bluuebunny/crossref_metadata_2025 huggingface dataset:
Effect of 12 Months of Oral Exercise on the Oral Function of Older Japanese Adults requiring Care
Authors:   Himeji University, School of Nursing, 2042-2 Oshio, Himeji, Hyogo 671-0101, Japan, Naoko Morisaki
Published: July 2021

Objective: The present study aimed to elucidate the relationship between oral exercise and oral function among older adults requiring care in the nursing facilities of Japan. Methodology: The subjects were adults aged 65 years or above, requiring care and admitted to the nursing facilities for older adults in Japan. The subjects performed the assigned oral exercises, which included the exercises focused on the neck, shoulder, upper limbs, tongue, lips, cheek movement, vocalization, and deep breathing, in groups under the guidance of medical welfare specialists. The exercises were performed for approximately 15 min once a day, three days a week, for 12 months. The oral function was evaluated prior to the commencement of the oral exercise sessions, and subsequently at three months, six months, nine months, and 12 months after the implementation of exercises. The evaluations included the Dysphagia Risk Assessment for Community-dwelling Elderly (DRACE), tongue pressure, and oral diadochokinesis (OD) assessments. Results: The oral function was evaluated in 20 older adults who performed the assigned oral exercises for 12 complete months. The average DRACE score prior to the commencement of the exercise sessions was 2.55 ±0.64, while the DRACE score after 12 months of exercise implementation was 2.60 ±0.49. The average value of tongue pressure prior to the oral exercises was 21.02 ±2.27 kPa, while that after 12 months was 20.26 ±1.76 kPa. The average OD value for the “pa” syllable prior to the exercises was 4.46 ±0.19 times per second, while that after 12 months was 4.64±0.19 times per second. The OD value for the “ta” syllable prior to the exercises was 4.61±0.22 times per second, while that after 12 months was 4.58±0.26 times per second. The OD value for the “ka” syllable prior to the exercises was 4.19±0.26 times per second, while that after 12 months was 4.04±0.22 times per second. The paired one-way analysis of variance revealed no significant difference between the oral function evaluation values prior to and after the oral exercises. Conclusions: The results of the present study suggest that oral function in older Japanese adults requiring care could be maintained for 12 months by performing oral exercises.
Diagnosis and Therapy of Atrial Fibrillation in Geriatric Patients
Authors:   Cardiology Office, Marktgasse 10A, CH-4310 Rheinfelden, Switzerland, Cocco Giuseppe , Amiet Philipp R. ,   Medical Office, Schiffackerweg 2, CH-4310 Rheinfelden, Switzerland
Published: July 2021

Atrial fibrillation is very common in most old patients who need an adapted therapy due to their comorbidities. Before initiating an antiarrhythmic therapy, possible adverse effects, especially iatrogenic proarrhythmia, and extracardiac side-effects, must be considered. In geriatric patients with atrial fibrillation, heart rate control is the most frequent therapy. Oral anticoagulation plays a vital role in the therapy, but anticoagulation in old patients, who had a bleeding or stroke event, is challenging. Available data favor the use of anticoagulation in old patients with atrial fibrillation and suggest the use of direct oral coagulants, in most cases, over the use of vitamin K antagonists. However, a gap exists in the knowledge regarding the optimal dose in very old patients, particularly in patients with mild-to-moderate renal failure, with very low or high body mass index, and in those receiving medications with a high risk of metabolic interactions.
Non-Celiac Gluten Sensitivity in Children: Controversial Role of Gluten and Diagnostic Enigma
Authors:   Senior Medical Consultant and Pediatrician, Norwegian Labour and Welfare Administration (NAV), Medical Advisor Service, Work and Benefits Kristiania, Oslo NO-0653, Norway, Devulapalli Chandra Sekhar
Published: July 2021

Non-celiac gluten sensitivity (NCGS) is a debatable condition that affects less than 6% of children. The absence of specific diagnostic markers and standardized diagnostic procedures make the diagnosis of NCGS challenging, covering patients with different and varied symptoms. Generally, the parents of small and younger children introduce a gluten-free diet (GFD) based on their personal experiences and expectations. Additionally, a “fad component” exists, contributing to the recent rise in the popularity of GFD. Thus, celiac disease (CD) and wheat allergy (WA) must be excluded as these also appear in individuals experiencing symptoms similar to those of NCGS, improving and worsening with gluten withdrawal and consumption, respectively. The role of gluten inducing gastrointestinal symptoms in individuals with self-reported NCGS has been skeptically assessed based on evidence in recent years. However, currently, it is unknown whether a strict GFD is necessary for patients with NCGS. Thus, the placebo-controlled gluten challenge remains the gold standard for a challenging diagnosis like NCGS. The present review evaluates the published studies based largely on the adult population and describes the key elements in diagnosing NCGS and differential diagnosis with CD and WA.
Sarcopenia; An Endemic in the Times of Pandemic in Liver Transplantation
Authors:   Division of Internal Medicine, University of Mississippi, Jackson, Mississippi, USA, Ullah Hamid , Iqbal Sara ,   Transplant Center, Mayo Clinic, Phoenix, AZ, USA, Lizaola-Mayo Blanca ,   Transplant Center, Mayo Clinic, Phoenix, AZ, USA, Carey Elizabeth ,   Transplant Center, Mayo Clinic, Phoenix, AZ, USA
Published: July 2021

