bluuebunny/crossref_metadata_2025 huggingface dataset:
Professionnalisation de la fonction de personne ressource du métier d’enseignant spécialisé : quelles activités, quelle identité ?
Authors: Ferré Véronique , Bedoin Diane
Published: June 2021

Le BOEN du 16 février 2017 définit les compétences spécifiques de l’enseignant spécialisé. Elles sont axées autour de trois domaines dont celui d’exercer une fonction de personne ressource pour l’éducation inclusive. La notion de personne ressource est polysémique et non définie. Elle questionne les activités et l’identité de ces nouveaux enseignants spécialisés. Cette fonction s’intègre dans un processus de professionnalisation et de développement professionnel qui transforme l’identité des acteurs au fil de leur activité. Ce cadre théorique a constitué le fil conducteur d’une enquête exploratoire menée par entretiens semi-directifs auprès de huit enseignants spécialisés exerçant dans le second degré qui sont en formation. Il ressort de leurs propos sur cette nouvelle fonction des premières pistes d’analyse.
Caractéristiques du conseil d’administration et disparité de performance entre les grandes entreprises au Cameroun
Authors: Wanda Robert , Kengni Fomo Gildas Alex
Published: June 2021

L’objectif de cet article est de cerner les caractéristiques du CA qui discriminent au mieux les grandes entreprises (GE) en termes de performance. Les données sont issues de l’INS et de l’enquête réalisée auprès de 112 GE sur la période 2008-2012. Grâce au test de comparaison des moyennes et de régression logistique, les résultats montrent que : la taille et l’indépendance du CA expliquent les divergences de performance entre les GE camerounaises. Ce résultat rejoint les travaux de (Bhagat & Bolton, 2008 ; Wanda, 2013 ; Amine et Sami, 2018). Par contre, la dualité et la présence des comités n’expliquent pas les écarts de performance observés.
La recherche-intervention en marketing : le cas de l’utilisation des « nudges » dans les politiques publiques durables de gestion des déchets ménagers
Authors: Mechin-Delabarre Aude , Alexandre-Bourhis Nathalie
Published: June 2021

Cet article étudie en quoi la recherche-intervention peut constituer un cadre adapté aux problématiques liées à l’évolution actuelle du marketing. S’appuyant sur l’expérience d’une collaboration avec une collectivité territoriale, il traite du concept de « nudge » et de son utilisation par une organisation publique. Si l’on sait que l’impact des politiques publiques durables peut être renforcé par l’utilisation de ces leviers d’action, des questions demeurent quant aux conditions de leur mise en œuvre. Grâce à la méthodologie choisie, les apports de l’économie comportementale pour le marketing public sont analysés sous un angle original.
Le rugby argentin face au péronisme
Authors: Reggiani Andrés H. , Champenois Grégoire
Published: June 2021

L’article examine l’évolution du rugby argentin sous le gouvernement de Juan D. Perón (1946-1955). Tout en analysant la volonté gouvernementale de politiser les pratiques sportives et les loisirs, il cherche à identifier les bénéfices que le rugby a pu tirer de la politique péroniste. D’une part, l’implication active de l’État dans les compétitions internationales a permis aux rugbymen argentins d’affronter pour la première fois des équipes étrangères de haut niveau. De l’autre, le rugby représente un cas unique de tentative de vulgarisation d’un sport d’élite, afin de le rendre accessible aux enfants de la classe ouvrière en l’incorporant au sein de l’encadrement idéologique de la jeunesse par le biais des « championnats Eva Perón ».
« Les footballeurs sont des esclaves »
Authors: Schotté Manuel , Noûs Camille
Published: June 2021

L’article porte sur la création et l’action de l’UNFP, le syndicat dont les footballeurs professionnels français se sont dotés pour accéder à la liberté contractuelle. S’efforçant de comprendre les ressorts de leur mobilisation, il concilie deux aspects souvent dissociés : ce qui relève des logiques de constitution d’une instance de représentation et ce qui renvoie aux actions menées au nom de cette dernière. L’article montre ainsi que le succès de cette mobilisation ne procède pas de la seule capacité des joueurs à s’organiser pour faire triompher leurs intérêts, mais d’une configuration d’ensemble qui conduit différents groupes (journalistes et pouvoirs publics notamment) à soutenir, pour des raisons qui leur sont propres, l’existence et l’entreprise de l’UNFP.
Tabor above Zagorje Šilentabor, Archaeological Rescue Sample Trenching in the Area of the Castle Complex
Authors: Bratina Patricija
Published: June 2021

Dolini reke Pivke in Reke tvorita naraven prehod iz zgornjega Posavja v Tržaški zaliv in Kvarnerski zaliv. Strateška pomembnost tega prostora se je v prazgodovini odražala s številnimi gradišči–naselbinami na zavarovanih vrhovih, v kasni antiki z rimskimi obrambnimi zaporami ter v obdobju turških vpadov s protiturškimi tabori. Zaščitna arheološka sondiranja leta 1996 v območju arheološkega spomenika Tabor nad Zagorjem – Šilentabor, Arheološko najdišče, EŠD: 764, so odkrila del ostankov srednjeveške obrambne arhitekture, zlasti pa številne arheološke artefakte, ki potrjujejo v zgodovinskih virih omenjeno gradnjo in življenje znotraj grajskega kompleksa od 15. do 17. stoletja.  The valleys of the Pivka and Reka rivers make a natural passage from the upper Posavje to the Trieste and Quarnero Bays. The strategic significance of this area in prehistoric times is shown in the numerous hillforts/settlements on the secured peaks of the hills in Late Antiquity with Roman defence blockades, and in the times of Turkish invasions with forts against the Turks. Rescue sample trenching in 1996 in the area of the Tabor archaeological monument above Zagorje - Šilentabor, archaeological site reference EŠD: 764, revealed part of the remains of a Middle Age defence architectural structure and numerous archaeological artifacts, which confirm construction and life within the castle complex from the 15th to 17th centuries, as mentioned in historical sources.
Presihajoča jezera na Pivškem
Authors: Mulec Janez , Mihevc Andrej , Pipan Tanja
Published: June 2021

