bluuebunny/crossref_metadata_2025 huggingface dataset:
Dopaminergic Correlates of Orthostatic Hypotension in de novo Parkinson’s Disease
Authors: Umehara Tadashi , Oka Hisayoshi , Nakahara Atsuo , Shiraishi Tomotaka , Sato Takeo , Matsuno Hiromasa , Komatsu Teppei , Omoto Shusaku , Murakami Hidetomo , Iguchi Yasuyuki
Published: December 2020

Background: Orthostatic hypotension (OH) at an early stage of Parkinson’s disease (PD) predicts poor prognosis, which may suggest degeneration of dopaminergic neurons affects sympathetic function, causing OH. Objective: We tested the hypothesis that striatal dopaminergic depletion is associated with OH in PD. Methods: Out of 99 patients with newly diagnosed untreated PD, 81 patients were enrolled according to our selection criteria. All patients underwent head-up tilt-table testing and striatal 123I-2β-carbomethoxy-3β-(4-iodophenyl)-N-(3-fluoropropyl) nortropane (123I-FP-CIT) dopamine transporter single photon emission computed tomography (DAT-SPECT). DaTQUANT software (GE Healthcare) was used as a semi-quantitative tool to analyze DAT-SPECT data. The association between hemodynamic changes and 123I-FP-CIT uptake was examined. Results: 123I-FP-CIT uptake in the putamen, especially the anterior part and left side, was related not only to motor severity but also to OH. Change in systolic blood pressure correlated negatively with 123I-FP-CIT uptake in bilateral anterior putamen (left: p < 0.01, right: p < 0.05) and left posterior putamen (p < 0.05). Patients with OH had more severe dopamine depletion in left anterior (p = 0.008) and posterior (p = 0.007) putamen at a similar motor severity than did patients without OH even though both groups have similar baseline characteristics. An analysis of asymmetry index showed patients with OH had symmetrically decreased dopamine levels in anterior putamen when compared to those without OH (p = 0.024). Conclusion: OH is closely related to striatal dopamine depletion in PD. This relation may help to account for the prognostic value of OH.
Approaches for solving current problems of pharmaceutical logistics during the pandemic period
Authors: Posilkina O. V. , Litvinova E. V. , Lisna A. G.
Published: December 2020

The global economic crisis, which is linked to the coronavirus pandemic, has also affected pharmaceutical logistics. Therefore, the improvement of logistics processes within the pharmaceutical supply chain to increase the access to health care to the population in a pandemic becomes especially important.

The aim of the work is to study and summarize the main problems of pharmaceutical logistics in a coronavirus pandemic and substantiate the reserves to improve the functioning of pharmaceutical supply chains.

To achieve the goal of the study, an analysis of the domestic scientific literature and the current regulatory framework of Ukraine was conducted. It has used abstract-logical, monographic research methods and system analysis, as well as the method of expert survey.

Realizing the importance of providing the population with necessary medicines during the pandemic in Ukraine on October 14, 2020, the Law «Changes to the article 19 of the Law of Ukraine "On Medicinal Products" on Electronic Retail Trade in Medicines» of September 17, 2020 № 904-IX has enforced.

It has been evaluated the factors influencing the efficiency and coordination of the activities of pharmaceutical supply chain participants. A risk management algorithm for pharmaceutical supply chains has been developed, its structural elements and relationships have been identified. The presented algorithm will allow analyzing and estimating any deviations from the planned parameters in pharmaceutical supply chains on the basis of establishment of system of the corresponding indicators and on the basis of this information to define effective methods to counter the risks.

The urgency of the problem of increasing the reliability and safety of domestic pharmaceutical supply chains in a pandemic has proved. It is justified that the introduction of digital technologies will increase the reliability, transparency and quality of business processes in the pharmaceutical supply chains during a pandemic, drastic changes in the pharmaceutical market and low predictability of demand for medicines and medical devices. The main problems of logistics in a pandemic in the domestic pharmaceutical industry are studied. It has established that the narrowest places in the organization of pharmaceutical supply chains are the improper organization of information exchange between pharmaceutical supply chain participants and the insufficient professional level of production interaction of managers. It has established the priority directions of increase of stability and reliability of functioning of pharmaceutical supply chains which is a necessary condition of accessibility of pharmaceutical provision of the population, especially in the conditions of a pandemic.
Analisis Higher Order Thinking Skill dan Self Regulation Biologi Melalui Model Pembelajaran Laps-Heuristik di Kelas XI
Authors: Haka Nukhbatul Bidayati , Resti Reni Prima , Anggoro Bambang Sri , Hamid Abdul , Hidayah Nur
Published: December 2020

