bluuebunny/crossref_metadata_2025_split huggingface dataset:
Du projet professionnel d’internes de médecine générale angevins à leur exercice réel : 2012 à 2019
Authors: Clisson Romain , Angoulvant Cécile , Ramond-Roquin Aline , Guelff Jessica 
Published: March 2021

Objectifs : L’installation des jeunes médecins généralistes est déterminée par plusieurs facteurs dont le projet professionnel. En 2012, une étude observationnelle quantitative interrogeait les projets professionnels des internes angevins en médecine générale. En 2019, l’objectif de cette étude était d’essayer de mettre en évidence une continuité entre projet professionnel et exercice ultérieur. Méthode : Étude quantitative par questionnaire internet réalisée de mai à juillet 2019, s’intéressant aux données socio-démographiques, à l’exercice actuel et aux facteurs d’évolution du projet professionnel. Les critères d’inclusion étaient d’avoir répondu à l’étude de 2012 et d’avoir accepté d’être recontacté ( n = 167). Construction d’un indicateur de suivi du projet professionnel (ISPP) envisagé en 2012 et réel en 2019, basé sur une comparaison du mode d’exercice, de la structure d’exercice et du type de patientèle envisagé. Résultats : Le taux de réponse était de 76,6 %. 48,4 % étaient libéraux, 31,3 % étaient salariés, 11,7 % avaient un exercice mixte. Selon l’ISPP, le projet professionnel envisagé a été suivi totalement par 67,7 % des internes et partiellement par 17,3 %. Le SASPAS influait sur l’évolution du projet professionnel ( p = 0,026). La multiplication des stages en ambulatoire favorisait un exercice en libéral, en 2019 ( p < 0,001). Les principaux facteurs déclarés d’évolution des projets professionnels étaient la formation (77,3 %) et la situation familiale (53,1 %). Conclusion : Ce suivi de cohorte a montré que plus de deux tiers des internes ont suivi leur projet initial. L’identification et le soutien de ces projets individuels durant la formation pourrait être une piste pour favoriser leur réalisation.
Connaissances, attitudes et pratiques de la population de la région de Dakar sur la COVID-19
Authors: Leye Mamadou Makhtar Mbacké , Keita Ibrahima Mamby , Bassoum Oumar 
Published: March 2021

Introduction : Devant l’augmentation des cas confirmés de COVID-19 au Sénégal, particulièrement dans la région de Dakar, épicentre de la maladie, il s’avère nécessaire d’étudier les connaissances, attitudes et pratiques des populations des districts Ouest et Sud sur la COVID-19. Méthode : Une étude transversale à visée analytique a été réalisée du 9 au 30 mai 2020. Un sondage en grappes à quatre degrés a été effectué au niveau des districts Ouest et Sud. Des analyses univariées et multivariées ont été effectuées par le logiciel R 3.4.4. Résultats : Au total, 400 personnes ont été enquêtées. L’âge moyen des personnes enquêtées était de 40,2 ± 14,7 ans et des extrêmes de 18 et 82 ans. Le sexe masculin prédominait soit 66,5 % des cas. Les personnes avaient de bonnes connaissances des signes, des risques de transmission et des mesures de prévention respectivement dans 4,7 % ; 3 % et 47,8 %. Au total, 74 % des personnes enquêtées respectaient le concept de « restez chez vous ». Le port du masque et le lavage systématique des mains avec de l’eau et du savon étaient notés chez les personnes enquêtées respectivement dans 53,6 % et 34,8 % des cas. Les personnes qui avaient de bonnes connaissances sur les mesures de prévention contre la COVID-19 portaient plus le masque (ORaj = 2,1 [1,2-3,5]) et lavaient plus leurs mains avec de l’eau et du savon (ORaj = 1,9 [1,1-3,4]). Conclusion : Pour une lutte efficace contre cette épidémie, il est important de renforcer la communication des risques avec une pleine participation de la communauté. Cette stratégie doit être couplée aux actions visant à rendre disponibles les moyens de prévention aux bénéfices de toute la population.
Prediction of Drug Users Based on Facial Scratching Pattern
Authors: Priambodo Bagus , Jumaryadi Yuwan , Rahayu Sarwati , Firdaus Diky , Sobri Muhammad , Pratama Putra Zico 
Published: March 2021

