bluuebunny/crossref_metadata_2025 huggingface dataset:
Treatment Tactics and Complications After Surgical Treatment of HIV-Infected Patients With Extra-Articular Fractures of the Long Bones of Extremities
Authors: Doronin N. G. , Khoroshkov S. N. , Naumenko M. V.
Published: October 2020

The aim of the study is the comparative analysis of the long-term results of treatment of extra-articular fractures of the long bones in HIV-infected and non-HIV-infected patients.

Material and methods. In the presented study, a comparative analysis of the results of surgical treatment of 90 HIV-infected and 112 HIV-uninfected patients with extra-articular fractures of the long bones of the extremities aged from 23 to 54 years was performed.

Results. HIV-infected patients are mainly characterized by non-infectious complications from the postoperative wound (formation of seromas, hematomas, dehiscence of the edges of wounds, delayed healing), aseptic loosening and migration of fixators, and delayed consolidation of fractures. The presence of statistically significant relationships between the factors characterizing the course of HIV infection (stage of the disease, the number of CD4 + lymphocytes, the ratio of CD4/CD8 + lymphocytes, viral load) and the risk of postoperative complications was revealed.

Conclusion. Thus, the use of standard algorithms for determining the tactics and method of treatment of extra-articular fractures of the long bones of the extremities in HIV-infected patients leads to a significant number of unsatisfactory treatment results (up to 31.1%). For HIV-infected patients, the most typical complications are postoperative wounds, impaired fracture consolidation processes and aseptic loosening of metal fixators, which can lead to the development of infectious complications without proper attention. Expansion of research in this area with an increase in the number of observed contingents will make it possible to develop a scientifically based scale for predicting the development of possible postoperative complications in this category of patients.
Early Results After Coronary Artery Bypass Grafting in Patients With Severe Ischemic Left Ventricular Dysfunction
Authors: Mazanov M. K. , Chernyavsky P. V. , Sagirov M. A. , Bikbova N. M. , Kharitonova N. I. , Chernyshev D. V. , Timerbayev A. V. , Kambarov S. Y.
Published: October 2020

Introduction. The number of patients with severe ischemic left ventricular dysfunction (ILVD), who undergo coronary artery bypass, increasing each year. ILVD is an established risk factor for mortality in patients after myocardial revascularization during the early and late postoperative periods.

Aim of study. To evaluate the early results of surgical myocardial revascularization in patients with coronary artery disease (CAD) and severe ILVD.

Material and methods. The study included 149 patients with coronary artery disease with severe left ventricular dysfunction (ejection fraction (EF) ≤39%), operated from January 2002 to December 2018. different variables were assessed (pre- and postoperative), including LV ejection fraction and end systolic volume index (ESVI).

Results.The average age of the patients was 59.36±8.97 years (from 30 to 78 years), 93% of the patients were men. In 28 patients (19%), ILVD developed against the background of myocardial infarction (MI) and in 121 (81%) due to ischemic cardiomyopathy (ICMP) with a history of myocardial infarction. The mean EF before surgery was 36.64±3.17 (from 21 to 39%). In the postoperative period, there was an increase in EF, which averaged 44.92±4.92 (from 36 to 59%) (p value <0.001). The mean LV ESVI before surgery was 60.23±11.52 ml/m2. In the immediate postoperative period ESVI decreased to 46.26±12.40 ml/m2(the value of p<0.001). The average number of bypass coronary arteries in one patient was 3.9±0.87. There was also a decrease in the degree of mitral regurgitation in most patients after coronary artery bypass grafting (CABG) (p value <0.001). Hospital mortality was 2% (3 patients).

Conclusion. Coronary artery bypass grafting in patients with severe ischemic left ventricular dysfunction can be performed with low mortality. Surgical myocardial revascularization can be considered a safe and effective operation for patients with coronary artery disease with a satisfactory condition of the distal coronary arteries, low ejection fraction, and with a predominance of viable myocardium.
The Effect of Polymorphisms in the CYP2D6 and CYP2C9 Genes on the Clinical Efficacy of Tramadol and Ketorolac When Using the Accelerated Recovery Protocol in Patients With Uncomplicated Acute Calculous Cholecystitis Who Underwent Cholecystectomy
Authors: Muradyan A. A. , Blagovestnov D. A. , Sychev D. A. , Yartsev P. A. , Rogal M. L. , Kerimova L. N. , Koroshvili V. T. , Yepifanova I. A.
Published: October 2020

Relevance. One of the key components of the accelerated recovery protocols (ARP), in addition to minimizing the surgical approach, is an adequate postoperative analgesia. Despite this, applied postoperative analgesia combinations are not devoid of drawbacks, such as lack of effective postoperative analgesia and the presence of side effect. The use of a pharmacogenetic approach to analgesic therapy for the purpose of its personalization may increase the effectiveness and safety of the use of analgesics. In particular, the presence of an inactive CYP2D6*4 allele , in which the conversion of tramadol to its active metabolite is reduced, contributes to the insufficient efficacy of the drug. As for non-steroidal anti-inflammatory drugs, the presence of CYP2C9*2/*3 polymorphisms leads to a decrease in drug metabolism and a longer half-life, resulting in the increase of the clinical effect and the risk of adverse reactions. Thus, genotyping of patients with the determination of the presence of specific genetic factors can rationalize the postoperative analgesia.

Aim of study. Evaluation of the possible association of polymorphisms of the CYP2D6 and CYP2C9 genes with the clinical efficacy of tramadol and ketorolac in relation to postoperative pain.

