bluuebunny/crossref_metadata_2025 huggingface dataset:
Designing for the plus-size men: towards a better fitting: a case of Harare, Zimbabwe
Authors: Chisosa Fadzai Denford , Muzenda Verity
Published: March 2021

This study endeavours to foster an understanding and encourage manufacturers to incorporate the plus sizes in their production to combat the fitting challenges connected to plus-sized men in Harare. The plus sized men were facing challenges in finding some fitting and ready- to-wear clothes on the market because of size restriction in a market. The clothing manufacturing companies was mass producing these ready-to-wear clothes ostensibly for all men, ironically leaving the plus-sized men disgruntled due to misfitting clothes and size restrictions. The study used critical postmodernism and the concurrent triangulation approaches to determine scope for either any convergence, differences or combination. Data was collected using questionnaires, interviews, observations and documentary analysis from the twenty-four (24) purposively sampled participants. Recommendations were made for the clothing companies to integrate the extreme and in-between sizes. This study offers insights on better sizing for different body types eliminating the emotional psychology disturbances.
Three indicators for overweight and obesity: BMI, CC and P/CC-index in children and adolescents: Pilot study
Authors: Bauce Gerardo
Published: March 2021

Is a review of indicators to measure obesity in children and adolescents, such as the index of body mass (BMI), waist circumference (CC) and index weight - waist circumference (P/CC), and compare the results. Sample: of 304 children between 6 and 18years of age, 128 of Caracas, 139 of Mérida and 37 of Valencia, of fourth educational institutions, Objective: to compare three indicators that measure overweight and obesity. Method: it is a descriptive, transversal study correlational; applied descriptive measures of association and correlation, the variables age, weight, height, waist circumference (WC), hip (C DAC) circumference, measured and calculated indicators: body mass mass index (BMI), waist to hip rate (ICC) and index Peso-circumference waist (P/CC). Results: According to CDC for BMI, 9.87% at risk of overweight, and 5.26% overweight; average of 65 CC, 92±7, 78cm, and percentile increases with age; average P/DC 0, 67±0, 11, higher in males and evidence sexual dimorphism from the age of 15. (R>0.70) correlations were obtained between weight-ccin.; weight c cad. BMI-weight; P/CC-age, height, weight and c cad. Conclusions: BMI remains a good indicator to assess overweight and obesity, DC complements the evaluation, but there is still no matching criteria for reference values; index P/CC, can be useful, since it discriminates by gender and correlated with age, weight, height, BMI, C hip.
HIV infection in adolescence, Cuba, 2014-2016: an epidemiological approach
Authors: Cort Alfaro Alba , Ochoa Soto Rosaida , Medina Ram , Latero Abreu Mar , Cantillo Geominia Maldonado , Joanes Fiol Jose Joaquin
Published: March 2021

Introduction: HIV/AIDS is currently a serious health problem worldwide. Adolescents constitute a group of vulnerable and exposed risk, given the characteristics of this stage; which include, among others, sexual relations at an early age and without adequate protection. Objective: To characterize the epidemiological behavior of HIV in adolescents (10-19 years) in the 2014-2016 periods. Method: Descriptive, retrospective study of all cases of adolescents diagnosed with HIV in Cuba, during the period January 2014 to December 2016. The variables studied were: age, sex, color of the skin, stage in which it is located, provinces most affected, sources of transmission, location of cases. Information was obtained from the registry of sexually transmitted infections and HIV/AIDS of the National Epidemiology Directorate of the Ministry of Public Health. Results: The behavior of the epidemic in this stage presented a universe of 396 cases diagnosed especially in Ambulatory Care. There was male predominance (62.12%), with low figure in the group of 10 to 14years with 11 cases (2.78%). 97.22% were between 15-19 years old. The 95.45% remained in the condition of asymptomatic and 18 have developed AIDS, for 4.55%. There was a proportion of 95.5% of cases not AIDS for every 4.5% patients. There was 1fallen due to AIDS (0.25%) and the same figure for other causes. Heterosexuality predominated with 209 cases (52.78%); followed by the homobisexual for 46.97%, as the main sources of transmission. The provinces that presented the most cases were Havana and Santiago de Cuba. Conclusions: Most of the diagnosed cases are in Ambulatory Care and come from the main provinces of the country, they are heterosexual men, with the highest number of cases in the late adolescence stage (10-15years). The condition of asymptomatic in its majority can constitute a risk to continue the transmission given the possibility of taking great risks, typical of this stage of the life.
Single dose of Methotrexate therapy followed by suction curettage for management of Cesarean Scar Pregnancy
Authors: S Saleh Hend , E Sherif Hala , M Mahfouz Eman
Published: March 2021

