bluuebunny/crossref_metadata_2025 huggingface dataset:
Sistem Pakar Mendiagnosa Penyakit Gagal Jantung Pada Manusia Dengan Menggunakan Metode Certainty Factor Berbasis Web
Authors: Sutrisno Sutrisno
Published: March 2022

Untuk mengatasi penyakit gagal jantung di Rumah Sakit Umum Sultan Sulaiman saat ini masih mengalami beberapa kendala yang menghambat pasien. Diantaranya adalah banyak masyarakat yang tidak perduli akan kesehatanya, kurangnya pengetahuan masyarakat mengenai penyakit gagal jantung, kurangnya tenaga medis di Rumah Sakit Umum Sultan Sulaiman, dan jam kerja dokter yang terbatas. Dengan adanya sistem ini bukan berarti menghilangkan ataupun menggantikan peran dari seorang pakar ahli dalam bidangnya atau dokter spesialis jantung di Rumah Sakit Umum Sultan Sulaiman. Tetapi dengan adanya sistem ini diharapkan pasien dapat mengetahui langsung bagaimana cara mengidentifikasikan jenis penyakit gagal jantung berdasarkan gejala yang dirasakan oleh pasien. Sehingga dengan adanya sistem ini dapat mempermudah dan mempercepat kinerja dalam mendiagnosa awal penyakit gagal jantung yang diderita oleh pasien. Adapun metode yang di terapkan pada sistem adalah metode certainty factor, dengan menentukan 11 gejala dan 2 jenis penyakit, serta menyusun basis aturan dalam menentukan relasi dari tiap gejala sehingga hasil pada perhitungan mencapai hasil yang akurat sebesar 100%. Hasil penelitian menunjukan bahwa metode certainty factor dapat digunakan untuk mendiagnosa penyakit gagal jantung. Sehingga dengan adanya sistem ini dapat menolong masyarakat luas dalam mencari informasi tentang penyakit gagal jantung.
Sarracenia flava L. varieties
Authors: Schnell Donald
Published: March 2022

I recognize seven varieties of S. flava worthy of naming, the remaining color and vein presentations of a seeming spectrum in some locations being varietal hybrids or backcrosses, or ecophenes. Five of these--predominantly in the Atlantic coastal plain--were studied and presented in my 1978 paper with informal designations applied until further library research' could match older formal varietal designations to some of these. One is given the 'default' varietal designation var. flava, three are matched with previous formal descriptions and varietal names, and one new formal varietal description herein published. On the Gulf Coast, not covered in my 1978 paper, two unique genetic varieties are discerned, one matching a previously published varietal epithet, and the second being formally described here in. All seven of these varieties can now be referred to by formal, accurate varietal names, and there should no longer be confusion about what epithet applies to what variant.
Smart and Sustainable City Framework with Smart Cultural Precinct as Case Study
Authors: GOVADA Dr. Sujata
Published: March 2022

The Smart and Sustainable City Framework (SSCF) redefines the idea of ‘Smart City’ to having “Smart Thinking, Planning and Design” as fundamental for smart and sustainable city development. The framework focuses on the core values of “Smart People, Smart Place, and Smart Planet” that helps shape the city through innovative solutions with technology embedded as an enabler to create a more liveable, walkable, resilient and happy cities for all. Six elements of the Smart and Sustainable City Framework are discussed, which consists of “Smart Living”, “Smart Environment”, “Smart Mobility”, “Smart Infrastructure”, “Smart Governance”, and Smart Economy”. Smart Cultural Precinct (SCP) with the Cultural Triangle at its core in Central, Hong Kong will be used as a case study to demonstrate the use of the SSCF, together with recommendations for Hong Kong and suggestions for the broader application of the SSCF to help shape better cities.
SAĞLIK YÜKSEKOKULU ÖĞRENCİLERİNİN YAŞLI AYRIMCILIĞINA İLİŞKİN TUTUMLARININ BELİRLENMESİ
Authors: ÇALIŞKAN İlknur , ELMAS Semra
Published: March 2022

The study was carried out in a determinative manner to identify the attitudes of nursing and physiotherapy students that are going to give healthcare service in their work lives towards ageism. The sample of the study was constituted by 261 school of health students that agreed to take part in the study and remained in the school in the span of the study. As the data collection tool Personal Information Form and Ageism Attitude Scale was used. The data was evaluated using in SPSS 16.0 package program, the descriptive statistics Student t test, Mann Whitney U, ANOVA and Kruskal Walles tests. The average of age of the students involved in the study is 20.69±2.03. 52.5% of them are nursing students. It has been found that the Ageism Attitude Scale total grade average of the students is 82.28±8.55 and they received 32.75±4.28 in terms of limiting the life of senior citizens, 29.24±4.47 in terms of positive ageism, 17.29±3.26 in terms of negative ageism. It has been determined that school of health students have a positive attitude regarding ageism. Preparing education and consultation programs on agedness and ageism for the students that are to work with senior citizens in their work lives was recommended.
Perbandingan Pengajaran Menggunakan Laringoskop Video dengan Laringoskop Konvensional Terhadap Keterampilan Mahasiswa Kedokteran dalam Melakukan Intubasi pada Manikin
Authors: Sedono Rudyanto , Raden Besthadi Sukmono  , Nurul Huda El Muhammady
Published: March 2022

Latar Belakang. Intubasi endotrakea merupakan keterampilan penting yang perlu dikuasai oleh seorang dokter. Saat ini pengajaran intubasi pada mahasiswa kedokteran di Indonesia menggunakan laringoskop konvensional. Dalam beberapa tahun terakhir, laringoskop video mulai digunakan dalam pelayanan dan pendidikan kedokteran di dunia. Penelitian ini bertujuan untuk mengetahui sarana pengajaran yang lebih baik dalam proses pelatihan keterampilan intubasi mahasiswa kedokteran di Indonesia.

