bluuebunny/crossref_metadata_2025 huggingface dataset:
Role of Myo-Inositol in Treatment of Young Females Affected By Polycystic Ovarian Syndrome: Quasi Experimental Study
Authors: Qamar Haniyah , Mustafa Rozina
Published: November 2021

Objective: To determine the effects of Myo- inositol in young females with polycystic ovarian syndrome. Study Design and Setting: This was a quasi-experimental study and was conducted in United Medical and Dental College and Creek General Hospital from January 2017 to January 2018. Methodology: Total 100 patients were recruited based on the specific inclusion criteria of PCO diagnosed by symptoms (body mass index, menstrual irregularity, hirsutism, acne) biochemical markers (fasting insulin, random blood sugar) and ultrasound findings. Each subject in the study group was given sachet (Myo- inositol 2000mg and folic acid 400ug) once a day dissolved in glass of water for duration of 6 months. Improvement in symptoms, biochemical markers and ultrasound findings were reassessed after the completion of 6 months duration. The SPSS version 21 was used for data analysis. The paired T test was used to assess the effects of Myo-Inositol before treatment and after six months of treatment. Result: The significant relation (0.001) was observed between the intervention and PCO and its related symptoms. An evident effect was noticed in each individual after the intervention was provided to them. The relatable symptoms such as irregularities in menses, hirsutism,weight and insulin resistance were reduced by significant ratio. Conclusion: Myo – inositol has proven to be effective in reducing the PCO and its relatable symptoms in young females. Despite the limitations, enough evidence was collected that indicated a significant effect of the intervention
Comparison Of Patient Satisfaction Between New Complete Denture Wearers And The Old Ones
Authors: Afreen Zarah , Rahim Shoaib , Afreen Ammarah , Javed Umer , Khalil Aamna , Daaniyal Sadia
Published: November 2021

Objective: To determine the mean satisfaction score for patients with complete dentures and to compare the mean satisfaction score of patients with complete dentures and without past denture experience. Study design and Setting; It was a cross-sectional study conducted at Watim Dental College, Rawalpindi, from March to August 2018. Methodology: A total of 98 patients were selected and were asked regarding previous history of denture usage and their experience with the new set of dentures; in terms of function, comfort, appearance and total satisfaction. As a protocol all patients presenting to outpatient department and those patients who fulfilled the criteria were referred to Prosthodontic department for provision of complete dentures by specialist prosthodontist. Data was analysed using SPSS version 20. Descriptive statistics were calculated for both qualitative and quantitative variables. For qualitative variables like gender frequency and percentages was calculated. For Quantitative variables like age, score of function, comfort, appearance and total satisfaction mean and standard deviation were calculated. Mean± SD was calculated for satisfaction score among patients with and without past experience of denture usage. Independent sample t-test was used to compare quantitative variables. P values of less than 0.05 was considered significant. Results: Mean score of function, comfort, appearance and total satisfaction was greater among the patients with past denture experience as compared to new denture wearers with no past experience of denture wearing. Conclusion: Past denture experience has significant effect on patient satisfaction with their new complete dentures
Intravenous Lipid Emulsion Therapy In Paediatric Poisoning
Authors: Hameed Ammara , Fatima Sara , Hameed Tayyaba , Haider Maryam
Published: November 2021

Lipid emulsions are traditionally used as a part of total or partial parenteral nutrition. However in the past few years role of lipid emulsions has been identified in the management of poisoning and overdose caused by the lipophilic agents. Although most of the evidence comes from the various case reports. We are reporting 2 cases of poisoning in the paediatric age group. In both the cases multiple poisoning agents were involved with tricyclic antidepressants being the common agent in either case. Lipid emulsion therapy was used as an adjunct in addition to the traditional poisoning management. Both the girls recovered completely without any neurological deficit. The sequence of events observed provides a considerable evidence regarding the role of ILE therapy in the successful management of both the cases. However more research is required in the area to develop definitive guidelines regarding the use of Intravenous lipid emulsions in paediatric poisoning caused by lipophilic agents.
Clinically Significant Variation of Paranasal Sinuses on CT-Scan
Authors: Qureshi Maryam Faiz , Usmani Ambreen
Published: November 2021

Anatomical variations are not diseases and can be found in every individual. Due to the anatomical variations, the structural changes occur in nearby anatomical relations. By keeping in mind, the vast range of anatomical variations in nasal cavity and paranasal sinuses (PNS), every case of sinusitis must be planned carefully to avoid dreadful complications of surgical procedures. Sinus anatomical variations have been associated with the etiology of sinusitis. In this regard computed tomography (CT) imaging has become an important diagnostic tool. CT Scan imaging of nose and para nasal sinuses is mandatory in patients with history of sinusitis in order to evaluate the detailed anatomy which includes normal anatomy, anatomical variations, bony details and the extent of the disease pathology. Certain anatomical variants are supposed to be a causative factor for development of sinus pathology and hence it becomes compulsory for the radiologist to be aware of the anatomical variants of nasal cavity and PNS especially if the subject is considered for surgical intervention.
Low Dose Theophylline and Tiotropium Rotacap as Add on Therapy in COPD Patients-Clinical Trial
Authors: Dar Muzna Hameed , Alam Syed Mehboob , Bukhari Qurrat ul Ain , Ismail Kauser , Zaidi Syed Azhar Hussain
Published: November 2021

