bluuebunny/crossref_metadata_2025 huggingface dataset:
COVID-19 physiotherapeutic approach in pediatrics: literature review
Authors: Silva Mayna , Esperidião Eliciane , Calegari Julia , Almeida Thais , Picanço Patrícia , Barbosa Renata , Lucato Jeanette , Rusu Joyce
Published: September 2021

OBJECTIVES: To present the main characteristics, diagnosis and physiotherapeutic approach of pediatric patients infected with COVID-19. METHODS: This is an integrative literature review carried out from February to June 2020 regarding the physiotherapeutic approach in children diagnosed with COVID- 19. The search was performed in the PubMed database with the keywords “coronavirus”, “pediatric”, and “physiotherapy” crossed by through the boolean “AND” operator in the past four months. Articles that addressed only the subtype COVID-19 in pediatric patients were included and duplicate articles were excluded. In addition, research was carried out on protocols/articles from the Ministry of Health and Associations. RESULTS: 273 articles were found in the PubMed database; however, 25 were included according to the selection criteria previously determined, in addition to 1 articles/association protocols that were also included. CONCLUSIONS: It was verified through this integrative review that the main characteristics of pediatric patients infected by COVID-19 are: mean age of involvement of 7 years; transmission by direct and/or indirect contact with respiratory droplets; different pathophysiology of adults due to different immune response; and mild symptoms with a good prognosis. The diagnosis is given by the clinical picture and categorized by severity: asymptomatic, mild, moderate, severe, and very serious. Among the proposed approaches, the following stand out: oxygen therapy, invasive mechanical ventilation, maintenance of the elevated headboard (30º-45º), prone position, and early mobilization.
Multisystem Inflammatory Syndrome In Children (MIS-C) Temporally Associated With COVID-19 - An Update
Authors: Campos Leonardo , Almeida Rozana , Goldenzon Andréa , Rodrigues Marta , Sztajnbok Flavio , Lino Katia , Nogueira Katia , Silva Rodrigo , Fonseca Adriana
Published: September 2021

INTRODUCTION: Children are less likely to have severe acute COVID-19, but cases of pediatric multisystem inflammatory syndrome (PIMS) with possible temporal association with previous SARS-CoV-2 infection have been described. OBJECTIVES: Non-systematic review of the literature on epidemiology, pathophysiology, diagnosis, and treatment of PIMS. SOURCE OF DATA: PubMed database, scientific documents of the Brazilian Society of Pediatrics, World Health Organization, Centers for Disease Control and Prevention (CDC), and Royal College of Pediatrics and Child Health. SUMMARY OF FINDINGS: PIMS shares characteristics with Kawasaki disease, toxic shock syndrome, bacterial sepsis and cytokine storm syndrome. It is more frequent in Afrodescendants and Hispanics, schoolchildren and adolescents, and in males. It occurs 2-4 weeks after SARS-CoV-2 infection. Pathophysiology involves direct effects of the virus and/or post-COVID-19 immune dysregulation. The clinical presentation is heterogeneous, fever being very frequent, followed by gastrointestinal, cardiovascular, respiratory, neurological, and renal manifestations. Thorough anamnesis and physical examination, as well as complementary exams to assess inflammatory process, organ involvement and the relationship with SARS-CoV-2 infection (RT-PCR and serology), are essential. Diagnostic criteria proposed by the CDC and WHO support the diagnosis. Treatment must be coordinated by a team of specialists, and directed to inflammatory and organic manifestations. CONCLUSIONS: PIMS is characterized by a broad clinical spectrum, with fever, gastrointestinal, neurological manifestations, shock, and myocardial dysfunction. It requires a high degree of suspicion for early treatment and prevention of potential cardiovascular, respiratory, renal, and neurological complications.
The Performance of a Three-Phase Induction Motor under and over Unbalance Voltage
Authors: Jassim Abdulsatar H. , Hussein Arkan A. , Abbas Laith F.
Published: September 2021

Voltage unbalance is an adverse global phenomenon impacting three-phase induction motor output. Three-phase source voltage may become imbalanced in a variety of respects, while a balanced system preserves stable voltage magnitude and angles in three phases, but a completely balanced state is difficult to get. Imbalanced cases may differ in multiple ranges which may practically affect the motor. So, this work is an effort to analyze the operations with appropriate propositions. The output of a three-phase induction motor working with an imbalanced supply grid, MATLAB/SIMULINK is further used for simulation purposes and programming based on the asymmetrical component approach is adopted. A new design for system rerating is being proposed. As a case study, a 10 HP three-phase induction motor was used. The findings of the study show that to determine the output of the induction motor, positive voltage series must be respected under the voltage unbalance factor (VUF) or proportion voltage unbalance index with six various voltage magnitude imbalance conditions, the copper losses of three-phase induction motors were calculated under full load conditions by simulation. So, the qualified percentage change in total copper losses for the motor operating under imbalanced and balanced voltages was determined.
Superlatives and Scope of Improvement in Online Recommendations: Breath of Life or a Kiss of Death?
Authors:   University of Utah, Aggarwal Rohit , Midha Vishal ,   Illinois State University, Sullivan Nicholas ,   University of Dayton
Published: September 2021

