bluuebunny/crossref_metadata_2025 huggingface dataset:
An Investors’ Interest towards Mutual Funds: A Study of Kathmandu Valley, Nepal
Authors: Ajay Prasad Dhakal, Madhav Adhikari Manoj Kumar Chaudhary,
Published: March 2021

The objective of this study is to assess the investor’s Mind-set towards mutual funds in Kathmandu valley. To fulfill the stated objectives, a total  230 potential respondents were selected purposively  through questionnaire. The collected data are analyzed with the help of descriptive and correlation analysis. In terms of familiarity with the various financial securities currently available in the Nepalese financial market, most of investors familiar with fixed deposits, medium familiarity with shares and very low familiarity with bonds and debentures and money market instruments. The analysis of the results concluded that investors attracted towards mutual fund due to its flexibility, secured type of investment mechanism and Professional management Service in Nepal. Further, it is recommended that concern authority, regulations body, Issue Manager should conduct such training and awareness program showing the importance of mutual funds.
IOT BASED SYSTEM FOR DETECTION OF SEWAGE BLOCKAGES
Authors: Et al. Pratim Bhosale
Published: March 2021

In smart cities, the Internet of Things(IoT) is a key aspect providing seamless and unique access to public resources, with the aim of achieving better utilization and optimization of power, water and transportation facilities. Today urban India is faced with a water crisis, about 80% of sewage enters lakes, rivers and groundwater untreated, due to the lack of effective wastewater infrastructure management. This research focuses mainly on monitoring of sewage infrastructure, to predict blockages, preventing them from turning into Sanitary Sewer Overflows (SSO). This paper proposes an IoT based full-fledged system to tackle this issue. The system monitors the working of access manholes in a network, collecting multiple data parameters, generated in and around these manholes, and sends alerts when the development of a blockage is detected. This geospatial data along with the alerts are observed via a centralized visual dashboard. Through this system, the objectives that the paper proposes to achieve, are generation of dynamic geo-spatial map of manhole networks, enabling the stakeholders to perform proactive maintenance of this infrastructure. Another goal of this work is to generate a data set for developing machine learning models for advanced maintenance methods.
Effect of Organizational Learning on the Hard Skills, Soft Skills and Innovation of Employees: Evidence from Information Technology Industries
Authors: Et al. Evalina
Published: March 2021

This study aims to measure the influence of organizational learning on the improvement of hard skills, soft skills and teacher innovation capability in Indonesia.Hard skills and soft skills as mediated variables. Data collection was carried out by simple random sampling via electronic to a population of information technology industries . The returned and valid questionnaire results were 223  samples. Data processing using SEM method with SmartPLS 3.0 software. The results of this study are organizational learning has a positive and significant effect on employee innovation capability, both directly and through mediating hard skills and soft skills.
A VERSATILE SECURITY FRAMEWORK USING BLOCKCHAIN TECHNOLOGY FOR FIFTH GENERATION COMMUNICATION NETWORKS
Authors: Devarajan K. Sakthibalan P.,
Published: March 2021

The fifth-generation (5G) network assimilates terahertz bandwidth and machine type communication (MTC) for swift and reliable data transfer and information exchange. It incorporates sophisticated cloud, Internet of Things (IoT), and other software-defined architectures for providing scalable service support. However, due to the heterogeneous integration of devices and architectures, secure infrastructures needto become mandatory. In this article, a Blockchain-based Versatile Security Framework (BVSF) is introduced to provide robust and adaptable authentication and access control in the 5G environment. The proposed framework allocates blocks for user equipment (UE) authentication and resource access control in a parallel manner. The verification of security level between resources, infrastructures, and UEs aids in extending or attenuating blockchain services. Based on the different security level assessments, the UE requests are precisely mapped or reallocated to the resources, improving the response rate and the framework adaptability.
RESEARCH INVESTIGATIONS ON DDOS ATTACK
Authors: Dr. N. Dhanalakshmi, Dr. D. Suresh Dr. A. Thomas Paul Roy,
Published: March 2021

The DDoS attack is the most well-known network security attack for network and internet improvement. This paper mentions the DDoS Attack Precept and analyzes some methods of DDoS Attack. Applied sciences consisting of network visitor detection and packet content detection are presented in the DoS attack detection. It adds DDoS, which is mainly based on DoS, and describes certain DDoS tools and discusses the vital TCP flood DoS assault concept. The DoS Attack software and the DoS Assault Detection software are primarily scanned based on Winpcap and the community package and take-over technology are implemented. The test showed the key development of DoS attack and element detection.
AN AUTOMATED FRAMEWORK FOR CORONARY ANALYSIS FROM CORONARY CINE ANGIOGRAMS USING MACHINE LEARNING AND IMAGE ANALYSIS TECHNIQUES
Authors: A. Rama Mohan Reddy K. Santhi,
Published: March 2021

Cardiovascular disease (CVD) is one of the critical diseases and the most common cause of morbidity and mortality worldwide. Therefore, early detection and prediction of such a disease is extremely essential for a healthy life. Cardiac imaging plays an important role in the diagnosis of cardiovascular disease but its role has been limited to visual assessment of heart structure and its function. However, with the advanced techniques and tools of big data and machine learning, it become easier to clinician to diagnose the CVD. Stenosis with in the Coronary Arteries (CA) are often determined by using the Coronary Cine Angiogram (CCA). It comes under the invasive image modality. CCA is the effective method to detect and predict the stenosis. In this paper a coronary analysis automation method is proposed in disease diagnosis. The proposed method includes pre-processing, segmentation, identifying vessel path and statistical analysis.
Municipal Procedural Rules and Their Types
Authors: Zabelina E. P.
Published: March 2021

