bluuebunny/crossref_metadata_2025 huggingface dataset:
Chickenpox Outbreak Investigation in Assabain District, Sana’a City, Yemen, January to February 2019 (Preprint)
Authors: Al-Tbali Jarallah , Anam Labiba , Al-Jamrah Khaled Mohammed , Abdul Moaen Faris
Published: January 2022

BACKGROUND

Varicella zoster virus (VZV) causes chickenpox. The epidemiological profile of chickenpox varies considerably across countries, health care systems, and immunization policies. In Yemen, chickenpox remains an important public health issue and outbreaks are not uncommon since vaccination is not universal. On February 23, 2019, a medical doctor from the Al Kafji area of the Assabain district notified the Ministry of Public Health and Population of a chickenpox infection among his family members and neighbors.

OBJECTIVE

The aim of this study was to confirm the existence of a chickenpox outbreak, describe the epidemiological characteristics of the outbreak, and recommend prevention and control measures.

METHODS

A door-to-door search was performed for case finding and line listing with detailed epidemiological, clinical, and vaccination history collected. Four blood samples were collected and sent for laboratory confirmation by enzyme-linked immunosorbent assay. Data were analyzed with Epi info 7.2.

RESULTS

A total of 26 cases met the case definition. The outbreak started on January 19, 2019, at one house and was then transmitted to the 2nd and 3rd neighboring houses. The Epi curve showed three peaks, with one peak for each affected house. The index case was an 11-year-old male. The overall attack rate was 34% and the highest attack rate of 56% was found in the 3rd house. More than half (58%) of cases were females and 46% were found in children in the age group of 10-14 years. All cases included symptoms of a rash with itching, 46% of cases had vesicular lesions, and 42% had <50 lesions. Overall, 8% of the cases had complications (ie, pneumonia). Approximately 25% of samples were IgM-positive. All cases were in unvaccinated individuals.

CONCLUSIONS

A chickenpox outbreak in the Al Kafji area of the Assabain district was confirmed. Females were more affected than males. Introducing the chickenpox vaccine as part of routine immunizations, and increasing community awareness about the mode of transmission and control measures for prevention are recommended.
PRÉ-NATAL PSICOLÓGICO COMO UMA POSSIBILIDADE DE CUIDADO INTEGRAL À SAÚDE MATERNA: UMA REVISÃO INTEGRATIVA DA LITERATURA
Authors: Figueiredo Letícia Marlene dos Santos , Carneiro Jessica Macedo , Rego Regiane Cristina Silva , Lins Ana Carolina Araújo de Almeida , Cruz Crissia Roberta Pontes
Published: January 2022

Pregnancy is a period of great transformations, with changes not only in the woman's body, but also changes in the psychological, family, and social aspects, with the possibility of developing disorders. Concerning psychic aspects, over time a little or no importance was given, considering the current biomedical model. In view of this scenario, the psychological prenatal care appears to complement the traditional prenatal care, turning even more to humanization during the process of pregnancy, childbirth and parenthood. In this sense, this study aims to analyze how psychological prenatal care can be an integral care strategy for maternal health. The methodology of this research consists of an Integrative Literature Review. The databases used were Scientific Electronic Library Online (SCIELO), Latin American and Caribbean Health Sciences Literature (LILACS) and Electronic Psychology Journals (PePSIC). The following descriptors were used: “psychological prenatal care”, “psychology and pregnancy” and “psychological disorders in pregnancy”. The results show the PNP (Psychological Prenatal Care) a possibility of integral care to the maternal health, as it is established as a preventive program in relation to psychological disorders resulting from the pregnancy-puerperium cycle, especially in regard to postpartum Depression, and complementary to the traditional prenatal care.
QUALIDADE DO SONO EM UNIVERSITÁRIOS NO CONTEXTO DA PANDEMIA DA COVID-19: um olhar multifatorial
Authors: Camargo Laura Carvalho de , Camargo Natália Carvalho de , Sousa Romes Bittencourt Nogueira de , Costa Luiz Henrique Alves , Alves Ana Gabriella Pereira , Alves Fagner Medeiros , Silva Maria Sebastiana
Published: January 2022

The pandemic of COVID-19 was accompanied by losses in emotional, eating habits, and physical activity. University students were uncertain about their academic life, with the paralyzation of face-to-face activities in universities. The study aimed to compare the profile (emotional states, physical activity and eating habits) of university students with self-perception of sleep quality affected by the pandemic (QSA) with those with self-perception of unaffected sleep quality (n-QSA) in the context of the COVID-19 pandemic. Between 01/2021 and 04/2021, students at the Universidade Federal de Goiás completed, via an online tool, an adaptation of the questionnaire Convid-Pesquisa de Comportamentos. 173 students answered this instrument. Data were tabulated and organized, individuals were divided into two groups: the QSA (103) and the n-QSA (70), and comparison was made between the two using Student's t-test and x2 test. For significance, the criterion adopted was p<0.05. The QSA group showed higher demand for mental health care (0.0431*), higher self-perception of high anxiety/nervousness (0.0095*), sadness (0.0040*), and affective isolation (0.0038*) in the pandemic. The QSA group also had a lower level of physical activity (0.0306*) during the pandemic. Furthermore, the QSA group had a lower frequency of whole food consumption before COVID-19 than the n-QSA group. This indicated greater impairment in the emotional states of the QSA group. Good habits are important for proper health.
A TENTATIVA DE SUICÍDIO NA ADOLESCÊNCIA: um olhar psicanalítico
Authors: Caldeira Matheus Colombari , Junior Luciano Aparecido Pereira , Beretta Regina Célia de Souza , Peron Antônio Cézar , Costa Carlos Alberto da
Published: January 2022