Online professional networks are important tools used by recruiters to find qualified candidates for job openings. Within these networks, professional recommendations are used to supplement profiles and add credibility. These recommendations tend to be overly positive, full of superlatives, and lacking in critical statements (referred to as scope of improvement). We draw on the theory of online trust to argue that having scope of improvement and superlatives may affect various dimensions of trust and to show how online trust, in turn, can affect the usefulness of a recommendation and the likelihood of receiving an interview. We contribute to the body of work on online trust both theoretically and empirically. From a theory perspective, we explain why including scope of improvement and superlatives in recommendations on online professional networks may help certain candidates in getting an interview but hurt others. From an empirical perspective, we provide a unique empirical setting that allows us to observe not only the effect of scope of improvement and superlatives, but also validate the theoretically argued underlying process. Furthermore, through discussion with recruiters, we identify then test contextual factors that differentiate recommendations on online professional networks from traditional recommendations. In this study, we use a scenario-based, quasi-experimental survey to test the effects of superlatives and scope of improvement on the usefulness and effectiveness of recommendations. Further, we test the mediating role of trust and how the experience levels of the recommendee affect the sign and strength of these relationships. Our findings indicate that including scope of improvement increases the effectiveness and usefulness of recommendations for candidates at low- and middle levels of experience. For the most experienced candidates, including scope of improvement has a negative effect on effectiveness. Superlatives negatively affect the perceived competence of the recommender and thus should be avoided. This negative effect is reduced when combined with scope of improvement.
Strategic Directions for AI: The Role of CIOs and Boards of Directors
Authors:   Chinese University of Hong Kong, Li Jingyu , Li Mengxiang ,   Hong Kong Baptist University, Wang Xincheng ,   Tongji University, Bennett Thatcher Jason ,   Temple University
Published: September 2021

This paper applies upper echelons theory to investigate whether chief information officers (CIOs) and boards of directors affect the development of AI orientation, which represents firms’ overall strategic direction and goals regarding the introduction and application of artificial intelligence (AI)technology. We tested our model using a dataset drawn from 1,454 publicly listed firms in China. Our findings show that the presence of a CIO positively influences AI orientation and that board educational diversity, R&D experience, and AI experience positively moderate the CIO’s effect on AI orientation. Our post hoc analysis further demonstrates that these board characteristics represent contingencies that impact AI orientation but not conventional IT orientation. This paper contributes to the upper echelons literature and IT management research by offering contextualized arguments that explain new business and IT strategies such as AI orientation. Further, our findings suggest important implications about how to build top management teams and boards capable of effectively developing AI orientations
Failures of Fairness in Automation Require a Deeper Understanding of Human-ML Augmentation
Authors:   Boston College, Teodorescu Mike , Morse Lily ,   West Virginia University, Awwad Yazeed ,   Center for Complex Systems, King Abdulaziz City for Science & Technology,   Massachusetts Institute of Technology, Kane Gerald ,   Boston College
Published: September 2021

Machine learning (ML) tools reduce the costs of performing repetitive, time-consuming tasks yet run the risk of introducing systematic unfairness into organizational processes. Automated approaches to achieving fair- ness often fail in complex situations, leading some researchers to suggest that human augmentation of ML tools is necessary. However, our current understanding of human–ML augmentation remains limited. In this paper, we argue that the Information Systems (IS) discipline needs a more sophisticated view of and research into human–ML augmentation. We introduce a typology of augmentation for fairness consisting of four quadrants: reactive oversight, proactive oversight, informed reliance, and supervised reliance. We identify significant intersections with previous IS research and distinct managerial approaches to fairness for each quadrant. Several potential research questions emerge from fundamental differences between ML tools trained on data and traditional IS built with code. IS researchers may discover that the differences of ML tools undermine some of the fundamental assumptions upon which classic IS theories and concepts rest. ML may require massive rethinking of significant portions of the corpus of IS research in light of these differences, representing an exciting frontier for research into human–ML augmentation in the years ahead that IS researchers should embrace.
Outpatient Behavior Toward Utilizing of Health Service Insurance in A Private Hospital in Pekanbaru
Authors: Afriani Yeni , Djuhaeni Henny , Nurmaimun Nurmaimun , Yunita Jasrida , Wahyudi Arief
Published: September 2021

The hospital has a very large role as a provider of health services to BPJS Health participants. The implementation of the BPJS Health program in the Hospital is inseparable from various problems such as BPJS participants who do not understand their rights and obligations as a result of lack of knowledge, community work related to BPJS Health, lack of exposure to information related to BPJS health to the attitudes and behavior of health workers towards patients. The purpose of the study was to find out what factors were related to the attitude of utilizing BPJS health services to outpatients in Petala Bumi Hospital, Riau Province. This was a quantitative analytic research with a cross-sectional design. Data analysis was carried out by univariate, bivariate, and multivariate using multiple logistic regression tests. The results showed that the variables significantly related to the attitudes of outpatients in the utilization of the Social Security Organizing Agency (BPJS) services namely knowledge (POR: 3.99; 95% CI; 1, 782-8,935), education (POR: 16, 67; 95% CI; 7,206-38,575) and exposure to information POR: 2.65; 95% CI; 1,228-5,704). It is recommended for health workers to further enhance their role in providing health promotion on health BPJS through integrated counseling by establishing cross-program and cross-sectoral cooperation including through integrated socialization from various parties involving ulemas, and community leaders through activities carried out by the community.
Deliberations on Natural Products and Future Directions in the Pharmaceutical Industry
Authors: Buntin Kathrin , Ertl Peter , Hoepfner Dominic , Krastel Philipp , Oakeley Edward , Pistorius Dominik , Schuhmann Tim , Wong Joanne , Petersen Frank
Published: September 2021

