bluuebunny/crossref_metadata_2025_split huggingface dataset:
Penerapan SAK EMKM Pada UD Rajawali Di Kabupaten Serdang Berdagai
Authors: Shinta Permata Sari  , Tarigan Wico Jontarudi 
Published: November 2022

Penelitian ini bertujuan untuk menganalisis penerapan SAK EMKM pada UD Rajawali di Kabupaten Serdang Berdagai.Penelitian ini menggunakan pendekatan deskriptif kualitatif, bertujuan untuk mengetahui penerapan SAK EMKM pada UD.Rajawali di Kabupaten Serdang Berdagai. Subjek penelitian ini adalah UD.Rajawali di Kabupaten Serdang Bedagai dan objek pada penelitian ini yaitu laporan keuangan seperti laba rugi dan neraca UD.Rajawali selama 3 bulan.Berdasarkan hasil penelitian, diketahui bahwa penyusunan laporan keuangan pada UD.Rajawali belum sepenuhnya sesuai dengan Standar Akuntansi Keuangan EMKM.UD.Rajawali hanya merekap informasi mengenai pendapatan dan pengeluran usaha yang dilakukan dalam sebulan.Kendala - kendala yang dihadapi UD.Rajawali dalam menyusun laporan keuangan yaitu kurangnya pengetahuan pemilik UD.Rajawali tentang SAK EMKM tentang penyajian laporan keuangan, belum adanya tenaga akuntansi profesional pada UD.Rajawali dan pemilik UD.Rajawali mengaku tidak menganggap penting penyusunan laporan keuangan
Dermatomiose Juvenil: Relato De Caso
Authors: Silveira Kiane Christie da , Moura Priscilla Guerra 
Published: November 2022

Introdução: A dermatomiose juvenil (DMJ) é uma doença rara, embora seja a miopatia inflamatória mais comum da infância. O início precoce da terapia demonstrou diminuir consideravelmente a morbidade e a mortalidade da doença. Devido à raridade da DMJ, descrever novos casos se torna de grande valia para o processo de educação médica continuada em Pediatria. Objetivo: Relatar um caso único de DMJ atendido em nosso Serviço.
Relato de Caso: Tratou-se de um paciente com histórico de atraso no desenvolvimento motor, que deu entrada em nosso Serviço com dois anos de idade devido a um quadro de fratura do fêmur esquerdo. Após primeira internação, prosseguiu com seguimento em ambulatórios de diversas especialidades, em uma tentativa de investigação multidisciplinar de seu quadro. Posteriormente, foi novamente admitido com quadro de febre e dor em membro superior direito. Durante seguimento com o reumatologista, observou-se que o paciente apresentava manifestações características da DMJ, como rash malar fotossensível, heliotropos e pápulas de Gottron. Posteriormente, iniciou tratamento com metilprednisolona em pulsoterapia por três dias, além de ciclos de ciclofosfamida, finalizando a terapia com prednisona 2mg/kg/dia. Desde então, o paciente mantém acompanhamento.
Conclusão: A DMJ, apesar de sua habitual raridade, possui sinais característicos como rash malar fotossensível, miopatia proximal, heliotropos e pápulas de Gottron, que devem sempre ser considerados no diagnóstico e tratamento precoces. Além disso, a identificação de anticorpos específicos pode ser útil para o diagnóstico da maioria dos pacientes, e sinais não usuais como a coriorretinopatia podem indicar a presença da doença.
Perfil Populacional De Pacientes Que Iniciaram Terapia Neoadjuvante Para Neoplasia Mamária No Hospital Universitário São Francisco De Assis, Bragança Paulista, No Período De 2020 A 2021
Authors: Reinato Mateus Henrique , Felitti Simone , Lopes de Paula Larissa Carvalho 
Published: November 2022