Aim: To evaluate the efficacy and safety of single dose of of Systemic MTX 50 mg/m2 followed by D&S in cases of Cesarean scar pregnancy (CSP). Objective: Implantation of the pregnancy in a cesarean scar is a rare condition named; Cesarean scar pregnancy (CSP). Maternal complications can be prevented with the early diagnosis and an appropriate management. It is a prospective clinical study to evaluate the efficacy and success rate of single dose use of methotrexate (MTX) followed by dilation and suction (D&S) regimen in the management of women with cesarean scar pregnancy (CSP). Methods: 50mg of MTX in the form of a single dose Intramuscular injection then cervical dilatation and suction aspiration with a Karman cannula (D&S) under guidance of ultrasound after 48 preceded by vaginal misoprostol 2 tablet (200 mg) 4 hours ago. Results: The mean gestational age at diagnosis was (8.5±1.6) and the mean gestational age of pregnancy was 8.5±1.6. The mean level of serum b-human chorionic gonadotrophin was (7424±2.560). 88.7% was the successive rate without complication or need of intervention, 2 (5.7%) patients needed intrauterine foley's catheter for 24 hours as a mechanical hemostasis. 2 (5.7 %) had laparotomy with wedge resection of the gestational sac lesion and successful repair of the uterine defect and one (2.8 %) underwent subtotal hysterectomy. Conclusion: Systemic single dose MTX injection followed by D&S is an effective and harmless management for CSP. Nevertheless more studies are required to prove the efficiency, safety, and reproductive outcome of variant modalities in treatment of CSP.
Renal involvement in granulomatosis with polyangiitis
Authors: Fraj Aya , Berriche Olfa , Arfa Sondes , Chelli Jihen , Abed Wafa Bel , Sfar MH
Published: March 2021

Granulomatosis with polyangiitis (GPA) is defined by the presence of small vessel vasculitis that affects the upper respiratory tract, lungs and kidneys. Renal involvement is frequent. The disease varies from asymptomatic to fulminant rapidly progressive glomerulonephritis forms, leading to terminal renal failure in days.
An intermediate stage of artificial intelligence similar to human
Authors:   National Technical University ", A. Koval ,   Kyiv Polytechnic Institute''
Published: March 2021

An analysis of the way of further development of artificial intelligence similar to human was carried out, namely its intermediate stage, a state when he can communicate freely with people, can realistically imitate a some personality, freely change it, and thus become convenient for large-scale use in everyday life. An approximate view of the system was described, which it may become in the near future, given the recent technologies. The list of possible settings, which will be actual for similar systems, is resulted. The possible areas of application of this artificial intelligence are listed.
Participation in thermonuclear research of EURATOM: results achieved under the HORIZON 2020 program and the prospects for the next EU program for 2021-2027 (transcript of the report at the meeting of the Presidium of NAS of Ukraine, February 17, 2021)
Authors:   National Science Center “Kharkiv Institute of Physics and Technology” of the National Academy of Sciences of Ukraine, Garkusha I.E.
Published: March 2021

The report emphasizes the importance of developing thermonuclear research in the world, the need for further integration of Ukrainian research institutions into the European research area and increasing the participation of Ukrainian scientists in world-class research in plasma physics and controlled thermonuclear fusion. The urgency and complexity of the problem of controlled thermonuclear fusion, which covers not only various aspects of high-temperature plasma physics as the basis of energy of the future, but also problems of thermonuclear reactors, materials science, engineering aspects of thermonuclear energy, etc. are discussed.
A scholar of the European level (to the 70th anniversary of Corresponding Member of the NAS of Ukraine Stepan V. Vidnianskyi)
Authors:   Institute of History of Ukraine of the National Academy of Sciences of Ukraine, Kyiv, Ukraine, Ivanenko O.A.
Published: March 2021

On 27 March Stepan Vidnianskyi celebrates his 70th birthday. He is a well-known Ukrainian scholar, expert in the world history, Head of the Department of the History of International Relations and Foreign Policy of Ukraine at the Institute of History of Ukraine of the NAS of Ukraine (since 1991), Doctor of History (1997), Professor (1999), Corresponding Member of the NAS of Ukraine (2015), Honored Science and Engineering Worker of Ukraine (2001), Laureate of the State Prize of Ukraine in Science and Technology (2016), Honorary Doctor of the Uzhhorod National University (2005), Foreign Member of the Hungarian Academy of Sciences (2009), executive editor of the interagency collected scientific papers “The International Relations of Ukraine: Scientific Searches and Findings” (since 1993), author of about 600 scientific works.
Penguatan Merger Bank Syariah BUMN dan Dampaknya Dalam Stabilitas Perekonomian Negara
Authors: Atikah Ika , Maimunah Maimunah , Zainuddin Fuad
Published: March 2021

This study provides an overview of strengthening the merger of state-owned sharia banks, namely BNI Syariah, BSM, BRI Syariah which merged into Bank Syariah Indonesia (BSI). The purpose of the study was to determine the legal arrangements for strengthening the merger of Islamic banks to become BSI and its impact on the stability of state finances during the COVID-19 pandemic. The research method used in this study uses normative research with a statutory approach and a conceptual approach. Primary sources of law use legal regulations related to mergers of banking institutions and secondary sources of law from several kinds of literature such as journals and books relating to the issues being discussed. Meanwhile, legal material analysis techniques are used descriptively. The result of the research is the strengthening of the merger of BUMN Islamic banks starting with the existence of an agreement that is outlined in the written form of an Islamic commercial bank merger agreement as regulated in several applicable legal regulations. The merger of Islamic commercial banks during a pandemic is the right step to maintain the country’s economic stability, as stated in Perpu No.1 / 2020 and POJK No.18 / POJK.03 / 2020. The impact of the merger of Islamic commercial banks, of course, has a positive impact, Indonesian Islamic banks can compete globally by prioritizing more complete services, wider coverage, and better capitalization. For the state, it is certainly a good thing that can be done by the Ministry of BUMN, by initiating the merger of 3 sharia-based state-owned subsidiaries (BNI Syariah, BSM, BRI Syariah) merging into PT. Bank Syariah Indonesia, Tbk. Keywords : Merger, Sharia Banks, Finance
O ensino de Música nos cursos técnicos integrados ao Ensino Médio
Authors: Benevenutti Lautério Tereza Cristina , Ferreira de Figueiredo Sérgio Luiz
Published: March 2021

