bluuebunny/crossref_metadata_2025 huggingface dataset:
The Effect of Radial Shock Wave Therapy and Laser Therapy on Pain in Myalgia Pain Low Back at EMC Hospital, Cikarang in 2022
Authors: Jehaman Isidorus , Pontoan Rocky Arthur Agustinus , Siahaan Timbul , Tantangan Redi , Harahap Fitri Ramadani
Published: November 2022

Low Back Pain (LBP) is a leading cause of disability worldwide, which places a significant economic burden on the healthcare system. Nonspecific low back pain Low back pain (LBP) is defined as low back pain that is not caused by a recognized and recognized specific pathology. Low back pain does not cause death, but causes individuals who experience it to become unproductive so that it will cause a very large economic burden for individuals, families, communities, and governments. Promising physiotherapy measures for the treatment of LBP myalgia are extracorporeal shock wave therapy and laser. The purpose of this study was to determine the effect of radial shock wave therapy and laser therapy on pain in low back pain myalgia patients at EMC Hospital Cikarang in 2022. This research method was experimental with a quasi-experimental approach, namely research by conducting experiments to determine the symptoms or effects that arise. as a result of a certain treatment or experiment with a one group pretest posttest design, with the aim of knowing the effect of radial shockwave therapy and laser therapy on pain in low back pain myalgia patients at EMC Hospital Cikarang in 2022. The number of samples from this study was 12 people. who is an employee of EMC Cikarang Hospital in 2022 with complaints of LBP myalgia. Respondents will be measured the value of pain using Verval Analogue Scale (VAS) before and after being given radial shockwave therapy and laser therapy. The test used to analyze the data is the Wilcoxon test. The results of data analysis using the Wilcoxon test obtained a significance value (p-value) of 0.001 which is smaller than 0.05 (p<0.05), which means that there is a difference in the value of pain before and after giving radial shock wave therapy and laser therapy to pain in patients. low back pain myalgia. The conclusion is that there is an effect of giving radial shock wave therapy and laser therapy to reducing pain in low back pain myalgia patients at EMC Hospital Cikarang in 2022
Literature Review: The Effect of Square Stepping Exercise on Dynamic Balance Levels in Reducing The Risk of Falling in the Elderly
Authors: Bestari Novianti Purwa , Yuliadarwati Nungki Marlian
Published: November 2022

Background: Balance disorders are one of the problems that can cause the elderly to fall and experience a high risk of disability if not treated immediately. This problem occurs because of changes and setbacks in the body's system which results in a decrease in muscle strength and muscle contraction. Square stepping exercise (SSE) is one of the exercises that can help improve balance and cognitive disorders in the elderly because they have multi-directional movement patterns. Purpose: To determine the effect of Square stepping exercise (SSE) on the level of dynamic balance in reducing the risk of falls in the elderly. Method: The design of this study uses a literature review, namely by identifying several articles and scientific journals based on the inclusion and exclusion criteria of the sample, then they will be analyzed to obtain more accurate information. Articles and scientific journals were obtained using a database in the form of Google Scholar, PubMed, IJSR with the criteria for the 2015-2020 publishing year according to the theme in the title. Result: After analyzing articles and international scientific journals, it was found that the square stepping exercise (SSE) was mostly very effective in improving dynamic balance and reducing the risk of falling in the elderly. Conclusion: Based on scientific articles that have been identified and analyzed, there is an effect on giving Square Stepping Exercise on the level of dynamic balance in reducing the risk of falling in the elderly.
Effect of Acupressur and Oxytocin Massage on Output Time and Adequacy Of Breast Milk in Post Partum Mothers at Panembahan Senopati Hospital, Bantul
Authors: . Rusmini , Ashari Any , Kusmiyati Yuni
Published: November 2022

Breastfeeding provides benefits for both mother and baby. Breasti imilk containsi imany nutrientsi ithat babiesi need ini ithe ifirst 6i (six) months after birth. There are factors that influence exclusive breastfeeding that can inhibit the secretion of the oxytocin hormone. One way to stimulate the oxytocin hormone and increase comfort is by oxytocin massage. The prolactin and oxytocin hormones play a very important role in the adequacy of breast milk production. One way to generate the let down reflex is by doing therapy acupressure. The purpose of this study was to analyze the effect of giving little finger acupressure and oxytocin massage to the output time and adequacy of breastfeeding in postpartum mothers at Panembahan Senopati Hospital, Bantul. The design of this research is the Randomized Controlled Trial (RCT) with a quantitative approach. The population in this study were all postpartum mothers who experienced vaginal delivery at the Panembahan Senopati Hospital Bantul in 2021, as many as 166 people. The number of samples in this study was 70 postpartum mothers who met the inclusion criteria based on the calculation of the slovin formula. The results showed that acupressure had more effect on the time of output and the adequacy of breast milk than oxytocin massage for postpartum mothers at RSUD Panembahan Senopati Bantul.
The Effect Of Counterpressure Birth Ball On The Reduction Of Labor Pain In Bpm Maiharti Kisaran Barat In 2022
Authors: Telova Yurizki
Published: November 2022

