bluuebunny/crossref_metadata_2025 huggingface dataset:
Hubungan Karakteristik Terhadap Sikap Mengkonsumsi Tablet Fe Dengan Kejadian Anemia Pada Ibu Hamil Di Puskesmas Tanjung Tiram Kabupaten Batu Bara Provinsi Sumatera Utara Tahun 2022
Authors: Fitri Handayani  , Adelina Sembiring  , Mastaida Tambun
Published: August 2024

Anemia is a condition where the body has too few red blood cells (erythrocytes), where the red blood cells contain hemoglobin which functions to carry oxygen to all body tissues (Nugroho, 2014). During pregnancy there is an increase in blood volume or also called as (hypervolemia). In pregnant women, anemia increases the frequency of complications in pregnancy and childbirth. During pregnancy, if anemia cannot be treated until the end of pregnancy, it will affect the postpartum period. The current government program to prevent anemia is to give pregnant women a minimum of 90 iron tablets during pregnancy containing 320 mg FeSO4 (60 mg iron and 0.25 mg folic acid). This program aims to prevent and overcome the incidence of anemia in pregnant women.
This type of research is analytical research with a cross sectional design, namely the researcher takes samples from a population using a questionnaire as a data collection tool where the sample size is 46 pregnant women.
From the results of the cross tabulation, it shows that the parity variable on the incidence of anemia in pregnant women obtained statistical test results with a p value = 0.005, meaning that there is a significant relationship between parity and the incidence of anemia in pregnant women at the Tiram Community Health Center, Tiram District, Batu Bara Regency, North Sumatra Province. 2022. Based on the research results of the knowledge variable on the incidence of anemia in pregnant women, statistical test results were obtained with a value of p value = 0.000, meaning that there is a significant relationship between knowledge and the incidence of anemia in pregnant women in the Tiram District Health Center, Tiram District, Batu Bara Regency, North Sumatra Province. 2022.
Based on the research results of the variable compliance with the consumption of Fe tablets on the incidence of anemia in pregnant women, statistical test results were obtained with a p value = 0.007, meaning that there was a significant relationship between compliance with the consumption of Fe tablets and the incidence of anemia in pregnant women in the Tiram Village Community Health Center, Tiram District, Batu Bara Regency. North Sumatra Province in 2022
Conclusion: From a total of 46 respondents as a result of research on the variables of parity, knowledge and compliance, there is a significant relationship to the incidence of anemia in pregnant women in the Tiram Village Community Health Center, Tiram District, Batu Bara Regency, North Sumatra Province in 2022.
Analisis Faktor Faktor Kecelakaan Kerja pada Pekerja Tambang: Literature Review
Authors: Aliyah Rifdha  , Susilawati Susilawati
Published: August 2024

Accident cases in Indonesia are still relatively high and continue to increase every year. Of the various employment sectors, mining is considered an important source of income globally. Mining is one of the most dangerous work sectors in the world, having major consequences and the risk of accidents for workers. The aim of this literature review is to analyze the factors that cause work accidents in mining. The method used is a systematic literature review. The data was obtained from various journals in electronic databases obtained from Google Scholar. The collected data is then analyzed carefully. The results of the analysis from these journals showed that the factors causing work accidents in mining workers were mostly caused by human factors (Unsafe Action). both on worker knowledge, worker skills and worker attitudes who do not comply with standard operational procedures in the work environment, then followed by environmental factors (unsafe conditions) and equipment factors.
Hubungan Self-Efficacy Dengan Stres Akademik Pada Mahasiswa S1 Biologi FMIPA Universitas Pattimura Dalam Proses Penyusunan Skripsi
Authors: Pangemanan Victory O , Manery Dodikrisno E , Ukratalo Abdul M , Nanere Bill E , Embisa Yushar A , Assagaf Abdur Rahman
Published: August 2024

The process of preparing a thesis is a crucial stage in the academic journey of undergraduate Biology students. At this stage, students are faced with complex and demanding tasks, requiring effective self-regulation skills and resilience to academic pressure. This research aims to investigate the relationship between self-efficacy and academic stress among undergraduate Biology students at the Faculty of Mathematics and Natural Sciences, Pattimura University, during the thesis preparation process. This research employs a quantitative approach with data collection through questionnaires distributed to undergraduate Biology students. Statistical analyses, such as correlation, will be utilized to assess the relationship between self-efficacy and academic stress. The research findings reveal that the most common level of self-efficacy falls within the moderate category. Meanwhile, the categorization of academic stress levels indicates that the majority of respondents, comprising 19 individuals (44.2%), experience mild stress. Statistical analysis unveils a significant relationship between the level of self-efficacy and academic stress among students.
Tingkat Pengetahuan Stunting pada Ibu Hamil, Remaja Putri dan Ibu Yang Memiliki Anak Usia Dini di Kecamatan Badiri Wilayah Kerja Puskesmas Hutabalang Kabupaten Tapanuli Tengah Tahun 2023
Authors: Ramlan Nasution  , Esrina Sinaga  , Ganti Tua Siregar
Published: August 2024

