bluuebunny/crossref_metadata_2025 huggingface dataset:
Vaccines for all ages in Venezuela, 2020
Authors: Badell Madrid Elvia , Urbina-Medina Huníades , Hernández Rivero Carlos
Published: December 2020

Las enfermedades inmunes prevenibles pueden ocurrir a lo largo de la vida y es por eso que durante ese tiempo debemos mantener la misma motivación para cumplir con los diferentes esquemas de vacunación que existen según la edad, para mantener una mejor calidad y expectativa de vida. En Venezuela, desde 2016, hemos observado una escasez significativa de las vacunas que forman parte del calendario de inmunizaciones, esto ha significado una baja cobertura vacunal con el posterior resurgimiento de enfermedades prevenibles por vacunación como la difteria y el sarampión. Las vacunas son los medicamentos más rentables del mundo, para prevenir enfermedades comunes y no tan comunes que podrían causar la muerte a muchas personas en todos los grupos de edad. Durante la infancia de nuestros hijos, tenemos especial cuidado en cumplir con los calendarios de vacunación, con el tiempo esta motivación parece ir disminuyendo y estamos dejando de lado el entusiasmo por vacunar a medida que nuestro hijo crece. Hay numerosas oportunidades perdidas durante el crecimiento y la formación de nuestros niños, adolescentes, adultos y personas mayores. En nuestro país no tenemos na cultura de prevención y es aquí donde debemos enfatizar contribuir a mejorar la esperanza de vida de nuestra población. En Venezuela contamos con el Esquema Nacional de Inmunización Familiar, que abarca desde niños menores de un año hasta personas de 65 y más. Algunas vacunas no están en el calendario de inmunizaciones del Ministerio del Poder Popular para la Salud (MPPS) incluso cuando están incluidas en el Programa Ampliado de Inmunización (PAI) de las Américas de la Organización Panamericana de la Salud.
Subpoblaciones linfocitarias de pacientes venezolanos infectados con SARS-CoV-2
Authors: Mayora Soriuska José , Zabaleta Lanz Mercedes , Martínez Wendy , Toro Felix , De Sanctis Juan Bautista , García Alexis
Published: December 2020

La infección por SARS-CoV-2 ha infectado a más de 50 millones de personas con un rango de letalidad de 3 %-10 % de los casos. En Venezuela, cerca de 95 mil casos se han reportado con una letalidad del 1 %. El objetivo de este estudio es evaluar las diferentes poblaciones linfocitarias, analizar los posibles marcadores pronósticos y compararlos con la literatura. Un total de 18 pacientes positivos, por la prueba de transcriptasa reversa más reacción de la cadena de polimerasa (RT-PCR), fueron analizados 12 (5 masculinos) moderados, rango de edad 15-71 años, 6 (4 masculinos) severos (rango de edad 29-50 años) y 100 controles de la misma edad y sexo. Se encontró linfopenia en ambos grupos de pacientes con disminución significativa de linfocitos T. La población de células de memoria al igual que las células CD25 disminuye en la infección viral. Sin embargo, en los pacientes jóvenes del grupo moderado, se observaron los valores más altos de linfocitos T y valores normales de memoria sugiriendo la pronta resolución del proceso infeccioso. En conclusión, los disminución de linfocitos T y células CD25 está relacionada con la infección viral y CD45RO es un marcador de severidad en la población adulta.
ANALISA PENGENDALIAN PERSEDIAAN BAHAN BAKU TAPIOCA PEARL DENGAN METODE ECONOMIC ORDER QUANTITY (EOQ) PADA CV. YOTTA SUKSES INDONESIA
Authors: Suradi Suradi , Haslindah Andi , Astuti Asti
Published: December 2020

Pengendalian persediaan (stock control) merupakan suatu usaha yang dilakukan oleh perusahaan dalam penyediaan barang-barang yang dibutuhkan untuk proses produksi agar terpenuhi secara optimal sehingga proses produksi berjalan dengan lancar dan mengurangi adanya risiko yang akan terjadi seperti kekurangan bahan baku serta perusahaan dapat memperoleh biaya persediaan sekecil-kecilnya yang menguntungkan perusahaan. Adapun tujuan dari penelitian ini yaitu untuk mengetahui jumlah bahan baku yang ekonomis dan optimal dalam pengendalian persediaan bahan baku Tapioca Pearl dengan menggunakan metode EOQ. Metode analisis data yang digunakan adalah metode Economic Order Quantity (EOQ), yaitu model jumlah pesanan terhemat digunakan untuk menentukan jumlah barang yang akan dipesan dan frekuensi pemesanan dalam satu tahun, sampel yang dianalisa yaitu tapioca pearl, dengan membandingkan jumlah pemesanan perusahaan dan hasil perhitungan pemesanan EOQ. Dari hasil penelitian yang dilakukan didapatkan jumlah pemesanan ekonomis sebesar 205,04 kg setiap kali pesan dengan frekuensi pemesanan 4 kali dalam setahun. Hasil penelitian tersebut menunjukkan bahwa dengan menerapkan metode Economic Order Quantity (EOQ), maka perusahaan dapat mengemat biaya persediaan bahan baku sebesar Rp. 299.700,-.
HASAN ÂLİ YÜCEL’İN “TÜRK EDEBİYATINA TOPLU BİR BAKIŞ” ADLI EDEBİYAT TARİHİ KİTABINDA DİVAN EDEBİYATI VE DİVAN ŞAİRLERİNE YÖNELİK DEĞERLENDİRMELERİ
Authors: SÖYLEMEZ İdris
Published: December 2020

