bluuebunny/crossref_metadata_2025 huggingface dataset:
Functional Outcome of Distraction Osteogenesis Using Linear Rail System (LRS) in Adults with Isolated Femoral Bone Gap
Authors: Abolaji Alabi Ibrahim
Published: August 2021

Background: The management of bone gap in the femoral shaft has remained difficult and challenging to the orthopaedic and trauma Surgeons. Distraction osteogenesis using the linear rail system (LRS) may be a useful tool in bridging such defects in our environment. Objective: To study the radiologic bone union, functional outcome and complications of distraction osteogenesis in the management of femoral bone gap using linear rail system (LRS). Methodology: A hospital based prospective interventional study conducted at National Orthopaedic Hospital, Dala and Albarka clinic, Dandishe, Kano, between March 2013 and March 2018. Sixty-eight cases were recruited. Every patient had LRS applied after adequate debridement when needed. Primary or interval corticotomy was done depending on the extent of soft tissue dissection in relation to the corticotomy site. Follow up was done until the regenerate had corticalized and LRS removed. Complications were noted and recorded. Radiologic union and functional outcome were assessed using the RUST and ASAMI outcome scores respectively. Data was analyzed using SPSS version 20. Results: Sixty-eight cases were recruited with M: F ratio of 16: 1. The mean age was 36.7 +/- 10.5years. The age range between 36-45years was more commonly treated representing 34(50.0%). Primary corticotomy was done in 52 (76.5%) while interval corticotomy was done in 16 (23.5%). The mean regenerate length achieved was 9.6 +/- 2.7cm. The mean duration of treatment was 20.3 +/- 6 months. Radiologic union was achieved in 66 (97.1%) patients. Sixty-four (94.1%) had excellent or good ASAMI functional outcome scores. Sixty-six (97.1%) were either very satisfied or satisfied with their treatment while 2 (2.9%) were indifferent. The common complications were intermittent pin tract infections recorded in 28 (41.2%), knee stiffness in 18 (26.5), proximal or distal varus deformity in 10 (14.7%) and non-union in 2 (2.9%) of cases. Conclusion: Distraction osteogenesis using LRS can achieve bone union and excellent outcome in the management of bone gap in the femur. However, intermittent pin tract infection, knee stiffness and varus deformities post significant challenges.
Tourism suppliers’ view of the role of government initiatives and tourism competitiveness in distressed contexts
Authors: Woyo Erisher
Published: August 2021

This chapter analyses the role of government initiatives in tourism competitiveness, using data collected from suppliers operating in a distressed tourist destination. The government’s involvement in the process of tourism development, especially in developing countries, is critical. The role and participation of governments in tourism development vary from minimal to a high level of involvement. Developing economies with ongoing political and economic challenges like Zimbabwe have not been comprehensively researched, especially on the nexus between competitiveness and government initiatives. Using qualitative data from a convenience sample of 15 hospitality and tourism managers in Zimbabwe, it was found that the role of government is important for enhancing tourism competitiveness. The study concludes that a higher level of government involvement is needed for Zimbabwe to enhance competitiveness. The government should play a greater role, especially in providing an enabling environment for improved competitiveness while reducing corruption.
Transforming tourism governance Futures thinking for destination community well being
Authors: Konovalov Elena , Moscardo Gianna , Murphy Laurie
Published: August 2021

There have been growing calls for greater community engagement in tourism planning and governance. These are often accompanied by arguments for the use of more futures thinking to deal with the complex problems that tourism faces. This suggests that there is a need for different approaches to engaging destination communities in tourism planning. The aim of the present research was to evaluate such a different approach using futures thinking techniques focussed on destination community wellbeing (DCW) as the primary tourism planning goal. The outcomes of a series of community workshops that used the new futures thinking DCW approach were compared to the strategies described in relevant traditional tourism planning documents. This evaluation revealed that the residents in the futures and community wellbeing workshops generated more varied, specific, innovative and sustainable tourism futures than the traditional tourism planning processes. Tourism governance needs to focus more on empowering destination residents and on making specific links between aspects of tourism and changes in aspects of DCW.
Conocimientos, actitudes y prácticas sobre la donación de sangre en estudiantes de Medicina de la Universidad Central del Ecuador
Authors: Obregón Jiménez Karina Juliana , Velástegui Muñoz G Amanda , Melo López Marco Vinicio , Álvarez Sánchez Nicole Estefanía , Calero Tipantuña Alejandra Elizabeth , Aviles Erazo Evelyn Dayanna , Loachamin Andrango Araseli Gissel , Betancourt Fonseca Lesly Michell , Torres Balarezo Pedro Isaac , Iñiguez Macas Paola Cristina
Published: August 2021

Introducción. En el Ecuador, la donación de sangre se encuentra con una baja tasa de donantes (1,5 % de la población), ante la tasa óptima recomendada por la Organización Panamericana de la Salud. El personal de salud debe enfrentar esta situación promoviendo la donación de sangre entre la población

Objetivo. Determinar el nivel de conocimientos, actitudes y prácticas sobre la donación de sangre en estudiantes de medicina de la Universidad Central del Ecuador.

