bluuebunny/crossref_metadata_2025 huggingface dataset:
LA CONCILIACIÓN EN EL NUEVO MODELO DE JUSTICIA LABORAL
Authors: Domínguez Zazueta Victor
Published: March 2022

Desde el surgimiento de la legislación laboral en nuestro país, la conciliación siempre ha estado presente, sin embargo, a pesar de la existencia histórica de esta figura, como medio de solución del conflicto laboral, los tribunales encargados de la impartición de la justicia, en esta materia, se caracterizarán, por un gran cúmulo de expedientes; lo que origina, que los tramites en estas instancias transcurran con mucha lentitud, contrario al derecho que tenemos los ciudadanos en el sentido de que se nos administre justicia en forma expedita, y dentro de los plazos y términos que fijen las leyes, establecido en el artículo 17 de nuestra carta magna.
¿A qué obedece que la conciliación como medio alternativo, para resolver las controversias que se susciten, en las relaciones obrero patronales haya fracasado?
¿Sera acaso que los intereses entre estas dos clases sociales, son irreconciliables?
El poco apoyo, en la infraestructura, personal, etc. que el estado les ha otorgado a las Juntas de Conciliación y Arbitraje ha sido un factor determinante, que ha provocado el tortuguismo en la tramitación de los juicios laborales.  
En México a partir de las reformas al artículo 123 Constitucional, publicada el 24 de febrero del 2017 y posteriormente con la reforma a su ley reglamentaria, la Ley Federal del Trabajo el 01 de mayo del 2019, se inició una nueva etapa, en tratándose de la impartición de justicia laboral; desempeñando la conciliación un papel protagónico; Pues de entrada ya no forma parte del procedimiento laboral, contemplándose el procedimiento de conciliación prejudicial, mismo que deberá llevarse a cabo obligatoriamente, antes de iniciar el juicio, sin que las partes estén obligadas a conciliar, si no solo a acudir al proceso; Creándose para tal efecto los centros de conciliación, en materia local, y en materia federal, los centros federales de conciliación y registro laboral.
            Esta decisión en favor de una opción conciliatoria es fundamental, esperemos funcione y por fin tengamos en los Tribunales el menor número de juicios posibles, que permita que los procesos sean agiles; Pues justicia que no es pronta y expedita no es justicia.
Peran Technological Pedagogical Content Knowledge dalam Memenuhi Kebutuhan Belajar Siswa SD
Authors: Hapkh Watulingas Keren , Cendana Wiputra , Kartika Araini Tia
Published: March 2022

Pada saat melakukan observasi di salah satu sekolah, ditemukan bahwa model pembelajaran daring memberi dampak yang cendurung buruk bagi perkembangan pembelajaran peserta didik. Siswa tidak menunjukkan keterlibatannya secara aktif dalam pembelajaran. Maka, diperlukan kemampuan guru dalam membuat dan menggunakan desain pembelajaran yang tepat pada pelaksanaan pembelajaran daring di sekolah dasar. Tujuan penulisan adalah menelaah sebuah model desain pembelajaran daring berdasarkan teori perkembangan kognitif, motivasi, interaksi sosial, moral, spiritual dan iman dan teori belajar yaitu model desain pembelajaran TPCK. Metode penelitian yang digunakan adalah kualitatif deskriptif. Berdasarkan pembahasan, karakteristik guru yang menerapkan model desain pembelajaran TPCK secara umum mampu memenuhi kebutuhan siswa sekolah dasar dalam pembelajaran daring. Meskipun demikian, perlu ditambah untuk memenuhi secara eksplisit karakteristik siswa yang belum diakomodasi, seperti kebutuhan moral dalam memperoleh standar konsekuensi yang jelas dan membangun hubungan siswa dengan guru. Dapat disimpulkan bahwa model desain pembelajaran TPCK dapat digunakan dalam pembelajaran daring untuk memenuhi kebutuhan siswa sekolah dasar dalam perkembangan kognitif, psikososial, dan moral. Namun, ditambahkan untuk secara nyata memenuhi kebutuhan moral siswa.
Features of the project office work of the Ministry of digital development, innovations and aerospace industry of the Republic of Kazakhstan
Authors: Kartov A. Ye. , Zholdybayev Ye. S.
Published: March 2022

The project management system is being implemented in the activities of the state bodies of Kazakhstan. The methodological part consists in the development and approval of standard regulations and rules for project management. The organizational part of the project management system is determined by the work of the project office of state bodies, and information support is determined by the work of a unified information system. The purpose of the article was to analyze the work of the project management system, namely, the activities of the project office of the Ministry of Digital Development, Innovations and Aerospace Industry of the Republic of Kazakhstan (hereinafter – МDDIAI).As a result of this analysis,some shortcomings and gaps were identified, which are systematic and negatively affect the result of the project office. The authors of this study made and substantiated conclusions that show the real procedure for interaction of the МDDIAI project office with the national project office and other state bodies. In many ways, the problems of МDDIAI in the field of project management are of a similar nature for other state bodies. One of the main problems is the incomplete formation of project offices and the complexity of the perception of project management ideas by ordinary civil servants. Difficulties in the work of the МDDIAI project office may be relevant for other central and local state bodies, which will help to revise the current state policy in terms of project management implementation. The following research methods were used: document analysis, case studies, deduction, generalization and concretization.
Conditions and prerequisites for the development of network forms of innovative entrepreneurship in Kazakhstan
Authors: Talimova L. A. , Taubayev А. А. , Kernebaev A. S. , Jakupova D. Y.
Published: March 2022

