bluuebunny/crossref_metadata_2025 huggingface dataset:
A case report of intracranial hypertension and aseptic meningitis: anti-tumor necrosis factor associated or juvenile idiopathic arthritis related
Authors: Akça Ümmüşen Kaya , Sökmen Okan , Bölek Ertuğrul Çağrı , Demir Selcan , Kılıç Levent , Çevik Işın Ünal , Bilginer Yelda
Published: June 2021

Background. The adverse effects of tumor necrosis factor alpha inhibitors (TNFi) are well characterized but rare adverse events are increasing day by day.
Case. We presented an 18-year-old girl with rheumatoid factor positive polyarticular juvenile idiopathic arthritis (JIA) who developed fever, headache, and nausea after the second dose of adalimumab. In addition to her suspicious complaints for meningitis, she had bilateral papilledema and partial abducens nerve palsy. Leptomeningeal contrast enhancement was noted in magnetic resonance imaging (MRI) of the brain. Brain MRI venography was normal. The cerebrospinal fluid (CSF) opening pressure was high but CSF analysis was normal. She was diagnosed with non-infectious subacute meningitis. Since brain biopsy was not performed, no definite distinction could be made between TNFi related aseptic meningitis or cerebral involvement of JIA. Due to the onset of neurological complaints after initiation of adalimumab treatment and rare cerebral involvement in JIA, the drug-associated aseptic meningitis was likely to be responsible in our patient. Adalimumab was discontinued and methylprednisolone followed by methotrexate treatment were initiated. Her symptoms resolved and control brain MRI was normal.
Conclusion. Pediatric rheumatologists should be aware of this potentially severe side effect of anti-TNF treatment.
Outcomes among patients with COVID-19 and asthma: A systematic review and meta-analysis
Authors: Sitek Andrea N. , Ade Justine M. , Chiarella Sergio E. , Divekar Rohit D. , Pitlick Mitchell M. , Iyer Vivek N. , Wang Zhen , Joshi Avni Y.
Published: June 2021

Background: It remains unclear if asthma is a risk factor associated with worse outcomes among patients with coronavirus disease 2019 (COVID-19). Methods: We performed a comprehensive database search for studies published from January 1, 2019, to October
2, 2020. We included studies that evaluated outcomes among patients with COVID-19 and underlying asthma. Outcomes of interest included the need for hospitalization, length of hospitalization, intensive care unit (ICU) admission, and death. The meta-analysis was conducted by using random-effects
methodology. Results: A total of 389 studies were identified through data base searches. After abstract and full-text screening, 16 observational studies with 92,275 patients were included in the analysis. Of the 16 studies, 15 were retrospective and 1 was a prospective
cohort study. The average age was 39.6 years, with 48% female patients. Six of the studies included pediatric patients, and one of these studies only evaluated pediatric patients. One study only evaluated pregnant patients. Among patients with COVID-19, the presence of asthma was not associated
with any significant increase in risk of hospitalization (odds ratio [OR] 1.46 [95% confidence interval {CI}, 0.29-7.28]), length of hospitalization (1.59 days [‐0.55 to 3.74]), ICU admission (OR 1.65 [95% CI, 0.56-4.17]), or death (OR 0.73 [95% CI, 0.38-1.40]). The overall risk of
bias of the included studies was high. Conclusion: Among the patients with COVID-19, asthma did not seem to significantly increase the risk of hospitalization, length of hospitalization, ICU admission, or death.
Health-care resource utilization associated with peanut allergy management under allergen avoidance among commercially insured individuals
Authors: Meadows J. Allen , Yu Shengsheng , Hass Steve L. , Guerin Annie , Latremouille-Viau Dominick , Tilles Stephen A.
Published: June 2021

Background: Until recently, the standard approach to care for individuals with peanut allergy (PA) was limited to allergen avoidance and treatment of reactions with emergency medicines. Objectives: To assess health-care resource utilization (HRU) and costs
associated with PA management under allergen avoidance and to identify risk factors associated with peanut reactions that resulted in inpatient (IP) and/or emergency department (ED) visits. Methods: Privately insured individuals with PA diagnosis codes were identified from
a large U.S. administrative claims data base (January 1, 1999, to March 31, 2017). PA-related HRU, indicated by a PA diagnosis and/or diagnostic procedure codes and by epinephrine autoinjectors (EAI) prescription fills in medical and pharmacy claims, respectively, and all-cause costs were
described per patient-year (PPY). Risk factors associated with peanut reactions in an IP and/or ED setting were identified by using a multivariable logistic regression model. Results: A total of 86,483 patient-years from 14,136 individuals with PA were included. At the
patient-year level, 28.1% were ages 0‐3 years, 43.6% were ages 4‐11 years, 13.7% were ages 12‐17 years, and 14.5% were ages ≥ 18 years; 35.6% had PA-related outpatient visits; 50.6% had EAI fills; and 2.4% had PA-related IP and/or ED visits PPY. Younger individuals
had more PA-related outpatient visits and EAI fills, with peak intensive use at ages 4‐11 years. The proportion of individuals with PA-related IP and/or ED visits was highest among those aged ≥ 18 years. Mean all-cause costs were $3084 PPY; individuals with PA-related IP and/or
ED visits incurred $8902 PPY ($17,451 for those with one or more IP visits). Risk factors associated with peanut reactions that resulted in IP and/or ED visits included young adults (odds ratio [OR] 3.19 [95% confidence interval {CI}, 2.66‐3.83]), previous peanut reaction(s)
(OR 1.66 [95% CI, 1.23‐2.24]), asthma (OR 1.33 [95% CI, 1.18‐1.51]), and male sex (OR 1.14 [95% CI, 1.01‐1.28]). Conclusion: Individuals with PA and under allergen avoidance had significant HRU that varied across all age groups, with more PA-related
outpatient visits during preschool and/or school age and PA-related urgent care among adults. Individuals with previous peanut reaction(s), asthma, and males had a higher risk of peanut reactions that resulted in IP and/or ED visits.
Secuencia didáctica para el desarrollo de la estrategia de inferencia en la comprensión lectora
Authors: Hamel Quesada Lina , Villavicencio Simón Yessy , Causse Cathcart Mercedes
Published: June 2021