Za Pivško kotlino so značilni številni kraški pojavi. Visoke kraške vode poplavijo večje in manjše depresije, kjer nastanejo pivška presihajoča jezera. Jezerske kotanje so oblikovane zaradi talne in robne korozije poplavne vode. Na širšem področju presihajočih jezer prevladujejo krajše in suhe jame. Na menjavanje režima voda – kopno sta se prilagodili flora in favna. Ugodna strateška lega in klima sta omogočili poselitev tega področja že zgodaj v človeški zgodovini. Many karst features are characteristic of the Pivka basin. The Pivka intermittent lakes appear when high karst waters flood large and small karst depressions. The basins of the lakes were shaped by lateral and subsoil corrosion of flood waters. In the wider area around the intermittent lakes short dry caves prevail. Flora and fauna have adapted to the changeable water land regime. A favourable strategic position and climate have enabled human settlement of the region early in history.
Curanderismo, etnicidad y justicia. Sobre una causa criminal en la frontera sur de Córdoba del Tucumán en las postrimerías del siglo XVIII
Authors: Rivero María Dolores , Moreyra Cecilia
Published: June 2021

El presente artículo tiene por objeto analizar los posicionamientos y estrategias desplegadas en un mercado terapéutico específico. El examen se sustenta en un expediente criminal en que se acusa a un sujeto de etnia mulata de practicar curanderismo en la frontera sur de Córdoba del Tucumán a finales del siglo XVIII. El abordaje microhistórico propuesto permite urdir una trama compleja en la que interaccionan jerarquías socioétnicas coloniales, prácticas de curar ubicadas en los márgenes de la medicina diplomada y las formas de aplicación de la justicia.
Indigenizando direitos territoriais na utopia modernista: O Santuário dos Pajés e a política de não-reconhecimento dos indígenas em contexto urbano
Authors: Silva Cristhian Teófilo da
Published: June 2021

Este trabalho trata dos efeitos das classificações oficiais sobre identidades, pessoas e corpos indígenas em contextos urbanos, com ênfase para a resistência da comunidade multiétnica do Santuário dos Pajés em Brasília, Distrito Federal. O objetivo é refletir sobre as possibilidades de re-existência indígena no âmbito da tríade Estado, violências e regulações. Parte-se dos conceitos de indigenismo, biopoder e práticas do poder tutelar para situar questões relativas à indianidade e estadania dos indígenas em contextos urbanos via de regra excluídos da assistência indigenista. Trata-se de pensar as violências e obstáculos à cidadania daqueles que são culturalmente definidos como “Outros” ou “diferentes” pela sociedade dominante, em particular em situações de reivindicação de áreas de ocupação tradicional indígena nas cidades.
Diversidade Sexual e de Gênero, Estado Nacional e Biopolítica no Sul Global: Lições da África
Authors: Gontijo Fabiano
Published: June 2021

Nos últimos 25 anos, tem sido publicado um número de considerável de textos de autoria, em sua grande maioria, de pesquisadores/as africanos/as, tratando das expressões da diversidade sexual e de gênero no continente africano do ponto de vista das ciências sociais. Os textos têm em comum a relação que apresentam entre sexualidade, Estado nacional e globalização, contextualizados a partir dos efeitos do colonialismo, do imperialismo e do capitalismo. Trata-se aqui de apresentar ao público de leitores de língua portuguesa um breve resumo das principais ideias desenvolvidas em algumas dessas publicações, com o intuito de promover a necessidade de se produzirem reflexões comparativas sobre sexualidade no Sul Global.
Sexual and Gender Diversity, National State and Biopolitics in the Global South: Lessons from Africa
Authors: Gontijo Fabiano
Published: June 2021

In the last 25 years, a considerable number of texts by African researchers have been published dealing with the expressions of gender and sexual gender diversity on the African continent from the perspective of the social sciences. The texts have in common the relationship they present between sexuality, national state, and globalization, considering the effects of colonialism, imperialism, and capitalism. I intend here to present a summary of the main ideas developed in some of these publications to a public of Portuguese-speaking readers in order to promote some comparative reflections on sexuality in the Global South.
Fundamentalismos evangélicos e guerras culturais em contextos africanos: o debate ao redor das leis anti-homossexualidade
Authors: Rea Caterina Alessandra
Published: June 2021

