bluuebunny/crossref_metadata_2025 huggingface dataset:
Legal Policy Fulfillment of Child Rape Victims’ Mental Health Rights
Authors: Iksan Muhammad , Dimyati Khudzaifah , Supanto Fajar , Surbakti Natangsa , Absori Absori , Nugroho Sigit Sapto , Wahyuningsih Sri Endah
Published: February 2022

BACKGROUND: Legal protection for child rape victims especially mental health rights was a huge problem. It is a manifestation of the human rights that have been regulated in the constitution and laws. AIM: This research was conducted to search a correct legal policy to fulfil the mental health rights from child rape victims. METHODS: This research uses the juridical normative method or the doctrinal method. A normative legal method is a legal research that places the law as a building of a norm system about how the law was insufficient to fulfil mental health right for child rape victims. RESULTS AND DISCUSSION: The fulfilment of mental health rights as a manifestation of restorative justice emphasizes the restoration of the rape victims’ rights that have been violated, such as the right to be protected, the right to growth and development, and the right to obtain an education. CONCLUSION: There are several aspects to this, namely the preventive aspect, the litigation aspect, the therapeutic aspect, and the rehabilitation aspect to fulfil the child rape victims mental health right.
The Oriental millipede genus Nepalella Shear, 1979, with the description of a new species from Thailand and an updated key (Diplopoda, Chordeumatida, Megalotylidae)
Authors: Likhitrakarn Natdanai , Golovatch Sergei I. , Panha Somsak
Published: February 2022

The Oriental genus Nepalella is reviewed, rediagnosed and shown to comprise 28 species, including N. siamensissp. nov. from southeastern Thailand. All Nepalella species are keyed, and their distributions mapped, being highly localized and mainly allopatric. Unlike most congeners, which are largely confined to subtropical environments (including montane to high-montane conditions, up to 3800 m a.s.l.) or karst caves (eight species, all in southern China alone), the new species is the southernmost in the distribution area of the entire genus, also being among the very few (four) that are restricted to lowland, purely tropical habitats.
Sexualité et mariage dans les chansons de geste et juridiction de l’Église
Authors: Ribémont Bernard
Published: February 2022

La chanson de geste met régulièrement en scène des mariages, qui sont motivés par le sentiment comme par les intérêts de la classe aristocratique. Il apparaît dans ce contexte que les jongleurs prônent une orthodoxie conforme aux vœux de l’Église, en particulier autour de la question du consensus, même en jouant sur limites et transgressions, comme c’est le cas des épopées tardives. L’objet du présent article est donc de mettre en regard le traitement de l’union matrimoniale dans les épopées médiévales et la juridiction et les préconisations de l’Église.
Les expériences urbaines d’écologie industrielle en Europe du Nord : vers quelles innovations ?
Authors: Beaurain Christophe , Chembessi Chedrak De Rocher
Published: February 2022

Depuis son apparition dans les années 1970, l’écologie industrielle est considérée comme source de transformations profondes des pratiques industrielles à l’égard de l’environnement naturel, par la prise en compte du caractère limité des ressources naturelles et des dégâts occasionnés par la pollution. Son application repose sur différents principes, liés notamment à la disponibilité des flux, aux stratégies des acteurs privés et au soutien des acteurs publics. Dans cet article, nous nous intéressons plus particulièrement à quelques démarches urbaines d’écologie industrielle dans les pays nordiques, pour mettre en valeur l’importance de la question des enjeux environnementaux et les sources d’innovation technologique et organisationnelle que représentent ces démarches.
Kirkenes, Nikel et leurs environs explorés par le projet « Dark Ecology » : une excursion en dehors de la zone de confort
Authors: Riseth Jørn
Published: February 2022

Situées le long des côtes arctiques de la mer de Barents, les villes industrielles de Kirkenes et Nikel sont dépourvues de structures pour exposer des œuvres d’art contemporain. Le projet artistique « Dark Ecology » a choisi cette zone frontalière entre la Norvège et la Russie pour réfléchir aux problèmes environnementaux. Des artistes appartenant au courant « l’art des nouveaux médias » ont été invités à explorer cette région de l’Arctique et à créer des œuvres à partir d’un nouveau contexte. L’article vise à montrer comment les artistes ont tenté de reformuler les concepts de nature et d’environnement en faisant de l’expérience artistique un instrument permettant de voir les problèmes environnementaux de notre époque sous un autre angle.
Quand Skarphéðinn parle : l’ironie existentielle dans la littérature médiévale islandaise
Authors: Jakobsson Ármann
Published: February 2022

Une conscience de l’importance de l’ironie est largement identifiable dans les textes islandais médiévaux, mais n’a fait l’objet que d’un faible nombre de recherches. Cette étude propose une analyse du discours du personnage de Skarphéðinn Njálsson et se focalise plus particulièrement sur ses paroles ironiques en avançant la thèse que l’ironie discursive du protagoniste reflète une ironie existentielle qui profile la description du personnage, mais aussi le message de la saga.
Le sens véritable de la formule sur l’inscription de Rök
Authors: Marez Alain
Published: February 2022

Une formule structure de façon insistante le célèbre monument runique suédois de Rök , dont le déchiffrement et donc l’interprétation et la traduction demeurent encore problématiques. Heureusement, le graveur a réécrit la séquence des runes scandinaves à 16 signes en runes germaniques (fuþark à 24 signes), rendant ainsi le texte intelligible. Une analyse épigraphique rigoureuse et méthodique de l’orthographe runique mise en œuvre dans la série en runes anciennes permet seule de restituer la chaîne phonique sous-jacente : cette étude aboutit à des conclusions bien éloignées des interprétations proposées jusqu’ici et projette un éclairage nouveau sur la tâche que s’assigne le graveur : en inscrivant des runes sur toute la surface du bloc de pierre, il donne naissance à un monument sans pareil, le seul digne à ses yeux de célébrer la mémoire de son fils défunt.
The Impact of Instagram Influencer Marketing in the Restaurant Industry
Authors: Anjos Catarina Jorge Fonseca , Marques Susana , Dias Alvaro
Published: February 2022