Metodología. Se llevó a cabo un estudio transversal se utilizó un cuestionario que fue difundido por medios electrónicos el cual constaba de cuatro secciones correspondientes a características sociodemográficas, conocimientos, actitudes y prácticas, dentro de esta última ítems destinados a identificar los factores que influyen en los donadores y no donadores

Resultados. Se obtuvo un total de 303 respuestas. El rango de edad de los participantes fue de 18 a 32 años con una media de 22,73 años, el 60,7% fueron mujeres y el 39,3% hombres. Un nivel adecuado de conocimiento está presente en la mayor parte de estudiantes encuestados así como una actitud positiva hacia la donación de sangre. Con respecto a la práctica el 60% de los encuestados fueron donadores, encontrándose factores importantes como el género masculino y el nivel de conocimiento adecuado hacia la realización de dicha práctica.

Conclusión. Es importante difundir información adecuada tanto hacia el personal de salud como población en general, para reforzar conocimientos y así superar los factores que inciden en que las personas no donen sangre.
Asociación entre el estrés y el índice cintura-talla en estudiantes de medicina de una universidad privada de Lima, Perú en el 2018
Authors: Mendez Carolina Isabel , Quevedo Ramirez Andrés , De la Borda Prazak Guillermo , Silva Pérez Claudia , Oscco Tenorio Mauricio , Pinedo Torres Isabel
Published: August 2021

-Objetivo: Determinar la asociación entre el estrés y el índice cintura-talla (ICT) en estudiantes de Medicina Humana de una universidad privada de Limaen el 2018.

-Materiales y métodos: Estudio transversal analítico. Los sujetos de estudio estuvieron conformados por estudiantes de 2.° a 5.° año de Medicina Humana de una universidad privada de Lima. Además, las principales variables fueron estrés e índice cintura-talla. Los datos fueron ingresados al programa STATA 14.0, en el cual, se calculó la frecuencia de las variables categóricas, y las medidas de tendencia central y dispersión de las cuantitativas. Posteriormente, se realizó el análisis bivariado y multivariable, este último a través de la regresión de Poisson con varianza robusta.

-Resultados: Se analizaron 234 sujetos de estudio. No se halló asociación estadísticamente significativa entre el estrés e ICT, ni el análisis crudo (p=0.93), niajustado por edad, sexo, año académico y actividad física (p=0.43). Se halló asociación estadísticamente significativa entre el sexo e ICT (p<0.00).-Conclusiones: No se halló asociación entre el estrés e ICT; sin embargo, un 46.58% de la población presentó un ICT elevado y un 29.06% presentó estrés.

-Palabras clave: Relación Cintura-Estatura; Estrés Psicológico; Estudiantes de Medicina
Evaluación antropométrica infantil en comunidades criollas e indígenas de Maniapure, Venezuela: estudio preliminar.
Authors: Pereira De Oliveira Diego Jesús , Sotelo Andrea , Campins Daniela , Fernández Andrea , Milne Rebeca
Published: August 2021

Introducción: La malnutrición en Venezuela es un problema de salud pública cuya magnitud actual es desconocida por la ausencia de cifras oficiales, especialmente en poblaciones rurales con presencia indígena, en donde los factores de riesgo aumentan. La región de Maniapure (municipio Cedeño, estado Bolívar) es una población en riesgo, habitada por criollos e indígenas de las etnias E´ñepá y Jivi. Objetivo: Determinar la prevalencia de diagnósticos nutricionales y de crecimiento mediante métodos antropométricos en la población menor de 18 años de edad. Métodos: Estudio observacional, descriptivo y transversal, con muestreo no probabilístico por conveniencia de pacientes que acudieron a consulta médica gratuita, en las comunidades Cerro Pelón, El Palote, Tortuga, Corozal, Quebrada Seca y Arepital. Se realizó determinación de peso, talla, circunferencia cefálica y de brazo izquierdo. Se registraron los datos en Microsoft Excel® 2013 y analizaron con Epi Info™ 7.2.2.6 mediante estadística descriptiva. Resultados: Se evidenció alta prevalencia de desnutrición general (47,25%) y de talla baja (36,26%). Los indígenas tuvieron mayor cantidad de diagnósticos de desnutrición (51,46%) que los criollos (41,77%), al igual que de talla baja (50,43% y 14,89%, respectivamente). Conclusión: Se identificó por primera vez a la malnutrición por déficit y el bajo desarrollo pondoestatural como problemas de salud en Maniapure, especialmente en la población indígena. Esto es probablemente explicado por factores nutricionales, infecciones parasitarias y dificultades para estandarizar las curvas de crecimiento de cada población. Se sugieren nuevos estudios en el área que amplíen la muestra e identifiquen nuevos factores de riesgo.
Design Agricultural Land Protection Design through Waqf Strategy Istibdal
Authors: Eriawan Ridho Wahyu , Masruchin Masruchin
Published: August 2021

