bluuebunny/crossref_metadata_2025 huggingface dataset:
Clinicopathological Features of Gestational Trophoblastic Neoplasia (GTN): Single Institutional Study
Authors: Memon Jawad Ali , Shah Mohammad Sibtain , Memon Zubair Ali , Baloch Abdul Rashid , Bano Saeeda , Mustafa Noor
Published: October 2022

Introduction: The term "gestational trophoblastic neoplasia" (GTN) refers to abnormal proliferation of trophoblastic tissue and occurs during pregnancy. It includes hydatiform mole, invasive mole, choriocarcinoma, placental site trophoblastic tumour and epitheliod trophoblastic tumour. Patients and Methods: This retrospective study was conducted at the Department of radiology, Peoples Medical College, Hospital, Nawabshah, Shaheed Benazirabad, Sindh; the clinical & ultrasonographic records of biopsy-proven cases of gestational trophoblastic disease registered in the department from January 1, 2019, to December 31, 2020 was evaluated and analysed through SPSS. Results: Total of 137 patients of biopsy proven gestational trophoblastic tumor was registered during the period. The age of the patient ranges between 15 to 50 years, the disease is most common in 21 to 30 years of age. Majority of patients belong to the rural areas (73%) in comparsion to urban area (26%).The most common tumor was hydatiform mole (76% ) followed by choriocarcinoma Conclusion: Gestational trophoblastic neoplasia are common disease in females of 21 to 30 years of age and hydatiform mole is the most frequent tumor type Keywords: Gestational trophoblastic disease, Hydatiform Mole, Malignancy, Ultrasound.
Compare Second Stage of Labour with or without Epidural Analgesia
Authors: Hameed Nazneen , . Khairunnisa , Depar Asma Ali , Habib Hina , Abdullah Safia
Published: October 2022

Background: Epidural analgesia involves the injection of a local anesthetics agent into spinal cord. Delayed pushing has found association between epidural analgesia, instrumental deliveries and prolongation of second stage of labour. Objective: To compare second stage of labour with or without epidural analgesia at Aga Khan University Hospital. Study Design: Cohort study Setting: The Department of Obstetrics and Gynaecology, Aga Khan University Hospital, Karachi. Duration: From 1st March, 2020 to 1st August, 2020 Material and Methods: Total 80 patients were included and equally divided into group who received epidural analgesia and group who did not get epidural analgesia. Dependent variable was epidural analgesia and Independent variables are labor outcome as prolonged 2nd stage of labour with or without epidural analgesia. Stratification was done. Post stratification chi-square test was applied. P-value ≤0.05 was taken as significant. Results: The mean mother’s age in epidural and non-epidural groups was 29.48±4.38 years and 28.08±4.68 years. Prolonged second stage of labour was observed in 12.5% patients of epidural group and 5% patients of non-epidural group. The results showed significant association of prolonged second stage of labour with exposed and unexposed groups. Conclusion: Our study results showed that, prolonged second stage of labour was observed more among women in epidural group as compared to them women in non-epidural group. Keywords: Second Stage Labour, With or Without Epidural Analgesia
Ventilator Associated Pneumonia in Neonates: Do the Body Positions Really Have a Role in Prevention
Authors: Ann Qurrat-Ul- , Halim Alia , Khan Muhammad Hayat , Gul Syeda Shireen
Published: October 2022

Background: Ventilator associated pneumonia (VAP) is a relatively common and sometimes deadly complication of mechanical ventilation seen in neonatal ICUs around the globe. Objective: The study aimed to analyze the effect of three different infant positions on the rate of ventilator associated pneumonia in newborns in NICU. And compare the bacterial growth on tracheal aspirates in all three groups. Study design: It was randomized controlled trial study conducted for the duration of six months from 1st January 2021 to 30th June 2021 at Neonatal ICU department of Children Hospital PIMS, Islamabad. Material and Methods: The sample size was calculated by WHO sample size calculator, with power of test 80% and level of confidence 05%. Population proportion for group 1 was 67% (rate of bacterial colonization in supine group). Population proportion for group 2 was 47% (rate of bacterial colonization in lateral group). Sample size was turned out to be 50 in each group and a total of 150 patients were included in the study. The patients were randomized to one of the three groups using lottery method. The ethical and review board committee of the hospital approved the study. Results: First group patients were in supine position after the procedure of endotracheal intubation on the ventilator. The second group was the one in which infants were put in prone position by following protocol. And the third group contained patients in lateral positions. The goal of the study was to study the effect of these three positions on the incidence of ventilator associated pneumonia in case of infants admitted in hospital. The other goal was to do a comparison on the bacterial growth produced on tracheal aspirates in case of all these groups. Infants were kept in these positions and there was no information collected for 10 minutes as there could be any potential instability in respiration. After the patients were stable data was collected. Conclusion: There was no difference found in the incidence of VAP in case of all three positions and the bacterial colonization was found to be increased in case of supine position as compared to other groups. Keywords: Ventilator associated pneumonia (VAP), Neonatal ICUs, Respiratory tract.
Efficacy of Fosfomycin in Urinary Tract Infections Occurring During Pregnancy
Authors: Hakeem Nazia , Lal Warsha Brij , Imtiaz Sanam , Mushtaq Sadia , Almas Saira
Published: October 2022

