bluuebunny/crossref_metadata_2025 huggingface dataset:
The Ramifications of Opioid Utilization and Outcomes of Alternative Pain Control Strategies for Total Knee Arthroplasties
Authors: Berardino Kevin , Carroll Austin H. , Ricotti Robert , Popovsky Daniel , Civilette Matthew D. , Urits Ivan , Viswanath Omar , Sherman William F. , Kaye Alan D.
Published: August 2022

Morbidity and mortality related to opioid use has generated a public health crisis in the United States. Total knee arthroplasty (TKA) is an increasingly common procedure and is often accompanied by post-operative opioid utilization. Unfortunately, post-operative opioid usage after TKA has been shown to lead to higher rates of complications, longer hospital stays, increased costs, and more frequent need for revision surgery. Pre-operative opioid utilization has been shown to be one of the most important predictors of post-operative opioid usage. Additional risk factors for continued post-operative opioid utilization after TKA include pre-operative substance and tobacco use as well as higher post-operative prescription dosages, younger age, female gender, and Medicaid insurance. One method for mitigating excessive post-operative opioid utilization are Enhanced Recovery After Surgery (ERAS) protocols, which include a multidisciplinary approach that focuses on perioperative factors to optimize patient recovery and function after surgery. Additional strategies include multimodal pain regimens with epidural anesthetics, extended duration local anesthetics and adjuvants, and ultrasound guided peripheral nerve blocks. In recent years, opioid prescribing duration limitations have also been put into place by state and federal government, hospital systems, and ambulatory surgery centers making effective acute pain management imperative for all stakeholders. In this regard, as rates of TKA continue to increase across the United States, multidisciplinary efforts by all stakeholders are needed to ensure adequate pain control while preventing the negative sequalae of opioid medications.
Characteristics and Trends of the Most Cited Knee Surgery, Sports Traumatology, Arthroscopy Articles
Authors: Weinerman Jonathan , Constantinescu David S. , Lizardi Juan J. , Sudah Suleiman Y. , Vanden Berge Dennis J. , Carvajal Alba Jaime
Published: August 2022

Purpose

To compile and analyze the top 50 most frequently cited articles published in the Knee Surgery, Sports Traumatology, Arthroscopy journal.

Methods

Guidelines set by the Preferred Reporting Items for Systematic Reviews were used as the foundation for data collection and analysis. Scopus database was used to acquire the metric analyzed in the study. Once collected, the data was exported to an excel sheet in order to be organized, sorted, and analyzed in accordance with the metrics of interest.

Results

The United States was the most contributory nation with 14 publications, followed by Sweden with13 publications and Germany with eight publications. The most contributory institution was Umeå University in Vasterbottens, Sweden (8) followed by National Institute for Working Life in Stockholm, Sweden (7) and The University of Pittsburgh (5). Most publications were either Level II (19) or Level III (19) in terms of Level of Evidence. There was only one publication that was classified as a Level I paper.

Conclusion

The Journal of Knee Surgery, Sports Traumatology, and Arthroscopy has published very influential research papers as noted by the number of citations amassed by its most popular articles. KSSTA’s top cited publications hail largely from major European and United States institutions and are composed of high-quality reports of mostly Level 2 and Level 3 evidence classifications.

Level of Evidence

3
Glenoid bone augmentation: a contemporary and comprehensive systematic review of open procedures
Authors: Falbo Ryan , Moore Austin , Singleton Amy , Steffenson Annie , Levine Jason , Miller Richard
Published: August 2022

Introduction

There is a trend towards arthroscopically treating shoulder instability with glenoid deficiency. Despite this, there remains the option for treatment through an open technique. Multiple bone augmentation options are available for recurrent anterior shoulder instability.

Objective

To provide a systematic review of recent studies for recurrent anterior shoulder instability necessitating glenoid bone augmentation specifically through open procedures using coracoid bone or free bone blocks [iliac crest bone autograft/allograft or distal tibia allograft (DTA)].

Methods

PubMed, Cochrane, EMBASE, and Google Scholar were searched for studies reporting open glenoid bone augmentation procedures with iliac crest, tibia, or coracoid bones within 10 years. Extracted data included study/patient characteristics, techniques, prior surgeries, prior dislocations, radiographic findings, range of motion (ROM), recurrent instability, patient-reported outcomes, and complications.

Results

92 met inclusion criteria (5693 total patients). Six were studies of iliac crest bone, four of DTA, and 84 using the coracoid bone. 29 studies measured postoperative arthritis showing no development or mild arthritis. 26 studies reported postoperative graft position. 62 studies reported ROM noting decline in internal/external rotation. 87 studies measured postoperative instability with low rates. Rowe Scores with noted improvement across 31/59 (52.5%) studies were seen. Common post operative complications included infection, hematoma, graft fracture, nerve injury, pain, and screw-related irritation.

Conclusion

Despite a trend towards arthroscopic management of recurrent anterior shoulder instability with glenoid deficiency, open procedures continue to provide satisfactory outcomes. Additionally, studies have demonstrated safe and efficacious use of free bone block graft options in the primary and revision setting.
A new trabeculectomy technique for the treatment of glaucoma
Authors: Petrov S. Yu. , Suleiman E. A.
Published: August 2022