Metode. Penelitian ini bersifat eksperimental, acak, tidak tersamar, tidak berpasangan. Penelitian dimulai setelah mendapat persetujuan dari Manajer Pendidikan dan Komite Etik Penelitian Kesehatan FKUI-RSCM. Subjek pada penelitian ini melibatkan 40 mahasiswa kedokteran preklinik FKUI semester 2 yang tidak pernah mendapat kuliah atau pelatihan intubasi sebelumnya. Subjek dibagi menjadi empat kelompok pelatihan, yaitu dua kelompok laringoskop video dan dua kelompok laringoskop konvensional. Setelah dilatih selama 120 menit melakukan intubasi pada maneken, subjek diuji melakukan intubasi menggunakan laringoskop konvensional untuk mendapatkan data waktu intubasi dan jumlah upaya intubasi.

Hasil penelitian. Nilai median waktu intubasi kelompok laringoskop video 151,5 (55-383) detik dan kelompok laringoskop konvensional 56,5 (23-251) detik, dengan nilai p<0,001. Jumlah upaya intubasi kelompok laringoskop video 1 (1-3) kali dan kelompok laringoskop konvensional 1 (1-4) kali, dengan nilai p=0,114.

Kesimpulan. Pengajaran dengan laringoskop video tidak terbukti lebih baik dibandingkan dengan laringoskop konvensional terhadap keterampilan mahasiswa kedokteran FKUI dalam melakukan intubasi.
Prediksi Kesulitan Penempatan Jarum Spinal Berdasarkan Gambaran Radiologis dan Penanda Anatomis pada Pasien Bedah Urologi
Authors: Sugiarto Adhrie , Marpaung Madeline
Published: March 2022

Latar belakang: Penyuntikan berulang pada prosedur anestesi spinal berkaitan dengan tingginya angka komplikasi dan ketidaknyamanan pasien. Sistem prediksi pra-operatif yang akurat terhadap kesulitan penempatan jarum spinal dapat mengurangi insiden penyuntikan berulang sehingga mengurangi risiko komplikasi pada pasien. Penelitian ini bertujuan untuk mengetahui ketepatan memprediksi kesulitan penempatan jarum spinal berdasarkan gambaran radiologis dan penanda anatomis pada pasien bedah urologi.

Metode: Penelitian ini bersifat observasional analitik terhadap pasien bedah urologi yang menjalani anestesi spinal di Rumah Sakit Cipto Mangunkusumo pada bulan April-Mei 2015. Sebanyak 109 subjek diambil dengan metode consecutive sampling. Data pasien (usia, jenis kelamin, indeks massa tubuh, status fisik, gambaran radiologis vertebra lumbal, dan kualitas penanda anatomis tulang belakang), jumlah penusukan kulit, dan re-direksi jarum spinal, serta angka kesulitan penempatan jarum spinal dicatat. Kesulitan penempatan jarum spinal ditentukan berdasarkan jumlah penusukan kulit dan re-direksi jarum spinal. Variabel yang signifikan ditentukan melalui uji Pearson’s Chi-square dan uji Fisher, kemudian dilanjutkan analisis multivariat dengan metode regresi logistik untuk melihat hubungan antara kesulitan penempatan jarum spinal dengan variabel-variabel yang signifikan.

Hasil: Faktor usia memiliki hubungan yang bermakna pada analisis bivariat (p=0,028). Kualitas penanda anatomis dan gambaran radiologis vertebra lumbal memiliki nilai prediksi terhadap kesulitan penempatan jarum spinal (p=0,000 dan p=0,006). Hasil uji kalibrasi menunjukkan kualitas prediksi yang baik. Dari uji diskriminasi didapatkan AUC sebesar 0,84 (IK 95% 0,751-0,929).

Simpulan: Kualitas penanda anatomis dan gambaran radiologis vertebra lumbal mampu memprediksi kesulitan penempatan jarum spinal dengan tepat pada pasien bedah urologi.
Perioperative Anesthetic Management of Molar Pregnancy Patients with Hyperthyroidism and COVID-19 Underwent Suction Curettage
Authors: Rochman Bagus Fajar , Adhi Mahendratama Purnama , Nuryawan Iwan
Published: March 2022

Background: The incidence of molar pregnancies has increased during the COVID-19 pandemic. Molar pregnancy can cause hyperthyroidism and if not treated immediately can worsen the patient’s condition. A molar pregnancy with hyperthyroidism infected with SARS-CoV-2 poses a challenge for anesthesiologists in perioperative management to prevent complications of thyroid crisis and worsening of COVID-19. 

Case presentation: A 38-year-old woman was referred to our hospital with a gestational age of 11-12 weeks with vaginal bleeding. Since 2 weeks before being admitted to the hospital the patient complained of fever and the last 3 days had a cough and runny nose. She had no history of contact with COVID-19 patient. On physical examination, her blood pressure was 160/90 mmHg, heart rate was 114 beats per minute, respiratory rate was 18 times per minute, SpO2 was 97% on room air, and body temperature was 37.4oC. Laboratory tests revealed hemoglobin level of 9.2 g/dl, hCG levels > 1,000,000 mIU/ml, and thyroid function tests showed hyperthyroidism. Obstetric ultrasound examination revealed a molar pregnancy. A Burch-Wartofsky score was 20. The real-time transcription-polymerase chain reaction (RT-PCR) test were positive for SARS-CoV-2. In the pre-operative period, the patient was treated with 100 mg of propylthiouracil (PTU) orally every 8 hours and 20 mg of propranolol orally once a day. We performed the curettage suction on the next day under spinal anesthesia using 10 mg of 0.5% hyperbaric bupivacaine. Surgery lasted 75 minutes and performed uneventfully. Evaluation up to 30 days after curettage we found no complications of thyroid crisis and worsening of COVID-19.