The current practice of drug inspection is usually carried out at school or university. This procedure, however, is not effective and efficient, as the urine samples are taken randomly. In many cases, the drug-taking student is not present or evades the urine or hair inspection. A predictive drug user tool is needed, where only suspected student drug users are selected for a urine test. In general, drug abuse constantly causes terrible damage to the skin lesions Since they damage the skin during hallucinations due to the effects of drugs. The Grey Level of Occurrence Matrix (GLCM) is used in this study to discover the scratch pattern. Our proposed GLCM is evaluated with 104 images collected from the Internet. Training data is generated from 88 images of people before and after the drug was collected from the Internet, and we set 16 image faces to test the prediction. The experiment shows that the prediction based on GLCM has better accuracy (81%) compared with the local binary pattern (LBP) which only reach up to 75%.
Faire avec les restes de l’âge nucléaire
Authors: Saraç-Lesavre Başak 
Published: March 2021

Les restes de l’âge nucléaire ne sont pas seulement des déchets radioactifs mais aussi des communautés, des géographies et des géologies. Dans la ville de Carlsbad, au Nouveau-Mexique, un groupe d’acteurs locaux cherche à faire de son sous-sol un site d’accueil de choix pour les déchets radioactifs à haute activité. Cette ville abrite le seul site d’enfouissement en couches géologiques profondes opérationnel au monde, appelé le Waste Isolation Pilot Plant (WIPP). Il reçoit régulièrement des livraisons de déchets radioactifs d’origine militaire à faible et moyenne activité qui doivent y rester confinés durant les dix mille prochaines années. La ville de Carlsbad « habite le trouble » au sens où elle doit « faire avec » les restes radioactifs de l’âge nucléaire. En prenant ce groupe d’acteurs locaux comme objet de son analyse, l’article fait deux contributions. Premièrement, il décrit comment ils conçoivent le devenir de leur ville comme tenant à leur capacité à rester « nucléaire » via l’enfouissement local d’autres types de déchets radioactifs. Deuxièmement, à travers une enquête ethnographique, il offre un récit symétrique et complémentaire aux études sur l’aménagement de projets technoscientifiques à risques qui se concentrent sur les mouvements de contestation et qui souvent négligent ceux qui soutiennent ce type de projets. L’article conclut en attirant l’attention sur l’anticipation des « violences lentes » pouvant être provoquées par la fin de la vie nucléaire, en plus de celles qui sont produites par les rencontres persistantes, indésirables, toxiques et nocives avec la radioactivité.
Deformation of Dirac operators along orbits and quantization of noncompact Hamiltonian torus manifolds
Authors: Fujita Hajime 
Published: March 2021

AbstractWe give a formulation of a deformation of Dirac operator along orbits of a group action on a possibly noncompact manifold to get an equivariant index and a K-homology cycle representing the index. We apply this framework to noncompact Hamiltonian torus manifolds to define geometric quantization from the viewpoint of index theory. We give two applications. The first one is a proof of a [Q,R]=0 type theorem, which can be regarded as a proof of the Vergne conjecture for abelian case. The other is a Danilov-type formula for toric case in the noncompact setting, which is a localization phenomenon of geometric quantization in the noncompact setting. The proofs are based on the localization of index to lattice points.
Transmission-Blocking Preventive Measures for Infectious Diseases: Altruism, Solidarity, and the Common Good
Authors: Garber Laine , Vinetz Joseph M. 
Published: March 2021

