bluuebunny/crossref_metadata_2025 huggingface dataset:
Immediate IUD insertion after second trimester abortion: process evaluation and implications for service delivery
Authors: Somefun Oluwaseyi Dolapo , Constant Deborah , Endler Margit
Published: March 2021

Background The availability of modern contraception including long-acting reversible contraceptives (LARC), is a fundamental component of post-abortion care. A randomized controlled trial (RCT) in South Africa compared immediate to interval insertion of the copper intrauterine device (IUD) after second trimester medical abortion (MA). Immediate insertion resulted in higher use at 6 weeks post-abortion, however expulsion rates were higher than interval insertion. This process evaluation sheds light on barriers and facilitators to the implementation of the study intervention.MethodsWe performed a process evaluation alongside the RCT in which we reviewed clinical records for fidelity to the RCT protocol and conducted in-depth interviews with 14 staff providing healthcare to RCT participants and 24 RCT participants. Research questions explored barriers and facilitators to implementation of immediate IUD insertion, contraceptive decision-making, and the potential impact of context and supplementary trial activities on trial findings. Interviews were recorded and transcribed, with translation into English if needed. We performed a triangulated thematic analysis at the level of the transcribed interview text.ResultsIn the RCT, there were 8 crossovers from the immediate to the delayed arm: 5 had a clinical contraindication to the IUD post-MA and 3 changed their mind about the IUD. In deviation of the RCT protocol 10 women in the delayed arm were given the injectable instead of oral contraceptives. Doctors and nurses were generally in favour of immediate insertion and said it could be incorporated into standard care if women wanted this. This contrasted with the need for interventions by the research team to reinforce adherence by staff to the allocated intervention over the trial duration. For women, convenience, protection from pregnancy and privacy issues were paramount and they expressed preference for engagement with staff who knew their abortion history, and with whom they had an established connection. Clinical trials registration: clinicaltrials.gov/ (ID NCT03505047), Pan African Trials Registry (www.pactr.org), ID PACTR201804003324963ConclusionsWomen and staff favour immediate IUD insertion after second trimester medical abortion, but service delivery may require structures that ensure continuity of care, communication that mitigates loss to follow-up and training of staff to ensure competence.
Major Depression in Breast Cancer Patients with Ovarian Function Suppression: A Cross-Sectional Study Comparing Ovarian Ablation and Gonadotropin-Releasing Hormone Agonists
Authors: Jiang Junhan , Xu Junnan , Cai Li , Man Li , Niu Limin , Hu Juan , Sun Tao , Zheng Xinyu
Published: March 2021

Purpose: We examined whether there were differences in major depression outcomes and independent risk factors associated with gonadotropin-releasing hormone agonists (GnRHa) and ovarian ablation (OA) in premenopausal breast cancer patients. Methods: Premenopausal breast cancer patients from seven hospitals who received OFS participated in the study between June 2019 and June 2020. The independent variable was the type of ovarian suppression, categorized as either OA (n = 174) or GnRHa (n = 389). Major depression was evaluated using the Patient Health Questionnaire (PHQ-9), and the Female Sexual Function Index questionnaire was used to assess sexual function.Results: A total of 563 patients completed the surveys. The mean PHQ-9 sum score was slightly lower in the GnRHa cohort than in the OA cohort (11.4 ± 5.7 vs. 12.8 ± 5.8, P = 0.079). There were significantly fewer patients with major depression (PHQ-9 ≥ 15) in the GnRHa cohort (31.1% vs. 40.2%, P = 0.025). Further, the duration of OFS was closely correlated with major depression, indicating a time-dependent trend [duration of OFS > 2 years vs. duration of OFS ≤ 2 years: Exp (B) = 1.651, P = 0.031]. Sexual dysfunction was negatively correlated with major depression [sexual dysfunction vs. normal: Exp (B) = 0.769, P = 0.046].Conclusions: This is the first study to demonstrate that GnRHa results in more favorable depression outcomes than OA. Moreover, most patients preferred alternatives to their OFS treatment. These findings can contribute to improving and alleviating the adverse effects of OFS.
Attitude of dental interns, final year and third-year students towards their involvement in hospital work during COVID-19 pandemic in private dental colleges in Vidarbha, India
Authors: KOKANE VANDANA , KOKANE NOOPUR , Saraf Nitisha , Ukey Sayali , Satfale Shaishavi
Published: March 2021

Background: because of the ongoing pandemic, dental education is severely affected. Even though as in every other field teachers have taken to virtual education, but in dentistry, no virtual lectures can even come close to the experience gained by students while practicing on patients. This study aims to evaluate student’s attitudes regarding their involvement in hospital work at the time of the ongoing COVID19 pandemic and how it might impact their confidence and preparedness in the future.Method: A validated questionnaire was circulated online among the students of five dental colleges of Vidarbha who have suspended all student activities on the campus of their college including internship. A total of 711 students responded.Result: out of 711 students 52.9% of students are highly motivated to work in the hospital. However 52.7% are afraid of getting infected by the COVID-19 virus while working in the hospital, and 78.6% are worried that their loved ones can get infected because of them. 62% of students feel that they are less prepared for next year as they have no learned substantially in the last 6 months.Conclusion: as the majority of students are highly motivated to work, private colleges should resume internships. This will benefit students as well as patients. Colleges should also consider calling in final year students in reduced batches, and allow them to assist or observe clinicians maintaining all precautionary protocols.
Full Waveform Inversion for Imaging Faulted Structures; a Case Study from Japan Trench Forearc Slope
Authors: Hondori Ehsan Jamali , Guo Chen , Mikada Hitoshi , Park Jin-Oh
Published: March 2021