Hasan Âli Yücel’e göre edebiyat, gelenek ve değerleri, siyasi veya sosyal hadiseler neticesindeyaşanmış değişimleri anlamak ve takip etme imkânı sunduğundan fazlasıyla önem arz etmektedir.Cemiyetin sosyal, kültürel, dinî ve siyasi ögeleriyle alakalı çok fazla bilgiyi uhdesinde barındıranedebiyat eseri, özelde divan edebiyatı eserleri, toplumsal değerin yeniden inşasında referanskaynaklar olarak kabul edilmektedir. Türk milletine ait milli ve manevî kültürün izlerinin uzağındayeni bir vahada başlayıp olgunlaşan divan edebiyatı milli değil, Arap ve Fars kültürlerininegemenliğinde varlık bulan, taklidi değerleri ihtiva eden bir edebiyattır. Bu yüzden Türk kültürüne,diline, anane ve örfüne dair uhdesinde oldukça az bilgi ve birikim yer almıştır. Edebiyatın milliliğigün ile dün arasında ilişki kurduğu ölçüde mümkün olabilir. Divan edebiyatı Türk milletinindününü yok saymış, gün ile dün arasına kalın duvarlar örmüştür.Hasan Ali Yücel, Türk edebiyatının dönemlere ayırırken edebiyat ve cemiyet arasında var olanilişkiden hareket etmektedir. Bu dönem edebiyatı içerisinde yer alan Halk ve tasavvuf edebiyatınımilli kültürün yansıtıcısı olarak kabul ederken, Arap ve Fars edebiyatının taklidiyle şekillenmişDivan edebiyatını, milli kültürden uzak bir edebiyat olarak değerlendirmektedir. Hasan AliYücel’in “Türk Edebiyatına Toplu Bir Bakış” adlı eseri, giriş ve üç bölümden meydanagelmektedir. Eserin üçüncü bölümü altmışaltı sayfadan ibaret olup dört alt başlıktan oluşmaktadır.Eserin üçüncü bölümünden hareketle oluşturduğumuz çalışmamız, divan edebiyatı ve divanşairleri ile alakalı olarak Hasan Ali Yücel’in dil ve muhteva üzerinden yapmış olduğudeğerlendirmeler çerçevesinde şekillenmiştir
PENERAPAN METODE SQ3R BERBASIS DARING UNTUK MENINGKATKAN KETERAMPILAN MEMBACA PEMAHAMAN SISWA
Authors: Pandeas Yola Sofi , Lyesmaya Dyah , Amalia Arsyi Rizqia
Published: December 2020

Penelitian ini bertujuan untuk mendeskripsikan pengingkatan keterampilan membaca pemahaman melalui penerapan metode SQ3R (Survey, Question, Read, Recite, Review)berbasis daring. Penelitian ini dilakukan dengan subjek penelitian kepada siswa kelas IV di salah satu SD Negeri Baros Kencana CBM di Kota Sukabumi semester II Tahun pelajaran 2019/2020 sebanyak 30 siswa, terdiri dari 15 siswa laki-laki dan 15 siswa perempuan. Metode yang digunakan adalah Penelitian Tindakan Kelas (PTK) dengan desain penelitian menggunakan model Kemmis dan Mc. Taggart yang terdiri dari tahap perencanaan, pelaksanaan, observasi, refleksi. Teknik pengumpulan data dengan menggunakan wawancara, observasi, catatan lapangan dan tes. Dari hasil penelitian pada pra siklus melalui tes indikator keterampilan membaca pemahaman siswa menunjukkan ketuntasan 23 . Kemudian meningkat pada siklus I sampai siklus II yaitu, siklus I (53 %), siklus II (87 %). Kesimpulan dari penelitian ini adalah melalui penggunaan metode SQ3R (Survey, Question, Read, Recite, Review) berbasis daring dapat meningkatkan keterampilan membaca pemahaman siswa kelas IV SD Negeri Baros Kencana CBM di Kota Sukabumi Semester II Tahun Pelajaran 2019/2020.
A Study on Customer’s Preference for Personal Vehicle Insurance Provided by Different Insurance Companies in Bengaluru
Authors: Ghose Swati Basu , Akanchha Anima
Published: December 2020

The primary purpose of vehicle insurance is to cover the vehicle against damage, personal injury, and third-party liability. In addition to this, some insurance companies also provide value-added services such as roadside assistance and other services in return of the amount called as premium which attracts a large number of customers. However, our study shows that vehicle owners give maximum importance to the cost of insurance in terms of the annual premium. Primary data has been collected through questionnaire and analysed to ascertain about the factors responsible for taking out vehicle insurance, choice between private and public sector insurance companies, preferred insurance companies among the major players in the field, factors that play a role in the customers’ choice of a particular insurance company, customers’ opinion about the affordability of the premium to be paid, customers’ satisfaction with their chosen company, whether customers consider fast and efficient service as a deciding factor, and whether the brand value of the company plays a role in the customers’ choice.
Theory of Brick-and-Mortar Retailing in India(ToR-b)
Authors: Ganesh H.R. , Aithal P. S.
Published: December 2020

Brick-and-mortar (B&M) retailers in India are constantly devoting their time, effort, energy, and money in discovering and adopting retailing theories, models, and frameworks that are practiced by the B&M retailers in the developed countries that have matured markets and consumers. This is a clear example of a serious timing issue. We believe the Indian market and consumers are moving towards the same maturity levels, but it is still a long way to go as the Indian consumers belong to the widest variety of religions, regions, languages, cultures, sub-cultures, ethnicities, and socioeconomic backgrounds with divergent needs. In addition to expecting world-class overall store-image, they yet require retailers to facilitate honest and authentic human-led engagement. This means, thoughtful and logical integration of existing theories aligned to, the Indian market; consumer's maturity level; divergent consumer needs are crucial, and this is the core of our theory. The ToR-b adopts elements of retailing theories that are known and suitable for retailing in the Indian context, in addition to identifying (i) new elements influencing honest and authentic humanled engagement; higher consumer-level customization; higher levels of consumer-orientation, (ii) significance of their association and determination with return on investment, (iii) their role in influencing the long-term sustainability of a retailer, and most importantly (iv) their ability to enhance interest among existing and potential employees, investors, and consumer’s minds with a particular retailer. Insights from multiple empirical and qualitative studies, field experiments, and evaluation of consumer-level transactions involved in building this theory made us strongly believe that the overall phenomenon of B&M retailing in India is truly complex and complexity is necessary to an adequate description of a phenomenon. We hope that in addition to laying a foundation for new directions to guide future research on Indian retailing, our theory will provide new and noteworthy insights into the overall phenomenon of B&M retailing in India.
Topographical Characteristics of Lower Barakar Basin: A Geospatial Approach
Authors:   Banaras Hindu University, Sinha Surbhi , Rai Vinay Kumar ,   Banaras Hindu University
Published: December 2020

