bluuebunny/crossref_metadata_2025 huggingface dataset:
Aortic dissection and stroke associated with COVID-19: case report
Authors: Darella Amanda Xavier , Elias Stefany , Martins Gladys Lentz
Published: December 2021

Case Report A 58-year-old man, previously healthy, presented with headache, myalgia, retrosternal chest pain associated with paresthesia and paresis in upper limbs and lower limbs of acute onset. He denies fever, cough, dyspnea, or contact with patients with COVID-19. There was a difference in blood pressure and pulse in the upper limbs. No particularities in the neurological examination were noted. The electrocardiogram and enzymes of myocardial necrosis did not show abnormalities. PCR for SARS-CoV-2 was positive. Chest computed angiotomography showed acute type IA aortic dissection. The patient underwent cardiac surgery, without complications. After 48 hours of the procedure, the patient progresses with a lower level of consciousness, left hemiplegia, and anisocoria. The brain computed tomography showed extensive ischemic injury in the right middle cerebral artery territory. The patient underwent decompression craniectomy. The patient was discharged from the hospital, maintaining hemiplegia on the left side of the body. Discussion SARS-CoV-2 is a RNA virus responsible for the current COVID-191 pandemic. Moderate to severe forms of the disease may present with acute respiratory distress syndrome (ARDS), myocarditis, and thrombotic events such as pulmonary venous thromboembolism and ischemic stroke2. There are few reports in the literature about acute aortic dissection in patients with COVID-193,4. Acute aortic dissection is characterized by rupture of the intimal layer of the vessel with exposure of the middle layer and cystic necrosis and formation of a false lumen5. The mechanisms associated with thromboembolic phenomena in SARSCoV-2 infection remain poorly elucidated in the literature. This case report highlights a patient with severe complications of COVID-19, with the viral trigger being a possible contributor to the condition of acute aortic dissection and stroke.
Case of aluminium poisoning, with differential diagnosis for amyotrophic lateral sclerosis (als)
Authors: Oliveira Victória Nunes , Elias Mellyssa Cota , Belique Heloiza Castilhoni , Martins Gabriel Lima , Peixoto Bianca Soares de Sá , Souza Luiza Siqueira Barreto de , Santos Millena Silva dos , Santana Mariana Santos , Peixoto Marcos Túlio Castro , Rios Vladmir Machado , Bello Yanes Brum , Cunha Mateus Nader
Published: December 2021

Introduction: Essential metals in high quantities can accumulate and reach toxicity. In the CNS, they lead to neurodegeneration, causing movement and cognitive disorders. Case Report: White man, 59 years, sanitation agent, uses PPE irregularly. For 1 year presented progressive speech disorder, paresis, emaciation, dysphonia, tongue atrophy, limbs fasciculations and abnormal reflexes; normal tonus/ sensibility. Bulbar/limb electroneuromyography and serum dosage of metals in contact were requested, revealing muscles denervation, axonal diffuse polyneuropathy with postganglionic injury and elevated seric Aluminum (Al), (35,7ug/L). The management was work leave, Nortriptyline, and dietary supplementation. It evolved with reduction in seric Al (3,3ug/L); the physical examination remained unaltered. The condition stabilized after treatment. Discussion: Al exposure causes oxidative stress/neurotoxicity, leading to neuronal degeneration. Axonal sensorimotor neuropathy, progressive asthenia, emaciation, fasciculations, aphasia, ataxia, tongue atrophy, and organs injuries can be found. In this case, the clinical presentation differs from ALS because of sensibility commitment and postganglionic alteration, compatible with chronic axonal neuropathy. Conclusion: Although ALS is the most common MND, atypical cases need further investigation to diagnose and treat correctly.
Improvement of non-motor symptoms and quality of life after DBS stimulation for dystonia: one-year follow-up
Authors: Listik Clarice , Cury Rubens Gisbert , Casagrande Sara Carvalho Barbosa , Listik Eduardo , Arnaut Debora , Santiago Natally , Machado Júlia , Almeida Jéssica de , Barbosa Egberto Reis , Teixeira Manoel Jacobsen , Andrade Daniel Ciampi de
Published: December 2021

Background: DBS is an established treatment option in refractory dystonia, and motor outcomes have been extensively evaluated instead of the usually neglected NMS (e.g., pain). Objective: To describe the non-motor symptoms (NMS) after Deep Brain Stimulation (DBS) surgery for refractory generalized inherited/idiopathic dystonia in a prospective study. Design and setting: A prospective study that evaluated patients in the Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo. Methods: This study evaluated patients before and one year after DBS surgery. We applied the following scales: Burke-Fahn-Marsden Rating Scale (BFMRS), Hospital Anxiety and Depression Scale (HADS), Non-Motor Symptoms Scale for Parkinson’s Disease (NMSS-PD), Parkinson’s Disease Questionnaire-8 (PDQ8) Brief Pain Inventory (BPI), Neuropathic Pain Symptom Inventory (NPSI) and McGill pain questionnaire. Results: 11 patients (38.35 ± 11.30 years) underwent surgery (36.3% women). Motor BFMRS subscore was 64.36 ± 22.94 at baseline and 33.55 ± 17.44 after surgery (p=0.003, 47.9% improvement on motor symptoms). HADS scores remained unchanged. NMSS-PD had a significant change after DBS, from 70.91 ± 59.07 to 37.18 ± 55.05 (p=0.013, 47,5% improvement). Seven patients reported pain before DBS surgery, and after one year, four patients reported chronic pain (i.e., pain improved by 42.28%). BPI’s severity and interference scores were 4.61 ± 2.84 and 4.12 ± 2.67, respectively before surgery, and 2.79 ± 2.31 (0.00–6.25) and 1.12 ± 1.32 (0.00–3.00) after DBS (p=0.043 and p=0.028). NPSI total score was 15.29 ± 13.94 before DBS, and reduced to 2.29 ± 2.98 afterward (p=0.028). McGill’s total score was 9.00 ± 3.32 before DBS, achieving 2.71 ± 2.93 after surgery (p=0.028), mostly driven by the sensory sub-score. Conclusions: We found that DBS improves NMS in dystonia, including chronic pain, anxiety, gastrointestinal symptoms, besides the already established improvement in QoL and motor symptoms.
Multisystem atrophy: a case report with clinical and functional findings relevant to functional Physiotherapy
Authors: Vaz Daniela Maria RIbeiro , Galanti Adrielle , César Veronica Corrêa César Rodrigues , Borges Ana Paula Oliveira
Published: December 2021