Full waveform inversion (FWI) of limited-offset marine seismic data is a challenging task due to the lack of refracted energy and diving waves from the shallow sediments, which are fundamentally required to update the long-wavelength background velocity model through a tomographic fashion. When these events are absent, a reliable initial velocity model is necessary to assure that the observed and simulated waveforms kinematically fit within an error less than half a wavelength to protect the FWI iterative local optimization scheme from cycle skipping. We use a migration-based velocity analysis (MVA) method, including a combination of the layer stripping approach and iterations of Kirchhoff prestack depth migration (KPSDM) to build an accurate initial velocity model for the FWI application on 2D seismic data with a maximum offset of 5.8 km. The data is acquired in the Japan Trench subduction zone, and we focus on the area where the shallow sediments overlying a highly reflective basement on top of the Cretaceous erosional unconformity are severely faulted and deformed. Despite the limited offsets available in the seismic data, our carefully designed workflow for data preconditioning, initial model building, and waveform inversion provides a velocity model which could improve the depth images down to a depth of almost 3.5 km. We present several quality control measures to assess the reliability of the resulting FWI model, including ray path illuminations, sensitivity kernels, reverse time migration (RTM) images, and KPSDM common image gathers. A direct comparison between the FWI and MVA velocity profiles reveals a sharp boundary at the Cretaceous basement interface, a feature which could not be observed in the MVA velocity model. The normal faults caused by the basal erosion of the upper plate in the study area reach the seafloor with evident subsidence of the shallow strata, implying that the faults are active.
The attainment of herd immunity with a restructured risk of contact infection in compartmental models
Authors: Law Kian Boon , Peariasamy Kalaiarasu M , Ibrahim Hishamshah , Abdullah Noor Hisham
Published: March 2021

Introduction: The risk of contact infection among susceptible individuals in a randomly mixed population can be reduced by the presence of immune individuals and this concept is referred as herd immunity. Although herd immunity is observed in vaccinated population for some infectious diseases, it has never been truly attained in compartmental models such as the susceptible-infectious-recovered (SIR) model. This paper introduces a new SIR framework to overcome the limitation of the conventional SIR model in attaining herd immunity.Methods: Two SIR models were newly developed based on the reduced risk of contact infection. The first model A assumes that the risk of contact infection reduces as soon as susceptible individuals are infected and move from class S(t) to I(t), therefore incorporating prevalence of both infectious and susceptible individuals into its force of infection. The second model B assumes the risk of contact infection would reduce after infected individuals have recovered from infection and move from class I(t) to R(t), therefore incorporating the prevalence of infectious and the inverse of prevalence of recovered individuals into its force of infection. Then, numerical simulations were applied to obtain approximate solutions for all three conventional SIR model, new SIR model A and model B for comparison under exact and arbitrary conditions with β = 0.3 and σ = 0.1 to mimic the infection dynamics with basic reproduction ratio (r0) of 3.0 and herd immunity threshold (HIT) of 0.667 (66.7%).Results and discussion: All three models performed likewise at the initial stage of epidemic. The conventional SIR model simulated the epidemic diminishing when 94.0% of the population had been infected and recovered, way above its HIT. Model A simulated the epidemic waning when 66.7% of the population had been infected and recovered, in line with its HIT, however, the model conceptualized the herd immunity incorrectly. Model B simulated the epidemic waning at 75.6%, slightly above its HIT and was in line with the fundamental of herd immunity. The difference between model A and model B can be attributed to the proportion of infectious individuals, and this would increase in infectious disease with high transmissibility. The threshold theorem derived based on r0 may not be sufficient for optimal control and eradication of infectious disease with high transmissibility like the COVID-19.Conclusion: The newly developed SIR model that includes the inverse of proportion of recovered individuals into its force of infection is more accurate and credible for modelling infection with high transmissibility or vaccine-induced herd immunity in a randomly mixed population, especially in COVID-19.
COMPARATIVE ANALYSIS OF METHODS SUPPLIES THERMAL ENERGY IN HIGH-WATER BIOLOGICAL OBJECTS DURING DRYING
Authors: Savoiskyi Oleksandr , Yakovliev Valerii , Sirenko Viktor
Published: March 2021

Object of research: the process of heating a biological object with various methods of supplying thermal energy, in particular, convective, direct electric and combined methods.
Solved problem: intensification of heating of high-moisture biological objects during the drying process.
Main scientific results. The expediency of using a combined (direct electric and convective) supply of thermal energy for intensifying heating of raw materials in the drying process has been established. In terms of the duration of the heating process, combined heating is much more effective than using purely convective or direct electric heating. Comparison of the values of the duration of the heating process for a body weighing 0.0028 kg shows that the combined heating occurs 1.5–2.5 times faster. At the same time, the consumption of electrical energy for the selected processing modes is 279–254 J, which is 80–87 % of the total required energy. It has been found that the main control factor in the combined heat supply is the applied voltage of direct electric heating.
The area of practical application of the research results: enterprises of the processing industry, specializing in the production of dried products.
Innovative technological product: a combined method of heating high-moisture objects during the drying process, which will provide intensive and energy-efficient processing modes while maintaining the established quality of the finished product.
Scope of application of the innovative technological product: production of finished food products and semi-finished products.
TRENDS IN THE DEVELOPMENT OF METHODS FOR DIAGNOSTICS OF THE TECHNICAL STATE OF THE BLADES OF GAS-PUMPING UNITS
Authors: Zamikhovsky Leonid , Zamikhovska Olena , Ivanyuk Nataliia
Published: March 2021