Penelitian ini didasari oleh isu utama yakni mengenai fenomena yang sedang terjadi di Kabupaten Sidoarjo yaitu berkurangnya Lahan Pertanian pangan Berkelanjutan (LP2B). Faktor utama penyebab fnomena ini terjadi adalah karena dipicu oleh semakin bertambahnya penduduk di Kabupaten Sidoarjo. Tingginya pertumbuhan penduduk ini menyebabkan tingginya jumlah permintaan pembangunan perumahan. Sehingga lahan pertanian pangan berkelanjutan menjadi salah satu incaran bagi para developer perumahan untuk mengalihfungsikan menjadi sebuah hunian tanpa mempertimbangkan keseimbangan lingkungan sekitar. Akibatnya banyak petani yang kehilangan mata pencaharian dan keseimbangan lingkungan menjadi terganggu. Sehingga diperlukan solusi yang inovatif untuk mengatasi fenomena berkurangnya lahan pertanian pangan berkelanjutan. Untuk itu peneliti melakukan merancang suatu strategi mengenai pengembangan wakaf tanah melalui metode wakaf istibdal untuk melindungi lahan pertanian pangan berkelanjutan yang terancam akan alih fungsi lahan pertanian. Metode istibdal merupakan penukaran harta wakaf sejenis maupun tidak sejenis. Dengan metode ini wakaf tanah dapat dimutasi untuk lahan pertanian. Strategi ini diharapkan dapat mengurangi adanya konversi lahan dan berfungsi untuk melestarikan wakaf tanah yang sebelumnya tidak difungsikan.
Pengaruh Brand Loyalty dan Karakteristik Muzakki terhadap Keputusan Berzakat melalui Aplikasi Shopee
Authors: Prawira Galang Yoga
Published: August 2021

Penelitian ini bertujuan untuk mengetahui pengaruh dari brand loyalty dan karakteristik muzakki terhadap keputusan muzakki berzakat melalui Shopee.Terdapat beberapa hal yang mempengaruhi seorang muzakki untuk memilih tempat menyalurkan zakatnya.Beberapa hal tersebut diantaranya adalah brand loyalty untuk mengukur ketetapan seseorang untuk selalu memilih tempat penyaluran zakat.Yang kedua adalah karakteristik muzakki yang salah satunya mengukur apa saja yang mempengaruhi muzakki untuk memilih suatu lembaga zakat.
Penelitian ini menggunakan pendekatan kuantitatif dengan menggunakan path analysis untuk mencari hubungan sebab akibat.Populasi yang diambil untuk penelitian ini adalah muzakki di sekitar lingkungan peneliti.Sampel yang dgunakan sebanyak 125 responden dengan menggunakan teknik hair dengan mengalikan 5-10 kali dari jumlah indikator penelitian.Teknik sampling yang digunakan pada penelitian ini adalah probability samping,dimana setiap populasi memiliki kesempatan yang sama untuk diambil datanya.
Hasil dari penelitian ini menunjukkan bahwa variabel brand loyalty dan karakteristik muzakki berpengaruh secara signifikan terhadap keputusan muzakki untuk berzakat melalui Shopee.
Contemporary terrorism: problems of concept and prevention
Authors: Kunts Elena Vladimirovna , Kostyuk Mikhail Fedorovich
Published: August 2021

The article emphasizes that the problem of terrorism, being relatively independent, acts as part of global deviations that affect significantly socio-political processes at the global, national and regional levels. terrorism refers to one of the vital problems of current society. In virtue of the special social danger, scientific research of this phenomenon is of high importance and relevance. Thus, the above and a number of other theoretical and practical issues related to the fight against terrorism as the main direction of criminal law policy determine the importance and relevance of the topic of this study. The research purpose is to conduct a comprehensive legal analysis of the essence of terrorism impact on current socio-political processes, the concept of terrorism, and its classification, elaborate recommendations for increasing the effectiveness of anti-terrorist activities; and obtain new knowledge about the social and legal nature, peculiarities and trends in the development of terrorist crimes.
Transformation of marriage and family values in modern russian society
Authors: Zaitseva Irina Alexsandrovna , Lavrishcheva Olga Anatolyevna , Оcheretko Elena Alexandrovna
Published: August 2021

The article’s purpose is a comprehensive theoretical and legal analysis of the conditions for transforming traditional marriage and family values, taking into account the modern realities of Russian family policy. The article also illustrates the main trends in family fundamentals changes, as young people of a constituent entity of the Russian Federation view it. All this will facilitate the wording of an integral concept of the value legal regulation of family relations in Russia. The general scientific and unique cognition methods were used to achieve the stated purpose of the study. A particular method of scientific research was the method of sociological survey (questionnaire survey). The theoretical conclusions and practical recommendations formulated as a result of the study aim to form an effective pro-family policy. Such policy should increase the prestige of Russian society’s spiritual and ideological traditional family values.
Multifunctional simulator for providing ship with data on maneuverability
Authors: Dorovskoy Vladimir Alekseevich , Degtyarev Andrey Vladimirovich , Smetyuh Nadezhda Pavlovna , Zinchenko Anton Aleksandrovich
Published: August 2021

The article presents the research analysis on the ship safety. It has been found out that due to the lack of a methodology for planning an algorithm for the maneuvering control system, there is no concept of solving technological problems or any understanding of what data are needed to perform the work. Despite the cybernetic devices and programs perform some part of the work and prepare the necessary data, the skipper does not understand how the device generates them. The task was to create a prototype that could allow to get data on the ship maneuverability. After the initial stage of training has been passed the skills should be obtained, which further will transform into the passive and stable abilities. The created hardware and software package allows implementing the concept of the guaranteed safety of maneuvering control in piloting vessels due to improving the methods of forming sustainable skills and bringing it to the automation level. It was recommended to use a simulator with visualization, to introduce the new algorithms of controlling the ship propulsion in the area of responsibility by coastal and to develop the recommendations on divergence, new training methods for pilots on shore. The conclusions were made on improving the level of information support by preparing subject-specific declarative knowledge and presenting it in an easily accessible form for perception when making decisions on maneuvering. The developed methodology is implemented in the training process of pilots in the training complex of Kerch State Maritime Technological University
Analysis of damage and failure of ship propulsion shafts
Authors: Kushner Guriy Alekseevich , Mamontov Victor Andreevich , Volkov Dmitry Aleksandrovich
Published: August 2021