Material and methods. This observational clinical study involved 107 patients with uncomplicated acute calculous cholecystitis who underwent videolaparoscopic cholecystectomy and perioperative treatment according to ARP. All patients underwent whole blood sampling followed by real-time polymerase chain reaction genotyping. Analgesic efficacy was assessed using a visual analog scale (VAS) and McGill Pain Questionnaire.

Results. In CYP2D64* carriers pain was higher than that of wild-type carriers, according to VAS and McGill Pain Questionnaire in all investigated periods. In carriers of CYP2C9*2, the pain syndrome was lower than in carriers of the wild type at all intervals studied. In carriers of CYP2C9*3 pain was lower only after 2 and 6 hours, also according to McGill Pain Questionnaire.

Conclusion. 1. The presence of the polymorphic marker CYP2D6*4 may reduce the efficacy of postoperative tramadol analgesia compared with wild type. 2. The presence of the polymorphic marker CYP2C9*2 and CYP2C9*3 may increase the efficacy of ketorolac pain relief compared to wild type.
The Choice of Treatment Tactics in Patients with Severe Acute Pancreatitis Taking Into Account the Factor of Intra-Abdominal Hypertension
Authors: Belik B. M. , Chirkinyan G. M. , Tenchurin R. S. , Abduragimov Z. A. , Mareyev D. V. , Dadayan A. R. , Oskanyan M. A. , Sapraliyev A. R.
Published: October 2020

Relevance. Increased intra-abdominal pressure (IAP) in patients with severe acute pancreatitis (AP) is one of the triggers for the development of a functional organ failure, which leads to death. In this case, the favorable outcome of treatment of patients with severe AP is largely determined by early diagnosis and timely elimination of intra-abdominal hypertension (IAH). At the same time, there is no unified and agreed opinion on the principles and specific methods of eliminating the IAH syndrome in patients with severe AP today, which greatly complicates the choice of treatment strategy and tactics.

Aim of study. To assess the role and clinical significance of IAP monitoring in patients with severe AP with various manifestations of organ dysfunction and, offer a set of therapeutic measures aimed at resolving intra-abdominal hypertension.

Material and methods. The current study included 199 patients with severe AP, divided into two groups depending on the chosen treatment strategy. Group I included 107 patients where the diagnosis and treatment of the disease corresponded to generally accepted standards. Group II included 92 patients, where, in order to objectify the severity and prognosis of the course of AP, along with standard studies, IAP and APACHE II scale indicators were additionally monitored during treatment, and the severity of organ dysfunctions was assessed. In these patients the choice of medical tactics, including the use of conservative and surgical interventions, was made on a differentiated basis, based on the severity of the disease and the dynamics of the IAH.

Results. The role and significance of IAP monitoring and APACHE II scale indicators in the treatment of patients with severe AP were determined. The use of a differentiated approach to the choice of treatment strategies for patients with AP considering the severity of the disease and severity of IAH syndrome results in reduced hospital mortality by 10.3% and reduced postoperative mortality by 11.4%.

Conclusion. Monitoring of intra-abdominal pressure and APACHE II scale indices in conjunction with standard clinical and laboratory parameters allows patients to be clearly stratified according to the severity of acute pancreatitis, which helps optimize the choice of treatment tactics, including methods and timing of surgery, as well as the use of a set of effective therapeutic measures aimed at eliminating intra-abdominal hypertension.
The Actual Epidemiological Effectiveness of Assessing and Improving the System for Ensuring the Epidemiological Safety of Medical Care for Catheterized Patients
Authors: Kvashnina D. V. , Kovalishena O. V. , Sutyrina O. M. , Ivanov I. V. , Nikonov E. L.
Published: October 2020

The basis of optimized conventional system of surveillance and control for catheter-related bloodstream infections (CRBI) was priority in detection and risk assessment an infectious complication of puncture catheterization that substantially justified with inclusion of two main components as an addition to the existing system: monitoring of puncture catheterization, which allows to obtain and analyze data on risk factors for infections associated with the catheterization procedure and subsequent manipulations of the device, standardize approaches to working with a venous catheter and improve the diagnosis of CRBI; assessment of ensuring the epidemiological safety of medical care for catheterized patients. Epidemiological efficiency risk-based surveillance, primarily determined to reduce the incidence of CRBI by 1.8 times compared to initially defined real incidence: 12.5‰ (95% CI — CI 11,8–13 2) vs 22.8‰ (95% CI 21,1–24,5) catheterized patients, p=0.0001.
The First Experience of Using Allografts in Surgery of Main Arteries of Lower Limbs
Authors: Kalinin R. E. , Suchkov I. A. , Karpov V. V. , Pshennikov A. S. , Egorov A. A.
Published: October 2020