Object of research: degradation processes occurring in the blades of a gas-pumping unit (GPU) during its long-term operation and cause the appearance of defects that lead to a change in their technical condition and breakage of the working blades and, as a result, to accidents.
Solved problem: obtaining a method for diagnosing the GPU blades, which can be used to determine its technical condition during the GPU operation.
The main scientific results: a classification of methods for diagnosing the GPU blades and their analysis was developed, according to the results of which it was established that the improvement of a new method of aerodynamic calculation of profiles relative to the GPU blades by developing mathematical models of the deformation process and flow around the GPU blades and calculation formulas for assessing their aerodynamic characteristics, will allow to simulate possible options for changing the technical state of the blades (the amount of wear of the blades, their number, deformation, etc.), to study their influence on the parameters of the oscillatory processes of the blades and to compile a dictionary (base) of diagnostic signs of their state. The use of such a base will make it possible to quickly determine the technical condition of the blades during the GPU operation and prevent the occurrence of emergency situations
The area of practical use of the research results: the enterprises of the gas transmission system, which operate GPU with a gas turbine drive
An innovative technological product: a method of direct aerodynamic calculation of airfoils relative to GPU blades to determine their technical condition during operation.
Scope of application of the innovative technological product: gas-pumping units with a gas turbine drive with a capacity of 6.3 MW to 25.0 MW
Strong adsorption of phosphate by amorphous lanthanum carbonate nano-adsorbents
Authors: Lu Yifan , Wu Huawei , Xia Yan , Huang Mei
Published: March 2021

Phosphorus removal is a crucial aspect of controlling water pollution and eutrophication. In this study, the preparation of lanthanum carbonate (LC) nano-adsorbents for the efficient removal of phosphate (P) from water and wastewater was investigated. Results from XRD, SEM and Zeta potential analyses revealed that addition of magnesium ions and adjustment of the reaction temperature could control the morphology and microstructure of LC. Effects of initial pH, adsorbent dosage, contact time, and the water matrix on P adsorption were investigated. Batch adsorption experiments revealed that LC showed strong performance on P removal over a wide pH range (3.0 to 11.0). The kinetic data followed a pseudo-second-order model, and equilibrium data were well fitted by the Langmuir model with a maximum adsorption capacity of 112.9 mg P/g. Adsorption thermodynamics showed that the adsorption process was exothermic and spontaneous. Results of a monolayer model for single adsorption indicated that P could completely interact with two or more functional groups from the LC surface. In the presence of competing ions (F−, Cl−, SO42−, NO3−, and HCO3−), LC maintained high selectivity for phosphate. For a real effluent, the P concentration was efficiently reduced from 3.2 mg P/L to below 0.5 mg P/L at a dose of 0.5 g/L LC. All the results suggested that LC can serve as a promising adsorbent for P removal in a wide range of pH, and thus could meet the stricter discharge regulations from actual wastewater.
Poetics for a Black Revolt
Authors: Kanu Haja Marie
Published: March 2021

This essay is written as a response to the compounded crises of police brutality and the Covid-19 pandemic, in the context of the Black Lives Matter movement reignited by the death of George Floyd in 2020. It aims to show how anti-blackness and capitalism are the common denominators contributing to mass death in both crises. The essay explores the possibilities for poetry as radical practice, particularly the work of Black women poets such as Audre Lorde, Ericka Huggins and Warsan Shire. What becomes evident is the centrality of the Black body in reimagining the future, despite its historical emergence from the slave body. I argue that we must return to and reaffirm the bodies that Judith Butler calls abject within theory and poetics, in order to better protect the lives that inhabit them.
Do This in Remembrance of Me Online? Irenic and Elenctic Normativity in Liturgical Studies
Authors: Barnard Marcel , Klomp Mirella , Wisse Maarten
Published: March 2021

The authors of this article, two liturgical scholars and a scholar in dogmatics, engaged in a public discussion of whether or not a Holy Communion should be celebrated online. Speaking about the case afterwards, they found that both the discourse of liturgical studies and of dogmatics introduced comparable normative elements. Barnard and Klomp in liturgical studies speak with Ronald Grimes of ‘ritual criticism’ and with Roy Rappaport of ‘The True Words’ as benchmarks that are established by religions in the infinite field of meanings of the rite. Wisse speaks on the basis of the originally Lutheran distinction of Law and Gospel of therapeutic or irenic and elenctic normativity. The authors advocate this distinction as an instrument that opens the way for a discussion about the mystery of life and of the sacraments.
La incidencia económica del Fondo Especial del Tabaco en Misiones (Argentina). Estudio de caso, 2010-2018
Authors: Fernández Lisandro Federico , Amoretti Leandro Tomas
Published: March 2021

La investigación analizó la participación del Fondo Especial de Tabaco (FET) sobre sobre el valor de acopio como forma de estudiar su incidencia sobre los ingresos de los productores e inferir su vínculo con la proporción apropiada por los acopiadores al compararla con un precio teórico de competencia. De la investigación surgió que los aportes del FET crecieron de 90% a 260% sobre el valor de acopio, exhibiendo una creciente incidencia del mismo en la subsistencia de los productores. El trabajo se basó en un estudio de caso, situado en laprovincia de Misiones (Argentina) durante el período 2010-2018.
Mitigando la crisis económica del COVID: actuar rápido y hacer lo que sea necesario
Authors: Aguilar Barceló José Gabriel , López Leyva Santos
Published: March 2021