La comprensión lectora en la enseñanza de lenguas extranjeras suscita un creciente interés dada su importancia para la interpretación y producción de distintos tipos de textos. En este contexto metodológico, se evidencia que la utilización de actividades inferenciales propicia la habilidad de la lectura como instrumento de comunicación. De esta forma, la estrategia de inferencia constituye una herramienta esencial dentro del proceso de la comprensión. El siguiente artículo es resultado final de la tesis de maestría presentada en opción al título académico de Máster en Enseñanza del Español como Lengua Extranjera por la Universidad de Oriente, Cuba. Se exponen los fundamentos teóricos y metodológicos que se tuvieron en cuenta para la elaboración de una secuencia didáctica, con énfasis en el desarrollo de actividades inferenciales, con la finalidad de contribuir al perfeccionamiento del proceso de enseñanza-aprendizaje de la comprensión lectora en un nivel B1 de español como lengua extranjera.
Utilization of Conventional Treatments and Agricultural Wastes as Low-Cost Adsorbents for Removal of Lead Ions from Wastewater
Authors: Alatabe Mohammed Jaafar Ali
Published: June 2021

This study reviewed the most common methods for removing lead ions from industrial wastewater and municipal wastewater. Most of the research done was reviewed using traditional methods such as chemical precipitation, ion exchange, reverse osmosis, oxidation, evaporation, electric-dialysis, membrane filtration, and solvent extraction. These operations were related to several restrictions, that comprised the treatments to be limited to a definite concentration of the Lead (II) ions. Similarly, disadvantages complicated the production of huge quantities of dangerous waste although very high costs. This means these operations were very costly. For these reasons, to utilize the agricultural waste and low-cost adsorbents operation can be considered as eco-friendly. Currently, agricultural waste and natural materials are present in a huge quantity, and that is very damaging to the environment. Therefore, adsorption is an alternate operation for eliminating Lead (II) ions. According to the increased quality of adsorption operations, like the properties of improved adsorptive, increase availability, and cost-effectiveness, the operation is economical option for eliminating Lead(II) ions.
Kurds Stuck in Pain: A View of Kurdish Identity in the Way of Performativity
Authors: Kızılkaya Berna
Published: June 2021

Why can Kurds not be happy, peaceful, joyous, and live a lifestyle on the top that they deserve just as many other ethnic identities have already done? Why do Kurds not have an independent state with a healthy and wealthy society just as many other populations, even the smallest, have achieved? Is it the destiny of Kurds? Or is it about behviours? The answer emerges from the pain that Kurds are stuck in. In this paper, Judith Butler’s concept of performativity is used to argue the aggrieved discourse that accompanies Kurdish identity with a tricky position called victim mentality. Analyzing limited and repeated discourses about Kurdish identity is used to attempt to suggest a new way of doing so, discursively. The idea that using a style of linguistic acts with embodied practices enables one to go beyond the current binary political framework for Kurds is explored.
Conflict Dynamics in Post-2003 Iraq: A Security Dilemma Perspective
Authors: Majeed Hawkar J. , Hossain Ishtiaq
Published: June 2021

A decade and a half since the U.S. invasion, Iraq remains affected by complicated and increasingly changing uncertainties. Intrastate division and lack of social stability are expressed in ethnic and sectarian hostilities. In view of different reasons, 16 years after establishing the new Iraq, this paper asks: why has Iraq been marked by instability, transformation, and inability to maintain stability and peace? This paper explains the ethno-sectarian interactions in Iraq with the help of the theory of security dilemma and explores the derailment of Iraq's transformation process and the beginning of a new period of confrontation from a security dilemma viewpoint. The findings suggest that the security dilemma and ethno-sectarian conflict are further intensified by Kurdish, Shiite, and Sunni groups attempting to assess the threats posed not only by enemy militias but also by the presence of all groups in close proximity.
Love and Emancipation in Forough Farrokhzad's Selected Poems: A Psycho-analytical Approach
Authors: Hasan Mariwan , Mohammed Saman
Published: June 2021

