bluuebunny/crossref_metadata_2025 huggingface dataset:
A validação de uma tecnologia educacional como recurso didático para o ensino da toxoplasmose gestacional
Authors: Costa Alfredo Cardoso , Silva Elcilane Gomes , Silva Renata Cunha , Pinheiro Rebeca Fontenele , Domingues Robson José de Souza , Bichara Cléa Nazaré Carneiro
Published: March 2024

A toxoplasmose é infecção causada pelo protozoário Toxoplasma gondii, ao atingir as mulheres durante a gravidez pode causar sérios danos ao feto. Na abordagem da prevenção da toxoplasmose gestacional durante a assistência no pré-natal, a validação da tecnologia educacional para promover a capacitação dos profissionais da área da saúde torna-se fundamental para orientar corretamente as mulheres durante a gestação e promover educação em saúde. O presente estudo tem como objetivo validar uma tecnologia educacional destinada ao ensino da toxoplasmose gestacional. Estudo metodológico realizado com juízes especialistas da área da saúde e do ensino com expertise em produtos educacionais. A tecnologia educacional foi avaliada por 15 juízes especialistas que avaliaram a qualidade da Interface, objetivos, estrutura e apresentação, relevância e linguagem verbal apresentaram IVC maior que 0,8, sendo considerados todos os blocos como válidos. A tecnologia educacional é válida a ser utilizada no ensino da toxoplasmose gestacional, mostrando-se um material útil para estudantes, residentes e profissionais da área da saúde.
Filiação partidária como indicador de mobilização popular
Authors: Lima Carlos Alberto da Silva , Ribeiro Luiz Fernando Caldeira
Published: March 2024

O objetivo do trabalho foi identificar se houve mudança estatisticamente significante na quantidade de filiados em partidos políticos, sua escolaridade e idade após os escândalos políticos ocorridos em 2005 (Mensalão) e 2014 (Operação Lava Jato). Como metodologia foi analisada a base de dados de filiações do TSE e, a classificação dos partidos políticos da [ABCP] para a segregação por vertentes partidárias. Foi realizada a decomposição das séries temporais utilizado o software RStudio®. Os dados foram tratados como séries temporais de ciclos quadrienais. Com vistas a testar os dados com base em métodos supervisionados, foi efetuada a análise de autorregressão com médias móveis para modelos sazonais (SARIMA) para as séries temporais. Foram inseridas duas variáveis binárias, cada uma para referenciar temporalmente os eventos mencionados. Tal procedimento teve o intuito de verificar a significância estatística de sua inclusão como coeficientes dos modelos gerados. Analisando-se as séries temporais observa-se que o comportamento das novas filiações partidárias no Brasil a partir da redemocratização segue um padrão sazonal (esperado) de 4 anos. Os fatores de idade e níveis de escolaridade não apresentaram mudanças significativas. No entanto, verificou-se que as novas filiações migraram de partidos tradicionais para novos partidos, reduzindo o poder de partidos tradicionais, e que a esquerda, quando a segregação de partidos é feita em 5 vertentes, mostra pouca expressividade quantitativa. Em relação entre mobilização popular e filiação partidária, os resultados obtidos sugerem que tal relação inexiste e que o ritmo e o perfil dos novos filiados se mantêm os mesmos das últimas décadas.
Núcleo de educação permanente regional no serviço de atendimento de urgência: percepção de enfermeiros
Authors: Dutra Gelson Garcia , De Siqueira Hedi Crecencia Heckler , Flores Rosiele Gomes , Bick Miguel Armando , De Ávila Luciane Feira Gomes Espíndola , De Paula Saul Ferraz
Published: March 2024

Objetivou-se conhecer a percepção dos enfermeiros sobre o Núcleo de Educação Permanente do Serviço de Atendimento Móvel de Urgência da Região Sul do Rio Grande do Sul e propor sua implementação e/ou aperfeiçoamento. Trata-se de estudo exploratório e descritivo com abordagem qualitativa realizado por meio de entrevistas com 16 enfermeiros que atuam no Serviço de Atendimento Móvel de Urgência na Região Sul do Rio Grande do Sul. Os dados evidenciaram a importância da Educação Permanente para aprimorar a capacitação dos profissionais e, consequentemente, a assistência oferecida à população. Considera-se que a institucionalização de um Núcleo de Educação Permanente Regional poderá incrementar resultados favoráveis e enriquecedores para os trabalhadores desse serviço, ampliar o alcance de atuação e compartilhar as responsabilidades entre os envolvidos do serviço na regional. Os dados permitiram antever e compreender os benefícios esperados dessa capacitação e formação contínua dos profissionais. Desse modo, o Núcleo de Educação Permanente Regional vislumbra múltiplos benefícios para os trabalhadores, que se retroalimentam de forma contínua, às instituições que aperfeiçoam a oferta do serviço e, especialmente, a população que usufrui dos produtos desse serviço.
Brasil e Argentina em tempos de integração
Authors: Almeida Fernando Roberto de Freitas , Gomes Victor Leandro Chaves
Published: March 2024

A análise das relações Brasil-Argentina é um tema relevante na história das relações internacionais dos dois países. Na América do Sul, sempre foram os principais protagonistas, em todas as áreas, destacando-se no sistema internacional e estabelecendo relacionamento pontilhado por momentos de perigosa tensão e de aproximação cuidadosa. Fatores externos por vezes intervieram, dificultando aproximação, configurando-os frequentemente como vizinhos distantes. Projetos de industrialização foram conduzidos sem preocupação com o aproveitamento de sinergias, mas, separadamente, lograram sucessos, em especial no caso brasileiro, em que o Desenvolvimentismo se converteu em ideologia nacionalista. Os tempos de integração começam após o fim das mais recentes ditaduras que vivenciaram, aprofundando-se na última década do século XX, justamente quando um projeto importado, o Neoliberalismo, começa a se impor sobre as estratégias de desenvolvimento gestadas na região. O presente artigo analisa as convergências e as divergências na relação bilateral, sob pressão de um sistema internacional em rápida mutação.
Разработка способов и средств выявления межвитковых замыканий в обмотках силовых трансформаторов
Authors: Белов Александр Владимирович , Шаймухаметова Ольга Рафхатовна , Ильин Юрий Петрович , Скородумова Наталья Викторовна , Епишков Егор Николаевич
Published: March 2024