Resumen. Este trabajo pretende sintetizar y articular las visiones de política económica que los colaboradores de la obra reseñada proponen como alternativa de mitigación, para distintas regiones del mundo, del impacto económico derivado de la pandemia del COVID-19.
La voz de las mujeres en las guerras de la Independencia de Colombia: del anonimato a las reivindicaciones
Authors: Pita Pico Roger
Published: March 2021

En el marco de la conmemoración del Bicentenario de la Independencia de Colombia, este trabajo tiene como propósito examinar una recopilación de veintiséis cartas escritas por mujeres en medio de la guerra de emancipación. A través de estas cartas es posible asomarnos al complejo mundo que ellas debieron afrontar en estos tiempos de convulsión política y militar. Algunas cartas son declaraciones de defensa, testimonios y denuncias presentadas en el marco de los procesos de juzgamiento a adversarios políticos. Pero la gran mayoría corresponde a los trámites y esfuerzos que ellas debieron emprender ante las instituciones legalmente establecidas con miras a aliviar la crítica situación económica de sus familias y a lograr mejores condiciones sociales y de subsistencia para sus esposos, hijos y demás seres queridos comprometidos en la lucha militar.
OPERATIONAL COST REDUCTION OF GAS-THERMAL POWER PLANT BASED ON BAT ALGORITHM
Authors: Sofwan Agus , Febriansyah M. , Sugeng Sugeng
Published: March 2021

An optimised operation of a thermal power plant is required to optimise fuel consumption cost. It is still high and becomes a problem of economic dispatch in the operation of the plant. Load scheduling and generator capacity are needed to get optimal plant operation, especially energy usage. This paper presented a thermal power plant operation analysis to obtain optimum operational energy costs using the Bat Algorithm (BA). The actual data of 6 thermal power plants to serve the peak loads in 2018 is used for the calculation. The problem solution is simulated and calculated using maximum (95%) capacity and the BA method. The Simulation is done by using MATLAB software. The generator unit and generator load characteristics are collected to obtain objective functions and constraint functions. BA completes this function to get the lowest energy. The BA method will be compared with the calculation of real-time energy generation without BA to analyse its accuracy. The total operational cost of the actual power plant without BA is $ 1,988,410. BA simulation gave the total energy cost is $1,653,374. So, the generated energy savings is 16.85%, or 335,036 MW reduction.
SUSTAINABLE LANDSCAPE DESIGN CONCEPTS FOR GREEN OPEN SPACE MANAGEMENT
Authors: Yuslim Silia , Sulistio Hendrik
Published: March 2021

To achieve the target of 30% of the total area's green space area, causing Jakarta and other big cities to make efforts to accelerate the provision of green space. Efforts to provide and manage it did not go as expected. The problem lies in the planning, implementation, utilization, and control relating to institutions, financing, and community participation. That causes the management of Green Open Space (GOS) is not running effectively and efficiently. The main problem is the unavailability of clear guidelines on implementing green space management and ineffective phasing related to the determination of terms of reference with budget constraints. Based on previous research, the concept of sustainable landscape design in harmony with sustainable development is the right way to solve this problem. This study aims to discuss how the concept of sustainable landscape design can be bundled by governance involved in managing green space using action research based on soft systems methodology. It will provide a conceptual model of packaging efforts so that it becomes a reference in various actions to provide and manage green space to achieve effective and efficient GOS management.
Effect of modified manufacturing procedure on the overall quality attributes and safety of Kishk
Authors:   Department of Animal Sciences, Faculty of Agricultural Engineering and Veterinary Medicine, Lebanese University, Dekwaneh, Mount-Lebanon, Hajj Elham , Dib Hussein ,   Department of Food Technology, Faculty of Agricultural Engineering and Veterinary Medicine, Lebanese University, Dekwaneh, Mount-Lebanon, Yaacoub Rita ,   Department of Food Technology, Faculty of Agricultural Engineering and Veterinary Medicine, Lebanese University, Dekwaneh, Mount-Lebanon, Al-Amin Mayssa ,   Department of Food Technology, Faculty of Agricultural Engineering and Veterinary Medicine, Lebanese University, Dekwaneh, Mount-Lebanon, Mcheik Zeynab ,   Department of Food Technology, Faculty of Agricultural Engineering and Veterinary Medicine, Lebanese University, Dekwaneh, Mount-Lebanon
Published: March 2021

The traditional manufacturing method of Kishk involves a daily addition of plain yoghurt to Bourghul (5:1 ratio), followed by heavy handling during the 5-day period of uncontrolled fermentation. In order to improve quality, safety and yield losses, a modified procedure with a single addition of strained yoghurt (Labneh), in a 3:1 ratio, was investigated. The physico-chemical, microbiological and sensory characteristics of both Kishk products were assessed during five days of controlled fermentation (RT: 23- 25 °C; RH: >85%). Green and dried modified-Kishk were of similar quality characteristics when compared to traditional ones. Moisture content was lower in traditional (63 %) compared to modified (66 %), whereas titratable acidity was higher in modified Kishk (1.22 against 1.02 %). Peroxidation (PV = 0; TBARS = 0.2 mg MDA/Kg), and lipolysis (AV max 3.48 %) were always in the acceptable ranges. Pathogenic bacteria (E. coli, Salmonella spp., L. monocytogenes, S. aureus) were not detected neither in green nor in dried Kishk. Sensory analysis revealed a harder texture, higher viscosity and higher scores for appearance, odor and overall acceptability in green Modified-Kishk. After drying into fine powder, Modified-Kishk showed improved nutritional, organoleptic and physical quality attributes. The modified end-product can conveniently be safely produced on an industrial scale with optimum conditions.
Cardumes, auras e bainhas: Trêsformance de Arlindo Oliveira
Authors: Gogan Jessica , Adams Denise
Published: March 2021

