bluuebunny/crossref_metadata_2025_split huggingface dataset:
PENGENALAN TEKNOLOGI NANO PADA PENGOLAHAN MINYAK KELAPA MURNI DI KECAMATAN GANGGA
Authors: Tajidan  
Published: June 2021

Pengabdian kepada masyarakat dilaksanakan karena kondisi sosial ekonomi masyarakat yang belum mengenal teknologi nano dalam proses pengolahan minyak kelapa murni (VCO) dengan tujuan agar mereka mengenal, tertarik dalam penerapannya, sehingga dapat meningkatkan kuantitas dan kualitas produksi VCO dan perluasan wilayah pemasarannya. Metode yang diterapkan adalah metode pendidikan orang dewasa (andragogy). Pelaksanaan kegiatan meliputi pengenalan teknologi nano dan strategi pemasaran yang dilaksanakan pada bulan Agustus sampai dengan bulan September 2020. Hasil pelaksanaan kegiatan menunjukkan bahwa proses pengolahan minyak kelapa murni (VCO) menggunakan teknologi nano merupakan teknologi baru yang pertama kali diperkenalkan kepada khalayak sasaran. Penyuluhan tentang pengenalan teknologi nano dalam proses pengolahan minyak kelapa murni (VCO) telah meningkatkan pengetahuan para peserta dari 52,38% menjadi 90,48%; proses pengolahan daging buah kelapa menjadi VCO terkendala oleh peralatan yang belum tersedia lengkap di unit bisnis agroindustri “Andana” sebagai mitra kerja dalam pelaksanaan pengabdian kepada masyarakat; peralatan yang sudah dilengkapi dan telah digunakan adalah alat press santan dalam upaya menghemat tenaga kerja dan peningkatan rendemen daging buah kelapa menjadi VCO. Peningkatan kualitas VCO dilakukan dengan menambah lapisan penyaring dan melakukan pengulangan penyaringan. Tersedia potensi perluasan wilayah pemasaran dan internal wilayah Kabupaten Lombok Barat ke kabupaten dalam wilayah provinsi Nusa Tenggara Barat dan ke provinsi di luar provinsi NTB.
The Legal System Application Affect Factors in Preventing HIV / AIDS Transmission in Bali
Authors: Putri Prima Maharani 
Published: June 2021

The issue of HIV/AIDS as a human rights issue in relation to public health has in principle become a topic of conversation in international public health law. In 1946, the World Health Organization (WHO) proclaimed that the highest success of a goal of public health standards was success in the treatment of HIV/AIDS as a fundamental issue of human rights. According to the last data of November 2019, Bali was ranked in the top five cases of HIV/AIDS with the number of PEOPLE with HIV/AIDS reaching 22,034 people. Of the number of cases nationally, Bali ranks number five after DKI Jakarta and West Java, even if reviewed from the average percentage compared to the population, Bali ranks in the top two nationally after Papua. The data when compared to the previous two years data is very different, where in 2017, Bali is still ranked sixth nationally. This article reviews Factors that affect the application of the legal system in preventing the transmission of HIV / AIDS in Bali Province. This research is a normative juridical research. Designed using the statute approach and conceptual approach. The results showed that Factors that affect the application of the legal system in preventing the transmission of HIV / AIDS in Bali Province are Multi-interpretation due to conflict norms in various cases about HIV/AIDS in Indonesia.. However, it needs Immediately formulate improvements or spelled out in the Regulation of the Governor of Bali to be more synergistic fundamentally in terms of HIV/AIDS Prevention, especially its transmission management and elimination namely to The Regional Regulation of Bali Province No. 6 of 2014 on Child Protection; Local Regulation of Bali Province No. 4/2019 on Indigenous Villages and Local Regulations of Bali Province No. 3/2006 on HIV/AIDS Prevention, as well as adjusting the Laws and Regulations on it.Keywords: HIV/AIDS, Legal System Application, Bali
Long-Term Angiographic Results of Recanalization of Small Diameter Coronary Arteries in Patients with Coronary Heart Disease
Authors: Aksenov E. V. , Demchenko R. B. 
Published: June 2021