Liver transplantation (LT) has grown monumentally in the last 40 years. Sarcopenia has emerged as an independent factor associated with increased mortality in patients with end stage liver disease. In this review we aim to shed light upon recent developments in assessment, clinical implications, management of sarcopenia in patients requiring a liver transplant. We also bring attention to the impact of COVID-19 pandemic on sarcopenia which ranges from the disease pathology to the unprecedented preventive measures taken during this time. Assessment tools to risk stratify and assess the degree of COVID related deconditioning in patients with end stage liver disease is an exigency. Management of sarcopenia requires a multifarious approach to address nutritional factors, exercise and pharmacotherapy. We may have to shift gears to focus on more rigorous rehabilitation and nutritional techniques during the times of pandemic. Future studies should evaluate whether recovery of sarcopenia with nutritional management in combination with an exercise program is sustainable and whether that improvement in muscle mass leads to an improvement in clinical outcomes. Data regarding long term and short-term effects of COVID 19 pandemic, to form assessment tools that aim to identify patients who can benefit from multimodal prehabilitation and rehabilitation, is required.
Predictors of Mid-Term Glomerular Filtration Rate after Deceased Donor Renal Transplantation: Kidney Donor Profile Index as a Predictor of Mid-Term GFR
Authors:   Montefiore Medical Center, New York, USA, Andacoglu Oya M. ,   Koc University, Organ Transplantation Center, Istanbul, Turkey, Liu Jack ,   Albert Einstein College of Medicine, New York, USA, Brooks Abigail L. ,   Montefiore Medical Center, New York, USA, Blumfield Amit ,   Albert Einstein College of Medicine, New York, USA, Trivedi Mehul ,   Albert Einstein College of Medicine, New York, USA, Lehman Shoshana ,   Yeshiva University - Stern College for Women, New York, USA, Parides Michael K. ,   Montefiore Medical Center, New York, USA, Akalin Enver ,   Montefiore Medical Center, New York, USA, Graham Jay A. ,   Montefiore Medical Center, New York, USA, Rocca Juan P. ,   Montefiore Medical Center, New York, USA, Greenstein Stuart M. ,   Montefiore Medical Center, New York, USA,   Albert Einstein College of Medicine, New York, USA
Published: July 2021

Glomerular filtration rate (GFR) is an excellent indicator of renal function; however, it is rarely evaluated as an endpoint. We investigated donor and recipient factors for associations that might be predictive of mid-term GFR after renal transplantation. We performed a retrospective review of 828 deceased donor renal transplantations performed at Montefiore Medical Center between the years 2009-2015. Donor characteristics included KDPI, [low (<20%), medium (20-80%), high (>80%)], age, graft types [extended criteria (ECD), cardiac death (DCD), standard criteria (SCD)], CDC high risk, HCV status and cold ischemic time (CIT). Recipient factors included age at transplant, induction agent, BK status, CMV status, acute and chronic rejection, cPRA and DSA status. Primary outcome is 3-year GFR calculated via the MDRD equation. In univariate analysis, donor age, KDPI, ECD, and chronic rejection were significantly associated with changes in 3-year GFR (p<0.001). In the multivariable regression analysis, donor age, KDPI, and chronic rejection remained associated with changes in 3-year GFR (p<0.001). Acute rejection, DCD, HCV status, CIT, BK and CMV viremia, PRA, pretransplant or de novo DSA were not associated with changes in 3-year GFR (p>0.05). We conclude that donor age, KDPI, and chronic rejection are independently associated with 3-year GFR while acute rejection, DCD, HCV status, CIT, BK and CMV viremia, PRA, existing or de novo DSA were not. Based on these findings, current scoring systems may need refinement to address the prognosis of mid-term GFR.
The Effects of Lifestyle Intervention Using the Modified Beliefs, Attitude, Subjective Norms, Enabling Factors Model in Hypertension Management: Quasi-Experimental Study
Authors: Villarino Resti Tito , Arcay Christopher Asuncion , Temblor Maria Concepcion , Villarino Maureen Lorence , Bagsit Rosita , Ocampo Lanndon , Bernard Paquito
Published: July 2021

Background

Hypertension is a serious health issue and a significant risk factor for cardiovascular disease and stroke. Although various health education models have been used to improve lifestyle in patients with hypertension, the findings have been inconsistent.

Objective

This study aims to assess the effects of a lifestyle intervention program using a modified Beliefs, Attitude, Subjective Norms, Enabling Factors (BASNEF) model among nonadherent participants with hypertension in managing elevated blood pressure (BP) levels.

Methods

This study reports a quantitative quasi-experimental research work, particularly using a repeated-measures design of the within-subjects approach on the 50 nonadherent patients who received a diagnosis of essential hypertension in Cebu, Philippines. The research participants received 5 sessions of training based on a modified BASNEF model. An adherence instrument was used as an evaluation platform. The first phase gathers participants' relevant profiles and background, and the final phase gathers participants' systolic BP, diastolic BP, heart rate, and adherence scores.

Results

The results indicate that the phase 1 mean systolic readings (146.50, SD 19.59) differ significantly from the phase 4 mean systolic readings (134.92, SD 15.24). They also suggest that the lifestyle intervention based on session III or phase IV behavioral intention in the BASNEF model microgroup sessions positively affects BP readings among the research participants.