Introdução: A neoplasia de mama é o segundo tumor mais prevalente em pacientes no sexo feminino, excluindo-se tumores de pele não-melanoma. O rastreio, diagnóstico precoce e instituição de terapêutica adequado é fundamental para o melhor desfecho terapêutico para esta população.
Objetivo: Avaliar o perfil populacional de pacientes que iniciaram terapia neoadjuvante para neoplasia mamária em nosso Serviço.
Método: Realizou-se a coleta de dados dos prontuários das pacientes cadastradas no Hospital Universitário São Francisco de Assis na Providência de Deus, de Bragança Paulista – SP, que foram submetidas à tratamento quimioterápico neoadjuvante no ambulatório de oncologia, no ano de 2020 e 2021. As variáveis coletadas dos prontuários foram idade, peso e altura para cálculo do índice de massa corporal (IMC), valores de estrógeno, de progesterona, e tempo de quimioterapia. Também foram coletados dados referentes à menopausa, tipo e grau histológico, status de Her II, esquemas de quimioterapia, tipo de cirurgia, esvaziamento axilar, característica das biopsias e resposta patológica.
Resultados: O estadiamento T3N0M0, a presença de um carcinoma ductal, e a presença de uma baixa diferenciação histológica foram significativos quando comparados às outras classificações dentro de seus respectivos grupos. Ainda, as proporções relacionadas ao score 0 do status de Her II e o tipo de quimioterapia ACT também foram estatisticamente significantes.
Conclusão: As pacientes avaliadas em nosso Serviço. Com uma média de idade de 50 anos, apresentam um perfil similar a outras análises realizadas no Brasil.
Determination of the Chemical Composition and Antioxidant Activity of Artemisia vulgaris and Artemisia absinthium Growing in the Conditions of the Semey Region
Authors: Kabdulkarimova Kulbanu K. , Dinzhumanova Raushan , Olzhayeva Rauza , Karimova Aikunim A. , Uzbekova Saltanat Ye. , Orazalina Ainash , Dosbayeva Altynai , Lauyenova Saniya A. 
Published: November 2022

BACKGROUND: The action of the main biologically active substances contained in medicinal products becomes obvious in combination with the action of macro- and micro-elements that determine the natural mineral composition of the plant.

AIM: The objective of this study was comparative study of the composition of macro- and micro-elements of two representatives of the genus Artemísia L. on the example of Artemisia vulgaris and Artemisia absinthium and their antioxidant activity.

METHODS: In this work, the following stages of the study were used: Gathering and preparation of medicinal plant (MP) materials; method of sampling the test material for analysis; determination of humidity; and determination of the quantitative composition by inductively coupled plasma mass spectrometry (ICP-MS) and atomic emission spectrometry ICP (AES-ICP). Determination of antioxidant activity was carried out by photometry. The accuracy of the analysis results was checked by the method of standard additives. Each sample was accurately analyzed in accordance with the recording of the instrument methodology. The necessary operating modes of the mass spectrometer were set in accordance with the manufacturer’s recommendations. To verify the reliability (accuracy) of the analysis results of micro- and macro-elements of MP, the determination was carried out by two methods: ICP-MS with ICP and AES-ICP.

RESULTS: It has been established that the indicators of the investigated MP do not exceed the permissible values for the content of residual moisture and ash. The presence of macro- and micro-elements in both objects of the study is also shown. Quercetin was identified in A. absinthium and A. vulgaris.

CONCLUSION: The obtained results of qualitative and quantitative indicators of the content of macro- and micro-elements, such as potassium, calcium, sodium, magnesium, copper, iron, manganese, as well as an analysis of the antioxidant activity of samples of A. absinthium and A. vulgaris, allow us to conclude that the studied plants are promising as a component composition for creating preparations based on them.
Prevalence and Antibiotic Susceptibility of Proteus mirabilis Isolated from Clinical Specimens in the Zainoel Abidin General Hospital, Banda Aceh, Indonesia
Authors: Suhartono Suhartono , Mahdani Wilda , Khalizazia Khalizazia 
Published: November 2022

BACKGROUND: Proteus mirabilis is Gram-negative bacteria from the Enterobacteriaceae family causing various infections.

AIM: This study aimed to determine the prevalence and distribution of Proteus mirabilis isolated from clinical specimens based on patients’ age, gender, type of specimen, and patient wards and their antibiotic sensitivity.

METHODS: This study involved isolating, identifying, and testing antibiotic susceptibility to Proteus mirabilis isolates recoverred from clinical specimens of dr. Zainoel Abidin general hospital Banda Aceh during March 2020-March 2022.

RESULTS: This study showed that 121 isolates of Proteus mirabilis were obtained from clinical specimens during the study with prevalence of almost 2%. Proteus mirabilis distribution based on the specimen type was most predominantly found in pus specimens and from patients in the the operating room and post surgery ward accounting for 84.29% and 35.53%. Proteus mirabilis was detected most frequently in individuals aged 46-55 years old (30.57 %), whereas it was found more frequently in men (71%) based on gender. The susceptibility of Proteus mirabilis to antibiotics was highest to cefoperazone, piperacillin/tazobactam, and amikacin reaching reaching 97.5%, 97.5, and 96.66%, respectively.