Penelitian ini bertujuan untuk mengetahui pengaruh model pembelajaran LAPS-Heuristik ini sangat penting untuk meningkatkan higher order thinking skill peserta didik dan Self Regulation peserta didik Biologi. Peneliti menggunakan metode Quasi Eksperimen dengan menggunakan Pretest-Posttest Control Group Design. Kelas eksperimen yang diberikan perlakuan menggunakan model pembelajaran LAPS-Heuristik dan kelas kontrolnya diberikan model pembelajaran Discovery Learning. Teknik pengambilan sampel dengan cara acak kelas, sampel yang digunakan  di kelas XI MIA 4 dan XI MIA 6. Teknik pengumpulan data yang digunakan adalah: tes dan angket. Instrumen yang digunakan dalam penelitian ini menggunakan soal essay Higher Order Thinking Skills dan angket Self Regulation. Hasil penelitian dan pembahasan yang telah didapat bahwa dalam uji hipotesis dengan menggunakan uji MANOVA tersebut didapatkan hasil dengan sig 0,000, dapat dikatakan adanya pengaruh terhadap model pembelajaran apabila hasil dari uji hipotesis memiliki signifikan< 0,05. Dalam hal ini penelitian yang telah dilakukan oleh peneliti dapat menjawab seluruh rumusan masalah yang telah ditentukan pada hasil uji hipotesis pada rumusan masalah dengan memperoleh nilai signifikansi 0,000 < 0,05. Oleh karena itu dapat disimpulkan bahwa: Terdapat pengaruh model LAPS-Heuristik Higher Order Thinking Skills dan Self Regulation biologi kelas XI.
Stomach Content Analysis of Tilapia Fish (Oreochromis mossambicus) in Talaga Lake Waters Donggala Regency
Authors: Faried Dirham , Trianto Manap
Published: December 2020

Tilapia fish (Oreochromis mossambicus) is a type of freshwater consumption fish, flat body shape with grey, brown or black colour. The purpose of this study was to describe the types of food found in the stomach of tilapia fish (Oreochromis mossambicus) in Talaga Lake, Donggala Regency. This research was conducted in April 2019. The method used in this study was a volumetric occurrence frequency method by a surgical sampling of fish to extract the stomach and analyze it. Based on the results of the analysis of the stomach contents of the Mujair fish (Oreochromis mossambicus), two groups of feed were obtained, namely Vegetable food (Fitoplaknton) in the form of Navicula placentula, Schroederia segitera, Schoroederia anchora, Zignemopsis circumcaniratum, Anabaena sp, Oscillatoria princeps, Spirogyra protifica, Bacillaria sp, Nitzschia aetinastroides, Oedogonium sp, Coelastrum chodati, and animal feed (Zooplankton) in the form of Tubipex sp, Brachionus havanaensis, Cyclops sp, Carcinus sp, Arcella sp, Acetes sp.
Diversity of Food Source and Foraging Behavior of Tetragonula laeviceps (Hymenoptera: Meliponini) in Parigi Selatan Sub District
Authors: Nuraini Nuraini , Trianto Manap , Alimudin Sukmawati
Published: December 2020

Tetragonula laeviceps is a type of stingless bee that is currently widely cultivated in Indonesia due to ability to produce various products that have many uses for human life. Foraging behavior is the main activity of honey bee to fulfill their daily needs. The availability of food source is one of the important factor that influence the foraging behavior of Tetragonula laeviceps. This study aims to determine the diversity of food source and foraging behavior of Tetragonula laeviceps. Observing the diversity of food source through identification of pollen and observing the foraging behavior of the bee. The diversity of pollen found in Parigi Selatan Regency showed that there were 20 families of food sources of Tetragonula laeviceps and the most frequently visited family is Arecaceae. Foraging behavior of Tetragonula laeviceps begins at sunrise until evening. The peak of activity occurs in the morning around 08.30-08.40 WITA and the afternoon around 15.30-15.40 WITA which is related to the availability of food source. Environmental factors (air temperature, humidity, and light intensity) affect the foraging behavior of Tetragonula laeviceps.
PROSPECTS OF DIGITALIZATION IN THE FIELD OF OCCUPATIONAL HEALTH AND SAFETY
Authors: Krainiuk O. , Buts Yu. , Barbachin V. , Didenko N.
Published: December 2020

The modern world is impossible to imagine without digital technologies that are implemented in all areas of activity, including helping to address occupational safety.
The purpose of this work was to consider the prospects and problems of implementation of information technology in the field of occupational safety, as well as ways to improve the use of digital technologies by health and safety professionals for more effective risk management and safety.
Digitalization (digitalization) in labor protection is a transformation of OSH, which involves the use of digital technologies to optimize management, increase company productivity and improve working conditions and reduce the number of occupational diseases and accidents. The main procedures of digitalization, which are implemented in the field of labor protection, are highlighted.
The main components of successful implementation of digital solutions in occupational safety are highlighted.
The conditions for the introduction of digitalization in the management system of labor protection are formed.
Various innovations, from process automation to the proliferation of field sensors and the transition to predictive analytics, will allow employees and organizations to make significant improvements in health and safety if they are able to take advantage of the opportunities that open up.
In the coming years, there will be a shift from passive monitoring to specific recommendations that will give people software applications. Gadget data collected by gadgets will be used to assess occupational risk and occupational disease insurance. There are already examples of testing these technologies to increase productivity and reduce employee injuries.
The considered technologies do not appear and are not used alone, the interconnected and complex, system approach is usually observed.
Thus, all the tools listed in the introduction of digital technologies in the modernization of occupational safety management contribute to reducing the number of accidents.
THE FEATURES OF MODERN INTERIORS FORMATION OF MEDICAL INSTITUTIONS
Authors: Veligotska Y. , Gordiienko S.
Published: December 2020

The interior design of hospitals space takes an important role in improving well-being during medical stays. In Today in Ukraine, the development of medical institutions, and especially their interior spaces, is given insufficient attention, and they, with their outdated and unattractive appearance, can cause discomfort to most patients, employees and visitors. Based on this, the general objectives of the study were to analyze the practical experience of interior design of medical institutions and identify important aspects and features of interior design.

The article examines the design features of health care facilities from the perspective of the patient, visitor and employee. Analysis of the practical experience of interior design in modern hospitals around the world has revealed the main trends in design solutions. Analyzing the different designs of medical facilities around the world, it was found that the architectural styles for healthcare buildings are extremely diverse. From small specialized hospitals to huge medical complexes that help thousands of patients every day, each facility uses a unique combination of design details.

