bluuebunny/crossref_metadata_2025 huggingface dataset:
GeV Emission in the Region of the Supernova Remnant G51.26+0.11
Authors: Araya M.
Published: November 2021

The supernova remnant G51.26+0.11 was recently discovered and little is known about its properties and environment. Using data from the Fermi Large Area Telescope we study the GeV emission seen in the direction of G51.26+0.11 to constrain the origin of the gamma-rays and their possible relation to this supernova remnant or to a star-forming region. We also search for emission from molecular gas in the region that could provide dense material for the production of gamma-rays. By modeling the multiwavelength spectrum of G51.26+0.11 from radio to gamma-rays we derive the properties of the particle populations that could produce the emission in several possible scenarios. We rule out the star-forming regions (such as G051.010+00.060) seen nearby as the origin of the GeV emission. The correspondence seen between the gamma-ray and radio morphologies supports a scenario in which G51.26+0.11 is the cause of the gamma-rays. The flat spectral energy distribution observed at GeV energies is best fit by hadronic or inverse Compton emission, while a bremsstrahlung model cannot properly account for the radio fluxes under a simple one-zone scenario. A pulsar wind nebula origin of the high-energy photons cannot be ruled out or confirmed.
A new species and a new species record of Orbiniidae Hartman, 1942 (Annelida, Polychaeta) from China
Authors: Sun Yue , Yu Lei , Li Xinzheng
Published: November 2021

A new species of the orbiniid genus Phylo Kinberg, 1866, P. heterochaetussp. nov., is described based on material collected from the northern Yellow Sea, China. This is the thirteenth species in Phylo. The new species can be easily identified by the combination of the following characters: anterior thorax with 13 chaetigers, interramal cirri absent, anterior thoracic neuropodia with 4 or 5 rows of uncini, intermixed with a few subuluncini in the first 1 or 2 rows, and a ventral fringe of numerous stomach papillae present on chaetigers 12–24. Phylo fimbriata is recorded for the first time from China seas.
Procedures of Protection. Coptic Protection Letters and Village Life
Authors: Scheerlinck Eline
Published: November 2021

In the villages of late antique and early Islamic Egypt local authorities, such as village officials or monastic leaders, could issue documents, which promised some sort of protection to the receiver. Until now, about 140 of these documents—generally referred to as “protection letters”—and documents related to them have been published. Fairly little attention has been paid to the procedure that led up to the production of a protection letter. The Coptic papyrological record preserves testimonies of this procedure, such as letters with requests for protection letters. Through the analysis of five such testimonies, I examine the different steps people could take to obtain a protection letter. These analyses will highlight the importance of relationships and intermediaries in the communities as well as the roles of written and oral communication as part of the procedure.
Rent-seeking and asset-price inflation: a total-returns profile of economic polarization in America*
Authors: Hudson Michael
Published: November 2021

This paper reconstructs the National Income and Product Accounts to add asset-price (‘capital’) gains to national income to derive a measure of total returns. It also treats rent-extraction as a charge against national income and GDP, not as a contribution to national output. Segregating the Finance, Insurance, and Real Estate sector from the rest of the private sector shows that most growth in wealth and income derives from rentier activities – from the dynamic of finance capitalism more than that of industrial capitalism.
Kierownictwo partyjne wobec wyborów z 4 czerwca 1989 r. w świetle akt Komitetu Wojewódzkiego Polskiej Zjednoczonej Partii Robotniczej w Lublinie
Authors: Bednarczyk Ewa
Published: November 2021

W 1989 r. komuniści dopuścili do częściowo wolnych wyborów w Polsce. Postanowiono zminimalizować liczbę kandydatów na posłów ze strony rządowej, a jak najwięcej osób zgłosić tam, gdzie miejsca nie były zarezerwowane dla przedstawicieli partii pozostających dotychczas u władzy. Chodziło o to, żeby nie rozpraszać głosów na stronę rządową, jednocześnie zdezintegrować wybory stronie opozycyjnej. Wybory w gronie PZPR też miały przebiegać według nowych zasad. Miano wyłaniać kandydatów na parlamentarzystów wśród osób, które rzeczywiście działają na rzecz współobywateli i dobrze prezentujących się w mediach. Co do kandydatów solidarnościowych, to stworzono listę tzw. trudnych pytań oraz innych działań, które miały im utrudnić kampanię. Mimo to wynik wyborów był dla strony partyjnej szokiem. Obwiniano ZSL i SD, że dopuściły do kandydowania z ich list osób z opozycji, a także uczestników okrągłego stołu za niedotrzymanie umowy.

The Attitude of Party Leadership to the 1989 Elections in Light of the Files of the Provincial Committee of the Polish United Workers’ Party in Lublin
In 1989, the communists agreed to hold partly free elections in Poland. It was decided to minimize the number of the government-backed MP candidates, and to propose possibly many candidates where the seats were not reserved for representatives of the then ruling parties. The idea was to not disperse votes for the government side but at the same time to disintegrate the election for opposition. The elections within the Polish United Workers’ Party (PUWP) would also be held according to new rules. Parliamentary candidates would be selected from among those who were actually active for their fellow citizens and looked good in the media. As regards the “Solidarity”-backed candidates, a list of so-called “difficult questions” and other measures was compiled, which were to make their campaign difficult. Nevertheless, the election results were a shock to the PUWP side. The blame was laid on the United Peasants’ Party and the Democratic Party for allowing the opposition candidates to run on their tickets, and on the Round Table participants for not keeping the agreement.
Birth of a Tibetan Buddhist Master, Part 1: Visionary Experiences Prior to the Birth of the Seventh Karma pa, Chos grags rgya mtsho (1454–1506)
Authors: Dell Dominik
Published: November 2021