Este texto propõe uma discussão sobre a inserção da música na disciplina de Arte nos cursos técnicos integrados ao ensino médio, que buscam a integração dos conhecimentos da educação básica e da educação profissional tecnológica. Esta modalidade de ensino da educação básica é ofertada pelos Institutos Federais de Educação, Ciência e Tecnologia - IFs, que integram a Rede Federal de Educação e têm como objetivos a formação para o mundo do trabalho, pautada na formação humana e cidadã, bem com no desenvolvimento das demandas produtivas onde estão localizados. A metodologia utilizada foi a revisão bibliográfica, realizada em periódicos, anais de eventos, teses e dissertações da área de educação musical. Os trabalhos analisados trataram da presença da música na organização curricular dos cursos técnicos integrados e trouxeram reflexões sobre a prática do ensino de música no contexto educacional dos IFs. Os resultados mostraram que a organização do ensino de música no componente curricular Arte toma rumos diferentes no âmbito dos IFs, os quais estão imbricados com questões contextuais e com as interpretações acerca da legislação vigente sobre o ensino de Arte na educação básica.
Palavras-chave: Institutos Federais de Educação, Ciência e Tecnologia; cursos técnicos integrados ao Ensino Médio; ensino de Música.
Prophylaxis of genital prolapse in women in the late postpartum period
Authors:   Shupyk National Medical Academy of Postgraduate Education, Kуiv, Ukraine, Zhuk S.I. , Budchenko E.A. ,   Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine
Published: March 2021

The article describes genital prolapse as a pathology of female genital organs. The factors leading to the occurrence of genital prolapse in women of different age groups are presented. Clinical manifestations and mechanisms of their occurrence are substantiated. Considered variants of treatment of women with genital prolapse of various degrees of severity. Illumination of the data of our research of the method of prophylaxis of genital prolapse in the late postpartum period with the help of Corelax vaginal cones. Key words: genital prolapse, rectocele, pelvic floor, connective tissue, vaginal cones.
Experience of using chlorhexidine in obstetrics and gynecology
Authors:   Bukovinian State Medical University, Chernivtsi, Ukraine, Kravchenko O.V.
Published: March 2021

The objective: generalization of the experience of using chlorhexidine drugs in obstetric and gynecological practice. Materials and methods. The efficacy of using Depantol and Hexicon for non-specific colpitis in patients of adolescent, reproductive age, pregnant women, women in perimenopause, as well as in patients after cervical, vaginal and perineal operations was evaluated and generalized. The surveyed groups contained 30 to 50 patients. The diagnosis of nonspecific vaginitis was verified by clinical and laboratory examination. Criteria for recovery were complete clinical and bacterial sanation. The effectiveness of therapy was evaluated immediately after treatment and after 1 and 3 months. The data were compared with the appropriate control groups or with the condition prior to treatment. Results. High efficiency of chlorhexidine preparations in the treatment of nonspecific colpitis in patients of different age categories and conditions was noted. The experience of using Depantol and Gecikon in obstetrics and gynecology is generalized, priorities are determined in the application of these drugs. Conclusion. Preparations of chlorhexidine Geksikon and Depantol are highly effective against the main pathogens of inflammatory nonspecific vulvovaginitis. They do not interfere with the functional activity of lactobacilli, which helps maintain a normal vaginal biocenosis. The drug Geksikon with success can be recommended both for the treatment of gynecological patients of reproductive age, and pregnant women. The use of Depantol, due to the regenerative activity of the dexpanthenol component, is a priority in the treatment of infectious processes in adolescence, perimenopausal age and in patients after operations on the cervix, vagina and perineum. Key words: chlorhexidine preparations, obstetrics and gynecology, Depantol, Geksikon.
2011 IFCPC Colposcopic Nomenclature for the Cervix and Interpretation of the New Terms of the Section «Abnormal Colposcopic Findings»
Authors:   Ukrainian National Cancer Institute, Kyiv, Ukraine, Lygyrda N.F.
Published: March 2021

The article discusses the issues of the correct interpretation of the provisions of the section «Abnormal Colposcopic findings», 2011 IFCPC Nomenclature of colposcopic terms for the cervix. The modern nomenclature is constructed in the form of a table in such a way that it provides a clear step-by-step algorithm for the physician concerning the colposcopic assessment of the cervix. A detailed analysis of such concepts in section «Abnormal colposcopic pictures», «general principles», «inner border sign», «ridge sign» is carried out. For a better visual perception, the article is illustrated with color photographs and color schemes that explain the processes on the cervix. Key words: Nomenclature IFCPC 2011, colposcopy, Abnormal colposcopic findings, inner border sign, ridge sign, Location of the lesion.
Directions of Learning, Learning Directions
Authors: Saruya Rachelle
Published: March 2021

