bluuebunny/crossref_metadata_2025 huggingface dataset:
Actual prospects of using some types of larch growing in Kazakhstan in medicine
Authors: Sayakova Galiya ,   Department of Pharmaceutical and Toxicological Chemistry, Pharmacognosy and Botany, Asfendiyarov Kazakh National Medical University, Almaty, The Republic of Kazakhstan, Boshkayeva Assyl ,   Department of Pharmaceutical and Toxicological Chemistry, Pharmacognosy and Botany, Asfendiyarov Kazakh National Medical University, Almaty, The Republic of Kazakhstan,   Assyl Boshkayeva, Department of Pharmaceutical and Toxicological Chemistry, Pharmacognosy and Botany, Asfendiyarov Kazakh National Medical University, Almaty, The Republic of Kazakhstan. E-mail: boshkayevaassy@rambler.ru, Ibadullayeva Galiya ,   Department of Pharmaceutical Technology, Non-profit Stock Corporation KazNMU, Almaty, The Republic of Kazakhstan, Khamitova Akzhonas ,   Department of Pharmaceutical and Toxicological Chemistry, Pharmacognosy and Botany, Asfendiyarov Kazakh National Medical University, Almaty, The Republic of Kazakhstan, Begimova Gulzeynep ,   Department of Pharmaceutical and Toxicological Chemistry, Pharmacognosy and Botany, Asfendiyarov Kazakh National Medical University, Almaty, The Republic of Kazakhstan
Published: November 2022

Local plants can save natural resources and be used as a source of biologically active compounds, which can be high-quality, effective, and safe ingredients for pharmacological or chemical industries. Therefore, this study aimed to investigate the properties of two medicinal plants – the fine-scaled larch (Lárix Kaémpferi) and Siberian larch (Lárix Sibirica), which are growing in the Republic of Kazakhstan. We compared the two types of larches according to botanical affiliation and species description. We studied the alcoholic extracts from Lárix Kaémpferi and Lárix Sibirica to determine their physical and chemical properties. The data on the chemical composition of extractive compounds were generalized and systematized. The authenticity of Lárix Kaémpferi and Lárix Sibirica was established by external, anatomical, and diagnostic signs in microscopic examination and qualitative reactions. Specific indicators and their norms for raw materials were identified. This is the standard for both types of larch and determines their quality. We experimented with grinding fineness for studied materials and tested the impurities and moisture content of raw materials, total ash, and ash insoluble in a 10% hydrochloric acid solution. Determination of heavy metals and radionuclides was also considered. The quality specifications were developed based on the standardization of fine-scaled larch and Siberian larch.
Self-efficacy among patients with hemodialysis during the COVID-19 pandemic
Authors: Qalawa Shereen Ahmed ,   1 Department of Medical Surgical Nursing, College of Nursing, Qassim University, Al-Qassim, Kingdom of Saudi Arabia,   2 Department of Medical Surgical Nursing, Faculty of Nursing, Port-Said University, Port-Said, Egypt,   Shereen Ahmed Qalawa, Department of Medical Surgical Nursing, College of Nursing, Qassim University, Al-Qassim, Kingdom of Saudi Arabia. E-mail: S.Qalawa@qu.edu.sa, Eltahry Sheren Ibrahim ,   2 Department of Medical Surgical Nursing, Faculty of Nursing, Port-Said University, Port-Said, Egypt, Aly Azza Anwar ,   3 Department of Medical Surgical Nursing, Faculty of Nursing, Damanhour University, Damanhour, Egypt
Published: November 2022

Patients with hemodialysis face various problems with self-care behavior. Therefore, these patients need to control and manage adherence to enhance self-care, especially during the COVID-19 pandemic, which has particularly high morbidity in the elderly and co-morbid peoples. Self-efficacy was identified as a number of psychological factors that improve adherence and treatment outcomes among hemodialysis patients. This study aimed to investigate self-efficacy among patients with hemodialysis during the COVID-19 pandemic. A comparative descriptive research design was used to conduct the study. A convenience sample of 95 hemodialysis patients (male and females) was selected from Port-Said city, Egypt, and 115 hemodialysis patients (male and females) were selected from Saudi Arabia. Data collection included a structured interview with three parts assessing socio-demographic characteristics, anthropometric measurements, and self-efficacy. This study revealed a statistically significant difference between Egyptian and Saudi hemodialysis patients, mainly in the main score and levels of self-efficacy (p=0.001). There is a significant relationship between socio-demographic characteristics and chronic disease self-efficiency among Egyptian hemodialysis patients in terms of sex, age, marital status, work, and level of education.
Large abdominal aortic aneurysm presented with concomitant acute lumbar disc herniation – a case report
Authors: Chu Eric Chun-Pu ,   1 New York Chiropractic and Physiotherapy Centre, Hong Kong SAR, China,   Eric Chun-Pu Chu, New York Chiropractic and Physiotherapy Centre, Hong Kong SAR, China. E-mail: eric@nymg.com.hk,   https://orcid.org/0000-0002-0893-556X
Published: November 2022