Natural Products are molecular “special equipment” that impart survival benefits on their producers in nature. Due to their evolved functions to modulate biology these privileged metabolites are substantially represented in the drug market and are continuing to contribute to the discovery of innovative medicines such as the recently approved semi-synthetic derivative of the bacterial alkaloid staurosporin in oncology indications. The innovation of low molecular weight compounds in modern drug discovery is built on rapid progress in chemical, molecular biological, pharmacological and data sciences which together provide a rich understanding of disease-driving molecular interactions and how to modulate them. NPs investigated in these pharmaceutical research areas create new perspectives on their chemical and biological features and thereby new chances to advance medical research. New methods in analytical chemistry linked with searchable NP-databases solved the issue of reisolation and enabled targeted and efficient access to novel molecules from nature. Cheminformatics delivers high resolution descriptions of NPs and explores the substructures that systematically map NP-chemical space by sp3-enriched fragments. Whole genome sequencing has revealed the existence of collocated gene clusters that form larger functional entities together with proximate resistance factors thus avoiding self-inhibition of the encoded metabolites. The analysis of bacterial and fungal genes provides tantalizing glimpses of new compound-target pairs of therapeutic value. Furthermore, a dedicated investigation of structurally unique, selectively active NPs in chemical biology demonstrates their extraordinary power as shuttles between new biological target spaces of pharmaceutical relevance.
Los Comentarios reales de los incas: El credo católico como clave hermenéutica y el enfoque providencialista como mecanismo historiográfico
Authors:   University of London, Piccone Camere Carlos
Published: September 2021

Los Comentarios reales de los incas (en el presente trabajo se utilizará la edición de 2015 y solo se citará el nombre abreviado de la obra: CR) constituyen un texto de inapreciable valor tanto desde el punto de vista histórico como literario.
El trabajo como encargo divino según Leonardo Polo
Authors: Sellés Juan Fernando
Published: September 2021

En el mito heroico clásico (Ulises, el Quijote, Caperucita, Pulgarcito, el Señor de los anillos…) hay al menos estos elementos: 1) quien encarga una misión, 2) el encargado, 3) el encargo a realizar (una verdad que hay que hacer valer), 4) los peligros del camino, 5) el destinatario. De modo que siguiendo este esquema se puede decir que el trabajo humano, la tarea de nuestra vida, tiene estos elementos: 1) Dios que la encarga, 2) cada uno de nosotros, que es el encargado, 3) el trabajo distintivo de cada uno, que perfecciona al mundo, al cuerpo humano propio y ajeno, y a lo inmaterial que poseen los hombres, propio y ajeno —inteligencia, voluntad y personalidad—, 4) las dificultades propias y ajenas, 5) los destinatarios humanos y el divino. A la precedente estructura le caben dos añadidos: 6) los colaboradores —de quien asume la tarea—, pues con ellos esta se cumple mejor. ¿Qué motivo hay para aceptar colaboradores? El hecho de que también quien asume la tarea es colaborador de quien se la encarga: «antes de convocar colaboradores, está el que yo soy un colaborador del que me confía la tarea» (Polo, 2015e, p. 78); 7) «los recursos para llevarla a cabo» (Polo, 2015e, p. 78).
Ladislao Landa (ed.), Cristóbal de Albornoz, Mesianismo y utopía en América: Perú, siglo XVI, Lima, Yolanda Carlessi, 2018, 382 pp.
Authors: Arquero Guillermo
Published: September 2021

Ladislao Landa Vásquez es antropólogo formado en la Universidad Na-cional Mayor de San Marcos. Discípulo y colaborador de Luis Millones, ha saca-do esta última edición de los informes del clérigo Cristóbal de Albornoz, princi-pal fuente para conocer el célebre fenómeno del Taki Unquy, y que Luis Millones dio a conocer tras encontrarlos en el Archivo General de Indias en España hace ya décadas. El libro ha sido publicado también gracias al esfuerzo de la editora Yolanda Carlessi.
PUBLIC ORDER AND THE EMERGENCE OF THE POLICE
Authors: Лыков Эдуард Николаевич
Published: September 2021

Реконструируется генеалогия полиции в истории европейской мысли. Отмечается, что своим появлением полиция обязана существенным сдвигам, как институциональным, так и иным, произошедшим в Европе периода Нового времени. Полиция возникает как институт национального государства, в противовес институтам и практикам обеспечения безопасности феодального общества. Национальное государство и присущие ему практики управления и контроля насилия нуждались в инструменте для обеспечения порядка, репрезентирующем всех граждан. В логике отношений с Другим это проявляется в упорядочивании, которое возможно только в отношении такого Другого, который предстает и понимается как универсальный Субъект, субъект права, а также жертва.

The article reconstructs the genealogy of the police in the history of European thought. It is noted that the police owe their appearance to significant changes, both institutional and otherwise, that occurred in Europe during the modern period. The police emerge as an institution of the nation state, as opposed to the institutions and practices of ensuring the security of a feudal society. The nation-state and its inherent practices of managing and controlling violence needed an instrument to enforce order that would represent all citizens. In the logic of relations with the Other, this manifests itself in yorderliness, which is possible only in relation to such an Other, who appears and is understood as a universal Subject, a subject of law, and also a victim.
MAIN CATEGORIES OF NEO-CONFUCIANIZM AND LEIBNIZ’S MONADOLOGY
Authors: Фролова Ирина Алексеевна
Published: September 2021

Лейбниц был основателем Академии наук в Берлине, выдающимся математиком и человеком глубоких знаний и широких взглядов. Он стал одним из лучших знатоков китайской философии в Европе. Это произошло потому, что он помогал христианским миссионерам, которые жили в Китае, интерпретировать философские китайские тексты. Но возникает вопрос: можем ли мы сказать, что идеи неоконфуцианства в какой-то степени повлияли на философию Лейбница? Статья предлагает размышления на эту тему.