This article engages with nine Myanmar-Burmese Buddhist nuns (thilashin) from three different nunneries in Sagaing, Myanmar, and examines their experiences with the monastic examinations. Because the nuns’ voices are frequently omitted from studies on monastic education, this article includes these perspectives and examines a few of the factors that contribute to the thilashin’s success in their education trajectories. In my research I find that responsibility, gratitude, and the Burmese concept of kyezusat—the return of gratitude to carers—plays a key role. I examine the nuns’ networks and ‘interlocking relationships’ between teachers and students. I additionally explore the active role that thilashin play in maneuvering their monastic kin into the different education systems that results in affective notions of kyezusat, and the responsibility for the monk or nun to want to return the gratitude to the one who took care of them. Furthermore, in order to understand monastics and their education, as well as Burmese Buddhist society, I advocate looking at the Singalovadasutta, in particular at Ledi Sayadaw’s version of this sutta, the Sukumaramaggadipani, and the suttas within the Mahavagga in the Pali Vinaya that focus on reciprocity. These texts highlight examples of students taking care of their teachers and the teachers taking care of their students that help influence Buddhism today.
Skyscapes in the Academy
Authors: Silva Fabio , Henty Liz
Published: March 2021

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“Skyscape Archaeology Keynote Lectures”, Organised by the Sophia Centre, University of Wales Trinity Saint David, Spring 2020
Authors: Gullberg Steven R.
Published: March 2021

Conference Review
“The Archaeology of the Sky”, 26th August, 2020, Organised by Emília Pásztor (Hungary) and Marc Frincu (Romania). Session 63 of the European Association of Archaeologists
Authors: O’Donnell Ingrid
Published: March 2021

Conference Review
Douglas Scott and Stuart McHardy, The Stones of the Ancestors: Unveiling the Mystery of Scotland’s Standing Stones
Authors: Henty Liz
Published: March 2021

Douglas Scott and Stuart McHardy, The Stones of the Ancestors: Unveiling the Mystery of Scotland’s Standing Stones Edinburgh: Luath Press Limited, 2020. Hardback 234 pp. ISBN: 9781912147809. £25.00.
Lo espiritual y lo religioso en los planes de estudio de Estados Unidos a la luz de la Primera Enmienda constitucional
Authors: García-Antón-Palacios Elena
Published: March 2021

Este artículo realiza un análisis normativo y jurisprudencial en torno a la protección de la libertad religiosa y el derecho de los padres a elegir la educación para sus hijos conforme a sus convicciones religiosas y morales en el sistema educativo de Estados Unidos, ante la posibilidad de que en los centros educativos públicos, los alumnos menores de edad practiquen clases de yoga y de meditación o mindfulness, al formar tales actividades parte de la programación escolar, lo que, según el modo de impartición, podría suponer algún tipo de adoctrinamiento y, en consecuencia, ser contrarias al principio de neutralidad estatal o separación Iglesia- Estado, dispuesto en la Primera Enmienda de la Constitución norteamericana.
O Projeto Crítico em Schelling, Tillich e Goodchild
Authors: Whistler Daniel
Published: March 2021

O artigo procura estabelecer as condições e os elementos de uma teoria genuinamente crítica no estudo da religião: a partir de onde se crítica? Isso é, qual é o discurso ideal a partir do qual se pode embarcar no projeto crítico? Qual é o gênero da crítica? Se a crítica é inerentemente teológica, mas estruturada filosoficamente, são aqueles que criticam filósofos, teólogos ou críticos propriamente ditos (κριτικόι)? a crítica das religiões e a reorientação da preocupação última é um ethos, uma ética do pensamento. O autor delinea esse ethos através de três manifestações de uma tradição distinta, ainda que subexplorada, de teologia radical, que atravessa Schelling, Tillich e Goodchild. O que os três têm em comum é o compromisso de atender àquilo que mais importa (piedade ou preocupação última) e a um projeto de crítica que radicalize a definição kantiana de transcendental a fim de chegar àquilo que escapa ao pensamento de Kant - os valores incondicionais ou "teológicos mais profundos" que orientam a existência pessoal.[1] A obra de Lacoue-Labarthe e Jean-Luc Nancy a partir do final dos anos 70 também é impulsionada por essa pergunta (p. ex., LACOUE-LABARTHE e NANCY, The Literary Absolute: The Theory of Literature in German Romanticism, trans. Philip Bernard and Cheryl Lester. Albany: SUNY Press, 1988.
Purchase Decision Model in the Context of Choosing a Master’s Program
Authors:   National Research University Higher School of Economics, Moscow, Russian Federation, Balaeva O. N. , Obushcharova M. K. ,   National Research University Higher School of Economics, Moscow, Russian Federation
Published: March 2021

Models of making a purchase decision, traditionally used in marketing, can also be applied to the choice of applicants (buyers) of an educational program. Decision-making process on choosing a master’s program differs from the one of admission to a bachelor’s degree, and thus demands a special study. It is necessary to «tune» the communication and marketing tools for each stage passed by a student in the decision-making process. However, the existing research lacks a systematic approach to considering the stages of making a purchase decision as far as a master’s program choice is concerned. This paper presents a master’s program purchase decision model, which reflects the dynamics and time frames of the decision-making process passing various stages from the first to the fourth year of the bachelor’s degree. The empirical basis of the study is the data of a 2019 survey of HSE one-to-four-year undergraduates specializing in different spheres. To construct the model based on the study of factors and sources of information influencing the students’ choice, there were identified the time intervals of the main stages (understanding the problem, searching for information, and alternatives evaluation) of the students’ purchasing decision process. The proposed model will allow master’s programs to improve their communication strategies, considering the characteristics of various stages, which should provide a systematic influence over a potential consumer within the decision-making process when choosing a master’s program.
Seismic behaviour of a mixed iron-masonry church: Santa Maria Maddalena, Ischia
Authors: Di Napoli Beatrice , Ciocci Maria Pia , Celano Thomas , Argiento Luca U. , Casapulla Claudia , Lourenço Paulo B.
Published: March 2021