Introduction: Multiple System Atrophy (MSA) is a severe neurodegenerative disease that has parkinsonian, autonomic, cerebellar, and pyramidal features. It is prevalent at 3.4 to 4.9 cases per 100,000 population, and is most common after the age of 60. It is called Striatonigral Degeneration, with a predominance of parkinsonian symptoms; it is known as Olivopontocerebellar Atrophy, with cerebellar symptoms, and Shy-Drager syndrome with autonomic symptoms. Physiotherapy plays an important role in the rehabilitation of kinetic-functional impairments. Objective: To report the case of a volunteer with SMA in order to highlight the neurological findings for neurofunctional rehabilitation. Methods: This is an observational, cross-sectional case report study that was conducted at the Clínica Escola de Fisioterapia da Universidade de Franca (UNIFRAN), with the approval of the CEP (CAAE 83164918.2.0000.5495), of a 55-year-old male individual, referred to physiotherapy, diagnosed with SMA. Neurological evaluation was performed in the sector, of sensitivity, movement, tone, reflexes, motor coordination, balance, gait and function. Results: The individual reports that 4 years ago he started having difficulty walking and talking. He was diagnosed with Parkinson’s disease. He underwent a new evaluation, arriving at the current diagnosis. In the physical therapy evaluation dysautonomia, dysarthria, dysdiadochokinesia, dysmetria, hypertonia by rigidity, akinesia and bradykinesia, trunk flexion posture, balance deficit, tetraparesis and fetinated gait were observed. Conclusion: The impairments found impair the patient’s ability to perform several ADLs. This study emphasizes the value of neurofunctional physiotherapeutic semiology for an effective therapeutic treatment that promotes independence and quality of life possible for the individual with SMA.
Acute glaucoma mimicking trigeminal autonomic cephalalgias: a case report
Authors: Silva Paula Baleeiro Rodrigues , Fernandez Paulo Eduardo Lahoz , Gonçalves Victória Veiga Ribeiro , Alves Pedro Vinicius Brito , Pereira Jorge Fernando de Miranda , Risso Isabela Fonseca , Barboza Ingrid Caroline Freitas , Silveira Coralia Gabrielle Vieira , Silva Guilherme Diogo , Mutarelli Eduardo Genaro , Adoni Tarso
Published: December 2021

Context: Trigeminal autonomic cephalalgias (TAC) are unilateral and recurrent headache with ipsilateral cranial autonomic symptoms such as lacrimation, conjunctival injection, ptosis and changes on pupillary diameter. Acute glaucoma is a rare etiology of headache in the emergency room and can be confused with TAC because it also presents with similar symptoms in the affected eyes. Case report: We present a case report of a 50-year-old insulin-dependent diabetic woman with severe headache that started the day before admission. The headache was left hemicranial, pulsatile and associated with ipsilateral lacrimation. On physical examination we observed mild conjunctival hyperemia, ptosis, visual loss of 20/800 and fixed mydriasis in left eye. Because of the visual loss the patient was referred for urgent ophthalmological evaluation that revealed high intraocular pressure (41 mmHg) and neovascularization of the iris, suggesting the diagnosis of acute glaucoma associated with the neovascularization related to diabetes mellitus. Conclusions: Acute glaucoma should be distinguished from TAC given the overlap of severe headache and ipsilateral eye symptom. However, the presence of fixed mydriasis and progressive visual loss suggested the diagnosis of acute glaucoma, since in TAC miosis is the usual pupillary alteration, as a consequence of parasympathetic overactivation, and visual loss is uncommon.
Progression of hospitalizations and hospital costs for Parkinson’s disease in the Brazilian population
Authors: Dourado Henrique Nascimento , Castanheira Luiza Lemos Pinto , Aragão Gabriel Vianna Pereira , Ramos Ingrid Gonzalez
Published: December 2021

Introduction: Parkinson’s disease (PD) is the second most prevalent neurodegenerative disease in the world. Its incidence increases with advancing age. Therefore, in Brazil, a country in transition of age structure, it is relevant to assess the progression of hospitalizations and hospital costs for PD over the years. Objective: Describe the progression of hospitalizations and hospital costs for PD in Brazilian’s public health system, SUS, between 2008-2020. Design and setting: Descriptive ecological observational study made in Brazil, Salvador – BA. Methods: Data from hospitalization and hospital costs were collected from DATASUS in the 5 Brazilian regions. Statistical analysis was based on measures of dispersion and central tendency. Results: Between 2008-2020, 11,565 admissions for PD were notified. The highest numbers of hospitalizations corresponded to the Southeast region (annual average = 370.1), while the smallest to the North region (annual average = 28.4). Regarding the high expenses resulting from hospitalizations, it was observed that the Southeast obtained higher costs with hospital services (annual average = 1,417,716.8), while the North had the lowest (annual average = 18,611.01). Conclusion: Southeast region stood out for having the highest numbers in costs and hospitalizations, the opposite of what happened in North. Brazilian regional disparities, especially regarding to demographic density, HDI, socioeconomic development and access to health care, may explain these demographically uneven.
Neurological manifestations associated with the diagnosis of shaken baby syndrome
Authors: Nascimento Júlia Beatriz Xavier do , Avakian Angela dos Santos , Costa Larissa Maria de Paula Rebouças da , Torres Gabriel de Souza
Published: December 2021