Objective: To determine efficacy of fosfomycin in urinary tract infections occurring during pregnancy. Study Design: Descriptive study. Study Settings: Obstetrics & Gynecology Ward Dow University OJHA Campus, Karachi. Duration of Study: 11-08-2021 till 12-02-2022  Subject and Methods: Total 147 pregnant women presented with urinary tract infections were enrolled. Detailed demographics were recorded after taking informed written consent. Participants were given fosfomycin sachet 3gm stat dose after confirmation of UTI symptoms and they were followed for about 13 days and advised to proceed for Urine C/S. Participants were assessed on the basis of persistent symptoms of UTI and identification of bacteria in urine C/S. Data was analyzed by SPSS 20.0. Results: The mean age of the patients was 29.41±4.71 years. Mean BMI recorded was 28.65±3.21 kg/m2. According to the efficacy of drug (fosfomycin ), UTI was cured in 89 (60.5%) patients. Conlcusion: The efficacy of fosfomycin in urinary tract infections occurring during pregnancy in our study was 60.5%. Keywords: Urinary Tract Infection (UTI), Efficacy, Fosfomycin
Salivary Biomarkers in the Diagnosis of Periodontitis
Authors: Tanvir Imrana , Ehsanulhaq Madiha , Salahuddin Hamna , Hassan Amber , Albeladi Fatma Ibrahim , Zulfiqar Aimen , Elaskary Shymaa A. , Elbasateeny Samah Said
Published: October 2022

Periodontitis is caused by complex interactions among the host immune system and the subgingival microbiota, which causes damage to periodontal ligament attachment, and tooth loss. The impacts of periodontitis are highly significant. In the last few decades, periodontitis has enhanced the economic burden globally because it is associated with various other systemic diseases and the relative treatment is expensive. The prevalence of the periodontal disease varies in different countries of the world, with a higher prevalence reported in Asian countries. Traditional clinical methods for diagnosing and monitoring periodontitis are inadequate for anticipating patient sensitivity, disease activity, and treatment responses. Several disease-specific molecular biomarkers have been identified as a result of periodontitis immunopathogenesis studies and saliva mediator analyses. Assessments of these salivary biomarkers will yield more accurate diagnostic results, supporting the clinical management of patients. The discovery of these salivary biomarkers highlights salivary diagnostics by introducing quick, non-invasive, screening procedures. Finally, the development of sensitive and specific disease biomarkers will yield highly validated results and aid in the clinical management of periodontitis patients Keywords: Periodontitis, Cytokines, Diagnosis, Salivary Markers
Anti-Toxoplasma Gondii Antibody Seroprevalence Among Pregnant Women in Baghdad
Authors: Mohammed Taghreed Khudhur , Khalil Zena Kassem , Abdulkhaliq Alaa
Published: October 2022

Millions of pregnancy abnormalities occur throughout the world every year, many of which go unnoticed or untreated. The parasite Toxoplasma gondii (T. gondii) causes sometimes this infection among expectant mothors. So, the current study's goals are to evaluate the the anti-Toxoplasma IgG seroprevalence and anti-Toxoplasma IgM antibodies in pregnant women in Baghdad, as well as environmental, psychological, and behavioural factors associated with infection in women. A total of two hundred and twelve (212) pregnant Iraqi women who visited personal laboratories in Baghdad were collected. Their ages ranged from 18 to 33 years. They have all had repeated spontaneous miscarriages in the past. Sera samples were collected, and IgG and IgM levels were estimated for the study participants. 61 samples out of 212 sera examined were IgG-positive (28.8%), whereas 19 tested IgM-positive(42.4%). In (54%) of the IgG-positive patients and (3 % of the IgM cases), a history of spontaneous abortion was mentioned.while there was no significant difference in the seroprevalence of Toxoplasma IgM levels according to maternal age,the IgG levels were considerably higher(p 0.05) in older age groups.the findings showed that IgG seroprevalence tended to be lower in educated participants(11.8%) compared to the uneducated group(17%) (from primary school education up to university graduates). The majority of the study's risk factors did not significantly correlated with the seroprevalence of anti-Toxoplasma IgG and IgM antibodies, However, there was a positive coerelation between untreated water sources, cat exposure and undercooked meat with the anti-Toxoplasma IgG and IgM antibodies. A conclusion can be made that untreated water, cat handling and undercooked meat increase the seroprevalence of anti- toxoplasma antibodies as the correlation reveals a positive relation between these parameters and the anti- toxoplasma antibodies. Keywords: anti- toxoplasma antibodies, IgM, IgG, Iraq.
Techniques for Treating a Single Cold Thyroid Nodule
Authors: Ullah Arif , Khan Azam , Afridi Muhammad Hussain , Hasan Syed Zafar , Bibi Khaddija
Published: October 2022

Background: The goal of this article is to raise awareness of malignancy and surgical options for the solitary inflection point of the cold nodule thyroid. Methods: People mentioned after the community or hospitalized straight via Observational Patient Treatment Tartary care hospital kpk with a diagnosis of a single cold nodule thyroid gland were accounted for in the study. Results: The patients' ages varied from 15 to 65, with a mean of 35 10 years, and 90% were female. Sixty-four percent of patients had problems in the right lobe of the thyroid gland, whereas only two percent had problems in the isthmus. Each patient had had surgery and was deemed euthyroid. In 50% of patients, FNAC revealed adenomatous colloid goiter, while in 5%, FNAC revealed papillary cancer of the thyroid gland. Mainly, lobectomy with isthmusectomy was done (95%), whereas complete thyroidectomy was done (5%). Adenomatous colloid goiter was found in 45% of patients, whereas 9% had thyroid cancer that forms in follicles, and 3% had cancer of the follicle based on the histopathology report. In 7% of those who needed it, complete thyroid removal was accomplished. Postoperatively, 5% of patients had an infection at the surgical site, and 3% experienced temporary hypocalcemia. People didn't die outright or anything like that. Conclusion: Women are more likely to have a single cold nodule in their thyroid gland. The most effective surgical procedure is a combination of lobectomy and isthmusectomy. When a single cold nodule develops in the thyroid, papillary carcinoma is the most prevalent kind of cancer that may develop there. Keywords: Techniques, Treating, Cold Thyroid, Nodule
MEHMED ÂKİF’İN SAFAHAT’A YANSIYAN YAKIN ÇEVRESİ
Authors: MERCAN Meryem
Published: October 2022

