bluuebunny/crossref_metadata_2025 huggingface dataset:
Hubungan antara persepsi mutu layanan kesehatan dengan kepuasan pasien rawat inap medis di RSU GMIM Pancaran Kasih Manado
Authors: Patodo Jessiliani Arvianesta , Rampengan Starry H , Umboh Jootje M.L.
Published: November 2020

Background: Hospitals are currently required to provide health services according to optimal service standards. In hospital health services, patient satisfaction is one indicator of the quality of health services. Service quality is contributed by 5 principles, such as Service Quality, namely Reliability, Assurance, Tangible, Emphaty, Responsivenses.Methods: The research used analytic survey method, with cross sectional design. The research was held at GMIM Pancaran Kasih Manado hospital in January-March 2019. Samples taken from 150 respondents who fulfilling research questionnaires. Data analysis is univariate, bivariate, multivariate using chi-square, with Î± = 0,05 dan CI = 95%.Results: The results of the research were, reliability (p=0,000), Assurance (p=0,530), Emphaty (p=0,028), Tangible (p<0,001) and Responsiveness (p=0,855).Conclusion: There was a relationship between reliability, empathy and tangible with patient satisfaction, while there was no relationship between assurance and responsiveness with satisfaction of medical inpatients at GMIM Pancaran Kasih General Hospital in Manado. Tangible factor became the most dominant variable associated with patient satisfaction.Â Latar belakang: Rumah sakit saat ini dituntut untuk memberikan pelayanan kesehatan yang sesuai standar pelayanan yang optimal. Pada pelayanan kesehatan dirumah sakit kepuasan pasien merupakan salah satu indikator mutu pelayanan kesehatan. Mutu pelayanan dibentuk berdasarkan 5 prinsip yang dikenal dengan Service Quality yaitu kehandalan (Reliability), jaminan (Assurance), bukti langsung/ berwujud (Tangible), empati (Emphaty), daya tanggap (Responsivenses).Metode: Penelitian ini menggunakan metode survei analitik, dengan rancangan cross sectional. Penelitian ini dilaksanakan di Rumah Sakit GMIM Pancaran Kasih Manado pada bulan Januari-Maret 2019. Sampel penelitian ini berjumlah 150 responden dengan melengkapi kuesioner. Analisis data berupa univariat, bivariat dan multivariat menggunakan uji chi-square, dengan Î± = 0,05 dan CI = 95%.Hasil: Hasil yang diperoleh dalam penelitian yaitu kehandalan (p=0,000), jaminan (p=0,530), perhatian (p=0,028), bukti fisik (p<0,001) dan daya tanggap (p=0,855). Kesimpulan: Terdapat hubungan antara kehandalan, perhatian dan bukti fisik dengan kepuasan pasien, sedangkan tidak ada hubungan antara jaminan dan ketanggapan dengan kepuasan pasien rawat inap medis di RSU GMIM Pancaran Kasih Manado. Variabel bukti langsung menjadi variabel yang paling dominan berhubungan dengan kepuasan pasien.
Prevalensi dan faktor penentu prediabetes pada wanita muda obesitas di Kota Denpasar tahun 2019
Authors: Sari Dinda Anggita Meiwita , Ernawati Desak Ketut , Mahendra Agung Nova , Weta I Wayan
Published: November 2020

Background: The prevalence of prediabetic state in population is such a hard project to be confirmed within an increased number of obese population.Aim: The study aims to define the prevalence of prediabetes among obese young women (body mass index, BMI >25 kg/m2) in Denpasar.Methods: Research variables namely physical activity, food pattern, anthropometric values for identify level of obesity (light BMI 25-30, severe BMI >30 kg/m2), tipe of obesity (perifer obesity waist circumference <80 cm,Â  and central obesity waist circumference â‰¥80 cm), as well as fasting blood glucose (normal <100 mg/dL, prediabetes -125 mg/dL).Results: the prediabetes prevalence of subjects is 38,1%. All subjects 42 (100%) have light daily physical activity, with high mean of cholesterol intake (more than 200mg) and low of PUFA intake (less than 10% of fat intake). Pre-diabetic subjects have higher waist circumference (visceral fat) than subjects with normal blood glucose (p=0.023). In contrary, that was no relationship between subcutaneous fat (bicep and tricep skinfold) to prediabetic state(p >0,05). Central obesity was significant OR 1,76 (1,33-2,33) risk of prediabetes compared to peripheral obesity (p= 0,023). However, there was not significant risk (OR 2,67 (0,738-9,63) (p= 0,130)) of severe obesity to be prediabetes compared to light obesity.Â Latar Belakang: Peningkatan prevalensi obesitas bersamaan dengan prevalensi diabetes melitus tipe 2. Prevalensi prediabetes sangat susah dideteksi pada suatu populasi.Tujuan: untuk mengetahui prevalensi dan faktor penentu prediabetes pada wanita muda obese (indeks massa tubuh, IMT >25) di Denpasar.Metode: Penelitian ini termasuk studi cross-sectional dengan variabel penelitian, meliputi aktivitas fisik, pola makan, antropometri pada tingkat obesitas (obesitas ringan IMT 25-30 kg/m2, obesitas berat IMT>30 kg/m2) dan jenis obesitas (obesitas perifer lingkar perut <80 cm, obesitas sentral lingkar perut >80 cm), serta kadar glukosa darah puasa (normal <100 mg/dL, prediabetes -125 mg/dL).Hasil dan Simpulan: prevalensi prediabetes dari subjek adalah 38,1%. Semua subjek 42 (100%) memiliki aktivitas fisik harian yang ringan, dengan rata-rata asupan kolesterol yang tinggi (>200mg) dan asupan PUFA (pure unsaturated fatty-acid) yang rendah (<10% dari asupan lemak). Subjek dengan prediabetes mempunyai lingkar perut (lemak visceral) lebih besar dibandingkan dengan subjek dengan kadar gua darah normal (p=0,023). Sebaliknya, tidak didapat hubungan antara lemak subkutan (lipatan kulit bisep dan trisep) dengan kejadian prediabetes (p>0,05). Obesitas sentral bermakna berisiko menderita prediabetes OR 1,76 (1,33-2,33) dibandingkan dengan obesitas perifer (p= 0,023). Namun, tidak ada risiko yang signifikan [OR 2,67; (0,738-9,63) (p= 0,130)] obesitas berat menjadi prediabetes dibandingkan dengan obesitas ringan.Â
Gagal atrium kiri: terminologi yang perlu diketahui
Authors: Purwowiyoto Sidhi Laksono , Setianto Budhi , Wiryawan I Nyoman , Surya Steven Philip
Published: November 2020