Este ensaio explora as interfaces estéticas e clínicas na performance Trêsformance (2017) de Arlindo Oliveira, colega e ex-companheiro de manicômio de Arthur Bispo do Rosário, e artista do Ateliê Gaia – um estúdio coletivo para artistas e ex-internos do antigo asilo na Colônia Juliano Moreira no subúrbio norte do Rio de Janeiro –  administrado pelo Museu Bispo do Rosário Arte Contemporânea, e debruça-se sobre um conceito de curadoria ao avesso tateando outras institucionalidades e práticas dobradiças do entre.AbstractThis essay explores the intersections of clinical and aesthetic practices in the performance Trêsformance (2017) by Arlindo Oliveira, colleague and former asylum companion of Arthur Bispo do Rosário and member of Ateliê Gaia - a collective studio for artists and interns of the former asylum in Colony Juliano Moreira in the outskirts of Rio de Janeiro – managed by the Museu Bispo do Rosário Arte Contemporânea and reflects on a concept of an inside/out curatorship that seeks to nurture such intersections and “in-betweens” and the kind of institutionality that might support them.
Plasmatio: Escovar a história a contrapelo
Authors: Da Costa Robson Xavier , Januário Lucian
Published: March 2021

Este artigo objetiva analisar na obra Plasmatio de José Rufino a perspectiva política, a memória, o esquecimento e o phatos sacrificial. A pesquisa foi desenvolvida no Programa Associado de Pós-Graduação em Artes Visuais da UFPB, entre Março de 2017 e Fevereiro de 2019, com apoio de bolsa da CAPES. Utilizamos pesquisa bibliográfica, entrevistas com o artista e consulta ao acervo pessoal do artista. Os resultados demostram que Plasmatio foi feita a partir de afetos, de lembranças, de histórias, de dores e da relação do artista com as vidas das pessoas a sua volta. AbstractThis article aims to analyze in José Rufino’s work Plasmatio the political perspective, the memory, and the forgetfulness. The research was developed at the UFPB/UFPE Associate Postgraduate Program in Visual Arts, between March 2017 and February 2019, with support from CAPES scholarship. We use bibliographical research, interviews and consultation with the artist’s personal collection. The results show that Plasmatio was made from affections, memories, stories, pains and the artist’s relationship with the lives of people around him
Negative-Pressure Wound Therapy for a Replanted Finger with Complicated Wound
Authors: Roh Si Young , Park Ilou , Lee Kyung Jin , Koh Sung Hoon , Kim Jin Soo
Published: March 2021

Negative-pressure wound therapy (NPWT) is widely used for open wounds in various anatomical sites. Extensive research has been carried out on the application of NPWT; exposed blood vessels in the periwound area are a known contraindication to NPWT. In this study, we report a case where a replanted finger with not only exposed vessels but also uncontrolled infection was treated with NPWT. A 60-year-old man visited our emergency department with incomplete amputation of his left index and middle fingers. After replantation of his two fingers, necrosis of the middle finger with severe methicillin-resistant Staphylococcus aureus infection complicated managing the wound. After 3 weeks of maintaining conventional wound dressings, we performed NPWT for successful granulation tissue formation and infection control. After the treatment, the wound was completely covered by a split-thickness skin graft. We thus suggest that NPWT can be an effective reconstructive method, including for intractable wounds with exposed pedicle and severe infection after replantation.
Minimal Incision Venectomy for Peripheral Septic Thrombophlebitis
Authors: Oh Yo Han , Lee Soo Hyang , Chang Lan Sook
Published: March 2021

Peripheral septic thrombophlebitis is an uncommon but potentially lethal condition fraught with systemic complications. Optimal treatment calls for surgical excision of the inflamed venous segment, followed by antimicrobial therapy. However, the extended skin incision and meticulous flap elevation of conventional venectomy leaves substantial residual scarring. Herein, we detail a minimal incision venectomy performed for peripheral septic thrombophlebitis in a 55-year-old man. The patient was initially admitted for conservative management of intracranial hemorrhage but subsequently developed high fever and hypotension. An abscessed intravenous catheter site of the left forearm was the apparent source. Following emergency drainage and serial irrigation, surgical venectomy was undertaken to radically remove the septic focus, excising a 10-cm segment of infected vein through a separate proximal incision. After the procedure, the patient’s recovery was complete and free of complications at postoperative 6-month visit. Under appropriate indications, minimal incision venectomy can be an effective therapeutic alternative with minimal scarring.
Comparing Outcomes of Single Versus Double Venous Anastomosis in Free Flap Operation for Lower Extremity Defect Reconstruction: A Meta-Analysis
Authors: Kim Suhwan , Lee Kyeong-Tae
Published: March 2021