PURPOSE. To develop a new modified technique of sinus trabeculectomy for the surgical treatment of primary open-angle glaucoma (POAG) aimed at reducing scarring and improving and prolonging the outflow of aqueous humor along newly formed pathways.   METHODS. In the course of the surgery, superficial and deep scleral flaps were formed. After trabeculectomy, the lateral edges of the deep flap were turned inside out and superimposed on each other, forming a roller with "grooves" on its sides used for the outflow of aque-ous humor. The operation was performed in 52 patients (52 eyes) aged 43 to 84 years old (mean age 63.4 ± 1.49 years). Of these, 39 patients were diagnosed with POAG at advanced and far advanced stages, and 13 patients with POAG and a history of previous laser and surgical interventions. The patients were divided into groups: group 1 (main) — 25 patients (25 eyes) who underwent the modified sinus trabeculectomy involving the formation of grooves for the outflow of aqueous humor, and group 2 (controls) — 27 patients (27 eyes) who underwent standard sinus trabeculectomy. The follow-up lasted up to 24 months. Standard methods of examination were used (visometry, tonometry, computer perimetry, tonography, etc.). Optical coherence tomography of the anterior segment of the eye was performed in the early postoperative period, followed by ultrasound biomicroscopy.   RESULTS. One month after surgery, the average level of intraocular pressure was comparable and remained low in all groups: 1 — 16.7 ± 0.6 mm Hg, 2 — 17.1 ± 0.7 mm Hg. After one year post surgery, IOP remained normalized in both groups. By 24 months, IOP normalization was preserved in 84 %, and including patients compensated on medication — 96 %. In the control group, the hypotensive success rate was 74 %, and including patients compensated on a medication regimen — 88.8 %.   CONCLUSION. The newly developed sinus trabeculectomy technique for the surgical treatment of glaucoma achieves a prolonged hypotensive effect.
Kentsel Yerleşim Alanları için Yeni Bir Açık Alan Anlayışı: Yaya Durağı (Parklet)
Authors: Gültürk Doğruyol Pınar
Published: August 2022

Kent planlarında önemli bir yer edinmiş olan açık alanlar, birçok çalışmada farklı yönleri ile ele alınmıştır. Açık alanların kentsel yerleşimlerde kütle-boşluk dengesini sağlaması bakımından belirli büyüklükler ve mesafelerle planlanması gerekmektedir. Özellikle yoğun yerleşim bölgelerinde yer alan açık alanlar; hava koridoru oluşturma, temiz hava sağlama, rekreasyonel ihtiyaçları giderme, stresi azaltma gibi çeşitli işlevlere sahiptir. Ancak nüfus artışı ile birlikte yapılaşmanın artması sonucu, açık alanlar üzerinde oluşan baskı gün geçtikçe artmakta, bazen bir kısmı bazen tamamı yapılaşmaya açılabilmektedir.

Bu çalışmada özellikle yoğun yerleşim bölgelerinde azalan kentsel açık alanlara bir alternatif olarak gelişen “yaya durağı (parklet)” kavramı araştırılmış, uluslararası ölçekte yeri ve önemi üzerine durulmuştur. Parklet uygulamalarının hangi durumlarda gerçekleştirilebileceği irdelenerek, araştırma alanı olan Tekirdağ ili Süleymanpaşa ilçesi merkez yerleşim bölgesindeki potansiyel parklet alanları ortaya konulmuştur. Potansiyel alanlardan kullanım farklılığı olan iki adedine, öneri parklet kullanımı getirilmiştir. Bu çalışma ile yoğun kentsel yerleşim alanları için alternatif açık alanların oluşturulabileceği, başka çalışmalara örnek niteliğinde olup geliştirilerek ülkemizde de parklet kavramının kendine yer edineceği düşünülmektedir.
Platanus orientalis L. (Doğu Çınarı) günümüz ve gelecek yayılış alanlarının CanESM5ve IPSL-CM6A-LR iklim modellerine göre karşılaştırılması
Authors: Üyük Ayyüce , Örücü Ömer K.
Published: August 2022

Peyzaj Mimarlığı meslek disiplininin başlıca tasarım öğesi olan bitki materyalinin iklim değişikliğinden nasıl etkileneceğini analiz etmek, bu türlerin bitkilendirme çalışmalarında gelecekteki kullanımlarının planlanması açısından çok önemlidir.  Çalışma için ilk olarak Platanus orientalis L. Türün günümüz koşullarındaki potansiyel yayılış alanı, türün mevcudiyet verileri ve 2,5 dakikalık (yaklaşık 20 km2) uzamsal çözünürlüğe sahip WorldClim 2.1 versiyon 19 biyoiklimsel değişkenler kullanılarak tahmin edilmektedir. Platanus orientalis L. dağıtım alanlarının iklim değişikliğinden nasıl etkilendiğini anlamak için Kanada Modeli olan CanESM5 İklim modeli kullanılarak SSP2 4.5 VE SSP5 8.5 senaryolarına ait 2041-2060 ve 2081-2100 dönemlerine ait potansiyel dağıtım alanları belirlenmiştir. Diğer taraftan türlere ait üretilen günümüz ve gelecekteki dağılım alanlarına ait değişim analizleri oluşturulmuştur. Elde edilen çalışmalara göre şimdiki zaman dağılım alanı için çok uygun ve uygun görülen alanlar 208.092 km2 olarak elde edilmiştir. Sonuç olarak Platanus orientalis L.’in dağılım alanlarının yıllara göre giderek azalacağı ileride ülkemizde türe rastlanmayacağı tahmin edilmektedir.
Severe hyponatremia in the setting of mediastinal neuroblastoma in an elderly male
Authors: Black Alexander , Gohel Nishant , Kanikireddy Sankarabharan
Published: August 2022

Introduction: Neuroblastomas are rare neoplasms with the potential to express paraneoplastic syndromes.

Case Report: We report the case of a 77-year-old male with biopsy-confirmed unresectable anterior mediastinal neuroblastoma with symptomatic hyponatremia likely due to paraneoplastic syndrome of inappropriate antidiuretic hormone (SIADH). He had multiple inpatient admissions for symptomatic hyponatremia over the 3-year period that we examined, with a paucity of admissions during chemoreduction with adjuvant radiation therapy. Due to the rarity of this tumor, there is no standard treatment protocol and the literature regarding these neoplasms exists primarily as case reports.