Prolongando a leitura da militante nigeriana Sokari Ekine, a propósito do conflito entre duas narrativas opostas da África queer, este texto mostra que estas narrativas correspondem aos dois polos opostos do que podemos chamar de “guerras culturais norte-americanas” (Kaoma, 2009). Apesar de serem mobilizadas por grupos políticos rivais – os líderes africanos que proclamam a não africanidade da homossexualidade e as ONGs internacionais que denunciam o fenômeno da “homofobia africana” – esses discursos mostram sua fragilidade ao apresentarem a África como uma realidade uniforme, encarnando o olhar neoimperialista e racista do Ocidente, que oculta a pluralidade das culturas e das vivências africanas. Esta compreensão, presente entre xs acadêmicos e militantes africanxs, que lutam pela dissidência sexual, será aqui entrelaçada com a leitura de Kapya Kaoma, que denuncia a exportação das guerras culturais estadunidenses e a ação de igrejas evangélicas ligadas à direita cristã norte-americana, em muitos países da África. A este propósito, torna-se necessário passar por uma breve apresentação da noção de guerras culturais mobilizada pela direita cristã estadunidense e por uma análise de suas pautas antigay. Articulando a tese de Kaoma com algumas das análises da crítica queer of color, tentaremos questionar a narrativa homonacionalista do excepcionalismo ocidental em matérias de gênero, sexualidades e democracia.
Practices of looking, transformations in cheering: alliances and rivalries in upper xinguan wrestiling
Authors: Costa Carlos Eduardo
Published: June 2021

Kindene wrestling is one of the most frequently recorded practices in the Upper Xingu, from the pioneering expeditions of the 19th century to researchers who worked toward the demarcation of the Indigenous Land in the mid-20th century. Even with the recent demographic increase of peoples and the diversification of ethnographic themes addressed, the kindene remains the subject of succinct, if acute, descriptions. Despite this epiphenomenal character, in the midst all the ritual sumptuousness in which it is primarily disputed wrestling mobilizes political strife involving the chieftaincy; historical rivalries that span generations; transformations that consolidate regional systems; emotions and performances between wrestlers and fans. The dynamics of ritual organization, especially of the egitsü, a post-funeral ceremony in honour of chiefs, shuffles inter-ethnic relations. Such configurations promote alliances and oppositions that affect the formation of teams, and, consequently, rearranges the fans at each event. This article gives greater visibility to the relations between playing and cheering, mediated by the faculty of looking, in the celebrations of victories, indicating the transformations unleashed in the relational universe of the peoples of the region. Fundamental positions for ritual combats, the nginiko ("onlookers"), bring to light new angles to deal with the complexity of relationships in the context of the so-called pax xinguana.
“Festança" de Vila Bela: tradição, autenticidade, conflitos
Authors: Ariano Heloisa Afonso
Published: June 2021

Vila Bela da Santíssima Trindade, primeira capital de Mato Grosso – Brasil, foi desocupada pela elite branca em 1835, quando Cuiabá passou a exercer aquele posto, ficando sob o controle social e político negro por mais de 100 anos. Sem poder contar com a presença de padres, a vida religiosa católica restou aos leigos, que reuniram suas festas em um único período do ano, dando origem à festança: quatro celebrações, que incluem a do Divino, São Benedito, Mãe de Deus e Santíssima Trindade. A década de 1980 inaugurou um inédito interesse externo. A presença de jornalistas, pesquisadores, técnicos do patrimônio teve como efeito um processo que a conduziu da condição de “abandonada” para a de símbolo de Mato Grosso. Esse relato analisa o impacto desse movimento sobre a festança, o congo e o chorado, além de analisar os debates que opuseram as lideranças locais aos diversos agentes da política patrimonial.
Niet-gebruik van rechten en bestaansonzekerheid in het Brussels Gewest
Authors: Noël Laurence
Published: June 2021

Het “niet-gebruik van rechten en diensten”, ook wel “non-take-up” genoemd, is een situatie waarin een uitkeringsgerechtigde een of meerdere rechten waarop die persoon nochtans aanspraak kan maken niet krijgt. Vooral het Brussels Gewest wordt geconfronteerd met dit probleem voor meerdere sociale basisrechten. Uit de analyses van de individuele situaties, de trajecten van de personen en de wettelijke ontwikkelingen kwamen specifieke kenmerken naar voren volgens het type prestatie. Meerdere factoren spelen daarbij een rol: wettelijke veranderingen voor de toekenning en het behoud van sociale rechten, veelheid van de criteria en formaliteiten, toegangsvoorwaarden, complexiteit en toenemende instabiliteit van de statuten in de trajecten van de kansarme personen. Een groot deel van de uitkeringsgerechtigden raakt ontmoedigd en sommige professionele hulpverleners achten zich door deze toenemende complexiteit niet meer in staat om de uitkeringsgerechtigheid te controleren of te laten gelden. Tot slot is er de sterke dematerialisering van de (publieke en private) diensten die voor de coronapandemie al was begonnen en sinds de eerste lockdown in een stroomversnelling is geraakt. Het gevolg is een verhoogd risico op non-take-up, terwijl er net meer behoefte is aan concrete menselijke hulp en vereenvoudiging en het vertrouwen tussen burgers en overheid duidelijk wankel is.
The Social Effects of Climate Change on the Health Outcomes of Vulnerable Older Adult Populations in the Global Community
Authors: Kaplan Mitchell Alan
Published: June 2021

