bluuebunny/crossref_metadata_2025 huggingface dataset:
Fertility sparing approach in young women with endometrial cancer
Authors:   Department of Gynecology and Obstetrics, Šumperk Hospital a.s., Czech Republic, Hejl Zdeněk , Hanáček Jiří , Pilka Radovan
Published: August 2022

The incidence of endometrial cancer in young women is increasing, especially in developed countries. Although it is predominantly a disease of peri- and postmenopausal women, there is an absolute increase in younger women of childbearing age who, with today's lifestyle and pushing back maternal needs, do not have fulfilled reproductive plans. About 67% of cancers are diagnosed in the early stages. For these women, fertility-preserving procedures can be considered until reproductive plans are fulfilled. Subsequently, however, definitive management is appropriate even in the absence of carcinoma. This article discusses the most common gynecologic pelvic cancer, endometrial adenocarcinoma, and the possibility of fertility-preserving procedures. Key words: endometrial cancer – young woman – fertility sparing
Aplikasi Internet Of Things Monitoring Kebun Hidroponik Model Nft Menggunakan Panel Solar
Authors: FNU Khairunnisak
Published: August 2022

Konversi lahan pertanian menjadi lahan non pertanian yang semakin meningkat khususnya di Indonesia telah berdampak kepada banyaknya pengembangan model pertanian yang tidak lagi bergantung kepada lahan atau areal pertanian yang luas. Model pertanian hidroponik saat ini menjadi salah satu teknologi pertanian moderen yang mudah dikembangkan tanpa bergantung kepada lahan. Hal ini dikarenakan hidroponik merupakan model pertanian yang tidak menggunakan tanah sebagai media tanamnya, akan tetapi tanaman hanya dialiri cairan nutrisi melalui akar tanaman. Kebun hidroponik pada umumnya menggunakan instalasi pipa jenis paralon untuk mengaliri nutrisi dengan menggunakan pompa sebagai metode irigasinya. Di samping itu, pada kebun hidroponik juga diharuskan untuk dilakukan pengecekan kadar nutrisi secara berkala pada angka 560-840 ppm. Hal ini dikarenakan kadang ppm nutrisi akan berpengaruh kepada tanaman hidroponik apabila angkanya berada di luar range tersebut. Masalahnya adalah pengelola kebun diharuskan melakukan pengontrolan kadar nutrisi tersebut sebanyak 2 kali dalam sehari, yaitu pagi dan sore, dimana hal ini tentu sangat merepotkan pengelola kebun. Oleh karena itu, dalam penelitian ini dilakukan pengembangan teknologi monitoring kebun hidroponik berbasis teknologi IoT yang dapat memberikan laporan kadar nutrisi melalui smartphone. Adapun hasil dari penelitian yang dilakukan yaitu aplikasi yang dikembangkan mampu mengontrol kondisi kebun hidroponik secara real time. Di samping itu, melalui penggunaan teknologi solar panel kebun hidroponik juga mampu disuplai tenaga listrik untuk operasionalnya tanpa harus bergantung dengan suplai listrik dari PLN
Kombinasi Metode Entropy Dan Simple Additive Weighting (Saw) Dalam Penentuan Kepala Sekolah Terbaik
Authors: Rahmat Rahmat
Published: August 2022

Sektor pendidikan merupakan salah satu sektor yang paling banyak menerapkan teknologi infromasi terkomputerisasi. Hal ini tentu berdampak kepada pengembangan teknologi komputer secara terus menerus baik dari sisi perangkat keras maupun perangkat lunak. Salah satu kasus dalam bidang pendidikan yang melibatkan komputer adalah pemilihan kepala sekolah terbaik dengan menggunakan metode pendukung keputusan. Metode pendukung keputusan merupakan metode yang dapat digunakan untuk memberikan rekomendasi terhadap alternatif yang telah ditetapkan sebelumnya berdasarkan kriteria yang telah ditentukan. Dalam penelitian ini dilakukan pengembangan model pendukung keputusan dengan pendekatan kombinasi dua metode yaitu metode Entropy dan Simple Additive Weighting (SAW). Metode entropy digunakan untuk menghitung nilai entropy dan normalisasi entropy, sedangkan metode SAW digunakan untuk melakukan normalisasi serta perangkingan alternatif berdasarkan ketieria yang ada. Adapun hasil yang didapatkan adalah penggunaan dua metode ini dinilai lebih baik daripada menggunakan salah satu metode saja, baik entropy maupun SAW
A tecnologia disruptiva das heurísticas sintéticas: uma reinvenção da memória
Authors: Pozetti Filho Fernando Alberto
Published: August 2022

O campo da cibernética contemporânea promoveu o aparecimento de uma práxis híbrida instalada entre a cognição sintética e natural. Seus artefatos heurísticos (Redes Neurais Artificiais- RNA) atuam para formalizar a conectividade e/ou a diferenciação de elementos digitais em conflitos, fazendo com que a compreensão de suas experiências de cognição ocorram sob um índice de plena indeterminação. Para proceder uma investigação neste sentido, foi necessário uma revisão histórica e técnica dos dispositivos de arquivamento, de memória e da arquitetura inconsciente da psique, pois a forma com que concebem sínteses em uma lógica de formalização desses conflitos, ajuda-nos a entender o revolucionário campo de inteligência artificial da atualidade.
Benjamin e Flusser: a busca de alternativas para o mundo técnico
Authors: Veiga Itamar Soares
Published: August 2022

Este artigo aborda a possibilidade de conseguirmos subsídios para constituir uma atitude não passiva frente à técnica. Esta atitude, embora não passiva, não precisa ser meramente negativa. A técnica, no escopo deste texto, é vista como o elemento hegemônico na nossa época contemporânea. O desenvolvimento da investigação se apropria de algumas posições de Benjamin e Flusser, primeiramente construindo um horizonte mais amplo e, secundariamente, aprofundando algumas características especificamente humanas. A resposta encontrada mostra que devemos ter competência e valorizar nossa capacidade de sentir angústia, mantendo com relação à técnica uma existência não passiva.
Physis e cosmotécnica: um desenvolvimento na filosofia da tecnologia a partir de Yuk Hui
Authors: Hinrichsen Bruno Lemos , Lazzarotto Matheus Vilaverde
Published: August 2022