Background: Free flap operation is a common procedure for reconstructing defects of the lower extremity. However, venous congestion often results in flap failure in lower extremity reconstruction. Dual-vein anastomosis, one proposed solution to overcome this problem, has been controversial in terms of its efficacy. The objective of this study was to perform a systematic review and meta-analysis to assess the effectiveness of dual venous anastomosis on venous congestion and flap failure of the lower extremities.
Methods: PubMed/MEDLINE, Google Scholar base, and Embase were searched to identify relevant studies presenting complication rates for groups of patients who had undergone single venous or dual venous anastomosis in lower extremity reconstructions. The relative risks of the following complications between these two groups (single venous and dual venous anastomosis) were calculated: flap failure, flap necrosis, flap congestion, and take-back to operating room.
Results: A total of eight articles and 1,434 flaps were included. Double venous anastomosis was performed for 607 flaps, and single anastomosis for 827 flaps. Etiologies of defects and types of flaps were diverse. There was no significant difference in venous congestion, flap necrosis, or flap failure between the groups with one versus two vein anastomoses. However, the dual venous anastomosis group displayed a trend toward decreasing flap-related complications.
Conclusion: Although there was a trend toward decreasing flap-related complications in the double venous anastomosis group, dual venous anastomosis had no statistically significant protective effects in decreasing free flap failure in the leg.
PROFESSORAS ALFABETIZADORAS: DESAFIOS, EXPERIÊNCIAS E PRÁTICAS
Authors: Moura Santos Nalim , Zen Giovana Cristina
Published: March 2021

O artigo apresenta os resultados da pesquisa realizada no âmbito do mestrado acadêmico na Universidade Federal da Bahia (Ufba), concluído em 2020. O trabalho assume como problema de pesquisa as dificuldades enfrentadas pelos professores alfabetizadores para ajustar as situações didáticas ao que de fato os alunos precisam aprender, decorrentes da lacuna existente entre a produção teórica sobre como a criança aprende e como se pode ensiná-la e a democratização do acesso a uma teoria didática que oriente as práticas alfabetizadoras. Com o intuito de analisar os desafios enfrentados por professoras alfabetizadoras no exercício da profissão, este trabalho constitui-se como uma etnopesquisa porque é o tipo de pesquisa que efetiva uma experiência como ato de pesquisar. Para produção dos dados da pesquisa foram realizadas entrevistas, observações, análise documental e roda de conversa com quatro professoras alfabetizadoras, responsáveis pelas turmas de primeiro ano de duas escolas privadas do município de Nazaré- BA. A abordagem teórica foi fundamentada a partir dos diversos estudos de Emilia Ferreiro. Os dados indicam uma prática pedagógica pautada principalmente no reconhecimento das letras, dos sons e das sílabas. Apesar do comprometimento das professoras com as aprendizagens das estudantes, observou-se uma distância significativa entre o que as crianças precisam aprender e o que de fato é proposto aos alunos. Este cenário indica lacunas na formação inicial e continuada das professoras e alerta para a necessária coerência entre os estudos sobre como se aprende a ler e a escrever e as intervenções didáticas.
PERCEPÇÕES DE ALUNOS DE UM CURSO DE LÍNGUAS ESTRANGEIRAS APLICADAS ÀS NEGOCIAÇÕES INTERNACIONAIS (LEA) SOBRE SUA APRENDIZAGEM EM UM CURSO DE INGLÊS PARA NEGÓCIOS A DISTÂNCIA UTILIZANDO RECURSOS DIGITAIS
Authors: ONODERA JORGE , Silva Vera Lúcia Teixeira
Published: March 2021

Neste artigo, apresentamos um recorte dos resultados de uma pesquisa de doutorado sobre o ensino-aprendizagem de Inglês para Fins de Negócios (IFN) baseado em tarefas orais, em um curso a distância, utilizando recursos digitais. Um dos objetivos da pesquisa foi identificar as percepções dos alunos sobre sua aprendizagem, foco da discussão deste artigo. Os participantes foram alunos de um curso de graduação intitulado Línguas Estrangeiras Aplicadas às Negociações Internacionais (LEA), de duas instituições públicas, uma localizada no estado da Bahia, e outra no estado do Rio de Janeiro. O curso foi hospedado no ambiente virtual de aprendizagem Edmodo. A pesquisa foi embasada em Duddley-Evans e St John (1998), Ellis e Johnson (1994) referente ao IFN; Moran e Bacich (2018), referente à Metodologia Ativa; em Ribeiro (2008), relacionado à Aprendizagem Baseada em Problema (ABProb); em Moller e Huett (2012) para o Ensino a Distância (EaD) e em Ellis (2003), sobre Tarefas. Para realizar a pesquisa desenvolveu-se um estudo de caso qualitativo-interpretativo. Para gerar os dados utilizaram-se questionários, entrevistas, tarefas gravadas em áudio e vídeo e relatórios reflexivos. Os resultados referentes às percepções dos alunos sobre sua aprendizagem indicaram que eles atuaram como protagonistas durante o processo de ensino-aprendizagem; em seus depoimentos, afirmaram que o material do curso contribuiu para o bom desempenho das tarefas de forma proativa. As percepções referentes à sua aprendizagem foram positivas, os alunos elogiaram o material didático, a dinâmica do curso e a contribuição das Tecnologias Digitais da Informação e Comunicação (TDIC) para sua aprendizagem.
AS METAMORFOSES DE JOYCE: O LABIRINTO NA OBRA UM RETRATO DO ARTISTA QUANDO JOVEM
Authors: Raele Braga Luiz Henrique , Giordano Paz Ravel
Published: March 2021