The evolution and development of a drainage network largely depends upon the surface topography of a landscape. Even topographic attributes such as overland flow, sub-surface flow, stream flow etc. are highly determined by the relief and slope aspects of the basin area. Topography influences evolution of landforms, soil development, vegetation growth, types of settlement, agricultural pattern etc. So it becomes very important to quantify different topographical parameters so that proper watershed management can be done. This work is an attempt to evaluate existing topography of study area using topographical sheets and SRTM DEM data. For calculation and analysis of data MS Excel is used while Geographical Information System (GIS) is used for mapping purpose. Present work provides better understanding of surface and relief aspects of landforms in Lower Barakar basin.
Population Status and Conservation Efforts of Bos frontalis (Mithun) in Adi Tribe Inhabited Areas of Arunachal Pradesh, India
Authors:   Government Degree College, Jemi Netko, Roing, Arunachal Pradesh, Apum Nayo , Nimasow Gibji , Nimasow Oyi Dai , Bapu Tashi Dorjee , Bushi Dhoni ,   Department of Geography, Rajiv Gandhi University, Rono Hills, Doimukh
Published: December 2020

Mithun (Bos frontalis) is a semi-wild animal which is highly priced among the tribal people of Arunachal Pradesh. This rare livestock is facing threats of extinction. In this paper, attempt has been made to know the population status and the prevailing conservation efforts of Mithun in the area. Aquestionnaire-based survey was carried out covering the households possessing Mithuns. The study found a good number of Mithunsin the area. However, a declining population trend was observed due to its multiple uses in social, economic, cultural and political life of the people. As it is associated with their culture, there is a rising concern among the people for its conservation. Conservation initiatives by the Adi Baane Kebang, Adi Cultural and Literary Society and Adi Students Union have been discussed and interpreted. Finally, constructive suggestions have been made for ensuring future sustainability of the species.
Analyzing Evaluation Process in Secondary School Geography of India
Authors:   Banaras Hindu University, Alam Sarfaraz , Sukhvinder Sukhvinder ,   National Council of Educational Research and Training (NCERT), New Delhi
Published: December 2020

The process of evaluation of students is closely linked to their teaching-learning process in schools. However, the nature of evaluation techniques in a subject depends to an extent on grades at which it is taught as well as its philosophical and methodological orientation. In lower grades, for example, the focus is more on short and descriptive questions compared to higher grades where long and explanatory questions become important. The nature of school geography is different from other subjects for it focuses mainly on the spatial dimension of reality. For learning the spatial dimension of reality of the earth, maps and globes are the key teaching tools. While most techniques of evaluation in school geography are similar to other school subjects, it also uses certain techniques for evaluating students which are generally not popular in other subjects. This paper discusses use of various techniques of evaluation in school geography. It analyses how techniques of evaluation vary with grades. It identifies those techniques of evaluation that are unique to school geography. The study informs that mapping, map reading and fieldbased exercises are generally associated with geography.
Properties of High Density Fiberboard Mixed with Poplar Bark
Authors: PÁSZTORY Zoltán , HALÁSZ Katalin , BÖRCSÖK Zoltán , SRIVARO Suthon
Published: December 2020

Formaldehyde in the indoor air is one of the chemicals which can cause health risk; therefore, researchers have strived to reduce formaldehyde emissions from different wood products. There are many chemical compounds in bark, including tannins, which can react with formaldehyde. The aim of this study was to reduce the formaldehyde emissions from HDF by mixing poplar bark powder into the raw material. 2, 4, 6, and 8 % (based on dry weight) Populus×euramericana bark was mixed with fibers, and HDF panels were manufactured with urea-formaldehyde resin. Mechanical properties, color change, and formaldehyde release were measured. Contrary to expectations, the mixed bark did not reduce formaldehyde emissions, but the mechanical properties deteriorated due to the bark powder. Formaldehyde emissions were reduced only in the case of 2 % added bark; in cases of 4, 6, and 8 %, the emissions increased.
The 4th Industrial Revolution Requires Strong Intellectual Property Laws: Where does Thailand Stand?
Authors: SMITH Nucharee Nuchkoom
Published: December 2020

Strong and fair intellectual property rights legislation is an essential foundation for the 4th industrial revolution. It is required to protect the increasingly rapid advances in all areas of technology and science as well as the pursuits of human endeavor. At the same time, countries must be allowed to adopt measures necessary to protect public health and nutrition and the public interest in sectors of vital importance to the socio-economic and technological development. Thailand is covered with the intellectual property treaties under both the World Intellectual Property Organization and the World Trade Organization. This paper describes the protections afforded under Thailand’s intellectual property laws. The analysis shows that the coverage of the Thai legislation is extensive and fairly robust-protecting the intellectual property rights of Thailand as well as those of the wider world community. However, there are some shortcomings. Copyright protections still do not fully protect performer’s rights. It has been argued also that the protection of the rights of breeders of new plant varieties should be enhanced and fashion designs specifically protected. Copyright violations are by far the major infringement of intellectual property right laws. This requires a rigorous and consistent enforcement regime. It must be acknowledged that the enforcement has improved over the last few years. This has been recognized by the United States Trade representatives who, in December 2017, moved Thailand from the priority Watchlist to its Watchlist because the country is able to resolve issues in and engage on intellectual property issues with the United States.
La Biosemiótica como una de las Ciencias de la Complejidad
Authors: Maldonado Carlos Eduardo
Published: December 2020