The purpose of this study is to theoretically substantiate the need for the development in Kazakhstan of such network forms of innovative entrepreneurship organization as research firms. In the study, general and particular methods of economic research were used: the method of comparison and generalization, the method of expert assessments based on the analysis and synthesis of world experience in the development of innovative entrepreneurship, in particular through the development of network interaction of key participants in the scientific and innovative process. A research firm is a form of innovative entrepreneurship organization, primarily focused on the initiation, development and maintenance of new knowledge production processes, through the implementation of the main stages of research and development of prototypes, followed by a stage of practical application and introduction of new knowledge in the form of innovation. The research firm interprets and qualifies the disciplinary diversity of the experience of its employees and their competencies as a potential opportunity and asset for creative activity in the production and application of knowledge. The research firm is interested in creating networks with universities and other research institutes, driven by the desire to gain access to fundamental university research and their further transformation into an entrepreneurial asset. Thus, in accordance with world practice, one of the main directions of development of research firms in the modern economy is effective cooperation with academic research institutes and universities, which is not practiced at all in Kazakhstan. Therefore, it is within the framework of the functioning of research firms that the conflicting commercial and scientific interests of the main participants in scientific and innovative activities, including universities and research institutes, can be maximally harmonized.
Problems of material incentives for the labor of university teachers
Authors: Shakual Sh. Sh. , Zakirova D. I.
Published: March 2022

This article aims to study the problems of material incentives for labor in education in the general motivation system of Kazakhstani universities’ teaching staff. In current conditions, when there is simultaneously an increase in demand for higher education and a decrease in the social status and prestige of a teacher, the improvement of organizational and economic mechanisms for stimulating the work of the teaching staff should come to the fore. The article analyzes the level of wages in the education system, which for a long time lags behind the average level of wages in the country’s economy. This fact significantly undermines the incentives to work in the field of education, which, in turn, determines the quality of education. The limitations of the existing system of material incentives for the work of the teaching staff in modern universities are revealed. The necessity of managing labor motivation based on various types of incentives for teachers to achieve higher and better results of labor activity is shown. The study used secondary statistical data from official sources and traditional methods: graphical, system analysis and synthesis, the method of scientific observation, comparison, etc.
"Generation of calculated random questions with moodle, to evaluate the topic: interest (i), in a first course of financial mathematics”
Authors: Viteri Victor Vicente Valle , Benavides Jonathan Patricio Cardenas , Hoyos Carlos Wladimir Mora
Published: March 2022

El tema de la generación de preguntas aleatorias para la evaluación automática de los conocimientos en cualquier tema del área de la Matemática Financiera, sería de importancia, no solamente para aliviar la carga del docente que imparte estos temas, sino también para que los alumnos acepten el hecho de que serán evaluados de manera personalizada, semejante, justa y de entre un determinado conjunto de ejercicios que establezca el docente por considerarlos pertinentes para el tiempo y lugar de los alumnos.

La herramienta de gestión de los aprendizajes (LMS) con la que cuento en la Institución de Educación Superior en la que presto mis servicios como docente es el Moodle. Este artículo lo vamos a centrar en el proceso de creación de este tipo de preguntas. Se habla mucho de las facilidades que presta un LMS como Moodle para crear, gestionar y mantener la presencia virtual de un curso. Así uno no vaya más allá de un uso elemental esto es cierto, y dejemos en claro que así se implemente de la manera más elemental un curso, los resultados son satisfactorios. Por la falta de información, una fase tan importante y crítica dentro del proceso educativo, como la evaluación, queda reducida a pocas opciones (siendo muy popular la elección múltiple). En este artículo vamos a compartir con la audiencia la experiencia que hemos obtenido en la creación de preguntas del tipo “calculada” para generar problemas acerca del cálculo del interés en un curso de Matemática Financiera.
İkinci Trimester Nukal Fold Kalınlık Artışı Saptanan Gebeliklerin Sonuçları
Authors: SÜT Hasan , ŞEKER Erdal , UMİT Coskun , KOÇAR Mustafa , ÖZKAVUKCU Esra , KOÇ Acar
Published: March 2022

Amaç: İkinci trimesterde nukal fold (NF) kalınlık artışı saptanan fetüslerin antenatal ve doğum sonrası sonuçlarını ortaya çıkartmak.

Gereç ve Yöntem: Ocak 2014- Ocak 2021 yılları arasında ayrıntılı ultrasonografi için başvuran gebelerden NF kalınlığı saptanan 45 gebe çalışmaya alındı. NF kalınlık artışı saptanan tüm gebelere amniyosentez (A/S) önerildi. A/S’yi kabul etmeyen gebelerin bebeklerinde doğum sonrası anormal bulgu saptanması durumunda genetik test istendi. Ayrıca NF kalınlık artışı saptanan gebelere fetal ekokardiyografi dahil olmak üzere ayrıntılı ultrasonografi yapıldı. Antenatal ve doğum sonrası eşlik eden yüz anomalileri, kardiyovasküler, kraniyal, gastrointestinal, genitoüriner ve iskelet sistemi patolojiler kaydedildi.

Bulgular: NF kalınlık artışı saptanan 45 hastadan 13’ üne antenatal genetik test (9 A/S, 4 koriyon villus örneklenmesi (CVS)) yapıldı. Üç hastada antenatal, üç hastada postnatal olmak üzere 6 (%13,3) hastada genetik anormallik saptandı. Bu fetüslerden %6,6’sında Trizomi 21 (n:3, biri mozaizm), %2,2’sinde (n:1) ring 18 kromozom saptandı. Ayrıca bir Noonan Sendromu ve bir Genito-pateller Sendromlu hastaya postnatal tanı konuldu.

Fetüslerden %28’ sinde izole NF kalınlığı saptandı. Bu fetüslerde kromozomal ve yapısal anomali saptanmadı. Gebelerin %30’unda (14/45) kardiyovasküler sistem anomalisi, %20’ sinde (9/45) yüz anomalisi, %18’inde (8/45) genitoüriner sistem, %13’inde (6/45) kraniyal, %11’inde (5/45) ekstremite anomalisi saptandı.

