas que buscam a realocação uterina e, inicialmente, a preservação da fertilidade da paciente, no entanto, em determinados casos, a histerectomia parcial ou total são as melhores opções para estabilização do quadro.
Efektivitas Model Pembelajaran Tutor Sebaya Dalam Meningkatkan Kemampuan Membaca Al-Qur'an Santri Pada Program Pengajian Ba'da Subuh Di Pondok Pesantren Tebuireng
Authors: Alfi Dewi Zainul , Idawati Khoirotul
Published: December 2022

Peer tutor learning model is a way to learn friends with friends. The focus in this study is how the peer tutoring learning model, how effective is the use of peer tutoring learning model in improving the ability to read the Qur’an of students in early dawn recitation program, what are the supporting factors and obstacles. This study used a qualitative descriptive approach with a phenomenology approach. Data obtained through observation, interview, and documentation. This study resulted in the findings peer tutor learning model at Tebuireng Islamic Boarding School 2, namely every senior students or student who are generally older teach their juniors. The selection of tutors on the recommendation of ustadz/ustadzah with various criteria. The use of peer tutoring learling model can be said to be effective because the learning objectives and targets are minimally achieved. The supporting factors of the use of the learning model are the strong desire to teach in the students, the lack of qualified teachers and students. While the inhibiting factors for using this learning model are students who are not serious in learning and tutors are still confused in dealing with sleepy students.
¿Son todos los shocks de oferta inflacionarios preludio de recesión? Un análisis macroeconométrico
Authors: Alonso Álvarez Irma , Martínez-Martín Jaime , Kataryniuk Iván
Published: December 2022

Este artículo analiza las similitudes de la situación actual de elevada inflación con varios episodios históricos para extraer lecciones de políticas económicas. Para ello, se emplean técnicas macroeconométricas para identificar perturbaciones de demanda y oferta en Estados Unidos y valorar si estas últimas son útiles en la predicción de recesiones. Los resultados apuntan a que los efectos económicos de los determinantes de los shocks de oferta podrían ser diferentes en la actualidad.
Factores explicativos del deflactor del PIB desde el inicio de la pandemia
Authors: Boscá José E. , Doménech Rafael , Ferri Javier , Ulloa Camilo A.
Published: December 2022

Frente a la inflación importada, la tasa de crecimiento del deflactor del PIB es un indicador más apropiado que la inflación calculada a partir del IPC para monitorizar en qué medida nuestra economía genera presión adicional sobre el crecimiento de los precios y para servir de base para un potencial pacto de rentas.  En este artículo utilizamos un modelo de equilibrio general dinámico estocástico, estimado para la economía española, con el que evaluamos la contribución de los principales factores que determinan la evolución del deflactor del PIB y los salarios reales desde el inicio de la pandemia.
Challenges for global monetary policy in an environment of high inflation: the case of the euro area
Authors: Arce Oscar , Koester Gerrit , Pierluigi Beatrice
Published: December 2022

The euro area has been particularly vulnerable to the shocks resulting from the pandemic and the war – contributing strongly to record-high inflation. This required a fast and decisive monetary policy reaction. The future monetary policy course will depend also on how these shocks, along with the fiscal and structural policies response, will affect the economic and inflation outlook.
Riesgo y rediseño de las cadenas globales de suministro: una propuesta teórica para una realidad actual
Authors: Zaballa Juan José
Published: December 2022

A mi padre, también Técnico.
El moderno protagonismo de las cadenas globales de suministro (CGS) en el ámbito de los flujos internacionales de comercio y de inversión directa exige un planteamiento teórico específico. Así, el modelo aquí propuesto plantea que las CGS vienen determinadas, en su estructura y complejidad, a su vez, definidas por su longitud y grado de internacionalización, por el conjunto de riesgos que las afectan, de manera que variaciones el nivel de dicho conjunto de riesgos da lugar a cambios en la mencionada estructura de las CGS. En el modelo planteado, el resultado final del proceso de ajuste de las CGS ante variaciones del riesgo dependerá de las decisiones del conjunto de las empresas que participan en ella, en función de las dos variables básicas de toda toma de decisión empresarial, como son el riesgo y la rentabilidad.
A CLÍNICA E A EDUCAÇÃO
Authors: Barth da Silva Gabriel
Published: December 2022