Childbirth is a natural process that every pregnant woman will experience. Labor is defined as the stretching and dilation of the cervix due to contraction of the uterine muscles to promote the expulsion of conception. The labor experienced was a painful, most maternity mothers began to feel the peak of pain in the first stage of the active phase, namely in the maximal dilatation phase and deceleration phase. , and strong so that the sensation of pain felt increased by HIS and the opening of labor affected the pain felt by the mother. The more intense the HIS and the bigger the opening, the stronger the pain, so it requires birthball exercises as a decrease in labor pain scale during pregnancy, Counterpressure is a massage by placing the heel of the hand or the flat part of the hand, massaged 20 minutes every hour during labor will be more free from pain, can manage fear, create a feeling of comfort, relax and respond positively, Birth ball is a physical therapy ball that helps mothers in the first stage of labor to kneel and lean on the birthball can reduce pain so that mothers are more comfortable . When the birthing adjust the position, control anxiety and have a birth attendant who can divert her mind from the perception of pain, the pain will decrease. So the combination of Counterpressure Birth Ball is very important for pregnant women to learn when they want to give birth.
The Effect Of Giving Tamarind Turmeric Herbal Medicine To Decrea Dysmenorrhea In Midwifery Students At Megarezky University
Authors: Jamal Mirna , Ohorella Fadjriah , Ahmad Amina , . Rahmawati
Published: November 2022

Adolescence is a period of change or transition from children to adulthood Including biological, psychological, and social changes. Changes that often occur in women after entering adolescence are the devolopment of the reproductive organs which is marked by the onset of menstruation. Menstruation that occurs in women is a periodic discharge of blood from the uterus through the vagina which is characterized by pain before and during menstruation and menstrual pain usually occurs due to endometriosis, pelvic inflammatory disease, excessive stress, hormonal imbalances and abnormalities on the uterus. This study was conducted with the aim of knowing the effect of giving turmeric acid to reduce dysmenorrhea in Midwifery students at Megarezky University. The research method used is Quasi Eksperiment with a pre-test post-test design technique without a control group. The population in this study were 43 students and the sample was 30 students using the purposive sampling technique and for data collection, it was collected by means of observation. The results of the post-test average value are smaller than the pre-test average value, which is 3,05 for the post-test value and 4,75 for the pre-test value, while the Wilcoxon test results obtained a value of ρ=0,000 < α=0,05 (p < α), so that H0 is rejected, which means that there is an effect of giving turmeric acid to decrease dysmenorrhea in midwifery students at Megarezky University.
The Effect Of Consumption Of Cock Fish On Sectio Caesarea Wound Healing
Authors: Gurusinga Rahmad
Published: November 2022

Suatu tindakan persalinan melalui sayatan atau yang disebut dengan section caesarea (SC) merupakan tindakan yang banyak di minati khususnya para ibu-ibu muda dan keluarga yang memiliki ekonomi menengah keatas. Saat persalinan dengan tindakan SC dilakukan bukan hanya karena adanya komplikasi kehamilan ataupun persalinan tetapi karena permintaan ibu ataupun keluarga dengan berbagai alasan, sehingga menyebabkan banyaknya angka kejadian yang mengalami infeksi luka bekas operasi yang disebabkan berbagai faktor seperti konsumsi makanan yang tidak bergizi. Penelitian ini bertujuan untuk mengetahui pengaruh ikan gabus terhadap penyembuhan luka SC dengan Metode desain quasy eksperimant pretest dan posttest, yang menjadi sampel ibu ibu post partum SC hari ke 2-14. Data diambil secara acak dan di uji dengan uji pairet t test dengan tingkat kepercayaan 95%. Hasil yang diperoleh yaitu ada hubungan pengaruh konsumsi ikan gabus dengan penyembuhan luka dengan nilai p 0.02<0.05. Disarankan kepada ibu-ibu post partum SC agar dapat mengkonsumsi ikan gabus secara rutin terutama dalam dua minggu pertama pasca persalinan.
Preparación de espesantes y gelificantes para la limpieza química de bienes culturales.
Authors: Vázquez Jiménez Elena , Bueno Vargas Javier
Published: November 2022

El recurso se enmarca dentro del Proyecto de Innovación Docente de la Facultad de Bellas Artes “Modelos didácticos audiovisuales como soporte fundamental a la actividad docente, a través de la Plataforma de Enseñanza Virtual en los Grados de Bellas Artes y Conservación y Restauración de Bienes Culturales”, el cual está destinado a la creación de material para el apoyo a la formación dentro del Tercer Plan Propio de Docencia de la Universidad de Sevilla.

El profesorado del grado en Conservación y Restauración de Bienes Culturales implicado en este proyecto de innovación docente ha elaborado este material didáctico con el objetivo de complementar conocimientos transversales expuestos a los estudiantes en el aula. En este vídeo se lleva a cabo la preparación de espesantes y gelificantes para la limpieza química de la superficie de diferentes tipologías de bienes culturales.

Es idóneo para explicar al alumnado la limpieza química de una superficie de manera controlada mediante la elaboración de geles empleando distintos productos.
Adhesivos orgánicos empleados en la restauración de bienes culturales: preparación de los más habituales.
Authors: Bueno Vargas Javier
Published: November 2022

El recurso se enmarca dentro del Proyecto de Innovación Docente de la Facultad de Bellas Artes “Modelos didácticos audiovisuales como soporte fundamental a la actividad docente, a través de la Plataforma de Enseñanza Virtual en los Grados de Bellas Artes y Conservación y Restauración de Bienes Culturales”, el cual está destinado a la creación de material para el apoyo a la formación dentro del Tercer Plan Propio de Docencia de la Universidad de Sevilla .

El profesorado del grado en Conservación y Restauración de Bienes Culturales implicado en este proyecto de innovación docente ha elaborado este material didáctico con el objetivo de complementar conocimientos transversales expuestos a los estudiantes en el aula. En este vídeo se lleva a cabo la preparación de la preparación de los adhesivos orgánicos más habituales empleados en la restauración de bienes culturales.