This paper highlights the importance of the secret level of rnam thars– accounts of visionary experiences and miraculous events as a sign of realisation in life stories of Tibetan Buddhist masters – based on existing research. The focus is mainly on visionary experiences. This paper contributes to this field by providing an annotated translation, analysis, and edition of a so-far untranslated section of the rnam thar of the Seventh Karma pa from the Chos ’byung mkhas pa’i dga’ ston.
Avalokiteśvara in Tibetan Buddhist Art of the Later Spread (Tib. phyi dar) of the Dharma. Image Classification Proposal, Part 2
Authors: Grela Joanna
Published: November 2021

According to traditional Buddhist narratives and popular beliefs, Tibetans are a people chosen by Avalokiteśvara. Therefore, his worship and multitude, as well as diversity of his images, are quite common both in temples and public areas. Unlike the widespread analyses where the Bodhisattva has been treated as a peaceful tutelary deity, and classifications of its images have been based on morphological features, or artistic styles and techniques, this paper proposes another approach by grounding images in Tantric Buddhism models used locally, e.g. outer, inner and secret forms of the Three Jewels or the Three Refuges, popular in Tantric Buddhism. The second part of this paper focuses on images of Avalokiteśvara as a meditational deity and a Dharma protector, which corresponds to the last two out of the three inner aspects of the Three Jewels. Using the method developed by Erwin Panofsky and the analysis of primary Tibetan text are partly used as convenient tools for the description and exegesis of images.
Architektura podziałów. Przestrzeń walki klas w filmach Bonga Joon-ho Snowpiercer: Arka przyszłości i Parasite
Authors: Kamrowska Agnieszka
Published: November 2021

Tekst jest próbą analizy filmów Snowpiercer: Arka przyszłości i Parasite koreańskiego reżysera Bonga Joon-ho w ujęciu socjologicznym. Teoretycznego zaplecza dostarczają pojęcia klasy społecznej i walki klas opisane przez Karola Marksa, następnie skorygowane przez Maxa Webera i dalej reinterpretowane przez Pierre’a Bourdieu. Posłużono się również koncepcją Aparatów Państwa autorstwa Louisa Althussera. Pojęcia te tworzą szkielet teoretyczny, w który wpisana została kwestia przestrzeni architektonicznej w analizowanych filmach. Bong Joon-ho umieszcza bohaterów w zamkniętych wnętrzach i stawia ich w sytuacji konfliktu klasowego, w którym muszą walczyć o przetrwanie lub awans społeczny. Stosując kategorie opisu przestrzeni, jak powierzchnia, zatłoczenie, uporządkowanie czy dostęp do światła słonecznego, twórca definiuje sytuację życiową bohaterów oraz ich motywację.

Architecture of Divisions. The Space of Class Struggle in Films by Bong Joon-ho: Snowpiercer and Parasite Abstract
The article presents a sociological analysis of two films by Korean director Bong Joon-ho: Snowpiercer(2013) and Parasite(2019). The theoretical background is founded on two terms: social class and class struggle by Karl Marx, redefined by Max Weber and reinterpreted by Pierre Bourdieu. Also the terms of Ideological State Apparatuses and Repressive State Apparatuses by Louis Althusser are applied. All those terms form a theoretical frame within which the architectural space of Bong’s films reside. The director situates the protagonists within closed spaces and class struggle, where they have to fight for survival or social advancement. By applying means of spacial description, such as density, area, orderliness, and daylight access, the director defines the protagonists’ social position and their motivation.
A War of Times in the Mahabharata?
Authors: Karp Artur
Published: November 2021

Scientific articles often start with the phrase: “The purpose of this article is to examine facts related to…” The content of this paper does not stem from an attempt to render afresh freely available, irrefutable data. Its purpose is to present a new interpretation of specific motifs present in the Indian epic tradition – based mainly on data obtained from reconstructions or facts in potentia. The following paragraphs delineate the unfolding of work undertaken long ago, started but not yet finished.
Obcokrajowcy w kulturze flamenco: problem negocjacji tożsamości
Authors: Romanowska Jadwiga
Published: November 2021

Artykuł traktuje o cudzoziemcach pragnących zostać profesjonalnymi tancerzami flamenco w Sewilli i o związanych z tym pragnieniem wyzwaniach tożsamościowych, przed jakimi stają. Obcokrajowcy stanowią zasadniczą większość w sewilskich szkołach tańca i to dzięki nim szkoły te mogą istnieć. Decydując się na dłuższy pobyt w Sewilli, wkraczają oni w transkulturowe pole wymiany, przez co zostają wpisani w relacje władzy – podporządkowania i dominacji. Ich sytuację oraz relacje zachodzące w sewilskiej przestrzeni bardzo dobrze opisują kategorie transkulturacji/transkulturowości oraz tożsamości transkulturowej. Cudzoziemcy pragnący zaistnieć w profesjonalnym świecie flamenco w Sewilli czy szerzej w Hiszpanii konstruują swoją tożsamość, negocjując poszczególne jej elementy. W tekście omówione zostały trzy z nich: ekspresja, ruch i ciało. Są czynnikami autodefiniującymi oraz elementami decydującymi o wykluczeniu i/lub „dyskryminacji” ze strony autochtonów i zagranicznych widzów.