The purpose of this case report was to describe chiropractic management of acute lumbar disc herniation in a patient with a large abdominal aortic aneurysm. A 72-year-old male patient presented with low back pain and right lower leg numbness for 12 months. A review of full-spine X-ray and lumbar MRI revealed moderate spondylosis at L2-5, moderate lumbar scoliosis, and a 7.15 cm abdominal aortic aneurysm (AAA). Given the minimum 2-weeks of referral waiting time to receive treatment for AAA, the patient received chiropractic treatment with a hybrid rehabilitation to address the disc herniation causing severe physical disability. Through the treatments, the patient's pain was significantly alleviated with careful consideration of potential risk factors associated with AAA. In addition, the acute disc herniation was successfully managed by a series of chiropractic treatments before and after the operation for AAA. This case supports that low back pain in patients with AAA can be managed by manual therapy, in contrast to a widespread belief that manual therapy is contraindicated in AAA. More case reports of AAA patients with low back pain are warranted to assess the effectiveness and safety of manual therapy along with surgical treatment for AAA.
Surgical treatment results in patients with defects of the integumentary tissues of the trunk and limbs of mechanical origin
Authors:   Department of Medicine of Catastrophes, Military Medicine and Neurosurgery, Zaporizhzhia State Medical University, Zaporizhzhia, Ukraine,   * Corresponding Author: Olena Vasylivna Ponomarenko, Department of Medicine of Catastrophes, Military Medicine and Neurosurgery, Zaporizhzhia State Medical University, Zaporizhzhia, Ukraine E-mail: alena.ponomarenko@gmail.com, Ponomarenko Olena Vasylivna , Serhieieva Ludmila Nylsivna ,   Department of Medical Physics, Biophysics and Higher Mathematics, Zaporizhzhia State Medical University, Zaporizhzhia, Ukraine, Parkhomenko Kyrylo Yuriiovych ,   Department of General Practice Family Medicine and Internal Medicine, Kharkiv National Medical University, Kharkiv, Ukraine
Published: November 2022

This study aimed to develop and implement a universal method for the quantitative assessment of treatment effectiveness in patients with skin and underlying soft tissue defects of the trunk and extremities. The study involved 242 patients, including 46 patients with upper extremity injuries, 179 with lesions of lower extremity tissues, and 17 patients with defects of the integumentary tissues of the trunk. The greatest treatment effectiveness was observed in patients with upper limb injury: excellent result – 60.0%, good – 33.3%, unsatisfactory – 6.7% of patients. In the group of patients with lower extremity injuries, an excellent result was recorded in 19.6% of cases, good (58.1%), satisfactory (15.1%), and unsatisfactory in 7.2% of patients. In patients with trunk injuries, an excellent treatment result was obtained in 23.5%, good – 35.5%, satisfactory – 23.5%, and unsatisfactory – 17.6%. The universal quantitative method for evaluating treatment effectiveness in patients with various types of damage to the trunk and extremities tissues was proposed. This method makes it possible to objectively determine the level of medical service provided to each patient, which is of great importance in the context of medical service reorganization in the state.
The perceived association of oral diseases and general pathology among doctors of different specialties
Authors: Teodorescu Ioana Monica ,   Department of Complete Denture, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania,   Ioana Monica Teodorescu, Department of Complete Denture, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. E-mail: monica.teodorescu@drd.umfcd.ro, Preoteasa Elena ,   Department of Complete Denture, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania, Preoteasa Cristina Teodora ,   Department of Scientific Research Methods-Ergonomics, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania, Murariu-Măgureanu Cătălina ,   Department of Complete Denture, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania, Teodorescu Cristian ,   Department of Complete Denture, Faculty of Dental Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Published: November 2022

This study aimed to highlight the perceived associations between general and oral pathology, among clinicians of different specialties. Data was collected through a questionnaire with 22 questions, with single or multiple answers, to 88 dentists, general practitioners, or pediatricians. The majority of participants were women (89.8%), aged between 30 and 39 years (52.3%), with a professional experience mostly under 10 years (61.3%). Many doctors considered that there was an association between oral and general pathologies (39.8%). The most common general pathologies associated with oral pathology were digestive disorders (n=21, 23.9%), followed by cardiovascular, genetic, endocrine and metabolic, neuropsychiatric, respiratory, hematological, immunological, and oncological pathologies. Tooth decay was mainly found in patients with digestive, respiratory, or neuropsychiatric disorders, and periodontal disease was more common in patients with obstetric disorders. Diseases of the oral mucosa, such as canker sores and gingivostomatitis, were more common in patients with digestive pathology, endocrine and metabolic, or reproductive disorders. The study pointed out that physicians, regardless of their medical training, often observed a relatively rich general pathology associated with oral conditions. It is important to differentiate between primary and secondary oral pathology, associated with general pathology and medication, establishing a correct diagnosis of the disease and treatment according to general or oral diseases and their manifestations.
Phosphorus metabolism disorders in erythrocytes and lymphocytes among patients with inflammatory breast cancer, infiltrative stomach and colorectal cancer
Authors: Smolanka Ivan Ivanovich ,   1 National Cancer Institute, Ministry of Health, Kyiv, Ukraine, Bagmut Irina Yuriivna ,   2 Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine, Sheremet Michael Ivanovich ,   3 Surgical department No.1, Bukovinian State Medical University, Chernivtsi, Ukraine,   Michael Ivanovich Sheremet, Surgical department No.1, Bukovinian State Medical University, Chernivtsi, Ukraine. Email: mihayl71@gmail.com, Movchan Oleksii Volodimirovich ,   1 National Cancer Institute, Ministry of Health, Kyiv, Ukraine, Oleksandrovich Lyashenko Andriy ,   1 National Cancer Institute, Ministry of Health, Kyiv, Ukraine, Smolanka Jr Ivan Ivanovich ,   1 National Cancer Institute, Ministry of Health, Kyiv, Ukraine, Leonidovich Kolisnyk Igor ,   2 Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine, Lazaruk Oleksandr Volodimirovich ,   4 Department of Pathology, Bukovinian State Medical University, Chernivtsi, Ukraine, Maksymyuk Vitaliy Vasilyevich ,   3 Surgical department No.1, Bukovinian State Medical University, Chernivtsi, Ukraine, Tarabanchuk Volodimir Volodimirovich ,   3 Surgical department No.1, Bukovinian State Medical University, Chernivtsi, Ukraine
Published: November 2022