Introduction: Shaken baby syndrome is common in neurotrauma in children, with an estimated incidence of 14 to 40 cases per 100,000 children under 1 year. The sudden acceleration and deceleration movement of the head is the main cause. The diagnosis is made through the analysis of the patient’s clinical history and imaging exams that search for retinal hemorrhage, subdural hemorrhage, skull and rib fractures. Objectives: To identify the main diagnostic neurological manifestations associated with the Shaken Baby Syndrome. Methods: A narrative review including meta-analysis articles, review and systematic review was carried out in the PubMed database with the following descriptors: shaken + baby + syndrome from 2011 to 2021. Results: Most children with SBS arrive at the hospital with nonspecific symptoms. Initial neurological manifestations include decreased level of consciousness, lack of appetite, persistent crying for no apparent reason, lethargy, nausea, vomiting and drowsiness and, in severe cases, can present apnea, bulging of the fontanelle, convulsions and shock. Late consequences include difficulty reading, vision problems, including blindness, hearing and physical impairment, cerebral palsy and death. Conclusions: SBS is a major cause of child mortality from physical abuse. It is associated with the sudden movement of the head and its main cause is the lack of knowledge of this syndrome.
The impact of menopause on sleep disorders
Authors: Oliveira Maria Luiza Franco de , Rezende Maria Clara Lopes , Fabri Júlia Campos , Granato Maria Julia Filgueiras , Campos Leandro Vespoli
Published: December 2021

Introduction: Sleep disorders are one of the main complaints of women in transition from menopause, with a prevalence between 40% and 56%. However, regardless of the etiology, it is essential to assess the symptoms of insomnia in the context of menopause, as well as physical and mental health. Objective: To investigate the relationship between the transition from menopause to the causes of insomnia. Methodology: In April 2021, a literature review was carried out on MedLine using the descriptors “insomnia”, “menopause” and their respective synonyms, published in the last 5 years and available in full. Results: 157 articles were found, 4 of which were used in making this work. The precise mechanism of vasomotor symptoms is little known, but the hypothesis is that it results from a disturbance of the temperature regulating system in the hypothalamus, triggered by a decline in estrogen. Longitudinal data show that women with moderate to severe hot flashes are almost three times more likely to report frequent nighttime awakenings compared to women without hot flashes (HF). Conclusion: Therefore, HF is an important aspect of insomnia in the transition from menopause and is strongly associated with reports of interrupted sleep.
Association of Iron Deficiency Anemia with Stroke Severity in patients with Acute Ischemic Stroke
Authors: Rathore Rabia , Butt Nasir Farooq , Iqbal Adil , Latif Hina , Azeem Mariam , Abbas Madiha
Published: December 2021

Aim: To study the relationship of Iron Deficiency anemia (IDA) with severity of acute ischemic stroke. Study Design: A cross-sectional descriptive study. Place & Duration of Study: Department of Medicine, Mayo Hospital, Lahore from March 2020 to February 2021 Methods: A descriptive study of cross-sectional type was done on 200 individuals who had acute ischemic stroke (AIS) and were hospitalized at Mayo Hospital Lahore. Consecutive non-probability convenience sampling method was used to gather the data. Severity of stroke was assessed at the time of admission using the National Institute of Health Stroke Scale, (NIHSS) at the same time blood complete examination along with peripheral blood film was done to diagnose anemia in these patients. Iron studies were done to diagnose iron deficiency anemia (IDA). P-value less than 0.05 was taken as significant. Results: About 200individuals presenting with AIS were enrolled in the research work. Anemia according to World Health Organization was seen in 80(40%) and was not present in 120(60%) patients. Among the subjects who had anemia, 16(20%) had a minor AIS, 23(28.75%) had a moderately severe AIS, and 41(51.25%) reported with a severe AIS, according to NIHSS criteria. A notable relationship was found to exist between anemia and stroke severity, (P-value 0.000). Conclusion: Anemia was a commonly found in individuals with acute stroke due to ischemia and had direct relation with severity of stroke. Keywords: Iron deficiency Anemia, severity, ischemic stroke.
Comparison of Efficacy of I/V Tramadol and Bupivacaine Irrigation through Drains after Modified Radical Mastectomy
Authors: Rani Zarqa , Mushtaq Iqra , Akram Mehreen , Ishrat Zahra
Published: December 2021