The concept of vulnerability of the existing building stock is receiving increasing awareness and central importance in the scientific community working in earthquake risk mitigation. This assumes even more relevance when dealing with heritage structures located in relevant seismic hazard zones. This paper aims to identify and describe the earthquake-resistant features found in a unique masonry church in Ischia (Italy), and discuss their effectiveness on the impact of the post-seismic damage through the application of non-linear static analyses. The Santa Maria Maddalena Church represents one of the rare examples in which the technology of the Borbonic casa Baraccata (mixed timber−masonry construction), already well-known in the literature for its use in Italian seismic areas since the eighteenth century, is applied with the non-conventional combination of masonry and iron frames. The church was struck by the recent earthquake of 21 August 2017 with epicentre in Casamicciola Terme. The recorded post-seismic damage of the church evidenced non-relevant structural crack patterns, which are likely to be related to the efficacy of the construction system adopted.
The evaluation of Nosocomial Infections Developing in Intensive Care Units of a Tertiary University Hospital
Authors: TARAKÇI Arzu , EROĞLU Esma
Published: March 2021

Abstract

Introduction and Objective: Nosocomial infections (NIs) in intensive care units (ICUs) are serious problems because of high mortality and morbidity. Here, it was aimed to evaluate diagnoses, distribution and pathogens of NIs in two tertiary general ICUs (GICU) of a hospital and develop new infection control strategies based on the data.

Material and Methods: NIs followed in the infectious diseases department and recorded by active prospective surveillance between January 2018-December 2019 in GICUs were retrospectively analyzed.

Results: Ninety-five NI episodes were identified in 90 patients during 8468 hospitalization days of 1189 patients in a two-year period. While NI rate in GICUs was 7.98, incidence of NI density was determined as 11.21. Considering the distribution of NIs, lower respiratory tract infections (LRTI) (36.8%) were detected as highest and followed as specific laboratory findings by pneumonia (33.6%), ventilator-associated pneumonia (VAP) (10.5%), central venous catheter-related blood stream infections (CVCR-BSI) (9.4%), laboratory-proven BSI (6.3%) and catheter-associated urinary tract infections (CR-URI) (3.1%). Given the distribution of the factors concerning system infections, agents leading to LRTI other than pneumonia were as follows: Acinetobacter spp. (48.7%), Klebsiella pneumoniae (25.6%), Pseudomonas aeruginosa (12.8%), Serratia marcescens (5.1%), Escherichia coli (2.5%), Enterobacter cloacae (2.5%) ) and Candida albicans (2.5%), and 11.4% were polymicrobial.

Conclusion: NIs are inevitable entities in hospitals, especially in ICUs, and one of the vital goals of hospitals is to control and manage such a situation. Timely and appropriate therapeutic interventions should be designed to reduce NI rates. If needed, catheters should be inserted with correct indication, and catheter application should be reduced. It is important that hospitals develop comprehensive antibiotherapy programs based on their own surveillance data.
Predictors of in-hospital mortality in patients admitted to the emergency department with cardiogenic pulmonary edema
Authors: SERT Ekrem Taha , KOKULU Kamil , GÜL Murat , MUTLU Hüseyin
Published: March 2021

Background: Despite significant advances in the treatment of heart failure, the prognosis of acute cardiogenic pulmonary edema (ACPE) continues to be a serious problem. The objective of this study is to determine the risk factors affecting in-hospital mortality in patients with ACPE.

Methods: We enrolled 305 patients who were hospitalized with cardiogenic pulmonary edema as a diagnosis. Clinical, biochemical and echocardiographic variables were collected and analysed. The patients were divided into two groups according to the presence of mortality. Both groups were evaluated in terms of clinical features during admission to the emergency department (ED) and factors affecting in-hospital mortality.

Results: Forty-two patients died and the mortality rate was 13.8%. To determine the factors affecting mortality, multiple logistic regression analysis was performed. In the regression analysis, it was seen that age at admission to the ED (OR:1.75, 95% CI 1.18-3.05, p:0.014), systolic blood pressure (OR:0.95, 95% CI 0.31-0.98, p:0.040), presence of acute myocardial infarction (OR:4.17, 95% CI 1.85-7.13, p:0.001), positive troponin (OR:5.47, 95% Cl 1.07-7.46, p:0.011), atrial fibrillation rhythm (OR;3.16, 95% CI 1.81-8.02, p:0.010), inotropic drug usage (OR;5.61, 95% CI 1.87-9.24, p:0.013) increased in-hospital mortality.