Este artículo plantea una tesis: la biosemiótica puede ser considerada como una de las ciencias de la complejidad, al lado de las otras ciencias ya clásicas y conocidas como el caos, la termodinámica del no-equilibrio, las redes complejas y otras. Para ello, se elabora el estado del arte en las relaciones entre biosemiótica y complejidad, un estado de la cuestión, en verdad, muy limitado. La estrategia general consiste en presentar un cuadro general, científico, filosófico e histórico que explica al mismo tiempo en qué consiste la biosemiótica y cuáles son sus particularidades. En todos los casos, la idea es clara: los signos son fenómenos reales propios de los sistemas vivos. Y las ciencias de la complejidad son ciencias de la vida.
Approximate fixed points for $n$-Linear functional by $(\mu,\sigma)$- nonexpansive Mappings on $n$-Banach spaces
Authors: Hardan Basel , Patil Jayashree , Bachhav Amol , Chaudhari Archana
Published: December 2020

In this paper, we conclude that $n$-linear functionals spaces $\Im$ has approximate fixed points set, where $\Im$ is a non-empty bounded subset of an $n$-Banach space $H$ under the condition of equivalence, and we also use class of $(\mu,\sigma)$-nonexpansive mappings.
Metástasis atipicas del tumor renal
Authors: Hernández Alcaraz David , Beneto-Alducin Begoña , Morales-Jiménez Pedro
Published: December 2020

Introducción: El objetivo del presente trabajo es presentar tres casos clínicos con presentaciones poco frecuentes de metástasis de carcinoma renal.

Descripción de los casos: El primer caso es una mujer en la que se objetivan metástasis en el tiroides tras una tiroidectomía. El resto del estudio de extensión era negativo y no necesitó de tratamiento adyuvante. El segundo caso es el de una mujer que acudió a urgencias por retención urinaria secundaria a una metástasis uretral de un carcinoma renal, sin metástasis a otros niveles. El tercer caso es de un varón con una recidiva de un carcinoma renal de tipo papilar en la mucosa vesical, asociado a metástasis pulmonares.

Discusión: El 34% de las metástasis en tiroides son de origen renal. La uretra es un sitio poco frecuente de metástasis. En líneas generales, las metástasis renales en vejiga indican mal pronóstico, únicamente existen 56 casos descritos en la literatura. El tratamiento de elección ante lesiones resecables es la extirpación quirúrgica, reservando la terapia antiangiogénica para las que no lo son.

Conclusiones: Las metástasis tiroideas, vesicales y en uretra son sitios poco frecuentes de metástasis de cáncer renal. Suelen indicar fases avanzadas de la enfermedad y su tratamiento, si son resecables, consiste en su extirpación quirúrgica.
Infecciones del tracto urinario producidas por Escherichia coli resistentes a betalac-tamasas en un hospital terciario de España
Authors: Barrios-Arnau Laura , Sanchez-Llopis Anna , Ponce-Blasco Paula , Gomila Sard Barbara , Monsonis Usó Rosa , Barrios-Arnau Maria , Di Capua-Sacoto Carlos
Published: December 2020

Introducción.

El objetivo de este estudio es evaluar el aislamiento de cepas Escherichia coli (E. coli)resistentes a las betalactamasas (ECRB) en pacientes con infección del tracto urinario. 

Material y método.

Se realiza un estudio retrospectivo entre enero 2012 y diciembre de 2016. Se incluyeron pacientes con cultivos de orina positivos para E. colien el Departamento de Salud de Castellón, España.

Se analizaron las siguientes variables: edad, sexo, procedencia del paciente (medio ambulatorio u hospitalario) y factores de riesgo. Se analizó la prevalencia de ECRB mediante un análisis descriptivo. 

Se utilizó el programa SPSS 18.0 para el análisis estadístico, para las variables cuantitativas se utilizó la prueba T-student y para las variables cualitativas la prueba de Chi-cuadrado.

Resultados.

 Se obtuvieron 11.740 cultivos positivos para E. coli, de estos 446 (3,79%) fueron ECRB. El porcentaje por año de ECRB fue entre un 1,7% y un 6,5% evidenciando una tendencia a el aumento de aislamiento de cepas resistentes en los últimos años. La edad media fue 68,9 años, sin diferencias entre sexos. Un total de 350 cultivos procedían de pacientes ambulatorios (78,7%), correspondiendo el 70,5 % de estos a mujeres. Los factores de riesgo más asociados a ECBR fueron presentar ITU el último año y haber recibido tratamiento antibiótico en los 3 meses previos, de estos un 50% recibió un betalactámico.

Conclusiones.

El aislamiento de ECRB es similar a otras series observando un aumento en la prevalencia de estas infecciones de difícil tratamiento. La mayoría de pacientes fueron procedentes de medio ambulatorio, tratados previamente con antibióticos y con episodios de ITU recurrentes.
Eficiencia de los ejercicios de Kegel, evaluada con estudio urodinámico en pacientes con incontinencia urinaria
Authors: Gutiérrez-González Adrián , Álvarez-Tovar Luis Manuel , García-Sánchez Daniel , Pérez-Ortega Raúl , Guillen-Lozoya Andrés Heriberto
Published: December 2020

Antecedentes: La incontinencia urinaria se define como la queja por pérdida involuntaria de orina. La International Consultation on Incontinence (ici) estima de 25 a 45% de prevalencia de incontinencia urinaria (iu) a nivel mundial. Dentro de su manejo clínico se incluyen los ejercicios de Kegel para incrementar la fuerza del cierre uretral; sin embargo, la literatura reporta una mala técnica en la realización de estos ejercicios en 25% de la población, lo que genera un peor pronóstico en la historia natural de la enfermedad. El objetivo del estudio es valorar la eficacia de los ejercicios de Kegel en población con iu midiendo la respuesta en la presión uretral.