Conclusion: Innate immune dysregulation due to hyperthyroidism may worsen the clinical course of COVID-19 patients, and conversely, SARS-CoV-2 infection can cause thyroid hormone disorders. Spinal anesthesia can be safely performed in patients with molar pregnancy accompanied by hyperthyroidism and COVID-19
DESIGN AND SIMULATION OF LOGIC CIRCUITS AT NANO SCALE BEYOND 32 NANO METERS (FINFET)
Authors: Dar Muneer Ahmad
Published: March 2022

With advancement in electronic circuitry, efforts are made to minimize chip size and to attain the desired performance so on changing one parameter the other parameters are effected like variables of field effect transistor like length and width are key variables available to the circuit designer to optimize circuit performance .When in FET’s like CMOS (complementary metal oxide semiconductor) the dimensions are decreased, the short channel effect arises and creates a problem of concern. With this effect an exponential increase in the leakage current happens. In order to reduce the SCE and hence leakage current, a new technology came into being in recent years in which a 3D multiple gate CMOS like FinFet (Fin Field Effect Transistor) has been developed which possess advantages over conventional FET’s and has attracted many engineers and designers to make it more sophisticated. This technology works in the nano meter range to minimize short channel effects. Many companies like Intel, advanced micro device, global foundries have started using FinFet technology. I have carried out my work on the basis of current researches on FinFet technology and how FinFet technology can be used in future to design new logic and memory devices like Inverter, MUX etc. Various parameters of FinFet like reduced short channel effects, less leakage current, low power consumption, less propagation delay and less time delay are discussed. Various mathematical models and software were used to simulate power, delay, power delay product, average power dissipation and energy delay products, this technology was designed to eliminate the problem of SCE by permitting transistors to be scaled down into sub 20nm range. Use of PMT model to design different logic devices at 16nm technology and analyzed output of each circuit. Parameters like Power dissipation, time delay and PDP were compared between MOSFET (CMOS) technology and FinFet technology for each circuit.
Influence of Debt To Equity Ratio (DER) and Earning per Share (EPS) on Stock Price PT Nippon Indosari Corpindo Tbk
Authors: Irawan Saputra Ade
Published: March 2022

This study aims to determine the effect of the Debt to Equity Ratio (DER) and Earning per Share (EPS) partially or simultaneously on the share price of PT. Nippon Indosari Corpindo Tbk period 2010-2020. The independent variables tested in this study are Debt to Equity Ratio (DER) as X1 and Earning per Share (EPS) as X2, while the dependent variable is Stock Price. This research method uses the associative method with a quantitative approach. The population in this study is the financial statements of PT. Nippon Indosari Corpindo Tbk and the sample used is the balance sheet and income statement for 2010-2020 which has been published on its official website, namely www.sariroti.com and www.idnfinancials.com. The results of the t-test (partial) show that DER (X1) has a negative but not significant effect on the Stock Price (Y), and EPS (X2) has a positive but not significant effect on the Stock Price (Y). The results of the F (simultaneous) test show that simultaneously Debt to Equity Ratio (X1) and Earning per Share (X2) have a positive but not significant effect on Stock Price (Y).
Influence of Receivables Turnover and Inventory Turnover to Profitability PT Kimia Farma (Persero) Tbk
Authors: Wulandari Novita , Lubis Iman
Published: March 2022

This study aims to determine the effect of receivables turnover (RTO) and inventory turnover (ITR) on profitability (ROA). The method used in this study is a quantitative method by taking the financial statements of PT Kimia Farma (Persero) Tbk. This study uses descriptive statistical analysis, classical assumption test, predictive multiple regression predictive hypothesis testing and coefficient of determination with SPSS Version 22 software. Receivable Turnover (RTO) partially has no a significant effect where tcount 1.166 < ttable 2.44691 with a significant value of 0.288 > 0.05 on profitability (ROA) and Inventory Turnover (ITR) partially has no a significant effect where tcount 0.149 < ttable 2.44691 with a significant value of 0.887 > 0.05 on profitability (ROA). Simultaneously, Accounts Receivable and Inventory Turnover have no effect where Fcount 1.563 < Ftable 5.14 with a significant level of 0.284 > 0.05.
PERANCANGAN SISTEM INFORMASI PENJADWALAN MATA KULIAH DENGAN METODE SDLC (CYSTEM DEVELOPMENT LIFE CYCLE)
Authors: Rizki Wahyu , Rayuwati Rayuwati , Gemasih Husna
Published: March 2022