Conclusion: This case report adds to the existing literature detailing paraneoplastic SIADH in the setting of mediastinal neuroblastoma in adults and highlights the importance for oncologists to be cognizant of this syndrome as a complication of a particular rare malignancy.
Manutenção e funcionalidade das edificações como fatores dependentes da sua durabilidade estrutural
Authors: Mendes Luiz Carlos , Da Silva Matheus Rodrigues Marchetti , Araújo Leonardo Silva , Alves Vancler Ribeiro
Published: August 2022

Os fatores agressivos ambientais associados com o mau uso da edificação acarretam a perda de seu desempenho com o passar do tempo.  São necessárias dessa forma várias intervenções periódicas a fim de assegurar  a  restauração do desempenho. Tais intervenções são de diversas naturezas, tais como recuperação  estrutural, manutenção de instalações prediais, de impermeabilização,  troca de revestimentos danificados, troca de madeiramento danificado e muitas outras. O presente trabalho apresenta propostas de metodologias de recuperação a fim de se diminuir os riscos aos usuários e eliminar as patologias existentes nas edificações. Tais procedimentos têm como objetivo principal a preservação do patrimônio edificado assegurando uma maior durabilidade. Dependendo da localização do imóvel, da agressividade ambiental, da sua funcionalidade e a que tipos de patologias estão sujeitos, este trabalho pretende apresentar várias metodologias específicas para cada caso, especialmente direcionadas para conjuntos edificados nas regiões do Estado do Rio de Janeiro e do território brasileiro.  Pretende-se contribuir com estudos que visam impedir a desvalorização patrimonial e gastos maiores com medidas  de recuperação e reforço.
Unidades de Conservação Estadual na Amazônia Paraense: um olhar sobre a APA Arquipélago do Marajó e o Parque Estadual Charapucu
Authors: De Araujó Alzira Almeida , Pontes Altem Nascimento
Published: August 2022

Compreendendo nesta pesquisa as Unidades de Conservação (UCs) como territórios “vívidos” ou “usados” habitados pelas populações tradicionais e campos de proteção da biodiversidade. Como meio de compreender os processos de gestão e permitir uma reflexão crítica, este artigo analisa a implementação de gestão da Área de Proteção Ambiental (APA) Arquipélago do Marajó e Parque Estadual Charapucu (PEC), UCs Estaduais localizadas no Estado do Pará, tendo por finalidade compreender suas potencialidades e limitações no que diz respeito à implicações de gestão. Metodologicamente, adotou-se uma abordagem quali-quantitativa por envolver análises de descritores gerais e específicos, sendo análises de descritores gerais e específicos, assim mesurado nos anos de 2018 a 2021. Conclui-se que se faz necessária uma visão crítica de gestão de áreas protegidas, no sentido de acompanhar a adequação da UC à Lei do Sistema Nacional de Conservação da Natureza (SNUC), e vincular às questões educativas e de pesquisa, cuja finalidade é promover a valorização dessas áreas enquanto locais de conservação da biodiversidade e das populações tradicionais.
Comparative study on the effect of chemical mutagens of sodium azideand di-ethyl sulfate on improving morphological traits and yield components of Borgo officinalis L, plant
Authors: El-Khateeb Mohamed A. , El-Attar Asmaa B. , Fayed Rawhia. G.
Published: August 2022

Borage seeds were soaked in different doses of sodium azide (SA) and di-ethyl sulphate (DES), at 0.1,0.2,0.3 and 0.4%  for 6 hrs., M2 seeds were harvested from M1 plants.In MG1 it was found that most SA doses increased plant height and stem thickness. SA at 0.3% & 0.4%, increased the ramification of main branches and enhanced leaves formation, leaf area, FW and DW of leaves, DW /FW ratios and root length. SA 0.3% was more effective than 0.4% and SA 0.2% increased the root number. Whereas, in MG2, SA 0.3 % significantly increased most morphological traits, but stem thickness responded well to SA at 0.1% and No. of branches was increased with SA 0.4 %. A great improvement in the formation of leaves obtained with SA 0.3%.The leaves DW/FW ratios, showed a positive response to SA 0.1 and  0.3% Concerning DES effects in MG1 and 2, the results in MG1revealed that all doses increased plant height and stem diameter and 0.4% DES produced the tallest and highest No. of branches and at 0.1% gave thickest stems . Applying DES 0.3% greatly improved the formation of leaves and the largest leaf area was recorded with 2000 ppm DES.
effect of spiritual care on stress and spiritual health of mothers of neonates hospitalized in NICU
Authors: Vadaei Sima , Abo-s-haghi Mohsen Saeedi , Sarkoohi Zahra , Safizadeh Fahimeh , Mousavi Seyed Maryam
Published: August 2022

Background: hospitalizing neonates in NICU is a critical feeling for the parents. The present research aim was the effect of spiritual care on stress and spiritual health of mothers of neonates hospitalized in NICU. Method: The present study was semi-experimental with pre-test and post-test design with control groupA total of 66 mothers with including criteria were selected and divided into two groups of control and randomly assigned test. For the test group, spiritual need assessment was performed using the spiritual need assessment guide and nine spiritual actions based on native culture and religion were implemented based on the needs of the mother. In the control group, intervention was not performed. In both groups, Beck Anxiety Inventory and Palutzian and Ellison Spiritual Health Questionnaire completed the pre and post-test pre-admission and discharge procedures. Findings: The results of the study showed that there was no significant difference between demographic characteristics in both control and test groups. Comparison of the level of anxiety and spiritual well-being before intervention was done between the two groups using independent t-test and paired t-test. There was no significant difference between them (P> 0.05). After the intervention, there was a significant difference between the groups (P <0.05).
Lifestyle of the elderly people in rural areas in Beni-Suef Governorate
Authors: Sayed Hannan Mohammed , El-Mohsen Afaf Salah Abd , Ahmed Saher Mahmoud Sayed
Published: August 2022