Foreigners in Flamenco Culture: the Problem of Identity Negotiation
The research problem presented in this text is the negotiation of transcultural identity as exemplified by foreigners enrolled in flamenco dance schools in Seville who are or aspire to be professional flamenco dancers and compete on the Spanish labour market in the flamenco industry. Foreigners are a definite majority at Seville’s dance schools, whose existence depends on them. By deciding to spend a prolonged period of time in Seville, they enter a field of transcultural exchange and become involved in power relations of subordination and domination. Being a subordinate group, foreigners need to negotiate their place in the flamenco community on an ongoing basis. Their situation and relations developing in Seville are well-described through the categories of transculturation/transculturality and transcultural identity. Foreigners wishing to engage in the professional world of flamenco in Seville or, more broadly, in Spain, construct their identity by negotiating its individual elements. Three of them are discussed in the text: expression, movement and body. They are self-defining factors and elements that determine the exclusion and/or “discrimination” of indigenous people and foreign viewers.
PENINGKATAN KINERJA KARYAWAN MELALUI ON THE JOB TRAINING DAN OFF THE JOB TRAINING DIMASA PANDEMI COVID-19
Authors: DIKY AZIS
Published: November 2021

Perusahaan yang baik pasti menginginkan kualitas yang baik dari para pegawainya. Karena pegawai yang baik dan bermutu akan mempengaruhi tingkat kinerja dalam menjalankan pekerjaannya dan mencapai tujuan suatu perusahaan. Untuk menciptakan pegawai yang bermutu maka dilakukan pelatihan baik didalam maupun diluar kantor, terdapat berbagai alasan untuk melakukan pelatihan pegawai antara lain karyawan yang baru direkrut sering kali belum mengetahui dan belum mengerti tentang pekerjaan yang dijalankan, serta adanya perubahan lingkungan yang terjadi saat ini dengan munculnya virus covid-19 yang tengah melanda dunia. Tidak hanya Indonesia tetapi seluruh negara di dunia, covid-19 memberi perubahan dalam sistem kerja, sistem pendidikan dan sebagainya.penelitian ini menjelaskan pengaruh on the job training dalam kinerja karyawan, pengaruh off the job training dalam kinerja karyawan dan Makalah ini bertujuan untuk memberikan alternatif lain yang dapat dilakukan dalam pengembangan dan pelatihan manajemen sumber daya manusia di masa pandemi Covid19. Metode yang digunakan dalam makalah ini adalah metode kualitatif yang menggunakan metode pendekatan kajian pustaka. Hasil dari penelitian ini adalah pelatihan dan pengembangan SDM di masa pandemi Covid19

Kata kunci: on the job training, off the job training dan kinerja karyawan
1.- Valores y creencias del hacer docente escolar en tiempos de crisis
Authors: Aguilar Méndez Irma Jeannette
Published: November 2021

El presente trabajo de investigación tuvo como finalidad indagar sobre los valores y creencias de los docentes ante la crisis y como ello pudiera afectar su desempeño en    el proceso de enseñanza en el Colegio María Auxiliadora de Barquisimeto. Para ello se abordó un tipo de investigación cualitativa desarrollado bajo el método hermenéutico-dialéctico desde el paradigma interpretativo, utilizando un diseño investigativo de campo el cual permitirá recolectar los datos directamente de los sujetos investigados; apoyando en el uso de  la técnica de la entrevista, la cual se aplicó a tres (3) informantes claves, quienes aportaron sus opiniones sobre cuestionamientos relevantes al tema planteado. Posteriormente se procedió a categorizar y triangular la información recolectada. Se concluye que los valores y creencias que ayudan al docente en tiempos de crisis se encuentras la resiliencia, la aplicación de nuevas tendencias pedagógicas y la innovación educativa para la reinvención de los métodos de enseñanza, la capacidad creadora y creativa en la práctica docente y finalmente, pero no menos importante, la espiritualidad como factor motivador para avanzar al cambio.
The Development of Batak and Malay Batik Motif Stilation in Improving the Creative Industry in Indonesia
Authors: Farihah Farihah , Ampera Dina , Bahri Halimul , Anggraini Yudhistira , Amal Bakhrul Khair
Published: November 2021

The purpose of this study was to determine the stylization of Batak and Malay batik motifs by developing the shape of a typical Batak batik motif with a typical Malay batik motif and to determine the process of developing a Batak and Malay batik motif design. The target of the research is to create and produce designs of stylized Batak and Malay batik motifs and to conduct batik trials on fabrics with motifs that have been developed, so as to produce textile products in the form of a blend of batik cloth between two tribes in North Sumatra. The research method used is the development research method (R&D). The research model is the IDI (instructional, development, Institute) development model, which includes three stages: define, develop, evaluate. The define stage includes: identifying problems, needs analysis, motive characteristic analysis, design concept analysis. The develop stage includes: development of motif designs and validation of product results by experts (validators). The results showed that Batak and Malay batik products deserve to be developed as a creative industry. The first validation gave a score of 0.89, the second validation got a score of 0.86 and the third validation obtained a score of 0.94. The average value of the validation results is 0.89, so the results of research on the development of stylized Batak and Malay batik motifs are included in the appropriate category and can improve the creative industry in Indonesian.
EL LIDERAZGO Y SU IMPACTO EN LA CULTURA ORGANIZACIONAL DE LAS EMPRESAS FAMILIARES DE ECUADOR
Authors: Macías Catagua Otto Wagner , Barcia Rodríguez Carlos , Santana Sornoza Johnny Willian
Published: November 2021