The article describes the experience of using allografts in surgery of the main arteries of the lower limbs. The urgency of using bioprostheses is briefly shown. The management of patients with infectious complications remains an unsolved problem in vascular surgery. Reconstructive vascular surgery is often repeated. Operations are often performed in the presence of extensive necrosis and trophic ulcers. The autovein is not always available for reconstruction of the main artery , which is why the issue of choosing a material for repeated reconstruction remains relevant. The medical literature has shown the tendency of xenoprostheses to aneurysmal transformation in the postoperative period. There is not a lot of information in the world and domestic sources on the use of arterial allografts. The lack of clear indications and contraindications for use, optimal preservation periods, the choice of the necessary preservatives and a suitable medium do not allow the widespread use of allografts in practical surgery if there is access to the technology of vascular collection, conservation and transplantation. The problem of using allografts requires further study. In this regard, the experience of using allografts in two non­standard clinical situations is presented. It was concluded that it is possible to effectively use freshly prepared arterial allografts from a postmortem donor during reconstruction in patients with critical ischemia of the lower extremities in the absence of a suitable autovein and the impossibility of using a synthetic prosthesis.
GENDER ANALYSIS OF CHILD INVESTMENT AND CHILD QUALITY AMONG FARMER FAMILIES IN INDONESIA
Authors: Puspitawati Herien , Sarma Ma'mun , Elmanora Elmanora , Azizah Yasmin
Published: October 2020

Families have obligations to protect and care for their children. The general objective of this study was to analyze the gender of the investment and the quality of the children in highland farmers. The study was conducted at highland areas at Cianjur Regency (Sindangjaya Village, Cipanas Sub-district) and Bogor Regency (Petir Village, Dramaga Sub-district). The findings showed that they were 4 (four) indicators of child investment latent variable such as the allocation of time togetherness between parents and children, investment in education and health, material allocations, and protection of children. Moreover, there were 5 (five) indicators of child quality latent variable such as the physical quality, learning achievement, child's behavior, psycho-social-spiritual, and the quality of life. The first result showed that there was no difference between boys and girls in total of child investment, but there was significantly difference between boys and girls in total of child quality. The second result proved that the latent variable of child investment has significantly positive effect on latent variable of child quality. As recommendation, the study need to be continued with various family characteristics and broadening analysis such as the effect of child investment and child quality to the child happiness.
PENGGUNAAN THEORY OF PLANNED BEHAVIOR DALAM MENGANALISIS FAKTOR-FAKTOR YANG MEMENGARUHI FOOD WASTE BEHAVIOR PADA DOSEN
Authors: Teguh Prasetyo Dimas , Djuwita Ratna
Published: October 2020

Salah satu lingkungan yang turut berkontribusi menghasilkan sampah makanan ialah lingkungan institusi perguruan tinggi. Studi ini bertujuan menganalisis perilaku membuang makanan pada dosen dan faktor-faktor yang memengaruhinya dengan menggunakan kerangka Theory of Planned Behavior (TPB). Studi 1 dilakukan dengan mewawancari empat dosen yang mengikuti pelatihan dosen. Studi 2 dilakukan untuk menguji faktor yang memengaruhi perilaku membuang makanan dengan kerangka TPB secara kuantitatif. Survei daring dilakukan kepada 99 dosen dari 11 fakultas. Hasil analisis tematik secara kualitatif menemukan bahwa makanan yang terbuang sia-sia dianggap dapat dimanfaatkan kembali menjadi pupuk bagi kampus (behavioral belief). Rekan sejawat menjadi kelompok yang dapat mendorong atau menghambat perilaku membuang makanan dalam pelatihan (normative belief). Para dosen pun sepakat bahwa makanan dapat dibuang jika mengandung gizi yang berlebihan (control belief). Temuan tersebut kemudian dikonfirmasi dengan analisis regresi ganda yang menemukan bahwa hanya atittude dan subjective norm yang mampu memprediksi intensi secara signifikan. Selain itu, Perceived Behavioral Control (PBC) dan intensi secara terpisah mampu memprediksi perilaku membuang makanan secara signifikan. Identifikasi belief-belief sebagai anteseden variabel prediktor dalam kerangka TPB memudahkan peneliti untuk menangkap gambaran perilaku food waste secara spesifik. Hasil studi ini juga dapat menjadi acuan intervensi untuk mengurangi perilaku membuang makanan pada dosen di kegiatan pelatihan.
Por un nuevo pacto social garantista de los derechos fundamentales para afrontar la crisis y la recuperación
Authors: Monereo Pérez José Luis
Published: October 2020

La Pandemia actual no es sólo una crisis sanitaria. Es lo que en las ciencias sociales —en la dirección más solvente— se califica técnicamente de «hecho social total», en el sentido específico de que impacta y convulsa el conjunto de las relaciones y estructuras sociales, y conmociona a la totalidad de los actores (políticos, sociales y económicos), de las instituciones y de los valores de la sociedad, planteando una exigencia de recomposición de la cohesión social.
El abuso en el nombramiento de personal estatutario interino: irregulares, pero no fijos
Authors: Fernández Domínguez Juan José
Published: October 2020

La sentencia reitera doctrina sobre el abuso por la Administración del recurso a contratos o relaciones temporales para cubrir necesidades permanentes. Aun cuando niega que pueda tener lugar la estabilización a través de vía judicial (contrato o relación como fijo o estatuto equivalente), recoge aportaciones interesantes, como las relativas a la vinculación del carácter “sucesivo” de contratos o nombramientos al incumplimiento de la obligación de organizar en plazo el proceso selectivo de provisión, la negativa a que el empleado pueda sufrir cualquier perjuicio por haber consentido la celebración de contratos sucesivos,o, en fin, la remisión a los órganos judiciales nacionales de la labor de ponderar si una indemnización equivalente a la prevista para el despido improcedente puede ser considerada como una medida equivalente a las recogidas en el Acuerdo Marco para prevenir los abusos en la contratación temporal.
La demarcación territorial de la medida cautelar como elemento competencial
Authors: Moreno Romero Francisca
Published: October 2020