On the basis of this analysis the general approaches of design concerning their formation are revealed. Some of them are based on the orientation and comfortable movement of all subjects of the hospital. Others are based on the fact that the technicality and conciseness of the design - a guarantee of quality medical care. Another approach when the design is based on natural integration and environmental friendliness, which creates a comfortable feeling in the hospital. Based on this, important aspects of the design of medical institutions were identified, including: aesthetic, environmental, functional, psychological and practical aspects. The main features of the interior of medical institutions are identified, which include the following important design elements: noise background, aesthetic and compositional solutions, lighting (natural, artificial), natural communication, ergonomics, comfortable workplaces, accents, visual landmarks. This article defines that the interior design of medical institutions is a set of measures to ensure the proper level of hospitals, which will significantly improve the well-being of patients, optimize the work of employees and create a comfortable environment for all subjects of these institutions.
«ATYPICAL» PROBLEMS OF URBANISM CLASSIFICATION, CHARACTERISTICS AND APPROACHES TO THE SOLUTION
Authors: Habrel M.
Published: December 2020

In the urban sphere, the problems become more complicated and there are many violations and errors, so the problem of streamlining the problems of urban planning and substantiation of new methodological tools for solving «atypical» problems is relevant, as classical methods are ineffective. In the article the author solved problems: classification, specification of structure and maintenance of urban problems; substantiation of typological features and selection of «atypical» urban problems; outlining the general algorithm and methods of their solution; checks of orderly methodical tools on urban tasks of Lviv.

Existing methods and solutions of urban problems are systematized. The general scientific methods of research include: theoretical (convergence from the abstract to the concrete, the method of formalization, the historical method, the system-structural, the method of studying documents); empirical (method of observation, comparison, field surveys, measurements) and empirical-theoretical (abstraction, analysis, synthesis, logical method, modeling), as well as statistical, historical, sociological and cartographic analysis. The classification and «atypical» problems of urban planning are carried out, the methodical tools of their solution are arranged. Methods and means to increase the efficiency of functioning and development of urban systems are based on the provisions of fuzzy sets and their essence. Thus, the new methods should classify urban problems by input and output indicators and knowledge of the internal structure of the system (processes and behavior). According to the theory of validity, in the first step, data are collected using various methods, denoted by codes, grouped into groups to make them more effective.

Classification and characterization of «atypical» tasks, as well as updated methodological tools were tested on the example of Lviv — the principles and ways of reforming and developing its spatial structure. The forecast of the future is based on the genesis and historical ways of development of territories and cities. New ways or elimination of old ones meet at radical reforms, and development is caused not only by historical longevity and change of conditions, but also by new processes and behavior of system. There are ways to solve «atypical» problems: simple, including one direction; more complex covers the main direction and two or three additional subdirections; complex includes one or two main directions and several subdirections. This substantiates the feasibility of permanent city design and updating of urban planning documentation.
Bedenin ‘Estetik’ Direnişi: Modanın Muhalif Gündemleri
Authors: ERTAN Cihan
Published: December 2020

Bu makale, modayı, bedenin giydirilmesi ve sunulmasına aracılık eden kıyafetleri, aksesuarları ve bedene kazandırılan biçimleri içerecek şekilde ele alarak, bir toplumsal ve kültürel fenomen olarak modanın muhalif anlamlarının izini sürmektedir. Bu bağlamda, makalenin temel amacı, direniş ve moda arasındaki ilişkiselliği tartışmaya açmaktır. Bunu yaparken makale, öncelikle gündelik direnişe ilişkin kavramsal bir çerçeve sunmakta ve ardından modayı, gündelik direnişin analizinde kullanılmak üzere inşa edilen; (1) gündelik direnişin repertuvarları; (2) faillerin ilişkileri; (3) mekânsallık ve son olarak (4) gündelik direnişin zamansallığını içeren dörtlü sistematik bir yaklaşımın içine yerleştirmektedir. Genel anlamda bu çalışma, direniş çalışmaları konusunda Türkçe literatüre bir katkı sunmak amacıyla modaya yönelik, gündelik direnişin kavramsal çerçevesinden hareketle, hem amprik gözlemler hem de literatürde yer alan örnekler temelinde bir analiz yürütmektedir.
Is This Contrast? Is This Blood? An Agreement Study on Post-thrombectomy Computed Tomography Scans
Authors: Lun Ronda , Walker Gregory B. , Guenego Adrien , Kassab Mohammed , Portela Eduardo , Yogendrakumar Vignan , Medvedev George , Wong Ken , Shamy Michel , Dowlatshahi Dar , Fahed Robert
Published: December 2020

Background: Hemorrhagic transformation after acute ischemic stroke is a dreaded and severe complication of thrombolysis and thrombectomy. However, its detection on post-thrombectomy conventional non-contrast computed tomography (CT) scan can be complicated by the frequent (and sometimes concomitant) presence of contrast, resulting in changes in management.

Aims: Our objective was to assess the inter- and intra-rater reliability for the detection of blood and/or contrast on day-1 post-thrombectomy CT scans.

Methods: A total of 18 raters across 3 different specialties independently examined 30 post-thrombectomy CT scans selected from the Aspiration vs. STEnt-Retriever (ASTER) trial. They were asked to judge the presence of blood and contrast. Thirty days later, the same 18 raters again independently judged the 30 scans, in randomized order. Agreement was measured with Fleiss' and Cohen's K statistics.