The suicide attempt evidences the non-consummation of the act of taking one's own life, giving the attempt and the suicide a different symptomatic place. The objective of this study was to discuss suicide attempt in adolescents in contemporary times and its direct relationship with culture, through psychoanalysis. The exploratory bibliographic research was conducted in the SciELO, Google Scholar and PePSIC-BVS platforms, and five articles dated 2017-2021 were selected, as well as books contained in the literature and data available on Brazilian government websites and primers. The descriptors used for the search were: Adolescent, Suicide, and Psychoanalysis. The content analysis carried out was based on the psychoanalytic context as a theoretical and methodological reference, besides the understanding of the social impacts generated by the theme. The sociocultural influence directly interferes in the suicide theme, due to the taboo of talking about death and suicide as a symptom of a social illness and the difficulties of listening spaces for adolescents and public policies for adolescent care. Finally, it is necessary to understand and articulate actions, within the scope of public policies, as well as psychoanalytic clinics, which are willing to act and respond to the social and cultural realities involving suicide attempts and completed suicides - a broad understanding of the realities experienced and the integrality (biopsychosocial, cultural, and spiritual) of the subjects.
Alterações craniométricas em indivíduos acromegálicos
Authors: Lara Danielle de , Valim João Guilherme Brasil , Willrich Louise Bruns
Published: January 2022

Introdução: Os adenomas hipofisários secretores de hormônio do crescimento (GH) são a etiologia de aproximadamente 95% dos casos de acromegalia e esses indivíduos apresentam desproporções craniofaciais. Objetivo: O objetivo deste estudo é avaliar as alterações craniométricas nos acromegálicos e suas implicações neurocirúrgicas. Metodologia: Trata-se de um estudo transversal e retrospectivo realizado com 26 pacientes (15 casos com adenoma hipofisário secretor de GH e 11 controles com adenoma hipofisário não-secretor de GH) avaliados entre janeiro de 2013 a agosto de 2020. Foram aferidos e analisados através de tomografia de crânio os dados de espessura da tábua óssea frontal, diâmetro do seio frontal, distância entre a espinha nasal anterior e o dorso da sela túrcica (corredor de trabalho), distância intercarotídea e perfil de pneumatização esfenoidal. Foi avaliado também o perfil bioquímico, o tamanho dos tumores e possíveis complicações pós cirúrgicas. Resultados: Houve um aumento significativo da espessura da tábua óssea frontal (mediana ± DQ 8,73 ± 1,7, p=0,05), da pneumatização do seio frontal (mediana ± DQ 9,59 ± 3,98, p=0,0107) e uma redução importante da distância intercarotídea no segmento cavernoso (mediana ± DQ 13,25 ± 1,86, p = 0,001). Ainda, foi encontrado predomínio de macroadenomas (80%) e um caso (6,67%) de diabetes insipidus como complicação. Conclusão: Tais alterações craniométricas apresentam elevada importância no planejamento cirúrgico pré e transoperatório dos tumores selares.
Comparação entre clipagem e embolização no tratamento de aneurismas no Brasil, entre 2010 e 2020
Authors: Martins Maria Elvira Freitas , Gonçalves Beatriz Caldas , Oliveira Gabriel Francisco de , Cunha Iago Dib , Reis Filho Lupércio Rocha , Bannach Matheus de Andrade
Published: January 2022

Introdução: O aneurisma cerebral é a formação de uma dilatação em vasos cerebrais. Diversas formas de conduta estão descritas nas diretrizes de tratamento, sendo as mais comuns a clipagem e a embolização. Objetivo: Comparar epidemiologicamente clipagem e a embolização endoscópica como tratamento de aneurisma no Brasil, entre 2010 e 2020. Metodologia: Estudo analítico, observacional, longitudinal e retrospectivo. Foi realizada a estimativa de tendência da taxa de mortalidade de cada procedimento utilizando o método de regressão linear Prais-Winsten e o cálculo de razão de odds para comparação da variável óbito. Resultados: Foram gastos R$393 milhões na realização de embolização de aneurismas e R$99 milhões em clipagens. Para embolização, a taxa de mortalidade apresentou ritmo constante, enquanto para clipagens a tendência foi crescente. A análise de odds demonstrou maior risco de mortalidade para realização de clipagens. Conclusão: Os achados do estudo evidenciam um predomínio de tratamento endovascular no SUS, porém ele está associado a maiores gastos. Por ser um procedimento mais invasivo, a clipagem pode estar associada a um maior risco de mortalidade. Foi observada uma redução dos gastos despendidos com ambos os procedimentos ao longo do período analisado, sugerindo diminuição da realização dessas terapias no SUS.
Diagnóstico e terapêutica de fístulas arteriovenosas durais
Authors: Silva Cindy Caetano da , Peruffo Daniel Wallbach , Bark Samir Ale , Buffon Viviane Aline , Pacheco Robertson Alfredo Bodanese
Published: January 2022

