bluuebunny/crossref_metadata_2025 huggingface dataset:
Hematological manifestations of Helicobacter Pylori (literature review)
Authors: Kozlova Yu.V. , Govtva D.Yu.
Published: May 2023

It is known that Helicobacter pylori to be a key factor in the etiology of various gastrointestinal diseases, ranging from chronic gastritis without clinical symptoms to peptic ulcer, autoimmune gastritis, adenocarcinoma and gastric MALT lymphoma. However, current research suggests that Helicobacter pylori may be associated with numerous extra-gastric diseases that lead to chronic local or systemic inflammation and the initiation of autoimmune reactions, including hematological ones. The article describes the role of Helicobacter pylori CagA in the pathogenesis of iron deficiency anemia, immune thrombocytopenic purpura and MALT lymphoma. Studies of the iron-deficiency anemia pathogenesis in infected H. pylori patients have shown a connection between the CagA oncoprotein and iron homeostasis. It was established that transferrin endocytosis is mediated and iron absorption increases. In the development of immune thrombocytopenic purpura, CagA leads to a systemic host immune response through mechanisms of molecular mimicry. In pathogenesis of MALT lymphoma, it is considered significant that after the transfer of CagA to B-cell lymphocytes, through the type 4 secretory system (T4SS), a phosphorylated CagA-SHP2 complex is formed by affecting endoplasmic reticulum kinases 1 and 2 (ERK1, ERK2), p38MAPK, BCL2 and NF -κB, as well as through inhibition of p53 accumulation or inhibition of the JAK-STAT signaling pathway, ultimately promoting lymphogenesis and immortalization of B-cell lymphocytes. So, it was established that the presence of CagA protein in the Helicobacter pylori strain is key to the development of inflammation and tumor transformation. The disclosure of these mechanisms is necessary for a more accurate understanding of some pathological processes caused by this bacterium, both in the stomach and outside it. This will help improve diagnosis, guide treatment and predict clinical prognosis.

Keywords: hypomagnesaemia, blood pressure, diabetes mellitus.
REORGANIZAÇÃO E ESTABELECIMENTO DE FLUXOGRAMA NA REDE DE ATENÇÃO MATERNO-INFANTIL APÓS INSERÇÃO DE ATENDIMENTOS PEDIÁTRICOS NUMA UNIDADE DE PRONTO ATENDIMENTO (UPA)
Authors: Faustino Sarmento Samara , de lira Silva Macerlane , Pereira Barroso Naedja , Silva Oliveira Geane
Published: May 2023

Este estudo tem como objetivo relatar a experiência referente à construção e apresentação do fluxograma da Rede de Atenção Materno-Infantil (RAMI) para os gestores e profissionais que compõem a nona região de saúde de cajazeiras (9°GRS-CZ) após a inserção de atendimentos pediátricos numa Unidade de Pronto Atendimento (UPA) no alto sertão paraibano. Trata-se de um estudo descritivo-reflexivo, de natureza qualitativa, na modalidade de relato da experiência. A necessidade da construção e apresentação do fluxograma da RAMI com ênfase nos atendimentos em pediatria foi levantada após interdição ética no Hospital Universitário Júlio Bandeira (HUJB) no dia 09/05/2022 e com determinação do Estado da Paraíba no dia 11/05/2022, direcionando esses atendimentos para UPA. O fluxograma da RAMI foi apresentado para coordenadores da atenção básica, enfermeiros e médicos no dia 02 de junho de 2022 as 14h30min pelas Residentes em Saúde Coletiva locadas na nona região de saúde de Cajazeiras (9°GRS) através da plataforma meet. Com a inserção de atendimentos pediátricos na UPA foram levantados vários questionamentos estruturais e profissionais, a unidade enfrenta problemas referentes à alta demanda de usuários e falta de regulação pediátrica quando a criança é proveniente de outros serviços se tornando necessário reforçar as informações referente aos atendimentos e ao fluxo para não comprometer o serviço. Profissionais, coordenação e direção trabalham de forma incansável para adequar a unidade, capacitar profissionais e assim prestar um atendimento humanizado e de qualidade para toda a região de média e alta complexidade tanto em pediatria quanto em todas as fases da vida.

Palavras-chave: Unidade de pronto atendimento, fluxograma, pediatria.
Plasma-generated nitric oxide radical (NO•) promotes the proliferation of fibroblast cells in liquid
Authors: Mori Yasumasa , Oguri Kazane , Iwata Naoyuki , Murata Tomiyasu , Hori Masaru , Ito Masafumi
Published: May 2023

The promotion of cell proliferation by non-equilibrium atmospheric-pressure plasma is a promising technology for regenerative medicine. The fibroblast suspension was irradiated with electrically neutral radicals. Radial irradiation was performed using an atmospheric-pressure radical generator with a working gas mixture of Ar, O2, and N2. Carboxy-PTIO (c-PTIO), a scavenger of nitric oxide radical (NO•), was dissolved in the fibroblast suspension. Selective irradiation with electrically neutral radicals promoted fibroblast proliferation by 36% without c-PTIO in liquid. In contrast, proliferation-promoting effects were significantly reduced to 13% with c-PTIO. Fluorescence probes for reactive oxygen and nitrogen species (RONS) and NO• showed that intracellular RONS and NO• levels were increased by radical irradiation and reduced with c-PTIO in the fibroblast suspension. NO• was detected in the radical-irradiated solutions using ERS. These results suggested that plasma-generated NO• promotes fibroblast proliferation in liquids.
Psychological Domestic Violence against Woman as Reflected in Susan Glaspell’s Trifles
Authors: Asst. Instructor: Basaad Maher Mhayyal
Published: May 2023