Надежность электроснабжения предприятий АПК во многом зависит от работоспособности понижающих трансформаторов 6–10/0,4 кВ, ежегодное количество отказов которых достигает 9 %. Основной причиной выхода из строя трансформаторов являются межвитковые замыкания в обмотках. Выявление замыканий осложняется тем, что в начальной стадии повреждения токи в обмотках изменяются незначительно и релейная защита не срабатывает. Дальнейшее развитие повреждения приводит к серьезной аварии и высокой стоимости ремонта трансформатора. Целью работы является выявление межвитковых замыканий на начальной стадии их возникновения. Предложено производить диагностику межвитковых замыканий в обмотках трансформатора, измеряя токи в фазах при отключенной нагрузке, т.е. в режиме холостого хода. Установлено, что межвитковые замыкания приводят к увеличению несимметрии фазных токов в режиме холостого хода трансформатора. Поскольку показателем несимметрии в трехфазной системе с изолированной нейтралью является ток обратной последовательности, то по увеличению тока обратной последовательности можно судить о появлении межвитковых замыканий. Разработан способ выявления межвитковых замыканий в обмотках трехфазных трансформаторов. Способ заключается в следующем. Перед началом эксплуатации трансформатора в режиме холостого хода при номинальном напряжении питания с применением измерительных трансформаторов тока измеряются токи в фазах трансформатора. По модулям фазных токов рассчитывается ток обратной последовательности, для чего разработана программа на ЭВМ. Полученное значение тока обратной последовательности фиксируется в дневнике измерений как исходное. В процессе эксплуатации трансформатор периодически выводится в режим холостого хода, при этом вновь проводятся измерения фазных токов и расчет тока обратной последовательности. Если вновь полученное значение тока обратной последовательности превысит исходное значение, делается вывод о наличии межвитковых замыканий. Высокая чувствительность способа к межвитковым замыканиям обусловлена использованием тока обратной последовательности как индикатора несимметрии в трехфазной сети. Применение способа позволит выявить межвитковые замыкания на начальной стадии их возникновения, что в свою очередь, позволит сократить перерыв в электроснабжении потребителей и минимизировать затраты на ремонт поврежденного трансформатора.
Аспекты формирования технологических процессов в условиях засушливого земледелия
Authors: Окунев Геннадий Андреевич , Зырянов Антон Павлович
Published: March 2024

Низкое и нестабильное по годам обеспечение влагой сельскохозяйственных культур в условиях Урала и Сибири приводит к значительным колебаниям их урожайности. Кроме того ограниченное техническое и кадровое обеспечение большинства агропредприятий не позволяет своевременно и качественно выполнять полевые работы, что также приводит к снижению результативности при производстве продукции растениеводства. Решением данных вопросов является применение ресурсосберегающих технологий, основанных на минимальной обработке почвы или без нее (нулевая технология). Однако их реализация в условиях региона требует корректирования с учетом конкретных природно-производственных условий, в которых находится предприятие. Обзор результатов научных исследований, выполненных отечественными и зарубежными учеными, позволил выявить основные факторы, которые влияют на урожайность культур, возделываемых в условиях ограниченного ресурсного обеспечения, и определить основные приемы для стабилизации их урожайности. Многократными исследованиями установлено, что для этого необходимо осуществлять комплекс мероприятий, направленных на накопление, консервацию и рациональное использование влаги (почвенной, атмосферной и получаемой в виде осадков), сохранение и наращивание плодородия почвы, обеспечение растений питательными макро- и микроэлементами, комбинированную борьбу с сорной растительностью, болезнями и вредителями, применение рациональных севооборотов и диверсификацию производства. При этом реализация данных приемов должна осуществляться энергоэффективными агрегатами и универсальными машинами. Результаты производственных опытов по внедрению данных агроприемов, адаптированных для условий низкой влагообеспеченности, на отдельных сельскохозяйственных предприятиях Челябинской, Курганской областях и Костанайской областей (Республика Казахстан) показали повышение стабилизации урожайности возделываемых культур в различные по погодным условиям годы.
PLASMON ENERGY LOSSES OF ELECTRONS IN MULTILAYER DIELECTRIC STRUCTURES
Authors: Vasilev A. N.
Published: March 2024

The possibilities of engineering energy losses of electrons created in the cascade process of electron-electron
scattering during the interaction of multilayer dielectric structures with ionizing radiation are considered.
It is shown that the contribution of surface plasmons associated with layer boundaries to electron energy
losses is significant only for nanometer layer thicknesses and increases with increasing electron energy. At the
same time, surface states associated with longitudinal optical phonons in ionic crystals significantly change
energy losses during electron thermalization and can lead to an increase in the efficiency and growth rate of
scintillation in nanostructured systems.
Часопростір малої вітчизни Леопольда Бучковського
Authors: Миколайович Сухомлинов Олексій
Published: March 2024

The article examines the author’s models of the borderland of the Polish writer Leopold Buczkowski. In the author’s texts, man is shown to be helpless in relation to the historical process, and therefore undergoes total destruction and annihilation. Despite this, in the works you can also find signs of detective prose and fiction. The models of the military world created by the writer, despite their territorial attachment, have a universal character and relate to universal human values, regardless of nationality, religion or belonging to a cultural tradition.
Підготовка майбутніх учителів до впровадження ігрових технологій у професійній діяльності
Authors: Войналович Олександра
Published: March 2024