Los distintos espacios competenciales tanto por razón de la materia -a los que se vinculan las peticiones de medidas cautelares (derechos fundamentales, prevención de riesgos laborales…)-, como por razón del ámbito territorial de aplicación de las mismas, constituyen el núcleo central de la sentencia. No obstante, y desde una perspectiva más general, la doctrina del Tribunal Supremo y del Tribunal Superior de Justicia de Andalucía recogen la excepcionalidad de la situación y su influencia a la hora de denegar las medidas cautelares.
Reseña laboral sistematizada- a modo de guión- de las principales normas de contenido laboral contenidas en la disposiciones legales de los meses de marzo a junio de 2020 con motivo del COVID-19
Authors: García Ninet José Ignacio
Published: October 2020

Resumen.
Hacia la recuperación de la formación profesional para el empleo presencial
Authors: Poyatos Chacón María Fátima
Published: October 2020

El trabajo analiza y valora el Sistema actual de la Formación Profesional para el Empleo en España, desde un punto de vista jurídico. El análisis de las normativas avanza desde los primeros acuerdos resaltando la importancia de la Formación Profesional para el Empleo y que contemplan las bases, hasta las distintas incorporaciones y novedades acaecidas en el tiempo, con especial incidencia a la situación presente COVID, la cual ha supuesto una paralización del Sistema de Formación, y adaptación de éste a través de medidas extraordinarias para reactivar los cursos de Formación Profesional para el Empleo de forma presencial.
Comparing the efficiency of base and multiplicative selection indices for yield and quality traits in Cassava
Authors: Ntivuguruzwa Severin , Edema R. , Gibson Paul , Alladassi M.E.B. , Nduwumuremyi A. , Abincha W. , Kawuki R.
Published: October 2020

The efficiency of two selection indices; base index and the multiplicative index was compared to determine the effectiveness of each in identifying superior genotypes in cassava (Manihot esculent Crantz) population. Genotypic data on various yield and quality traits among 570 cassava genotypes were used to construct these selection indices. The efficiency of these indices was compared by determining the performance means of each genotype for studied traits and computing selection differentials of each index. Best linear unbiased predictions (BLUPs) for dry matter content and harvest index were also used for comparison of the two selection indices.  The base index produced high-performance means of all five studied traits and proved to be more efficient compared to the multiplicative index in the improvement of cassava genotypes. In addition, the base index produced high selection differentials for three out of five studied traits. It was concluded that the base index is useful in cassava germplasm selection
The problem of subjectivation in Cynicism
Authors: Rusakov Sergei Sergeevich
Published: October 2020

This article presents the analysis of the philosophy of the Cynics, dedicated to pursuit and conceptualization of the ideas of subjectivation. The concept of subjectivation, which can be found in the works of M. Foucault, still does not have a systemic and conceptual framework. One of the gaps determines in the works of French scholar is the disparate use philosophical ideas of the Cynics. An attempt is made to interpret the ideas of this philosophical trend for extracting the comprehensive model of subjectivation and outline the key techniques of “care of the self”. The article employs the translated sources, in the form of separate fragments written by the Cynics, as well as a number of analytical works carried out by Russian and foreign researchers. Alongside the method of historical and philosophical reconstruction, the work applies the comparative and analytical approach. The novelty consists in the attempt to describe the general ideas of the Cynics in the sphere of ethics and formulate the Cynic model of subjectivation for filling the existing gaps in corresponding writings of M. Foucault. Special attention is given to the following aspects: 1) identification of fundamental principles underlying the worldview of the Cynics; 2) formulation of subjectivation techniques that allow building the “selfhood”; 3) comparison and tracing the Cynic ideas borrowed by Platonism and Christianity.
The vector of socio-natural evolution: from global to geospatial sustainability
Authors: Ursul Arkadii Dmitrievich
Published: October 2020

The subject of this research research is the resolution of socio-natural contradiction, which consists in the fact that the growing needs of mankind are no longer satisfied by the biosphere, which can escalate into a planetary catastrophe. The resolution of this contradiction consists in the achievement of global sustainability that takes place in accordance with the certain “algorithms of development”, which opens horizons for a long-term and safer socio-natural evolution on Earth. The global world,  although becoming sustainable,  is not isolated from the space processes and factors due to the natural-spatial connection of the planet with its extraterrestrial environment, and even more so, due to the beginning of space exploration. Even the global world created in the future would not long endure without further sustainable space exploration; its longevity would require transition of the industrial complex in the outer space. Thus, the achievement of global sustainability will be accompanied by transition to an even safer type of evolution with focus on reaching geospatial sustainability. The further socio-natural evolution clearly indicated geospatial trend, which connects the vectors of global and extraterrestrial mainlines of sustainable development.
PENGARUH RENDAM KAKI AIR HANGAT TERHADAP KUALITAS TIDUR PADA LANSIA DI WILAYAH KERJA PUSKESMAS HANDAPHERANG KABUPATEN CIAMIS TAHUN 2019
Authors: Wibowo Daniel Akbar , Purnamasari Laila
Published: October 2020