Pode-se dizer que o texto “A Questão da Técnica” de 1953 deu o primeiro passo na consolidação da filosofia da tecnologia enquanto disciplina. Partindo de uma apresentação do conceito de phýsis, desenvolve-se o conceito de cosmotécnica, assim como apresentado pelo Yuk Hui. O termo cosmotécnica faz alusão aos dois conceitos centrais de natureza e de técnica, o que leva a uma tentativa de explicação que dê conta de um âmbito total do ente. Dessa forma, pautado em uma leitura crítica do texto heideggeriano de 1953, o presente artigo aponta para o trabalho de Yuk Hui como um exemplo notável de um pensador que segue de maneira sui generis a trilha posta pelo relato heideggeriano.
Ações afirmativas na Pós-Graduação em Filosofia: modelo de concessão de bolsas de estudos de mestrado e doutorado do PPGFIL/UFRN
Authors: Dias Maria Cristina Longo Cardoso , Pacheco Thiare , Mendes Ana Carolina
Published: August 2022

Este artigo tem por objetivo relatar a exitosa experiência do Programa de Pós-graduação em Filosofia (PPGFIL) da Universidade Federal do Rio Grande do Norte (UFRN) na implementação de critérios socioeconômicos para a concessão de bolsas de Mestrado e Doutorado. Ao mesmo tempo, tem-se por finalidade compartilhar o levantamento de todo material legal e de jurisprudência para elaboração de novas ações afirmativas que possam vir a ser realizadas pelos PPGs de filosofia no Brasil. O novo regulamento da concessão de bolsas do PPGFIL - UFRN, teve por objetivo mitigar as desigualdades socioeconômicas que impactam não apenas o acesso mas a permanência nos cursos de pós-graduação stricto sensu, através de ação afirmativa com respaldo jurídico na legislação correlata em vigor e com amplo diálogo com o corpo discente, através dos seus representantes.
Kyme İDÇ Nekropolis’inden Bir Mezar Konteksti
Authors: LEBE Fuat
Published: August 2022

Kyme'ye yaklaşık 1 km uzaklıkta bulunan IDÇ Nekropolis’i, kentin güney nekropollerinden biridir. Bir bütün olarak değerlendirilmesi gereken Kyme Nekropolis’leri, sanayi şirketleri adı altında ayrı ayrı ele alınmak zorunda kalmıştır. Bu alanlardan biri de 2007 yılında İDÇ Liman Şirketi'nin arazisi üzerinde çalışmalarına başlanan ve adını bu şirketten alan İDÇ Nekropolis'idir. 2009 yılında yapılan kurtarma kazılarında gün yüzüne çıkarılan 125 numaralı oyma sanduka mezar çalışmamızın konusunu oluşturmaktadır. Oyma sanduka mezar olarak değerlendirdiğimiz bu tip mezarlar, Aiolis bölgesine özgü bir mezar grubu olarak karşımıza çıkmaktadır. Bölgede yoğun bir şekilde ortaya çıkarılan bu tip mezarların tanımı konusunda araştırmacıların farklı terimler kullandıkları görülmektedir. Bu farklı yaklaşımlar 125 numaralı mezar bağlamında değerlendirilmeye çalışılmıştır. Mezarda; seramik, metal, cam ve diğer alt başlıklar altında incelemeye çalıştığımız toplam 23 adet buluntuya ulaşılmıştır. Bu buluntular, kozmetik kapları, aynalar, altın diademler, kolyeler, yüzükler, küpeler ve takı aksesuarları olarak değerlendirilen cam ve bronz objeler gibi geniş bir ürün yelpazesine sahiptir. Bu buluntular ışığında 125 numaralı mezar MÖ 4. yy sonu ile MÖ 3. yy başlarına tarihlenmektedir.
HUBUNGAN PENGETAHUAN ORANG TUA DENGAN GIGI BERJEJAL DI SDN LAMSAYEUN ACEH BESAR
Authors: Zahara Elfi , Reca Reca
Published: August 2022

Parents should play an active role in supervising their children's dental and oral health care. Based on preliminary data conducted on 12 students of SDN Lamsayeun Kec. Want Jaya Kab. Aceh Besar got the results that 9 of his teeth had crowding teeth. The purpose of this study was to determine the relationship of parental knowledge with crowding teeth in grade I, II and III children at SDN Lamsayeun, Want Jaya District, Aceh Besar district. This research is analytic with a cross sectional design, carried out on 8 to 12 November 2021. The population and sample are all students in grades I, II and III totaling 40 students and their parents. The results showed that students with dominant crowding had parents with sufficient knowledge as many as 9 respondents (100%). Meanwhile, students with dominant crowding had parents with poor knowledge of 13 respondents (54.2%) and students who did not experience dominant crowding had mothers with poor knowledge of 11 respondents (45.8%).The results of the chi-square statistical test obtained a value of p = 0.006 (p <0.005), Based on the results of the study, it can be concluded that there is a relationship between parental knowledge and crowding of children's teeth at SDN Lamsayeun Kec. Want Jaya Kab. Aceh Besar.
The Effectiveness Of Perineal Massage In Primigravida Pregnant Women On Perineal Rupture During Delivery At The Bilal Medika Clinic Serang City
Authors: Galaupa Resi , Husniah Husniah , Sampara Nurqalbi
Published: August 2022