The love relationship between couples can be influenced by several factors influencing it to become a strong one in one’s life or vice versa. Finding a real love is always considered to be the key point in the meeting of opposite sexes. In order not to face psychological problems in the future, everyone’s concern is to seek for the right person. This is true to some degree for many human beings. Real love can make one feel happy and pleased but it can sometimes make one upset and hopeless. Also, superficial love can be the same because it can be the cause of pleasure for the lover who only seeks a temporary relationship i.e., superficial love but similarly it can be the source of sadness for the partner whose intention in such a relationship is a real love. This strenuous power manifests itself in the behavior and sometimes in the appearance of the human beings. When one of the lovers stops his/her love relationship with his/her lover by starting a new relationship with another person, due to their beauty, this will be called superficial love. Such relations may culminate in deceiving and telling lies. This research will consider textual and psychological approaches in the analysis of the selected poems of Forough Farrokhzad to demonstrate real love and superficial love that may cause psychological and social impacts.
Ronald Dworkin and Human Dignity as Highest Constitutional Value: Philosophical Theorization of Rights and Human Dignity in a Comparative Perspective
Authors: Al-Najjar Sherzad Ahmed Ameen , Saeed Hemn Ghani
Published: June 2021

This paper focuses on the study of Ronald Dworkin and Human dignity as the highest constitutional value. Ronald Myles Dworkin (1931-2013), a famous American philosopher, jurist, and scholar of the United States constitutional law believes that constitutional provisions are permeated with moral principles and that human dignity is an intrinsic constitutional value, and that it must be considered in judicial decisions. Dworkin has his concept of rights, arguing that rights constitute claims against the state, and he espouses the idea that it is forbidden to sacrifice individual needs and preferences to achieve the public interest. That is, there are rights that the state cannot derogate from or violate, whatever the rationalizations and justifications. Dworkin categorically affirms that people have the right to be treated with dignity and that rights have an exceptional moral force that stems from the importance of human dignity, and that leads to preventing the formulation and implementation of specific policies even if they aim to enhance the general welfare of society. Consequently, his thoughts and reflections in this regard constitute a solid philosophical basis for the recognition of human dignity as the highest constitutional value.
Effects of the Facebook Boycott Campaign on Turkish Products and its Influence on Demand of Kurdish Consumers 2020
Authors: Kakashekh Hardawan Mahmoud , Murad Hersh Rasool , Ahmad Araz Ramazan , Saud Muhammad
Published: June 2021

Boycotting is one of the most effective anti-consumption tactics used against practices deemed unethical or unjustifiable, and calling to boycott products through social media platforms has become a trend recently among young people. This paper studies the motives and causes of boycotting Turkish products among Iraqi Kurds and highlights the effects of the Facebook Boycott Campaign on Turkish products and Kurdish consumer demand. The research data has been collected through an online survey posted and published on several Facebook pages and groups in Iraqi Kurdistan. The findings from 1378 Facebook users who participated in the Facebook Boycott Campaign of Turkish products in Iraqi Kurdistan show that indirect support for Turkish policies to exterminate and invade Kurdish communities constitutes the leading cause of the Boycott Campaign. In addition, participation in the Facebook Boycott Campaign against Turkish products is considered a national duty more than an ethnic, ethical, religious, or other duty to humanity. The majority of participants believe that continuing to participate in the Facebook Boycott Campaign against Turkish products will have a huge impact on the Turkish economy and it is a warning to the Turkish government regarding its foreign policy towards Kurds.
Presentasi diri influencer dalam product endorsement di instagram
Authors: Irnando Kautsar , Irwansyah Irwansyah
Published: June 2021

Transformation of technology has developed a new place for business activity known as social commerce, where Instagram has become the most popular social commerce. In promoting products through social media, mereks often use endorsers in product endorsement. Macro influencers who have broad audience range and unique self-presentation are proven to give positive impact towards product endorsement. The effectiveness leads to a new question, how do macro influencers present themselves in a product endorsement post? This research is conducted to answer that question. The method that is used in this research is a qualitative method to identify influencer self-presentation in product endorsement. Results of this research shows that influencers do not use a different self-presentation in product endorsement. The influencer put the endorsement strategy on their post. Another finding shows that mereks have some deals in self-presentation of influencers within a product endorsement post.
Communication and ritual on jaranan pogogan: The semiotics of performing arts
Authors: Laksono Yunanto Tri
Published: June 2021

The main objective of this research was to study culture and arts in the form of performing arts, which have a significant role in the preservation of tradition through the perception of communication semiotics. The suguh ritual is a presentation that is carried out before the jaranan pogogan traditional performance art activity in Nganjuk Regency. The suguh ritual is expected to represent language indirectly through the semiotics of communication during its implementation. In addition, the preservation of traditional performing arts through the perception of this ritual can provide the right image to maintain the preservation of traditional arts in the Nganjuk Regency. This ritual of regeneration is still occurring to this day. This research was a qualitative descriptive study. The literacy process used to determine information results were obtained from informants who distributed data in Nganjuk Regency. Researchers also conducted interviews, observed and collected data in the field. This research is expected to preserve the jaranan pogogan’s role in the suguh ritual and serve as non-degraded cultural manifestations in technological developments 4.0.
Hubungan faktor-faktor perilaku terencana, kebutuhan penyelesaian, personalisasi rekomendasi, cliffhanger dan binge-watching
Authors: Akbar M Aulia
Published: June 2021