ABSTRACTAiming to prevent the spread of contagious diseases has long been a central tenet of public health. In the present time, divisive political responses to mask wearing to prevent SARS-CoV-2 transmission have competed with sound public health advice for public attention. Here, we draw parallels in terms of individualism versus societal solidarity between the slow and ponderous development of transmission-blocking vaccines for malaria and advocacy for mask wearing to prevent COVID-19.
Diagnosis and management of extrahepatic oesophageal variceal bleed in children in a low resourced setting
Authors: J. Afaa Taiba , H. Amegan-Aho Kokou , Richardson Elikem , Goka Bamenla 
Published: March 2021

Extrahepatic portal vein obstruction (EHPVO) is a major cause of portal hypertension (PH) in children. Portal vein thrombosis (PVT) is the most common cause accounting for up to 75% of cases in developing countries. Upper gastrointestinal bleeding is the most dreaded and commonest presentation of portal hypertension. Successful treatment of paediatric PH, though challenging is performed in resource constraint countries.
Cases: Five children presented over three years to a tertiary hospital in Ghana, with massive upper gastrointestinal bleeding. They had anaemia, thrombocytopaenia and four had splenomegaly. Liver function tests, INR, haemoglobin electrophoresis as well as HIV serology, hepatitis B and C screening were all normal. Abdominal doppler ultrasound scan confirmed portal vein thromboses. They were resuscitated and managed with octreotide, propranolol, antibiotics and sclerotherapy or oesophageal variceal banding in the acute setting and long term secondary prophylaxis with propranolol. Subsequently, an algorithm was developed to assist with the management of bleeding from oesophageal varices and the diagnosis of EHPVO.
Conclusion: Portal hypertension due to EHPVO is an important cause of upper gastrointestinal (GI) bleeding in children. This can be successfully managed even in a resource constraint setting once the appropriate measures are taken.
Systemic disorders and the prognosis of stroke in Congolese patients: a cross-sectional study
Authors: Tshilanda Marc , S. Kanmounye Ulrick , Kapongo Remy , Tshiasuma Michel 
Published: March 2021

Objectives: Stroke is one of the leading causes of death, disability, and dementia in developing countries. Our study aimed to evaluate the systemic disorders associated with mortality in patients admitted within 72 hours of the initial stroke event.
Setting: The study took place at a tertiary hospital in Kinshasa.
Participants: Patients admitted within 72 hours of the initial stroke event.
Interventions: This cross-sectional study consisted of a retrospective review of stroke patient records from January 2016 to December 2018. The Pearson-Chi square test and odds ratios were calculated with a threshold of significance of 0.05.
Main outcome measures: Mortality
Results: We recruited 114 cases. The mean age was 61.8 ± 2.4 years, and the sex ratio was 1.78 in favor of men. Hypertension (76.3%), dyslipidemia (71.1%), and diabetes mellitus (58.8%) were the most frequent comorbidities. Most patients had hypoxia (85.9%), hypertension (82.4%), hyperglycemia (57.8%), and fever (28.1%). We registered thirty-two deaths (28.1%): 20 (62.5%) from the ischemic strokes, and 12 (37.5%) from hemorrhagic strokes. Systemic disorders with the worst prognosis during were arterial hypotension (OR=3.87, p >0.001), and fever (OR = 1.56, p = 0.047).
Conclusion: Arterial hypotension and fever adversely affect stroke patient outcomes, and strokes are responsible for high mortality in Congo
KONSEP PENGELOLAAN ADMINISTRASI MENGGUNAKAN SISTEM INFORMASI DESA PADA DESA SEBENTE KABUPATEN BENGKAYANG
Authors: Erbito Yoseph Erbito , Rini hapsari Veneranda 
Published: March 2021