Perineal massage is a perineal massage technique that is carried out during pregnancy about 1-6 weeks before delivery. Objective: to determine the effectiveness of perineal massage in primigravida pregnant women against perineal rupture during delivery. Research Methods: quasi-experimental (quasi-experimental) using 40 samples of pregnant women in the third trimester. Collecting data using questionnaire sheets and respondent contract sheets. Data analysis was carried out using the Chi Square test. Research Results: From 40 samples of primiparous women who gave birth, more respondents in the experimental group did not experience perineal rupture, namely 17 (85%). Meanwhile, the control group respondents who experienced more tears were 16 (65%) and p-value = 0.000 (<0.05) with OR = 16.924. Conclusion: There is a significant relationship between perineal massage in primigravida pregnant women and perineal rupture during delivery at the Bilal Medika clinic in 2022.
Upaya Meningkatkan Pemahaman Dhamir Menggunakan Metode Qowaid wa Tarjamah SMP Qur’an Darul Fattah Bandar Lampung
Authors: Irham Muhammad
Published: August 2022

Penelitian ini dasari oleh lemahnya siswa dalam memahami meteri bahasa Arab diantaranya menerjemahkan teks-teks bahasa Arab dan memahami kaidah bahasa Arab. Oleh karena itu peneliti melakukan alternatif penyelesaian dengan penerpan metode Qowaid wa Tarjamah yaitu sebuah metode yang menekankan pada analisis gramatikal dan menerjemahkan teks-tesk bahasa Arab. Rumusan masalah dalam penelitian ini adalah apakah dengan menggunakan metode Qowaid wa Tarjamah dapat meningkatkan pemahaman bahasa Arab dan bagaimanakah peningkatan pemahaman bahasa Arab tentang kata ganti (dhamir) menggunakan metode Qowaid wa Tarjamah. Adapun tujuannya yaitu untuk meningkatkan pemahaman belajar bahasa Arab siswa dan menerapkan metode Qowaid wa Tarjamah dalam proses pembelajaran. Jenis penelitian ini menggunakan penelitian tindakan kelas (PTK). Penelitian ini dilaksanakan dikelas VII Hafshah SMP Qur’an Darul Fattah Bandar Lampung tahun pelajaran 2019/2020. Dengan jumlah 25 siswi perempuan. Penelitian ini dilaksanakan dalam 2 siklus dengan 4 pertemuan pada tiap siklusnya. Dalam penelitian ini diperoleh rata-rata hasil belajar siswa pada pra siklus sebesar 56,84 siklus 1 sebesar 74,64 dan siklus 2 sebesar 85,16. Berdasarkam hasil tersebut dapat disimpulkan bahwa menggunakan metode Qowaid wa tarjamah dapat meningkatakan pemahaman  bahasa Arab siswa tentang materi dhamir muttashil siswa kelas VII Hafshah SMP Qur’an Darul Fattah Bandar Lampung. Yang dilakukan peneliti dalam mengunakan metode ini adalah dengan menyampaikan konsep dhamir, memberikan contoh, menghafalkan definisi dan menerjemahkan teks-teks bahasa Arab.

Kata kunci: PTK, Dhamir, Qowaid wa Tarjamah, Pemahaman.
Understanding the Portrait of Dementia Care in Canada: A CADTH Panel of Experts
Authors: Varette Oliver , Baddeley Ashely , Briere Anabele , Lambert Laurie , Rader Tamara , Boucher Julie , Mittmann Nicole
Published: August 2022

The prevalence of dementia is increasing annually and there is an ongoing, increasing, and evolving demand for enhanced care for dementia patients in Canada.

CADTH facilitated a 5-member clinician panel to garner the perspectives of individuals who are currently providing care to Canadian patients with dementia and/or participating in dementia-related health research.

The panel highlighted several themes pertaining to the current portrait of dementia care in Canada and health system readiness for future burdens of disease, including:

improved patient diagnosis

development of standardized and collaborative health care

increasing patient access to specialist and treatment resources

preparing for new and effective therapies.
Liposuction for Lipedema: 2022 Update
Authors: Tran Khai , Horton Jennifer
Published: August 2022

A 2022 UK guideline recommends that the liposuction procedure for treatment of lipedema should only be used in the context of research because of inadequate efficacy and safety data.

A 2021 US guideline recognizes that liposuction is currently the only available technique for removing abnormal lipedema tissue. The guideline has a series of consensus statements on patient selection, indications for liposuction, prevention of procedure-related adverse events, and pre- and post-surgical management.

There were no recent studies on the clinical effectiveness of liposuction compared with no treatment or to alternative treatments for the treatment of lipedema.
Normal Immunoglobulin (Human) 10% and Recombinant Human Hyaluronidase (HyQvia)
Authors: CADTH
Published: August 2022

CADTH reimbursement reviews are comprehensive assessments of the clinical effectiveness and cost-effectiveness, as well as patient and clinician perspectives, of a drug or drug class.

The assessments inform non-binding recommendations that help guide the reimbursement decisions of Canada's federal, provincial, and territorial governments, with the exception of Quebec.

This review assesses immunoglobulin human and recombinant human hyaluronidase (HyQvia) as a solution for subcutaneous infusion, available in the following strengths:

normal immunoglobulin (human) 10%: 2.5 g/25 mL, 5 g/50 mL, 10 g/100 mL, 20 g/200 mL, 30 g/300 mL

recombinant human hyaluronidase: 200 units/1.25 mL, 400 units/2.5 mL, 800 units/5 mL, 1,600 units/10 mL and 2,400 units/15 mL

Indication: As replacement therapy for primary humoral immunodeficiency and secondary humoral immunodeficiency in adult patients.
QUATRO GERAÇÕES EM 2020: CARACTERÍSTICAS E MERCADO DE TRABALHO
Authors: Ramos Gomes Rickardo Léo , Holanda Filho Ivan De Oliveira , Mesquita Da Cruz Marcos Paulo , Farias Da Costa Ernandes
Published: August 2022