Heart failure is the terminal stage of all the heart pathological conditions. The common understanding in heart failure is always preceded by left ventricular dysfunction. There are several clinical studies that indicate heart failure might occur without prior left ventricular dysfunction. Left atrial dysfunction may have more important roles than we previously thought in the context of heart failure. The atrium has a unique and different anatomical structure and function compared to the ventricles. Left atrial failure can occur independently of left ventricular dysfunction or mitral valve abnormalities. Atrial failure, similar to ventricular failure, could also cause or initiate global heart failure. The mechanism of atrial failure can be caused by fibrosis, electrical and mechanical dysfunction. Through this article, we would emphasize that atrial failure also has clinical significance and may explain heart failure with the condition of the sustained ejection fraction.Â Gagal jantung adalah hasil akhir dari semua kondisi patologi di jantung. Terminologi umum dalam gagal jantung selalu didahului oleh disfungsi ventrikel kiri. Ada beberapa studi klinis yang menunjukkan gagal jantung mungkin terjadi tanpa disfungsi ventrikel kiri sebelumnya. Disfungsi atrium kiri mungkin memiliki peran penting lebih dari pada yang kita pikirkan sebelumnya pada kondisi gagal jantung. Berbeda dengan ventrikel, atrium memiliki struktur anatomis dan fungsi yang unik dan berbeda. Â Gagal atrium kiri dapat terjadi secara independen terhadap disfungsi ventrikel kiri dan kelainan katup mitral. Seperti halnya ventrikel kiri, gagal atrium dapat menyebabkan gagal jantung secara global. Mekanisme gagal ventrikel dapat disebabkan dari fibrosis, disfungsi elektrik dan mekanik. Melalui artikel ini, kami akan menjelaskan bahwa kegagalan fungsi atrium juga memiliki signifikansi klinis dan mungkin menjelaskan gagal jantung dengan kondisi fraksi ejeksi yang dipertahankan.
Sindroma emboli lemak pada kasus trauma orthopedi: sebuah tinjauan pustaka
Authors: Dharmayuda Angga , Kesuma Anak Agung Ngurah Ronny , Laksana Komang Mahendra
Published: November 2020

Fat embolism (FE) is defined as fat embolism circulating in the bloodstream, with or without symptoms. Fat embolism syndrome (FES) is a circulatory fat embolism which is a secondary complication and causes specific clinical manifestations in the lungs, brain, skin. This incident is often found in orthopedic trauma, especially in long bone trauma, pelvis, and multiple trauma. In non-traumatic cases, such as hip or knee arthroplasty, FES may also be present. Gurd and Wilson's current criteria can help guide the diagnosis, but at this time there are no standardized diagnostic tests. There is no definitive therapy for FES and only supportive therapy.Â Â Emboli lemak (FE) didefinisikan sebagai emboli lemak yang beredar di aliran darah, dengan atau tanpa gejala. Fat Embolism Syndrome (FES) adalah emboli lemak peredaran darah yang merupakan komplikasi sekunder dan menyebabkan manifestasi klinis spesifik di paru-paru, otak, kulit. Kejadian ini sering ditemukan pada trauma ortopedi, terutama pada trauma tulang panjang, trauma panggul, dan trauma multipel. Dalam kasus non-traumatis, seperti artroplasti pinggul atau lutut, FES juga mungkin dapat ditemukan. Kriteria Gurd dan Wilson saat ini dapat membantu memandu diagnosis, tetapi saat ini belum ada tes diagnostik standar. Tidak ada terapi definitif untuk FES dan hanya terapi suportif.
Persecution of Christians
Authors: Cisło Waldemar
Published: November 2020

The situation of Christians in Iraq and Syria has been problematic for many years. The article first deals with the issues of social tensions caused by religious diversity. The repercussions of these conflicts are presented, with an emphasis on the problems of immigration from regions affected by the war. The article then describes the forms of aid provided in Iraq and Syria, with an emphasis on medical and humanitarian aid. The work also includes reports from these places and outlines the problems of Christian clergy in persecuted communities.
Influence of Industrial Emissions on Morphological Signs of Leaves of Greening Plants
Authors: Rakhimov Tulkin , Yusupov Ikram , Boirov Zafar
Published: November 2020