Materiales y métodos: Estudio observacional prospectivo. Se enrolaron un total de 38 pacientes al estudio, se recabaron variables demográficas y se brindó una explicación de los ejercicios durante cinco minutos. Se midió la presión de cierre uretral máximo (pcum) y presión uretral (pu) hasta el punto de presión funcional del esfínter uretral y, posterior a la realización de maniobra de Kegel, se revisó si el paciente elevó su pcum.

Resultados: De 38 pacientes, solo 52% alcanzó una elevación de la pu con ejercicios de Kegel. Se encontró una falta de respuesta a los ejercicios en pacientes con sobrepeso (p= 0.015).

Conclusión: La realización de los ejercicios de Kegel tiene una respuesta limitada en pacientes con incontinencia urinaria, además de ausencia de efectividad en la pu de pacientes con sobrepeso.
Incontinencia urinaria: factores de riesgo y frecuencia en mujeres mayores de 60 años, en el sureste de México
Authors: Maldonado Luis Alberto González , Erosa-Villareal Roger Armando , Janssen-Aguilar Reinhard , Laviada-Molina Hugo Antonio , Méndez-Domínguez Nina Isabel
Published: December 2020

Objetivo: Determinar la frecuencia, factores de riesgo e impacto en la calidad de vida de la incontinencia urinaria en mujeres mayores.

Material y Métodos: Se trata de un estudio analítico observacional de corte transversal realizado en una población de mujeres mayores de 60 años. Se recolectaron variables sociodemográficas, ginecobstétricas, de estilo de vida, antecedentes clínicos y el cuestionario iciq-sf (International Consultation on Incontinence Questionnaire).

Resultados: Se incluyeron 96 mujeres en el estudio con una media de edad de 71 ±0.66 años. El 56.25% cursó con incontinencia urinaria. El 37.04% padecía incontinencia de urgencia, 33.33% incontinencia de esfuerzo, 16.67% incontinencia mixta y 13% no clasificable. Las variables que se asociaron con incontinencia urinaria fueron: el número de partos (p=0.027), haber tenido más de 3 hijos (p=0.032) y diabetes mellitus (p=0.028). La variedad de incontinencia que más se asoció con la afectación de la calidad de vida fue la de tipo mixto (p<0.001).

Limitaciones e implicaciones: El estudio se realizó mediante cuestionarios auto-aplicados. La muestra fue recogida de un programa educativo de adultos mayores con nivel socioeconómico medio-alto.

Originalidad. Se llevó a cabo en la península de Yucatán, actualmente no se han realizado estudios descriptivos de incontinencia en esta población.

Discusión y conclusiones. La incontinencia urinaria afecta a más de la mitad de las mujeres estudiadas. En ellas, la afectación de la calidad de vida fue relevante, clasificándose como moderada. La alta paridad fue el factor de riesgo más destacado.
Carcinoma renal de células claras con metástasis tardía a páncreas e hígado
Authors: Ríos-Burgueño Efrén Rafael , Verdugo-Nieto Lucía , Velarde-Rodríguez Ismael , Velarde-Félix Jesús Salvador
Published: December 2020

Antecedentes. Las metástasis de carcinoma de células renales a páncreas y posteriormente a hígado son infrecuentes y a veces asintomáticas, por tal motivo el tiempo entre la nefrectomía y su detección puede demorar.

Caso clínico. Mujer de 76 años con tumor en páncreas e hígado, con antecedente de nefrectomía derecha por carcinoma de células renales realizada hace 26 años, motivo por el cual se sometió a pancreatectomía distal y tratamiento con pazopanib, respectivamente. El nódulo pancreático dio positividad a citoqueratina 8, 18 y cd10, mientras que el resultado de estudio de la biopsia hepática fue neoplasia epitelial maligna. Ambos consistentes con metástasis de carcinoma renal de células claras.

Discusión. Actualmente la paciente se encuentra asintomática, en seguimiento y vigilancia. Por la naturaleza biológica del carcinoma de células renales, sus metástasis deben buscarse intencionadamente para detectarlas en etapa temprana y ofrecer un tratamiento oportuno.
Efecto de la electroestimulación del nervio tibial en la musculatura del piso pélvico de pacientes con síndrome de vejiga hiperactiva
Authors: Pérez Martínez Carlos , Palacios-Galicia José Luis , Vargas-Díaz Irma Beatriz , Cruz-Gómez Yolanda , García-Sánchez Daniel
Published: December 2020

Antecedentes y Objetivos: El Síndrome de Vejiga Hiperactiva (svh) presenta alteraciones motoras como hipertonía de la musculatura del piso pélvico (mpp). El objeto del estudio es demostrar las características de la electromiografía de superficie (emgs) del mpp en el svh tratados con electro-estimulación percutánea del nervio tibial (ptns).

Material y Método: Estudio prospectivo, observacional, controlado. Se realizó emgs de mpp a 17 voluntarios con svh rebelde a tratamiento, antes, durante la ptns y 72 horas después. Se asignaron 2 grupos: Catorce voluntarios del grupo ptns, y 3 voluntarios del grupo placebo. Se incluyeron pacientes con evolución mínima de 6 meses, frecuencia urinaria de 8 o más, sin toma de medicamentos. Se excluyeron pacientes con urocultivo/espermocultivo positivos, litiasis, biopsia y/o cirugía de órganos pélvicos ó cáncer pélvico, y lesiones del snc. Las variables se analizaron mediante Anova y Tukey pos hoc test, 95% ic, usando el software spss 10.1.

Resultados: Media de edad 34.23±12.90 años, media del tiempo de evolución 19.58±12.08 meses, sin diferencia estadística en entre grupos. La diferencia de las medias en el promedio de emg (avgemg) del grupo ptns pre vs trans de 0.125 µV y de pre vs 72 horas de 0.171 µV fueron significativas (p<0.05), mientras que en el grupo placebo la diferencia de las medias avgemg de 0.013 µV y 0.006 µV sin diferencia estadística (p>0.05).