Essa pesquisa estuda quatro gerações atuantes no mercado, desse começo da década de 2020. Tendo como objetivo principal: analisar as principais características das gerações Baby Boomers, X, Y e Z, e a relação dessas com o mercado de trabalho, de modo que a compreensão dessas relações contribua para uma melhor gestão de pessoas e para melhores relacionamentos no ambiente de trabalho. Os objetivos específicos foram três: primeiro, conhecer as características relevantes das gerações estudadas, identificando o tipo de comportamento no local de trabalho das organizações; segundo, identificar as diferenças mais impactantes das gerações para que esse conhecimento favoreça os funcionários e as organizações; terceiro, identificar as dificuldades do mercado de trabalho. Para isso, foi realizada uma pesquisa bibliográfica, na qual utilizou o método indutivo e com caráter exploratório. Este estudo evidencia que para que a socidade permaneça em constante desenvolvimento é necessário que haja harmonia entre aqueles que estão no mercado de trabalho, por isso é importante que se estabeleçam bons relacionamentos entre as gerações e que os mais novos respeitem os mais velhos e vice-versa.
Comprehensive characterization of the particulate IVOCs and SVOCs from heavy-duty diesel vehicles using two-dimensional gas chromatography time-of-flight mass spectrometry
Authors: He Xiao , Zheng Xuan , Zhang Shaojun , Wang Xuan , Chen Ting , Zhang Xiao , Huang Guanghan , Cao Yihuan , He Liqiang , Cao Xubing , Cheng Yuan , Wang Shuxiao , Wu Ye
Published: August 2022

Abstract. Tailpipe emissions from three heavy-duty diesel vehicles (HDDVs), complying with varying emission standards and installed with diverse aftertreatment technologies, are collected at a certified chassis dynamometer laboratory. The HDDV-emitted intermediate-volatility and semi-volatile organic compound (I/SVOC) emission and the gas-particle partitioning of the I/SVOCs are investigated. Over four thousand compounds are identified and grouped into twenty-one categories. The dominant compound groups of particulate I/SVOCs are alkanes and phenolic compounds. For HDDVs without aftertreatment devices, i.e., diesel oxidation catalyst (DOC) and diesel particulate filter (DPF), the emitted I/SVOCs partition dramatically into the gas phase (accounting for ~ 93 % of the total I/SVOC mass), with a few exceptional categories: hopane, 4-ring polycyclic aromatic hydrocarbons (PAH4rings), and PAH5rings. For HDDVs with DPF and DOC, the particulate fractions are reduced to a negligible level, i.e., less than 2 %. Nevertheless, 50 % of the total 2-ring PAH mass is detected in the particle phase, which is much higher than the high-molecular-weight PAHs, arising from the positive sampling artifact of quartz filter absorbing organic vapours. The positive sampling artifact of quartz filter absorbing organic vapors is clearly observed and uncertainties are discussed and quantified. Particulate I/SVOCs at low-speed, middle-speed, and high-speed phases are collected and analysed separately. EF distribution of the speciated OA on a two-dimensional volatility basis set (2D-VBS) space reveals that the fractions of OA with O : C (oxygen to carbon) ratio > 0.3 (0.4, 0.5) are 18.2 % (11.5 %, 9.5 %), 23 % (15.4 %, 13.6 %), and 29.1 % (20.6 %, 19.1 %) at low-speed, middle-speed, and high-speed stages. The results help to resolve the complex organic mixtures and trace the evolution of OA.
Short communication: Forward and inverse analytic models relating river long profile to tectonic uplift history, assuming a nonlinear slope–erosion dependency
Authors: Wang Yizhou , Goren Liran , Zheng Dewen , Zhang Huiping
Published: August 2022

Abstract. The long profile of rivers is shaped by the tectonic
history that acted on the landscape. Faster uplift produces steeper channel
segments, and knickpoints form in response to changes in the tectonic uplift
rates. However, when the fluvial incision depends non-linearly on the river
slope, as commonly expressed with a slope exponent of n≠1, the links
between tectonic uplift rates and channel profile are complicated by channel
dynamics that consume and form river segments. These non-linear dynamics
hinder formal attempts to associate the form of channel profiles with the
tectonic uplift history. Here, we derive an analytic model that explores a
subset of the emergent non-linear dynamics relating to consuming channel
segments and merging knickpoints. We find a criterion for knickpoint
preservation and merging, and we develop a forward analytic model that resolves
knickpoints and long profile evolution before and after knickpoint merging.
We further develop a linear inverse scheme to infer tectonic uplift history
from river profiles when all knickpoints are preserved. Application of the
inverse scheme is demonstrated over the main trunks of the Dadu River basin
that drains portions of the east Tibetan Plateau. The model infers two
significant changes in the relative uplift rate history since the late
Miocene that are compatible with low-temperature thermochronology. The
analytic derivation and associated models provide a new framework to explore
the links between tectonic uplift history and river profile evolution when
the erosion rate and local slopes are non-linearly related.
COVID-19 statistical report - 10 August 2022
Authors:   Public Health Scotland
Published: August 2022

This weekly release by Public Health Scotland presents data on COVID-19 across NHS Scotland.
Comportamiento sexual de pacientes con infección por VIH según grupos de edad
Authors: Montalvo Raúl , Fernández-Cosser Katherine , Serpa-Chumbe Henry , Rivera-Rojas Enrique , Sandoval Katya Laura , Rosales-Guerra Julio , Crisostomo Rodríguez Alexandra
Published: August 2022