As life expectancy rates continue to increase and fertility rates continue to decline globally in the 21st century, the demographics of aging populations are undergoing an unprecedented change that will have significant consequences for the health outcomes of older adults-at-risk. According to demographic data in a joint report authored by five federal agencies, 8.5% of the world's population is currently age 65 and older, a figure projected to double by 2050. This chapter presents an analysis of the impact of climate change on the health outcomes of aging populations worldwide. It examines how the collaborative efforts of the federal government and the public health system can be utilized to create policies and programs that can prepare aging communities to deal effectively with the health consequences of our changing environment.
Population Aging and Human Capital
Authors: Akad Ipek
Published: June 2021

This study investigates the effect of the changes in the demographic structure of countries with different income levels on human capital. The world population is getting increasingly older. So, what are the consequences of population aging increasing further? To answer this question, the author constructed the econometric equation as a polynomial equation. The result of the study is that population aging is a highly important issue in terms of the economy due to its causes and effects. While population aging creates disadvantageous in underdeveloped or developing countries, it creates an advantage in terms of human capital stock in developed economies. The effect of the increase in population aging on human capital is U-shaped in low-income countries and inverted U-shaped in middle and high-income countries.
Population Aging and Economic Growth in EU Member States
Authors: Bayar Yilmaz , Karamikli Aysun
Published: June 2021

The improvements in economic development, living standards, and the health sector have raised the life expectancy on the world. The rising life expectancy together with decreasing fertility rates have led to population aging. The population aging phenomenon has led the researchers to explore the social and economic implications of population aging in different countries and country groups. In the chapter, the authors explore the causality between population aging and economic growth in EU member states during the period of 1996-2019 through causality analysis and revealed a reciprocal causality between population aging and economic growth.
Aging and Consumption Patterns in Turkey
Authors: Cafrı Açcı Reyhan , Akarsu Gülsüm , Bıdırdı Hanife
Published: June 2021

An aging population is one of the most important issues affecting many areas such as labor and capital markets, social protection, social security, housing, and especially the demand for goods and services. Specifically, analysis of consumption patterns has become essential to prepare long-term plans for production structure and investment because consumption preferences and needs may change as a result of the aging population. Therefore, the aim of this study is to analyze how aging affects consumption patterns in Turkey considering regional heterogeneity and the effects of macroeconomic factors over the years. For this, panel data analysis was performed using data on 26 regions of Turkey over 2008-2018. Results show that population aging affects most of the share of items in household consumption expenditures. Thus, Turkey should be prepared and make development and investment plans considering the aging population.
Knowledge Management for Business Sustainability
Authors: Baporikar Neeta
Published: June 2021

Knowledge management is crucial in this knowledge-based society. Further, knowledge is a critical resource when it comes to business competitiveness and sustainability. Hence, to reach the sustainability aims, knowledge management (KM) may be regarded as central for any business organizations. Therefore, adopting an in-depth literature review method with a grounded theory approach, the aim of this chapter is to discuss the role and significance of knowledge management to ensure business growth and sustainability. The chapter also provides a holistic framework of knowledge management for business sustainability.
Information Systems Governance and Industry 4.0
Authors: Anunciação Pedro Fernandes , Gonçalves Fernando , Pimenta João
Published: June 2021

The information society requires governance. The complexity of the markets is bringing complexity to the functioning of economic organizations. The pressure of technological innovation challenges the need for governance on organizational systems, in particular on information systems. But the role of technological innovation is pressing for the re-qualification and re-balance of jobs and professions themselves. This process has come to assert itself as a result of the affirmation of Industry 4.0, where, evidently, technologies accelerate the replacement of human presence in the production system.
Distributed Database Management With Integration of Blockchain and Long Short-Term Memory
Authors: Siddesh G. M.  , Sekhar S. R. Mani , Vighnesh S.  , Sai Nikhila , Sai Deepthi , Sanjana D.
Published: June 2021

Supply chain management is the broad range of activities required to plan, control, and execute the flow of a product. As a less corruptible and more automated alternative to traditional databases, blockchains are well suited to the complicated record-keeping. However distributed database management system is a centralized software system; the blockchain technology can overcome the problem of synchronization between multiple databases; it also ensures that integrity problems are solved. In the proposed model, Ethereum blockchain is used to solve a few major supply chain problems to manage a distributed database. The model has incorporated techniques to predict the rise and fall of the demand for the medicine in the market by using machine learning algorithms such as linear regression and LSTM; also, the trend predicted by both the models has been compared. The result shows that while using linear regression the predicted trend is not very accurate and cannot trace the actual trend closely whereas BLSTM has performed well in predicting the trends of time series data.
Transmit Power and Rate Control for Spatial Reuse in Dense Wireless LANs
Authors: Knitter Michael , Kays Ruediger , Endemann Wolfgang
Published: June 2021

Spatial reuse is an approach to better utilize the wireless medium in dense networks. In contrast to time multiplexed channel access, the idea is to allow a certain level of interference between parallel transmitting links. Depending on transmit power and rate settings, such parallel transmissions may result in increased overall system performance. This paper presents a systematic approach to model dense networks and optimize transmit power and rate settings for best total system performance. It discusses driving factors and limitations for spatial reuse. The paper introduces two algorithms for concurrent optimal transmit power and rate selection. System simulations using a fading channel model compare the performance of the algorithms against CSMA/CA. The simulation results show that average system performance can be increased by 100% and more.
Electricity Consumption Data Analysis Using Various Outlier Detection Methods
Authors: Kaddour Sidi Mohammed , Lehsaini Mohamed
Published: June 2021