Lifestyle include components as diet, exercise, hygiene and avoidance of smoking.  Aim of this study is to assess lifestyle of elderly people in rural areas in Beni suef Governorate. Design Descriptive design was used. Sample Systemic random selection of 350 elderly. Setting Kom abo Khalad village in Naser center in Beni Suef Governorate. Tools Three tools were used in this study Tool I Interview Questionnaire consisted of 3 parts, 1st: Socio-demographic data of elderly, 2nd: Past and present health history, 3rd: Assessment of elderly lifestyle. Tool II: Observational checklist of elderly people lifestyle. Tool III: Physical assessment to measure weights and heights of elderly people. Result:  The study showed that 48.9% of the elderly people their age's ranges from (60-< 70). 57.1% of elderly suffered from insomnia. 54.6% of elderly had smoking habits, 87% of elderly hadn’t alcohol use and 74.3 of the elderly had healthy lifestyle. Conclusion More than half of the elderly people were dependent in feeding. More than half of elderly participate in home activity, two thirds of elderly no doing exercise. In additional to, majority of elderly suffer from insomnia & more than half of elderly had smoking habits.
Comprehensive evaluation of clinical efficiency of dexamethasone as a supportive agent for bupivacaine in spinal anesthesia
Authors: Agarwal Manish Kumar , Nath Shivika
Published: August 2022

Background and Aim: In order to enhance the overall performance and efficiency of bupivacaine, several additives have been experimented by various researchers. However, each adjunctive agent has its own disadvantages and limitations. This study was conducted to evaluate the clinical efficiency of dexamethasone as a supportive agent for bupivacaine in spinal anesthesia. Materials & Methods: Total 60 patients fulfilling as per the American Society of Anesthesiologists class I and class II of either sex aged between 21 to 60 years were included in the study. All patients were studied into two groups; Group 1 patients received combination of intrathecal bupivacaine (3ml, 15mg, 0.5%) plus dexamethasone (2ml, 8mg). Group 2 patients received intrathecal bupivacaine (3ml, 15mg, 0.5%) plus saline (2ml). Spinal anesthesia was administered with standard manner at lumber space. The early onset of anesthesia along with duration of block and assessment of pain were noted carefully to investigate further. Statistical Analysis & Results: Statistical analysis was completed by SPSS software wherein P value less than 0.05 was considered significant. Out of total studied 60 patients, maximum 31 patients were in the age range of 21-30 years. Age range of 41-50 years confirmed only 6 subjects. P value was highly significant.
Infected dentigerous cyst on a totally impacted mesiodens
Authors: Hutomo Ferdian Rizky , Rizqiawan Andra , Margaretha Michelle , Cahya Dewi
Published: August 2022

Dentigerous cyst is a developmental odontogenic cyst which originates through alterations of reduced enamel epithelium in an unerupted tooth or a developing tooth bud. These cysts rarely associate with supernumerary teeth. Supernumerary teeth accounts for 5% of all dentigerous cysts. The most common supernumerary teeth are mesiodens. The case study aimed to present a rare case of infected dentigerous cyst on a totally impacted mesiodens. This case report describes a rare case of infected dentigerous cyst associated with mesiodens in a 33 year old female who presented with a slow growing swelling in the palatal. Dentigerous cyst was treated with cyst enucleation with extraction of the mesiodens. Mesiodens should be diagnosed at the earliest possible time and its management should be conducted to prevent development of dentigerous cyst and damage to adjacent teeth and vital structures.
Changes in markers ferritin and c-reactive protein in patients with COVID-19 in Iraq
Authors: Jabbar Haider Abd , Hasan Aqeel Raheem , Mones Mohammed Ali , Abdalameer Abdalkhaliq A. , Abed May Jaleel
Published: August 2022

Background: According to the coronavirus virus resource center of Johns Hopkins Medicine, more than 75 million people are presently affected worldwide, SARS-CoV-2  infect host cells through the angiotensin-converting enzyme 2 (ACE2) receptor, which is found in a variety of human organs, the virus's entry into the bloodstream has resulted in the involvement of practically all of the body's organs. Aim: We have aimed to determine the roles of serum ferritin and CRP in different strata of patients with COVID-19 infection and to predict disease severity. Methods: A retrospective study was carried out after obtaining approval from the relevant Ethics Committee. Total number of 125 cases taken for study, admitted on a priority basis. Consecutive blood tests that included ferritin and CRP in the study period were reviewed. Patients diagnosed with SARS-CoV-2 infection in whom,  serum ferritin and CRP had been analyzed at the time of admission were selected. For assessment of severity and behavior of the factors to be analyzed the COVID-19 patients were grouped into  (mild),(moderate) and  (severely ill) cases, factors analyzed in all groups and correlated,in December 27, 2020, to April  25, 2020. Results: For patients, the mean age was 51 years 64% were men.
Sandbox Handbook V.2.0
Authors: EdTech Hub EdTech Hub
Published: August 2022

An output of the EdTech Hub, https://edtechhub.org
Mapping national digital learning platforms
Authors: Rui Tingting , Chuang Rachel , Thinley Sangay , AlSheikh Theeb Thaer , Villavicencio Xuzel , Rasolohery Hasiniavo.
Published: August 2022

An output of the EdTech Hub, https://edtechhub.org
Hybrid learning International experiences with multimodal approaches
Authors: Villavicencio Xuzel , Coflan Caitlin
Published: August 2022

An output of the EdTech Hub, https://edtechhub.org
Aprendizaje híbrido Experiencias internacionales con enfoque multimodal
Authors: Villavicencio Xuzel , Coflan Caitlin
Published: August 2022

