bluuebunny/crossref_metadata_2025 huggingface dataset:
Estudio observacional prospectivo que evalúa la carga de enfermedad del HZ en Colombia
Authors: Rampakakis Emmanouil , Stutz Melissa , Monsanto Homero , Mejía Gonzalo , Zapata-Cárdenas Andrés , Rico Carillo Andrés Eduardo , Molina de Salazar Dora Inés , Pradilla Vesga Oscar Enrique , Johnson Kelly
Published: September 2021

Introducción: el herpes zóster (HZ) es una enfermedad debilitante que afecta negativamente la calidad de vida (CV). Este estudio buscó describir la carga de la enfermedad por el HZ en Colombia.

Métodos: estudio prospectivo, observacional, de cohorte única realizado en 10 centros clínicos colombianos. Para ser elegibles, los pacientes tenían que ser inmunocompetentes, ≥50 años de edad, y tener un diagnóstico confirmado de HZ en fase aguda o dolor posherpético. Los resultados del estudio incluyeron el inventario breve del dolor por zóster (ZBPI), la CV evaluada con el cuestionario EQ-5D y la utilización de recursos de atención médica (URAM) debido a HZ. El seguimiento fue de 180 días.

Resultados: se incluyeron 154 pacientes con una media (DE) de la edad de 64.6 (9.6) años. La media (DE) del peor dolor agudo fue 8.2 (2.1), mientras la neuralgia posherpética (dolor por HZ ≥3 que persistió ≥90 días) fue reportado por 36.5% de los pacientes. Los predictores significativos del aumento de la carga de dolor fueron la edad avanzada y puntuaciones de peor dolor más altas desde el inicio de la erupción. El aumento en el dolor asociado a HZ estuvo acompañado con reducción significativa en CV, la cual duró aproximadamente 60 días. En términos de la URAM, medicamentos para el HZ y que fueron recetados a 98.7% de los pacientes, incluyendo aciclovir en 85.1% de los pacientes, 79.2% tuvieron un seguimiento por un médico general, 38.2% visitó una sala de emergencia y 29.2% visitó un especialista.

Conclusión: HZ está asociado a carga de enfermedad significativa en Colombia, incluyendo dolor, impacto en la CV y URAM. A medida que la población colombiana envejece, se deben implementar estrategias para manejar y/o prevenir de manera más efectiva la carga asociada
Aféresis terapéutica
Authors: Torres Serrano Rodolfo Eduardo , Roselli-Sanmartín Carlos , Olivares-Algarín Carlos Roberto , Montero-Cetina Camilo , Zambrano-González Diana Marcela , Suárez-Martínez Arnoldo José , Madariaga-Carocci Carlos
Published: September 2021

Introducción: la aféresis plasmática, ampliamente utilizada, con indicaciones renales y no renales, así mismo con diferentes niveles de evidencia descritos por la Sociedad Americana de Aféresis, siendo un tratamiento antiguo y muy utilizado, en la literatura se disponen de escasos estudios que comparen el uso de las diferentes soluciones de reposición (cristaloides, coloides, plasma, albumina) en cuanto a su respuesta clínica y paraclínica, específicamente en resultados de la función renal.

Objetivo: describir la experiencia de pacientes llevados a aféresis plasmática en una institución de cuarto nivel, haciendo énfasis en los desenlaces de función renal y seguridad, con una nueva estrategia de solución de reposición con voluven.

Métodos: estudio tipo serie de casos, se incluyeron pacientes tratados con plasmaféresis, quienes ingresaron entre enero 2012 y abril 2019 al servicio de nefrología del Hospital San José. Se realizó un análisis descriptivo.

Resultados: se realizaron 608 sesiones de plasmaféresis. La indicación más frecuente el rechazo humoral agudo en el trasplante renal. Al final del periodo de tratamiento, los pacientes en plasma e hidroxietil almidón (hydroxyethyl starch, HES por sus siglas en inglés) presentaron similar proporción de hipocalcemia y trombocitopenia, las pruebas de función renal se conservan normales después del tratamiento.

Conclusión: los efectos secundarios de la aféresis terapéutica como los trastornos hematológicos (alteración de los factores de coagulación, trombocitopenia o anemia), además de hipocalcemia, o posibles alteraciones de la función renal comparados entre los diferentes líquidos de reemplazo plasmático, albúmina o HES, en nuestro trabajo demostró que las alteraciones no son mayores y la función renal se mantiene conservada durante la terapia, además, se encontró que el uso de HES no generó lesión renal aguda, al contrario, se observa estabilidad de la función renal, por lo tanto se debe considerar su uso, siendo un producto de bajo costo, con excelentes resultados clínicos
Nefritis intersticial granulomatosa secundario al uso del anti TNF adalimumab
Authors: Restrepo-Valencia César Augusto , Martínez-Aristizábal Juan David , Flórez-Vargas Adriana
Published: September 2021

Se presenta el caso de una paciente de 56 años, quien presenta deterioro progresivo en la funcion renal, y en quien la biopsia renal reporte nefritis intersticial granulomatosa. Se reviso historia clinica, y se detecto que el deterioro coincidia con el inicio del medicamento adalimumab. Se suspendio, inicio terapia de esteroide mas citostatico con mejoria.
PRACTICE OF THE PSYCHOLOGIST IN THE RECRUITMENT AND SELECTION OF ORGANIZATIONS
Authors: da Costa Juliana Silva , de Lima Gisele Almeida , de Souza Júlio Cesar Pinto
Published: September 2021

