bluuebunny/crossref_metadata_2025 huggingface dataset:
Aflojamiento temprano de prótesis total de muñeca
Authors: Amigo Felipe Pizarro , Barril Hernán Jara , Vignolo José Luis Cifras , Molina Jaime Gutiérrez
Published: May 2022

La artroplastía total de muñeca representa una alternativa de manejo quirúrgico de la artrosis avanzada de muñeca. Los actuales diseños han mejorado los aspectos biomecánicos llevando a mayor durabilidad y preservación de stock óseo. Existen reportes de buenos resultados funcionales, siendo una opción para preservar el movimiento de la articulación de muñeca en pacientes con artrosis dolorosa en contraste con la artrodesis. Sin embargo, como toda artroplastia, es un procedimiento no exento de complicaciones. Las complicaciones más frecuentes son el aflojamiento, desbalance de partes blandas y sinovitis. El objetivo de este trabajo es presentar el caso de un paciente con artrosis radiocarpiana avanzada secundaria a una no unión de escafoides tratada con artroplastia total de muñeca que evolucionó con un aflojamiento temprano y el tratamiento quirúrgico de esta complicación.
Luxofractura expuesta de rodilla y fractura expuesta de pierna ipsilateral
Authors: Fuentelzas Juan Manuel Salas , Wilches Cristián Barraza , Rebolledo Ricardo Rebolledo , Aguirre Vicente Javier Parada , Gianini Roxanna María Salas
Published: May 2022

Se presenta caso clínico de luxofractura expuesta de rodilla y pierna derecha, asociado a fractura multifragmentaria de tibia y fíbula ipsilateral, secundario a accidente automovilístico, en paciente sin antecedentes mórbidos. La luxofractura expuesta de rodilla es una lesión infrecuente, corresponde al 0,02% de todos los traumatismos musculoesqueléticos, más frecuente en hombres y asociadas a traumas de alta energía. Si bien la literatura es escasa dado lo inusual de esta lesión, su resolución debe ser individualizada a cada paciente. En relación al paciente, se define manejo con fijación definitiva mediante tutor circular tipo Ilizarov híbrido de fémur y tibia. A los 30 meses, se realiza retiro de tutor externo, y osteosíntesis con placa de tibia proximal asociado a injerto autólogo de cresta iliaca. En controles radiológicos posteriores se observa adecuada osteointegración de injerto y consolidación satisfactoria. Tambien flexion de rodilla de 50 grados y extensión de 90 grados. El método de Ilizarov emplea técnicas biológicas mediante el aparato circular de distracción–osteogénesis y no solo corrige el defecto óseo, también permite realizar simultáneamente alargamiento, transporte óseo, compresión y corrección de deformidades angulares. Además, permite mantener la movilidad articular y deambulación precoz para estimular la formación ósea.
Pengaruh perputaran kas dan perputaran piutang terhadap profitabilitas pada PT Tiga Pilar Sejahtera Food Tbk
Authors: Surya Aida Kartika , Wardayani Wardayani
Published: May 2022

The purpose of this study was to determine whether there is an effect of cash turnover and accounts receivable turnover on the company's profitability simultaneously and partially at PT.Tiga Pilar Sejahtera Food Tbk for the period 2011-2018. Types and sources of data in this study was secondary data in the form of financial statements of the company PT.Tiga Pilar Sejahtera Food Tbk in 2011-2018. Data analysis used multiple linear regression test, hypothesis testing used the coefficient of determination (R2), simultaneous test (F test) and partial test (t test) with data processing used SPSS statistics 20 program. The results showed that the coefficient of determination test (R2 ) obtained a result of 0.343 or 34.3%, indicating that the cash turnover and accounts receivable turnover variables were able to explain their existence to the profitability variable, while the remaining 65.6% was explained by variables not studied. The results of the study partially showed that cash turnover has no and insignificant effect on profitability, while accounts receivable turnover has a significant and significant effect on profitability. Meanwhile, simultaneously cash turnover and accounts receivable turnover have a positive and significant effect on profitability
Territorial jurisdiction of the National Industrial Court of Nigeria (NICN) and therequirement of endorsing originating processes under the Sheriffs and Civil Process Act (SCPA) determined
Authors: Eyongndi David Tarh-Akong , Ilesanmi Stephen Idowu
Published: May 2022

When a case is filed at the National Industrial Court of Nigeria (NICN), apart from its Civil Procedure Rules, the service of originating processes in Nigeria is regulated by the Sheriffs and Civil Process Act (SCPA), just as in all other courts under the 1999 Constitution of the Federal Republic of Nigeria (1999 CFRN). The SCPA requires that, when an originating process is issued in one State but is to be served in another, there must be an endorsement on the process disclosing this fact, or else the service shall be rendered void. Is this requirement of the SCPA applicable to the NICN, and what effect does it have on its efficiency, given that the NICN is a specialised court dealing with matters requiring expeditious settlement, free of technicalities? This article, using doctrinal methodology, will catechise the territorial jurisdiction of the NICN vis-à-vis the SCPA on endorsement of originating processes by appraising the Court of Appeal’s decision in Johnson v Eze where it held that the provisions of ss 97, 98 and 99 of the SCPA are inapplicable to the NICN because of s 2 of the SCPA, s 21(1) andd(2) of the National Industrial Court Act, 2006 and Order 7, Rule 15(1) and (2) of the NICN Rules, 2017. The effect of the judgment on the jurisdiction and mandate of the NICN under extant laws is also discussed. The authors argue that making the court amenable to the provisions of the SCPA will usher in technicalities that can frustrate the mandate of the NICN. Thus, the decision is a welcome development, which should not be overturned in subsequent decisions.
The legal impunity for gender-based violence against intersex, transgender, and gender diverse persons in Kenya: A legal recognition issue for the African human rights system
Authors: Kuria Milka Wahu , Maranya Shelmith Gatwiri
Published: May 2022