Objectives: To compare the role of low dose Theophylline and Tiotropium rotacap in improving the lung functions and day to day life of patients suffering from COPD. Study Design and Setting: A Clinical trial study was conducted at Department of Pharmacology and Therapeutics, BMSI in association with Department of Chest Medicine, JPMC. Methodology: This study was planned as an open label and parallel clinical trial study. A total of 168 patients of COPD were selected for this study and only 161 patients completed the 3 months duration of the study. The enrolled patients were grouped into 2, namely A and B. Tab. Theophylline 350 mg was given to Group A in two divided doses while Tiotropium rotacap18µg through rotahaler was given to group B once a day. Results: Mean FEV1 ± SD was improved by 0.04 ± 0.02 in Theophylline therapy group while by 0.07 ± 0.01 in the Tiotropium therapy treated group and a significant difference between the changes in the two treatment groups was evident. There was a percentage improvement in PEFR of 8.9 ± 5.8 in the Theophylline therapy treated group and of 13.2 ± 4.7 in Tiotropium therapy treated group. When Tiotropium group was compared with Theophylline group for improvement in percentage change in PEFR from day 0, a significant difference was evident between the two groups. There was a significant improvement from day 0 in CAT score in Tiotropium treated groups versus Theophylline group after 3 months of therapy. Conclusion: Tiotropium rotacap was more effective as compared to low dose Theophylline in improving pulmonary functions and CAT score in patients with COPD
Frequency of Electrolyte Disorders and Its Effect On Mortality Among Children Admitted In Pediatric Intensive Care Unit
Authors: Haider Maryam , Hameed Ammara , Fatima Sara , Afroze Meher , Noor Nadeem , Arshad Uzma
Published: November 2021

Objective: To determine the frequency of electrolyte disorders, i.e., serum sodium and potassium and to evaluate its effect on mortality rate among children admitted at the pediatric intensive care unit. Study Design and Setting: This was a descriptive cross sectional study conducted at Pediatric Intensive care unit of Civil Hospital Karachi from April to December 2017 Methodology: Informed consent was obtained from 150 parents of the children who fulfill the inclusion criteria. Laboratory data (serum sodium and serum potassium) were recorded during the stay in the pediatric intensive care unit. Data was analyzed using SPSS version 20. Mean ± S.D was calculated for quantitative variables. Frequency and percentage were calculated for gender, electrolyte disorders and mortality. Effect modifiers were controlled by stratification of age, gender and electrolyte disorders (Hypernatremia, Hyponatremia, Hyperkalemia, and Hypokalemia). Post-stratification, Chi-squared test was applied. P-value = 0.05 was taken as significant. Results: Out of 150 patients, electrolyte disorders in terms of serum sodium and potassium, were found in 86(57.3%) children. Mortality in children with electrolyte disorders was found to be 46(53.5%) which was significantly higher (P<0.001) than patients without electrolyte disorders 40(46.5%). Hypernatremia was found in 48(32%), hyponatremia 24(16%), hyperkalemia 21(14%) and hypokalemia in 42(28%) patients.In comparison; of electrolyte disorders with mortality; significant association was found in hypernatremia (P<0.001), and hyperkalemia (P<0.001). Conclusion: The most common electrolyte abnormalities were hypernatremia and hypokalemia. Mortality was significantly higher in subjects with electrolyte disorders, especially hypernatremia and hyperkalemia
Navigating and Negotiating Health and Social Services in the Context of Homelessness: Resistance and Resilience
Authors: MacDonald Sue-Ann , Cote Philippe-Benoit
Published: November 2021

In this article, we draw upon a case study exploring social inequality and homelessness in homeless-oriented services in a large health and social services centre in Montreal, Quebec, Canada. We take up professionals’ (working in homelessness services) and service users’ (people experiencing homelessness) (N=12) perspectives exploring slippery notions of empowerment/disempowerment using a stigma, resistance, and resilience lens. We mobilize the concepts of navigation and negotiation to better understand participants’ experiences of stigma and the dialogical tensions in empowerment/disempowerment constructs moving beyond simple worker/service user dichotomies of powerful/powerlessness. We explore the more nuanced ways professionals and people who experience homelessness (often described in passive terms) understand these tensions and the dynamics at play within professional relationships, systems, and structural constraints. We unpack professionals’ “silent practices” in their effort to “empower” service users and resist institutional forged by neoliberal pressures. We make the case that systemic and structural constraints manifested in institutional practices push people experiencing homelessness to adopt strategies of resilience.
La palma de aceite en Tumaco (Colombia) como cuestión geopolítica
Authors: Otálora Sechague Juan David
Published: November 2021

El artículo propone un debate en torno a considerar la amenaza de los grupos armados ilegales y los cultivos de uso ilícito como una estrategia de algunas instituciones del Estado colombiano para enmascarar otras rivalidades a propósito del territorio, su uso y explotación en Tumaco. En otras palabras, la producción y distribución de las drogas ha tenido un rol determinista en las explicaciones sobre las rivalidades en ese municipio, eclipsando otros fenómenos que tienen la misma relevancia para sus pobladores como la presencia de las empresas de aceite de palma. Basado en la geopolítica crítica y en un trabajo de terreno realizado en 2018, el texto presenta una serie de argumentos que relacionan los monocultivos de palma de aceite con el desplazamiento y la presencia de grupos armados. La imbricación entre elementos legales e ilegales dan cuenta de tensiones por la apropiación del territorio, en cuyo epicentro se encuentran las representaciones de las comunidades afrodescendientes e indígenas del territorio.
World Trade Flows in XX Century
Authors: IBRAHIMI Agron , JANKOVIC Marija
Published: November 2021

