bluuebunny/crossref_metadata_2025 huggingface dataset:
PREVALÊNCIA DA INTOXICAÇÃO EXÓGENA EM ADOLESCENTES E ADULTOS: UM ESTUDO EPIDEMIOLÓGICO NO ESTADO DO ESPÍRITO SANTO NO PERÍODO DE 2014 A 2020
Authors:   Universidade Vila Velha, Longui Lara Vargas , Barbosa Bárbara Ferraz ,   Universidad de Aquino Bolívia, Barros Magna Cristina Rocha ,   Universidad de Aquino Bolívia, Almeida Cosme Andrade de ,   Universidade do Estado da Bahia
Published: March 2021

A intoxicação exógena é representada por um conjunto de alterações clínicas decorrentes do envenenamento provocado pela exposição à substancias químicas em altas doses. Mediante o estudo objetivou-se verificar a prevalência da intoxicação exógena em adolescentes e adultos no estado do Espírito Santo, analisando os fatores de risco associados à macrorregião de saúde Metropolitana. Foi realizado um estudo epidemiológico, transversal, descritivo com base na coleta de dados secundários, por meio do Sistema de Agravos de Notificação disponibilizados no banco de dados DATASUS -TABNET sobre a prevalência da intoxicação exógena no estado do Espirito Santo. Os dados coletados do estado do Espirito Santo foram filtrados para a macrorregião de saúde Metropolitana, onde foi possível observar os municípios de maior notificação, faixa etária (15 a 59 anos), agente tóxico e a circunstância de uso no período de 2014 a 2020. Foram registrados 21.681 casos de intoxicação exógena em adolescentes e adultos no estado do Espírito Santo, notificados no período de 2014 a 2020. Por meio da coleta de dados referente à macrorregião de saúde Metropolitana, observa-se um valor total de 12.480 casos notificados, com maior incidência nas cidades de Vitória com 4.649 casos, Serra com 2236 casos e de Vila Velha com 1486 casos. Realizou-se um levantamento dos agentes tóxicos, onde o grupo de medicamentos ocupa a posição de maior risco com 6569 notificações, seguido por drogas de abuso com 1386 casos. A faixa etária mais acometida foi composta pelos adultos, representando 80,6% do total. Na parcela populacional dos adolescentes (19,3%) há um predomínio aproximado de cinco vezes mais intoxicações por medicamento em relação a drogas de abuso, sendo este um grupo com valor percentual aproximado ao de alimentos e bebidas nessa faixa etária. Em relação ao sexo, a prevalência da intoxicação em mulheres é cerca de quatro vezes maior do que em homens, tendo como principal circunstancia a tentativa de suicídio. Constatou-se que as intoxicações exógenas da macrorregião Metropolitana de saúde, quando comparadas a todo o estado do Espírito Santo, possuem valores significativos, acometendo, predominantemente, mulheres por meio da ingestão descontrolada de fármacos, tendo uso principal a tentativa de suicídio, mostrando a necessidade de campanhas relacionadas ao cuidado com a automedicação e abuso medicamentoso.
RELATO DE CASO: ABORDAGEM DE PIELONEFRITE AGUDA EM PACIENTE IDOSO NO PRONTO SOCORRO
Authors:   UNINGÁ - Centro Universitário Ingá, Floresta Laura Zabisky , Floresta Isabela Zabisky ,   UNICESUMAR -Centro Universitário Cesumar, Guerra Luís Eduardo Cury ,   Faculdade de Medicina de Rio Verde
Published: March 2021

A pielonefrite é uma infecção do trato urinário superior que envolve os rins, na qual a maioria dos episódios são considerados não complicados em adultos saudáveis. Diferentes fatores de risco estão associados como, diabetes, obstrução do trato urinário, presença de cateter uretral por período prolongado, nefrostomia, anormalidades funcionais ou anatômicas do trato urinário, transplante renal, terapia imunossupressora e gravidez. As manifestações clínicas mais frequentes são febre, calafrios, dor na região de flanco e enjoo. Em pacientes idosos as manifestações clínicas podem ser atípicas. O objetivo é relatar o atendimento de paciente idosa com suspeita de pielonefrite aguda posterior a realização de litotripsia renal. Paciente do sexo feminino, 76 anos, viúva, aposentada, procurou atendimento com queixa de dor lombar, calafrios, febre intermitente, disúria, polaciúria e náuseas há 4 dias. Apresentava dor lombar de forte intensidade e dor leve em abdome inferior, sem fatores de melhora ou piora, de caráter contínuo com irradiação para fossa ilíaca esquerda. História mórbida pregressa de infecção do trato urinário de repetição, nefrolitíase à esquerda, hidronefrose moderada à esquerda e leve à direita. Realizou litotripsia renal a laser aproximadamente há um mês. Ao exame físico se encontrava em estado geral regular, lúcida e orientada. Temperatura axilar: 38° C. PA:100 x 70 mmHg. FC: 85 bpm. SAT O2 96% ar ambiente. FR: 18 irpm. Aparelho respiratório sem anormalidades. ABD: sem dor à palpação superficial ou profunda. Apresentava sinal de Giordano positivo bilateral.A hipótese diagnóstica principal foi pielonefrite aguda. Para confirmação foram solicitados exames laboratoriais. Hemograma: leucócitos: 11.320/ mm3. Hb 10,6 g/dL. Plaquetas: 179 mil/mm3. Urina 1: Leucocitúria. Hematúria. Proteinúria. Nitrito positivo. Urocultura: indicava presença de Klebsiella spp sensível a Imipenem e Meropenem. O diagnóstico diferencial mais provável considerado foi cistite complicada, entretanto, a presença de sinal de Giordano positivo bilateral, febre e rebaixamento no estado geral da paciente são indicativos de pielonefrite aguda. Confirmado o diagnóstico, o tratamento inicial foi efetuado por meio do uso de Cloridrato de Ondansetrona, Butilbrometo de Escopolamina e Dipirona Sódica em caso de dor abdominal ou febre.Ao receber os resultados da urocultura foi iniciado o tratamento com Imipenem. A paciente evoluiu sem complicações, se manteve estável e recebeu alta após 7 dias com recomendação de acompanhamento por serviço de nefrologia. Conclui-se, desse modo, que o diagnóstico foi correto e o tratamento foi efetivo sendo baseado na urocultura indicativa de sensibilidade da Klebsiella spp.ao Imipenem.
TRATAMENTO CONSERVADOR DO TRAUMA ESPLÊNICO GRAU III
Authors:   UNINGÁ - Centro Universitário Ingá, de Lima Luana Hantequestt , Palangani Emanoelle Aparecida ,   UNINGÁ - Centro Universitário Ingá, Trad Letícia Santos ,   UNINGÁ - Centro Universitário Ingá, Amaral João Pedro Zuin do ,   Hospital Angelina Caron
Published: March 2021