Background: Severe postsurgical pain continues to be hard to manage in patients who experience breast cancer surgery. Badly managed pain can lead to meager patient satisfaction, prolonged hospital stay, and increased risk of complication by analgesics, and may be a reason in the development of long-lasting pain. Aim: To compare the efficacy of Intravenous Tramadol and Bupivacaine irrigation through surgical drains after Modified Radical Mastectomy in patients with carcinoma breast. Methods: This was a randomized controlled trial conducted in the Department of Anesthesia, Mayo Hospital Lahore. Total 70 female patients aged 18-70 years undergoing radical mastectomy for CA breast diagnosed on histopathology were selected. Patients were divided into two groups A and B through simple random sampling technique. Group A received intravenous Tramadol. Group B received Bupivacaine through surgical drains. Results: At 0, 2, 4 and 6 hour postoperatively no significant difference was seen in severity of pain in both treatment groups. In Group-A at 0, 2, 4 and 6 hour postoperatively, 68.8%, 71.4%, 57.1% and 60% respectively had reported no pain while in Group-B at 0, 2, 4 and 6 hour postoperatively, 48.6%, 65.7%, 45.7% and 54.3% patients had reported no pain. Complaints of Nausea, vomiting, sedation, urinary retention was higher in patients in Tramadol Group as compared to Bupivacaine Group. Conclusion: Results of this study demonstrated that bupivacaine administrated through surgical drain was equally effective as intravenous tramadol for controlling postoperative mastectomy pain with less side effects. Keyword: Breast Cancer, Acute Pain, Analgesia, Tramadol, Bupivacaine, Radical Mastectomy, Nausea, Vomiting, Sedation, Urinary retention, Hypotension
EFECTO DE UN PLAN EDUCATIVO BASADO EN LA ACTIVIDAD FÍSICA Y SU ASOCIACIÓN CON LA AUTOEFICACIA PERCIBIDA POR LAS PERSONAS MAYORES, PUERTO AYSÉN, CHILE
Authors: Bustamante Gómez Tamara , Castro Salas Manuel , Ramírez-Olivares Rodrigo , Luengo Machuca Luis , Álvarez Aguilar Catalina , Gómez Muñoz Najely
Published: December 2021

La autoeficacia se define como la capacidad de controlar, planificar y ejecutar efectivamente conductas necesarias para poder dominar una situación. En el contexto de las personas mayores se vincula con la capacidad de ser partícipes en la resolución de diversas situaciones en su vida cotidiana, permitiendo planificar el cómo hacer frente a estas adversidades. Este estudio tuvo como objetivo determinar la efectividad de un plan educativo basado en la actividad física y su asociación con en el nivel de autoeficacia percibida por las personas mayores. Estudio de tipo preexperimental, preprueba/posprueba con un solo grupo, analítico, correlacional. Con una totalidad de 40 participantes pertenecientes a la agrupación de personas mayores “Los Laureles”. Para evaluar el nivel de autoeficacia se utilizó la Escala de Autoeficacia General, que se encuentra validada en Chile, con mediciones pre y post intervención de este plan educativo que contempló 30 sesiones eductivas y de actividad física impartidas durante tres meses. Se obtuvo como resultado que luego del plan educativo aplicado el nivel medio de autoeficacia tuvo un aumento de 7 puntos. Con esto se patenta la efectividad de actividades promotoras de la salud como una estrategia para mantener y fortalecer la funcionalidad, tanto física como cognitiva en las personas mayores.
Moral: Uma Prova da Existência de Deus para as Nações e suas Implicações Missiológicas
Authors: Harder Jürgen , Dück Arthur Wesley
Published: December 2021

Este trabalho visa estudar o que a Bíblia diz sobre uma moral intrínseca nas pessoas não cristãs, como uma forma de revelação geral de Deus e suas implicações missiológicas. Segundo a pesquisa bibliográfica, a Bíblia aponta para um moral entre os seres humanos que se origina na Criação do mundo, podendo ser vista na ordem da Criação e na Imagem e Semelhança de Deus no homem, além disso uma antecedência comum dos seres humanos em Noé também aponta para esta moral. Na figura de Jesus Cristo o exemplo moral perfeito é revelado por Deus para os seres humanos. Paulo mostra em Romanos que a revelação geral aponta para Deus através dos atributos invisíveis e lei escrita no coração, mas não é salvífica. Assim o objetivo do trabalho e mostrar que a moral de uma pessoa aponta para Deus e pode ser usada para estabelecer um ponto de contato com o não cristão, para trazer o evangelho.
ECOLOGIA E TEOLOGIA:
Authors: Nickel Junior Cristiano , Souza Clayton Lima de
Published: December 2021

Ecologia é o estudo da casa, do lugar onde se vive; é o estudo que se faz acerca das condições e relações que formam o habitat e de cada um dos seres da natureza que vivem nele. Atualmente, vivemos uma crise ecológica de grandes proporções a nível global. Mudar o comportamento é uma solução? Consciência ecológica muda nossa cosmovisão? Partimos do pressuposto que ecologia é uma questão primariamente teológica – precisamos transformar nossa cosmovisão através de uma teologia da criação que responda toda essa problemática ecológica. O presente estudo tem como objetivo compreender a restauração do nosso relacionamento para com Deus, transformando nossa cosmovisão através de uma compreensão correta da teologia da criação. Somente assim poderemos discutir e debater sobre mudanças comportamentais por meio de ações relacionadas à ética ambiental e sustentabilidade. Esta pesquisa se sistematiza com os seguintes tópicos: estudo da criação em Gênesis em seu contexto histórico-cultural; aspectos da teologia da criação: humanidade como imagem e semelhança de Deus, mordomia e mandato cultural, reflexão sobre o dia do descanso e a criação como missão de Deus. A terra e toda a sua plenitude é o palco da missão de Deus. Cabe a nós participarmos do grande drama da missão dele nesse palco. Esse palco é um ensaio para o grande dia que, de fato, toda a criação será restaurada e redimida. Como estamos atuando nesse palco?
INTERACTIVE POWERPOINTS IN ONLINE TGT-BASED MODELS ON THERMOCHEMICAL MATERIALS
Authors: Ratna Kusumawardani  , Muhamad Hamami Nata  , Iis Intan Widiyowati
Published: December 2021