In the Indonesian context, efforts to prevent stunting have become the focus of government programs, such as the Supplemental Food Program and the Maternal and Child Health Program. However, the level of stunting is still quite high and shows that there is a gap in understanding and knowledge about stunting among pregnant women and mothers with young children. Stunting in pregnant women and mothers with young children and teenage girls is a serious public health problem. Factors that contribute to stunting include maternal nutritional status, access to health services, knowledge about nutrition, and environmental sanitation. This research aims to investigate knowledge about stunting in pregnant women, adolescent girls and mothers of early childhood in Central Tapanuli in 2023 It is hoped that the results of this research will provide important insights for developing more effective stunting prevention programs. There are several factors that influence knowledge, such as educational factors, information source factors such as social media, environmental factors, experience factors and age factors.
Penerapan Terapi Afirmasi Positif pada Pasien dengan Harga Diri Rendah di Rumah Sakit Jiwa Palembang
Authors: Grace Septyanti  , Novita Anggraini  , Aprida Manurung
Published: August 2024

Low self-esteem is a persistent feeling of worthlessness and inferiority from negative self-evaluation of oneself. Complications for clients with low self-esteem include social isolation, hallucinations and violent behavior. The problem of low self-esteem requires appropriate intervention. One therapy that can be done by patients with low self-esteem is positive affirmation therapy. Positive affirmations are statements that strengthen positive beliefs within a person. This research aims to provide nursing care to mental patients with low self-esteem through positive affirmation therapy interventions at the Palembang mental hospital. The method used was a descriptive method with a nursing process approach on 3 patients with a One Group Pretest Posttest research design of positive affirmation therapy on patients with low self-esteem. The results of measurements via the Rosenberg Self Esteem Scale were obtained by the patient Mrs. Y with a score of 4 (low self-esteem) to 7 (high self-esteem), the score for Mrs. N with a score of 3 (low self-esteem) becomes 7 (high self-esteem) and Mrs. A with a score of 3 (low self-esteem) becomes 5 (low self-esteem). Conclusion: There is a decrease in the number of patients' self-esteem level scores through the Rosenberg Self-Esteem Scale measurement and a decrease in the number of symptoms that appear in patients with low self-esteem.
Gambaran Tingkat Stres Akademik pada Mahasiswa Keperawatan STIKES Pasapua Ambon Tahun 2024
Authors: Dodikrisno E Manery  , Taufik Zuneldi  , Yushar A Embisa  , Abdul M Ukratalo  , Nadira Pattimura
Published: August 2024

Academic stress is a common issue faced by students, particularly those in demanding programs such as nursing. This study aims to describe the level of academic stress among students at STIKES Pasapua Ambon. The researcher employed a descriptive quantitative method. The sample in this study consisted of 76 individuals. Data were collected by distributing questionnaires or surveys online using Google Forms. Data were analyzed using univariate analysis to provide a descriptive overview The results showed that the majority of respondents were female (68.4%), aged 17-19 years (46.1%), living in dormitories (36.1%), and from outside Ambon Island (68.4%), with academic stress levels falling in the moderate category (48.7%). Given the moderate academic stress experienced by many students, it is important to raise awareness about the importance of mental well-being.
Menschlich verständlich, aber trotzdem falsch?
Authors: Kubiciel Michael
Published: August 2024

War der Gefangenenaustausch mit Russland, mit der Band Kettcar gesprochen, „menschlich verständlich, aber trotzdem falsch?“ Ich meine: nein. Als eine – rechtlich nur grob vorstrukturierte – exekutive Maßnahme an der Schnittstelle von Innen- und Außenpolitik geht sie nicht in einer Subsumtion unter strafprozessuale Normen auf. Sie bedarf vor allem einer tragfähigen politischen Begründung und einer eindeutigen Markierung der politischen Verantwortlichkeiten. Beides war hier gewährleistet.
Metodologías de enseñanza para niños con autismo en la era digital: explorando el aprendizaje basado en proyectos y la realidad aumentada
Authors: Concepción Dimas , Muñoz Lilia
Published: August 2024

El Trastorno del Espectro Autista (TEA) afecta la comunicación, la interacción social y el comportamiento. Su prevalencia, según la OMS, subraya la necesidad de adaptar estrategias educativas para satisfacer las necesidades individuales de estos niños. En este contexto, emergen metodologías como el Aprendizaje Basado en Proyectos (ABP) y la Realidad Aumentada (RA), que ofrecen un entorno educativo interactivo y estimulante. El proyecto AutismAR Discovery utiliza RA para apoyar el aprendizaje de niños con TEA en ciencias naturales, bajo la metodología ABP. La implementación de esta herramienta demostró un mayor compromiso y participación de los niños, así como un progreso significativo en diversas áreas de desarrollo. Estos hallazgos respaldan la efectividad de estas metodologías en la mejora del aprendizaje y desarrollo de los niños con TEA, subrayando la importancia de continuar explorando su potencial y adaptándolas a diferentes áreas de aprendizaje
Some Key Issues For Understanding And Interpreting Criminal Procedure Rules Limiting Property Rights
Authors: Amiryan Karen
Published: August 2024

The purpose of the article is to analyze a number of issues related to the legitimacy of restrictions on property rights as prescribed by the Criminal Procedure Code of the Republic of Armenia. The article refers to a number of regulations related to the material grounds and procedures for imposing attachment on the assets as prescribed by Chapters 15 and 39 of the Criminal Procedure Code of the Republic of Armenia dated June 30, 2021, which are perceived and interpreted in different ways. In other words, the article aims to present the issues that have arisen in law enforcement practice. In this sense, the article is also relevant, since the presented approaches may be of interest to the students, lawyers, law enforcement authorities, and judges.
The article discusses issues such as the lifting of attachment from the assets under the current Criminal Procedure Code of the Republic of Armenia which had been imposed under the previos Criminal Procedure Code of the Republic of Armenia, as well as the indication about the sufficient value of the assets in the decision on imposing an attechment on the assets․
The first part of the article is devoted to a number of issues related to the legality of decisions on the recognition of property of alleged criminal origin as material evidence, which law enforcement practice faces․ (The first part of the article will be published in the journal Bulletin of Jurisprudence of Yerevan University).
The Concept, The Structure Of The Incentive Norms And The Consequences Of Their Changes Over Time
Authors: Avetyan Hayk
Published: August 2024