Results: Overall agreement on blood and/ or contrast presence was only fair, k = 0.291 (95% CI = 0.273–0.309). There were 0 scans with consensus among the 18 readers on the presence of blood and/or contrast. However, intra-rater global agreement across all 18 physicians was relatively high, with a median kappa value of 0.675. This intra-rater consistency was seen across all specialties, regardless of level of training.

Conclusion: Physician judgment for the presence of blood and/or contrast on day-1 post-thrombectomy non-contrast CT scan shows limited inter-observer reliability. Advanced imaging modalities may then be warranted for challenging clinical cases.
Arts-Based Interventions for Professionals in Caring Roles During and After Crisis: A Systematic Review of the Literature
Authors: Havsteen-Franklin Dominik , Tjasink Megan , Kottler Jacqueline Winter , Grant Claire , Kumari Veena
Published: December 2020

Crisis events, such as the COVID-19 pandemic, can have a devastating effect on communities and the care professionals within them. Over recent years, arts-based interventions have helped in a wide range of crisis situations, being recommended to support the workforce during and after complex crisis but there has been no systematic review of the role of arts-based crisis interventions and whether there are cogent themes regarding practice elements and outcomes. We, therefore, conducted a systematic review to (i) define the arts-based change process used during and after crisis events, and (ii) explore the perceptions of intermediate and long-term mental health benefits of arts-based interventions for professionals in caring roles. Our search yielded six studies (all qualitative). All data were thematically aggregated and meta-synthesized, revealing seven practice elements (a safe place, focusing on strengths and protective factors, developing psychosocial competencies to support peers, emotional expression and processing, identifying and naming the impact of the crisis, using an integrative creative approach, and cultural and organizational sensitivity) applied across all six studies, as well as a range of intermediate and long-term benefits shared common features (adapting, growing, and recovering; using the community as a healing resource; reducing or preventing symptoms of stress or trauma reactions, psychophysiological homeostasis). The ways in which these studies were designed independently from one another and yet used the same practice elements in their crisis interventions indicates that there is comparability about how and why the arts-based practice elements are being used and to what effect. Our findings provide a sound basis and meaningful parameters for future research incorporating quantitative and qualitative approaches to firmly establish the effectiveness of art-based interventions, and how arts can support cultural sensitivity, acceptability and indicated outcomes, particularly those relating to stress and trauma during or following a crisis.
Effects of Cavitation Jet Treatment on the Structure and Emulsification Properties of Oxidized Soy Protein Isolate
Authors: He Mingyu , Wu Changling , Li Lijia , Zheng Li , Tian Tian , Jiang Lianzhou , Li Yang , Teng Fei
Published: December 2020

This study examined the ability of cavitation jet processing to regulate the oxidation concentrations with 2,2’-azobis (2-amidinopropane) dihydrochloride (AAPH) (0.2, 1, and 5 mmol/L) and the structure and emulsification of soy protein isolate (SPI). The tested properties included particle size distribution, hydrophobic properties (sulfhydryl group (SH) and disulfide bond (S-S) contents, surface hydrophobicity (H0)), emulsifying properties (particle size and ζ-potential of emulsions, emulsification activity index (EAI), and emulsification stability index (ESI)), as well as conformational characteristics. The high shear force of cavitation jet treatment reduced the particle size of oxidized SPI and distributed uniformly. Cavitation jet (90 MPa)-treated SPI (AAPH with 1 mmol/L) demonstrated a high H0 (4688.70 ± 84.60), high EAI (71.78 ± 1.52 m2/g), and high ESI (86.73 ± 0.97%). The ordered secondary structure (α-helix and β-turn content) of SPI was enhanced by the cavitation jet. Meanwhile, the distribution of SPI-oxidized aggregates was observed under an atomic force microscope. Therefore, cavitation jet processing combined with oxidation treatment is an effective method to improve the characteristics of SPI and has potential industrial application prospects.
АНАЛИЗ РАЗВИТИЯ РЫНКА УСЛУГ СВЯЗИ
ТЕЛЕКОММУНИКАЦИОННЫХ КОМПАНИЙ КР
Authors:   Бакытова А.И., Касымова В.М.
Published: December 2020

Строительная отрасль Кыргызской Республики активно развивается в новых
социально-экономических условиях. Тем не менее, сегодня имеются проблемы в отрасли,
связанные с инвестициями, финансово-кредитной политикой государства, внедрениями
современных технологий строительства и требующие своевременного решения.
Исследование показало, что основной движущей силой развития отрасли является жилищное
строительство и необходимо изучать и совершенствовать различных экономических
инструментов с учетом всех факторов. В данной работе рассмотрены вопросы развития
жилищного строительства в рамках различных государственных программ, кредитования и
финансирования строительства и факторы, влияющие на ее развитие. Совершенствование
экономических инструментов в строительной отрасли страны позволяет повысить
эффективность строительной деятельности и улучшать социально-экономическое
состояние населения.
К ВОПРОСАМ ПРИМЕНЕНИЯ АДАПТИВНО-ЛАНДШАФТНЫХ
СИСТЕМ ЗЕМЛЕДЕЛИЯ, ЕЕ МЕТОДОЛОГИИ И ПРИНЦИПОВ.
Authors:   Калманова Д.М., Жакупова А.Е.
Published: December 2020

