bluuebunny/crossref_metadata_2025_split huggingface dataset:
Is acute Appendicitis as an extra Pulmonary Manifestation of Covid-19 infection?
Authors: Muco Ermira , Xhemali Astrit , Hasa Amela , Nurci Deniona , Como Najada 
Published: July 2022

Background; Coronavirus disease-19 (COVID-19) is an infectious respiratory disease. The first confirmed case of 2019-nCoV infection in Albania was reported in Tirana on 08 March 2020, when a patient and his adult son who had come from Florence, Italy tested positive. Patients with COVID-19 can be presented with a series of signs and symptoms. Acute abdomen as a presentation of COVID-19 is rare. The diagnosis of COVID-19 should be suspected and investigated in every case of acute abdomen.
Case presentation: We report a case of a 42-year-old male who presented with features of acute appendicitis. SARS-CoV-2 polymerase chain reaction test result was positive for COVID-19. Abdominal ultrasonography and his computed tomography of the chest and abdomen showed a perforated appendix and no infiltrates or abnormalities of COVID-19. The diagnosis of our case was appendicitis with COVID-19 without pneumonia. He was admitted and treated with antibiotic therapy and supportive care. He had an improvement in his health condition which made it possible to leave the hospital on the third day of hospitalization.
Conclusion: Based on our clinical case and literature data, we suggest that clinicians should suspect the diagnosis of acute appendicitis in patients with COVID 19. So the case of acute abdomen pain must be completed with a SARS-CoV-2 test. Therefore we recommend additional studies to reinforce the idea of ​​linking SARS COV 2 infection with acute appendicitis.
Acute Esophageal Necrosis. A Case Report.
Authors: Tafaj Irgen , Sadiku Edite , Mamaj Ines , Çili Qazim , Cuko Liri , Llazani Arvit , Babameto Adriana 
Published: July 2022

Acute esophageal necrosis syndrome, is a rare cause of gastrointestinal bleeding. It is characterized by a particular black coloration, mostly of the distal esophagus, which ends abruptly in the gastroesophageal junction. The hemorrhagic manifestation may be hematemesis, melena or both of them. It is a life-threatening condition with significant difference between the two sexes.We report a case of a 67 years old male with schizophrenia, aspiration pneumonia and sepsis who presented with hematemesis. The endoscopic finding was a black, wide linear necrosis of the esophageal mucosa which extended from the middle esophagus to the gastroesophageal junction, compatible with acute esophageal necrosis. The esophageal lesion healed progressively at the same time with the improvement of the general health condition.
We must think of acute esophageal necrosis in critically ill male patients, in their sixth decade of life, with multiple comorbidities and gastrointestinal hemorrhage, because early recognition can help reducing the mortality of this rare syndrome.
In conclusion, we must think of acute esophageal necrosis in critically ill male patients, in their sixth decade of life, with multiple comorbidities and gastrointestinal hemorrhage. The diagnostic is made most of the time only by the characteristic endoscopic findings. Because of the gravity of this affection, the treatment must be quick and aggressive.
Some Consideration about Port Site Hernia after Laparoscopic Surgery.
Authors: Haxhirexha Kastriot , Dogjani Agron , Haxhirexha Aulona , Haxhirexha Labeat , Fejzuli Blerim , Ademi Aferdita 
Published: July 2022