Leibniz was the founder of the Academy of Sciences in Berlin, outstanding mathematician and man of deep knowledge and broad views. He became one of the best experts in Chinese philosophy in Europe. It happened because he helped Christian missionaries, who were living in China, to interpret Chinese philosophical texts. But the question arises: can we say, that the ideas of neo-Confucianism to some extend influenced Leibniz’s philosophy? The article offers reasoning on this topic.
THE PROBLEM OF INDIVIDUAL EXPERIENCE OF HISTORICAL KNOWLEDGE IN THE B. CROCE'S PHILOSOPHY OF HISTORY
Authors: Аванесян Артём Александрович
Published: September 2021

Развиваемый Бенедетто Кроче подход к осмыслению специфики исторического познания приводит к формулированию идеи его укоренения в индивидуальном жизненном опыте познающего человека. Критика субстанциальной философии истории задает единственно возможную стратегию исследования прошлого через изучение единичных фактов и явлений, понимание которых определяется обстоятельствами и возможностями исторической ситуации работы исследователя. Такой проект истории приобретает черты изменчивого, ситуативного, принципиально незаконченного знания, находящегося в постоянном процессе становления.

The approach to understanding the specifics of historical knowledge developed by Benedetto Croce leads to the formulation of the idea of its rooting in the individual life experience of a cognizing person. Criticism of the substantial philosophy of history sets the only possible strategy for studying the past through the study of individual facts and phenomena, the understanding of which is determined by the circumstances and possibilities of the historical situation of the researcher's work. This project of history acquires the features of a changeable, situational, fundamentally unfinished knowledge that is in a constant process of formation.
«HISTORICAL REPRESENTATION» IN F. ANKERSMIT’S PHILOSOPHY
Authors: Ицкович Глеб Сергеевич
Published: September 2021

В статье рассматривается концепция «исторической репрезентации» в философии Ф. Анкерсмита. Данная концепция является важным компонентом нарративистской философии истории голландского философа. Используя эту концепцию, Анкерсмит стремится решить проблему истинности в историческом познании, поновому взглянув на историописание. Отвергая реализм как познавательную установку, он склоняется к мысли о подтверждаемости атомарных исторических фактов и возможности говорить лишь о большей или меньшей степени достоверности исторических повествований, поскольку они опираются в значительной степени на различные аксиологические установки и предпосылочное знание. Анкерсмит постмодернистски сближает историю и литературу, что ведет к трудностям в различении исторических и художественных текстов.

The article is aimed at the analysis of the concept of «historical representation» in F. Ankersmit’s philosophy. This concept is an important component of the Dutch scholar narrativist philosophy of history. Using this concept, Ankersmit seeks to solve the problem of truth in historical knowledge by taking a new look at historical writing. Rejecting realism as a cognitive attitude, he inclines to the idea of the confirmability of atomic historical facts and the possibility of talking about a greater or lesser degree of reliability of historical narratives, since they depend largely on various axiological attitudes and knowledge presuppositions. Ankersmit brings history and literature together in a postmodern way, which leads to difficulties in distinguishing historical and artistic texts.
Exploring the Difficulties and Challenges of the Local Macao English Language Learners towards the Online Synchronous One-on-one English Learning Class
Authors: Cheng Tak Chan
Published: September 2021

With the development of technology, the number of English learners who opt for online learning has been increasing. In the past, students had a tendency to download English materials and watch online videos for improving their English skills. Recently, thanks to a shift to online learning, students have been making more use of online synchronous oneon-one English classes to improve their English at leisure. Although this type of learning mode is becoming more and more popular, the study of the difficulties and challenges of English learners in such a field has been under-explored. This study attempts to use a qualitative approach to interview two English learners of different backgrounds to better understand the difficulties and challenges they encountered when using such a learning method. The two interviewees conclude points ranging from the learning aspect, distant feeling, signal delay, instability of the learning software and hardware that lead to technical problems. Certain measures to avoid the problems are also suggested in this paper.
Epidemiología de la infección por el virus de la hepatitis C en Colombia
Authors: López-Osorio María C. , Beltrán Mauricio , Navas María-Cristina
Published: September 2021

Objetivo.Describir la epidemiología de la infección por el virus de la hepatitis C (VHC) en Colombia.

Métodos.Revisión crítica de los estudios de epidemiología de la infección por VHC en Colombia mediante búsqueda de artículos originales y revisiones de tema publicados en el período 1989 a 2020 en las bases de datos PubMed, SciELO y ScienceDirect. Además, se revisaron los informes del Instituto Nacional de Salud y de la Cuenta de Alto Costo del Ministerio de Salud y Protección Social.

Resultados.Los datos de seroprevalencia de anticuerpos anti-VHC en donantes de sangre están en un rango de 1,5% a 0,32%, que corresponden a los informes del inicio y el final del período de estudio, respectivamente. En la población con factores de riesgo se observa una alta prevalencia de infección por VHC, aunque con variaciones a lo largo del tiempo. Con respecto a los genotipos de VHC en Colombia, se han identificado los genotipos 1, 2, 3 y 4 (subgenotipos 1a, 1b, 2a y 3a).

Conclusiones.En el período de observación, se describe una disminución en la seroprevalencia de la infección por VHC en donantes de sangre y en pacientes en tratamiento con hemodiálisis en Colombia, lo que demuestra el impacto de las políticas de sangre segura y las medidas de bioseguridad. Los estudios en personas que usan drogas ilícitas por vía inyectable indican una alta prevalencia de infección, con diferencias según la región del país. El genotipo 1, subgenotipo 1b, del VHC es el más frecuente en los distintos estudios realizados en Colombia, y el informe más reciente de la Cuenta de Alto Costo del Ministerio de Salud y Protección Social señala que el genotipo 4 es el segundo genotipo más frecuente en el país.
Resurrecting the Dead: Mitigating Efflux-Pump Inhibitor Toxicity using a Liposomal Delivery System to Recover Efficacy of Antimicrobial Drugs
Authors: Ray Prachi , Nguyen Kha , Nguyen Truong , Sachdev Sukriti
Published: September 2021