Nowadays, detecting abnormal power consumption behavior of householders has become a big concern in the smart energy field; overcoming this limitation will help in identifying efficient solutions to reduce power consumption. This paper proposes a new methodology for detecting abnormal energy consumption in residential buildings based on hourly readings of energy consumption and peak energy consumption. The proposition is implemented using three unsupervised outlier detection methods (isolation forest, one-class SVM, and k-means). The authors propose this solution to help residents in reducing operating costs by detecting consumption failures that cannot be detected easily. On the other hand, energy providers will have the access to detailed data about anomalies, faulty appliances, and houses with poor power control strategy in general, which will help in pinpointing overconsumption problems, thus enhancing human awareness and reducing energy consumption.
Assessing Public Opinions of Products Through Sentiment Analysis
Authors: Ng C. Y. , Law Kris M. Y. , Ip Andrew W. H.
Published: June 2021

In the world of social networking, consumers tend to refer to expert comments or product reviews before making buying decisions. There is much useful information available on many social networking sites for consumers to make product comparisons. Sentiment analysis is considered appropriate for summarising the opinions. However, the sentences posted online are generally short, which sometimes contains both positive and negative word in the same post. Thus, it may not be sufficient to determine the sentiment polarity of a post by merely counting the number of sentiment words, summing up or averaging the associated scores of sentiment words. In this paper, an unsupervised learning technique, k-means, in conjunction with sentiment analysis, is proposed for assessing public opinions. The proposed approach offers the product designers a tool to promptly determine the critical design criteria for new product planning in the process of new product development by evaluating the user-generated content. The case implementation proves the applicability of the proposed approach.
Congestion Control for NDN-Based MANETs
Authors: Kanellopoulos Dimitris N.
Published: June 2021

A mobile ad hoc network (MANET) has several intrinsic features that create unique queuing dynamics, and thus congestion control inside a MANET must be achieved under time-critical conditions. Meanwhile, the Named Data Networking (NDN) architecture ensures traffic optimization and has attracted renewed attention as part of the future internet. The synergy between NDN and MANETs can be exploited in order to improve the performance of dynamic content routing and congestion control mechanisms. This overview identifies the key concepts involved in congestion control for NDN-based MANETs. It also proposes some criteria for categorising existing congestion control solutions for NDN-based MANETs and discusses the advantages and disadvantages of each category. Future challenges regarding congestion control for NDN-based MANETs are also highlighted.
A Whirlpool of Stress in Families of Intensive Care Unit Patients: A Qualitative Multicenter Study
Authors: Aghaie Bahman , Anoosheh Monireh , Foroughan Mahshid , Mohammadi Esa , Kazemnejad Anoshirvan
Published: June 2021

Background

Family members of patients admitted to the intensive care unit must tolerate high levels of stress, making them emotionally and physically vulnerable. However, little is known about the kinds of stress family members may experience.

Objective

To explore perceived stress in the families of patients admitted to the intensive care unit.

Methods

This qualitative content analysis study involved 23 family members of patients admitted to intensive care units. Participants were drawn from family members of patients hospitalized in intensive care units of 3 public and 2 private hospitals. Data were collected through semistructured interviews.

Results

Three themes emerged from the data: “distrust,” “repeated stress exposure,” and “a whirlpool of persistent negative emotional-physical state.” The first theme had 2 categories: “fearful mindset” and “negative beliefs about professional caregivers.” The second theme also had 2 categories: “fear of the future” and “sustained accumulation of tensions.” The third theme had 3 categories: “impaired mental health,” “impaired physical health,” and “impaired family function.”

Conclusions

The findings of this study may help critical care nurses better understand the nature and sources of family stresses during a patient’s intensive care unit stay. Supervisory nurses should alert their staff to these issues so that family care programs can address them, thereby reducing family members’ risk of posttraumatic stress disorder and post–intensive care syndrome-family.
Extrapyramidal Symptoms Induced by Treatment for Delirium: A Case Report
Authors: Santos Christan D. , Rose Mariah Q.
Published: June 2021

Introduction

Antipsychotics are a treatment option for delirium in the intensive care unit. Atypical antipsychotics are preferred over first-generation antipsychotics because of their lower incidence of extrapyramidal adverse effects. The most common such effect is akathisia or restlessness. This report describes a case of atypical antipsychotic–induced akathisia and addresses the clinical distinction between extrapyramidal movements and movements due to intensive care unit delirium.

Clinical Findings

A 56-year-old man who had a prolonged hospital stay after orthotopic liver transplant complicated by multisystem organ failure, primary graft failure requiring a second transplant, and enterocutaneous fistula developed agitated delirium on hospital day 28. Initial treatment included intravenous haloperidol and scheduled sublingual olanzapine (5 mg daily). His delirium and insomnia persisted, requiring dexmedetomidine infusion. Olanzapine dosing was increased to 10 mg daily on hospital day 34 and 15 mg daily on hospital day 45. The following day, his mentation improved; however, he exhibited asynchronous, nonrhythmic, involuntary rolling motions of his hands and choreiform gait.

Diagnosis and Outcomes

Antipsychotics were immediately discontinued owing to acute akathisia. All symptoms resolved within 2 days, and the patient was transferred out of the intensive care unit on hospital day 52.