The participation of the organizational psychologist defines the quality and productivity of the organization,becoming
an important member of the company's human capital.The objective of this article is to demonstrate the importance of
the psychologist in the recruitment and selection of employees of organizations, developing it with a qualitative
approach in a bibliographical research. The scientific platform of Google Scholar, Scielo, MedLine and Capes
Periodicals was used to survey sources of queries,limiting the search to books,academic papers and scientific articles
produced in the last 5 years. The following keywords were also used: psychologist; recruitment and selection;
organizations.The results indicate that the organizational psychologist has the important task of guiding their leaders to
manage people in line with organizational goals,as much as current employees offer an improvement in the company's
quality of life,well-being and the comfort of capital human,but also actively participating in the processes of recruitment
and selection of new employees so that they are aligned with the objectives proposed by the organization, always
seeking to generate results within the organization and maintain a balanced behavioral environment that is pleasant to
all employees.
FACTORS CAUSING RECURRENCE OF INFECTION IN THE CORNEAL GRAFT AFTER THERAPEUTIC PENETRATING KERATOPLASTY
Authors: Rohit Rohit , Kumar Singh Lokesh
Published: September 2021

Aim:-The aim of this study is to analyse the factors causing recurrence of infection in the corneal graft after therapeutic
penetrating keratoplasty.Material and Methods:- This study was conducted at Upgraded Department of
Ophthalmology, SVBPH,Meerut. This institution performs 120 keratoplasty procedures per year on an average. The
study was conducted for a period of one year & 25 patients had reinfection and those who presented with reinfection
constituted the sample size complete enumeration.The data thus obtained was compiled and analysed using Statistical
Package for Social services (SPSS vs 20). The qualitative variables were analyzed by using frequencies and The
qualitative variables were analyzed by using frequencies & percentages & chi square test was used as test of
significance.The quantitative variables were presented as measures of central tendency and dispersion. A p value of
less than 0.05 was considered as statistically significant Results Initial fungal etiology was the main risk factor for the
recurrence of microbial keratitis after TPK in (24%) of the cases followed by persistent epithelial defects (16%),Initial
bacterial etiology (12%), Lid abnormalities (8%) ,contact lens use (8%), Secondary ocular hypertension (8%), prior
rejection episodes(8%), initial viral etiology (4%) ,peripheral ulcerative keratitis (8%) & suture related problems(4%).
Conclusion:- .This study has shown that Fungal keratitis was the main reason for the initial TPK & initial Fungal aetiology
was the main risk factor for the reinfection after TPK
GROUND GLASS OPACITY- (GGO) MIMICS AND ITS CHAMELEONS IN THE ED A LITERATURE REVIEW
Authors: Chanduputla Mamatha Reddy , Gankidi Vishwa Reddy , C Reddy Rakesh
Published: September 2021

Background : The COVID-19 pandemic has created an unprecedented health care crisis with, disruptions in both
routine and emergency health care delivery and immense strain on health care resources . The clinical spectrum of
disease with coronavirus disease (COVID-19) infection is variable and ranges from an asymptomatic infection or mild
upper respiratory tract illness to severe viral pneumonia with respiratory failure and occasionally death. In a resourceconstrained environment with a high community burden of the disease and rapid point-of-care testing either
unavailable or showing negative results, CT has been used to rapidly triage patients into non COVID-19, possible
COVID-19, or most likely COVID-19 . As per the Fleischner Society consensus statement, CT is appropriate in certain
scenarios, including for patients who are at risk for and/or develop clinical worsening .The common chest CT findings of
COVID-19 are multiple ground glass opacity(most common), consolidation and interlobular septal thickening in both
lungs, which are mostly distributed under the pleura. The ground-glass opacities are usually peripherally located with
the lower lobes being commonly involved. Imaging differentiation is important for management and isolation purposes
and for appropriate disposition of patients . (1,7) The purpose of this article is to discuss the common presentations of
emergency department with ground glass opacities and to review the differential diagnosis of typical imaging
findings of COVID-19. Ground glass opacities appear in a variety of disease processes of emergenc Conclusion : y
department presentations . Not all presentations with GGO” s have SARS COV2 or Covid -19 viral pneumonia .
PROFILE OF COVID -19 PATIENTS AT A DEDICATED COVID HEALTH CENTRE (DCHC) IN SUBURBS OF A METROPOLITAN CITY IN MUMBAI INDIA -A RETROSPECTIVE STUDY
Authors: Jayashri S Pandya , Nair Ajit , Neelam Andrade , Ramesh Ambre Sagar , Durgesh P Sahoo
Published: September 2021

Context: COVID-19 pandemic had over the past months grown to disastrous proportions and had stretched the
healthcare facilities across the globe to their limit.Jumbo centres not only helped in increasing the availability of beds
for Covid patients, but also helped in de-cluttering the load on tertiary centres. Aim: Clinical and epidemiological
profile of patients who received treatment at the MCGM jumbo covid facility at Mumbai. Setting and design:The current
study is a retrospective, observational analysis of epidemiological features, clinical manifestations and laboratory and
radiographic investigations of patients admitted at the DCHC between June 1st 2020 to August 31st 2020.Methods and
Material: Patients from June 2020 to August 2020 at DCHC were enrolled in the study.All patients with positive RTPCR,
were divided according to symptomatology and classified into Mild,Moderate,Severe. Statistical analysis used:Data
was entered in Excel spreadsheet and statistical analysis was done by using SPSS software version 19. Results: Out of
3977 cases,1620 (40.7%) cases were mild cases,1269 (31.9%) moderate cases and 1088 (27.4%) severe cases.The age
amongst mild cases (50.78 ± 14.56 years) was higher as compared to moderate (48.23 ± 15.63 years) and severe cases
(47.18 ± 15.53 years) and the difference between all the three groups was statistically significant. Conclusion: DCHC
management helped in formulating protocols and with advances in the infrastructure, led to better management with
less transfer and helped in preparing for second wave
UNUSUAL PRESENTATION AND SPONTANEOUS RECOVERY OF HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS (HLH) DUE TO URINARY TRACT INFECTION: UNCOMMON ASSOCIATION OF A COMMON DISEASE.
Authors: Jyoti Sharma Dibya , Rajmohan Parvathy , Sarma Phulen , Patoa Simi
Published: September 2021