Safahat, ihtiva ettiği manzum hikâyelerle bir bakıma çağının “manzum romanı” olarak kabul edilebilir. Bu gerçekçi roman, Realizm ve Natüralizm gibi sanat akımlarının da etkisiyle neşet ettiği dönemin tarihî ve sosyolojik görünümünü gözler önüne serer. Çünkü Âkif, hikâyelerinde bizzat içinde yaşadığı toplumu anlatmış ve hikâye kahramanı olarak onlara yer vermiştir. Âkif; ailesi, dostları, değer verdiği düşünce insanları gibi gerçek hayatta yaşamış kişilere hikâyelerinde yer verirken hayal gücüyle oluşturduğu kurmaca kahramanların da son derece realist kişiler olmasına dikkat etmiştir. Âkif, sanat anlayışı ve edebiyata yüklediği eğitici işlevin de etkisiyle her an karşılaşabileceğimiz sıradan insanları hikâye kişisi olarak kullanmış, halkı kendine özgü telaffuz ve eğitimlerine uygun bir dille konuşturmuştur. Bu yazıda, Mehmed Âkif’in Safahat adlı eserinde –özellikle de manzum hikâyelerinde- yer alan yakın çevresi tespit edilmeye çalışılmıştır.
Best application of low-cost enhancement treatment for agricultural drain wastewater
Authors: Soliman Rania Adel  , El Nadi MH  , Hassan AA  , Mohamed SA  , Abdelmomen MM
Published: October 2022

This study aimed to apply a new technique of treatment inside stream using polyethylene sheets strips as a very cheap method for enhancing the quality of agriculture wastewater to meet the irrigation reuse needs. The study was carried out on a pilot plant that was constructed by EU research project named “drains water quality enhancement” inside Faqous Wastewater Treatment plant nearby Bahr El Bakar agricultural drain in El Sharqiyah Governorate, Egypt. Polyethylene strips were used as in stream media treatment where the operation program was made to determine the best positioning for applied serial lines to achieve the target water quality for reuse purposes, The study used four intervals first was 30 cm in channel 2 ,the second was 70cm in channel 3, the third was 100cm in channel 4 ,and the fourth was 150 cm in channel 5 to get the best enhancing efficiency and the removal ratios for Biochemical Oxygen demand (BOD), Chemical Oxygen demand( COD) & Heavy metals (HM). Each channel contains six serial curtain lines to determine the study parameters. The results showed that the first interval 30 cm achieved removal ratios 44.6 %for BOD, 27 %for COD, and 41.7% for HM, while interval 70 cm produced removal ratios 46 %for BOD, 27.7 %for COD, and 43.3% for HM, for the third interval 100 cm the study get the removal ratios 51.6 %for BOD, 30 %for COD, and 46 % for HM, and finally for interval 150 cm the resulted removal ratio were 52.6 %for BOD, 30.5 %for COD, and 48 % for HM. The study proved that the curtain lines interval should be equal to or more than double the water depth in the stream to achieve higher removal efficiency in all measured parameters.
TABAYYUN SEBAGAI ETOS TOLERANSI DAN MODERASI UMMATAN WASATHO
Authors: Lestari Aida Ayu , Naria Eva
Published: October 2022

Menciptakan masyarakat yang moderat merupakan cita-cita mayoritas masyarakat dunia.  Dewasa ini, sebagian umat Islam terpecah belah antara satu dengan lainnya. Hal ini disebabkan karena kurangnya sikap tabayyun dan toleransi antar mereka. Dalam tulisan ini penulis mengumpulkan data dengan pendekatan penelitian Library Research. Melalui tulisan ini penulis ingin memberikan pemahaman terkait dengan sikap moderat yang dapat dibentuk dengan cara bertabayyun dan bertoleransi. Dengan  sikap tabayyun yang terus diusahakan pada diri manusia maka akan lahir sikap saling bertoleran antar umat manusia atau sikap saling menghargai antara satu sama lain. Dengan sikap ini, seseorang tidak akan mudah untuk menilai sesuatu kecuali dengan cara meneliti terlebih dahulu dari sesuatu yang akan dinilainya. Sikap toleransi sangat perlu dan harus ditumbuhkembangkan dalam kehidupan bermasyarakat dan bernegara. Hasil kesimpulan dari penelitian ini ialah bahwa adanya sikap tabayyun dan toleransi mampu mewujudkan masyarakat yang moderat, yaitu mereka yang tidak bersikap cenderung kepada salah satu kelompok. Karena sebelum mereka bersikap ataupun bertindak, mereka membaca dan melihat tentang duduk suatu perkara yang sedang terjadi.
EKSPLANASI SEBAB-SEBAB PUTUS ASA MENURUT AL-QUR’AN
Authors: Anam Masrul
Published: October 2022

Putus asa merupakan sesuatu yang dibenci oleh Allah, karena orang yang berputus asa akan merasa tidak memiliki semangat dalam menjalankan kehidupannya, padahal seseorang bisa hidup di dunia ini merupakan anugerah yang luar biasa. Untuk itu apabila penyebab dari putus asa bisa diketahui, maka seseorang akan memiliki prasangka baik dan menjalani hidup dengan penuh semangat. Penelitian ini menggunakan pendekatan kualitatif dengan menggunakan metode library research. Sedangkan  jenis penelitian adalah deskriptif-analisis  berupa studi dokumentasi. Hasil penelitian ini menemukan bahwa penyebab putus asa menurut Al-Qur’an itu ada 5 yaitu: pertama; putus asa dari rahmat Allah, kedua; putus asa ketika nikmatnya dicabut, ketiga; putus asa terhadap keberadaan negeri akhirat, keempat; putus asa ketika ditimpa musibah, kelima; putus asa terhadap suatu keputusan yang dirasa kurang adil.
Perfil fitoquímico, actividad biológica y fotoprotectora de las flores de Aldama dentata La Llave et Lex.
Authors: Isla Marylenlid , Pérez Alida , Obregón Ysbelia , Aparicio Rosa , Cordero Yndra , Díaz Clara , Isla José , Chacón Carmen , Fernández Jhender , Rojas Luis
Published: October 2022