The article examines the issue of the implementation of game technologies in the process of training future teachers in the conditions of a higher education institution.
The level of special fitness among Brazilian Jiu-Jitsu practitioners, Gi formula, takedown zone – analysis of the effectiveness of SJFT flow across disciplines
Authors: Wąsacz Wojciech
Published: March 2024

Background: For combat sports athletes, the best test of technical competence and specialized physical fitness is the body's response to the specific effort required in sports confrontation. The aim of this study was twofold. Firstly, to assess the level of specialized fitness in the context of stand-up fighting among Brazilian Jiu-Jitsu (BJJ) athletes. Secondly, to evaluate the effectiveness of the Special Jiu-Jitsu Fitness Test (SJFT) for the discipline of BJJ. Methods: The study involved 22 competitively trained BJJ athletes (age years: 26.66 5.02; Height: 174.25 4.62 cm; Weight: 75.17 7.22 kg; BMI: 24.77 2.44; 6.41 2.65 years of training). Measurements of basic somatic characteristics were performed. Training experience (TE) was diagnosed, and a coaching ranking (CSR) of the participants was developed based on their sports achievements. The participants' specialized fitness was assessed using the Special Judo Fitness Test (SJFT). Test parameters were recorded, and an Index illustrating multidimensional special endurance was calculated according to a specialized formula. Comparative analyses were conducted using statistical procedures to compare selected research results with literature findings from other authors and normative values. Additionally, the relationship between SJFT, TE, and CSR was examined, ultimately evaluating the effectiveness of SJFT in relation to the BJJ discipline. The level of statistical significance was set at p < 0.05. Results: In the course of the analysis, statistically significant strong negative correlations were found between the sum of heart rate measurements (SHR) and TE and CSR (R= -0.69, -0.77; p<0.001). The sum of throws (SR) and Indices correlated weakly to moderately with CSR and TE, showing both positive and negative directions. The groups of participants from our study and those from other authors clearly differed in SR and Indices (p>0.001, d= 2.46 and 2.31), in favor of Judo representatives. To the least significant extent, their heart rate variables (HR max - measurement after the trial; HR 1min. - after 1 minute from the end; SHR - sum of measurements) differentiated them. Results of SJFT variables from our study, positioned within the reference norms of senior Judokas, exhibited a regular level concerning HR max and HR 1min., and a very poor level for SR and Indices. Conclusions: The spatial format and the course of physiological mechanisms of the body during the execution of the trial reflect key moments of gaining advantage over the opponent and are consistent with the nature of combat in this discipline. Additionally, the trial promotes performance in field conditions. Based on the obtained results, validation procedures should be conducted in the field of technical and locomotor planes to modify or construct a new specific diagnostic tool for BJJ.
Herramientas digitales para fortalecimiento de las competencias de Emprendimiento y Gestión del Segundo Bachillerato Técnico
Authors: Inga-Jara Johanna Priscila , Cacoango-Yucta Washington Iván
Published: March 2024

La intención de esta investigación es medir las consecuencias de la introducción de instrumentos digitales educativos para potenciar las competencias de emprendimiento y gestión en alumnos del segundo año de bachillerato técnico. Se utilizó una metodología cuantitativa y un diseño cuasiexperimental con pruebas pre y post en cursos de control y experimental. El estudio se llevó a cabo con una muestra de 32 estudiantes, divididos en dos conjuntos. El curso experimental recibió una intervención pedagógica mediante entornos virtuales de aprendizaje, mientras que el curso control tuvo una intervención convencional. Se evaluaron tres competencias específicas antes y después mediante rúbricas de evaluación. Además, se aplicó la escala Instructional Materials Motivation Survey (IMMS) para medir motivación. Las conclusiones muestran que el conjunto experimental experimentó avances de importancia. en las tres competencias evaluadas en comparación al curso control. Asimismo, en la escala IMMS se halló un aumento considerable en las dimensiones de satisfacción y relevancia percibida de los materiales digitales. Se concluye que la integración efectiva de herramientas digitales en la educación sobre emprendimiento y gestión optimiza el desempeño estudiantil y refuerza habilidades esenciales para su desarrollo profesional. Sin embargo, se requiere mayor investigación sobre la adaptabilidad de estos recursos a diversos contextos educativos.
Helicobacter pylori como factor de riesgo de anemia en pacientes de 18 a 50 años atendidos en el laboratorio clínico Jeyklab Guaranda
Authors: Gavilanes-Carvajal Nataly Alexandra , Quimís-Cantos Yaritza Yelania
Published: March 2024

La investigación se enfocó en la importancia de la bacteria Helicobacter pylori como posible desencadenante de anemia en adultos de 18 a 50 años, tratando un tema de salud pública relevante. Su propósito principal consistió en examinar la conexión entre la bacteria y la anemia en este grupo demográfico, con el objetivo de comprender mejor su relación y el impacto en la salud. Para fines de la investigación se utilizó un método observacional retrospectivo, empleando 300 registros del Laboratorio Clínico Jeyklab Guaranda mediante un muestreo no probabilístico por conveniencia. Se empleó el programa estadístico SPSS para analizar los datos, incluyendo cálculos de prevalencias y la prueba de chi-cuadrado para evaluar la relación entre la presencia de la bacteria y la incidencia de anemia. Los resultados señalaron una asociación estadística significativa entre Helicobacter pylori y la anemia, con una alta prevalencia de la bacteria en la muestra. Además, se observó una elevada frecuencia de anemia, subrayando su importancia clínica y la necesidad de intervenciones adecuadas. En consecuencia, se concluyó que la infección por Helicobacter pylori podría ser un factor de riesgo potencial para la anemia en adultos, resaltando la importancia de abordar ambas condiciones y de implementar medidas de prevención y control. Estos resultados respaldaron la necesidad de estrategias de salud pública para reducir la carga de esta infección y la anemia en la población.
Aprendizagem do Professor sobre Alfabetização e Métodos de Ensino
Authors: Couston Vilma do Socorro Reis
Published: March 2024