Susan Glaspell (1876-1948) was one of the pioneering American female playwrights who evolved into visibility at the end of the 19th century and the beginning of the twentieth. She had celebrated in her personal and literary life the advent of the new woman striving to fulfill her dreams in a hostile and intensive world. Glaspell based her first dramatic play, Trifles, on an actual murder case she covered while working as a journalist.1 She may write her piece, Trifles, as an explanation for why a woman may murder her husband. In her attempt to explain, Glaspell created the character of Minnie Wright who is oppressed by her husband to the extreme. To fully free herself, Minnie escapes by way of strangling her husband to death. Thematically speaking, Glaspell’s Trifles handles women’s issues in a time where women like Minnie Wright were often forced to remain with “either father or husband just to have a roof over their heads. The life of a solitary woman without male protection was not an attractive option.”2

          In Trifles, the troubled marriage of the Wrights has culminated in Minnie Wright strangling her husband, John. The men vainly look for signs of violent rage, but the women, with growing empathy, are able to recognize the signs of quiet desperation under which many women of their time were forced to live. Glaspell contrasts male and female perspectives throughout the play, and engages the audiences’ sympathy firmly on the side of the women. Susan C. W. Abbotson indicates that “We are asked to witness Mrs. Wright’s life rather than Mr. Wright’s death, and we are shown that the true ‘crime’ has been the way she was being subjugated and ‘destroyed’ by her marriage.”3 Mr. Wright sees women as a submissive group whose concerns hold
АНАЛІЗ СУЧАСНИХ ВІДКРИТИХ СИСТЕМ ВИЯВЛЕННЯ ТА ЗАПОБІГАННЯ ВТОРГНЕНЬ
Authors: Коробейнікова Т. , Цар О.
Published: May 2023

Для забезпечення комплексного захисту мереж від можливих атак використовуються системи запобігання вторгненням та системи виявлення вторгнень. У даній статті розглянуто такі системи як Snort, Suricata, McAfee Network Security Platform та Zeek. Шляхом порівняння цих систем виявлено їх спільні недоліки та сформульовано вимоги до наближеної до ідеальної системи запобігання та виявлення вторгнень.
“UTILITY OF IOTA ADNEX MODEL IN PRE-OPERATIVE EVALUATION OF ADNEXAL MASSES WITH HPE CO-RELATION IN FEMALES BETWEEN 30-70 YEARS IN TERTIARY CARE CENTRE OF CENTRAL INDIA”
Authors: Chhadi Shyam , Muppidwar Shivani , Agrawal Aditi
Published: May 2023

1. Objectives: Ÿ To prove that there is a role of IOTA ADNEX model in preoperative evaluation of adnexal masses. 2. Conclusion And Results: Ÿ In our study, out of 65 patients, most of the patients were ≤50 years of age. Age was statistically signicant with HPE (p0.032). Ÿ We found that, most of the patients had family history in Malignant group compared to Benign group but this was not statistically signicant (p-0.951). Ÿ Our study showed that, a greater number of patients had more than 10 locules in Malignant group compared to Benign group though it was not statistically signicant (p-0.87). Ÿ Higher number of patients had Ascites in Malignant group compared to Benign group which was statistically signicant (p<0.001). Ÿ More number of patients had Post Acoustic Shadowing in Malignant group compared to Benign group which was statistically signicant (p<0.001). Ÿ It was found that, the mean CA 125 U/mL was higher in Malignant group compared to Benign group it was statistically signicant (p<0.001). Ÿ The mean Lesion Diameter (mm) was more in Malignant group compared to Benign group but this was not statistically signicant (p-0.701). Ÿ We showed that, the mean Solid Component Size (mm) was more in Malignant group compared to Benign group which was statistically signicant (p<0.001). Ÿ The mean number of Papillary Projections was more in Malignant group compared to Benign group which was statistically signicant (p-0.005). Ÿ We observed that, majority of lesions which were categorized as malignant by IOTA ADNEX model turned out to be malignant and benign lesions turned out to be benign on HPE, it was statistically signicant (p-0.0001). 3. Inference: IOTA ADNEX MODEL proved to be a useful tool in early detection of adnexal lesions and differentiating them into beningn and malignant groups. The discriminating performance of ovarian tumors with the IOTA-ADNEX model has been better than other existing models. In 2014, ADNEX model was developed. The ADNEX model helps in differentiation of benign from malignant by using 9 predictors, 3 of them are clinical (age, CA 125 and type of centre) and rest 6 are sonographic variables (maximal diameter of lesion, proportion of solid tissue, more than 10 cyst locules, no. of papillary projections, acoustic shadow and ascites. This study aimed to test reliability of these risks prediction models to improve the performance of pelvic ultrasound and discriminate between benign and malignant lesions. Association of results of IOTA ADNEX model with HPE was statistically signicant (p<0.0001)
PREVALENCE AND TYPES OF ANAEMIA IN THYROID DISORDERS
Authors: Gupta Poonam , Kumar Chaurasia Ajeet , Kumar Mathur Manoj , Shalini Shalini
Published: May 2023