Las flores secas de Aldama dentata (Asteraceae), fueron extraídas con etanol; se le realizó tamizaje fitoquímico. Se comprobó la presencia de lactonas, flavonoides, y compuestos fenólicos. Se cuantificaron fenoles y flavonoides mediante la reacción de Folin Ciocalteu y AlCl3, respectivamente. Los resultados confirmaron que posee una cantidad cuantificable de estos compuestos, por lo que se evaluó la actividad antimicrobiana, empleando el método de difusión en agar con discos, frente a microrganismos de referencia internacional. El extracto resultó activo contra S. aureus, P.aeruginosa, K. pneumonie y E. coli. La actividad antioxidante mostró un % INH (Porcentaje de Inhibición) del 91,17%, muy cercano al ácido ascórbico que fue de 95,83%, lo que se traduce en un alto poder antioxidante, que influye en el Factor de Protección Solar (FPS) que fue de 15, catalogado como “alto”. Es la primera vez que se reporta el tamizaje fitoquímico, la actividad antimicrobiana, antioxidante y fotoprotectora de esta especie.
Actividad antioxidante y garrapaticida de los extractos de las hojas de Bixa orellana L.
Authors: Chacón Arian , Morillo Marielba , Rondón María , Hernández Vanessa , Carmona Juan , Visbal Tomas
Published: October 2022

Bixa orellana L. (Bixaceae), es una especie usada con fines ornamentales y terapéuticos. A partir de sus semillas se extrae el colorante conocido como “onoto” ampliamente empleado en culinaria. El objetivo de esta investigación fue estudiar la composición química, actividad antioxidante y garrapaticida de los extractos de las hojas de esta especie, recolectada en el estado Táchira, Venezuela. El análisis fitoquímico preliminar mostró la presencia de esteroles en los extractos hexanoico y diclorometanoico, alcaloides, esteroles y compuestos fenólicos en el extracto etanólico. El extracto etanólico presentó un contenido fenólico total de 0,89 μg ÁG/mg, por el método de Folin-Ciocalteu, usando espectrometría UV/visible a 760 nm. La actividad antioxidante fue determinada empleando el método de DPPH a 517 nm, siendo el extracto etanólico el más activo mostrando un IC50 de 0,26 mg/mL, con un porcentaje de inhibición (% I) de 87,1 a la concentración de 0,75 mg/mL, mientras que el extracto diclorometanoico IC50 0,87 mg/mL y % I 31,0 a la misma concentración, comparado con 96,1 % del ácido ascórbico a 0,176 mg/mL. Además, se evaluó la actividad garrapaticida del extracto etanólico por el método de prueba de paquete de larvas, demostrando que no hubo actividad frente a las larvas de R. microplus, ya que no evidenciaron mortalidad. Cabe destacar que este es el primer reporte de actividad antioxidante y garrapaticida de los extractos de las hojas de B. orellana L., recolectada en Venezuela.
Estudio preliminar de la calidad nutracéutica y autenticidad de la miel con base a características bioquímicas y capacidad antioxidante.
Authors: Pérez Elizabeth , Daboin María , Pérez Mariel , Peña María , Dávila Juan , Sulbarán Miguel
Published: October 2022

La miel es uno de los productos más comercializados y falsificados, por lo que es importante establecer estándares de calidad y autenticidad. En el presente estudio se evaluó la calidad nutracéutica y autenticidad de la miel con base a parámetros bioquímicos (polifenoles, flavonoides y proteínas) y capacidad antioxidante. Se seleccionaron 8 mieles comercializadas en el Mercado Periférico de Mérida (Venezuela) (muestras C), así como 8 muestras auténticas (A) y una miel artificial (AR). A todas las muestras se les midió la concentración de proteínas, polifenoles y flavonoides; y se determinó la capacidad antioxidante de las mieles empleando los métodos capacidad antioxidante total (CAT), % de inhibición del radical hidroxilo (RH) y actividad antioxidante (AOA). Se encontró una importante correlación entre la concentración de fenoles y flavonoides y la capacidad antioxidante para cada uno de los métodos usados. Se elaboró un dendograma utilizando el método clúster, lo que permitió agrupar a las mieles por propiedades comunes. El análisis de clúster permitió determinar que la concentración de flavonoides y polifenoles, así como la capacidad antioxidante determinada a través de los métodos CAT y AOA son parámetros útiles para determinar la calidad nutracéutica y autenticidad de las muestras de miel. No son útiles en este sentido la concentración de proteínas y la actividad antioxidante medida por el método de inhibición del radical hidroxilo. En resumen, estos parámetros podrían ser incluidos en los estándares de calidad de las muestras de miel, valorizando este tipo de productos como alimentos nutracéuticos.
Actividad antioxidante de los extractos alcohólicos de los frutos de las especies Manilkara achras (Mill.) Fosberg (níspero); Averrhoa carambola L. (tamarindo chino) y Spondias mombin L. (jobo).
Authors: Toloza Luis , Ramírez Jesús , Rondón María
Published: October 2022