The incentive norms provided by the special part of the Criminal Code of the Republic of Armenia have undergone various changes. A number of questions arise in connection with the mentioned. First of all, what kind of norms are incentive norms, are they complete or incomplete norms, are they eliminating or determining criminality or punishment, are they norms improving or worsening the legal status of a person, etc. These issues currently have a very topical practical significance, because with the adoption of the new Criminal Code of the Republic of Armenia, which came into force on July 1, 2022, the question arises as to whether they are applicable at the time of the act, or in accordance with the current legislation, including incentives norms.
In order to get the answers to the mentioned questions, this article introduces various scientific approaches regarding the role, meaning, structure and type of incentive norms, the comments of the RA Court of Cassation, through which the author reaches his conclusions.
As a result, the reader will be presented with a clear concept of the incentive norm, its structure, which type of norm the incentive norms belong to, and finally, the specifics of the operation of these norms over time.
Subject Of Civil Liability For Tourist Services Containing Package Tour
Authors: Saghoyan Eva
Published: August 2024

The article is devoted to the issue of determining the appropriate subject of civil liability for the provision of tourist services included in package tours.
The article aims to propose a preferable model of the subject of liability based on the analysis of the main models of the subject of responsibility for tourism services existing in world practice, as well as the peculiarities of contractual relations between subjects of tourism activities and suppliers of tourism services that arise regarding the formation of package tours.
In order to eliminate the existing contradictory practice regarding the subject of liability in the conditions of various modes of interaction between subjects of tourism activities and suppliers of tourism services, the article proposes to stipulate a clear model of liability for services included in package tours, which will henceforth allow forming contractual relations in the field of tourism on the basis of this model.
In particular, taking into account the fact that the tour operator forms package tours and, within the framework of the latter, separately and/or together with the travel agent, organizes the travel of the consumer, it is suggested to determine mechanism of liability of the subjects of tourism activities for the provision of these services- as more effective and most consistent with the essence of the contractual relations of suppliers and subjects of tourism activities, except from those tourism services, for which the law provides for the liability of the service provider.
Institute Of Conditional Early Release In The Republic Of Armenia
Authors: Harutyunyan Vahan
Published: August 2024

The article refers to the analysis of the institution of parole from the further serving of the sentence of persons sentenced to a certain term or life imprisonment in the Republic of Armenia, in particular, the current and previous legislative regulations, the changes made, their comparison, the problems arising in practice, as well as the possible new legislative changes for their solution.
In the article, an attempt was made to outline in the most accessible and accessible way possible the legislative regulations regarding early release from punishment, one of the fundamental rights of persons sentenced to life imprisonment or a certain period of imprisonment, which is an important and integral part of the penal legislation during the formation of the new legal system after the achievement of independence in the Republic of Armenia, because in practice the majority of complaints among convicts relate to the problems arising in the process of their parole.
An analysis was made of both the previously existing legal regulations and the new legal regulations that came into force on July 1, 2022, and their differences were also analyzed.
The article also describes the legal positions expressed in precedent decisions of the RA Court of Cassation regarding the parole of persons sentenced to life imprisonment or a certain period of imprisonment, as well as the international practice regarding it. The current legislative regulations in the Republic of Armenia were compared with the international practice.
Accordingly, the Order 336-L of the RA Minister of Justice of June 12, 2018, which is a cornerstone in the process of parole for persons sentenced to life or a certain term of imprisonment, needs to be amended and amended in terms of assessing and summarizing the standards of convicts.
The impact of electronic payment methods on improving the quality of banking services in the Bethlehem and Hebron governorates from the perspective of their employees
Authors: Salem Salem , Sid Ahmad Mohamad
Published: August 2024

This study aimed to identify the impact of electronic payment methods on the quality of banking services in banks operating in the Palestinian territories. The researchers relied on primary data (questionnaire) distributed to banks operating in the cities of Bethlehem and Hebron. The researchers used multiple regression analysis to determine the impact of electronic payment methods on the quality of banking services provided to customers by Palestinian banks. The study showed statistically significant positive effects between the development of various electronic payment methods in Palestinian banks and the quality of their banking services. Finally, the study recommends the continuous development of electronic payment methods and the innovation of new electronic payment means in banks, due to their positive impact on the quality of banking services provided in the Palestinian territories. The originality of the study lies in being the first of its kind in Palestine to examine the impact of developing and updating various electronic payment methods in Palestinian banks on the quality of their banking services provided to customers.
VEYSEL’İN SAZA ATFETTİĞİ YAKLAŞIMLARIN MÜZİKOLOJİK BAĞLAMDA ANALİZİ, ‘ÇALIŞTIM SESİNİ SESİNE KATTIM’
Authors: Dağdeviren Mustafa
Published: August 2024