Energy and plastic potential dysfunction of erythrocytes and lymphocytes among people with inflammatory breast cancer, infiltrative stomach cancer, and infiltrative colon cancer is characterized by a more aggressive clinical course and poor prognosis. We explored the features of energy metabolism and phosphorus metabolism disorders in the erythrocytes and lymphocytes of patients with inflammatory breast cancer, infiltrative stomach cancer, and infiltrative colon cancer as a predicting factor in the course of the disease. 49 people were examined; the 1st group had infiltrative stomach cancer (n=17); the 2nd group had infiltrative colon cancer (n=11); the 3rd group had inflammatory breast cancer (n=21). Glycerol-3-phosphate dehydrogenase activity was 1.8 times reduced (p≤0.005), and the activity of glyceraldehyde-3-phosphate dehydrogenase in erythrocytes of patients with cancer at the main localization increased 2.5 times, compared with normal. Inflammatory breast cancer patients had a statistically significant decrease (p<0.005) in erythrocytes adenosine triphosphate content by an average of 56.5% compared with the normal ratio, and in cases of patients with gastric and colorectal cancer, a decrease of 67%. Excessive use of phosphorus for energy metabolism and adenosine triphosphate production destroys the balance of energetic and plastic potentials of erythrocytes and lymphocytes in inflammatory breast cancer, infiltrative stomach, and infiltrative colorectal cancers patients.
The role of renal damage markers in the diagnosis of early stages of kidney injury in patients with latent autoimmune diabetes in adults
Authors: Tsaryk Iryna ,   1 Department of Clinical Immunology, Allergology and Endocrinology, Bukovinian State Medical University, Chernivtsi, Ukraine,   Iryna Tsaryk, Department of Clinical Immunology, Allergology and Endocrinology, Bukovinian State Medical University, Chernivtsi, Ukraine. E-mail: irynatsaryk13@gmail.com,   https://orcid.org/0000-0002-5781-2558, Pashkovska Nataliia ,   1 Department of Clinical Immunology, Allergology and Endocrinology, Bukovinian State Medical University, Chernivtsi, Ukraine,   https://orcid.org/0000-0002-9896-1744
Published: November 2022

Serum creatinine level begins to increase after a decrease in glomerular filtration rate (GFR) by 50% and more, so the question emerged about a more accurate method of determining GFR. The study aimed to determine the role of renal damage markers in the diagnosis of early-stage renal disease in patients with latent autoimmune diabetes in adults (LADA). We included 84 patients with diabetes mellitus (DM) and chronic kidney disease (CKD) caused by diabetic kidney disease (DKD), as well as 25 representatives of the control group. Patients were divided into three groups – 43 people with LADA, 21 with type 1 diabetes mellitus (T1DM), and 20 patients with type 2 diabetes mellitus (T2DM). GFR was assessed using six formulas after establishing the category of GFR and albuminuria. The GFR rate estimated by the CKD-EPI formula in patients with LADA and DKD did not significantly differ from that of CKD-EPI cysC, slightly different from MDRD GFR (10.6% higher, respectively) but 21.9% lower compared to CG formula. In patients with LADA and T1DM, GFR was higher in cases with existing albuminuria, regardless of the formulas used. Thus, the non albuminuria phenotype is accompanied by a greater degree of renal impairment, which indicates the need to determine serum cystatin C in the early stages of LADA. Cystatin C levels are the most accurate, early, and independent predictor of the development and progression of CKD in patients with DM, including LADA.
Impact of Covid-19 pandemic on a general surgery clinic
Authors: Vladut Ionut Feier Catalin ,   1st General Surgery Clinic, Pius Brinzeu Clinical Emergency Hospital, Timisoara, Romania,   First Discipline of Surgery, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania,   Catalin Vladut Ionut Feier, 1st General Surgery Clinic, Pius Brinzeu Clinical Emergency Hospital, Timisoara, Romania. First Discipline of Surgery, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania. E-mail: catalinfeier10@gmail.com, Muntean Calin ,   Department of Informatics and Medical Biostatistics, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania, Bardan Razvan ,   Department of Urology, Victor Babes University of Medicine and Pharmacy, Timisoara Romania, Olariu Andra ,   Faculty of Medicine, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania, Olariu Sorin ,   1st General Surgery Clinic, Pius Brinzeu Clinical Emergency Hospital, Timisoara, Romania,   First Discipline of Surgery, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania
Published: November 2022