Currently, studies of the industrial environment and related theoretical and applied environmental problems are undoubtedly relevant. Therefore, the indicators of environmental monitoring of greening tree species are the main indicators of the ecological situation in the industrial zones of the arid zone of the South of Uzbekistan. The article investigates the effect of SO2 on the morphometric index of leaf blades of some planted trees. Based on the information collected, a morphometric indicator of leaf blades and its relationship with the concentration of sulfur in the atmosphere are provided. Based on the changes in morphological and anatomical and some biological indicators, the degree of stability of greening species is revealed. The results obtained can be used in monitoring green spaces of industrial regions, as well as for predicting the effects of environmental pollution. The research results can serve as a scientific basis for the selection and regionalization of tree species for landscaping the industrial centers of the arid zone. According to our observations, changes in signs towards xeromorphy show a direct relationship with gas resistance, because these indicators depend on the structural features of the leaf blade. In particular, xeromorphic signs are the following: a decrease in the leaf blade, an increase in pubescence, an increase in the number of stomata per mm2, length of venation, etc. We recommend using ash for landscaping streets and parks in the arid zone. Due to the high decorative and drought-resistant properties, they should be used in group, linear, alley, as well as mixed plantings. Considering gas resistance, drought resistance, as well as salt tolerance of elm and quince, we recommend using them for landscaping industrial regions, as well as for planting shelterbelts. In large industrial centers, we recommend using maple, ash and elm for landscaping, as they have more resistant signs to toxicants, in particular to sulphurous anhydride. The analysis of the obtained research data allows stating that there is a relationship between the concentration of sulphurous anhydride and the morphometric indicators of leaf blades of greening trees in industrial zones
Work Values in the Content of Vocational Education. Instrumentalism and Improvement
Authors: Krikštolaitienė Kristina , Daukilas Sigitas , Krikštolaitis Ričardas
Published: November 2020

The article analyses the instrumental, social-individual coherence, prestige, cognition, and improvement values of the work, which allows disclosing relevant methodological approaches to the content of vocational education. It is stated that during vocational training, work is usually presented to students not as a value, but as a technological process, with little attention paid to knowing the value context of the work. Therefore, the learning of work technological processes often does not take place in the context of the student’s critical thinking and reflection, during which little attention is paid to the survival of the emotional significance of the work of the student’s chosen profession.To ensure the validity and reliability of the results of the research object quantitative (questionnaire survey) and qualitative (case study) research strategies were used. The study involved 495 students from 27 Lithuanian vocational schools. The study found statistically significant differences between gender in the groups of values of cognition and social-individual coherence.As a result, work often does not become a psychological structure of the student’s value position, which manifests itself in the psychological structure of work values, beliefs, interests, and needs. In such circumstances of cognition of professions, instrumental values, which are characterized by the values of salary, safe, interesting, engaging, and individual-friendly work, are usually established in the curriculum.
Trialogical Learning as a Theoretical Framework in the Digital Ecosystem of a Maker Community: a Case Study
Authors: Valverde-Berrocoso Jesús , Fernández-Sánchez María Rosa
Published: November 2020

Digital media is transforming teaching-learning processes. It is necessary to understand the new ecologies of learning that are developing in technological ecosystems. In this article, a learning community is analysed from the perspective of «trialogical learning», and the components of the triad are identified: elements, interactions, and products. The case study offers the possibility of transferring this knowledge for the transformation of formal learning.
Indonesian Undergraduate Students’ Perspectives of Sustainable Economic Education: A Survey Study
Authors: Wahjoedi  , Priambodo Magistyo Purboyo , Wijayanti Febry , Haryono Agung
Published: November 2020

This study was designed to uncover perceptions of 230 undergraduate students at a public university in Indonesia, concerning sustainable economic education issues in higher education settings. The results of this study suggested that the respondents held positive beliefs on the issue of sustainable economic education issues. Despite this, they voiced multifaceted perspectives on the refinement of economic teaching practices. This paper ends with suggestions for the stakeholders to improve the quality of classroom teachings which corresponds to the age of industry 4.0.
Teaching Music from the Perspective of First, Second and Third Grade Students of Primary School
Authors: Svalina Vesna , Zelić Jelena
Published: November 2020

This article examines the preferences of first, second, and third grade primary school students towards activities carried out in music teaching. The results of the research showed that in music teaching, singing activities are most commonly performed, and students prefer to participate in musical games. The results also showed that there were significant differences in students’ responses to their satisfaction with playing Orff instruments and musical creativity activities according to their age.
200 years of Florence Nightingale: contributions to the professional practice of nurses in hospitals
Authors: Ribeiro Olga Maria Pimenta Lopes , Martins Maria Manuela Ferreira Pereira da Silva , Trindade Letícia de Lima , Fassarella Cintia Silva , Silva João Miguel Almeida Ventura da , Faria Ana da Conceição Alves
Published: November 2020

ABSTRACT Objective: Analyze the agreement of nurses, who work in hospital institutions, about Florence Nightingale’s conceptions about nursing, people, health and the environment. Method: Quantitative, observational and cross-sectional study, with the participation of 3,451 nurses from 36 Portuguese hospitals. Data collection took place from July 2015 to March 2016, using a questionnaire. For analysis, descriptive and analytical statistics were used. Results: It was evident that 60% to 70% of participating nurses considered that Florence Nightingale’s conceptions of nursing, person, health and environment were partly in agreement or totally in agreement with their practice. The variables that influenced agreement were: service, condition in which they practice the profession, length of professional practice, academic degree and region of the country. Conclusion: Florence Nightingale’s conceptions continue to contribute to professional nursing practice, with the region and the service significantly influencing this continuity.
Correção cirúrgica de fístula carotídeo-jugular traumática
Authors: Góes Junior Adenauer Marinho de Oliveira , Jeha Neto Salim Abdon Haber , Dias Daniela Vale , Ferreira Juliana Medley Torres
Published: November 2020