Introduction: Port site hernias continue to be a major problem in laparoscopic surgery. The causes of this type of hernia are numerous. The main ones are operative wound infection, obesity, male gender, diabetes, BPH, etc. However, in addition to these factors it seems that in the etiology of post laparoscopic port - site hernias are at least two other factors that have an impact on these complications.
Aim of the article is to assess the role of different factors in the occurrence of port site incisional hernias according to our experience.
Material and Methods: the 187 patients who were operated on at the General Surgery Department of the Clinical Hospital of Tetovo between January, 2017 and June, 2019 on whom the surgical intervention was performed through laparoscopic techniques were included in this study. The reason for the surgical interventions has been various surgical pathologies of the abdomen such as cholecystolithiasis, acute appendicitis, cysts of the liver, ovaries and kidneys, etc. Postoperative complications in these patients, especially port site hernia will be in the focus of our study.
Results: Out of the total of 187 patients included in this study the occurrence of incisional hernia was recorded in six of them. In five patients the hernia was localized at the site of insertion of the supra-umbilical trocar, while in the other, the trocar was inserted below the xiphoid process. From our records it happened that in all these patients, with postoperative hernia, the insertion of the cannula was done with the cutting trocar. At the same time in all six patients with post laparoscopic hernia the surgical intervention performed was cholecystectomy or appendectomy. Thus, the removal of the gallbladder and appendix, without the use of an Endo-bag, was performed at the site of the hernia presentation. In all these patients the entrance porta infection in which the hernia has occurred, was registered in the early post operative period.
Conclusion: Of the many factors that increase the risk of incisional hernias, at the site of cannula insertion during laparoscopic interventions, it seems that the type of trocar and the place from which the extruded organ is removed, if it is done without the use of an Endo-bag, are very important.
Choledocho-Duodenal Fistula as a Complication of a Chronic Duodenal Ulcer.
Authors: Haxhirexha Kastriot , Haxhirexha Labeat , Dogjani Agron , Dika – Haxhirexha Ferizat , Ademi Aferdita , Fejzuli Blerim , Emini Teuta 
Published: July 2022

Choledocho-duodenal fistulas are rare disorders that can be of various etiologies. Some of the most common causes of these fistulas are neoplastic processes in the extra-hepatic bile ducts, biliary stones or chronic duodenal ulcers. We will present the case of a patient with a choledocho-duodenal fistula who was treated in our clinic due to a severe episode of acute hepatitis.
We will present a case report as follow; a 52-year-old man was urgently brought to the abdominal surgery ward of the Tetovo Clinical Hospital due to severe pain in the right epigastric and subcostal region which also appears in the back region. It is accompanied by nausea, vomiting, sub-febrile fever, and weakness.
The patient reports that he has long been treated with proton pump inhibitors such as pantoprazole due to a chronic duodenal ulcer…
Conclusion; Choledocho-duodenal fistulas are very rare disorders and therefore pose a real challenge to surgeons and endoscopists in terms of their timely diagnosis. However, there are authors who prefer a conservative treatment, while some others suggest surgical intervention respectively fistulectomy, in order to prevent complications that may occur as a result of the regurgitation of duodenal contents in the bile duct.
Endovascular Treatment of post-traumatic Renal Artery Dissection.
Authors: Laçi Ilirian , Spahiu Alketa 
Published: July 2022

Blunt renal artery injuries are rare, and no single trauma center has accumulated sufficient experience to draw meaningful conclusions or recommendations about optimal therapeutic strategies.[1]
The increased use of CT scans to evaluate blunt abdominal trauma identifies more acute renal artery injuries that may have gone undetected.[2]
Patients with renal injury have limited options such as open surgical repair or anticoagulation.[3] The use of endovascular stents to treat trauma is a good option treatment. [4] But not every case is successful.
The purpose of this case report is to describe the importance of accurate diagnosis and successful repair in emergency traumatic conditions by means of interventional radiology in cases of intimal damage to the renal arteries.
We will present a 38-year-old man who shows on the emergency room because of an accident with abdominal and thoracic trauma. The patient complained of pain in the right side of the abdomen…
Through Angiography, an intimal dissection localized in the upper pole of the right kidney was confirmed. We inserted an expandable balloon stent using a transfemoral approach to successfully repair the dissection.
Conclusion: Blunt renal artery injury is rare. Nonoperative management should be considered an acceptable therapeutic option. Management of blunt renal injuries includes timely evaluation to maximize the preservation of renal function. Recent management trends support the consideration of endoluminal intervention for traumatic renal artery dissections.
Non-surgical Treatment of Metastatic Liver Tumors with Microwave Ablation.
Authors: Laçi Ilirjan , Spahiu Alketa 
Published: July 2022