Es idóneo para explicar al alumnado los principales adhesivos de naturaleza orgánica aplicados en bienes culturales, explicando sus principales características, los procesos de formulación y algunos ejemplos de uso.
The evolution of the Hungarian Defence Forces’ volunteer reserve component after the Cold War
Authors: Ujházy László
Published: November 2022

When Hungary transformed to an all-volunteer force in 2004, most attention was given to the regular component and very little mention was made of reservists. The main goal of this study is to draw attention to the importance of, and the potential, in the reserve component using historical research to produce an overview of how the reserve component of the Hungarian Defence Forces has evolved since the end of the Cold War. Information was collected and analysed from the discussed time period and interpretations were made of the collected evidence through systematic methods appraising all available studies to synthesise the findings. Similarly to other countries in the region, more than a century of conscription and the Warsaw Pact legacy still haunts the Hungarian Defence Forces. Fortunately, Hungary’s NATO membership spearheaded the drive for qualitative change within the armed forces and more attention was paid to a volunteer reserve system. Hungary’s NATO membership has ushered in a new era of security guarantees and obligations which, among other things, brought with it the realisation that the time for qualitative change in the armed forces had come. Among other changes, an initial shift of emphasis towards a reserve system – followed by the adoption of the all-volunteer force model – made it clear that a new basis had to be provided upon which to address the reserve issue in Hungary.
pwrss R Paketi ile İstatistiksel Güç Analizi
Authors: Bulus Metin , Polat Cahit
Published: November 2022

Bu çalışmada istatistiksel güç analizinin teorik altyapısı ve hesaplama yaklaşımı yer almaktadır. Yaygın olarak kullanılan hipotez testleri için istatistiksel güç ve en küçük gerekli örneklem büyüklüğü ile ilgili gerekli formüller ve denklemler açıklanmıştır. Araştırmacılar örneklemden elde edilen tek bir oranın bir sabite karşı, iki oranın farkını, tek bir ortalamanın bir sabite karşı, iki ortalamanın farkını (bağımlı ve bağımsız örneklemler), tek bir korelasyonun sıfırdan farkını, iki korelasyon farkını, regresyondaki R2 değerinin sıfırdan farkını, hiyerarşik regresyonda iki R2 farkını, iki ya da daha fazla grup ortalamalarının karşılaştırılması için varyans/covaryans analizleri (tek faktörlü, iki faktörlü ve üç faktörlü ANOVA ya da ANCOVA) ve iki ya da daha fazla grup ve tekrarlı ölçümler söz konusu olduğunda varyans analizleri (tek faktörlü RM-ANOVA) testleri mevcuttur. Uygun görülen yerlerde, tek yönlü veya çift yönlü hipotez testlerinin ötesinde, daha çok tıp ve eczacılık alanlarında kullanılan, non-inferiority (pratik anlamda eşdeğer ya da üstün olma), superiority (pratik anlamda üstün olma), ve equivalence (pratik anlamda eşdeğer/denk olma) hipotez testleri de tanıtılmış ve uygulamaları gösterilmiştir. Hesaplamalar pwrss R paketi ile gerçekleştirilmiştir.
NSAIDs in COVID-19, friend or foe?
Authors: Mahrous Reham , Abdelnasser Amr , Fouda Raghda , Moniem Morsy Mohamed Abd Al , Ibrahim Mohamed Ahmed , Mandour Omnia
Published: November 2022

At the beginning of COVID-19 pandemic the use of NSAIDS was avoided. This was because the previous studies suggesting that NSAIDs may be linked to an increased risk of lower respiratory tract infection consequences. Later on studies involved the patients who used NSAIDs for some chronic conditions and showed no additional harm among these patients. Then many studied assessed the benefit of using NSAIDs in COVID-19 patients for management of pain and fever and showed no additional risk among these patients.

Key words:

Citation: Mahrous R, Abdelnasser A, Fouda R, Morsy MAM, Ibrahim MA, Mandour O. NSAIDs in COVID-19, friend or foe? Anaesth. pain intensive care 2022;26(4):427-429; DOI: 10.35975/apic.v26i4.1942

Received: May 29, 2022; Reviewed:  June 06, 2022, 2022; Accepted:  June 06, 2022
The effect of ketamine on Kupffer cell count in Wistar rat (Rattus norvegicus) model of sepsis
Authors: Asmoro Aswoco Andyk , Jaya Wiwi , Wahyudi Andri Nur , Laksono Ristiawan Muji
Published: November 2022

Background: Sepsis is a serious health problem and is associated with life-threatening complications, such as liver dysfunction, renal failure as well as cardiorespiratory disease. Kupffer cells are immune cells that contribute to the pathogenesis of liver dysfunction. This study aims to determine the effect of ketamine on the number of Kupffer cells in experimental animal models of sepsis.

Methodology: This experimental study used fecal-induced peritonitis (FIP) to create a sepsis model in rats (Rattus norvegicus). Thirty rats were divided into six equal groups, namely the negative control group, which was not treated with FIP (Group K−), the positive control group or the sepsis model with FIP treatment (Group K+), and the treatment group; the sepsis model rats (FIP treatment) given 5 mg of ketamine/kg intraperitoneally once at 0 h (Group A), at 3 h (Group B), 5 h (Group C) after induction of sepsis with FIP, and every 2 h after induction of sepsis with FIP for four hours (Group D). Kupffer cells were counted six hours after FIP induction using a hematology analyzer. Statistical test was carried out using the One-Way ANOVA test using SPSS 18.0 software.

Results: The number of Kupffer cells in sepsis groups (K+) was significantly higher (22.60 cell/ml) than in the negative control group (K-) (12.68 cell/ml) (P= 0.01). The administration of ketamine in the sepsis model group significantly decreased the number of Kupffer cells close to normal. The number of Kupffer cells was 12.56 cells/ml in Group A, 12.92 cells/ml in Group B, 9.75 cells/ml in Group C, and 8.50 cells/ml in Group D.