Introdução: As fístulas arteriovenosas durais intracranianas (FAVD) são oriundas de anastomoses patológicas entre artérias meníngeas e seios venosos durais e/ou veias corticais. Localizam-se mais comumente na junção transverso-sigmoide. A etiologia das FAVD é variável, sendo a maioria adquirida de forma idiopática. É uma condição rara que representa 10-15% das malformações vasculares intracranianas. Objetivo: Traçar o perfil epidemiológico das FAVD em um centro de referência da região metropolitana de Curitiba. Metodologia: Estudo retrospectivo transversal observacional que consiste na revisão de laudos do exame de arteriografia em 3.898 pacientes que foram atendidos no serviço da Hemodinâmica do Hospital do Rocio no período de setembro de 2014 a dezembro de 2018. Resultados: Dos 3.898 pacientes estudados, 15 tinham FAVD sendo 11 homens (73%) e quatro mulheres (27%). A idade de início dos sintomas foi em média de 56,13 ± 14,81 anos. Os sintomas de apresentação foram agrupados de acordo com o modelo de agressividade clínica descrito por Cognard et al. Conclusão: A maioria dos pacientes é portadora de lesão localizada no seio sigmoide/transverso (SS/ST) e seio cavernoso (SC), e apresenta majoritariamente DVC (classificações II ou III de Borden). A presença de tinnitus ou de sintomas orbitários deve levantar a suspeita clínica sobre FAVD nas localizações SS/ST e SC, respectivamente. Os pacientes cujo tratamento eleito foi a abordagem endovascular transarterial obteve benefício clínico e angiográfico.
Rara lesão expansiva intraorbitária recidivada tratada com ressecção tumoral completa e radioterapia adjuvante
Authors: Martinazzo Enzo Oku , Ribas Michelle Zonkowski , Frandoloso Victor , Jung Gustavo Simiano , Ramina Ricardo
Published: January 2022

O hemangiopericitoma (HPC) representa um dos tumores mais raros do sistema nervoso central. Corresponde a 1% dos tumores dessa região, sendo o acometimento intraorbitário ainda menos comum. Em 2016, foi integrado pela Organização Mundial da Saúde (OMS) à mesma entidade do tumor fibroso solitário (TFS), uma forma mais colagenosa e com menor celularidade. Ambos apresentam elevadas taxas de metástase e recorrência local, sendo o tratamento de escolha a ressecção tumoral completa (RTC). No entanto, em graduações histológicas maiores da OMS, a radioterapia (RT) adjuvante tem demonstrado benefícios, visando aumento da sobrevida livre de doença. Descrevemos o caso de uma mulher de 78 anos que apresentou recidiva tumoral após 15 anos, em grau mais avançado. Além da apresentação do tratamento de escolha, a RTC, discutimos o papel da RT.
Infratentorial supracerebellar approach versus occipital transtentorial approach for pineal region tumors. Our technical considerations
Authors: Velho Maíra Cristina , Nascimento Rafaela Farias Vidigal , Isolan Gustavo Rassier , Peres Manuela Corrêa de Toledo , Tatit Rafael Trindade , Seba Maria Clara Cardoso , Goes Leticia Scoton , Maldaun Marcos Vinícius Calfat , Aguiar Paulo Henrique Pires de
Published: January 2022

Introduction: Despite the deep-seated location of pineal region tumors, surgical resection has become safer and more effective, and now plays an essential role in their management. Tissue diagnosis allows the initiation of chemotherapy or radiotherapy, and resection can be curative or improve the efficacy of adjuvant therapies. Objective: Infratentorial supracerebellar (ITSC) and occipital transtentorial (OTT) approaches are the most used for pineal tumors resection. This study aims to describe feasible criteria for better approach indication based on our surgical experience. Methods: Forty-two patients were divided for tumor resection, using tentorial surface angle in sagittal MRI view in the approach selection: Group 1 (25 ITSC); Group 2 (15 OTT); Group 3 (two combined approaches). Results: Group 1 achieved successful total removal. It was observed one visual impairment, one hydrocephalus patient with postoperative meningitis, and other one with postoperative hematoma. Group 2 presented 13 total resections, one visual impairment and transient contralateral hemianesthesia. Group 3 resulted in one air embolism and one ventriculitis after ventriculoperitoneal shunt. No surgical mortality registered. Conclusion: A descriptive analysis of 42 pineal tumor cases showed minimal complications. The ideal approach is well decided based on the angle between tentorial surface and vertical midline on sagittal plane.
Early microsurgical management of ruptured intracranial aneurysm predicts better clinical outcome
Authors: Meguins Lucas Crociati , Taffarel Diogo André , Morais Dionei Freitas de , Hidalgo Raquel Cristina Trovo , Centola Crescêncio Alberto Pereira , Figueiredo Eberval Gadelha
Published: January 2022

Introduction: Aneurysmal subarachnoid hemorrhage is a life-threatening condition associated with poor clinical and neurological outcomes. Advances in surgical and endovascular interventions have improved mortality rates in patients with ruptured intracranial aneurysm. Objective: To evaluate the impact of early microsurgical management on clinical outcome of patients with ruptured intracranial aneurysm. Method: Retrospective observational study with patients admitted at the Emergency Department of a public tertiary center with aneurysmal subarachnoid hemorrhage, from October 2015 to June 2020. Results: Two hundred twenty-eight patients were treated with microsurgical techniques, totalizing 289 clipped aneurysms. One hundred sixty-nine (74.12%) patients were women and 59 (25.88%) men. At admission, 166 (72.81%) patients were classified according the Hunt-Hess Scale as I to III and 62 (27.19%) were IV and V. One hundred twenty-six (55.26%) were treated <48h following subarachnoid hemorrhage and 102 (44.74%) >48h. After six months of follow-up, 89 (70.63%) early treated patients (<48h) were mRS≤3, 16 (12.70%) were mRS 4 or 5 and 21 (16.67%) died, with an average hospital stay of 28 days; while 49 (48.04%) late treated patients (>48h) were mRS≤3, 19 (18.63%) were mRS 4 or 5 and 34 (33.33%) died, with an average hospital stay of 49 days. Conclusion: Aneurysmal subarachnoid hemorrhage is a serious disease and early microsurgical management represents a key point to successfully treat this life threatening condition.
Predictors of mortality in neurosurgical patients after traumatic brain injury
Authors: Godoi Bruno Bastos , Ramos Junior Silvio Pereira , Figueiredo Pedro Henrique Scheidt , Costa Henrique Silveira , Figueiredo Samara Barroso de , Melo Lucas Mendes , Verssiane Márcio Guilherme Leite , Innecco Pedro Lorentz Ribeiro
Published: January 2022