Conclusion: Our findings could help clinicians in identifying patients with poor prognosis early in the presence of identified risk factors.
The Effect of Internet Addiction in Students on Quality of School Life
Authors: AKSOY Erhan , ÖZTOPRAK Ülkühan
Published: March 2021

Aim: Internet addiction in children is a mental disorder that negatively affects the quality of life. In this day and age, internet usage, and school life, which takes a significant amount of time for students, are specified as engaged concepts that affect each other. Therefore, this study has been addressed to investigate the effects of internet addiction on primary, middle, and high school students on school life quality.

Material and Method: This research was conducted as a questionnaire study by Dr. Sami Ulus Training and Research Hospital Pediatric Neurology in the 2018-2019 academic year for Primary School, Middle, and High School students. The questionnaire consisted of sociodemographic information, Internet Addiction Scale (IAS), and Quality of School Life Scale (QSLS).

Results: Seven hundred eighty-eight students were included in the study. Mean age was 12.94 ± 2.79 years (range 8 - 17). Internet addiction scores were 57.67 ± 20.63, and 106 (13.80%) children had internet addiction. The Quality of School Life Scale total scores were found as 112.65 ± 18.42. It was observed that school success and school life quality decreased as the internet addiction score increased. It was observed that the students' education and puzzle games compared to other websites caused lower IAS scores. The most significant differences were observed among high school students. While it was observed that IAS scores, internet addiction, family negative relationships, and exposure to violence rates were highest in high school students, QSLS scores, and course success were found below.

Conclusion: There is a need to develop programs that would minimize the excessive and useless internet use of students and improve the environmental factors that regulate their relationships in the family, school, and other settings.
The prevalence and severity of lower back pain in South African university rowers
Authors: Heyneke Lisa , Green Andrew
Published: March 2021

Background: Low back pain (LBP) is a condition prevalent among rowers due to the repetitive and physically demanding nature of rowing. Information concerning LBP among university-level rowers is, however, outdated and not widely available.

Objective: To determine the prevalence, severity and disabilities of LBP among university-level rowers in South Africa.

Methods: An online questionnaire, including the Athlete Disability Index (ADI) Questionnaire, was distributed to nine South African university rowing clubs. One-hundred participants aged between 18 to 30 years completed the online questionnaires.

Results: Eighty-seven rowers admitted to sustaining LBP either at the time of the study or previously in their university rowing career. These rowers (n=87) completed the Athlete Disability Index (ADI) Questionnaire which provided a moderate LBP disability score (ADI score: 8.1±6.0; ADI %: 24.7%±18.1). Rowers who had been rowing for a longer duration reported a higher severity of LBP (p=0.001). There was no statistically significant difference for LBP prevalence (p=0.584), or severity (p=0.445) between the sexes. A small significant correlation between age and the ADI score (r=0.25, p= 0.021) was reported. The high prevalence and moderate severity highlight the significance of LBP among university rowers.

Conclusion: This study illustrates the prevalence of LBP with moderate severity among university rowers. Future research on LBP risk factors and aetiology is recommended to decrease the negative impact of this condition.
What's new for the clinician? - Excerpts from and summaries of recently published papers
Authors: Yengopal Veerasamy
Published: March 2021

The effects of a hydrogen peroxide mouthrinse on the intraoral viral load of SARS-CoV-2 - The effect of adjuvant oral irrigation on self-administered oral care in the management of peri-implant mucositis
A base-line study of the wear of burs used for chairside milling of ceramic crowns of different hardness: effect on internal fit and surface roughness
Authors: Ahmed Ayman A , Owen C Peter
Published: March 2021

INTRODUCTION: Wear of milling burs may affect the internal fit and surface roughness of the milled crown. AIM: To assess the wear of diamond and tungsten carbide (TC) burs from milling ceramic materials and the effect on internal fit and surface roughness. METHODS: Thirty crowns of each of the two materials were milled from the same standard preparation. Diamond burs were used for a feldspathic ceramic and TC burs for zirconia. Before and after the 10th, 20th and 30th milling, diamond particle loss was counted and cutting blade changes of the TC burs measured. Internal fit was measured using a silicone replica technique and surface roughness by 3D laser microscope. RESULTS: An average 26% loss of diamond particles occurred after 30 crowns, resulting in a 6% decrease in internal luting space and a 21% decrease in surface roughness. Wear of the TC burs resulted in a 13% decrease in the luting space, and a 16% increase in surface roughness. CONCLUSION: The wear of milling burs reduces the luting space, and the milling parameters must be adjusted to compensate for this. Surface roughness is affected by bur type: with diamond burs it decreased, and increased with TC burs.
População em situação de rua: perfil dos casos de coinfecção tuberculose e HIV
Authors: Orfão Nathalia Halax , Da Silva Kamila Maria , Ferreira Melisane Regina Lima , Brunello Maria Eugenia Firmino
Published: March 2021