With all the measures taken, the trend of liver cancer cases has increased worldwide, as a consequence, this is accompanied by an increase in mortality by 43% (10.3 per 100,000 in 2016 (USA)) [1, 2].
Liver cancer is also associated with the lowest 5-year survival rate among all types of cancer (19%) [1].
Liver cancer (including intrahepatic bile duct cancer) was the ninth leading cause of cancer death in 2000 and rose to sixth in 2016 [3].
This shows that the identification of safe and effective treatments for liver cancer is urgent now.
Microwave ablation is a thermal ablation modality that has particular applicability in treating hepatic malignancies primary tumors or metastases. Microwaves can generate very high temperatures in short time periods, potentially leading to improved treatment efficiency in larger ablation zones.
We will show a patient male 55 years old. Post-surgery of colon cancer 6 months ago. Normal exam. There is e liver metastasis in the right lobe subcapsular 22mm. The patient was a good candidate for MWA.
Conclusions
MWA is an effective and safe alternative in patients/tumors that are not suitable for resection. Survival and recurrence outcomes after MWA are significantly improved with significantly shorter hospital stays and operative times, with little or no intraoperative blood loss and minor complications. Its use should be extended more and more in the field of treatment of these patients depending on the therapeutic indications
WEBSITE PENYEDIAAN INFORMASI RUMAH KONTRAKAN KEB.INHIL
Authors: Sidik Abdul , Yuli Prasetyo Dwi , Rianto Bayu 
Published: July 2022

Sehubungan dengan semakin berkembangnya teknologi informasi, maka dengan sewajarnya akan memaksa masyrakat memanfaatkan teknologi dengen semaksimal mungkin dari segala segi kehidupan sehari-hari seperti pekerjan maupun usaha yang dijali. Informasi tentunya bermaca-macam, salah satunya untuk para mahasiswa dan para pelajar yang menjalani kuliah atau belajar. Kebutuhan akan pendidikan yang layak telah mengalami peningkatan yang sengat pesat atau segnifikan.. Menyadari akan hal tersebut maka rumah kontrakan, ,membagun sebuah system informasi rumah kontrakan berbasis website, sebagai sarana penyediaan informasi tempat tinggal yang efektif bagi para pencari kontrakan ,penyewa,maupun bagi pengelola rumah kontrakan untuk mempromosikan rumah kontrakan yang akan di sewakannya dan mengelola segala hal yang berkaitan dengan kontrakan tersebuat di website secara cepat, mudah, dan terkini. Rumah kontrakan adalah rumah susuan atau rumah tunggal yang dibangun dengan tujuan di sewakan dengan jangaka waktu sebulan ataupun pertahun maupun lebih. Pembangunan website menggunakan metode waterfall, sedangkan untuk pemodelan mengunakan UML ( unifield modeling language ). Bahasa pemodelan yang digunakan adalah PHP dan XAMPP untuk database. Website Penyediaan Informasi Rumah Kontrakan Keb.Inhil ini di lengkapi dengan pemesana rumah kontrakan secara online untuk memudahkan calon penghuni kontrakan tanpa harus langsung turun lapangan untuk memesan rumah kontrakan.
Sehubungan dengan semakin berkembangnya teknologi informasi, maka dengan sewajarnya akan memaksa masyrakat memanfaatkan teknologi dengen semaksimal mungkin dari segala segi kehidupan sehari-hari seperti pekerjan maupun usaha yang dijali. Informasi tentunya bermaca-macam, salah satunya untuk para mahasiswa dan para pelajar yang menjalani kuliah atau belajar. Kebutuhan akan pendidikan yang layak telah mengalami peningkatan yang sengat pesat atau segnifikan.. Menyadari akan hal tersebut maka rumah kontrakan, ,membagun sebuah system informasi rumah kontrakan berbasis website, sebagai sarana penyediaan informasi tempat tinggal yang efektif bagi para pencari kontrakan ,penyewa,maupun bagi pengelola rumah kontrakan untuk mempromosikan rumah kontrakan yang akan di sewakannya dan mengelola segala hal yang berkaitan dengan kontrakan tersebuat di website secara cepat, mudah, dan terkini. Rumah kontrakan adalah rumah susuan atau rumah tunggal yang dibangun dengan tujuan di sewakan dengan jangaka waktu sebulan ataupun pertahun maupun lebih. Pembangunan website menggunakan metode waterfall, sedangkan untuk pemodelan mengunakan UML ( unifield modeling language ). Bahasa pemodelan yang digunakan adalah PHP dan XAMPP untuk database. Website Penyediaan Informasi Rumah Kontrakan Keb.Inhil ini di lengkapi dengan pemesana rumah kontrakan secara online untuk memudahkan calon penghuni kontrakan tanpa harus langsung turun lapangan untuk memesan rumah kontrakan.
APLIKASI E-LEARNING JURUSAN IPS PADA SMA 2 ENOK
Authors: Ma'arif Selamet , Usman  
Published: July 2022