One of the most serious problems of modern times are cardiovascular diseases, and these are the leading cause of death worldwide. The main contribution to the structure thereof belongs to coronary heart disease (CHD) which has become the greatest threat to the health of the population all over the world.
The aim. To study the results of endovascular procedures in revascularization of small diameter coronary arteries.
Materials and methods. The study included 417 patients aged 59 to 78 years with a mean diameter of the true in-ternal lumen of the arteries of 2.75±0.016 mm who underwent revascularization of the myocardium through stenting or percutaneous transluminal balloon coronary angioplasty (PTCA).
In patients undergoing stenting of coronary artery (N=269), the mean diameter of the true internal lumen of the arteries was 2.68±0.03 mm. In the group of patients who underwent PTCA (N=148), this indicator was found to be 2.61±0.09 mm. The average degree of stenosis was 81.3±4.07%. The length of the artery stenosis was 12.4±0.71 mm.
All the patients had the history of Q wave myocardial infarction (MI) more than 3 months ago, which made it possible to diagnose postinfarction cardiosclerosis. Ischemic history of more than 5 years was noted in 46 patients of this group (11.03% of cases), up to one year in 221 patients (70.2% of cases), from 1 to 2 years in 41 patients (9.83% cases), and 3 to 4 years in 38 people (9.11% of cases).
Results and discussion. As a result of the studies, it was found that in patients with eccentric type of stenosis who used balloon angioplasty, restenosis in the remote postoperative period was 21% more frequent compared to a similar contingent of patients with implanted stents. In addition, restenosis of the stenosed area of the coronary artery > 1.5 mm in the distant period was 14.9% more common when PTCA was performed. And the frequency of remote restenosis (with complex morphology of initial damage of the arteries) in the stenting group was 14.2% lower than in the group of PTCA. Additionally, in the group of patients who underwent stenting, neoatherosclerosis in the treated segment was found in 92 patients (34.2 %). Patients with PTCA had a less progress of atherosclerosis (44 patients 29.72%)
Conclusions. Restenosis in the remote postoperative period was 25.4 % less frequent in patients with eccentric ste-nosis who underwent stenting than in patients with balloon angioplasty. At the same time, restenosis of the stenosed area of CA >15 mm in the distant period was 10.43% more frequent during PTCA. In the coronary angioplasty group, patients with complicated morphology of basal damage of arteries had a 21.67% higher incidence of restenosis than in the coro-nary stenting group. Thus, we plan to carry out further study and analysis of immediate and long-term results of X-ray and endovascular operations in patients with coronary artery disease and small coronary artery diameter.
Providing Medical Care for Patients with Cardiac Arrhythmias in the Context of the COVID-19 Pandemic. Analysis of the Situation and Personal Experience
Authors: Karpenko Yu. I. , Kushnirenko V. I. , Yarovenko A. A. , Pavlinova N. V. , Bokhonko O. I. 
Published: June 2021