The Covid-19 pandemic has had a massive impact on global health, social and economic well-being worldwide. In addition to the direct effects of the disease on patients infected with the virus, this pandemic has severely affected the activity of surgical clinics around the world. One of the significant issues was an important decrease in the number of surgeries performed even in countries with highly performant medical systems. This study aimed to analyze the effects of the pandemic on the 1st General Surgery Clinic in Timisoara County Hospital, compared to 2018–2019. In order to conduct this study, data regarding the activity of the clinic in the pandemic period and 2018–2019 was collected and analyzed from a statistical point of view, considering a p<0.05 as statistically significant. There were significant differences between the 2 periods regarding the number of hospitalized patients, the number of patients undergoing elective or emergency surgery, and the total number of surgeries performed. Due to the restrictions imposed, there was an increase in the average monthly mortality rate and a decrease in the average length of hospital stay. Covid-19 pandemic led to a severe activity restriction of the surgery clinics due to the restrictions imposed by the authorities and the reorganization of the clinics to comply with the epidemiological requirements. Also, the limitation of patients' access to surgical treatment and their fear of coming in contact with the hospital environment led to their presentation in more advanced stages of the disease, with more severe symptoms and a higher mortality rate during the pandemic.
Hybrid flexible ureteroscopy strategy in the management of renal stones – a narrative review
Authors: Geavlete Bogdan ,   Department of Urology, Sanador Hospital, Bucharest, Romania,   Department of Urology, Emergency Clinical Hospital Sfântul Ioan, Bucharest, Romania, Mareș Cristian ,   Department of Urology, Emergency Clinical Hospital Sfântul Ioan, Bucharest, Romania,   Cristian Mareș, Department of Urology, Emergency Clinical Hospital Sfântul Ioan, Bucharest, Romania. E-mail: dr.marescristian@gmail.com, Mulțescu Răzvan ,   Department of Urology, Sanador Hospital, Bucharest, Romania,   Department of Urology, Emergency Clinical Hospital Sfântul Ioan, Bucharest, Romania, Georgescu Dragoș ,   Department of Urology, Sanador Hospital, Bucharest, Romania,   Department of Urology, Emergency Clinical Hospital Sfântul Ioan, Bucharest, Romania, Geavlete Petrișor ,   Department of Urology, Sanador Hospital, Bucharest, Romania,   Department of Urology, Emergency Clinical Hospital Sfântul Ioan, Bucharest, Romania
Published: November 2022

The introduction of single-use flexible ureteroscopes (suFURSs) in daily practice tends to overcome the main limitations of reusable ureteroscopes (reFURSs), in terms of high acquisition costs, maintenance, breakages and repairing costs, reprocessing and sterilization, as retrograde intrarenal surgery (RIRS) is promoted as first-line treatment of renal stones in most cases. A hybrid strategy implies having both instruments in the armamentarium of endourology and choosing the best strategy for cost-efficiency and protecting expensive reusable instruments in selected high-risk for breakage cases such as large stones of the inferior calyx, a steep infundibulopelvic angle or narrow infundibulum, or abnormal anatomy as in horseshoe and ectopic kidney. In terms of safety and efficiency, data present suFURSs as a safe alternative considering operating time, stone-free, and complication rates. An important aspect is highlighted by several authors about reusable instrument disinfection as various pathogens are still detected after proper sterilization. This comprehensive narrative review aims to analyze available data comparing suFURSs and reFURSs, considering economic, technical, and operative aspects of the two types of instruments, as well as the strategy of adopting a hybrid approach to selecting the most appropriate flexible ureteroscope in each case.
The effect of eye care protocol on the prevention of ocular surface disorders in patients admitted to intensive care unit
Authors: Mobarez Fariba ,   Nursing Care Research Centre in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran, Sayadi Neda ,   Department of Medical and Surgical Nursing, School of Nursing and Midwifery, Nursing Care Research Centre in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran, Jahani Simin ,   Department of Medical and Surgical Nursing, School of Nursing and Midwifery, Nursing Care Research Centre in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran,   Simin Jahani, Department of Medical and Surgical Nursing, School of Nursing and Midwifery, Nursing Care Research Centre in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. E-mail: jahanisimin50@yahoo.com, Sharhani Asaad ,   Department of Biostatics and Epidemiology, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran, Savaie Mohsen ,   Department of Anesthesiology, School of Medicine, Pain Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran, Farrahi Fereydoun ,   Department of Ophthalmology, School of Medicine, Infectious Ophthalmologic Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Published: November 2022

Eye care is one of the most critical tasks of intensive care unit (ICU) nurses. Patients in this unit are exposed to potential ocular problems due to critical conditions. This study aimed to establish a new eye care protocol for preventing ocular surface disorders in patients admitted to ICU. This was a clinical trial study performed on patients admitted to ICU in 2019. The data gathering tools included the demographic questionnaire, the Schirmer test for dry eye, fluorescein staining and slit lamp manual for examining corneal ulcers, and slit lamp manual to check keratitis and conjunctivitis. A type of eye care protocol was performed on the patient's eyes. After five consecutive days of executing the protocol, the data were analyzed using SPSS software version 18. The use of eye care protocol reduced the risk of keratitis (P=0.027), conjunctivitis (P=0.012), eye dryness (P=0.001), and corneal ulcer (P=0.003) in patients admitted to ICU in the intervention group compared to the control group. Ophthalmology protocols reduced the incidence of keratitis, conjunctivitis, dry eye, and corneal ulcers in ICU patients. Therefore, using this method in ICU patients can improve nursing care.
Effectiveness of different socket dressing materials on the postoperative pain following tooth extraction: a randomized control trial
Authors: Assari Ahmad Salem ,   Department of Oral and Maxillofacial Surgery and Diagnostic Sciences, Riyadh Elm University, Riyadh, Saudi Arabia,   Ahmad Salem Assari, Oral and Maxillofacial Surgery and Diagnostic Sciences, Riyadh Elm University, Saudi Arabia, Riyadh, Saudi Arabia. E-mail: ahmad.assari@riyadh.edu.sa, Alrafie Hamad Saud ,   Riyadh Third Health Cluster, Saudi Ministry of Health, Riyadh, Riyadh, Saudi Arabia,   Riyadh Elm University, Riyadh, Saudi Arabia, Al Ghashim Abdullah Homoud ,   Riyadh Elm University, Riyadh, Saudi Arabia, Talic Faisal Nabeel ,   Riyadh Elm University, Riyadh, Saudi Arabia, Alahmari Ahmed Mushabbab ,   Riyadh Elm University, Riyadh, Saudi Arabia, Al Manea Meshal Yousef ,   Riyadh Elm University, Riyadh, Saudi Arabia, Alrashdan Rakan Yousef ,   King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
Published: November 2022