The paper analyzes the concept of municipal procedural norms. The author justifiably notes that the municipal procedural norm contains all the features of a legal norm and defines the procedure for ensuring the material powers of local self-government subjects. According to the author, municipal procedural norms are contained in the legislation at the federal and regional levels, as well as in municipal legal acts. The variety of identified municipal procedural norms allows us to distinguish three of their types. The first type of norms includes procedural norms that describe the sequential actions necessary to ensure that local self-government entities exercise their powers. The second type of municipal procedural norms is characterized by the presence of references to other normative legal acts. The third type is made up of municipal procedural norms, which only name specific actions necessary for the implementation of their powers by local self-government entities. Due to the large number of municipal legal acts containing procedural norms, it is proposed to codify them, as well as to introduce a new type of municipal legal acts into the system — the municipal procedural code. This codified act could structurally consist of two parts — general and special. In the general part of the municipal procedural code, it is advisable to include municipal procedural norms that establish general procedures for ensuring the implementation of all available material powers of local self-government bodies and other local self-government entities. In the special par, it would be necessary to fix the norms that ensure the specifics of the implementation of each material authority of the subject of local self-government to resolve issues of local significance. This approach to the systematization of procedural norms will significantly reduce the number of municipal procedural acts and duplication of procedural norms, thereby ensuring more effective law enforcement activities of local self-government bodies.
“Every Scientifically Educated Lawyer Should be a Cultural Fighter for the Ideals of Law in Life!“ — Nikolay I. Palienko’s Legal and Political Views
Authors: Tumanova A. S. , Safonov A. A.
Published: March 2021

. The paper analyzes the legal views of Nikolay I. Palienko, a prominent philosopher of law and a state historian of the beginning of the last century. The authors pay significant attention to the integrative concept of legal understanding that is followed by Prof. Nikolay Palienko. They also substantiate originality and significance of the concept in the light of modernization of the political and legal order in late imperial Russia. It seems that under certain conditions it could serve as a bridge between positivist jurisprudence and the doctrine of “reborn natural law” developed in pre-revolutionary Russia. It was intended to smooth out the contradictions in both doctrines and contribute to the development of a new methodology for law understanding in the context of transformation of the Russian legal system towards establishing institutions of constitutional order.

On the basis of published sources, the authors show the evolution of the scholar’s views from the positivist theory of law to idealism that is not properly estimated in the legal literature and is quite typical for the legal scholars of the interrevolutionary period.

The authors conclude that Prof. Nikolay I. Palienko scholarship and knowledge allowed him to substantiate his own concept of legal understanding that can be considered integrative on the basis of achievements of the positivist theory of law, philosophy of natural law, psychological and sociological concepts of legal understanding. Prof. Palienko proclaimed the normative nature of law and at the same time expressed ideas of the supremacy of law over the state and the coherence of the state provided by law. An essential element of his legal concept was the legal consciousness of the society, acknowledgement of its role in the course of law education, as well as its establishment as a source of law. Palienko’s idea of legal coherence of the state represents a synthesis of positivism with idealism and leads to a new stage of development of legal methodology and ideology, namely: integrative jurisprudence. Scholar’s political and legal ideas contributed to the development of ideas about the rule of law, which were very popular in Russia during the period of development of representative institutions and constitutionalism.
Analysis of Fairness of Personal Income Taxation in the Russian Federation
Authors: Yulgusheva L. A.
Published: March 2021

The paper explores the issue of fairness of progressive taxation. The introduction of progressive taxation in the Russian Federation in 2021 was announced by the President of the Russian Federation Vladimir Putin in his Address to citizens on June 23, 2020. The issue of returning to progressive taxation has been repeatedly raised in the scientific community, and one argument in its favor was the provision that progressive taxation is more fair than proportional taxation. At the same time, as Putin’s words suggest, the main goal of the introduction of tax progression is to find funds for financing certain projects, but not to achieve justice. However, the task set by the President does not exclude the need to investigate the issue of fairness of progressive taxation and the doctrinal justification of the proposed changes, which makes the chosen topic relevant.

The paper deals with the essence of “fair taxation” on the basis of the theories of justice, developed by John Rawls and Amartya Sen, and principles of taxation. The author analyzes the Federal Law of November 23, 2020, No. 372-FZ “On Amendments to Part Two of the Tax Code of the Russian Federation in Part Concerning Taxation of Personal Income Exceeding 5 Million Rubles for the Tax Period” that introduces application of a combined tax rate to the income exceeding 5 million rubles per year, as well as the issue of prospects for further changes in personal income taxation in the Russian Federation in the context of achieving justice. Methodologically, the paper is based on the principles of the dialectical approach. The author applies general scientific methods of cognition, namely: analysis, synthesis, generalization, induction.