Resumo Traumatismos cervicais penetrantes podem ser potencialmente fatais. Em cerca de 25% dos casos, há lesão vascular associada, que pode evoluir para fístulas arteriovenosas. Os autores apresentam um caso de correção tardia, por cirurgia aberta, de uma fístula carotídeo-jugular e fazem uma breve revisão sobre o diagnóstico e opções de tratamento dessa condição.
Use of carbon dioxide for therapeutic decision-making in endoleaks: a case report
Authors: Megale Adalberto Batalha , Mendes Cynthia de Almeida , Teivelis Marcelo Passos , Faustino Carolina Brito , Souza Kauê Polizel , Wolosker Nelson
Published: November 2020

Abstract Endovascular aneurysm repair is currently the most frequently treatment modality for infrarenal aortic aneurysms. Endoleaks are the most common cause of reintervention after endovascular aneurysm repair. It is often unclear which type of endoleak is the correct diagnose, making the treatment decision difficult. We report the case of a 72-year-old man with an endoleak two years after endovascular aneurysm repair. Images suggested a type III endoleak, but this was not confirmed by contrast aortography. We proceeded with the investigation using aortography with carbon dioxide and observed a type IA endoleak. This was successfully treated by implantation of a proximal cuff. A review of the literature shows that the role of carbon dioxide in endoleak management is still unclear. We present a case in which carbon dioxide was essential to both diagnosis and therapeutic decision-making in a type IA endoleak.
Current treatment options for craniofacial hyperhidrosis
Authors: Wolosker Nelson , Faustino Carolina Brito , Silva Marcelo Fiorelli Alexandrino da , Campos José Ribas Milanez de , Kauffman Paulo
Published: November 2020

Abstract Hyperhidrosis (HH) is characterized by sweating exceeding the amount necessary to meet the thermal regulation and physiological needs of the body. Approximately 9.41% of individuals with HH have craniofacial hyperhidrosis (FH). The present study aims to review the most current data in the literature regarding craniofacial hyperhidrosis, including pathophysiology, diagnosis and clinical presentation, treatment options (clinical and surgical), and outcomes. VATS (videothoracoscopy sympathectomy) is considered the gold standard for definitive treatment of axillary or palmar hyperhidrosis. Recently, several studies have shown the usefulness of clinical treatment with oxybutynin hydrochloride, leading to clinical improvement of HH in more than 70% of users. Both clinical and surgical treatment of craniofacial hyperhidrosis have good results. However, surgical treatment of FH is associated with more complications. Clinical treatment with oxybutynin hydrochloride yields good results and can be the first therapeutic option. When the patient is not satisfied with this treatment and has good clinical conditions, surgical treatment can be used safely.
Sobre mães, navios e cachaça: Carreira, crise e desilusão numa empresa brasileira representada como “patrimônio da nação”
Authors: Castellitti Carolina
Published: November 2020

Resumo O objetivo deste artigo é destrinchar alguns contornos sociais e simbólicos do mundo da aviação comercial brasileira nas últimas décadas do século XX, a partir de três metáforas que impregnam os imaginários de antigos funcionários da extinta Varig. Signos de um mundo singular, recortado pelos traços de uma política económica nacional modelada no estreito vínculo entre mercado e estado, “mães”, “navios” e “cachaça” nos guiarão pelos sentidos atribuídos a esse mundo, conformado por mecanismos de seleção rigorosos, um tipo de organização do trabalho reconhecido como “paternalista” e disciplinador, com um claro “quadro de carreira”. A partir de uma etnografia desenvolvida entre 2015 e 2017 com funcionários da antiga companhia aérea que residem atualmente na cidade do Rio de Janeiro, e à luz de contribuições recentes das ciências sociais sobre experiências de crise, incerteza e esperança, procuro interpretar a grande desilusão que significou a falência, e suas consequências na conformação subjetiva atual do coletivo de trabalhadores danificados.
Habitando a lei: “pirataria”, streaming, e o regime de propriedade intelectual
Authors: Soilo Andressa Nunes
Published: November 2020

Resumo Este artigo aborda as leis de propriedade intelectual como um conjunto de regulações constituído por relações porosas estabelecidas entre o legal/ilegal. Para além de uma configuração permeada por normas e comportamentos alinhados a uma racionalidade jurídica, argumento que as regras envolvendo a propriedade das criações do intelecto são atravessadas, interditadas, moldadas, editadas e criadas a partir de negociações com agentes situados em campos em que o legal e o ilegal estão interrelacionados. Analiso este modo de habitar, ou seja, colonizar, ressignificar as leis de propriedade intelectual, a partir de meu estudo etnográfico junto às plataformas de streaming (de vídeo e música) e à “pirataria” digital, em que identifico a permeabilidade dos campos legal/ilegal não apenas na constituição da lei, mas também nas experiências de atores “piratas” e operadores de serviços legais.
IRREGULARITIES AND THE MARKET VALUE OF COMPANIES
Authors: SANTOS SÔNIA F. S. , FUNCHAL BRUNO , NOSSA SILVANIA N.
Published: November 2020