In 2019, a judge of the Supreme Court of Kenya issued a public apology to an intersex person for a decision the court handed down in 2010. The judge regretted the court’s failure to appreciate the identity and human rights needs of intersex persons in that case. R.M. had petitioned the High Court for redress due to the sexual, psychological, and emotional abuse he had suffered while detained at the state correctional facilities. This case highlighted the various forms of violence that intersex, transgender, and gender diverse persons (“ITGDPs”) experience on account of their gender identity. Studies reveal that gender-based violence against ITGDPs in Kenya is intricately conjoined with a lack of socio-cultural and legal recognition of their gender identities. The exclusion engenders pervasive violence by state actors and private individuals. Despite the growing use of public interest litigation (“PIL”) as a mechanism for pursuing the goals of legal recognition and social, economic, and political emancipation of ITGDPs in Kenya, there is scant improvement in policy and practice. The same lacuna obtains in the African human rights mechanisms. The apology, the research findings and the unyielding PIL create the appropriate occasion for a critical examination of the effects of the assumption on synonymy and binarism of gender and sex espoused by the national and the African human rights system, on sexual and gender-based violence (“GBV”) against ITGDPs in Kenya. This article analyses the nexus and how a lack of legal recognition of ITGDP gender identities and expression aggravates sexual and GBV against the group against the backdrop of the African human rights system.
Role of the police in access to justice for sexual and gender-based violence perpetrated against diverse women in Zimbabwe
Authors: Shoko Munatsi , Vermaak Kerry , Rudman Annika
Published: May 2022

Bound by the 2013 Constitution of Zimbabwe (“Zimbabwean Constitution”), as informed by regional human rights law, Zimbabwean police should facilitate access to justice for everyone. This article interrogates the lived realities of diverse women in terms of how the police in Zimbabwe respond when they report cases of sexual and gender-based violence (“SGBV”). Using qualitative data this article also interrogates institutional practices questioning the alignment of laws and actions to the Zimbabwean Constitution. The findings show that the reluctance of the police to efficiently and appropriately engage with SGBV cases reported by diverse women is encouraged by the homophobic context in which these take place. The ability of the police to provide justice to diverse women who experience SGBV can be strengthened by repealing the laws that criminalise same-sex relations and sodomy and by implementing regional human rights law as interpreted through Resolution 275 of the African Commission on Human and People’s Rights.
Effects of high-intensity multi-modal exercise training (HIT-MMEX) on bone mineral density and muscle performance in postmenopausal women. A Pilot randomized controlled trial
Authors: Riaz Huma , Babur Muhammad Naveed , Farooq Ahsen
Published: May 2022

Objectives: To determine the effects of high-intensity multimodal exercise training on bone mineral density and muscle performance in postmenopausal women.
Method: The two-armed, parallel, pilot randomised controlled trial was conducted from November 2020 to July 2021 at Riphah Rehabilitation Centre, Rawalpindi, Pakistan, and comprised women aged 45-70 having been in the post-menopause phase for at least 3 years, with body mass index <30, community ambulant and willing to have exercise therapy. The subjects were randomised into two equal groups. The experimental group A received supervised high-intensity resistance, weight-bearing, balance and mobility training twice weekly for 8 months. The control group B received low-to–moderate intensity exercises. Femoral neck and lumbar spine bone mineral density (g/cm2) were taken through a dual-energy X-ray absorptiometry scan. Muscle performance was measured using 1 repetition maximum for leg and trunk extensors, and 30 sec sit to stand test. Data was analysed using SPSS 21.
Results: Of the 101 women screened, 28(27.7%) were enrolled; 14(50%) in group A having mean age 53.36±6.28 years, and 14(50%) in group B having mean age 51.71±4.82 years (p>0.05). Group A showed significantly more improvement than group B both with respect to lumbar spine bone mineral density and muscle performance (p<0.05).
Conclusion: Supervised high-intensity multimodal exercise training protocol had a positive effect on lumbar spine bone mineral density and muscle performance in postmenopausal women.
Clinical Trial Number: NCT04653350
Link https://clinicaltrials.gov/ct2/show/NCT04653350
Key Words: Osteoporosis, Post-menopausal, Bone density, Strength, Muscle.
Effect of physiotherapy on polycystic ovarian syndrome and lack of research
Authors: Muzna Munir  , Atif Amin Baig  , Zohra Zafar
Published: May 2022

Madam,
Polycystic ovarian syndrome (PCOS) is one of the most common female endocrine disorders, with a prevalence of 5–20% in women of reproductive age.(1) A recently conducted study reported that participants  having PCOS diagnosed by a physician had a higher prevalence of overweight/obese women than those that self-diagnosed with PCOS.(2) Hence PCOS is the most common condition in our community and to understand it’s characteristics and how to deal with it regarding treatment is very important. While knowing about its pathological cause, chromosomal studies of patients with PCOS have shown no consistent abnormality. It is characterized by hyperandrogenemia, chronic anovulation, and polycystic ovary morphology. So, in old days it was assumed that PCOS should be treated endocrinologically. While, a more recent report  concluded that hirsute PCOS women seem to have different dietary habits and reduced physical activity than controls.(3) There are many researches on dietary habits and effects of low carbohydrate diet on women with polycystic ovarian syndrome. With advancement of knowledge everyone knows about the significance of physical activity but to find the main effective treatment or regime in terms of physical therapy is difficult to find out. A systematic review on exercises therapy in polycystic ovarian syndrome. Eight manuscripts were studied and thereafter, concluded that exercise-specific interventions in PCOS are limited.(4) The results showed that even with this limited exercise interventions, there was improvement in the symptoms specifically in ovulation and weight loss. A Meta-analysis conducted in 2018 and then again in 2019 combining both, the exercise and balanced nutrition with treatment plan of 12 to 24 weeks and observed somehow improvements on PCOS patients.(5) But concluded that according to GRADE criteria, the studies were of low quality. It also had missing standardized data regarding standard physical therapy regimes for PCOS women.
Though molecular genetic studies are currently ongoing, it needs more research in this domain as there is no permanent treatment of the disease. Regarding the current studies and research, the awareness is critical so that physicians can refer their PCOS patients to a nutritionist or endocrinologist as a preventive measurement. Moreover, there are only some articles supporting exercise in PCOS. Still there is a lack of research on physiotherapy protocols and specifically physiotherapy modalities with their effect on females with PCOS which needs to be focused in future.
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The problem of the course reception of sympatomimetics from the group of aliphatic amines safety (geranamine, octodrine, AMP citrate)
Authors: Yakovlev O. A. , Vakhviyaynen M. S. , Judin M. A. , Anokhin A. G. , Konovalov A. V.
Published: May 2022