International trade represents the exchange of goods and services across state borders. In most countries, it forms a significant part of Gross Domestic Products (GDP). Although international trade has been presented throughout history, its economic, social, and political importance has increased in recent centuries, mainly due to industrialization, transport development, globalization, and multinational corporations. The work is planned methodologically to be explored through the graphic method, the method of index numbers and the average annual rate of change, and the trend method. The analysis of work is divided over the period. The first period is considered from 1948-1999, the second period from 1980-1999. In the 20th century, there were significant changes in the structure of international trade. By the 1960s, dominant products in international trade were primary products (raw materials), while from that period the international trade was dominated by industrial products.
The effects of social media marketing, store environment, sales promotion and perceived value on consumer purchase decisions in small market
Authors: Haudi Haudi , Santamoko Ruby , Rachman Arief , Surono Yunan , Mappedeceng Riko , Musnaini Musnaini , Wijoyo Hadion
Published: November 2021

The purpose of this research is to analyze the influence of social media marketing on small market purchase decisions and to analyze the influence of the store environment on small market purchase decisions. The study also analyzes the influence of sales promotion on small market purchase decisions as well as the effect of perceived value on small market purchase decisions. The study uses a quantitative method and data collection is performed by distributing questionnaires to 170 respondents who have bought goods in the small market. The research method in this study uses structural equation modeling (SEM) analysis using SmartPLS software. The results of this study reveal that all independent variables have some positive effects on consumer buying decisions. More specifically, the variables of small market environmental conditions, sales promotions, and profit values have significant influences on consumer buying decisions, while social media marketing variables has no significant effect on consumers' buying decisions.
The mediating role of customer relationship management between e-supply chain management and competitive advantage
Authors: Aloqool Abdalrazzaq , Alharafsheh Malek , Abdellatif Hadeel , Alghasawneh Lana Ahmad Suleiman , Al-Gasawneh Jassim Ah-mad
Published: November 2021

The purpose of this study is to explore the role of implementing e-supply chain management (E-SCM) on the competitive position of companies and whether implementing customer relationship management (CRM) can affect the relationship between E-SCM and competitive advantage. To achieve this objective, a quantitative approach was utilized. A total of 300 questionnaires were distributed where 243 questionnaires were returned, with 17 incomplete questionnaires being excluded, leaving 226 usable questionnaires. PLS-SEM software was used to analyze the data. The results of this study demonstrate the imperative role of implementing E-SCM and CRM on creating a competitive advantage for firms. It also shows that CRM mediates the relationship between E-SCM and competitive advantage, suggesting that utilizing different technologies can help firms better communicate with their customers and thus better serve them which in turn will enhance customers’ satisfaction and thus boost the competitive position of the firm.
The effects of perceived ease of use, usefulness, enjoyment and intention to use online platforms on behavioral intention in online movie watching during the pandemic era
Authors: Basuki Ribut , Tarigan Zeplin Jiwa Husada , Siagian Hotlan , Limanta Liem Satya , Setiawan Dwi , Mochtar Jenny
Published: November 2021

Pandemic Covid-19 has resulted in disruption in various industry and business sectors. People spend more time at home than they do outside. People who like movies during this time can enjoy the cinema. However, during the covid-19 pandemic, it must be done online to follow strictly regulated restrictions on community activities to avoid the uncontrolled spread of the virus. As a result, streaming platforms with the advancement of internet technology are increasingly playing a role in providing online services for movie fans. This study investigated the effects of perceived ease of use, usefulness, enjoyment, and intention to use online platforms on behavioral intention in online movies during the Covid 19 pandemic. The questionnaires were distributed by sending google form links to respondents who have a streaming platform subscription in Indonesia. As many as 772 questionnaires were filled out completely and could be processed. Data analysis was done by using partial least squares with Smart PLS software. The results have shown that eight proposed hypotheses have been supported in this study. Perceived ease of use positively affects the perceived usefulness, perceived enjoyment, and intention to watch movies online. Furthermore, perceived usefulness affects perceived enjoyment and intention to watch movies online. Perceived enjoyment influences intention to use and behavioral intention. Finally, intention to use online platforms influences behavioral intention. This research contributes in theory to the technology acceptance model and provides film industry practitioners with insight into enhancing customer behavioral intention in the pandemic era.
The role of digital marketing in mediating the effect of the COVID-19 pandemic and the intensity of competition on business performance
Authors: Giantari I Gusti Ayu Ketut , Yasa Ni Nyoman Kerti , Suprasto Herkulanus Bambang , Rahmayanti Putu Laksmita Dewi
Published: November 2021

This study aims to explain the role of digital marketing adoption in mediating the effect of the COVID-19 pandemic and the intensity of competition on business performance, which is seen from the perspective of financial performance and non-financial performance. This research was conducted on the culinary sector SMEs in Bali. The size of the sample used is 210 culinary sector SMEs with a purposive sampling approach, namely the culinary sector SMEs that have adopted digital marketing. The analytical tool used is SEM-PLS. The results of the study show that the effect of the COVID-19 pandemic and the intensity of competition has a negative and significant effect on business performance, both financial and non-financial performance. The adoption of digital marketing was unable to mediate the effect of the COVID-19 pandemic and the intensity of competition on financial performance, but the adoption of digital marketing was capable in mediating the effect of the COVID-19 pandemic and the intensity of competition on non-financial performance. Therefore, the adoption of digital marketing needs to be re-optimized to improve business performance, both financial and non-financial performance.
L’ablazione transcatetere
Authors: Costagliola Giulia
Published: November 2021