В текущей стратегии развития Республики Казахстан отведено место на укрепление
агропромышленного комплекса. Один из путей реализации данной стратегии, касательно
агропромышленного комплекса, является переход от зональных систем земледелия к
адаптивно-ландшафтным. С научной стороны вопросы адаптивно-ландшафтные системы
земледелия являются предметами почвоведения, но процесс реализации данных систем
непосредственно связан ГИС-технологиями.
В данной работе рассмотрены агроэкологическая типология и ландшафтноэкологическая классификация и группировка земель; даются уточняющие понятия
адаптивных систем земледелия, приведено определение индекса NDVI с описанием
особенностей и областей применения, также в приведены достоинства ГИС- технологий и
рассмотрены различные методы картографирования.
O museu de grandes novidades
Authors: Arbia Alexandre Aranha , Moljo Carina Berta , Fortes Ronaldo Vielmi
Published: December 2020

Editorial
Desempenho sexual
Authors: Dieh José Artur
Published: December 2020

Este trabalho visou avaliar o homem em relação ao seu comportamen­ to sexual, aos seus conceitos de desempenho nessa área e às possíveis an­ gústias que isto possa lhe causar. Avaliaram-se aspectos como noções de sexualidade aprendidas na infância e na adolescência, expectativas de de­ sempenho como homens, insucessos na atuação sexual nas primeiras rela­ ções e suas causas e conseqüências.Os resultados demonstraram uma cons­ tante e intensa preocupação com o desempenho sexual pela maioria dos estudantes unjversitários entrevistados. Apontaram, também, que muitos homens se angustiam e sofrem quando seu desempenho não corresponde à sua expectativa. Medo e/ou ansiedade estiveram presentes na quase totali­ dade das iniciações sexuais dos estudantes. A principal razão para isso, se­ gundo eles, foi o medo de falhar. A maioria dos estudantes, de acordo com sua própria avaliação, acreditou ter tido desempenho fraco ou razoável no primeiro intercurso. As principais razões apontadas para isso foram a inexperiência e a ejaculação precoce. Alguns estudantes ficaram com se­ qüelas após o "insucesso" dessa primeira experiência, mas poucos busca­ ram ajuda. Entre os estudantes que tiveram problemas sexuais, houve uma considerável tendência a negar a angústia ou o próprio problema.
Gravidez e resposta sexual
Authors: Canella Paulo Roberto Bastos , Silva Fabiane Muniz da
Published: December 2020

Objetivo: verificar a sexualidade do "casal grávido", tendo como parâmetros o desejo, a excitação e o orgasmo. Metodologia: A amostra foi composta por um grupo de 81 mulheres e 78 homens totalizando, assim, 159 pessoas. A população foi do Estado do Rio de Janeiro. O procedimellfo foi predominantemente quantitativo, porém, também foi qualitativo, porque quantificamos questões que investigavam qualidade. A pesquisa de campo teve como instrumento um questionário.Resultados: Houve aumento discreto na intensidade desses parâmetros 110 homem diante da mulher grávida, enquanto na mulher ocorria uma redu­ ção mais marcante na atividade sexual. A avaliação do orgasmo, revelou uma dificuldade de seu reconhecimento por homens e mulheres durante a gestação.Conclusão: Podemos concluir queas modificações relativas aos principais parâmetros do ciclode respostas sexuais se revelam pela maior redução do desejo, da excitação e do orgasmo na gestante, enquarzto no homem as alterações são mínimas. É fase na qual podedesajustarou reforçar as rela­ ções conjugais.
Manual do entrevistado
Authors: Vitiello Nelson
Published: December 2020

.
Educação sexual
Authors: Alberto Dias Carlos , Paula Leila Salgado de
Published: December 2020

Partindo do estudo de alguns artigos precedentes sobre educação sexual, os autores procuram acentuar os pontos que se aproximam e os que se distanciam de uma eficaz intervenção nesse campo. No intuito de de­ monstrar que. nãodevem ser as crianças e os adolescentes o centro primeiro de atenções, mas seus educadores, analisam de que maneira esses sujeitos se comportam diante de situações onde a sexualidade é colocada em evi­ dência. Constatam que são os adultos, e não, crianças e adolescentes que apresentam dificuldades reais de se posicionarem face a tais questões. As idéias negativas que a criança apresenta não são originárias de suas expe­ riências, mas da reação dos adultos que tentam negar, sistematicamente, a sexualidade e as descobertas infantis. Consideram que os atuais educadores tiveram uma educação sexual repressora e que, por isso, não estão naturalmente aptos a orientar as novas gerações. Como tentativa de solução desse problema, propõem que lhes seja dirigido um trabalho de reeducação sexual, a fim de que se tornem capazes de intervir , adequadamente, junto às novas gerações.
Analysing organisational culture and social behaviour patterns
Authors: Yiyit Tuba , Arslan Mahmut
Published: December 2020

The present study aims to propose a model suitable for Turkish organizational culture using observations, a qualitative research method. The reason behind this is that observation is frequently used in ethnographic studies, i.e. studies analyzing culture. An ethnographic study revealed the foundation of the organizational culture of the observed ABC firm. These factors can be listed as fear, fear-driven paternalism, pressure, silence, intimidation, ennui, insensitivity, and apathy and gossiping. It is possible to say that an abusive level of productivity is aimed at the organization and an authoritarian understanding of management.
Examining the effects of green marketing on brand and corporate image
Authors: Vardarlier Pelin , Esra Esra
Published: December 2020