Este artigo examina a importância da aprendizagem contínua do professor no contexto da alfabetização e dos métodos de ensino, destacando a necessidade premente de uma abordagem formativa. Dessa forma, pesquisa baseia-se em revisões de literatura recentes sobre práticas pedagógicas para explorar como os professores assimilam novos conhecimentos sobre alfabetização e incorporam estratégias de ensino inovadoras em suas práticas. Os resultados revelam que a aprendizagem do professor desempenha um papel crucial no desenvolvimento efetivo da alfabetização, influenciando diretamente o desempenho dos alunos. Portanto, espera-se dar visibilidade para a importância da formação contínua como uma abordagem essencial para equipar os educadores com as habilidades necessárias para enfrentar os desafios em constante evolução no campo da alfabetização.
A DINÂMICA DA CEASA-PA COM ÊNFASE NA COMERCIALIZAÇÃO DOS SEUS PRODUTOS
Authors: Oliveira Victor Cesar da Silva , Gil Júlia Lôbo Ribeiro Anciotti , Silva Kamilla Crysllayne Alves da , Torres Leandro Marques , Silva Jessica Sueli Pereira da , Mata Camila Mainardi da , Cavalcante Natália Patrícia Fernandes , Santos Lucas Lázaro Cirineu
Published: March 2024

O presente artigo apresenta e discute o funcionamento da instituição Centrais de Abastecimento do Pará- CEASA/PA, com o intuito de apresentar informações, dados institucionais, e modo de funcionamento do local em questão. Diante das pesquisas concebidas, foram apresentadas essas e novas informações do que realmente é tal instituição, entrevistas, conversas com funcionários e visita ao local foram alguns dos meios usados para o colhimento da pesquisa apresentada e o meio de adquirir maior conhecimento para a elaboração do trabalho. A CEASA apresenta grande importância econômica e social na vida da sociedade Paraense, é de suma importância que sua distribuição chegue em todos os cantos do Estado. A falta de profissionais qualificados para completa fiscalizações de atividades e comercialização de produtos, o pouco apoio governamental, a falta de verba para com a instituição o descaso e o abandono são alguns dos empecilhos da empresa, o governo do estado desde muito tempo vem cortando verbas da CEASA e a consequência disso é perceptível no modo que hoje é gerenciada, alguns desses problemas são explanados trazendo a discussão da importância da CEASA não apenas na questão alimentícia, na parte social e econômica como já citado. Sendo assim o artigo em questão vem com intuito de desmembrar todo o processo de funcionamento da CEASA focando na sua importância para o estado e pautando as dificuldades nela imposta para que continue a funcionar e o quanto é de relevância que o melhoramento da instituição pode beneficiar a sociedade do estado do Pará como um todo.
Kvalitet - hvordan vite hva som er gode helsetjenester
Authors: Frich Jan
Published: March 2024

.
Colchicine modulates TIMP1, MMP1, and pMAP4 expression to enhance extracellular matrix degradation in 3T3 fibroblast-mediated myocardial infarction
Authors: Handari Saskia Dyah , Rahman Mohammad Saifur , Sargowo Djanggan , Aulanni’am Aulanni’am , Lestari Bayu , Oceandy Delvac
Published: March 2024

Context: Cardiovascular disease is a leading cause of mortality worldwide. Following acute myocardial infarction (AMI), cardiac cells release many cytokines and proteolytic enzymes that regulate the extracellular matrix (ECM), including matrix metalloproteinases (MMPs), tissue inhibitor of metalloproteinases (TIMPs), and phosphorylated microtubule-associated protein 4 (Phospho/pMAP4). Aims: To analyze the role of colchicine in ECM regulation post-ischemic in cell line culture towards MMPs, TIMPs, and pMAP4. Methods: This in vitro experimental study was conducted on the 3T3 fibroblast cell line subjected to hypoxic conditions (CoCl2 treatment) and compared with 3T3 cells experiencing hypoxia/ischemic and colchicine treatment. MMP-1, TIMP-1, and pMAP4 expression were measured using flow cytometry. Data analysis was performed using One-Way ANOVA with a 95% confidence level. Results: Treatment with colchicine in the 3T3 fibroblast cell culture regulated the extracellular matrix by increasing TIMP-1 expression and reducing MMP-1 and pMAP4 expression (p<0.0001) following ischemic conditions induced by CoCl2. Conclusions: Colchicine effectively mitigates ECM degradation by enhancing TIMP-1 expression and inhibiting MMP-1 activity and pMAP4 expression post-ischemic conditions.
Spectroscopic Analysis of the Effects of Alkaline Extractants on Humic Acids Isolated from Herbaceous Peat
Authors: Li Liping , Ma Litong , Lu Yanan , Wang Ying , Sun Shenguang
Published: March 2024