Conclusion: The administration of ketamine decreased the number of Kupffer cells in the rat model of sepsis induced by FIP to close to the normal group.

Abbreviations:  APP - acute-phase protein; FIP - fecal induced peritonitis; ICU - Intensive Care Unit; IL – interleukin; KCs - Kupffer cells; ROS - reactive oxygen species; NO - nitric oxide; SIRS - systemic inflammatory response syndrome; TNF-α  - tumor necrosis factor-alpha.

Keywords: Immunomodulator; Ketamine; Kupffer cell; Sepsis

Citation: Asmoro AA, Jaya W, Wahyudi AN, Laksono RM. The effect of ketamine on Kupffer cell count in Wistar rat (Rattus norvegicus) model of sepsis. Anaesth. pain intensive care 2022;26(4): 445-449.

DOI: 10.35975/apic.v26i4.1946

Received: April 20, 2022; Reviewed: July 13, 2022; Accepted: July 13, 2022
Prognosis and evaluation of patients with chronic obstructive pulmonary disease intubated in intensive care unit
Authors: Kilinç Mukaddes , Yildiz Murat , Mentes Oral , Durmaz Gökçe
Published: November 2022

Introduction: Chronic obstructive pulmonary disease (COPD) is the third most common cause of death worldwide. It is important to prevent this problem from a human as well as an economic point of view. With ever-increasing number of people requiring hospitalization, there is a need to increase intervention and treatment facilities and to develop new treatment approaches necessary to reduce mortality. We evaluated the course of the disease of patients who were already admitted to the intensive care unit with respiratory failure due to COPD, underwent acute exacerbation requiring intubation and invasive mechanical ventilation (IMV).

Methodology: Our study included 149 patients who were admitted to the intensive care unit with respiratory failure due to COPD exacerbation only, who underwent intubation and IMV while being followed up in the intensive care unit. The demographic data of patients diagnosed with COPD before hospitalization, length of stay in the intensive care unit and service, comorbid diseases, type of respiratory support device before IMV, current pneumonia status during exacerbation, and laboratory values ​​were recorded. The relationship between the in-hospital exacerbation in COPD and the prognosis was evaluated.

Results: The mean intensive care unit stay of these patients was 3.74 ± 4 days. Reintubation was needed in 56 patients (37.6%), 30 patients (20%) could not survive. A statistically significant difference was found between pneumonia developing in the hospital and the mortality (P = .01).

Conclusion: While studies are ongoing for the prevention of COPD exacerbations, more studies are needed to develop approaches and treatments for patients with COPD who develop acute respiratory failure due to their existing disease and need intensive care, as the associated mortality is very high.

Abbreviations:  COPD - Chronic obstructive pulmonary disease; IMV - Invasive mechanical ventilation; HFNC - High Flow Nasal Cannula; NIMV - Non-invasive mechanical ventilation; CRP – C-Reactive protein; GOLD - Global Initiative for Chronic Obstructive Lung Disease

Key words: Intubation; Invasive mechanical ventilation; Chronic Obstructive Pulmonary Disease; COPD; High Flow Nasal Cannula; HFNC

Citation: Kilinç M, Yildiz M, Mentes O, Durmaz G. Prognosis and evaluation of patients with chronic obstructive pulmonary disease intubated in intensive care unit. Anaesth. pain intensive care 2022;26(4):474-479.

DOI: 10.35975/apic.v26i4.1950

Received: January 12, 2022; Reviewed: January 19, 2022; Accepted: February 09, 2022.
Outcome of patients with upper limb vascular injuries during civil war in Iraq
Authors: Fahad Ahmed Muhi , Hussein Abdulameer Mushin
Published: November 2022

Background & Objective: Vascular trauma constitutes a major part of the violent body injuries and accounts for one of the high incidence injuries in Iraq. We retrospectively collected the relevant data of vascular injuries and their management in our hospitals over a period of seven years, to stress early intervention to manage vascular injuries.

Methodology: In this retrospective, descriptive study, the relevant data of 321 patients with upper limb vascular injuries were collected from the hospital data management system. The data were analyzed according to history, examination, investigations and methods of treatment of arterial and associated injuries.  

Results: Out of 321 patients, 98.13% were males and 1.87% females. The most frequent injured vessel was the brachial artery seen in 64.48% patients and end to end arterial anastomosis was done in 52.02% of the patients. The limb salvage rate was 98.75%, and was achieved in 317 patients.

Conclusion: In conclusion, the limb salvage rate is increased if the vascular injury is treated within the golden period.

Abbreviations: ATLS - Advanced Trauma Life Support; OR - Operating room; SSG - Split skin grafting

Key words: Amputation; Iraqi civil war; Vascular trauma

Citation: Hussein AM, Fahad AM. Outcome of patients with upper limb vascular injuries during civil war in Iraq. Anaesth. pain intensive care 2022;26(4): 510-513; DOI: 10.35975/apic.v26i4.1958

Received: April 24, 2022; Reviewed: May 25, 2022; Accepted: May 26, 2022
A RARE CASE OF NUTRITIONAL MEGALOBLASTIC ANEMIA WITH PANCYTOPENIA PRESENTING AS FEVER, WHICH GOT SUBSIDED ON CORRECTING THE VIT B12 DEFICIENCY
Authors: Panuganti Snigda , Reddy Alla Krishnakar , Banoth Balu , Chindam Sindhuja , Reddy D. Padmakar
Published: November 2022