ABSTRACT Purpose: To investigate the impact of the irregularities under analysis and/or judged in the sanctioning administrative proceedings of the Securities and Exchange Commission on the market value of Brazilian companies. Thus, we used the signaling theory to analyze how stakeholders interpret situations and where the available information is asymmetric and incomplete among market agents. Originality/value: The study was based on the assumption that the conviction within the scope of the regulatory body can negatively affect the company’s reputation and value. Empirical evidence indicates that irregularities affect market sentiment. On the other hand, the company can present a better market value if an effective and efficient corporate governance is established, aligning the interests of stakeholders and management. Design/methodology/approach: Information was collected with quarterly data covering the period from 2010 to 2018. Two hypotheses were tested by means of regression analysis in OLS with pooled data, panel - fixed effects and 2SLS. Findings: The results indicated that the irregularities, in the analyzed period, did not impact the companies’ market value in the estimation by MQ2E. We suggest to the chief executive officer (CEO) and the chief financial officer (CFO) that they assess the level of corporate governance of their companies and invest in the search for excellence since the best levels of governance bring a positive signal to the market. The CEO is advised to pay attention to the fact that good governance is not enough to keep companies from being irregular.
Structure, market power, and profitability: evidence from the banking sector in Latin America
Authors: Hordones Cristiano , Sanvicente Antonio Zoratto
Published: November 2020

ABSTRACT The aim of this paper is to evaluate the influence of market structure on the competition between banks and to determine whether competition affects their profitability in different countries in Latin America. The study also seeks to compare, between 16 countries in the continent, the levels of concentration, competition, and profitability of the respective banking sectors. This article fills the research gap regarding the structure and market power of banks in emerging countries, by comparing Brazil with the other countries in the continent. The topic is extremely important at a time of debate about the high interest rates in Brazil, the market structure observed, and the alleged effect of this on the high levels of spread between lending and borrowing rates. The research provides evidence for the debate regarding the structure of the banking industry. To evaluate competition, the Panzar-Rosse model was used. Concentration was measured by the Herfindahl-Hirschman index and CR5 ratio. To verify the link between the variables, the hypotheses of the structure-conduct-performance model were tested, via a sample of 16 countries in Latin America, covering the period from 2011 to 2017, using panel data regression. This study, conducted for the banking industry in Latin America, rejected the premises of the structure-conduct-performance (SCP) model, which affirm that concentration reduces competition, causing higher profitability in the sector. In the comparison of the studied variables between the countries in the continent, Brazil presented the lowest competition index. The concentration and profitability assessments, in turn, presented results in line with the mean. The results of the research serve to elucidate the intense debate regarding the structure of the banking market. Moreover, they serve as a scientific basis for regulators’ actions, aiming to incentivize competition and reduce bank spread.
Selection of stock funds using information that is not observable or measurable
Authors: Amaral Rodrigo Coccarelli Marroco do , Leal Ricardo Pereira Câmara
Published: November 2020

ABSTRACT The aim of this paper is to investigate whether the flows and the future returns of stock funds are related to investors’ unobservable information. This article extends the knowledge about investment decisions regarding stock funds and considers a representation of unobservable information that until now has not been contemplated by the Brazilian literature. Understanding decisions to invest in stocks has become more important since the fall in interest rates and migration toward equity investments. The use of unobservable information for making investment decisions is important when choosing stock funds and the return gap could be added to the list of information offered to investors. The return gap measures the value added by managers in relation to the most recently disclosed complete lagged portfolio and was calculated every month for every asset in the portfolios of every fund in the sample disclosed with a three-month lag. A parsimonious sample was used of 22 actively managed funds in the period from January of 2010 to December of 2018, containing one from every one of the 22 biggest independent Brazilian managers, because it is laborious to calculate this metric. The return gap represents unobservable information about a fund. Investors that direct their capital toward stock funds with a higher historical return gap tend to obtain higher returns in out-of-sample tests, suggesting persistence of the returns of these funds and supporting the importance of unobservable information. Investors that directed their capital toward funds with lower historical return gaps could also obtain positive alphas in some cases, indicating that some managers were neglected. The fund flow results were inconclusive.
ANÁLISE DA DISTRIBUIÇÃO DA REGIÃO DOS FERIMENTOS PROVOCADOS POR MORCEGOS HEMATÓFAGOS DESMODUS ROTUNDUS (GEOFFROY, 1810) EM BOVINOS SOB CONDIÇÕES DE CAMPO
Authors: Pereira S.N. , Gitti C.B. , Cabral M.M.O
Published: November 2020

RESUMO Existem diversas espécies de morcegos no Brasil, sendo somente três hematófagas. O morcego Desmodus rotundus (Geoffroy, 1810), conhecido como “morcego vampiro comum”, apresenta-se amplamente distribuído por todo território brasileiro e é encontrado em maior número do que as outras espécies de morcegos hematófagos. É responsável pela transmissão de diferentes doenças a outros mamíferos, especialmente a raiva nos herbívoros. Com o objetivo de avaliar regionalmente os ferimentos causados pelo D. rotundus em bovinos sob condições de campo, foram estudadas 12 propriedades rurais no período de março de 2005 a março de 2006 no Município de Valença, RJ. De um total de 580 bovinos examinados, foram observados 101 com ferimentos provocados por morcegos hematófagos (D. rotundus). Após análise dos resultados, pôde-se concluir que D. rotundus utiliza diferentes locais para se alimentar nos bovinos e as regiões corporais que apresentaram maior número de ferimentos foram a ântero e a póstero-superior. O elevado número de ferimentos encontrados, na metade superior dos bovinos (85,87%), justifica a adoção de metodologias de controle populacional de morcegos hematófagos que utilizem o contato corporal desses morcegos com o dorso do animal.
EFEITO DE EXTRATO BRUTO E ÓLEO ESSENCIAL DE ACHILLEA MILLEFOLIU. EM DESENVOLVIMENTO IN VITRO DE CORYNESPORA CASSIICOLA E PROTEÇÃO DE PEPINO À MANCHA DE CORINESPORA
Authors: Carlos M.M. , Schwan-Estrada K.R.F. , Itako A.T. , Bonaldo S.M. , Mesquini R.M. , Carvalho J.B. , Stangarlin J.R.
Published: November 2020