Sport nutrition used to reduce weight or improve performance may contain psychostimulant aliphatic amines. The most common of them are DMAA, octodrine and AMP citrate. There are no toxicometric data for above compounds, which prevents their preclinical and clinical study and the formation of optimal dosing regimens or algorithms for overdose therapy. We determined that all of the above drugs have a low degree of cumulation of <20%. Based on the properties of this class of drug, the course should not exceed 7 days in order to avoid complications and the development of addiction.
KEANEKARAGAMAN SERANGGA MELALUI PENGGUNAAN SERBUK Tagetes erecta L DAN LIMBAH URINE SAPI YANG BERPOTENSI SEBAGAI REPELLENT TERHADAP SERANGAN HAMA Nezara viridula PADA TANAMAN KEDELAI DI LAPANGAN
Authors: Lisdayani Lisdayani , Sari Putri Mustika
Published: May 2022

Hama kepik hijau (N. viridula L.) merupakan hama utama tanaman kedelai (Glycine max) serta dapat menurunkan produksi kedelai. Pengendalian hama ini dapat memanfaatkan insektisida nabati sebagai repellent menggunakan tanaman Tagetes erecta dipadukan dengan urine sapi. Penggunaan repellent umumnya tidak langsung mematikan serangga, namun lebih berfungsi untuk menolak kehadiran serangga, terutama disebabkan oleh baunya yang menyengat. Penelitian ini bertujuan untuk mendapatkan keanekaragaman serangga yang dapat berperan sebagai musuh alami dalam mengurangi serangan hama N.viridula pada tanaman kedelai. Penelitian ini menggunakan RAK Non Faktorial dengan lima ulangan. Perlakuan penelitian yaitu kombinasi pemberian serbuk Tagetes erecta dengan urine sapi dengan lima taraf yaitu kontrol (T0), Serbuk T.erecta 10 g+urine sapi 100 ml (T1), Serbuk T.erecta 15 g + urine sapi 100 ml (T2), serbuk T.erecta 20 g + urine sapi 100 ml (T4), serbuk T.erecta 25 g + urine sapi 100 ml (T5). Hasil penelitian mendapatkan lima spesies serangga yaitu E.admirabilis, Epilachna sp, M.sexmaculatus, V. linneata, I.sarcitorius yang digolongkan sebagai hama (1spesies), predator (3 spesies) dan parasitoid (1 spesies). Diharapkan dengan penelitian ini petani dapat memanfaatkan Tagetes erecta dan limbah urine sapi sebagai pestisida alami untuk pengendalian Hama Nezara viridula yang bersifat ramah lingkungan dan ekonomis.
ANALISA USAHA TANI KELAPA SAWIT DI KABUPATEN TAPANULI SELATAN
Authors: Syafiruddin Syafiruddin
Published: May 2022

Kecamatan Batangtoru terdiri dari 23 desa (19 desa dan 4 kelurahan) dengan luas wilayah 35.149  ha atau 7.91 persen dari luas wilayah kabupaten Tapanuli Selatan. Berkembangnya perkebunan besar swasta kelapa sawit di Kecamatan Batang Toru menyebabkan pertambahan jumlah penduduk yang tinggi. Penelitian ini dilaksanakan dengan pendekatan kuantitatif yang didukung dengan pendekatan kualitatif.   Jumlah responden sebanyak 30 orang, yang dipilih secara acak, artinya petani ditemui di lokasi perkebunannya dan dilanjutkan wawancara di rumah responden yang dilaksanakan bulan April – Mei 2021. Usaha kelapa sawit merupakan usaha yang sangat menjanjikan di Kecamatan Batang Toru yang didukung oleh alam (iklim dan tanah), tenaga kerja dan modal yang baik.  Produksi rata-rata petani belum mampu mengimbangi produki dari perusahaan besar swasta dan perusahaan besar negera, produksinya baru mencapai 26.060 kg/ha/tahun, sedang perusahaan besar kisaran 32 – 39 ton/ha/tahun.  Penerimaan petani sangat dipengaruhi harga jual Rp 1.471 - 1.483, pada kondisi harga saat penelitian petani mampu menghasilkan keuntungan sebesar Rp 24.207.962,03 /ha/tahun atau sebesar Rp 2.017.330,17 /ha/bulan.  Namun, jika harga menurun sampai diangka Rp 750 /kg maka keuntungan masyarakat hanya sebesar Rp 369.521,04 per ha per bulan.
RESPON PERTUMBUHAN DAN PRODUKSI TANAMAN JAGUNG SEMI (Zea mays L) PADA BERBAGAI DOSIS PUPUK KANDANG KAMBING DAN PUPUK NPK
Authors: Mufriah Dini , Lisdayani Lisdayani
Published: May 2022