Introduction: Antimicrobial resistance (AMR) has become concerningly prevalent on a global scale as many infectious agents have evolved to evade antimicrobials effects, making it difficult to treat infectious diseases. Pseudomonas aeruginosa is a multiresistant bacteria that requires urgent attention as it is detrimental in lung infections. Activity of membrane-embedded efflux pumps, such as the MexAB-OprM pump, is a principal mechanism by which bacterial species become resistant to antimicrobials. Efflux pump inhibitors (EPIs) have recently emerged as a strategy to prevent the expulsion of administered antimicrobials, thereby resensitizing resistant bacteria to antibiotics. Phenylalanine-arginine β-naphthylamide (PAβN) is an EPI that inhibits a number of different pumps, including the MexAB-OprM efflux system. Despite EPIs providing a partial solution to AMR, they have been shown to be toxic to humans, which has impeded their entry into clinical application. We propose that by inserting the PAβN into a liposomal delivery system, the cytotoxic effects against human cells will be lowered without decreasing the EPI’s inhibitory activity.
Methods: Resistant P. aeruginosa strains will be administered with liposomes jointly encased with PAβN and ampicillin to ensure both are delivered to the same cell, while testing for changes in antimicrobial efflux activity and bacterial growth, indicative of restored antimicrobial effectiveness. Efflux activity and inhibited growth will be measured using an ethidium bromide efflux assay and a minimum inhibitory concentration assay, respectively. Human pulmonary epithelial cells will be exposed to liposomal-encased PAβN to study changes to EPI cytotoxicity, with cell viability being measured using a Cell Titer Blue assay.
Results: Liposomal EPI are expected to maintain inhibitory activity and resistant bacteria would become re-susceptible to antibiotics when treated with the liposomal EPI.
Discussion: By analyzing efflux rate to measure the liposomal EPI’s activity, its activity level should be comparable to free EPI. The resensitization assay would show that the bacteria are susceptible to antibiotics again.
Conclusion: If effective, EPIs may become a potential therapeutic to combat AMR by reviving the use of antimicrobials that have become ineffective. Restoring the activity of already approved antibiotics through potential co-administration with liposome-encapsulated EPIs will be a cost-effective approach to combat AMR.
Effectivity of National Health Insurance on Maternal Health in Developing Countries: A Systematic Review
Authors:   Postgraduate of Reproductive Health, Faculty of Public Health, Universitas Indonesia, Octavia Eva Nur , Riono Pandu ,   Department of Biostatistics and Population Studies, Faculty of Public Health, Universitas Indonesia
Published: September 2021

Department of Biostatistics and Population Studies, Faculty of Public Health, Universitas Indonesia
Pandemi Dönemi Kamuda İç Denetimin Rolü: Uzaktan Danışmanlık Modeli ile İş Sürekliliği Olgunluğunun İrdelenmesi
Authors: GÖRMEN Murat
Published: September 2021

Pandemi döneminde kamu kurumları pandeminin etkilerini en hafif hasarla atlatabilmek için tedbirler getirirken, iç denetim birimleri de bu amaca katkı vermek için kurum içi çalışmalar başlatmış ve bu çerçevede iç denetçilerin de sağlığı düşünülerek mümkün olduğunca yüz yüze gelmeden uzaktan danışmanlık modeli ile birimlere nasıl katkı verebileceği üzerinde durulmuştur. Bu dönemlerde icracı birim yöneticilerinin ilgilenmek zorunda olduğu pek çok faaliyet başlığı varken iç denetçilerin onlara kayıtsız kalması beklenemez. Bu kapsamda iç denetçilerce uygulanan bir model olan uzaktan danışmanlık ile birimlerin çalışmalarını sekteye uğratmadan onlara hangi konularda katma değer sağlanabileceği değerlendirilmiş ve özellikle proaktif bir rol üstlenilerek pandemi örneğinde olduğu gibi ortaya çıkabilecek iş sürekliliğini engelleyebilecek risklerde birimlerin bir iş sürekliliği planı hazırlamalarının önemi vurgulanmıştır. Çalışmanın amacı iş sürekliliğini sekteye uğratabilecek pandemi gibi dönemlerde iç denetim fonksiyonunun hizmet birimlerine nasıl katkı verilebileceğinin incelenmesidir. Konu kapsamı, pandemi dönemi iç denetimin rolü kapsamında hizmet birimlerinin pandemiye karşı iş sürekliliği olgunluk düzeylerinin bir ölçek yardımıyla irdelenmesidir. İç denetim fonksiyonu pandemi gibi iş sürekliliğini etkileyebilecek dönemlerde proaktif bir rol üstlenmeli ve senaryo testlerini gözlemlemek ve iyileştirme önerilerine katkıda bulunmak suretiyle sürece dâhil edilmelidir.
Olumsuz Ewom Mesajlarının Kriz İletişimi Stratejileri Kapsamında Değerlendirilmesi: 4 ve 5 Yıldızlı Otel İşletmelerine Yönelik Nitel Bir Araştırma
Authors: ÖZER Ayşe , ALTUNOĞLU Ali Ender
Published: September 2021

Bu çalışmada Türk ve Britanyalı turistlerin yaptığı olumsuz çevrimiçi yorumlar aracılığıyla müşterilerin yaşadığı olumsuzlukların kaynağı ve otel yöneticilerinin bu yorumlara karşı kullandıkları kriz iletişimi stratejileri tespit edilmiştir. Ayrıca Durumsal Kriz İletişimi Stratejileri, çalışmaya uygun olacak şekilde geliştirilerek, ilgili alana yeni bir formda sunulmuştur. Bunun için Muğla ili ve çevresinde faaliyet gösteren 4 ve 5 yıldızlı oteller için Tripadvisor sitesi üzerinden yapılan toplam 1128 olumsuz çevrimiçi yorum ve işletme yanıtı incelenmiştir. Elde edilen veriler Nvivo 12 programıyla betimsel olarak analiz edilmiştir. Analiz sonuçlarına göre Türk ve Britanyalı turistlerin olumsuz yorum yapmasına sebep olan en büyük etken “hizmet” olarak tespit edilmiştir. Ayrıca otel yöneticileri tarafından olumsuz çevrimiçi yorumlara verilen yanıtlarda en çok "yeniden inşa" stratejisi kullanılmıştır.
Türk Futbolunda İthalat ve İhracatın Belirleyicileri
Authors: TÜRKMEN Adem , ŞENOCAK Hüseyin Devran
Published: September 2021