O trauma abdominal é um dos mais prevalentes no contexto do politrauma. Devido ao seu potencial lesivo, está relacionado aos múltiplos quadros que elevam as taxas de morbidade e a mortalidade, assim, o trauma é a causa mais comum de morte em pessoas com menos de 45 anos de idade, representando mais de 10% das lesões traumáticas. Além disso, o baço é o órgão mais comumente lesado em traumas abdominais contusos, onde o trauma esplênico é o mecanismo de trauma que causa as lesões mais graves, sendo a lesão grauIII a mais comum. 80% dos pacientes com lesão esplênica grau III, IV ou V descreveram apenas dor abdominal em seus prontuários e nestes casos pode ser aderido o tratamento conservador, o qual constitui o tratamento de escolha no trauma contuso em pacientes hemodinamicamente estáveis, na ausência de lesões de vísceras ocas.Este trabalho tem como objetivo enaltecer os benefícios do tratamento conservador em pacientes com trauma esplênico, estáveis e lúcidos, desde que haja uma boa condição hospitalar para atendê-los.Paciente chega ao hospital estável, orientado em tempo e espaço, com dor em região de face à esquerda, tórax à esquerda (durante a palpação de região de arcos costais, sem sinais hematomas ou de enfisema subcutâneo). Além disso, relata dor leve à palpação de região periumbilical à esquerda e não apresenta dor à palpação de coluna cervical, dorsal ou lombar. A ecografia mostrou líquido livre em cavidade, disperso, em grande quantidade, suspeitando de sangue na cavidade. Foi solicitada tomografia computadorizada de abdome que mostrou lesão esplênica grau III (AAST) e hematoma parenquimatoso contido, além de, presença de líquido livre peri-hepático em cavidade abdominal e baço heterogêneo com contornos irregulares e material hiperdenso de permeio, sugerindo hematoma capsular. Optou-se por um tratamento conservador, com tomografia de abdome e exames laboratoriais diários. Com isso, o paciente apresentou boa evolução e após 7 dias de internamento, realizou-se a alta hospitalar.O tratamento não-operatório de lesões esplênicas grau III, no trauma abdominal contuso, é uma opção segura desde que o hospital esteja adequadamente equipado e o paciente se encontre hemodinamicamente estável. É necessário que o hospital tenha uma equipe cirúrgica em tempo integral e recursos materiais, como ultrassonografia e tomografia computadorizada.
Research, design, manufacture leakage current protection device for 660V/1140V underground mine electrical networks
Authors: Nguyen Khanh Thac , Kim Linh Ngoc , Nguyen Sy Tien , Nguyen Giang Truong ,   Faculty of Electro-Mechanical, Hanoi University of Mining and Geology
Published: March 2021

This paper presents the results of researching, designing and manufacturing leakage current protection device for 660 V/1140 V ungrounded three-phase electrical networks. The outstanding features of the device are: ability to create wide deformation characteristic; automatically detect and grounded the leakage phase. Device test results show that relay operation time ​​for symmetrical and asymmetric leak resistors are 30 kΩ/60 kΩ per phase and 20 kΩ /50 kΩ for 660 V/1.140 V networks respectively. The total operating time of the device when single phase leaking through a 1 kΩ resistor not exceed 105 ms. The circuit automatically detects and accurately grounded the leakage phase through 100 Ω resistance, the total detection and grounded the leakage phase time does not exceed 110 ms. This research result can be applied in the design and manufacture of high-quality and reliable leakage current protection devices used in underground mines, replacing imported products.
Features of lead-zinc mineralization in the Phia Dam - Khuoi Man region
Authors: Nguyen Phuong , Nguyen Dong Phuong , Nguyen Huong Thi , Le Huong Thi , Do Dinh Van ,   Facury of Environment, Hanoi University of Mining and Geology, Vietnam  Viet Nam Office of Mineral Reserve Assessment, Hanoi, Vietnam  Mining and Goelogy Consulting and Technology deployment JSC, Hanoi, Vietnam
Published: March 2021

The paper introduces a number of new research results on the characteristics of lead - zinc ores in Phia Dam - Khuoi Man areas based on the application of traditional geological methods, combining the method of researching material composition and method statistical maths. In the study area, there are two forms of ore bodies with characteristics described as below: the first form consists of ore bodies developed along the stratabound bedding surface, are mainly distributed in either anticlinal structures (i.e. Phia Dam region) or cuesta (i.e. Khuoi Man region) and the second form consists of ore bodies in lodes, filled in cracks or zones of fracture along the northwest – southeast faults. Primary ore minerals are mainly galena, sphalerite, pyrite, chalcopyrite, etc. and gangue minerals are calcite, dolomite, and quartz. Ore structures are nests, veins, disseminated veins, banded, speckled, or sometimes breccia - like ones. The relevant and controlling factors of lead-zinc mineralization in Phia Dam - Khuoi Man region are the northwest - southeast fault system and the lithostratigraphy. Ores are of either mesothermal or epithermal deposits (temperatures varies from 162 to 308 degrees Celcius), with a specific symbiotic combination of quartz - sphalerite - galena - chancopyrite.
Assessment of the influence of water - level elevation in the reservoir on settlement of the hydroelectric dam
Authors: Tran Khanh , Le Tinh Duc , Nguyen Thanh Kim Thi ,   Faculty of Geomatics and Land Administration, Hanoi University of Mining and Geology, Vietnam
Published: March 2021