The sudden spread of the virus and the rapid increase in the number of patients infected with coronavirus could not but affect the work of cardiology and cardiac surgery departments, catheterization laboratories, electrophysiol-ogy laboratories, in which surgical treatment of cardiac arrhythmias is performed.
After the announcement of quarantine in Ukraine, our department of arrhythmias introduced a set of measures to prevent infection of the staff and patients. All operations are carried out in full compliance with epidemic rules. Every patient, even with a negative PCR test, is considered conditionally infected. This allowed the entire staff to work for a long period with a minimal risk of infection and to maintain an uninterrupted cycle of specialized care for patients with cardiac arrhythmias in the city of Odessa, the Odessa region.
In accordance with the recommendations of the European Society of Cardiology, we urgently developed and com-municated to all cardiologists, emergency doctors, general practitioners clear criteria for the “urgency” of patients with arrhythmias and indications for hospitalization.
We were able not only to reduce the total number of operations, but even to increase in comparison with last year and perform the largest number of operations for cardiac arrhythmias and conduction disturbances in all the years of our work: 856 procedures in one operating room compared to 828 operations in 2018 and 798 operations in 2019.
The “golden rule” during the coronavirus pandemic is to carry out surgical treatment on the day of admission, i.e. “one-day operation”.
During the pandemic, as a result of the limited availability of consultative and diagnostic assistance to patients with cardiovascular diseases, it is necessary to look for new forms of interaction between the medical care system and the pop-ulation. We carried out 13 trips to the districts of the Odessa region with our equipment (expert class echocardiograph, ECG recorder). 1287 patients were consulted, 496 complete echocardiographic examinations and 1112 ECG recordings were performed.
Cardiologists, arrhythmologists and electrophysiologists should actively use all the possibilities of virtual consulta-tions in patients with arrhythmias. In this unprecedented time, it is imperative that patients with cardiac arrhythmias should not feel left out by doctors and the health care system as a whole.
In crisis periods of strict quarantine, it is necessary to transfer consultative and diagnostic assistance to the regions: “the doctor goes to the patient”.
Algorithmic Approaches in Diagnostic Decision Support for Combined Use of Speckle-Tracking Echocardiography and Coronary Angiography in Patients with Coronary Artery Disease
Authors: Nastenko E. A. , Potashev S. V. , Rybakova O. V. , Didyk Yu. V. 
Published: June 2021

Background. Improving methods of coronary artery disease (CAD) diagnosis involves determining the most informative and less expensive methods. Speckle tracking echocardiography (STE) is now widely used for early myocardial ischemia diagnosis, allowing better verification of ambivalent results of coronary angiography (CAG).
The aim. To develop algorithmic approaches to early CAD diagnosis through the combined use of STE and CAG in order to increase accuracy and reduce the cost of diagnosis and treatment of CAD.
Methods. We examined 568 patients (425 [74.8%] men and 143 [25.2%] women) aged 62.3±8.9 years admitted to our center for diagnosis verification and establishing indications for coronary interventions. All the patients underwent CAG directly before or after STE.
Results. Through both methods no pathology was detected in 5.2% of men and 16.8% of women. In 2.6% of men and 4.2% of women, STE found no regional strain disorders in the absence of significant alterations in coronary arteries (CA) according to CAG. Such false-positive STE results may witness of: 1) insignificant myocardial ischemia due to congenital distal coronary branches tortuosity or intramural (I/M) CA course, as well as myocardial ischemia due to microcirculation disorders not diagnosed by CAG; 2) non-coronary myocardial dysfunction. In 1.2% of men and 4.2% of women, CAG found significant or insignificant (up to 50–70%) atherosclerotic stenotic lesions in the absence of data suggestive of myocardial ischemia by longitudinal strain “drop” during STE. Such false-negative STE results may witness of high coronary reserve due to advanced collateral circulation in viable myocardium in ischemic coronary area. Myocardial ischemia according to both coronary beds visualization through CAG, as well as according to characteristic regional strain decrease revealed by STE, was found in 91.1% men and 74.8% women, witnessing of high correlation of the results obtained through both methods. Such results show coincidence of signs of hemodynamically significant CA stenoses according to both methods, including I/M CA segments course.
Conclusions. Combination of CAG and STE in patients with CAD allows better determination of CA lesions hemodynamic significance, including I/M CA segments course, and to use STE as a non-invasive imaging technique in CAD, including pharmacological stress test. Combined CAG and STE use with integrated analysis thereof allows identification of coronary circulatory disorders that could not be detected separately, helping to increase diagnostic accuracy and to improve cost-effectiveness of diagnosis and treatment.
Disminución de caídas mediante una intervención multifactorial en adultos mayores frágiles
Authors: Prevettoni Mariana Alejandra , Guenzelovich Tami , Zozaya Maria Estefanía , Giardini Gimena , Hornstein Lucila , Schapira Marcelo , Giber Fabiana , Quintar Eugenia , Perman Gaston 
Published: June 2021