Conclusions

This study has established that the BASNEF model approach can be a good BP management technique.
Hydrothermal Treatment of Herb Residue for Solid Fuel Production
Authors: Surahmanto Fredy , Nurhadiyanto Didik , Mujiyono Mujiyono , Areeprasert Chinnathan , Syamsiro Mochamad
Published: July 2021

Hydrothermal processing is appraised as one of  advanced technologies for wet solid waste handling. In this study, herb residue was subjected to hydrothermal treatment. Calorific value, yield, and also proximate analysis of obtained hydro-char were investigated. A cylindrical reactor with an internal volume of 2.5 Litres made of stainless steel and a low-tech component was used in the experiment. The reactor was equipped with a stirrer to ensure heat transfer took place through the entire parts of the solid-water mixture. Solid products were dried by a microwave oven before analysis. The results show that the final temperature, holding time, and solid-water ratio have various effects on the hydro-char yield, calorific value, and proximate analysis of the hydrothermal products. The hydro-char yield decreased with the increase in final temperature and holding time. Meanwhile, the highest hydro-char yield was obtained at the solid-water ratio of ¼. The hydro-char calorific value increased with the increase in final temperature, holding time, and solid-water ratio. The rise in final temperature, holding time, and solid-water ratio resulted in  a lower moisture content and volatile matter but higher fixed carbon. Meanwhile, the ash content increased with the solid-to-water ratio.
Umweltwirkungen von FTI-politischen Maßnahmen: Herausforderungen und Ansätze für die Evaluierungspraxis
Authors:   KMU Forschung Austria, Wieser Harald , Kaufmann Peter , Haider Wolfgang , Hochreiter Harald , Knoll Norbert , Koch Lisa , Kubecko Klaus , Reitschuler Gerhard , Sardadvar Sascha , Schuch Klaus , Steyer Mario
Published: July 2021

Von der Politik wird zunehmend erwartet, dass sie aktiv zur Erreichung gesellschaftlich bzw. politisch festgelegter Umweltziele beiträgt. Vor diesem Hintergrund kann in den vergangenen Jahren auch eine verstärkte Berücksichtigung der Wirkungen der FTI-Politik auf die natürliche Umwelt beobachtet werden. Dies drückt sich sowohl in der Festlegung von Umweltkriterien sowie einer zunehmenden systemischen Orientierung von FTI-politischen Maßnahmen aus, um eine Transition hin zu einer klimaneutralen und ressourceneffizienten Gesellschaft zu unterstützen. Dieser Beitrag setzt sich mit den aus dieser „Ökologisierung“ der FTI-Politik entstehenden Herausforderungen für die Evaluierungspraxis auseinander und stellt bestehende Ansätze zu ihrer Adressierung vor.
ПРИЧИНЫ СИСТЕМНЫХ ПРОБЛЕМ В РАЗВИТИИ РАДИОЭЛЕКТРОННОЙ И ЭЛЕКТРОННОЙ ПРОМЫШЛЕННОСТИ РОССИИ. Часть 3. 1950‒1990 ГОДЫ
Authors: Брыкин А.
Published: July 2021

Развитие производственно-­технологического комплекса электронной и радиоэлектронной отрасли связано с приоритетами в развитии промышленности и страны в целом. Анализируется ситуация, которая сегодня сложилась в отрасли, делается попытка ответить на вопрос: возможно ли переломить ситуацию, сложившуюся из-за череды стратегических просчетов прошлых периодов развития страны.
Las Cabras volcano, Michoacán-Guanajuato Volcanic Field, México: Topographic, climatic, and shallow magmatic controls on scoria cone eruptions
Authors: Guilbaud Marie-Noëlle , Hernández-Jiménez Athziri , Siebe Claus , Salinas Sergio
Published: July 2021

Scoria cones are abundant in most volcanic fields on Earth, such as the Michoacán-Guanajuato Volcanic Field, in the central-western sector of the Trans-Mexican Volcanic Belt. However, there are few in-depth studies on their eruptive style and controlling factors, despite of their diversity in shape and composition which implies a wide range of hazards. Here, we present results of morphologic, stratigraphic, sedimentary, petrographic, and geochemical studies of the prominent Las Cabras scoria cone located west of the Zacapu lacustrine basin in the center of the Michoacán-Guanajuato Volcanic Field. This basaltic andesitic to andesitic volcano formed between 27 and 26 kyrs BP on the steep slopes (>10º) of the lava shield of El Tule volcano. Over time, its dominant eruptive style changed from Strombolian to effusive. Initial explosive activity built a 170-m-high scoria cone and deposited thick tephra fallout on the surrounding sloping terrain. Structures in the deposits indicate that early friable fine-grained tephra underwent significant erosion due to syn-eruptive heavy rain coupled with the sloping nature of the underlying ground. This erosion generated lahars that very likely reached the Zacapu lake based on the pre-eruptive topography. As the explosivity dropped, lava was emitted from the base of the cone first to the S and SE, forming a thick, viscous lobe that filled a pre-existing E-W valley. The flow direction then deviated to the N and NE, to form thinner, less-viscous lobes fed from the vent by an open-channel. The lavas are covered by hummocks made of agglutinates and bombs that indicate that the eruption terminated by catastrophic collapse of the SE sector of the cone, possibly triggered by the intrusion of magma within the cone, which destabilized its downslope segment. The sudden flank failure was potentially associated with a late effusive event and the hummocks may have been carried away by the lava surge. Whole-rock chemical variations and crystal disequilibrium textures point toward a complex magma feeding system, involving mixing and mingling between different magma batches. This study shows that the formation of scoria cones on a terrain with a marked slope (>10°) has profound impacts on the eruption dynamics and related hazards due to its effect on cone stability and ash erosion. It also evidences the erosive effect of syn-eruptive rain on fine-grained tephra, especially when deposited on a slope. Finally, it reveals the complex magmatic processes that may occur in the shallow plumbing system of monogenetic andesitic volcanoes, which could be particularly important in inland areas of continental arcs.
Prefacio
Authors: Israde-Alcántara Isabel , Macías-Vázquez José Luis
Published: July 2021