When improving their offer, restaurants should also communicate adequately and draw the attention of the public, taking advantage of all available means of communication and opting for the most effective marketing techniques. Therefore, the main objective is to study the six dimensions that encompass a set of digital influencers’ characteristics and to understand if this is actually a communication channel that positively impacts the Portuguese restaurant sector. Using a mixed-method approach, we combined a qualitative study based on a focus group with a survey for a quantitative study. Findings reveal that of the six dimensions of the research model, only one has no impact on the increase of potential clients. In this way, the remaining five are considered to be sufficiently differentiating to arouse consumer interest in visiting restaurants promoted by Instagram influencers.
Caring for Critically Ill Children Experiencing Traumatic Stress
Authors: McDowell Betsy M.
Published: February 2022

Topic/Clinical Relevance

Traumatic stress occurs in children when their coping mechanisms are overwhelmed by exposure to traumatic events or situations. Estimates indicate that as many as 80% of ill and injured children experience traumatic stress after such exposure. Critically ill or injured children are especially at risk for the development of traumatic stress, including acute stress reaction and posttraumatic stress disorder.

Objective

To explore the phenomenon of traumatic stress disorders in critically ill or injured children to assist bedside nurses in decreasing the severity of short- and long-term consequences in this patient population.

Content Covered

This article presents types of traumatic stress, risk factors for the development of traumatic stress, clinical findings in children and adolescents, and nursing strategies for preventing and managing traumatic stress in pediatric patients. Critical care and acute care nurses are in an excellent position to assess children for symptoms of acute stress reaction and posttraumatic stress disorder during or after a stay in the intensive care unit, to implement strategies to prevent or ease the symptoms of acute stress reaction and posttraumatic stress disorder, and to make appropriate referrals for children and their families after exposure to traumatic stressors.
L'ospedale azienda
Authors: Fiori Angelo
Published: February 2022

Non disponibile
Posterior Belly of Digastric Muscle Transposition Flap in Preventing Frey's Syndrome after Superficial Parotidectomy- A Prospective Study
Authors: Patro Srikant , Swain Narendra Nath , Mohapatra Kailash Chandra , Barik Haramohan , Sahoo Ashish Kumar , Pattnayak Prasanjit
Published: February 2022

Introduction:

Superficial parotidectomy is an effective management for benign and malignant tumours of the superficial lobe of the parotid gland. Frey's syndrome is one of the most common complications observed after parotidectomy. The objective of our study was to find the incidence of Frey's syndrome 6 months and 1 year postoperatively after doing posterior belly of the digastric flap during superficial parotidectomy.

Materials and Methods:

This is an observational prospective study done in the Department of General Surgery of the Institute from November 2018 to December 2020. Thirty-eight patients with parotid swellings (both due to benign or malignant causes) were evaluated preoperatively and planned for superficial parotidectomy with a posterior belly of digastric muscle (PBDM) flap to prevent the occurrence of Frey's syndrome. They were followed up in 6 months and 1 year. Minor's test was done in each visit to look for the occurrence of Frey's syndrome.

Results:

Two patients (5.2%) out of 38 patients developed asymptomatic Frey's syndrome after 6 months postoperatively out of which one patient (2.6%) developed symptomatic Frey's syndrome after 9 months postoperatively with symptoms such as sweating, flushing, and redness over the parotid area during chewing.

Discussion:

PBDM flap following superficial parotidectomy in a single-stage surgery is an effective and easy method to prevent Frey's syndrome. This procedure is easy to perform and requires no complex dissection. There have not been many studies regarding the use of this flap; hence, this study may be considered as a pilot study.
Head and Neck Sarcomas-clinicopathological Findings, Treatment Modalities and Its Outcome - A Retrospective Study
Authors: Ram Hari , Kumar Satish , Singh S. N. , Kumar Pramod , Singh Geeta , Ganguly Roop , Sagar Mala , Howlader Debraj
Published: February 2022

Introduction:

Sarcomas are malignant neoplasms constituting an important group of tumours due to their high morbidity and mortality. They can arise either from soft tissue or bone. Soft tissue sarcomas are common, but bone sarcomas are rare. The aims and objective of this study are to carry out the study of head-and-neck sarcomas between January 2006 and May 2020.

Materials and Methods:

Eighty-two patients of head-and-neck sarcoma were included. Study of demographic and clinicopathological characteristics including age, sex, gender, presenting symptoms, origin, primary anatomical location, size, tumour grade, staging, treatment modality, recurrence, metastasis, and patient status during the recent visit.

Results:

Fifty-six (68.3%) were males and 26 (31.7%) were females. The male/female ratio was 2.28:1. The most affected age group was 0–19 years. Tumour size of >5 cm in greatest dimension was seen in 67.1% cases and tumour size of <5 cm in 32.9%. Chemotherapy + radiotherapy (CT + RT) was given in 23.8% followed by surgery in 13.9%. Recurrence was seen in 19.5% and metastasis in 18.3%.