Introduction: Traumatic brain injury (TBI) is considered a relevant worldwide cause of mortality and morbidity. Objective: To evaluate independent factors at hospital admission and during hospitalization that predicts in-hospital mortality in patients with TBI submitted to neurosurgery. Methods: Retrospective cohort analyzed data of patients that underwent neurosurgery due to the TBI. Evaluated predictor factors were age, gender, Glasgow Coma Scale (GCS) at admission, sequels before and after neurosurgery, trauma mechanism, and neurosurgical procedure. The survival analyses were verified. Positive and negative predictive values were calculated. Results: A total of 312 patients were analyzed, majority male (81.4%) with mild TBI (55.8%), and mean age of 49.6 ± 23.5 years. GCS at admission was an independent predictor of mortality (HR = 0.87; 95% CI: 0.81 to 0.93; p < 0.001). The GCS ≤ 13 was the optimal cut-off value to predict survival with a significant difference between GCS groups (≤13 or >13; p<0.001). Patients with GCS ≤ 13 had a six times greater risk of mortality (HR 6.04; 95 CI 2.39 to 15.3; p<0.001). The positive and negative predictive values were 35.8% and 97%, respectively. Conclusions: The GCS in admission is an important predictor of in-hospital mortality in TBI patients that need a neurosurgical procedure.
Extensive spontaneous spinal epidural hematoma in infancy. Case report
Authors: Silva Aldo Jose F. da , Doria Ana Luisa Malta , Lopes Thalita Lustosa de Oliveira Avelino
Published: January 2022

Introduction: Spontaneous spinal epidural hematomas are a rare condition of spinal cord compression. We report a case of spontaneous spinal epidural hematoma in a child with neurological deficit. Case presentation: A 5-year-old male child with walking difficulty for 15 days. Clinical examination revealed spastic paraparesis and pyramidal signs. Magnetic resonance imaging of the cervical and thoracic spine showed extensive epidural hematoma (C7–T4) with significant medullary edema. Laminotomy was performed for decompression followed by drainage of the hematoma. Spontaneous spinal epidural hematoma usually occurs in the absence of identifiable etiology. The clinical presentation in children is nonspecific. The treatment is based on surgical decompression mainly by laminotomy performed within 48 hours of hematoma formation. Conclusion: In the case presented, the child remained paraparetic despite surgical decompression. The timing (>48 hours) of the surgical procedure probably influenced the poor prognosis.
Estudio sobre la publicidad social de la WWF (World Wildlife Foundation) Perú en Facebook y la cultura ambiental de los jóvenes de Lima-Perú
Authors: Quijandría Eliana Alejandra
Published: January 2022

El artículo tiene por objetivo determinar la relación entre la publicidad social de la World Wildlife Foundation (WWF) y la cultura ambiental de los jóvenes de Lima Metropolitana. La realización del estudio pretende analizar las piezas gráficas utilizadas en una campaña de la mencionada fundación, ya que estos elementos han sido creados con el fin de reducir las consecuencias de la contaminación, razón por la cual los aportes académicos que se logren servirán para posteriores investigaciones. De igual manera, este estudio describe las piezas de publicidad social de una de las fundaciones más reconocidas por su labor activista relacionada al cuidado del planeta. Para ello se aplica una metodología combinada, con la realización de análisis de contenido de las piezas publicitarias en cuestión, a su vez se realizó una encuesta donde se recolectó apreciaciones del público objetivo sobre la campaña gráfica que realizó la WWF por motivo de fiestas de fin de año en el 2019. El hallazgo más significativo de la encuesta concluye que la muestra de estudio tras ser expuesta a la publicidad social presenta un alto grado de conciencia en cuanto a los problemas ecológicos y del medio ambiente, logrando entender los argumentos de las piezas difundidas en el fan page de la WWFPerú. En esta investigación se infiere que en el futuro la publicidad social junto a la educación podrá reforzar el cambio de conductas y creencias que sirvan a la correcta estructuración de la cultura ambiental.
A influência do cinema na formação da imagem internacional do Brasil
Authors: Riani Costa Perinotto André , Vergal Ana Carolina , S. G. Gimenes Minasse Maria Henriqueta , de Oliveira da Silva Bruno
Published: January 2022

O cinema transformou-se em uma efetiva ferramenta para a divulgação de destinos ao longo de sua história, possibilitando distintas concepções de imaginários e identidades nacionais. Sob esta perspectiva, surgiu o estudo em questão, que visou analisar como a imagem do Brasil tem sido abordada nas obras cinematográficas nacionais e internacionais de acordo com a percepção de espectadores estrangeiros. Sob uma abordagem mista, foi desenvolvido um instrumento de coleta de dados em formato de questionário/entrevista, com a finalidade de aferir como o público estrangeiro tem visto o país, e verificar a relação das características atribuídas por eles com as imagens retratadas em cinco filmes: Cidade de Deus (2002), Tropa de Elite (2007), Rio (2011), Velozes e Furiosos 5: Operação Rio (2011) e Rio 2 (2014). A partir dos resultados, foi constatado que a imagem do país é estereotipada e que os clichês apresentados nas produçõescinematográficas também estão presentes nas respostas do público participante da pesquisa. O estudo ressalta a necessidade de que sejam criadas ações para a melhoria da imagem nacional presente no imaginário estrangeiro, refletindo, assim, diretamente na promoção e aumento de fluxo na atividade turística.
La corrupción como problema público en la televisión argentina: interacción entre medios y audiencias
Authors: Zuninno Esteban , Focás Brenda
Published: January 2022