Elevation of the water level in the reservoir is the main reason for the deformation of the hydropower dams. Thus, assessing the influence of this cause on the displacement of construction is extremely necessary, which helps understand the state of dam and evaluate its safety to prevent sudden accidents that damage people and properties. Therefore, the article researches theoretical basis and builds the procedure of data processing in the algorithm of least squares to calculate the subsidence value caused by the influence of water - level elevation on the dam. The monitoring data of Yaly hydroelectric dam at two positions M5 and M26 was used in the experimental calculation. The results indicated that when the highest water level is 515.53 m, the subsidence values caused by this factor at M5 and M26 were 5.2 mm and 0.2 mm, respectively. On the other hand, when the lowest water - level is 491.2 m, the subsidence values caused by this factor at M5 and M26 were -7.7 mm and -1.9 mm, respectively. This demonstrates that the proposed calculating method is entirely feasible, reliable, and suitable for every hydroelectricity dam.
Estimation of Modulation Transfer Function (MTF) of VNREDSat-1 satellite for image quality assessment by using the permanent test site
Authors: . Ngoc Minh Nguyen , Tran Anh Van , Nghiem Tuan Van , Chu Huy Xuan , Do Thao Phuong Thi ,   Space Technology Institute, Vietnam Academy of Science and Technology, Vietnam  Faculty of Geomatics and Land Administration, Hanoi University of Mining and Geology, Vietnam  Division of Science and International Relations, Department of National Remote Sensing, Vietnam
Published: March 2021

MTF is a factor in evaluating image quality with respect to the contrast and sharpness of the payload, thus directly related to spatial resolution. Therefore, ensuring image quality is an important task, especially for small satellites with high spatial resolution. This study uses the slanted-edge method for the artificial permanent test site and VNREDSat-1 image data with spatial resolution of panchromatic band as 2.5 m to make an MTF value estimate. The MTF value during 5 years of operation averages about 0.2 compared to the threshold as 0.08 (for the test site at Salon de Provence, France, the MTF value ranged from 0.16÷0.27 in across-track direction and 0.16÷0.25 in along-track direction; and at the Buon Ma Thuot test site, these values were 0.16÷0.23 and 0.20÷0.24, the reflectivity of these two test sites are similar), proving that image quality is guaranteed throughout the design life of the satellite; moreover, they are also the basis for Vietnam to finalize regulations on validation and calibration of optical satellite systems in the future when we have own test site.
Research to build technological procedure for soft ground improvement using sea sand-cement-fly ash column
Authors: Ta Thinh Duc , Hoang Phuc Dinh , Bui Thang Anh , Ngo Trang Huong Thi , Nguyen Diu Thi ,   Faculty of Civil Engineering, Hanoi University of Mining and Geology, Vietnam  University of Transportation and Communications, Vietnam
Published: March 2021

Sea sand-cement-fly ash column technology for soft soil treatment is a new technology in the process of completing the theoretical basis, the experimental basis, and the construction of the ground treatment technological procedure. The paper presents the results of scientific research on design, calculation, construction, and acceptance of sea sand-cement-fly ash column. The scientific basis for the design of column is to consider the role of the column in composite ground, that is to use the column as soft ground improvement or soft soil reinforcement. The important parameters for the column design are: cement and fly ash content; column length; column diameter; number of columns; distance among columns; load capacity and settlement of composite ground. The sequence of steps of construction and acceptance of column includes: selection of construction equipment, preparation of construction sites, trial construction, official construction, evaluation of ground quality after treatment and preparation of document for acceptance.
Determination of some characteristic fracture of concrete of notched beam in bending test
Authors: Son Bui Truong , Tho Pham Duc , Nu Nguyen Thi , Truyen Tran The , Hung Tran Nam ,   Faculty of Geoscience and Geoengineering, Hanoi University of Mining and Geology, Vietnam  Faculty of Civil Engineering, Hanoi University of Mining and Geology, Vietnam  Faculty of Civil Engineering, University of Transport and Communications, Vietnam  Le Quy Don Technical University, Vietnam
Published: March 2021

This paper presents the identification some principal fracture parameters of concretes by experiment and simulation on notched beam in bending. The comparison between experimental and simulation results allows to determinate the Critical stress intensity factors KIC, fracture energy Gf and characteristic lengths of fracture process zone (FPZ) lch of 6 class of concrete with the compression resistance varying from 20 MPa to 50 MPa. These are important parameter in the model for predicting the timelife of concrete structure exposed in coastal area.
Study on the loess soil improved by soil-cement columns for wind turbine foundation
Authors: Hoang Phuc Dinh , Nguyen Dinh Cong , Chu Thuc Viet ,   Faculty of Civil Engineer, Hanoi University of Mining and Geology, Vietnam  Faculty of Civil Engineer, University of Transport and Communications, Vietnam  Falculty of Civil Engineering, Electric power University, Vietnam
Published: March 2021