Jagung semi (baby corn) sangat populer sebagai sayuran. Ketersediaan hara dalam tanah yang rendah dapat menjadi faktor pembatas dari produksi jagung semi yang cenderung memiliki perakaran pendek dan daya serap hara yang terbatas. Penambahan pupuk dan bahan organik lainnya sangat dianjurkan.  Penelitian ini bertujuan untuk mengetahui pengaruh dosis pupuk kandang kambing dan pupuk majemuk NPK terhadap pertumbuhan dan hasil jagung semi. Penelitian ini menggunakan Rancangan Acak Kelompok (RAK) Faktorial terdiri dari dua faktor.  Faktor pertama adalah pemberian pupuk kandang kambing yang terdiri dari K0 = 0 ton/Ha  (kontrol), K1 = 5 ton/Ha (1 kg), K2 = 10 ton/Ha (2 kg).  Faktor ke dua adalah pemberian pupuk NPK Y0 = 0 kg/Ha (kontrol), Y1 = 200 kg/Ha (40 gam), Y2 = 400 kg/Ha (80 gam).  Hasil penelitian ini menunjukkan bahwa perlakuan pemberian pupuk kandang kambing memberikan pengaruh yang nyata terhadap tinggi tanaman umur 2, 4 dan 6 minggu setelah tanam,  jumlah daun umur 2 dan 4 minggu setelah tanam, diameter batang umur 2 dan 4 minggu setelah tanam,    berat jagung semi per plot tanpa klobot, berat jagung semi per tanaman serta berat jagung semi per tanaman, dimana  perlakuan pupuk kandang kambing terbaik  pada K2 (10 ton/ha).  Perlakuan pemberian pupuk NPK memberikan pengaruh yang nyata terhadap tinggi tanaman umur 2, dan 4 minggu setelah tanam,  jumlah daun umur  4 minggu setelah tanam dimana perlakuan pupuk NPK terbaik pada Y2 (400 kg/Ha).
PEMANFAATAN HILIRISASI LAHAN TANAMAN SERAI WANGI UNTUK RAMUAN MINYAK ATSIRI PADA SAAT PENDEMI COVID 19
Authors: Zurairah Masdania , Syarif Abdul Azis , Adam Muhammad , Siregar Roswani
Published: May 2022

Kegiatan pengabdian masyarakat ini dilakukan di rumah Tahfiz Khalifah Aulia. Pemanfaatan lahan kosong dimasa pendemi telah dilakukan dengan menanam salah satunya yaitu tumbuhan serai wangi. Untuk selanjutnya dilakukan hilirisasi kelanjutan tanaman serai wangi ini menjadi minyak serai. Proses pelaksanaannya dilakukan destilasi dengan menggunakan proses pemanasan. Dimana daun serai yang telah dipotong dan dikering anginkan dimasukkan ke dalam wadah pemanasan yang bentuknya seperti dandang, dandang tersebut telah terlebih dahulu dimasukkan air. Dandang dilengkapi tutup yang ada besi selang, terbuat dari selang besi dengan proses las, yang fungsinya adalah untuk mengalirkan minyak serai sewaktu proses pemanasan telah berlangsung. Tutup selang selama proses pemanasan harus ditutup rapat. Setelah 4 jam proses pemanasan tempat penampungan minyak atsiri berisi minyak atsiri. Selanjutnya minyak atsiri tersebut dikumplkan dan dimasukkan ke dalam botol. Hasil yang diperoleh minyak sirih dengan cara kering angin menghasilkan minyak sebesar 60% dan bahan baku hasil tanpa kering angin menghasilkan minyak sebesar 46%.
The role of curriculum model in teaching English
Authors: Ravshanova Tursunoy , Abraimova Nazira
Published: May 2022

This article is about using curriculum model in teaching English. It analyzes the role of curriculum model in Education.
Developing the cognitive activity of students of technical universities using active methods of teaching
Authors: Khajieva I.
Published: May 2022

This article focuses on the use of active learning methods to improve and enhance the learning process. It analyzes teaching methods that develop active cognitive activity of students of technical universities and assumes the use of such a system of methods, which is mainly aimed not at the presentation of ready-made knowledge by the teacher, their memorization and reproduction, but at the independent mastery of knowledge and skills by students in the process of active mental and practical activity.
Эпидуральная анальгезия родов в сравнении роивакаина и левобупивкаина (преимущество обучения в медицинских вузах)
Authors: Бурханова Диловар
Published: May 2022

В статье представлен обзор процесса преподавания и обучения эпидуральной анальгезии в Родильном доме в сравнении с ропивакаином и левобупивкаином в медицинских высших учебных заведениях.
Bulutli texnologiyaning ta’limdagi afzalligi
Authors: Xalikov Akbar
Published: May 2022

Ushbu maqolada bulutli texnologiyalarning hozirgi hayoti-mizdagi muhim jihatlari hamda bulutli texnologiyaning kelajak-dagi o‘rni haqida fikr yuritilgan.Bundan tashqari xozirgi zamo-naviy ta’lim tizimida bulutli tehnologiyalarning o‘rni va istiq-bolli haqida so‘z yuritiladi. Maqola mavzusini ochib berish maqsadida amaliy tavsiyalardan ko‘proq foydalanildi. Maqola-dan olingan natijalarda asosan bulutli tehnologiyalarning ta’lim tizimizdagi afzalliklari aks etgan.
A cseh külpolitikai identitás és a visegrádi együttműködés
Authors: Garai Nikolett
Published: May 2022

A 2021-es képviselőházi választások kormányváltáshoz vezettek Csehországban, így nem lehetett tudni, vajon milyen irányba fog haladni a cseh külpolitika a Petr Fiala által vezetett ötpárti koalíciós kormány irányítása alatt. Magyarország szempontjából az egyik legfontosabb kérdés, hogy mekkora szerepet kap az európai integráció és a visegrádi együttműködés az új kormány napirendjén. A modern cseh külpolitikai identitás elemeinek a feltérképezése segíthet megérteni, hogy a Fiala-kormány milyen mozgástérrel rendelkezik, milyen korlátokkal szembesül, és milyen történelmi félelmek/ komplexusok hatnak a hagyományos cseh külügyi gondolkodásból fakadóan. A tanulmány legfontosabb célja ezért az, hogy átfogó képet adjon a modern cseh külpolitikai identitás elemeiről, és a kisállami tanulmányok konstruktivista iskolájának alapvetéseire támaszkodva megvizsgálja a visegrádi együttműködésnek az abban betöltött szerepét.
Izrael és/vagy Palesztina? I. :A kétállamos megoldás ellehetetlenülésének lokális összefüggései
Authors: Paragi Beáta , Szalai Máté
Published: May 2022