La corrupción irrumpió como un problema público en la Argentina durante la década de los noventa, promovido por un conjunto de grupos sociales emergentes que lo instituyeron a partir de estrategias de denuncia. Ya en los años dos mil, el asunto se estabilizó en las agendas mediática y pública, aunque ligada a otros actores, casos y discursos circulantes. El presente trabajo pretende analizar la relación entre la construcción mediática la corrupción y su percepción pública en los cuatro conglomerados urbanos más importantes de Argentina: Área Metropolitana de Buenos Aires (AMBA), Córdoba, Rosario y Mendoza. A partir de un abordaje metodológico que triangula grupos focales desarrollados en las cuatro ciudades yun análisis de contenido sobre las noticias en los noticieros centrales de los canales trece y once de Buenos Aires, diez y ocho de Córdoba, tres y cinco de Rosario y nueve y siete de Mendoza, se pretende analizar cuál es la relevancia mediática y social del problema. Los resultados evidencian una alta importancia del tema en las agendas informativas, sobre todo en las de los medios de Buenos Aires, que presentan una cobertura partisana del problema. En relación con los públicos, el trabajo muestra que, si bien las audiencias expresancierta distancia y desinterés con estas noticias, se observan procesos de recepción que pululan entre la polarización afectiva y la saturación cognitiva frente al tema.
Pengaruh kenaikan pangkat terhadap motivasi kerja Pegawai Negeri Sipil pada Dinas Pendidikan Kota Jambi
Authors: Hoirunnisah Indah , Adriani Zulfina , Wilian Rohman
Published: January 2022

The purpose of this study was to determine the description of promotion to the work motivation of civil servants and the effect of promotion on the work motivation of civil servants at the Jambi City Education Office. The sampling method uses a non-probability sampling method with an accidental sampling technique. The number of samples in this study amounted to 53 respondents obtained from the Slovin formula. The method of statistical analysis in this study consists of simple linear regression analysis, analysis of the coefficient of determination, and partial significance testing (t-test). The results of this study indicate that the promotion of civil servants of the Jambi City Education Office is in the category of many and work motivation is in the high category, then partially the promotion variable has a significant effect on the work motivation of the Civil Servants of the Jambi City Education Office. Therefore, the Jambi City Education Office must be able to maintain and try to continue to increase the promotion and work motivation.
Analisis motivasi berprestasi pada mahasiswa Prodi Manajemen Fakultas Ekonomi dan Bisnis Universitas Jambi
Authors: Firmansyah Wahyudi , Jaya Indra , Sumarni Sumarni
Published: January 2022

This study aimed to look at the motivation of achievement in management students based on gender and length of study (force). This research is quantitative research by taking respondents from the 2014-2016 foster management study program. The number of samples used in the study was calculated using the Slovin formula to obtain a sample of 123 students. The data in questionnaires were analyzed using different tests, Kruskal Wallis and Mann Whitney. The results showed a difference between the motivation of student achievement judging by gender and length of study where gender will affect the motivation of accomplishment in students of the Management Study Program of the Faculty of Economics and Business, University of Jambi. At the same time, the old factor of study does not influence student achievement motivation.
Peran perilaku kerja terhadap promosi jabatan dan dampaknya pada kinerja pegawai Kementerian Agama Kota Jambi
Authors: Zikri Ahmad , Rosita Sry , Kurniawan Dwi
Published: January 2022

This study aims to examine the effect of work behavior on job promotion and its impact on employee performance at the Jambi City Ministry of Religion Office. The population in this study amounted to 100 employees at the Ministry of Religion of the Jambi City office, while the sample used in this study was 80 employees. This study uses quantitative methods. Data analysis was performed using the PLS (Partial Least Square) application. The dimensions of work behavior studied were Social Relations, Vocational Skills, Work Motivation, Self-Confidence Initiative. Dimensions of Position Promotion looked Opportunity for promotion: increased responsibilities, Increased duties, Added rights, Expanded authority. The dimensions of employee performance studied were work results, job knowledge, initiative, mental agility, attitude, punctuality, and absenteeism. The consequences of this study work behavior have a negative and insignificant effect on employee performance, work behavior has a positive and significant influence on a job promotion, job promotion has a positive and significant influence on employee performance, and work behavior on job promotion and its impact on employee performance has a positive and considerable effect.
Membangun loyalitas pelanggan dari perspektif membership card dengan kepuasan pelanggan sebagai variabel intervening
Authors: Fazira Rizky Farah , Erida Erida , Sari Novita
Published: January 2022