The closure of schools due to the Covid-19 pandemic has forced all schools in Indonesia to be closed temporarily, therefore learning must be carried out online. Online learning is commonly carried out with teacher presentations and assignments therefore this makes learning monotonous and boring for students. So we need a medium that makes learning more interesting, namely with interactive powerpoints. The purpose of this study was to determine the effect of using interactive powerpoints in the online-based TGT model on thermochemistry material. This type of research is quasi-experimental research with a post-test only control group design. The data collection technique used the technique of daily test tests, documentation, and student perception questionnaires. The data were analyzed using the normality test, F test, and t test with a significance level of 5%. The results showed that before being given the treatment, the two classes were normally distributed, homogeneous variations and there was no difference in student absorption. After being given the treatment, the two classes had significant differences in absorption. Therefore it can be concluded that there is an effect of using interactive powerpoints in the online-based TGT model on thermochemistry material.
VALUE OF MANUFACTURING COMPANIES LISTED ON THE INDONESIA STOCK EXCHANGE
Authors: Desak Ayu Sriary Bhegawati  , Ni Putu Yuria Mendra  , Luh Pande Eka Setiawati  , Putu Ayu Meidha Suwandewi
Published: December 2021

The importance of disclosing corporate social responsibility reports in the company's annual report can indirectly affect the high value of the company. Profitability which in this study is proxied by ROE is the company's ability to generate profits based on certain share capital. This study aims to obtain empirical evidence regarding the effect of Corporate Social Responsibility on company value with profitability as a moderating variable.This research was conducted at manufacturing companies listed on the IDX in 2018-2020. The sampling method used was purposive sampling. The number of companies that meet the criteria is 78 companies that have data related to the variables used. Data collection was done by using documentation method. The data analysis technique used is the Moderated Regression Analysis (MRA) test. Based on the research results, it shows that Corporate Social Responsibility has a significant positive effect on company value. This study also found that the profitability proxied by ROE was able to moderate the influence of Corporate Social Responsibility on company value.
THE EFFECT OF ENVIRONMENTAL MANAGEMENT ACCOUNTING ON FIRM VALUE
Authors: Bahtiar Effendi
Published: December 2021

This research study aims to examine the effect of implementing environmental management accounting in increasing firm value in Tangerang Raya. This research uses a population of 2,579 manufacturing industrial companies in Banten province spread across Cilegon City, Serang Regency and City, Pandeglang City, Lebak City and Tangerang Raya. The samples were selected using predetermined criteria with quantitative methods. Based on the multiple linear regression testing that has been carried out, the following results are obtained: there is a significant positive effect between the material input aspect and the environmental complaint mechanism aspect on firm value. Furthermore, the results of non-output aspects of products and aspects of compliance have a significant negative effect on firm value. However, there are three aspects of the proxy for the application of environmental management accounting which consist of transportation aspects, other aspects, and supplier assessment aspects that have a positive and insignificant effect on firm value. Simultaneously, the effect of the application of environmental management accounting proxied through material input, environmental complaint mechanism, non-product output, compliance, transportation, supplier assessment and others have a significant effect on firm value.
Motivasi Berprestasi Mahasiswa dalam Bichronous Online Learning saat Pandemik COVID-19
Authors: Sambeka Yana , Rares Hardin F.
Published: December 2021

Pandemik COVID-19 cukup mempengaruhi sistem pendidikan di Indonesia. Untuk memutus mata rantai penyebaran COVID-19 maka pemerintah dan praktisi pendidikan mencari solusi untuk kegiatan pembelajaran. Bichronous online learning banyak diimplementasikan dalam pembelajaran saat pandemik COVID-19. Namun pembelajaran seperti ini berdampak kepada kesehatan mental pelajar sampai dapat menurunkan motivasi belajar. Dalam penelitian ini peneliti menyebarkan kuesioner untuk mendapatkan informasi tentang motivasi berprestasi mahasiswa dalam bichronous online learning. Kuesioner terdiri dari 72 butir pernyataan dan responden terdiri dari 27 mahasiswa. Hasil penelitian menunjukkan bahwa motivasi berprestasi mahasiswa dalam bichronous online learning terdapat pada kategori cukup. Disimpulkan bahwa pembelajaran daring bichronous tidak menyurutkan motivasi berprestasi mahasiswa, namun tidak pula meningkatkan motivasi berprestasi mereka.
Implementasi Metode Eksperimen Untuk Meningkatkan Hasil Belajar Siswa Pada Materi Cahaya dan Sifat–Sifatnya di Kelas VIII SMP Advent Tondano
Authors: Dasmasela Senlly F. , Paat Meike
Published: December 2021

Motivasi dan perhatian siswa yang kurang dalam belajar serta guru yang lebih sering menggunakan metode konvensional dalam pembelajaran mengakibatkan rendahnya hasil belajar siswa pada mata pelajaran IPA. Penelitian ini bertujuan untuk meningkatkan hasil belajar siswa pada materi cahaya dan sifat-sifatnya di kelas VIII SMP Advent Tondano melalui implementasi metode eksperimen. Penelitian yang digunakan adalah penelitian tindakan kelas. Subjek penelitian berjumlah 36 siswa. Hasil penelitian menunjukkan bahwa implementasi metode eksperimen dapat meningkatkan hasil belajar siswa pada materi cahaya dan sifat-sifatnya di kelas VIII SMP Advent Tondano, hal ini terlihat dari nilai maksimum hasil belajar siswa di siklus I adalah 85 dan nilai minimum 50 dengan rata-rata nilai 69,44 dan terjadi peningkatan nilai hasil belajar siswa pada siklus II yakni dengan nilai maksimum 95 dan nilai minimum 75 dengan rata-rata nilai 86,53. Demikian juga dengan jumlah ketuntasan hasil belajar siswa kelas VIII SMP Advent Tondano dari 44,44% di siklus I menjadi 100% di siklus II. Sehingga disimpulkan bahwa implementasi metode eksperimen dapat meningkatkan hasil belajar siswa pada materi cahaya dan sifat-sifatnya di kelas VIII SMP Advent Tondano.
Representaciones Sociales de la Identidad Profesional
Authors: Hernández Lorenia
Published: December 2021