The development in Video on Demand (VOD) services technology has proven to increase the chance of binge-watching. However, early literature about binge-watching only focuses on health risk and their opinion on this topic. Therefore, this study intended to find aspects that affect binge-watching duration among college students. Theory of planned behaviour (TPB) that discusses the role of attitude and intention on an individual’s behavior was applied to find the affected aspect of binge-watching duration. Variables such as need for completion, personalised suggestions, and cliffhanger were analysed as moderators. Participants of this study were active Indonesian undergraduate students who were selected by applying snowball sampling method. Data were collected using online questionnaire using Likert Scale and terbuka questions on Google Form. The results indicate that TPB, need for completion, personalised suggestions, and cliffhanger correlated to binge-watching duration among undergraduate students.
Communicating the springs and forest preservation in the Arjuna mount area, Indonesia
Authors: Hermanto Yustinus Budi , Nugroho Matheus
Published: June 2021

The study's goals were to determine the impact of community empowerment for the springs and forest preservation in the Arjuna mount area from the environmental communication perspective. The quantitative descriptive research method was used, with the study population covered communities around the forest and springs that were domiciled in three villages, namely Leduk, Jatiarjo, Dayurejo Villages, Pasuruan-East Java, Indonesia. Data was gathered from respondents with a questionnaire and analysed using SEM (structural equation modelling) to find an overview of respondents' responses about community participation in preserving the Arjuna mount forest. Human resources around the forest, namely the level of education and employment, contribute to the success of revegetation of forests; family economic conditions such as personal and family income, ownership of fields and rice fields for business, and livestock and fisheries businesses assist successful forest revegetation; social characteristics of the community around the forest such as cooperation and kinship between community members contribute to forest revegetation; community institutions, namely forest village community institutions, are a vehicle for the community to revegetate forests successfully; the availability of village community facilities and infrastructures such as paved road access, transportation and communication networks, education and health facilities contribute to the successful revegetation of Arjuna mount forest.
The Role of Iron for Supporting Children’s Growth and Development
Authors: Medise Bernie Endyarni
Published: June 2021

According to the World Health Organization (WHO), Iron Deficiency (ID) affects around 2 billion people worldwide. Early childhood ID has been associated with permanent cognitive deficits associated with CNS structural, metabolic impairment, growth retardation, impaired immune response, psychological abnormalities, and behavioral delays. This literature review will focus on the important role of iron in child growth and development.

Iron is necessary for various cellular processes in the growing brain especially when it comes to memory and learning. Children with early ID show cognitive deficits that persist; however, prompt iron treatment soothes the problem. A chronic ID group reported substantially lower scores of vocabularies, ambient sound perception, and motor measurements in a recent study relative to infants with normal nutritional iron status at 6 months and 14-18 months. Children's iron requirement differentiates based on individual age. The daily iron requirement for one- to three-year-old children is 7 mg. Some risk factors of infants and toddlers in developing ID are insufficient food intake, poor bioavailability, reduced absorption, increase demand, increase losses, cow’s milk enteropathy hookworm infection, and maternal gestation.

Iron plays an important role in promoting children's growth and development. Physical health and nutrition are important in the first two years of life. Children who are unable to achieve iron adequacy will possibly show permanent cognitive deficit and impaired motor growth. Thus, iron supplementation may only be successful in early prescription after diagnosing iron deficiency.
The Importance of Iron To Support Optimum Cognitive Development
Authors: Sekartini Rini
Published: June 2021

The fetal brain anatomy development starts during the last trimester of pregnancy and continue in early months of life. This critical process makes it vulnerable to insufficient nutrition, while brain growth continues into adulthood, micronutrient status can affect functioning beyond childhood. Iron is an important nutrient for the production and growth of cells in the immune and neural systems. Iron deficiency (ID) is the most common nutrient deficiency in the world, affecting about half of all pregnant women and their offspring. Iron deficiency anemia has long been believed to have an effect on the central nervous system. Iron deficiency in late trimester and in newborn leads to abnormal cognitive function and emotional control that may continue in adulthood.

In summary, despite some evidence that iron supplementation enhances cognitive performance. Evidence of the role of iron in brain development and the effect of iron deficiency or iron supplementation on early development is uncertain.
Optimizing iron adequacy and absorption to prevent iron deficiency anemia: The role of combination of fortified iron and vitamin C
Authors: W. Basrowi Ray , Dilantika Charisma
Published: June 2021