CONCLUSION: The distribution of Proteus mirabilis isolates predominantly in pus specimens indicating its association with wound infections. Despite some antibiotics remain effective, implementation of the regular surveillance programs along with rational use of antibiotics may prevent the bacterial pathogen to spread particularly within healthcare settings.
Les centres municipaux de santé : un dispositif au cœur des politiques locales de santé et de leurs tensions
Authors: Martinache Igor 
Published: November 2022

Organisations à mi-chemin entre les secteurs hospitaliers et libéraux, les centres municipaux de santé ( cms ) constituent un dispositif ancien mais permettant de répondre à certaines problématiques (ré)émergentes en termes de santé publique. S’appuyant sur une enquête menée dans deux municipalités de l’ancienne « banlieue rouge » parisienne, ce texte s’emploie ainsi à montrer comment ces derniers peuvent permettre une territorialisation des actions en même temps qu’une prise en charge globale des patients, dans le double sens d’un suivi dans la durée et d’une attention aux multiples dimensions des déterminants de santé. Ces lieux privilégiés de la coordination des soins et d’initiation d’expérimentations sont cependant également traversés par les contradictions plus générales des politiques de santé actuelles, qui tentent de faire mieux avec moins. Le renforcement et la coordination des équipes et partenariats externes exigent ainsi un travail important mais souvent invisibilisé et donc peu valorisé, qui se heurte du reste aux cultures professionnelles et routines de travail existantes. Le financement des actions passe quant à lui de manière croissante par la réponse à des appels à projets qui peuvent se faire au détriment de dispositifs structurels pourtant impliqués par la volonté de développer la prévention et l’éducation pour la santé au-delà de la seule approche curative.
Applications of strategically acquired gradient echo imaging to neurodegenerative diseases
Authors: Haacke E. Mark 
Published: November 2022

Background: One major thrust in radiology today is image standardization with a focus on rapid, quantitative, multi-contrast data collection and processing.
Methods: Strategically acquired gradient echo (STAGE) imaging1-4 is one such method that uses multiple flip angles and multiple echo times. It can provide 8 qualitative and 7 quantitative images as well as transmit field B1 transmit field and B1 receive field maps in 4-6 minutes or less on a 3T magnetic resonance (MR) scanner. STAGE provides qualitative images in the form of proton density-weighted images, T1 weighted images and T2* weighted images. STAGE provides quantitative data in the form of proton spin density (PSD), T1, T2* and susceptibility maps as well as segmentation of white matter, gray matter and cerebrospinal fluid via simulated double inversion recovery (sDIR) images. STAGE has been tested using the NIST phantom and yields intrasubject errors of only 1-2% and intrasubject variation of 2 to 5%. Contrast-to-noise ratio (CNR) measurements show that the T1WE images are comparable to the conventional T1W MP-RAGE images. Today these quantitative measures are providing new biomarkers for imaging a variety of neurodegenerative diseases (Figure 1).
Results: During the last few years, we have focused on measuring iron content and neuromelanin (NM) in the substantia nigra (SN) for comparing idiopathic Parkinson’s disease (PD) with healthy controls and patients with other movement disorders. We have found that the volume of NM, the iron content of the SN, the volume of the SN and the N1 sign all together can provide an area under the curve of 95% in distinguishing PD from healthy controls.5 We have developed a template of the midbrain to allow for automatic detection and quantification of these properties. We use tSWI to enhance the N1 sign visibility. We have also used STAGE to study multiple sclerosis (MS) lesions. QSM can be used to map changes in white matter susceptibility and potentially correlated with demyelination. We provide a composite image using tSWI combined with fluid-attenuated inversion recovery (FLAIR) to highlight those lesions that are purely inflammatory from inflammatory demyelinating lesions. Recently we have begun to study the use of absolute water content as a measure of lesion atrophy. Higher water content means a higher likelihood of tissue damage. This also explains why the presence of “black holes” seen in T1W images of MS patients tends to correlate with the expanded disability status score.
Conclusions: In summary, STAGE provides a comprehensive clinical imaging protocol that, combined with diffusion-weighted imaging (DWI) and FLAIR, can yield a standardized 10-minute (3T) o 15-minute (1.5T) imaging protocol of the entire brain across all manufacturers.
Ovarian hyperstimulation syndrome following the use of GnRH agonist trigger of final oocyte maturation and freeze–all strategy
Authors: Khalife Dalia , Ghunaim Suleiman , El Taha Lina , Odeh Omar , Habr Natasha , Awwad Johnny 
Published: November 2022

Rationale:
The current literature has a surprising controversy regarding the use of low-dose human chorionic gonadotropin (hCG) for luteal support as an explanation for the development of ovarian hyperstimulation syndrome, and this is because of the gap in the listing of the predisposing factors that put women at an increased risk of ovarian hyperstimulation syndrome.