To study the effect of various extractants on the structure of peat humic acid, peat humic acid was extracted using NH3·H2O, Na2CO3, NaHCO3, and Na2SO3 via alkali-extraction and acid-precipitation methods. The extracted peat humic acid was characterized using ultraviolet−visible (UV-vis) spectroscopy, Fourier transform infrared (FT-IR) spectroscopy, and fluorescence (FL) spectroscopy. The results showed that the extractants had negligible effects on the content of peat humic acids. Na2CO3 was found to be the most effective extractant for isolating humic acids from peat, with the highest content of 66.20% and a yield of 32.67%. Moreover, among the extractants used, NH3·H2O resulted in humic acids with the highest aromaticity, and Na2SO3 yielded humic acids with higher number of hydroxyl groups. NaHCO3 yielded humic acids with the most aliphatic ether and lowest aromaticity. Na2CO3 was the best extractant for isolating humic acids from peat, having the highest content, lowest degree of aromatic polymerization, and highest number of carboxylic acids.
Rikkunshito increases peripheral incretin-hormone levels in humans and rats
Authors: Kono Hiroshi , Furuya Shinji , Akaike Hidenori , Shoda Katsutoshi , Kawaguchi Yoshihiko , Amemiya Hidetake , Kawaida Hiromichi , Ichikawa Daisuke
Published: March 2024

BACKGROUND

It was reported that rikkunshito (TJ-43) improved the cisplatin-induced decreases in the active form of ghrelin in plasma; however, other effects on gastrointestinal hormones have not been investigated.

AIM

To investigate the effects of TJ-43 on peripheral levels of incretin hormones, including gastric inhibitory polypeptide (GIP) and glucagon-like polypeptide-1 (GLP-1), in humans and rats.

METHODS

Patients were divided into two groups, namely patients who received TJ-43 immediately following surgery [TJ-43(+) group] and those who received TJ-43 on postoperative day 21 [TJ-43(-) group], and the plasma levels of active GIP and active GLP-1 were assessed. In animal experiments, rats were treated with TJ-43 [rat (r)TJ-43(+) group] or without [rTJ-43(−) group] by gavage for 4 wk, and the plasma active GIP and active GLP-1 levels were measured. The expression of incretin hormones in the gastrointestinal tract and insulin in the pancreas were investigated by immunohistochemistry. Furthermore, the cyclic adenosine monophosphate activities were assessed in pancreatic tissues from rats treated with or without TJ-43 in vivo , and the blood glucose levels and plasma insulin levels were measured in rats treated with or without TJ-43 in oral glucose tolerance tests.

RESULTS

In humans, the active incretin hormone levels increased, and values were significantly greater in the TJ-43(+) group compared those in the TJ-43(-) group. In rats, the plasma active incretin levels significantly increased in the rTJ-43(+) group compared with those in the rTJ-43(-) group. GIP and GLP-1 expressions were enhanced by TJ-43 treatment. Moreover, plasma insulin levels increased and blood glucose levels were blunted in the rTJ-43(+) group.

CONCLUSION

The results show that TJ-43 may be beneficial for patients who undergo pancreatic surgery.
Duodenal Crohn’s disease: Case report and systematic review
Authors: Amadu Muniratu , Soldera Jonathan
Published: March 2024

BACKGROUND

Inflammatory bowel disease, including ulcerative colitis, microscopic colitis, and Crohn’s disease (CD), has a global impact. This review focuses on duodenal CD (DCD), a rare subtype affecting the duodenum. DCD’s rarity and asymptomatic nature create diagnostic challenges, impacting prognosis and patient well-being. Delayed diagnosis can worsen DCD outcomes.

AIM

To report a rare case of DCD and to discuss the diagnostic challenges and its implications on prognosis.

METHODS

A systematic literature search, following the PRISMA statement, was conducted. Relevant studies were identified and analysed using specific Medical Subject Terms (MeSH) from PubMed/MEDLINE, American Journal of Gastroenterology, and the University of South Wales database. Data collection included information from radiology scans, endoscopy procedures, biopsies, and histopathology results.

RESULTS

The review considered 8 case reports and 1 observational study, involving 44 participants diagnosed with DCD, some of whom developed complications due to delayed diagnosis. Various diagnostic methods were employed, as there is no gold standard workup for DCD. Radiology scans [magnetic resonance imaging (MRI), computed tomography (CT), and upper gastrointestinal X-ray], endoscopy procedures (colonoscopy and esophagogastroduodenoscopy), biopsies, and clinical suspicions were utilized.

CONCLUSION

This review discusses DCD diagnosis challenges and the roles of CT, MRI, and fluoroscopy. It notes their limitations and compares findings with endoscopy and histopathology studies. Further research is needed to improve diagnosis, emphasizing scan interpretation, endoscopy procedures, and biopsies, especially in high-risk patients during routine endoscopy.
Technical note for intraoperative determination of proper acetabular cup size in primary total hip arthroplasty
Authors: Karampinas Panagiotis , Vlamis John , Galanis Athanasios , Vavourakis Michail , Krexi Anastasia , Sakellariou Evangelos , Patilas Christos , Pneumaticos Spiros
Published: March 2024

BACKGROUND

Selecting the optimal size of components is crucial when performing a primary total hip arthroplasty. Implanting the accurate size of the acetabular component can occasionally be exacting, chiefly for surgeons with little experience, whilst the complications of imprecise acetabular sizing or over-reaming can be potentially devastating.

AIM

To assist clinicians intraoperatively with a simple and repeatable tip in elucidating the ambivalence when determining the proper acetabular component size is not straightforwardly achieved, specifically when surgeons are inexperienced or preoperative templating is unavailable.

METHODS

This method was employed in 263 operations in our department from June 2021 to December 2022. All operations were performed by the same team of joint reconstruction surgeons, employing a typical posterior hip approach technique. The types of acetabular shells implanted were: The Dynasty® acetabular cup system (MicroPort Orthopedics, Shanghai, China) and the R3® acetabular system (Smith & Nephew, Watford, United Kingdom), which both feature cementless press-fit design.