El presente artículo tiene como objetivo analizar el impacto que tiene el liderazgo en la cultura organizacional de las empresas familiares de Ecuador. El estudio se caracteriza como una investigación cuantitativa, con un tipo hipotético deductiva, con diseño transversal, de carácter descriptivo – correlacional. La muestra de estudio estuvo constituida por 382 empresas familiares. La obtención de datos se ha hecho a través de un instrumento de medición con 35 items en escala de Likert, mismo que fue validado con el alfa de Cronbach con un valor de 0,976 y mediante el estadístico Rho de Sperman se pudieron validara las hipótesis, obteniendo los siguientes resultados: El liderazgo impacta en la cultura organizacional con una correlación p “Rho” de Spearman de 0,920. La influencia idealizada impacta en la cultura organizacional con un coeficiente p (Rho) Spearman de 0,870. La motivación inspiracional impacta en la cultura organizacional con un coeficiente p (Rho) Spearman de 0,960. La estimulación intelectual impacta en la cultura organizacional con un coeficiente p (Rho) Spearman de 0,958. La consideración individualizada impacta en la cultura organizacional de las empresas familiares de Ecuador con un coeficiente p (Rho) Spearman de 0,847.
Cosmogenic nuclide and solute flux data from central Cuba emphasize the importance of both physical and chemical denudation in highly weathered landscapes
Authors: Campbell Mae Kate , Bierman Paul R. , Schmidt Amanda H. , Sibello Hernández Rita , García-Moya Alejandro , Corbett Lee B. , Hidy Alan , Cartas Águila Héctor , Guillén Arruebarrena Aniel , Balco Greg , Dethier David , Caffee Marc
Published: November 2021

Abstract. We consider measurements of both in situ produced cosmogenic nuclides and dissolved load flux to characterize the processes and pace of landscape change in central Cuba. The tropical landscape of Cuba is losing mass in multiple ways, making it difficult to quantify total denudation rates and thus to assess the impact of agricultural practices on rates of contemporary landscape change. Long-term sediment generation rates inferred from 26Al and 10Be concentrations in quartz extracted from central Cuban river sand range from 3.7–182 tons km−2 yr−1 (mean = 62, median = 57). Rock dissolution rates (24–154 tons km−2 yr−1; mean = 84, median = 78) inferred from stream solute loads exceed measured cosmogenic nuclide-derived sediment generation rates in 15 of 22 basins, indicating significant landscape-scale mass loss not reflected in the cosmogenic nuclide measurements. 26Al / 10Be ratios lower than that of surface production are consistent with the presence of a deep, mixed, regolith layer in the five basins that have the greatest disagreement between rock dissolution rates (high) and sediment generation rates inferred from cosmogenic nuclide concentrations (low). Our data show that accounting for the contribution of mineral dissolution at depth in calculations of total denudation is particularly important in the humid tropics, where dissolved load fluxes are high, and where mineral dissolution can occur many meters below the surface, beyond the penetration depth of most cosmic rays and thus the production of most cosmogenic nuclides. Relying on cosmogenic nuclide data or stream solute fluxes alone would both lead to underestimates of total landscape denudation in the central Cuba, emphasizing the importance of combining these approaches to fully capture mass loss in tropical landscapes.
Defining Southern Ocean fronts using unsupervised classification
Authors: Thomas Simon D. A. , Jones Daniel C. , Faul Anita , Mackie Erik , Pauthenet Etienne
Published: November 2021

Abstract. Oceanographic fronts are transitions between thermohaline structures with different characteristics. Such transitions are ubiquitous, and their locations and properties affect how the ocean operates as part of the global climate system. In the Southern Ocean, fronts have classically been defined using a small number of continuous, circumpolar features in sea surface height or dynamic height. Modern observational and theoretical developments are challenging and expanding this traditional framework to accommodate a more complex view of fronts. Here, we present a complementary new approach for calculating fronts using an unsupervised classification method called Gaussian mixture modelling (GMM) and a novel inter-class parameter called the I-metric. The I-metric approach produces a probabilistic view of front location, emphasising the fact that the boundaries between water masses are not uniformly sharp across the entire Southern Ocean. The I-metric approach uses thermohaline information from a range of depth levels, making it more general than approaches that only use near-surface properties. We train the GMM using an observationally constrained state estimate in order to have more uniform spatial and temporal data coverage. The probabilistic boundaries defined by the I-metric roughly coincide with several classically defined fronts, offering a novel view of this structure. The I-metric fronts appear to be relatively sharp in the open ocean and somewhat diffuse near large topographic features, possibly highlighting the importance of topographically induced mixing. For comparison with a more localised method, we also use an edge detection approach for identifying fronts. We find a strong correlation between the edge field of the leading principal component and the zonal velocity; the edge detection method highlights the presence of jets, which are supported by thermal wind balance. This more localised method highlights the complex, multiscale structure of Southern Ocean fronts, complementing and contrasting with the more domain-wide view offered by the I-metric. The Sobel edge detection method may be useful for defining and tracking smaller-scale fronts and jets in model or reanalysis data. The I-metric approach may prove to be a useful method for inter-model comparison, as it uses the thermohaline structure of those models instead of tracking somewhat ad hoc values of sea surface height and/or dynamic height, which can vary considerably between models. In addition, the general I-metric approach allows front definitions to shift with changing temperature and salinity structures, which may be useful for characterising fronts in a changing climate.
Unwinding
Authors: Conkie Rob
Published: November 2021

Here’s my iteration of the Laocoön – shall we say? – meme. Does it begin with the sculpture described by Pliny the Elder and literally unearthed in a Roman vineyard in 1506? Or with the second book of Virgil’s Aeneid? An eighteenth and nineteenth century touchstone for art/scholarship: I copy (do I copy?) Blake’s engraving – image and text – as he had copied (no, not copied) a London-bound copy of the Rome-based “original”. Poem > sculpture > painting > art theory > reproduction > iPad Pro Procreate remediation.
Adaptation as revision: Transforming makeover narratives from canonical literature to contemporary Hollywood teen film
Authors: Tucker Paige
Published: November 2021

The 1990s saw a rise in teen girl adaptations of canonical literary texts. This paper works with John Bryant’s concept of adaptive revision to consider particular teen girl adaptations: She’s All That (1999), an adaptation of George Bernard Shaw’s play Pygmalion (1912), and Clueless (1995), from Jane Austen’s novel Emma (1815). It argues that in transforming literary narratives from page to screen in a third wave feminist context, teen film adaptations present makeover narratives that simultaneously empower and oppress teen girl figures.
BTS other-worlds: Music video and the intermediality of the self-reflexive musical
Authors: Ty Andrew
Published: November 2021