The paper highlights the problem of a ship shaft line failure, which entails significant economic losses, because most vessels of the Russian fleet are equipped with a shaft line. A large number of domestic and foreign works are devoted to studying the causes of damage and failures of ship shafting. The complexity of collecting, systematizing and analyzing statistical data on breakdowns and damages of shafting lies in the fact that the data refer to different periods of time, different periods of operation and types of ships, and are also contained in various sources. There has been considered the approach to systematization of modern statistical data on damages and failures of ship shafting elements collected on the basis of defect-technological lists of the Astrakhan shipyards and from other sources. Information on breakdowns of ships, their elements and ship shaft lines within 2010 - 2019 provided by the Russian River Register of Shipping is given. The analysis of accidents on ships of the class of the Russian Maritime Register of Shipping. The places of occurrence and the nature of the propeller shaft cracks have been established, which makes it possible to assess the nature and magnitude of the destructive loads, as well as the real safety margins. The general classification of the location of the propeller shaft cracks in the order of the frequency of their occurrence is given. There have been shown the results of the analysis of defect-technological lists, which make it possible to establish the causes of ship shafting failures, which led to emergency repair, and the most common defects identified during the scheduled dock repair of ships. The influence of the diameter of propeller shafts on the nature and size of defects, as well as the frequency of their manifestation, is estimated. Based on the results of the analysis, certain measures have been proposed to reduce the number of accidents in shafting of projected vessels, and the most promising directions for improving the already developed structures of shafting in operation are outlined. The results of the analysis are in addition to the ongoing research and development work to improve the reliability of ship power systems.
Theoretical grounds for determining optimal trim of river-sea vessels
Authors: Ershov Andrey Aleksandrovich , Mishenko Vadim Vyacheslavovich
Published: August 2021

The article presents the theoretical substantiation of using the optimal trim of “river- sea” vessels in order to improve the propulsion of vessels of various types and purposes navigating on seas and rivers. There has been carried out the analysis of the optimal trim for different types of ships in operation. The given calculations prove the possibility of designing new ships with improved sailing characteristics. The scheme of damping the bow shear wave coming from the stem of the “river-sea” vessel is illustrated using the shear wave coming from the bow bulb, with a differential to the bow. It is proved that trimming of a “river-sea” vessel without a bow bulb is effective for slow-moving and high-speed vessels due to the reduction of components and total drag, compared to the resistance to the movement of a vessel with a conventional trim. An integral similar to Mitchell integral for the wave drag of a vessel with a bow bulb is proposed, by means of which the conditions for damping a bow shear wave (coming from the stem) using the bow bulb of a “river-sea” vessel are determined. The elements composing resistance to the vessel propulsion are investigated in detail: total resistance of the medium to the movement of the vessel, resistance of friction, shape, protruding parts, wave, and aerodynamic resistance. There are considered the criteria of the optimal bow draft of the vessel and optimal trim of the vessel, the criteria of the efficient use of the optimal trim for the “river-sea” vessels on the sea sections. An equation is given that determines the value of the optimal length of the wave-forming part of the bow bulb or the condition for the optimal trim. The pictures illustrating a sea vessel bulb, the bow of which is capable of effectively forming a shear wave at a given differential are shown. Conclusions are made about the possibility of using the optimal trim for river-sea vessels on river and sea sections, recommendations are given that contribute to saving fuel and time, increasing the speed to two knots while reducing the total resistance by up to 20%.
Disclosure of Accountability Practices on Websites of Malaysian City Councils
Authors:   Universiti Teknologi MARA, Sarawak, Abang Ahmad Dayang Hafiza , Joseph Corina ,   Universiti Teknologi MARA, Sarawak, Said Roshima ,   Universiti Teknologi MARA, Kedah
Published: August 2021

Accountability in the public sector has been widely scrutinised due to the increasing demand from various stakeholders including the public. Disclosure practices could substantially improve the accountability of the public sector through the usage of technology, i.e., websites. This paper examined the extent of the disclosure of accountability practices (DACP) on the websites of the entire Malaysian city councils. A content analysis was carried out to analyse the content of official websites of 14 city council. A Modified Accountability Disclosure Index (MOADI) comprised of 100 disclosure items was adopted to measure the extent of the DACP of Malaysian city councils. There was an average of 59% of the extent of DACP found on the website of city councils. The findings further indicated that the highest and the least frequent information disclosed by the city councils were classified under delivery and other information, respectively. This paper contributes a significant finding which highlights the importance of the website as a medium for discharging accountability to enhance the overall administrative system in local authorities’. The findings provide valuable insights and implications about accountability practices to several groups of stakeholders including the local authorities, regulators, and the community.
Performance Assessment of PPP-AR Positioning and Zenith Total Delay Estimation with Modernized CSRS-PPP
Authors: Atiz Omer Faruk , Kalayci Ibrahim
Published: August 2021