Sonuç: Nukal fold kalınlık artışı saptanan gebelere ayrıntılı ultrasonografı yapılmalı ve genetik inceleme önerilmelidir. Eşlik eden ultrasonografik bulgu saptanması durumunda kromozomal anomali ihtimali artmaktadır. Ancak izole NF kalınlık artışı saptanması durumunda kromozomal anomali riski düşüktür. Ayrıca genetik inceleme sonucu kromozomal anomali saptanmasa bile, hastalar postnatal dönemde olası kardiyak, kraniyal, genitoüriner ve iskelet sistemi patolojileri açısından bilgilendirilmelidir.
Identifying high-risk hospitalised chronic kidney disease patient using electronic health records for serious illness conversation
Authors: Yeoh Lee Ying , Seow Ying Ying , Tan Hui Cheng
Published: March 2022

Introduction: This study aimed to identify risk factors that are associated with increased mortality that could prompt a serious illness conversation (SIC) among patients with chronic kidney disease (CKD). Methods: The electronic health records of adult CKD patients admitted between August 2018 and February 2020 were retrospectively reviewed to identify CKD patients with >1 hospitalisation and length of hospital stay ≥4 days. Outcome measures were mortality and the duration of hospitalisation. We also assessed the utility of the Cohen’s model to predict 6-month mortality among CKD patients. Results: A total of 442 patients (mean age 68.6 years) with median follow-up of 15.3 months were identified. The mean (standard deviation) Charlson Comorbidity Index [CCI] was 6.8±2.0 with 48.4% on chronic dialysis. The overall mortality rate until August 2020 was 36.7%. Mortality was associated with age (hazard ratio [HR] 1.51, 95% confidence interval [CI] 1.29–1.77), CCI≥7 (1.58, 1.08–2.30), lower serum albumin (1.09, 1.06–1.11), readmission within 30-day (1.96, 1.43–2.68) and CKD non-dialysis (1.52, 1.04–2.17). Subgroup analysis of the patients within first 6-month from index admission revealed longer hospitalisation stay for those who died (CKD-non dialysis: 5.5; CKD-dialysis: 8.0 versus 4 days for those survived, P<0.001). The Cohen's model demonstrated reasonable predictive ability to discriminate 6-month mortality (area under the curve 0.81, 95% CI 0.75–0.87). Only 24 (5.4%) CKD patients completed advanced care planning. Conclusion: CCI, serum albumin and recent hospital readmission could identify CKD patients at higher risk of mortality who could benefit from a serious illness conve rsation. Keyword: Charlson comorbidity index, chronic kidney disease, dialysis, hospitalisation, mortality
A retrospective, observational study: early versus late favipiravir in COVID-19 pneumonia
Authors: AYYILDIZ Ayşe , ÇOBANER Nurdan , ERBEN Nurettin , YELKEN Birgül
Published: March 2022

Aim: Positive results have been reported regarding the early use of favipiravir,a RNA-dependent RNA polymerase inhibitor,in the COVID-19 pandemic. In our study, we aimed to understand the potential role of favipiravir in controlling COVID-19 pneumonia and sepsis by comparing the early use of favipiravir with the late using.

Material and Method: Treatments are carried out in line with the guidelines constantly updated by the Ministry of Health in Turkey. Following the guide published on April 14,2020,we examined 18 patients who received favipiravir as the last treatment option in the late period and 17 patients who received favipiravir in the early period in two different groups.We recorded the demographic characteristics,comorbidities,APACHE-II scores,consecutive SOFA scores and mortality status of the patients in both groups.

Results: The difference between groups in terms of gender and age was not statistically significant.The difference between groups in terms of APACHE-II score was statistically significant.(p=0.018)The late group also had higher APACHE-II scores.The difference between groups in terms of exitus was not statistically significant but lower in the group using favipiravir early.

Conclusion: In studies with a limited number of patients, favipiravir has been shown to have a significant advantage over lopinavir/ritonavir in viral clearance as well as a significant reduction in viral load when used in the early period.Similarly,in our study,patients who used favipiravir in the late period came to us more seriously and the mortality rate was higher. We think that favipiravir had a significant effect even in studies with a small number of patients, and larger studies are needed in this area.
Sağlık bakımı ilişkili enfeksiyonlarda Staphylococcus aureus dağılımının irdelenmesi: 6 yıllık deneyim
Authors: KAYA KILIÇ Esra , DEMİRCAN Şerife Altun , KINIKLI Sami , CESUR Salih , BÜYÜKDEMİRCİ Ayşe , ATAMAN HATİPOGLU Cigdem , ERDİNÇ Şebnem , TUNCER ERTEM Gunay , YÜCEL Mihriban
Published: March 2022

Amaç: Staphylococcus aureus (S. aureus) morbidite ve mortalitesi yüksek toplum kaynaklı ve sağlık bakım ilişkili enfeksiyonlara neden olmaktadır. En sık izole edildiği enfeksiyonlar; yara yeri enfeksiyonları, üriner sistem enfeksiyonları, pnömoni, septik artrit, osteomyelit ve sepsistir. Metisiline dirençli S. aureus (MRSA) ilk olarak 1960’larda tanımlanmış olup ve 1980’lerde hastanelerde önemli bir etken haline gelmiştir. Özellikle hastanede yatan hastalarda, sağlık hizmeti kaynaklı enfeksiyonlarda metisiline dirençli S. aureus önemli bir etkendir. Bu çalışmada, sağlık bakım ilişkili S. aureus enfeksiyonlarının ve MRSA izolatlarının altı yıllık dönemde, yıllara göre dağılımı irdelenmiştir. Bu veriler ışığında enfeksiyon kontrol önlemlerine ve akılcı antibiyotik kullanımına uyumun değerlendirilmesi amaçlanmıştır.

Gereç ve Yöntem: Ocak 2016-Aralık 2021 tarihleri arasında bir üçüncü basamak hastanede yatırılarak izlenen, sağlık bakım ilişkili enfeksiyon tanısı konulan hastalardan izole edilen S. aureus suşlarına ilişkin verilere Enfeksiyon Kontrol Komitesi kayıtlarından ulaşıldı. Altı yıllık dönemde 201 adet S. aureus suşlarının neden olduğu sağlık bakımı ile ilişkili enfeksiyon tanısı konuldu. Sağlık bakımı ile ilişkili S. aureus enfeksiyonlarının tutulum yaptığı organ ve sistemlere göre dağılımları, görüldüğü kliniklere (yoğun bakım ünitesi–servis) ve yıllara göre dağılımları değerlendirildi.