The paper presents the foundation solution for wind turbine in the extreme geotechnical condition. With the features of loose and foam loess and easier to settle when wet condition, it needs improving before construction. In the scope of the paper, the deep mixing soil-cement column combined of soil-cement load transfer layer for loess improvement is proposed. Additionally, the sequence of settlement prediction is described, and the two cases of column distance are 2 m and 1,5 m, the diameters of column range from 0,5 to 0,8 m are analysed. Moreover, the cement mixing ratio in loess is considered. The analytical results indicate that the settlement of wind turbine foundation is lower the the limited settlement (78,51 mm less than 80 mm) when the load transfer layer equals 1,5 m and the improvement ratio (Ac/A) of 0,145 and the cement/soil mixture ratio of 6%.
Assessment of the effect of blasting vibaration on tunnel lining of Hai Van Pass Tunnel during expanding excavation the auxiliary tunnel by drilling and blasting method
Authors: Dang Kien Van ,   Faculty of Civil Engineering, Hanoi University of Mining and Geology, Viet Nam
Published: March 2021

Experimental and numerical research of the effect of blasting vibrations during tunneling on surrounding structures (rock mass, existing tunnels, buildings, etc.) was widely studied in recent years. However, the effect of blasting vibration from a new tunnel on an existing adjacent tunnel is still unclear. A few researches has been carried out to study the relationship of the observed Peak Particle Velocity (PPV) on the lining areas along the existing tunnel direction, due to either the lack of in situ test data or the difficulty in conducting field tests, particularly for tunnels that are usually old and vulnerable after several decades of service. The paper uses the synthetic analysis method, study result of Croix-Rousse, Lyon, France to propose on assessing the effects of blasting vibration on the existing lining of the main tunnel during expanding excavation the auxiliary tunnel by drilling and blasting method in similar conditions at Hai Van Pass Tunnel in Viet Nam .
Found Poems, Member Checking and Crises of Representation
Authors: Reilly Rosemary
Published: March 2021

In order to establish veracity , qualitative researchers frequently rely on member checks to insure credibility by giving participants opportunities to correct errors, challenge interpretations and assess results; however, member checks are not without drawbacks. This paper describes an innovative approach to conducting member checks. Six members of a learning organization participated in two group interviews to examine the use of poetry as a method to promote individual and organizational learning. Several weeks later, participants received a copy of their transcripts and were asked to create a “found poem” to reflect their thoughts and feelings about using poetry as a learning tool. There was resonance between the interview themes produced by traditional open coding methods and those using participant - created found poems. However, the found poems added an emotional depth and connect ion that was missing from the traditional approach of coding qualitative data. This suggests that participant - created found poems can provide an agentic alternative to the usual method of member checking and also expand the notions of aesthetic approaches within qualitative research.
Two Cultures Collide: Bridging the Generation Gap in a Non - traditional Mentorship
Authors: Merriweather Lisa , Morgan Alberta
Published: March 2021

Cross - cultural mentoring relationships between younger mentors and older mentees are increasing in frequency across all levels of post - secondary education. Generational cultural differences can result in conflict and misunderstanding and therefore should be considered in non - traditional inter - generational mentoring relationships. Through auto - ethnographic inquiry, we, a younger faculty member and older graduate student, explored our mentoring relationship. We identified communication, respect, and ambiguous roles as issues that significantly impacted our mentorship. The manifestation of power was also highlighted in the study.
FAMA AND FRENCH THREE FACTOR MODEL APPLICATION IN THE PAKISTAN STOCK EXCHANGE (PSE)
Authors:   Iqra University, Karachi, Iqbal Athar
Published: March 2021

Purpose: This research has been carried out to test empirically the application of Fama and French three factor model on Pakistan Stock Exchange covering forty listed companies using annual data from 1984 to 2012. Methodology: Author selected excess return as dependent variable and three independent variables market risk, size of the firm and the book to market value of the firms in the portfolio. To test the hypotheses, author used panel least square method. Findings: Result shows that all independent variables are significant and have sign as predicted by theoretical understanding. From our result we interpret that three factors model explain returns in its simplified form on long term horizon better than single factor model like CAPM. Implication: The findings of the research paper suggest that developing economy like Pakistan investor and portfolio manager can better understand by applying multiple variable models and its modified form rather than only relying on CAMP covariance sensitivity model.
Is BRI a Catalyst to Propel Social Transformation and Economic Development in the South Asia ?
Authors: Khanal Shradha , Kanel Pranjali
Published: March 2021

South Asia, home to early human civilization, is one of the richest regions with the diversity it holds; diverse in terms of culture, government system, environment, and their belief of statehood. Despite its diversity in South Asia, it faces a common set of problems that can be rooted back to the fracture in acceptance of differences among the South Asian countries that was the consequence of the common history of colonialism. The lingering effect of colonialism, internal conflict post-independence, and the ineffectiveness of democracy continue to hinder the social transformation and economic development of the South Asian region. The failure of SAARC has questioned the interconnectivity inside and outside South Asia for economic development and uplifting the living standard of people in South Asia. China with the principle of policy coordination, infrastructure connectivity, unimpeded trade, financial integration, close people to people ties and industrial cooperation proposed the concept of One Belt One Road Initiative later renamed to Belt and Road Initiative, is the model of development with the view of making Asia a community or building block transnational connectivity and the idea of connecting this region with infrastructural connectivity. While BRI proposes to integrate various parts of the world including South Asia bringing forth economic and social prosperity, this paper dwells upon the question if BRI can be a potential model to follow to propel social transformation and economic development in South Asia when South Asian countries lack trust within trust themselves. Can it be a catalyst when it is feared that BRI could be a potential foreign strategy to fulfill the aim of Chinese regional hegemony? The paper will be arguing whether it is most significant initiative taken by a state for international cooperation after the establishment of the United Nations, World Bank, or rolling out of Marshall Plan by the USA or is it just a strategy of a rising power to have hegemony. This paper will also assert the idea that political cooperation and social transformation is not possible without achieving economic prosperity.
PENGARUH METODE GLASS ANALYSIS TERHADAP SELF-EFFICACY MEMBACA DAN READING LEVEL (STUDI PADA SALAH SATU SISWA KELAS 3 SD DENGAN KESULITAN MEMBACA DI SEKOLAH INKLUSI DI TANGERANG SELATAN)
Authors: Khasanah Nurul
Published: March 2021