En octubre del 2019 la comunidad nacional e internacional de Ciencias de la Tierra fue partícipe del sensible fallecimiento del Dr. Víctor Hugo Garduño Monroy. Víctor Hugo fue conocido no solo por sus contribuciones al conocimiento de la Tectónica de México con fines del entendimiento de la prospección geológica del Petróleo y de la Geotermia en México, sino también por impulsar en nuestro país estudios pioneros de paleosismología. De igual forma trabajó en la interpretación geológico-ambiental de los glifos prehispánicos, lo cual fue su pasión en sus últimos años. Rebasó hipótesis, creando verdades que mediante su visión se hicieron evidentes, marcando así un parteaguas en la investigación de frontera en las distintas aplicaciones de la Geología Estructural. Durante su brillante carrera académica Víctor Hugo cambió la vida de numerosos investigadores y alumnos que fuimos impulsados por su esencia, su simpatía y contagiosa positividad. Su principal laboratorio natural fue su natal Michoacán, donde la comunidad científica admiró su talento para “comunicarse con la Tierra”. En esa su tierra, dedicó muchos años al estudio de los volcanes y apuntaló su célebre frase “La Tierra y los volcanes son de quienes los trabajan”. Por su talento y grandes contribuciones, Víctor Hugo, como lo conocíamos, no será fácilmente olvidado.

En esta sección especial reunimos contribuciones dedicadas a la geología de Michoacán, las cuales rinden homenaje a la vida y obra de nuestro querido Maestro y amigo Víctor Hugo. Los tópicos que cubren estas contribuciones son la geología estructural, vulcanología, el paleomagnetismo, la paleosismologia, riesgos geológicos y planificación territorial. Todos estos trabajos forman parte de una revisión el estado del arte de investigaciones en distintas áreas del conocimiento en Michoacán. En muchas de estas contribuciones Víctor Hugo es coautor, porque estaba trabajando intensamente con sus colaboradores antes de su partida. El primer artículo se refiere a la formación de conos de escoria asociados a una cámara magmática somera y su relación con la topografía y clima dentro del Campo Volcánico de Michoacán-Guanajuato.

Otros artículos serán publicados en los siguientes números de la Revista Mexicana de Ciencias Geológicas.
Factores de riesgo psicosocial y su asociación con el ausentismo laboral
Authors: Espino-Porras C.L. , De Luna-López M.C. , Flores-Padilla L. , Ramírez-Echavarría E.J. , Brito-Cerino M.I. , Gómez-Jurado L.J.
Published: July 2021

Introducción: El ausentismo no programado se relaciona a condiciones laborales deficientes, riesgos psicosociales ocupacionales, falta de satisfacción laboral y otros factores biológicos, físicos y psicológicos. La reducción de costos en las instituciones y la disminución del personal contribuyen a generar condiciones laborales desfavorables.

Objetivo: Identificar factores de riesgo psicosociales que influyen en el ausentismo laboral no programado del personal de enfermería, en un centro de segundo nivel de atención en Chihuahua, México.

Métodos: Estudio descriptivo, muestra de 221 enfermeras. Se aplicó Instrumento para Identificar Factores de Riesgo Psicosocial y Evaluar el Entorno Organizacional en los Centros de Trabajo, así como una sección de características sociodemográficas y laborales. Se evalúo asociación estadística con análisis multivariado.

Resultados: El ausentismo representó 61.1%. Se identificó una asociación estadística entre el ausentismo y el ambiente de trabajo con nivel de riesgo muy alto y alto (X2 de 4.03 y 4.72), confirmada con el modelo de regresión logística en el nivel de riesgo Muy Alto coeficiente β = 5.32.

Discusión: La categoría Ambiente de trabajo fue la más relevante en este contexto, resultado similar a otros estudios que han mostrado la influencia de las condiciones de trabajo y del clima organizacional en el ausentismo del personal de enfermería.

Conclusión: Las condiciones de trabajo estresantes consideradas en la Categoría de Ambiente de trabajo tienen consecuencias en el bienestar de los trabajadores, sería necesario realizar otras investigaciones en profesionales de salud, de acuerdo al instrumento de la STPS utilizado, para implementar estrategias de prevención en la salud mental del trabajador.
Profesores universitarios de Contabilidad y el proceso de tutorización del trabajo fin de grado
Authors: Donoso-Anes José-Antonio , Serrano-Domínguez Francisco , Camúñez-Ruíz José-Antonio
Published: July 2021

El trabajo recoge la opinión y percepción de los profesores universitarios de Contabilidad de España sobre los aspectos más relevantes relacionados con la materia de Trabajo Fin de Grado (TFG), en concreto sobre regulación, asunción de créditos, obligatoriedad para profesores y alumnos, dedicación y reconocimiento de créditos, asignación, tutorización, evaluación y competencias a desarrollar en el TFG. Además, se han estudiado los factores que influyen en el estado general de satisfacción. La metodología seguida ha sido detectar los temas que sobre TFG preocupan a los profesores, elaborar el cuestionario de prueba inicial y final y distribuirlo por internet. El análisis descriptivo y de correlaciones se realiza mediante Microsoft Excel y SPSS 23.0. El estudio de satisfacción se hace mediante análisis factorial exploratorio a través de spss 23.0. Los resultados muestran que existe un nivel general de no satisfacción, motivado por la no aceptación metodológica que conlleva el TFG y las propias autoexigencias del profesor cuando acomete la tutorización, ya que siente que los resultados obtenidos nunca están a la altura de sus demandas.
El aprendizaje-servicio, un detonante de la reflexión ética del profesionista
Authors: Monforte-García Gabriela , Arredondo-Trapero Florina-Guadalupe
Published: July 2021