Abstrak
Layanan administrasi yang baik merupakan keharusan bagi masyarakat, harus dipenuhi oleh Pemerintah Daerah, layanan dapat berjalan dengan baik jika didukung oleh data yang akurat, Pemerintah Desa Sebente berupaya memberikan layanan publik yang efektif dengan cepat dan akurat, diperlukan aplikasi berbasis web yang dapat memenuhi kebutuhan ini, informasi yang disajikan dalam bentuk data umum dan layanan administrasi kependudukan. Penelitian ini menggunakan penelitian deskriptif dengan metode kualitatif. Studi ini menganalisis kondisi layanan saat ini dan kemudian menentukan konsep Sistem Informasi Desa yang dapat diterapkan di Desa Sebente, Kecamatan Teriak, Kabupaten Bengkayang.
Kata kunci: manajemen data, sistem informasi desa, data populasi, layanan publik.
SUSTAINABLE DEVELOPMENT GOALS (SDGs) DALAM KONSEP GREEN ECONOMY UNTUK PERTUMBUHAN EKONOMI BERKUALITAS BERBASIS EKOLOGI
Authors: Hari Kristianto Aloysius 
Published: March 2021

Artikel ini bertujuan untuk mendefinisikan konsep Green Economy dalam mengimplementasikan ke arah pencapaian pertumbuhan ekonomi hijau (green growth) dan Sustainable Development Goals (SDGs) dengan memperhatikan tiga aspek yaitu aspek politik, aspek sosial dan aspek ekonomi dalam mengambil sebuah kebijakan. Ulasannya berupa definisi, strategi kebijakan Green Economy, indikator pengukuran Green Economy dan implementasi green economy negara Thailand dan Ethopia yang dapat digunakan sebagai acuan dalam mengimplementasikan green economy. Sedangkan untuk negara Indonesia indikator green economy diukur dengan variabel PDB hijau dengan menambahkan biaya kerusakan lingkungan yaitu tingkat deplesi dan degradasi lingkungan.
Pengaruh Jumlah Anggota dan Volume Usaha Terhadap Sisa Hasil Usaha Koperasi di Wilayah Indonesia Bagian Timur
Authors: Buchari Imam 
Published: March 2021

Penelitian ini bertujuan untuk mengetahui apakah Jumlah anggota koperasi dan Volume Usaha memiliki dampak terhadap Sisa Hasil Usaha koperasi di Wilayah Indonesia Bagian Timur. Metode penelitian yang digunakan Time Series dari 2011-2015 serta jumlah Cross Section sebanyak 5 Provinsi, dengan metode ex post facto. Data yang disajikan setiap tahun yang diperoleh dari Kementerian Koperasi dan UMKM Republik Indonesia. Penelitian ini menggunakan model regresi data panel efek dengan model fixed effect sebagai hasil pemilihan model regresi terbaik
Berdasarkan hasil analisis dapat disimpulkan bahwa jumlah Anggota secara parsial tidak berpengaruh terhadap Sisa Hasil Usaha Koperasi di Wilayah Indonesia Bagian Timur, kemudian Volume Usaha memiliki Pengaruh posifit dan signifikan terhadap Sisa Hasil Usaha Koperasi di Wilayah Indonesia Bagian Timur. Jumlah Anggota dan Volume Usaha secara simultan memiliki pengaruh signifikan terhadap Sisa Hasil Usaha Koperasi di Wilayah Indonesia Bagian Timur
Farklı Besi Ortamları, Aşılam Yöntemleri Ve Sıcaklıkların Shii-Take Mantarında Misel Gelişimi Üzerine Etkileri
Authors: Gölgen Bahar ÖZTEKİN  
Published: March 2021