Based on the principles of taxation and several approaches to the interpretation of fairness, it is concluded that progressive taxation is more fair than the ones in force until 2020, including proportional taxation. The author proposes amendments to the Tax Code of the Russian Federation aimed at enhancing fairness of taxation. They include intensification of tax progressiveness (taking into account amendments entering into effect on January 1, 2021) and the introduction of a tax-free minimum on personal income.
Privat-docent S. A. Sukhanov. Semiotics and diagnostics of mental illnesses (in connection with the care of the sick and their treatment). Part II Moscow, 1905
Authors: Obraztsov V.
Published: March 2021

The second issue of Semiotics and Diagnostics of Mental Diseases, which serves as a continuation of the issue of the same name that came out last year, embraces only three forms of mental disorder: Korsakov's psychosis, obsessive mental states and circular psychosis.
A case of hemiplegia with a combined deviation of the head and eyes in a blind person from birth (Un cas d'hémiplégie avec déviation conjugée de la tête et des geux chez une avengle de naissance. Revue neurol. 1905. No. 3)
Authors: Pavlov A.
Published: March 2021

Dejerine and Russy observed complete left-sided hemiplegia with combined deviation of the head and eyes in the blind from the very first days of life.
Marandon de Mantyel. Forms of premature dementia. Les formes de la demence précoce. Gazette des hôpitaux, 1905, no. 6
Authors: Toporkov N.
Published: March 2021

E. Marandon de Mantyel ardently protest against the recognition of premature dementia (dementia praecox) as an independent clinical form.
Analyzes of written works of the mentally ill
Authors: Obraztsov V. N.
Published: March 2021

Turning to the analysis of writing with the phenomena of melancholy, we find in it features, in one way or another, characteristic of this kind of state.
Prof. Jendrassik. About the origin of hallucination and delusion Neurolog. Centralbl. 1905 № 23
Authors: Markelov G.
Published: March 2021

The literature on the nosological meaning of deception of feelings is quite extensive, but most of the works devoted to this issue suffer from ambiguity and uncertainty. There are three kinds of theories for the origin of hallucinations and delusions.
To the question of the insufficiency and inaccuracy of the nomenclature in medical reporting in general and psychiatric reporting in particular in relation to the headings: "can be cured and not cured", "single and married"
Authors: Sergeev L. A.
Published: March 2021

Leaving aside the other columns, I want to draw attention to the insufficiency, and because of this, the inaccuracy of the nomenclature when registering patients according to the card system in the headings "marital status" and "treatable and incurable."
The case of "myotonia congenita"
Authors: Donskov N. A.
Published: March 2021

A comprehensive study of Thomsen's disease has been accomplished quite a bit, and for the mood, in the words of R. I. Rossolimo, it seems that the time has come when the study of typical cases gave everything that could be demanded from it, having established a more or less exact picture of the disease , and when there was a need for help on the part of deviations from the typical form. " However, the question of the essence and genesis of this suffering can hardly be considered explained satisfactorily enough to neglect the description of the not so often encountered individual cases of myotonia, even if even these cases differed little from typical ones.
Dr. Laignel-Lavastein. Mental disorders are caused by the defeat of the glands without excretory ducts. (Destroubles psychiques par perturbations des glandes à séctétion interne. La Progrès medicale, 1908
Authors: Kovalevsky P. I.
Published: March 2021

At the congress of French psychiatrists, the author made a report on the above topic.
Analisando o comportamento de colocações acadêmicas em um corpus de artigos científicos
Authors: Pinto Paula Tavares , De Camargo Diva Cardoso , Serpa Talita , Da Silva Luciano Franco
Published: March 2021

Autores de vários países têm publicado seus artigos científicos em inglês com o intuito de promover amplamente os resultados de suas pesquisas dentre a comunidade científica internacional. É verdade que, embora estejam cientes da terminologia utilizada no respectivo campo de pesquisa, alguns autores ainda apresentam dificuldade em lidar com certas características da escrita acadêmica, como o uso das colocações. Este artigo apresenta uma discussão sobre traços de sobreuso e subuso de colocações acadêmicas utilizadas por autores brasileiros que têm seus artigos publicados em inglês numa plataforma eletrônica aberta de artigos científicos. Para analisar as colocações utilizadas por estes pesquisadores, compilamos um corpus de 906.000 palavras a partir de oito áreas científicas. As colocações analisadas foram comparadas estatisticamente com as colocações de um corpus acadêmico de inglês que contém textos escritos por autores anglófonos. Os resultados mostraram que há mais traços de subuso que sobreuso de colocações acadêmicas utilizadas pelos pesquisadores e este repertório poderia ser ampliado se fossem destacadas durante cursos de escrita acadêmica em língua inglesa.
Frequência e distribuição de plurais irregulares no Corpus Brasileiro
Authors: Schwindt Luiz Carlos , Gaggiola Pedro Eugênio , Petry Isabela Prisco
Published: March 2021

Neste texto aborda-se a frequência e a distribuição de formas de plural irregular do português brasileiro, no âmbito da palavra, numa perspectiva descritiva. Os dados provêm do Corpus Brasileiro e estão divididos em duas amostras: Amostra L, nomes pluralizados terminados ortograficamente em vogal+is (ex. papéis), vogal+us (ex. chapéus) e is (ex. funis), e Amostra N, os terminados por ões (ex. vilões), ãos (ex. irmãos) e ães (ex. pães). O exame das variáveis fonético-fonológicas e léxico-morfológicas – número de sílabas, acento, contexto fonológico, afiliação morfológica e frequência lexical – permitiu contextualizar o comportamento das alternantes minoritárias de cada amostra, em oposição às alternantes prevalentes, vogal+is e ões, respectivamente.
Eventos meteorológicos em normas e comunicações de controle de tráfego aéreo
Authors: Peixoto Rafaela Araújo Jordão Rigaud , Tosqui-Lucks Patrícia
Published: March 2021