Proses menua adalah proses alami yang disertai adanya penurunan kondisi fisik dengan terlihat adanya penurunan fungsi organ tubuh. Proses penuaan membuat lansia lebih mudah mengalami gangguan tidur. Penanganan gangguan tidur dapat dilakukan dengan 2 cara yaitu  secara farmakologi dan secara non farmakologi. Penatalaksanaan secara non  farmakologi adalah pilihan alternative yang lebih aman, yakni dengan cara rendam kaki air hangat. Manfaat air hangat adalah untuk membuat tubuh lebih rileks, menyingkirkan rasa pegal-pegal dan kaku di otot, dan mengantar agar tidur bisa lebih nyenyak. Peneliti menggunakan metode eksperimen kuasi. Populasi penelitian ini adalah lansia berumur 60-70 tahun sebanyak 30 lansia. Sampel dalam penelitian ini menggunakan total sampling sebanyak 30 lansia yang terdiri dari 15 orang kelompok intervensi dan 15 orang kelompok kontrol. Hasil penelitian menunjukan bahwa sebagian besar lansia pada kelompok Kontrol yaitu memiliki kualitas tidur buruk sebanyak 10 orang (66,7%) sedangkan Kualitas Tidur Kelompok Intervensi setelah Dilakukan Rendam Kaki Air Hangat Pada Lansia sebagian besar reponden memiliki kualitas tidur baik sebanyak 10 orang (66,7%) Berdasarkan hasil uji t-test diperoleh nilai hitung t hitung sebesar 24,261 dari nilai t tabel sebesar  2,624. Dari analisa tersebut bahwa Ha diterima atau ada pengaruh rendam kaki air hangat terhadap kualitas tidur pada lansia di Wilayah Kerja Puskesmas Handapherang Kabupaten Ciamis. Saran diharapkan bagi lansia dapat menjadi bahan pertimbangan untuk lansia untuk memperbaiki kualitas tidur yang buruk dengan cara menghindari kecemasan.
GAMBARAN KEPUASAN KELUARGA PASIEN STROKE PADA PEMENUHAN PERSONAL HYGIENE OLEH PERAWAT DI RUANG MAWAR RUMAH SAKIT UMUM DAERAH KABUPATEN CIAMIS TAHUN 2018
Authors: Permatasari DIta , Rohimah Siti , Romlah Romlah
Published: October 2020

Background Family and patient satisfaction is the first indicator of a hospital's standard and is a measure of service quality. Meeting basic needs is an important action that nurses must take to hospitalized clients, including those in stroke clients. Personal hygiene action is one of the basic needs that nurses must do to clients. Personal hygiene is an action to maintain one's hygiene and health for physical and psychological well-being. The purpose of this study was to describe the family satisfaction of stroke patients in the fulfillment of personal hygiene by nurses in the Rose Room of the Ciamis District General Hospital in 2018. This type of research uses descriptive, namely a research method with the main purpose of making a description or description of an object. The population in this study were all families of stroke patients who were undergoing treatment in the Rose Room of the Ciamis District General Hospital in December 2018 as many as 30 people. Sampling in this study used a total sampling technique, namely the entire population as a sample of the study as many as 30 families of stroke patients. The results showed that the family satisfaction of stroke patients in fulfilling personal hygiene by nurses in the Rose Room of the Ciamis District General Hospital, the highest frequency was quite satisfied category of 11 people (36.7%), satisfied categories were 8 people (26.7%) ), the category of dissatisfaction was 7 people (23.3%) and the lowest frequency was in the very satisfied category of 4 people (13.3%). Suggestions are expected that in nursing services nursing staff should be active in getting new information and knowledge about nursing science, especially regarding the fulfillment of personal hygiene, more intensively conducting socialization and health education about personal hygiene so as to reduce the risk of complications which can ultimately increase their role as professional nurses and satisfaction with family and patients.
HUBUNGAN KOMUNIKASI TERAPEUTIK PERAWAT DENGAN KEPUASAN PASIEN DI RUANG RAWAT INAP RUMAH SAKIT UMUM DAERAH KABUPATEN CIAMIS TAHUN 2018
Authors: Kurniasih Eli
Published: October 2020

Individu akan melewati beberapa fase perkembangan yang pada akhirnya mencapai usia lanjut atau lansia (Sunaryo:2004). Relaksasi Progresif yang merupakan terapi berdasarkan hubungan antara ketegangan otot dengan ketegangan emosi. Kecemasan merupakan suatu perasaan subjektif mengenai ketegangan mental yang menggelisahkan sebagai reaksi umum dari ketidakmampuan mengatasi suatu masalah atau tidak adanya rasa aman. Perasaan yang tidak menentu tersebut pada umumnya tidak menyenangkan yang nantinya akan menimbulkan atau disertai perubahan fisiologis dan psikologis (Rochman, 2010:104). Penelitia ini bertujuan mengetahui dampak penerapan terapi komplementer Relaksasi Progresif pada Pasien Lansia dengan gangguan Kecemasan di panti Wredha Welas Asih Tasikmalaya. Penelitian ini  menggunakan desain pra eksperimen dengan pra dan post test without control design. Seluruh sampel di cek dulu apakah mengalami kecemasan atau tidak, jika mengalami kecemasan lalu diberikan perlakuan berupa Terapi Relaksasi Progresif, apakah ada penurunan atau peningkatan dari kecemasannya. Hasil penelitian menunjukkan tingkat kecemasan responden yang tidak ada perubahan  setelah dilakuan intervensi relaksasi progresif terbanyak yaitu pada tidak ada perubahan sebanyak 19 responden (76%), sedangkan  ada perubahan  sebanyak 6 responden (24%). Simpulan Diketahui tingkat kecemasan tingkat kecemasan pada lansia di panti wredha Welas Asih Tasikmalaya sebanyak 23 responden atau 92% mengalami kecemasan ringan. Saran yang diberikan kepada Pengelola panti Relaksasi otot sebaiknya dilakukan setiap hari untuk membantu mengurangi ketegangan otot yang berdampak pada penurunan tingkat kecemasan.
A percepção da equipe de enfermagem sobre o cuidado à mulher em situação de abortamento: revisão integrativa
Authors: Andrade Josiane dos Santos , Nonato Lucas Luzeiro , Carneiro Marcio Leles Gama , Ribeiro Renilson de Souza , Junior Orácio Carvalho Ribeiro
Published: October 2020