Bulgular: Sağlık bakımı ilişkili genel enfeksiyon etkenlerinin yıllara göre dağılımı incelendiğinde; 2016 yılında %1,29 olan oranının yıllar içinde artarak %6,41’e çıktığı saptandı. Servislerde yatırılarak izlenen hastalarda 2020 yılına kadar kümülatif bir artış olduğu izlendi, oranlar yıllara göre sırasıyla; %5, %3,8, %20,3, %25,3, %34,69 ve %17,1 şeklinde saptandı. Yoğun bakım ünitelerindeki (YBÜ) dağılım ise yıllara göre sırasıyla; %3,9, %10,3, %11,9, %19,4, %20 ve %23,5 olarak saptandı. YBÜ’de izlenen sağlık bakım ilişkili S. aureus enfeksiyonlarının yıllar içindeki artışı, servislerde izlenen artışa göre istatistiksel olarak anlamlı saptandı (p0,05).

Sonuç: Toplam 6 yıllık dönemde S. aureus’un etken olduğu sağlık bakımı ilişkili enfeksiyon oranlarında yaklaşık beş kat artış saptanmıştır. Ancak, bu artışın MRSA oranlarındaki artış ile korelasyon göstermediği belirlendi. El hijyeni eğitimleri, standart enfeksiyon kontrol önlemlerine uyumun artırılması ve akılcı antibiyotik kullanımda iyileştirme sağlanarak bu artışın önüne geçilebileceğini düşünmekteyiz.
Ankilozan spondilit tanılı sulfasalazin ve biyolojik ajan kullanan hastaların COVID-19 enfeksiyonuna bağlı akciğer tutulumlarının karşılaştırılması
Authors: DOĞAN Murat , KOCAGÜL ÇELİKBAŞ Aysel , BAYKAM Nurcan , DOĞAN Ayşe Gülşen , YAPAR Derya
Published: March 2022

Amaç: Bu çalışmanın amacı, ankilozan spondilit tanılı sülfasalazin ve biyolojik ilaç kullanan hastalarda SARS CoV-2 faktörünün neden olduğu akciğer tutulumunu incelemek.

Gereç ve Yöntem: COVID-19 geçirmiş RT-PCR pozitif AS tanısı olan ve en az bir yıldır hastanemizde takibi olan hastaların dosya sistemleri retrospektif olarak gözden geçirildi. AS tanısı alan hastalar sülfasalazin ve biyolojik ajan kullananlar olarak iki gruba ayrıldı. Hastaların toraks bilgisayarlı tomografi (BT) sonuçları hafif, orta, şiddetli, iki taraflı ve tek taraflı olarak ayrıldı. Veriler ayrıca hasta ve kontrol grupları arasında karşılaştırıldı.

Bulgular: Çalışmaya alınan 58 hastanın 26’sı biyolojik ajan, 32’si sülfasalazin alıyordu. DMARD kullanan hastalardan 17’si adalimumab, 4’ü etanercept, 2’si golimumab, 2’si sertolizumab ve 1’i infliximab kullanıyordu. AS grubundaki 13 hastada toraks bilgisayarlı tomografisinde SARS CoV-2 nedeniyle akciğer tutulumu vardı. 9’u erkek, 4’ü kadın olan hastaların COVID-19 nedeniyle hastaneye yatırıldığı görüldü. 10 hastada her iki akciğerde de COVID-19’a bağlı tutulum saptandı.

Sonuç: otoimmün ve inflamatuar romatizmal hastalıklarda kullanılan immünomodülatör tedavilerin COVID-19 seyrini olumlu ya da olumsuz etkileyeceği henüz bilinmemektedir. Bizim çalışmamızda sulfasalazin ve biyolojik ajan kullanan AS tanılı hastalarda COVID-19 hafif semptomlarla seyretmiştir.
A Web Grounded Check on Impact of Inordinate Operation of Electronic Gadgets on the Mental, Social and Physical Exertion of College Scholars
Authors: Varghese Sandhya , Shaji Dr.Neethu M , Joshi Dr.Hanumanthajar
Published: March 2022

In the present period the preface of ultramodern technological gadgets has captured the attention of global population. The reliance of people on these technological Gadgets and services handed by these has reached at similar position that, without these, they can’t suppose a step forward in the direction of their growth. The use of electronic Gadgets, especially mobile phones among youth, has been a growing global concern. The enervating health effect of inordinate operation of Gadgets has been well established. There is an array of health issues like headache, nausea, ophthalmological problems and cerebral issues associated with contrivance use of gadgets. The study conducted in Sarada Vilas Educational institutions included 150 participants conforming of 96 females and 54males. Data was collected using a semi-structured questionnaire through Google forms from council scholars. This study is generally aimed at relating the extent of dependence affecting mental health (quality of sleep, depression, anxiety and stress) among council scholars. The outgrowth of this study is anticipated to contribute to various parties especially teenagers and parents in relating the rudiments that can lead to internal health and also serves as a companion in helping this group reduce their reliance on this contrivance. By understanding the goods of contrivance use, it would be possible to produce interventions and suggest ways to manage the inordinate use of gadgets.
Cleft Lip and Cleft Palate: A Case Report
Authors: . G Varshini , M Pratibha. , Prabha. G Ramya Bala , T Rama Rao.
Published: March 2022

It is also known as orofacial cleft. The program on immunisation recommends that children receive Bacillus Calmette-Guerin (BCG) and Oral Polio Vaccine (OPV) at birth time. The majority of the disorder is due to the WHO had not vaccinated their children or delayed as the major cause. Most of them are belief that cleft lip and palate are occur due to genetic and environment factors, it is very difficult to identify the disorder before birth by using ultrasonography. The aim is for CLP is to educate parents. Risk factors include are diabetes, obesity, certain medications. Hare lip is the second common birth defects affects the humans. This happens due to the incomplete formation of lip and palate during the first week of pregnancy.
Study About Alzheimer’s Disease and Their Management by Using Antioxidants
Authors: K Koteeswaran
Published: March 2022