Conclusiones: El cambio inmediato sobre la mpp que permanece hasta 72 horas después de la ptns, es un posible mecanismo de acción de neuroplasticidad de la neuromodulación del nervio tibial.
Signo ecográfico del remolino en torsión testicular intermitente, presentación de 2 casos
Authors: Arroyo Carlos , Ávila-Sánchez Pablo Alejandro , Cuan-Baltazar Jose Yu Nam , Soto-Vega Elena
Published: December 2020

Descripción del caso: Se presentan dos casos caracterizados por múltiples episodios de dolor muy intenso que se resolvían de manera espontánea. En ambos casos se realizó un ultrasonido testicular mientras persistía el cuadro agudo, en donde se identificó el signo del remolino junto con compromiso vascular del testículo sugerente de torsión testicular intermitente, que ameritó tratamiento quirúrgico.

Relevancia: El objetivo es señalar que la torsión testicular intermitente es un padecimiento infrecuente que se debe de sospechar en pacientes jóvenes con episodios de dolor intenso en los que se debe de insistir en el ultrasonido en el episodio para el diagnóstico.

Implicaciones clínicas: Debido al compromiso vascular en el testículo, es necesario realizar un diagnóstico oportuno que debe iniciar con una sospecha diagnóstica apoyada por las manifestaciones clínicas del paciente para proceder a la fijación testicular bilateral temprana y que el testículo no culmine en necrosis.

Conclusiones: La torsión testicular intermitente es rara y de difícil diagnóstico, por lo que encontrar el signo del remolino en el episodio agudo con prontitud en los cuadros de dolor es esencial para el diagnóstico y prevenir la pérdida de la gónada por el menosprecio del dolor de repetición.
Etiology of testicular pain 2019: Classification into ten logical subgroups
Authors: Uribe-Arcila Juan Fernando , Delgado-Montoya Andrés , Gaviria-Gil Federico
Published: December 2020

Background: Testicular pain encompasses a vast medical diagnostic field, with numerous organ and system convergence. Acute testicular pain is a medical emergency that requires accurate evaluation and immediate resolution, whereas chronic testicular pain is enigmatic and requires sound knowledge of the mechanisms of testicular pain and the differential diagnosis.
Objective: To review the causes of testicular pain and propose a new etiologic classification consisting of 10 subgroups.  
Methods: A bibliographic search was carried out utilizing Google and the National Library of Medicine’s PubMed databases to identify original articles and review articles (hard copy or electronic) published on testicular pain, up to March 2020. The search included: MeSH terms: testicular disease (classification, complications, etiology, trauma, microbiology, pathology, pathophysiology, secondary, surgery, treatment) and vasectomy; Non-MeSH terms:  acute and chronic orchialgia, scrotalgia, orchidynia, groin pain, epididymalgia, testalgia, chronic testicular pain, chronic scrotal pain syndrome, testicular pain syndrome, epididymal pain syndrome, and post-vasectomy pain syndrome. The initial search produced 625 articles, of which 143 were included in the present review.
Results: To better understand testicular pain etiology, 100 possible diagnoses were divided into ten subgroups: infectious, neoplastic, traumatic, torsional, vascular, immunologic, neurologic, pharmacologic, obstructive, and miscellaneous causes.  Likewise, treatment can be divided into two main groups, according to therapeutic options: pharmacologic and non-pharmacologic, with the latter subdivided into: noninvasive and the increasingly performed invasive (surgical) alternatives.
Conclusions: Testicular pain should be understood as a complex pain syndrome of enigmatic origin. Treatment success depends on the correct identification, from hundreds of possibilities, of the cause of pain. Logical grouping of those possibilities could aid in making the accurate etiologic identification.
Cirugía urológica robótica, estado actual y perspectivas
Authors: Corona Montes Víctor Enrique
Published: December 2020

La Cirugía Robótica como en muchas partes del mundo, se ha mantenido en constante crecimiento, incremento en él número de equipos instalados, incremento en la productividad, y el establecimiento de estándares de tratamiento en ciertas patologías. Si bien tenemos el posicionamiento de alguna de las empresas que producen tecnología quirúrgica, también es real, el auge incontenible de las publicaciones científicas con la misma.
EFEKTIVITAS PENGGUNAAN MEDIA PEMBELAJARAN IPS DALAM MENINGKATKAN MINAT DAN HASIL BELAJAR PADA PEMBELAJARAN IPS SISWA SISWA KELAS IX-6 SMP NEGERI 1 PATUMBAK
Authors: Br. Sembiring Bidah
Published: December 2020

Rumusan masalah: 1). Apakah media pembelajaran dapatmeningkatkan minat siswa belajar? 2). Apakah media pembelajarandapat meningkatkan prestasi belajar siswa? 3). Apakah mediapembelajaran dapat membuat siswa lebih mudah memahami bahanpelajaran? Tujuan penelitian: 1). Ingin mengetahui seberapa besarminat siswa belajar dengan menggunakan media pembelajaran.Penelitian Tindakan dilaksanakan melalui tiga siklus denganprosedur penelitian terdiri dari 1) planning/perencanaan; 2)Acting/Tindakan: 3) Observing/Pengamatan; 4) Reflekting/refleksi;hal-hal yang belum memuaskan akan direfleksi sebagai bahanperbaikan pengajaran pada siklus berikutnya. Hasil PenelitianTindakan dari deskripsi data hasil proses pembelajaran pada setiapsiklus dapat di simpulkan bahwa; Telah terjadi peningkatan aktifitasbelajar siswa dengan menggunakan media pembelajaran siswa kelasIX-6 SMP Negeri 1 Patumbak karena rata-rata aktifitas belajar siswapada siklus I dalam aspek kerja sama adalah 16,9; dalam aspekkesungguhan adalah 16,3; dalam aspek keberanian adalah 16,7; dandalam Aspek perhatian adalah 16,7; berartti total nilai keaktivitasbelajar siswa pada siklus I 68,55. Pada siklus II terjadi lagi perubahanyaitu aktifitas belajar siswa pada aspek kerjasama menjadi 16,07;aspek kesungguhan menjadi 18,08 aspek keberanian menjadi 19,05dan aspek menjadi 19,04 dengan total nilai katifitas belajar siswapada siklus II menjadi 73,8. Dengan demikian Penelitian TindakanKelas dengan penerepan media pembelajaran telah berhasilmeningkatkan aktifitas belajar yaitu pada siklus I Nilai AktifitasBelajar Siswa = 68,55, pada siklus II. Nilai Aktifitas Belajar siswa =73,08. Karena itu disarankan agar pengguna media pembelajaranditerapkan pada setiap pembelajaran
ANALISIS FAKTOR-FAKTOR YANG DIPERTIMBANGKAN NETIZEN DALAM MELAKUKAN TRANSAKSI E-COMMERCE DI KOTA PONTIANAK
Authors: Wahyudi Hijrah
Published: December 2020