RESUMO Medidas de controle de doenças por meio do uso de extratos e óleos essenciais vêm sendo investigadas como alternativa aos fungicidas convencionais. Este trabalho objetivou estudar o efeito antimicrobiano de extratos brutos aquosos e óleo essencial de Achillea millefolium no crescimento micelial (CM), na esporulação e na germinação de conídios de Corynespora cassiicola bem como a atividade de peroxidase em plantas de pepino. Para isto, o extrato bruto aquoso (EBA) (1; 5; 10; 20 e 25%) foi incorporado ao meio de cultura BDA (batata-dextrose-ágar) e o óleo essencial (OE) (20, 40, 60, 100 e 200 mL) foi distribuído sobre a superfície do meio de cultura. Disco de micélio foi repicado para os diferentes meios e o crescimento micelial avaliado, diariamente, por 7 dias. Para os ensaios in vivo, plantas de pepino foram pulverizadas com EBAs nas concentrações 1, 10 e 25%, Saccharomyces cereviseae 20% e água, aos quatro e dois dias antes e concomitantemente à inoculação com C. cassiicola. Foi avaliada a severidade da doença e a atividade da enzima peroxidase. Para EBA, não houve inibição do crescimento micelial, da germinação e da esporulação em todas as concentrações testadas. Entretanto, nos tratamentos com OE, houve inibição de até 63% do crescimento micelial. Na esporulação e germinação, a inibição foi de 100% e 98%, respectivamente, na alíquota de 200 ?L para OE. No controle da doença, o tratamento mais efetivo foi EBA a 25% quando realizado concomitante à inoculação. No intervalo de tempo avaliado, não se constatou atividade da enzima peroxidase.
TUBERCULOSE EM CAPRINOS DO SEMIÁRIDO BRASILEIRO
Authors: Pignata W.A. , Alves C.J. , Azevedo S.S. , Pinheiro S.R. , Vasconcellos S.A. , Almeida C.A.S. , Dantas A.F.M. , Remígio F.R.
Published: November 2020

RESUMO No período de janeiro a outubro de 2007, foram tuberculinizadas 1.866 fêmeas caprinas de diferentes raças e idades distribuídas em 84 propriedades da microrregião de Monteiro, semiárido da Paraíba. Nove cabras (0,48%) foram positivas, duas delas foram sacrificadas e, à necropsia foram observadas lesões sugestivas de tuberculose nos pulmões e no fígado. No exame histopatológico, foram evidenciados granulomas típicos. Foi procedido o cultivo e isolamento de micobactérias, sendo observado o crescimento do agente no meio de cultura de Stonebrink a partir de 36 dias de incubação, com um tempo médio de crescimento de 42 dias. Também foram encontrados resultados positivos na pesquisa de bacilos álcool-ácido resistentes (BAAR) pela coloração de Ziehl-Neelsen. O cultivo de Corynebacterium pseudotuberculosis foi negativo. O presente relato, com isolamento e visualização do agente, bem como verificação de lesões macro e microscópicas, é o primeiro caso de tuberculose confirmado em caprinos do semiárido brasileiro.
Impact of soy consumption on human health: integrative review
Authors: Nogueira-de-Almeida Carlos Alberto , Ferraz Ivan Savioli , Ued Fábio da Veiga , Almeida Ane Cristina Fayão , Ciampo Luiz Antonio Del
Published: November 2020

Abstract Soy consumption is a millenary habit of populations of the eastern world and has recently increased in the western world. The risks and benefits of this practice have been extensively studied, with a current fundamental need of integration of available information. The aim of this study was to carry out an integrative review on this topic, in order to consolidate the available information. Based on the main question: “What is the impact of soy consumption on human health?”, were reviewed publications classified as original articles and reviews published from 1998 to 2020 in the databases Scopus, PubMed, SciELO, Web of Science, and Cochrane Library. A total of 97 studies were selected. In the present review were described the general impact of soy on human health and its protein quality, the effects of early exposure using soy formulas, and the effects of soy consumption on breast cancer, endometrial and ovarian cancer, prostate cancer, gastrointestinal cancer, cardiovascular disease, glucose metabolism and type 2 diabetes, obesity, reproductive health, menopause, female and male osteoporosis, microbiota, immunity and immunomodulation, thyroid function, attention-deficit hyperactivity disorder, and renal function.
RETREATMENT WITH SURFACTANT IN VERY LOW BIRTH WEIGHT PRETERM INFANTS: RISK PREDICTORS AND THEIR INFLUENCE ON NEONATAL OUTCOMES
Authors: Ferri Walusa Assad Gonçalves , Silva Adriana Carnevale da , Sacramento Eliana Motta Fernandes , Calixto Cristina , Aragon Davi Casale , Caldas Jamil Pedro de Siqueira
Published: November 2020