A obra Um retrato do artista quando jovem, escrita por James Joyce e publicada em 1916, é um dos marcos da prosa em língua inglesa do século XX, principalmente no campo do Bildungsroman. Acompanhando o desenvolvimento intelectual de seu protagonista, Stephen Dedalus – alter-ego de Joyce -, a narrativa se inicia com o personagem ainda criança, e termina quando Stephen alcança o início de sua maturidade, ou seja, quando descobre sua vocação de artista, ou, mais especificamente, de poeta. O presente trabalho, portanto, buscou analisar um dos símbolos identificados no romance, o do labirinto do inventor Dédalo, e como a referida figura mítica acaba por influenciar a própria estrutura da narrativa. Inicia-se com uma breve história da obra, para depois identificar a influência do poeta latino Ovídio – que cantou o mito ora em discussão na sua epopeia Metamorfoses – sobre escritores modernistas de expressão inglesa,  limitando-se a abordar, além de Joyce, os poetas T.S. Eliot e Ezra Pound, como forma de contextualizar o uso do poema clássico no início do século XX. Por fim, analisa-se em que medida o símbolo do labirinto pode ser vislumbrado no romance, fazendo-se o uso, para tanto, de aparato crítico, como os estudos de Ellmann (1989), March (2015), Paris (1992), Parrinder (1984), Levin (1959), entre outros.
Burns Wound Healing Activity of Extract Gel Formula of Lidah Buaya (Aloe vera) and Senggani Leaf (Melastoma polyanthum)
Authors: Wahyuningsih Sri , Syamsu A. Suparlan Isya , Awaluddin Nurhikma , Andriawan Riki
Published: March 2021

Aloe vera and senggani leaf can accelerate tissue regeneration, re-epithelialization, fibroblast stimulation, and collagen formation in the skin for burns wound healing. Burns wound can cause damage in the capillaries of the skin, then Aloe vera and senggani leaf were formulated into the gel formula for burns wound healing. The gel has the advantage of high water content; then it will hydrate the epidermis layer, increasing the penetration of the active substances. This study aims to formulate a gel of extract Aloe vera and senggani leaf (Melastoma polyanthum) and to evaluate the burns wound healing activity. The gel was formulated by composition of Aloe vera : senggani leaf with concentrations (0.5%: 1%); (0.5% : 3%); and (0.5% : 5%). Burns wound healing activity was observed by the diameter of the burn wound. The result showed that the gel with a concentration of (0.5%: 5%) gave a significance value of 0.692 (p >0.05) against positive control, then it was the formula that effective for burns wound healing.
BCGitis in IPEX syndrome
Authors: Castano-Jaramillo Lina Maria , Toledo-Salinas Carla , Yamazaki-Nakashimada Marco , Saez-de-Ocariz Marimar , Toussaint-Caire Sonia , Bustamante-Ogando Juan Carlos , Rivas-Larrauri Francisco Eduardo , Mendez-Herrera Agustin , Scheffler-Mendoza Selma C
Published: March 2021

We present the case of a male infant diagnosed with IPEX (immune
dysregulation, polyendocrinopathy, enteropathy, and X-linked) syndrome
who presented a generalized rash with a BCG site reaction several months
after vaccination. In our patient this dermatological manifestation
might be secondary to immune dysregulation, given the important role of
Tregs and Th17 cells in mycobacterial immunity, similar to that observed
in Kawasaki disease patients.
Role of transesophageal echocardiography in a patient with an initially misdiagnosed acute pulmonary embolism: a case report
Authors: Daghmouri Mohamed Aziz , Oueslati Maroua , Tarhouni Mohamed Amine , Zakhama Sameh , Faten Olfa , Rebai Lotfi
Published: March 2021

Chest CT angiography is considered as the gold standard for the
diagnosis of acute pulmonary embolism. However, echocardiography could
be useful especially in cases of high suspicion with normal CT scan or
for patient with hemodynamic instability.
Sambucus racemosa L. fruit extracts obtained with conventional and deep eutectic solvents
Authors: Miljkovic Vojkan , Djordjevic Biljana , Arsic Biljana , Markovic Marija , Nikolic Ljubisa , Todorovic Zoran , Nikolic Goran
Published: March 2021

This study aimed to provide information on the extraction yields, total
phenols, total flavonoids, antioxidant activity, and
qualitative-quantitative chemical composition of the extracts obtained from
the dried fruit of Sambucus racemosa L. with conventional solvents
(methanol, acetone, chloroform) and deep eutectic solvents (choline chloride
urea and choline chloride glycerol). Solid-liquid extraction, Folin-
Ciocalteu method, DPPH free radical scavenging, HPLC-UV/VIS were the methods
used in this study. The highest extraction yield (18%) was obtained with
ChCl:G as an extragent. The highest amount of total flavonoids was the
content of this extract (12.3 mg QE/g d.e.). Extracts obtained with acetone
and ChCl:U possess the highest amount of total phenol content (125.26 and
104.38 mg GAE/g d.e. respectively). All tested extracts showed free radical
scavenging activity. Identified components of extracts are gallic acid,
rutin, caftaric acid, caffeic acid, hyperoside, vitexin, and quercetin.
Fruit extracts of S. racemosa are a rich source of phenols and flavonoids.
The extracts obtained with DESs are more active in free radical scavenging
than those obtained with conventional solvents, and possess qualitatively
and quantitatively more components, apart from vitexin that was detected
only in the methanol extract.
The Role of the Quality of Perceived Social Support in the Emotion Regulation Strategies of Adolescents in Jakarta [Peran Kualitas Perceived Social Support Terhadap Strategi Regulasi Emosi Remaja di Jakarta]
Authors: Kristofora Edita , Hendriati Agustina
Published: March 2021