From the student aspect, it is necessary to pay attention to the presence or absence of other lectures in the courses taken by students, apart from being seen from the student aspect, it is also necessary to look at the lecturer's aspect, namely the possibility that the lecturer concerned also cannot teach properly because he is on duty or are studying at a further level or because they already have a teaching schedule in other majors, in order to produce good components in the context of preparing the schedule, the academic side must make some correlations between the components concerned so that there are no cases of schedule collisions or clashes. Based on the problems above, at least there are several methods that can be used to simplify the scheduling process, including the SDLC method. SDLC is indeed not the best method of solving various problems, but for cases like SDLC scheduling it is one of the best because this method quickly finds the minimum solution while still analyzing. In general, lecture scheduling using the SDLC method ideally will consider several things, namely the time of implementation, such as being carried out from Monday to Friday or Saturday, from 07.00 to 18.00, teaching staff such as the availability of suitable and willing teaching staff to be scheduled at any time and anywhere, the study room must also be adjusted to the number of students, the more students the need for room availability will also increase.
Neke spoznaje o zbrinjavanju i zdravstvenoj skrbi djece s Kozare u prihvatilištima 1942. godine
Authors: Vukić Igor , Kuzman Ilija
Published: March 2022

Nakon ofenzive hrvatske i njemačke vojske na području planine Kozare u ljeto 1942. godine nastao je zbjeg s velikim brojem izgladnjele i bolesne djece. Kad je slomljen otpor partizanskih snaga, veće skupine djece iz zbjega privremeno su smještane u nekoliko prihvatnih centara (logor Stara Gradiška, sabirališta u selima Mlaka, Jablanac, Uštica i drugdje), a zatim su, bez prethodnih priprema, prevezene u različita prihvatilišta s ciljem pružanja pomoći i zdravstvene skrbi te su potom udomljavana u obitelji. U organizaciji zbrinjavanja djece presudna je bila uloga države, a iz dostupnih dokumenata jasno se razabire da je djeci u prihvatilištima uz smještaj i prehranu pružana i odgovarajuća zdravstvena skrb, odnosno da djeca nisu bila diskriminirana i zanemarivana. Osnovna je namjera ovoga rada, korištenjem izvornog arhivskog gradiva i izjava sudionika događaja (sudski zapisnici), pokazati da su djeca s Kozare i Potkozarja 1942. godine u prihvatilištima u Jastrebarskom, Sisku i Zagrebu imala odgovarajuću opću i zdravstvenu skrb u skladu s mogućnostima tadašnje medicine u zadanim ratnim okolnostima. Naime, sve do danas u različitim medijima postoji cijeli niz stavova o namjernom izgladnjivanju, trovanju i mučenju te djece. Ovdje želimo istaknuti da su to proizvoljni i činjenično neutemeljeni navodi koje su plasirale jugoslavenske komunističke vlasti odmah nakon završetka Drugoga svjetskog rata, ali i pojedine društvene, političke pa i znanstvene strukture. Stoga, u duhu znanstvenih spoznaja, mislimo da su nazivi dječji ili ustaški logori neprimjereni te da bi bilo uputnije koristiti nazive prihvatilišta ili sabirališta za djecu, pa i privremene bolnice za djecu.
Projected water demand by 2050 in South Gobi region of Mongolia
Authors: Badarch Ayurzana , Ariya Elbegjargal , Dashjamts Ariun-Erdene , Gansukh Batzorig
Published: March 2022

The South Gobi region (including Umnugovi, Dundgovi and Dornogovi aimags - provinces) of Mongolia is becoming a leading region of the nation’s economic and social development. Water resources play an important role in ensuring sustainable economic development of the South Gobi region. In the South Gobi region, lack of proven groundwater resources, data on water extraction and consumption makes it difficult to accurately identify risks and to manage limited resources for sustainable development. Based on the available historical data between 2015 and 2019 on water resources and water use, the water demand in this region has been projected up to the year 2050 on the basis of dynamic modelling of water management, including major stakeholders, country’s sustainable economic development vision up to the year 2050, and the impact of climate change. The model predicts continued increasing demand for mining, agricultural, industrial and social services and rural water demands, while gradual decline for the livestock water demand was projected after the gradual increase in the first half of the period. Basing on the system dynamic modelling of water management, it can be said that the groundwater resources of the South Gobi region may not be able to meet the above needs after 2037. Economically feasible measures and managements to prevent the risk of water scarcity before water shortage happens are proposed based on the results of the model.
Estadística por proyectos en el grado de Educación Primaria: un estudio de casos
Authors: Anasagasti Aguirre Jon , Berciano Alcaraz Ainhoa , Murillo Ramón Jesús
Published: March 2022

Entre los principios metodológicos apropiados para la enseñanza-aprendizaje de la estadística destaca el aprendizaje basado en proyectos (ABP). En este artículo centramos nuestro interés en identificar las características emergentes de la implementación de un módulo diseñado según los principios metodológicos del ABP. Para ello, presentamos un estudio de casos de tres estudiantes en el que se analizan sus percepciones acerca de: la metodología de ABP usada, el desarrollo de su competencia estadística y la evolución de su actitud hacia la estadística. Los resultados sugieren que dichos principios son percibidos positivamente por el alumnado puesto que ayudan a introducir contextos reales, generar hipótesis propias y dinamizar los equipos de trabajo, lo que contribuye a una mejora tanto de su competencia estadística como de su actitud hacia ella.
Trzy dekady wojskowego wsparcia Ukrainy przez NATO (1991–2021)
Authors: Piotrowski Sławomir
Published: March 2022