Hemophagocytic Lymphohistiocytosis (HLH) is an under diagnosed condition which has fatal outcome if not recognized
during initial period and effective medical therapy is not prioritized to control the cytokine storm at the outset. It
masquerades as multiple diseases and has a variable yet unpredictable clinical course and corollary.We report the
uncommon manifestation and outcome of HLH in a patient who presented to our centre with urinary tract infection.
THE PREVALENCE OF GINGIVAL RECESSION IN NORTH GUJARAT POPULATION
Authors: Gandhi Rachana , Gandhi Mital
Published: September 2021

Background: Gingival recession (GR) is a challenging condition especially with the increasing esthetic demand of
patients today. Hence, there is a need to assess the prevalence of GR and to investigate possible associations with this
condition.Methods:A cross-sectional observational study design was used where a sample of 500 patients,within the
age range of 18-60 years,was drawn from Department of Dentistry, GMERS Medical College and Hospital, Himatnagar.
The collected data included demographic and periodontal variables, and the significance level was set at P ≤ 0.05.
Statistical analysis was performed using the Chi-square and Fisher exact test.Results:The overall prevalence of GR was
69.4%.Statistical analysis indicated a significant association between gender and GR (significant male predilection,P ≤
0.05), and between GR and plaque biofilm due to periodontitis with 90.8% of recession cases having periodontitis. A
significant association was also found between the cause and distribution of GR,where mandibular incisors showed the
highest prevalence of GR.Conclusion: Gingival recession is a highly prevalent condition amongst the people in North
Gujarat,with periodontitis being the fundamental cause.Frenal pull is the most prominent local factor in inducing GR in
the North Gujarat population.This information can be applied by educating the population and initiating new preventive
programs and awareness campaigns.
IMPACT OF VACCINATION ON COVID INFECTION IN HEALTH CARE WORKERS IN WESTERN ZONE OF INDIAN RAILWAYS
Authors: Anand C.S. , Rehman Hafeezunissa , Kumar K. Krishna , Prakash Brham , Kumar Subodh , Malviya A. K. , Chakraborty Maniratan , Srivastava Alok , Rawat J.P. , Patil Yoganand , Kesari Mrunal
Published: September 2021

Healthcare workers (HCWs) are highly exposed to SARS-CoV-2 infection. HCWs are also likely source of infection of
their family members .COVID-19 Vaccination programs started during December 2020 in several countries and
prioritized healthcare workers (HCWs).The vaccination campaign coincided with the second surge of COVID cases in
Western part of India.This study assess the prevalence of COVID19 infection and disease severity in vaccinated HCWs.
Prevalence of SARS-CoV-2 cases was 6.3% of vaccinated HCWs. Most infection cases occurred within two weeks of the
first vaccine dose. Out of total HCWs 87.4% were mild, 11.1% were moderate, and 1.5% were severe cases.This study
stresses on early identification of asymptomatic carriers in vaccinated individuals.Even vaccinated HCWs might spread
the infection leading to hospital outbreaks.With the emergence of newer strains of Covid 19 and amid the rising cases of
Delta variant across the globe,adequate infection control practices like masking,social distancing,appropriate PPE and
hand sanitization and vaccination are mandatory.However,disease severity is milder post vaccination.It is important to
distinguish symptoms of side effects post vaccination from COVID infection even in vaccinated HCW in pandemic.
IMPACT OF COVID-19 ON PREGNANCY AND ITS OUTCOME IN ZONAL MILITARY HOSPITAL
Authors: Mitra Binay , Borse Dhananjay , Singh K J , Sharma Aparna
Published: September 2021

Introduction :The corona virus disease 2019 [COVID-19] has rapidly spread worldwide and is now a global pandemic.
It is matter of concern whether the COVID-19 affects the pregnancy and its outcome.In this study,investigation was done
to determine the possibility of effects of COVID-19 on pregnancy and its outcome. Materials and Methods : A total of
1014 pregnant women were included in the study, from 1st April to 30 Nov 2020 at a zonal military hospital.There were
148 women who tested COVID-19 RT-PCR [reverse transcriptase polymerase chain reaction] positive and remaining 866
were COVID-19 negative.Findings of antenatal complications and perinatal outcome were compared in both the groups.
Results :The incidence of COVID-19 positive pregnant women was found to be 14.59 %.No increase in rate of antenatal
complications was seen in COVID-19 positive patients.Cesarean delivery rate was more in the COVID-19 positive group
(52%) as compared to COVID-19 negative group (38%),(p > 0.05). Low APGAR score (0-3) was observed in 1 (0.67%)
neonate of COVID-19 positive mothers and in 9 (1.03%) neonates of COVID-19 negative mothers.Overall 148 neonates
were tested for the possibility of vertical transmission, 145 neonates were negative in RT-PCR, while 3 were
positive.Conclusion : There is no significant effect of COVID-19 infection on maternal and foetal outcome in pregnancy
and possibility of vertical transmission of the COVID-19 infection can not be ruled out.
A CROSS SECTIONAL STUDY AMONG MEDICAL COLLEGE STUDENTS TO FIND OUT THE LEVEL OF STRESS, LONELINESS & DEPRESSION
Authors: Madhur Thakur , Vijay Chouhan , Thansingh Dangi , Vipin Thakur
Published: September 2021