Aim: Methods & To study the prevelance and types of anaemia in patients with thyroid disorders. Materials: A cross sectional study was conducted on 160 patients ≥18years including both hypothyroid & hyperthyroid patients at OPD/IPD in SRN Hospital afliated to MLN Medical College, Prayagraj between July2021 & June 2022. CBC, GBP with Reticulocyte count and thyroid prole was done. The prevalence of anaemia was f Result: ound to be 67.50% in the study population. Among hypothyroid patients, majority of the patients were found to be anaemic (70.8%), however in hyperthyroid patients, majority of the patients were found to be non-anaemic (62.5%).The most common type of RBC morphology found in the study population was normocytic normochromic (69.4%), followed by microcytic hypochromic (16.8%) and macrocytic (13.8%) . Majority of the study subjects in the study population had moderate anaemia ( 80.6%), followed by mild anaemia (11.1%) and severe anaemia ( 8.3%). The severity of anaemia was more in hypothyroid patients(82.4% patients had moderate anaemia) as compared to hyperthyroid patients(50% patients had moderate anaemia). Conclusion: The prevalence of anaemia was found to be 67.50% in the study population. Higher prevalence of anaemia was found in hypothyroid patients (70.8%) as compared to that in hyperthyroid patients (37.5%).The most common type of RBC morphology found in the study population was normocytic normochromic (69.4%). Severity of anaemia was found to be more in hypothyroid patients as compared to hyperthyroid patients.
A PROSPECTIVE STUDY OF FACTORS AFFECTING POST LAPAROTOMY ABDOMINAL WOUND DEHISCENCE
Authors: Singhal Ashwanish , Prajapati Devendra , Kushwah Naveen , Kushwah Reeta
Published: May 2023

Background: Break in continuity of the skin with or without deeper tissues, following laparotomy, results in abdominal wound dehiscence. This study was done to evaluate the risk factors that lead to wound dehiscence in the postoperative period. Aim- this study was conducted to analyze various factors which are responsible for post-laparotomy wound dehiscence. Material and Methods: This was a prospective study done on 120 patients who developed wound dehiscence following laparotomy. The pre-operative investigations, intraoperative ndings, and any postoperative complications were recorded in a specied Performa. Results: The highest incidence of wound dehiscence was found to be in patients of the second to a fourth decade, with male preponderance. patients were found to be malnourished cachexia (BMI<22) and 99 patients were anemic. 86 (71.67)had low serum albumin, 16% had raised serum bilirubin and 4 patients were diabetics. Decreased renal function was found in 87 (72.5) patients.. In 54 (45%) of patients, laparotomy wounds were either contaminated or dirty. Post-operative nausea and vomiting were found in patients. Conclusions : Abdominal wound dehiscence after laparotomy is a surgical emergency with high morbidity and mortality leading to an escalation in hospital costs and prolonged illness. This complication can be avoided if the factors involved in wound dehiscence are properly addressed.
From HIV/AIDS through Ebola to COVID-19: The Unlearnt Lessons from Epidemics in Africa- A Personal Perspective
Authors: Tangwa G.B.
Published: May 2023

Within the four decades spanning the 1980s to the year 2020 and counting, the continent of Africa has witnessed many deadly epidemics, notable among which are HIV/AIDS, Ebola, and COVID–19. For anyone in Africa who has lived through these epidemics and critically observed their impacts on the continent, it is evidently clear that the lessons that should be learned from them have not yet been fully learned. These unlearned lessons are related without being limited to the political, economic, healthcare, and ethical domains.
The events accompanying COVID–19, globally and on the African continent, have underscored these lessons that must be learned, or else the continent has no future except as an entity of colonial and global exploitation. In this article, I propose to highlight and briefly discuss some of these lessons that should be learned, failing which we, Africans, need to be studied as a strange species of human beings, completely devoid of rational self–interest, inhabiting the most endowed continent on planet Earth, without being aware of it.
Thuis zonder Heimat: Het thuisgevoel van kinderen van Turkse migranten in Nederland, Frankrijk en Duitsland
Authors: Ersanilli Evelyn , Saharso Sawitri
Published: May 2023

Immigranten, en vooral islamitische immigranten, zouden zich onvoldoende met Nederland identificeren en dat is de schuld van het multiculturalisme, zo is de gangbare gedachte. Zij zijn burgers met een dubbele loyaliteit. Hebben migranten inderdaad geen band met Nederland? En komt dat door het Nederlandse integratiebeleid? Beide aannames zijn onjuist, zo zal uit onze bijdrage blijken. In onze bijdrage vergelijken we de affectieve component van burgerschap, de identificatie, van kinderen van Turkse immigranten in Nederland, Duitsland en Frankrijk. Deze landen hebben alle drie een significante populatie van Turkse komaf, maar hebben een verschillend integratiebeleid gevoerd. Integratiebeleid, zo hebben wij vastgesteld, heeft geen effect op de identificatie met het land van herkomst, maar een inclusief beleid heeft wel een (bescheiden) positief effect op de identificatie met het land waar men woont. Multicultureel beleid richt niet de schade aan die tegenstanders verwachtten, maar heeft ook niet de positieve effecten opgeleverd waar voorstanders op hoopten. De rol van integratiebeleid bij de identificatieprocessen van kinderen van immigranten blijkt veel kleiner dan wat op grond van het heersende politieke debat verwacht mag worden, zo zullen we laten zien. Processen van uitsluiting en zelfuitsluiting verhinderen dat jongeren van Turkse komaf zich ondubbelzinnig Nederlander, Duitser of Fransman noemen, en doordat zij niet in Turkije zijn opgegroeid, voelen ze zich ook daar niet op hun plaats. Dat betekent echter niet dat ze een ‘thuisloze’ groep zijn. Ze voelen vaak een sterke band met hun woonplaats. Dit is niet alleen het geval in grote steden maar ook in kleine plaatsen en dorpen. Met behulp van het onderscheid tussen Heimat en Zuhause maken we duidelijk dat de kinderen van Turkse migranten zich wel degelijk verbonden voelen met het land dat voor velen hun geboorteland is. Nadenkend over natie, migratie en burgerschap denken wij dat de opdracht niet is om voor iedereen een Heimat te creëren maar dat Zuhause betere mogelijkheden biedt voor binding tussen dik en dun burgerschap in.
Studeren onder invloed. Hoe om te gaan met problemen met alcohol, drugs, gamen en verslaving tijdens de studie
Authors: Weerman Alie , Kisjes Herm
Published: May 2023