Objetivo: Analisar a percepção da equipe de enfermagem sobre o cuidado à mulher em situação de abortamento. Métodos: Trata-se de uma revisão integrativa da literatura, onde foram eleitos 7 artigos nas bases de dados Scientific Electronic Library Online (SCIELO) e Literatura Latino-Americana em Ciências da Saúde (LILACS) no período de janeiro de 2008 a setembro de 2018. Resultados: Os estudos revelam que a percepção dos profissionais de enfermagem sobre a mulher em situação de abortamento é essencialmente negativa, sendo moldada por questões culturais, legais, religiosas e sócio econômicas, fato que gera o preconceito no atendimento a estas mulheres, contribuindo para o mau funcionamento desse serviço. Considerações Finais: Ao final percebe-se a percepção evidenciada dos enfermeiros sobre as mulheres em situação de abortamento é extremamente negativa por questões da falta de ética profissional, onde a atitude e valores sociais visam questões religiosas, culturais, econômicas e sociais que influenciam muito negativamente na assistência prestadas a essas pacientes, marginalizando o atendimento devido fazerem julgamentos pessoais.
Impedimetric Characterization of Bioelectronic Nano-Antennae
Authors: Robinson Andie , Jain Akhil , Rahman Ruman , Abayzeed Sidahmed , Hague Richard , Rawson Frankie
Published: October 2020

The merging of electronics with biology at the nanoscale holds considerable promise for sensing and modulating cellular behavior. Advancing our understanding of nano-bioelectronics will facilitate development and enable applications in biosensing, tissue engineering and bioelectronic medicine. However, studies investigating the electrical effects when merging wireless conductive nanoelectrodes with biology are lacking. Consequently, a new tool is required to develop a greater understanding of the bioelectrical effects of merging conductive nanoparticles with biology. Herein, this challenge is addressed by developing an impedimetric method to evaluate bipolar electrochemical systems (BESs) that could act as nano-antennas. A theoretical framework is provided, using impedance to determine if conductive nanoparticles can be polarized and used to drive current. It is then demonstrated that 125 nm Au nanoparticle bipolar electrodes (BPEs) could be sensed in the presence of biology when incorporated intracellularly at 500 mg/ml, using water and PBS as electrolytes. These results highlight how nanoscale BPEs act within biological systems and characterize their behavior in electric fields. This research will impact on the rational design of using BPE systems in biology for both sensing and actuating applications.
Evaluation of the Mechanical Properties and Blood Compatibility of Polycarbonate Urethane and Fluorescent Self-Colored Polycarbonate Urethane as Polymeric Biomaterials
Authors: Zamani Ehsan , Yahyaei Hossein , Zamani Majid
Published: October 2020

Fluorescent polymeric biomaterials have got significant attention due to their promising applications in biomedical fields such as labeling, monitoring, diagnostics, imaging and tracking. Polycarbonate urethane (PCU) and 1,8-naphthalimide based fluorescent dyes separately have been studied and shown great biocompatibility and physical properties. Therefore, in this work we have taken advantage of excellent fluorescence properties of naphthalimide dye and biocompatibility of PCU, and covalently attached the fluorescent dye to the PCU (self-colored PCU). Covalent attachment can increase the stability of the dye in the biomedical applications especially when biomaterials are in contact with blood and can inhibit the release of the dye to surrounding media. DMTA, AFM, and contact angle measurement were used to study the mechanical and morphological properties of the self-colored PCU and results showed that incorporation of the dye to the PCU did not change the mechanical and morphological properties of the PCU. In addition, MTT assay, hemolysis assay, PT and aPTT assays as well as protein adsorption assay was used to evaluate the blood compatibility of PCU and self-colored PCU and results indicated great bio and blood compatibility of these materials. These great mechanical and blood compatibility properties of the self-colored PCU as well as their excellent fluorescent properties suggested that, these materials could be an ideal candidates to be use in biomedical applications in which non-invasive and non-destructive fluorescent based techniques are required.
Complete Blood Count as a Diagnostic Marker in Oral Lichen Planus
Authors: Indra G  , Maragathavalli G  , Deepika Rajendran
Published: October 2020

Oral precancerous lesions and conditions like oral lichen planus, leukoplakia, or oral submucous fibrosis have the potential to develop into oral cancer. Oral cancer accounts for approximately 3 % of all malignancies. Oral lichen planus is a premalignant condition occurring in the oral cavity due to various factors. Blood investigations are routinely done minimally invasive procedures carried out for various diagnostic purposes. The study aims to identify if the complete blood count (CBC) can be used as a pathologic diagnostic marker in an oral premalignant disorder like oral lichen planus. A total of 64 patients (38 female, 26 male) were taken into the study between the period July 2019 - March 2020. Each patient is exposed to blood investigations, and their results are studied. The results of the study show a minimal variation in the blood results. In conclusion, to determine if it can be used as a pathological diagnostic marker in premalignant disorders like oral lichen planus, further studies must be carried out in larger populations.
Comparative analysis of the success rate of direct and indirect pulp capping procedures - A retrospective analysis
Authors: Keerthana T  , Sindhu Ramesh  , Deepak S
Published: October 2020