OBJETIVO: analisar o perfil da População em Situação de Rua (PSR) com a coinfecção tuberculose (TB)/HIV em Porto Velho-RO, entre 2015 a 2018. MATERIAIS E MÉTODOS: estudo descritivo, transversal com abordagem quantitativa realizado a partir do levantamento das variáveis sociodemográficas, clínica e do tratamento dos casos no Sistema de Informação Nacional de Agravos de Notificação, e posteriormente análise por distribuição de frequência, após atender aos preceitos éticos. RESULTADOS: foram notificados sete casos de TB/HIV entre as PSR. A maioria era do sexo feminino, entre 31 a 38 anos, parda, baixa escolaridade, apresentavam doenças e agravos associados, não eram população especial, notificadas em 2016, na referência terciária, era caso novo ou reingresso após abandono, forma clínica pulmonar, radiografia de tórax suspeito, baciloscopia de escarro negativa, teste molecular rápido para a TB e cultura não realizadas, teste de sensibilidade e controle mensal em branco, até três contatos identificados e nenhum examinado, não realizaram Tratamento Diretamente Observado, tratamento na referência terciária, de 61 a 120 dias e mais do que 181 dias, e elevado percentual de abandono. CONCLUSÃO: torna-se essencial rever as estratégias de acesso aos serviços e ações ofertadas para atender as demandas de saúde da PSR, voltadas para ambos os agravos.
Evaluation of Amasya city tourism planning using SWOT analysis
Authors: KURT KONAKOĞLU Sultan Sevinç , KURDOĞLU Banu Çiçek
Published: March 2021

With its natural, historical, and cultural resources, the city of Amasya offers very valuable potential in terms of tourism. The city center was taken under the protection of the ‘Tourism Incentive Law’ (no. 2634) in 1982. The most notable parts of this potential include the historical texture of the city center in particular and the areas where nature tourism and thermal tourism are carried out in the vicinity of the city. However, in addition to the positive aspects of the city in terms of tourism, there are also negative factors such as the inefficient use of resources, insufficient publicity, and lack of tourism planning. In order to determine the tourism potential of the city of Amasya, this study, by using a SWOT analysis, aimed to reveal the strengths and weaknesses of the city in the field of tourism as well as its opportunities and the threats that it faces. For this purpose, first, a literature review was carried out, followed by a field study, and the current situation and the types of tourism in the city were determined. Using this information, a survey consisting of four questions was prepared. In order to evaluate the SWOT survey objectively, a workshop entitled ‘Evaluation of Amasya City Landscape Components in Terms of Tourism (AKPBTAD)’ was held at the Büyük Amasya Hotel on 26 June 2018, with tourism-related stakeholders in attendance. Participants included the provincial governor, the university rector, representatives from various public institutions, hotel operators, tourism association officials, tourist guides, neighborhood representatives, self-employed individuals, and academicians. The SWOT survey was conducted through face-to-face interviews with a total of 95 of these experts. The frequency (percentage) values of the SWOT survey responses were calculated using the SPSS 16.0 program. The findings included recommendations for improving the city of Amasya in terms of tourism planning.
Preparation of ink for electrode deposition via paint brushing using oxide powder v3
Authors: Cordaro Giulio
Published: March 2021

A simple and efficient procedure to produce a viscous ink for brush painting of porous electrodes on top of electrolyte pellets for Solid Oxide Fuel Cells (SOFCs). The layers have a variable porosity between 20 and 40%, depending on the choice of the calcination parameters, which is strongly influenced on the electrode and electrolyte materials, the particle size distribution and the morphology of the electrode powder. The thickness of the layers is variable in the 10-100 μm range, depending upon the amount of ink deposited. All the calcination parameters, the electrode and electrolyte materials, the particle size distribution and the morphology influence the adhesion of the electrode layer on the electrolyte substrate.
Choosing to Stay: Alternate Migration Decisions of Ghanaian Youth
Authors: Setrana Mary
Published: March 2021

This article focuses on nationals from Ghana who have lost interest in pursuing migration dreams to Europe and North America after failed attempts to migrate. Many less experienced youths who attempt to migrate to Europe and North America face challenges such as strict immigration laws, high cost of financing migration plans, or illegal recruiters. Some risk their lives through dangerous routes to achieve their migration goals. The negative consequences recorded are numerous, including death en route to Europe and North America. Using life stories, this article lets failed migrants recount the frustration, wasted resources and years spent to fulfil their migration dreams. It discusses individual factors such as experiences that affect the decision not to pursue migration dreams despite the culture of migration in their communities. The article concludes that strict immigration policies in Europe and North America have restricted international migration among less experienced and less skilled youth in Ghana, leading to personal decisions not to migrate but adjust to the conditions at home, and later describing their stay as a preferred decision.
Practitioner assessment of ergonomics of a long-term ECG monitoring device
Authors: Zvereva T. N. , Babichuk A. V.
Published: March 2021

Aim. To assess ergonomic properties of a long-term ECG monitoring device from the standpoint of its usability and reliability of data recording.Methods. Three generations of the long-term ECG monitoring device were tested. 86 volunteers (30 women) were recruited in a study. Over 100 ECG recordings were collected to estimate ergonomic properties. A set of measures to improve the ergonomic properties was recommended after each generation testing. After the upgrading, the device was entering the next stage. The overall study duration was 3 years.Results. The assessment of ergonomic properties of the long-term ECG recording device resulted in the improvement of the device case, universal electrodes, safe data transmission channel, and a user-friendly instruction manual. The software package for data processing was improved and allowed the introduction of remote data transmission to physicians.Conclusion. The device corresponds to all standards of ergonomics and usability. It received the Federal Health Care Supervisory Agency (Roszdravnadzor) approval.
Acute Citrulline-Malate Oral Supplementation does not Improve Post-Aerobic-Exercise Autonomic Response in Normotensive and Hypertensive Subjects: a Pilot Randomized Controlled Study
Authors: Casonatto Juliano , Moraes Adeluci , Grandolfi Kamila
Published: March 2021