Tidak dipungkiri dunia pendidikan semakin maju dengan diiringi berbagai teknologi dan informasi yang mendukungnya , salah satunya adalah konsep e-learning. Dengan e-learning kegiatan belajar mengajar bisa sedikit lebih efesien dari segi waktu, jadwal kegiatan maupun dalam percetakan atau pengarsipan laporan di sekolahan. Aplikasi didesain sesederhana mungkin agar siswa dan guru tidak sulit untuk menggunakannya,serta menggunakan metode pengembengannya dengan menggunakan UML, analisa PIECES dan bahasa pemrograman PHP. Aplikasi e-learning juga dilengkapi dengan fitur download tugas dan materi untuk siswa, selain itu ada fitur diskusi guru dan siswa agar berkomunikasi secara online, hal ini tentu saja berguna dalam membangun hubungan antara guru dan siswa.
Jurnal SISTEM INFORMASI GEOGRAFIS ( SIG) PEMETAAN TOKO BANGUNAN DI TEMBILAHAN BERBASIS WEB
Authors: Jepridin  , Usman  
Published: July 2022

Kabupaten Indragiri Hilir memiliki banyak lokasi Toko Bangunan yang tersebar di beberapa tempat di Kabupaten Indragiri Hilir. Namun tidak semua masyarakat Kabupaten Indragiri Hilir mengetahui letak lokasi-lokasi Toko Bangunan tersebut. Hanya sebagian kecil saja yang mengetahui lokasi Toko Bangunan. Oleh karena itu peneliti mencoba membangun aplikasi Sistem Informasi Geografis untuk pemetaan lokasi toko bangunan di Kabupaten Indragiri Hilir, dengan maksud supaya masyarakat Kabupaten Indragiri Hilir mengetahui informasi mengenai lokasi dan tempat Toko Bangunan yang tersebar di wilayah Kabupaten Indragiri Hilir. Tujuan dilakukan penelitian adalah untuk Menyajikan informasi mengenai obyek tempat Toko Bangunan yang tersebar di wilayah Kabupaten Indragiri Hilir dan merancang sebuah aplikasi sistem informasi geografis berbasis web yang dapat memberikan data akurat yang dibutuhkan oleh pihak-pihak yang membutuhkan informasi. Metode penelitian ini menggunakan model Waterfall. Model pengembangan Waterfall merupakan model pengembangan yang sistematis dan berurutan (sekuensial). Pada penelitian ini, peneliti menggunakan analisis pieces untuk melakukan analisa dalam beberapa perihal. Tahap analisa dan perancangan merupakan salah satu alat bantu untuk membuat sistem. Tujuannya ialah untuk meminimalisir kelemahan sistem yang akan di buat Dalam proses perancangan sistem peneliti menggunakan permodelan dengan pendekatan UML (Unified Modeling Language). Telah dibangun sebuah web sistem informasi geografis pemetaan toko bangunan yang memberi kemudahan bagi para pengguna untuk memperoleh informasi mengenai toko bangunan yang berada di Tembilahan dengan cepat, akurat, dan dapat diakses oleh siapa saja, dimana saja, kapan saja tanpa mengenal jarak dan waktu. Toko Bangunan di Tembilahan berbasis web menggunakan Google Maps API. Untuk basis data menggunakan XAMPP dan menyusun script/kode pemrogramannya menggunakan teks editor Visual Code Studio, Notepad++ dan bahasa pemograman yang di pakai adalah PHP dan untuk CSS nya mengunakan Materialize.
Implementasi Time Driven Activity Based Costing (TDABC) Dalam Penentuan Tarif Rawat Inap Pada Klinik Aisyiyah Asy-Syifa’ Wuluhan Jember
Authors: Faizaturruhaniah Faizaturruhaniah , Yuliarti Norita Citra , Afroh Ibna Kamelia Fiel 
Published: July 2022