Âşıklık geleneği içerisinde ülkemizin en önemli temsilcilerinden birisi olan, 2023 yılı
UNESCO tarafından kendisine atfedilen Âşık Veysel, sözüyle ve ona eşlik eden sazıyla dünyaya
adını duyurmuş bir ozandır. Bu çalışmanın odak noktasını, Âşık Veysel›in müzikal mirasının
bir parçası olan saza yüklediği kültürel misyonlar ve bu misyonların onun hayatındaki yeri,
sazla olan bağı oluşturmaktadır. Eserlerinde sazını organolojik olarak ses veren bir çalgı olarak
nitelendirdiği gibi, gelenekte örnekleri bulunan birçok âşık gibi etno-organolojik yaklaşımlar
kullanarak kültürel perspektifte de nitelemiştir. Veysel sazını sırdaş, dost, yaren vb. kavramların
perspektifinde bir metafordan öte, yaşantısına sokarak iletişime ve etkileşime girmiştir. Bir
çalgı olarak organoloji disiplini içerisinde incelenen saz (bağlama) âşıkların kültürel olarak
çalgılarına yükledikleri misyonlardan ötürü, kültürel perspektifte etno-müzikolojinin etnoorganoloji
bağlamında incelenmiştir. Birçok âşıkta olduğu gibi Veysel de sazıyla olan ilişkisini
sözlerine dökmüş, müziğiyle birleştirerek sunmuştur bizlere. Bu çalışmada Veysel’in hayatının
her anında yanında yoldaş olan sazı ile ilgili duygularını aktardığı eserlerinin yanında,
konuşmaları ve demeçleri sırasında saza yüklediği kültürel anlamlar incelenerek âşıklık
geleneği içerisinde yer alan Âşık ve saz arasındaki ilişki ana odak noktası olarak belirlenmiştir.
Tarama ve doküman analizi yöntemi tercih edilen bu çalışmada, göstergebilim yönteminden de
faydalanılmıştır. Veysel’in eserlerindeki sazına atfettiği ürünler hem organolojik hem de Etnoorganolojik
bağlamda incelenerek kültürel olarak anlamlar çıkartılmaya çalışılmıştır
On Strong Super Hyper EQ Algebras: A Proof-of-Principle Study
Authors: Rahmati Marzieh , Hamidi Mohammad
Published: August 2024

Today, in the study of algebra structures, we notice the new concept of superhyper algebras. In this article, we introduce and study strong (l,qn)-superhyper EQ algebra. Also, we will examine the specific features of strong (l,qn)-superhyper EQ algebra. The aim of the article is to extend EQ algebras to superhyper EQ algebras using the qth-power set of a set.
Preventive Maintenance in the 3D Atomic IV Printer Machine using the Analytic Hierarchy Process
Authors: Ayala Pablo , Woocay Prieto Arturo
Published: August 2024

Preventive maintenance (PM) of equipment is a crucial aspect of effective manufacturing systems, as inadequate PM can lead to various negative issues, such as quality, productivity cost, customer cost, and maintenance costs. This paper presents a case study approach using the Analytic Hierarchy Process (AHP) and ranking of critical elements for the PM equipment of a 3D Atomic IV printer machine at The Instituto Tecnológico de Ciudad Juárez. AHP was used to find the equipment problem sensors and determine all the criteria weights and rank elements. The principal methodology is applied to a 3D Atomic IV printer to formulate a critical PM strategy.
Impact of ICT on the Academic Performance of Students at University Level
Authors: Jamal Bakht , Ain Qurrat ul , Dara Doung , Shabbir Aiman , Shaikh Gul Muhammad
Published: August 2024

Contemporary educational institutions heavily rely on information and communication technology (ICT) which has put impact on students’ learning. The researcher investigated the impact of ICT on the academic performance of students at the university level. To achieve research objectives, the descriptive research design of the quantitative survey approach was employed. All the students of the MS (Education) program were population in 15 public sector universities in Punjab while 500 samples of the students were taken through simple random sampling. The self-structured quantitative questionnaire was used as a research tool. Validation and reliability were confirmed through experts’ opinions. Descriptive and inferential statistics were used for data analysis. The findings reflected that the majority of the students used ICT devices and improved their academic performance. Therefore, it was concluded that students at the university level were actively involved in using ICT devices and recommended to infuse ICT in teaching learning and ensuring collaborative learning.
A Systematic Literature Review of Understanding the Human-Computer-Intraction Collaboration with User Experience Design
Authors: Maria Afzal  , Muqaddas Salahuddin  , Sammia Hira  , Muhammad Faseeh Sultan  , Saleem Zubair Ahmad  , Muhammad Waseem Iqbal
Published: August 2024

In the realm of human-computer interaction (HCI), while the integration of computerized systems with humans (e.g., robots) is crucial, the focus often remains on the technology itself rather than on user acceptance and interaction. This creates a significant research gap, as future advancements in digital systems will rely heavily on effective HCI. This article reviews literature through a framework emphasizing User Experience (UX), which focuses on enhancing interactions between people and technology. UX is described as a method for creating desirable, accessible, and useful technology experiences. The paper concludes with recommendations for future UX research, particularly in wireless and emerging technologies, highlighting the role of User Experience Strategy (UXS) in addressing consumer needs and developing practical, engaging solutions. This systematic literature review's general target is to investigate studies published in the past 15 years related to using AI strategies in conventional technology. The fundamental goal is partitioned into the next RQ research question to accomplish a more point-by-point and far-reaching perspective on this subject.
SYNDROME DE ROSAÏ-DORFMAN REVELE PAR UNE APPENDICITE AIGUE : A PROPOS D’UNE OBSERVATION
Authors:   Service de chirurgie générale, Centre Hospitalier National Matlaboul Fawzaini Touba, NIASSE Abdou
Published: August 2024