O presente ensaio busca, partindo de produções acadêmico-científicas na área da Psicologia acerca de processos clínicos contemporâneos, apropriar-se de conceitos do campo da Educação, nomeadamente da produção de bell hooks (amor) e de Paulo Freire (sonho e boniteza), para promover instrumentos teóricos que permitam abordar tópicos clínicos que decorrem de experiências cotidianas. O olhar transdisciplinar para as ciências humanas permite aumentar o leque de ferramentas na intervenção com sujeitos que vivenciam desafios comuns para profissionais que se dispõem a trabalhar com o objeto de relações interpessoais contemporâneas, permitindo que instrumentos sensíveis, afetivos e acessíveis sejam de imensa importância, independentemente do contexto profissional. A presente reflexão espera, além de promover a aplicação dos termos dispostos no trabalho em um contexto clínico, promover cada vez mais reflexões teórico-profissionais transdisciplinares no campo das ciências humanas.
APONTAMENTOS SOBRE HIPNOSE E A LÓGICA DE MERCADO
Authors: Reis Carlos Eduardo Soares
Published: December 2022

As modificações no mundo do trabalho, guiadas por princípios capitalistas neoliberais, acarretam mudanças nas subjetividades que tentam, a todo custo, adequar-se às demandas exigidas pelo mercado. A intensa competitividade e busca desenfreada pelo lucro somada aos imperativos de flexibilidade e performance aumentam a necessidade de explorar áreas laborais emergentes como, por exemplo, o campo das práticas terapêuticas. Assim, o presente ensaio, por meio de uma discussão teórica sobre as transformações do trabalho ao longo do tempo e uma breve descrição da história da hipnose, aponta como os princípios da lógica de mercado podem capturar a hipnoterapia, aproveitando-se da sua não regulamentação em território nacional para tentar torná-la um mero negócio lucrativo que privilegia seu lado instrumental e que não parece se preocupar com questões éticas importantes, como a qualidade das formações e a prudência quanto às promessas veiculadas acerca do tratamento. Tais apontamentos servem de reflexão para os interessados na medida em que a lógica cega do mercado e hipnoterapia pode ser um encontro perigoso para seu avanço e consolidação como prática de valor e não apenas de preço.
Prebrajanje razapinjućih stabala grafa
Authors: Kablar Dorian , Nakić Anamari
Published: December 2022

Ovaj se članak bavi tehnikama za prebrojavanje razapinjućih stabala grafa. Predstavljen je Kirchoffov matrični teorem o stablima koji povezuje broj razapinjućih stabala grafa i determinantu matrice čije vrijednosti ovise o grafu. Primjenom teorema izračunat je broj razapinućih stabala od potpunog grafa Kn, potpunog bipartitnog grafa Krs i grafa kotača Wn.
Upaya Guru dalam Meningkatkan Motivasi Belajar Siswa di Sekolah Minggu Buddha (SMB) Dhamma Sena (Studi Kasus di Vihara Sradha Dhamma Pokoh, Wonoboyo)
Authors: Ayu Tri Dian , Rispatiningsih Dwi Maryani , Walyono Walyono
Published: December 2022

Motivation is a factor that must be included in the learning process so that the learning process can be successful.This article was written with the aim of describing how to increase students  motivation by using strategies such as making miniatures at the Buddhist Sunday School (SMB), and to find out the obstacles and provide insight into students beliefs about Buddhism. The researcher uses case study qualitative method, data collection method uses observation, interview and documentation. The location of this research is the Budddhist Sunday School (SMB) Dhamma Sena, Vihara Sradha Dhamma, Pokoh, Wonoboyo, Wonogiri Regency. The subject of this study, namely the Buddhist Sunday School (SMB) teacher, as well as elementary school Sunday School students. The results of this study, namely the teacher s efforts in increasing student learning motivation are using gifts/reward, using interesting learning media, appropriate strategies such as using the case study method, carrying out outbound activities or outdoor activities, and a comfortable study room that is not cluttered.
SISTEM PENJADWALAN ANTRIAN SERVICE MOBIL TOYOTA MENGGUNAKAN ALGORITMA GENETIKA DI AUTO2000 PASTEUR
Authors: Ramadhani Soca , Mauliana Phitsa , Wiguna Wildan , Hunaifi Nanang , Firmansyah Ricky
Published: December 2022