ABSTRACT Objective: To assess clinical predictors and outcomes associated to the need for surfactant retreatment in preterm infants. Methods: Retrospective cohort study, including very low birth weight preterm infants from January 2006 to December 2015 who underwent surfactant replacement therapy. Beractant was used (100 mg/kg), repeated every six hours if FiO2 ≥0.40. The subjects were classified into two groups: single surfactant dose; and more than one dose (retreatment). We evaluated maternal and neonatal predictors for the need of retreatment and neonatal outcomes associated to retreatment. Results: A total of 605 patients (44.5%) received surfactant; 410 (67.8%) one dose, and 195 (32.2%) more than one dose: 163 (83.5%) two doses and 32 (16.4%) three doses. We could not find clinical predictors for surfactant retreatment. Retreatment was associated to a greater chance of BPD in infants >1000 g (RR 1.78; 95%CI 1.30‒2.45) and ≤1000 g (RR 1.33; 95%CI 1.04‒1.70), in infants with gestational age<28 weeks (RR 1.56; 95%CI 1.12‒2.18) and ≥28 weeks (RR 1.50; 95%CI 1.17‒1.92), in neonates with early sepsis (RR 1.48; 95%CI 1.20‒1.81), and in infants not exposed to antenatal corticosteroids (RR 1.62; 95%CI 1.20‒2.17) Conclusions: We could not find predictor factors associated to surfactant retreatment. The need for two or more doses of surfactant was significantly related to bronchopulmonary dysplasia.
HOSPITAL PHYSICAL THERAPY MANAGEMENT IN PEDIATRIC PATIENTS WITH COVID-19: CASE REPORTS
Authors: Schaan Camila Wohlgemuth , Vieira Vanessa de Souza , Miller Cristina , Peiter Ana Paula Dattein , Piccoli Taciana , Cavion Gabriela , Lukrafka Janice Luisa , Ferrari Renata Salatti
Published: November 2020

ABSTRACT Objective: To report the physiotherapeutic management of two pediatric cases with COVID-19 admitted in a reference state hospital to treat the disease in Porto Alegre, Southern Brazil. Cases description: Case 1, female, 10-month-old child, pre-existing chronic disease, hospitalized since birth, mechanical ventilation dependency via tracheotomy, progressed with hypoxemia, requiring oxygen therapy, and increased ventilator parameters, and a diagnosis of COVID-19 was confirmed. Airway clearance and pulmonary expansion maintenance therapies were performed. During hospitalization, the child acquired cephalic control, sitting without support, rolling, holding, and reaching objects. Recommendations were provided to a family member to maintain motor development milestones. Case 2, male, nine years old, previous psychiatric disease and obesity, showed worsening of the sensory state, requiring intensive care and invasive mechanical ventilation, with the diagnosis of SARS-Cov-2 infection. The physical therapy was performed to maintain airway clearance, pulmonary expansion, and early mobilization, showing ventilatory improvement during the intensive care hospitalization and successfully extubated after 17 days. The physical therapy evolved from passive to resistive exercises during the hospitalization, and the patient was able to walk without assistance at discharge, with the same previous functional status. Comments: The COVID-19 showed different manifestations in both cases. Physical therapy treatment was essential to maintain and to recover the functional status of the patients. Future studies are needed to improve the understanding of disease course and its functional consequences to offer an efficient treatment to pediatric patients with COVID-19.
A contraindication to orthodontic and endodontic treatment: periapical cemento-osseous dysplasia
Authors: Consolaro Alberto , Hadaya Omar , Consolaro Renata Bianco
Published: November 2020

ABSTRACT Introduction: The dental pulp is completely normal in teeth with periapical cemento-osseous dysplasia. However, orthodontic and endodontic treatments are contraindicated in cases with this injury. Objective: Present some biological, clinical and imaging reasons opposing these contraindications and questioning which are the real ones impediments and the reasons for the lack of research on the disease, analyzing cases submitted to orthopedic treatment under controlled and ethically approved conditions. Conclusion: The clinician can act safely based in available knowledge and aware of the possible consequences of orthodontic movement in teeth with periapical cemento-osseous dysplasia, as well as in the proper way of making a safe and definitive diagnosis.
A singular oral appliance to treat obstructive sleep apnea in CPAP non-adherent patients
Authors: Barbosa Denise Fernandes , Giannasi Lilian Chrystiane , Ferreira Liege Maria Di Bisceglie , Cruz Miguel Meira e , Alves Marcelo Corrêa , Berzin Fausto
Published: November 2020

ABSTRACT Introduction: The most prescribed treatment option for Obstructive Sleep Apnea (OSA) is CPAP; however, its adherence is limited. Oral Appliance therapy (OAT) is frequently an option or even an adjuvant, being the mandibular advancement Oral Appliance (OAm) the most used prescription. It modifies the upper airway, improving the airway patency. OAm construction is based on the occlusal plane to disocclusion. In this study, the DIORS® appliance was used, a singular OAm, based on Neuro-Occlusal Rehabilitation concepts, that uses Camper’s plane as a disocclusion reference, in order to achieve neuromuscular balance and functional stability. Objective: This study primarily aimed to assess the DIORS® effectiveness in relation to clinical and polysomnographic outcomes. It was also evaluated if the use of DIORS® is as effective as titrated CPAP to treat CPAP non-adherent patients. Methods: Twenty patients were included in this study. Objective and subjective clinical data were assessed at a sleep laboratory using all-night polysomnography, and Epworth Sleepiness Scale (ESS), taken at three moments: Baseline, CPAP titration, and using DIORS®. Analysis of respiratory parameters as apnea/hypopnea index (AHI), oxyhemoglobin saturation levels, the arousal index and daytime sleepiness were taken as criteria for a successful OAT. Results: Respiratory and arousal parameters improved in both therapies, while DIORS® promoted a better ESS. Conclusion: Results from the present work support that DIORS® is a viable and effective adjuvant therapy for patients with moderate to severe OSA non-adherent to CPAP.
GUT MICROBIOTA, PREBIOTICS, PROBIOTICS, AND SYNBIOTICS IN GASTROINTESTINAL AND LIVER DISEASES: PROCEEDINGS OF A JOINT MEETING OF THE BRAZILIAN SOCIETY OF HEPATOLOGY (SBH), BRAZILIAN NUCLEUS FOR THE STUDY OF HELICOBACTER PYLORI AND MICROBIOTA (NBEHPM), AND BRAZILIAN FEDERATION OF GASTROENTEROLOGY (FBG)
Authors: BARBUTI Ricardo Correa , SCHIAVON Leonardo Lucca , OLIVEIRA Cláudia P , ALVARES-DA-SILVA Mário Reis , SASSAKI Lígia Yukie , PASSOS Maria do Carmo F , FARIAS Alberto Queiroz , BARROS Luisa Leite , BARRETO Bruno Paes , ALBUQUERQUE Gisela Bandeira de Melo Lins de , ALVES Amanda Mandarino , NAVARRO-RODRIGUEZ Tomás , BITTENCOURT Paulo Lisboa
Published: November 2020