Nuestro objetivo fue determinar la prevalencia y conductas de riesgo por grupos de edad entre pacientes con infección por VIH. Se realizó un estudio observacional analítico transversal de pacientes que acuden al servicio de Enfermedades Infecciosas a recibir tratamiento antirretroviral. Resultados: De 117 personas que ingresaron al estudio, se observó que el grupo etario de los jóvenes varones con infección por VIH señalaron una orientación homosexual (HSH) en 64,5% y una mayor tasa de haber sufrido abuso sexual (29%) respecto al resto. En adultos el uso de métodos anticonceptivos es 71,4% y superior al resto de grupos de edad, la concurrencia a lugares de riesgo (visita a trabajadoras sexuales de la calle) se encuentra mayoritariamente en el rango de 45 a 90 años. El rol homosexual activo de los hombres con VIH representa 66,7%. Los hallazgos enfatizan la necesidad de realizar más estudios que profundicen el tema del abuso sexual en adolescentes y adultos jóvenes, debido a la alta prevalencia encontrada en este estudio.
Manejo y disposición de desechos sólidos en la zona industrial Lurigancho del Perú
Authors: Dávila Morán Roberto Carlos , Agüero Corzo Eucaris del Carmen , Velarde Dávila Leonardo , Zapana Diaz Domingo , Palomino Quispe Justiniano Felix , Ruiz Nizama José Leonor
Published: August 2022

La presente nota científica plantea una propuesta para gestionar de manera integral el problema ocasionado por la mala disposición de los desechos sólidos en la zona industrial Lurigancho, Perú. Se basa en el modelo de operador, que considera la parte política, estratégica y regulador, de esta manera contar con indicadores, que sirvan de herramientas para la toma de decisiones en la gestión de residuos a las plantas industriales a partir de su control, vigilancia, información y clasificación. Esta propuesta se aplicó en doce lugares de disposición de los residuos industriales, puntos de monitoreo, con dos intervenciones, con la evaluación inicial se observó caos ambiental, con desbordamiento de los contenedores de basura, sin aprovechamiento de los residuos y proliferación de fauna nociva. Posterior a la inducción para ejecutar la propuesta, en la segunda intervención, posterior a 45 días, se precisó mejoras considerables, aplicándose recomendaciones objetivas basadas en los valores de los indicadores los que permitieron la planificación estratégica y operativa y de la programación y el control general. Los resultados preliminares hacen suponer que esta propuesta atiende requerimientos medioambientales y de salubridad, a través de la reducción y procesamiento de los residuos, cuya inadecuada disposición puede llegar a afectar la salud humana.
¿Qué es el activismo judicial? Parte II: una definición más allá de la extralimitación de funciones
Authors: Rivas-Robledo Pablo
Published: August 2022

Esta es la segunda parte de un escrito sobre la definición de activismo judicial. En la primera, se discutieron algunas teorías y se propusieron una serie de desiderata para una definición de activismo judicial. En esta segunda parte se defiende que definir el activismo judicial como la modificación intencional de las competencias por parte del juez a través de sus decisiones cumple con los cuatro desiderata identificados y, además, supera las críticas formuladas contra de las anteriores teorías.
ASSESSMENT OF PHYSICAL DEVELOPMENT AND PHYSICAL PERFORMANCE OF SECONDARY SCHOOL AGE CHILDREN: ANALYSIS OF THE RESULTS OF THE SINGLE-STAGE RESEARCH
Authors: Barbaryan Mesrop , Hovhannisyan Sargis
Published: August 2022

To determine the level of physical development of the children involved in the study. The main indicators of their physical development were assessed by the method of standards and height-weight index of the WHO. The height rates of all girls and 96 percent of boys were within the normal range. The determination of conformity degree of body weight and its height by the index method showed that only 42 percent of the boys were within the norms, the rest of the boys were overweight (pre-obesity) and different degrees of obesity. The indicators of 27 percent of the girls were normal, in the rest of cases, overweight and varying degrees of obesity were also observed.
To assess physical preparation, the results of the children's fitness tests were assessed with age normative and model scales. During the analysis, it was revealed: 73 percent of boys and 85 percent of girls had endurance indicators (running 1000 m boys and 500 m girls) at the level of average and below average; indicators of speed of movement (20-meter sprint from the course) in 71 percent of boys were high and above average level, and 88 percent of girls)_average, above average and high; the indicators of strength for pulling up on the crossbar in 71 percent of boys were at the above average level, in 45 percent of girls the indicators of push-ups on the gymnastic bench were at a high level; the indicators of speed-strength for jumping from a place in 70 percent of boys and girls were at the level of average and above average; in 94 percent of boys and girls, the results of the sit and reach test were at a low level. A low level of physical performance was also revealed: according to the Rufier-Dixon test, 56 percent of the pupils had indicators at a level below average, 14 percent had an unsatisfactory level.
THE FUNCTIONAL SIGNIFICANCE OF SPECIAL MEANS OF HEALTHCARE IN THE SYSTEM OF PHYSICAL EDUCATION
Authors: Grigoryan Armen , Hakobyan Samson , Martirosyan Ani
Published: August 2022

In the process of maintaining and strengthening a person's health, the personalization of physical culture and health activities is brought to the fore, conditioned by the manifestations of a person's energy saving factors.
The aim of research is to reveal the functional significance of special healthcare means in the modern system of physical education of the youth.
The issues of research are to discover the current views of the research problem through theoretical analysis, which are related to the expansion of adaptation of young students engaged in healthy physical education, maintenance and enhancement of health, physical and functional training, to justify the importance of accounting for younger generation energy sources in the process of expanding and adaptability, to find out the level of students’ physical ability in different areas of energy supply through laboratory research.
CONSIDERAÇÕES SOBRE O CADASTRO TERRITORIAL E A INFORMALIDADE URBANA
Authors: Andrade Josiane Nascimento
Published: August 2022