Pancytopenia is the presence of anemia, leucopenia, and
thrombocytopenia with Hemoglobin (Hb) being less than 13.5g/dl in
males or 11.5g/dl in females; the leucocytes count is less than 4x103/l
and the platelets count is less than 150x103/l(1). The commonest
clinical manifestations of Pancytopenia are usually Fever (86.7%),
fatigue (76%), dizziness (64%), weight loss (45.3%), anorexia
(37.3%),night sweats (28%), pallor (100%), bleeding (38.7%),
splenomegaly (48%), hepatomegaly (21.3%), and lymphadenopathy
is (14.7%)(2).
COMPARATIVE EVALUATION OF PROPOFOL AND DEXMEDETOMIDINE INFUSION FOR HYPOTENSIVE ANESTHESIA DURING FUNCTIONAL ENDOSCOPIC SINUS SURGERY: A PROSPECTIVE RANDOMIZED TRIAL
Authors: Devi Meenakshi , Atri Ankita , Singh Gurjinder
Published: November 2022

Background: Intense bleeding during general anesthesia is the major limitation during functional endoscopic sinus surgery. It affects operative
eld visibility and increases complications. Hypotensive anesthesia is preffered to improve surgical outcomes. This study aimed to compare the
efcacy of propofol and dexmedetomidine infusion for hypotensive anesthesia in patients undergoing FESS. To compare the efcacy Objective:
and safety of dexmedetomidine and propofol for hypotensive anesthesia in functional endoscopic sinus surgeries. This Materials and methods:
prospective randomized trial was conducted in 60 adult patients who were scheduled for FESS under general anesthesia. Patients were randomly
divided into two groups: group P (n = 30) received propofol infusion of 50–150mcg/kg/min and group D (n = 30) received dexmedetomidine with a
loading dose of 1 mcg/kg diluted in 10 mL 0.9% saline to be infused over 10 min after induction, followed by maintenance infusion of 0.4–0.8
mcg/kg/h. The infusions were titrated to maintain mean arterial pressure (MAP) between 60 and 70 mm Hg and hemodynamic stability.
Intraoperative blood loss, quality of the surgical eld (Fromme- Boezaart scale), hemodynamic control, and patient recovery were recorded.
Results: In our study, the mean arterial pressure and heart rate were signicantly lower in group D throughout the surgery than in group P. Blood
loss was signicantly higher in group P (105.82 ± 15.16 ml) than in group D (90.50 ± 16.78 ml). The Fromme's score (Surgical eld visibility) 1/2/3
was comparable between the groups. The awakening time was signicantly short in group D than group P. Intraoperatively, only one incidence of
bradycardia and hypotension was observed in group D (2.5%) compared to that in group P, which was managed successfully. In our Conclusion:
study, we observed that both dexmedetomidine and propofol are efcacious and safe drugs for achieving controlled hypotension during FESS;
however, dexmedetomidine provides better hemodynamic control and is associated with lesser degree of sedation without any signicant adverse
effects.
COMPARATIVE EVALUATION OF THE IMPACT OF TWO DIFFERENT DISTRACTION STRATEGIES AS A NON-PHARMACOLOGICALANXIOLYTIC AMONG HOSPITALIZED CHILDREN
Authors: Alatekar Supriya , Shinde Janaki
Published: November 2022

Background Non-pharmacological anxiolytic distraction methods are extensively supported for their role in reducing anxiety; stress in
hospitalized children However, there is limited scientic evidence identifying the most suitable distraction strategy, especially in an Indian set-up.
Objective To perform a comparative evaluation of the impact of two different distraction strategies as a non-pharmacological anxiolytic among
hospitalized children. Methodology In this prospective study, 120 hospitalized children of either sex, satisfying the inclusion criteria were
included. Three different treatment groups created: animated cartoon video group (ACV/ n = 40), distraction card therapy (DCT/ n= 40) and control
group (n= 40). ACVand DCTwas administered for 20 minutes in their respective groups during the vital signs' procedure, and anxiety was assessed
before, during and after the 5 min of procedure by using modied child faces anxiety scale (Wong-Baker FACES). The routine procedure was done
on control group without giving them the intervention. P0.05 was considered signicant. Results Most patients were in the age group of 3-6
years, with a male predominance (53.75%) (Male: Female=0.67:0.57). Signicant difference was noted in the post-test anxiety scale test score
between ACV and control group, DCT and control group (p < 0.001), with high post-test score noted in the control group. Slightly high mean test
score noted in the DCT group (6.8) than ACV group (5.5), but non-signicant. The majority of children in the age group of 3-6 years had moderate
anxiety levels in the ACVgroup (p = 0.01408) and DCTgroup (p = 0.0316) indicting their signicant association with age group. ConclusionACV
is a more effective non-pharmacological intervention than DCT, for decreasing the anxiety levels in paediatric inpatients
SEROUS OVARIAN CARCINOMA INITIALLY PRESENTING WITH VIRCHOW'S NODE METASTASIS: A CASE REPORT
Authors: Venugopal Devika , Vijayaraghavan Lila Rani
Published: November 2022

Tumoral dissemination of ovarian cancers most commonly occurs through the intraperitoneal route, but rarely ovarian cancer also metastasis
through lymphatic channels. Pelvic and retroperitoneal lymph node metastasis is usually involved. Ovarian primaries of supraclavicular metastasis
are extremely rare, hence presenting this case.
ARRAY OF MAGNETIC RESONANCE IMAGING FINDINGS IN POST-COVID MUCORMYCOSIS.
Authors: Nanda Civilee , Sachdev Namrita , Kathpalia Sudhanshu , Tyagi Shardul
Published: November 2022