Conclusion

Although extrapyramidal adverse effects are less common with olanzapine than with typical antipsychotics, they sometimes occur and can mimic manifestations of delirium. Restlessness should alert the nurse to assess for possible extrapyramidal adverse effects. If they are suspected, antipsychotic medications should be reduced or discontinued to prevent progression to functional disability.
Effectiveness of buprenorphine in detoxification and naltrexone in relapse prevention of tramadol-dependent patients
Authors: Avula Vijaya Chandra Reddy
Published: June 2021

Tramadol hydrochloride is a centrally acting synthetic analgesic drug. Its analgesic properties are weak agonist at mu- and kappa-opioid receptors, blockade of reuptake serotonin (5-HT), and norepinephrine at synaptic cleft inhibiting pain transmission. This case series is about the treatment of nine patients who were dependent on tramadol. All patients satisfied criteria for opioid dependency International Classification of Diseases, 10th Revision diagnostic criteria. WHO treatment guidelines for opioid detoxification using Buprenorphine and relapse prevention using oral naltrexone were followed. Detoxification with buprenorphine did not alleviate all withdrawal symptoms. Craving toward tramadol and the cost of naltrexone was a reason to relapse in patients. Cost and failure to address craving lead to noncompliance with naltrexone. Partial agonists like buprenorphine and long-acting agonist like methadone should be used to detoxify and prevent relapse in patients dependent on tramadol.
Outcomes of early anti-fungal therapy with aggressive surgical resection in pulmonary mucormycosis
Authors: Pulle Mohan Venkatesh , Puri Harsh Vardhan , Asaf Belal Bin , Bishnoi Sukhram , Sharma Shikha , Kumar Arvind
Published: June 2021

Objectives:

The standard management protocols are lacking in the management of pulmonary mucormycosis (PM). The present study aims at reporting our clinical experience and proposing an algorithm for the management of PM.

Materials and Methods:

This is a retrospective analysis of a prospectively maintained database at a dedicated thoracic surgical unit in New Delhi, India, over 7 years. An analysis of demographic characteristics and perioperative variables including complications was carried out. Various parameters were analyzed to assess the factors affecting mortality after surgical intervention.

Results:

Out of total 19 patients, 15 were males (78.9%) and 4 females (21.1%), with a mean age of 43.8 years (range, 19–72 years). Chronic kidney disease (status postrenal transplant on immunosuppressant therapy) was the most common predisposing factor in 11 patients (57.8%). All patients were initially started on antifungal therapy, and after 7–8 days, the response was assessed by computed tomography scan of the chest, and based on that, 15 patients (78.9%) were operated (surgical group) and the rest 4 (21.1%) were not (nonsurgical group). In the surgical group, lobectomy was required in 12 (80%) and pneumonectomy in 3 patients (20%). Postoperative complications occurred in 5 patients (33.3%). There were 3 perioperative deaths (within 90 days of surgery) (20%). Poor Eastern Cooperative Oncology Group performance status (>2) and longer duration of symptoms (>2 weeks) were independent predictors of mortality after surgery. The survivors in the surgical group are doing well. However, all four patients in the nonsurgical group died due to disease progression.

Conclusion:

After few days of initiation of antifungal therapy, aggressive surgical resection must be performed (wherever feasible) to improve survival outcome in patients with PM.
Juvenile angiofibroma: major and minor complications of preoperative embolization
Authors: Ogawa A.I. , Fornazierei M.A. , da Silva L.V. , Pinna F.R. , Voegels R.L. , Sennes L.U. , Junior P.P. , Caldas J.G.
Published: June 2021

Introduction: Juvenile angiofibromas (JA) are highly vascular, benign tumours for which surgery is the treatment of choice. In most services, embolisation is performed prior to resection. Nevertheless, there are few data on the complications of preoperative embolisation for JA. Aim: To describe major and minor complications of preoperative embolisation in a 32-year experience of patients undergoing surgical resection of JA at a tertiary hospital. Methods: Retrospective chart review study of 170 patients who underwent surgical resection of JA at a tertiary hospital between September 1976 and July 2008. Results: All patients were male. Age ranged from 9 to 26 years. Ninety-one patients had no complications after embolisation. Overall, 105 complication events occurred of which four major and 101 minor. Conclusion: In our series, preoperative embolisation for JA produced no irreversible complications and no aesthetic or functional sequelae. The vast majority of complications were transient and amenable to clinical management.
AN AUTOMATED RAILWAY STATION TRAFFIC CONTROL SYSTEM
Authors: Enokela JA , Oladejo KL
Published: June 2021

Majority of accidents experienced with railway transportation involve collision with automobiles or other vehicles and collision with other trains. These collisions can be averted by putting safety measures in place. Part of the measures can be achieved by using computerized railway station traffic control systems that use microcontrollers and electromechanical devices to shift traffic from one rail lane to another and also to operate the level crossing gate. The two major stages of the system being described here are thus the track switching stage and the level crossing gate stage.  The system makes use of microcontrollers for decision making. The microcontrollers are programmed to detect signals from sensors and to output the processed signals to control electromagnetic devices through motor drivers. The codes for the microcontrollers were written in PIC Basic programming language and were debugged and compiled using Micro Code Studio Integrated Development Environment. The resultant Hex files were programmed into the memory of the microcontrollers with the aid of a universal programmer. Software simulation was carried out using the Proteus virtual system modeling software. A scaled down prototype of the system was built and tested. The prototype was able to execute all the decisions required to control the given railway station. A practical real life system would require the scaling up of the power required to drive the various motors; the logic of the system would however remain unchanged. The inclusion of the automated traffic control lighting system at the level crossing gate in the system eliminates the fatigue and tedium associated with a manually controlled traffic system. The computerized railway station traffic control system which helps in track switching and level crossing gate traffic control is capable of improving reliability, speed, operational safety and efficiency of the railway transportation system.
Advanced Introduction to Law and Development
Authors:   Professor, Faculty of Law, University of Toronto, Canada, Prado Mariana Mota , Trebilcock Michael J. ,   University Professor Emeritus, Faculty of Law, University of Toronto, Canada
Published: June 2021