El objetivo de esta investigación es mostrar la manera en que un curso, impartido bajo la técnica didáctica de aprendizaje-servicio para estudiantes de negocios, logra sensibilizar a los estudiantes hacia la reflexión ética. Los autores en temas de responsabilidad social señalan la importancia de la reflexión ética y el comportamiento ciudadano en los tomadores de decisiones, de modo que sean capaces de actuar, por convicción, de manera responsable. El caso de estudio que se presenta muestra un comparativo de estudiantes de pregrado en áreas de negocios a través de un grupo control integrado por 126 estudiantes y un grupo experimental conformado por 276 estudiantes. El comparativo se realizó empleando la técnica de regresión lineal con moderación interna. Los resultados dieron evidencia de que el aprendizaje-servicio incide en el desarrollo de la competencia de reflexión ética.
Un currículum controversial-problematizador: un desafío para la educación de América Latina
Authors: Magendzo K. Abraham
Published: July 2021

El artículo se propone apostar por un curriculum que alejándose de los modelos tradicionales incursiona en una apuesta que apunta a un modelo problemático–controversial. De esta forma, la propuesta es que el curriculum se aproxime a los temas emergentes y apremiantes que afectan a nuestra sociedad. En síntesis, el artículo profundiza en una postura crítica del curriculum para incorporar una mirada dilemática.
Sustainable Green Building
Authors: Deshpanday Ishani
Published: July 2021

Green building refers to a structure and employing a method that's environmentally accountable and resource economical throughout a building’s life cycle. Since buildings consume nearly five hundredth of the world's total energy, inexperienced buildings, on the other hand, consume a minimum quantity of energy with the utilization of energy economical materials. Hence, location of inexperienced buildings within the close proximity would produce an inexperienced zone and supply a far healthier setting with minimum heat island result. In India there are 2 primary rating systems for inexperienced buildings: GRIHA (green rating for integrated surround assessment), LEED (leadership in energy and setting design). Green buildings compared to standard buildings appear specifically similar and conjointly within the building use, however disagree within the operational savings and considerations for human comfort and indoor and atmosphere. inexperienced buildings get pleasure from the advantages of saving 40-50% energy by reducing greenhouse gas emissions into the atmosphere; it conjointly saves concerning 20-30% of water by victimization rain gathering or gray apply techniques. It conjointly reduces VMT (vehicle miles travelled) by selecting the placement near conveyance and conveniences that helps in reduction of petrol consumption. However, on the opposite hand, inexperienced buildings face several barriers just like the high initial investment needed for construction, split incentives.
Design and Implementation of an Android Application for Betterment of Farmers
Authors: Bhanwadiya Aditya
Published: July 2021

After the contentious reforms framed by the government for farmers, their lives have been exacerbated. They are not able to get an equitable price for the production because of middlemen and their burgeoning commission. Apart from that, because of the lack of knowledge amongst the farmers about certain things like mercurial weather conditions in the monsoon, contamination of crops because of certain deleterious pesticides, queries regarding soil fertility etc. they have been suffering through huge losses financially as well as their productions are getting wasted. An idea is presented here which can help farmers get better prices for their produced goods excluding the middlemen and their hefty commissions. Also, legit advice from an expert can help farmers a lot to increase the production as well as financial losses can be prevented. In the proposed idea, an android mobile application developed in Android Studio, an official integrated development tool or environment for Google’s Android operating system with farmer-friendly UI designed in Adobe XD is implemented in JAVA and firebase cloud firestore is used in the backend to get interminable services.
EU, TERCEIRIZADA: O QUE FAZER COM A MINHA CARREIRA?
Authors: De Sousa Chaves Suellen Cristina , Teixeira de Carvalho Diana Lucia , Kruta de Araújo Bispo Ana Carolina
Published: July 2021

O caso para ensino relata a história de Samara, uma funcionária terceirizada, que encontra situações de trabalho excludentes, sobretudo do ponto de vista da gestão de pessoas, em ambas as empresas que assumem o contrato de terceirização. Com isso, Samara se vê em um dilema de carreira, pois, ao mesmo tempo em que questiona a possibilidade de continuar cumprindo a função de terceira, tem ciência de que, na área em que atua, não há outras empresas na cidade de João Pessoa que possam absorver seu conhecimento profissional. Diante disso, o objetivo desse caso é abordar a gestão de pessoas no contexto da terceirização, enfatizando a necessidade de que ambas as organizações se comprometam a envolver os terceiros de maneira emocional, inconsciente e subjetiva, para que de fato esse tipo de arranjo profissional possa significar uma vantagem competitiva. Complementarmente, tem como propósito discutir, com base em âncoras individuais que direcionam o interesse profissional, possíveis decisões pessoais de carreira que podem ser necessárias à medida que dilemas se apresentem nos percursos dos indivíduos. Com isso, esse caso pode ser aplicado em disciplinas de gestão de pessoas, especificamente na discussão de elementos relacionados ao planejamento de carreira, em cursos de graduação e pós-graduação lato sensu em Administração.
The Impact of Covid-19 on the Food Industry
Authors: Alhefeiti Alyazyah , Aldhanhani Hessa , Almatrooshi Reem , Singh Sisodia Gyanendra
Published: July 2021