Bier drinken, blowen, gamen, internetten, gokken hoort bij het studentenleven maar kan ook studievertraging en uitval opleveren. Problemen met alcohol en drugs merken docenten, begeleiders en andere betrokkenen bij het hoger onderwijs vaak te laat op. Als het probleem wordt gesignaleerd, is er enerzijds een relativerende houding (‘studenten drinken nu eenmaal’, ‘zo nu en dan een blowtje moet kunnen’ ). Anderzijds wordt het soms onnodig groot gemaakt en wordt er te snel van ‘verslaving’ gesproken, een zwaar beladen term. Het blijkt lastig om binnen het hoger onderwijs problemen met alcohol en drugs of verslavingsgedrag op een duidelijke en voor de student ondersteunende manier bespreekbaar te maken en daarmee studievertraging of erger te voorkomen. Doel van 'Studeren onder invloed' is om docenten, studieloopbaanbegeleiders, decanen, en andere betrokkenen duidelijke handvatten te geven bij studenten die problemen ondervinden met alcohol, drugs, gokken en gamen of die verslaafd zijn. Zij vinden in dit boek veel praktische informatie, adviezen, tips en voorbeelden uit de praktijk . Ook voor studenten zelf kan het lezen ervan heel nuttig zijn. Alie Weerman is psycholoog en sinds 1990 werkzaam als docent psychiatrie en psychologie aan de hogeschool Windesheim in Zwolle. Zij is lid van de kenniskring van het lectoraat Verslavingspreventie. Herm Kisjes is Sociaal Psychiatrisch Verpleegkundige en docent aan Fontys hogeschool. Herm geeft individuele behandeling en begeleiding in een eigen praktijk.
Zorg om betekenis. Over de relatie tussen zorgethiek en spirituele zorg, in het bijzonder in de palliatieve zorg
Authors: Leget Carlo
Published: May 2023

Deze rede heeft als titel 'Zorg om betekenis'. Volgens een klassieke onderscheiding van Wilhelm Dilthey gaat het in de geesteswetenschappen om verstehen (begrijpen van betekenissen), waar het in de natuurwetenschappen draait om erklären (verklaren van oorzakelijke verbanden). De wijze waarop wij in onze cultuur de gezondheidszorg georganiseerd hebben is op natuurwetenschappelijke leest geschoeid. Daarin staat het denken in termen van oorzaken en gevolgen centraal. Dat levert grote winst op. Maar de eigen dynamiek van dit denken in oorzaken en gevolgen drukt niet zelden de dimensie van betekenis weg. Wanneer het verklaren losraakt van het begrijpen wordt een prijs betaald door zowel zorgvragers als zorgontvangers. In deze rede wordt langs twee wegen betogen dat betekenis een wezenlijk onderdeel van zorg is. De ene weg is die van de zorgethiek. De andere weg is die van de geestelijke verzorging. Beide vakgebieden horen thuis in de geesteswetenschappen. Ze hebben verschillende wortels, methoden en doelen. Maar tussen beide zijn ook vruchtbare verbindingen te leggen. In deze rede ga ik op zoek naar deze verbindingen tussen beide vakgebieden om te verkennen hoe beiden elkaar zouden kunnen versterken zodat betekenis meer centraal kan komen te staan in de zorg. Daarbij wordt bijzondere aandacht besteed aan de palliatieve zorg. Carlo Leget (1964) is hoogleraar Zorgethiek en geestelijke begeleidingswetenschappen aan de Universiteit voor Humanistiek. Tevens is hij aan deze zelfde universiteit bijzonder hoogleraar Ethische en spirituele vragen in de palliatieve zorg, vanuit de Associatie van High Care Hospices.
In de middag van het leven: Over het belang van het levensverhaal voor de derde leeftijd
Authors: Prinsenberg Gabriël
Published: May 2023