Küreselleşmeyle birlikte ekonomik yapı kazanarak büyük bir endüstri halini alan futbolda, uluslararası futbolcu transferleri önemli seviyelere ulaşmıştır. Bu makalenin amacı; uluslararası futbolcu transferleri vasıtasıyla ortaya çıkan futbolda dış ticaretin belirleyicilerini tespit etmek ve bu belirleyicilerin etkilerini değerlendirmektir. Bu amaçla, Türkiye Süper Lig’in futbolcu ihracat ve ithalatı bağımlı değişkenler olarak ele alınarak zaman serisi analizleri uygulanmıştır. Zaman serisi analizlerin sonucunda; Türkiye GSYH, Avrupa Birliği GSYH, reel efektif döviz kuru, Finansal Fair Play kuralları, uygulanan yabancı futbolcu kuralı, Türkiye A Milli Futbol Takımı’nın uluslararası turnuvalara katılma başarısı göstermesi ve bir önceki dönemin futbolcu ithalat miktarı Türkiye Süper Ligi için futboldaki dış ticaretinin belirleyicileri olarak tespit edilmiştir.
Poisson Regression Analysis with Tourism Data: Analysis of The Effects of Foreign Visitors' Local Tradership and Shopping Perceptions on The Frequency of Visit
Authors: KARAALİOĞLU Hilmi , KORKMAZ Adil
Published: September 2021

Increasing the frequency of visits by foreign visitors is an important phenomenon in today's world, where the contribution of tourism, which is accepted as a chimneyfree industry, to the economies of developing countries is increasing. This phenomenon can be possible if foreign tourists have positive holiday experiences, develop positive perceptions and attitudes about Alanya holiday, and as a result, tourist loyalty is formed. For this purpose, a survey was conducted on foreign tourists who have finished their holiday in Alanya and are in the process of airport transfer, and the variables that are predicted to be effective on their revisit intentions are measured. In this study, in order to reveal the relations between the frequency of visits of foreign tourists and the attitudes of these individuals towards the perceptions of local tradesmen, factors were determined by factor analysis first, and then the mathematical relationship between these factors and the dependent variable of visit frequency, which is the counting variable, was analyzed in the Poisson regression model. As a result of the analysis, it has been seen that the factor of "the attitude of the tourist towards positive tradesman behavior and good product quality" increases the frequency of tourist visits in Alanya destination. On the other hand, it has been determined that the factors "tourist's attitude towards the cooperation of tradesmen with brokers", "tourist's attitude towards negative shopping experience", "tourist's attitude towards hotel services" and "tourist's attitude towards product prices" have reducing effects on the frequency of visits.
Retrospective Analysis of Outcomes with ab interno Gel Implant in the Treatment of Open Angle Glaucoma
Authors: DİKKAYA Funda , KOCABORA Mehmet , YILMAZLI Cemil , KARAMAN ERDUR Sevil , AŞICI Arzu
Published: September 2021

Purpose: To evaluate the intraocular pressure (IOP) lowering and safety profiles of the Xen45 Gel Stent implantation with preoperative Mitomycin C injection during a 6 months follow-up in patients with primary open-angle glaucoma (POAG). Materials and Methods: Records of fourteen eyes of 13 POAG patients who underwent surgery with XEN45 Gel Stent combined with phacoemulsification were evaluated retrospectively. IOP changes, all complications and additional procedures during follow-up period were evaluated. Primary outcome measure was IOP, and the IOP target for complete success was defined as a postoperative IOP drop of more than 20% from preoperative baseline and IOP≥6 and ≤21 at 6 months without any glaucoma medications and qualified success was defined as a postoperative IOP reduction of more than 20% and IOP≥6 and ≤21 at 6 months with or without medications. Results: Mean preoperative medicated IOP was 28.4 ± 2.7 mmHg with a mean of 2.6 ± 0.6 topical anti-glaucoma molecules. After 6 month follow-up period, mean IOP decreased to 17.8 ± 1.5 mmHg (mean IOP reduction of 37%) on 0.4 ± 1.1 antiglaucoma molecules. The complete success rate after 6 months was achieved in 42.8 % and qualified success in 85.7. Totally only 2 (14.2 %) patients required additional procedure (1 needling and 1 trabeculectomy). Conclusions: The study showed that the XEN45 Gel Stent implantation combined with phaco-cataract surgery is an effective surgical method in POAG in case of uncontrolled IOP with a favorable safety profile and low complication rate.
The Effect of Emotional Intelligence on Maternity Role
Authors: MAMMADOV Betül , ŞENTÜRK ERENEL Ayten
Published: September 2021

Objectives: The relationship between emotion and intelligence is among the philosophical issues that have been discussed throughout human history. Scientists, who discovered that managing emotions has an important role in the success of people in personal and business life, developed the concept of 'emotional intelligence' and added emotional intelligence; they defined emotions as an ability to understand and to deal with emotions. This research was conducted to evaluate the relationship between the emotional intelligence of mothers and their motherhood role. Materials and Methods: 211 women who applied to the University Hospital Maternity Service and outpatient clinics were interviewed using "Personal Information Form", " Schutte Self-Report Emotional Intelligence Test” (SSEIT) and "Semantic Difference Scale-I as Mother". Results: The average age of women was 35.7 ± 8.9. 47.9% had undergraduate and above education, 62.1% were employed and 85.8% had social security coverage. A significant correlation was found between the Schutte Self-Report Emotional Intelligence Test Scale (144.14 ± 18.122) and the Semantic Difference Scale-I as Mother scale (61.53 ± 9.100) scores (p
Cerrahi Tedavi Uygulanan Glioblastomlu Hastalarda Prognostik Faktörler ve Peritümöral Ödemin Sağ Kalım Üzerine Etkisi
Authors: TAHTA Alican
Published: September 2021

Amaç: Cerrahi rezeksiyon sonrasında radyoterapi ve eş zamanlı kemoterapi uygulanan glioblastomlu hastaların genel özellikleri, sağ kalım süreleri, buna etki eden faktörleri ve peritümöral ödemin sağ kalıma etkisi geriye doğru incelenerek sonuçlar literatürle karşılaştırılmıştır.