This close reading of Heartbeat, a 2019 music video by South Korean pop group, BTS, shows how intermedial musical performance generates narrative and meaning through depictions of bodies and movement. The article begins by highlighting the delivery of Heartbeat’s audiovisual narrative through a hybrid set of formal devices linking the music video with cinematic language. The article makes specific intercultural and intermedial links between Heartbeat and self-reflexive classical Hollywood musicals that highlight spontaneity, integration and the audience. Further discussion of Heartbeat focuses on the music video’s intimate address to viewers through song and writing, highlighting a key moment where on-screen text is made to move in a manner resembling dancing bodies – while English-language lyrics are sung in ways that permit multiple meanings. Elements within this music video – such as the use of bodies to bear musical meaning – ultimately connect with larger intermedial contexts and spin-off products, demonstrating that intermediality plays across several levels from the aesthetic to the commercial.
Hayvanların Sağlıklı ve Doğal Gelişiminin Desteklenmesinde Yeni Bir Vizyon; Arı Ürünleri
Authors: Ndimballan Mustapha , Yücel Banu
Published: November 2021

Son yıllarda, doğal ürünlerle beslenme bilincindeki artış, arı ürünlerinin popülaritesini giderek arttırmaktadır. Dünyada, arı ürünlerinin gıda, tarım ve hayvancılıkta kullanımı için çeşitli çalışmalar yapılmaktadır. Bununla birlikte, gelişmekte olan ülkelerde, hayvansal protein sağlamak için kümes hayvanlarına ve hayvansal ürünlere talep artmaktadır. Hayvan yeminde kullanılan antibiyotikler konusundaki endişeler sebebi ile 2006 yılında Avrupa Birliği tarafından antibiyotiklerin ve büyüme destekleyicilerin kaldırılmasına karar verilmiş ve diğer doğal yem katkı maddelerinin kullanımına önem verilmiştir. Bu nedenle araştırmacılar, hayvan sektöründeki büyüme, yem kullanımı, et kalitesi ve bağışıklık sistemine etkileri bakımından büyük öneme sahip doğal ürünler bulma konusunda büyük çaba sarf etmişlerdir. Geçtiğimiz son on yıllık dönemde, hayvanların performansını ve bağışıklığını arttırmak için antibiyotiklerin yerine doğal ürünlerin kullanımı teşvik edilmiştir. Arı ürünlerinin üretiminde, işlenmesinde, pazarlanmasında ve kullanım aşamalarında arı ürünlerinin güvenilirliği sadece beslenme açısından değil, aynı zamanda daha sık olarak belirtilen Apiterapi (arı ürünlerinin sağlığın korunmasında ve tedavisinde kullanılması) uygulamalarında da son yıllarda önem kazanmıştır. Doğal beslenme bilincinin giderek artması, doğal ürün tüketimine yönelimin artmasına neden olmuştur. Bal, propolis, arı poleni, arı zehiri, arı sütü ve apilarnil, beslenmenin yanı sıra çeşitli hastalıkların tedavisinde ve önlenmesinde de etkili bir şekilde kullanılmaktadır. Bu çalışmada, hayvancılık sektöründe kullanılan arı ürünlerinin fonksiyonel özellikleri, hayvan beslemede kullanımı, biyo-yararlılığı, dikkat edilmesi gereken hususlar, hayvanların sağlıklı gelişimi için sağlayacağı potansiyel vizyon ve arı ürünleri üzerine yapılmış olan bilimsel çalışmalar tartışılmıştır.
Kepatuhan Tenaga Kesehatan Poli TB dalam Penerapan Protokol Kesehatan pada Masa Pandemi COVID-19 pada Puskesmas Kota Tangerang Selatan
Authors: Ekaviani Inggar , Ariyanti Fajar
Published: November 2021

Kepatuhan tenaga kesehatan dalam menerapkan protocol kesehatan semasa pandemi merupakan salah satu faktor utama keberhasilan dari fasyankes yang harus tetap dipertahankan. Tingginya jumlah kasus COVID-19 maupun tuberkulosis yang ada di Indonesia membutuhkan penerapan protokol kesehatan di fasilitas pelayanan kesehatan. Tujuan dari penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan kepatuhan tenaga kesehatan dalam penerapan protokol kesehatan pada masa pandemi COVID-19 di Poli TB (Tuberkulosis) Puskesmas Wilayah Kerja Kota Tangerang Selatan Tahun 2021. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross sectional pada 49 tenaga kesehatan yang secara intensif memberikan pelayanan di Poli TB pada Puskesmas di wilayah Kerja Kota Tangerang Selatan Tahun 2021. Analisis data dilakukan dengan analisis univariat dan bivariat menggunakan analisis chi square dengan nilai CI 95%. Hasil penelitian menunjukkan sebanyak 67,3% tenaga kesehatan yang patuh dalam menerapkan protokol kesehatan. Hasil uji statistik didapatkan 4 variabel dengan hasil p value < 0,05 yaitu pengetahuan (0,000), sikap (0,016), motivasi (0,031) dan supervisi (0,016) dan didapatkan variabel dengan hasil pvalue > 0,05 yaitu sarana dan prasarana (0,141) dan sosialisasi APD (0,069). Penelitian ini menyarankan Dinas Kesehatan Kota Tangerang Selatan untuk melakukan supervisi terkait penerapan protokol kesehatan dalam pelaksanaan pelayanan kesehatan khususnya pada tenaga kesehatan Puskesmas Wilayah Kerja Kota Tangerang Selatan untuk meningkatkan mutu pelayanan yang baik pada masa pandemic COVID-19 saat ini.Kata kunci: Kepatuhan; Tenaga Kesehatan; Pandemi COVID-19; Protokol Kesehatan
PENGARUH KECERDASAN EMOSIONAL DAN DISIPLIN BELAJAR TERHADAP HASIL BELAJAR MATEMATIKA PESERTA DIDIK
Authors: Putri Kintan Purwadani , Hendrowati Tri Yuni , Istiani Ana
Published: November 2021