Consumers highly value environmentally-conscious companies in today's world. These businesses announce their environmental awareness through various marketing tools such as advertising, public relations, sponsorship, social responsibility projects. These methods provide support to environmentalist images of brands since they are informative yet in some cases, they are perceived as unnatural by consumers. It is possible to say that being consistent and plain for actions taken for environmental activities have a direct impact on whether these activities are unnatural or sincere. In the article, the effects on brand and corporate image of green marketing practices of businesses were examined. While examining the image created by the green marketing practices of the brands in the consumer's mind, it is also important to examine the actions taken for social responsibility. Therefore, the green marketing application processes of the corporate social responsibility approach are examined. In this article, a fuel company's advertising film, which is known as environmentally friendly with green marketing practices, has been examined according to the semiotic analysis method.
A CLINICAL STUDY OF BLUNT TRAUMAABDOMEN WITH RESPECT TO MANAGEMENT AND OUTCOME AT GMC, BETTIAH, BIHAR
Authors: Pallavi Kumari , Reyaz Md. Mushir , Narayan C. M. , Jana Debarshi
Published: December 2020

Background:
Following injury to the extremities and head, abdomen is the third most commonly injured part of the body. Blunt abdominal trauma (BAT) is particularly deceptive because of the delay in clinical manifestations for hours or even days, even though the damage to the internal organs might be serious and lethal. Road traffic accident (RTA) is the most common mode of injury to cause BAT. Diagnostic modalities like FAST and CT scans have caused a significant change in the trends regarding management from surgical to a more conservative approach. Current research aimed to study the blunt trauma abdomen with respect to management and outcome in GMC, Bettiah, W. Champaran, Bihar.
Material and methods:
This observational study is based on 50 cases of BAT who presented in Department of Surgery, Govt. Medical College & Hospital, Bettiah, Bihar with respect to clinical presentation, investigations, management and outcome. Results and outcomes will be depicted in various tables.
Results:
In the present study, demographic data like age and sex, the mode of injury, presenting Hb (in gm%), commonly injured organs, the management done and the associated mortality was observed and compared. It was found that BAT commonly involves young males in the age group of 30-40 years. RTA is found to be the most common mode of injury. Spleen was the most commonly injured solid organ followed by liver. Hollow viscus injury was seen in 10 out of 50 patients in our study. Conservative management was done in 37 out of 50 patients. Mortality was observed in 3 out of 50 cases.
Conclusion:
The study was conclusive of the fact that young males who sustained BAT due to RTA were the most commonly affected group. It also was conclusive that spleen and liver are the most commonly injured organs in BAT and conservative management should be followed wherever possible. Mortality was significantly higher in patient presenting with decreased hemoglobin.
CORRELATION OF D-DIMER LEVEL WITH THE PRESENCE AND SEVERITY OF PULMONARY EMBOLISM ON COMPUTED TOMOGRAPHY PULMONARY ANGIOGRAPHY
Authors: Patel Mantavya , Paliwal Sanjay , Saxena Rachit
Published: December 2020

Introduction: Early diagnosis of pulmonary embolism can reduce morbidity and motility. D-dimer is well known parameter having high negative prediction value. This study focused on role of D-dimer in early prediction of presence and severity of pulmonary embolism.
Material and Methods: Thirty patients with clinical suspicion of pulmonary embolism along with high D-dimer value were included in this study. All selected patients underwent computed tomography pulmonary angiography assessment. D-dimer value was correlated with presence and proximity of pulmonary embolism.
Results: Out of thirty selected patients 50% had pulmonary embolism on computed tomography pulmonary angiography assessment. D-dimer value correlated well with presence and proximity of pulmonary embolism.
Conclusion: D-dimer value more than 4000 ng/ml had high positive prediction value (79%) in suspected clinical cases. Value more than 8000 ng/ml further improve value to nearly 100% in suspected cases.
CLINICOPATHOLOGICAL STUDY OF ACUTE APPEDDICITIS WITH SPECIAL REFERENCE TO THE ROLE OF WBC COUNT, C-REACTIVE PROTEIN (CRP), USG AND ALVARADO SCORE IN DIAGNOSIS
Authors: Reyaz Md. Mushir , Pallavi Kumari , Narayan C. M. , Jana Debarshi
Published: December 2020

Background: Acute appendicitis is one of the commonest surgical emergencies in all ages. Diagnosis is mainly clinical, delay in diagnosis definitely increases the morbidity, mortality and cost of treatment, more aggressive surgical approach has resulted in increased white appendectomies.
Methods: A total 140 cases hospitalized with abdominal pain, suggestive of acute appendicitis on the basis of WBC count, C-Reactive protein (CRP), USG and Alvarado scoring system and were subsequently operated, were included in the present study in our institute.
Results: Males belonging to young age group of 21-30 were most commonly affected. Abdominal pain was seen in 100% of patients.Most of the patients of acute appendicitis presented with more than one of above symptoms. The most common presenting symptom was right iliac fossa pain affecting 96.19% of cases (migratory 62.86% and non-migratory 33.33%), followed by anorexia (78.10%) and nausea (66.67%). The other symptoms were fever (65.71%), vomiting (46.67%), constipation (28.57%), right sided flank pain (22.86%), dysurea (19.05%), suprapubic pain (15.24%), diarrhoea (14.29%) and generalized abdominal pain (13.33%) in decreasing order of frequency. Right iliac fossa pain was the most common presentation in non-appendicitis group, followed by anorexia. There was no significant difference in symptoms among these two groups.In this study 54.29% of patients with acute appendicitis had Alvarado score between 7 – 8 and 34.29% of patients with acute appendicitis had Alvarado score between 9 – 10. On the other hand majority of the patients of non-appendicitis group had a score below 7.
Conclusions: Young males are most commonly affected almost always presents with abdominal pain. The Modified Alvarado scoring system is a reliable and practicable diagnostic modality to increase the accuracy in diagnosis of acute appendicitis and thus to minimise unnecessary appendectomy.
ASSOCIATION OF PRAKRITI WITH ANTHROPOMETRY OF NON-TEACHING STAFF FROM COLLEGES IN MUMBAI, MAHARASHTRA.
Authors: Mehta Yashvi , Madan Jagmeet , Phadke Ashish , Bellare Nisha
Published: December 2020