Iron is a vital nutrient to promote the availability of tissue oxygen, cell growth and control of differentiation, and energy metabolism.  Preventing Iron Deficiency Anemia (IDA) is necessary because iron is vital to central nervous system growth and development especially in the first years of life. Iron-rich complementary foods are recommended in infants around 6 months of age because iron store is depleted. Better understanding of iron absorption process and factors affecting its absorption and bioavailability is necessary to prevent iron deficiency and can be a dietary strategy to mitigate iron deficiency. Meat and iron-fortified food are the main sources of iron in the diet, and it is essential to introduce supplementary food to improve iron absorption. Additional foods such as cereals, cow milk and soybeans such as phytate, polyphenol and calcium are inhibitors which require care to prevent IDA. Ascorbic acid is an effective iron-absorbing enhancer, which is useful to reduce the effects of any known nonheme iron inhibitor. In iron-fortified foods, Combination use of vitamin C (ascorbic acid) is recommended in molar ratio of 2:1 (with cow's milk and low-phytate cereal foods) and higher molar ratio of 4:1 (with higher phytate such as soybeans).
Detection of antimalarial drug resistance polymorphisms in Plasmodium falciparum chloroquine resistance transporter and Plasmodium falciparum multidrug resistance 1 genes of Plasmodium falciparum found in Kano State, Nigeria
Authors: Adamu Al-Mukhtar Yahuza , Olonitola Olayeni Stephen , Inabo Helen Ileigo , Suleiman Ahmad Babangida
Published: June 2021

Objectives:

In 2018, malaria claimed an estimated 380,000 lives in African region, with Nigeria accounting for 24.0% (91,368) of malaria deaths from the region. Mutations in Plasmodium falciparum chloroquine resistance transporter (Pfcrt) and P. falciparum multidrug resistance 1 (Pfmdr-1) genes had reduced the effective use of artemisinin combination therapy through the development of resistance to these antimalarial agents. Our study set out to determine the antimalarial drug resistance polymorphisms in Pfcrt and Pfmdr-1 genes of P. falciparum isolates among patients in Kano State, Nigeria.

Material and Methods:

Malaria positive samples were collected across the three senatorial districts of Kano State. The samples were amplified using nested polymerase chain reaction to detect the Pfcrt and Pfmdr-1 genes. The amplicons were sequenced and bioinformatic analysis was done using CLC Sequence viewer 8.0 and BioEdit sequence alignment editor to detect the single-nucleotide polymorphisms.

Results:

In the Pfcrt gene, CVIET haplotype was seen in 26.2% of the samples while only two samples showed the 86Y mutation in the Pfmdr-1 gene. All the 86Y mutations and majority of the CVIET haplotypes were detected in the patients from rural settings where some of them noted that they consumed modern and traditional (herbs) antimalarial agents. One sample was observed to have the CVIET haplotype and N86Y mutation while the other five CVIET haplotypes were seen in five separate samples. A new mutation V62A was found in the Pfmdr-1 gene as observed in one of the sample.

Conclusion:

It is imperative to ensure the rational use of the right antimalarial agents and employ continuous resistance surveillance/mapping to ensure synergy in malaria containment and elimination strategies.
Acro-osteolysis in Hajdu Cheney syndrome: A case report with review of literature
Authors: Sethi Humsheer Singh , Sen Kamal Kumar , Mohanty Sudhansu Sekhar , Panda Sangram , Agrawal Akshat , Sharawat Ajay
Published: June 2021

Objectives:

We present a case report and review the literature on Hajdu Cheney syndrome (HCS), an extremely rare connective tissue disorder with <100 cases reported in the last 72 years. We have emphasized on the patterns of acro-osteolysis (acrosteolysis) in the literature review to conclude if the syndrome follows any particular pattern like in our case.

Material and Methods:

All major databases were searched for all cases of HCS. One hundred and eighty-eight hand radiographs were analyzed and detailed analysis of all digits was carried out with emphasis on the pattern of acrosteolysis.

Results:

Acrosteolysis may not be a mandatory association in HCS as 18.8% did not have acrosteolysis at all. The first finger to be involved in 90/96 (93.7%) of the cases was the index finger, followed by the middle finger and then the thumb. The 4th digit (ring finger) was involved in only 11/96 (11.4%) of the cases, of which 9/11 (81.8%) were above the age of 25. Incidence of acrosteolysis of the 4th digit when in comparison to all other finger has a P < 0.05 and a P < 0.001 with the index finger. Newborn with HCS evaluated for acrosteolysis at birth was negative.

Conclusion:

There was statistical evidence to conclude that in a majority of the cases the 4th digit was involved the least. A rough timeline of the onset and progression of acrosteolysis was made. An attempt was made to shed light on the possible lesser-known manifestations of the syndrome such as retroflexed odontoid, Arnold Chiari I, middle phalanx osteolysis, and first carpometacarpal joint osteolysis. As very little is known about the disease and awareness about it is pertinent for early management and to differentiate it from other less-lethal causes of acrosteolysis.
Atypical fractures secondary to bisphosphonate therapy: A case series and pictorial review
Authors: AlQarooni Sayed Hashim , Ruggiero Ugo , Suresh Sri Priya
Published: June 2021

Osteoporosis is a ubiquitous and chronic process that affects an increasing number of people each year. Various forms of treatment are currently used including bisphosphonates which have been linked to atypical fractures of the femur. We present a case series of eight osteoporosis patients who developed atypical femoral fractures, while on bisphosphonate therapy. This pictorial review aims to increase awareness of bisphosphonate-related atypical fractures, discuss the current literature recommendations, and provide clear learning points from each case-based discussion.
Working as a musculoskeletal radiologist in India and in the UK: Similarities and differences in daily professional engagements
Authors: Narayanaswamy Srikanth , Thaker Siddharth , Gupta Harun , Botchu Rajesh
Published: June 2021