An output of the EdTech Hub, https://edtechhub.org
Moringa oleifera e suas aplicações tecnológicas para a área de alimentos
Authors: SANTOS H. C. , LEONEL G. V. F. , SANTANA C. C. , PIRES A. C. S.
Published: August 2022

Nos últimos anos, a população está cada vez mais preocupada com a saúde, desejando constantemente uma alimentação nutritiva e saudável. A Moringa oleifera, também conhecida como “árvore milagrosa”, é uma árvore folhosa, originária da Índia, porém amplamente cultivada em latitudes tropicais, que oferecem alta adaptabilidade às diversas condições climáticas e solos secos. No Brasil, seu cultivo vem crescendo nos últimos anos, em razão da sua ampla versatilidade de uso, bem como suas propriedades nutricionais e funcionais. Trata-se de uma planta com importante fonte de nutrientes, pois é rica em proteínas, minerais, vitaminas e aminoácidos essenciais. Além disso, contém vários compostos bioativos, incluindo flavonoides e compostos fenólicos, que desempenham propriedades funcionais, como: antioxidante, antimicrobiano, antidiabético e anti-inflamatória. Em muitos países, as folhas da M. oleifera, principalmente na sua forma em pó, vêm sendo introduzidas na dieta humana para auxiliar na nutrição. Além disso, as folhas, flores e sementes podem ser utilizadas para fortificação de alimentos processados, promovendo aumento do valor nutricional e também desempenhando propriedades tecnológicas importantes, sendo utilizadas, por exemplo, como agentes espessantes. Apesar do potencial de uso como ingrediente para alimentos, ainda são necessários mais estudos para intensificar a sua utilização. Além do potencial para aplicação em alimentos, a M. oleifera vem sendo bastante empregada em outros setores, como por exemplo no tratamento de água residuária. Essa revisão aborda as propriedades nutricionais, funcionais e as possíveis aplicações na indústria de alimentos.
Avaliação da rotulagem de marcas de alimentos diet e light comercializados em Currais Novos – RN
Authors: ARAÚJO A. K. S. , MEDEIROS S. S. C. , SOUZA P. A. , CRUZ R. S. , REGIS A. A. , BATISTA E. M. , CAVALCANTE F. L. P.
Published: August 2022

O estilo de vida da sociedade vem mudando cada vez mais, devido a busca por uma alimentação mais prática, aumentando o índice de produtos alimentícios processados. Tais alimentos possuem alto teor de açúcar, sódio, gordura e colesterol, responsáveis pelo desenvolvimento de doenças que prejudicam a saúde. Devido à má alimentação, observou-se a necessidade de alimentos que propiciassem a melhor qualidade de vida, portanto criou-se os produtos diet e light, que possuem em sua formulação a retirada ou diminuição de algum componente nutricional. O objetivo deste trabalho foi avaliar a rotulagem de alimentos diet e light comercializados na cidade de Currais Novos no Rio Grande do Norte, verificando-se os rótulos, conforme a legislação, para as informações obrigatórias e nutricionais. Foram avaliados 12 rótulos de marcas diferentes de produtos diet e light, escolhidos aleatoriamente em estabelecimentos comerciais da cidade. As 12 marcas dos produtos foram codificadas em A, B, C, D, E e F para os alimentos diet e 1, 2, 3, 4, 5 e 6 para os light. Utilizou-se tabelas de modelo check list, referentes às informações nutricionais/obrigatórias. Deste modo, os resultados foram organizados em tabelas diferentes. De acordo com os resultados, as 12 marcas analisadas demonstraram conformidade com a legislação vigente, RDC n° 360, 259 e a portaria n° 27 e 29, Porém 75% das marcas não apresentaram a medida caseira em suas embalagens. Com isso, podemos observar a importância de tais informações para os consumidores sobre a leitura dos rótulos, realizando uma boa escolha do que será consumido.
Perfil epidemiológico dos surtos de doenças transmitidas por alimentos no estado do Pará de 2010 a 2019
Authors: POMBO J. C. P.
Published: August 2022

Doenças Transmitidas por Alimentos (DTA) ocorrem devido à ingestão de alimentos contaminados por agentes físicos, químicos ou biológicos. A ocorrência de DTA é um grave problema de saúde pública com consequências socioeconômicas negativas, tanto em decorrência das vítimas que sofrem seus agravos, quanto das perdas geradas nos ramos da indústria, comércio e turismo. Apesar disso, esse ainda é um assunto tratado de forma irrelevante ou até mesmo desconhecido, o que agrava o problema. Deste modo, o objetivo desta pesquisa foi avaliar o perfil epidemiológico dos surtos de DTA no estado do Pará, no período de 2010 a 2019. Foi realizado um estudo epidemiológico descritivo que consistiu na busca, classificação e análise de dados oficiais do Ministério da Saúde do Brasil. Durante esse período, foram notificados e registrados 145 surtos de DTA que envolveu 3438 indivíduos doentes e ocasionou uma morte. Parauapebas se destacou entre os demais municípios com 21 notificações de surtos. Evidenciou-se que a maioria destes surtos ocorreu em residências e os alimentos a base de frutas foram os mais envolvidos nos surtos confirmados, sendo o protozoário Trypanosoma cruzi o agente etiológico de maior incidência. A maior parte das confirmações dos surtos fundamentou-se em achados clínico-epidemiológicos. Os resultados obtidos evidenciam a necessidade de orientar a população quanto às boas práticas de fabricação e manipulação dos alimentos e aos riscos associados aos alimentos contaminados.
Aspectos tecnólogicos, composição química e microbiológica da kombucha: uma revisão
Authors: MELO C. W. B. , RIBEIRO R. C. , BRAZ J. M.
Published: August 2022