Background – Ayurveda is distinguished from other medical sciences by its principles of Prakriti based individualized treatment. Prakriti has an influence on the physical, physiological & psychological characteristics. Anthropometry have a long history of assessing nutritional and health status. Thus, this study can set an information background for integrating Ayurveda with modern medicine. Aim and objectives - To study the possible association of Prakriti with anthropometry of non-teaching staff from colleges in Mumbai, Maharashtra. Method – An observational study was conducted wherein participants were selected using purposive sampling. Non-teaching staff from colleges between age 20 to 60years, willing to participate were included in the study. Information about the demographic data, certain physiological, physical and psychological characteristics for the assessment of prakriti were taken, followed by the anthropometric measurements and body composition analysis. Results – The participants of Kapha dominant prakriti had significantly higher Body mass index(p=0.000), Body fat(p=0.000), Visceral fat(p=0.000), Basal metabolic rate (p=0.000), and muscle mass(p=0.000) compared to other prakriti groups among both genders. Body water was observed to be higher in Vata group in both genders, however the values were in a normal range. Conclusion - Prakriti has an influence on the anthropometric and body composition measurements of an individual. Prakriti assessment is a simple, inexpensive method to identify the individuals who are predisposed to nutritional problems which in turn is responsible for various diseases, where prakriti based individualized treatment and management can pose more benefit.
ACCEPTANCE, COMPLICATIONS, EXPULSION AND FAILURE RATE OF POSTPARTUM INTRAUTERINE CONTRACEPTIVE DEVICE IN A TERTIARY CARE HOSPITAL
Authors: Ghosh Biswajit , Mandi Bharat Chandra , Mullick Dipa , DattaRoy Chaitali , Jana Debarshi
Published: December 2020

INTRODUCTION
Contraception is one of the proximate determinants of fertility and the most important predictor of fertility transition. Contraceptive use helps couples and individuals realize their basic right to decide freely and responsibly if, when and how many children to have. The growing use of contraceptive methods has resulted in not only improvements in health-related outcomes such as reduced maternal mortality and infant mortality, but also improvements in schooling and economic outcomes, especially for girls and women.
AIMS & OBJECTIVES
Find out the proportion of accepting the Post-Partum Intrauterine Contraceptive Device (PPIUCD) insertion among eligible women delivering at SSKM hospital. The complications of post placental &intra caesarean PPIUCD if any among these acceptors. Determine the spontaneous expulsion rate of this contraceptive device.
MATERIALS AND METHODS
Descriptive study with a longitudinal design. The present study was a hospital based study conducted at the department of Gynecology and Obstetrics department of the Institute of Post graduate Medical Education and Research (IPGMER) and SSKM. The study was conducted for a period of 18 months between April 2017 To September 2018. All 243 pregnant eligible women who delivered either by normal vaginal or instrumental delivery or caesarean section during the data collection period.
RESULTS
The above table shows that most of the participants enrolled in the study were in the age group of 21 - 25 years (39.9%), had completed secondary education (32.0%) and were housewives (74.2%), of urban residence (63.5%). About half of the participants were Muslim (49.4%), 47.2% were Hindus while 3.4% were Christians.
SUMMARY AND CONCLUSIONS
It can be concluded that PPIUCD is a promising new approach. Cu T 380A inserted in the post-partum period is both convenient and safe. The advantage of single visit insertion can be utilised to expand the usage of IUCD to meet the unmet needs of contraception.
LEVEL OF AWARENESS, KNOWLEDGE AND ATTITUDE REGARDING RESEARCH AMONG POST GRADUATE TRAINEE DOCTORS IN TEACHING HOSPITALS IN KOLKATA
Authors: Dcosta Quency Michael , Singh Pankaj Kumar , Bhatnagar Mohit , Kumar Akash , Guha Abhraneel , Joshi Mandeep , Verma Shreya
Published: December 2020

Aims and objectives: In this study, we wanted to assess the awareness, knowledge, and attitudes regarding research among postgraduate trainee doctors in teaching hospitals of Kolkata and identify the measures that can be taken to improve the research practices of the postgraduate residents.
Material and Methods: A questionnaire-based survey was carried out among Postgraduate trainee doctors (DNB & MD PG residents) from teaching hospitals in Kolkata duration of the study was approximately 1 year between July 2018- June 2019. The questionnaire was designed based on guidelines of knowledge of research methodology, attitudes and practices towards research, and measures to improve research practices.
Results: In the present study the level of awareness, knowledge, attitudes of 170 post-graduate trainee doctors from the clinical and pre/para clinical specialty was evaluated, difficulties faced by them in conducting research, and suggestions on how research can be promoted among PG residents was taken.
Conclusion: The present study revealed that the residents from both clinical and para/clinical specialties had a fair knowledge about research. They had a positive attitude toward research, but they are unable to transform their knowledge and attitude into actual practices.
Low-Power, Low-Voltage Complex Gm-C Filter Structure With Self-Common-Mode Control
Authors: Khumsat Phanumas
Published: December 2020