The precise point positioning (PPP) method has become more popular due to powerful online global navigation satellite system (GNSS) data processing services, such as the Canadian Spatial Reference System-PPP (CSRS-PPP). At the end of 2020, the CSRS-PPP service launched the ambiguity resolution (AR) feature for global positioning system (GPS) satellites. More reliable results are obtained with AR compared to the results with traditional ambiguity-float PPP. In this study, the performance of the modernized CSRS-PPP was comparatively assessed in terms of static positioning and zenith total delay (ZTD) estimation. Data for 1 month in the year 2019 obtained from 47 international GNSS service (IGS) stations were processed before and after modernization of the CSRS-PPP. The processes were conducted for GPS and GPS + GLONASS (GLObalnaya NAvigatsionnaya Sputnikovaya Sistema) satellite combinations. Besides, the results were analyzed in terms of accuracy and convergence time. According to the solutions, the AR feature of the CSRS-PPP improved the accuracy by about 50% in the east component for GPS + GLONASS configuration. The root-mean-square error (RMSE) of the ZTD difference between modernized CSRS-PPP service and IGS final troposphere product is 5.8 mm for the GPS-only case.
Evaluating Hungary’s Participation in the European Union’s Common Security and Defence Policy
Authors: Juhász Krisztina
Published: August 2021

Hungary joined the European Union in 2004 but started to participate in EU crisis management operations well before. Since the Common Security and Defence Policy (CSDP) was a new policy area at that time, it was an extraordinary experience for Hungary to be integrated into a policy still under development.

Aft er briefly detailing the foreign and security policy options Hungary faced right after the transition from communism, this paper analyses Hungary’s contribution to the CSDP. The CSDP is based on two pillars — one operational and the other related to capability-building. The paper first analyses Hungary’s participation in the civilian and military operations launched in the framework of the CSDP. Specifically, it explores the operations Hungary has joined, the kind of capacities it has contributed and the deficiencies and problems that have emerged in this sphere. Second, the paper addresses Hungary’s perspectives and aspirations regarding capability development. Specifically, it looks at how Hungary views the future of the CSDP, especially in light of the country’s participation in permanent structured cooperation (PESCO), the central element in the EU’s joint defence capability development.

Methodologically, the paper employs qualitative content and discourse analysis, drawing on relevant secondary literature and analyses of official EU and Hungarian (legislative and non-legislative) documents. Surveying Hungary’s participation in EU crisis management operations since the beginning of the CSDP, the paper finds it has joined 42 per cent of civilian and 70 per cent of military operations. These have been in the immediate neighbourhood but also distant locations (Africa, Central Asia, and the Near East). At the same time, distinct challenges have hampered Hungary’s contribution to certain operations, such as a dearth of foreign language skills and a lack of strategic airlift and mobile logistics capabilities. The paper also finds that regional defence cooperation was not the central driver of cooperation within PESCO projects. Overall, Hungary is somewhere in the middle of the pack in terms of the number of PESCO projects it participates in.
Simulation and parametric analysis of natural gas sweetening process: a case study of Missan Oil Field in Iraq
Authors: Khanjar Jassim Mohammed , Omidbakhsh Amiri Elham
Published: August 2021

Gas sweetening is one of the important purification processes which is employed to remove acidic contaminants from natural gases prior to meet transport requirements and sale gas specifications. In this work, simulation and parametric studies of the natural gas processing plant ofMissan Oil Company/Buzurgan Oil Field of Natural Gas Processing Plant(in Iraq) were considered. After simulation and validation of this plant, the effect of feed temperature and flow rate and solvent concentration were considered. Results show with increasing the feed temperature and flow rate, the amount of H2S and CO2in the sweet gas stream increases. Then, in the next step, the effect of mixture solvents was studied. Sulfolane–MDEA and MDEA–MEA were selected as a physical–chemical mixture solvent and chemical mixture solvent, respectively. The simulation results show that the solvent price and reboiler duty and cooling duty can be reduced by using a mixture solvent. However, the amount of H2S and CO2in the sweet gas can be affected by these solvents. The system by a chemical mixture solvent can better performance than other solvents.
Tratamento da síndrome respiratória aguda severa causada pelo vírus Sars-Cov-2 com bloqueadores dos receptores de angiotensina II
Authors: Pampolha Ana Flávia Oliveira , Mendonça Maria Helena Rodrigues de , Chaves Elem Cristina Rodrigues , Gois Bruna Verônica Azevedo
Published: August 2021

Objetivo: Realizar uma revisão sobre o COVID-19 e um possível tratamento com Bloqueadores dos Receptores de Angiotensina II (BRA’s) em pacientes que desenvolveram a síndrome respiratória aguda severa. Métodos: Estudo de revisão da literatura nas bases PubMed, Medline, Scielo, Elsevier e Google acadêmico, de 2000 a 2020 a partir dos descritores: “coronavírus”, “tratamento”, “anti-hipertensivo” e “síndrome respiratória aguda severa”. Resultados: A partir da busca literária da patologia, epidemiologia e biologia molecular da COVID-19 e farmacologia dos BRA’s, 49 trabalhos foram lidos completamente e, ao final, um total de 31 artigos foi selecionado para contemplar o estudo, sendo estes classificados de acordo com o tema, autor/ano e tipo de estudo, sendo 71% (22) publicado em 2020 e 3,2% (1) aos demais anos. Dentre os temas abordados, 25,8% (8) abordam a “COVID-19/Sars-CoV-2 e os aspectos clínicos e moleculares”, seguido de “Cytokine Storm e a resposta imune” (16,1%). Considerações finais: Essa revisão bibliográfica agrega informações que indicam os benefícios do uso de BRAs no tratamento da Síndrome Respiratória Aguda Severa causada pelo COVID-19, portanto, vão a consenso as diretrizes no sentido a não suspensão dos BRAs no curso de infecção pela COVID-19. Contudo, comprovação da eficácia do fármaco requer experimentos laboratoriais mais específicos.
Registry-based pilot epidemiological study of traumatic brain injury in a tertiary trauma care center in Kerala, India – Difficulties encountered during data collection warranting the need for standardized electronic database
Authors: Gopal Vinu V.
Published: August 2021