Patient concerns:
A case of 25-year-old woman presented with abdominal pain, distention, dyspnea, and nausea with a 6.5 kg increase in weight from baseline. Ultrasonographic examination showed bilaterally enlarged multicystic ovaries after gonadotropin-releasing hormone (GnRH) agonist triggering and cycle segmentation with no hCG rescue administration.

Diagnosis:
Moderate/severe ovarian hyperstimulation syndrome.

Interventions:
The woman was admitted to the hospital for medical management of moderate/severe ovarian hyperstimulation syndrome, and pain management was advanced to patient-controlled anesthesia with the start of low molecular weight heparin. On day 2, albumin therapy followed by a furosemide chase was started due to an increase in abdominal girth. On day 1, Cabergoline was maintained, and on day 2 the GnRH antagonist Cetrorelix was started.

Outcomes:
The woman’s clinical condition improved, and a clinical pregnancy was eventually achieved during the first cryo-warmed blastocyst cycle.

Lessons:
Ovarian hyperstimulation syndrome can still happen even after the use of GnRH agonist and avoidance of hCG support. Segmentation of in vitro fertilization with complete avoidance of hCG for luteal support remains the best approach.
A Study of Malaria in Bangladesh
Authors: Nath Arvind 
Published: November 2022

Background:
Malaria still occurs in Bangladesh which is one of the countries of the South-east Asia region.

Materials and Methods:
The study design included an online search of all data pertaining to Malaria in Bangladesh from the year 2020 onwards.

Results:
During 2020, 90% of Malaria cases in Bangladesh occurred in just 3 districts of the country.

Conclusion:
The number of imported cases of Malaria from Bangladesh to India and vice versa would decrease if anti-Malaria measures are stepped up in the respective countries' border districts.
Assessment of Language Proficiency and Enhancement Among 1st Phase MBBS Undergraduates
Authors: Vanamali Dharma Rao , Gara Himavathy Kodandarao , Hatekar Abhay Dadaji , Baa Jeneeta , Pardeshi Surekha , Sonowal Naruttam , Panigrahy Sarita , Mulkutkar Sachin , Sar Mamata 
Published: November 2022

Background:
Limited language proficiency (LLP) in English and state language may constrain the impetus of a medical undergraduate for effective communication, social interaction, and academic progression. Hence, the study aimed to explore the extent and perceptions pertaining to language barrier among medical undergraduates and to obtain feedback about language and communication skill sessions of foundation course.

Materials and Methods:
This multi-centric cross-sectional study across five medical colleges in India involved participation of 691 1st phase MBBS undergraduates. The study was conducted in two phases: (a) at the beginning of Foundation course before initiation of language training classes and (b) at the end of training sessions. The questions were either semi-structured or multiple-choice type regarding (a) sociodemographic characteristics, (b) schooling details, and (c) questionnaire regarding proficiency of English and local language and emotional and cognitive responses toward LLP.

Results:
Out of 691, proficiency for English and respective state language was confirmed by 170 (24.6%) and 318 (46.02%), respectively. Ninety (13.02%) students had no acquaintance for respective state languages. Difficulty in understanding concepts when taught in English and communication breakdown were expressed by 121 (18.22%) and 263 (38.95%) students, respectively. Regarding language and communication skill sessions, improvement in English and state language was expressed by 495 (71.63%) and 521 (75.4%), respectively. The sessions rating was highest for usefulness, followed by quality.

Conclusion:
Approximately 75% and 50% of MBBS undergraduates of 1st phase expressed LLP for English and state language, respectively, which represents a liability. Language enhancement benefited students in terms of usefulness and better comprehension of medical terminologies and colloquialism. Circumspection of language barrier among medical undergraduates would bridge the gap of linguistic knowledge and communication goal.
Clinico-etiological Profile of Lower Respiratory Tract Infections in HIV-positive Patients
Authors: Rajkhowa Darpan , Kalita Bipul Chandra , Sai Malisetty Sreenivas 
Published: November 2022

Background:
The type of pathogens responsible for opportunistic infections in human immunodeficiency virus (HIV)-infected persons varies from region to region. Till date, very few studies covering respiratory tract infections in HIV-positive patients have been conducted in this part of the country. This study was conducted in order to get better understanding of the clinical picture of lower respiratory tract infections (LRTIs) in HIV-positive patients in this region.