This study aims to examine the effect of membership cards on customer loyalty through customer satisfaction as an intervening variable. The subjects of this study were customers from Matahari Department Store Lippo Mall Jambi. Sampling in this study used an applied approach with a total of 14This study aims to examine the effect of membership cards on customer loyalty through customer satisfaction as an intervening variable. The subjects of this study were customers from Matahari Department Store Lippo Mall Jambi. Sampling in this study used an applied approach with 144 respondents. The research analysis used Path Analysis (SmartPLS 3.2.8). The analysis results show that the Program Membership Card affects Customer Loyalty. The Program Membership Card affects Customer Satisfaction. Customer satisfaction has an impact on Customer Loyalty. The Program Membership Card acts Customer Loyalty through Customer Satisfaction as an intervening variable. Suggestions for Matahari Department Store Lippo Mall Jambi are expected to continue developing the membership card program to create customer satisfaction to maintain customer loyalty during increasingly fierce retail business competition.4 respondents. The research analysis used Path Analysis (SmartPLS 3.2.8). The results of the analysis show that the Program Membership Card has an effect on Customer Loyalty, the Program Membership Card has an effect on Customer Satisfaction, Customer satisfaction has an effect on Customer Loyalty. The Program Membership Card has an effect on Customer Loyalty through Customer Satisfaction as an intervening variable. Suggestions for Matahari Department Store Lippo Mall Jambi, are expected to continue to develop the membership card program to create customer satisfaction so as to maintain customer loyalty in the midst of increasingly fierce retail business competition.
Pengaruh kompensasi terhadap kepuasan kerja karyawan pada PT. Sumber Hijau Permai (SHP) Jambi
Authors: Oktaviani Izmi Anisa , Jaya Indra , Willian Rohman
Published: January 2022

This study aims to obtain an overview of employees' compensation and job satisfaction at the PT. Sumber Hijau Permai (SHP) Jambi. Furthermore, to explain the effect of payment on employee job satisfaction. The study population was employees at the PT. Sumber Hijau Permai (SHP) Jambi totaling 87 people. The sampling method uses the census method, meaning that all present population was sampled. Based on the research objectives, the type of research is explanatory research (explanatory research) done to explain the causal relationship between research variables through hypothesis testing. The hypothesis is tested using a simple linear regression equation using SPSS 17.0 for Windows. Descriptive results of this study indicate that the compensation received by employees is categorized as entirely reasonable and employee satisfaction in the work. Employees feel pretty satisfied in his job. Furthermore, the magnitude role or contribution of variable compensation can explain the variable job satisfaction of employees is 56,2%. At the same time, the remaining 43,8% is influenced by other factors which are not disclosed in this study.
An evaluation into the use of Procalcitonin levels as a biomarker of bacterial sepsis to aid the management of Intrapartum Pyrexia and Chorioamnionitis: a prospective observational cohort study
Authors: Walker Sarah , Harding Irasha , Soomro Kamran , Bamber Andrew , Carrick Sophie , Waheed Abdul , Liebling Rachel
Published: January 2022

Objective: Procalcitonin (PCT) is an established biomarker for bacterial
sepsis in the non-pregnant population. We aimed to evaluate PCT levels
in women and their neonates managed with suspected intrapartum bacterial
sepsis, to determine if PCT could be utilised to optimise diagnosis and
management. Design: Prospective observational cohort study. Setting:
University Hospitals of Bristol and Weston NHS Foundation trust.
Population: 117 women and their neonates managed for suspected
intrapartum sepsis from June-October 2020. Methods: PCT levels were
measured in addition to routine biomarkers white cell count and
c-reactive protein, in women and their neonates during initial septic
screen and follow up blood samples. Placentas underwent detailed
histopathology. Main Outcome Measures: Maternal and neonatal parameters
were used to categorise cases into: ‘high-suspicion bacterial sepsis
(BS),’ ‘equivocal BS’ and ‘low-suspicion BS.’ Kruskal-Wallis test was
performed comparing categories with biomarker values and placental
histology scores. Results: PCT was raised in 6 women in the initial
septic screen sample, compared to 100 with a raised CRP. There was a
significant difference in maternal postnatal PCT results between
‘high-suspicion BS’ and ‘low-suspicion BS’ categories. 71.2% of
placentas showed varying degrees of chorioamnionitis. Conclusions: In
our cohort of women, 94.6% had normal PCT levels whilst in labour at
the time of the septic screen, consistent with the low number of
confirmed bacteraemia. This provides a basis that PCT may complement
clinical judgement and interpretation of already utilised prognostic and
diagnostic tests, in order to improve patient care in the management of
intrapartum sepsis.
Quantifying and manipulating the angles of light in experimental measurements of plant gas exchange
Authors: Berry Z. Carter , Larue Jerry , Goldsmith Gregory
Published: January 2022

Diffuse light has been shown to alter plant leaf photosynthesis,
transpiration, and water-use efficiency. Despite this, the angular
distribution of light for the artificial light sources used with common
gas exchange systems is unknown. Here we quantify the angular
distribution of light from common gas exchange systems and demonstrate
the use of an integrating sphere for manipulating those light
distributions. Among three different systems, light from a 90° angle
perpendicular to the leaf surface (± 5.75°) was <25% of the
total light reaching the leaf surface. The integrating sphere resulted
in a greater range of possible distributions from predominantly direct
light (i.e., > 40% of light from a 90 ± 5.75° angle
perpendicular to the leaf surface) to almost entirely diffuse (i.e.,
light from an even distribution drawn from a nearly 0° horizontal angle
to a perpendicular 90° angle). The integrating sphere can thus create
light environments that more closely mimic the variation in sunlight
under both clear and cloudy conditions. In turn, different proportions
of diffuse light increased, decreased, or did not change photosynthetic
rates depending on the plant species observed. This new tool should
allow the scientific community to explore new and creative questions
about plant function within the context of global climate change.
Boris Asafiev as a Stravinsky scholar
Authors: Savenko Svetlana
Published: January 2022