Aim of the Study:To assess the level of stress,loneliness and depression among medical college students.
Background: A recent shift across industrialized societies is characterized by an increase in the number of people
pursuing post-secondary education.This shift has created a new stage in the life span that describes the lives of young
people and is called, emerging adulthood. Individuals in emerging adulthood are in their late teens and early 20s.
Emerging adulthood is defined as the stage of life that includes young individuals who range from 18 to 25 years,and in
characterized by frequent change,independence and exploration.
Method: The Following is cross sectional study on 150 medical college students in Indore at MGM Medical College to
find out the level of stress, loneliness and depression in students.The data was collected through a predesigned semistructured questionnaire which consisted of 13 questions. The study was conducted for the duration of three months
through simple random sampling method.
Result: There are 52.35% male and 47.65% females.In terms of locality,we studied there 43.62% are hostellers 30.20%
locals, and 26.17% paying guests. By Applying Person co-relation test, we find that there is significant negative corelation of age with stress,loneliness and depression.On other way by applying independent T-Test we find that there is
significant relation of gender with level of stress,level of loneliness and level of depression.
Conclusion: By Applying Person Co-relation test we find that there is significant negative co-relation of age with stress.
Loneliness and depression Hence we find that with increase in age is associated with decrease in stress loneliness and
depression. Applying independent T-Test find that there is significant relation of gender with level of stress level of
loneliness and level of depression we conclude that female medical students have more stress, loneliness and
depression in female as compared to male.
REVVING UP THE FORTUNES OF KARNATAKA’S ESCOMS
Authors: V. Mahesha, , G.V. Naveen,
Published: September 2021

When the power sector reforms were ushered in, many protagonists of the reforms believed that the reforms would
break new ground in more ways than one. After all, generation, transmission and distribution of power would be
entrusted to dedicated entities and if they failed, they could be held individually accountable and answerable. Even a
hike in power tariff would be effected only after taking the stakeholder groups into confidence. But nothing of the sort
happened even with the State Electricity Regulatory Commission (SERC) around. The bottom lines of the various
electricity supply companies (Escoms) of the state began to turn increasingly red with each passing year. It is high time
the Escoms were nursed back to financial health. An investigation undertaken by the researcher after interacting with
stakeholder groups like CESCO officers and the farmer-consumers, among others, led him to conclude that a few steps
must be taken immediately to arrest the falling bottom lines of the Escoms. To begin with, the government should
transfer the subsidy payable to the farmer-consumersdirectly to the bank accounts of the latter. However, if this is to
materialise, the IP sets installed by the farmer-consumers should be necessarily metered . This will ensure that the
beneficiary does not take the subsidised / free supply of power for granted. Underserving beneficiaries can be easily
spotted and kept out of the subsidised power / free power loop. Government should promote drip irrigation to conserve
precious water table and power. Even large farmers can be considered for the purpose if they are ready to share the tariff
incurred for the purpose, with the government.
Current Balancing Control for Interleaved Half-Bridge Submodules in Modular Multilevel Converters
Authors: Viatkin Aleksandr , Ricco Mattia , Mandrioli Riccardo , Kerekes Tamas , Teodorescu Remus , Grandi Gabriele
Published: September 2021

This paper presents a closed-loop current balancing control for Modular Multilevel Converters with Interleaved half-bridge Sub-Modules (ISM-MMC). The new control loop solves the well-known problem of proper current balancing among interleaved half-bridge legs in each ISM-MMC submodule while preserving a simple and reliable structure. In addition to that, a novel capacitor voltage balancing strategy for MMCs is developed. The new algorithm contains main advantages of the classical capacitor voltage balancing methods while provides an opportunity to decouple two balancing tasks of ISM-MMC, namely capacitor voltage and interleaved legs current balancing. The proposed control methods feature good dynamic performance and are compliant with a digital processor's operational constraints. The effectiveness of the new balancing methods was verified during extensive numerical simulations and experimental tests on a laboratory prototype by the corresponding system response under the input/output characteristics variation and interleaved current control perturbation.
Designing a Browser Extension for Reliable Online Health Information Retrieval Among Older Adults Using Design Thinking
Authors: Shaveet Eden , Gallegos Marissa , Castle Jonathan , Gualtieri Lisa
Published: September 2021

The pervasiveness of online mis/disinformation escalated during the COVID-19 pandemic. To address the proliferation of online mis/disinformation, it is critical to build reliability into the tools older adults use to seek health information. On average, older adult populations demonstrate disproportionate susceptibility to false messages spread under the guise of accuracy and were the most engaged with false information about COVID-19 across online platforms when compared to other age-groups. In a design-thinking challenge posed by AARP to graduate students in a Digital Health course at Tufts University School of Medicine, students leveraged existing solutions to design a web browser extension that is responsive to both passive and active health information-seeking methods utilized by older adults in the United States. This paper details the design-thinking process employed, insights gained from primary research, an overview of the prototyped solution, and insights relating to the design of effective health information-seeking platforms for older adults.
Evolución histórica de la criminología en el derecho penal
Authors: España Vidal Jeraldin Carolina
Published: September 2021