Bu çalışma in-vitro koşullarda 2 farklı besi ortamında [patates dekstroz agar (PDA) ve malt ekstrakt agar (MEA)] ve 5 farklı sıcaklıkta (10, 15, 20, 25 ve 30°C) shii-take mantar (Lentinula edodes) miselinin gelişim süresi ve hızını belirlemek amacıyla yürütülmüştür. Araştırmada kullanılan tohumluk miseller Atatürk Bahçe Kültürleri Merkez Araştırma Enstitüsü Müdürlüğü (Yalova)’ndan, klon olarak kullanılan anaçlık mantar AgroMantar (Denizli)’den temin edilmiştir. Hazırlanan MEA (48 g/L) ve PDA (39 g/L) besi ortamları 121°C’de 20 dk otoklavlandıktan sonra ılıkken steril kabin içerisinde UV ışık altında petri kaplarına doldurulmuş ve soğumaya bırakılmıştır. Anaçlık özellikteki shii-take mantarı alkolle dezenfekte edildikten sonra klonlar alınmış, tohumluk misellerden ise tek dane alınarak petri kaplarında besi ortamları üzerine yerleştirilmiş ve petri kapları parafilm ile kapatılmıştır. Her konudan 15 adet petri kabı hazırlanmış ve petriler konusuna uygun sıcaklıkta inkübatöre yerleştirilmiştir. Düzenli olarak farklı iki noktadan günlük misel uzunlukları ölçülmüş; petri kapları miseller ile tam sarıldığında ölçümler bitirilmiştir. Elde edilen verilerden misel gelişim süresi (gün) ve hızı (mm/gün) hesaplanmıştır. Uygulamaların teksel, ikili ve üçlü interaksiyonları misel gelişimini istatistiksel önem derecesinde etkilemiştir. Kullanılan besi ortamları içerisinde MEA, PDA’ya göre, dane misel aşılaması doku aşılamasına göre, 25°C diğer sıcaklık derecelerine göre daha kısa sürede daha hızlı misel gelişimi sağlamıştır. Araştırma sonuçlarına göre 25°C x MEA x dane misel aşılaması shii-take mantar miseli üretiminde uygun bulunmuştur.
Gurkha's Quest for Justice: Possible Remedies for Gurkhas under International Human Rights System
Authors: Sangroula Geeta Pathak 
Published: March 2021

There is a 205-year long history of Gurkha’s entanglement with the British. In 1816, the British East India Company defeated Nepal in the Anglo-Nepalese war. Dominant narratives of this history suggests that the British were impressed by the war-fighting capabilities and loyalty of the Gurkhas, and recruited them- not as mercenaries but part of their army- to fight in the World Wars, to maintain imperial administration in British India, Burma, Malaya, Singapore, and Hong Kong. After the 1947 Tripartite Agreement between India, Nepal, and Britain, Gurkha soldiers were recruited annually in both British and Indian armies. For decades, the Gurkhas have carried out a movement seeking equal pay and pension in comparison to their British counterpart. After a long struggle, their movement reached the European Court of Human Rights wherein the Court did not find a violation of the European Convention regarding the differential treatment of Gurkha soldiers. The paper, briefly subscribes to the available literatures about the magnitude of problems and the status of Nepali Gurkhas in the British Army, including an overview of the commitments and obligation of United Kingdom towards human rights. The paper fills the scholarly gap by taking international human rights as an analytical framework in approaching the Gurkhas’ issue. In making a case for possible remedies, Gurkhas as ‘rightsholders’ is proposed as a suitable frame. It concludes with recommendations, grounded in international human rights law, as a possible remedial mechanism for the Gurkhas — in their quest of justice.
"We never got equal terms and pay, and we are not even bothered about that. What we are seeking is justice for our pensions, getting equal to what the British get, according to the service rendered." (Retired major Tikendra Dal Dewan)
Rehabilitation features of patients with stroke in the vertebro-basillary system depending on the pathogenetic subtype of stroke
Authors: Bakhadirova Munisa 
Published: March 2021