Los adultos mayores frágiles (AMF) tienen mayor riesgo de caídas, con morbi-mortalidad asociada. Nuestro objetivo fue disminuir el porcentaje de AMF con caídas luego de una intervención multifactorial y sistémica. Estudio cuasiexperimental antes-después, propio individuo control. Ámbito: domicilio de AMF, en área metropolitana de Buenos Aires. Periodo de reclutamiento: 01/10/17-31/04/18. Evaluación basal y seguimiento a 3 meses. Criterios de inclusión: ≥65 años con criterios de fragilidad según médico tratante. Criterios de exclusión: rechazo de intervención o paciente moribundo. Intervención: un orientador (agente) socio-sanitario evaluó sistemáticamente en domicilio distintas dimensiones para prevención de caídas e intervino según necesidad en cada caso en: seguridad ambiental, indicación y capacitación en uso de apoyos de marcha, ejercicios de fortalecimiento, mejora de la red de cuidado, y conciliación de medicación. Se analizó por intención de tratar el cambio en el porcentaje de personas con caídas en el último mes (McNemar).
Incluimos 108 personas, edad promedio 85,2 años (DE 6,2), mujeres 79,6%. Barthel promedio 50,5 (DE 35,9). El 56,8% tenían dependencia severa o total; 29,6% demencia; 30,5% institucionalizados; 82,4% polimedicados. El 79,6% (IC95% 71,1-86,1) tenían alto riesgo de caídas. En evaluación inicial habían sufrido caídas en el último mes 33,3% (IC95% 25,2-42,7). Post intervención, 13,9% (IC95% 8,6-18,6), p<0,001. Tasa de caídas previa: 50/100 personas (DE 87); posterior: 11/100 personas (DE 34), p< 0,001. En conclusión, esta intervención multifactorial y sistémica en AMF mostró reducción de personas con caídas de 41,7%, y tasa de caídas de 78%.
Evaluación del impacto de una intervención en las habilidades comunicacionales de médicos residentes de primer año de pediatría
Authors: Urtasun Marcela , Labanca Vanesa Denise , González Pannia Paula , De Rochebouët Luisa , Chiappino Romina , Ferrero Fernando Claudio , Ossorio María Fabiana , Torres Fernando Adrian 
Published: June 2021

Introducción: La comunicación es una competencia básica en educación médica. Precisa de conocimientos, actitudes y habilidades que pueden enseñarse, aprenderse y evaluarse durante el proceso formativo.
Objetivo: Explorar si la implementación de una intervención específica mejora las habilidades comunicacionales de médicos residentes de primer año de pediatría.
Población: Se incluyeron 23 médicos residentes de primer año de pediatría de un hospital pediátrico.
Material y métodos: Estudio prospectivo de evaluación de impacto, tipo antes y después (control intrasujeto). Se realizó una videograbación de una consulta médica, previo consentimiento informado de los participantes. Dos investigadores, de manera independiente, valoraron el desempeño en la competencia comunicacional a través de la escala de CICAA, instrumento diseñado y validado para tal fin. En una instancia de retroalimentación, cada médico observó su filmación y recibió una devolución sobre sus fortalezas y debilidades. Posteriormente se realizó la videograbación de otra consulta y nueva valoración mediante escala CICAA, a fin de evaluar el impacto de la intervención.
Resultados: El puntaje total en la escala de CICAA previo a la intervención, presentó una mediana de 16,4 (IIC 13-20) y posterior a la misma un valor mediano de 31,1 (IIC 27-36) (p<0,01).
Conclusión: Una intervención basada en observación crítica y objetiva (escala CICAA), la auto observación de consultas médicas, junto con una retroalimentación constructiva, tuvo un impacto positivo en las habilidades comunicacionales de médicos residentes de primer año de pediatría.
Efecto de la acumulación de factores de riesgo en el riesgo de carcinoma de células escamosas bucal
Authors: Piemonte Eduardo David , Lazos Jerónimo Pablo , Belardinelli Paola , Castillo Graciela del Valle , Talavera Angel Daniel , Secchi Dante Gustavo , Lanfranchi Tizeira Héctor Eduardo , Brunotto Mabel Noemí 
Published: June 2021