La Evolución histórica de la Criminología en el Derecho Penal, la podemos ver reflejada en tres fases. La primera fase de la criminología como tal, la encontramos en su etapa pre científica, esta se divide en dos direcciones que se diferencian claramente, la primera es la que se puede llamar "clásica" (esta con el fin de comprender el inicio de la existencia ideológica de la Criminología, fruto de las doctrinas, de los reformadores del derecho penal clásico) la segunda la que es calificada de experimental por tener una variedad de investigaciones sobre el crimen, usadas por expertos de las diversas materias; (antropólogos, psiquiatras, frenólogos, fisonomistas, etc.) teniendo todos un mismo objetivo. En la segunda es la etapa científica de la criminología encontramos el imperio del positivismo en sentido exacto. Y cuando se estudia al positivismo, es necesario definir al método científico, siendo este la metodología experimental de las ciencias naturales. Desde esta figura se tratan los fenómenos sociales. Los fundadores y más ilustres representantes de la Escuela Positivista son LOMBROSO, GARAFOLO Y FERRI. Y la tercera denominada la moderna Criminología, en donde la lucha de la Escuela Clásica y Escuela Positivista de los siglos XVIII y XIX, creó un importante imperio en las proposiciones criminológicas, político-criminales y penales del siglo XX. Consecuencia de esa disputa fue la definición de tres disposiciones criminológicas: las sociológicas, las biológicas y las psicológicas.
Orientação: um tesouro pedagógico das práticas corporais de aventura
Authors: Luz Denise Correa , Oliveira Amauri Aparecido Bássoli
Published: September 2021

INTRODUÇÃO: O incentivo à prática da Orientação, no ambiente escolar possibilita aos estudantes: compreender, produzir, vivenciar e relacionar conhecimentos entrelaçado entre manifestações sociais e cultura corporal. As práticas corporais de aventura (PCAs) alcançam novos adeptos e têm sido reconhecidas pela sociedade que busca da (re)aproximação com a natureza e fuga de ambientes urbanos. Ao professor de educação física cabe o desafio de contextualizar e ofertá-las possibilitando os estudantes reflexões e vivências de movimento. OBJETIVO: O objetivo dessa proposta pedagógica, neste relato de experiência foi apresentar a Orientação e suas possibilidades no ambiente escolar, estimulando as PCAs com diversão, e potencial desenvolvimento cognitivo, funcional, social e pessoal. MÉTODO: A proposta foi realizada com 30 (trinta) estudantes matriculados em uma turma de 5º (quinto) ano, do ensino fundamental I, com idades entre 10 e 11 anos de uma escola pública em Curitiba/PR. Diversos materiais lúdicos e pedagógicos foram disponibilizados e confeccionados com e para os estudantes. Conversas sobre a história da Orientação, os equipamentos utilizados, a leitura de mapas, cores e símbolos foram abordadas. Como ampliação de conhecimento os estudantes participaram de uma atividade surpresa, na qual puderam realizar uma pista sprint dentro da unidade escolar, com mapa produzido exclusivamente para o dia. RESULTADOS: Percebemos que houve ótima aceitação dos estudantes em todo o processo, observando o ambiente escolar com maiores possibilidades de conhecimentos, tais como atitudes de preservação da natureza, resolução de situações problemas em ambiente conhecido e seguro, protagonismo estudantil e relação com o outro. CONCLUSÃO: Conclui-se que a Orientação é um conteúdo rico e uma prática segura no ambiente escolar, pois promove experimentações e noções espacial e temporal, estimula a criatividade, a iniciativa e superação de limites. É um conteúdo que pode ser contemplado na estrutura curricular das aulas de Educação Física, tendo em vista toda a sua potencialidade formativa.
Nicolai Hartmann’ın Yeni Ontoloji Perspektifinden Ahlâkî Özgürlük Yorumu ve Kant Eleştirisi
Authors: YAVUZ Ziya
Published: September 2021

Hartmann ahlâkî özgürlüğün açıklanmasında Kant’ın irade özgürlüğü hakkındaki görüşlerini eleştirirken aynı doğrultuda benzer bir yaklaşımla pozitif özgürlüğü (belirlenmemişlik/undeterminiert), negatif özgürlükten (özel tipte belirlenmişlik/plus determination) ayırmak suretiyle yeni bir özgürlük yorumuna ulaşmak istemiştir. O, aksiyolojik belirlenimin değer ilişkisinden yola çıkarak insanın, ontolojik belirlenmişliğini aksiyolojik açıdan aşabileceğini ve buna bağlı olarak da aşkın bir determinasyon formu içinde değer duygusuna dayalı olarak kendisine amaçlar koyabileceğini ve böylece özgür olabileceğini savunmuştur. Ayrıca o, Alman idealistlerinin özgürlük hakkındaki mutlak tinin sonsuz etkinliği şeklindeki özgürlüğü bir geist varlığına bağlayan görüşlerine karşı özgürlüğü, hukuksal özgürlük, ahlaki özgürlük, bireysel özgürlük, içsel ve dışsal özgürlük, eylem ve irade özgürlüğü gibi farklı boyutlarda ele alarak onu insana ait bir değer olarak görmüştür.
Economic security in educational digital technologies
Authors: Bazhenov Sergey
Published: September 2021

The article discusses the issues of education of citizens with different activities and using digital technologies with on-line format is analyzed in this paper. There are methods and technologies of improving educational process for people. Authors noticed the current problems in the sphere of qualification and increasing competences.
Longitudinal variation of wood basic density and anatomy of Curatella americana L
Authors: Vicentin Patricia Gurgel , Cambuim José , Florsheim Sandra Monteiro Borges , Moraes Mario Luiz Teixeira de , Longui Eduardo Luiz , Lima Israel Luiz de
Published: September 2021