This work develops a low-power and low-voltage differential Gm-C filter structure that effectively achieves selfcommon-mode control (SCC), including DC stabilization and common-mode (CM) rejection, without employing extra control circuitry. The structure relies upon an incorporation of voltageinverting amplifiers to make it inherently contain no CM positive feedback loops for DC stabilization, and to enable splitting of the core transconductors into pairs for CM signal rejection. A DC CM stability analysis reveals that stabilization of the SCC structure can be reached without any dedicated CM control circuitry. An analytical comparison on power consumption of a high-order lowpass Gm-C filter implemented using an inverter-based

transconductor for the SCC structure and the same transconductor with a CM control network (the Nauta’s technique) for the conventional structure indicates theoretical

overhead power saving by over 50%. Furthermore, an even

higher overhead power saving at over 70Ên be achieved in the complex SCC Gm-C filter because no additional inverting

amplifiers are required to eliminate CM positive feedback loops in the crossing transconductors for complexification. The impact of the inverting amplifiers on the noise and frequency characteristics as well as the compensation technique are outlined to enable design optimization. The SCC filter was verified via extensive simulations of a 5th-order 1.1-MHz elliptic complex filter in a 0.18-m CMOS process. As compared to the conventional filter counterpart with similar SNR (~63dB) and inband/out-of-band SFDRs (~52dB/56dB), the proposed structure yields an overhead power saving by 70% with an improved figure-of-merit over 40% under a 1-V supply.
Elezioni nel mondo – Gennaio-Giugno 2011
Authors: Bolgherini Silvia
Published: December 2020

Europe: Cyprus, Estonia, Finland, FYROM, Ireland, Portugal;

Africa: Benin, Cape Verde, Nigeria;

Americas: Canada, Peru;

Asia: Turkey.
Pembinaan Anak Pidana Pada Lembaga Pemasyarakatan Kelas Iia Labuhan Ruku
Authors: Ricky Utomo Simargolang
Published: December 2020

Anak merupakan aset penerus bangsa yang nantinya akan meneruskan perjuangan dalam memajukan bangsa, namun perkembangan zaman mendorong anak-anak kearah yang tidak seharusnya dimana terjadi beberapa penyimpangan yang diawali dengan ajakan maupun ikut-ikutan. Beberapa penyimpangan kemudian mengarah kepada Hukum Pidana, anak kemudain harus menjalani masa pidananya didalam Lembaga Pemasyarakatan, namun bukan berarti anak akan berhenti berkembang, sehingga Lembaga Pemasyarakatan memiliki fungsi untuk melakukan pembinaan terhadap anak di Lembaga Pemasyarakatan. penelitian ini bertujuan untuk menegetahui upaya-upaya yang dilakukan dalam melakukan pembinaan terhadap anak melalui metode penelitian hukum empiris.
Pengaruh Harga Terhadap Kepuasan Konsumen Motor Pada KSU Anugrah Rezeki Jatibarang Indramayu
Authors: Ramadhani Nashrullah  , Agus Yudianto  , Meddy Nurpratama
Published: December 2020

Penelitian ini dilaksanakan pada di KSU Anugrah Rezeki Jatibarang Indramayu, populasi dari penelitian yang dilakukan ini konsumen KSU Anugrah Rezeki Jatibarang Indramayu sebanyak 96 responden. Penelitian ini bertujuan untuk mengetahui harga terhadap kepuasan konsumen  di KSU Anugrah Rezeki Jatibarang Indramayu. Alat analisis yang digunakan yaitu uji validitas, uji reliabilitas, analisis statistik deskriptif, analisis korelasi dan analisis regresi linier sederhana. Pengolahan data dengan menggunakan bantuan program aplikasi SPSS versi 22. Y = 20,538 + 0,955X + e. Hasil rekapitulasi skor jawaban responden mengenai harga pada KSU Anugrah Rezeki Jatibarang Indramayu  adalah sebesar 2254, data tersebut berada pada daerah setuju/ baik (1958,4 – 2419,2 =  setuju), artinya harga sudah baik. Hasil rekapitulasi skor jawaban responden mengenai kepuasan konsumen  pada KSU Anugrah Rezeki Jatibarang Indramayu sebesar 4125, data tersebut berada pada daerah setuju/baik (3916,8 – 4838,4 =  setuju) artinya tingkat kepuasan konsumen  berada pada tingkat yang  baik.

Korelasi harga dengan kepuasan konsumen   yaitu sebesar 0,371, nilai korelasi tersebut berada pada daerah rendah (0,20 – 0,399 = rendah) atau dapat dikatakan bahwa korelasi atau hubungan harga dengan kepuasan konsumen   mempunyai tingkat hubungan rendah. Hasil uji statistik pada variabel harga terhadap kepuasan konsumen   menunjukkan bahwa Nilai R Square sebesar 0,128 atau 12,8 % artinya ada pengaruh harga terhadap kepuasan konsumen   dan sisanya 87,2% adalah variabel diluar penelitian. Nilai thitung promosi penjualan(X) lebih besar dari ttabel (3,870>1,985) atau tingkat signifikansi thitung lebih kecil dari nilai alpha (0,000 < 0,05), dengan demikian bahwa terjadi penolakan H0 atau penerimaan Ha yang berarti menunjukkan adanya pengaruh variabel harga (X) secara positif dan signifikan terhadap variabel kepuasan konsumen   (Y).