In this thoroughly revised and updated second edition, Mariana Mota Prado and Michael J. Trebilcock offer a succinct and readable introduction to the main concepts and debates in the field of law and development. They examine the role of legal systems and institutions, investigate perceptions around what laws and legal arrangements encourage and facilitate development, and probe the issues arising in both private law and public law as well as in international economic relations. Written with the insight of two top experts in the field, this Advanced Introduction covers the most recent trends in law and development research and highlights areas that remain underexplored.
PENGEMBANGAN MEDIA PEMBELAJARAN BERBASIS VIDEOSCRIBE SPARKOL PADA MATERI KEKONGRUENAN DAN KESEBANGUNAN DI SMP PGRI 2 BOGOR
Authors: Ardistya Puspita Sari  , Indra Martha Rusmana
Published: June 2021

This study aims to determine the feasibility of using learning media based on Videoscribe Sparkol on congruence and similarity material at SMP PGRI 2 Bogor. The method used in this study is the Research and Development method using ADDIE development procedures, namely (Analysis, Design, Development, Implementation, and Evaluation). The data collection method used an expert test validation questionnaire. The results of data analysis in the media validation process included media experts, namely 4.00 meaning "good", material experts, namely 4.00 intention "good", and development experts, namely 4.25 meaning "very good". It can be concluded that the average feasibility of learning media based on Sparkol videoscribe is feasible because the intermediate results are promising. This media development was carried out until expert testing and was not carried out in the field due to the Covid-19 pandemic in 2020
Análisis del feminismo radical en la sociedad según el Método General de Solución de Problemas y Diagrama de Ishikawa.
Authors: Maldonado Manzano Rosa Leonor , Vinueza Ochoa Nelly Valeria , Del Pozo Franco Patty Elizabeth , Luna Romero Silvia Mónica
Published: June 2021

El feminismo radical es una corriente dentro del movimiento feminista que sostiene que la raíz de la desigualdad social es el patriarcado, definido como el sistema de opresión del hombre sobre la mujer, haciendo hincapié en las relaciones de opresión entre los sexos; este movimiento feminista está muy diversificado en la actualidad y es de gran complejidad, significando mucho más que la emancipación de la mujer, estando a favor de la liberación sexual y la abolición del patriarcado; por lo que se establece como objetivo del trabajo determinar los efectos del feminismo radical en la sociedad mediante el método General de Solución de Problemas y el Diagrama de Ishikawa para agrupar los principales factores que le dan origen.
La inconstitucionalidad de la norma penal en blanco.
Authors: Crespo-Berti Luis A. , Solá Íñiguez Miguel , Benavides Benalcázar Merck Milco
Published: June 2021

En las perennes actualizaciones focalizadas en el marco de una revisión de la norma penal en blanco, se analizó su inconstitucionalidad toda vez que no se corresponde con el principio constitucional de legalidad. Se identificó la falencia circundante, aspecto que irrumpe con el eje fundamental de taxatividad del supuesto legal de hecho y reserva legal como subprincipios derivados, visto como el mandato advertido punitivo previsto y sancionado por el legislador patrio. En el caso concreto, la problemática declarada con base en la gravedad del acto político-legislativo con incidencia por parte de las autoridades judiciales ecuatorianas. Se ofrece una integralidad al sistema penal al disponer de medidas correctivas a los efectos de mitigarlas por ser punto de derecho.
La libertad de expresión como servicio público en Ecuador.
Authors: Piñas Piñas Luis Fernando , Viteri Naranjo Beatriz Del Carmen , Álvarez Enriquez Gandy Francisco
Published: June 2021

El tema aborda los derechos y libertades, particularmente la libertad de expresión que tiene como fundamento buscar, recibir, producir, y difundir información e ideas de toda índole, sin consideración de fronteras y por cualquier forma y medio sin censura previa y con responsabilidad ulterior. Lamentablemente, en Ecuador, violentando todo derecho, se intentó presentarle como un servicio público, por lo que la relatoría especial para la libertad de expresión de la Corte Interamericana de Derechos Humanos mostró su preocupación sobre la temática del derecho a la libertad de expresión como un servicio público, lo que el Estado asume facultades exorbitantes de regulación sobre el ejercicio del derecho fundamental a expresarse libremente mediante el medio que cada persona escoja para hacerlo.
La teoría del delito: fundamentos filosóficos.
Authors: Guamán Chacha Klever Aníbal , Ríos Guamán Víctor Manuel , Yuqui Villacrés Cristian Salomón
Published: June 2021