COVID has largely affected organizations and individuals. The current study explores the effect of covid on food industries in the Middle East. We have found that during the pandemic, people tend to choose eating home-cooked meals instead of ordering from restaurants as they think it is “unsafe” to do so. This resulted in an improvement in their cooking skills. Additionally, it is clear that the availability of essential foodstuff hasn’t been majorly affected by the outbreak. Our observations strongly support the fact that people are spending more money on groceries than they used to before the outbreak, and the majority prefers to do so through applications and websites that offer delivery of groceries. This study indicates a development of new digital markets that support the integration of multiple food channels and easy food ordering systems.
El papel de los mercados alternativos como herramientas que favorecen la financiación de las pymes y su sostenibilidad
Authors: Álvarez-García Begoña , Domínguez Martínez Jaime
Published: July 2021

Las pequeñas y medianas empresas (pymes) tienen mayores dificultades que las grandes para obtener financiación, lo cual afecta su capacidad de crecimiento y sostenibilidad. En este contexto, surgen los mercados alternativos como mercados no oficiales que están orientados a las pymes y que buscan ayudar a satisfacer sus necesidades de financiación. En este artículo se analizan los antecedentes de estos mercados, las principales figuras que los integran y su clasificación, atendiendo al arquetipo de regulación que adoptan. Asimismo, se explica cuáles son los problemas que en la actualidad tienen estos mercados y se aportan diversas posibles soluciones. Por último, se estudia cuál ha sido la evolución de los mercados alternativos en el mundo, prestando especial atención a Norteamérica, Europa Occidental y Asia Oriental.
Políticas públicas activas de empleo de un gobierno subcentral
Authors: Escourido-Calvo Manuel
Published: July 2021

Las políticas activas de empleo son una forma de intervención del sector público dirigida a minorar el desempleo, concebido como un fallo de mercado. En un contexto de recursos limitados de las administraciones públicas, evaluar el impacto económico y social (y monetizarlo) de estas políticas es un requerimiento para optimizar la asignación de recursos y promover mayores niveles de gobernanza. A partir del análisis coste-beneficio y al social return on investment (SROI) se realiza una aproximación a la cuantificación económica del impacto del Plan de Empleo Local 2016-2018 de la Diputación Provincial de La Coruña (España).
Plastic (in) Paradise: Karen Tei Yamashita’s Through the Arc of the Rain Forest
Authors: Keck Michaela
Published: July 2021

This contribution examines the magic-realist metaphor of the Matacão in Karen Tei Yamashita’s (1990) debut novel Through the Arc of the Rain Forest as a trope that invites us to imagine, reflect on, and explore plastic’s cross-cultural meanings, aesthetic experiences, and materialist implications. I contend that through the Matacão, Yamashita engenders a narrative about, as well as an aesthetic experience of, plastic that is inherently ambivalent and paradoxical. While it provides societies with material wealth and sensual pleasures, it poses at the same time a profound threat to life – human and nonhuman. The main part of the article is divided into two major sections: in the first part, I read Yamashita’s story about the Matacão as historiographic metafiction that parodies the socio-cultural history of plastic and its utopian promises and failures. In the second part, I draw on Catherine Malabou’s philosophical concept of plasticity to explore the Matacão’s material agency, as well as the social mobility and economic connectivity of Yamashita’s human protagonists in their plastic environments. The theoretical perspective of Malabou’s concept of plasticity shifts the focus to the agentic forces of the waste material and allows us to read Yamashita’s Matacão as both a site and material that, notwithstanding its devastating impacts, also holds potentialities for resilience and repair, and even the possibility for an, at least temporary, utopia.
Validation of the modified NUTRIC Score on Critically Ill Patients with Acute Excacerbations of Chronic Obstructive Pulmonary Disease: A retrospective study
Authors: Doganay Guler Eraslan , Cirik Mustafa Ozgur , Alagoz Ali , Yurtseven Gulsah
Published: July 2021

Background In critical care patients, the nutritional status is related
to many factors such as existing co-morbidities, nutritional history,
and the current disease. It is crucial to apply a comprehensive
nutritional assesment and to start nutritional support as soon as
possible in intensive care unit(ICU) where malnutrition is common. There
are many studies on association between modified Nutritional Risk in
Critical Patients (mNUTRIC) score and outcome in ICU patients but the
effectiveness of tools for risk assesment isn’t still remains unclear.
We aimed to define the correlation between the mNUTRIC score and 28-day
mortality in patients with chronic obstructive pulmonary disease (COPD)
in ICU. Materials and Methods The admission of COPD patients to the
respiratory ICU in 2018 were determined retrospectively. Demograpic data
of all patients, body mass index (BMI), mNUTRIC scores, Acute Physiology
and Chronic Health Assessment II (APACHE II), Sequential Organ Failure
Assessment (SOFA) scores, Charlson Comorbidity Index (CCI), time from
patient ward to ICU admission, sepsis parameters including C-reactive
protein (CRP) and procalcitonin, ICU length of stay (LOS ICU),
vasopressor use, and 28-day mortality were recorded. Results 159 COPD
patients involved the study. Age, CCI, day from patient ward to ICU
admission, SOFA score, APACHE II score and 28-day mortality were
detected to be statistically higher in patients with mNUTRIC ≥ 5 (p
< 0.05). Conclusion The mNUTRIC score could be an proper
method for nutritional risk to predict prognosis in critically ill COPD
patients.
CLINICAL FEATURES AND PREDISPOSING FACTORS OF DELIRIUM DUE TO COVID-19 PNEUMONIA IN INTENSIVE CARE UNITS
Authors: Ekmekyapar Tuba , Tasci Irem , Ekmekyapar Muhammed , Sahin Levent , delen leman acun
Published: July 2021