Rosaï Dorfman (RD) syndrome is form of non Langerhans cell sinus histiocytosis. The main symptoms are cervical adenopathy, fever and fluctuating hepatosplenomegaly.It is a rare pathology described in 1969 by Rosa and Dorfman. The isolate intraabdominal localization remains exceptional. It can be confused with ganglionary tuberculosis especially in our region where tuberculosis is common. On the other hand, thinking about it in front of a surgical abdomen table is not obvious. It would be a possible incidental discovery to the histology of the operative parts and the mesenteric lymph nodes. We report an observation in an 11-year-old boy who presented peritoneal irritation syndrome with pain beginning in the right iliac fossa in a febrile context. The peripheral ganglionic areas were free. This clinical picture led to suspected acute generalized peritonitis of appendicular origin. Biology had recovered microcytic hypochromic anemia. Radiography of the abdomen without preparation (ASP) showed a diffuse grayness and chest x-ray was normal. Emergency laparotomy after transfusion and brief resuscitation resulted in serous peritoneal effusion, inflammatory appendix, hepato-splenomegaly, and mesenteric polyadenopathy (suggestive of mesenteric adenolymphitis). The histological study of the appendix and the lymph nodes taken revealed a syndrome Rosa Dorfman Destombes (RDD). The sequences were favorable after bi-antibiotic therapy without corticosteroid therapy. Keywords : Destombes Rosaï Dorfman syndrome, mesenteric adenolymphitis, appendicectomy
LIPOME GEANT INFILTRANT A PROPOS DE DEUX CAS ET REVUE DE LA LITTERATURE
Authors: Sarr Lamine
Published: August 2024

Lipomas are benign adipose tumors. They are generally subcutaneous and asymptomatic. We report two intramuscular lipoma localizations. Patients consulted after 10 years of symptomatology. MRI or CT scans have confirmed the benign nature of the tumor, confirmed by antomopathological examination. Surgery is simple. Follow-up should be regular because of the possibility of recidivism. Keywords: infiltrating lipoma, intramuscular lipoma, surgery
PERITONITES POST OPERATOIRES PAR FISTULE INTESTINALE: PRISE EN CHARGE A L’HOPITAL DE NJINIKOM
Authors:   Service de Chirurgie Générale. CHU Ignace Deen. Conakry Guinée., FOFANA, et al... Houssein
Published: August 2024

SUMMARY Introduction: The objective of this work was to report the results of our experience in the management of postoperative peritonitis by intestinal fistula. Observations: Four patients were referred in our department for postoperative peritonitis (PPO) by intestinal fistula. They were 3 men and 1 woman, with an average age of 40 years. The fistulas were observed on the 5th, 6th and 14th days postoperative. Fifty percent of fistulas occurred after emergency surgery (volvulus and peritonitis). Three out of four fistulas complicated anastomosis resection of the colon. The peritonitis table was present in all cases and the fistulas evident. Three fistulas underwent surgical repair which showed 2 cases of loose anastomosis suture and neglected iatrogenic perforation of the ileum. The acts were excision-suture in 2 cases, and a colostomy followed by delayed recovery colorectal continuity in 1 case. One patient was not recovered. There was one case of suppuration of the operative wound and 1 death. The latter concerned the patient who had received sole medical treatment. The average hospital stay was 31 days. Conclusion: Fistula and postoperative peritonitis are complications encountered in surgery and are responsible for high morbidity and mortality. Their medical and surgical management must be rapid and effective with multi-disciplinary collaboration. Keywords: fistula, peritonitis, postoperative
TEXTILOME PRE PERITONEAL: A PROPOS D’UN CAS OBSERVE DANS LE SERVICE DE CHIRURGIE GENERALE DE L’HOPITAL NATIONAL IGNACE DEEN DE CONAKRY
Authors: SOUMAORO, et al... Labilé Togba
Published: August 2024

Introduction: Lesions secondary to the omission of a foreign body of a textile nature during surgery, the textiloma a rare postoperative complication. Safety measures in operating theatres and forensic implications have contributed to reducing its incidence. It is frequently observed following abdominal surgery, but can complicate any type of procedure. Case: We report a case of textiloma in a 50-year-old patient operated on for a penetrating abdominal wound following a stabbing. On the 5th postoperative day we noted a purulent flow in the surgical wound. Clinically, the abdomen was flexible, painless, there was no palpable mass. X-rays of the unprepared abdomen and chest were normal. Biologically, the hemoglobin level was 9g/dl, the white blood cells were 11giga/l. A re-laparotomy was decided and revealed two (2) compresses each measuring 40x40cm in the pre-peritoneal space that we removed. Conclusion: The introduction of mandatory compress counting before and after surgery and the vigilance of the operating teams should help to limit these complications. Keywords: Textiloma, pre-peritoneal, surgery, foreign body.
UN LYPHAGIOMME KYSTIQUE RETROPÉRITONEAL MIMANT UN FAUX KYSTE DU PANCRÉAS
Authors: FAYE, et al.. Magatte
Published: August 2024