Het is een bekend gezegde: iedereen wil oud worden, maar niemand wil oud zijn. Bij de term oud zijn hebben we allerlei associaties, zoals stilstand, afgeschreven zijn of het ontbreken van dynamiek. Voelen ouderen zich nog wel gerespecteerd? In het maatschappelijk verkeer wordt er immers op gehamerd dat ouderen steeds minder een intrinsiek en waardevol onderdeel zijn van het alledaagse leven en dat afbouwen en terugtreden daarom het beste is. Bij iedereen wil oud worden daarentegen, denken we aan zo lang mogelijk gezond deelnemen aan de samenleving en betrokken blijven bij wat ons dierbaar is. Deze existentiële dimensie is van grote betekenis, want zij geeft het leven blijvend inhoud en diepgang zodat ook het verlangen naar innerlijke groei voortgang kan vinden. We kunnen dat verlangen en die behoefte onder meer vorm geven door onze vroegere wederwaardigheden te ‘verzilveren’ en als een moderne alchemist ‘goud te maken’ van onze levenservaringen. Zoals met alle vaardigheden die we in het leven eigen maken, vraagt ook het omsmeden van onze levenservaringen tot goud om inzicht en oefening. Daarmee wil dit boekje behulpzaam zijn! Gabriël Prinsenberg zet zich intensief in om het biografisch leren en werken als een methode voor onderwijs, vormingswerk en hulpverlening te introduceren. Hij deed dat lange tijd in het hoger beroepsonderwijs en heeft in Nederland, België en Duitsland seminars en meerjarige opleidingen in biografisch werken gegeven. Thans is hij docent bij HOVO Utrecht/ Amersfoort en opleider bij Instituut Labyrint.
TURN-TAKING FEATURES IN TONI TALKS: A CONVERSATION ANALYSIS
Authors: Bearis Bena Jane I. , A. Parayno Given , Tormes Elaine Mae G. , J. Murillo Filmor
Published: May 2023

This study is developed in order to determine the turn taking features in Toni talks to the use of conversation analysis. This study sought to answer two main questions: (1) What are the turn taking features that are observed in Toni talks under the life story and political theme category, (2) What are the similarities and differences of the turn taking features in the selected Toni talk’s episodes? To answer the research questions, the researchers used qualitative research design and in order for the data to be transcribed, the researchers utilized the Jefferson transcription system or the Jeffersonian transcription (2004) to yield the result of analysis. In conclusion, turn taking features such as mention, overlap, interruption, back channel, taking the floor/starting up, yielding the floor, and holding the floor was observed in this study as well as the features that was mostly utilized among the seven (7) turn taking features and how this substantiate the following Toni talks interviews. Results also explicated several key factors that motivate the utilization of the features, the similarities and differences of the chosen interviews, and the specific implications of the features in the course of the interviews.
AN ANALYSIS OF STUDENTS’ ERRORS IN SPEAKING PERFORMANCE
Authors: Rada Kevin Sean
Published: May 2023

English is not the new subject for students, but it still needs a better preparation  in order to make the teaching learning process to be conducted sucsessfully and to reach the quality target. There are many conditions to create a good bilingual Teaching program, the requirements which is in line such as Teacher as a model for the students, their knowledge and ability in implementing the subject in the class. In this reaserch the writer found that the problems encountered by the teachers and students in the bilingual class were: Students found difficulties in developing their four  skills of English, most of non English teacher got difficulties in teaching materials using English as the medium of instruction. Based on the experiences above, the writer tried to present illustration of the situation, the problem and how to solve it. To improve the bilingual teaching, Based on the result of the research, the writer suggested to encourage teachers of bilingual class to attend the seminar of English teaching by any institution suitable for their subjects and the teacher should vary their teaching performances in presenting the materials to the students so that the subjects are more understandable by the students. The teacher should use various English textbooks which are suitable with their major to supplement the English textbooks that the students had already got.
Acute Bowel Intussusception in Adults with Leiomyoma of the Small Intestine: Case Report
Authors: YILA Armandaind , EDDINE Khalid JAMAL , BENCHOUK Mohamed , AHBALA Tariq , RABBANI Khalid , LOUZI Abdelouahed
Published: May 2023

Acute bowel intussusception is a pathology of infants and small children. Its occurrence in adults is very unusual. It is of diverse etiology. In the vast majority of cases, it is secondary to a tumour which may be benign or malignant. A leiomyoma of the small intestine revealed by bowel intussusception is a very rare entity. We report the case of a 23-year-old patient, admitted to the emergency room of the Ar-razi Hospital of the Mohamed VI University Hospital Centre in Marrakech, Morocco for an intestinal obstruction. The abdominal CT scan showed a hydro-aeric distention of the ileal coves upstream of an abdominal tumour at the pelvic level. The treatment was an open surgical carcinological resection with anastomosis. An anatomopathological and immunohistochemical study of the surgical specimen concluded that a benign-looking mesenchymal cell proliferation corresponds to a leiomyoma. bowel intussusception is a rare condition in adults. It most often leads to the discovery of an organic cause that may be tumourous. Based on this new case and after analysis of the literature, we discuss the clinical and diagnostic characteristics and the therapeutic possibilities of this rare pathology.
Adrenal Oligometastatic Malignant Pheochromocytoma: Case Report
Authors: Barkiche S. , Khouchani M.
Published: May 2023

is defined by the presence of metastases in non-chromaffin tissue or by the appearance of recurrences. About 40% of cases are genetic. It is therefore important to look for symptoms that suggest a genetic predisposition syndrome, particularly the multiple endocrine neoplasia (MEN). The severity of this cancer is due to its rarity, a common cause of delayed diagnosis. Through the observation of our patient followed for malignant pheochromocytoma for 3 years and became oligometastatic, we would like to present the characteristics of this rare disease and to underline the interest of an optimal as well specific management of the tumor, the oligometastases, and associated complications, passing through experienced multidisciplinary teams.
Analisis Praktik Akad Musaqah Dalam Pengelolaan Lahan Pertanian Maro Kebun Kopi Dalam Perspektif Ekonomi Islam
Authors: Petrawangsyah Petrawangsyah , Yuda Adam Damba , Panorama Maya
Published: May 2023