E két részből álló tanulmány célja mindazon belső és külső tényezők áttekintése, amelyek az izraeli–palesztin konfliktust rendezni kívánó kétállamos megoldást hátráltatják, illetve perifériára szorították az utóbbi években. A vizsgált okok nem elkülöníthető magyarázatok, hanem egymással is szorosan összefüggnek, és mind Izrael 1949/1967-es határain belül, mind Palesztina vonatkozásában hatást gyakoroltak a zsidó–palesztin kapcsolatokra. A tanulmány az aktuális tények és események ismertetését, illetve a politikai folyamatok elemzését tűzte ki célul. A végkövetkeztetése szerint miután a „térképnek” tekinthető kétállamos megoldást nemcsak a helyi közvélemény többsége tekinti megvalósíthatatlannak, de az a „tájjal” sincs köszönőviszonyban, annak a diplomáciai támogatása egyrészt hamis reményeket táplál, másrészt tovább mélyíti a zsidó és a palesztin lakosság közötti árkokat.
Portal hypertension as an uncommon presentation of hepatic epithelioid hemangioendothelioma: a case report
Authors: Zambrano-Huailla Rommel , Guzmán-Poma Roxana , Cahua-Segura Giancarlo , Flores-Ezcurra Lourdes , Sumire Umeres Julia , Cebreros Ibarra Oscar , Martel Mory Silvia
Published: May 2022

Hepatic epithelioid hemangioendothelioma (HEHE) is a vascular tumor with a low incidence rate. We report a case of a 26-year-old man who was referred to our hospital with a misdiagnosis of liver cirrhosis. On physical examination, ascites was noted. Chest and abdominal computer tomography scans showed coalescent lesions involving the peripheral liver with heterogeneous contrast enhancement and portal vein dilation due to portal hypertension. Extrahepatic metastasis was not observed. The biopsy with immunohistochemical stains suggested HE d CD34). This report describes an uncommon case of HEHE with non-cirrhotic portal hypertension.
Metástasis quísticas hepáticas: reporte de caso
Authors: Vargas-Alayza César , Castro Villalobos César
Published: May 2022

En las lesiones quísticas hepáticas múltiples se debe excluir neoplasias metastásicas. Las lesiones metastásicas hepáticas suelen ser hipointensas en T1 e hiper-intensas en T2 en la resonancia magnéticas, hipovasculares, con septos en algunos casos. En un context ñado de lesiones quísticas hepáticas, es importante considerar metástasis.
Prevalencia de síndrome de intestino irritable en América Latina
Authors: Pontet Yessica , Olano Carolina
Published: May 2022

El síndrome de intestino irritable es una enfermedad funcional intestinal frecuente a nivel mundial, pero con pocos estudios de prevalencia. Su diagnóstico es clínico y se basa en criterios acordados internacionalmente que han cambiado con el tiempo, actualmente regidos por el Consenso de Roma IV. Objetivo: Recabar y actualizar datos disponibles de prevalencia de América Latina para entender mejor el comportamiento regional de SII. Materiales y métodos: Se realizó una búsqueda de trabajos originales, autodefinidos de prevalencia, en las bases de datos Pubmed y Lilacs así como presentaciones en congresos de trabajos originales. Resultados: Se encontraron 27 estudios según los criterios de búsqueda establecidos. De ellos, 16 eran en población general. Dos trabajos incluyeron el estudio de prevalencia de más de una población constituyendo finalmente 22 referencias desarrolladas en 9 países. La prevalencia promedio total para América Latina fue 15,4%. La prevalencia promedio encontrada por criterios de Roma II fue 23,5%; por Roma III 11,8% y por Roma IV 6,98%. Conclusión: Esta es la primera revisión en reunir datos de prevalencia de síndrome de intestino irritable en población general de nueve países de América Latina. La prevalenci d fue amplia y los criterios diagnósticos utilizados hicieron la mayor diferencia.
Liver transplantation in the Intensive Care Unit: twenty years experience in a center medium income on Peru
Authors: Cerron Cabezas Carmen Ana , Lopez Martinez Rosa Luz , Salcedo Bermudez Gino , Padilla Machaca Pedro Martin , Cardenas Ramirez Bertha Eliana , Bacilio Calderon Wilmer , Mantilla Cruzatti Omar , Rivera Romani Jose , Solar Peche Alfonso , Montufar Valer Augudberto , Espinoza Rivera Saul , Rondon Leyva Carlos Felix , Chaman Ortiz Jose Carlos
Published: May 2022

Liver transplantation is the major treatment for end-stage liver disease. Postoperative care is a great challenge to reduce morbidity and mortality in patients. In this sense, management in the liver ICU allows hemodynamic management, coagulation monitoring, renal support, electrolyte disturbances, respiratory support and early weaning from mechanical ventilation and evaluation of the liver graft. Objective: The present study shows the results of the management of liver transplant patients in 20 years of experience in a transplant center in a low- to middle-income country. Materials and methods: The medical records of 273 adult patients in the ICU in the immediate postoperative liver transplant were reviewed, from March 20, 2000 to November 30, 2020, including the effect of the pandemic caused by COVID-19. Liver-kidney, retransplanted, SPLIT, and domino transplant patients were excluded. Results: The most frequent etiology for LTx was NASH (35%), the mean age was 49 years, MELD Score ranged 15 - 20 (47.5%), 21 - 30 (46%) > 30 (6.2%). ICU pre transplant stay 7%, average ICU stay: 7.8 days. APACHE average admission: 14.9 points. Weaning extubation of 91.8% patients in ICU and Fast Track in 8.2%. The most frequent respiratory complication was atelectasis 56.3%, pneumonia (31.3%); AKI 1 (60.9%), and 11.1% with hemodyalisis support (AKI3). Immunosuppression: Tacrolimus (8.9%). Post-operative ICU mortality was 6.2%. Conclusions: The management of liver transplantation in the ICU is essential to achieve optimal results in patients who present advanced liver disease and require advanced life support in the immediate postoperative period and thus optimize graft survival.
Hemocromatosis no ligada al gen HFE: a propósito de un caso
Authors: Martínez-Ávila María Cristina , Toro-Trujillo Esteban , Alvarez-Londoño Angelina
Published: May 2022