A kombucha é uma bebida fermentada proveniente de uma cultura simbiótica de bactérias e leveduras denominada SCOBY (do inglês, Symbiotic Culture of Bacteria and Yeasts) em formato de uma película de celulose. Essa película flutua na superfície do chá em fermentação e representa um ambiente de interfase, onde os microrganismos incorporados obtêm acesso ao oxigênio e aos nutrientes que compõem o chá. A kombucha vem sendo amplamente consumida em função de suas características sensoriais, refrescantes e pelos diversos benefícios que conferem à saúde, quando consumida diariamente. Estudos na literatura a descrevem com uma alta atividade antioxidante, ação antimicrobiana, ação anti-inflamatória, anticancerígena e antidiabética. Esses benefícios são atribuídos principalmente a sua rica composição fitoquímica, composta de polifenóis e os flavonoides que se apresentam na bebida como catequinas, além do alto teor de vitaminas e minerais. Contudo, existe uma grande flutuação em relação as condições utilizadas no processo de elaboração da bebida, resultando assim em variações quanto aos seus parâmetros de composição química e microbiológica. Portanto, essa revisão tem como objetivo compilar e discutir dados reportados na literatura acerca dos aspectos tecnológicos, de composição química e microbiológica do chá de kombucha.
Response of cutting height on biomass productivity and plant nutrient concentrations in four multipurpose tree species of North West Himalaya
Authors: Chand Krishan , Mishra V. , Verma K. , Bhardwaj Daulat
Published: August 2022

Response of cutting height viz., 0.5, 1.0, 1.5 and 2.0 m was examined on biomass productivity and plant nutrient concentration of four multipurpose tree species viz., Morus alba, Celtis australis, Bauhinia variegata and Grewia optiva of North-West Himalaya. Morus alba accumulated maximum leaf+branch biomass followed by Grewia optiva, Celtis australis and Bauhinia variegata, respectively. The productivity of leaf, branch and their total improved with increase cutting height up to 2.0m under all species. The leaf N, K, Ca and Mg concentrations, irrespective of cutting heights demonstrated a significant variation among species. However, leaf P concentration showed negative trend to those observed for leaf N, K, Ca and Mg concentrations. With increasing cutting height irrespective of species, leaf N, P, K, Ca and Mg concentrations improved markedly. The species x cutting height interaction evinced a significant effect on leaf nutrient concentration. The branch, N, P, K, Ca and Mg concentrations, irrespective of cutting heights showed significant variation among species. The nutrient concentrations evinced a positive trend with increase in cutting height. The species x cutting height interaction demonstrated significant effect on branch nutrient concentration.
Pengaruh Variabilitas Laba Akuntansi, Variabilitas Persediaan, Financial Leverage dan Kepemilikan Manajerial terhadap Pemilihan Metode Akuntansi Persediaan PT. Petro Abadi
Authors: Taufik Yusuf , Seri Seri , Simanjuntak Free Antonius
Published: August 2022

Penelitian ini bertujuan untuk menganalisis apakah variabel-variabel seperti laba akuntansi, persediaan, financial leverage dan kepemilikan manajerial berpengaruh terhadap pemilihan metode akuntansi persediaan. Metode analisis data yang digunakan dalam penelitian ini adalah analisis statistik (regresi logistik) yang dilakukan dengan berbagai pengujian yakni uji asumsi klasik, menguji keseluruhan model, koefisien determinasi, menilai kelayakan regresi logistik dan pengujian hipotesis. Hasil penelitian ini menunjukkan bahwa Variabilitas laba akuntansi secara parsial tidak berpengaruh secara signifikan terhadap pemilihan metode akuntansi persediaan. Variabilitas persediaan secara parsial berpengaruh secara signifikan terhadap pemilihan metode akuntansi persediaan. Financial leverage secara parsial tidak berpengaruh secara signifikan terhadap pemilihan metode akuntansi persediaan. Kepemilikan manajerial secara parsial tidak berpengaruh secara signifikan terhadap pemilihan metode akuntansi persediaan. Variabilitas laba akuntansi, variabilitas persediaan, financial leverage dan kepemilikan manajerial berpengaruh dan signifikan secara simultan terhadap pemilihan metode akuntansi persediaan.
Thực trạng chăm sóc vết mổ nhiễm khuẩn của điều dưỡng Bệnh viện Đa khoa Xanh Pôn năm 2021
Authors: Thọ Trịnh  Văn , Nguyễn Minh An , Đinh Thị Thu Huyền , Nguyễn Thị Lý , Nguyễn Ngọc Thành
Published: August 2022

Mục tiêu: Mô tả thực trạng chăm sóc vết mổ nhiễm khuẩn của điều dưỡng Bệnh viện Đa khoa Xanh Pôn năm 2021.
Đối tượng và phương pháp nghiên cứu: Mô tả cắt ngang, nghiên cứu hoạt động chăm sóc vết mổ nhiễm khuẩn của 36 điều dưỡng viên với 10 người bệnh có nhiễm khuẩn vết mổ tại Khoa phẫu thuật Tiêu hóa và Khoa Chấn thương chỉnh hình - Bệnh viện Xanh Pôn từ tháng 2 đến tháng 7 năm 2021 bằng phương pháp quan sát trực tiếp hoạt động chăm sóc vết mổ nhiễm khuẩn của điều dưỡng bằng phiếu điều tra đã được thiết kế sẵn. Nghiên cứu sử dụng bộ công cụ quy trình thay băng vết mổ nhiễm khuẩn, quy trình vệ sinh tay thường quy của Bộ Y Tế.
Kết quả: Tỷ lệ thực hành đạt về chăm sóc vết mổ nhiễm khuẩn còn chưa cao với 43,5%. Tỷ lệ thực hành đạt quy trình vệ sinh tay thường quy chiếm 57,4%.
Kết luận: Thực hành đạt về chăm sóc vết mổ nhiễm khuẩn còn chưa cao.
Determine the Location for Reactive Power Compensation in the Microgrid Based on the Hybrid Neural Network
Authors: Huynh Thi Ngoc Thuong , Le Trong Nghia , Phung Trieu Tan , Nguyen Phung Bao Long , Vo Huu Hung
Published: August 2022