Tujuan penelitian ini yaitu untuk mengetahui pengaruh kecerdasan emosional dan disiplin belajar terhadap hasil belajar matematika peserta didik. Penelitian ini dilakukan di kelas X IPA SMA Negeri 1 Ambarawa dengan sampel sebanyak 30 responden. Teknik pengumpulan data pada penelitian ini yaitu angket dan dokumentasi. Berdasarkan hasil analisis data dengan uji regresi linier berganda disimpulkan bahwa pengaruh kecerdasan emosional dan disiplin belajar terhadap hasil belajar matematika peserta didik sebesar 74,4% dan sisanya dipengaruhi oleh faktor internal dan atau eksternal lain yang tidak diteliti.Kata Kunci: Kecerdasan Emosional, Disiplin Belajar, Hasil Belajar
Tình trạng dinh dưỡng và thiếu máu thiếu sắt của người bệnh thận mạn lọc máu có chu kỳ tại Bệnh viện Bạch Mai năm 2019
Authors: Hưng Nguyễn Trọng , Anh Lê Đức , Liễu Nguyễn Thị Thu , Hà Vũ Ngọc
Published: November 2021

Một nghiên cứu mô tả cắt ngang được tiến hành trên 122 bệnh nhân bệnh thận mạn lọc máu có chu kỳ điều trị tại Khoa Thận - Lọc máu, Bệnh viện Bạch Mai. Kết quả của nghiên cứu này cho thấy: Tỉ lệ bệnh nhân có nguy cơ suy dinh dưỡng theo bộ công cụ NRS 2002 là 74,%, tỉ lệ bệnh nhân có mức BMI ≤ 18,5 là 39,3%, tỉ lệ thiếu máu có tới 54,2%, tỉ lệ sắt huyết thanh dưới ngưỡng bình thường là 10,8%, tỉ lệ bệnh nhân có mức transferrin dưới mức bình thường (200mg/dl) là 85%.
Kiến thức về bệnh tăng huyết áp và thực hành quản lý bệnh tăng huyết áp của người trưởng thành tại huyện Quảng Xương, Thanh Hoá năm 2019
Authors: Mai Phạm Phương , Hà Nguyễn Thị Hoàng , Vân Phạm Thu , Vân Hoàng Thị Hải
Published: November 2021

Nghiên cứu nhằm mô tả kiến thức về bệnh tăng huyết áp và thực hành quản lý bệnh tăng huyết áp của người trưởng thành tại huyện Quảng Xương, Thanh Hoá. Nghiên cứu sử dụng phương pháp mô tả cắt ngang với tổng số 396 đối tượng tham gia nghiên cứu. Kết quả cho thấy kiến thức của người dân còn rất hạn chế. Tỷ lệ đưa ra được định nghĩa đúng và đầy đủ về bệnh tăng huyết áp chỉ chiếm 13,1%. Tỷ lệ những người biết các triệu chứng như đau đầu, hoa mắt chóng mặt, đau ngực, nóng/đỏ mặt … còn thấp với tỷ lệ lần lượt là 51,0%; 61,6%; 3,5% và 21,7%, trong đó 16,5% cho rằng tăng huyết áp không dự phòng được. Về thực trạng quản lý bệnh tăng huyết áp, kết quả chỉ ra tỷ lệ không điều trị hoặc điều trị không đều còn cao (25%), trong khi đó tỷ lệ thay đổi thói quen, lối sống lành mạnh còn rất thấp, đặc biệt là tỷ lệ bỏ thuốc lá. Kết quả nghiên cứu là cơ sở để xây dựng các hoạt động can thiệp, truyền thông nâng cao nhận thức và thay đổi hành vi trong cộng đồng nhằm cải thiện sức khoẻ.
Thực trạng và nhu cầu nhân lực của Trung tâm Kiểm soát bệnh tật tuyến Tỉnh giai đoạn 2018 - 2020
Authors: Thu Nguyễn Thị Hoài , Hà Nguyễn Thị Thu , Hùng Phùng Thanh , Hường Lê Thị , Huệ Nguyễn Thị , Hoa Kiều Thị
Published: November 2021

Nghiên cứu mô tả cắt ngang kết hợp định lượng và định tính được thực hiện trên 18 Trung tâm Kiểm soát bệnh tật tuyến tỉnh/thành phố nhằm mục tiêu mô tả thực trạng và nhu cầu nhân lực y tế dự phòng sau sáp nhập Trung tâm Kiểm soát bệnh tật tuyến tỉnh. Kết quả cho thấy sau sáp nhập số cán bộ có chuyên ngành y chiếm 64,5%, trong đó trình độ đại học và sau đại học chỉ chiếm 56,8%. Phân bổ nhân lực tại các Trung tâm Kiểm soát bệnh tật tuyến tỉnh sau sáp nhập theo chức năng khoa phòng đạt 3,6% ở nhóm lãnh đạo, phòng chức năng 19,5%, phòng chuyên môn 76,9%. Kết quả định tính cho thấy đa số những cán bộ đã làm việc lâu năm đều chuyển việc hoặc điều chuyển sang vị trí khác cho phù hợp với vị trí việc làm dẫn đến tình huống là người làm quen việc nhưng chưa đúng vị trí việc làm, mà người đúng vị trí thì lại chưa làm quen việc. Nhu cầu về nhân lực tại các Trung tâm Kiểm soát bệnh tật tuyến tỉnh năm 2020 có xu hướng tăng dần về mức định biên, hướng tới sự cân bằng trong cơ cấu nhân lực về cả trình độ chuyên môn và lĩnh vực công tác.
Conhecimento sobre abortamento legal na formaçãomédica
Authors: Lidório Júnior Ronaldo Almeida , Lima Maria Giovana Queiroz de , Morais Alessandra Encarnação de , Brito Patricia Leite
Published: November 2021