This study aims to examine the effect of the glass analysis method on reading self-efficacy and reading levels in grade 3 elementary school students who have difficulty in reading. Glass analysis is one method of reading for students who experience reading difficulties,  focuses on decoding. Glass analysis intervention was investigated to prove its effect on self-efficacy reading and reading levels. Self-efficacy is a person's belief in his ability to master tasks. The results of the effort are reading level, which is a proof of the success of the effort that has been achieved by students in reading skills.  Determination of the sample using non probability sampling with purposive sampling technique. The subject consists of two, one experimental subject and one comparison subject. The experimental subjects received glass analysis intervention, while the comparison subjects described the reading and reading self-efficacy level of grade 3 elementary school students. The research variables were measured using two instruments, The Reader Self-Perception Scale (33 items) and informal reading tests. The data of the study were analyzed using paired-sample t test, so that the results obtained that glass analysis has not been able to influence reading self-efficacy (z = -1.0 and p> 0.05) and reading level (z = -1.0 and p> 0 ,05).Keyword: Glass Analysis, Self-Efficacy Membaca, Reading Level
Optogenetic Cardiac Pacing and Its Applications
Authors:   Genetics and Aging Research Unit, Department of Neurology, Massachusetts General Hospital and Harvard Medical School, Charlestown MA, USA, Li Airong , Tanzi Rudolph E ,   Genetics and Aging Research Unit, Department of Neurology, Massachusetts General Hospital and Harvard Medical School, Charlestown MA, USA
Published: March 2021

Optogenetics combines the biological techniques of optics and genetics and uses light to control the activities of living tissues such as neurons and heart. Optogenetic actuators including channelrhodopsin (ChR), halorhodopsin (NpHR), and archaerhodopsin specifically provide for neuronal or cardiac controls. The clinical translation of cardiac optogenetics will include human and larger mammalian animal model applications and ultimately optogenetics may have the power to restore normal heart rhythm
COVID-19 Associated Fulminant Myocarditis: A Multidisciplinary Approach to Treatment Utilizing Advanced Mechanical Circulatory Support and Anti-Viral Medical Therapies
Authors:   Division of Cardiac Surgery, Albert Einstein Medical Center, Philadelphia, PA, USA, Samuels Louis , Samuels Marissa ,   Division of Cardiac Surgery, Albert Einstein Medical Center, Philadelphia, PA, USA, Kalra Sanjog ,   Division of Cardiology, Albert Einstein Medical Center, Philadelphia, PA, USA
Published: March 2021

A 58-year-old man presented with fever, chills, nausea, vomiting, and diarrhea. A presumptive diagnosis of viral gastroenteritis was made and fluid resuscitation was undertaken. An initial nasopharyngeal COVID-19 swab was negative. CT scan of the chest and abdomen showed no acute pathology. The EKG, however, showed ST-segment elevation anterolaterally and an echocardiogram demonstrated severe LV dysfunction. His condition deteriorated requiring intubation. Cardiac catheterization showed normal coronary arteries and elevated right-sided filling pressures. Biventricular VADS were placed percutaneously (BiPella®). His condition failed to improve and support was escalated to VA-ECMO. The patient was transferred to a quaternary care center whereupon a repeat COVID-19 test was positive. Inflammatory biomarkers were markedly elevated. The diagnosis of COVID-19 associated fulminant myocarditis was made. The patient received IV steroids, broad-spectrum antibiotics, and enrolled in a Phase 1 convalescent plasma trial. In addition, CRRT was initiated for renal failure. His condition rapidly improved and mechanical circulatory support was discontinued. He was discharged and maintained on hemodialysis until his kidney function normalized several months later. His Ejection Fraction at the time of discharge was 65%
Peer Survivors of Suicide Loss: A Phenomenological Study
Authors: Labestre Gemma , Gayoles Lisa Anna
Published: March 2021

The ultimate sufferers of suicide are those left behind. The present study aims to explore, describe, and interpret the lived experiences of peer survivors of suicide loss. This study utilized the phenomenological research design. The participants were selected based on their having experienced the phenomenon of being a peer survivor of suicide loss. Ten participants with low resiliency and who were severely distressed volunteered to participate. Individual narrative stories and interviews were utilized to gather the qualitative data for this study. Common themes for the lived experiences of being a peer survivor of suicide loss are: being confused about the reported suicide; being stunned by the suicide; questioning the act of suicide; accepting the truth of the suicide; grieving the loss of a friend; accepting the death of a friend; finding solace from friends; and experiencing growth after the trauma. Forging connections with other peer survivors of suicide loss are part of the healing process. Thus, this study demonstrates the possibility of this connection in providing a basis for school suicide intervention and postvention programs for peer survivors of suicide loss in a supportive environment. There is a scarcity of studies on how suicide loss affects the survivors in the Philippines, specifically on the grief of suicide-bereaved emerging adults, as most studies focus on suicidal thoughts and behaviors. This study contributes to the scarce literature on survivors of suicide loss in the country.
El impacto del Brexit sobre el estatus jurídico-político de Irlanda del Norte: ¿una oportunidad para la reunificación de Irlanda?
Authors: COMPAINS SILVA Eneko
Published: March 2021