This paper presents a method to determine the capacity and location of compensating capacitors to reduce power loss and improve voltage quality in the Microgrid. At each bus location, the compensating capacitor capacity is varied to determine the bus location and capacitor capacity. In case of small power loss and good voltage quality, compensation position and capacity will be chosen. The construction of the neural network training dataset is done with load levels from 50% to 100%. For each load level, the reactive power compensation position and the compensation capacity will be determined. The improved PSO algorithm is proposed to improve the traditional neural network structure. The Microgrid 9-Bus power system is used to simulate and test the effectiveness of the proposed method. The results show that power loss and voltage quality achieve positive results. From the simulation results, we can conclude that the proposed neural network model is suitable for controlling the voltage quality of the Microgrid system.
Cải Tiến Thông Số Điều Khiển Cho Nghịch Lưu Hình T Trong Điều Kiện Sự Cố Hở Mạch Khóa Công Suất
Authors: Đỗ Đức Trí , Trương Ngọc Anh
Published: August 2022

Trong bài báo này, một bộ nghịch lưu tăng áp tựa khóa chuyển mạch hình-T 3 bậc hoạt động ở điều kiện bình thường và điều kiện sự cố khóa công suất (3L qSBT2I-UFM) được trình bày. Cấu hình này được hình thành bởi hai mạng nguồn kháng đối xứng và bộ nghịch lưu hình T ba pha. Bên cạnh những lợi thế của bộ biến tần nguồn điện áp đa bậc, cấu hình của 3L qSBT2I-UFM được đặc trưng bởi khả năng chuyển mạch của linh kiện. Khi sự cố hở mạch xảy ra ở khóa công suất, việc giảm công suất đầu ra sẽ được bù bằng đặc tính tăng áp của mạng tăng áp tựa khóa chuyển mạch. Ngoài ra, cải tiến hệ số điều khiển sẽ giúp hệ thống đáp ứng nhanh đảm bảo chất lượng công suất đầu ra. Khả năng hoạt động ở điều kiện sự cố khóa công suất được thể hiện bằng một số kết quả thử nghiệm trong điều kiện bình thường và sự cố. Để kiểm chứng các đặc tính của mạng tăng áp tựa khóa chuyển mạch đa bậc này, một mô hình thử nghiệm cũng được xây dựng để kiểm chứng các kết quả thử nghiệm.
Cải Tiến Giải Thuật Tìm Kiếm Cuckoo Có Đáp Ứng Cho Hệ Thống Phát Điện Sử Dụng Các Điều Kiện Của Lưới Điện Truyền Tải
Authors: Nguyễn Trung Thắng , Nguyễn Ngọc Thiêm , Lê Chí Kiên
Published: August 2022

Bài báo này cho thấy tiềm năng của giải thuật tìm kiếm Metaheuristic để phân bố công suất tác dụng cho hệ thống phát điện kết hợp sử dụng nhà máy thủy điện và nhà máy nhiệt điện. Các thuật toán tìm kiếm tối ưu phổ biến đã được cải tiến với hiệu quả cao nhất. Tính hiệu quả của các giải thuật được xem xét trên nhiều nhà máy trong hệ thống. Kết quả của nghiên cứu được so sánh với các công bố trước đây để cho thấy tính ưu việt, tìm ra cách vận hành tốt nhất và linh hoạt lựa chọn chế độ vận hành cho từng trường hợp thực tế. Kết quả trong nghiên cứu đây cho thấy giải thuật Cuckoo đáp ứng cho kết quả khả quan nhất. Trong các giải thuật xem xét, giải thuật đàn dơi, tiến hóa vi phân, và tối ưu bầy đàn cho kết quả không tối ưu, tuy nhiên vẫn có thể được ứng dụng trong những hệ thống nhỏ với cấu trúc đơn giản.
Diseño de entrenamientos en realidad virtual inmersiva para cirugía endoscópica
Authors: Catapan Márcio Fontana , Mercado Fuad Antonio Pumarejo , De Almeida Lucas G. Gomes , Martins Lucas de Oliveira , Neto David Zem , De Araújo Jonas Lenzi
Published: August 2022

Actualmente, el aprendizaje en cirugía endoscópica no es de fácil acceso, porque hay pocos especialistas que impartan esta técnica y son pocos los centros educativos que cuentan con equipos tecnológicos de formación quirúrgica endoscópica. Además, un cirujano necesita muchas horas de práctica para dominar la técnica. Una posible solución para esto es el entrenamiento en realidad virtual, porque esta tecnología es muy accesible en la actualidad. Por eso en este trabajo se realiza una revisión bibliográfica sistemática para identificar el estado del arte de estos sistemas, para posteriormente diseñar y testar un sistema de entrenamiento en realidad virtual inmersiva con especialistas del área a través de una prueba de concepto.
Study of the sustainable transformation of environmental liabilities into the Collective Food Industry
Authors: Martins Gleison Hidalgo , Gil Wellington Torres , Catapan Márcio Fontana
Published: August 2022