Boris Asafiev, pen name Igor Glebov, was a Russian musicologist, composer,
music critic, pedagogue, public figure, publicist; author of works devoted
to the music of Igor Stravinsky. The article examines A Book about
Stravinsky (1929), one of the earliest monographs on the composer in any
language and the first one in Russian. It is characterized as an outstanding
musicological study of Stravinsky?s works that had appeared by that time,
that is, from the early period to the works completed in 1927 (Oedipus rex,
Apollon musag?te and The Fairy?s Kiss).
Historical approach to the opera’s libretto-theme in Italy from the end of the 16th century to the first Italian reform
Authors: Tziboula Areti , Rentzeperi-Tsonou Anna-Maria
Published: January 2022

The creators of opera in Italy at the end of the 16th century gave great
importance to the choice of their subject matter in order to reproduce an
overall work of art according to the archetype of ancient Greek tragedy.
During its progressive course, opera underwent changes, in which libretto
and its subject matter constituted major issues of study and criticism and
were reformed according to the style of each period but always with quality
as a keystone. The present study examines the formation of the Italian opera
based on the choice of the librettos from its birth to the first Italian
reform.
J.S. Bach’s keyboard works: From performance to research
Authors: Knights Francis
Published: January 2022

Practiceled research in classical music has tended to deal with specific and
limited case studies, examining in detail the ways in which one musician?s
individual responses to a work or genre can lead to a new understanding of
that object, and assessing the different forms of knowledge generated. This
project discussion however deals with a complete corpus created over one
composer?s lifetime, Bach?s works for clavier, and looks at the very many
different aspects of musical understanding - including pedagogy, technique,
compositional practice, performance practice, attribution studies and
organology - that can be enriched by hands-on engagement with a substantial
and high-quality repertoire.
The importance of anticoagulation in COVID-19-related acute kidney injury requiring continuous renal replacement therapy
Authors: Knezevic Violeta , Azasevac Tijana , Strazmester-Majstorovic Gordana , Markovic Mira , Ruzic Maja , Turkulov Vesna , Gocic Natasa , Milijasevic Dragana , Celic Dejan
Published: January 2022

Introduction/Objective. In Serbia, the coronavirus disease 2019 (COVID-19) pandemic began in early March 2020. The aim of this study is to summarize clinical experience in the treatment of COVID-19-associated acute kidney injury by methods of continuous renal replacement therapy (CRRT) with the focus on the amount of the administered dose of unfractionated heparin. Methods. The study covers 12 patients treated with CRRT at the Clinic for Infectious Diseases at the Clinical Center of Vojvodina from March 6 to May 20, 2020. Antithrombotic prophylaxis, risk of venous thromboembolism (VTE), applied therapy, biochemical parameters before and after CRRT, anticoagulation and other CRRT parameters were analyzed. Results. The mean age of the patients was 61.54 ? 10.37 years and seven (58.3%) were men. All the patients received standard thromboprophylaxis. Nine (75%) patients had Padua Prediction Score for Risk of VTE ? 4, but none developed a thrombotic event. Seven critically ill patients with multi-organic dysfunction developed acute kidney injury dependent on CRRT. The mean CRRT dose was 36.6 ml/kg/h, the mean bolus dose of unfractionated heparin was 3250 ? 1138.18 IU, and the continuous dose was 1112.5 ? 334.48 IU/kg/h. Discontinuation of CRRT due to the clotting circuit was necessary in only one patient. The values of leukocytes, AST, ALT, GGT, aPTT, PT were significantly higher after CRRT compared to urea, creatinine, potassium, chlorine and magnesium, whose values were significantly lower. Conclusion. In our COVID-19 patients who had high inflammatory parameters and D-dimer and an estimated risk of developing deep vein thrombosis, the implementation pre-dilution continuous venovenous hemodiafiltration with antithrombotic membrane and 1/? to 1/? higher unfractionated heparin doses than the recommended one, the filter life lasted longer with no complications.
Primary sarcomas of the larynx: A report of three cases and literature review
Authors: Ugrinovic Aleksandar , Trivic Aleksandar , Djordjevic Vladimir , Tomanovic Nada , Folic Miljan
Published: January 2022

Introduction. Primary sarcomas are uncommonly seen in the larynx and comprise around 1% of all laryngeal malignant tumors. We present three cases of patients with different types of laryngeal sarcomas and discuss about diagnostic and treatment difficulties. Case outline. Each patient presented with hoarseness and shortness of breath. Computed tomography scans showed large transglottic tumors of the larynx with no signs of cervical lymphadenopathy and definitive diagnoses of sarcomas were made by pathologists. Each patient underwent total laryngectomy with clear resection margins. Patient with laryngeal leiomyosarcoma developed large locoregional relapse of malignant disease and pulmonary metastasis four months after surgery and patient with laryngeal osteosarcoma was diagnosed with inoperative locoregional relapse of malignant disease three months after surgery. Both patients died within six months after surgery. On the other hand, patient with laryngeal chondrosarcoma was disease-free during the three-year follow-up. Conclusion. Primary laryngeal sarcomas have low incidence and they differ from squamous cell carcinoma by their biological characteristics and behavior. Radical surgical resection remains the mainstay of treatment with uncertain outcome due to their high potential for recurrence or metastatic spread.
Prediction of Major Adverse Cardiovascular Events From Retinal, Clinical, and Genomic Data in Individuals With Type 2 Diabetes: A Population Cohort Study
Authors: Mordi Ify R , Trucco Emanuele , Syed Mohammad Ghouse , MacGillivray Tom , Nar Adi , Huang Yu , George Gittu , Hogg Stephen , Venkateshan Radha , Prathiba Vijayaraghavan , Anjana Ranjit Mohan , Mohan Viswanathan , Palmer Colin NA , Pearson Ewan R , Lang Chim C , Doney Alex SF , Investigators the INSPIRED
Published: January 2022

Objectives

Improved identification of individuals with type 2
diabetes at high cardiovascular risk could help in selection of newer cardiovascular
risk-reducing therapies. The aim of this study was to determine whether retinal
vascular parameters, derived from retinal screening photographs, alone and in combination
with a genome-wide polygenic risk score for coronary heart disease (CHD PRS)
would have independent prognostic value over traditional CV risk assessment in
patients without prior cardiovascular disease.