A UK-trained musculoskeletal (MSK) radiologist relocating back to India may face numerous challenges while setting up subspecialty MSK radiology services. The National Health Service (NHS) and the Indian healthcare system are inherently different from each other in finance, governance, administration, and clinical services provision. The NHS can offer numerous opportunities to an MSK radiologist, including a diverse case mixture, protected work time divided between direct clinical care and supporting professional – academic, management, leadership, and continuous professional development – activities, flexible work hours, five days a week work pattern, continuous reflective learning from missed findings, and opportunities for advanced training in MSK tumour work and complex interventions. Indian MSK radiology services, compared to the NHS, are relatively curtailed and limited to metro cities with very few centres offering dedicated MSK imaging services and image-guided interventions. From an economic perspective, MSK radiologists in both countries earn more or less similar, given high taxation rates in the UK. Although Indian radiologists may face pressures to provide rapid radiology reports from the management, patients, and relatives, one can enjoy better image quality, liberty to customize scans, ease to start new intervention services, necessary breaks during work hours, and extended family support. A re-relocated MSK radiologist can survive and thrive in Indian healthcare, primarily corporate medical institutions, if one can strike a balance between professional and personal life.
Meneguhkan Pendekatan Neurolinguistik dalam Pembelajaran: Studi Kasus pada Pembelajaran Bahasa Arab Madrasah Aliyah
Authors: Jailani Mohammad , Wantini Wantini , Suyadi Suyadi , Bustam Betty Mauli Rosa
Published: June 2021

Penelitian ini bertujuan untuk menganalisis pembelajaran bahasa Arab dengan pendekatan neurolinguistik di madrasah aliyah. Peserta didik kesulitan dalam memahami, menghafal, dan mempraktekkan mufrodat dan muhadatsah Bahasa Arab. Penelitian ini menggunakan pendekatan studi kasus, dengan informan adalah kepala madrasah, wakil bidang kurikulum, dan guru Bahasa Arab. Data dikumpulkan dengan observasi dan wawancara mendalam. Hasil penelitian menunjukkan bahwa pendekatan neurolinguistik membantu peserta didik dalam memahami pembelajaran Bahasa Arab melalui fungsi otak pada bahasa. Optimalisasi sistem saraf pada bahasa mampu mengintegrasikan peran otak terhadap kemampuan belajar Bahasa Arab dalam aspek kognitf, afektif, dan psikomotorik. Pendekatan neurolinguistik memudahkan peserta didik dalam memahami mufrodat yakni dalam hal keterampilan qiro’ah, kitabah, istima’, dan kalam. Dengan demikian, pendekatan neurolinguistik sebagai alternatif pembelajaran Bahasa Arab dapat meningkatkan potensi peserta didik yang bertumpu pada otaknya. Pendekatan neurolinguistik akan berimplikasi luas terhadap diskursus pengembangan pembelajaran Bahasa Arab di masa revolusi industri 4.0
Implementasi Metode Mau`izhotul Hasanah dalam Mengembangkan Pendidikan Karakter: Suatu Studi Kasus Longitudinal
Authors: Aprily Nuraly Masum , Setiawan Dadan , Elan Elan , Pratama Yoga Adi
Published: June 2021

Pendidikan karakter pada aspek pengembangan pengetahuan moral peserta didik dewasa ini dianggap masih lemah karena hanya fokus pada hafalan konsep dan kebenaran saja, sehingga dibutuhkan metode yang tepat dalam proses pelaksanaannya. Ketidaktepatan metode yang digunakan menyebabkan pendidikan karakter akan kurang efektif. Tujuan penelitian ini adalah mendeskripsikan bagaimana pelaksanaan metode mau`izhotul hasanah dalam pendidikan karakter di pesantren. Penelitian ini menggunakan pendekatan kualitatif dengan metode penelitian studi kasus. Data dikumpulkan melalui wawancara dan observasi. Teknik analisis data dilakukan dengan cara reduksi data, penyajian data, penarikan kesimpulan dan verifikasi. Hasil penelitian mengungkap bahwa metode mau’izhatul hasanah yang digunakan dalam membangun karakter santri pada aspek pengetahun moral yaitu: 1) Pengajian kitab kuning; 2) Metode mau`izhotul hasanah yang dilakukan baik secara terbuka, spontan, dan rahasia (personal). Implikasi penelitian dapat dijadikan best practice dalam pelaksanaan pendidikan karakter di lembaga pendidikan umum yang lain
Manajemen Pembelajaran Al-Qur’an: Studi Kasus Longitudinal di Pondok Pesantren
Authors: Istiqomah Rosyida , Hidayah Reni
Published: June 2021