Studies with Curatella americana L wood are justified due to scarce information about this species. In this context, we collected wood samples from six trees (ages varied between 30-40 years old) planted in Selvíria (MS- Brazil). Our objective was to verify longitudinal variation of basic density and wood anatomy. From each sampled tree, 5 cm thick discs were removed, at three different heights: base of the trunk (≈ 15cm from the ground), DBH (diameter at breast height, 1m30cm from the ground), and top of the trunk (commercial height of tree with a minimum diameter of 5 cm). We use standardized methods for basic density and wood anatomy. According to results, we concluded that basic density, fiber length, fiber wall thickness, vessel element length, vessel diameter, and vessel frequency were influenced by different heights. However, in ray percentage, no significant variation was observed. The basic density correlates positively with length and fiber wall thickness, and negatively with vessel frequency.
Indisciplina escolar na visão de alunos e professores: investigando concepções
Authors: Trevisan Andreia Cristina Rodrigues , Letícia Zoz Driéle , Paulo Trevisan Eberson
Published: September 2021

A pesquisa apresentada tem como objetivo principal identificar concepções de alunos e professores sobre a indisciplina escolar e compreender sua implicação para o processo de ensino e aprendizagem. A pesquisa se configurou como uma investigação de abordagem qualitativa, na qual buscamos, através de questionários aplicados a 144 alunos e 12 professores, pertencentes à uma escola da rede pública estadual de Mato Grosso, produzir dados referentes a problemática indisciplina nesse ambiente escolar. Os resultados obtidos através dos questionários dos alunos e professores evidenciaram que a indisciplina vem sendo entendida como um comportamento inadequado para o ambiente escolar, que atrapalha o processo de ensino e aprendizagem. Em relação as atitudes relacionadas à indisciplina, xingar o professor foi a mais listada pelos alunos, seguida por atos que atrapalham o processo de ensino e aprendizagem, como por exemplo, não participar da aula, conversas paralelas e não fazer a lição. Para os professores participantes da pesquisa um dos casos mais comuns de indisciplina em sala de aula é alunos inquietos, que não cooperam com o professor e que se mostram desinteressados. Em relação as atitudes tomadas diante dos alunos indisciplinados o que mais se destacou foi o diálogo entre professor e aluno. O fato que se deve levar em consideração é que o diálogo tem se configurado como o principal instrumento do professor no processo de ensino e aprendizagem, sendo que devemos sempre lembrar que em sala de aula nos deparamos com alunos que possuem suas particularidades e que o respeito a isso é o primeiro passo para amenizar o problema da indisciplina no espaço escolar, evitando com isso prejuízos ao processo de aprendizagem.

Palavras-chaves: Indisciplina escolar, processo de ensino e aprendizagem, concepções de professores e alunos.
Effect of thermal modification on wood properties of 38-year-old Cariniana legalis cultivated at different spacing
Authors: Barbosa Juraci de Andrade , Silva Bruno Miranda da , Ranzini Maurício , Longui Eduardo Luiz , Lima Israel Luiz de
Published: September 2021

Planting spacing influences wood production. However, for tropical species we have scarce information about the effect of spacing on production and wood quality. In general, wood from native species produced in reforestation does not have the same quality compared to that from natural forests. Then, wood thermal modification can help improve the potential for using wood. In this context, our goal was to evaluate the influence of thermal modification on properties of 38-year-old Cariniana legalis wood cultivated at different spacing (3 x 1.5m, 3 x 2m and 3 x 2.5m) at the Luiz Antônio Experimental Station, Luiz Antônio City, São Paulo. We felled 15 trees, five of each spacing, and from each tree, a log, 1 meter in length, a central plank was cut, and from these planks, we cut specimens for anatomical and wood properties investigations according to standard techniques. In the specimens, a thermal modification at a temperature of 200ºC was carried out for one hour and after the specimens were compared with the control specimens. According to the results presented, we found that spacing did not influence vessel diameter, apparent density and volumetric shrinkage significantly. Thermal modification reduced apparent density and volumetric shrinkage. The reduction in vessel diameter can be estimated as a function of the wood thermal modification.
HIGHWAY IMPACT STUDY OF THE EFFICIENCY OF COATING AND BASE COMPACTION WITH THREE-ROLLER TANDEM COMPACTORS
Authors: Нилов Владимир Александрович , Жулай Владимир Алексееич , Тюнин Виталий Леонидович , Щиенко Алексей Николаевич
Published: September 2021

Приведено технико-экономическое обоснование повышения эффективности уплотнения покрытий и оснований за счет использования трехвальцевых дорожных катков тандемного типа. Выполнены расчеты, показывающие возможность последовательного увеличения вертикального нагружения вальцев катка по мере возрастания прочности уплотняемой поверхности в широких пределах (до 1,1 веса серийного катка) за счет применения дополнительной управляемой секции. Установлена возможность уменьшения числа проходов катка за счет увеличения количества его вальцев. Проведен технико-экономический расчет, подтверждающий целесообразность применения таких дорожных катков, выполненных на базе серийных двухвальцевых машин, которая обусловлена увеличением производительности в 1,27…1,5 раза.