ABSTRACT Over the last years, there is growing evidence that microorganisms are involved in the maintenance of our health and are related to various diseases, both intestinal and extraintestinal. Changes in the gut microbiota appears to be a key element in the pathogenesis of hepatic and gastrointestinal disorders, including non-alcoholic fatty liver disease, alcoholic liver disease, liver cirrhosis, inflammatory bowel disease, irritable bowel syndrome, and Clostridium difficile - associated diarrhea. In 2019, the Brazilian Society of Hepatology (SBH) in cooperation with the Brazilian Nucleus for the Study of Helicobacter Pylori and Microbiota (NBEHPM), and Brazilian Federation of Gastroenterology (FBG) sponsored a joint meeting on gut microbiota and the use of prebiotics, probiotics, and synbiotics in gastrointestinal and liver diseases. This paper summarizes the proceedings of the aforementioned meeting. It is intended to provide practical information about this topic, addressing the latest discoveries and indicating areas for future studies.
ANALYSIS OF SPONTANEOUS VEGETATION IN SEMI-ARID CATTLE FIELDS OF THE MIDDLE VALLEY OF RÍO NEGRO
Authors: Peralta Paola , Klich María Guadalupe
Published: November 2020

The advance of the agricultural frontier in the north of Río Negro led to the land on the plateau being used for dryland livestock production. Livestock practices such as these result in an ecological imbalance that involves the spontaneous plant species in the scrublands. In this study, the species that grow spontaneously in this area were identified, as well as their specific richness and distribution. The native species were related to cattle consumption and the exotic species to toxic potential. The Sörensen similarity index was calculated to express the degree of similarity between the sites. The study area included 59 families, 197 genera and 300 species of vascular plants. The most representative families being the Asteraceae, Poaceae, Fabaceae, Solanaceae, Verbenaceae and Chenopodiaceae. The highest percentage of species consumed were native and 66% of the exotic species are potentially toxic to cattle. The Riparian Zone presented a greater number of exotic species. The highest similarity was between the Plateau Plain and the Foot of Escarpment. The information provided is a basis for evaluative studies between dryland cattle production and plant conservation in the Middle Valley of Río Negro.
Use of geosynthetics to mitigate problems associated with expansive clay subgrades
Authors: Zornberg J. G. , Roodi G. H.
Published: November 2020

Geosynthetics have recently been used for base course stabilization of roadways subjected to environmental loads associated with the presence of expansive clay subgrades. Repeated cycles of wet and dry seasons have often led to significant, non-uniform moisture changes within clay subgrades, resulting in differential settlements between the roadway edges and its centerline and, ultimately, in environmental longitudinal cracks. This paper quantifies the field performance of different sites in order to assess the effectiveness of using geosynthetics to stabilize the base course of roadways constructed on expansive clay subgrades. This includes evaluation of five full-scale field projects that had been subjected to actual traffic and environmental loads. The long-term performance of geosynthetic-stabilized and control sections was evaluated by quantifying the development and extent of longitudinal cracks and the degradation of the base course stiffness. Collectively, the performance evaluation of the multiple geosynthetic-stabilized and control sections in the five case studies demonstrates that geosynthetics can effectively mitigate roadway problems associated with expansive clay subgrades. In addition, field performance data also indicates that unconfined stiffness and tensile strength may not be sufficient for proper geosynthetic selection, pointing to the need for selecting them using properties that also quantify the soil-geosynthetic interaction.
Choice of materials properties and of shell molds structure by investment models
Authors: Odinokov V. I. , Dmitriev E. A. , Evstigneev A. I. , Sviridov A. V. , Ivankova E. P.
Published: November 2020

The paper presents a mathematical model optimizing the choice of material and morphological structure of the shell mold (SM), which has the highest resistance to cracking when pouring liquid metal into it. To solve this problem, the theory of small elastoplastic deformations and the heat equation, as well as proven numerical methods, were used. The objective function min – max was constructed from control variables characterizing the properties of the molding material of the shell. The process of heating an axisymmetric shell mold was considered when pouring liquid metal into it. The resistance of the shell form was estimated by the stresses arising in it. An algorithm for solving this problem was compiled. Using numerical schemes and program complexes developed in previous studies, an algorithm for solving the optimization problem was constructed and the values of control variables were found in which the shell mold does not break even in the presence of a rigid process – pouring steel into a cold shell mold. Analysis of the influence of weight of each of the found parameters on the value of the constructed objective function is given. Using a mathematical experiment, the morphological structure of the shell mold was studied. The shell mold of five layers is considered. The corrected system of equations makes it possible to take into account the properties of the layers made of different materials. Calculations were performed when the layer of the shell mold from material found by optimization occupies different positions in its cross section. In this case, the remaining layers of the mold are made of traditional ceramics. The optimal location of this layer was found. It is shown that the presence of several layers with the found properties does not affect the increase in crack resistance of the shell mold.