El siguiente artículo es una investigación que se realizó en el 2011 para indagar las representaciones sociales que las estudiantes de cuarto grado de licenciatura en educación preescolar tenían sobre la identidad profesional. Se analizan los cambios y las continuidades que ha tenido la identidad profesional de la educadora en las últimas tres décadas. A partir de un cuestionario se conocieron las opiniones que las estudiantes tienen respecto a las representaciones sociales (creencias, estereotipos, ideas) de la imagen de la educadora en México. Las opiniones de las estudiantes confirman y rechazan algunas de estas representaciones y se concluye que la identidad de la educadora se ha estado reconstruyendo durante las tres últimas décadas.
La formación del profesor de Historia y Geografía: entre la fortaleza de la disciplina y el fantasma de la didáctica.
Authors: Castro Palacios Guillermo
Published: December 2021

La formación del profesor de historia y geografía se ha caracterizado por una tensión histórica entre la formación centrada en lo disciplinar y aquella que enfatiza lo didáctico. Ello, influido por el marco contextual en que dicha tensión se manifiesta, especialmente agudizada durante los procesos de reforma educacional como el que vive actualmente nuestro país. Por todo lo anterior, se requiere explorar un nuevo perfil que defina el tipo, carácter y orientación formativa del profesor de Historia y Geografía, resignificando el espacio de las prácticas profesionales como el núcleo central de dicha formación.
Dictadura y enseñanza de la historia. ¿Por qué enseñar, qué y cómo enseñar? El ejemplo de la dictadura chilena
Authors: Pagès Blanch Joan , Villalón Gálvez Gabriel
Published: December 2021

En este artículo planteamos una reflexión sobre el tratamiento de las dictaduras en la enseñanza de la historia. En la primera parte del texto nos referimos al por qué enseñar sobre las dictaduras y qué enseñar sobre ellas. En la segunda parte nos referimos al tratamiento de la dictadura chilena en dos textos de estudio y a las propuestas realizadas por dos sitios de memoria. Analizamos en específico qué se enseña sobre los oprimidos por el régimen, el valor de la democracia y de los derechos humanos.
Las transiciones políticas en Latinoamérica y sus retos: contribuciones posibles de la enseñanza de las Ciencias Sociales
Authors: Biazzo Simon Cristiano , Fortuna Claudia Prado
Published: December 2021

En una reflexión originada de la efeméride de los cuarenta años del derroque de Salvador Allende en Chile, nuestro objetivo es reflexionar acerca de las contribuciones posibles de la enseñanza de las ciencias sociales para los desafíos levantados por las transiciones políticas en las repúblicas latinoamericanas, entendiéndolas con procesos en curso. Tomando por base la transición brasileña identificamos y subrayamos las tareas que tales desafíos suscitan y analizamos la construcción de la democracia brasileña y la permanencia de prácticas autoritarias como procesos históricos análogos, en significativa medida, con esos países, en el contexto de Globalización. Indicamos las reflexiones sobre las efemérides históricas, las memorias, la superación del pasado y la inserción y construcción de una identidad autónoma como los principales desafíos de la enseñanza en la contemporaneidad.
Effects of Compression of the 4th Ventricle (CV4) Treatment on Medical Student Anxiety
Authors: Goering Edward , Herner Maranda , Smith Meagan , Galka Mary , Kammerzell Samuel , Best Kaitlin , Anderson Pamela , Steinauer Michelle
Published: December 2021

Introduction:

This study explores the effects of one Compression of the 4th Ventricle (CV4) treatment performed by experienced osteopathic physicians on reactive anxiety in healthy medical students. Anxiety was assessed with heart rate, blood pressure, and the Hamilton Anxiety Scale (HAM-A).

Methods:

Western University of Health Sciences IRB #15/IRB/113 was obtained for this single blind study. Volunteer first and second year medical students naïve to Osteopathic Cranial Manipulative Medicine, both in curriculum and as a patient, were recruited for this two-day study. Students were de-identified and demographic information was collected. On the first day, all 64 students received a sham treatment. Eight practitioners agreed on CV4 and sham techniques (mastoid cranial hold). In the CV4 technique, the operator’s thenar eminences contact the lateral angles of the occiput, and the operator encouraged the extension phase and discouraged the flexion phase of the CRI. Compression continued until a still point was reached in each student as identified by the practitioner. Students were evaluated before and after treatment using heart rate, blood pressure, and the Hamilton Anxiety Rating Scale (HAM-A).

Results:

No significant difference was found in demographics of the two groups. A significant difference between sham and CV4 treatments was found for heart rate (p=0.036), but not for systolic or diastolic blood pressure (p=0.446 and p=0.799, respectively). Average heart rate reduction of CV4 group was 3.11 and of sham group was 1.12, with p=0.036 (Mann Whitney U = 1271). Heart rate increased in a few students after both CV4 and sham treatments. Average HAM-A score for students before and after CV4 treatment were 21.9 and 18.3, with an average net reduction of 3.58 compared to the sham’s 2.77, but results were not found to be statistically significant (p=0.09, U=1172).