Eventos meteorológicos afetam o controle de tráfego aéreo (ATC) de diversas formas, dado que muitas situações precisam ser reportadas na comunicação entre piloto e controlador. Este artigo pretende analisar a linguagem utilizada para expressar o impacto de fenômenos meteorológicos para operações ATC, particularmente quanto ao uso de inglês aeronáutico, ou seja, a comunicação utilizada durante a radiotelefonia, por controladores em situações de aprendizagem. Para isso, duas análises foram realizadas: em relação à estrutura formulaica de unidades lexicais contendo 11 termos de Meteorologia Aeronáutica no contexto ATC (fase 1); e quanto ao uso desses termos por alunos de três cursos ATC (para os órgãos operacionais TWR, ACC e APP) e como isso afeta seu desempenho durante as atividades de comunicação em um ambiente de aprendizagem (fase 2). Essas análises serão fundamentadas nas teorias de semântica lexical para terminologia; linguística de corpus (LC), compreendendo Inglês para Fins Específicos (ESP) e corpora de aprendizes; e considerações sobre avaliação de vocabulário em exames de proficiência de inglês aeronáutico. Os resultados sugerem que os padrões terminológicos discutidos mostram como os significados dependem do contexto, e como a análise léxico-semântica de termos pode contribuir para revelar nuances da linguagem utilizada em contexto especializado. Desta forma, demonstrou-se que os cursos foram eficientes no ensino e na prática do uso dos principais termos meteorológicos e que, apesar de alguns erros cometidos, as evidências apontam que os estudantes foram capazes de reportar condições meteorológicas e compreender as solicitações dos pilotos com nível de proficiência adequado em relação a vocabulário.
Cautionary Stories of University Indigenization: Institutional Dynamics, Accountability Struggles, and Resilient Settler Colonial Power
Authors: Steinman Erich , Scoggins Scott
Published: March 2021

Increasingly, a discourse of indigenizing is being articulated in United States higher education. This article contributes to the limited existing research that examines how indigenization processes, well underway in Canada, are able to transform post-secondary institutions and/or how transformation is resisted and contained. With attention to institutional dynamics, Native studies’ centering of community accountability, and patterns of settler-colonial power, the study centers the perspectives and experiences at one university of Indigenous students, faculty, staff, and community partners. Interviews reveal four tensions or challenges of indigenization. “Hidden contributions” are the result of Indigenous people bearing the burden of rectifying the institution’s default colonial practices. Many individuals attempt to satisfy a challenging “dual accountability” to both First Nations and the university. Contradictions and uneven advances across the university create starkly varying experiences and reveal both promising change and disappointment. Finally, participants envision going beyond indigenization and decolonization by centering Indigenous intellectual autonomy and increasing accountability to First Nations. Interpreting these experiences and perceptions through logics of inclusion, reconciliation, and decolonization, the study suggests strategic approaches to address these tensions in future efforts in Canada and the United States.
Real-Time Implementation of the MPPT Control Algorithms of a Wind Energy Conversion System by the Digital Simulator OPAL_RT
Authors: Zouggar El Oualid , Chaouch Souad , Abdelhamid Lilia , Abdeslam Djaffar Ould
Published: March 2021

This paper presents a comparative study between two algorithms for controlling the Wind Turbine (WT) using real time platforms: RT-Lab. The Maximum Power Point Tracking (MPPT) control technique is implemented for extracting the maximum energy from the wind. The first control consists in taking as a reference strategy the electromagnetic torque associated with the maximum power curve. This controller is known as Indirect Speed Control (ISC). The second one, based on the measured wind speed, is called Direct Speed Control (DSC). In this second controller, the effectiveness of the controllers was evaluated with a PI controller and a Fuzzy Logic (FL) controller. The performances are analyzed and compared on the OPAL-RT digital simulator, which is based on the RT-LAB platform with the model, and its control built in Simulink. The results of the simulations clearly show that algorithm based on fuzzy controllers gives better performance in terms of monitoring the maximum power coefficient and optimal speed compared to conventional algorithms.
Fault Diagnosis in Distributed Power-Generation Systems Using Wavelet Based Artificial Neural Network
Authors: Chen Jiahui , Gao Jason , Jin Yiwei , Zhu Pengpeng , Zhang Qinzhen
Published: March 2021

In recent years, research on fault diagnosis of grids is becoming increasingly important, because it ensures the stable operation of power systems, and meets high demands on the power quality by power customers. In this paper, an intelligent approach for fault diagnosis of distributed power generation systems is proposed based on maximum overlap discrete wavelet transform and artificial neural network. In the proposed scheme, the fault data are first collected. Then, maximum overlap discrete wavelet transform is applied to detect faults and extract features. Finally, artificial neural network is constructed to classify the fault types. Results show that the method can identify faults precisely, classify fault types accurately, and is not affected by the change of electrical parameters. In addition, compared with several existing intelligent diagnosis techniques, the proposed approach can provide better fault classification accuracy. To evaluate the performance, the algorithm is verified by the case of the modified simulation model of IEEE-13 bus standard system.
A Novel Multi-vector Model Predictive Current Control of Three-Phase Active Power Filter
Authors: Li Hong , Liu Yang , Qi Rende , Ding Yu
Published: March 2021