El trabajo surge de un sondeo de opinión a varios abogados a quienes le preguntamos ¿cuáles son los elementos de la teoría del delito?, ¿desde qué enfoque conceptualizan los elementos de la teoría del delito y ¿cuáles son los fundamentos filosóficos de la teoría del delito? A la primera, responden sin dificultad, a la segunda, manifiestan que desconocen la posición teórica desde donde conceptualizan los elementos, y a la tercera no responden. También se revisó referencias bibliográficas de Derecho Penal, identificando el enfoque y sus fundamentos filosóficos con la ayuda de los métodos interpretativo, lógico e histórico, concluyendo que en las obras se abordan los elementos de la teoría del delito sin determinar la posición teórica y los fundamentos filosóficos.
Métodos Pest y Entropía en el análisis de los efectos sobre Ecuador de la migración venezolana en la COVID-19.
Authors: Maldonado Manzano Rosa Leonor , Molina Manzo Alexandra Dolores , Peñafiel Palacios Alex Javier , Cerón Morán Mayra Tatiana
Published: June 2021

El gobierno ecuatoriano con las medidas para respetar los derechos humanos motivó aún más la inmigración, lo que ha conllevado a efectos negativos a largo plazo, intensificado con la crisis provocada por la Covid-19, por lo que el objetivo de esta investigación es: Determinar cuáles son los principales efectos causados por la emigración en esta nueva condición, y así podrán ejecutarse otras medidas paralelas con efecto directo sobre los ciudadanos ecuatorianos en pos de mitigar los efectos producidos por la Covid-19 y la emigración venezolana. Se utilizó el análisis PEST, y se determinó el orden de prioridades de estos efectos por dimensiones mediante el método de la Entropía y se ofrecieron posibles estrategias a largo plazo para mitigar estos efectos.
Modelos mentales para la comprensión del proceso de reformas de la constitución de Montecristi.
Authors: Molina Manzo Alexandra Dolores , España Herrería Marcia Esther , Rodríguez Espinoza Ana Belén
Published: June 2021

La Carta magna ecuatoriana denominada Constitución de Montecristi, aprobada en el 2008, ha sufrido numerosas modificaciones, las cuales no se han tratado de forma correcta acorde a lo dispuesto. Bajo esta situación problémica, se traza como objetivo: lograr la compresión del proceso de reformas constitucionales, estableciéndose lo anterior desde la hipótesis: con la asimilación del proceder adecuado partiendo desde su conceptualización, se logrará erradicar las malas prácticas que han tenido lugar hasta el momento. Para lograr el objetivo propuesto se utilizarán los modelos de mapa mental, diagrama de flujo y mapas conceptuales para la gestión del conocimiento por las facilidades que poseen.
Análisis y predicción de la recaudación tributaria en el Ecuador ante la COVID-19, aplicando el modelo ARIMA.
Authors: Arciniegas Paspuel Olga Germania , Castro Morales Luis Germán , Arias Collaguazo Wilmer Medardo
Published: June 2021

La presente investigación contiene un análisis de la recaudación tributaria y las predicciones en el Ecuador mediante la aplicación de modelos de series de tiempos tomando en cuenta la presencia de la COVID-19 y las medidas tomadas por el gobierno central en torno a esta emergencia sanitaria. Este análisis se sustenta en la metodología de Box Jenkins para poder identificar un modelo que permita incorporar factores que influyen en la recaudación tributaria y poder establecer pronósticos, por lo que la aplicación de diferentes herramientas estadísticas, permitieron determinar al modelo ARIMA como el más idóneo de acuerdo con las características de los datos proporcionados por parte del Servicio de Rentas Internas, enmarcándose en rangos aceptables de error.
Costos por ausentismo laboral por COVID-19 en trabajadores del distrito San Pedro de Huaca- Tulcán Salud, 2020.
Authors: Morillo Cano Julio Rodrigo , Gómez Martínez Nairovys , Laguna Delgada Daysy Viviana
Published: June 2021

Ninguno de los sistemas de salud disponía de una hoja de ruta preestablecida para manejar la situación generada por el coronavirus, lo que ha generado pérdida de recursos, y entre ellos, los causados por el ausentismo laboral del personal de salud. El trabajo tiene como objetivo: Determinar los costos por ausencia laboral por COVID-19 en trabajadores del Distrito de Salud San Pedro de Huaca, Tulcán, en el año 2020, mediante la aplicación del Método Heirinch en un estudio observacional, descriptivo, transversal o de prevalencia, con un muestreo no probabilístico. Como esultado, 145 trabajadores realizaron un aislamiento por COVID-19 por un total de 2312 días, generando así un costo directo para la Institución de 98.097,14 dólares por ausencia laboral.
Biocombustibles, una alternativa ecológica para el desarrollo sostenible en el Ecuador provincia de Imbabura. AUTORES:
Authors: Villa Zura Marco Patricio , Crespo-Berti Luis A. , Cruz Arboleda José Ignacio
Published: June 2021

Se destaca una nueva teoría epistemológica fundamentada con base al constructo del Derecho ambiental que tuvo como objetivo principal promover la transformación de energías renovables de biocombustibles para reducir la contaminación ambiental de la materia prima caña de azúcar en la zona local de Imbabura. El proceso metodológico se insertó en el paradigma cualicuantitativo y se correspondió con el trabajo de campo etnográfico. Se aplicó el método inductivo. Como técnica de investigación, se emplearon la observación participante y encuestas dirigidas a adultos mayores. La hipótesis alternativa quedó circunscrita al haber despejado ¿cuál es el camino efectivo para la preservación ambiental y la reducción del consumo de energías no renovables?