Szeroko rozumiana współpraca wojskowa oprócz wymiany doświadczeń szkoleniowych, z której zazwyczaj korzystają współpracujące strony, jest doskonałą okazją do udzielenia wsparcia państwu, które pomocy – na przykład związanej z modernizacją swojego systemu obronnego – potrzebuje i o nią zabiega. Historia wojskowej współpracy Ukrainy z NATO sięga początku lat dziewięćdziesiątych ubiegłego stulecia. Współpraca ta nabrała impetu po wybuchu walk w Donbasie oraz aneksji Krymu przez Federację Rosyjską. Jako odpowiedź na prośbę rządu ukraińskiego Sojusz znacznie zwiększył wojskowe wsparcie tego państwa, między innymi pomocą we wdrażaniu reform sektora bezpieczeństwa i obrony, doradztwem na poziomie strategicznym oraz realizacją wielu programów reformy systemu obronnego Ukrainy. Charakter i skala natowskiego wsparcia Ukrainy wydają się jednak ograniczone, ponieważ opinie na temat tego, co można zrobić, aby pomóc Ukrainie w jej trudnej sytuacji – i czy należy coś zrobić – jest wypadkową odmiennych stanowisk narodowych w ramach Sojuszu.
Second World War and the Origins of Macro-Environmental Analysis for Change
in Light of the Archives of the “Estezet” Polish Military Intelligence Station
Authors: Smyrgała Dominik
Published: March 2022

The article presents the origins of structured intelligence analysis in the Polish military intelligence service during the Second World War. It analyzes two conceptual papers on assessing the U.S. and Soviet realities found in the archives of the “Estezet” Independent Intelligence Station. It concludes that the Second Department of the Polish General Staff was a pioneer of macro-environmental analysis for change.
garderoba de aripi
Authors: Bucoiu Ruben
Published: March 2022

Garderoba de aripi e ca un cuprins continuu, fara introducere si fara incheiere. Fara teama de a reflecta cotidianul in esenta lui cameleonica, deopotriva suferinta si zbor, necuratie si sfintire, pacla irespirabila si oxigenare mai mult decat plamanul poate cuprinde, actul po(i)etic se confunda cu ritualul de (pe)trecere. Vers dupa vers, aripa dupa aripa, scoase din garderoba mare cat lumea, in actul receptarii, cititorul e transportat dinspre eveniment spre imanent la (re)vedere, intr-un fel de agora indefinit spatiala.
Miorita musceleana
Authors: Savu Gheorghe
Published: March 2022

Intotdeauna am fost de parere ca versurile din Miorita rasuna ca niste batai scurte de clopot ce insoteste pe calator in vesnicie. Si cum fiecare dintre noi vom face aceasta calatorie, versurile mioritice ne izbavesc de ridicolul sau lamentarile zgomotoase si adesea nedrepte despre moarte. Aceste versuri ne arata ca nu numai ciobanul mioritic poate fi pesimist, resemnat, fatalist, ci fiecare dintre noi, ceea ce inseamna ca acest cioban este un arhetip. Drept care, Miorita incearca sa ne spuna ca realitatea aceasta ar fi ceva caracteristic pentru intregul popor roman. Constantin Noica spunea ca romanul a mers prin padurile tarii atat de mult si atat de adanc, incat a ajuns pana acolo unde trebuie sa ajunga oricine strabate ceva: la temelia lucrului. Iar Eminescu a cantat ce se arata acolo: „In temeiul codrului/ Cale nu-i, carare nu-i”.
Aporie
Authors: Stoicescu Tatiana
Published: March 2022

„Aporia” este un concept mostenit din elina: ἡ ἀπορία, ας [he aporía, as], tardiv: ἡ διαπορία, ας [he diaporía, as], „negasirea caii de a iesi dintr-o dificultate, obstacol, incurcatura, complicatie, confuzie, jena”, derivand din verbele ἀπορέω, ῶ, διαπορέω, ῶ [aporéō, ȭ, diaporéō, ȭ], „a ignora cum sa traversezi o greutate, a se gasi in incurcatura, a ezita, a nu sti”, preluat de filozofie pentru a defini o dificultate in rezolvarea unei probleme, o contradictie insolubila intr-un rationament.
Construindo bases para os cuidados paliativos na atenção primária
Authors: Ferreira Alberto Gorayeb de Carvalho , Silva Arthur Fernandes da
Published: March 2022

Problema: Trata-se de um relato de experiência sobre a idealização e a fase de implantação do Projeto Manto de Assistência em Cuidados Paliativos, desenvolvido em uma unidade básica de saúde do município de Caruaru (PE). Método: O Projeto Manto contou tanto com estratégias de educação continuada da equipe multiprofissional como com assistência integral à saúde do paciente em Cuidados Paliativos e acolheu 12 usuários nessa fase. Resultados: O projeto impactou a realidade de trabalho e cuidado de mais de uma equipe de saúde da família; promoveu e reforçou vínculos de unidades de cuidado pessoa/família com as equipes e consolidou-se como boa prática e experiência exitosa na Atenção Primária à Saúde e no Sistema Único de Saúde. Conclusão: A experiência do Projeto Manto desafia a realidade do interior do Nordeste brasileiro em um contexto de crise econômica, fragilidade na formação de profissionais e educação permanente de trabalhadores da saúde.
despedida
Authors: Almeida Rafael Fernandes de
Published: March 2022

A conspiração do silêncio figura como uma temática recorrente no cuidado às famílias que lidam com a terminalidade. Trata-se de uma forma de comunicação frequentemente entendida como prejudicial pelas equipes de assistência à saúde. O filme "A Despedida", de 2019, põe esse assunto em cheque ao explorar a história, baseada em fatos reais, de uma família chinesa cuja matriarca é diagnosticada com um câncer de pulmão que ameaça a continuidade da sua vida. O conflito ético se evidencia, contrapondo as vontades dos familiares que se dividem entre tradições orientais e filosofias ocidentais. O desfecho pouco usual do enredo levanta a discussão sobre diferenças culturais na percepção do bem-estar do fim de vida e abre espaço para aplicação desta reflexão no cuidado às pessoas e famílias de diferentes culturas no processo de finitude.
LUGARES DO JUDAÍSMO E O SAGRADO:
Authors: Calvo Júlia , Dorfman Bruno Calvo
Published: March 2022