Research
Design and Methods

Patients in the GoDARTS study were linked to retinal
photographs, prescriptions, and outcomes. Retinal photographs were analysed
using VAMPIRE software, a semi-automated AI platform, to compute arterial and
venous fractal dimension, tortuosity and diameter. CHD PRS was derived from previously
published data. Multivariable Cox regression was used to evaluate the
association between retinal vascular parameters and major adverse
cardiovascular events (MACE) at 10 years compared to the pooled cohort
equations (PCE) risk score.

Results

5,152 individuals were included. 1,017 individuals
suffered a MACE. Reduced arterial fractal dimension and diameter and increased
venous tortuosity each independently predicted MACE. A risk score combining
these parameters significantly predicted MACE after adjustment for age, sex,
PCE and the CHD PRS (HR 1.11 per SD increase; 95% CI 1.04-1.18, p=0.002) with similar
accuracy to PCE (AUC 0.663 vs. 0.658, p=0.33). A model incorporating retinal
parameters and PRS improved MACE prediction compared to PCE (AUC 0.686 vs.
0.658, p<0.001).

Conclusions

Retinal parameters alone and in combination with genome-wide
CHD PRS have independent and incremental prognostic value compared to
traditional CV risk assessment in type 2 diabetes.
Continuous Glucose Monitoring in Young Adults With Type 1 Diabetes: Impact on Hypoglycemia Confidence and Fear
Authors: Teeasdale Stephanie L. , Griffin Alison , Barrett Helen L , Coutts Clare , Vitanza Margaret , Headey Alan
Published: January 2022

Background. Fear of hypoglycemia in people with type 1 diabetes has a detrimental
effect on glycemic control and quality of life. The association between continuous
glucose monitoring (CGM) and hypoglycemia confidence and fear has not
previously been assessed in the young adult population.

Methods. This was a
prospective cohort study using questionnaires to assess the impact of CGM on
hypoglycemia confidence (using the Hypoglycemia Confidence Scale [HCS] and
hypoglycemia fear (using the Hypoglycemia Fear Survey II [HFS]) in 40 young
adults with a preexisting diagnosis of type 1 diabetes.

Results. Scores on the
HCS were greater at baseline for those with a longer duration of
diabetes. Participants with higher general anxiety scores on the Generalized
Anxiety Disorder 7-item scale had higher hypoglycemia fear at baseline (total score
and worry component, but not behavior component of the HFS). Between baseline
and follow-up, HCS scores increased on average by 0.2 (95%
CI 0.1–0.4, P = 0.01) on a scale of 1–4.
HFS scores decreased by 1.8 (95% CI −3.0 to −0.5, P = 0.006) on a scale of 0–24 for the worry component and by 2.5 (95%
CI −4.4 to −0.6, P = 0.01) on a scale
of 0–44 for total (worry + behavior components).

At follow up,
83% of participants planned to continue using CGM all or most of the time. There
was a very high self-reported effect of CGM on life with diabetes (median 8.0 (interquartile
range 6.5–10.0), where 10 indicated a very big difference).

Conclusion. Hypoglycemia confidence and fear improve with CGM use in young adults.
Genetic Predictors of Change in Waist Circumference and Waist-To-Hip Ratio with Lifestyle Intervention: the Trans-NIH consortium for Genetics of Weight Loss Response to Lifestyle Intervention
Authors: McCaffery Jeanne M. , Jablonski Kathleen A. , Pan Qing , Astrup Arne , Christiansen Malene Revsbech , Corella Dolores , Corso Lauren M.L. , Florez Jose C. , Franks Paul W. , Gardner Christopher , Hansen Torben , Kilpeläinen Tuomas , Knowler William C. , Lindström Jaana , Saris Wim H.M. , Sørensen Thorkild IA , Tuomilehto Jaakko , Uusitupa Matti , Wing Rena R. , Agurs-Collins Tanya
Published: January 2022

Genome-wide association studies have identified single nucleotide
polymorphisms (SNPs) associated with waist circumference and waist-to-hip ratio
adjusted for body mass index (WCadjBMI, WHRadjBMI), but it remains
unclear whether these SNPs relate to change in WCadjBMI or WHRadjBMI with
lifestyle intervention. We hypothesized
that polygenic scores (PS) comprised of 59 SNPs previously associated with central
adiposity would predict less of a reduction in WCadjBMI or WHRadjBMI at
eight-to-ten weeks in two lifestyle intervention trials, NUGENOB and DiOGenes,
and at one year in 5 lifestyle intervention trials, Look AHEAD, Diabetes
Prevention Program, Diabetes Prevention Study, DIETFITS, and PREDIMED-Plus. One
standard deviation higher PS related to smaller one-year change in WCadjBMI in
the lifestyle intervention arms at year 1, and thus predicted poorer response (beta=0.007,
SE=0.003, p=0.03) among White participants overall and in White men (beta=0.01,
SE=0.004, p=0.01). At average
weight loss, this amounted to 0.20-0.28 cm per standard deviation. No significant findings emerged in White women,
African American men, for the 8-10 week outcomes or for WHRadjBMI. Findings were heterogeneous in African
American women. These results indicate
that polygenic risk relates to change in WCadjBMI with lifestyle intervention
but the effects are small and not of sufficient magnitude to be clinically
significant.