Alzheimer is a neurodegenerative disease caused by neuronal cell death, and it is the most common type of dementia which produces progressive impairment of behavioral ad cognitive functions including memory, language, attention, judgment and reasoning. In the United States they are the sixth leading cause of death. Depend upon the stages of Alzheimer the symptoms will be exposed. It typically begins from the entorhinal cortex in the hippocampus. For increase the risk of Alzheimer Disease by Traumatic head injury, depression, cerebro vascular disease, family history of dementia and also presence of APOE e4 allele. By the report of global prevalence of dementia to be high as 24 million, and it is increased 4 times by the year 2050. In the United States estimated health care amount for Alzheimer disease is $172 billion per year. Multiple factors cause AD by genetics, environmental factors, and general lifestyles and also senile plagues and intracellular neurofibrillary tangles are the pathology of Alzheimer. In this review, I focus that stress is an important phenomenon for correlates with free radicals and antioxidant in organism that is due to an oxidative Stress imbalance between free radicals and antioxidant production of reactive oxygen and nitrogen species will be increased. That oxidative stress plays on very essential role in stimulating and activating multiple cells signaling cause lesion formation of toxic substance cause promotes to develop AD.
Association Between Bone Mineral Density and Chronic Kidney Disease: Recent Perspective
Authors: Neerudi Lavanya , Atla Keerthana , Konduri Gayathri , Vankodoth Sireesha
Published: March 2022

Mineral metabolism and bone health are both dependent on the kidney. It is not only the major site of vitamin D activation, but it is also the target organ for different regulatory hormones such as parathormone (PTH) and fibroblast growth factor-23 (FGF-23). Chronic kidney disease (CKD) is a global health issue that affects 5–10% of the global population. Vascular dedifferentiation/calcification, osteodystrophy, loss of klotho, and high FGF23 production are all symptoms of CKD-MBD, and research into its cause is continuing. The key parameters used in standard CKD-MBD diagnosis are biochemical (calcium, phosphorus, parathyroid hormone, alkaline phosphate) radiographic (X ray, MRI scan, CT, DEXA) and bone biopsy with subsequent pathological examination. Screening for calcium, phosphorus, alkaline phosphatase (ALP), and PTH, according to KDIGO criteria, is strongly recommended. The hallmarks of CKD-MBD treatment are the correction of hyperphosphatemia, hypocalcemia, and maintaining a sufficient calcitriol concentration.
A Review on Phytochemical and Pharmacological Activity of Cordia sebestena
Authors: M Nisha. , N Chandru. , P Pradeep. , P Selvarasu. , M Surendra kumar. , S.T Latha , N Astalakshmi.
Published: March 2022

Cordia sebestena Lin is an understudied medicinal plant which belongs to the family Boraginaceae is commonly named as Geiger tree. It is used for the treatment of various disorders. We explored the chemical composition of Cordia sebestena plant and the conducted review is based on the physiochemical, pharmacognostical and phytochemical standards could be helpful for the identification, authentication, standardisation and preparation of monograph for Cordia sebestena. Microscopic, macroscopic and physiochemical evaluation of the plant was done using the standardised procedures. The thin layer chromatography was performed with the use of different mobile phase for the identification of drugs. The main aim of this review is to provide the in-depth knowledge of Cordia sebestena plant such as the phytochemical evaluation, pharmacognostical evaluation and the medicinal value of the plants given may helpful to the further researchers.
RELEVANCE OF INTERACTIVE MARKETING PRACTICES FOR ENHANCING MARKET PERFORMANCE: THE CASE OF SOFT DRINK MANUFACTURING ENTERPRISES IN KIGALI CITY
Authors: Nimusima Pereez , Kamukama Nixon , Kalibwani Rebecca , Rwakihembo John
Published: March 2022

Purpose: The digital environment today has presented a great challenge for companies, locally and internationally on how they can leverage interactive marketing practices to maintain a warm relationship with their clients. The endless shifts in the customer journey map have made it, not only hard to manage customer experience, but also become more unpredictable. In due course, the imperative of complying with technology forces, to leverage customer patronage has put marketers to the task. The objective of the study was to establish the effect of interactive marketing practices on market performance of soft drink enterprises in Kigali City.

Methodology: The study implemented a two-phase methodology that converged quantitative and qualitative methods to collect data. Simple random sampling technique was used to select 322 enterprises producing soft drinks in Kigali City which were later investigated using a self-report questionnaire and interview guide. To reduce the effect of the methods, the study collected evidence from both primary and secondary sources. Based on the response rate of 78%, the study carried out a validity and reliability check on 253 responses and used Pearson correlations and AMOS for analysis.

Findings: The study established a positive and significant relationships between interactive marketing practices and market performance (r=.267, p<.01). 6.7% variations in market performance (Adjusted R Square=.067) was explained by interactive marketing practices. This finding shows that interactive marketing practices are relevant for soft drink firms in the region.

Recommendation: On the basis of confirmed relationships, the study recommends that firms disseminate their marketing information using interactive marketing practices, since they cater for individual customer information needs and have multiplier effect on their purchase behaviour. Whereas the mixed conceptual ambiguities that still exist in literature could have affected the conceptualization and therefore results, this study also merely tested direct relationships, future studies may seek to test mechanisms through which specific Interactive Marketing Practices influence performance in a none soft drink sector.
Injury mechanisms and injury severity scores as determinants of urban terrorism-related thoracoabdominal injuries
Authors: Öztürk Aykut , Şenocak Rahman , Kaymak Şahin , Hançerlioğulları Oğuz , Utku Çelik Süleyman , Zeybek Nazif
Published: March 2022

Objective: Improving the care of injuries resulting from terrorist attacks requires understanding injury mechanisms in armed conflicts. The aim of this study was to identify injury characteristics in military personnel with thoracoabdominal combat injuries resulting from terrorist attacks in urban settings.