Background:

Head injury is referred to as a “silent epidemic” globally. Studies regarding epidemiology of head injury are very few especially in Kerala and most have conflicting reports. Unlike developed countries, there is no well-established system for collecting and managing information on traumatic brain injury (TBI) in India, especially in Kerala. The present study shares the difficulties encountered and the insights acquired by conducting a registry-based epidemiological pilot study for collecting a baseline data of traumatic head injury patients in a tertiary care center in Kerala.

Methods:

The pilot study was conducted to know the efficiency of present reporting system of a tertiary hospital in Kerala. We tried to collect retrospective data from December 2018 to December 2019 in the department of neurosurgery. As there was no standardized protocol or electronic database for data collection in hospital, we made a sample proforma for data collection. The patient details were obtained from medical records (case sheets), resident doctor’s, and staff nurse’s notes which included demography, clinical details, and radiological findings which were analyzed.

Results:

We were not able to fill the full details regarding demography, prehospital data, and clinicoetiological details which are important as far as head injury management is considered. The hospital records were grossly inadequate for full retrieval of information. Inadequate case definition and lack of centralized electronic reporting mechanisms were some of the major difficulties we faced obviating the need for collecting, managing, and utilizing epidemiological data using an electronic database.

Conclusion:

We believe that the present pilot study will give an insight regarding the difficulties encountered in collecting data regarding TBI. This study will be the first of its kind in Kerala highlighting the importance of maintaining a proper head injury electronic registry. The data from this study would definitely guide future experimental operational research on these unexplored areas which will be relevant in head injury policy-making in Kerala as well as in India.
Особенности аффективной симптоматики в структуре непсихотических психических расстройств органического происхождения
Authors: Рудницкий В.А. , Костин А.К. , Никитина В.Б. , Белокрылова М.Ф. , Гарганеева Н.П. , Иванова А.А. , Аксенов М.М. , Перчаткина О.Э.
Published: August 2021

Актуальность. Органические психические расстройства отличаются полиморфностью симптоматики, наличием сложных этиологических и патогенетических взаимосвязей, склонностью к затяжному прогрессирующему течению и трудно поддаются терапии. Цель: изучение связи аффективной симптоматики с течением непсихотических психических расстройств органического происхождения и устойчивостью результатов лечения. Материалы и методы. В 2014-2020 гг. обследовано 165 пациентов с органическими непсихотическими психическими расстройствами от 30 до 65 лет с помощью клинико-психопатологического, клинико-динамического, клинико-катамнестического, психологического, статистического методов. После использования критериев исключения и выбытия на катамнестическом этапе основную группу составили 64 пациента с органическими непсихотическими психическими расстройствами с коморбидной аффективной симптоматикой на этапе отдаленных последствий терапии, группу сравнения ‒50 пациентов с расстройством адаптации. Результаты. Анализ нозологической структуры продемонстрировал преобладание органических эмоционально лабильных расстройств, реже встречались органические расстройства личности. Все пациенты проходили обследование и курсы индивидуально разработанных лечебно-профилактических мероприятий, реализованных в виде дифференцированных реабилитационных программ. Наблюдалась достаточно высокая первоначальная эффективность лечения. После выписки из стационара пациентов с органическими непсихотическими психическими расстройствами отмечалось частое присоединение не встречавшейся ранее аффективной симптоматики, что было одним из обстоятельств, повлиявших на отдаленные результаты лечения. В 2020 г. зарегистрирована более высокая частота встречаемости депрессивных проявлений по сравнению с предыдущим периодом наблюдения таких пациентов, что мы объясняем ситуационными обстоятельствами (влияние стресса пандемии и коронавируса и введение мер ограничительного характера). В статье обсуждаются также вопросы диагностики, клиники и терапии с точки зрения преодоления негативных последствий для здоровья больных органическими психическими заболеваниями и повышения качества лечения. Таким образом, коррекция вторичной аффективной симптоматики и более адекватный учет социально-психологических обстоятельств позволяет повысить эффективность лечения и реабилитации пациентов органического регистра.
Поиск биологических факторов, ассоциированных с устойчивостью терапевтической ремиссии при алкогольной зависимости
Authors: Ветлугина Т.П. , Прокопьева В.Д. , Никитина В.Б. , Лобачева О.А. , Ярыгина Е.Г. , Мандель А.И. , Кисель Н.И.
Published: August 2021