Akad musaqah  dalam  kerjasama  pengelolaan  kebun  kopi yang sesuai dengan kesepakat di Desa Rekimai Jaya sering disebut dengan istilah maro.  Sistem  bagi  hasil  ini  pada  umumnya  diterapkan  masyarakat  dengan tujuan untuk saling tolong menolong, namun sebagian besar masyarakat belum mengetahui sepenuhnya hukum dan aturan bagi hasil yang mereka terapkan sehingga seringkali sistem bagi hasil yang seharusnya memberikan maslahah justru menimbulkan mudharat dan kerugian. Metode yang digunakan pada penelitian ini adalah metode kualitatif dengan menggunakan sumber data diperoleh dari sumber data primer dan sumber data sekunder. Hasil dalam penelitian ini menunjukkan bahwa praktik akad musaqah pada maro kebun kopi ini belum sepenuhya sesuai dengan prinsip dalam ekonomi Islam karena akad perjanjian dilakukan hanya secara lisan dan terdapat gharar dalam transaksi
Dampak Implementasi Pembayaran Berbasis Kinerja (Pay-For-Performance) Pada Fasilitas Kesehatan Tingkat Pertama (FKTP) Terhadap Kualitas Layanan Kesehatan Di Berbagai Negara
Authors: Khasanah Uswatun , Nadjib Mardiati
Published: May 2023

The pay-for-performance (P4P) mechanism is a strategy in the health sector to increase the availability, quality and utilization of health services. In P4P, incentives are given after achieving a series of agreed outcomes by improving the performance of health workers in health facilities. This literature review was conducted with the aim of knowing the impact of implementing pay-for-performance at primary care (FKTP) on the quality of health services in various countries. The method is carried out by searching several databases, namely Pubmed, Embase, and Proquest with the main intervention being the implementation of pay-for-performance. The results of the review focused on the impact of implementing pay-for-performance at First Level Health Facilities on the quality of health services in various countries. From this study it can be concluded that pay-for-performance has been used in various countries with different numbers and areas (domains) of indicators adapted to the characteristics of primary care in a country. Some of the benefits of implementing pay-for-performance are that it can stimulate quality improvement in clinical care and improve patient experience of the role of general practitioners and the system of care. P4P can improve the process and outcome of cardiovascular treatment. Providing incentives can have an effect on improving the quality of performance in clinical practice. Providing P4P incentives can meet the quality measures of hypertension care recommended by the guidelines. In the United States, the provision of P4P incentives can increase physician compliance to provide hypertension drugs according to guidelines. Providing incentives can also have an impact on improving blood pressure control in hypertensive patients.
LONG DISTANCE MARRIAGE (LDM) DALAM PERSPEKTIF HUKUM ISLAM
Authors: Subhan Moh.
Published: May 2023

Marriage is a bond between two humans who have a noble goal, namely creating a family that brings peace (sakinah) and love (mawaddah wa rahmah) for all family members. In traditional community life, newly formed families live in the same house with their children or live with extended families in the same neighborhood. Along with the times, many married couples are forced to do long-distance marriages due to certain factors, one of which is work problems. A husband and wife in a long-distance marital relationship, are faced with problems regarding responsibility for the integrity of the family. With the condition of husband and wife who are far apart, it can certainly create a void of roles that should be carried out by husband and wife who live under the same roof, so that family functions experience changes. As a result of the inability to carry out these demands, it is not uncommon to cause conflicts and disputes between husband and wife who live a household like this. In undergoing a long distance marriage relationship, there are many things that are certainly burdensome considerations, one of which is the need to communicate which may be neglected and psychological and biological needs that must be met. Unfulfilled needs in marriage will result in individuals seeking fulfillment of these needs outside of marriage through infidelity and even ending in divorce. Long distance marriage in the perspective of Islamic law for married couples is jaiz/permissible, but with some conditions

Keywords: Long Distance Marriage, Islamic Law
FORM OF LEGAL PROTECTION OF SMALL BUSINESS IN THE CONTEXT OF BUSINESS COMPETITION IN INDONESIA
Authors: Aprindo Andreas Prayuda
Published: May 2023

This study aims to determine how small businesses in Indonesia are afforded legal protection in the context of business competitiveness. This is normative legal study, which is often referred to as doctrinal legal research. This study employs 2 (two) approaches: the statutory approach and the conceptual method. The findings indicate that the legal protection of small business actors in business competition in Indonesia is a manifestation of the implementation of economic democracy that contains the principles of justice, unity, and fairness to encourage the creation of business opportunities for every citizen in an atmosphere of healthy and reasonable competition so as not to cause the concentration of economic power on only a few business actors, but to provide opportunities for small business actors.
FEATURES OF FORMATIVE ASSESSMENT OF STUDENTS' EDUCATIONAL ACHIEVEMENTS IN ONLINE LESSONS
Authors:   Municipal Institution «Zaporizhzhia Regional Institute of Continuing Pedagogical Education» of Zaporizhzhia Regional Council, Babkova Olena , Poliuga Svitlana ,   Municipal Institution «Zaporizhzhia Regional Institute of Continuing Pedagogical Education» of Zaporizhzhia Regional Council, Stadnychenko Kira ,   Municipal Institution «Zaporizhzhia Regional Institute of Continuing Pedagogical Education» of Zaporizhzhia Regional Council
Published: May 2023