This research aim to know factors considered by netizen in Kotamadya Pontianak in doing transaction of e-commerce. This analysis can be finalized by using descriptive analysis and factor analysis. This research entangles the netizen a number of100 mans livinging in Kota Pontianak. Sample is taken at random. This research concludes that out of 14 variables simply there are 10 variables considered by netizen in doing transaction of e-commerce. Result of factor loadings indicates 10 divisible variable become two primary factor.
Minimising Delay and Energy in Online Dynamic Fog Systems
Authors: Alenizi Faten , Rana Omer
Published: December 2020

The increasing use of Internet of Things (IoT) devices generates a greater demand for data transfers and puts increased pressure on networks. Additionally, connectivity to cloud services can be costly and inefficient. Fog computing provides resources in proximity to user devices to overcome these drawbacks. However, optimisation of quality of service (QoS) in IoT applications and the management of fog resources are becoming challenging problems. This paper describes a dynamic online offloading scheme in vehicular traffic applications that require execution of delay-sensitive tasks. This paper proposes a combination of two algorithms: dynamic task scheduling (DTS) and dynamic energy control (DEC) that aim to minimise overall delay, enhance throughput of user tasks and minimise energy consumption at the fog layer while maximising the use of resource-constrained fog nodes. Compared to other schemes, our experimental results show that these algorithms can reduce the delay by up to 80.79% and reduce energy consumption by up to 66.39% in fog nodes. Additionally, this approach enhances task execution throughput by 40.88%.
Mewujudkan Sifat Zuhud Pada Mahasiswa Melalui Bimbingan Kelompok Berbasis Hadist
Authors: Jannati Zhila , Hamandia Muhammad Randicha
Published: December 2020

Zuhud is a very important trait for individuals in dealing with a world that is so tiring and exhausting for humans. Zuhud will bring peace of mind and peace of mind. The purpose of this study was to find out how to realize the zuhud nature of students through hadith-based group guidance. This research uses a qualitative approach. The sample in this study was determined through a sampling technique, namely purposive sampling technique. The sample in this study were 10 students of the Islamic Guidance and Counseling Study Program, Faculty of Da'wah and Communication, UIN Raden Fatah Palembang. Data collection techniques in this study using interview techniques and observation techniques. In this study, the data were analyzed using qualitative descriptive analysis. The results obtained from this study are that the zuhud nature of students can be realized well where students are able not to feel happy about something they have and not feel sad if something is not owned; not feeling restless when insulted and not proud of being praised; and his heart is merely planted with fear, longing, and love for Allah SWT. So, it can be concluded that the zuhud nature of students can be realized by implementing hadith-based group guidance.
Online Counseling Sebagai Alternatif Strategi Konselor dalam Melaksanakan Pelayanan E-Counseling di Era Industri 4.0
Authors: Haryati Asti
Published: December 2020

The use of media in providing counseling services greatly affects the skills of counselors in conducting counseling through virtual internet media. The development of communication technology in the era of 4.0 makes counselors more familiar with, utilizing and applying counseling media virtually via the internet. The development of communication technology requires counselors to innovate, especially in providing e-counseling services as a forum for counselors to provide alternative solutions to problems faced by counselees. This research method is descriptive qualitative research, the source of this research data comes from document studies in the form of books and previous research which is used as a source of data that supports research. The results of this study indicate that online counseling is in the form of virtual counseling technology media, namely: websites, telephones or cellphones, email, video conferencing, chat, instant messaging, computers and other social media networks. The ethics that must be considered by online counselors are how to establish good relationships via the internet, confidentiality aspects in the implementation of counseling, legal aspects in telecommunications via the internet and licensing. Thus online counselors are required to work professionally by paying attention to ethics in the implementation of online counseling.
Organic aerosol volatility and viscosity in North China Plain:
Contrast between summer and winter
Authors: Xu Weiqi , Chen Chun , Qiu Yanmei , Li Ying , Zhang Zhiqiang , Karnezi Eleni , Pandis Spyros N. , Xie Conghui , Li Zhijie , Sun Jiaxing , Ma Nan , Xu Wanyun , Fu Pingqing , Wang Zifa , Zhu Jiang , Worsnop Douglas R. , Ng Nga Lee , Sun Yele
Published: December 2020