Abstract Retro-peritinoeal cystic lymphangioma is a benign tumor developed at the expense of the lymphatic vessels. It is a rare tumor, seen mostly in children. We report the case of a 42-year-old patient with a history of gastric cyst bypass for false pancreatic cyst, who had consulted for epigastralgia and regurgitation. Abdominal CT scan was in favor of a false cystic pancreas. Exploration by laparotomy had objectified a retro peritoneal cystic lymphangioma, with chylous content, confirmed by anatomopathological examination. Keywords : cyst, retro-peritoneal, lymphagioma, pancreas
OCCLUSION INTESTINALE AIGÜE PAR OBSTACLE TUMORAL DU BAS TRACTUS DIGESTIF : ASPECTS EPIDEMIOLOGIQUE, DIAGNOSTIQUE ET THERAPEUTIQUE AU CHU SOURO SANOU
Authors: Somé, et al... Ollo Roland
Published: August 2024

Abstract Objective: to describe the diagnostic and therapeutic epidemiological profile of cancers of the lower digestive tract in occlusion. Methodology: This was a retrospective descriptive study in the Department of General and digestive Surgery of the Teaching Hospital of Sanou Sanou, from 1st of January 2017 to 30th of April 2019. She studied the epidemiological, diagnostic and therapeutic aspects of acute intestinal obstruction by tumoral stenosing of the anal canal, rectum or colon. Results: Occlusions by cancers of the lower digestive tract were found in 15 cases representing 0.3% of visceral emergency admissions and 37.5% of all cancers of this location diagnosed in the period. The sex ratio was 0.9. The mean age was 50.5 ± 13.3 [25 and 70 years], with a high proportion of subjects under 40 (33.3%). In 1/3 of the cases, the tumours were located in the canal, rectum and colon. Right hemicolectomy and transverse colectomy were performed for tumours located in these colonic segments. Elective left iliac colostomy was the most performed gesture (66,7%) for the other locations. Morbidity and mortality were respectively 20% (n = 3) and 6.6% (n =1). Conclusion: The complicated occlusive form is the circumstance of diagnosis in almost half of the cases ano-recto-colic cancers. The frequent anal location must challenge the importance of digital rectal examination. Elective colostomy is a beneficial gesture for left recto colic locations. Key words: anal canal cancer, rectal cancer, colon cancer, occlusion, BoboDioulasso
MORBI-MORTALITE DE LA CHIRURGIE DU CANCER DU CÔLON : À PROPOS DE 50 CAS
Authors: SECK M.
Published: August 2024

Colon surgery is burdened with significant morbidity and mortality. Aim: the objective was to study the prognostic factors of colon cancer surgery. Patients and methods: there are 28 men and 22 women, with a sex ratio of 1.27. The average age was 54.1 years. The consultation period was on average 12.9 months. Results: twenty-two patients (44%) were operated on in an emergency context for acute intestinal obstruction and 28 (56%) were treated as part of scheduled surgery. Thirty-nine patients underwent curative surgery (78%) and 11 patients underwent palliative surgery (22%). The surgical approach was a median xypho-pubic laparotomy in all cases. On surgical exploration, 32 patients had a tumor in the left colon and 9 patients had a tumor in the right colon. The overall resectability rate was 78% (n=39). It was 53.8% for the left colon and 23.7% for the right colon. Surgical procedures performed in the emergency context were a left hemicolectomy in 45% of cases in the scheduled surgery and 39.2% of cases in the emergency surgery. The overall morbidity of the surgery was 26% (n=13). Operative mortality was 22% (n=11). This morbidity and mortality was linked to prognostic factors. Conclusion: colon cancer surgery is burdened with a non-negligible morbidity and mortality, related to multiple factors which are known to reduce operative complications and their mortality. Keywords: cancer, colon, surgery, morbidity, mortality, prognostic factors
ETUDE DES COMPLICATIONS PER-COELIOSCOPIQUES AU SERVICE DE CHIRURGIE GENERALE DU CHU ARISTIDE LE DANTEC DE DAKAR
Authors: TOURE, et al... r Alpha Oumar
Published: August 2024

The laparoscopy, introduced in the 1990s at the Aristide Le Dantec Hospital in Dakar, is subject to difficulties in our daily practice. These may favor comlications during the laparosopic procedure. Objectives: determinate incidence and study the management of intra-operative laparoscopic complications Material and methods: This was a retrospective descriptive study carried out from 842 laparoscopic procedures over a period from January 1st of 2006 to 31 December 31st of 2015 within the Department of General Surgery of the Aristide Le Dantec Hospital in Dakar. We Included all cases of intraoperative complications (59 cases). We studied: the epidemiological data, the interventions concerned, their nature, and their management. Results: incidence of intra-operative complications was 7%. The female predominated with a sex ratio of 0.9 (28 men / 31 women). The mean age was 35 years (extremes of 12 and 85 years). The complications mostly occured in daily surgery (50 cases). They occurred mainly during hepatobiliary surgery, including cholecystectomy with 45 cases (76.2% of incidents). Gastrointestinal accidents dominated with 39 cases (66.1%). The biliary tract injury was the most common (n=24 or 40.6%). Daily surgical complications (n = 50 or 84.7%) were dominated by biliary complications with 19 cases of gallbladder opening (32.2%) and 8 liver wounds (14.1%). There were 9 cases (15.3%) of intraoperative complications in emergency procedures (5 ileal wounds (8.9%), 1 cecal wound (1.6%), 2 appendicular arterial bleeding (3, 2%), 1 case (1.6%) of pneumoperitoneum intolerance). The laparoscopic conversion rate was 40.7% (n = 24): uncontrolled bleeding in 10 cases; Intestinal injury in 8 cases; wound of the main biliary tract in 3 cases and 3 cases of intolerance to pneumoperitoneum. The sequences were simple in 37 cases (62.7%). An operative morbidity of 37.3% was noted (n = 22). Two deaths were observed following postoperative peritonitis (3.4%). The mean hospital stay of our patients was 11 days with extremes of 3 and 29 days. Conclusion: the per-coelisocopic complications are not negligible and it is necessary to take appropriate care in order to avoid dramatic consequences. Keywords: Coelioscopy, intra-operative incidents
L´ACTINOMYCOSE ABDOMINALE : UNE CAUSE RARE DE PSEUDO- TUMEUR ABDOMINALE
Authors: SEYE, et al... Yacine
Published: August 2024