We aimed to prospectively evaluate and compare the effectiveness of Alvogyl and Cutanplast as intra-alveolar dressings for managing pain associated with extraction and incidence of dry socket. All patients who underwent maxillary and mandibular teeth extraction and fulfilled our inclusion and exclusion criteria from Feb 2021 to Oct 2021 were included in our study. Patients who were diagnosed with postoperative pain after tooth extraction were randomly allocated to three groups: Group A (Alvogyl), Group B (Cutanplast), and Group C (placebo). Pain relief and healing of the socket were compared between these groups. The collected data were analyzed using the Chi-square test and Z test of proportionality. Alvogyl was superior to the other medication for providing initial pain relief, and the incidence of dry socket was significantly lower than in the Cutanplast and placebo groups (p<0.05). However, wound healing was statistically non-significant among groups A, B, and C (p>0.05). Alvogyl is still the material of choice in terms of pain relief, wound healing, and low incidence of dry socket. Furthermore, no statistically significant difference was detected between the groups in the biographic information, location, and condition of the extracted tooth, presence of a radiologic pathology, or type of extraction procedure. Moreover, whether it is the first extraction or not, Alvogyl and Cutanpast are comparable in postoperative pain management as intra-alveolar dressing materials.
The distribution of the inferior hypogastric plexus in female pelvis
Authors: Goidescu Ofelia-Costina ,   1 Doctoral School, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania, Dogaru Iulian-Alexandru ,   1 Doctoral School, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania,   2 Discipline of Anatomy, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania,   Iulian-Alexandru Dogaru, Doctoral School, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. E-mail: iulian-alexandru.dogaru@drd.umfcd.ro, Badea Theodor-Georgian ,   1 Doctoral School, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania,   2 Discipline of Anatomy, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania, Enyedi Mihaly ,   2 Discipline of Anatomy, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania, Enciu Octavian ,   3 Department of Surgery, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania, Mutu Daniela-Elena Gheoca ,   2 Discipline of Anatomy, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania, Filipoiu Florin-Mihail ,   2 Discipline of Anatomy, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Published: November 2022

Elements that comprise the inferior hypogastric plexus are difficult to expose, intricate, and highly variable and can easily be damaged during local surgical procedures. We aimed to highlight, through dissection, the origin, formation, and distribution of the hypogastric nervous structures and follow them in the female pelvis. We performed detailed dissections on 7 female formalin-fixed cadavers, focusing on structures surrounding the pelvic organs. For each hemipelvis, we removed the peritoneum from the pelvic floor, and after we identified the hypogastric nerves, we continued our dissection towards the inferior hypogastric plexuses, following the branches of the latter. Laterorectally, the hypogastric nerves form the inferior hypogastric plexus, a variable structure – nervous lamina, neuronal network (more frequently), or sometimes a combination of them. We identified three components of the inferior hypogastric plexus. The anterior bundle travels towards the base of the urinary bladder, the middle part innervates the uterus and the vagina, and the posterior segment provides the innervation of the rectum. The plexus can be identified after removing the pelvic peritoneum and the subperitoneal adipose tissue. Intraoperatively, the structures can be preserved by using an immediately-subperitoneal dissection plane. The variable branches are relatively well-organized around the pelvic vessels, supplying the urinary bladder, the genital organs, and the rectum. The ureter is surrounded by some branches, especially in its last segment, and it also receives innervation directly from the hypogastric nerve. Close to the viscera, the nerves enter neurovascular plexuses, making the intraoperative separation of the nerves and the vessels virtually impossible.
Effect and benefit of percutaneous coronary intervention in chronic total occlusion on ventricular repolarization: QT correction and dispersion
Authors: Al Alwany Ameen Abdulhasan ,   College of Medicine, University of Baghdad, Baghdad, Iraq,   Ameen Abdulhasan Al Alwany, College of Medicine, University of Baghdad, Baghdad, Iraq. E-mail: ameen.a@comed.uobaghdad.edu.iq
Published: November 2022

ST segment, T wave changes, QT interval changes, and QTc dispersion are among the parameters used to diagnose ischemic heart disease. The increase in the QT dispersion can be caused by myocardial ischemia, among other heart diseases, whereas cardiac diseases such as coronary artery disease (CAD) can be diagnosed by observing an abnormally high QTc dispersion. This study aimed to evaluate the variations in the QTc dispersion (depolarization and repolarization) of surface electrocardiography as a result of percutaneous coronary intervention (PCI) in patients with chronic total occlusion. This study took place in the Iraqi Center for Heart Disease from October 2020 to February 2021. 110 patients who suffered from chronic occlusion of the coronary artery and underwent PCI revascularization were examined. Twelve-lead electrocardiograms were recorded at the time of admission (12 hours before intervention) and more than one hour after the intervention. The measured ECG parameters included corrected QT interval durations and corrected QT dispersion in both pre and post-PCI electrocardiograms, and their values were compared. The average corrected QT interval and QTC dispersion changed significantly before and after the percutaneous coronary intervention. Performing percutaneous coronary intervention on patients who suffer from coronary artery total occlusion shows a major reduction in the corrected QT dispersion.
Self-Efficacy and Adherence to Self-Care Among Patients With Type 2 Diabetes: A Systematic Review
Authors:   Department of Applied Psychology, Pondicherry University, India, Veena Chindankutty Nambiar , Devineni Dhanalakshmi ,   Department of Applied Psychology, Pondicherry University, India
Published: November 2022