Background: Delirium is an acute disorder of attention, perception,
memory, thought, mood, psychomotor activity and sleep-wake cycle that
develops intermittently during the day. It is commonly seen in
hospitalized elderly patients. Delirium is also a common clinical
picture in patients hospitalized in intensive care units due to COVID-19
pneumonia. In this study, we reviewed clinical features and predisposing
factors of delirium according to psychomotor subtypes in patients
hospitalized in the ICU due to COVID-19 pneumonia. Methods: 64 patients
who were hospitalized in the ICU due to COVID-19 pneumonia were
included. Delirium status and psychomotor subtypes were determined by
applying the CAM-ICU scale to the patients daily. The gender, age,
comorbidity, treatments, intubation and mortality rates of the patients
were recorded. Multivariate analyzes were performed by examining
predisposing factors, arterial blood gases, hemogram, biochemistry and
brain MRI imaging. A value of p<0.05 was considered to be
statistically significant. Results: It was found that, the need for
intensive care, male gender, advanced age, hypertension, dementia,
coronary artery disease were significant risk factors for delirium, in
COVID-19 pneumonia. In particular, it was found that the mortality rate
was significantly higher in patients with hypokinetic delirium compared
to those with hyperkinetic delirium (p=0.035). Conclusion: In this
study, it was found that advanced age, male gender, the presence of
additional diseases such as hypertension, coronary artery disease, and
dementia, and hypoxia are factors that increase the frequency of
delirium. It was observed that mortality was higher in male gender and
patients with hypokinetic delirium. Keywords: COVID-19, pneumonia,
delirium, mortality
Warming Needle Moxibustion for Alzheimer’s Disease: A Systematic Review of Randomized Controlled Trials
Authors: Chen Xinming , Liu Fang , Lin Nan , Lin Qian , Lv Zecai , Xiu Huoqin , Nie Pingying
Published: July 2021

Abstract Objective: To systematically research the impact of warming
needle moxibustion (WNM) for Alzheimer’s Disease (AD). Methods: Four
Chinese databases and six English databases were systematically
searched. Randomized controlled trials (RCTs) involving the use of WNM
to intervene in AD patients were included. Data were extracted from the
included studies and methodological quality was evaluated according to
the Cochrane Handbook for Systematic Reviews of Intervention 5.1.0.
Meta-analysis was performed using RevMan 5.4 software. Results: 8 RCTs
comprising 524 patients were included. The study showed that WNM was
more effective in the treatment of AD than acupuncture or
pharmacotherapy. The findings were as follows: MMSE (MD=1.01, 95%CI:
0.13, 1.90, P=0.03) and CDR (MD=-0.73, 95%CI: -0.84, -0.61,
P<0.00001) for global cognitive function, ADL (MD=-1.84,
95%CI: -2.47, -1.22, P<0.00001) for activities of daily
living, Syndrome Differentiation Scale of Dementia (SDSD) (MD=-2.67,
95%CI: -3.62, -1.72, P<0.00001), and the total effective rate
of patients (OR=3.89, 95%CI: 2.49, 6.09, P<0.00001). The
differences in all indicators were statistically significant.
Conclusion: WNM has a significant effect on improving cognitive function
and daily living ability, reducing the symptoms of AD, and increase the
total effective rate. WNM is an effective non-pharmacological therapy
for patients with AD. Keywords: Warming needle moxibustion, Alzheimer’s
disease, Randomized Controlled Trials, systematic review and
meta-analysis
Obesity in Children with Acute Promyelocytic Leukemia: What is its Incidence and Prognostic Significance?
Authors: Laurie Kathryn , Lee Paul , Rademaker Alfred , Alonzo Todd , Wang Yi-Cheng , Powell Bayard , Wu Diana , Larson Richard , Gregory John , Kutny Matthew , Hijiya Nobuko , Feusner James
Published: July 2021

Objective: To compare outcomes data of obese and non-obese pediatric
patients with acute promyelocytic leukemia from the Cancer and Leukemia
Group B trial C9710 and the Children’s Oncology Group trial AAML0631.
Methods: Data including demographics, adverse events, overall survival
and event free survival was analyzed, with a focus on mortality in obese
patients. Results: The incidence of obesity was 34% on C9710 and 35%
on AAML0631. There was significantly lower overall survival in the obese
population on AAML0631. Thirteen patients died during therapy or in
follow up; seven of these occurred during induction. Conclusion: The
incidence of obesity is higher in patients with APL compared to the
general population. The presence and degree of obesity can influence OS
on the most current treatment regimen. This implies the need for close
management of obese patients at diagnosis as well as reinforces the need
for further research on obesity driven APL
Fontan Fenestration and the Role of the Covered Stent
Authors: Sandhu Satinder , Alfares Fahad
Published: July 2021

Key Points : • Interventional therapies directed at fenestration closure
in the Fontan patient must rely on good hemodynamic data • The Large
Optimus-CVSTM stent is an additional armamentarium for fenestration
closure however, longer term follow up is needed • Multi institutional
studies defining the long-term benefits of fenestration closure and
outlining fenestration management guidelines may help improve the
long-term morbidity and mortality in this group of patients.
Developing an effective scale-down model for a suspension adapted HEK293T-derived lentiviral vector stable producer cell line
Authors: Patel Hamza , Archibald Peter , Jung Cindy , Roszell Blair , Veraitch Farlan , Rafiq Qasim , Micheletti Martina
Published: July 2021