Manilkara achras (Mill.) Fosberg, Averrhoa carambola L y Spondia mombin L, son futas extensamente cultivadas en diversos países tropicales del mundo. El jugo de estas frutas posee un poder nutricional y antioxidante bastante importante ya que son fuente natural de vitaminas, minerales, fibras y compuestos polifenólicos como taninos y flavonoides. Debido a que la presencia de compuestos fenólicos está estrechamente relacionada con el poder antioxidante de frutas y verduras, en este trabajo cuantificamos la cantidad total de compuestos fenólicos mediante el método de Folin-Ciocalteu, encontrándose los siguientes valores, M. achras 100,2 ± 0,009; A. carambola 102,7 ± 0,001 y S. mombin 103,7 ± 0,027 mg EAG/100 g peso seco de extracto. Estos resultados guardan concordancia con la evaluación fitoquímica cualitativa realizada a los extractos alcohólicos de estas tres especies, en los cuales la presencia de compuestos tánicos se evidenció marcadamente. Además; compuestos como alcaloides, triterpenos, cumarinas, antraquinonas, flavonoides y glicósidos también fueron observados. Cuando se analizó el poder antioxidante de los tres extractos etanólicos mediante el método empleando DPPH, la menor IC50 se observó en los frutos de M. achras (1,030 ± 0,032 mg/mL) seguido por S mombin (1,366 ± 0,054 mg/mL) y finalmente A. carambola (2,807 ± 0,053 mg/mL). Estos resultados asoman la posibilidad de incentivar el cultivo y un mayor consumo de estos frutos entre la población venezolana. Una evaluación acerca del valor nutricional de estos frutos; así como del momento más apto para la cosecha en relación al contenido de compuestos polifenólicos debería realizarse en futuras investigaciones.
Conocimiento de los odontólogos generales de la ciudad de Mérida sobre el diagnóstico de pacientes con trastornos temporomandibulares
Authors: Arellano Anghy , Escalante María , Cloquell Damián
Published: October 2022

Los Trastornos Temporomandibulares (TTM) son un conjunto de enfermedades que afectan los músculos masticatorios, articulación temporomandibular (ATM) y sus estructuras adyacentes. Para obtener un diagnóstico se debe tener adecuado conocimiento acerca de sus diferentes causas y cómo tratarlo de manera acertada, abordando la etiología, los factores predisponentes, desencadenantes y perpetuantes. El objetivo de este estudio fue determinar el nivel de conocimiento de los odontólogos generales de la ciudad de Mérida, en el diagnóstico de pacientes con TTM. Se realizó un estudio con enfoque cualitativo, descriptivo y diseño no experimental-transversal, la muestra estuvo conformada por 55 odontólogos generales del municipio Libertador de la ciudad de Mérida-Venezuela, se aplicó la encuesta por medio de un cuestionario. Se encontró que la totalidad de los encuestados conocen los trastornos temporomandibulares; 5,45% no conocen los factores etiológicos de los TTM. 87,27% consideran que los estados emocionales son factores desencadenantes de los trastornos temporomandibulares; 66% realizan examen clínico solo en aquellos pacientes que refirieron algún signo o síntoma y 69,09% manifestó solicitar estudios imagenológicos dichos estudios en caso de un TTM. Se concluyó que 67% de los entrevistados evalúan solo aquellos pacientes que refirieron algún signo o síntoma, indicando que durante el examen clínico el profesional no realiza una evaluación habitual de ATM. PALABRAS CLAVE: diagnóstico, trastorno temporomandibular, articulación temporomandibular
Incidencia de caries en molares primarios después de la colocación de sellantes de ionómero de vidrio
Authors: Ben-Elazar Karen , Dávila María , Tomar Scott
Published: October 2022

The aim of this study was to determine the cumulative incidence (CI) of decay on primary molars treated with glass ionomer (GI) sealants. We hypothesized that GI sealants would decrease caries incidence in primary molars of young children at high caries risk. Data were collected from 56 children aged 1–5 years participating in a community-based sealant program in Immokalee, FL during 2018–2019. Follow-up was planned for 6 months after the initial sealant placement. The mean (±SD) age at sealant placement was 3.57 (±0.66) years. A mean (±SD) of 6.55 (±1.97) sealants were placed per child. There was a mean of 1.29 decayed primary molars per child at the initial visit. A total of 367 Fuji GI sealants were placed on non-carious/non-restored primary molars, or a mean of 6.55 sealants per child. At follow-up, there were 10 newly decayed primary molars among the teeth that had been sealed or a mean of 0.23±0.66 newly decayed teeth per child. The CI of caries among all sealed teeth was 2.7%, with the highest CI on primary mandibular second molars. Sealants were largely effective in preventing caries in primary molars. GI sealants may be an effective prevention strategy for primary molars among young children at high caries risk.
Microbiota bucal en el adulto mayor edéntulo. Revisión de la literatura
Authors: Salas Elaysa , Bustillos Lorena , Quintero Jormani
Published: October 2022