Conclusion:

A statistically significant average reduction in heart rate, but not in blood pressure or HAM-A scores, was found after CV4 treatment compared to sham treatment. More studies with larger samples are needed to further investigate the effects of CV4.
Dimensão ambiental na agenda política da CEPAL: equação ainda pendente
Authors: Da Silva Flora Moritz , Sales Gilberto , Cário Silvio Antônio Ferraz , Van Bellen Hans Michael
Published: December 2021

A Comissão Econômica para a América Latina e o Caribe (CEPAL) é uma referência na configuração de modelos de desenvolvimento na região, desde sua criação, em meados do século XX. Neste ensaio, o objetivo é analisar a forma de incorporar a preocupação com o meio ambiente nas dimensões do desenvolvimento, pregada pela CEPAL, de 2000 a 2020, expressas nos seus principais documentos. Nesse propósito enfatiza-se em que momentos, em que medida e de que forma a dimensão ambiental, com o sentido de preocupação estratégica com relação à natureza, aparece no contexto das preocupações e modelos de desenvolvimento da CEPAL. A pesquisa, caracterizada como qualitativa, descritiva explicativa e com abordagem histórica, foi realizada a partir de análise bibliográfica e documental, com foco em documentos estratégicos produzidos pela CEPAL. Os documentos analisados resultaram dos encontros bienais, nos quais os 44 Estados membros, representantes do sistema da ONU e de organizações não governamentais se reúnem para examinar as atividades realizadas e elencar as prioridades futuras, definindo as estratégias desenvolvimentistas. O resultado da análise evidenciou que as dimensões econômica e social têm sido as principais preocupações da organização, definidas como estratégicas para o crescimento, impulsionado pela industrialização, desenvolvimento tecnológico e pela promoção da igualdade. A dimensão ambiental tomou corpo na agenda cepalina nos anos 2000, sendo pontuada nos documentos estratégicos, porém não com a mesma importância que as áreas econômica e social, constituindo, portanto, uma equação ainda pendente. A atenção com o meio ambiente aparece de maneira subsidiária e espasmódica, pautada por movimentos internacionais; e tardia, como algo almejado e nunca objetivado, a ponto de gerar metas ou indicadores que estimulem a incorporação da dimensão ambiental, como elemento essencial e prioritário para o desenvolvimento de países da região.
Governança da restauração florestal da paisagem no Brasil: desafios e oportunidades
Authors: Adams Cristina , Araujo Luciana Gomes de , Sanches Rosely Alvim , Futemma Célia Regina Tomiko , Buzati Jordano Roma , Sanches Vitor Hirata , Macedo Gabriela Silva Santa Rosa
Published: December 2021

O Brasil ocupa um papel importante em diversos acordos e compromissos globais das agendas de conservação florestal e climática. A implementação desses acordos e o avanço dos debates em torno deles expõem a necessidade de desenvolvimento de arranjos de governança em diversas áreas, dentre elas a Restauração Florestal da Paisagem. Espera-se que a governança da Restauração Florestal da Paisagem produza resultados positivos no comprometimento de seus atores sociais, no desenvolvimento de instrumentos de gestão e no ganho de escala (upscale) dos projetos e programas nas diferentes paisagens e biomas do país. Nesse contexto, este estudo tem como objetivo traçar o estado de conhecimento dos modelos conceituais de governança da Restauração Florestal da Paisagem, por meio de uma revisão sistemática da literatura acadêmica mundial, contribuindo para a organização de um arcabouço teórico-conceitual aplicado aos sistemas de governança da Restauração Florestal da Paisagem do Brasil, representados por projetos, programas e redes de trabalho. Os resultados mostram, por um lado, que há uma diversidade de modelos de governança colaborativa em desenvolvimento em algumas iniciativas brasileiras de Restauração Florestal da Paisagem, principalmente na Mata Atlântica e na Amazônia. Por outro lado, há ainda uma grande lacuna na produção de pesquisa com enfoque específico de análise da governança da Restauração Florestal da Paisagem, que contribua para a construção de redes de aprendizados e evolução dos modelos de governança em desenvolvimento no Brasil.
¿Puede el Estado hacer de la agroecología un fenómeno masivo? Experiencias de políticas públicas en América Latina
Authors: Giraldo Omar Felipe , McCune Nils
Published: December 2021

En este artículo discutimos la experiencia de las políticas a favor de la agroecología implementadas en Cuba y en los países latinoamericanos que dieron un giro a la izquierda en los primeros años del siglo XXI y que en la actualidad enfrentan un resurgimiento de las fuerzas políticas de derecha. Aunque los casos de estudio enseñan que es posible abrir espacios y momentos de ruptura en los regímenes de poder, existe un riesgo cuando los esfuerzos de los movimientos sociales terminan absorbidos en colaboraciones con el Estado. En realidad la agroecología se mueve al filo de la navaja en donde hay riesgos de ambos lados. Por una parte, al participar en la institucionalización de la agroecología, los movimientos pueden quedar incorporados a las reglas establecidas, teniendo que moverse en un sistema cuyo fin es preservar los intereses de la clase dominante. Y por otra, no hacerlo podría impedir que se modifique, aunque sea parcialmente, la razón de Estado en torno a la política agroalimentaria, apoyando de forma indirecta a la creación de más obstáculos para que la agroecología pueda territorializarse. En el fondo de la cuestión está en juego el carácter político de la agroecología: seguir apostando por la reforma o por la revolución.
Complexul parazitoid al cinipidului Neuroterus Quercusbaccarum (Hymenoptera, Cynipidae) ce se dezvoltă pe frunze de stejar
Authors:   Scientific reservation ", Manic Gheorghe ,   Codru",   , Republic of Moldova
Published: December 2021