La hemocromatosis hereditaria (HH) consiste en una sobrecarga progresiva de hierro que conlleva a un acúmulo anormal del mismo en diferentes órganos blancos; y, que, en caso de no tratarse a tiempo, puede causar una disfunción multi-orgánica. Se han descrito diversas mutaciones genéticas asociadas a la HH, la más frecuente de ellas es la asociada al gen-HFE, la cual se encuentra en el 90% de los casos. En la actualidad la flebotomía terapéutica continúa siendo el tratamiento de elección para el manejo de esta patología. Reportamos el caso de un paciente en seguimiento por fibrosis hepática severa, con persistencia de un perfil ferrocinético elevado, a quien cinco años después se le diagnostica una HH no asociada a una mutación en el gen-HFE; recibió manejo con flebotomías periódicas, presentando rápidamente una mejoría significativa de su cuadro clínico y de los niveles de ferritina al igual que otros paraclínicos.
The Role of Glutathione S-Transferases in Pleomorphic Adenomas of the Salivary Glands
Authors: ATLI Muharrem , ÇETİN Sema , OĞUZTÜZÜN Serpil , BAŞAK Kayhan , AYDIN Sedat , YILMAZ Can , KAT ANIL Gizem , DEMİR Mehmet Gökhan , KARDİYEN Filiz , ATEŞ Volkan
Published: May 2022

The aim of this study is to determine the expression levels of GST isoenzymes in salivary gland pleomorphic adenoma from 26 patients. In this study, we investigated the immunohistochemical staining characteristics of the Glutathione-S-transferase alpha (GSTA-1), sigma (GSTS-1), theta (GSTT-1), kappa (GSTK-1), mu (GSTM-1), omega (GSTO-1) isoenzymes in tumor and surrounding tumor-free (normal) salivary gland tissues from 26 patients. For immunohistochemical studies, tissues were obtained from 26 patients with salivary gland pleomorphic adenoma (PA). Tumor and control tissues of patients were compared according to their staining intensity. The correlations between GST expressions in PA tissue were analyzed by Spearman’s rho and the clinicopathological data were examined by Mann Whitney-U test and Spearman’s rho. Considering the differences in the expressions of GST isoenzymes between tumor tissues and normal tissues of the patients; No differences in GSTT1 and GSTS1 isoenzymes expression were found between tumor and normal tissues (p>0.05). GSTM1 and GSTO1 expression were significantly higher in tumor tissues than in normal tissue. However, GSTK1 and GSTA1 expressions were found to be significantly higher in the normal tissues of the patients compared to the tumor tissues. GSTM1 and GSTO1 expressions were increased in salivary gland PAs. These results should be confirmed with a larger series and different enzyme subtypes.
A expressão Zero elevado a Zero em Contexto Histórico
Authors: Silva Carlos José Amorim da , Costa Christine Sertã
Published: May 2022

Este artigo é um estudo sobre a evolução da abordagem dada a controvérsia que circunda a expressão zero elevado a zero. O percurso histórico selecionado sobre as questões que sustentam a referida controvérsia, apresentado neste trabalho,se inicia no século XVIII com abordagens apresentadas por Leonhard Euler, e se estende até as soluções utilizadas na atualidade. O objetivo principal do presente artigo e das reflexões aqui provocadas é permitir aos leitores, estudantes e professores, constatarem que a História da Matemática é rica em detalhes e que o valor de uma simples operação aritmética, o zero elevado a zero, pode não ter resposta única corrente ao longo da história.
Nursing Care Audit Based on Nursing Process Model and Ensuring Patient Safety among Staff Nurses
Authors: Devi A. Seeta
Published: May 2022

The nursing process model involves assessing, diagnosing, planning, implementing and evaluating patient situations. In this study to audit nursing care, using a nursing process model, nursing audit checklist was designed based on nursing process model. The demographic questionnaire contained nurses’ age, gender, work experience, type of employment, education level, and work shift. Nurses’ performance was assessed using the audit checklist during a single work shift. Some indicators were assessed through a review of documents and nursing notes. Sample size was 100. The results showed that the majority of nurses (about 80%) worked in rotational shifts, 70 percent had 5 - 10 years of experience and 90 percent had GNM qualification. The rate of least compliance with nursing process indicators was 12.6, confirming that the majority of nursing care was not carried out based on the nursing process. The mean overall compliance score significantly differed between nurses with a BSc and those with GNM (p=0.04). This difference was also found in the mean compliance scores for three domains, diagnosis (p=0.001), implementation (p=0.02), and evaluation (p=0.01). In addition, the overall mean score did not significantly differ between nurses with permanent and non-permanent employment (t=0.123, p=0.42). The finding revealed that the knowledge of nurses on the nursing process is not adequate to be put into practice and high patient nurse ratio affects its application.
Development of Automatic Level Track and Height Adjustable Stretcher for Hospital Application: A Prototype Approach
Authors: Mahesh B. More  , Shivam S. Patil  , Shaikh S. Abdul Hanif  , Digambar V. Jadhav  , Dr. Krupal Pawar
Published: May 2022

This paper is related to development of automatic level track and height adjustable stretcher for hospital application by prototype approach. In India mobility aids are useful for patients for transportation and a replacement for walking especially in indoor and outdoor environment. Stretchers are the most commonly used medical equipment for the transportation of patients. Transferring the patients from stretcher or to the medical bed is always an issue for the attendant or nurse during climbing inclined surface. Understanding the various issues regarding the mobility equipment and introducing a better design will be an asset for the medical field and a helping hand for disabled individuals moving on inclined surface. There is a need for a level adjusting stretcher to facilitate the disabled patient’s mobility and to provide novel medical equipment for use in the Indian hospitals. Adopting various kinds of research methods helped to obtain more information about hospital mobility aids and for data collection. It has been observed that every year the numbers of disabled individuals are increasing by different kinds of accidents. The presently old stretcher designed is not meeting the user’s need. From the identified need, new features like level adjustable stretcher which can be introduced.
Voice-Based Login System
Authors: Vedant Baviskar  , Shubham Bhagwat  , Deepjyoti Barman  , Gokul Viswanath  , Mrs. R. T. Waghmode
Published: May 2022