Los estudios sobre el microbiota bucal de personas mayores que viven en la comunidad es limitado y los cambios que ocurren en la microbiota habitual en pacientes edéntulos han sido poco reportados. El objetivo de esta revisión es ofrecer un acercamiento a la perspectiva actual de la microbiota del adulto mayor edéntulo y sus posibles consecuencias sobre su salud bucal. Esta revisión de la literatura es tipo Estado del Arte y pretende contextualizar y establecer las características de la microbiota bucal de los adultos mayores edéntulos. Se utilizaron publicaciones en las cuales analizaron muestras microbiológicas de cohortes de este tipo de pacientes. Los artículos incluidos fueron filtrados por año de publicación en un rango comprendido entre el 2017 y 2022, para tipos de estudios: revisiones sistemáticas, ensayos clínicos, casos y controles, estudios descriptivos y explicativos a través de motores de búsqueda y bases de datos como ScienceDirect (Elsevier), PubMed (MedLine), SciELO y el buscador Google Académico, de artículos publicados durante los últimos 5 años. Como resultados se encontró que el adulto mayor, experimenta cambios en la composición de la microbiota asociados a diferentes factores químicos y físicos, las especies de bacterias localizadas en la cavidad bucal del adulto mayor edéntulo se concentran en 9 Phylum y 29 géneros bacterianos. Los Phylum Firmicutes, Proteobacteria, Actinobacteria y Bacteriodetes representan la mayoría de las bacterias de la cavidad bucal en estos individuos, los géneros bacterianos más comunes, se concentran en Streptococcus, Veillonella, Actinomyces, Rothia, Prevotella y Neisseria Para los pacientes portadores de dentaduras totales la mayor prevalencia registrada se concentra en seis géneros bacterianos: Streptococcus, Veillonella, Rothia, Lachnospiraceae, Prevotella y Alteromonas, la proporción en los géneros Streptococcus, Neisseria, Rothia, Sediminibacterium es mayor en edéntulos. Todos inciden en la colonización microbiana modificando la diversidad de los microorganismos de la cavidad bucal.
Las Ciencias Sociales y la necesidad de adquirir nuevo conocimiento para generar y visualizar información científica asociada a la presencia del Coronavirus (COVID-19) en Honduras
Authors: Torres Bonilla Gustavo Adolfo
Published: October 2022

Cada actividad que se realiza en la vida cotidiana requiere hacer, en la mayoría de los casos, una reflexión de las posibles consecuencias que habrá que enfrentar. Por supuesto, para hacer el contraste de estos resultados con los fenómenos que se observan en el día a día, será necesario contar con muchos datos que ayuden a generar información, que finalmente, servirá para tomar las mejores decisiones. Hacer estas interpretaciones requiere estar en permanente contacto con el acontecer mundial: económico, social y cultural. Además, será necesario conocer sobre los diferentes elementos tecnológicos (por ejemplo, software y hardware) que, de manera gratuita, están a la disposición de la mayoría de nuestra población. Para la Universidad Nacional Autónoma de Honduras, es de vital importancia asumir el liderazgo en cuanto al manejo de la estadística y de todos aquellos elementos tecnológicos que permitan la visualización de datos, especialmente, en estos momentos en los que el país, posterior a la pandemia, necesita retomar la senda del desarrollo.
Conocimientos y actitudes sobre muerte médicamente asistida en médicos y estudiantes de medicina hondureños.
Authors: Valeriano Rosales Ana Carolina , Barahona Munguía Alejandro Daniel , Galeas Matus Bárbara , Matamoros  Zelaya Mireya Mercedes , Kattán Howard Olga Azice
Published: October 2022

Introducción: La muerte médicamente asistida aún es controversial a nivel mundial. Representa un dilema ético que confronta la autonomía del paciente sobre su derecho a decidir cómo enfrentar su muerte con la concepción del médico sobre su papel en el proceso asistencial y tratamiento al final de la vida de los pacientes. Objetivo: Conocer la actitud y conocimientos de los médicos hondureños sobre la muerte médicamente asistida e identificar las razones por las cuales están o no de acuerdo con su legalización y aplicación. Metodología: Estudio descriptivo, muestreo no probabilístico, en estudiantes de medicina, médicos generales y especialistas de Honduras, muestra calculada de 378, para un nivel de confianza del 95% y margen de error del 5%. Se aplico un cuestionario en línea de auto cumplimiento, elaborado en Google Forms®. Se solicitó el consentimiento informado a los participantes y la información fue manejada de manera anónima y no vinculada. Resultados: 31.02% manifestó no estar de acuerdo con la legalización ni de la eutanasia, ni del suicidio médicamente asistido, 29.23% manifestó estar a favor que se legalizaran ambas, 29.23% solo eutanasia, 1.02% solo suicidio médicamente asistido, el 9.48 % no respondió o no sabía. Se encontraron diferencias relacionadas a la edad (p =0.005), al estado civil (p =< 0.001) y a la filiación religiosa (p = < 0.001), pero no respecto a la profesión (p=0.704), ni al sexo (p=0.072). Al preguntarles si ha considerado aplicarle la muerte medicamente asistida a un paciente que sufre, el 68.21% manifestó que no, pero el 60.26% si recurriría a esta si el paciente que sufre fuera él mismo o un familiar cercano. Conclusión: Debido a que en nuestro país la muerte médicamente asistida aún no es legal es indispensable conocer la perspectiva médica respecto a esta.
Evaluación agroindustrial de ocho híbridos de caña de azúcar (Saccharum spp.) cultivados en la zona de abasto del ingenio quesería, Colima, Mexico
Authors: Preciado Jeovani Francisco Cervantes , Ruíz Aarón Eduardo Cortés , Mexicano Maurilio Mendoza , Burela Ángel Capetillo
Published: October 2022

En un suelo franco arcilloso y en condiciones temporal dentro del área de abasto del Ingenio Quesería S.A. de C.V., en la localidad de Ocotillo, municipio de Cuauhtémoc , Colima;  se estableció un grupo de ocho híbridos de caña de azúcar en fase agroindustrial. El objetivo del trabajo fue evaluar su adaptación y comportamiento de campo e industrial, utilizando al testigo comercial Mex 69-290 como control. Las características evaluadas fueron: altura de planta (m), diámetro de tallo (mm), población de tallos molederos, estimación del rendimiento de campo (t ha) y porcentaje de sacarosa (%). La prueba de Tukey comparó los promedios con un nivel de confianza del 5%. Los resultados obtenidos indicaron que el híbrido MotzMex 01-403 mostró el mayor rendimiento estimado de campo (136.08 t ha-1), seguido de Mex 94-8 (126.35 t ha-1). Con respecto al porcentaje de sacarosa, los híbridos Mex 91-662 (17.8 %) y MotzMex 01-403 (17.6%), obtuvieron los registros más altos, con valores superiores al control comercial Mex 69-290 (16.1%). Una limitación importante para la investigación fue la abundancia de piedras sobre la capa arable del suelo.
How physicians approach hereditary angioedema: a single center study
Authors: Terzioglu Kadriye , Ediger Dane , Ozdemir Ebru , TulumenOzturk Raziye , Dogan Fatma Oflu , Sancar Ozgur
Published: October 2022

Background

Hereditary angioedema (HAE) is a rare autosomal dominant disorder caused by C1-inhibitor deficiency. It is characterized by recurrent attacks of cutaneous and upper respiratory tract swelling, and abdominal pain due to mucosal edema. Early detection and treatment prevent unnecessary interventions, improves quality of life, and prevents potentially fatal attacks.