Hastalar ve Yöntem: Bu çalışmada Mayıs 2014-Kasım 2020 tarihleri arasında cerrahi rezeksiyon uygulanan ve histopatolojik tanısı WHO klasifikasyonuna göre glioblastom olan 69 hasta dahil edilmiştir. Çalışmaya 18 yaş üzerinde, takip süresi 2 aydan uzun olan ve radyoterapi ile eş zamanlı temozolomid tedavisi uygulanan hastalar dahil edilmiştir. Bilateral özellik gösteren, beyin sapı, talamus, infratentorial yerleşimli kitlesi olan hastalar ve sadece biyopsi yapılan hastalar dahil edilmemiştir.

Bulgular: Yaş (p=0,015) ve rezeksiyon miktarının (p=0,044) glioblastomlu hastalarda prognostik faktör olduğu ortaya konmuştur. Tanı anındaki peritümöral beyin ödemi, cinsiyet, kitlenin yerleştiği taraf ve tümör boyutu prognostik faktör olarak bulunmamıştır.

Sonuç: Glioblastom tanılı hastalarda PBÖ, kitlenin total olarak çıkarılmasını zorlaştırmaktadır. Fakat, PBÖ’nün glioblastom tanılı hastalarda prognostik bir faktör olmadığı belirlenmiştir.
Koronavirüs Hastalığı 2019 (COVID-19) Pandemisi Sırasında Diş Hekimine Başvuran Hastalarda Bilgi ve Endişe Düzeyinin Değerlendirilmesi: Anket Çalışması
Authors: GEDUK Gediz , SAĞLAM Gaye , BİLTEKİN Hatice
Published: September 2021

Amaç: Korona Virus Hastalığı 2019 (COVID-19), Dünya Sağlık Örgütü (DSÖ) tarafından, tüm dünyadaki insanları etkileyen küresel bir halk sağlığı acil durumu olarak ilan edildi. Bu çalışmanın amacı, COVID-19 salgını sırasında diş hekimine başvuran hastaların COVID-19 hakkında bilgi ve endişelerini değerlendirmektir.

Gereç ve Yöntemler: Temmuz-Ekim 2020 tarihleri arasında Zonguldak Bülent Ecevit Üniversitesi Diş Hekimliği fakültesine başvuran 400 hastaya, COVID-19 salgını ile ilgili anket yapıldı. Elde edilen verilerin istatistiksel anlamlılık farkını analiz etmek için ki-karetesti kullanıldı. P
Tinea Corporis Caused by Trichophyton Benhamiae Transmitted by a Dog: First Case Report in Portugal
Authors: Tavares-Bello Ermelindo , Sabino Raquel , Simões Helena , Veríssimo Cristina , Ussene Esperança
Published: September 2021

Dermatophytoses are superficial and contagious infections caused by dermatophyte fungi. They are the most frequent infectious dermatosis in clinical practice, and can affect the skin, hair and nails. Its correct diagnosis allows the understanding of clinical, ecological and epidemiological aspects associated with these microorganisms. Clinical presentation is variable and depends on the habitat (human, animal or soil origin), virulence of the fungus and on thehost’s immune status.We report the clinical case of a 62-year-old man with tinea corporis, which stands out for its exuberant clinical presentation and by the isolated agent, Trichophyton benhamiae (formerly known as Arthroderma benhamiae), an etiological agent of dermatophytosis that has not been scientifically reported in Portugal yet.
Tumor Fibroso Solitário do Canal Auditivo Externo: Uma Entidade Rara
Authors: Bento Margarida Lagarto , Pimentel João Cabral , Sousa José Pinto , Gonçalves Manuela Maia , Barros Ezequiel
Published: September 2021

O tumor fibroso solitário (TFS) é um tumor benigno raro de células fusiformes de natureza mesenquimatosa que geralmente ocorre na pleura, mas pode existir noutras localizações, nomeadamente na região da cabeça e pescoço, podendo envolver a órbita, a cavidade oral e os seios perinasais. Na literatura apenas existem três casos reportados de TFS do canal auditivo externo. Descreve-se o quarto caso e realiza-se uma revisão da literatura. Uma doente de 27 anos apresentou-se com uma neoformação na parede posterior do canal auditivo externo, condicionando hipoacusia de condução de grau ligeiro e episódios de otorreia. O estudo imagiológico revelou margens regulares e ausência de invasão dos tecidos adjacentes. Foi realizada a excisão cirúrgica completa da lesão. Histologicamente era composta por células fusiformes, com áreas de hipo e hipercelularidade, tendo a análise revelado positividade para CD34, vimentina, CD99, BCL2 e STAT-6. Aos seis meses de seguimento, não apresentava sinais de recidiva.
Stress Parental Durante o Estado de Emergência
Authors: Gonçalves Patrícia A.
Published: September 2021