Discussion:

Rhabdomyosarcoma was the most predominant histological type. Maximum patients reported in late stage. The most commonly used treatment was the combination of CT and RT. Recurrence was seen in 19.5% and distant metastasis in 18.3% patients. Head-and-neck sarcomas are rare so epidemiological studies involving more cases must be carried out for better understanding and better outcome.
Visual Loss after Cosmetic Blepharoplasty Using Local Anaesthesia Containing Epinephrine - A Case Series
Authors: Der Kelen Louise Van , Mommaerts Maurice Yves
Published: February 2022

Rationale:

Surgeons should be aware of the risk of vision loss associated with blepharoplasty.

Patient Concerns:

All patients complained of decreased vision, redness and/or pain after blepharoplasty using only local anaesthesia containing epinephrine.

Diagnosis:

Diagnosis of angle-closure glaucoma (ACG) was made clinically (decreased visual acuity (VA), increased intraocular pressure and a mid-dilated pupil) and through examination (slit lamp examination and dynamic gonioscopy revealed corneal oedema and a shallow anterior chamber respectively). Perioperative posterior ischaemic optic neuropathy (PION) was a diagnosis of exclusion based on the relative afferent pupil defect.

Treatment:

ACG was treated medically (intravenous [IV] mannitol and topic antiglaucoma medication or oral acetazolamide) and surgically (YAG iridotomy and an additional cataract extraction with trabeculectomy in one patient). PION was treated with IV methylprednisolone.

Outcome:

Patients with ACG fully recovered. Patients with PION improved clinically, but presented with a pale optic disc and an optic nerve-related visual field defect.

Take-Away Lesson:

Surgeons should intervene quickly to minimize the chance of permanent vision loss.
Postgraduate examination: How to match your presentation skills with examiner's expectations?
Authors: Singh Baljit , Divatia Jigeeshu V. , Samantaray Aloka , Malhotra Naveen , Kulkarni Sadhana Sudhir
Published: February 2022

Passing the exit Doctor of Medicine/Diplomate of National Board examination is a significant but challenging milestone in the career of any student. A strong knowledge base is the foundation on which a student can build an impactful performance. Knowledge core is tested in the theory part of the examination and its application to patient care during case presentations and viva in the practical examination. Performance during the practicals has one common denominator: convincing the examiner that the patient during anaesthesia would be safe in the student's hands. The way the student answers, the spontaneity and the confidence that the student exudes in answering, the pointed answers to the questions asked, and setting the priorities right when dealing with a multitude of tasks at hand go a long way in ensuring that. This article describes what examiners expect from students and provides tips to postgraduate students preparing for the examination.
A randomized, double-blind, parallel-group, single-dose comparative pharmacokinetic study of DRL_TZ, a candidate biosimilar of trastuzumab, with Herceptin® (EU) in healthy adult males
Authors: Lickliter Jason D. , Dadhania Rakesh Naranbhai , Trivedi Ravi Kumar , Kumar S.R. Naveen , Reddy Pramod Kumar
Published: February 2022

Background & objectives:

Trastuzumab (TZ) is a recombinant DNA-derived humanized monoclonal antibody approved for human epidermal growth factor receptor 2 positive early breast cancer, metastatic breast and gastric cancers. For the development of TZ biosimilars, establishing pharmacokinetic equivalence is required. The primary objective of this study was to compare the pharmacokinetics (PK) of Dr Reddy’s Laboratories TZ (DRL_TZ) with that of EU-approved Reference Medicinal Product (RMP), Herceptin® in healthy adult male subjects.

Methods:

In this double-blind, parallel-group, phase I study (TZ-01-003), healthy male subjects aged 18-55 yr were randomized 1:1 to receive a single intravenous infusion of 6 mg/kg of TZ as DRL_TZ or RMP. Similarity for primary PK parameters was defined as the 90 per cent confidence intervals (CIs) for the geometric mean ratios (GMRs) falling within 75-133 per cent limits. Primary endpoints included area under the concentration–time curve - from time zero (pre-dose) to the last quantifiable concentration [AUC(0–t)] and from time zero (pre-dose) extrapolated to infinity [AUC(0–∞)], and maximum observed serum concentration (Cmax). Secondary objectives were to compare the safety and immunogenicity of DRL_TZ with that of the RMP.

Results:

Thirty two subjects were dosed (DRL_TZ, 16; RMP, 16). Primary PK parameters were found to be comparable with their 90 per cent CIs for the GMR falling within the usual more stringent limits of 80-125 per cent. The number of subjects reporting at least one TEAE in both the arms was similar. No serious adverse events were reported. Fifteen subjects, eight in DRL_TZ arm and seven in Herceptin® arm, tested positive for anti-drug antibodies (ADAs), none of the ADAs were neutralizing in nature.

Interpretation & conclusions:

In this study, DRL_TZ demonstrated PK equivalence with the RMP and had comparable safety and immunogenicity profiles in healthy adult male subjects.
Stereotactic breast biopsy
Authors: Chakrabarthi Suma
Published: February 2022

Stereotactic biopsy is used for sampling of suspicious non-palpable lesions identified on mammography or digital breast tomosynthesis which are not visible on ultrasound. Stereotactic biopsy is preferable to surgical excision biopsy and helps avoid surgery for benign lesions. Providing tissue diagnosis in patients with early breast cancer may help in formulating a management strategy. Stereotactic biopsy can be carried out using either a dedicated prone table with the patient lying prone or an upright mammographic add-on system with the patient in a sitting or lateral decubitus position. This review focuses on the advantages and disadvantages of both these systems, the indications, contraindications and the complications inherent with this technique. The important pitfalls and their management as well as ways to ensure quality assurance have also been elaborated upon. Data regarding uptake of stereotactic biopsy in other parts of the world have been discussed using evidence from existing registries and databases and attempts made to quantify the need of the technique in the Indian set-up. In the absence of a national breast screening programme and limited resources in India, a hub and spoke model has been proposed as a viable model for healthcare providers for providing stereotactic biopsy.
Reasons for hesitancy to take COVID-19 vaccine
Authors: Rao G. Swetha , Ram R. , Vengamma B.
Published: February 2022

Background:

Concern about vaccine hesitancy is growing worldwide. Vaccine hesitancy can have effects for both the individual and the community, especially in the context of severe acute respiratory syndrome coronavirus 2 disease (COVID-19) pandemic.