Material and Methods: A retrospective study of military personnel with thoracoabdominal injuries who were referred to a tertiary center after treating and stabilizing at a primary healthcare organization due to terror-related injuries in various urban regions of Turkey between June 2015 and December 2016 was performed.

Results: A total of 70 patients were included in this study, of whom 87.1% were injured by explosives and 12.9% (n= 9) had gunshot wounds (GSWs). Mean injury severity score (ISS) was 21, blood transfusion amount was 3.7 units, and mortality rate was 8.5%. Patients injured by explosives had most commonly abdominal and extremity injuries (31.1%), whereas isolated abdominal injuries (55.6%) were observed among patients with GSWs. There were no significant differences between the mechanisms of injuries and the ISS, blood transfusion, and mortality (p= 0.635, p= 0.634, and p= 0.770, respectively). A significant correlation was observed between the ISS and transfusion amounts (r= 0.548, p< 0.001). Mortality was significantly higher in those with a high ISS and those undergoing massive blood transfusions (p= 0.004 and p< 0.001, respectively).

Conclusion: Explosive injuries, concomitant vascular injuries, high ISS, and the need for massive transfusions increased the mortality rate in urban combat injuries. To quickly identify high-risk patients and improve the care of injuries, it is essential to use predictive models or scoring systems.
Shoulder Dislocation Reduction by the Novel Prakash’s Method
Authors: M Waqar , I Ullah , S Kabir , Sanaullah  , M Arif khan
Published: March 2022

1. Objectives: The aim of this study is to evaluate the effectiveness of Prakash’s Method of relocation for dislocated shoulder. 1.2. Study Design: Descriptive Study. 1.3. Setting: Sports units of Hayatabad Medical Complex, Peshawar. 1.4. Method: 30patients (30 Shoulders) were recruited for study, all patients with signs symptoms of shoulder dislocation by clinical examination were subjected to anterior/ posterior shoulder radiograph. And those diagnosed with anterior shoulder dislocations were initially enrolled in the study. Reduction was performed using Prakash's method 1.5. Results: Prakash's method had success rate of 90.0% (n=27). In 10.0% (n=3) the reductions who failed were then reduced under anesthesia using the Hippocratic method. 50.0% (n=15) patients has mild pain, 36.7% (n=11) has moderate pain, and 13.3% (n=4) has severe pain during the procedure. All patients having mild and moderate pain were reduced successfully in the first attempt. 4 patients who has severe pain out of which 1 patient was reduced successfully and 3 patients were reduced by the Hippocratic method using anesthesia. The reduction time was ranging from 180-300 seconds with a mean of 216±85 seconds. no complication occurred during the procedure. 1.6. Conclusion: Prakash Method of shoulder relocation for acutely dislocated shoulder is an effective method.
Spindle Cell Leiomyosarcoma of Gluteal Muscle- A Case Report
Authors: Al Sharji Marwa , Elgohary Hazem , Abbas Yasser , Alsaadi Maimuna
Published: March 2022

44 years old male patient, presented with left gluteal swelling representing a collection, the patient had incision and drainage done followed by excision and biopsy, final histopathology report showed spindle cell leiomyosarcoma. This case report is of spindle cell sarcoma, it is a rare type of sarcomas. This patient had an atypical presentation of the tumour initially presenting as a collection mimicking gluteal abscess, initially requiring incision and drainage.
Desmoplastic Ameloblastoma: A Case-Series of Three Cases
Authors: Walker Dylan , N. James Jeffrey , B Frazier Kyle , Abdelsayed Rafik , C Jenzer Andrew
Published: March 2022

The desmoplastic ameloblastoma is an uncommon subtype of ameloblastoma. Clinical and radiographic presentation differs from other forms of ameloblastoma, and the lesion is sometimes confused with fibro-osseous lesions, making it important for clinicians to review its distinctive clinical and radiographic features. The authors in this article present three cases of desmoplastic ameloblastomas, which were treated at the Augusta University Oral and Maxillofacial Surgery clinic.
XV Y.Y. - XIX Y.Y. OSMANLI DÖNEMİ KÜTAHYA ÇİNİLERİ
Authors: KILIÇ Hadiye
Published: March 2022

Kütahya, Türk çini ve seramik sanatında önemli bir yere sahiptir. Kütahya çiniciliği her devir farklı bir seyir izlemiştir. 15. yy. ve 19. yy. arası Kütahya çiniciliğinin en önemli dönemleridir. 14. yy. sonlarında çamur ve sır yapısı ile Selçuklu dönemi karakterini yansıtmakta, 15.yy’da ise Erken Osmanlı etkisi görülmektedir. Desenlerde lacivert, mor gibi renklerin ağırlıklı kullanımı ile üretilen çinilerin yanı sıra mavi-beyaz adı verilen ve İznik Çini üretimleri ile özdeşleşen çinilerin Kütahya’da da üretilmiş olduğuna dair örnekler bulunmaktadır. 16.yy’da ise bu grup ürünlerin yanında çok renkli ve yerel kompozisyonlara sahip, günlük kullanıma yönelik seramiklerin ve süs eşyalarının yapıldığı görülmektedir. Kütahya, 16. yy. ve 17. yy. arasında saray siparişlerine yetişemeyen İznik’e yardımcı olmuş ve bu sayede ikinci bir çini merkezi haline gelmiştir. 17.yy’da daha önce kullanılan form ve desenler giderek zenginleşmiş, Kütahya’nın kendine has desen özellikleri belirginleşmiştir.

19. yy. sonuna doğru çini üretiminde durgunluk devresi yaşanmış fakat Cumhuriyet döneminden sonra gelişiminde hız kazandığı görülmüştür. Kütahya çiniciliği en başta toplumsal, teknolojik değişimler ve ihtiyaçlar doğrultusunda gelişimine yön vermiştir. Günümüzde Kütahya çiniciliği, teknik donanıma sahip, endüstriyel ağırlıklı çok sayıda atölye ve işletmelerle yaşamına devam etmekteyse de kendine has üsluplarından uzaklaşmış durumdadır.