Tratar do Sagrado remete às experiências individuais e coletivas. No caso dos judeus, remete a uma tradição vivida por cada um deles, em seu momento subjetivo e/ou coletivo de aproximação com sua tradição e sua fé. Assim, o ser judeu se consagra no ato de lembrar, reviver e ressignificar, sempre de forma singular e única, na relação que se estabelece em cada comunidade judaica pelo mundo. O que são lugares sagrados do judaísmo? O que são Lugares do sagrado para o judaísmo e para os judeus?  É sobre essas perguntas que cá nos debruçamos, refletindo que o que sacraliza lugares, pessoas, objetos e tradição é o sentido que lhes é conferido e permite o estabelecer das ligações feitas entre o espaço e o espiritual, e seus sentidos em cada tempo e cada comunidade judaica. Os judeus se organizam em comunidade e, por meio da vida comunitária, se organizam enquanto judeus. A vida comunitária diz respeito a quem são enquanto identidade individual e coletiva, ou seja, diz respeito de quem são para si mesmos e de quem são para o mundo. Escolher portar um símbolo judaico junto ao corpo ou ostentá-lo em sua casa indica o uso do sagrado e seu lugar para cada judeu. Frequentar um lugar com sentido de aproximar-se a sua religiosidade e fé confere a este lugar o status de sagrado. Historicamente as perseguições e as adversidades sempre marcaram os judeus. Os judeus, portanto, independente da escolha de crença e de fé, são determinados judeus pelos outros. Entretanto, ao escolher a manutenção da tradição e da vida comunitária, os judeus ressignificam e conferem sentido ao sagrado, tornando ser judeu uma questão de escolha.
MOBILIDADE PRECÁRIA NA METRÓPOLE DE SÃO PAULO
Authors: Silva Ricardo Barbosa da
Published: March 2022

A condição de mobilidade precária na metrópole de São Paulo é resultado de um processo histórico de políticas que privilegiaram o modelo rodoviarista urbano. Este artigo visa compreender o estabelecimento da mobilidade precária no cotidiano da metrópole de São Paulo, que já ganhava impulso na década de 1930 com a emergência dos ônibus, consolidava-se na década de 1960 com a massificação dos automóveis e, na década de 1990 em diante, é ampliado com a popularização dos automóveis e motocicletas em detrimento dos transportes coletivos, articulado com o aumento da expansão periférica de São Paulo. A metodologia deste artigo baseou-se na análise de dados estatísticos para revelar a mobilidade nas suas contradições na sua inter-relação dialética entre a sociedade, transportes e território. Constatou-se a generalização atual dos problemas da mobilidade cotidiana, resultado da mobilidade como recurso, que leva as pessoas aos constrangimentos do tempo perdido e das péssimas condições dos transportes coletivos, expondo-as a uma condição de vulnerabilidade aos acidentes no trânsito e aos poluentes atmosféricos, revelando a mobilidade precária de exceção à regra.
Addressing the Long-Term Care Crisis: Identifying Opportunities for Improvement Using Rapid Reviews
Authors: Petrucha Rae R.A. , Hansen Elizabeth G. , Ironside Lindsay D. , Lafrance Olivia J.M. , Bryce Rhonda D.T. , Jacobson Nicole A. , Ramsden Vivian R.
Published: March 2022

Background 
Long-term care (LTC) facilities require urgent, evidence-based care renewal. During 2020 three medical student-driven research projects aiming to study care satisfaction, patient care team dynamics, and advance care directive effectiveness in a local LTC facility required a marked shift in approach due to COVID-19 regulations. 
Methods 
All three projects were re-invented as rapid reviews from their initial designs intended to provide a baseline for quality improvement projects. English-limited PubMed searches for publications within the past 10 years were undertaken. Review articles were prioritized and supplemented by individual studies. Students reviewed the initial abstracts, reviewed them with a supervisor/mentor, assessed the articles for quality, and synthesized major themes. 
Results 
A total of 52 publications were evaluated for the final synthesis of all three projects. Relevant information was retrieved for all three areas, suitable for local evaluation/intervention at micro, meso, and macro policy levels. 
Conclusions 
Rapid reviews of issue-specific, long-term care literature are low resource avenues towards coordinated care improvement. They may also serve as rapid means for regular policy updates while providing next-generation care providers with improved LTC perspectives.
Current Understanding to Accelerate Wound Healing: Mechanism and Clinical Importance
Authors: Kumar Sunil , Kumar Paswan Shravan , Verma Pritt , Akanksha  , Sah RamKishor , Srivastava Sajal , Venketswara Rao Chandana
Published: March 2022

Wound mending is a complex organic cycle that brings about the reclamation of tissue honesty. Physiologically, it very well may be separated into four particular periods of hemostasis, inflammation, proliferation, and tissue remodeling (redesigning). This chapter portrays the cellular premise of wound mending and extracellular flagging cycles, which is responsible to control them. The capacity of fibroblasts, neutrophils, platelets, and macrophages is contemplated exhaustively. The idea of mending by essential and optional expectation is talked about. Numerous components are known to unfavorably influence mending including undernourishment, hypoxia, immunosuppression, ongoing sickness, and medical procedure. It is fundamental that specialists comprehend the key physiological cycles associated with mending to limit patient illness from postponed recuperating.
Galician Atlantic Islands National Park: Challenges for the Conservation and Management of a Maritime-Terrestrial Protected Area
Authors: Ferreiro da Costa Javier , Ramil-Rego Pablo , A. Rodríguez Guitián Manuel , López Castro Hugo , Oreiro Rey Carlos , Gómez-Orellana Luis , Antonio Fernández Bouzas José
Published: March 2022