Methods:

A 16-item questionnaire was administered to 385 healthcare workers to find out the reasons for COVID-19 vaccine hesitancy.

Results:

Their mean age was 36.6 ± 9.6 years. 'Fear of getting side effects' (61.8%) was the most common reason for vaccine hesitancy, followed by reasons such as 'to wait and observe for some more time' (60.3%), 'doubts on safety and efficacy of vaccine' (49.4%), 'The intensity of COVID-19 has come down' (36.6%), 'self-perception of having good immunity' (33.8%), 'need to apply for leave' (30.3%) and 'Fear of death' (29.0%). 'To wait and observe for some more time' was the major reason for hesitancy amongst men. Security guards were more hesitant to take the vaccine, because of side effects, whereas doctors and sanitary workers wanted to wait and observe for some more time.

Conclusions:

Factors identified in the present study need to be addressed for overcoming vaccine hesitancy.
Surgical antimicrobial prophylaxis
Authors: Khan Fatima , Chaudhary Bhanu , Sultan Asfia , Alvi Yasir , Ahmad Manzoor , Kumar Pushkar , Shah Mohammad Salman , Khan Haris Manzoor
Published: February 2022

Introduction:

Surgical antimicrobial prophylaxis (SAP) is considered vital for reducing surgical site infection, however, if inappropriate, it prolongs the hospital stay of patients, increases morbidity, promotes antimicrobial resistance and puts an economic burden on the health system. This study was carried out to assess the knowledge and compliance of SAP among surgeons in a hospital.

Methods:

A quantitative, non-interventional study was done among surgeons from a tertiary teaching hospital. First, we evaluated participant knowledge from different surgical specialities by the pre-designed questionnaire, and second, we audited surgeries during the study period of 3 months for a compliance rate of SAP. The score of responses and compliance to SAP variables during surgeries was studied.

Results:

We assessed a total of 184 participants for knowledge and 271 surgeries were audited. Among the variables of surgical prophylaxis, majority of the participants answered correctly about the route and timing of administration of SAP in 179 (97.3%) and 145 (78.8%) respectively. Only 66 (35.9%) knew about the correct choice of SAP while 78 (42.4%) responded correctly about the duration within which it should be stopped. However, two-third 138 (75%) were aware of the assessment of beta-lactam allergy before administration. Among the surgeries audited, 83.7% compliance was noted for the timing of administration of antibiotics, however, in only 42 (26.7%) cases SAP was stopped within 24 h of surgery and in only 38 (24.2%) cases cefazolin/cefuroxime was given as prophylaxis.

Conclusion:

This study highlighted the importance of knowledge and awareness of SAP guidelines among surgeons. There is a need to train surgeons regarding this important issue.
Perioperative Dextrose Infusion for Prevention of Postoperative Nausea and Vomiting in Patients Undergoing Laparoscopic Cholecystectomy
Authors: Tripathi Parul , Prakash Smita , Mullick Parul , Wason Rama
Published: February 2022

ABSTRACT

Background and Aims:

The effect of intravenous dextrose on the prevention of postoperative nausea and vomiting (PONV) is inconclusive. We aimed to determine the role of perioperative IV dextrose in the prevention of PONV and to analyze factors affecting PONV.

Methods:

This randomized, double-blind study was conducted in a tertiary care hospital. Two-hundred-fifty-five nondiabetic adults undergoing laparoscopic cholecystectomy were randomized into three groups (n = 85): group NS, group D5, and group D10 to receive perioperatively 250 mL of study fluid infusion (normal saline, dextrose 5%, and dextrose 10%, respectively). Nausea visual analog scale and PONV score, early (0–2 h) and late (2–24 h) PONV and rescue antiemetic treatment were assessed postoperatively. Statistical calculations were done using SPSS 17 version program for Windows.

Results:

Incidence of early and late PONV was significantly less in Groups D10 (25.9% and 2.4%, respectively) and D5 (43.5% and 17.6%, respectively) compared with Group NS (61.2% and 27.1%, respectively); P < 0.001. Postoperative PONV scores and the need for rescue antiemetics were significantly less in Groups D5 and D10 compared with Group NS; P < 0.05. After study fluid infusion, blood sugar levels (mg%) were significantly higher in patients in Group D10 (242.9 ± 26.2) compared with those who received NS (129.2 ± 10.8) or dextrose 5% (197.1 ± 20.8); P < 0.001. Factors associated with PONV were age, body mass index, female gender, increased anxiety and Apfel score, postoperative opioids, previous PONV, and blood sugar.