Highly prevalent chronic illnesses such as type 2 diabetes can be effectively managed by adhering to certain health behaviors. As such, self-efficacy is a vital factor in this adherence process. This systematic review of cross-sectional studies aims to outline and evaluate the characteristics of the literature investigating self-efficacy and adherence to self-care in the type 2 diabetes population. Eleven eligible studies were identified based on the inclusion criteria after conducting a primary and secondary screening of three major databases (ProQuest, Scopus, and EBSCOhost) from inception to April 2022, along with manual searching from other sources. A narrative synthesis was used to analyze this review. The findings indicated that self-efficacy is significantly correlated with self-care adherence in persons with type 2 diabetes and that higher self-efficacy leads to better self-care behaviors. The selected studies failed to fulfill the quality criteria for identifying and measuring the confounding variables; therefore, future studies should focus on rigorous research design. A more sophisticated approach to elucidate phase-specific self-efficacy and its influence on health behavior among the type 2 diabetic population may be required in the future to design and test theoretical frameworks and intervention studies.
Bate-papo com Arika Okrent
Authors: Okrent Arika , Kleppa Lou-Ann
Published: November 2022

Como parte da programação do evento Abralin em Cena 16, que tinha como tema a popularização da Linguística, Arika Okrent foi entrevistada (em inglês). Uma versão editada da entrevista concedida está publicada no canal do Youtube da Abralin. Na entrevista, Arika Okrent conta sobre sua experiência na popularização da Linguística em mídias diferentes: ela é autora de dois livros e de muitos vídeos de popularização. Ela conta sobre as diferenças entre as mídias exploradas por ela e os desafios que se colocam ao popularizador da Linguística – que é um linguista acostumado a interagir com o público acadêmico. Por fim, Arika Okrent explica o que ela considera essencial para uma comunicação eficiente com o público não especializado: tomar questões linguísticas que interessam ao público, investigá-las movido pela curiosidade e compartilhar essa jornada com o público. Isso significa que a popularização da Linguística não configura uma mera simplificação da linguagem acadêmica ou tradução de resultados atingidos na Linguística, mas a criação de um novo produto que envolva o público não especializado.
Politika Faizinin Etkinliği: Türkiye Üzerine Gözlemler
Authors: SEVER Erşan , DEMİR Murat
Published: November 2022

Ekonomik istikrarın önemli göstergelerinden biri durumunda olan faiz oranı makroekonomik büyüklüklerle de yoğun etkileşim içinde olan temel değişkenlerden biridir. Bilindiği üzere faiz oranını etkileyen çok sayıda faktör bulunmaktadır. Merkez bankasının para politikası uygulamaları da bu faktörler içerisinde yer almaktadır. Türkiye’de 2021 yılı Eylül ayından itibaren Merkez Bankası politika faizinde indirim sürecine başlamış ve dört ay içerisinde toplamda 500 baz puan indirim yaparak faiz oranını %14 düzeyine getirmiştir. Geçen zaman içerisinde beklentilerin aksine piyasa faiz oranları ile politika faiz oranının aynı yönlü davranış sergilemediği görülmüştür. Bu çalışmada Türkiye’de 2010:05–2022:05 dönemi için aylık verilerden yararlanılarak politika faizi ile piyasa faizleri arasındaki ayrışmayı meydana getiren faktörler zamanla değişen nedensellik testi yöntemiyle incelenmiştir. Kredi faizlerinin aşağı yönlü hareket etmesini frenleyen faktörler içerisinde ilk sırada döviz kuru değişkeni, daha sonra ise enflasyon, CDS pirimi ve LİBOR faizi değişkenlerinin yer aldığı bulunmuştur. Gösterge faizine yön veren en önemli faktör yine döviz kuru değişkenidir. CDS primi ve LİBOR faizi etkileyici boyuttaki diğer faktörlerdir. Bu sonuçlar, Türkiye’de döviz kuru ve enflasyon başta olmak üzere diğer iktisadi, siyasi ve hukuki bileşenleri dikkate almadan politika faizinde değişiklik yapmak suretiyle arzu edilen iktisadi hedefleri elde etmenin son derece güç olduğunu göstermektedir.
Doação de órgãos e tecidos para transplantes em interface com a formação do enfermeiro
Authors: Gama Dedabrio Marques , Corcini Laís Mara Caetano da Silva , Schimith Maria Denise , Badke Marcio Rossato , Jantsch Leonardo Bigolin , Palha Pedro Fredemir , Fernandes Marcelo Nunes da Silva , Buriol Daniela , Balconi Isadora , Alves Anna Júlia Pacheco
Published: November 2022

Objetivo: Conhecer as evidências científicas acerca da doação de órgãos e tecidos para transplantes em interface com a formação do enfermeiro. Métodos: Trata-se de uma revisão integrativa da literatura realizada nas bases de dados Literatura Latino-Americana em Ciências de Saúde (LILACS), Dados Bibliográficos na Área de Enfermagem do Brasil (BDENF) e SciVerse Scopus em março de 2022, utilizando-se como descritores enfermagem, doação de órgãos e acadêmicos, totalizando 20 estudos, sem recorte temporal. Resultados: Evidenciou-se que o tema doação de órgãos e tecidos para transplantes deve ser aprofundado pelas instituições de ensino superior, contribuindo para que os futuros profissionais tenham conhecimento adequado e de qualidade em sua formação. Considerações finais: O conhecimento da temática pode contribuir para que os acadêmicos de enfermagem se sintam mais preparados frente ao potencial doador de órgãos e tecidos para transplantes e seus familiares.
Multiple myeloma presenting as a lung plasmacytoma: A case report
Authors: Tsegay Filmon , Berhe Ephrem , Weldezgina Hadas
Published: November 2022