At present, biodiversity conservation and management in Spanish National Parks in Spain must respond to a series of regulations at a European, national and regional level, also adapting to scientific-technical progress. The availability of increasingly precise data on the values to be conserved (ecosystems, habitats, species, geodiversity) in these protected areas enables more detailed management, but also requires more rigorous, powerful, and multidisciplinary tools. Maritime-terrestrial national parks are highly sensitive areas to public use, so their impact must be one of the most important factors to take into account when planning their management. This work evaluates the past and present challenges for conservation in Galician Atlantic Islands National Park (NW Spain), where biodiversity conservation and management has evolved over time in a significant way, providing a valid case study applicable to other national parks worldwide, as well as similar situations in other contexts and scenarios. Future challenges are arising in the National Park to improve the conservation status of natural habitats and wildlife, mainly through new European initiatives that may establish important synergies with other countries.
Plastic Pollution in the Mediterranean and Public-Private Partnerships to Manage It - A Case Study in Lebanon
Authors: Soto Chalhoub Michel
Published: March 2022

Hazards of plastic pollution in the oceans threaten human, animal, and vegetation life. Sources of plastic pollutants include marine transport activity, shore-to-shore movement by waves and currents, and waste transported from land to sea by rivers. Industries in several countries in the Mediterranean region, which generate waste dispose it in rivers or into municipal networks. The justify their activities as drivers of local economies, while a closer look shows the opposite. A case study is presented about Lebanon, a country on the Mediterranean easternmost boundary serving as a maritime transit gate to the rest of the Middle East. Private sector companies could play a major role in curbing plastic pollution through innovation to migrate toward green products and substitutes to plastics. Both remedial and preventive strategies in the private sector would be better realized through support from public sector entities. Therefore, public-private partnerships are recommended to alleviate current pressures exerted on local communities willing to fight plastic pollution and help them operate within known and supported norms. As such, we recommend incentive-based public policies.
Effect of Titania Addition on Mechanical Properties and Wear Behavior of Alumina-10 wt.% Tricalcium Phosphate Ceramics as Coating for Orthopedic Implant
Authors: Barkallah Rachida , Taktak Rym , Guermazi Noamen , Bouaziz Jamel
Published: March 2022

The aim of this study is to determine the effect of Titania on mechanical properties and wear behavior of Alumina-10 wt.% TCP ceramics and to evaluate the performance of Titania in improving their resistance to these effects. Al2O3–10 wt.% β-TCP mingled with TiO2 to obtain a mixture which is considered as a bioactive coating that may be used in orthopedic implants. Representative bioceramic samples of such blends were prepared with different percentages of Titania and then tested using different methods and techniques. Mechanical properties, fracture toughness were evaluated using the modified Brazilian, semi-circular bending specimens. A pin-on-disk tribometer was retained to study the wear behavior. Based on the obtained results, it was found that the best mechanical properties and wear resistance was displayed for Alumina-10 wt.% TCP-5 wt.% Titania composite. This composite presents a good combination of flexural strength (σf ≈ 98 MPa), compressive strength (σc ≈ 352 MPa), fracture toughness (KIC ≈ 13 MPa m1/2) and micro-hardness (Hv ≈ 8.4 GPa). In terms of tribological properties, the lowest wear volume and wear resistance was recorded for Al2O3–10 wt.% TCP − 5 wt.% TiO2 composition.
The use of an information system in facilitating management and employees' coordination
Authors: Šoškić Milan
Published: March 2022

One of the most common causes of problems in a company is a lack of information channelling. The hierarchical structure of any company makes information sharing between employees and management difficult, thus reducing the speed and accuracy of the information and raising questions such as "Was the information properly conveyed and to the appropriate audience?" The above problems can be avoided by introducing an information system. As shown below, the information system is not introduced without a plan, but it must be planned exceptionally carefully and accurately. A variety of models are used to plan the information system, which may help us test information solutions. Depending on the company, numerous options are available for setting up information systems. The model we will apply depends on several factors within the company: primarily its size, branching structure, business processes, the available budget, employee structure, geographical area, employees' cultural background, etc. It is clear from the above that the information system cannot be established spontaneously. Instead, it must be thoroughly examined, analysed, and then planned. By analysing the company's information, we can identify the most sensitive areas that need to be improved with the plan we are developing. We must allow alternate solutions to potential difficulties in every plan including this one. The aim of the information system is to channel information and accelerate its flow through the company. The question is, why is this important? It is important because it reduces the information flow time, thus accelerating the elimination of the existing problems. Moreover, it is clear which information is delivered to whom which defines the responsibilities of the employees.
Revisión de "Mytilus vilanovae" Lánderer (Bivalvo Cretácico)
Authors: Calzada Sebastian , Urquiola Mar
Published: March 2022

A partir de nuevos ejemplares, se revisa la especie "Mytilus vilanovae" Landerer, sugeriéndose su edad bedouliense (aptiense inferior) y una nueva asignación genérica (Musculus).
First principle study on modulating of Schottky barrier at metal/4H-SiC interface by graphene intercalation
Authors: Deng Xu-Liang , Ji Xian-Fei , Wang De-Jun , Huang Ling-Qin ,   College of Electrical Engineering and Automation, Jiangsu Normal University, Xuzhou 221000, China,   Key Laboratory of Intelligent Control and Optimization for Industrial Equipment, Ministry of Education, School of Control Science and Engineering, Faculty of Electronic Information and Electrical Engineering, Dalian University of Technology, Dalian 116024, China
Published: March 2022