Conclusions:

Perioperative intravenous dextrose 5% (250 mL) can be considered the optimal dose for reducing the incidence and severity of PONV and antiemetic requirement in adults undergoing laparoscopic cholecystectomy.
Cybersecurity in the Local Government Sector in Poland: More Work Needs to be Done
Authors: Choodakowska Aneta , Kańduła Sławomira , Przybylska Joanna
Published: February 2022

Although cybersecurity is an important and complex issue that should be addressed by all government levels, so far little research has been devoted to cybersecurity at the local level. Existing literature lacks information on whether municipalities have implemented cybersecurity policies, if such policies are applied in practice and what they encompass. A CAWI method was used to collect the required data. The results indicate that while most municipalities have a document defining their security policy, they do not always apply it in practice. There is still little awareness regarding countering cyber-attacks. Therefore, more emphasis should be placed on such issues as: integrating cybersecurity policies into local government management, the rising threat of cyber-attacks, consultations with security auditors, and cybersecurity management training. Based on all Polish municipalities, the research described in this paper partly fills the identified gap.
Consumo de antiinflamatorios no esteroideos en pacientes que concurren por primera vez a un Servicio de Reumatología
Authors: Santa Cruz M. J. , Medina M. A. , Papasidero S. B. , Chaparro del Moral R. , Guinsburg M. , Caracciolo J. A. , Rillo Oscar Luis
Published: February 2022

Introducción: el uso de antiinflamatorios no esteroideos (AINES) conlleva una mayor probabilidad de enfermedad gastrointestinal y cardiovascular en pacientes con factores de riesgo. Por tal motivo, se desarrollaron diversas recomendaciones con el fin de prevenir dichas complicaciones. Objetivo: Evaluar la frecuencia del consumo de AINES al momento de consultar por primera vez a un Servicio de Reumatología de demanda espontánea; y analizar tanto la conducta del médico así como el correcto cumplimiento de las recomendaciones para la toma de estos fármacos al finalizar la consulta. Material y métodos: Estudio observacional de corte transversal. Resultados: Se incluyeron 304 pacientes, 59,5% consumían AINES. La mayoría de estos pacientes presentaban riesgo gastrointestinal moderado/alto, sólo 28,3% recibían adecuada protección. De aquellos pacientes que recibían AINES, se consideró que requerían dicho tratamiento el 50%. Al finalizar la consulta, se tomó una conducta correcta en el 89% de los casos en relación al riesgo gastrointestinal. Conclusión: Más de la mitad de los pacientes consumían AINES. Se observó un buen cumplimiento de las recomendaciones por los médicos tratantes al finalizar la primera consulta. Sin embargo, es importante mencionar que el uso indiscriminado de AINES tanto por parte de los pacientes como por parte de los médicos sigue siendo alto.
Dr. Alberto Strusberg
Authors: Exeni Ida
Published: February 2022

Estoy segura de que al leer este nombre y ver la foto, la mitad de los lectores recordaron con afecto y nostalgia a aquel “cordobés” que se destacó en la década de los 80 y 90 en la Reumatología argentina, tanto que llegó a ser Presidente de la SAR. La otra mitad, los más jóvenes, recurrieron a Google y encontraron con sorpresa cantidad de páginas y descubrieron que Alberto M. Strusberg nació en Chaco en 1942, y egresó, tras una carrera brillante, como médico de la Universidad Nacional de Córdoba en 1966.
Frecuencia de úlceras digitales en esclerodermia
Authors: Lara M.E. , Rivero M.A. , Zazzetti F. , Khoury M.C. , Laborde H.A. , Barreira J.C.
Published: February 2022

Nuestro objetivo fue describir la frecuencia de úlceras digitales en una población de pacientes con Esclerosis Sistémica y comparar las características clínicas de los que desarrollaron úlceras de los que no lo hicieron. Se incluyeron en forma retrospectiva pacientes que cumplían criterios ACR para Esclerosis Sistémica. Se recolectaron datos demográﬁcos, clínicos y serológicos de las historias clínicas. Se clasiﬁcó a los pacientes en dos grupos: un Grupo A con úlceras digitales y Grupo B aquellos pacientes sin antecedentes de úlceras digitales. Se compararon ambos grupos. Se estudiaron 60 pacientes con diagnóstico de Esclerosis Sistémica, 33% subtipo difuso, edad promedio al diagnóstico de 50,75 ± 14,75 años, el 15% (9 pacientes) eran de sexo masculino.
Percepción de la AR en una población fuera del ámbito sanitario
Authors: Velasco Zamora Jorge , Papagno María Julia , Benítez Alejandro , Estévez Adrián , Preisegger Matías , Dewey Ricardo A.
Published: February 2022

Objetivos: El acceso temprano a la población de pacientes con artritis reumatoidea (AR) a la asistencia especializada es un predictor de buen pronóstico. Sin embargo, la demora en la consulta es una constante; fueron identiﬁcados factores tales como los vinculados al paciente, el médico generalista o al sistema de salud. El objeto del estudio fue el de explorar la percepción de la población fuera del ámbito asistencial en un escenario potencial de sintomatología compatible con AR.
Evaluación de la fatiga en pacientes con artritis psoriásica y su asociación con otras variables de la enfermedad
Authors: Gallino Yanzi J. , Cerda O. , Zaffarana C.A. , Landi M. , Schneeberger E.E. , Carrillo I. , González Guzmán M.C. , Kohan M.P. , Buschiazzo E. , Maldonado Cocco J.A. , Citera G.
Published: February 2022

Objetivo: evaluar la frecuencia de fatiga en pacientes con APs y su asociación con otras variables de la enfermedad.
Validación del índice compuesto DAPSA (Disease Activity for Psoriatic Arthritis) en una cohorte de pacientes con artritis psoriásica en Argentina y determinación de sus valores de corte
Authors: Gallino Yanzi J. , Schneeberger E.E. , Cerda O. , Zaffarana C.A. , Landi M. , Rosemffet M. , Zamora N. , Cazenave T. , Dal Pra F. , Kohan M.P. , Buschiazzo E. , Citera G.
Published: February 2022

Objetivos: Validar el índice DAPSA en pacientes con Artritis Psoriásica (APs) en Argentina, comparar su rendimiento con índices compuestos y con la ultrasonografía (US) y establecer valores de corte.
Validación del cuestionario RAPID3 en la cohorte argentina ESPAXIA de pacientes con espondiloartritis axial
Authors: Orozco María Celeste , Schneeberger Emilce Edith , Zamora Natalia , Sommerfleck Fernando A. , Cayetti Luis A. , Citera Gustavo
Published: February 2022