Introduction: abdominal actinomycosis is rare. Its diagnosis is normally based on the germ identification. Its clinical and radiologic signs are unspecific which leads to mysdiagnosis and delay in treatment. We report a case of abdominal actinomycosis illustrating its difficult diagnosis and treatment. Case report: A 66-year-old postmenopausal patient, was received for tumor-like abdominal mass with transit disorders evolvingfor 2 years. The clinical examination noted a sensitive mass of the right flank. Abdominal CT-scan showed a pseudo-tumor mass of the right colonic angle, infiltrating the anterior abdominal wall. The patient had a laparotomy. Exploration showed an inflammatory tumor mass of the right colonic angle extending to the small bowel and right anterior abdominal wall. The patient had a right hemicolectomy and an ileocolical anastomosis. Histologic examination of the specimen showed actinomycotic follicles. The patient had been given antibiotics for 3 months with good results. Conclusion: Abdominal actinomycosis is a rare and silent infectious disease mimicking digestive cancer. Treatment is essentially medical. Keywords: abdominal actinomycosis, colic resection, antibiotherapy
LA CHAMBRE A CATHETER IMPLANTABLE A OUAGADOUGOU : INDICATIONS, TECHNIQUES CHIRURGICALES ET RESULTATS
Authors: ZONGO, et al... N
Published: August 2024

Objective : implantable veinous access device is a long term venous access system implanted entirely under the skin that has various indications. This study aim to describe indications, surgical procedures and the results of implantale veinous device in Burkina Faso. Patients and methods: A transversal, descriptive and retrospective study was conducted jointly at the Schiphra Hospital and the Wendtoin Clinic from 01st September 2018 to 31st August 2019. All patients who had undergone implantable port insertion were included. Sociodemographic data, indications, surgical procedures and outcomes were taken into account. Results: Twenty-three patients were treated during a year, with an average of 02 cases. The sex ratio was 0.15. The mean age of patients was 46.4±12.7 years (range: 23 to 75). The median age was 46 years. The indication was cytotoxic chemotherapy in all cases. The cancers concerned were breast cancer in 19 cases, gastric cancer in 03 cases and rectal cancer in one case. The surgical approach by cephalic denudation was used in 21 cases. Radioscopy or/and postoperative Chest X-ray for control was systematically used. Cutaneous necrosis was reported 06 months after port insertion, as well as catheter thrombosis. Conclusion: Implantable ports are feasible in Burkina Faso with little complication. The ease, comfort, safety that they provide during administration of chemotherapy should lead to their popularization. Keywords: Implantable port-cancerIndications, Surgical techniquesOuagadougou.
SCHWANNOME MALIN DE LA PAROI CAECALE REVELE PAR UNE INVAGINATION INTESTINALE AIGÜE CHEZ L’ADULTE A L’UNITE DE CHIRURGIE ONCOLOGIQUE DE DONKA, CHU DE CONAKRY
Authors: Bah, et al... M
Published: August 2024

Abstract Introduction: Gastrointestinal schwannoma is thought to account for only 2-6% of all sub-mucosal tumours of the gastrointestinal tract, with the stomach being the preferred site. The diagnosis of schwannomas is histoimmunohistochemical. Surgical treatment consists of complete removal of the mass due to the risk of malignant degeneration. Because of their rarity, these lesions are often overlooked. Case report: We report a case of a 26-yearold female patient who was admitted for a painful abdominal mass with cessation of feces and gas. The clinical examination showed a slightly distended, asymmetric abdomen with a mass extending from the right flank to the umbilical region, firm in consistency, mobile in relation to the deep plane and well limited. The abdominopelvic CT scan showed distension of the bowels upstream of an image of ileal intestinal invagination extending over approximately 8 cm, close to Bauhin's valve. Surgery by supra-umbilical and subumbilical laparotomy revealed a 12 cm ileocecal intussusception. Exploration revealed a hard caecal mass, with a firm consistency, mobile in relation to the deep plane, 17 cm from the ileo-caecal angle. We proceeded with coeco-ileal resection with termino-lateral and colo-ileal anastomosis, removing the mass. The postoperative course was simple. The result of the anatomopathological analysis showed a malignant schwannoma of the caecal wall with healthy margins of resection. The patient is currently under surveillance. Keywords : malignant Schwannoma ; gastrointestinal ; cancer ; Surgery
METHODOLOGICAL ASPECTS OF FORMATION OF A REGIONAL INNOVATION SYSTEM
Authors: Andreev O.S.
Published: August 2024