Background: ROCM is a rare but extremely fatal fungal infection targeting immunocompromised individuals. There was a surge in cases in the
past 2 years amongst the patients recovered from moderate to severe COVID-19 infection. Imaging is essential for early clinical recognition of this
potentially fatal disease so that timely management can be done. We Methods: conducted a cross-sectional observational study with 30 COVID 19
patients suspected of having ROCM for a period of 2 months. MRI evaluation was done using conventional sequences , TOF MR Angiography and
follow up imaging was done whenever possible The infection was predominantly bilat . Results: eral in 22 patients(74%) with unilateral
involvement seen in 8 cases (26%) .Staging was done in preoperative patients(15 patients) with Stage 1 disease seen in 2 cases (10%), Stage 2
disease seen in 5 cases (25%) and stage 3 disease seen in 8 cases( 40%). Cavernous sinus thrombosis was seen in 8 cases (26%), ICA thrombosis in
3 cases (10%) ,CCA thrombosis in 2 cases(10%), Optic neuritis in 8 cases (26%) , ICA infarct in 5 cases (10%), involvement of pituitary gland in 1
case (3 %), intracranial focal cerebritis in 5 cases (16%) and pachymeningitis in 5 cases (16%). Black turbinate and guitar pick signs were observed.
Patients underwent endoscopic or open debridement under GA. with Orbital exenteration, ethmoidectomy and medial maxillectomy. Conclusion:
ROCM is thus an emerging rapidly disseminating fungal infection aficting the COVID recovered population. Aggressive debridement, systemic
antifungal therapy, and control of underlying co-morbid factors is the mainstay of therapy. Radiologists play a signicant role in it's early diagnosis,
evaluation of extent, thus aiding in better and faster management.
A BRIEF REVIEW OF FOOT AS THE FUNCTIONAL UNIT OF HUMAN BODY.
Authors: Shelar Suvarna P. , M. Rokade Bharat , B. Bhoir Uday
Published: November 2022

Foot is the essential part of human body even though without foot we cannot stand. It is the most distal part of the limb which in humans is laced
horizontally. During the initial phases of evolution man was quadripedal then he became bipedal. Homosapiens are wise men with bipedal and erect
posture. So the upper limbs were free and lower limb are mainly for stability. Foot is a structure on which entire body weight is putting a pressure on
particular weight bearing areas. In the present article foot has been elaborated from its functional perspective regarding its biomechanics.
PHENOTYPIC DETECTION OF METALLO-BETA LACTAMASES (MBL) IN ACINETOBACTER BAUMANNII ISOLATES IN TERTIARY CARE HOSPITAL
Authors: Ahmad Paray Ansar , Kaur Amandeep
Published: November 2022

Background: A.baumannii is an important emerging human pathogen and is among one of the important pathogens causing hospital acquired
infections as well as community infections. The present study was conducted with the aim to know resistance pattern of A.baumannii and to detect
the production of Metallo beta lactamase enzyme in Carbapenem resistant A.baumanni. Material and Methods: During six months prospective
study, all isolates of Acinetobacter obtained from various clinical samples like respiratory, pus, blood and others were included. Antimicrobial
susceptibility testing was done by Vitek 2 compact system. MBL detection was done phenotypically by imipenem-EDTA combined disk method.
Results: Out of 1336 culture positive samples, 146 isolates were of A.baumannii. Majority of the isolates were isolated from ET tubes/ ET
secretions (45.27%). A.baumannii isolates were highly resistant towards various antimicrobials tested including, carbapenems. However isolates
of A.baumanniishowed high level of sensitive towards Colistin (94.2%) and Minocycline (82.2%). Out of total 124 carbapenem resistant isolates
of A.baumannii MBLproduction was observed in (86.2%) isolates. Conclusion: In the present study high rate of resistance was observed towards
most of the antimicrobials tested. The present study also revealed high proportion of MBL producing Acinetobacter baumannii. Therefore early
detection and infection control practices are the best defenses against these organisms; therefore, systematic surveillance to detect MBLproducers
is necessary. It is most important to follow antibiotic restriction policies to avoid excessive use of carbapenem and other broad spectrum antibiotics
in order to prevent going towards the era with no antibiotics.
HYSTEROSALPHINGOGRAPHY IN THE EVALUATION OF PRIMARY AND SECONDARY INFERTILITY
Authors: Joshi Khanjan , Singh Kanupriya , Shah Ami , Doshi Haresh
Published: November 2022

Aim and Objectives: Hysterosalpingography is a gold standard and cost effective method of assessing the integrity of the female genital tract. Two
important indications for obtaining HSG are evaluation of tubal patency and congenital uterine anomalies. Hysterosalpingography is a
safe,relatively inexpensive, simple and rapid diagnostic test, when performed properly provides valuable information about the uterine cavity and
tubal architecture. A prospective study of 100 consenting women coming to GCS Hospit Material and Method: al having primary or secondary
infertility and fullling the inclusion criterias were identied and explained about the procedure and after obtaining basic investigations
hysterosalphingography was performed the most common age group in primary infertility was Results: 21-25 yrs about 46% and in secondary age
group was 26-30 about 42%,18% of primary infertility and 34% of secondary infertility had menstrual irregularities.6% of primary infertility and
10% of secondary infertility had tubal factors,as compared uterine factors which were 6% in both primary and secondary infertility Conclusion:
HSG is an effective tool with high specicity in diagnosing tubal factor.It is also highly sensitive for congenital anomalies.It is cost effective, and
helps in demarcating patients who recquire further evaluation with laparoscopy.
Video Streaming and Cloud Gaming services over 4G and 5G: a complete network and service metrics dataset
Authors: Baena Carlos , Peñaherrera Oswaldo , Camacho Lourdes , Barco Raquel , Fortes Sergio
Published: November 2022