Introducción: El RAPID3 (Routine Assessment of Patient Index Data 3) es un cuestionario sencillo, rápido y de cálculo simple que mostró un buen rendimiento en Artritis Reumatoidea, siendo capaz de reﬂejar el estado de enfermedad y la calidad de vida en estos pacientes.Objetivo: Validar el cuestionario RAPID3 en una cohorte de pacientes con EsP axial y evaluar su asociación con otras medidas de evaluación de la enfermedad.
Viraje tuberculínico en pacientes con artritis inﬂamatorias crónicas y terapia biológica
Authors: Cerda Osvaldo Luis , Correa María de los Angeles , Granel Amelia , Marcos Ana , Giraldo Claudia , Rillo Oscar , Schneeberger Emilce Edith , Citera Gustavo
Published: February 2022

Introducción: El bloqueo de los mediadores inﬂamatorios producido por las terapias biológicas se asocia a un aumento de las infecciones oportunistas, como infección por Mycobacterium tuberculosis (MT), por lo que se recomienda realizar intradermorreacción de derivado proteico puriﬁcado (PPD) antes de iniciar dicho tratamiento. Teniendo en cuenta la situación endémica de tuberculosis (TBC) en nuestro país y la inmunosupresión/anergia de los pacientes con artritis inﬂamatorias crónicas, nos planteamos si es necesario monitorear la infección de MT luego de iniciado el tratamiento biológico.
Correlación de diferentes métodos de valoración de la rigidez matinal con índices de actividad y discapacidad en pacientes con artritis reumatoidea
Authors: Barrios B.I. , Papasidero S.B. , Medina M.A. , Chaparro del Moral R.E. , Rillo O.L. , Paira S.O. , Sandobal C.
Published: February 2022

La rigidez matinal (RM) es un síntoma complejo en los pacientes con AR. Existen diferentes formas de valorar la RM. Sin embargo, la mejor manera de evaluarla es aún controversial.Objetivos: Comparar la severidad y la duración de la RM, evaluada por el médico y por cuestionarios autorreportados, con la actividad de la enfermedad y la capacidad funcional en pacientes con AR.
La hiperostosis esquelética idiopática difusa como expresión de un proceso sistémico
Authors: Orden Alberto Omar , Orden Alberto Omar
Published: February 2022

La Hiperostosis Esquelética Idiopática Difusa es una condición caracterizada por la calcificación y/u osificación de los tejidos blandos, principalmente entesis, ligamentos y cápsulas articulares. En 1950, Forestier y Rotés-Querol publicaron una serie denominándola “hiperostosis anquilosante vertebral senil” y la distinguieron como entidad nosológica separada de la espondiloartrosis y la espondilitis anquilosante.
Nueva sección de la Revista Argentina de Reumatología
Authors: De Reumatología Sociedad Argentina
Published: February 2022

La Revista Argentina de Reumatología, publicación oficial de la Sociedad Argentina de Reumatología, ha seguido a lo largo de los años los avances de la especialidad en nuestro país y en el mundo. La revisión por pares (“peer review”), es uno de los pilares que la revista ha tenido en los últimos años editoriales y ha sido realizada por referentes en cada tema.
Validación del índice QOL-RA (Quality of Life-Rheumatoid Arthritis) en una cohorte argentina de pacientes con artritis reumatoidea
Authors: Isnardi Carolina Ayelen , Capelusnik Dafne , Schneeberger Emilce Edith , Bazzarelli Marcela , Barloco Laura , Blanco Eliana , Benítez Cristian Alejandro , Luján Benavídez Federico , Scarafia Santiago , Lazaro María Alicia , Pérez Alamino Rodolfo , Colombres Francisco , Kohan María Paula , Sosa Julia , González Lucero Luciana , Barbaglia Ana Lucía , Maldonado Ficco Hernán , Citera Gustavo
Published: February 2022

El autocuestionario QOL-RA es una herramienta diseñada para valorar la calidad de vida de los pacientes con Artritis Reumatoidea (AR). No requiere licencia para su uso. Objetivo: validar el cuestionario QOL-RA en una cohorte de pacientes con AR en Argentina.
Acerca de la evidencia del mundo real en Reumatología
Authors: Scublinsky Darío
Published: February 2022

El término “evidencia del mundo real” (EMR) comenzó a ser utilizado hace unos pocos años por quienes desarrollan productos médicos y por prestadores/financiadores de atención médica, pero su significado específico está aún en discusión. En general, se refiere a la información sobre atención médica que deriva de múltiples fuentes fuera de los entornos típicos de la investigación clínica, incluidos los registros de salud (físicos o electrónicos), datos de reclamos, facturación, registros de productos y enfermedades, entre otros. La clave para comprender la utilidad de la evidencia en el mundo real es una apreciación de su potencial para complementar el conocimiento obtenido de los ensayos clínicos tradicionales, cuyas limitaciones bien conocidas dificultan la generalización de los resultados a poblaciones más grandes e inclusivas de pacientes, y en un contexto de prestación de atención médica que reflejen el uso real en la práctica clínica.
Xerostomía en pacientes con fibromialgia
Authors: Lloves Schenone Nicolas , Romanini Felix , Mamani Marta , Durigan Virginia , Scarafia Santiago , Secco Anastasia
Published: February 2022