We present a highway impact study for increasing efficiency of compaction of coatings and bases through the use of three-roller tandem compactors. Calculations have been performed showing the possibility of a sequential increase in the vertical loading of the rollers of a compactor as the strength of the compacted surface increases over a wide range (up to 1.1 of the weight of a serial compactor) due to the use of an additional controlled section. The possibility of reducing the number of passes of the compactor by increasing the number of its rollers has been established. A technical and economic calculation was carried out confirming the feasibility of using such road compactors made on the basis of serial two- roller tandem compactors, which is due to an increase in productivity by 1,27…1,5 times.
Evaluation of inclined crack in mixed mode I and II
Authors:   Department of Mechanical Engineering, Larbi Tébessi University, Tébessa, 12000, Algeria., Hannachi Mohamed Tahar , Bradji Mohamed ,   Department of Mechanical Engineering, Larbi Tébessi University, Tébessa, 12000, Algeria.
Published: September 2021

In this work,we tented to study the mixed mode of failure with two angles of inclination, of a treated steel, for that we tried to determine the parameters of failure as the stress intensity factor, tenacity and the critical energy in mixed mode of a rupture and see the criterion of rupture and seeing the effect of the angles evolution applied for all parameters. of in our close there is a fragile and less ductile rupture.
Optimization of Lead Time through Genetic Algorithm: A Case Study of Equipment Manufacturing Industry
Authors:   Industrial Engineering Department, University of Engineering & Technology, Taxila, Pakistan, Siddiqui Qasim Rehman , Shafiq Muhammad ,   Department of Industrial Engineering and Management, University of the Punjab, Lahore, Pakistan
Published: September 2021

This study aims at optimizing lead time through effective management of resources in an equipment manufacturing industry to ensure timely completion of the projects. The concept of “project crashing” was implemented to identify potential activities at production line of conventional two-roller machines. The developed model is optimized using modified Genetic Algorithm (GA). The results showed that the proposed model enabled to deliver products as per schedule without increasing planned cost. Sensitivity analyses were also conducted to find out the impact of various process parameters. From analyses, it was found that the proposed model facilitate the manufacturer in delivering the products at specified time with increasing the planned cost.
Actual-time modeling of a subway vehicle and Optimal driving management with GA and ABC algorithms
Authors:   Department of Information Systems and Technology, Sivas Cumhuriyet University,  Sivas,58140 , Turkey., ARIKAN Yağmur , ŞEN Tolga ,   Department of Electric and Electronic Engineering, Kırıkkale University,71450, Turkey., ÇAM Ertuğrul ,   Department of Electric and Electronic Engineering, Samsun University,55080, Turkey
Published: September 2021

The optimization of operations of subway systems has critical importance in terms of energy efficiency and costs. Therefore, driving management of subway vehicles has been gaining more importance day by day. Optimal Driving Management (ODM) is the optimization of the velocity trajectory of a subway vehicle by considering operating conditions and travel time. In this study, the driving of a subway vehicle has been modeled dynamically with all parameters that affect driving. So, a realistic model has been prepared. Then, a new objective function has been proposed to reduce energy consumption by using the subway vehicle’s acceleration and braking forces parameters for ODM. The Artificial Bee Colony algorithm (ABC) and Genetic algorithm (GA) have been used on the prepared model to determine the driving dynamics of the subway vehicle. The performance of the algorithms has been evaluated in the real line network, which has multiple stations with different characteristics. The energy consumption has been reduced by 10.47% in GA and 8.92% in ABC compared to the actual driving values. Moreover, the results of the study has been analyzed in terms of passenger comfort, cost, and emission values.
Gambogic Acid Relieves Neuropathic Pain in Rats by Regulating CXCR4-TXNIP/NLRP3 Pathway
Authors: Ren Xiaoting , Wu Zhaojun , Huang Xiaomin , Jia Wei
Published: September 2021

Neuropathic pain is caused by abnormal sensory processing in the central nervous system (CNS). The immune response of the CNS is related to the function of glial cells and is critical in neuropathic pain. Agents based on cytokines and glial cells in the CNS have potential for the treatment of neuropathic pain. Gambogic acid (GA) is one of the main components of Garcinia cambogia, which has anti-inflammatory, antitumor, and analgesic effects. However, the effect of GA on neuropathic pain and related mechanisms are still unclear. Previous studies indicated that GA could reduce CXCR4 expression in neuropathic pain. In this study, we found that GA could alleviate nerve pain behavior in rats by measuring the incubation period of heat shrinkage and mechanical pain threshold. Also, GA reduced inflammation in chronic constriction injury rats. We further found GA reduced the apoptosis of spinal cord nerve cells in chronic constriction injury rats. Mechanically, we noticed GA relieved neuropathic pain in rats via regulating CXCR4-TXNIP/NLRP3 pathway. Our data confirmed that GA could serve as a promising drug for the treatment of neuropathic pain.
La idea de Dios en niños, adolescentes y jóvenes. La dimensión cognoscitiva
Authors: Grom Bernhard
Published: September 2021

Este texto del renombrado profesor Bernhard Grom aborda la cuestión de qué procesos psicológicos son esenciales para el aprendizaje, la educación y la socialización, con cuestiones de educación religiosa, es decir, la cuestión de cómo se aprende la religión. No sólo los contextos escolares desempeñan un papel, sino todos los ámbitos en los que se puede encontrar la religión.
Evaluation of the PaO2/FiO2 Ratio as a Risk Factor for Hypoxemia against Septicemia Mortality in Children who Treated at Dr. Soetomo General Hospital
Authors: Yuli Astika  , Arina Setyaningtyas  , Dominicus Husada  , Retno Asih Setyoningrum
Published: September 2021