Цель. Выявление факторов эндокринной регуляции и окислительного стресса, связанных с устойчивостью ремиссии у больных алкогольной зависимостью после предыдущего стационарного лечения. Пациенты и методы. В исследование включены 89 больных алкоголизмом мужчин с разной длительностью терапевтической ремиссии. Факторы эндокринной регуляции определяли в сыворотке крови по концентрации гормонов (кортизола, тестостерона, тиреотропного гормона – ТТГ, трийодтиронина свободного – Т3, тироксина свободного – Т4) методом иммуноферментного анализа. Факторы окислительного стресса определяли в плазме крови по концентрации карбонилированных белков с использованием 2,4-динитрофенилгидразина и продуктов ПОЛ с использованием тиобарбитуровой кислоты. Контроль – сыворотка и плазма крови 38 здоровых мужчин. Для построения прогностической модели устойчивости ремиссии применяли метод логистической регрессии. Результаты. У больных алкогольной зависимостью установлено повышение концентрации кортизола, тестостерона, карбонилированных белков, ТБК-реактивных продуктов, соотношения кортизол/тестостерон и снижение уровней тиреоидных гормонов. Прогностическая модель показала, что наиболее чувствительными параметрами для предсказания неустойчивой ремиссии являются коэффициент отношения кортизол/тестостерон и уровень свободных фракций тиреоидных гормонов T3 и T4. Заключение. Выявлены информативные биологические показатели для прогноза устойчивости терапевтической ремиссии у больных алкоголизмом.
A Inovação na Estratégia da Saúde Social no Envelhecimento: Papel da Economia Social em Resposta à Pandemia
Authors: Gomes Mariana , Pinto Lília , Ferreira Maria
Published: August 2021

O complexo processo de envelhecimento pensado à luz da crise pandémica, que abalou o funcionamento de toda a sociedade, impulsionou abordagens distintivas à prestação de cuidados de saúde no envelhecimento. A Santa Casa da Misericórdia do Marco de Canaveses (SCMMC), no âmbito da Economia Social e em resposta ao desafio do futuro na saúde social no envelhecimento, através da articulação indissociável da saúde e da área social, inovou na humanização e disponibilização de cuidados de saúde especializados na população sénior, centrados na pessoa e baseados na relação. Através da implementação de diferentes projetos, surge uma perspetiva de inovação, comunicação e empoderamento. No decurso da sua execução – com o apoio a tecnologias de comunicação (teleconsulta) - surgirá uma abordagem integrativa no binómio saúde-social, criando um planeamento adaptativo e um desenvolvimento evolutivo, personalizado à situação da pessoa idosa, de aplicação célere e desenvolvimento contínuo.
A percepção e o valor atribuído pela pessoa idosa integrada em universidade sénior, sobre a qualidade dos serviços prestados pela saúde
Authors: Almeida Cristina , Fernandes Joana , Mendes Felisbela
Published: August 2021

Enquadramento – As pessoas mais velhas estão mais ativas, e a participação em Universidades Séniores parece ser um elemento de capacitação e ativação de memória. Objetivos: Avaliar através da participação regular em universidade sénior de um grupo de idosos, a sua perceção de qualidade em saúde e memorização das instruções em saúde. Metodologia – Foram organizados cinco grupos focais com 40 idosos participantes em Universidade Sénior com aplicação de um inquérito por questionário com aplicação apoiada por uma das investigadoras para avaliar A percepção e o valor atribuído pela pessoa idosa integrada em universidade sénior, sobre a qualidade dos serviços prestados pela saúde. Resultados – Contrariando o que a literatura refere sobre o esquecimento da pessoa das instruções de saúde após a consulta, este estudo exploratório veio demonstrar que os idosos ainda têm boa memória, são ativos e arranjam estratégias de memorização (como gravar no telemóvel as instruções ou pedir ao profissional que as escreva para utilização futura). A participação ativa nas atividades da universidade sénior pode ser uma das razões desta capacidade de memorização.
Cessação tabágica em indivíduos idosos – o que mudou e o que ainda falta fazer
Authors: Pires Melanie
Published: August 2021

O consumo do tabaco continua a ser uma das maiores ameaças de saúde pública a nível mundial. Os fumadores idosos apresentam maior carga tabágica do que os mais jovens, registando um maior número de complicações. Existem várias opções no apoio à cessação tabágica, no entanto, verifica-se uma lacuna no conhecimento quanto à intervenção mais efetiva em idosos. Foi realizada uma revisão rápida da literatura sobre cessação tabágica em idosos, principais abordagens terapêuticas, farmacológicas e não farmacológicas, e evolução ao longo dos últimos anos. A terapêutica com substitutos de nicotina, a existência de consultas intensivas, acessíveis e flexíveis, e um suporte social, são técnicas que parecem apresentar melhores resultados. Continua a ser evidente a existência de pouca literatura dirigida à cessação tabágica em adultos idosos, sendo por isso necessário o desenvolvimento de estudos científicos de elevada qualidade, de forma a reforçar os conhecimentos atuais e a prática clínica.
An Overview of Oligocene to Recent Sediments of the Western Pacific Warm Pool (WPWP) (International Ocean Discovery Program-IODP Exp. 363) Using Warm and Cool Foraminiferal Species
Authors: Beck Eichler Patrícia Pinheiro , Paul Barker Christofer , Gomes Moab Praxedes , Vital Helenice
Published: August 2021