Introducción: dentro de los fenómenos clínicos estudiados asociados a la Fibromialgia (FM) se ha descrito el Síndrome Sicca, cuyo término engloba xeroftalmia, xerostomía, xerodermia y xerovagina.
Effectiveness of frequency of testing on anxiety and achievement in mathematics among secondary school students in Ogun state, Nigeria
Authors: Aletan Mathew Sola , Kuku Olaotan Oladele
Published: February 2022

Achievement Testing is the general means of finding out how much the students have learnt, but it could lead to test anxiety, which may affect students’ achievement. Thus, this study examined the effectiveness of frequency of testing on test anxiety and academic achievement in mathematics among secondary school students in Ogun State, Nigeria. Four research hypotheses were postulated to direct the study. Quasi experimental pre-test/post-test control group research design was used for the study. The population of the study comprised all Senior Secondary II Students in Ogun State. The sample for the study comprised 157 (76 male and 81 female) Senior Secondary II students selected using multistage sampling process. The study used five Schools as experimental groups and each of these schools was tested at varying test frequencies. The Mathematics Achievement Test (MAT) and Mathematics Anxiety Rating Scale (MARS) were the instruments used for collecting data for the study. The data generated were analysed using Analysis of Covariance (ANCOVA), tested at 0.05 level of significance. The findings showed that there were significant differences in the mean scores of students experiencing test Anxiety and Achievement in Mathematics as a result of exposing students to varying test frequencies. In addition, the study revealed that gender was not a significant factor when planning to moderate students’ Mathematics Anxiety and improving Achievement in Mathematics. A periodic testing of every two weeks was recommended for students experiencing poor achievement in Mathematics. Also, weekly testing was recommended for students experiencing test anxiety.
Impact of school feeding programme on access to basic education: the case of South Tongu district of the Volta region, Ghana
Authors: Milledzi Eugene Yaw , Keney Gabriel , Amponsah Mark Owusu
Published: February 2022

The study examined the influence of the school feeding programme on access to basic education in the South Tongu District in the Volta Region, Ghana. Mixed method research approach was employed to conduct the study. Stratified random sampling and purposive sampling procedures were used to select 213 respondents for the study. Questionnaires and interviews were used to collect the data for the study. Data gathered through questionnaires were analysed using descriptive statistics such as percentages and frequencies while interview data analysis was done using the thematic approach. The results of the study showed that the school feeding programme has a significant influence on increased enrolment, attendance and retention of pupils in the South Tongu District. However, the implementation of the programme has put pressure on teaching and learning resources as well as increased teacher-pupil ratio. The study therefore, recommended that the government, implementation ministries and agencies should increase the existing human, physical and financial resources for the school feeding programme to be sustained.
Effects of three counselling interventions on attitude to and involvement in bullying among senior secondary students in Owerri, Nigeria
Authors: Okoli Canice Enuma , Ettu Theresa Ucheoma
Published: February 2022

This study investigated the effects of three counselling interventions on attitude to and involvement in bullying among senior secondary students in Owerri, Nigeria. Four hundred and twenty students drawn from twelve senior secondary schools were chosen for the study. The schools were assigned the social skills training, inhibitory modelling, persuasion or the waiting-list control. The participants were exposed to 6 weeks, one-hour weekly, training designed to change their attitude to and involvement in bulling behaviours. Two research instruments were used for data collection. Similarly, two research hypotheses were formulated in the study. The hypotheses were tested using 2 x 4 Analysis of Covariance (ANCOVA). The findings show that the counselling interventions successfully modified students’ attitude to bullying. The counselling interventions were equally effective in reducing the students’ involvement in bullying. However, the inhibitory modelling was superior to persuasion and social skills training in modifying the participants’ involvement in bullying. Based on the findings, it is recommended that an anti-bullying policy be formulated at both junior and secondary school levels.
Tutor management support services in colleges of education in Ashanti region, Ghana
Authors: Nyarko Phyllis Agyeman
Published: February 2022

The availability of tutor management support services provide the needed guidance, direction and assistance to tutors in the performance of their duties and help overcome diverse challenges they face – professional, personal, material and emotional that can potentially affect their work. The study explored management support services in public colleges of education in the Ashanti Region of Ghana. Four research questions and a hypothesis guided the study. Using the census sampling technique all tutors and all principals were used for the study. Data were collected using the questionnaire, and analysed using means and standard deviations, and chi square. Findings include existence of orientation for new tutors and performance appraisal. It was concluded that in-service programmes help tutors to improve upon their skills, and study leave is the preferred incentive for tutors. It is recommended that principals in colleges of education in the Ashanti Region should ensure that orientation programmes are organised for newly recruited tutors. Again, principals of the colleges should be encouraged to continually ensure that tutors are appraised on their performance.
Влияние геометрических параметров обделки тоннеля на напряженно-деформированное состояние породного массива при действии подвижной нагрузки
Authors: С. Р. Гирнис  , В. Н. Украинец  , Е. М. Ибраева  , А. В. Украинец
Published: February 2022

В настоящей работе решена задача о действии неосесимметричной подвижной нагрузки на тонкостенную круговую цилиндрическую оболочку в упругом пространстве (массиве). Данная задача является модельной при исследовании динамики тоннелей глубокого заложения под воздействием транспортной нагрузки. Для описания движения массива используются динамические уравнения теории упругости в потенциалах Ламе. Колебание оболочки описываются приближенными уравнениями классической теории тонких оболочек. Контакт между оболочкой и массивом полагается либо жестким, либо скользящим. Решение, полученное авторами для дозвукового случая (когда скорость движения нагрузки меньше скорости волн сдвига в массиве), построено в подвижной системе координат, связанной с равномерно движущейся по внутренней поверхности оболочки нагрузки. На основе полученного решения и численных экспериментов исследовано влияние геометрических параметров обделки тоннеля глубокого заложения на напряженно-деформированное состояние породного массива при действии движущейся осесимметричной нормальной нагрузки. В частности, для различных значений толщины обделки и радиуса ее срединной поверхности, представлены и анализируются результаты расчётов напряжённо-деформированного состояния контура поперечного сечения тоннеля в проходке при докритической скорости движения нагрузки.
Miejsce drzew jest w lesie. O miejskiej biofobii
Authors: Krajewski Marek
Published: February 2022