Lentiviral vectors (LVV) represent an important tool for vaccine
development and other therapeutic modalities. However, inefficiencies in
LVV manufacturing processes, such as the inability to achieve high cell
densities with HEK293T cell lines in a fed batch process, have resulted
in poor upstream yields. Optimisation of cell culture conditions is
needed to improve upstream yields, which can be expedited by
high-throughput screening (HTP). In this work, we describe the use of
the 24 deep square well (24-DSW) microwell platform to develop a
scale-down mimic of GSK’s established stable suspension LVV production
process model at 2 L bioreactor scale. We found that matched mixing time
was an effective basis for scale-translation between the stirred tank
reactor (STR) and microwells. The growth kinetics and LVV productivity
profile in the microwell were reproducible and comparable to the 2 L
bioreactor process model. In both vessels, a 6-fold increase in cell
density was achieved at the harvest time point and high cell viability
(i.e. > 90 %) was also maintained throughout the entirety
of the cultures. The 24-DSW model, therefore, is an effective scale-down
model for larger-scale stirred-tank bioreactor culture and provides an
important tool for rapid, high-throughput optimization of the LVV
production process.
Fisiología y hematología de osos hormigueros gigantes en cautiverio (Myrmecophaga tridactyla. Linnaeus, 1758), en Colombia
Authors: Navarro Buitrago Xiomara , Murillo Pacheco Ricardo , Rojano Bolaño Cesar
Published: July 2021

El presente estudio se realizó con 20 animales en cautiverio y retrospectivamente se analizaron 120 historias clínicas las cuales contenían la valoración inicial del animal y reportes de pruebas paraclínicas. Los animales fueron restringidos químicamente usando ketamina (12 mg/kg) + midazolam (0.2 mg/kg) y xilacina (0.1 mg/kg) en combinación en una misma jeringa y aplicación por vía intramuscular; se monitorearon las constantes fisiológicas, temperatura utilizando un termómetro de mercurio, y frecuencias cardiaca y respiratoria con un fonendoscopio 2M Littmann®. Se analizaron las constantes fisiológicas, hematología y bioquímica sanguínea, y se compararon con los valores de referencia, lo cual constituye información clave para la valoración clínica y en el manejo sanitario de esta especie. Se reportan pocos trabajos de este tipo en fauna silvestre en Colombia, y este es el primero que establece valores de referencia para constantes fisiologías y hematología en el oso hormiguero gigante (Myrmecophaga tridactyla). Para la temperatura corporal se encontró una media de 33.26°C para los machos y 34.52°C para hembras; respecto al comportamiento por edades se encontró una media de 33.3°C para neonatos (n=17), 34.74°C para juveniles (n=12) y 34.52°C para adultos (n=5). La frecuencia cardiaca fue de 109 latidos por minuto (lpm) para machos y 83.93 lpm para hembras, mostrando diferencias significativas (P<0.05); para neonatos se encontró una media de 99.14 lpm, para juveniles 110.1 lpm y para adultos 83.06 lpm. Los valores de frecuencia respiratoria medida como respiraciones por minuto (rpm), encontrados para machos (36,96 rpm) y hembras (21.97 rpm) también presentaron diferencias significativas (P<0.05). Las variables hematológicas medidas por grupo de edades no mostraron diferencias (P>0.05), y por el contrario al considerar el sexo de los individuos se observaron diferencias altamente significativas (P<0.01) en la mayoría de variables hematológicas. A los valores de bioquímica sanguínea para el grupo de osos palmeros estudiados, no se les pudo realizar comparación según la edad y sexo, debido al pequeño número de muestras. Se concluye que se debe tener la capacidad de valorar estos factores de fisiología y bioquímica sanguínea de los osos hormigueros, con el fin de detectar a tiempo cambios en su salud que puedan amenazar su vida y con ello poder actuar de manera oportuna y eficaz.
Uso de la ozonoterapia como tratamiento de patologías en pequeños animales
Authors: Herrera Parra Oscar Javier , Fuentes Reyes Edgar Edilberto
Published: July 2021

En este trabajo monográfico se realiza una revisión de literatura acerca del estado actual del uso de la ozonoterapia en la clínica de pequeños animales. Inicialmente el ozono fue utilizado para el tratamiento y potabilización del agua y desde 1915 comenzó a ser usado como agente terapéutico en personas por su acción germicida. En la medicina humana se ha reconocido los efectos que produce el ozono en el organismo, tales como el equilibrio en el balance REDOX, mejora del metabolismo del oxígeno, efecto inmunomodulador, propiedades antiinflamatorias, acción analgésica, promotor de la cicatrización y acción germicida. Todas sus propiedades están directamente relacionadas con la generación de productos secundarios, especies reactivas del oxígeno (ROS) y Productos de la Oxidación Lipídica (LOPs), que en cantidades adecuadas producen dichos procesos biológicos. En la clínica de pequeños animales la ozonoterapia está siendo utilizada principalmente en el tratamiento de enfermedades que afectan la piel, de tipo bacteriana, fúngica y ectoparasitaria. También se han realizado estudios de su eficacia en el manejo del dolor en patologías musculoesqueléticas, en especial las de carácter crónico. El ozono en la Medicina Veterinaria tiene un futuro prometedor y tiene un potencial grande para la realización de más estudios en pequeños animales.