Objective

The present study aims to investigate physicians level of knowledge and awareness regarding HAE.

Methods

A questionnaire about HAE was applied to 393 physicians from a university hospital. Participants were requested to choose one or several answers to multiple-choice questions.

Results

Seven and three tenths percent of study participants stated to have never heard of HAE. Twenty-seven physicians (7.4%) chose the exact correct answers regarding diagnostic tests, and 2 (0.8%) chose the exact correct answers regarding emergency management. A composite of internists, pediatrists and emergency medicine specialists had a significantly higher mean score than other physicians (p = 0.047). Physicians from internal medical sciences scored significantly higher than physicians from surgical medical sciences (p = 0.022).

Conclusion

The present study reveals that physician awareness about HAE is low, and physicians misdiagnose HAE attacks as histaminergic angioedema attacks, and therefore provide ineffective treatment. Although HAE is a rare disease, physician awareness must be increased, because early diagnosis and effective treatment are vital for the patients.
Severe chronic cough relating to post-COVID-19 interstitial lung disease: a case report
Authors: Nguyen-Ho Lam , Nguyen-Nhu Vinh , Tran-Thi Thuy-Tuong , Solomon Joshua J.
Published: October 2022

Cough is a common symptom occurring in patients with acute coronavirus disease 2019 (COVID-19) infection as well as during the post-COVID-19 period. The post-COVID-19 cough can improve over time and the incidence of sustained post-COVID-19 chronic cough is low. Approaching post-COVID-19 cough is challenging to clinicians including pulmonologists and allergists due to a diverse set of etiologies and the lack of published guidance on effective treatments. A 60-year-old male ex-smoker presented to the outpatient long COVID-19 clinic because of a prolonged cough for 4 months after a severe COVID-19 infection. His cough was so violent that he had suffered a spontaneous pneumothorax on 2 occasions. In addition, he also complained of exertional breathlessness. Due to concerns over ongoing systemic inflammation from COVID-19 or thromboembolism, a serum C-reactive protein and d-dimer where checked and were normal. Chest computed tomography (CT) images revealed diffuse ground glass opacities combined with scattered emphysema in the bilateral upper lobes and several small bullae located close to the pleura. His diagnosis was post-COVID-19 interstitial lung disease (ILD) and he was treated with methylprednisolone 32 mg/day. After 2 weeks of treatment, he showed improvement with near cessation of cough and a significant decline in dyspnea. The follow-up chest CT also showed improvement in the ground glass opacities. Severe chronic cough could be a manifestation of post-COVID-19 ILD. This case demonstrates the use of systemic corticosteroid to improve both post-COVID-19 ILD and its associated chronic cough.
Design and Build an Arduino Mega-Based Automatic Lawn Mower
Authors: Septian M. Septian
Published: October 2022

Technology is a new breakthrough to create products in the form of goods or services that can make human work easier. With the growing use of technology to facilitate human work, humans continue to innovate in creating new technologies in order to maximize the resources they have and relieve human labor. All slowly can be found and felt in everyday life. Ranging from smart homes (Smart Home), smart cars (Smart Car), smart watches (Smartwatch), electronic learning, to smart machines that can work by themselves and much more. The purpose of this final project is the creation of a lawn mower automatically and connected to a smartphone. The final project method is data collection, design stages, testing tools and systems. The result of the final project is the existence of an automatic lawn mower that is connected to a smartphone designed using a mega 2560 microcontroller
Testing the Compressive Strength of Concrete with the Addition of Coconut Shell Waste
Authors: Pratiwi Nadya Ayu , Lakawa Irwan , Sulaiman Sulaiman , Hujiyanto Hujiyanto
Published: October 2022

The purpose of this study was to (1) analyze the characteristics of fresh concrete with the addition of coconut shell waste (2) to analyze the compressive strength of concrete with the addition of coconut shell. The research location for making concrete was carried out at the Laboratory of the construction of the water resources and community development department of the Southeast Sulawesi provincial government. There were 24 specimens printed in the form of a cylinder with dimensions of 30cm x 15cm with the composition of adding 0%, 5%, 10%, and 15% coconut shell waste. Which was then tested for compressive strength at the age of 7, 14, and 28 days. Based on the compressive strength test with a quality plan of f'c 20 MPa, on the 28 day test with the addition of 0% is 23.71 MPa, the addition of 5% is 20.59 MPa, the addition of 10% is 19.97 MPa, and an additional 15% is 13.53 MPa. Coconut shell as a substitute for coarse aggregate for quality f'c 20 MPa can only be used under 10% of the amount of coarse aggregate.
Modified Asphalt Mix Performance With The Addition Of Human Hair Waste
Authors: Zulfikar Zulfikar , Lakawa Irwan , Sulaiman Sulaiman , Hawa Sitti
Published: October 2022