Introdução: Abortamento é definido como a interrupção da gestação até a 20ª ou 22ª semana ou com peso fetal inferior a 500 g. É um importante problema de saúde pública no Brasil. Aproximadamente uma em cada cinco mulheres, aos 40 anos, já realizou ao menos um aborto, muitos deles de maneira insegura, acarretando elevada morbimortalidade materna. Atualmente, o abortamento configura crime, mas há duas situações consideradas não puníveis conforme o Código Penal Brasileiro: risco de morte à gestante e gravidez resultante de estupro. Em 2012, foi descriminalizado também o aborto em casos de anencefalia fetal. O abortamento, portanto, é tema relevante do ponto de vista epidemiológico e social e é indispensável para a formação do médico atualmente, como enfatizado pelas diretrizes curriculares brasileiras do curso de Medicina. Objetivo:Identificar e comparar o conhecimento dos acadêmicos do curso de Medicina da Universidade Federal do Amazonas (UFAM) acerca do abortamento legal e verificar entre os finalistas as ferramentas didáticas disponibilizadas pela universidade. Métodos: Trata-se um estudo transversal realizado mediante a aplicação de questionários virtuais encaminhados a estudantes do 1° ano (78) e 6° ano (60) do curso de Medicina da UFAM em 2020. Os questionários foram divididos em conhecimentos acerca do aborto legal (circunstâncias permitidas na legislação e pré-requisitos para iniciar o processo) e posicionamento pessoal dos acadêmicos. A análise dos dados foi feita utilizando o pacote estatístico Statistical Package for the Social Sciences (SPSS). Resultados e conclusão: Os acadêmicos finalistas demonstraram maior conhecimento acerca da legislação de aborto se comparados aos calouros. Quanto ao conhecimento acerca da legislação, 56,7% dos finalistas acertaram completamente as situações legalmente permitidas contra 30,8% dos calouros (p=0,008). Sessenta por cento dos concluintes afirmaram que apenas a palavra da vítima é suficiente para iniciar o processo de abortamento, enquanto apenas 15,4% dos acadêmicos do primeiro aluno assinalaram essa alternativa (p=0,0001). Em relação à opinião dos acadêmicos de Medicina, nota-se uma tendência de liberalização do aborto, com mais da metade do total de alunos favorável ao abortamento em qualquer circunstância. Questionados sobre aulas na graduação com a temática do “abortamento legal”, 75% dos concluintes respondeu afirmativamente, com destaque para a disciplina de Ginecologia e Obstetrícia. O abortamento legal é um tema complexo que abrange não apenas aspectos técnicos, mas questões éticas, sociais, culturais e religiosas. Portanto, é fundamental uma abordagem interdisciplinar na graduação médica que possibilite o aprendizado em todas as esferas sobre esse importante problema de saúde pública.
Efeitos da suplementação de vitamina D na prevenção do câncer de mama em mulheres na perimenopausa: uma revisão sistemática
Authors: Moreira Mariana Vanon , Santos Aline Batista Brighenti dos , Lopes Júlia Abrahão , Hespanhol Cecília Barra de Oliveira
Published: November 2021

Introdução: A qualidade da avaliação da mamografia está inversamente associada à densidade mamária, um dos biomarcadores para o câncer de mama. Em mamas densas, que possuem predomínio de tecido glandular e de suporte, o risco para o desenvolvimento desse tipo de doença é quatro vezes maior quando comparado às mamas de baixa densidade. Dados epidemiológicos e pré-clínicos levantaram possíveis impactos anticâncer da vitamina D por meio de seu receptor, considerado um fator de transcrição dependente de ligante que desempenha papel em processos celulares como apoptose e proliferação celular. Destarte, a teoria de que o aumento dos níveis de vitamina D poderia ter efeitos clinicamente benéficos contra tumores de mama em mulheres foi fortalecida. Objetivo: Analisar na literatura a eficácia da vitamina D na prevenção da alteração da densidade da mama e consequente prevenção do câncer de mama em mulheres na perimenopausa. Material e método: Em abril de 2021, foi realizada uma revisão sistemática na base de dados Medical Literature Analysis and Retrieval System Online (MEDLINE) utilizando os descritores: “vitamin D”, “breast cancer”, “breast density changes” e suas variações, obtidas do Medical Subject Headings (MeSH). Foram incluídos ensaios clínicos controlados e randomizados (ECCR) publicados nos últimos cinco anos na língua inglesa. Resultados: Foram encontrados 16 artigos, quatro dos quais foram empregados na confecção deste trabalho. Três ECCR duplo-cego selecionados envolveram, ao todo, 1.113 mulheres com idade próxima à perimenopausa sem histórico de câncer ou contraindicações para a ingestão de vitamina D, as quais foram divididas em grupo controle (ou grupos) e grupo experimental. Os grupos experimentais receberam vitamina D 50.000 UI, dois comprimidos de 10.000 UI, ou foram divididos em grupos para compaação da ingestão de 1.000, 2.000 ou 3.000 UI com o placebo. Em todos os grupos, os comprimidos foram administrados semanalmente pelo período de um ano ou mais. Os grupos controle receberam placebo. Os resultados encontrados em todos os estudos não apresentaram diferenças significativas na densidade mamária após a administração de suplementação nesse período de tempo em mulheres na perimenopausa, quando comparados aos do grupo placebo. Conclusão: Por conseguinte, o uso de vitamina D na dieta, o tempo no sol e a suplementação não demonstram eficiência na prevenção do câncer de mama em mulheres nessa idade. Porém, estudos futuros com maiores espaços amostrais e múltiplas doses de vitamina D por período de tempo maior são sugeridos. Isso posto, ocorre enfraquecimento da hipótese de que a vitamina D esteja inversamente associada à densidade mamária.
Fatores associados à inatividade sexual em mulheres com incontinência urinária atendidas em unidade terciária do sistema único de saúde e seu impacto sobre a qualidade devida
Authors: Faria Carlos Augusto , Lopes Gildo da Cruz
Published: November 2021