Treatment options of pulp exposure involve either extraction or root canal therapy, as latter involves multiple appointments and considerable expense. An alternate procedure is pulp capping, which is divided into two types- direct, indirect pulp capping. The aim of this study was to assess and compare the success rate of direct and indirect pulp capping procedures based on postoperative pain and patient's visit after pulp capping procedure. As it was a retrospective analysis, data collected from hospital, Chennai, and it consisted of a total of 439 cases evaluated based on the type of pulp capping done. Inclusion criteria consisted of Patients aged 18 – 50 years who received direct, indirect pulp capping procedures. Patients who received deep caries management. Patients who have obvious carious lesions noted clinically, radio graphically and received either complete/ partial caries removal followed by placement of cavity liner. The collected data was imported to excel sheet, analyzed using SPSS software. In this study of 261 patients (99 are females, 162 are males with a mean age of 18-40) were included. It was observed that there was not a significant difference among the groups. Indirect pulp capping has a higher success rate over Direct pulp capping with a p-value greater than 0.05. Within the limitations of this study, it can be concluded that the indirect pulp capping has a higher success rate over the direct pulp capping procedures, although it's not statistically significant.
Analysis of various treatment modalities of herpetic lesions
Authors: Indra G  , Maragathavalli G  , Deepika Rajendran
Published: October 2020

Herpes Simplex Virus (HSV) is a debilitating infectious disease, often the root cause of all oral herpetic lesions. The oral herpes virus affects the individuals aesthetically, healthwise, and psychologically as well. The aim of the study is to analyze and evaluate the various treatment modalities practiced at the Department of Oral Medicine at Saveetha Dental College and Hospital, Chennai. A total of 64 participants were involved in the study conducted between the period of July 2019 - March 2020. The patients were receiving either of the following treatment: (i) Topical antivirals (ii) Topical anti-inflammatory or analgesics (iii) Systemic antivirals (iv) Systemic antipyretics (v) Supportive therapy if any. The result of the study conducted shows the prevalence of usage of 57% of topical antivirals, 12% of systemic antivirals, 12% of topical anti-inflammatory and analgesics, 13% of systemic antipyretics and 6% of supportive therapy. In conclusion, the topical antiviral drugs prescribed were of high prevalence. However, advising necessary supportive therapy can help in faster healing of the lesions.
Boutevin, C. "Livres de poème(s) et poème(s) en livres pour la jeunesse aujourd’hui". Bordeaux: Presses Universitaires de Bordeaux, 2018, 312 pp.
Authors: Senís Fernández Juan
Published: October 2020

Reseña de Boutevin, C.  Livres de poème(s) et poème(s) en libres pour la jeunesse aujourd’hui. Burdeaus: Presses Universitaires de Bordeaux, 2018, 312pp.
Una reflexión
Authors: Machado Ana Maria
Published: October 2020

En un texto que, a la vez, es reflexivo en tono subjetivo, pero además busca ser objetivo según parámetros críticos, la autora lanza una mirada sobre su propia obra para niños y jóvenes, desde la publicación de sus primeros cuentos en 1969 y examina cómo se presenta en ella la cuestión de los géneros. Ubica su camino personal frente al desarrollo de la literatura infantil y juvenil de su país y busca relacionarlo con autores de su generación en el marco de sus circunstancias históricas y sociales. Analiza las características más constantes de sus textos y los eventuales cambios o aspectos distintos de su creación literaria personal, a lo largo de ese recorrido, tanto bajo su propia mirada autorreflexiva como según el análisis crítico de académicos que escribieron sobre su obra y abordaron ese aspecto. Además, comenta algunos retos específicos que encuentra en la labor cotidiana de escribir, frente a reglas gramaticales portadoras de marcas de género en los idiomas ibéricos y su búsqueda de soluciones en la práctica creadora. Palabras clave: reflexión, crítica, trayectoria de Ana Maria Machado, géneros literarios, estudios de género, lenguaje.
El cuento y el álbum: (in)visibilidad femenina en la literatura infantil y juvenil vasca del siglo XXI
Authors: Etxaniz Xabier
Published: October 2020

En la Literatura Infantil y Juvenil (LIJ) vasca se ha dado un incremento de la presencia de autoras y protagonistas femeninas. Esta feminización de la LIJ se ha dado en todos los ámbitos pero, sobre todo, en las obras premiadas y en los álbumes. Analizamos no solo el incremento cuantitativo de las autoras -escritoras e ilustradoras-, sino también la imagen de la mujer que se ofrece en las nuevas obras.Palabras clave: Literatura infantil y juvenil, feminismo, obras premiadas.
"Niña bonita": la cultura del mestizaje en el discurso identitario de Ana Maria Machado
Authors: Aparicio García Isabel
Published: October 2020