RESULTS

The mean value of all cases was calculated and collated with each other. We distinguished as oversized an implanted acetabular shell when its size was > 2 mm larger than the size of the acetabular size indicator reamer (ASIR) or when the implanted shell was larger than 4 mm compared to the preoperative planned cup. The median size of the implanted acetabular shell was 52 (48–54) mm, while the median size of the preoperatively planned cup was 50 (48–56) mm, and the median size of the ASIR was 52 (50–54) mm. The correlation coefficient between ASIR size and implanted acetabular component size exhibited a high positive correlation with r = 0.719 (P < 0.001). Contrariwise, intraoperative ASIR measurements precisely predicted the implanted cups’ size or differed by only one size (2 mm) in 245 cases.

CONCLUSION

In our study, we demonstrated that the size of the first acetabular reamer not entering freely in the acetabular rim corroborates the final acetabular component size to implant. This was also corresponding in the majority of the cases with conventional preoperative templating. It can be featured as a valid tool for avoiding the potentially pernicious complications of acetabular cup over-reaming and over-sizing in primary total hip arthroplasty. It is a simple and reproducible technical note useful for confirming the predicted acetabular cup size preoperatively; thus, its application could be considered routinely, even in cases where preoperative templating is unavailable.
Kaidah Fiqh Al-Ma’ruf Urfan Ka Al-Masyruth Syarthon dan Aplikasinya Pada Fiqh Muamalah Kontemprer
Authors: Almurni Muhammad Furqon
Published: March 2024

Penelitian ini bertujuan mendalami kaidah fikih al-ma’ruf urfan ka al-masyruth syarthon dan menerapkan prinsip-prinsipnya dalam konteks Fiqh Muamalah kontemporer. Dua masalah inti dari penelitian ini adalah bagaimana makna kaidah al-ma’ruf urfan ka al-masyruth syarthon dan contoh aplikasinya dalam fiqh muamalah kontemporer. Metodologi penelitian yang digunakan adalah pendekatan kualitatif, mengintegrasikan studi pustaka, analisis teks fikih, dan pendekatan konseptual. Hasil peneltian ini menunjukkan bahwa jika dilihat dari makna lafazh, maka kaidah ini memiliki makna, “tradisi masyarakat bagai kesepakatan tertulis”. Penjelasan dari kaidah menunjukkan bahwa: kesepakatan tidak tertulis yang disepakati oleh masyarakat di suatu wilayah dianggap sama dengan kesepakatan lisan atau tertulis di antara pelaku transaksi yang harus dilaksanakan oleh semua pihak yang bertransaksi, selama kebiasaan tersebut tidak melanggar hukum yang telah ditetapkan oleh syariah.
Assessing The Role of Multi-Sectoral Platforms and Their Influence on Nutrition Outcomes in West Pokot County, Kenya
Authors:   Amref Health Africa in Kenya, Oruko Happiness , Kutna John ,   Amref Health Africa in Kenya, Gitimu Anne ,   Amref Health Africa in Kenya, Opanga Yvonne ,   Amref Health Africa in Kenya, Wambui Esther ,   Food Agricultural Organization
Published: March 2024

Background: Various actors continue to implement food and nutrition security interventions in West Pokot. SMART Survey Report, 2022 indicates higher stunting rates of 43.2% against 26% at national level. Multisector approach offers comprehensive strategies to enhance food systems as well as food and nutrition security (FNS) through addressing underlying and basic causes of malnutrition which seem to be missed out in most nutrition interventions. The paper highlights the functionality of multi-sectorial platforms (MSP) and their influence on FNS issues in West Pokot County. Methods: A cross sectional design utilizing qualitative data collection methods was utilized. 25 Key Informant Interviews with purposively selected representatives from line ministries and implementing partners were conducted. Additionally, 9 FGDs with Community Based Organizations and Community Health Volunteers were conducted. Qualitative data was audio recorded, translated, transcribed verbatim and coded using MAXQDA version 22. Data was analyzed thematically through deductive and inductive methods. Results: Key findings indicated lack of awareness on existence and objectives of multi-sectoral platforms and County FNS priorities among stakeholders. There was minimal evidence of stakeholder participation in development of FNS priorities at subcounty and community levels, poor dissemination of FNS priorities and the MSP terms of reference. At the community level, food security was limited due to high food prices, poor road networks for food distribution as well as cultural practices that limit consumption of certain foods. It was also noted that some community members also lack awareness on food preservation leading to food wastage. Facilitating factors for MSP functionality included availability of well-established government structures and technical capacity of various stakeholders. Barriers included: inadequate financial and human resources to support MSP, minimal capacity to coordinate MSP and failure to prioritize MSP by stakeholders. Proposed sustainability mechanisms included: Need to strengthen government commitment to fund and convene MSPs, improve capacity of stakeholders to coordinate MSP, and institutionalize MSP in line ministries. Conclusion: There is need to improve inclusivity of all stakeholders in MSP processes including design, implementation and monitoring. To ensure sustainability, there is need to enhance government commitment and stakeholder contribution in co-funding MSP activities. Key Words: Stunting, Multi-sectoral platform, Food and Nutrition Security, co-funding, Sustainability
La transition du primaire au secondaire pour les élèves à besoins éducatifs particuliers
Authors: Varone Géraldine
Published: March 2024

La transition du primaire au secondaire est une période particulièrement délicate pour les élèves ayant des besoins éducatifs particuliers. Cet article rapporte les résultats d’une recherche qualitative s’intéressant aux émotions vécues par ces élèves, aux difficultés rencontrées ainsi qu’aux ressources mobilisées pour développer des stratégies d’adaptation. Il en ressort qu’une transmission d’informations précises et structurées en amont de la transition, une mise en projet de l’élève porteuse de perspectives ainsi que l’implication et le soutien de toutes les actrices et les acteurs sont trois piliers d’une transition de qualité.
De la classe spéciale à la classe régulière
Authors: Bovey Laurent
Published: March 2024