AbstractThe present study was designed to investigate whether citrulline malate (CM) supplementation might influence post-aerobic-exercise autonomic response in normotensive and hypertensive subjects. Forty individuals (20 normotensives and 20 hypertensives) were randomly assigned to one of the four experimental groups (normotensive-placebo [NP], normotensive-CM [NC], hypertensive-placebo [HP], and hypertensive-CM [HC]). The participants ingested CM (6 g) or placebo dissolved in water (100 ml) 120 min before the exercise session. The exercise session was conducted on a treadmill and consisted of 40 min of running/walking at 60-70% HRreserve. The heart rate variability (HRV) was recorded continuously for 60 min post-exercise. In normotensive subjects at “post-30”, LF increased and HF decreased after the CM supplementation (16% [P=0.041] and -32% [P=0.037], respectively). No significant differences were found in “pre”, “post-30” and “post-60” considering the pooled (NP, NC, HP, and HC) z-scores for time and frequency HRV domains. These results suggest that a single dose of CM supplementation does not promote significant effects on post-exercise autonomic modulation in normotensive and hypertensive subjects.

Keywords: Autonomic Nervous System. Citrulline Malate. Hypertension. Exercise.

ResumoO presente estudo foi desenvolvido para investigar se a suplementação de citrulina malato (CM) pode influenciar a resposta autonômica após exercício aeróbico em indivíduos normotensos e hipertensos. Quarenta indivíduos (20 normotensos e 20 hipertensos) foram aleatoriamente designados para um dos quatro grupos experimentais (normotenso-placebo [NP], normotenso-CM [NC], hipertenso-placebo [HP] e hipertenso-placebo [HP] e hipertenso-CM [HC]). Os participantes ingeriram CM (6 g) ou placebo dissolvido em água (100 ml) 120 minutos antes da sessão de exercícios. A sessão de exercícios foi realizada em esteira e consistiu em 40 minutos de corrida/caminhada a 60-70% da FCres. A variabilidade da frequência cardíaca (VFC) foi registrada continuamente por 60 minutos após o exercício. Nos normotensos “pós-30”, houve aumento para LF e redução para HF após a suplementação de CM (16% [P=0,041] e -32% [P=0,037], respectivamente). Não foram encontradas diferenças significativas nos momentos "pré", "pós-30" e "pós-60", considerando os escores-z combinados (NP, NC, HP e HC), tanto para os indicadores de domínio do tempo, quando para os de domínio da frequência. Estes resultados sugerem que uma dose única de suplementação de CM não promove efeitos significativos na modulação autonômica após exercício em indivíduos normotensos e hipertensos.

Palavras-chave: Sistema Nervoso Autônomo. Citrulina Malato. Hipertensão, Exercício.
Very Low Birth Weight Preterm Children Motor Performance in the First Year of Life
Authors: Cavazzola Lenise Baldin , De Oliveira Natiele de Mello , Lodi Mayra Nathu , Chiarani Bruna , Trubian Fernanda , Sangali Caroline Cenci , Rodrigues Laura de Moura , Saccani Raquel
Published: March 2021

AbstractMotor skills acquisition is negatively affected by low birth weight in preterm infants. This research aimed to evaluate the motor development of preterm babies from zero to 12 months of corrected age, born with very low birth weight. The sample of 45 children, from 2 to 12 months of chronological age, was divided into two groups: Group A (from 0 to 6 months, n=35) and Group B (from 7 to 12 months, n=10). In order to assess the motor skill development, Alberta Infant Motor Scale (AIMS) was used along with two questionnaires to control the biological and environmental risk factors. In the results 53,3% of the children were preterm below 30 weeks gestational age, and more than 40% of the evaluated population presented a poor motor performance for the age, with 13.3% of the referred children as having abnormal motor development and 35.6%, suspicious of delayed motor development. The worst performance could be observed in Group B. The findings reinforce the importance of early assessment, considering that the first semester is the most critical period for the child’s neuropsychomotor development. Key-words: Infant, Premature. Motor Skills. Infant, Very Low Birth Weight.

Resumo O baixo peso ao nascer afeta negativamente as aquisições motoras dos prematuros. Esta pesquisa teve como objetivo avaliar o desenvolvimento motor de bebês pré-termos de zero a 12 meses de idade corrigida, nascidos de muito baixo peso. Participaram da pesquisa 45 crianças, com idade entre 2 e 12 meses de idade cronológica, divididas em 2 grupos: Grupo A (0 a 6 meses, n=35) e grupo B (7 a 12 meses, n=10). Para avaliação motora foi utilizada a Alberta Infant Motor Scale (AIMS) e dois questionários para controle dos fatores de risco biológicos e ambientais. Nos resultados, 53,3% das crianças eram prematuras com idade gestacional menor que 30 semanas e mais de 40% da população avaliada apresentou desempenho motor inadequado, sendo que 13,3% apresentaram atraso e 35,6% suspeita de atraso. O pior desempenho foi observado no grupo A. Os achados reforçam a importância da avaliação precoce, considerando que o primeiro semestre é o período mais crítico ao desenvolvimento motor.

Palavras-chave: Recém-Nascido Prematuro. Destreza Motora. Recém-Nascido de muito Baixo Peso.