Intervista al dott. Fulvio Gabbarini.
ANÁLISE DA TAXA DE LETALIDADE DE ABORTO POR SÍFILIS NO BRASIL, REGIÕES E CAPITAIS
Authors: Dorneles Fernanda Vaz , Oliveira Amanda Curtinaz de , Silva Mariana Xavier da , Pasetto Bianca de Moura , Monteiro Bianca Ledur , Linch Graciele Fernanda da Costa , Paz Adriana Aparecida
Published: November 2021

Objetivo: analisar a ocorrência da Taxa de Letalidade de abortos por sífilis no Brasil, regiões e capitais. Método: estudo retrospectivo do período de 2009 a 2018, observando dados do  Brasil, Regiões e Capitais, com base em indicadores do DATASUS/Ministério da Saúde. Resultados: O Brasil apresentou redução na taxa de letalidade de aborto por sífilis, encerrando o ano de 2018 com 2,22 casos para cada 100 gestantes com sífilis. As cinco regiões brasileiras também apresentaram queda na taxa de letalidade de 2009 para 2018, podendo estar relacionada a uma melhoria no diagnóstico e tratamento. A região Nordeste teve a taxa de letalidade mais alta (9,98 em 2009) e concentra as capitais com maiores taxas (Fortaleza, com 85,18, seguida de Aracaju, com 61,53, no ano de 2012. As capitais Macapá, Porto Velho, São Luís e Natal apresentaram ausência de registro de casos de aborto por sífilis em todo ou parte do período analisado. Na Região Sul, Porto Alegre tem maior taxa de letalidade (29,77 em 2015), após emissão de Nota Técnica orientando testagem rápida nas situações de abortamento. Conclusão: a taxa de letalidade de aborto pode estar relacionada às desigualdades socioeconômicas de cada local, o que implica na qualidade da assistência ao pré-natal, à acessibilidade aos serviços de saúde e ao diagnóstico precoce e tratamento adequado.
O ACESSO AVANÇADO COMO MODELO DE AGENDAMENTO E A QUALIDADE DA ATENÇÃO PRIMÁRIA SOB A ÓTICA DOS USUÁRIOS DURANTE A PANDEMIA DO COVID-19
Authors: Hermann Nicholas Omodei , Perez Marcella Kroitor , Pinheiro Gustavo de Barros B. , Aguera Henrique Cazella , Pose Regina Albanese , Vaccarezza Gabriela Furst
Published: November 2021

O acesso avançado é caracterizado como uma alternativa aos modelos tradicionais de agendamento e atendimento em saúde, sendo uma implementada em unidades básicas de saúde, assim como, em São Caetano Do Sul. Essa ferramenta contorna algumas dificuldades encontradas nos modelos tradicionais que aumentam a satisfação dos usuários devido a diversos fatores, como a estratificação de risco que possibilita organizar os problemas diários em um serviço de saúde. Devido a pandemia de COVID-19, ocorreram mudanças no agendamento e atendimento nas unidades básicas de saúde de São Caetano do Sul, as quais descontinuaram atendimentos eletivos e atividades em grupo e absorveram a demanda em atendimento de saúde por meio do acesso avançado. O principal objetivo deste trabalho foi  avaliar a qualidade da atenção primária à saúde sob a perpctiva dos usuários e uma unidade que utiliza o acesso avançado como modelo de agendamento durante a pandemia do COVID-19. Foi tomado como modelo uma unidade básica de saúde do Município de São Caetano do Sul e o instrumento utilizado para esta análise foi o PCA-Tools. O principal achado deste estudo é que mesmo com a significativa alteração de dinâmica dos atendimentos na unidade de saúde devido a pandemia do COVID-19 os usuários avaliam positivamente a qualidade da APS. O que mais impacta nesta avaliação positiva são os atributos longitudinalidade, integralidade  e orientação familiar e comunitária.
Satisfação do usuário quanto ao atendimento de um hospital de referência no Sul do Maranhão
Authors: Alves Lima Júnior Francisco , Silva Thalytha Thawany Ferreira da , Santos Bianca da Costa , Passos Jullayne Rodrigues , Sousa Haigle Reckziegel de , Queiroz Patricia dos Santos Silva , Lima Karla Vanessa Morais , Machado Antônio Silva
Published: November 2021

Objetivo: Avaliar o índice de satisfação dos usuários e acompanhantes nos setores de ambulatório, unidades de internação e unidades de terapia intensiva, de um Hospital Macrorregional do sul do Maranhão, Brasil. Métodos: Trata-se de um estudo descritivo, retrospectivo com delineamento transversal e abordagem quantitativa, realizado entre janeiro a dezembro de 2017. A amostra foi constituída por 394 questionários, com perguntas onde às respostas eram fechadas em quatro níveis: quase o tempo todo, na maioria das vezes, somente parte das vezes e em nenhum momento. Resultados: Após análise dos resultados os índices de satisfação alcançaram a meta de satisfação plena de >80%. Com base nos resultados de cada setor avaliado a instituição alcançou um nível de 90,86% de satisfação. Conclusão: Deste modo afirma-se que pesquisas neste sentido são substanciais para o aperfeiçoamento da gestão e autoavaliação das instituições, e se fazem fundamentais para alavancar um melhor atendimento no Sistema Único de Saúde (SUS). Pode-se observar que instituições preocupadas com a satisfação do seu atendimento tendem a evoluir e alcançar melhores resultado.
O estruturalismo nos perfis de Teachgrams
Authors: Azevedo Vieira Silva Klayton , Frota Fabíola Christine Rocha , Aranha Marize Barros Rocha
Published: November 2021