Reforms in education involve changes in approaches to the organization of the educational process, evaluation of the results of students' educational activities. The methodological recommendations of the Ministry of Education and Culture specify the types of assessment that teachers should plan and implement in educational activities. Among them are current, final and formative. The latter differs from the previous ones in that it actively involves students in evaluating their own initial results, provides support, is positively oriented, and is constantly implemented in class. Modern conditions in Ukraine create challenges for teachers regarding the introduction of formative assessment in online learning. On the basis of international and domestic research and own practice, the authors have determined and adapted an assessment strategy for the online lesson, for each of which web-based formative assessment tools are offered. The article presents a description of the planning of evaluation activities, substantiates the possibility of establishing cooperative learning, and specifies the mechanisms for evaluating the results and process of group work. Special attention is paid to the involvement of students in the self-evaluation of the learning process and their educational achievements. A set of pedagogical actions for the formation of adequate student self-esteem is provided. The identified online tools allow you to implement all assessment strategies and assess students in a variety of ways. At the same time, they optimize the evaluation activity, which is very important for an online lesson, visualize it and provide quick feedback to all subjects of the educational process. The authors see the development of a training course for teachers on the introduction of formative assessment of students' educational achievements in online lessons as a promising direction for further research.
IN-VITRO EVALUATION OF DIFFERENT MARKETED BRANDS OF PARACETAMOL TABLETS USING QUALITY CONTROL TESTS
Authors: Luhar Shailesh V  , Narkhede Sachin B  , Lad Harsh H  , Patel Shraddha R  , Patel Shruti R  , Patel Srushti B  , Patel Vrutika K  , Patel Yukta A
Published: May 2023

Paracetamol is an active ingredient in the antipyretic and pain relievers class. Various brands of certain formulations are available on the market. The primary goal of the study was to compare 500 mg paracetamol tablet brands in vitro. In vitro evaluation guarantees quality, bioavailability and optimal therapeutic activity.
The active metabolite of phenacetin, paracetamol, is widely used for headaches and pains and is one of the main ingredients in many cold and flu remedies.
In the study, 500mg of paracetamol were selected from 5 different manufacturer’s standard tablets. The study was purely experimental and used in vitro testing (IP) and other official literature to evaluate the in vitro quality of paracetamol tablets using various analytical methods and procedures. In the post-evaluation phase, the following post-evaluation parameters were observed: Weight variation, Friability, Hardness, Content uniformity Within the prescribed limit
KEYWORDS: Paracetamol, Comparative, Quality control parameters, Evaluation
METHODS FOR ASSESSING THE TECHNICAL CONDITION OF DRILL ROTORS
Authors: Mehin Bagirova Mehin Bagirova , Javid Mursalov Javid Mursalov
Published: May 2023

This article, devoted to methods for assessing the technical condition of drill rotors, will help to consider the problem of servicing industrial equipment. The relevance of this work lies in the fact that in today's time, with the development of industrial sectors, both in our country and in other countries, there is a need for new and effective approaches to assessing the technical condition of equipment. Especially with the expansion of the boundaries of the oil and gas industry, the number of unexplored deposits is increasing. To process such deposits, there is a need to introduce new methods of maintenance. In order to increase the productivity of equipment that works for a long time, sometimes continuously, it is important to adhere to certain service methods. The aim of the work is to study the available methods for assessing the technical condition of drill rotors and propose a new integrated approach that combines the available indicators and criteria of known methods. This article discusses in detail the methods for assessing the technical condition of drill rotors, their characteristics are studied. The objectives of this work are to analyze the available methods for assessing the technical condition of drilling equipment, to determine the procedure for establishing the noise and vibration characteristics of rotors, to develop criteria for assessing the technical condition of the rotor. The article also analyzes the factors affecting the operation of drill rotors in operating conditions. Having studied the existing methods, a new integrated method is proposed, which, through a point approach and the choice of a specific method, based on the available data on the unit, will ensure higher reliability and longevity of the drill rotors used. The use of an integrated method is based on the calculation of all important points that are relevant to the object under study. The proposed method will have to reduce errors and malfunctions of drill rotors, increase the accuracy and service life of the equipment. The choice of an integrated method will help to ensure the continuous operation of drill rotors in industrial enterprises.
Keywords: drilling rotor, method, control, damage, wear, factors, detection, vibration monitoring, noise characteristics, evaluation.
The Existence of Sanghyang Jaran Dance in Pengubengan Temple
Authors: Sugi Jutari Ni Wayan , Nerawati Ni Gusti Ayu Agung
Published: May 2023

Sanghyang Jaran dance is one of the sacred dances in Bali. One of the sacred places in Bali that performs the dance is Pengubengan Temple. Sanghyang Jaran dance is performed twice a year during Tilem (III), namely during pujawali at Pengubengan Temple and tumpek wayang. The purpose of this research is to analyze the form of performance, function, and value of Hindu religious education in Sanghyang Jaran dance in Kutuh Village. The research data collection methods in this study are: observation, interview, literature study and documentation. The data that has been collected is analyzed using qualitative descriptive analysis method with steps, namely: Data reduction, Data Presentation, Conclusion Drawing and Data Verification; The results showed that: (1) The form of Sanghyang Jaran dance performance in Kutuh Village is to go through a series or procession of Sanghyang Jaran dance, namely nusdus, masolah, and ngalanus, and (2) The function of Sanghyang Jaran dance in Kutuh Village is: religious function, art and cultural preservation function, and social function. (3) The value of Hindu Education implied in the Sanghyang Jaran dance at Pengubengan Temple in Kutuh Village, namely: spiritual value and aesthetic value (Art).
Services to Prepare Students with Intellectual and Developmental Disabilities for the Transition from School to Adult Life
Authors: Alshuayl Mohammed
Published: May 2023