Aim:
The aim was to study the LRTIs in HIV-positive patients.

Settings and Design:
Eighty-one patients were diagnosed as HIV-positive with LRTIs, attending to Department of Medicine at Assam Medical College and Hospital, Dibrugarh, Assam, India.

Materials and Methods:
Personal and family history was collected with emphasis on the duration of HIV-positive status, any chronic illness, sexually transmitted diseases, history of blood transfusions, or any surgical procedures. A detailed general and systemic examination was done.

Statistical Analysis Used:
The data collected were tabulated in MS Excel and analyzed using SPSS 20.0. The categorical variables were summarized as frequency and percentages.

Results:

Mycobacterium tuberculosis was responsible for 18.52% of cases of LRTIs, whereas fungal etiology was found in 7.41% of the cases. The most common bacterial and fungal pathogens isolated were Streptococcus pneumoniae (23.46%) and Candida albicans (7.41%), respectively.

Conclusion:
Low CD4 cell count is an important indicator for the risk of pulmonary tuberculosis and fungal LRTIs, as shown in our study. Periodic CD cell count in HIV-positive patients is important in this regard.
Influence of various application systems on the amount of extruded irrigant in simulated immature teeth with regard to gravity
Authors: Namsoy E , Serefoglu B , Hulsmann M , Caliskan MK 
Published: November 2022

Background:
Gravity impact has been mainly evaluated in mature teeth related to debris extrusion, even though it may affect the amount of apically extruded irrigant. In the literature the influence of gravity on the amount of apically extruded irrigant in immature teeth has been studied by a 45o inclined plate to mimic the position of the maxillary teeth and 90o for the mandibular teeth. However, patients are positioned horizontally in the dental chair while treatment. There is no study in the literature testing the horizontal position to mimic the clinical settings realistically.

Aim:
The aim of this study was to evaluate the influence of various irrigation systems on the amount of extruded irrigant in simulated immature maxillary and mandibular teeth irrigated in vertical and horizontal positions.

Materials and Methods:
Twenty-five maxillary central incisors with an apical opening of 1.3 mm in diameter were included. Irrigation procedures were performed with EndoVac, closed-ended, and open-ended needles using a VATEA peristaltic pump. The amount of apically extruded irrigant was determined using a microbalance. Statistical analysis was performed using the Kruskal–Wallis test.

Results:
The EndoVac system caused almost no irrigant extrusion in all tested positions (P > 0.05); however, closed-ended and open-ended needles extruded more irrigant in a mandibular vertical position compared to maxillary vertical (P < 0.05) and maxillary horizontal positions (P < 0.05). Open-ended needles extruded the highest amount of irrigant.

Conclusions:
The EndoVac macrocannula is a more reliable and safer irrigation system as it prevents irrigant extrusion independent of the position of the tooth.
Comparison of daytime and after-hours surgical treatment of femoral neck fractures
Authors: Karagoz B , Keceli O , Cukurlu M , Agir I 
Published: November 2022

Background:
The timing of surgery for femoral neck fractures in young adults remains controversial. Nonetheless, the debate continues about whether orthopedic trauma cases should be operated daytime or after hours.

Aim:
This study compared the clinical and radiological outcomes of surgery on femoral neck fractures during daytime versus after-hours.

Patients and Methods:
A total of 124 patients aged 18–60 years who were operated for femoral neck fractures between 2015 and 2020 were included in the study. The patients were separated into two groups. Seventy-two patients operated between 08:00 and 17:00 hours were defined as the daytime group and 52 patients operated between 17:01 and 07:59 hours were defined as the after-hours group. Demographic data, reduction quality, duration of operation, intraoperative estimated blood loss (EBL), postoperative complications, revision rates, and postoperative Harris hip score results of the two groups were recorded for analysis.

Results:
There was no significant difference between the groups in terms of age, gender, body mass index, smoking, fracture type and follow-up time, reduction quality, postoperative complication rates, revision rates, and Harris hip score results. Waiting times until surgery, operation duration, and intraoperative EBL amounts were, in the daytime group, significantly higher than in the after-hours group.

Conclusion:
In this study comparing femoral neck fractures operated on daytime and after-hours in adults, the waiting time until surgery was found to be higher in the daytime group. Operation duration and EBL were higher in the after-hours group.