Multiple myeloma (MM) is a clonal proliferation of malignant plasma cells mainly affecting the bone marrow. The most common sites of extramedullary dissemination reported in the literature are skin, liver, kidneys, and central nervous system. The presentation of MM with lung plasmacytoma is found to be very uncommon. We report a case of lung plasmacytoma associated with MM. A 65-years-old, non-smoker, female Ethiopian patient presented with 5 months history of dry cough, low grade intermittent fever, fatigue, anemia, hypercalcemia, renal insufficiency and osteolytic lesions in the skull. On a chest X-ray, she had right upper lung opacity with a well-defined margin medially. Fine-needle aspiration cytology from the lung mass lesion confirmed mononucleated and multinucleated plasmacytoid cells. The presentation of MM with lung plasmacytoma is a rare entity. As elderly patients with MM may first present with pneumonia-like presentation, MM or plasmacytoma should be considered as a differential diagnosis in an older patients presenting with thoracic lesion.
ANÁLISIS CONCEPTUAL Y COMPARATIVO: PROYECTO, PROYECTO DE INVERSIÓN Y ACTIVIDAD
Authors:   UNIVERSIDAD CATOLICA DE SANTA MARIA, AREQUIPA-PERU, ROJAS GOMEZ JOSE EDUARDO
Published: November 2022

Often people use the term project interchangeably in their usual conversations personal, professional, family and work. Not having a clear differentiation of what a project, investment project and activity. Each of these terms has a different connotation own. Which must be understood from the outset as such, so that does not lead to errors in subsequent approach: Identification of the idea, formulation, appraisal, approval, implementation and management. This research has as main objective to present the reader with a clear and precise definition of what a project, as distinct from an investment project and activity. The methodology used in this research was the documentary analysis crimped to the author's own experience as a teacher and specialist investment projects. Keywords: Project, Investment Project and Activity.
LA INNOVACIÓN PÚBLICA EN EL PERÚ
Authors:   UNIVERSIDAD CATOLICA DE SANTA MARIA, AREQUIPA-PERU, ROJAS GOMEZ JOSE EDUARDO
Published: November 2022

Public innovation in Peru has been taking place gradually in recent years, despite the fact that there is current legal regulation, Law No. 30968, which modifies article 82 of Law 27972, "Organic Law of Municipalities", that promotes the development and implementation of projects and activities based on the results of scientific and technological research and technological innovation. This article analyzes the current context of public innovation management in government entities, mainly in local governments. As well as the legal framework, criteria for innovative public management, innovation ranking by region and success stories of good management in public innovation: Municipality of Miraflores, Municipality of San Isidro and the Metropolitan Municipality of Lima. Keywords: public innovation, public value, culture, innovation center, organizational culture
LOS CAMBIOS EN LA CAPACIDAD CIVIL Y SU LÓGICA RESPECTO DE LA CONVENCIÓN SOBRE LOS DERECHOS DE LAS PERSONAS CON DISCAPACIDAD: LA CAPACIDAD EN TELA DE JUICIO
Authors:   UNIVERSIDAD CATOLICA DE SANTA MARIA, AREQUIPA-PERU, FLORES VALDIVIA ALEJANDRO PATRICIO , TORRES FERNANDEZ HELENA ANDREA IQUIRA ,   UNIVERSIDAD CATOLICA DE SANTA MARIA, AREQUIPA-PERU, RAMIREZ CUEVA GELBER ,   UNIVERSIDAD CATOLICA DE SANTA MARIA, AREQUIPA-PERU
Published: November 2022

A person with disability is a person with permanent physical or mental deficiencies who encounters barriers to the exercise of his rights; but a person with disability is not necessarily a person with civil incapacity because this type of person has an express and legal limitation to the exercise of his rights; neither a person with disability will necessarily be a person with restricted capacity, since they have freedom in the exercise of some of their rights; but they are obliged to be legally represented for other acts. Not every person with disability or restricted capacity is a person without discernment, since to be so, he/she must not be able to distinguish right from wrong. It is necessary an explanatory analysis on how the modification of the civil capacity from the Legislative Decree N° 1384 has been an attempt to do things right; but it has had mistakes by repealing Articles 1974 and 1975 of the Civil Code, which established factual assumptions of protection to persons without discernment, respecting the principle of equality of conditions recognized by the Convention on persons with disabilities, and providing clarity to the operators of law on their due action in the assumptions contained in those unduly repealed rules. Key words: Civil capacity, civil incapacity, disability, discernment
RENDIMIENTO ACADÉMICO Y SU NIVEL DE SATISFACCION CON LA ENSEÑANZA EN LÍNEA DE LOS ESTUDIANTES UNIVERSITARIOS 2021
Authors:   UNIVERSIDAD CATOLICA DE SANTA MARIA, AREQUIPA-PERU, PORTILLA LINARES MARIA MAGDALENA
Published: November 2022