Off late, biometric modes of authentication have become pretty famous. People use their fingerprints to unlock their devices. They use their faces to unlock their devices. However, using voice recognition for unlocking has not being accepted for wide use. We were curious to see why that is and if there are downsides to that, would we be able to figure out workarounds for that.
Student Tracking System
Authors: Abhay Kumar  , Dheeraj Gurjar
Published: May 2022

This paper is written to introduce and make the people familiar with that organization can store the data of students and get the call alerts for students as per the student timeline.
Deutschland hat nicht immer die besten Preise
Authors: Mende Jan , Schulz Hans-Jürgen , Lattmann Christian , Rennack Sebastian , Stockburger Manfred
Published: May 2022

Europas Konsumenten müssen für Lebensmittel tiefer in die Tasche greifen. In allen Ländern steigen die Inflationsraten seit November 2021 rasant. Die LZ hat bei Lidl die Preise für einige Basisartikel in sechs Ländern verglichen. Die Dänen zahlen am meisten für Lebensmittel.
Veggie-Markenhersteller geraten unter Druck
Authors: Adelhardt Andrea
Published: May 2022

Absatz und Umsatz von Fleischersatz erreichen neue Höchstwerte. Allerdings legen auch Handelsmarken im Markt stark zu. Von den Markenherstellern sind nun Innovationen gefordert.
Schweinemarkt wieder in der Krise
Authors: Lenders Dirk
Published: May 2022

Der deutsche Markt für Schweinefleisch kommt nicht zur Ruhe. Nach einem blitzartigem Anstieg der Preise auf fast 2 Euro pro kg folgt der rasante Preisverfall. Dabei ist das Angebot so niedrig wie lange nicht, doch es fehlt die Nachfrage. Ankündigungen von Vion und Tönnies sorgen für Proteste der Erzeuger.
Messe zieht positive Bilanz
Authors: Murmann Christoph
Published: May 2022

Corona-Angst und die Verschiebung in den Mai hat manche Aussteller und noch viel mehr Besucher davon abgehalten, zur Prowein zu fahren. Trotzdem war die Messe wohl ein Erfolg.
Cannabis-Freigabe kommt schneller
Authors: Falker Gerrit-Milena
Published: May 2022

Bis zum Herbst will Gesundheitsminister Karl Lauterbach den Gesetzentwurf zur Legalisierung von Cannabis vorlegen. Derweil konkretisiert die Branche ihre Forderungen, und es gibt erste juristische Bedenken gegen die Freigabe.
Gebremstes Wachstum
Authors: Himberg Mathias , Stockburger Manfred
Published: May 2022

Seit Jahren zeigt die Umsatzkurve der selbstständigen Händler in Deutschland nach oben. Doch nach zwei besonders erfolgreichen Corona-Jahren bekommt sie einen Knick – bei einigen zumindest.
RW-Gruppe setzt auf strategisches Wachstum
Authors: Hofnagel Dagmar
Published: May 2022

Kassel. Die Raiffeisen Waren startet gestärkt in das laufende Geschäftsjahr. Die Übernahme von RWZ-Standorten hat in Kassel Umsatz und Ergebnis nach oben gebracht.
Knowledge, attitude and practices of sharps waste disposal by diabetic patients at home settings in uMzinyathi District Municipality
Authors:   , Ziqubu Lihle Nomfundo
Published: May 2022

Background Sharps waste is one of the categories of hazardous waste which must be properly managed. Sharps waste is hazardous and it should be disposed of in a proper manner. This waste has an ability to transmit diseases, as well as create a negative impact on the environment. The disposal of sharps waste generated in the community has been recognised as an area of public concern. There is a gap in proper disposal of sharps waste among diabetic patients in the home setting. Diabetic patients dispose of their sharps waste in different ways, but mainly in general waste. Umzinyathi District Municipality has semi-urban and rural areas with four sub-districts, namely, Nquthu, Endumeni, Umsinga and Umvoti. Umzinyathi District Mucipality has a substantial number of diabetic patients who are on insulin and who inject themselves at home. This study aims to describe the knowledge, attitude and practices on sharps waste disposal by diabetic patients at home. Methodology A quantitative, descriptive cross sectional study was used to investigate knowledge, attitude and practices on sharps waste disposal by diabetic patients at UMzinyathi District Municipality. A selfadministered questionnaire was used to collect data. A convenience consecutive sampling was used to sample respondents. A total number of 308 insulin-dependent diabetic patients from selected health facilities of UMzinyathi District Municipality, filled in the questionnaires. Results A majority of respondents n=149 (48.4%) disposed of their sharps waste in a toilet, while n=92 (29.8%) disposed of their sharps waste in general waste. Amongst those who responded, the majority n=193 (62.3%) were not educated on disposal of sharps waste; they had moderate knowledge of proper disposal of sharps waste. Most of the respondents practiced improper disposal of sharps waste. Conclusion Generally, the majority of the respondents n=193 (62.3%) lacked knowledge of safe and effective disposal of sharps waste. They were not educated in this regard, which had a negative influence on how they disposed of sharps waste. There are serious concerns regarding current practices of sharps waste disposal by diabetic patients at home.
Sport és társas élet Gödöllőn a dualizmus éveiben (1867–1918) : A sportmozgalom kezdeteinek nyomai egy vidéki település, Gödöllő társasági életében
Authors: Oravec Éva
Published: May 2022

E tanulmány Gödöllő dualizmus kori társas életét a sport szempontjából vizsgálja, fókuszálva annak közösségépítő erejére és társadalmi beágyazottságára. Az egyesületek a társadalmi élet szerves részei voltak és a sportmozgalom kibontakozásában jelentős szerepet játszottak. A helytörténeti irodalom és a különféle források tükrében megállapítható: ahogy országosan, úgy Gödöllőn is korán megalakult a praktikus célokat ellátó lövészegylet és a testedzést magába foglaló tűzoltóság, melyek szervezői a község elitjébe tartoztak. Az 1870-es években megjelent a nagyobb közönség számára vonzó korcsolyázás, majd az úszás és a tenisz, a századfordulótól a futball, az egyletekben népszerű volt a kugli. Általánosan szervezett sportéletről 1909-től, a Gödöllői Sport Club megalapításától beszélhetünk. Jellemző volt a sportesemények, ünnepélyek és mulatságok – olykor más egyesületekkel együtt történő – szervezése.
Bovine brucellosis serological survey in small dairy herds in Lushnja district, Albania
Authors: Arla Juma , Gerald Muça , Anita Koni , Luigj Turmalaj , Xhelil Koleci
Published: May 2022