Este artigo tem como fundamento a perspectiva estruturalista na aprendizagem de línguas. Temos como objetivo esboçar alguns apontamentos sobre possíveis traços ou influências do estruturalismo em perfis voltados para o ensino e aprendizagem de língua inglesa por meio do Instagram (teachgram). Após a apresentação teórica, faremos uma breve análise de algumas postagens de perfis de teachgrams. Demonstraremos que o estruturalismo faz parte das práticas de ensino que utilizam o Instagram.
Proximate and mineral composition of some commonly consumed traditional foods/dishes in Nasarawa state, Nigeria
Authors: Makanju Dehinde Awogbenja  , Celestina Adebimpe Ojo  , Winner Paul Shekwonigaza  , Peace Osabo
Published: November 2021

Traditional foods are recognizable specific cuisine or food peculiar to a particular ethnic group, locality or society. Traditional foods are not only consume for their nutritional values but also for their medicinal and socio-cultural significance. However, information on the nutrient compositions of some of these indigenous dishes are not yet documented. This study is aimed at evaluating the proximate and mineral composition of commonly consumed traditional foods in Nasarawa state Nigeria. A cross sectional survey was adopted and recipes were collected across the ethnic groups for the commonly consumed traditional foods in Nasarawa state. The recipes of ten (10) commonly consumed traditional dishes were standardized in the laboratory, prepared and evaluated for proximate and mineral composition using standard procedures of analyses. The result shows that Moisture content of the foods ranged from 13.39 to 5.78g /100g, Crude fibre content was from 19.45 to 2.93g /100g, Crude protein ranged from 24.22 - 5.43g /100g, Crude fat 30.32 - 0.92g /100g and Ash 9.84 - 3.82g/100g, Carbohydrate content ranged from 57.31 - 27.17g /100g and the energy value content ranged from 458.63 - 326.68g /100g. The results of mineral composition further reveal that sodium ranged between 126.00 and 32.00ppm /100g, potassium between 22.36 and 6.72ppm /100g, calcium between 2.08 and 0.64ppm/100g, phosphorus between 2.17 and 0.80ppm /100g, Magnesium 7.25 and 2.74ppm /100g), while the values for iron, zinc and copper ranged from 4.74 to 2.32ppm /100g, 1.55 to 0.09ppm/ 100g and 20.49 to 0.17ppm /100g respectively. Conclusively, the consumption of these foods will help reduce the high level of non-communicable chronic diseases as they are gotten from natural sources.
Cadre de travail sur les opportunités 2020: Identifier les opportunités d’investissement dans la sécurisation des droits de tenure collectifs au sein des forêts des pays à revenu faible et intermédiaire
Authors:   Rights and Resources Initiative
Published: November 2021

Les peuples autochtones, les communautés locales et les Afro-descendants (PA, CL & AD) — près de 2,5 milliards de personnes — gèrent de façon coutumière plus de 50% de la masse terrestre mondiale, mais les gouvernements ne reconnaissent la légalité de leur propriété que sur 10% (RRI, 2015). Heureusement, des progrès ont été réalisés ces dernières années pour remédier à cette injustice historique, car les gouvernements ont commencé à adopter des lois et à parvenir à des décisions de justice reconnaissant l’utilisation et la propriété historiques et coutumières de ces terres. Un récent bilan montre que depuis 2002, au moins quatorze nouveaux pays ont adopté des lois obligeant les gouvernements à reconnaître ces droits. De même, des décisions de justice allant dans le bon sens ont été rendues au niveau national et régional dans de nombreux pays en faveur de la reconnaissance officielle des droits fonciers et forestiers collectifs des peuples autochtones, des communautés locales et des Afro-descendants. Les études de RRI démontrent que si seulement sept pays mettaient en œuvre ces nouvelles lois, politiques et décisions de justice, plus de 176 millions d’hectares seraient transférés du gouvernement vers les autochtones, les communautés locales et les Afro-descendants, ce qui bénéficierait à plus de 200 millions de personnes (RRI, 2018). L’objet de ce rapport, et du Cadre de travail lui-même, se limite à la reconnaissance formelle des droits fonciers et forestiers (c’est-à-dire la délimitation, la cartographie, l’enregistrement, etc.). Il n’évalue pas les étapes importantes et ultérieures du renforcement de la gouvernance communautaire ou territoriale, l’application de ces droits par les gouvernements ou les capacités nécessaires pour permettre aux organisations autochtones, locales et d’Afro-descendants de gérer ou d’exploiter leurs ressources ou de s’engager dans des entreprises ou des activités de développement économique – qui sont toutes essentielles pour une conservation et un développement durable et autodéterminé. Ce Cadre de travail se concentre sur la première étape de ce processus plus long.
Community Land Rights in Liberia: A Summary of 2020 Analyses
Authors:   Rights and Resources Initiative
Published: November 2021