Adolescents are prone to emotional turmoil. Feedback received from the environment, as a form of support, is required in the process of emotion regulation. Thus, it can be assumed that perceived social support will be associated with emotion regulation. However, research linking both variables has so far included only the relationship between quality social support and a single one of the emotion regulation strategies in late adolescence. This study fills the gap, and aims to examine the relationship between quantity and quality of perceived social support with emotion regulation strategies across the entire adolescent age range in Jakarta. The measuring tool used was the Social Support Questionnaire 6 (quantity of perceived social support and perceived social support satisfaction) and the Emotional Regulation Questionnaire (cognitive reappraisal and expressive suppression strategies). The sample comprised  adolescents in Jakarta who had achieved formal educational levels, and who came from families with middle to lower level Status Ekonomi Social (SES; Socio-Economic Status; N = 427). The authors used Pearson Product Correlation and linear regression data analysis techniques. The results showed that thequantity of perceived social support was not significantly associated witheither dimension of emotion regulation. Perceived social support satisfaction was significantly associated with both dimensions of emotional regulation.

 

Teenagers are prone to emotional turmoil. Feedback received from the environment as a form of support is required in the process of emotional regulation. Thus, it can be assumed that perceived social support will be associated to emotion regulation. But researches linking both variables so far only included the relationship of quality social support and one of the emotion regulation strategies in late adolescence. This study fills the gap and aims to examine the relationship between quantity and quality of perceived social support with emotion regulation strategies across the entire adolescence age range in Jakarta. The measuring tool used was Social Support Questionnaire 6 (number of perceived social support and perceived social support satisfaction) and Emotion Regulation Questionnaire (cognitive reappraisal and expressive suppression strategies). The sample was adolescents who have formal education in Jakarta and come from families with middle to lower Status Ekonomi Social (SES; Socio-Economic Status; N = 427). The authors used Pearson Product Correlation and linear regression data analysis techniques. The results showed that the number of perceived social support was not significantly associated with both dimensions of emotion regulation. Perceived social support satisfaction was significantly associated with both dimensions of emotional regulation.
Conceptual Model of Teachers’ Work Engagement: A Literature Review [Model Konseptual Keterikatan Kerja Guru: Reviu Literatur]
Authors: Parto Soeprapto , Hendriani Wiwin
Published: March 2021

Being a teacher was not as simple as initially thought, not only as a profession but also as a role with great responsibility within. The aim of this study was to construct a conceptual model of teachers’ work engagement in a school setting by reviewing several literatures. The articles were obtained from three journal databases, namely: (1) Science Direct; (2) Springer Link; (3) and Portal Garuda, with the limitation of being published in the recent 10 years of the time of this study (2009 - 2019). The initial search resulted in 789 articles which were then selected by using inclusion and exclusion criteria to obtain four articles (N = 4) employing quantitative approach as the final result. Based on the review, several variables had significant correlation to teachers’ work engagement. These variables were then grouped as antecedent and consequence variables. The conceptual model of teachers’ work engagement in this study was expected to be beneficial as consideration in managing education.

 

Menjadi seorang guru tidak semudah yang dibayangkan, tidak hanya sebagai sebuah profesi tetapi juga sebagai suatu peran yang mengemban tanggung jawab yang besar. Studi ini bertujuan untuk mendapatkan gambaran model konseptual work engagement pada guru dalam situasi sekolah dengan menelaah sejumlah literatur. Adapun jurnal yang digunakan dalam studi ini dikumpulkan melalui tiga pangkalan data jurnal, yaitu: (1) Science Direct; (2) Springer Link; dan (3) Portal Garuda, dengan batasan penerbitan 10 tahun terakhir waktu pelaksanaan studi ini (2009 - 2019). Hasil pencarian awal menemukan 789 artikel yang selanjutnya diseleksi melalui kriteria inklusi dan eksklusi sehingga diperoleh empat artikel (N = 4) yang semuanya berlandaskan pendekatan kuantitatif. Hasil telaah mengungkap sejumlah variabel yang memiliki hubungan yang signifikan terhadap work engagement guru. Selanjutnya, sejumlah variabel ini digolongkan sebagai antecedent variables dan consequence variables. Model konseptual work engagement guru ini diharapkan dapat menjadi pertimbangan dalam pengelolaan pendidikan.
Deskripsi Organizational Citizenship Behavior Perawat Untuk Lansia Di Wisma Harapan Asri Yayasan Mardiwijana Semarang”
Authors: Susilo Yulius , Elyadi Rudy
Published: March 2021

The number of elderly population in Indonesia from year to year is increasing, so it is needed a place and assistance services for elderly citizens. Wisma Harapan Asri Semarang provides services so that the elderly residents feel comfortable and at ease. The nurses for the elderly have the role of assisting and serving elderly citizens. The performance of the nurses has an important role for the quality of the services of the elderly homestead. Improved services will be better if the nurses have the attitude and actions of the Organizational Citizenship Behavior (OCB) at work.This study aimed to determine the OCB of nurses based on five dimensions of OCB. The five dimensions of OCB according to Organ are: altruism, courtesy, conscientiousness, sportmanship, and civic virtue. Descriptive qualitative research method to describe the OCB actions of nurses. The results showed OCB of nurses in the high category. An effort to improve the performance of nurses in accordance with the five dimensions of OCB. Also efforts to improve the services of nurses to meet the needs of the elderly. This research is useful for Wisma Harapan Asri in an effort to shape the behavior of nurses to provide the best service for the elderly.