A recorrente existência de assentamentos informais nas cidades latinas reflete os diversos problemas de gestão e planejamento enfrentados. Devido à sua complexidade e configuração, muitos destes espaços não são fáceis de identificar e, assim, não constam nos registros territoriais. Isto dificulta o acesso da população ao processo de regularização, mantendo sua condição de ilegalidade e seu afastamento da infraestrutura disponível para outros setores das cidades. O uso de tecnologias na identificação e registro destas áreas é um tema de estudos recentes, configurando um estado da arte interessante para esta o tema. Desta forma, neste trabalho apresentam-se estudos recentes acerca da questão social da informalidade e possibilidades para sua resolução, passando pela configuração de um cadastro territorial e de políticas públicas específicas.
O TRABALHO PRESCRITO E O REALIZADO À LUZ DO REAL DA ATIVIDADE
Authors: Oliveira Márcia Donizete Leite
Published: August 2022

ealizado à luz do que chamamos real da atividade do trabalho (CLOT, 2006). E, como objetivos específicos, investigar que ações são prescritas e quais são realizadas antes e durante uma atividade de trabalho. Para tanto, investigamos possíveis modificações, reformulações ou (re) concepções do agir profissional, bem como, alguns procedimentos realizados pelo trabalhador em sua prática diária. Isto pode nos revelar fatores que interferem direto e indiretamente no agir profissional, que contribui para uma maior compreensão do trabalho prescrito, realizado e do real da atividade, levando uma melhor interação do trabalho coletivo. Além disso, analisar esses fatores constitui para auxiliar o esse profissional a encontrar meios, métodos, procedimentos e formas de agir capazes de tornar seu trabalho mais satisfatório e, consequentemente, encontrar formas de agir que possam ajudá-lo a superar eventuais dificuldades em seu métier. Este estudo com base na pesquisa bibliográfica está fundamenta nos trabalhos de Clot (1999/ 2006; 2010) para tratar de questões voltadas ao trabalho prescrito, realizado e real da atividade; e com aportes teóricos de Bronckart (2008); da Ergonomia da Atividade e da Clínica da Atividade. Os resultados mostram que o trabalhador ao realizar o trabalho prescrito, realizado e o “real da atividade”, se autorregula, se transformando e mudando seu próprio coletivo de trabalho. E os recursos utilizados por ele estão intimamente ligados ao seu trabalho prescrito, realizado e ao real da atividade.
O CAMPO TEÓRICO DO CONHECIMENTO POLÍTICO E AS CONTRIBUIÇÕES CRÍTICAS FEMINISTAS: PARTE I
Authors: Cypriano Breno Henrique Ferreira , Fonseca Lorena Ávila Soares
Published: August 2022

Diante da problematização sobre os avanços no campo da ciência política e das relações internacionais, o presente capítulo apresenta as contribuições das perspectivas críticas feministas diante das discussões teóricas sobre o conhecimento político. Como o capítulo visa ser uma introdução a estudantes e profissionais na área, abordamos rapidamente a noção de campo do conhecimento político, as principais dimensões no campo teórico que o feminismo procura ser crítico, sobretudo a dimensão epistemológica, a distinção conceitual sobre “o” político e “a” política e, também, uma crítica dos tantos feminismos à perspectiva hegemônica liberal dentro deste campo. O estudo foi dividido em duas partes, sendo que os aspectos introdutórios, a discussão sobre o campo do conhecimento político e alguns aspectos das contribuições críticas feministas são tratados na primeira parte. Na última parte são abordadas as correntes e perspectivas relacionadas aos vários feminismos, as dimensões da ciência política, relações internacionais e teoria política e as considerações finais, ressaltando o que compreendemos como “teoria política feminista”.
AS INTERSEÇÕES DAS DIMENSÕES DE GÊNERO, NEOLIBERALISMO E CONSERVADORISMO NAS RELAÇÕES INTERNACIONAIS
Authors: Fonseca Lorena Ávila Soares , Cypriano Breno Henrique Ferreira
Published: August 2022

Este capítulo se propõe a problematizar os debates de gênero no campo das relações internacionais (RIs) e ciência política (CP), a partir da perspectiva pós-estruturalista como um instrumental teórico e conceitual propício para análises feministas e críticas. O estudo apresenta uma breve contribuição da problematização do paradigma neoliberal e como este se reflete e se comporta no atual cenário político e socioeconômico de casos referentes ao neoconservadorismo político e religioso. Para tal objetivo, apresenta-se uma combinação de conceitos e teorias que se torna um potencial instrumento analítico que é capaz de articular os âmbitos de gênero, religião e raça em um contexto neoliberal. Como concluímos, este enquadramento teórico-analítico consegue se adequar a todos os estudos de casos de ascensão do ultraconservadorismo no mundo, adequando-se às especificidades de cada sociedade.
Diagnostic Accuracy of Three Dimentional Digital Substraction Angiography (3D DSA) in Correlation with Computed Tomographic Angiography (CTA) and Magnetic Resonance Angiography (MRA) in Evaluation of Aneurysmal Subarachnoid Haemorrhage
Authors: Begum Tabassum , Orakzai Zubair Janan , Khan Mohsin , Rokhan Bakht , Kamran Ayesha , Akram Muhammad Numan
Published: August 2022

Background: Subarachnoid hemorrhage is cause by ruptured aneurysms. Early diagnosis is necessary for prevention of the disease. For detection of size and location of intracranial aneurysms in aneurysmal subarachnoid haemorrhage different diagnostic tool are used. The 3D DSA imaging modalities parameters were considered as gold standard in diagnosis of aneurysms. MRA and CTA competencies in diagnosis of ruptured aneurysms were also evaluated. Objective: The aim of the study was to evaluate the sensitivity of 3D DSA, CTA and MRA in diagnosis of intracranial aneurysms in referred patients. The imaging modalities parameters of 3D DSA was considered as gold standard. Study design: It was retrospective observational study with statistical approach. Methods: The 27 consecutive patients of subarachnoid haemorrhage visited the neurology and radiology department of BKMC / MMC Mardan from August 2021 to January 2022 was included in the study. All the patients passed the inclusion criteria while those who are reluctant to undergo through CTA, MRA were excluded. The three dimensional constructed images of each patient underwent through CTA, MRA and 3D DSA were recorded. The obtained data was analyzed for the results. Results: CTA and MRA has variable sensitivity range in diagnosis of intracranial aneurysms. It varied according to the size of aneurysms. For the diagnosis of small sized aneurysms the CTA and MRA has the sensitivity of 57.1 %, while it changes to 88.8 % in diagnosis of medium sized aneurysms. For diagnosis of large sized aneurysms, the CTA and MRA has same sensitivity of 100%. Hence for the detection of small and medium sized aneurysms the sensitivity of CTA and MRA reduced to 20% as compared to the sensitivity of 3D DSA. Conclusion: It was concluded from the results that the 3D DSA is most accurate tool with higher sensitivity for diagnosis of intracranial aneurysms in patients of subarachnoid haemorrhage. The results obtained by using 3D DSA are 20% more sensitive than the results obtained by using CTA and MRA. Keywords: (SAH) Subarachnoid hemorrhage, CTA) Computed Tomographic Angiography, (MRA) Magnetic Resonance Angiography.
Compare Frequency of Symptomatic Pyuria in Patients Undergoing Flexible Cystoscopy with or without Antibiotic Prophylaxis
Authors: Qasim Muhammad , Ikram Yasir , Rehman Sajid , Arshad Muhammad Moin , Shakil Ozair , Ahad Usman Abdul
Published: August 2022