This summary highlights findings of three RRI studies conducted in 2020 as they relate to Liberia, and explains what the findings of these three studies mean for Liberia and aims to equip local communities and civil society organizations with data to advance their advocacy work to influence future reforms, and help the government, donors, private sector actors, and conservationists make informed decisions.
Biodiversity and Long-Term Nutrition Through A Food-Based Approach
Authors: Primalova Ariela
Published: November 2021

At the beginning of the new millennium, we are still facing severe challenges. There are still 1 billion poor people suffering from hunger and malnutrition, while approximately 2 billion people suffer from malnutrition and micronutrient deficiencies. At the same time, approximately 2 billion people are overweight and/or obese, and this number is increasing in every country in the world. Food and diet are one of the important social determinants of health and well-being, but the current food system is deeply unfair and creates social injustice. Based on the experiences of the last half century and current trends, we are convinced that it has become very urgent to fundamentally change our nutrition strategy and to promote a fair, culturally appropriate and sustainable diet based on biodiversity. This is indeed a significant challenge for nutritionists
Formulation of Vegetable Cocktail Filling Solutions (Chayote, Tomato and Carrots) on Consumer Acceptance
Authors: Batubara Siti Chairiyah , Istanto Budi
Published: November 2021

Chayote, tomato, and carrot are vegetable commodities that are easily found in Indonesia. The way to increase the economic value of chayote, tomatoes, and carrots is to diversify products, one of which is processed cocktail products. Cocktails candied products are package in cups, jars, or cans with add of syrup as a filling medium or solution. In general, cocktails did make from fruits, so that to process cocktails from vegetables, proper formulations and methods are needed to be well received by consumers. This research will study the exact formulation in the manufacture of products cocktail vegetable filler that cocktail of vegetables acceptable to consumers based on quality organoleptic and chemical quality (pH and total dissolved solids). The raw materials used consist of chayote, tomatoes, carrots, sugar, water, and citric acid. The packaging material used is a glass jar. The data analysis technique in this study used the D-optimal Mixture Design method to get the most optimum formula. The results of one research on organoleptic quality in the form of hedonic tests on the color, aroma, texture, and taste of vegetable cocktails based on ANAVA Design Expert processing showed results that were not significantly different from the 16 recommended formulations. The results of the chemical quality research in the form of pH and TDS showed different results. Based on the organoleptic quality and chemical quality as a predictive model, the optimal formulation was obtained with a ratio of 62.511% water, 37.138% sugar, and 0.352% citric acid with a desirability value 0.823.
Psychogene niet-epileptische aanvallen: diagnostiekprogramma SEIN
Authors: Meppelink Anne Marthe , Polet José
Published: November 2021

Psychogene niet-epileptische aanvallen of PNEA is wellicht de meest voorkomende vorm van een functionele neurologische stoornis of conversie en het onderscheid met epileptische insulten is vaak lastig te maken. Bovendien komt PNEA vaak (10-15%) voor als comorbiditeit bij patiënten met epilepsie. Een multidisciplinaire benadering met betrokkenheid van neuroloog, klinisch neurofysioloog en psycholoog leidt in een ruime meerderheid tot een diagnose en behandeladvies.
Epilepsiezorg in Aruba
Authors: Wagner Louis
Published: November 2021

Aruba kampt al jaren met een tekort aan medisch specialisten. In het verleden was er een vaste groep neurologen die vanuit Nederland het chronisch tekort aan neurologen op het eiland opvulden. Zo is het ook bij mij begonnen; sinds 2012 neem ik als neuroloog jaarlijks twee tot drie weken waar op Aruba. Nu ben ik nog de enige neuroloog met speciale aandacht voor de epilepsiezorg op Aruba.
COVID-19 en epilepsie
Authors: Epilipsie Redactie
Published: November 2021

Dit document is tot stand gekomen na het verzoek van de Nederlandse Verening voor Neurologie om informatie over Covid-19 in relatie met epilepsie bekend te maken, en is terug te vinden op de website van de Nederlandse Liga tegen Epilepsie (www.epilepsieliga.nl). Voor vragen, opmerkingen of eventuele aanvullingen kunt u contact opnemen met Prof. dr. Marian Majoie, voorzitter van de Nederlandse Liga tegen Epilepsie.
Na de diagnose epilepsie: ‘bouwen’ aan herstel
Authors: Van Omme-van Laarhoven Jolanda , Van der Starre Sanne-Marije , Thijssen Franca , De Ceuster Laura
Published: November 2021

Epilepsie kan een behoorlijke impact hebben op iemands leven en diegene ernstig uit balans brengen. Aan de hand van een casusbeschrijving wordt besproken hoe de Yucelmethode, vanuit een visie op herstelondersteunende zorg, helpend kan zijn bij het vinden van een balans in het omgaan met epilepsie.
Hebben kinderen met Dravetsyndroom inmiddels betere vooruitzichten?
Authors: Gunning Boudewijn
Published: November 2021