Актуальность статьи обусловлена вопросами реформирования региональной эконо-
мики с целью разработки стратегии ее развития, основополагающими из которых
являются концентрация усилий и ресурсов на реализацию потенциала экономического
развития, а также обеспечение устойчивого развития регионов. Магистральным
направлением дальнейшего регионального социально-экономического развития явля-
ется выработка методологии, основанной на приоритете формирования инноваци-
онной экономической стратегии региона, что способствует уточнению и обобще-
нию предпосылок, целей и содержания структурных преобразований в экономике ре-
гиона.
Ключевые
Is Family Adoption Programme as What It Seeks: A Resident’s Perspective?
Authors: Mishra Anshita , PK Febida Beegum , Santra Sahadev , Banerjee Bratati
Published: August 2024

The National Medical Commission recently launched the Family Adoption Programme for the medical undergraduates across the country in the process of making Indian Medical Graduates a full-fledged primary care physician. The program has been running across in few institutes across the country and such large level replication of the same with objectives of giving public health exposure to medical undergraduates is a welcome step. But the program brings with it their own set of challenges for the implementation of the same. Hence, the article attempts to identify the lacunae in the policy and suggests a way forward for better conduct of the program and achieve what it actually desires.
Inclusive Education and avenues of learning for learners with Muscular Dystrophy: A Case Study
Authors: Rastogi Shruti Kirti , Nidhi Geetika
Published: August 2024

Muscular Dystrophy is a group of diseases that cause progressive weakness and loss of muscle mass. In muscular dystrophy, abnormal genes (mutations) interfere with the production of proteins needed to form healthy muscle. Consequently, with time, the afflicted loses the ability to even carry out an elemental function like body movements. It is an agonisingly painful phase in the patients’ life as they battle with the disease that threatens to choke their chances of sustenance with each passing day. Even more dismal is the lack of awareness regarding the disease, hence, the possibilities of creating appropriate scaffolds to facilitate the wellbeing of people afflicted with muscular dystrophy is minimal at present. This lacuna is more entrenched in education. It is pertinent to refer to the Rights of Persons with Disabilities Bill – 2016, in this context. With the amendment now, the Government of India has extended the ambit of Disabilities from 7 to 21, with muscular dystrophy indicated as separate class of specified disability. Given this premise, it is imperative to note that it is now a mandatory clause for all the government funded educational institutions as well as those recognized by the government to proffer inclusive education to such learners. In this contextual frame, this study attempts to present 5 case studies pertaining to learners with muscular dystrophy. The author has personally witnessed a lack of information among the parents and, therefore, their inability to help their children affected with muscular dystrophy, especially in the case of Duchene muscular dystrophy. Hence, as a long-time personal goal, she developed this study to address this lacuna. Case studies are based on semi‐structured interviews which were conducted with five parents. Analysis of the interview data indicated the willingness of these parents to share information to empower others like themselves. The study etches conclusions that recommend a host of solutions aimed at redefining pedagogies to empower the learning abilities of students with muscular dystrophy.
IMPROVING THE NETWORK OF SECONDARY ROADS IN URBAN SETTLEMENTS: CASE STUDY ISTOČNO NOVO SARAJEVO
Authors: Spajić Zoran , Jokanović Igor , Pavić Milica
Published: August 2024

The spatial development of the city and urban residential areas is inextricably linked with the spatial planning of transport networks. The concentration of population and residential facilities in a small area certainly creates traffic problems and affects the quality of life of individuals and the sustainability of urban settlements. The increase in population standard and the use of individual means of transport creates the need for huge spatial areas for the movement and rest of vehicles. This paper presents one possible way of modifying the planning document (regulatory plan) in the domain of the organization of traffic and free areas with the aim of increasing accessibility to end users, as well as improving the quality of life of individuals.
MODELING OF POROUS DRY MATERIALS USING RHEOLOGICALDYNAMICAL ANALOGY
Authors: Milašinović Dragan , Mrđa Bošnjak Nataša
Published: August 2024

A theoretical model for porous viscoelastoplastic (VEP) materials under dry conditions is examined based on the principles of mass and energy conservation using rheological-dynamical analogy (RDA). The model provides the expressions for the creep coefficient, Poisson's ratio, modulus of elasticity, damage variable and strength in the function of porosity and/or void volume fraction (VVF). Compared with numerous versions of acoustic emission monitoring developed to analyze the behavior of the total wave propagation in inhomogeneous media with density variation, the RDA model is found to be comprehensive in interpretation and consistent with physical understanding. The reliability of the proposed model is confirmed by the comparison of numerical results with experimental ones on hardened concrete and rocks.
APPLICATION OF CLOSE-RANGE UAV PHOTOGRAMMETRY IN THE DETECTION OF CRACKS ON FACADE
Authors: Santrač Nikola , Batilović Mehmed , Marković Marko , Govedarica Miro , Benka Pavel
Published: August 2024

The photogrammetric survey of buildings is a beneficial process to obtain accurate 3D data for facade inspection. It allows more straightforward monitoring of the state of the facade over time. An orthomosaic with an average ground sampling distance of 2.1 mm is created using close-range unmanned aerial vehicle photogrammetry. Ground control points, determined with millimeter accuracy from the geodetic network, were used for georeferencing. Resulting in an average ground control points residual of 1.6 mm. Based on the created orthomosaic, visual detection of cracks in the facade was performed. Also, an orthomosaic created with this accuracy can be a basis for automatic tools for detecting cracks on the facade.