Introdução: As disfunções do assoalho pélvico comprometem a qualidade de vida (QV) das mulheres que as apresentam e podem levar à disfunção e à inatividade sexuais. Objetivo: Identificar, em um grupo de mulheres com incontinência urinária (IU), fatores epidemiológicos e clínicos associados à inatividade sexual e o seu impacto sobre a QV. Métodos: Este estudo é parte do projeto de pesquisa sobre o impacto da incontinência urinária sobre a QV de pacientes atendidas no ambulatório de uroginecologia do Hospital Universitário Antônio Pedro (HUAP), aprovado pelo Comitê de Ética e Pesquisa do HUAP. Pacientes encaminhadas para avaliação especializada foram submetidas a investigação dos sintomas urinários e forneceram informações epidemiológicas e clínicas. Responderam, além disso, ao questionário King’s Health Questionnaire. Foram analisadas as seguintes variáveis: idade, escolaridade, ter ou não parceiro, estado menstrual, diagnóstico cínico do tipo de IU (incontinência de esforço, bexiga hiperativa e incontinência mista), sintomas de incontinência anal (perda involuntária de gases e/ou fezes) e prolapso, história de hipertensão, diabetes, número de comorbidades, polifarmácia (uso de mais de cinco medicamentos), índice de massa corpórea, tipo e estadiamento do prolapso genital de acordo com o sistema Pelvic Organ Prolapse Quantification. Resultados e conclusão: Foram incluídas no estudo 281 pacientes com incontinência urinária, das quais 151 referiam ter relações sexuais e 130 negavam. Duas mulheres (0,7%) tinham parceiro, mas negavam atividade sexual, e três (1,1%) não tinham parceiro, mas referiam que a sua incontinência urinária afetava sua vida sexual. Mostraram associação estatisticamente significante com inatividade sexual a maior idade, não ter parceiro, o período pós-menopausa, ter comorbidades e ter prolapso de parede vaginal anterior estádios 3 ou 4. Chama a atenção o valor de p=0,055 na comparação dos grupos no que se refere à variável diagnóstico clínico, sendo observada maior proporção de pacientes com IU e sexualmente ativas que nos outros diagnósticos. Houve piores escores de QV para o domínio medidas de gravidade do King’s Health Questionnaire nas pacientes sexualmente ativas, e essa diferença foi estatisticamente significante. Concluímos, portanto, que a inatividade sexual está associada à presença de mais de uma disfunção do assoalhopélvico (IU e prolapso de parede anterior). Além disso, está associada a fatores ligados ao envelhecimento quando, de acordo com a literatura, há diminuição do interesse sexual pelas mulheres. Quanto à QV, a vida sexual ativa está associada a piores escores de medidas de gravidade da IU, domínio que avalia a preocupação com exalar odor de urina e o constrangimento pela IU, ao passo que a inatividade sexual não mostrou associação com pior percepção geral de saúde.
Ginandroblastoma: relato de caso
Authors: Moura Letícia Barbosa de , Rolim Mariana de Castro , Ribeiro Brenda Rios , Fontes Tereza Maria Pereira , Santos Roberto Luiz Carvalhosa dos , Bahia Maria Luiza Rozo
Published: November 2021

Introdução: O ginandroblastoma é um tumor ovariano pouco frequente que pertence ao grupo dos tumores derivados dos cordões sexuais. Habitualmente apresenta um componente derivado das células da granulosa (tipo adulto ou juvenil) e outro derivado das células de Sertoli, associado ou não a células de Leydig. É mais comum em mulheres jovens, entretanto, quando se manifesta em mulheres durante a menopausa, pode se comportar com sintomas estrogênicos, como sangramento pós-menopausa e hiperplasia endometrial, ou com sintomas androgênicos, como hirsutismo ou virilismo. Descrição do caso: Uma paciente de 70 anos com menopausa aos 50, hipertensa e diabética, foi atendida no nosso serviço com quadro de sangramento transvaginal por hiperplasia endometrial sem atipia, investigado por raspado endometrial por meio de curetagem semiótica. No exame ginecológico, o útero era de difícil delimitação em função do sobrepeso da paciente, e o exame ultrassonográfico descrevia útero heterogêneo com imagem intramural fúndica medindo 53x41 mm, cavidade endometrial sem alterações e ovários não visualizados. Como conduta terapêutica, foi indicada histerectomia total abdominal com salpingo-ooforectomia bilateral pelo quadro hemorrágico não controlado associado aos fatores de risco para hiperplasia de endométrio, como hipertensão, diabetes e sobrepeso. No ato cirúrgico, ao inventário da cavidade pélvica, fomos surpreendidos por uma massa anexial direita com conteúdo hemático, medindo aproximadamente 7 cm, cujo diagnóstico definitivo revelou se tratar de um tumor misto de células da granulosa associado a tumor de células de Sertole-Leydig, constituindo um ginandroblastoma de ovário. Conclusão: No caso apresentado, embora não tenham sido solicitadas as dosagens hormonais, acreditamos que a hiperplasia de endométrio e o sangramento pós-menopausa possam ter sido motivados pela produção estrogênica do tumor, tendo em vista o tempo decorrido da última menstruação.