The enhancement reached in the telecommunication field, especially in cellular communications, has led to the emergence of multiple multimedia services. The easy supported by the mobile networks together with their novelty has triggered their popularization among society, being considered already essential in the daily life. Likewise, the increasingly connectivity dependence of these services leads to have a huge impact of the network on the user’s perception, being their adequate provision one of the biggest concerns among telcos. Moreover, data encryption used for the security and integration of network information exchanged, together with the limited access to the application data, difficulties the assessment of the service’s end-to-end (E2E) performance. In this scope, this work presents a dataset based on multiple metrics namely KQIs, which provide the E2E conditions of different services. Particularly, the dataset considers video streaming and cloud gaming (CG) services. Furthermore, a detailed description of the testbed where the dataset has been generated is given, discussing the reasoning behind the choices made for its development.
Factors contributing to and preventing mothers of children 1-6 aged from participating in the labour market in Kazakhstan
Authors: Kabylova Moldir
Published: November 2022

Mothers of young children in Kazakhstan experience challenges to do paid work as the result of flaws in the state policies, motherhood penalty in the labor market and cultural barriers in the family institution. Absence of parental leave for fathers, three years unpaid maternity leave and shortage of state-subsidized childcare services reinforce traditional breadwinner family institution where women are the main caregiver and increase gender inequality. The labor market factors preventing mothers from fulfilling their fullest potential are wage gender gap, discrimination, and employers’ reluctance to hire women of reproductive age, and a lack of flexible work options. Within the family sphere, women in Kazakhstan spend three times more time on unpaid domestic work compared to men and mothers of young children are likely to have higher workload. The research aims to explore the main barriers preventing mothers of children 1-6 aged from participating in the labor market in Kazakhstan. The research applied the qualitative research method and conducted three focus group discussions among 15 mothers of young children residing in cities Almaty in Southern Kazakhstan. The results demonstrate that women face cultural and family barriers to do paid work in cosmopolitan Almaty and experience challenges to enter and remain in the labor market as a result of underdeveloped state policies and motherhood penalty in the labor market. Mothers of children 1-6 aged in Kazakhstan need sufficient number of childcare services for children aged under 3 subsidized by the state, flexible work schemes at workplace and policy incentives for fathers to take paternity leave
How to care for patients with heart failure – A systematic review of nursing interventions
Authors: Sá Maria do Sá , Nabais Ana Sofia
Published: November 2022

Background: Heart Failure (HF) is a highly dysfunctional disease, with impact on the biopsychosocial dimensions of the patients. The worldwide progressive growth of HF incidence, caused by longer life expectancy, results in higher HF rehospitalization rates. HF patients’ rehospitalization is mostly a result of avoidable causes, including limitations in knowledge regarding HF self-care and impaired therapeutic adherence; therefore, the intervention of nurses is essential. Goals: To identify nursing interventions to address alterations in Basic Human Needs (BHN) and to promote relief of symptoms for HF patients as they transition from hospital to home, including follow-up care. Method: A systematic review in CINAHL and MEDLINE databases to answer the study question: In patients with HF, what nursing interventions help to improve BHN, promote relief of symptoms and aid the transition from hospital to home? Results: Nine studies were included. Nursing interventions focused on relief of symptoms during hospitalization to promote well-being and the individual’s health status. Preparing the patient’s transition from hospital to home earlier in their admission allows for the identification and adequate response to patient needs. Language adaptation during health education and a periodic follow-up were effective measures to promote independence in HF self-care and to reduce mortality and rehospitalization rates. Even though these interventions show positive results, they are not frequently used in clinical practice given a lack of specialized education about HF among healthcare professionals and empowerment culture, as well as an incapacity for adequate patient follow-up. Final Considerations: The nurse is responsible for helping the patient to develop skills to manage their symptoms (e.g., recognize relevant symptoms) and the therapeutic regimen; if successfully achieved, this promotes empowerment, thus reducing readmissions and promoting well-being.
Amor, honor y reconocimiento: interpretaciones feministas de la teoría política hegeliana
Authors: Losiggio Daniela
Published: November 2022

Este trabajo tiene como punto de partida la tesis de que las ideas de Hegel sobre el amor y el honor, así como la noción hegeliana de reconocimiento, resultan hoy un insumo fundamental para la teoría política feminista. Para demostrarlo, recurriremos al método de la “doble mirada”: por un lado, ofreceremos un panorama acerca del lugar de las mujeres en la obra de Hegel; por el otro, procuraremos demostrar la productividad política de muchas de sus ideas en el pensamiento feminista contemporáneo.
Sujetos sujetados / sujetos sexuados: aportes filosóficos del feminismo materialista francés sobre cuerpo, materialidad y poder
Authors: Bolla Luisina
Published: November 2022

Este artículo muestra los aportes del feminismo materialista francés para el abordaje de los procesos de sujeción/subjetivación. Se concentra en las categorías de anatomía política y de marca somática formuladas en la década de 1970 por Nicole-Claude Mathieu y Colette Guillaumin, respectivamente, como base de un análisis original que vincula subjetivación, corporalidad y relaciones de producción. Mostramos que la óptica feminista materialista coloca en el centro de la reflexión la dimensión sexogenérica, ausente en las filosofías francesas de la época, para lo cual se presenta un contrapunto con Foucault y Bourdieu. Argumentamos que el feminismo materialista sienta las bases de un materialismo crítico que evita tanto la somatofobia –muchas veces atribuida a los feminismos postestructuralistas– como el biologicismo –muchas veces presente en enfoques feministas marxistas ortodoxos–.
ПРОГРАММА «СТАРТАП КАК ДИПЛОМ» В УНИВЕРСИТЕТАХ СОЦИАЛЬНО-ЭКОНОМИЧЕСКОГО ПРОФИЛЯ: УСЛОВИЯ И СПЕЦИФИКА РЕАЛИЗАЦИИ
Authors: Гусева М.С. , Репина Е.Г.
Published: November 2022