: Higher education institutions consider student satisfaction to be one of the main factors in determining the quality of their online learning. The COVID-19 outbreak affected almost all sectors, including higher education institutions around the world. To this end, the purpose of the research in finding the relationship between the academic performance of university students and their level of satisfaction with online learning. It also explored the significant difference in students' academic performance along with their level of satisfaction with online teaching across gender. Undergraduate students were invited to respond to an online questionnaire. Respondents were 211, of which 81 were male and 130 were female. Descriptive and inferential statistical analyses were employed. The results of the study revealed that COVID-19 has negatively affected students' academic performance and that students were satisfied with online teaching during this critical time. In addition, the study revealed significant differences in students' academic performance and their level of satisfaction with online teaching based on gender. It was found that 69.20% of the female gender and 92.6% of the male gender have an average academic performance, there is a strong positive correlation between Academic Performance with the relevance of the curriculum; between Academic Performance is related to the Content of the Subjects and likewise Academic Performance is related to the relevance of the information and possibility of its application. There is a high positive correlation between academic performance and the level of satisfaction with online teaching. Keywords: Academic performance, Student satisfaction, Covid-19
19. Yüzyıldan günümüze Bebek’in değişen kentsel dokusu
Authors: Giray Küçük Sezgi
Published: November 2022

Osmanlı döneminin önemli Boğaz köylerinden Bebek, 18. yüzyılın ikinci çeyreğinde cami, meşrutahaneler, mek-tep, hamam ve çarşısı ile Boğaziçi kıyısında kurulmuştur. Bölge, 19. yüzyılda gelişmiş, yerleşim tepelere doğru genişlemiştir. Bu çalışmada, eski haritalar, planlar ve fotoğraflar yardımıyla 19. yüzyıldan günümüze İstanbul ili Beşiktaş ilçesi Bebek Mahallesi’nin değişen kentsel dokusu incelenmektedir. Yapılan tespitlere göre, topoğrafyası-nın da şekillendirmesiyle Bebek’in ilk yerleşim yerleri Boğaziçi kıyıları, daha sonra Boğaza dökülen Büyük ve Kü-çük Bebek derelerinin vadileri olmuştur. Zaman içinde, bölgedeki dereler kurumuş, yerlerini aynı isimli sokaklara bırakmıştır. Bebek’teki yerleşim de bu iki dere etrafında iki ayrı koldan gelişmiş, önce Büyük Bebek’te, daha sonra zaman içinde Küçük Bebek’te yapılaşma başlamıştır. 20. yüzyıla gelindiğinde, imar faaliyetleri ile çıkmaz sokaklar açılmış, sokak ve caddeler genişletilmiş, yangın sebebiyle yanan bazı ahşap binaların yerine kâgir olarak yenileri yapılmış, Bebek Meydanı ve bazı yapı adalarının sınırları değişmiştir. 20. yüzyılın ikinci yarısı, Bebek’in kentsel dokusunun yoğunlaştığı dönem olmuş, 1970 ile 1982 yılları arası, Büyük ve Küçük Bebek arasındaki tepeler büyük ölçüde yapılaşmaya açılmış ve bu iki yerleşim neredeyse birleşmiştir. Günümüzde bu iki yerleşim birbirinden ayrılmaksızın “Bebek” olarak anılmaktadır. Günümüzde Bebek köyü, eski kırsal niteliğini sürdüremese de Kortel Korusu, Ayşe Sultan Korusu gibi yeşil alanlarıyla ve eğimli topoğrafyasının sunduğu Boğaz manzarası avantajıyla, İstanbul’un sıkça tercih edilen yerleşimlerindendir.
Seramik formlarda işlevsellik üzerine bir inceleme: Melanie Brown
Authors: Batu Tuba , Yemenicioğlu Negir Ezgi
Published: November 2022

Seramik en eski sanat dallarından biridir. Arkeolojik buluntular eşliğinde ilk üretilmiş seramik parçaların temel ih-tiyaçları karşılamak üzerine üretilmiş olduğunu görmekteyiz. Saklama, pişirme gibi işlevleri yerine getirecek olan seramik kap kacaklar fonksiyonu üzerine temellenmiş bir form ile karşımıza çıkmaktadır. Bugün seramik, halen fonksiyonel kap kacaklarda, sağlık gereçleri, karo üretiminde ve hatta ileri teknoloji seramikleri ile uzay bilimlerin-de sıklıkla karşımıza çıktığı gibi sanatsal bir üretim aracı olarak da kullanılan bir malzemedir. Binyıllardır fonksiyonu üzerinden şekillenmiş ve bugüne kadar gelmiş bir malzeme olarak seramiğin kavramsal sanat alanında kullanılmaya başlamış olması tarihsel sürecinde oldukça yakın bir zamana denk düşer. Kavramsal sanat alanında bir malzeme olarak seramiğin kullanımının yanı sıra işlevsel ve geleneksel seramik formlar üze-rinden kavram üretmiş bir İngiliz sanatçı olan Melanie Brown bu çalışmanın ana konusudur. 1978’den bu yana İngiltere Monmouthshire’daki stüdyosunda tornada şekillendirdiği çaydanlıkları ilk bakışta sıradan çaydanlıklar gibi görünse de, formlarıyla aile kavramını irdelemiş, bireyselliklerini koruyan grup içindeki bireyleri incelemiş ve ateşin malzemeyi değiştirmesi üzerine düşündürmüştür. Kısacası Brown’ın çaydanlıkları, formun tüm ihtiyaç-larını içinde taşıyan, ince, zarif iyi tasarlanmış ve istenirse lezzetli çayların demlenebileceği çaydanlıklar olmanın ötesinde birer heykele dönüşmüştür. İşlev, kavramdan daha aşağı bir konumda yer almış gibi, izleyici formu kul-lanmaktan çok izlemeye yönelmektedir.Bu bağlamda sanatçıyla yapılmış yüz yüze görüşmeler, röportaj ve kendisi hakkında yazılmış makaleler ışığında bir derleme çalışması olan bu makale seramik malzemenin sıklıkla kendini içinde bulunduğu işlev mi kavram mı sorusunun da cevabını aramaktadır.