The development of road infrastructure in Indonesia is currently increasing, starting with new road construction projects to road improvement projects. To prevent premature damage to road pavements due to loading and the influence of water, it is to improve the quality of asphalt as a binder material from aggregate in the composition of road pavements. especially for the Asphalt Concrete-Binder Course (AC-BC) mixture, the addition of human hair waste can be used as an added material to minimize the use of asphalt and overcome the weaknesses of asphalt and waste utilization.The objectives of the study were: (1) to analyze the characteristics of the modified asphalt mixture with the addition of human hair waste. (2) Analyzing the performance of modified asphalt mixture with the addition of human hair waste.The results of analysis and testing in the laboratory show that the modified asphalt mixture performance with the addition of hair will increase the density value up to 2,355 gr/cc, increase the stability value up to 1886,2 kg, increase the value of the asphalt filled cavity (VFB) up to 82.8% and increase the Marshall value. Quotient (MQ) up to 653.3 kg/mm, but will reduce the value of the melt (flow) up to 2.9 mm, reduce the value of voids between mineral aggregates (VMA) up to 15.8% and reduce the value of mixed air voids (VIM) up to 2.7% but still within the threshold of meeting specifications
Metalinguistic Awareness and Language Dominance: How Do Bilingual Saudi Graduate EFL Learners Use These in Learning?
Authors: Almarshedi Raniyah Mohammad
Published: October 2022

The present study addresses the research gap in studies on the role of metalinguistic awareness and language dominance amongst EFL learners in the Saudi context. It empirically contributes to the research context on metalinguistic awareness and its association to the phenomenon of language dominance in the language development of EFL learners. The study was conducted in the English Department of Hail University, Saudi Arabia. Using systematic random sampling set at 95% level of confidence with proper observance of the assumptions in inferential statistics, results revealed that most of the respondents were Bilingual English Dominant (BED). Moreover, there is a highly favorable level of metalinguistic awareness on learning L2, knowledge and regulation categories were registered among the respondents. In like manner, the respondents reported a medium level of language dominance on use and exposure which is a sign of their departure from the full dominance of their L1 into mastering English language. Further, test of correlation showed a high direct and positive interaction between metalinguistic awareness and language dominance (r= .923) indicating that the higher the level of metalinguistic awareness the more the students manifest a favorable adherence to their dominant language. Findings positively contribute on how curriculum and language experts may adopt English language teaching strategies to prepare Saudi EFL learners become proficient speakers to participate in the global market and set them firmly on their career path.
Tuholaisten hallinta öljykasvien viljelyssä
Authors: Peltonen Sari
Published: October 2022

Rypsin ja rapsin viljely on ollut Suomessa viime vuosina suurten haasteiden edessä. Kasvinsuojeluainevalikoiman kaventuminen ja suuret tuholaispaineet ovat luoneet epävarmuutta ja vähentäneet viljelyhalukkuutta, mikä on johtanut viljelypinta-alojen merkittävään laskuun.  Lajikekehityksestä huolimatta myöskään öljykasvien satotaso ei ole käytännön viljelyssä noussut toivotulla tavalla. Vuosien 2020-2022 aikana toimineen RypsiRapsi 2025 -hankkeen (www.rypsirapsi.fi) tavoitteena on ollut hakea uusin viljelyteknisin keinoin parannusta öljykasvien viljelyvarmuuteen ja satoihin sekä löytää kemiallisen kasvinsuojelun rinnalle uusia ratkaisuja erityisesti tuholaisten hallintaan.
Katsaus kasvukauden 2022 kasvintuhoojiin
Authors: Huusela Erja , Jalli Heikki , Jalli Marja
Published: October 2022

Kasvintuhoojatilanteet vaihtelivat kasvukaudella 2022 runsaasti. Paikoin kärsittiin kuivuudesta, paikoin kosteudesta. Yleisesti peltokasvien tuhohyönteiset, kasvitaudit ja rikkakasvit olivat hyvin hallinnassa.
Ingrediënten van Effectieve Ouderbegeleiding bij Gedragsproblemen van Jonge Kinderen
Authors: Leijten Patty
Published: October 2022

Om gedragsproblemen te voorkomen en behandelen wordt ouderbegeleiding geadviseerd. Meer dan 200 randomized controlled trials en tientallen meta-analyses laten zien dat ouderbegeleiding het gedrag van ouders en kinderen succesvol kan veranderen. Maar omdat onderzochte ouderbegeleidingsprogramma’s vaak relatief complexe implementatieprocessen en kosten met zich meebrengen, en doorgaans weinig handvatten bieden voor hoe professionals begeleiding kunnen aanpassen aan de behoeften van individuele gezinnen, maken veel professionals gebruik van eigen vormen van ouderbegeleiding. Onderzoek naar kenmerken van effectieve ouderbegeleiding kan een brug slaan tussen empirisch ondersteunde programma’s en ouderbegeleiding van hulpverleners en ouders die geen toegang hebben tot deze programma’s. Dit artikel geeft een overzicht van de belangrijkste bevindingen van dit onderzoek.
Bijsluiter voor de praktijk
Dit artikel beschrijft wat we weten over effectieve ingrediënten van ouderbegeleiding bij gedragsproblemen van jonge kinderen (peutertijd, kleutertijd en onderbouw basisschool). Tabel 1 geeft de inhoud van dit artikel schematisch weer. Dit artikel kan worden gebruikt door professionals in de praktijk om keuzes in de inhoud en vorm van ouderbegeleiding te onderbouwen.

Abstract
Parenting support programs in early childhood are the recommended strategy to prevent and treat children’s conduct problems. More than 200 randomized controlled trials and dozens of meta-analyses indicate their ability to successfully improve parenting and child behavior. But because many programs are complex and costly to implement, and provide limited possibilities for evidence-based personalization, most professionals and parents do not have access to these programs. Recent developments to identify the effective components of parenting programs hold promise to fill the gap between empirically supported programs and parenting support for professionals and parents who do not have access to these programs. This papers provides an overview of these developments and their main findings.
Keywords: parenting program; conduct problems; effective components; core ingredients.