Реализация образовательными учреждениями высшего образования в Российской Федерации федеральной программы «Стартап как диплом» обусловливает необходимость формирования в университете определен-ной институциональной среды, определяющей условия и алгоритм подготовки, порядок выполнения и защиты выпускной квалификационной работы, выполненной в форме стартапа. В экономике фактически перестают быть востребованными специалисты общего профиля в традиционном его понимании – экономисты, юристы, управленцы. Крайне востребованы специалисты, ориентирующиеся в смежных областях, способные быстро адаптироваться в экстремально меняющихся экономических реалиях, создавать персонифицированные продукты, предиктивные сервисы. Вузы социально-экономического профиля сталкиваются со сложностями жесткой сцепки академического профильного образования и практической подготовки специалистов в области нетехнологического предпринимательства. Проведенное исследование подтвердило необходимость коллаборации профильного университетского сообщества с представителями региональной предпринимательской инфраструктуры. Пример такого сотрудничества представлен в статье. В работе описан образовательный трек предпринимательства в университете как стандартный алгоритм развития предприниматель-ских компетенций обучающихся, представляющий собой четкую программу действий поэтапного развития предпринимательских компетенций, с целью выявления обучающихся – потенциальных предпринимателей – и их погружение в стартаппроекты с последующей защитой выпускной квалификационной работы в форме стартапа. В статье также представлены обобщение и систематизация лучших практик российских университетов социально-экономического профиля в реализации программы «Стартап как диплом»; основные типовые проблемы, с которыми сталкиваются университеты при попытке реализации данного проекта; пред-ставлены возможные пути решения выявленных проблем; определены преимущества и перспективы применения данной формы подготовки и защиты выпускной квалификационной работы в университетах социально-экономического профиля.
ФИСКАЛЬНАЯ РОЛЬ МАЛОГО ПРЕДПРИНИМАТЕЛЬСТВА В БЮДЖЕТЕ ЧЕЧЕНСКОЙ РЕСПУБЛИКИ
Authors: Баташев Р.В. , Хасанова С.С.
Published: November 2022

Малое предпринимательство, его состояние, управление развитием, влияние на социально-экономическое развитие территорий – являются объектом исследования многих отечественных ученых. Малое предпринимательство является структурообразующим элементом процесса управления развитием любой социально-экономической системы. Немаловажное значение при этом имеет фискальной потенциал малого бизнеса для территориальных бюджетов. Целью статьи является исследование структуры и динамики поступления налоговых платежей от субъектов малого бизнеса в региональный бюджет. Проведенное исследование позволило сделать наглядный вывод, что налогообложение малого предпринимательства в Чеченской Республике занимает незначительную роль в финансовом обеспечении региональных и местных бюджетов, хотя, является перспективным направлением наращивания налогового потенциала субъекта.
ПОСТРОЕНИЕ ЦИФРОВОЙ АРХИТЕКТУРЫ СОВРЕМЕННОГО БАНКА В УСЛОВИЯХ ИНФОРМАТИЗАЦИИ БАНКОВСКОГО БИЗНЕСА
Authors: Ибрагимов К.Х. , Таштамиров М.Р.
Published: November 2022

Процессы оцифровки экономико-финансовых отношений масштабируются с высокой скоростью, что затра-гивает все сферы коммерческой деятельности. Субъекты финансового бизнеса вынуждены перестраивать механизмы и структуру своей работы для поддержания требуемого уровня конкурентоспособности и расши-рения охвата рынка потребителей своих услуг. Банковские организации в этих процессах также трансформи-руются и проходят через стадии диджитализации бизнес-модели. В этой связи вопросы исследования подхо-дов к построению цифрового ландшафта современного банка видятся достаточно актуальными. Целью дан-ной статьи является формирование цифровой архитектуры банка с применением предметных областей циф-ровой экономики и их сопряжения с различными сферами банковской деятельности. Основным методом иссле-дования стал архитектурно-ориентированный подход, предполагающий построение теоретической модели-матрицы через взаимосвязь нескольких компонентов определенной коммерческой структуры. В результате исследования построены две матрицы: матрица классификации и матрица воздействия, что позволило вы-явить перспективные виды банковской деятельности для активного внедрения предметных областей цифро-визации.
РЕАЛИЗАЦИЯ КОНЦЕПЦИЙ ЦИРКУЛЯРНОЙ ЭКОНОМИКИ В РАМКАХ ЦЕЛЕЙ УСТОЙЧИВОГО РАЗВИТИЯ
Authors: Дадаев Я.Э. , Закриева З.М.
Published: November 2022

Поиск методологической основы для развития экономики, которая отвечает принципам устойчивого развития, и ее трансформация в реальные механизмы функционирования социально-экономических систем, является актуальной проблемой современности. На этом фоне почти за 20 лет в качестве программ действий по экономическому развитию общества были провозглашены различные по своему содержанию концепции: зеленой, синей и циркулярной экономики. В то же время без внимания остаются вопросы относительно того, каким образом эти концепции соотносятся между собой: являются ли они взаимодополняющими или альтернативными друг другу, могут ли быть реализованы одновременно. В статье исследованы главные черты, сферы, ключевые акценты и связь этих концепций. Результаты проведенного анализа дают основания сделать вывод о том, что со сменой цветов концепций, направленных на обеспечение устойчивого экономического развития, происходит трансформация понимания взаимосвязи экономики и природы.