This paper proposes the application of a novel finite control set model predictive control (FCS-MPC) strategy in active power filter (APF). In the process of APF compensating harmonic and reactive power, the traditional single vector model predictive current control (MPCC) has low tracking accuracy to harmonic current, while the multi-vector MPCC has the problems of complex calculation and long calculation time, a new multi-vector MPCC control method has proposed in this paper. Firstly, the harmonic reference value is transformed into d-q coordinate system, according to the sector, the slope is calculated and the action time is obtained. Six new expected vectors are synthesized from six effective vectors and zero vectors. The value function is established to loop and calculate the optimal virtual vector, which is applied to APF. Compared with single vector control and traditional multi-vector control, it has a wider vector action area and faster calculation speed. The compensation results and dynamic performance are improved. The simulation results show that the total harmonic distortion (THD) is low.
Analysis of Aluminium Alloy Wheels Product Quality Improvement Through DMAIC Method in Casting Process: A Case Study of the Wheel Manufacturing Industry in Indonesia
Authors: Maryani Edna , Purba Humiras Hardi , Sunadi
Published: March 2021

The global market demand for automotive wheels with alloy materials is 55%, which is quite high compared to other materials such as steel, magnesium, chromed, and carbon fiber. The high competition of the global alloy wheels market demands to be able to offer quality alloy wheels. The purpose of this research is to reduce the number of defects in the casting process step by using the Define Measure Analyze Improve Control (DMAIC) method. This study shows the systematic approach to find the root cause of major defects in aluminum castings using the defect diagnostic approach as well as cause and effect diagram. Quality improvement using quality tools, namely the Pareto diagram, fishbone diagram. The major defects for the rejections during production were identified as leak defects, porosity motive holes, and oval defects. In determining the proposed quality improvements using the FMEA tool. The results of data processing on the calculation of process capabilities and product performance show improvements after quality improvements in the casting process. Product performance from DPMO = 15.462, sigma level = 3.6 to DPMO = 8.186 and sigma level = 3.9. The effect of decreasing the percentage of defects could save production costs by IDR 413.350.000. Therefore, the application of the DMAIC method can provide a significant improvement in product quality and impact on production cost savings.
Summary of Are We Bodies or Souls?
Authors: Swinburne Richard
Published: March 2021

This book is about the nature of human beings, defending a version of substance dualism, similar to that of Descartes, that each of us living on earth consists of two distinct substances—body and soul. Bodies keep us alive and by enabling us to interact with each other and the world they make our lives greatly worth living; but our soul is the one essential part of each of us.
Personality in Patients With Takotsubo Cardiomyopathy
Authors: Treder-Rochnia Natalia , Sabisz Agnieszka , Siemiński Mariusz , Fijałkowski Marcin
Published: March 2021

The last few years have seen an increase in the awareness of a specific heart disease referred to as takotsubo cardiomyopathy. The evidence from the literature demonstrates that psychological variables (especially personality traits) can have a significant impact on the manifestations of different heart diseases. Little is known, however, about the psychological characteristics of takotsubo patients. The primary purpose of this research was to extract the specific personality traits of patients with takotsubo syndrome. Our research covered 76 participants divided into three groups: the clinical group—patients with takotsubo cardiomyopathy (n = 30); Comparison Group 1—individuals with acute myocardial infarction group (n = 21); and Comparison Group 2—heart-healthy persons (n = 25). The study included psychological tests and an MRI examination. The psychological methods used in the research were the NEO Personality Inventory, the Type D Scale, and the assessment of the occurrence of stressful life events. Most takotsubo patients reported stressful life events before the occurrence of takotsubo symptoms. In our studies, it was not typical for takotsubo to be associated type D personality. Takotsubo patients have experienced negative emotions but do not suppress their emotions and participate socially without emotional inhibitions. Moreover, patients are open to experience, have average self-control, and tend to be dutiful and dependable. It is possible that these personality traits could facilitate the healing process.
Thyroid Profile in Diabetic Patients in a Tertiary Care Centre at Alappuzha, Kerala, India
Authors: Toi Mohan , Prabhakar Praveen
Published: March 2021

BACKGROUND Diabetes mellitus is the most common endocrine metabolic disease. Thyroid disorders are the second most common endocrine disorders, there is a high chance for an individual to have both diseases. Drugs for diabetes modify thyroid gland function, so these drug interactions have to be taken into account for treatment of diabetics with thyroid disorder. We wanted to study the profile of thyroid gland dysfunction in patients with type 2 diabetes mellitus. METHODS A cross sectional observational study was conducted among 230 subjects attending our tertiary care centre, meeting case definition of type 2 diabetes mellitus, over a period of 18 months. A detailed history was taken, and examination was done, followed by baseline investigations, blood sugar and thyroid function tests. Data was collected in proforma, entered in Microsoft Excel and analysed using Statistical Package for the Social Sciences (SPSS). RESULTS In the present study, 18.3 % (42) patients with type 2 diabetes mellitus had abnormal thyroid profile. The most common abnormality was subclinical hypothyroidism (66 %). 57.2 % were females and 42.8 %, males. Majority belonged to 41 - 60 yrs. age group (56.5 %). 57 % patients had family history of diabetes mellitus. 75 % were overweight and obese. The prevalence of hypertension (50.9 %) and hypercholesterolemia (31.8 %) was high. CONCLUSIONS Prevalence of thyroid dysfunction was found to be more among type 2 diabetics than in general population, and that too, in females. There was no significant correlation between age, type of treatment, family history, hypertension and hypercholesterolemia. KEYWORDS DM, Thyroid Gland Disorder
Desafios do cuidado de enfermagem frente à morte: reflexões sobre espiritualidade
Authors: Dornfeld Raquel Lima , Gonçalves Jurema Ribeiro Luiz
Published: March 2021