Bu çalışmada Kütahya Çiniciliğinin önemli evreleri olan 15.yy. ve 19.yy. tarihleri arası incelenmiştir. Çiniler devirlere göre renk, desen ve kompozisyonları açısından değerlendirilmiş, ayrıca kullanılan çamur ve sır yapısı incelenmiştir. Günümüzde Kütahya çiniciliğinin son durumu hakkında bilgi verilmiş ve Kütahya Çiniciliğinin gelişmesi için yapılması gereken esaslar ele alınarak çözüm önerileri sunulmaya çalışılmıştır.
A Study of Association between Socio-Economic Factors and Overall Service Quality with Special Reference to HDFC Standard Life Insurance Co. Ltd. in Valsad City
Authors: Dr. Dhvani B. Desai
Published: March 2022

In this research paper, the effort is made to find out the association between the demographic factors and overall service quality in Valsad city. 170 respondents of HDFC Standard Life insurance co. ltd. have been considered by applying convenience sampling method. For this purpose, statistical tools such as Mean, Mann Whitney U test, and Kruskal-Wallis Test were used. From the analysis it has been concluded that there is a significant difference in the Mean Rank of overall customer satisfaction level and gender of respondents, age of respondents and income of respondents.
Expert System Approach for Online Admissions
Authors: Dr. Mrs. Madhuri Prashant Pant
Published: March 2022

In current pandemic situation online admission system is the need of the hour. This research paper first presents importance of domain of Online Admission System. It mentions in brief research work and contribution of researcher in this domain required for this research paper. Paper briefs first what is prototype system and expert system. Researcher is presenting prototype system useful for stakeholders, organizations that conduct online admissions in framing the requirements for the system, and they can also get idea of what features in the system they are going to get at what approximate cost and third party organizations which are in design and development of the system. Three point formula is used for approximate cost estimation. Expert system asks questions to the user, according to input system suggests type of online admission system along with approximate cost.
Capitalismo na Europa Medieval: a contabilidade impulsionou o genuíno espírito capitalista?
Authors: Nepomuceno Valerio , Rech Ilírio José
Published: March 2022

O propósito deste ensaio teórico é analisar se a contabilidade impulsionou, de forma genuína, a prática capitalista europeia medieval por meio do método da dupla entrada. O estudo centra-se entre os séculos XIII a XVIII, com retorno à Antiguidade. O método é dialético-historial como exame dos fatos. As inferências foram feitas a partir da tese de Sombart, cuja ideia é de que o capitalismo europeu medieval só foi possível por causa da contabilidade de dupla entrada. Em contrapartida, Yamey contesta essa posição. De outra parte, para Sanandaji, o capitalismo não nasceu na Europa medieval, mas na Antiguidade. Este ensaio detectou evidências em Guanzi, Arthaśāstra e Ciropédia, ao apontarem marcas do capitalismo no mundo antigo. Mattessich revela que, no mundo antigo, já existia o princípio da dualidade, responsável pelo registro das transações negociais daquela época. As reflexões alcançadas sugerem afirmar que a contabilidade contribuiu tanto para a prática capitalista medieval na Europa quanto para o mundo antigo. Tais evidências insinuam a ausência de um espírito europeu genuíno tanto para o método contábil quanto para o capitalismo, na medida em que os elementos, pretensamente, genuínos foram trazidos da Ásia e do Oriente, como: a aritmética comercial e as regras de escrituração contábil.
FORMAÇÃO DE MEDIADORES EM EAD PARA QUALIFICAÇÃO DO CUIDADO EM SAÚDE: UM RELATO DE EXPERIÊNCIA
Authors: Magalhães Carolina Gusmão , Martins Poliana Cardoso , Leal Lucineide da Conceição , Santos Verena Macedo , Santos Lígia Amparo da Silva
Published: March 2022

Introdução: As políticas públicas de formação para o trabalho e cuidado em saúde reconhecem a modalidade de Educação a Distância como ferramenta eficaz e democratizante do acesso à formação continuada dos profissionais de saúde. A formação de mediadores nesta modalidade envolve um vasto percurso formativo, e, em que pese ser uma formação para área da obesidade que, atualmente, figura no cenário mundial como uma grande e inexata “equação social”, grande é o desafio de fortalecer as capacidades conceituais, metodológicas e estratégicas diante deste fenômeno complexo e multifatorial. Objetivo: Relatar a experiência da Escola de Nutrição da Universidade Federal da Bahia na formação de professores-mediadores para a oferta do curso de Qualificação do Cuidado às pessoas com sobrepeso e obesidade na Atenção Básica do estado da Bahia, na modalidade EAD. Material e métodos: A metodologia de formação de mediadores e a experiência e avaliação do processo formativo, realizado em 2020, foi edificada por 08 membros da Comissão de formação e vivenciada por 09 professores-mediadores, num período de 10 meses. Os encontros semanais/quinzenais, ocorreram no Moodle/AVA, com a participação de convidados, estruturados com momento de ambientação, apresentação do tema, discussão ampliada, levantamento e sistematização dos principais pontos debatidos e apresentação de proposta de atividade e encerramento. Resultados: Inicialmente, após seleção de 10 mediadores, foi feito um levantamento sobre temas relevantes ao processo formativo e necessários para o alinhamento de concepções teóricas que fundamentam o curso. A formação aconteceu em meio à pandemia do COVID-19, totalizando 40 encontros virtuais que contemplaram temáticas muitas “caras” a qualificação do cuidado no contexto da obesidade na Atenção Básica, discutindo desde Sindemia global: obesidade, desnutrição e mudanças climáticas; vida ativa; segurança alimentar e nutricional; ativismo gordo; corpo, saúde e território; estigma da Obesidade e atuação de profissionais de Saúde; até processos de mediação no Ensino à Distância. Conclusão: Os mediadores relataram grande satisfação e aproveitamento na experiência formativa, o que qualificou a atuação pedagógica deles no curso ofertado aos profissionais de saúde na modalidade EAD. A experiência revelou que a formação prévia de professores-mediadores em cursos EAD em Saúde promoveu bons resultados na atuação teórico-metodológica diante dos educandos.
PERFIL EPIDEMIOLÓGICO DOS ÓBITOS POR COVID-19 NA MACRORREGIÃO NORTE DA BAHIA
Authors: Santos Ernandes Souza Vieira dos , Santos Jackeline Ferreira dos , Sousa Jasiely Adna Dantas , Coutinho Helder Silveira
Published: March 2022