Cystoscopy is one of the most commonly performed urological procedures with purpose to inspect lower urinary tract anatomy and evaluation of lower urinary tract symptoms as well as various pathologies of the urethra, prostate and bladder. The procedure is carried out by inserting an optical instrument (cytoscope) into the urethra and the bladder. Currently, no antibiotic prophylaxis has been recommended for routine flexible cystoscopy, except in high risk patients. The patients in our population undergoing cystoscopy belonged to two groups. One was given prophylactic antibiotic dose of Fosfomycin per orally while other received placebo and frequency of pyuria was seen at 10th day. Objective: To compare frequency of symptomatic pyuria in patients undergoing flexible cystoscopy with or without antibiotic prophylaxis. Material and Methods: Patients were divided into two groups. Group – 1 with Antibiotic prophylaxis while Group – 2 with placebo. All surgeries will be performed by a consultant urologist and were assisted by principal investigator. The frequency of symptomatic pyuria was calculated. Data analysis: Collected data was analyzed on SPSS version 16.Descriptive statistics was calculated for both qualitative and quantitative variables. For qualitative variables like gender frequency percentages were calculated. For quantitative variables like age, operation time mean ± SD were calculated. Effect modifiers like age, gender, duration of symptoms were controlled by stratification. Post stratification independent sample t-test was applied keeping p-value ≤ 0.05 as significant. Results: A chi-square test indicates there was no significant difference in the proportion of symptomatic pyuria(21.9%) as compared with the value of 27.7% in placebo group(X2=1.695, n = 382 p = 0.193. This supported our null hypothesis stating that there is no difference in symptomatic pyuria between antibiotic prophylaxis group vs placebo group. Conclusion: There was no significant effect on symptomatic pyuria with or without antibiotic prophylaxis. Keywords: cystoscopy, pyuria, antibiotic prophylaxis, UTI
Dorsal Onlay Urethroplasty Using Buccal Mucosal Graft and Vaginal Wall Graft for Female Urethral Stricture; Outcome of a Tertiary Care Hospital
Authors: Hassan Raza Ul , Siraj Shahid , Khan Ajmal , Saleem Amjad , Ahmad Iftikhar , Naeem Raja
Published: August 2022

Background: Normally female urethral stricture (FUS) is uncommon and underdiagnosed condition. It is raising a diagnostic challenge for the physicians. It is the one of the rarely known urological entity. Urethral dilatation is the traditionally used treatment for urethral stricture (FUS). The female urethroplasty have shown the promising outcomes. Objective: The objective of the study was to compare the outcome of the dorsal onlay urethoplasty FU obtained by using buccal mucosal graft and vaginal wall graft. The FU is more effective treatment for female urethral stricture (FUS) as compared to the repeated dilatation. Study design: It is a retrospective study with the statistical approach, conducted at Urology Department, Pakistan Institute of Medical Sciences Islamabad from June 2021 to November 2021. Material and Methods: The women who underwent the dorsal onlay urethropasty at the urology department of the hospital were included in the study. The outcomes of BMG and VWG were compared. The re-intervention was marked as failure. The association symptom score, postvoid residual urine (PVR), cystourethrogram, cystoscopy and uretheral calibration were included in the assessment. Operating time, catheter time, etiology, location, length, prior interventions and suprapubic cystostomy were the other parameters that was also reported. For the statistical analysis the Mann-Whitney test, t-test and proportion test was performed. Results: The calculated mean age of the patients included in the group was 48 years. Its range was between the 26 to 76 years. The women visited the urology department of the hospital from June 2021 to June 2022. The average follow-up was for 26 months. The AUA symptoms changes from 22 to 6, Qmax from 4ml/s to 26ml/s and RVR from 185ml to 7ml. The operating time was the only parameter showed the difference, while other remained the same. The 94% was the overall urethral patency rate. Conclusion: For the substitution of dorsal onlay urethroplasty the use of VWG and BMG is highly recommended. It is an efficient and reliable treatment method. There are very low chances of complication and it has an easy protocol. Apparently, no specific change was observed in the FUS treatment by BMG and VWG. Keywords: Female urethral stricture (FUS), buccal mucosal graft, vaginal wall graft, postvoid residual urine (PVR), dorsal onlay urethroplasty.
Children with Epistaxis and Risk Factors for Bleeding Disorders: Importance of Preoperative Diagnostic
Authors: Alam Mansoor , Khan Humaira , Orakzai Shabir Ahmed , Hafeez Muhammad , Ahmad Siyab , Iqbal Bilal
Published: August 2022