The research of parasitoid calcidids associated with the cinopid Neuroterus quercusbaccarum L. (Hymenoptera, Cynipidae) was performed in the forest ridges of the northern and central districts of the Republic of Moldova during the years 2016-2018. In total, more than 1000 gallons were collected, of which eights pecies of entomophagus included in 7 genres and 6 families were obtained under laboratory conditions: Pteromalidae – Mesopolobus tibialis Westw., M. Fasciiventris Westw.; Eupelmidae – Eupelmus fulvipes Förster, Eulophidae – Olynx gallarum L., Tetrastichus sp., Ormyridae – Ormyrus diffinis Fonsc., Eurytomidae – Eudecatoma biguttata Swed.; Torymidae – Torymus flavipes Walker. In the parasitoid complex with a higher percentage of parasites, threes pecies were found: Torymus flavipes Walker (Chalcidoidea, Torymidae), Mesopolobus tibialis Westw., M. Fasciiventris Westw. (Chalcidoidea, Pteromalidae). The lowest percentage of parasites was recorded in Tetrastichus sp. (Chalcidoidea, Eulophidae). Torymus flavipes Walker iscited as a new species for Moldova’s fauna. For the first time there has been infestation of this host with parasitoids: Mesopolobus fasciiventris Westw. (Pteromalidae), Ormyrus diffinis Fonsc. (Ormyridae), Eudecatoma biguttataSwed. (Eurytomidae), Eupelmus fulvipes Förster (Eupelmidae); Tetrastichus sp. (Eulophidae), Torymus flavipes Walker (Torymidae).
Ocypus Curtipennis Motschulsky, 1849 (Coleoptera, Staphylinidae, Staphylininae) - specie nouă în fauna Republicii Moldova
Authors:   Institute of Zoology, Republic of Moldova, Mihailov Irina
Published: December 2021

In the general list of rove beetles (Coleoptera, Staphylinidae) are included more than 300 species of Staphylinides present on the Republic of Moldova territory and in the present paper is presented the results obtained and accumulated in time for Ocypus curtipennis Motschulsky, 1849: the collection point, identification proofs, confirmation and storage in the basic collection, taxonomic classification,data related to origin and spread, aspects of bioecology, morphological elements. This species was found in 2010, being identified as a new species for our country’s fauna. Cuvinte-cheie Ocypus curtipennis Motschulsky, 1849, Zabriceni village, Edinet District, oak, ashand mapleforest, the collection of Entomology Department
Stafilinidofauna lemnului mort (Coleoptera, Staphylinidae: Omaliinae, Tachyporinae, Habrocerinae, Aleocharinae, Scaphidiinae, Staphylininae) din Republica Moldova
Authors:   Institute of Zoology, Republic of Moldova, Mihailov Irina , Bacal Svetlana ,   Institute of Zoology, Republic of Moldova
Published: December 2021

The paper presents a complementary contribution to the knowledge of the diversity of Staphylinides in dead wood studied in 6 points in the Republic of Moldova: The Prince’s Forest (Padurea Domneasca), Codrii Forest, Plaiul Fagului Forest, Flaminda Forest, Codrii Tigheci, Zabriceni Forest. During the period 2015-2016, 34 species of Staphylinides were identified, of 23 genres in 6 subfamilies: Omaliinae (1 species), Habrocerinae (1), Tachyporinae (8), Aleocharinae (10), Scaphidiinae (2), Staphylinins (12 species). For each species, are presented data on: the place of collection, membership in trophic classification, specification of the geographic element, highlighting common Staphylinides for some investigated stations, etc.
What´s left and new in the management of migraine?
Authors:   Servicio de Asesoría e Información del Medicamento. Servicio Navarro de Salud - Osasunbidea, Goñi Oihane , Leache Leire
Published: December 2021

INTRODUCCIÓN La migraña es un trastorno neurológico que se presenta habitualmente en forma de cefalea. El tratamiento de la migraña se fundamenta en cambios en el estilo de vida, el tratamiento sintomático y el tratamiento preventivo. El abordaje farmacoterapéutico actual de la migraña se basa en fármacos con amplia experiencia de uso y en nuevos fármacos, entre los que se incluyen los anticuerpos monoclonales (ACm), que se presentan como una alternativa para pacientes en los que el tratamiento preventivo con los fármacos convencionales no alcanza el éxito esperado. OBJETIVO Evaluar la eficacia y seguridad de los fármacos empleados para el tratamiento sintomático y preventivo de la migraña, determinar su lugar en la terapéutica y establecer el tratamiento más adecuado en función del tipo de migraña y de las características de los pacientes. MÉTODOS Se realizó una búsqueda de guías de práctica clínica, documentos de agencias reguladoras, revisiones sistemáticas y estudios primarios que abarcasen el tratamiento sintomático y preventivo de la migraña. Se utilizó la base de datos de dispensación de recetas del Servicio Navarro de Salud-Osasunbidea (SNS-O) para obtener datos acerca del consumo de triptanes en Navarra, y se utilizó la historia clínica informatizada y el programa de gestión de la farmacoterapia de atención especializada del SNS-O para obtener los datos de pacientes en tratamiento con ACm y su evolución en nuestra comunidad. CONCLUSIONES El tratamiento sintomático de elección en las crisis de migraña de intensidad leve-moderada son los antiinflamatorios no esteroideos (AINE), reservando los triptanes para las crisis de intensidad moderada-grave. Los fármacos orales constituyen el tratamiento preventivo de primera línea, siendo los ß-bloqueantes de primera elección, junto con el topiramato. La toxina botulínica A se emplea en pacientes con migraña crónica que no han respondido a tratamientos preventivos orales. Los ACm constituyen una alternativa para la prevención de la migraña crónica o episódica en pacientes sin respuesta a los tratamientos anteriores, aunque presentan una eficacia modesta respecto a placebo y no hay estudios comparativos de eficacia con el resto de fármacos preventivos de primera línea. Su seguridad y eficacia a largo plazo no han sido establecidas y su impacto económico es elevado. Las condiciones de financiación en España restringen su uso a una cuarta línea en la profilaxis de la migraña crónica o episódica de alta frecuencia.