INTRODUÇÃO: O stress parental surge quando as exigências do papel dos pais são percecionadas como algo que ultrapassa as suas capacidades ou recursos. A pandemia por COVID-19 trouxe muitos desafios à gestão familiar, pelo que se pretendeu caracterizar o nível de stress parental durante o período de estado de emergência que vigorou de 19 de março a 2 de maio de 2020, em Portugal. MATERIAL E MÉTODOS: Estudo descritivo transversal. Amostra de conveniência constituída por 77 agregados familiares de crianças e adolescentes acompanhados em consulta da saúde infantil, por pediatra. Foi enviado um link para o endereço de correio eletrónico disponível no ficheiro clínico, para preenchimento de um questionário sociodemográfico e da Escala de Stress Parental, validada para a população portuguesa, que classifica o stress parental em baixo, intermédio e elevado.RESULTADOS: De 137 emails enviados, foram obtidas 75 respostas válidas, 70 das quais dadas por mães. As respostas dos pais foram excluídas da análise estatística inferencial, pelo número reduzido. O nível médio de stress parental da amostra classificou-se como baixo. Nove respondentes (todas mães), apresentaram stress intermédio. Foram encontradas diferenças estatisticamente significativas, com um nível de stress materno mais elevado, quando no agregado existiam dois ou mais filhos, quando um dos pais era profissional de saúde e quando os filhos brincavam na rua.CONCLUSÃO: Apesar de ter sido encontrado um nível médio de stress baixo, alguns grupos mostraram valores de stress parental significativamente mais elevados, com potenciais consequências para o funcionamento familiar e desenvolvimento dos filhos, que importa prevenir.
Tuberculose Pulmonar: O Desafio do Diagnóstico na Gravidez
Authors: Silva Rita , Tavares Madalena , Melo Marta , Ribeiro Andreia , Ambrósio Paula , Tapadinhas Paula
Published: September 2021

A tuberculose é uma doença infecciosa cuja prevalência tem vindo a diminuir significativamente em Portugal. Dos doentes infetados, apenas 10% desenvolverão a doença, sendo este risco superior em populações imunocomprometidas. Os autores descrevem um caso de uma grávida, previamente saudável e sem contexto epidemiológico, cujo diagnóstico de tuberculose foi estabelecido às 32 semanas de gestação, após ter iniciado um quadro clínico inespecífico. A confirmação diagnóstica e a instituição da terapêutica anti-bacilar foram céleres permitindo um desfecho materno-fetal favorável. O parto decorreu às 36 semanas sem intercorrências. O recém-nascido iniciou de imediato quimioprofilaxia que manteve até confirmação de ausência de doença. A mãe manteve seguimento em consulta de Pneumologia no Centro de Doenças Pneumológico, com boa evolução clínica, radiológica e laboratorial, tendo tido alta sem doença ativa. A abordagem de uma grávida com suspeita de tuberculose deverá seguir a marcha diagnóstica habitual, nomeadamente com os exames imagiológicos necessários e com a instituição da terapêutica o mais precocemente possível.
Consultas por Telefone em Medicina Geral e Familiar: Revisão Baseada na Evidência
Authors: Lobo Cardoso Raquel , Rodrigues Pacheco Diana , Fróis Ana Teresa , Freitas Sampaio Ângela , Garcia Fonseca Helena
Published: September 2021

As vantagens da telemedicina incluem observação, diagnóstico, tratamento e monitorização do utente à distância. Devido à pandemia por COVID-19, o recurso à teleconsulta aumentou, pretendendo evitar deslocações desnecessárias e contágios. Com este trabalho, procurou-se avaliar a evidência existente sobre teleconsulta em outcomes de saúde na população seguida nos Cuidados de Saúde Primários e/ou que os procura para resolução de doença aguda, através de uma pesquisa sistemática nas bases de dados de medicina baseada na evidência de estudos que analisem a teleconsulta nos Cuidados de Saúde Primários. Foram incluídas duas revisões sistemáticas. A primeira demonstrou que as consultas telefónicas são uma opção apropriada em determinadas situações, reduzindo a carga de trabalho na prática clínica. A segunda revelou que as intervenções de telemedicina são eficazes e custo-efetivas. Tendo em consideração o limitado número de estudos sobre o tema e o facto de apresentarem limitações, atribuiu-se uma força de recomendação SORT B.
Síndrome de Hamman: Um Diagnóstico Diferencial de Dor Torácica
Authors: Montezinho Sara , Cunha João , Sarmento Gonçalo
Published: September 2021

O pneumomediastino espontâneo (também designado de síndrome de Hamman), é uma entidade rara, que resulta da rotura espontânea de alvéolos devido a um aumento rápido da pressão intratorácica. Pode ocorrer também na ausência de uma causa clara de aumento da pressão intratorácica, como tosse, exercício intenso ou vómito.
Quérion em Idade Adulta: Uma Complicação Rara e Severa da Tinea Capitis
Authors: Silva Natércia , Marques Daniela , Pereira Olga
Published: September 2021

A tinea capitis é uma infeção fúngica do couro cabeludo que ocorre maioritariamente em crianças podendo, em casos raros, progredir para uma complicação severa designada quérion. Este último, manifesta-se mais comummente entre os 5 e os 10 anos de idade e resulta de uma resposta imunológica intensa à infeção, caracterizada pelo desenvolvimento de uma placa inflamatória com pústulas, crostas e, por vezes, supuração. No presente artigo, descreve-se o caso de uma mulher de 72 anos com história de lesão inflamatória dolorosa e pruriginosa no couro cabeludo, com várias semanas de evolução e refratária a múltiplos tratamentos com diferentes antibióticos. Após observação por Dermatovenereologia foi feito o diagnóstico de quérion, tendo iniciado tratamento dirigido com melhoria franca da lesão e sintomatologia associada. Retrata-se, assim, uma apresentação incomum e grave da tinea capitis, particularmente quando considerada a faixa etária da doente.