Penelitian tentang manajemen telah banyak dilakukan, namun mengarah pada pembelajaran al-Qur’an di pondok pesantren belum ditemukan. Penelitian ini bertujuan menganalisis manajemen pembelajaran al-Qur’an di pondok pesantren. Menggunakan pendekatan studi kasus dengan teknik pengumpulan data adalah wawancara terhadap pimpinan pesantren, guru, dan siswa, serta dianalisis dengan reduksi data, penyajian dan penarikan kesimpulan serta verifikasi. Hasil penelitian menemukan bahwa pesantren Bahrul Ulum Tangsil Kulon Bondowoso memiliki manajemen pembelajaran al-Qur’an yang sistematis. Pertama, kegiatan perencanaan pembelajaran al-Qur’an diikuti oleh seluruh pengajar. Adanya pengelompokan santri dalam kelas-kelas tertentu sesuai dengan tingkat kemampuan. Kedua, adanya pengorganisasian yang jelas, sehingga membantu setiap komponen dapat bekerja sesuai wewenang dan tanggung jawab dalam pembelajaran al-Qur’an. Ketiga, dalam pelaksanaan pembelajaran al-Qur’an terdapat perlakuan yang berbeda pada masing-masing kelas, sehingga dapat memaksimalkan kemampuan santri. Keempat, evaluasi pembelajaran al-Qur’an dilakukan secara menyeluruh, tidak hanya melihat pada hasil belajar akan tetapi juga proses pembelajaran berlangsung. Implikasi penelitian ini adalah pada pengembangan “teori managemen pembalajaran al-Qur’an” dalam khazanah pendidikan Islam
Bases for a Marine Spatial Planning Strategy in Uruguay
Authors: Echevarría Luciana , Gómez Alberto , Tejera Rafael , Caporale Marcela , Vallvé Elena , Sciandro José , Machain Tiago
Published: June 2021

This work focuses on the marine territory of Uruguay and, its objective is to synthesize the information on the set of sectors involved, to facilitate the analysis and integrated management, according to the principles of Marine Spatial Planning (MSP). It is organized in two main axes. First, presents the results of a consultation to the institutions involved on the possibilities of development in Uruguay of different institutional designs of MSP present in the international experience. In addition, resumes the information available on the Uruguayan marine space, including its jurisdictional limits, the areas of interest for ecological and heritage conservation, and the situation of each of the uses of the marine space, with the norms that regulate them. For each use, its deployment in the marine space was mapped in order to analyze its interaction patterns and its relationship with the different marine environments. The final section presents conclusions on the challenges that result from these patterns of dispersion and interaction, and from the institutional context.
Identification of Synergies and Conflicts in Coastal and Marine uses in Colombian Pacific: a Spatial Multi-Criteria Analysis
Authors: Perea-Ardila Mauricio Alejandro , Oviedo-Barrero Fernando , Monsalve-Rocha Sabrina , Ocampo-Rojas María Alejandra
Published: June 2021

The increasing demands for physical space towards diverse maritime activities call for coherent planning and scientific knowledge to support the management of the marine the environment. Using secondary multi-scale geographic information gathered from national institutions, expert judgment and a multi-criteria analysis integrated with GIS tools, we aimed to identify potential synergies and conflicts between human activities occurring in the jurisdiction of the master harbor of Buenaventura in the Valle del Cauca department (CP01) in the Colombian Pacific coast. We identified 105 overlaps in which 5.04% were categorized with high CNI (Conflict Normalized Index), while 13 interactions were evaluated with the highest conflict value, representing 14 sectors/groups. Additionally, 12.97% of the overlaps were categorized with a medium number of overlaps (4-6 overlays use), specifically distributed inside the Buenaventura Bay. Conservation uses (Protected Areas – SINAP in Colombia) was consistent within all 13 incompatibilities and conflicts distribution along the study area was not homogenous. The methodological approach used in this study can be used to identify conflicts and synergies in human uses and activities in the marine and coastal environment through the implementation of a methodology adapted to the context of the area. It presents a technical contribution to future processes of Marine/Maritime Spatial Planning and the Integrated Management of the Coastal Zone of Colombia.
La cámara Gesell como medio de prueba en el ordenamiento procesal peruano
Authors:   Universidad Nacional Mayor de San Marcos, Escobar Antezano Carlos Alfredo
Published: June 2021

La cámara Gesell es una pericia con tendencia a ser científica que debe ser practicada por psicólogos y asistente sociales. Tiene que actuarse ante el Juez penal. Su finalidad es recibir el testimonio de la víctima y determinar su daño psicológico. Los psicólogos deben construir, en base a su expertise, conocimientos de la verosimilitud, memoria y coherencia el relato de la víctima, que es debatido en el juicio oral. Se debe garantizar el derecho de defensa del imputado, permitiendo la intervención de un perito de parte en la ejecución de esta pericia. La declaración de la víctima debe ser por una sola vez con el fin de evitar la “revictimización” —victimización secundaria— en virtud del interés superior del niño.
Performance Analysis of Filtered OFDM Based Downlink and Uplink NOMA System over Nakagami-m Fading Channel
Authors: Mukhtar Shaika , Begh Gh. Rasool
Published: June 2021