In the production of SiC electronic devices, one of the main challenges is the fabrication of good Ohmic contacts due to the difficulty in finding the metals with low Schottky barriers of wide band gap SiC. Therefore, reducing the Schottky barrier height (SBH) at the metal/SiC interface is of great importance. In this paper, the effects of graphene intercalation on the SBH in different metals (Ag, Ti, Cu, Pd, Ni, Pt)/4H-SiC interfaces are studied by combining the average electrostatic potential and local density of states calculation methods based on first-principles plane wave pseudopotential density functional theory. The calculation results show that single-layer graphene intercalation can reduce the SBH of metal/4H-SiC contact. When the two layers of graphene are inserted, the SBH are further reduced. Especially, the contact between Ni and Ti exhibits negative SBH values, inferring that good Ohmic contacts are formed. When layers of graphene continue to increase, the SBH no longer changes obviously. By analyzing the differential charge density and the local density of states of the interface, the mechanism of SBH reduction may be that the dangling bonds on the SiC surface are saturated by the graphene C atoms and the influence of the metal-induced energy gap state at the interface is reduced, thereby reducing the interface state density. In addition, graphene and the corresponding new phases at the interface have low work functions. Moreover, an interfacial electric dipole layer may be formed at the SiC/graphene interface which also contributes to barrier reduction.
Growth regulators promote soybean productivity: a review
Authors: Amoanimaa-Dede Hanna , Su Chuntao , Yeboah Akwasi , Zhou Hang , Zheng Dianfeng , Zhu Hongbo
Published: March 2022

Soybean [Glycine max (L.) Merrill] is a predominant edible plant and a major supply of plant protein worldwide. Global demand for soybean keeps increasing as its seeds provide essential proteins, oil, and nutraceuticals. In a quest to meet heightened demands for soybean, it has become essential to introduce agro-technical methods that promote adaptability to complex environments, improve soybean resistance to abiotic stress , and increase productivity. Plant growth regulators are mainly exploited to achieve this due to their crucial roles in plant growth and development. Increasing research suggests the influence of plant growth regulators on soybean growth and development, yield, quality, and abiotic stress responses. In an attempt to expatiate on the topic, current knowledge, and possible applications of plant growth regulators that improve growth and yield have been reviewed and discussed. Notably, the application of plant growth regulators in their appropriate concentrations at suitable growth periods relieves abiotic stress thereby increasing the yield and yield components of soybean. Moreover, the regulation effects of different growth regulators on the morphology, physiology, and yield quality of soybean are discoursed in detail.
Coproducción y desigualdad: recolección y residuos en barrios populares de la Región Metropolitana de Buenos Aires
Authors: Besana Patricio-Bruno , Gutiérrez Ricardo-A.
Published: March 2022

Este trabajo discute la relación entre coproducción de servicios a nivel local y desigualdad. Al respecto, se pregunta: ¿Qué formas asume regularmente la provisión local de servicios allí donde la sociedad civil es pobre y el Estado débil? ¿Qué resultados produce a nivel regional? Para responder dichas preguntas se desarrollaron 97 entrevistas semiestructuradas a funcionarios locales y se analizaron datos provenientes de fuentes secundarias sobre recolección y disposición intermedia de residuos en barrios populares de los 41 distritos que componen la Región Metropolitana de Buenos Aires. Los datos obtenidos indican que una gran variedad de actores coproducen servicios de menor calidad y extensión que los que produce el Estado por sí solo o a través de empresas privadas; y que dichos servicios alcanzan distintos resultados a escala local, favoreciendo desigualdades en el acceso a servicios a nivel agregado o regional.
Radiological Study on the Anatomical Site and Size of Ureteric Calculi: A Retrospective Study
Authors: Hussain Kafeel , Fathima Shaweez , Sathialakshmi . , Christy Julie
Published: March 2022

ntroduction: Ureteric stones are said to lodge most commonly at the narrowest anatomical areas of the ureter. The site of pain depends on the location of the calculi. Spontaneous passage of ureteric stones is influenced by size, location and laterality of the stones. Aim: To investigate the size and location of ureteric stones. Materials and Methods: This was a retrospective study of 72 patients in whom urinary stones were diagnosed by computed tomography between January 2018 and July 2019. The size of the ureteric stones was measured by its maximal width on Computed Tomography (CT) and location of the stones was also determined. The diameter of both the ureters were ascertained at the widest portion. Statistical analysis was performed using SPSS version 23. Descriptive data was presented as percentage and mean while comparative analysis was done using Student’s t-test. Results: The average patient age was 41±12.4 years (range, 17- 70 years) affecting 42 (58.33%) males and 30 females (41.77%). The ureteric stones were localized at the VUJ in 30 cases (41%), at the distal ureter in 11 (15%), at the level of external iliac vessel in 3 cases (5%), at the proximal part in 19 (27%) and at the PUJ in 9 cases (12%). Calculi were identified more often on the right ureter (44 cases, 61.2%) than the left (28 cases, 38.8%). The average diameter of the ureter on the right and left was 3.46 mm (range, 1.8-4.7 mm), and 3.33 mm (range, 2.1- 5.5 mm) respectively. There was no significant difference in the mean diameter of the ureteric stones of both the sides at the corresponding levels of the ureter. The smaller the stones, the closer to the VUJ were they located. Conclusion: This study provides an insight into the anatomy of the ureter and would be essential for selection of appropriate line of intervention and treatment modality.