En el presente artículo mostramos los resultados obtenidos en una investigación llevada a cabo con un grupo de estudiantes de 4º de Educación Primaria en torno al cuento de Ana Maria Machado, Niña bonita (2016), editado por Ekaré. En el marco del paradigma interpretativo, hemos optado por el enfoque Chambers, que nos ha permitido obtener las respuestas lectoras de los niños y niñas. A través de ellas, hemos podido explorar su capacidad para establecer conexiones intertextuales y valorar la influencia de la lectura literaria en la construcción de sus identidades. Además, queríamos conocer si existen diferencias significativas entre las respuestas de los niños y de las niñas. Palabras clave: lectura literaria, respuestas lectoras, enfoque Chambers, Ana Maria Machado, "Niña bonita".
Procesos de identificación literaria, una ventana abierta a los universos literarios adolescentes: acercamiento desde una perspectiva de género
Authors: Nájera Archilla Marta
Published: October 2020

En este artículo se presentan los resultados de la investigación realizada en el curso 2017-2018 en el I.E.S Medina Albaida (Zaragoza) en torno a los procesos de identificación literaria entre lectores adolescentes, desde una perspectiva de género. Se analizan las respuestas dadas por el alumnado a las cuestiones de la encuesta planteada: ¿Con qué personajes te identificas más, con los masculinos o con los femeninos?, ¿Qué personaje te gustaría ser de los/las que protagonizan los libros que has leído? Asimismo, se presentan, como resultados de la investigación, el pensamiento adolescente, sus universos literarios, estereotipos y roles de género tradicionales enraizados en el pensamiento colectivo. Paralelamente, las conclusiones obtenidas permitirían diseñar propuestas didácticas para prevenir comportamientos sexistas y discriminatorios y tratar de erradicar las violencias de género.Palabras clave: Literatura Infantil y Juvenil, procesos de identificación literaria, perspectiva de género, adolescencia, roles y estereotipos de género
Palmeras aceiteras del Ecuador: estado del arte en la investigación de nuevos recursos oleaginosos provenientes del bosque tropical.
Authors: Montúfar Galárraga Rommel , Brokamp Grischa
Published: October 2020

Ecuador tiene una elevada diversidad de palmeras (Arecaceae) en su territorio (134 especies nativas), algunas de las cuales constituyen potenciales fuentes de aceites. Se realizó una revisión bibliográfica que incluyó 24 trabajos que reportan la composición de ácidos grasos y contenido de aceites de frutos de palmeras pertenecientes a los géneros Astrocaryum, Attalea, Bactris, Cocos, Elaeis, Euterpe, Mauritia, Oenocarpus, y Phytelephas. En base a los análisis de PCA y UPGMA, se observa que los aceites derivados de palmeras pueden clasificarse primariamente en función del tejido de aislamiento: (a) aceites derivados de mesocarpo ricos en ácidos grasos mono-insaturados (MUFAs), y (b) aceites derivados del endospermo ricos en ácidos grasos saturados (SFAs). En particular, el mesocarpo de Phytelephas aequatorialis y el endospermo de Mauritia flexuosa tienen una elevada proporción de ácidos poli-insaturados (PUFAs). A pesar del potencial de los aceites derivados de frutos de palmeras como nuevas fuentes oleaginosas; limitaciones en la productividad de aceite, en el manejo, extractivismo de especies dioicas, y la conservación de los recursos fitogenéticos requieren ser estudiados
Antimicrobial susceptibility of Neisseria gonorrhoeae in Barcelona during a five-year period, 2013 to 2017
Authors: Salmerón Paula , Viñado Belén , El Ouazzani Rachid , Hernández Marta , Barbera María Jesús , Alberny Mireia , Jané Mireia , Larrosa Nieves , Pumarola Tomás , Hoyos-Mallecot Yannick , Serra-Pladevall Judit
Published: October 2020

Introduction

Increasing rates of antimicrobial resistance in Neisseria gonorrhoeae cause problems for treating gonorrhoea.

Aim

This observational study aimed to describe isolates from all patients found infected with N. gonorrhoeae, in Barcelona, Spain, between 2013 and 2017, and with available antimicrobial susceptibility data.

Methods

Minimum inhibitory concentrations (MICs) of penicillin (PEN), cefixime (CFM), ceftriaxone (CRO), azithromycin (AZM), ciprofloxacin (CIP), spectinomycin (SPT), fosfomycin (FOF) and gentamicin (GEN) were determined by E-test. Susceptibility was assessed using clinical breakpoints from the European Committee on Antimicrobial Susceptibility Testing. Time trends for PEN, CFM, AZM and CIP were investigated using logistic regression.

Results

Of 1,979 patients with infection (2,036 isolates), 1,888 (95.4%) were men. Patient median age was 32 years. The proportions of isolates resistant to extended-spectrum cephalosporins were low, with 0.3% (5/1,982) resistant to CRO and 4.9% (98/1,985) to CFM. AZM resistance prevalence was 2.7% (52/1,981), including 16 isolates detected in 2016 and 2017, with high-level resistance. For CIP, 51.3% (1,018/1,986) of isolates were resistant, and for PEN, 20.1% (399/1,985). All isolates were susceptible to SPT. MIC50 and MIC90 values of GEN were 4 and 6 mg/L and of FOF 12 and 24 mg/L, respectively. Between 2013 and 2017, PEN and CFM resistance rates each decreased from 28.1% (92/327) to 12.2% (70/572) and from 8.3% (27/327) to 4.4% (25/572) (p ≤ 0.0073). In contrast, AZM resistance prevalence appeared to increase from 1.5% in 2014 (5/340) to 3.0% (17/572) in 2017. No trend was identified for CIP.

Conclusion

Antimicrobial susceptibility surveillance is important to timely detect new phenotypes and trends.