LABURPENA: Idazlan honen helburua Brexit-ak Ipar Irlandan uzten duen eskenatokiaren azterketa egitea da, aintzat hartuta Brexit-a Ipar Irlandako herritarren gehiengoaren aurka gauzatuko dela. Horretarako, lehenik, lurralde honek egun duen estatus juridiko-politikoaren azalpena egingo da. Bigarrenik, Brexit-aren ondorio juridiko-konstituzionalen azalpena egingo da, bereziki erreparatuz Ipar Irlandak hura frenatu edota baldintzatzeko dituen tresnei. Hirugarrenik, azken hauteskundeen ondotik geratu den eskenatoki politikoaren azalpena egingo da; eta azkenik, ondorio moduan, etorkizunari begirako aukerak aztertuko dira. ¿Brexit-ak Irlandaren batasunera hurbiltzen gaitu? ¿Erreferendumik egongo da? RESUMEN: El presente trabajo analiza el incierto escenario que deja en Irlanda del Norte el Brexit, que cuenta con el rechazo de la mayoría ciudadana norirlandesa. Para ello, se explicará primeramente cuál es el estatus jurídico-político que tiene Irlanda del Norte a día de hoy. En segundo lugar, se explicarán las implicaciones jurídico-constitucionales del Brexit así como las herramientas legales que tiene Irlanda del Norte para frenarlo o condicionarlo. En tercer lugar, se analizará el escenario político que queda en la isla tras las últimas elecciones; y en cuarto y último lugar, a modo de conclusión, se analizarán las opciones de futuro. ¿Nos acerca el Brexit a la unidad de Irlanda? ¿Habrá referéndum? ABSTRACT: The aim of this paper is to analyze the uncertain scenario that Brexit, which is rejected by a majority of the Northern-Irish society, leaves in Northern Ireland. With this purpose, we first explain the legal-political status of Northern Ireland nowadays. Secondly, we explain the legal and constitutional implications of the Brexit as well as the legal tools that Northern Ireland has to curb or condition it. Thirdly, we analyze the political scenario that remains on this devolved region after the last elections; and finally, we analyze future options. Are we approaching the unity of Ireland? Will there be a referendum?
Los Órganos de control externo (OCEX): una aproximación desde la perspectiva de las Relaciones Intergubernamentales
Authors: ABELLÁN LÓPEZ María Ángeles , ALDEGUER CERDÁ Bernabé
Published: March 2021

LABURPENA: Konfiantza-ezak eta eragile politikoen arteko lankidetza-urritasunak ezaugarritu izan dituzte Espainiako gobernuen arteko harremanak. Gobernuen arteko eztabaida-testuinguru horretan, jarduera onen kasu arrakastatsu bat aurkezten du artikulu honek, non Kanpo Kontrolerako Organo Autonomikoak (OCEX) izan ziren protagonista. Autonomia-erkidego batzuek beren Kanpo Kontrolerako Organo Autonomikoak sortu zituzten, eta foroak eta lankidetza-topaketak instituzionalizatu zituzten, emaitza bikainekin, Fiskalizazioko Goi Mailako Erakundeen Nazioarteko Erakundearen (INTOSAI) «Experientia mutua omnibus prodest» leloaren pean.

RESUMEN: Las relaciones intergubernamentales en España se han caracterizado por la desconfianza y un déficit de colaboración entre los actores políticos. En este contexto de controversia intergubernamental, este artículo presenta un caso de éxito de buenas prácticas protagonizado por los Órganos de Control Externo Autonómicos, conocidos como los OCEX. Algunas Comunidades Autónomas crearon sus propios OCEX y han institucionalizado foros y encuentros de colaboración y cooperación, con excelentes resultados, bajo el lema de la Organización Internacional de Instituciones Superiores de Fiscalización (INTOSAI), «Experientia mutua omnibus prodest».

ABSTRACT: Intergovernmental relations in Spain have been characterized by mistrust and a lack of collaboration among political actors. In this context of intergovernmental controversy, this article presents a case of success related to several good practices fostered by the autonomic bodies of external control, known as OCEX. Some Autonomous Communities created their own OCEX institutionalizing forums and meetings of collaboration and cooperation, with excellent results, under the motto of the International Organization of Supreme Audit Institutions (INTOSAI), «Experientia mutua omnibus prodest».
Marco regulador para la regeneración urbana
Authors: GONZÁLEZ BUSTOS M.ª Ángeles
Published: March 2021

LABURPENA: Hiri-garapenak beharrezko egiten du espazioa berroneratzeko arloko jarduera zehatzak abiaraztea, kontrolik gabeko garapenetik datozen arazo guztiak jorratu ahal izateko eta herritarrei bizi-kalitate egokia eman ahal izateko. Horretarako, ezinbestekoa da oinarri juridiko egokia edukitzea eta hainbat frontetan jardutea; adibidez, hauetan: auzoen edo biztanleguneen berroneratzean, eraikinen energia-eraginkortasunean edo hirigintza-plangintzan.

RESUMEN: El desarrollo urbano hace necesario que se adopten actuaciones concretas en materia de regeneración del espacio para acometer todos los problemas derivados de un desarrollo incontrolado así como satisfacer una calidad de vida adecuada a los ciudadanos. Para lo cual es indispensable tener una base jurídica adecuada y actuar en diferentes frentes como es la regeneración de barrios o núcleos de población, la eficiencia energética de los edificios, o la planificación urbana.

ABSTRACT: Urban development makes it necessary to adopt concrete actions in the matter of regeneration of space to tackle all the problems arising from uncontrolled development as well as to satisfy a quality of life adequate to the citizens. For this, it is essential to have an adequate legal base and to act on different fronts such as the regeneration of neighborhoods or population centers, the energy efficiency of buildings, or urban planning.
LA RENDICIÓN DE CUENTAS DEL BANCO CENTRAL EUROPEO COMO SUPERVISOR DE LAS ENTIDADES FINANCIERAS DE CRÉDITO
Authors: RODRÍGUEZ CABALLÉ ANNA Mª
Published: March 2021

Como es bien sabido, en los últimos tiempos el BCE ha asumido
nuevos poderes en materia de supervisión prudencial de las entidades de crédito.
Este hecho ha supuesto, probablemente, un impacto más directo sobre los particulares
respecto de la clásica función monetaria. Desde la lógica democrática,
y considerando el elevado grado de independencia de la institución, las nuevas
funciones como supervisor bancario deben ir acompañadas de mecanismos de
control democráticos que permitan responsabilizar al BCE de sus actuaciones, explicando
a qué responden sus actividades o en base a qué argumentos toma sus
decisiones.