We use the excellent sediment recovery of International Ocean Discovery Program (IODP) Exp. 363, in the Western Pacific Warm Pool (WPWP) to assess down-core variations in the abundance of warm versus cool benthic foraminiferal species through a warm benthic foraminifers (WBF) curve. The total percentage of the “warm” shallower species group (Laticarinina pauperata, Cibicidoides kullenbergi, C. robertsonianus, Cibicidoides sp., Hoeglundina elegans, and Bulimina aculeata) and of the “cool” species group from deep waters (Pyrgo murrhina, Planulina wuellerstorfi, Uvigerina peregrina, and Globobulimina hoeglundi, Hopkinsina pacifica) at all sites is used to assess paleo temporal and spatial variations in preservation and marine temperature. Our study sites span water depths ranging from 875 m to 3421 m and our results indicate that well-preserved living and fossil foraminifera characterize mudline and core sediments at all water depths attesting the wide environmental tolerance of these species to temperature and pressure. Using magneto-and biostratigraphy datum, these sediments are of Oligocene age. Our low-resolution study showed that with the exception of core 1486B which the linear tendency of warmer species is toward cool sediments in old times, all of them show that older sediments indicate warmer periods than today, which is expected from Miocene to Recent. Our results provide evidence for the preservation potential of deeply buried sediments, which has implications on climate reconstructions based on the population dynamics of calcareous benthic foraminifera.
Awareness and Approaches of Family Physicians about Chronic Pain
Authors: ERDEM SULTANOĞLU Tuba , GAMSIZKAN Zerrin , ATAOĞLU Sarfinaz , SULTANOĞLU Hasan
Published: August 2021

Abstract

Purpose: We aimed to investigate family physicians’ awareness and approaches to chronic pain in its management.

Methods: This study was planned as a descriptive-crosssectional study to investigate family physicians’ awareness and approaches to chronic pain between September and November 2020.A questionnaire were used as data collection tools.The physicians sociodemographic characteristics, the number of registered patients, the percentage of patients with chronic pain, the status of participation in training activities on pain management, the most common cause of chronic pain, initial approach to chronic pain management were recorded. They were also questioned about the medical treatment option that they preferred for the treatment of patients with chronic pain, the most commonly demanded medication group by their patients and their practice of prescribing those medications, their views on traditional and complementary medicine, and the most effective treatment option for chronic pain.

Results:81 family physicians participated in the study.The mean age was 34.2±7.3.58% of the participants are women;42% of them were male.Half of the family physicians participating reported that low back pain was the most common cause of chronic pain. In our country, the responses given to the question about the most common causes of chronic pain were psychiatric problems and low back pain. Initial approach to a patient presenting with chronic pain, the most the physicians responsed ‘I treat the patient’.66.7% of the physicians agreed with multidisciplinary approach.

Conclusions: Developing algorithms for chronic pain management, structuring specialist training and planning continuous training after graduation will contribute significantly to increasing awareness of chronic pain.
Pengaruh Pelayanan Terpadu Satu Pintu Terhadap Citra Kantor Wilayah Kementerian Agama Provinsi Jambi
Authors: Tuti Alfiani  , Ansusa Putra  , Agus Selamet Nugroho
Published: August 2021

The image of the agency is an important thing because it can make an agency good or even bad. One Stop Integrated Service (PTSP) Regional Office of the Ministry of Religion of Jambi Province is one of the drivers to get a good image in the community. This study aims to determine the effect of excellent service at PTSP on the image of the Regional Office of the Ministry of Religion of Jambi Province. This research is a qualitative research with data collection through interviews with the research subjects, namely the person in charge of PTSP, PTSP officers, employees of the Regional Office of the Ministry of Religion of Jambi Province. The results showed that: in improving the image of the Regional Office of the Ministry of Religion of Jambi Province, PTSP provided excellent services such as providing satisfaction to customers, providing friendly, fast and easy service; Responsible; Good service mechanisms and procedures; clarity in administrative costs; Factors that support improving the image of the Regional Office of the Ministry of Religion of Jambi Province in terms of excellent service at PTSP are the form of services provided to the community and, the facilities and infrastructure provided are very supportive of the service, while the inhibiting factor is the lack of competent human resources in PTSP, and there are still many It is the people who do not know the service administration system provided, especially the online administration system.
Strategi Komunitas Pejuang Subuh dalam Berdakwah dan menjaga Eksistensinya di Kota Jambi
Authors: M.Ridho  , Zurqarnin  , Ahdiyat Mahendra
Published: August 2021

This research is motivated by the rapid development of the dawn warrior community so that it has mushroomed in almost all parts of Indonesia and has had tens of thousands of members, including Jambi, for more than 2 years the Jambi dawn warrior community has had thousands of members, of course it didn't just happen, it was all This study aims to determine the strategy of the Jambi dawn warrior community in preaching and maintaining its existence in Jambi City, and the effectiveness of the strategies used by the administrators. The research that the author uses is a qualitative research. The data collection techniques are interviews with 13 informants, observations from November 2020 to February 2021, and documentation. The results of the strategy research in preaching are: staying in touch with mosque administrators in Jambi City, making fun activities, creating good relationships with each member and using social media and other media as a means of developing da'wah. Strategies in maintaining the existence of the dawn warrior community are: making priority and non-priority programs, collaborating with various communities and organizations, da'i, and taklim assemblies in Jambi City, seeking and maintaining the trust of donors.