Ischemic stroke is a serious medical and social issue due to deep and prolonged disability, as well as social maladjustment of patients. In this regard, the aim of the research was to study the influence of pathogenetic subtypes of ischemic stroke on the rehabilitation possibilities.
Based on the presence of COPD (Chronic Obstructive Pulmonary Disease) we divided all patients into 2 groups
Patients with IS in VI (Vertebrobasilar Insufficiency) and COPD - 62 people (group I) - 29 men and 33 women aged 50 to 74 (59.8 ± 5.8). Patients with IS in VI - 64 people (group II). Of these, 31 are men and 33 are women aged 51 to 80 (62.4 ± 5.4). All patients received traditional treatment in the most acute and severe periods of IS, patients with COPD received and treatment for COPD simultaneously with traditional IS therapy. The Barthel index was used to assess the patient's self-care capabilities. The degree of disability after IS was studied using the Rankin scale. In patients of subgroup II b, by the end of the ED (Eating Disorders), the indicators of the Lindmark B scale for the patient's general mobility differed significantly from the baseline at the beginning of the ED (p = 0.44). At that time, in the II a subgroup, only the indicators of the B. Lindmark scale were reliable.
In patients of subgroup II b, the difference in indicators at the beginning and at the end of ED was significant according to the Barthel index. Recovery in ED depends on many factors, including the subtype of IS, so the IS CE is the most severe, which is reflected in the Rankin scale. The timing and extent of patient recovery depends on the localization of the process, the subtype of IS, the presence of COPD, and the method of rehabilitation. Patients with the lacunar subtype, a single small or medium focus in the cerebellar hemispheres and midbrain recover most fully after complex rehabilitation.
Integration role of information technologies in knowledge transfer
Authors: Khamroev Rustam 
Published: March 2021

The article examines the importance of introducing information technology into the education system, the impact of information technology on the quality of education.
The creation and use of electronic textbooks in the learning process is recommended. This is important in a situation of insufficient provision of educational and methodological literature, as well as a way to resolve the contradiction between the desire to cover as much demonstration material as possible and practical. Since it takes time and some skill to master the specialized programming environment, e-tutorials can be created in a well-studied presentation preparation program.
The use of software products based on the concept of “electronic patient” is emphasized.
The article calls for the acquisition of knowledge, professional skills and abilities, and practical skills are not so much therapeutic and diagnostic manipulations as mastered methods of productive mental activity that provide correct, quick and economical diagnosis and effective treatment.
The article will be useful to students, university professors, staff, and management personnel of the education system.
Клинико-функциональные изменения твердых тканей зубов у больных гемофилие
Authors: Норбутаев Алишер , Шамсиев Мухиддин , Назарова Нодира 
Published: March 2021

пониженной свертываемостью крови, занимают особое место среди заболеваний системы крови. Наиболее распространенными из них являются гемофилия и болезнь Виллебранда. Гемофилия – болезнь «королевских особ» – старое, но по-прежнему актуальное заболевание.
Наследственные коагулопатии, характеризующиеся пониженной свертываемостью крови, занимают особое место среди заболеваний системы крови. Исходя из данных ВОЗ и вероятной частоты исследования этих заболеваний, распространенность гемофилии колеблется населения от 3 до 25 больных на 10 000 населения.
Немногочисленные исследования состояния полости рта у больных гемофилией показали высокий уровень стоматологических заболеваний, плохое гигиеническое состояние полости рта. Это объясняется отсутствием правильного ухода за полостью рта, и диспансерного наблюдения, боязни длительных кровотечений после стоматологических манипуляций. Врачи-стоматологи по этой причине стараются избегать лечения заболеваний зубов у данной категории больных.
В то же время современные достижения медицинской науки в области гематологии, развитие эффективной заместительной терапии позволяют предотвращать практически все виды кровотечений.
Однако до сих пор данный контингент пациентов лишен возможности получения своевременной и качественной стоматологической лечебно-профилактической помощи, что в значительной степени обусловливает высокую распространенность воспалительных заболеваний челюстно-лицевой области.
Все вышесказанное является доказательством наличия многих предрасполагающих факторов поражения зубочелюстной системы у больных гемофилией, а также необходимостью профилактических, лечебных, в том числе и ортопедических стоматологических мероприятий для данной категории больных.