Het Dravetsyndroom is een ernstig epilepsiesyndroom dat meestal in het eerste levensjaar tot uiting komt en moeilijk te behandelen is. De eerste aanvallen zijn typisch langdurige, door koorts uitgelokte aanvallen. Naderhand treden verschillende aanvalstypen zonder geassocieerde koorts op. Vooral op jonge leeftijd worden frequent periodes van convulsieve status epilepticus gezien, waardoor deze kinderen regelmatig moeten worden opgenomen voor intensieve zorg en behandeling.
Personal Identity Identification and Authentication Statistics Based on Countermeasures against Spoofing
Authors: T Thomas Leonid , M Mary Grace Neela
Published: November 2021

To make the online banking system secure, a three-step authentication method using the face, iris, and fingerprint is used. To improve security, spoofing detection has also been included. A spoofing attack happens when someone attempts to impersonate someone else and gets unauthorized access. The face and iris are captured by the camera, while the fingerprint is captured by the fingerprint module. Gray Level Co-occurrence Matrix is used to extract a picture of a person's face, iris, and fingerprint (GLCM). A reference module is constructed using the extracted picture so that the input may be compared to it, and if the input matches the module, a one-time password (OTP) is delivered to the user's mobile phone. Only the online transaction may take place if the OTP is entered correctly. Otherwise, the account holder will get an alert message. This method allows for a very secure online transaction.
Modeling behaviour of wet and dry days in Iran from the perspective of Markov chains
Authors: PEYMAN MAHMOUDI , SEYED MAHDI AMIR JAHANSHAHI , ZOHREH MORADI
Published: November 2021

The current study aims to model the behaviour of wet and dry days in Iran using Markov Chain Models. To this end, data related to daily precipitation of 44 synoptic stations for a 25-years interval (1991-2015) was obtained from Iran Meteorological Organization. Then, the Markov features of dry and wet days of Iran including stationary probabilities of dry and wet days occurrence, the expected length of dry periods, the expected length of wet periods, dry-wet spells cycle, return periods for dry or wet episodes and finally, the possibility of occurrence of the continuity of dry days for 5, 10, 15, 20, 25 and 30 days were calculated for all the synoptic stations in a seasonal scale. The results showed that there is the occurrence of dry short continuities (5 and 10 days) in three seasons of autumn, winter and spring with different possibilities all over Iran. However, the possibility of occurrence of long-term dry continuities (more than 20 days) is variable in terms of season and place so that in winter, no possibility of occurrence of this type of continuities is obvious in the northern half of Iran. As in autumn and spring those are the end and beginning of long-term stability conditions of the atmosphere in the upper atmosphere levels of Iran, the possibility of periodical occurrence of 30-days dry days, particularly in the southern half of Iran increases. In addition, the expected return periods for dry days is almost steady for every part of Iran and is in the range between 1 and 2 days. However, the number of return days to a precipitation period does not follow this rule and varies for every part of Iran so that from 2.15 days in autumn to 79 days in spring is variable, pointing to the climate diversity of Iran.
Comparing satellite altimetry and tide gauges observations in the Mediterranean Sea within the framework of singular spectrum analysis
Authors: MAHDI HADDAD , HEBIB TAIBI , MOUSTAFA MOKRANE , HOUSSEYN HAMMOUMI
Published: November 2021

By considering time series from satellite altimetry and tide gauges that extend back to 1993, Singular Spectrum Analysis (SSA) is applied to investigate and compare the non linear trends of the sea level along the Mediterranean coasts. The major issue of this comparison is to show if the satellite altimetry data could be representative of the local sea level as observed by tide gauges.

 

The results indicate that the local trends estimated from an in-situ tide gauge and satellite altimetry data show nearly identical positive rates over the period from 1993 to 2017. The differences between the estimated rates of sea level change from in-situ tide gauge and satellite measurements vary, in absolute value, from 0.18 to 4.29 mm/year with an average of 1.55 mm/year.

 

This result is sufficient to admit, if necessary, on the one hand, the complementarily of the two measurement techniques (satellite altimetry and tide gauges) and, on the other hand, the rise in sea level near the Mediterranean coastal areas.
Study of energy balance components at different growth stages of green gram grown in new alluvial zone of West Bengal
Authors: SOUMEN MONDAL , SAON BANERJEE , SHAON CHAKRABORTY , SALIL SAHA , ASIS MUKHERJEE
Published: November 2021

An experiment was conducted in the experimental farm of Bidhan Chandra KrishiViswavidyalaya, Nadia, West Bengal to study the radiation pattern and its balance over green gram (Vignaradiata var. Samrat). The BREB method was used to determine the sensible heat flux and latent energy. The net radiation was measured through net radiometer and the ground heat flux was measured using Fourier's law. Both the diurnal and seasonal variation of net radiation were studied. Similarly, the energy balance components were studied regularly for different crop growth stages as well as on diurnal basis. It is observed that the net radiation varies from 6.32 Wm-2 to 606.43 Wm-2. The latent heat flux constitutes more than 50% of the net radiation for all growth stages as depicted by energy balance partitioning. The sensible heat flux is partitioned into 10% to 20% of total net radiation throughout the growth stages of green gram, which is the lowest in magnitude among all three energy fluxes. The relationship between Bowen ratio and Vapour pressure deficit (VPD), Bowen ratio and Canopy air temperature difference (CATD) was studied. It was found that Bowen ratio is negatively correlated with VPD but positively correlated with CATD. This study enables to monitor ET pattern through latent heat flux and microclimatic characteristics through sensible and ground heat flux.
Eastern and North Eastern sub-divisions of India : An analysis of trend and chaotic behaviour of rainfall in different seasons
Authors: PIJUSH BASAK
Published: November 2021