Este é um estudo qualitativo realizado em 2016 em uma cidade do interior mineiro, com o objetivo de descrever as dimensões do cuidar frente à morte e a influência da espiritualidade na percepção de profissionais de enfermagem atuantes em setores de pronto-atendimento e internação de um hospital universitário. Participaram 160 indivíduos, dos quais 141 eram do sexo feminino, com idades entre 30 a 39 anos (44,3%) e 40 a 49 anos (21,8%). Quanto à categoria de atuação, foram 131 profissionais de nível médio (auxiliares/técnicos de enfermagem) e 29 de nível superior (enfermeiros/as), com tempo de atuação 5 a 4 anos (34,4%) e de 10 a 14 anos (25%), religião católica (35,5%), seguida de espirita (32,5%). O material resultante das entrevistas foi exposto à análise do Discurso do Sujeito Coletivo, com o auxílio do software DSCsoft®. O agrupamento das expressões-chave e ideias centrais semelhantes resultou em três categorias: Atuação profissional frente a processos de morte; Olhar para si; e Espiritualidade: dimensões e influência no contexto profissional. Os discursos revelam a espiritualidade como fonte de amparo e restauração, conquanto o sentido imanente seja reportado pelas relações entre as pessoas e o meio em que vivem. Destaca-se a importância do autocuidado e a necessidade de que os profissionais tenham espaços de acolhimento com oportunidade de ressignificação do cuidado integral frente à finitude.
Diagnóstico precoce da hepatite C pela atenção primária à saúde
Authors: Gomide Geisa Perez Medina , Molina Rodrigo Juliano , Pereira Gilberto Araújo , Oliveira Cristina Cunha Hueb Barata
Published: March 2021

Trata-se de um estudo exploratório, descritivo, transversal, retrospectivo, de abordagem epidemiológica, realizado nas unidades de atenção primária à saúde de Uberaba entre 2014 e março de 2017, com objetivo de conhecer a prevalência e positividade do anticorpo Anti-hepatite C na população adulta acima de 40 anos. Foram testadas 17.845 pessoas através do teste de imunocromatográficos e, depois, aos 131 positivos aplicou-se o teste de genotipagem e estadiamento da fibrose hepática. Encontrou-se 0,73% de positivos, sendo 79,3% nascidos nas décadas de 1950 a 1970; e 24% apresentavam fibrose hepática moderada, avançada ou cirrose. As formas de transmissão mais citadas foram uso de drogas (qualquer via); múltiplos parceiros sexuais e transfusões, hemodiálise ou transplante de órgãos. É importante capacitar os profissionais da rede de atenção primária sobre a importância da hepatite C, de seu diagnóstico precoce e dos grupos de risco prioritários, além de propiciar a ampliação do acesso ao diagnóstico.
Sobre os propósitos das ocupações de pessoas em cuidados paliativos oncológicos em um contexto hospitalar
Authors: Chagas Ana Catarina Das Neves , Oliveira Luísa Sousa Monteiro , Silva Vanessa Do Socorro Mendes da , Corrêa Victor Augusto Cavaleiro
Published: March 2021

Esta é uma pesquisa qualitativa realizada em 2019 em Belém do Pará, tendo como objetivo compreender os propósitos das ocupações de pessoas em cuidados paliativos oncológicos em um contexto hospitalar. Aplicou-se: entrevista aberta com cada participante e a Escala de Performance Paliativa. A interpretação de dados foi realizada por meio dos pressupostos da análise de conteúdo. Participaram 17 pessoas, das quais 13 eram mulheres. Na Escala de Performance Paliativa verificou-se prevalência da pontuação em 50 (41%). Todas as pessoas entrevistadas atribuíram propósito às suas ocupações, das quais antes da hospitalização, voltava-se à satisfação pessoal e a sentir-se saudáveis. Já na hospitalização, os propósitos ocupacionais passaram a ser de recuperação da saúde e sobrevivência/subsistência, questão que mostrou-se como lacuna. As pessoas participantes puderam exteriorizar sentimentos, histórias de vida, pensamentos e hábitos. A ocupação para o indivíduo em contexto paliativo reflete diretamente na sua qualidade de vida, e a valorização dos aspectos ocupacionais está diretamente associada ao alívio do sofrimento.
Percepção dos pacientes sobre a internação hospitalar em diferentes clínicas: uma revisão integrativa
Authors: Silva Patricia Nunes da , Ferreira Lúcia Aparecida
Published: March 2021