Goal: The research aimed at the search for alternatives to sustainability in the transformation of environmental liabilities into economic assets, managed through the A3 Report. Design / Methodology / Approach: Due to economic issues, there was significant increase in cost with materials, low availability of credit for investment, the companies saw the opportunity for adoption and implementation of the lean production system and the green production system. The A3 Report method for problem solving was applied as the basis for research. The mindset behind the A3 method is divided into five sections for solving the definition of the business requirement, current conditions; the target situation; action plans and indicators. It must be said that this adoption makes possible not only the reduction of waste and quality improvement, but also the competitive advantage and greater profitability of the invested capital. Results: The results showed with the implementations of the countermeasures have generated reduction of cost with the transportation and destination of the organic waste and began to generate revenues with the sale of recyclables making possible to the sustainability in the transformation of environmental liabilities into economic assets. Limitations of the investigation: The research only portrays the disposal of waste from the company of collective meals. Although the entire operation is in accordance with the country's environmental regulations, it was decided to replace the company name with the choice of a fictitious name, "The Collective Food Industry". Practical implications: The world is going through a new industrial revolution and this fact makes it necessary for companies to proactively manage their resources. Originality / Value: A small step towards environmental sustainability using the lean production system method in conjunction with the green production system essential to the success of the project
Media Interpreting Into Malaysian Sign Language
Authors: Chew Samuel K. M. , Cheung Andrew K. F.
Published: August 2022

During the two years that Malaysia was under intermittent lockdown under the COVID-19 pandemic, the public paid close attention to the daily media briefings from the Ministry of Health and Home Affairs Ministry. While the public waited eagerly for the press conferences, a small corner of the television screen with a gesturing individual caught their imagination, and there were many viral memes and discussions in the social media. This study examines these public perceptions through the lens of personal accounts and retrospective interviews with each of the sign language interpreters to examine the challenges and demands they encountered when working in the context of a civil and health emergency. The impact, control measures, and general wellbeing of these sign language interpreters pre-, during, and post-coverage are analyzed to provide comprehensive insight into their experiences of the Catch-22 situations where they found it difficult to break away. These personal accounts are contrasted with the perceptions of the Malaysian Deaf Community, who were highly critical of the interpreters’ skills regarding their understanding of the degree of accessibility and the quality of their interpretation of technical and critical information under circumstances when the interpreters themselves and the audience were under tremendous stress from the bombardment of dire news, global uncertainties, and unrelieved economic pressures. This study debunks many of the myths and misconceptions of the public on the Deaf Community and sign language interpreters, such as the use of a standardized or universal sign language, the environmental demands of interpreting during a crisis, the conflicting interpersonal and intrapersonal moments experienced by the interpreters, and the linguistic and paralinguistic demands encountered during the press conferences. Even interpreters with many decades of interpreting on television and in the community found their personal worldviews as well as their understanding of their role and their profession dramatically altered and reassessed because of interpreting during these two unprecedented years.
Remote Aptitude Testing for Conference Interpreting in Europe During and After the Pandemic
Authors: Donovan Claire
Published: August 2022

There is general agreement that adequate entrance selection to conference interpreting courses is key to ensuring successful outcomes, as well as to guaranteeing a wise use of limited resources and satisfactory class dynamics. Indeed, entrance selection is one of the key quality assessment criteria for membership to the European Masters in Conference Interpreting (EMCI).
Conference interpreter training programmes (CITPs) in Europe use a range of written and oral exercises to identify suitable candidates at entrance. The core test procedure is usually a series of “gist” or recall exercises, in which candidates are required to re-express in another language the ideas conveyed in a short presentation.
Prior to 2020 these exercises were for the most part held with a panel of assessors and the candidates in an interview room at the host university. The COVID-19-related restrictions introduced in Europe since March 2020 in effect led to an enforced experiment with a new mode of test delivery, as stringent travel and meeting restrictions forced many programmes to switch to remote selection. This was initially seen as an unfortunate temporary expedient, but we would suggest that it might be an opportunity to take a fresh look at aptitude testing procedures. Despite the lifting of restrictions, a number of programmes continue to conduct their entrance tests in remote mode.
It would be premature at this stage to draw conclusions about student outcomes, but it is worth considering trainer, student, and course coordinators’ perceptions of and experience with the new procedures.
The article focuses on the CITPs in the EMCI, a consortium of 15 members at time of the outbreak of the pandemic. The data examined have been collected through a series of questionnaires and interviews. Student questionnaires have been collected mainly from the two Paris-based programmes, ISIT and ESIT; panellist questionnaires and interviews from ISIT, ESIT and Herzen in St Petersburg. 15 course coordinators in the EMCI have been consulted and 11 interviewed. The viewpoints of each of these three groups differ. The likely reasons for these differences are presented and discussed.
The views and experience compiled and analysed are intended to feed into a broader discussion about aptitude testing.
So Far Away and Yet So Close
Authors: Woo Kyong-Jo , Lim Hyang-Ok
Published: August 2022

There were no educational institutions in the world which predicted that the COVID-19 pandemic would force them to go completely online. Unlike the more conventional courses which involve the instructor giving a lecture and students asking questions, for interpretation classes, especially simultaneous interpretation, there are more than two people talking at the same time, thereby complicating the technical aspect by several fold. Due to the global outbreak of COVID-19 and the spread of remote interpretation, however, in the future, remote oral language mediation could become the new norm and “the new situation will thoroughly rearrange the market for language service providers as well as interpreter training” (Eszenyi, 2021, p. 112). In view of recent trends, it was felt that educational institutions of interpretation and translation should also engage in a constructive dialogue regarding effective ways to provide remote interpretation instruction. Against this backdrop, this study seeks to analyze online interpretation classes from the point of view of the ‘social presence theory’ which has already been proven to be an effective analytical tool in research regarding online mediated learning environments. To this end, we conducted a survey of instructors and interpreting students at interpretation institutions in Korea. The analysis shows that both instructors and students experienced a low level of social presence in terms of its three dimensions: co-presence, psychological involvement, and behavioral engagement due to 100% online interpretation classes. Based on the findings, we suggest that interpretation and translation institutions offer classes in an online and offline hybrid format with more opportunities for offline interaction outside of class. In addition, we emphasize the need for technical support at the school level because the technical aspects are important in learning efficiency in the computer mediated communication (CMC) environment. Unlike previous remote simultaneous interpretation (RSI) studies, this study holds significance in that it explored the issue of remote interpretation education using the social presence theory.