Penelitian ini bertujuan untuk menghitung tarif kamar rawat inap pada klinik pratama Aisyah Asy-Syifa’ Wuluhan dengan menggunakan metode TDABC. Metode TDABC merupakan pengembangan dari metode ABC yang menggunakan waktu untuk menyelesaikan aktivitas sebagai dasar perhitungan biaya. Jenis penelitian ini adalah deskriptif kualitatif. Objek penelitian ini adalah Klinik Aisyiyah Asy-Syifa’ Wuluhan. Pengumpulan data dilakukan dengan wawancara, observasi dan dokumentasi. Hasil penelitian menunjukkan bahwa metode TDABC dapat digunakan untuk menghitung tarif rawat inap pada Klinik Aisyiyah Asy-Syifa’ Wuluhan. Metode TDABC dapat menghasilkan informasi yang digunakan untuk pengambilan keputusan bagi pihak manajemen klinik dalam mengontrol efisiensi biaya dan efekivitas dalam kegiatan pelayanan jasa rawat inap.
Women’s Attitude Toward C-Section: Evidence from Bay Regional Hospital in Baidoa, Southwest State of Somalia
Authors: Jawaani Munira Abdiladhif Mohamed , Yakub Abdifatah Mohamed 
Published: July 2022

Background: The general societal belief among Somali women is that anything other than normal vaginal delivery is riskier than could be imagined or anticipated, no matter the delay or prolongation of labor and related complications. This widely circulated perception has become a reason for many expectant mothers to either completely decline to consider c-section or suffer in prolonged labor that could be fatal to either the mother or the baby or both.
Methods: This study follows several aspects of the triangulation method of research. It adheres to the case study approach by mixing qualitative and quantitative methods. It uses purposive sampling by selecting 19 women who delivered by c-section at Bay Regional Hospital, Baidoa, Southwest State of Somalia.
Results: About 58% had believed c-section as ‘very risky’ or ‘risky’ prior to undergoing the procedure; after delivery 89.5% thought it was either ‘very safe’ or ‘safe’, while none of the respondents considered it to be ‘unsafe’ or ‘very unsafe’ anymore.
Conclusion: Women’s perception of c-section changed dramatically after undergoing the procedure as compared to their belief before the surgery. It is also remarkable that they would not hesitate in their next delivery by c-section and that they would recommend it to other women in order to avoid fatal complications.
Keywords: childbirth, health research, labor complications, medical health
Results of monitoring studies of caecal samples with animal contents for antimicrobial resistance in 2021
Authors: Chechet O. M. , Haidei O. S. , Andriiashchuk V. O. , Horbatiuk O. I. , Kovalenko V. L. , Musiiets I. V. , Ordynska D. O. , Skliar V. V. , Gutyj B. V. , Krushelnytska O. V. 
Published: July 2022