W artykule wyjaśniam, czym jest biofobia, identyfikuję jej podstawowe formy oraz źródła, a także wskazuję, skąd się bierze jej, również współczesna, żywotność. Intepretuję też biofobię jako postawę niezbędną do wytworzenia specyficznej tożsamości człowieka jako nad-gatunku, całkowicie odrębnego wobec innych form istnienia. Pokazując integralny związek między miastem a biofobią, prezentuję różnorodne jej przejawy praktykowane w stosunku do drzew obecnych na terenach zurbanizowanych, szczególnie mocno koncentrując się na zjawisku tak zwanej tujozy. To z kolei pozwala mi wykazać pułapkowy charakter biofobii, ale też wykorzystywanie jej w procesach klasowego wykluczania oraz do legitymizacji procesów rozwojowych. W zakończeniu artykułu przybliżam kilka koncepcji uspołecznienia, które swoją istotą czynią ograniczenie biofobii i budowanie biofilnych relacji z innymi niż ludzkie formami istnienia.
Eugenio Coseriu: sobre a presença do texto literário em sala de aula
Authors: Lima Maria Hozanete Alves de
Published: February 2022

Neste trabalho procuramos ilustrar alguns delineamentos apresentados por Eugenio Coseriu no texto “Acerca de la ensenãnza de la lengua y la literatura” (1987) para mostrar a importância do ensino de literatura e de que maneira ele está implicado com o ensino de língua. Neste texto coseriano, conferimos uma rede de ideias que circulam em outros textos teóricos do autor para dar visibilidade ao pensamento de um linguista cujo empreendimento teórico sobre a linguagem se delineava pela concepção de que esta era, antes de tudo, uma atividade social e cultural, cuja unidade superior de manifestação de sentido é o texto.
BANK FINANCING OF GREEN ECONOMY: REVIEW OF MODERN RESEARCH
Authors: Vanishvili Merab , Katsadze Irakli
Published: February 2022

The aim of the research is to generalize and systematize the results of scientific research on the participation of banks in financing the green economy. In the context of the historical approach, the authors apply the methods of critical analysis, logical generalization, systematization, and grouping. The research is based on scientific publications by foreign authors. As a result, the authors substantiated the correlation of the concepts “green”, “sustainable”, “responsible” bank, and identified that such green financial instruments as green bonds, in some countries - green loans, green deposits, green leasing, and green insurance are being introduced into banking practices.
THE IMPACT OF TEMPERATURE AND H2O FLUX ON THE ADSORPTION OF WATER ON RUTILE TIO2 (110)
Authors: Bouzidi Fatima , Tadjine Moustafa , Berbri Abderezzak , Bouhekka Ahmed
Published: February 2022

In this work, we focus on the effect of H2O flux and temperature on the behaviour of water molecules at rutile (110) face. To achieve this goal; we converted the deferent ways of H2O on surface to a system of nonlinear differential equations based on the Langmuir equation. The results showed that H2O flux has a strong influence on the dissociation of water molecules on the active sites at the surface as well as the temperature which plays a key factor on the behaviour of water on the surface, where the association of OH hydroxyls start from 110 K, while the desorption of water molecules begin at annealing the surface around 160 K.
Investigation of an outbreak of brucellosis in a mixed dairy farm and evaluation of a test and slaughter strategy to release the herd out of the quarantine
Authors: El-Diasty Mohamed , Salah Khaled , El-Hofy Fatma I. , Abd El Tawab Ashraf A. , Soliman Enas A.
Published: February 2022

An outbreak of brucellosis in a mixed dairy farm with 508 animals (370 cows, 120 sheep, and 18 camels) at Fayoum governorate, North Upper Egypt, was investigated. A storm of abortion and several cases of retained placenta were reported among cows and ewes in April 2020. Serodiagnosis of brucellosis was done using Rose Bengal Test (RBT) and Buffered Acidified Plate Antigen Test (BAPAT). The Milk Ring Test (MRT) was applied to the milk of seropositive animals. A total of 89 samples were used for isolation of Brucella and isolates were confirmed using Abortus, Melitensis, Ovis, Suis-PCR (AMOS-PCR). Test and slaughter strategy was applied to eradicate brucellosis from the farm based on RBT every month until three successive negative tests were obtained. Results showed that the seroprevalences of brucellosis based on RBT and BAPAT were 9.5%, 35%, and 50% in cattle, sheep, and camels, respectively. Despite 50% of male camels being seropositive, no clinical signs have been reported. The MRT identified fewer positive cases than BAPAT and RBT, thus, it cannot be used alone to eliminate the infection from the farm. A total of 31 Brucella isolates were recovered from cows and sheep on the farm. All isolates were confirmed as Brucella melitensis bv3 based on bacteriological examination and Brucella AMOS-PCR confirmed all isolates as Brucella melitensis. No positive reactors at the 6th, 7th, 8th, 9th, and 10th examinations were reported after the implementation of the test and slaughter strategy. In conclusion, extensive animal farming and mixed breeding are potential risk factors for interspecies transmission of brucellosis. Additionally, the test and slaughter strategy could be helpful to release the herd out of quarantine, however, application of biosecurity practices and fair compensation policy for owners should be implemented.