Efficient consumption of available resources and fulfillment of increasing demands are the two main challenges which are addressed by exploring advanced multiple access schemes along with efficient modulation techniques. To this end, non-orthogonal multiple access (NOMA) is discussed as a promising scheme for future 5G traffic. NOMA enables the users to share same resource block, permitting certain level of interference. In this paper, we propose filtered OFDM (F-OFDM) as a transmission waveform for NOMA systems, as it offers all the advantages of OFDM with the additional provision of sub-band filtering to satisfy the diverse services of the users. We examine F-OFDM in both downlink and uplink NOMA systems. Error-related performances of both downlink and uplink F-OFDM NOMA systems are analyzed and compared with conventional OFDM NOMA system over Nakagami-m fading channel. The results show that the error performance of F-OFDM NOMA is better than that of OFDM NOMA. An improvement of about 2 dB and 1 dB in bit error rate is achieved in downlink and uplink F-OFDM NOMA, respectively. Monte Carlo simulations are conducted for different values of fading parameter m, supporting the obtained analytical results
Political and Economic Contexts of Implementing 5G in Poland and in Selected European Countries
Authors: Soler Urszula
Published: June 2021

The technology race to achieve the position of an economic leader is a phenomenon that has been taking place all over the world. The 5G technology has become a vital component of this race over the recent years. The technical capabilities it offers and the role it may play in the economy have become the subject of political debate and are at the very core of the “war for technology” between two superpowers: China and the United States. The European Union is aware of the fact that the position Europe enjoys on the international arena depends, to a large extent, on how quickly European countries will develop and implement 5G. Are individual European member states capable of seamlessly implementing the assumptions of strategies and plans concerned with the development of 5th generation technologies? Will the security of 5G networks be ensured in Europe? These are just some of the issues that are analyzed in this article with their economic and political context taken into consideration. A broader perspective is presented, with primary focus on the global geopolitical situation and on the conflict between China and the United States. The study was conducted by relying on an in-depth analysis of strategic state documents, reports drawn up by institutions tasked with implementing and monitoring the development of 5G technology, as well as literature on the subject and online resources
5G Business Opportunities – New Business Models, Pricing, and Use Cases
Authors: McCarthy-Ward Peter , Valdar Andy , Newstead Stuart , Revell Stuart
Published: June 2021

This paper addresses how network operators may gain a reasonable return on their investment into 5G infrastructure. It first considers the 5G mobile network costs structure then applies this to three typical use cases
Morocco’s agricultural system response to the dual shock of the COVID-19
crisis and drought: learnings and recommendations for the new normal
Authors: Brouziyne Y.
Published: June 2021

As the world looks forward to the new normal after the COVID-19 pandemic, reshaping
the agricultural sector and food system is a high priority of most governments. This task is
strategic for Morocco due to the vital socioeconomic role of this sector in the kingdom
and because of the dual shocks that hit the sector during the 2019/2020 season. This paper
aimed to uncover some of the responses of Morocco’s agricultural sector to the pandemic
and the low rainfall, with a focus on potential opportunities for improvement. Under the
increasing recurrence of crises and shocks, systems and organisations are becoming
obligated to develop resilience. The Moroccan agricultural system is expected to become
more resilient to climate change-induced extremes and the volatility of global food
product markets while decreasing its dependence on the international agro-inputs supply
chain. Moreover, Morocco’s agricultural system should learn to evolve under uncertainty.
To succeed in this task, a high level of agility is required across all components of its
value chain. Specific leadership and mechanisms should be set up to increase the system's
agility in responding to the unpredictable climate and consumer habits; research and
development can play an important role in this. Digitalisation can also be a driver of both
resilience and agility if adopted across the whole value chain.
ТЕОРЕТИЧНІ ПІДСТАВИ ДЛЯ ТИПОЛОГІЗАЦІЇ ЕЛЕКТОРАТУ В СОЦІАЛЬНО-ПСИХОЛОГІЧНОМУ ПІДХОДІ
Authors: Безрукова К. М.
Published: June 2021

У статті здійснено спробу систематизації та узагальнення наявних теоретичних підходів до типологізації електорату, виділено та проаналізовано основні підстави для типологізації виборців. Доведено, що електорат є предметом міждисциплінарних досліджень, який формується на перетині політології, соціології та психології, тому автором проаналізовано основні теоретичні підходи до визначення поняття «електоральна група» в межах цих наукових напрямів. Під час аналізу класичних теорій електоральної поведінки в статті розглянуто основні теоретичні підходи до типологізації електорату. Критеріями для типологізації в них виступають політичні симпатії та орієнтації, міра знайомства з програмами кандидатів і агітаційною продукцією, зміна наміру голосувати під час передвиборчої кампанії, ступінь залученості у виборчий процес, стійкість електоральних орієнтацій, міра власної вигоди від результатів виборів, чутливість до базових стратегій виборчих кампаній. Приділено увагу обґрунтуванню соціально- психологічних критеріїв типологізації виборців, закладених послідовниками Мічиганської школи, які виділяли партійну ідентифікацію, ставлення до поточних подій і до кандидата як ключові підстави для типологізації. На прикладі аналізу основних підходів автором доведено, що спроби типологізувати електорат за психологічними характеристиками в роботах багатьох учених мають фрагментарний характер, найчастіше враховуючи лише одну з цих характеристик без охоплення всієї можливої кількості змінних. Акцентовано, що найбільш поширеною в країнах пострадянського простору й досі залишається типологізація виборців на підставі соціально- демографічних характеристик, за якою групи виділяються на основі віку, статі, рівня освіти, регіону проживання та типу поселення, політичної належності, електоральних симпатій.