The article presents the results of studies of caecum samples (cecal appendages) with contents from cattle, pigs, and poultry following the State Monitoring Plan for Antimicrobial Resistance in Veterinary Medicine for 2021, isolated and identified isolates of zoonoses and commensal microorganisms, namely: Escherichia coli, Salmonella spp., Enterococcus faecium, Enterococcus faecalis, Campylobacter spp. The disk diffusion method conducted a study on determining antimicrobial sensitivity to antibacterial drugs. The results of studies on identifying acquired resistance mechanisms to antibacterial drugs are also presented. Interpretation of growth retardation zones was carried out following EUCAST requirements. As a result of the obtained data, 448 isolates were isolated and identified among 2120 samples submitted for research: E coli accounted for 37.7 %, Salmonella spp. – 4.24 %, Enterococcus faecium – 12.7 %, Enterococcus faecalis – 37.9 %, Campylobacter spp. – 7.4 % of all isolated isolates. When determining the sensitivity to antibacterial drugs, eight sensitive isolates were found. 237 isolates were monoresistant (sensitive to 1–2 ABP), and 203 were polyresistant (sensitive to 3 or more ABP). As a result of the research, production (ESBL) was detected and confirmed in ten Escherichia coli strains. Three vancomycin-resistant strains of Enterococcus faecium, and Enterococcus faecalis were identified. Study the prevalence of Escherichia coli, Salmonella spp., Enterococcus faecium, Enterococcus faecalis, Campylobacter spp. circulating in Ukraine. will promote a standardized approach to data collection, analysis, and sharing on a global scale and will ensure the fulfillment of the National Action Plan for Combating Antibiotic Resistance to Antimicrobial Drugs tasks. Ukraine has developed a National Action Plan to combat antimicrobial resistance. In the countries of the European Union, there is constant monitoring for Escherichia coli, Salmonella spp., Enterococcus faecium, Enterococcus faecalis, Campylobacter spp. The prospect of further research is to continue monitoring antimicrobial resistance against zoonoses and commensal bacteria, namely: isolates of Escherichia coli, Salmonella spp., Enterococcus faecium, Enterococcus faecalis, Campylobacter spp., as they play an important epidemiological role among infectious diseases common to humans and animals, determining their sensitivity and identifying acquired mechanisms of resistance to antibacterial drugs.
Associação entre violência doméstica e estado nutricional em idosos: uma revisão sistemática
Authors: Araújo Carolina Abreu Henn de , Bernardo Fabíula , Warmling Deise , Conceição Thays Berger , Coelho Elza Berger Salema 
Published: July 2022

O objetivo desta revisão sistemática foi identificar a associação entre a violência doméstica e o estado nutricional em idosos. Seis bancos de dados foram pesquisadas, sem restrições quanto ao período e idioma de publicação. Dois revisores independentes conduziram a seleção, extração dos dados e análise de qualidade metodológica. Em caso de dúvidas ou divergências, a seleção foi definida com o auxílio de um terceiro revisor. Cinco dos 401 estudos identificados foram incluídos. Todos os estudos foram considerados adequados em todos os critérios avaliados na qualidade metodológica. Sofrer violência doméstica, seja por familiares/ cuidadores ou parceiros íntimos, independente da natureza, podendo ser física, psicológica e sexual, tanto pregressa como atual, esteve positivamente associado à obesidade, ao longo da vida.
A Theory of Popular Power
Authors: Field Sandra Leonie 
Published: July 2022

I propose a theory of popular power, according to which a political order manifests popular power to the extent it robustly maintains an egalitarian basic structure. There are two parts to the theory. First, the power of a political order lies in the basic structure's robust self-maintenance. Second, the popularity of the political order’s power lies in the equality of relations between the society's members.I will argue that this theory avoids the perverse consequences of some existing radical democratic theories of popular power which focus on mass expression, either in plebiscites or in social movements, as popular power's canonical instances. In particular, my theory does not valourise momentary expression over durable effect, and it offers a ready framework for conceptualising the sometimes-oligarchic substructure of the supposedly canonical instances of popular power. I will show that this theory has strong precedents within a certain republican tradition of political philosophy.1