Esta é uma revisão integrativa que considerou o período de 2015 a 2019, e teve como objetivo avaliar e sintetizar evidências disponíveis acerca da percepção dos pacientes sobre a internação hospitalar. A pesquisa foi realizada nas bases de dados: PubMed; CINAHL; Scopus; LILACS; BDENF, pelas combinações entre três descritores: Paciente, Percepção e Hospitalização. Encontraram-se 465 artigos, dos quais 11 artigos atenderam aos critérios do estudo. Todos os artigos apresentavam nível de evidencia 4, das quais emergiram duas categorias: Sentimentos vivenciados durante a internação e a percepção sobre o ambiente hospitalar; e Cuidado oferecido pelos profissionais de enfermagem durante a hospitalização. Quatro estudos eram brasileiros e sete eram estrangeiros. Os estudos revelaram a importância de o profissional de saúde estar preparado para o desenvolvimento de um conjunto de habilidades práticas e humanas, considerando a singularidade de cada paciente. Também verificou-se que, apesar dos avanços tecnológicos e da implementação das leis voltadas para a assistência humanizada, os profissionais de saúde possuem dificuldades para promover um cuidado integral e humanizado, garantindo qualidade na assistência.
Avaliação da motricidade em idosos submetidos a equoterapia: relato de caso
Authors: Ferreira Isabella Cecilio Resende , Faria Mariana Nunes , Fernandes Giovane Amui , Oliveira Adriano José , Lage Janaine Brandão , Bulos Érika Mondin
Published: March 2021

Trata-se de um estudo de caso, descritivo e transversal realizado no período de fevereiro a dezembro de 2019 em uma cidade do Triângulo Mineiro, com objetivo avaliar o benefício dos atendimentos de Equoterapia na motricidade de idosas. Utilizou-se 10 sessões de equoterapia e aplicou-se (no pré e no pós) a avaliação pela Escala Motora para Terceira Idade e a Aptidão Motora Global. Participaram cinco idosas saudáveis. Na pré-avaliação, todas as idosas obtiveram pontuações maiores na orientação espacial e pontuações no equilíbrio menores. Três obtiveram pontuações menores também na motricidade global. Posterior à equoterapia, as cinco idosas permaneceram com pontuações menores no equilíbrio e pontuações maiores na orientação espacial, motricidade fina e esquema corporal. Houve melhora em três pacientes na motricidade global, equilíbrio e esquema corporal. A Equoterapia pareceu contribuir na promoção de benefícios nos aspectos da motricidade em idosas, considerando que não houve piora na aptidão motora geral, propiciando a manutenção ou melhora do desempenho motor.
Cuidado paliativo em acidente vascular cerebral: um olhar nutricional
Authors: Loss Igor Oliveira , Veira Patrícia Maria , Frizzo Heloísa Cristina Figueiredo , Machado Marcus Paulo Ribeiro , Pires Patrícia da Silva , Guimarães Elaine Leonezi
Published: March 2021

O Acidente Vascular Cerebral (AVC) é uma das maiores causas de óbito e/ou incapacidade funcional no Brasil e no mundo. Os cuidados paliativos são uma forma humanizada e diferenciada de assistência ao paciente, e podem ser empregados em diversas doenças que ameaçam a vida, como no AVC. Recentemente, o Ministério da Saúde publicou uma resolução que normatizou a oferta de cuidados paliativos como parte dos cuidados continuados integrados no âmbito do Sistema Único de Saúde (SUS). Esta é uma reflexão sobre conceitos e a abordagem nutricional no cuidado paliativo de pacientes acometidos por AVC.  Embora a terapia nutricional não represente vantagens em abordagens paliativas, para um seleto grupo de acometidos por AVC, a recuperação ou manutenção de um bom estado nutricional podem ser fundamentais para a qualidade de vida, inclusive em situações de desospitalização.
Grupo de educação em saúde para pessoas com esclerose lateral amiotrófica, seus familiares e cuidadores
Authors: Gomes Crystian Moraes Silva , Silva Ana Raquel , De Oliveira Jonaina Fiorim Pereira
Published: March 2021

Este é um relato de experiência, realizado no período de novembro de 2018 a dezembro de 2019, num Centro Especializado de Reabilitação de Vila Velha, Espirito Santo, com objetivo de descrever a experiência de constituição de um grupo multidisciplinar de educação em saúde, com pessoas diagnosticadas com Esclerose Lateral Amiotrófica, seus familiares e cuidadores. O grupo se intitulou “Café com Ela” e houveram oito encontros com a participação de três a nove pacientes e quatro a 21 cuidadores ou familiares. As temáticas escolhidas se deram a partir das demandas dos participantes. O grupo foi caracterizado como homogêneo quanto às condições de saúde dos membros, e aberto com relação à entrada em cada encontro, sendo sempre conduzidos e construídos de forma multidisciplinar. A abordagem de grupo no contexto da reabilitação promoveu acesso a informação, maior conhecimento sobre a Esclerose Lateral Amiotrófica, apoio emocional através do compartilhamento de experiências, ampliação e construção de redes sociais e de suporte para o enfrentamento da doença.
Qualidade de vida e sofrimento psíquico em agentes comunitárias de saúde
Authors: Miranda Bárbara Aline Bezerra de , Pegoraro Renata Fabiana
Published: March 2021