Depuis une vingtaine d’années en Suisse, le « taux de séparation scolaire », c’est-à-dire le nombre d’élèves scolarisés en classe spéciale ou en établissement de pédagogie spécialisée, ne cesse de diminuer. Une partie des classes spéciales ont fermé et les élèves ont été réintégrés en classe régulière. Une autre partie de ces classes ont été transformées en dispositifs plus flexibles favorisant une plus grande mobilité des élèves. Deux recherches menées auprès d’élèves bénéficiant de mesures de pédagogie spécialisée dans le canton de Vaud montrent qu’une partie de ces élèves restent dans les faits séparés à l’intérieur des classes régulières, au fond de la classe, dans le couloir, dans un local de dégagement ou accompagnés une grande partie du temps par des enseignants et enseignantes spécialisées ou des assistants et assistantes à l’intégration. En outre, les élèves (ré)intégrés sont soumis à de nombreuses attentes comportementales et sont évalués en permanence, ce qui les pousse à mettre en place des stratégies complexes pour s’adapter aux exigences de la classe régulière.
Hubungan Kunjungan Ibu ke Pelayanan Kesehatan Dengan Jumlah Balita Bawah Garis Merah (BGM) di Desa Samili Kecamatan Woha Kabupaten Bima Tahun 2022
Authors: Fitriani Nurlaila
Published: March 2024

Penelitian ini bertujuan untuk mengetahui hubungan antara keaktifan ibu dalam pelayanan kesehatan terpadu dengan pengurangan jumlah balita di bawah garis merah (BGM) di Desa Samili, Kecamatan Woha, Kabupaten Bima tahun 2022. Penelitian ini merupakan penelitian analitik, data diambil dengan cross sectional, subjek penelitian ini adalah dua ratus delapan belas bayi berusia satu sampai lima puluh sembilan bulan. Data dianalisis dengan uji chi-square. Berdasarkan penelitian yang telah dilakukan menunjukkan bahwa ibu yang aktif mengunjungi pelayanan kesehatan namun mengalami status BGM adalah 4,7% sedangkan ibu tidak aktif mengunjungi pelayanan kesehatan namun mengalami status BGM adalah 20,6%. Analisis data penelitian menggunakan uji chi-square, menunjukkan bahwa nilai p-value = 0,000 dengan tingkat signifikansi (alpha) sebesar 0,05. Dengan demikian nilai p-value kurang dari tingkat signifikan, sehingga Ho ditolak yang berarti ada hubungan keaktifan ibu dengan berkurangnya jumlah balita BGM di Desa Samili, Kec. Woha, Kabupaten Bima tahun 2022.
Risk Factors Affecting Diabetes Mellitus In Primary Health Care In Bekasi City 2022
Authors: Prameswari Anisa , Alibbirwin Alibbirwin , Trimawartinah Trimawartinah
Published: March 2024

Diabetes Mellitus (DM) is a disease caused by metabolic disorders in the pancreas. It is characterized by increased blood sugar (hyperglycemia) caused by a decrease in the amount of insulin in the pancreas (ADA, 2012). Conditions at the Village Health Center related to Diabetes Mellitus cases are always checked every month on a regular basis, starting from checking sugar to administering medicine if the patient needs it. If a patient is found to have complications during treatment, the health center will immediately refer him to the hospital for further treatment. This study aims to determine the factors that influence the incidence of diabetes mellitus in the working area of the Pejuang Village Health Center, Medan Satria District, Bekasi City, in 2022. This study is a quantitative study with a case-control design. This study has a population of 196 respondents, which are divided into 98 case respondents and 98 control respondents. Sampling in this study used a purposive sampling technique where samples were taken based on predetermined criteria. Data collection used secondary data using registration based on the national database for non-communicable diseases called Sistem Informasi Penyakit Tidak Menular (SIPTM) 2021 data. The analysis used was univariate analysis using frequency distributions and bivariate analysis using the Chi-Square test. The results of the bivariate analysis showed that there was a relationship between age, gender, fat consumption, physical activity, and family history of DM and diabetes mellitus (P < 0,05), while the variables of education, occupation, fruit and vegetable consumption did not have a relationship with diabetes mellitus (P > 0,05).
Karakteristik Kesejahteraan Psikologis Dan Kadar Gula Darah Pada Penderita Diabetes Mellitus
Authors: Silvi Putri , Karim Darwin , Rustam Musfardi
Published: March 2024

Diabetes mellitus is a metabolic disorder disease characterized by increased blood sugar levels due to decreased insulin secretion by pancreatic beta cells and/or impaired insulin function (insulin resistance). This study aims to describe the psychological well-being and blood sugar levels in people with diabetes mellitus. This research is a quantitative research using descriptive method to make an objective picture of a situation. The sample of this study amounted to 74 respondents using the technique purposive sampling. This study used a standard psychological well-being questionnaire and used a glucometer to measure blood sugar levels. The data analysis used is a simple descriptive form of a frequency distribution table. The results of this study indicate that 31 respondents (41,9%) accept their own state, 8 respondents (10,8%) have positive relationships with other people, 6 respondents (8,1%) have independence, 25 respondents (33,8%) can manage the environment, 2 respondents (2,7%) have a purpose in life, and 2 respondents (2,7%) have personal growth. People with diabetes mellitus with high psychological well-being are able to accept their situation, like undergoing the process of diabetes mellitus treatment, and are able to master the environment.
Faktor-Faktor Yang Berhubungan Dengan Kontrol Diri Wanita Usia Subur (WUS) Untuk Melakukan Pemeriksaan IVA
Authors: Defina Zahra Putri , Utami Sri , Suci Wice Purwani
Published: March 2024