Introdução: Diante da relevância do número de óbitos por COVID-19 e da ampla variação deste indicador entre os países e no Brasil, a medida do excesso de óbitos ocorridos num determinado período tem sido cada vez mais utilizada, por ser um ferramenta objetiva e que permite comparações para avaliar o impacto da pandemia sobre os infectados. Objetivo: Objetivou-se analisar o perfil epidemiológico dos casos de óbitos confirmados para Covid-19 na Macrorregião Norte da Bahia, no período de Março de 2020 a Setembro de 2021. Material e Métodos: Trata-se de um estudo descritivo referente ao comportamento do novo coronavírus nos 28 municípios que compõem a macrorregião da Bahia que tem como fonte de dados o e-SUS notifica. Os dados foram tabulados através do programa TabWin e Excel 2016. Resultados: No período avaliado foram confirmados 1.492 óbitos. Observou-se que o mês de Abril de 2021 apresentou o maior número de óbitos (201) desde o início da pandemia, com faixa etária mais frequente entre 70 e 79 anos (26,43%), seguida da idade entre 80 anos e mais, demonstrando uma elevação do risco de mortalidade conforme aumento da idade. O sexo masculino apresentou predominância no número de óbitos (58,48%). Os municípios de Juazeiro, Paulo Afonso e Senhor do Bonfim foram os locais mais prevalentes entre os óbitos da Macrorregião, sendo, 393, 234 e 85 casos, respectivamente. A Diabetes Mellitus e Hipertensão destacaram-se entre principais comorbidades. Conclusão: A elevada mortalidade demonstra a extensa dispersão do SARS-CoV-2 na Macrorregião Norte da Bahia e reforça o alerta para adoção de medidas de proteção e ampliação das estratégias sanitárias para mitigação e prevenção do número de óbitos por Covid-19.
EFFICIENT IN VITRO PLANTLET REGENERATION FROM COTYLEDON EXPLANTS IN SUGAR BEET (BETA VULGARIS L.)
Authors: Kabir M.H. , Mamun A.N.K. , Binte Hafiz Fatema
Published: March 2022

An efficient in vitro regeneration technique was established in sugar beet (Beta vulgaris L.) using cotyledon as explants from in vitro raised seedlings. Regarding plant growth regulators added in inoculation media showed that BA in combinations with NAA was most responsive for multiple shooting in which, 90% of shoot emergence from inoculated explants were observed with a medium containing 0.5mg/L BA+0.5mg/L NAA at 30 days of inoculation period. The highest number of shoots per explant was 7.5? 0.56 and the maximum shoot length of 6.5?0.25cmwere observed in this medium inoculation after 90 days. In vitro raised shoots rooted well when they were transferred to MS + 3.0mg/LIBA in which, 70% shoots were rooted in this medium transferring after 30 days. The maximum number of roots per shoot was 5.50?0.46 and the average root length of 5.8 ?0.62 cm were recorded inoculation after 45 days. About6 months were needed from culture initiation to plantlets establishment in natural environment and 55% plantlets were found to be acclimatized and resumed a new growth.
CHARACTERIZATION AND CLASSIFICATION OF SELECTED FLOODPLAIN SOILS FOR ARABLE CROP PRODUCTION IN ABAKALIKI SOUTHEASTERN NIGERIA
Authors: Nnabuihe Emmanuel Chinweike , Onweremadu Emmanuel Uzoma , Uzoho Bethel Ugochukwu , Aririguzo Bernadine Ngozi
Published: March 2022

The study investigated soils of Abakaliki floodplains to characterize and classify them for sustainable use and management. Two profile pits each were dug in Mgbo-Abaja, Inyimagu and Nkwagu sites. Twenty-seven soil samples were collected from genetic horizons and sent to the laboratory for analysis. Results showed that soils were well drained except in Mgbo-Abaja 002 which was poorly drained. Colour varied from brown (10YR 5/3) to weak red (2.5YR 5/2), brown (10YR 4/3) to red (2.5YR 5/6) and dark yellowish brown (10YR 4/6) to reddish yellow (5YR 7/8) in Mgbo-Abaja, Inyimagu and Nkwagu respectively. Mottles were observed in MgboAbaja and Inyimagu profiles as a result of redoximorphism. Soils were sandy and ranged from 526 – 764 mg/kg. The pH was moderately acidic (5.80 – 6.07); mean values of base saturation (%) was moderate (21.03 – 45.31 %), electrical conductivity was low (< 4.0 dSm-1 ) and exchangeable sodium percent (ESP) was < 15 % except in Nkwagu profile 006. The soils were classified (USDA / WRB) as Typic Kandiaquults / Ferralic Gleysols (Mgbo-Abaja 001), Typic Kandiaquults / Cambic Gleysols (Mgbo-Abaja 002), Typic Kandiaquults / Ferralic Gleysols (Inyimagu 003), Grossarenic Kandiaqualfs / Ferralic Gleysols (Inyimagu 004), Typic Kandiaquults / Ferralic Acrisols (Nkwagu 005) and Grossarenic Kandiaqualfs / Ferralic Acrisols (Nkwagu 006). It is recommended that there should be creation of drainage channels to reduce water logging of sites, employ some management practices like liming, application of biochar technique, organic manure and inorganic fertilizer, which will boost the condition of soils and improve their fertility for arable crop production.