Bengkel dalam industri otomotif merupakan tempat layanan jasa perbaikan dan perawatan kendaraan. Pada antrian terdapat suatu kondisi dimana penerima layanan yang jumlahnya lebih besar dibandingkan dengan pemberi layanan sehingga diperlukan appointment sebelum hari pengerjaan. Seorang Foreman terkadang memperhatikan sebagian teknisi yang terlalu sibuk melakukan perawatan kendaraan, namun disisi lain ada juga teknisi yang tidak kebagian pekerjaan. Kondisi ini biasa disebut dengan morning rush atau kesibukan di waktu tertentu saja, kemudian diperparah dengan kondisi bottleneck yang menyebabkan terjadinya antrian kendaraan beserta pelanggannya di ruang tunggu dengan ketidakpastian waktu pelayanan. Algoritma genetika meniru kejadian alam untuk menyelesaikan suatu masalah yaitu dengan menggabungkan teori reproduksi, seleksi alam, dan teori evolusi Darwin. Algoritma genetika menyimbolkan sebuah kromosom yang menentukan karakter sebagai sebuah individu dan kualitas dari setiap kromosom yang disebut dengan fitness. Dengan melalui tahap parameter fitness terbaik berdasarkan jumlah bentrok antara waktu, stall, kendaraan dan mekanik. Pengujian dilakukan berulang kali pada aplikasi dengan optimasi yang berbeda lalu dihasilkan output jadwal antrian yang berurut dan tidak terdapat bentrok diantara input waktu, stall, kendaraan dan mekanik dan sistem penjadwalan antrian service telah dibangun dengan menggunakan pemrograman web (Html, Css, Javascript dan PHP) serta database MySQL akan diterapkan di internal Auto2000 Pasteur.
Tripolis İthal Amphoraları: Bölgesel İlişkiler, Elit Eğilimler
Authors: KATIRANCI Serkan , DUMAN Bahadır
Published: December 2022

2012-2019 yılları arasında Tripolis antik kentinde yürütülen arkeolojik kazı ve araştırmalarda tespit edilen amphora buluntuları, bu makalenin ana konusunu oluşturmaktadır. Bölgedeki diğer antik kentlerde bulunan örneklerle yapılan karşılaştırmalar ve araştırmalar sonucunda amphora parçalarının ithal, yerel ve sınıflandırılamayan olmak üzere üç ana grup altında incelenmesiyle kentin amphora tipolojisi oluşturulmuştur. Gruplardan ilk sırayı yerel, ikinci sırayı ithal ve üçüncü sırayı ise sınıflandırılamayan amphoralar oluşturmaktadır. Lydia Bölgesi'nin güneyindeki son sınır kenti olan Tripolis antik kentinde kazı çalışması gerçekleştirilen hemen hemen her yapıda amphoralar bulunmuştur. Analoji çalışmaları sonucunda on beşi ithal amphora, üçü yerel amphora ve altısı sınıflandırılamayan olmak üzere toplam 24 farklı amphora tipi tespit edilmiştir. Söz konusu amphora tipleri Batı Akdeniz, Kuzey Afrika, Doğu Akdeniz, Karadeniz, Adalar-Ege, Batı Anadolu, Lykos Vadisi ve Menderes Vadisi’nde konumlanan antik kentlerin üretimleridir. Amphora buluntularından hareketle elde edilen bilgiler doğrultusunda, kentin hem denizaşırı hem de bölgesel kentlerle önemli derecede ticari ilişkiler kurduğu düşünülmektedir. Aynı zamanda yerel olarak üretilen amforalardan yola çıkarak, kentte üretim faaliyetlerinin yoğun bir şekilde gerçekleştiğini söylemek de mümkündür. MS 4. yüzyıldan itibaren Tripolis’te amphora kullanımı ve tip çeşitliliği artmıştır. Ancak MS 7. yüzyılın başından itibaren, tüm Batı Anadolu coğrafyasında olduğu gibi çeşitli faktörler nedeniyle meydana gelen nüfus azalmasıyla birlikte kentte amphora çeşitliliğinde azalma olduğu anlaşılmaktadır.
CEZA MUHAKEMESİNDE İSPAT
Authors: BAŞLAR Yusuf
Published: December 2022