Abstract. Volatility and viscosity have substantial impacts on gas-particle partitioning, formation and evolution of aerosol, and hence the predictions of aerosol related air quality and climate effects. Here aerosol volatility and viscosity at a rural site (Gucheng) and an urban site (Beijing) in North China Plain (NCP) in summer and winter were investigated by using a thermodenuder coupled with high resolution aerosol mass spectrometer. The effective saturation concentration (C*) of organic aerosol (OA) in summer was smaller than that in winter (0.55 μg m−3 vs. 0.71–0.75 μg m−3), indicating that OA in winter in NCP is more volatile due to enhanced primary emissions from coal combustion and biomass burning. The volatility distributions varied largely different among different OA factors. In particular, we found that hydrocarbon-like OA (HOA) contained more non-volatile compounds compared to coal combustion related OA. The more oxidized oxygenated OA (MO-OOA) showed overall lower volatility than less oxidized OOA (LO-OOA) in both summer and winter, yet the volatility of MO-OOA was found to be relative humidity (RH) dependent showing more volatile properties at higher RH. Our results demonstrated the different composition and chemical formation pathways of MO-OOA under different RH levels. The glass transition temperature (Tg) and viscosity of OA in summer and winter are estimated using the recently developed parameterization formula. Our results showed that the Tg of OA in summer in Beijing (291.5 K) was higher than that in winter (289.7–290.0 K), while it varied greatly among different OA factors. The viscosity suggested that OA existed mainly as solid in winter in Beijing, but as semi-solids in Beijing in summer and Gucheng in winter. These results have important implications that kinetically limited gas-particle partitioning may need to be considered when simulating secondary OA formation in NCP.
Thermal UAS survey of reactivated hot spring activity in Waiwera, New Zealand
Authors: Präg Melissa , Becker Ivy , Hilgers Christoph , Walter Thomas R. , Kühn Michael
Published: December 2020

Abstract. The utilization of geothermal reservoirs as alternative
energy source is becoming increasingly important worldwide. Through
close-range aerial photogrammetry realized by unmanned aircraft systems
(UAS), this study investigates the surface expression of a leaking warm
water reservoir in Waiwera, New Zealand, that has been known for many
centuries but remained little explored. Due to overproduction during the
1960s and 1970s the reservoir has suffered significant pressure reduction,
which resulted in the loss of artesian conditions and led to the desiccation
of the hot springs in close succession. However, shortly after the recent
shutdown of the primary user (Waiwera Thermal Resort & Spa) renewed
artesian activity was reported by locals but no hot spring activity has been
observed so far. Therefore, this study was carried out in October 2019 to
assess the actual conditions of thermal activity in the area of the former
hot springs. UAS with coupled thermal infrared cameras were used for thermal
mapping and the obtained data show renewed activity of the hot springs on
the beachfront of Waiwera. Faults and fractures were identified as important
fluid pathways, as well as individual fluid conducting lithologies.
Real-time estimation of airflow vector based on lidar observations for preview control
Authors: Kikuchi Ryota , Misaka Takashi , Obayashi Shigeru , Inokuchi Hamaki
Published: December 2020

Abstract. As part of control techniques, gust-alleviation systems using
airborne Doppler lidar technology are expected to enhance aviation safety by
significantly reducing the risk of turbulence-related accidents. Accurate
measurement and estimation of the vertical wind velocity are very important
in the successful implementation of such systems. An estimation algorithm
for the airflow vector based on data from airborne lidars is proposed and
investigated for preview control to prevent turbulence-induced aircraft
accidents in flight. An existing technique – simple vector conversion –
assumes that the wind field between the lidars is homogeneous, but this
assumption fails when turbulence occurs due to a large wind-velocity
fluctuation. The proposed algorithm stores the line-of-sight (LOS) wind data
at every moment and uses recent and past LOS wind data to estimate the
airflow vector and to extrapolate the wind field between the airborne twin
lidars without the assumption of homogeneity. Two numerical
experiments – using the ideal vortex model and numerical weather prediction,
respectively – were conducted to evaluate the estimation performance of the
proposed method. The proposed method has much better performance than simple
vector conversion in both experiments, and it can estimate accurate
two-dimensional wind-field distributions, unlike simple vector conversion.
The estimation performance and the computational cost of the proposed method
can satisfy the performance demand for preview control.
A NEMO-based model of Sargassum distribution in the Tropical
Atlantic: description of the model and sensitivity analysis (NEMO-Sarg1.0)
Authors: Jouanno Julien , Benshila Rachid , Berline Léo , Soulié Antonin , Radenac Marie-Hélène , Morvan Guillaume , Diaz Frédéric , Sheinbaum Julio , Chevalier Cristele , Thibaut Thierry , Changeux Thomas , Menard Frédéric , Berthet Sarah , Aumont Olivier , Ethé Christian , Nabat Pierre , Mallet Marc
Published: December 2020

Abstract. The Tropical Atlantic is facing a massive proliferation of Sargassum since 2011, with severe environmental and socioeconomic impacts. The development of Sargassum modelling is essential to clarify the link between Sargassum distribution and environmental conditions, and to lay the groundwork for a seasonal forecast on the scale of the Tropical Atlantic basin. We developed a modelling framework based on the NEMO ocean model, which integrates transport by currents and waves, physiology of Sargassum with varying internal nutrients quota, and considers stranding at the coast. The model is initialized from basin scale satellite observations and performance was assessed over the Sargassum year 2017. Model parameters are calibrated through the analysis of a large ensemble of simulations, and the sensitivity to forcing fields like riverine nutrients inputs, atmospheric deposition, and waves is discussed. Overall, results demonstrate the ability of the model to reproduce and forecast the seasonal cycle and large-scale distribution of Sargassum biomass.
The Place of Max Weber in Ricœur’s Philosophy: Power, Ideology, Explanation
Authors: Wolff Ernst
Published: December 2020

This article offers an encompassing interpretation of Paul Ricœur’s reception of Max Weber’s sociology. Three main domains in which Ricœur redeployed and revised insights from Weber are examined: (1) political responsibility and the definition of the state, (2) significant categories for understanding social interaction (notably ideology and authority) and the social ontology implied by this view on action and, finally, (3) the role of explanation in the interpretive social sciences. As a whole, this article argues that Weber was a significant interlocutor of Ricœur on a number of significant themes in the philosopher’s work. In particular, the article profiles the Weberian aspect of Ricœur’s social and political philosophy.