Kanker serviks adalah penyakit keganasan pada mulut rahim yang merupakan bagian terendah dari rahim. Salah satu cara untuk mencegah kanker serviks adalah dengan pemeriksaan IVA. Rendahnya cakupan pemeriksaan IVA di Indonesia terjadi karena setiap individu memiliki kontrol diri yang berbeda. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kontrol diri WUS untuk melakukan pemeriksaan IVA. Penelitian ini menggunakan desain deskriptif korelasi dengan pendekatan cross sectional. Sampel penelitian adalah 100 responden yang diambil menggunakan teknik purposive sampling. Pengumpulan data penelitian menggunakan kuesioner yang sudah diuji validitas dan reliabilitasnya. Analisis yang digunakan adalah analisis univariat dan bivariat menggunakan uji chi-square. Hasil analisis univariat didapatkan mayoritas WUS berusia 20-35 tahun (66%), sebagian besar WUS dengan tingkat pendidikan menengah (59%), dan mayoritas WUS tidak bekerja (80%). Hasil uji bivariat didapatkan tidak ada hubungan antara usia dengan kontrol diri WUS untuk melakukan pemeriksaan IVA (p value = 0,29) dan ada hubungan antara pengetahuan, akses informasi, dukungan lingkungan keluarga dengan kontrol diri WUS untuk melakukan pemeriksaan IVA dengan keseluruhan p value = 0,00 (α ≤ 0,05). Hasil penelitian ini diharapkan dapat memberikan informasi kepada WUS untuk melakukan pemeriksaan IVA, sehingga dapat meningkatkan cakupan pemeriksaan IVA dan dapat mencegah terjadinya kanker serviks.
Etnobotani Areca catechu L. (Pinang) Suku Dayak Bakumpai Bantuil Kabupaten Barito Kuala Berbentuk Buku Ilmiah Populer
Authors: Hamidah Hamidah , Mahrudin Mahrudin , Irianti Riya
Published: March 2024

Tumbuhan Areca catechu L. (pinang) merupakan salah satu jenis tumbuhan sumber daya alam Kalimantan Selatan. Tumbuhan pinang biasanya dimanfaatkan salah satunya yaitu sebagai bahan baku untuk tradisi menginang, acara panjat pinang oleh masyarakat di Desa Bantuil. Tujuan dari penelitian ini dapat didokumentasikan melalui ilmu etnobotani. Tujuan dari penelitian ini untuk menggambarkan etnobotani pinang di suku Dayak Bakumpai Desa Bantuil Kabupaten Barito Kuala, mendeskripsikan validitas sertas kepraktisan buku ilmiah populer tumbuhan pinang. Penelitian ini menggunakan metode penelitian deskriptif melalui formatif uji Tessmer untuk mengetahui kelayakan BIP yang dikembangkan menggunakan tiga tahapan mencakup self evaluations, expert rieview, serta one to one. Hasil penelitian dari tumbuhan pinang ialah tumbuhan berhabitus pohon. Pinang dimanfaatkan untuk menginang, obat gatal, obat luka, obat kb/kontrasepsi, obat diabetes, dan jamu. Tumbuhan ini dijadikan sebagai penghijauan dan peneduh. Pinang digunakan untuk mandi pengantin, sirih sakinangan, pagar mayang, panjat pinang, tarik upih. Bagian batang digunakan tiang jembatan, papan, untuk acara panjat pinang, biji pinang dan bunga dijual. Tumbuhan pinang yaitu diberi nama pinang dan masyarakat Dayak Bakumpai menyebut dengan sebutan “simpa” atau pinang. Pengembangan bahan ajar BIP terdiri uji ahli dilakukan dua validator termasuk kategori sangat valid, hasil kepraktisan isi yaitu uji perorangan dengan tiga mahasiswa termasuk kategori sangat baik.
Pengembangan Booklet Keanekaragaman Jenis Ikan Di Sungai Mangkusip Desa Tanta Kabupaten Tabalong Sebagai Bahan Pengayaan Konsep Submateri Kingdom Animalia Di SMA
Authors: Apriliasari Apriliasari , Mahrudin Mahrudin , Irianti Riya
Published: March 2024

Keberadaan ikan sangat penting bagi ekosistem dan bagi kehidupan manusia sebagai sumber protein. Selain itu juga, dapat dijadikan sebagai bahan pengayaan pembelajaran pada konsep keanekaragaman makhluk hidup, sehingga berpotensi untuk dijadikan sebagai bahan ajar. Tujuan dari penelitian ini yaitu untuk menganalisis keanekaragaman jenis ikan di kawasan Sungai Mangkusip Desa Tanta serta mendeskripsikan uji validitas dan uji keterbacaan Booklet keanekaragaman jenis ikan di Sungai Mangkusip Desa Tanta sebagai bahan pengayaan konsep submateri kingdom animalia di SMA. Metode penelitian dan pengembangan menggunakan model pengembangan Borg and Gall dari tahap satu sampai tahapan kelima. Berdasarkan hasil penelitian ditemukan 9 jenis ikan yaitu ikan seluang langkai (Rasbora argyrotaenia), ikan abang – abang (Barbodes altus), ikan nilem (Osteochilus hasselti), ikan baradis (Barbonymus gonionotus), ikan jelawat (Leptobarbus hoevenii), ikan adungan (Hampala macrolepidota), ikan senggiringan (Mystus nigriceps), ikan baung (Mystus nemurus), dan ikan lais (Kryptopterus crypyopterus). Hasil penilaian uji validitas booklet termasuk kriteria “Sangat Valid” sedangkan hasil uji keterbacaan termasuk kriteria “Sangat Baik”. Berdasarkan hasil uji tersebut maka produk Booklet dapat digunakan di SMA sebagai bahan pengayaan pada konsep Animalia di SMA