Introducción: los factores causales de carcinoma de células escamosas bucal son causas no necesarias y no suficientes, incluso los más aceptados, como tabaco y alcohol. Poco se conoce sobre el efecto acumulativo de todos los factores de riesgo de cáncer bucal. El objetivo de este trabajo fue analizar si la sumatoria de factores de riesgo de cáncer bucal se asocia con un aumento de su riesgo.
Métodos: se realizó un estudio de casos y controles para determinar los factores de riesgo de cáncer bucal en la población bajo estudio, para luego correlacionar el número de factores de riesgo en cada individuo, con el riesgo de cáncer bucal.
Resultados: la acumulación de factores de riesgo de cáncer bucal, analizada mediante diferentes estrategias, estuvo siempre asociada con un aumento significativo del riesgo de cáncer bucal. Tener 3 o más factores de riesgo estuvo asociado con mayor riesgo de cáncer bucal (OR 110, p<0,0001)
Conclusión: el principal factor de riesgo de cáncer bucal es la acumulación de sus factores de riesgo. La acumulación de factores de riesgo podría considerarse una causa necesaria para el desarrollo de cáncer bucal.
Virilización y enfermedad metabólica en mujer postmenopáusica relacionado a hiperplasia e hipertecosis ovárica
Authors: Larrea Agustina Lucila , González Vicente Ricardo , Knoblovits Pablo , Gil Santiago José 
Published: June 2021

Durante la transición menopáusica pueden aparecer signos clínicos leves de hiperandrogenismo, como parte del proceso de envejecimiento normal, pero el desarrollo de virilización franca sugiere una fuente específica de exceso de andrógenos debiendo descartar la presencia de tumores secretores de andrógenos tanto a nivel adrenal como ovárico.
Se presenta un caso de una mujer de 51 años postmenopáusica con signos de virilización de 12 meses de evolución, asociado a antecedente personal de diabetes tipo 2 e hipertensión arterial, de mal manejo en el último año. Las pruebas de laboratorio mostraron una franca elevación de los niveles de andrógeno sérico e hiperinsulinemia asociada. Las imágenes solicitadas evidenciaron ambos ovarios aumentados de tamaño de aspecto homogéneo y sólido, con glándulas adrenales de aspecto conservado, lo que hizo sospechar de una posible hiperplasia tecal del estroma ovárico. Se realizó una anexectomía bilateral por laparoscopia, cuya anatomía patológica confirmó la presunción diagnóstica. Los dosajes de testosterona sérica al mes de la cirugía retornaron a valores cercanos a la normalidad para una mujer postmenopáusica.
El diagnóstico causal de virilización en mujeres posmenopáusicas es un desafío, y por lo general están asociadas con patologías poco frecuentes. Una historia clínica detallada es fundamental para diferenciar el desarrollo progresivo de virilización que caracteriza las causas benignas de la rápida progresión que caracteriza a los tumores malignos. La interpretación de pruebas correctas de laboratorio con imágenes complementarias, así como la búsqueda de antecedentes de riesgo cardiovascular como la diabetes y la hipertensión asociadas son fundamentales para establecer un correcto diagnóstico y tratamiento.
“MONEY MATTERS”; DIVIDING BUSINESS INTERESTS ON DIVORCE OR DISSOLUTION: SPECIAL REFERENCE TO THE BUSINESS ENTITIES
Authors: Norliah Ibrahim  , Zuhairah Ariff Abdul Ghadas  , Roslina Che Soh  
Published: June 2021

In Malaysia, the contribution test is applied by both the Civil and Shariah courts to determine claims in business interest as matrimonial property. However, it is observed that different from claims on interest in personal property, the courts have to apply additional test other than the contribution test in determining claims of matrimonial property in business interest. This is because the ownership structure in business are different from ownership of personal property and highly dependents on types of the business entities. Apart from analyzing the approaches adopted in the Malaysian courts in dividing business interest upon divorce or dissolution of marriage, this research also highlights the arising legal issues which may arise in respect of different business entities in which the business interest exists. This study was conducted primarily through a doctrinal study of existing literature such as articles, journals and the decision from the relevant case laws which was decided in both the Civil and Shariah courts. This research found that other than types of business entities, the interest of parties in business is also determined by the quantum of shareholding or contribution in the business.