Ceza muhakemesinin amacı maddi gerçeğin aranarak ortaya çıkarılmasıdır. Ancak bu amaca ulaşmak için hukuk kaidelerini göz ardı eden her yolun benimsenmesine cevaz yoktur. Maddi gerçeğin temel insan hakları gözetilerek ve hukuka uygun delillerle hâkimde tam bir vicdani kanaatin oluşması ile elde edilmesi gerekmektedir. Ceza muhakemesinin amacı bir olguya ilişkin gerçeğin ortaya konulması olduğundan ispatın konusunu da bu maddi olgular oluşturur. Bu bakımdan sanık hakkında mahkûmiyet kararı verilebilmesi için atılı suçun sanık tarafından işlendiğinin sabit olması gerekir. Muhakeme sürecinin sonunda şüphenin giderilememesi durumunda ise “şüpheden sanık yararlanır” ilkesi gereğince sanık hakkında mahkûmiyet hükmü kurulamayacaktır. Ceza muhakemesinde -medeni muhakemenin aksine- yargılamanın süjelerinden biri ya da bir kaçı ispat yükü altında değildir. Ceza muhakemesi sonunda ortaya çıkması beklenen ispat mutlak nitelikte olmayıp nispi niteliktedir.
Efek Antihiperglikemik Infusa Daun Benalu Kersen (Dendrophthoe pentandra (L.) Miq) Pada Tikus Putih Jantan Yang Diinduksi Aloksan
Authors: Zahra Fatihah Az , Subandrate Subandrate , Safyudin Safyudin , Sinulingga Sadakata
Published: December 2022

Kersen parasite leaves (Dendropthoe pentandra (L.) Miq) is a type of parasite that is hemiparasite and contains active compounds, namely, flavonoids, terpenoids and tannins. This compound has benefits as an antihyperglycemic. The aim of this study is to determine the effect of lowering blood glucose levels from the infusion of Kersen parasite leaves (Dendrophthoe pentandra (L.) Miq) in white male rats induced by alloxan. This research was a laboratory experimental study with a randomized pre- and posttest one group design. The study used alloxan-induced male rats which were divided into 3 dosage groups (38 mg/kgBW, 77 mg/kgBW, and 154 mg/kgBW). In the results of the mean blood glucose levels of rats, there was a decrease in blood glucose levels on the 0th day of treatment, on the 7th day after the treatment there was an increase in blood glucose levels and on the 14th day after the treatment there was a decrease in blood glucose levels except in the dose II group and III. In this study, Kersen parasite leaf infusion had no effect on reducing blood glucose levels of alloxan-induced male white rats.
Aktivitas Fraksi Air Kulit Batang Mahoni (Swietenia macrophylla King.) Dan Studi In Silico Senyawa Kimia Penghambat Enzim α-Glukosidase
Authors: Khaerunnisa Arini , Djamil Ratna , Sulastri Lilik , Simanjuntak Partomuan
Published: December 2022

Inhibition of the α-glucosidase can be used as antidiabetic therapy because it can reduce postprandial blood sugar levels. The stem bark of mahogany (Swietenia macrophylla King.) have properties as inhibitors of enzyme α-glucosidase. The purpose of this study was to determine the active compound of mahogany stem bark againstα-glucosidase enzyme in vitro and in silico. 96% ethanol extract of mahogany stem bark was partitioned with n-hexane, ethyl acetate and water. Testing of inhibition of α-glucosidase enzyme work done with substrate p-nitrophenyl-α-D-glucopyranoside. The water fraction was separated on silica gel column chromatography (SiO2 : dichloromethane-methanol = 10 : 1 ~ 1 : 1 and methanol).Molecular docking using AutoDock 4.2.6 was performed to predict the binding modes of α-glucosidase enzyme with chemical compound from water subfraction of stem bark mahogany. The results showed that water fraction of stem bark mahogany have antidiabetic activity with IC50 value of 1.51 µg/mL. Fraction Fr-1 gave an inhibition of 83.61 ± 1.11 %. Fr-1 contains chemical compound catechin, evodionol and swietenitin K. In silico study showed that catechin and evodionol free energy value (ΔG) -6.98 and -6.25 Kcal/mol and inhibition constanta (Ki) 7.61 and 26.18 µM.