Jakina denez, azken boladan EBZk ahalmen gehiago bereganatu
ditu kreditu-entitateak badaezpada ikuskatzeko. Aldaketa horrek, ziurrenik, inpaktu
zuzenekoagoa eragin die partikularrei, funtzio monetario klasikoaren aldean. Logika
demokratikoaren ikuspuntutik, eta erakundeak independentzia maila altua
duela kontuan hartuta, bankuen ikuskari gisa izango dituen zeregin berri horiek
kontrol demokratikoko mekanismoak ere behar dituzte, EBZ bere egintzen arduradun
eginarazteko, alegia, bere jarduerak zertatik datozen edo erabakiak hartzeko
zer argudio lantzen dituen azaldu beharra izango du.

As is well known, during last times the ECB has undertook new
powers in terms of a prudential supervision upon credit institutions. This has
meant, probably, a more direct impact on particulars regarding the classic monetary
function. From the democratic logic, and considering the high level of independence
by the institution, the new functions as banking supervisor are to be accompanied
with democratic supervisory mechanisms that let BCE to be accountable for its
actions, explaining the reasons for its activities or the grounds upon which its
decisions are adopted.
EL TRIBUNAL DE JUSTICIA Y LA TUTELA DE LOS DERECHOS EN LA UNIÓN ECONÓMICA Y MONETARIA EUROPEA
Authors: DONAIRE VILLA FRANCISCO JAVIER
Published: March 2021

Este artículo analiza el papel del Tribunal de Justicia de la Unión
Europea (TJUE) respecto a la tutela de los derechos fundamentales en el ámbito
de la Unión Económica y Monetaria (UEM). En particular, se examina la desigual y
todavía escasa jurisprudencia generada en relación con la protección y observancia
de la Carta de los Derechos Fundamentales de la UE (CDFUE) en los respectivos
marcos del Mecanismo Europeo de Estabilidad (MEDE), de los procedimientos
comunitarios por déficits públicos excesivos de los Estados miembros, de las
Agencias Europeas de gobernanza de los servicios financieros, de la actuación
del Banco Central Europeo (BCE) en el Mecanismo Único de Supervisión (MUS),
así como los aspectos teóricos de ese control, aún no efectivamente ejercido, en
el contexto de la política monetaria y en el del Mecanismo Único de Resolución
(MUR).

Europako Ekonomia eta Diru Batasunean oinarrizko eskubideak
zaintzen Europar Batasuneko Justizia Auzitegiak zer lan egiten duen aztertuko
dugu artikulu honetan. Zehazki, aztertuko dugu zertan diren hauek guztiak: Europar
Batasuneko Oinarrizko Eskubideen Gutuna betearazteko eta babesteko sortu
den jurisprudentzia (oraindik parekatu gabea eta eskasa), Egonkortasunerako Mekanismo
Europarraren esparru bakoitzean; estatu kideen gehiegizko defizit publikoek
eragindako prozedura komunitarioak; finantza-zerbitzuak gobernatzeko Agentzia
Europarrak; Europako Banku Zentralaren jarduna, Gainbegiratzeko Mekanismo
Bakarrean, bai eta kontrol horren aspektu teorikoak ere, kontrola oraindik guztiz
gauzatu ez bada ere, moneta-politikaren eta Ebazpenetarako Mekanismo Bakarraren
testuinguruan.

This article analyzes the role of the Court of Justice in the
protection of fundamental rights in the field of economic and monetary union.
It surveys the still scarce and unequal case law relating to the fulfilment of and
the respect to the EU¿s Charter of Fundamental Rights. In particular, it is surveyed
herein the case law recently generated in relation to the Memorandum of
Understanding in the framework of the European Stability Mechanism (ESM), the
communautarian procedures of excessive déficits and of economic imbalances,
the acts of the European Central Bank in the Single Supervision Mechanism
(SSM), as well as the theoretical aspects of such control, not actually performed
as yet, within the domains of the monetary policy and the Single Resolution
Mechanism (SRM).
EL CONTROL DE LAS AGENCIAS DEL SISTEMA EUROPEO DE SUPERVISIÓN FINANCIERA POR LA SALA DE RECURSO Y EL TRIBUNAL DE JUSTICIA DE LA UNIÓN EUROPEA
Authors: CIENFUEGOS MATEO MANUEL
Published: March 2021

El objeto de esta investigación es exponer las vías de recurso
existentes frente a las decisiones de las Autoridades Europeas de Supervisión (la
Autoridad Bancaria Europea, la Autoridad Europea de Valores y Mercados y la Autoridad
Europea de Seguros y Pensiones de Jubilación) ante la Sala de Recurso
común a estas tres agencias y, a renglón seguido, los recursos frente a las decisiones
de este órgano de naturaleza peculiar y los medios directos de impugnación
de las acciones y omisiones de las tres agencias europeas (recursos de anulación,
omisión y de responsabilidad extracontractual) ante el Tribunal de Justicia de la
Unión Europea.

Ikerketa honen bidez Ikuskapenerako Europako Agintaritzek
(Europako Banku Agintaritza, Baloreen eta Merkatuaren Europako Agintaritza eta
Aseguruen eta Erretiro Pentsioen Europako Agintaritza) hartutako erabakien kontra
hiru agentzia horien Errekurtso Aretoan errekurtsoak jartzeko zer bide dauden
azaldu nahi dugu, eta, segidan, izaera bereziko organo horren erabakien aurrean
zer errekurtso jar daitezkeen eta hiru agentzia europarren egiteak eta ez egiteak
aurkatzeko zer zuzeneko bide dauden Europar Batasuneko Justizia Epaitegiaren
aurrean (ezeztatzeko errekurtsoak, ez egiteen kontrakoak eta kontratuz kanpoko
erruaren ondoriozko erantzukizunaren errekurtsoak) .