O objetivo desta pesquisa foi investigar a percepção de agentes comunitárias de saúde sobre sua qualidade de vida de vida e as atividades laborativas por elas desenvolvidas. Participaram 13 agentes comunitárias de saúde que atuavam em duas unidades de saúde da família do interior de Minas Gerais. O estudo foi de caráter exploratório, desenvolvido com metodologia quali-quantitativa, realizado entre 2017 a 2018, no qual utilizou-se como instrumentos uma escala para a avaliação da qualidade de vida, questionário sociodemográfico e entrevista semi-estruturada. A partir das análises dos relatos emergiram duas categorias: Atividades desenvolvidas e sua relação com a qualidade de vida e Sofrimento psíquico causado pelo trabalho e sua relação com a qualidade de vida. Os domínios referentes às Relações Sociais e ao Meio Ambiente apresentaram pior qualidade de vida e identificou-se nas entrevistas sofrimento psíquico associado a residir no mesmo bairro em que atuavam, com sobrecarga de trabalho em momentos de folga ou férias. Também, por escutar problemas de diversas ordens que necessitam de soluções que geralmente vão além do que a prática permite, as profissionais sentiam-se incapazes, agravando seu sofrimento.
Fragilidades que afastam e desafios para fixação dos médicos da Estratégia de Saúde da Família
Authors: Viana Vera Gardênia Alves , Ribeiro Maysa Ferreira Martins
Published: March 2021

O objetivo deste estudo é compreender quais aspectos contribuem para afastar os médicos da Estratégia Saúde da Família. Estudo descritivo, exploratório de cunho qualitativo com aporte na Teoria Fundamentada nos Dados. A coleta de dados foi feita entre janeiro e julho de 2016, com entrevistas semiestruturadas. Participaram 10 médicos que atuam na Estratégia da Saúde da Família, em municípios do sudoeste baiano. O processo de análise sistemática dos dados permitiu construir um modelo teórico interpretativo do fenômeno do estudo, intitulado: Fragilidades que afastam e desafios para a fixação dos médicos da Estratégia Saúde da Família e comprometem a assistência, sustentado por três categorias: Déficits na formação médica e falta de incentivo para atuação na APS, representando condições que comprometem a fixação do médico na ESF; Influência político-partidária e Comodidades para atuação na ESF, que destaca ações e interações que fragilizam o sistema; e, Rotatividade e prejuízos na assistência, apontando as consequências do déficit na operacionalização do sistema. Falhas na formação, ausência de um plano de carreira e déficits operacionais afastam os médicos da Estratégia de Saúde da Família, comprometendo o direito da população à saúde.
Impacto da ação educativa nos comunicantes de hanseníase em uma unidade municipal de saúde
Authors: Ferreira Jean Vitor Silva , Sagica Taís Dos Passos , Silva Risângela Patrícia De Freitas Pantoja da , Lima Julliana Santos Ribeiro , Cunha Maria Heliana Chaves Monteiro da , Ramos Aline Maria Pereira Cruz
Published: March 2021

Este é um estudo prospectivo, transversal, descritivo com abordagem quantitativa, desenvolvido de 2017 a 2018, numa unidade municipal de saúde de Belém-PA; e que tem como objetivo avaliar o conhecimento de comunicantes de hanseníase antes e após uma ação educativa, acerca dos sinais e sintomas da doença, os riscos de adoecimento e as formas de prevenção. Fizeram parte da pesquisa 93 comunicantes, das quais 48% acreditava que a doença era transmitida por utensílios, assim como 54% afirmava ser uma patologia letal. Existiam lacunas significativas de conhecimento sobre a hanseníase por parte dos contatos intradomiciliares contatados. Identificou-se impacto positivo da ação educativa, com aumento do nível de conhecimento sobre a hanseníase entre os comunicantes.
Formação em saúde no contexto da pandemia da COVID-19: desafios e perspectivas
Authors: Caldarelli Pablo Guilherme , Gabardo Marilisa Carneiro Leão
Published: March 2021

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Bölgesel Kimlik İnşasında Devletlerarası Örgütlerin Rolü: Akdeniz Havzası Üzerine Karşılaştırmalı Bir Analiz
Authors: Duman Gökhan , Doğanyılmaz Duman Didem
Published: March 2021

Küreselleşmenin doğrudan bir sonucu olarak devletler arasında artan ilişkiler ve iş birliği, ulus-devlet ile bağdaştırılan ulusal kimlik algısına ulus aşırı bileşenlerin eklemlenmesini beraberinde getirmiştir. Makro ölçekte bölgesel devletlerarası örgütler bulundukları bölgede gerçekleştirdikleri politikalar ile ilgili bölgenin hem içeride hem dışarıda algılanışını etkileyecek bölgesel kimlik inşasına katkıda bulunabilmektedirler. Bu çalışma kapsamında ilk olarak bölgesel kimlik inşasına dair kuramsal bir yaklaşım sunulacak, literatürde bulunan tartışmalara yer verilerek neden etno-sembolcü bir inşa sürecinin kabul edildiği üzerinde durulacak ve daha sonra Akdeniz Havzası özelinde makro ölçekli bölgesel yapılanma çerçevesinde kendisini gösteren iki temel kimlik bileşeni olarak Avrupalılık ve Akdenizlilik kimlikleri, Avrupa Birliği ve Akdeniz İçin Birlik örgütleri nezdinde bir değerlendirmeye tabi tutulacaktır. Karşılaştırmalı bir inceleme kapsamında tamamlanacak olan bu çalışmanın amacı, bu iki devletlerarası örgütün ilgili kimliklerin inşa edilmesine ve kültürel yapılanmadan sivil yapılanmaya dönüşmelerine katkı verip vermedikleri sorunsalı üzerine odaklanmak ve ilgili durumun nedenlerini analiz etmektir. Anahtar Kelimeler: Akdeniz Havzası, Bölgesel Kimlik, Akdeniz İçin Birlik, Avrupa BirliğiJEL Sınıflandırması: F53, Y80