The aim of the study is to understand trend or non-linearity along with a chaotic behaviour, if any, of Eastern and North Eastern sub-divisional rainfall, namely Orissa, Gangetic West Bengal, Sub Himalayan West Bengal, Assam and Meghalaya and also Nagaland, Manipur, Mizoram and Tripura based on rainfall data of 143 years (1871-2013). The analysis is performed for examining behaviour of rainfall in each of the seasons, namely, Pre monsoon, South West monsoon, North East monsoon and also Annual rainfall extracted from the monthly data. For that purpose, a trend analysis with Hurst Exponent and non-linearity analysis with Lyapunov Exponent are employed. The analysis revealed that rainfall of Orissa is persistent for all the seasons whilst the rainfall is persistent in Gangetic West Bengal in Pre monsoon and North East monsoon and Assam and Meghalaya along with Nagaland, Manipur, Mizoram and Tripura exhibit persistent behaviour in South West Monsoon and annually. Sub Himalayan West Bengal exhibit persistence in annual rainfall only. Chaotic tendency in low magnitude is located in many cases whilst non-chaotic situation has occurred when the persistence is found, mainly in pre-monsoon season. Moreover, the analysis of Hurst and Lyapunov Exponent revealed to identify two groups of sub-divisions with exactly similar region of every respect. Those two groups contain (i) sub-divisions Orissa and Assam and Meghalaya and also (ii) sub-divisions Sub Himalayan West Bengal and Nagaland, Mizoram, Manipur and Tripura although those are at distances of hundreds of kilometers away. The behaviour of those subdivisions in a group has similar behaviour in all respects.
A percepção de portadores de insuficiência cardíaca sobre seu suporte social
Authors: Schneider Röder Verônica , Groff Vivian Aline
Published: November 2021

A Insuficiência Cardíaca (IC) é definida como uma incapacidade do coração de manter o bombeamento cardíaco adequado. A doença traz consequências como mudanças na rotina para adaptação, o que pode gerar isolamento social nos portadores. O artigo descreveu o suporte social percebido pelos pacientes com IC. Trata-se de um estudo qualitativo exploratório-descritivo, com 12 participantes com idades entre 65 e 80 anos, integrantes de Programa de Reabilitação Cardiorrespiratória, atendidos por equipe multidisciplinar. Foram aplicadas a Escala de Satisfação com Suporte Social (ESSS) e uma entrevista semiestruturada. Os participantes apresentaram resultados variados de 75, próximo do máximo até 29 pontos na ESSS. Quanto às percepções, relataram receber apoio emocional pela maior parte da família e apresentaram cuidado em termos de saúde física. Alguns mencionaram dificuldade nas relações sociais devido à IC. A partir dessa pesquisa, intervenções específicas para esse público podem ser melhor delineadas, assim como novos estudos com população maior.
População em situação de rua: representações sociais sobre o comer e a comida
Authors: Duarte Maria Benedita do Carmo , Brisola Elisa Maria Andrade , Rodrigues Alexandra Magna
Published: November 2021

Este artigo, parte de uma pesquisa de dissertação, pretende compreender as Representações Sociais sobre o comer e a comida para a População em Situação de Rua de um município do interior paulista. Participaram da pesquisa dezesseis sujeitos adultos em situação de rua. Para coleta de dados utilizou-se entrevista semiestruturada. A análise dos dados foi realizada por meio da análise de conteúdo e discutida à luz da teoria das representações sociais. O objeto social deste estudo - a comida - representa a sobrevivência na condição atual de vida e preserva a sua história nas recordações afetivas no passado. Os achados retratam o sofrimento de já ter tido que recorrer ao lixo para saciar a fome e revelam que apesar do avanço na criação de políticas públicas para este grupo ainda não é suficiente para contemplar seus direitos no que tange à alimentação.
O sujeito do autor: o que aparece quando eu escrevo e desapareço?
Authors: Winck Esteves Mauricio , Costa Luis Artur
Published: November 2021

O artigo parte da problematização da noção de sujeito no exercício da escrita para fazer uma crítica ao sujeito da modernidade. Reflete sobre a emergência desse sujeito moderno nas filosofias de René Descartes, Immanuel Kant e na psicanálise de Sigmund Freud, em suas articulações com os mecanismos disciplinares e biopolíticos, demonstrando a emergência de um triplo enlace entre autoria, culpa e propriedade. Ressalta a articulação na modernidade de duas tecnologias de produção do sujeito: a culpa e o alterocídio, duas faces do ressentimento as quais são apresentadas por Friedrich Nietzsche e Achille Mbembe. Por fim, desde a perspectiva dos modos de subjetivação, busca-se traçar algumas linhas de uma autoria no avesso do ressentimento moderno-colonial: uma autoinvenção coletiva.
Makna Sebuah Perjumpaan
Authors: Wera Marz
Published: November 2021

Hasil riset humaniora yang sangat kompeherensif dari Greg Soetomo lahir mengubah perspektif ini. Baginya, agama itu sebuah realitas. Sebagai realitas, akal budi dirangsang untuk masuk ke tataran refleksi intelektual. Umat beragama dituntut untuk merefleksikan iman secara rasional. Nah, rasionalitas ini tumbuh dalam kehidupan nyata. karena realitas hidup beragama selalu terkait dengan situasi kultural-religius, soal fakta keberagaman agama, budaya dan keyakinan.