The purpose of this investigation is to set out the existing
remedies against the decisions of the European Supervisory Authorities (the
European Banking Authority, the European Securities and Markets Authority and
the European Insurance and Occupational Pensions Authority) before the Board
of Appeal, an organ common to this tree agencies, and, subsequently, the actions
before the Court of Justice of the European Union against the decisions of this
peculiar body and the direct remedies against the three European agencies actions
and omissions (proceedings for annulment, failure to act and non-contractual
liability) before the Court of Justice of the European Union.
Perceptions and Level of ICT Competencies: A Survey of Librarians at Public Sector Universities in Khyber Pakhtunkhwa, Pakistan
Authors: Ahmed Shamshad , Rehman Atta Ur
Published: March 2021

This paper intends to explore the level of ICT competencies, and the training needs for updating these competencies among library professionals in Khyber Pakhtunkhwa, Pakistan. It also looks at the various approaches utilized by these professionals for acquiring ICT skills and problems faced by them in this regard. Descriptive survey research method has been used for conducting this study. The population for this study comprised of 105 library professionals working in the 14 public sector universities in Khyber Pakhtunkhwa, Pakistan. The study revealed that the status of ICT competencies among library professionals in the region is unsatisfactory. Self-study is their main avenue of acquiring ICT skills and insufficient staff in the libraries is their main problem. Further training in establishing & maintaining a digital library software and using institutional repository software is their foremost training need for updating their ICT competencies. The results can be utilized by library administrators to organize regular ICT training programs to train library staff in modern ICT resources as per their needs and to eradicate any hurdle in updating staff ICT competencies. This study provides valuable insight into the level of the ICT competencies of library professionals in KPK, and provides a framework for the development of ICT competencies of library professionals in KPK and elsewhere. It would lead to the provision of qualitative and standardized library services to the patrons and would enable library professionals to benefit from modern ICT resources in the field of library and information science.
Ўспирин-қиз болалар ва уларнинг оналарининг репродуктив саломатлик хақидаги билимларини текшириш натижаларининг таҳлили ва унинг сифат кўрсаткичини яхшилаш
Authors: Хакимова Лейла , Лапасова Мухтарам
Published: March 2021

Кўпчиллик олимларнинг фикрича ўспирин-қиз болаларнинг касалликлари орасида репродуктив саломатликни мухофаза қилишга бағишланган масалалар алохида ўрин эгаллайди. Ўспирин-қиз болалар орасида патологик хомиладорлик, туғиш жараёни ва хомилани сунъий олдириб ташлаш каби холатлар натижасида кўпаймоқда. Ўспирин-қизлар турмушга чиқишга соматик, жисмоний, жинсий ва психосоциал йўналишларда хали тўла-тўқис тайёр эмаслиги маълум бўлмоқда. Бу муаммони соғлиқни мухофаза қилиш корхоналари, бошқарувчи социал ташкилотлар ва ўспирин ёшларнинг бевосита иштирокида комплекс холда хал қилиниши мақсадга мувофиқдир. Ўспирин-қиз болалар билан олиб борилган сухбатларнинг натижалари таҳлил қилинганда, уларнинг тиббий муассасаларга мурожаат қилиб туришликлари хақида тегишли маълумотларга эга эмасликлари ва тиббий ходимлар билан ўтказилувчи суҳбатларнинг сир сақланишига ишончлари йўқлиги билан тушунтирилади. Бу Самарқанд вилояти Пастдарғом тумани «Ж.Юсупов» номли ҚВПда ушбу масала бўйича тадқиқотлар ўтказиш учун сабаб бўлди. Юқорида баён қилинган фикр-мулохазалар бизнинг текширув-таҳлилий тадқиқотимизга асос бўлди. Ишнинг мақсади ўспирин-қизлар ва уларнинг оналарининг репродуктив саломатлик хақидаги маълумотларини таҳлил қилиш.
Ирфоний қасидаларни ўрганишнинг ўзига хос қийинчиликлари (Хоқонийнинг ирфоний қасидалари мисолида)
Authors: Джумаева Камола
Published: March 2021

Марказий Осиёдан етишиб чиққан  диний ва дунёвий илм аҳлининг илм-фан ва маънавий тараққиётига қўшган ҳиссаси маълум ва машҳур. Аждодларимиз  яратган бадиий адабиёт намуналари ҳам ўз бағрида не-не сирларни яшириб  келмоқда ва умумбашарий ижтимоий маънавий тараққиётда уларнинг ўрни ва аҳамияти ҳануз етарли очиб  берилган дейиш қийин. Ирфоний адабиёт ва бу адабиёт замирида илгари сурилган ғоялар фикримизнинг исботи ҳисобланади. Ушбу мақолада ирфоний адаббиёт, ирфоний аддабиётнинг сарой адабиётига кириб келиши ва унга туртки  бўлганн омиллар, ирфоний қасидаларнинг ўзига хос қийинчиликлари ХИИ аср форс мумтоз шеъриятининг ёрқин вакилларидан бири  Хоқоний Ширвонийнинг ирфоний қасидалари мисолида очиб берилди.
Недозволенные методы следствия и меры по их предупреждению
Authors: Ниязов Максуд , Икрамова Лзиза
Published: March 2021

В статье анализируется сущность, природа пыток и других форм жестокого, бесчеловечного или унижающего человеческое достоинство обращения, как недозволенных методов следствия, нарушающие конституционные, законодательные нормы и международные договоры, касающиеся прав человека. Обоснована актуальность и негативное влияние пыток на имидж и авторитет органов власти демократического государства, а также перечислены действия, предпринятые Республикой Узбекистан в сфере противодействия пыткам и с учетом международного опыта предложены отдельные меры, которые будут способствовать недопущению или минимизации возможностей по использованию недозволенных методов следствия.