Objective: To determine the frequency of previously undetected bleeding problems in kids with severe epistaxis who required intraoperative nasal cautery after failing medicinal treatment. Study design: Retrospective study Setting: Khyber Teaching Hospital Peshawar . Subjects and methods: Children (under the age of 19) with epistaxis who have been referred to an otolaryngologist must also have no known bleeding disorders, have had surgical nasal cautery, and have failed medicinal treatment. Information gathered includes epistaxis duration/severity, past bleeding patterns, and bleeding in the family. All patients had a screening CBC, PT, and PTT. Results: 47 (19%) of the 248 participants who were referred for epistaxis matched the inclusion criteria (mean age 9.2 0.5 years;61.7 percent male). 31.9 percent (15/47) of the patients had abnormal coagulation findings, however only 2 patients continued to have them after repeat testing. 15 patients were sent to haematology, where 5 had bleeding disorders (3 had type 1 von Willebrand's disease, 1 had a condition of platelet aggregation, and 1 had minor factor VII insufficiency). 10.6% (5/47) of the group as a whole had a bleeding disorder. Previous trips to the emergency department for epistaxis were one of the clinically significant predictors of developing a bleeding disorder (p = 0.04). Younger patients who presented with epistaxis showed a tendency (p = 0.07). Conclusion: Children who have repeated epistaxis while receiving medical treatment are more likely to develop a bleeding condition. 10.6% (5/47) of the patients in this highly selected cohort were found to have a bleeding condition. Only 20% (1/5) of individuals with a bleeding issue were identified by screening coagulation testing (PT, PTT). In most individuals, the diagnosis was not made until after a thorough haematology examination. Keywords: epistaxis, bleeding disorders, children, diagnostic
Prevalence of Primary Types of Headache and Its Impact on Daily Life in Health Care Professionals in a Tertiary Care Health Institution
Authors: Amjad Kainat , Mudassir Afrah , Hashim Husnain , Sattar Maria , Bajwa Danial , Arif Muhammad
Published: August 2022

Background: Headache is characterized by the painful and disabling disorder of the central nervous system CNS. The most common symptoms experienced by the person suffering from the headache are pain in head, neck and face. Objective: This study aims to assess the prevalence of primary types of headaches, knowledge of their types, their impact on the productivity and work efficiency of the healthcare professionals in a tertiary care health institution. Study design: This cross sectional study was conducted at Neurology Department, Fauji Foundation Hospital, Rawalpindi for duration of 1 year from December 2020 to December 2021. Material and Methods: An estimated number of 1000 adult healthcare professionals aged above 18 were included in this research. Simple convenience sampling technique was used for sampling. According to the Inclusion criteria the individual should be an adult healthcare professional. According to the exclusion criteria Individuals below the age of 18, not a part of the tertiary care hospital were excluded. Data was collected through using a structured questionnaire comprised of three sections. Results: To proceed with this study, 1000 healthcare professionals were selected for this survey. The participants submitted questionnaires. The respondents include 440 doctors and 560 nurses. Their age was from 20 to 60 years. The ages of the doctors were above thirty and the age of the nurses was above 25 years. Among them, 6 participants were identified with two basic types of primary headache, and 36 were suffering from other kinds of issues like CDH, neuralgia, and unknown types of headache. Only two nurses were suffering from MOH. Sleep patterns also play role in headache disorders. Conclusion: This study predicted that the probability of primary headache issues is greater in medical care professionals as compared to the general public. Both nurses and doctors are more prevalent to headache issues. Multiple factors are linked with the prevalence of headache issues i.e. gender, age, sleep patterns, and night shifts. These factors may lead to migraine and TTH. For the welfare of health of medical professionals, there is a need for awareness related to different health issues and all the factors causing headache disorders. Keywords: Headache disorders, neuralgia, Sleep patterns, and primary headache.
To Examine the Criteria for ERCP Under General Anesthesia, As Well as the Fundamental Disorders, Kind, and Effectiveness of ERCP During General Anesthesia Vs Conscious Sedation
Authors: Alam Jamshaid , Fatima Ayesha , Zahid Muhammad Arslan , Sajjad Nadia , Shuaib Muhammad , Bibi Saleema
Published: August 2022

Aim: In males, general anesthesia is normally used only once conscious sedation has failed and endoscopic retrograde cholangiopancreatography is being performed. Other variables may be connected with general anesthesia for ERCP in the current organization, it was suggested. The goal of such research aimed to investigate the criteria for ERCP underneath general anesthesia, as well as to compare fundamental disorders, kind, and effectiveness of ERCP during general anesthesia to mindful sedation. Methods: We conducted a retrospective review of 2000 ERCPs achieved below general anesthesia or conscious sedation on individuals. In both sets, the reasons for general anesthesia were documented, as were the fundamental disorders, the kind and efficacy of the procedures, and the grounds of early ERCP discontinuation. Results: Nineteen percent of ERCPs remained conducted underneath general anesthesia, while the remaining 81 percent have been conducted with conscious sedation. The causes for GA included kind of treatment planned (48%), early discontinuation of ERCP below conscious sedation (29%), and other factors. Patients diagnosed sclerosing cholangitis in addition liver transplant patients were more likely to have general anesthesia (37 % vs. 19 %, P = 0.0002 and 23 % vs. 14 %, P = 0.004). Participants with neoplasms and cholelithiasis received conscious sedation at a higher rate (23 % vs. 13 %, P = 0.005 and 14 % vs. 5 %, P = 0.002). Painful dilations were conducted more commonly under general anesthesia (62 % vs. 21 percent, P = 0.003), but large papillotomies were preferred under conscious sedation (35 % vs. 23 percent, P = 0.008). During the same time period, general anesthesia resulted in more interventions per ERCP (P 0.003) than conscious sedation (53 M 29 min vs. 55 M 28 min, P = 0.38). The ERCP probability of failure with conscious sedation remained dual that of general anesthesia (8 percent vs. 15%, P = 0.013), owing mostly to insufficient conscious sedation (62 percent). Conclusion: Our institution's recurrent usage of general anesthesia for ERCP is connected to fundamental disorders, that also remain routinely addressed using difficult and unpleasant ERCP procedures. Whenever difficult and unpleasant percutaneous ERCP procedures are anticipated, the effectiveness of ERCP using general anesthesia indicates a sustained predilection for general anesthetic over conscious sedation. Keywords: General Anesthesia, ERCP, Fundamental Disorders.