Bovine brucellosis is an important zoonotic disease in Albania. Both B. abortus and B. melitensis have been isolated from ruminants. National control and eradication programs for brucellosis are applied on sheep and goat farms and larger dairy cattle farms. However, the current control programs for brucellosis do not cover small dairy cattle farms, and there is no valid data on the prevalence of the disease in this category; this prevents formulating evidence-based and effective strategies for control of the disease in this population subset. Therefore, the current study aimed to assess the herd and within-herd prevalence of bovine brucellosis in small bovine herds and provide scientific evidence for establishing an evidence-based approach to control the disease in this subset of the population not previously included in the national eradication program. To achieve this objective, a statistical survey was designed and implemented in small dairy herds in the Lushnja district, where samples from statistically selected herds were serologically tested in parallel with Rose Bengal Test (RBT), Fluorescence Polarization Assay (FPA) and Enzyme-Linked Immunosorbent Assay (ELISA). In total, 120 dairy herds were randomly selected from a list of 1,955 registered herds: from these selected herds, 368 blood samples were collected from all animals older than 12 months, and their sera were tested using RBT, FPA, and c-ELISA. The test results revealed no positive or suspect cases. Based on these results, we are confident (P0.05) that Brucella spp is not circulating in this subpopulation of cattle in the Lushja district. This deduction is supported by analyses of the main risk factors, other epidemiological data, and the perceptions of official and private veterinarians. This is the first structured survey of bovine brucellosis in small dairy herds in Albania. In conclusion, our study results and our findings show that the epidemiological status of bovine brucellosis in the Lushnja district is encouraging. Therefore, a test and slaughter control program appears appropriate in smaller herds. Furthermore, the approach used in this pilot study could be extended to establish the prevalence of brucellosis in other districts, the result of which would establish the basis for rational control measures in the smaller herds of cattle.
Síndrome inflamatorio multisistémico asociado a COVID-19 en pacientes pediátricos
Authors: Fernández Gerardo , Acosta Josué
Published: May 2022

El Síndrome inflamatorio multisistémico pediátrico (SIM-P) vinculado a SARS-CoV-2 es una reacción inflamatoria generalizada desarrollada aproximadamente 4-6 semanas después de haber presentado la enfermedad COVID-19.  El objetivo del artículo fue analizar la inmunopatogénesis,  diagnóstico y tratamiento del SIM-P. Se aplicó un diseño documental, con revisión de bibliografías en bases de datos como Embase, Redalyc, LILACS, SciELO, Springer, Elsevier, EBSCO y Google Académico, utilizando los descriptores: enfermedad por Coronavirus, enfermedad de Kawasaki, niño, inmunoglobulinas intravenosas. Los criterios de inclusión fueron: artículos completos, publicados entre los años 2019-2022, en idiomas inglés y español. Se incluyó la revisión de 273 artículos en total rechazando 243 artículos por no contener la información a razón de búsqueda, seleccionados 30 artículos al cumplir con los criterios de elegibilidad. En los resultados SIM-P se caracteriza por fiebre, lesión miocárdica, shock y desarrollo de aneurismas de las arterias coronarias, en las pruebas de laboratorios: elevación de los marcadores de inflamación, alteraciones en las pruebas de coagulación, especialmente elevación significativa del dímero D y fibrinógeno, ascenso de los marcadores de lesión miocárdica de troponina y péptido natriurético. El tratamiento en la fase1 con la administración de inmunoglobulina G intravenosa (IGIV), corticoides, heparina de bajo peso molecular en dosis profiláctica, fase 2 una segunda dosis de IGIV y un descenso progresivo de prednisona y fase 3 utilización de terapia biológica con infliximab o tocilizumab. En las conclusiones SIM-P presenta elevación de marcadores inflamatorios, compromiso de múltiples órganos sin diagnósticos bacterianos asociados, con evidencia de infección o exposición reciente a SARS-CoV-2.
Gestión de residuos sólidos de las Municipalidades Provinciales de la Región Cajamarca, Perú
Authors: Rodríguez Peralta Alicia Rene , Salazar Soplapuco Jorge Luis , Morales Ramírez Mirko Juniors
Published: May 2022

El objetivo de la investigación fue determinar la eficiencia de la gestión de los residuos sólidos de competencia municipal en la región Cajamarca, según lo estipulado en la Ley N° 27314 - Ley General de Residuos Sólidos. El enfoque fue cualitativo, con un diseño no experimental de corte transversal, teniendo como población-muestra las 13 provincias de la región Cajamarca: Jaén, San Ignacio, Chota, Cutervo, Cajamarca, Celendín, San Miguel, Contumaza, Cajabamba, Santa Cruz, San Marcos, San Pablo y Hualgayoc. Entre los resultados se encontró que, los aspectos críticos que obstaculizan la implementación del Sistema de gestión de residuos sólidos por las municipalidades provinciales de la región Cajamarca conforme lo estipulado la Ley N° 27314, son porque no cuentan con equipo técnico ambiental (92%), no cuentan con trabajadores especializados en residuos sólidos (92%), no se asigna recursos para el cumplimiento del Plan Integral de Gestión Ambiental (100%), no se cuenta con mecanismos para cobrar por el servicio de limpieza pública (92%) y no se ha implementado la unidad de gestión ambiental (100%); además que en la región Cajamarca existen dos rellenos sanitarios. Por lo que se concluye que, el estado de la gestión de residuos sólidos de competencia municipal en la región Cajamarca en aplicación a la Ley N° 27314 es deficiente.