Transitioning to adult life is considered one of the most critical phases in the lives of individuals with intellectual and developmental disabilities (IDD). While studies have been published pertaining to the provision of transition services for students with IDD in some developed countries, such as the United States of America, little research has been carried out in this area in Saudi Arabia. This research gap is consistent with the lack of evidence-based services in Saudi Arabia to assist students with IDD in preparing for and transitioning to adult life. This study describes the provision of services supporting the transition for secondary students with IDD in Saudi Arabia, using the Taxonomy for Transition Programming developed by Kohler (1996) as a framework. Semi-structured interviews are conducted with eight special education teachers working with students with IDD. The results reveal four main findings: (a) the lack of transition services, (b) insufficient teacher preparation in transition services, (c) poor family-school relationships, and (d) teacher willingness to use the Taxonomy for transition programming with students. The study concludes with a discussion of the research limitations and recommendations.
KEYWORDS
Intellectual disability, autism, transition services, transition programs, Kohler taxonomy, Saudi Arabia
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN KEKURANGAN ENERGI KRONIK (KEK) PADA IBU HAMIL DI KOTA BENGKULU
Authors: TIRTA LESTARI ASTI PUTRI , SURIYATI SURIYATI , ASMARIYAH ASMARIYAH
Published: May 2023

Pendahuluan: Kekurangan energi kronik (KEK) adalah keadaan di mana ibu menderita keadaan kekurangan kalori dan protein (malnutrisi) yang berlangsung menahun (kronis) yang mengakibatkan timbulnya gangguan kesehatan pada wanita usia subur (WUS) dan pada ibu hamil (bumil). KEK merupakan gambaran status gizi ibu di masa kehamilannya, kekurangan zat gizi pada masa kehamilan akan menyebabkan bentuk tubuh bayi yang kurus dan pendek (stunting). Tujuan penelitian ini adalah mengetahui faktor-faktor yang berhubungan dengan kejadian kekurangan energi kronik di Kota Bengkulu. Metode yang digunakan dalam penelitian ini adalah cross sectional. Sampel berjumlah 312 orang semua ibu hamil (total sampling) yang terdaftar di buku register KIA Puskesmas Lingkar Timur, Ratu Agung, dan Pasar Ikan Kota Bengkulu. Variabel independent adalah Usia, Paritas, Jarak Kehamilan dan variabel dependent adalah KEK pada ibu hamil. Analisis data dengan uji Chi Square. Hasil penelitian yaitu terdapat hubungan usia, paritas dan jarak kehamilan dengan kejadian KEK pada ibu hamil di Kota Bengkulu dengan nilai p=0,00. Berdasarkan hasil analisis multivariat didapatkan bahwa variabel jarak kehamilan merupakan variabel yang paling berpengaruh terhadap KEK.
Evaluación de plataformas digitales en la educación: Una revisión sistemática de herramientas y metodologías
Authors: Llumiquinga Loya Janeth Amparito , Llumiquinga Loya Marcia Adita , Tumailla Lopez Darwin Faustino , Flores Vargas Soraya Marlene
Published: May 2023

Este artículo de revisión examina la evaluación de plataformas digitales en la educación, explorando las metodologías y herramientas utilizadas. La revisión sistemática de la literatura se realizó siguiendo los principios PRISMA, y se clasificaron las publicaciones seleccionadas en varias categorías analíticas: contextos educativos, herramientas de evaluación y metodologías de evaluación. Los resultados indican una adopción y evaluación diversa de las plataformas digitales en diferentes contextos educativos, incluyendo la educación primaria, secundaria y superior, así como la formación profesional y continua. Se destacaron las herramientas de evaluación como los cuestionarios de satisfacción de usuarios, el análisis de uso, los estudios de caso y las pruebas de usabilidad. Sin embargo, se identificó la necesidad de enfoques más integrados y holísticos para la evaluación, así como un mayor consenso y estándares para los criterios e indicadores de evaluación. La revisión también destaca la importancia de la inclusión y participación de los usuarios en la evaluación de las plataformas digitales en educación. Estos hallazgos proporcionan una base para futuras investigaciones y prácticas en la evaluación de plataformas digitales en educación.
Про віріальні розклади кореляційних функцій. Канонічний ансамбль
Authors: Pogorelov Yu. , Rebenko A.
Published: May 2023

УДК 517.9

Наведено короткий огляд праць Київської школи математиків, які були опубліковані в радянських журналах 40–70-х років минулого століття. Основні результати подано на мові сучасних методів нескінченновимірного аналізу, що значно спрощує їх доведення. Виведено нелінійні за параметром густини рівняння типу Кірквуда–Зальцбурга для кореляційних функцій канонічного ансамблю. Доведено існування та єдиність їх розв'язків у режимі високої температури та низької густини. Огляд доповнено оригінальним дослідженням одного з авторів [A.~L.~Rebenko, Virial expansions for correlation functions in canonical ensemble,  Preprint arXiv:2205.07095 [math-ph], https://doi.org/10.48550/arXiv.2205.07095], в якому побудовано нові розклади кореляційних функцій за параметром густини.