Background: Severe septicemia can result in impaired oxygen perfusion to the tissues. The PaO2/FiO2 ratio(P/F ratio) is one of the measurement parameters for hypoxemia. This study aims to evaluate the P/F ratio asa risk factor for hypoxemia against septicemia mortality in children.Method: An observational with a prospective cohort design was conducted. Thirty-six patients withsepticemia, consisting of 18 patients who living (survivor) and 18 patients who died (non-survivor). TheP/F ratio is obtained based on blood gas analysis carried out in the first 24 hours of treatment recorded onmedical records and calculated manually. The P/F ratio has an area under the curve (AUC) of 0.83 (95%CI 0.71–0.95) with a cut-off of 226. Septicemia children with P/F ratio < 226 who have a mortality riskof up to 6.9 times (RR 6.9; 95% CI 1.719-27.957; p= 0.005) with sensitivity 72.70%; specificity 72.20%;PPV 76.19%; NPV 68.42%. The mean P/F ratio in the non-survivor group was significantly lower than thesurvivor group 161.60 (95% CI 1.05) compared to 391.09 (95% CI 2.13); p= 0.005).Conclusion: The P/F ratio can be a risk factor for hypoxemia on septicemia mortality.
Impact of Normal and Overweight Pregnant Women upon Neonatal Outcomes in Al-Nasiriya Hospitals :Comparative Study
Authors: Sara Ahmed Rashed  , Rabea Mohsen Ali
Published: September 2021

Background: Maternal obesity is a major risk for both the mother and the fetus, and it is considered anobstetrical risk factor that leads to a high incidence of complications throughout the prenatal period, aswell as an increased risk of many adverse pregnancy outcomes.Objectives: To assess the impact of normal and overweight pregnant women upon Neonatal outcomesat Al-Nasiriya city.Methodology: A descriptive analytic study was conducted from January11th, 2021 to March 18th, 2021at Al-Nasiriya City Hospitals for Maternity and Children on(100) pregnant women who attending laborroom , (50) were overweight and (50) normal weight pregnant women with gestational age for 08-40weeks were included . A non–probability (Purposive sample) was used to select the participants ofstudy sample.Results: The result of study revealed that (34.1%) (36.4%) of study sample aged (26-30) years innormal, and overweight pregnant respectively. The study results clarifies the previous and current bodymass index among normal weight pregnant women (100% & 95% ) respectively, while in overweight(63.6%) overweight previously and (65.9%) obesity class ( I) at current. the impact of weight uponneonate outcomes; the findings indicates that weight has significant impact up on outcomes related toneonate, at p-value= 0.006, while there is no impact has been reported among group of normal weightpregnant women.Conclusion: The study concluded that overweight impact upon outcomes related to neonate condition,while there is no impact has been reported among group of normal weight pregnant women.Recommendations: Increased physical activity and knowledge of healthy eating habits among pregnant women as part of primary health care centre initiatives to reduce obesity in women.
COVID-19 en receptores de trasplante renal: ¿qué hemos aprendido tras 18 meses de pandemia?
Authors: Fernández-Ruiz Mario
Published: September 2021

La infección por el SARS-CoV-2 (COVID-19) ha supuesto un importante impacto en la actividad trasplantadora en nuestro país. En su condición de paciente inmunodeprimido y con frecuentes comorbilidades, era esperable que la mortalidad y el riesgo de complicaciones asociadas a la COVID-19 en el receptor de trasplante renal (TR) fueran mayores en comparación con la población general, si bien la información al respecto en los primeros meses de la pandemia era muy limitada. Desde marzo de 2020 hemos mejorado rápidamente nuestro conocimiento acerca de la epidemiología, características clínicas y manejo de la COVID-19 post-trasplante. La presente revisión pretende recopilar la información disponible a julio de 2021 en respuesta a una serie de cuestiones relevantes: ¿cómo se manifiesta clínicamente la infección por SARS-CoV-2 en receptores de TR?, ¿cuáles son sus factores pronósticos?, ¿es más grave la COVID-19 en el contexto del TR respecto a los pacientes inmunocompetentes?, ¿de qué opciones de tratamiento antiviral disponemos actualmente para el receptor de TR?, ¿cuál es la experiencia disponible con los tratamientos inmunomoduladores? y, por último, ¿son eficaces las vacunas frente a la COVID-19 basadas en ARN mensajero en esta población?. A pesar de los avances realizados aún son varios los aspectos que debemos mejorar en nuestro abordaje de la infección por SARS-CoV-2 en el ámbito específico del TR.
Síntomas asociados al sufrimiento en pacientes con enfermedad renal crónica en hemodiálisis
Authors: Ramírez-Rodríguez Claudia , Grau-Valdes Yadira , Grau-Abalo Jorge A
Published: September 2021

Introducción: Los síntomas insuficientemente controlados pueden constituir un factor determinante o agravante del sufrimiento en los pacientes sometidos a hemodiálisis; sin embargo, escasean las investigaciones que aborden este tema. Objetivos: El presente estudio tiene como objetivo describir el sufrimiento según la severidad de determinados síntomas en pacientes con enfermedad renal crónica en hemodiálisis. Material y Método: El estudio es observacional descriptivo transversal, con algunas tareas de correlación en una muestra de 31 pacientes. Se emplearon la entrevista, el instrumento para detección de bienestar/malestar propuesto por Bayés y colaboradores y una serie de sub-escalas de la Escala de Evaluación de Síntomas de Edmonton/ESAS para identificar la presencia de síntomas (intensidad y frecuencia) que pudieran estar asociados al sufrimiento. Resultados: El 87,1 % del total mostró un bajo predominio de síntomas con severa intensidad asociados al sufrimiento en las últimas 24 horas, el 77,4 % bajo predominio en la semana anterior y el 61,3 % un bajo predominio en un periodo de un mes. No se encontró asociación significativa entre el predominio de los síntomas con intensidad severa asociados al sufrimiento en 24 horas. Conclusiones: En la mayoría de los sujetos predominó el bajo predominio de síntomas con severa intensidad asociados al sufrimiento; la magnitud de la sintomatología no constituyó un factor importante asociado al sufrimiento en estos pacientes.